code_type,code,description,gross_charge,discounted_cash,min_negotiated,max_negotiated,payer_entries
,,Clia waived test,,,,,0
,,Distinct Procedural Service,,,,,0
,,Left anterior descending coronary artery,,,,,0
,,Left circumflex coronary artery,,,,,0
,,Left main coronary artery,,,,,0
,,Positron emission tomography (pet) or pet/computed tomography (ct) to inform the initial treatment strategy of tumors that are biopsy proven or strongly suspected of being cancerous based on other dia,,,,,0
,,Positron emission tomography (pet) or pet/computed tomography (ct) to inform the subsequent treatment strategy of cancerous tumors when the beneficiary's treating physician determines that the pet stu,,,,,0
,,Ramus intermedius coronary artery,,,,,0
,,Reduced Services,,,,,0
,,Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional,,,,,0
,,"Replacement of a dme, orthotic or prosthetic item",,,,,0
,,Requirements specified in the medical policy have been met,,,,,0
,,Right coronary artery,,,,,0
,,Services delivered under an outpatient speech language pathology plan of care,,,,,0
,,Synchronous Telemedicine Service Rendered Via a Real-Time Interactive Audio and Video Telecommunications System,,,,,0
,,"Technical Component; represents the costs of equipment, supplies, and technician personnel for a procedure, excluding the physician's interpretation. It is used when only the technical portion of a te",,,,,0
APC,0763,"Inj, bupivacaine liposome",,,,,0
APC,0764,Ketorolac tromethamine inj,,,,,0
APC,0788,"Inj cefazolin sodium, hikma",,,,,0
APC,0792,"Inj, glycopyrrolate, 0.1 mg",,,,,0
APC,0902,"Injection,onabotulinumtoxinA",,,,,0
APC,1511,New Technology - Level 11 ($901 - $1000),,,,,0
APC,1580,"New Technology - Level 43 ($40,001-$50,000)",,,,,0
APC,2043,Orth/matrx/bn fill drug-elut,,,,,0
APC,2050,Cath coronary drug-delivery,,,,,0
APC,2052,Cath renal denerv ultrasnd,,,,,0
APC,2616,"Brachytx, non-str,Yttrium-90",,,,,0
APC,2646,"Brachytx, non-str, HDR Ir-192",,,,,0
APC,5012,Clinic Visits and Related Services,,,,,0
APC,5021,Level 1 Type A ED Visits,,,,,0
APC,5022,Level 2 Type A ED Visits,,,,,0
APC,5023,Level 3 Type A ED Visits,,,,,0
APC,5024,Level 4 Type A ED Visits,,,,,0
APC,5025,Level 5 Type A ED Visits,,,,,0
APC,5041,Critical Care,,,,,0
APC,5045,Trauma Response with Critical Care,,,,,0
APC,5051,Level 1 Skin Procedures,,,,,0
APC,5052,Level 2 Skin Procedures,,,,,0
APC,5053,Level 3 Skin Procedures,,,,,0
APC,5054,Level 4 Skin Procedures,,,,,0
APC,5055,Level 5 Skin Procedures,,,,,0
APC,5071,Level 1 Excision/ Biopsy/ Incision and Drainage,,,,,0
APC,5072,Level 2 Excision/ Biopsy/ Incision and Drainage,,,,,0
APC,5073,Level 3 Excision/ Biopsy/ Incision and Drainage,,,,,0
APC,5091,Level 1 Breast/Lymphatic Surgery and Related Procedures,,,,,0
APC,5092,Level 2 Breast/Lymphatic Surgery and Related Procedures,,,,,0
APC,5093,Level 3 Breast/Lymphatic Surgery and Related Procedures,,,,,0
APC,5094,Level 4 Breast/Lymphatic Surgery and Related Procedures,,,,,0
APC,5101,Level 1 Strapping and Cast Application,,,,,0
APC,5102,Level 2 Strapping and Cast Application,,,,,0
APC,5111,Level 1 Musculoskeletal Procedures,,,,,0
APC,5112,Level 2 Musculoskeletal Procedures,,,,,0
APC,5113,Level 3 Musculoskeletal Procedures,,,,,0
APC,5114,Level 4 Musculoskeletal Procedures,,,,,0
APC,5115,Level 5 Musculoskeletal Procedures,,,,,0
APC,5116,Level 6 Musculoskeletal Procedures,,,,,0
APC,5151,Level 1 Airway Endoscopy,,,,,0
APC,5153,Level 3 Airway Endoscopy,,,,,0
APC,5154,Level 4 Airway Endoscopy,,,,,0
APC,5155,Level 5 Airway Endoscopy,,,,,0
APC,5161,Level 1 ENT Procedures,,,,,0
APC,5162,Level 2 ENT Procedures,,,,,0
APC,5163,Level 3 ENT Procedures,,,,,0
APC,5164,Level 4 ENT Procedures,,,,,0
APC,5165,Level 5 ENT Procedures,,,,,0
APC,5166,Cochlear Implant Procedure,,,,,0
APC,5181,Level 1 Vascular Procedures,,,,,0
APC,5182,Level 2 Vascular Procedures,,,,,0
APC,5183,Level 3 Vascular Procedures,,,,,0
APC,5184,Level 4 Vascular Procedures,,,,,0
APC,5191,Level 1 Endovascular Procedures,,,,,0
APC,5192,Level 2 Endovascular Procedures,,,,,0
APC,5193,Level 3 Endovascular Procedures,,,,,0
APC,5194,Level 4 Endovascular Procedures,,,,,0
APC,5200,Implantation Wireless PA Pressure Monitor,,,,,0
APC,5212,Level 2 Electrophysiologic Procedures,,,,,0
APC,5213,Level 3 Electrophysiologic Procedures,,,,,0
APC,5221,Level 1 Pacemaker and Similar Procedures,,,,,0
APC,5222,Level 2 Pacemaker and Similar Procedures,,,,,0
APC,5223,Level 3 Pacemaker and Similar Procedures,,,,,0
APC,5224,Level 4 Pacemaker and Similar Procedures,,,,,0
APC,5231,Level 1 ICD and Similar Procedures,,,,,0
APC,5232,Level 2 ICD and Similar Procedures,,,,,0
APC,5241,Level 1 Blood Product Exchange and Related Services,,,,,0
APC,5242,Level 2 Blood Product Exchange and Related Services,,,,,0
APC,5243,Level 3 Blood Product Exchange and Related Services,,,,,0
APC,5301,Level 1 Upper GI Procedures,,,,,0
APC,5302,Level 2 Upper GI Procedures,,,,,0
APC,5303,Level 3 Upper GI Procedures,,,,,0
APC,5311,Level 1 Lower GI Procedures,,,,,0
APC,5312,Level 2 Lower GI Procedures,,,,,0
APC,5313,Level 3 Lower GI Procedures,,,,,0
APC,5331,Complex GI Procedures,,,,,0
APC,5341,Level 1 Abdominal/Peritoneal/Biliary and Related Procedures,,,,,0
APC,5342,Level 2 Abdominal/Peritoneal/Biliary and Related Procedures,,,,,0
APC,5361,Level 1 Laparoscopy and Related Services,,,,,0
APC,5362,Level 2 Laparoscopy and Related Services,,,,,0
APC,5371,Level 1 Urology and Related Services,,,,,0
APC,5372,Level 2 Urology and Related Services,,,,,0
APC,5373,Level 3 Urology and Related Services,,,,,0
APC,5374,Level 4 Urology and Related Services,,,,,0
APC,5375,Level 5 Urology and Related Services,,,,,0
APC,5376,Level 6 Urology and Related Services,,,,,0
APC,5377,Level 7 Urology and Related Services,,,,,0
APC,5378,Level 8 Urology and Related Services,,,,,0
APC,5401,Dialysis,,,,,0
APC,5411,Level 1 Gynecologic Procedures,,,,,0
APC,5412,Level 2 Gynecologic Procedures,,,,,0
APC,5413,Level 3 Gynecologic Procedures,,,,,0
APC,5414,Level 4 Gynecologic Procedures,,,,,0
APC,5415,Level 5 Gynecologic Procedures,,,,,0
APC,5416,Level 6 Gynecologic Procedures,,,,,0
APC,5431,Level 1 Nerve Procedures,,,,,0
APC,5432,Level 2 Nerve Procedures,,,,,0
APC,5441,Level 1 Nerve Injections,,,,,0
APC,5442,Level 2 Nerve Injections,,,,,0
APC,5443,Level 3 Nerve Injections,,,,,0
APC,5461,Level 1 Neurostimulator and Related Procedures,,,,,0
APC,5462,Level 2 Neurostimulator and Related Procedures,,,,,0
APC,5463,Level 3 Neurostimulator and Related Procedures,,,,,0
APC,5464,Level 4 Neurostimulator and Related Procedures,,,,,0
APC,5465,Level 5 Neurostimulator and Related Procedures,,,,,0
APC,5471,Implantation of Drug Infusion Device,,,,,0
APC,5501,"Level 1 Extraocular, Repair, and Plastic Eye Procedures",,,,,0
APC,5503,"Level 3 Extraocular, Repair, and Plastic Eye Procedures",,,,,0
APC,5504,"Level 4 Extraocular, Repair, and Plastic Eye Procedures",,,,,0
APC,5521,Level 1 Imaging without Contrast,,,,,0
APC,5522,Level 2 Imaging without Contrast,,,,,0
APC,5523,Level 3 Imaging without Contrast,,,,,0
APC,5524,Level 4 Imaging without Contrast,,,,,0
APC,5571,Level 1 Imaging with Contrast,,,,,0
APC,5572,Level 2 Imaging with Contrast,,,,,0
APC,5573,Level 3 Imaging with Contrast,,,,,0
APC,5591,Level 1 Nuclear Medicine and Related Services,,,,,0
APC,5592,Level 2 Nuclear Medicine and Related Services,,,,,0
APC,5593,Level 3 Nuclear Medicine and Related Services,,,,,0
APC,5594,Level 4 Nuclear Medicine and Related Services,,,,,0
APC,5611,Level 1 Therapeutic Radiation Treatment Preparation,,,,,0
APC,5612,Level 2 Therapeutic Radiation Treatment Preparation,,,,,0
APC,5613,Level 3 Therapeutic Radiation Treatment Preparation,,,,,0
APC,5622,Level 2 Radiation Therapy,,,,,0
APC,5623,Level 3 Radiation Therapy,,,,,0
APC,5624,Level 4 Radiation Therapy,,,,,0
APC,5626,Level 6 Radiation Therapy,,,,,0
APC,5627,Level 7 Radiation Therapy,,,,,0
APC,5661,Therapeutic Nuclear Medicine,,,,,0
APC,5671,Level 1 Pathology,,,,,0
APC,5672,Level 2 Pathology,,,,,0
APC,5673,Level 3 Pathology,,,,,0
APC,5674,Level 4 Pathology,,,,,0
APC,5691,Level 1 Drug Administration,,,,,0
APC,5692,Level 2 Drug Administration,,,,,0
APC,5693,Level 3 Drug Administration,,,,,0
APC,5694,Level 4 Drug Administration,,,,,0
APC,5721,Level 1 Diagnostic Tests and Related Services,,,,,0
APC,5722,Level 2 Diagnostic Tests and Related Services,,,,,0
APC,5723,Level 3 Diagnostic Tests and Related Services,,,,,0
APC,5724,Level 4 Diagnostic Tests and Related Services,,,,,0
APC,5731,Level 1 Minor Procedures,,,,,0
APC,5732,Level 2 Minor Procedures,,,,,0
APC,5733,Level 3 Minor Procedures,,,,,0
APC,5734,Level 4 Minor Procedures,,,,,0
APC,5735,Level 5 Minor Procedures,,,,,0
APC,5742,Level 2 Electronic Analysis of Devices,,,,,0
APC,5771,Cardiac Rehabilitation,,,,,0
APC,5781,Resuscitation and Cardioversion,,,,,0
APC,5791,Pulmonary Treatment,,,,,0
APC,5821,Level 1 Health and Behavior Services,,,,,0
APC,5823,Level 3 Health and Behavior Services,,,,,0
APC,5871,Dental Procedures,,,,,0
APC,9290,"Inj, bupivacaine, nos, 0.5mg",,,,,0
APC,9510,Whole blood for transfusion,,,,,0
APC,9511,Cryoprecipitate each unit,,,,,0
APC,9512,RBC leukocytes reduced,,,,,0
APC,9522,RBC leukoreduced irradiated,,,,,0
APC,9530,Plate pheres leukoredu irrad,,,,,0
APC,9536,Platelets pheresis path redu,,,,,0
APC,N800,Clinical Diagnostic Lab Services,,,,,0
APC,N801,Therapy Services,,,,,0
APC,N804,Mammography Services,,,,,0
APC,N805,Durable Medical Equipment,,,,,0
APC,N809,Other Medicine,,,,,0
APC,N900,Non-covered Services,,,,,0
APC,N902,Packaged Services,,,,,0
APC,N905,Not Recognized by OPPS,,,,,0
CDM,10000216,Hc Njx Dx/Ther Paraver Fct Jt W/Us Lumb/Sac Lvl 1,2774.0,1081.86,,,0
CDM,10000217,Hc Njx Dx/Ther Paraver Fct Jt W/Us Lumb/Sac Lvl 2,2328.0,907.92,,,0
CDM,10000218,Hc Njx Paravertbrl Fct Jt W Us Lumb/Sac 3Rd And Any Addtl Lvl,1919.0,748.41,,,0
CDM,10000232,Hc Inj Platelet Rich Plasma Prp W Imaging,2831.0,1104.09,,,0
CDM,10000272,Hc Interrogation Dev Eval Cartd Sins Barreflx W/I And R,571.0,222.69,,,0
CDM,10000273,Hc Introgation Dev Eval Cartd Sins Barreflx W/Prgrm,571.0,222.69,,,0
CDM,10000402,Hc Collagen Cross-Linking Cornea And Pachymtry,7226.0,2818.14,,,0
CDM,10000408,Hc Insertion/Replacement Cardiac Modulation System Pulse Gen Transvenous Electrodes,66436.0,25910.04,,,0
CDM,10000409,Hc Insertion/Replacement Cardiac Modulation System Pulse Generator Only,66436.0,25910.04,,,0
CDM,10000410,Hc Insertion/Replacement Cardiac Modulation System Atrial Electrode Only,23507.0,9167.73,,,0
CDM,10000411,Hc Insertion/Replacement Cardiac Modulation System Ventricular Electrode Only,23507.0,9167.73,,,0
CDM,10000412,Hc Removal Cardiac Modulation System Pulse Generator Only,13889.0,5416.71,,,0
CDM,10000413,Hc Removal Cardiac Modulation System Transvenous Electrode,13889.0,5416.71,,,0
CDM,10000414,Hc Remove And Replace Cardiac Modulation Sys Pulse Gen Only,66436.0,25910.04,,,0
CDM,10000415,Hc Repositioning Cardiac Modulation Transvenous Electrode,2187.0,852.93,,,0
CDM,10000416,Hc Relocation Skin Pocket Cardiac Modulation Pulse Generator,6925.0,2700.75,,,0
CDM,10000417,Hc Programming Device Evaluation Cardiac Modulation System,213.0,83.07,,,0
CDM,10000418,Hc Interrogation Device Evaluation Cardiac Modulation System,213.0,83.07,,,0
CDM,10000515,Hc Insertion Of Entire Wireless Cardiac Stimulation System,52394.0,20433.66,,,0
CDM,10000516,Hc Insertion Or Replacement Of Electrode,30848.0,12030.72,,,0
CDM,10000517,Hc Insert Wrlss Lv Card Plse Gen W Transmttr W Imag,30848.0,12030.72,,,0
CDM,10000518,Hc Remove Card Lv Wrls Plse Gen?,12045.0,4697.55,,,0
CDM,10000519,Hc Remove And Replace Card Lv Wrls Plse Gen? Inc Trnmit,12045.0,4697.55,,,0
CDM,10000520,Hc Remove And Replace Card Lv Wrls Plse Gen,52394.0,20433.66,,,0
CDM,10000523,Hc Intraprocedural Coronary Ffp W/3D Funcjl Mapping Add-On,2595.0,1012.05,,,0
CDM,10000525,Hc Insertion/Replacement Complete Iims,36240.0,14133.6,,,0
CDM,10000526,Hc Insertion/Replacement Iims Electrode Only,28435.0,11089.65,,,0
CDM,10000527,Hc Insertion/Replacement Iims Implantable Monitor Only,28435.0,11089.65,,,0
CDM,10000528,Hc Prgrmg Device Eval Iims In Person,193.0,75.27,,,0
CDM,10000529,Hc Interrogation Device Eval Iims In Person,193.0,75.27,,,0
CDM,10000530,Hc Removal Complete Iims Incl Img S And I,16803.0,6553.17,,,0
CDM,10000531,Hc Removal Iims Electrode Only Incl Img S And I,16803.0,6553.17,,,0
CDM,10000532,Hc Removal Iims Implantable Mntr Only Incl Img S And I,16803.0,6553.17,,,0
CDM,10000569,Hc Ip Only ? Ttvr Perc Initial,59672.0,23272.08,,,0
CDM,10000570,Hc Ip ?Only ? Ttvr Perc Addl?,14918.0,5818.02,,,0
CDM,10000587,Hc Implant Or Replace Perc Tib Nrv Plse Gen Bldr Dysf W Imag,4754.0,1854.06,,,0
CDM,10000588,Hc Revise/Rem Perc Tib Nrv Plse Gen Or Array Bldr Dysf W Imag,3554.0,1386.06,,,0
CDM,10000589,Hc Elec Alys Simple Prgrmg Iins Bldr Dysf 1-3 Parameters,860.0,335.4,,,0
CDM,10000590,Hc Elec Alys Complex Prgrmg Iins Bldr Dysf 1-3 Parameters,860.0,335.4,,,0
CDM,10000620,Hc Endovascular Venous Arterialization Tibl/Prnl Vn,64847.0,25290.33,,,0
CDM,10000644,Hc Tcat Rmvl/Debulk Icar Mass Suction Device Perq,19461.0,7589.79,,,0
CDM,10000662,Hc Scalp Cooling 1St Measurement And Cap Calibration,4976.0,1940.6399999999999,,,0
CDM,10000663,Hc Scalp Cooling Placement Mntr And Removal Of Device,1299.5,506.805,,,0
CDM,10009764,Hc Revasc Intravasc Lithotripsy,19999.0,7799.61,,,0
CDM,10009765,Hc Revasc Intravasc Lithotripsy And Trans Stent Placement,39997.0,15598.83,,,0
CDM,10009766,Hc Revasc Intravasc Lithotripsy And Atherectomy,39997.0,15598.83,,,0
CDM,10009767,Hc Revasc Lithotripsy And Stent W/Atherectomy,64349.0,25096.11,,,0
CDM,10009772,Hc Revasc Lithotripsy Tibial/Perone Incl Angplsty,49010.0,19113.9,,,0
CDM,10009773,Hc Revasc Lithotripsy W Stent Tib/Perone Incl Angplsty,78364.0,30561.96,,,0
CDM,10009774,Hc Revasc Lithotr W Artherectomy Tib/Per Incl Angplsty,78364.0,30561.96,,,0
CDM,10009775,Hc Revasc Litho Stent Athrectomy Tib/Per Incl Angplsty,78364.0,30561.96,,,0
CDM,10009797,Hc Vasc Emb Occ W Prs Cath,54289.0,21172.71,,,0
CDM,10010006,Hc Fine Needle Bx W/Us Ea Addl Lesion,1570.0,612.3,,,0
CDM,10010007,Hc Fl Fine Needle Bx/Asp Fl Guidance 1St Lesion,4704.0,1834.56,,,0
CDM,10010008,Hc Fl Fine Needle Bx/Asp Fl Guidance Ea Addl,1570.0,612.3,,,0
CDM,10010015,Hc I And D Abscess-Simple Or Sing,2038.0,794.82,,,0
CDM,10010016,Hc I And D Abscess Complx-Mult,2038.0,794.82,,,0
CDM,10010017,Hc I And D Pilonidal Cyst Simple,2038.0,794.82,,,0
CDM,10010018,Hc I And D Pilonidal Cyst Complicated,16172.0,6307.08,,,0
CDM,10010019,Hc Fb Remove Skin Subq-Simple,3932.0,1533.48,,,0
CDM,10010020,Hc Incision And Removal Foreign Body Subq Tiss Compl,20404.0,7957.56,,,0
CDM,10010021,Hc Incision/Drainage Of Hematoma/Fluid,18086.0,7053.54,,,0
CDM,10010023,Hc Puncture Aspiration Of Abscess/Hematoma/Bulla Or Cyst,2038.0,794.82,,,0
CDM,10010025,Hc Debride Inc Muscle/Bone/Fascia 1St 20Sqcm Or Less,9284.0,3620.76,,,0
CDM,10010026,Hc I And D Complex Po Wound Infection,24881.0,9703.59,,,0
CDM,10010027,Hc Dbrdmt Extensv Eczema/Infect Skn Up 10 Pct Bdy Surf,2187.0,852.93,,,0
CDM,10010028,Hc Dbrdmt W/Rmvl Fm Fx And /Dislc Skin And Subq Tissus,2112.0,823.68,,,0
CDM,10010030,Hc Debride Subq Tissue 1St 20Sqcm Or Less,3932.0,1533.48,,,0
CDM,10010031,Hc Hc Debride Subq Ea Add 20 Sqcm,2123.0,827.97,,,0
CDM,10010032,Hc Debride Inc Muscle/Fascia Ea Add 20 Sqcm Or Less,2375.0,926.25,,,0
CDM,10010033,Hc Debride Inc Muscle/Bone Ea Add 20 Sqcm Or Less,6345.0,2474.55,,,0
CDM,10010034,Hc Paring/Cutting Benign Hyperkeratotic Lesion 1,1045.0,407.55,,,0
CDM,10010035,Hc Paring/Cutting Benign Hyperkeratotic Lesion 2-4,1364.0,531.96,,,0
CDM,10010036,Hc Paring/Cutting Benign Hyperkeratotic Lesions Over 4,1420.0,553.8,,,0
CDM,10010038,Hc Exc Lesion Trunk/Arms/Legs Benign Marg 0.6-1 Cm,5014.0,1955.46,,,0
CDM,10010039,Hc Exc Lesion Trunk/Arms/Legs Benign Marg Over 4.0Cm,8670.0,3381.3,,,0
CDM,10010040,Hc Trimming Nondystrophic Nails Any Number,1208.0,471.12,,,0
CDM,10010041,Hc Debridement Nail Any Method 1-5,1079.0,420.81,,,0
CDM,10010042,Hc Debridement Nail Any Method 6 Or More Nails,1208.0,471.12,,,0
CDM,10010043,Hc Avulsion Nail Plate Partial/Complete Simple 1,2071.0,807.69,,,0
CDM,10010044,Hc Nail Plate Avulsion Addtl,1079.0,420.81,,,0
CDM,10010045,Hc Drain Subugual Hematoma,612.0,238.68,,,0
CDM,10010046,Hc Excision Nail/Nail Matrix Includes Ingrown,6437.0,2510.43,,,0
CDM,10010048,Hc Nail Bed Repair,4430.0,1727.7,,,0
CDM,10010050,Hc Toenail Wedge Resection,1208.0,471.12,,,0
CDM,10010055,Hc Repair Simple Scalp/Neck/Ax/Genit/Trunk 2.5Cm Or Less,1900.0,741.0,,,0
CDM,10010056,Hc Wound Body Simp 2.6-7.5,1900.0,741.0,,,0
CDM,10010057,Hc Wound Body Simp 7.6-12.5,1900.0,741.0,,,0
CDM,10010058,Hc Wound Body Simp 12.6-20.0,1900.0,741.0,,,0
CDM,10010059,Hc Wound Body Simp 20.1-30.0,1900.0,741.0,,,0
CDM,10010060,Hc Repair Simple Scalp/Neck/Ax/Genit/Trunk Over 30.0Cm,1900.0,741.0,,,0
CDM,10010061,Hc Repair Simple F/E/E/N/L/M 2.5Cm Or Less,1900.0,741.0,,,0
CDM,10010062,Hc Wound Head Simp 2.6-5.0,1900.0,741.0,,,0
CDM,10010063,Hc Wound Head Simp 5.1-7.5,1900.0,741.0,,,0
CDM,10010064,Hc Wound Head Simp 7.6-12.5,1900.0,741.0,,,0
CDM,10010065,Hc Wound Head Simp 12.6-20,1900.0,741.0,,,0
CDM,10010066,Hc Wound Head Simp 20.1-30,1900.0,741.0,,,0
CDM,10010067,Hc Repair Simple Face/Ear/Eye Lid/Nose/Lip/Mouth Over 30 Cm,1900.0,741.0,,,0
CDM,10010068,Hc Wound Dehiscence Simp,4051.0,1579.89,,,0
CDM,10010069,Hc Wound Dehiscence W/Packing,3161.0,1232.79,,,0
CDM,10010070,Hc Repair Intermediate S/A/T/E 2.5Cm Or Less,1900.0,741.0,,,0
CDM,10010071,Hc Wound Body Layer 2.6-7.5,2107.0,821.73,,,0
CDM,10010072,Hc Wound Body Layer 7.6-12.5,2305.0,898.95,,,0
CDM,10010073,Hc Wound Body Layer 12.6-20,2479.0,966.81,,,0
CDM,10010074,Hc Wound Body Layer 20.1-30,4048.0,1578.72,,,0
CDM,10010075,Hc Repair Intermediate Layer Scalp/Underarms/Trunk/Extrem Over 30Cm,4430.0,1727.7,,,0
CDM,10010076,Hc Repair Intermediate N/H/F/Xtrnl Gent 2.5Cm Or Less,1900.0,741.0,,,0
CDM,10010077,Hc Wound Body/Ext Layer 2.6-7.5,1900.0,741.0,,,0
CDM,10010078,Hc Wound Body/Ext Layer 7.6-12.5,1900.0,741.0,,,0
CDM,10010079,Hc Wound Body/Ext Layer 12.6-20,4430.0,1727.7,,,0
CDM,10010080,Hc Wound Body/Ext Layer 20.1-30,4430.0,1727.7,,,0
CDM,10010081,Hc Repair Intermediate Layer Head/Neck/Feet/Genitals Over 30 Cm,4950.0,1930.5,,,0
CDM,10010082,Hc Repair Intermediate F/E/E/N/L And /Muc 2.5Cm Or Less,1900.0,741.0,,,0
CDM,10010083,Hc Wound Head Layer 2.6-5,1900.0,741.0,,,0
CDM,10010084,Hc Wound Head Layer 5.1-7.5,1900.0,741.0,,,0
CDM,10010085,Hc Wound Head Layer 7.6-12.5,1900.0,741.0,,,0
CDM,10010086,Hc Wound Head Layer 12.6-20,1900.0,741.0,,,0
CDM,10010087,Hc Wound Head Layer 20.1-30,4430.0,1727.7,,,0
CDM,10010088,Hc Repair Intermediate Layer Face/Ear/Eye Lid/Nose/Lip/Mouth Over 30Cm,4950.0,1930.5,,,0
CDM,10010089,Hc Wound Trunk Comp 1.1-2.5,5696.0,2221.44,,,0
CDM,10010090,Hc Wound Trunk Comp 2.6-7.5,5696.0,2221.44,,,0
CDM,10010091,Hc Repair Complex Trunk Each Addl 5Cm Or Less,965.0,376.35,,,0
CDM,10010092,Hc Wound Comp Ext 1.1-2.5,4430.0,1727.7,,,0
CDM,10010093,Hc Wound Comp Ext 2.6-7.5,4430.0,1727.7,,,0
CDM,10010094,Hc Repair Complex Scalp/Arm/Leg Ea Addl 5Cm Or Less,4430.0,1727.7,,,0
CDM,10010095,Hc Wound Body Comp 1.1-2.5,4430.0,1727.7,,,0
CDM,10010096,Hc Wound Body Comp 2.6-7.5,4950.0,1930.5,,,0
CDM,10010097,Hc Repair Complex F/C/C/M/N/Ax/G/H/F Ea Addl 5Cm Or Less,4950.0,1930.5,,,0
CDM,10010099,Hc Wound Head Comp 1.1-2.5,5696.0,2221.44,,,0
CDM,10010100,Hc Wound Head Comp 2.6-7.5,5696.0,2221.44,,,0
CDM,10010101,Hc Repair Complx Eyelid/Nose/Ear/Lip Ea Addl 5Cm Or Less,4430.0,1727.7,,,0
CDM,10010102,Hc Closure Secondary Surg Wound/Dehsn Extsv/Complex,6636.0,2588.04,,,0
CDM,10010103,Hc Prep Site Trunk/Arm/Leg 1St 100 Sqcm Adult Or 1 Pct Body Area Child,4776.0,1862.64,,,0
CDM,10010104,Hc Prep Site Trunk/Arm/Leg Each Additl 100 Sqcm Adult Or 1 Pct Body Area Child,1991.0,776.49,,,0
CDM,10010105,Hc Prep Site F/S/N/H/F/G/M/D Gt 1St 100 Sqcm Adult Or 1 Pct Body Area Child,4776.0,1862.64,,,0
CDM,10010106,Hc Prep Site F/S/N/H/F/G/M/D Gt Each Additl 100 Sqcm Adult Or 1 Pct Body Area Child,2220.0,865.8,,,0
CDM,10010109,Hc Split Autogrft F/S/N/H/F/G/M/D Gt 1St 100Sqcm Or Less,11694.0,4560.66,,,0
CDM,10010113,Hc Apply Skin Sub T/A/L Area Under 100Sqcm 1St 25Sqcm Or Less,3000.0,1170.0,,,0
CDM,10010114,Hc Apply Skin Sub T/A/L Ea Addl 25Sqcm Or Less Area Under 100Sqcm,1279.0,498.81,,,0
CDM,10010115,Hc Apply Skin Sub T/A/L 1St 100Sqcm Or Less Adult/Child 1 Pct Tbsa,5167.0,2015.13,,,0
CDM,10010116,Hc Apply Skin Sub T/A/L Ea Addl 100Sqcm Or Less Adult/Child 1 Pct Tbsa,1279.0,498.81,,,0
CDM,10010117,Hc Apply Skin Sub Face/Nk/Hf/G Area Under 100Sqcm 1St 25Sqcm Or Less,3000.0,1170.0,,,0
CDM,10010118,Hc Apply Skin Sub Face/Nk/Hf/G Ea Addl 25 Sqcm Or Less Or 100 Sqcm Or Less,1536.0,599.04,,,0
CDM,10010119,Hc Apply Skin Sub Face/Nk/Hf/G 1St 100Sqcm Or Less Adult/Child 1 Pct Tbsa,3000.0,1170.0,,,0
CDM,10010120,Hc Apply Skin Sub Face/Nk/Hf/G Ea Addl 100 Sqcm Or Less Adult/Child 1 Pct Tbsa,1279.0,498.81,,,0
CDM,10010135,Hc Burn 1St Degree Inital,1208.0,471.12,,,0
CDM,10010136,Hc Drsg/Dbrdmt Burns Partial-Thkns Small Under 5Pct Body Surface,2187.0,852.93,,,0
CDM,10010137,Hc Burn Partial Thick Med 5-10 Pct,2187.0,852.93,,,0
CDM,10010138,Hc Drsg/Dbrdmt Burns Partial-Thkns Large Over 10Pct Body Surface,2187.0,852.93,,,0
CDM,10010139,Hc Destruction Premalignant Lesion 1St,230.0,89.7,,,0
CDM,10010141,Hc Chemical Cautery Granulation Tissue,2187.0,852.93,,,0
CDM,10010142,Hc Puncture Drain Aspiration Of Cyst Of Breast,4345.0,1694.55,,,0
CDM,10010143,Hc Puncture Aspiratation Breast Cyst Ea Add On Uni,1387.0,540.93,,,0
CDM,10010144,Hc Inj Mammary Ductogram Or Galactogram Uni,2891.0,1127.49,,,0
CDM,10010145,Hc Biopsy Open Or Incisional Of Breast,17746.0,6920.94,,,0
CDM,10010162,Hc Dbrdmt Fx And /Dislc Subq T/M/F Bone,8406.0,3278.34,,,0
CDM,10010163,Hc Debride Inc Muscle/Fascia 1St 20Sqcm Or Less,3932.0,1533.48,,,0
CDM,10010164,Hc Cath Fluid Drain Soft Tissue Perc,18206.0,7100.34,,,0
CDM,10010166,Hc Rmvl Skin Tags Mlt Fibrq Tags Any Ea Addl 10,430.0,167.7,,,0
CDM,10010167,Hc Exc Benign Lesion Mrgn Xcp Sk Tg Trunk Arms Legs 0.5 Cm Or Less,1602.0,624.78,,,0
CDM,10010168,Hc Exc Benign Lesion Mrgn Xcp Sk Tg Trunk Arms Legs 1.1 To 2.0 Cm,3694.0,1440.66,,,0
CDM,10010169,Hc Exc Benign Lesion Mrgn Xcp Sk Tg Trunk Arms Legs 2.1 To 3.0 Cm,3150.0,1228.5,,,0
CDM,10010170,Hc Exc Benign Lesion Mrgn Xcp Sk Tg Trunk Arms Legs 3.1 To 4.0 Cm,5241.0,2043.99,,,0
CDM,10010173,Hc Exc Benign Lesion Mrgn Xcp Sk Tg Scalp Neck Hands Feet Genitalia Over 4.0 Cm,8553.0,3335.67,,,0
CDM,10010174,Hc Exc Benign Lesion Mrgn Xcp Sk Tg Face Ears Eyelids Nose Lips Muc Memb 0.5Cm Or Less,1481.0,577.59,,,0
CDM,10010178,Hc Exc Benign Les Mrgn Xcp Sk Tg Face Ears Eyelids Nose Lips Muc Memb 3.1 To 4.0 Cm,520.0,202.8,,,0
CDM,10010180,Hc Excision Mal Lesion Trunk Arm Leg 0.5 Cm Or Less,1623.0,632.97,,,0
CDM,10010187,Hc Excision Malig Lesion Scl/Nck/Hnd/Ft/Grn 0.6 To 1.0 Cm,2730.0,1064.7,,,0
CDM,10010191,Hc Excision Malig Lesion Scl Nck Hnd Ft Grn Greater Than 4.0 Cm,9502.0,3705.78,,,0
CDM,10010195,Hc Excision Malig Lesion Fac/Ear/Eyl/Nos/Lip/Muc Memb 2.1 To 3.0 Cm,2730.0,1064.7,,,0
CDM,10010199,Hc Shave Lesion 1 Trunk Arm Leg ?1.1 To 2.0 Cm,951.0,370.89,,,0
CDM,10010200,Hc Shave Lesion 1 Trunk Arm Leg ?Over 2.0 Cm,1250.0,487.5,,,0
CDM,10010201,Hc Shaving Skin Lesion 1 Scalp Neck Hands Feet Genitalia 0.5 Cm Or Less,356.0,138.84,,,0
CDM,10010203,Hc Destruction Of Benign Lesions 1-14,6898.0,2690.22,,,0
CDM,10010204,Hc Excision Benign Lesion 1.1 To 2.0 Cm,12725.0,4962.75,,,0
CDM,10010205,Hc Excision Benign Lesion 2.1 To 3.0 Cm,14585.0,5688.15,,,0
CDM,10010206,Hc Excision Benign Lesion 0.6 To 1.0 Cm,10273.0,4006.47,,,0
CDM,10010207,Hc Insertion Drug Delivery Implant,9988.0,3895.32,,,0
CDM,10010208,Hc Removal Implantable Contraceptive Capsules,1266.0,493.74,,,0
CDM,10010210,Hc Shaving Skin Lesion 1 Scalp Neck Hands Feet Genitalia 0.6 To 1.0 Cm,356.0,138.84,,,0
CDM,10010211,Hc Shaving Skin Lesion 1 Scalp Neck Hands Feet Genitalia 1.1-2.0 Cm,400.0,156.0,,,0
CDM,10010212,Hc Shaving Skin Lesion 1 Scalp Neck Hands Feet Genitalia?Over 2.0 Cm,5616.0,2190.24,,,0
CDM,10010215,Hc Shvg Skin Lesion 1 Face Ears Eyelids Nose Lips Muc Memb 1.1-2.0 Cm,520.0,202.8,,,0
CDM,10010216,Hc Shaving Skin Lesion 1 Face Ears Eyelids Nose Lips Muc Memb Over 2.0 Cm,4883.0,1904.37,,,0
CDM,10010217,Hc Destruction Premalignant Lesions 15 Or More,951.0,370.89,,,0
CDM,10010218,Hc Shave Lesion 1 Trunk Arm Leg 0.6 To 1.0 Cm,356.0,138.84,,,0
CDM,10010221,Hc Autogrft Epidrm F/N/Hf/G Addl 100 Sq Cm/1 Pct Ba,5849.0,2281.11,,,0
CDM,10010222,Hc Apply Lc Skin Sub T/A/L Ea Addl 100Sqcm Or Less Adult/Child 1 Pct Tbsa,1674.0,652.86,,,0
CDM,10010223,Hc Apply Lc Skin Sub Face/Nk/Hf/G Area Under 100Sqcm 1St 25Sqcm Or Less,3932.0,1533.48,,,0
CDM,10010224,Hc Apply Lc Skin Sub Face/Nk/Hf/G Ea Addtl 25 Sqcm Or Less Or 100 Sqcm Or Less,1800.0,702.0,,,0
CDM,10010225,Hc Apply Lc Skin Sub Face/Nk/Hf/G 1St 100Sqcm Or Less Adult/Child 1 Pct Tbsa,3932.0,1533.48,,,0
CDM,10010226,Hc Apply Lc Skin Sub Face/Nk/Hf/G Ea Addl 100Sqcm Or Less Adult/Child 1 Pct Tbsa,1674.0,652.86,,,0
CDM,10010227,Hc Apply Lc Skin Sub T/A/L Area Under 100Sqcm 1St 25Sqcm Or Less,3932.0,1533.48,,,0
CDM,10010228,Hc Apply Lc Skin Sub T/A/L Ea Addl 25Sqcm Or Less Area Under 100Sqcm,1674.0,652.86,,,0
CDM,10010229,Hc Apply Lc Skin Sub T/A/L 1St 100Sqcm Or Less Adult/Child 1 Pct Tbsa,3932.0,1533.48,,,0
CDM,10011001,Hc Dbrdmt Extnsve Eczmt/Infct Skn Ea Addl 10 Percent,274.0,106.86,,,0
CDM,10011011,Hc Dbrdmt W/Rmvl Fm Fx And /Dislc Skn Subq T/M/F Musc,2112.0,823.68,,,0
CDM,10011102,Hc Tangntl Bx Skin Single Les,1436.0,560.04,,,0
CDM,10011103,Hc Tangntl Bx Skin Les Ea Addl,514.0,200.46,,,0
CDM,10011104,Hc Punch Bx Skin Single Les,1436.0,560.04,,,0
CDM,10011105,Hc Punch Bx Skin Les Ea Addl,484.0,188.76,,,0
CDM,10011106,Hc Incsl Bx Of Skin Singl Les,2552.0,995.28,,,0
CDM,10011107,Hc Incisional Biopsy Skin Ea Sep/Additional Lesion,853.0,332.67,,,0
CDM,10011310,Hc Shave Les Face/Ears Eyelids/Nose/Lips 0.5 Cm,892.0,347.88,,,0
CDM,10011311,Hc Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6 To 1.0 Cm,420.0,163.8,,,0
CDM,10011424,Hc Excision Begin Lesion Mrgn Xcp Sk Tg S/N/H/F/G 3.1-4.0Cm,5754.0,2244.06,,,0
CDM,10011426,Hc Exc Benign Lesion Margn Except Sking Tag S/N/H/F/G Over 4.0 Cm,3694.0,1440.66,,,0
CDM,10011441,Hc Excision Begin Les Mrgn Xcp Sk Tg F/E/E/N/L/M 0.6-1.0Cm,1450.0,565.5,,,0
CDM,10011442,Hc Excision Begin Les Mrgn Xcp Sk Tg F/E/E/N/L/M 1.1-2.0Cm,2373.0,925.47,,,0
CDM,10011443,Hc Excsision Begin Les Mrgn Xcp Sk Tg F/E/E/N/L/M 2.1-3.0Cm,256.0,99.84,,,0
CDM,10011446,Hc Exc Begin Lesion Mrgn Xcp Sk Tg F/E/E/N/L/M Over 4.0 Cm,6882.0,2683.98,,,0
CDM,10011450,Hc Excision Hidradenitis Axillary Simple Or Interm Rpr,936.0,365.04,,,0
CDM,10011470,Hc Excision Hidradenitis Perianal Perineal Umb Simple Or Interm Rpr,8716.0,3399.24,,,0
CDM,10011601,Hc Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm,2112.0,823.68,,,0
CDM,10011602,Hc Excision Mal Lesion Trunk/Arm/Leg 1.1-2.0 Cm,2534.0,988.26,,,0
CDM,10011603,Hc Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm,3965.0,1546.35,,,0
CDM,10011604,Hc Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm,3390.0,1322.1,,,0
CDM,10011606,Hc Exc Malignant Lesion Trunk/Arm/Leg Over 4.0 Cm,4883.0,1904.37,,,0
CDM,10011622,Hc Excision Malignant Lesion S/N/H/F/G 1.1-2.0 Cm,2730.0,1064.7,,,0
CDM,10011623,Hc Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm,4742.0,1849.38,,,0
CDM,10011624,Hc Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm,5897.0,2299.83,,,0
CDM,10011640,Hc Excision Malig Lesion Fac/Ear/Eyl/Nos/Lip/Muc Memb 0.5 Cm Or Less,3390.0,1322.1,,,0
CDM,10011642,Hc Excision Malignant Lesion F/E/E/N/L 1.1-2.0 Cm,3390.0,1322.1,,,0
CDM,10011755,Hc Biopsy Nail Unit Separate Procedure,2157.0,841.23,,,0
CDM,10011900,Hc Injection Intralesional Up To And Includ 7 Lesions,351.0,136.89,,,0
CDM,10011901,Hc Injection Intralesional More Than 7 Lesions,332.0,129.48,,,0
CDM,10011950,Hc Subcutaneous Injection Filling Material 1 Cc Or Less,350.0,136.5,,,0
CDM,10011980,Hc Subcutaneous Hormone Pellet Implantation,626.0,244.14,,,0
CDM,10011982,Hc Removal Of Non-Bio Drug Implant,13463.0,5250.57,,,0
CDM,10011983,Hc Rmvl W/Rinst Nonbiodegradable Drug Dlvr Implt,1236.0,482.04,,,0
CDM,10014000,Hc Adjacent Tissue Transfer Or Reargmt Trunk 10 Sq Cm Or Less,5616.0,2190.24,,,0
CDM,10014001,Hc Tissue Transfer Rearrange Trunk 10.1-30.0 Sqcm,5970.0,2328.3,,,0
CDM,10014020,Hc Adjacent Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm Or Less,5616.0,2190.24,,,0
CDM,10014021,Hc Adjt Rearrgmt Scalp Arm Leg 10.1 /30.0 Sq Cm,7145.0,2786.55,,,0
CDM,10014040,Hc Adjacent Tis Trns/Reargmt F/C/C/M/N/A/G/H/F 10Sqcm Or Less,5532.0,2157.48,,,0
CDM,10014041,Hc Adjacent/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm,7145.0,2786.55,,,0
CDM,10014060,Hc Adjacent Tis Trnsfr/Rearrgmt E/N/E/L Dfct 10 Sq Cm Or Less,6293.0,2454.27,,,0
CDM,10014061,Hc Adjacent Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm,5261.0,2051.79,,,0
CDM,10014301,Hc Adjacent Tis Trnsfr/Reargmt Any Area 30.1-60 Sq Cm,10587.0,4128.93,,,0
CDM,10014302,Hc Adjacent Tis Trnsfr/Reargmt Defec Ea Addl 30 Sqcm,7145.0,2786.55,,,0
CDM,10015200,Hc Full Thickness Gft Free With Direct Closure Trunk 20 Sq Cmor Less,5616.0,2190.24,,,0
CDM,10015240,Hc Full Thickness Gft Free With Direct Clsr F/C/C/M/N/Ax/G/H/F 20Sqcm Or Less,5936.0,2315.04,,,0
CDM,10015260,Hc Full Thickness Gft Free Wwith Direct Closure N/E/E/L 20 Sq Cm Or Less,5291.0,2063.49,,,0
CDM,10015576,Hc Frmj Direct Tubed Pedicle W Wotr E/N/E/L/Ntroral,5784.0,2255.76,,,0
CDM,10015630,Hc Delay Flap Or Sectioning Flap Eyelids Nose Ears/Lips,5616.0,2190.24,,,0
CDM,10015733,Hc Musc Myoq Fscq Flap Head And Neck With Named Vasc Pedcl,11107.0,4331.73,,,0
CDM,10015769,Hc Grafting Of Autologous Soft Tiss By Direct Exc,10587.0,4128.93,,,0
CDM,10015783,Hc Dermabrasion Superficial Any Site,6293.0,2454.27,,,0
CDM,10015786,Hc Abrasion 1 Lesion,874.0,340.86,,,0
CDM,10015789,Hc Chemical Peel Facial Dermal,6491.0,2531.49,,,0
CDM,10015820,Hc Blepharoplasty Lower Eyelid,5809.0,2265.51,,,0
CDM,10015822,Hc Blepharoplasty Upper Eyelid,5809.0,2265.51,,,0
CDM,10015823,Hc Blepharoplasty Upper Eyelid W/Excessive Skin,5900.0,2301.0,,,0
CDM,10015852,Hc Dressing Change Under Anesthesia,3202.0,1248.78,,,0
CDM,10015853,Hc Removal Sutures/Staples Not Requiring Anesthesia,230.0,89.7,,,0
CDM,10015854,Hc Removal Sutures And Staples Not Requiring Anesthesia,230.0,89.7,,,0
CDM,10017003,Hc Destruction Premalignant Lesion 2-14 Ea,2877.0,1122.03,,,0
CDM,10017106,Hc Destruction Cutaneous Vasc Proliferative Less Than 10Cm,911.0,355.29,,,0
CDM,10017107,Hc Dstrj Cutaneous Vascular Lesions 10 To 50 Sq Cm,2025.0,789.75,,,0
CDM,10017108,Hc Dstrj Cutaneous Vascular Lesions Over 50 Sq Cm,1890.0,737.1,,,0
CDM,10017111,Hc Destruction Benign Lesions 15 Or More,444.0,173.16,,,0
CDM,10017260,Hc Destruction Malignant Lesion T/A/L 0.5 Cm Or Less,119.0,46.41,,,0
CDM,10017261,Hc Destruction Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm,570.0,222.3,,,0
CDM,10017262,Hc Destruction Mal Lesion Trunk/Arm/Leg 1.1-2.0Cm,440.0,171.6,,,0
CDM,10017264,Hc Destruction Mal Lesion Trunk Or Arm Or Leg 3.1 To 4.0 Cm,648.0,252.72,,,0
CDM,10017270,Hc Destruction Malignant Lesion S/N/H/F/G 0.5 Cm Or Less,570.0,222.3,,,0
CDM,10017271,Hc Destruction Malignant Lesion S/N/H/F/G 0.6-1.0Cm,588.0,229.32,,,0
CDM,10017272,Hc Destruction Malignant Lesion S/N/H/F/G 1.1-2.0Cm,440.0,171.6,,,0
CDM,10017281,Hc Destruction Mal Lesion F/E/E/N/L/M 0.6-1.0Cm,4547.0,1773.33,,,0
CDM,10017282,Hc Destruction Mal Lesion F/E/E/N/L/M 1.1-2.0Cm,911.0,355.29,,,0
CDM,10017311,Hc Mohs Micrographic H/N/H/F/G 1St Stage 5 Blocks,1482.0,577.98,,,0
CDM,10017312,Hc Mohs Micrographic H/N/H/F/G Each Addl Stage,1499.0,584.61,,,0
CDM,10017313,Hc Mohs Trunk/Arm/Leg 1St Stage 5 Blocks,1872.0,730.08,,,0
CDM,10017314,Hc Mohs Trunk/Arm/Leg Ea Stage After 1St Stage,1584.0,617.76,,,0
CDM,10017315,Hc Mohs Trunk/Arm/Leg Ea Addl Block Any Stage,940.0,366.6,,,0
CDM,10017340,Hc Cryotherapy Co2 Slush Liquid N2 Acne,261.0,101.79,,,0
CDM,10017623,Hc Destruction Mal Lesion Trunk/Arm/Leg 2.1-3.0Cm,570.0,222.3,,,0
CDM,1001763368,METHOCARBAMOL 750 MG TABLET,5.6,2.18,,,0
CDM,10017999,Hc Unlisted Px Skin Muc Membrane And Subq Tissue,1319.0,514.41,,,0
CDM,10019020,Hc Mastotomy W/Exploration/Drainage Abscess Deep,4881.0,1903.59,,,0
CDM,10019357,Hc Tissue Expander Placement Breast Reconstruction,53868.0,21008.52,,,0
CDM,10019499,Hc Breast Surgery Procedure Unlisted,17922.0,6989.58,,,0
CDM,1007337868,LEVOFLOXACIN 750 MG TABLET,276.8,107.95,,,0
CDM,10110021,Hc Fine Needle Aspiration Bx W/O Img Gdn 1St Lesion,2548.0,993.72,,,0
CDM,10110035,Hc Soft Tissue Loc Device Perc 1St Lesion W Imag,5362.0,2091.18,,,0
CDM,10110036,Hc Soft Tissue Loc Device Perc Ea Add Lesion W Imag,5362.0,2091.18,,,0
CDM,1013186617,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,20.5,8.0,,,0
CDM,1014294670,LIDOCAINE 5 % TOPICAL PATCH,43.8,17.08,,,0
CDM,1020565139,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,51.0,19.89,,,0
CDM,1020577523,DOCUSATE SODIUM 100 MG CAPSULE,0.6,0.23,,,0
CDM,1020600559,LIDOCAINE 5 % TOPICAL PATCH,71.8,28.0,,,0
CDM,1020736596,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1021116156,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1021434563,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,51.0,19.89,,,0
CDM,1022981968,AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION,7.4,2.89,,,0
CDM,1023014933,KETOROLAC 10 MG TABLET,16.6,6.47,,,0
CDM,1023174091,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,4.8,1.87,,,0
CDM,1028506204,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",40.7,15.87,,,0
CDM,1028506205,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,42.1,16.42,,,0
CDM,1028506213,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,532.9,207.83,,,0
CDM,1028550641,MULTIVITAMIN-IRON 9 MG-FOLIC ACID 400 MCG-CALCIUM AND MINERALS TABLET,0.6,0.23,,,0
CDM,1028550643,DOCUSATE SODIUM 100 MG CAPSULE,0.6,0.23,,,0
CDM,1042260548,METHOCARBAMOL 750 MG TABLET,4.8,1.87,,,0
CDM,1042312411,SENNOSIDES 8.6 MG TABLET,0.6,0.23,,,0
CDM,1042312422,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,67.9,26.48,,,0
CDM,1042342741,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1042342751,ISOPROPYL ALCOHOL 70 % SOLUTION,152.4,59.44,,,0
CDM,1042342774,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1042342785,SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION,766.3,298.86,,,0
CDM,1042666430,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,10.7,4.17,,,0
CDM,1046635556,METHOCARBAMOL 750 MG TABLET,4.8,1.87,,,0
CDM,1053128007,METHADONE 5 MG/5 ML ORAL SOLUTION,73.7,28.74,,,0
CDM,1059121944,"DIPHTH,PERTUSSIS(ACELL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5 ML IM SUSP",363.4,141.73,,,0
CDM,1059121986,VANCOMYCIN 1.5 GRAM INTRAVENOUS SOLUTION,208.0,81.12,,,0
CDM,1059123832,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,53.2,20.75,,,0
CDM,1059123833,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,36.4,14.2,,,0
CDM,1059142400,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,41.7,16.26,,,0
CDM,1059142422,MIDAZOLAM (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,167.0,65.13,,,0
CDM,1059142586,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,33.3,12.99,,,0
CDM,1059142608,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",31.9,12.44,,,0
CDM,1059235188,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,24.8,9.67,,,0
CDM,1059651324,SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION,137.9,53.78,,,0
CDM,1059651326,DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID,1.5,0.58,,,0
CDM,1059763311,"CALCIUM GLUCONATE 2 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION",404.8,157.87,,,0
CDM,1059898567,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,546.6,213.17,,,0
CDM,1060049618,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,164.8,64.27,,,0
CDM,1060049657,PROPRANOLOL 20 MG TABLET,4.8,1.87,,,0
CDM,1060207444,"POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET",4.8,1.87,,,0
CDM,1060207455,METHOCARBAMOL 500 MG TABLET,4.8,1.87,,,0
CDM,1060207462,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,15.45,6.025,,,0
CDM,1060691137,METOPROLOL TARTRATE 25 MG TABLET,4.8,1.87,,,0
CDM,1060691140,QUETIAPINE 50 MG TABLET,47.5,18.52,,,0
CDM,1061002352,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1061095667,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,32.1,12.52,,,0
CDM,1061472328,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,90.4,35.26,,,0
CDM,1061734348,DOCUSATE SODIUM 100 MG CAPSULE,0.6,0.23,,,0
CDM,1061734358,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",8.3,3.24,,,0
CDM,1062512604,GABAPENTIN 100 MG CAPSULE,16.4,6.4,,,0
CDM,1062557057,LACTULOSE 20 GRAM/30 ML ORAL SOLUTION,22.8,8.89,,,0
CDM,1063096805,CHLORPROMAZINE 50 MG TABLET,313.6,122.3,,,0
CDM,1064501812,AMOXICILLIN 200 MG-POTASSIUM CLAVULANATE 28.5 MG/5 ML ORAL SUSPENSION,51.7,20.16,,,0
CDM,1064756500,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",13.6,5.3,,,0
CDM,1064756501,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE",21.8,8.5,,,0
CDM,1065375858,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 62.5 MG/5 ML ORAL SUSPENSION,115.9,45.2,,,0
CDM,1068766311,FUROSEMIDE 40 MG TABLET,4.8,1.87,,,0
CDM,1068766345,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE,946.6,369.17,,,0
CDM,1071414270,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,5.4,2.11,,,0
CDM,1074551277,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,8.1,3.16,,,0
CDM,1075447753,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1075447797,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,247.5,96.52,,,0
CDM,1075447805,KETOROLAC 15 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1075496558,PREGABALIN 75 MG CAPSULE,44.9,17.51,,,0
CDM,1075496561,TRAMADOL 50 MG TABLET,12.6,4.91,,,0
CDM,1075496564,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,25.8,10.06,,,0
CDM,1076949680,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,24.0,9.36,,,0
CDM,1076971117,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1077472975,LACTULOSE 20 GRAM/30 ML ORAL SOLUTION,4.8,1.87,,,0
CDM,1077472977,SPIRONOLACTONE 25 MG TABLET,13.2,5.15,,,0
CDM,1077535062,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",4.8,1.87,,,0
CDM,1077535098,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,67.9,26.48,,,0
CDM,1077748822,GUAIFENESIN 100 MG/5 ML ORAL LIQUID,14.9,5.81,,,0
CDM,1077884320,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,7.9,3.08,,,0
CDM,1078063493,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",20.0,7.8,,,0
CDM,1078116940,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,143.7,56.04,,,0
CDM,1078116942,MIDAZOLAM 1 MG/ML INJ (WRAPPED),19.6,7.64,,,0
CDM,1078116969,ACETAMINOPHEN 325 MG TABLET,0.6,0.23,,,0
CDM,1080445179,LORAZEPAM 4 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1081764371,AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION,11.2,4.37,,,0
CDM,1084609639,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,6.7,2.61,,,0
CDM,1084673121,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION SOLUTION,36.4,14.2,,,0
CDM,1085843564,"NEOMYCIN-BACITRACN ZN-POLYMYXN 3.5 MG-400 UNIT-5,000 UNIT TOP OINT PKT",0.8,0.31,,,0
CDM,1085843570,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,38.6,15.05,,,0
CDM,1091465155,IBUPROFEN 400 MG TABLET,6.1,2.38,,,0
CDM,1091468417,SILVER SULFADIAZINE 1 % TOPICAL CREAM,142.3,55.5,,,0
CDM,1092044558,LIDOCAINE 4 % TOPICAL CREAM,39.3,15.33,,,0
CDM,1092391100,LIDOCAINE 5 % TOPICAL PATCH,143.6,56.0,,,0
CDM,1092424871,"BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOP OINT PACKET",0.91,0.35,,,0
CDM,1102541247,DOCUSATE SODIUM 50 MG/5 ML LIQUID (FOR OTIC USE ONLY),0.6,0.23,,,0
CDM,1103084022,ACETAZOLAMIDE 250 MG TABLET,13.350000000000001,5.205,,,0
CDM,1104867409,"PENICILLIN G BENZATHINE 1,200,000 UNIT/2 ML INTRAMUSCULAR SYRINGE",2338.4,911.98,,,0
CDM,1106068965,FAMOTIDINE 20 MG TABLET,0.8,0.31,,,0
CDM,1106068968,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,532.9,207.83,,,0
CDM,1106510665,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",51.3,20.01,,,0
CDM,1106547762,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,42.9,16.73,,,0
CDM,1107835559,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,19.6,7.64,,,0
CDM,1108083319,VALACYCLOVIR 500 MG TABLET,61.0,23.79,,,0
CDM,1110600642,AMLODIPINE 5 MG TABLET,53.4,20.83,,,0
CDM,1111341092,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",4.8,1.87,,,0
CDM,1111405905,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,126.4,49.3,,,0
CDM,1111543015,SODIUM BICARBONATE 650 MG TABLET,0.6,0.23,,,0
CDM,1111987017,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,144.5,56.36,,,0
CDM,1113020055,CETIRIZINE 5 MG/5 ML ORAL SOLUTION,6.1,2.38,,,0
CDM,1114729571,KETOROLAC 10 MG TABLET,16.6,6.47,,,0
CDM,1116386409,SODIUM CHLORIDE 0.65 % NASAL SPRAY AEROSOL,30.1,11.74,,,0
CDM,1116601615,"FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION",638.7,249.09,,,0
CDM,1116682174,PROMETHAZINE-DM 6.25 MG-15 MG/5 ML ORAL SYRUP,4.8,1.87,,,0
CDM,1118766576,FLUORESCEIN 1 MG EYE STRIPS,4.8,1.87,,,0
CDM,1119304123,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,38.2,14.9,,,0
CDM,1122576502,CLORAZEPATE DIPOTASSIUM 15 MG TABLET,41.8,16.3,,,0
CDM,1122601777,VALSARTAN 80 MG TABLET,14.9,5.81,,,0
CDM,1122605592,DEXTROSE 40 % ORAL GEL,30.3,11.82,,,0
CDM,1122810024,ACETAMINOPHEN 325 MG TABLET,0.6,0.23,,,0
CDM,1124822919,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,51.3,20.01,,,0
CDM,1124853188,"HEPARIN (PORCINE) 25,000 UNIT/500 ML (50 UNIT/ML) IN DEXTROSE 5 % IV",102.5,39.975,,,0
CDM,1124853228,CLINDAMYCIN HCL 150 MG CAPSULE,27.5,10.72,,,0
CDM,1125521670,LIDOCAINE 5 % TOPICAL PATCH,20.0,7.8,,,0
CDM,1125791250,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,77.7,30.3,,,0
CDM,1125791256,TAMSULOSIN 0.4 MG CAPSULE,32.1,12.52,,,0
CDM,1128015307,IBUPROFEN 800 MG TABLET,6.2,2.42,,,0
CDM,1129808073,CLINDAMYCIN HCL 150 MG CAPSULE,4.8,1.87,,,0
CDM,1131914311,ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY,1.7,0.66,,,0
CDM,1132986312,TAMSULOSIN 0.4 MG CAPSULE,32.4,12.64,,,0
CDM,1132986336,TRAMADOL 50 MG TABLET,4.8,1.87,,,0
CDM,1133036495,SODIUM BICARBONATE 650 MG TABLET,1.8,0.7,,,0
CDM,1137116926,CYCLOBENZAPRINE 10 MG TABLET,8.9,3.47,,,0
CDM,1140574317,IBUPROFEN 400 MG TABLET,4.8,1.87,,,0
CDM,1140746300,DESMOPRESSIN 0.1 MG TABLET,113.0,44.07,,,0
CDM,1141386066,CELECOXIB 100 MG CAPSULE,67.0,26.13,,,0
CDM,1142315524,LISINOPRIL 5 MG TABLET,7.4,2.89,,,0
CDM,1142679364,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,4.8,1.87,,,0
CDM,1142945125,LIDOCAINE 5 % TOPICAL PATCH,71.8,28.0,,,0
CDM,1144031366,RISPERIDONE 0.25 MG TABLET,32.35,12.615,,,0
CDM,1144031366,RISPERIDONE 0.5 MG TABLET,4.8,1.87,,,0
CDM,1146405340,PROPRANOLOL 10 MG TABLET,4.8,1.87,,,0
CDM,1146405342,PROPRANOLOL 10 MG TABLET,4.8,1.87,,,0
CDM,1146405347,HYDROXYZINE PAMOATE 50 MG CAPSULE,4.8,1.87,,,0
CDM,1146736857,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",13.9,5.42,,,0
CDM,1147058554,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,5.6,2.18,,,0
CDM,1147560905,AMOXICILLIN 200 MG-POTASSIUM CLAVULANATE 28.5 MG/5 ML ORAL SUSPENSION,14.6,5.69,,,0
CDM,1148315061,BENZONATATE 100 MG CAPSULE,7.8,3.04,,,0
CDM,1153209162,LIDOCAINE 4 % TOPICAL CREAM,123.6,48.2,,,0
CDM,1154160107,HYDRALAZINE 100 MG TABLET,4.8,1.87,,,0
CDM,1154559854,LIDOCAINE 4 % TOPICAL PATCH,9.7,3.78,,,0
CDM,1154971721,IBUPROFEN 600 MG TABLET,4.8,1.87,,,0
CDM,1156006556,ALPRAZOLAM 0.5 MG TABLET,5.7,2.22,,,0
CDM,1157053994,INSULIN REGULAR (IV - DUAL NURSE SIGNOFF),19.6,7.64,,,0
CDM,1157054020,CARVEDILOL 25 MG TABLET,16.4,6.4,,,0
CDM,1157254573,SEVELAMER CARBONATE 800 MG TABLET,50.2,19.58,,,0
CDM,1157592802,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION (FOR IV PUSH),279.8,109.12,,,0
CDM,1158844898,LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS SYRINGE,19.6,7.64,,,0
CDM,1158969814,AZITHROMYCIN 250 MG TABLET,64.7,25.23,,,0
CDM,1159990551,MISOPROSTOL 200 MCG TABLET,104.6,40.79,,,0
CDM,1160235670,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT,66.7,26.01,,,0
CDM,1160395714,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1160407959,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,21.9,8.54,,,0
CDM,1160493334,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,110.5,43.1,,,0
CDM,1161860996,SUCCINYLCHOLINE CHLORIDE 200 MG/10 ML (20 MG/ML) INTRAVENOUS SYRINGE,121.5,47.38,,,0
CDM,1162207817,LEVALBUTEROL CONCENTRATE 1.25 MG/0.5 ML SOLUTION FOR NEBULIZATION,51.4,20.05,,,0
CDM,1162706384,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,25.7,10.02,,,0
CDM,1162706399,FAMOTIDINE 20 MG TABLET,0.6,0.23,,,0
CDM,1162854516,KETOROLAC 15 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1162864310,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,78.7,30.69,,,0
CDM,1162932469,TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG CAPSULE,4.8,1.87,,,0
CDM,1163752893,TRAMADOL 50 MG TABLET,6.3,2.46,,,0
CDM,1165346763,ARIPIPRAZOLE 10 MG TABLET,230.5,89.9,,,0
CDM,1165415199,KETOCONAZOLE 2 % TOPICAL CREAM,1007.3,392.85,,,0
CDM,1165627277,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG/5 ML ORAL LIQUID,53.7,20.94,,,0
CDM,1166168559,CHLORDIAZEPOXIDE 5 MG CAPSULE,5.5,2.14,,,0
CDM,1166921954,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,173.5,67.66,,,0
CDM,1167983067,FAMOTIDINE 20 MG TABLET,10.3,4.02,,,0
CDM,1168193596,NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN 0.9 % NACL IV,140.4,54.76,,,0
CDM,1169029756,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,68.8,26.83,,,0
CDM,1169029757,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,1885.4,735.31,,,0
CDM,1169147282,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,4.4,1.72,,,0
CDM,1169755995,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,2262.5,882.38,,,0
CDM,1169923921,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,40.6,15.83,,,0
CDM,1171645275,CARVEDILOL 6.25 MG TABLET,4.8,1.87,,,0
CDM,1172750748,CHLORPROMAZINE 50 MG TABLET,83.1,32.41,,,0
CDM,1172750757,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID,4.8,1.87,,,0
CDM,1173035730,MODAFINIL 100 MG TABLET,253.39999999999998,98.82499999999999,,,0
CDM,1173317917,METOPROLOL TARTRATE 50 MG TABLET,4.8,1.87,,,0
CDM,1173635007,AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION,4.8,1.87,,,0
CDM,1174710491,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,42.7,16.65,,,0
CDM,1174929795,PRISMASATE 4/2.5 (POTASSIUM/CALCIUM) DIALYSIS SOLUTION,175.3,68.37,,,0
CDM,1174930709,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,109.1,42.55,,,0
CDM,1174990494,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1175397372,DEXTROSE 70 % IN WATER (D70W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1175457404,ATROPINE 0.1 MG/ML INJECTION SYRINGE,118.5,46.22,,,0
CDM,1175481316,PROPOFOL INFUSION 10 MG/ML,221.2,86.27,,,0
CDM,1175695597,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,188.5,73.52,,,0
CDM,1176283510,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET,0.6,0.23,,,0
CDM,1176286435,CEFDINIR 250 MG/5 ML ORAL SUSPENSION,28.0,10.92,,,0
CDM,1176871701,"HEPARIN (PORCINE) 25,000 UNIT/500 ML IN 0.45 % SODIUM CHLORIDE IV SOLN",76.9,29.99,,,0
CDM,1177256407,HYDRALAZINE 50 MG TABLET,4.8,1.87,,,0
CDM,1177452776,KETOROLAC 10 MG TABLET,17.4,6.79,,,0
CDM,1177459034,SACUBITRIL 49 MG-VALSARTAN 51 MG TABLET,59.3,23.13,,,0
CDM,1178071145,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",8.3,3.24,,,0
CDM,1178849373,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",28.8,11.23,,,0
CDM,1179786350,AZITHROMYCIN 250 MG TABLET,9.5,3.7,,,0
CDM,1179813803,ZOLPIDEM 5 MG TABLET,13.5,5.26,,,0
CDM,1181076511,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,32.6,12.71,,,0
CDM,1181076523,ESOMEPRAZOLE MAGNESIUM DR 40 MG GRANULES DELAYED RELEASE FOR SUSP,74.9,29.21,,,0
CDM,1181212552,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,46.8,18.25,,,0
CDM,1181883465,KETAMINE 50 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1182716315,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,4.8,1.87,,,0
CDM,1183673299,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION,102.5,39.98,,,0
CDM,1184310530,OXYCODONE-ACETAMINOPHEN 7.5 MG-325 MG TABLET,6.3,2.46,,,0
CDM,1184849788,"EPINEPHRINE (JR) 0.15 MG/0.3 ML INJECTION,AUTO-INJECTOR",2418.0,943.02,,,0
CDM,1188228117,CARVEDILOL 12.5 MG TABLET,16.4,6.4,,,0
CDM,1189523760,DAPAGLIFLOZIN PROPANEDIOL 5 MG TABLET,289.1,112.75,,,0
CDM,1189780002,DEXTROMETHORPHAN POLISTIREX ER 30 MG/5 ML ORAL SUSP EXT.RELEASE 12HR,4.8,1.87,,,0
CDM,1190040108,BENZONATATE 100 MG CAPSULE,5.6,2.18,,,0
CDM,1191413546,HYDROMORPHONE 30 MG/30 ML (1 MG/ML) IN 0.9 % NACL IV PCA SYRINGE,119.2,46.49,,,0
CDM,1192209512,CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION,33.3,12.99,,,0
CDM,1192533738,DOXYCYCLINE HYCLATE 100 MG TABLET,36.5,14.24,,,0
CDM,1192921168,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,24.0,9.36,,,0
CDM,1193911737,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,35.9,14.0,,,0
CDM,1194926506,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.125 %-NACL INJECTION SOLUTION,124.7,48.63,,,0
CDM,1195008259,METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION,202.6,79.01,,,0
CDM,1196099912,"GLIPIZIDE ER 10 MG TABLET, EXTENDED RELEASE 24 HR",7.199999999999999,2.81,,,0
CDM,1196230054,CETIRIZINE 1 MG/ML ORAL SOLUTION,4.8,1.87,,,0
CDM,1196317683,"ERGOCALCIFEROL (VITAMIN D2) 200 MCG/ML (8,000 UNIT/ML) ORAL DROPS",8.8,3.43,,,0
CDM,1196363230,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL ELIXIR,28.7,11.19,,,0
CDM,1196733075,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID,4.8,1.87,,,0
CDM,1196853350,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,16.3,6.36,,,0
CDM,1197261591,NORFLURANE-PENTAFLUOROPROPANE TOPICAL SPRAY,4.8,1.87,,,0
CDM,1197316491,CLOPIDOGREL 75 MG TABLET,38.0,14.82,,,0
CDM,1197318299,HYDROXYZINE PAMOATE 25 MG CAPSULE,4.8,1.87,,,0
CDM,1198260934,OSELTAMIVIR 6 MG/ML ORAL SUSPENSION,97.1,37.87,,,0
CDM,1198396585,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,330.0,128.7,,,0
CDM,1198482506,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,35.9,14.0,,,0
CDM,1198533372,LORATADINE 5 MG/5 ML ORAL SOLUTION,1.0,0.39,,,0
CDM,1198836949,NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN 0.9 % NACL IV,138.45,53.995000000000005,,,0
CDM,1199656445,CEFTRIAXONE 1 GRAM INTRAVENOUS SOLUTION,35.4,13.81,,,0
CDM,1199798197,GABAPENTIN 100 MG CAPSULE,4.8,1.87,,,0
CDM,1200344286,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,21.35,8.33,,,0
CDM,1200625114,HYDROCORTISONE 1 % LOTION,57.9,22.58,,,0
CDM,1200644613,BUSPIRONE 5 MG TABLET,11.9,4.64,,,0
CDM,1200644615,"PAROXETINE ER 12.5 MG TABLET,EXTENDED RELEASE 24 HR",42.8,16.69,,,0
CDM,1200644615,"PAROXETINE ER 37.5 MG TABLET,EXTENDED RELEASE 24 HR",46.0,17.94,,,0
CDM,1200757471,METOCLOPRAMIDE 5 MG TABLET,5.1,1.99,,,0
CDM,1200978978,METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLUTION FOR INJECTION,55.2,21.53,,,0
CDM,1201391654,RISPERIDONE 2 MG TABLET,4.8,1.87,,,0
CDM,1201758453,AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION,6.4,2.5,,,0
CDM,1202464055,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION,1303.4,508.33,,,0
CDM,1203041283,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,240.3,93.72,,,0
CDM,1203211270,CLINDAMYCIN 900 MG/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK,111.5,43.48,,,0
CDM,1203644419,NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE,3450.2,1345.58,,,0
CDM,1204685860,BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET,63.6,24.8,,,0
CDM,1205057714,LAMOTRIGINE 100 MG TABLET,38.0,14.82,,,0
CDM,1205057717,FLUOXETINE 20 MG CAPSULE,20.5,8.0,,,0
CDM,1205057719,THYROID (PORK) 60 MG TABLET,9.0,3.51,,,0
CDM,1206219121,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,4.8,1.87,,,0
CDM,1206797219,OXYCODONE-ACETAMINOPHEN 7.5 MG-325 MG TABLET,21.1,8.23,,,0
CDM,1206809910,ARGATROBAN 100 MG/ML INTRAVENOUS SOLUTION,1893.7,738.54,,,0
CDM,1207247189,ZIPRASIDONE 20 MG CAPSULE,42.7,16.65,,,0
CDM,1207896781,CEFTRIAXONE 2 GRAM INTRAVENOUS SOLUTION,68.1,26.56,,,0
CDM,1207943661,SERTRALINE 100 MG TABLET,10.8,4.21,,,0
CDM,1208289333,PREDNISONE 50 MG TABLET,3.2,1.25,,,0
CDM,1208619599,PHENAZOPYRIDINE 100 MG TABLET,20.8,8.11,,,0
CDM,1209184457,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,29.2,11.39,,,0
CDM,1209198819,IBUPROFEN 800 MG TABLET,4.8,1.87,,,0
CDM,1209341258,CEFPODOXIME 200 MG TABLET,64.9,25.31,,,0
CDM,1209489205,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET,0.6,0.23,,,0
CDM,1209691665,PREDNISONE 1 MG TABLET,2.2,0.86,,,0
CDM,1210089980,LOSARTAN 25 MG TABLET,4.8,1.87,,,0
CDM,1210104386,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1211763140,NAPROXEN 375 MG TABLET,7.6,2.96,,,0
CDM,1212024113,PHENAZOPYRIDINE 100 MG TABLET,41.5,16.18,,,0
CDM,1212115702,MULTIVITAMIN-IRON 9 MG-FOLIC ACID 400 MCG-CALCIUM AND MINERALS TABLET,0.6,0.23,,,0
CDM,1212451840,DICLOFENAC 1 % TOPICAL GEL,92.1,35.92,,,0
CDM,1212672517,HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION,227.9,88.88,,,0
CDM,1212712026,ASPIRIN 81 MG CHEWABLE TABLET,0.6,0.23,,,0
CDM,1214052089,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,6.2,2.42,,,0
CDM,1215990330,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (5 ML) ORAL SOLUTION,149.4,58.27,,,0
CDM,1218412789,ETHAMBUTOL 400 MG TABLET,12.0,4.68,,,0
CDM,1219744007,RIFABUTIN 150 MG CAPSULE,193.3,75.39,,,0
CDM,1219975783,LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,51.3,20.01,,,0
CDM,1220848878,VALGANCICLOVIR 450 MG TABLET,293.5,114.46,,,0
CDM,1221219791,GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION,404.8,157.87,,,0
CDM,1222338662,MULTIVIT-MINS-FERROUS GLUCONATE 9 MG IRON/15 ML (15 ML) ORAL LIQUID,9.4,3.67,,,0
CDM,1222843188,LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION,735.9,287.0,,,0
CDM,1222997303,KETOROLAC 15 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1223163998,COLESTIPOL 1 GRAM TABLET,9.7,3.78,,,0
CDM,1223807298,OXYCHLOROSENE SODIUM TOPICAL POWDER FOR SOLUTION,43.0,16.77,,,0
CDM,1224384233,MULTIVITAMIN WITH FOLIC ACID 400 MCG TABLET,0.6,0.23,,,0
CDM,1225273212,AMOXICILLIN 250 MG CAPSULE,4.8,1.87,,,0
CDM,1226066776,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,244.3,95.28,,,0
CDM,1226404878,MODAFINIL 200 MG TABLET,271.5,105.88,,,0
CDM,1226869993,CYCLOPENTOLATE 2 % EYE DROPS,528.3,206.04,,,0
CDM,1227165250,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",18.8,7.33,,,0
CDM,1228187941,MIDAZOLAM 10 MG/5 ML (2 MG/ML) ORAL SYRUP,98.2,38.3,,,0
CDM,1228187947,PHENYLEPHRINE 0.5 % NASAL SPRAY,14.7,5.73,,,0
CDM,1228592767,AMPICILLIN 250 MG SOLUTION FOR INJECTION,20.1,7.84,,,0
CDM,1229065728,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",19.6,7.64,,,0
CDM,1229095448,METHOCARBAMOL 500 MG TABLET,4.8,1.87,,,0
CDM,1229139305,"DOXYLAMINE 10 MG-PYRIDOXINE (VIT B6) 10 MG TABLET,DELAYED RELEASE",41.8,16.3,,,0
CDM,1229197371,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",24.5,9.56,,,0
CDM,1229226845,DOXEPIN 50 MG CAPSULE,18.0,7.02,,,0
CDM,1229226846,ISOSORBIDE DINITRATE 10 MG TABLET,16.7,6.51,,,0
CDM,1229302358,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,52.4,20.44,,,0
CDM,1229441435,HYDRALAZINE 25 MG TABLET,4.8,1.87,,,0
CDM,1229914087,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,215.5,84.04,,,0
CDM,1230063128,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,19.6,7.64,,,0
CDM,1230475238,CHOLESTYRAMINE-ASPARTAME 4 GRAM ORAL POWDER FOR SUSP IN A PACKET,25.8,10.06,,,0
CDM,1230649593,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION,409.9,159.86,,,0
CDM,1232055963,METOPROLOL TARTRATE 100 MG TABLET,6.2,2.42,,,0
CDM,1232592575,COLESEVELAM 3.75 GRAM ORAL POWDER PACKET,172.2,67.16,,,0
CDM,1233260592,IBUPROFEN 400 MG TABLET,4.8,1.87,,,0
CDM,1233828319,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,136.0,53.04,,,0
CDM,1234331493,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE,42.7,16.65,,,0
CDM,1234335225,ALPRAZOLAM 0.5 MG TABLET,14.4,5.62,,,0
CDM,1234337065,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT,75.2,29.33,,,0
CDM,1234387851,NADOLOL 40 MG TABLET,27.7,10.8,,,0
CDM,1234409643,CEFTRIAXONE 1 GRAM INTRAVENOUS SOLUTION,37.0,14.43,,,0
CDM,1234453731,METHYLPHENIDATE 5 MG TABLET,22.5,8.78,,,0
CDM,1234641693,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,177.2,69.11,,,0
CDM,1235725382,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,12.5,4.88,,,0
CDM,1236011153,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",27.25,10.625,,,0
CDM,1236239178,DIAZEPAM 5 MG/ML INJECTION SYRINGE,143.8,56.08,,,0
CDM,1236297782,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",10.2,3.98,,,0
CDM,1236475486,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,6.2,2.42,,,0
CDM,1236955878,PAROXETINE 20 MG TABLET,42.8,16.69,,,0
CDM,1237201175,LORAZEPAM 2 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1237280752,NICARDIPINE 20 MG/200 ML(0.1 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN,492.0,191.88,,,0
CDM,1237609196,FAMOTIDINE 20 MG TABLET,10.3,4.02,,,0
CDM,1238038835,ALLOPURINOL 100 MG TABLET,4.8,1.87,,,0
CDM,1238042076,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION,19.6,7.64,,,0
CDM,1238149726,LEVETIRACETAM 500 MG TABLET,27.0,10.53,,,0
CDM,1238266660,"HEPARIN (PORCINE) 25,000 UNIT/500 ML IN 0.45 % SODIUM CHLORIDE IV SOLN",59.8,23.32,,,0
CDM,1238331325,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,4.8,1.87,,,0
CDM,1238818438,OLANZAPINE 7.5 MG TABLET,123.4,48.13,,,0
CDM,1238818439,OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION,354.5,138.26,,,0
CDM,1239153455,LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS SYRINGE,20.8,8.11,,,0
CDM,1239349340,HYDROXYZINE PAMOATE 50 MG CAPSULE,4.8,1.87,,,0
CDM,1239349342,HYDROCHLOROTHIAZIDE 25 MG TABLET,4.8,1.87,,,0
CDM,1239567844,MANNITOL 20 % INTRAVENOUS SOLUTION,162.3,63.3,,,0
CDM,1239793699,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1240058260,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",164.4,64.12,,,0
CDM,1240166328,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,138.2,53.9,,,0
CDM,1240265962,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,258.0,100.62,,,0
CDM,1240373862,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",5.8,2.26,,,0
CDM,1240602985,"HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNITS/ML) IN 0.45% SODIUM CHLORIDE 1/2NS (SIMPLE)",130.3,50.82,,,0
CDM,1241138282,MEROPENEM 500 MG INTRAVENOUS SOLUTION,61.5,23.98,,,0
CDM,1241435919,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1241492444,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,25.1,9.79,,,0
CDM,1241628471,TORSEMIDE 20 MG TABLET,6.4,2.5,,,0
CDM,1241707519,TEZEPELUMAB-EKKO 210 MG/1.91 ML (110 MG/ML) SUBCUTANEOUS SYRINGE,30451.7,11876.16,,,0
CDM,1241719416,PYRIDOXINE (VITAMIN B6) 50 MG TABLET,4.8,1.87,,,0
CDM,1242054282,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",10.2,3.98,,,0
CDM,1242084561,SIMETHICONE 125 MG CHEWABLE TABLET,0.6,0.23,,,0
CDM,1242522040,IBUPROFEN LYSINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,2300.1,897.04,,,0
CDM,1242764352,NIMODIPINE 30 MG/5 ML ORAL SYRINGE (FOR ORAL USE ONLY),375.9,146.6,,,0
CDM,1243345894,MODAFINIL 200 MG TABLET,12.8,4.99,,,0
CDM,1243474550,DICYCLOMINE 20 MG TABLET,6.0,2.34,,,0
CDM,1243598143,ZINC SULFATE 50 MG ZINC (220 MG) CAPSULE,0.8,0.31,,,0
CDM,1243606804,"BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOPICAL OINTMENT",9.0,3.51,,,0
CDM,1243709195,METHACHOLINE CHLORIDE 4 MG/ML NEBULIZATION (SOLUTION B),76.4,29.8,,,0
CDM,1244373901,ZINC OXIDE-COD LIVER OIL 40 % TOPICAL PASTE,17.9,6.98,,,0
CDM,1244851701,FUROSEMIDE 10 MG/ML ORAL SOLUTION,4.8,1.87,,,0
CDM,1244894956,IBUPROFEN 800 MG TABLET,4.8,1.87,,,0
CDM,1245465078,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,49.4,19.27,,,0
CDM,1245465079,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION,749.2,292.19,,,0
CDM,1245856970,SACCHAROMYCES BOULARDII 250 MG CAPSULE,5.4,2.11,,,0
CDM,1245946516,LACOSAMIDE 100 MG TABLET,275.7,107.52,,,0
CDM,1246003081,INDOMETHACIN 1 MG INTRAVENOUS SOLUTION,883.3,344.49,,,0
CDM,1246464869,VANCOMYCIN 50 MG/ML ORAL SOLUTION,60.5,23.6,,,0
CDM,1246629780,INDOMETHACIN 1 MG INTRAVENOUS SOLUTION,3686.8,1437.85,,,0
CDM,1247617098,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",19.6,7.64,,,0
CDM,1247642825,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,38.0,14.82,,,0
CDM,1248230047,HYDROMORPHONE 1 MG/ML INJECTION SYRINGE,31.9,12.44,,,0
CDM,1248333708,DARBEPOETIN ALFA 100 MCG/ML IN POLYSORBATE INJECTION,5394.8,2103.97,,,0
CDM,1248371304,MANNITOL 0 MG-5 MG-10 MG-20 MG-40 MG INHALATION POWDER IN A CAPSULE,1150.6,448.73,,,0
CDM,1248502981,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT,114.9,44.81,,,0
CDM,1248693210,TACROLIMUS 1 MG ORAL GRANULES IN PACKET,119.1,46.45,,,0
CDM,1249060336,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,42.22,16.47,,,0
CDM,1249696171,AMOXICILLIN 500 MG CAPSULE,6.8,2.65,,,0
CDM,1249954787,CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION,62.5,24.38,,,0
CDM,1250360020,LANTHANUM 500 MG CHEWABLE TABLET,298.1,116.26,,,0
CDM,1251878681,CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,91.4,35.65,,,0
CDM,1252021698,SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET,4.8,1.87,,,0
CDM,1252021699,"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM",107.4,41.89,,,0
CDM,1252382909,SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1252396236,"EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR",1721.7,671.46,,,0
CDM,1253013472,OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION,181.7,70.86,,,0
CDM,1253047803,FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS,0.6,0.23,,,0
CDM,1253159385,IBUPROFEN 200 MG TABLET,0.1,0.04,,,0
CDM,1253226693,CLONAZEPAM 0.5 MG TABLET,5.8,2.26,,,0
CDM,1254007342,"EPOETIN ALFA-EPBX 10,000 UNIT/ML INJECTION SOLUTION",768.8,299.83,,,0
CDM,1254285132,HYDRALAZINE 10 MG TABLET,4.8,1.87,,,0
CDM,1254352551,"EPOETIN ALFA 3,000 UNIT/ML INJECTION SOLUTION",85.0,33.15,,,0
CDM,1254570234,CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION,2308.8,900.43,,,0
CDM,1254709961,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,55.8,21.76,,,0
CDM,1255269556,SODIUM BICARBONATE 650 MG TABLET,0.9,0.35,,,0
CDM,1255269558,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,90.1,35.14,,,0
CDM,1255405065,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,22.7,8.85,,,0
CDM,1255638411,LINAGLIPTIN 5 MG TABLET,134.3,52.38,,,0
CDM,1255879143,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,23.7,9.24,,,0
CDM,1255879157,SUCCINYLCHOLINE(PF)20 MG/10 ML INTRAVENOUS SYRINGE,30.8,12.01,,,0
CDM,1256139992,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,22.3,8.7,,,0
CDM,1256520992,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,683.2,266.45,,,0
CDM,1256522510,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,235.3,91.77,,,0
CDM,1257078571,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,25.7,10.02,,,0
CDM,1258087725,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,155.4,60.61,,,0
CDM,1258232451,CARVEDILOL 6.25 MG TABLET,32.8,12.79,,,0
CDM,1258554136,FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,177.7,69.3,,,0
CDM,1258566489,"METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION",138.8,54.13,,,0
CDM,1258602393,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION,497.4,193.985,,,0
CDM,1258908789,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",71.6,27.92,,,0
CDM,1259095587,SIMPLE SYRUP,0.4,0.16,,,0
CDM,1259095587,ZINC SULFATE 1 MG/ML ORAL SYRINGE (NEONATE/PEDS),8.5,3.32,,,0
CDM,1259095997,LISINOPRIL 5 MG TABLET,59.1,23.05,,,0
CDM,1259210908,DARBEPOETIN ALFA 500 MCG/ML IN POLYSORBATE INJECTION SYRINGE,26973.9,10519.82,,,0
CDM,1259830652,AMOXICILLIN 500 MG CAPSULE,4.8,1.87,,,0
CDM,1259935375,"HEPARIN (PORCINE) *LIFELINK ONLY* 1,000 UNITS/ML INJECTION SOLN",59.7,23.28,,,0
CDM,1260001129,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,4.8,1.87,,,0
CDM,1260630819,"EPOETIN ALFA-EPBX 20,000 UNIT/ML INJECTION SOLUTION",1537.6,599.66,,,0
CDM,1260725899,PROPRANOLOL 10 MG TABLET,4.8,1.87,,,0
CDM,1261330565,HYDROMORPHONE 1 MG/ML INJECTION (WRAPPED),23.2,9.05,,,0
CDM,1261483795,PROPYLTHIOURACIL 50 MG TABLET,25.8,10.06,,,0
CDM,1261608076,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",345.87,134.89,,,0
CDM,1261670208,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,6.2,2.42,,,0
CDM,1263692537,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,10.4,4.06,,,0
CDM,1263792112,MINERAL OIL ORAL,3.7,1.44,,,0
CDM,1264235507,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,27.4,10.69,,,0
CDM,1264433017,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",102.5,39.98,,,0
CDM,1264553693,THERAPEUTIC MULTIVITAMIN TABLET,4.8,1.87,,,0
CDM,1264750610,CIPROFLOXACIN 250 MG TABLET,34.1,13.3,,,0
CDM,1264851073,PHENAZOPYRIDINE 100 MG TABLET,7.4,2.89,,,0
CDM,1265750952,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE,76.9,29.99,,,0
CDM,1267608388,OMALIZUMAB 150 MG/ML SUBCUTANEOUS SYRINGE,9870.4,3849.46,,,0
CDM,1275438659,LIDOCAINE 5 % TOPICAL PATCH,103.2,40.25,,,0
CDM,1275741162,NEBIVOLOL 5 MG TABLET,21.5,8.38,,,0
CDM,1277229489,COAGULATION FACTOR IX (RECOMB) 500 UNIT INTRAVENOUS SOLUTION,33550.0,13084.5,,,0
CDM,1280440716,APIXABAN 5 MG TABLET,76.0,29.64,,,0
CDM,1281021118,ADULT 2-IN-1 PPN,315.0,122.85,,,0
CDM,1283502119,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (5 ML) ORAL SOLUTION,59.8,23.32,,,0
CDM,1283920474,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,2368.1,923.56,,,0
CDM,1284659295,ONABOTULINUMTOXINA (COSMETIC) 50 UNIT INTRAMUSCULAR SOLUTION,336.0,131.04,,,0
CDM,1285079501,"RESP SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION",2138.4,833.98,,,0
CDM,1285411562,GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION,33.0,12.87,,,0
CDM,1286826570,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",19.6,7.64,,,0
CDM,1286945497,URSODIOL 300 MG CAPSULE,65.9,25.7,,,0
CDM,1286945511,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE",116.6,45.47,,,0
CDM,1286949256,PREDNISONE 10 MG TABLET,1.7,0.66,,,0
CDM,1287796719,GADOPICLENOL 0.5 MMOL/ML INTRAVENOUS SOLUTION,204.0,79.56,,,0
CDM,1287884004,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,146.3,57.06,,,0
CDM,1287924835,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,6.1,2.38,,,0
CDM,1288274667,CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION,45.7,17.82,,,0
CDM,1288587494,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,254.4,99.22,,,0
CDM,1288631192,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,53.4,20.83,,,0
CDM,1289440235,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,13.0,5.07,,,0
CDM,1289682889,REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE,969.8,378.22,,,0
CDM,1289781382,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,38.6,15.05,,,0
CDM,1289975646,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION,225.1,87.79,,,0
CDM,1290234376,TRAMADOL 50 MG TABLET,12.8,4.99,,,0
CDM,1290649122,METHOCARBAMOL 750 MG TABLET,5.3,2.07,,,0
CDM,1290668031,"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",78.6,30.65,,,0
CDM,1290692708,WHITE PETROLATUM-MINERAL OIL 57.3 %-42.5 % EYE OINTMENT,36.3,14.16,,,0
CDM,1290736887,FENTANYL 12 MCG/HR TRANSDERMAL PATCH,155.8,60.76,,,0
CDM,1290740098,LOW DOSE EPINEPHRINE 10 MCG/ML INJECTION (NEONATE/PEDS),19.6,7.64,,,0
CDM,1290775425,CLINDAMYCIN 300 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,37.1,14.47,,,0
CDM,1290813856,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET,0.6,0.23,,,0
CDM,1290957068,SEVELAMER CARBONATE 2.4 GRAM ORAL POWDER PACKET,140.3,54.72,,,0
CDM,1290998463,FLUOXETINE 10 MG CAPSULE,4.8,1.87,,,0
CDM,1290998464,FUROSEMIDE 10 MG/ML ORAL SOLUTION,4.8,1.87,,,0
CDM,1291010301,ENALAPRIL MALEATE 20 MG TABLET,18.7,7.29,,,0
CDM,1291010303,VITAMINS A AND D-WHITE PETROLATUM-LANOLIN TOPICAL OINTMENT,20.1,7.84,,,0
CDM,1291027389,SENNOSIDES 8.8 MG/5 ML ORAL SYRUP,8.4,3.28,,,0
CDM,1291057842,COLESEVELAM 625 MG TABLET,30.4,11.86,,,0
CDM,1291057843,DICLOFENAC 1 % TOPICAL GEL,76.7,29.91,,,0
CDM,1291057851,LACTOBACILLUS ACIDOPHILUS 1 BILLION CELL CAPSULE,4.8,1.87,,,0
CDM,1291057859,OXCARBAZEPINE 300 MG TABLET,6.5,2.54,,,0
CDM,1291106469,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",31.2,12.17,,,0
CDM,1291106476,OXYCODONE 5 MG TABLET,8.3,3.24,,,0
CDM,1291137165,BROMOCRIPTINE 5 MG CAPSULE,142.9,55.73,,,0
CDM,1291142193,FLUCONAZOLE 10 MG/ML ORAL SUSPENSION,5.0,1.95,,,0
CDM,1291182920,RACEPINEPHRINE 2.25 % SOLUTION FOR NEBULIZATION,19.2,7.49,,,0
CDM,1291608236,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",17.6,6.86,,,0
CDM,1291663879,MULTIVITAMIN ORAL LIQUID,5.9,2.3,,,0
CDM,1291851260,ONABOTULINUMTOXINA 200 UNIT SOLUTION FOR INJECTION,2026.2,790.22,,,0
CDM,1291921242,MESNA 100 MG/ML INTRAVENOUS SOLUTION,213.5,83.26,,,0
CDM,1292069401,MEDROXYPROGESTERONE 10 MG TABLET,3.7,1.44,,,0
CDM,1292132800,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,186.3,72.66,,,0
CDM,1292191862,KETOCONAZOLE 2 % TOPICAL CREAM,776.6,302.87,,,0
CDM,1292450706,ACTIVATED CHARCOAL-SORBITOL 25 GRAM/120 ML ORAL SUSPENSION,454.7,177.33,,,0
CDM,1292610296,"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",478.3,186.54,,,0
CDM,1292746975,CLOTRIMAZOLE 1 % VAGINAL CREAM,20.8,8.11,,,0
CDM,1292844740,AMINOLEVULINIC ACID HCL 20 % TOPICAL SOLUTION,3016.0,1176.24,,,0
CDM,1292887538,DARBEPOETIN ALFA 40 MCG/ML IN POLYSORBATE INJECTION,2157.91,841.58,,,0
CDM,1292958659,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",18140.4,7074.76,,,0
CDM,1293064226,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1293064229,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,4.8,1.87,,,0
CDM,1293157849,SODIUM CHLORIDE 0.45% WITH HEPARIN 1 UNIT/ML UAC/PAL,35.9,14.0,,,0
CDM,1293192465,PREDNISONE 50 MG TABLET,3.2,1.25,,,0
CDM,1293221815,"BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOPICAL OINTMENT",16.7,6.51,,,0
CDM,1293333109,BACITRACIN TOPICAL OINTMENT (WRAPPED),65.8,25.66,,,0
CDM,1293426532,MEDROXYPROGESTERONE 10 MG TABLET,12.9,5.03,,,0
CDM,1293659730,MAGNESIUM CARBONATE 54 MG/5 ML ORAL LIQUID,0.6,0.23,,,0
CDM,1293915980,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,780.7,304.47,,,0
CDM,1293976992,PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE,1968.8,767.83,,,0
CDM,1294160407,MODAFINIL 200 MG TABLET,271.2,105.77,,,0
CDM,1294185691,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (WRAPPED),3.9,1.52,,,0
CDM,1294213376,POTASSIUM CHLORIDE 2 MEQ/ML ORAL SYRINGE,12.8,4.99,,,0
CDM,1294337814,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,9.8,3.82,,,0
CDM,1294371850,CEFTAZIDIME-AVIBACTAM 2.5 GRAM INTRAVENOUS SOLUTION,1720.6,671.03,,,0
CDM,1294594626,CARVEDILOL 6.25 MG TABLET,14.1,5.5,,,0
CDM,1294783065,MORPHINE ORAL SOLUTION 0.2 MG/0.5 ML DILUTION,4.8,1.87,,,0
CDM,1294895089,DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR,2.6,1.01,,,0
CDM,1294895099,NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH,7.3,2.85,,,0
CDM,1294895100,ROFLUMILAST 500 MCG TABLET,113.5,44.26,,,0
CDM,1294895124,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,6.0,2.34,,,0
CDM,1295010217,ONDANSETRON HCL 4 MG TABLET,5.97,2.33,,,0
CDM,1295113097,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,35.9,14.0,,,0
CDM,1295113128,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,28.0,10.92,,,0
CDM,1295152755,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE,148.2,57.8,,,0
CDM,1295163023,DEXRAZOXANE HCL 250 MG INTRAVENOUS SOLUTION,543.4,211.93,,,0
CDM,1295163023,LACTATED RINGERS IV SOLUTION,53.7,20.94,,,0
CDM,1295368008,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,19.6,7.64,,,0
CDM,1295427247,ONABOTULINUMTOXINA 100 UNIT SOLUTION FOR INJECTION,6979.1,2721.85,,,0
CDM,1295428864,AMINOLEVULINIC ACID HCL 20 % TOPICAL SOLUTION,3016.0,1176.24,,,0
CDM,1295539422,LISINOPRIL 20 MG TABLET,8.2,3.2,,,0
CDM,1295539426,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE",4.8,1.87,,,0
CDM,1295567631,MISOPROSTOL 200 MCG TABLET,178.6,69.65,,,0
CDM,1295726589,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,29.55,11.52,,,0
CDM,1295731791,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,10.5,4.1,,,0
CDM,1295808081,METHOCARBAMOL 500 MG TABLET,2.4,0.94,,,0
CDM,1295838573,COVID VACCINE 2024-2025 (12Y UP)-ADJ(PF) 5 MCG/0.5 ML IM SYRINGE (EUA),987.7,385.2,,,0
CDM,1295974068,TEMAZEPAM 7.5 MG CAPSULE,305.0,118.95,,,0
CDM,1296046969,MIDODRINE 5 MG TABLET,6.5,2.54,,,0
CDM,1296046974,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE",9.6,3.74,,,0
CDM,1296140311,HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML IM SYRINGE,0.01,0.0039,,,0
CDM,1296185011,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,333.1,129.91,,,0
CDM,1296305147,METHYLENE BLUE (ANTIDOTE) 1 % (10 MG/ML) INTRAVENOUS SOLUTION,533.8,208.18,,,0
CDM,1296347532,LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM,115.8,45.16,,,0
CDM,1296373790,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,2074.3,808.98,,,0
CDM,1296431249,ANGIOTENSIN II 2.5 MG/ML INTRAVENOUS SOLUTION,11291.4,4403.65,,,0
CDM,1296502501,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION,40.3,15.72,,,0
CDM,1296528177,TRAMADOL 50 MG TABLET,6.4,2.5,,,0
CDM,1296608168,HEPARIN LOCK FLUSH (PORCINE) 100 UNIT/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1297015529,PREDNISONE 20 MG TABLET,4.8,1.87,,,0
CDM,1297035132,"NYSTATIN 100,000 UNIT/GRAM TOPICAL OINTMENT",204.1,79.6,,,0
CDM,1297111172,DEXTRAN 70-HYPROMELLOSE (PF) 0.1 %-0.3 % EYE DROPS IN A DROPPERETTE,4.8,1.87,,,0
CDM,1297116681,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1297603659,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1297680327,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION,168.5,65.72,,,0
CDM,1297758002,DIPHENHYDRAMINE 25 MG CAPSULE,0.6,0.23,,,0
CDM,1297846820,EZETIMIBE 10 MG TABLET,78.9,30.77,,,0
CDM,1298046281,CYCLOBENZAPRINE 5 MG TABLET,9.5,3.7,,,0
CDM,1298046303,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,9.6,3.74,,,0
CDM,1298138822,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1298489723,HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SYRINGE,325.4,126.91,,,0
CDM,1298741212,BACLOFEN 25 MG/5 ML (5 MG/ML) ORAL SUSPENSION,4.8,1.87,,,0
CDM,1298816722,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,226.9,88.49,,,0
CDM,1298874702,"DOPAMINE 400 MG/250 ML (1,600 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN",121.7,47.46,,,0
CDM,1298991027,OXYMETAZOLINE 0.05 % NASAL SPRAY,7.7,3.0,,,0
CDM,1299179911,LACOSAMIDE 10 MG/ML ORAL SOLUTION,171.1,66.73,,,0
CDM,1299182555,HYOSCYAMINE 0.125 MG/5 ML ORAL ELIXIR,8.6,3.35,,,0
CDM,1299227366,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,43.4,16.93,,,0
CDM,1299306159,SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION,50.0,19.5,,,0
CDM,1299309826,BISMUTH SUBGALLATE (BULK) POWDER,171.1,66.73,,,0
CDM,1299823071,"CHOLECALCIFEROL (VITAMIN D3) 125 MCG (5,000 UNIT) CAPSULE",0.6,0.23,,,0
CDM,1299843605,LOSARTAN 100 MG TABLET,23.7,9.24,,,0
CDM,1299847257,SODIUM CHLORIDE 0.9 % BOLUS,53.7,20.94,,,0
CDM,1299895802,DEXTROSE 10 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,63.1,24.61,,,0
CDM,1300130270,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (WRAPPED),4.1,1.6,,,0
CDM,1300425320,ARIPIPRAZOLE 10 MG TABLET,42.2,16.46,,,0
CDM,1300425321,ATOMOXETINE 40 MG CAPSULE,48.6,18.95,,,0
CDM,1300549244,HEPATITIS B IMMUNE GLOBULIN 220 UNIT/ML (5 ML) INTRAMUSCULAR SOLUTION,3257.4,1270.39,,,0
CDM,1300591670,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION,64.1,25.0,,,0
CDM,1300594014,ENALAPRIL MALEATE 5 MG TABLET,11.7,4.56,,,0
CDM,1300594017,BUMETANIDE 20 MG/80 ML (0.25 MG/ML) INFUSION (SIMPLE),224.1,87.4,,,0
CDM,1300951480,PSYLLIUM HUSK 3.4 GRAM/5.8 GRAM ORAL POWDER,4.8,1.87,,,0
CDM,1301083561,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION,449.5,175.3,,,0
CDM,1301218098,ATOMOXETINE 40 MG CAPSULE,58.2,22.7,,,0
CDM,1301218099,"ARIPIPRAZOLE ER 400 MG INTRAMUSCULAR SUSPENSION,EXTENDED RELEASE",19654.3,7665.18,,,0
CDM,1301218101,ARIPIPRAZOLE 10 MG TABLET,53.0,20.67,,,0
CDM,1301474330,CEFUROXIME AXETIL 500 MG TABLET,68.6,26.75,,,0
CDM,1301721955,HYDRALAZINE 50 MG TABLET,4.8,1.87,,,0
CDM,1301810446,ENALAPRIL MALEATE 10 MG TABLET,4.8,1.87,,,0
CDM,1301949844,GUAIFENESIN 100 MG/5 ML ORAL LIQUID,9.3,3.63,,,0
CDM,1301987457,LACTATED RINGERS IV SOLUTION,53.7,20.94,,,0
CDM,1302062651,GABAPENTIN 100 MG CAPSULE,4.8,1.87,,,0
CDM,1302282096,GABAPENTIN 300 MG CAPSULE,10.3,4.02,,,0
CDM,1302417270,"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE",19.6,7.64,,,0
CDM,1302859309,WHITE PETROLATUM-MINERAL OIL 94 %-3 % EYE OINTMENT,54.9,21.41,,,0
CDM,1303039753,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,18.9,7.37,,,0
CDM,1303081979,VANCOMYCIN 25 MG/ML ORAL SOLUTION,9.4,3.67,,,0
CDM,1303116552,REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE,30.0,11.7,,,0
CDM,1303223713,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1303223799,"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION",70.1,27.34,,,0
CDM,1303223812,SERTRALINE 50 MG TABLET,43.7,17.04,,,0
CDM,1303304122,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION",24.3,9.48,,,0
CDM,1303358662,GEMCITABINE 1 GRAM/26.3 ML (38 MG/ML) INTRAVENOUS SOLUTION,348.3,135.84,,,0
CDM,1303646343,ANTIHEMOPHILIC FACTOR-VWF 250 UNIT-600 UNIT INTRAVENOUS SOLUTION,0.01,0.0039,,,0
CDM,1303787152,CYCLOBENZAPRINE 5 MG TABLET,19.2,7.49,,,0
CDM,1303892018,HYALURONIDASE (OVINE) 200 UNIT/ML INJECTION SOLUTION,1579.1,615.85,,,0
CDM,1304419878,PENICILLIN V POTASSIUM 250 MG TABLET,12.7,4.95,,,0
CDM,1304434669,ONDANSETRON 4 MG DISINTEGRATING TABLET,20.2,7.88,,,0
CDM,1304681651,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,87.7,34.2,,,0
CDM,1304711252,GADOBUTROL 2 MMOL/2 ML (1 MMOL/ML) INTRAVENOUS SOLUTION,34.86,13.6,,,0
CDM,1304713866,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,5.6,2.18,,,0
CDM,1304726294,HYDRALAZINE 50 MG TABLET,4.4,1.72,,,0
CDM,1304756814,FERROUS GLUCONATE 324 MG (38 MG IRON) TABLET,0.6,0.23,,,0
CDM,1304955381,LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION,205.6,80.18,,,0
CDM,1305157031,GABAPENTIN 300 MG CAPSULE,10.3,4.02,,,0
CDM,1305293282,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,105.2,41.03,,,0
CDM,1305687404,ANTI-THYMOCYTE GLOBULIN (RABBIT) 25 MG INTRAVENOUS SOLUTION,29724.6,11592.59,,,0
CDM,1305750697,"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR",3.0,1.17,,,0
CDM,1305778453,FUROSEMIDE 10 MG/ML ORAL SOLUTION,4.8,1.87,,,0
CDM,1305955970,VALSARTAN 80 MG TABLET,35.3,13.77,,,0
CDM,1306015697,LETROZOLE 2.5 MG TABLET,139.0,54.21,,,0
CDM,1306274697,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",22.8,8.89,,,0
CDM,1306287208,IOHEXOL 140 MG IODINE/ML INTRAVENOUS SOLUTION,440.0,171.6,,,0
CDM,1306352152,STUDY SACITUZUMAB GOVITECAN-HZIY 180 MG INTRAVENOUS SOLUTION,0.01,0.0039,,,0
CDM,1306503540,INFLIXIMAB-AXXQ 100 MG INTRAVENOUS SOLUTION,0.01,0.0039,,,0
CDM,1306914001,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,2332.37,909.62,,,0
CDM,1307021351,QUETIAPINE 100 MG TABLET,105.2,41.03,,,0
CDM,1307052248,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION SOLUTION,36.4,14.2,,,0
CDM,1307292170,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,35.9,14.0,,,0
CDM,1307294956,HYDRALAZINE 25 MG TABLET,4.8,1.87,,,0
CDM,1307346834,BENZONATATE 100 MG CAPSULE,5.6,2.18,,,0
CDM,1307365699,"ANTIHEMOPHILIC FVIII,REC B-DOMAIN DELETED 500 (+/-) UNIT IV SYRINGE",0.01,0.0039,,,0
CDM,1307365700,"ANTIHEMOPHILIC FVIII,REC B-DOMAIN DELETED 1,000 (+/-) UNIT IV SYRINGE",0.01,0.0039,,,0
CDM,1307385090,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,21.5,8.38,,,0
CDM,1307411838,ASCORBIC ACID (VITAMIN C) 500 MG TABLET,0.6,0.23,,,0
CDM,1307411867,GADOPICLENOL 0.5 MMOL/ML INTRAVENOUS SOLUTION,102.0,39.78,,,0
CDM,1307499376,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,19.6,7.64,,,0
CDM,1307714069,"HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV",134.6,52.49,,,0
CDM,1307806386,SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1307913785,CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION,85.4,33.31,,,0
CDM,1308140654,METHADONE 5 MG/5 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SYRINGE,170.8,66.61,,,0
CDM,1308322211,"LIPASE-PROTEASE-AMYLASE 20,000-63,000-84,000 UNIT CAPSULE, DELAYED REL",61.5,23.98,,,0
CDM,1308341878,PEG 3350-ELECTROLYTES (GOLYTELY) (WRAPPED),552.3,215.4,,,0
CDM,1308618159,PACLITAXEL PROTEIN-BOUND 100 MG INTRAVENOUS SUSPENSION,14197.8,5537.14,,,0
CDM,1308913313,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION (FOR IV PUSH),68.4,26.68,,,0
CDM,1308913325,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,57.4,22.39,,,0
CDM,1309188939,CIDOFOVIR 75 MG/ML INTRAVENOUS SOLUTION,8269.7,3225.18,,,0
CDM,1309195574,SODIUM CHLORIDE 0.9 % IV SOLUTION FOR PRESSURIZED LINES,53.7,20.94,,,0
CDM,1309344857,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL,153.8,59.98,,,0
CDM,1309370587,TRIPTORELIN PAMOATE 3.75 MG IM SUSPENSION,6008.4,2343.28,,,0
CDM,1309546855,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1309599786,SEVELAMER CARBONATE 800 MG TABLET,46.8,18.25,,,0
CDM,1309599789,TIZANIDINE 4 MG TABLET,5.7,2.22,,,0
CDM,1309664640,VANCOMYCIN IVPB 1500 MG/250 ML NS (SIMPLE),62.7,24.45,,,0
CDM,1309766478,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET,280.6,109.43,,,0
CDM,1309771726,GABAPENTIN 100 MG CAPSULE,4.8,1.87,,,0
CDM,1309899499,FENTANYL (PF) IN NS 10 MCG/ML INFUSION (PREMIX),369.4,144.07,,,0
CDM,1309921406,CARVEDILOL 25 MG TABLET,4.8,1.87,,,0
CDM,1309921448,MANNITOL 25 % INTRAVENOUS SOLUTION,25.2,9.83,,,0
CDM,1310207760,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,5.4,2.11,,,0
CDM,1310316587,"MEASLES,MUMPS,RUBELLA VACC LIVE(PF)10EXP3.4-4.2-3.3CCID50/0.5ML SUBCUT",0.01,0.0039,,,0
CDM,1310418542,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,31.5,12.28,,,0
CDM,1310483813,MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION,11.2,4.37,,,0
CDM,1310651284,LONCASTUXIMAB TESIRINE-LPYL 10 MG INTRAVENOUS SOLUTION,310270.3,121005.42,,,0
CDM,1310718018,MAGIC MOUTHWASH WITHOUT NYSTATIN OR LIDOCAINE ORAL SUSPENSION,4.8,1.87,,,0
CDM,1310748090,IFOSFAMIDE 1 GRAM INTRAVENOUS SOLUTION,565.1,220.39,,,0
CDM,1310880074,CHOLECALCIFEROL (VITAMIN D3) 10 MCG/ML (400 UNIT/ML) ORAL DROPS,0.6,0.23,,,0
CDM,1310906690,OSELTAMIVIR 75 MG CAPSULE,118.6,46.25,,,0
CDM,1311124218,PERFLUTREN LIPID MICROSPHERES 0.65 MG/ML INTRAVENOUS SUSPENSION,968.2,377.6,,,0
CDM,1311182503,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION,165.0,64.35,,,0
CDM,1311294698,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,35.8,13.96,,,0
CDM,1311338881,MEXILETINE 150 MG CAPSULE,11.3,4.41,,,0
CDM,1311570409,METFORMIN 500 MG TABLET,10.8,4.21,,,0
CDM,1311638687,VANCOMYCIN 750 MG/150 ML IN DILUENT COMBINATION IV PIGGYBACK,102.5,39.98,,,0
CDM,1311941849,REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE,30.0,11.7,,,0
CDM,1311979841,FENTANYL 25 MCG/HR TRANSDERMAL PATCH,163.2,63.65,,,0
CDM,1312063546,GADOXETATE 0.25 MMOL/ML (181.43 MG/ML) INTRAVENOUS SOLUTION,640.5,249.8,,,0
CDM,1312267723,DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE,13071.8,5098.0,,,0
CDM,1312487399,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION,19.6,7.64,,,0
CDM,1312654332,BUSPIRONE 5 MG TABLET,6.0,2.34,,,0
CDM,1312747525,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,154.6,60.29,,,0
CDM,1312851123,AMPICILLIN 250 MG SOLUTION FOR INJECTION,19.6,7.64,,,0
CDM,1312954675,"NAPROXEN 500 MG TABLET,DELAYED RELEASE",64.5,25.16,,,0
CDM,1313009683,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE,89.7,34.98,,,0
CDM,1313009684,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,27.0,10.53,,,0
CDM,1313096957,MODAFINIL 200 MG TABLET,255.6,99.68,,,0
CDM,1313105401,VANCOMYCIN IVPB 750 MG/250 ML NS (SIMPLE),52.0,20.28,,,0
CDM,1313121860,QUETIAPINE 50 MG TABLET,4.8,1.87,,,0
CDM,1313321952,CIPROFLOXACIN 0.3 % EYE DROPS,4.8,1.87,,,0
CDM,1313379317,"NEOMYCIN 3.5 MG-POLYMYXIN 10,000 UNIT-HYDROCORT 10 MG/ML EYE DROP,SUSP",1435.1,559.69,,,0
CDM,1313396093,EZETIMIBE 10 MG TABLET,86.7,33.81,,,0
CDM,1313459674,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,10.6,4.13,,,0
CDM,1313604581,GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION,763.7,297.84,,,0
CDM,1313765481,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",30.5,11.9,,,0
CDM,1313768658,SODIUM HYALURONATE 10 MG/ML(MW 2.4-3.6 MILLION)INTRA-ARTICULAR SYRINGE,2513.6,980.3,,,0
CDM,1313845142,LORATADINE 10 MG TABLET,1.3,0.51,,,0
CDM,1313885860,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION,43.0,16.77,,,0
CDM,1313885881,ADULT CYCLIC 2-IN-1 CPN USING CLINIMIX BASE,504.0,196.56,,,0
CDM,1313930190,GLYCERIN (CHILD) RECTAL SUPPOSITORY,0.9,0.35,,,0
CDM,1314073868,LEVONORGESTREL 17.5 MCG/24 HR (UP TO 5 YRS) 19.5MG INTRAUTERINE DEVICE,9316.3,3633.36,,,0
CDM,1314159522,AMPICILLIN 500 MG SOLUTION FOR INJECTION,19.6,7.64,,,0
CDM,1314185714,VANCOMYCIN IVPB 2500 MG/500 ML NS (SIMPLE),493.1,192.31,,,0
CDM,1314214114,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION,239.1,93.25,,,0
CDM,1314308778,PREDNISONE 50 MG TABLET,4.8,1.87,,,0
CDM,1314331656,ADULT CYCLIC 2-IN-1 CPN USING CLINIMIX BASE,504.0,196.56,,,0
CDM,1314374021,INSULIN REGULAR 1 UNIT/ML INJECTION (NEONATE),19.6,7.64,,,0
CDM,1314434031,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",8.9,3.47,,,0
CDM,1314794179,METRONIDAZOLE 500 MG TABLET,7.1,2.77,,,0
CDM,1314874991,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1314884278,GLYCERIN (CHILD) RECTAL SUPPOSITORY,0.6,0.23,,,0
CDM,1314899782,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1314916945,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1315090433,AZITHROMYCIN 250 MG TABLET,119.5,46.6,,,0
CDM,1315134589,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,41.7,16.26,,,0
CDM,1315177674,LOSARTAN 100 MG TABLET,5.3,2.07,,,0
CDM,1315182311,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,176.3,68.76,,,0
CDM,1315412086,"ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION",68166.4,26584.9,,,0
CDM,1315473050,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE",14.4,5.62,,,0
CDM,1315473052,"DILTIAZEM 180 MG CAPSULE, EXTENDED RELEASE (WRAPPED)",11.7,4.56,,,0
CDM,1315473081,BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINTMENT,20.5,8.0,,,0
CDM,1315494833,PIOGLITAZONE 30 MG TABLET,41.1,16.03,,,0
CDM,1315599049,FERRIC DERISOMALTOSE 100 MG IRON/ML INTRAVENOUS SOLUTION,2824.3,1101.48,,,0
CDM,1315702416,OSELTAMIVIR 30 MG CAPSULE,106.9,41.69,,,0
CDM,1315817696,PHENOL 6 % INJECTION SOLUTION,552.6,215.51,,,0
CDM,1315967613,NAFCILLIN 1 GRAM SOLUTION FOR INJECTION,19.6,7.64,,,0
CDM,1315974382,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1316007094,HYLAN G-F 20 16 MG/2 ML INTRA-ARTICULAR SYRINGE,3182.1,1241.02,,,0
CDM,1316104062,EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE,19.6,7.64,,,0
CDM,1316108155,LACOSAMIDE 10 MG/ML ORAL SOLUTION,751.7,293.16,,,0
CDM,1316136513,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE",4.8,1.87,,,0
CDM,1316632827,GLYCOPYRROLATE 1 MG TABLET,8.4,3.28,,,0
CDM,1316676246,HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN,0.01,0.0039,,,0
CDM,1316734406,LORAZEPAM 1 MG TABLET,4.8,1.87,,,0
CDM,1316740462,MIDODRINE 2.5 MG TABLET,6.6,2.57,,,0
CDM,1316762764,ONDANSETRON 8 MG DISINTEGRATING TABLET,294.7,114.93,,,0
CDM,1316825616,AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION,4.9,1.91,,,0
CDM,1316854554,LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,59.8,23.32,,,0
CDM,1316868505,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,0.9,0.35,,,0
CDM,1316868510,SENNOSIDES 8.6 MG TABLET,0.6,0.23,,,0
CDM,1317178773,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,10.3,4.02,,,0
CDM,1317230885,GABAPENTIN 100 MG CAPSULE,4.8,1.87,,,0
CDM,1317274655,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (WRAPPED),9.5,3.7,,,0
CDM,1317279541,KETAMINE 10 MG/ML INJECTION SOLUTION (WRAPPED),49.8,19.42,,,0
CDM,1317291564,CARVEDILOL 3.125 MG TABLET,16.4,6.4,,,0
CDM,1317291602,NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH,7.6,2.96,,,0
CDM,1317343141,CARBAMIDE PEROXIDE 6.5 % EAR DROPS,61.6,24.02,,,0
CDM,1317365214,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,91.9,35.84,,,0
CDM,1317571743,METOLAZONE 10 MG TABLET,21.7,8.46,,,0
CDM,1317877160,CYCLOPHOSPHAMIDE 50 MG CAPSULE,816.9,318.59,,,0
CDM,1317886198,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",795.1,310.09,,,0
CDM,1317898611,MIDAZOLAM 1 MG/ML INJ (WRAPPED),19.6,7.64,,,0
CDM,1317961446,"BACITRACIN 50,000 UNIT INTRAMUSCULAR SOLUTION",58.1,22.66,,,0
CDM,1318249112,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1318268279,BENZONATATE 100 MG CAPSULE,4.8,1.87,,,0
CDM,1318542452,RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION,0.01,0.0039,,,0
CDM,1318563527,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION,168.6,65.75,,,0
CDM,1318700776,LOPERAMIDE 2 MG CAPSULE,4.4,1.72,,,0
CDM,1318717608,EZETIMIBE 10 MG TABLET,78.9,30.77,,,0
CDM,1318837040,PROPOFOL INFUSION 10 MG/ML,19.6,7.64,,,0
CDM,1318902808,"THROMBIN (BOVINE) 20,000 UNIT TOPICAL SOLUTION",2181.9,850.94,,,0
CDM,1318926639,RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION,23715.3,9248.97,,,0
CDM,1318967307,STUDY CRIZANLIZUMAB-TMCA (CSEG101A22401B) IVPB,0.1,0.04,,,0
CDM,1319112315,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,2223.4,867.13,,,0
CDM,1319275492,VENLAFAXINE 50 MG TABLET,15.9,6.2,,,0
CDM,1319319462,POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,53.7,20.94,,,0
CDM,1319345675,HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE,804.7,313.83,,,0
CDM,1319349126,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,148.5,57.92,,,0
CDM,1319353880,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,6.5,2.54,,,0
CDM,1319412670,CLINDAMYCIN 300 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,30.4,11.86,,,0
CDM,1319525458,TIMOLOL MALEATE 0.5 % EYE DROPS,4.8,1.87,,,0
CDM,1319536645,KETOTIFEN 0.025 % (0.035 %) EYE DROPS,57.1,22.27,,,0
CDM,1319575703,PREDNISONE 5 MG/5 ML ORAL SOLUTION,28.6,11.15,,,0
CDM,1319655514,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,41.0,15.99,,,0
CDM,1319710257,SUCRALFATE 100 MG/ML ORAL SUSPENSION,62.9,24.53,,,0
CDM,1319773741,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION,330.0,128.7,,,0
CDM,1319853948,CLONIDINE ORAL SOLUTION 20 MCG/ML SIMPLE SYRUP (NEONATE/PEDS),4.8,1.87,,,0
CDM,1319921177,GOSERELIN 3.6 MG SUBCUTANEOUS IMPLANT,6195.2,2416.13,,,0
CDM,1319961695,AZITHROMYCIN 250 MG TABLET,4.8,1.87,,,0
CDM,1320002214,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION,375.6,146.48,,,0
CDM,1320155719,BISACODYL 10 MG RECTAL SUPPOSITORY,0.6,0.23,,,0
CDM,1320161108,CARVEDILOL 6.25 MG TABLET,15.0,5.85,,,0
CDM,1320161120,OLANZAPINE 2.5 MG TABLET,2.7,1.05,,,0
CDM,1320161130,WHITE PETROLATUM 41 % TOPICAL OINTMENT,108.9,42.47,,,0
CDM,1320288917,KETOCONAZOLE 2 % TOPICAL CREAM,399.7,155.88,,,0
CDM,1320297753,LORAZEPAM 2 MG TABLET,1.3,0.51,,,0
CDM,1320297764,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (WRAPPED),0.6,0.23,,,0
CDM,1320321305,DEGARELIX 80 MG SUBCUTANEOUS SOLUTION,3048.0,1188.72,,,0
CDM,1320526858,BENZTROPINE 1 MG TABLET,4.8,1.87,,,0
CDM,1320550804,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID,40.4,15.76,,,0
CDM,1320653194,HYDROMORPHONE 1 MG/ML ORAL LIQUID,4.8,1.87,,,0
CDM,1320992508,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1321124507,GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION,99.0,38.61,,,0
CDM,1321349687,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,155.0,60.45,,,0
CDM,1321605109,METOLAZONE 2.5 MG TABLET,100.8,39.31,,,0
CDM,1321605779,LABETALOL 100 MG TABLET,7.8,3.04,,,0
CDM,1322002384,FAMOTIDINE 20 MG TABLET,0.7,0.27,,,0
CDM,1322056055,HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE,4.8,1.87,,,0
CDM,1322159764,HALOPERIDOL 1 MG TABLET,7.7,3.0,,,0
CDM,1322317319,CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET,1.2,0.47,,,0
CDM,1322353538,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE",76.7,29.91,,,0
CDM,1322353547,MIRTAZAPINE 15 MG TABLET,4.8,1.87,,,0
CDM,1322353555,PRAMIPEXOLE 0.25 MG TABLET,12.9,5.03,,,0
CDM,1322421009,"MORPHINE ER 60 MG TABLET,EXTENDED RELEASE",40.9,15.95,,,0
CDM,1322426451,CARBOXYMETHYLCELLULOSE SODIUM 0.5 % EYE DROPS,64.4,25.12,,,0
CDM,1322571190,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1322748829,FAMOTIDINE 20 MG TABLET,1.1,0.43,,,0
CDM,1322759891,CLONAZEPAM 1 MG TABLET,6.6,2.57,,,0
CDM,1322792813,AZITHROMYCIN 250 MG TABLET,119.5,46.6,,,0
CDM,1322796783,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,59.1,23.05,,,0
CDM,1322882384,SOTALOL 120 MG TABLET,26.3,10.26,,,0
CDM,1322882387,MONTELUKAST 10 MG TABLET,4.8,1.87,,,0
CDM,1322908463,NALOXONE 0.4 MG/ML INJECTION SOLUTION,202.6,79.01,,,0
CDM,1322910518,PEG 3350-ELECTROLYTES (GOLYTELY) (WRAPPED),184.1,71.8,,,0
CDM,1323053003,KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION,70.1,27.34,,,0
CDM,1323103261,"HEPARIN (PORCINE) INJECTION (BOLUS) 1,000 UNITS/ML",19.6,7.64,,,0
CDM,1323215164,SPIRONOLACTONE 25 MG TABLET,4.8,1.87,,,0
CDM,1323262402,ELVITEG 150 MG-COB 150 MG-EMTRICIT 200 MG-TENOFO DISOPRO 300 MG TABLET,1130.8,441.01,,,0
CDM,1323298014,SODIUM CHLORIDE 4 MEQ/ML ORAL SYRINGE,19.6,7.64,,,0
CDM,1323516078,INCLISIRAN 284 MG/1.5 ML SUBCUTANEOUS SYRINGE,24044.7,9377.43,,,0
CDM,1323630332,LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION,24.8,9.67,,,0
CDM,1323631234,LIDOCAINE HCL 2 % MUCOSAL JELLY,164.1,64.0,,,0
CDM,1323632437,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SYRINGE,213.5,83.26,,,0
CDM,1323640581,NORTRIPTYLINE 25 MG CAPSULE,6.8,2.65,,,0
CDM,1323671249,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",53.7,20.94,,,0
CDM,1323749157,POTAS AND SOD CITRATE-CITRIC ACID 550 MG-500 MG-334 MG/5 ML ORAL SOLN,4.8,1.87,,,0
CDM,1323877254,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (WRAPPED),12.1,4.72,,,0
CDM,1324064259,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,184.7,72.03,,,0
CDM,1324143621,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",4.8,1.87,,,0
CDM,1324289530,TRAMADOL 50 MG TABLET,6.4,2.5,,,0
CDM,1324309537,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,270.6,105.53,,,0
CDM,1324314431,"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE",19.6,7.64,,,0
CDM,1324390919,PREGABALIN 75 MG CAPSULE,85.4,33.31,,,0
CDM,1324502710,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,16.8,6.55,,,0
CDM,1324621333,CLOTRIMAZOLE 10 MG TROCHE,24.7,9.63,,,0
CDM,1324694592,ARIPIPRAZOLE 5 MG TABLET,43.7,17.04,,,0
CDM,1324747836,FLORBETAPIR F-18 10 MCI (370 MBQ) INTRAVENOUS SOLUTION,3088.9,1204.67,,,0
CDM,1324759290,BENRALIZUMAB 30 MG/ML SUBCUTANEOUS SYRINGE,0.01,0.0039,,,0
CDM,1324784417,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,99.4,38.77,,,0
CDM,1324784420,THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET,4.8,1.87,,,0
CDM,1324803172,VALACYCLOVIR 500 MG TABLET,21.0,8.19,,,0
CDM,1325073142,NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH,8.5,3.32,,,0
CDM,1325145973,CLOTRIMAZOLE 10 MG TROCHE,9.0,3.51,,,0
CDM,1325161208,CLORAZEPATE DIPOTASSIUM 15 MG TABLET,41.8,16.3,,,0
CDM,1325570552,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",10.0,3.9,,,0
CDM,1325575482,AMINO ACID 10 % INTRAVENOUS SOLUTION,57.1,22.27,,,0
CDM,1325780090,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,4.7,1.83,,,0
CDM,1325991350,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,102.5,39.98,,,0
CDM,1326124828,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,109.7,42.78,,,0
CDM,1326129279,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION,464.6,181.19,,,0
CDM,1326132426,SODIUM CHLORIDE 4 MEQ/ML ORAL SYRINGE,19.6,7.64,,,0
CDM,1326177431,DEXTROSE 5 % IN LACTATED RINGERS IV BOLUS,77.2,30.11,,,0
CDM,1326177453,EPINEPHRINE 1 MG/ML INJECTION SOLUTION,285.4,111.31,,,0
CDM,1326178766,HYDROGEN PEROXIDE 3 % SOLUTION,12.7,4.95,,,0
CDM,1326208096,PEGFILGRASTIM-PBBK 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,20910.0,8154.9,,,0
CDM,1326376379,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,683.2,266.45,,,0
CDM,1326534948,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",52.9,20.63,,,0
CDM,1326696813,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",26.8,10.45,,,0
CDM,1326745040,CLONIDINE HCL 0.3 MG TABLET,4.9,1.91,,,0
CDM,1326815912,FLUCONAZOLE 200 MG TABLET,7.8,3.04,,,0
CDM,1326827049,SERTRALINE 100 MG TABLET,8.4,3.28,,,0
CDM,1327016081,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1327024942,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,37.7,14.7,,,0
CDM,1327056650,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,38.3,14.94,,,0
CDM,1327103640,MORPHINE (PF) 10 MG/ML INJECTION SOLUTION,44.5,17.36,,,0
CDM,1327163430,AMINO ACID 3 % PEDI-D10W-CALC 3.75 MEQ-HEPARIN 125 UNIT/250 ML IV SOLN,358.7,139.89,,,0
CDM,1327163433,AMPICILLIN 500 MG SOLUTION FOR INJECTION,37.7,14.7,,,0
CDM,1327163835,CAFFEINE CITRATED IV SYRINGE 20 MG/ML LD (PEDS 10 KG AND LESS),37.3,14.55,,,0
CDM,1327319008,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION,17.6,6.86,,,0
CDM,1327330297,MODAFINIL 200 MG TABLET,511.1,199.33,,,0
CDM,1327367791,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",61.4,23.95,,,0
CDM,1327501233,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1327535705,TOBRAMYCIN 40 MG/ML FOR NEBULIZATION,13.1,5.11,,,0
CDM,1327658517,ASPIRIN 325 MG TABLET,0.6,0.23,,,0
CDM,1327775627,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,52.8,20.59,,,0
CDM,1327793199,"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR",1.9,0.74,,,0
CDM,1327825277,OSELTAMIVIR 30 MG CAPSULE,108.8,42.43,,,0
CDM,1327857934,"FACTOR IX HUMAN RECOMBINANT, PEGYLATED 500 (+/-) UNIT IV SOLUTION",0.01,0.0039,,,0
CDM,1327857938,"FACTOR IX HUMAN RECOMBINANT, PEGYLATED 1,000 (+/-) UNIT IV SOLUTION",0.01,0.0039,,,0
CDM,1327928016,LORAZEPAM 2 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1327942409,SODIUM CHLORIDE 0.9% 3000 ML IRRIGATION SOLUTION,109.1,42.55,,,0
CDM,1327994454,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION,947.3,369.45,,,0
CDM,1328037029,OSELTAMIVIR 75 MG CAPSULE,118.6,46.25,,,0
CDM,1328101508,OSELTAMIVIR 30 MG CAPSULE,108.8,42.43,,,0
CDM,1328218371,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,24.2,9.44,,,0
CDM,1328255590,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1328411549,NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH,8.2,3.2,,,0
CDM,1328418692,BUSPIRONE 7.5 MG TABLET,24.3,9.48,,,0
CDM,1328418705,TRAZODONE 100 MG TABLET,4.8,1.87,,,0
CDM,1328518128,POTASSIUM CHLORIDE 20 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS,53.7,20.94,,,0
CDM,1328619829,METHOCARBAMOL 500 MG TABLET,5.6,2.18,,,0
CDM,1328635095,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",19.7,7.68,,,0
CDM,1328810304,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,37.75,14.72,,,0
CDM,1328888947,CHLOROPROCAINE 10 MG/ML (1 %) INJECTION SOLUTION,51.33,20.02,,,0
CDM,1328932123,BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1328981633,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,61.5,23.98,,,0
CDM,1328989173,"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN",121.7,47.46,,,0
CDM,1328997039,SODIUM BICARBONATE 4.2 % INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1328997039,SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1329026876,MORPHINE 4 MG/ ML INJECTION (WRAPPED),21.4,8.35,,,0
CDM,1329044203,LEVETIRACETAM 500 MG TABLET,13.4,5.23,,,0
CDM,1329054198,"EPOETIN ALFA 2,000 UNIT/ML INJECTION SOLUTION",319.6,124.64,,,0
CDM,1329089099,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET,140.3,54.72,,,0
CDM,1329167844,ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET,11.0,4.29,,,0
CDM,1329192411,GENTAMICIN 320 MCG/ML IN 4 % SODIUM CITRATE INTRA-CATHETER SOLUTION,19.6,7.64,,,0
CDM,1329256533,CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION,2075.0,809.25,,,0
CDM,1329256565,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,183.7,71.64,,,0
CDM,1329322904,LEUPROLIDE 45 MG (PEDIATRIC 6 MONTH) INTRAMUSCULAR SYRINGE KIT,162211.3,63262.41,,,0
CDM,1329422159,FLUCONAZOLE 150 MG TABLET,106.9,41.69,,,0
CDM,1329449072,ESCITALOPRAM 10 MG TABLET,66.4,25.9,,,0
CDM,1329492380,VANCOMYCIN 25 MG/ML ORAL SOLUTION,24.2,9.44,,,0
CDM,1329529865,SODIUM CHLORIDE 0.9 % BOLUS,84.12,32.81,,,0
CDM,1329621339,BISMUTH SUBSALICYLATE 525 MG/15 ML ORAL SUSPENSION,4.8,1.87,,,0
CDM,1329687790,EPINEPHRINE 5 MG/250 ML (20 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV SOLN (PREMIX),64.0,24.96,,,0
CDM,1330032726,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,111.1,43.33,,,0
CDM,1330034470,VARICELLA-ZOSTER IMMUNE GLOB-MALTOSE 125 UNIT/1.2 ML IM SOLUTION,15212.6,5932.91,,,0
CDM,1330057331,SODIUM CHLORIDE 4 MEQ/ML ORAL SYRINGE,19.6,7.64,,,0
CDM,1330058218,CELECOXIB 100 MG CAPSULE,18.6,7.25,,,0
CDM,1330305444,MIDODRINE 5 MG TABLET,31.2,12.17,,,0
CDM,1330320193,ALLOPURINOL 100 MG TABLET,4.8,1.87,,,0
CDM,1330746687,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1330875057,METOPROLOL TARTRATE 25 MG TABLET,4.8,1.87,,,0
CDM,1330924707,DICYCLOMINE 10 MG CAPSULE,4.8,1.87,,,0
CDM,1330938153,LIDOCAINE 4 % TOPICAL CREAM,25.9,10.1,,,0
CDM,1331126395,DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1331141080,ZINC SULFATE 50 MG ZINC (220 MG) TABLET,0.6,0.23,,,0
CDM,1331282865,LEVOTHYROXINE 50 MCG TABLET,5.8,2.26,,,0
CDM,1331298011,MAGNESIUM SULFATE 50 MG/ML ORAL SOLUTION (ELEMENTAL),0.6,0.23,,,0
CDM,1331310766,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (WRAPPED),21.2,8.27,,,0
CDM,1331310767,DEXTRAN 70-HYPROMELLOSE (PF) 0.1 %-0.3 % EYE DROPS IN A DROPPERETTE,4.8,1.87,,,0
CDM,1331336318,ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION,280.1,109.24,,,0
CDM,1331677688,MIRTAZAPINE 15 MG TABLET,4.8,1.87,,,0
CDM,1331982426,FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS,0.6,0.23,,,0
CDM,1332007161,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,340.8,132.91,,,0
CDM,1332091826,ACTIVATED CHARCOAL-SORBITOL 50 GRAM/240 ML ORAL SUSPENSION,87.2,34.01,,,0
CDM,1332128252,DUPILUMAB 200 MG/1.14 ML SUBCUTANEOUS SYRINGE,0.01,0.0039,,,0
CDM,1332133198,ALBUTEROL CONTINUOUS BRONCHODILATORY THERAPY,383.5,149.56,,,0
CDM,1332133205,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,38.5,15.02,,,0
CDM,1332140129,ALBUTEROL SULFATE 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,12.8,4.99,,,0
CDM,1332303436,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,1638.0,638.82,,,0
CDM,1332343533,CALCITONIN (SALMON) 200 UNIT/ACTUATION NASAL SPRAY,909.3,354.63,,,0
CDM,1332353091,QUETIAPINE 100 MG TABLET,24.8,9.67,,,0
CDM,1332361290,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",410.0,159.9,,,0
CDM,1332421587,LECANEMAB-IRMB 100 MG/ML INTRAVENOUS SOLUTION,437.4,170.59,,,0
CDM,1332421588,LECANEMAB-IRMB 100 MG/ML INTRAVENOUS SOLUTION,437.4,170.59,,,0
CDM,1332433390,ECULIZUMAB 300 MG/30 ML INTRAVENOUS SOLUTION,181861.0,70925.79,,,0
CDM,1332453988,HYDROMORPHONE (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLN,197.8,77.14,,,0
CDM,1332727539,OLANZAPINE 10 MG TABLET,152.8,59.59,,,0
CDM,1332788138,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",30.9,12.05,,,0
CDM,1332799289,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,29.9,11.66,,,0
CDM,1332803919,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH,128.55,50.129999999999995,,,0
CDM,1333008844,CEFDINIR 300 MG CAPSULE,39.3,15.33,,,0
CDM,1333019582,LIDOCAINE 4 % TOPICAL PATCH,18.0,7.02,,,0
CDM,1333022033,METHOCARBAMOL 500 MG TABLET,4.8,1.87,,,0
CDM,1333069837,CHOLECALCIFEROL (VITAMIN D3) 10 MCG/ML (400 UNIT/ML) ORAL DROPS,0.6,0.23,,,0
CDM,1333213330,KETOROLAC 10 MG TABLET,16.6,6.47,,,0
CDM,1333224453,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1333250098,DEXAMETHASONE 0.5 MG TABLET,21.2,8.27,,,0
CDM,1333262780,PEG 3350-ELECTROLYTES (GOLYTELY) (WRAPPED),153.4,59.83,,,0
CDM,1333280883,ISOPROPYL ALCOHOL 70 % SOLUTION,177.8,69.34,,,0
CDM,1333348602,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",8.7,3.39,,,0
CDM,1333355621,AFLIBERCEPT 2 MG/0.05 ML INTRAVITREAL SOLUTION FOR INJECTION,13216.9,5154.59,,,0
CDM,1333390392,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,709.4,276.67,,,0
CDM,1333394521,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,78.3,30.54,,,0
CDM,1333394522,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,138.4,53.98,,,0
CDM,1333437114,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1333447734,OSELTAMIVIR 6 MG/ML ORAL SUSPENSION,262.2,102.26,,,0
CDM,1333509362,HEPATITIS B IMMUNE GLOBULIN GREATR THAN 312 UNIT/ML INTRAMUSCULAR SOLN,734.0,286.26,,,0
CDM,1333615090,TRAZODONE 50 MG TABLET,4.8,1.87,,,0
CDM,1333671984,HYDROCHLOROTHIAZIDE 25 MG TABLET,4.8,1.87,,,0
CDM,1333764566,OMALIZUMAB 150 MG/ML SUBCUTANEOUS SYRINGE,19740.8,7698.91,,,0
CDM,1333879446,RISANKIZUMAB-RZAA 360 MG/2.4 ML (150 MG/ML) SUBCUT WEARABLE INJECTOR,0.01,0.0039,,,0
CDM,1333909057,GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION,1747.2,681.41,,,0
CDM,1333914372,REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE,20.0,7.8,,,0
CDM,1333965534,"AMIODARONE 150 MG/100 ML (1.5 MG/ML) IN DEXTROSE, ISO-OSMOTIC IV",296.4,115.6,,,0
CDM,1334022907,CHLORPROMAZINE 25 MG TABLET,79.9,31.16,,,0
CDM,1334086842,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION (FOR IV PUSH),30.8,12.01,,,0
CDM,1334095659,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,179.4,69.97,,,0
CDM,1334201042,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",379.2,147.89,,,0
CDM,1334327172,INDOMETHACIN 50 MG CAPSULE,5.1,1.99,,,0
CDM,1334515495,"VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP",1270.3,495.42,,,0
CDM,1334555854,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1334572182,"NAPROXEN 500 MG TABLET,DELAYED RELEASE",15.0,5.85,,,0
CDM,1334586376,TETRACAINE HCL (PF) 0.5 % EYE DROPS,101.4,39.55,,,0
CDM,1334652961,EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1334664499,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION,19.6,7.64,,,0
CDM,1334721986,FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION,4.7,1.83,,,0
CDM,1334737282,PENICILLIN G IVPB 3 MU/100 ML NS (SIMPLE),69.5,27.1,,,0
CDM,1334754803,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",8.7,3.39,,,0
CDM,1334813119,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,36.7,14.31,,,0
CDM,1334910474,MORPHINE 2 MG/ML INJECTION (WRAPPED),36.7,14.31,,,0
CDM,1334934281,DILTIAZEM 30 MG TABLET,7.7,3.0,,,0
CDM,1334942004,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,1.0,0.39,,,0
CDM,1334945972,GABAPENTIN 800 MG TABLET,5.8,2.26,,,0
CDM,1334952788,DEXAMETHASONE 4 MG TABLET,8.1,3.16,,,0
CDM,1334988617,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION,97.1,37.87,,,0
CDM,1335139847,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,213.4,83.23,,,0
CDM,1335215245,LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM,61.7,24.06,,,0
CDM,1335215251,SODIUM CHLORIDE (STERILE) 0.9 % INJECTION SYRINGE,19.6,7.64,,,0
CDM,1335424235,ONDANSETRON 8 MG DISINTEGRATING TABLET,22.8,8.89,,,0
CDM,1335505940,IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION,853.5,332.86,,,0
CDM,1335568407,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,124.6,48.59,,,0
CDM,1335586468,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1335626694,INDOMETHACIN 25 MG CAPSULE,4.8,1.87,,,0
CDM,1335693146,GADOTERIDOL 279.3 MG/ML INTRAVENOUS SOLUTION,66.0,25.74,,,0
CDM,1335817984,SODIUM CHLORIDE 0.9 % FOR NEBULIZATION,4.8,1.87,,,0
CDM,1335826309,FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION,3.2,1.25,,,0
CDM,1335865660,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,854.0,333.06,,,0
CDM,1335866502,OSELTAMIVIR 75 MG CAPSULE,118.6,46.25,,,0
CDM,1335905148,VANCOMYCIN 1 GRAM/200 ML IN DILUENT COMBINATION IV PIGGYBACK,136.7,53.31,,,0
CDM,1335996607,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1336034216,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,13.1,5.11,,,0
CDM,1336045231,IOTHALAMATE MEGLUMINE 17.2 % URETHRAL SOLUTION,550.0,214.5,,,0
CDM,1336077891,TEMOZOLOMIDE 100 MG CAPSULE,6492.6,2532.11,,,0
CDM,1336098847,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,1.9,0.74,,,0
CDM,1336137830,AZTREONAM 1 GRAM SOLUTION FOR INJECTION,308.2,120.2,,,0
CDM,1336145833,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION,834.8,325.57,,,0
CDM,1336192945,MAGIC MOUTHWASH ORAL SUSPENSION (CMPD),73.7,28.74,,,0
CDM,1336208424,FAMOTIDINE 20 MG TABLET,10.3,4.02,,,0
CDM,1336241563,"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR",3.0,1.17,,,0
CDM,1336523512,DONEPEZIL 5 MG TABLET,12.0,4.68,,,0
CDM,1336523513,DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS,4.8,1.87,,,0
CDM,1336523526,TAMSULOSIN 0.4 MG CAPSULE,4.8,1.87,,,0
CDM,1336658886,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,38.8,15.13,,,0
CDM,1336685061,"EPOETIN ALFA-EPBX 3,000 UNIT/ML INJECTION SOLUTION",188.5,73.52,,,0
CDM,1336713650,THYROTROPIN ALFA 0.9 MG INTRAMUSCULAR SOLUTION,14094.3,5496.78,,,0
CDM,1336777325,LIDOCAINE 4 % TOPICAL CREAM,41.5,16.18,,,0
CDM,1336856259,PHENOBARBITAL 32.4 MG TABLET,10.9,4.25,,,0
CDM,1336874165,PHENYTOIN 100 MG/4 ML ORAL SUSPENSION,105.6,41.185,,,0
CDM,1337111072,MENTHOL 0.44 %-ZINC OXIDE 20.6 % TOPICAL OINTMENT,63.3,24.69,,,0
CDM,1337126431,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,20.5,8.0,,,0
CDM,1337161789,CENOBAMATE 250 MG/DAY (150 MG X 1 AND 100 MG X 1) TABLETS,323.3,126.09,,,0
CDM,1337176122,CLONAZEPAM 1 MG TABLET,6.6,2.57,,,0
CDM,1337186542,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,89.6,34.94,,,0
CDM,1337290444,BARICITINIB 1 MG TABLET,2802.1,1092.82,,,0
CDM,1337315473,NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE,3622.7,1412.85,,,0
CDM,1337317804,ISOSORBIDE DINITRATE 10 MG TABLET,8.3,3.24,,,0
CDM,1337328344,DOXEPIN 75 MG CAPSULE,27.9,10.88,,,0
CDM,1337366012,ACETAMINOPHEN 325 MG TABLET,0.6,0.23,,,0
CDM,1337466528,OLANZAPINE 5 MG DISINTEGRATING TABLET,219.0,85.41,,,0
CDM,1337504753,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",8.7,3.39,,,0
CDM,1337529914,PAPAVERINE 30 MG/ML INJECTION SOLUTION,353.7,137.94,,,0
CDM,1337631945,"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM",134.3,52.38,,,0
CDM,1337657279,FLUCONAZOLE 10 MG/ML ORAL SUSPENSION,314.8,122.77,,,0
CDM,1337748331,MORPHINE 10 MG/ML INJECTION (WRAPPED),49.3,19.23,,,0
CDM,1337784095,CEFDINIR 125 MG/5 ML ORAL SUSPENSION,31.3,12.21,,,0
CDM,1337810400,AMPICILLIN 250 MG SOLUTION FOR INJECTION,19.6,7.64,,,0
CDM,1337888067,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,53.4,20.83,,,0
CDM,1337935499,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION,44.7,17.43,,,0
CDM,1337939523,"HYDROMORPHONE (PF) 0.2 MG/ML IN NACL, ISO-OSMOTIC INJECTION SYRINGE",129.9,50.66,,,0
CDM,1337946398,VORICONAZOLE 200 MG INTRAVENOUS SOLUTION,2818.3,1099.14,,,0
CDM,1337954002,ALPRAZOLAM 0.25 MG TABLET,4.8,1.87,,,0
CDM,1337956904,OXYMETAZOLINE 0.05 % NASAL SPRAY,8.5,3.32,,,0
CDM,1337985399,ADENOSINE 3 MG/ML IV SOLN (WRAPPED),19.6,7.64,,,0
CDM,1338029651,ELTROMBOPAG OLAMINE 25 MG ORAL POWDER PACKET,3705.6,1445.18,,,0
CDM,1338037492,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",18.0,7.02,,,0
CDM,1338063782,CLOPIDOGREL 75 MG TABLET,53.4,20.83,,,0
CDM,1338077688,COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 0.9 MG SOLUTION FOR INJECTION,30729.2,11984.39,,,0
CDM,1338105776,GEMCITABINE 200 MG/5.26 ML (38 MG/ML) INTRAVENOUS SOLUTION,143.6,56.0,,,0
CDM,1338121264,SACITUZUMAB GOVITECAN-HZIY 180 MG INTRAVENOUS SOLUTION,8456.4,3298.0,,,0
CDM,1338179183,ALPROSTADIL 500 MCG/ML INJECTION SOLUTION,1070.6,417.53,,,0
CDM,1338182122,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION,74.6,29.09,,,0
CDM,1338234115,SODIUM CHLORIDE 0.9 % BOLUS,53.7,20.94,,,0
CDM,1338258469,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1338264421,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION,24.3,9.48,,,0
CDM,1338588147,AMIKACIN 500 MG/2 ML INJECTION SOLUTION,128.1,49.96,,,0
CDM,1338616962,AZITHROMYCIN 500 MG TABLET,119.4,46.57,,,0
CDM,1338643893,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",7.6,2.96,,,0
CDM,1338675688,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,39.0,15.21,,,0
CDM,1338805242,METHOCARBAMOL 500 MG TABLET,4.8,1.87,,,0
CDM,1338849139,CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,91.4,35.65,,,0
CDM,1338916670,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1338941767,CYCLOBENZAPRINE 10 MG TABLET,4.8,1.87,,,0
CDM,1338941769,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,55.1,21.49,,,0
CDM,1338966784,VUTRISIRAN 25 MG/0.5 ML SUBCUTANEOUS SYRINGE,831876.5,324431.84,,,0
CDM,1339117825,PHENYLEPHRINE 10 % EYE DROPS,368.2,143.6,,,0
CDM,1339128113,ACETAMINOPHEN 500 MG TABLET,0.6,0.23,,,0
CDM,1339252630,BACLOFEN 5 MG TABLET,20.9,8.15,,,0
CDM,1339252631,CLOBAZAM 10 MG TABLET,75.2,29.33,,,0
CDM,1339284642,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,15.4,6.01,,,0
CDM,1339333838,FUROSEMIDE 500 MG/50 ML (10 MG/ML) INFUSION (SIMPLE),249.4,97.27,,,0
CDM,1339373607,DROPERIDOL 2.5 MG/ML INJECTION SOLUTION,41.4,16.15,,,0
CDM,1339527986,LEVETIRACETAM 250 MG TABLET,22.1,8.62,,,0
CDM,1339527996,BACLOFEN 10 MG TABLET,19.0,7.41,,,0
CDM,1339531513,DICYCLOMINE 10 MG CAPSULE,4.8,1.87,,,0
CDM,1339554747,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,19.6,7.64,,,0
CDM,1339559256,FUROSEMIDE 40 MG/4 ML ORAL SOLUTION,9.5,3.7,,,0
CDM,1339559897,FENTANYL (PF) 1000 MCG/100 ML NS (10 MCG/ML) PREMIX,337.4,131.59,,,0
CDM,1339680772,GLYCERIN (CHILD) RECTAL SUPPOSITORY,0.6,0.23,,,0
CDM,1339787024,LEVOTHYROXINE 25 MCG TABLET,3.7,1.44,,,0
CDM,1339863508,UREA 15 GRAM ORAL POWDER PACKET,27.9,10.88,,,0
CDM,1340136257,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,20.1,7.84,,,0
CDM,1340185509,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1340301503,CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION,50.0,19.5,,,0
CDM,1340417875,CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH,593.4,231.43,,,0
CDM,1340417876,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1340460623,IOPAMIDOL 200 MG IODINE/ML (41 %) INTRAVENOUS SOLUTION,660.0,257.4,,,0
CDM,1340492128,AMPICILLIN 500 MG SOLUTION FOR INJECTION,19.7,7.68,,,0
CDM,1340502694,PROPRANOLOL ORAL SUSPENSION 1 MG/ML,7.0,2.73,,,0
CDM,1340621560,SILVER NITRATE APPLICATORS 75 %-25 % TOPICAL STICK,4.8,1.87,,,0
CDM,1340661204,"BARIUM SULFATE 2.1 % (W/V), 2.0 % (W/W) ORAL SUSPENSION",23.8,9.28,,,0
CDM,1340680839,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,5.6,2.18,,,0
CDM,1340684662,BACLOFEN 50 MCG/ML INTRATHECAL SOLUTION,337.9,131.78,,,0
CDM,1340719508,LANOLIN ALCOHOLS-MINERAL OIL-W.PETROLATUM-CERESIN TOPICAL CREAM,31.4,12.25,,,0
CDM,1340746202,CEFAZOLIN 3 GRAM INTRAVENOUS SOLUTION,60.5,23.6,,,0
CDM,1340827933,ALLOPURINOL 300 MG TABLET,7.1,2.77,,,0
CDM,1341108678,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,72.6,28.31,,,0
CDM,1341124296,STUDY SAIL66 (SAL101JG) INFUSION IN 100 ML W/STABILIZER,0.1,0.04,,,0
CDM,1341350034,ALLOPURINOL 300 MG TABLET,7.1,2.77,,,0
CDM,1341466648,HYDROMORPHONE (PF) 0.2 MG/ML INJECTION SYRINGE,115.3,44.97,,,0
CDM,1341626857,ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY,0.7,0.27,,,0
CDM,1341626860,POTASSIUM CHLORIDE 0.4 MEQ/ML IV SYRINGE *CENTRAL* PEDS (PRE-MIX),53.7,20.94,,,0
CDM,1341669490,PLERIXAFOR 24 MG/1.2 ML (20 MG/ML) SUBCUTANEOUS SOLUTION,31100.4,12129.16,,,0
CDM,1341751095,METHOCARBAMOL 750 MG TABLET,4.8,1.87,,,0
CDM,1341767452,OLMESARTAN 40 MG TABLET,73.7,28.74,,,0
CDM,1341767457,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,156.2,60.92,,,0
CDM,1341797486,ACETAMINOPHEN 325 MG TABLET,0.6,0.23,,,0
CDM,1341814924,ACETAMINOPHEN 10 MG/ML IV SYRINGE (PEDS),19.6,7.64,,,0
CDM,1341904903,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT,153.7,59.94,,,0
CDM,1341957178,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,271.6,105.92,,,0
CDM,1342009864,GADOTERIDOL 279.3 MG/ML INTRAVENOUS SOLUTION,99.0,38.61,,,0
CDM,1342038554,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1342119444,"DIPH,PERTUS(ACELL),TET,POLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE",0.01,0.0039,,,0
CDM,1342139199,LATANOPROST (PF) 0.005 % EYE DROPS IN A DROPPERETTE,20.3,7.92,,,0
CDM,1342164806,ISOSORBIDE DINITRATE 10 MG TABLET,15.1,5.89,,,0
CDM,1342181177,SILVER SULFADIAZINE 1 % TOPICAL CREAM,69.1,26.95,,,0
CDM,1342262649,ALLOPURINOL 100 MG TABLET,7.5,2.925,,,0
CDM,1342264460,SEMAGLUTIDE 2 MG/DOSE (8 MG/3 ML) SUBCUTANEOUS PEN INJECTOR,1687.7,658.2,,,0
CDM,1342289703,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,46.2,18.02,,,0
CDM,1342419633,PENICILLIN V POTASSIUM 250 MG TABLET,13.1,5.11,,,0
CDM,1342420221,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 62.5 MG/5 ML ORAL SUSPENSION,65.0,25.35,,,0
CDM,1342427280,INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION,435.1,169.69,,,0
CDM,1342428650,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,158.9,61.97,,,0
CDM,1342443931,DEXTROSE 5 % AND 0.9 % NACL IV BOLUS,77.2,30.11,,,0
CDM,1342477524,ZINC OXIDE 20 % TOPICAL OINTMENT,11.0,4.29,,,0
CDM,1342610482,ONDANSETRON IVPB 12 MG/50 ML NS (SIMPLE)(NGOC),67.8,26.44,,,0
CDM,1342621688,CARBAMAZEPINE 200 MG TABLET,12.3,4.8,,,0
CDM,1342657004,THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET,4.8,1.87,,,0
CDM,1342688321,"ACAMPROSATE 333 MG TABLET,DELAYED RELEASE",62.5,24.38,,,0
CDM,1342742971,PEDIATRIC MULTIVITAMIN NO.192 250 MCG-50 MG-10 MCG/ML ORAL DROPS,6.3,2.46,,,0
CDM,1342784941,PROGESTERONE MICRONIZED 200 MG CAPSULE,75.4,29.41,,,0
CDM,1342823463,IBUPROFEN 600 MG TABLET,4.8,1.87,,,0
CDM,1342852568,DECITABINE 50 MG VIAL DILUTED FOR INTRAVENOUS USE,184.6,71.99,,,0
CDM,1342930874,BICARBONATE HEMODIALYSIS SOLUTION NO.2 K 2 MEQ-CA 3.5 MEQ-MG 1 MEQ/L,280.4,109.36,,,0
CDM,1342947999,"DOPAMINE 160 MG/50 ML D5W (3,200 MCG/ML) INFUSION (SIMPLE)",34.45,13.434999999999999,,,0
CDM,1342952801,GENTAMICIN 320 MCG/ML IN 4 % SODIUM CITRATE INTRA-CATHETER SOLUTION,19.6,7.64,,,0
CDM,1342989480,ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION,127.6,49.76,,,0
CDM,1343005856,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",19.6,7.64,,,0
CDM,1343034717,ACETYLCYSTEINE 200 MG/ML (20 %) RESPIRATORY SOLUTION,79.5,31.0,,,0
CDM,1343080059,HYDRALAZINE 25 MG TABLET,3.9,1.52,,,0
CDM,1343105779,CEPHALEXIN 250 MG CAPSULE,10.7,4.17,,,0
CDM,1343125159,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS PIGGYBACK,53.7,20.94,,,0
CDM,1343125160,"ASPIRIN 81 MG TABLET,DELAYED RELEASE",0.6,0.23,,,0
CDM,1343132731,HYDROMORPHONE 1 MG/ML INJECTION (WRAPPED),19.6,7.64,,,0
CDM,1343168251,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",35.9,14.0,,,0
CDM,1343226251,"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION",53.7,20.94,,,0
CDM,1343244521,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,262.4,102.34,,,0
CDM,1343245486,ACETAMINOPHEN 500 MG TABLET,0.6,0.23,,,0
CDM,1343255716,ADENOSINE 3 MG/ML IV SOLN (WRAPPED),115.3,44.97,,,0
CDM,1343290575,MEROPENEM 500 MG INTRAVENOUS SOLUTION,25.7,10.02,,,0
CDM,1343324336,CHOLESTYRAMINE-ASPARTAME 4 GRAM ORAL POWDER FOR SUSP IN A PACKET,25.8,10.06,,,0
CDM,1343337207,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT,95.3,37.17,,,0
CDM,1343374304,PRAZOSIN 1 MG CAPSULE,14.7,5.73,,,0
CDM,1343374308,LACOSAMIDE 50 MG TABLET,9.5,3.7,,,0
CDM,1343485590,CYCLOPHOSPHAMIDE 2 GRAM INTRAVENOUS POWDER FOR SOLUTION,8296.1,3235.48,,,0
CDM,1343491256,DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLUTION,630.3,245.82,,,0
CDM,1343518020,MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION,7488.0,2920.32,,,0
CDM,1343521228,ACETAZOLAMIDE 250 MG TABLET,42.5,16.58,,,0
CDM,1343542027,CARMUSTINE 100 MG INTRAVENOUS SOLUTION,28080.0,10951.2,,,0
CDM,1343542034,PROCHLORPERAZINE MALEATE 10 MG TABLET,6.9,2.69,,,0
CDM,1343594046,CEFOXITIN IVPB 2 G/100 ML NS (SIMPLE),170.8,66.61,,,0
CDM,1343645295,MULTIVITAMIN-FERROUS FUMARATE-FOLIC ACID 18 MG-400 MCG TABLET,4.8,1.87,,,0
CDM,1343693569,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP,8.0,3.12,,,0
CDM,1343698305,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,56.4,22.0,,,0
CDM,1343735516,FUROSEMIDE 40 MG TABLET,4.8,1.87,,,0
CDM,1343764960,DAPSONE 100 MG TABLET,20.8,8.11,,,0
CDM,1343894953,"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE",28.8,11.23,,,0
CDM,1343905030,MORPHINE ORAL SOLUTION 2 MG/ML (NEONATAL ABSTINENCE),4.8,1.87,,,0
CDM,1343918178,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1343936186,"NAPROXEN 375 MG TABLET,DELAYED RELEASE",12.3,4.8,,,0
CDM,1343966846,GABAPENTIN 250 MG/5 ML (5 ML) ORAL SOLUTION,11.8,4.6,,,0
CDM,1343997650,DEXAMETHASONE 4 MG TABLET,9.3,3.63,,,0
CDM,1344004125,BUSULFAN 60 MG/10 ML INTRAVENOUS SOLUTION,968.8,377.83,,,0
CDM,1344024600,GADOBUTROL 2 MMOL/2 ML (1 MMOL/ML) INTRAVENOUS SOLUTION,126.0,49.14,,,0
CDM,1344030306,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1344032225,LETROZOLE 2.5 MG TABLET,138.5,54.02,,,0
CDM,1344059429,"DEXTROAMPHETAMINE-AMPHETAMINE ER 5 MG 24HR CAPSULE,EXTEND RELEASE",110.5,43.1,,,0
CDM,1344075946,PHENOBARBITAL 64.8 MG TABLET,6.5,2.54,,,0
CDM,1344129100,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,61.5,23.98,,,0
CDM,1344233861,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET",0.6,0.23,,,0
CDM,1344269204,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1344287299,GABAPENTIN 300 MG CAPSULE,10.3,4.02,,,0
CDM,1344394426,SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1344470267,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1344498405,"SODIUM BICARBONATE 150 MEQ/1,150 ML IN DEXTROSE 5 % INTRAVENOUS",1612.3,628.8,,,0
CDM,1344605653,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (WRAPPED),18.1,7.06,,,0
CDM,1344660431,SIMETHICONE 80 MG CHEWABLE TABLET,0.6,0.23,,,0
CDM,1344684078,SODIUM CHLORIDE-ALOE VERA NASAL GEL,21.4,8.35,,,0
CDM,1344697050,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION,1027.9,400.88,,,0
CDM,1344725520,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,31.2,12.17,,,0
CDM,1344773556,MAGNESIUM SULFATE 40 MG/ML IV SYRINGE,19.6,7.64,,,0
CDM,1344809020,LORAZEPAM 2 MG/ML ORAL CONCENTRATE,9.3,3.63,,,0
CDM,1344810538,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1344816899,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",235.1,91.69,,,0
CDM,1344832103,VECURONIUM BROMIDE 20 MG INTRAVENOUS SOLUTION,72.6,28.31,,,0
CDM,1344840932,POTASSIUM CHLORIDE 20 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,77.2,30.11,,,0
CDM,1344867743,BABY BERTRAM'S BUTT CREAM (CMPD),40.3,15.72,,,0
CDM,1344885220,"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN",81.2,31.67,,,0
CDM,1344912302,"EPOETIN ALFA 4,000 UNIT/ML INJECTION SOLUTION",745.1,290.59,,,0
CDM,1344946882,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,63.1,24.61,,,0
CDM,1345001786,MORPHINE (PF) 25 MG/ML INJECTION SOLUTION,740.2,288.68,,,0
CDM,1345027802,DEXTROSE 5 % AND 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1345029868,FLUDROCORTISONE 0.1 MG TABLET,16.2,6.32,,,0
CDM,1345061173,SODIUM NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION,213.5,83.26,,,0
CDM,1345061859,THERAPEUTIC MULTIVITAMIN TABLET,4.8,1.87,,,0
CDM,1345063230,SPIRONOLACTONE 25 MG TABLET,4.8,1.87,,,0
CDM,1345069840,DOXAZOSIN 4 MG TABLET,8.4,3.28,,,0
CDM,1345079028,HYDROCORTISONE 2.5 % TOPICAL CREAM WITH PERINEAL APPLICATOR,536.9,209.39,,,0
CDM,1345087996,SODIUM BICARBONATE 250 MEQ/250 ML (1 MEQ/ML) IV INFUSION (SIMPLE),373.7,145.74,,,0
CDM,1345135646,"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE",19.6,7.64,,,0
CDM,1345143958,IMMUNE GLOB G 10 GRAM/100 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,0.01,0.0039,,,0
CDM,1345150477,CIPROFLOXACIN 500 MG TABLET,4.8,1.87,,,0
CDM,1345154698,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,471.6,183.92,,,0
CDM,1345154700,LEUCOVORIN CALCIUM 200 MG SOLUTION FOR INJECTION,66.0,25.74,,,0
CDM,1345156819,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,27.4,10.69,,,0
CDM,1345187243,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION,363.0,141.57,,,0
CDM,1345259258,PORACTANT ALFA 240 MG/3 ML INTRATRACHEAL SUSPENSION,10870.7,4239.57,,,0
CDM,1345259675,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1345312751,NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN 0.9 % NACL IV,312.0,121.68,,,0
CDM,1345334616,MIDAZOLAM 5 MG/ML INJ (WRAPPED),173.0,67.47,,,0
CDM,1345383044,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT,145.8,56.86,,,0
CDM,1345408985,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,9.0,3.51,,,0
CDM,1345488609,NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION,59507.9,23208.08,,,0
CDM,1345490533,ALLOPURINOL 300 MG TABLET,7.3,2.85,,,0
CDM,1345492458,FOSAPREPITANT IVPB 150 MG/150 ML NS(SIMPLE),2250.6,877.73,,,0
CDM,1345517110,NEONATAL 2-IN-1 CPN,315.0,122.85,,,0
CDM,1345546788,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE,153.3,59.79,,,0
CDM,1345565758,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,129.7,50.58,,,0
CDM,1345587582,LORATADINE 10 MG TABLET,3.0,1.17,,,0
CDM,1345635380,KETAMINE 10 MG/ML INJECTION SOLUTION,25.4,9.91,,,0
CDM,1345717768,MYCOPHENOLATE MOFETIL 200 MG/ML ORAL POWDER FOR SUSPENSION,62.6,24.41,,,0
CDM,1345717770,VALGANCICLOVIR 50 MG/ML ORAL SOLUTION,959.1,374.05,,,0
CDM,1345767675,KETAMINE 10 MG/ML INJECTION SOLUTION,25.8,10.06,,,0
CDM,1345770056,MANNITOL 20 % INTRAVENOUS SOLUTION,699.5,272.8,,,0
CDM,1345771289,GABAPENTIN 100 MG CAPSULE,4.8,1.87,,,0
CDM,1345791385,FERUMOXYTOL 510 MG/17 ML (30 MG/ML) INTRAVENOUS SOLUTION,8319.6,3244.64,,,0
CDM,1345828795,CIPROFLOXACIN 500 MG TABLET,42.9,16.73,,,0
CDM,1345867580,TETRACYCLINE 250 MG CAPSULE,120.9,47.15,,,0
CDM,1345868704,MIDODRINE 10 MG TABLET,13.0,5.07,,,0
CDM,1345916209,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,64.5,25.16,,,0
CDM,1345935942,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1345959625,MORPHINE (PF) 1 MG/2 ML INTRAVENOUS SYRINGE,69.0,26.91,,,0
CDM,1345962687,AMPICILLIN 500 MG SOLUTION FOR INJECTION,37.7,14.7,,,0
CDM,1345965186,GLIMEPIRIDE 1 MG TABLET,30.9,12.05,,,0
CDM,1346038950,SODIUM PHOSPHATE 3 MMOL/ML ORAL SOLUTION,42.2,16.46,,,0
CDM,1346039061,MAGNESIUM CITRATE ORAL SOLUTION,11.4,4.45,,,0
CDM,1346039858,DROXIDOPA 200 MG CAPSULE,1655.1,645.49,,,0
CDM,1346098191,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,19.6,7.64,,,0
CDM,1346180310,ACETAMINOPHEN 325 MG TABLET,0.6,0.23,,,0
CDM,1346193206,ASPIRIN 20 MG RECTAL SUPPOSITORY,4.8,1.87,,,0
CDM,1346226223,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION,269.1,104.95,,,0
CDM,1346226300,FELBAMATE 600 MG TABLET,23.0,8.97,,,0
CDM,1346243845,ACETAMINOPHEN 500 MG TABLET,0.6,0.23,,,0
CDM,1346253507,FENTANYL 5000 MCG/100 ML (50 MCG/ML) INFUSION (SIMPLE),427.0,166.53,,,0
CDM,1346255545,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 400 MG-400 MG-40 MG/5 ML ORAL SUSP,0.6,0.23,,,0
CDM,1346288696,CALCIUM POLYCARBOPHIL 625 MG TABLET,4.8,1.87,,,0
CDM,1346300810,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1346306281,DORZOLAMIDE 2 % EYE DROPS,352.0,137.28,,,0
CDM,1346322831,"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",6.4,2.5,,,0
CDM,1346353352,"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE",19.6,7.64,,,0
CDM,1346385773,ONDANSETRON IVPB 16 MG/50 ML NS (SIMPLE)(NGOC),79.3,30.93,,,0
CDM,1346392501,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,197.3,76.95,,,0
CDM,1346394826,DOCETAXEL 80 MG/8 ML (10 MG/ML) INTRAVENOUS SOLUTION,1847.1,720.37,,,0
CDM,1346453849,LABETALOL 200 MG TABLET,5.5,2.14,,,0
CDM,1346455463,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,19.6,7.64,,,0
CDM,1346462882,CHOLECALCIFEROL (VITAMIN D3) 10 MCG/ML (400 UNIT/ML) ORAL DROPS,1.1,0.43,,,0
CDM,1346464879,VARICELLA-ZOSTER IMMUNE GLOB-MALTOSE 125 UNIT/1.2 ML IM SOLUTION,79484.5,30998.96,,,0
CDM,1346472168,REMIFENTANIL 1 MG INTRAVENOUS SOLUTION,1068.0,416.52,,,0
CDM,1346492206,CLINDAMYCIN HCL 150 MG CAPSULE,4.8,1.87,,,0
CDM,1346513480,PROPRANOLOL 20 MG TABLET,4.8,1.87,,,0
CDM,1346513482,ISOSORBIDE DINITRATE 20 MG TABLET,6.2,2.42,,,0
CDM,1346513768,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (WRAPPED),5.2,2.03,,,0
CDM,1346525491,INSULIN REGULAR 100 UNIT/100 ML (1 UNIT/ML) IN 0.9 % NACL IV SOLUTION,298.9,116.57,,,0
CDM,1346582120,VALSARTAN 160 MG TABLET,80.0,31.2,,,0
CDM,1346596397,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,145.2,56.63,,,0
CDM,1346654932,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,203.7,79.44,,,0
CDM,1346656446,CLONIDINE HCL 0.1 MG TABLET,4.8,1.87,,,0
CDM,1346685278,ACYCLOVIR 800 MG TABLET,28.2,11.0,,,0
CDM,1346686696,PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION,209256.5,81610.04,,,0
CDM,1346695275,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,25.8,10.06,,,0
CDM,1346701991,STUDY MK-2870 (MK-2870-005 (GOG-3095)) 20 MG/ML INJECTION,0.1,0.04,,,0
CDM,1346707966,STUDY DOSTARLIMAB/PLACEBO (4010-03-001 (GOG-3031) (RUBY)) INJECTION,0.1,0.04,,,0
CDM,1346713600,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",25.7,10.02,,,0
CDM,1346763927,FAT EMULSION (SOYBEAN) 20% SYRINGE (NEONATE),20.3,7.92,,,0
CDM,1346789569,"ESMOLOL 2,000 MG/100 ML (20 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",1334.1,520.3,,,0
CDM,1346793465,EPINEPHRINE 1 MG/ML INJECTION SOLUTION,713.3,278.19,,,0
CDM,1346844385,MAGNESIUM CITRATE ORAL SOLUTION,15.9,6.2,,,0
CDM,1346870556,RISPERIDONE 1 MG/ML ORAL SOLUTION,4.8,1.87,,,0
CDM,1346899814,MAGNESIUM SULFATE 6 GRAM/100 ML IN 0.9% SODIUM CHLORIDE IVPB (SIMPLE),67.5,26.32,,,0
CDM,1346964213,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION",74.3,28.98,,,0
CDM,1346984167,FLUDARABINE 50 MG/2 ML INTRAVENOUS SOLUTION,1954.4,762.22,,,0
CDM,1347031442,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1347036369,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,184.7,72.03,,,0
CDM,1347062070,SEMAGLUTIDE 1 MG/DOSE (4 MG/3 ML) SUBCUTANEOUS PEN INJECTOR,1738.3,677.94,,,0
CDM,1347095346,L.ACIDOPHILUS-L.PARACASEI-B.BIFIDUM-S.THERMOPHL 8 BILLION CELL CAPSULE,9.4,3.67,,,0
CDM,1347110170,PROPRANOLOL 20 MG TABLET,4.8,1.87,,,0
CDM,1347126985,CARDIOPLEGIC SOLUTION NO.25 29 MMOL/L (POTASSIUM) FOR PERFUSION,666.2,259.82,,,0
CDM,1347127929,DOXORUBICIN 50 MG INTRAVENOUS SOLUTION,1825.7,712.02,,,0
CDM,1347145405,DORZOLAMIDE 2 % EYE DROPS,512.4,199.84,,,0
CDM,1347153269,FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE,162.1,63.22,,,0
CDM,1347156935,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,107.7,42.0,,,0
CDM,1347202997,MYCOPHENOLATE MOFETIL 500 MG TABLET,7.3,2.85,,,0
CDM,1347247047,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,38.2,14.9,,,0
CDM,1347262591,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1347272847,TETRACYCLINE 250 MG CAPSULE,120.9,47.15,,,0
CDM,1347289683,MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION,14.8,5.77,,,0
CDM,1347302210,CARFILZOMIB 30 MG INTRAVENOUS SOLUTION,11036.1,4304.08,,,0
CDM,1347317234,LEVETIRACETAM 100 MG/ML ORAL SOLUTION,6.4,2.5,,,0
CDM,1347351066,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION,23.8,9.28,,,0
CDM,1347367213,"STUDY DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML (54767414MMY2095, GCC-23-050) SUBCUT SOLN",0.01,0.0039,,,0
CDM,1347429122,URSODIOL 300 MG CAPSULE,28.4,11.08,,,0
CDM,1347448733,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,250.7,97.77,,,0
CDM,1347479843,NADOLOL 40 MG TABLET,30.5,11.9,,,0
CDM,1347491896,"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET",0.6,0.23,,,0
CDM,1347491915,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,84.8,33.07,,,0
CDM,1347509055,ADALIMUMAB 80 MG/0.8 ML SUBCUTANEOUS PEN KIT,0.01,0.0039,,,0
CDM,1347525869,DROPERIDOL 2.5 MG/ML INJ (ED USE ONLY),20.7,8.07,,,0
CDM,1347546393,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,0.3,0.12,,,0
CDM,1347634968,AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION,11.9,4.64,,,0
CDM,1347690617,FILGRASTIM 300 MCG/0.5 ML INJECTION SYRINGE,2325.9,907.1,,,0
CDM,1347704904,FILGRASTIM 300 MCG/0.5 ML INJECTION SYRINGE,2325.9,907.1,,,0
CDM,1347769108,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,22.8,8.89,,,0
CDM,1347776592,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,158.8,61.93,,,0
CDM,1347778895,ARGATROBAN 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,839.6,327.44,,,0
CDM,1347785656,"MVI,ADULT NO.4 WITH VIT K 3300 UNIT-150 MCG/10 ML INTRAVENOUS SOLUTION",131.4,51.25,,,0
CDM,1347820905,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,329.0,128.31,,,0
CDM,1347868721,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,191.2,74.57,,,0
CDM,1347879307,FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION,6858.5,2674.82,,,0
CDM,1347895147,"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE",1703.0,664.17,,,0
CDM,1347895159,MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION,4492.8,1752.19,,,0
CDM,1347895614,BACLOFEN 5 MG TABLET,52.7,20.55,,,0
CDM,1347950187,URSODIOL ORAL SUSPENSION 60 MG/ML (CMPD),18.9,7.37,,,0
CDM,1347975757,GABAPENTIN 250 MG/5 ML (5 ML) ORAL SOLUTION,38.3,14.94,,,0
CDM,1347979820,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,0.7,0.27,,,0
CDM,1347984913,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,23.7,9.24,,,0
CDM,1347990024,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,59.6,23.24,,,0
CDM,1348007242,"BUPIVACAINE 0.5 %-EPINEPHRINE BITARTRATE 1:200,000 INJECTION,CARTRIDGE",28.1,10.96,,,0
CDM,1348023479,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,474.5,185.06,,,0
CDM,1348038212,"QUETIAPINE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",68.1,26.56,,,0
CDM,1348051532,ATROPINE 0.1 MG/ML INJECTION SYRINGE,43.9,17.12,,,0
CDM,1348078931,LETERMOVIR 240 MG/12 ML INTRAVENOUS SOLUTION,5289.4,2062.87,,,0
CDM,1348134935,KETAMINE 10 MG/ML INJECTION SOLUTION (WRAPPED),56.5,22.04,,,0
CDM,1348134940,MENTHOL 0.44 %-ZINC OXIDE 20.6 % TOPICAL OINTMENT,44.3,17.28,,,0
CDM,1348191010,PREGABALIN 100 MG CAPSULE,85.4,33.31,,,0
CDM,1348220083,"STUDY LUVELTAMAB TAZEVIBULIN (STRO-002-GM3,GOG-3086) 100 MG/10 ML INTRAVENOUS SOLUTION",0.1,0.04,,,0
CDM,1348236212,CAPTOPRIL 1 MG/ML ORAL SOLUTION (NEONATE/PEDS),4.8,1.87,,,0
CDM,1348237833,DIGOXIN 50 MCG/ML (0.05 MG/ML) ORAL SOLUTION,6.5,2.54,,,0
CDM,1348255593,LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION,253.2,98.75,,,0
CDM,1348263432,DECITABINE 50 MG VIAL DILUTED FOR INTRAVENOUS USE,2770.6,1080.53,,,0
CDM,1348273662,BETHANECHOL 5 MG/ML ORAL SUSPENSION (NEO/PEDS),4.8,1.87,,,0
CDM,1348288140,FOSCARNET INTRAVITREAL INJECTION 2.4 MG/0.1 ML,19.6,7.64,,,0
CDM,1348298391,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,28.7,11.19,,,0
CDM,1348321310,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,32.9,12.83,,,0
CDM,1348329923,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,66.7,26.01,,,0
CDM,1348335743,RIVAROXABAN 20 MG TABLET,153.0,59.67,,,0
CDM,1348392949,MIDODRINE 5 MG TABLET,63.8,24.88,,,0
CDM,1348401079,SENNOSIDES 8.8 MG/5 ML ORAL SYRUP,18.3,7.14,,,0
CDM,1348431936,PERITONEAL DIALYSIS SOLN 7-2.5 % DEXT.LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L (5L BAG FOR CCPD),61.5,23.98,,,0
CDM,1348453713,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,64.1,25.0,,,0
CDM,1348466757,BUMETANIDE 0.25 MG/ML IV SYRINGE (IV ROOM),19.6,7.64,,,0
CDM,1348476371,LIDOCAINE 10 MG/ML (1%) INJECTION (WC),19.6,7.64,,,0
CDM,1348477921,AMLODIPINE 2.5 MG TABLET,4.8,1.87,,,0
CDM,1348485823,GABAPENTIN 100 MG CAPSULE,4.8,1.87,,,0
CDM,1348509698,CIPROFLOXACIN 250 MG TABLET,69.6,27.14,,,0
CDM,1348521935,DIPHENHYDRAMINE 25 MG TABLET,0.6,0.23,,,0
CDM,1348567386,STUDY OLANZAPINE BLINDED (FONDO-LOW) CAPSULE 2.5 MG OR 5 MG,0.1,0.04,,,0
CDM,1348581072,DARATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION,0.01,0.0039,,,0
CDM,1348589150,HUMAN MILK FORTIFIER 40 ML (PROLACT +8 H2MF),1745.0,680.55,,,0
CDM,1348590789,CARFILZOMIB 60 MG INTRAVENOUS SOLUTION,22072.1,8608.12,,,0
CDM,1348618995,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,4.32,1.68,,,0
CDM,1348623120,PROPAFENONE 150 MG TABLET,12.3,4.8,,,0
CDM,1348626818,CLONIDINE HCL 0.2 MG TABLET,4.8,1.87,,,0
CDM,1348637112,"PEDIATRIC MULTIVITAMIN NO.61-VIT D3 1,500 UNIT-VIT K 800 MCG CAPSULE",5.1,1.99,,,0
CDM,1348647326,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",4.8,1.87,,,0
CDM,1348666260,GLYCERIN 99.5 % TOPICAL SOLUTION,82.9,32.33,,,0
CDM,1348668496,CLEVIDIPINE 25 MG/50 ML INTRAVENOUS EMULSION,737.1,287.47,,,0
CDM,1348683133,STUDY DOXORUBICIN (PM1183-C-010-22) 50 MG/25 ML (2 MG/ML) INJECTION,0.1,0.04,,,0
CDM,1348712681,FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE,946.6,369.17,,,0
CDM,1348713118,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE,946.6,369.17,,,0
CDM,1348752653,AMPICILLIN-SULBACTAM 1.5 GRAM INTRAVENOUS SOLUTION,46.0,17.94,,,0
CDM,1348767113,CHLORPROMAZINE 10 MG TABLET,33.0,12.87,,,0
CDM,1348768778,PHENOBARBITAL 16.2 MG TABLET,8.2,3.2,,,0
CDM,1348769233,ATORVASTATIN 20 MG TABLET,4.8,1.87,,,0
CDM,1348771432,SOTALOL 80 MG TABLET,26.7,10.41,,,0
CDM,1348773859,"DESVENLAFAXINE SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",112.0,43.68,,,0
CDM,1348777179,BUMETANIDE 1 MG TABLET,20.7,8.07,,,0
CDM,1348777214,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,74.9,29.21,,,0
CDM,1348787888,FLUOXETINE 20 MG CAPSULE,4.8,1.87,,,0
CDM,1348797902,BRIVARACETAM 25 MG TABLET,376.6,146.87,,,0
CDM,1348819864,GABAPENTIN 600 MG TABLET,9.7,3.78,,,0
CDM,1348834895,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,153.5,59.86,,,0
CDM,1348887750,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,32.5,12.68,,,0
CDM,1348903258,IDECABTAGENE VICLEUCEL 300 X 10EXP6 TO 510 X 10EXP6 CELL IV SUSPENSION,2641562.2,1030209.26,,,0
CDM,1348918590,GLIMEPIRIDE 2 MG TABLET,6.8,2.65,,,0
CDM,1348931708,CEFAZOLIN 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK,89.7,34.98,,,0
CDM,1348933538,VALSARTAN 80 MG TABLET,37.1,14.47,,,0
CDM,1348951133,CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION,415.9,162.2,,,0
CDM,1348996915,PERPHENAZINE 4 MG TABLET,123.7,48.24,,,0
CDM,1349012248,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1349101683,AMIODARONE 200 MG TABLET,4.8,1.87,,,0
CDM,1349108745,VENLAFAXINE 100 MG TABLET,35.6,13.88,,,0
CDM,1349125347,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION,1173.1,457.51,,,0
CDM,1349139009,VALSARTAN 160 MG TABLET,40.0,15.6,,,0
CDM,1349146145,IMMUNE GLOBULIN (IGG-GAMUNEX-C) 1 GRAM/10 ML (10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,0.01,0.0039,,,0
CDM,1349149206,FERROUS SULFATE 300 MG (60 MG IRON)/5 ML ORAL LIQUID,17.5,6.82,,,0
CDM,1349158706,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,131.9,51.44,,,0
CDM,1349172579,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",33.1,12.91,,,0
CDM,1349173413,DEXAMETHASONE 1 MG TABLET,5.7,2.22,,,0
CDM,1349176308,SUCRALFATE 100 MG/ML ORAL SUSPENSION,107.5,41.92,,,0
CDM,1349179648,LEFLUNOMIDE 10 MG TABLET,92.1,35.92,,,0
CDM,1349182559,PAROXETINE 10 MG TABLET,35.3,13.77,,,0
CDM,1349183577,POLYVINYL ALCOHOL 1.4 % EYE DROPS,0.6,0.23,,,0
CDM,1349311125,AMANTADINE HCL 100 MG CAPSULE,14.9,5.81,,,0
CDM,1349315422,QUETIAPINE 100 MG TABLET,52.6,20.51,,,0
CDM,1349318614,PROMETHAZINE 6.25 MG-CODEINE 10 MG/5 ML SYRUP,4.8,1.87,,,0
CDM,1349326673,"STUDY TECLISTAMAB (MAJESTEC-10,64007957MMY1008) POST-CHANGE (90 MG/ML) SUBCUTANEOUS INJECTION",0.1,0.04,,,0
CDM,1349329218,STUDY TUVUSERTIB M1774 (MS201924_0020) 30 MG CAPSULE,0.1,0.04,,,0
CDM,1349329218,STUDY TUVUSERTIB M1774 (MS201924_0020) 50 MG CAPSULE,0.1,0.04,,,0
CDM,1349329219,STUDY LARTESERTIB M4076 (MS201924_0020) 50 MG TABLET,0.1,0.04,,,0
CDM,1349343702,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) ORAL SYRINGE,9.3,3.63,,,0
CDM,1349348569,RILPIVIRINE HCL 25 MG TABLET,379.3,147.93,,,0
CDM,1349362373,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,20.0,7.8,,,0
CDM,1349371447,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL LIQUID,13.8,5.38,,,0
CDM,1349371458,"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET",0.6,0.23,,,0
CDM,1349382265,MODAFINIL 100 MG TABLET,201.9,78.74,,,0
CDM,1349398170,INDAPAMIDE 1.25 MG TABLET,5.3,2.07,,,0
CDM,1349416184,TRAMADOL 50 MG TABLET,4.8,1.87,,,0
CDM,1349431091,MIDODRINE 5 MG TABLET,34.5,13.46,,,0
CDM,1349449679,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,156.6,61.07,,,0
CDM,1349496489,CHLORZOXAZONE 500 MG TABLET,8.4,3.28,,,0
CDM,1349517379,CIPROFLOXACIN 250 MG TABLET,68.1,26.56,,,0
CDM,1349526173,SACUBITRIL 24 MG-VALSARTAN 26 MG TABLET,90.2,35.18,,,0
CDM,1349551395,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",11.1,4.33,,,0
CDM,1349553489,LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR,46.1,17.98,,,0
CDM,1349580051,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,30.6,11.93,,,0
CDM,1349614086,"NAPROXEN 500 MG TABLET,DELAYED RELEASE",48.4,18.88,,,0
CDM,1349629237,LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM,173.8,67.78,,,0
CDM,1349642192,ARGININE 100 MG/ML ORAL SOLUTION NEO/PEDS,5.4,2.11,,,0
CDM,1349643748,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE,27.0,10.53,,,0
CDM,1349646174,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION (FOR IV PUSH),33.3,12.99,,,0
CDM,1349656831,TALQUETAMAB-TGVS 2 MG/ML SUBCUTANEOUS SOLUTION,3997.4,1558.99,,,0
CDM,1349659520,TEMAZEPAM 15 MG CAPSULE,11.6,4.52,,,0
CDM,1349660891,LIDOCAINE 4 % TOPICAL PATCH,10.1,3.94,,,0
CDM,1349662347,FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,105.0,40.95,,,0
CDM,1349665282,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER",168.4,65.68,,,0
CDM,1349674927,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,30.8,12.01,,,0
CDM,1349684784,NAFCILLIN 10 GRAM SOLUTION FOR INJECTION,1304.85,508.895,,,0
CDM,1349686932,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1349697081,NADOLOL 20 MG TABLET,26.1,10.18,,,0
CDM,1349699708,ACETAMINOPHEN 325 MG TABLET,0.6,0.23,,,0
CDM,1349702256,OXYCODONE 5 MG/5 ML ORAL SOLUTION,132.4,51.64,,,0
CDM,1349705701,NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN 0.9 % NACL IV,208.6,81.35,,,0
CDM,1349710072,FAMOTIDINE 20 MG TABLET,0.6,0.23,,,0
CDM,1349711241,DARBEPOETIN ALFA 200 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE,10789.6,4207.94,,,0
CDM,1349724104,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,26.5,10.34,,,0
CDM,1349735861,AMOXICILLIN 250 MG CAPSULE,40.6,15.83,,,0
CDM,1349740027,SEVELAMER CARBONATE 800 MG TABLET,61.7,24.06,,,0
CDM,1349751021,FAMOTIDINE 20 MG TABLET,10.3,4.02,,,0
CDM,1349769562,BUSPIRONE 10 MG TABLET,1.6,0.62,,,0
CDM,1349770918,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION,36.6,14.27,,,0
CDM,1349772409,ZONISAMIDE 100 MG CAPSULE,7.0,2.73,,,0
CDM,1349812030,DONEPEZIL 5 MG TABLET,66.4,25.9,,,0
CDM,1349818890,ATENOLOL 50 MG TABLET,102.5,39.98,,,0
CDM,1349839667,FLUVOXAMINE 50 MG TABLET,39.5,15.4,,,0
CDM,1349840535,PREGABALIN 25 MG CAPSULE,64.7,25.23,,,0
CDM,1349847029,OXYBUTYNIN CHLORIDE 5 MG TABLET,5.9,2.3,,,0
CDM,1349902046,MODAFINIL 200 MG TABLET,511.4,199.45,,,0
CDM,1349912117,OXYCODONE 20 MG/ML ORAL CONCENTRATE,54.3,21.175,,,0
CDM,1349935608,ELECTROLYTE-A INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1349936262,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID,4.8,1.87,,,0
CDM,1349941452,CLOPIDOGREL 75 MG TABLET,52.3,20.4,,,0
CDM,1349968986,PAMIDRONATE 90 MG/10 ML (9 MG/ML) INTRAVENOUS SOLUTION,319.3,124.53,,,0
CDM,1349983788,KETAMINE 10 MG/ML INJECTION SOLUTION (WRAPPED),51.3,20.01,,,0
CDM,1349988947,LOSARTAN 100 MG TABLET,4.8,1.87,,,0
CDM,1349989921,"FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION",4.8,1.87,,,0
CDM,1349992678,ESLICARBAZEPINE 600 MG TABLET,688.8,268.63,,,0
CDM,1349996196,"CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE",13.4,5.23,,,0
CDM,1349997282,LISINOPRIL 10 MG TABLET,7.3,2.85,,,0
CDM,1350014526,NEBIVOLOL 2.5 MG TABLET,72.7,28.35,,,0
CDM,1350028260,SPIRONOLACTONE 25 MG TABLET,4.8,1.87,,,0
CDM,1350056789,PROPRANOLOL 40 MG TABLET,5.5,2.14,,,0
CDM,1350059407,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 400 MG-400 MG-40 MG/5 ML ORAL SUSP,0.3,0.12,,,0
CDM,1350070096,FAT EMULSION -FISH & PLANT BASED 20% SYRINGE (SMOFLIPID) (NEONATE),19.6,7.64,,,0
CDM,1350090484,CARBAMIDE PEROXIDE 6.5 % EAR DROPS,86.9,33.89,,,0
CDM,1350092513,BACITRACIN 500 UNIT/GRAM TOPICAL OINTMENT,10.5,4.1,,,0
CDM,1350093950,OLMESARTAN 5 MG TABLET,173.5,67.66,,,0
CDM,1350097671,CALCITONIN (SALMON) 200 UNIT/ACTUATION NASAL SPRAY,30.3,11.82,,,0
CDM,1350097680,TOLTERODINE 2 MG TABLET,26.1,10.18,,,0
CDM,1350102288,AMPHOTERICIN B LIPOSOME 50 MG INTRAVENOUS SUSPENSION,21298.8,8306.53,,,0
CDM,1350102496,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,2380.7,928.47,,,0
CDM,1350102625,FLUCYTOSINE 500 MG CAPSULE,6090.2,2375.18,,,0
CDM,1350104870,GABAPENTIN 250 MG/5 ML (5 ML) ORAL SOLUTION,177.0,69.03,,,0
CDM,1350110431,TACROLIMUS 5 MG/ML INTRAVENOUS SOLUTION,479.2,186.89,,,0
CDM,1350112526,METHOTREXATE SODIUM 2.5 MG TABLET,478.4,186.58,,,0
CDM,1350121001,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",107.4,41.89,,,0
CDM,1350153677,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",26.7,10.41,,,0
CDM,1350176725,"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET",0.6,0.23,,,0
CDM,1350192986,"CALCIUM 500 MG/5 ML (AS CALCIUM CARB 1,250 MG/5 ML) ORAL SUSPENSION",13.1,5.11,,,0
CDM,1350229276,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,79.6,31.04,,,0
CDM,1350234611,DOXAZOSIN 2 MG TABLET,20.7,8.07,,,0
CDM,1350253712,HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE,498.3,194.34,,,0
CDM,1350258016,"HEPARIN (REBOLUS HIGH INTENSITY) 1,000 UNITS/ML",19.6,7.64,,,0
CDM,1350266972,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",10.6,4.13,,,0
CDM,1350279051,FENTANYL (PF) 1000 MCG/100 ML NS (10 MCG/ML) PREMIX,205.9,80.3,,,0
CDM,1350281445,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,155.4,60.61,,,0
CDM,1350288968,POVIDONE-IODINE 5 % EYE SOLUTION,136.3,53.16,,,0
CDM,1350297197,FLUDROCORTISONE 0.1 MG TABLET,15.4,6.01,,,0
CDM,1350300107,OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION,303.8,118.48,,,0
CDM,1350302278,AMINOCAPROIC ACID 500 MG TABLET,217.64999999999998,84.88,,,0
CDM,1350303770,METHADONE 10 MG TABLET,4.8,1.87,,,0
CDM,1350324417,TRETINOIN (ANTINEOPLASTIC) 10 MG CAPSULE,756.8,295.15,,,0
CDM,1350324906,CLONAZEPAM 0.5 MG TABLET,5.8,2.26,,,0
CDM,1350339645,ETHAMBUTOL 100 MG TABLET,18.2,7.1,,,0
CDM,1350345218,ENOXAPARIN 300 MG/3 ML SUBCUTANEOUS SOLUTION,22.8,8.89,,,0
CDM,1350366500,ESKETAMINE 84 MG (28 MG X 3) NASAL SPRAY,9597.6,3743.06,,,0
CDM,1350366522,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER",287.3,112.05,,,0
CDM,1350380818,PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE,816.1,318.28,,,0
CDM,1350386604,LIDOCAINE (PF) 100 MG/5 ML (2 %) INJECTION SYRINGE,66.1,25.78,,,0
CDM,1350393179,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,29.6,11.54,,,0
CDM,1350393316,AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION,32.6,12.71,,,0
CDM,1350400350,ACETIC ACID 0.25 % IRRIGATION SOLUTION,52.6,20.51,,,0
CDM,1350402797,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1350404727,VORICONAZOLE 200 MG INTRAVENOUS SOLUTION,840.6,327.83,,,0
CDM,1350419307,LAMOTRIGINE 100 MG TABLET,54.7,21.33,,,0
CDM,1350423204,CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION,36.5,14.24,,,0
CDM,1350438223,DOXAZOSIN 8 MG TABLET,11.4,4.45,,,0
CDM,1350451653,ALLOPURINOL 100 MG TABLET,4.8,1.87,,,0
CDM,1350465326,SODIUM CHLORIDE 3 % FOR NEBULIZATION,6.5,2.54,,,0
CDM,1350472374,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET,0.6,0.23,,,0
CDM,1350493078,DONEPEZIL 10 MG TABLET,4.8,1.87,,,0
CDM,1350494556,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,179.4,69.97,,,0
CDM,1350509815,DRONABINOL 2.5 MG CAPSULE,99.9,38.96,,,0
CDM,1350536383,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,50.4,19.66,,,0
CDM,1350541415,CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET,0.6,0.23,,,0
CDM,1350551580,POTASSIUM IODIDE 1 GRAM/ML ORAL SOLUTION,25.7,10.02,,,0
CDM,1350584533,GLYCERIN 99.5 % TOPICAL SOLUTION,25.8,10.06,,,0
CDM,1350585582,IMMUNE GLOB G 20 GRAM/200 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,57315.8,22353.16,,,0
CDM,1350598888,LEVETIRACETAM 250 MG TABLET,4.8,1.87,,,0
CDM,1350606222,PROPRANOLOL 1 MG/ML INTRAVENOUS SOLUTION,98.1,38.26,,,0
CDM,1350607449,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION,66.0,25.74,,,0
CDM,1350657229,PEDIATRIC MULTIVITAMIN NO.197-FERROUS SULFATE 11 MG/ML ORAL DROPS,4.8,1.87,,,0
CDM,1350658825,FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,37.6,14.66,,,0
CDM,1350661038,VITAMIN E 268 MG (400 UNIT) CAPSULE,0.6,0.23,,,0
CDM,1350667618,HYDRALAZINE 25 MG TABLET,4.8,1.87,,,0
CDM,1350673775,CLONIDINE ORAL SOLUTION 10 MCG/ML (NEONATE),4.8,1.87,,,0
CDM,1350676494,ARTIFICIAL TEARS(DEXTRAN-HYPROMEL-GLYCERN) 0.1 %-0.3 %-0.2 % EYE DROPS,50.8,19.81,,,0
CDM,1350695590,BUPROPION HCL 75 MG TABLET,12.3,4.8,,,0
CDM,1350697803,ALLOPURINOL 300 MG TABLET,5.9,2.3,,,0
CDM,1350701661,COLESEVELAM 625 MG TABLET,91.1,35.53,,,0
CDM,1350701673,"CHOLECALCIFEROL (VITAMIN D3) 125 MCG (5,000 UNIT) TABLET",1.4,0.55,,,0
CDM,1350737054,LIOTHYRONINE 5 MCG TABLET,26.1,10.18,,,0
CDM,1350753777,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,15.4,6.01,,,0
CDM,1350755921,PERITON. DIALYSIS SOLN 8-4.25 % DEXTROSE CALC 2.5 MEQ/L-MAG 0.5 MEQ/L (5L BAG FOR CCPD),427.0,166.53,,,0
CDM,1350760140,EPLERENONE 25 MG TABLET,32.0,12.48,,,0
CDM,1350767233,OMALIZUMAB 150 MG/ML SUBCUTANEOUS AUTO-INJECTOR,9870.4,3849.46,,,0
CDM,1350770542,LEUCOVORIN CALCIUM 5 MG TABLET,64.5,25.16,,,0
CDM,1350770543,LEUCOVORIN CALCIUM 5 MG TABLET,46.7,18.21,,,0
CDM,1350772877,ELTROMBOPAG OLAMINE 75 MG TABLET,10863.3,4236.69,,,0
CDM,1350773968,TIMOLOL MALEATE 0.25 % EYE DROPS,115.1,44.89,,,0
CDM,1350785052,LEVOTHYROXINE 75 MCG TABLET,4.8,1.87,,,0
CDM,1350793021,SODIUM BICARBONATE 0.5 MEQ/ML ORAL SYRINGE,27.4,10.69,,,0
CDM,1350795195,BENZOCAINE 20 % TOPICAL OINTMENT,52.2,20.36,,,0
CDM,1350796151,CYCLOPHOSPHAMIDE 25 MG CAPSULE,344.5,134.36,,,0
CDM,1350796735,LIDOCAINE 4 % TOPICAL PATCH,33.6,13.1,,,0
CDM,1350799052,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,14.6,5.69,,,0
CDM,1350799072,MULTIVIT-MINS-FERROUS GLUCONATE 9 MG IRON/15 ML (15 ML) ORAL LIQUID,9.4,3.67,,,0
CDM,1350799609,MAFENIDE 85 MG/G TOPICAL CREAM,666.7,260.01,,,0
CDM,1350801833,LIDOCAINE 5 % TOPICAL PATCH,78.9,30.77,,,0
CDM,1350808679,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",4.8,1.87,,,0
CDM,1350812672,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,515.1,200.89,,,0
CDM,1350813835,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE",15.2,5.93,,,0
CDM,1350816219,IMATINIB 400 MG TABLET,2795.1,1090.09,,,0
CDM,1350819583,AMLODIPINE 10 MG TABLET,18.3,7.14,,,0
CDM,1350822863,MICAFUNGIN 100 MG/100 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK,676.4,263.8,,,0
CDM,1350829068,MEXILETINE 150 MG CAPSULE,19.8,7.72,,,0
CDM,1350830372,QUETIAPINE 300 MG TABLET,77.9,30.38,,,0
CDM,1350832312,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,295.7,115.32,,,0
CDM,1350848739,CLOBAZAM 2.5 MG/ML ORAL SUSPENSION,398.4,155.38,,,0
CDM,1350864692,DONEPEZIL 5 MG TABLET,4.8,1.87,,,0
CDM,1350865791,TRAMADOL 50 MG TABLET,6.4,2.5,,,0
CDM,1350868123,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION,247.5,96.52,,,0
CDM,1350868774,"LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE",7.4,2.89,,,0
CDM,1350868836,DESMOPRESSIN 0.1 MG TABLET,40.6,15.83,,,0
CDM,1350870784,"ASCORBIC ACID (VITAMIN C) 1,000 MG TABLET",4.8,1.87,,,0
CDM,1350883531,IVABRADINE 5 MG TABLET,80.1,31.24,,,0
CDM,1350885448,PRENATAL VIT NO.95-FERROUS FUMARATE 28 MG-FOLIC ACID 800 MCG TABLET,0.6,0.23,,,0
CDM,1350885475,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1350886769,AMPICILLIN-SULBACTAM IVPB 3 G/100 ML NS (SIMPLE),62.7,24.45,,,0
CDM,1350893416,VALGANCICLOVIR 450 MG TABLET,527.6,205.76,,,0
CDM,1350896744,BENZTROPINE 1 MG TABLET,4.8,1.87,,,0
CDM,1350907632,"OCTREOTIDE ACETATE 1,000 MCG/ML INJECTION SOLUTION",848.7,330.99,,,0
CDM,1350910448,COLCHICINE 0.6 MG TABLET,51.7,20.16,,,0
CDM,1350929131,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (WRAPPED),10.6,4.13,,,0
CDM,1350931880,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,121.6,47.42,,,0
CDM,1350934798,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,23.1,9.01,,,0
CDM,1350976276,AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION,22.9,8.93,,,0
CDM,1350985287,"PENICILLIN G POTASSIUM 50,0000 UNITS/ML IV SYRINGE (SIMPLE)",0.3,0.12,,,0
CDM,1350996175,DILTIAZEM 60 MG TABLET,6.1,2.38,,,0
CDM,1350998031,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,17.5,6.82,,,0
CDM,1351001831,STUDY POSACONAZOLE/PLACEBO (CD.101.IV.3.08 (RESPECT)) INJECTION,0.1,0.04,,,0
CDM,1351002242,TOLTERODINE 2 MG TABLET,13.1,5.11,,,0
CDM,1351010809,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",291.8,113.8,,,0
CDM,1351016343,SPIRONOLACTONE 25 MG/5 ML ORAL SUSPENSION,4.8,1.87,,,0
CDM,1351019605,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1351020618,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,268.1,104.56,,,0
CDM,1351029734,MEROPENEM 500 MG INTRAVENOUS SOLUTION,49.6,19.34,,,0
CDM,1351031454,CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION,19910.8,7765.21,,,0
CDM,1351032600,ASPIRIN 325 MG TABLET,0.6,0.23,,,0
CDM,1351037925,CIPROFLOXACIN 250 MG TABLET,34.1,13.3,,,0
CDM,1351044022,FENTANYL 25 MCG/HR TRANSDERMAL PATCH,163.2,63.65,,,0
CDM,1351047370,DIGOXIN 125 MCG (0.125 MG) TABLET,35.3,13.77,,,0
CDM,1351047965,GLUCOSE 3.75 GRAM CHEWABLE TABLET,7.7,3.0,,,0
CDM,1351047965,GLUCOSE 4 GRAM CHEWABLE TABLET,10.2,3.98,,,0
CDM,1351048583,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET,5.4,2.11,,,0
CDM,1351058342,CHLOROTHIAZIDE 250 MG/5 ML ORAL SUSPENSION,4.8,1.87,,,0
CDM,1351069697,PERMETHRIN 5 % TOPICAL CREAM,911.2,355.37,,,0
CDM,1351091755,LEVOTHYROXINE 175 MCG TABLET,6.5,2.54,,,0
CDM,1351115203,"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION",84.2,32.84,,,0
CDM,1351128624,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET,4.8,1.87,,,0
CDM,1351131160,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,71.8,28.0,,,0
CDM,1351142437,LEVOTHYROXINE 25 MCG TABLET,6.8,2.65,,,0
CDM,1351151373,LEVOTHYROXINE 50 MCG TABLET,4.8,1.87,,,0
CDM,1351153462,LUBIPROSTONE 24 MCG CAPSULE,47.5,18.52,,,0
CDM,1351153462,LUBIPROSTONE 8 MCG CAPSULE,258.1,100.66,,,0
CDM,1351153467,OXYBUTYNIN CHLORIDE 5 MG TABLET,5.9,2.3,,,0
CDM,1351160088,LIDOCAINE 5 % TOPICAL PATCH,71.8,28.0,,,0
CDM,1351165282,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK,2091.0,815.49,,,0
CDM,1351171971,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,12.2,4.76,,,0
CDM,1351174490,TAMOXIFEN 10 MG TABLET,29.1,11.35,,,0
CDM,1351176387,"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET",0.9,0.35,,,0
CDM,1351180118,QUETIAPINE 200 MG TABLET,197.4,76.99,,,0
CDM,1351196019,FLUCYTOSINE 500 MG CAPSULE,7210.0,2811.9,,,0
CDM,1351202444,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER",148.8,58.03,,,0
CDM,1351206365,CALCITRIOL 0.25 MCG CAPSULE,18.6,7.25,,,0
CDM,1351207902,BISACODYL 10 MG RECTAL SUPPOSITORY,5.4,2.11,,,0
CDM,1351208105,HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE,32.2,12.56,,,0
CDM,1351211326,FINASTERIDE 5 MG TABLET,24.0,9.36,,,0
CDM,1351215634,VORICONAZOLE 200 MG/5 ML (40 MG/ML) ORAL SUSPENSION,619.9,241.76,,,0
CDM,1351219721,DIPHENHYDRAMINE-ZINC ACETATE 2 %-0.1 % TOPICAL CREAM,9.2,3.59,,,0
CDM,1351234490,ASCORBIC ACID (VITAMIN C) 500 MG TABLET,0.6,0.23,,,0
CDM,1351261838,PRAMIPEXOLE 0.5 MG TABLET,51.3,20.01,,,0
CDM,1351262207,PROMETHAZINE 25 MG/ML INJ (WRAPPED),28.8,11.23,,,0
CDM,1351276726,LINEZOLID 600 MG TABLET,1408.7,549.39,,,0
CDM,1351280891,METHYLENE BLUE (ANTIDOTE) 1 % (10 MG/ML) INTRAVENOUS SOLUTION,266.9,104.09,,,0
CDM,1351284628,MULTIVITAMIN-MINERALS-IRON FUMARATE 7.5 MG-FOLIC ACID 400 MCG TABLET,0.6,0.23,,,0
CDM,1351308289,"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE",159.1,62.05,,,0
CDM,1351320067,METHADONE 10 MG TABLET,10.1,3.94,,,0
CDM,1351320773,ARIPIPRAZOLE 2 MG TABLET,243.4,94.93,,,0
CDM,1351326566,PREDNISONE 5 MG TABLET,4.8,1.87,,,0
CDM,1351326861,CETUXIMAB 200 MG/100 ML INTRAVENOUS SOLUTION,20271.3,7905.81,,,0
CDM,1351329681,IBUPROFEN 200 MG TABLET,0.3,0.12,,,0
CDM,1351332352,"ARIPIPRAZOLE LAUROXIL ER 882 MG/3.2 ML SUSPENSION, EXT.REL. IM SYRINGE",0.01,0.0039,,,0
CDM,1351334373,"IMMUNE GLOB,GAMMA (IGG-GAMMAGARD) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",24340.63,9492.85,,,0
CDM,1351338396,"NEOMYCIN-BACITRACN ZN-POLYMYX 3.5 MG-400 UNIT-5,000 UNIT/GRAM TOP OINT",15.4,6.01,,,0
CDM,1351357816,STUDY NIVOLUMAB (NRG-GY025) 10 MG/ML INJECTION,0.1,0.04,,,0
CDM,1351368618,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET,0.6,0.23,,,0
CDM,1351369889,ACETYLCYSTEINE 100 MG/ML (10 %) SOLUTION,97.55000000000001,38.045,,,0
CDM,1351372750,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,52.2,20.36,,,0
CDM,1351374643,DARBEPOETIN ALFA 60 MCG/ML IN POLYSORBATE INJECTION,1327.2,517.61,,,0
CDM,1351380628,TRANEXAMIC ACID 650 MG TABLET,80.0,31.2,,,0
CDM,1351392574,BETHANECHOL CHLORIDE 25 MG TABLET,20.5,8.0,,,0
CDM,1351402326,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR",143.2,55.85,,,0
CDM,1351405727,PAROMOMYCIN 250 MG CAPSULE,3356.4,1309.0,,,0
CDM,1351408103,"EPOETIN ALFA 40,000 UNIT/ML INJECTION SOLUTION",7451.0,2905.89,,,0
CDM,1351409104,BISACODYL 10 MG RECTAL SUPPOSITORY,0.6,0.23,,,0
CDM,1351413956,CHLORDIAZEPOXIDE 25 MG CAPSULE,4.8,1.87,,,0
CDM,1351415342,SERTRALINE 50 MG TABLET,21.9,8.54,,,0
CDM,1351415977,GENTAMICIN 0.1 % TOPICAL CREAM,378.8,147.73,,,0
CDM,1351420303,LINACLOTIDE 72 MCG CAPSULE,290.5,113.3,,,0
CDM,1351456054,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,16.8,6.55,,,0
CDM,1351461794,UBLITUXIMAB-XIIY 25 MG/ML INTRAVENOUS SOLUTION,232310.2,90600.98,,,0
CDM,1351467159,HYDRALAZINE 25 MG TABLET,4.8,1.87,,,0
CDM,1351468410,GENTAMICIN 80 MG/100 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,34.2,13.34,,,0
CDM,1351469153,CLOPIDOGREL 75 MG TABLET,53.4,20.83,,,0
CDM,1351475204,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE",14.9,5.81,,,0
CDM,1351475552,TRIHEXYPHENIDYL 2 MG TABLET,7.1,2.77,,,0
CDM,1351475557,CHOLESTYRAMINE (WITH SUGAR) 4 GRAM POWDER FOR SUSP IN A PACKET,25.9,10.1,,,0
CDM,1351478384,DIAZOXIDE 50 MG/ML ORAL SUSPENSION,118.8,46.33,,,0
CDM,1351482790,HYDROXYZINE HCL 10 MG/5 ML (5 ML) ORAL SOLUTION,12.8,4.99,,,0
CDM,1351484401,MIRTAZAPINE 15 MG TABLET,26.1,10.18,,,0
CDM,1351488168,"NAPROXEN 375 MG TABLET,DELAYED RELEASE",52.9,20.63,,,0
CDM,1351488946,AMLODIPINE 5 MG TABLET,132.6,51.71,,,0
CDM,1351493550,SEVELAMER CARBONATE 800 MG TABLET,22.2,8.66,,,0
CDM,1351498376,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE",15.2,5.93,,,0
CDM,1351500813,PROPOFOL INFUSION 10 MG/ML,102.5,39.98,,,0
CDM,1351507950,FLUOXETINE 20 MG CAPSULE,20.1,7.84,,,0
CDM,1351516937,MORPHINE (PF) 1 MG/ML INJECTION SOLUTION,170.7,66.57,,,0
CDM,1351517734,WARFARIN 5 MG TABLET,5.3,2.07,,,0
CDM,1351527303,ZIPRASIDONE 20 MG CAPSULE,203.9,79.52,,,0
CDM,1351530930,CARVEDILOL 12.5 MG TABLET,16.4,6.4,,,0
CDM,1351547844,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,11.5,4.48,,,0
CDM,1351548107,NALOXONE 20 MG/50 ML (400 MCG/ML) INFUSION SIMPLE (0.4 MG/ML INGREDIENT),4138.1,1613.86,,,0
CDM,1351550164,AMLODIPINE 10 MG TABLET,4.8,1.87,,,0
CDM,1351555956,"PALIPERIDONE ER 6 MG TABLET,EXTENDED RELEASE 24 HR",234.7,91.53,,,0
CDM,1351559460,PRAZOSIN 1 MG CAPSULE,34.4,13.42,,,0
CDM,1351559470,POLYVINYL ALCOHOL-POVIDONE (PF) 1.4 %-0.6 % EYE DROPS IN A DROPPERETTE,1.3,0.51,,,0
CDM,1351561950,METHYL SALICYLATE TOPICAL LIQUID,61.3,23.91,,,0
CDM,1351563306,ISOSORBIDE DINITRATE 5 MG TABLET,15.1,5.89,,,0
CDM,1351565900,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",24.9,9.715,,,0
CDM,1351569750,ROSUVASTATIN 10 MG TABLET,66.8,26.05,,,0
CDM,1351570392,B-COMPLEX WITH VITAMIN C TABLET,0.6,0.23,,,0
CDM,1351577525,PROPRANOLOL 10 MG TABLET,4.8,1.87,,,0
CDM,1351581790,"OCTREOTIDE ACETATE 1,000 MCG/ML INJECTION SOLUTION",410.0,159.9,,,0
CDM,1351587279,"DILTIAZEM 180 MG CAPSULE, EXTENDED RELEASE (WRAPPED)",11.7,4.56,,,0
CDM,1351588201,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,438.5,171.02,,,0
CDM,1351590920,NICARDIPINE 20 MG/200 ML(0.1 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN,427.0,166.53,,,0
CDM,1351594905,ZINC SULFATE 50 MG ZINC (220 MG) TABLET,0.6,0.23,,,0
CDM,1351597343,SODIUM CHLORIDE 7 % FOR NEBULIZATION,6.2,2.42,,,0
CDM,1351608033,GABAPENTIN 800 MG TABLET,22.3,8.7,,,0
CDM,1351616928,PENICILLIN V POTASSIUM 250 MG/5 ML ORAL SOLUTION,4.8,1.87,,,0
CDM,1351633386,GLYCERIN (ADULT) RECTAL SUPPOSITORY,0.6,0.23,,,0
CDM,1351637739,EPTIFIBATIDE 0.75 MG/ML INTRAVENOUS SOLUTION,3267.6,1274.36,,,0
CDM,1351639431,FIDAXOMICIN 200 MG TABLET,1996.2,778.52,,,0
CDM,1351640866,"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION",53.7,20.94,,,0
CDM,1351641888,DIPHENHYDRAMINE 25 MG CAPSULE,0.6,0.23,,,0
CDM,1351643740,FLUCONAZOLE 200 MG TABLET,675.0,263.25,,,0
CDM,1351644725,REMDESIVIR 100 MG INJ (WRAPPED),4425.0,1725.75,,,0
CDM,1351645530,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",12.9,5.03,,,0
CDM,1351646024,"LACTOBACILLUS ACIDOPHILUS, BULGARICUS 100 MILLION CELL GRANULES PACKET",8.6,3.35,,,0
CDM,1351656282,FLUCONAZOLE 100 MG TABLET,10.9,4.25,,,0
CDM,1351656489,DOXYCYCLINE HYCLATE 100 MG CAPSULE,16.4,6.4,,,0
CDM,1351660290,OXYCODONE 15 MG TABLET,10.9,4.25,,,0
CDM,1351660631,METHOCARBAMOL 500 MG TABLET,4.8,1.87,,,0
CDM,1351663717,DEXTROMETHORPHAN POLISTIREX ER 30 MG/5 ML ORAL SUSP EXT.RELEASE 12HR,24.6,9.59,,,0
CDM,1351668215,PHENYTOIN 125 MG/5 ML ORAL SUSPENSION,5.9,2.3,,,0
CDM,1351670259,SIMETHICONE 80 MG CHEWABLE TABLET,0.6,0.23,,,0
CDM,1351673756,ACETAMINOPHEN 325 MG/10.15 ML ORAL SOLUTION,16.8,6.55,,,0
CDM,1351676281,LORAZEPAM 2 MG TABLET,4.8,1.87,,,0
CDM,1351676911,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,2223.4,867.13,,,0
CDM,1351684257,DEXAMETHASONE 0.7 MG INTRAVITREAL IMPLANT,9569.9,3732.26,,,0
CDM,1351687635,TORSEMIDE 20 MG TABLET,6.0,2.34,,,0
CDM,1351688183,STUDY MK-2870 20 MG/ML INTRAVENOUS SOLUTION,0.1,0.04,,,0
CDM,1351689974,PROPRANOLOL 40 MG TABLET,5.2,2.03,,,0
CDM,1351698995,STUDY NIPOCALIMAB/PLACEBO (80202135IIM2001 (SPIREA)) IN 250 ML IVPB,0.1,0.04,,,0
CDM,1351701026,STUDY NIPOCALIMAB (80202135IIM2001 (SPIREA)) IN 250 ML IVPB,0.1,0.04,,,0
CDM,1351705292,QUETIAPINE 50 MG TABLET,23.8,9.28,,,0
CDM,1351706911,DEXAMETHASONE 0.5 MG TABLET,4.3,1.68,,,0
CDM,1351710142,METHYLPHENIDATE 5 MG TABLET,5.6,2.18,,,0
CDM,1351713223,"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE",1703.0,664.17,,,0
CDM,1351719478,HYZINY CREAM (CMPD),623.0,242.97,,,0
CDM,1351722257,"CIPROFLOXACIN 0.3 %-DEXAMETHASONE 0.1 % EAR DROPS,SUSPENSION",2149.4,838.27,,,0
CDM,1351722971,PERITON. DIALYSIS SOLN 8-4.25 % DEXTROSE CALC 2.5 MEQ/L-MAG 0.5 MEQ/L (5L BAG FOR CCPD),512.4,199.84,,,0
CDM,1351725630,"CALCIUM 500 MG (AS CALCIUM CARBONATE 1,250 MG) TABLET",0.6,0.23,,,0
CDM,1351733108,PEGFILGRASTIM-APGF 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,27357.3,10669.35,,,0
CDM,1351733950,ONDANSETRON 8 MG DISINTEGRATING TABLET,22.8,8.89,,,0
CDM,1351735509,BICTEGRAVIR 50 MG-EMTRICITABINE 200 MG-TENOFOVIR ALAFENAM 25 MG TABLET,1078.0,420.42,,,0
CDM,1351739443,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,284.3,110.88,,,0
CDM,1351741487,LEVETIRACETAM 500 MG TABLET,53.5,20.86,,,0
CDM,1351744230,ALLOPURINOL 100 MG TABLET,5.1,1.99,,,0
CDM,1351752790,L.ACIDOPHILUS-L.PARACASEI-B.BIFIDUM-S.THERMOPHL 8 BILLION CELL CAPSULE,9.5,3.7,,,0
CDM,1351753055,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,9.1,3.55,,,0
CDM,1351754136,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,51.5,20.08,,,0
CDM,1351757396,DARBEPOETIN ALFA 200 MCG/ML IN POLYSORBATE INJECTION,8092.2,3155.96,,,0
CDM,1351757500,LEUPROLIDE ACETATE (6 MONTH) 45 MG INTRAMUSCULAR SYRINGE KIT,80358.7,31339.89,,,0
CDM,1351757566,ASCORBIC ACID (VITAMIN C) 500 MG TABLET,0.6,0.23,,,0
CDM,1351771649,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,86.0,33.54,,,0
CDM,1351774560,HYDROMORPHONE 2 MG/ML INJECTION (WRAPPED),53.2,20.75,,,0
CDM,1351774992,MYCOPHENOLATE MOFETIL 500 MG TABLET,24.0,9.36,,,0
CDM,1351779403,CIPROFLOXACIN 500 MG TABLET,38.0,14.82,,,0
CDM,1351780295,LETERMOVIR 240 MG/12 ML INTRAVENOUS SOLUTION,2644.7,1031.43,,,0
CDM,1351782424,CYANOCOBALAMIN (VIT B-12) 100 MCG TABLET,6.5,2.54,,,0
CDM,1351788160,ETONOGESTREL 68 MG SUBDERMAL IMPLANT,7905.1,3082.99,,,0
CDM,1351792696,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,12.9,5.03,,,0
CDM,1351794286,ARIPIPRAZOLE 2 MG TABLET,149.3,58.23,,,0
CDM,1351794324,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION,122.2,47.66,,,0
CDM,1351798773,TACROLIMUS ORAL SUSPENSION 0.5 MG/ML,22.8,8.89,,,0
CDM,1351807477,"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE",13.7,5.34,,,0
CDM,1351808287,CARVEDILOL 25 MG TABLET,16.4,6.4,,,0
CDM,1351821864,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,71.7,27.96,,,0
CDM,1351822500,"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE",19.6,7.64,,,0
CDM,1351830050,CHLORDIAZEPOXIDE 10 MG CAPSULE,4.8,1.87,,,0
CDM,1351831994,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",25.8,10.06,,,0
CDM,1351832050,FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK,76.9,29.99,,,0
CDM,1351835444,MYCOPHENOLATE MOFETIL 500 MG TABLET,121.6,47.42,,,0
CDM,1351840087,METHADONE 10 MG/ML ORAL CONCENTRATE,4.8,1.87,,,0
CDM,1351842114,"OMEGA 3-DHA-EPA-FISH OIL 300 MG-1,000 MG CAPSULE",0.6,0.23,,,0
CDM,1351843294,"ERYTHROMYCIN 250 MG TABLET,DELAYED RELEASE",64.4,25.12,,,0
CDM,1351844183,CLONIDINE HCL 0.2 MG TABLET,4.8,1.87,,,0
CDM,1351845968,CLOBETASOL 0.05 % TOPICAL OINTMENT,1144.7,446.43,,,0
CDM,1351847580,METHYLPREDNISOLONE SOD SUCC (PF) 500 MG/4 ML INTRAVENOUS SOLUTION,32.4,12.64,,,0
CDM,1351848931,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE",29.2,11.39,,,0
CDM,1351851684,ATORVASTATIN 80 MG TABLET,14.7,5.73,,,0
CDM,1351852904,LACOSAMIDE 10 MG/ML ORAL SOLUTION,516.6,201.47,,,0
CDM,1351852905,PHENYTOIN 50 MG CHEWABLE TABLET,51.5,20.08,,,0
CDM,1351867033,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",19.6,7.64,,,0
CDM,1351867787,ASCORBIC ACID (VITAMIN C) 250 MG TABLET,0.6,0.23,,,0
CDM,1351867790,ZINC SULFATE 50 MG ZINC (220 MG) CAPSULE,0.6,0.23,,,0
CDM,1351867896,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,307.5,119.92,,,0
CDM,1351876011,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE",4.8,1.87,,,0
CDM,1351878279,HYDROXOCOBALAMIN 5 GRAM INTRAVENOUS SOLUTION,6956.1,2712.88,,,0
CDM,1351881593,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,95.8,37.36,,,0
CDM,1351882165,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,60.4,23.56,,,0
CDM,1351893580,METOCLOPRAMIDE 10 MG TABLET,4.8,1.87,,,0
CDM,1351904931,FENTANYL 25 MCG/HR TRANSDERMAL PATCH,110.7,43.17,,,0
CDM,1351907890,CLONAZEPAM 0.5 MG TABLET,19.6,7.64,,,0
CDM,1351910985,SUCCINYLCHOLINE(PF)20 MG/10 ML INTRAVENOUS SYRINGE,85.9,33.5,,,0
CDM,1351911014,TRAMADOL 50 MG TABLET,6.4,2.5,,,0
CDM,1351922977,THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET,4.8,1.87,,,0
CDM,1351923104,LOSARTAN 100 MG TABLET,5.8,2.26,,,0
CDM,1351926332,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION,57.8,22.54,,,0
CDM,1351933044,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION,225.3,87.87,,,0
CDM,1351933136,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,63.2,24.65,,,0
CDM,1351938267,BETHANECHOL CHLORIDE 10 MG TABLET,12.4,4.84,,,0
CDM,1351945944,PHENOBARBITAL 64.8 MG TABLET,6.5,2.54,,,0
CDM,1351946594,NIFEDIPINE (BULK) POWDER,10.2,3.98,,,0
CDM,1351947010,OXYBUTYNIN CHLORIDE 5 MG TABLET,5.9,2.3,,,0
CDM,1351947405,SERTRALINE 25 MG TABLET,4.8,1.87,,,0
CDM,1351950110,FENTANYL (PF) 1000 MCG/100 ML NS (10 MCG/ML) PREMIX,205.9,80.3,,,0
CDM,1351950719,BUTAMBEN-TETRACAINE-BENZOCAINE 2 %-2 %-14 % (200 MG/SEC) TOPICAL SPRAY,1658.3,646.74,,,0
CDM,1351952557,SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1351953236,METHADONE 10 MG/ML ORAL SYRINGE  (FOR ORAL USE ONLY),613.6,239.3,,,0
CDM,1351953430,METOLAZONE 2.5 MG TABLET,19.8,7.72,,,0
CDM,1351953659,CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION,102.5,39.98,,,0
CDM,1351953924,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,127.8,49.84,,,0
CDM,1351953964,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,90.4,35.26,,,0
CDM,1351957508,TAMSULOSIN 0.4 MG CAPSULE,4.8,1.87,,,0
CDM,1351957873,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,121.3,47.31,,,0
CDM,1351959332,TOPIRAMATE 100 MG TABLET,7.5,2.92,,,0
CDM,1351959665,LACOSAMIDE 10 MG/ML ORAL SOLUTION,84.7,33.03,,,0
CDM,1351960347,TOPIRAMATE 25 MG SPRINKLE CAPSULE,22.5,8.78,,,0
CDM,1351960528,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,6.5,2.54,,,0
CDM,1351961091,MYCOPHENOLATE MOFETIL 200 MG/ML ORAL POWDER FOR SUSPENSION,165.5,64.54,,,0
CDM,1351962772,"OXCARBAZEPINE ER 300 MG TABLET,EXTENDED RELEASE 24 HR",219.4,85.57,,,0
CDM,1351963018,COLESTIPOL 1 GRAM TABLET,9.7,3.78,,,0
CDM,1351963026,ESCITALOPRAM 10 MG TABLET,33.2,12.95,,,0
CDM,1351963324,BUSPIRONE 5 MG TABLET,4.8,1.87,,,0
CDM,1351963568,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION,24.8,9.67,,,0
CDM,1351965209,TORSEMIDE 10 MG TABLET,10.8,4.21,,,0
CDM,1351966223,SEVELAMER CARBONATE 800 MG TABLET,93.5,36.46,,,0
CDM,1351969489,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,35.8,13.96,,,0
CDM,1351969565,"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE",34.4,13.42,,,0
CDM,1351970760,ACETAZOLAMIDE 250 MG TABLET,64.3,25.08,,,0
CDM,1351970818,LEUCOVORIN CALCIUM 100 MG SOLUTION FOR INJECTION,410.0,159.9,,,0
CDM,1351970818,LEUCOVORIN CALCIUM 50 MG SOLUTION FOR INJECTION,289.2,112.79,,,0
CDM,1351971263,CALCIUM 250 MG (AS CARBONATE)-VITAMIN D3 3.125 MCG (125 UNIT) TABLET,0.6,0.23,,,0
CDM,1351973163,NETARSUDIL 0.02 % EYE DROPS,2563.1,999.61,,,0
CDM,1351974867,ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1351977938,"IMMUNE GLOB,GAMM (IGG-PRIVIGEN) 10%-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",13123.2,5118.05,,,0
CDM,1351978525,"NIACIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",1.7,0.66,,,0
CDM,1351980161,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",215.4,84.01,,,0
CDM,1351980225,ORA-PLUS- COMPOUNDING VEHICLE SUSPENSION SUGAR-FREE NO.20 ORAL,1.2,0.47,,,0
CDM,1351983591,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,5.8,2.26,,,0
CDM,1351985140,FAMOTIDINE 20 MG TABLET,0.8,0.31,,,0
CDM,1351987602,DRONABINOL 2.5 MG CAPSULE,65.2,25.43,,,0
CDM,1351990877,METHADONE 10 MG/ML ORAL CONCENTRATE,38.4,14.98,,,0
CDM,1351992843,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,107.3,41.85,,,0
CDM,1351993687,CLOBETASOL 0.05 % TOPICAL OINTMENT,1192.3,465.0,,,0
CDM,1351993840,MEMANTINE 10 MG TABLET,4.8,1.87,,,0
CDM,1351994064,VANCOMYCIN 1.5 GRAM/250 ML IN DEXTROSE 5% INTRAVENOUS SOLUTION,273.3,106.59,,,0
CDM,1351995125,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,51.3,20.01,,,0
CDM,1351998149,CEFADROXIL 500 MG CAPSULE,57.1,22.27,,,0
CDM,1351998476,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1351999280,FLECAINIDE 50 MG TABLET,15.5,6.04,,,0
CDM,1352000390,HYDROMORPHONE 2 MG TABLET,4.8,1.87,,,0
CDM,1352000626,TOLVAPTAN 15 MG SPLIT TABLET,2847.0,1110.33,,,0
CDM,1352002124,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,0.8,0.31,,,0
CDM,1352004417,FERROUS SULFATE 300 MG (60 MG IRON)/5 ML ORAL LIQUID,12.3,4.8,,,0
CDM,1352004602,"DIVALPROEX 125 MG TABLET,DELAYED RELEASE",6.9,2.69,,,0
CDM,1352008253,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,99.6,38.84,,,0
CDM,1352011544,PHYTONADIONE (VITAMIN K1) 5 MG TABLET,1027.6,400.76,,,0
CDM,1352014611,LORAZEPAM 0.5 MG TABLET,4.8,1.87,,,0
CDM,1352015839,VIT E-GLYCERIN-DIMETHICONE LOTION,28.1,10.96,,,0
CDM,1352020743,INDOMETHACIN 50 MG CAPSULE,4.9,1.91,,,0
CDM,1352021384,ROFLUMILAST 250 MCG TABLET,238.7,93.09,,,0
CDM,1352022681,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,13.0,5.07,,,0
CDM,1352029986,AMIODARONE 200 MG TABLET,26.0,10.14,,,0
CDM,1352030002,"MVI,ADULT NO.4 WITH VIT K 3300 UNIT-150 MCG/10 ML INTRAVENOUS SOLUTION",131.4,51.25,,,0
CDM,1352033548,PERMETHRIN 5 % TOPICAL CREAM,905.3,353.07,,,0
CDM,1352046254,FENTANYL (PF) IN NS 10 MCG/ML INFUSION (PREMIX),281.9,109.94,,,0
CDM,1352047888,ENTACAPONE 200 MG TABLET,34.9,13.61,,,0
CDM,1352055426,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",21.9,8.54,,,0
CDM,1352058832,MEGESTROL 40 MG TABLET,4.8,1.87,,,0
CDM,1352060728,EXEMESTANE 25 MG TABLET,155.2,60.53,,,0
CDM,1352062714,MONTELUKAST 10 MG TABLET,43.4,16.93,,,0
CDM,1352063770,MISOPROSTOL 200 MCG TABLET,11.0,4.29,,,0
CDM,1352064375,"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE",4.8,1.87,,,0
CDM,1352067170,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1352074651,ALPRAZOLAM 0.25 MG TABLET,4.8,1.87,,,0
CDM,1352074981,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,13.9,5.42,,,0
CDM,1352075077,MIDODRINE 5 MG TABLET,57.4,22.39,,,0
CDM,1352079139,LACOSAMIDE 50 MG TABLET,18.1,7.06,,,0
CDM,1352079174,FUROSEMIDE 20 MG TABLET,4.8,1.87,,,0
CDM,1352081509,MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK,136.7,53.31,,,0
CDM,1352088479,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1352089822,AMINO ACID 3 % PEDI-D10W-CALC 3.75 MEQ-HEPARIN 125 UNIT/250 ML IV SOLN,358.7,139.89,,,0
CDM,1352090535,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE",12.8,4.99,,,0
CDM,1352090536,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR",32.0,12.48,,,0
CDM,1352090799,MELATONIN 3 MG TABLET,4.8,1.87,,,0
CDM,1352091601,"ASPIRIN 81 MG TABLET,DELAYED RELEASE",0.6,0.23,,,0
CDM,1352092204,METFORMIN 500 MG TABLET,5.4,2.11,,,0
CDM,1352092509,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,142.0,55.38,,,0
CDM,1352098523,NORFLURANE-PENTAFLUOROPROPANE TOPICAL SPRAY,4.8,1.87,,,0
CDM,1352098889,OXCARBAZEPINE 150 MG TABLET,5.3,2.07,,,0
CDM,1352101871,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,307.5,119.92,,,0
CDM,1352107470,B COMPLEX-C 500 MG-FOLIC 400 MCG-ZINC 23.9 MG-CUPRIC 3 MG-VIT E TABLET,0.6,0.23,,,0
CDM,1352109671,METFORMIN 500 MG TABLET,4.8,1.87,,,0
CDM,1352109731,CYCLOPENTOLATE 0.5 % EYE DROPS,776.5,302.84,,,0
CDM,1352109745,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INTRAVENOUS SYRINGE,823.9,321.32,,,0
CDM,1352112656,SODIUM BICARBONATE 4.2 % (0.5 MEQ/ML) INTRAVENOUS SYRINGE,48.0,18.72,,,0
CDM,1352113631,NALTREXONE 50 MG TABLET,42.4,16.54,,,0
CDM,1352113976,CIPROFLOXACIN 250 MG TABLET,34.1,13.3,,,0
CDM,1352114415,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION,339.1,132.25,,,0
CDM,1352114937,ARIPIPRAZOLE 5 MG TABLET,230.5,89.9,,,0
CDM,1352115951,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET,147.7,57.6,,,0
CDM,1352118014,PREGABALIN 100 MG CAPSULE,64.7,25.23,,,0
CDM,1352119018,SUCRALFATE 100 MG/ML ORAL SUSPENSION,83.0,32.37,,,0
CDM,1352119467,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE",10.7,4.17,,,0
CDM,1352119631,BETAMETHASONE VALERATE 0.1 % TOPICAL OINTMENT,156.1,60.88,,,0
CDM,1352120256,BICTEGRAVIR 50 MG-EMTRICITABINE 200 MG-TENOFOVIR ALAFENAM 25 MG TABLET,1078.0,420.42,,,0
CDM,1352120263,LOSARTAN 50 MG TABLET,34.6,13.49,,,0
CDM,1352120579,FENTANYL (PF) IN NS 10 MCG/ML INFUSION (PREMIX),292.5,114.08,,,0
CDM,1352120898,LABETALOL 100 MG TABLET,10.4,4.06,,,0
CDM,1352121608,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,99.0,38.61,,,0
CDM,1352122857,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",12.9,5.03,,,0
CDM,1352123847,HYALURONIDASE 150 UNIT/ML INJECTION SOLUTION,476.6,185.87,,,0
CDM,1352124671,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,164.8,64.27,,,0
CDM,1352127387,CARBIDOPA 10 MG-LEVODOPA 100 MG TABLET,6.0,2.34,,,0
CDM,1352129818,CALCIUM POLYCARBOPHIL 625 MG TABLET,5.3,2.07,,,0
CDM,1352130204,HYDROCHLOROTHIAZIDE 25 MG TABLET,4.8,1.87,,,0
CDM,1352130315,FUROSEMIDE 20 MG TABLET,4.8,1.87,,,0
CDM,1352130318,CLOPIDOGREL 75 MG TABLET,53.4,20.83,,,0
CDM,1352132352,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,94.0,36.66,,,0
CDM,1352134795,LORAZEPAM 0.5 MG TABLET,4.8,1.87,,,0
CDM,1352136518,"ACETAZOLAMIDE ER 500 MG CAPSULE,EXTENDED RELEASE",43.8,17.08,,,0
CDM,1352136960,CLORAZEPATE DIPOTASSIUM 3.75 MG TABLET,31.0,12.09,,,0
CDM,1352137087,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL POWDER FOR SUSPENSION,155.5,60.64,,,0
CDM,1352137170,FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET,14.7,5.73,,,0
CDM,1352137256,HYDROMORPHONE 2 MG TABLET,11.0,4.29,,,0
CDM,1352137562,"CALCIUM GLUCONATE 1 GRAM/50 ML IN SODIUM CHLORIDE, ISO-OSM IV SOLUTION",202.4,78.94,,,0
CDM,1352138466,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE",14.9,5.81,,,0
CDM,1352139218,NALOXONE 0.4 MG/ML INJECTION SOLUTION,106.8,41.65,,,0
CDM,1352139915,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,51.3,20.01,,,0
CDM,1352140124,AMOXICILLIN 200 MG-POTASSIUM CLAVULANATE 28.5 MG/5 ML ORAL SUSPENSION,62.0,24.18,,,0
CDM,1352140242,DEXAMETHASONE 4 MG TABLET,18.5,7.22,,,0
CDM,1352142794,DRONABINOL 5 MG CAPSULE,131.8,51.4,,,0
CDM,1352143291,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",49.3,19.23,,,0
CDM,1352143635,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION,136.7,53.31,,,0
CDM,1352144056,IBUPROFEN 100 MG CHEWABLE TABLET,1.3,0.51,,,0
CDM,1352144400,DOCUSATE SODIUM 50 MG/5 ML LIQUID (FOR OTIC USE ONLY),0.6,0.23,,,0
CDM,1352144524,FLUOXETINE 20 MG CAPSULE,4.8,1.87,,,0
CDM,1352144608,POSACONAZOLE 300 MG/16.7 ML INTRAVENOUS SOLUTION,3604.8,1405.875,,,0
CDM,1352146510,MICONAZOLE NITRATE 200 MG-2 % (9 GRAM) VAGINAL KIT,39.2,15.29,,,0
CDM,1352146855,DOXYCYCLINE HYCLATE 100 MG TABLET,42.5,16.58,,,0
CDM,1352147292,TERBINAFINE HCL 1 % TOPICAL CREAM,92.3,36.0,,,0
CDM,1352148176,CAFFEINE CITRATED IV SYRINGE 20 MG/ML MD (PEDS 10 KG AND LESS),19.6,7.64,,,0
CDM,1352152957,FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS,0.6,0.23,,,0
CDM,1352153605,FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION,5149.6,2008.34,,,0
CDM,1352154089,HYDROGEN PEROXIDE 3 % SOLUTION,25.4,9.91,,,0
CDM,1352155551,"LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200,000 INJECTION SOLUTION",19.6,7.64,,,0
CDM,1352158924,HALOPERIDOL 10 MG TABLET,11.1,4.33,,,0
CDM,1352161726,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,143.3,55.89,,,0
CDM,1352162780,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION,640.5,249.8,,,0
CDM,1352164383,HYDROMORPHONE 4 MG TABLET,4.8,1.87,,,0
CDM,1352166842,"NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE",4.8,1.87,,,0
CDM,1352168546,TERLIPRESSIN 0.85 MG INTRAVENOUS POWDER FOR SOLUTION,6925.9,2701.1,,,0
CDM,1352169836,LAMOTRIGINE 100 MG TABLET,36.5,14.24,,,0
CDM,1352170498,PILOCARPINE 1 % EYE DROPS,756.0,294.84,,,0
CDM,1352170503,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,10.6,4.13,,,0
CDM,1352171508,DILTIAZEM 60 MG TABLET,12.1,4.72,,,0
CDM,1352171977,"VERAPAMIL ER 120 MG 24 HR CAPSULE,EXTENDED RELEASE",82.3,32.1,,,0
CDM,1352172723,ACETYLCYSTEINE 200 MG/ML (20 %) RESPIRATORY SOLUTION,86.85,33.875,,,0
CDM,1352173282,LURASIDONE 40 MG TABLET,782.9,305.33,,,0
CDM,1352174186,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,16.4,6.4,,,0
CDM,1352176938,TOLVAPTAN 15 MG TABLET,4308.9,1680.47,,,0
CDM,1352178141,TRAZODONE 100 MG TABLET,1.8,0.7,,,0
CDM,1352178426,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",7.7,3.0,,,0
CDM,1352179480,ACETAZOLAMIDE 250 MG TABLET,83.1,32.41,,,0
CDM,1352180299,NAFCILLIN 2 GRAM SOLUTION FOR INJECTION,105.4,41.11,,,0
CDM,1352181287,RIFAXIMIN 550 MG TABLET,442.8,172.69,,,0
CDM,1352181402,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,166.0,64.74,,,0
CDM,1352182516,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,156.2,60.92,,,0
CDM,1352183391,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET,4.8,1.87,,,0
CDM,1352184291,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,50.4,19.66,,,0
CDM,1352184474,LABETALOL 100 MG TABLET,4.8,1.87,,,0
CDM,1352185013,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,14.9,5.81,,,0
CDM,1352187404,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,20.5,8.0,,,0
CDM,1352188807,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,871.3,339.81,,,0
CDM,1352189899,CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJECTION SOLUTION,95.6,37.28,,,0
CDM,1352190500,MINOXIDIL 2.5 MG TABLET,13.1,5.11,,,0
CDM,1352190604,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,34.2,13.34,,,0
CDM,1352191075,MECLIZINE 12.5 MG TABLET,5.1,1.99,,,0
CDM,1352192828,MELATONIN 3 MG TABLET,4.8,1.87,,,0
CDM,1352192929,DIAZEPAM 2 MG TABLET,4.8,1.87,,,0
CDM,1352197134,"DILTIAZEM 120 MG CAPSULE, EXTENDED RELEASE (WRAPPED)",6.9,2.69,,,0
CDM,1352197137,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,163.2,63.65,,,0
CDM,1352197419,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 400 MG-400 MG-40 MG/5 ML ORAL SUSP,0.2,0.08,,,0
CDM,1352198838,POTASSIUM CHLORIDE 20 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,23.1,9.01,,,0
CDM,1352199000,ARGININE 7 GRAM-GLUTAMINE 7 GRAM-CALCIUM HMB 1.5 GRAM ORAL POWDER PACK,0.01,0.0039,,,0
CDM,1352199903,ACETAMINOPHEN 160 MG/5 ML (5 ML) ORAL SUSPENSION,24.1,9.4,,,0
CDM,1352201522,BENZTROPINE 0.5 MG TABLET,9.1,3.55,,,0
CDM,1352201524,RISPERIDONE 1 MG TABLET,69.9,27.26,,,0
CDM,1352211415,TIAGABINE 16 MG TABLET,75.35,29.384999999999998,,,0
CDM,1352216403,CEPHALEXIN 250 MG CAPSULE,5.3,2.07,,,0
CDM,1352217695,PRASUGREL HCL 10 MG TABLET,126.7,49.41,,,0
CDM,1352218178,LORAZEPAM 2 MG TABLET,4.8,1.87,,,0
CDM,1352219164,LISINOPRIL 5 MG TABLET,4.8,1.87,,,0
CDM,1352219862,SENNOSIDES 8.6 MG TABLET,0.6,0.23,,,0
CDM,1352224113,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,25.4,9.91,,,0
CDM,1352225892,AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION,16.4,6.4,,,0
CDM,1352227963,CHLORDIAZEPOXIDE 25 MG CAPSULE,10.3,4.02,,,0
CDM,1352231588,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE",95.6,37.28,,,0
CDM,1352231925,HYDROCORTISONE 10 MG TABLET,4.8,1.87,,,0
CDM,1352238004,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE",106.7,41.61,,,0
CDM,1352241174,EPTIFIBATIDE 2 MG/ML BOLUS,800.8,312.31,,,0
CDM,1352248852,BUPROPION HCL 75 MG TABLET,9.3,3.63,,,0
CDM,1352249122,PYRIDOSTIGMINE BROMIDE 60 MG/5 ML ORAL SYRUP,108.7,42.39,,,0
CDM,1352250443,ROFLUMILAST 500 MCG TABLET,115.6,45.08,,,0
CDM,1352251852,MECLIZINE 12.5 MG TABLET,10.9,4.25,,,0
CDM,1352252314,BISOPROLOL 10 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET,56.6,22.07,,,0
CDM,1352253424,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,273.3,106.59,,,0
CDM,1352253469,BISOPROLOL 10 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET,56.6,22.07,,,0
CDM,1352254029,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,26.1,10.18,,,0
CDM,1352254877,DEXTROSE 5 % AND 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1352262378,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,17.2,6.71,,,0
CDM,1352263800,PENICILLIN V POTASSIUM 500 MG TABLET,9.9,3.86,,,0
CDM,1352264007,DARUNAVIR 800 MG-COB 150 MG-EMTRICIT 200 MG-TENOFO ALAFEN 10 MG TABLET,1206.0,470.34,,,0
CDM,1352266031,PHENOBARBITAL 32.4 MG TABLET,5.2,2.03,,,0
CDM,1352267405,TAMSULOSIN 0.4 MG CAPSULE,64.7,25.23,,,0
CDM,1352267859,LISINOPRIL 20 MG TABLET,4.8,1.87,,,0
CDM,1352270737,TADALAFIL 20 MG TABLET (PULMONARY HYPERTENSION),584.1,227.8,,,0
CDM,1352275274,GABAPENTIN 400 MG CAPSULE,18.8,7.33,,,0
CDM,1352275275,OXCARBAZEPINE 150 MG TABLET,4.8,1.87,,,0
CDM,1352276142,LURASIDONE 40 MG TABLET,362.8,141.49,,,0
CDM,1352276329,BENZTROPINE 1 MG/ML INJECTION SOLUTION,512.4,199.84,,,0
CDM,1352279265,CYCLOSPORINE MODIFIED 100 MG CAPSULE (GENERIC),56.4,22.0,,,0
CDM,1352281261,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION,55.3,21.57,,,0
CDM,1352283516,EMTRICITABINE 200 MG-TENOFOVIR ALAFENAMIDE FUMARATE 25 MG TABLET,563.1,219.61,,,0
CDM,1352286490,BORTEZOMIB 3.5 MG SOLUTION FOR SUBCUTANEOUS INJ,215.94,84.22,,,0
CDM,1352288588,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,45.0,17.55,,,0
CDM,1352296742,DOCETAXEL 160 MG/8 ML (20 MG/ML) INTRAVENOUS SOLUTION,20506.9,7997.69,,,0
CDM,1352298402,CILOSTAZOL 50 MG TABLET,29.6,11.54,,,0
CDM,1352299340,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,40.2,15.68,,,0
CDM,1352302452,EPHEDRINE (PF) 25 MG/5 ML (5 MG/ML) IN 0.9% SODIUM CHLORIDE IV SYRINGE,625.3,243.87,,,0
CDM,1352307053,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",19.6,7.64,,,0
CDM,1352308924,TUBERCULIN PPD 5 TUB. UNIT/0.1 ML INTRADERMAL INJECTION SOLUTION,94.2,36.74,,,0
CDM,1352316701,"DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE",233.5,91.06,,,0
CDM,1352318556,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,19.6,7.64,,,0
CDM,1352321575,TOLVAPTAN 15 MG TABLET,2154.5,840.26,,,0
CDM,1352324704,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",965.4,376.51,,,0
CDM,1352325088,MINERAL OIL,13.1,5.11,,,0
CDM,1352328876,CARVEDILOL 3.125 MG TABLET,4.8,1.87,,,0
CDM,1352329688,LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS SYRINGE,38.8,15.13,,,0
CDM,1352330334,BELATACEPT 250 MG INTRAVENOUS SOLUTION,414.2,161.54,,,0
CDM,1352330878,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,4.8,1.87,,,0
CDM,1352331186,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SYRINGE,427.0,166.53,,,0
CDM,1352332226,MORPHINE (PF) 0.5 MG/ML INJECTION SOLUTION,172.1,67.12,,,0
CDM,1352334966,NITROGLYCERIN 2 % TRANSDERMAL OINTMENT,23.3,9.09,,,0
CDM,1352337118,DOCUSATE SODIUM 100 MG CAPSULE,1.0,0.39,,,0
CDM,1352337482,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,226.4,88.3,,,0
CDM,1352344548,CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION,2929.6,1142.54,,,0
CDM,1352345432,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,92.3,36.0,,,0
CDM,1352349347,DONEPEZIL 5 MG TABLET,66.4,25.9,,,0
CDM,1352350316,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",417.5,162.82,,,0
CDM,1352352403,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION,194.1,75.7,,,0
CDM,1352354805,GABAPENTIN 400 MG CAPSULE,4.8,1.87,,,0
CDM,1352355094,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,391.3,152.61,,,0
CDM,1352355196,CERTOLIZUMAB PEGOL 400 MG (200 MG X 2 VIALS) SUBCUTANEOUS KIT,23311.8,9091.6,,,0
CDM,1352355444,TOBRAMYCIN-DEXAMETHASONE 0.3 %-0.1 % EYE OINTMENT,2286.4,891.7,,,0
CDM,1352355558,TIMOLOL 0.5 % EYE DROPS,15.1,5.89,,,0
CDM,1352356166,BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION,1698.0,662.22,,,0
CDM,1352361356,NICOTINE (POLACRILEX) 2 MG GUM,1.4,0.55,,,0
CDM,1352362070,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1352363378,MIDODRINE 5 MG TABLET,8.5,3.32,,,0
CDM,1352363383,IOHEXOL 180 MG IODINE/ML INTRATHECAL SOLUTION,88.0,34.32,,,0
CDM,1352364279,ARIPIPRAZOLE 2 MG TABLET,246.1,95.98,,,0
CDM,1352364333,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,29.4,11.47,,,0
CDM,1352366727,FENTANYL (PF) 10 MCG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SYRINGE,44.1,17.2,,,0
CDM,1352367862,NADOLOL 20 MG TABLET,11.8,4.6,,,0
CDM,1352371722,OXYCODONE 5 MG/5 ML ORAL SOLUTION,88.6,34.55,,,0
CDM,1352373257,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,554.8,216.37,,,0
CDM,1352374454,KETAMINE 50 MG/ML (1 ML) INTRAVENOUS SYRINGE,19.6,7.64,,,0
CDM,1352380572,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",397.6,155.06,,,0
CDM,1352382403,VASOPRESSIN 20 UNIT/ML INJECTION (WRAPPED),196.5,76.64,,,0
CDM,1352383119,AMMONIUM LACTATE 12 % LOTION,276.2,107.72,,,0
CDM,1352383583,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1352384995,VANCOMYCIN 1.5 GRAM/300 ML IN DILUENT COMBINATION IV PIGGYBACK,197.3,76.95,,,0
CDM,1352386700,POTASSIUM CHLORIDE 2 MEQ/ML ORAL SYRINGE,32.0,12.48,,,0
CDM,1352386935,LINEZOLID 600 MG TABLET,1408.8,549.43,,,0
CDM,1352387119,ALUMINUM HYDROX-MAGNESIUM CARB 95 MG-358 MG/15 ML ORAL SUSPENSION,0.8,0.31,,,0
CDM,1352392470,PREDNISONE 10 MG TABLET,4.8,1.87,,,0
CDM,1352394629,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,269.1,104.95,,,0
CDM,1352394906,RIVAROXABAN 15 MG TABLET,153.0,59.67,,,0
CDM,1352398874,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION,83.4,32.53,,,0
CDM,1352398904,CHERRY SYRUP (BULK) ORAL LIQUID,3.1,1.21,,,0
CDM,1352401438,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,25.7,10.02,,,0
CDM,1352403281,METOCLOPRAMIDE 10 MG TABLET,4.8,1.87,,,0
CDM,1352403336,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,120.9,47.15,,,0
CDM,1352403387,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,181.5,70.78,,,0
CDM,1352406287,SODIUM NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION,906.1,353.38,,,0
CDM,1352407598,AMLODIPINE 5 MG TABLET,4.8,1.87,,,0
CDM,1352407614,CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION,95.9,37.4,,,0
CDM,1352408858,MELATONIN 3 MG TABLET,4.8,1.87,,,0
CDM,1352408898,ALPRAZOLAM 0.5 MG TABLET,6.7,2.61,,,0
CDM,1352410274,DAPTOMYCIN FOR IV PUSH,4490.8,1751.41,,,0
CDM,1352411638,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET,1.7,0.66,,,0
CDM,1352411676,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",5993.4,2337.43,,,0
CDM,1352412342,LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM,70.5,27.5,,,0
CDM,1352413312,MAALOX/LIDOCAINE ORAL SUSPENSION,78.3,30.54,,,0
CDM,1352419068,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION,21.1,8.23,,,0
CDM,1352420035,APREPITANT 125 MG CAPSULE,2442.1,952.42,,,0
CDM,1352420036,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION,1541.1,601.03,,,0
CDM,1352420564,"DILTIAZEM 120 MG CAPSULE, EXTENDED RELEASE (WRAPPED)",7.5,2.92,,,0
CDM,1352421103,LURASIDONE 20 MG TABLET,391.5,152.68,,,0
CDM,1352422937,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE",15.2,5.93,,,0
CDM,1352423419,"WATER FOR IRRIGATION, STERILE SOLUTION",32.6,12.71,,,0
CDM,1352425719,FLUOXETINE 10 MG CAPSULE,20.0,7.8,,,0
CDM,1352429237,BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION,388.1,151.36,,,0
CDM,1352433090,"KETAMINE 30 MG/3 ML (10 MG/ML) IN SODIUM CHLOR,ISO-OSMOTIC INJ SYRINGE",41.0,15.99,,,0
CDM,1352434679,VALSARTAN 160 MG TABLET,78.2,30.5,,,0
CDM,1352436452,METHYLPREDNISOLONE 4 MG TABLET,14.3,5.58,,,0
CDM,1352438005,VANCOMYCIN 1 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE IVPB (PREMIX),98.3,38.34,,,0
CDM,1352438820,CLOPIDOGREL 75 MG TABLET,4.8,1.87,,,0
CDM,1352439304,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION",15.7,6.12,,,0
CDM,1352440406,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",59.1,23.05,,,0
CDM,1352441190,IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION,879.1,342.85,,,0
CDM,1352443669,LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION,4.8,1.87,,,0
CDM,1352444431,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION (FOR IV PUSH),804.7,313.83,,,0
CDM,1352445255,DICYCLOMINE 10 MG/5 ML ORAL SOLUTION,23.1,9.01,,,0
CDM,1352447360,GOSERELIN 10.8 MG SUBCUTANEOUS IMPLANT,18221.0,7106.19,,,0
CDM,1352449449,AMIODARONE 200 MG TABLET,4.8,1.87,,,0
CDM,1352449850,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,36.8,14.35,,,0
CDM,1352450903,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,2516.2,981.32,,,0
CDM,1352450943,DOXYCYCLINE HYCLATE 100 MG TABLET,27.9,10.88,,,0
CDM,1352453308,LUBIPROSTONE 8 MCG CAPSULE,54.1,21.1,,,0
CDM,1352458709,MODAFINIL 100 MG TABLET,202.6,79.01,,,0
CDM,1352459009,ZINC OXIDE 20 % OINTMENT (WC),4.8,1.87,,,0
CDM,1352459193,FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE,3059.7,1193.28,,,0
CDM,1352461703,"RIMABOTULINUMTOXINB 10,000 UNIT/2 ML INTRAMUSCULAR SOLUTION",17706.1,6905.38,,,0
CDM,1352465442,LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION,1317.4,513.79,,,0
CDM,1352465808,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION,24.6,9.59,,,0
CDM,1352465810,MITOMYCIN 20 MG INTRAVENOUS SOLUTION,3943.7,1538.04,,,0
CDM,1352466366,LIDOCAINE 4 % TOPICAL PATCH,13.7,5.34,,,0
CDM,1352466829,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,48.2,18.8,,,0
CDM,1352468009,CEFDINIR 300 MG CAPSULE,39.2,15.29,,,0
CDM,1352469381,MEROPENEM 500 MG INTRAVENOUS SOLUTION,88.0,34.32,,,0
CDM,1352470839,HYDROXYZINE HCL 50 MG TABLET,4.8,1.87,,,0
CDM,1352476324,GLYBURIDE 2.5 MG TABLET,7.1,2.77,,,0
CDM,1352477393,DOXERCALCIFEROL 4 MCG/2 ML INTRAVENOUS SOLUTION,46.2,18.02,,,0
CDM,1352478474,LIDOCAINE 5 % TOPICAL PATCH,21.9,8.54,,,0
CDM,1352484443,SOTALOL 80 MG TABLET,8.6,3.35,,,0
CDM,1352487377,METHIMAZOLE 5 MG TABLET,16.5,6.44,,,0
CDM,1352490715,ACETAMINOPHEN 500 MG TABLET,0.6,0.23,,,0
CDM,1352491005,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 400 MG-400 MG-40 MG/5 ML ORAL SUSP,19.2,7.49,,,0
CDM,1352492012,IOPAMIDOL 200 MG IODINE/ML (41 %) INTRATHECAL SOLUTION,33.0,12.87,,,0
CDM,1352494587,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,56.1,21.88,,,0
CDM,1352496933,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,25.7,10.02,,,0
CDM,1352500127,MODAFINIL 100 MG TABLET,71.6,27.92,,,0
CDM,1352500325,LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK,280.2,109.28,,,0
CDM,1352501546,MIDODRINE 2.5 MG TABLET,13.0,5.07,,,0
CDM,1352505736,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",49.3,19.23,,,0
CDM,1352505868,CHOLESTYRAMINE-ASPARTAME 4 GRAM ORAL POWDER FOR SUSP IN A PACKET,25.8,10.06,,,0
CDM,1352507179,CYCLOPENTOLATE-PHENYLEPHRINE 0.2 %-1 % EYE DROPS,498.9,194.57,,,0
CDM,1352507550,DICLOFENAC 1 % TOPICAL GEL,306.1,119.38,,,0
CDM,1352508050,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,125.5,48.94,,,0
CDM,1352509510,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,73.8,28.78,,,0
CDM,1352514260,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,24.6,9.59,,,0
CDM,1352514626,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,38.5,15.02,,,0
CDM,1352514856,LATANOPROST 0.005 % EYE DROPS,52.2,20.36,,,0
CDM,1352514857,PRAVASTATIN 20 MG TABLET,4.8,1.87,,,0
CDM,1352515219,SILVER NITRATE 0.5 % TOPICAL SOLUTION,43.8,17.08,,,0
CDM,1352515598,MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) IN WATER INTRAVENOUS SOLUTION,51.3,20.01,,,0
CDM,1352517040,PHENYLEPHRINE 2.5 % EYE DROPS,249.3,97.23,,,0
CDM,1352518080,LABETALOL 200 MG TABLET,13.1,5.11,,,0
CDM,1352519361,AMLODIPINE 10 MG TABLET,4.8,1.87,,,0
CDM,1352520158,CYCLOPENTOLATE 2 % EYE DROPS,355.7,138.72,,,0
CDM,1352520327,SEMAGLUTIDE 0.25 MG OR 0.5 MG (2 MG/3 ML) SUBCUTANEOUS PEN INJECTOR,1738.3,677.94,,,0
CDM,1352525017,CYCLOBENZAPRINE 10 MG TABLET,8.9,3.47,,,0
CDM,1352526183,URSODIOL 300 MG CAPSULE,58.7,22.89,,,0
CDM,1352526449,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE",25.6,9.98,,,0
CDM,1352532558,INSULIN HUMAN U-100 NPH-REGULR 70-30 MIX 100 UNIT/ML SUBCUTANEOUS SUSP,19.6,7.64,,,0
CDM,1352532942,ROPINIROLE 0.5 MG TABLET,76.9,29.99,,,0
CDM,1352534600,ABOBOTULINUMTOXINA 300 UNIT INTRAMUSCULAR SOLUTION,7367.3,2873.25,,,0
CDM,1352538777,LUBIPROSTONE 24 MCG CAPSULE,51.3,20.01,,,0
CDM,1352538887,LOSARTAN 50 MG TABLET,5.2,2.03,,,0
CDM,1352540831,"COAGULATION FACTOR VIIA RECOMB 1 MG (1,000 MCG) INTRAVENOUS SOLUTION",87672.0,34192.08,,,0
CDM,1352541751,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,77.2,30.11,,,0
CDM,1352542225,TAMOXIFEN 10 MG TABLET,14.6,5.69,,,0
CDM,1352543600,CODEINE SULFATE 30 MG TABLET,8.0,3.12,,,0
CDM,1352544932,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE,19.6,7.64,,,0
CDM,1352545931,DESOGESTREL 0.15 MG-ETHINYL ESTRADIOL 0.03 MG TABLET,25.1,9.79,,,0
CDM,1352552801,ONDANSETRON 4 MG DISINTEGRATING TABLET,20.2,7.88,,,0
CDM,1352553809,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",31.5,12.28,,,0
CDM,1352554339,FUROSEMIDE 80 MG TABLET,12.1,4.72,,,0
CDM,1352554691,KETOROLAC 10 MG TABLET,56.1,21.88,,,0
CDM,1352554785,LEVOTHYROXINE 50 MCG TABLET,4.8,1.87,,,0
CDM,1352555180,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,16.8,6.55,,,0
CDM,1352555993,CARIPRAZINE 3 MG CAPSULE,388.4,151.48,,,0
CDM,1352557140,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,27.0,10.53,,,0
CDM,1352557499,SODIUM POLYSTYRENE SULFONATE 15 GRAM/60 ML ORAL SUSPENSION,82.9,32.33,,,0
CDM,1352559318,DOXEPIN 25 MG CAPSULE,6.4,2.5,,,0
CDM,1352560401,LOSARTAN 50 MG TABLET,4.8,1.87,,,0
CDM,1352564212,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1352573810,LEVOTHYROXINE 125 MCG TABLET,5.3,2.07,,,0
CDM,1352574023,TAMSULOSIN 0.4 MG CAPSULE,4.8,1.87,,,0
CDM,1352575892,MULTIVITAMIN ORAL LIQUID,38.1,14.86,,,0
CDM,1352579644,TEMAZEPAM 7.5 MG CAPSULE,64.1,25.0,,,0
CDM,1352580162,HYDROXYCHLOROQUINE 200 MG TABLET,27.9,10.88,,,0
CDM,1352582953,AMITRIPTYLINE 10 MG TABLET,4.8,1.87,,,0
CDM,1352584177,OLANZAPINE 5 MG DISINTEGRATING TABLET,54.2,21.14,,,0
CDM,1352585580,ALTEPLASE BOLUS,30669.3,11961.03,,,0
CDM,1352585657,CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET,8.6,3.35,,,0
CDM,1352586798,NALOXONE 0.4 MG/ML INJECTION SOLUTION,27.1,10.57,,,0
CDM,1352591032,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1352591186,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION,102.5,39.975,,,0
CDM,1352592996,HYDRALAZINE 25 MG TABLET,4.8,1.87,,,0
CDM,1352593100,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,154.0,60.06,,,0
CDM,1352593289,PRAMIPEXOLE 1 MG TABLET,51.3,20.01,,,0
CDM,1352593792,SODIUM HYPOCHLORITE 0.25 % SOLUTION,83.5,32.56,,,0
CDM,1352593793,TIZANIDINE 4 MG TABLET,19.6,7.64,,,0
CDM,1352598299,"QUETIAPINE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",204.1,79.6,,,0
CDM,1352598346,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,344.7,134.43,,,0
CDM,1352608005,SERTRALINE 50 MG TABLET,3.5,1.36,,,0
CDM,1352608569,PIPERACILLIN-TAZOBACTAM IVPB 3.375 G/50 ML D5W (SIMPLE),141.0,54.99,,,0
CDM,1352623011,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",19.6,7.64,,,0
CDM,1352624149,ANASTROZOLE 1 MG TABLET,15.9,6.2,,,0
CDM,1352625403,FOLIC ACID 1 MG TABLET,4.8,1.87,,,0
CDM,1352626427,"OCTREOTIDE ACETATE 1,000 MCG/ML INJECTION SOLUTION",329.7,128.58,,,0
CDM,1352627210,ISONIAZID 300 MG TABLET,18.4,7.175,,,0
CDM,1352627340,CLOZAPINE 100 MG TABLET,52.6,20.51,,,0
CDM,1352629891,MORPHINE 4 MG/ ML INJECTION (WRAPPED),19.6,7.64,,,0
CDM,1352633176,LIDOCAINE 4 % TOPICAL PATCH,40.4,15.76,,,0
CDM,1352633401,NITROGLYCERIN 0.4 MG/HR TRANSDERMAL 24 HOUR PATCH,16.7,6.51,,,0
CDM,1352634248,"ESMOLOL 2,500 MG/250 ML (10 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",44.1,17.2,,,0
CDM,1352635063,METRONIDAZOLE 500 MG TABLET,6.0,2.34,,,0
CDM,1352639454,ARGATROBAN 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,1219.8,475.72,,,0
CDM,1352642807,ATENOLOL 25 MG TABLET,4.8,1.87,,,0
CDM,1352645531,OXYCODONE 5 MG TABLET,4.8,1.87,,,0
CDM,1352645755,AMOXICILLIN 250 MG CAPSULE,4.8,1.87,,,0
CDM,1352645758,EZETIMIBE 10 MG TABLET,95.1,37.09,,,0
CDM,1352647007,GEMCITABINE 2 GRAM/52.6 ML (38 MG/ML) INTRAVENOUS SOLUTION,342.3,133.5,,,0
CDM,1352648508,CELECOXIB 200 MG CAPSULE,18.7,7.29,,,0
CDM,1352648738,MIDODRINE 5 MG TABLET,26.6,10.37,,,0
CDM,1352651069,CHLORTHALIDONE 25 MG TABLET,33.5,13.06,,,0
CDM,1352653837,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,67.8,26.44,,,0
CDM,1352656408,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,155.7,60.72,,,0
CDM,1352658622,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",170.8,66.61,,,0
CDM,1352663596,CYANOCOBALAMIN (VIT B-12) 100 MCG TABLET,0.6,0.23,,,0
CDM,1352664121,METOPROLOL TARTRATE 50 MG TABLET,4.8,1.87,,,0
CDM,1352664533,CLOPIDOGREL 75 MG TABLET,38.0,14.82,,,0
CDM,1352664787,KETAMINE 50 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1352666163,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,38.8,15.13,,,0
CDM,1352667269,TARLATAMAB-DLLE 10 MG INTRAVENOUS SOLUTION,93606.8,36506.65,,,0
CDM,1352668144,CHLORPROMAZINE 50 MG TABLET,483.8,188.68,,,0
CDM,1352668424,"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE",19.6,7.64,,,0
CDM,1352670746,INSULIN LISPRO 100 UNIT/ML (PRANDIAL) SUBCUTANEOUS,19.6,7.64,,,0
CDM,1352670994,FLAVOXATE 100 MG TABLET,17.0,6.63,,,0
CDM,1352675182,PHENOBARBITAL 64.8 MG TABLET,4.8,1.87,,,0
CDM,1352677234,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION,112.8,43.99,,,0
CDM,1352680197,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,365.5,142.54,,,0
CDM,1352680367,ELVITEG 150 MG-COB 150 MG-EMTRICIT 200 MG-TENOFO ALAFENAM 10 MG TABLET,1078.0,420.42,,,0
CDM,1352680675,"IMMUNE GLOB,GAMM(IGG)10 %-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION",40617.7,15840.9,,,0
CDM,1352682236,DOPAMINE 200 MG/5 ML (40 MG/ML) INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1352684907,DACARBAZINE 100 MG INTRAVENOUS SOLUTION,381.2,148.67,,,0
CDM,1352685724,PHOSPHATE DIALYSIS SOLN WITHOUT DEXTR K 4 MEQ-CA 2.5 MEQ-PO4 1 MMOL/L,630.9,246.05,,,0
CDM,1352688585,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,79.4,30.97,,,0
CDM,1352688789,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION,717.0,279.63,,,0
CDM,1352689802,ETHIODIZED OIL 480 MG IODINE/ML FOR INJECTION,8531.3,3327.21,,,0
CDM,1352690727,"SILVER ER TOPICAL GEL,EXTENDED RELEASE",468.6,182.75,,,0
CDM,1352692564,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,7.4,2.89,,,0
CDM,1352693813,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,324.7,126.63,,,0
CDM,1352696716,NAFCILLIN 10 GRAM SOLUTION FOR INJECTION,961.9,375.14,,,0
CDM,1352697474,DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1352697939,MORPHINE 2 MG/ML INJECTION (WRAPPED),19.6,7.64,,,0
CDM,1352700422,VASOPRESSIN 20 UNIT/ML INJECTION (WRAPPED),691.8,269.8,,,0
CDM,1352702325,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",155.3,60.57,,,0
CDM,1352702475,LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION,532.9,207.83,,,0
CDM,1352705410,LIDOCAINE (PF) 40 MG/ML (4 %) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1352708643,LANSOPRAZOLE 3 MG/ML SUSPENSION IN ORA-BLEND,13.3,5.19,,,0
CDM,1352708643,"LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET",14.0,5.46,,,0
CDM,1352711886,METHYLENE BLUE (ANTIDOTE) 1 % (10 MG/ML) INTRAVENOUS SOLUTION,1333.4,520.03,,,0
CDM,1352712883,CEFEPIME 2 GRAM/50 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,255.0,99.45,,,0
CDM,1352715934,YELLOW FEVER VACCINE LIVE(PF) 10 EXP4.74 UNIT/0.5 ML SUBCUTANEOUS SUSP,1561.1,608.83,,,0
CDM,1352715935,TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE,1021.6,398.42,,,0
CDM,1352717191,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,415.1,161.89,,,0
CDM,1352718173,STUDY LURBINECTEDIN (PM1183-C-010-22) 4 MG INJECTION,0.1,0.04,,,0
CDM,1352718324,LORAZEPAM 2 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1352719112,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION,942.8,367.69,,,0
CDM,1352719167,CEFAZOLIN 3 GRAM INTRAVENOUS SOLUTION,93.7,36.54,,,0
CDM,1352720489,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH,129.6,50.54,,,0
CDM,1352723431,LEVETIRACETAM 250 MG TABLET,1.5,0.58,,,0
CDM,1352724334,AMITRIPTYLINE 10 MG TABLET,4.8,1.87,,,0
CDM,1352725857,STUDY BHV1510 (BHV1510-101) IN NS 250 ML IVPB MIXTURE,0.1,0.04,,,0
CDM,1352727017,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (WRAPPED),8.0,3.12,,,0
CDM,1352731578,AMANTADINE HCL 100 MG CAPSULE,10.8,4.21,,,0
CDM,1352732520,"DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",169.0,65.91,,,0
CDM,1352734881,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1352736237,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",99.2,38.69,,,0
CDM,1352737790,"CALCIUM 500 MG (AS CALCIUM CARBONATE 1,250 MG) CHEWABLE TABLET",1.2,0.47,,,0
CDM,1352738268,ARIPIPRAZOLE 10 MG TABLET,229.6,89.54,,,0
CDM,1352739428,LOSARTAN 100 MG TABLET,23.6,9.2,,,0
CDM,1352741578,ERAVACYCLINE 100 MG INTRAVENOUS SOLUTION,825.1,321.78999999999996,,,0
CDM,1352742101,LORAZEPAM 2 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1352742175,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL TABLET,72.9,28.43,,,0
CDM,1352742722,SPIRONOLACTONE 25 MG TABLET,4.8,1.87,,,0
CDM,1352745498,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,24.9,9.71,,,0
CDM,1352751813,QUETIAPINE 400 MG TABLET,10.8,4.21,,,0
CDM,1352752095,LEVALBUTEROL CONCENTRATE 1.25 MG/0.5 ML SOLUTION FOR NEBULIZATION,51.4,20.05,,,0
CDM,1352752136,PHYTONADIONE (VITAMIN K1) 5 MG TABLET,256.9,100.19,,,0
CDM,1352753291,CEFAZOLIN 2 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK,126.1,49.18,,,0
CDM,1352754999,DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS,940.4,366.76,,,0
CDM,1352755516,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,256.7,100.11,,,0
CDM,1352756717,PSYLLIUM HUSK (WITH SUGAR) 3.4 GRAM ORAL POWDER PACKET,1.8,0.7,,,0
CDM,1352757077,FENTANYL 75 MCG/HR TRANSDERMAL PATCH,454.9,177.41,,,0
CDM,1352758103,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,153.8,59.98,,,0
CDM,1352763265,EPINEPHRINE 1 MG/ML INJECTION SOLUTION,113.9,44.42,,,0
CDM,1352769245,CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH,428.3,167.04,,,0
CDM,1352771648,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,24.8,9.67,,,0
CDM,1352774431,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,138.4,53.98,,,0
CDM,1352777755,CLOTRIMAZOLE 1 % VAGINAL CREAM,33.9,13.22,,,0
CDM,1352777914,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1352779154,LUTETIUM LU 177 DOTATATE 10 MCI/ML (370 MBQ/ML) INTRAVENOUS SOLUTION,67747.2,26421.41,,,0
CDM,1352780183,GLOFITAMAB-GXBM 1 MG/ML INTRAVENOUS SOLUTION,197038.3,76844.94,,,0
CDM,1352782520,TRIAMTERENE 75 MG-HYDROCHLOROTHIAZIDE 50 MG TABLET,7.1,2.77,,,0
CDM,1352784716,WARFARIN 2 MG TABLET,4.8,1.87,,,0
CDM,1352787844,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS,222.1,86.62,,,0
CDM,1352789197,CEFOXITIN 2 GRAM/50 ML IN DEXTROSE(ISO-OSMOTIC) INTRAVENOUS PIGGYBACK,286.5,111.74,,,0
CDM,1352791711,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRATHECAL SOLUTION,49.5,19.3,,,0
CDM,1352794017,LAMOTRIGINE 150 MG TABLET,82.4,32.14,,,0
CDM,1352794018,LAMOTRIGINE 200 MG TABLET,45.0,17.55,,,0
CDM,1352794121,EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1352795449,BUPRENORPHINE 5 MCG/HOUR WEEKLY TRANSDERMAL PATCH,392.3,153.0,,,0
CDM,1352796554,SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION,948.9,370.07,,,0
CDM,1352797189,ADULT CYCLIC 2-IN-1 CPN USING CLINIMIX BASE,504.0,196.56,,,0
CDM,1352798234,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,10059.6,3923.24,,,0
CDM,1352801063,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",404.8,157.87,,,0
CDM,1352802092,MESALAMINE 4 GRAM/60 ML ENEMA,187.4,73.09,,,0
CDM,1352805671,"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG)/2 ML INJECTION SYRINGE",1186.0,462.54,,,0
CDM,1352811968,LEVOTHYROXINE 150 MCG TABLET,12.7,4.95,,,0
CDM,1352813706,"LEVETIRACETAM 1,500 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",674.7,263.13,,,0
CDM,1352815496,HYLAN G-F 20  48 MG/6 ML INTRA-ARTICULAR SYRINGE,9546.3,3723.06,,,0
CDM,1352822009,INFLIXIMAB 100 MG INTRAVENOUS SOLUTION,32558.9,12697.97,,,0
CDM,1352822295,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,238.2,92.9,,,0
CDM,1352824637,ETHOSUXIMIDE 250 MG CAPSULE,16.5,6.44,,,0
CDM,1352824842,PREGABALIN 75 MG CAPSULE,64.7,25.23,,,0
CDM,1352824854,NIACIN 500 MG TABLET,0.6,0.23,,,0
CDM,1352825808,ELETRIPTAN 20 MG TABLET,619.5,241.6,,,0
CDM,1352826225,"PIFLUFOLASTAT F 18 37 MBQ/ML TO 2,960 MBQ/ML (1-80 MCI/ML) IV SOLUTION",21773.0,8491.47,,,0
CDM,1352828790,PYRIDOXINE (VITAMIN B6) 50 MG TABLET,4.8,1.87,,,0
CDM,1352830385,MICONAZOLE NITRATE 200 MG/5 GRAM (4 %) VAGINAL CREAM,30.0,11.7,,,0
CDM,1352833449,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,87.2,34.01,,,0
CDM,1352836061,CYCLOSPORINE MODIFIED 100 MG/ML ORAL SOLUTION (GENERIC),31.9,12.44,,,0
CDM,1352836343,SODIUM CHLORIDE 3 % IV BOLUS,53.7,20.94,,,0
CDM,1352836533,EPHEDRINE (PF) 25 MG/5 ML (5 MG/ML) IN 0.9% SODIUM CHLORIDE IV SYRINGE,116.3,45.36,,,0
CDM,1352839461,"DESVENLAFAXINE SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",88.0,34.32,,,0
CDM,1352839576,CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET,0.6,0.23,,,0
CDM,1352839851,AMINOLEVULINIC ACID HCL 30 MG/ML ORAL SOLUTION,20101.0,7839.39,,,0
CDM,1352843253,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",17.4,6.79,,,0
CDM,1352848577,QUETIAPINE 25 MG TABLET,57.0,22.23,,,0
CDM,1352849277,PLERIXAFOR 24 MG/1.2 ML (20 MG/ML) SUBCUTANEOUS SOLUTION,2340.1,912.64,,,0
CDM,1352849351,BUSPIRONE 5 MG TABLET,17.3,6.75,,,0
CDM,1352849354,RALOXIFENE 60 MG TABLET,54.7,21.33,,,0
CDM,1352849355,PREDNISONE 20 MG TABLET,21.9,8.54,,,0
CDM,1352849379,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,63.6,24.8,,,0
CDM,1352849556,TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION,168.3,65.64,,,0
CDM,1352850566,PHENOBARBITAL 64.8 MG TABLET,6.5,2.54,,,0
CDM,1352850785,TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION,19.6,7.64,,,0
CDM,1352852646,PLERIXAFOR 24 MG/1.2 ML (20 MG/ML) SUBCUTANEOUS SOLUTION,5276.6,2057.87,,,0
CDM,1352855996,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,143.5,55.96,,,0
CDM,1352856999,EPTIFIBATIDE 2 MG/ML INTRAVENOUS SOLUTION,190.7,74.37,,,0
CDM,1352857534,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,126.2,49.22,,,0
CDM,1352860760,MEGESTROL 40 MG TABLET,13.2,5.15,,,0
CDM,1352862861,VANCOMYCIN 50 MG/ML ORAL SOLUTION,21.0,8.19,,,0
CDM,1352863804,MONTELUKAST 10 MG TABLET,43.4,16.93,,,0
CDM,1352863809,SERTRALINE 50 MG TABLET,21.8,8.5,,,0
CDM,1352866061,LEVOTHYROXINE 100 MCG TABLET,4.8,1.87,,,0
CDM,1352872831,VANCOMYCIN 1.5 GRAM INTRAVENOUS SOLUTION,208.0,81.12,,,0
CDM,1352873283,FLUTICASONE FUR. 100 MCG-UMECLID 62.5 MCG-VILANT 25 MCG INHALAT.POWDER,5195.7,2026.32,,,0
CDM,1352873503,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1352875101,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,72.6,28.31,,,0
CDM,1352875350,ESTRADIOL 0.01% (0.1 MG/GRAM) VAGINAL CREAM,2644.4,1031.32,,,0
CDM,1352877593,ZOLPIDEM 5 MG TABLET,4.8,1.87,,,0
CDM,1352878198,VENLAFAXINE 75 MG TABLET,16.8,6.55,,,0
CDM,1352880657,DOFETILIDE 500 MCG CAPSULE,74.8,29.17,,,0
CDM,1352881008,GADOXETATE 0.25 MMOL/ML (181.43 MG/ML) INTRAVENOUS SOLUTION,427.0,166.53,,,0
CDM,1352881416,ATORVASTATIN 10 MG TABLET,4.9,1.91,,,0
CDM,1352883655,"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION",50.2,19.58,,,0
CDM,1352884089,ACETAMINOPHEN 10 MG/ML IVPB,57.7,22.5,,,0
CDM,1352884327,RIFABUTIN 150 MG CAPSULE,268.4,104.68,,,0
CDM,1352884809,"DILTIAZEM CD 300 MG CAPSULE,EXTENDED RELEASE 24 HR",20.6,8.03,,,0
CDM,1352884892,CEPHALEXIN 500 MG CAPSULE,10.6,4.13,,,0
CDM,1352885044,CELECOXIB 200 MG CAPSULE,58.1,22.66,,,0
CDM,1352888262,FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,37.6,14.66,,,0
CDM,1352889958,ATORVASTATIN 40 MG TABLET,4.8,1.87,,,0
CDM,1352891254,HYDROXYUREA 500 MG CAPSULE,29.4,11.47,,,0
CDM,1352891330,"BUPIVACAINE-EPINEPHRINE 0.5 %-1:100,000 INJECTION",19.6,7.64,,,0
CDM,1352895723,MICONAZOLE NITRATE 2 % TOPICAL CREAM,18.6,7.25,,,0
CDM,1352897758,METHOCARBAMOL 750 MG TABLET,5.6,2.18,,,0
CDM,1352897855,GABAPENTIN 300 MG/6 ML (6 ML) ORAL SOLUTION,166.0,64.74,,,0
CDM,1352898286,ROPINIROLE 0.25 MG TABLET,5.1,1.99,,,0
CDM,1352898744,PYRIDOSTIGMINE BROMIDE 60 MG TABLET,9.8,3.82,,,0
CDM,1352899254,COLCHICINE 0.6 MG CAPSULE,42.8,16.69,,,0
CDM,1352900427,HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE,4.8,1.87,,,0
CDM,1352900846,COLCHICINE 0.6 MG TABLET,55.7,21.72,,,0
CDM,1352902553,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,82.4,32.14,,,0
CDM,1352903122,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,50.4,19.66,,,0
CDM,1352903207,"CEFOXITIN 1 GRAM/50 ML IN DEXTROSE, ISO-OSMOTIC INTRAVENOUS PIGGYBACK",322.2,125.66,,,0
CDM,1352904062,"VERAPAMIL ER (SR) 240 MG TABLET,EXTENDED RELEASE",19.5,7.6,,,0
CDM,1352906409,CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH,594.1,231.7,,,0
CDM,1352906476,HYDRALAZINE 50 MG TABLET,4.8,1.87,,,0
CDM,1352907673,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,42.5,16.58,,,0
CDM,1352909236,DIAZEPAM 5 MG/ML INJECTION SYRINGE,210.2,81.98,,,0
CDM,1352909261,DOXEPIN 10 MG CAPSULE,4.8,1.87,,,0
CDM,1352918470,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,19.6,7.64,,,0
CDM,1352919574,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,10.5,4.1,,,0
CDM,1352919838,SERTRALINE 20 MG/ML ORAL CONCENTRATE,10.8,4.21,,,0
CDM,1352921839,METHOTREXATE SODIUM 2.5 MG TABLET,125.55,48.965,,,0
CDM,1352923649,CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,126.9,49.49,,,0
CDM,1352924456,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION,23.5,9.16,,,0
CDM,1352934247,GABAPENTIN 300 MG CAPSULE,10.3,4.02,,,0
CDM,1352935777,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,59.9,23.36,,,0
CDM,1352936397,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION,558.9,217.97,,,0
CDM,1352936988,PIOGLITAZONE 30 MG TABLET,82.2,32.06,,,0
CDM,1352937903,LEVOTHYROXINE 150 MCG TABLET,5.7,2.22,,,0
CDM,1352939561,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION,40.9,15.95,,,0
CDM,1352939682,HYDROCHLOROTHIAZIDE 25 MG TABLET,4.8,1.87,,,0
CDM,1352940019,MIDAZOLAM (VERSED) 5 MG/ML NASAL ROUTE ONLY,19.6,7.64,,,0
CDM,1352940194,"DESVENLAFAXINE SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",112.0,43.68,,,0
CDM,1352944199,HYDRALAZINE 25 MG TABLET,4.8,1.87,,,0
CDM,1352944710,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,57.1,22.27,,,0
CDM,1352946968,LORATADINE 10 MG TABLET,1.1,0.43,,,0
CDM,1352955976,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,22.3,8.7,,,0
CDM,1352957444,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",13.6,5.3,,,0
CDM,1352957523,"GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR",14.7,5.73,,,0
CDM,1352957826,PROPRANOLOL 10 MG TABLET,18.8,7.33,,,0
CDM,1352965947,LEVOTHYROXINE 200 MCG TABLET,6.2,2.42,,,0
CDM,1352965948,TADALAFIL 20 MG TABLET (PULMONARY HYPERTENSION),1168.2,455.6,,,0
CDM,1352966544,TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION,19.6,7.64,,,0
CDM,1352966848,"DILTIAZEM 120 MG CAPSULE, EXTENDED RELEASE (WRAPPED)",6.0,2.34,,,0
CDM,1352966901,QUETIAPINE 25 MG TABLET,4.8,1.87,,,0
CDM,1352967199,LEVOTHYROXINE 75 MCG TABLET,4.8,1.87,,,0
CDM,1352977261,ADENOSINE 3 MG/ML IV SOLN (WRAPPED),93.6,36.5,,,0
CDM,1352977498,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR",35.8,13.96,,,0
CDM,1352986495,CHLOROPROCAINE 20 MG/ML (2 %) INJECTION SOLUTION,152.6,59.51,,,0
CDM,1352989739,MIDAZOLAM 10 MG/5 ML (2 MG/ML) ORAL SYRUP,85.2,33.23,,,0
CDM,1352989879,SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS,543.2,211.85,,,0
CDM,1352994829,CIPROFLOXACIN 0.3 % EYE DROPS,71.8,28.0,,,0
CDM,1352995361,CAPTOPRIL 25 MG TABLET,10.65,4.15,,,0
CDM,1352995559,ACETAMINOPHEN 325 MG RECTAL SUPPOSITORY,1.6,0.62,,,0
CDM,1352996994,NALTREXONE 50 MG TABLET,42.4,16.54,,,0
CDM,1352997164,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,10.3,4.02,,,0
CDM,1352999578,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1353000104,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,34.2,13.34,,,0
CDM,1353000168,"LIPASE-PROTEASE-AMYLASE 12,000-38,000-60,000 UNIT CAPSULE,DELAYED REL",33.0,12.87,,,0
CDM,1353005644,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,41.0,15.99,,,0
CDM,1353006624,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,200.9,78.35,,,0
CDM,1353008231,VALACYCLOVIR 500 MG TABLET,25.4,9.91,,,0
CDM,1353010676,METHYLPHENIDATE 5 MG TABLET,18.9,7.37,,,0
CDM,1353018955,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,50.4,19.66,,,0
CDM,1353022106,FINASTERIDE 5 MG TABLET,8.0,3.12,,,0
CDM,1353022628,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1353026591,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,93.0,36.27,,,0
CDM,1353026795,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,238.7,93.09,,,0
CDM,1353027765,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,192.0,74.88,,,0
CDM,1353030328,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,330.0,128.7,,,0
CDM,1353030378,PACLITAXEL PROTEIN-BOUND 100 MG INTRAVENOUS SUSPENSION,9613.6,3749.3,,,0
CDM,1353032363,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,17.5,6.82,,,0
CDM,1353034894,TETRACAINE 0.5 % EYE DROPS,332.9,129.83,,,0
CDM,1353035676,POVIDONE-IODINE 10 % TOPICAL SOLUTION,22.1,8.62,,,0
CDM,1353035781,"DESVENLAFAXINE SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",176.0,68.64,,,0
CDM,1353035944,MIRTAZAPINE 30 MG TABLET,9.9,3.86,,,0
CDM,1353035947,TORSEMIDE 10 MG TABLET,21.9,8.54,,,0
CDM,1353035947,TORSEMIDE 20 MG TABLET,12.9,5.03,,,0
CDM,1353036421,THIOTEPA 15 MG SOLUTION FOR INJECTION,24086.4,9393.7,,,0
CDM,1353036472,LAMOTRIGINE 100 MG TABLET,37.1,14.47,,,0
CDM,1353036482,PILOCARPINE 5 MG TABLET,14.0,5.46,,,0
CDM,1353036493,ROPINIROLE 0.25 MG TABLET,38.4,14.98,,,0
CDM,1353036593,DEXAMETHASONE SODIUM PHOSPHATE 0.1 % EYE DROPS,413.5,161.26,,,0
CDM,1353036783,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,95.9,37.4,,,0
CDM,1353036842,"RITUXIMAB 1,400 MG/11.7 ML (120 MG/ML)-HYALURONIDASE SUBCUTANEOUS SOLN",41037.9,16004.78,,,0
CDM,1353037210,NITROGLYCERIN 500 MCG/10 ML (50 MCG/ML) INJECTION VIAL,19.6,7.64,,,0
CDM,1353037672,MIRVETUXIMAB SORAVTANSINE-GYNX 5 MG/ML INTRAVENOUS SOLUTION,5794.7,2259.93,,,0
CDM,1353038565,KETAMINE 10 MG/ML INJECTION SOLUTION,41.0,15.99,,,0
CDM,1353042814,OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION,742.9,289.73,,,0
CDM,1353042816,LEUCOVORIN CALCIUM 500 MG SOLUTION FOR INJECTION,736.1,287.08,,,0
CDM,1353044340,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,680.2,265.28,,,0
CDM,1353047555,ROMOSOZUMAB-AQQG 105 MG/1.17 ML SUBCUTANEOUS SYRINGE,18323.6,7146.2,,,0
CDM,1353047874,"DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",39.5,15.4,,,0
CDM,1353048650,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,9.6,3.74,,,0
CDM,1353049153,OXYMETAZOLINE 0.05 % NASAL SPRAY,8.9,3.47,,,0
CDM,1353051851,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION,112.7,43.95,,,0
CDM,1353057964,CLONIDINE HCL 0.2 MG TABLET,4.8,1.87,,,0
CDM,1353061732,MORPHINE 30 MG IMMEDIATE RELEASE TABLET,6.5,2.54,,,0
CDM,1353063783,"THROMBIN (RECOMBINANT) 20,000 UNIT TOPICAL SOLUTION",2638.5,1029.02,,,0
CDM,1353064579,REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE,30.0,11.7,,,0
CDM,1353065492,AMPICILLIN 250 MG SOLUTION FOR INJECTION,19.6,7.64,,,0
CDM,1353065584,CLONAZEPAM 0.5 MG DISINTEGRATING TABLET,19.9,7.76,,,0
CDM,1353065584,CLONAZEPAM 1 MG DISINTEGRATING TABLET,11.4,4.45,,,0
CDM,1353066018,ZANIDATAMAB-HRII 300 MG INTRAVENOUS SOLUTION,14374.8,5606.17,,,0
CDM,1353066142,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",9.7,3.78,,,0
CDM,1353066810,TADALAFIL 20 MG TABLET,1139.5,444.4,,,0
CDM,1353068251,DESMOPRESSIN 10 MCG/SPRAY (0.1 ML) NASAL SPRAY,1888.9,736.67,,,0
CDM,1353074612,LIDOCAINE (PF) 3.5 % EYE GEL,224.0,87.36,,,0
CDM,1353075150,NICARDIPINE 20 MG/200 ML(0.1 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN,695.2,271.13,,,0
CDM,1353075325,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION,317.1,123.67,,,0
CDM,1353075514,"EPOETIN ALFA 10,000 UNIT/ML INJECTION SOLUTION",3725.4,1452.91,,,0
CDM,1353076179,VALSARTAN 40 MG TABLET,30.9,12.05,,,0
CDM,1353078112,"ASPIRIN 325 MG TABLET,DELAYED RELEASE",0.6,0.23,,,0
CDM,1353084713,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,330.0,128.7,,,0
CDM,1353085557,MOXIFLOXACIN 0.5 % EYE DROPS,89.0,34.71,,,0
CDM,1353086672,STUDY TSR-042 DOSTARLIMAB (4010-01-001 (GARNET)) 50 MG/ML INJECTION,0.1,0.04,,,0
CDM,1353088073,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",27.7,10.8,,,0
CDM,1353088113,OLANZAPINE 5 MG DISINTEGRATING TABLET,109.5,42.7,,,0
CDM,1353090391,CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION,204.5,79.76,,,0
CDM,1353090851,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,392.9,153.23,,,0
CDM,1353094746,LEUCOVORIN CALCIUM 200 MG SOLUTION FOR INJECTION,153.8,59.98,,,0
CDM,1353096564,NALOXONE 1 MG/ML INJECTION SYRINGE,27.0,10.53,,,0
CDM,1353096622,"BACITRACIN 50,000 UNIT INTRAMUSCULAR SOLUTION",76.9,29.99,,,0
CDM,1353096622,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,32.6,12.71,,,0
CDM,1353097867,CYCLOPENTOLATE-PHENYLEPHRINE 0.2 %-1 % EYE DROPS,284.0,110.76,,,0
CDM,1353100998,PROGESTERONE MICRONIZED 100 MG CAPSULE,79.4,30.97,,,0
CDM,1353101492,CEFIDEROCOL 1 GRAM INTRAVENOUS SOLUTION,3245.8,1265.86,,,0
CDM,1353101864,BUMETANIDE 1 MG TABLET,9.5,3.7,,,0
CDM,1353102206,MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION,11.5,4.48,,,0
CDM,1353102429,CAFFEINE CITRATED IV SYRINGE 20 MG/ML MD (PEDS 10 KG AND LESS),24.0,9.36,,,0
CDM,1353103230,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,16.8,6.55,,,0
CDM,1353104269,COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 250 UNITS/G OINTMENT (WC),28.8,11.23,,,0
CDM,1353105052,DARBEPOETIN ALFA 60 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE,3236.87,1262.38,,,0
CDM,1353108179,REMIFENTANIL 1 MG INTRAVENOUS SOLUTION,626.1,244.18,,,0
CDM,1353111784,MIDAZOLAM 5 MG/ML INJ (WRAPPED),19.6,7.64,,,0
CDM,1353115073,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,22.3,8.7,,,0
CDM,1353115561,GLUCAGON HCL 1 MG/ML SOLUTION FOR INJECTION,691.8,269.8,,,0
CDM,1353116091,ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY,5.7,2.22,,,0
CDM,1353116506,FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,30.2,11.78,,,0
CDM,1353116548,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,24.3,9.48,,,0
CDM,1353119223,DOXAZOSIN 2 MG TABLET,7.8,3.04,,,0
CDM,1353120709,IOTHALAMATE MEGLUMINE 60 % INJECTION SOLUTION,24.4,9.52,,,0
CDM,1353122273,CALCITRIOL 0.25 MCG CAPSULE,13.6,5.3,,,0
CDM,1353123438,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1353123534,"NEOMYCIN-BACITRACN ZN-POLYMYX 3.5 MG-400 UNIT-5,000 UNIT/GRAM TOP OINT",334.6,130.49,,,0
CDM,1353124276,LORAZEPAM 2 MG TABLET,5.0,1.95,,,0
CDM,1353124882,PHENYLEPHRINE 20 MG/250 ML (80 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,19.6,7.64,,,0
CDM,1353124950,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,25.1,9.79,,,0
CDM,1353131117,TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,280.1,109.24,,,0
CDM,1353131581,CLONIDINE HCL 0.1 MG TABLET,4.8,1.87,,,0
CDM,1353134269,ISOSORBIDE DINITRATE 20 MG TABLET,9.2,3.59,,,0
CDM,1353136230,CINACALCET 30 MG TABLET,680.3,265.32,,,0
CDM,1353137091,"CLONIDINE (PF) 1,000 MCG/10 ML (100 MCG/ML) EPIDURAL SOLUTION",19.6,7.64,,,0
CDM,1353137416,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION,18.2,7.1,,,0
CDM,1353138066,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1353138079,IODINE STRONG (LUGOL'S) 5 % ORAL SOLUTION,29.7,11.58,,,0
CDM,1353140501,SOTALOL 80 MG TABLET,9.9,3.86,,,0
CDM,1353140562,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION,462.0,180.18,,,0
CDM,1353145237,AMMONIUM LACTATE 12 % LOTION,29.4,11.47,,,0
CDM,1353145455,ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET,4.8,1.87,,,0
CDM,1353146184,LANOLIN ALCOHOLS-MINERAL OIL-W.PETROLATUM-CERESIN TOPICAL CREAM,65.2,25.43,,,0
CDM,1353148262,IVABRADINE 5 MG TABLET,84.4,32.92,,,0
CDM,1353149629,PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION,1872.0,730.08,,,0
CDM,1353151882,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,186.6,72.77,,,0
CDM,1353154481,FUROSEMIDE 20 MG TABLET,4.8,1.87,,,0
CDM,1353154501,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION,66.0,25.74,,,0
CDM,1353156651,ACETYLCYSTEINE 200 MG/ML (20 %) ORAL SOLUTION,45.5,17.74,,,0
CDM,1353157580,PEGFILGRASTIM-JMDB 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,14549.9,5674.46,,,0
CDM,1353159669,METHYLDOPA 250 MG TABLET,69.1,26.95,,,0
CDM,1353160077,"ASPIRIN 81 MG TABLET,DELAYED RELEASE",0.6,0.23,,,0
CDM,1353160103,CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH,594.1,231.7,,,0
CDM,1353160258,IMMUNE GLOBULIN (IGG-GAMUNEX-C) 1 GRAM/10 ML (10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,992.2,386.96,,,0
CDM,1353161112,LURASIDONE 40 MG TABLET,7.1,2.77,,,0
CDM,1353161889,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,102.4,39.94,,,0
CDM,1353162613,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,66.6,25.97,,,0
CDM,1353163090,LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION,839.0,327.21,,,0
CDM,1353163893,POTASSIUM CHLORIDE 20 MEQ/L IN 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLN,53.7,20.94,,,0
CDM,1353167342,"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE",14.3,5.58,,,0
CDM,1353171977,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1353173310,SODIUM HYPOCHLORITE 0.5 % SOLUTION,141.5,55.18,,,0
CDM,1353173875,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,106.8,41.65,,,0
CDM,1353175415,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,197.9,77.18,,,0
CDM,1353176225,HYDRALAZINE 10 MG TABLET,4.8,1.87,,,0
CDM,1353178391,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR",31.7,12.36,,,0
CDM,1353179692,HYDROMORPHONE (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLN,254.5,99.26,,,0
CDM,1353181037,METHIMAZOLE 5 MG TABLET,4.8,1.87,,,0
CDM,1353181999,LISINOPRIL 10 MG TABLET,7.6,2.96,,,0
CDM,1353185761,AMOXICILLIN 500 MG CAPSULE,4.8,1.87,,,0
CDM,1353187568,VALACYCLOVIR 500 MG TABLET,18.7,7.29,,,0
CDM,1353188389,OXYCODONE 15 MG TABLET,18.2,7.1,,,0
CDM,1353189951,EMOLLIENT COMBINATION NO.92 TOPICAL LOTION,43.6,17.0,,,0
CDM,1353197470,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,19.6,7.64,,,0
CDM,1353198303,CEPHALEXIN 250 MG CAPSULE,5.4,2.11,,,0
CDM,1353198611,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,76.9,29.99,,,0
CDM,1353199701,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.125 %-NACL INJECTION SOLUTION,228.1,88.96,,,0
CDM,1353203211,PERMETHRIN 5 % TOPICAL CREAM,949.4,370.27,,,0
CDM,1353204464,AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION,58.9,22.97,,,0
CDM,1353205915,"HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE",364.7,142.23,,,0
CDM,1353211984,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",40.4,15.76,,,0
CDM,1353212079,TRAZODONE 50 MG TABLET,6.5,2.54,,,0
CDM,1353212490,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,63.1,24.61,,,0
CDM,1353213155,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,190.9,74.45,,,0
CDM,1353213279,CLONIDINE HCL 0.2 MG TABLET,4.8,1.87,,,0
CDM,1353217341,BISOPROLOL FUMARATE 5 MG TABLET,17.3,6.75,,,0
CDM,1353217346,"MIRABEGRON ER 25 MG TABLET,EXTENDED RELEASE 24 HR",254.2,99.14,,,0
CDM,1353217899,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,158.5,61.82,,,0
CDM,1353219021,MIRTAZAPINE 15 MG TABLET,20.8,8.11,,,0
CDM,1353219263,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",4.9,1.91,,,0
CDM,1353220146,CYPROHEPTADINE 4 MG TABLET,8.2,3.2,,,0
CDM,1353221483,DOXAZOSIN 2 MG TABLET,18.5,7.22,,,0
CDM,1353224630,PIOGLITAZONE 15 MG TABLET,19.4,7.57,,,0
CDM,1353225545,HALOPERIDOL 5 MG TABLET,33.6,13.1,,,0
CDM,1353227038,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,77.8,30.34,,,0
CDM,1353227826,EZETIMIBE 10 MG TABLET,86.7,33.81,,,0
CDM,1353228097,ROFLUMILAST 250 MCG TABLET,237.9,92.78,,,0
CDM,1353228442,ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION,550.3,214.62,,,0
CDM,1353231169,BUMETANIDE 0.5 MG TABLET,37.0,14.43,,,0
CDM,1353231702,FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET,14.7,5.73,,,0
CDM,1353231777,"COAGULATION FACTOR VIIA RECOMB 2 MG (2,000 MCG) INTRAVENOUS SOLUTION",70137.6,27353.66,,,0
CDM,1353235132,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,77.8,30.34,,,0
CDM,1353235555,POTASSIUM CHLORIDE 20 MEQ/L-LACTATED RINGERS-5 % DEXTROSE INTRAVENOUS,77.2,30.11,,,0
CDM,1353237115,PYRIDOXINE (VITAMIN B6) 50 MG TABLET,4.8,1.87,,,0
CDM,1353238639,GEMFIBROZIL 600 MG TABLET,9.0,3.51,,,0
CDM,1353240282,CLOTRIMAZOLE-BETAMETHASONE 1 %-0.05 % TOPICAL CREAM,235.7,91.92,,,0
CDM,1353241068,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,392.5,153.08,,,0
CDM,1353241361,NADOLOL 20 MG TABLET,26.1,10.18,,,0
CDM,1353243520,FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET,30.4,11.86,,,0
CDM,1353245092,"CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE",12.2,4.76,,,0
CDM,1353247312,KETOROLAC 15 MG/ML INJECTION SOLUTION,32.1,12.52,,,0
CDM,1353248615,CYCLOSPORINE MODIFIED 25 MG CAPSULE (GENERIC),21.1,8.23,,,0
CDM,1353248980,HYDROCORTISONE 5 MG TABLET,2.7,1.05,,,0
CDM,1353249267,POTASSIUM CHLORIDE 10 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,41.9,16.34,,,0
CDM,1353264454,"TACROLIMUS XR 1 MG TABLET,EXTENDED RELEASE 24 HR",586.6,228.77,,,0
CDM,1353264454,"TACROLIMUS XR 4 MG TABLET,EXTENDED RELEASE 24 HR",426.6,166.37,,,0
CDM,1353267900,CYCLOSPORINE MODIFIED 100 MG CAPSULE (GENERIC),42.2,16.46,,,0
CDM,1353268809,"FERROUS SULFATE ER 137 MG (45 MG IRON) TABLET,EXTENDED RELEASE",4.8,1.87,,,0
CDM,1353269079,SERTRALINE 50 MG TABLET,23.1,9.01,,,0
CDM,1353269927,AMANTADINE HCL 100 MG CAPSULE,26.8,10.45,,,0
CDM,1353275902,MEMANTINE 10 MG TABLET,6.4,2.5,,,0
CDM,1353278574,SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK,53.7,20.94,,,0
CDM,1353278923,FEBUXOSTAT 40 MG TABLET,182.1,71.02,,,0
CDM,1353279484,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,301.5,117.58,,,0
CDM,1353279673,MICONAZOLE NITRATE 2 % TOPICAL CREAM,22.3,8.7,,,0
CDM,1353279783,CIPROFLOXACIN 0.3 % EYE DROPS,80.6,31.43,,,0
CDM,1353282473,"OXYCODONE ER 40 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",142.3,55.5,,,0
CDM,1353283923,MIDAZOLAM 5 MG/ML INJ (WRAPPED),459.1,179.05,,,0
CDM,1353284247,PHENOL 1.4 % MUCOSAL AEROSOL SPRAY,15.0,5.85,,,0
CDM,1353285624,DAPAGLIFLOZIN PROPANEDIOL 5 MG TABLET,339.4,132.37,,,0
CDM,1353298135,DIPHENHYDRAMINE 25 MG TABLET,0.6,0.23,,,0
CDM,1353298413,HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML (WRAPPED),243.5,94.96,,,0
CDM,1353299111,SODIUM CHLORIDE 3.5 % FOR NEBULIZATION,6.8,2.65,,,0
CDM,1353300654,CEPHALEXIN 500 MG CAPSULE,9.4,3.67,,,0
CDM,1353300659,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,110.5,43.1,,,0
CDM,1353301138,"VITAMIN E (DL, ACETATE) 450 MG (1,000 UNIT) CAPSULE",0.6,0.23,,,0
CDM,1353302249,ZOLPIDEM 5 MG TABLET,35.5,13.84,,,0
CDM,1353307747,DAPSONE 25 MG TABLET,75.7,29.52,,,0
CDM,1353308436,HYDROMORPHONE 0.5 MG/0.5 ML INJECTION SYRINGE,27.2,10.61,,,0
CDM,1353309600,"AMIODARONE 360 MG/200 ML (1.8 MG/ML) IN DEXTROSE, ISO-OSMOTIC IV",394.6,153.89,,,0
CDM,1353310259,POTASSIUM PHOSPHATE 30 MMOL IN 250 ML NS IVPB (SIMPLE),69.2,26.99,,,0
CDM,1353310747,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",7.1,2.77,,,0
CDM,1353312390,SEVELAMER CARBONATE 2.4 GRAM ORAL POWDER PACKET,140.3,54.72,,,0
CDM,1353318087,CLOBAZAM 2.5 MG/ML ORAL SUSPENSION,70.1,27.34,,,0
CDM,1353318366,ATROPINE 0.1 MG/ML INJECTION SYRINGE,76.9,29.99,,,0
CDM,1353320347,SODIUM CHLORIDE 0.9 % FOR NEBULIZATION,4.8,1.87,,,0
CDM,1353321354,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,70.1,27.34,,,0
CDM,1353324394,LACTATED RINGERS INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1353327572,LEVOTHYROXINE 100 MCG TABLET,12.7,4.95,,,0
CDM,1353328878,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION,76.9,29.99,,,0
CDM,1353330843,LIDOCAINE HCL 4 % LARYNGOTRACHEAL SOLUTION,31.2,12.17,,,0
CDM,1353331704,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,26.3,10.26,,,0
CDM,1353332206,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION,848.8,331.03,,,0
CDM,1353332560,SITAGLIPTIN PHOSPHATE 50 MG TABLET,168.8,65.83,,,0
CDM,1353335201,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",17.4,6.79,,,0
CDM,1353338607,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,19.6,7.64,,,0
CDM,1353339380,CALCITRIOL 0.25 MCG CAPSULE,9.3,3.63,,,0
CDM,1353347175,FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION,252.0,98.28,,,0
CDM,1353347623,CIPROFLOXACIN 0.2 % EAR DROPS IN A DROPPERETTE,358.3,139.74,,,0
CDM,1353349672,MORPHINE ORAL SOLUTION 2 MG/ML (NEONATAL ABSTINENCE),4.8,1.87,,,0
CDM,1353349919,MOXIFLOXACIN 0.5 % EYE DROPS,1290.7,503.37,,,0
CDM,1353349920,PILOCARPINE 1 % EYE DROPS,711.3,277.41,,,0
CDM,1353350191,"IMMUNE GLOB,GAMMA (IGG-GAMMAGARD) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",36511.0,14239.29,,,0
CDM,1353350192,"IMMUNE GLOB,GAMMA (IGG-GAMMAGARD) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",6085.2,2373.23,,,0
CDM,1353350400,LACTATED RINGERS INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1353351009,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,4.8,1.87,,,0
CDM,1353351083,HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE,3.3,1.29,,,0
CDM,1353351421,KETAMINE 50 MG/ML (1 ML) INTRAVENOUS SYRINGE,78.1,30.46,,,0
CDM,1353351536,CLINDAMYCIN 600 MG/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK,45.7,17.82,,,0
CDM,1353357257,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,32.6,12.71,,,0
CDM,1353360107,NORTRIPTYLINE 10 MG CAPSULE,17.0,6.63,,,0
CDM,1353361702,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,10.5,4.1,,,0
CDM,1353361847,EPINEPHRINE HCL (PF) 1 MG/ML (1 ML) INJECTION SOLUTION,127.8,49.84,,,0
CDM,1353363273,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",98.6,38.45,,,0
CDM,1353366389,LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR,48.7,18.99,,,0
CDM,1353372882,ETONOGESTREL 68 MG SUBDERMAL IMPLANT,9316.3,3633.36,,,0
CDM,1353373130,SUMATRIPTAN 50 MG TABLET,192.9,75.23,,,0
CDM,1353373848,GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION,132.0,51.48,,,0
CDM,1353374720,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,13.0,5.07,,,0
CDM,1353375373,"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN NS",119.6,46.64,,,0
CDM,1353376414,PEMETREXED DISODIUM 100 MG INTRAVENOUS POWDER FOR SOLUTION,748.8,292.03,,,0
CDM,1353378735,"DIVALPROEX 125 MG TABLET,DELAYED RELEASE",4.8,1.87,,,0
CDM,1353378859,NITROGLYCERIN 2000 MCG/10 ML (200 MCG/ML) SYRINGE - CUPID,19.6,7.64,,,0
CDM,1353378880,NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE,3622.7,1412.85,,,0
CDM,1353378881,"ROTAVIRUS VACCINE, LIVE, 89-12 STRAIN G1P(8) 10EXP6 CCID50/1.5 ML SUSP",1121.9,437.54,,,0
CDM,1353379128,PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION,40365.4,15742.51,,,0
CDM,1353379250,"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE",19.6,7.64,,,0
CDM,1353379697,CELECOXIB 100 MG CAPSULE,70.9,27.65,,,0
CDM,1353382790,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",4.8,1.87,,,0
CDM,1353383116,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION,276.2,107.72,,,0
CDM,1353386928,APREPITANT 130 MG/18 ML (CINVANTI) INTRAVENOUS EMULSION,3106.3,1211.46,,,0
CDM,1353388121,"RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS",5862.7,2286.45,,,0
CDM,1353390955,INFLIXIMAB 100 MG INTRAVENOUS SOLUTION,1324.3,516.48,,,0
CDM,1353391270,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,78.4,30.58,,,0
CDM,1353394751,"DOBUTAMINE 500 MG/250 ML (2,000 MCG/ML) IN 5 % DEXTROSE IV",341.6,133.22,,,0
CDM,1353395437,DECITABINE 50 MG VIAL DILUTED FOR INTRAVENOUS USE,92.3,36.0,,,0
CDM,1353400912,DOCETAXEL 80 MG/8 ML (10 MG/ML) INTRAVENOUS SOLUTION,2689.9,1049.06,,,0
CDM,1353401664,SILVER SULFADIAZINE 1 % TOPICAL CREAM,115.82,45.17,,,0
CDM,1353401775,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION",19.6,7.64,,,0
CDM,1353402558,"LIDOCAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION",19.6,7.64,,,0
CDM,1353405298,FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION,30.8,12.01,,,0
CDM,1353410058,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,975.8,380.56,,,0
CDM,1353414201,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,6.2,2.42,,,0
CDM,1353419709,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1353423208,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1353424113,METFORMIN 850 MG TABLET,9.3,3.63,,,0
CDM,1353425284,SINCALIDE 5 MCG SOLUTION FOR INJECTION,909.4,354.67,,,0
CDM,1353428026,DIPHENHYDRAMINE 25 MG TABLET,0.6,0.23,,,0
CDM,1353428579,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,254.1,99.1,,,0
CDM,1353430133,INFLIXIMAB-ABDA 100 MG INTRAVENOUS SOLUTION,21004.6,8191.79,,,0
CDM,1353433252,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE,102.5,39.98,,,0
CDM,1353435045,DEXAMETHASONE (PF) 10 MG/ML INJECTION (WRAPPED),64.1,25.0,,,0
CDM,1353437052,LIDOCAINE 10 MG/ML (1%) INJECTION (WC),19.6,7.64,,,0
CDM,1353438089,DROXIDOPA 300 MG CAPSULE,846.3,330.06,,,0
CDM,1353440810,GEMCITABINE 1 GRAM/26.3 ML (38 MG/ML) INTRAVENOUS SOLUTION,169.3,66.03,,,0
CDM,1353441238,"MAGNESIUM 64 MG (MAGNESIUM CHLORIDE) TABLET,DELAYED RELEASE",4.8,1.87,,,0
CDM,1353444761,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,19.6,7.64,,,0
CDM,1353445169,SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION,1738.0,677.82,,,0
CDM,1353447139,DIMENHYDRINATE 50 MG TABLET,4.8,1.87,,,0
CDM,1353448704,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET,5.1,1.99,,,0
CDM,1353449089,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,96.1,37.48,,,0
CDM,1353450656,EPHEDRINE (PF) 25 MG/5 ML (5 MG/ML) IN 0.9% SODIUM CHLORIDE IV SYRINGE,21.1,8.23,,,0
CDM,1353450890,PHENYLEPHRINE 2.5 % EYE DROPS,311.7,121.56,,,0
CDM,1353451159,PEG 3350-ELECTROLYTES (GOLYTELY) (WRAPPED),184.1,71.8,,,0
CDM,1353451635,VORICONAZOLE 200 MG TABLET,287.9,112.28,,,0
CDM,1353451635,VORICONAZOLE 50 MG TABLET,134.15,52.31999999999999,,,0
CDM,1353453941,"HEPARIN (REBOLUS HIGH INTENSITY) 1,000 UNITS/ML",19.6,7.64,,,0
CDM,1353454666,LAMOTRIGINE 100 MG TABLET,4.8,1.87,,,0
CDM,1353457439,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,20.5,8.0,,,0
CDM,1353458194,SODIUM CHLORIDE 0.9% FOR AMNIOINFUSION,53.7,20.94,,,0
CDM,1353458934,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1353459998,OLANZAPINE 5 MG DISINTEGRATING TABLET,107.4,41.89,,,0
CDM,1353460151,ALVIMOPAN 12 MG CAPSULE,1590.0,620.1,,,0
CDM,1353461337,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1353461600,CYPROHEPTADINE 4 MG TABLET,6.2,2.42,,,0
CDM,1353461808,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,703.1,274.21,,,0
CDM,1353463803,GENTAMICIN 0.1 % TOPICAL CREAM,303.0,118.17,,,0
CDM,1353464695,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,8.7,3.39,,,0
CDM,1353465796,PROMETHAZINE-DM 6.25 MG-15 MG/5 ML ORAL SYRUP,6.949999999999999,2.71,,,0
CDM,1353466390,LISINOPRIL 40 MG TABLET,12.0,4.68,,,0
CDM,1353468418,ONDANSETRON 4 MG DISINTEGRATING TABLET,20.2,7.88,,,0
CDM,1353470094,"TACROLIMUS 5 MG CAPSULE, IMMEDIATE-RELEASE",170.8,66.61,,,0
CDM,1353472298,PEDIATRIC MULTIVITAMIN CHEWABLE TABLET,4.8,1.87,,,0
CDM,1353473493,AMITRIPTYLINE 50 MG TABLET,12.2,4.76,,,0
CDM,1353477288,TOLVAPTAN 15 MG TABLET,4332.0,1689.48,,,0
CDM,1353477568,PROPRANOLOL 20 MG TABLET,4.8,1.87,,,0
CDM,1353477715,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1353479545,CARVEDILOL 6.25 MG TABLET,4.8,1.87,,,0
CDM,1353479901,ACETYLCYSTEINE 200 MG/ML (20 %) RESPIRATORY SOLUTION,66.3,25.86,,,0
CDM,1353485198,AZACITIDINE 100 MG VIAL DILUTED FOR INTRAVENOUS USE,692.1,269.92,,,0
CDM,1353486892,DAPTOMYCIN 350 MG INTRAVENOUS SOLUTION,732.1,285.52,,,0
CDM,1353487842,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1353489920,MINOCYCLINE 100 MG CAPSULE,26.1,10.18,,,0
CDM,1353491039,CARVEDILOL 1.25 MG/ML ORAL SUSPENSION (NEONATE/PEDS),11.9,4.64,,,0
CDM,1353492569,NALBUPHINE 10 MG/ML INJECTION SOLUTION,66.1,25.78,,,0
CDM,1353494547,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1353494828,SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK,53.7,20.94,,,0
CDM,1353496891,ASPIRIN 325 MG TABLET,0.6,0.23,,,0
CDM,1353500602,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE",35.2,13.73,,,0
CDM,1353501194,RIVAROXABAN 2.5 MG TABLET,76.5,29.84,,,0
CDM,1353501253,SODIUM BICARBONATE 0.5 MEQ/ML ORAL SYRINGE,158.9,61.97,,,0
CDM,1353501651,"LIDOCAINE 2%, BUPIVACAINE 0.75%, VITRASE 200 UNITS IN 10 ML SYRINGE (FOR RETROBULBAR BLOCK)",3661.0,1427.79,,,0
CDM,1353501997,CEFPROZIL 125 MG/5 ML ORAL SUSPENSION,4.8,1.87,,,0
CDM,1353501999,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,102.5,39.98,,,0
CDM,1353508358,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,769.0,299.91,,,0
CDM,1353511097,NEOSTIGMINE METHYLSULFATE 5 MG/5 ML (1 MG/ML) INTRAVENOUS SYRINGE,126.1,49.18,,,0
CDM,1353512416,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",4.8,1.87,,,0
CDM,1353515283,DARBEPOETIN ALFA 40 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE,330.5,128.9,,,0
CDM,1353516105,"VITAMIN E (DL, ACETATE) 180 MG (400 UNIT) CAPSULE",1.1,0.43,,,0
CDM,1353517135,"LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJECTION SOLUTION",131.5,51.28,,,0
CDM,1353522853,NALBUPHINE 10 MG/ML INJECTION SOLUTION,38.1,14.86,,,0
CDM,1353524125,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,119.3,46.53,,,0
CDM,1353524289,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",8.4,3.28,,,0
CDM,1353525517,PREGABALIN 25 MG CAPSULE,20.3,7.92,,,0
CDM,1353532771,MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK,575.6,224.48,,,0
CDM,1353537530,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1353540139,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION,167.3,65.25,,,0
CDM,1353546840,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",410.0,159.9,,,0
CDM,1353550865,ALPRAZOLAM 0.5 MG TABLET,7.2,2.81,,,0
CDM,1353551707,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,85.4,33.31,,,0
CDM,1353553564,ZIDOVUDINE 10 MG/ML INTRAVENOUS SOLUTION,1017.7,396.9,,,0
CDM,1353554136,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,95.8,37.36,,,0
CDM,1353554801,ACETAMINOPHEN 500 MG TABLET,0.6,0.23,,,0
CDM,1353560161,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1353561271,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1353568650,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION,205.0,79.95,,,0
CDM,1353570236,IMIPRAMINE 25 MG TABLET,5.6,2.18,,,0
CDM,1353571250,FUROSEMIDE 20 MG TABLET,4.8,1.87,,,0
CDM,1353572717,METHENAMINE 81 MG-M.BLUE 10.8 MG-SOD PHOS 40.8 MG-P.SALICY-HYOS TABLET,72.2,28.16,,,0
CDM,1353574203,CEFUROXIME AXETIL 500 MG TABLET,61.5,23.98,,,0
CDM,1353574990,MISOPROSTOL 200 MCG TABLET,135.3,52.77,,,0
CDM,1353576066,PSEUDOEPHEDRINE 30 MG TABLET,0.6,0.23,,,0
CDM,1353576289,OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION,90.9,35.45,,,0
CDM,1353578345,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,71.4,27.85,,,0
CDM,1353579072,PROMETHAZINE-DM 6.25 MG-15 MG/5 ML ORAL SYRUP,4.8,1.87,,,0
CDM,1353579236,"THROMBIN (BOVINE) 5,000 UNIT TOPICAL SOLUTION",567.1,221.17,,,0
CDM,1353579836,NAFCILLIN 2 GRAM SOLUTION FOR INJECTION,534.55,208.475,,,0
CDM,1353582096,TERAZOSIN 2 MG CAPSULE,12.4,4.84,,,0
CDM,1353582212,"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",65.6,25.58,,,0
CDM,1353582978,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,286.8,111.85,,,0
CDM,1353583471,LIDOCAINE 5 % TOPICAL PATCH,157.7,61.5,,,0
CDM,1353583627,METFORMIN 500 MG TABLET,4.8,1.87,,,0
CDM,1353584197,MAGNESIUM CITRATE ORAL SOLUTION,11.4,4.45,,,0
CDM,1353584669,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,33.4,13.03,,,0
CDM,1353585115,HYDROXYCHLOROQUINE 200 MG TABLET,31.4,12.25,,,0
CDM,1353586728,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,13.0,5.07,,,0
CDM,1353587073,"DILTIAZEM 240 MG CAPSULE, EXTENDED RELEASE (WRAPPED)",6.2,2.42,,,0
CDM,1353587381,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,17.5,6.82,,,0
CDM,1353590213,"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE",136.9,53.39,,,0
CDM,1353591808,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1353592826,ABACAVIR 300 MG TABLET,154.1,60.1,,,0
CDM,1353592826,LAMIVUDINE 150 MG TABLET,125.3,48.87,,,0
CDM,1353593339,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET",1.6,0.62,,,0
CDM,1353593986,LISINOPRIL 20 MG TABLET,4.8,1.87,,,0
CDM,1353594647,OCTREOTIDE ACETATE 100 MCG/ML (1 ML) INJECTION SYRINGE,40.5,15.8,,,0
CDM,1353597523,THERAPEUTIC MULTIVITAMIN TABLET,4.8,1.87,,,0
CDM,1353605731,OXYCODONE 15 MG TABLET,4.8,1.87,,,0
CDM,1353609230,ARIPIPRAZOLE 5 MG TABLET,122.1,47.62,,,0
CDM,1353609507,SIMETHICONE 80 MG CHEWABLE TABLET,0.6,0.23,,,0
CDM,1353611319,IBUPROFEN 800 MG TABLET,6.2,2.42,,,0
CDM,1353611618,VANCOMYCIN 1.25 GRAM/250 ML IN DILUENT COMBINATION IV PIGGYBACK,162.3,63.3,,,0
CDM,1353613074,LACOSAMIDE 10 MG/ML ORAL SOLUTION,376.0,146.64,,,0
CDM,1353613793,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,61.1,23.83,,,0
CDM,1353614527,"LIPASE-PROTEASE-AMYLASE 12,000-38,000-60,000 UNIT CAPSULE,DELAYED REL",33.0,12.87,,,0
CDM,1353616111,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (WRAPPED),14.9,5.81,,,0
CDM,1353616693,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,87.7,34.2,,,0
CDM,1353617832,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET,0.7,0.27,,,0
CDM,1353619951,TRAZODONE 50 MG TABLET,4.8,1.87,,,0
CDM,1353626267,SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK,53.7,20.94,,,0
CDM,1353626571,DEXAMETHASONE 0.5 MG/5 ML ORAL SOLUTION,20.4,7.96,,,0
CDM,1353627558,HYDRALAZINE 100 MG TABLET,4.8,1.87,,,0
CDM,1353629120,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP,21.2,8.27,,,0
CDM,1353630838,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,47.9,18.68,,,0
CDM,1353631087,MEDROXYPROGESTERONE 5 MG TABLET,14.6,5.69,,,0
CDM,1353631264,LIDOCAINE (PF) 20 MG/ML (2 %) INTRAVENOUS SOLUTION,32.1,12.52,,,0
CDM,1353631521,LEVOTHYROXINE 112 MCG TABLET,5.5,2.14,,,0
CDM,1353631522,LIOTHYRONINE 5 MCG TABLET,4.8,1.87,,,0
CDM,1353631639,EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION,127.8,49.84,,,0
CDM,1353631923,ROPINIROLE 1 MG TABLET,19.3,7.53,,,0
CDM,1353632855,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,51.3,20.01,,,0
CDM,1353633066,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",11.1,4.33,,,0
CDM,1353633587,SEVELAMER CARBONATE 800 MG TABLET,38.0,14.82,,,0
CDM,1353635011,METOPROLOL TARTRATE 25 MG TABLET,4.8,1.87,,,0
CDM,1353641291,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,10.3,4.02,,,0
CDM,1353641620,RIVAROXABAN 20 MG TABLET,153.0,59.67,,,0
CDM,1353646380,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",59.1,23.05,,,0
CDM,1353646573,FENTANYL 37.5 MCG/HOUR TRANSDERMAL PATCH,501.0,195.39,,,0
CDM,1353648702,DEXAMETHASONE 0.5 MG TABLET,4.8,1.87,,,0
CDM,1353648702,DEXAMETHASONE 0.75 MG TABLET,5.5,2.14,,,0
CDM,1353651631,FLUOXETINE 20 MG CAPSULE,20.5,8.0,,,0
CDM,1353651783,RITONAVIR 100 MG TABLET,71.1,27.73,,,0
CDM,1353655175,EPINEPHRINE 0.1 MG/ML (IV/IO)(NICU CODE NARRATOR),19.6,7.64,,,0
CDM,1353655953,TORSEMIDE 10 MG TABLET,10.8,4.21,,,0
CDM,1353659582,DONEPEZIL 10 MG TABLET,4.8,1.87,,,0
CDM,1353659594,VERAPAMIL 120 MG TABLET,4.8,1.87,,,0
CDM,1353660793,LINACLOTIDE 290 MCG CAPSULE,145.3,56.67,,,0
CDM,1353660794,ATORVASTATIN 10 MG TABLET,30.8,12.01,,,0
CDM,1353661751,AMLODIPINE 5 MG TABLET,4.8,1.87,,,0
CDM,1353666889,DABIGATRAN ETEXILATE 75 MG CAPSULE,50.8,19.81,,,0
CDM,1353666891,CHLORTHALIDONE 25 MG TABLET,17.7,6.9,,,0
CDM,1353672341,LACTATED RINGERS INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1353672647,"POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION",192.2,74.96,,,0
CDM,1353672648,AMPHOTERICIN B 50 MG SOLUTION FOR INJECTION,512.4,199.84,,,0
CDM,1353676291,FERRIC SUBSULFATE 0.2 GRAM TO 0.22 GRAM/ML TOPICAL SOLN AND APPLICATOR,96.4,37.6,,,0
CDM,1353677707,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,8.7,3.39,,,0
CDM,1353678172,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,20.7,8.07,,,0
CDM,1353679221,BACITRACIN TOPICAL OINTMENT (WRAPPED),2.9,1.13,,,0
CDM,1353679760,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1353682745,HYDROCHLOROTHIAZIDE 25 MG TABLET,4.8,1.87,,,0
CDM,1353686134,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,63.8,24.88,,,0
CDM,1353687633,"ARTICAINE 4 %-EPINEPHRINE BITARTRATE 1:100,000 INJECTION CARTRIDGE",19.6,7.64,,,0
CDM,1353691218,ACYCLOVIR 400 MG TABLET,28.8,11.23,,,0
CDM,1353692788,KETAMINE 100 MG/ML INJECTION SOLUTION,21.4,8.35,,,0
CDM,1353694371,ROPIVACAINE (PF) 0.2% ON-Q PAIN PUMP 600 ML,1614.3,629.58,,,0
CDM,1353694570,LOSARTAN 100 MG TABLET,16.6,6.47,,,0
CDM,1353698507,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",18.8,7.33,,,0
CDM,1353700493,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1353700673,FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,119.6,46.64,,,0
CDM,1353700865,FOSCARNET INTRAVITREAL INJECTION 2.4 MG/0.1 ML,19.6,7.64,,,0
CDM,1353701277,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL,60.2,23.48,,,0
CDM,1353701406,DAPTOMYCIN FOR IV PUSH,307.5,119.92,,,0
CDM,1353703241,SODIUM BICARBONATE 650 MG TABLET,0.7,0.27,,,0
CDM,1353705632,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",196.0,76.44,,,0
CDM,1353706943,HYDROMORPHONE 30 MG/30 ML (1 MG/ML) IN 0.9 % NACL IV PCA SYRINGE,216.0,84.24,,,0
CDM,1353707282,"LIDOCAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION",32.9,12.83,,,0
CDM,1353711267,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,86.5,33.74,,,0
CDM,1353715080,SODIUM HYPOCHLORITE 0.5 % SOLUTION,83.5,32.56,,,0
CDM,1353718834,DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABLET,26.3,10.26,,,0
CDM,1353719173,SUCRALFATE 100 MG/ML ORAL SUSPENSION,23.1,9.01,,,0
CDM,1353719870,"IMMUNE GLOB,GAMMA(IGG) 10 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML IV SOLUTION",63460.5,24749.6,,,0
CDM,1353723029,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",14348.5,5595.92,,,0
CDM,1353724025,"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR",7.6,2.96,,,0
CDM,1353724125,NALOXONE 1 MG/ML INJECTION SYRINGE,322.9,125.93,,,0
CDM,1353724150,SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK,53.7,20.94,,,0
CDM,1353726260,BLOOD CARDIOPLEGIA SYRINGE (KH),24.0,9.36,,,0
CDM,1353729111,LEUCOVORIN CALCIUM 200 MG SOLUTION FOR INJECTION,615.2,239.93,,,0
CDM,1353729971,ALPRAZOLAM 0.5 MG TABLET,4.8,1.87,,,0
CDM,1353732863,NIMODIPINE 30 MG CAPSULE,282.5,110.18,,,0
CDM,1353732888,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET,4.8,1.87,,,0
CDM,1353733651,FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET,700.1,273.04,,,0
CDM,1353734754,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION,125.8,49.06,,,0
CDM,1353737334,NEBIVOLOL 5 MG TABLET,36.4,14.2,,,0
CDM,1353737988,PREDNISONE 20 MG TABLET,6.0,2.34,,,0
CDM,1353740020,IXEKIZUMAB 80 MG/ML SUBCUTANEOUS AUTO-INJECTOR,0.01,0.0039,,,0
CDM,1353749818,ENALAPRIL MALEATE 2.5 MG TABLET,44.8,17.47,,,0
CDM,1353750381,NAFCILLIN 2 GRAM SOLUTION FOR INJECTION,1208.2,471.2,,,0
CDM,1353753482,MORPHINE 10 MG/5 ML ORAL SOLUTION,4.8,1.87,,,0
CDM,1353755638,CEPHALEXIN 250 MG CAPSULE,5.4,2.11,,,0
CDM,1353756909,"BUPIVACAINE-EPINEPHRINE (PF) 0.75 %-1:200,000 INJECTION SOLUTION",19.6,7.64,,,0
CDM,1353757471,DEXTROSE 5 % FLUSH (FOR USE WITH MEDS INCOMPATIBLE WITH SALINE),24.8,9.67,,,0
CDM,1353757475,FLUCYTOSINE 500 MG CAPSULE,1218.1,475.06,,,0
CDM,1353758347,CARBAMAZEPINE 200 MG TABLET,6.9,2.69,,,0
CDM,1353758544,PROPOFOL INFUSION 10 MG/ML,67.4,26.29,,,0
CDM,1353759099,SUCCINYLCHOLINE CHLORIDE 200 MG/10 ML (20 MG/ML) INTRAVENOUS SYRINGE,64.2,25.04,,,0
CDM,1353762751,GENTAMICIN 40 MG/ML INJECTION SOLUTION,39.7,15.48,,,0
CDM,1353762755,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1353762799,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,69.7,27.18,,,0
CDM,1353765557,POTASSIUM PHOSPHATE 45 MMOL IN 500 ML NS IVPB (SIMPLE),103.7,40.44,,,0
CDM,1353767105,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",4.8,1.87,,,0
CDM,1353770157,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,169.2,65.99,,,0
CDM,1353770656,DOXORUBICIN 20 MG/10 ML INTRAVENOUS SOLUTION,624.5,243.56,,,0
CDM,1353770698,SUCRALFATE 100 MG/ML ORAL SUSPENSION,93.5,36.46,,,0
CDM,1353771351,ISATUXIMAB-IRFC 20 MG/ML INTRAVENOUS SOLUTION,15779.95,6154.179999999999,,,0
CDM,1353773404,NIACIN 250 MG TABLET,4.8,1.87,,,0
CDM,1353774053,GABAPENTIN 800 MG TABLET,23.4,9.13,,,0
CDM,1353775169,NITROGLYCERIN 0.1 MG/HR TRANSDERMAL 24 HOUR PATCH,14.3,5.58,,,0
CDM,1353777653,GLIMEPIRIDE 2 MG TABLET,13.4,5.23,,,0
CDM,1353781393,ZOLBETUXIMAB-CLZB 100 MG INTRAVENOUS SOLUTION,89856.0,35043.84,,,0
CDM,1353782345,DEXAMETHASONE 6 MG TABLET,13.8,5.38,,,0
CDM,1353782352,DORZOLAMIDE-TIMOLOL (PF) 2 %-0.5 % EYE DROPS IN A DROPPERETTE,5.5,2.14,,,0
CDM,1353783494,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1353788936,"LIDOCAINE 2 %-EPINEPHRINE BITARTRATE 1:100,000 INJECTION CARTRIDGE",45.8,17.86,,,0
CDM,1353790645,ACETIC ACID 3% SOLUTION,32.6,12.71,,,0
CDM,1353792860,MORPHINE (PF) 1 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1353793938,"TRANEXAMIC ACID 1,000 MG/100 ML(10 MG/ML)IN SOD CHLOR,ISO IV PIGGYBACK",210.1,81.94,,,0
CDM,1353794039,PHENYLEPHRINE NASAL DROPS 0.125 % (1/8 %),21.6,8.42,,,0
CDM,1353794644,AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION,37.9,14.78,,,0
CDM,1353796990,CHLORPROMAZINE 10 MG TABLET,39.5,15.4,,,0
CDM,1353797061,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJ (WRAPPED),9.8,3.82,,,0
CDM,1353798240,MICROFIBRILLAR COLLAGEN HEMOSTAT 70 MM X 35 MM SHEETS,1457.3,568.35,,,0
CDM,1353798696,MORPHINE 2 MG/ML INJECTION (WRAPPED),24.6,9.59,,,0
CDM,1353799398,BASILIXIMAB 20 MG INTRAVENOUS SOLUTION,31777.5,12393.22,,,0
CDM,1353804078,CYCLOBENZAPRINE 10 MG TABLET,4.8,1.87,,,0
CDM,1353804332,AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION,24.0,9.36,,,0
CDM,1353807319,OLANZAPINE 5 MG DISINTEGRATING TABLET,53.6,20.9,,,0
CDM,1353807592,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",19.6,7.64,,,0
CDM,1353807644,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,147.3,57.45,,,0
CDM,1353807849,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION,25.4,9.91,,,0
CDM,1353808645,IBUPROFEN 800 MG/200 ML (4 MG/ML) INTRAVENOUS PIGGYBACK,167.9,65.48,,,0
CDM,1353809172,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,222.1,86.62,,,0
CDM,1353809958,COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 250 UNIT/GRAM TOPICAL OINTMENT,2435.0,949.65,,,0
CDM,1353812232,TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,43.5,16.96,,,0
CDM,1353814461,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,150.7,58.77,,,0
CDM,1353816523,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1353819363,DIGOXIN 125 MCG (0.125 MG) TABLET,20.7,8.07,,,0
CDM,1353820003,"CYANOCOBALAMIN (VIT B-12) 2,500 MCG SUBLINGUAL TABLET",0.6,0.23,,,0
CDM,1353821054,ELETRIPTAN 40 MG TABLET,471.4,183.85,,,0
CDM,1353822406,"NEOMYCIN-BACITRACN ZN-POLYMYX 3.5 MG-400 UNIT-5,000 UNIT/GRAM TOP OINT",26.3,10.26,,,0
CDM,1353823597,CYCLOSPORINE MODIFIED 100 MG/ML ORAL SOLUTION (GENERIC),23.0,8.97,,,0
CDM,1353827444,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,23.01,8.97,,,0
CDM,1353828775,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION,759.0,296.01,,,0
CDM,1353828930,LISINOPRIL 10 MG TABLET,4.8,1.87,,,0
CDM,1353829690,OXYMETAZOLINE 0.05 % NASAL SPRAY,51.7,20.16,,,0
CDM,1353831905,SACCHAROMYCES BOULARDII 250 MG CAPSULE,8.9,3.47,,,0
CDM,1353832784,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",741.2,289.07,,,0
CDM,1353835009,GUAIFENESIN 100 MG/5 ML ORAL LIQUID,14.2,5.54,,,0
CDM,1353835856,EZETIMIBE 10 MG TABLET,86.7,33.81,,,0
CDM,1353836824,MULTIVITAMIN-IRON SULFATE 15 MG-FOLIC ACID 400 MCG TABLET,0.6,0.23,,,0
CDM,1353837013,REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE,300.3,117.12,,,0
CDM,1353840367,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,854.0,333.06,,,0
CDM,1353844245,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,104.4,40.72,,,0
CDM,1353846762,DOXEPIN 10 MG/ML ORAL CONCENTRATE,11.4,4.45,,,0
CDM,1353849829,MECLIZINE 25 MG TABLET,4.8,1.87,,,0
CDM,1353850988,"LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE",7.2,2.81,,,0
CDM,1353853890,MEROPENEM 500 MG INTRAVENOUS SOLUTION,61.5,23.98,,,0
CDM,1353854058,VANCOMYCIN 1 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE IVPB (PREMIX),81.2,31.67,,,0
CDM,1353854233,ESCITALOPRAM 10 MG TABLET,217.0,84.63,,,0
CDM,1353854745,DRONABINOL 2.5 MG CAPSULE,65.2,25.43,,,0
CDM,1353854762,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",17.1,6.67,,,0
CDM,1353857708,HYDROXYUREA 40 MG/ML ORAL SUSPENSION,9.6,3.74,,,0
CDM,1353858129,OSELTAMIVIR 30 MG CAPSULE,108.8,42.43,,,0
CDM,1353858828,"ASPIRIN 325 MG TABLET,DELAYED RELEASE",0.6,0.23,,,0
CDM,1353859550,MEGESTROL 40 MG TABLET,8.2,3.2,,,0
CDM,1353860834,ALLOPURINOL 100 MG TABLET,4.8,1.87,,,0
CDM,1353861285,"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET",0.9,0.35,,,0
CDM,1353863309,GENTAMICIN 40 MG/ML INJECTION SOLUTION,30.3,11.82,,,0
CDM,1353864710,GLIPIZIDE 5 MG TABLET,4.8,1.87,,,0
CDM,1353865727,METHOCARBAMOL 750 MG TABLET,5.6,2.18,,,0
CDM,1353865926,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",35.7,13.92,,,0
CDM,1353866800,ISAVUCONAZONIUM SULFATE 186 MG CAPSULE,1420.0,553.8,,,0
CDM,1353866821,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,63.9,24.92,,,0
CDM,1353868353,ESTRADIOL 0.5 MG TABLET,4.8,1.87,,,0
CDM,1353868821,LISINOPRIL 10 MG TABLET,7.6,2.96,,,0
CDM,1353869081,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,27.4,10.69,,,0
CDM,1353870410,PROCHLORPERAZINE MALEATE 5 MG TABLET,12.4,4.84,,,0
CDM,1353874516,CARBAMAZEPINE 100 MG CHEWABLE TABLET,13.5,5.26,,,0
CDM,1353874684,ROPINIROLE 0.25 MG TABLET,19.3,7.53,,,0
CDM,1353874764,CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLUTION,1794.5,699.86,,,0
CDM,1353875271,ZONISAMIDE 25 MG CAPSULE,4.3,1.68,,,0
CDM,1353875272,ZONISAMIDE 50 MG CAPSULE,8.5,3.32,,,0
CDM,1353878855,ATORVASTATIN 40 MG TABLET,4.8,1.87,,,0
CDM,1353882245,PERITONEAL DIALYSIS SOLN 7-2.5 % DEXT.LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,614.9,239.81,,,0
CDM,1353883273,TERAZOSIN 1 MG CAPSULE,24.7,9.63,,,0
CDM,1353883769,TERAZOSIN 1 MG CAPSULE,24.7,9.63,,,0
CDM,1353887030,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,25.0,9.75,,,0
CDM,1353888577,PROPRANOLOL 10 MG TABLET,4.8,1.87,,,0
CDM,1353888748,NEOSTIGMINE METHYLSULFATE 4 MG/4 ML (1 MG/ML) INTRAVENOUS SYRINGE,51.3,20.01,,,0
CDM,1353889592,METOCLOPRAMIDE 10 MG TABLET,7.4,2.89,,,0
CDM,1353889858,MIDAZOLAM (VERSED) 5 MG/ML NASAL ROUTE ONLY,48.1,18.76,,,0
CDM,1353890907,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,69.8,27.22,,,0
CDM,1353891824,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,158.3,61.74,,,0
CDM,1353893632,AMIODARONE 200 MG TABLET,28.5,11.12,,,0
CDM,1353896030,CLORAZEPATE DIPOTASSIUM 7.5 MG TABLET,19.3,7.53,,,0
CDM,1353901474,DOXYCYCLINE HYCLATE 100 MG CAPSULE,30.7,11.97,,,0
CDM,1353904754,DOCUSATE SODIUM 283 MG/5 ML ENEMA,16.6,6.47,,,0
CDM,1353907995,CIPROFLOXACIN 500 MG/5 ML ORAL SUSPENSION,58.5,22.82,,,0
CDM,1353909975,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,169.8,66.22,,,0
CDM,1353910235,CYPROHEPTADINE 4 MG TABLET,8.2,3.2,,,0
CDM,1353919656,CEFDINIR 300 MG CAPSULE,31.1,12.13,,,0
CDM,1353920464,"MESALAMINE 1.2 GRAM TABLET,DELAYED RELEASE",95.8,37.36,,,0
CDM,1353921261,PRISMASATE 4/2.5 (POTASSIUM/CALCIUM) DIALYSIS SOLUTION,266.4,103.9,,,0
CDM,1353921939,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",75.2,29.33,,,0
CDM,1353924132,IBUPROFEN 600 MG TABLET,4.8,1.87,,,0
CDM,1353924348,CLOBETASOL 0.05 % TOPICAL OINTMENT,1192.3,465.0,,,0
CDM,1353926495,ZONISAMIDE 100 MG CAPSULE,13.2,5.15,,,0
CDM,1353929496,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1353929692,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,63.2,24.65,,,0
CDM,1353929716,"CHOLECALCIFEROL (VITAMIN D3) 1,250 MCG (50,000 UNIT) CAPSULE",3.6,1.4,,,0
CDM,1353929998,"TRANEXAMIC ACID 1,000 MG/100 ML(10 MG/ML)IN SOD CHLOR,ISO IV PIGGYBACK",149.5,58.3,,,0
CDM,1353932313,NALBUPHINE 10 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1353933778,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,515.2,200.93,,,0
CDM,1353934089,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,102.5,39.98,,,0
CDM,1353934640,SIMETHICONE 80 MG CHEWABLE TABLET,0.6,0.23,,,0
CDM,1353934731,PHENYTOIN 50 MG CHEWABLE TABLET,10.1,3.94,,,0
CDM,1353935792,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,576.0,224.64,,,0
CDM,1353936929,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,72.9,28.43,,,0
CDM,1353937838,HYDROXYZINE HCL 10 MG TABLET,4.8,1.87,,,0
CDM,1353938325,RISPERIDONE 0.25 MG TABLET,29.9,11.66,,,0
CDM,1353941195,AAS 3 % NO.2 PEDI-D5W-CALCIUM 3.75 MEQ-HEPARIN 125 UNIT/250 ML IV SOLN,341.6,133.22,,,0
CDM,1353941297,GLYCERIN 99.5 % TOPICAL SOLUTION,24.4,9.52,,,0
CDM,1353941437,ZIDOVUDINE 10 MG/ML ORAL SYRUP,4.8,1.87,,,0
CDM,1353941439,LAMIVUDINE 10 MG/ML ORAL SOLUTION,4.8,1.87,,,0
CDM,1353942040,COLCHICINE 0.6 MG TABLET,55.3,21.57,,,0
CDM,1353942942,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,25.0,9.75,,,0
CDM,1353943004,HYDROCORTISONE 1 % TOPICAL CREAM,20.2,7.88,,,0
CDM,1353943153,NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH,10.9,4.25,,,0
CDM,1353944600,LURASIDONE 20 MG TABLET,21.3,8.31,,,0
CDM,1353945316,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,33.0,12.87,,,0
CDM,1353954443,CLINDAMYCIN PHOSPHATE 1 % TOPICAL SOLUTION,185.1,72.19,,,0
CDM,1353954789,MEROPENEM 500 MG INTRAVENOUS SOLUTION,155.6,60.68,,,0
CDM,1353956200,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,6.2,2.42,,,0
CDM,1353956694,HYDROCORTISONE 0.5 % TOPICAL CREAM,23.3,9.09,,,0
CDM,1353957507,FUROSEMIDE 20 MG TABLET,4.8,1.87,,,0
CDM,1353957631,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,157.7,61.5,,,0
CDM,1353959759,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1353959851,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,176.2,68.72,,,0
CDM,1353961050,NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH,7.3,2.85,,,0
CDM,1353961658,PRAMIPEXOLE 1 MG TABLET,22.7,8.85,,,0
CDM,1353961728,ALLOPURINOL 100 MG TABLET,4.8,1.87,,,0
CDM,1353961754,NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH,8.9,3.47,,,0
CDM,1353963412,FAMOTIDINE 20 MG TABLET,1.1,0.43,,,0
CDM,1353968322,"CALCIUM GLUCONATE 2 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION",142.5,55.58,,,0
CDM,1353968691,OXCARBAZEPINE 300 MG TABLET,20.2,7.88,,,0
CDM,1353969731,ALLOPURINOL 100 MG TABLET,4.8,1.87,,,0
CDM,1353972258,ARGATROBAN 100 MG/ML INTRAVENOUS SOLUTION,3554.7,1386.33,,,0
CDM,1353973760,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION,2401.2,936.47,,,0
CDM,1353975724,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",4.8,1.87,,,0
CDM,1353975812,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",18.9,7.37,,,0
CDM,1353979493,DOXEPIN 10 MG CAPSULE,4.8,1.87,,,0
CDM,1353979927,CYCLOBENZAPRINE 5 MG TABLET,25.2,9.83,,,0
CDM,1353981054,SODIUM CHLORIDE 3 % FOR NEBULIZATION,4.8,1.87,,,0
CDM,1353981252,DOXYCYCLINE HYCLATE 100 MG TABLET,47.2,18.41,,,0
CDM,1353982073,HYDROXYCHLOROQUINE 200 MG TABLET,5.4,2.11,,,0
CDM,1353985246,"NIRMATRELVIR 300 MG (150 MG X2)-RITONAVIR 100 MG TABLET,DOSE PACK",1147.6,447.56,,,0
CDM,1353987373,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 62.5 MG/5 ML ORAL SUSPENSION,39.8,15.52,,,0
CDM,1353987834,MORPHINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,6.8,2.65,,,0
CDM,1353989196,FILGRASTIM-AAFI 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,1526.5,595.34,,,0
CDM,1353989579,"POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET",4.8,1.87,,,0
CDM,1353997542,METHADONE 5 MG/5 ML ORAL SOLUTION,29.6,11.54,,,0
CDM,1354000640,GLIMEPIRIDE 2 MG TABLET,6.8,2.65,,,0
CDM,1354002521,ARGATROBAN 100 MG/ML INTRAVENOUS SOLUTION,4265.7,1663.62,,,0
CDM,1354003536,NICOTINE (POLACRILEX) 2 MG BUCCAL LOZENGE,1.7,0.66,,,0
CDM,1354003678,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID,61.7,24.06,,,0
CDM,1354004441,SUCRALFATE 100 MG/ML ORAL SUSPENSION,44.0,17.16,,,0
CDM,1354005225,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP,0.3,0.12,,,0
CDM,1354005425,"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET",4.8,1.87,,,0
CDM,1354005925,SODIUM BICARBONATE 650 MG TABLET,0.6,0.23,,,0
CDM,1354006090,"FERROUS SULFATE ER 142 MG (45 MG IRON) TABLET,EXTENDED RELEASE",4.8,1.87,,,0
CDM,1354006542,BUSPIRONE 7.5 MG TABLET,24.3,9.48,,,0
CDM,1354010077,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION,4.8,1.87,,,0
CDM,1354011108,NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN DEXTROSE 5 % IV,215.7,84.12,,,0
CDM,1354011480,VORICONAZOLE 200 MG TABLET,564.8,220.27,,,0
CDM,1354013970,CARVEDILOL 3.125 MG TABLET,16.4,6.4,,,0
CDM,1354014540,FENTANYL 25 MCG/HR TRANSDERMAL PATCH,110.7,43.17,,,0
CDM,1354015171,FOLIC ACID 1 MG TABLET,4.8,1.87,,,0
CDM,1354015440,AMITRIPTYLINE 50 MG TABLET,5.0,1.95,,,0
CDM,1354015574,BISACODYL 10 MG RECTAL SUPPOSITORY,7.7,3.0,,,0
CDM,1354016041,BUSPIRONE 10 MG TABLET,4.8,1.87,,,0
CDM,1354017005,HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE,4.8,1.87,,,0
CDM,1354017801,SIMETHICONE 125 MG CAPSULE,0.6,0.23,,,0
CDM,1354018541,WARFARIN 2 MG TABLET,9.9,3.86,,,0
CDM,1354020621,LIDOCAINE HCL 4 % LARYNGOTRACHEAL SOLUTION,173.8,67.78,,,0
CDM,1354020727,PERITONEAL DIALYSIS SOLN 4-1.5 % DEXTR CA+ 3.5 MEQ/L-LOW MAG 0.5 MEQ/L,614.9,239.81,,,0
CDM,1354020948,CEFDINIR 300 MG CAPSULE,39.3,15.33,,,0
CDM,1354021648,OSELTAMIVIR 75 MG CAPSULE,116.5,45.44,,,0
CDM,1354022545,ADULT 2-IN-1 CPN USING CLINIMIX BASE,504.0,196.56,,,0
CDM,1354023359,PHOSPHATE DIALYSIS SOLN WITHOUT DEXTR K 4 MEQ-CA 2.5 MEQ-PO4 1 MMOL/L,315.5,123.04,,,0
CDM,1354026641,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,77.4,30.19,,,0
CDM,1354026951,CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION,13940.0,5436.6,,,0
CDM,1354027655,DOXAZOSIN 1 MG TABLET,16.8,6.55,,,0
CDM,1354028529,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,462.6,180.41,,,0
CDM,1354029878,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",17.9,6.98,,,0
CDM,1354030838,AMIODARONE 450 MG/250 ML (1.8 MG/ML) IN DEXTROSE 5 % INTRAVENOUS SOLN,249.8,97.42,,,0
CDM,1354031751,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE",4.8,1.87,,,0
CDM,1354032674,EMPAGLIFLOZIN 10 MG TABLET,161.0,62.79,,,0
CDM,1354033006,DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR,2.9,1.13,,,0
CDM,1354033150,OLANZAPINE 5 MG DISINTEGRATING TABLET,53.7,20.94,,,0
CDM,1354033604,PENICILLIN G SODIUM 5 MILLION UNIT SOLUTION FOR INJECTION,491.9,191.84,,,0
CDM,1354036342,NITROGLYCERIN 0.2 MG/HR TRANSDERMAL 24 HOUR PATCH,14.6,5.69,,,0
CDM,1354037179,KETOROLAC 15 MG/ML INJECTION SOLUTION,25.7,10.02,,,0
CDM,1354037431,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,145.2,56.63,,,0
CDM,1354037881,CIPROFLOXACIN 750 MG TABLET,24.0,9.360000000000001,,,0
CDM,1354038656,TIROFIBAN 12.5 MG/250 ML (50 MCG/ML)-0.9 % SODIUM CHLORIDE INTRAVENOUS,1665.9,649.7,,,0
CDM,1354041431,"KETAMINE 10 MG/ML IN SODIUM CHLORIDE, ISO-OSMOTIC INTRAVENOUS SOLUTION",274.2,106.94,,,0
CDM,1354042099,NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN 0.9 % NACL IV,224.4,87.52,,,0
CDM,1354043606,POTASSIUM PHOSPHATE 3 MMOL/ML ORAL SOLUTION,97.5,38.02,,,0
CDM,1354047082,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,55.1,21.49,,,0
CDM,1354047827,RISPERIDONE 1 MG DISINTEGRATING TABLET,21.2,8.27,,,0
CDM,1354048547,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID,4.8,1.87,,,0
CDM,1354049643,CITALOPRAM 10 MG/5 ML ORAL SOLUTION,75.2,29.33,,,0
CDM,1354049790,HYDRALAZINE 10 MG TABLET,4.8,1.87,,,0
CDM,1354050214,"OCTREOTIDE ACETATE 1,000 MCG/ML INJECTION SOLUTION",410.0,159.9,,,0
CDM,1354050959,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",25.8,10.06,,,0
CDM,1354053673,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET,70.2,27.38,,,0
CDM,1354054029,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,31.5,12.28,,,0
CDM,1354056935,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM,37.7,14.7,,,0
CDM,1354058378,PRAMIPEXOLE 0.125 MG TABLET,45.3,17.67,,,0
CDM,1354059110,COLCHICINE 0.6 MG TABLET,85.6,33.38,,,0
CDM,1354059559,GABAPENTIN 300 MG CAPSULE,20.5,8.0,,,0
CDM,1354060613,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",19.6,7.64,,,0
CDM,1354061367,SODIUM BICARBONATE 650 MG TABLET,0.9,0.35,,,0
CDM,1354062655,GABAPENTIN 400 MG CAPSULE,24.4,9.52,,,0
CDM,1354064019,SOTALOL 80 MG TABLET,18.1,7.06,,,0
CDM,1354064636,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET,6.8,2.65,,,0
CDM,1354065197,CLOTRIMAZOLE 1 % TOPICAL CREAM,26.35,10.274999999999999,,,0
CDM,1354065443,KETAMINE 50 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1354065811,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,80.3,31.32,,,0
CDM,1354065832,HYDROCORTISONE 2.5 % TOPICAL CREAM WITH PERINEAL APPLICATOR,669.9,261.26,,,0
CDM,1354066732,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP,16.0,6.24,,,0
CDM,1354066994,"MESALAMINE ER 250 MG CAPSULE,EXTENDED RELEASE",93.2,36.35,,,0
CDM,1354069313,LISINOPRIL 1 MG/ML ORAL SOLUTION,320.3,124.92,,,0
CDM,1354070586,LEVETIRACETAM 250 MG TABLET,4.8,1.87,,,0
CDM,1354071189,MIDODRINE 5 MG TABLET,18.6,7.25,,,0
CDM,1354071993,FLUCONAZOLE 100 MG TABLET,73.2,28.55,,,0
CDM,1354072287,DOXYCYCLINE HYCLATE 100 MG TABLET,42.9,16.73,,,0
CDM,1354072817,HYDROXYCHLOROQUINE 200 MG TABLET,9.7,3.78,,,0
CDM,1354074893,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,82.4,32.14,,,0
CDM,1354080155,MIRTAZAPINE 15 MG DISINTEGRATING TABLET,18.1,7.06,,,0
CDM,1354080802,CIPROFLOXACIN 0.2 % EAR DROPS IN A DROPPERETTE,93.3,36.39,,,0
CDM,1354080803,AMITRIPTYLINE 10 MG TABLET,4.8,1.87,,,0
CDM,1354083505,"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET",4.8,1.87,,,0
CDM,1354083697,MYLANTA-DIPHENHYDRAMINE 5 ML ORAL SUSPENSION,38.5,15.02,,,0
CDM,1354093157,MIDODRINE 5 MG TABLET,13.9,5.42,,,0
CDM,1354093689,IVERMECTIN 3 MG TABLET,114.4,44.62,,,0
CDM,1354093692,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,27.1,10.57,,,0
CDM,1354094656,PILOCARPINE 2 % EYE DROPS,773.3,301.59,,,0
CDM,1354096694,MEMANTINE 10 MG TABLET,46.9,18.29,,,0
CDM,1354097551,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",4.8,1.87,,,0
CDM,1354097671,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,4.9,1.91,,,0
CDM,1354098181,HYDRALAZINE 25 MG TABLET,15.6,6.08,,,0
CDM,1354099233,MORPHINE 4 MG/ ML INJECTION (WRAPPED),40.6,15.83,,,0
CDM,1354101240,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,76.9,29.99,,,0
CDM,1354102370,TEMAZEPAM 15 MG CAPSULE,7.6,2.96,,,0
CDM,1354106382,NITROPRUSSIDE 100 MCG/ML IN 250 ML D5W (CATHLAB),22.5,8.78,,,0
CDM,1354107332,BROMOCRIPTINE 2.5 MG TABLET,115.3,44.97,,,0
CDM,1354107857,PHENOBARBITAL 32.4 MG TABLET,4.8,1.87,,,0
CDM,1354110987,CELECOXIB 200 MG CAPSULE,57.9,22.58,,,0
CDM,1354111062,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE",19.1,7.45,,,0
CDM,1354112133,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,515.1,200.89,,,0
CDM,1354112876,SEVELAMER CARBONATE 800 MG TABLET,57.0,22.23,,,0
CDM,1354112931,MISOPROSTOL 100 MCG TABLET,45.2,17.63,,,0
CDM,1354122269,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,72.6,28.31,,,0
CDM,1354124603,OXCARBAZEPINE 150 MG TABLET,11.6,4.52,,,0
CDM,1354127955,WARFARIN 4 MG TABLET,5.1,1.99,,,0
CDM,1354129279,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,33.2,12.95,,,0
CDM,1354131364,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,25.3,9.87,,,0
CDM,1354132550,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE",40.4,15.76,,,0
CDM,1354132783,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,51.3,20.01,,,0
CDM,1354133612,MICONAZOLE NITRATE 2 % VAGINAL CREAM,82.7,32.25,,,0
CDM,1354134007,FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET,23.9,9.32,,,0
CDM,1354135604,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,52.1,20.32,,,0
CDM,1354137563,CEFUROXIME AXETIL 500 MG TABLET,42.2,16.46,,,0
CDM,1354139384,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1354140414,"BISACODYL 5 MG TABLET,DELAYED RELEASE",0.6,0.23,,,0
CDM,1354140415,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",36.7,14.31,,,0
CDM,1354140654,POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,53.7,20.94,,,0
CDM,1354148517,GUAIFENESIN 200 MG TABLET,0.6,0.23,,,0
CDM,1354150677,CIPROFLOXACIN 500 MG TABLET,42.9,16.73,,,0
CDM,1354151497,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,227.8,88.84,,,0
CDM,1354151910,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",9.4,3.67,,,0
CDM,1354153033,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE",4.8,1.87,,,0
CDM,1354158660,HYDROXYUREA 100 MG/ML ORAL SUSPENSION,9.8,3.82,,,0
CDM,1354159360,"ASPIRIN 81 MG TABLET,DELAYED RELEASE",0.6,0.23,,,0
CDM,1354161585,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1354162252,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,112.8,43.99,,,0
CDM,1354162576,FOLIC ACID 1 MG TABLET,8.0,3.12,,,0
CDM,1354162578,METHOTREXATE SODIUM 2.5 MG TABLET,287.1,111.97,,,0
CDM,1354162773,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1354162927,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET,68.5,26.72,,,0
CDM,1354163893,BISACODYL 10 MG RECTAL SUPPOSITORY,1.5,0.58,,,0
CDM,1354165417,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",170.7,66.57,,,0
CDM,1354165448,VALSARTAN 40 MG TABLET,15.6,6.08,,,0
CDM,1354167477,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1354168728,ARGATROBAN 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,854.0,333.06,,,0
CDM,1354170822,SILVER SULFADIAZINE 1 % TOPICAL CREAM,497.1,193.87,,,0
CDM,1354170932,PHENYTOIN 125 MG/5 ML ORAL SUSPENSION,6.0,2.34,,,0
CDM,1354170993,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",49.3,19.23,,,0
CDM,1354171830,VALSARTAN 160 MG TABLET,39.6,15.44,,,0
CDM,1354172463,FLECAINIDE 50 MG TABLET,13.4,5.23,,,0
CDM,1354172589,DILTIAZEM 30 MG TABLET,4.8,1.87,,,0
CDM,1354172956,"VERAPAMIL ER (SR) 240 MG TABLET,EXTENDED RELEASE",6.3,2.46,,,0
CDM,1354172970,OSELTAMIVIR 75 MG CAPSULE,65.89999999999999,25.7,,,0
CDM,1354172997,DICYCLOMINE 20 MG TABLET,4.8,1.87,,,0
CDM,1354173335,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,38.4,14.98,,,0
CDM,1354175290,CLOTRIMAZOLE 1 % TOPICAL CREAM,206.8,80.65,,,0
CDM,1354175717,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,14.5,5.66,,,0
CDM,1354176253,NEOMYCIN-BACITRACIN-POLYMYCIN TOPICAL OINTMENT (WRAPPED),14.9,5.81,,,0
CDM,1354176782,CIPROFLOXACIN 500 MG TABLET,39.9,15.56,,,0
CDM,1354177514,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,27.9,10.88,,,0
CDM,1354178038,IMATINIB 400 MG TABLET,2795.1,1090.09,,,0
CDM,1354178176,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL TABLET,64.9,25.31,,,0
CDM,1354180530,OXYMETAZOLINE 0.05 % NASAL SPRAY,8.5,3.32,,,0
CDM,1354181467,MECLIZINE 25 MG TABLET,4.8,1.87,,,0
CDM,1354183102,COLCHICINE 0.6 MG TABLET,51.7,20.16,,,0
CDM,1354183367,NEONATAL 2-IN-1 CPN (WMCG),315.0,122.85,,,0
CDM,1354185398,DICLOFENAC 1 % TOPICAL GEL,191.8,74.8,,,0
CDM,1354185581,"BISACODYL 5 MG TABLET,DELAYED RELEASE",0.6,0.23,,,0
CDM,1354186015,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",7.5,2.92,,,0
CDM,1354186540,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",19.1,7.45,,,0
CDM,1354191334,HYDROXYCHLOROQUINE 200 MG TABLET,33.4,13.03,,,0
CDM,1354194991,DARUNAVIR 800 MG-COBICISTAT 150 MG TABLET,630.7,245.97,,,0
CDM,1354195672,POTASSIUM CHLORIDE 20 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS,53.7,20.94,,,0
CDM,1354195734,LAMIVUDINE 10 MG/ML ORAL SOLUTION,114.9,44.81,,,0
CDM,1354196359,CINACALCET 30 MG TABLET,713.4,278.23,,,0
CDM,1354196514,VARENICLINE TARTRATE 0.5 MG TABLET,67.4,26.29,,,0
CDM,1354197108,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,136.7,53.31,,,0
CDM,1354197420,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",36.7,14.31,,,0
CDM,1354198395,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,34.3,13.38,,,0
CDM,1354198921,SIMETHICONE 125 MG CHEWABLE TABLET,1.4,0.55,,,0
CDM,1354199984,METHADONE 5 MG TABLET,4.8,1.87,,,0
CDM,1354205026,DABIGATRAN ETEXILATE 150 MG CAPSULE,25.4,9.91,,,0
CDM,1354206155,BUPROPION HCL 75 MG TABLET,6.1,2.38,,,0
CDM,1354212427,METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SOLUTION,567.1,221.17,,,0
CDM,1354215021,FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET,44.0,17.16,,,0
CDM,1354215774,AMINO ACID 4.25 % NO.1 IN DEXTROSE 5 % INTRAVENOUS SOLUTION,632.0,246.48,,,0
CDM,1354216636,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1354216704,VORICONAZOLE 200 MG TABLET,181.8,70.9,,,0
CDM,1354216749,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT,42.7,16.65,,,0
CDM,1354217794,EPLERENONE 25 MG TABLET,33.3,12.99,,,0
CDM,1354219258,LORAZEPAM 2 MG/ML INJECTION SOLUTION,29.2,11.39,,,0
CDM,1354221181,CAPTOPRIL 12.5 MG TABLET,5.5,2.14,,,0
CDM,1354224681,BUPROPION HCL 100 MG TABLET,16.3,6.36,,,0
CDM,1354225583,CEFAZOLIN 500 MG SOLUTION FOR INJECTION,83.2,32.45,,,0
CDM,1354225697,DIAZEPAM 5 MG TABLET,5.0,1.95,,,0
CDM,1354226743,GABAPENTIN 300 MG CAPSULE,10.3,4.02,,,0
CDM,1354226745,VALSARTAN 160 MG TABLET,76.7,29.91,,,0
CDM,1354226749,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE",4.8,1.87,,,0
CDM,1354227514,TREPROSTINIL SODIUM 1 MG/ML INJECTION SOLUTION,568.25,221.615,,,0
CDM,1354228823,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,82.4,32.14,,,0
CDM,1354230052,ATROPINE 0.4 MG/ML INJECTION SOLUTION,30.0,11.7,,,0
CDM,1354234639,VALSARTAN 80 MG TABLET,72.7,28.35,,,0
CDM,1354234677,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE",10.7,4.17,,,0
CDM,1354236310,PSEUDOEPHEDRINE 30 MG TABLET,0.6,0.23,,,0
CDM,1354237243,CLONIDINE HCL 0.2 MG TABLET,4.8,1.87,,,0
CDM,1354239470,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR",96.6,37.67,,,0
CDM,1354245832,CAPSAICIN 0.1 % TOPICAL CREAM,90.3,35.22,,,0
CDM,1354251990,HYDRALAZINE 100 MG TABLET,7.8,3.04,,,0
CDM,1354252272,CLONAZEPAM 1 MG TABLET,6.6,2.57,,,0
CDM,1354262008,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,427.0,166.53,,,0
CDM,1354264199,ESCITALOPRAM 10 MG TABLET,4.8,1.87,,,0
CDM,1354264540,FINASTERIDE 5 MG TABLET,24.0,9.36,,,0
CDM,1354264548,"LIPASE-PROTEASE-AMYLASE 3,000-9,500-15,000 UNIT CAPSULE, DELAYED REL",27.9,10.88,,,0
CDM,1354266276,OLANZAPINE 10 MG DISINTEGRATING TABLET,158.85,61.95,,,0
CDM,1354266926,"TRANEXAMIC ACID 1,000 MG/100 ML(10 MG/ML)IN SOD CHLOR,ISO IV PIGGYBACK",210.1,81.94,,,0
CDM,1354267302,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (WRAPPED),0.7,0.27,,,0
CDM,1354272757,VALACYCLOVIR 500 MG TABLET,110.9,43.25,,,0
CDM,1354272759,CALCIUM 600 MG (AS CARBONATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET,0.6,0.23,,,0
CDM,1354272760,FOLIC ACID 1 MG TABLET,4.8,1.87,,,0
CDM,1354273830,CAPLACIZUMAB-YHDP 11 MG SOLUTION FOR INJECTION,59744.7,23300.43,,,0
CDM,1354275198,BISACODYL 10 MG RECTAL SUPPOSITORY,2.2,0.86,,,0
CDM,1354276436,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,42.7,16.65,,,0
CDM,1354280482,CINACALCET 30 MG TABLET,235.2,91.73,,,0
CDM,1354280673,MIDAZOLAM (VERSED) 5 MG/ML NASAL ROUTE ONLY,19.6,7.64,,,0
CDM,1354281798,PREDNISONE 5 MG TABLET,4.8,1.87,,,0
CDM,1354282908,CEFUROXIME AXETIL 500 MG TABLET,61.4,23.95,,,0
CDM,1354284017,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,161.5,62.98,,,0
CDM,1354288983,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE,146.1,56.98,,,0
CDM,1354294767,HYDROXYZINE PAMOATE 25 MG CAPSULE,4.8,1.87,,,0
CDM,1354297409,COLESTIPOL 1 GRAM TABLET,9.7,3.78,,,0
CDM,1354299503,PRALIDOXIME 1 GRAM SOLUTION FOR INJECTION,1208.6,471.35,,,0
CDM,1354299712,ACTIVATED CHARCOAL 50 GRAM/240 ML ORAL SUSPENSION,311.1,121.33,,,0
CDM,1354302545,SILVER SULFADIAZINE 1 % TOPICAL CREAM,69.8,27.22,,,0
CDM,1354302770,LAMOTRIGINE 100 MG TABLET,19.8,7.72,,,0
CDM,1354307483,POTASSIUM CHLORIDE 20 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,341.6,133.22,,,0
CDM,1354311849,VERAPAMIL 120 MG TABLET,5.3,2.07,,,0
CDM,1354312510,LORAZEPAM 2 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1354314828,CYCLOBENZAPRINE 5 MG TABLET,13.0,5.07,,,0
CDM,1354314831,"ASCORBIC ACID (VITAMIN C) 1,000 MG TABLET",4.8,1.87,,,0
CDM,1354317152,POTASSIUM CHLORIDE 40 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,70.1,27.34,,,0
CDM,1354317745,LOSARTAN 100 MG TABLET,11.9,4.64,,,0
CDM,1354323816,PHENAZOPYRIDINE 100 MG TABLET,36.9,14.39,,,0
CDM,1354326918,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1354327433,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,15.2,5.93,,,0
CDM,1354330334,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION,48.6,18.95,,,0
CDM,1354330526,APREPITANT 80 MG CAPSULE,1563.1,609.61,,,0
CDM,1354332523,METHADONE 10 MG/ML INJECTION SOLUTION,200.7,78.27,,,0
CDM,1354334962,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",10.5,4.1,,,0
CDM,1354336637,HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION,16.3,6.36,,,0
CDM,1354337367,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,226.4,88.3,,,0
CDM,1354350285,FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,37.650000000000006,14.68,,,0
CDM,1354350516,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,210.3,82.02,,,0
CDM,1354350949,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,1171.0,456.69,,,0
CDM,1354351075,DALBAVANCIN 500 MG INTRAVENOUS SOLUTION,37201.7,14508.66,,,0
CDM,1354352249,PRIMIDONE 250 MG TABLET,8.1,3.16,,,0
CDM,1354355678,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,24.6,9.59,,,0
CDM,1354356007,CITRATE DEXTROSE SOLUTION,7711.0,3007.29,,,0
CDM,1354356432,DEXTROSE 20 % IN WATER (D20W) INTRAVENOUS SOLUTION,101.7,39.66,,,0
CDM,1354356492,"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN NS",136.7,53.31,,,0
CDM,1354356666,MONTELUKAST 10 MG TABLET,42.3,16.5,,,0
CDM,1354358058,CLOBAZAM 10 MG TABLET,145.8,56.86,,,0
CDM,1354362173,INEBILIZUMAB-CDON 10 MG/ML INTRAVENOUS SOLUTION,977532.1,381237.52,,,0
CDM,1354362733,HYDRALAZINE 25 MG TABLET,4.8,1.87,,,0
CDM,1354363231,MIDAZOLAM 1 MG/ML INJ (WRAPPED),29.4,11.47,,,0
CDM,1354365164,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJ (WRAPPED),19.6,7.64,,,0
CDM,1354366469,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,24.8,9.67,,,0
CDM,1354370796,CEFUROXIME SODIUM 1.5 GRAM INTRAVENOUS SOLUTION,92.7,36.15,,,0
CDM,1354373652,METHYLPREDNISOLONE 4 MG TABLET,99.1,38.65,,,0
CDM,1354374030,IBUPROFEN 600 MG TABLET,4.8,1.87,,,0
CDM,1354374311,"EFGARTIGIMOD ALFA 1008 MG-HYALURON-QVFC 11,200 UNIT/5.6 ML SUBCUT SOLN",100392.0,39152.88,,,0
CDM,1354374469,PROPOFOL INFUSION 10 MG/ML,378.9,147.77,,,0
CDM,1354376863,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",67.0,26.13,,,0
CDM,1354377508,CEFTOLOZANE-TAZOBACTAM 1.5 GRAM INTRAVENOUS SOLUTION,2430.6,947.93,,,0
CDM,1354378620,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1354378635,BELIMUMAB 400 MG INTRAVENOUS SOLUTION,14746.5,5751.14,,,0
CDM,1354379171,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1354381716,RIVAROXABAN 10 MG TABLET,153.0,59.67,,,0
CDM,1354382327,LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION,368.2,143.6,,,0
CDM,1354382527,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,32.6,12.71,,,0
CDM,1354382616,BUPROPION HCL 75 MG TABLET,5.6,2.18,,,0
CDM,1354394334,PANITUMUMAB 100 MG/5 ML (20 MG/ML) INTRAVENOUS SOLUTION,11304.7,4408.83,,,0
CDM,1354395521,"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION",424.4,165.52,,,0
CDM,1354395950,SUMATRIPTAN 100 MG TABLET,192.9,75.23,,,0
CDM,1354396863,IMETELSTAT 188 MG INTRAVENOUS SOLUTION,68972.1,26899.120000000003,,,0
CDM,1354396889,BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION,512.9,200.03,,,0
CDM,1354399780,ELOTUZUMAB 300 MG INTRAVENOUS SOLUTION,9466.8,3692.05,,,0
CDM,1354399780,ELOTUZUMAB 400 MG INTRAVENOUS SOLUTION,75733.2,29535.95,,,0
CDM,1354399955,OXYBUTYNIN CHLORIDE 5 MG TABLET,4.8,1.87,,,0
CDM,1354400693,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,430.5,167.9,,,0
CDM,1354400940,TARLATAMAB-DLLE 1 MG INTRAVENOUS SOLUTION,93600.0,36504.0,,,0
CDM,1354401809,OXYCODONE 5 MG/5 ML ORAL SOLUTION,4.8,1.87,,,0
CDM,1354402764,FLUOROURACIL 500 MG/10 ML INTRAVENOUS SOLUTION,66.0,25.74,,,0
CDM,1354405649,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,317.4,123.79,,,0
CDM,1354410288,SODIUM CHLORIDE 0.9 % BOLUS,53.7,20.94,,,0
CDM,1354410866,IPILIMUMAB 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,77551.3,30245.01,,,0
CDM,1354411725,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",263.0,102.57,,,0
CDM,1354414753,ALPRAZOLAM 1 MG TABLET,8.9,3.47,,,0
CDM,1354415336,"DILTIAZEM 120 MG CAPSULE, EXTENDED RELEASE (WRAPPED)",8.8,3.43,,,0
CDM,1354417070,LEUCOVORIN CALCIUM 500 MG SOLUTION FOR INJECTION,736.1,287.08,,,0
CDM,1354417450,TRASTUZUMAB-DTTB 150 MG INTRAVENOUS SOLUTION,24797.7,9671.1,,,0
CDM,1354419610,CYCLOBENZAPRINE 10 MG TABLET,8.6,3.35,,,0
CDM,1354419742,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL OINTMENT,77.4,30.19,,,0
CDM,1354420802,TRAMADOL 50 MG TABLET,6.4,2.5,,,0
CDM,1354420932,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,134.2,52.34,,,0
CDM,1354423304,ATROPINE 1 % EYE DROPS,442.1,172.42,,,0
CDM,1354425023,ONE-STEP ONLY - BUPIVACAINE-MELOXICAM ER 28.571 MG-0.857 MG/ML SURGICAL SITE INSTILL SOLN,1618.8,631.33,,,0
CDM,1354425218,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,128.1,49.96,,,0
CDM,1354426271,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,22.8,8.89,,,0
CDM,1354432682,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,222.5,86.78,,,0
CDM,1354432939,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1354433433,EPCORITAMAB-BYSP 48 MG/0.8 ML SUBCUTANEOUS SOLUTION,100820.7,39320.07,,,0
CDM,1354434065,FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE,3059.7,1193.28,,,0
CDM,1354434154,LEUCOVORIN CALCIUM 25 MG TABLET,85.8,33.46,,,0
CDM,1354435142,CETUXIMAB 200 MG/100 ML INTRAVENOUS SOLUTION,2229.9,869.66,,,0
CDM,1354435601,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION,594.0,231.66,,,0
CDM,1354435635,SODIUM CHLORIDE 3 % HYPERTONIC INTRAVENOUS INJECTION SOLUTION,53.7,20.94,,,0
CDM,1354435656,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1354441183,KETOROLAC 10 MG TABLET,16.6,6.47,,,0
CDM,1354442278,CLONAZEPAM 0.5 MG TABLET,6.2,2.42,,,0
CDM,1354446850,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET",0.8,0.31,,,0
CDM,1354448116,HYDROMORPHONE 2 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1354448770,DARBEPOETIN ALFA 25 MCG/ML IN POLYSORBATE INJECTION,1348.7,525.99,,,0
CDM,1354453958,ADULT CYCLIC 2-IN-1 CPN,504.0,196.56,,,0
CDM,1354454514,"NEOMYCIN-POLYMYXIN-PRAMOXINE 3.5 MG-10,000 UNIT-10 MG/GRAM TOP CREAM",24.7,9.63,,,0
CDM,1354454862,BACLOFEN 10 MG TABLET,4.8,1.87,,,0
CDM,1354459189,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,24.6,9.59,,,0
CDM,1354459852,"DILTIAZEM 120 MG CAPSULE, EXTENDED RELEASE (WRAPPED)",8.8,3.43,,,0
CDM,1354460958,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE",61.2,23.87,,,0
CDM,1354464829,EPINEPHRINE 5 MG/250 ML (20 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV SOLN (PREMIX),64.0,24.96,,,0
CDM,1354466878,DIPHENHYDRAMINE-ZINC ACETATE 2 %-0.1 % TOPICAL CREAM,7.5,2.92,,,0
CDM,1354467155,FENTANYL (PF) IN NS 10 MCG/ML INFUSION (PREMIX),446.3,174.06,,,0
CDM,1354467416,PROCHLORPERAZINE MALEATE 5 MG TABLET,4.8,1.87,,,0
CDM,1354467691,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,12.5,4.88,,,0
CDM,1354472459,ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION,52.0,20.28,,,0
CDM,1354473855,MERCAPTOPURINE 50 MG TABLET,27.6,10.76,,,0
CDM,1354474331,MITOMYCIN IRRIGATION SYRINGE 0.5 MG/ML,6625.4,2583.91,,,0
CDM,1354474542,MECLIZINE 25 MG TABLET,6.7,2.61,,,0
CDM,1354475457,IOPAMIDOL 250 MG IODINE/ML (51 %) INTRAVENOUS SOLUTION,330.0,128.7,,,0
CDM,1354476366,KETOCONAZOLE 2 % TOPICAL CREAM,237.1,92.47,,,0
CDM,1354478165,LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION,495.9,193.4,,,0
CDM,1354478555,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,21.6,8.42,,,0
CDM,1354480927,DOCUSATE SODIUM 100 MG CAPSULE,0.6,0.23,,,0
CDM,1354482205,PROMETHAZINE 25 MG/ML INJ (WRAPPED),19.6,7.64,,,0
CDM,1354483341,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE,274.8,107.17,,,0
CDM,1354486540,MITOMYCIN 20 MG INTRAVENOUS SOLUTION,4732.3,1845.6,,,0
CDM,1354486704,NICOTINE (POLACRILEX) 2 MG GUM,0.9,0.35,,,0
CDM,1354487363,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1354489013,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,495.0,193.05,,,0
CDM,1354491368,PEGFILGRASTIM-CBQV 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,29099.8,11348.92,,,0
CDM,1354495288,ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION,40.5,15.8,,,0
CDM,1354498278,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,21.9,8.54,,,0
CDM,1354501691,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE,51.3,20.01,,,0
CDM,1354503124,"VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT",1502.1,585.82,,,0
CDM,1354504570,SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS,651.8,254.2,,,0
CDM,1354506495,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1354511325,"COAGULATION FACTOR VIIA RECOMB 5 MG (5,000 MCG) INTRAVENOUS SOLUTION",35068.8,13676.83,,,0
CDM,1354513368,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1354517596,MINOCYCLINE 100 MG CAPSULE,8.9,3.47,,,0
CDM,1354518863,ANIFROLUMAB-FNIA 300 MG/2 ML (150 MG/ML) INTRAVENOUS SOLUTION,37177.8,14499.34,,,0
CDM,1354519490,NALTREXONE 50 MG TABLET,21.0,8.19,,,0
CDM,1354519651,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION,330.0,128.7,,,0
CDM,1354519747,OXYCODONE 15 MG TABLET,4.8,1.87,,,0
CDM,1354520796,RIFAMPIN 300 MG CAPSULE,35.3,13.77,,,0
CDM,1354526006,ERYTHROMYCIN 250 MG TABLET,101.5,39.58,,,0
CDM,1354526494,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",59.8,23.32,,,0
CDM,1354529253,PREGABALIN 50 MG CAPSULE,61.1,23.83,,,0
CDM,1354532051,"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION",205.0,79.95,,,0
CDM,1354532290,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",40.4,15.76,,,0
CDM,1354538913,ARIPIPRAZOLE 5 MG TABLET,43.7,17.04,,,0
CDM,1354539025,HYOSCYAMINE 0.125 MG SUBLINGUAL TABLET,7.3,2.85,,,0
CDM,1354539504,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",49.6,19.34,,,0
CDM,1354540537,LEVOTHYROXINE 75 MCG TABLET,12.7,4.95,,,0
CDM,1354540769,"EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR",1045.5,407.74,,,0
CDM,1354541352,LISINOPRIL 40 MG TABLET,4.8,1.87,,,0
CDM,1354542639,ESKETAMINE 56 MG (28 MG X 2) NASAL SPRAY,6398.4,2495.38,,,0
CDM,1354543516,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,495.0,193.05,,,0
CDM,1354544936,SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK,53.7,20.94,,,0
CDM,1354545030,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",77.6,30.26,,,0
CDM,1354546663,LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE,76.6,29.87,,,0
CDM,1354549502,LABETALOL 100 MG TABLET,4.8,1.87,,,0
CDM,1354552136,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,38.7,15.09,,,0
CDM,1354554453,LAMIVUDINE 10 MG/ML ORAL SOLUTION,38.3,14.94,,,0
CDM,1354554886,LISINOPRIL 2.5 MG TABLET,5.3,2.07,,,0
CDM,1354555831,NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION,188692.4,73590.04,,,0
CDM,1354559000,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",19.6,7.64,,,0
CDM,1354561842,ISAVUCONAZONIUM SULFATE 372 MG INTRAVENOUS SOLUTION,2748.9,1072.07,,,0
CDM,1354562575,FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE,620.1,241.84,,,0
CDM,1354563597,VANCOMYCIN 25 MG/ML ORAL SOLUTION,31.7,12.36,,,0
CDM,1354565770,CLORAZEPATE DIPOTASSIUM 7.5 MG TABLET,38.5,15.02,,,0
CDM,1354566963,ELETRIPTAN 40 MG TABLET,619.5,241.6,,,0
CDM,1354567666,FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET,14.7,5.73,,,0
CDM,1354567939,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INTRAVENOUS SYRINGE,205.0,79.95,,,0
CDM,1354569783,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,30.4,11.86,,,0
CDM,1354571139,CEFAZOLIN 1 GRAM INTRAVENOUS SOLUTION,46.7,18.21,,,0
CDM,1354571225,RISPERIDONE 3 MG TABLET,4.8,1.87,,,0
CDM,1354572274,SODIUM CHLORIDE 0.9 % BOLUS,53.7,20.94,,,0
CDM,1354572717,GENTAMICIN 40 MG/ML INJECTION SOLUTION FOR ANTIBIOTIC LOCK,19.6,7.64,,,0
CDM,1354574536,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,31.0,12.09,,,0
CDM,1354574689,BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION,8707.7,3396.0,,,0
CDM,1354577667,BUMETANIDE 1 MG TABLET,16.4,6.4,,,0
CDM,1354578854,"NEOMYCIN-POLYMYXIN B 40MG-200,000 UNIT IN NS 500ML (SIMPLE)",57.6,22.46,,,0
CDM,1354581213,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT,257.7,100.5,,,0
CDM,1354583977,NICARDIPINE 20 MG/200 ML(0.1 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN,794.6,309.89,,,0
CDM,1354587731,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",60.3,23.52,,,0
CDM,1354593796,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1354596424,LEVOTHYROXINE 50 MCG TABLET,4.8,1.87,,,0
CDM,1354598818,BALSALAZIDE 750 MG CAPSULE,48.75,19.01,,,0
CDM,1354598841,AMPHOTERICIN B LIPOSOME 50 MG INTRAVENOUS SUSPENSION,2130.8,831.01,,,0
CDM,1354601154,IFOSFAMIDE 1 GRAM INTRAVENOUS SOLUTION,2173.4,847.63,,,0
CDM,1354601187,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION,301.5,117.58,,,0
CDM,1354601188,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1354601199,ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1354601203,MESNA 100 MG/ML INTRAVENOUS SOLUTION,836.4,326.2,,,0
CDM,1354601651,HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION,48.7,18.99,,,0
CDM,1354603278,QUETIAPINE 25 MG TABLET,14.5,5.66,,,0
CDM,1354603324,ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION,407.5,158.92,,,0
CDM,1354603645,OXYCODONE 5 MG TABLET,4.8,1.87,,,0
CDM,1354603647,NADOLOL 20 MG TABLET,56.3,21.96,,,0
CDM,1354603880,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE",29.2,11.39,,,0
CDM,1354603906,RACEPINEPHRINE 2.25 % SOLUTION FOR NEBULIZATION,38.4,14.98,,,0
CDM,1354605545,MONTELUKAST 10 MG TABLET,35.3,13.77,,,0
CDM,1354605878,MORPHINE (PF) 1 MG/ML IN 0.9% NACL PCA (PREMIXED),170.4,66.46,,,0
CDM,1354606989,COLCHICINE 0.6 MG CAPSULE,62.6,24.41,,,0
CDM,1354610507,"ASPIRIN 81 MG TABLET,DELAYED RELEASE",0.6,0.23,,,0
CDM,1354611219,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1354611396,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE,19.6,7.64,,,0
CDM,1354612084,LANOLIN-MINERAL OIL LOTION,8.0,3.12,,,0
CDM,1354612617,NALTREXONE 50 MG TABLET,33.1,12.91,,,0
CDM,1354614339,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL TABLET,134.1,52.3,,,0
CDM,1354615483,NAFCILLIN 10 GRAM SOLUTION FOR INJECTION,854.0,333.06,,,0
CDM,1354615483,NAFCILLIN 2 GRAM SOLUTION FOR INJECTION,128.1,49.96,,,0
CDM,1354615506,NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH,7.3,2.85,,,0
CDM,1354616557,BISACODYL 10 MG RECTAL SUPPOSITORY,6.1,2.38,,,0
CDM,1354624573,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",4.8,1.87,,,0
CDM,1354625969,CYANOCOBALAMIN (VIT B-12) 500 MCG TABLET,0.6,0.23,,,0
CDM,1354626790,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,410.0,159.9,,,0
CDM,1354626909,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,7.9,3.08,,,0
CDM,1354627862,NEBIVOLOL 5 MG TABLET,27.0,10.53,,,0
CDM,1354627867,"FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION",715.9,279.2,,,0
CDM,1354628133,"ASPIRIN 25 MG-DIPYRIDAMOLE 200 MG CAPSULE,EXT.RELEASE 12 HR MULTIPHASE",64.3,25.08,,,0
CDM,1354631662,OLMESARTAN 40 MG TABLET,70.4,27.46,,,0
CDM,1354633286,IPRATROPIUM BROMIDE 42 MCG (0.06 %) NASAL SPRAY,734.2,286.34,,,0
CDM,1354634439,LORATADINE 10 MG TABLET,3.7,1.44,,,0
CDM,1354636356,FLECAINIDE 50 MG TABLET,31.0,12.09,,,0
CDM,1354637901,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE",5.3,2.07,,,0
CDM,1354638386,"OMEGA 3-DHA-EPA-FISH OIL 300 MG-1,000 MG CAPSULE",0.9,0.35,,,0
CDM,1354638556,ZIPRASIDONE 20 MG CAPSULE,65.0,25.35,,,0
CDM,1354640005,SIMETHICONE 80 MG CHEWABLE TABLET,0.6,0.23,,,0
CDM,1354640470,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",6.3,2.46,,,0
CDM,1354641137,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,30.3,11.82,,,0
CDM,1354644196,EMPAGLIFLOZIN 25 MG TABLET,161.0,62.79,,,0
CDM,1354645310,ALBUTEROL SULFATE CONCENTRATE 2.5 MG/0.5 ML SOLUTION FOR NEBULIZATION,20.8,8.11,,,0
CDM,1354645328,HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION,10.7,4.17,,,0
CDM,1354646504,RIFAMPIN 300 MG CAPSULE,34.3,13.38,,,0
CDM,1354648594,GUANFACINE 1 MG TABLET,7.8,3.04,,,0
CDM,1354648596,LISINOPRIL 10 MG TABLET,4.8,1.87,,,0
CDM,1354649354,AMITRIPTYLINE 25 MG TABLET,4.8,1.87,,,0
CDM,1354649385,LEVOTHYROXINE 200 MCG TABLET,9.3,3.63,,,0
CDM,1354650080,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SYRINGE,469.3,183.03,,,0
CDM,1354663259,RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION,20869.5,8139.1,,,0
CDM,1354665853,ARGININE 7 GRAM-GLUTAMINE 7 GRAM-CALCIUM HMB 1.5 GRAM ORAL POWDER PACK,0.01,0.0039,,,0
CDM,1354667104,LORATADINE 10 MG TABLET,0.9,0.35,,,0
CDM,1354667976,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,69.2,26.99,,,0
CDM,1354674612,HYDROXYZINE HCL 25 MG TABLET,7.1,2.77,,,0
CDM,1354674765,"NIACIN ER 250 MG CAPSULE,EXTENDED RELEASE",0.6,0.23,,,0
CDM,1354676145,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,333.1,129.91,,,0
CDM,1354679012,DAPAGLIFLOZIN PROPANEDIOL 10 MG TABLET,153.4,59.83,,,0
CDM,1354679892,METOCLOPRAMIDE 10 MG TABLET,4.8,1.87,,,0
CDM,1354680253,LACOSAMIDE 200 MG TABLET,18.9,7.37,,,0
CDM,1354681965,LUBIPROSTONE 24 MCG CAPSULE,86.1,33.58,,,0
CDM,1354682431,DOLUTEGRAVIR 50 MG TABLET,594.5,231.86,,,0
CDM,1354685182,CINACALCET 30 MG TABLET,235.2,91.73,,,0
CDM,1354687964,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION SYRINGE,211.2,82.37,,,0
CDM,1354691262,MOXIFLOXACIN 0.5 % EYE DROPS,1283.6,500.6,,,0
CDM,1354693808,SALSALATE 500 MG TABLET,15.0,5.85,,,0
CDM,1354696504,"CALCIUM GLUCONATE 1 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION",108.5,42.32,,,0
CDM,1354696653,CETIRIZINE 1 MG/ML ORAL SOLUTION,4.8,1.87,,,0
CDM,1354697523,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",8.7,3.39,,,0
CDM,1354697599,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,12.1,4.72,,,0
CDM,1354698301,FLECAINIDE 50 MG TABLET,31.0,12.09,,,0
CDM,1354699511,ATORVASTATIN 20 MG TABLET,44.0,17.16,,,0
CDM,1354699597,"NYSTATIN 100,000 UNIT/GRAM TOPICAL OINTMENT",134.3,52.38,,,0
CDM,1354702464,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,34.3,13.38,,,0
CDM,1354703177,NALOXONE 0.4 MG/ML INJECTION SOLUTION,4965.8,1936.66,,,0
CDM,1354710617,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,84.0,32.76,,,0
CDM,1354714053,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1354716216,FEBUXOSTAT 40 MG TABLET,95.0,37.05,,,0
CDM,1354717218,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,276.9,107.99,,,0
CDM,1354719674,"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET",4.8,1.87,,,0
CDM,1354719675,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",39.0,15.21,,,0
CDM,1354722580,CIPROFLOXACIN 500 MG TABLET,4.8,1.87,,,0
CDM,1354726255,"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG)/2 ML INJECTION SYRINGE",1186.0,462.54,,,0
CDM,1354728644,NITROGLYCERIN 400 MCG/SPRAY TRANSLINGUAL,1721.7,671.46,,,0
CDM,1354731638,AMIODARONE 200 MG TABLET,111.6,43.52,,,0
CDM,1354734240,METHYLENE BLUE (ANTIDOTE) 1 % (10 MG/ML) INTRAVENOUS SOLUTION,1742.5,679.58,,,0
CDM,1354734586,CEFAZOLIN 3 GRAM INTRAVENOUS SOLUTION,75.0,29.25,,,0
CDM,1354737261,CALASPARGASE PEGOL-MKNL 750 UNIT/ML INTRAVENOUS SOLUTION,72474.2,28264.94,,,0
CDM,1354738288,ASPIRIN 81 MG CHEWABLE TABLET,0.6,0.23,,,0
CDM,1354738447,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE",5.6,2.18,,,0
CDM,1354738919,ACETYLCYSTEINE 200 MG/ML (20 %) RESPIRATORY SOLUTION,91.9,35.84,,,0
CDM,1354742251,SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1354742435,TOCILIZUMAB 200 MG/10 ML (20 MG/ML) INTRAVENOUS SOLUTION,9255.6,3609.68,,,0
CDM,1354745368,MAGNESIUM CITRATE ORAL SOLUTION,15.9,6.2,,,0
CDM,1354745974,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION,1646.7,642.21,,,0
CDM,1354749170,DEXRAZOXANE HCL 250 MG INTRAVENOUS SOLUTION,708.1,276.16,,,0
CDM,1354749172,VINBLASTINE 1 MG/ML INTRAVENOUS SOLUTION,578.8,225.73,,,0
CDM,1354749956,DIATRIZOATE MEGLUMINE 30 % URETHRAL SOLUTION,825.0,321.75,,,0
CDM,1354752760,CIPROFLOXACIN 250 MG/5 ML ORAL SUSPENSION,150.1,58.54,,,0
CDM,1354755173,ARIPIPRAZOLE 20 MG TABLET,173.1,67.51,,,0
CDM,1354758478,NIMODIPINE 30 MG CAPSULE,295.1,115.09,,,0
CDM,1354758479,NIMODIPINE 60 MG/10 ML ORAL SYRINGE (FOR ORAL USE ONLY),819.4,319.57,,,0
CDM,1354758729,ADENOSINE 180 MG/90 ML NS FOR CATH LAB (SIMPLE),685.2,267.23,,,0
CDM,1354759275,INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION,207.0,80.73,,,0
CDM,1354762800,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION,220.8,86.11,,,0
CDM,1354764137,ETHYL ALCOHOL 99 % INTRA-ARTERIAL SOLUTION,6966.6,2716.97,,,0
CDM,1354766078,GABAPENTIN 300 MG CAPSULE,10.6,4.13,,,0
CDM,1354768003,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,555.1,216.49,,,0
CDM,1354768938,COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION,821.9,320.54,,,0
CDM,1354769493,HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE,1085.6,423.38,,,0
CDM,1354770223,BUPIVACAINE HCL 0.25 % (2.5 MG/ML) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1354774096,FLUOXETINE 10 MG CAPSULE,97.7,38.1,,,0
CDM,1354775206,ASCORBIC ACID (VITAMIN C) 250 MG TABLET,0.6,0.23,,,0
CDM,1354777680,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,122.3,47.7,,,0
CDM,1354778892,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,19.6,7.64,,,0
CDM,1354779461,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (WRAPPED),12.4,4.84,,,0
CDM,1354780649,VINORELBINE 10 MG/ML INTRAVENOUS SOLUTION,692.1,269.92,,,0
CDM,1354782085,"NEOMYCIN-BACITRACN ZN-POLYMYX 3.5 MG-400 UNIT-5,000 UNIT/GRAM TOP OINT",4.8,1.87,,,0
CDM,1354783239,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,666.2,259.82,,,0
CDM,1354783360,AMIODARONE 200 MG TABLET,60.9,23.75,,,0
CDM,1354783632,ALPRAZOLAM 0.5 MG TABLET,7.2,2.81,,,0
CDM,1354784844,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1354785807,PREDNISONE 20 MG TABLET,4.8,1.87,,,0
CDM,1354787357,DIGOXIN 125 MCG (0.125 MG) TABLET,16.2,6.32,,,0
CDM,1354788649,DOXYCYCLINE MONOHYDRATE 25 MG/5 ML ORAL SUSPENSION,58.3,22.74,,,0
CDM,1354789527,MONTELUKAST 5 MG CHEWABLE TABLET,31.5,12.28,,,0
CDM,1354792185,DICYCLOMINE 10 MG CAPSULE,4.8,1.87,,,0
CDM,1354792568,DECITABINE 50 MG VIAL DILUTED FOR INTRAVENOUS USE,123.1,48.01,,,0
CDM,1354792948,TARLATAMAB-DLLE 1 MG INTRAVENOUS SOLUTION,9360.0,3650.4,,,0
CDM,1354794125,BELLADONNA ALKALOIDS-OPIUM 16.2 MG-30 MG RECTAL SUPPOSITORY,211.1,82.33,,,0
CDM,1354795201,"MINERAL OIL, LIGHT STERILE",174.8,68.17,,,0
CDM,1354795812,LEUPROLIDE 11.25 MG (PEDIATRIC 3 MONTH) INTRAMUSCULAR SYRINGE KIT,73638.8,28719.13,,,0
CDM,1354796962,GEMCITABINE 200 MG/5.26 ML (38 MG/ML) INTRAVENOUS SOLUTION,148.3,57.84,,,0
CDM,1354797943,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,116.7,45.51,,,0
CDM,1354799173,VINORELBINE 10 MG/ML INTRAVENOUS SOLUTION,769.0,299.91,,,0
CDM,1354799205,VANCOMYCIN 50 MG/ML ORAL SOLUTION,52.1,20.32,,,0
CDM,1354801291,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,1210.6,472.13,,,0
CDM,1354801695,LEUCOVORIN CALCIUM 100 MG SOLUTION FOR INJECTION,136.7,53.31,,,0
CDM,1354802035,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,91.1,35.53,,,0
CDM,1354802082,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1354803366,ADULT CYCLIC 2-IN-1 CPN USING CLINIMIX BASE,504.0,196.56,,,0
CDM,1354803542,CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH,593.4,231.43,,,0
CDM,1354809200,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS PIGGYBACK,53.7,20.94,,,0
CDM,1354810804,NADOLOL 20 MG TABLET,26.1,10.18,,,0
CDM,1354812545,METHADONE 10 MG/5 ML ORAL SOLUTION,45.0,17.55,,,0
CDM,1354813400,LEVETIRACETAM 750 MG TABLET,4.8,1.87,,,0
CDM,1354815352,APIXABAN 5 MG TABLET,77.6,30.26,,,0
CDM,1354816787,PROMETHAZINE 25 MG TABLET,4.8,1.87,,,0
CDM,1354822786,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION,55.3,21.57,,,0
CDM,1354822959,TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION,253191.8,98744.8,,,0
CDM,1354823825,THYROID (PORK) 60 MG TABLET,13.0,5.07,,,0
CDM,1354825021,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,20.3,7.92,,,0
CDM,1354825212,HYDROGEN PEROXIDE 3 % SOLUTION,4.8,1.87,,,0
CDM,1354825501,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,4.8,1.87,,,0
CDM,1354827107,MAGNESIUM CITRATE ORAL SOLUTION,22.8,8.89,,,0
CDM,1354827889,IMIPRAMINE 50 MG TABLET,40.5,15.8,,,0
CDM,1354833171,DARUNAVIR 800 MG TABLET,578.6,225.65,,,0
CDM,1354833172,RITONAVIR 100 MG TABLET,86.3,33.66,,,0
CDM,1354834250,GABAPENTIN 250 MG/5 ML ORAL SOLUTION,12.2,4.76,,,0
CDM,1354834251,LAMOTRIGINE 100 MG TABLET,4.8,1.87,,,0
CDM,1354836287,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION,279.4,108.97,,,0
CDM,1354836480,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE",52.5,20.48,,,0
CDM,1354837469,ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLUTION,31650.9,12343.85,,,0
CDM,1354837682,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,103.35,40.31,,,0
CDM,1354837854,LABETALOL 200 MG TABLET,4.8,1.87,,,0
CDM,1354840854,FENTANYL 12 MCG/HR TRANSDERMAL PATCH,155.8,60.76,,,0
CDM,1354840922,TERAZOSIN 1 MG CAPSULE,12.4,4.84,,,0
CDM,1354843858,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION,84.9,33.11,,,0
CDM,1354844184,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,24.0,9.36,,,0
CDM,1354844539,"THROMBIN (BOVINE) 20,000 UNIT TOPICAL SPRAY SYRINGE",2559.6,998.24,,,0
CDM,1354844632,HYDROXYZINE HCL 50 MG/ML INTRAMUSCULAR SOLUTION,379.5,148.0,,,0
CDM,1354849787,DEXAMETHASONE 6 MG TABLET,27.4,10.69,,,0
CDM,1354850228,LABETALOL 10 MG/2 ML (5 MG/ML) INTRAVENOUS SYRINGE,77.0,30.03,,,0
CDM,1354851156,METHOCARBAMOL 750 MG TABLET,4.8,1.87,,,0
CDM,1354851713,DEXMEDETOMIDINE 200 MCG/50 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,30.7,11.97,,,0
CDM,1354857669,PROPOFOL INFUSION 10 MG/ML,77.5,30.22,,,0
CDM,1354860647,ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION,35.9,14.0,,,0
CDM,1354860753,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,21.22,8.28,,,0
CDM,1354865164,"OCTREOTIDE,MICROSPHERES ER 20 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",32175.7,12548.52,,,0
CDM,1354865591,EPINEPHRINE 1 MG/ML INJECTION SOLUTION,320.3,124.92,,,0
CDM,1354867081,LEVOTHYROXINE 100 MCG TABLET,4.8,1.87,,,0
CDM,1354868514,MIDAZOLAM 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,187.9,73.28,,,0
CDM,1354870327,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK,2439.5,951.4,,,0
CDM,1354872562,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,56.1,21.88,,,0
CDM,1354872731,MORPHINE ORAL SUSPENSION 0.2 MG/ML (NEONATAL ABSTINENCE),4.8,1.87,,,0
CDM,1354874412,OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION,257599.2,100463.69,,,0
CDM,1354876603,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,717.9,279.98,,,0
CDM,1354878729,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,231.9,90.44,,,0
CDM,1354880472,DARBEPOETIN ALFA 300 MCG/0.6 ML IN POLYSORBATE INJECTION SYRINGE,13487.0,5259.93,,,0
CDM,1354881640,PREDNISONE 10 MG TABLET,2.1,0.82,,,0
CDM,1354881696,CIPROFLOXACIN 200 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,26.549999999999997,10.355,,,0
CDM,1354886265,OLANZAPINE 10 MG DISINTEGRATING TABLET,159.75,62.3,,,0
CDM,1354886268,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1354887140,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,35.1,13.69,,,0
CDM,1354890082,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,53.2,20.75,,,0
CDM,1354890441,ISOSORBIDE DINITRATE 10 MG TABLET,4.8,1.87,,,0
CDM,1354890677,FENTANYL (PF) 1000 MCG/100 ML NS (10 MCG/ML) PREMIX,410.0,159.9,,,0
CDM,1354890830,DEXTROAMPHETAMINE-AMPHETAMINE 30 MG TABLET,13.2,5.15,,,0
CDM,1354899954,ALLOPURINOL 100 MG TABLET,8.7,3.39,,,0
CDM,1354899955,FINASTERIDE 5 MG TABLET,24.1,9.4,,,0
CDM,1354909929,ITRACONAZOLE 100 MG CAPSULE,215.89999999999998,84.205,,,0
CDM,1354910314,PREDNISONE 10 MG TABLET,1.9,0.74,,,0
CDM,1354911159,LEVOTHYROXINE 50 MCG TABLET,4.8,1.87,,,0
CDM,1354913724,PHYTONADIONE 1 MG/ML ORAL SUSPENSION (NEONATE/PEDS),36.7,14.31,,,0
CDM,1354919433,SENNOSIDES 8.8 MG/5 ML ORAL SYRUP,12.6,4.91,,,0
CDM,1354921215,LACTATED RINGERS INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1354922151,DOFETILIDE 250 MCG CAPSULE,74.8,29.17,,,0
CDM,1354925550,"FERROUS SULFATE 325 MG (65 MG IRON) TABLET,DELAYED RELEASE",1.9,0.74,,,0
CDM,1354928461,CITALOPRAM 40 MG TABLET,21.4,8.35,,,0
CDM,1354929510,ERAVACYCLINE 50 MG INTRAVENOUS SOLUTION,1094.2,426.74,,,0
CDM,1354929864,ROSUVASTATIN 10 MG TABLET,21.1,8.23,,,0
CDM,1354937711,"NEOMYCIN-BACITRACIN-POLYMYXN 3.5 MG-400 UNIT-10,000 UNIT/GRAM EYE OINT",436.8,170.35,,,0
CDM,1354938219,SUCRALFATE 100 MG/ML ORAL SUSPENSION,82.9,32.33,,,0
CDM,1354942237,RASBURICASE 1.5 MG INTRAVENOUS SOLUTION,27222.2,10616.66,,,0
CDM,1354948591,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1354952692,RIVASTIGMINE 1.5 MG CAPSULE,25.2,9.83,,,0
CDM,1354954067,THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET,4.8,1.87,,,0
CDM,1354956435,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,66.1,25.78,,,0
CDM,1354956463,CELECOXIB 200 MG CAPSULE,9.6,3.74,,,0
CDM,1354957106,ESOMEPRAZOLE MAGNESIUM DR 40 MG GRANULES DELAYED RELEASE FOR SUSP,73.5,28.66,,,0
CDM,1354958990,LIDOCAINE 4 % MUCOSAL SOLN (WC),368.2,143.6,,,0
CDM,1354959157,FERRIC CITRATE 210 MG IRON TABLET,162.3,63.3,,,0
CDM,1354960443,POTASSIUM CHLORIDE 20 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,53.7,20.94,,,0
CDM,1354961044,AMIODARONE 200 MG TABLET,4.8,1.87,,,0
CDM,1354961061,SEVELAMER CARBONATE 800 MG TABLET,35.2,13.73,,,0
CDM,1354963541,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1354964914,INSULIN GLULISINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,0.01,0.0039,,,0
CDM,1354967111,LIDOCAINE 5 % TOPICAL PATCH,71.8,28.0,,,0
CDM,1354970295,PHENOBARBITAL 32.4 MG TABLET,15.5,6.04,,,0
CDM,1354972584,DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION,66.0,25.74,,,0
CDM,1354973227,PERAMPANEL 0.5 MG/ML ORAL SUSPENSION,858.2,334.7,,,0
CDM,1354973232,GLYCOPYRROLATE 1 MG TABLET,10.1,3.94,,,0
CDM,1354973240,OXCARBAZEPINE 600 MG TABLET,73.7,28.74,,,0
CDM,1354973241,TOPIRAMATE 25 MG TABLET,155.0,60.45,,,0
CDM,1354973658,DRONABINOL 5 MG CAPSULE,188.1,73.36,,,0
CDM,1354973671,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",4.8,1.87,,,0
CDM,1354982897,CLONAZEPAM 1 MG TABLET,7.0,2.73,,,0
CDM,1354983450,VALACYCLOVIR 500 MG TABLET,110.9,43.25,,,0
CDM,1354986546,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,19.6,7.64,,,0
CDM,1354987083,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",60.3,23.52,,,0
CDM,1354988580,SUCRALFATE 100 MG/ML ORAL SUSPENSION,82.9,32.33,,,0
CDM,1354989479,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION,172.0,67.08,,,0
CDM,1354992398,LEVETIRACETAM 500 MG TABLET,5.6,2.18,,,0
CDM,1354992446,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",12.9,5.03,,,0
CDM,1354993373,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1354994817,WHITE PETROLATUM 41 % TOPICAL OINTMENT,108.9,42.47,,,0
CDM,1354996226,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,143.1,55.81,,,0
CDM,1354998590,CEFDINIR 250 MG/5 ML ORAL SUSPENSION,1208.1,471.16,,,0
CDM,1354999115,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE",4.8,1.87,,,0
CDM,1355000499,ARIPIPRAZOLE 5 MG TABLET,7.7,3.0,,,0
CDM,1355000501,IVABRADINE 5 MG TABLET,86.2,33.62,,,0
CDM,1355001284,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,38.5,15.02,,,0
CDM,1355001480,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,7.8,3.04,,,0
CDM,1355002051,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,8.4,3.28,,,0
CDM,1355002856,METRONIDAZOLE 500 MG TABLET,24.9,9.71,,,0
CDM,1355003004,PYRIDOXINE (VITAMIN B6) 100 MG/ML INJECTION SOLUTION,92.8,36.19,,,0
CDM,1355003945,URSODIOL 300 MG CAPSULE,53.7,20.94,,,0
CDM,1355004189,OXCARBAZEPINE 300 MG TABLET,4.8,1.87,,,0
CDM,1355004513,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,4.4,1.72,,,0
CDM,1355004689,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,12.2,4.76,,,0
CDM,1355007049,OLANZAPINE 5 MG TABLET,50.7,19.77,,,0
CDM,1355008738,ATORVASTATIN 80 MG TABLET,14.8,5.77,,,0
CDM,1355008796,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE",136.9,53.39,,,0
CDM,1355009909,"NEOMYCIN-POLYMYXIN-DEXAMETH 3.5 MG/ML-10,000 UNIT/ML-0.1% EYE DROPS",337.5,131.62,,,0
CDM,1355011289,MIRTAZAPINE 15 MG TABLET,20.8,8.11,,,0
CDM,1355012110,TROPICAMIDE 1 % EYE DROPS,273.3,106.59,,,0
CDM,1355020173,CLINDAMYCIN HCL 150 MG CAPSULE,15.8,6.16,,,0
CDM,1355024527,OXYMETAZOLINE 0.025% NASAL DROPS,343.9,134.12,,,0
CDM,1355028154,OXYCODONE 5 MG/5 ML ORAL SOLUTION,64.5,25.16,,,0
CDM,1355032962,CEPHALEXIN 125 MG/5 ML ORAL SUSPENSION,7.0,2.73,,,0
CDM,1355033567,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",32.45,12.655000000000001,,,0
CDM,1355038016,DIAZEPAM 5 MG/5 ML (1 MG/ML) ORAL SOLUTION,4.8,1.87,,,0
CDM,1355038290,PROMETHAZINE 12.5 MG TABLET,4.8,1.87,,,0
CDM,1355038410,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,15.0,5.85,,,0
CDM,1355038737,ALLOPURINOL 100 MG TABLET,3.8,1.48,,,0
CDM,1355038797,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1355038990,OXYCODONE 5 MG TABLET,4.8,1.87,,,0
CDM,1355041625,ABACAVIR 300 MG TABLET,77.1,30.07,,,0
CDM,1355041749,SILVER NITRATE APPLICATORS 75 %-25 % TOPICAL STICK,16.2,6.32,,,0
CDM,1355044853,CEFDINIR 125 MG/5 ML ORAL SUSPENSION,98.9,38.57,,,0
CDM,1355046277,GUAIFENESIN 100 MG/5 ML ORAL LIQUID,9.2,3.59,,,0
CDM,1355048811,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,111.5,43.48,,,0
CDM,1355053282,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET,0.6,0.23,,,0
CDM,1355054063,ACETAZOLAMIDE 250 MG TABLET,25.3,9.87,,,0
CDM,1355056080,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION,108.7,42.39,,,0
CDM,1355056831,POTASSIUM CHLORIDE 20 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,35.1,13.69,,,0
CDM,1355060072,INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION,217.6,84.86,,,0
CDM,1355062356,CAPECITABINE 500 MG TABLET,976.5,380.84,,,0
CDM,1355064797,"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION",100.1,39.04,,,0
CDM,1355065084,CARVEDILOL 12.5 MG TABLET,4.8,1.87,,,0
CDM,1355065836,TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG TABLET,7.6,2.96,,,0
CDM,1355068890,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,51.3,20.01,,,0
CDM,1355075588,BENZOCAINE 20 % MUCOSAL AEROSOL SPRAY,199.4,77.77,,,0
CDM,1355077009,POTASSIUM CHLORIDE 10 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,41.9,16.34,,,0
CDM,1355078033,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,94.5,36.86,,,0
CDM,1355080190,CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION,204.0,79.56,,,0
CDM,1355081437,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,91.3,35.61,,,0
CDM,1355081650,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,59.1,23.05,,,0
CDM,1355081736,"CIPROFLOXACIN 0.3 %-DEXAMETHASONE 0.1 % EAR DROPS,SUSPENSION",1910.6,745.13,,,0
CDM,1355081900,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1355086055,TRIAMTERENE 75 MG-HYDROCHLOROTHIAZIDE 50 MG TABLET,4.8,1.87,,,0
CDM,1355087663,ISOPROPYL ALCOHOL 70 % SOLUTION,177.8,69.34,,,0
CDM,1355088387,HYDROCORTISONE ORAL SUSPENSION 2MG/ML,57.6,22.46,,,0
CDM,1355091991,DICYCLOMINE 10 MG CAPSULE,5.1,1.99,,,0
CDM,1355092136,CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJECTION SOLUTION,28.7,11.19,,,0
CDM,1355094695,PENTAMIDINE 300 MG SOLUTION FOR INJECTION,0.01,0.0039,,,0
CDM,1355098107,CIPROFLOXACIN 0.3 % EYE OINTMENT,119.2,46.49,,,0
CDM,1355101636,LISINOPRIL 2.5 MG TABLET,5.0,1.95,,,0
CDM,1355102472,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1355102784,"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION",19.6,7.64,,,0
CDM,1355103970,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION,102.4,39.94,,,0
CDM,1355106970,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",55.8,21.76,,,0
CDM,1355107817,"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE",190.7,74.37,,,0
CDM,1355109778,SACUBITRIL 49 MG-VALSARTAN 51 MG TABLET,90.2,35.18,,,0
CDM,1355110087,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,51.3,20.01,,,0
CDM,1355112511,NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN DEXTROSE 5 % IV,170.8,66.61,,,0
CDM,1355113392,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,7926.8,3091.45,,,0
CDM,1355113771,PROCHLORPERAZINE 25 MG RECTAL SUPPOSITORY,96.6,37.67,,,0
CDM,1355121061,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION,264.6,103.19,,,0
CDM,1355121522,"ERYTHROMYCIN 250 MG TABLET,DELAYED RELEASE",64.4,25.12,,,0
CDM,1355123840,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION,16.1,6.28,,,0
CDM,1355123923,ENALAPRIL MALEATE 1 MG/ML ORAL SOLUTION,43.3,16.89,,,0
CDM,1355128626,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION,565.3,220.47,,,0
CDM,1355131548,"DILTIAZEM 240 MG CAPSULE, EXTENDED RELEASE (WRAPPED)",4.8,1.87,,,0
CDM,1355132415,ZINC SULFATE 50 MG ZINC (220 MG) CAPSULE,1.0,0.39,,,0
CDM,1355133913,AZITHROMYCIN 250 MG TABLET,19.3,7.53,,,0
CDM,1355134258,"EPOETIN ALFA 20,000 UNIT/ML INJECTION SOLUTION",2311.3,901.41,,,0
CDM,1355135061,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS PIGGYBACK,53.7,20.94,,,0
CDM,1355135446,BENZONATATE 100 MG CAPSULE,15.1,5.89,,,0
CDM,1355136446,MOGAMULIZUMAB-KPKC 4 MG/ML INTRAVENOUS SOLUTION,23405.6,9128.18,,,0
CDM,1355136905,CAPTOPRIL 50 MG TABLET,2.8,1.09,,,0
CDM,1355137480,DEXTROSE 10 % AND 0.2 % NACL WITH 1:1 HEPARIN INTRAVENOUS SOLUTION (NEONATE),53.7,20.94,,,0
CDM,1355139683,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,350.7,136.77,,,0
CDM,1355141553,DEXMEDETOMIDINE 80 MCG/20 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,226.5,88.34,,,0
CDM,1355142246,LEUCOVORIN CALCIUM 200 MG SOLUTION FOR INJECTION,599.5,233.8,,,0
CDM,1355143409,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,19.7,7.68,,,0
CDM,1355143662,URSODIOL ORAL SUSPENSION 60 MG/ML (CMPD),4.8,1.87,,,0
CDM,1355145555,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,57.9,22.58,,,0
CDM,1355146261,DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION,264.0,102.96,,,0
CDM,1355148176,VANCOMYCIN 50 MG/ML ORAL SOLUTION,17.5,6.82,,,0
CDM,1355148449,SIROLIMUS 0.5 MG TABLET,131.6,51.32,,,0
CDM,1355150172,PEDIATRIC MULTIVITAMIN NO.197 250 MCG-50 MG-10-MCG-5 MG/ML ORAL DROPS,4.8,1.87,,,0
CDM,1355150355,TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,36.2,14.12,,,0
CDM,1355150533,ZOLEDRONIC ACID 4 MG/100 ML-MANNITOL-0.9 % NACL INTRAVENOUS PIGGYBACK,1254.6,489.29,,,0
CDM,1355150777,OXYCODONE-ACETAMINOPHEN 7.5 MG-325 MG TABLET,4.8,1.87,,,0
CDM,1355151521,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1355155011,KETOROLAC 10 MG TABLET,17.4,6.79,,,0
CDM,1355155325,SACCHAROMYCES BOULARDII 250 MG CAPSULE,4.8,1.87,,,0
CDM,1355155461,MEPIVACAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1355158099,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1355158439,TOCILIZUMAB 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION,6478.9,2526.77,,,0
CDM,1355158715,FLUPHENAZINE 10 MG TABLET,89.0,34.71,,,0
CDM,1355159898,IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION,330.0,128.7,,,0
CDM,1355160769,FLUCONAZOLE 100 MG TABLET,10.2,3.98,,,0
CDM,1355162672,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,2239.2,873.29,,,0
CDM,1355164860,PRASUGREL HCL 10 MG TABLET,759.7,296.28,,,0
CDM,1355166445,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,28.0,10.92,,,0
CDM,1355169686,DICYCLOMINE 10 MG CAPSULE,10.2,3.98,,,0
CDM,1355172278,BELIMUMAB 120 MG INTRAVENOUS SOLUTION,884.9,345.11,,,0
CDM,1355173869,PERFLUTREN PROTEIN-TYPE A MICROSPHERES 0.22 MG/ML INTRAVENOUS SUSP,1940.4,756.76,,,0
CDM,1355175023,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,42.7,16.65,,,0
CDM,1355176540,LABETALOL 300 MG TABLET,18.3,7.14,,,0
CDM,1355177307,TOPOTECAN 4 MG INTRAVENOUS SOLUTION,1048.4,408.88,,,0
CDM,1355178575,"EPOETIN ALFA-EPBX 40,000 UNIT/ML INJECTION SOLUTION",1537.6,599.66,,,0
CDM,1355180457,FLUCYTOSINE 50 MG/ML ORAL SUSPENSION,6090.0,2375.1,,,0
CDM,1355181592,MEGESTROL 20 MG TABLET,66.0,25.74,,,0
CDM,1355182778,FAT EMULSION (SOYBEAN) 20% SYRINGE (NEONATE),19.6,7.64,,,0
CDM,1355183836,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1355184887,TRIAMTERENE 75 MG-HYDROCHLOROTHIAZIDE 50 MG TABLET,8.6,3.35,,,0
CDM,1355192361,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,38.0,14.82,,,0
CDM,1355192453,EPINEPHRINE HCL (PF) 1 MG/ML (1 ML) INJECTION SOLUTION,74.8,29.17,,,0
CDM,1355193482,HYOSCYAMINE 0.125 MG SUBLINGUAL TABLET,5.3,2.07,,,0
CDM,1355196421,ADENOSINE 3 MG/ML IV SOLN (WRAPPED),51.3,20.01,,,0
CDM,1355196521,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,64.6,25.19,,,0
CDM,1355197161,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",36.7,14.31,,,0
CDM,1355199209,IOTHALAMATE MEGLUMINE 17.2 % URETHRAL SOLUTION,550.0,214.5,,,0
CDM,1355200538,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1355201006,BUMETANIDE 1 MG TABLET,11.6,4.52,,,0
CDM,1355201726,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,78.3,30.54,,,0
CDM,1355202875,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1355203236,TOPIRAMATE 25 MG SPRINKLE CAPSULE,89.5,34.9,,,0
CDM,1355203297,"DIVALPROEX 125 MG TABLET,DELAYED RELEASE",6.9,2.69,,,0
CDM,1355204896,CLOZAPINE 100 MG TABLET,7.2,2.81,,,0
CDM,1355205309,LEVOTHYROXINE SYRUP 25 MCG/ML,4.8,1.87,,,0
CDM,1355205359,BORTEZOMIB 3.5 MG SOLUTION FOR SUBCUTANEOUS INJ,494.4,192.82,,,0
CDM,1355205360,CYCLOPHOSPHAMIDE 50 MG CAPSULE,790.7,308.37,,,0
CDM,1355213752,PROMETHAZINE 25 MG TABLET,4.8,1.87,,,0
CDM,1355220725,TOLTERODINE 1 MG TABLET,25.4,9.91,,,0
CDM,1355221189,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1355221207,MIRTAZAPINE 30 MG TABLET,21.5,8.38,,,0
CDM,1355221209,LEVOTHYROXINE 25 MCG TABLET,4.8,1.87,,,0
CDM,1355221304,ENALAPRIL MALEATE 10 MG TABLET,4.8,1.87,,,0
CDM,1355222027,DIAZEPAM 5 MG/ML INJECTION SYRINGE,210.2,81.98,,,0
CDM,1355222808,NIVOLUMAB 240 MG/24 ML INTRAVENOUS SOLUTION,48593.0,18951.27,,,0
CDM,1355223059,BALANCED SALT SOLUTION COMBINATION NO.1 INTRAOCULAR IRRIGATION,677.2,264.11,,,0
CDM,1355228445,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,5.4,2.11,,,0
CDM,1355232808,MORPHINE 10 MG/ML INJECTION (WRAPPED),39.2,15.29,,,0
CDM,1355234699,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1355235689,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,100.7,39.27,,,0
CDM,1355237554,OXYCODONE 15 MG TABLET,14.6,5.69,,,0
CDM,1355238138,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1355239267,TERAZOSIN 1 MG CAPSULE,12.4,4.84,,,0
CDM,1355243194,SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION,1336.9,521.39,,,0
CDM,1355245059,DEXAMETHASONE 4 MG TABLET,9.2,3.59,,,0
CDM,1355250001,INSULIN HUMAN U-100 NPH-REGULR 70-30 MIX 100 UNIT/ML SUBCUTANEOUS SUSP,19.6,7.64,,,0
CDM,1355254910,SENNOSIDES 8.8 MG/5 ML ORAL SYRUP,9.6,3.74,,,0
CDM,1355256079,"WATER FOR IRRIGATION, STERILE SOLUTION",84.2,32.84,,,0
CDM,1355257470,MIDODRINE 10 MG TABLET,13.0,5.07,,,0
CDM,1355257732,OXYBUTYNIN CHLORIDE 5 MG/5 ML ORAL SYRUP,4.8,1.87,,,0
CDM,1355257807,PSEUDOEPHEDRINE 30 MG TABLET,0.7,0.27,,,0
CDM,1355257902,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET,4.8,1.87,,,0
CDM,1355258185,SUCRALFATE 100 MG/ML ORAL SUSPENSION,93.5,36.46,,,0
CDM,1355258848,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,156.3,60.96,,,0
CDM,1355263704,GLIMEPIRIDE 2 MG TABLET,10.0,3.9,,,0
CDM,1355263706,PIOGLITAZONE 15 MG TABLET,107.6,41.96,,,0
CDM,1355265334,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,19.6,7.64,,,0
CDM,1355267880,"LUTETIUM LU-177 VIPIVOTIDE TETRAXETAN 27 MCI/ML (1,000 MBQ/ML) IV SOLN",7020.0,2737.8,,,0
CDM,1355268011,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,330.0,128.7,,,0
CDM,1355269262,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,47.0,18.33,,,0
CDM,1355269535,FOLIC ACID 400 MCG TABLET,2.4,0.94,,,0
CDM,1355269763,BUTORPHANOL 2 MG/ML INJECTION SOLUTION,85.3,33.27,,,0
CDM,1355271948,IODINE-POTASSIUM IODIDE 5 %-10 % TOPICAL SOLUTION,296.9,115.79,,,0
CDM,1355272431,SODIUM CHLORIDE 0.9 % BOLUS,53.7,20.94,,,0
CDM,1355274075,LABETALOL 300 MG TABLET,6.0,2.34,,,0
CDM,1355274733,MEGESTROL 40 MG TABLET,4.8,1.87,,,0
CDM,1355274911,FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET,14.7,5.73,,,0
CDM,1355274974,SUCRALFATE 1 GRAM TABLET,4.8,1.87,,,0
CDM,1355275353,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,112.8,43.99,,,0
CDM,1355280046,TRIAMCINOLONE ACETONIDE 0.1 % DENTAL PASTE,618.2,241.1,,,0
CDM,1355283666,HYDROMORPHONE 1 MG/ML INJECTION SYRINGE,46.1,17.98,,,0
CDM,1355286151,"CYANOCOBALAMIN (VIT B-12) 2,500 MCG SUBLINGUAL TABLET",0.6,0.23,,,0
CDM,1355286592,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,19.6,7.64,,,0
CDM,1355287532,LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS SYRINGE,36.8,14.35,,,0
CDM,1355292216,PSYLLIUM HUSK 3.4 GRAM ORAL POWDER PACKET,1.6,0.62,,,0
CDM,1355295748,CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET,0.7,0.27,,,0
CDM,1355296910,HYDROMORPHONE (PF) 30 MG/30 ML (1 MG/ML) IN 0.9 % NACL IV PCA SYRINGE,133.8,52.18,,,0
CDM,1355297868,SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS,543.2,211.85,,,0
CDM,1355299994,ARIPIPRAZOLE 2 MG TABLET,237.1,92.47,,,0
CDM,1355301574,NEBIVOLOL 10 MG TABLET,98.2,38.3,,,0
CDM,1355301574,NEBIVOLOL 5 MG TABLET,113.7,44.34,,,0
CDM,1355306335,ROPINIROLE 2 MG TABLET,38.5,15.02,,,0
CDM,1355306425,"MORPHINE ER 100 MG TABLET,EXTENDED RELEASE",26.9,10.49,,,0
CDM,1355307356,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,13.0,5.07,,,0
CDM,1355312882,DICYCLOMINE 10 MG/5 ML ORAL SOLUTION,35.2,13.73,,,0
CDM,1355314929,NADOLOL 40 MG TABLET,4.8,1.87,,,0
CDM,1355320326,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",25.8,10.06,,,0
CDM,1355320422,TENECTEPLASE 50 MG INTRAVENOUS SOLUTION,52048.8,20299.03,,,0
CDM,1355320877,LACOSAMIDE 100 MG TABLET,144.8,56.47,,,0
CDM,1355320878,LEVETIRACETAM 500 MG TABLET,4.8,1.87,,,0
CDM,1355320928,IBUPROFEN 600 MG TABLET,4.8,1.87,,,0
CDM,1355321298,DOXEPIN 50 MG CAPSULE,8.6,3.35,,,0
CDM,1355321407,GABAPENTIN 300 MG CAPSULE,4.8,1.87,,,0
CDM,1355321413,DICLOFENAC 1 % TOPICAL GEL,4.8,1.87,,,0
CDM,1355321713,VANCOMYCIN 1.25 GRAM INTRAVENOUS SOLUTION,171.7,66.96,,,0
CDM,1355322112,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION,1228.5,479.12,,,0
CDM,1355322180,GALANTAMINE 4 MG TABLET,73.3,28.59,,,0
CDM,1355322754,ASPIRIN 81 MG CHEWABLE TABLET,0.6,0.23,,,0
CDM,1355324966,"POLYMYXIN B SULFATE 10,000 UNIT-TRIMETHOPRIM 1 MG/ML EYE DROPS",103.1,40.21,,,0
CDM,1355335832,CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET,0.6,0.23,,,0
CDM,1355339526,"GLIPIZIDE ER 10 MG TABLET, EXTENDED RELEASE 24 HR",6.2,2.42,,,0
CDM,1355339694,"MIRABEGRON ER 25 MG TABLET,EXTENDED RELEASE 24 HR",254.2,99.14,,,0
CDM,1355340521,LITHIUM CARBONATE 300 MG TABLET,4.8,1.87,,,0
CDM,1355340722,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,4.8,1.87,,,0
CDM,1355343255,ATORVASTATIN 80 MG TABLET,44.3,17.28,,,0
CDM,1355343528,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,27.1,10.57,,,0
CDM,1355344257,DICYCLOMINE 20 MG TABLET,6.0,2.34,,,0
CDM,1355344594,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",62.7,24.45,,,0
CDM,1355345822,"HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV",91.9,35.84,,,0
CDM,1355346055,PRAVASTATIN 10 MG TABLET,44.4,17.32,,,0
CDM,1355346911,IPRATROPIUM BROMIDE 42 MCG (0.06 %) NASAL SPRAY,4.8,1.87,,,0
CDM,1355349401,BENZONATATE 100 MG CAPSULE,7.6,2.96,,,0
CDM,1355350652,ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY,4.0,1.56,,,0
CDM,1355353181,CEFAZOLIN 2 GRAM/100 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,205.9,80.3,,,0
CDM,1355359073,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION,427.0,166.53,,,0
CDM,1355359211,"METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION",357.8,139.54,,,0
CDM,1355359481,AMPHOTERICIN B LIPOSOME 50 MG INTRAVENOUS SUSPENSION,7798.3,3041.34,,,0
CDM,1355360256,RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH,127.8,49.84,,,0
CDM,1355372374,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION,38.5,15.02,,,0
CDM,1355373449,DOXORUBICIN 10 MG/5 ML INTRAVENOUS SOLUTION,92.28,35.99,,,0
CDM,1355375134,BALSAM PERU-ZINC OXIDE TOPICAL OINTMENT,88.5,34.52,,,0
CDM,1355377184,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,23.4,9.13,,,0
CDM,1355377663,NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN 0.9 % NACL IV,177.1,69.07,,,0
CDM,1355377749,BISOPROLOL FUMARATE 5 MG TABLET,5.5,2.14,,,0
CDM,1355377751,MONTELUKAST 10 MG TABLET,43.4,16.93,,,0
CDM,1355381485,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,4.8,1.87,,,0
CDM,1355385264,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION,38.1,14.86,,,0
CDM,1355393120,LISINOPRIL 2.5 MG TABLET,10.0,3.9,,,0
CDM,1355393843,ATORVASTATIN 80 MG TABLET,43.5,16.96,,,0
CDM,1355394684,"TRANEXAMIC ACID 1,000 MG/100 ML(10 MG/ML)IN SOD CHLOR,ISO IV PIGGYBACK",149.5,58.3,,,0
CDM,1355394912,"FLUOROMETHOLONE 0.1 % EYE DROPS,SUSPENSION",712.8,277.99,,,0
CDM,1355399007,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,164.8,64.27,,,0
CDM,1355403066,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,27.4,10.69,,,0
CDM,1355406229,FAMOTIDINE 20 MG TABLET,0.6,0.23,,,0
CDM,1355409601,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,29.1,11.35,,,0
CDM,1355410227,LAMOTRIGINE 25 MG CHEWABLE DISPERSIBLE TABLET,24.6,9.59,,,0
CDM,1355410997,"DIAZEPAM 5 MG/5 ML (1 MG/ML, 5 ML) ORAL SOLUTION",35.3,13.77,,,0
CDM,1355411878,HYDROXYCHLOROQUINE 200 MG TABLET,32.1,12.52,,,0
CDM,1355412938,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,82.4,32.14,,,0
CDM,1355412939,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,53.7,20.94,,,0
CDM,1355424504,"THROMBIN (HUM PLAS)-FIBRINOGEN-CA 800-1,200 UNIT/ML(5 ML X 2) TOP SOLN",2966.8,1157.05,,,0
CDM,1355432138,RISPERIDONE 2 MG TABLET,4.8,1.87,,,0
CDM,1355436108,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,19.8,7.72,,,0
CDM,1355437781,"RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS",58626.1,22864.18,,,0
CDM,1355438677,PRAMIPEXOLE 0.25 MG TABLET,11.4,4.45,,,0
CDM,1355444740,"WATER FOR IRRIGATION, STERILE SOLUTION",49.1,19.15,,,0
CDM,1355445560,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,24.2,9.44,,,0
CDM,1355447900,LIDOCAINE 4 % TOPICAL CREAM,14.9,5.81,,,0
CDM,1355451097,PROPRANOLOL 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,4.8,1.87,,,0
CDM,1355452767,GADOPICLENOL 0.5 MMOL/ML INTRAVENOUS SOLUTION,170.0,66.3,,,0
CDM,1355453418,AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION,248.7,96.99,,,0
CDM,1355453782,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1355454556,"COAGULATION FACTOR IX (RECOMB) 1,000 UNIT INTRAVENOUS SOLUTION",54288.0,21172.32,,,0
CDM,1355454704,PERITON.DIALYSIS SOLN 6-1.5 % DEXTROS LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L (5L BAG FOR CCPD),205.0,79.95,,,0
CDM,1355454759,POTASSIUM CHLORIDE 20 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,53.7,20.94,,,0
CDM,1355454847,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1355454929,ASCORBIC ACID (VITAMIN C) 500 MG TABLET,0.6,0.23,,,0
CDM,1355455177,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJ (WRAPPED),20.0,7.8,,,0
CDM,1355455226,AMIVANTAMAB-VMJW 50 MG/ML INTRAVENOUS SOLUTION,71261.0,27791.79,,,0
CDM,1355462657,"CABOTEGRAVIR ER 600 MG/3 ML-RILPIVIRINE ER 900 MG/3ML IM SUSPENSION,ER",47321.2,18455.27,,,0
CDM,1355465667,ESCITALOPRAM 20 MG TABLET,34.7,13.53,,,0
CDM,1355469819,AMLODIPINE 5 MG TABLET,13.3,5.19,,,0
CDM,1355470200,PIOGLITAZONE 15 MG TABLET,10.0,3.9,,,0
CDM,1355473454,OLANZAPINE 5 MG DISINTEGRATING TABLET,54.8,21.37,,,0
CDM,1355476766,PREGABALIN 50 MG CAPSULE,24.9,9.71,,,0
CDM,1355483305,DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION,220.4,85.96,,,0
CDM,1355484093,INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) INTRAVENOUS SOLUTION,3345.6,1304.78,,,0
CDM,1355485587,SINCALIDE 5 MCG SOLUTION FOR INJECTION,339.22,132.3,,,0
CDM,1355489894,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK,854.0,333.06,,,0
CDM,1355490001,TORSEMIDE 5 MG TABLET,9.7,3.78,,,0
CDM,1355494676,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,136.7,53.31,,,0
CDM,1355498458,INCOBOTULINUMTOXINA 50 UNIT INTRAMUSCULAR SOLUTION,9339.8,3642.52,,,0
CDM,1355498737,DOBUTAMINE 250 MG/250 ML (1 MG/ML) IN 5 % DEXTROSE INTRAVENOUS,53.7,20.94,,,0
CDM,1355498753,PEMETREXED DISODIUM 100 MG INTRAVENOUS POWDER FOR SOLUTION,10091.4,3935.65,,,0
CDM,1355501544,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",44.5,17.36,,,0
CDM,1355502530,LEVOTHYROXINE 125 MCG TABLET,13.1,5.11,,,0
CDM,1355502556,KETAMINE 50 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1355503448,"LEVETIRACETAM 1,500 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",341.6,133.22,,,0
CDM,1355504431,PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION,132.2,51.56,,,0
CDM,1355509509,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,102.4,39.94,,,0
CDM,1355511592,MULTIVIT-MINS-FERROUS GLUCONATE 9 MG IRON/15 ML (15 ML) ORAL LIQUID,8.3,3.24,,,0
CDM,1355517343,HYDROCORTISONE 1 % TOPICAL CREAM,29.0,11.31,,,0
CDM,1355518190,MORPHINE CONCENTRATE 20 MG/ML ORAL SOLUTION,16.2,6.32,,,0
CDM,1355518668,PIOGLITAZONE 15 MG TABLET,53.8,20.98,,,0
CDM,1355518884,"WATER FOR IRRIGATION, STERILE SOLUTION",38.6,15.05,,,0
CDM,1355521873,DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION,857.5,334.42499999999995,,,0
CDM,1355522554,METHYLPREDNISOLONE 16 MG TABLET,27.2,10.61,,,0
CDM,1355522796,AVELUMAB 20 MG/ML INTRAVENOUS SOLUTION,50256.5,19600.04,,,0
CDM,1355523374,GENTAMICIN 0.1 % TOPICAL OINTMENT,378.8,147.73,,,0
CDM,1355524204,LEVOTHYROXINE 175 MCG TABLET,7.9,3.08,,,0
CDM,1355527369,DEXTROMETHORPHAN POLISTIREX ER 30 MG/5 ML ORAL SUSP EXT.RELEASE 12HR,21.4,8.35,,,0
CDM,1355527428,ERYTHROMYCIN ETHYLSUCCINATE 400 MG/5 ML ORAL POWDER FOR SUSPENSION,109.5,42.7,,,0
CDM,1355527430,GLYCOPYRROLATE 1 MG/5 ML (0.2 MG/ML) ORAL SOLUTION,40.5,15.8,,,0
CDM,1355530298,MICONAZOLE NITRATE 2 % TOPICAL CREAM,30.5,11.9,,,0
CDM,1355530666,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",19.6,7.64,,,0
CDM,1355532638,OXYMETAZOLINE 0.05 % NASAL SPRAY,9.6,3.74,,,0
CDM,1355534430,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOL FOR ANTIBIOTIC LOCK",19.6,7.64,,,0
CDM,1355534691,VANCOMYCIN 500 MG (100 MG/ML) INTRAVENOUS SOLUTION - USE FOR ANTIBIOTIC LOCKS,19.6,7.64,,,0
CDM,1355538298,PRAMIPEXOLE 0.125 MG TABLET,25.7,10.02,,,0
CDM,1355539602,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS,154.1,60.1,,,0
CDM,1355542839,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,8.7,3.39,,,0
CDM,1355543115,ZINC OXIDE 20 % TOPICAL OINTMENT,38.4,14.98,,,0
CDM,1355547195,ACETAMINOPHEN 80 MG CHEWABLE TABLET,1.9,0.74,,,0
CDM,1355550275,"DILTIAZEM 240 MG CAPSULE, EXTENDED RELEASE (WRAPPED)",11.0,4.29,,,0
CDM,1355555645,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,42.1,16.42,,,0
CDM,1355557871,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INTRAVENOUS SYRINGE,92.7,36.15,,,0
CDM,1355558356,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,193.0,75.27,,,0
CDM,1355563415,VALSARTAN 160 MG TABLET,11.1,4.33,,,0
CDM,1355568042,IODINE-POTASSIUM IODIDE 5 %-10 % TOPICAL SOLUTION,83.9,32.72,,,0
CDM,1355569695,TORSEMIDE 20 MG TABLET,13.5,5.26,,,0
CDM,1355571896,SACUBITRIL 24 MG-VALSARTAN 26 MG TABLET,90.2,35.18,,,0
CDM,1355573310,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",10508.2,4098.2,,,0
CDM,1355574537,CITALOPRAM 10 MG TABLET,4.8,1.87,,,0
CDM,1355575310,"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE",15.2,5.93,,,0
CDM,1355578904,MICONAZOLE NITRATE 2 % VAGINAL CREAM,48.4,18.88,,,0
CDM,1355580611,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1355580640,SELEGILINE 5 MG TABLET,16.2,6.32,,,0
CDM,1355583426,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION,53.7,20.94,,,0
CDM,1355584126,HYDROCORTISONE 1 % TOPICAL OINTMENT,8.9,3.47,,,0
CDM,1355587517,SODIUM CHLORIDE 0.9 % FOR NEBULIZATION,4.8,1.87,,,0
CDM,1355591831,"HEPARIN (PORCINE) INJECTION (BOLUS) 1,000 UNITS/ML",19.6,7.64,,,0
CDM,1355592099,DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION,100012.6,39004.91,,,0
CDM,1355593171,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,24.0,9.36,,,0
CDM,1355595600,CARVEDILOL 12.5 MG TABLET,15.0,5.85,,,0
CDM,1355595912,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION,588.2,229.4,,,0
CDM,1355598437,CARISOPRODOL 350 MG TABLET,4.8,1.87,,,0
CDM,1355598445,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE",43.9,17.12,,,0
CDM,1355601629,LEVOTHYROXINE 25 MCG TABLET,6.8,2.65,,,0
CDM,1355603205,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION,250.82,97.82,,,0
CDM,1355603614,"WATER FOR IRRIGATION, STERILE SOLUTION",32.6,12.71,,,0
CDM,1355603657,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,124.4,48.52,,,0
CDM,1355607124,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,351.4,137.045,,,0
CDM,1355607249,FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION,23.4,9.13,,,0
CDM,1355609186,"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",256.2,99.92,,,0
CDM,1355610154,"WATER FOR IRRIGATION, STERILE SOLUTION",84.2,32.84,,,0
CDM,1355617607,ETOPOSIDE PHOSPHATE 100 MG INTRAVENOUS SOLUTION,759.8,296.32,,,0
CDM,1355618885,OMALIZUMAB 300 MG/2 ML SUBCUTANEOUS SYRINGE,0.01,0.0039,,,0
CDM,1355620278,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1355624728,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",591.4,230.65,,,0
CDM,1355630301,LOSARTAN 50 MG TABLET,4.9,1.91,,,0
CDM,1355632621,RIFAMPIN 600 MG INTRAVENOUS SOLUTION,1244.6,485.39,,,0
CDM,1355633039,CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION,512.4,199.84,,,0
CDM,1355634263,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",117.9,45.98,,,0
CDM,1355636886,MORPHINE 4 MG/ ML INJECTION (WRAPPED),19.6,7.64,,,0
CDM,1355639971,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION,105.3,41.07,,,0
CDM,1355645452,IDARUCIZUMAB 2.5 GRAM/50 ML INTRAVENOUS SOLUTION,35563.8,13869.88,,,0
CDM,1355647242,ACYCLOVIR 5 % TOPICAL OINTMENT,5831.0,2274.09,,,0
CDM,1355647441,SIROLIMUS 0.5 MG TABLET,158.9,61.97,,,0
CDM,1355647831,ATENOLOL 50 MG TABLET,4.8,1.87,,,0
CDM,1355648957,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,55.0,21.45,,,0
CDM,1355649679,PREGABALIN 25 MG CAPSULE,24.9,9.71,,,0
CDM,1355650701,"DESVENLAFAXINE SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",88.0,34.32,,,0
CDM,1355651191,"LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE",5.8,2.26,,,0
CDM,1355652539,"SODIUM CHLORIDE, SODIUM BICARB-NASAL RINSE SQUEEZE BOTTLE WITH PACKET",38.3,14.94,,,0
CDM,1355654601,HYDROCORTISONE 10 MG TABLET,6.6,2.57,,,0
CDM,1355654902,OXYBUTYNIN CHLORIDE 5 MG TABLET,4.8,1.87,,,0
CDM,1355657449,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,62.099999999999994,24.22,,,0
CDM,1355657484,DEXTROSE 5 % AND 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1355659365,FERROUS SULFATE 325 MG (65 MG IRON) TABLET,0.6,0.23,,,0
CDM,1355659367,NITROFURANTOIN MACROCRYSTAL 50 MG CAPSULE,33.9,13.22,,,0
CDM,1355659754,POVIDONE-IODINE 10 % TOPICAL OINTMENT,11.6,4.52,,,0
CDM,1355660792,"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",608.8,237.43,,,0
CDM,1355661685,LEVOTHYROXINE 50 MCG TABLET,12.7,4.95,,,0
CDM,1355664479,CARBOXYMETHYLCELLULOSE SODIUM 1 % EYE GEL IN A DROPPERETTE,4.8,1.87,,,0
CDM,1355665254,ONE-STEP ONLY - PROPOFOL 10 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1355666495,IPRATROPIUM BROMIDE 42 MCG (0.06 %) NASAL SPRAY,590.9,230.45,,,0
CDM,1355666877,COLESEVELAM 3.75 GRAM ORAL POWDER PACKET,222.6,86.815,,,0
CDM,1355668489,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET,0.8,0.31,,,0
CDM,1355670279,METRONIDAZOLE 0.75 % (37.5 MG/5 GRAM) VAGINAL GEL,83.8,32.68,,,0
CDM,1355677628,MIRTAZAPINE 30 MG DISINTEGRATING TABLET,18.7,7.29,,,0
CDM,1355689768,AMLODIPINE 5 MG TABLET,26.6,10.37,,,0
CDM,1355690372,NICOTINE (POLACRILEX) 4 MG GUM,1.1,0.43,,,0
CDM,1355692381,DIGOXIN 100 MCG/ML (0.1 MG/ML) INJECTION SOLUTION,960.0,374.4,,,0
CDM,1355694431,WARFARIN 6 MG TABLET,6.9,2.69,,,0
CDM,1355696473,CLEVIDIPINE 50 MG/100 ML INTRAVENOUS EMULSION,1474.2,574.94,,,0
CDM,1355697400,PREDNISONE 20 MG TABLET,4.8,1.87,,,0
CDM,1355697840,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,14.1,5.5,,,0
CDM,1355698570,SUMATRIPTAN 25 MG TABLET,830.0,323.7,,,0
CDM,1355698744,CITALOPRAM 40 MG TABLET,30.6,11.93,,,0
CDM,1355698750,RIVASTIGMINE 3 MG CAPSULE,31.8,12.4,,,0
CDM,1355699618,ACYCLOVIR 200 MG CAPSULE,4.8,1.87,,,0
CDM,1355701179,TIZANIDINE 4 MG TABLET,4.8,1.87,,,0
CDM,1355701670,PRIMIDONE 50 MG TABLET,7.8,3.04,,,0
CDM,1355701747,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,19.6,7.64,,,0
CDM,1355701782,CYCLOSPORINE MODIFIED 25 MG CAPSULE (GENERIC),91.2,35.57,,,0
CDM,1355701789,SULFACETAMIDE SODIUM 10 % EYE DROPS,468.0,182.52,,,0
CDM,1355703456,PAROXETINE 10 MG TABLET,41.0,15.99,,,0
CDM,1355703621,CEFUROXIME SODIUM 1.5 GRAM INTRAVENOUS SOLUTION,50.0,19.5,,,0
CDM,1355704674,GABAPENTIN 300 MG CAPSULE,4.8,1.87,,,0
CDM,1355706332,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,38.8,15.13,,,0
CDM,1355709649,FEBUXOSTAT 80 MG TABLET,77.2,30.11,,,0
CDM,1355710429,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP,10.6,4.13,,,0
CDM,1355711717,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP,11.8,4.6,,,0
CDM,1355712912,"LIPASE-PROTEASE-AMYLASE 20,880-78,300-78,300 UNIT TABLET",64.0,24.96,,,0
CDM,1355713290,CEFEPIME 1 GRAM SOLUTION FOR INJECTION,58.5,22.82,,,0
CDM,1355714712,SIMETHICONE 80 MG CHEWABLE TABLET,1.0,0.39,,,0
CDM,1355718283,LORATADINE 5 MG/5 ML ORAL SOLUTION,1.8,0.7,,,0
CDM,1355718476,DOXEPIN 25 MG CAPSULE,6.2,2.42,,,0
CDM,1355719654,VANCOMYCIN 750 MG/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,70.5,27.5,,,0
CDM,1355730403,PERFLUTREN PROTEIN-TYPE A MICROSPHERES 0.22 MG/ML INTRAVENOUS SUSP,822.3,320.7,,,0
CDM,1355730744,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION,22.1,8.62,,,0
CDM,1355733774,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION,65.2,25.43,,,0
CDM,1355737910,PRIMIDONE 50 MG TABLET,4.8,1.87,,,0
CDM,1355738026,AMITRIPTYLINE 50 MG TABLET,4.8,1.87,,,0
CDM,1355738029,ESTRADIOL 1 MG TABLET,4.8,1.87,,,0
CDM,1355738030,PROGESTERONE MICRONIZED 200 MG CAPSULE,41.1,16.03,,,0
CDM,1355738752,METOPROLOL TARTRATE 25 MG TABLET,4.8,1.87,,,0
CDM,1355739081,PHENOL 1.4 % MUCOSAL AEROSOL SPRAY,19.1,7.45,,,0
CDM,1355742702,DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET,26.3,10.26,,,0
CDM,1355743054,PROGESTERONE MICRONIZED 100 MG CAPSULE,16.2,6.32,,,0
CDM,1355743745,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,8.3,3.24,,,0
CDM,1355745741,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,31.2,12.17,,,0
CDM,1355745882,DABIGATRAN ETEXILATE 150 MG CAPSULE,29.0,11.31,,,0
CDM,1355746283,ALLOPURINOL 300 MG TABLET,5.2,2.03,,,0
CDM,1355747273,FENTANYL (PF) 1000 MCG/100 ML NS (10 MCG/ML) PREMIX,246.0,95.94,,,0
CDM,1355749944,RALTEGRAVIR 400 MG TABLET,266.4,103.9,,,0
CDM,1355750534,EMTRICITABINE 200 MG-RILPIVIRINE 25 MG-TENOFOVIR ALAFENAM 25 MG TABLET,981.0,382.59,,,0
CDM,1355750967,LACTATED RINGERS INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1355751525,HYDROXYZINE HCL 25 MG TABLET,7.1,2.77,,,0
CDM,1355751662,HYOSCYAMINE SULFATE 0.125 MG TABLET,13.1,5.11,,,0
CDM,1355753494,SODIUM DI- AND MONOPHOSPHATE-POTASSIUM PHOS MONOBASIC 250 MG TABLET,4.8,1.87,,,0
CDM,1355753958,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,213.6,83.3,,,0
CDM,1355756257,METRONIDAZOLE 250 MG TABLET,6.2,2.42,,,0
CDM,1355757917,TOPIRAMATE 200 MG TABLET,8.7,3.39,,,0
CDM,1355759819,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,46.2,18.02,,,0
CDM,1355761833,THYROID (PORK) 30 MG TABLET,8.1,3.16,,,0
CDM,1355762636,GLYCERIN (ADULT) RECTAL SUPPOSITORY,0.8,0.31,,,0
CDM,1355773106,NALOXONE 0.4 MG/ML INJECTION SOLUTION,42.7,16.65,,,0
CDM,1355773412,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1355774004,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,92.3,36.0,,,0
CDM,1355777377,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,256.2,99.92,,,0
CDM,1355778781,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,29.9,11.66,,,0
CDM,1355785779,SALIVA STIMULANT COMBINATION NO.7 ORAL MUCOSAL GEL,75.4,29.41,,,0
CDM,1355786634,"POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET",5.7,2.22,,,0
CDM,1355789358,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,30.9,12.05,,,0
CDM,1355789746,BUPIVACAINE HCL 0.25 % (2.5 MG/ML) INJECTION SOLUTION,102.5,39.98,,,0
CDM,1355792992,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,54.3,21.18,,,0
CDM,1355792993,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,69.7,27.18,,,0
CDM,1355798480,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,254.1,99.1,,,0
CDM,1355799624,LEUPROLIDE 7.5 MG (1 MONTH) SUBCUTANEOUS SYRINGE,2818.6,1099.25,,,0
CDM,1355801601,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE,19.6,7.64,,,0
CDM,1355801964,ABACAVIR 300 MG TABLET,133.0,51.87,,,0
CDM,1355802283,ATROPINE 1 MG/ML INJECTION SOLUTION,107.3,41.85,,,0
CDM,1355803225,SORBITOL 2.7 GRAM-MANNITOL 0.54 GRAM/100 ML TRANSURETHRAL SOLUTION,128.1,49.96,,,0
CDM,1355806293,PYRIDOXINE (VITAMIN B6) 100 MG TABLET,4.8,1.87,,,0
CDM,1355807151,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,94.8,36.97,,,0
CDM,1355807261,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1355808184,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,79.5,31.0,,,0
CDM,1355810154,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION",9.3,3.63,,,0
CDM,1355812767,ELRANATAMAB-BCMM 40 MG/ML SUBCUTANEOUS SOLUTION,85881.8,33493.9,,,0
CDM,1355815087,MINERAL OIL ORAL,12.7,4.95,,,0
CDM,1355815134,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION,187.8,73.24,,,0
CDM,1355815251,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,168.0,65.52,,,0
CDM,1355815780,GLYCERIN (CHILD) RECTAL SUPPOSITORY,0.6,0.23,,,0
CDM,1355817370,DOCETAXEL 80 MG/8 ML (10 MG/ML) INTRAVENOUS SOLUTION,3140.3,1224.72,,,0
CDM,1355817710,ELECTROLYTE-R (PH 7.4) INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1355820962,RITUXIMAB-ABBS 10 MG/ML INTRAVENOUS SOLUTION,6331.5,2469.28,,,0
CDM,1355826710,METHOTREXATE SODIUM 2.5 MG TABLET,218.7,85.29,,,0
CDM,1355827143,WITCH HAZEL 50 % TOPICAL PADS,70.4,27.46,,,0
CDM,1355827548,HYDROMORPHONE 1 MG/ML INJECTION (WRAPPED),36.9,14.39,,,0
CDM,1355827597,CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION,21823.1,8511.01,,,0
CDM,1355830866,"POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION",19.6,7.64,,,0
CDM,1355831469,OXYMETAZOLINE 0.05 % NASAL SPRAY,18.59,7.25,,,0
CDM,1355832588,"ANTIHEMOPHILIC FACTOR-VWF 500 UNIT-1,200 UNIT INTRAVENOUS SOLUTION",14393.9,5613.62,,,0
CDM,1355833411,TAMSULOSIN 0.4 MG CAPSULE,32.4,12.64,,,0
CDM,1355834725,METOLAZONE 5 MG TABLET,57.3,22.35,,,0
CDM,1355839224,PEMETREXED DISODIUM 100 MG INTRAVENOUS POWDER FOR SOLUTION,428.0,166.92,,,0
CDM,1355839224,PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION,9896.7,3859.71,,,0
CDM,1355840399,DEXTROSE 5 % AND 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1355840827,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1355842506,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,238.9,93.17,,,0
CDM,1355842695,EPHEDRINE (PF) 25 MG/5 ML (5 MG/ML) IN 0.9% SODIUM CHLORIDE IV SYRINGE,84.4,32.92,,,0
CDM,1355843250,DIAZEPAM 5 MG/ML INJECTION SYRINGE,281.9,109.94,,,0
CDM,1355843893,BACLOFEN 10 MG TABLET,4.8,1.87,,,0
CDM,1355844942,PROPARACAINE 0.5 % EYE DROPS,336.6,131.27,,,0
CDM,1355845268,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1355846098,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1355848185,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1355848831,PHENYLEPHRINE 20 MG/250 ML (80 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,19.6,7.64,,,0
CDM,1355850094,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,159.5,62.205,,,0
CDM,1355851658,ADULT 2-IN-1 CPN USING CLINIMIX BASE,504.0,196.56,,,0
CDM,1355852451,FUROSEMIDE 40 MG TABLET,4.8,1.87,,,0
CDM,1355854855,FLUCONAZOLE 150 MG TABLET,107.2,41.81,,,0
CDM,1355856869,INDOMETHACIN 50 MG RECTAL SUPPOSITORY,5551.7,2165.16,,,0
CDM,1355860956,ARSENIC TRIOXIDE 2 MG/ML INTRAVENOUS SOLUTION,3109.9,1212.86,,,0
CDM,1355861287,AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION,36.1,14.08,,,0
CDM,1355862244,COLESEVELAM 625 MG TABLET,60.6,23.63,,,0
CDM,1355862865,PASTEURIZED HUMAN MILK CREAM (PROLACT CR),136.6,53.27,,,0
CDM,1355864051,TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION,63298.0,24686.22,,,0
CDM,1355867680,"GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR",4.8,1.87,,,0
CDM,1355867964,LIDOCAINE HCL 2 % MUCOSAL JELLY,64.5,25.16,,,0
CDM,1355868733,GLIPIZIDE 5 MG TABLET,4.8,1.87,,,0
CDM,1355871720,FLECAINIDE 100 MG TABLET,23.0,8.97,,,0
CDM,1355872943,HYDROCORTISONE 2.5 % TOPICAL CREAM,31.3,12.21,,,0
CDM,1355874013,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION,4.8,1.87,,,0
CDM,1355874209,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,199.9,77.96,,,0
CDM,1355878530,NEOSTIGMINE METHYLSULFATE 5 MG/5 ML (1 MG/ML) INTRAVENOUS SYRINGE,70.9,27.65,,,0
CDM,1355878844,ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION,46.1,17.98,,,0
CDM,1355881133,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,24.9,9.71,,,0
CDM,1355884064,EPOPROSTENOL 0.5 MG INTRAVENOUS SOLUTION,380.1,148.24,,,0
CDM,1355884822,"NEOMYCIN-POLYMYXIN-HYDROCORT 3.5 MG-10,000 UNIT/ML-1 % EAR DROPS,SUSP",643.6,251.0,,,0
CDM,1355890031,LACTULOSE ENEMA WITH STERILE WATER,168.8,65.83,,,0
CDM,1355890332,VORICONAZOLE 200 MG TABLET,151.5,59.08,,,0
CDM,1355890506,RITUXIMAB-PVVR 10 MG/ML INTRAVENOUS SOLUTION,44728.4,17444.08,,,0
CDM,1355892496,MULTIVIT-MINS-FERROUS GLUCONATE 9 MG IRON/15 ML (15 ML) ORAL LIQUID,12.1,4.72,,,0
CDM,1355892580,DEXTROSE 10 % + SOD. CHLORIDE 0.225 % (D10W + 1/4 NS)(SIMPLE),53.7,20.94,,,0
CDM,1355895682,ETHAMBUTOL 400 MG TABLET,36.5,14.24,,,0
CDM,1355896403,TRANEXAMIC ACID 650 MG TABLET,39.85,15.54,,,0
CDM,1355898606,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",8.6,3.35,,,0
CDM,1355899070,LURBINECTEDIN 4 MG INTRAVENOUS SOLUTION,37954.8,14802.37,,,0
CDM,1355900789,"MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE",76.7,29.91,,,0
CDM,1355900963,PEPPERMINT OIL,196.3,76.56,,,0
CDM,1355903109,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET,0.6,0.23,,,0
CDM,1355903840,FINASTERIDE 5 MG TABLET,8.3,3.24,,,0
CDM,1355905097,COLCHICINE 0.6 MG TABLET,60.7,23.67,,,0
CDM,1355906117,"LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200,000 INJECTION SOLUTION",63.4,24.73,,,0
CDM,1355907642,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 400 MG-400 MG-40 MG/5 ML ORAL SUSP,10.7,4.17,,,0
CDM,1355909602,CARVEDILOL 3.125 MG TABLET,4.8,1.87,,,0
CDM,1355910589,"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE",30.2,11.78,,,0
CDM,1355911247,SUMATRIPTAN 50 MG TABLET,192.9,75.23,,,0
CDM,1355914478,PHENTOLAMINE 5 MG INJECTION SOLUTION,3511.3,1369.41,,,0
CDM,1355915401,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,119.1,46.45,,,0
CDM,1355915583,DIGOXIN 125 MCG (0.125 MG) TABLET,19.7,7.68,,,0
CDM,1355915760,BACITRACIN TOPICAL OINTMENT (WRAPPED),4.5,1.76,,,0
CDM,1355917838,CITALOPRAM 20 MG TABLET,4.8,1.87,,,0
CDM,1355918845,HYDROCORTISONE 20 MG TABLET,41.7,16.26,,,0
CDM,1355919460,ACETAMINOPHEN 325 MG TABLET,0.6,0.23,,,0
CDM,1355919711,"MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT",552.3,215.4,,,0
CDM,1355920479,GADOTERIDOL 279.3 MG/ML INTRAVENOUS SOLUTION,132.0,51.48,,,0
CDM,1355920483,ARTIFICIAL TEARS (HYPROMELLOSE) 0.5 % EYE DROPS,218.1,85.06,,,0
CDM,1355921425,PROPRANOLOL 10 MG TABLET,4.8,1.87,,,0
CDM,1355925343,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,23.4,9.13,,,0
CDM,1355928712,NEBIVOLOL 10 MG TABLET,48.3,18.84,,,0
CDM,1355929680,LEVOFLOXACIN 250 MG TABLET,4.8,1.87,,,0
CDM,1355931458,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET,29.1,11.35,,,0
CDM,1355932372,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,38.8,15.13,,,0
CDM,1355934825,CLOTRIMAZOLE 1 % TOPICAL CREAM,46.6,18.17,,,0
CDM,1355936505,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR",58.8,22.93,,,0
CDM,1355942399,RISPERIDONE 3 MG TABLET,68.4,26.68,,,0
CDM,1355946154,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",41.6,16.22,,,0
CDM,1355946984,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1355947747,HYPROMELLOSE 2.5 % EYE DROPS,283.0,110.37,,,0
CDM,1355948375,PERPHENAZINE 4 MG TABLET,89.4,34.864999999999995,,,0
CDM,1355948459,PHENAZOPYRIDINE 100 MG TABLET,6.4,2.5,,,0
CDM,1355948596,FLUCONAZOLE 200 MG TABLET,220.3,85.92,,,0
CDM,1355949762,CIPROFLOXACIN 0.3 % EYE DROPS,14.5,5.66,,,0
CDM,1355954715,MEMANTINE 10 MG TABLET,46.8,18.25,,,0
CDM,1355954716,RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH,129.6,50.54,,,0
CDM,1355955087,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION,660.0,257.4,,,0
CDM,1355956395,HYOSCYAMINE 0.125 MG/ML ORAL DROPS,306.8,119.65,,,0
CDM,1355957958,ACETAMINOPHEN 500 MG TABLET,0.6,0.23,,,0
CDM,1355962389,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION,825.0,321.75,,,0
CDM,1355962869,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1355963183,CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET,7.3,2.85,,,0
CDM,1355964136,SUMATRIPTAN 25 MG TABLET,207.6,80.96,,,0
CDM,1355964735,LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE,53.6,20.9,,,0
CDM,1355965447,OLANZAPINE 7.5 MG TABLET,123.4,48.13,,,0
CDM,1355965810,ENOXAPARIN (LOVENOX) 20 MG/ML SIMPLE COMPONENT WMCG ONLY,19.6,7.64,,,0
CDM,1355966896,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1355966917,ATORVASTATIN 80 MG TABLET,43.8,17.08,,,0
CDM,1355967030,EPLERENONE 25 MG TABLET,76.7,29.91,,,0
CDM,1355967391,SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET,17.8,6.94,,,0
CDM,1355970667,CHLORDIAZEPOXIDE 25 MG CAPSULE,6.1,2.38,,,0
CDM,1355971274,LORAZEPAM 2 MG/ML ORAL CONCENTRATE,4.8,1.87,,,0
CDM,1355972441,BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1355973997,LEVOTHYROXINE 150 MCG TABLET,6.8,2.65,,,0
CDM,1355975015,TICAGRELOR 90 MG TABLET,118.9,46.37,,,0
CDM,1355975466,MERCAPTOPURINE 50 MG TABLET,62.8,24.49,,,0
CDM,1355975852,PERTUZUMAB 420 MG/14 ML (30 MG/ML) INTRAVENOUS SOLUTION,42559.9,16598.36,,,0
CDM,1355976835,PREDNISONE 5 MG TABLET,4.8,1.87,,,0
CDM,1355978546,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",4.8,1.87,,,0
CDM,1355978691,OLANZAPINE 5 MG TABLET,4.8,1.87,,,0
CDM,1355980624,DEXMEDETOMIDINE 20 MCG/5 ML (4 MCG/ML) IN 0.9 % SODIUM CHLR IV SYRINGE,40.9,15.95,,,0
CDM,1355984367,HEPARIN LOCK FLUSH (PORCINE) 100 UNIT/ML INTRAVENOUS SOLUTION,68.8,26.83,,,0
CDM,1355984902,SERTRALINE 25 MG TABLET,4.8,1.87,,,0
CDM,1355985997,WHITE PETROLATUM-MINERAL OIL 56.8 %-42.5 % EYE OINTMENT,75.0,29.25,,,0
CDM,1355987906,PYRIDOSTIGMINE BROMIDE 60 MG TABLET,12.8,4.99,,,0
CDM,1355987907,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,60.9,23.75,,,0
CDM,1355988046,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",50.8,19.81,,,0
CDM,1355989325,LINACLOTIDE 145 MCG CAPSULE,145.3,56.67,,,0
CDM,1355989681,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,4.2,1.64,,,0
CDM,1355991459,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION,41.9,16.34,,,0
CDM,1355994610,NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH,6.8,2.65,,,0
CDM,1355996192,FILGRASTIM-SNDZ 300 MCG/0.5 ML INJECTION SYRINGE,1912.4,745.84,,,0
CDM,1355998995,HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN,106.1,41.38,,,0
CDM,1355999338,DOXYCYCLINE HYCLATE 100 MG TABLET,16.8,6.55,,,0
CDM,1355999802,ZIPRASIDONE 20 MG CAPSULE,37.1,14.47,,,0
CDM,1356002119,AMIODARONE 200 MG TABLET,4.8,1.87,,,0
CDM,1356002481,FLUCONAZOLE 50 MG TABLET,171.9,67.04,,,0
CDM,1356003407,METHADONE 5 MG/5 ML ORAL SOLUTION,4.8,1.87,,,0
CDM,1356004718,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,538.1,209.86,,,0
CDM,1356005261,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,85.0,33.15,,,0
CDM,1356006076,"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION",29.1,11.35,,,0
CDM,1356006437,CROTALIDAE POLYVAL IMMUNE FAB SOLUTION FOR INJECTION,89160.3,34772.52,,,0
CDM,1356009054,ACYCLOVIR 800 MG TABLET,16.2,6.32,,,0
CDM,1356009221,POTASSIUM CHLORIDE 40 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,53.7,20.94,,,0
CDM,1356018246,PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION,451.8,176.2,,,0
CDM,1356020618,LEVOTHYROXINE 112 MCG TABLET,5.3,2.07,,,0
CDM,1356022989,SIMETHICONE 80 MG CHEWABLE TABLET,0.6,0.23,,,0
CDM,1356024627,ATENOLOL 25 MG TABLET,6.3,2.46,,,0
CDM,1356025466,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1356027817,ACETAMINOPHEN 325 MG TABLET,0.6,0.23,,,0
CDM,1356028167,KETOROLAC 15 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1356031167,PROMETHAZINE 25 MG TABLET,4.8,1.87,,,0
CDM,1356032847,HALOPERIDOL 10 MG TABLET,9.95,3.88,,,0
CDM,1356035569,CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET,0.6,0.23,,,0
CDM,1356035711,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",28.2,11.0,,,0
CDM,1356037241,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION,807.6,314.96,,,0
CDM,1356038739,NITROGLYCERIN 50 MG/250 ML (200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS,27.6,10.76,,,0
CDM,1356040103,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION (FOR IV PUSH),335.8,130.96,,,0
CDM,1356040454,PAROXETINE 10 MG TABLET,80.4,31.36,,,0
CDM,1356041966,ATORVASTATIN 80 MG TABLET,15.1,5.89,,,0
CDM,1356042067,DABIGATRAN ETEXILATE 75 MG CAPSULE,25.4,9.91,,,0
CDM,1356044142,ASCORBIC ACID (VITAMIN C) 500 MG TABLET,0.6,0.23,,,0
CDM,1356044267,PHENYTOIN 50 MG CHEWABLE TABLET,27.7,10.8,,,0
CDM,1356044861,DANTROLENE 250 MG INTRAVENOUS SUSPENSION,23101.1,9009.43,,,0
CDM,1356056310,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION,30.7,11.97,,,0
CDM,1356056483,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION,330.0,128.7,,,0
CDM,1356058069,BACITRACIN 500 UNIT/GRAM TOPICAL OINTMENT,8.7,3.39,,,0
CDM,1356060764,URSODIOL 300 MG CAPSULE,37.6,14.66,,,0
CDM,1356060930,"ESMOLOL 2,000 MG/100 ML (20 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",842.9,328.73,,,0
CDM,1356065904,SOTALOL 80 MG TABLET,35.6,13.88,,,0
CDM,1356067228,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,51.4,20.05,,,0
CDM,1356068077,DESOGESTREL 0.15 MG-ETHINYL ESTRADIOL 0.03 MG TABLET,10.8,4.21,,,0
CDM,1356068101,SILDENAFIL (PULMONARY HYPERTENSION) 10 MG/ML ORAL SUSPENSION,100.1,39.04,,,0
CDM,1356068107,ERYTHROMYCIN ETHYLSUCCINATE 400 MG/5 ML ORAL POWDER FOR SUSPENSION,24.0,9.36,,,0
CDM,1356068402,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,1672.8,652.39,,,0
CDM,1356068801,LIDOCAINE 4 % TOPICAL CREAM,35.6,13.88,,,0
CDM,1356069300,ESTRADIOL 0.05 MG/24 HR WEEKLY TRANSDERMAL PATCH,178.1,69.46,,,0
CDM,1356069622,DEXTROSE 10 % + SOD. CHLORIDE 0.45 % (D10W + 1/2 NS)(SIMPLE),56.1,21.88,,,0
CDM,1356070944,1/2 NAAC (0.45% SODIUM ACETATE) WITH 1 UNIT/ML HEPARIN UAC/PAL,35.9,14.0,,,0
CDM,1356070961,NALOXONE 1 MG/ML INJECTION SYRINGE,281.9,109.94,,,0
CDM,1356072368,MIDAZOLAM IN NS 50 MG/50 ML (1 MG/ML) INFUSION (SIMPLE),13.9,5.42,,,0
CDM,1356072433,DIPHENHYDRAMINE 50 MG CAPSULE,0.6,0.23,,,0
CDM,1356074585,PRENATAL VIT NO.95-FERROUS FUMARATE 28 MG-FOLIC ACID 800 MCG TABLET,0.6,0.23,,,0
CDM,1356074929,"POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET",4.8,1.87,,,0
CDM,1356079950,HYDROMORPHONE 2 MG TABLET,4.8,1.87,,,0
CDM,1356081727,EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,504.05,196.57999999999998,,,0
CDM,1356081895,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1356082724,"CALCIUM GLUCONATE 2 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION",404.8,157.87,,,0
CDM,1356083230,NADOLOL 20 MG TABLET,26.1,10.18,,,0
CDM,1356083661,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION,427.0,166.53,,,0
CDM,1356090048,SACCHAROMYCES BOULARDII 250 MG ORAL POWDER PACKET,8.9,3.47,,,0
CDM,1356090088,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1356090368,PORACTANT ALFA 120 MG/1.5 ML INTRATRACHEAL SUSPENSION,5512.9,2150.03,,,0
CDM,1356091737,CINACALCET 30 MG TABLET,235.2,91.73,,,0
CDM,1356092137,URSODIOL ORAL SUSPENSION 60 MG/ML (CMPD),37.8,14.74,,,0
CDM,1356092897,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET,29.1,11.35,,,0
CDM,1356096853,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,224.2,87.44,,,0
CDM,1356097347,CHLORTHALIDONE 25 MG TABLET,13.5,5.265000000000001,,,0
CDM,1356099374,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",40.1,15.64,,,0
CDM,1356099497,SODIUM CHLORIDE 0.9 % FOR NEBULIZATION,5.6,2.18,,,0
CDM,1356099597,ATORVASTATIN 80 MG TABLET,4.8,1.87,,,0
CDM,1356099951,POTASSIUM CHLORIDE 40 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS,63.1,24.61,,,0
CDM,1356100084,LOPERAMIDE 2 MG CAPSULE,3.8,1.48,,,0
CDM,1356101641,ASPIRIN 300 MG RECTAL SUPPOSITORY,6.2,2.42,,,0
CDM,1356102663,CLONAZEPAM 0.125 MG DISINTEGRATING TABLET,39.9,15.56,,,0
CDM,1356103083,SEVELAMER CARBONATE 800 MG TABLET,17.0,6.63,,,0
CDM,1356104175,METOPROLOL TARTRATE 50 MG TABLET,4.8,1.87,,,0
CDM,1356105021,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,15.2,5.93,,,0
CDM,1356106008,ACETAMINOPHEN 325 MG TABLET,0.6,0.23,,,0
CDM,1356106343,PYRIDOXINE (VITAMIN B6) 100 MG TABLET,4.8,1.87,,,0
CDM,1356106522,TORSEMIDE 100 MG TABLET,22.2,8.66,,,0
CDM,1356106569,PERITONEAL DIALYSIS SOLN 7-2.5 % DEXT.LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L (5L BAG FOR CCPD),410.0,159.9,,,0
CDM,1356107774,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,169.95,66.28,,,0
CDM,1356108051,CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET,0.6,0.23,,,0
CDM,1356111807,SODIUM BICARBONATE 650 MG TABLET,0.6,0.23,,,0
CDM,1356113254,TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE,331.5,129.28,,,0
CDM,1356115536,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",19.6,7.64,,,0
CDM,1356117102,CLOPIDOGREL 75 MG TABLET,53.4,20.83,,,0
CDM,1356117713,DOPAMINE 200 MG/5 ML (40 MG/ML) INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1356118132,BUTORPHANOL 1 MG/ML INJECTION SOLUTION,69.7,27.18,,,0
CDM,1356118562,COMPOUNDING VEHICLE SUSPENSION NO.19 ORAL,0.4,0.16,,,0
CDM,1356118562,"LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET",14.6,5.69,,,0
CDM,1356120478,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,7.8,3.04,,,0
CDM,1356120919,INDAPAMIDE 2.5 MG TABLET,6.4,2.5,,,0
CDM,1356121233,ESTRADIOL 0.01% (0.1 MG/GRAM) VAGINAL CREAM,920.6,359.03,,,0
CDM,1356123184,AMANTADINE HCL 100 MG CAPSULE,13.4,5.225,,,0
CDM,1356123535,PRAMIPEXOLE 1 MG TABLET,22.7,8.85,,,0
CDM,1356123643,MORPHINE CONCENTRATE 20 MG/ML ORAL SYRINGE  (FOR ORAL USE ONLY),72.6,28.31,,,0
CDM,1356123693,VIT A 300 MCG-C 200 MG-E 27 MG-LUTEIN 2 MG AND MINERALS TABLET,0.6,0.23,,,0
CDM,1356124776,METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION,89.0,34.71,,,0
CDM,1356126531,DONEPEZIL 10 MG TABLET,66.4,25.9,,,0
CDM,1356127428,ELTROMBOPAG OLAMINE 25 MG TABLET,12005.7,4682.22,,,0
CDM,1356127429,DANAZOL 200 MG CAPSULE,79.0,30.81,,,0
CDM,1356127476,VERAPAMIL 80 MG TABLET,4.8,1.87,,,0
CDM,1356127531,PREDNISONE 20 MG TABLET,6.5,2.54,,,0
CDM,1356128781,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE",14.8,5.77,,,0
CDM,1356129009,MEDIUM CHAIN TRIGLYCERIDES (MCT) 7.7 KCAL/ML ORAL OIL,4.8,1.87,,,0
CDM,1356130068,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,44.9,17.51,,,0
CDM,1356136593,"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION",94.3,36.78,,,0
CDM,1356137416,DICYCLOMINE 10 MG CAPSULE,4.8,1.87,,,0
CDM,1356137697,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1356137964,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,256.2,99.92,,,0
CDM,1356137966,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,189.6,73.94,,,0
CDM,1356138646,HYDROXYZINE HCL 10 MG TABLET,5.4,2.11,,,0
CDM,1356139000,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,6.3,2.46,,,0
CDM,1356139192,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",9.9,3.86,,,0
CDM,1356139827,LATANOPROST 0.005 % EYE DROPS,52.2,20.36,,,0
CDM,1356143593,OXYMETAZOLINE 0.05 % NASAL SPRAY,0.6,0.23,,,0
CDM,1356145350,OXYCODONE 15 MG TABLET,4.8,1.87,,,0
CDM,1356145596,HYDRALAZINE 1 MG/ML INJECTION (NEONATE/PEDS),53.9,21.02,,,0
CDM,1356146679,MEPERIDINE (PF) 25 MG/ML INJECTION SYRINGE,51.6,20.12,,,0
CDM,1356149125,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,57.4,22.39,,,0
CDM,1356149555,PROMETHAZINE 25 MG/ML INJ (WRAPPED),19.6,7.64,,,0
CDM,1356150077,HYDROCORTISONE 1 % LOTION,88.9,34.67,,,0
CDM,1356150258,"BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOPICAL OINTMENT",10.6,4.13,,,0
CDM,1356150905,PEPPERMINT SPIRIT ORAL,74.6,29.09,,,0
CDM,1356153864,DEXTROSE 15 % (D15W) IV (SIMPLE),53.7,20.94,,,0
CDM,1356155098,TETRAHYDROZOLINE 0.05 % EYE DROPS,13.3,5.19,,,0
CDM,1356155948,WHITE PETROLATUM TOPICAL OINTMENT IN PACKET,0.6,0.23,,,0
CDM,1356156341,MORPHINE (PF) 25 MG/ML INJECTION SOLUTION,739.6,288.44,,,0
CDM,1356157801,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,64.1,25.0,,,0
CDM,1356157811,"TRANEXAMIC ACID 1,000 MG/100 ML(10 MG/ML)IN SOD CHLOR,ISO IV PIGGYBACK",175.1,68.29,,,0
CDM,1356157997,NEOMYCIN-BACITRACIN-POLYMYCIN TOPICAL OINTMENT (WRAPPED),0.7,0.27,,,0
CDM,1356158956,CELECOXIB 200 MG CAPSULE,18.7,7.29,,,0
CDM,1356159044,FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET,11.4,4.45,,,0
CDM,1356160500,PERITON.DIALYSIS SOLN 6-1.5 % DEXTROS LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L (5L BAG FOR CCPD),273.3,106.59,,,0
CDM,1356162797,PERMETHRIN 5 % TOPICAL CREAM,929.7,362.58,,,0
CDM,1356163616,VASOPRESSIN 20 UNIT/ML INJECTION (WRAPPED),272.6,106.31,,,0
CDM,1356163688,"TACROLIMUS XR 0.75 MG TABLET,EXTENDED RELEASE 24 HR",40.0,15.6,,,0
CDM,1356165055,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,76.9,29.99,,,0
CDM,1356165803,CARBAMIDE PEROXIDE 6.5 % EAR DROPS,53.5,20.86,,,0
CDM,1356166997,HYDROMORPHONE (PF) 0.2 MG/ML INJECTION SYRINGE,25.7,10.02,,,0
CDM,1356167615,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,766.7,299.01,,,0
CDM,1356169426,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,5.4,2.11,,,0
CDM,1356169934,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,66.1,25.78,,,0
CDM,1356173385,HYDROXYZINE HCL 10 MG TABLET,4.9,1.91,,,0
CDM,1356173763,ACEBUTOLOL 200 MG CAPSULE,13.7,5.34,,,0
CDM,1356174086,CLONAZEPAM 1 MG TABLET,4.8,1.87,,,0
CDM,1356174328,PROCHLORPERAZINE MALEATE 10 MG TABLET,4.8,1.87,,,0
CDM,1356174501,LEVETIRACETAM 500 MG TABLET,27.0,10.53,,,0
CDM,1356175522,NITROFURANTOIN 25 MG/5 ML ORAL SUSPENSION,536.9,209.39,,,0
CDM,1356176499,HUM PROTHROMBIN CPLX (PCC) 4FACTOR 500 UNIT (400-620 UNIT) IV SOLUTION,37190.4,14504.26,,,0
CDM,1356177143,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,4.8,1.87,,,0
CDM,1356178448,CILOSTAZOL 100 MG TABLET,15.65,6.105,,,0
CDM,1356181527,FLUOXETINE 10 MG CAPSULE,20.0,7.8,,,0
CDM,1356184754,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,68.4,26.68,,,0
CDM,1356185987,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION,158.9,61.97,,,0
CDM,1356195757,CLONAZEPAM 0.5 MG TABLET,4.8,1.87,,,0
CDM,1356198207,CARBAMIDE PEROXIDE 6.5 % EAR DROPS,14.5,5.66,,,0
CDM,1356200024,SEVELAMER CARBONATE 800 MG TABLET,52.5,20.48,,,0
CDM,1356200255,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",19.6,7.64,,,0
CDM,1356200615,"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE",22.8,8.89,,,0
CDM,1356201147,RISPERIDONE 1 MG/ML ORAL SOLUTION,78.0,30.42,,,0
CDM,1356203938,EPLERENONE 25 MG TABLET,11.9,4.64,,,0
CDM,1356204974,TOPIRAMATE 100 MG TABLET,47.6,18.56,,,0
CDM,1356208375,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,180.4,70.36,,,0
CDM,1356209347,MISOPROSTOL 100 MCG TABLET,6.4,2.5,,,0
CDM,1356209363,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER",214.8,83.77,,,0
CDM,1356210136,GABAPENTIN 400 MG CAPSULE,12.4,4.84,,,0
CDM,1356211495,PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY,74.8,29.17,,,0
CDM,1356213283,"GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR",4.8,1.87,,,0
CDM,1356214477,"FERROUS SULFATE, DRIED ER 159 MG (45 MG IRON) TABLET,EXTENDED RELEASE",1.2,0.47,,,0
CDM,1356214558,SODIUM CHLORIDE 4 MEQ/ML (23.4%) IV BOLUS (SIMPLE),57.4,22.39,,,0
CDM,1356215131,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,51.3,20.01,,,0
CDM,1356217022,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,1217.0,474.63,,,0
CDM,1356224938,"DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE",397.1,154.87,,,0
CDM,1356225334,METRONIDAZOLE 250 MG TABLET,6.7,2.61,,,0
CDM,1356232959,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,61.5,23.98,,,0
CDM,1356240271,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,19.6,7.64,,,0
CDM,1356240906,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,143.4,55.93,,,0
CDM,1356240908,DESMOPRESSIN 0.1 MG TABLET,26.9,10.49,,,0
CDM,1356242766,PYRIDOSTIGMINE BROMIDE 60 MG/5 ML ORAL SYRUP,142.4,55.54,,,0
CDM,1356244525,MUPIROCIN 2 % TOPICAL OINTMENT,69.1,26.95,,,0
CDM,1356245448,CETIRIZINE 10 MG TABLET,0.6,0.23,,,0
CDM,1356246254,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE",4.8,1.87,,,0
CDM,1356246548,MANNITOL 20 % INTRAVENOUS SOLUTION,320.3,124.92,,,0
CDM,1356247068,LORAZEPAM 2 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1356255891,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",4.8,1.87,,,0
CDM,1356258378,LOSARTAN 50 MG TABLET,34.5,13.46,,,0
CDM,1356259277,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,213.5,83.26,,,0
CDM,1356262570,DOXEPIN 25 MG CAPSULE,25.9,10.1,,,0
CDM,1356263667,CARBAMIDE PEROXIDE 6.5 % EAR DROPS,67.6,26.36,,,0
CDM,1356264673,WARFARIN 3 MG TABLET,10.2,3.98,,,0
CDM,1356266818,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION,163.2,63.65,,,0
CDM,1356267819,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,95.4,37.21,,,0
CDM,1356268323,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,153.8,59.98,,,0
CDM,1356268656,POTASSIUM CHLORIDE 10 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,68.4,26.68,,,0
CDM,1356271310,DILTIAZEM 60 MG TABLET,4.7,1.83,,,0
CDM,1356271487,"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET",11.1,4.33,,,0
CDM,1356272191,PROPRANOLOL 20 MG TABLET,4.8,1.87,,,0
CDM,1356272995,PREDNISONE 10 MG TABLET,4.8,1.87,,,0
CDM,1356273026,RISPERIDONE 0.5 MG DISINTEGRATING TABLET,37.8,14.74,,,0
CDM,1356274662,OSELTAMIVIR 75 MG CAPSULE,118.6,46.25,,,0
CDM,1356275341,PROMETHAZINE 25 MG RECTAL SUPPOSITORY,74.8,29.17,,,0
CDM,1356275388,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,76.9,29.99,,,0
CDM,1356275937,ACYCLOVIR 5 % TOPICAL OINTMENT,3058.9,1192.97,,,0
CDM,1356276999,"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION",53.7,20.94,,,0
CDM,1356279542,"INDOMETHACIN ER 75 MG CAPSULE,EXTENDED RELEASE",23.3,9.09,,,0
CDM,1356279760,LEVALBUTEROL CONCENTRATE 1.25 MG/0.5 ML SOLUTION FOR NEBULIZATION,65.5,25.54,,,0
CDM,1356280085,ARIPIPRAZOLE 15 MG TABLET,244.8,95.47,,,0
CDM,1356280144,MECLIZINE 25 MG TABLET,7.1,2.77,,,0
CDM,1356280269,INSULIN GLARGINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,19.6,7.64,,,0
CDM,1356280659,TROLAMINE SALICYLATE 10 % TOPICAL CREAM,49.6,19.34,,,0
CDM,1356288010,ENALAPRIL MALEATE 5 MG TABLET,28.4,11.08,,,0
CDM,1356289171,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,35.8,13.96,,,0
CDM,1356290154,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM,33.8,13.18,,,0
CDM,1356292321,TOPIRAMATE 25 MG SPRINKLE CAPSULE,58.7,22.89,,,0
CDM,1356292574,NADOLOL 40 MG TABLET,15.2,5.93,,,0
CDM,1356294062,ROMOSOZUMAB-AQQG 210 MG/2.34 ML(105 MG/1.17 ML X2)SUBCUTANEOUS SYRINGE,18323.6,7146.2,,,0
CDM,1356295444,MORPHINE 15 MG IMMEDIATE RELEASE TABLET,8.0,3.12,,,0
CDM,1356297428,METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTION,187.9,73.28,,,0
CDM,1356297970,"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM",269.3,105.03,,,0
CDM,1356299510,TRAZODONE 50 MG TABLET,8.3,3.24,,,0
CDM,1356300971,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,840.4,327.76,,,0
CDM,1356303066,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION,35.55,13.865,,,0
CDM,1356303274,METOCLOPRAMIDE 5 MG TABLET,7.0,2.73,,,0
CDM,1356304098,CIPROFLOXACIN 500 MG TABLET,19.0,7.41,,,0
CDM,1356304244,BENZOCAINE 15 MG-MENTHOL 3.6 MG LOZENGES,4.8,1.87,,,0
CDM,1356306056,DICYCLOMINE 10 MG CAPSULE,4.8,1.87,,,0
CDM,1356306981,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,45.3,17.67,,,0
CDM,1356307009,DEFEROXAMINE 500 MG SOLUTION FOR INJECTION,132.8,51.79,,,0
CDM,1356307721,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,95.4,37.21,,,0
CDM,1356308106,KETOCONAZOLE 2 % SHAMPOO,232.0,90.48,,,0
CDM,1356309065,VANCOMYCIN 50 MG/ML ORAL SOLUTION,72.5,28.28,,,0
CDM,1356311072,IPRATROPIUM BROMIDE 42 MCG (0.06 %) NASAL SPRAY,734.2,286.34,,,0
CDM,1356314315,PERITON. DIALYSIS SOLN 13-2.5 % DEXTROSE CALC 3.5 MEQ/L-MAG 0.5 MEQ/L,486.8,189.85,,,0
CDM,1356314328,FENTANYL 50 MCG/HR TRANSDERMAL PATCH,298.3,116.34,,,0
CDM,1356314562,SENNOSIDES 8.6 MG TABLET,0.6,0.23,,,0
CDM,1356314891,HEPARIN 1000 UNITS/500 ML NS FOR WG CATH/EP (SIMPLE),85.4,33.31,,,0
CDM,1356315882,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,212.5,82.88,,,0
CDM,1356317720,METRONIDAZOLE 250 MG TABLET,6.7,2.61,,,0
CDM,1356317839,WITCH HAZEL 50 % TOPICAL PADS,26.7,10.41,,,0
CDM,1356318778,ATORVASTATIN 40 MG TABLET,4.8,1.87,,,0
CDM,1356319434,ROPINIROLE 1 MG TABLET,26.7,10.41,,,0
CDM,1356320908,DILTIAZEM 100 MG INTRAVENOUS SOLUTION,97.5,38.02,,,0
CDM,1356321135,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION,34.4,13.42,,,0
CDM,1356326812,NICARDIPINE 40 MG/200 ML(0.2 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN,683.2,266.45,,,0
CDM,1356328506,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM,37.7,14.7,,,0
CDM,1356328664,SIMPLE SYRUP,0.4,0.16,,,0
CDM,1356328664,"WATER FOR IRRIGATION, STERILE SOLUTION",32.6,12.71,,,0
CDM,1356329986,VITAMINS A AND D-WHITE PETROLATUM-LANOLIN TOPICAL OINTMENT,11.4,4.45,,,0
CDM,1356333526,"LEVETIRACETAM 1,500 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",683.2,266.45,,,0
CDM,1356334178,TETRAHYDROZOLINE 0.05 % EYE DROPS,4.8,1.87,,,0
CDM,1356334198,ARIPIPRAZOLE 10 MG TABLET,246.1,95.98,,,0
CDM,1356334199,PAROXETINE 10 MG TABLET,40.2,15.68,,,0
CDM,1356335548,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,311.1,121.33,,,0
CDM,1356336363,TEMAZEPAM 7.5 MG CAPSULE,26.9,10.49,,,0
CDM,1356336502,"PENICILLIN G BENZATHINE 2,400,000 UNIT/4 ML INTRAMUSCULAR SYRINGE",4791.7,1868.76,,,0
CDM,1356337727,MIDODRINE 5 MG TABLET,4.8,1.87,,,0
CDM,1356338731,DOXEPIN 10 MG CAPSULE,5.0,1.95,,,0
CDM,1356339782,OLMESARTAN 20 MG TABLET,53.1,20.71,,,0
CDM,1356340233,LITHIUM CARBONATE 300 MG CAPSULE,4.8,1.87,,,0
CDM,1356343673,MAGNESIUM SULFATE 4 GRAM/50 ML (8 %) IN WATER INTRAVENOUS PIGGYBACK,69.2,26.99,,,0
CDM,1356343779,MELATONIN 3 MG TABLET,4.8,1.87,,,0
CDM,1356344423,PERAMPANEL 2 MG TABLET,952.7,371.55,,,0
CDM,1356344462,FERRIC CITRATE 210 MG IRON TABLET,118.8,46.33,,,0
CDM,1356345872,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION,282.7,110.25,,,0
CDM,1356346122,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,254.4,99.22,,,0
CDM,1356356761,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,48.7,18.99,,,0
CDM,1356356803,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,0.4,0.16,,,0
CDM,1356357481,AMANTADINE HCL 100 MG CAPSULE,15.5,6.04,,,0
CDM,1356358765,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION,47.0,18.33,,,0
CDM,1356363814,PRAZOSIN 2 MG CAPSULE,9.8,3.82,,,0
CDM,1356365024,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE,51.3,20.01,,,0
CDM,1356365494,LAMIVUDINE 150 MG TABLET,54.9,21.41,,,0
CDM,1356366865,VALACYCLOVIR 1 GRAM TABLET,97.0,37.83,,,0
CDM,1356368477,FLUORESCEIN 0.3 %-BENOXINATE 0.4 % EYE DROPS,245.5,95.74,,,0
CDM,1356368819,DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS,940.4,366.76,,,0
CDM,1356369092,"LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200,000 INJECTION SOLUTION",20.7,8.07,,,0
CDM,1356370066,"ACETAZOLAMIDE ER 500 MG CAPSULE,EXTENDED RELEASE",115.3,44.965,,,0
CDM,1356370263,PHENYLEPHRINE 1 % NASAL SPRAY,15.1,5.89,,,0
CDM,1356370346,ACTIVATED CHARCOAL 50 GRAM/240 ML ORAL SUSPENSION,273.4,106.63,,,0
CDM,1356370491,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",800.2,312.08,,,0
CDM,1356370932,MEDROXYPROGESTERONE 10 MG TABLET,4.8,1.87,,,0
CDM,1356371223,C1 ESTERASE INHIBITOR 500 UNIT (10 ML) INTRAVENOUS KIT,79964.6,31186.19,,,0
CDM,1356371254,DIPHENHYDRAMINE-ZINC ACETATE 2 %-0.1 % TOPICAL CREAM,10.0,3.9,,,0
CDM,1356371938,METHYLERGONOVINE 0.2 MG TABLET,544.0,212.16,,,0
CDM,1356376752,CLONAZEPAM 0.5 MG DISINTEGRATING TABLET,7.2,2.81,,,0
CDM,1356387001,WARFARIN 2.5 MG TABLET,8.8,3.43,,,0
CDM,1356387298,LEVOTHYROXINE 100 MCG TABLET,4.8,1.87,,,0
CDM,1356390274,NEBIVOLOL 5 MG TABLET,72.7,28.35,,,0
CDM,1356393442,"PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE",18.5,7.22,,,0
CDM,1356394868,LORAZEPAM 0.5 MG TABLET,4.8,1.87,,,0
CDM,1356398994,DANTROLENE 20 MG INTRAVENOUS SOLUTION,1771.1,690.73,,,0
CDM,1356399829,"THEOPHYLLINE ER 400 MG TABLET,EXTENDED RELEASE 24 HR",10.5,4.1,,,0
CDM,1356402338,INDOMETHACIN 50 MG CAPSULE,4.9,1.91,,,0
CDM,1356405431,KETOROLAC 10 MG TABLET,16.6,6.47,,,0
CDM,1356405721,ICATIBANT 30 MG/3 ML SUBCUTANEOUS SYRINGE,88575.8,34544.56,,,0
CDM,1356408738,METHYLPREDNISOLONE 16 MG TABLET,35.8,13.96,,,0
CDM,1356412120,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1356421323,OMALIZUMAB 75 MG/0.5 ML SUBCUTANEOUS SYRINGE,4935.2,1924.73,,,0
CDM,1356421524,POLYVINYL ALCOHOL 1.4 % EYE DROPS,41.9,16.34,,,0
CDM,1356423898,RIFAXIMIN 200 MG TABLET,215.3,83.97,,,0
CDM,1356426613,"MORPHINE ER 100 MG TABLET,EXTENDED RELEASE",58.6,22.85,,,0
CDM,1356435609,"NEOMYCIN 3.5 MG/G-POLYMYXIN B 10,000 UNIT/G-DEXAMETH 0.1 % EYE OINT",1724.9,672.71,,,0
CDM,1356442348,BETHANECHOL CHLORIDE 10 MG TABLET,38.4,14.98,,,0
CDM,1356446686,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,34.2,13.34,,,0
CDM,1356448920,DEXTROSE 10 % + SOD. CHLORIDE 0.45 % (D10W + 1/2 NS)(SIMPLE),56.1,21.88,,,0
CDM,1356449003,CANDIDA ALBICANS SKIN TEST FDA STANDARD INTRADERMAL,657.6,256.46,,,0
CDM,1356450726,ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION,722.0,281.58,,,0
CDM,1356454449,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION,5842.9,2278.73,,,0
CDM,1356455338,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",48.5,18.92,,,0
CDM,1356455927,APREMILAST 30 MG TABLET,680.6,265.43,,,0
CDM,1356459567,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",52.6,20.51,,,0
CDM,1356465209,SUFENTANIL CITRATE 50 MCG/ML INTRAVENOUS SOLUTION,32.3,12.6,,,0
CDM,1356466389,HYDROCORTISONE 1 % TOPICAL OINTMENT,34.5,13.46,,,0
CDM,1356466909,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",34.6,13.49,,,0
CDM,1356467061,MANNITOL 25 % INTRAVENOUS SOLUTION,103.4,40.33,,,0
CDM,1356467289,"DEXTROAMPHETAMINE-AMPHETAMINE ER 5 MG 24HR CAPSULE,EXTEND RELEASE",141.1,55.03,,,0
CDM,1356469076,ALENDRONATE 70 MG TABLET,156.6,61.07,,,0
CDM,1356470825,FERROUS FUM-VIT C-VIT B12-FA 460 MG-60 MG-0.01 MG-1 MG CAPSULE,9.5,3.7,,,0
CDM,1356471236,SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION,117.3,45.75,,,0
CDM,1356471807,POLYVINYL ALCOHOL 1.4 % EYE DROPS,22.7,8.85,,,0
CDM,1356471931,HYDRALAZINE 25 MG TABLET,4.8,1.87,,,0
CDM,1356475557,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1356476055,MISOPROSTOL 200 MCG TABLET,83.7,32.64,,,0
CDM,1356478480,POTASSIUM CHLORIDE 20 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,53.7,20.94,,,0
CDM,1356480551,"POTASSIUM CITRATE ER 10 MEQ (1,080 MG) TABLET,EXTENDED RELEASE",18.9,7.37,,,0
CDM,1356482275,CHLOROTHIAZIDE 250 MG/5 ML ORAL SUSPENSION,4.8,1.87,,,0
CDM,1356484261,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1356484467,PRAVASTATIN 20 MG TABLET,49.9,19.46,,,0
CDM,1356484909,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,248.1,96.76,,,0
CDM,1356486218,CEPHALEXIN 250 MG CAPSULE,11.0,4.29,,,0
CDM,1356492188,CARBOXYDEXTRAN-COATED SUPERPARAMAGNETIC IRON OXIDE SUSPENSION,998.3,389.34,,,0
CDM,1356493799,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,748.8,292.03,,,0
CDM,1356493896,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION,495.0,193.05,,,0
CDM,1356496118,LEUCOVORIN CALCIUM 200 MG SOLUTION FOR INJECTION,369.2,143.99,,,0
CDM,1356497437,VARENICLINE TARTRATE 1 MG TABLET,119.9,46.76,,,0
CDM,1356502639,METHENAMINE 81 MG-M.BLUE 10.8 MG-SOD PHOS 40.8 MG-P.SALICY-HYOS TABLET,46.9,18.29,,,0
CDM,1356505253,LIDOCAINE (PF) 3.5 % EYE GEL,179.2,69.89,,,0
CDM,1356507288,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,472.1,184.12,,,0
CDM,1356508439,WARFARIN 2.5 MG TABLET,5.1,1.99,,,0
CDM,1356509838,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,337.9,131.78,,,0
CDM,1356511955,PRAMIPEXOLE 1.5 MG TABLET,22.7,8.85,,,0
CDM,1356515763,AZACITIDINE 100 MG SOLUTION FOR INJECTION,2890.46,1127.28,,,0
CDM,1356515950,LIDOCAINE (PF) 4 MG/ML (0.4 %) IN 5 % DEXTROSE INTRAVENOUS SOLUTION,76.9,29.99,,,0
CDM,1356516524,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK,9124.5,3558.56,,,0
CDM,1356518076,PROPARACAINE 0.5 % EYE DROPS,269.2,104.99,,,0
CDM,1356518920,BACITRACIN TOPICAL OINTMENT (WRAPPED),7.2,2.81,,,0
CDM,1356520417,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL POWDER FOR SUSPENSION,155.5,60.64,,,0
CDM,1356523281,METHYL SALICYLATE OIL,632.8,246.79,,,0
CDM,1356524834,KETOROLAC 15 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1356527360,DEXAMETHASONE 1 MG TABLET,4.8,1.87,,,0
CDM,1356527510,LORAZEPAM 0.5 MG TABLET,5.0,1.95,,,0
CDM,1356528091,EPTIFIBATIDE 2 MG/ML BOLUS,19.6,7.64,,,0
CDM,1356528297,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION,19.6,7.64,,,0
CDM,1356528690,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1356529034,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,32.6,12.71,,,0
CDM,1356532705,POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION,0.01,0.0039,,,0
CDM,1356533145,BUPRENORPHINE HCL 75 MCG BUCCAL FILM,69.3,27.03,,,0
CDM,1356533734,AMLODIPINE 10 MG TABLET,4.8,1.87,,,0
CDM,1356534851,ACYCLOVIR 400 MG TABLET,16.7,6.51,,,0
CDM,1356535502,DAPAGLIFLOZIN PROPANEDIOL 10 MG TABLET,153.4,59.83,,,0
CDM,1356536486,FAMOTIDINE (PF) 20 MG/50 ML IN 0.9 % NACL (ISO) INTRAVENOUS PIGGYBACK,47.9,18.68,,,0
CDM,1356538957,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,57.1,22.27,,,0
CDM,1356541112,DOFETILIDE 250 MCG CAPSULE,65.7,25.62,,,0
CDM,1356541854,BORTEZOMIB 3.5 MG SOLUTION FOR SUBCUTANEOUS INJ,532.9,207.83,,,0
CDM,1356545063,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,19.6,7.64,,,0
CDM,1356545438,"THROMBIN (RECOMBINANT) 20,000 UNIT TOPICAL SOLUTION",2676.9,1043.99,,,0
CDM,1356549259,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,67.2,26.21,,,0
CDM,1356554089,OLANZAPINE 2.5 MG TABLET,85.9,33.5,,,0
CDM,1356554490,"STUDY DAZODALIBEP/PLACEBO (HZNP-DAZ-301, DB PHASE) IN NS 250 ML",0.1,0.04,,,0
CDM,1356554506,"ATEZOLIZUMAB 1,875 MG-HYALURONIDASE-TQJS 30,000 UNIT/15 ML SUBCUT SOLN",70211.4,27382.45,,,0
CDM,1356555942,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,85.0,33.15,,,0
CDM,1356556722,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION,206.3,80.46,,,0
CDM,1356557375,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",93.1,36.31,,,0
CDM,1356558420,DANTROLENE 20 MG INTRAVENOUS SOLUTION,988.6,385.55,,,0
CDM,1356562061,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1356562435,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,55.6,21.68,,,0
CDM,1356565396,PEG 3350-ELECTROLYTES (GOLYTELY) (WRAPPED),245.5,95.74,,,0
CDM,1356565755,MEPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,31.7,12.36,,,0
CDM,1356568785,POVIDONE-IODINE 10 % TOPICAL SOLUTION,10.0,3.9,,,0
CDM,1356570909,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",28.5,11.12,,,0
CDM,1356574336,OXYCODONE 30 MG TABLET,68.9,26.87,,,0
CDM,1356575122,BACLOFEN 10 MG TABLET,4.8,1.87,,,0
CDM,1356577948,MORPHINE 10 MG/5 ML ORAL SOLUTION,6.4,2.5,,,0
CDM,1356578668,"SILVER ER TOPICAL GEL,EXTENDED RELEASE",191.7,74.76,,,0
CDM,1356582966,THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET,4.8,1.87,,,0
CDM,1356586635,DEXAMETHASONE 2 MG TABLET,5.7,2.22,,,0
CDM,1356589067,DEXAMETHASONE 1 MG/ML DROPS (CONCENTRATE),24.7,9.63,,,0
CDM,1356589462,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,75.2,29.33,,,0
CDM,1356589530,LITHIUM CARBONATE 300 MG CAPSULE,4.8,1.87,,,0
CDM,1356590087,"CARBAMAZEPINE ER 100 MG TABLET,EXTENDED RELEASE,12 HR",8.8,3.43,,,0
CDM,1356590484,FLUCONAZOLE 100 MG TABLET,276.2,107.72,,,0
CDM,1356590555,MITOMYCIN 20 MG INTRAVENOUS SOLUTION,3194.3,1245.78,,,0
CDM,1356593957,METAXALONE 800 MG TABLET,43.75,17.064999999999998,,,0
CDM,1356597618,"CARBAMAZEPINE ER 100 MG TABLET,EXTENDED RELEASE,12 HR",17.6,6.86,,,0
CDM,1356598712,APREPITANT 40 MG CAPSULE,843.3,328.89,,,0
CDM,1356600322,POLYETHYLENE GLYCOL 3350 17 GRAM/DOSE ORAL POWDER,40.2,15.68,,,0
CDM,1356601192,AZITHROMYCIN 500 MG TABLET,119.4,46.57,,,0
CDM,1356602256,AMIKACIN 500 MG/2 ML INJECTION SOLUTION,28.3,11.04,,,0
CDM,1356604304,PANTOPRAZOLE 4 MG/ML FOR IV PUSH (PEDS) SIMPLE,19.6,7.64,,,0
CDM,1356604435,SACCHAROMYCES BOULARDII 250 MG CAPSULE,7.3,2.85,,,0
CDM,1356604466,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION,369.7,144.18,,,0
CDM,1356607440,CARBIDOPA 50 MG-LEVODOPA 200 MG-ENTACAPONE 200 MG TABLET,28.8,11.23,,,0
CDM,1356607620,ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLUTION,3385.2,1320.23,,,0
CDM,1356608880,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,165.0,64.35,,,0
CDM,1356610037,MOXIFLOXACIN 0.5 % EYE DROPS,1283.4,500.53,,,0
CDM,1356610322,"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION",405.0,157.95,,,0
CDM,1356610889,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION,44.5,17.36,,,0
CDM,1356610955,"BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOPICAL OINTMENT",18.4,7.18,,,0
CDM,1356612190,INFLIXIMAB-DYYB 100 MG INTRAVENOUS SOLUTION,1978.7,771.69,,,0
CDM,1356623948,ACYCLOVIR 200 MG CAPSULE,4.8,1.87,,,0
CDM,1356624784,METRONIDAZOLE (BULK) POWDER,39.2,15.29,,,0
CDM,1356625784,METHOCARBAMOL 500 MG TABLET,4.8,1.87,,,0
CDM,1356628304,METRONIDAZOLE 500 MG TABLET,5.4,2.11,,,0
CDM,1356631709,HYDROCHLOROTHIAZIDE 25 MG TABLET,4.8,1.87,,,0
CDM,1356632589,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,153.8,59.98,,,0
CDM,1356636846,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,49.2,19.19,,,0
CDM,1356638506,REZAFUNGIN 200 MG INTRAVENOUS SOLUTION,28558.5,11137.82,,,0
CDM,1356640264,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,46.4,18.1,,,0
CDM,1356642400,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",2.0,0.78,,,0
CDM,1356649708,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,16.4,6.4,,,0
CDM,1356651332,SINCALIDE 5 MCG SOLUTION FOR INJECTION,585.8,228.46,,,0
CDM,1356653040,DEXMEDETOMIDINE 80 MCG/20 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,226.5,88.34,,,0
CDM,1356654145,GEMFIBROZIL 600 MG TABLET,17.8,6.94,,,0
CDM,1356654846,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,143.2,55.85,,,0
CDM,1356655135,GUAIFENESIN 100 MG/5 ML ORAL LIQUID,7.2,2.81,,,0
CDM,1356655150,ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION,24.0,9.36,,,0
CDM,1356655773,CLINDAMYCIN HCL 150 MG CAPSULE,4.9,1.91,,,0
CDM,1356656355,VANCOMYCIN 1.75 GRAM/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,236.4,92.2,,,0
CDM,1356656961,LEVOTHYROXINE 75 MCG TABLET,4.8,1.87,,,0
CDM,1356659941,"OMEGA 3-DHA-EPA-FISH OIL 1,000 MG (120 MG-180 MG) CAPSULE",1.1,0.43,,,0
CDM,1356659955,LEVOTHYROXINE 137 MCG TABLET,5.9,2.3,,,0
CDM,1356664453,KETOROLAC 15 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1356665539,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1356667293,DOFETILIDE 250 MCG CAPSULE,149.5,58.3,,,0
CDM,1356667448,HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION,341.6,133.22,,,0
CDM,1356670682,SOTALOL 120 MG TABLET,26.6,10.37,,,0
CDM,1356672584,NEBIVOLOL 10 MG TABLET,72.7,28.35,,,0
CDM,1356681240,MEROPENEM 500 MG INTRAVENOUS SOLUTION,25.7,10.02,,,0
CDM,1356685503,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET",0.6,0.23,,,0
CDM,1356685771,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,199.8,77.92,,,0
CDM,1356690259,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,83.3,32.49,,,0
CDM,1356691287,LEVETIRACETAM 100 MG/ML ORAL SOLUTION,25.0,9.75,,,0
CDM,1356691957,METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION,267.2,104.21,,,0
CDM,1356694079,ZOLPIDEM 5 MG TABLET,35.5,13.84,,,0
CDM,1356694933,HALOPERIDOL 0.5 MG TABLET,2.7,1.05,,,0
CDM,1356694978,LORAZEPAM 1 MG TABLET,13.5,5.26,,,0
CDM,1356694985,GUANFACINE 1 MG TABLET,6.7,2.61,,,0
CDM,1356695306,MEDROXYPROGESTERONE 10 MG TABLET,4.8,1.87,,,0
CDM,1356697191,VENLAFAXINE 75 MG TABLET,16.8,6.55,,,0
CDM,1356701726,"QUETIAPINE ER 400 MG TABLET,EXTENDED RELEASE 24 HR",207.2,80.81,,,0
CDM,1356707231,HYZINY CREAM WITH LIDOCAINE (CMPD),291.5,113.68,,,0
CDM,1356709874,LORATADINE 10 MG TABLET,0.6,0.23,,,0
CDM,1356711344,LEVOTHYROXINE 137 MCG TABLET,5.2,2.03,,,0
CDM,1356711433,CYANOCOBALAMIN (VIT B-12) 500 MCG TABLET,2.7,1.05,,,0
CDM,1356714892,LABETALOL 200 MG TABLET,10.8,4.21,,,0
CDM,1356717555,TIZANIDINE 4 MG TABLET,11.7,4.56,,,0
CDM,1356720489,ESOMEPRAZOLE MAGNESIUM DR 40 MG GRANULES DELAYED RELEASE FOR SUSP,74.9,29.21,,,0
CDM,1356721330,MONTELUKAST 10 MG TABLET,43.4,16.93,,,0
CDM,1356722553,TAMOXIFEN 10 MG TABLET,29.1,11.35,,,0
CDM,1356723132,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR",35.1,13.69,,,0
CDM,1356726486,FENTANYL (PF) 1000 MCG/100 ML NS (10 MCG/ML) PREMIX,446.3,174.06,,,0
CDM,1356730976,PENICILLIN V POTASSIUM 250 MG TABLET,7.1,2.77,,,0
CDM,1356733261,LEVOTHYROXINE 175 MCG TABLET,6.8,2.65,,,0
CDM,1356735075,OSELTAMIVIR 30 MG CAPSULE,108.8,42.43,,,0
CDM,1356737190,ASPIRIN 325 MG TABLET,0.6,0.23,,,0
CDM,1356737978,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",82.0,31.98,,,0
CDM,1356745375,VANCOMYCIN IVPB 1000 MG/250 ML NS (SIMPLE),151.6,59.12,,,0
CDM,1356746042,FOLIC ACID 5 MG/ML INJECTION SOLUTION,54.6,21.29,,,0
CDM,1356746194,SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET,4.8,1.87,,,0
CDM,1356746626,DEXTROMETHORPHAN POLISTIREX ER 30 MG/5 ML ORAL SUSP EXT.RELEASE 12HR,6.5,2.54,,,0
CDM,1356746820,LEVETIRACETAM 100 MG/ML ORAL SOLUTION,25.0,9.75,,,0
CDM,1356751315,LIDOCAINE 5 % TOPICAL PATCH,213.3,83.19,,,0
CDM,1356752122,METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION,32.1,12.52,,,0
CDM,1356756469,"HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJECTION SOLUTION",19.6,7.64,,,0
CDM,1356758971,ESCITALOPRAM 20 MG TABLET,4.8,1.87,,,0
CDM,1356759723,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",45.9,17.9,,,0
CDM,1356759725,LEVOTHYROXINE 125 MCG TABLET,5.3,2.07,,,0
CDM,1356761463,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION,125.8,49.06,,,0
CDM,1356764114,GABAPENTIN 400 MG CAPSULE,4.8,1.87,,,0
CDM,1356764223,TERAZOSIN 5 MG CAPSULE,12.4,4.84,,,0
CDM,1356765260,EPLERENONE 50 MG TABLET,32.0,12.48,,,0
CDM,1356766463,TOLTERODINE 2 MG TABLET,26.1,10.18,,,0
CDM,1356766468,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,72.3,28.2,,,0
CDM,1356770054,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,12.0,4.68,,,0
CDM,1356772063,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,17.3,6.75,,,0
CDM,1356773301,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,20.5,8.0,,,0
CDM,1356774706,CELECOXIB 200 MG CAPSULE,15.3,5.97,,,0
CDM,1356777220,BICARBONATE HEMODIALYSIS SOLN WITHOUT CALCIUM 8 POT 2 MEQ-MAG 1 MEQ/L,981.4,382.75,,,0
CDM,1356778689,SACCHAROMYCES BOULARDII 250 MG CAPSULE,12.0,4.68,,,0
CDM,1356779482,ARIPIPRAZOLE 15 MG TABLET,237.1,92.47,,,0
CDM,1356779774,MAGNESIUM SULFATE 2 GRAM/100 ML IN 0.9 % SODIUM CHL INTRAVEN PIGGYBACK,47.9,18.68,,,0
CDM,1356781141,ONE-STEP ONLY - AMIODARONE IV PUSH,66.1,25.78,,,0
CDM,1356781492,DOXAZOSIN 1 MG TABLET,28.9,11.27,,,0
CDM,1356785510,"DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE",363.4,141.73,,,0
CDM,1356786023,POTASSIUM CHLORIDE 10 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,33.4,13.03,,,0
CDM,1356788192,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1356792529,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,77.2,30.11,,,0
CDM,1356798695,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,23.4,9.13,,,0
CDM,1356802777,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,38.0,14.82,,,0
CDM,1356803408,BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION,2778.8,1083.73,,,0
CDM,1356804825,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,147.8,57.64,,,0
CDM,1356809188,CLOBAZAM 10 MG TABLET,140.4,54.76,,,0
CDM,1356810582,"OBINUTUZUMAB 1,000 MG/40 ML INTRAVENOUS SOLUTION",48369.1,18863.95,,,0
CDM,1356813246,"ANTIHEMOPHILIC FACTOR-VWF 1,000 UNIT-2,400 UNIT INTRAVENOUS SOLUTION",28025.8,10930.06,,,0
CDM,1356815823,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,12.2,4.76,,,0
CDM,1356816858,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,21.4,8.35,,,0
CDM,1356817031,MESNA 100 MG/ML INTRAVENOUS SOLUTION,158.0,61.62,,,0
CDM,1356818047,BORTEZOMIB 3.5 MG SOLUTION FOR SUBCUTANEOUS INJ,97.1,37.87,,,0
CDM,1356818856,"LACTOBACILLUS ACIDOPHILUS, BULGARICUS 100 MILLION CELL GRANULES PACKET",8.6,3.35,,,0
CDM,1356819461,FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION,10.5,4.1,,,0
CDM,1356824097,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,68.4,26.68,,,0
CDM,1356824497,WARFARIN 10 MG TABLET,4.8,1.87,,,0
CDM,1356825414,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,72.2,28.16,,,0
CDM,1356826778,CEFUROXIME SODIUM 1.5 GRAM INTRAVENOUS SOLUTION,38.5,15.02,,,0
CDM,1356829797,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,56.8,22.15,,,0
CDM,1356834715,LIDOCAINE (PF) 200 MG/10 ML (2 %) INJECTION SYRINGE,323.2,126.05,,,0
CDM,1356878789,DIATRIZOATE MEGLUMINE 18 % URETHRAL SOLUTION,660.0,257.4,,,0
CDM,1356891118,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION,19.6,7.64,,,0
CDM,1356934234,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,17.0,6.63,,,0
CDM,1356952500,ADENOSINE 90 MG/90 ML NS FOR CATH LAB (SIMPLE),194.4,75.82,,,0
CDM,1356966319,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,53.0,20.67,,,0
CDM,1356982018,MICAFUNGIN 50 MG INTRAVENOUS SOLUTION,758.9,295.97,,,0
CDM,1356988447,ZIPRASIDONE 20 MG CAPSULE,84.7,33.03,,,0
CDM,1357076093,TROLAMINE SALICYLATE 10 % TOPICAL CREAM,64.6,25.19,,,0
CDM,1357094723,PRIMIDONE 50 MG TABLET,7.5,2.92,,,0
CDM,1357098670,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",4.8,1.87,,,0
CDM,1357112997,GABAPENTIN 600 MG TABLET,4.8,1.87,,,0
CDM,1357133687,"ANTI-INHIBITOR COAGULANT COMPLX 1,750 UNIT-3,250 UNIT INTRAVENOUS SOLN",0.01,0.0039,,,0
CDM,1357152576,ISOSORBIDE DINITRATE 10 MG TABLET,33.3,12.99,,,0
CDM,1357225425,"NYSTATIN 100,000 UNIT/GRAM TOPICAL OINTMENT",107.4,41.89,,,0
CDM,1357266908,AMIODARONE 200 MG TABLET,51.9,20.24,,,0
CDM,1357319104,MICONAZOLE NITRATE 2 % TOPICAL POWDER,69.2,26.99,,,0
CDM,1357321510,LEUCOVORIN CALCIUM 10 MG/ML INJECTION SOLUTION,737.9,287.78,,,0
CDM,1357346592,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1357347718,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE",12.9,5.03,,,0
CDM,1357350814,IBUPROFEN LYSINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,3816.0,1488.24,,,0
CDM,1357360046,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (WRAPPED),0.6,0.23,,,0
CDM,1357378829,NIVOLUMAB 40 MG/4 ML INTRAVENOUS SOLUTION,11763.6,4587.8,,,0
CDM,1357391698,"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET",0.3,0.12,,,0
CDM,1357405425,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,50.6,19.73,,,0
CDM,1357405594,CEPHALEXIN 250 MG CAPSULE,6.7,2.61,,,0
CDM,1357409049,LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS SYRINGE,38.99,15.21,,,0
CDM,1357412619,AZITHROMYCIN 500 MG TABLET,35.0,13.65,,,0
CDM,1357453900,"EPOETIN ALFA 3,000 UNIT/ML INJECTION SOLUTION",146.6,57.17,,,0
CDM,1357475416,STUDY TEGOPRUBART (AT-1501-K207) IN 100 ML IVPB,0.1,0.04,,,0
CDM,1357528865,LUBIPROSTONE 24 MCG CAPSULE,54.1,21.1,,,0
CDM,1357531275,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,43.6,17.0,,,0
CDM,1357561833,BUPIVACAINE-MELOXICAM ER 200 MG-6 MG/7 ML SURGICAL SITE INSTILL SOLN,1067.2,416.21,,,0
CDM,1357568068,PAMIDRONATE 30 MG/10 ML (3 MG/ML) INTRAVENOUS SOLUTION,830.1,323.74,,,0
CDM,1357577051,GLUCOSE 4 GRAM CHEWABLE TABLET,6.2,2.42,,,0
CDM,1357580626,TETRACAINE 0.5 % EYE DROPS,230.1,89.74,,,0
CDM,1357614103,USTEKINUMAB 130 MG/26 ML INTRAVENOUS SOLUTION,59095.9,23047.4,,,0
CDM,1357618186,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,207.2,80.81,,,0
CDM,1357619349,"MENINGOCOCCAL VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION (MENVEO 1-VIAL FORMULATION)",1157.0,451.23,,,0
CDM,1357632584,PAMIDRONATE 30 MG/10 ML (3 MG/ML) INTRAVENOUS SOLUTION,246.7,96.21,,,0
CDM,1357636788,"MORPHINE ER 60 MG TABLET,EXTENDED RELEASE",21.7,8.46,,,0
CDM,1357640476,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",8.6,3.35,,,0
CDM,1357651688,MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) IN WATER INTRAVENOUS SOLUTION,51.3,20.01,,,0
CDM,1357662771,KETAMINE 10 MG/ML INJECTION SOLUTION,60.3,23.52,,,0
CDM,1357665196,INSULIN ASPAR PRT-INSULIN ASPART 100 UNIT/ML (70-30) SUBCUTANEOUS SOLN,19.6,7.64,,,0
CDM,1357716621,TORIPALIMAB-TPZI 240 MG/6 ML (40 MG/ML) INTRAVENOUS SOLUTION,57991.1,22616.53,,,0
CDM,1357741900,TEBENTAFUSP-TEBN 100 MCG/0.5 ML INTRAVENOUS SOLUTION,40894.5,15948.86,,,0
CDM,1357808463,ANTITHROMBIN III (HUMAN) 500 (+/-) UNIT INTRAVENOUS SOLUTION,15428.0,6016.92,,,0
CDM,1357871741,NIVOLUMAB 120 MG/12 ML INTRAVENOUS SOLUTION,24296.5,9475.64,,,0
CDM,1357872045,TEMAZEPAM 7.5 MG CAPSULE,37.0,14.43,,,0
CDM,1357873002,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,56.1,21.88,,,0
CDM,1357877316,"HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE",2138.9,834.17,,,0
CDM,1357877442,OSELTAMIVIR 30 MG CAPSULE,108.8,42.43,,,0
CDM,1357878195,LEUPROLIDE 3.75 MG INTRAMUSCULAR SYRINGE KIT,11239.0,4383.21,,,0
CDM,1357878618,CARVEDILOL 6.25 MG TABLET,16.4,6.4,,,0
CDM,1357879144,SODIUM PHOSPHATE 3 MMOL/ML FOR ORAL USE (PEDS),27.1,10.57,,,0
CDM,1357886979,CUPRIC CHLORIDE 0.4 MG/ML INTRAVENOUS SOLUTION,162.5,63.38,,,0
CDM,1357887719,TOLVAPTAN 30 MG TABLET,4188.3,1633.44,,,0
CDM,1357890693,FENTANYL 100 MCG/HR TRANSDERMAL PATCH,409.3,159.63,,,0
CDM,1357892070,"QUETIAPINE ER 200 MG TABLET,EXTENDED RELEASE 24 HR",134.5,52.46,,,0
CDM,1357892191,ISAVUCONAZONIUM SULFATE 186 MG CAPSULE,1775.6,692.48,,,0
CDM,1357892348,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,57.4,22.39,,,0
CDM,1357893663,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,4.4,1.72,,,0
CDM,1357893683,PATIROMER CALCIUM SORBITEX 8.4 GRAM ORAL POWDER PACKET,272.4,106.24,,,0
CDM,1357894998,PRAVASTATIN 40 MG TABLET,5.5,2.14,,,0
CDM,1357896413,SUCCINYLCHOLINE CHLORIDE 200 MG/10 ML (20 MG/ML) INTRAVENOUS SYRINGE,61.5,23.98,,,0
CDM,1357898531,DEFEROXAMINE 500 MG SOLUTION FOR INJECTION,756.4,295.0,,,0
CDM,1357898946,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,36.9,14.39,,,0
CDM,1357900049,PYRIDOSTIGMINE BROMIDE 60 MG TABLET,9.8,3.82,,,0
CDM,1357901573,SUMATRIPTAN 25 MG TABLET,207.5,80.92,,,0
CDM,1357901975,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL CREAM,77.4,30.19,,,0
CDM,1357902476,HYDROXYCHLOROQUINE 200 MG TABLET,31.4,12.25,,,0
CDM,1357903718,"ALPHA-1 PROTEINASE INHIBITOR (HUMAN) 1,000 MG (WRAPPED)",19107.6,7451.96,,,0
CDM,1357908094,EXEMESTANE 25 MG TABLET,294.4,114.82,,,0
CDM,1357908549,SODIUM HYPOCHLORITE 0.25 % SOLUTION,141.5,55.18,,,0
CDM,1357909905,DRONABINOL 2.5 MG CAPSULE,15.9,6.2,,,0
CDM,1357910644,CERTOLIZUMAB PEGOL 400 MG/2 ML (200 MG/ML X2) SUBCUTANEOUS SYRINGE KIT,23311.8,9091.6,,,0
CDM,1357912024,INSULIN LISPRO PROTAMINE-LISPRO 100 UNIT/ML (75-25) SUBCUTANEOUS SUSP,39.4,15.37,,,0
CDM,1357913647,DIBUCAINE 1 % TOPICAL OINTMENT,39.7,15.48,,,0
CDM,1357920741,ARIPIPRAZOLE 15 MG TABLET,15.4,6.01,,,0
CDM,1357924348,STERILE TALC 4 GRAM INTRAPLEURAL SUSPENSION,2607.8,1017.04,,,0
CDM,1357924837,ONDANSETRON 4 MG DISINTEGRATING TABLET,171.0,66.69,,,0
CDM,1357929340,VALSARTAN 40 MG TABLET,30.7,11.97,,,0
CDM,1357932120,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP,14.8,5.77,,,0
CDM,1357932614,BALANCED SALT SOLUTION COMBINATION NO.2 INTRAOCULAR IRRIGATION,295.3,115.17,,,0
CDM,1357934402,BUPIVACAINE HCL 0.25 % (2.5 MG/ML) INJECTION SOLUTION,64.6,25.19,,,0
CDM,1357934648,AZACITIDINE 100 MG SOLUTION FOR INJECTION,1972.1,769.12,,,0
CDM,1357935649,"FERROUS SULFATE 325 MG (65 MG IRON) TABLET,DELAYED RELEASE",3.5,1.36,,,0
CDM,1357937678,"TRASTUZUMAB 600 MG-HYALURONIDASE-OYSK 10,000 UNIT/5 ML SUBCUT SOLUTION",29173.5,11377.66,,,0
CDM,1357937758,CARBOXYMETHYLCELLULOSE SODIUM 1 % EYE GEL IN A DROPPERETTE,4.8,1.87,,,0
CDM,1357940154,MISOPROSTOL 200 MCG TABLET,43.9,17.12,,,0
CDM,1357942889,AZACITIDINE 100 MG VIAL DILUTED FOR INTRAVENOUS USE,948.5,369.92,,,0
CDM,1357943480,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION,330.0,128.7,,,0
CDM,1357944102,MEPERIDINE (PF) 25 MG/ML INJECTION SOLUTION,43.4,16.93,,,0
CDM,1357944555,BORTEZOMIB 3.5 MG SOLUTION FOR SUBCUTANEOUS INJ,8659.5,3377.2,,,0
CDM,1357946978,LISINOPRIL 40 MG TABLET,4.8,1.87,,,0
CDM,1357948120,ALVIMOPAN 12 MG CAPSULE,1205.1,469.99,,,0
CDM,1357949570,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION,1303.4,508.33,,,0
CDM,1357953351,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,91.3,35.61,,,0
CDM,1357955579,ARIPIPRAZOLE 2 MG TABLET,28.8,11.23,,,0
CDM,1357961546,"DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",112.0,43.68,,,0
CDM,1357963433,BUPROPION HCL 100 MG TABLET,4.8,1.87,,,0
CDM,1357966647,DICLOFENAC 1 % TOPICAL GEL,120.5,47.0,,,0
CDM,1357970360,LINEZOLID 2 MG/ML IV SYRINGE (NEONATE/PEDS),93.5,36.46,,,0
CDM,1357974219,METOPROLOL TARTRATE 25 MG TABLET,4.8,1.87,,,0
CDM,1357978166,PHENYLEPHRINE 2.5 % EYE DROPS,862.9,336.53,,,0
CDM,1357980387,"BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOP OINT PACKET",1.7,0.66,,,0
CDM,1357981588,BICALUTAMIDE 50 MG TABLET,140.8,54.91,,,0
CDM,1357983316,OLMESARTAN 20 MG TABLET,96.4,37.6,,,0
CDM,1357983809,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,24.0,9.36,,,0
CDM,1357985842,"OCTREOTIDE,MICROSPHERES ER 30 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",48180.6,18790.43,,,0
CDM,1357988886,INDOMETHACIN 100 MG RECTAL SUPPOSITORY,2637.1,1028.47,,,0
CDM,1357991695,PROCAINAMIDE 100 MG/ML INJECTION SOLUTION,4182.0,1630.98,,,0
CDM,1357992094,NIACIN 100 MG TABLET,0.6,0.23,,,0
CDM,1357997200,EPHEDRINE (PF) 25 MG/5 ML (5 MG/ML) IN 0.9% SODIUM CHLORIDE IV SYRINGE,234.4,91.42,,,0
CDM,1357997615,MOXIFLOXACIN 0.5 % EYE DROPS,911.2,355.37,,,0
CDM,1357998298,SODIUM BICARBONATE 0.5 MEQ/ML ORAL SYRINGE,33.3,12.99,,,0
CDM,1357998665,CARIPRAZINE 1.5 MG CAPSULE,388.4,151.48,,,0
CDM,1358000937,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,532.4,207.64,,,0
CDM,1358001763,LEVOTHYROXINE 20 MCG/ML INTRAVENOUS SOLUTION,640.0,249.6,,,0
CDM,1358005012,ADULT 2-IN-1 CPN USING CLINIMIX BASE,504.0,196.56,,,0
CDM,1358007896,TAPENTADOL 50 MG TABLET,112.1,43.72,,,0
CDM,1358009388,ALBUTEROL SULFATE CONCENTRATE 5 MG/ML(0.5 %) SOLUTION FOR NEBULIZATION,92.1,35.92,,,0
CDM,1358011694,LIDOCAINE 5 % TOPICAL OINTMENT,2429.1,947.35,,,0
CDM,1358011948,ESTRADIOL VALERATE 20 MG/ML INTRAMUSCULAR OIL,344.8,134.47,,,0
CDM,1358012060,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",13.6,5.3,,,0
CDM,1358015177,OMADACYCLINE 150 MG TABLET,6055.2,2361.53,,,0
CDM,1358016198,SODIUM HYALURONATE 10 MG/ML INTRAOCULAR SYRINGE,279.0,108.81,,,0
CDM,1358017982,SUCRALFATE 1 GRAM TABLET,5.6,2.18,,,0
CDM,1358018109,ALPRAZOLAM 0.5 MG TABLET,5.9,2.3,,,0
CDM,1358019024,"THROMBIN (RECOMBINANT) 5,000 UNIT TOPICAL SOLUTION",659.7,257.28,,,0
CDM,1358019636,DOXAZOSIN 4 MG TABLET,13.2,5.15,,,0
CDM,1358020077,HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION,717.7,279.9,,,0
CDM,1358020252,LABETALOL INFUSION 5 MG/ML (SIMPLE),128.1,49.96,,,0
CDM,1358021885,FENTANYL 50 MCG/HR TRANSDERMAL PATCH,298.3,116.34,,,0
CDM,1358022696,TRANEXAMIC ACID 650 MG TABLET,40.1,15.64,,,0
CDM,1358023127,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,156.3,60.96,,,0
CDM,1358024143,CLOPIDOGREL 75 MG TABLET,53.4,20.83,,,0
CDM,1358025874,ADULT 2-IN-1 PPN,315.0,122.85,,,0
CDM,1358026683,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",35.6,13.88,,,0
CDM,1358026811,TEMAZEPAM 7.5 MG CAPSULE,76.3,29.76,,,0
CDM,1358028498,GLUCAGON HCL 1 MG/ML SOLUTION FOR INJECTION,1761.2,686.87,,,0
CDM,1358028894,GLUCAGON HCL 1 MG/ML SOLUTION FOR INJECTION,1761.2,686.87,,,0
CDM,1358029445,MUPIROCIN CALCIUM 2 % TOPICAL CREAM,1880.4,733.36,,,0
CDM,1358029889,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,19.6,7.64,,,0
CDM,1358031572,CINACALCET 30 MG TABLET,235.2,91.73,,,0
CDM,1358032118,TETRAHYDROZOLINE 0.05 % EYE DROPS,12.1,4.72,,,0
CDM,1358034075,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,69.4,27.07,,,0
CDM,1358041751,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP,4.9,1.91,,,0
CDM,1358048767,QUETIAPINE 100 MG TABLET,49.7,19.38,,,0
CDM,1358051800,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,42.7,16.65,,,0
CDM,1358052224,MEMANTINE 10 MG TABLET,4.8,1.87,,,0
CDM,1358052334,HYDROCORTISONE IV SYRINGE 1 MG/ML (NEONATE/PEDS),19.6,7.64,,,0
CDM,1358053741,GLIPIZIDE 5 MG TABLET,5.8,2.26,,,0
CDM,1358056944,PRAMIPEXOLE 0.125 MG TABLET,45.3,17.67,,,0
CDM,1358057862,RIVASTIGMINE 1.5 MG CAPSULE,31.0,12.09,,,0
CDM,1358058138,NORTRIPTYLINE 25 MG CAPSULE,6.949999999999999,2.71,,,0
CDM,1358059266,OLMESARTAN 5 MG TABLET,39.6,15.44,,,0
CDM,1358059301,MULTIVITAMIN-FERROUS FUMARATE-FOLIC ACID 18 MG-400 MCG TABLET,4.8,1.87,,,0
CDM,1358060305,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",41.0,15.99,,,0
CDM,1358060911,TOBRAMYCIN 0.3 % EYE DROPS,260.7,101.67,,,0
CDM,1358061032,CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET,0.6,0.23,,,0
CDM,1358061085,HYDROXYCHLOROQUINE 200 MG TABLET,33.7,13.14,,,0
CDM,1358061554,SODIUM CHLORIDE 0.9 % FOR NEBULIZATION,2.7,1.05,,,0
CDM,1358061622,CYCLOBENZAPRINE 10 MG TABLET,8.9,3.47,,,0
CDM,1358065771,FEBUXOSTAT 40 MG TABLET,23.1,9.01,,,0
CDM,1358066224,PROPAFENONE 150 MG TABLET,12.6,4.91,,,0
CDM,1358066329,ALLOPURINOL 100 MG TABLET,4.8,1.87,,,0
CDM,1358066331,CALCITRIOL 0.25 MCG CAPSULE,9.3,3.63,,,0
CDM,1358067224,LISINOPRIL 40 MG TABLET,4.8,1.87,,,0
CDM,1358068397,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",10.2,3.98,,,0
CDM,1358072476,MELATONIN 3 MG TABLET,4.8,1.87,,,0
CDM,1358073067,TOLTERODINE 1 MG TABLET,50.8,19.81,,,0
CDM,1358077643,BUSPIRONE 10 MG TABLET,15.5,6.04,,,0
CDM,1358085130,ZINC OXIDE 20 % TOPICAL OINTMENT,27.8,10.84,,,0
CDM,1358085957,MULTIVITAMIN-IRON 9 MG-FOLIC ACID 400 MCG-CALCIUM AND MINERALS TABLET,1.1,0.43,,,0
CDM,1358087416,PROCAINAMIDE 100 MG/ML INJECTION SOLUTION,1860.9,725.75,,,0
CDM,1358088768,NEVIRAPINE 50 MG/5 ML ORAL SUSPENSION,7.6,2.96,,,0
CDM,1358089843,VALACYCLOVIR 500 MG TABLET,49.7,19.38,,,0
CDM,1358090614,"FOOD SUPPLEMENT, LACTOSE-REDUCED ORAL LIQUID",9.1,3.55,,,0
CDM,1358091482,SPIRONOLACTONE 25 MG TABLET,4.8,1.87,,,0
CDM,1358092323,ATORVASTATIN 20 MG TABLET,4.8,1.87,,,0
CDM,1358092841,GALANTAMINE 8 MG TABLET,12.3,4.8,,,0
CDM,1358093352,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,17.8,6.94,,,0
CDM,1358093543,PHENOBARBITAL 16.2 MG TABLET,4.8,1.87,,,0
CDM,1358095207,METRONIDAZOLE 1 % TOPICAL GEL,2126.6,829.37,,,0
CDM,1358095401,SORE THROAT LOZENGE (WRAPPED),35.5,13.84,,,0
CDM,1358095949,"FERROUS SULFATE 325 MG (65 MG IRON) TABLET,DELAYED RELEASE",0.9,0.35,,,0
CDM,1358095950,ASCORBIC ACID (VITAMIN C) 500 MG TABLET,0.6,0.23,,,0
CDM,1358096831,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION,747.3,291.45,,,0
CDM,1358097661,BACITRACIN TOPICAL OINTMENT (WRAPPED),38.5,15.02,,,0
CDM,1358102483,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",8.5,3.32,,,0
CDM,1358102582,"MAGNESIUM SULFATE 40 GRAM/1,000 ML (4 %) IN WATER INTRAVENOUS SOLUTION",76.9,29.99,,,0
CDM,1358103008,TROPICAMIDE 1 % EYE DROPS,107.4,41.89,,,0
CDM,1358103321,SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION,41.9,16.34,,,0
CDM,1358108460,CALCIUM 600 MG (AS CARBONATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET,0.6,0.23,,,0
CDM,1358108808,PENICILLIN G POTASSIUM 20 MILLION UNIT SOLUTION FOR INJECTION,80.1,31.24,,,0
CDM,1358110298,DEXTROSE 40 % ORAL GEL SYRINGE (NEONATAL),4.8,1.87,,,0
CDM,1358111942,ATROPINE 1 % EYE DROPS,447.8,174.64,,,0
CDM,1358112005,LEVOTHYROXINE 112 MCG TABLET,5.2,2.03,,,0
CDM,1358112005,LEVOTHYROXINE 25 MCG TABLET,3.5,1.36,,,0
CDM,1358113091,HYDROMORPHONE 1 MG/ML INJECTION SYRINGE,19.6,7.64,,,0
CDM,1358113850,LEVOTHYROXINE 88 MCG TABLET,4.8,1.87,,,0
CDM,1358114512,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,37.8,14.74,,,0
CDM,1358114712,"TRANEXAMIC ACID 1,000 MG/100 ML(10 MG/ML)IN SOD CHLOR,ISO IV PIGGYBACK",179.4,69.97,,,0
CDM,1358119067,HYDROMORPHONE 2 MG/ML INJECTION (WRAPPED),19.6,7.64,,,0
CDM,1358120731,DEXTROSE 5 % AND 0.225% SODIUM CHLORIDE INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1358123579,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,346.5,135.14,,,0
CDM,1358124164,CYCLOPENTOLATE 1 % EYE DROPS,125.3,48.87,,,0
CDM,1358125252,POTASSIUM PHOSPHATE 30 MMOL IN 500 ML NS IVPB (SIMPLE),69.2,26.99,,,0
CDM,1358125621,POTASSIUM PHOSPHATE 15 MMOL/250 ML IN 0.9 % SODIUM CHLORIDE IV SOLN,531.7,207.36,,,0
CDM,1358127657,"OXYCODONE ER 80 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",248.5,96.92,,,0
CDM,1358128673,HYDRALAZINE 100 MG TABLET,7.8,3.04,,,0
CDM,1358135378,MIDAZOLAM 10 MG/5 ML (2 MG/ML) ORAL SYRUP,16.6,6.47,,,0
CDM,1358135453,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1358137934,DOSTARLIMAB-GXLY 50 MG/ML INTRAVENOUS SOLUTION,147193.9,57405.62,,,0
CDM,1358138636,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,40.1,15.64,,,0
CDM,1358138870,ALBUTEROL SULFATE CONCENTRATE 5 MG/ML(0.5 %) SOLUTION FOR NEBULIZATION,383.5,149.56,,,0
CDM,1358142992,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,614.9,239.81,,,0
CDM,1358143115,"KETAMINE 50 MG/5 ML (10 MG/ML) IN SODIUM CHLOR,ISO-OSMOTIC INJ SYRINGE",34.0,13.26,,,0
CDM,1358146810,DOFETILIDE 500 MCG CAPSULE,65.7,25.62,,,0
CDM,1358147804,METHOHEXITAL 100 MG/10 ML (10 MG/ML) IN NACL 0.9%,242.3,94.5,,,0
CDM,1358151399,MINOXIDIL 10 MG TABLET,8.2,3.2,,,0
CDM,1358154412,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1358154732,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,92.6,36.11,,,0
CDM,1358155031,CHONDROITIN-SOD HYALURON 3 %-4 %(0.5 ML)1 %(0.55 ML)INTRAOCULAR SYRING,1847.2,720.41,,,0
CDM,1358156014,POTASSIUM CHLORIDE 20 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS,53.7,20.94,,,0
CDM,1358156359,IVABRADINE 5 MG TABLET,84.4,32.92,,,0
CDM,1358157869,IFOSFAMIDE 1 GRAM/20 ML INTRAVENOUS SOLUTION,565.1,220.39,,,0
CDM,1358159256,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,425.2,165.83,,,0
CDM,1358159666,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,153.8,59.98,,,0
CDM,1358159712,VASOPRESSIN 20 UNIT/ML INJECTION (WRAPPED),186.6,72.77,,,0
CDM,1358160065,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION,168.5,65.72,,,0
CDM,1358162043,OLANZAPINE 5 MG TABLET,50.7,19.77,,,0
CDM,1358164647,LATANOPROST 0.005 % EYE DROPS,52.2,20.36,,,0
CDM,1358165116,BEVACIZUMAB-BVZR 25 MG/ML INTRAVENOUS SOLUTION,12631.2,4926.17,,,0
CDM,1358171656,DROXIDOPA 300 MG CAPSULE,827.6,322.76,,,0
CDM,1358172482,GABAPENTIN 250 MG/5 ML ORAL SOLUTION,23.1,9.01,,,0
CDM,1358172887,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,44.6,17.39,,,0
CDM,1358173423,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,99.9,38.96,,,0
CDM,1358175163,NALOXONE 0.4 MG/ML INJECTION SOLUTION,101.3,39.51,,,0
CDM,1358181223,FERRIC CARBOXYMALTOSE 50 MG IRON/ML INTRAVENOUS SOLUTION,10264.0,4002.96,,,0
CDM,1358181603,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1358181824,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,125.5,48.94,,,0
CDM,1358182277,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1358182427,LINAGLIPTIN 5 MG TABLET,134.3,52.38,,,0
CDM,1358184337,TRIAMTERENE 100 MG CAPSULE,91.5,35.68,,,0
CDM,1358185189,CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION,1365.0,532.35,,,0
CDM,1358187547,"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION",19.6,7.64,,,0
CDM,1358188137,LEVETIRACETAM 750 MG TABLET,6.5,2.54,,,0
CDM,1358188970,PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION,72160.4,28142.56,,,0
CDM,1358188973,SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1358198468,URSODIOL ORAL SUSPENSION 60 MG/ML (CMPD),4.8,1.87,,,0
CDM,1358199211,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,20.5,8.0,,,0
CDM,1358200586,SERTRALINE 100 MG TABLET,22.4,8.74,,,0
CDM,1358201187,PROPYLTHIOURACIL 50 MG TABLET,27.7,10.8,,,0
CDM,1358201195,ACETAZOLAMIDE 250 MG TABLET,44.3,17.28,,,0
CDM,1358201228,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,675.3,263.37,,,0
CDM,1358201231,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1358202197,PROPRANOLOL 20 MG TABLET,6.6,2.57,,,0
CDM,1358202744,IODINE STRONG (LUGOL'S) 5 % ORAL SOLUTION,11.0,4.29,,,0
CDM,1358202792,TRASTUZUMAB-DKST 420 MG INTRAVENOUS SOLUTION,12441.7,4852.26,,,0
CDM,1358206000,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1358206026,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,97.6,38.06,,,0
CDM,1358207359,DILTIAZEM 125 MG/125 ML (1 MG/ML) IN SODIUM CHLORIDE INFUSION (PREMIX),145.2,56.63,,,0
CDM,1358211405,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,31.47,12.27,,,0
CDM,1358211750,"IMMUNE GLOB,GAMMA (IGG-GAMMAGARD) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",1217.1,474.67,,,0
CDM,1358212386,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",36.7,14.31,,,0
CDM,1358215634,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",703.9,274.52,,,0
CDM,1358221113,TADALAFIL 20 MG/5 ML(4 MG/ML) ORAL SUSPENSION (PULMONARY HYPERTENSION),604.7,235.83,,,0
CDM,1358224116,BISOPROLOL FUMARATE 5 MG TABLET,17.3,6.75,,,0
CDM,1358225647,TRYPAN BLUE 0.06 % INTRAOCULAR SYRINGE,820.9,320.15,,,0
CDM,1358226566,CALCIUM POLYCARBOPHIL 625 MG TABLET,4.8,1.87,,,0
CDM,1358227523,METHADONE 10 MG/ML INJECTION SOLUTION,50.2,19.58,,,0
CDM,1358229639,PERTUZUMAB 600 MG-TRASTUZUMAB 600 MG-HYALURONID-ZZXF/10 ML SUBCUT SOLN,57890.5,22577.3,,,0
CDM,1358235371,"WATER FOR IRRIGATION, STERILE SOLUTION",38.6,15.05,,,0
CDM,1358238352,FAT EMULSION (SOYBEAN) 20% SYRINGE (NEONATE),19.6,7.64,,,0
CDM,1358238417,ONDANSETRON 8 MG DISINTEGRATING TABLET,22.8,8.89,,,0
CDM,1358239609,CEFPODOXIME 200 MG TABLET,64.9,25.31,,,0
CDM,1358240037,LEUPROLIDE 30 MG (4 MONTH) SUBCUTANEOUS SYRINGE,11274.2,4396.94,,,0
CDM,1358240216,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",8.6,3.35,,,0
CDM,1358242203,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,512.4,199.84,,,0
CDM,1358242956,METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SYRINGE,789.7,307.98,,,0
CDM,1358246071,ESOMEPRAZOLE MAGNESIUM DR 40 MG GRANULES DELAYED RELEASE FOR SUSP,74.9,29.21,,,0
CDM,1358248691,CLONAZEPAM 1 MG TABLET,5.5,2.14,,,0
CDM,1358248726,ISOPROPYL ALCOHOL 70 % SOLUTION,5.6,2.18,,,0
CDM,1358251710,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,247.5,96.52,,,0
CDM,1358251986,FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS,0.6,0.23,,,0
CDM,1358252061,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,224.9,87.71,,,0
CDM,1358253539,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE",5.7,2.22,,,0
CDM,1358253748,"CALCIUM GLUCONATE 2 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION",404.8,157.87,,,0
CDM,1358257427,TALQUETAMAB-TGVS 40 MG/ML SUBCUTANEOUS SOLUTION,36845.0,14369.55,,,0
CDM,1358259520,EZETIMIBE 10 MG TABLET,78.9,30.77,,,0
CDM,1358259908,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,17.2,6.71,,,0
CDM,1358261179,CIPROFLOXACIN 250 MG TABLET,4.8,1.87,,,0
CDM,1358262889,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,85.9,33.5,,,0
CDM,1358263317,CLOPIDOGREL 300 MG TABLET,427.2,166.61,,,0
CDM,1358265844,SUCCINYLCHOLINE CHLORIDE 200 MG/10 ML (20 MG/ML) INTRAVENOUS SYRINGE,124.7,48.63,,,0
CDM,1358270984,MAGNESIUM GLUCONATE 27 MG MAGNESIUM (500 MG) TABLET,4.8,1.87,,,0
CDM,1358271643,PAMIDRONATE 60 MG/10 ML (6 MG/ML) INTRAVENOUS SOLUTION,387.7,151.2,,,0
CDM,1358277742,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",70.9,27.65,,,0
CDM,1358278983,CLOTRIMAZOLE 1 % TOPICAL CREAM,147.3,57.45,,,0
CDM,1358279276,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,252.2,98.36,,,0
CDM,1358280679,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,2.8,1.09,,,0
CDM,1358283155,BISOPROLOL 5 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET,56.6,22.07,,,0
CDM,1358284270,OXYCODONE 5 MG/5 ML ORAL SOLUTION,228.2,89.0,,,0
CDM,1358284274,OXYCODONE 5 MG/5 ML ORAL SOLUTION,45.3,17.67,,,0
CDM,1358285297,ACETAMINOPHEN 325 MG TABLET,0.6,0.23,,,0
CDM,1358285477,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,34.2,13.34,,,0
CDM,1358286758,"LIPASE-PROTEASE-AMYLASE 40,000-126,000-168,000 UNIT CAPSULE, DELAY REL",624.7,243.63,,,0
CDM,1358288620,CARVEDILOL 12.5 MG TABLET,32.3,12.6,,,0
CDM,1358289765,DOFETILIDE 500 MCG CAPSULE,40.4,15.76,,,0
CDM,1358289859,DIBUCAINE 1 % TOPICAL OINTMENT,37.6,14.66,,,0
CDM,1358292081,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,53.7,20.94,,,0
CDM,1358292243,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,18.9,7.37,,,0
CDM,1358292521,FENTANYL 100 MCG/HR TRANSDERMAL PATCH,603.8,235.48,,,0
CDM,1358295349,TAMSULOSIN 0.4 MG CAPSULE,32.4,12.64,,,0
CDM,1358306639,BUPROPION HCL 100 MG TABLET,12.6,4.91,,,0
CDM,1358312020,MICONAZOLE NITRATE 2 % TOPICAL POWDER,64.6,25.19,,,0
CDM,1358312259,SODIUM HYALURONATE 10 MG/ML INTRAOCULAR SYRINGE,2506.3,977.46,,,0
CDM,1358313190,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,270.2,105.38,,,0
CDM,1358315135,HYDROCORTISONE 2.5 % TOPICAL CREAM WITH PERINEAL APPLICATOR,568.2,221.6,,,0
CDM,1358318900,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION,1463.7,570.84,,,0
CDM,1358320016,HYDROMORPHONE (PF) 30 MG/30 ML (1 MG/ML) IN 0.9 % NACL IV PCA SYRINGE,182.2,71.06,,,0
CDM,1358322315,OMALIZUMAB 75 MG/0.5 ML SUBCUTANEOUS SYRINGE,0.01,0.0039,,,0
CDM,1358325800,PYRIDOXINE (VITAMIN B6) 25 MG TABLET,4.8,1.87,,,0
CDM,1358326879,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,153.0,59.67,,,0
CDM,1358329442,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1358333769,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,19.6,7.64,,,0
CDM,1358336750,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJ (WRAPPED),19.6,7.64,,,0
CDM,1358338648,PHENOBARBITAL 16.2 MG TABLET,17.7,6.9,,,0
CDM,1358340242,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,330.0,128.7,,,0
CDM,1358340253,"METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION",292.3,114.0,,,0
CDM,1358345457,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL CREAM,27.7,10.8,,,0
CDM,1358346571,AMLODIPINE 10 MG TABLET,18.3,7.14,,,0
CDM,1358351221,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION,649.1,253.15,,,0
CDM,1358352508,INSULIN LISPRO 100 UNIT/ML (PRANDIAL) SUBCUTANEOUS,19.6,7.64,,,0
CDM,1358352773,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,5.5,2.14,,,0
CDM,1358353803,POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,53.7,20.94,,,0
CDM,1358354576,RISPERIDONE 0.25 MG TABLET,30.0,11.7,,,0
CDM,1358356172,PALIPERIDONE PALMITATE 234 MG/1.5 ML INTRAMUSCULAR SYRINGE,24877.0,9702.03,,,0
CDM,1358356928,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION,89.8,35.02,,,0
CDM,1358358922,"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE",381.3,148.71,,,0
CDM,1358358924,"LORATADINE-PSEUDOEPHEDRINE ER 10 MG-240 MG TABLET,EXTENDED RELEASE24HR",2.0,0.78,,,0
CDM,1358361331,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,61.1,23.83,,,0
CDM,1358361693,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,25.8,10.06,,,0
CDM,1358363534,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,85.0,33.15,,,0
CDM,1358365933,"QUETIAPINE ER 200 MG TABLET,EXTENDED RELEASE 24 HR",134.5,52.46,,,0
CDM,1358367020,CAPSAICIN 0.025 % TOPICAL CREAM,53.4,20.83,,,0
CDM,1358368288,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",12.4,4.84,,,0
CDM,1358369031,TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION,19.6,7.64,,,0
CDM,1358369804,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,55.3,21.57,,,0
CDM,1358370525,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL ELIXIR,21.9,8.54,,,0
CDM,1358374293,TERBINAFINE HCL 250 MG TABLET,102.7,40.05,,,0
CDM,1358374770,HUM PROTHROMBIN CPLX (PCC) 4FACTOR 500 UNIT (400-620 UNIT) IV SOLUTION,40463.2,15780.65,,,0
CDM,1358376491,CLOPIDOGREL 75 MG TABLET,53.4,20.83,,,0
CDM,1358377977,CONJUGATED ESTROGENS 25 MG SOLUTION FOR INJECTION,2626.9,1024.49,,,0
CDM,1358379754,MEMANTINE 5 MG TABLET,6.2,2.42,,,0
CDM,1358381866,MIDODRINE 5 MG TABLET,18.7,7.29,,,0
CDM,1358383061,ROTIGOTINE 2 MG/24 HOUR TRANSDERMAL 24 HOUR PATCH,220.9,86.15,,,0
CDM,1358383068,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET,0.6,0.23,,,0
CDM,1358385608,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,85.6,33.38,,,0
CDM,1358387449,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",120.5,47.0,,,0
CDM,1358396072,OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION,429.3,167.43,,,0
CDM,1358396188,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",278.1,108.46,,,0
CDM,1358396307,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,34.2,13.34,,,0
CDM,1358396981,INSULIN GLARGINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,43.6,17.0,,,0
CDM,1358397011,AMITRIPTYLINE 10 MG TABLET,4.8,1.87,,,0
CDM,1358398303,"ESMOLOL 2,000 MG/100 ML (20 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",1045.5,407.74,,,0
CDM,1358398633,CEFEPIME 1 GRAM SOLUTION FOR INJECTION,114.6,44.69,,,0
CDM,1358398697,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1358398754,NIFEDIPINE (BULK) POWDER,3.6,1.4,,,0
CDM,1358398754,NIFEDIPINE 10 MG CAPSULE,8.2,3.2,,,0
CDM,1358398754,ORA-SWEET- COMPOUNDING VEHICLE SYRUP NO.23,0.4,0.16,,,0
CDM,1358401799,ARIPIPRAZOLE 15 MG TABLET,234.9,91.61,,,0
CDM,1358403036,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",13.8,5.38,,,0
CDM,1358404498,DEXMEDETOMIDINE 4 MCG/ML IV SYRINGE - 2ML,54.5,21.26,,,0
CDM,1358410604,AMITRIPTYLINE 10 MG TABLET,4.8,1.87,,,0
CDM,1358411091,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,125.6,48.98,,,0
CDM,1358415320,FINASTERIDE 5 MG TABLET,24.0,9.36,,,0
CDM,1358418197,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,67.9,26.48,,,0
CDM,1358418866,NOREPINEPHRINE BITARTRATE 8 MG/250 ML (32 MCG/ML) IN 0.9 % NACL IV,324.6,126.59,,,0
CDM,1358419649,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",60.3,23.52,,,0
CDM,1358419943,CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION,57.1,22.27,,,0
CDM,1358420313,"PENTOXIFYLLINE ER 400 MG TABLET,EXTENDED RELEASE",10.15,3.955,,,0
CDM,1358425894,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,92.3,36.0,,,0
CDM,1358427543,AMITRIPTYLINE 25 MG TABLET,4.8,1.87,,,0
CDM,1358427922,HYDROCORTISONE 20 MG TABLET,17.8,6.94,,,0
CDM,1358443251,MISOPROSTOL 200 MCG TABLET,33.0,12.87,,,0
CDM,1358445476,GABAPENTIN 100 MG CAPSULE,4.8,1.87,,,0
CDM,1358445541,TIMOLOL MALEATE 0.5 % EYE DROPS,50.4,19.66,,,0
CDM,1358445720,CANGRELOR 50 MG INTRAVENOUS SOLUTION,8374.1,3265.9,,,0
CDM,1358446261,PRIMIDONE 250 MG TABLET,6.2,2.42,,,0
CDM,1358446348,METOPROLOL TARTRATE 12.5 MG SPLIT TABLET,4.8,1.87,,,0
CDM,1358447808,AMIODARONE 200 MG TABLET,25.4,9.91,,,0
CDM,1358447970,METHOCARBAMOL 750 MG TABLET,4.8,1.87,,,0
CDM,1358450192,VANCOMYCIN 2 GRAM/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,136.7,53.31,,,0
CDM,1358450824,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.0625 %-NACL INJECTION SOLUTION,301.1,117.43,,,0
CDM,1358451237,ONE-STEP ONLY - AMIODARONE IV PUSH,51.3,20.01,,,0
CDM,1358451595,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,31.5,12.28,,,0
CDM,1358451957,"FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION",654.0,255.06,,,0
CDM,1358452117,CHOLESTYRAMINE-ASPARTAME 4 GRAM ORAL POWDER FOR SUSP IN A PACKET,39.2,15.29,,,0
CDM,1358454011,RISPERIDONE 0.5 MG DISINTEGRATING TABLET,37.8,14.74,,,0
CDM,1358454637,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,19.6,7.64,,,0
CDM,1358455741,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",11.7,4.56,,,0
CDM,1358456430,ASPIRIN 81 MG CHEWABLE TABLET,0.6,0.23,,,0
CDM,1358456666,PREDNISONE 5 MG TABLET,4.8,1.87,,,0
CDM,1358460514,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,10.6,4.13,,,0
CDM,1358461462,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,257.4,100.39,,,0
CDM,1358462385,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,154.6,60.29,,,0
CDM,1358462683,LOSARTAN 50 MG TABLET,8.7,3.39,,,0
CDM,1358468517,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION,365.3,142.47,,,0
CDM,1358470355,AZTREONAM 2 GRAM SOLUTION FOR INJECTION,571.8,223.0,,,0
CDM,1358470789,ROPIV 2.46-EPI 0.005-CLONID 0.0008-KETOROL 0.3 MG/ML PERIARTICULR SYRG,527.0,205.53,,,0
CDM,1358471366,VORICONAZOLE 200 MG TABLET,168.9,65.87,,,0
CDM,1358474369,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,16.4,6.4,,,0
CDM,1358474793,ASCORBIC ACID (VITAMIN C) 250 MG TABLET,1.2,0.47,,,0
CDM,1358479214,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,136.7,53.31,,,0
CDM,1358480747,COPPER CU-64 DOTATATE 148 MBQ/4 ML (4 MCI/4 ML) INTRAVENOUS SOLUTION,15932.4,6213.64,,,0
CDM,1358481073,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET,6.8,2.65,,,0
CDM,1358481202,LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK,158.0,61.62,,,0
CDM,1358481307,BUTALBITAL-ASPIRIN-CAFFEINE 50 MG-325 MG-40 MG CAPSULE,13.1,5.11,,,0
CDM,1358481943,ASCORBIC ACID (VITAMIN C) 500 MG/ML INJECTION SOLUTION,138.7,54.09,,,0
CDM,1358482342,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE",25.0,9.75,,,0
CDM,1358482346,"PALIPERIDONE ER 9 MG TABLET,EXTENDED RELEASE 24 HR",352.1,137.32,,,0
CDM,1358489572,SUCCINYLCHOLINE CHLORIDE 200 MG/10 ML (20 MG/ML) INTRAVENOUS SYRINGE,109.2,42.59,,,0
CDM,1358494255,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION,495.0,193.05,,,0
CDM,1358497459,AMLODIPINE 5 MG TABLET,13.8,5.38,,,0
CDM,1358502055,RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION,72297.8,28196.14,,,0
CDM,1358503952,CLONAZEPAM 0.5 MG TABLET,5.5,2.14,,,0
CDM,1358503952,CLONAZEPAM 1 MG TABLET,5.5,2.14,,,0
CDM,1358504991,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,1512.2,589.76,,,0
CDM,1358509936,PREGABALIN 200 MG CAPSULE,12.8,4.99,,,0
CDM,1358510518,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,150.4,58.66,,,0
CDM,1358512497,"NIACIN ER 250 MG CAPSULE,EXTENDED RELEASE",0.6,0.23,,,0
CDM,1358513095,FUROSEMIDE 500 MG/50 ML (10 MG/ML) INFUSION (SIMPLE),85.4,33.31,,,0
CDM,1358519809,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,32.9,12.83,,,0
CDM,1358520826,PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION,74.3,28.98,,,0
CDM,1358524484,"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN NS",119.6,46.64,,,0
CDM,1358525660,MIDAZOLAM 10 MG/5 ML (2 MG/ML) ORAL SYRUP,17.2,6.71,,,0
CDM,1358527498,PREDNISONE 20 MG TABLET,23.1,9.01,,,0
CDM,1358530571,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1358535608,POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION,116135.2,45292.73,,,0
CDM,1358535608,POLATUZUMAB VEDOTIN-PIIQ 30 MG INTRAVENOUS SOLUTION,15761.3,6146.91,,,0
CDM,1358536552,CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION,663.0,258.57,,,0
CDM,1358536857,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,7926.8,3091.45,,,0
CDM,1358537709,HYDROGEN PEROXIDE 3 % SOLUTION,4.8,1.87,,,0
CDM,1358538917,HYDROCORTISONE 2 MG/ML ORAL SYRINGE (NEONATE/PEDS),4.8,1.87,,,0
CDM,1358540980,MEPIVACAINE (PF) 15 MG/ML (1.5 %) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1358542904,"PERTUZUMAB 1,200 MG-TRASTUZUMAB 600 MG-HYALURON-ZZXF/15 ML SUBCUT SOLN",86839.2,33867.29,,,0
CDM,1358548704,CIPROFLOXACIN 0.3 % EYE DROPS,362.9,141.53,,,0
CDM,1358549659,"MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE",1647.6,642.56,,,0
CDM,1358550917,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,42.7,16.65,,,0
CDM,1358551086,BUMETANIDE 0.5 MG TABLET,46.5,18.14,,,0
CDM,1358551459,OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION,2516.0,981.24,,,0
CDM,1358551633,METRONIDAZOLE 250 MG TABLET,7.4,2.89,,,0
CDM,1358552872,IBUPROFEN 400 MG TABLET,4.8,1.87,,,0
CDM,1358553888,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION,512.6,199.91,,,0
CDM,1358554341,HYDRALAZINE 10 MG TABLET,4.8,1.87,,,0
CDM,1358555240,SODIUM CHLORIDE-ALOE VERA NASAL GEL,42.1,16.42,,,0
CDM,1358558282,ADO-TRASTUZUMAB EMTANSINE 100 MG INTRAVENOUS SOLUTION,1493.8,582.58,,,0
CDM,1358562359,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1358564505,HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET,7.3,2.85,,,0
CDM,1358565387,TRASTUZUMAB-QYYP 420 MG INTRAVENOUS SOLUTION,32143.7,12536.04,,,0
CDM,1358566144,ATENOLOL 50 MG TABLET,6.1,2.38,,,0
CDM,1358566479,INDOMETHACIN 50 MG RECTAL SUPPOSITORY,5274.1,2056.9,,,0
CDM,1358568028,CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION,66186.2,25812.62,,,0
CDM,1358568819,OXYMETAZOLINE 0.05 % NASAL SPRAY,9.6,3.74,,,0
CDM,1358570505,ATROPINE 0.4 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1358571362,MIDODRINE 10 MG TABLET,8.3,3.24,,,0
CDM,1358572998,SODIUM HYALURONATE 23 MG/ML INTRAOCULAR SYRINGE,825.6,321.98,,,0
CDM,1358575397,LANREOTIDE 60 MG/0.2 ML SUBCUTANEOUS SYRINGE,42433.4,16549.03,,,0
CDM,1358575870,DILTIAZEM 60 MG TABLET,10.1,3.94,,,0
CDM,1358577404,INDOMETHACIN 25 MG CAPSULE,4.8,1.87,,,0
CDM,1358581292,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",4.8,1.87,,,0
CDM,1358582783,SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION,72.9,28.43,,,0
CDM,1358583626,DEGARELIX 120 MG SUBCUTANEOUS SOLUTION,9510.9,3709.25,,,0
CDM,1358585983,KETAMINE 10 MG/ML INJECTION SOLUTION,51.5,20.08,,,0
CDM,1358587109,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,165.0,64.35,,,0
CDM,1358589217,LACTATED RINGERS INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1358590419,CEFDINIR 250 MG/5 ML ORAL SUSPENSION,35.7,13.92,,,0
CDM,1358590682,CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION,992.5,387.08,,,0
CDM,1358592423,BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET,4.8,1.87,,,0
CDM,1358594832,PERMETHRIN 1 % TOPICAL LIQUID,96.4,37.6,,,0
CDM,1358596365,MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION,9.9,3.86,,,0
CDM,1358597484,TRAMADOL 50 MG TABLET,4.8,1.87,,,0
CDM,1358598741,IMATINIB 100 MG TABLET,136.6,53.27,,,0
CDM,1358598856,BUPROPION HCL 100 MG TABLET,4.8,1.87,,,0
CDM,1358600539,BRIMONIDINE 0.2 % EYE DROPS,95.9,37.4,,,0
CDM,1358602373,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1358602924,FLUOXETINE 10 MG CAPSULE,4.8,1.87,,,0
CDM,1358606065,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION,1042.8,406.69,,,0
CDM,1358606470,ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY,1.5,0.58,,,0
CDM,1358607390,GOLIMUMAB 12.5 MG/ML INTRAVENOUS SOLUTION,64655.5,25215.64,,,0
CDM,1358608347,TOLTERODINE 1 MG TABLET,25.4,9.91,,,0
CDM,1358612548,EPHEDRINE (PF) 25 MG/5 ML (5 MG/ML) IN 0.9% SODIUM CHLORIDE IV SYRINGE,60.5,23.6,,,0
CDM,1358613950,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,239.2,93.29,,,0
CDM,1358614731,"NEPAFENAC 0.1 % EYE DROPS,SUSPENSION",2524.4,984.52,,,0
CDM,1358616738,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,32.9,12.83,,,0
CDM,1358617433,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE",24.4,9.52,,,0
CDM,1358618971,TRIAMCINOLONE ACETONIDE 10 MG/ML SUSPENSION FOR INJECTION,20.7,8.07,,,0
CDM,1358620439,CEFUROXIME AXETIL 250 MG TABLET,33.8,13.18,,,0
CDM,1358620571,LIDOCAINE 4 % TOPICAL CREAM,35.6,13.88,,,0
CDM,1358620692,FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLUTION,317.7,123.9,,,0
CDM,1358622295,CARBACHOL 0.01 % INTRAOCULAR SOLUTION,356.5,139.04,,,0
CDM,1358622586,BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION,188.0,73.32,,,0
CDM,1358622773,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,38.8,15.13,,,0
CDM,1358622903,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,15.0,5.85,,,0
CDM,1358624011,EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE,704.1,274.6,,,0
CDM,1358624781,HYDROCORTISONE-PRAMOXINE 2.5 %-1 % (4G) RECTAL CREAM,64.5,25.16,,,0
CDM,1358630650,TOBRAMYCIN 0.3 % EYE OINTMENT,1644.2,641.24,,,0
CDM,1358631534,PEGFILGRASTIM 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,44733.4,17446.03,,,0
CDM,1358632899,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,111.5,43.48,,,0
CDM,1358633368,DABIGATRAN ETEXILATE 150 MG CAPSULE,110.3,43.02,,,0
CDM,1358634604,DACTINOMYCIN 0.5 MG INTRAVENOUS SOLUTION,8835.9,3446.0,,,0
CDM,1358637294,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,31.0,12.09,,,0
CDM,1358638417,ONDANSETRON 4 MG DISINTEGRATING TABLET,718.2,280.1,,,0
CDM,1358638723,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE,19.6,7.64,,,0
CDM,1358639235,VANCOMYCIN 1.25 GRAM INTRAVENOUS SOLUTION,171.7,66.96,,,0
CDM,1358639822,MORPHINE CONCENTRATE 10 MG/0.5 ML ORAL SYRINGE (FOR ORAL USE ONLY),32.7,12.75,,,0
CDM,1358642986,ISOPROTERENOL 4 MCG/ML BOLUS,67.7,26.4,,,0
CDM,1358644163,ONE-STEP ONLY - BUPIVACAINE-MELOXICAM ER 28.571 MG-0.857 MG/ML SURGICAL SITE INSTILL SOLN,2106.9,821.69,,,0
CDM,1358645941,COVID VACC 2024-25 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE,988.4,385.48,,,0
CDM,1358649840,RIFAMPIN 300 MG CAPSULE,70.5,27.5,,,0
CDM,1358652227,CLORAZEPATE DIPOTASSIUM 7.5 MG TABLET,19.3,7.53,,,0
CDM,1358652889,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",4.8,1.87,,,0
CDM,1358658570,LACOSAMIDE 150 MG TABLET,146.0,56.94,,,0
CDM,1358659952,MIDAZOLAM 1 MG/ML INJ (WRAPPED),19.6,7.64,,,0
CDM,1358659990,MESALAMINE 400 MG CAPSULE (WITH DELAYED RELEASE TABLETS INSIDE),34.0,13.26,,,0
CDM,1358664384,WARFARIN 1 MG TABLET,18.9,7.37,,,0
CDM,1358664481,PRAZOSIN 5 MG CAPSULE,33.1,12.91,,,0
CDM,1358665846,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION",16.2,6.32,,,0
CDM,1358667414,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR",53.1,20.71,,,0
CDM,1358667789,CHONDROITIN-SOD HYALURON 4 %-3 % (40 MG-30 MG/ML) INTRAOCULAR SYRINGE,5315.1,2072.89,,,0
CDM,1358668026,SODIUM HYALURONATE 10 MG/ML INTRAOCULAR SYRINGE,2128.9,830.27,,,0
CDM,1358669803,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,37.6,14.66,,,0
CDM,1358669909,CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION,51.3,20.01,,,0
CDM,1358671119,ACYCLOVIR 800 MG TABLET,16.2,6.32,,,0
CDM,1358671399,CLONAZEPAM 0.5 MG TABLET,46.65,18.195,,,0
CDM,1358671400,SODIUM CHLORIDE 3 % FOR NEBULIZATION,5.8,2.26,,,0
CDM,1358673173,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,2.1,0.82,,,0
CDM,1358673552,ACETAMINOPHEN 160 MG/5 ML ORAL SUSPENSION,0.6,0.23,,,0
CDM,1358673871,GENTAMICIN SULFATE (PEDIATRIC) (PF) 20 MG/2 ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1358673908,"CARBAMAZEPINE ER 100 MG TABLET,EXTENDED RELEASE,12 HR",26.4,10.3,,,0
CDM,1358676840,"EPOETIN ALFA 10,000 UNIT/ML INJECTION SOLUTION",1862.8,726.49,,,0
CDM,1358678037,EPINEPHRINE 1 MG/ML NASAL SOLUTION,1921.8,749.5,,,0
CDM,1358678804,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,113.6,44.3,,,0
CDM,1358678869,DILTIAZEM 90 MG TABLET,16.5,6.44,,,0
CDM,1358681262,BRIVARACETAM 50 MG TABLET,188.3,73.44,,,0
CDM,1358681590,SUCRALFATE 100 MG/ML ORAL SUSPENSION,66.0,25.74,,,0
CDM,1358681956,LIOTHYRONINE 5 MCG TABLET,6.6,2.57,,,0
CDM,1358682099,LOSARTAN 25 MG TABLET,13.4,5.23,,,0
CDM,1358683020,PAROXETINE 10 MG TABLET,4.8,1.87,,,0
CDM,1358684977,CARISOPRODOL 350 MG TABLET,4.8,1.87,,,0
CDM,1358684978,CARISOPRODOL 350 MG TABLET,4.8,1.87,,,0
CDM,1358684982,ATORVASTATIN 10 MG TABLET,17.95,7.0,,,0
CDM,1358684989,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,60.7,23.67,,,0
CDM,1358686928,EPINEPHRINE 1 MG/ML NASAL SOLUTION,767.0,299.13,,,0
CDM,1358689227,KETAMINE 50 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1358694115,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,107.7,42.0,,,0
CDM,1358694868,BREXPIPRAZOLE 2 MG TABLET,387.6,151.16,,,0
CDM,1358695407,EMPAGLIFLOZIN 25 MG TABLET,161.0,62.79,,,0
CDM,1358695433,PRAMIPEXOLE 0.5 MG TABLET,11.6,4.52,,,0
CDM,1358697336,DILTIAZEM 30 MG TABLET,7.7,3.0,,,0
CDM,1358698213,"EPOETIN ALFA 10,000 UNIT/ML INJECTION SOLUTION",1155.7,450.72,,,0
CDM,1358698898,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,106.3,41.46,,,0
CDM,1358699223,ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION,93.5,36.46,,,0
CDM,1358701166,TRAMADOL 50 MG TABLET,4.8,1.87,,,0
CDM,1358702615,RISPERIDONE 1 MG TABLET,34.9,13.61,,,0
CDM,1358702721,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,58.7,22.89,,,0
CDM,1358704274,DESIPRAMINE 10 MG TABLET,24.5,9.555,,,0
CDM,1358704812,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,52.3,20.4,,,0
CDM,1358706355,PRENATAL VIT NO.95-FERROUS FUMARATE 28 MG-FOLIC ACID 800 MCG TABLET,0.6,0.23,,,0
CDM,1358708253,PIOGLITAZONE 30 MG TABLET,123.3,48.09,,,0
CDM,1358708961,DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION,351.9,137.24,,,0
CDM,1358715316,PHENOBARBITAL 32.4 MG TABLET,10.3,4.02,,,0
CDM,1358715730,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,70.0,27.3,,,0
CDM,1358716762,"NEOMYCIN 3.5 MG/G-POLYMYXIN B 10,000 UNIT/G-DEXAMETH 0.1 % EYE OINT",152.4,59.44,,,0
CDM,1358724019,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",149.5,58.3,,,0
CDM,1358725465,LEVOTHYROXINE 125 MCG TABLET,5.5,2.14,,,0
CDM,1358725851,NAPROXEN 500 MG TABLET,4.8,1.87,,,0
CDM,1358725936,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",40.1,15.64,,,0
CDM,1358726197,EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,18.0,7.02,,,0
CDM,1358726720,LEVONORGESTREL 1.5 MG TABLET,258.3,100.74,,,0
CDM,1358728632,SODIUM CHLORIDE 3 % FOR NEBULIZATION,4.9,1.91,,,0
CDM,1358730300,LIOTHYRONINE 5 MCG TABLET,12.2,4.76,,,0
CDM,1358731004,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,38.8,15.13,,,0
CDM,1358731177,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1358733024,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,102.5,39.98,,,0
CDM,1358736457,SPIRONOLACTONE 50 MG TABLET,4.8,1.87,,,0
CDM,1358736994,TOLVAPTAN 15 MG TABLET,2154.4,840.22,,,0
CDM,1358737683,HYDROXYCHLOROQUINE 200 MG TABLET,32.1,12.52,,,0
CDM,1358739051,MIDODRINE 2.5 MG TABLET,7.9,3.08,,,0
CDM,1358740236,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,27.3,10.65,,,0
CDM,1358749713,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE",16.4,6.4,,,0
CDM,1358753377,CLONIDINE HCL 0.1 MG TABLET,5.6,2.18,,,0
CDM,1358753720,GLIMEPIRIDE 1 MG TABLET,6.2,2.42,,,0
CDM,1358755832,HYDRALAZINE 50 MG TABLET,4.8,1.87,,,0
CDM,1358756789,CETIRIZINE 10 MG TABLET,0.6,0.23,,,0
CDM,1358756791,PROGESTERONE MICRONIZED 100 MG CAPSULE,21.6,8.42,,,0
CDM,1358757760,ATORVASTATIN 40 MG TABLET,8.1,3.16,,,0
CDM,1358760032,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",60.3,23.52,,,0
CDM,1358762431,LURASIDONE 40 MG TABLET,827.0,322.53,,,0
CDM,1358764053,MINERAL OIL ORAL,8.3,3.24,,,0
CDM,1358765633,"DILTIAZEM 240 MG CAPSULE, EXTENDED RELEASE (WRAPPED)",10.2,3.98,,,0
CDM,1358765641,METOLAZONE 5 MG TABLET,22.5,8.78,,,0
CDM,1358765855,PROCHLORPERAZINE MALEATE 10 MG TABLET,6.9,2.69,,,0
CDM,1358770447,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,427.0,166.53,,,0
CDM,1358770640,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,52.1,20.32,,,0
CDM,1358771207,PREGABALIN 75 MG CAPSULE,12.5,4.88,,,0
CDM,1358772546,FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET,44.0,17.16,,,0
CDM,1358773193,DOXYCYCLINE HYCLATE 100 MG TABLET,41.1,16.03,,,0
CDM,1358775271,COCAINE 4 % NASAL SOLUTION,1879.2,732.89,,,0
CDM,1358775614,CHLORPROMAZINE 25 MG TABLET,278.54999999999995,108.63499999999999,,,0
CDM,1358775968,MELATONIN 3 MG TABLET,4.8,1.87,,,0
CDM,1358777677,AZTREONAM 1 GRAM SOLUTION FOR INJECTION,253.9,99.02,,,0
CDM,1358777719,CLOBETASOL 0.05 % TOPICAL CREAM,983.6,383.6,,,0
CDM,1358778099,METOPROLOL TARTRATE 50 MG TABLET,8.8,3.43,,,0
CDM,1358778892,ZOLEDRONIC ACID 4 MG/100 ML-MANNITOL-0.9 % NACL INTRAVENOUS PIGGYBACK,512.4,199.84,,,0
CDM,1358779604,ALLOPURINOL 300 MG TABLET,7.3,2.85,,,0
CDM,1358788698,EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE,89.5,34.9,,,0
CDM,1358788712,PREGABALIN 50 MG CAPSULE,85.4,33.31,,,0
CDM,1358789163,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,12.9,5.03,,,0
CDM,1358791502,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",74.3,28.98,,,0
CDM,1358791955,MIRTAZAPINE 30 MG DISINTEGRATING TABLET,18.7,7.29,,,0
CDM,1358792113,TRAZODONE 50 MG TABLET,8.3,3.24,,,0
CDM,1358794431,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,10.6,4.13,,,0
CDM,1358794433,APIXABAN 2.5 MG TABLET,77.6,30.26,,,0
CDM,1358796692,DEXTROSE 5 % AND LACTATED RINGERS INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1358798242,ULIPRISTAL 30 MG TABLET,297.3,115.95,,,0
CDM,1358798651,SODIUM PHOSPHATES 9.5 GRAM-3.5 GRAM/59 ML ENEMA,16.3,6.36,,,0
CDM,1358800583,MEMANTINE 2 MG/ML ORAL SOLUTION,39.3,15.33,,,0
CDM,1358800890,ENALAPRIL MALEATE 10 MG TABLET,5.0,1.95,,,0
CDM,1358805208,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,558.6,217.85,,,0
CDM,1358805626,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,126.4,49.3,,,0
CDM,1358807738,VALPROIC ACID 250 MG CAPSULE,12.2,4.76,,,0
CDM,1358809573,"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION",109.5,42.7,,,0
CDM,1358811568,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,66.1,25.78,,,0
CDM,1358811730,MIDAZOLAM (VERSED) 5 MG/ML NASAL ROUTE ONLY,19.6,7.64,,,0
CDM,1358812301,CEFUROXIME AXETIL 250 MG TABLET,77.7,30.3,,,0
CDM,1358812567,SODIUM DI- AND MONOPHOSPHATE-POTASSIUM PHOS MONOBASIC 250 MG TABLET,7.9,3.08,,,0
CDM,1358816924,KETOROLAC 15 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1358818299,SACUBITRIL 49 MG-VALSARTAN 51 MG TABLET,90.2,35.18,,,0
CDM,1358820860,"ESMOLOL 2,000 MG/100 ML (20 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",1952.3,761.4,,,0
CDM,1358822134,LAMIVUDINE 150 MG TABLET,118.1,46.06,,,0
CDM,1358827195,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,45.3,17.67,,,0
CDM,1358827404,LEVOTHYROXINE 88 MCG TABLET,5.4,2.11,,,0
CDM,1358832083,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,33.6,13.1,,,0
CDM,1358834163,ACETAMINOPHEN 325 MG TABLET,0.6,0.23,,,0
CDM,1358834539,TIZANIDINE 4 MG TABLET,11.3,4.41,,,0
CDM,1358835173,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,20.5,8.0,,,0
CDM,1358835318,GABAPENTIN 400 MG CAPSULE,24.6,9.59,,,0
CDM,1358835369,BISACODYL 10 MG RECTAL SUPPOSITORY,0.6,0.23,,,0
CDM,1358837289,BUPIVACAINE HCL 0.25 % (2.5 MG/ML) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1358838623,LEVONORGESTREL 21 MCG/24 HR (UP TO 8 YEARS) 52 MG INTRAUTERINE DEVICE,9316.3,3633.36,,,0
CDM,1358838656,"BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOPICAL OINTMENT",20.3,7.92,,,0
CDM,1358841566,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1358852683,BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION,42688.7,16648.59,,,0
CDM,1358853433,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,66.2,25.82,,,0
CDM,1358853978,NALOXONE 1 MG/ML INJECTION SYRINGE,133.9,52.22,,,0
CDM,1358854372,OXYCODONE 5 MG TABLET,8.3,3.24,,,0
CDM,1358858206,IODINE STRONG (LUGOL'S) 5 % ORAL SOLUTION,247.5,96.52,,,0
CDM,1358858876,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE",19.1,7.45,,,0
CDM,1358862036,IOHEXOL 180 MG IODINE/ML INTRATHECAL SOLUTION,88.0,34.32,,,0
CDM,1358865054,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,76.9,29.99,,,0
CDM,1358866316,CLOBAZAM 10 MG TABLET,24.0,9.36,,,0
CDM,1358876626,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,683.2,266.45,,,0
CDM,1358877818,PREDNISONE 50 MG TABLET,3.2,1.25,,,0
CDM,1358878474,"VITAMIN A 3,000 MCG (10,000 UNIT) CAPSULE",0.6,0.23,,,0
CDM,1358878998,LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS SYRINGE,19.6,7.64,,,0
CDM,1358880244,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,42.4,16.54,,,0
CDM,1358883169,MEXILETINE 150 MG CAPSULE,19.5,7.6,,,0
CDM,1358884983,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,106.6,41.57,,,0
CDM,1358890706,BUMETANIDE 0.5 MG TABLET,8.3,3.24,,,0
CDM,1358891163,NEBIVOLOL 5 MG TABLET,36.4,14.2,,,0
CDM,1358891253,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION,19.6,7.64,,,0
CDM,1358894615,TRIAMTERENE 100 MG CAPSULE,91.6,35.72,,,0
CDM,1358900627,MEMANTINE 5 MG TABLET,4.8,1.87,,,0
CDM,1358900632,PAROXETINE 10 MG TABLET,24.6,9.59,,,0
CDM,1358902240,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,1394.0,543.66,,,0
CDM,1358904190,GEMCITABINE 2 GRAM/52.6 ML (38 MG/ML) INTRAVENOUS SOLUTION,696.6,271.67,,,0
CDM,1358906066,PROMETHAZINE IVPB 6.25 MG/25 ML NS (SIMPLE),30.8,12.01,,,0
CDM,1358906648,"EPOETIN ALFA 20,000 UNIT/ML INJECTION SOLUTION",7451.0,2905.89,,,0
CDM,1358906673,MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION,19.9,7.76,,,0
CDM,1358907542,AZACITIDINE 100 MG SOLUTION FOR INJECTION,576.8,224.95,,,0
CDM,1358908000,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,51.2,19.97,,,0
CDM,1358911151,CLONAZEPAM 1 MG TABLET,6.6,2.57,,,0
CDM,1358913917,GENTAMICIN 0.3 % EYE DROPS,273.9,106.82,,,0
CDM,1358914373,OLANZAPINE 5 MG TABLET,83.6,32.6,,,0
CDM,1358914596,GUANFACINE 1 MG TABLET,18.95,7.39,,,0
CDM,1358914738,PROMETHAZINE 12.5 MG TABLET,4.8,1.87,,,0
CDM,1358914976,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION,4.8,1.87,,,0
CDM,1358917419,VENLAFAXINE 50 MG TABLET,15.9,6.2,,,0
CDM,1358918700,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,27.3,10.65,,,0
CDM,1358920912,DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1358925546,PROPRANOLOL 20 MG TABLET,7.9,3.08,,,0
CDM,1358928448,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,40.6,15.83,,,0
CDM,1358929105,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SYRINGE,53.0,20.67,,,0
CDM,1358929824,ROPINIROLE 2 MG TABLET,19.3,7.53,,,0
CDM,1358930951,MIDAZOLAM 5 MG/ML INJ (WRAPPED),64.3,25.08,,,0
CDM,1358931069,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,172.7,67.35,,,0
CDM,1358931167,"VERAPAMIL ER (SR) 240 MG TABLET,EXTENDED RELEASE",12.6,4.91,,,0
CDM,1358934094,SUMATRIPTAN 50 MG TABLET,385.7,150.42,,,0
CDM,1358934096,"PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE",18.5,7.22,,,0
CDM,1358935825,NALTREXONE 50 MG TABLET,16.4,6.4,,,0
CDM,1358936897,NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN 0.9 % NACL IV,189.3,73.83,,,0
CDM,1358938219,ASPIRIN 325 MG TABLET,0.6,0.23,,,0
CDM,1358938673,FLUCONAZOLE 150 MG TABLET,104.3,40.68,,,0
CDM,1358939177,SODIUM THIOSULFATE 12.5 GRAM/50 ML (250 MG/ML) INTRAVENOUS SOLUTION,836.4,326.2,,,0
CDM,1358940628,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION,296.1,115.48,,,0
CDM,1358942192,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,27.3,10.65,,,0
CDM,1358943224,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,165.0,64.35,,,0
CDM,1358947706,ESTRADIOL 1 MG TABLET,5.3,2.07,,,0
CDM,1358948918,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,301.4,117.55,,,0
CDM,1358949640,DARUNAVIR 800 MG TABLET,551.8,215.2,,,0
CDM,1358949853,CAPSAICIN 0.075 % TOPICAL CREAM,35.9,14.0,,,0
CDM,1358950300,VENETOCLAX 50 MG TABLET,499.3,194.73,,,0
CDM,1358951892,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,59.8,23.32,,,0
CDM,1358953777,CELECOXIB 200 MG CAPSULE,37.3,14.55,,,0
CDM,1358957203,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",33.9,13.22,,,0
CDM,1358959955,CHLORHEXIDINE GLUCONATE 4 % TOPICAL LIQUID,101.4,39.55,,,0
CDM,1358964386,"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR",4.3,1.68,,,0
CDM,1358965553,LURASIDONE 20 MG TABLET,39.2,15.29,,,0
CDM,1358967307,ATROPINE 0.4 MG/ML INTRAVENOUS SOLUTION,122.98,47.96,,,0
CDM,1358969820,FUROSEMIDE 20 MG TABLET,4.0,1.56,,,0
CDM,1358971328,HYDRALAZINE 10 MG TABLET,4.8,1.87,,,0
CDM,1358972262,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1358973757,LACTATED RINGERS INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1358975970,CIPROFLOXACIN 500 MG TABLET,39.9,15.56,,,0
CDM,1358979643,PHENYLEPHRINE 20 MG/250 ML (80 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,226.4,88.3,,,0
CDM,1358983742,KETAMINE 50 MG/ML IN STERILE WATER INJECTION SYRINGE,40.6,15.83,,,0
CDM,1358986574,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,23.7,9.24,,,0
CDM,1358986743,"OXYCODONE ER 20 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",162.1,63.22,,,0
CDM,1358990905,BACLOFEN 10 MG TABLET,4.8,1.87,,,0
CDM,1358991617,SACCHAROMYCES BOULARDII 250 MG CAPSULE,6.9,2.69,,,0
CDM,1358994851,THIOTHIXENE 5 MG CAPSULE,18.3,7.14,,,0
CDM,1358995408,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,61.2,23.87,,,0
CDM,1358996759,MINOCYCLINE 50 MG CAPSULE,52.2,20.36,,,0
CDM,1358998094,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,27.9,10.88,,,0
CDM,1358998199,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,94.0,36.66,,,0
CDM,1358998245,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,89.2,34.79,,,0
CDM,1359001265,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,143.1,55.81,,,0
CDM,1359001304,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE",4.8,1.87,,,0
CDM,1359002112,SORBITOL 70 % SOLUTION,29.91,11.66,,,0
CDM,1359003096,METOPROLOL TARTRATE 25 MG TABLET,4.8,1.87,,,0
CDM,1359010115,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1359010596,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE",26.0,10.14,,,0
CDM,1359010599,DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS,191.8,74.8,,,0
CDM,1359012995,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1359014197,PERFLUTREN LIPID MICROSPHERES 1.1 MG/ML INTRAVENOUS SUSPENSION,968.2,377.6,,,0
CDM,1359016066,POVIDONE-IODINE 10 % TOPICAL SOLUTION,10.0,3.9,,,0
CDM,1359016372,POTASSIUM IODIDE 1 GRAM/ML ORAL SOLUTION,131.5,51.28,,,0
CDM,1359016388,QUETIAPINE 200 MG TABLET,7.3,2.85,,,0
CDM,1359016831,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,19.6,7.64,,,0
CDM,1359019088,BUDESONIDE-FORMOTEROL HFA 80 MCG-4.5 MCG/ACTUATION AEROSOL INHALER,1061.6,414.02,,,0
CDM,1359021191,RISPERIDONE 1 MG TABLET,4.8,1.87,,,0
CDM,1359025896,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,4.8,1.87,,,0
CDM,1359025910,PREDNISONE 1 MG TABLET,7.8,3.04,,,0
CDM,1359027768,ATORVASTATIN 20 MG TABLET,6.6,2.57,,,0
CDM,1359028228,MISOPROSTOL 25 MCG QUARTERED TABLET,4.8,1.87,,,0
CDM,1359029295,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION,56.1,21.88,,,0
CDM,1359036448,FERRIC CARBOXYMALTOSE 100 MG IRON/2 ML INTRAVENOUS SOLUTION,13685.6,5337.38,,,0
CDM,1359036945,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,4.8,1.87,,,0
CDM,1359037633,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1359040470,POTASSIUM CHLORIDE 40 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS,56.1,21.88,,,0
CDM,1359049295,SILVER NITRATE 0.5 % TOPICAL SOLUTION,2908.5,1134.32,,,0
CDM,1359050625,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",54.4,21.22,,,0
CDM,1359050999,"VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE",11.1,4.33,,,0
CDM,1359051159,BACLOFEN 10 MG TABLET,9.5,3.7,,,0
CDM,1359052149,PHENAZOPYRIDINE 200 MG TABLET,30.7,11.97,,,0
CDM,1359055696,SIMVASTATIN 20 MG TABLET,49.4,19.265,,,0
CDM,1359056541,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1359059359,DICLOFENAC 1 % TOPICAL GEL,448.0,174.72,,,0
CDM,1359062776,CINACALCET 30 MG TABLET,235.1,91.69,,,0
CDM,1359065968,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,35.5,13.845,,,0
CDM,1359066422,BACLOFEN 10 MG TABLET,4.8,1.87,,,0
CDM,1359067184,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1359067254,SUCRALFATE 1 GRAM TABLET,6.0,2.34,,,0
CDM,1359069750,HYDROXYZINE HCL 10 MG TABLET,4.8,1.87,,,0
CDM,1359069973,ACETAMINOPHEN 650 MG RECTAL SUPPOSITORY,1.2,0.47,,,0
CDM,1359072285,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",19.6,7.64,,,0
CDM,1359073447,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,68.4,26.68,,,0
CDM,1359075620,ZIPRASIDONE 40 MG CAPSULE,66.5,25.935000000000002,,,0
CDM,1359077870,"ASPIRIN 81 MG TABLET,DELAYED RELEASE",0.6,0.23,,,0
CDM,1359078694,METRONIDAZOLE 250 MG TABLET,6.2,2.42,,,0
CDM,1359079868,GENTAMICIN 0.1 % TOPICAL OINTMENT,303.0,118.17,,,0
CDM,1359080598,METHOCARBAMOL 500 MG TABLET,4.8,1.87,,,0
CDM,1359093889,MORPHINE 2 MG/ML INJECTION (WRAPPED),19.6,7.64,,,0
CDM,1359099053,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",1254.6,489.29,,,0
CDM,1359101569,DIAZEPAM 5 MG/ML INJECTION SYRINGE,19.6,7.64,,,0
CDM,1359101701,DAPAGLIFLOZIN PROPANEDIOL 10 MG TABLET,153.4,59.83,,,0
CDM,1359106203,DONEPEZIL 5 MG TABLET,132.7,51.75,,,0
CDM,1359107258,INSULIN REGULAR (IV - DUAL NURSE SIGNOFF),19.6,7.64,,,0
CDM,1359107713,PREGABALIN 50 MG CAPSULE,5.8,2.26,,,0
CDM,1359107772,ALPRAZOLAM 1 MG TABLET,4.8,1.87,,,0
CDM,1359107833,ACETYLCYSTEINE 200 MG/ML (20 %) RESPIRATORY SOLUTION,91.9,35.84,,,0
CDM,1359109582,OLMESARTAN 40 MG TABLET,73.7,28.74,,,0
CDM,1359109656,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION,55.6,21.68,,,0
CDM,1359110011,CLOBAZAM 10 MG TABLET,240.2,93.68,,,0
CDM,1359110139,"WATER FOR IRRIGATION, STERILE SOLUTION",32.6,12.71,,,0
CDM,1359110156,GLIPIZIDE 10 MG TABLET,5.2,2.03,,,0
CDM,1359113916,THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET,4.8,1.87,,,0
CDM,1359115680,DOXAZOSIN 2 MG TABLET,16.8,6.55,,,0
CDM,1359115760,CITALOPRAM 20 MG TABLET,9.8,3.82,,,0
CDM,1359116112,"VITAMIN E (DL, ACETATE) 45 MG (100 UNIT) CAPSULE",0.6,0.23,,,0
CDM,1359117077,MEDROXYPROGESTERONE 2.5 MG TABLET,9.7,3.78,,,0
CDM,1359118452,AMLODIPINE 5 MG TABLET,13.3,5.19,,,0
CDM,1359118799,AMOXICILLIN 500 MG CAPSULE,4.8,1.87,,,0
CDM,1359126676,PROMETHAZINE 25 MG TABLET,4.8,1.87,,,0
CDM,1359133250,KETOROLAC 15 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1359134649,MISOPROSTOL 200 MCG TABLET,104.6,40.79,,,0
CDM,1359138663,HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML (5 ML) ORAL SOLUTION,74.8,29.17,,,0
CDM,1359144293,HYDROXYUREA 500 MG CAPSULE,25.5,9.94,,,0
CDM,1359144396,THYROID (PORK) 60 MG TABLET,9.0,3.51,,,0
CDM,1359145271,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,117.3,45.75,,,0
CDM,1359148721,HEPATITIS B IMMUNE GLOBULIN 110 UNIT/0.5 ML INTRAMUSCULAR SYRINGE,755.4,294.61,,,0
CDM,1359149268,EPLERENONE 50 MG TABLET,33.3,12.99,,,0
CDM,1359151600,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,81.2,31.67,,,0
CDM,1359154597,HYDROXYZINE HCL 25 MG TABLET,4.8,1.87,,,0
CDM,1359155225,CLINDAMYCIN HCL 150 MG CAPSULE,5.1,1.99,,,0
CDM,1359155423,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,83.3,32.49,,,0
CDM,1359157889,CANNABIDIOL 100 MG/ML ORAL SOLUTION,459.1,179.05,,,0
CDM,1359158091,SUCRALFATE 1 GRAM TABLET,4.8,1.87,,,0
CDM,1359159481,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,5.0,1.95,,,0
CDM,1359159982,BRIVARACETAM 10 MG/ML ORAL SOLUTION,25.6,9.98,,,0
CDM,1359165398,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,427.0,166.53,,,0
CDM,1359165545,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",14.6,5.69,,,0
CDM,1359167845,LOSARTAN 25 MG TABLET,25.8,10.06,,,0
CDM,1359173058,KETOROLAC 15 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1359174954,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION,22.3,8.7,,,0
CDM,1359175220,FERROUS SULFATE 325 MG (65 MG IRON) TABLET,0.6,0.23,,,0
CDM,1359176010,VERAPAMIL 80 MG TABLET,4.8,1.87,,,0
CDM,1359179747,LABETALOL 100 MG TABLET,4.8,1.87,,,0
CDM,1359179789,"LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJECTION SOLUTION",94.3,36.78,,,0
CDM,1359181111,GLIPIZIDE 10 MG TABLET,4.8,1.87,,,0
CDM,1359183699,AMIODARONE 200 MG TABLET,26.0,10.14,,,0
CDM,1359184763,PIOGLITAZONE 45 MG TABLET,89.1,34.75,,,0
CDM,1359187317,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,45.9,17.9,,,0
CDM,1359188257,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,121.2,47.27,,,0
CDM,1359191438,ADULT 2-IN-1 CPN USING CLINIMIX BASE,504.0,196.56,,,0
CDM,1359194678,LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM,407.6,158.96,,,0
CDM,1359195559,"WATER FOR INJECTION, BACTERIOSTATIC INJECTION SOLUTION",19.6,7.64,,,0
CDM,1359195848,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,95.8,37.36,,,0
CDM,1359196615,GABAPENTIN 100 MG CAPSULE,4.8,1.87,,,0
CDM,1359200700,MAGIC MOUTHWASH ORAL SUSPENSION (CMPD),9.3,3.63,,,0
CDM,1359200909,AZITHROMYCIN 600 MG TABLET,101.5,39.58,,,0
CDM,1359200921,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,4.8,1.87,,,0
CDM,1359201232,HYDROXYZINE HCL 25 MG TABLET,4.8,1.87,,,0
CDM,1359201606,FLUDROCORTISONE 0.1 MG TABLET,12.3,4.8,,,0
CDM,1359208983,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",15.7,6.12,,,0
CDM,1359209171,FAT EMULSION (SOYBEAN) 20% SYRINGE (NEONATE),86.1,33.58,,,0
CDM,1359209794,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,49.9,19.46,,,0
CDM,1359216546,EPLERENONE 50 MG TABLET,32.0,12.48,,,0
CDM,1359219292,CLOTRIMAZOLE-BETAMETHASONE 1 %-0.05 % TOPICAL CREAM,129.4,50.47,,,0
CDM,1359219951,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION,55.2,21.53,,,0
CDM,1359221623,FLUCONAZOLE 100 MG TABLET,100.4,39.16,,,0
CDM,1359222359,OLANZAPINE 2.5 MG TABLET,80.0,31.2,,,0
CDM,1359223165,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,85.7,33.42,,,0
CDM,1359225890,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,683.2,266.45,,,0
CDM,1359226004,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1359226005,"QUETIAPINE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",5.8,2.26,,,0
CDM,1359226621,DEXAMETHASONE 0.5 MG TABLET,6.4,2.5,,,0
CDM,1359227549,SPIRONOLACTONE 100 MG TABLET,6.8,2.65,,,0
CDM,1359227680,DOXAZOSIN 1 MG TABLET,31.2,12.17,,,0
CDM,1359227918,"NAPROXEN 500 MG TABLET,DELAYED RELEASE",48.4,18.88,,,0
CDM,1359228993,EPOPROSTENOL 1.5 MG INTRAVENOUS SOLUTION,380.1,148.24,,,0
CDM,1359230143,AMIODARONE 200 MG TABLET,26.0,10.14,,,0
CDM,1359234526,DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET,52.6,20.51,,,0
CDM,1359236402,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,26.9,10.49,,,0
CDM,1359237400,NAFCILLIN 2 GRAM SOLUTION FOR INJECTION,225.5,87.94,,,0
CDM,1359239027,MECLIZINE 25 MG TABLET,6.5,2.54,,,0
CDM,1359241614,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,442.8,172.69,,,0
CDM,1359243442,SODIUM BICARBONATE (BULK) POWDER,2.4,0.94,,,0
CDM,1359244477,PROMETHAZINE 25 MG/ML INJ (WRAPPED),19.6,7.64,,,0
CDM,1359246451,INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML SUBCUTANEOUS SUSPENSION,381.0,148.59,,,0
CDM,1359247067,DOFETILIDE 125 MCG CAPSULE,85.0,33.15,,,0
CDM,1359248566,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,30.7,11.97,,,0
CDM,1359249309,ENALAPRIL MALEATE 2.5 MG TABLET,4.8,1.87,,,0
CDM,1359249387,BENZOCAINE 20 %-MENTHOL 0.5 % TOPICAL AEROSOL,22.8,8.89,,,0
CDM,1359249932,PYRIDOSTIGMINE BROMIDE 5 MG/ML INJECTION SOLUTION,65.6,25.58,,,0
CDM,1359255571,"GELATIN SPONGE,ABSORBABLE-PORCINE SKIN 100 TOPICAL SPONGE",354.1,138.1,,,0
CDM,1359257213,TOPIRAMATE 25 MG TABLET,128.9,50.27,,,0
CDM,1359258095,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,270.2,105.38,,,0
CDM,1359260342,FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET,770.1,300.34,,,0
CDM,1359260482,BRIMONIDINE 0.2 % EYE DROPS,250.5,97.7,,,0
CDM,1359260500,PILOCARPINE 1 % EYE DROPS,756.0,294.84,,,0
CDM,1359264594,ETHAMBUTOL 400 MG TABLET,31.2,12.17,,,0
CDM,1359265134,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1359273680,"ASCORBIC ACID (VITAMIN C) 1,000 MG TABLET",4.8,1.87,,,0
CDM,1359274369,1/2 NS (0.45% SODIUM CHLORIDE) (UAC),22.9,8.93,,,0
CDM,1359275562,NICOTINE (POLACRILEX) 2 MG GUM,2.0,0.78,,,0
CDM,1359285010,CEFPODOXIME 200 MG TABLET,64.7,25.23,,,0
CDM,1359291035,ABACAVIR 300 MG TABLET,154.1,60.1,,,0
CDM,1359291035,LAMIVUDINE 150 MG TABLET,109.9,42.86,,,0
CDM,1359291419,"LIPASE-PROTEASE-AMYLASE 10,440-39,150-39,150 UNIT TABLET",64.9,25.31,,,0
CDM,1359292939,SERTRALINE 50 MG TABLET,4.8,1.87,,,0
CDM,1359293315,"VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE",8.3,3.24,,,0
CDM,1359296593,DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION,118.9,46.37,,,0
CDM,1359296881,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET,4.8,1.87,,,0
CDM,1359302853,SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION,232.1,90.52,,,0
CDM,1359303506,PAROXETINE 40 MG TABLET,22.9,8.93,,,0
CDM,1359308292,BRIVARACETAM 50 MG/5 ML INTRAVENOUS SOLUTION,1760.1,686.44,,,0
CDM,1359309680,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,185.8,72.46,,,0
CDM,1359310729,FAMOTIDINE 20 MG TABLET,10.3,4.02,,,0
CDM,1359311518,HYDROCORTISONE 1 % LOTION,26.1,10.18,,,0
CDM,1359311555,ABACAVIR 300 MG TABLET,77.1,30.07,,,0
CDM,1359316432,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION,58.8,22.93,,,0
CDM,1359317684,LACTOBACILLUS RHAMNOSUS GG 15 BILLION CELL SPRINKLE CAPSULE,8.4,3.28,,,0
CDM,1359317686,SELENIUM SULFIDE 2.5 % LOTION,76.4,29.8,,,0
CDM,1359317692,ARTIFICIAL SALIVA(CARBOXYMETHYLCELLULOSE-ELECTROLYTES) SPRAY PUMP,68.2,26.6,,,0
CDM,1359317697,BENZOYL PEROXIDE 5 % LOTION,15.4,6.01,,,0
CDM,1359322008,NICARDIPINE 40 MG/200 ML(0.2 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN,1133.4,442.03,,,0
CDM,1359322498,URSODIOL 300 MG CAPSULE,33.7,13.14,,,0
CDM,1359328542,ALBUTEROL SULFATE 2 MG TABLET,114.7,44.73,,,0
CDM,1359330219,FLUOXETINE 10 MG CAPSULE,20.0,7.8,,,0
CDM,1359333607,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",8.5,3.32,,,0
CDM,1359335244,URSODIOL 300 MG CAPSULE,56.4,22.0,,,0
CDM,1359335294,HYDROCORTISONE SOD SUCCINATE (PF) 100 MG/2 ML SOLUTION FOR INJECTION,97.9,38.18,,,0
CDM,1359336046,NICOTINE (POLACRILEX) 2 MG GUM,2.2,0.86,,,0
CDM,1359338439,HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION,791.4,308.65,,,0
CDM,1359339483,CLONAZEPAM 0.5 MG TABLET,5.8,2.26,,,0
CDM,1359340304,HYDROXYZINE HCL 10 MG TABLET,5.4,2.11,,,0
CDM,1359342360,MAGNESIUM CITRATE ORAL SOLUTION,15.9,6.2,,,0
CDM,1359344526,CILOSTAZOL 50 MG TABLET,34.3,13.38,,,0
CDM,1359345061,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,50.1,19.54,,,0
CDM,1359345404,MIDODRINE 10 MG TABLET,74.2,28.94,,,0
CDM,1359346264,PRAZOSIN 1 MG CAPSULE,27.8,10.84,,,0
CDM,1359346820,DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR,2.3,0.9,,,0
CDM,1359348053,DEFERASIROX 360 MG TABLET,4372.4,1705.24,,,0
CDM,1359348257,PSYLLIUM ORAL PACKET,3.0,1.17,,,0
CDM,1359348462,PENICILLIN G POT 3 MILLION UNIT/50 ML-DEXTROSE INTRAVENOUS PIGGYBACK,91.9,35.84,,,0
CDM,1359350565,BROMOCRIPTINE 2.5 MG TABLET,25.4,9.91,,,0
CDM,1359351896,LISINOPRIL 5 MG TABLET,4.8,1.87,,,0
CDM,1359352626,FERROUS GLUCONATE 324 MG (38 MG IRON) TABLET,0.6,0.23,,,0
CDM,1359353277,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,9.7,3.785,,,0
CDM,1359354263,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,263.1,102.61,,,0
CDM,1359354787,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 125 MG TABLET,73.7,28.74,,,0
CDM,1359356350,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",9.7,3.78,,,0
CDM,1359356993,FENTANYL 100 MCG/HR TRANSDERMAL PATCH,818.6,319.25,,,0
CDM,1359357698,HALOPERIDOL 2 MG TABLET,5.2,2.03,,,0
CDM,1359358353,AZITHROMYCIN 250 MG TABLET,26.5,10.34,,,0
CDM,1359360770,PHENOL 1.4 % MUCOSAL AEROSOL SPRAY,25.8,10.06,,,0
CDM,1359361165,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET,0.8,0.31,,,0
CDM,1359362189,"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE",8.1,3.16,,,0
CDM,1359364594,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION PEDIATRIC SYRINGE,77.0,30.03,,,0
CDM,1359367960,PERITONEAL DIALYSIS SOLN 7-2.5 % DEXT.LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L (5L BAG FOR CCPD),256.2,99.92,,,0
CDM,1359368574,LACOSAMIDE 100 MG TABLET,31.5,12.28,,,0
CDM,1359369533,LINEZOLID 600 MG TABLET,1408.7,549.39,,,0
CDM,1359370025,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1359370788,METRONIDAZOLE 250 MG TABLET,7.6,2.96,,,0
CDM,1359372242,FERROUS SULFATE 220 MG (44 MG IRON)/5 ML ORAL ELIXIR,4.8,1.87,,,0
CDM,1359373102,ADULT 2-IN-1 PPN,315.0,122.85,,,0
CDM,1359375012,POLYVINYL ALCOHOL-POVIDONE (PF) 1.4 %-0.6 % EYE DROPS IN A DROPPERETTE,1.2,0.47,,,0
CDM,1359376161,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1359377867,TETANUS IMMUNE GLOBULIN (PF) 250 UNIT/ML INTRAMUSCULAR SYRINGE,4524.8,1764.67,,,0
CDM,1359378308,ASPIRIN 81 MG CHEWABLE TABLET,0.6,0.23,,,0
CDM,1359379828,HYDROCORTISONE 10 MG TABLET,20.7,8.07,,,0
CDM,1359383924,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,49.6,19.34,,,0
CDM,1359384358,LAMIVUDINE 150 MG TABLET,109.8,42.82,,,0
CDM,1359385922,IMIPRAMINE 25 MG TABLET,11.1,4.33,,,0
CDM,1359385954,METHIMAZOLE 5 MG TABLET,4.8,1.87,,,0
CDM,1359386038,OXYCODONE 30 MG TABLET,55.1,21.49,,,0
CDM,1359386157,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1359387480,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,186.9,72.89,,,0
CDM,1359387622,FENTANYL 12 MCG/HR TRANSDERMAL PATCH,155.8,60.76,,,0
CDM,1359387659,BENZTROPINE 1 MG TABLET,4.8,1.87,,,0
CDM,1359388117,FLECAINIDE 100 MG TABLET,27.5,10.72,,,0
CDM,1359388228,MIDAZOLAM 1 MG/ML INJ (WRAPPED),19.6,7.64,,,0
CDM,1359389281,HALOPERIDOL 10 MG TABLET,14.6,5.69,,,0
CDM,1359390406,VECURONIUM BROMIDE 20 MG INTRAVENOUS SOLUTION,243.4,94.93,,,0
CDM,1359390839,PRASUGREL HCL 10 MG TABLET,126.7,49.41,,,0
CDM,1359392924,NAPROXEN 250 MG TABLET,6.0,2.34,,,0
CDM,1359393198,EPTIFIBATIDE 0.75 MG/ML INTRAVENOUS SOLUTION,3404.5,1327.76,,,0
CDM,1359394063,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,41.8,16.3,,,0
CDM,1359395316,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (WRAPPED),2.6,1.01,,,0
CDM,1359396633,ARTIFICIAL SALIVA(CARBOXYMETHYLCELLULOSE-ELECTROLYTES) SPRAY PUMP,81.0,31.59,,,0
CDM,1359396747,FENTANYL 100 MCG/HR TRANSDERMAL PATCH,603.8,235.48,,,0
CDM,1359397274,PROCHLORPERAZINE MALEATE 10 MG TABLET,6.9,2.69,,,0
CDM,1359406268,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,176.3,68.76,,,0
CDM,1359407385,FENTANYL 5000 MCG/100 ML (50 MCG/ML) INFUSION (SIMPLE),371.5,144.88,,,0
CDM,1359410991,CEPHALEXIN 500 MG CAPSULE,15.2,5.93,,,0
CDM,1359412247,GABAPENTIN 300 MG CAPSULE,11.7,4.56,,,0
CDM,1359412461,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET,4.8,1.87,,,0
CDM,1359413013,FLUCONAZOLE 100 MG TABLET,134.6,52.49,,,0
CDM,1359413395,OPIUM TINCTURE 10 MG/ML (MORPHINE) ORAL,29.0,11.31,,,0
CDM,1359415771,HYDROMORPHONE (PF) 0.2 MG/ML IN 0.9% NACL PCA (PREMIXED),168.7,65.79,,,0
CDM,1359416404,CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION,869.6,339.14,,,0
CDM,1359416454,SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1359420188,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,135.8,52.96,,,0
CDM,1359420238,METHIMAZOLE 10 MG TABLET,5.9,2.3,,,0
CDM,1359422249,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION,495.0,193.05,,,0
CDM,1359423529,EZETIMIBE 10 MG TABLET,77.8,30.34,,,0
CDM,1359423533,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT,34.7,13.53,,,0
CDM,1359424971,METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLUTION FOR INJECTION,65.0,25.35,,,0
CDM,1359425142,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,42.7,16.65,,,0
CDM,1359425399,DESMOPRESSIN 0.1 MG TABLET,23.2,9.05,,,0
CDM,1359425617,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,93.1,36.31,,,0
CDM,1359426078,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (DYE-FREE),0.9,0.35,,,0
CDM,1359426160,ESCITALOPRAM 5 MG TABLET,34.6,13.49,,,0
CDM,1359426663,ESCITALOPRAM 20 MG TABLET,35.3,13.77,,,0
CDM,1359427451,CYCLOBENZAPRINE 10 MG TABLET,4.8,1.87,,,0
CDM,1359427588,EPHEDRINE (PF) 25 MG/5 ML (5 MG/ML) IN 0.9% SODIUM CHLORIDE IV SYRINGE,64.1,25.0,,,0
CDM,1359427903,LIDOCAINE 4 %-EPINEPHRINE 0.18 %-TETRACAINE 0.5 % TOPICAL GEL,135.8,52.96,,,0
CDM,1359441264,LORAZEPAM 1 MG TABLET,6.8,2.65,,,0
CDM,1359445994,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,890.3,347.22,,,0
CDM,1359447176,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",120.5,47.0,,,0
CDM,1359447574,GENTAMICIN 40 MG/ML INJECTION SOLUTION,30.3,11.82,,,0
CDM,1359448758,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1359450687,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION,19.6,7.64,,,0
CDM,1359450858,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,19.6,7.64,,,0
CDM,1359451627,SULFASALAZINE 500 MG TABLET,4.8,1.87,,,0
CDM,1359452763,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,683.2,266.45,,,0
CDM,1359452773,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,19.6,7.64,,,0
CDM,1359452929,AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION,48.0,18.72,,,0
CDM,1359457102,METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLUTION FOR INJECTION,99.5,38.8,,,0
CDM,1359460176,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1359462739,COLESEVELAM 625 MG TABLET,57.5,22.42,,,0
CDM,1359462743,SPIRONOLACTONE 25 MG TABLET,4.8,1.87,,,0
CDM,1359464247,ALPRAZOLAM 0.25 MG TABLET,10.7,4.17,,,0
CDM,1359465824,COLCHICINE 0.6 MG TABLET,51.7,20.16,,,0
CDM,1359467294,BENZONATATE 100 MG CAPSULE,4.8,1.87,,,0
CDM,1359467350,METRONIDAZOLE 500 MG TABLET,5.6,2.18,,,0
CDM,1359471626,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION,122.2,47.66,,,0
CDM,1359479169,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,21.4,8.35,,,0
CDM,1359480995,PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE,1968.8,767.83,,,0
CDM,1359481514,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",164.4,64.12,,,0
CDM,1359482378,ETRAVIRINE 200 MG TABLET,205.8,80.26,,,0
CDM,1359484276,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",800.2,312.08,,,0
CDM,1359484624,BENZOCAINE 20 %-MENTHOL 0.5 % TOPICAL AEROSOL,19.2,7.49,,,0
CDM,1359487201,HYDROMORPHONE 8 MG TABLET,5.9,2.3,,,0
CDM,1359487206,NORTRIPTYLINE 25 MG CAPSULE,4.8,1.87,,,0
CDM,1359487242,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,50.4,19.66,,,0
CDM,1359489246,ABACAVIR 300 MG TABLET,154.1,60.1,,,0
CDM,1359489253,RISPERIDONE 1 MG/ML ORAL SOLUTION,46.7,18.21,,,0
CDM,1359490670,LACTATED RINGERS BOLUS,53.7,20.94,,,0
CDM,1359492423,DICYCLOMINE 10 MG/5 ML ORAL SOLUTION,23.1,9.01,,,0
CDM,1359492640,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,297.7,116.1,,,0
CDM,1359493587,BETAMETHASONE VALERATE 0.1 % TOPICAL CREAM,214.6,83.69,,,0
CDM,1359494050,DABIGATRAN ETEXILATE 75 MG CAPSULE,29.0,11.31,,,0
CDM,1359504465,NADOLOL 20 MG TABLET,13.6,5.3,,,0
CDM,1359510745,HYDRALAZINE 50 MG TABLET,4.8,1.87,,,0
CDM,1359514335,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,13.5,5.26,,,0
CDM,1359514532,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,19.6,7.64,,,0
CDM,1359518108,GLIPIZIDE 5 MG TABLET,4.8,1.87,,,0
CDM,1359518882,ALENDRONATE 70 MG TABLET,157.2,61.31,,,0
CDM,1359526909,THYROID (PORK) 60 MG TABLET,8.5,3.32,,,0
CDM,1359528728,DONEPEZIL 5 MG TABLET,132.8,51.79,,,0
CDM,1359529580,SUCRALFATE 1 GRAM TABLET,38.1,14.86,,,0
CDM,1359530501,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION,197.5,77.02,,,0
CDM,1359538924,IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION,330.0,128.7,,,0
CDM,1359541635,LITHIUM CITRATE 8 MEQ/5 ML ORAL SOLUTION,125.1,48.79,,,0
CDM,1359544250,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1359545335,URSODIOL 300 MG CAPSULE,112.8,43.99,,,0
CDM,1359547905,ZIPRASIDONE 20 MG CAPSULE,137.5,53.62,,,0
CDM,1359547910,"GUANFACINE ER 1 MG TABLET,EXTENDED RELEASE 24 HR",241.4,94.15,,,0
CDM,1359548439,HYDRALAZINE 50 MG TABLET,6.8,2.65,,,0
CDM,1359548503,"NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE",22.4,8.74,,,0
CDM,1359548766,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE",4.8,1.87,,,0
CDM,1359553736,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1359554934,DOCETAXEL 80 MG/8 ML (10 MG/ML) INTRAVENOUS SOLUTION,2059.2,803.09,,,0
CDM,1359554935,CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION,738.9,288.17,,,0
CDM,1359556136,"NEOMYCIN 40 MG-POLYMYXIN B 200,000 UNIT/ML GU IRRIGATION SOLUTION",72.6,28.31,,,0
CDM,1359561757,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,102.5,39.98,,,0
CDM,1359563070,BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION,662.1,258.22,,,0
CDM,1359563166,SODIUM CHLORIDE (STERILE) 0.9 % INJECTION SYRINGE,19.6,7.64,,,0
CDM,1359564548,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,1183.2,461.45,,,0
CDM,1359566889,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",57.9,22.58,,,0
CDM,1359570843,METHACHOLINE INHALATION CHALLENGE KIT,57.6,22.46,,,0
CDM,1359572434,ADULT CYCLIC 2-IN-1 CPN USING CLINIMIX BASE,504.0,196.56,,,0
CDM,1359572762,ATROPINE 0.4 MG/ML INJECTION SOLUTION,96.0,37.44,,,0
CDM,1359572926,AMOXICILLIN 250 MG CAPSULE,4.8,1.87,,,0
CDM,1359576268,RITUXIMAB-ARRX 10 MG/ML INTRAVENOUS SOLUTION,8945.7,3488.82,,,0
CDM,1359576270,VINCRISTINE 1 MG/ML INTRAVENOUS SOLUTION,136.5,53.24,,,0
CDM,1359579568,TRAMADOL 50 MG TABLET,6.4,2.5,,,0
CDM,1359580313,GEMCITABINE 200 MG/5.26 ML (38 MG/ML) INTRAVENOUS SOLUTION,81.1,31.63,,,0
CDM,1359582679,SILTUXIMAB 400 MG INTRAVENOUS SOLUTION,76974.7,30020.13,,,0
CDM,1359585591,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,387.6,151.16,,,0
CDM,1359585686,DACTINOMYCIN 0.5 MG INTRAVENOUS SOLUTION,2808.0,1095.12,,,0
CDM,1359591540,DACARBAZINE 200 MG INTRAVENOUS SOLUTION,329.9,128.66,,,0
CDM,1359591623,BENZOCAINE 20 % MUCOSAL SPRAY (UD),62.5,24.38,,,0
CDM,1359591927,DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION,788.2,307.4,,,0
CDM,1359594396,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,4.8,1.87,,,0
CDM,1359595715,BORTEZOMIB 3.5 MG SOLUTION FOR SUBCUTANEOUS INJ,205.8,80.26,,,0
CDM,1359596713,"BACLOFEN 40,000 MCG/20 ML (2,000 MCG/ML) INTRATHECAL SYRINGE",7085.6,2763.38,,,0
CDM,1359596720,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,27.4,10.69,,,0
CDM,1359598264,EPTIFIBATIDE 2 MG/ML INTRAVENOUS SOLUTION,1061.2,413.87,,,0
CDM,1359598549,QUETIAPINE 50 MG TABLET,25.1,9.79,,,0
CDM,1359601093,LINEZOLID 600 MG TABLET,47.5,18.52,,,0
CDM,1359602691,COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION,742.9,289.73,,,0
CDM,1359603691,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",56.8,22.15,,,0
CDM,1359606220,DOCETAXEL 80 MG/8 ML (10 MG/ML) INTRAVENOUS SOLUTION,2497.0,973.83,,,0
CDM,1359606221,CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION,5142.2,2005.46,,,0
CDM,1359610084,KETAMINE 100 MG/2 ML (50 MG/ML) INTRAVENOUS SYRINGE,19.6,7.64,,,0
CDM,1359611258,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,19.6,7.64,,,0
CDM,1359611730,LITHIUM CARBONATE 150 MG CAPSULE,4.8,1.87,,,0
CDM,1359613326,NITROGLYCERIN 400 MCG/SPRAY TRANSLINGUAL,2142.3,835.5,,,0
CDM,1359613734,PROMETHAZINE 12.5 MG TABLET,4.8,1.87,,,0
CDM,1359615603,SULFASALAZINE 500 MG TABLET,4.8,1.87,,,0
CDM,1359615604,ARIPIPRAZOLE 2 MG TABLET,234.7,91.53,,,0
CDM,1359616983,DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION,562.6,219.41,,,0
CDM,1359617565,"MESALAMINE 1.2 GRAM TABLET,DELAYED RELEASE",311.1,121.33,,,0
CDM,1359618301,"DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN",65968.5,25727.72,,,0
CDM,1359618502,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,213.5,83.26,,,0
CDM,1359622202,"PENTOXIFYLLINE ER 400 MG TABLET,EXTENDED RELEASE",4.8,1.87,,,0
CDM,1359622871,BACITRACIN TOPICAL OINTMENT (WRAPPED),15.5,6.04,,,0
CDM,1359624506,DICLOFENAC 0.1 % EYE DROPS,107.4,41.89,,,0
CDM,1359626649,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,170.8,66.61,,,0
CDM,1359627971,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",4.8,1.87,,,0
CDM,1359628345,ATROPINE 0.1 MG/ML INJECTION SYRINGE,106.8,41.65,,,0
CDM,1359634864,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,75.0,29.25,,,0
CDM,1359638254,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,344.7,134.43,,,0
CDM,1359639420,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,173.1,67.51,,,0
CDM,1359640184,"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR",703.3,274.29,,,0
CDM,1359650167,SODIUM CHLORIDE 0.9% 3000 ML IRRIGATION SOLUTION,126.2,49.22,,,0
CDM,1359650900,VALSARTAN 40 MG TABLET,9.1,3.55,,,0
CDM,1359651179,DANTROLENE 25 MG CAPSULE,14.9,5.81,,,0
CDM,1359652464,FLUCONAZOLE 200 MG TABLET,15.7,6.12,,,0
CDM,1359652782,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 500 (+/-) UNIT IV SOLUTION",12768.6,4979.75,,,0
CDM,1359652870,CARVEDILOL 25 MG TABLET,16.2,6.32,,,0
CDM,1359654619,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,38.0,14.82,,,0
CDM,1359654887,LEVOFLOXACIN 500 MG TABLET,148.0,57.72,,,0
CDM,1359656593,SUCRALFATE 100 MG/ML ORAL SUSPENSION,84.2,32.84,,,0
CDM,1359656982,"HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJECTION SOLUTION",19.6,7.64,,,0
CDM,1359657028,OXYBUTYNIN CHLORIDE 5 MG TABLET,4.8,1.87,,,0
CDM,1359660486,OXYCODONE 5 MG TABLET,7.0,2.73,,,0
CDM,1359661419,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE",14.4,5.62,,,0
CDM,1359663968,HYDROMORPHONE 2 MG TABLET,4.8,1.87,,,0
CDM,1359664122,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION,43.0,16.77,,,0
CDM,1359667017,IBUPROFEN 600 MG TABLET,12.2,4.76,,,0
CDM,1359671606,HYDROMORPHONE (PF) 30 MG/30 ML (1 MG/ML) IN 0.9 % NACL IV PCA SYRINGE,230.4,89.86,,,0
CDM,1359671904,METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION,39.9,15.56,,,0
CDM,1359672034,DEXAMETHASONE 2 MG TABLET,4.8,1.87,,,0
CDM,1359675038,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,52.1,20.32,,,0
CDM,1359677458,DARBEPOETIN ALFA 100 MCG/0.5 ML IN POLYSORBATE INJECTION SYRINGE,5394.8,2103.97,,,0
CDM,1359678105,NALOXONE 0.4 MG/ML INJECTION SOLUTION,256.2,99.92,,,0
CDM,1359679254,URSODIOL 300 MG CAPSULE,2.9,1.13,,,0
CDM,1359679563,FAMOTIDINE 20 MG TABLET,7.4,2.89,,,0
CDM,1359680008,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",40.1,15.64,,,0
CDM,1359684261,"DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",91.7,35.76,,,0
CDM,1359687949,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,4.8,1.87,,,0
CDM,1359689198,"EPOETIN ALFA 4,000 UNIT/ML INJECTION SOLUTION",39.7,15.48,,,0
CDM,1359689257,ABOBOTULINUMTOXINA 500 UNIT INTRAMUSCULAR SOLUTION,18411.3,7180.41,,,0
CDM,1359689383,"PHOSPHATE DIALY SOLN W-OUT CALCIUM,DEX K 4 MEQ-MG 1.5 MEQ-PO4 1 MMOL/L",560.8,218.71,,,0
CDM,1359689947,DICLOFENAC 1 % TOPICAL GEL,414.2,161.54,,,0
CDM,1359690239,TADALAFIL 5 MG TABLET,102.0,39.78,,,0
CDM,1359692624,METFORMIN 500 MG TABLET,5.4,2.11,,,0
CDM,1359693288,ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION,52.7,20.55,,,0
CDM,1359693373,PROPRANOLOL 10 MG TABLET,2.4,0.94,,,0
CDM,1359693516,WHITE PETROLATUM 41 % TOPICAL OINTMENT,95.5,37.24,,,0
CDM,1359695744,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,176.9,68.99,,,0
CDM,1359696161,APREPITANT 20 MG/ML ORAL SUSPENSION (NEO/PEDS),1484.8,579.07,,,0
CDM,1359696169,BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION,369.6,144.14,,,0
CDM,1359696722,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1359699555,CITALOPRAM 20 MG TABLET,20.7,8.07,,,0
CDM,1359701414,SUCRALFATE 1 GRAM TABLET,6.2,2.42,,,0
CDM,1359703828,TOCILIZUMAB-AAZG 200 MG/10 ML (20 MG/ML) INTRAVENOUS SOLUTION,6825.1,2661.79,,,0
CDM,1359705504,"CARBAMAZEPINE ER 100 MG TABLET,EXTENDED RELEASE,12 HR",32.25,12.58,,,0
CDM,1359707866,HYDROCORTISONE 5 MG TABLET,4.8,1.87,,,0
CDM,1359710311,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL TABLET,23.8,9.28,,,0
CDM,1359713453,HYDROGEN PEROXIDE 3 % SOLUTION,11.1,4.33,,,0
CDM,1359714989,MICAFUNGIN 50 MG INTRAVENOUS SOLUTION,205.0,79.95,,,0
CDM,1359718052,LUSPATERCEPT-AAMT 75 MG SUBCUTANEOUS SOLUTION,84319.1,32884.45,,,0
CDM,1359719864,TICAGRELOR 60 MG TABLET,59.5,23.2,,,0
CDM,1359726923,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,32.6,12.71,,,0
CDM,1359727955,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR",114.9,44.81,,,0
CDM,1359729644,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,250.9,97.85,,,0
CDM,1359730720,SPIRONOLACTONE 25 MG TABLET,4.8,1.87,,,0
CDM,1359730724,METHIMAZOLE 10 MG TABLET,5.9,2.3,,,0
CDM,1359733604,ATORVASTATIN 20 MG TABLET,4.8,1.87,,,0
CDM,1359735615,KETAMINE 10 MG/ML INJECTION SOLUTION,30.2,11.78,,,0
CDM,1359736532,HYDRALAZINE 50 MG TABLET,4.8,1.87,,,0
CDM,1359737060,IBUPROFEN 600 MG TABLET,4.8,1.87,,,0
CDM,1359737989,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,6806.2,2654.42,,,0
CDM,1359744921,DIGOXIN 125 MCG (0.125 MG) TABLET,11.0,4.29,,,0
CDM,1359751274,INSULIN HUMAN U-100 NPH-REGULR 70-30 MIX 100 UNIT/ML SUBCUTANEOUS SUSP,19.6,7.64,,,0
CDM,1359754309,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,19.7,7.68,,,0
CDM,1359758476,DICYCLOMINE 10 MG CAPSULE,4.8,1.87,,,0
CDM,1359758632,CHLORPROMAZINE 50 MG TABLET,346.1,134.98,,,0
CDM,1359759545,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,36.2,14.12,,,0
CDM,1359759977,ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION,170.1,66.34,,,0
CDM,1359760711,PENICILLIN G POTASSIUM 20 MILLION UNIT SOLUTION FOR INJECTION,65.2,25.43,,,0
CDM,1359762729,ACETAMINOPHEN 325 MG TABLET,0.6,0.23,,,0
CDM,1359763405,LISINOPRIL 5 MG TABLET,4.8,1.87,,,0
CDM,1359764394,EMPAGLIFLOZIN 10 MG TABLET,161.0,62.79,,,0
CDM,1359765218,QUETIAPINE 100 MG TABLET,4.8,1.87,,,0
CDM,1359765451,MELATONIN 5 MG TABLET,4.8,1.87,,,0
CDM,1359767015,LAMOTRIGINE 25 MG TABLET,10.3,4.02,,,0
CDM,1359767932,FLUDROCORTISONE 0.1 MG TABLET,8.1,3.16,,,0
CDM,1359768800,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,392.9,153.23,,,0
CDM,1359771449,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,73.0,28.47,,,0
CDM,1359771671,TERAZOSIN 5 MG CAPSULE,12.4,4.84,,,0
CDM,1359771959,NIFEDIPINE 10 MG CAPSULE,8.2,3.2,,,0
CDM,1359772599,MIDAZOLAM 1 MG/ML INJ (WRAPPED),19.6,7.64,,,0
CDM,1359772939,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,111.1,43.33,,,0
CDM,1359773829,NALOXONE 1 MG/ML INJECTION SYRINGE,269.1,104.95,,,0
CDM,1359774319,WHITE PETROLATUM TOPICAL OINTMENT IN PACKET,1.4,0.55,,,0
CDM,1359775335,VANCOMYCIN 1.75 GRAM/350 ML IN DILUENT COMBINATION IV PIGGYBACK,221.2,86.27,,,0
CDM,1359775532,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,172.7,67.35,,,0
CDM,1359776860,CINACALCET 30 MG TABLET,235.2,91.73,,,0
CDM,1359777200,ROPINIROLE 1 MG TABLET,10.5,4.1,,,0
CDM,1359777943,RIVASTIGMINE 13.3 MG/24 HOUR TRANSDERMAL PATCH,129.6,50.54,,,0
CDM,1359779354,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",49.3,19.23,,,0
CDM,1359779360,FINASTERIDE 5 MG TABLET,23.9,9.32,,,0
CDM,1359780141,CALCIUM 600 MG (AS CARBONATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET,0.6,0.23,,,0
CDM,1359780144,CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET,2.0,0.78,,,0
CDM,1359780512,"DOBUTAMINE 500 MG/250 ML (2,000 MCG/ML) IN 5 % DEXTROSE IV",179.4,69.97,,,0
CDM,1359780729,SEVELAMER CARBONATE 800 MG TABLET,136.5,53.24,,,0
CDM,1359780734,TEMAZEPAM 7.5 MG CAPSULE,76.7,29.91,,,0
CDM,1359781494,PAPAVERINE 30 MG/ML INJECTION SOLUTION,76.9,29.99,,,0
CDM,1359782102,DOXAZOSIN 1 MG TABLET,26.1,10.18,,,0
CDM,1359783129,FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK,34.2,13.34,,,0
CDM,1359798282,CLOZAPINE 50 MG TABLET,25.4,9.91,,,0
CDM,1359800279,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,8.2,3.2,,,0
CDM,1359800281,PANTOPRAZOLE 2 MG/ML ORAL SUSPENSION (NEO/PEDS),4.8,1.87,,,0
CDM,1359801910,"NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE",23.3,9.09,,,0
CDM,1359803253,PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP,4.8,1.87,,,0
CDM,1359805536,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",23.3,9.09,,,0
CDM,1359806055,"THEOPHYLLINE ER 300 MG TABLET,EXTENDED RELEASE,12 HR",33.0,12.87,,,0
CDM,1359806056,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,22.9,8.93,,,0
CDM,1359806279,DONEPEZIL 5 MG TABLET,66.4,25.9,,,0
CDM,1359806922,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1359807048,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,106.8,41.65,,,0
CDM,1359808471,"QUETIAPINE ER 400 MG TABLET,EXTENDED RELEASE 24 HR",17.0,6.63,,,0
CDM,1359809933,CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION,119.3,46.53,,,0
CDM,1359810506,LORAZEPAM 1 MG TABLET,4.8,1.87,,,0
CDM,1359812066,LABETALOL 25 MG/5 ML (5 MG/ML) INTRAVENOUS SYRINGE,19.6,7.64,,,0
CDM,1359813009,RISPERIDONE 0.5 MG TABLET,131.4,51.25,,,0
CDM,1359814890,ROPINIROLE 0.5 MG TABLET,39.3,15.33,,,0
CDM,1359815437,CLORAZEPATE DIPOTASSIUM 7.5 MG TABLET,38.5,15.02,,,0
CDM,1359815477,HYDROCODONE 10 MG-CHLORPHENIRAMINE 8 MG/5 ML ORAL SUSP EXTEND.REL 12HR,53.7,20.94,,,0
CDM,1359817292,TERAZOSIN 5 MG CAPSULE,24.7,9.63,,,0
CDM,1359819109,ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION,28.9,11.27,,,0
CDM,1359821300,HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML (5 ML) ORAL SOLUTION,122.8,47.89,,,0
CDM,1359821787,BUPROPION HCL 75 MG TABLET,6.1,2.38,,,0
CDM,1359822178,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,46.8,18.25,,,0
CDM,1359822604,LABETALOL 200 MG TABLET,4.8,1.87,,,0
CDM,1359822618,IPRATROPIUM BROMIDE 42 MCG (0.06 %) NASAL SPRAY,734.2,286.34,,,0
CDM,1359823009,SERTRALINE 100 MG TABLET,4.8,1.87,,,0
CDM,1359835167,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",4.8,1.87,,,0
CDM,1359837006,CALCITRIOL 0.25 MCG CAPSULE,9.9,3.86,,,0
CDM,1359837103,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,44.8,17.47,,,0
CDM,1359838466,ZINC OXIDE 20 % TOPICAL OINTMENT,8.8,3.43,,,0
CDM,1359838937,MEMANTINE 5 MG TABLET,6.3,2.46,,,0
CDM,1359839098,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,22.7,8.85,,,0
CDM,1359841758,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP,5.9,2.3,,,0
CDM,1359842301,HYDROMORPHONE 4 MG TABLET,5.85,2.2800000000000002,,,0
CDM,1359844043,DIAZEPAM 5 MG/ML INJECTION SYRINGE,52.6,20.51,,,0
CDM,1359844062,FENTANYL (PF) 1000 MCG/100 ML NS (10 MCG/ML) PREMIX,213.5,83.26,,,0
CDM,1359844065,TOPIRAMATE 100 MG TABLET,53.5,20.86,,,0
CDM,1359845221,"PYRIDOSTIGMINE BROMIDE ER 180 MG TABLET,EXTENDED RELEASE",190.3,74.22,,,0
CDM,1359846830,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,72.2,28.16,,,0
CDM,1359847187,QUETIAPINE 100 MG TABLET,26.2,10.22,,,0
CDM,1359849295,SODIUM POLYSTYRENE SULFONATE ORAL POWDER,37.2,14.51,,,0
CDM,1359849314,"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION",38.8,15.13,,,0
CDM,1359851265,FINASTERIDE 5 MG TABLET,5.2,2.03,,,0
CDM,1359853257,NEOMYCIN-BACITRACIN-POLYMYCIN TOPICAL OINTMENT (WRAPPED),0.6,0.23,,,0
CDM,1359853901,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR",53.1,20.71,,,0
CDM,1359856377,"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",256.2,99.92,,,0
CDM,1359857331,LEVOTHYROXINE 50 MCG TABLET,4.8,1.87,,,0
CDM,1359858674,LAMOTRIGINE 25 MG TABLET,18.95,7.390000000000001,,,0
CDM,1359859451,NICOTINE (POLACRILEX) 2 MG GUM,1.4,0.55,,,0
CDM,1359862895,ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION,45.4,17.71,,,0
CDM,1359864083,CARBAMAZEPINE 200 MG TABLET,12.3,4.8,,,0
CDM,1359864094,TOLTERODINE 1 MG TABLET,50.8,19.81,,,0
CDM,1359864793,HYDROMORPHONE 1 MG/ML INJECTION SYRINGE,35.5,13.84,,,0
CDM,1359867127,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,88.4,34.48,,,0
CDM,1359868337,TOLVAPTAN 15 MG TABLET,2017.8,786.94,,,0
CDM,1359873970,PROMETHAZINE 25 MG/ML INJ (WRAPPED),19.6,7.64,,,0
CDM,1359880534,NIRMATRELVIR 150 MG (10)-RITONAVIR 100 MG (10) TABLETS IN A DOSE PACK,1147.6,447.56,,,0
CDM,1359880675,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1359882491,GLYCINE 1.5 % UROLOGIC SOLUTION FOR IRRIGATION,147.3,57.45,,,0
CDM,1359884252,BACLOFEN 20 MG TABLET,78.7,30.69,,,0
CDM,1359887032,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1359887321,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,45.4,17.71,,,0
CDM,1359888230,TRANEXAMIC ACID 650 MG TABLET,80.8,31.51,,,0
CDM,1359889840,DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION,2861.2,1115.87,,,0
CDM,1359890323,EPHEDRINE SULFATE 5 MG/ML INTRAVENOUS SOLUTION,247.7,96.6,,,0
CDM,1359892766,ARGININE 25 MG-LYSINE 25MG/ML IN STERILE WATER INTRAVENOUS SOLUTION,2138.1,833.86,,,0
CDM,1359894162,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE",14.8,5.77,,,0
CDM,1359894433,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1359894714,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION,33.0,12.87,,,0
CDM,1359895867,NICARDIPINE 0.1 MG/ML IN SODIUM CHLORIDE (OR),48.7,18.99,,,0
CDM,1359898143,"OMEGA 3-DHA-EPA-FISH OIL 300 MG-1,000 MG CAPSULE",0.6,0.23,,,0
CDM,1359902028,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION",19.6,7.64,,,0
CDM,1359902299,GABAPENTIN 400 MG CAPSULE,9.4,3.67,,,0
CDM,1359902332,RITUXIMAB-ABBS 10 MG/ML INTRAVENOUS SOLUTION,31657.4,12346.39,,,0
CDM,1359904906,"STUDY ASTX727 CEDAZURIDINE-DECITABINE(MM1OA-S03)TAB, 100-35 MG",0.1,0.04,,,0
CDM,1359912756,FILGRASTIM-SNDZ 300 MCG/0.5 ML INJECTION SYRINGE,3824.6,1491.59,,,0
CDM,1359912766,ACYCLOVIR 800 MG TABLET,34.9,13.61,,,0
CDM,1359912984,IMMUNE GLOB G 40 GRAM/400 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,40704.8,15874.87,,,0
CDM,1359913501,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",4240.1,1653.64,,,0
CDM,1359913687,"OCTREOTIDE ACETATE 1,000 MCG/ML INJECTION SOLUTION",492.0,191.88,,,0
CDM,1359915959,BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION,27785.8,10836.46,,,0
CDM,1359916002,IRON DEXTRAN 50 MG/ML INJECTION SOLUTION,2533.8,988.18,,,0
CDM,1359917202,"DILTIAZEM 180 MG CAPSULE, EXTENDED RELEASE (WRAPPED)",7.5,2.92,,,0
CDM,1359923095,SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS,151.4,59.05,,,0
CDM,1359923231,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",5.9,2.3,,,0
CDM,1359924765,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION,34.4,13.42,,,0
CDM,1359926548,LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION,975.8,380.56,,,0
CDM,1359928116,SIMPLE SYRUP,1.6,0.62,,,0
CDM,1359928390,TECLISTAMAB-CQYV 90 MG/ML SUBCUTANEOUS SOLUTION,11094.2,4326.74,,,0
CDM,1359929478,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,201.3,78.51,,,0
CDM,1359930133,CARFILZOMIB 10 MG INTRAVENOUS SOLUTION,0.01,0.0039,,,0
CDM,1359930858,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,244.3,95.28,,,0
CDM,1359932416,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM,135.0,52.65,,,0
CDM,1359933136,CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) INJECTION SOLUTION,104.87,40.9,,,0
CDM,1359934431,GENTAMICIN 40 MG/ML INJECTION SOLUTION,53.5,20.86,,,0
CDM,1359935400,PREGABALIN 100 MG CAPSULE,6.5,2.54,,,0
CDM,1359937703,ESTRADIOL 2 MG TABLET,7.3,2.85,,,0
CDM,1359938938,"BUPIVACAINE-EPINEPHRINE 0.25 %-1:200,000 INJECTION SOLUTION",87.2,34.01,,,0
CDM,1359942150,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,341.6,133.22,,,0
CDM,1359942473,METOLAZONE 5 MG TABLET,18.1,7.06,,,0
CDM,1359943405,ASCORBIC ACID (VITAMIN C) 500 MG TABLET,1.1,0.43,,,0
CDM,1359946341,"MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS)",1157.1,451.27,,,0
CDM,1359946737,DEXTROSE 5 % AND 0.225% SODIUM CHLORIDE INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1359947384,GENTAMICIN 40 MG/ML INJECTION SOLUTION,103.2,40.25,,,0
CDM,1359948425,"NEOMYCIN-POLYMYXIN-DEXAMETH 3.5 MG/ML-10,000 UNIT/ML-0.1% EYE DROPS",152.4,59.44,,,0
CDM,1359948478,EZETIMIBE 10 MG TABLET,95.1,37.09,,,0
CDM,1359949627,"NEOMYCIN-BACITRACN ZN-POLYMYX 3.5 MG-400 UNIT-5,000 UNIT/GRAM TOP OINT",87.7,34.2,,,0
CDM,1359958090,BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION,41870.4,16329.46,,,0
CDM,1359958526,ZINC SULFATE 50 MG ZINC (220 MG) CAPSULE,0.6,0.23,,,0
CDM,1359960020,VENLAFAXINE 25 MG TABLET,31.8,12.4,,,0
CDM,1359965225,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION,211.5,82.48,,,0
CDM,1359965987,ARIPIPRAZOLE 5 MG TABLET,688.7,268.59,,,0
CDM,1359966453,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,2648.13,1032.77,,,0
CDM,1359966618,DARATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION,1064.8,415.27,,,0
CDM,1359968143,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1359969364,CYCLOPHOSPHAMIDE 50 MG CAPSULE,759.1,296.05,,,0
CDM,1359969997,FENTANYL 50 MCG/HR TRANSDERMAL PATCH,202.2,78.86,,,0
CDM,1359970437,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,23.7,9.24,,,0
CDM,1359971751,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE",10.7,4.17,,,0
CDM,1359971910,MEROPENEM 2 GRAM INTRAVENOUS SOLUTION,337.2,131.51,,,0
CDM,1359975368,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",71.0,27.69,,,0
CDM,1359976080,AAS 3 % NO.2 PEDI-D5W-CALCIUM 3.75 MEQ-HEPARIN 125 UNIT/250 ML IV SOLN,1063.0,414.57,,,0
CDM,1359976192,DRONABINOL 10 MG CAPSULE,190.9,74.45,,,0
CDM,1359976868,NIFEDIPINE (BULK) POWDER,0.5,0.2,,,0
CDM,1359978295,COVID VACC 2024-25 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE,988.4,385.48,,,0
CDM,1359978462,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,4.8,1.87,,,0
CDM,1359978703,FAM-TRASTUZUMAB DERUXTECAN-NXKI 100 MG INTRAVENOUS SOLUTION,11720.3,4570.92,,,0
CDM,1359979304,BACITRACIN TOPICAL OINTMENT (WRAPPED),0.6,0.23,,,0
CDM,1359981353,ROPINIROLE 0.5 MG TABLET,19.2,7.49,,,0
CDM,1359983128,CEFEPIME 1 GRAM/50 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,168.1,65.56,,,0
CDM,1359985344,PROPOFOL INFUSION 10 MG/ML,112.1,43.72,,,0
CDM,1359986428,"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR",2.2,0.86,,,0
CDM,1359995989,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,32.8,12.79,,,0
CDM,1359997327,PERFLUTREN LIPID MICROSPHERES 1.1 MG/ML INTRAVENOUS SUSPENSION,968.2,377.6,,,0
CDM,1359997941,VALSARTAN 80 MG TABLET,37.2,14.51,,,0
CDM,1360003209,GABAPENTIN 100 MG CAPSULE,4.8,1.87,,,0
CDM,1360004682,LEVOTHYROXINE 150 MCG TABLET,5.5,2.14,,,0
CDM,1360005833,LORAZEPAM 0.5 MG TABLET,5.0,1.95,,,0
CDM,1360006578,"CHOLECALCIFEROL (VITAMIN D3) 1,250 MCG (50,000 UNIT) CAPSULE",0.7,0.27,,,0
CDM,1360006586,METRONIDAZOLE 0.75 % (37.5 MG/5 GRAM) VAGINAL GEL,1022.3,398.7,,,0
CDM,1360006940,TRASTUZUMAB 150 MG INTRAVENOUS SOLUTION,19449.1,7585.15,,,0
CDM,1360008091,VANCOMYCIN 125 MG CAPSULE,240.2,93.68,,,0
CDM,1360011510,BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION,563.14,219.62,,,0
CDM,1360014342,MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK,81.2,31.67,,,0
CDM,1360015444,PROPOFOL INFUSION 10 MG/ML,55.4,21.61,,,0
CDM,1360018126,"WATER FOR IRRIGATION, STERILE SOLUTION",35.1,13.69,,,0
CDM,1360018900,MULTIVITAMIN-FERROUS FUMARATE-FOLIC ACID 18 MG-400 MCG TABLET,4.8,1.87,,,0
CDM,1360022355,ESTRADIOL 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,178.1,69.46,,,0
CDM,1360023955,MICAFUNGIN 50 MG INTRAVENOUS SOLUTION,2085.5,813.34,,,0
CDM,1360024124,MEPOLIZUMAB 100 MG SUBCUTANEOUS SOLUTION VIAL,73857.9,28804.58,,,0
CDM,1360027384,"WATER FOR IRRIGATION, STERILE SOLUTION",42.1,16.42,,,0
CDM,1360029815,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,38.0,14.82,,,0
CDM,1360032023,CEFUROXIME SODIUM 1.5 GRAM INTRAVENOUS SOLUTION,45.3,17.67,,,0
CDM,1360035509,PEGFILGRASTIM-CBQV 6 MG/0.6 ML SUBCUTANEOUS AUTO-INJECTOR,29099.8,11348.92,,,0
CDM,1360036670,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,660.0,257.4,,,0
CDM,1360037076,FUROSEMIDE 40 MG TABLET,4.8,1.87,,,0
CDM,1360037942,"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION",405.0,157.95,,,0
CDM,1360040545,PHENYLEPHRINE 0.25 %-PRAMOXINE 1 %-GLYCERIN-WH.PETROLATUM RECTAL CREAM,51.4,20.05,,,0
CDM,1360041619,AZACITIDINE 100 MG SOLUTION FOR INJECTION,66.0,25.74,,,0
CDM,1360048367,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE",14.9,5.81,,,0
CDM,1360048382,VARENICLINE TARTRATE 0.5 MG TABLET,142.3,55.5,,,0
CDM,1360048877,DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION,566.3,220.86,,,0
CDM,1360049558,METHADONE 10 MG TABLET,4.8,1.87,,,0
CDM,1360049565,ADULT 2-IN-1 CPN USING CLINIMIX BASE,504.0,196.56,,,0
CDM,1360051498,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1360052610,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,87.2,34.01,,,0
CDM,1360052841,RAMUCIRUMAB 10 MG/ML INTRAVENOUS SOLUTION,6427.0,2506.53,,,0
CDM,1360053762,MIRTAZAPINE 7.5 MG TABLET,52.5,20.48,,,0
CDM,1360062653,CAFFEINE-SODIUM BENZOATE 250 MG/ML(125 MG/ML CAFFEINE) INJECTION SOLN,311.8,121.6,,,0
CDM,1360062976,CLOTRIMAZOLE 1 % TOPICAL CREAM,84.2,32.84,,,0
CDM,1360066058,TORSEMIDE 20 MG TABLET,6.3,2.46,,,0
CDM,1360066082,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,14.3,5.58,,,0
CDM,1360066176,NIMODIPINE 30 MG/5 ML ORAL SYRINGE (FOR ORAL USE ONLY),819.4,319.57,,,0
CDM,1360066342,PRENATAL VIT NO.95-FERROUS FUMARATE 28 MG-FOLIC ACID 800 MCG TABLET,0.6,0.23,,,0
CDM,1360071626,KETAMINE 10 MG/ML INJECTION SOLUTION (WRAPPED),58.6,22.85,,,0
CDM,1360072046,CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION,1547.15,603.39,,,0
CDM,1360077529,EPOPROSTENOL 1.5 MG INTRAVENOUS SOLUTION,307.3,119.85,,,0
CDM,1360079269,DEXTROSE 5 % AND LACTATED RINGERS INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1360080813,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE,466.8,182.05,,,0
CDM,1360081748,MIRTAZAPINE 7.5 MG TABLET,40.4,15.76,,,0
CDM,1360082027,KETOCONAZOLE 2 % SHAMPOO,232.0,90.48,,,0
CDM,1360082028,BETAMETHASONE VALERATE 0.1 % TOPICAL OINTMENT,160.3,62.52,,,0
CDM,1360082329,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1360082618,CLONAZEPAM 0.5 MG TABLET,4.8,1.87,,,0
CDM,1360083001,COLCHICINE 0.6 MG TABLET,36.9,14.39,,,0
CDM,1360085351,INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) INJECTION SOLUTION,61.5,23.98,,,0
CDM,1360085902,MAGNESIUM CITRATE ORAL SOLUTION,18.2,7.1,,,0
CDM,1360085996,"OXYCODONE ER 10 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",43.5,16.96,,,0
CDM,1360087198,AMLODIPINE BENZOATE 1 MG/ML ORAL SUSPENSION,49.1,19.15,,,0
CDM,1360087798,COLESEVELAM 625 MG TABLET,30.4,11.86,,,0
CDM,1360089369,OLMESARTAN 20 MG TABLET,53.1,20.71,,,0
CDM,1360092264,LEVOTHYROXINE 75 MCG TABLET,5.5,2.14,,,0
CDM,1360092461,HYDROMORPHONE 2 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1360094150,POTASSIUM CHLORIDE 40 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,77.2,30.11,,,0
CDM,1360094399,INDOMETHACIN 50 MG RECTAL SUPPOSITORY,6328.9,2468.27,,,0
CDM,1360095493,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION,339.3,132.33,,,0
CDM,1360095749,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION,112.8,43.99,,,0
CDM,1360095853,CIPROFLOXACIN 500 MG TABLET,4.8,1.87,,,0
CDM,1360096139,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION,48.8,19.03,,,0
CDM,1360105399,DEXTROSE 5 % AND LACTATED RINGERS INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1360105607,ROFLUMILAST 500 MCG TABLET,95.0,37.05,,,0
CDM,1360105878,LEVETIRACETAM 250 MG TABLET,1.5,0.58,,,0
CDM,1360107426,"DESVENLAFAXINE SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",88.0,34.32,,,0
CDM,1360107475,DICLOFENAC 1 % TOPICAL GEL,76.7,29.91,,,0
CDM,1360107483,"PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE",16.8,6.55,,,0
CDM,1360108074,"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE",34.4,13.42,,,0
CDM,1360108284,DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE,13071.8,5098.0,,,0
CDM,1360109927,GUSELKUMAB 100 MG/ML SUBCUTANEOUS SYRINGE,0.01,0.0039,,,0
CDM,1360110609,METRONIDAZOLE ORAL SUSPENSION 50 MG/ML (CMPD),4.8,1.87,,,0
CDM,1360125187,EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE,19.6,7.64,,,0
CDM,1360126207,HYDROXYZINE HCL 50 MG TABLET,4.8,1.87,,,0
CDM,1360127114,"VIT B COMPLEX AND VIT C NO.24-FERROUS FUM 66 MG-FOLIC 1,000 MCG TABLET",4.8,1.87,,,0
CDM,1360128905,LIDOCAINE (PF) 4 MG/ML (0.4 %) IN 5 % DEXTROSE INTRAVENOUS SOLUTION,59.8,23.32,,,0
CDM,1360131142,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,131.6,51.32,,,0
CDM,1360131446,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",9.9,3.86,,,0
CDM,1360132291,SODIUM PHOSPHATES 19 GRAM-7 GRAM/118 ML ENEMA,6.8,2.65,,,0
CDM,1360133880,FOLIC ACID 1 MG TABLET,4.8,1.87,,,0
CDM,1360136285,CLOTRIMAZOLE 1 % TOPICAL CREAM,84.4,32.92,,,0
CDM,1360138679,CLOTRIMAZOLE 10 MG TROCHE,9.9,3.86,,,0
CDM,1360141346,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",1254.6,489.29,,,0
CDM,1360142108,DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1360143043,HALOPERIDOL 1 MG TABLET,4.8,1.87,,,0
CDM,1360145980,METHOCARBAMOL 500 MG TABLET,3.8,1.48,,,0
CDM,1360146058,DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION,781.6,304.82,,,0
CDM,1360146422,"FERROUS SULFATE 325 MG (65 MG IRON) TABLET,DELAYED RELEASE",3.5,1.36,,,0
CDM,1360148965,AMITRIPTYLINE 25 MG TABLET,4.8,1.87,,,0
CDM,1360153068,DIAZEPAM 10 MG TABLET,4.8,1.87,,,0
CDM,1360153544,LOW DOSE EPINEPHRINE 10 MCG/ML INJECTION,19.6,7.64,,,0
CDM,1360154073,ASPIRIN 81 MG CHEWABLE TABLET,0.6,0.23,,,0
CDM,1360154521,LEVOTHYROXINE 112 MCG TABLET,5.65,2.205,,,0
CDM,1360155907,ARTIFICIAL TEARS (HYPROMELLOSE) 0.5 % EYE DROPS,214.5,83.66,,,0
CDM,1360156077,DROXIDOPA 100 MG CAPSULE,279.0,108.81,,,0
CDM,1360157994,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",6.5,2.54,,,0
CDM,1360166159,RISPERIDONE 0.5 MG TABLET,4.8,1.87,,,0
CDM,1360166173,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION,27.8,10.84,,,0
CDM,1360166651,VITAMIN B COMPLEX-VITAMIN C-FOLIC ACID 0.8 MG TABLET,4.8,1.87,,,0
CDM,1360166731,OXYCODONE-ACETAMINOPHEN 7.5 MG-325 MG TABLET,20.9,8.15,,,0
CDM,1360167208,TRAZODONE 50 MG TABLET,4.8,1.87,,,0
CDM,1360171421,BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSPENSION,10.5,4.1,,,0
CDM,1360171641,LEFLUNOMIDE 20 MG TABLET,126.0,49.14,,,0
CDM,1360173982,MEXILETINE 150 MG CAPSULE,19.65,7.66,,,0
CDM,1360176946,METHOCARBAMOL 500 MG TABLET,4.8,1.87,,,0
CDM,1360178546,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",36.6,14.27,,,0
CDM,1360179950,VALSARTAN 80 MG TABLET,35.4,13.81,,,0
CDM,1360183280,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,63.5,24.76,,,0
CDM,1360183697,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",19.6,7.64,,,0
CDM,1360186180,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,53.9,21.02,,,0
CDM,1360187029,LEVOTHYROXINE 112 MCG TABLET,5.0,1.95,,,0
CDM,1360188265,VARENICLINE TARTRATE 1 MG TABLET,33.7,13.14,,,0
CDM,1360191393,SIROLIMUS 1 MG TABLET,269.2,104.99,,,0
CDM,1360195189,FENTANYL-ROPIVACAINE-NACL (PF) 2 MCG/ML-0.2 % INJECTION SOLUTION,377.5,147.22,,,0
CDM,1360204650,MONTELUKAST 10 MG TABLET,4.8,1.87,,,0
CDM,1360206654,DIPHENHYDRAMINE 25 MG TABLET,0.6,0.23,,,0
CDM,1360208926,MELATONIN 3 MG TABLET,4.8,1.87,,,0
CDM,1360209864,INSULIN REGULAR (IV - DUAL NURSE SIGNOFF),19.6,7.64,,,0
CDM,1360212604,"HEPARIN (PORCINE) INJECTION (BOLUS) 1,000 UNITS/ML",30.0,11.7,,,0
CDM,1360214625,SODIUM ZIRCONIUM CYCLOSILICATE 10 GRAM ORAL POWDER PACKET,220.3,85.92,,,0
CDM,1360215675,BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET,18.8,7.33,,,0
CDM,1360216143,PROPYLTHIOURACIL 50 MG TABLET,13.9,5.42,,,0
CDM,1360216592,HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE,4.8,1.87,,,0
CDM,1360218043,"CALCIUM GLUCONATE 1 GRAM/50 ML IN SODIUM CHLORIDE, ISO-OSM IV SOLUTION",168.7,65.79,,,0
CDM,1360219993,FAMOTIDINE 20 MG TABLET,8.8,3.43,,,0
CDM,1360220646,DABIGATRAN ETEXILATE 75 MG CAPSULE,220.5,86.0,,,0
CDM,1360220877,"HEPARIN (PORCINE) INJECTION (BOLUS) 1,000 UNITS/ML",19.6,7.64,,,0
CDM,1360225853,SODIUM BICARBONATE 4.2 % INTRAVENOUS SOLUTION,30.4,11.86,,,0
CDM,1360226229,QUETIAPINE 400 MG TABLET,144.3,56.28,,,0
CDM,1360227319,ETHAMBUTOL 400 MG TABLET,41.1,16.03,,,0
CDM,1360227443,LISINOPRIL 10 MG TABLET,30.5,11.9,,,0
CDM,1360228168,OXYMETAZOLINE 0.05 % NASAL SPRAY,19.6,7.64,,,0
CDM,1360230071,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,72.8,28.39,,,0
CDM,1360233315,APREPITANT 32 MG/4.4 ML (7.2 MG/ML) INTRAVENOUS EMULSION,507.7,198.0,,,0
CDM,1360236024,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 125 MG TABLET,45.4,17.71,,,0
CDM,1360238298,TIZANIDINE 4 MG TABLET,5.9,2.3,,,0
CDM,1360242844,LOSARTAN 100 MG TABLET,23.5,9.16,,,0
CDM,1360244642,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,87.2,34.01,,,0
CDM,1360245607,LORAZEPAM 2 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1360246030,OFLOXACIN 0.3 % EYE DROPS,539.6,210.44,,,0
CDM,1360247558,SODIUM HYPOCHLORITE 0.125 % SOLUTION,141.5,55.18,,,0
CDM,1360248594,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION",19.6,7.64,,,0
CDM,1360250575,"TACROLIMUS 5 MG CAPSULE, IMMEDIATE-RELEASE",69.1,26.95,,,0
CDM,1360254058,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE",26.0,10.14,,,0
CDM,1360256153,"NEOMYCIN 3.5 MG/G-POLYMYXIN B 10,000 UNIT/G-DEXAMETH 0.1 % EYE OINT",337.5,131.62,,,0
CDM,1360256175,"MESALAMINE 1,000 MG RECTAL SUPPOSITORY",297.1,115.87,,,0
CDM,1360257306,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,126.4,49.3,,,0
CDM,1360259689,VALGANCICLOVIR 450 MG TABLET,1146.2,447.02,,,0
CDM,1360261283,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,16.8,6.55,,,0
CDM,1360262361,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",64.3,25.08,,,0
CDM,1360263832,DOCUSATE SODIUM 100 MG CAPSULE,0.6,0.23,,,0
CDM,1360264125,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",117.9,45.98,,,0
CDM,1360265798,CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION,1772.0,691.08,,,0
CDM,1360266735,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJ (WRAPPED),19.6,7.64,,,0
CDM,1360273723,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION",28.2,11.0,,,0
CDM,1360274745,"MEASLES,MUMPS,RUBEL,VARICEL LIV(PF)10E3-4.3-3-3.99TCID50/0.5 ML SUBCUT",1917.9,747.98,,,0
CDM,1360277052,"LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJECTION SOLUTION",29.0,11.31,,,0
CDM,1360277369,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,8.3,3.24,,,0
CDM,1360283084,ENTACAPONE 200 MG TABLET,36.3,14.16,,,0
CDM,1360286434,TRASTUZUMAB-DKST 150 MG INTRAVENOUS SOLUTION,4538.6,1770.05,,,0
CDM,1360287109,ONDANSETRON 8 MG DISINTEGRATING TABLET,854.5,333.26,,,0
CDM,1360293152,B-COMPLEX WITH VITAMIN C TABLET,0.6,0.23,,,0
CDM,1360294228,POTASSIUM CHLORIDE 10 MEQ + SODIUM BICARB 8.4 % (2.4 MEQ) IN 100 ML NS,53.7,20.94,,,0
CDM,1360298357,DIPHENHYDRAMINE 25 MG TABLET,2.2,0.86,,,0
CDM,1360299363,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,34.2,13.34,,,0
CDM,1360301475,"THROMBIN (BOVINE) 20,000 UNIT TOPICAL SPRAY",2559.6,998.24,,,0
CDM,1360304991,GLUCOSE (TOLERANCE TEST) 100 GRAM/180 ML ORAL LIQUID,45.6,17.78,,,0
CDM,1360305206,DEXAMETHASONE (PF) 10 MG/ML INJECTION (WRAPPED),49.36,19.25,,,0
CDM,1360305856,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",274.2,106.94,,,0
CDM,1360309541,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,138.4,53.98,,,0
CDM,1360309678,CIPROFLOXACIN 250 MG TABLET,35.2,13.73,,,0
CDM,1360311170,POTASSIUM CHLORIDE 20 MEQ/L IN 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLN,53.7,20.94,,,0
CDM,1360311593,VANCOMYCIN 1.5 GRAM INTRAVENOUS SOLUTION,206.0,80.34,,,0
CDM,1360314540,LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION,495.9,193.4,,,0
CDM,1360314716,TRILACICLIB 300 MG INTRAVENOUS SOLUTION,24854.5,9693.26,,,0
CDM,1360315451,"PROPRANOLOL ER 120 MG CAPSULE,24 HR,EXTENDED RELEASE",22.9,8.93,,,0
CDM,1360315827,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION (FOR IV PUSH),33.3,12.99,,,0
CDM,1360323704,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",60.3,23.52,,,0
CDM,1360324436,BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION,72.0,28.08,,,0
CDM,1360325713,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,378.6,147.65,,,0
CDM,1360329053,PANITUMUMAB 100 MG/5 ML (20 MG/ML) INTRAVENOUS SOLUTION,3391.5,1322.68,,,0
CDM,1360329233,HYOSCYAMINE 0.125 MG SUBLINGUAL TABLET,6.6,2.57,,,0
CDM,1360330784,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION,269.1,104.95,,,0
CDM,1360331934,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION,151.7,59.16,,,0
CDM,1360332549,"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION",19.6,7.64,,,0
CDM,1360335135,PSEUDOEPHEDRINE 30 MG TABLET,0.7,0.27,,,0
CDM,1360336297,SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK,53.7,20.94,,,0
CDM,1360338646,DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION,24044.7,9377.43,,,0
CDM,1360339250,MIDAZOLAM 1 MG/ML INJ (WRAPPED),19.6,7.64,,,0
CDM,1360342601,LEVOTHYROXINE 88 MCG TABLET,4.8,1.87,,,0
CDM,1360343553,"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV",38.5,15.02,,,0
CDM,1360344684,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION,187.7,73.2,,,0
CDM,1360345591,BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION,30371.4,11844.85,,,0
CDM,1360351980,HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE,17.4,6.79,,,0
CDM,1360354081,BORTEZOMIB 3.5 MG SOLUTION FOR SUBCUTANEOUS INJ,213.8,83.38,,,0
CDM,1360354177,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",4232.8,1650.79,,,0
CDM,1360354772,ARGATROBAN 100 MG/ML INTRAVENOUS SOLUTION,9887.6,3856.16,,,0
CDM,1360355001,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1360356081,ASPIRIN 81 MG CHEWABLE TABLET,0.6,0.23,,,0
CDM,1360363358,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,504.9,196.91,,,0
CDM,1360363635,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1360365302,DOCETAXEL 80 MG/8 ML (10 MG/ML) INTRAVENOUS SOLUTION,1055.4,411.61,,,0
CDM,1360366272,BRIVARACETAM 50 MG TABLET,188.3,73.44,,,0
CDM,1360368497,EFGARTIGIMOD ALFA-FCAB 20 MG/ML INTRAVENOUS SOLUTION,86293.9,33654.62,,,0
CDM,1360369860,ADULT 2-IN-1 CPN USING CLINIMIX BASE,504.0,196.56,,,0
CDM,1360370207,PHENOL 1.4 % MUCOSAL AEROSOL SPRAY,21.8,8.5,,,0
CDM,1360374125,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,143.1,55.81,,,0
CDM,1360374563,PERITON. DIALYSIS SOLN 13-2.5 % DEXTROSE CALC 3.5 MEQ/L-MAG 0.5 MEQ/L,614.9,239.81,,,0
CDM,1360380143,MISOPROSTOL 100 MCG TABLET,45.1,17.59,,,0
CDM,1360380809,DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION,277.8,108.34,,,0
CDM,1360381489,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,142.6,55.61,,,0
CDM,1360383251,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,47.9,18.68,,,0
CDM,1360386465,IBUPROFEN 400 MG TABLET,4.8,1.87,,,0
CDM,1360387708,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,199.8,77.92,,,0
CDM,1360389160,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,412.5,160.88,,,0
CDM,1360391153,SIROLIMUS 1 MG/ML ORAL SOLUTION,728.6,284.15,,,0
CDM,1360392464,BLINATUMOMAB 35 MCG INTRAVENOUS KIT,194175.8,75728.56,,,0
CDM,1360393076,METRONIDAZOLE 0.75 % (37.5 MG/5 GRAM) VAGINAL GEL,1250.5,487.7,,,0
CDM,1360397900,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION,846.2,330.02,,,0
CDM,1360398021,TOLVAPTAN 30 MG TABLET,842.1,328.42,,,0
CDM,1360399117,AMILORIDE 5 MG TABLET,4.8,1.87,,,0
CDM,1360399321,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1360400404,LUBIPROSTONE 8 MCG CAPSULE,153.7,59.94,,,0
CDM,1360402023,VALACYCLOVIR 500 MG TABLET,91.6,35.72,,,0
CDM,1360403110,WARFARIN 0.5 MG SPLIT TABLET,8.0,3.12,,,0
CDM,1360406097,"BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOPICAL OINTMENT",34.2,13.34,,,0
CDM,1360406133,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1360408821,LACTATED RINGERS INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1360408934,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE,19.6,7.64,,,0
CDM,1360409068,TUBERCULIN PPD 5 TUB. UNIT/0.1 ML INTRADERMAL INJECTION SOLUTION,94.2,36.74,,,0
CDM,1360409433,"GLIPIZIDE ER 5 MG TABLET, EXTENDED RELEASE 24 HR",11.1,4.33,,,0
CDM,1360410923,COPPER 380 SQUARE MM INTRAUTERINE DEVICE,10477.3,4086.15,,,0
CDM,1360411042,OXCARBAZEPINE 300 MG TABLET,4.8,1.87,,,0
CDM,1360411378,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",176.8,68.95,,,0
CDM,1360419554,FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE,162.1,63.22,,,0
CDM,1360420612,ACTIVATED CHARCOAL 25 GRAM/120 ML ORAL SUSPENSION,128.0,49.92,,,0
CDM,1360420676,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,193.5,75.46,,,0
CDM,1360421150,"ASPIRIN 81 MG TABLET,DELAYED RELEASE",0.6,0.23,,,0
CDM,1360425820,SACUBITRIL 97 MG-VALSARTAN 103 MG TABLET,90.2,35.18,,,0
CDM,1360428301,EXEMESTANE 25 MG TABLET,155.2,60.53,,,0
CDM,1360431078,LEVOTHYROXINE 25 MCG TABLET,4.8,1.87,,,0
CDM,1360432575,COLESEVELAM 625 MG TABLET,61.3,23.91,,,0
CDM,1360432577,LANTHANUM 500 MG CHEWABLE TABLET,234.89999999999998,91.61500000000001,,,0
CDM,1360433506,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SYRINGE,717.4,279.79,,,0
CDM,1360436203,AZTREONAM 2 GRAM SOLUTION FOR INJECTION,626.1,244.18,,,0
CDM,1360438972,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,9.2,3.59,,,0
CDM,1360442192,FAMOTIDINE 4 MG/ML IV SYRINGE (NEONATE/PEDS),19.6,7.64,,,0
CDM,1360444509,MECLIZINE 25 MG TABLET,6.6,2.57,,,0
CDM,1360446671,"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/G-0.1 % TOPICAL CREAM",160.8,62.71,,,0
CDM,1360447553,MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK,136.7,53.31,,,0
CDM,1360452084,"RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP",3462.0,1350.18,,,0
CDM,1360452503,GABAPENTIN 600 MG TABLET,37.2,14.51,,,0
CDM,1360452964,TRIAMTERENE 75 MG-HYDROCHLOROTHIAZIDE 50 MG TABLET,8.6,3.35,,,0
CDM,1360453278,FOLIC ACID 1 MG TABLET,4.8,1.87,,,0
CDM,1360457309,DEXTROSE 2.45 GRAM-SOD CITRATE 2.2 GRAM-CITRIC AC 730 MG/100 ML SOLN,85.4,33.31,,,0
CDM,1360458408,SODIUM HYPOCHLORITE 0.125 % SOLUTION,83.5,32.56,,,0
CDM,1360461612,PHYTONADIONE (VITAMIN K1) 5 MG TABLET,620.2,241.88,,,0
CDM,1360463139,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,124.3,48.48,,,0
CDM,1360464445,CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION,44.8,17.47,,,0
CDM,1360471034,MYCOPHENOLATE MOFETIL 200 MG/ML ORAL POWDER FOR SUSPENSION,173.8,67.78,,,0
CDM,1360474615,MIRTAZAPINE 15 MG DISINTEGRATING TABLET,18.1,7.06,,,0
CDM,1360479993,SILDENAFIL (PULMONARY HYPERTENSION) 10 MG/ML ORAL POWDR FOR SUSPENSION,938.4,365.98,,,0
CDM,1360481218,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",45.7,17.82,,,0
CDM,1360481431,DORZOLAMIDE 2 % EYE DROPS,512.0,199.68,,,0
CDM,1360484172,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION,845.5,329.74,,,0
CDM,1360486812,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION",0.6,0.23,,,0
CDM,1360487193,LEVOCARNITINE (WITH SUGAR) 100 MG/ML ORAL SOLUTION,30.2,11.78,,,0
CDM,1360487211,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,4.9,1.91,,,0
CDM,1360487337,"SODIUM CHLORIDE, SODIUM BICARB-NASAL RINSE SQUEEZE BOTTLE WITH PACKET",4.8,1.87,,,0
CDM,1360487440,TIMOLOL MALEATE 0.5 % EYE DROPS,130.4,50.86,,,0
CDM,1360488571,DEXTROSE 5 % IV BOLUS,53.7,20.94,,,0
CDM,1360488623,ENTACAPONE 200 MG TABLET,34.9,13.61,,,0
CDM,1360490004,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET,0.6,0.23,,,0
CDM,1360490471,"LIPASE-PROTEASE-AMYLASE 6,000-19,000-30,000 UNIT CAPSULE,DELAYED REL",33.0,12.87,,,0
CDM,1360490834,PAPAVERINE 30 MG/ML INJECTION SOLUTION,353.7,137.94,,,0
CDM,1360492082,CEFAZOLIN 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK,112.1,43.72,,,0
CDM,1360492545,NORTRIPTYLINE 25 MG CAPSULE,11.3,4.41,,,0
CDM,1360497259,TRIAMCINOLONE ACETONIDE 0.1 % LOTION,690.3,269.22,,,0
CDM,1360497782,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,13.0,5.07,,,0
CDM,1360502367,PROMETHAZINE-DM 6.25 MG-15 MG/5 ML ORAL SYRUP,4.8,1.87,,,0
CDM,1360503805,BENZTROPINE 1 MG TABLET,7.3,2.85,,,0
CDM,1360503806,HALOPERIDOL 5 MG TABLET,8.4,3.28,,,0
CDM,1360509122,"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION",53.7,20.94,,,0
CDM,1360509269,LURASIDONE 40 MG TABLET,78.8,30.73,,,0
CDM,1360512778,LEVOTHYROXINE 25 MCG TABLET,4.8,1.87,,,0
CDM,1360512779,SALIVA STIMULANT COMBINATION NO.3 ORAL MUCOSAL SPRAY,75.5,29.44,,,0
CDM,1360513518,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",236.3,92.16,,,0
CDM,1360522210,FLUOXETINE 10 MG CAPSULE,217.7,84.9,,,0
CDM,1360528112,DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS,935.8,364.96,,,0
CDM,1360528113,LATANOPROST 0.005 % EYE DROPS,52.2,20.36,,,0
CDM,1360531775,NEBIVOLOL 10 MG TABLET,21.8,8.5,,,0
CDM,1360531968,GLUCAGON HCL 1 MG/ML SOLUTION FOR INJECTION,1950.3,760.62,,,0
CDM,1360535547,"DILTIAZEM 180 MG CAPSULE, EXTENDED RELEASE (WRAPPED)",3.0,1.17,,,0
CDM,1360535557,VIT A 300 MCG-C 200 MG-E 27 MG-LUTEIN 2 MG AND MINERALS TABLET,0.6,0.23,,,0
CDM,1360538027,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,45.9,17.9,,,0
CDM,1360538201,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,67.5,26.32,,,0
CDM,1360538670,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,8.2,3.2,,,0
CDM,1360539528,LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS SYRINGE,19.6,7.64,,,0
CDM,1360539936,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",9.7,3.78,,,0
CDM,1360542941,ROPINIROLE 0.25 MG TABLET,15.1,5.89,,,0
CDM,1360544216,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,684.1,266.8,,,0
CDM,1360548711,LATANOPROST 0.005 % EYE DROPS,95.0,37.05,,,0
CDM,1360548996,AMITRIPTYLINE 75 MG TABLET,14.7,5.73,,,0
CDM,1360549020,LORATADINE 5 MG/5 ML ORAL SOLUTION,1.8,0.7,,,0
CDM,1360549489,TERBUTALINE 5 MG TABLET,102.0,39.78,,,0
CDM,1360552821,DICYCLOMINE 10 MG/5 ML ORAL SOLUTION,16.0,6.24,,,0
CDM,1360553531,GABAPENTIN 400 MG CAPSULE,12.3,4.8,,,0
CDM,1360561663,AZELASTINE 137 MCG (0.1 %) NASAL SPRAY,807.2,314.81,,,0
CDM,1360561709,QUETIAPINE 300 MG TABLET,7.0,2.73,,,0
CDM,1360561944,METOPROLOL TARTRATE 25 MG TABLET,4.8,1.87,,,0
CDM,1360564320,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",12.3,4.8,,,0
CDM,1360565817,SENNOSIDES 8.8 MG/5 ML ORAL SYRUP,1.0,0.39,,,0
CDM,1360567776,MUPIROCIN 2 % TOPICAL OINTMENT,19.2,7.49,,,0
CDM,1360570697,VANCOMYCIN 2 GRAM/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,136.7,53.31,,,0
CDM,1360571788,ONDANSETRON 4 MG DISINTEGRATING TABLET,20.2,7.88,,,0
CDM,1360572817,BENZOCAINE 20 %-MENTHOL 0.5 % TOPICAL AEROSOL,23.4,9.13,,,0
CDM,1360582836,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,57.2,22.31,,,0
CDM,1360587357,BUSPIRONE 10 MG TABLET,5.2,2.03,,,0
CDM,1360587361,FOLIC ACID 400 MCG TABLET,0.6,0.23,,,0
CDM,1360587362,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",71.5,27.88,,,0
CDM,1360587621,EPHEDRINE SULFATE 5 MG/ML INTRAVENOUS SOLUTION,24.8,9.67,,,0
CDM,1360590931,LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM,63.4,24.73,,,0
CDM,1360593693,CALAMINE 8 %-ZINC OXIDE 8 % LOTION,6.0,2.34,,,0
CDM,1360598553,FAMOTIDINE 20 MG TABLET,10.3,4.02,,,0
CDM,1360602254,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,65.1,25.39,,,0
CDM,1360602876,ATENOLOL 25 MG TABLET,4.8,1.87,,,0
CDM,1360604631,ATROPINE 0.1 MG/ML INJECTION SYRINGE,97.8,38.14,,,0
CDM,1360605546,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,22.3,8.7,,,0
CDM,1360609274,MEPIVACAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1360609315,ACETYLCHOLINE CHLORIDE 1 % (10 MG/ML) INTRAOCULAR KIT,1001.5,390.58,,,0
CDM,1360611536,OLMESARTAN 40 MG TABLET,67.0,26.13,,,0
CDM,1360618340,TRIAMCINOLONE ACETONIDE 0.5 % TOPICAL CREAM,81.0,31.59,,,0
CDM,1360619743,BISOPROLOL FUMARATE 5 MG TABLET,10.8,4.21,,,0
CDM,1360623553,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1360623793,DEXTROSE 5 % IV BOLUS,53.7,20.94,,,0
CDM,1360624732,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET",0.6,0.23,,,0
CDM,1360631129,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",57.0,22.23,,,0
CDM,1360635544,OLANZAPINE 5 MG TABLET,304.2,118.64,,,0
CDM,1360635545,FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLUTION,133.3,51.99,,,0
CDM,1360636380,WARFARIN 3 MG TABLET,5.1,1.99,,,0
CDM,1360636654,LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM,62.9,24.53,,,0
CDM,1360636715,SPIRONOLACTONE 25 MG TABLET,7.1,2.77,,,0
CDM,1360638422,PROPRANOLOL 20 MG TABLET,4.8,1.87,,,0
CDM,1360638575,BALANCED SALT SOLUTION COMBINATION NO.1 INTRAOCULAR IRRIGATION,106.7,41.61,,,0
CDM,1360639008,DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION,41.5,16.18,,,0
CDM,1360644303,MOXIFLOXACIN 0.5 % EYE DROPS,1337.2,521.51,,,0
CDM,1360646868,CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET,4.8,1.87,,,0
CDM,1360647282,PHENYLEPHRINE 10 % EYE DROPS,383.5,149.56,,,0
CDM,1360647283,MOXIFLOXACIN 0.5 % EYE DROPS,1283.6,500.6,,,0
CDM,1360647493,LINEZOLID 600 MG TABLET,969.0,377.91,,,0
CDM,1360647577,POVIDONE-IODINE 10 % TOPICAL SOLUTION,6.0,2.34,,,0
CDM,1360650267,AZTREONAM 1 GRAM SOLUTION FOR INJECTION,233.3,90.99,,,0
CDM,1360651032,AZACITIDINE FOR SUBCUTANEOUS USE (25 MG/ML),5781.0,2254.59,,,0
CDM,1360651430,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",768.6,299.75,,,0
CDM,1360653629,HYOSCYAMINE 0.125 MG DISINTEGRATING TABLET,6.6,2.57,,,0
CDM,1360659112,"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION",556.6,217.07,,,0
CDM,1360659293,DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1360660211,PREDNISONE 20 MG TABLET,4.8,1.87,,,0
CDM,1360662691,DEXAMETHASONE (PF) 10 MG/ML INJECTION (WRAPPED),45.1,17.59,,,0
CDM,1360663196,RITUXIMAB-PVVR 10 MG/ML INTRAVENOUS SOLUTION,4472.9,1744.43,,,0
CDM,1360664243,DEXMEDETOMIDINE 200 MCG/50 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,110.1,42.94,,,0
CDM,1360665116,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,168.0,65.52,,,0
CDM,1360668070,CYCLOPENTOLATE 1 % EYE DROPS,128.9,50.27,,,0
CDM,1360668385,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,66.9,26.09,,,0
CDM,1360668511,FLUCONAZOLE 40 MG/ML ORAL SUSPENSION,71.5,27.88,,,0
CDM,1360669451,DICYCLOMINE 10 MG/5 ML ORAL SOLUTION,25.6,9.98,,,0
CDM,1360669763,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",20.0,7.8,,,0
CDM,1360670774,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1360672143,CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION,1028.5,401.12,,,0
CDM,1360674468,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,25.9,10.1,,,0
CDM,1360678572,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET,0.6,0.23,,,0
CDM,1360679562,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION,322.98,125.96,,,0
CDM,1360687171,FLUORESCEIN 1 MG EYE STRIPS,4.8,1.87,,,0
CDM,1360689100,ERIBULIN 1 MG/2 ML (0.5 MG/ML) INTRAVENOUS SOLUTION,879.9,343.16,,,0
CDM,1360690109,CLOPIDOGREL 300 MG TABLET,102.0,39.78,,,0
CDM,1360693387,BEVACIZUMAB 2.75 MG/0.11 ML INTRAVITREAL SYRINGE,400.7,156.27,,,0
CDM,1360693578,PREDNISONE 5 MG TABLET,2.0,0.78,,,0
CDM,1360694001,CYTARABINE (PF) 100 MG/5 ML (20 MG/ML) INJECTION SOLUTION,66.0,25.74,,,0
CDM,1360695600,ACETIC ACID 0.25 % IRRIGATION SOLUTION,32.6,12.71,,,0
CDM,1360695920,METFORMIN 850 MG TABLET,4.8,1.87,,,0
CDM,1360699170,COCAINE 4 % NASAL SOLUTION,2255.0,879.45,,,0
CDM,1360699965,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,29.9,11.66,,,0
CDM,1360700404,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP,16.9,6.59,,,0
CDM,1360700518,LIOTHYRONINE 25 MCG TABLET,27.9,10.88,,,0
CDM,1360700584,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION,373.0,145.47,,,0
CDM,1360706950,ADO-TRASTUZUMAB EMTANSINE 160 MG INTRAVENOUS SOLUTION,10953.92,4272.03,,,0
CDM,1360710110,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION,234.4,91.42,,,0
CDM,1360710318,LUSPATERCEPT-AAMT 25 MG SUBCUTANEOUS SOLUTION,28106.5,10961.54,,,0
CDM,1360711077,PEDI MULTIVIT NO.77-VIT D3 750 UNIT-VIT K 500 MCG/0.5 ML ORAL DROPS,4.8,1.87,,,0
CDM,1360712915,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",819.9,319.76,,,0
CDM,1360714012,SACCHAROMYCES BOULARDII 250 MG CAPSULE,7.7,3.0,,,0
CDM,1360715952,"DOPAMINE 80 MG/50 ML D5W (1,600 MCG/ML) INFUSION (SIMPLE)",23.5,9.16,,,0
CDM,1360718406,KETOROLAC 0.5 % EYE DROPS,813.1,317.11,,,0
CDM,1360719715,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,15.4,6.01,,,0
CDM,1360719955,EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE,87.2,34.01,,,0
CDM,1360721955,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION,189.27,73.82,,,0
CDM,1360723198,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1360724911,CYPROHEPTADINE 4 MG TABLET,4.8,1.87,,,0
CDM,1360725274,IFOSFAMIDE 3 GRAM INTRAVENOUS SOLUTION,671.1,261.73,,,0
CDM,1360727914,"CLONIDINE (PF) 1,000 MCG/10 ML (100 MCG/ML) EPIDURAL SOLUTION",19.6,7.64,,,0
CDM,1360730698,NICOTINE (POLACRILEX) 4 MG GUM,1.0,0.39,,,0
CDM,1360731720,HYDROMORPHONE 0.5 MG/0.5 ML INJECTION SYRINGE,29.5,11.5,,,0
CDM,1360731915,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION,455.4,177.61,,,0
CDM,1360732739,"BISACODYL 5 MG TABLET,DELAYED RELEASE",0.6,0.23,,,0
CDM,1360734283,ROSUVASTATIN 10 MG TABLET,54.8,21.37,,,0
CDM,1360738620,MICAFUNGIN 50 MG INTRAVENOUS SOLUTION,1955.1,762.49,,,0
CDM,1360739557,CALCIUM 500 MG (AS CARBONATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET,0.6,0.23,,,0
CDM,1360739743,GEMCITABINE 1 GRAM/26.3 ML (38 MG/ML) INTRAVENOUS SOLUTION,370.4,144.46,,,0
CDM,1360741252,CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION,1767.2,689.21,,,0
CDM,1360742373,NAFCILLIN 1 GRAM SOLUTION FOR INJECTION,19.6,7.64,,,0
CDM,1360746742,TOLNAFTATE 1 % TOPICAL CREAM,66.8,26.05,,,0
CDM,1360747421,NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH,6.1,2.38,,,0
CDM,1360750920,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1360754090,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,33.0,12.87,,,0
CDM,1360755583,FILGRASTIM 480 MCG/1.6 ML INJECTION SOLUTION,3494.3,1362.78,,,0
CDM,1360757112,"FATTY ACID NO.6-FISH OIL-GLYCERIN-PHOSPHOLIPIDS, EGG 10 % IV EMULSION",642.3,250.5,,,0
CDM,1360758437,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,43.9,17.12,,,0
CDM,1360758630,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION,410.0,159.9,,,0
CDM,1360759044,SERTRALINE 100 MG TABLET,4.8,1.87,,,0
CDM,1360760140,"NEOMYCIN-BACITRACN ZN-POLYMYX 3.5 MG-400 UNIT-5,000 UNIT/GRAM TOP OINT",74.4,29.02,,,0
CDM,1360760945,"NIVOLUMAB 600 MG-HYALURONIDASE-NVHY 10,000 UNIT/5 ML SUBCUT SOLUTION",97185.9,37902.5,,,0
CDM,1360761089,GENTAMICIN 100 MG/100 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,36.8,14.35,,,0
CDM,1360762357,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,14.7,5.73,,,0
CDM,1360762619,LACOSAMIDE 200 MG TABLET,168.8,65.83,,,0
CDM,1360762656,SIROLIMUS 1 MG TABLET,391.2,152.57,,,0
CDM,1360763702,METOLAZONE 5 MG TABLET,13.7,5.34,,,0
CDM,1360766064,METHYLERGONOVINE 0.2 MG TABLET,515.4,201.01,,,0
CDM,1360766528,NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH,7.6,2.96,,,0
CDM,1360767038,"FACTOR XA,INACTIVATED-ZHZO (RECOMBINANT) 200 MG INTRAVENOUS SOLUTION",34850.0,13591.5,,,0
CDM,1360767039,"FACTOR XA,INACTIVATED-ZHZO (RECOMBINANT) 200 MG INTRAVENOUS SOLUTION",10455.0,4077.45,,,0
CDM,1360775535,HYDROXYZINE HCL 50 MG TABLET,8.6,3.35,,,0
CDM,1360775608,NOREPINEPHRINE 0.16 MG/10 ML (16 MCG/ML) IN 0.9 % NACL SYRINGE,19.6,7.64,,,0
CDM,1360776622,GALANTAMINE 4 MG TABLET,24.5,9.56,,,0
CDM,1360779201,LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK,158.0,61.62,,,0
CDM,1360780318,CUPRIC CHLORIDE 0.4 MG/ML INTRAVENOUS SOLUTION,134.3,52.38,,,0
CDM,1360781893,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK,7000.7,2730.27,,,0
CDM,1360784615,PRAZOSIN 1 MG CAPSULE,10.4,4.06,,,0
CDM,1360784621,LANTHANUM 500 MG CHEWABLE TABLET,199.0,77.61,,,0
CDM,1360784896,IRON SUCROSE 200 MG/100 ML NS IVPB (SIMPLE),819.9,319.76,,,0
CDM,1360785632,MIDODRINE 5 MG TABLET,8.0,3.12,,,0
CDM,1360790424,MIDAZOLAM (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1360790811,"NEOMYCIN 40 MG-POLYMYXIN B 200,000 UNIT/ML GU IRRIGATION SOLUTION",93.3,36.39,,,0
CDM,1360792129,SECUKINUMAB 25 MG/ML INTRAVENOUS SOLUTION,21654.5,8445.26,,,0
CDM,1360793394,ADENOSINE 3 MG/ML IV SOLN (WRAPPED),63.6,24.8,,,0
CDM,1360794306,"VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE",11.1,4.33,,,0
CDM,1360795644,"ACAMPROSATE 333 MG TABLET,DELAYED RELEASE",27.0,10.53,,,0
CDM,1360796500,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1360797522,VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLUTION,5.9,2.3,,,0
CDM,1360802433,CLOZAPINE 25 MG TABLET,20.3,7.92,,,0
CDM,1360803506,LORATADINE 10 MG TABLET,0.9,0.35,,,0
CDM,1360804182,LUBIPROSTONE 24 MCG CAPSULE,51.3,20.01,,,0
CDM,1360808347,SACUBITRIL 24 MG-VALSARTAN 26 MG TABLET,29.7,11.58,,,0
CDM,1360808676,GLUCAGON 1 MG/ML SOLUTION FOR INJECTION,1196.1,466.48,,,0
CDM,1360815415,VALSARTAN 80 MG TABLET,21.6,8.42,,,0
CDM,1360816198,GABAPENTIN 300 MG CAPSULE,4.8,1.87,,,0
CDM,1360817446,ADENOSINE 3 MG/ML IV SOLN (WRAPPED),63.6,24.8,,,0
CDM,1360819369,ROMIPLOSTIM 500 MCG SUBCUTANEOUS SOLUTION,0.01,0.0039,,,0
CDM,1360819592,SERTRALINE 50 MG TABLET,4.8,1.87,,,0
CDM,1360821717,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,63.7,24.84,,,0
CDM,1360821882,HYDROMORPHONE 1 MG/ML INJECTION (WRAPPED),19.6,7.64,,,0
CDM,1360822820,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,4.8,1.87,,,0
CDM,1360823071,HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE,912.6,355.91,,,0
CDM,1360824489,CLOBETASOL 0.05 % TOPICAL CREAM,983.6,383.6,,,0
CDM,1360824872,"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE",7.2,2.81,,,0
CDM,1360826082,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,60.6,23.63,,,0
CDM,1360826200,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,27.9,10.88,,,0
CDM,1360829117,IVABRADINE 7.5 MG TABLET,80.1,31.24,,,0
CDM,1360829413,BALSAM PERU-CASTOR OIL TOPICAL OINTMENT,287.5,112.12,,,0
CDM,1360829476,DORZOLAMIDE 2 % EYE DROPS,512.4,199.84,,,0
CDM,1360831805,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1360832997,AMINO ACID 4.25 % NO.1-DEXTROSE 5 %-ELECTROLYTES NO.39 IV SOLUTION,683.2,266.45,,,0
CDM,1360833303,TRAMADOL 50 MG TABLET,6.5,2.54,,,0
CDM,1360834247,SOTALOL 160 MG TABLET,32.8,12.79,,,0
CDM,1360834251,CYANOCOBALAMIN (VIT B-12) 100 MCG TABLET,0.6,0.23,,,0
CDM,1360834289,PHYTONADIONE (VITAMIN K1) 5 MG TABLET,328.3,128.04,,,0
CDM,1360834567,NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN 0.9 % NACL IV,1652.5,644.48,,,0
CDM,1360835224,MORPHINE(PF) 150 MG/30 ML(5 MG/ML) IN 0.9% SOD CHLORIDE IV PCA SYRINGE,88.7,34.59,,,0
CDM,1360836113,VALSARTAN 160 MG TABLET,16.0,6.24,,,0
CDM,1360836964,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1360837303,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,155.4,60.61,,,0
CDM,1360839808,LEUPROLIDE 11.25 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT,33717.1,13149.67,,,0
CDM,1360841652,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",18.8,7.33,,,0
CDM,1360842521,CEFDINIR 300 MG CAPSULE,39.2,15.29,,,0
CDM,1360843793,ISOSORBIDE DINITRATE 10 MG TABLET,9.6,3.74,,,0
CDM,1360845703,THEOPHYLLINE 80 MG/15 ML ORAL ELIXIR,120.1,46.84,,,0
CDM,1360848722,OCTREOTIDE ACETATE 200 MCG/ML INJECTION SOLUTION,848.8,331.03,,,0
CDM,1360848781,SODIUM HYPOCHLORITE 0.25 % SOLUTION,23.1,9.01,,,0
CDM,1360851587,"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION",1230.3,479.82,,,0
CDM,1360852916,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE",86.55000000000001,33.755,,,0
CDM,1360853102,ACTIVATED CHARCOAL-SORBITOL 25 GRAM/120 ML ORAL SUSPENSION,383.9,149.72,,,0
CDM,1360853873,HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET,4.8,1.87,,,0
CDM,1360856525,CIPROFLOXACIN 500 MG TABLET,4.8,1.87,,,0
CDM,1360858606,METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION,37.3,14.55,,,0
CDM,1360861865,FENTANYL 5000 MCG/100 ML (50 MCG/ML) INFUSION (SIMPLE),469.7,183.18,,,0
CDM,1360862225,CARVEDILOL 12.5 MG TABLET,32.8,12.79,,,0
CDM,1360877019,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,840.4,327.76,,,0
CDM,1360879085,SODIUM CHLORIDE 3 % FOR NEBULIZATION,6.2,2.42,,,0
CDM,1360879527,FLUCONAZOLE 50 MG TABLET,128.6,50.15,,,0
CDM,1360881259,NALOXONE 0.4 MG/ML INJECTION SOLUTION,5210.1,2031.94,,,0
CDM,1360883401,VASOPRESSIN 20 UNIT/100 ML (0.2 UNIT/ML) IN 0.9 % SODIUM CHLORIDE IV,1101.6,429.62,,,0
CDM,1360883781,IBUPROFEN 800 MG TABLET,4.8,1.87,,,0
CDM,1360883931,NEOMYCIN-BACITRACIN-POLYMYCIN TOPICAL OINTMENT (WRAPPED),0.8,0.31,,,0
CDM,1360884520,LEVOTHYROXINE 50 MCG TABLET,4.8,1.87,,,0
CDM,1360887665,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE",19.1,7.45,,,0
CDM,1360889863,DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1360890635,HALOPERIDOL 5 MG TABLET,5.9,2.3,,,0
CDM,1360890971,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,24.1,9.4,,,0
CDM,1360891852,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1360893234,INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML SUBCUTANEOUS SUSPENSION,19.6,7.64,,,0
CDM,1360894901,PRAMIPEXOLE 0.25 MG TABLET,22.7,8.85,,,0
CDM,1360895054,MECLIZINE 12.5 MG TABLET,10.8,4.21,,,0
CDM,1360897341,MIDAZOLAM (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,225.5,87.94,,,0
CDM,1360900051,BUSPIRONE 5 MG TABLET,8.9,3.47,,,0
CDM,1360900440,BRIMONIDINE 0.2 % EYE DROPS,500.4,195.16,,,0
CDM,1360900668,GLUCAGON HCL 1 MG/ML SOLUTION FOR INJECTION,1951.6,761.12,,,0
CDM,1360910834,POTASSIUM CHLORIDE 20 MEQ/L IN 5 % DEXTROSE INTRAVENOUS SOLUTION,59.8,23.32,,,0
CDM,1360911788,CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION,50.1,19.54,,,0
CDM,1360911830,RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION,22292.5,8694.08,,,0
CDM,1360912033,CYCLOBENZAPRINE 10 MG TABLET,4.8,1.87,,,0
CDM,1360913509,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1360916918,"NIACIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",35.9,14.0,,,0
CDM,1360917364,NOREPINEPHRINE BITARTRATE 32 MG/250 ML (128 MCG/ML) IN 0.9 % NACL IV,167.7,65.4,,,0
CDM,1360918363,METHIMAZOLE 10 MG TABLET,4.8,1.87,,,0
CDM,1360918364,GALANTAMINE 8 MG TABLET,12.3,4.8,,,0
CDM,1360923346,"CALCIUM GLUCONATE 2 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION",172.6,67.31,,,0
CDM,1360925152,NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH,7.3,2.85,,,0
CDM,1360929288,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,98.3,38.34,,,0
CDM,1360931253,CLOPIDOGREL 300 MG TABLET,147.8,57.64,,,0
CDM,1360932743,MELATONIN 5 MG TABLET,4.8,1.87,,,0
CDM,1360937072,HYDROCORTISONE 1 % TOPICAL CREAM,9.0,3.51,,,0
CDM,1360937236,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,66.7,26.01,,,0
CDM,1360943858,LANOLIN (HPA) 100 % TOPICAL CREAM,38.4,14.98,,,0
CDM,1360944707,AZATHIOPRINE 50 MG TABLET,16.2,6.32,,,0
CDM,1360948757,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,816.0,318.24,,,0
CDM,1360958968,ESTRADIOL 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,178.1,69.46,,,0
CDM,1360961998,ASPARAGINASE ERWINIA CHRYSANTHEMI-RYWN 10 MG/0.5 ML IM SOLUTION,333091.3,129905.61,,,0
CDM,1360964634,NALBUPHINE 20 MG/ML INJECTION SOLUTION,24.9,9.71,,,0
CDM,1360965708,FLECAINIDE 100 MG TABLET,27.5,10.72,,,0
CDM,1360966995,"IMMUNE GLOB,GAMM (IGG-PRIVIGEN) 10%-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",52492.5,20472.08,,,0
CDM,1360977047,AMITRIPTYLINE 50 MG TABLET,5.4,2.11,,,0
CDM,1360981376,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,31.5,12.28,,,0
CDM,1360984797,MEPOLIZUMAB 100 MG/ML SUBCUTANEOUS SYRINGE,26482.5,10328.18,,,0
CDM,1360987232,"IMMUNE GLOB,GAMMA (IGG-GAMMAGARD) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",73022.0,28478.58,,,0
CDM,1360987773,METHYLENE BLUE (ANTIDOTE) 5 MG/ML INTRAVENOUS SOLUTION,1552.1,605.32,,,0
CDM,1360987878,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",51.3,20.01,,,0
CDM,1360988794,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,10.8,4.21,,,0
CDM,1360990818,"EPOETIN ALFA-EPBX 4,000 UNIT/ML INJECTION SOLUTION",376.8,146.95,,,0
CDM,1360996054,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL,44.9,17.51,,,0
CDM,1360997167,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",33.5,13.06,,,0
CDM,1360997500,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1360998380,NITROGLYCERIN 25 MG/250 ML (100 MCG/ML) IN 5 % DEXTROSE  INTRAVENOUS,175.1,68.29,,,0
CDM,1361003318,ENFORTUMAB VEDOTIN-EJFV 30 MG INTRAVENOUS SOLUTION,26292.3,10254.0,,,0
CDM,1361005558,"MESALAMINE 1,000 MG RECTAL SUPPOSITORY",320.8,125.11,,,0
CDM,1361006486,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,2516.2,981.32,,,0
CDM,1361010314,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,748.8,292.03,,,0
CDM,1361010433,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1361012726,"STUDY LUVELTAMAB TAZEVIBULIN (STRO-002-GM3, GOG-3086) INFUSION (NEW)",0.1,0.04,,,0
CDM,1361014341,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1361014360,OMALIZUMAB 150 MG SUBCUTANEOUS SOLUTION,0.01,0.0039,,,0
CDM,1361017713,HYDROCORTISONE 5 MG TABLET,4.8,1.87,,,0
CDM,1361017825,APREPITANT 80 MG CAPSULE,1563.0,609.5699999999999,,,0
CDM,1361018383,AMINOPHYLLINE 250 MG/10 ML INTRAVENOUS SOLUTION,31.1,12.13,,,0
CDM,1361019678,BUPROPION HCL 75 MG TABLET,10.2,3.98,,,0
CDM,1361021640,CHLORTHALIDONE 25 MG TABLET,17.7,6.9,,,0
CDM,1361022600,MOXIFLOXACIN 0.5 % EYE DROPS,22.3,8.7,,,0
CDM,1361022626,HYDROXYZINE HCL 50 MG/ML INTRAMUSCULAR SOLUTION,137.8,53.74,,,0
CDM,1361025612,DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION,266.6,103.97,,,0
CDM,1361028245,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,2368.1,923.56,,,0
CDM,1361035593,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",49.4,19.27,,,0
CDM,1361041457,MIDAZOLAM 1 MG/ML INJ (WRAPPED),19.6,7.64,,,0
CDM,1361041570,ROPINIROLE 0.25 MG TABLET,9.1,3.55,,,0
CDM,1361041969,ONDANSETRON 4 MG DISINTEGRATING TABLET,171.0,66.69,,,0
CDM,1361045900,"EPOETIN ALFA 2,000 UNIT/ML INJECTION SOLUTION",39.7,15.48,,,0
CDM,1361049514,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION,24.0,9.36,,,0
CDM,1361053321,CLOPIDOGREL 300 MG TABLET,203.9,79.52,,,0
CDM,1361053684,HYDROCODONE 10 MG-CHLORPHENIRAMINE 8 MG/5 ML ORAL SUSP EXTEND.REL 12HR,25.7,10.02,,,0
CDM,1361054191,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,38.8,15.13,,,0
CDM,1361054231,HYDROGEN PEROXIDE 3 % SOLUTION,5.5,2.14,,,0
CDM,1361054301,DIFLUPREDNATE 0.05 % EYE DROPS,17.2,6.71,,,0
CDM,1361056439,KETOCONAZOLE 2 % TOPICAL CREAM,482.1,188.02,,,0
CDM,1361061467,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET,0.6,0.23,,,0
CDM,1361061645,"CARBAMAZEPINE ER 200 MG TABLET,EXTENDED RELEASE,12 HR",31.0,12.09,,,0
CDM,1361062739,DARUNAVIR 800 MG-COBICISTAT 150 MG TABLET,756.8,295.15,,,0
CDM,1361063862,AZITHROMYCIN 250 MG TABLET,119.5,46.6,,,0
CDM,1361063963,GLUCAGON 1 MG/ML SOLUTION FOR INJECTION,1196.1,466.48,,,0
CDM,1361064713,OFLOXACIN 0.3 % EYE DROPS,156.8,61.15,,,0
CDM,1361065270,SODIUM NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION,205.0,79.95,,,0
CDM,1361067466,IBUPROFEN 800 MG/8 ML (100 MG/ML) INTRAVENOUS SOLUTION,260.6,101.63,,,0
CDM,1361069829,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE,51.07,19.92,,,0
CDM,1361070600,VERAPAMIL 80 MG TABLET,4.8,1.87,,,0
CDM,1361072996,"ROTAVIRUS VACCINE LIVE, PENTAVALENT 2 ML ORAL SOLUTION",752.2,293.36,,,0
CDM,1361080341,HYDROXYZINE HCL 50 MG TABLET,4.8,1.87,,,0
CDM,1361080347,COENZYME Q10 100 MG CAPSULE,1.2,0.47,,,0
CDM,1361082256,ACETIC ACID 2% SOLUTION,32.6,12.71,,,0
CDM,1361086977,"BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOPICAL OINTMENT",10.6,4.13,,,0
CDM,1361087388,ADULT 2-IN-1 CPN USING CLINIMIX BASE,504.0,196.56,,,0
CDM,1361087624,ATEZOLIZUMAB 840 MG/14 ML (60 MG/ML) INTRAVENOUS SOLUTION,21063.5,8214.76,,,0
CDM,1361087804,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION,564.8,220.27,,,0
CDM,1361087836,DANTROLENE 25 MG CAPSULE,32.8,12.79,,,0
CDM,1361090167,DOCETAXEL 80 MG/8 ML (10 MG/ML) INTRAVENOUS SOLUTION,17762.6,6927.41,,,0
CDM,1361090168,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,694.9,271.01,,,0
CDM,1361091426,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,111.1,43.33,,,0
CDM,1361091675,BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION,1681.8,655.9,,,0
CDM,1361093469,"PALIPERIDONE ER 6 MG TABLET,EXTENDED RELEASE 24 HR",133.1,51.91,,,0
CDM,1361094112,PERITON.DIALYSIS SOLN 6-1.5 % DEXTROS LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L (5L BAG FOR CCPD),205.0,79.95,,,0
CDM,1361095421,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,38.0,14.82,,,0
CDM,1361098148,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",33.1,12.91,,,0
CDM,1361099132,ACYCLOVIR 200 MG CAPSULE,20.1,7.84,,,0
CDM,1361102608,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE,19.6,7.64,,,0
CDM,1361103418,MODAFINIL 200 MG TABLET,76.6,29.87,,,0
CDM,1361103442,TAMSULOSIN 0.4 MG CAPSULE,6.9,2.69,,,0
CDM,1361105011,NIFEDIPINE 10 MG CAPSULE,8.3,3.24,,,0
CDM,1361105129,METOPROLOL TARTRATE 100 MG TABLET,4.8,1.87,,,0
CDM,1361110075,ACYCLOVIR 400 MG TABLET,15.2,5.93,,,0
CDM,1361112280,"MESALAMINE 1.2 GRAM TABLET,DELAYED RELEASE",383.2,149.45,,,0
CDM,1361112952,FLUOROURACIL 500 MG/10 ML INTRAVENOUS SOLUTION,245.2,95.63,,,0
CDM,1361113498,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION,1101.6,429.62,,,0
CDM,1361117132,ENALAPRIL MALEATE 2.5 MG TABLET,9.1,3.55,,,0
CDM,1361120396,EPINEPHRINE 1 MG/ML NASAL SOLUTION,1687.4,658.09,,,0
CDM,1361122237,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET,0.6,0.23,,,0
CDM,1361123918,DORNASE ALFA 1 MG/ML SOLUTION FOR INHALATION,1026.1,400.18,,,0
CDM,1361124350,"ORPHENADRINE CITRATE ER 100 MG TABLET,EXTENDED RELEASE",17.8,6.94,,,0
CDM,1361126650,SODIUM HYPOCHLORITE 0.125 % SOLUTION,21.17,8.26,,,0
CDM,1361127649,"HYALURONIDASE, HUMAN RECOMBINANT 150 UNIT/ML INJECTION SOLUTION",476.6,185.87,,,0
CDM,1361128392,CEFEPIME 1 GRAM SOLUTION FOR INJECTION,52.1,20.32,,,0
CDM,1361132283,DIGOXIN 125 MCG (0.125 MG) TABLET,11.2,4.37,,,0
CDM,1361134304,BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION,39783.3,15515.49,,,0
CDM,1361137359,HYDROCORTISONE 2.5 % TOPICAL CREAM,25.4,9.91,,,0
CDM,1361138018,HYDRALAZINE 50 MG TABLET,4.8,1.87,,,0
CDM,1361139868,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION,218.0,85.02,,,0
CDM,1361141703,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION",0.8,0.31,,,0
CDM,1361141994,SUCRALFATE 100 MG/ML ORAL SUSPENSION,82.9,32.33,,,0
CDM,1361143047,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,19.6,7.64,,,0
CDM,1361143556,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,72.6,28.31,,,0
CDM,1361148117,VITAMIN B COMPLEX WITH C NO.10-FOLIC ACID 900 MCG/5 ML ORAL LIQUID,4.8,1.87,,,0
CDM,1361149543,LIDOCAINE (PF) 50 MG/5 ML (1 %) INJECTION SYRINGE,459.5,179.2,,,0
CDM,1361150105,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE,466.8,182.05,,,0
CDM,1361151009,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,14.2,5.54,,,0
CDM,1361152961,PRAMIPEXOLE 1 MG TABLET,30.6,11.93,,,0
CDM,1361153016,CONJUGATED ESTROGENS 0.625 MG/GRAM VAGINAL CREAM,3534.8,1378.57,,,0
CDM,1361153637,METHYLPREDNISOLONE SODIUM SUCCINATE 40 MG SOLUTION FOR INJECTION,41.0,15.99,,,0
CDM,1361158385,CLOZAPINE 25 MG TABLET,20.5,8.0,,,0
CDM,1361160453,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,187.9,73.28,,,0
CDM,1361161471,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1361163489,MEXILETINE 200 MG CAPSULE,46.5,18.14,,,0
CDM,1361163567,CARVEDILOL 12.5 MG TABLET,4.8,1.87,,,0
CDM,1361163638,MEXILETINE 150 MG CAPSULE,19.5,7.6,,,0
CDM,1361166483,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,29.3,11.43,,,0
CDM,1361173485,"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION",1003.6,391.4,,,0
CDM,1361173803,DICLOFENAC 1 % TOPICAL GEL,115.1,44.89,,,0
CDM,1361175253,RALOXIFENE 60 MG TABLET,51.2,19.97,,,0
CDM,1361177105,IBUPROFEN 600 MG TABLET,4.8,1.87,,,0
CDM,1361177480,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT,35.7,13.92,,,0
CDM,1361177858,"FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION",126.1,49.18,,,0
CDM,1361178554,"ASPIRIN 81 MG TABLET,DELAYED RELEASE",0.6,0.23,,,0
CDM,1361178555,CETIRIZINE 10 MG TABLET,10.6,4.13,,,0
CDM,1361180634,CYANOCOBALAMIN (VIT B-12) 500 MCG TABLET,0.7,0.27,,,0
CDM,1361181345,AMLODIPINE 2.5 MG TABLET,4.8,1.87,,,0
CDM,1361181693,HYDROXYZINE HCL 25 MG TABLET,6.4,2.5,,,0
CDM,1361181708,EZETIMIBE 10 MG TABLET,70.4,27.46,,,0
CDM,1361182195,DONEPEZIL 5 MG TABLET,119.5,46.6,,,0
CDM,1361183411,POTASSIUM CHLORIDE 0.4 MEQ/ML IV SYRINGE *CENTRAL* PEDS (PRE-MIX),53.7,20.94,,,0
CDM,1361183958,OXCARBAZEPINE 300 MG TABLET,40.1,15.64,,,0
CDM,1361184113,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,317.6,123.86,,,0
CDM,1361185000,OLMESARTAN 40 MG TABLET,67.0,26.13,,,0
CDM,1361185004,RIVASTIGMINE 6 MG CAPSULE,31.0,12.09,,,0
CDM,1361187178,CARVEDILOL 25 MG TABLET,4.8,1.87,,,0
CDM,1361197052,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,38.5,15.02,,,0
CDM,1361201044,ALPRAZOLAM 0.25 MG TABLET,5.4,2.11,,,0
CDM,1361203739,CITALOPRAM 10 MG TABLET,79.2,30.89,,,0
CDM,1361203764,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,31.5,12.28,,,0
CDM,1361206170,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,4.4,1.72,,,0
CDM,1361206900,"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR",209.4,81.67,,,0
CDM,1361207922,PRIMIDONE 50 MG TABLET,7.4,2.89,,,0
CDM,1361209505,"DOXYLAMINE 10 MG-PYRIDOXINE (VIT B6) 10 MG TABLET,DELAYED RELEASE",56.8,22.15,,,0
CDM,1361212593,THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET,4.8,1.87,,,0
CDM,1361212949,ATORVASTATIN 40 MG TABLET,44.3,17.28,,,0
CDM,1361214795,BISOPROLOL 5 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET,10.6,4.13,,,0
CDM,1361214951,GUANFACINE 1 MG TABLET,14.5,5.655,,,0
CDM,1361214959,HYOSCYAMINE 0.125 MG DISINTEGRATING TABLET,6.6,2.57,,,0
CDM,1361215103,CITALOPRAM 10 MG TABLET,18.8,7.33,,,0
CDM,1361218945,COENZYME Q10  50 MG CAPSULE,4.8,1.87,,,0
CDM,1361221232,OXYCODONE 5 MG TABLET,4.8,1.87,,,0
CDM,1361221346,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,88.4,34.48,,,0
CDM,1361238603,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",384.3,149.88,,,0
CDM,1361243141,MUPIROCIN 2 % TOPICAL OINTMENT,191.7,74.76,,,0
CDM,1361247987,RISPERIDONE 1 MG DISINTEGRATING TABLET,44.1,17.2,,,0
CDM,1361250962,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1361254500,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",19.6,7.64,,,0
CDM,1361255285,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",51.5,20.08,,,0
CDM,1361257493,CARVEDILOL 6.25 MG TABLET,16.4,6.4,,,0
CDM,1361257529,IBUPROFEN 600 MG TABLET,4.8,1.87,,,0
CDM,1361258956,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",7.9,3.08,,,0
CDM,1361260527,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL TABLET,44.7,17.43,,,0
CDM,1361262348,ESCITALOPRAM 10 MG TABLET,33.3,12.99,,,0
CDM,1361263692,FILGRASTIM-AAFI 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE,1526.5,595.34,,,0
CDM,1361264652,ARIPIPRAZOLE 10 MG TABLET,7.3,2.85,,,0
CDM,1361264653,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE",14.9,5.81,,,0
CDM,1361265193,HYDROCORTISONE 1 % TOPICAL OINTMENT,349.3,136.23,,,0
CDM,1361268541,CYPROHEPTADINE 4 MG TABLET,8.2,3.2,,,0
CDM,1361269264,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE,56.6,22.07,,,0
CDM,1361269455,DOCUSATE SODIUM 50 MG/5 ML LIQUID (FOR OTIC USE ONLY),0.6,0.23,,,0
CDM,1361271700,VALSARTAN 80 MG TABLET,19.8,7.72,,,0
CDM,1361273704,LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION,1471.8,574.0,,,0
CDM,1361273927,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE,313.5,122.26,,,0
CDM,1361274245,VANCOMYCIN 750 MG/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,129.4,50.47,,,0
CDM,1361275574,ROPINIROLE 2 MG TABLET,16.6,6.47,,,0
CDM,1361277561,POTASSIUM CHLORIDE 40 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS,63.1,24.61,,,0
CDM,1361281146,LACOSAMIDE 10 MG/ML ORAL SOLUTION,546.9000000000001,213.29000000000002,,,0
CDM,1361282074,ZINC SULFATE 10 MG/ML ORAL SUSPENSION (NEONATE/PEDS),4.8,1.87,,,0
CDM,1361282321,MIDAZOLAM 5 MG/ML INJ (WRAPPED),19.6,7.64,,,0
CDM,1361282499,LITHIUM CARBONATE 300 MG CAPSULE,4.8,1.87,,,0
CDM,1361282846,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,38.0,14.82,,,0
CDM,1361284512,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,17.7,6.9,,,0
CDM,1361284515,HYDROCODONE 10 MG-CHLORPHENIRAMINE 8 MG/5 ML ORAL SUSP EXTEND.REL 12HR,25.0,9.75,,,0
CDM,1361287296,AMBRISENTAN 1 MG/ML ORAL SUSPENSION (NEO/PEDS),1306.2,509.42,,,0
CDM,1361288541,MIDODRINE 5 MG TABLET,18.6,7.25,,,0
CDM,1361290198,SODIUM BICARBONATE (BULK) POWDER,3.0,1.17,,,0
CDM,1361293112,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,512.4,199.84,,,0
CDM,1361293183,HYDROXYZINE HCL 25 MG TABLET,6.1,2.38,,,0
CDM,1361293716,ASPIRIN 81 MG CHEWABLE TABLET,0.6,0.23,,,0
CDM,1361294323,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1361294800,KETAMINE 100 MG/2 ML (50 MG/ML) INTRAVENOUS SYRINGE,19.6,7.64,,,0
CDM,1361298453,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,78.0,30.42,,,0
CDM,1361299563,SIROLIMUS 1 MG TABLET,261.6,102.02,,,0
CDM,1361301441,DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR,2.2,0.86,,,0
CDM,1361304816,VALPROIC ACID 250 MG CAPSULE,13.2,5.15,,,0
CDM,1361304867,"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR",399.2,155.69,,,0
CDM,1361304879,"ACETAZOLAMIDE ER 500 MG CAPSULE,EXTENDED RELEASE",33.0,12.87,,,0
CDM,1361306772,OLMESARTAN 20 MG TABLET,53.1,20.71,,,0
CDM,1361310090,MEGESTROL 400 MG/10 ML (40 MG/ML) ORAL SUSPENSION,23.1,9.01,,,0
CDM,1361310726,DEXTROSE 1.2 GRAM/3 ML (40 %) ORAL GEL IN SYRINGE (ORAL USE ONLY),10.0,3.9,,,0
CDM,1361311147,CIPROFLOXACIN 500 MG TABLET,24.4,9.52,,,0
CDM,1361313878,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION",28.6,11.15,,,0
CDM,1361314997,AZATHIOPRINE 50 MG TABLET,6.5,2.54,,,0
CDM,1361314998,EZETIMIBE 10 MG TABLET,40.9,15.95,,,0
CDM,1361315196,PERITON.DIALYSIS SOLN 6-1.5 % DEXTROS LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,444.1,173.2,,,0
CDM,1361318275,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,19.7,7.68,,,0
CDM,1361318372,TERBINAFINE HCL 250 MG TABLET,97.2,37.91,,,0
CDM,1361318645,EMOLLIENT COMBINATION NO.92 TOPICAL LOTION,54.5,21.26,,,0
CDM,1361318926,NALOXONE 1 MG/ML INJECTION SYRINGE,67.3,26.25,,,0
CDM,1361319230,LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM,138.8,54.13,,,0
CDM,1361319250,MORPHINE 15 MG IMMEDIATE RELEASE TABLET,7.0,2.73,,,0
CDM,1361322311,FERROUS SULFATE 300 MG (60 MG IRON)/5 ML ORAL LIQUID,15.7,6.12,,,0
CDM,1361322633,LORATADINE 10 MG TABLET,3.0,1.17,,,0
CDM,1361324349,HYDROXYZINE HCL 10 MG TABLET,4.8,1.87,,,0
CDM,1361324777,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,20.5,8.0,,,0
CDM,1361325216,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,136.0,53.04,,,0
CDM,1361325416,DICYCLOMINE 20 MG TABLET,4.8,1.87,,,0
CDM,1361327960,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,160.2,62.48,,,0
CDM,1361328037,IMMUN GLOB G 10 GRAM/50 ML(20 %)-PRO-IGA 0-50 MCG/ML SUBCUTANEOUS SOLN,0.01,0.0039,,,0
CDM,1361328038,IMMUN GLOB G 2 GRAM/10 ML(20 %)-PROL-IGA 0-50 MCG/ML SUBCUTANEOUS SOLN,0.01,0.0039,,,0
CDM,1361329206,CYCLOSPORINE MODIFIED 100 MG CAPSULE (GENERIC),113.0,44.07,,,0
CDM,1361329755,DEXTROSE 40 % ORAL GEL,30.3,11.82,,,0
CDM,1361329928,NEBIVOLOL 10 MG TABLET,87.2,34.01,,,0
CDM,1361332220,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,184.5,71.96,,,0
CDM,1361337833,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET,0.6,0.23,,,0
CDM,1361338426,METHYLERGONOVINE 0.2 MG TABLET,515.7,201.12,,,0
CDM,1361338909,CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,126.9,49.49,,,0
CDM,1361338964,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",35.1,13.69,,,0
CDM,1361342696,ANASTROZOLE 1 MG TABLET,15.9,6.2,,,0
CDM,1361344754,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,51.5,20.08,,,0
CDM,1361346393,PALIPERIDONE PALMITATE 156 MG/ML INTRAMUSCULAR SYRINGE,16585.1,6468.19,,,0
CDM,1361346751,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION,99.0,38.61,,,0
CDM,1361353023,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,101.9,39.74,,,0
CDM,1361353152,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,133.3,51.99,,,0
CDM,1361357679,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,51.6,20.12,,,0
CDM,1361368542,EZETIMIBE 10 MG TABLET,86.6,33.77,,,0
CDM,1361371655,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",4.8,1.87,,,0
CDM,1361373414,BREXPIPRAZOLE 0.5 MG TABLET,387.6,151.16,,,0
CDM,1361373415,BREXPIPRAZOLE 4 MG TABLET,193.8,75.58,,,0
CDM,1361374460,TOLVAPTAN 30 MG TABLET,4470.0,1743.3,,,0
CDM,1361375045,WITCH HAZEL 50 % TOPICAL PADS,26.7,10.41,,,0
CDM,1361375115,NALBUPHINE 10 MG/ML INJECTION SOLUTION,37.8,14.74,,,0
CDM,1361377016,LISINOPRIL 20 MG TABLET,7.6,2.96,,,0
CDM,1361377660,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,4.8,1.87,,,0
CDM,1361378914,LEVOFLOXACIN 750 MG TABLET,4.8,1.87,,,0
CDM,1361379025,DIAZEPAM 5 MG/ML INJECTION SYRINGE,126.2,49.22,,,0
CDM,1361379154,GUANFACINE 1 MG TABLET,7.8,3.04,,,0
CDM,1361381444,"VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE",19.2,7.49,,,0
CDM,1361381926,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,1885.4,735.31,,,0
CDM,1361382622,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION,69.9,27.26,,,0
CDM,1361385384,CARBIDOPA 10 MG-LEVODOPA 100 MG TABLET,6.0,2.34,,,0
CDM,1361385810,"ASPIRIN 81 MG TABLET,DELAYED RELEASE",0.6,0.23,,,0
CDM,1361387490,TAMOXIFEN 20 MG TABLET,29.1,11.35,,,0
CDM,1361387951,"LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200,000 INJECTION SOLUTION",25.4,9.91,,,0
CDM,1361388389,QUETIAPINE 25 MG TABLET,29.0,11.31,,,0
CDM,1361389748,ISOSORBIDE DINITRATE 20 MG TABLET,4.8,1.87,,,0
CDM,1361389759,THERAPEUTIC MULTIVITAMIN TABLET,4.8,1.87,,,0
CDM,1361389761,ZINC SULFATE 50 MG ZINC (220 MG) CAPSULE,0.6,0.23,,,0
CDM,1361390584,"THEOPHYLLINE ER 400 MG TABLET,EXTENDED RELEASE 24 HR",4.8,1.87,,,0
CDM,1361399120,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,9.2,3.59,,,0
CDM,1361399127,ARIPIPRAZOLE 20 MG TABLET,174.0,67.86,,,0
CDM,1361400585,ZONISAMIDE 100 MG CAPSULE,16.9,6.59,,,0
CDM,1361400764,ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION,401.4,156.55,,,0
CDM,1361402641,MAGNESIUM CITRATE ORAL SOLUTION,13.7,5.34,,,0
CDM,1361402687,PHENTOLAMINE 5 MG INJECTION SOLUTION,3415.1,1331.89,,,0
CDM,1361402792,VITAMINS A AND D-WHITE PETROLATUM-LANOLIN TOPICAL OINTMENT,17.7,6.9,,,0
CDM,1361406732,"SODIUM BICARBONATE 150 MEQ/1,000 ML IN DEXTROSE 5 % INTRAVENOUS",245.4,95.71,,,0
CDM,1361408262,PRAMIPEXOLE 0.25 MG TABLET,4.8,1.87,,,0
CDM,1361411649,BISOPROLOL 10 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET,25.9,10.1,,,0
CDM,1361413006,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,37.2,14.51,,,0
CDM,1361417204,AZITHROMYCIN 500 MG TABLET,119.4,46.57,,,0
CDM,1361417286,AMITRIPTYLINE 10 MG TABLET,4.8,1.87,,,0
CDM,1361417554,CAFFEINE CITRATED IV SYRINGE 20 MG/ML LD (PEDS 10 KG AND LESS),226.0,88.14,,,0
CDM,1361421169,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,81.2,31.67,,,0
CDM,1361435087,CAMPHOR-MENTHOL 0.5 %-0.5 % LOTION,37.6,14.66,,,0
CDM,1361435892,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID,4.8,1.87,,,0
CDM,1361435946,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,93.6,36.5,,,0
CDM,1361437061,CALCITRIOL 0.25 MCG CAPSULE,18.6,7.25,,,0
CDM,1361439137,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",51.3,20.01,,,0
CDM,1361441108,GUAIFENESIN 100 MG/5 ML ORAL LIQUID,8.2,3.2,,,0
CDM,1361443032,MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION,4.2,1.64,,,0
CDM,1361445679,DANTROLENE 25 MG CAPSULE,12.2,4.76,,,0
CDM,1361446098,SIMETHICONE 40 MG/0.6 ML ORAL SYRINGE (ORAL USE),10.6,4.13,,,0
CDM,1361446444,OSELTAMIVIR 75 MG CAPSULE,118.6,46.25,,,0
CDM,1361447601,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INTRAVENOUS SYRINGE,882.5,344.18,,,0
CDM,1361448605,COLCHICINE 0.6 MG TABLET,85.6,33.38,,,0
CDM,1361449661,"PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE",31.6,12.32,,,0
CDM,1361449666,FEBUXOSTAT 40 MG TABLET,95.0,37.05,,,0
CDM,1361451195,OXCARBAZEPINE 300 MG TABLET,21.2,8.27,,,0
CDM,1361451211,"POLYMYXIN B SULFATE 10,000 UNIT-TRIMETHOPRIM 1 MG/ML EYE DROPS",133.7,52.14,,,0
CDM,1361451432,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,94.3,36.78,,,0
CDM,1361451637,QUETIAPINE 50 MG TABLET,50.4,19.66,,,0
CDM,1361451852,CEFUROXIME AXETIL 250 MG TABLET,67.5,26.32,,,0
CDM,1361453520,ALTEPLASE BOLUS FOR PULMONARY EMBOLUS (PE),1226.8,478.45,,,0
CDM,1361453619,METOPROLOL 10 MG/ML ORAL SUSPENSION,4.8,1.87,,,0
CDM,1361453979,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,19.6,7.64,,,0
CDM,1361454296,"CIPROFLOXACIN 0.3 %-DEXAMETHASONE 0.1 % EAR DROPS,SUSPENSION",2140.3,834.72,,,0
CDM,1361454990,FERROUS SULFATE 220 MG (44 MG IRON)/5 ML ORAL SOLUTION,0.6,0.23,,,0
CDM,1361455695,"GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR",9.4,3.67,,,0
CDM,1361455840,OSELTAMIVIR 75 MG CAPSULE,118.6,46.25,,,0
CDM,1361460004,VALSARTAN 40 MG TABLET,60.9,23.75,,,0
CDM,1361460198,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION,50.3,19.62,,,0
CDM,1361461745,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",12.9,5.03,,,0
CDM,1361463527,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",9.4,3.67,,,0
CDM,1361463619,HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION,48.7,18.99,,,0
CDM,1361464920,FAMOTIDINE 20 MG TABLET,0.6,0.23,,,0
CDM,1361464972,AMOXICILLIN 200 MG-POTASSIUM CLAVULANATE 28.5 MG/5 ML ORAL SUSPENSION,55.1,21.49,,,0
CDM,1361465003,OXCARBAZEPINE 150 MG TABLET,4.8,1.87,,,0
CDM,1361466185,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,17.7,6.9,,,0
CDM,1361466898,SENNOSIDES 8.6 MG TABLET,0.6,0.23,,,0
CDM,1361469657,METOCLOPRAMIDE 5 MG TABLET,4.8,1.87,,,0
CDM,1361469758,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,38.5,15.02,,,0
CDM,1361470102,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION,30.8,12.01,,,0
CDM,1361470194,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",4.8,1.87,,,0
CDM,1361471521,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,95.8,37.36,,,0
CDM,1361473409,LURASIDONE 20 MG TABLET,362.8,141.49,,,0
CDM,1361475685,"BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOP OINT PACKET",1.0,0.39,,,0
CDM,1361478517,MIDODRINE 2.5 MG TABLET,8.4,3.28,,,0
CDM,1361478955,DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID,9.4,3.67,,,0
CDM,1361480195,LEVOTHYROXINE 75 MCG TABLET,4.4,1.72,,,0
CDM,1361480417,MIDAZOLAM (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,256.2,99.92,,,0
CDM,1361481659,ATOMOXETINE 18 MG CAPSULE,101.1,39.43,,,0
CDM,1361481858,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",64.4,25.12,,,0
CDM,1361481944,HYDRALAZINE 25 MG TABLET,4.8,1.87,,,0
CDM,1361483747,METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION,44.7,17.43,,,0
CDM,1361483881,PREGABALIN 100 MG CAPSULE,12.5,4.88,,,0
CDM,1361485528,ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION,683.2,266.45,,,0
CDM,1361486639,CLONAZEPAM 0.5 MG TABLET,5.8,2.26,,,0
CDM,1361488421,BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION,149.2,58.19,,,0
CDM,1361489013,AMITRIPTYLINE 50 MG TABLET,5.5,2.14,,,0
CDM,1361489057,"METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION",47.0,18.33,,,0
CDM,1361489706,NITAZOXANIDE 500 MG TABLET,1267.2,494.21,,,0
CDM,1361496164,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION,221.4,86.35,,,0
CDM,1361497156,SENNOSIDES 8.6 MG TABLET,0.3,0.12,,,0
CDM,1361498037,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,25.2,9.83,,,0
CDM,1361501172,NOREPINEPHRINE BITARTRATE 8 MG/250 ML (32 MCG/ML) IN DEXTROSE 5 % IV,284.0,110.76,,,0
CDM,1361503954,BROMOCRIPTINE 2.5 MG TABLET,96.2,37.52,,,0
CDM,1361504089,ASPIRIN 81 MG CHEWABLE TABLET,0.9,0.35,,,0
CDM,1361508306,"CHOLECALCIFEROL (VITAMIN D3) 1,250 MCG (50,000 UNIT) CAPSULE",0.7,0.27,,,0
CDM,1361510978,METFORMIN 500 MG TABLET,4.8,1.87,,,0
CDM,1361517161,DOFETILIDE 125 MCG CAPSULE,74.8,29.17,,,0
CDM,1361518418,IMIPRAMINE 25 MG TABLET,16.6,6.47,,,0
CDM,1361519651,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",4.8,1.87,,,0
CDM,1361523745,DAPSONE 100 MG TABLET,23.2,9.05,,,0
CDM,1361524859,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET,0.6,0.23,,,0
CDM,1361525838,MISOPROSTOL 100 MCG TABLET,45.2,17.63,,,0
CDM,1361527800,LAMOTRIGINE 25 MG TABLET,82.4,32.14,,,0
CDM,1361528319,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1361536020,CLOMIPRAMINE 25 MG CAPSULE,76.5,29.84,,,0
CDM,1361538549,CANNABIDIOL 100 MG/ML ORAL SOLUTION,262.4,102.34,,,0
CDM,1361542503,WHITE PETROLATUM-MINERAL OIL 83 %-15 % EYE OINTMENT,22.8,8.89,,,0
CDM,1361543317,BICALUTAMIDE 50 MG TABLET,141.5,55.185,,,0
CDM,1361543319,CEPHALEXIN 500 MG CAPSULE,10.3,4.02,,,0
CDM,1361545010,DRONABINOL 5 MG CAPSULE,263.8,102.88,,,0
CDM,1361546031,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1361546254,BACLOFEN 10 MG TABLET,19.0,7.41,,,0
CDM,1361547302,LORAZEPAM 2 MG TABLET,18.8,7.33,,,0
CDM,1361550679,LEVOTHYROXINE 137 MCG TABLET,5.2,2.03,,,0
CDM,1361551359,ICATIBANT 30 MG/3 ML SUBCUTANEOUS SYRINGE,88575.8,34544.56,,,0
CDM,1361551763,PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY,135.8,52.96,,,0
CDM,1361552213,WARFARIN 7.5 MG TABLET,7.4,2.89,,,0
CDM,1361552927,"EPOETIN ALFA-EPBX 2,000 UNIT/ML INJECTION SOLUTION",113.1,44.11,,,0
CDM,1361553160,CALCITRIOL 1 MCG/ML ORAL SOLUTION,73.1,28.51,,,0
CDM,1361554475,LORATADINE 5 MG/5 ML ORAL SOLUTION,3.1,1.21,,,0
CDM,1361554512,FENTANYL 5000 MCG/100 ML (50 MCG/ML) INFUSION (SIMPLE),371.5,144.88,,,0
CDM,1361558335,PAROXETINE 20 MG TABLET,21.0,8.19,,,0
CDM,1361559560,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION,9.7,3.78,,,0
CDM,1361559600,TRIHEXYPHENIDYL 2 MG TABLET,4.8,1.87,,,0
CDM,1361567830,ZOLPIDEM 5 MG TABLET,35.5,13.84,,,0
CDM,1361571619,BUPROPION HCL 75 MG TABLET,6.1,2.38,,,0
CDM,1361571793,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,59.8,23.32,,,0
CDM,1361572144,PROMETHAZINE-DM 6.25 MG-15 MG/5 ML ORAL SYRUP,4.8,1.87,,,0
CDM,1361572228,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,61.3,23.91,,,0
CDM,1361573091,KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION,19.6,7.64,,,0
CDM,1361574732,PHENYLEPHRINE 0.5 MG/5 ML (100 MCG/ML)IN 0.9 % SOD.CHLORIDE IV SYRINGE,47.5,18.52,,,0
CDM,1361575311,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION,223.7,87.24,,,0
CDM,1361575728,"EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR",2121.1,827.23,,,0
CDM,1361577518,NEBIVOLOL 2.5 MG TABLET,87.2,34.01,,,0
CDM,1361578263,AMITRIPTYLINE 25 MG TABLET,8.0,3.12,,,0
CDM,1361580493,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET,0.6,0.23,,,0
CDM,1361581373,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,85.9,33.5,,,0
CDM,1361582920,MULTIVITAMIN WITH FOLIC ACID 400 MCG TABLET,0.6,0.23,,,0
CDM,1361583581,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1361585442,POTASSIUM CHLORIDE 20 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,23.1,9.01,,,0
CDM,1361590823,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,20.8,8.11,,,0
CDM,1361591790,DROPERIDOL 2.5 MG/ML INJ (ED USE ONLY),90.8,35.41,,,0
CDM,1361594454,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 62.5 MG/5 ML ORAL SUSPENSION,66.2,25.82,,,0
CDM,1361594570,LABETALOL 100 MG TABLET,4.8,1.87,,,0
CDM,1361595375,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,65.9,25.7,,,0
CDM,1361595427,DILTIAZEM 30 MG TABLET,7.7,3.0,,,0
CDM,1361599776,CHOLECALCIFEROL (VITAMIN D3) 10 MCG/ML (400 UNIT/ML) ORAL DROPS,0.6,0.23,,,0
CDM,1361599961,MISOPROSTOL 200 MCG TABLET,27.6,10.76,,,0
CDM,1361602356,INSULIN GLARGINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,19.6,7.64,,,0
CDM,1361602959,CLORAZEPATE DIPOTASSIUM 7.5 MG TABLET,11.0,4.29,,,0
CDM,1361603625,MEROPENEM 1 GRAM/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK,255.5,99.64,,,0
CDM,1361603820,DIAZEPAM 5 MG/ML INJECTION SOLUTION,30.7,11.97,,,0
CDM,1361604693,ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION,69.9,27.26,,,0
CDM,1361605009,ATORVASTATIN 40 MG TABLET,6.6,2.57,,,0
CDM,1361606715,MAGNESIUM GLUCONATE 27 MG MAGNESIUM (500 MG) TABLET,4.8,1.87,,,0
CDM,1361606730,ISOSORBIDE DINITRATE 10 MG TABLET,5.7,2.22,,,0
CDM,1361607770,"KETAMINE 30 MG/3 ML (10 MG/ML) IN SODIUM CHLOR,ISO-OSMOTIC INJ SYRINGE",31.1,12.13,,,0
CDM,1361607876,BUMETANIDE 20 MG/80 ML (0.25 MG/ML) INFUSION (SIMPLE),74.85,29.19,,,0
CDM,1361608419,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,608.8,237.43,,,0
CDM,1361608681,HYDROCORTISONE SOD SUCCINATE (PF) 250 MG/2 ML SOLUTION FOR INJECTION,72.5,28.28,,,0
CDM,1361610227,"VITAMIN E (DL, ACETATE) 180 MG (400 UNIT) CAPSULE",0.6,0.23,,,0
CDM,1361614006,VANCOMYCIN 1.25 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,160.7,62.67,,,0
CDM,1361614159,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1361614485,BICARBONATE HEMODIALYSIS SOLUTION NO.2 K 2 MEQ-CA 3.5 MEQ-MG 1 MEQ/L,245.4,95.71,,,0
CDM,1361614988,BUPRENORPHINE HCL 150 MCG BUCCAL FILM,138.6,54.05,,,0
CDM,1361615379,IBUPROFEN 800 MG TABLET,4.8,1.87,,,0
CDM,1361615573,STERILE TALC 4 GRAM INTRAPLEURAL AEROSOL POWDER,257.8,100.54,,,0
CDM,1361619651,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1361620631,GLIMEPIRIDE 4 MG TABLET,9.5,3.7,,,0
CDM,1361620811,DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION,183.1,71.41,,,0
CDM,1361625477,MODAFINIL 200 MG TABLET,511.4,199.45,,,0
CDM,1361625773,BUPIVACAINE (PF) 0.125 % (1.25 MG/ML) INJECTION SOLUTION OR MIXTURE (CUSTOM),19.6,7.64,,,0
CDM,1361627546,FENTANYL (PF) 1000 MCG/100 ML NS (10 MCG/ML) PREMIX,192.2,74.96,,,0
CDM,1361627665,PERITONEAL DIALYSIS SOLN 4-1.5 % DEXTR CA+ 3.5 MEQ/L-LOW MAG 0.5 MEQ/L,290.4,113.26,,,0
CDM,1361627950,SUCRALFATE 100 MG/ML ORAL SUSPENSION,63.5,24.76,,,0
CDM,1361628441,CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET,0.6,0.23,,,0
CDM,1361631852,PEDIATRIC MULTIVITAMIN NO.189-FERROUS SULFATE 11 MG/ML ORAL DROPS,4.8,1.87,,,0
CDM,1361632425,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET,40.5,15.794999999999998,,,0
CDM,1361632629,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,31.4,12.25,,,0
CDM,1361637116,FOLIC ACID 1 MG TABLET,4.8,1.87,,,0
CDM,1361639401,SODIUM CHLORIDE 0.9 % BOLUS,53.7,20.94,,,0
CDM,1361641318,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,147.8,57.64,,,0
CDM,1361641485,OXACILLIN 1 GRAM SOLUTION FOR INJECTION,99.8,38.92,,,0
CDM,1361641485,OXACILLIN 2 GRAM SOLUTION FOR INJECTION,299.3,116.73,,,0
CDM,1361641564,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,316.8,123.55,,,0
CDM,1361641950,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",9.7,3.78,,,0
CDM,1361642480,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,53.9,21.02,,,0
CDM,1361644584,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,110.7,43.17,,,0
CDM,1361649463,POTASSIUM CHLORIDE 40 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,53.7,20.94,,,0
CDM,1361651490,"WATER FOR IRRIGATION, STERILE SOLUTION",32.6,12.71,,,0
CDM,1361651536,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,979.2,381.89,,,0
CDM,1361651790,PRAZOSIN 1 MG CAPSULE,27.4,10.69,,,0
CDM,1361653405,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,46.5,18.14,,,0
CDM,1361655447,VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLUTION,39.5,15.4,,,0
CDM,1361655551,ADULT 2-IN-1 PPN,315.0,122.85,,,0
CDM,1361658323,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,975.8,380.56,,,0
CDM,1361659722,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION,23.1,9.01,,,0
CDM,1361659954,ZINC OXIDE 16 % TOPICAL OINTMENT,24.2,9.44,,,0
CDM,1361661833,FENTANYL-ROPIVACAINE-NACL (PF) 2 MCG/ML-0.2 % INJECTION SOLUTION,412.5,160.88,,,0
CDM,1361666849,SENNOSIDES 8.6 MG TABLET,0.6,0.23,,,0
CDM,1361669305,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,124.7,48.63,,,0
CDM,1361670234,HYDROXYZINE HCL 10 MG TABLET,12.0,4.68,,,0
CDM,1361670396,VILAZODONE 20 MG TABLET,174.1,67.9,,,0
CDM,1361670587,CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION,1306.9,509.69,,,0
CDM,1361671545,"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET",4.8,1.87,,,0
CDM,1361672816,DEXTROSE 5 % AND 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1361673148,LACOSAMIDE 50 MG TABLET,352.7,137.55,,,0
CDM,1361673501,LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION,495.9,193.4,,,0
CDM,1361673982,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",12.7,4.95,,,0
CDM,1361674052,INDOMETHACIN 25 MG CAPSULE,6.2,2.42,,,0
CDM,1361674087,TOLVAPTAN 15 MG TABLET,4332.0,1689.48,,,0
CDM,1361674479,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,38.4,14.98,,,0
CDM,1361674866,OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION,337.3,131.55,,,0
CDM,1361678702,CEPHALEXIN 500 MG CAPSULE,10.4,4.06,,,0
CDM,1361680819,PROMETHAZINE 12.5 MG TABLET,4.8,1.87,,,0
CDM,1361681347,CLONAZEPAM 0.5 MG TABLET,5.8,2.26,,,0
CDM,1361681362,TERAZOSIN 2 MG CAPSULE,12.4,4.84,,,0
CDM,1361681474,SODIUM CHLORIDE 3 % IV BOLUS,53.7,20.94,,,0
CDM,1361682843,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,854.0,333.06,,,0
CDM,1361684463,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,101.9,39.74,,,0
CDM,1361687930,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1361688114,HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET,8.5,3.32,,,0
CDM,1361688789,LEVOTHYROXINE 100 MCG/ML INTRAVENOUS SOLUTION,236.7,92.31,,,0
CDM,1361689110,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",4.8,1.87,,,0
CDM,1361689551,METFORMIN 500 MG TABLET,5.4,2.11,,,0
CDM,1361690411,TICAGRELOR 90 MG TABLET,118.9,46.37,,,0
CDM,1361691143,"DOXYLAMINE 10 MG-PYRIDOXINE (VIT B6) 10 MG TABLET,DELAYED RELEASE",113.7,44.34,,,0
CDM,1361693535,OXYBUTYNIN CHLORIDE 5 MG TABLET,5.9,2.3,,,0
CDM,1361693728,WHEAT DEXTRIN 3 GRAM/4 GRAM ORAL POWDER PACKET,5.8,2.26,,,0
CDM,1361694193,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET,4.8,1.87,,,0
CDM,1361694214,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG TABLET,9.9,3.86,,,0
CDM,1361694349,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,254.7,99.33,,,0
CDM,1361695710,GADOTERIDOL 279.3 MG/ML INTRAVENOUS SOLUTION,99.0,38.61,,,0
CDM,1361698993,TOPIRAMATE 25 MG TABLET,4.8,1.87,,,0
CDM,1361702279,KETOROLAC 0.4 % EYE DROPS,559.3,218.13,,,0
CDM,1361703627,HYDROXYUREA 500 MG CAPSULE,4.8,1.87,,,0
CDM,1361707998,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,123.0,47.97,,,0
CDM,1361708352,FOLIC ACID 5 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1361709523,NOREPINEPHRINE BITARTRATE 8 MG/250 ML (32 MCG/ML) IN 0.9 % NACL IV,501.8,195.7,,,0
CDM,1361718806,CEFTRIAXONE 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOT) INTRAVENOUS PIGGYBACK,168.1,65.56,,,0
CDM,1361718838,ALPRAZOLAM 1 MG TABLET,8.9,3.47,,,0
CDM,1361723139,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,3.8,1.48,,,0
CDM,1361725034,DEXTROSE 2.45 GRAM-SOD CITRATE 2.2 GRAM-CITRIC AC 730 MG/100 ML SOLN,55.6,21.68,,,0
CDM,1361726294,OXYCODONE 5 MG TABLET,4.8,1.87,,,0
CDM,1361726410,PAROXETINE 20 MG TABLET,4.8,1.87,,,0
CDM,1361729055,FLUVOXAMINE 100 MG TABLET,40.6,15.83,,,0
CDM,1361730331,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,71.6,27.92,,,0
CDM,1361731028,"PAROXETINE ER 12.5 MG TABLET,EXTENDED RELEASE 24 HR",42.8,16.69,,,0
CDM,1361731028,"PAROXETINE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",44.7,17.43,,,0
CDM,1361731445,DESMOPRESSIN 0.1 MG TABLET,20.2,7.88,,,0
CDM,1361732811,AZITHROMYCIN 250 MG TABLET,32.2,12.56,,,0
CDM,1361733291,GUAIFENESIN 100 MG/5 ML ORAL LIQUID,24.3,9.48,,,0
CDM,1361735700,HYDROXYZINE HCL 10 MG TABLET,12.2,4.76,,,0
CDM,1361738821,EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,537.0,209.43,,,0
CDM,1361742266,PROCHLORPERAZINE MALEATE 10 MG TABLET,10.5,4.1,,,0
CDM,1361742839,AZTREONAM 2 GRAM SOLUTION FOR INJECTION,466.5,181.94,,,0
CDM,1361751240,MIDAZOLAM 1 MG/ML INJ (WRAPPED),1.4,0.55,,,0
CDM,1361754265,LEVOTHYROXINE 137 MCG TABLET,5.6,2.18,,,0
CDM,1361755133,"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",508.2,198.2,,,0
CDM,1361755550,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE",14.9,5.81,,,0
CDM,1361756651,ATORVASTATIN 40 MG TABLET,44.3,17.28,,,0
CDM,1361756862,LIDOCAINE 4 % TOPICAL PATCH,8.4,3.28,,,0
CDM,1361756866,PRAVASTATIN 10 MG TABLET,6.1,2.38,,,0
CDM,1361758419,COLESEVELAM 3.75 GRAM ORAL POWDER PACKET,172.5,67.28,,,0
CDM,1361758420,COLESTIPOL 1 GRAM TABLET,38.4,14.98,,,0
CDM,1361762227,PROCAINAMIDE 100 MG/ML INJECTION SOLUTION,1184.9,462.11,,,0
CDM,1361766622,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,286.5,111.74,,,0
CDM,1361766626,CYCLOBENZAPRINE 5 MG TABLET,25.2,9.83,,,0
CDM,1361769045,LEVOTHYROXINE 20 MCG/ML INTRAVENOUS SOLUTION,142.1,55.42,,,0
CDM,1361774357,MORPHINE 15 MG IMMEDIATE RELEASE TABLET,11.7,4.56,,,0
CDM,1361775148,CYCLOPENTOLATE 1 % EYE DROPS,488.6,190.55,,,0
CDM,1361775750,HYDRALAZINE 10 MG TABLET,4.8,1.87,,,0
CDM,1361776878,DICYCLOMINE 20 MG TABLET,4.8,1.87,,,0
CDM,1361778920,SODIUM CHLORIDE 0.9 % BOLUS,53.7,20.94,,,0
CDM,1361781998,LEVOTHYROXINE 100 MCG TABLET,5.6,2.18,,,0
CDM,1361783002,SODIUM CHLORIDE 0.9 % FOR NEBULIZATION,18.3,7.14,,,0
CDM,1361786983,HEXAMINOLEVULINATE 100 MG INTRAVESICAL SOLUTION,9409.5,3669.7,,,0
CDM,1361790353,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION,569.6,222.14,,,0
CDM,1361791591,EPHEDRINE SULFATE 25 MG/5 ML (5 MG/ML) INTRAVENOUS SYRINGE,64.2,25.04,,,0
CDM,1361800216,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1361800254,SORE THROAT LOZENGE (WRAPPED),4.8,1.87,,,0
CDM,1361804924,OLMESARTAN 20 MG TABLET,48.2,18.8,,,0
CDM,1361805501,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION,130.9,51.05,,,0
CDM,1361807269,EPHEDRINE (PF) 25 MG/5 ML (5 MG/ML) IN 0.9% SODIUM CHLORIDE IV SYRINGE,229.3,89.43,,,0
CDM,1361809875,VANCOMYCIN 1 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE IVPB (PREMIX),81.2,31.67,,,0
CDM,1361810953,ONDANSETRON HCL 8 MG TABLET,4.9,1.91,,,0
CDM,1361813000,CLOTRIMAZOLE 10 MG TROCHE,8.8,3.43,,,0
CDM,1361813048,INDOMETHACIN 25 MG CAPSULE,4.8,1.87,,,0
CDM,1361814015,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1361815310,NEOMYCIN 500 MG TABLET,22.9,8.93,,,0
CDM,1361816451,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,131.6,51.32,,,0
CDM,1361818406,LORATADINE 10 MG TABLET,1.1,0.43,,,0
CDM,1361818639,RITUXIMAB-ARRX 10 MG/ML INTRAVENOUS SOLUTION,22364.2,8722.04,,,0
CDM,1361820068,MOXIFLOXACIN 0.5 % EYE DROPS,1283.6,500.6,,,0
CDM,1361821558,INEBILIZUMAB-CDON 10 MG/ML INTRAVENOUS SOLUTION,913070.1,356097.34,,,0
CDM,1361823070,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1361824319,REMIFENTANIL 1 MG INTRAVENOUS SOLUTION,523.5,204.16,,,0
CDM,1361824793,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,64.1,25.0,,,0
CDM,1361825276,"LIDOCAINE 2%, BUPIVACAINE 0.75%, HYLENEX 150 UNITS IN 10 ML SYRINGE (FOR RETROBULBAR BLOCK)",2391.3,932.61,,,0
CDM,1361828245,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,136.6,53.27,,,0
CDM,1361828877,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1361831650,ATENOLOL 25 MG TABLET,4.8,1.87,,,0
CDM,1361831816,CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION,736.4,287.2,,,0
CDM,1361833372,IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION,221574.5,86414.06,,,0
CDM,1361833989,KETAMINE 100 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1361834299,PANTOPRAZOLE 2 MG/ML ORAL SUSPENSION,4.8,1.87,,,0
CDM,1361834822,ALPRAZOLAM 1 MG TABLET,17.8,6.94,,,0
CDM,1361835081,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,98.3,38.34,,,0
CDM,1361837627,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,0.3,0.12,,,0
CDM,1361838254,"IMMUNE GLOB,GAMM (IGG-PRIVIGEN) 10%-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",6561.6,2559.02,,,0
CDM,1361839347,DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION,78819.7,30739.68,,,0
CDM,1361840032,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,30.8,12.01,,,0
CDM,1361847482,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1361847941,PROGESTERONE MICRONIZED 100 MG CAPSULE,31.9,12.44,,,0
CDM,1361848101,PENTAMIDINE 300 MG SOLUTION FOR INJECTION,698.4,272.38,,,0
CDM,1361849307,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION,477.3,186.15,,,0
CDM,1361853232,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,55.4,21.61,,,0
CDM,1361853699,"ANTI-INHIBITOR COAGULANT COMPLEX 700 UNIT-1,300 UNIT INTRAVENOUS SOLN",0.01,0.0039,,,0
CDM,1361856969,"EPOETIN ALFA-EPBX 10,000 UNIT/ML INJECTION SOLUTION",768.8,299.83,,,0
CDM,1361858459,VANCOMYCIN 1.25 GRAM INTRAVENOUS SOLUTION,206.0,80.34,,,0
CDM,1361859448,DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1361859451,CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) INJECTION SOLUTION,66.0,25.74,,,0
CDM,1361861261,ADULT 2-IN-1 CPN USING CLINIMIX BASE,504.0,196.56,,,0
CDM,1361861621,FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS (MCG CAMPUS),0.6,0.23,,,0
CDM,1361861694,CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION,683.2,266.45,,,0
CDM,1361866494,METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION,4.8,1.87,,,0
CDM,1361866529,METRONIDAZOLE 250 MG TABLET,6.7,2.61,,,0
CDM,1361867822,TRAMADOL 50 MG TABLET,4.8,1.87,,,0
CDM,1361870276,"OXYCODONE ER 20 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",83.2,32.45,,,0
CDM,1361870490,SODIUM ZIRCONIUM CYCLOSILICATE 5 GRAM ORAL POWDER PACKET,220.3,85.92,,,0
CDM,1361871570,DILTIAZEM 30 MG TABLET,4.8,1.87,,,0
CDM,1361872898,DAPTOMYCIN FOR IV PUSH,568.0,221.52,,,0
CDM,1361874292,MUPIROCIN 2 % OINTMENT (WC),39.4,15.37,,,0
CDM,1361875678,MIDAZOLAM 1 MG/ML INJ (WRAPPED),19.6,7.64,,,0
CDM,1361877309,VINCRISTINE 1 MG/ML INTRAVENOUS SOLUTION,118.5,46.22,,,0
CDM,1361878592,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION,5842.9,2278.73,,,0
CDM,1361880091,RIVAROXABAN 15 MG TABLET,153.0,59.67,,,0
CDM,1361880475,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",20.2,7.88,,,0
CDM,1361885123,PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION,72160.4,28142.56,,,0
CDM,1361889674,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL POWDER FOR SUSPENSION,194.4,75.82,,,0
CDM,1361890097,LACTATED RINGERS INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1361890103,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",4934.0,1924.26,,,0
CDM,1361890861,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,6049.9,2359.46,,,0
CDM,1361891041,VORICONAZOLE 200 MG INTRAVENOUS SOLUTION,392.35,153.01999999999998,,,0
CDM,1361901613,"DOPAMINE 400 MG/250 ML (1,600 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN",134.6,52.49,,,0
CDM,1361901660,STUDY PEMBROLIZUMAB 25 MG/ML INTRAVENOUS,0.1,0.04,,,0
CDM,1361901969,FLUCONAZOLE 150 MG TABLET,106.9,41.69,,,0
CDM,1361902580,RIVASTIGMINE 1.5 MG CAPSULE,32.6,12.71,,,0
CDM,1361903030,"NEOMYCIN-BACITRACN ZN-POLYMYXN 3.5 MG-400 UNIT-5,000 UNIT TOP OINT PKT",0.6,0.23,,,0
CDM,1361903152,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,168.2,65.6,,,0
CDM,1361904950,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION,53.0,20.67,,,0
CDM,1361905853,LOSARTAN 25 MG TABLET,12.9,5.03,,,0
CDM,1361906071,DEXMEDETOMIDINE 80 MCG/20 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,277.6,108.26,,,0
CDM,1361906534,VASOPRESSIN 0.2 UNIT/ML D5W INTRAVENOUS SOLUTION,1480.5,577.4,,,0
CDM,1361908921,MODAFINIL 200 MG TABLET,255.7,99.72,,,0
CDM,1361910429,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1361911831,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",8.1,3.16,,,0
CDM,1361912013,IBUPROFEN 800 MG/200 ML (4 MG/ML) INTRAVENOUS PIGGYBACK,258.0,100.62,,,0
CDM,1361912025,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1361912769,LEUCOVORIN CALCIUM 100 MG SOLUTION FOR INJECTION,170.8,66.61,,,0
CDM,1361915568,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,38.8,15.13,,,0
CDM,1361916515,RIFAMPIN 600 MG INTRAVENOUS SOLUTION,1066.5,415.94,,,0
CDM,1361916964,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION,112.7,43.95,,,0
CDM,1361917681,VENLAFAXINE 37.5 MG TABLET,15.4,6.01,,,0
CDM,1361919303,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION,619.2,241.49,,,0
CDM,1361921641,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,60.5,23.6,,,0
CDM,1361924418,LEUPROLIDE 22.5 MG (3 MONTH) SUBCUTANEOUS SYRINGE,8455.7,3297.72,,,0
CDM,1361924504,CHLORPROMAZINE 10 MG TABLET,163.0,63.57,,,0
CDM,1361926808,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1361927390,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,79.6,31.04,,,0
CDM,1361932864,MODAFINIL 100 MG TABLET,338.5,132.02,,,0
CDM,1361934935,"BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOPICAL OINTMENT",27.51,10.73,,,0
CDM,1361935754,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,319.8,124.72,,,0
CDM,1361939812,FLUCONAZOLE 100 MG/50 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,72.85,28.415,,,0
CDM,1361941541,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,576.8,224.95,,,0
CDM,1361943399,PROPARACAINE 0.5 % EYE DROPS,348.5,135.92,,,0
CDM,1361944775,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",457.39,178.38,,,0
CDM,1361945047,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,42.7,16.65,,,0
CDM,1361948957,ZINC SULFATE 50 MG ZINC (220 MG) TABLET,0.6,0.23,,,0
CDM,1361953617,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL CREAM,28.6,11.15,,,0
CDM,1361955942,"ERGOCALCIFEROL (VITAMIN D2) 200 MCG/ML (8,000 UNIT/ML) ORAL DROPS",12.9,5.03,,,0
CDM,1361955943,FLUCONAZOLE 40 MG/ML ORAL SUSPENSION,141.9,55.34,,,0
CDM,1361957222,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,34.1,13.3,,,0
CDM,1361959517,ADULT 2-IN-1 CPN USING CLINIMIX BASE,504.0,196.56,,,0
CDM,1361964923,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,26.3,10.26,,,0
CDM,1361967789,RISPERIDONE 0.25 MG TABLET,4.8,1.87,,,0
CDM,1361972004,"EPOETIN ALFA 20,000 UNIT/2 ML INJECTION SOLUTION",3725.5,1452.94,,,0
CDM,1361975714,MORPHINE 4 MG/ ML INJECTION (WRAPPED),24.6,9.59,,,0
CDM,1361975971,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION,27.8,10.84,,,0
CDM,1361977062,FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION,614.9,239.81,,,0
CDM,1361978821,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,64.1,25.0,,,0
CDM,1361979425,LEVOFLOXACIN 500 MG TABLET,4.8,1.87,,,0
CDM,1361982954,TRASTUZUMAB-DTTB 420 MG INTRAVENOUS SOLUTION,38960.2,15194.48,,,0
CDM,1361986243,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,7.9,3.08,,,0
CDM,1361988513,ENALAPRIL MALEATE 20 MG TABLET,5.4,2.11,,,0
CDM,1361989813,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,111.7,43.56,,,0
CDM,1361993448,DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1361993788,DIAZEPAM 2 MG TABLET,4.8,1.87,,,0
CDM,1361993980,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",135.8,52.96,,,0
CDM,1361994172,HYDROCORTISONE SODIUM SUCCINATE 100 MG SOLUTION FOR INJECTION,77.9,30.38,,,0
CDM,1361995817,AMINOPHYLLINE 500 MG/20 ML INTRAVENOUS SOLUTION,100.0,39.0,,,0
CDM,1362001068,BORTEZOMIB 3.5 MG SOLUTION FOR SUBCUTANEOUS INJ,1620.7,632.07,,,0
CDM,1362002502,NORTRIPTYLINE 10 MG CAPSULE,4.8,1.87,,,0
CDM,1362004334,LEVOTHYROXINE 112 MCG TABLET,5.0,1.95,,,0
CDM,1362007803,MEPERIDINE (PF) 50 MG/ML INJECTION SYRINGE,32.3,12.6,,,0
CDM,1362013516,EPHEDRINE (PF) 25 MG/5 ML (5 MG/ML) IN 0.9% SODIUM CHLORIDE IV SYRINGE,21.1,8.23,,,0
CDM,1362016822,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1362017239,HALOPERIDOL 1 MG TABLET,16.9,6.59,,,0
CDM,1362019899,MULTIVITAMIN-MINERALS-IRON FUMARATE 7.5 MG-FOLIC ACID 400 MCG TABLET,0.6,0.23,,,0
CDM,1362023852,CAMPHOR-MENTHOL 0.5 %-0.5 % LOTION,23.5,9.16,,,0
CDM,1362027202,ROMIPLOSTIM 250 MCG SUBCUTANEOUS SOLUTION,2302.7,898.05,,,0
CDM,1362030858,VIT A 300 MCG-C 200 MG-E 27 MG-LUTEIN 2 MG AND MINERALS TABLET,0.6,0.23,,,0
CDM,1362031608,LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE,66647.2,25992.41,,,0
CDM,1362032746,TRASTUZUMAB-ANNS 420 MG INTRAVENOUS SOLUTION,29195.28,11386.16,,,0
CDM,1362036632,"NEOMY-BACIT-POLYMYX-PRAMOXINE 3.5 MG-500 UNIT-10,000 UNIT/G TOP OINT",30.0,11.7,,,0
CDM,1362038354,CIPROFLOXACIN 500 MG TABLET,4.8,1.87,,,0
CDM,1362038897,OXCARBAZEPINE 150 MG TABLET,11.3,4.404999999999999,,,0
CDM,1362039919,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,94.0,36.66,,,0
CDM,1362043223,MEGESTROL 800 MG/20 ML (20 ML) ORAL SUSPENSION,42.5,16.58,,,0
CDM,1362045329,LANTHANUM 750 MG CHEWABLE TABLET,210.0,81.9,,,0
CDM,1362045335,"PAROXETINE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",44.7,17.43,,,0
CDM,1362048043,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,176.5,68.84,,,0
CDM,1362048423,TIMOLOL MALEATE 0.25 % EYE DROPS,115.1,44.89,,,0
CDM,1362049499,PREDNISONE 50 MG TABLET,8.3,3.24,,,0
CDM,1362051871,PROGESTERONE MICRONIZED 200 MG CAPSULE,243.0,94.77,,,0
CDM,1362056409,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1362056643,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 400 MG-400 MG-40 MG/5 ML ORAL SUSP,0.2,0.08,,,0
CDM,1362057248,HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN,108.2,42.2,,,0
CDM,1362057560,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,50.8,19.81,,,0
CDM,1362059594,DOCUSATE SODIUM 100 MG CAPSULE,0.6,0.23,,,0
CDM,1362060248,LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR,54.0,21.06,,,0
CDM,1362061528,FERROUS SULFATE 300 MG (60 MG IRON)/5 ML ORAL LIQUID,17.3,6.75,,,0
CDM,1362062850,MINOCYCLINE 100 MG CAPSULE,10.2,3.98,,,0
CDM,1362065677,CETIRIZINE 5 MG TABLET,10.6,4.13,,,0
CDM,1362067336,SODIUM TETRADECYL SULFATE 3 % (30 MG/ML) INTRAVENOUS SOLUTION,3267.3,1274.25,,,0
CDM,1362068934,AMITRIPTYLINE 50 MG TABLET,9.8,3.82,,,0
CDM,1362069580,FENTANYL 50 MCG/HR TRANSDERMAL PATCH,202.2,78.86,,,0
CDM,1362071207,MELATONIN 5 MG TABLET,4.8,1.87,,,0
CDM,1362072309,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1362072825,CLOBAZAM 2.5 MG/ML ORAL SUSPENSION,149.7,58.38,,,0
CDM,1362072837,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,68.3,26.64,,,0
CDM,1362075806,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,333.1,129.91,,,0
CDM,1362076785,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION,65.8,25.66,,,0
CDM,1362077732,AMITRIPTYLINE 75 MG TABLET,6.800000000000001,2.6550000000000002,,,0
CDM,1362078762,SIMETHICONE 125 MG CHEWABLE TABLET,0.6,0.23,,,0
CDM,1362080020,KETOTIFEN 0.025 % (0.035 %) EYE DROPS,44.9,17.51,,,0
CDM,1362080101,PREDNISOLONE 15 MG/5 ML ORAL SOLUTION,71.5,27.88,,,0
CDM,1362082406,FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET,39.6,15.44,,,0
CDM,1362083317,CYANOCOBALAMIN (VIT B-12) 500 MCG TABLET,1.7,0.66,,,0
CDM,1362083965,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION,23.1,9.01,,,0
CDM,1362085224,TOLTERODINE 2 MG TABLET,13.1,5.11,,,0
CDM,1362085936,"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE",248.6,96.95,,,0
CDM,1362085942,"CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE",13.9,5.42,,,0
CDM,1362086645,VENLAFAXINE 25 MG TABLET,15.0,5.85,,,0
CDM,1362086755,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,344.7,134.43,,,0
CDM,1362086990,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE",102.7,40.05,,,0
CDM,1362087177,HYDROMORPHONE 2 MG/ML INJECTION (WRAPPED),19.6,7.64,,,0
CDM,1362087628,PIMAVANSERIN 34 MG CAPSULE,1309.1,510.55,,,0
CDM,1362089097,POTASSIUM CHLORIDE 20 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS,77.2,30.11,,,0
CDM,1362095750,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,23.7,9.24,,,0
CDM,1362100647,ENALAPRIL MALEATE 10 MG TABLET,13.3,5.19,,,0
CDM,1362111337,METOLAZONE 5 MG TABLET,9.1,3.55,,,0
CDM,1362119361,SODIUM CHLORIDE 0.65 % NASAL SPRAY AEROSOL,7.1,2.77,,,0
CDM,1362125857,FERROUS SULFATE 300 MG (60 MG IRON)/5 ML ORAL LIQUID,17.3,6.75,,,0
CDM,1362127734,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION,365.3,142.47,,,0
CDM,1362136189,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION,38.6,15.05,,,0
CDM,1362136303,NEBIVOLOL 10 MG TABLET,18.2,7.1,,,0
CDM,1362137455,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,96.2,37.52,,,0
CDM,1362139443,CHLORTHALIDONE 25 MG TABLET,9.3,3.63,,,0
CDM,1362139444,CLOBETASOL 0.05 % TOPICAL CREAM,511.0,199.29000000000002,,,0
CDM,1362140067,"CALCIUM ACETATE 952 MG-ALUMINUM SULFATE 1,347 MG TOPICAL POWDER PACKET",2.1,0.82,,,0
CDM,1362140067,ZINC OXIDE 20 % TOPICAL OINTMENT,6.4,2.5,,,0
CDM,1362141841,"NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE",23.3,9.09,,,0
CDM,1362147011,RASAGILINE 1 MG TABLET,191.8,74.8,,,0
CDM,1362158125,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,39.2,15.29,,,0
CDM,1362159701,CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION,46.2,18.02,,,0
CDM,1362160074,MORPHINE 2 MG/ML INJECTION (WRAPPED),44.1,17.2,,,0
CDM,1362162748,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET,0.6,0.23,,,0
CDM,1362165594,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE",70.1,27.34,,,0
CDM,1362165763,HYDROXYZINE HCL 25 MG TABLET,7.1,2.77,,,0
CDM,1362167469,"HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV",94.0,36.66,,,0
CDM,1362174092,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,46.4,18.1,,,0
CDM,1362179740,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP,3.7,1.44,,,0
CDM,1362180325,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",2509.2,978.59,,,0
CDM,1362182716,WHITE PETROLATUM 41 % TOPICAL OINTMENT,108.9,42.47,,,0
CDM,1362183005,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,596.5,232.64,,,0
CDM,1362183009,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE",136.9,53.39,,,0
CDM,1362183129,SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION,117.3,45.75,,,0
CDM,1362185607,NEBIVOLOL 2.5 MG TABLET,69.55,27.125,,,0
CDM,1362185810,LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION,201.8,78.7,,,0
CDM,1362186365,"ACAMPROSATE 333 MG TABLET,DELAYED RELEASE",21.3,8.31,,,0
CDM,1362186403,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (WRAPPED),0.6,0.23,,,0
CDM,1362189396,ESCITALOPRAM 5 MG TABLET,63.7,24.84,,,0
CDM,1362193358,MONTELUKAST 5 MG CHEWABLE TABLET,43.4,16.93,,,0
CDM,1362196018,RIFAXIMIN 20 MG/ML ORAL SUSPENSION,87.6,34.16,,,0
CDM,1362197145,INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION,207.7,81.0,,,0
CDM,1362198060,VANCOMYCIN 1.75 GRAM/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,132.4,51.64,,,0
CDM,1362199935,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,81.2,31.67,,,0
CDM,1362200986,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,39.3,15.33,,,0
CDM,1362208922,VANCOMYCIN 750 MG/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,70.5,27.5,,,0
CDM,1362209865,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1362211353,COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION,737.5,287.62,,,0
CDM,1362213300,"POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION",163.3,63.69,,,0
CDM,1362214481,"POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION",194.6,75.89,,,0
CDM,1362219132,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,23.6,9.2,,,0
CDM,1362222391,SARGRAMOSTIM 250 MCG SOLUTION FOR INJECTION,860.0,335.4,,,0
CDM,1362226339,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,37.3,14.55,,,0
CDM,1362230202,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1362233039,VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION,65238.6,25443.05,,,0
CDM,1362234592,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,41.0,15.99,,,0
CDM,1362236306,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,76.0,29.64,,,0
CDM,1362237764,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",10.0,3.9,,,0
CDM,1362238841,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,701.9,273.74,,,0
CDM,1362238982,HYDRALAZINE 50 MG TABLET,4.8,1.87,,,0
CDM,1362239137,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION,1115.2,434.93,,,0
CDM,1362240276,DICYCLOMINE 10 MG CAPSULE,4.8,1.87,,,0
CDM,1362245817,LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR,15.3,5.97,,,0
CDM,1362246432,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,76.1,29.68,,,0
CDM,1362246432,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1362247286,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,141.1,55.03,,,0
CDM,1362247871,BISACODYL 10 MG RECTAL SUPPOSITORY,0.6,0.23,,,0
CDM,1362248225,"POTASSIUM PHOSPHATE, MONOBASIC 500 MG SOLUBLE TABLET",4.8,1.87,,,0
CDM,1362248428,FLUOROURACIL 500 MG/10 ML INTRAVENOUS SOLUTION,171.7,66.96,,,0
CDM,1362248740,SODIUM CHLORIDE 0.9% 3000 ML IRRIGATION SOLUTION,84.2,32.84,,,0
CDM,1362250225,NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN DEXTROSE 5 % IV,192.2,74.96,,,0
CDM,1362252597,NIVOLUMAB 100 MG/10 ML INTRAVENOUS SOLUTION,40494.0,15792.66,,,0
CDM,1362252851,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",31.1,12.13,,,0
CDM,1362254387,FLUDARABINE 50 MG/2 ML INTRAVENOUS SOLUTION,2035.9,794.0,,,0
CDM,1362257300,LEUCOVORIN CALCIUM 200 MG SOLUTION FOR INJECTION,646.0,251.94,,,0
CDM,1362258090,TRABECTEDIN 1 MG INTRAVENOUS SOLUTION,51338.0,20021.82,,,0
CDM,1362260785,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,165.0,64.35,,,0
CDM,1362261972,CIPROFLOXACIN 0.2 % EAR DROPS IN A DROPPERETTE,23.5,9.16,,,0
CDM,1362265900,PACLITAXEL PROTEIN-BOUND 100 MG INTRAVENOUS SUSPENSION,18071.1,7047.73,,,0
CDM,1362266272,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,163.4,63.73,,,0
CDM,1362268654,MITOMYCIN 40 MG INTRAVENOUS SOLUTION,7887.0,3075.93,,,0
CDM,1362271881,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1362273183,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,36.9,14.39,,,0
CDM,1362275942,OXCARBAZEPINE 600 MG TABLET,37.1,14.47,,,0
CDM,1362277709,PERITON.DIALYSIS SOLN 6-1.5 % DEXTROS LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,324.6,126.59,,,0
CDM,1362285053,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",38.5,15.02,,,0
CDM,1362285512,MITOMYCIN 20 MG INTRAVENOUS SOLUTION,2780.0,1084.2,,,0
CDM,1362285518,LEUPROLIDE 30 MG (PEDIATRIC 3 MONTH) INTRAMUSCULAR SYRINGE KIT,81105.8,31631.26,,,0
CDM,1362288197,METHYLPREDNISOLONE 4 MG TABLET,101.3,39.51,,,0
CDM,1362288654,DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION,185.8,72.46,,,0
CDM,1362289056,ENFORTUMAB VEDOTIN-EJFV 20 MG INTRAVENOUS SOLUTION,17528.2,6836.0,,,0
CDM,1362290325,PEMETREXED DISODIUM 25 MG/ML INTRAVENOUS SOLUTION,5054.4,1971.22,,,0
CDM,1362292436,DUPILUMAB 300 MG/2 ML SUBCUTANEOUS PEN INJECTOR,0.01,0.0039,,,0
CDM,1362294271,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,83.3,32.49,,,0
CDM,1362294647,HYPROMELLOSE 2.5 % EYE DROPS,62.4,24.34,,,0
CDM,1362294972,DIPHENHYDRAMINE 25 MG TABLET,0.6,0.23,,,0
CDM,1362295488,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,241.2,94.07,,,0
CDM,1362296115,DOXORUBICIN 50 MG INTRAVENOUS SOLUTION,1641.4,640.15,,,0
CDM,1362297784,ROMIPLOSTIM 125 MCG SUBCUTANEOUS SOLUTION,8443.09,3292.81,,,0
CDM,1362298211,SODIUM CHLORIDE 7 % FOR NEBULIZATION,4.8,1.87,,,0
CDM,1362300751,OFLOXACIN 0.3 % EAR DROPS,1206.8,470.65,,,0
CDM,1362306387,"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION",53.7,20.94,,,0
CDM,1362307447,VERICIGUAT 2.5 MG TABLET,354.6,138.29,,,0
CDM,1362307607,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1362307616,DACARBAZINE 200 MG INTRAVENOUS SOLUTION,276.9,107.99,,,0
CDM,1362316592,NEOMYCIN-BACITRACIN-POLYMYCIN TOPICAL OINTMENT (WRAPPED),19.3,7.53,,,0
CDM,1362320602,TOPOTECAN 4 MG/4 ML (1 MG/ML) INTRAVENOUS SOLUTION,864.7,337.23,,,0
CDM,1362321068,MINERAL OIL,13.1,5.11,,,0
CDM,1362324273,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1362325753,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION,141.0,54.99,,,0
CDM,1362325756,IMMUNE GLOB G 20 GRAM/200 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,17004.1,6631.6,,,0
CDM,1362326072,PREGABALIN 25 MG CAPSULE,6.0,2.34,,,0
CDM,1362326083,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION,22.3,8.7,,,0
CDM,1362327634,METHADONE 5 MG/5 ML ORAL SOLUTION,4.8,1.87,,,0
CDM,1362332122,LEUCOVORIN CALCIUM 200 MG SOLUTION FOR INJECTION,184.6,71.99,,,0
CDM,1362334167,HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET,9.3,3.63,,,0
CDM,1362335742,RIVAROXABAN 10 MG TABLET,153.0,59.67,,,0
CDM,1362336079,OXYCODONE-ACETAMINOPHEN 7.5 MG-325 MG TABLET,20.9,8.15,,,0
CDM,1362336567,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE,345.4,134.71,,,0
CDM,1362337130,GLYCERIN (ADULT) RECTAL SUPPOSITORY,0.6,0.23,,,0
CDM,1362344338,ALPRAZOLAM 0.25 MG TABLET,10.7,4.17,,,0
CDM,1362347308,SODIUM BICARBONATE 650 MG TABLET,0.6,0.23,,,0
CDM,1362348917,LISINOPRIL 20 MG TABLET,10.2,3.98,,,0
CDM,1362348982,PYRIDOSTIGMINE BROMIDE 60 MG TABLET,15.5,6.04,,,0
CDM,1362349601,PRASUGREL HCL 10 MG TABLET,704.2,274.64,,,0
CDM,1362353370,DOXEPIN 10 MG CAPSULE,4.8,1.87,,,0
CDM,1362354595,"LEVETIRACETAM 1,500 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",761.0,296.79,,,0
CDM,1362355062,THROMBIN(HUMAN)-FIBRINOGEN-APROTININ SYN-CALCIUM 4 ML TOPICAL SYRINGE,2171.7,846.96,,,0
CDM,1362359009,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,25.7,10.02,,,0
CDM,1362359174,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK,7000.7,2730.27,,,0
CDM,1362365821,SILVER NITRATE APPLICATORS 75 %-25 % TOPICAL STICK,11.58,4.52,,,0
CDM,1362366865,BETHANECHOL CHLORIDE 10 MG TABLET,15.4,6.01,,,0
CDM,1362367941,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1362368311,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID,24.3,9.48,,,0
CDM,1362370123,LACOSAMIDE 10 MG/ML ORAL SOLUTION,206.1,80.38,,,0
CDM,1362370425,DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS,517.7,201.9,,,0
CDM,1362370698,BACLOFEN 20 MG TABLET,5.2,2.03,,,0
CDM,1362371109,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",59.1,23.05,,,0
CDM,1362371965,IRINOTECAN LIPOSOMAL 4.3 MG/ML INTRAVENOUS,48960.29,19094.51,,,0
CDM,1362373220,TOCILIZUMAB 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION,0.01,0.0039,,,0
CDM,1362376462,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,85.0,33.15,,,0
CDM,1362380727,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",23.32,9.09,,,0
CDM,1362383099,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,59.8,23.32,,,0
CDM,1362385541,FERUMOXYTOL 510 MG/17 ML (30 MG/ML) INTRAVENOUS SOLUTION,7572.4,2953.24,,,0
CDM,1362389304,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,19.6,7.64,,,0
CDM,1362392062,OXYCODONE-ACETAMINOPHEN 7.5 MG-325 MG TABLET,20.9,8.15,,,0
CDM,1362392796,GUAIFENESIN 100 MG/5 ML ORAL LIQUID,15.7,6.12,,,0
CDM,1362395357,DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION,264.0,102.96,,,0
CDM,1362396462,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,694.2,270.74,,,0
CDM,1362397352,"NYSTATIN 100,000 UNIT/GRAM TOPICAL OINTMENT",134.3,52.38,,,0
CDM,1362398337,ATORVASTATIN 40 MG TABLET,44.3,17.28,,,0
CDM,1362398955,SUMATRIPTAN 50 MG TABLET,192.9,75.23,,,0
CDM,1362400230,"PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE",37.0,14.43,,,0
CDM,1362400922,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,63.9,24.92,,,0
CDM,1362403183,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,48.6,18.95,,,0
CDM,1362403303,ARTESUNATE 110 MG INTRAVENOUS SOLUTION,58377.0,22767.03,,,0
CDM,1362406788,ATORVASTATIN 80 MG TABLET,42.2,16.46,,,0
CDM,1362408081,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,31.1,12.13,,,0
CDM,1362409845,CEFTAROLINE FOSAMIL 400 MG INTRAVENOUS SOLUTION,897.3,349.95,,,0
CDM,1362410141,MUPIROCIN 2 % TOPICAL OINTMENT,327.9,127.88,,,0
CDM,1362410976,GEMCITABINE 2000MG/52.6ML (GEMZAR) FOR BLADDER/INTRAVESICAL (SPLIT SY),415.5,162.04,,,0
CDM,1362419853,"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION",53.7,20.94,,,0
CDM,1362424078,ADULT 2-IN-1 PPN,315.0,122.85,,,0
CDM,1362425004,"DINOPROSTONE ER 10 MG VAGINAL INSERT,CONTROLLED RELEASE",4219.9,1645.76,,,0
CDM,1362425510,"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV",234.9,91.61,,,0
CDM,1362426265,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1362429016,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,19.6,7.64,,,0
CDM,1362430337,"BACITRACIN-POLYMYXIN B 500 UNIT-10,000 UNIT/GRAM EYE OINTMENT",121.2,47.27,,,0
CDM,1362433120,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION,447.2,174.41,,,0
CDM,1362436224,CARBAMAZEPINE 200 MG TABLET,12.3,4.8,,,0
CDM,1362437186,"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR",4.5,1.76,,,0
CDM,1362437913,POTASSIUM CHLORIDE 40 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,63.1,24.61,,,0
CDM,1362441614,CALCIUM 500 MG (AS CARBONATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET,0.6,0.23,,,0
CDM,1362441789,CALCIUM GLUCONATE 3 GRAM/100 ML IN NS IVPB (SIMPLE),698.4,272.38,,,0
CDM,1362442887,CHLORDIAZEPOXIDE 5 MG CAPSULE,6.3,2.46,,,0
CDM,1362444619,AMPICILLIN 2 GRAM INTRAVENOUS SOLUTION,296.8,115.75,,,0
CDM,1362447318,CYPROHEPTADINE 4 MG TABLET,8.2,3.2,,,0
CDM,1362448823,HYDROCORTISONE 1 % TOPICAL CREAM,11.2,4.37,,,0
CDM,1362452553,MORPHINE (PF) 30 MG/30 ML (1 MG/ML) PCA INTRAVENOUS SOLUTION,119.7,46.68,,,0
CDM,1362456778,PREDNISONE 20 MG TABLET,4.8,1.87,,,0
CDM,1362457094,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,45.8,17.86,,,0
CDM,1362458133,SACUBITRIL 97 MG-VALSARTAN 103 MG TABLET,59.3,23.13,,,0
CDM,1362459966,VIT A 300 MCG-C 200 MG-E 27 MG-LUTEIN 2 MG AND MINERALS TABLET,0.6,0.23,,,0
CDM,1362461864,ZINC OXIDE 20 % TOPICAL OINTMENT,2.1,0.82,,,0
CDM,1362462269,INSULIN ASPAR PRT-INSULIN ASPART 100 UNIT/ML (70-30) SUBCUTANEOUS SOLN,19.6,7.64,,,0
CDM,1362464055,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION",12.7,4.95,,,0
CDM,1362466381,"ASPIRIN 81 MG TABLET,DELAYED RELEASE",0.6,0.23,,,0
CDM,1362467487,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,51.5,20.08,,,0
CDM,1362470712,GALANTAMINE 4 MG TABLET,56.7,22.115000000000002,,,0
CDM,1362476098,MELATONIN 3 MG TABLET,4.8,1.87,,,0
CDM,1362477285,PREGABALIN 75 MG CAPSULE,5.9,2.3,,,0
CDM,1362477363,CEFEPIME 1 GRAM SOLUTION FOR INJECTION,173.7,67.74,,,0
CDM,1362479170,IOPAMIDOL 250 MG IODINE/ML (51 %) INTRAVENOUS SOLUTION,627.0,244.53,,,0
CDM,1362479925,SUMATRIPTAN 100 MG TABLET,192.9,75.23,,,0
CDM,1362481862,CARBAMAZEPINE 100 MG CHEWABLE TABLET,4.8,1.87,,,0
CDM,1362482851,SERTRALINE 100 MG TABLET,4.8,1.87,,,0
CDM,1362484323,NOREPINEPHRINE BITARTRATE 8 MG/250 ML (32 MCG/ML) IN 0.9 % NACL IV,19.6,7.64,,,0
CDM,1362484341,VANCOMYCIN 2 GRAM/400 ML IN DILUENT COMBINATION IV PIGGYBACK,239.2,93.29,,,0
CDM,1362485882,DIBUCAINE 1 % TOPICAL OINTMENT,46.0,17.94,,,0
CDM,1362486106,AMLODIPINE 10 MG TABLET,18.3,7.14,,,0
CDM,1362488313,MIDAZOLAM 1 MG/ML INJ (WRAPPED),19.6,7.64,,,0
CDM,1362489925,"METHYLPREDNISOLONE SOD SUCC (PF) 1,000 MG/8 ML INTRAVENOUS SOLUTION",588.6,229.55,,,0
CDM,1362491405,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,31.0,12.09,,,0
CDM,1362491496,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,87.8,34.24,,,0
CDM,1362492211,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM,68.9,26.87,,,0
CDM,1362506365,DORAVIRINE 100 MG TABLET,470.5,183.5,,,0
CDM,1362508536,"RISPERIDONE MICROSPHERES ER 50 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEASE",4498.0,1754.22,,,0
CDM,1362508816,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,54.7,21.33,,,0
CDM,1362509354,"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE",10.9,4.25,,,0
CDM,1362512534,SODIUM NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION,256.2,99.92,,,0
CDM,1362514262,DRONABINOL 5 MG CAPSULE,103.9,40.52,,,0
CDM,1362516313,CYCLOSPORINE 0.05 % EYE DROPS IN A DROPPERETTE,82.6,32.21,,,0
CDM,1362519992,TAMSULOSIN 0.4 MG CAPSULE,32.4,12.64,,,0
CDM,1362519997,MULTIVIT-MINS-FERROUS GLUCONATE 9 MG IRON/15 ML (15 ML) ORAL LIQUID,1.5,0.58,,,0
CDM,1362523307,ALPRAZOLAM 0.5 MG TABLET,4.8,1.87,,,0
CDM,1362523511,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,10.7,4.17,,,0
CDM,1362524814,KETOROLAC 0.5 % EYE DROPS,809.2,315.59,,,0
CDM,1362525078,"DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION",529.3,206.43,,,0
CDM,1362526374,COLESTIPOL 1 GRAM TABLET,9.5,3.7,,,0
CDM,1362528089,WHITE PETROLATUM 41 % TOPICAL OINTMENT,36.4,14.2,,,0
CDM,1362528529,FLECAINIDE 50 MG TABLET,62.2,24.26,,,0
CDM,1362528530,OXYCODONE 5 MG TABLET,4.8,1.87,,,0
CDM,1362529282,LABETALOL 100 MG TABLET,9.5,3.7,,,0
CDM,1362548417,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET,0.9,0.35,,,0
CDM,1362549731,LETROZOLE 2.5 MG TABLET,4.8,1.87,,,0
CDM,1362550071,"MESALAMINE 1.2 GRAM TABLET,DELAYED RELEASE",215.4,84.01,,,0
CDM,1362552302,MEMANTINE 10 MG TABLET,46.8,18.25,,,0
CDM,1362554681,DRONEDARONE 400 MG TABLET,103.6,40.4,,,0
CDM,1362555351,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,27.2,10.61,,,0
CDM,1362556201,MEPERIDINE (PF) 50 MG/ML INJECTION SOLUTION,22.6,8.81,,,0
CDM,1362561843,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.125 %-NACL INJECTION SOLUTION,19.6,7.64,,,0
CDM,1362562439,ARGATROBAN 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,1380.1,538.24,,,0
CDM,1362562475,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",61.5,23.98,,,0
CDM,1362565281,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER",148.8,58.03,,,0
CDM,1362567408,CARVEDILOL 3.125 MG TABLET,16.0,6.24,,,0
CDM,1362568916,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,155.4,60.61,,,0
CDM,1362568968,"DILTIAZEM 180 MG CAPSULE, EXTENDED RELEASE (WRAPPED)",14.4,5.62,,,0
CDM,1362568972,CLOBETASOL 0.05 % TOPICAL CREAM,983.6,383.6,,,0
CDM,1362572158,ALBUTEROL SULFATE 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,13.5,5.26,,,0
CDM,1362575444,LORATADINE 5 MG/5 ML ORAL SOLUTION,1.6,0.62,,,0
CDM,1362575516,TIMOLOL MALEATE 0.25 % EYE DROPS,27.5,10.72,,,0
CDM,1362575611,SIMETHICONE 80 MG CHEWABLE TABLET,0.6,0.23,,,0
CDM,1362575729,MEMANTINE 5 MG TABLET,46.9,18.29,,,0
CDM,1362578443,ONDANSETRON 4 MG DISINTEGRATING TABLET,173.1,67.51,,,0
CDM,1362581548,"DILTIAZEM 240 MG CAPSULE, EXTENDED RELEASE (WRAPPED)",11.0,4.29,,,0
CDM,1362586063,LACOSAMIDE 50 MG TABLET,165.0,64.35,,,0
CDM,1362586839,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION,287.0,111.93,,,0
CDM,1362587998,CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION,5576.0,2174.64,,,0
CDM,1362588597,POTASSIUM PHOSPHATE 45 MMOL IN 250 ML NS IVPB (SIMPLE),103.7,40.44,,,0
CDM,1362591296,HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET,7.4,2.89,,,0
CDM,1362592118,CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET,3.8,1.48,,,0
CDM,1362594905,ONE-STEP ONLY - BUPIVACAINE-MELOXICAM ER 28.571 MG-0.857 MG/ML SURGICAL SITE INSTILL SOLN,1618.8,631.33,,,0
CDM,1362595939,GABAPENTIN 600 MG TABLET,4.8,1.87,,,0
CDM,1362597099,CIPROFLOXACIN 0.3 % EYE DROPS,192.0,74.88,,,0
CDM,1362598128,HYDROCORTISONE SODIUM SUCCINATE 100 MG SOLUTION FOR INJECTION,67.1,26.17,,,0
CDM,1362600791,SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1362601664,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,1320.7,515.07,,,0
CDM,1362605824,"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN NS",153.8,59.98,,,0
CDM,1362607947,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,15.0,5.85,,,0
CDM,1362609763,"OXYCODONE ER 10 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",44.7,17.43,,,0
CDM,1362611883,DOFETILIDE 125 MCG CAPSULE,149.5,58.3,,,0
CDM,1362612741,PROPRANOLOL 20 MG TABLET,4.8,1.87,,,0
CDM,1362618277,NORGESTREL 0.3 MG-ETHINYL ESTRADIOL 30 MCG TABLET,8.4,3.28,,,0
CDM,1362629000,PREDNISONE 5 MG/5 ML ORAL SOLUTION,30.7,11.97,,,0
CDM,1362631241,OLMESARTAN 40 MG TABLET,73.7,28.74,,,0
CDM,1362635551,LEUPROLIDE 22.5 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT,40178.7,15669.69,,,0
CDM,1362636115,LIDOCAINE 5 % TOPICAL OINTMENT,2301.0,897.39,,,0
CDM,1362637908,MISOPROSTOL 100 MCG TABLET,19.1,7.45,,,0
CDM,1362638542,PEGFILGRASTIM-CBQV 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUT INJECTOR,29099.8,11348.92,,,0
CDM,1362641193,"CIPROFLOXACIN 0.3 %-DEXAMETHASONE 0.1 % EAR DROPS,SUSPENSION",2063.4,804.73,,,0
CDM,1362641687,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,30.8,12.01,,,0
CDM,1362651970,LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE,56.5,22.04,,,0
CDM,1362652253,CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION,1578.8,615.73,,,0
CDM,1362655804,CLINDAMYCIN 2 % VAGINAL CREAM,999.6,389.84,,,0
CDM,1362657126,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION,378.0,147.42,,,0
CDM,1362659222,"BUPIVACAINE 0.5 %-EPINEPHRINE BITARTRATE 1:200,000 INJECTION,CARTRIDGE",56.1,21.88,,,0
CDM,1362660590,DOCETAXEL 80 MG/8 ML (10 MG/ML) INTRAVENOUS SOLUTION,15631.2,6096.17,,,0
CDM,1362662114,EPHEDRINE (PF) 25 MG/5 ML (5 MG/ML) IN 0.9% SODIUM CHLORIDE IV SYRINGE,239.2,93.29,,,0
CDM,1362664559,CLARITHROMYCIN 500 MG TABLET,46.2,18.02,,,0
CDM,1362665057,TARLATAMAB-DLLE 10 MG INTRAVENOUS SOLUTION,93606.74,36506.63,,,0
CDM,1362666382,RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION,448362.0,174861.18,,,0
CDM,1362666910,DOXORUBICIN 10 MG/5 ML INTRAVENOUS SOLUTION,66.0,25.74,,,0
CDM,1362666926,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1362667739,AZACITIDINE 100 MG SOLUTION FOR INJECTION,557.2,217.31,,,0
CDM,1362672683,BEVACIZUMAB-BVZR 25 MG/ML INTRAVENOUS SOLUTION,1799.0,701.61,,,0
CDM,1362673480,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION",15.7,6.12,,,0
CDM,1362679465,ACETIC ACID (BULK) 3 % LIQUID,4.8,1.87,,,0
CDM,1362683452,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,376.7,146.91,,,0
CDM,1362683716,"IMMUNE GLOB,GAMM(IGG)10 %-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION",81235.4,31681.81,,,0
CDM,1362686396,PEMETREXED DISODIUM 100 MG INTRAVENOUS POWDER FOR SOLUTION,187.7,73.2,,,0
CDM,1362686468,CYCLOBENZAPRINE 5 MG TABLET,12.6,4.91,,,0
CDM,1362689289,OXYCODONE 15 MG TABLET,14.4,5.62,,,0
CDM,1362690467,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,315.1,122.89,,,0
CDM,1362692831,"VENLAFAXINE ER 75 MG TABLET,EXTENDED RELEASE 24 HR",53.1,20.71,,,0
CDM,1362704014,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION",49.5,19.3,,,0
CDM,1362705344,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",137.7,53.7,,,0
CDM,1362707453,GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION,132.0,51.48,,,0
CDM,1362708193,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION,1233.7,481.14,,,0
CDM,1362710702,PIOGLITAZONE 15 MG TABLET,53.8,20.98,,,0
CDM,1362710705,NEBIVOLOL 5 MG TABLET,43.6,17.0,,,0
CDM,1362710706,GLIPIZIDE 10 MG TABLET,4.8,1.87,,,0
CDM,1362711725,CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION,43.6,17.0,,,0
CDM,1362712718,FUROSEMIDE 2 MG/ML IN NS IV SYRINGE (NEONATE)SIMPLE,19.6,7.64,,,0
CDM,1362713693,INDAPAMIDE 2.5 MG TABLET,6.0,2.34,,,0
CDM,1362714226,FLAVOXATE 100 MG TABLET,16.6,6.47,,,0
CDM,1362714693,INCOBOTULINUMTOXINA 100 UNIT INTRAMUSCULAR SOLUTION,3561.7,1389.06,,,0
CDM,1362717419,CEFUROXIME SODIUM 750 MG SOLUTION FOR INJECTION,19.6,7.64,,,0
CDM,1362723020,DUPILUMAB 300 MG/2 ML SUBCUTANEOUS SYRINGE,0.01,0.0039,,,0
CDM,1362724302,METOCLOPRAMIDE 5 MG TABLET,10.6,4.13,,,0
CDM,1362727667,RISPERIDONE 1 MG TABLET,4.8,1.87,,,0
CDM,1362728297,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,77.2,30.11,,,0
CDM,1362729572,DIPHENHYDRAMINE 25 MG CAPSULE,0.6,0.23,,,0
CDM,1362729731,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,82.8,32.29,,,0
CDM,1362730565,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,32.6,12.71,,,0
CDM,1362732696,SODIUM DI- AND MONOPHOSPHATE-POTASSIUM PHOS MONOBASIC 250 MG TABLET,6.5,2.54,,,0
CDM,1362732699,ACYCLOVIR 5 % TOPICAL OINTMENT,3058.9,1192.97,,,0
CDM,1362736170,NICARDIPINE 20 MG/200 ML(0.1 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN,854.0,333.06,,,0
CDM,1362739782,ADULT CYCLIC 2-IN-1 CPN,504.0,196.56,,,0
CDM,1362743616,CRIZANLIZUMAB-TMCA 10 MG/ML INTRAVENOUS SOLUTION,0.01,0.0039,,,0
CDM,1362743674,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,106.3,41.46,,,0
CDM,1362744169,METHYLPREDNISOLONE 4 MG TABLET,12.7,4.95,,,0
CDM,1362744302,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE,173.0,67.47,,,0
CDM,1362745473,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,27.2,10.61,,,0
CDM,1362745953,BISOPROLOL 10 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET,27.5,10.72,,,0
CDM,1362746666,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",116.5,45.44,,,0
CDM,1362750804,BENZONATATE 100 MG CAPSULE,19.2,7.49,,,0
CDM,1362757433,OSELTAMIVIR 75 MG CAPSULE,118.6,46.25,,,0
CDM,1362757632,METHADONE 10 MG TABLET,47.2,18.41,,,0
CDM,1362759225,WARFARIN 5 MG TABLET,5.0,1.95,,,0
CDM,1362759574,POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,1362765261,OMALIZUMAB 300 MG/2 ML SUBCUTANEOUS AUTO-INJECTOR,0.01,0.0039,,,0
CDM,1362766357,BUPRENORPHINE 5 MCG/HOUR WEEKLY TRANSDERMAL PATCH,586.9,228.89,,,0
CDM,1362771637,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION,32.0,12.48,,,0
CDM,1362775163,RISPERIDONE 1 MG TABLET,34.9,13.61,,,0
CDM,1362775268,POTASSIUM CHLORIDE 40 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,63.1,24.61,,,0
CDM,1362776111,ROPINIROLE 2 MG TABLET,19.2,7.49,,,0
CDM,1362776155,ANASTROZOLE 1 MG TABLET,102.1,39.82,,,0
CDM,1362776163,LEVOTHYROXINE 88 MCG TABLET,4.8,1.87,,,0
CDM,1362776221,DAPAGLIFLOZIN PROPANEDIOL 10 MG TABLET,169.7,66.18,,,0
CDM,1362776337,ONE-STEP ONLY - MILRINONE 200 MCG/ML INJECTION FROM BAG,129.9,50.66,,,0
CDM,1362776573,ADULT 2-IN-1 CPN USING CLINIMIX BASE,504.0,196.56,,,0
CDM,1362779594,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,92.0,35.88,,,0
CDM,1362779870,TRASTUZUMAB-ANNS 150 MG INTRAVENOUS SOLUTION,2546.1,992.98,,,0
CDM,1362782873,PNEUMOCOCCAL 13-VAL CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE,1573.0,613.47,,,0
CDM,1362790091,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE,946.6,369.17,,,0
CDM,1362792815,ROPINIROLE 1 MG TABLET,76.7,29.91,,,0
CDM,1362792815,ROPINIROLE 2 MG TABLET,38.4,14.98,,,0
CDM,1362793104,AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION,146.0,56.94,,,0
CDM,1362794908,ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION,21.6,8.42,,,0
CDM,1362795964,OXYBUTYNIN CHLORIDE 5 MG TABLET,5.1,1.99,,,0
CDM,1362797490,"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET",4.8,1.87,,,0
CDM,1362798455,AMOXICILLIN 500 MG CAPSULE,4.8,1.87,,,0
CDM,1362800375,LEUPROLIDE ACETATE 45 MG (6 MONTH) SUBCUTANEOUS SYRINGE,16911.3,6595.41,,,0
CDM,1362805867,LIDOCAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,36.8,14.35,,,0
CDM,1362817095,ARTEMETHER-LUMEFANTRINE 20 MG-120 MG TABLET,172.3,67.2,,,0
CDM,1362817451,SODIUM PHOSPHATES 9.5 GRAM-3.5 GRAM/59 ML ENEMA,15.0,5.85,,,0
CDM,1362825358,TADALAFIL 5 MG TABLET,94.5,36.86,,,0
CDM,1362830995,"THROMBIN (BOVINE) 5,000 UNIT TOPICAL SPRAY SYRINGE",3783.4,1475.53,,,0
CDM,1362834268,ATORVASTATIN 10 MG TABLET,4.8,1.87,,,0
CDM,1362839489,"LIPASE-PROTEASE-AMYLASE 36,000-114,000-180,000 UNIT CAPSULE,DELAY REL",198.1,77.26,,,0
CDM,1362839929,HYDRALAZINE 10 MG TABLET,4.8,1.87,,,0
CDM,1362840256,PERPHENAZINE 2 MG TABLET,15.2,5.93,,,0
CDM,1362842107,PRAMIPEXOLE 0.25 MG TABLET,4.8,1.87,,,0
CDM,1362853917,CEFPODOXIME 200 MG TABLET,129.8,50.62,,,0
CDM,1362854294,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",20.4,7.96,,,0
CDM,1362854393,SILVER SULFADIAZINE 1 % TOPICAL CREAM,114.3,44.58,,,0
CDM,1362855660,ALBUTEROL SULFATE 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,12.8,4.99,,,0
CDM,1362857410,APIXABAN 2.5 MG TABLET,77.6,30.26,,,0
CDM,1362860114,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION (FOR IV PUSH),402.9,157.13,,,0
CDM,1362862326,"ASPIRIN 25 MG-DIPYRIDAMOLE 200 MG CAPSULE,EXT.RELEASE 12 HR MULTIPHASE",81.1,31.63,,,0
CDM,1362864034,LEVOTHYROXINE 88 MCG TABLET,4.3,1.68,,,0
CDM,1362864308,VANCOMYCIN 1.75 GRAM/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,128.1,49.96,,,0
CDM,1362864485,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,92.8,36.19,,,0
CDM,1362865481,PAROXETINE 30 MG TABLET,21.6,8.42,,,0
CDM,1362865793,SULBACTAM 1 GRAM-DURLOBACTAM 1 GRAM (0.5 GRAM X2) INTRAVENOUS SOLUTION,3478.1,1356.46,,,0
CDM,1362867471,PAROXETINE 40 MG TABLET,22.8,8.89,,,0
CDM,1362867968,THIAMINE HCL (VITAMIN B1) 50 MG TABLET,4.8,1.87,,,0
CDM,1362869361,CLONAZEPAM 1 MG TABLET,6.6,2.57,,,0
CDM,1362869930,"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM",402.7,157.05,,,0
CDM,1362871220,RISPERIDONE 0.5 MG TABLET,32.9,12.83,,,0
CDM,1362873083,VENLAFAXINE 25 MG TABLET,29.9,11.66,,,0
CDM,1362873762,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION,196.5,76.64,,,0
CDM,1362874069,VIT A 300 MCG-C 200 MG-E 27 MG-LUTEIN 2 MG AND MINERALS TABLET,0.6,0.23,,,0
CDM,1362874173,CARVEDILOL 3.125 MG TABLET,16.4,6.4,,,0
CDM,1362878539,MEMANTINE 10 MG TABLET,6.2,2.42,,,0
CDM,1362878890,CYCLOSPORINE MODIFIED 25 MG PO CAPS (GENGRAF ONLY),28.3,11.04,,,0
CDM,1362890787,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR",12.7,4.95,,,0
CDM,1362891336,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 62.5 MG/5 ML ORAL SUSPENSION,60.9,23.75,,,0
CDM,1362898668,"POTASSIUM CITRATE ER 5 MEQ (540 MG) TABLET,EXTENDED RELEASE",26.9,10.49,,,0
CDM,1362899797,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (WRAPPED),17.0,6.63,,,0
CDM,1362902895,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.0625 %-NACL INJECTION SOLUTION,281.9,109.94,,,0
CDM,1362904037,LEVOTHYROXINE 50 MCG TABLET,12.8,4.99,,,0
CDM,1362904039,COENZYME Q10 100 MG CAPSULE,1.6,0.62,,,0
CDM,1362905324,OXYBUTYNIN CHLORIDE 5 MG TABLET,5.9,2.3,,,0
CDM,1362905698,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION,12.6,4.91,,,0
CDM,1362907170,AZTREONAM 2 GRAM SOLUTION FOR INJECTION,507.8,198.04,,,0
CDM,1362907922,FLECAINIDE 50 MG TABLET,39.3,15.33,,,0
CDM,1362908434,BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSPENSION,16.0,6.24,,,0
CDM,1362908492,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,77.8,30.34,,,0
CDM,1362909785,METAXALONE 800 MG TABLET,46.0,17.94,,,0
CDM,1362909953,BISOPROLOL FUMARATE 5 MG TABLET,4.8,1.87,,,0
CDM,1362909961,COENZYME Q10 200 MG CAPSULE,0.9,0.35,,,0
CDM,1362915785,CLONIDINE HCL 0.1 MG TABLET,8.4,3.28,,,0
CDM,1362917568,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,53.3,20.79,,,0
CDM,1362925112,BRIMONIDINE 0.2 % EYE DROPS,139.1,54.25,,,0
CDM,1362935367,NITROGLYCERIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,132.8,51.79,,,0
CDM,1362939143,METHYLPREDNISOLONE SODIUM SUCCINATE 40 MG SOLUTION FOR INJECTION,52.0,20.28,,,0
CDM,1362941012,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL TABLET,80.0,31.2,,,0
CDM,1362943189,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION,493.5,192.46,,,0
CDM,1362944070,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,164.8,64.27,,,0
CDM,1362945306,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION,187.9,73.28,,,0
CDM,1362950128,LOSARTAN 25 MG TABLET,18.4,7.18,,,0
CDM,1362955968,DOXYCYCLINE HYCLATE 100 MG/10ML INTRAVENOUS POWDER FOR SOLUTION (WET SOLR VIAL),214.4,83.62,,,0
CDM,1362957383,BENZOCAINE 15 MG-MENTHOL 3.6 MG LOZENGES,4.8,1.87,,,0
CDM,1362957754,TOPIRAMATE 25 MG SPRINKLE CAPSULE,22.5,8.78,,,0
CDM,1362960828,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,38.8,15.13,,,0
CDM,1362960880,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",42.8,16.69,,,0
CDM,1362962023,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,246.3,96.06,,,0
CDM,1362964404,SODIUM DI- AND MONOPHOSPHATE-POTASSIUM PHOS MONOBASIC 250 MG TABLET,7.8,3.04,,,0
CDM,1362965281,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,156.6,61.07,,,0
CDM,1362965822,"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE",19.6,7.64,,,0
CDM,1362973632,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,179.4,69.97,,,0
CDM,1362974439,"ASPIRIN 81 MG TABLET,DELAYED RELEASE",0.6,0.23,,,0
CDM,1362977005,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER",312.1,121.72,,,0
CDM,1362977660,MIDAZOLAM 10 MG/5 ML (2 MG/ML) ORAL SYRUP,77.7,30.3,,,0
CDM,1362980051,"NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE",23.3,9.09,,,0
CDM,1362982249,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS PIGGYBACK,53.7,20.94,,,0
CDM,1362985971,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1362991948,BENZTROPINE 1 MG/ML INJECTION SOLUTION,501.8,195.7,,,0
CDM,1362992084,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,309.2,120.59,,,0
CDM,1362993258,LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR,48.5,18.92,,,0
CDM,1362993380,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",111.2,43.37,,,0
CDM,1362999341,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",96.4,37.6,,,0
CDM,1363000581,PHENOBARBITAL 97.2 MG TABLET,9.1,3.55,,,0
CDM,1363003366,LACTATED RINGERS IRRIGATION SOLUTION,42.1,16.42,,,0
CDM,1363006596,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1363007393,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,478.4,186.58,,,0
CDM,1363007628,SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION,164.3,64.08,,,0
CDM,1363009066,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,10.3,4.02,,,0
CDM,1363011557,AFLIBERCEPT 2 MG/0.05 ML INTRAVITREAL SYRINGE,13216.9,5154.59,,,0
CDM,1363020156,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1363027486,"IMMUNE GLOB,GAMM (IGG-PRIVIGEN) 10%-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",26246.3,10236.06,,,0
CDM,1363029887,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1363029887,"HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJECTION SOLUTION",19.6,7.64,,,0
CDM,1363031276,FAT EMULSION 20 % IV RATE BASED,354.5,138.26,,,0
CDM,1363033106,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",19.6,7.64,,,0
CDM,1363033831,DEXAMETHASONE 6 MG TABLET,29.1,11.35,,,0
CDM,1363035254,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",198.9,77.57,,,0
CDM,1363035816,PEGFILGRASTIM 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUTANEOUS INJECTOR,44733.4,17446.03,,,0
CDM,1363037568,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",2829.8,1103.62,,,0
CDM,1363038766,SODIUM CHLORIDE 0.9% 3000 ML IRRIGATION SOLUTION,126.2,49.22,,,0
CDM,1363044212,EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,15.0,5.85,,,0
CDM,1363045882,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION",7.9,3.08,,,0
CDM,1363046807,GADOPICLENOL 0.5 MMOL/ML INTRAVENOUS SOLUTION,136.0,53.04,,,0
CDM,1363047322,THIOGUANINE 40 MG TABLET,17416.0,6792.24,,,0
CDM,1363050635,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,31.9,12.44,,,0
CDM,1363050714,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,203.7,79.44,,,0
CDM,1363054073,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,27.4,10.69,,,0
CDM,1363054477,GLIPIZIDE 10 MG TABLET,5.0,1.95,,,0
CDM,1363056248,FARICIMAB-SVOA 6 MG/0.05 ML INTRAVITREAL SOLUTION,15958.9,6223.97,,,0
CDM,1363059700,CHLORTHALIDONE 25 MG TABLET,9.3,3.63,,,0
CDM,1363071913,GABAPENTIN 400 MG CAPSULE,36.8,14.35,,,0
CDM,1363076910,HYZINY CREAM (CMPD),249.2,97.19,,,0
CDM,1363079669,"LIPASE-PROTEASE-AMYLASE 24,000-76,000-120,000 UNIT CAPSULE,DELAYED REL",261.0,101.79,,,0
CDM,1363080392,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",489.1,190.75,,,0
CDM,1363086138,ENALAPRIL MALEATE 10 MG TABLET,15.0,5.85,,,0
CDM,1363088051,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",59.7,23.28,,,0
CDM,1363088098,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",707.2,275.81,,,0
CDM,1363094474,SPIRONOLACTONE 25 MG/5 ML ORAL SUSPENSION,30.7,11.97,,,0
CDM,1363095592,QUETIAPINE 50 MG TABLET,50.4,19.66,,,0
CDM,1363096613,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET,29.1,11.35,,,0
CDM,1363096700,HYDROCORTISONE 10 MG TABLET,15.4,6.01,,,0
CDM,1363100223,VANCOMYCIN 1.25 GRAM INTRAVENOUS SOLUTION,206.0,80.34,,,0
CDM,1363104018,PHENOBARBITAL 32.4 MG TABLET,8.8,3.43,,,0
CDM,1363107647,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,31.5,12.28,,,0
CDM,1363110143,GLYCERIN 99.5 % TOPICAL SOLUTION,0.1,0.04,,,0
CDM,1363112421,"CHOLECALCIFEROL (VITAMIN D3) 1,250 MCG (50,000 UNIT) CAPSULE",0.7,0.27,,,0
CDM,1363112668,"MAGNESIUM SULFATE 40 GRAM/1,000 ML (4 %) IN WATER INTRAVENOUS SOLUTION",68.4,26.68,,,0
CDM,1363115068,AZITHROMYCIN 600 MG TABLET,143.3,55.89,,,0
CDM,1363118994,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET",0.8,0.31,,,0
CDM,1363122102,CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION,81.6,31.82,,,0
CDM,1363129808,LOW DOSE EPINEPHRINE 10 MCG/ML INJECTION (NEONATE/PEDS),19.6,7.64,,,0
CDM,1363141329,ARIPIPRAZOLE 2 MG TABLET,246.1,95.98,,,0
CDM,1363141374,BALANCED SALT SOLUTION COMBINATION NO.2 INTRAOCULAR IRRIGATION,194.0,75.66,,,0
CDM,1363146015,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,28.1,10.96,,,0
CDM,1363148152,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,78.3,30.54,,,0
CDM,1363149756,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",4.8,1.87,,,0
CDM,1363150720,DOXYCYCLINE HYCLATE 100 MG CAPSULE,73.8,28.78,,,0
CDM,1363158634,LIOTHYRONINE 5 MCG TABLET,11.1,4.33,,,0
CDM,1363162655,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE,56.5,22.04,,,0
CDM,1363164174,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,32.8,12.79,,,0
CDM,1363165009,FILGRASTIM 480 MCG/0.8 ML INJECTION SYRINGE,3704.1,1444.6,,,0
CDM,1363165087,MIDAZOLAM 1 MG/ML INJ (WRAPPED),19.6,7.64,,,0
CDM,1363167255,METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTION,207.4,80.89,,,0
CDM,1363172036,VANCOMYCIN 50 MG/ML ORAL SOLUTION,16.7,6.51,,,0
CDM,1363174990,ADULT 2-IN-1 CPN,504.0,196.56,,,0
CDM,1363175008,CLONAZEPAM 0.25 MG DISINTEGRATING TABLET,10.0,3.9,,,0
CDM,1363175457,PEG 3350-ELECTROLYTES (GOLYTELY) (WRAPPED),214.8,83.77,,,0
CDM,1363177863,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION,165.0,64.35,,,0
CDM,1363178752,FENTANYL 25 MCG/HR TRANSDERMAL PATCH,163.2,63.65,,,0
CDM,1363181690,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,384.8,150.07,,,0
CDM,1363182796,BISMUTH SUBSALICYLATE 262 MG CHEWABLE TABLET,0.7,0.27,,,0
CDM,1363185729,MEXILETINE 200 MG CAPSULE,23.3,9.09,,,0
CDM,1363186301,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,24.0,9.36,,,0
CDM,1363187345,CLOTRIMAZOLE 1 % TOPICAL CREAM,13.4,5.23,,,0
CDM,1363188171,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,94.8,36.97,,,0
CDM,1363189256,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,784.2,305.84,,,0
CDM,1363191354,CYCLOBENZAPRINE 10 MG TABLET,8.9,3.47,,,0
CDM,1363191481,PREDNISONE 1 MG TABLET,9.8,3.82,,,0
CDM,1363193123,RIVASTIGMINE 13.3 MG/24 HOUR TRANSDERMAL PATCH,127.8,49.84,,,0
CDM,1363193932,POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,53.7,20.94,,,0
CDM,1363196617,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,186.1,72.58,,,0
CDM,1363197478,FUROSEMIDE 40 MG TABLET,4.8,1.87,,,0
CDM,1363197681,COLCHICINE 0.6 MG TABLET,103.4,40.33,,,0
CDM,1363200294,FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET,770.1,300.34,,,0
CDM,1363201957,ATORVASTATIN 40 MG TABLET,42.2,16.46,,,0
CDM,1363201962,PRAMIPEXOLE 0.5 MG TABLET,45.3,17.67,,,0
CDM,1363203519,DICLOFENAC 1 % TOPICAL GEL,94.4,36.82,,,0
CDM,1363206151,MIRTAZAPINE 15 MG TABLET,10.5,4.1,,,0
CDM,1363208591,VANCOMYCIN 1.5 GRAM/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLN,183.7,71.64,,,0
CDM,1363208959,NIFEDIPINE 10 MG CAPSULE (DRAW LIQUID FROM CAPSULE),16.4,6.4,,,0
CDM,1363211877,SODIUM POLYSTYRENE SULFONATE 15 GRAM/60 ML ORAL SUSPENSION,238.0,92.82,,,0
CDM,1363212205,"LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE",7.2,2.81,,,0
CDM,1363212994,"CALCIUM 500 MG/5 ML (AS CALCIUM CARB 1,250 MG/5 ML) ORAL SUSPENSION",0.6,0.23,,,0
CDM,1363215318,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,597.8,233.14,,,0
CDM,1363219875,VALSARTAN 160 MG TABLET,12.1,4.72,,,0
CDM,1363219983,CLARITHROMYCIN 500 MG TABLET,25.0,9.75,,,0
CDM,1363224622,ROPINIROLE 1 MG TABLET,4.8,1.87,,,0
CDM,1363224699,WARFARIN 7.5 MG TABLET,7.1,2.77,,,0
CDM,1363224872,KETAMINE 10 MG/ML INJECTION SOLUTION (WRAPPED),88.0,34.32,,,0
CDM,1363230440,METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLUTION FOR INJECTION,63.7,24.84,,,0
CDM,1363231813,BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSPENSION,13.1,5.11,,,0
CDM,1363233290,TRIAMCINOLONE ACETONIDE 0.5 % TOPICAL CREAM,87.0,33.93,,,0
CDM,1363234267,PROBENECID 500 MG TABLET,18.15,7.074999999999999,,,0
CDM,1363246733,SILVER NITRATE APPLICATORS 75 %-25 % TOPICAL STICK (WC),4.8,1.87,,,0
CDM,1363252838,MISOPROSTOL 100 MCG TABLET,190.2,74.18,,,0
CDM,1363255823,"OMEGA-3 FATTY ACIDS-FISH OIL 300 MG-1,000 MG CAPSULE",0.6,0.23,,,0
CDM,1363256747,ZOLPIDEM 5 MG TABLET,4.8,1.87,,,0
CDM,1363262696,DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1363263005,CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH,427.8,166.84,,,0
CDM,1363270015,AMPICILLIN 500 MG CAPSULE,10.0,3.9,,,0
CDM,1363270895,LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,36.3,14.16,,,0
CDM,1363271296,CEFUROXIME AXETIL 250 MG TABLET,63.3,24.69,,,0
CDM,1363271312,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,27.4,10.69,,,0
CDM,1363289595,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,19.6,7.64,,,0
CDM,1363290358,LACTULOSE ENEMA WITH NS,184.1,71.8,,,0
CDM,1363295988,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,600.4,234.16,,,0
CDM,1363300117,VANCOMYCIN 1.5 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,183.7,71.64,,,0
CDM,1363305834,ACTIVATED CHARCOAL 25 GRAM/120 ML ORAL SUSPENSION,227.4,88.69,,,0
CDM,1363306335,CLOTRIMAZOLE 1 % VAGINAL CREAM,17.0,6.63,,,0
CDM,1363312565,"THEOPHYLLINE ER 100 MG CAPSULE,EXTENDED RELEASE 24 HR",118.8,46.33,,,0
CDM,1363314695,PROPOFOL INFUSION 10 MG/ML,320.3,124.92,,,0
CDM,1363314915,HYDROXYUREA 500 MG CAPSULE,22.3,8.7,,,0
CDM,1363317935,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",11.1,4.33,,,0
CDM,1363318389,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,156.6,61.07,,,0
CDM,1363319028,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",36.6,14.27,,,0
CDM,1363320114,HUMAN MILK FORTIFIER 30 ML (PROLACT +6 H2MF),1308.8,510.43,,,0
CDM,1363320498,DICYCLOMINE 10 MG/5 ML ORAL SOLUTION,23.2,9.05,,,0
CDM,1363325087,LABETALOL 200 MG TABLET,10.7,4.17,,,0
CDM,1363325979,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",22.3,8.7,,,0
CDM,1363328332,"DILTIAZEM 180 MG CAPSULE, EXTENDED RELEASE (WRAPPED)",11.1,4.33,,,0
CDM,1363337326,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1363339979,PIOGLITAZONE 30 MG TABLET,82.2,32.06,,,0
CDM,1363345508,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
CDM,1363345613,PRAZOSIN 5 MG CAPSULE,17.7,6.9,,,0
CDM,1363348117,DIAZEPAM 10 MG TABLET,4.8,1.87,,,0
CDM,1363350080,BACITRACIN TOPICAL OINTMENT (WRAPPED),1.0,0.39,,,0
CDM,1363351257,METHYLPREDNISOLONE 16 MG TABLET,54.4,21.22,,,0
CDM,1363351856,TIMOLOL MALEATE 0.5 % EYE DROPS,374.0,145.86,,,0
CDM,1363352247,HYDROCORTISONE 20 MG TABLET,8.4,3.28,,,0
CDM,1363352258,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJ (WRAPPED),19.6,7.64,,,0
CDM,1363354179,ALTEPLASE 2 MG INTRA-CATHETER SOLUTION,790.7,308.37,,,0
CDM,1363355147,CAPTOPRIL 12.5 MG TABLET,6.0,2.34,,,0
CDM,1363358262,"NAPROXEN 375 MG TABLET,DELAYED RELEASE",39.7,15.48,,,0
CDM,1363360143,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) ORAL SYRINGE,14.9,5.81,,,0
CDM,1363360514,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,102.9,40.13,,,0
CDM,1363360952,FAT EMULSION -FISH & PLANT BASED 20% SYRINGE (SMOFLIPID) (NEONATE),19.6,7.64,,,0
CDM,1363365326,OXYMETAZOLINE 0.05 % NASAL SPRAY,25.9,10.1,,,0
CDM,1363367884,SERTRALINE 25 MG TABLET,4.8,1.87,,,0
CDM,1363375547,LORAZEPAM 2 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
CDM,1363376607,DEXTROAMPHETAMINE-AMPHETAMINE 20 MG TABLET,13.4,5.23,,,0
CDM,1363378934,HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE,4.8,1.87,,,0
CDM,1363381267,CALCIUM 250 MG (AS CARBONATE)-VITAMIN D3 3.125 MCG (125 UNIT) TABLET,0.6,0.23,,,0
CDM,1363385320,"NEOMYCIN-BACITRACIN-POLY-HC 3.5 MG-400-10,000 UNIT/G-1 % EYE OINTMENT",499.0,194.61,,,0
CDM,1363386191,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,142.3,55.5,,,0
CDM,1363391688,PHENOL 1.4 % MUCOSAL AEROSOL SPRAY,61.1,23.83,,,0
CDM,1363394845,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION (ADV),109.4,42.67,,,0
CDM,1363396256,ACETAMINOPHEN 80 MG RECTAL SUPPOSITORY,6.0,2.34,,,0
CDM,1363396797,METHAZOLAMIDE 50 MG TABLET,70.6,27.53,,,0
CDM,1363398342,CHERRY SYRUP (BULK) ORAL LIQUID,5.0,1.95,,,0
CDM,1363400447,OLANZAPINE 10 MG DISINTEGRATING TABLET,160.9,62.75,,,0
CDM,1363400562,DOXYCYCLINE HYCLATE 50 MG CAPSULE,12.5,4.88,,,0
CDM,1363400583,GADOBUTROL 10 MMOL/10 ML (1 MMOL/ML) INTRAVENOUS SOLUTION,630.0,245.7,,,0
CDM,1363401548,MECLIZINE 25 MG TABLET,6.6,2.57,,,0
CDM,1363402037,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH,175.4,68.41,,,0
CDM,1363402372,MIRTAZAPINE 15 MG TABLET,8.1,3.16,,,0
CDM,1363405470,SODIUM CHLORIDE 0.9 % BOLUS,53.7,20.94,,,0
CDM,1363409651,METHYLENE BLUE (ANTIDOTE) 5 MG/ML INTRAVENOUS SOLUTION,200.2,78.08,,,0
CDM,1363410627,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE,19.6,7.64,,,0
CDM,1363413600,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION (FOR IV PUSH),559.6,218.24,,,0
CDM,1363414245,LURASIDONE 20 MG TABLET,827.0,322.53,,,0
CDM,1363414572,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,10.2,3.98,,,0
CDM,1363415533,AMITRIPTYLINE 100 MG TABLET,17.9,6.98,,,0
CDM,1363417192,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,210.1,81.94,,,0
CDM,1363421256,WHITE PETROLATUM TOPICAL OINTMENT IN PACKET,0.6,0.23,,,0
CDM,1363439758,ZONISAMIDE 10 MG/ML ORAL SUSPENSION (NEONATE/PEDS),7.0,2.73,,,0
CDM,15010130,Hc Rt Pulse -Ox Check,140.0,54.6,,,0
CDM,15010338,Hc E/M Level 0 Stat Code,60.0,23.4,,,0
CDM,17020736,Hc Sp3 Home Sleep Test/Port Type 3,946.0,368.94,,,0
CDM,17020739,Hc Sp3 Polysomnography W/Cpap,4683.0,1826.37,,,0
CDM,20000260,Hc Inj Si Joint,4859.0,1895.01,,,0
CDM,20010012,Hc Expl Penetrating Wound Spx Abdomen/Flank/Back,5530.0,2156.7,,,0
CDM,20010013,Hc Wound Extremity Expl,20494.0,7992.66,,,0
CDM,20010014,Hc Biopsy Muscle Percutaneous Needle,8019.0,3127.41,,,0
CDM,20010016,Hc Biopsy Bone Superficial,8019.0,3127.41,,,0
CDM,20010018,Hc Biopsy Bone Deep,10509.0,4098.51,,,0
CDM,20010020,Hc Inj Sinus Tract Diagnostic Sinogram,1789.0,697.71,,,0
CDM,20010022,Hc Fb Remove Muscle Simp,6437.0,2510.43,,,0
CDM,20010023,Hc Fb Remove Muscle Deep,31341.0,12222.99,,,0
CDM,20010024,Hc Inj Tendon/Ligament Single,3580.0,1396.2,,,0
CDM,20010026,Hc Inj Single Tendon Origin/Insertion,2279.0,888.81,,,0
CDM,20010027,Hc Inj Trigger Point 1 Or 2 Muscles,3104.0,1210.56,,,0
CDM,20010028,Hc Inj/Asp/Drn Bursa Small Joint Wo Us Guidance,1547.0,603.33,,,0
CDM,20010030,Hc Inj/Asp/Drn Bursa Medium Joint Wo Us Guidance,1933.0,753.87,,,0
CDM,20010032,Hc Inj/Asp/Drn Bursa Major Joint Wo Us Guidance,2321.0,905.19,,,0
CDM,20010035,Hc Inj/Asp Ganglion Cyst,3200.0,1248.0,,,0
CDM,20010036,Hc Spine Morselized Bone Allograft Add On,2060.0,803.4,,,0
CDM,20010038,Hc Ablation Thy Bone Tumor W Imaging Perc,25059.0,9773.01,,,0
CDM,20010039,Hc Musculoskeletal System General Surgery Unlisted,5490.0,2141.1,,,0
CDM,20010040,Hc Inj Tmj Arthrography,1157.0,451.23,,,0
CDM,20010042,Hc Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization,22129.0,8630.31,,,0
CDM,20010043,Hc Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization,22129.0,8630.31,,,0
CDM,20010044,Hc Nasal Fx Closed,24746.0,9650.94,,,0
CDM,20010046,Hc Orbit Fx W Manip,12261.0,4781.79,,,0
CDM,20010047,Hc Mandible Fx Wo Manip,4261.0,1661.79,,,0
CDM,20010048,Hc Mandible Fx W Manip,10816.0,4218.24,,,0
CDM,20010049,Hc Temporomandibular Disl,1435.0,559.65,,,0
CDM,20010050,Hc Drain Soft Tissue Neck/Thorax,11260.0,4391.4,,,0
CDM,20010051,Hc Biopsy Soft Tissue Neck/Thorax,3368.0,1313.52,,,0
CDM,20010052,Hc Biopsy Soft Tissue Back/Flank,2529.0,986.31,,,0
CDM,20010069,Hc Fb Remove Shoulder Simp,6195.0,2416.05,,,0
CDM,20010070,Hc Removal Shoulder Foreign Body Deep Subfascial/Im,8406.0,3278.34,,,0
CDM,20010072,Hc Inj Shoulder Arthrogram,1517.0,591.63,,,0
CDM,20010074,Hc Clavicle Fx Wo Manip,2067.0,806.13,,,0
CDM,20010075,Hc Clavicle Fx W Manip,28517.0,11121.63,,,0
CDM,20010076,Hc Sternoclavicle Disl,8838.0,3446.82,,,0
CDM,20010078,Hc Closed Tx Sternoclavicular Dislc W/Manipulation,674.0,262.86,,,0
CDM,20010079,Hc Acromioclavicle Disl,2309.0,900.51,,,0
CDM,20010080,Hc Acromioclav Disl W Manip,8838.0,3446.82,,,0
CDM,20010081,Hc Closed Tx Scapular Fracture W/O Manipulation,710.0,276.9,,,0
CDM,20010082,Hc Scapular Fx W Manip/Wo Ske,8838.0,3446.82,,,0
CDM,20010083,Hc Humeral Wo Manip Prox,2309.0,900.51,,,0
CDM,20010084,Hc Humeral Fx W Manip Wo Ske,25500.0,9945.0,,,0
CDM,20010085,Hc Humeral Fx Gr Tuber,986.0,384.54,,,0
CDM,20010086,Hc Humeral Fx W Manip Gr Tuber,25500.0,9945.0,,,0
CDM,20010087,Hc Shoulder Disl W Manip Wo Anes,2309.0,900.51,,,0
CDM,20010088,Hc Shoulder Disl W Manip/Anes,19979.0,7791.81,,,0
CDM,20010089,Hc Shoulder Disl W Surg,2496.0,973.44,,,0
CDM,20010090,Hc Fb Remove Elbow/Up Arm Subq,6437.0,2510.43,,,0
CDM,20010091,Hc Fb Remove Elbow/Up Arm Deep,20404.0,7957.56,,,0
CDM,20010092,Hc Inj Elbow Arthro,1656.0,645.84,,,0
CDM,20010093,Hc Humeral Fx Shaft Wo Manip,2067.0,806.13,,,0
CDM,20010094,Hc Fx W Manip Wo Ske Shaft Hum,2496.0,973.44,,,0
CDM,20010095,Hc Humeral Fx Supra Trans,2067.0,806.13,,,0
CDM,20010096,Hc Humeral Fx W Wo Ske,7903.0,3082.17,,,0
CDM,20010097,Hc Humeral Fx Epicon Wo Manip,2067.0,806.13,,,0
CDM,20010098,Hc Humeral Fx Epicon W Manip,2869.0,1118.91,,,0
CDM,20010099,Hc Humeral Fx Condylar Wo Manip,2309.0,900.51,,,0
CDM,20010100,Hc Humeral Fx Condylar W Manip,8838.0,3446.82,,,0
CDM,20010101,Hc Elbow Disl,2309.0,900.51,,,0
CDM,20010102,Hc Elbow Disl W Anes,39961.0,15584.79,,,0
CDM,20010103,Hc Closed Tx Monteggia Fx Dislocation Elbow W/Manj,4487.0,1749.93,,,0
CDM,20010104,Hc Elbow Nursmaid,2309.0,900.51,,,0
CDM,20010105,Hc Radial Fx Head/Neck Wo Manip,2067.0,806.13,,,0
CDM,20010106,Hc Radial Fx Head/Neck W Manip,8838.0,3446.82,,,0
CDM,20010107,Hc Ulnar Fx Prox End Wo Manip,2067.0,806.13,,,0
CDM,20010108,Hc Ulnar Fx Prox End W Manip,2869.0,1118.91,,,0
CDM,20010109,Hc Inj Wrist Arthro,1508.0,588.12,,,0
CDM,20010111,Hc Fb Remove Forearm Comp,25853.0,10082.67,,,0
CDM,20010112,Hc Radial Shaft Fx Wo Manip,2309.0,900.51,,,0
CDM,20010113,Hc Radial Shaft Fx W Manip,7903.0,3082.17,,,0
CDM,20010114,Hc Ulnar Fx Shaft Wo Manip,2067.0,806.13,,,0
CDM,20010115,Hc Ulnar Fx Shaft W Manip,2067.0,806.13,,,0
CDM,20010116,Hc Radial/Ulnar Fx Shaft Wo Manip,2067.0,806.13,,,0
CDM,20010117,Hc Radial/Ulnar Fx Shaft W Manip,8838.0,3446.82,,,0
CDM,20010118,Hc Radial Distal Fx Wo Manip,2067.0,806.13,,,0
CDM,20010119,Hc Radial Distal Fx W Manip,8838.0,3446.82,,,0
CDM,20010120,Hc Carpal Scaphoid Fx Wo Manip,2309.0,900.51,,,0
CDM,20010121,Hc Carpal Scaphoid Fx W Manip,7903.0,3082.17,,,0
CDM,20010122,Hc Carpal Fx Wo Manip,2309.0,900.51,,,0
CDM,20010123,Hc Carpal Fx W Manip,7903.0,3082.17,,,0
CDM,20010124,Hc Ulnar Styloid Fx Wo Manip,2309.0,900.51,,,0
CDM,20010125,Hc Ulnar Styloid Fx W Ske,36511.0,14239.29,,,0
CDM,20010126,Hc Intercarpal Disl W Manip,2067.0,806.13,,,0
CDM,20010127,Hc Radioulnar Disl W Manip,2067.0,806.13,,,0
CDM,20010128,Hc Scaphoperilunar Fx/Dis W Manip,2067.0,806.13,,,0
CDM,20010129,Hc Lunate Disl W Manip 50,25500.0,9945.0,,,0
CDM,20010130,Hc Drainage Abscess Finger Simp,2038.0,794.82,,,0
CDM,20010131,Hc I And D Finger Comp,16172.0,6307.08,,,0
CDM,20010132,Hc Metacarpal Fx Wo Manip Uni,2067.0,806.13,,,0
CDM,20010133,Hc Metacarpal Fx W Manip Uni,2309.0,900.51,,,0
CDM,20010134,Hc Metacarpal Fx W Ske Uni,15856.0,6183.84,,,0
CDM,20010135,Hc Thumb Disl W Manip Uni,2067.0,806.13,,,0
CDM,20010136,Hc Thumb Fx/Dis W Manip Uni,7903.0,3082.17,,,0
CDM,20010138,Hc Carpometacarp Disl Uni Wo Anes,2309.0,900.51,,,0
CDM,20010139,Hc Carpometacarp Disl W Manip And Anes Uni,7903.0,3082.17,,,0
CDM,20010140,Hc Carpometacarp Disl W Manip And Ske Uni,32651.0,12733.89,,,0
CDM,20010141,Hc Metacarpoppha Disl W Manip Uni Wo Anes,2067.0,806.13,,,0
CDM,20010142,Hc Metacarpopphal Disl Wmanip And Anes Uni,2496.0,973.44,,,0
CDM,20010144,Hc Finger Fx Prox/Md Wo Manip,2067.0,806.13,,,0
CDM,20010145,Hc Finger Fx Prox/Md W Manip,2067.0,806.13,,,0
CDM,20010146,Hc Finger Fx Prox/Md W Ske,32651.0,12733.89,,,0
CDM,20010147,Hc Articular Fx Wo Manip Uni,2067.0,806.13,,,0
CDM,20010148,Hc Articular Fx W Manip Uni,2869.0,1118.91,,,0
CDM,20010149,Hc Finger Fx Distal Wo Manip,2067.0,806.13,,,0
CDM,20010150,Hc Finger Fx Distal W Manip,2309.0,900.51,,,0
CDM,20010151,Hc Finger Fx Distal W Ske,32651.0,12733.89,,,0
CDM,20010152,Hc Finger Disl Wo Anes,2309.0,900.51,,,0
CDM,20010153,Hc Finger Disl W Anes,22342.0,8713.38,,,0
CDM,20010154,Hc Finger Disl W Manip W Ske,32651.0,12733.89,,,0
CDM,20010155,Hc Drain Pelvis Hip Joint Area Deep Abscess Or Hematoma,30554.0,11916.06,,,0
CDM,20010156,Hc Biopsy Soft Tissue Pelvis/Hip,13061.0,5093.79,,,0
CDM,20010157,Hc Inj Hip Arthro W Anesth,3922.0,1529.58,,,0
CDM,20010161,Hc Coccygeal Fx Wo Manip,2309.0,900.51,,,0
CDM,20010162,Hc Cltx Fem Fx Prox End Nck W/O Manj,674.0,262.86,,,0
CDM,20010163,Hc Femoralfx Int/Per/Sub Wo Manip,8838.0,3446.82,,,0
CDM,20010164,Hc Hip Disl Trauma Wo Anes,2309.0,900.51,,,0
CDM,20010165,Hc Hip Disl Trauma W Anes,21060.0,8213.4,,,0
CDM,20010166,Hc Hip Disl Spon Wo Manip/Anes,2067.0,806.13,,,0
CDM,20010167,Hc Hip Disl Spon W Manip/Anes,19979.0,7791.81,,,0
CDM,20010168,Hc Hip Disl Post Arthro Wo Anes,1141.0,444.99,,,0
CDM,20010169,Hc Hip Disl Post Arthro W Anes,10295.0,4015.05,,,0
CDM,20010170,Hc Femoral Fx Prox End Wo Manip,4751.0,1852.89,,,0
CDM,20010172,Hc Fb Remove Thigh/Knee Deep,28026.0,10930.14,,,0
CDM,20010173,Hc Femoral Fx Shaft Wo Manip,8838.0,3446.82,,,0
CDM,20010174,Hc Femoral Fx Supra/Tran Wo Manip,1076.0,419.64,,,0
CDM,20010175,Hc Femoral Fx Shaft W Manip,13316.0,5193.24,,,0
CDM,20010176,Hc Femoral Fx Supra/Trans W Manip,2352.0,917.28,,,0
CDM,20010177,Hc Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj,742.0,289.38,,,0
CDM,20010178,Hc Femoral Fx Distal-Cond W Ske,17055.0,6651.45,,,0
CDM,20010179,Hc Femoral Fx Distal-Cond W Manip,3834.0,1495.26,,,0
CDM,20010181,Hc Fem Sep Distal Epip W Manip,5253.0,2048.67,,,0
CDM,20010182,Hc Closed Tx Patellar Fracture W/O Manipulation,674.0,262.86,,,0
CDM,20010183,Hc Tib Fx Prox/Plateau Wo Manip,2309.0,900.51,,,0
CDM,20010185,Hc Tibial Fx Prox/Plateau W Ske,25500.0,9945.0,,,0
CDM,20010186,Hc Knee Fx Intercondylar Sp/Tuber,2067.0,806.13,,,0
CDM,20010187,Hc Knee Disl Wo Anes,2309.0,900.51,,,0
CDM,20010188,Hc Knee Disl W Anes,19483.0,7598.37,,,0
CDM,20010189,Hc Patellar Disl Wo Anes,2309.0,900.51,,,0
CDM,20010191,Hc Inj Ankle Arthro,1455.0,567.45,,,0
CDM,20010192,Hc Tib Fx Shaft W/Wo Fib Wo Manip,1061.0,413.79,,,0
CDM,20010193,Hc Tib Fx Shaft W/Wo Fib W Manip,14127.0,5509.53,,,0
CDM,20010194,Hc Tibial Fx Shaft W/Wo Fib W Ske,15856.0,6183.84,,,0
CDM,20010195,Hc Malleous Fx Medial Wo Manip,2067.0,806.13,,,0
CDM,20010196,Hc Malleous Fx Medial W Manip,14127.0,5509.53,,,0
CDM,20010197,Hc Malleous Fx Post Wo Manip,2067.0,806.13,,,0
CDM,20010198,Hc Malleous Fx Post W Manip,2496.0,973.44,,,0
CDM,20010199,Hc Fibula Fx Shaft Prox Wo Manip,2067.0,806.13,,,0
CDM,20010200,Hc Fibula Fx Shaft Prox W Manip,25500.0,9945.0,,,0
CDM,20010201,Hc Fibula Distal Fx Wo Manip,1577.0,615.03,,,0
CDM,20010202,Hc Fibula Distal Fx W Manip,1735.0,676.65,,,0
CDM,20010203,Hc Ankle Fx Bimalleolar Potts,2067.0,806.13,,,0
CDM,20010204,Hc Ankle Fx Bimalleo Potts Wmanip,4378.0,1707.42,,,0
CDM,20010205,Hc Ankle Fx Trimalleolar Wo Manip,2309.0,900.51,,,0
CDM,20010206,Hc Ankle Fx Trimalleolar W Manip,4378.0,1707.42,,,0
CDM,20010207,Hc Tibia Distal W/Bearing,1141.0,444.99,,,0
CDM,20010208,Hc Tibia Distal W/Bear W Manip/Ske,14127.0,5509.53,,,0
CDM,20010209,Hc Tibfibular Disl Wo Anes,2067.0,806.13,,,0
CDM,20010210,Hc Tibfibular Disl W Anes,28517.0,11121.63,,,0
CDM,20010211,Hc Ankle Disl Wo Anes,8838.0,3446.82,,,0
CDM,20010212,Hc Ankle Disl W Anes,19979.0,7791.81,,,0
CDM,20010213,Hc Fb Removal Foot Simp,11861.0,4625.79,,,0
CDM,20010214,Hc Fb Remove Foot Deep,20404.0,7957.56,,,0
CDM,20010215,Hc Fb Remove Foot Comp,10603.0,4135.17,,,0
CDM,20010216,Hc Calcaneal Fx Wo Manip,2309.0,900.51,,,0
CDM,20010217,Hc Calcaneal Fx W Manip,25500.0,9945.0,,,0
CDM,20010218,Hc Calcaneal Fx W Manip/Ske,73007.0,28472.73,,,0
CDM,20010219,Hc Talus Fx Wo Manip,2067.0,806.13,,,0
CDM,20010220,Hc Talus Fx W Manip,2869.0,1118.91,,,0
CDM,20010221,Hc Talus Fx W Manip/Ske,32651.0,12733.89,,,0
CDM,20010222,Hc Tarsal Fx Wo Manip,2309.0,900.51,,,0
CDM,20010223,Hc Tarsal Fx W Manip,2496.0,973.44,,,0
CDM,20010225,Hc Metatarsal Fx Wo Manip,2067.0,806.13,,,0
CDM,20010226,Hc Metatarsal Fx W Manip,2067.0,806.13,,,0
CDM,20010227,Hc Metatarsal Fx W Manip/Ske,36511.0,14239.29,,,0
CDM,20010228,Hc Toe Fx Great Phalanx/Phalanges,2309.0,900.51,,,0
CDM,20010229,Hc Toe Fx Great Phalanx W Manip,2309.0,900.51,,,0
CDM,20010230,Hc Toe Fx Great Percu W Manip,36511.0,14239.29,,,0
CDM,20010231,Hc Toe Fx Wo Manip,2309.0,900.51,,,0
CDM,20010232,Hc Toe Fx W Manip,2309.0,900.51,,,0
CDM,20010233,Hc Sesamoid Fx,2309.0,900.51,,,0
CDM,20010234,Hc Dislocation Tarsal Wo Anes,2309.0,900.51,,,0
CDM,20010236,Hc Tarsal Dislocation Ske,36511.0,14239.29,,,0
CDM,20010237,Hc Talo Joint Dislocation Wo Anes,8838.0,3446.82,,,0
CDM,20010238,Hc Talo Joint Dislocation Anes,25500.0,9945.0,,,0
CDM,20010239,Hc Talo Joint Dislocation Ske,15856.0,6183.84,,,0
CDM,20010240,Hc Tarso Joint Dislocation Woanes,2067.0,806.13,,,0
CDM,20010244,Hc Metata Joint Dislocation Wo Anes,2309.0,900.51,,,0
CDM,20010245,Hc Metata Joint Dislocation Anes,22342.0,8713.38,,,0
CDM,20010247,Hc Toe Joint Dislocation Wo Anes,2067.0,806.13,,,0
CDM,20010250,Hc Cast Elbow Long Arm,3127.0,1219.53,,,0
CDM,20010251,Hc Cast Forearm/Wrist Short Arm,3127.0,1219.53,,,0
CDM,20010253,Hc Cast Finger,1576.0,614.64,,,0
CDM,20010254,Hc Splint Elbow Long Arm,1408.0,549.12,,,0
CDM,20010255,Hc Splint Arm Short,1576.0,614.64,,,0
CDM,20010256,Hc Application Of Short Arm Splint Forearm To Hand Section - Pt,838.0,326.82,,,0
CDM,20010257,Hc Application Of Short Arm Splint Forearm To Hand Section - Ot,838.0,326.82,,,0
CDM,20010258,Hc Splint Finger Custom,1576.0,614.64,,,0
CDM,20010260,Hc Strapping Of Thorax Physical Therapy,937.0,365.43,,,0
CDM,20010262,Hc Strapping Of Shoulder - Pt,781.0,304.59,,,0
CDM,20010263,Hc Strapping Of Shoulder - Ot,781.0,304.59,,,0
CDM,20010264,Hc Strapping Of Shoulder,781.0,304.59,,,0
CDM,20010265,Hc Strapping Of Elbow Or Wrist - Pt,374.0,145.86,,,0
CDM,20010266,Hc Strapping Of Elbow Or Wrist - Ot,374.0,145.86,,,0
CDM,20010267,Hc Strapping Of Elbow Or Wrist,374.0,145.86,,,0
CDM,20010268,Hc Strapping Of Hand Or Finger Physical Therapy,749.0,292.11,,,0
CDM,20010269,Hc Strapping Of Hand Or Finger Occupational Therapy,749.0,292.11,,,0
CDM,20010270,Hc Strapping Of Hand Or Finger,749.0,292.11,,,0
CDM,20010271,Hc Cast Leg Long,3497.0,1363.83,,,0
CDM,20010272,Hc Cast Leg Short,2290.0,893.1,,,0
CDM,20010273,Hc Contact Cast,4899.0,1910.61,,,0
CDM,20010274,Hc Splint Leg Long,1576.0,614.64,,,0
CDM,20010275,Hc Application Short Leg Splint Calf Foot - Pt,1386.0,540.54,,,0
CDM,20010276,Hc Application Short Leg Splint Calf Foot - Ot,1386.0,540.54,,,0
CDM,20010277,Hc Apply Short Leg Splint,1386.0,540.54,,,0
CDM,20010278,Hc Strapping Of Hip - Pt,979.0,381.81,,,0
CDM,20010280,Hc Strapping Of Knee - Pt,882.0,343.98,,,0
CDM,20010282,Hc Strapping Of Knee,882.0,343.98,,,0
CDM,20010283,Hc Strapping Of Ankle And/Or Ft - Pt,1006.0,392.34,,,0
CDM,20010284,Hc Strapping Of Ankle And/Or Ft - Ot,1006.0,392.34,,,0
CDM,20010285,Hc Strapping Of Ankle,1006.0,392.34,,,0
CDM,20010286,Hc Strapping Of Toe,470.0,183.3,,,0
CDM,20010287,Hc Unna Boot,1576.0,614.64,,,0
CDM,20010288,Hc Apply Multlay Compression Lower Leg,1182.0,460.98,,,0
CDM,20010289,Hc Cast Removal Or Revision Of Boot/Body/Gauntlet,1408.0,549.12,,,0
CDM,20010290,Hc Cast Removal Or Revision Of Full Arm/Leg,1408.0,549.12,,,0
CDM,20010291,Hc Windowing Cast,474.0,184.86,,,0
CDM,20010292,Hc Cast Wedge,1576.0,614.64,,,0
CDM,20010293,Hc Strapping Unna Boot - Pt,1576.0,614.64,,,0
CDM,20010296,Hc Spine Surgery Procedure Unlisted,790.0,308.1,,,0
CDM,20010301,Hc Repair Extensor Tendon Hand W/O Graft Each,4613.0,1799.07,,,0
CDM,20010302,Hc Extensor Tendon Repair Each,29028.0,11320.92,,,0
CDM,20010303,Hc Inj/Drain/Asp Small Joint/Bursa W/Us,2192.0,854.88,,,0
CDM,20020200,Hc Biopsy Muscle Superficial,3404.0,1327.56,,,0
CDM,20020240,Hc Biopsy Bone Open Superficial,13278.0,5178.42,,,0
CDM,20020245,Hc Biopsy Bone Open Deep,5621.0,2192.19,,,0
CDM,20020251,Hc Biopsy Vertebral Body Open Lumbar Or Cervical,8080.0,3151.2,,,0
CDM,20020500,Hc Inj Of Sinus Tract Therapeutic,6247.0,2436.33,,,0
CDM,20020526,Hc Inj Carpal Tunnel Theraputic,4699.0,1832.61,,,0
CDM,20020553,Hc Inj Trigger Point 3 Or More Muscles,3200.0,1248.0,,,0
CDM,20020560,Hc Pt Needle Insertion W/O Injection 1 Or 2 Muscles,138.5,54.015,,,0
CDM,20020561,Hc Pt Needle Insertion W/O Injection 3 Or More Muscles,199.0,77.61,,,0
CDM,20020606,Hc Inj/Drain-Asp Intermediate Joint/Bursa W/Us,2578.0,1005.42,,,0
CDM,20020615,Hc Inj/Asp Treatment Bone Cyst,4704.0,1834.56,,,0
CDM,20020650,Hc Insertion Wire/Pin W/Appl Skeletal Traction Spx,17640.0,6879.6,,,0
CDM,20020660,Hc Appl Cranial Tong/Strtctc Frame W/Removal Spx,9790.0,3818.1,,,0
CDM,20020661,Hc Ip Only Application Halo Cranial Including Removal,8357.0,3259.23,,,0
CDM,20020670,Hc Removal Implant Superficial Separate Procedure,8050.0,3139.5,,,0
CDM,20020680,Hc Removal Implant Deep,3574.0,1393.86,,,0
CDM,20020697,Hc App Mltpln Uni Xtrnl Fix Strtctc Adjmt Exchange,4732.0,1845.48,,,0
CDM,20020939,Hc Bone Marrow Asp Bone Grfg Spine Surg Only Plus Add On,5507.0,2147.73,,,0
CDM,20020983,Hc Cryo Ablate Bone Tumors 1 Or More Perq W-Guid,16419.0,6403.41,,,0
CDM,20021011,Hc Excision Tumor Soft Tiss Face Scalp Subq Less Than 2Cm,5864.0,2286.96,,,0
CDM,20021012,Hc Excision Tumor Soft Tiss Face/Scalp Subq 2 Cm Or Greater,5172.0,2017.08,,,0
CDM,20021013,Hc Exc Tumor Soft Tiss Face And Scalp Subfascial Less Than 2Cm,4067.0,1586.13,,,0
CDM,20021014,Hc Exc Tumor Soft Tiss Face And Scalp Subfascial 2 Cm Or Greater,1271.0,495.69,,,0
CDM,20021421,Hc Closed Tx Palatal/Maxillary Fx W/Fixation/Splint,9258.0,3610.62,,,0
CDM,20021453,Hc Closed Tx Mandibular Fx W/Interdental Fixation,17376.0,6776.64,,,0
CDM,20021556,Hc Exc Tumor Soft Tiss Neck Thorax Subfascial Less Than 5Cm,8979.0,3501.81,,,0
CDM,20021933,Hc Exc Tumor Soft Tiss Back/Flank Subfascial 5 Cm Or Greater,862.0,336.18,,,0
CDM,20022310,Hc Cltx Vrt Bdy Fx Wo Manj Req And W/Csting/Bracing,1872.0,730.08,,,0
CDM,20022510,Hc Vertebroplasty Cervicothoracic Inj Percutaneous,31191.0,12164.49,,,0
CDM,20022511,Hc Vertebroplacty Lumbosacral Inj Percutaneous,28039.0,10935.21,,,0
CDM,20022512,Hc Vertebroplasty Inj Each Additional,8273.0,3226.47,,,0
CDM,20022513,Hc Aug Kyhphoplasty Thoracic,27124.0,10578.36,,,0
CDM,20022514,Hc Aug Kyhphoplasty Lumbar,25381.0,9898.59,,,0
CDM,20022515,Hc Aug Kyphoplasty Ea Addl Level,4589.0,1789.71,,,0
CDM,20022526,Hc Annuploplasty Intradiscal Electrothermal 1 Level,945.0,368.55,,,0
CDM,20022902,Hc Exc Tumor Soft Tissue Abdominal Wall Subq Less Than 3Cm,5020.0,1957.8,,,0
CDM,20022999,Hc Abdomen Musculoskeletal Procedure Unlisted,14105.0,5500.95,,,0
CDM,20023665,Hc Cl Tx Shoulder Disl W Fx Hum Tubrst W/Manj,8390.0,3272.1,,,0
CDM,20023929,Hc Unlisted Procedure Shoulder,1131.0,441.09,,,0
CDM,20023930,Hc I And D Upper Arm/Elbow Abscess Deep,17348.0,6765.72,,,0
CDM,20023931,Hc Drainage Of Arm/Elbow Bursa,11479.0,4476.81,,,0
CDM,20024071,Hc Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3Cm Or More,6756.0,2634.84,,,0
CDM,20024075,Hc Exc Tumor Soft Tiss Upper Arm/Elbow Subq Less Than 3Cm,3778.0,1473.42,,,0
CDM,20024575,Hc Open Tx Humeral Epicondylar Fracture,42461.0,16559.79,,,0
CDM,20024999,Hc Unlisted Procedure Humerus/Elbow,674.0,262.86,,,0
CDM,20025071,Hc Exc Tumor Soft Tiss Forearm And/Wrist Subq 3Cm Or Greater,4067.0,1586.13,,,0
CDM,20025520,Hc Cl Tx Rdl Shft Fx And Disl Dstl Rad/Uln Jt Galeazzi,7165.0,2794.35,,,0
CDM,20026236,Hc Partial Excision Distal Phalanx Finger,4668.0,1820.52,,,0
CDM,20026432,Hc Cl Tx Dstl Xtnsr Tdn Insj W/Wo Perc Pin Mallet Finger,8390.0,3272.1,,,0
CDM,20026587,Hc Rcnst Polydactylous Digit Soft Tissue Bone,4546.0,1772.94,,,0
CDM,20026607,Hc Cl Tx Metacarpal Fx W/Manj W/Xtrnl Fixj Ea Bone,16761.0,6536.79,,,0
CDM,20026765,Hc Open Tx Distal Phalangeal Fracture Each,9687.0,3777.93,,,0
CDM,20026951,Hc Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr,8414.0,3281.46,,,0
CDM,20027093,Hc Inj For Hip Xray Arthrogram,1960.0,764.4,,,0
CDM,20027220,Hc Cl Tx Acetabulum Hip/Sockt Fx W/O Manj,1227.0,478.53,,,0
CDM,20027246,Hc Cl Tx Greater Trochanteric Fx W/O Manj,1438.0,560.82,,,0
CDM,20027301,Hc Id Deep Absc Bursa/Hematoma Thigh/Knee Region,14942.0,5827.38,,,0
CDM,20027369,Hc Inj Knee Arthro Ct/Mri W Contrast,1049.0,409.11,,,0
CDM,20027599,Hc Unlisted Procedure Femur/Knee,674.0,262.86,,,0
CDM,20027603,Hc I And D Leg/Ankle Abscess/Hematoma,15689.0,6118.71,,,0
CDM,20028008,Hc Fasciotomy Foot/Toe,21291.0,8303.49,,,0
CDM,20028010,Hc Tenotomy Percutaneous Toe Single Tendon,5025.0,1959.75,,,0
CDM,20028060,Hc Fasciotomy Plantar Fascia Partial,21291.0,8303.49,,,0
CDM,20028208,Hc Repair Tendon Extensor Foot 1/2 Each Tendon,7450.0,2905.5,,,0
CDM,20028820,Hc Amputation Toe Metatarsophalangeal Joint,9687.0,3777.93,,,0
CDM,20029085,Hc Application Cast Hand And Lower Forearm Gauntlet,551.0,214.89,,,0
CDM,20029131,Hc Application Finger Splint Dynamic,188.0,73.32,,,0
CDM,20029305,Hc Application Hip Spica Cast 1 Leg,864.0,336.96,,,0
CDM,20029355,Hc Application Long Leg Cast Walker/Ambulatory Type,782.0,304.98,,,0
CDM,20029358,Hc Application Long Leg Cast Brace,782.0,304.98,,,0
CDM,20029365,Hc Application Cylinder Cast Thigh Ankle,864.0,336.96,,,0
CDM,20029425,Hc Application Short Leg Cast Walking/Ambulatory,774.0,301.86,,,0
CDM,20029440,Hc Adding Walker Previously Applied Cast,476.0,185.64,,,0
CDM,20029450,Hc Appl Clubfoot Cast Molding Or Manj Long Or Short Leg,428.0,166.92,,,0
CDM,20029584,Hc Appl Mltlayr Compres Sys Uparm Lwarm Hand And Fing,871.0,339.69,,,0
CDM,20029720,Hc Repair Spica Body Cast/Jacket,474.0,184.86,,,0
CDM,20029750,Hc Wedging Clubfoot Cast,782.0,304.98,,,0
CDM,20060665,Hc Removal Tong/Halo Applied By Another Individual,2699.0,1052.61,,,0
CDM,20120560,Hc Ot Needle Insertion W/O Injection 1 Or 2 Muscles,138.5,54.015,,,0
CDM,20120561,Hc Ot Needle Insertion W/O Injection 3 Or More Muscles,199.0,77.61,,,0
CDM,25010078,Rx 278,22922.14,8939.63,,,0
CDM,27000010,Hc Acapella Oscillatory Device Any,267.945,104.5,,,0
CDM,27000013,Hc Adaptor Spike Prismas Sp-C13,22.04,8.594999999999999,,,0
CDM,27000020,Noncdm Charge Record Medical Supplies - Medsurg Supplies-Transfer Rule,1560.42,608.56,,,0
CDM,27000022,Sup Medsurg Supplies,294.05,114.68,,,0
CDM,27000043,Hc Cast Supplies - Fiberglass,330.48,128.89,,,0
CDM,27000044,Hc Cast Supplies - Plaster,198.515,77.42,,,0
CDM,27000049,Hc Contact Cast Supply,393.4,153.43,,,0
CDM,27000050,Hc Cord Bipolar Disp,102.36,39.92,,,0
CDM,27000052,Hc Vest Cpt Any,500.94,195.37,,,0
CDM,27000053,Hc Crutches Any,73.695,28.740000000000002,,,0
CDM,27000060,Hc Er O2 Via Nc/Nrm/Venti Mask,203.945,79.53999999999999,,,0
CDM,27000062,Hc Femostop Plus Compression Sys,584.87,228.095,,,0
CDM,27000065,Hc Heel Tender Foot,26.67,10.399999999999999,,,0
CDM,27000067,Hc Hood Sterishield Stryker 7000,125.75,49.04,,,0
CDM,27000070,Hc Insert Prone View Disp Small,182.265,71.08000000000001,,,0
CDM,27000071,Hc Inserter Dialo,204.72,79.84,,,0
CDM,27000072,Hc Introducer Picc Bimeco,179.16,69.87,,,0
CDM,27000074,Hc Irrigator Lap Strykeflow 2,252.64,98.53,,,0
CDM,27000075,Hc Kam-Vac Suction Lf,133.445,52.045,,,0
CDM,27000077,Hc Kit Basic Microsensor,4073.35,1588.61,,,0
CDM,27000078,Hc Kit Blower Mister,272.93,106.44,,,0
CDM,27000079,Hc Tray Cath 4Fr 45Cm Intro 1 Lum,189.92,74.07,,,0
CDM,27000080,Hc Kit Monitor Intcran Pres1104Bt,4602.54,1794.99,,,0
CDM,27000081,Hc Kit Resorbable Mini Bead,4160.75,1622.69,,,0
CDM,27000084,Hc Meter Peakflow Pb Full,47.66,18.59,,,0
CDM,27000085,Hc Mic-Key Enterstomal Therap,1059.2649999999999,413.115,,,0
CDM,27000092,Hc Ostomy Supply-Complex,194.14,75.715,,,0
CDM,27000093,Hc Oxisensor Disp Lf Neonatal,76.905,29.995,,,0
CDM,27000094,Hc Oxygen 1- 8 Hours,163.42000000000002,63.730000000000004,,,0
CDM,27000097,Hc Pad Cardiac Phrenic Nerve,164.35500000000002,64.1,,,0
CDM,27000098,Hc Pad Pre-Inflated Chair/Mattress Any,133.45499999999998,52.045,,,0
CDM,27000099,Hc Pad Hypo/Hyperthermia Adt24X60,75.37,29.39,,,0
CDM,27000100,Hc Pad Prone View Large,182.04,70.995,,,0
CDM,27000101,Hc Pad Therapy Hot/Cold 14X20,26.685000000000002,10.41,,,0
CDM,27000102,Hc Padded Surgical Shoe,495.65999999999997,193.31,,,0
CDM,27000104,Hc Phlebotomy Bag,40.415,15.76,,,0
CDM,27000105,Hc Post Angled S/S 30Deg,906.14,353.39,,,0
CDM,27000106,Hc Powder Antifungal 3Oz,26.605,10.375,,,0
CDM,27000107,Hc Profore Supply,166.805,65.055,,,0
CDM,27000108,Hc Pulsed Lavage Supplies,439.66999999999996,171.47,,,0
CDM,27000110,Hc Razor Facial Medi-Shaver Lf,114.985,44.845,,,0
CDM,27000111,Hc Oxygen Per Hour,21.945,8.56,,,0
CDM,27000113,Hc Retainer Visceral Large,159.91,62.36,,,0
CDM,27000114,Hc Retainer Visera Medium,173.82999999999998,67.78999999999999,,,0
CDM,27000123,Hc Set Dialysis Transfer Mini Cap Lf,310.395,121.055,,,0
CDM,27000124,Hc Set Infusion Level 1 D-50,234.56,91.48,,,0
CDM,27000125,Hc Set Intro Probe Tubing Mri 10G,1552.55,605.495,,,0
CDM,27000127,Hc Set Peri Dialysis 4-Prong Disp Lf,120.06,46.82,,,0
CDM,27000128,Hc Set Y Disconnect Disp Dialysis,33.045,12.89,,,0
CDM,27000135,Hc Shoe Walker Offload Any,251.195,97.97,,,0
CDM,27000139,Hc Smoke Evac Laparscopic,157.73,61.51,,,0
CDM,27000142,Hc Sponge Ultrafoam Lf .2X6.25Cmx7Mm,60.75,23.69,,,0
CDM,27000143,Hc Stimulator Bone Tib Fib Tars Meta,19443.72,7583.05,,,0
CDM,27000144,Hc Stimulator Nerve Vari Stim Iii,334.72,130.54,,,0
CDM,27000145,Hc Suction Tube Frasier 7,405.1,157.99,,,0
CDM,27000149,Hc Syst Closed Suction Any,39.605000000000004,15.445,,,0
CDM,27000152,Hc Tape Retracto,112.09,43.72,,,0
CDM,27000153,Hc Tip Ball T2 3X1000Mm,1944.45,758.34,,,0
CDM,27000154,Hc Tip Ball T2 3X800Mm,1712.1,667.72,,,0
CDM,27000155,Hc Tip Foreign Body,119.44,46.58,,,0
CDM,27000157,Hc Tube Mini Kamvac Curved Lf,135.38,52.8,,,0
CDM,27000158,Hc Tubing Collection 6Ft Vacurette Disp Lf,54.805,21.375,,,0
CDM,27000159,Hc Tubing Inflow Wolf,187.65,73.18,,,0
CDM,27000237,Hc Bucket Enema 1.5L Dyn Clamp Disp Lf54In?Nstrl,6.39,2.49,,,0
CDM,270003738,Hc Stabilizer Ez F/ Ez Io,92.945,36.25,,,0
CDM,27000488,Hc Belt Rb Univ 40X6In Foam Prm 2Panel Elc Hook,24.53,9.57,,,0
CDM,27000662,Hc Syst Capping Cooling Scalp,4541.475,1771.1750000000002,,,0
CDM,27001275,Hc Helmet Hardshell Danmar Lg,664.16,259.02,,,0
CDM,27001620,Hc Applicator Pvp Iod Isoprpnl 1Step 6Ml Drprp,10.66,4.16,,,0
CDM,27002017,Hc Dressing Tegaderm 8X6In Trnsprnt Film Frame,6.51,2.54,,,0
CDM,27003325,Hc Wiper Foam Device Med 3X3X.025,2605.41,1016.11,,,0
CDM,27005200,Hc Set Adapter Ecmo Airway Any,88.08,34.35,,,0
CDM,27006729,Hc Mask Face No Tubing Anes Any,6.38,2.4850000000000003,,,0
CDM,27010096,Hc Belt Gait Any,25.064999999999998,9.774999999999999,,,0
CDM,27010141,Hc Drape Vac Any,33.12,12.92,,,0
CDM,270103141,Hc Monofilament Sens Test,9.48,3.7,,,0
CDM,27010500,Hc Positioner Glide And Guide Any,133.165,51.935,,,0
CDM,270107097,Hc Blanket Phototherapy Any,1068.8899999999999,416.87,,,0
CDM,270108608,Hc Pouch Fecal Ostomy,54.435,21.23,,,0
CDM,270109534,Hc Cast Total Contact Bsn,383.78,149.67,,,0
CDM,270109792,Hc Sealant Glucan 3000 3.5Oz,141.79,55.3,,,0
CDM,270110250,Hc Pad Aed Adlt,842.23,328.47,,,0
CDM,270110251,Hc Pad Aed Ped Or Standard Any,488.365,190.46,,,0
CDM,270110488_270,Noncdm Charge Record Medical Supplies - Hc Zz Cover Air Warm Adult 85.8X502In Upr Frc - Use 27129781,27.94,10.9,,,0
CDM,270110488_A9999_270,Noncdm Charge Record Medical Supplies - Hc Zz Cover Air Warm Adult 85.8X502In Upr Frc - Use 27129781,27.94,10.9,,,0
CDM,27011054,Hc Kit Wedge Positioner Any,231.84,90.42,,,0
CDM,270112872,Hc Kit Bg Sensor,2249.88,877.45,,,0
CDM,270113625,Hc Foma Cast Elevr Std,131.285,51.2,,,0
CDM,270114131,Hc Garment Comp Calf Cir 23In Disp,42.64,16.63,,,0
CDM,270114132,Hc Garment Comp Lwr Leg Cir 17In Disp,42.64,16.63,,,0
CDM,270114133,Hc Garment Comp Thigh Cir 28In Disp,72.45,28.26,,,0
CDM,270114134,Hc Garment Comp Thigh Cir 33In,74.62,29.1,,,0
CDM,270114171,Hc Holder Limb Qrlse Xln Cuff Inf,14.385,5.61,,,0
CDM,270114172,Hc Holder Limb Qrlse Qltd Sm,27.785,10.84,,,0
CDM,270114173,Hc Holder Limb Qrkse Qltd Xl,27.785,10.84,,,0
CDM,270114179,Hc Mitt Dbl Pad W/Flap Adlt Peekaboo,84.53,32.97,,,0
CDM,270114185,Hc Bag Collect Privacy W Fltr 1L,17.65,6.880000000000001,,,0
CDM,270114333,Hc Pouch Telem Clr Poly Zplk,6.32,2.465,,,0
CDM,270114334,Hc Pouch Telem Foam 5.5X10In Vlcr Hook,6.415,2.5,,,0
CDM,270114366,Hc Kit Mntr Iv Pole Mnt 72In Tub 6In Micro,79.9,31.16,,,0
CDM,270114368,Hc Kit Man Dual Mntr Iv Pole Mnt 72In 48In,168.39,65.67,,,0
CDM,270115029,Hc Device Brstfd Nipple Everter Latch Assist???,37.209999999999994,14.51,,,0
CDM,270115134,Hc Pillow Abd Foam Cncv Med,110.85,43.23,,,0
CDM,270115135,Hc Pillow Abd Foam Cncv Lg,114.03999999999999,44.474999999999994,,,0
CDM,270115196,Hc Foam Pd Tempurpedic Supn Back Miami J,447.74,174.62,,,0
CDM,270115366,Hc Adapter Tee Valved 22X22Mm Od,7.140000000000001,2.785,,,0
CDM,270115502,Hc Device Suct Mcnm,45.85,17.88,,,0
CDM,270115578,Hc Mask O2 Pnrmc Adlt 750Ml Rbrth,46.47,18.119999999999997,,,0
CDM,270116168,Hc Set Tub Pat Control Analgesia,18.369999999999997,7.164999999999999,,,0
CDM,270116654,Hc Tube Suct Prem M Cnctrd 1/4In Id 12 Strl Ncndctv,12.83,5.0,,,0
CDM,270117035,Hc Ring Skin Barrier Sflx 20Mm,7.45,2.91,,,0
CDM,270117127,Hc Kit Lac Dlct Instr Ndl Syr,16.715,6.52,,,0
CDM,270117753,Hc Mask Phototherapy Any,30.945,12.07,,,0
CDM,270118078,Hc Sensor Pulse Lncs,53.56,20.89,,,0
CDM,270118112,Hc Fmwrp Nadh For Y-Sensor Large,7.45,2.91,,,0
CDM,270118116,Hc Hose H20 Birth Hvdty 25Ft Lead Free Sngl Pt Use,110.805,43.215,,,0
CDM,27011815,Hc Bubbler Prefill Any,26.91,10.49,,,0
CDM,270118205,Hc Dressing Wound With App 1.5Oz,58.705,22.895,,,0
CDM,270118216,Hc Pad Bladr Control Ob 9.25X22In Mod Absorb,7.45,2.91,,,0
CDM,270118284,Hc Liner Water Birth,178.02,69.43,,,0
CDM,270118310,Hc Pad Dcub Care Shpskn 30X40In,115.09,44.89,,,0
CDM,270118313,Hc Kit Wrap Vest/Leg Sm/Md Chst 32In-46In,137.55,53.64,,,0
CDM,270118491,Hc Teeth Gard,27.74,10.82,,,0
CDM,270118968,Hc Barrier Skin Incontinenc Film Sting-Free 1Oz Spry,32.03,12.49,,,0
CDM,270119915,Hc Device Iv Bag W/Check Valve,6.42,2.5,,,0
CDM,270120182,Hc Gel Carrington Dermal Wound 3Oz,23.29,9.08,,,0
CDM,270120277,Hc Holder Yankauer Los Oral Suction Tip W Rmvbl Adhs,12.795,4.99,,,0
CDM,270120280,Hc Humidifier Chamber Auto Waterfeed Flw 1.5-80L/Min,59.0,23.01,,,0
CDM,270120281,Hc Humidifier Hygroscopic Conden,78.87,30.76,,,0
CDM,270121090,Hc Kit Sampling Site And Arm Mount Reservoir 20In,1068.84,416.85,,,0
CDM,270122240,Hc Sys Fecal Mgmnt Flexi-Seal W/ Odor Cntrl,543.04,211.785,,,0
CDM,270123016,Hc Cap Tube Closure Trac Yellow For Vac Ats Syst,17.08,6.66,,,0
CDM,270124159,Hc Electrode 1Stp Ped Rsc Cpr,363.425,141.735,,,0
CDM,270125744,Hc Kit Valve Suctn Air Wtr 3Pc Bioguard,30.95,12.07,,,0
CDM,270125768,Hc Kit Valve Suctn Air Wtr 2 Pc Bioguard,27.84,10.86,,,0
CDM,270125902,Hc Pack Hot Inst 6Inx9In,9.235,3.5999999999999996,,,0
CDM,270127061,Hc Kit Valve Suctn Air Wtr 4Pc W Scope Torrent Bioguard,39.43,15.38,,,0
CDM,270127565,Hc Aligner Body Wedge 30D 22X12X9In Pink Devon,44.754999999999995,17.455,,,0
CDM,270128089,Hc Device Nasal Drug Delivery,27.84,10.86,,,0
CDM,270128189,Hc Flexiflo Feeding Bag Gravit,15.52,6.05,,,0
CDM,270128603,Hc Pack Cool Perineal W Ultrasorb Peripad Centurion,8.225,3.21,,,0
CDM,27012866,Hc Percussor Chest Neonate Any,14.49,5.65,,,0
CDM,270129564,Hc Iv Support Infant,22.36,8.72,,,0
CDM,270130566,Hc Wafer Durahesive Convex 57Mm,7.345000000000001,2.865,,,0
CDM,27013254,Hc Manometer Cuff Airway Disp Any,77.62,30.27,,,0
CDM,270132859,Hc Aligner Body Wedge 30Deg 28.5X19X8In Purple,48.64,18.97,,,0
CDM,27013339,Hc Headgear Infant Cpap Any,93.15,36.33,,,0
CDM,270134344,Hc Solution Antimicro Puracyn 500Ml,101.48,39.58,,,0
CDM,270134545,Hc Positioner Fluidized Z-Flo Sm 12In X 20In,192.42000000000002,75.045,,,0
CDM,270135065,Hc Tub Turtl Swaddling Neo,178.85,69.75,,,0
CDM,270135066,Hc Liner Swaddle Bath Neo,15.24,5.9399999999999995,,,0
CDM,27013698,Hc Sensor Vent Flow Disp Any,226.66,88.4,,,0
CDM,270138459,Hc Sensor Cardea Solo,511.7,199.56,,,0
CDM,270138510,Hc Patch Fetal Mon Novii Disp,202.10000000000002,78.815,,,0
CDM,270138665,Hc Set Admin Or Extension Pump Mri,100.345,39.135,,,0
CDM,270139973,Hc Tubing Irr Sonicone,132.17,51.55,,,0
CDM,270142658,Hc Pack Dressing Skinfold Dry,72.185,28.15,,,0
CDM,27015125,Hc Splint Tib/Fib Post Pad Knee Any,102.46,39.96,,,0
CDM,27015516,Hc Circuit Specialty Any,520.6,203.03,,,0
CDM,270155751,Hc Device Urine Mgt Ext Male,84.81,33.075,,,0
CDM,27015621,Hc Adaptor Trach Any,105.57,41.17,,,0
CDM,27015665,Hc Barrier Ring Ostoform Any,25.845,10.08,,,0
CDM,27017291,Hc Inflation Device Presto,206.79,80.65,,,0
CDM,27017897,Hc Cream/Serum Hydrating Any,15.52,6.05,,,0
CDM,27018124,Hc Bag Enema Retent Cuff Plastic Clamp Air Tip 8925,39.379999999999995,15.36,,,0
CDM,27018156,Hc Kit Enema Empty Snapcap Bag Rgd Tub 920,16.299999999999997,6.359999999999999,,,0
CDM,27019324,Hc Ring Enema Vnyl Infl Wo Drain 820,10.66,4.16,,,0
CDM,27021711,Hc Vashe Cleanser Any Size,71.93,28.05,,,0
CDM,27022414,Hc Tip Enema 5/16In 5/16In Sil Flxcf Retent Lf 8816,17.34,6.76,,,0
CDM,27030963,Hc Protector Heel Boot Or Waffle Any,179.04500000000002,69.82499999999999,,,0
CDM,27030967,Hc Protector Heel/Elbow Any,32.42,12.645,,,0
CDM,27033384,Hc Chin Strap Any,22.77,8.88,,,0
CDM,27036165,Hc Manifold Ultra Evac,84.25,32.86,,,0
CDM,27036258,Hc Kidney Transplant Nat Ref Lab,30.02,11.71,,,0
CDM,27041136,Hc Kit Sinus Irr Rinse,105.05,40.97,,,0
CDM,27043740,Hc Cushion Mask Under Nose Any,44.5,17.36,,,0
CDM,27043744,Hc Nifometer Neg Inspired Force Any,30.945,12.07,,,0
CDM,27044823,Noncdm Charge Record Medical Supplies - Hh Saline Flush Sterile 0.9% 10Ml (12Ml Syringe),20.7,8.07,,,0
CDM,27044824,Noncdm Charge Record Medical Supplies - Hh Heparin Flush Sterile 100 Uml 5Ml (12Ml Syringe),0.41,0.16,,,0
CDM,27046161,Hc Oxygen Per Day,400.135,156.05,,,0
CDM,27050176,Hc Kit Cuff Bp W Meter Any,49.730000000000004,19.395,,,0
CDM,27053262,Hc Trap H2O Set Lf Bllw Ped Adlt Oscillary 3100B,427.46,166.71,,,0
CDM,27054529,Hc Manifold Angio Med Prson,121.51,47.39,,,0
CDM,27055751,Hc Device Urine Mgt Ext Male Any,50.72,19.78,,,0
CDM,27056000,Hc Interface Nasal Filtered W Sampling Any,166.43,64.91,,,0
CDM,27059406,Hc Kit Care Mother/Baby Any,55.94,21.82,,,0
CDM,27060270,Hc Kit Adapt Dbl Pump Adv Disp,39.43,15.38,,,0
CDM,27062446,Hc Pillow Xs 3/8In 7In Gel Pstn Gel-E-Donut,32.239999999999995,12.575,,,0
CDM,27062451,Hc Aid 30In Foam Pstn Inf B Bnd,54.86,21.4,,,0
CDM,27064358,Hc Fiber Laser Ho,2633.14,1026.92,,,0
CDM,27069381,Hc Atomizer Lt Mucosal .19Ml 21.6Cm Wo 3Ml Syr,46.735,18.23,,,0
CDM,27070663,Hc Sensor Monitor 6050 004 110 O2,541.405,211.15,,,0
CDM,27072109,Hc Unit Trerotola Drive,527.75,205.82,,,0
CDM,27073344,Hc Speech Aid Acute Care Electrolarynx,1463.8,570.88,,,0
CDM,27076650,Hc Adhesive Med Appliance Prosth Any,92.42500000000001,36.045,,,0
CDM,27076652,Hc Remover Adhesive Med Appliance Prosth Any,75.4,29.405,,,0
CDM,27076933,Hc Thermalheat Infant Transport Spu,24.545,9.57,,,0
CDM,27082066,Hc Device Positive Air Press Any,76.685,29.905,,,0
CDM,27083148,Hc Tubing Set Extension Compression 4Ft Controller Assembly,200.79,78.31,,,0
CDM,27090311,Hc Wipe Ic Non Presurgical Any,28.28,11.030000000000001,,,0
CDM,27096046,Hc Liner Warmer Milk Wtrls Disp,14.89,5.805,,,0
CDM,27096428,Hc Sleeve Skin Arm Lycra Any,38.3,14.94,,,0
CDM,27096871,Hc Device Pelvic Trma Orthotic,562.83,219.5,,,0
CDM,27096956,Hc Ring Skin Barrier 4In Adapt Flat,8.67,3.38,,,0
CDM,27097717,Hc Wrench Tub Angulated 10Mm,1189.73,463.99,,,0
CDM,27099544,Hc Set Tube Irr Spyglass,88.75,34.61,,,0
CDM,27099739,Hc Kit Pstn 7In Jcksn Pat Care Spnl W/Prnview,213.21,83.15,,,0
CDM,27099746,Hc Chair Sensor Pad 30 Day Sgl Pt Use Posey,71.135,27.74,,,0
CDM,27099854,Hc Set Spk Screw Sf Epump 1000Ml,20.985,8.18,,,0
CDM,27099861,Hc Sensor Neuro Bis Bilat,163.12,63.62,,,0
CDM,27100010,Sup Non Sterile Supply,11604.42,4525.72,,,0
CDM,27100012,Hc Adaptor Bronch Fib Swivl Lf M,21.945,8.56,,,0
CDM,27100013,Hc Adaptor Bronch Swivel,39.07,15.24,,,0
CDM,27100014,Hc Adaptor Cable Thermal Pad,1808.245,705.2149999999999,,,0
CDM,27100015,Hc Adaptor Uneven,58.68,22.89,,,0
CDM,27100016,Hc Aerochamber Optihaler,54.91,21.415,,,0
CDM,27100020,Hc Applicator Chloro Orange 10.5M,104.48500000000001,40.75,,,0
CDM,27100022,Hc Armboard Iv Any,18.619999999999997,7.265,,,0
CDM,27100023,Hc Bag Effluent 5L Prismaflex,49.885000000000005,19.455,,,0
CDM,27100024,Hc Bag Hyperinflation 1/2 Liter,98.115,38.260000000000005,,,0
CDM,27100026,Hc Bag Pump Kangaroo,19.61,7.65,,,0
CDM,27100027,Hc Resuscitator Manual Any,44.5,17.36,,,0
CDM,27100028,Hc Bag Suction Drainage,165.445,64.52,,,0
CDM,27100029,Hc Band Comfort Straight,142.83,55.7,,,0
CDM,27100030,Hc Compression Radial Any,223.97,87.35,,,0
CDM,27100031,Hc Band Facial Universal,190.85,74.43,,,0
CDM,27100035,Hc Bandage Elastic/Ace Any,15.295000000000002,5.965,,,0
CDM,27100043,Hc Bandage Viscopaste 3In X 10,33.735,13.155,,,0
CDM,27100044,Hc Barrier Skin W/Flange 2-1/4,16.299999999999997,6.359999999999999,,,0
CDM,27100045,Hc Belt Ostomy Any,16.765,6.54,,,0
CDM,27100046,Hc Bili Combi,68.49000000000001,26.71,,,0
CDM,27100051,Hc Binder Abdominal Any,55.84,21.78,,,0
CDM,27100054,Hc Bite Block Sontek Medical,21.54,8.399999999999999,,,0
CDM,27100057,Hc Blade Clipper Disp Any,22.485,8.77,,,0
CDM,27100063,Hc Cast Boot Any,184.23,71.85,,,0
CDM,27100069,Hc Bra Surgical Any,121.51,47.39,,,0
CDM,27100072,Hc Burette Metriset,50.925,19.86,,,0
CDM,27100073,Hc Suction Cannister Or Liner W Wo Tubing Any,11.504999999999999,4.484999999999999,,,0
CDM,27100079,Hc Cannula Inner Shiley Any,23.585,9.195,,,0
CDM,27100083,Hc Cannula Nasal Any,13.23,5.16,,,0
CDM,27100086,Hc Cartridge Co2 Lma Stonebreaker,109.81,42.83,,,0
CDM,27100090,Hc Valve Holding Chamber Any,42.489999999999995,16.57,,,0
CDM,27100091,Hc Chloraprep Tint Any,46.269999999999996,18.045,,,0
CDM,27100095,Hc Comfort Gels - One Pair,29.91,11.665,,,0
CDM,27100096,Hc Connector Flex Adult,21.895,8.54,,,0
CDM,27100097,Hc Container/Collector Infant Feeding Any,55.474999999999994,21.634999999999998,,,0
CDM,27100100,Hc Cord Active Usa Str Disp Lf,189.72,73.99,,,0
CDM,27100103,Hc Cover Warming Underbody Full A,194.32,75.785,,,0
CDM,27100108,Hc Cuff Bp Disp Any,22.505000000000003,8.780000000000001,,,0
CDM,27100115,Hc Cuff Cryo Syst Any,418.03499999999997,163.03,,,0
CDM,27100116,Hc Cuff Dual Port Sgl Bladder 30In,1359.27,530.12,,,0
CDM,27100117,Hc Cuff Sgl Bladder Dp Blue 44Inx4,388.02,151.33,,,0
CDM,27100118,Hc Cuff Sgl Bladder Dp Purp 12Inx3,153.49,59.86,,,0
CDM,27100119,Hc Cuff Sgl Bladder Dp Purp 34Inx4,200.38,78.15,,,0
CDM,27100120,Hc Cuff Sgl Bladder Dp Red 18Inx4In,173.78,67.77,,,0
CDM,27100121,Hc Cuff Sgl Bladder Dp Yel 24Inx4In,195.36,76.19,,,0
CDM,27100122,Hc Cuff Tournequet Disp 18In,154.63,60.31,,,0
CDM,27100123,Hc Cuff Tournequet Disp 24In,156.49,61.03,,,0
CDM,27100124,Hc Cuff Tournequet Disp 30In,191.89,74.84,,,0
CDM,27100125,Hc Cuff Tournequet Disp 34In,188.68,73.59,,,0
CDM,27100126,Hc Cuff Tourniquet 18In Rp,1135.4,442.81,,,0
CDM,27100127,Hc Cushion Wheelchair Any,127.3,49.65,,,0
CDM,27100128,Hc Device Locking W/Bx Cup,66.14,25.79,,,0
CDM,27100129,Hc Drip Macro Nonvented 72In,23.645,9.219999999999999,,,0
CDM,27100131,Hc Extension Transducer 42408-01,16.299999999999997,6.359999999999999,,,0
CDM,27100134,Hc Filterset W/Clamp 150 X 60,54.86,21.4,,,0
CDM,27100136,Hc Foam Cradle Arm,24.53,9.57,,,0
CDM,27100142,Hc Guard Teeth,46.89,18.29,,,0
CDM,27100143,Hc Halter Head Elastic Pad Small,53.3,20.79,,,0
CDM,27100144,Hc Holder Head Foam Deroyal Lfm,15.625,6.09,,,0
CDM,27100145,Hc Holder Leg Well,74.62,29.1,,,0
CDM,27100146,Hc Holder Ng Tube Adhesive Any,9.32,3.63,,,0
CDM,27100158,Hc Hose Anti Embolism Per Pr Any,29.16,11.370000000000001,,,0
CDM,27100165,Hc Hose Circo Series Connecting,15.68,6.115,,,0
CDM,27100174,Hc Kit Breast Pump Ameda Medela Any,129.26999999999998,50.415000000000006,,,0
CDM,27100176,Hc Cannister Gel Or Neg Pressure Any,200.95,78.37,,,0
CDM,27100178,Hc Kit Gastric Lavage Easi-Lav,357.18,139.3,,,0
CDM,27100179,Hc Kit L T A Lf,31.82,12.41,,,0
CDM,27100180,Hc Kit Lung Use W/Biodex Shield,141.79,55.3,,,0
CDM,27100181,Hc Kit Patient Care Jackson Spine,202.55,78.99,,,0
CDM,27100182,Hc Kit Patient Table Pad,202.55,78.99,,,0
CDM,27100183,Hc Kit Patient Table Pad 5802,189.72,73.99,,,0
CDM,27100185,Hc Kit Shoulder Suspension Lf,490.38,191.25,,,0
CDM,27100186,Hc Kit Shoulder Suspension Str,221.7,86.46,,,0
CDM,27100187,Hc Kit Traction Shoulder,457.37,178.37,,,0
CDM,27100189,Hc L-Wire Megatip Disp,72.45,28.26,,,0
CDM,27100190,Hc Manifold Filter Neptune 2,132.48,51.67,,,0
CDM,27100191,Hc Manifold Neptune Drip Reduction,172.74,67.37,,,0
CDM,27100192,Hc Mask O2 Any,32.19,12.555,,,0
CDM,27100194,Hc Mask Wee Spec Supreme Preemie,22.064999999999998,8.605,,,0
CDM,27100198,Hc Mitten Flex Palm Med,76.59,29.87,,,0
CDM,27100199,Hc Retainer Net Elastic Any,54.775,21.36,,,0
CDM,27100200_270,Noncdm Charge Record Medical Supplies - Hc Zz Net Elastic Sz9- Use 27100199,129.75,50.6,,,0
CDM,27100200_A4649_270,Noncdm Charge Record Medical Supplies - Hc Zz Net Elastic Sz9- Use 27100199,129.38,50.46,,,0
CDM,27100202,Hc Overtube Esophageal,1112.94,434.05,,,0
CDM,27100203,Hc Oxisensor Digit Disp Lf Ped,58.010000000000005,22.62,,,0
CDM,27100204,Hc Oxisensor Pulse Lf Infant,52.730000000000004,20.564999999999998,,,0
CDM,27100205,Hc Oxymiser Moustache,87.46,34.11,,,0
CDM,27100207,Hc Pad Bovie Somnoplasty,71.42,27.85,,,0
CDM,27100208,Hc Pad Cpm Low Limb W/Strap And Edge,123.94,48.34,,,0
CDM,27100209,Hc Pad Defibrillator Any,127.525,49.735,,,0
CDM,27100211,Hc Pad Grounding Rf,111.99,43.68,,,0
CDM,27100212,Hc Pad Grounding W/Cable Any,19.83,7.734999999999999,,,0
CDM,27100214,Hc Pad Incontinence Rental Bed Lf,40.44,15.77,,,0
CDM,27100215,Hc Pad Incontinent For Spec Beds,67.225,26.22,,,0
CDM,27100216,Hc Pad Perineal Chick Lf,648.12,252.77,,,0
CDM,27100217,Hc Pad Perineal Post,389.16,151.77,,,0
CDM,27100218,Hc Pad Post Supine Peroneal,583.43,227.54,,,0
CDM,27100219,Hc Pad Thermal Ground 700-102649,1377.38,537.18,,,0
CDM,27100220,Hc Pad Warming Back Medium,1221.71,476.47,,,0
CDM,27100221,Hc Pad Warming Universal,441.735,172.28,,,0
CDM,27100222,Hc Padding Cast Deroyal 3In,15.785,6.154999999999999,,,0
CDM,27100223,Hc Padding Cast Deroyal Lf 4In,16.884999999999998,6.585,,,0
CDM,27100224,Hc Paste Oint Spray Skin Protect Or Barrier Any,25.58,9.975,,,0
CDM,27100225,Hc Peg Traction Removable 20Fr,463.73,180.85500000000002,,,0
CDM,27100227,Hc Pillow Ft Std Disp One Size Lf,28.810000000000002,11.235,,,0
CDM,27100228,Hc Piston Breast Pump Medela Any,20.424999999999997,7.965,,,0
CDM,27100229,Hc Pouch Fecal Incontinent Lf,39.254999999999995,15.31,,,0
CDM,27100230,Hc Pouch Ostomy Drnbl Wx Tape Bar,12.83,5.0,,,0
CDM,27100232,Hc Powder Ostomy Lf 1 Oz Btl,16.770000000000003,6.54,,,0
CDM,27100233,Hc Prefilter Valley Lab,48.54,18.93,,,0
CDM,27100234,Hc Probe Neonatal Sts-204 Lf,21.965,8.565000000000001,,,0
CDM,27100235,Hc Probe Pulse Ox Disp Lf Adult,58.010000000000005,22.62,,,0
CDM,27100236,Hc Probe Rectal,44.45,17.34,,,0
CDM,27100239,Hc Probe Temp Skin Giraffe Disp,44.5,17.36,,,0
CDM,27100241,Hc Protector Eye,39.33,15.34,,,0
CDM,27100246,Hc Pump Breast Manual Harmony,77.41,30.189999999999998,,,0
CDM,27100254,Hc Pump Manual Single Ameda,116.23,45.33,,,0
CDM,27100261,Hc Set Blood Administration Tubing Any,49.415,19.27,,,0
CDM,27100263,Hc Set Fluid Warming Any,73.14,28.525,,,0
CDM,27100265,Hc Set Connector Cpd Y,46.735,18.23,,,0
CDM,27100274,Hc Set Fluid Warmer Disposable,371.56,144.91,,,0
CDM,27100275,Hc Set Gemstar Pump W/Filter,54.34,21.19,,,0
CDM,27100276,Hc Set Infuse Anti-Siphon,24.625,9.605,,,0
CDM,27100277,Hc Set Perifix Accu-Block Ce17T,50.535,19.71,,,0
CDM,27100278,Hc Set Prim W/Chamber Symbiq,123.68,48.24,,,0
CDM,27100279,Hc Set Provider Pump N/Vent Lf,67.225,26.22,,,0
CDM,27100280,Hc Set Pump Enteral Kendall,9.63,3.76,,,0
CDM,27100281,Hc Set Pump Iv Primary,54.86,21.4,,,0
CDM,27100282,Hc Set Pump Non-Dehp Plum,77.83,30.35,,,0
CDM,27100283,Hc Set Pump Plum Transfusion,95.0,37.05,,,0
CDM,27100284,Hc Set Syringe Admin Synbiq,44.66,17.42,,,0
CDM,27100286,Hc Set Transfer Minicap W/Clp Lf,298.28499999999997,116.33,,,0
CDM,27100287,Hc Set Tubing For Auto Rinse,74.62,29.1,,,0
CDM,27100289,Hc Shield Eye Any,39.224999999999994,15.3,,,0
CDM,27100291,Hc Shield Nipple Contact Any,26.655,10.395,,,0
CDM,27100302,Hc Shoe Orthowedge Any,98.505,38.415,,,0
CDM,27100315,Hc Shoe Post-Op Or Cast Any,54.86,21.4,,,0
CDM,27100321,Hc Sitz Bath Disposable Any,15.629999999999999,6.095,,,0
CDM,27100327,Hc Sleeve Or Wrap Sequential Compression Any,94.005,36.66,,,0
CDM,27100335,Hc Sling Arm Any,23.97,9.35,,,0
CDM,27100343,Hc Snuggle Up Disp Lf Med,73.36500000000001,28.615,,,0
CDM,27100344,Hc Snuggle Up Disp Lf Small,57.595,22.46,,,0
CDM,27100345,Hc Solution Duraprep Surg Lf 24Ml,26.605,10.379999999999999,,,0
CDM,27100346,Hc Spirometer Incentive Any,15.69,6.119999999999999,,,0
CDM,27100349,Hc Splint Finger Any,16.72,6.52,,,0
CDM,27100364,Hc Splint Precut Any,48.875,19.06,,,0
CDM,27100369,Hc Boot Or Splint Buck Traction Any,115.455,45.03,,,0
CDM,27100370,Hc Stethoscope Esophageal Any,15.629999999999999,6.095,,,0
CDM,27100371,Hc Stomahesive Lf 4X4,28.875,11.260000000000002,,,0
CDM,27100372,Hc Strap Ankle Distractor,272.93,106.44,,,0
CDM,27100373,Hc Strap Stirrup Kc,23.49,9.16,,,0
CDM,27100374,Hc Support Heart Hug Sternum Lg,530.44,206.87,,,0
CDM,27100375,Hc Support Heart Hug Sternum Reg,546.89,213.29,,,0
CDM,27100377,Hc Support Scrotal Large,123.68,48.24,,,0
CDM,27100378,Hc Suspensory Support Lf Any,60.235,23.490000000000002,,,0
CDM,27100379,Hc Suspensory Support Lf Medium,60.75,23.69,,,0
CDM,27100380,Hc Suspensory Support Lf X-Large,63.96,24.94,,,0
CDM,27100381,Hc Syringe Medallion Series 3Ml,16.785,6.545,,,0
CDM,27100382,Hc System Cleft Palate Nipple,46.89,18.29,,,0
CDM,27100383,Hc System Ortho Prep Suction,133.31,51.99,,,0
CDM,27100384,Hc System Supplemnt Nursing Starter,54.86,21.4,,,0
CDM,27100387,Hc Tape Casting Any,19.765,7.71,,,0
CDM,27100394,Hc Tape Adhesive Or Cloth Any,24.79,9.67,,,0
CDM,27100396,Hc Tigertape Whiteblk Tapered 2Mm,410.48,160.09,,,0
CDM,27100397,Hc Tip Smart Thermal W/Drape,159.91,62.36,,,0
CDM,27100398,Hc Tool Pinch On Screwin Lead,183.4,71.53,,,0
CDM,27100401,Hc Tubeset Heated W/Rtp,225.83499999999998,88.08,,,0
CDM,27100402,Hc Tubing Bifuse,9.475000000000001,3.695,,,0
CDM,27100403,Hc Vacuum Kiwi Del Sys W/M Cup,171.005,66.69,,,0
CDM,27100404,Hc Vacuum Kiwi Del Sys W/Procup,169.95499999999998,66.285,,,0
CDM,27100410,Hc Wrap Support Mcconnell Arm Lg,271.89,106.04,,,0
CDM,27100411,Hc Cuff Tourniquet 8In 1 Port 1 Bladr Ats Strl,84.25,32.86,,,0
CDM,27101738,Hc Lift Sling Pt Disp Any,179.48000000000002,69.995,,,0
CDM,27101765,Hc Wafer Ost 3/8In-2 1/8In3/8-2 1/8In Asr Blu 2,24.53,9.57,,,0
CDM,27103119,Noncdm Charge Record Medical Supplies - Hc Zz Electrode Defib 6X4.5In Pad - No Replacement,16.56,6.46,,,0
CDM,27105552,Hc Retainer Lg Tube Dressing Cttnadlt Finger,9.63,3.76,,,0
CDM,27105915,Hc System Ost Mini 1 Drain Port,204.825,79.88,,,0
CDM,27105916,Hc System 8 7/8Inx6 1/3In Ost,214.24,83.55,,,0
CDM,27109622,Hc Clipper Umb Cord Clamp Ns Lf,6.38,2.4850000000000003,,,0
CDM,27109983,Hc Bag Urine Drainage Any,11.395,4.445,,,0
CDM,271100431,Hc Bag Ost N Img 2.75In 12In 2 Pc,12.5,4.875,,,0
CDM,271101877,Hc Applicator Chlrprp 2 Pct Chg 70 Pct,16.845,6.57,,,0
CDM,27111045,Hc Kit Pad Hydrogel Arctic Sun Any,5685.85,2217.48,,,0
CDM,271110866,Hc Pouch Cadd Pump Bag 250-500Ml,59.1,23.05,,,0
CDM,271114187,Hc Collector Fecal Incnt Drn Flx Flextend Barr,21.895,8.54,,,0
CDM,27111429,Hc Leads W Wire 5 Ekg Disp Any,70.38,27.45,,,0
CDM,271114312,Hc Set Leadwire 5 Snap Mtlnk Mx Aha,353.97,138.05,,,0
CDM,271114346,Hc Sensor Spo2 Finger Adlt Lncsadtx,37.11,14.475,,,0
CDM,271114347,Hc Sensor Finger Lng Low Nse Cable Neonat,47.84,18.66,,,0
CDM,271114371,Hc Kit Mntr Ped Press Tub 24In,39.43,15.38,,,0
CDM,271114410,Hc Sensor Eeg Mntr Sedline Disp,67.02000000000001,26.14,,,0
CDM,271114912,Hc Support Iv Alum Neo 3.5X1.5In Pad,14.9,5.81,,,0
CDM,271114933,Hc Device Aspt Dcntr Bg Strl Clr Plycrb,7.87,3.07,,,0
CDM,271115143,Hc Sho Ps Vlcr Clsr M Sm,21.32,8.31,,,0
CDM,271115285,Hc Line Smpl Adlt O2 Tub 6.5Ft,80.78,31.5,,,0
CDM,271115300,Hc Kit Trtn Cpap,7.45,2.91,,,0
CDM,271115522,Hc Bag Hpinfl Elb Mask Inf .5L,36.22,14.13,,,0
CDM,271115564,Hc Connector Isothrmal Y Cnct Inf,10.66,4.16,,,0
CDM,271115567,Hc Connector Strt Id Ns Plus 22Mm,9.63,3.76,,,0
CDM,27111559,Hc Bonnet Infant Any,53.83,20.994999999999997,,,0
CDM,271116611,Hc Solution Chg 4 Percent Clnsr 4Oz Btl,12.61,4.915,,,0
CDM,271116625,Hc Tray Proc Us Prep 2 Chlrprp,184.33499999999998,71.89,,,0
CDM,271116648,Hc Tubing Ph Ncdtve 7Mm 100Ft Nstrlsu,39.43,15.38,,,0
CDM,271116858,Hc Kit Comp Bandage 2 Lyr Btn Coban,55.515,21.65,,,0
CDM,271116944,Hc Kit Venous Ulcr Plus Elc Unna Boot Bandage,52.345,20.415,,,0
CDM,271117038,Hc Wafer Skin Barrier Flange 4In,7.45,2.91,,,0
CDM,271117160,Hc Support Abd Elc 10In W 26-50In Latex Safe,29.81,11.63,,,0
CDM,271117161,Hc Support Abd Elc 12In W 26-50In Univ,43.575,16.994999999999997,,,0
CDM,271117164,Hc Support Abd Elc 10In W 45-62In Latex Safe,36.22,14.13,,,0
CDM,271117915,Hc Gel Am Ag 1Oz Bllw Silvergel Resta,38.4,14.98,,,0
CDM,271118038,Hc Garment Comp Calf Cir 32In Disp,41.71,16.27,,,0
CDM,271118256,Hc Tip Calibrator Blchk Disp,25.56,9.97,,,0
CDM,271118337,Hc Set Tur Irr W/Rl Clamp 2000Ml,58.68,22.89,,,0
CDM,271118437,Hc Support Wrst Iv Adlt 9In 3 Straps,22.005,8.585,,,0
CDM,271118485,Hc Connector Dbl Swvl Strl 15Mm,22.36,8.72,,,0
CDM,271118557,Hc Mouthpc Lf W Strap Strl Adlt Su Disp,12.625,4.92,,,0
CDM,27111888,Hc Detector Co2 Any,25.009999999999998,9.754999999999999,,,0
CDM,271118966,Hc Barrier Skin Convex W/Floating Flng 2 Pce 2.25In,7.45,2.91,,,0
CDM,27111936,Hc System Sm Srglv Plus Sft Conesplshld Pls Lav,30.95,12.07,,,0
CDM,271119825,Hc Cover Dressing Tape Precut Pad 20Cm X 28Cm,8.49,3.31,,,0
CDM,271119998,Hc Dressing Abs Acrylc Clr 6.625X7.5In Tegaderm,10.165,3.96,,,0
CDM,271120034,Hc Dressing Wound Hydrophilic 2.5Oz,37.129999999999995,14.48,,,0
CDM,271121578,Hc Sensor Eeg Bis Extend Forehead Lf Disp,126.605,49.379999999999995,,,0
CDM,271122432,Hc Tubing Nasal Flexitrunk Univ 50Mm,129.27,50.42,,,0
CDM,271122439,Hc Tubing Y-Set Microbore Anti-Reflux,14.9,5.81,,,0
CDM,271123007,Hc Set Tubing Low Sorbing Vnt/Unvnt .2 Mic Fltr 103In,30.975,12.08,,,0
CDM,271123886,Hc Mask Bilirubin W/Stockinette,8.385,3.27,,,0
CDM,271124146,Hc Kit Positioner Fluidized Neonate Med/ Sm Z-Flo 16X24/ 7X10,598.3599999999999,233.36,,,0
CDM,271126344,Hc Catheter Ext Female Purewick Any,33.82,13.190000000000001,,,0
CDM,271126616,Hc Wafer Ostomy Red Flex,11.435,4.460000000000001,,,0
CDM,27112722,Hc Transducer Pressure Disp,34.209999999999994,13.34,,,0
CDM,271127540,Hc Adaptor Co2 Non-Intubated Disp,47.815,18.65,,,0
CDM,271127802,Hc Blanket Bili Disp,9.370000000000001,3.65,,,0
CDM,271128615,Hc Pad Seizure Disp,248.185,96.795,,,0
CDM,271129252,Hc Kit Oral Suct/Cleanse W/ Corinz Rinse Qcare Sage,98.235,38.315,,,0
CDM,271129755,Hc Contour Cuff Bariatric,21.32,8.31,,,0
CDM,271129852,Hc Kit Oral Suct/Cleanse W 0.12 Pct Chg Rinse Qcare Sage,95.895,37.400000000000006,,,0
CDM,271130212,Hc Clamp Incont Lg 3In Cunningham,115.09,44.89,,,0
CDM,271131775,Hc Bag Shower Hvad,1579.93,616.17,,,0
CDM,271131910,Hc Sys Pannus Retention Nstrl Adhes,245.35000000000002,95.69,,,0
CDM,271132821,Hc Cath Acute Liberty,67.525,26.335,,,0
CDM,271132822,Hc Cath Acute Liberty W Grip,100.175,39.07,,,0
CDM,271133644,Hc Casting Tcc 10 4In W No Boot,524.64,204.61,,,0
CDM,271134037,Hc Sensor Nasal Alar Spo2 Disp,95.1,37.084999999999994,,,0
CDM,271134039,Hc Sensor Eeg Rd Sedline,80.01,31.2,,,0
CDM,271134040,Hc Sensor 03 Regional,368.87,143.86,,,0
CDM,271134041,Hc Sensor Cheetah,939.4449999999999,366.385,,,0
CDM,271134047,Hc Mask O2 Capno Multi Port Pom,56.870000000000005,22.18,,,0
CDM,271134776,Hc Dressing Wrap Wound Edema 4Inx11.5Ft Drawex,65.08,25.380000000000003,,,0
CDM,27114731,Hc Valve Spk Passy Muir Pmv Any,302.225,117.87,,,0
CDM,27115511,Hc Circuit Anes Any,56.92,22.2,,,0
CDM,27115544,Hc Bag Sensura 1Pc Wide Outlet,9.094999999999999,3.545,,,0
CDM,27115548,Hc System Ost Max 1 Drain Port,229.25,89.41,,,0
CDM,27118396,Hc Sample Line 10 Ft W/Tee,6.3149999999999995,2.46,,,0
CDM,27119720,Hc Adapter Nebuilizer 22Mm 22Mm,6.3149999999999995,2.46,,,0
CDM,27120037,Hc Breastshield Any,36.17,14.11,,,0
CDM,27120510,Hc Device Srgct Atrtrc Bt 5Mm 1Mmadlt,9.63,3.76,,,0
CDM,27121465,Hc Prong Nasal Cpap Neo/Infant Disp Any,37.26,14.53,,,0
CDM,27123131,Hc Boot Total Contac Any,406.075,158.37,,,0
CDM,27124775,Hc Tube Nasal Bridle Rtn Sys Any,413.95,161.44,,,0
CDM,27126428,Hc Pouch Wound Eakin Fstl 4.3X3In Cohesive,49.06,19.13,,,0
CDM,27126829,Hc Sling Xfr Disp Arjo Sara 3000 Flites,114.61,44.695,,,0
CDM,27129781,Hc Blanket/Gown Warming Any,32.085,12.515,,,0
CDM,27130822,Hc Cassette Purge Impella,901.3299999999999,351.52,,,0
CDM,27131459,Hc Belt Fetal Monitor Any,6.445,2.51,,,0
CDM,27131626,Hc Resuscitator Infant/Neo Neotee Any,87.98,34.31,,,0
CDM,27134113,Hc Glove Edema Any,25.88,10.09,,,0
CDM,27135112,Hc Device Biliband Prmie 24-34Cm,14.605,5.695,,,0
CDM,27135113,Hc Device Biliband Reg 30-38Cm,15.635,6.095,,,0
CDM,27137888,Hc Pump Breast Powered Any,3836.535,1496.25,,,0
CDM,27141969,Hc Adapter Circuit 22Mm 22Mm,9.63,3.76,,,0
CDM,27162782,Hc Kit Feed Sns Supp Nurs Sys,44.295,17.28,,,0
CDM,27165345,Hc Pouch Telem Aproto Cus Lf Disp,9.04,3.5250000000000004,,,0
CDM,27165376,Hc Tape Medipore Any,52.480000000000004,20.47,,,0
CDM,27165760,Hc Sensor Neonat Lncs 36In Finger Oxm Adh Low,48.54,18.93,,,0
CDM,27181417,Hc Bottle Collection St/Seal Cap,42.54,16.59,,,0
CDM,27186413,Hc Programmer Neuro Interstim,5638.37,2198.96,,,0
CDM,27186571,Hc Adapter Feeding Enteral Red,28.875,11.260000000000002,,,0
CDM,27192290,Hc Bag Ost Prmr 2In 12In 1 Pc,72.105,28.125,,,0
CDM,27195111,Hc Clamp Dia Ultraclamp Prtnl,30.985,12.085,,,0
CDM,27200001,Hc Rhinolaryngoscope Disp Any,756.475,295.025,,,0
CDM,27200002,Hc Powder Collagen Bovine 1 Gm Any,69.34,27.04,,,0
CDM,27200003,Hc Dressing Contact Layer Small 4X6 Or Less Any,43.47,16.95,,,0
CDM,27200004,Hc Dual Compression Bandage System Ankle Any,62.655,24.435000000000002,,,0
CDM,27200007,Hc Speculum Vag Disp Any,17.755000000000003,6.92,,,0
CDM,27200010,Hc Collagen Dressing Sterile Pad Size 16Sq In Or Less Each,8299.25,3236.71,,,0
CDM,27200012,Hc Adapter 14Fr,44.245000000000005,17.259999999999998,,,0
CDM,27200013,Hc Adapter Checkflo W/3Way Stop,82.08,32.01,,,0
CDM,27200014,Hc Adapter Evac Ellik Non-Locking,817.65,318.88,,,0
CDM,27200015,Hc Adapter Perit Metal Disp Lf,1011.71,394.57,,,0
CDM,27200016,Hc Adapter Rotating Tubing Hp 72In,60.03,23.41,,,0
CDM,27200017,Hc Adapter Screw Cap T U R Y-Set,20.29,7.91,,,0
CDM,27200018,Hc Adapter Stay Safe,72.59,28.310000000000002,,,0
CDM,27200019,Hc Adapter T-B 6Fr,104.02,40.57,,,0
CDM,27200020,Hc Adapter Touhy Borst,173.82999999999998,67.78999999999999,,,0
CDM,27200021,Hc Adapter Tub 9Fr Splt Hemo Ext,374.15,145.92,,,0
CDM,27200022,Hc Adapter Tube Drain Urostomy,8.385,3.27,,,0
CDM,27200023,Hc Adapter Ureteral Cath Connect,114.985,44.845,,,0
CDM,27200024,Hc Adapter Y Venting 7.5Inx3In836096,67.17,26.2,,,0
CDM,272000245,Hc Dressing Opsite 10 X 5.5In,6.365,2.48,,,0
CDM,27200025,Hc Adaptor Cautery Monopolar,103.4,40.33,,,0
CDM,272000256,Hc Pump Elastomeric,33.02,12.88,,,0
CDM,272000257,Hc Needle Specialty,328.20000000000005,128.0,,,0
CDM,27200026,Sterile Supplies-Transfer Rule,15.14,5.9,,,0
CDM,27200027,Hc Adaptor Side Arm,87.46,34.11,,,0
CDM,27200028,Hc Adaptor Y Brat Lf,107.64,41.98,,,0
CDM,27200029,Hc Adhesive Skin Any,111.065,43.315,,,0
CDM,27200035,Hc Collagen Dressing Pad Size 16 Sq In Or Less Each,60.905,23.75,,,0
CDM,27200039,Hc Ndl Cannula Brachytherapy Any,24.535,9.57,,,0
CDM,27200041,Hc Airway Laryngoscope Grn Sm,519.73,202.695,,,0
CDM,27200043,Sup Cath Translum Angioplsty Nonlaser Incls Guide Inf Or Perfuse,6018.27,2347.13,,,0
CDM,27200044,Sup Catheter Balloon Dilatation Non-Vascular,9858.72,3844.9,,,0
CDM,27200047,Sup Catheter Drainage,14643.18,5710.84,,,0
CDM,27200053,Sup Cath Infusion Insert Peripheral Central Or Midline Not Hemodialysis,1400.1,546.04,,,0
CDM,27200056,Sup Catheter Intraspinal,2474.68,965.13,,,0
CDM,27200057,Sup Catheter Thrombectomy Or Embolectomy,20575.8,8024.56,,,0
CDM,27200058,Sup Catheter Ureteral,167.15,65.19,,,0
CDM,27200060,Hc Airway Any,35.239999999999995,13.74,,,0
CDM,27200068,Sup Guide Wire,697.48,272.02,,,0
CDM,27200069,Hc Sterile Water Any,18.63,7.27,,,0
CDM,27200071,Sup Retrieval Device To Insert & Retrieve Fractured Medical Devices,1637.37,638.57,,,0
CDM,27200076,Hc Angiocath 14 Ga 5-1/4In,24.505,9.559999999999999,,,0
CDM,27200077,Hc Applicator Duplospray 40Cm,609.82,237.83,,,0
CDM,27200079,Hc Applicator Floseal Endo,401.89,156.74,,,0
CDM,27200080,Sup Ocular Device Intraoperative Detached Retina,74348.19,28995.79,,,0
CDM,27200081,Hc Applicator Micromyst,930.67,362.96,,,0
CDM,27200102,Hc Assembly Contrast Spike,16.299999999999997,6.359999999999999,,,0
CDM,27200103,Hc Assembly Ria Tube Min 520Mm,2653.43,1034.84,,,0
CDM,27200104,Sup Catheter Guiding May Include Infusion/Perfusion Capability,16209.14,6321.56,,,0
CDM,27200108,Hc Assembly Suction Brat,99.41,38.769999999999996,,,0
CDM,27200111,Hc Bag 3 Spk Disp Set 54 Line,757.335,295.36,,,0
CDM,27200112,Hc Bag Bile 19Oz Sterile,39.379999999999995,15.36,,,0
CDM,27200113,Hc Bag Breathing Non Latex 2Liter,9.32,3.63,,,0
CDM,27200114,Hc Bag Fecal Mgmt,35.855000000000004,13.985,,,0
CDM,27200115,Hc Bag Colostomy,16.86,6.575,,,0
CDM,27200116,Hc Bag Colostomy 2-3/4In,8.48,3.3049999999999997,,,0
CDM,27200117,Hc Bag Decanter 2000,28.67,11.18,,,0
CDM,27200126,Hc Bag Drainage,295.135,115.1,,,0
CDM,27200128,Hc Bag Drainage Accordian,189.26,73.81,,,0
CDM,27200129,Hc Bag Drainage Prismas Sp-375,31.98,12.47,,,0
CDM,27200130,Hc Bag Drainage Tc-600,75.83500000000001,29.575,,,0
CDM,27200133,Hc Bag Drainage Ventricular Ext,225.885,88.095,,,0
CDM,27200136,Hc Bag Pressure Any,46.705,18.215,,,0
CDM,27200137,Hc Bag Red Blood Cell,55.685,21.72,,,0
CDM,27200138,Hc Bag Reinfusion Brat,78.87,30.76,,,0
CDM,27200139,Hc Bag Sample Baster Effluent,51.89,20.235,,,0
CDM,27200141,Hc Bag Urinary Disp 19Oz Med,17.34,6.76,,,0
CDM,27200143,Hc Bag Waste Brat,138.59,54.05,,,0
CDM,27200146,Hc Balloon Bakri Postpartum 54Cm,1354.87,528.4,,,0
CDM,27200147,Hc Balloon Cervical Ripening Any,275.025,107.25999999999999,,,0
CDM,27200148,Hc Balloon Extract Retrieval 9-12,978.59,381.65,,,0
CDM,27200149,Hc Balloon Extractor Rx Retrieval,990.39,386.25,,,0
CDM,27200155,Hc Band 24Cm Long 2 Balloon Air I,230.7,89.97,,,0
CDM,272001556,Hc Peg 14In Foam Disp,22.36,8.72,,,0
CDM,27200158,Hc Barrier Adh 3Inx2.5In Sod Halu,1735.645,676.9,,,0
CDM,27200159,Hc Barrier Adh Intcd Abs Xl,2318.71,904.3,,,0
CDM,27200160,Hc Barrier Convex 14802,15.625,6.09,,,0
CDM,27200166,Hc Basket Retrieval Any,1510.83,589.22,,,0
CDM,27200178,Sup Sterile Supply,1468.65,572.77,,,0
CDM,27200179,Hc Agent Hemostat Powder Or Pad Any,188.64,73.57,,,0
CDM,27200180,Hc Bioseal Cvc,129.63,50.555,,,0
CDM,27200181,Hc Bit Solidlok Hex 3.5Mm,496.8,193.75,,,0
CDM,27200183,Hc Cold Therapy Large Knee/Back Wrap Any,216.265,84.34,,,0
CDM,27200184,Hc Blower Hand,121.51,47.39,,,0
CDM,27200185,Hc Boot Mosquito Disp Lf,17.08,6.66,,,0
CDM,27200186,Hc Cold Therapy Small Bra/Jaw/Neck Any,141.79,55.3,,,0
CDM,27200195,Hc Bulb Irrigator,252.58999999999997,98.50999999999999,,,0
CDM,27200196,Hc Bulb Suction Express F/Minix,67.225,26.22,,,0
CDM,27200199,Hc Cable Accord Ss 2.0 W Clamp,1779.48,694.0,,,0
CDM,27200201,Hc Cable Doppler Flow Cook-Swartz,491.52,191.69,,,0
CDM,27200219,Hc Kit Perfusion Cannula Any,1828.84,713.25,,,0
CDM,272002413,Hc Laveen Needle Electrode 3.5/15,8285.38,3231.3,,,0
CDM,27200271,Hc Cannula Perfusion Cath Only Any,202.965,79.16,,,0
CDM,27200281,Hc Cap Mini Disconnect Dialysis Lf Any,22.05,8.6,,,0
CDM,27200282,Hc Cap Protect 5 Mm Fx Pin Femur,28.77,11.22,,,0
CDM,27200283,Hc Cap Seal Dextrus,2482.86,968.32,,,0
CDM,27200284,Hc Cap Sealing Red 2-3Mm,17.08,6.66,,,0
CDM,27200287,Hc Cassette Irrigation Disp,303.88,118.51,,,0
CDM,27200319,Hc Cath Balloon Endorectal Pro-Te,384.91499999999996,150.12,,,0
CDM,27200320,Hc Cath Balloon Tamponade,710.785,277.21000000000004,,,0
CDM,27200323,Hc Cath Barth Word Any,190.265,74.20500000000001,,,0
CDM,272003362,Hc Needle Bx 14Ga 6In Trct Ndl Std Hndl Sft,88.49,34.51,,,0
CDM,27200349,Hc Cath Airway Exchange Any,278.42,108.58,,,0
CDM,27200350,Noncdm Charge Record Medical Supplies - Hc Zz Cath Drain Abcession 10Fr - Use Sup,408.82,159.44,,,0
CDM,27200360,Noncdm Charge Record Medical Supplies - Hc Zz Cath Drain Clm Rh 14Fr 25Cm - Use Sup,529.92,206.67,,,0
CDM,27200375,Hc Cath Swan Ganz Any,365.53499999999997,142.56,,,0
CDM,27200377,Hc Cath Electro Gold Probe 7/300,793.95,309.64,,,0
CDM,27200382,Hc Cath Ventricular Evd Any,3718.46,1450.1999999999998,,,0
CDM,272003865,Hc Cap Protect .035 In Stein Pin Strl Guard Blu,8.49,3.31,,,0
CDM,27200388,Hc Cath Fem Cordis 3Rdc 6Fr 100Cm,72.45,28.26,,,0
CDM,27200410,Hc Cath Foley 2Way Any,26.96,10.51,,,0
CDM,27200418,Hc Cath Foley 3Way Any,84.92,33.120000000000005,,,0
CDM,27200426,Hc Cath Foley Criticore With Tray Any,227.495,88.72,,,0
CDM,27200433,Hc Cath Foley Silver/Ic Any,53.855000000000004,21.005000000000003,,,0
CDM,27200459,Hc Cath Glide 5 Straight/65/.038,333.68,130.14,,,0
CDM,27200476,Hc Cath Guide B-Max Cvd 8F 4.0Sh,406.13,158.39,,,0
CDM,27200511,Hc Cath Guide Medtr 6216A-Mb2,1158.79,451.93,,,0
CDM,27200515,Hc Cath Guiding Brite Tp 9F Al2,346.52,135.14,,,0
CDM,27200525,Hc Cath High Flow Cordis 7F Jr4,74.57,29.08,,,0
CDM,27200541,Hc Cath Inf Cordis 4F 3Drc,48.59,18.95,,,0
CDM,27200544,Hc Cath Inf Cordis 4F Pigtail,79.85,31.14,,,0
CDM,27200547,Hc Cath Infiniti 145 Pig Mod 4Fr,77.83,30.35,,,0
CDM,27200557,Hc Cath Infiniti Ar Mod,80.01,31.2,,,0
CDM,27200560,Hc Cath Infiniti Jr 5,80.32,31.32,,,0
CDM,27200561,Hc Cath Infiniti Pig 552S 5Fr,70.17,27.37,,,0
CDM,27200563,Hc Cath Inf-Other Than Hemodialysis,17.08,6.66,,,0
CDM,27200565,Hc Cath Infusion Sng Lumen 7X16Cm,70.38,27.45,,,0
CDM,27200566,"""Hc Cath Insyte Autogd Lf 24 5/16""""""",16.845,6.57,,,0
CDM,27200568,Hc Cath Intrauterine Or Hystergm Any,151.215,58.97,,,0
CDM,27200575,Hc Cath Iv Any,7.525,2.935,,,0
CDM,27200595,Hc Cath Mac 5Fr 2.5Mm,94.285,36.769999999999996,,,0
CDM,27200606,Hc Catheter Central Venous Any,219.39,85.56,,,0
CDM,27200610,Hc Cath Drain Any,554.655,216.315,,,0
CDM,27200611,Hc Cath Mushroom Bard 26F,48.02,18.73,,,0
CDM,27200637,Hc Cath Umbilical Any,113.875,44.41,,,0
CDM,27200647,Hc Cath Quick Cross .018X150Cm,1080.23,421.29,,,0
CDM,27200672,Hc Cath Rob-Nel Bard 14Fr,23.645,9.219999999999999,,,0
CDM,27200675,Hc Cath Sherpa Nx Ch15 7Fr 100Cm,334.72,130.54,,,0
CDM,27200683,Hc Cath Sinus Irr Vortex 22Cm,812.425,316.845,,,0
CDM,27200690,Hc Cath Specialty Iv Any,874.275,340.96500000000003,,,0
CDM,27200691,Hc Cath Suction Relogle,54.86,21.4,,,0
CDM,27200697,Hc Cath Suprapubic Any,462.64,180.43,,,0
CDM,27200705,Hc Cath Thoracic Any,27.1,10.565000000000001,,,0
CDM,27200716,Hc Cath Uret Open End 5Fr 70Cm,58.89,22.97,,,0
CDM,27200727,Hc Cath Ureteral Open End 7Fr 70C,58.68,22.89,,,0
CDM,272007302,Hc Cassette Cadd,50.455,19.68,,,0
CDM,27200733,Hc Cath Urethral Red Bard Any,24.43,9.525,,,0
CDM,27200740,Hc Cath Urinary 5Fr With Kit,180.68,70.465,,,0
CDM,27200800,Hc Catheter Spyglass Acc 10Fr 230,5035.22,1963.74,,,0
CDM,27200803,Hc Cautery Bipolar Valley Lab,22.564999999999998,8.8,,,0
CDM,27200804,Hc Cautery Disp Chaston,58.68,22.89,,,0
CDM,27200805,Hc Cautery Disp Hi Temp Fine Tip,72.605,28.32,,,0
CDM,27200806,Hc Cautery Ligasure Max,1495.68,583.32,,,0
CDM,27200807,Hc Cautery Suction 8Fr,54.34,21.19,,,0
CDM,27200812,Hc Circuit Vent/Breathing Any,39.045,15.23,,,0
CDM,27200815,Hc Clamp Large Pin 6 Position,3332.595,1299.71,,,0
CDM,27200816,Hc Clamp Post Multi Pin,5456.0,2127.84,,,0
CDM,27200817,Hc Cleanser Wound W/O Dye 4Oz,28.93,11.280000000000001,,,0
CDM,27200818,Hc Clearfil Photo Core Plt Xlg,35.19,13.72,,,0
CDM,27200833,Hc Coagulator Suction/Cutter,44.66,17.42,,,0
CDM,27200834,Hc Coban/Slf Adh Wrap Any,16.275,6.35,,,0
CDM,27200843,Hc Connector Cardiac 2-1,59.72,23.29,,,0
CDM,27200847,Hc Connector Cobe Bcc3,58.68,22.89,,,0
CDM,27200848,Hc Connector Perfusion Any,44.19,17.23,,,0
CDM,27200849,Hc Connector Expand 5In 15Mmx22Mm,32.03,12.49,,,0
CDM,27200850,Hc Connector Foley,31.98,12.47,,,0
CDM,27200851,Hc Connector Shunt Acfl Csf Stepd,511.7,199.56,,,0
CDM,27200852,Hc Connector Tri Clave Lf,26.73,10.425,,,0
CDM,27200853,Hc Connector Tri W/Safsite Valves,19.770000000000003,7.71,,,0
CDM,27200854,Hc Connector Y Prismaflex,17.13,6.68,,,0
CDM,27200855,Hc Connector-Y Round 3/16 And 1/4,27.74,10.82,,,0
CDM,27200857,Hc Cord Bipolar Disposable Disp,31.98,12.47,,,0
CDM,27200858,Hc Cord Bipolar Sterile Disp,80.01,31.2,,,0
CDM,27200859,Hc Cord Endoscopic Sterile Disp,23.49,9.16,,,0
CDM,27200860,Hc Cord Laparoscopy Monopolar 10In Dis,22.36,8.72,,,0
CDM,27200861,Hc Cord Ligasure Electrode Xtd,1495.68,583.32,,,0
CDM,27200862,Hc Co-Set Baxter,104.64,40.81,,,0
CDM,272008702,Hc Adhesive Lq Mastisol Any,8.385,3.27,,,0
CDM,27200881,Hc Cube 1Hl Rnch W Posts,1007.47,392.91,,,0
CDM,27200882,Hc Cup Ob Delivery,420.9,164.15,,,0
CDM,27200883,Hc Cup Ob Vacuum Mushroom,199.5,77.805,,,0
CDM,27200884,Hc Currette Curved Reg Tip 10Mm,27.74,10.82,,,0
CDM,27200885,Hc Debrider Norsen,85.7,33.42,,,0
CDM,27200886,Hc Decanter Vial,9.63,3.76,,,0
CDM,27200887,Hc Dermabond Propen,346.72,135.22,,,0
CDM,27200888,Hc Dermabond Propen Regular,178.9,69.77,,,0
CDM,27200895,Hc Device Iab Catheter Securement Statlock,225.865,88.09,,,0
CDM,27200897,Hc Device Enseal Trio Cvd Tip 3X3,2917.77,1137.93,,,0
CDM,27200900,Hc Device Flush Cont Dualport Int,17.34,6.76,,,0
CDM,27200901,Hc Device Grasping Talon,888.03,346.33,,,0
CDM,27200902,Hc Device Half Circ 0 24In 37Mm,192.92,75.24,,,0
CDM,27200903,Hc Device Half Circ 18In Gs-21 48Mm,183.4,71.53,,,0
CDM,27200904,Hc Device Half Circ 2/0 24In 37Mm,192.92,75.24,,,0
CDM,27200905,Hc Device Hand Assist Xe100Mm Lf,3056.36,1191.98,,,0
CDM,27200906,Hc Device Incision Heel Lf Preemie,12.495000000000001,4.87,,,0
CDM,27200907,Hc Device Inflation Encore 26,237.74,92.72,,,0
CDM,27200908,Hc Device Lead Locking Lld E,3464.66,1351.22,,,0
CDM,27200909,Hc Device Novasure Ns2000,7470.735000000001,2913.59,,,0
CDM,27200910,Hc Device Polyloop Detach Ligatin,648.12,252.77,,,0
CDM,27200912,Hc Device Securestrap Fx Abs 5Mm,3333.53,1300.08,,,0
CDM,27200913,Hc Device Stlk Art Stab,45.53,17.755000000000003,,,0
CDM,27200914,Hc Device Suction Oral Nasal Any,9.370000000000001,3.65,,,0
CDM,27200916,Hc Device Torque 22215,19.715,7.6899999999999995,,,0
CDM,27200917,Hc Device Torque Medi-Tech,48.425,18.884999999999998,,,0
CDM,27200929,Hc Dilator Vessel Any,41.685,16.259999999999998,,,0
CDM,27200942,Hc Disc E-Hold Tzmed Oval,46.89,18.29,,,0
CDM,27200943,Hc Disc E-Hold Tzmed Round,46.89,18.29,,,0
CDM,27200944,Hc Disk Chg Biopatch Any,44.45,17.34,,,0
CDM,27200945,Hc Disk Chg Biopatch 1In 7Mm Id,44.4,17.32,,,0
CDM,27200946,Hc Dissector Endopath Lf 10Mm,44.82,17.48,,,0
CDM,27200947,Hc Dissector Enseal G2 Tissue Slr,3138.43,1223.99,,,0
CDM,27200948,Hc Distractor Ankle Acufex,228.11,88.96,,,0
CDM,27200949,Hc Distractor Linear 100Mm,3040.42,1185.76,,,0
CDM,27200950,Hc Distractor Linear Tele Tl Plus 200Mm,3716.27,1449.35,,,0
CDM,27200951,Hc Dock Fluid,198.31,77.34,,,0
CDM,27200958,Hc Kit Drainage Chest Any,229.79000000000002,89.62,,,0
CDM,27200968,Hc Drain Round 49X3/16,49.885000000000005,19.46,,,0
CDM,27200979,Hc Drain Ventricular External,1509.495,588.7,,,0
CDM,27200996,Hc Dressing Acticoat 16In X 16In,493.525,192.47500000000002,,,0
CDM,27200997,Hc Dressing Acticoat 3 Burn 4X4,52.730000000000004,20.564999999999998,,,0
CDM,27200998,Hc Dressing Acticoat 6In X 6In,201.76999999999998,78.69,,,0
CDM,27200999,Hc Dressing Acticoat 8In X 16In,258.37,100.765,,,0
CDM,27201000,Hc Dressing Acticoat Moisture Ctr,168.39,65.67,,,0
CDM,27201001,Hc Dressing Adhes Versiva Xc 4X4,22.36,8.72,,,0
CDM,27201002,Hc Dressing Adhes Versiva Xc 5.5X5.5,26.7,10.41,,,0
CDM,27201004,Hc Dressing Afm Ag 4X5,49.96,19.485,,,0
CDM,27201005,Hc Dressing Afm Ag 6X6,104.75,40.855000000000004,,,0
CDM,27201006,Hc Dressing Afm Ag 8X16,211.08999999999997,82.325,,,0
CDM,27201007,Hc Dressing Algidex 5Ydx.25In,47.61,18.57,,,0
CDM,27201008,Hc Dressing Aquacel Ag 9Cm 10Cm,167.61,65.365,,,0
CDM,27201009,Hc Dressing Aquacel Ag 9Cm 15Cm,189.47,73.895,,,0
CDM,27201010,Hc Dressing Aquacel Ag 9Cm 25Cm,234.135,91.31,,,0
CDM,27201011,Hc Dressing Aquacel Ag 9Cm 30Cm,259.94,101.38,,,0
CDM,27201012,Hc Dressing Aquacel Ag 9Cm 35Cm,262.055,102.205,,,0
CDM,27201013,Hc Dressing Bio 2X2In Biostep Ag Porc Collagen,70.38,27.45,,,0
CDM,27201020,Hc Dressing Calc Alg Restore Lf4X4,19.35,7.545,,,0
CDM,27201021,Hc Dressing Calc Alg Restore Lf4X4,19.98,7.79,,,0
CDM,27201023,Hc Dressing Cath Patch X-Sm 10Cc,27.84,10.86,,,0
CDM,27201024,Hc Dressing Cnfrm 2 2Ydx6In Air Perm Trans Nadh,44.5,17.36,,,0
CDM,27201025,Hc Dressing Eavey Easy Ear Wrap,87.15,33.99,,,0
CDM,27201026,Hc Dressing Exudry 4In X 6In,16.299999999999997,6.359999999999999,,,0
CDM,27201029,Hc Dressing Ca Alg Silver 4.75 X 4 In Rstr,35.94,14.015,,,0
CDM,27201030,Hc Dressing Hdrcld 4X4 Restore W/Te,15.89,6.199999999999999,,,0
CDM,27201031,Hc Dressing Hydrocolloid Rest 4X4,12.58,4.91,,,0
CDM,27201032,Hc Dressing Iodosorb Gel 10Gm Tube,73.805,28.785,,,0
CDM,27201033,Hc Dressing Mepilex Ag 10X10Cm 4X4In,63.42,24.735,,,0
CDM,27201034,Hc Dressing Mepilex Ag 20X20Cm 8X8In,194.16,75.72,,,0
CDM,27201039,Hc Dressing Opsite 11-3/4 X 11,34.16,13.32,,,0
CDM,27201040,Hc Dressing Opsite Iv 4X5-1/2,15.655000000000001,6.105,,,0
CDM,27201042,Hc Dressing Owens Polyester Lf 3X8,17.08,6.66,,,0
CDM,27201043,Hc Dressing Pressure Safe 12Cm,227.805,88.84,,,0
CDM,27201044,Hc Dressing Pressure Safe 24Cm,563.1949999999999,219.65,,,0
CDM,27201045,Hc Dressing Profore 4-Layer,79.215,30.895,,,0
CDM,27201046,Hc Dressing Profore Latex Free,80.02000000000001,31.205,,,0
CDM,27201048,Hc Dressing Silver Acticoat 4X5Lf,126.995,49.53,,,0
CDM,27201049,Hc Dressing Sponge Kerlix Lf Med,85.85,33.480000000000004,,,0
CDM,27201056,Hc Dressing Tegaderm 4X10,15.64,6.095,,,0
CDM,27201057,Hc Dressing Tegaderm 8X12,15.64,6.095,,,0
CDM,27201058,Hc Dressing Telfa Plus 7X6In Abs Nadh Nonwvn Ilnd,15.66,6.105,,,0
CDM,27201060,Hc Dressing Telfa Sterile,22.28,8.69,,,0
CDM,27201063,Hc Dressing Wound Prisma 19.1Sq In Ag,179.345,69.94,,,0
CDM,27201064,Hc Dressing Wound Prisma 4.34Sq In Ag,46.575,18.165,,,0
CDM,27201065,Hc Dressing Wound Puracol 2X2In,59.54,23.22,,,0
CDM,27201066,Hc Dressing Wound Vac Any,351.96000000000004,137.265,,,0
CDM,27201067,Hc Dressing Wrap Afm Ag 4X48,225.8,88.065,,,0
CDM,27201068,Hc Dressing Xerofoam Roll,24.425,9.525,,,0
CDM,27201069,Hc Duploreach 35 Mis,391.23,152.58,,,0
CDM,27201070,Hc Electrode Ball 5Mm,131.285,51.2,,,0
CDM,27201071,Hc Electrode Ball Disp,99.15,38.67,,,0
CDM,27201072,Hc Electrode Ball Leep 5Mm,83.11,32.41,,,0
CDM,27201073,Hc Electrode Ball Tip Hul 3Fr 115,512.74,199.97,,,0
CDM,27201074,Hc Electrode Bipolar Coag 1.3Mm,2769.56,1080.13,,,0
CDM,27201075,Hc Electrode Blade Teflon Lf,31.924999999999997,12.45,,,0
CDM,27201077,Hc Electrode Cortical Grid 1X8,7401.6,2886.62,,,0
CDM,27201078,Hc Electrode Cutting Loop 28Fr,434.91,169.61,,,0
CDM,27201079,Hc Electrode Drg Del Med Dupel Intphrs Wht,40.47,15.78,,,0
CDM,27201080,Hc Electrode Drg Del Sm Dupel Intphrs Wht,33.02,12.88,,,0
CDM,27201081_272,Noncdm Charge Record Medical Supplies - Hc Zz Electrode Ecg Defib Pacing - Use 27100209,57.96,22.6,,,0
CDM,27201081_A4649_272,Noncdm Charge Record Medical Supplies - Hc Zz Electrode Ecg Defib Pacing - Use 27100209,57.96,22.6,,,0
CDM,27201081_A9999_272,Noncdm Charge Record Medical Supplies - Hc Zz Electrode Ecg Defib Pacing - Use 27100209,57.96,22.6,,,0
CDM,27201082,Hc Electrode Electrosurg Opes,1371.17,534.755,,,0
CDM,27201083,Hc Electrode Extension Teflon Lf,35.19,13.72,,,0
CDM,27201084,Hc Electrode Flat L Hook Laparo,251.61,98.13,,,0
CDM,27201085,Hc Electrode Fulgurating 3Fr,710.01,276.9,,,0
CDM,27201086,Hc Electrode Gyrus Super Loop,3057.39,1192.38,,,0
CDM,27201087,Hc Electrode Gyrus Super Sect,3410.32,1330.02,,,0
CDM,27201088,Hc Electrode Hydrogel,39.09,15.245000000000001,,,0
CDM,27201091,Hc Electrode Laparoscopic Opti 2,251.61,98.13,,,0
CDM,27201092,Hc Electrode Laryngeal,692.16,269.94,,,0
CDM,27201093,Hc Electrode Laryngeal 7-9,715.29,278.96,,,0
CDM,27201094,Hc Electrode Leep 1.0X0.4X5.5,76.8,29.95,,,0
CDM,27201095,Hc Electrode Ligasure Seal Divd 5,2691.83,1049.81,,,0
CDM,27201096,Hc Electrode Loop 24Fr,399.82,155.93,,,0
CDM,27201098,Hc Electrode Loop Cutting 24Fr,434.91,169.61,,,0
CDM,27201099,Hc Electrode Loop Cutting 26Fr,434.91,169.61,,,0
CDM,27201100,Hc Electrode Loop Disp 20Mmx12Mm,99.15,38.67,,,0
CDM,27201101,Hc Electrode Loop Disp 20Mmx15Mm,99.15,38.67,,,0
CDM,27201102,Hc Electrode Loop Hf 24Fr Med,3032.755,1182.77,,,0
CDM,27201103,Hc Electrode Loop Hf 24Fr Small,2940.12,1146.65,,,0
CDM,27201104,Hc Electrode Loop Hf Rcsct 12In 3,3003.05,1171.19,,,0
CDM,27201105,Hc Electrode Meniscectomy Lf,313.375,122.22,,,0
CDM,27201106,Hc Electrode Micro Neolead Unique,26.515,10.344999999999999,,,0
CDM,27201107,Hc Electrode Ndl Ima-Ent 1/32X3/4,17.08,6.66,,,0
CDM,27201108,Hc Electrode Ndl Ima Ent 2 And 3/4In,16.04,6.26,,,0
CDM,27201109,Hc Electrode Ndl Ima Ent 6 And 3/8In,46.805,18.255,,,0
CDM,27201110,Hc Electrode Ndl Nim-2 Eeg,443.5,172.96,,,0
CDM,27201111,Hc Electrode Ndl Teflon Lf,31.0,12.09,,,0
CDM,27201112,Hc Electrode Nim Paired,587.36,229.07,,,0
CDM,27201113,Hc Electrode Pacing Quik-Combo,154.63,60.31,,,0
CDM,27201114,Hc Electrode Paired Dual Case,837.1600000000001,326.49,,,0
CDM,27201115,Hc Electrode Quick Combo Ped,78.56,30.64,,,0
CDM,27201116,Hc Electrode Quick Connect Spiral,24.555,9.575,,,0
CDM,27201117,Hc Electrode Red Dot Inf/Ped Lf,16.855,6.575,,,0
CDM,27201118,Hc Electrode Roller 24Fr 3Mm,841.14,328.04,,,0
CDM,27201119,Hc Electrode Roller Ball 24Fr,422.075,164.61,,,0
CDM,27201120,Hc Electrode Side Effect 3.5Mm,1679.08,654.84,,,0
CDM,27201121,Hc Electrode Somno Tissue,891.24,347.58,,,0
CDM,27201122,Hc Electrode Teflon Ball Tip,66.14,25.79,,,0
CDM,27201123,Hc Electrode Vapr 2.3 Side,1679.08,654.84,,,0
CDM,27201124,Hc Electrode Vapr S-90,1858.14,724.67,,,0
CDM,27201125,Hc Electrode Vessel Seal Ligasure,2853.81,1112.99,,,0
CDM,27201126,Hc Elevator Precision Passing,463.78,180.87,,,0
CDM,27201128,Hc Endobag Lf,131.13,51.14,,,0
CDM,27201129,Hc Endobag Lf 5X8,187.65,73.18,,,0
CDM,27201131,Hc Endoscopic Kittner,54.34,21.19,,,0
CDM,27201132,Hc Endosheath Slide On Adult,127.03999999999999,49.545,,,0
CDM,27201133,Hc Endosheath Slide On Pediatric,126.89,49.49,,,0
CDM,27201137,Hc Evacuator Bladder Urovac,204.72,79.84,,,0
CDM,27201138,Hc Evacuator Cls Wnd Suc Sil 100Ml,30.85,12.035,,,0
CDM,27201139,Hc Evacuator Ellik Bladr Cmplt Strl Ltx,57.55,22.44,,,0
CDM,27201140,Hc Evacuator Y Connector 400,35.19,13.72,,,0
CDM,27201142,Hc Expander Pupil Graether,648.12,252.77,,,0
CDM,27201143,Hc Ext 8 Contact 25Cm W/Kit,6799.23,2651.7,,,0
CDM,27201144,Hc Extender Bovie Flat Blade,22.56,8.8,,,0
CDM,27201146,Hc Remover Skin Staple Any,15.715,6.13,,,0
CDM,27201147,Hc Extractor Surg Recess 3.5 Mm,462.64,180.43,,,0
CDM,27201148,Hc Fan Endomaxi Ii Lf,639.63,249.46,,,0
CDM,27201150,Hc Felt Cv 2.5Cmx2.5Cm Thk Ptfe P,1257.94,490.6,,,0
CDM,27201151,Hc Fiberloop 76Mm Str Ndl Blu 7Mm,298.6,116.45,,,0
CDM,27201152,Hc Fiberstick #2 Fw#2 Bl 50Inx12I,80.01,31.2,,,0
CDM,27201153,Hc Fibertape 2Mm W/#2 Wire,410.48,160.09,,,0
CDM,27201157,Hc Filter Blood Or Iv Any,32.41,12.64,,,0
CDM,27201173,Hc Flat Blake 10Mm,89.53,34.92,,,0
CDM,27201174,Hc Flat Blake 7Mm,104.48500000000001,40.75,,,0
CDM,27201175,Hc Flipcutter Str 9Mm,2237.67,872.69,,,0
CDM,27201176,Hc Flow-20-Pull Peg Set Ssk-S-T,496.8,193.75,,,0
CDM,27201177,Hc Flowswitch Hi Pressure 44201,26.705,10.415,,,0
CDM,27201178,Hc Forcep Biopsy Cup,1973.23,769.56,,,0
CDM,27201179,Hc Forcep Biopsy Cup 3.3Fr,1973.23,769.56,,,0
CDM,27201180,Hc Forcep Biopsy W/Ndl 240Cm,404.06,157.58,,,0
CDM,27201181,Hc Forcep Bipolar Lf Lg,1199.36,467.75,,,0
CDM,27201182,Hc Forcep Bipolar Micro Disp,497.84,194.16,,,0
CDM,27201183,Hc Forcep Bipolar Op Scope,1295.3,505.17,,,0
CDM,27201184,Hc Forcep Bipolar Spetzler 1Mm,2634.18,1027.33,,,0
CDM,27201185,Hc Forcep Captura Grasp 3.2X90,1058.6,412.85,,,0
CDM,27201186,Hc Forcep Radial Jaw W/Ndl,60.75,23.69,,,0
CDM,27201187,Hc Forceps Alligator 3.3Fr 115Cm,1686.79,657.85,,,0
CDM,27201188,Hc Forceps Biopsy Supertrax,457.42,178.39,,,0
CDM,27201189,Hc Forceps Bipolar Cush Bayo 2Mm,1014.92,395.82,,,0
CDM,27201190,Hc Forceps Bipolar Hardy Bayo 1Mm,1014.92,395.82,,,0
CDM,27201191,Hc Forceps Bx 2Mm Algtr Jaw W Ndl,190.64499999999998,74.35,,,0
CDM,27201192,Hc Forceps Ilm Disp Tip 23G,762.54,297.39,,,0
CDM,27201193,Hc Forceps Radial Jaw 3 100Cm 2.0,265.48,103.54,,,0
CDM,27201194,Hc Forceps Radial Jaw 3 Hot,443.5,172.96,,,0
CDM,27201195,Hc Forceps Radial Jaw 4 240Cm 2.4,125.44,48.92,,,0
CDM,27201196,Hc Forceps Surg Raptor Graspg 24M,888.03,346.33,,,0
CDM,27201204,Hc Gauze Sponge Lf 4X4 4Ply Nstr,16.835,6.5649999999999995,,,0
CDM,27201205,Hc Gauze Sponge Ster Lf 2X2 8-Ply,8.559999999999999,3.34,,,0
CDM,27201206,Hc Gauze Sponge Ster Lf 4X4 12-Pl Bx50,16.725,6.525,,,0
CDM,27201207,Hc Gel Etch Dental 1.2Ml Syringe,22.98,8.96,,,0
CDM,27201208,Hc Gel Wound Hydro Lf 3 Oz Tube Nstrl,33.870000000000005,13.21,,,0
CDM,27201209,Hc Gelfoam Large 100Mm,154.11,60.1,,,0
CDM,27201210,Hc Gelfoam Small 12-7Mm,26.689999999999998,10.41,,,0
CDM,27201213,Hc Glidecath Strt Terum 4Fr 120Cm,323.7,126.24000000000001,,,0
CDM,27201216,Hc Glidesheath Z Kit 5Fr 10Cm,251.61,98.13,,,0
CDM,27201217,Hc Glidesheath Z Kit 6Fr 10Cm,259.06,101.03,,,0
CDM,27201218,Hc Glidesheath Z Kit 6Fr 25Cm,259.06,101.03,,,0
CDM,27201231,Hc Glue Indermil Tissue Lf,186.095,72.58,,,0
CDM,27201233,Hc Clamp Circ Gomco Any,116.025,45.25,,,0
CDM,27201235,Hc Grid Microsurgical Blue 5 Fr,236.7,92.31,,,0
CDM,27201238,Hc Guide Deploy Spacer Relief Stratu,2269.86,885.245,,,0
CDM,27201247,Hc Guide Pin 3.2X300Mm,320.85,125.13,,,0
CDM,27201248,Hc Guide Pin Omega Howme Thr 2.8,449.91,175.46,,,0
CDM,27201262,Noncdm Charge Record Medical Supplies - Hc Zz Guidewire Thscf-35-801.5 Rosen- Use Sup,73.14,28.52,,,0
CDM,27201264,Hc Gun Biopsy Co-Axial 18Gx15Cm,290.78,113.4,,,0
CDM,272012645,Hc Valve Suct Bscp Strl Disp,57.55,22.44,,,0
CDM,27201265,Hc Gun Biopsy Max Core 14Gx10Cm,216.42,84.4,,,0
CDM,27201268,Hc Gwire Sphincterotome Dash 21,1649.17,643.18,,,0
CDM,27201271,Hc Hand Control Debrider,134.34,52.39,,,0
CDM,27201272,Hc Handle Bipolar Forceps Isocool,1704.64,664.81,,,0
CDM,27201273,Hc Handle Yankeur Suction Wht Lf,34.05,13.280000000000001,,,0
CDM,27201274,Hc Handpiece Hydrodebrider,2086.25,813.64,,,0
CDM,27201275,Hc Handpiece Laparoscopic Bovie,395.06,154.075,,,0
CDM,27201277,Hc Handpiece Versajet,3269.56,1275.13,,,0
CDM,27201278,Hc Handpiece Versajet 50637,3376.17,1316.71,,,0
CDM,27201279,Hc Head Hex 10Mm 50-13020,246.23,96.03,,,0
CDM,27201280,Hc Head Reamer 15.5Mm,2138.52,834.02,,,0
CDM,27201281,Hc Hemasorb,511.7,199.56,,,0
CDM,27201284,Hc Hemoconcentrator W Tub Any,485.73,189.43,,,0
CDM,27201285,Hc Hemostat Abs Srgcl Snow 2In 4I,792.7049999999999,309.155,,,0
CDM,27201287,Hc Hemovac Medium,117.27,45.74,,,0
CDM,27201288,Hc Hinge Inline Orthofix 51-10430,2286.94,891.91,,,0
CDM,27201290,Hc Hook Harmonic 5Mm Uc,1220.68,476.07,,,0
CDM,27201291,Hc Illuminator Light Mat Surgical,581.05,226.61,,,0
CDM,27201292,Hc Incisor Curved Lg Smith 4.5Mm,673.78,262.77,,,0
CDM,27201293,Hc Injector Ex Flow Cement,1631.06,636.11,,,0
CDM,27201294,Hc Insert Clamp Bowel C4001,138.59,54.05,,,0
CDM,27201295,Hc Insert Fogarty Evergrip Large,96.20500000000001,37.519999999999996,,,0
CDM,27201296,Hc Insert Harmonic Curv Shears Da,2931.64,1143.34,,,0
CDM,27201299,Hc Instrument Biopsy Mono Disp14G,247.36,96.47,,,0
CDM,27201302,Hc Instrument Maxcore Any,192.245,74.97999999999999,,,0
CDM,27201306,Hc Introducer Eschmann 15Fr,42.489999999999995,16.57,,,0
CDM,27201307,Hc Introducer Et Tube Adult,41.595,16.225,,,0
CDM,27201310,Hc Introducer Kit Mic G 18Fr-,1230.51,479.9,,,0
CDM,27201312,Hc Introducer Osteo Xpress Kyphon,7029.46,2741.49,,,0
CDM,27201313,Hc Introducer Stiff Micro 4Fr,269.88,105.25,,,0
CDM,27201314,Hc Introducer Tissue Soft 10Cm,595.95,232.42,,,0
CDM,27201318,Hc Irrigation Set Tubing 4 Lead,29.81,11.63,,,0
CDM,27201321,Hc Kit Access Mini,300.15,117.06,,,0
CDM,27201322,Hc Kit Accessory Ancillary,715.29,278.96,,,0
CDM,27201323,Hc Kit Accucise 26Cm,10540.03,4110.61,,,0
CDM,27201325,Hc Kit Acl Mitek Disp,1895.4,739.21,,,0
CDM,27201326,Hc Kit Advance Cement Mixing Stryker,554.35,216.2,,,0
CDM,27201329,Hc Cath Art Line W Kit Any,165.485,64.53999999999999,,,0
CDM,27201330,Hc Kit Arthro Fx Pushlock 2.9Mm,1192.94,465.25,,,0
CDM,27201331,Hc Kit Aseptic Fluid Transfer,123.68,48.24,,,0
CDM,27201334,Hc Kit Balloon Bipolar Electrode,895.48,349.24,,,0
CDM,27201339,Hc Kit Banding Wilson Mbl6Ov,1681.15,655.65,,,0
CDM,27201340,Hc Kit Bio-Tenodesis Disp,1157.75,451.52,,,0
CDM,27201341,Hc Kit Blood Pump Thoratec,79482.66500000001,30998.239999999998,,,0
CDM,27201344,Hc Kit Carotid Shunt Argyle Lf 6In,151.42,59.05,,,0
CDM,27201348,Hc Kit Cath Glv/Wipe/Lube Any,12.42,4.84,,,0
CDM,27201349,Hc System Fecal Mgmt,632.005,246.48000000000002,,,0
CDM,27201350,Hc Kit Cath Infant Disp Lf,16.72,6.52,,,0
CDM,27201351,Hc Kit Cath Intravascular Cool 3L,3026.1850000000004,1180.21,,,0
CDM,27201352,Hc Kit Cath Intravascular Icy 3Lu,5189.54,2023.92,,,0
CDM,27201356,Hc Kit Cement Spine Wave,1467.94,572.5,,,0
CDM,27201358,Hc Kit Charging Adv Bion,7143.57,2785.99,,,0
CDM,27201360,Hc Kit Core Assure 8G Accessor,134.34,52.39,,,0
CDM,27201361,Hc Kit Cpd Blood Pack,62.93,24.54,,,0
CDM,27201363,Hc Kit Cranial Access Kit Any,1850.53,721.71,,,0
CDM,27201364,Hc Kit Crico,930.67,362.96,,,0
CDM,27201370,Hc Kit Drain Chest Percu Str 14Fr,413.12,161.115,,,0
CDM,27201371,Hc Kit Dressing Ear Adult,87.46,34.11,,,0
CDM,27201372,Hc Kit Dressing Ear Pediatric,109.81,42.83,,,0
CDM,27201373,Hc Kit Dressing Wound Vac Perf Lf,296.85,115.775,,,0
CDM,27201375,Hc Kit Dressing Wound Vac Small,236.785,92.345,,,0
CDM,27201376,Hc Kit Dressing Wound Vac Whi Lg,375.645,146.5,,,0
CDM,27201377,Hc Kit Electrode Patch Vlc,7128.67,2780.18,,,0
CDM,27201378,Hc Kit Emr,1667.28,650.24,,,0
CDM,27201379,Hc Kit Epidural Cont W/18Ga Ndl,135.58,52.88,,,0
CDM,27201380,Hc Kit Epistat,539.0699999999999,210.24,,,0
CDM,27201381,Hc Kit Fluid Transfer Cosme,83.11,32.41,,,0
CDM,27201382,Hc Kit Gastric Lavage W/Sol Bag,125.75,49.04,,,0
CDM,27201384,Hc Kit Gelport 100Mm,3289.85,1283.04,,,0
CDM,27201387,Hc Kit Hemodrain Any,55.48,21.64,,,0
CDM,27201389,Hc Kit Hemostat Mtrx Surgiflo W T,1498.63,584.47,,,0
CDM,27201391,Hc Kit Hip Cement,1090.58,425.33,,,0
CDM,27201393,Hc Kit Impella Quick Set Up 2.5,1295.3,505.17,,,0
CDM,27201394,Hc Kit Inflation Custom,404.06,157.58,,,0
CDM,27201395,Hc Kit Inflation Manifold Custom,263.095,102.61,,,0
CDM,27201396,Hc Kit Insertion Tube Chest Pleur,393.25,153.37,,,0
CDM,27201398,Hc Kit Intro Jugular 16Gax6In,88.75,34.61,,,0
CDM,27201399,Hc Kit Introducer 10Fr W/ Guidewire*,270.76,105.6,,,0
CDM,27201400,Hc Kit Introducer 2.5 13Fr,4774.87,1862.2,,,0
CDM,27201401,Hc Kit Introducer Cook 8Fr,264.7,103.22999999999999,,,0
CDM,27201402,Hc Kit Irrigation Stryker,281.42,109.75,,,0
CDM,27201404,Hc Kit Locatable Guide,6591.085,2570.52,,,0
CDM,27201405,Hc Kit Lumbar Drainage Access,1131.57,441.31,,,0
CDM,27201406,Hc Kit Margin Marker Ink,668.4,260.68,,,0
CDM,27201407,Hc Kit Maxcess Diposable,11742.59,4579.61,,,0
CDM,27201408,Hc Kit Microintroducer Safety,104.77000000000001,40.86,,,0
CDM,27201411,Hc Kit Monitor Intcran Pres1104Bt,4736.47,1847.22,,,0
CDM,27201412,Hc Kit Monitoring Pressure Abdominal,617.27,240.74,,,0
CDM,27201413,Hc Kit Monitoring Transpac,88.135,34.370000000000005,,,0
CDM,27201414,Hc Kit Ndl Parallax B And D 11G,1393.32,543.39,,,0
CDM,27201415,Hc Kit Needle Guide,139.95999999999998,54.58,,,0
CDM,27201416,Hc Kit On Point Scope Procedure,490.38,191.25,,,0
CDM,27201417,Hc Kit Optivac,1201.43,468.56,,,0
CDM,27201418,Hc Kit Patient Care Schlein Pos,284.62,111.0,,,0
CDM,27201419,Hc Kit Peg 14Fr Pull Meth Mic,449.91,175.46,,,0
CDM,27201420,Hc Kit Perc Sheath Intro 8.5Fr,420.41499999999996,163.95999999999998,,,0
CDM,27201421,Hc Kit Percutan Insrt Venous Pika,434.91,169.61,,,0
CDM,27201422,Hc Kit Percutan Insrt Venous Pikv,434.805,169.57,,,0
CDM,27201424,Hc Kit Percutaneous Sheath Intro,414.88,161.805,,,0
CDM,27201428,Hc Kit Pin Plug Medtronic,681.24,265.68,,,0
CDM,27201429,Hc Kit Pinacl Ant Pelvic Flr Repr,15350.08,5986.53,,,0
CDM,27201430,Hc Kit Pleurx Drainage,336.38,131.19,,,0
CDM,27201432,Hc Kit Pneumothorax,405.72,158.23,,,0
CDM,27201433,Hc Kit Rap Pac Crcte,1712.1,667.72,,,0
CDM,27201434,Hc Kit Ring Applier Disp,1740.87,678.94,,,0
CDM,27201435,Hc Kit Schlein Posit'n Shldr W/Oimb,204.72,79.84,,,0
CDM,27201438,Hc Kit Shunt Axiem Cranl Ninvs,4400.61,1716.24,,,0
CDM,27201439,Hc Kit Shunt Axiem Cranl Skl Mnt,4761.0,1856.79,,,0
CDM,27201440,Hc Kit Startup Coolgard 3000,2002.93,781.14,,,0
CDM,27201441,Hc Kit Stylet 6054-58Cm,273.08500000000004,106.5,,,0
CDM,27201442,Hc Kit Stylet 6094-52Cm,272.93,106.44,,,0
CDM,27201443,Hc Kit Stylet 6293-85,264.34,103.09,,,0
CDM,27201444,Hc Kit Stylet Ball,272.93,106.44,,,0
CDM,27201445,Hc Kit Stylet Replacement,264.34,103.09,,,0
CDM,27201446,Hc Kit Suction Neonatal 6Fr,91.285,35.6,,,0
CDM,27201449,Hc Kit Syringe Tissue Trans 60Cc,410.48,160.09,,,0
CDM,27201450,Hc Kit Tem Disposable,1706.72,665.62,,,0
CDM,27201451,Hc Kit Template Minirail System,1321.8000000000002,515.5,,,0
CDM,27201454,Hc Kit Transducer Neonat Mk5-10Dt,49.8,19.425,,,0
CDM,27201455,Hc Kit Transducer W/Resvr Any,136.53,53.245000000000005,,,0
CDM,27201456,Hc Kit Transducer Squeeze 4Dt,52.27,20.39,,,0
CDM,27201459,Hc Kit Two Port Rt Heart Manifold,16.04,6.26,,,0
CDM,27201460,Hc Kit Vacuum Delivery 303Tt Lf,135.375,52.8,,,0
CDM,27201461,Hc Kit Vacuum Delivery Lf 004C,115.09,44.89,,,0
CDM,27201462,Hc Kit Vacuum Mixevac Ii Mixer,284.62,111.0,,,0
CDM,27201463,Hc Kit Ventric Pres Monitor,5826.02,2272.15,,,0
CDM,27201464,Hc Kit Washer Ez Loc Small,3445.52,1343.75,,,0
CDM,27201465,Hc Kit Wrench 5873W,308.12,120.17,,,0
CDM,27201476,Hc Lens Morgan Therapeutic,121.305,47.31,,,0
CDM,27201477,Hc Leveen Coaccess 3.0/15,8146.8,3177.25,,,0
CDM,27201478,Hc Light Mat,337.93,131.79,,,0
CDM,27201479,Hc Light Pipe Endo Illumin 25Ga,443.5,172.96,,,0
CDM,27201480,Hc Lights Flexi Lum Surg Disp 10In,204.72,79.84,,,0
CDM,27201481,Hc Line Exten 20In Mnbr,32.03,12.49,,,0
CDM,27201483,Hc Loc Power 20Ga 1In,47.715,18.61,,,0
CDM,27201484,Hc Locator Nerve Vari-Stem,250.57,97.72,,,0
CDM,27201485,Hc Lubricant Rotaglide,605.48,236.14,,,0
CDM,27201490,Hc Ndl 2 W/2 Gold Marker 0.8X3.0M,1282.415,500.14,,,0
CDM,27201491,Hc Ndl 3 W/1 Marker 17Gx30Cm,714.25,278.56,,,0
CDM,27201492,Hc Ndl Bd Fixed Wings 17G,32.91,12.83,,,0
CDM,27201493,Hc Ndl Biopsy,105.57,41.17,,,0
CDM,27201494,Hc Ndl Biopsy Chiba 19Gax20Cm,75.76,29.55,,,0
CDM,27201495,Hc Ndl Biopsy Core Assure 11G,735.57,286.87,,,0
CDM,27201496,Hc Ndl Biopsy Franseen Disp 14Ga,157.73,61.51,,,0
CDM,27201497,Hc Ndl Biopsy Max Core 16X16,219.63,85.66,,,0
CDM,27201498,Hc Ndl Biopsy Monopty Liver,178.02,69.43,,,0
CDM,27201499,Hc Ndl Biopsy Super Core Ii Adj,237.74,92.72,,,0
CDM,27201500,Hc Ndl Biopsy Supertrax,529.82,206.63,,,0
CDM,27201503,Noncdm Charge Record Medical Supplies - Hc Zz Ndl Cath Dtvn Std (218418) - Use Sup,123.68,48.24,,,0
CDM,27201504,Noncdm Charge Record Medical Supplies - Hc Zz Ndl Cath Yueh Cent 5Fr 19Ga 10 - Use Sup,123.16,48.03,,,0
CDM,27201505,Hc Ndl Cath Yueh Cent 5Fr15Cm,129.39999999999998,50.465,,,0
CDM,27201506,Hc Ndl Chiba 20-5,77.83,30.35,,,0
CDM,27201507,Hc Ndl Chiba 18X20Cm,58.165,22.68,,,0
CDM,27201508,Hc Ndl Chiba 18X5Cm,76.59,29.87,,,0
CDM,27201509,Hc Ndl Chiba 19X10,60.905,23.75,,,0
CDM,27201510,Hc Ndl Chiba 19X15,76.695,29.91,,,0
CDM,27201511,Hc Ndl Chiba 19X5,134.445,52.43,,,0
CDM,27201512,Hc Ndl Chiba 20Ga 20Cm,57.91,22.585,,,0
CDM,27201513,Hc Ndl Chiba 20X10Cm,57.785,22.535,,,0
CDM,27201514,Hc Ndl Chiba 22Gx3-1/2,66.19,25.81,,,0
CDM,27201515,Hc Ndl Chiba 22Gx5,42.54,16.59,,,0
CDM,27201516,Hc Ndl Chiba 22X10Cm,57.195,22.305,,,0
CDM,27201517,Hc Ndl Chiba 22X20 Dchn22-20,57.025000000000006,22.240000000000002,,,0
CDM,27201518,Hc Ndl Chiba Dchn 22Gx5Cm Custom,77.83,30.35,,,0
CDM,27201519,Hc Ndl Chiba Dchn18-10,57.13,22.28,,,0
CDM,27201520,Hc Ndl Chiba Dchn18-10,34.935,13.625,,,0
CDM,27201521,Hc Ndl Chiba Dchn18-15,57.945,22.595,,,0
CDM,27201522,Hc Ndl Chiba Dchn20-15,61.115,23.835,,,0
CDM,27201523,Hc Ndl Chiba Dchn22-15,57.96,22.6,,,0
CDM,27201524,Hc Ndl Chiba Disp 21Gax15Cm,58.84,22.950000000000003,,,0
CDM,27201525,Hc Ndl Crvx 3/8 Circ Tap Pt Sz,12.370000000000001,4.82,,,0
CDM,27201526,Hc Ndl Dura Safe Combo,98.22,38.30500000000001,,,0
CDM,27201527,Hc Ndl Endo 19Ga Us Fna,1432.595,558.71,,,0
CDM,27201528,Hc Ndl Endo 19Ga Us Fna Flx,2926.36,1141.28,,,0
CDM,27201529,Hc Ndl Endo 22Ga Us Fna,1432.75,558.77,,,0
CDM,27201530,Hc Ndl Endo 25Ga Us Fna,1432.75,558.77,,,0
CDM,27201531,Hc Ndl Endo Syr Disp 22Ga Strl,593.78,231.57,,,0
CDM,27201532,Hc Ndl Endo Xl Arthro Disp,492.56,192.1,,,0
CDM,27201533,Hc Ndl Epdrl 22Ga 4.25In,60.905,23.75,,,0
CDM,27201534,Hc Ndl Eus Wilson Cook Echo-3-22,1552.19,605.35,,,0
CDM,27201535,Hc Ndl Franseen 16X15Cm,187.65,73.18,,,0
CDM,27201536,Hc Ndl Franseen 16X20Cm,184.44,71.93,,,0
CDM,27201537,Hc Ndl Franseen 18 X 10Cm,182.26,71.08,,,0
CDM,27201538,Hc Ndl Franseen 18 X 5Cm,182.26,71.08,,,0
CDM,27201539,Hc Ndl Franseen 18X20Cm,181.23,70.68,,,0
CDM,27201540,Hc Ndl Franseen 20 X 15Cm,184.33499999999998,71.89,,,0
CDM,27201541,Hc Ndl Franseen 20X10Cm,153.49,59.86,,,0
CDM,27201542,Hc Ndl Franseen 20X20Cm,153.49,59.86,,,0
CDM,27201543,Hc Ndl Franseen 20X5Cm,187.65,73.18,,,0
CDM,27201544,Hc Ndl Franseen 22Ga 20Cm,153.49,59.86,,,0
CDM,27201545,Hc Ndl Franseen 22X10Cm,149.325,58.239999999999995,,,0
CDM,27201546,Hc Ndl Franseen 22X15Cm,151.42,59.05,,,0
CDM,27201547,Hc Ndl Franseen Cook 22Ga 57981,187.65,73.18,,,0
CDM,27201548,Hc Ndl Freesen 18Ga 15Cm,151.265,58.989999999999995,,,0
CDM,27201555,Hc Ndl Jamshidi 10Ga 5In,385.95,150.52,,,0
CDM,27201556,Hc Ndl Jamshidi 15Ga,66.14,25.79,,,0
CDM,27201557,Hc Ndl Jamshidi Globus 623.102,1024.44,399.53,,,0
CDM,27201558,Hc Ndl Keith Disp 2,29.81,11.63,,,0
CDM,27201559,Hc Ndl L-P Myelo-Nate,39.15,15.27,,,0
CDM,27201560,Hc Ndl Max 20Ga Bard,192.405,75.03999999999999,,,0
CDM,27201561,Hc Ndl Max Core 20Gax10Cm,192.405,75.03999999999999,,,0
CDM,27201562,Hc Ndl Max Core Bard 18Ga Bx/5Ea,191.64,74.74000000000001,,,0
CDM,27201563,Hc Ndl Nv Bvl Tip 1-Pas 3,2811.16,1096.35,,,0
CDM,27201564,Hc Ndl Ortrch Injector Laryng,149.25,58.21,,,0
CDM,27201565,Hc Ndl Osteosite Bone Biopsy11X10,257.55499999999995,100.45,,,0
CDM,27201566,Hc Ndl Osteosite Bone Biopsy11X15,253.63,98.92,,,0
CDM,27201567,Hc Ndl Osteosite Bone Biopsy13X10,259.94500000000005,101.38,,,0
CDM,27201568,Hc Ndl Percutaneous 21Ga,58.68,22.89,,,0
CDM,27201569,Hc Ndl Percutaneous Entry,24.53,9.57,,,0
CDM,27201570,Hc Ndl Percutaneous Entry 19Ga,38.4,14.98,,,0
CDM,27201573,Hc Ndl Sclrtx Intjct 25Ga 2.5M,198.31,77.34,,,0
CDM,27201574,Hc Ndl Scorpion Ar-1399N,955.2,372.53,,,0
CDM,27201575,Hc Ndl Sensi-Touch Grn Lf 18X3.5,9.475000000000001,3.695,,,0
CDM,27201576,Hc Ndl Spec Technique 6In 22X6,28.825000000000003,11.24,,,0
CDM,27201577_272,Noncdm Charge Record Medical Supplies - Hc Zz Ndl Spinal 20X3.5 - Use 27201583,12.42,4.84,,,0
CDM,27201577_A9999_272,Noncdm Charge Record Medical Supplies - Hc Zz Ndl Spinal 20X3.5 - Use 27201583,12.42,4.84,,,0
CDM,27201583,Hc Ndl Spinal Any,15.76,6.15,,,0
CDM,27201586_272,Noncdm Charge Record Medical Supplies - Hc Zz Ndl Spinal Lf 22X3-1-2 - Use 27201583,9.32,3.63,,,0
CDM,27201586_A9999_272,Noncdm Charge Record Medical Supplies - Hc Zz Ndl Spinal Lf 22X3-1-2 - Use 27201583,9.32,3.63,,,0
CDM,27201595,Hc Ndl Surg Ferg Disp,33.02,12.88,,,0
CDM,27201598,Hc Ndl Touhy 17Gax6In,49.06,19.13,,,0
CDM,27201599,Hc Ndl Touhy 20Gx4.5In,46.89,18.29,,,0
CDM,27201600,Hc Ndl Touhy Epidual 18X3.5,30.95,12.07,,,0
CDM,27201601,Hc Ndl Truguide Coaxial 17Gax13.8,76.805,29.955,,,0
CDM,27201602,Hc Ndl Truguide Coaxial 17Gax17.8,77.405,30.185000000000002,,,0
CDM,27201603,Hc Ndl Truguide Coaxial 17Gax7.8,76.75,29.93,,,0
CDM,27201604,Hc Ndl Truguide Coaxial 19Gax13.8,76.81,29.955,,,0
CDM,27201605,Hc Ndl Truguide Coaxial 19Gx7.8Cm,77.41499999999999,30.189999999999998,,,0
CDM,27201606,Hc Ndl Tuohy 17G 3-1/2,45.85,17.88,,,0
CDM,27201607,Hc Notchblaster Peach Lf 5.5Mm,264.34,103.09,,,0
CDM,27201608,Hc Octopus 4.3,6140.45,2394.78,,,0
CDM,27201609,Hc Overdrill Tc 2.0/2.5,1004.26,391.66,,,0
CDM,27201611,Hc Oxisensor W/Headbd Maxfst Disp,136.73000000000002,53.325,,,0
CDM,27201612,Hc Pack Angio,256.68,100.11,,,0
CDM,27201615,Hc Pack Arthroscopy Windy Hill,414.72,161.74,,,0
CDM,27201616,Hc Pack Av Fistula Deroyal,204.72,79.84,,,0
CDM,27201621,Hc Pack Basin Hand,169.53,66.12,,,0
CDM,27201622,Hc Pack Basin Minor Cobb,44.82,17.48,,,0
CDM,27201627,Hc Pack Cabg Custom,2370.87,924.64,,,0
CDM,27201628,Hc Pack Cabg Custom 89-5430,1185.2849999999999,462.26,,,0
CDM,27201629,Hc Pack Cardiac Basin Kennestone,39.43,15.38,,,0
CDM,27201630,Hc Pack Cardiac Drape Kennestone,573.49,223.66,,,0
CDM,27201631,Hc Pack Cardiovascular Custom,663.12,258.62,,,0
CDM,27201632,Hc Pack Carotid Deroyal,263.3,102.69,,,0
CDM,27201641,Hc Pack Craniotomy Kennestone,248.4,96.88,,,0
CDM,27201642,Hc Pack C-Section,359.25,140.11,,,0
CDM,27201643,Hc Pack C-Section Custom 2/Cs,541.405,211.15,,,0
CDM,27201644,Hc Pack C-Section,372.755,145.37,,,0
CDM,27201646,Hc Pack Cvor Kennestone,2164.08,843.99,,,0
CDM,27201650,Hc Pack Eent Ii Lf,85.28,33.26,,,0
CDM,27201651,Hc Pack Endograft Custom,895.48,349.24,,,0
CDM,27201652,Hc Pack Eye Alcon Kh,939.16,366.27,,,0
CDM,27201653,Hc Pack Eye Custom Wh,1201.43,468.56,,,0
CDM,27201654,Hc Pack Eye Vit 25G Custom Wh,3336.74,1301.33,,,0
CDM,27201655,Hc Pack Gyn Laparoscopy,185.47,72.33,,,0
CDM,27201656,Hc Pack Hand Kop,157.73,61.51,,,0
CDM,27201657,Hc Pack Head And Neck,116.23,45.33,,,0
CDM,27201659,Hc Pack L And D Douglas Custom,131.285,51.2,,,0
CDM,27201660,Hc Pack Lap Colon Kennestone,213.21,83.15,,,0
CDM,27201661,Hc Pack Lap I,48.02,18.73,,,0
CDM,27201662,Hc Pack Lap Iii,54.34,21.19,,,0
CDM,27201666,Hc Pack Laparoscopic,173.78,67.77,,,0
CDM,27201668,Hc Pack Lavh Deroyal,184.44,71.93,,,0
CDM,27201670,Hc Pack Major Basic,107.64,41.98,,,0
CDM,27201672,Hc Pack Minor Basin Kennestone,21.53,8.395,,,0
CDM,27201673,Hc Pack Minor Lithotomy,186.61,72.78,,,0
CDM,27201674,Hc Pack Minor Lithotomy,113.02,44.08,,,0
CDM,27201675,Hc Pack Minor Proc Basin,102.36,39.92,,,0
CDM,27201676,Hc Pack Multi Use Echmo,976.52,380.84,,,0
CDM,27201677,Hc Pack Nasal Endoscopy Windy Hil,133.31,51.99,,,0
CDM,27201678,Hc Pack Ob Any,104.59,40.790000000000006,,,0
CDM,27201679,Hc Pack Or Turnover Custom,26.689999999999998,10.41,,,0
CDM,27201680,Hc Pack Ortho I,141.79,55.3,,,0
CDM,27201682,Hc Pack Podiatry Custom 5/Cs,221.7,86.46,,,0
CDM,27201683,Hc Pack Podiatry,195.1,76.09,,,0
CDM,27201684,Hc Pack Port-A-Cath,201.665,78.65,,,0
CDM,27201685,Hc Pack Quintube Monitor 6630,48.02,18.73,,,0
CDM,27201686,Hc Pack Set Up I Lf,46.89,18.29,,,0
CDM,27201687,Hc Pack Shoulder Arthr,313.4,122.23,,,0
CDM,27201688,Hc Pack Sinus Kennedy,80.01,31.2,,,0
CDM,27201689,Hc Pack Sinus Baron,74.62,29.1,,,0
CDM,27201690,Hc Pack Smart Liver Backsplash Lvad,649.105,253.15,,,0
CDM,27201691,Hc Pack Spine,270.76,105.6,,,0
CDM,27201692,Hc Pack Suction Sterile Sucker Lines,199.34,77.74,,,0
CDM,27201693,Hc Pack Surg Lith 1 102X79In Lf,50.09,19.54,,,0
CDM,27201695,Hc Pack T And A,55.48,21.64,,,0
CDM,27201698,Hc Pack Thr,389.16,151.77,,,0
CDM,27201699,Hc Pack Total Joint,282.56,110.2,,,0
CDM,27201700,Hc Pack Total Knee,396.61,154.68,,,0
CDM,27201701,Hc Pack Transducer Custom,236.7,92.31,,,0
CDM,27201702,Hc Pack Tubing Ctd Mini Blrib,3741.94,1459.3600000000001,,,0
CDM,27201703,Hc Pack Turbosonic W/Parts Kit,410.48,160.09,,,0
CDM,27201704,Hc Pack Tvt And Vag Hyst,91.91,35.845,,,0
CDM,27201706,Hc Pack Upper Extremity,201.51,78.59,,,0
CDM,27201707,Hc Pack Vial Flip Top 1Ml,19.97,7.785,,,0
CDM,27201709,Hc Pad Grounding Radiofrequency K,56.51,22.04,,,0
CDM,27201710,Hc Pad Hana Table,321.99,125.58,,,0
CDM,27201712,Hc Pad Mattress Disp Wide/Bariatric Any,435.63,169.895,,,0
CDM,27201713,Hc Pad Pressure Oval Lg,40.47,15.78,,,0
CDM,27201715,Hc Paddle Rectract Endo 12Mm,695.11,271.09,,,0
CDM,27201723,Hc Patch Hemostatic D-Stat Dry,273.115,106.515,,,0
CDM,27201724,Hc Patch Patient Single Use,23.49,9.16,,,0
CDM,27201734,Hc Penadapt With Hose,109.75999999999999,42.81,,,0
CDM,27201735,Hc Pencil Caut W/Tip Cobbdougpaul,44.66,17.42,,,0
CDM,27201736,Hc Pencil Cautery Doug/Wh,23.49,9.16,,,0
CDM,27201737,Hc Pencil Footswitch,16.04,6.26,,,0
CDM,27201738,Hc Pencil Handswitching Accuvac,78.87,30.76,,,0
CDM,27201739,Hc Pencil Smoke Evac W/Tubing,162.29000000000002,63.295,,,0
CDM,27201740,Hc Perferator Crainotomy Disp,1589.45,619.89,,,0
CDM,27201742,Hc Phs Disp Pack Hall Micro Syste,2189.65,853.96,,,0
CDM,27201744,Hc Pigtail Hnr5.0-35-70-Pw-10S,104.435,40.730000000000004,,,0
CDM,27201745,Hc Pin Passing 2.4,715.29,278.96,,,0
CDM,27201748,Hc Pipe Dcr Light,1141.71,445.27,,,0
CDM,27201749,Hc Plasmalyte-A 1000Ml Bag,37.36,14.57,,,0
CDM,27201751,Hc Pleur Vac Infant,196.7,76.71000000000001,,,0
CDM,27201752,Hc Plug Fistula Anal Surgisis,5287.61,2062.17,,,0
CDM,27201753,Hc Plug Infusion Dutch 6Mm,195.36,76.19,,,0
CDM,27201754,Hc Plug Port Guidant Is-1,237.895,92.78,,,0
CDM,27201755,Hc Pointer Tracer Cranl Nvg,3514.76,1370.76,,,0
CDM,27201756,Hc Port Gelpoint Single-Site,3144.85,1226.49,,,0
CDM,27201757,Hc Port Sils Single-Site 5-12Mm,2152.39,839.43,,,0
CDM,27201758,Hc Port W/Introducer Kit 9.6Fr,1493.5,582.46,,,0
CDM,27201760,Hc Post 1-Hole 54-11600,891.24,347.58,,,0
CDM,27201761,Hc Post 2-Hole 54-11610,982.94,383.35,,,0
CDM,27201762,Hc Post 3-Hole 54-11620,1014.92,395.82,,,0
CDM,27201763,Hc Post 4-Hole 54-11630,1041.52,406.19,,,0
CDM,27201764,Hc Post 5-Hole 54-11640,1075.68,419.52,,,0
CDM,27201765,Hc Pouch Convex Flex 2-2/4Inx2In,8.385,3.27,,,0
CDM,27201768,Hc Pouch Endoscopic Retrieval,39.43,15.38,,,0
CDM,27201769,Hc Pouch Flat Flex 2-1/4Inx1-3/4I,12.625,4.92,,,0
CDM,27201770,Hc Pouch Flat Flex 2-3/4Inx2-1/4I,12.495000000000001,4.87,,,0
CDM,27201771,Hc Pouch Ostomy Drnbl 1 Piece,9.14,3.565,,,0
CDM,27201773,Hc Pouch Specimen 15Mm,695.11,271.09,,,0
CDM,27201774,Hc Pouch Surgical Tissue 8X10,357.18,139.3,,,0
CDM,27201775,Hc Pouch Tissue Surgical 054800,336.89,131.39,,,0
CDM,27201776,Hc Pouch Urostomy Any,16.155,6.3,,,0
CDM,27201778,Hc Powder Avitene Davol 1Gm,767.56,299.35,,,0
CDM,27201779,Hc Powder Instat Mch Any,467.92499999999995,182.49,,,0
CDM,27201781,Hc Powder Surgifoam Ab Gel Sponge,456.33500000000004,177.97,,,0
CDM,27201782,Hc Probe Laser Directional 25Ga,1101.24,429.48,,,0
CDM,27201783,Hc Probe Laser Endo Ocular Curv,1065.02,415.36,,,0
CDM,27201784,Sup Probe Cryoablation,7907.92,3084.09,,,0
CDM,27201787,Hc Relia-Vac,33.02,12.88,,,0
CDM,27201788,Hc Reload Endo Ets Flex Trw35 Lf,706.8,275.65,,,0
CDM,27201789,Hc Reservoir Lg Volume W Connect,648.115,252.765,,,0
CDM,27201794,Hc Retractor Cheek Spndx Child Sz,129.17000000000002,50.375,,,0
CDM,27201800,Hc Retractor Soft Tissue Large,1911.44,745.46,,,0
CDM,27201801,Hc Retractor Soft Tissue Med,1911.44,745.46,,,0
CDM,27201802,Hc Rhino Rapid 7.5Cm,196.36,76.58,,,0
CDM,27201803,Hc Rhino Rapid W/Gel 5.5Cm,185.16,72.21000000000001,,,0
CDM,27201808,Hc Sealant Floseal Matrix Hemo 10Cc,2346.34,915.07,,,0
CDM,27201810,Hc Sensor Hemodyn Monitor Any,1663.075,648.5999999999999,,,0
CDM,27201811,Hc Separator Optical 12X100Mm,415.76,162.15,,,0
CDM,27201812,Hc Set Autotransfusion Cs/6,3004.09,1171.6,,,0
CDM,27201814,Hc Set Basin Ob Cobb Custom Disp,147.01999999999998,57.34,,,0
CDM,27201815,Hc Set Brat Bowl,489.45500000000004,190.89,,,0
CDM,27201817,Hc Set Cath Epidural,110.85,43.230000000000004,,,0
CDM,27201818,Hc Set Cath Infusion Rapid,79.85,31.14,,,0
CDM,27201819,Hc Set Cath Pneumothorax Cook,931.19,363.16499999999996,,,0
CDM,27201820,Hc Set Cystoscopy And Irrigation,24.43,9.53,,,0
CDM,27201821,Hc Set Dialysis Admin/Transfer Lf,126.89,49.49,,,0
CDM,27201823,Hc Set Dilator Uret 60Cm 6Fr,1043.69,407.04,,,0
CDM,27201824,Hc Set Dilator Urethral S-Curve,1113.995,434.46000000000004,,,0
CDM,27201826,Hc Set Epidural Cath Perefix 20Ga,44.4,17.32,,,0
CDM,27201827,Hc Set Epidural Cath W/Closed Tip,42.44,16.55,,,0
CDM,27201828,Hc Set Epidural Lf 80In,95.94,37.42,,,0
CDM,27201830,Hc Set Hta Genesys Procedure,8278.96,3228.79,,,0
CDM,27201831,Hc Set Hydro Dh Hystro Dist Tube,820.86,320.14,,,0
CDM,27201833,Hc Set Hyperal Plum Clave,106.6,41.57,,,0
CDM,27201834,Hc Set Inflow Tubing Lf,264.34,103.09,,,0
CDM,27201836,Hc Set Introducer 20.0-38 140391,376.33,146.77,,,0
CDM,27201842,Hc Set Introducer Cpli24.0-38,365.67,142.61,,,0
CDM,27201849,Hc Set Irrig Colostomy,119.65,46.66,,,0
CDM,27201850,Hc Set Irrigation Artho 4-Lead,92.74,36.17,,,0
CDM,27201851,Hc Set Irrigation Cysto/Bladder,31.205,12.17,,,0
CDM,27201852,Hc Set Irrigation Normothermic,198.31,77.34,,,0
CDM,27201856,Hc Set Iv Piggyback Primary Micro,17.880000000000003,6.97,,,0
CDM,27201864,Hc Set Micropuncture Stiffened,85.80000000000001,33.46,,,0
CDM,27201865,Hc Set Monitor Combitrans Pressure,312.36,121.82,,,0
CDM,27201866,Hc Set Mps Delivery W/Cassette,965.76,376.65,,,0
CDM,27201867,Hc Set Multiple Perfusion,134.34,52.39,,,0
CDM,27201868,Hc Set Ndl Bone Biopsy Elson,1909.26,744.61,,,0
CDM,27201869,Hc Set Ndl Prostate 18Ga 20Cm,243.02,94.78,,,0
CDM,27201870,Hc Set Neff Percutaneous Access,476.51,185.84,,,0
CDM,27201874,Hc Set Pads Repl Vst,24.58,9.585,,,0
CDM,27201875,Hc Kit Trach Perc Any,1946.6100000000001,759.18,,,0
CDM,27201877,Hc Set Plexufix Brach Plex 22G,95.94,37.42,,,0
CDM,27201878,Hc Set Pressure Display Red Hrdwr,89.53,34.92,,,0
CDM,27201879,Hc Set Prismaflex M100,1240.7,483.875,,,0
CDM,27201880,Hc Set Pump Angiojet,1534.08,598.29,,,0
CDM,27201881,Hc Set Pump Impella Iv Solution,119.44,46.58,,,0
CDM,27201882,Hc Set Rabinor Sialography T-32,286.75,111.83,,,0
CDM,27201883,Hc Cath Art Line Any,52.459999999999994,20.455,,,0
CDM,27201884,Hc Set Rate Flow Regulator Adult,44.66,17.42,,,0
CDM,27201885,Hc Set Retrograde Intubation 14.0,715.29,278.96,,,0
CDM,27201886,Hc Set Sheath Dilator 8/10,263.3,102.69,,,0
CDM,27201887,Hc Set Sheath Micropuncture,219.07,85.435,,,0
CDM,27201888,Hc Set Spray For Tisseel,337.93,131.79,,,0
CDM,27201889,Hc Set Suction Postoperative,81.92,31.95,,,0
CDM,27201891,Hc Set Tub Coolflow For Carto 3,511.7,199.56,,,0
CDM,27201892,Hc Set Tubing 7/8In,21.32,8.31,,,0
CDM,27201893,Hc Set Tubing Mini Selector,169.53,66.12,,,0
CDM,27201894,Hc Set Tubing Selector Sat,2429.56,947.53,,,0
CDM,27201895,Hc Set Tubing Slol 4503,352.83,137.6,,,0
CDM,27201896,Hc Set Tubing Smoke Evac Lf M,72.45,28.26,,,0
CDM,27201897,Hc Set Tubing Solo 1102,162.08,63.21,,,0
CDM,27201898,Hc Set Tur,66.14,25.79,,,0
CDM,27201899,Hc Set Tur Y,42.44,16.55,,,0
CDM,27201900,Hc Set Tur 4Container Irr Special,78.87,30.76,,,0
CDM,27201902,Hc Set Urethral Dilator,1194.29,465.77,,,0
CDM,27201903,Hc Set Vena Stick Vasc Access 4Fr,243.02,94.78,,,0
CDM,27201904,Hc Set Ventricular Ext Drainage,821.685,320.46000000000004,,,0
CDM,27201921,Hc Shuttle Ideal Rt 45Deg,1226.2150000000001,478.22,,,0
CDM,27201922,Hc Sigmoid Suction Tip Disp,23.49,9.16,,,0
CDM,27201923,Hc Skin Graft Carrier Zimmer 16In,286.8,111.85,,,0
CDM,27201924,Hc Skull Pins Disp Lf,55.48,21.64,,,0
CDM,27201925,Hc Sled Galaxy Pullback Disp,246.28,96.05,,,0
CDM,27201929,Hc Slitter Univ Ii Medti 6230Uni,204.72,79.84,,,0
CDM,27201930,Hc Slitter Universal 6228Slt,204.825,79.88,,,0
CDM,27201931,Hc Solution Adhesion Reduction,1465.87,571.69,,,0
CDM,27201932,Hc Solution Betadine 5 Pct Ophth,68.08,26.549999999999997,,,0
CDM,27201934,Hc Spong Actct Dressing Ext Fix,89.53,34.92,,,0
CDM,27201935,Hc Sponge Abs Hemost Mtrx Sol Surgif,1005.21,392.03499999999997,,,0
CDM,27201936,Hc Sponge Drain Fen Copa 3 And 1/2X3In,19.875,7.75,,,0
CDM,27201937,Hc Sponge Gz 200/Bg 12Ply 4X4 Nstrl Dermacea,21.985,8.575,,,0
CDM,27201938,Hc Sponge Kerlix Sterile Lf,16.97,6.62,,,0
CDM,27201939,Hc Sponge Kerlix Sterile Lf Med,49.575,19.335,,,0
CDM,27201940,Hc Sponge Lap 18X36,22.45,8.754999999999999,,,0
CDM,27201941,Hc Sponge Lap Xray Str 18X36,16.715,6.52,,,0
CDM,27201942,Hc Sponge Richd 102140,20.494999999999997,7.99,,,0
CDM,27201943,Hc Sponge Surg .5X6In Strip Radi,29.81,11.63,,,0
CDM,27201944,Hc Sponge Tonsil Disp Lf,20.29,7.91,,,0
CDM,27201945,Hc Sponge Tonsil Large Bhs,99.15,38.67,,,0
CDM,27201946,Hc Stabalizer Evolution,7253.38,2828.82,,,0
CDM,27201947,Hc Stabilizer Acrobat Suv Vacuum,5628.74,2195.21,,,0
CDM,27201948,Hc Stabilizer Octps Nuvo Mi,8834.35,3445.4,,,0
CDM,27201997,Hc Stapler Skin Any,69.24000000000001,27.0,,,0
CDM,272020032,Hc Scissors Endo 5Mm Monopol Caut,263.3,102.69,,,0
CDM,27202012,Hc Starfish/Octopus Bundle,6481.58,2527.82,,,0
CDM,27202015,Hc Securment Device- Line Statlock Any,28.835,11.245000000000001,,,0
CDM,27202017,Hc Steristrip Lf 1X5,15.73,6.135,,,0
CDM,27202019,Hc Stockinette Fiberglass 4 In,99.15,38.67,,,0
CDM,27202020,Hc Stopcock Any,18.520000000000003,7.22,,,0
CDM,27202022,Hc Stopper Wire Red Rubber True/L,12.83,5.0,,,0
CDM,27202023,Hc Strip 1X5In Episeal Flx Cnfrm,9.63,3.76,,,0
CDM,27202024,Hc Strip Peri E Univ Atsut Gia 45,1217.78,474.93,,,0
CDM,27202026,Hc Strip Wound Clos I000 Lf 1X5,15.629999999999999,6.095,,,0
CDM,27202029,Hc Stylet Precision Spare,993.6,387.5,,,0
CDM,27202031,Hc Stylet Quinton Peri Tunneling,572.46,223.26,,,0
CDM,27202032,Hc Intubation Stylet Or Bougie Any,18.8,7.335,,,0
CDM,27202036,Hc Suction Biovac Direct,614.07,239.49,,,0
CDM,27202037,Hc Suction Cautery,77.83,30.35,,,0
CDM,27202038,Hc Suction Tube Yankauer,307.57,119.95500000000001,,,0
CDM,27202039,Hc Sump Pericardial,92.74,36.17,,,0
CDM,27202041,Hc Super Trax Ndl Tipped Cystolog,372.34000000000003,145.21,,,0
CDM,27202042,Hc Supplies Med/Surg Miscellaneous,229.46,89.49,,,0
CDM,27202043,Hc Suresound,511.7,199.56,,,0
CDM,27202044,Hc Surgical Patties Lf,110.85,43.23,,,0
CDM,27202045,Hc Surgical Simplex Full Do Lf,740.96,288.97,,,0
CDM,27202046,Hc Agent Hemostat Surgicel Any,428.355,167.06,,,0
CDM,27202050,Hc Surgifoam Abs Gel Sponge 100,179.88,70.15,,,0
CDM,27202051,Hc Surgifoam Hemmorrhoidect Sponge,191.89,74.84,,,0
CDM,27202052,Hc Surgifoam Powder Ab Gel Kit,1083.3850000000002,422.52,,,0
CDM,27202053,Hc Surgindl 150Mm,104.43,40.73,,,0
CDM,27202055,Hc Sut Assist Sw100,1030.86,402.04,,,0
CDM,27202057,Hc Sut Bridge Retention,23.49,9.16,,,0
CDM,27202112,Hc Suture Nylon/Pds/Gut/Chromic/Prolene/Permahand Any,21.97,8.57,,,0
CDM,272022319,Hc Cath Suct 8Fr 12In Cls Sys Adapt Y,64.17,25.03,,,0
CDM,27202452,Hc Suture Silk Ethibond Any,42.265,16.485,,,0
CDM,27202577,Hc Suture Vicryl Monocryl Any,24.775,9.665,,,0
CDM,27202700,Hc Suture Vloc Any,189.72,73.99,,,0
CDM,27203110,Hc Switch Wireless Trigger,162.08,63.21,,,0
CDM,27203111,Hc Syringe Glass W/Ll Mt Disp 5Cc,50.09,19.54,,,0
CDM,27203112,Hc Syringe Mdln Ylw Plunger 10Ml,350.81,136.82,,,0
CDM,27203113,Hc Syringe Medallion White 1Cc,16.865000000000002,6.58,,,0
CDM,27203114,Hc Syringe Osteosite Bone Biopsy,256.89,100.19,,,0
CDM,27203115,Hc Syringe Toomey Lf Disp 70Cc St,17.34,6.76,,,0
CDM,27203116,Hc Syringe Verapamil Blue 6Cc,17.08,6.66,,,0
CDM,27203117,Hc Syringe W/Qf Tube Str 150Ml,30.945,12.07,,,0
CDM,27203118,Hc Syringe W/Qf Tube Str 200Ml,31.67,12.35,,,0
CDM,27203119,Hc Sys Collection Berk Soft Touch,83.89,32.72,,,0
CDM,27203120,Hc Syst Urine Meter Tray Ic Silv 16F,184.44,71.93,,,0
CDM,27203121,Hc System Cement Mix W/Fem Nozzle,495.505,193.25,,,0
CDM,27203122,Hc System Cement Mixing Revol Bfn,523.4,204.13,,,0
CDM,27203123,Hc System Colpo-Pneumo Occluder,383.88,149.70999999999998,,,0
CDM,27203125,Hc System Drain Lumbar Limitorr,1739.11,678.25,,,0
CDM,27203126,Hc System Drainage External Csf,553.515,215.87,,,0
CDM,27203127,Hc System Ensnare Mini,4157.6,1621.46,,,0
CDM,27203128,Hc System Heartstring Iii 3.8,3070.22,1197.39,,,0
CDM,27203129,Hc System Pumping Single Action,383.78,149.67,,,0
CDM,27203130,Hc System Rtrvl Inzii Univ 5Mm,443.5,172.96,,,0
CDM,27203132,Hc System Tamponade Complete Ebb,2990.32,1166.22,,,0
CDM,27203133,Hc System Vessel Harvesting Hemo,6140.45,2394.78,,,0
CDM,27203134,Hc System Wound Irrigation,63.295,24.685000000000002,,,0
CDM,27203135,Hc Tacker Absorbatack 5Mm 15Tck,2046.82,798.26,,,0
CDM,27203136,Hc Tacker Absorbatack 5Mm 30Tck,2729.09,1064.35,,,0
CDM,27203137,Hc Tacker Sorbafix 5Mm,5013.64,1955.32,,,0
CDM,27203138,Hc Tacker Sorbafix 5Mmx15,3343.15,1303.83,,,0
CDM,27203139,Hc Tamp Synthes,2896.535,1129.65,,,0
CDM,27203140,Hc Nasal Tampon/Packing Any,38.3,14.94,,,0
CDM,27203145,Hc Tape Glow N Tell 55Cm,443.76,173.065,,,0
CDM,27203146,Hc Thermoset Catheter W 3W Stopcock,75.4,29.405,,,0
CDM,27203147,Hc Tip And Flue Micro 35 Lehz,3980.61,1552.44,,,0
CDM,27203148,Hc Tip Abs Micro Flr Kelman Casse,751.515,293.09000000000003,,,0
CDM,27203149,Hc Tip Bone Cleaning Coaxial,78.87,30.76,,,0
CDM,27203150,Hc Tip Calibration Bilichek Disp,42.64,16.63,,,0
CDM,27203151,Hc Tip Cautery Disp,212.18,82.75,,,0
CDM,27203152,Hc Tip Cautery Modified Lf,23.49,9.16,,,0
CDM,27203153,Hc Tip Guidepin 3.2X300Mm,271.89,106.04,,,0
CDM,27203154,Hc Tip Hex Strl 3.5Mm,1636.44,638.21,,,0
CDM,27203155,Hc Tip I/A Silicone Bent,595.95,232.42,,,0
CDM,27203156,Hc Tip Insert Lg/Deep Imp 6Mm,990.4449999999999,386.275,,,0
CDM,27203157,Hc Tip Isocool 3.5X1Mm,2789.84,1088.04,,,0
CDM,27203158,Hc Tip Isocool 3.5X2Mm,2789.84,1088.04,,,0
CDM,27203159,Hc Tip Mini Flared 45D Ozil 9Mm,443.5,172.96,,,0
CDM,27203160,Hc Tip Ndl Insulated 4In,37.36,14.57,,,0
CDM,27203161,Hc Tip Neuro Cutting Blk Max 2.3,525.57,204.97,,,0
CDM,27203162,Hc Tip Soft Suction,98.32,38.34,,,0
CDM,27203163,Hc Tool Dissecting Midas M2,265.48,103.54,,,0
CDM,27203164,Hc Tool Dissecting Midas Su-1,484.175,188.82999999999998,,,0
CDM,27203165,Hc Tool Lead Tunneling,3408.15,1329.18,,,0
CDM,27203166,Hc Tool Transvalvular Insertion,146.97,57.32,,,0
CDM,27203167,Hc Tool Tunneling 20In,263.3,102.69,,,0
CDM,27203168,Hc Tool Tunneling Sc-4254,1944.45,758.34,,,0
CDM,27203169,Hc Touhey Hemostasis Large Bore,109.61,42.75,,,0
CDM,27203181,Hc Tracker Instrument Fusion Igs,888.03,346.33,,,0
CDM,27203182,Hc Tracker Patient Fusion Igs,1140.67,444.86,,,0
CDM,27203184,Hc Transconnector Small,12280.9,4789.55,,,0
CDM,27203185,Hc Transducer Disp,119.44,46.58,,,0
CDM,27203186,Hc Transducer Dtx Plus Disp,85.075,33.18,,,0
CDM,27203187,Hc Transducer Pressure,132.17,51.55,,,0
CDM,27203188,Hc Transducer Transpac Iv Disp,54.34,21.19,,,0
CDM,27203189,Hc Trap Finger,99.15,38.67,,,0
CDM,27203190,Hc Trap Mucus Delee 8Fr,19.835,7.734999999999999,,,0
CDM,27203191,Hc Trap Polyp Us Endo Co711099,52.27,20.39,,,0
CDM,27203192,Hc Trap Specimen Lf 10Fr,31.0,12.09,,,0
CDM,27203193,Hc Tray Amniocentesis Bhs Disp,93.975,36.65,,,0
CDM,27203194,Hc Tray Angio Any,422.135,164.635,,,0
CDM,27203196,Hc Tray Arthrogram Disp Lf,46.629999999999995,18.19,,,0
CDM,27203198,Hc Tray Biopsy Basic Any,76.11500000000001,29.685000000000002,,,0
CDM,27203199,Hc Tray Biopsy Bone Marrow Disp,233.08499999999998,90.9,,,0
CDM,27203200,Hc Tray Block Paracervical Disp,57.745000000000005,22.52,,,0
CDM,27203201,Hc Tray Cataract Alcon Disp,1708.89,666.47,,,0
CDM,27203205,Hc Tray Cath Procedure H/S,265.78999999999996,103.66,,,0
CDM,27203206,Hc Tray Umb Vess Catheterization Wo Cath,298.28999999999996,116.33500000000001,,,0
CDM,27203209,Hc Tray Circumcision Any,78.765,30.72,,,0
CDM,27203210,Hc Tray C-Section Custom Disp,436.66499999999996,170.3,,,0
CDM,27203211,Hc Tray Cysto Cath,22.564999999999998,8.8,,,0
CDM,27203213,Hc Tray Epidural Any,145.99,56.94,,,0
CDM,27203218,Hc Tray Facet Injection Disp Any,128.96,50.29,,,0
CDM,27203223,Hc Tray Cath Foley Any,110.465,43.08,,,0
CDM,27203226,Hc Device Closure Revct Half Circ 2-0 180 Gs-26 24In,104.43,40.73,,,0
CDM,27203229,Hc Tray Foley Temp Sens Any,171.63,66.935,,,0
CDM,27203230,Hc Tray Prep Foley Disp No Bag Or Cath,17.08,6.66,,,0
CDM,27203231,Hc Tray Foley W/O Cath Silv Disp,62.305,24.299999999999997,,,0
CDM,27203233,Hc Tray Gen Purpose Inst Disp Lf,19.86,7.745,,,0
CDM,27203234,Hc Tray Hsg Procedure 5Fr,270.96500000000003,105.68,,,0
CDM,27203235,Hc Tray Hystrosalpingogram,112.91999999999999,44.04,,,0
CDM,27203236,Hc Tray Incision And Drange Disp Lf,26.755000000000003,10.43,,,0
CDM,27203241,Hc Tray Laceration Custom Pnwdisp,45.59,17.78,,,0
CDM,27203250,Hc Catheter Picc Or Midline Any,775.015,302.255,,,0
CDM,27203254,Hc Tray Myelogram Any,80.885,31.545,,,0
CDM,27203258,Hc Tray Pelvic Exam Disp,57.96,22.6,,,0
CDM,27203259,Hc Tray Picc Line Custom,243.915,95.125,,,0
CDM,27203260,Hc Tray Prctns Thorcnts Custom,136.865,53.375,,,0
CDM,27203262,Hc Tray Skin Scrub Wet Cust Disp,22.82,8.9,,,0
CDM,27203263,Hc Tray Special Procedure Disp,387.09,150.97,,,0
CDM,27203270,Hc Tray Sprotte Bupivac 24Ga,105.725,41.230000000000004,,,0
CDM,27203271_272,Noncdm Charge Record Medical Supplies - Hc Zz Tray Sterotactic Biopsy - Use 27203198,53.82,20.99,,,0
CDM,27203271_A4649_272,Noncdm Charge Record Medical Supplies - Hc Zz Tray Sterotactic Biopsy - Use 27203198,53.82,20.99,,,0
CDM,27203271_A9999_272,Noncdm Charge Record Medical Supplies - Hc Zz Tray Sterotactic Biopsy - Use 27203198,53.82,20.99,,,0
CDM,27203272,Hc Tray Suture Disposable,50.72,19.78,,,0
CDM,27203273,Hc Tray Thoracentesis/Paracentesis Any,189.39,73.86500000000001,,,0
CDM,27203278,Hc Trach Cleaning Any,14.84,5.785,,,0
CDM,27203279,Hc Tray Urethral W Bag Disp Any,15.635,6.095,,,0
CDM,27203280,Hc Tray Urethral W/O Bag Disp,9.32,3.63,,,0
CDM,27203281,Hc Truguide Coaxial 19Gx17.8C,76.795,29.950000000000003,,,0
CDM,27203282,Hc Tube Ear Any,109.4,42.67,,,0
CDM,27203283,Hc Tube Chest Right Angle 28Fr,44.66,17.42,,,0
CDM,27203284,Hc Tube Chest Straight 28Fr,28.795,11.23,,,0
CDM,27203285,Hc Tube Connecting Binyl 14Fr,65.41499999999999,25.509999999999998,,,0
CDM,27203300,Hc Tube Endotrach Standard Any,16.785,6.545,,,0
CDM,27203305,Hc Tube Endotrach Specialty Emg Nims Cobra Vivasight Dlt Any,1695.4850000000001,661.24,,,0
CDM,27203308,Hc Tube Endobronchial Any,324.96,126.73500000000001,,,0
CDM,27203319,Hc Tube Ng Or Gastric Any,81.76,31.89,,,0
CDM,27203329,Hc Tube Gastro Cont Lf 20Fr 20Cc,193.49,75.46000000000001,,,0
CDM,27203335,Hc Tube Laparoscopeic Smoke Evac,164.15,64.02,,,0
CDM,27203338,Hc Tube Lukens,19.66,7.67,,,0
CDM,27203349,Hc Tube Ng Salem Sump Suction Any,26.71,10.42,,,0
CDM,27203353,Hc Tube Pump Arthroscopy,410.48,160.09,,,0
CDM,27203366,Hc Tube Trach Any,254.595,99.28999999999999,,,0
CDM,27203399,Hc Tubing Arthro Flosteady,317.64,123.88,,,0
CDM,27203400,Hc Tubing Aspiration Clear 9In,102.36,39.92,,,0
CDM,27203401,Hc Tubing Coax Umb,593.78,231.57,,,0
CDM,27203402,Hc Tubing Drainage Lf Chest Atriu,60.905,23.75,,,0
CDM,27203403,Hc Tubing Extension Hp 20In,110.535,43.11,,,0
CDM,27203405,Hc Tubing High Pressure M/F 48In,8.69,3.39,,,0
CDM,27203406,Hc Tubing High Pressure M/F 84In,9.73,3.795,,,0
CDM,27203407,Hc Tubing Hi-Speed Drill Coolant,290.01,113.1,,,0
CDM,27203408,Hc Tubing Hysteroscopy,541.51,211.19,,,0
CDM,27203409,Hc Tubing Infiltration Dik,95.94,37.42,,,0
CDM,27203410,Hc Tubing Inflow Pump Sne 7211004,257.61,100.47,,,0
CDM,27203411,Hc Tubing Insufflation,29.81,11.63,,,0
CDM,27203412,Hc Tubing Insufflator Heated,215.32999999999998,83.97999999999999,,,0
CDM,27203413,Hc Tubing Insuflow Lexion,715.29,278.96,,,0
CDM,27203414,Hc Tubing Prim Se W/Cb 3Valve Prt,43.86,17.105,,,0
CDM,27203415,Hc Tubing Single Abthera Npt,546.89,213.29,,,0
CDM,27203416,Hc Tubing Special Low Absorbing,46.89,18.29,,,0
CDM,27203417,Hc Tubing Trifurcate,29.81,11.63,,,0
CDM,27203418,Hc Tunneler Vns Thpy Mod 402,2729.09,1064.35,,,0
CDM,27203420,Hc Urostomy Gentle Touch 70Mm,79.85,31.14,,,0
CDM,27203421,Hc Valve Anti-Reflux,30.854999999999997,12.035,,,0
CDM,27203422,Hc Valve Contrast Mini-Spike Assy,24.53,9.57,,,0
CDM,27203423,Hc Valve Control Bleedback Copilo,224.7,87.63,,,0
CDM,27203424,Hc Valve Enteral Lopez Disp Lf,8.575,3.3449999999999998,,,0
CDM,27203425,Hc Valve Hemostatic Merit,114.985,44.845,,,0
CDM,27203426,Hc Wand 90Ifs Ambient Super Turbo,1058.6,412.85,,,0
CDM,27203427,Hc Wand Ambient 50 Irs Super Trbv,1090.58,425.33,,,0
CDM,27203428,Hc Wand Artho Suction 50 Deg 3.0,1024.545,399.57,,,0
CDM,27203429,Hc Wand Arthro 3.5Mm Serfas Lat,1245.1,485.59,,,0
CDM,27203430,Hc Wand Arthro 70 Degree 3.0Mm,1024.44,399.53,,,0
CDM,27203431,Hc Wand Arthro Saber 30 Deg 3.0Mm,824.07,321.39,,,0
CDM,27203432,Hc Wand Plsm Procise Max Coblatio,1394.35,543.8,,,0
CDM,27203433,Hc Wand Plsm Rflx Ul,1255.77,489.75,,,0
CDM,27203434,Hc Wand Procise Ezview Coblator,1523.47,594.15,,,0
CDM,27203435,Hc Wand Reflex Ultra 55,1386.9,540.89,,,0
CDM,27203437,Hc Wand Suction Evac 70Xtra,1286.71,501.82,,,0
CDM,27203438,Hc Wand Super Multivac 50Deg,1024.44,399.53,,,0
CDM,27203439,Hc Wand Super Turbovac 90Deg,1226.99,478.53,,,0
CDM,27203440,Hc Wand Topaz Arthocare Ac4040-01,2011.63,784.54,,,0
CDM,27203441,Hc Water Seal Drain Container And Tubing For Use W Chest Tube,219.42,85.57,,,0
CDM,27203442,Hc Wax Bone 2.5Gm,25.56,9.97,,,0
CDM,27203443,Hc Wick Ear Pope,16.81,6.555,,,0
CDM,27203445,Hc Guidewire Specialty Any,277.08,108.065,,,0
CDM,27203458,Hc Wound Mgr 4X9In,101.33,39.52,,,0
CDM,27203459,Hc Yankeur Suction Sage 6429,16.61,6.48,,,0
CDM,27203461,Hc Hat Thermal W Vapor Barrier Nb Any,16.56,6.46,,,0
CDM,27203462,Hc Pad Ecg Neoheart Newborn Any,41.4,16.15,,,0
CDM,27203643,Hc Sheath Endo Eshth Sldon 11101,77.83,30.35,,,0
CDM,272037167,Hc Unit Electrosurg Lgsr 5Mm Md,2612.86,1019.02,,,0
CDM,272037391,Hc Valve Chst Drain Hmlch,146.04,56.96,,,0
CDM,27204046,Hc Needle Block Us W Ext Set Any,48.480000000000004,18.91,,,0
CDM,27204245,Hc Sheath Dryseal With Hydrophilic Coating Gore 14F 4.8Mmx5.5Mmx28Cm,1422.09,554.62,,,0
CDM,27205059,Hc Catheter Dsc 5F X 115Cm Us,6248.09,2436.76,,,0
CDM,27205346,Hc Catheter Ball Dil .014In/4/135,1253.07,488.7,,,0
CDM,27205367,Hc Dressing Endoform 2X2In Collage Fenestrated,48.79,19.025,,,0
CDM,27205368,Hc Needle Touhy Epidural,105.57,41.17,,,0
CDM,27205395,Hc System Surfire Infus St,13974.88,5450.2,,,0
CDM,27205396,Hc System Surfire Infus Lt,13974.88,5450.2,,,0
CDM,27205413,Hc Cath Drain 20Fr 16In Arg Strt Troc Tip,62.93,24.54,,,0
CDM,27205433,Hc Needle 21Ga 2 75In 7Cm,28.77,11.22,,,0
CDM,27205472,Hc Kit Adm 170-260Um 57In Dist Ll,24.58,9.585,,,0
CDM,272055599,Hc Valve Bx Brnchl Ventri Bscp Nomenclature Evis,17.08,6.66,,,0
CDM,27205588,Hc System Detachment Inzone,877.37,342.17,,,0
CDM,27205589,Hc System Inj Syr,40.78,15.9,,,0
CDM,27206501,Hc Circuit Ecmo Neo/Ped Any,3036.38,1184.19,,,0
CDM,27206667,Hc Needle Port Or Huber Any,23.8,9.28,,,0
CDM,27206827,Hc Catheter Edi Nava Any,1074.67,419.12,,,0
CDM,27207164,Hc Kit Icp Arterial,33.07,12.9,,,0
CDM,27207317,Hc Babcock Disp Ethicon Lf,374.40999999999997,146.01999999999998,,,0
CDM,272075534,Hc Retractor Ir Grsh Flx Opth Surg Strl Disp,105.57,41.17,,,0
CDM,27207625,Hc Circ Clamp Plastibell Any,9.32,3.63,,,0
CDM,27207668,Hc Set Cntiplx 18Gx2In Stim Cnt Nv Block,234.53,91.47,,,0
CDM,27207669,Hc Set Cntiplx 18Gx4In Stim Cnt Nv Block,234.53,91.47,,,0
CDM,27207670,Hc Syringe Resistance Plast Perifix 8Ml,361.94,141.16,,,0
CDM,272077270,Hc Cuff Tourniquet 18In 2 Port 1 Bladr Pump Line,105.57,41.17,,,0
CDM,272077273,Hc Cuff Tourniquet 34In 2 Port 1 Bladr Pump Line,135.38,52.8,,,0
CDM,27208001,Hc Kit Apheresis,1357.92,529.59,,,0
CDM,27208079,Hc Pediatric Trach 5.0,153.49,59.86,,,0
CDM,27208228,Hc Filiform Ureth Pvc Strt Tip Any,47.61,18.57,,,0
CDM,272082332,Hc Kit Hemodia 23Cm 16Fr Carbothane Hmsplt Xk 2,1606.53,626.55,,,0
CDM,27208464,Hc Electrode Electrosurg Blk24-26Fr Elt Rl Strl,572.46,223.26,,,0
CDM,272086031,Hc Pouch 34.5Cm 10Mm E-Ctch Gld Spec Ret Disp,185.47,72.33,,,0
CDM,272086672,Hc Unit Electrosurg 36X3.3-4.7Mm 18Cm Instr Disp,2871.1400000000003,1119.745,,,0
CDM,27209023,Hc Loop Vsl Maxi 16.5X1/8In Lf Rdnonpor Radiopq,9.63,3.76,,,0
CDM,27209028,Hc Ligator Hlk Fllpn Tube Strldisp Endo,210.0,81.9,,,0
CDM,272090843,Hc Saw Prcs Osc 25X1.33X105Mm,1607.56,626.95,,,0
CDM,27209171,Hc Kit Press Monitor Olm Intercran 1104B,351.85,137.22,,,0
CDM,27209208,Hc Bottle Vacuum Pleurx 1000Ml,266.8,104.05,,,0
CDM,272093480,Hc Tunneler Surg Sheath 12In 11Ga Disp,145.99,56.94,,,0
CDM,27209384,Hc Tube Naso 28Fr Thnwl Intrr Srr,15.77,6.15,,,0
CDM,272094337,Hc Unit Electrosurg 37Cm 5Mm Blnt Lgsr,2375.12,926.3,,,0
CDM,27209438,Hc Tubing Dia 12Ft Extn Set Apd D,18.905,7.375,,,0
CDM,272095694,Hc Ring Malyugin 7.0Mm Mst Strl,656.71,256.12,,,0
CDM,27209606,Hc Curette Vac Cann Any,25.59,9.98,,,0
CDM,272096324,Hc Pad Sensatrac W Tub Clamp Connect,89.32,34.834999999999994,,,0
CDM,272096951,Hc Unit Electrosurg 18.8Cm Sm Jaw Lgsr Strl,2193.89,855.62,,,0
CDM,272097069,Hc Reload Stplr Med 60 Egia Vasc Artc,983.97,383.75,,,0
CDM,272097071,Hc Reload Stplr Med 60Mm Egia Crv Thktis Artc Crv,983.97,383.75,,,0
CDM,272097080,Hc Device Thrmb Cleaner 65Cmx9Mm 6Fr Rot,560.97,218.78,,,0
CDM,272097131,Hc Needle Insfl 120Mm 14Ga Pnmprtn,48.02,18.73,,,0
CDM,272097188,Hc Reload Stplr Med 60Mm Xthktis Artc Crv Egia,1368.79,533.83,,,0
CDM,272097860,Hc Needle Bx 11Ga 6In Traplok Bn Mrw,167.36,65.27,,,0
CDM,272099855,Hc Set Pump Feed Flush Epump 1000Ml,22.09,8.615,,,0
CDM,27210040,Hc Dressing Contact Layer Medium 4X7 To 7X10 Any,98.47,38.405,,,0
CDM,27210041,Hc Dressing Contact Layer Large 8X10In Or Larger Any,326.27,127.245,,,0
CDM,27210093,Hc Kit Iv Start Any,7.24,2.82,,,0
CDM,272101182,Hc Kit Gyn,37.36,14.57,,,0
CDM,272101391,Hc Handle Clipper Surg,42.64,16.63,,,0
CDM,272101392,Hc Vascular Dilator Kit,969.07,377.94,,,0
CDM,272103044,Hc Scalpel Bp Ss Lck Rtrct Shld Prct Surg 15,7.24,2.82,,,0
CDM,272103238,Hc Dressing 4X4In Mepilex Abs Adh Sftc Tech Brdr Sil,14.825,5.779999999999999,,,0
CDM,272104615,Hc Marker Vag Shdwfm 18Cm Tbar,51.13,19.94,,,0
CDM,27210610,Hc Set Needle/Cath Stim On-Q Any,194.58,75.89,,,0
CDM,27210635,Hc Pessary Any,167.515,65.33,,,0
CDM,272106369,Hc Tray Cath Ureth 16Fr Insert Pvp Ltx,8.385,3.27,,,0
CDM,27210790,Hc Template Syed Kit 790,5704.92,2224.92,,,0
CDM,27210791,Hc Guide Tube Vag Cap Elekta,773.14,301.52,,,0
CDM,272108207,Hc Endokit Cust Comp Dbl 2Oz,35.19,13.72,,,0
CDM,272108352,Hc Dressing Cuticerin 8X16In,6.494999999999999,2.5300000000000002,,,0
CDM,272108384,Hc Kit Proc Edge Firm Tip 90D,2198.24,857.31,,,0
CDM,272108385,Hc Kit Proc Edge Firm Tip 45D,1553.22,605.76,,,0
CDM,272108386,Hc Kit Proc Edge Firm Tip 180D,1553.22,605.76,,,0
CDM,272108451,Hc Dressing Exsalt 4X5In,28.77,11.22,,,0
CDM,272108452,Hc Dressing Exsalt 6X6In,42.64,16.63,,,0
CDM,272108453,Hc Dressing Exsalt 8X16In,123.68,48.24,,,0
CDM,272108454,Hc Dressing Exsalt 16X16In,246.23,96.03,,,0
CDM,272108607,Hc Introducer Ped 10Fr 70Cm Coude,30.95,12.07,,,0
CDM,272108974,Hc Connector Hemo 1/4In 36In,314.54,122.67,,,0
CDM,272109327,Hc Dressing Aquacel 3.2X3.2 Foam,74.28999999999999,28.97,,,0
CDM,272109336,Hc Tube Corflo Feed 43In 12Fr,223.17000000000002,87.035,,,0
CDM,272109539,Hc Kit Xpansion Microautograft,2553.24,995.76,,,0
CDM,272109791,Hc Wash Wound Vashe 118Ml/4Oz,35.84,13.98,,,0
CDM,272109953,Hc Dilator Serial Sgle 24Fr,496.8,193.75,,,0
CDM,272110041,Hc Dressing Contact Layer 8X12In Ag Or Larger Any,343.62,134.01,,,0
CDM,272110592,Hc Bag Blood Brat Prp Collect,379.53,148.02,,,0
CDM,272110598,Hc Applicator Evicel Rgd Tip 35Cm,191.89,74.84,,,0
CDM,272110599,Hc Applicator Evicel Flx Tip 45Cm,119.44,46.58,,,0
CDM,272110614,Hc Dissector 13Cm Sonicision Crdless Ultra,1660.86,647.74,,,0
CDM,272110615,Hc Dissector 48Cm Sonicision Crdless Ultra,1790.96,698.47,,,0
CDM,272110697_272,Noncdm Charge Record Medical Supplies - Hc Zz Needle Echo Sgl Stim 20Gax150Mm - Use 27222568,56.97,22.22,,,0
CDM,272110697_A9999_272,Noncdm Charge Record Medical Supplies - Hc Zz Needle Echo Sgl Stim 20Gax150Mm - Use 27222568,56.92,22.2,,,0
CDM,272110827,Hc Introducer Peel Away 1.4Fr Picc Sheath,155.56,60.67,,,0
CDM,272110828,Hc Introducer Peel Away 1.9Fr Picc Sheath,153.81,59.985,,,0
CDM,272111249,Hc Kit Cath Pneumothor Wayne Any,749.85,292.445,,,0
CDM,272112394,Hc Laser Flex Ett- 6.5Mm,171.86,67.025,,,0
CDM,272112412,Hc Sensor Sc90 900/30 Bg/Lyt/Met,5391.0,2102.49,,,0
CDM,272112467,Hc Tube Flx Scope Prot,39.54,15.42,,,0
CDM,272112468,Hc Ligasure Maryland Device 44Cm,2428.42,947.08,,,0
CDM,272112481,Hc Set Syr Press Sns Disc 60In,8.68,3.385,,,0
CDM,27211249,Hc Set Admin Iv/Inf Any,23.805,9.285,,,0
CDM,272112598,Hc Bandage Comprifore 4 Lyr,58.37,22.76,,,0
CDM,272112611,Hc Kit Insertion Biomedicus,275.0,107.25,,,0
CDM,272112613,Hc Perfusion Hls Advanced 7.0 Any,63435.255000000005,24739.75,,,0
CDM,272112629,Hc Laser Flex Ett- 4.0,284.62,111.0,,,0
CDM,272112630,Hc Laser Flex Ett- 4.5Mm,321.935,125.555,,,0
CDM,272112631,Hc Laser Flex Ett- 5.0,339.22,132.29500000000002,,,0
CDM,272112632,Hc Laser Flex Ett- 5.5Mm,347.55,135.54,,,0
CDM,272112633,Hc Laser Flex Ett- 6.0,134.60000000000002,52.489999999999995,,,0
CDM,272112655,Hc Catheter Trbo Cln Cls Suct,58.29,22.73,,,0
CDM,272112656,Hc Catheter Trbo Cln Cls 72 Hr,58.08,22.655,,,0
CDM,272112657,Hc Catheter Mini Bal Smpl 16Fr Clr,212.23000000000002,82.77000000000001,,,0
CDM,272112835,Hc Trap Spec Mucous 40Cc Open Suct Sgl Use Lf,8.385,3.27,,,0
CDM,272112871,Hc Kit Bg Calibration,183.4,71.53,,,0
CDM,272113449,Hc Stockinette Imprv Interm 9X44N,29.81,11.63,,,0
CDM,272113648,Hc Hmst Kelly Crv Disp 5 1/2In,48.02,18.73,,,0
CDM,272113933,Hc Needle Bx Bn Mrw Asp 11Gax4In,126.89,49.49,,,0
CDM,272113936,Hc Needle Bx Temno Orng 18Gx15Cm,178.02,69.43,,,0
CDM,272113949,Hc Needle Spcl Troc Strt 18G 15In,62.93,24.54,,,0
CDM,272113954,Hc Needle Bx Disp 25G 15Cm,84.25,32.86,,,0
CDM,272113958,Hc Gun Bx Bpnc 18Gx100Mm,266.05,103.75999999999999,,,0
CDM,272113960,Hc Intro Ndl Coax 17Gx6.8Cm,90.04,35.12,,,0
CDM,272113968,Hc Kit Anes Epidural 18G 3.5In,101.26,39.495,,,0
CDM,272113969,Hc Kit Anes Epidural 18G 3.5In,77.725,30.310000000000002,,,0
CDM,272113980,Hc Kit Anes Spnl Dbl 25G 3.5In Whtcr Bpvcn,102.36,39.92,,,0
CDM,272113984,Hc Needle Bx Full Core Bpnc 16Gax10Cm,263.095,102.61,,,0
CDM,272113987,Hc Pin Dispensing Std W/Valve,9.63,3.76,,,0
CDM,272114020,Hc Kit Pricrdcts Spcl Proc W/Ldcn,636.42,248.2,,,0
CDM,272114021,Hc Ndl Sf Infus Polyfin Set 20X1,35.19,13.72,,,0
CDM,272114024,Hc Set Infus Pwrlk Sfty 19G 1In,32.965,12.86,,,0
CDM,272114025,Hc Set Infus Pwrlk Sfty 20G 1In Wo Y Site,31.77,12.39,,,0
CDM,272114026,Hc Set Infus Pwrlk Sfty 20G .75In Wo Y Site,30.84,12.03,,,0
CDM,272114027,Hc Kit Port Acc 20G 1In Wo Y Site,60.835,23.725,,,0
CDM,272114028,Hc Kit Port Acc 20G .75In Wo Y Site,55.94,21.82,,,0
CDM,272114029,Hc Kit Port Acc Pwrlk 20G .75In Wo Y Site,61.06,23.81,,,0
CDM,272114030,Hc Kit Port Acc Pwrlk 20G 1In Wo Y Site,61.165000000000006,23.854999999999997,,,0
CDM,272114082,Hc Kit Blood Gas Syr 1Cc 25Ga 8In Gel Sheath Hep,14.565,5.68,,,0
CDM,272114121,Hc Kit Ureth Cath 14F Preatch Bag,9.32,3.63,,,0
CDM,272114122,Hc Kit Ureth Rd Rub Cath 15F Wo Drape,6.52,2.54,,,0
CDM,272114198,Hc Clamp Otlt Port Prtnl Dia,35.815,13.97,,,0
CDM,272114239,Hc Solution Dia W Bicarb 2 P5 Ltr,482.93,188.34,,,0
CDM,272114240,Hc Solution Dia W Bicarb 4 P5 Ltr,229.25,89.41,,,0
CDM,272114242,Hc Kit Crico Er Disp,717.46,279.81,,,0
CDM,272114244,Hc Electrode Dfbr Radiotransparnt Pro-Padz,88.96000000000001,34.69,,,0
CDM,272114249,Hc Electrode Ext Pacing Ped 1Set,627.005,244.53,,,0
CDM,272114252,Hc Electrode Rsc Cmplt 1Stp,432.63,168.73,,,0
CDM,272114358,Hc Electrode Sprl Fetal Strl Spu????????????,34.78,13.56,,,0
CDM,272114363,Hc Kit Icp Mtl Disp Adlt,2082.01,811.98,,,0
CDM,272114367,Hc Tube Art Press Mntr M-F Ll 3Ft Pvc,14.9,5.81,,,0
CDM,272114369,Hc Kit Mntr Iv Pole Mnt Trpl 72In,125.75,49.04,,,0
CDM,272114373,Hc Tubing Art Press Mntr M-F Ll 2Ft Pvc,14.695,5.73,,,0
CDM,272114489,Hc Kit Syr Dual Head Qk-Fl Tube,58.68,22.89,,,0
CDM,272114490,Hc Kit Syr Loprs Tub Spk Strl,37.36,14.57,,,0
CDM,272114547,Hc Catheter Angio 5F 100Cm .038 Sim1 W/O Side H,255.85,99.78,,,0
CDM,272114576,Hc Kit Micro Intro 5F,87.785,34.235,,,0
CDM,272114577,Hc Kit Sheath Perc Intro Integr,164.15,64.02,,,0
CDM,272114578,Hc Kit Sheath Perc Intro Hemosta,400.86,156.34,,,0
CDM,272114581,Hc Intro Sheath 6F W Gwire J 3Mm,48.02,18.73,,,0
CDM,272114587,Hc Intro Ckfl Lng 0.038 10Fx30Cm,202.55,78.99,,,0
CDM,272114597,Hc Intro Set Mpnch Sst 4Fr 10Cm,170.57,66.52,,,0
CDM,272114636,Hc Wireg Aes Tfln Strt .035X260Cm,11725.52,4572.95,,,0
CDM,272114639,Hc Wireg Cope Mdrl 0.018In 60Cm,186.455,72.72,,,0
CDM,272114641,Hc Wireg Aus Hep Strt .035X260Cm,150.28,58.61,,,0
CDM,272114645,Hc Wireg Aes Pftfe Ss .035 80Cm,135.48000000000002,52.84,,,0
CDM,272114655,Hc Wireg Stiff Shaft .035Inx150Cm,223.87,87.31,,,0
CDM,272114708,Hc Fld Set Transf Swb Valve Spike Contrast,18.11,7.06,,,0
CDM,27211471,Hc Tip Suct Frzr 10Fr Flx Stylet,8.49,3.31,,,0
CDM,272114797,Hc Kit Vsl Cath Poly Ii 20G Bsc,106.6,41.57,,,0
CDM,272114809,Hc Kit Centrl Vn Cath Trpl Lum 7F 20Cm Press Inj,526.965,205.515,,,0
CDM,272114810,Hc Kit Centrl Vn Cath Mtlum 7F,577.7650000000001,225.32999999999998,,,0
CDM,272114876,Hc Set Cust Grvty Anes Iv 60 Drop,41.504999999999995,16.189999999999998,,,0
CDM,272114878,Hc Set Iv Admin Mini 3 Sst 104In,7.45,2.91,,,0
CDM,272114879,Hc Set Prim Ck Ndls 13Ml 60 Drop Vent/Nvnt 116In,20.29,7.91,,,0
CDM,272114880,Hc Set Brtt Ll M 150Ml 6In 129In,44.82,17.48,,,0
CDM,272114890,Hc Set Ultrasite Bifur,14.9,5.81,,,0
CDM,272114910,Hc Line Extn Hiflow 36In Strl Fld Pth,16.04,6.26,,,0
CDM,272114918,Hc Set Iv Tubing Pcs 70In,15.805,6.165,,,0
CDM,272114921,Hc Tubing Iv Ndls 114In 20 Drop,20.305,7.92,,,0
CDM,272114939,Hc Set Blood Warm 3 Spk Tub 3/16,393.4,153.43,,,0
CDM,272114946,Hc Sys Cnct Entrlt Inf Spikert Plus,7.539999999999999,2.9400000000000004,,,0
CDM,272114947,Hc Set Admin Tpfl Vnyl Bag 1200Ml,10.66,4.16,,,0
CDM,272114950,Hc Device Suct Tube Attach,8.23,3.21,,,0
CDM,272114952,Hc Valve Lopez Entrl Inj Site,7.574999999999999,2.955,,,0
CDM,272114967,Hc Kt Intro Feed Jjn 18Fr,1103.41,430.33,,,0
CDM,272115019,Hc Milk Breast Hmn Fort Prolact Hm 4Oz,261.22,101.875,,,0
CDM,272115020,Hc Milk Breast Hmn Fort Prolact Plus 4 20Ml,930.6949999999999,362.97,,,0
CDM,272115047,Hc Pad Undcst Crmpd Fnsh 4Inx4Yds Strl,6.365,2.48,,,0
CDM,272115051,Hc Pd Cast Synthetic 6Inx4Yd Strl,16.04,6.26,,,0
CDM,272115063,Hc Stockinette Orth Acrylic 4X25Y,108.78,42.42,,,0
CDM,272115297,Hc Flwmtr Air Peak Scale 70-880 Ring,43.315,16.89,,,0
CDM,272115355,Hc Tube Aers/Ippb 100Ft Seg Every 6In Lt Blu,62.93,24.54,,,0
CDM,272115379,Hc Catheter Intub 19F 56Cm 4.7Mm,315.57,123.07,,,0
CDM,27211539,Hc Humidifier Prfl Strl H20 Any,37.26,14.53,,,0
CDM,272115434,Hc Kit Perc Dil Trach 8X10.9X86Mm,623.895,243.32,,,0
CDM,272115452,Hc Intro Set Trach Perc Ciaglia 8,2183.745,851.6600000000001,,,0
CDM,272115473,Hc Handle Laryngsco Solo Mini Strl,38.195,14.899999999999999,,,0
CDM,272115533,Hc Tube Nasal Flexitrunk Univ 70Mm,65.1,25.39,,,0
CDM,272115577,Hc Tube Flx Humid Vent 6In,7.45,2.91,,,0
CDM,272115580,Hc Bag Rsc Peep Valve Ped,34.209999999999994,13.34,,,0
CDM,27211575,Hc Dilator Renal Dk10.0 105,286.8,111.85,,,0
CDM,27211579,Hc Tube Gastrostomy Feed Balloon Or Replace Any,296.01,115.44,,,0
CDM,272115839,Hc Drill Hand 10Ga Ivas Stryker,365.515,142.55,,,0
CDM,272115845,Hc Kit Crnl Acc Ventri Ndl Towel,1520.315,592.9200000000001,,,0
CDM,272116028,Hc Dil Stoma Eternal Feed Tb 22Fr Acc,506.43,197.51,,,0
CDM,272116108,Hc Curette Vac Crv Rgd Strl 8Mm,22.36,8.72,,,0
CDM,272116112,Hc Set Tur Y Type Irr Nvnt,14.385,5.61,,,0
CDM,272116113,Hc Set Cysto Irr Dist Cnct 79In Rl Clamp,10.66,4.16,,,0
CDM,272116114,Hc Kit Irr Piston Syr Strl 60Cc,22.455,8.754999999999999,,,0
CDM,272116181,Hc Probe Bx Mamtm Elite 10Ga,1417.85,552.96,,,0
CDM,272116213,Hc Sys Drain Ext Csf Mntr 30Ml,1547.95,603.7,,,0
CDM,272116246,Hc Syringe Infl Basix Compak 20Cc,170.57,66.52,,,0
CDM,272116298,Hc Estch Ld Unit Vloc 180Abs 2/0 8In 20Cm,505.29,197.06,,,0
CDM,272116370,Hc Bag Wst Angio W Vent Spike/Dual Valve???????? ?????,37.36,14.57,,,0
CDM,272116374,Hc Mnfld Drip Reduct 4Port Nptn,178.02,69.43,,,0
CDM,272116390,Hc Cautery Pncl Rckr Switch 10' Cord,17.08,6.66,,,0
CDM,272116391,Hc Cautery Pncl Pshbtn Sf Hlstr 10' Cord,17.08,6.66,,,0
CDM,272116395,Hc Electrode Dspr Dual Foil 10Ft Cable Disp,14.9,5.81,,,0
CDM,272116490,Hc Swab Proctosigmoidoscopic 16In,6.42,2.5,,,0
CDM,272116522,Hc Pack Cust Angio N Fulton,247.41500000000002,96.49000000000001,,,0
CDM,272116525,Hc Pack Cust Artgr Amc,123.68,48.24,,,0
CDM,272116526,Hc Pack Cust Artgr S Fulton Med,196.13,76.49,,,0
CDM,272116528,Hc Pack Cust Basic Eye S Fulton Med Ctr,108.78,42.42,,,0
CDM,272116544,Hc Pack Cust Ft/Ankl Lwr Xtrm S Fulton,192.92,75.24,,,0
CDM,272116546,Hc Pack Cust Gen Lapscp S Fulton,170.58499999999998,66.525,,,0
CDM,272116548,Hc Pack Cust Gyn Min Trans/Maj Atl S Campus,164.15,64.02,,,0
CDM,272116549,Hc Pack Cust Hand And Arm S Fulton Med Ctr,465.85,181.68,,,0
CDM,272116552,Hc Pack Cust Lith Lapscp S Fulton Med Ctr,159.91,62.36,,,0
CDM,272116553,Hc Pack Cust Lith Amc S,130.1,50.74,,,0
CDM,272116557,Hc Pack Cust Mylgr Amc,51.13,19.94,,,0
CDM,272116565,Hc Pack Cust T/K S Fulton Med Ctr,252.64,98.53,,,0
CDM,272116566,Hc Pack Cust Trma Amc,635.44,247.82,,,0
CDM,272116567,Hc Pack Cust Vasc Amc S,228.11,88.96,,,0
CDM,272116577,Hc Kit Infl Cust Nfrh,264.34,103.09,,,0
CDM,272116618,Hc Kit Ansep App 2 Percent Hcg 70 Percent Ipa 1.5Ml Wng 20/Bx,60.03,23.41,,,0
CDM,272116629,Hc Kit Skin Scrub Vag Prep Pvp1 5 Cmprt Bsin,17.34,6.76,,,0
CDM,27211665,Hc Tube Cnct Suct Any,6.21,2.42,,,0
CDM,272116794,Hc Sys Drain Ext Csf Mntr 20Ml,1570.3,612.42,,,0
CDM,272116800,Hc Bag Collect Ext Drain Sys Codman,494.63,192.91,,,0
CDM,272116803,Hc Kit Drain Ext Anrflx Vlv 30Ml,367.37,143.26999999999998,,,0
CDM,272116835,Hc Dressing Wound Nadh Pad 6X9 Strl Xtrasorb,21.94,8.56,,,0
CDM,272116856,Hc Dressing Drawtex 4X39In,54.23,21.15,,,0
CDM,272116857,Hc Dressing Drawtex 4X4In,32.01,12.485,,,0
CDM,272116919,Hc Dressing Wound Multidx 6Gms Powder Strl,20.494999999999997,7.99,,,0
CDM,272116920,Hc Dressing Wound Multidx 1/4Oz Gel Strl,15.754999999999999,6.145,,,0
CDM,272116924,Hc Dressing Soloste Gel Cnfrm 4X4,8.385,3.27,,,0
CDM,272116927,Hc Dressing Anmc Adh 4Inx10In Silverlon,206.79,80.65,,,0
CDM,272116931,Hc Dressing Prsm Matrix 4.34Sq Acelity,44.42,17.325,,,0
CDM,272116949,Hc Dressing Gauze Petro Xr 5X9In Lf,6.43,2.505,,,0
CDM,272116955,Hc Dressing Abs Oval Clr 4.4X5In Acrylic,15.690000000000001,6.115,,,0
CDM,272116956,Hc Dressing Abs Sq Clr 5.6X6In Acrylic,45.489999999999995,17.740000000000002,,,0
CDM,27211696,Hc Dressing Skin Dry Ag Large Any,23.8,9.28,,,0
CDM,272116967,Hc Hmst Abs Strl 1/2X2In,78.505,30.619999999999997,,,0
CDM,272116968,Hc Hmst Abs Strl 2X14In,266.98,104.12,,,0
CDM,272117001,Hc Dressing Skin Clsr 1/8X3In Steri-Strip,20.805,8.11,,,0
CDM,272117128,Hc Tray Lac Cust Amc,53.925,21.03,,,0
CDM,272117136,Hc Irr Suct W Splsh Tp Tub 1.75In Spk Adp,175.95,68.62,,,0
CDM,272117154,Hc Gauze Pk Ifrm Strl 1Inx5Yd,11.715,4.5649999999999995,,,0
CDM,272118155,Hc Kit Press Mntr Microvent Bolt,8439.91,3291.56,,,0
CDM,272118182,Hc Kit Full Barrier Prcaut,149.25,58.21,,,0
CDM,272118188,Hc Set Prim Ck Ndls 21Ml 20 Drop Vent/Nvnt 116In,15.665,6.105,,,0
CDM,272118200,Hc Sensor Entropy Wo Sensor Cable Sgl Use,72.45,28.26,,,0
CDM,272118234,Hc Patch Cath Polysaccharide 3Cmx3Cm Strl,240.95,93.97,,,0
CDM,272118248,Hc Electrode Laryng Endotrach Sm 2 Chan 6-7.5Mm,649.26,253.21,,,0
CDM,272118322,Hc Kit Pnmthrx 10.2F 29Cm 18G Troc Ndl,913.59,356.3,,,0
CDM,272118334,Hc Set Ureth Dil W/Prep Comp,1257.94,490.6,,,0
CDM,272118335,Hc Set Cysto Irr 75In 8 Drop/Ml,14.695,5.73,,,0
CDM,272118359,Hc Kit Drain 25G Ldcn 28F 41Cm,776.405,302.8,,,0
CDM,272118361,Hc Kit Drain 25G Ldcn 24F 41Cm,774.075,301.89,,,0
CDM,272118366,Hc Filter Cartridge Car155 W Preatch Hemofltr,1439.4250000000002,561.38,,,0
CDM,272118367,Hc Set Hemofiltration Prsm Flx,981.8,382.9,,,0
CDM,272118446,Hc Tube S Smp Preatch 16F 48In,17.865000000000002,6.965,,,0
CDM,272118447,Hc Tube S Smp Preatch 18F 48In,17.91,6.98,,,0
CDM,272118546,Hc Intro Endotrach Cde 15Fr 70Cm,33.02,12.88,,,0
CDM,272118595,Hc Kit Dressing 26X15X1.6Cm Thin Trac,301.7,117.66,,,0
CDM,272118601,Hc Kit Dressing 18X12.5X3.3Cm Wound Foam Drape,221.15,86.25,,,0
CDM,272118613,Hc Dressing Wound Biatain Alginate Ag 4Inx4In Strl,30.990000000000002,12.085,,,0
CDM,272118615,Hc Dressing Wound Seaweed 2Gm Pk Kaltostat,11.7,4.56,,,0
CDM,272118616,Hc Dressing Hdrfb Aqcl Ag Ext 8X12In,167.61,65.365,,,0
CDM,272118618,Hc Dressing Wound Hdrfb 4X5 Aqcl Extra,20.27,7.905,,,0
CDM,272118619,Hc Dressing Wound Seaweed 3X4.75In Kaltostat Strl,16.77,6.54,,,0
CDM,272118638,Hc Kit Dbrd Strl Disp,12.83,5.0,,,0
CDM,272118641,Hc Kit Incs Mgmt Un Dressing 45Ml,2309.08,900.54,,,0
CDM,27211867,Hc Dressing Rope Any,49.68,19.38,,,0
CDM,27211886,Sup Catheter Extravascular Tissue Ablation Any Modality (Insertable),8827.0,3442.53,,,0
CDM,27211889,Sup Insertable Device/ Not An Implant Noc,13880.15,5413.26,,,0
CDM,272118917,Hc Bag Breathing Anesthesia Late,7.45,2.91,,,0
CDM,272118926,Hc Bag Flatus W/24Fr Rectal Tube,6.39,2.49,,,0
CDM,272119091,Hc Blade Surgical Micro Sharp 15D 5.0Mm Grn,15.68,6.115,,,0
CDM,272119316,Hc Catheter Balln Dilatn 5.5F 75Cml 8Mm X 2Cm,607.65,236.98,,,0
CDM,272119446,Hc Catheter Drainage Centesis 5F 10Cml,37.31,14.55,,,0
CDM,272119604,Hc Catheter Rob-Nel Sterile 10Fr,7.345000000000001,2.865,,,0
CDM,272119635,Hc Catheter Trocar X-Ray Opaque 20Fr 16In,65.1,25.39,,,0
CDM,272119796,Hc Connector Inyin 6-In-1 Sterile,6.3149999999999995,2.46,,,0
CDM,272119802,Hc Connector Y Trac For Vac Thrpy Strl,9.475000000000001,3.695,,,0
CDM,272119807,Hc Connector Univrsl Safe-Lck Sngl Use,44.82,17.48,,,0
CDM,272119871,Hc Curette Rigid Curved W/Reg Tip 7Mm Strl,21.32,8.31,,,0
CDM,272119874,Hc Vacurette F Tip Round Dual Port 5Mm Strl,19.15,7.47,,,0
CDM,272119883,Hc Curette Vacuum Tip Flexible 5Mm Strl,22.36,8.72,,,0
CDM,272119892,Hc Cystotome Irrigating Formed 25G X5/8In,35.19,13.72,,,0
CDM,272119899,Hc Device Anchoring Swivel Statlocl Foley Fits 24F Plus,14.695,5.73,,,0
CDM,272119910,Hc Device Galactography Infusion 30G Cann Ster Disp,86.32,33.66,,,0
CDM,272119912,Hc Device Hemo Pressure Assisted,284.62,111.0,,,0
CDM,272119914,Hc Device Inter Abdominal Pres Montr Edward Life Sci,25.98,10.13,,,0
CDM,272119920,Hc Device Optichamber Valved Silicone 140Ml,27.84,10.86,,,0
CDM,272120006,Hc Dressing Ulcer Replicare 4In X 4In Strl,8.885000000000002,3.465,,,0
CDM,272120009,Hc Dressing Non-Adherent Island Any,7.4399999999999995,2.9050000000000002,,,0
CDM,272120014,Hc Dressing Tegaderm Trnsprnt Brdr Lg 4 X 4 3/4 Strl,6.475,2.525,,,0
CDM,272120018,Hc Dressing Transprnt Wound W/Absrb Pad 3.5In X 10In,9.32,3.63,,,0
CDM,272120030,Hc Dressing Wound Closure Laparoscopic 2 3/8In X 1 7/8In,15.625,6.09,,,0
CDM,272120033,Hc Dressing Wound Hydrofiber 2Cm X 45Cm Rope Strl,25.67,10.01,,,0
CDM,272120041,Hc Dressing Wound Mesalt Nacl 3/4In X 39In Strl,8.434999999999999,3.29,,,0
CDM,272120042,Hc Dressing Wound W/Nanocrystaline Ag 4X4In Actict Flx 3,38.349999999999994,14.96,,,0
CDM,27212009,Hc Dressing Non-Adherent Island Any,8.585,3.35,,,0
CDM,27212031,Hc Dressing Foam Sacral/Large Any,42.44,16.55,,,0
CDM,272120985,Hc Kit Anes Spinal 25Gx3.5In Penc,53.870000000000005,21.009999999999998,,,0
CDM,272120986,Hc Kit Anes Spinal 25Gx3.5In Penc Can W/Bupivn W/Dextrs,66.45,25.915,,,0
CDM,272120987,Hc Kit Autoplex System W/Verteplex Ndl 11G,3506.27,1367.45,,,0
CDM,272121011,Hc Kit Chemo Admin Standard,82.955,32.349999999999994,,,0
CDM,272121018,Hc Xtra Sequestration Kit,1674.73,653.14,,,0
CDM,272121029,Hc Kit Edms Lumbar 80Cm W/Tip,4449.67,1735.37,,,0
CDM,272121059,Hc Kit Intro Perc Sheath 8.5Fr W/Hemo Vlv Sd Prt,124.97999999999999,48.74,,,0
CDM,272121077,Hc Kit Needleless Bld Smplng 12Cc Rsrvr,168.39,65.67,,,0
CDM,272121084,Hc Quick Pressure,550.1,214.54,,,0
CDM,272121134,Hc Kit Venous Arterial Blood Pole Mt On Line 60In,248.4,96.88,,,0
CDM,272121282,Hc Needle Biopsy Aspiration Adj 18G Carfus,172.74,67.37,,,0
CDM,272121336,Hc Obturator Sheath 8Fr 105In,10.35,4.04,,,0
CDM,272121354,Hc Pack Custom Myelogram North F,54.34,21.19,,,0
CDM,272121364,Hc Pack Nasal Ant/Post 4.5Cm No Airway,194.58,75.89,,,0
CDM,272121422,Hc Pin Dispensing Mini Spike W/Valve,7.45,2.91,,,0
CDM,272121537,Hc Scissors Wire Cutg Angled 4.75In Strl Disp,23.49,9.16,,,0
CDM,272121598,Hc Set Epid/Spinal 27X4 11/16In Whtacre 18G Weis,53.56,20.89,,,0
CDM,272121626,Hc Set Y Disconnect For Ultra Set,27.634999999999998,10.78,,,0
CDM,272122238,Hc System Drain Ext Csf Wo Vent Cath,218.59,85.25,,,0
CDM,272122243,Hc System Infant Delivery Cpap Bubble Smns,333.27,129.98,,,0
CDM,272122315,Hc Transducer Disp Px600,75.61,29.490000000000002,,,0
CDM,272122332,Hc Tube Capillary Blood Gas 1.3Mmx2.1Mmx110Mm 150Ul,698.535,272.425,,,0
CDM,272122369,Hc Tube Laryngectomy Cufflss Sin,324.01,126.36,,,0
CDM,272122395,Hc Laser Flex Ett- 7.0,133.72,52.15,,,0
CDM,272122397,Hc Laser Flex Ett- 8.0Mm,133.27499999999998,51.98,,,0
CDM,272122414,Hc Tubing Art Press Mntr Pvc M-M Ll 6,14.695,5.73,,,0
CDM,272122419,Hc Tubing Cntrst 20In Injectn Hi Pres Fix Male Luer ?? ??? ??,23.645,9.219999999999999,,,0
CDM,272122442,Hc Valve Anti-Reflux Keith Nasogastric,23.48,9.155000000000001,,,0
CDM,272122604,Hc Gel Wound Dressing Antibacterial Silvrstat 1 Oz,48.54,18.93,,,0
CDM,272122685,Hc Set Bowl Pas Xtra X/125,379.53,148.02,,,0
CDM,272122686,Hc Set Bowl Pas Xtra X/175,379.53,148.02,,,0
CDM,272122687,Hc Set Bowl Pas Xtra X/225,368.30499999999995,143.64,,,0
CDM,272122688,Hc Reservior Xres B Bld Collect Reserv Only Bottom Outlet,367.84,143.46,,,0
CDM,272122690,Hc Reservior Xres B Gross Bottom Outlet,221.54000000000002,86.4,,,0
CDM,272122825,Hc Kit Catheter Pleural With 1000Ml Bottles Pleurx,3476.8599999999997,1355.975,,,0
CDM,272122990,Hc Tray Chest Tube Insertion Cust F/Amc,457.21000000000004,178.31,,,0
CDM,272122997,Hc Kit Dressing Wound Foam 10 X7.5 X 3.3Cm W/Drape,192.33,75.00999999999999,,,0
CDM,272123003,Hc Catheter Cardiac Cont Output Svo2/Edv 8F X 110Cm,2257.85,880.56,,,0
CDM,272123061,Hc Needle Perc Entry 18G 7Cm Thinwall Echotp ????? ?? ????,16.04,6.26,,,0
CDM,272123479,Hc Pad Hypo/Hyperthermia Adult/Or Table 25X64 Disp,47.66,18.59,,,0
CDM,27212349,Hc Blocker Endobronchial Any,1076.505,419.84000000000003,,,0
CDM,27212354,Hc Cap Sealing Grey Large 5-6Mm,22.36,8.72,,,0
CDM,27212363,Hc Cap Sealing Blue 3-4Mm,22.36,8.72,,,0
CDM,272123681,Hc Tube Flex 3Mm,343.46500000000003,133.95,,,0
CDM,272123682,Hc Tube Flex 3.5Mm,328.3,128.04,,,0
CDM,272123703,Hc Kit Central Line Drsng Ltx Free Medegen,21.895,8.54,,,0
CDM,272124540,Hc Dressing Antmc Slvr 10X25Cm Acticoat,153.285,59.78,,,0
CDM,272124557,Hc Dressing Adaptic 3X8In,29.835,11.64,,,0
CDM,27212471,Hc Applier Clip Any,257.65999999999997,100.49000000000001,,,0
CDM,272124803,Hc Device Transducer Prss Mon,268.765,104.82,,,0
CDM,272124930,Hc Set Pca Mcbr 92In 2.1Ml,12.525,4.885,,,0
CDM,272124945,Hc Adapter Vial Ndehp,6.985,2.7199999999999998,,,0
CDM,272124947,Hc Set Iv Pigbck Prim Micro 106In 60Gtt Grvty,17.865000000000002,6.965,,,0
CDM,272125002,Hc Set Iv Adm 0.2Um 20Ml Ndehp,23.425,9.135,,,0
CDM,27212551,Hc Dressing Cutimed Any,35.19,13.72,,,0
CDM,272125901,Hc 8F Oxygenator Bundle Only,2298.42,896.38,,,0
CDM,272125917,Hc Dressing Drawtex Trach 4X4In Hydro,34.16,13.32,,,0
CDM,27212613,Hc Kit Humidification W Vent Circuit Any,79.69,31.08,,,0
CDM,27212615,Hc Cannula Bicaval Avalon Cresent Any,11502.89,4486.13,,,0
CDM,272126158,Hc Oncontrol Coaxial Tray 10Cm 11Ga W 14Cm 13Ga Bx,1797.695,701.0999999999999,,,0
CDM,27212616,Hc Kit Vasc Access Perf Avalon Mc3 Any,653.6,254.9,,,0
CDM,272126199,Hc Probe Claritee Adaptaflex,4780.15,1864.26,,,0
CDM,27212623,Sup Cath Translumin Drug Coat,7226.37,2818.28,,,0
CDM,272127310,Hc Kit Intro Er Reboa Resus Balloon,791.05,308.51,,,0
CDM,272127311,Hc Balloon Occl Resus Er Reboa 7Fr,9454.83,3687.38,,,0
CDM,272127372,Hc Plug Bx Lung W Del Syst Biosentry,1579.72,616.09,,,0
CDM,272127468,Hc Ampule Nasal Antiseptic,12.735,4.965,,,0
CDM,272127508,Hc Mepilex Border Post-Op Ag 4X6,142.09,55.415,,,0
CDM,272127509,Hc Mepilex Border Post-Op Ag 4X8,130.41,50.86,,,0
CDM,272127510,Hc Mepilex Border Post-Op Ag 4X10,141.115,55.035,,,0
CDM,272127511,Hc Mepilex Border Post-Op Ag 4X12,160.48000000000002,62.59,,,0
CDM,272127539,Hc Adaptic Touch 5 X 6,19.97,7.785,,,0
CDM,272127566,Hc Perforator Ob Plastic Strl Sngl Use Amnihk,6.38,2.4850000000000003,,,0
CDM,272127687,Hc Catheter Balloon Retrieval 5Fr,581.825,226.91,,,0
CDM,272127751,Hc Baxter Continu Flo Minidrip,20.545,8.01,,,0
CDM,272127929,Hc Catheter Kit Ped Sft Catheter W Lub,20.29,7.91,,,0
CDM,272127995,Hc Chamber Humidifier Adult F/,14.695,5.73,,,0
CDM,272128114,Hc Dressing Adaptic Touch 3X2,6.52,2.54,,,0
CDM,272128115,Hc Dressing Al Maxorb 10/Bx 4X,14.9,5.81,,,0
CDM,272128121,Hc Dressing Drawtex 4X4In Hydr,89.53,34.92,,,0
CDM,272128122,Hc Dressing Drawtex 3/8 X 18In,36.22,14.13,,,0
CDM,272128126,Hc Dressing Iodoflex 1.5X2,30.95,12.07,,,0
CDM,272128132,Hc Dressing Wound Promogran 4.34Sq In Mtrx,37.325,14.555,,,0
CDM,272128174,Hc Wand Film Barrier 3Ml Cavilon,7.505,2.93,,,0
CDM,272128199,Hc Forcep Gastro Retrieval,1115.11,434.89,,,0
CDM,272128201,Hc Forcep Kelly Straight Dispo,28.77,11.22,,,0
CDM,272128206,Hc Forceps Mosquito Disp,16.04,6.26,,,0
CDM,272128371,Hc Hyperinflation Sys. W/ Mano,73.59,28.7,,,0
CDM,272128384,Hc Inflator Cuff W/ Manometer,1133.27,441.975,,,0
CDM,272128398,Hc Kit Anesthesia Adult,27.765,10.83,,,0
CDM,272128410,Hc Kit Debridement Dynj08831,29.73,11.59,,,0
CDM,272128415,Hc Kit Inflation,203.58,79.4,,,0
CDM,272128421,Hc Kit Micropuncture 4Fr,140.53,54.81,,,0
CDM,272128424,Hc Kit Pleurex Peritoneal Comb,774.285,301.97,,,0
CDM,272128426,Hc Kit Small Foam Wound Vac,197.825,77.155,,,0
CDM,272128428,Hc Kit Tongue And Groove,35.965,14.030000000000001,,,0
CDM,272128697,Hc Primary Iv Baxter Gravity,25.16,9.815,,,0
CDM,272128764,Hc Scissors Iris Sterile Disp,14.715,5.74,,,0
CDM,272128846,Hc Set Combined Epidural/ Spin,70.38,27.45,,,0
CDM,272129164,Hc Transducer Spectramed/Goul,102.255,39.879999999999995,,,0
CDM,272129182,Hc Tray Port Access 20X3/4,66.19,25.81,,,0
CDM,272129183,Hc Tray Quad Lumen,693.5550000000001,270.49,,,0
CDM,272129190,Hc Triple Lumen 16Cm Xray,491.52,191.69,,,0
CDM,272129208,Hc Tube Rusch Nasopharyn 30Fr,53.56,20.89,,,0
CDM,272129209,Hc Tube Rusch Nasopharyn 24Fr,54.6,21.295,,,0
CDM,272129210,Hc Tube Rusch Nasopharyn 26Fr,53.56,20.89,,,0
CDM,272129231,Hc Tubing Oral Rae 7.5 86205,34.16,13.32,,,0
CDM,27212924,Hc Valve Vent Exhalation Disp Any,87.98,34.31,,,0
CDM,272129278,Hc Wire Bentson Iq35F150B,52.27,20.39,,,0
CDM,272129332,Hc Tube Rusch Nasopharyn 32Fr,53.56,20.89,,,0
CDM,272129439,Hc Baxter Secondary Iv 2C746,7.48,2.92,,,0
CDM,272129453,Hc Dressing Bioclusive 5 X 7,12.83,5.0,,,0
CDM,272129515,Hc Gelfoam Surgifoam Size 12,9.370000000000001,3.65,,,0
CDM,272129553,Hc Valve Anti Reflux Salem Sump 8,22.975,8.96,,,0
CDM,272129559,Noncdm Charge Record Medical Supplies - Hc Zz Ubag Newborn - No Replacement,9.32,3.63,,,0
CDM,272129569,Hc Polymem Optifoam 6X6,31.05,12.11,,,0
CDM,272129572,Hc Spand Gel Sheets 4X4,12.83,5.0,,,0
CDM,272129607,Hc Tielle Silicone Bord 8X8,44.82,17.48,,,0
CDM,272129608,Hc Tielle Silicone Bord 5X5,22.36,8.72,,,0
CDM,272129609,Hc Tielle Liqualock 4X4?,8.49,3.31,,,0
CDM,272129610,Hc Tielle Liqualock 6X6?,25.56,9.97,,,0
CDM,272129611,Hc Tielle Liqualock 8.25X8.63,44.82,17.48,,,0
CDM,272129639,Hc Applicator Vaginal,20.04,7.8149999999999995,,,0
CDM,272129870,Hc Tray C Section Latex Free Dy,357.18,139.3,,,0
CDM,272130231,Hc Tray Vaginal Cds L And D,224.44,87.53,,,0
CDM,272130233,Hc Tray Standard Vag Delivery,99.36,38.75,,,0
CDM,272130456,Hc Kit Anesthesia Pediatric 100In,42.26,16.485,,,0
CDM,272130574,Hc Pack Cust Csect West Georgia,128.96,50.29,,,0
CDM,272130616,Hc Set Combined Epidural/ Spinal,72.45,28.26,,,0
CDM,272130747,Hc Catheter Suction 10F T61C,9.04,3.525,,,0
CDM,272130970,Hc Tubing Oral Rae 7 86204,34.16,13.32,,,0
CDM,272130971,Hc Tubing Oral Rae 5.5 86201,35.19,13.72,,,0
CDM,272131351,Hc Vpad 2 Patient Tracker,1702.26,663.88,,,0
CDM,272131353,Hc Forcep Serrated Cup Always On,2359.18,920.08,,,0
CDM,272131354,Hc Needle 21 Ga Always-On Top,2416.72,942.52,,,0
CDM,272131355,Hc Needle Nitinol 22Ga Spinflex,3302.63,1288.03,,,0
CDM,272131406,Hc Sys Pannus Retention Strl Adhes,335.07,130.675,,,0
CDM,272131504,Hc Catheter Nutri Oral Hub 8.0X40,71.42,27.85,,,0
CDM,272131585,Hc Biobag Larvae 50 2.5Cm X 4Cm,2020.27,787.905,,,0
CDM,272131586,Hc Biobag Larvae 100 4Cm X 5Cm,2071.35,807.83,,,0
CDM,272131587,Hc Biobag Larvae 200 5Cm X 6Cm,2122.625,827.8199999999999,,,0
CDM,272131588,Hc Biobag Larvae 300 6Cm X 12Cm,2224.84,867.69,,,0
CDM,272131589,Hc Biobag Larvae 400 10Cm X 10Cm,2327.2,907.61,,,0
CDM,272131890_272,Noncdm Charge Record Medical Supplies - Hc Zz Needle Stplx Ultra 20Ga 2In - Use 27222568,65.2,25.43,,,0
CDM,272131890_A9999_272,Noncdm Charge Record Medical Supplies - Hc Zz Needle Stplx Ultra 20Ga 2In - Use 27222568,65.2,25.43,,,0
CDM,272131892,Hc Needle Stplx Ultra 20Ga 6In,67.17,26.2,,,0
CDM,272131993,Hc Gel Am 1.5Oz Silvasorb Silver,79.18,30.88,,,0
CDM,272132295,Hc Cannula Cement 10G Ivas Verteport,276.14,107.69,,,0
CDM,272132447,Hc Applicator Single Use For Us Mist,251.61,98.13,,,0
CDM,272132851,Hc Dressing Hdrfb Aqcl Ag Ext 2X2In,21.74,8.48,,,0
CDM,272132852,Hc Dressing Hdrfb Aqcl Ag Ext 6X6In,88.655,34.575,,,0
CDM,272133870,Hc Handle Laryngoscope Disp Stubby 040-03-0000U,27.015,10.535,,,0
CDM,272133879,Hc Probe Optical Bronch Veran,2173.71,847.75,,,0
CDM,272133881,Hc Needle Spinflex 19Ga Bronch,2498.8,974.53,,,0
CDM,272133882,Hc Kit Spinperc Bronch,1636.44,638.21,,,0
CDM,272133883,Hc Forcep Grasping Bronchoscopy,995.72,388.33000000000004,,,0
CDM,272133884,Hc Forcep Smooth Bscp Cytology,115.09,44.89,,,0
CDM,272133999,Hc Dressing Island 4Inx11In Silverlon,162.08,63.21,,,0
CDM,272134240,Hc Dressing 6X8 Drawtex,76.695,29.91,,,0
CDM,272134594,Hc Dressing Foam Mepilex 8X8In,139.875,54.55,,,0
CDM,272134738,Hc Dressing Kerramax 4X4In Super Absorb,10.35,4.04,,,0
CDM,272134739,Hc Dressing Kerramax 8X9In Super Absorb,34.795,13.57,,,0
CDM,272135040,Hc Wand Barrier Film 2.7Ml Cavilon Adv,38.96,15.195,,,0
CDM,272135064,Hc Adapter Cath Tip Ll Urethera,13.87,5.41,,,0
CDM,272135078,Hc Dressing Wound Promogran 19.1Sq In Mtrx,93.81,36.585,,,0
CDM,272135088,Hc Pad Debride 4X4In/10X10Cm Debrisoft,49.365,19.255,,,0
CDM,272135089,Hc Wand Debride Debrisoft Lolly,49.375,19.255000000000003,,,0
CDM,272135090,Hc Pad Debride 5X8In/13X20Cm Debrisoft,57.7,22.5,,,0
CDM,272135258,Hc Device Harvesting Cell Autologous Recell System,30817.33,12018.76,,,0
CDM,272135947,Hc Catheter Rapid Infus Ex Arrow,53.614999999999995,20.909999999999997,,,0
CDM,27213613,Hc Template Bend Lcp 9 Hl 4.5 Mm,172.79000000000002,67.39,,,0
CDM,272136209,Hc Dressing Flex 7 Acticoat 6X6 In,130.125,50.75,,,0
CDM,272136210,Hc Dressing Flex 7 Acticoat 8X16 In,557.55,217.44,,,0
CDM,27213643,Hc Cannula Radiofrequency Any,146.97,57.32,,,0
CDM,272136634,Hc Tube Feed 12Fr L55 Enfit W Iris,892.325,348.01,,,0
CDM,27213735,Hc Nebulizer Mesh Any,224.6,87.59,,,0
CDM,272137869,Hc Bag Disp Thermax,76.965,30.015,,,0
CDM,272137870,Hc Set Auto Effluent,282.895,110.33,,,0
CDM,27213790,Hc Hndl/Blade Combo Laryngoscope Any,190.445,74.275,,,0
CDM,272138818,Hc Gel Wound Blastx Antimicrobial,101.33,39.52,,,0
CDM,27213934,Hc Brush Always On Tip Tracked Any,3562.47,1389.36,,,0
CDM,272139393,Hc Scope Bronch Spinvision,3312.1549999999997,1291.74,,,0
CDM,272139974,Hc Sheath Handpiece Any,46.89,18.29,,,0
CDM,27214024,Hc Dressing Polymem Ag Any,72.45,28.26,,,0
CDM,272142256,Hc Dressing Burn/Wound Plurogel,461.755,180.085,,,0
CDM,272143144,Hc Dressing Plurogel 400,3221.54,1256.4,,,0
CDM,27214615,Hc Marker Shdwfm Any,51.13,19.94,,,0
CDM,27214639,Hc Tube Naso 26Fr Thnwl Intrr Srr Xtrn Fnsh Arg,21.53,8.395,,,0
CDM,27215143,Hc Lid Suct Cannister Dsatp,15.629999999999999,6.095,,,0
CDM,27215470,Hc Handle Laryngoscope Disp Any,37.26,14.53,,,0
CDM,27215525,Hc Valve Peep Any,16.56,6.46,,,0
CDM,27215552,Hc Mask Bipap/Cpap Any,112.82,44.0,,,0
CDM,272156018,Hc Device Vac Pp Hemorr Iu Jada Disp,5543.41,2161.93,,,0
CDM,272156931,Hc Set Extention Rapid Line Infuser,83.84,32.7,,,0
CDM,27215774,Hc System Syringe Inflator Allian,149.235,58.205,,,0
CDM,27216848,Hc Kit Dressing Change Iv Port Any,72.45,28.26,,,0
CDM,27216934,Hc Dressing Duoderm Any,12.58,4.91,,,0
CDM,27217146,Hc Splint Nasal Sil Septal Airway Xl,151.73,59.17,,,0
CDM,27217421,Hc Sponge Gauze Vrsln 4X4In 4Ply Strl Per Tray,7.494999999999999,2.925,,,0
CDM,27217481,Hc Spray Wound Cleanser Derm/Foam Spray Any,19.39,7.5649999999999995,,,0
CDM,27217700,Hc Valve Lopez Entrl Inj Site Enfit Sterile,12.265,4.779999999999999,,,0
CDM,27217972,Hc Milk Donor Breast Per Bottle,68.31,26.64,,,0
CDM,27218358,Hc Kit Drain Pneumpricrd 8.5F,514.91,200.81,,,0
CDM,27218500,Hc Dressing Afm Alvn Ag 24X36In,358.11,139.66,,,0
CDM,27218737,Hc Kit Sheath Perc Full Bar,282.505,110.18,,,0
CDM,27219735,Hc Tube Endotrach Laser/Reinforced Any,442.71,172.655,,,0
CDM,27220140,Hc Follower Catheter Urethral Any,274.27,106.97,,,0
CDM,27220173,Hc Gauze Packing Up To 2 Inch Wide Any,15.765,6.15,,,0
CDM,27220673,Hc Pinnacle Sheath Ps/6/10,43.88,17.11,,,0
CDM,27220846,Hc Filter Bac Or Vir Or Hme Any,57.575,22.450000000000003,,,0
CDM,27221007,Hc Lma Any,49.455,19.29,,,0
CDM,27221025,Hc Tray Chest Tube Insertion Any,771.08,300.72,,,0
CDM,27221685,Hc Catheter Uret 4Fr 70Cm Olv Tip,36.22,14.13,,,0
CDM,27222106,Hc Set Introducer Coaxial M,111.88499999999999,43.635000000000005,,,0
CDM,27222568,Hc Needle/Cannula Nerve Block Us Any,64.63,25.205,,,0
CDM,27222953,Hc Nebulizer Any,21.855,8.525,,,0
CDM,27223033,Hc Gun Cement Bn Sz 2 Cds Kyp,1500.96,585.37,,,0
CDM,27223140,Hc Tray Drainage,951.265,370.99,,,0
CDM,27223309,Hc Cystoscope Disposable Any,660.95,257.77,,,0
CDM,27224527,Hc Needle Epdrl 18Ga 6In Prfx Tuohy,28.93,11.280000000000001,,,0
CDM,27224781,Hc Aspirator Mucous/Muconium Any,7.245,2.825,,,0
CDM,27224794,Hc Curved Guide 1.5,1840.125,717.6500000000001,,,0
CDM,27225277,Hc Set Dilator Amplantz Ren,890.2,347.18,,,0
CDM,27225690,Hc Needle 3.5In 27Ga Ext Shaftreinf Std Ndl,48.02,18.73,,,0
CDM,27225695,Hc Sheath 7Frx24Cm Flex,226.04,88.16,,,0
CDM,27226125,Hc Syringe Inj Medrad Injector W/ Tube,18.58,7.245,,,0
CDM,27226165,Hc Kit Snare Amplatz Goose Neck 6F 25Mmx120Cm,1317.6100000000001,513.87,,,0
CDM,27226216,Hc Dressing Foam Any,13.76,5.365,,,0
CDM,27226267,Hc Accustick Ii .038In J Tip Wire,399.615,155.85,,,0
CDM,27226425,Hc Dressing Hdrfb Aqcl Ag Ext 4X5In,39.16,15.274999999999999,,,0
CDM,27226427,Hc Dressing Hdrfb Aqcl Extra 6X6In,223.87,87.31,,,0
CDM,27226428,Hc Pouch Wound Eakin Fistula 839221,436.15,170.1,,,0
CDM,27226429,Hc Pouch Wound Eakin Fistula 9.7X6.3 Window,610.85,238.235,,,0
CDM,27226432,Hc Introducer Frova Intubati 70Cm,399.66499999999996,155.87,,,0
CDM,27226744,Hc Tube Suct Frzr 5Fr,449.91,175.46,,,0
CDM,27227233,Hc Introducer Frove Intubati C-Cae-8.0-35-Fii,426.42,166.3,,,0
CDM,27227234,Hc Kit Cricothyrotomy Emergency,2235.705,871.925,,,0
CDM,27227245,Hc Scalpel Blade Safety Any,6.43,2.505,,,0
CDM,27227831,Hc Laryngscpe Bld Any,23.8,9.28,,,0
CDM,27228559,Hc Needle Bx Chba Psy 20Ga 5Cm,66.19,25.81,,,0
CDM,27228889,Hc Dermabond Mini Topical Skin,50.82,19.82,,,0
CDM,27229046,Hc Tunneler Sheaths,212.18,82.75,,,0
CDM,27229048,Hc Tube Corflo Feed 109Cm 12Fr Non W,208.97,81.5,,,0
CDM,27229511,Hc Device Trq Fluor Pink,21.53,8.4,,,0
CDM,27229882,Hc Pouch Drainage Any,15.52,6.05,,,0
CDM,27230109,Hc Tray Bx Bone Marrow/Vertebral/Carticel/Soft Tiss Any,458.59000000000003,178.85000000000002,,,0
CDM,27230119,Hc Stylet Rdg Glidescope,153.01999999999998,59.68,,,0
CDM,27230143,Hc Collar Button Pacific,42.64,16.63,,,0
CDM,27230175,Hc Bag Drain Perivc 1000Cc,76.8,29.95,,,0
CDM,27230441,Hc Set Extension Iv/Inf Any,8.28,3.23,,,0
CDM,27230552,Hc Oxygenator Perf Any,7087.68,2764.2,,,0
CDM,27230695,Hc Catheter Ureth Coude Any,45.489999999999995,17.740000000000002,,,0
CDM,27230701,Hc Cath Ureth 2/W Council Any,59.875,23.35,,,0
CDM,27230705,Hc Kit Intro G-18 Mic Key Laparos,1066.05,415.76,,,0
CDM,27230706,Hc Dressing Mplx 4X5In 10X12.5Cm,73.43,28.64,,,0
CDM,27230707,Hc Dressing Mplx 8X20In 20X50Cm,103.4,40.33,,,0
CDM,27230708,Hc Dressing Mplx 6X8In 15X20Cm,124.91,48.715,,,0
CDM,27230783,Hc Ndl Arterial 18G X 2-3/4,10.66,4.16,,,0
CDM,27230814,Hc Needle Tip 1-Pas 3,1950.87,760.84,,,0
CDM,27231026,Hc System Retrival 180Cm 1.018Cm Provue Trevo,34561.34,13478.92,,,0
CDM,27231546,Hc Dressing Cnfrm 2 24X36In Trans,40.47,15.78,,,0
CDM,27232018,Hc Stylet 6054-52 Glbl Strght,210.0,81.9,,,0
CDM,27232159,Hc Electrode Bugbee Lf 5Fr,163.12,63.62,,,0
CDM,27232163,Hc Ndl Loc W Wire Any,145.99,56.94,,,0
CDM,27233359,Hc Pin Guide Pat Spc Cap,1052.18,410.35,,,0
CDM,27234415,Hc Dilator Vag Any,61.22,23.875,,,0
CDM,27234772,Hc Cuff Fgr Clearsite Any,1629.09,635.35,,,0
CDM,27235224,Hc Bronchscpe Or Ascope Any,1488.34,580.455,,,0
CDM,27235261,Hc Antifungal Powder/Spray/Ointment Any,25.88,10.09,,,0
CDM,27235536,Hc Device Torque Olcott Otd,34.16,13.32,,,0
CDM,27235577,Hc Kit Jjnstm 10.2Fr 16Fr,1160.96,452.77,,,0
CDM,27235578,Hc Kit Jjnstm 80Cm 16.5Fr,1552.19,605.35,,,0
CDM,27236949,Hc Needle Intro Conf 11Ga 6In Dia,711.04,277.31,,,0
CDM,27236950,Hc Syringe Inj Medrad 150Ml,42.64,16.63,,,0
CDM,27236979,Hc Evacuator M Connect Tub Ellik,800.57,312.22,,,0
CDM,27236992,Hc Device Skin Close Drmbnd Prineo,639.63,249.46,,,0
CDM,27237050,Hc Tube 3Cm 20Fr Sil Low Prof,437.08,170.46,,,0
CDM,27237072,Hc Sheet Gel Sil Adh Cica-Care 5X6In Semi-Occl,261.15,101.85,,,0
CDM,27237081,Hc Tray Spinal/Lp Puncture Any,83.84,32.7,,,0
CDM,27237161,Hc Catheter Closurefast 7F 100Cm 7Cm,4974.21,1939.94,,,0
CDM,27237162,Hc Set Introducer 21Gx2.75In 7F 7Cm,145.99,56.94,,,0
CDM,27237290,Hc Needle Intraosseous Pediatric Any,199.55,77.82499999999999,,,0
CDM,27237391,Hc Valve Chest Drain Hmlch,139.88,54.555,,,0
CDM,27237401,Hc Introducer Dv Adv Osteo,838.97,327.2,,,0
CDM,27237451,Hc Set Bx Needle 152Mm Ib Control,556.675,217.1,,,0
CDM,27237452,Hc Tray Proc Syst Oncontrol,236.7,92.31,,,0
CDM,27237453,Hc Set Bx Needle 102Mm Oncontrol,528.005,205.92000000000002,,,0
CDM,27237454,Hc Tray Bx Syst 102Mm Oncontrol,589.0799999999999,229.74,,,0
CDM,27237455,Hc Set Needle Bn Access Syst 152Mm Oncontrol,430.61,167.94,,,0
CDM,27237594,Hc Cath Cv 9.3Fr 45Cm Quattro,3913.34,1526.2,,,0
CDM,27237622,Hc Sealant Pleural Air Leak Progel,3955.925,1542.81,,,0
CDM,27237812,Hc Exchange Transfer Set,719.64,280.66,,,0
CDM,27237946,Hc Needle Slimiline Eus Hndl 25Ga,876.33,341.77,,,0
CDM,27237949,Hc Needle Slimiline Eus Hndl 19Ga,850.67,331.76,,,0
CDM,27238060,Hc Dressing Biopad Collagen 2X2,39.379999999999995,15.36,,,0
CDM,27238177,Hc Probe Ablation 15Cm 17Ga,8420.89,3284.1499999999996,,,0
CDM,27239711,Hc Kit Cup Shell Stem Navitracker,1380.6399999999999,538.45,,,0
CDM,27247334,Hc Ndl Coaxial 13X7.8,60.75,23.69,,,0
CDM,27247537,Hc Device 5-40Fr Drain Slfadh Vrt,26.255,10.24,,,0
CDM,27247820,Hc Tape Umb Cttn 30X1/8In Lgt,8.0,3.12,,,0
CDM,27248707,Hc Dressing Cnfrm 2 12X24In Transnadh Sheet Wound,21.42,8.35,,,0
CDM,27248846,Hc Reamer Asls4 145Mm F/ Nearcortex Qc,2349.55,916.32,,,0
CDM,27249041,Hc Separator Penumbra Flex 041 0.014 In X 175 Cm,14165.835,5524.68,,,0
CDM,27249042,Hc Separator Penumbra Flex 054 0.014 In X 175 Cm,14165.63,5524.6,,,0
CDM,27249044,Hc Pump Max Asp Acc F/ Canister,35531.45,13857.27,,,0
CDM,27249048,Hc Separator Penumbra Flex 043 0.012 In X 190 Cm,13753.08,5363.7,,,0
CDM,27249051,Hc Applicator 5G Surg Hmst Aristaah,1156.82,451.16,,,0
CDM,27249052,Hc Applicator Flextip Surg Hmstarist Ah,131.13,51.14,,,0
CDM,27249053,Hc Applicator Xl Flextip Surghmst Arist Ah,78.87,30.76,,,0
CDM,27249206,Hc Pad Ht Air Act 9X13In,29.89,11.66,,,0
CDM,27249464,Hc Forceps Rad Jaw 4 100Cm 2.0Mm Pulm Surg,199.34,77.74,,,0
CDM,27249737,Hc Fraize Diamond Any,111.26,43.39,,,0
CDM,27249927,Hc Extender Lead Bldg,1210.02,471.91,,,0
CDM,27250078,Hc Loop Cutting Rt Angle 24-015,373.12,145.52,,,0
CDM,27250162,Hc Retractor Thruport Sys M,1326.15,517.2,,,0
CDM,27250172,Hc Applicator 3G Surg Hmst Aristaah,864.38,337.11,,,0
CDM,27250173,Hc Agent Hemost 1G Flexitip Xlsurg Hmst Arista Ah,434.805,169.57,,,0
CDM,27251244,Hc Needle Centeze Cnts,80.5,31.395,,,0
CDM,27251245,Hc Dressing Aquacel 4X4In Foam,14.625,5.7,,,0
CDM,27251246,Hc Dressing Aquacel 5X5In Foam,22.369999999999997,8.725,,,0
CDM,27251247,Hc Dressing Aquacel 8X7In Sacral,16.855,6.575,,,0
CDM,27253708,Hc System Retrival 180Cm 3X20Cm Provue Trevo,33830.01,13193.7,,,0
CDM,27253973,Hc Plug Decann Trach Any,22.77,8.88,,,0
CDM,27254429,Hc Set Tub Vac Veratrac Duoveraflo,372.19,145.15,,,0
CDM,27254431,Hc Cassette Vac Veralink,276.21500000000003,107.72,,,0
CDM,27254436,Hc Line Filter Nasal 02 Adlt Lng,80.465,31.380000000000003,,,0
CDM,27254496,Hc Ndl Chiba 21Ga-20Cm,39.43,15.38,,,0
CDM,27254514,Hc Tube Gastric Lavage 36Fr,28.775,11.22,,,0
CDM,27255940,Hc Tubing Perf 72.5Inx3/32In,246.23,96.03,,,0
CDM,27257513,Hc Needle Bx 18Ga 25Cm Mag,76.695,29.91,,,0
CDM,27257526,Hc Cover Graft Afm Ag Ast 8 X 20In,331.51,129.29,,,0
CDM,27257702,Hc Dissector 39Cm Sonicision,10944.09,4268.2,,,0
CDM,27257977,Hc Diaphragm Ventilator Viasys Set Cap 3100A,185.365,72.28999999999999,,,0
CDM,27257980,Hc Set Ventilator Cap Dphrm Non Blu,34.16,13.32,,,0
CDM,27258101,Hc Kit Post Op Care Blom,1101.55,429.6,,,0
CDM,27258102,Hc Kit Insufflation Test,183.61,71.61,,,0
CDM,27258460,Hc Valvulotome Eze-Sit Clmi,2837.87,1106.77,,,0
CDM,27258964,Hc Needle Intro Conf 15Ga 4In Dia,521.485,203.38,,,0
CDM,27259104,Hc Tray Nosebleed Ent Disp,102.36,39.92,,,0
CDM,27260298,Hc Set Bx 15Cm 16Ga Geremia Bncoax Tpr Intro,769.73,300.19,,,0
CDM,27260450,Hc Holder/Fastener Et Tube Any,44.43,17.33,,,0
CDM,27260531,"""Hc Tunneler 5 Pack 13""""""",195.1,76.09,,,0
CDM,27260788,Hc Device Inflation Encore,185.315,72.27000000000001,,,0
CDM,27261026,Hc Cath Balloon Talon 4Mmx2,820.03,319.81,,,0
CDM,27261440,Hc Tube Feeding Mic Or Jejunal Any,746.4449999999999,291.11,,,0
CDM,27261856,Hc Curette 3Mm 23.97Cm Ut Ppt,22.36,8.72,,,0
CDM,27261976,Hc Needle Epid 20Ga 3.5In Tuo Asp Plast Hub,26.805,10.45,,,0
CDM,27262890,Hc Dressing 4X8In Silver Acticoat,59.05,23.03,,,0
CDM,27263132,Hc Introducer Enotrach Boug Ang Tip,526.715,205.42000000000002,,,0
CDM,27264864,Hc Set Spnl 6In 22Ga Chba 2 Ndl,44.82,17.48,,,0
CDM,27266536,Hc Device Closure Angioseal Sts 8Fr,875.33,341.38,,,0
CDM,27266916,Hc Marker Rad India Ink Spot Syr,121.51,47.39,,,0
CDM,27267229,Hc Obturator Daig 406310 5F,24.53,9.57,,,0
CDM,27269238_272,Noncdm Charge Record Medical Supplies - Hc Zz Needle Spnl 3.5In 22Ga Sb - Use 27201583,155.34,60.58,,,0
CDM,27269238_A9999_272,Noncdm Charge Record Medical Supplies - Hc Zz Needle Spnl 3.5In 22Ga Sb - Use 27201583,155.25,60.55,,,0
CDM,27270071,Hc Probe Irr 150Cm 1.5Mm Fiapc/Filter,983.97,383.75,,,0
CDM,27270802,Hc Tubing Disp W Filter F,85.9,33.5,,,0
CDM,27272012,Hc Tray Vasectomy Disp,256.63,100.09,,,0
CDM,27272923,Hc Kit Syr 2 Syr 2 Spk Dual Loprs Tube T Connect,58.68,22.89,,,0
CDM,27273239,Hc Set Introducer Mpis-405,112.82,44.0,,,0
CDM,27273323,Hc Cath Balloon Talon 4Mmx2,1389.07,541.74,,,0
CDM,27274420,Hc Gel Medihoney .5Oz Twistoff,22.564999999999998,8.8,,,0
CDM,27274614,Hc Dressing Afm Alvn 24X36In,33.03,12.885000000000002,,,0
CDM,27275115,Hc Livewire Duodec Spr Lrg,5448.55,2124.93,,,0
CDM,27275219,Hc Needle Intro Conf 13Ga 6In Side,521.33,203.32,,,0
CDM,27275235,Hc Line Etco2 Disp Any,65.44,25.52,,,0
CDM,27276122,Hc Kit Dressing Change Cvl Any,47.325,18.46,,,0
CDM,27276798,Hc Set Extension Feeding Enteral Any,36.33,14.17,,,0
CDM,27276803,Hc Ndl Temno 20X6 Biopsy,82.955,32.349999999999994,,,0
CDM,27276806,Hc Probe 10Ga Strtc Tube Encor,1046.9,408.29,,,0
CDM,27276807,Hc Probe Stero Us 7Ga,1067.08,416.16,,,0
CDM,27277618,Hc Tray Catheter Central Venous Any,915.145,356.90999999999997,,,0
CDM,27278253,Hc Ensnare 9-15,1634.26,637.36,,,0
CDM,27278254,Hc Ensnare 12-20,1586.24,618.63,,,0
CDM,27278255,Hc Ensnare 18-30,1591.62,620.73,,,0
CDM,27278402,Hc Sealant Coseal Surgical,3933.72,1534.15,,,0
CDM,27278467,Hc Reservoir Brat,192.92,75.24,,,0
CDM,27278473,Hc Reservoir Crdtm Filter,368.87,143.86,,,0
CDM,27279064,Hc Tubing Press M To M Connect,6.42,2.5,,,0
CDM,27279166,Hc Set Crdplg 4 To 1 Lf,261.23,101.88,,,0
CDM,27279171,Hc Pledget Teflon Soft Lg L,52.27,20.39,,,0
CDM,27279421,Hc Sheath Peel Away Cook 24,186.71,72.82,,,0
CDM,27279422,Hc Sheath Peel Away Cook 26,186.71,72.82,,,0
CDM,27279910,Hc Micropuncture Stiff 4Fr,115.92,45.21,,,0
CDM,27279914,Hc Mixer Kyphon Lf A07A,653.5,254.86,,,0
CDM,27280744,Hc Valve Vacuum Relief For Vent Suction Lines,137.55,53.64,,,0
CDM,27280793,Hc Sensor Bis Quatro Lf Adu,98.43,38.39,,,0
CDM,27281131,Hc Dressing Profore Lite Multlayr,47.61,18.57,,,0
CDM,27281699,Hc Guidewire Any,71.275,27.799999999999997,,,0
CDM,27282152,Hc Set Haskal Transjugular,2644.84,1031.49,,,0
CDM,27282194,Hc Tubing Perf 1/4Inx1/16In 72In Strl,196.13,76.49,,,0
CDM,27282196,Hc Tubing Sterile Perfusion,195.23000000000002,76.14,,,0
CDM,27282458,Hc Tubing Injection Line Polyurethane Fixed Male Adaptor W/ Sherlock Connector 48In 1200Psi,27.53,10.74,,,0
CDM,27282460,Hc Syringe Adenosine Yellow 10Cc,10.35,4.04,,,0
CDM,27282546,Hc Introducer Sheath 6Fr 4Fr 20Cm Gwire Troc,360.28,140.51,,,0
CDM,27282836,Hc Introducer Steer Agilis,4732.23,1845.57,,,0
CDM,27283098,Hc Pack Access Vns Therapy,2690.69,1049.37,,,0
CDM,27283434,Hc Expandable Lemaitre Valvulotome 1.8Mmx110Cm,6864.33,2677.09,,,0
CDM,27283773,Hc Tunneler Sheath St Orang,212.18,82.75,,,0
CDM,27283788,Hc Valve Drain 30Mm Collect Chst,163.12,63.62,,,0
CDM,27283903,Hc Biosensor Sys Vasonova,557.81,217.55,,,0
CDM,27283938,Hc Pump Pain Any,1257.7350000000001,490.52,,,0
CDM,27283955,Hc Retractor Alexis Lg 9Cm 14Cm,293.78,114.57499999999999,,,0
CDM,27284064,Hc Set Contiplex Nerve Block 2In,108.47,42.305,,,0
CDM,27284065,Hc Set Contiplex Nerve Block 4In,134.445,52.43,,,0
CDM,27284066,Hc Set Contiplex Nerve Block 6In,149.14499999999998,58.17,,,0
CDM,27284156,Hc Pack Kypho First Fractur,13636.95,5318.41,,,0
CDM,27284682,Hc Needle Endo 0-8Cm Us Ball Tip,1195.01,466.05,,,0
CDM,27284686,Hc Tube Jjnstm 60Cm 12Fr .035In,248.4,96.88,,,0
CDM,27284753,Hc Needle 2.75In 18Ga 1 Part Wing,12.83,5.0,,,0
CDM,27284755,Hc Ndl Transeptal Brk 98Cm,1135.4,442.81,,,0
CDM,27285073,Hc Kit Drain 14Fr 9In Cvty Sidearm Spring,505.29,197.06,,,0
CDM,27285360,Hc Device Embolic Protect 5,7129.7,2780.58,,,0
CDM,27285461,Hc Curette 6.5Mm Kph Lt Wedge Tip Surg Strl Disp,871.99,340.08,,,0
CDM,27286414,Hc Kit Neurostim Intstm Introducer,1430.68,557.97,,,0
CDM,27286759,Hc System Inj 96In Spct Mr 2 Syr,68.21,26.6,,,0
CDM,27287108,Hc Ndl Bio Temno Adj Throw,162.29000000000002,63.295,,,0
CDM,27287200,Hc Set Del Fluid Macro Nv W,14.9,5.81,,,0
CDM,27287341,Hc Bag Centrif Wst Brat Well,125.75,49.04,,,0
CDM,27287367,Hc Introducer Ck W/Ogw 6Fr,118.3,46.14,,,0
CDM,27287519,Hc Valve Suct Flx Endoscp Intbt Disp,74.62,29.1,,,0
CDM,27287725,Hc Kit Repair Catheter Groshong Cv 8F Single Lumen,564.0250000000001,219.97,,,0
CDM,27287970,Hc Needle Bx 15Mm 19Ga Wang Trn,220.66,86.06,,,0
CDM,27288080,Hc Valve Hemostasis Guardian Ii,189.72,73.99,,,0
CDM,27288439,Hc Kit Micro Introducer,225.99,88.13499999999999,,,0
CDM,27288788,Hc Dressing Cnfrm 2 36X36In Trans,30.95,12.07,,,0
CDM,27288800,Hc Pump Blood Revolution Centrifugal Disposable,638.6,249.05,,,0
CDM,27289702,Hc Tip Suct Frzr 12Fr Control,8.49,3.31,,,0
CDM,27289703,Hc Tip Suct Frzr 10Fr Control,8.49,3.31,,,0
CDM,27289769,Noncdm Charge Record Medical Supplies - Hc Zz Guidewire Nitrex Intermediate 5Cm Str Tip 018Inx60Cm-,281.52,109.79,,,0
CDM,27289968,Hc Sheath Brite Tip 10Fr 11,62.93,24.54,,,0
CDM,27289971,Hc Sheath Brite Tip 11Fr 11,61.06,23.81,,,0
CDM,27290461,Hc Needle Centeze Cnts 5Fr 15Cm,84.765,33.06,,,0
CDM,27291294,Hc Set Conitplex Nerve Block,93.36,36.41,,,0
CDM,27291295,Hc Dressing Cls Pad Adh Nonwvn,19.15,7.47,,,0
CDM,27291358,Hc Extractor Stone 115Cm 3.2Fr,832.55,324.69,,,0
CDM,27291595,Hc Clamp Multi Pin 4Pos Med,3140.6,1224.83,,,0
CDM,27292065,Hc Dressing Neg Press Open Abd Any,1109.2849999999999,432.62,,,0
CDM,27292208,Hc Device Anastomic Pasprt Prox,3526.45,1375.32,,,0
CDM,27292610,Hc Needle 18Ga 1.0X3.0Mm W Gld Mk,182.26,71.08,,,0
CDM,27292665,Hc Extractor Stone 115Cm 2.8Fr,832.55,324.69,,,0
CDM,27293087,Hc Introducer Sheath 8Fr 2.5Cm 10Cm Mini Gwire,45.33,17.68,,,0
CDM,27293289,Hc Wand Spine Cavity 8Ga,11370.51,4434.5,,,0
CDM,27293291,Hc Wand Spine Cavity 11Ga,11370.51,4434.5,,,0
CDM,27293330,Hc Kit Spnl Nerve Blk Pbn Support Cust,53.82,20.99,,,0
CDM,27293390,Hc Adapter Reservoir Outlet Sampling,147.38,57.48,,,0
CDM,27293919,Hc Needle 1.5In Drsphr,61.945,24.16,,,0
CDM,27294124,Hc Heater/Cooler Perf Biotherm Ss Heat Exchgr 2,1347.62,525.5699999999999,,,0
CDM,27294285,Hc Laryngscpe Bld Video Or Glidescpe Any,67.38,26.28,,,0
CDM,27294468,Hc Punch Skin Bx Any,34.105,13.3,,,0
CDM,27294659,Hc Platform Gelpoint Mini Acc,2428.42,947.08,,,0
CDM,27294822,Hc Manipulator Laparos Injection,87.46,34.11,,,0
CDM,27295215,Hc Needle Intraosseous Adult Any,609.36,237.65,,,0
CDM,27295424,Hc Set 21Ga Infus Ndl Ebus,535.2,208.73,,,0
CDM,27295433,Hc Cover Graft Afm Ag Ast 6X6In,121.305,47.31,,,0
CDM,27295437,Hc Osteotome Contour Curved Enhanced 11.6Cm,7107.34,2771.86,,,0
CDM,27295530,Hc Tube Naso 105Mm 18Fr Bvl Tip,7.41,2.89,,,0
CDM,27295531,Hc Tube Naso 115Mm 20Fr Bvl Tip,7.345000000000001,2.865,,,0
CDM,27296291,Hc Pack Special Procedure Cobb,627.8299999999999,244.85,,,0
CDM,27296298,Hc Sheath Gore Dryseal Valve Attached 2.5Ml Valve Inflation Syringe 24F 8.2Mm X 9.1Mm X 28Cm,1541.53,601.2,,,0
CDM,27296855,Hc Probe Mri 10Gu Encor Blnt Tip,450.95,175.87,,,0
CDM,27296958,Hc Tubing Vac Rns Inspire,140.76,54.9,,,0
CDM,27296960,Hc Syringe Dual Lng Spike Loprs,58.68,22.89,,,0
CDM,27297052,Hc Needle Centeze Cnts 5Fr 7Cm,80.43,31.365000000000002,,,0
CDM,27297197,Hc Pen Adh Skin Closure Drmbnd Adv,90.86500000000001,35.435,,,0
CDM,27297990,Hc Brush Cytology Bronchoscope Any,80.575,31.42,,,0
CDM,27298083,Hc Dilator Ball 3Mm 75Mm 8Mm Cre Pulm,1172.66,457.34,,,0
CDM,27298146,Hc Needle Bone Biopsy And Vertebral Body Clear-View Bevel Tip 13Gax11.6Cm,284.62,111.0,,,0
CDM,27298147,Hc Needle Bone Biopsy And Vertebral Body Clear-View Diamond Point 13Gax11.6Cm,284.62,111.0,,,0
CDM,27298366,Hc Syringe Mdln Ylw Plunger 10Ml Plycrb Sword Handle,9.475000000000001,3.695,,,0
CDM,27298508,Hc Catheter Excel Xt-27 1 Tip Straight 150Cmx6Cm,4137.105,1613.47,,,0
CDM,27298520,Hc System Inzone 2Mm Detach,472.68,184.35,,,0
CDM,27298550,Hc Cath Micro 150Cm 18Cm Fle Pshp 1Tip Marker,4274.86,1667.2,,,0
CDM,27299186,Hc Introducer Set Mri Ultracor,344.34,134.29,,,0
CDM,27299448,Hc Cap Pleurx Valve,26.805,10.45,,,0
CDM,27299544,Hc Set Tube Irr Spyglass,77.83,30.35,,,0
CDM,27299549,Hc Dressing Ca Alg Medihoney 2X2,178.02,69.43,,,0
CDM,27299550,Hc Dressing Ca Alg Medihoney 4X5,200.97,78.38,,,0
CDM,27299551,Hc Gel Medihoney .5Fl Oz,23.39,9.120000000000001,,,0
CDM,27299552,Hc Gel Medihoney 1.5Fl Oz,60.334999999999994,23.53,,,0
CDM,27299563,Hc Sealer Vsl Endo Wrst 1Da Vinci,3130.98,1221.08,,,0
CDM,27299845,Hc Catheter Drain W Ck Spctrmanbtc Impreg Troc 15Cm,1206.81,470.66,,,0
CDM,27299869,Hc Introducer Peel Away 9F 038Inx30Cm,977.56,381.25,,,0
CDM,27400019,Hc Brace Or Stirrup Ankle Any,104.48500000000001,40.75,,,0
CDM,27400026,Hc Brace Knee Any,150.99,58.885000000000005,,,0
CDM,27400037,Hc Boot Aircast Any,337.255,131.53,,,0
CDM,27400041,Hc Collar Aspen Philly,1371.17,534.755,,,0
CDM,27400047,Hc Collar Cervical Foam Any,28.98,11.3,,,0
CDM,27400061,Hc Collar Cervical Rigid Any,93.15,36.33,,,0
CDM,27400064,Hc Dbs Rhs Wrst Ulnar Gtr Thumb Any,1561.14,608.845,,,0
CDM,27400076,Hc Immobilizer Knee Any,135.52499999999998,52.855,,,0
CDM,27400087,Hc Splint Whf Orthotic Prefab Any Incl Resting,721.5,281.385,,,0
CDM,27400091,Hc Immobilizer Shoulder Any,69.555,27.130000000000003,,,0
CDM,27400095,Hc Splint Or Strap Clavicle Any,71.36500000000001,27.83,,,0
CDM,27400123,Hc Splint Wrist Or Arm Any Includes Cockup,94.50999999999999,36.86,,,0
CDM,27400139,Hc Supplies Prosth/Ortho Misc,3151.66,1229.15,,,0
CDM,27400140,Hc Support Back Criss Cross Univ,154.425,60.230000000000004,,,0
CDM,27400174,Hc Cervical Collar Semi Rigid 2 Piece Ext Prefab Ots L0174,979.9000000000001,382.15999999999997,,,0
CDM,27400190,Hc Cervical Collar Support Adj Cervical Bars L0190,2315.4,903.005,,,0
CDM,27400454,Hc Tlso Flex Trunk Sj T9 Prefab Custom L0454,1343.275,523.8800000000001,,,0
CDM,27400456,Hc Tlso Flex Trunk Sj Ss Prefab Custom L0456,3414.145,1331.5149999999999,,,0
CDM,27400464,Hc Tlso 4Mod Sacro Scap Prefab L0464,5391.35,2102.625,,,0
CDM,27400486,Hc Tlso Rigid 2 Piece Custom Fab L0486,4523.26,1764.07,,,0
CDM,27400498,Hc Hvad Waist Pack Replace Und Warranty,2239.74,873.5,,,0
CDM,27400627,Hc Lso Rigid Ant Post Panels Prefab Custom L0627 Any,1178.04,459.44,,,0
CDM,27400637,Hc Lso Sacral Ant Post Panels Prefab Custom L0637,3605.87,1406.29,,,0
CDM,27401196,Hc Oths Cervical Minerva L0200,1959.31,764.13,,,0
CDM,27401208,Hc Oths Thor Lumbosac Ant Frame L0472,1698.335,662.3499999999999,,,0
CDM,27401686,Hc Hip Ortho Post Op Hip Abduction L1686,3241.725,1264.27,,,0
CDM,27401815,Hc Knee Orthosis Elas Or Elas Type Material W Condylar Pads Prefab Includes Fitting And Adj,22.77,8.88,,,0
CDM,27401832,Hc Knee Ortho Adj Pos Rigid Prefab Custom L1832,2600.025,1014.01,,,0
CDM,27401930,Hc Afo Plastic Prefab L1930,805.9549999999999,314.32000000000005,,,0
CDM,27401932,Hc Afo Rigid Ant Tib Prefab Tcf Or Equal Material L1932,3078.71,1200.7,,,0
CDM,27402187,Hc Immobilizer Shoulder W Abd Any,257.765,100.53,,,0
CDM,274025631,Hc Hm2 Replace Und Warranty Cable Automobile Dc Power,1876.25,731.74,,,0
CDM,27403260,Hc Amb Surgical Boot Ea L3260,126.27,49.25,,,0
CDM,27403807,Hc Whfo W/O Joints Prefab Custom L3807,894.345,348.79499999999996,,,0
CDM,27403908,Hc Who Cock-Up Non Molded Prefab Ots L3908,209.175,81.58000000000001,,,0
CDM,27404360,Hc Pneumatic Walking Boot Prefab Custom L4360,1056.94,412.20500000000004,,,0
CDM,27404853,Hc Travel Bag Vad Replacement Any,965.45,376.525,,,0
CDM,27405450,Hc Postop App Non Wgt Bear Dressing L5450,1465.6100000000001,571.59,,,0
CDM,27405668,Hc Below Knee Molded Distal Cushion L5668,409.34,159.64,,,0
CDM,274080174_L0174_270,Noncdm Charge Record Medical Supplies - Hc Zz Collar L0174 Aspen 2 Piece Hanger - Use 27400174,1302.03,507.79,,,0
CDM,274080174_L0174_274,Noncdm Charge Record Medical Supplies - Hc Zz Collar L0174 Aspen 2 Piece Hanger - Use 27400174,980.14,382.25,,,0
CDM,274080627,Hc Lso L067 Corsett Hanger,1177.935,459.395,,,0
CDM,274080637_L0637_270,Noncdm Charge Record Medical Supplies - Hc Zz Lso L0637 Hanger - Use 27400637,3498.3,1364.34,,,0
CDM,274080637_L0637_274,Noncdm Charge Record Medical Supplies - Hc Zz Lso L0637 Hanger - Use 27400637,3820.7,1490.07,,,0
CDM,274083260_L3260_270,Noncdm Charge Record Medical Supplies - Hc Zz Boot L3260 Amb Surg Hanger - Use 27403260,126.27,49.25,,,0
CDM,274083260_L3260_274,Noncdm Charge Record Medical Supplies - Hc Zz Boot L3260 Amb Surg Hanger - Use 27403260,126.27,49.25,,,0
CDM,274083980,Hc Brace L3980 Sarimento Humeral Hanger,1078.6750000000002,420.68,,,0
CDM,27408509,Hc Tracheo Esoph Voice Prosthesis Inserted By Lic Hc Provider Any Type,657.22,256.32,,,0
CDM,274115169,Hc Immobilizer Sling Givmohr Med,287.78,112.22999999999999,,,0
CDM,27412484,Hc Syst Controller Vad Replacement Any,27753.52,10823.87,,,0
CDM,274124845_Q0506_270,Noncdm Charge Record Medical Supplies - Hc Zz Hm2 11V Backup Battery Replacement - Use 27424850,2528.5,986.12,,,0
CDM,274124845_Q0506_274,Noncdm Charge Record Medical Supplies - Hc Zz Hm2 11V Backup Battery Replacement - Use 27424850,2528.5,986.12,,,0
CDM,274124850_Q0506_270,Noncdm Charge Record Medical Supplies - Hc Zz Hm2 Battery 14V Li-Lon Ea - Use 27424850,4244.79,1655.47,,,0
CDM,274124850_Q0506_274,Noncdm Charge Record Medical Supplies - Hc Zz Hm2 Battery 14V Li-Lon Ea - Use 27424850,4244.79,1655.47,,,0
CDM,274124851_Q0497_270,Noncdm Charge Record Medical Supplies - Hc Zz Hm2 Battery Clip 14V Li-Ion Ea Replacement - Use 27424,2972.86,1159.42,,,0
CDM,274124851_Q0497_274,Noncdm Charge Record Medical Supplies - Hc Zz Hm2 Battery Clip 14V Li-Ion Ea Replacement - Use 27424,2972.82,1159.4,,,0
CDM,274124853_Q0508_270,Noncdm Charge Record Medical Supplies - Hc Zz Hm2 Travel Bag Replacement - Use 27404853,967.72,377.41,,,0
CDM,274124853_Q0508_274,Noncdm Charge Record Medical Supplies - Hc Zz Hm2 Travel Bag Replacement - Use 27404853,967.72,377.41,,,0
CDM,274124856_Q0499_270,Noncdm Charge Record Medical Supplies - Hc Zz Hm2 Consolidated Bag Left 14V Li-Lon - Use 27424856,1734.66,676.52,,,0
CDM,274124856_Q0499_274,Noncdm Charge Record Medical Supplies - Hc Zz Hm2 Consolidated Bag Left 14V Li-Lon - Use 27424856,1734.66,676.52,,,0
CDM,27412499,Hc Driveline Dressing Tray Lvad Weekly Any,227.7,88.8,,,0
CDM,27412500,Hc Driveline Dressing Tray Lvad Daily Any,175.95,68.62,,,0
CDM,274125001,Hc Lvad Dressing Shield Syst Med 3 3/4 X 5 7/16 Ster,12.83,5.0,,,0
CDM,274125004,Hc Lvad Showerguard 12X10 5 Pack,50.28,19.61,,,0
CDM,27412503,Hc Lvad Kit Foley Anchor Cath Secure Any,48.64,18.97,,,0
CDM,27412562,Hc Power Module Backup Battery Vad Replacement Any,504.25,196.66,,,0
CDM,274125628,Hc Hm2 Pt Cable Power Module 14V Replacement,6308.53,2460.33,,,0
CDM,27412563,Hc Battery Charger Vad Any,36335.645000000004,14170.900000000001,,,0
CDM,274125635,Hc Hm2 Kit Pt Support W/Sys Control,155852.27,60782.39,,,0
CDM,274125636_Q0495_270,Noncdm Charge Record Medical Supplies - Hc Zz Hm2 Battery Charger - Use 27412563,36168.07,14105.55,,,0
CDM,274125636_Q0495_274,Noncdm Charge Record Medical Supplies - Hc Zz Hm2 Battery Charger - Use 27412563,36168.07,14105.55,,,0
CDM,27412584,Hc Shower Cover Vad Replacement Any,1357.905,529.5799999999999,,,0
CDM,274125842_Q0501_270,Noncdm Charge Record Medical Supplies - Hc Zz Hm2 Shower Bag Ea Replacement - Use 27412584,1296.86,505.78,,,0
CDM,274125842_Q0501_274,Noncdm Charge Record Medical Supplies - Hc Zz Hm2 Shower Bag Ea Replacement - Use 27412584,1296.86,505.78,,,0
CDM,27413154,Hc Mobile Power Unit Module Replacement Any,35924.44,14010.53,,,0
CDM,274131545,Hc Hm Mobile Power Unit 107754,35924.645000000004,14010.61,,,0
CDM,274131770,Hc Hvad Controller Ac Adaptor Power,5156.47,2011.02,,,0
CDM,274131771,Hc Hvad Controller Dc Adaptor,10096.53,3937.65,,,0
CDM,274131946,Hc Hvad Kit Controller Ac Adapt Power,5048.83,1969.04,,,0
CDM,274133821,Hc Hvad Cable Modular Replacement,23115.43,9015.02,,,0
CDM,27413877,Hc Holster Vad Replacement Any,2201.29,858.5050000000001,,,0
CDM,27415168,Hc Upper Extremity Fx Orthos Humeral Prefab L3980,334.72,130.54,,,0
CDM,27418515,Hc Device Gel Cap Trach,22.77,8.88,,,0
CDM,27424850,Hc Battery Lith-Ion Vad Replacement Any,4201.355,1638.53,,,0
CDM,27424851,Hc Battery Clip Vad Replacement Any,2972.865,1159.415,,,0
CDM,27424856,Hc Belt/Bag Vad Replacement Any,1734.71,676.54,,,0
CDM,27425628,Hc Pt Cable Power Module Replacement Any,6308.53,2460.33,,,0
CDM,27425631,Hc Power Adapter Automobile Vad Replacement Any,1876.25,731.74,,,0
CDM,27477064,Hc Collar Cerv Semi Rigid Thermoplastic Foam 2-Piece Prefab L0172,327.47,127.71,,,0
CDM,27500082,Sup Pacemaker Single Chamber Rate Responsive Implantable,45483.08,17738.4,,,0
CDM,27500109,Sup Lead Cardioverter-Defib Not Endocardial Single Or Dual Coil,4833.45,1885.05,,,0
CDM,27500112,Sup Lead Left Ventricular Coronary Venous System,6730.6,2624.93,,,0
CDM,27500120,Sup Pacemaker Leadless,63911.25,24925.39,,,0
CDM,27600171,Sup Anterior Chamber Intraocular Lens,1753.14,683.72,,,0
CDM,27600172,Sup Posterior Chamber Intraocular Lens,2505.55,977.16,,,0
CDM,27600173,Sup Astigmatism Correcting Function Of Intraocular Lens,515.16,200.91,,,0
CDM,27600174,Sup Presbyopia Correcting Function Of Intraocular Lens,1004.73,391.84,,,0
CDM,27800020,Hc Skin Subst Cadaver Nos,12.94,5.05,,,0
CDM,27800021,Hc Supply Implant Transfer Rule,28197.0,10996.83,,,0
CDM,27800033,Hc Dressing Theraskin Wound Mtrx Per Sq Cm,397.65,155.08,,,0
CDM,27800037,Sup Anchor/Screw For Bone-To-Bone Or Soft Tissue-To-Bone (Implanted),2940.37,1146.74,,,0
CDM,27800038,Hc Dressing Oasis Wound Mtrx Per Sq Cm,128.965,50.295,,,0
CDM,27800042,Hc Oasis Burn Matrix Per Sq Cm,96.33,37.57,,,0
CDM,27800043,Hc Kerecis Omega3 Per Sq Cm,156.695,61.11,,,0
CDM,27800046,Sup Catheter Brachytherapy Seed Administration,4229.01,1649.31,,,0
CDM,27800052,Sup Catheter Hemodialysis Or Peritoneal Long-Term,711.56,277.51,,,0
CDM,27800058,Hc Seprafilm Bioresrb Any,1964.12,766.01,,,0
CDM,27800060,Sup Closure Device Vascular Implantable Or Insertable,17497.66,6824.09,,,0
CDM,27800061,Sup Connective Tissue Human Includes Fascia Lata,7585.36,2958.29,,,0
CDM,27800062,Sup Connective Tissue Non-Human Includes Synthetic,10132.62,3951.72,,,0
CDM,27800066,Sup Generator Neurostimulator Implantable Non-Rechargeable,110559.64,43118.26,,,0
CDM,27800067,Sup Graft Vascular,45750.18,17842.57,,,0
CDM,27800069,Sup Repair Device Urinary Incontinence W Sling Graft,28816.08,11238.27,,,0
CDM,27800070,Sup Infusion Pump Programmable Implantable,60543.77,23612.07,,,0
CDM,27800072,Sup Joint Device (Implantable),10667.33,4160.26,,,0
CDM,27800074,Sup Lead Neurostimulator Implantable,17128.7,6680.19,,,0
CDM,27800077,Sup Mesh (Implantable),12762.78,4977.48,,,0
CDM,27800079,Sup Ocular Implant Aqueous Drainage Assist Device,9183.56,3581.59,,,0
CDM,27800083,Sup Patient Programmer Neurostimulator,142183.81,55451.69,,,0
CDM,27800084,Sup Port Indwelling Implantable,1235.79,481.96,,,0
CDM,27800085,Sup Prosthesis Breast Implantable,13439.73,5241.49,,,0
CDM,27800086,Sup Prosthesis Penile Inflatable,77866.17,30367.81,,,0
CDM,27800087,Sup Prosthesis Urinary Sphincter Implantable,90772.6,35401.31,,,0
CDM,27800089,Sup Septal Defect Implant System Intracardiac,36040.77,14055.9,,,0
CDM,27800091,Sup Generator Neurostimulator W Battery W Recharging System,105116.67,40995.5,,,0
CDM,27800092,Sup Interspinous Process Distraction Device (Implantable),26100.63,10179.25,,,0
CDM,27800093,Sup Stent Coated And Covered W Delivery System,38023.68,14829.24,,,0
CDM,27800095,Sup Stent Non Coated And Non-Covered W Delivery System,31385.02,12240.16,,,0
CDM,27800096,Sup Stent Non Coated And Non-Covered Wo Delivery System,85430.97,33318.08,,,0
CDM,27800099,Sup Vena Cava Filter,8095.77,3157.35,,,0
CDM,27800102,Sup Adaptor Or Extension Pacing Or Neurostimulator Lead Implanted,50051.56,19520.11,,,0
CDM,27800110,Sup Lead Neurostimulator Test Kit Implantable,3192.87,1245.22,,,0
CDM,27800114,Sup Stent Non-Coronary Temporary Without Delivery System,760.02,296.41,,,0
CDM,27800116,Sup Prosthesis Penile Non-Inflatable,55715.08,21728.88,,,0
CDM,27800117,Sup Stent Non-Coronary Temporary With Delivery System,48427.53,18886.74,,,0
CDM,27800118,Sup Infusion Pump Non-Programmable Temporary Implantable,1.03,0.4,,,0
CDM,27800158,Sup Inj Bulking Agent Synthetic Implant Urinary Tract 1 Ml Syringe,5558.98,2168.0,,,0
CDM,27800159,Sup Ossicula Implant,1308.58,510.35,,,0
CDM,27800160,Sup Auditory Osseointegrated Device Includes All Int And Ext Components,23781.13,9274.64,,,0
CDM,27800161,Sup Prosthetic Implant Not Otherwise Specified,6629.4,2585.47,,,0
CDM,27800162,Sup Skin Substitute Not Otherwise Specified,615.46,240.03,,,0
CDM,27800167,Hc Alloderm Sqcm Or Sheet,251.5,98.08,,,0
CDM,27800168,Sup Flexhd Or Allopatch Hd Sqcm Or Sheet,27372.87,10675.42,,,0
CDM,27800175,Sup Graftjacket Per Sq Cm,15300.4,5967.16,,,0
CDM,27800208,Sup Alloderm Sqcm Or Sheet,2290.46,893.28,,,0
CDM,27800235,Sup Tissue Marker (Implantable),863.68,336.84,,,0
CDM,27800272,Sup Medsurg Device 278/272,9087.82,3544.25,,,0
CDM,27800275,Sup Implanted Supplies,631.35,246.23,,,0
CDM,27800276,Hc Nm Sir-Spheres Y-90 Brachy,85312.77,33271.98,,,0
CDM,27800300,Hc Miscellaneous Implant,16704.7,6514.83,,,0
CDM,27800624,Sup Sensor Press Art Pulm W/Del Catheter Syst,89418.82,34873.34,,,0
CDM,27801062,Sup Intravertebral Fx Augment Implant,6605.73,2576.23,,,0
CDM,27801729,Hc Peg Tube Kit 20Fr,888.805,346.63,,,0
CDM,27801734,Sup Device/Drug Matrix Orthopedic For Bone-To-Bone Or Soft Tissue-To Bone (Implanted),15107.65,5891.98,,,0
CDM,27801743,Hc Lead Tined 28Cm Kit,15110.064999999999,5892.925,,,0
CDM,27801761,Sup Catheter Transluminal Intravascular Lithotripsy Coronary,3021.16,1178.25,,,0
CDM,27801768,Sup Thoraflex Hybrid Device,9082.12,3542.03,,,0
CDM,27801822,Sup Generator Neurostimulator High Freq Rechg Bat,108772.69,42421.35,,,0
CDM,27801823,Sup Generator Neurostimulator Implantable Nonrechg Trans Sen/Stim,169170.75,65976.59,,,0
CDM,27801825,Sup Generator Neuro Nonrech Carotid Sinus Baro,170862.46,66636.36,,,0
CDM,27801874,Sup Gore Tag Thor Branch Endoprosthesis,49335.4,19240.81,,,0
CDM,27801889,Sup Implant/Insertable Device Noc,22564.39,8800.11,,,0
CDM,27801890,Hc No Implantable/Insertable Device Used With Device-Intensive Proc,1.0150000000000001,0.395,,,0
CDM,27801897,Hc Kit Test Lead Neurostim Nevro,6494.62,2532.9,,,0
CDM,27802006,Sup Novosorb Synpath Per Sq Cm,8357.62,3259.47,,,0
CDM,27804000,Hc Skin Substitute Donated,1.0150000000000001,0.395,,,0
CDM,27804133,Sup Gravix Stravix Prime Sq Cm Or Sheet,12743.44,4969.94,,,0
CDM,27804197,Sup Puraply Xt Per Sq Cm,821.71,320.47,,,0
CDM,278110820,Hc Marker Strand Gold 3Mm 18Ga 20Cm,1078.68,420.685,,,0
CDM,27811278,Sup Device New Technology Ntap,96185.66,37512.41,,,0
CDM,278120001,Hc Dressing Collagen Bovine Puracol Plus,34.91,13.615,,,0
CDM,27818614,Sup Cochlear Device Incl All External/Internal Components,91866.08,35827.77,,,0
CDM,27823031,Hc Cement Bn Cds Kyp Balloon,450.85,175.83,,,0
CDM,27830139,Hc Kit Licox Bolt Cath Any,3849.9399999999996,1501.48,,,0
CDM,27837831,Hc Cath Dialysis Longterm Any,1179.64,460.06,,,0
CDM,27849047,Hc Cement Kyphon Xpede Bone Cement And Mixer,739.9200000000001,288.57,,,0
CDM,27873736,Hc Brachytherapy Seed Stranded Palladium-103,468.03,182.53,,,0
CDM,27874419,Hc Brachytherapy Seed Stranded Iodine-125,93.77,36.57,,,0
CDM,27874420,Hc Brachy Ns C-131,205.76,80.25,,,0
CDM,27874421,Hc Brachythy Source N-High Iridium 192,335.87,130.99,,,0
CDM,27874422,Hc Brachytherapy Seed Non-Stranded Iodine-125,110.85,43.23,,,0
CDM,27874423,Hc Brachytherapy Seed Non-Stranded Palladium-103,160.94,62.77,,,0
CDM,27876910,Hc Lead Neuro Test Intstm,1761.16,686.85,,,0
CDM,27879915,Hc Cement Khphx Radiopaque,441.32,172.11,,,0
CDM,27882462,Hc Adapter Temp Pacer,82.08,32.01,,,0
CDM,27886415,Hc Lead Neuro Test Spnl Cord,665.19,259.42,,,0
CDM,27893780,Hc Cath Hemodial/Peritoneal Short Term Any,720.0,280.79999999999995,,,0
CDM,27995425,Hc Closed Tx Pelvic Ring Fracture W/O Manipulation Uni/Bilat,1389.0,541.71,,,0
CDM,27995426,Hc Closed Tx Pelvic Ring Fracture W/Wout Manip Uni/Bilat W/Anesthesia,1389.0,541.71,,,0
CDM,30010001,Hc Drain Abscess/Hematoma Nasal,4763.0,1857.57,,,0
CDM,30010002,Hc Foreign Body Removal Nasal,945.0,368.55,,,0
CDM,30010003,Hc Cautery Simple Inner Nose,16121.0,6287.19,,,0
CDM,30010004,Hc Abltj Sof Tiss Inf Turbs Uni/Bi Supfc Intramural,2888.0,1126.32,,,0
CDM,30010005,Hc Control Nasal Hemorrhage Anterior Simple,2866.0,1117.74,,,0
CDM,30010006,Hc Nose Pack Anterior Complex,2866.0,1117.74,,,0
CDM,30010007,Hc Nose Pack Posterior 1St,3205.0,1249.95,,,0
CDM,30010008,Hc Control Nasal Hemorrhage Subsequent,2866.0,1117.74,,,0
CDM,30010009,Hc Intubation,1626.0,634.14,,,0
CDM,30010010,Hc Trach Tube Change,1601.0,624.39,,,0
CDM,30010011,Hc Laryngoscopy Indirect Diagnostic,526.0,205.14,,,0
CDM,30010012,Hc Laryngoscopy Indirect W/Removal Foreign Body,582.0,226.98,,,0
CDM,30010013,Hc Laryngoscopy Direct Foreign Body Removal,12314.0,4802.46,,,0
CDM,30010014,Hc Laryngoscopy Flexible Fiber-Di,5146.0,2006.94,,,0
CDM,30010015,Hc Laryngoscopy Flex Fiber Foreign Body Removal,5146.0,2006.94,,,0
CDM,30010017,Hc Tracheostomy Emergency Procedure Transtracheal,8472.0,3304.08,,,0
CDM,30010018,Hc Tracheostomy Emergency Cricothyroid Membrane,5050.0,1969.5,,,0
CDM,30010020,Hc Brnchsc Incl Fluor Gdnce Dx W/Cell Washg Spx,8246.0,3215.94,,,0
CDM,30010021,Hc Brnchsc Brushing/Protected Brushings,8246.0,3215.94,,,0
CDM,30010024,Hc Bronchoscopy W/Plmt Fiducial Markers Single/Mult,31359.0,12230.01,,,0
CDM,30010025,Hc Bronchoscopy W/Cptr-Asst Image-Guided Navigation,727.0,283.53,,,0
CDM,30010026,Hc Bronchoscopy W/Transbronchial Lung Bx 1 Lobe,16929.0,6602.31,,,0
CDM,30010027,Hc Bronchoscopy Needle Bx Trachea Main Stem And /Bron,16929.0,6602.31,,,0
CDM,30010028,Hc Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx,16929.0,6602.31,,,0
CDM,30010029,Hc Bronchoscopy W/Placement Tracheal Stent,31359.0,12230.01,,,0
CDM,30010030,Hc Bronchoscopy W/Removal Foreign Body,8246.0,3215.94,,,0
CDM,30010031,Hc Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc,16929.0,6602.31,,,0
CDM,30010032,Hc Bronchoscopy W/Ther Aspir Trachbrncl Tree 1St,8246.0,3215.94,,,0
CDM,30010034,Hc Insert Chest Tube,8179.0,3189.81,,,0
CDM,30010035,Hc Thoracentesis Ndl/Cath Asp Pleura Space W/O Imaging,6441.0,2511.99,,,0
CDM,30010037,Hc Insert Pleural Indwlng Tunnel Cath W-Cuff,18960.0,7394.4,,,0
CDM,30010040,Hc Fiducial Marker Placement Intra Thoracic,7449.0,2905.11,,,0
CDM,30010042,Hc Pcmkr Insert Generator And Atrial Lead,14631.0,5706.09,,,0
CDM,30010043,Hc Pcmkr Insert Gen And Ventricular Lead,14631.0,5706.09,,,0
CDM,30010045,Hc Inser/Repl Temporary Pacer,8932.0,3483.48,,,0
CDM,30010046,Hc Insert/Replace Temp Pacer/Dual,8932.0,3483.48,,,0
CDM,30010047,Hc Pcmkr Insert Single Generator Only,11138.0,4343.82,,,0
CDM,30010048,Hc Pcmkr Insert Dual Generator Only,13848.0,5400.72,,,0
CDM,30010049,Hc Pcmkr Upgrade Sgl To Dual Leads And Gen,14976.0,5840.64,,,0
CDM,30010050,Hc Reposition Pacing-Defib Lead,5988.0,2335.32,,,0
CDM,30010051,Hc Insertion 1 Transvenous Electrode Perm Pcmkr/Implantable Dfb,8932.0,3483.48,,,0
CDM,30010052,Hc Insertion 2 Transvenous Electrodes Perm Pcmkr/Implantable Dfb,9056.0,3531.84,,,0
CDM,30010053,Hc Repair 1 Transvenous Electrode Perm Pcmkr/Pacing Implantable Dfb,11138.0,4343.82,,,0
CDM,30010054,Hc Repair 2 Transvenous Electrodes Perm Pcmrk/Implantable Dfb,11138.0,4343.82,,,0
CDM,30010055,Hc Pcmkr Insert Multi Lead Generator Only,21123.0,8237.97,,,0
CDM,30010056,Hc Relocation Pocket Pacemaker,6464.0,2520.96,,,0
CDM,30010057,Hc Relocate Pocket For Defib,8087.0,3153.93,,,0
CDM,30010058,Hc Insertion Electrode Cardiac Venous Sys Attach Prev Pm/Dfb Pulse Gen,11825.0,4611.75,,,0
CDM,30010059,Hc Inserton Electrode Cardiac Venous Sys Tm Insj Dfb/Pm Pulse Gen,6972.0,2719.08,,,0
CDM,30010060,Hc Reposition Prev Implanted Cardiac Venous Sys L Ventr Eltrd,6737.0,2627.43,,,0
CDM,30010061,Hc Pcmkr Remove Or Replace Sng Generator,14203.0,5539.17,,,0
CDM,30010062,Hc Remv And Replc Pm Gen Dual Lead,16914.0,6596.46,,,0
CDM,30010063,Hc Pcmkr Remove/Replace Multi Lead Gen,21123.0,8237.97,,,0
CDM,30010064,Hc Icd Insertion Of Dual Gen Only,26197.0,10216.83,,,0
CDM,30010065,Hc Icd Insertion Of Multi/Biv Gen Only,37235.0,14521.65,,,0
CDM,30010066,Hc Pcmkr Remove Generator Only,8932.0,3483.48,,,0
CDM,30010067,Hc Pcmkr Remove Sng Lead Electrode Only,4377.0,1707.03,,,0
CDM,30010068,Hc Pcmkr Remove Dual Lead Electrodes Only,4548.0,1773.72,,,0
CDM,30010069,Hc Icd Insertion Single Generator Only,26197.0,10216.83,,,0
CDM,30010070,Hc Icd Generator Removal Only,3908.0,1524.12,,,0
CDM,30010071,Hc Icd Removal Of Icd Lead Or Leads,12532.0,4887.48,,,0
CDM,30010072,Hc Icd Insertion Of Sng Or Dual System,74468.0,29042.52,,,0
CDM,30010073,Hc Icd Remove Replace Single Gen Only,51050.0,19909.5,,,0
CDM,30010079,Hc Ip Only Endovasc B2 B35Taa Rpr 2 Celiac Arty Wo Lft-Subclv Org,14612.0,5698.68,,,0
CDM,30010083,Hc Ip Only- Iabp Insertion,9836.0,3836.04,,,0
CDM,30010084,Hc Ip Only - Rem Iabp Assist Device Percutaneous,23918.0,9328.02,,,0
CDM,30010085,Hc Ip Only Insert Vlad Extracoporeal Single Ventricle Or Impella,12957.0,5053.23,,,0
CDM,30010087,Hc Cardiac Pocket Revision,3440.0,1341.6,,,0
CDM,30010088,Hc Embo Thrombectomy Fem-Pop,14073.0,5488.47,,,0
CDM,30010090,Hc Embo Thrombectomy Pop-Tib-Per,12664.0,4938.96,,,0
CDM,30010098,Hc Ip Only - Endovasc Iliac Arty Occl Dev Plcmnt,4524.0,1764.36,,,0
CDM,30010099,Hc Ip Only - Open Fem Art Xpose For Endoprsth Unilat,5995.0,2338.05,,,0
CDM,30010111,Hc Direct Blood Vessel Repair Lower Extremity,12028.0,4690.92,,,0
CDM,30010113,Hc Non-Vein Graft Repair Lower Ext,16331.0,6369.09,,,0
CDM,30010114,Hc Ip Only - Thrombolys Carotid Vertebral Subclavian,16469.0,6422.91,,,0
CDM,30010136,Hc Ip Only - Bypass Compo-Prosth-Vein,3250.0,1267.5,,,0
CDM,30010139,Hc Inj Trreatment Pseudoaneurysm Extremity,1366.0,532.74,,,0
CDM,30010140,Hc Inj Venography Ext Contrast,1011.0,394.29,,,0
CDM,30010143,Hc Intro Cath Supperior/Inferior Vena Cava,3393.0,1323.27,,,0
CDM,30010145,Hc Selective Cath Placement Venous 1St Order,2931.0,1143.09,,,0
CDM,30010146,Hc Sel Cath Placement Venous 2Nd Order,3460.0,1349.4,,,0
CDM,30010147,Hc Intro Cath R Heart/Main Pulmonary Artery,2643.0,1030.77,,,0
CDM,30010149,Hc Selective Cath Placement Pulmonary Artery,3287.0,1281.93,,,0
CDM,30010150,Hc Selective Cath Placement Seg/Sub Pulmonary Artery,3847.0,1500.33,,,0
CDM,30010152,Hc Extremity Artery Ndl Intro Direct/Retrograde,2060.0,803.4,,,0
CDM,30010156,Hc Intro Cath Aorta,3752.0,1463.28,,,0
CDM,30010158,Hc Selective Cath 1St Ord Thor/Brach Br,3318.0,1294.02,,,0
CDM,30010160,Hc Selective Cath 2Nd Ord Thor/Brach Br,7053.0,2750.67,,,0
CDM,30010162,Hc Selective Cath 3Rd Ord Thor/Brach Br,8450.0,3295.5,,,0
CDM,30010164,Hc Selective Cath Ea Addl 2Nd/3Rd Th/Br,3465.0,1351.35,,,0
CDM,30010166,Hc Selective 1St Ord Abd/Pel/Lower Ext Artery Branch,3026.0,1180.14,,,0
CDM,30010168,Hc Selective 2Nd Ord Abd/Pel/Lower Ext Artery Branch,6795.0,2650.05,,,0
CDM,30010170,Hc Selective 3Rd Ord Abd/Pel/Lower Ext Artery Branch,7822.0,3050.58,,,0
CDM,30010172,Hc Selective Ea Addl 2-3Rd Plus Ord Abd/Pel/Lower Ext Artery Branch,2990.0,1166.1,,,0
CDM,30010174,Hc Selective 1St Ord Renal Artery Uni,11605.0,4525.95,,,0
CDM,30010176,Hc Selective 1St Ord Renal Artery Bilat,10302.0,4017.78,,,0
CDM,30010178,Hc Selective 2Nd Plus Ord Renal Artery Uni,11605.0,4525.95,,,0
CDM,30010180,Hc Selective 2Nd Plus Ord Renal Artery Bilat,12253.0,4778.67,,,0
CDM,30010182,Hc Venipuncture Under 3Yr Phy Or Qhp Femoral/Juglar Vein,323.0,125.97,,,0
CDM,30010183,Hc Venipuncture Under 3Yr By Md Other,291.0,113.49,,,0
CDM,30010184,Hc Venipuncture 3Yrs Or Over By Md Or Qhp,245.0,95.55,,,0
CDM,30010185,Hc Collection Blood Venipuncture,25.82,10.07,,,0
CDM,30010186,Hc Collect Capillary Finger/Heel/Ear Stick,69.0,26.91,,,0
CDM,30010188,Hc Sclerotherapy Leg Single Vein,1783.0,695.37,,,0
CDM,30010189,Hc Sclerotherapy Leg Multiple Veins Same Leg,3445.0,1343.55,,,0
CDM,30010190,Hc Portal Vein Cath Procedure Percutaneous,6832.0,2664.48,,,0
CDM,30010191,Hc Venous Cath Select Organ Blood Sample,3130.0,1220.7,,,0
CDM,30010192,Hc Hemapheresis White,19154.0,7470.06,,,0
CDM,30010193,Hc Hemaperesis Red,19154.0,7470.06,,,0
CDM,30010194,Hc Hemapheresis Platelets,19320.0,7534.8,,,0
CDM,30010195,Hc Hemapheresis Plasma,9000.0,3510.0,,,0
CDM,30010196,Hc Insertion Central Line Non Tunneled Under 5Yr,15887.0,6195.93,,,0
CDM,30010198,Hc Insert Central Venous Cath Non Tunneled 5Yrs Or Over,15887.0,6195.93,,,0
CDM,30010199,Hc Insert Cvc Tunneled W/O Subq Port/Pmp 5Yrs Or Over,20818.0,8119.02,,,0
CDM,30010200,Hc Insert Tunneled Ctr Vad W/Subq Port 5Yrs Or Over,24035.0,9373.65,,,0
CDM,30010201,Hc Tunneled Cvc W-Port,41721.0,16271.19,,,0
CDM,30010202,Hc Tunneled Cvc 2 Cath And 2 Site W/O Port,23465.0,9151.35,,,0
CDM,30010203,Hc Tunneled Cvc 2 Cath And 2 Site With Port,31283.0,12200.37,,,0
CDM,30010205,Hc Insert Prph Ctr Vad W/Subq Port 5Yrs Or Over,34125.0,13308.75,,,0
CDM,30010206,Hc Repair Cv Cath W/O-Port,4087.0,1593.93,,,0
CDM,30010207,Hc Repair Cv Cath With Port,12835.0,5005.65,,,0
CDM,30010208,Hc Replace Cv Cath With Port,15216.0,5934.24,,,0
CDM,30010209,Hc Replace Non-Tunneled Cvad Cath W/O Pump,10145.0,3956.55,,,0
CDM,30010211,Hc Replace Tunneled Cv Cath W/O Pump,15740.0,6138.6,,,0
CDM,30010212,Hc Replace Tunneled Cv Cath With Port,12469.0,4862.91,,,0
CDM,30010214,Hc Complete Replacement Picc With Imaging,15887.0,6195.93,,,0
CDM,30010216,Hc Replace Pic Vad With Port,9646.0,3761.94,,,0
CDM,30010218,Hc Removal Tunneled Cath W/O Port/Pump,9646.0,3761.94,,,0
CDM,30010219,Hc Removal Tunneled Cvad With Port/Pump,8670.0,3381.3,,,0
CDM,30010221,Hc Collect Blood From Implant Venous Access Device Port,883.0,344.37,,,0
CDM,30010222,Hc Collect Blood From Central Or Peripheral Venous Cath Or Picc,461.0,179.79,,,0
CDM,30010225,Hc Mechanical Removal Tunneled Cv Cath,14689.0,5728.71,,,0
CDM,30010226,Hc Mechanical Removal Intralumenal Tunneled Cv Cath,11940.0,4656.6,,,0
CDM,30010227,Hc Reposition Venous Cath Previous Placed,6407.0,2498.73,,,0
CDM,30010228,Hc Inj Cvad Existing Contrast Evaluation,716.5,279.435,,,0
CDM,30010229,Hc Declotting Thrombolytic Agent Implant Access Device,3327.0,1297.53,,,0
CDM,30010230,Hc Arterial Puncture Withdrawal Blood Dx,202.0,78.78,,,0
CDM,30010231,Hc Artline Insertion,1153.0,449.67,,,0
CDM,30010232,Hc Placement Needle Intraosseous Infusion,2068.0,806.52,,,0
CDM,30010236,Hc Open Revision Av Graft With Thrombectomy,11480.0,4477.2,,,0
CDM,30010238,Hc Ip Only - Insert Hepatic Shunt/Tips,78577.0,30645.03,,,0
CDM,30010239,Hc Revsn Trnsvens Intrahepatic Portosys Shunt Tips,49950.0,19480.5,,,0
CDM,30010240,Hc Primary Ptm Thrombectomy Initial,17194.0,6705.66,,,0
CDM,30010241,Hc Primary Ptm Thrombectomy Subsequent Vessels,5543.0,2161.77,,,0
CDM,30010242,Hc Secondary Ptm Thrombectomy Add On,7152.0,2789.28,,,0
CDM,30010243,Hc Ptm Thrombectomy Veins,23229.0,9059.31,,,0
CDM,30010245,Hc Insert Endovascular Vena Cava Filter,24685.0,9627.15,,,0
CDM,30010246,Hc Redo Endovascular Vena Cava Filter,17366.0,6772.74,,,0
CDM,30010247,Hc Remove Endovas Vena Cava Filter,11313.0,4412.07,,,0
CDM,30010248,Hc Transcath Biopsy Procedure,7976.0,3110.64,,,0
CDM,30010251,Hc Transcath Iv Retreive Fb Plus Guide Perc,14245.0,5555.55,,,0
CDM,30010263,Hc Thoracentesis Ndl/Cath Asp Pleura Space W/ Imaging,7536.0,2939.04,,,0
CDM,30010265,Hc Ip Only - Transcath Placemnt Iv Stent Crv Crtd Art Embolic Protecj,21760.0,8486.4,,,0
CDM,30010266,Hc Pta Stent Carotid W/O-Distal,19989.0,7795.71,,,0
CDM,30010267,Hc Pta Iliac 1St Vessel,29549.0,11524.11,,,0
CDM,30010269,Hc Pta Iliac 1St Vessell With Stent,31780.0,12394.2,,,0
CDM,30010271,Hc Iliac Add Vessell Plus,13771.0,5370.69,,,0
CDM,30010273,Hc Pta Iliac Add Vesell With Stent,13987.0,5454.93,,,0
CDM,30010275,Hc Pta Fem Pop Angio Only,20548.0,8013.72,,,0
CDM,30010277,Hc Pta Fem Pop Atherectomy,32452.0,12656.28,,,0
CDM,30010279,Hc Pta Fem Pop Angio With Stent,32452.0,12656.28,,,0
CDM,30010281,Hc Pta Fem Pop With Stent Plus Atherectomy,45125.0,17598.75,,,0
CDM,30010283,Hc Pta 1St Tib/Peroneal Vessell,26241.0,10233.99,,,0
CDM,30010285,Hc Pta 1St Tib/Peroneal Plus Atherectomy/Angioplasty,31596.0,12322.44,,,0
CDM,30010287,Hc Pta 1St Tib/Peroneal With Stent,28193.0,10995.27,,,0
CDM,30010289,Hc Pta 1St Tib/Peroneal With Stent Plus Atherectomy,49758.0,19405.62,,,0
CDM,30010291,Hc Pta Tib/Peroneal Ea Add Addtl,13771.0,5370.69,,,0
CDM,30010293,Hc Pta Tib/Peroneal With Atherectomy Ea Add,16208.0,6321.12,,,0
CDM,30010295,Hc Pta Tib/Peroneal With Stent Ea Addtl,16212.0,6322.68,,,0
CDM,30010297,Hc Pta Tib/Peroneal With Stent Atherctomy Ea Addtl,28517.0,11121.63,,,0
CDM,30010303,Hc Ligation/Banding Av Fistula,5760.0,2246.4,,,0
CDM,30010304,Hc Ligate/Bx Artery Temporal,14631.0,5706.09,,,0
CDM,30010311,Hc Bone Marrow Aspiration,2885.175,1125.22,,,0
CDM,30010312,Hc Bone Marrow Biopsy Needle Or Trocar,6608.0,2577.12,,,0
CDM,30010314,Hc Biopsy Lymph Node,5636.0,2198.04,,,0
CDM,30010315,Hc Inj Lymphangio,4407.0,1718.73,,,0
CDM,30010316,Hc Inj Sentinel Node Id Only,2987.0,1164.93,,,0
CDM,30010318,Hc Blood/Lymph System Procedure Unlisted,4997.0,1948.83,,,0
CDM,30010319,Hc Insertion Picc Without Imaging Guidance Under 5 Yrs,15887.0,6195.93,,,0
CDM,30010321,Hc Pleural Drainage Percutaneous Insert Cath With Imaging,9083.0,3542.37,,,0
CDM,30010322,Hc Ip Only -Tavr Trancarotid,10388.0,4051.32,,,0
CDM,30010324,Hc Nsc Thoracic Aorta Plcm Plus Angio,19689.0,7678.71,,,0
CDM,30010327,Hc Sc Com Carotid/Innom Plus Angio Uni,19200.0,7488.0,,,0
CDM,30010329,Hc Sc Com Carotid/Innom Plus Angio Plus Extracranial Uni,28443.0,11092.77,,,0
CDM,30010331,Hc Sc Internal Carotid Artery Plus Angio,24933.0,9723.87,,,0
CDM,30010333,Hc Sc Subclav/Innom Plus Angio Uni,25509.0,9948.51,,,0
CDM,30010335,Hc Sc Vertebral Artery Plus Angio Uni,22412.0,8740.68,,,0
CDM,30010337,Hc Sc Ext Carotid Artery Plus Angio Uni,35515.0,13850.85,,,0
CDM,30010339,Hc Sc Ea Intracranial Branch Plus Angio Uni,35052.0,13670.28,,,0
CDM,30010340,Hc Tc Arterial Inf Thrombolytic Therapy,16776.0,6542.64,,,0
CDM,30010341,Hc Tc Venous Inf Thrombolytic Therapy,20134.0,7852.26,,,0
CDM,30010342,Hc Tc Art/Vein Therapy Continued Subsequent,20134.0,7852.26,,,0
CDM,30010343,Hc Tc Vein Inf Thrombo Therapy 1St Including Cath Removal,20134.0,7852.26,,,0
CDM,30010344,Hc Ip Only-Insert/Replace Vad Left Hrt Artery Access Only Impella,24567.0,9581.13,,,0
CDM,30010345,Hc Ip Only-Insert/Replace Vad Left Hrt Arterial And Venous,25775.0,10052.25,,,0
CDM,30010346,Hc Ip Only-Remove Lt Hrt Vad Arterial And Venous Diff Session Impella,10549.0,4114.11,,,0
CDM,30010347,Hc Ip Only - Intracranial Prct Trnlum Angioplsty,23529.0,9176.31,,,0
CDM,30010348,Hc Ip Only - Intracranial Prct Trnlum Angioplsty W Stent Plcmnt,29905.0,11662.95,,,0
CDM,30010349,Hc Vl Intracranial Balloon Dilatation Vasospasm Percu Initial Vessel,16105.0,6280.95,,,0
CDM,30010350,Hc Intracranial Balloon Dilatation Vasospasm Percu Plus Same Territory,9203.0,3589.17,,,0
CDM,30010351,Hc Intracranial Balloon Dilatation Vasoispasm Percu Plus Diff Territory,13801.0,5382.39,,,0
CDM,30010352,Hc Carotid Or Vertebral Artery Intro Needle Or Cath,8143.0,3175.77,,,0
CDM,30010353,Hc Cerebral Thrombolysis Cerebral By Iv Stroke Therapy,1700.0,663.0,,,0
CDM,30010356,Hc Insert Picc Without Imaging 5Yrs Or Over,15887.0,6195.93,,,0
CDM,30010359,Hc Ip Only- Reposition Perq R/L Vad W/Img Gdn Sep Insj Impella,5988.0,2335.32,,,0
CDM,30010360,Hc Chest Wall Osc/Vest Tx Per Session,1452.0,566.28,,,0
CDM,30010362,Hc Ip Only Hud- Impella Rp,19803.0,7723.17,,,0
CDM,30010363,Hc Umbilical Art Line Nb,923.0,359.97,,,0
CDM,30010364,Hc Bronchoscopy W/Transbronchial Lung Bx Each Lobe,5736.0,2237.04,,,0
CDM,30010365,Hc Bronchoscopy W/Transbroncl Ndl Aspir Bx Ea Lobe,6304.0,2458.56,,,0
CDM,30010366,Hc Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux,16929.0,6602.31,,,0
CDM,30010367,Hc Brnchsc Ebus Guided Sampl 3 Or Over Node Station/Strux,16929.0,6602.31,,,0
CDM,30010368,Hc Tracheobrnchsc Thru Est Trachs Inc,2815.0,1097.85,,,0
CDM,30030020,Hc Drainage Abscess/Hematoma Nasal Septum,1487.0,579.93,,,0
CDM,30030117,Hc Excision/Destruction Intranasal Lesion Int Appr,5678.0,2214.42,,,0
CDM,30031231,Hc Nasal Endoscopy Diagnostic Uni/Bi Spx,585.0,228.15,,,0
CDM,30031237,Hc Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx,6002.0,2340.78,,,0
CDM,30031238,Hc Nasal/Sinus Endo Surg W/Control Nasal Hemrrg,7068.0,2756.52,,,0
CDM,30031525,Hc Laryngoscopy W/Wo Tracheoscopy Dx Except Newborn,9579.0,3735.81,,,0
CDM,30031535,Hc Laryngoscopy Direct Operative With Biopsy,10740.0,4188.6,,,0
CDM,30031570,Hc Laryngoscope Injection Vocal Cord Therapeutic,2373.0,925.47,,,0
CDM,30031572,Hc Laryngoscopy Flexible Ablatj Destj Lesions Uni,10872.0,4240.08,,,0
CDM,30031573,Hc Laryngoscopy Flexible Therapeutic Injection Uni,2024.0,789.36,,,0
CDM,30031574,Hc Laryngoscopy Flexible W/Injection Agmntj Uni,1482.0,577.98,,,0
CDM,30031576,Hc Laryngoscopy Flexible W/Biopsyies,6002.0,2340.78,,,0
CDM,30031600,Hc Tracheostomy Planned,15787.0,6156.93,,,0
CDM,30031613,Hc Tracheostoma Revision Smpl W/O Flap Rotation,16876.0,6581.64,,,0
CDM,30031624,Hc Brnchsc W/Brncl Alveolar Lavage,8246.0,3215.94,,,0
CDM,30031625,Hc Bronchoscopy Bronchial/Endobrncl Bx 1 Plus Sites,8246.0,3215.94,,,0
CDM,30031626,Hc Larynx Surgery Procedure,1312.0,511.68,,,0
CDM,30031636,Hc Brnchsc W/Placement Brncl Stent 1St Bronchus,33467.0,13052.13,,,0
CDM,30031637,Hc Bronchoscopy Each Major Bronchus Stented,6349.0,2476.11,,,0
CDM,30031638,Hc Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess,33467.0,13052.13,,,0
CDM,30031640,Hc Bronchoscopy W/Excision Tumor,17807.0,6944.73,,,0
CDM,30031646,Hc Bronchoscopy W/Ther Aspir Trachbrncl Tree Sbsq,2233.0,870.87,,,0
CDM,30031647,Hc Brnchsc Occlusion/Insert Bronch Valve Init Lobe,31273.0,12196.47,,,0
CDM,30031648,Hc Brnchsc Removal Bronchial Valve Initial,16877.0,6582.03,,,0
CDM,30031649,Hc Brnchsc Removal Bronchial Valve Ea Addl,8219.0,3205.41,,,0
CDM,30031651,Hc Brnchsc Occlusion/Insert Bronch Valve Addl Lobe,9038.0,3524.82,,,0
CDM,30031654,Hc Brnschsc Tndsc Ebus Dx/Tx Intervention Perph Les - Add On,6328.0,2467.92,,,0
CDM,30031720,Hc Catheter Aspiration Nasotracheal Spx,420.0,163.8,,,0
CDM,30031899,Hc Unlisted Procedure Trachea Bronchi,613.0,239.07,,,0
CDM,30032160,Hc Ip Only - Thoracotomy W/Cardiac Massage,5484.0,2138.76,,,0
CDM,30032408,Hc Bx Lung/Mediastinum Core Needle W/Img Perq,9065.0,3535.35,,,0
CDM,30032552,Hc Rmvl Idwelg Tunneled Pleural Cath W/Cuff,4357.0,1699.23,,,0
CDM,30032561,Hc Instlj Via Ch Tube/Cath Agent Fbrnlysis 1St Day,3805.0,1483.95,,,0
CDM,30032562,Hc Instlj Ch Tube/Cath Agent Fbrnlysis Sbsq Day,3805.0,1483.95,,,0
CDM,30032609,Hc Thoracoscopy With Biopsyies Of Pleura,22625.0,8823.75,,,0
CDM,30032650,Hc Thoracoscopy W/Pleurodesis Mechanical Or Chemical,1073.0,418.47,,,0
CDM,30032994,Hc Ablation Thy 1 Plus Pulm Tumors Perc Cryo Uni,8388.0,3271.32,,,0
CDM,30033016,Hc Ip Only Pericardiocentesis W/Img Guidance When Performed,6893.0,2688.27,,,0
CDM,30033017,Hc Ip Only Perq Prcrd Drg 6Yr Plus W/O Congenital Car Anomaly W Img,15577.0,6075.03,,,0
CDM,30033018,Hc Ip Only Perq Prcrd Drg 0-5Yr/Any Age W/Cgen Car Anomaly,6893.0,2688.27,,,0
CDM,30033019,Hc Ip Only Perq Pericardial Drg W/Insj Ndwellg Cath W/Ct,6893.0,2688.27,,,0
CDM,30033208,Hc Pacemaker Insertion-Dual,29427.0,11476.53,,,0
CDM,30033263,Hc Remv And Replc Cvd Gen Dual Lead,66746.0,26030.94,,,0
CDM,30033264,Hc Rmvl And Rplcmt Dfb Gen Mlt Ld,92753.0,36173.67,,,0
CDM,30033274,Hc Tcat Insj/Rpl Perm Leadless Pacemaker Rv W/Img,61886.0,24135.54,,,0
CDM,30033275,Hc Tcat Rem Perm Leadless Pm Rt Ventr Wimg Guidance,12244.0,4775.16,,,0
CDM,30033276,Hc Insertion Phrenic Nerve Stimulator System,151096.0,58927.44,,,0
CDM,30033277,Hc Insj Phrenic Nrv Stimulator Transvns Sensing Ld,75548.0,29463.72,,,0
CDM,30033278,Hc Removal Phrenic Nerve Stimulator System,18329.0,7148.31,,,0
CDM,30033279,Hc Rmvl Phrnc Nrv Stimulator Transvns Stimj/Snsg Ld,18329.0,7148.31,,,0
CDM,30033280,Hc Rmvl Phrenic Nrv Stimulator Pulse Generator Only,18329.0,7148.31,,,0
CDM,30033281,Hc Repositioning Phrenic Nrv Stimulator Transvns Ld,18329.0,7148.31,,,0
CDM,30033285,Hc Insertion Subq Cardiac Rhythm Monitor W/Prgrmg,29841.0,11637.99,,,0
CDM,30033286,Hc Removal Subcutaneous Cardiac Rhythm Monitor,3836.0,1496.04,,,0
CDM,30033287,Hc Rmvl And Rplcmt Phrenic Nrv Stimulator Pls Generator,113866.0,44407.74,,,0
CDM,30033288,Hc Rmvl And Rplcmt Phrnc Nrv Stim Trnsvns Stimj/Snsg Ld,85046.0,33167.94,,,0
CDM,30033362,Hc Ip Only - Replace Aortic Valve Openfemoral Artery Approach,34124.0,13308.36,,,0
CDM,30033363,Hc Ip Only - Replace Aortic Valve Open Axillry Artry Approach,34124.0,13308.36,,,0
CDM,30033364,Hc Ip Only - Replace Aortic Valve Open Iliac Artery Approach,34124.0,13308.36,,,0
CDM,30033365,Hc Ip Only - Replace Aortic Valve Open Transaortic Approach,34124.0,13308.36,,,0
CDM,30033366,Hc Ip Only - Transcatheter Transapical Replacemt Aortic Valve,34124.0,13308.36,,,0
CDM,30033370,Hc Transcatheter Placement And Sbsq Removal Cepd Perq,17063.0,6654.57,,,0
CDM,30033741,Hc Ip Only- Tas Congenital Cardiac Anomalies Any Method,15393.0,6003.27,,,0
CDM,30033745,Hc Ip Only- Tis Crtj St Congenital Cardiac Anomal 1St Shunt,59672.0,23272.08,,,0
CDM,30033746,Hc Ip Only- Tis Crtj St Congenital Cardiac Anomal Ea Addl,14918.0,5818.02,,,0
CDM,30033880,Hc Ip Only - Evasc Rpr Dta Coverage Art Origin 1St Endoprosth,9476.0,3695.64,,,0
CDM,30033894,Hc Ip Only - Evasc St Rpr Coarcj Thrc/Aa Acrs Maj Side Brnch,29549.0,11524.11,,,0
CDM,30033895,Hc Ip Only - Evasc St Rpr Coarcj Thrc/Aa Xcrsg Maj Side Brnch,29549.0,11524.11,,,0
CDM,30033900,Hc Perq Pulm Art Revsc St 1St Nml Native Connj Uni,58034.0,22633.26,,,0
CDM,30033901,Hc Perq Pulm Art Revsc St 1St Nml Native Connj Bil,40811.0,15916.29,,,0
CDM,30033902,Hc Perq Pulm Art Revsc St 1St Abnormal Connj Uni,58034.0,22633.26,,,0
CDM,30033903,Hc Perq Pulm Art Revsc St 1St Abnormal Connj Bil,40811.0,15916.29,,,0
CDM,30033904,Hc Perq Pulm Art Revsc St Vsl/Sep Les Ea Addl,20406.0,7958.34,,,0
CDM,30033976,Hc Insj Ventric Assist Dev Xtrcorp Biventricular,12957.0,5053.23,,,0
CDM,30033978,Hc Ip Only Removal Ventr Assist Device Xtrcorp Biventr,3238.0,1262.82,,,0
CDM,30033981,Hc Rplcmt Xtrcorp Vad 1/Biventr Pump 1/Ea Pump,12957.0,5053.23,,,0
CDM,30033995,Hc Ip Only- Insert Perq Vad W/Rs And I R Heart Venous Access Only,24567.0,9581.13,,,0
CDM,30033997,Hc Ip Only- Removal Perq R Heart Vad Venous Cannula Sepatate Insertion,10549.0,4114.11,,,0
CDM,30033999,Hc Ip Only Transcarotid Approach Closure Of Native Aortic Valve W Amplatz Occ,10388.0,4051.32,,,0
CDM,30034701,Hc Ip Only - Evasc Rpr Dplmnt Aorto-Aortic Ndgft,6392.0,2492.88,,,0
CDM,30034703,Hc Ip Only - Evasc Rpr Dplmnt Aorto Iliac Ndgft Uni,6441.0,2511.99,,,0
CDM,30034705,Hc Ip Only - Evasc Rpr Dplmnt Aorto Iliac Ndgft Bilat,9476.0,3695.64,,,0
CDM,30034709,Hc Ip Only - Placement Xtn Prosth For Endovascular Rpr,5699.0,2222.61,,,0
CDM,30034713,Hc Perq Access And Closure Fem Art For Delivery Ndgft,7144.0,2786.16,,,0
CDM,30035206,Hc Repair Blood Vessel Direct Upper Extremity,9694.0,3780.66,,,0
CDM,30035207,Hc Repair Blood Vessel Direct Hand Finger,9694.0,3780.66,,,0
CDM,30036160,Hc Plc Cath Aortc Trnslm,12131.0,4731.09,,,0
CDM,30036299,Hc Vessel Injection Procedure Unlisted???,2908.0,1134.12,,,0
CDM,30036405,Hc Venipuncture Under 3 Years Phys/Qhp Skill Scalp Vein,59.0,23.01,,,0
CDM,30036416,Hc Bc Collect Capillary Finger/Heel/Ear Stick,69.0,26.91,,,0
CDM,30036465,Hc Inj Noncmpnd Sclerosant Single Incmptnt Vein W Us,2989.0,1165.71,,,0
CDM,30036466,Hc Inj Noncmpnd Sclerosant Mult Incmptnt Vein Same Leg W Us,3445.0,1343.55,,,0
CDM,30036473,Hc Ablation Mchnchem Ext Plus Image 1St Vein,13165.0,5134.35,,,0
CDM,30036474,Hc Ablation Mchnchem Ext Plus Image Addtl Vein,9875.0,3851.25,,,0
CDM,30036479,Hc Endoven Abltj Incmptnt Vein Xtr Laser Subsequent Veins,230.0,89.7,,,0
CDM,30036482,Hc Ablation Endoven Thx Chem Adhesive 1St Vein??,16563.0,6459.57,,,0
CDM,30036522,Hc Photopheresis Extracorporeal,13538.0,5279.82,,,0
CDM,30036557,Hc Insert Tunneled Cvc W/O Subq Port/Pmp Age Younger Than 5 Yr,1293.0,504.27,,,0
CDM,30036560,Hc Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr,249.0,97.11,,,0
CDM,30036572,Hc Insertion Picc With Imaging Under 5 Yrs,3805.0,1483.95,,,0
CDM,30036573,Hc Insert Picc With Imaging 5Yrs Or Over,8878.0,3462.42,,,0
CDM,30036591,Hc Bc Collect Blood From Implant Venous Access Device Port,883.0,344.37,,,0
CDM,30036592,Hc Bc Collect Blood From Central Or Peripheral Venous Cath Or Picc,461.0,179.79,,,0
CDM,30036600,Hc Bc Arterial Puncture Withdrawal Blood Dx,202.0,78.78,,,0
CDM,30036625,Hc Artl Cathj/Cannulj Mntr/Transfusion Spx Cutdown,2855.0,1113.45,,,0
CDM,30036660,Hc Umbilical Cath Insertion/Uvc,923.0,359.97,,,0
CDM,30036821,Hc Arteriovenous Anastomosis Open Direct,10371.0,4044.69,,,0
CDM,30036830,Hc Artery-Vein Nonautograft,18554.0,7236.06,,,0
CDM,30036836,Hc Perq Creation Av Fistula Arm Single Access,66041.0,25755.99,,,0
CDM,30036837,Hc Perq Creation Av Fistula Arm Sep Access Sites,66041.0,25755.99,,,0
CDM,30036901,Hc Intro Cath Dialysis Shuntogrm,4701.0,1833.39,,,0
CDM,30036902,Hc Intro Cath Dialysis Shuntogrm W/Angioplasty,18785.0,7326.15,,,0
CDM,30036903,Hc Intro Cath Dialysis Shuntogrm W/Stent,23608.0,9207.12,,,0
CDM,30036904,Hc Thrmbctmy/Lysis Dialysis Plus Shuntogrm,14130.0,5510.7,,,0
CDM,30036905,Hc Thrmbctmy/Lysis Dialysis Plus Shunt W/Angioplsty,35357.0,13789.23,,,0
CDM,30036906,Hc Thrmbctmy/Lysis Dialysis Plus Shunt W/Angioplsty Plus Stent,39895.0,15559.05,,,0
CDM,30036907,Hc Balloon Angio Ctr Dialysis Seg Add On,13697.0,5341.83,,,0
CDM,30036908,Hc Stent Plmt Ctr Dialysis Seg Add On,14437.0,5630.43,,,0
CDM,30036909,Hc Dialysis Circuit Embolj Add On,23794.0,9279.66,,,0
CDM,30037211,Hc Vasc Embolize/Occlude Venous,39146.0,15266.94,,,0
CDM,30037212,Hc Vasc Embolize/Occlude Arterial,41107.0,16031.73,,,0
CDM,30037218,Hc Perc Antegr Stent Car,15284.0,5960.76,,,0
CDM,30037236,Hc Open/Perq Place Stent 1St Arterial Vessel,19931.0,7773.09,,,0
CDM,30037237,Hc Open/Perq Place Stent Ea Additional Vessel,14437.0,5630.43,,,0
CDM,30037238,Hc Open/Perq Place Stent Same Venous Vessel,19931.0,7773.09,,,0
CDM,30037239,Hc Open/Perq Place Stent Ea Additional Vessel,14437.0,5630.43,,,0
CDM,30037243,Hc Vasc Embolize/Occlude Organ,41292.5,16104.075,,,0
CDM,30037244,Hc Vasc Embolize/Occlude Bleed,39146.0,15266.94,,,0
CDM,30037246,Hc Trlum Angioplasty Initial Artery W/Imaging,13697.0,5341.83,,,0
CDM,30037247,Hc Trlum Angioplasty Addtl Artery W/Imaging,9374.0,3655.86,,,0
CDM,30037248,Hc Trlum Venoplasty Initial Vein W/Imaging,13718.0,5350.02,,,0
CDM,30037249,Hc Trlum Venoplasty Addtl Vein W/Imaging,9387.0,3660.93,,,0
CDM,30037252,Hc Intrvasc Us Noncoronary 1St Add On,4586.0,1788.54,,,0
CDM,30037253,Hc Intrvasc Us Noncoronary Ea Addl,3873.0,1510.47,,,0
CDM,30037765,Hc Stab Phlebt Varicose Veins 1 Xtr 10-20 Stab Incs,13409.0,5229.51,,,0
CDM,30037766,Hc Stab Phlebt Varicose Veins 1 Xtr More Than 20 Incs,10314.0,4022.46,,,0
CDM,30037799,Hc Assistance With Respiratory Filtration Continous,2186.0,852.54,,,0
CDM,30038206,Hc Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol,10800.0,4212.0,,,0
CDM,30038207,Hc Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor,2589.0,1009.71,,,0
CDM,30038209,Hc Trnsp Prep Hmatop Prog Thaw Prev Hrv Wsh Per Dnr,2061.0,803.79,,,0
CDM,30038212,Hc Trnspl Prepj Hematop Progen Red Bld Cell Rmvl,2223.0,866.97,,,0
CDM,30038213,Hc Trnspl Prepj Hematop Progen Pltlt Deplj,2188.0,853.32,,,0
CDM,30038214,Hc Trnspl Prepj Hematop Progen Plsm Vol Deplj,2178.0,849.42,,,0
CDM,30038215,Hc Trnspl Prepj Hematop Progen Concentration Plsm,3302.0,1287.78,,,0
CDM,30038224,Hc Bone Marrow Diagnostic Bx And Asp,8752.0,3413.28,,,0
CDM,30038241,Hc Trnsplj Autologous Hematopoietic Cells Per Donor,15860.0,6185.4,,,0
CDM,30038242,Hc Allogeneic Lymphocyte Infusions,3148.0,1227.72,,,0
CDM,30038500,Hc Bx/Exc Lymph Node Open Superficial,418.0,163.02,,,0
CDM,30038794,Hc Cannulation Thoracic Duct,2255.0,879.45,,,0
CDM,30045744,Hc Gi Level 5 Proc - Ea 15 Mins,12816.0,4998.24,,,0
CDM,30045744_A,Hc Gi Level 5 Proc - Ea 15 Mins,2252.0,878.28,,,0
CDM,30045750,Hc Gi Level 1 Proc - Ea 15 Mins,1352.0,527.28,,,0
CDM,30045750_A,Hc Gi Level 1 Proc - Ea 15 Mins,275.0,107.25,,,0
CDM,30045751,Hc Gi Level 2 Proc - Ea 15 Mins,3463.99,1350.955,,,0
CDM,30045751_A,Hc Gi Level 2 Proc - Ea 15 Mins,587.0,228.93,,,0
CDM,30045752,Hc Gi Level 3 Proc - Ea 15 Mins,5344.995,2084.55,,,0
CDM,30045752_A,Hc Gi Level 3 Proc - Ea 15 Mins,1067.0,416.13,,,0
CDM,30045753,Hc Gi Level 4 Proc - Ea 15 Mins,11081.0,4321.59,,,0
CDM,30045753_A,Hc Gi Level 4 Proc - Ea 15 Mins,2026.0,790.14,,,0
CDM,30045755,Hc Gi Level 6 Proc - Ea 15 Mins,15888.0,6196.32,,,0
CDM,30045755_A,Hc Gi Level 6 Proc - Ea 15 Mins,3428.0,1336.92,,,0
CDM,30045756,Hc Bronch Or Non-Gi Procedure - Ea 15 Mins,6533.0,2547.87,,,0
CDM,30045756_A,Hc Bronch Or Non-Gi Procedure - Ea 15 Mins,847.0,330.33,,,0
CDM,30046173,Hc Pulm Pleural Drainage Percutaneous Ic W/O Imaging,8670.0,3381.3,,,0
CDM,30057155,Hc Insertion Uterine Tandem And Or Vaginal Ovoids,100.0,39.0,,,0
CDM,30065456,Hc Biopsy Pleura Ndl Percutaneous,9182.0,3580.98,,,0
CDM,30065457,Hc Instlj Via Chest Tube/Cath Agent For Pleurodesis,5032.0,1962.48,,,0
CDM,34004641,Hc Radiopharm Dx Agent Noc,582.0,226.98,,,0
CDM,34009531,Hc I-131 Sodium Iodide Dx Per Mci Up To 100,148.0,57.72,,,0
CDM,34009586,Hc F-18 Florbetapir Dx Study Dose To 10 Mci?,13397.0,5224.83,,,0
CDM,34009608,Hc F-18 Flotufolastat Dx Per 1 Mci,2213.0,863.07,,,0
CDM,34010010,Hc Tc 99M Sestamibi Dx Study Dose,994.0,387.66,,,0
CDM,34010011,Hc Tc 99M Tetrofosmin Dx Study Dose,546.0,212.94,,,0
CDM,34010012,Hc Tc 99M Medronate Dx Study Dose Up To 30Mci,314.0,122.46,,,0
CDM,34010013,Hc Tl 201 Thallos Chloride Dx Per Mci,198.0,77.22,,,0
CDM,34010014,Hc In-111 Capromab Pendetied Dx Study Dose Up To 10 Mci,10106.0,3941.34,,,0
CDM,34010015,Hc I-131 Iobenquane Sulfate Dx Per 0.5 Mci,6317.0,2463.63,,,0
CDM,34010016,Hc Tc 99M Pertechnetate Dx Per Mci,158.0,61.62,,,0
CDM,34010017,Hc I-123 Sodium Iodide Dx Per 100 To 999Uci,316.0,123.24,,,0
CDM,34010018,Hc I-131 Sodium Iodide Capsules Thx Per Mci,215.0,83.85,,,0
CDM,34010019,Hc Tc 99M Exametazine Dx Study Dose To 25 Mci,5554.5,2166.26,,,0
CDM,34010020,Hc Tc 99M Mebrofenin Dx Per Dose To 15 Mci,656.0,255.84,,,0
CDM,34010021,Hc Tc 99M Pentetrate Dx Study Dose To 25 Mci,246.0,95.94,,,0
CDM,34010022,Hc Tc 99M Albumin Mag Dx Study Dose To 10 Mci,1017.0,396.63,,,0
CDM,34010023,Hc Tc 99M Sulffur Colloid Dx Study Dose To 20 Mci,434.0,169.26,,,0
CDM,34010027,Hc In-111 Pentetate Dx Per 0.5 Mci,4644.0,1811.16,,,0
CDM,34010028,Hc Tc 99M Succimer Dx Study Dose To 10 Mci,4047.0,1578.33,,,0
CDM,34010029,Hc F-18 Fluorodeoxyglucose Fdg Dx Study Dose To 45 Mci,2224.0,867.36,,,0
CDM,34010030,Hc Ga-67 Gallium Citrate Dx Per Mci,304.0,118.56,,,0
CDM,34010031,Hc Tc 99M Labeled Red Blood Cells Per Study Dose To 30 Mci,478.0,186.42,,,0
CDM,34010032,Hc Tc 99M Mertiatide Dx Study Dose To 15 Mci,994.0,387.66,,,0
CDM,34010033,Hc In-111 Pentetreotide Study Dose To 6 Mci,10756.0,4194.84,,,0
CDM,34010034,Hc Tc 99M Tilmanocept Dx Up To .5 Mci,2386.0,930.54,,,0
CDM,34010036,Hc F-18 Sodium Fluoride Study Dose To 30 Mci,580.0,226.2,,,0
CDM,34010037,Hc Nm Ra 223 Dichloride Xofigo Thx Per Uci,540.0,210.6,,,0
CDM,34010038,Hc I-123 Iobenquane/Andreview Dx Study Dose To 15 Mci,8779.0,3423.81,,,0
CDM,34010039,Hc I-131 Sodium Iodide Cap Dx Per Mci,225.0,87.75,,,0
CDM,34010040,Hc I-123 Ioflupan Dx Study Dose To 5 Mci,6841.0,2667.99,,,0
CDM,34010041,Hc Strontium Sr-89 Chloride Therapeutic Per Millicurie,8673.0,3382.47,,,0
CDM,34010043,Hc Radio Isotope Admin Inpatient,1.0,0.39,,,0
CDM,34010044,Hc Pet Rb-82 Rubidium Per Dose,1162.0,453.18,,,0
CDM,34010045,Hc Tc 99M Penetetate Aerosol Dx Study Dose,316.0,123.24,,,0
CDM,34010046,Hc Tc 99M Exametazime Auto Wbc Study Dose,3344.0,1304.16,,,0
CDM,34010047,Hc In-111 Oxyquinoline Auto Wbc Dx Study Dose,9706.0,3785.34,,,0
CDM,34010051,Hc In-111 Satumomab Pendetide Dx Sudy Dose To 6 Mci,14968.0,5837.52,,,0
CDM,34010052,Hc Tc 99M Apcitide Dx Study Dose To 20 Mci,5336.0,2081.04,,,0
CDM,34010053,Hc Tc 99M Disofenin Dx Study Dose To 15 Mci,388.0,151.32,,,0
CDM,34010054,Hc Tc 99M Pyrophosphate Dx Study Dose To 25 Mci,329.0,128.31,,,0
CDM,34010055,Hc Tc 99M Sodium Gluceptate Dx Study Dose To 25 Mci,3433.0,1338.87,,,0
CDM,34010056,Hc Tc 99M Bicisate Dx Study Dose To 25 Mci,3481.0,1357.59,,,0
CDM,34010057,Hc Xe-133 Xenon Gas Dx Per 10 Mci,165.0,64.35,,,0
CDM,34010058,Hc Tc 99M Oxidronate Dx Study Dose To 30 Mci,207.0,80.73,,,0
CDM,34010059,Hc Tc 99M Fanolesomab Dx Study Dose To 25 Mci,7335.0,2860.65,,,0
CDM,34010060,Hc Gallium Ga-68 Dx 0.1 Mci,319.3,124.53,,,0
CDM,34010061,Hc Copper Cu 64 Dotatate Dx Per 1 Mci,4031.55,1572.305,,,0
CDM,34010062,Hc Pet Dx For Tumor Id Noc,20575.0,8024.25,,,0
CDM,34010063,Hc F-18 Piflufolastat Dx Per 1 Mci,2245.65,875.8050000000001,,,0
CDM,34010064,Hc Gallium Ga-68 Gozetotide Dx Per 1 Mci,3487.4,1360.09,,,0
CDM,34010065,Hc F-18 Flortaucipir Dx Per 1 Mci,787.5,307.125,,,0
CDM,34010066,Hc F-18 Fluoroestradiol Dx Per 1 Mci,2554.0,996.06,,,0
CDM,34010067,Hc I-131 Serum Albumin Dx Per 5 Uci Dose,1779.0,693.81,,,0
CDM,34010068,Hc Radiopharmaceutical Therapeutic Not Otherwise Classified,106250.0,41437.5,,,0
CDM,34019588,Hc F-18 Fluciclovine Per 1 Mci,2313.0,902.07,,,0
CDM,36000788,Hc Elec Alys Smpl Prgrmg Iins Sp/Sac Nrv 1-3 Param,355.0,138.45,,,0
CDM,36010010,Hc Anesthesia Time,5134.0,2002.26,,,0
CDM,36010010_A,Hc Anesthesia Time,1145.0,446.55,,,0
CDM,36010012,Hc Surg Level 4 Ea 15 Mins,27592.995000000003,10761.27,,,0
CDM,36010012_A,Hc Surg Level 4 Ea 15 Mins,6827.005,2662.53,,,0
CDM,36010017,Hc Bariatric Surgery - Ea 15 Mins,3053.0,1190.67,,,0
CDM,36010017_A,Hc Bariatric Surgery - Ea 15 Mins,764.0,297.96,,,0
CDM,36010023,Hc Surg Level 3 Ea 15 Mins,21962.004999999997,8565.18,,,0
CDM,36010023_A,Hc Surg Level 3 Ea 15 Mins,5385.995,2100.54,,,0
CDM,36010030,Hc Labor Room Per 15 Min,1220.0,475.8,,,0
CDM,36010030_A,Hc Labor Room Per 15 Min,73.0,28.47,,,0
CDM,36010037,Hc Process Preserve And Transport Corneal Tissue,3690.0,1439.1,,,0
CDM,36010038,Hc Anesthesia Transfer Rule,521.87,203.53,,,0
CDM,36010039,Hc Or Services - Transfer Rule,2904.53,1132.77,,,0
CDM,36010041,Hc Surg Level 1 Ea 15 Mins,11591.0,4520.49,,,0
CDM,36010041_A,Hc Surg Level 1 Ea 15 Mins,2823.0,1100.97,,,0
CDM,36010042,Hc Surg Level 2 Ea 15 Mins,14823.0,5780.97,,,0
CDM,36010042_A,Hc Surg Level 2 Ea 15 Mins,3471.0,1353.69,,,0
CDM,36010048,Hc Surg Proc Minor Ea 15 Mins,6532.995,2547.87,,,0
CDM,36010048_A,Hc Surg Proc Minor Ea 15 Mins,847.0,330.33,,,0
CDM,36010049,Hc Eswl Complex,49505.0,19306.95,,,0
CDM,36010049_A,Hc Eswl Complex,1864.0,726.96,,,0
CDM,36010050,Hc Eswl Non-Complex,53259.0,20771.01,,,0
CDM,36010050_A,Hc Eswl Non-Complex,1630.0,635.7,,,0
CDM,36010054,Hc Pacu Phase I Class 1 - Ea 15 Minutes,2553.0,995.67,,,0
CDM,36010054_A,Hc Pacu Phase I Class 1 - Ea 15 Minutes,576.0,224.64,,,0
CDM,36010055,Hc Pacu Phase I Class 2 - Ea 15 Minutes,2640.0,1029.6,,,0
CDM,36010055_A,Hc Pacu Phase I Class 2 - Ea 15 Minutes,589.0,229.71,,,0
CDM,36010056,Hc Pacu Phase I Class 3 - Ea 15 Minutes,2712.0,1057.68,,,0
CDM,36010056_A,Hc Pacu Phase I Class 3 - Ea 15 Minutes,606.0,236.34,,,0
CDM,36010057,Hc Pacu Phase I Class 4 - Ea 15 Minutes,2972.0,1159.08,,,0
CDM,36010057_A,Hc Pacu Phase I Class 4 - Ea 15 Minutes,682.0,265.98,,,0
CDM,36010058,Hc Pacu Phase Ii - Ea 15 Mins,132.0,51.48,,,0
CDM,36010058_A,Hc Pacu  Phase Ii - Ea 15 Mins,17.0,6.63,,,0
CDM,36010061,Hc Sg Or Cosmetic-Dental Self-Pay,975.0,380.25,,,0
CDM,36010061_A,Hc Sg Or Cosmetic-Dental Self-Pay,143.0,55.77,,,0
CDM,36010063,Hc Pacu Minor Procedure,2008.0,783.12,,,0
CDM,36010069,Hc Vasovasostomy Vasovasorrhaphy,7052.5,2750.475,,,0
CDM,36010070,Hc Recovery Room Transfer Rule,327.6,127.76,,,0
CDM,36010082,Hc Ld Mag Sulfate Per Hour,47.0,18.33,,,0
CDM,36010083,Hc Level 1 Delivery And Recovery,9841.0,3837.99,,,0
CDM,36010084,Hc Level 2 Delivery And Recovery,12334.0,4810.26,,,0
CDM,36010085,Hc Level 3 Delivery And Recovery,14251.0,5557.89,,,0
CDM,36010089,Hc Perfusion Ecmo Insertion,11939.0,4656.21,,,0
CDM,36010090,Hc Perfusion Ecmo Daily Maintenance,4120.5,1606.995,,,0
CDM,36010101,Hc Ecmo/Ecls Insert Perq Prph Cannula 6Yrs Or Over,20942.0,8167.38,,,0
CDM,36010102,Hc Ecmo/Ecls Insert Open Prph Cannula 6Yrs Or Over,20942.0,8167.38,,,0
CDM,36010103,Hc Ecmo/Ecls Insert Central Cannula 6Yrs Or Over,18836.0,7346.04,,,0
CDM,36010104,Hc Ecmo/Ecls Repos Perq Perph Cannula 6Yrs Or Over,10471.0,4083.69,,,0
CDM,36010105,Hc Ecmo/Ecls Repos Open Perph Cannula 6Yrs Or Over,9417.0,3672.63,,,0
CDM,36010106,Hc Ecmo/Ecls Repos Central Cannula 6Yrs Or Over,9417.0,3672.63,,,0
CDM,36010107,Hc Ecmo Initial Day Veno Venous,29093.5,11346.465,,,0
CDM,36010108,Hc Ecmo Initial Day Veno Arterial,29093.5,11346.465,,,0
CDM,36010109,Hc Ecmo Veno Venous Mgmt Daily Maintenance,14123.0,5507.97,,,0
CDM,36010110,Hc Ecmo Veno Arterial Mgmt Daily Maintenance,14621.0,5702.19,,,0
CDM,36010111,Hc Ecmo/Ecls Rmvl Of Prph Cannula Prq 6Yrs Or Over,10471.0,4083.69,,,0
CDM,36010112,Hc Ecmo/Ecls Rmvl Prph Cannula Open 6Yrs Or Over,9417.0,3672.63,,,0
CDM,36010113,Hc Ecmo/Ecls Rmvl Of Central Cannula 6Yrs Or Over,9417.0,3672.63,,,0
CDM,36025310,Hc Perfusion Service Acuity 1-4,6005.0,2341.95,,,0
CDM,36025311,Hc Perfusion Service Acuity 5-10,6485.0,2529.15,,,0
CDM,36025312,Hc Perfusion Service Acuity Over 10,6966.0,2716.74,,,0
CDM,36025313,Hc Perfusion Vad Daily Maintaince,5849.0,2281.11,,,0
CDM,36052308,Hc Anesthesia Labor Epidural,950.0,370.5,,,0
CDM,36052312,Hc Pacu Phase I Class 1 - 60 Minutes,2553.0,995.67,,,0
CDM,36052322,Hc Intraop Neuro Mon 15 Min,734.0,286.26,,,0
CDM,36052323,Hc Pacu Phase I Class 5 - Ea 15 Minutes,2972.0,1159.08,,,0
CDM,36052323_A,Hc Pacu Phase I Class 5 - Ea 15 Minutes,682.0,265.98,,,0
CDM,36053852,Hc Trurl Distruction Prostate Tiss Rf Thermotherapy,18331.0,7149.09,,,0
CDM,39010010,Hc Blood Transfusion,4570.0,1782.3,,,0
CDM,40010010,Hc Repair Lip Full Thick,10816.0,4218.24,,,0
CDM,40010011,Hc Drain Abscess Mouth Simple,2038.0,794.82,,,0
CDM,40010012,Hc Drain Abscess Mouth Vestibule,9673.0,3772.47,,,0
CDM,40010013,Hc Fb Remove Mouth Simp,1448.0,564.72,,,0
CDM,40010014,Hc Fb Remove Mouth Comp,10816.0,4218.24,,,0
CDM,40010015,Hc Repair Lac Mouth And /Ant Two-Thirds Tongue 2.5Cm Or Less,1605.0,625.95,,,0
CDM,40010016,Hc Repair Lac Past One-Third Tongue 2.5Cm Or Less,4261.0,1661.79,,,0
CDM,40010017,Hc Repair Lac Tongue Floor Mouth 2.6Cm Or More Complex,5050.0,1969.5,,,0
CDM,40010018,Hc Tongue/Mouth Surgery Unlisted,3984.0,1553.76,,,0
CDM,40010019,Hc I And D Dental,2038.0,794.82,,,0
CDM,40010020,Hc I And D Palate/Uvula,4261.0,1661.79,,,0
CDM,40010022,Hc Biopsy Salivary Gland,7221.0,2816.19,,,0
CDM,40010023,Hc Sialogram Inj,1078.0,420.42,,,0
CDM,40010024,Hc I And D Peritonsilar,4763.0,1857.57,,,0
CDM,40010025,Hc Fb Remove Pharynx,844.0,329.16,,,0
CDM,40010027,Hc Dr Naso/Oro Tube Placement Fl Guided,3031.0,1182.09,,,0
CDM,40010028,Hc Gastro Intubation With Aspiration,1954.0,762.06,,,0
CDM,40010031,Hc Repos Naso/Oro Gastric Feeding Tube Thru Duo,11115.0,4334.85,,,0
CDM,40010033,Hc Ablation Ther 1 Plus Pulm Tumors Perq Radiofrequency,27605.0,10765.95,,,0
CDM,40010035,Hc I And D Rectum,17535.0,6838.65,,,0
CDM,40010036,Hc Sigmoid Fb Removal,9946.0,3878.94,,,0
CDM,40010037,Hc Sigmoidoscopy Flx W/Rmvl Foreign Body,3525.0,1374.75,,,0
CDM,40010038,Hc I And D Abscess Perirectal,29761.0,11606.79,,,0
CDM,40010039,Hc I And D Abscess Perianal,17535.0,6838.65,,,0
CDM,40010040,Hc I And D Hemorrhoid,2701.0,1053.39,,,0
CDM,40010042,Hc Liver Needle Biopsy Perc,9075.0,3539.25,,,0
CDM,40010047,Hc Percutaneous Cholecystostomy W S And I,10336.0,4031.04,,,0
CDM,40010055,Hc Biliary Endoscopy Wash Perc,10809.0,4215.51,,,0
CDM,40010056,Hc Biliary Endoscopy Biopsy Single/Multi,11007.0,4292.73,,,0
CDM,40010057,Hc Biliary Endoscopy Removal Calculus,32788.0,12787.32,,,0
CDM,40010058,Hc Biliary Endoscopy Dilitation W/O Stent,8658.0,3376.62,,,0
CDM,40010059,Hc Biliary Endoscopy Dilitation With Stent,9179.0,3579.81,,,0
CDM,40010061,Hc Ip Only - Pancreatitis Drain,15577.0,6075.03,,,0
CDM,40010062,Hc Pancreas Needle Biopsy Perc,5420.0,2113.8,,,0
CDM,40010065,Hc Rf Liver Ablation Perc 1 Plus Tumors,8388.0,3271.32,,,0
CDM,40010070,Hc Paracentesis Abdominal W/O Image Guidance,2934.0,1144.26,,,0
CDM,40010072,Hc Paracentesis Abdominal With Image Guidance,6217.0,2424.63,,,0
CDM,40010075,Hc Abdominal/Retroperitoneal Biopsy Perc,9155.0,3570.45,,,0
CDM,40010077,Hc Inj Air/Cst Peritoneal Cavity,6294.0,2454.66,,,0
CDM,40010078,Hc Fiducial Mrkr Intra Abd/Pelvic And Or Retro Peritoneum,6717.0,2619.63,,,0
CDM,40010079,Hc Tunnel Ip Cath Insert Complete,39721.0,15491.19,,,0
CDM,40010080,Hc Tunnel Ip Cath Insert W/Port Implant,16650.0,6493.5,,,0
CDM,40010081,Hc Insertion Tunneled Intraperitoneal Catheter For Dialysis Open,6859.0,2675.01,,,0
CDM,40010082,Hc Tunnel Ip Cath Removal,11010.0,4293.9,,,0
CDM,40010083,Hc Exchange Drainage Cath,3399.0,1325.61,,,0
CDM,40010085,Hc Assess Cyst Contrast Inj,1147.0,447.33,,,0
CDM,40010087,Hc Inj Abdominal Shunt,1389.0,541.71,,,0
CDM,40010088,Hc Gastric Tube Placement W Guidance Perc,29539.0,11520.21,,,0
CDM,40010089,Hc Duoden/Jejun Tube Placement W Guidance Perc,29539.0,11520.21,,,0
CDM,40010090,Hc Gastro Conversion To G-J Tube Perc,28841.0,11247.99,,,0
CDM,40010091,Hc Gastro/Cecostomy Tube Replacement Perc,11737.0,4577.43,,,0
CDM,40010092,Hc Duodenos/Jejunos Tube Replacement,19759.0,7706.01,,,0
CDM,40010093,Hc Gastro/Jejunostomy Tube Replacement,27403.0,10687.17,,,0
CDM,40010094,Hc G Colon Tube Fix W Device Fl Guide,4410.0,1719.9,,,0
CDM,40010095,Hc G Colon Tube Cst Inj Eval Perc,6195.0,2416.05,,,0
CDM,40010096,Hc Esophagoscopy Flexible Transoral Diagnostic,230.0,89.7,,,0
CDM,40010098,Hc Esophagoscopy Flexible Guide Wire Dilation,5697.0,2221.83,,,0
CDM,40010102,Hc Egd Transoral Biopsy Single/Multiple,3604.0,1405.56,,,0
CDM,40010104,Hc Gastro/Feeding Tube Insertion,5398.0,2105.22,,,0
CDM,40010109,Hc Egd Percutaneous Placement Gastrostomy Tube,10351.0,4036.89,,,0
CDM,40010118,Hc Ercp Procedure,11386.0,4440.54,,,0
CDM,40010119,Hc Ercp W/Biopsy Single/Multiple,15400.0,6006.0,,,0
CDM,40010130,Hc Dilation Esophagus Guide Wire,5136.0,2003.04,,,0
CDM,40010139,Hc Proctosgmdsc Rgd Dx W/Wo Collj Spec Br/Wa Spx,1236.0,482.04,,,0
CDM,40010155,Hc Endoscopic Ultrasound Lower,4463.0,1740.57,,,0
CDM,40010169,Hc Anoscopy Dx W/Collj Spec Br/Wa Spx When Prfrmd,3500.0,1365.0,,,0
CDM,40010170,Hc Incision Lingual Frenum Frenotomy,10382.0,4048.98,,,0
CDM,40040808,Hc Biopsy Vestibule Mouth,1653.0,644.67,,,0
CDM,40040830,Hc Closure Laceration Vestibule Mouth 2.5 Cm Or Less,786.0,306.54,,,0
CDM,40040831,Hc Closure Laceration Vestibule Mouth Over 2.5 Cm/Cpl,3035.0,1183.65,,,0
CDM,40041005,Hc Intraoral I And D Tongue/Floor Sublngl Supfc,730.0,284.7,,,0
CDM,40041008,Hc Intraoral I And D Tongue/Floor Submndblr Space,19410.0,7569.9,,,0
CDM,40041009,Hc Intraoral I And D Tongue/Floor Masticator Space,3632.0,1416.48,,,0
CDM,40041100,Hc Biopsy Tongue Anterior Two-Thirds,1653.0,644.67,,,0
CDM,40041108,Hc Biopsy Floor Mouth,5231.0,2040.09,,,0
CDM,40041115,Hc Excision Lingual Frenum Frenectomy,4973.0,1939.47,,,0
CDM,40041899,Hc Dentoalveolar Structures Procedure Inc Tooth Ext,1457.0,568.23,,,0
CDM,40042330,Hc Sialot Submndblr Sublngl/Prtd Uncomp Intraoral,5025.0,1959.75,,,0
CDM,40042405,Hc Biopsy Salivary Gland Incisional,8332.0,3249.48,,,0
CDM,40042800,Hc Biopsy Oropharynx,3362.0,1311.18,,,0
CDM,40042960,Hc Control Oropharyngeal Hemorrhage Simple,1487.0,579.93,,,0
CDM,40043197,Hc Esophagoscopy Flexible Transnasal Diagnostic,4242.0,1654.38,,,0
CDM,40043198,Hc Esophagoscopy Flexible Transnasal With Biopsy,4242.0,1654.38,,,0
CDM,40043220,Hc Esophagoscopy Flex Balloon Dilat Less Than 30 Mm Diam,3712.0,1447.68,,,0
CDM,40043762,Hc Gtube Perq Replcmt Not Req Revj Gstrst Trc,1876.0,731.64,,,0
CDM,40043763,Hc Gtube Perq Replcmt Req Revj Gstrst Trc,1631.0,636.09,,,0
CDM,40043870,Hc Closure Gastrostomy Surg,11288.0,4402.32,,,0
CDM,40043999,Hc Unlisted Procedure Stomach,4274.0,1666.86,,,0
CDM,40044373,Hc Enteroscopy Beyond 2Nd Prtn Conv Gstrst Tube,3836.0,1496.04,,,0
CDM,40045100,Hc Bx Anorectal Wall Anal Approach,5000.0,1950.0,,,0
CDM,40045999,Hc Rectum Surgery Procedure Unlisted,3583.0,1397.37,,,0
CDM,40046211,Hc Hemorrhoidectomy Internal Rubber Band Ligations,1361.0,530.79,,,0
CDM,40046320,Hc Exc Thrombosed Hemorrhoid Xtrnl,3158.0,1231.62,,,0
CDM,40046600,Hc Anoscopy Dx W/Collj Spec Br/Wa Spx When Prfrmd,3500.0,1365.0,,,0
CDM,40046608,Hc Anoscopy W/Rmvl Foreign Body,2705.0,1054.95,,,0
CDM,40046900,Hc Dstrj Lesion Anus Simple Chemical,874.0,340.86,,,0
CDM,40046916,Hc Dstrj Lesion Anus Simple Cryosurgery,911.0,355.29,,,0
CDM,40046946,Hc Int Hrhc By Ligation 2 Or More Hemorrhoid Without Img Gdn,5730.0,2234.7,,,0
CDM,40047383,Hc Cryo Liver Ablation Perc 1 Or More Tumors,8388.0,3271.32,,,0
CDM,40047531,Hc Cholangiogram Inj Perc Existing Access W Imag,5106.0,1991.34,,,0
CDM,40047532,Hc Cholangiogram Inj Perc New Access W Imag,5528.0,2155.92,,,0
CDM,40047533,Hc Biliary Drain Cath Plmt Ext W Imag,11299.0,4406.61,,,0
CDM,40047534,Hc Biliary Drain Cath Plmt Int/Ext W Imag,12103.0,4720.17,,,0
CDM,40047535,Hc Biliary Drain Cath Convsn Ext W Imag,8474.0,3304.86,,,0
CDM,40047536,Hc Biliary Drain Cath Exch W Imag,7478.0,2916.42,,,0
CDM,40047537,Hc Biliary Drain Cath Remvl W Imag,3335.0,1300.65,,,0
CDM,40047538,Hc Bile Duct Stent Plmt Existing W Imag,10893.0,4248.27,,,0
CDM,40047539,Hc Bile Duct Stent Plmt Wo Drn Cth New Access W Imag,12405.0,4837.95,,,0
CDM,40047540,Hc Bile Duct Stent Plmt W Drn Cth New Access W Imag,13342.0,5203.38,,,0
CDM,40047541,Hc Plmt Access Thru Biliary Tree Into Small Bwl New,10080.0,3931.2,,,0
CDM,40047542,Hc Biliary Duct/Ampulla Dilate Perc W Imag,2966.0,1156.74,,,0
CDM,40047543,Hc Biliary Tree Endoluminal Bx Perc Sgl/Mult W Imag,2345.0,914.55,,,0
CDM,40047544,Hc Removal Biliary Duct And /Glbldr Calculi Perq Rs And I,10344.0,4034.16,,,0
CDM,40047550,Hc Biliary Endoscopy Intraop Add On,2555.0,996.45,,,0
CDM,40049010,Hc Ip Only -Expl Retroperitoneum W/Wo Bx Spx,3162.0,1233.18,,,0
CDM,40049185,Hc Sclerotx Fluid Collection Perc W Imag,10097.0,3937.83,,,0
CDM,40049405,Hc Image Cath Fluid Visc Collection Perc,9655.0,3765.45,,,0
CDM,40049406,Hc Image Cath Fluid Peri/Retro Perc,9425.0,3675.75,,,0
CDM,40049407,Hc Image Cath Fluid Peri/Transvag-Rectal ?,8573.0,3343.47,,,0
CDM,40049408,Hc Repair Lip Ft Up To Half Vertical Hght,9209.0,3591.51,,,0
CDM,40049409,Hc Repair Lip Full Thkns Over 1/2 Vert Height/Complex,8127.0,3169.53,,,0
CDM,40049410,Hc Simple Cntrl Nose Bleed,4796.0,1870.44,,,0
CDM,40049999,Hc Abdomen Peritoneum And Omentum Procedure Unlisted,4654.0,1815.06,,,0
CDM,50010011,Hc Nephrostolithotomy Up To 2Cm Perc,22432.0,8748.48,,,0
CDM,50010012,Hc Renal Needle Biopsy Perc,11023.0,4298.97,,,0
CDM,50010015,Hc Ureteral Stent Exchange Perc,44352.0,17297.28,,,0
CDM,50010016,Hc Ureteral Stent Internal Removal Perc,47984.0,18713.76,,,0
CDM,50010017,Hc Transnephric Ureteral Stent Int/Ext Change W Fl,24010.0,9363.9,,,0
CDM,50010018,Hc Nephrostomy Tube Removal W Fl,8995.0,3508.05,,,0
CDM,50010019,Hc Renal/Pelvis Cyst Needle Inj/Asp Perc,9958.0,3883.62,,,0
CDM,50010031,Hc Renal Ablation Unilateral,15426.0,6016.14,,,0
CDM,50010032,Hc Ureterography/Pyelography Inj,562.0,219.18,,,0
CDM,50010033,Hc Ureterostomy Tube/Stent Change,3263.0,1272.57,,,0
CDM,50010035,Hc Ureteropyelography/Ileal Conduit Inj,1903.0,742.17,,,0
CDM,50010036,Hc Bladder Aspiration W-Supracath,8110.0,3162.9,,,0
CDM,50010038,Hc Cystogram Or Voiding Urethrocystgram Inj,2283.0,890.37,,,0
CDM,50010043,Hc Bladder Irrigation Simple,1764.5,688.155,,,0
CDM,50010044,Hc Insertion Straight Cath Bladder,945.0,368.55,,,0
CDM,50010045,Hc Insertion Foley Cath Bladder,666.5,259.935,,,0
CDM,50010046,Hc Catheterization Urethra Complex,1507.0,587.73,,,0
CDM,50010048,Hc Circumcision W/Clamp/Oth Dev W/Block,4492.0,1751.88,,,0
CDM,50010049,Hc Irrigation Corp Cavern Priapism,1692.0,659.88,,,0
CDM,50010050,Hc I And D Scrotum,18086.0,7053.54,,,0
CDM,50010053,Hc Fiducial Mrkr Placement Prostate,3344.0,1304.16,,,0
CDM,50010054,Hc I And D Vulva/Perineal Abcess,3858.0,1504.62,,,0
CDM,50010055,Hc I And D Bartholin Cyst,2050.0,799.5,,,0
CDM,50010057,Hc Insert Vag Brachytx Device,1745.0,680.55,,,0
CDM,50010058,Hc Intrauterine Device Removal,2144.0,836.16,,,0
CDM,50010060,Hc Hysterosalpingogram Cath Intro W/Saline Or Cst,2119.0,826.41,,,0
CDM,50010061,Hc Transcervical Intro Ft Cath W/Wo Hysterosalpingogram,14521.0,5663.19,,,0
CDM,50010069,Hc Amniocentesis Diagnostic Any Method,4445.0,1733.55,,,0
CDM,50010071,Hc Ld Oxytocin Stress,2646.0,1031.94,,,0
CDM,50010072,Hc Ld Non-Stress Test,3621.0,1412.19,,,0
CDM,50010074,Hc Vaginal Delivery Er,13260.0,5171.4,,,0
CDM,50010076,Hc Cystotomy Tube Change Simple,1906.5,743.5350000000001,,,0
CDM,50010078,Hc Cystotomy Tube Change Complex,10412.0,4060.68,,,0
CDM,50010079,Hc Bladder Instillation Of Chemo,1850.0,721.5,,,0
CDM,50010080,Hc Meas Post-Void Residual Urine/Bladder Cap Daily,945.0,368.55,,,0
CDM,50010082,Hc Injection Corp Cavern Priapism,1889.0,736.71,,,0
CDM,50010083,Hc External Cephalic Version,6663.0,2598.57,,,0
CDM,50020010,Hc Lithotripsy Eswl Extracorp Shock Wave,38967.0,15197.130000000001,,,0
CDM,50020014,Hc Retrocysto/Urethro Graph Injection,1757.0,685.23,,,0
CDM,50020023,Hc Cystourethroscopy,3673.5,1432.665,,,0
CDM,50020024,Hc Cystourethroscopy W Evac Clots,10182.0,3970.98,,,0
CDM,50020025,Hc Cystourethroscopy W Bladder Bx,7086.5,2763.735,,,0
CDM,50020026,Hc Cystourethroscopy W Cath W/Wo Irrigation,7384.5,2879.955,,,0
CDM,50020028,Hc Cystourethroscopy W Fulguration Bladder Neck,10182.0,3970.98,,,0
CDM,50020029,Hc Cysto W/Removal Of Lesions Small Under 0.5Cm,7384.5,2879.955,,,0
CDM,50020030,Hc Cystourethroscopy W Fulguration Tumor 0.5-2.0 Cm,10968.0,4277.5199999999995,,,0
CDM,50020031,Hc Cystourethroscopy W Fulguration Tumor 2.0-5.0 Cm,10968.0,4277.5199999999995,,,0
CDM,50020032,Hc Cystourethroscopy W Hydrodistension,7384.5,2879.955,,,0
CDM,50020035,Hc Cystourethroscopy W Calibration Urethral Stricture,5275.5,2057.445,,,0
CDM,50020037,Hc Cystourethroscopy W Inj Chemodenervation,7048.5,2748.915,,,0
CDM,50020040,Hc Cystourethroscopy W Removal Fb Simple,7268.0,2834.5199999999995,,,0
CDM,50020041,Hc Cystourethroscopy W Removal Fb Complex,9693.0,3780.27,,,0
CDM,50020043,Hc Cystourethroscopy W Removal Ureteral Calculus,10182.0,3970.98,,,0
CDM,50020044,Hc Cystourethroscopy W Insertion Ureteral Stent,12249.5,4777.305,,,0
CDM,50020046,Hc Cystourethroscopy W Tur Bladder Neck,19448.0,7584.72,,,0
CDM,50020048,Hc Meatotomy Urethral,10248.0,3996.72,,,0
CDM,50020049,Hc Bx Urethra,10248.0,3996.72,,,0
CDM,50020050,Hc Urethra Excision/Fulguration Of Carcinoma,4256.0,1659.84,,,0
CDM,50020052,Hc Exc/Fulguration Distal Urethral Polyp,7056.0,2751.84,,,0
CDM,50020053,Hc Exc/Fulguration Urethral Caruncle,4256.0,1659.84,,,0
CDM,50020055,Hc Dilation Urethral Stricture W Sound Or Dilator Male Initial,3856.0,1503.84,,,0
CDM,50020057,Hc Dilation Urethral Stricture W Sound Male W Anes,3508.0,1368.12,,,0
CDM,50020058,Hc Dilation Urethral Stricture W Fil/Fol Initial,6429.0,2507.31,,,0
CDM,50020060,Hc Dialtion Urethra Female Initial,1833.0,714.87,,,0
CDM,50020062,Hc Dilation Urethra Female W Anes,6429.0,2507.31,,,0
CDM,50020063,Hc Slitting Prepuce Dorsal/Lat Execpt Newborn,11413.0,4451.07,,,0
CDM,50020065,Hc Destruction Penis Lesion Simple Electro,6429.0,2507.31,,,0
CDM,50020066,Hc Destruction Penis Lesion Simple Surgical,7391.0,2882.49,,,0
CDM,50020067,Hc Destruction Penis Lesion Extensive,6429.0,2507.31,,,0
CDM,50020068,Hc Bx Penis,4116.0,1605.24,,,0
CDM,50020069,Hc Circumcision Age Over 28 Days,13125.0,5118.75,,,0
CDM,50020070,Hc Circumcision Post Adhesion Lysis,8464.0,3300.96,,,0
CDM,50020071,Hc Circumcision Incomplete Repair,11413.0,4451.07,,,0
CDM,50020072,Hc Penis Frenulotomy,11413.0,4451.07,,,0
CDM,50020073,Hc Aspiration Hydrocele Tunica Vaginalis W/Wo Inj,3728.5,1454.115,,,0
CDM,50020074,Hc Excision Hydrocele Unilateral,7234.0,2821.26,,,0
CDM,50020076,Hc Repair Hydrocele Tunica Vaginalis,6429.0,2507.31,,,0
CDM,50020078,Hc Exploration Scrotum,5786.0,2256.54,,,0
CDM,50020079,Hc Removal Fb Scrotum,6429.0,2507.31,,,0
CDM,50020080,Hc Vasectomy Uni/Bilateral,4999.0,1949.6100000000001,,,0
CDM,50020082,Hc Prostate Needle Biopsy Any Approach,4825.0,1881.75,,,0
CDM,50020083,Hc Male Genital System Unlisted,4265.0,1663.35,,,0
CDM,50020087,Hc Cmg W Voiding Pressure,3170.5,1236.495,,,0
CDM,50020088,Hc Cmg W Voiding Pressure/Urethral Studies,3170.5,1236.495,,,0
CDM,50020089,Hc Uroflow Complex Calibrated Electronic Equip,600.0,234.0,,,0
CDM,50020096,Hc Bx Epididymis Ndl,2013.0,785.07,,,0
CDM,50020102,Hc Emg Surface,987.0,384.93,,,0
CDM,50020103,Hc Intra Abdominal Voiding Pressure,1401.5,546.585,,,0
CDM,50020107,Hc Excision Testis Extraparenchymal Lesion,3508.0,1368.12,,,0
CDM,50020108,Hc Uroflow Simple Stop Watch/Mech Meter,703.0,274.17,,,0
CDM,50020109,Hc Cystoscopy W Ureterscopy/W Pyeloscopy/W Ureterscopy And/Or Pyeloscopy/ With Lithotripsy,20189.0,7873.71,,,0
CDM,50020110,Hc Cystoscopy W Ureteroscopy And/Or Pyeloscopy W Removal Or Manup Of Calculus,12114.0,4724.46,,,0
CDM,50020111,Hc Cystoscopy With Uretersocpy And/Or Pyeloscopy Diagnostic,11221.0,4376.19,,,0
CDM,50020116,Hc Cystourethroscopy Insj Radioact Sbst W/Wobx/Fulg,16925.0,6600.75,,,0
CDM,50050385,Hc Remove And Replace Indwell Ureteral Stent Trurthrl,2847.0,1110.33,,,0
CDM,50050386,Hc Remove Int Dwell Ureteral Stent Transurethral,6470.0,2523.3,,,0
CDM,50050391,Hc Instlj Ther Agent Renal Pelvis And/Or Ureter Via Tub,962.0,375.18,,,0
CDM,50050430,Hc Ant Nfrostogrm And Urtrgrm Inj Px New Access W Imag,2899.0,1130.61,,,0
CDM,50050431,Hc Ant Nfrostogrm And Urtrgrm Inj Px Existing Access W Imag,3904.0,1522.56,,,0
CDM,50050432,Hc Nephrostomy Cath Plmt Prq New Access Rs And I,13839.0,5397.21,,,0
CDM,50050433,Hc Nephroureteral Cath Plmt Prq New Access Rs And I,15691.0,6119.49,,,0
CDM,50050434,Hc Nephrostomy Convert Cath Pre-Exist Trk W Imag,15691.0,6119.49,,,0
CDM,50050435,Hc Nephrostomy Exchange Cath W Image,11249.0,4387.11,,,0
CDM,50050436,Hc Perq Dilation Xst Trc Endourologic Px W/Imaging,12360.0,4820.4,,,0
CDM,50050437,Hc Renal Dilitation Xst Trc New Access Coll Sys W/Imaging Perc,20797.0,8110.83,,,0
CDM,50050593,Hc Ablation Renal Tumors Perc Cryothy Unilat,30953.0,12071.67,,,0
CDM,50050606,Hc Ureter/Renal Pelvis Endoluminal Bx W Image Add On,1817.0,708.63,,,0
CDM,50050693,Hc Ureteral Stent Plmt Perc Pre-Existing Trk W Imag,15477.0,6036.03,,,0
CDM,50050694,Hc Ureteral Stent Plmt Perc Wo Neph Cath New Access W Imag,15477.0,6036.03,,,0
CDM,50050695,Hc Ureteral Stent Plmt Perc W Neph Cath New Access W Imag,16228.0,6328.92,,,0
CDM,50050705,Hc Ureteral Embolization/Occlusion W/Img Gid Rs And I,7798.0,3041.22,,,0
CDM,50050706,Hc Ureteral Strix Balloon Dilate W Imag Add On,1817.0,708.63,,,0
CDM,50051100,Hc Aspiration Bladder Needle,1515.0,590.85,,,0
CDM,50051725,Hc Simple Cystometrogram,1017.0,396.63,,,0
CDM,50051785,Hc Emg Anal Spincter,1723.0,671.97,,,0
CDM,50053060,Hc Drg Of Skene's Gland Abscess Or Cyst,6306.0,2459.34,,,0
CDM,50053450,Hc Urethromeatoplasty W/Mucosal Advancement,19448.0,7584.72,,,0
CDM,50053854,Hc Rf Prostate Tranurl Destruct Tissue Thermo,12597.0,4912.83,,,0
CDM,50053899,Hc Urinary Procedure Unlisted,13657.0,5326.23,,,0
CDM,50054050,Hc Dstrj Lesion Penis Simple Chemical,339.0,132.21,,,0
CDM,50054056,Hc Dstrj Lesion Penis Simple Cryosurgery,356.0,138.84,,,0
CDM,50054160,Hc Circumcision Neonate 28 Days Old Or Less,6385.0,2490.15,,,0
CDM,50054200,Hc Injection Peyronie Disease,1209.0,471.51,,,0
CDM,50054450,Hc Foreskin Manipulation W/Lysis,1785.0,696.15,,,0
CDM,50054500,Hc Biopsy Testis Needle Separate Procedure,13279.0,5178.81,,,0
CDM,50054700,Hc I And D Epididymis Testis And Or Scrotal Space,6470.0,2523.3,,,0
CDM,50056441,Hc Lysis Labial Adhesions,16094.0,6276.66,,,0
CDM,50056501,Hc Destruction Lesions Vulva Simple,10456.0,4077.84,,,0
CDM,50056820,Hc Colposcopy Vulva,256.0,99.84,,,0
CDM,50057061,Hc Destruction Vaginal Lesions Simple,16094.0,6276.66,,,0
CDM,50057415,Hc Removal Impacted Vag Fb Spx With Anes Oth Thn Local,9202.0,3588.78,,,0
CDM,50057460,Hc Colposcopy Cervix Vag Loop Eltrd Bx Cervix,1570.0,612.3,,,0
CDM,50058110,Hc Endometrial Bx Conjunct W/Colposcopy,383.0,149.37,,,0
CDM,50058120,Hc Dilation And Curettage Dx And Ther Nonobstetric,9679.0,3774.81,,,0
CDM,50058974,Hc Embryo Transfer Intrauterine,2561.0,998.79,,,0
CDM,50058999,Hc Female Genital Procedure Non-Ob Unlisted,11354.0,4428.06,,,0
CDM,50059000,Hc Delivery Of Placenta,17394.0,6783.66,,,0
CDM,50059012,Hc Cordocentesis,1606.0,626.34,,,0
CDM,50059015,Hc Chorionic Villus Sampling,2290.0,893.1,,,0
CDM,50059076,Hc Fetal Shunt Placement With Ultrasound Guidance,1606.0,626.34,,,0
CDM,50059300,Hc Episiotomy Vag Rpr Oth Thn Attending,9202.0,3588.78,,,0
CDM,50059812,Hc Treatment Incomplete Abortion Any Trimester Surgical,9202.0,3588.78,,,0
CDM,50059866,Hc Multifetal Pregnancy Reduction,1606.0,626.34,,,0
CDM,51010003,Hc Biopsy Vaginal Mucosa Simple,700.0,273.0,,,0
CDM,51010007,Hc Biopsy Vulva/Perineum 1 Lesion Spx,6072.0,2368.08,,,0
CDM,51010008,Hc Biopsy Vulva/Perineum Each Addl Lesion,5536.0,2159.04,,,0
CDM,51010013,Hc Insertion Of Cervical Dilator,3240.0,1263.6,,,0
CDM,51010014,Hc Colposcopy Entire Vagina W/Cervix If Present,951.0,370.89,,,0
CDM,51010015,Hc Colposcopy Entire Vagina W/Vagina/Cervix Bx,2126.0,829.14,,,0
CDM,51010016,Hc Colposcopy Cervix Upper/Adjacent Vagina,846.0,329.94,,,0
CDM,51010017,Hc Colposcopy Cervix Bx Cervix And Endocrv Curretage,418.0,163.02,,,0
CDM,51010018,Hc Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx,1000.0,390.0,,,0
CDM,51010019,Hc Colposcopy Cervix Endocervical Curettage,294.0,114.66,,,0
CDM,51010022,Hc Biopsy Cervix Single/Mult/Excision Of Lesion Spx,1283.0,500.37,,,0
CDM,51010023,Hc Endocervical Curettage Not Done As Part Of D And C,312.0,121.68,,,0
CDM,51010026,Hc Conization Cervix W/Wo D And C Rpr Eltrd Exc,2700.0,1053.0,,,0
CDM,51010033,Hc Fit And Insj Pessary/Oth Intravaginal Support Devi,473.0,184.47,,,0
CDM,514176260,BACITRACIN TOPICAL OINTMENT (WRAPPED),1.2,0.47,,,0
CDM,516705264,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION,303.6,118.4,,,0
CDM,528666541,"RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION",3023.7,1179.24,,,0
CDM,555818369,DIPHENHYDRAMINE 25 MG TABLET,0.6,0.23,,,0
CDM,561541980,ONE-STEP ONLY - PROPOFOL 10 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,592719050,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION,128.3,50.04,,,0
CDM,60010012,Hc Thyroid Needle Biopsy Perc,4223.0,1646.97,,,0
CDM,60010014,Hc Thyroid Cyst Asp And/Or Inj,4737.0,1847.43,,,0
CDM,60010017,Hc Cisternal/Lateral C1-C2 Puncture W/Injection,3248.0,1266.72,,,0
CDM,60010018,Hc Cranial Arterial Temp Balloon Occl Test,17194.0,6705.66,,,0
CDM,60010019,Hc Ip Only - Transcath Occlusion Cns/Embo,35956.0,14022.84,,,0
CDM,60010020,Hc Transcath Occlusion Head/Neck Non-Cns Embo,24999.0,9749.61,,,0
CDM,60010021,Hc Interdiscal Or Paravertebral Dx Asp Perc,3134.0,1222.26,,,0
CDM,60010022,Hc Spinal Cord Needle Biopsy Perc,9563.0,3729.57,,,0
CDM,60010023,Hc Spinal Puncture Lumbar Diagnostic,5254.0,2049.06,,,0
CDM,60010027,Hc Spinal Puncture Therapeutic By Ndl/Cath,2854.0,1113.06,,,0
CDM,60010029,Hc Inj Epidural Blood/Clot Patch,5096.0,1987.44,,,0
CDM,60010034,Hc Chemodervate Facial/Trigem/Cerv Musc Migraine,2004.0,781.56,,,0
CDM,60010036,Hc Myelogram Inj Spinal/Lumbar,6050.0,2359.5,,,0
CDM,60010041,Hc Inj Discogaphy Lumbar Ea Level,2293.0,894.27,,,0
CDM,60010043,Hc Inj Block Nerve Trigeminal W/Wo Image Guidance Each Branch,3200.0,1248.0,,,0
CDM,60010044,Hc Inj Block Other Periph Nerve/Branch,5254.0,2049.06,,,0
CDM,60010046,Hc Inj Facet Joint Cervical/Thoracic W Guidance 2Nd Level,3452.0,1346.28,,,0
CDM,60010048,Hc Inj Facet Joint Cervical/Thoracic W Guidance 3 Plus Level,1497.0,583.83,,,0
CDM,60010050,Hc Inj Block Facet Joint Cervical/Thoracic W Imag 1St Level,6972.0,2719.08,,,0
CDM,60010051,Hc Inj Block Nerve Facet Joint Lumbar/Sac W/Image Guide 1St Level,7798.0,3041.22,,,0
CDM,60010053,Hc Inj Facet Joint Lumbar/Sac W Guidance 2Nd Level,3452.0,1346.28,,,0
CDM,60010055,Hc Inj Facet Joint Lumbar/Sac W Guidance 3 Plus Level,3452.0,1346.28,,,0
CDM,60010058,Hc Celiac Plexus Destruct Neuro Agent Inj,10133.0,3951.87,,,0
CDM,60010059,Hc Procedure Nervous System Unlisted,1577.0,615.03,,,0
CDM,60010060,Hc Fb Remove Eye Superficial,815.0,317.85,,,0
CDM,60010061,Hc Fb Remove Eye Embedded,937.0,365.43,,,0
CDM,60010062,Hc Fb Remove Cornea W/O Lamp,937.0,365.43,,,0
CDM,60010063,Hc Fb Remove Cornea W Lamp,937.0,365.43,,,0
CDM,60010065,Hc Drain Abscess Eyelid,4060.0,1583.4,,,0
CDM,60010066,Hc Fb Remove Eyelid Embedded,1871.0,729.69,,,0
CDM,60010067,Hc Drain Abscess Ear Simp,2038.0,794.82,,,0
CDM,60010068,Hc Drain Abscess Ear Comp,24881.0,9703.59,,,0
CDM,60010069,Hc I And D Auditory Canal External,1822.0,710.58,,,0
CDM,60010070,Hc Fb Remove Ear,945.0,368.55,,,0
CDM,60010071,Hc Removal Impacted Cerumen Instrumentation Unilat,945.0,368.55,,,0
CDM,60020011,Hc Implant Neurostim Electrode Sacral Nerve W Image,10010.5,3904.0950000000003,,,0
CDM,60060699,Hc Endocrine System Procedure Unlisted,16120.0,6286.8,,,0
CDM,60061070,Hc Brain Canal Shunt Procedure Inj Or Asp,6429.0,2507.31,,,0
CDM,60061107,Hc Drill Insert Cerebral Monitor Device,4454.0,1737.06,,,0
CDM,60061210,Hc Ip Only - Burr Hole Implant Ventricular Cath/Othr Device,16707.0,6515.73,,,0
CDM,60061211,Hc Drill Twist Hole Skull For Drainage,16596.0,6472.44,,,0
CDM,60061645,Hc Arterial M-Thrombect And /Nfs Perq W Fl Guide,80168.0,31265.52,,,0
CDM,60061650,Hc Ip Only - Intracranial Art Prolonng Admn Non Thromblytic Rx Initial Vasc Lvl W Img Guide,79577.0,31035.03,,,0
CDM,60061651,Hc Ip Only - Intracranial Art Prolonng Admn Non Thromblytic Rx Ea Addtl Vasc Brnch W Img Guide,49189.0,19183.71,,,0
CDM,60062252,Hc Reprgrmg Programmable Cerebrospinal Shunt,5978.0,2331.42,,,0
CDM,60062264,Hc Inj Epidural Percutaneous Lysis Of Adhesions 1 Or More Sessions,6207.0,2420.73,,,0
CDM,60062281,Hc Inj/Infus Neurolyt Subst Epidural Cerv/Thoracic,6207.0,2420.73,,,0
CDM,60062282,Hc Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral,5201.0,2028.39,,,0
CDM,60062287,Hc Perc Dcmprn Nucleus Pulposus Lumbar 1 Level Or Over,10312.0,4021.68,,,0
CDM,60062302,Hc Myelography Injection Cervical,7981.0,3112.59,,,0
CDM,60062303,Hc Myelography Injection Thoracic,7981.0,3112.59,,,0
CDM,60062304,Hc Myelography Injection Lumbosacral,7981.0,3112.59,,,0
CDM,60062305,Hc Myelography Injection 2 Or More Regions,10251.0,3997.89,,,0
CDM,60062320,Hc Inj Interlaminar Cervical/Thoracic W/O Imaging,4859.0,1895.01,,,0
CDM,60062321,Hc Inj Epidural Cervical/Thoracic W Guidance,15438.0,6020.82,,,0
CDM,60062322,Hc Inj Interlaminar Or Caudal Lumbar/Sac W/O Imaging,4462.0,1740.18,,,0
CDM,60062323,Hc Inj Esi Lumbar/Sac W Guidance,4508.0,1758.12,,,0
CDM,60062325,Hc Epidural Inj Cerv/Thrc Plus Cath Plcmt W/Fluoro,15083.0,5882.37,,,0
CDM,60062327,Hc Epidural Inj Lmbr/Sac Plus Cath Plcmt W/Fluoro,16868.0,6578.52,,,0
CDM,60062328,Hc Diagnostic Lumbar Spinal Puncture W/Fluor Or Ct,5254.0,2049.06,,,0
CDM,60062329,Hc Therapeutic Spinal Pnxr Drainage Csf W/Fluor/Ct,5113.0,1994.07,,,0
CDM,60062368,Hc Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg,1293.0,504.27,,,0
CDM,60062369,Hc Elect Anlys Implt Ithcl/Edrl Pmp W/Reprg And Refil,1479.0,576.81,,,0
CDM,60062370,Hc Conization Cervix W/Wo D And C Rpr Eltrd Exc,1516.0,591.24,,,0
CDM,60063185,Hc Laminectomy W/Rhizotomy 1 Or 2 Segments,22532.0,8787.48,,,0
CDM,60063190,Hc Laminectomy W/Rhizotomy More Than 2 Segments,30207.0,11780.73,,,0
CDM,60063650,Hc Perc Implant Spinal Column Stim Electrode Array - Trial Or Perm,23232.0,9060.48,,,0
CDM,60064405,Hc Inj Block Nerve Occipita W/Image Guidance,2010.0,783.9,,,0
CDM,60064408,Hc Injection Aa And/Or Strd Vagus Nerve,1037.0,404.43,,,0
CDM,60064415,Hc Inj Block Nerve Brachial Plexas Single W/Imag,5703.0,2224.17,,,0
CDM,60064416,Hc Inj Block Nerve Brachial Plexus Cont Inf Cath W/Imag,6207.0,2420.73,,,0
CDM,60064417,Hc Inj Block Nerve Axillary W/Imag,8466.0,3301.74,,,0
CDM,60064418,Hc Inj Block Nerve Suprascapular W/Image Guidance,6731.0,2625.09,,,0
CDM,60064420,Hc Inj Block Nerve Intercostal Single Lvl Wo Imag 1St Level,5790.0,2258.1,,,0
CDM,60064421,Hc Inj Block Nerve Intercostal Ea Addl Lvl,9075.0,3539.25,,,0
CDM,60064425,Hc Inj Block Nerve Ilionguinal/Iliohypogastric W/Image Guidance,4859.0,1895.01,,,0
CDM,60064430,Hc Inj Block Nerve Pudendal,6207.0,2420.73,,,0
CDM,60064445,Hc Inj Block Nerve Sciatic W/Imag,7357.0,2869.23,,,0
CDM,60064446,Hc Inj Block Nerve Sciatic Cont Infusion W/Imag,8860.0,3455.4,,,0
CDM,60064447,Hc Inj Block Nerve Femoral W/Imag,7353.0,2867.67,,,0
CDM,60064448,Hc Inj Block Nerve Femoral Cont Infusion W/Imag,10376.0,4046.64,,,0
CDM,60064449,Hc Inj Block Nerve Lumbar Plexus Post Cont Inf Cath,6207.0,2420.73,,,0
CDM,60064451,Hc Inj Block Nerve Si Joint W/Image Guidance,4635.0,1807.65,,,0
CDM,60064454,Hc Inj Block Nerve Genicular Branches W/Image Guidance,4635.0,1807.65,,,0
CDM,60064455,Hc Inj/Nerve Block Plantar Digit,2607.0,1016.73,,,0
CDM,60064461,Hc Inj Block Nerve Paravetebral Thoracic W/Image 1St Site,6272.0,2446.08,,,0
CDM,60064462,Hc Paraverteral Blk Thoracic 2Nd Plus Inj Site W Imag,10406.0,4058.34,,,0
CDM,60064463,Hc Paravertebral Thoracic Cont Infus Cath W Imag,6939.0,2706.21,,,0
CDM,60064479,Hc Inj Epidural Transforaminal Cervical/Throacic W Imag 1St Level,6207.0,2420.73,,,0
CDM,60064480,Hc Njx Anes And Strd W Img Tfrml Edrl Crv Thrc Ea Addl Lv,2070.0,807.3,,,0
CDM,60064483,Hc Inj Epidural Transforaminal Lumbar/Sac W Imag 1St Level,10707.0,4175.73,,,0
CDM,60064484,Hc Inj Epidural Foramen Lumbar/Sac Ea Addl,5195.0,2026.05,,,0
CDM,60064485,Hc Removal Impacted Cerumen Irrigation/Lvg Unilat,384.0,149.76,,,0
CDM,60064488,Hc Tap Block Bilateral By Injections,9086.0,3543.54,,,0
CDM,60064505,Hc Inj Block Nerve Sphenopalatine Ganglion,2010.0,783.9,,,0
CDM,60064510,Hc Inj Block Nerve Stellate Ganglion,5702.0,2223.78,,,0
CDM,60064517,Hc Inj Block Nerve Superior Hypogastric Plexus,6207.0,2420.73,,,0
CDM,60064520,Hc Inj Block Nerve Lumbar/Thoracic Sympathetic,6207.0,2420.73,,,0
CDM,60064530,Hc Inj Block Nerve Celiac Plexus W/Wo Image Guidance,6462.0,2520.18,,,0
CDM,60064555,Hc Prq Impltj Neurostimulator Eltrd Peripheral Nrv,980.0,382.2,,,0
CDM,60064566,Hc Post Tib Neurostimulation Prq Needle Electrode,1226.0,478.14,,,0
CDM,60064585,Hc Revj/Rmvl Perph Neurostimulator Electrode Array,10534.0,4108.26,,,0
CDM,60064600,Hc Inj/Rf Trigeminal Facial,6207.0,2420.73,,,0
CDM,60064605,Hc Dstrj Neurolytic Trigem Nrv 2/3 Div Branch,11630.0,4535.7,,,0
CDM,60064610,Hc Dstrj Neurlytic Trigem Nrv 2/3 Branch W Imag,11630.0,4535.7,,,0
CDM,60064611,Hc Chemodenerv Parotid And Submandibl Salivary Glnds,1103.0,430.17,,,0
CDM,60064612,Hc Inj Nerve Facial Muscles - Botox Or Other Med,2010.0,783.9,,,0
CDM,60064616,Hc Inj Muscles Neck - Botox Or Other Med,2010.0,783.9,,,0
CDM,60064617,Hc Chemodenervation Muscle Larynx Unilat W/Emg,980.0,382.2,,,0
CDM,60064620,Hc Destruction Neurolytic Agent Intercostal Nerve,2822.0,1100.58,,,0
CDM,60064624,Hc Inj Neuro Agt Destruct Genicular Nrv W/Img,12736.0,4967.04,,,0
CDM,60064625,Hc Ablation Nerve Rf Si Jt W/Image Guidance,12736.0,4967.04,,,0
CDM,60064630,Hc Dstrj Neurolytic Agent Pudendal Nerve,5496.0,2143.44,,,0
CDM,60064632,Hc Dstry Neurolytic Planter Common Dig Nerve,1694.0,660.66,,,0
CDM,60064633,Hc Inj/Rf Facet Joint Cervical/Thoracic W Guidance Single,11093.0,4326.27,,,0
CDM,60064634,Hc Inj/Rf Facet Joint Cervical/Thoracic W Guidance Ea Addl,3696.0,1441.44,,,0
CDM,60064635,Hc Inj/Rf Facet Lumbar/Sacral W Guidance Single,11093.0,4326.27,,,0
CDM,60064636,Hc Inj/Rf Facet Lumbar/Sacral W Guidance Ea Addl,3696.0,1441.44,,,0
CDM,60064640,Hc Inj/Rf Nerve Peripheral Other,6088.0,2374.32,,,0
CDM,60064642,Hc Chemodenervation One Extremity 1-4 Muscle,4859.0,1895.01,,,0
CDM,60064643,Hc Chemodenervation 1 Extremity Ea Addl 1-4 Muscle,1620.0,631.8,,,0
CDM,60064644,Hc Chemodenervation 1 Extremity 5 Or More Muscles,4859.0,1895.01,,,0
CDM,60064645,Hc Chemodenervation 1 Extremity Ea Addl Muscles 5 Or Over,1620.0,631.8,,,0
CDM,60064646,Hc Inj Nerve Trunk 1 - 5 Muscles - Botox Or Other Med,4859.0,1895.01,,,0
CDM,60064647,Hc Inj Muscles Trunk 6 Or More - Botox Or Other Med,5060.0,1973.4,,,0
CDM,60064650,Hc Chemodenervation Eccrine Glands Both Axillae,1338.0,521.82,,,0
CDM,60064653,Hc Chemodenervation Eccrine Glands Oth Area Per Day,1338.0,521.82,,,0
CDM,60065286,Hc Rpr Lac Appl Tissue Glue Wound Cornea And Or Sclera,7547.0,2943.33,,,0
CDM,60065400,Hc Excision Lesion Cornea Xcp Pterygium,7547.0,2943.33,,,0
CDM,60065435,Hc Rmvl Corneal Epithelium With Or Withoout Chemocauterization,3015.0,1175.85,,,0
CDM,60065436,Hc Rmvl Corneal Epithelium With Appl Chelating Agent,7226.0,2818.14,,,0
CDM,60065600,Hc Multiple Punctures Anterior Cornea,4721.0,1841.19,,,0
CDM,60065778,Hc Place Amniotic Membra Ocular Surface Without Sutures,1571.0,612.69,,,0
CDM,60065800,Hc Paracentsis Ant Chamb Eye Aspir Aqueous Spx,4427.0,1726.53,,,0
CDM,60065855,Hc Trabeculoplasty By Laser Surgery,1983.0,773.37,,,0
CDM,60066020,Hc Injection Anterior Chamber Eye Air Or Liquid Spx,6671.0,2601.69,,,0
CDM,60066710,Hc Ciliary Body Dstruction Cyclophotocoag Transsceral,862.0,336.18,,,0
CDM,60066761,Hc Iridotomy/Irridectomy Laser Surg Per Session,1346.0,524.94,,,0
CDM,60066762,Hc Iridoplasty Photocoagulation 1 Or More Sessions,862.0,336.18,,,0
CDM,60066821,Hc Post-Cataract Laser Surgery,1851.0,721.89,,,0
CDM,60067015,Hc Aspiration/Release Vitreous Subretinal/Choroidal,7634.0,2977.26,,,0
CDM,60067028,Hc Intravitreal Injection Pharmacologic Agt Spx,1820.0,709.8,,,0
CDM,60067110,Hc Rpr Retinal Dtchmnt Injection Air/Other Gas,7079.0,2760.81,,,0
CDM,60067141,Hc Proph Retinal Dtchmnt Withoout Drg Crtx Diathermy,543.0,211.77,,,0
CDM,60067145,Hc Proph Retinal Dtchmnt W/O Drg Photocoagulation,1743.0,679.77,,,0
CDM,60067210,Hc Dstruction Loclzd Lesion Retina 1 Or More Sess Pc,1727.0,673.53,,,0
CDM,60067220,Hc Destruction Lesion Choroid Pc 1 Or More Sessions,1852.0,722.28,,,0
CDM,60067228,Hc Treatment Extensive Retinopathy Photocoagulation,3034.0,1183.26,,,0
CDM,60067500,Hc Retrobulbar Injection Medication Spx,724.0,282.36,,,0
CDM,60067515,Hc Injection Medication Or Other Subst Tenon Capsule,1718.0,670.02,,,0
CDM,60067516,Hc Suprachoroidal Space Injection Pharmacologic Agent,1163.0,453.57,,,0
CDM,60067715,Hc Canthotomy Separate Procedure,9307.0,3629.73,,,0
CDM,60067800,Hc Excision Chalazion Single,3574.0,1393.86,,,0
CDM,60067801,Hc Excision Chalazion Multiple Same Lid,4881.0,1903.59,,,0
CDM,60067805,Hc Excision Chalazion Multiple Different Lids,2840.0,1107.6,,,0
CDM,60067810,Hc Incisional Biopsy Eyelid Skin And Lid Margin,9172.0,3577.08,,,0
CDM,60067820,Hc Correction Trichiasis Epilation Forceps Only,207.0,80.73,,,0
CDM,60067825,Hc Correction Trichiasis Epilation Oth Than Forceps,898.0,350.22,,,0
CDM,60067830,Hc Correction Trichiasis Inccision Lid Margin,2456.0,957.84,,,0
CDM,60067840,Hc Temporary Closure Eyelids Suture,2840.0,1107.6,,,0
CDM,60067875,Hc Temporary Closure Eyelids Suture,2840.0,1107.6,,,0
CDM,60067880,Hc Constion Intermargin Adhes Tarsorrh Canthorrhapy,4317.0,1683.63,,,0
CDM,60067882,Hc Constion Intermargin Adhes Tarsor Canthor With Trpos,1727.0,673.53,,,0
CDM,60067900,Hc Repair Brow Ptosis,6054.0,2361.06,,,0
CDM,60067904,Hc Rpr Blepharoptosis Levator Rescection Advmnt External,7875.0,3071.25,,,0
CDM,60067908,Hc Rpr Blpos Conjunctivo Tarso Musc Levator Resection,6878.0,2682.42,,,0
CDM,60067911,Hc Correction Lid Retraction,4245.0,1655.55,,,0
CDM,60067914,Hc Repair Ectropion Suture,7356.0,2868.84,,,0
CDM,60067917,Hc Repair Ectropion Extensive,6537.0,2549.43,,,0
CDM,60067921,Hc Repair Entropion Suture,6878.0,2682.42,,,0
CDM,60067924,Hc Repair Entropion Extensive,6813.0,2657.07,,,0
CDM,60067930,Hc Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick,7480.0,2917.2,,,0
CDM,60067935,Hc Suture Wound Eyelid/Margin/Tarsus/Conjunctiva Full Thick,10007.0,3902.73,,,0
CDM,60067961,Hc Excision And Repair Eyelid Upto One-Fourth Lid Margin,6615.0,2579.85,,,0
CDM,60067973,Hc Rcnstruction Eyelid Full Thickness Lower Eyelid 1 Stg,7145.0,2786.55,,,0
CDM,60067975,Hc Rcnstruction Eyelid Full Thickness Second Stage,6125.0,2388.75,,,0
CDM,60068100,Hc Biopsy Conjunctiva,1314.0,512.46,,,0
CDM,60068110,Hc Excision Lesion Conjunctiva Less Than 1 Cm,2720.0,1060.8,,,0
CDM,60068115,Hc Excision Lesion Conjunctiva Over 1 Cm,6878.0,2682.42,,,0
CDM,60068200,Hc Subconjunctival Injection,1269.0,494.91,,,0
CDM,60068420,Hc Incision Drainage Lacrimal Sac,6546.0,2552.94,,,0
CDM,60068440,Hc Snip Incision Lacrimal Punctum,6293.0,2454.27,,,0
CDM,60068510,Hc Biopsy Lacrimal Gland,6878.0,2682.42,,,0
CDM,60068700,Hc Plastic Repair Canaliculi,10007.0,3902.73,,,0
CDM,60068760,Hc Clsr Lacrimal Punctum Thermocaut Lig Or Laser,892.0,347.88,,,0
CDM,60068761,Hc Close Tear Duct Opening By Plug,810.0,315.9,,,0
CDM,60068801,Hc Dilation Lacrimal Punctum With Or Withouto Irrgation,207.0,80.73,,,0
CDM,60068810,Hc Probe Nasolacrimal Duct W/Wo Irrigation,928.0,361.92,,,0
CDM,60068815,Hc Probe Nasolacrimal Duct W/Wo Irrg Insj Tube/Stnt,7443.0,2902.77,,,0
CDM,60068840,Hc Probe Lacrimal Canaliculi W/Wo Irrigation,928.0,361.92,,,0
CDM,60068850,Hc Injection Contrast Medium Dacryocystograpy,1293.0,504.27,,,0
CDM,60069100,Hc Biopsy External Ear,1068.0,416.52,,,0
CDM,60069145,Hc Excision Soft Tis Lesion External Auditory Canal,4280.0,1669.2,,,0
CDM,60069205,Hc Rmvl Fb Xtrnl Auditory Canal Anes,4067.0,1586.13,,,0
CDM,60069220,Hc Debridement Mastoidectomy Cavity Simple,298.0,116.22,,,0
CDM,60069222,Hc Debridement Mastoidectomy Cavity Cmplx,10058.0,3922.62,,,0
CDM,60069420,Hc Myringotomy Aspir And/Or Eustachian Tube Nfltj,1578.0,615.42,,,0
CDM,60069433,Hc Tympanostomy Local/Topical Anesthesia,2337.0,911.43,,,0
CDM,60069801,Hc Labyrinthotomy Transcanal,7703.0,3004.17,,,0
CDM,60164486,Hc Inj Block Nerve Tap Proc Unilateral W/Image Guide,8601.0,3354.39,,,0
CDM,61010001,Hc Inj Block Nerve Paracervical,5931.0,2313.09,,,0
CDM,611602501,DIBUCAINE 1 % TOPICAL OINTMENT,42.1,16.42,,,0
CDM,62400100,Hc Humanitarian Device,2910.06,1134.92,,,0
CDM,62400278,Hc Miscellaneous Investigational Device/Service,67668.8,26390.83,,,0
CDM,628142830,OXYMETAZOLINE 0.05 % NASAL MIST,19.4,7.57,,,0
CDM,633229169,CYCLOBENZAPRINE 10 MG TABLET,4.8,1.87,,,0
CDM,633229170,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,4.8,1.87,,,0
CDM,66066030,Hc Injx Anterior Chamber Eye Medication Spx,2621.0,1022.19,,,0
CDM,672859259,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION,19.1,7.45,,,0
CDM,673798990,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,41.0,15.99,,,0
CDM,673798998,CEPHALEXIN 250 MG CAPSULE,5.2,2.03,,,0
CDM,682720692,TRAMADOL 50 MG TABLET,4.8,1.87,,,0
CDM,686596235,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION,584.2,227.84,,,0
CDM,70000442,Hc Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv,18836.0,7346.04,,,0
CDM,70000505,Hc Fl Ev Fempop Artl Revsc Tcat Plmt Iv St Grf And Clsr,36135.0,14092.65,,,0
CDM,70000524,Hc Cath Ev Dir Chem Abl Incmptnt Extr Vein,9126.0,3559.14,,,0
CDM,70002083,Hc Adjustment Gastric Band,1286.0,501.54,,,0
CDM,70010038,Hc Ct Perfusion W/Contrast Cbf,3935.0,1534.65,,,0
CDM,70010042,Hc Dx X-Ray - Transfer Rule,585.25,228.25,,,0
CDM,70010044,Hc Dx X-Ray/Chest - Transfer Rule,367.6,143.36,,,0
CDM,70010052,Hc Peri Vascular Lab- Tranfer Rule,2433.0,948.87,,,0
CDM,70010056,Hc Ultrasound - Transfer Rule,1145.4,446.71,,,0
CDM,70020010,Hc Fl Myelogram Posterior Fossa,1887.0,735.93,,,0
CDM,70020133,Hc Myelogram 2 Regions,2265.0,883.35,,,0
CDM,70020216,Hc Peritoneogram,573.0,223.47,,,0
CDM,70020239,Hc Transhepatic Dilation Of Biliary Duct Stricture W-W/O Stent Percu,2827.0,1102.53,,,0
CDM,70020255,Hc Radex Renal Cyst Study Translumbar Rs And I,660.0,257.4,,,0
CDM,70020258,Hc Dilitation Of Ureters Or Urethra,2107.0,821.73,,,0
CDM,70020270,Hc Transcervical Cath Fallopian Tube/ Recanalization,1563.0,609.57,,,0
CDM,70020278,Hc Aortagraphy Thoracic By Serialography Contrast,7549.0,2944.11,,,0
CDM,70020279,Hc Aortography Abdominal By Serialography,6400.0,2496.0,,,0
CDM,70020281,Hc Aortography Abdominal Plus Bilat Iliofemoral Lower Ext W-Run Off,6762.0,2637.18,,,0
CDM,70020300,Hc Angiography Spinal Selective,7549.0,2944.11,,,0
CDM,70020301,Hc Angiography Extremity Unilateral,5054.0,1971.06,,,0
CDM,70020303,Hc Angiography Extremity Bilateral,6550.0,2554.5,,,0
CDM,70020305,Hc Angiography Visceral Selective Or Supra W-W/O Flush Aortogram,7549.0,2944.11,,,0
CDM,70020306,Hc Angiography Adrenal Unilatal Selective,6319.0,2464.41,,,0
CDM,70020307,Hc Angiography Adrenal Bilatal Selective,6669.0,2600.91,,,0
CDM,70020308,Hc Angiography Pelvic Selective-Supraselective,7549.0,2944.11,,,0
CDM,70020310,Hc Angiography Pulmonary Unilatal Selective,7492.0,2921.88,,,0
CDM,70020312,Hc Angiography Pulmonary Bilatal Selective,8699.0,3392.61,,,0
CDM,70020314,Hc Angiography Pulmonary Nonselective Cath Or Venous Inj,5483.0,2138.37,,,0
CDM,70020316,Hc Angiography Internal Mammary,5481.0,2137.59,,,0
CDM,70020317,Hc Angiography Selective Ea Additional Vessel,5072.0,1978.08,,,0
CDM,70020320,Hc Lymphangiography Extremity Unilateral,1764.0,687.96,,,0
CDM,70020321,Hc Fl Lymphangio Pelvic Abdominal Unilat W S And I,6519.0,2542.41,,,0
CDM,70020322,Hc Fl Lymphangio Pelvic Abdominal Bilat W S And I,4552.0,1775.28,,,0
CDM,70020326,Hc Venography Extremity Unilateral,1838.5,717.015,,,0
CDM,70020328,Hc Fl Venography Extremity Bilateral,1550.5,604.6949999999999,,,0
CDM,70020330,Hc Venography Caval Inferior W Serialography,5115.0,1994.85,,,0
CDM,70020332,Hc Venography Caval Superior W Serialography,5537.0,2159.43,,,0
CDM,70020335,Hc Venography Renal Bilateral,6726.0,2623.14,,,0
CDM,70020336,Hc Venography Adrenal Unilateral Selective,4552.0,1775.28,,,0
CDM,70020337,Hc Venography Adrenal Bilateral Selective,7549.0,2944.11,,,0
CDM,70020338,Hc Venography Venous Sinus Or Jugular Catheter,5054.0,1971.06,,,0
CDM,70020340,Hc Transhepatic Port W/O Hemodynamic Eval Percutaneous,5169.0,2015.91,,,0
CDM,70020341,Hc Hepatic Venography W Hemodynamic Eval,6263.0,2442.57,,,0
CDM,70020342,Hc Hepatic Venography W/O Hemodynamic Eval,6169.0,2405.91,,,0
CDM,70020343,Hc Venous Sampling Through Cath W-W/O Angiography,7549.0,2944.11,,,0
CDM,70020345,Hc Transcath Therapy/Embolization Any Method,11584.0,4517.76,,,0
CDM,70020350,Hc Iliac Atherectomy Each Vessel,29371.0,11454.69,,,0
CDM,70020351,Hc Cvd Pericath Obstruction Mechanical Removal,13977.0,5451.03,,,0
CDM,70020352,Hc Cvd Intracath Obstruction Mechanical Removal,14124.0,5508.36,,,0
CDM,70020361,Hc Ip Only - Endovasc Thoracic Aorta/Not Lt Subclavian Repair,20488.0,7990.32,,,0
CDM,70020366,Hc Ip Only - Extracranial Vert Artery Stent Initial Pta,43909.0,17124.51,,,0
CDM,70020367,Hc Fl Ip Only -S And I For Trans Cath Stent Plcmnt Extra Cranial Vert Art Ea Addl,22500.0,8775.0,,,0
CDM,70020375,Hc Transcather Biopsy,5059.0,1973.01,,,0
CDM,70020380,Hc Fl Change Percutaneous Tube/Drainage Cath With Contrast Rs And I,1824.0,711.36,,,0
CDM,70020382,Hc Rad Guidance Prq Drg W/Plmt Cath,2856.0,1113.84,,,0
CDM,70020393,Hc Io Radiation Tx Delivery By Xray Sngl Tx,30480.0,11887.2,,,0
CDM,70020394,Hc Radiation Implant Secure System,380.59000000000003,148.43,,,0
CDM,70020402,Hc Radiation Therapy Simulation Simple 76,1341.0,522.99,,,0
CDM,70020403,Hc Radiation Therapy Simulation Simple,1341.0,522.99,,,0
CDM,70020404,Hc Radiation Therapy Simulation Intermediate,2169.0,845.91,,,0
CDM,70020405,Hc Radiation Therapy Simulation Complex 76,2619.0,1021.41,,,0
CDM,70020406,Hc Radiation Therapy Simulation Complex,2619.0,1021.41,,,0
CDM,70020408,Hc Radiation Therapy Simulation 3 Dimensional,11981.0,4672.59,,,0
CDM,70020409,Hc Basic Radiation Dosimetry Calculation 59,1018.0,397.02,,,0
CDM,70020411,Hc Basic Radiation Dosimetry Calculation,1018.0,397.02,,,0
CDM,70020412,Hc Intensity Modulated Radiotherapy Plan,13046.0,5087.94,,,0
CDM,70020416,Hc Special Teletherapy Port Plan Total Body,1787.0,696.93,,,0
CDM,70020423,Hc Microdosimetry,906.0,353.34,,,0
CDM,70020427,Hc Treatment Device Simple,1028.0,400.92,,,0
CDM,70020431,Hc Treatment Device Intermediate,1060.0,413.4,,,0
CDM,70020432,Hc Treatment Devices Complex Blocks 76,1991.0,776.49,,,0
CDM,70020433,Hc Treatment Devices Complex Blocks,1991.0,776.49,,,0
CDM,70020434,Hc Treatment Device Complex 76,1991.0,776.49,,,0
CDM,70020435,Hc Treatment Device Complex,1991.0,776.49,,,0
CDM,70020436,Hc Continuing Medical Physics Consult,1256.0,489.84,,,0
CDM,70020437,Hc Radiation Therapy Mlc Device Design Imrt,11948.0,4659.72,,,0
CDM,70020438,Hc Special Medical Radiation Physics Consult,1225.0,477.75,,,0
CDM,70020439,Hc Radiation Tmt Delivery Special,659.0,257.01,,,0
CDM,70020452,Hc Therapeutic Radiology Port Films,961.0,374.79,,,0
CDM,70020458,Hc Radiation Thy Special Treatment Procedure,3887.0,1515.93,,,0
CDM,70020459,Hc Intracavitary Radiation Source Applic Simple,3432.0,1338.48,,,0
CDM,70020460,Hc Intracavitary Radiation Source Applic Intermed,3432.0,1338.48,,,0
CDM,70020461,Hc Intracavitary Radiation Source Applic Complex,4655.0,1815.45,,,0
CDM,70020464,Hc Interstitial Radiation Source App Complex,7451.0,2905.89,,,0
CDM,70020470,Hc Radiation Source Surface Application,645.0,251.55,,,0
CDM,70020471,Hc Handling/Loading Radioelement,851.0,331.89,,,0
CDM,70020472,Hc Sacroplasty Perc Uni,40229.0,15689.31,,,0
CDM,70020473,Hc Sacroplasty Perc Bilat,44157.0,17221.23,,,0
CDM,70020478,Hc Placement Occlusive Device Vein Or Artery,4446.0,1733.94,,,0
CDM,70020543,Hc Vl Us 3-D Rendering Independent Station,1573.0,613.47,,,0
CDM,70020600,Hc Us Prostate Volume Study/Brachytherapy Treatment Planning,674.0,262.86,,,0
CDM,70020607,Hc Venography Renal Unilateral,5146.0,2006.94,,,0
CDM,70020611,Hc Transhepatic Port W Hemodynamic Eval Percutaneous,6047.0,2358.33,,,0
CDM,70020695,Hc Ct Fiducial Marker Placement Other,6089.0,2374.71,,,0
CDM,70020715,Hc Us Doppler Velocimetry Fetal/ Middle Cerebral Artery,659.0,257.01,,,0
CDM,70020719,Hc Fetal Fluid Drainage W/Ultrasound Guidance,1606.0,626.34,,,0
CDM,70020720,Hc Amniocentesis Ther Amniotic Fluid Reduction Us Guid,1163.0,453.57,,,0
CDM,70020721,Hc Transfusion Intrauterine Fetal,6601.0,2574.39,,,0
CDM,70020729,Hc Vascular Surgical Procedure,22764.0,8877.96,,,0
CDM,70073101,Hc Endovenous Rf 1St Vein,20034.0,7813.26,,,0
CDM,70073102,Hc Endovenous Rf Vein Add-On,9576.0,3734.64,,,0
CDM,70073103,Hc Srs-Complete Stereo Guided Cranial Only,46927.0,18301.53,,,0
CDM,70073104,Hc Stereotactic Body Radiation Delivery 1 Or More Lesions,37408.0,14589.12,,,0
CDM,70074235,Hc Fl Remove Esophageal Obstr W/Use Balloon Cath Rs And I,7265.0,2833.35,,,0
CDM,70074283,Hc Fl Xr Colon Thy Enema Reduction Intus/Obstr Contrast Or Air,2890.0,1127.1,,,0
CDM,70074301,Hc Fl Xr Cholangio And /Pancreatography Addl Set Intraop Rs,865.0,337.35,,,0
CDM,70074329,Hc Fl Xr Endoscopic Cathj Pancreatic Ductal Sys Rs And I,943.0,367.77,,,0
CDM,70074355,Hc Fl Xr Percutaneous Placement Enteroclysis Tube Rs And I,1755.0,684.45,,,0
CDM,70074360,Hc Fl Intraluminal Dilation Strictures And /Obstrcjs Rs And I,1174.0,457.86,,,0
CDM,70075600,Hc Thoracic Aortogram Wo Serial Ography,5494.0,2142.66,,,0
CDM,70075803,Hc Lymph Vessel X-Ray Arms Or Legs,588.0,229.32,,,0
CDM,70075870,Hc Venography Skull Superior Sagittal Sinus,6258.0,2440.62,,,0
CDM,70075956,Hc Ip Only - Evasc Rpr Descnd Thorcic Aorta Subclav Orig Rad Sup And Interp,13492.0,5261.88,,,0
CDM,70076499,Hc Unlisted Diagnostic Radiographic Procedure,375.0,146.25,,,0
CDM,70077371,Hc Radiation Delivery Stereotactic Cranial Cobalt,24805.0,9673.95,,,0
CDM,70077372,Hc Tb Srs-Complete Stero Guided Cranial Only,46927.0,18301.53,,,0
CDM,70077373,Hc Sbrt 1St Fx/Trmt,37408.0,14589.12,,,0
CDM,70100010,Hc Xr Eye Foreign Body,338.0,131.82,,,0
CDM,70100011,Hc Xr Mandible Limited Under 4 Views,306.5,119.535,,,0
CDM,70100012,Hc Xr Mandible Complete 4 Plus Vw,526.0,205.14000000000001,,,0
CDM,70100013,Hc Xr Mastoids Limited Under 3 Views,162.5,63.375,,,0
CDM,70100014,Hc Xr Mastoid Complete 3 Plus Vw Ea Side,416.5,162.435,,,0
CDM,70100015,Hc Xr Facial Bones Under 3 Views,366.5,142.935,,,0
CDM,70100016,Hc Xr Facial Bones Complete 3 Plus Vw,518.0,202.02,,,0
CDM,70100017,Hc Xr Nasal Bones Complete 3 Plus Vw,366.5,142.935,,,0
CDM,70100018,Hc Xr Orbits Complete 4 Plus Vw,480.0,187.20000000000002,,,0
CDM,70100019,Hc Xr Sinuses Paranasal Limited Under 3 Views,312.5,121.875,,,0
CDM,70100020,Hc Xr Sinuses Paranasal Complete 3 Plus Vw,514.0,200.46,,,0
CDM,70100021,Hc Xr Sella Turcia,316.5,123.435,,,0
CDM,70100022,Hc Xr Skull Limited Under 4 Views,387.5,151.125,,,0
CDM,70100023,Hc Xr Skull Complete 4 Plus Vw,561.0,218.79000000000002,,,0
CDM,70100024,Hc Xr Tmj Unilateral,341.0,132.99,,,0
CDM,70100025,Hc Xr Tmj Bilateral,380.5,148.395,,,0
CDM,70100026,Hc Xr Orthopantogram,350.5,136.695,,,0
CDM,70100027,Hc Xr Neck Soft Tissue,291.5,113.685,,,0
CDM,70100036,Hc Xr Ribs Unilateral 2Vw,396.5,154.63500000000002,,,0
CDM,70100037,Hc Xr Ribs Unilateral Plus Pa Chest 3Vw Min,452.0,176.28,,,0
CDM,70100038,Hc Xr Ribs Bilateral 3Vw,458.0,178.62,,,0
CDM,70100039,Hc Xr Ribs Bilateral Plus Pa Chest 4 Plus Vw,470.5,183.495,,,0
CDM,70100040,Hc Xr Sternum 2 Plus Vw,429.0,167.31,,,0
CDM,70100041,Hc Xr Sternoclavicular Jonts 3 Plus Vw,692.5,270.075,,,0
CDM,70100043,Hc Xr Spine Specify Level 1Vw,266.0,103.74,,,0
CDM,70100044,Hc Xr Spine Cervical Ap Plus Lat 2-3Vw,450.5,175.69500000000002,,,0
CDM,70100045,Hc Xr Spine Cervical 4 Plus Vw,595.5,232.245,,,0
CDM,70100046,Hc Xr Spine Cervical Complete 6 Or More Views,663.0,258.57,,,0
CDM,70100048,Hc Xr Spine Thoracic 2Vw,448.5,174.91500000000002,,,0
CDM,70100049,Hc Xr Spine Thoracic 3Vw,526.0,205.14000000000001,,,0
CDM,70100050,Hc Xr Spine Thoracolumbar 2Vw,422.5,164.775,,,0
CDM,70100051,Hc Xr Spine Lumbosacral 2-3Vw,470.5,183.495,,,0
CDM,70100052,Hc Xr Spine Lumbosacral 4 Plus Vw,681.0,265.59,,,0
CDM,70100053,Hc Xr Spine Lumbosacral Complete W/Bend 6 Plus Vw,691.0,269.49,,,0
CDM,70100054,Hc Xr Spine Lumbosacral/Bending Only 2-3Vw,471.5,183.88500000000002,,,0
CDM,70100055,Hc Xr Pelvis 1-2Vw,343.5,133.965,,,0
CDM,70100056,Hc Xr Pelvis Complete 3 Plus Vw,371.5,144.88500000000002,,,0
CDM,70100057,Hc Xr Sacroiliac Joints 3 Plus Vw,387.5,151.125,,,0
CDM,70100058,Hc Xr Sacrum Plus Coccyx 2 Plus Vw,400.5,156.19500000000002,,,0
CDM,70100059,Hc Xr Clavicle Complete,342.5,133.57500000000002,,,0
CDM,70100060,Hc Xr Scapula Complete,338.5,132.01500000000001,,,0
CDM,70100061,Hc Xr Shoulder 1Vw,291.0,113.49,,,0
CDM,70100062,Hc Xr Shoulder Complete 2 Plus Vw,387.5,151.125,,,0
CDM,70100063,Hc Xr Acromioclavicular Joints Bilateral W Or W/O Wt Distraction,380.5,148.395,,,0
CDM,70100064,Hc Xr Humerus 2 Plus Vw,334.0,130.26,,,0
CDM,70100065,Hc Xr Elbow 2Vw,280.0,109.2,,,0
CDM,70100066,Hc Xr Elbow Complete 3 Plus Vw,367.5,143.32500000000002,,,0
CDM,70100067,Hc Xr Forearm 2 Plus Vw,338.5,132.01500000000001,,,0
CDM,70100068,Hc Xr Upper Extremity Infant 2 Views Or Over,351.5,137.085,,,0
CDM,70100069,Hc Xr Wrist 2Vw,286.0,111.53999999999999,,,0
CDM,70100070,Hc Xr Wrist Complete 3 Plus Vw,334.0,130.26,,,0
CDM,70100071,Hc Xr Hand 2Vw,337.5,131.625,,,0
CDM,70100072,Hc Xr Hand 3 Plus Vw,371.5,144.88500000000002,,,0
CDM,70100073,Hc Xr Fingers 2 Vw Min,266.0,103.74,,,0
CDM,70100081,Hc Xr Knee 1-2Vw,255.0,99.45,,,0
CDM,70100082,Hc Xr Knee 3Vw,378.5,147.615,,,0
CDM,70100083,Hc Xr Knee Complete 4 Plus Vw,382.5,149.175,,,0
CDM,70100084,Hc Xr Knee Both Knees Standing Ap,323.5,126.16499999999999,,,0
CDM,70100085,Hc Xr Tib Plus Fib 2Vw,338.5,132.01500000000001,,,0
CDM,70100086,Hc Xr Lower Extremity Infant 2 Views Or Over,361.5,140.985,,,0
CDM,70100087,Hc Xr Ankle 2Vw,286.0,111.53999999999999,,,0
CDM,70100088,Hc Xr Ankle Complete 3 Plus Vw,367.5,143.32500000000002,,,0
CDM,70100089,Hc Xr Foot 2Vw,270.5,105.49499999999999,,,0
CDM,70100090,Hc Xr Foot Complete 3 Plus Vw,367.5,143.32500000000002,,,0
CDM,70100091,Hc Xr Calcaneus 2 Plus Vw,327.5,127.725,,,0
CDM,70100092,Hc Xr Toes 2 Plus Vws,173.5,67.665,,,0
CDM,70100096,Hc Xr Abdomen Complete Acute Supine Erect And /Or Decub 1Vw Chest,478.5,186.615,,,0
CDM,70100097,Hc Xr Ivp Limited/Urography Reduced 52,712.0,277.68,,,0
CDM,70100098,Hc Xr Urography Iv W/Wo Kub W/Wo Tomography,955.5,372.64500000000004,,,0
CDM,70100099,Hc Ivp/Urography Infusion Contrast Xray,896.5,349.63500000000005,,,0
CDM,70100100,Hc Ivp/Urography Infusion W/Nephrotomography,1233.0,480.87,,,0
CDM,70100101,Hc Xr Shuntogram Indw Nonvas Shunt Rs And I,1028.0,400.92,,,0
CDM,70100102,Hc Xr From Nose Rectum Foreign Body 1 View 12Yr Or Less,365.5,142.54500000000002,,,0
CDM,70100103,Hc Xr Bone Age Studies,312.5,121.875,,,0
CDM,70100105,Hc Xr Bone/Osseous Survey Limited,338.5,132.015,,,0
CDM,70100106,Hc Xr Bone/Osseous Survey Complete,1087.5,424.125,,,0
CDM,70100108,Hc Xr Osseous Survey Infant Under 12Mo,777.0,303.03,,,0
CDM,70170190,Hc Xr Eye Socket Optic Foramina,345.0,134.55,,,0
CDM,70170371,Hc Pharyngl Eval Cinevideo,1534.0,598.26,,,0
CDM,70171045,Hc Xr Chest 1Vw,356.5,139.035,,,0
CDM,70171046,Hc Xr Chest 2Vw,409.5,159.705,,,0
CDM,70171047,Hc Xr Chest 3Vw,438.5,171.01500000000001,,,0
CDM,70172074,Hc Xr Spine Thoracic Min 4 Plus Vws,564.0,219.96,,,0
CDM,70172081,Hc Xr Entire Spine 1 Vw,410.0,159.9,,,0
CDM,70172082,Hc Xr Entire Spine 2-3 Vw,497.5,194.025,,,0
CDM,70172083,Hc Xr Entire Spine 4-5 Vw,626.0,244.14000000000001,,,0
CDM,70172084,Hc Xr Entire Spine 6 Vw Min,826.0,322.14,,,0
CDM,70172200,Hc Xr Sacroiliac Joints Under 3 Views,435.0,169.65,,,0
CDM,70173501,Hc Xr Hip Uni 1 Vw,248.0,96.72,,,0
CDM,70173502,Hc Xr Hip Uni 2-3 Vws,275.0,107.25,,,0
CDM,70173503,Hc Xr Hip Uni 4 Vws Min,380.0,148.20000000000002,,,0
CDM,70173521,Hc Xr Hips Bil 2 Vws,380.0,148.20000000000002,,,0
CDM,70173522,Hc Xr Hips Bil 3-4 Vws,423.5,165.16500000000002,,,0
CDM,70173523,Hc Xr Hips Bil 5 Vws Min,423.5,165.16500000000002,,,0
CDM,70173551,Hc Xr Femur 1Vw,248.0,96.72,,,0
CDM,70173552,Hc Xr Femur 2Vws Min,275.0,107.25,,,0
CDM,70174018,Hc Xr Abdomen 1Vw,398.0,155.22,,,0
CDM,70174019,Hc Xr Abdomen 2Vw,422.0,164.58,,,0
CDM,70174021,Hc Xr Abdomen 3 Plus Vw,455.0,177.45000000000002,,,0
CDM,70174048,Hc Xr Chest 4 Plus Vw,527.0,205.53,,,0
CDM,70175803,Hc Lymphangiography Extremity Only Bilateral Rs And I,5716.0,2229.24,,,0
CDM,70176100,Hc Xr 1 Plane Body Section Other Than W/Urograpy,1587.0,618.93,,,0
CDM,70177073,Hc Xr Bone Length Studies,341.0,132.99,,,0
CDM,70177077,Hc Xr Joint Survey Single View 2 Or More Joints,480.0,187.2,,,0
CDM,70177086,Hc Xr Vertebral Fracture Assessment Via Dxa,267.0,104.13,,,0
CDM,70200010,Hc Fl Cisternography Positive Contrast,1002.0,390.78,,,0
CDM,70200011,Hc Fl Arthrogram Tm Joint,685.5,267.345,,,0
CDM,70200012,Hc Fl Sialogram,692.5,270.07500000000005,,,0
CDM,70200013,Hc Fl Myelogram Cervical,2830.0,1103.7,,,0
CDM,70200014,Hc Fl Myelogram Thoracic,2830.0,1103.7,,,0
CDM,70200015,Hc Fl Myelogram Lumbar,2830.0,1103.7,,,0
CDM,70200018,Hc Fl Discography Lumbar,1711.0,667.29,,,0
CDM,70200019,Hc Fl Arthrography Shoulder,839.5,327.405,,,0
CDM,70200020,Hc Fl Arthrography Elbow,671.5,261.885,,,0
CDM,70200021,Hc Fl Arthrography Wrist Contrast,521.5,203.385,,,0
CDM,70200022,Hc Fl Arthrography Hip,952.0,371.28,,,0
CDM,70200023,Hc Fl Arthrography Knee,565.0,220.35,,,0
CDM,70200024,Hc Fl Arthrogram Ankle,547.5,213.525,,,0
CDM,70200025,Hc Fl Contrast X-Ray Esophagus,712.5,277.875,,,0
CDM,70200026,Hc Fl Barium Swallow Modified W Speech Therapy,1880.0,733.2,,,0
CDM,70200027,Hc Fl Upper Gi Series Single Contrast Delay Inc Kub,757.0,295.23,,,0
CDM,70200029,Hc Fl Gi Series Upper W Air And Hd Barium W Wo Glucgn Delay And Kub,1074.5,419.055,,,0
CDM,70200032,Hc Xr Small Intestine Single Contrast Study,842.5,328.57500000000005,,,0
CDM,70200033,Hc Fl Colon Barium Enema Incl Scout And Delay Sgl Contrast,1115.0,434.85,,,0
CDM,70200034,Hc Fl Colon Barium Enema Double Contrast Air Incl Kub And Delay,1285.5,501.345,,,0
CDM,70200035,Hc Fl Gb/Cholecystography Plus Oral Contrast,898.0,350.22,,,0
CDM,70200036,Hc Fl Cholangiography Operative C-Arm,1641.0,639.99,,,0
CDM,70200039,Hc Fl Xr Ercp Bili Panc Duct Combined,3767.0,1469.13,,,0
CDM,70200040,Hc Fl Intro Of Gi Tube,1447.0,564.33,,,0
CDM,70200041,Hc Fl Urinary Tract Exam W Contrast,1624.0,633.36,,,0
CDM,70200042,Hc Fl Urography Antegrade Rs And I,1255.0,489.45,,,0
CDM,70200044,Hc Fl Cystography 3 Plus Vw,539.0,210.21,,,0
CDM,70200046,Hc Fl Vasography/Vesiculography Or Epididymography*,526.0,205.14,,,0
CDM,70200047,Hc Fl Urethrocystography Retrograde Rs And I,650.0,253.5,,,0
CDM,70200048,Hc Fl Urethrocystography Voiding,710.5,277.095,,,0
CDM,70200049,Hc Fl Hysterosalpingography,622.0,242.58,,,0
CDM,70200051,Hc Fl Angiograph Cath Follow Up Study Transcatheter Other Than Thrombylsis,6519.0,2542.41,,,0
CDM,70200052,Hc Fl Fluoroscopy Up To 1 Hour Physician/Qhp Time,1256.0,489.84,,,0
CDM,70200054,Hc Fl Abscess/Fistula/Sinus Tract Rs And I,1064.0,414.96,,,0
CDM,70200055,Hc Fl Fluoro Central Venous Access Device Placement,1203.0,469.17,,,0
CDM,70200056,Hc Fl Fluoroscopic Guidance Needle Placement Add On,1659.0,647.01,,,0
CDM,70200057,Hc Fl Guide For Spine Inj,1300.0,507.0,,,0
CDM,70201001,Hc Evicore Clinical Decision Support Company,0.01,0.0039,,,0
CDM,70201002,Hc Medcurrent Clinical Decision Support Company,0.01,0.0039,,,0
CDM,70201003,Hc Medicalis Clinical Decision Support Company,0.01,0.0039,,,0
CDM,70201004,Hc Care Select National Decision Support Company,0.01,0.0039,,,0
CDM,70201005,Hc National Imaging Associates Clincal Decision Support Company,0.01,0.0039,,,0
CDM,70201006,Hc Test Appropriate Clinical Decision Support Company,0.01,0.0039,,,0
CDM,70201007,Hc Aim Specialty Health Clinical Decision Support Company,0.01,0.0039,,,0
CDM,70201008,Hc Cranberry Peak Clinical Decision Support Company,0.01,0.0039,,,0
CDM,70201009,Hc Sage Health Management Solutions Clinical Decision Support Company,0.01,0.0039,,,0
CDM,70201010,Hc Stanson Clinical Decision Support Company,0.01,0.0039,,,0
CDM,70201011,Hc Clinical Decision Support Not Otherwise Classified,0.01,0.0039,,,0
CDM,70270170,Hc Fl Tear Duct Dacryocstograpy Nasolacrimal Rs And I,1469.0,572.91,,,0
CDM,70270370,Hc Fl Pharynx Larynx W/Wo Magnification,290.0,113.1,,,0
CDM,70272285,Hc Fl Diskograpy Cervical/Thoracic Rs And I,4928.0,1921.92,,,0
CDM,70274221,Hc Fl Esophagus Double Contrast Delay Inc Kub,1115.0,434.85,,,0
CDM,70274248,Hc Fl Img Exm Small Intestine Follow-Through Add-On,1158.5,451.815,,,0
CDM,70274251,Hc Fl Sm Bowel Enteroclss Tube W Kub Double Contrast,1948.0,759.72,,,0
CDM,70274328,Hc Fl Xr Bile Duct Endoscopy,998.0,389.22,,,0
CDM,70274445,Hc Fl Corpora Cavernosograpy Penis Rs And I,441.0,171.99,,,0
CDM,70275810,Hc Fl Splenoportograpy Rs And I,6779.0,2643.81,,,0
CDM,70275880,Hc Fl Venography Orbital Rs And I,3688.0,1438.32,,,0
CDM,70276120,Hc Fl Cine Vidradiograpy Xcpt Where Spec,350.0,136.5,,,0
CDM,70276496,Hc Fl Fluoroscopic Procedure Unlisted,357.0,139.23,,,0
CDM,70277373,Hc Tb Stereotactic Body Radiation Delivery 1 Or More Lesions,37408.0,14589.12,,,0
CDM,70300010,Hc Mri Temporomandibular Joint,1896.0,739.4399999999999,,,0
CDM,70300014,Hc Mri Face Neck Orbits W/O Contrast,2545.5,992.745,,,0
CDM,70300015,Hc Mri Face Neck Orbits W Plus W/O Contrast,3337.5,1301.625,,,0
CDM,70300016,Hc Mr Angio Head W/O Contrast,2370.0,924.3,,,0
CDM,70300017,Hc Mr Angio Head W Plus W/O Contrast,2992.0,1166.88,,,0
CDM,70300018,Hc Mr Angio Neck W/O Contrast,2300.0,897.0,,,0
CDM,70300019,Hc Mr Angio Neck W Plus W/O Contrast,2974.0,1159.8600000000001,,,0
CDM,70300020,Hc Mri Brain W/O Contrast,2600.5,1014.1949999999999,,,0
CDM,70300021,Hc Mri Brain With Contrast,3081.0,1201.5900000000001,,,0
CDM,70300022,Hc Mri Brain W Plus W/O Contrast,3605.5,1406.145,,,0
CDM,70300023,Hc Mri Brain Mapping,2444.5,953.355,,,0
CDM,70300024,Hc Mri Chest W/O Contrast,2581.0,1006.59,,,0
CDM,70300026,Hc Mri Chest W Plus W/O Contrast,3267.5,1274.325,,,0
CDM,70300027,Hc Mri Cervical Spine W/O Contrast,2517.0,981.63,,,0
CDM,70300028,Hc Mri Cervical Spine With Contrast,2888.0,1126.3200000000002,,,0
CDM,70300029,Hc Mri Thoracic Spine W/O Contrast,2519.5,982.605,,,0
CDM,70300030,Hc Mri Thoracic Spine With Contrast,3104.0,1210.56,,,0
CDM,70300031,Hc Mri Lumbar Spine W/O Contrast,2536.5,989.235,,,0
CDM,70300032,Hc Mri Lumbar Spine With Contrast,3160.0,1232.4,,,0
CDM,70300033,Hc Mri Cervical Spine W Plus W/O Contrast,3592.0,1400.88,,,0
CDM,70300034,Hc Mri Thoracic Spine W Plus W/O Contrast,3652.0,1424.28,,,0
CDM,70300035,Hc Mri Lumbar Spine W Plus W/O Contrast,3576.0,1394.64,,,0
CDM,70300036,Hc Mri Pelvis W/O Contrast,2581.0,1006.59,,,0
CDM,70300037,Hc Mri Pelvis With Contrast,2914.5,1136.655,,,0
CDM,70300038,Hc Mri Pelvis W Plus W/O Contrast,3218.0,1255.02,,,0
CDM,70300039,Hc Mri Upper Extremity Other Than Joint W/O Contrast,2493.0,972.27,,,0
CDM,70300040,Hc Mri Upper Extremity Other Than Joint W Plus W/O Contrast,3249.5,1267.305,,,0
CDM,70300041,Hc Mri Joint Upper Extremity Any Joint W/O Contrast,2246.0,875.9399999999999,,,0
CDM,70300042,Hc Mri Joint Upper Extremity Any Joint With Contrast,2772.5,1081.275,,,0
CDM,70300043,Hc Mri Joint Upper Extremity Any Joint W/ Plus W/O Contrast,3180.5,1240.395,,,0
CDM,70300044,Hc Mri Extremity Lower Other Than Joint W/O Contrast,2460.5,959.595,,,0
CDM,70300045,Hc Mri Extremity Lower Other Than Joint W Plus W/O Contrast,3217.5,1254.825,,,0
CDM,70300046,Hc Mri Extremity Lower Any Joint W/O Contrast,2246.0,875.9399999999999,,,0
CDM,70300047,Hc Mri Extremity Lower Any Joint With Contrast,2974.5,1160.0549999999998,,,0
CDM,70300048,Hc Mri Extremity Lower Any Joint W Plus W/O Contrast,3194.5,1245.855,,,0
CDM,70300049,Hc Mri Abdomen W/O Contrast,2675.0,1043.25,,,0
CDM,70300050,Hc Mri Abdomen W Plus W/O Contrast,3459.5,1349.205,,,0
CDM,70300051,Hc Mri Cardiac Morphology And Function W/O Contrast,2157.0,841.23,,,0
CDM,70300052,Hc Mri Cardiac Morphology And Function W Plus W/O Contrast,2594.5,1011.855,,,0
CDM,70300053,Hc Mri Cardiac Velocity Flow Mapping Add On,1062.0,414.18,,,0
CDM,70300054,Hc Mri 3D Rendering,215.5,84.045,,,0
CDM,70300055,Hc Mri 3D Rendering Independent Workstation,873.0,340.47,,,0
CDM,70300056,Hc Mri Spectroscopy,2234.0,871.26,,,0
CDM,70300057,Hc Mri Guidance Needle Placement Rs And I,2896.0,1129.44,,,0
CDM,70300058,Hc Mri Bone Marrow Blood Supply,854.0,333.06,,,0
CDM,70300059,Hc Mri Breast Cad,144.0,56.16,,,0
CDM,70300060,Hc Mr Angio Abdomen W/O Contrast,2077.5,810.225,,,0
CDM,70300061,Hc Mr Angio Abdomen W+W/O Contrast,2731.5,1065.2849999999999,,,0
CDM,70300062,Hc Mri Breast Unilateral W/Contrast,2237.0,872.43,,,0
CDM,70300063,Hc Mri Breast Unilateral W/O Contrast,2196.5,856.635,,,0
CDM,70300064,Hc Mri Breast Unilateral W+W/O Contrast,2378.5,927.615,,,0
CDM,70300065,Hc Mri Breast Bilateral With Contrast,2967.5,1157.325,,,0
CDM,70300066,Hc Mri Breast Bilateral W/O Contrast,2874.5,1121.055,,,0
CDM,70300067,Hc Mri Breast Bilateral W+W/O Contrast,3053.5,1190.865,,,0
CDM,70300068,Hc Mr Angio Chest W/O Contrast,2026.0,790.14,,,0
CDM,70300069,Hc Mr Angio Chest W+W/O Contrast,2939.5,1146.405,,,0
CDM,70300070,Hc Mr Angio Lower Extremity W/O Contrast,1824.0,711.36,,,0
CDM,70300071,Hc Mr Angio Lower Extremity W+W/O Contrast,1932.0,753.48,,,0
CDM,70300072,Hc Mr Angio Pelvis W/O Contrast,2104.0,820.56,,,0
CDM,70300073,Hc Mr Angio Pelvis W+W/O Contrast,2414.0,941.46,,,0
CDM,70300074,Hc Mr Angio Upper Extremity With Contrast,1800.0,702.0,,,0
CDM,70300075,Hc Mr Angio Upper Extremity W/O Contrast,1500.5,585.1949999999999,,,0
CDM,70300076,Hc Mr Angio Upper Extremity W Plus W/O Contrast,1932.0,753.48,,,0
CDM,70300077,Hc Mr Bx Breast 1St Lesion,13269.0,5174.91,,,0
CDM,70300078,Hc Mr Bx Breast Additional Lesion,2160.0,842.4,,,0
CDM,70300080,Hc Mr Perc Device Breast Add Lesion,3889.0,1516.71,,,0
CDM,70300649,Hc Mri Quan Tiss Composition W/Mri Singl Organ,2270.0,885.3,,,0
CDM,70300697,Hc Mri Quan Alys Tis Compj Wo Mri Same Sess Mlt Orgn,994.0,387.66,,,0
CDM,70300698,Hc Mri Quan Alys Tiss Composition W/Mri Mlt Organs,2611.0,1018.29,,,0
CDM,70308900,Hc Mr Angio With Contrast Abd,4284.0,1670.76,,,0
CDM,70308909,Hc Mr Angio With Contrast Chest,2991.0,1166.49,,,0
CDM,70308912,Hc Mr Angio With Contrast Lower Ext,1114.0,434.46,,,0
CDM,70308918,Hc Mr Angio With Contrast Pelvis,2902.0,1131.78,,,0
CDM,70308931,Hc Mr Angio With Dye Spinal Canal,1128.0,439.92,,,0
CDM,70308932,Hc Mr Angio Without Dye Spinal Canal,1128.0,439.92,,,0
CDM,70310011,Hc Mr Fine Needle Bx/Asp Mri Guidance 1St Lesion,4704.0,1834.56,,,0
CDM,70310012,Hc Mr Fine Needle Bx/Asp Mri Guidance Ea Addl,1570.0,612.3,,,0
CDM,70370079,Hc Mr Perc Device Breast 1St Lesion,7777.0,3033.03,,,0
CDM,70370542,Hc Mri Face Neck Orbits Face With Contrast,3271.0,1275.69,,,0
CDM,70370545,Hc Mr Angio Head With Contrast,2681.0,1045.5900000000001,,,0
CDM,70370548,Hc Mr Angio Neck With Contrast,4460.0,1739.4,,,0
CDM,70370555,Hc Mri Brain Functional W/Physician Admnistration,1062.0,414.18,,,0
CDM,70372159,Hc Mr Angio Spine W+W/O Contrast,2414.0,941.46,,,0
CDM,70373219,Hc Mri Upper Extremity Other Than Joint With Contrast,2980.0,1162.2,,,0
CDM,70373719,Hc Mri Extremity Lower Other Than Joint With Contrast,2767.5,1079.325,,,0
CDM,70374182,Hc Mri Abdomen With Contrast,3200.5,1248.195,,,0
CDM,70374712,Hc Mri Fetal W/Placntl Matrnl Plvc Img Single 1St Ges,339.0,132.21,,,0
CDM,70374713,Hc Mri Fetal W/Placntl Matrnl Plvc Img Each Addl Ges,598.0,233.22,,,0
CDM,70375559,Hc Mri Cardiac Morphology And Function W/O Contrast W/Stress,3782.0,1474.98,,,0
CDM,70375563,Hc Mri Cardiac Morphology And Function W Plus W/O Contrast W/Stress,4942.0,1927.38,,,0
CDM,70376391,Hc Mri Elastography Eg Vibration,1754.0,684.06,,,0
CDM,70376498,Hc Mri Unlisted Procedure,1947.5,759.525,,,0
CDM,70377022,Hc Mri Guidance For Parenchymal Tissue Ablation,858.0,334.62,,,0
CDM,70377049,Hc Sp3 Breastest Limited Mri,2883.5,1124.565,,,0
CDM,70377373,Hc Tb Sbrt 1St Fx/Trmt,37408.0,14589.12,,,0
CDM,70400011,Hc Us Cranial/Head-Echoencephalography,1013.5,395.265,,,0
CDM,70400012,Hc Us Soft Tissue Head And Neck/Thyroid Parathyroid,838.0,326.82,,,0
CDM,70400013,Hc Us Chest Real Time W/Image Documentation,609.5,237.705,,,0
CDM,70400014,Hc Us Breast Ltd Unilateral,557.5,217.42499999999998,,,0
CDM,70400015,Hc Us Abdominal Complete,1063.5,414.765,,,0
CDM,70400016,Hc Us Abdominal Real Time W/Image Limited,754.0,294.06,,,0
CDM,70400017,Hc Us Retroperitoneal Complete Renal/Aorta/Nodes,918.0,358.02,,,0
CDM,70400018,Hc Us Retroperitoneal Limited Renal/Aorta/Nodes,497.0,193.83,,,0
CDM,70400019,Hc Us Kidney Transplant With Duplex Doppler,519.0,202.41,,,0
CDM,70400020,Hc Us Spinal Canal,797.5,311.025,,,0
CDM,70400021,Hc Us Pregnant Uterus 14Wk Or Less Transabdl 1St Fetus,816.5,318.435,,,0
CDM,70400022,Hc Us Pregnant Uterus 14Wk Or Less Transabdl Ea Additl Fetus,432.0,168.48000000000002,,,0
CDM,70400023,Hc Us Preg Uterus Transabd 14 Weeks Or Over 1St Fetus,858.5,334.815,,,0
CDM,70400024,Hc Us Preg Uterus Transabd 14 Weeks Or Over Ea Addl Fetus,480.0,187.2,,,0
CDM,70400025,Hc Us Pregnant Uterus Limited 1 Or More Fetuses,553.5,215.865,,,0
CDM,70400026,Hc Us Pregnant Uterus Real Time W/Image Documentation Transvaginal,487.5,190.125,,,0
CDM,70400028,Hc Us Fetal Biophysical Profile W/O Non-Stress Testing,773.0,301.47,,,0
CDM,70400029,Hc Us Doppler Velocimetry Fetal/Umbilical Artery,719.0,280.40999999999997,,,0
CDM,70400030,Hc Us Transvaginal Non-Pregnant Uterus,569.0,221.91,,,0
CDM,70400031,Hc Us Sonohysterography W/Saline Plus Color Flow Doppler If Performed,1150.0,448.5,,,0
CDM,70400032,Hc Us Pelvic Nonobstetric Complete,913.0,356.07,,,0
CDM,70400033,Hc Us Pelvic Nonobstetric Image Documentation Limited/Follow-Up,599.5,233.805,,,0
CDM,70400034,Hc Us Scrotum,834.5,325.455,,,0
CDM,70400035,Hc Us Transrectal,888.5,346.515,,,0
CDM,70400036,Hc Us Extremity Joint Space And Periarticular Soft Tissues Complete,838.0,326.82,,,0
CDM,70400037,Hc Us Lmtd Joint/Oth Nonvasc Xtr Strux R-T W/Img,600.5,234.195,,,0
CDM,70400038,Hc Us Hips Infant Dynamic Imaging With Physician,838.0,326.82,,,0
CDM,70400039,Hc Us Hips Infant Dynamic Limited Static No Physician,838.0,326.82,,,0
CDM,70400041,Hc Us Compression Repair Arterial Pseudoaneurysm/Arteriovenous Fistulae,4973.0,1939.47,,,0
CDM,70400042,Hc Us Vasc Access Site Visual Patency Ndl Entry W/Image,744.0,290.16,,,0
CDM,70400043,Hc Us And Monitoring Parenchymal Tissue Ablation,1515.0,590.85,,,0
CDM,70400044,Hc Ultrasound Intrauterine Fetal Transfusion,1275.0,497.25,,,0
CDM,70400046,Hc Ultrasound Guide Needle Placement/Bx Asp Inj Local,1663.0,648.5699999999999,,,0
CDM,70400047,Hc Us Guidance Amniocentesis Imaging S And I,757.5,295.425,,,0
CDM,70400048,Hc Us Guidance Interstitial Radioelment Application,3082.0,1201.98,,,0
CDM,70400049,Hc Us Guidance Intraoperative,2100.0,819.0,,,0
CDM,70400051,Hc Us Duplex Extracranial Arteries Compl Bilat Study,2431.0,948.09,,,0
CDM,70400052,Hc Us Duplex Extracranial Arteries Unilateral,1628.0,634.92,,,0
CDM,70400053,Hc Us Doppler Transcranial/Extracranial Arteries Ltd,1496.5,583.635,,,0
CDM,70400054,Hc Us Arterial Upper/Lower Ext 1-2 Levels Ltd Bilat,802.0,312.78,,,0
CDM,70400055,Hc Us Arterial Lower Ext 3 Plus Levels Complete Bilat,873.0,340.47,,,0
CDM,70400056,Hc Us Duplex Arteries/Graft Lower Ext Complete Bilat,633.0,246.87,,,0
CDM,70400057,Hc Us Duplex Arteries/Graft Lower Ext Ltd/Uni,482.0,187.98,,,0
CDM,70400058,Hc Us Duplex Venous Lower Extremity Complete Bilateral,1696.0,661.44,,,0
CDM,70400059,Hc Us Duplex Venous Upper Extremity Complete Bilateral,1387.5,541.125,,,0
CDM,70400060,Hc Us Duplex Veins Uni One Extremity Or Limited Study,1089.0,424.71,,,0
CDM,70400062,Hc Us Duplex Abd/Pelvis/Scrotum In-Outflow Complete,1336.0,521.04,,,0
CDM,70400063,Hc Us Duplex Abd/Pelvis/Scrotum In-Outflow Ltd,481.5,187.785,,,0
CDM,70400064,Hc Us Duplex Aorta/Vessels Complete,1107.0,431.73,,,0
CDM,70400065,Hc Us Duplex Aorta/Vessels Ltd,543.0,211.77,,,0
CDM,70400066,Hc Us Duplex Penile Vessels In-Outflow Complete,544.0,212.16,,,0
CDM,70400067,Hc Us Duplex Penile Vessels In-Outflow F/U Ltd,372.0,145.07999999999998,,,0
CDM,70400069,Hc Us Doppler Transcranial/Extracranial Arteries Complete,2243.5,874.965,,,0
CDM,70400070,Hc Us Bx Breast 1St Lesion,9468.0,3692.52,,,0
CDM,70400071,Hc Us Bx Breast Additional Lesion,2160.0,842.4,,,0
CDM,70400072,Hc Us Perc Device Breast 1St Lesion,4235.0,1651.65,,,0
CDM,70400073,Hc Us Perc Device Breast Additional Lesion,1707.0,665.73,,,0
CDM,70400126,Hc Us Common Carotid Intima Media Thickness Study,1776.0,692.64,,,0
CDM,70400389,Hc Us Aaa Screening,469.0,182.91,,,0
CDM,70400857,Hc Opto Acoustic Img Breast Uni Augmnt Alys And Reprt,377.0,147.03,,,0
CDM,70410005,Hc Us Fine Needle Asp/Bx 1St Lesion,4704.0,1834.56,,,0
CDM,70420611,Hc Inj/Drain-Asp Major Joint/Bursa W/Us,2965.0,1156.35,,,0
CDM,70476512,Hc Us Ophthalmic Dx B-Scan W/Wo Non-Quan A-Scan,372.0,145.08,,,0
CDM,70476513,Hc Dx Ophthalmic Us Ant Segment Immersion Uni Or Bi,646.0,251.94,,,0
CDM,70476514,Hc Echo Exam Of Eye Thickness,83.0,32.37,,,0
CDM,70476515,Hc Ophthalmic Biometry Us Echograpy A-Scan,270.0,105.3,,,0
CDM,70476516,Hc Oph Bmtry Us Echograpy A-Scan Io Lens Pwr Ca,414.0,161.46,,,0
CDM,70476529,Hc Us Ophthalmic Foreign Body Localization,276.0,107.64,,,0
CDM,70476641,Hc Us Breast Unilateral Complete,557.5,217.42499999999998,,,0
CDM,70476811,Hc Us Pregnant Uterus W/Detail Fetal Anatomic 1St Gestation,1383.0,539.37,,,0
CDM,70476812,Hc Us Pregnant Uterus Detail Fetal Anatomic Exam Ea Gestation,521.0,203.19,,,0
CDM,70476813,Hc Us Fetal Nuchal Translucency 1St Gestation,382.0,148.98,,,0
CDM,70476814,Hc Us Fetal Nuchal Translucency Ea Addl Gestation,382.0,148.98,,,0
CDM,70476816,Hc Us Follow Up Per Fetus,830.0,323.7,,,0
CDM,70476818,Hc Us Fetal Biophysical Profile Non-Stress Testing,798.5,311.415,,,0
CDM,70476826,Hc Fetal Cardiovasc 2D Fu Us,555.5,216.64499999999998,,,0
CDM,70476828,Hc Fetal Doppler Echocardiogram Limited/Fu,763.0,297.57,,,0
CDM,70476932,Hc Us Endomyocardial Biopsy Rs And I,2863.0,1116.57,,,0
CDM,70476945,Hc Us Guidance Chorionic Villus Sampling Img S And I,358.0,139.62,,,0
CDM,70476948,Hc Us Guidance Aspiration Ova Img S And I,1265.0,493.35,,,0
CDM,70476981,Hc Us Elastography Parenchyma Organ,299.5,116.805,,,0
CDM,70476982,Hc Us Elastography First Target Lesion,299.5,116.805,,,0
CDM,70476983,Hc Us Elastography Ea Add Target Lesion,299.5,116.805,,,0
CDM,70476999,Hc Us Unlisted Procedures,747.0,291.33,,,0
CDM,70491200,Hc Us Elastography W/O Imag W/I And R,662.0,258.18,,,0
CDM,70493924,Hc Us Arterial Lower N-Invas Phy Stress/Rest Compl Bilat,1540.5,600.795,,,0
CDM,70493930,Hc Duplex Upper Extremity Arteries Complete Bilateral,1008.0,393.12,,,0
CDM,70493931,Hc Duplex Upper Extremity Arteries Unilateral Or Limited,726.5,283.33500000000004,,,0
CDM,70493990,Hc Us Duplex Scan Hemodialysis Access,1930.0,752.7,,,0
CDM,70493998,Hc Noninvas Vasc Dx Study Proc,1559.0,608.01,,,0
CDM,70500012,Hc Ct Head Or Brain W/O Contrast,1956.5,763.035,,,0
CDM,70500013,Hc Ct Head Or Brain With Contrast,2210.5,862.095,,,0
CDM,70500014,Hc Ct Head Or Brain W Plus W/O Contrast,2724.5,1062.5549999999998,,,0
CDM,70500015,Hc Ct Orbit Sella Posterior Fossa Inner Or Mid Ear Wo Contrast,1913.5,746.265,,,0
CDM,70500016,Hc Ct Orbit Sella Posterior Fossa Inner Or Mid Ear W Contrast,2164.0,843.96,,,0
CDM,70500017,Hc Ct Orbit Sella Posterior Fossa Inner Mid Ear W Wo Contrast,2475.0,965.25,,,0
CDM,70500018,Hc Ct Maxillofacial W/O Contrast,1829.0,713.31,,,0
CDM,70500019,Hc Ct Maxillofacial With Contrast,2063.5,804.765,,,0
CDM,70500020,Hc Ct Maxillofacial W Plus W/O Contrast,2377.5,927.225,,,0
CDM,70500021,Hc Ct Neck Soft Tissue W/O Contrast,2000.5,780.195,,,0
CDM,70500022,Hc Ct Soft Tissue Neck W/Contrast Material,2325.5,906.945,,,0
CDM,70500023,Hc Ct Neck Soft Tissue W Plus W/O Contrast,2825.0,1101.75,,,0
CDM,70500024,Hc Ct Angiography Head W/Contrast/Noncontrast,2964.0,1155.96,,,0
CDM,70500027,Hc Ct Angiography Neck W/Contrast/Noncontrast,2493.5,972.465,,,0
CDM,70500028,Hc Ct Thorax W/O Contrast Diagnostic,2112.5,823.875,,,0
CDM,70500029,Hc Ct Thorax W Contrast Diagnostic,2178.0,849.42,,,0
CDM,70500030,Hc Ct Thorax W Plus Wo Contrast Diagnostic,2771.5,1080.885,,,0
CDM,70500031,Hc Ct Angiography Chest W/Contrast/Noncontrast,1953.0,761.67,,,0
CDM,70500033,Hc Ct Cervical Spine W/O Contrast,2186.5,852.735,,,0
CDM,70500034,Hc Ct Cervical Spine With Contrast,2336.0,911.04,,,0
CDM,70500035,Hc Ct Cervical Spine W Plus W/O Contrast,2528.5,986.115,,,0
CDM,70500036,Hc Ct Thoracic Spine W/O Contrast,2159.5,842.205,,,0
CDM,70500037,Hc Ct Thoracic Spine With Contrast,2416.5,942.435,,,0
CDM,70500038,Hc Ct Thoracic Spine W Plus W/O Contrast,2919.5,1138.605,,,0
CDM,70500039,Hc Ct Lumbar Spine W/O Contrast,2202.5,858.975,,,0
CDM,70500040,Hc Ct Lumbar Spine With Contrast,2361.0,920.79,,,0
CDM,70500041,Hc Ct Lumbar Spine W Plus W/O Contrast,2823.0,1100.97,,,0
CDM,70500042,Hc Ct Angio Pelvis W Plus W/O Contrast,2501.0,975.39,,,0
CDM,70500043,Hc Ct Pelvis W/O Contrast,1817.5,708.825,,,0
CDM,70500044,Hc Ct Pelvis With Contrast,2229.5,869.505,,,0
CDM,70500045,Hc Ct Pelvis W Plus W/O Contrast,2712.5,1057.875,,,0
CDM,70500047,Hc Ct Upper Extremity W/O Contrast,1612.0,628.68,,,0
CDM,70500048,Hc Ct Upper Extremity With Contrast,1801.0,702.39,,,0
CDM,70500049,Hc Ct Upper Extremity W Plus W/O Contrast,2084.5,812.955,,,0
CDM,70500050,Hc Ct Angio Upper Extremity W Plus W/O Contrast,1995.0,778.05,,,0
CDM,70500051,Hc Ct Extremity Lower W/O Contrast,1634.0,637.26,,,0
CDM,70500052,Hc Ct Extremity Lower With Contrast,1802.5,702.975,,,0
CDM,70500053,Hc Ct Extremity Lower W Plus W/O Contrast,2132.0,831.48,,,0
CDM,70500054,Hc Ct Angio Extremity Lower W Plus W/O Contrast,2482.0,967.98,,,0
CDM,70500055,Hc Ct Abdomen W/O Contrast,1879.5,733.005,,,0
CDM,70500056,Hc Ct Abdomen With Contrast,2333.5,910.065,,,0
CDM,70500057,Hc Ct Abdomen W Plus Wo Contrast,2734.0,1066.26,,,0
CDM,70500058,Hc Ct Angio Abd And Plvis Cntrst Mtrl W/Wo Cntrst Img,4021.0,1568.19,,,0
CDM,70500060,Hc Ct Angio Abdomen W Plus W/O Contrast,2853.5,1112.865,,,0
CDM,70500061,Hc Ct Abdomen And Pelvis Wo Contrast,3058.0,1192.6200000000001,,,0
CDM,70500062,Hc Ct Abdomen And Pelvis With Contrast,3772.5,1471.275,,,0
CDM,70500063,Hc Ct Abdomen And Pelvis W Plus W/O Contrast,4486.5,1749.7350000000001,,,0
CDM,70500064,Hc Ct Heart Quantitative Coronary Calcium W/O Contrast,2184.5,851.9549999999999,,,0
CDM,70500065,Hc Ct Heart Structure And Morph 3D With Contrast,2973.5,1159.665,,,0
CDM,70500066,Hc Ct Heart Structure And Morph Congenital Dz 3D With Contrast,2493.5,972.465,,,0
CDM,70500067,Hc Ct Angio Heart Structure And Morph 3D With Contrast,2112.0,823.68,,,0
CDM,70500068,Hc Ct Angio Abdominal Aort Plus Iliofem Bil W Plus W/O-Cst,4885.5,1905.345,,,0
CDM,70500072,Hc Ct 3D Rendering Not Requiring Independent Work Station,215.5,84.045,,,0
CDM,70500073,Hc Ct 3D Rendering Independent Workstation,873.0,340.47,,,0
CDM,70500074,Hc Ct Limited Study,1204.0,469.56,,,0
CDM,70500075,Hc Ct Guide Stereotactic Localization,2460.0,959.4,,,0
CDM,70500076,Hc Ct Guidance For Needle Placement Bx/Asp/Inj/Loc,4555.0,1776.45,,,0
CDM,70500077,Hc Ct Guide Tissue Ablation,3150.0,1228.5,,,0
CDM,70500078,Hc Ct Guide Placement Radiation Therapy Fields,2154.0,840.06,,,0
CDM,70500081,Hc Sp3 Ct Heart Screen W/O Contrast,649.5,253.305,,,0
CDM,70500082,Hc Sp3 Ct Heart Screen Couple W/O Contrast,637.25,248.53,,,0
CDM,70500083,Hc Sp3 Ct Lung Screen Base Line,537.5,209.625,,,0
CDM,70500084,Hc Sp3 Ct Lung Screen Follow Up,487.5,190.125,,,0
CDM,70500624,Hc Auto Quan And Charac Coronary Plaq Data Prep And Trnsmis,3325.0,1296.75,,,0
CDM,70500721,Hc Ct Quan Ct Tiss Charac I And R Without Cncrnt Ct Exam,2117.0,825.63,,,0
CDM,70500722,Hc Ct Quan Ct Tiss Charac I And R With Cncrnt Ct Exam,2117.0,825.63,,,0
CDM,70508032,Hc Ct Lung Screen Base Line,850.0,331.5,,,0
CDM,70508033,Hc Ct Lung Screen Follow Up,750.0,292.5,,,0
CDM,70509999,Hc Ct Misc Procedure,1817.0,708.63,,,0
CDM,70510009,Hc Ct Fine Needle Bx/Asp Ct Guidance 1St Lesion,4704.0,1834.56,,,0
CDM,70510010,Hc Ct Fine Needle Bx/Asp Ct Guidance Ea Addl,1570.0,612.3,,,0
CDM,70575580,Hc Ct N-Invas Est C Ffr Augmnt Sw Alys Cta I And R Phy/Qhp,4462.0,1740.18,,,0
CDM,70600010,Hc Mam Breast Specimen,1173.0,457.47,,,0
CDM,70600015,Hc Mam Ductogram/Galactogram Unilateral,1154.0,450.06,,,0
CDM,70600018,Hc Screening Mammography Bi 2-View Breast Inc Cad,500.0,195.0,,,0
CDM,70600020,Hc Mammo Diagnostic Digital Bilat W/Cad,587.5,229.125,,,0
CDM,70600025,Hc Mammo Diagnostic Digital Uni W/Cad,537.5,209.625,,,0
CDM,70600030,Hc Mammogram Bx Breast 1St Lesion Stereotactic,9577.0,3735.03,,,0
CDM,70600031,Hc Mammogram Bx Breast Additional Lesion Stereotactic,1283.0,500.37,,,0
CDM,70600032,Hc Mammogram Perc Device Breast 1St Stereotactic,4670.0,1821.3,,,0
CDM,70600033,Hc Mammogram Perc Device Breast Additional Stereotactic,1707.0,665.73,,,0
CDM,70600034,Hc Mammogram Perc Device Breast 1St Lesion,2754.0,1074.06,,,0
CDM,70600035,Hc Mammogram Perc Device Breast Additional,1586.0,618.54,,,0
CDM,70600279,Hc Breast Tomosynthesis Diagnostic Digital Bilateral,114.5,44.655,,,0
CDM,70677054,Hc Mam Ductogram/Galactogram Multiple,1293.0,504.27,,,0
CDM,70677061,Hc Breast Tomosynthesis Diagnostic Digital Uni,87.0,33.93,,,0
CDM,70677063,Hc Breast Tomosynthesis Screening Digital Bilat Add On,110.5,43.095,,,0
CDM,70700011,Hc Bd Dexa Axial Skeleton 2 Sites,598.0,233.22,,,0
CDM,70700012,Hc Bd Dexa Forearm/Appendicular Skeleton,501.5,195.585,,,0
CDM,70700130,Hc Single Energy Xray Study,251.0,97.89,,,0
CDM,70777085,Hc Bd Dxa Study Axial Skeleton,757.5,295.425,,,0
CDM,70800012,Hc Nm Thyroid Uptake Measurement Single/Multiple Quantitative,835.5,325.845,,,0
CDM,70800013,Hc Nm Thyroid Imaging W/Blood Flow,820.5,319.995,,,0
CDM,70800014,Hc Nm Thyroid Uptake Measurement W/Blood Flow Single/Multiple,1010.5,394.095,,,0
CDM,70800015,Hc Nm Thyroid Carcinoma Mets Imaging Limited,1277.0,498.03,,,0
CDM,70800018,Hc Nm Thyroid Carcinoma Mets Imaging Whole Body,2626.0,1024.14,,,0
CDM,70800019,Hc Nm Parathyroid Imaging,1155.0,450.45,,,0
CDM,70800020,Hc Nm Adrenal Scan Mibg,1821.0,710.19,,,0
CDM,70800021,Hc Nm Bone Marrow Whole Body,1646.0,641.94,,,0
CDM,70800023,Hc Nm Lymphatic Imaging,2361.0,920.79,,,0
CDM,70800024,Hc Nm Liver Static,1164.0,453.96,,,0
CDM,70800027,Hc Nm Liver/Spleen Imaging Static Only,1043.5,406.965,,,0
CDM,70800028,Hc Nm Liver/Spleen Imaging W/Vascular Flow,1157.5,451.425,,,0
CDM,70800029,Hc Nm Hepatobiliary System Imaging,1608.0,627.12,,,0
CDM,70800030,Hc Nm Hepatobiliary System Imaging W/Drug,1608.0,627.12,,,0
CDM,70800031,Hc Nm Gastroesophageal Reflux Study,1161.0,452.79,,,0
CDM,70800032,Hc Nm Gastric Emptying Study,1485.0,579.15,,,0
CDM,70800034,Hc Nm Gastrointestinal Blood Loss,2206.0,860.34,,,0
CDM,70800036,Hc Nm Intestine/Meckels Imaging,1911.0,745.29,,,0
CDM,70800037,Hc Nm Shunt Eval Peritoneal-Venous,1489.0,580.71,,,0
CDM,70800038,Hc Nm Bone/Joint Imaging Multiple Areas,1391.0,542.49,,,0
CDM,70800039,Hc Nm Bone/Joint Imaging Whole Body,1619.0,631.41,,,0
CDM,70800040,Hc Nm Bone/Joint Imaging 3 Phase,1634.0,637.26,,,0
CDM,70800043,Hc Nm Non-Cardiac Vascular Flow Imaging,985.0,384.15,,,0
CDM,70800044,Hc Nm Heart Spect Single Study At Rest Or Stress,6675.0,2603.25,,,0
CDM,70800045,Hc Nm Heart Spect Multiple Studies,7595.0,2962.05,,,0
CDM,70800047,Hc Nm Ht Muscle Planar Multiple,9136.0,3563.04,,,0
CDM,70800049,Hc Nm Cardiac Gated Wall Motion Single Study,2580.0,1006.2,,,0
CDM,70800050,Hc Nm Lung Ventilation Imaging,3420.0,1333.8,,,0
CDM,70800051,Hc Nm Lung Perfusion Imaging,1668.0,650.52,,,0
CDM,70800052,Hc Nm Lung Vent And Perfusion Imaging,3854.0,1503.06,,,0
CDM,70800053,Hc Nm Lung Perfusion Q Diff W/Wo Imaging,3854.0,1503.06,,,0
CDM,70800054,Hc Nm Quant Diff Pulm Perfusion And Ventilation W Or Wo Imagin,1642.0,640.38,,,0
CDM,70800055,Hc Nm Brain Imaging Under 4 Static Views,672.0,262.08,,,0
CDM,70800057,Hc Nm Brain Vascular Flow Only,480.0,187.2,,,0
CDM,70800058,Hc Nm Cisternography,1156.0,450.84,,,0
CDM,70800059,Hc Nm Shunt Eval Cerebrospinal Fluid Flow,856.0,333.84,,,0
CDM,70800060,Hc Nm Cfs Leak Detection And Localization W Inj,612.0,238.68,,,0
CDM,70800061,Hc Nm Kidney Morphology Imaging,1420.0,553.8,,,0
CDM,70800062,Hc Nm Kidney Morph Flow Fx Image Single W/O Drug,2114.0,824.46,,,0
CDM,70800063,Hc Nm Kidney Morph Flow Fx Image Single With Drug,2232.0,870.48,,,0
CDM,70800067,Hc Nm Cystogram Voiding/Ureteral Reflux Study W Pharm,1780.0,694.2,,,0
CDM,70800068,Hc Nm Testicular Imaging W Vascular Flow,760.0,296.4,,,0
CDM,70800069,Hc Nm Tumor Imaging Or Inflam 1 Area 1 Day,2000.0,780.0,,,0
CDM,70800071,Hc Nm Spec Tumor Imaging Or Inflam 1 Area 1 Day,3100.0,1209.0,,,0
CDM,70800072,Hc Nm Tumor Imaging Inflam Whole Body 2 Plus Days,3000.0,1170.0,,,0
CDM,70800073,Hc Nm Tumor Imaging Inflam Whole Body 2 Plus Days,3000.0,1170.0,,,0
CDM,70800078,Hc Nm Fusion Spect Ct Unlisted,615.0,239.85,,,0
CDM,70800082,Hc Nm Radiopharmaceutical Therapy Oral Administration,1801.0,702.39,,,0
CDM,70800083,Hc Nm Radiopharm Therapy By Iv,2289.0,892.71,,,0
CDM,70800084,Hc Nm Radiopharm Therapy Radiolabeled Monoclonal Antibody Iv,2382.0,928.98,,,0
CDM,70800085,Hc Nm Iv Inj Radiopharm Drug Dx Study,721.0,281.19,,,0
CDM,70800742,Hc Nm Heart Spect Single Aqmbf At Rest And Stress Add-On,4796.0,1870.44,,,0
CDM,70878016,Hc Nm Thyroid Metastatic Scan W Additional Study,1557.0,607.23,,,0
CDM,70878020,Hc Nm Thyroid Carcinoma Metastases Uptake Add On,815.0,317.85,,,0
CDM,70878071,Hc Nm Parathyroid Imaging W/Wo Subtraction Spect,1505.5,587.145,,,0
CDM,70878072,Hc Nm Parathyroid Imaging W/Wo Subtraction Spect And Ct,1597.0,622.83,,,0
CDM,70878099,Hc Nm Unlisted Endocrine Procedure Dx,889.0,346.71,,,0
CDM,70878102,Hc Nm Bone Marrow Imaging Limited Area,1517.0,591.63,,,0
CDM,70878103,Hc Nm Bone Marrow Imaging Multiple Areas,1566.0,610.74,,,0
CDM,70878111,Hc Nm Plasma Volume Multiple,4814.0,1877.46,,,0
CDM,70878120,Hc Nm Red Cell Mass Single,1399.0,545.61,,,0
CDM,70878121,Hc Nm Red Cell Mass Multiple,1687.0,657.93,,,0
CDM,70878130,Hc Nm Red Cell Survival Study,1399.0,545.61,,,0
CDM,70878140,Hc Nm Labeled Rbc Sequestration Differntl Organ/Tissue,2712.0,1057.68,,,0
CDM,70878185,Hc Nm Spleen Scan Only W/Wo Vascular Flow,1411.0,550.29,,,0
CDM,70878191,Hc Nm Platelet Survival Study,1399.0,545.61,,,0
CDM,70878202,Hc Nm Liver Imaging W/Vascular Flow,2319.0,904.41,,,0
CDM,70878230,Hc Nm Salivary Gland Imaging,1500.0,585.0,,,0
CDM,70878231,Hc Nm Salivary Gland Serial Images,1500.0,585.0,,,0
CDM,70878232,Hc Nm Salivary Gland Function Study,1844.0,719.16,,,0
CDM,70878258,Hc Nm Esophagus Motility,1328.0,517.92,,,0
CDM,70878261,Hc Nm Gastric Mucosa Imaging,1275.0,497.25,,,0
CDM,70878265,Hc Nm Gastric Emptying Imag Study,2538.0,989.82,,,0
CDM,70878267,Hc Nm Breath Test Acquire Analyze C-14,659.0,257.01,,,0
CDM,70878300,Hc Nm Bone/Joint Imaging Limited,1163.5,453.765,,,0
CDM,70878350,Hc Nm Bone Density Single Site 1 Photon Absorptiometry,801.0,312.39,,,0
CDM,70878428,Hc Nm Cardiac Shunt Imaging Detection,1785.0,696.15,,,0
CDM,70878456,Hc Nm Acute Venous Thrombosis Imaging Peptide,1263.0,492.57,,,0
CDM,70878457,Hc Nm Venous Thrombosis Venogram Unilateral,951.0,370.89,,,0
CDM,70878458,Hc Nm Venous Thrombosis Imaging Venogram Bilateral,1175.0,458.25,,,0
CDM,70878468,Hc Nm Myocardial Infarction Avid Plnr W Ejec Fraction,1833.0,714.87,,,0
CDM,70878469,Hc Nm Myocard Infarct Avid Plnr Tomo Spect W/Wo Quant,2139.0,834.21,,,0
CDM,70878473,Hc Nm Gated Heart Multi Wall Motion Plus Ejection Fraction Rest And Stress,2969.0,1157.91,,,0
CDM,70878481,Hc Nm Cardiac Blood Pool Planar 1 Stdy Wal Motn Eject Fract,1654.0,645.06,,,0
CDM,70878494,Hc Nm Cardiac Blood Pool Gated Spect Rest Wal Motn Ejct Frct,1275.0,497.25,,,0
CDM,70878496,Hc Nm Cardiac Blood Pool Gated Single Study At Rest Add On??,452.0,176.28,,,0
CDM,70878599,Hc Nm Unlisted Respiratory Procedure Dx,1399.0,545.61,,,0
CDM,70878601,Hc Nm Brain Imaging Under 4 Static Views W/Vascular Flow,1833.0,714.87,,,0
CDM,70878605,Hc Nm Brain Imaging 4 Plus Vws Static,2721.0,1061.19,,,0
CDM,70878606,Hc Nm Brain Imaging Min 4 Static Views W/Vascular Flow,3043.0,1186.77,,,0
CDM,70878635,Hc Nm Csf Ventriculogram Wo Material,1833.0,714.87,,,0
CDM,70878660,Hc Nm Dacryocystogram,1206.0,470.34,,,0
CDM,70878701,Hc Nm Kidney Imaging With Flow,1937.0,755.43,,,0
CDM,70878801,Hc Nm Tumor Imaging Or Inflam 2 Plus Areas/1 Day Or 1 Area/2 Plus Days,2250.0,877.5,,,0
CDM,70878802,Hc Nm Tumor Imaging Or Inflam Whole Body 1 Day,2500.0,975.0,,,0
CDM,70878830,Hc Nm Spec Ct Tumor Imag Or Inflam 1 Area 1 Day,1825.0,711.75,,,0
CDM,70878831,Hc Nm Spec Tumor Imag Or Inflam 2 Or More Areas 1 Day Or 1 Area 2 Or More Days,2187.5,853.125,,,0
CDM,70878832,Hc Nm Spec Ct Tumor Imag Or Inflam 2 Or More Areas 1 Day Or 1 Area 2 Or More Days,2237.5,872.625,,,0
CDM,70878835,Hc Nm Radiopharm Quantification Meas 1 Area Add-On,753.0,293.67,,,0
CDM,70879110,Hc Nm Plasma Volume Single,4814.0,1877.46,,,0
CDM,70879300,Hc Nm Rp Therapy Interstitial Radiocolloid,954.0,372.06,,,0
CDM,70879445,Hc Nm Rp Therapy Intra-Arterial Particulate Admn,1653.0,644.67,,,0
CDM,70879999,Hc Nm Rp Therapy Unlisted Procedure,1322.0,515.58,,,0
CDM,70900010,Hc Pet Myocardial Single,3756.0,1464.84,,,0
CDM,70900011,Hc Pet Myocardial Multiple,4177.0,1629.03,,,0
CDM,70900013,Hc Pet Brain Metabolic Eval Initial,5351.5,2087.085,,,0
CDM,70900015,Hc Pet Ct Skull Base To Midthigh,5729.5,2234.505,,,0
CDM,70900016,Hc Pet Ct Whole Body,5729.5,2234.505,,,0
CDM,70900017,Hc Pet Brain Metabolic Eval Subsequent,5351.5,2087.085,,,0
CDM,70900018,Hc Pet Ct Image Limited Area Initial,5430.5,2117.895,,,0
CDM,70900019,Hc Pet Ct Image Limited Area Subsequent,5430.5,2117.895,,,0
CDM,70900020,Hc Pet Ct Skull Base To Midthigh Initial,5729.5,2234.505,,,0
CDM,70900021,Hc Pet Ct Skull Base To Midthigh Subsequent,5729.5,2234.505,,,0
CDM,70900022,Hc Pet Ct Whole Body Initial,5729.5,2234.505,,,0
CDM,70900023,Hc Pet Ct Whole Body Subsequent,5729.5,2234.505,,,0
CDM,70900024,Hc Pet Rb-82 Rubidium Per Dose,1134.5,442.45500000000004,,,0
CDM,70900026,Hc Pet Cv Stress Test,2297.5,896.025,,,0
CDM,70909991,Hc Pet Whole Body Melanoma Noncovered,14497.0,5653.83,,,0
CDM,70909992,Hc Pet Any Site Not Specified Noncovered,14206.0,5540.34,,,0
CDM,70978429,Hc Pet Ct Myocardial Metab Eval Single Study,5476.0,2135.64,,,0
CDM,70978433,Hc Pet Ct Myocardial Perfusion Metab 2 Tracers,6521.0,2543.19,,,0
CDM,70978459,Hc Pet Myocardial Imaging Metabolic Eval Single Study,6308.0,2460.12,,,0
CDM,70978609,Hc Pet Brain Imaging Perfusion Evaluation,94.0,36.66,,,0
CDM,70978814,Hc Pet Imaging Ct For Attenuation Limited Area,5430.5,2117.895,,,0
CDM,70979200,Hc Nm Rp Therapy Intracavitary Admin,954.0,372.06,,,0
CDM,716910081,LIDOCAINE 4 %-RACEPINEPHRINE 0.05 %-TETRACAINE 0.5 % TOPICAL GEL,120.4,46.96,,,0
CDM,723376991,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,28.7,11.19,,,0
CDM,733893259,CEPHALEXIN 500 MG CAPSULE,4.8,1.87,,,0
CDM,733893260,BENZOCAINE 20 %-MENTHOL 0.5 % TOPICAL AEROSOL,20.5,8.0,,,0
CDM,737779105,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,13.0,5.07,,,0
CDM,759712300,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,69.2,26.99,,,0
CDM,763726020,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION,22.1,8.62,,,0
CDM,766506832,CYCLOBENZAPRINE 10 MG TABLET,4.8,1.87,,,0
CDM,77000394,Hc Hdr Electronic Brachytherapy Skin Surf,845.0,329.55,,,0
CDM,77000395,Hc Hdr Electronic Brachytherapy Ntrstl/Intrcav,5020.0,1957.8,,,0
CDM,77009725,Hc Place Endorectal Applicator For Brachytherapy,3116.0,1215.24,,,0
CDM,77010021,Hc Hdr Brachytx Interstital/Intracavitary 1 Channel 76,9697.0,3781.83,,,0
CDM,77010023,Hc Hdr Brachytx Interstital/Intracavitary 2-12 Channels 76,10375.0,4046.25,,,0
CDM,77010025,Hc Hdr Rdncl Brachytx Interstital/Intracav Over 12 Chnls 76,10730.0,4184.7,,,0
CDM,77010089,Hc Fiducial Marker Placement Other,6089.0,2374.71,,,0
CDM,77010092,Hc Teletherapy Isodose Plan Smpl,3509.0,1368.51,,,0
CDM,77010096,Hc Brachytherapy Isodose Plan Complx,4833.0,1884.87,,,0
CDM,77010097,Hc Intensity Modulated Rad Tx (Imrt) Simple,7368.0,2873.52,,,0
CDM,77010098,Hc Intensity Modulated Rad Tx (Imrt) Complex,7866.0,3067.74,,,0
CDM,77010099,Hc Guidance For Loclzj Target Vol For Radj Tx Dlvr,2696.0,1051.44,,,0
CDM,77010100,Hc Radiation Treatment Delivery 1 Mev Or More Simple,715.0,278.85,,,0
CDM,77010101,Hc Radiation Tmt Delivery 1 Mev Or Over Intermediate,971.0,378.69,,,0
CDM,77010102,Hc Radiation Tmt Delivery 1 Mev Or Over Complex,1672.0,652.08,,,0
CDM,77010103,Hc Teletherapy Isodose Plan Complex,3915.0,1526.85,,,0
CDM,77010104,Hc Brachytherapy Isodose Plan Simple,3397.0,1324.83,,,0
CDM,77010105,Hc Brachytx Isodose Plan Sim 76,3397.0,1324.83,,,0
CDM,77010107,Hc Brachytx Isodose Plan Complex 76,4833.0,1884.87,,,0
CDM,77010110,Hc Hdr Rdncl Skn Surf Brachytx 2Cm Or Less Or 1 Channel,3962.0,1545.18,,,0
CDM,77010112,Hc Hdr Rdncl Brachytx Lesion 2 Or Over Channels/Lesions Over 2 Cm,5806.0,2264.34,,,0
CDM,77010114,Hc Hdr Brachytx Interstital/Intracavitary 1 Channel,9697.0,3781.83,,,0
CDM,77010115,Hc Hdr Brachytx Interstital/Intracavitary 2-12 Channels,10375.0,4046.25,,,0
CDM,77010116,Hc Hdr Rdncl Brachytx Interstital/Intracav Over 12 Chnls,10730.0,4184.7,,,0
CDM,77010117,Hc Radium Radioisotope Therapy Clinical Brchtx,4787.0,1866.93,,,0
CDM,77010120,Hc Plcmnt Of Ndls Or Cath Pelvic Organs Excpt Prost Subseq Rad Elem Appl,21759.0,8486.01,,,0
CDM,77011073,Hc Rad Thy Anal Cancer Rad Onc 90 Day Episode,0.01,0.0039,,,0
CDM,77011075,Hc Rad Thy Bladder Cancer Rad Onc 90 Day Episode,0.01,0.0039,,,0
CDM,77011077,Hc Rad Thy Bone Metastases Rad Onc 90 Day Episode,0.01,0.0039,,,0
CDM,77011079,Hc Rad Thy Brain Metastases Rad Onc 90 Day Episode,0.01,0.0039,,,0
CDM,77011081,Hc Rad Thy Breast Cancer Rad Onc 90 Day Episode,0.01,0.0039,,,0
CDM,77011083,Hc Rad Thy Cervical Cancer Rad Onc 90 Day Episode,0.01,0.0039,,,0
CDM,77011085,Hc Rad Thy Cns Tumors Rad Onc 90 Day Episode,0.01,0.0039,,,0
CDM,77011087,Hc Rad Thy Colorectal Cancer Rad Onc 90 Day Episode,0.01,0.0039,,,0
CDM,77011089,Hc Rad Thy Head And Neck Cancer Rad Onc 90 Day Episode,0.01,0.0039,,,0
CDM,77011095,Hc Rad Thy Lung Cancer Rad Onc 90 Day Episode,0.01,0.0039,,,0
CDM,77011097,Hc Rad Thy Lymphoma Rad Onc 90 Day Episode,0.01,0.0039,,,0
CDM,77011099,Hc Rad Thy Pancreatic Cancer Rad Onc 90 Day Episode,0.01,0.0039,,,0
CDM,77011101,Hc Rad Thy Prostate Cancer Rad Onc 90 Day Episode,0.01,0.0039,,,0
CDM,77011103,Hc Rad Thy Upper Gi Cancer Rad Onc 90 Day Episode,0.01,0.0039,,,0
CDM,77011105,Hc Rad Thy Uterine Cancer Rad Onc 90 Day Episode,0.01,0.0039,,,0
CDM,77041019,Hc Place Needles Into Head/Neck For Radioelement Appl,26701.0,10413.39,,,0
CDM,77055874,Hc Transperineal Placement Of Biodegradeable Material,30269.0,11804.91,,,0
CDM,77055875,Hc Transperineal Needle-Catheter Plcmnt Prostate,28144.0,10976.16,,,0
CDM,77077293,Hc Respiratory Motion Mgmt Sim,5684.0,2216.76,,,0
CDM,77077317,Hc Brachytx Isodose Pln Intermed W/Dosimetry Cal,2126.0,829.14,,,0
CDM,77077371,Hc Radiation Delivery Stereotactic Cranial Cobalt,157802.0,61542.78,,,0
CDM,77077425,Hc Io Radiation Tx Delivery By Electrons,23929.0,9332.31,,,0
CDM,77077750,Hc Instill/Infuse Radioactive Materials,3182.0,1240.98,,,0
CDM,793822259,HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE,6.6,2.57,,,0
CDM,80000202,Hc Nfct Ds Bct/Vir Respir Dna/Rna 22 Trgt Sarscov2,909.5,354.705,,,0
CDM,80000203,Hc Autoimmune Ibd Mrna Gene Expression Profiling 17 Genes Whole Blood,3463.0,1350.57,,,0
CDM,80000204,Hc Oncology Thyroid Mrna Gene Expression Alys 593 Genes Fna,13306.0,5189.34,,,0
CDM,80000205,Hc Ophthalmology Age-Related Macular Degeneration Alys 3 Gene Variants,480.0,187.2,,,0
CDM,80000206,Hc Neurology Alzheimer Disease Cell Aggregation,2216.0,864.24,,,0
CDM,80000207,Hc Neurology Alzheimer Disease Quantitative Imaging,512.0,199.68,,,0
CDM,80000209,Hc Cytogenomic Constitutional Alys Interrogation Genomic Reg F/Copy Number,788.0,307.32,,,0
CDM,80000210,Hc Syphilis Test Non-Treponemal Antibody Ia Quan Rpr,480.0,187.2,,,0
CDM,80000211,Hc Oncology Pan-Tumor Dna And Rna Next-Generation Sequencing,38532.0,15027.48,,,0
CDM,80000212,Hc Rare Diseases Whole Genome And Mitochondrial Dna Seq Alys Proband,5476.0,2135.64,,,0
CDM,80000213,Hc Rare Ds Whole Genome And Mitochondrial Dna Seq Alys Each Comprtr,2710.0,1056.9,,,0
CDM,80000214,Hc Rare Diseases Whole Exome And Mitochondrial Dna Seq Alys Proband,5225.0,2037.75,,,0
CDM,80000215,Hc Rare Diseases Whole Eom And Mitochondrial Dna Seq Alys Ea Comparator,2575.0,1004.25,,,0
CDM,80000216,Hc Neuro Inh Ataxia Genomic Dna Seq Alys 12 Blood/Salvia,1538.0,599.82,,,0
CDM,80000217,Hc Neuro Inh Ataxia Genomic Dna Seq Alys 51 Blood/Silva,2199.0,857.61,,,0
CDM,80000218,Hc Neuro Muscular Dystrophy Dmd Seq Alys Blood/Saliva,10386.0,4050.54,,,0
CDM,80000219,Hc Infectious Agent Hiv Targeted Viral Next-Gnrj Seq Alys Algorithm,725.0,282.75,,,0
CDM,80000220,Hc Oncology Breast Ca Image Alys W/Ai Assmt 12 Features,707.0,275.73,,,0
CDM,80000221,Hc Abo Genotyping Gene Alys Next-Generation Seq Abo Gene,480.0,187.2,,,0
CDM,80000222,Hc Rhd And Rhce Genotyping Next-Generation Seq Rh Proximal Promoter,480.0,187.2,,,0
CDM,80000223,Hc Infectious Disease Bacterial/Viral Respiratory Dna/Rna 22 Trgt Sarscov2,558.075,217.65,,,0
CDM,80000225,Hc Infectious Ds Dna&Rna 21 Targets Sars-Cov-2 Amp Probe,480.0,187.2,,,0
CDM,80000226,Hc Surrogate Viral Neutralization Test Sarscov2 Elisa Plasma Serum,480.0,187.2,,,0
CDM,80000240,Hc Infectious Disease Rna 3 Targets Upper Respiratory Specimen,480.0,187.2,,,0
CDM,80000241,Hc Infectious Disease Rna 4 Targets Upper Respiratory Specimen,480.0,187.2,,,0
CDM,80000250,Hc Onc Sld Org Neo Trgt Gen Seq Dna Alys 505 Genes,10219.0,3985.41,,,0
CDM,80000352,Hc Nfct Ds Bct Vaginosis And Vaginitis Mult Amp Probe,357.0,139.23,,,0
CDM,80000361,Hc Neurofilament Light Chain Digital Ia Plasma Quan,2988.0,1165.32,,,0
CDM,80000427,Hc Monocyte Distribution Width Whole Blood,167.0,65.13,,,0
CDM,80000472,Hc Hepatitis C Screen High Risk/Other,186.905,72.89500000000001,,,0
CDM,80000499,Hc Hepatitis B Screen High Risk Individual,126.9,49.489999999999995,,,0
CDM,80000540,Hc Car-T Therapy Autologous Cell Administration,1083.0,422.37,,,0
CDM,80000564,Hc Onc Chemo Rx Cytotoxicity Assay Csc Min 14 Drugs,289.0,112.71,,,0
CDM,80001120,Hc Idh1 Common Variants,676.0,263.64,,,0
CDM,80009026,Hc Cryoprecipitated Fibrinogen Complex Pathogen Reduce Each,278.0,108.42,,,0
CDM,80009612,Hc Catheterize For Urine Spec,250.0,97.5,,,0
CDM,80010001,Hc Venipuncture,25.82,10.07,,,0
CDM,80010003,Hc Basic Metabolic Panel Calcium Ionized,439.0,171.21,,,0
CDM,80010007,Hc Basic Metabolic Panel Calcium Total,45.0,17.55,,,0
CDM,80010010,Hc Electrolyte Panel,198.5,77.415,,,0
CDM,80010011,Hc Comprehensive Metabolic Panel,90.64,35.35,,,0
CDM,80010014,Hc Renal Function Panel,213.0,83.07,,,0
CDM,80010016,Hc Acute Hepatitis Panel,650.0,253.5,,,0
CDM,80010017,Hc Hepatic Function Panel,43.0,16.77,,,0
CDM,80010022,Hc Assay Of Amikacin,219.0,85.41,,,0
CDM,80010028,Hc Carbamazepine Assay,195.5,76.245,,,0
CDM,80010029,Hc Cyclosporin Assay,209.275,81.61500000000001,,,0
CDM,80010031,Hc Digoxin Assay,195.0,76.05,,,0
CDM,80010032,Hc Valproic Acid Assay,187.35,73.065,,,0
CDM,80010034,Hc Ethosuximide Assay,173.2,67.55,,,0
CDM,80010038,Hc Assay Of Gentamicin,249.0,97.11,,,0
CDM,80010040,Hc Lidocaine Assay,183.0,71.37,,,0
CDM,80010041,Hc Lithium Assay,106.5,41.535000000000004,,,0
CDM,80010043,Hc Phenobarbital Assay,176.89,68.985,,,0
CDM,80010044,Hc Dilantin Assay,196.0,76.44,,,0
CDM,80010045,Hc Phenytoin Free Assay,153.5,59.865,,,0
CDM,80010046,Hc Primidone Assay,188.0,73.32,,,0
CDM,80010047,Hc Procainamide And Napa Assay,295.5,115.24499999999999,,,0
CDM,80010048,Hc Quinidine Assay,183.0,71.37,,,0
CDM,80010049,Hc Rapamycin Sirolimus,182.0,70.98,,,0
CDM,80010051,Hc Drug Screen Quantitative Tacrolimus,355.455,138.625,,,0
CDM,80010052,Hc Theophylline Aminophylline,195.0,76.05,,,0
CDM,80010053,Hc Assay Of Tobramycin,229.5,89.505,,,0
CDM,80010056,Hc Topiramate Topamax,151.95,59.26,,,0
CDM,80010059,Hc Assay Of Vancomycin,347.85,135.66,,,0
CDM,80010062,Hc Caffeine Assay,271.825,106.01,,,0
CDM,80010067,Hc Gabapentin Assay,244.5,95.355,,,0
CDM,80010069,Hc Lamotrigine Assay,233.59,91.10000000000001,,,0
CDM,80010070,Hc Levetiracetam,233.325,90.995,,,0
CDM,80010071,Hc Quantitative Assay Drug,288.42,112.48500000000001,,,0
CDM,80010076,Hc Urinalysis Auto W/Scope,21.8,8.5,,,0
CDM,80010077,Hc Urinalysis After Hours,81.5,31.785,,,0
CDM,80010088,Hc Urinalysis Auto W/O Scope,11.82,4.61,,,0
CDM,80010089,Hc Urinalysis Microscopic,75.65,29.505,,,0
CDM,80010091,Hc Urine Pregnancy Test,33.0,12.87,,,0
CDM,80010094,Hc Cftr Gene Analysis Common Variants,1315.3,512.965,,,0
CDM,80010095,Hc Prothrombin Gene Mutation Q,251.1,97.93,,,0
CDM,80010096,Hc Factor V Leiden Q,311.85,121.62,,,0
CDM,80010097,Hc Fragile X E,1723.35,672.105,,,0
CDM,80010098,Hc Hemochromatosis Q,1320.285,514.91,,,0
CDM,80010100,Hc Molecular Pathology Procedure Level 2,513.75,200.36,,,0
CDM,80010101,Hc Unlisted Molecular Pathologyp,596.0,232.44,,,0
CDM,80010103,Hc Beta-Hydroxybutyrate,263.25,102.67,,,0
CDM,80010104,Hc Acylcarnitine Plasma,326.15,127.2,,,0
CDM,80010105,Hc Acth Assay,594.55,231.875,,,0
CDM,80010107,Hc Albumin Serum Plasma/Whole Blood,80.455,31.375,,,0
CDM,80010108,Hc Other Source Albumin Quantitative Each Specimen,132.1,51.52,,,0
CDM,80010110,Hc Urine Albumin Quantitative,194.0,75.66,,,0
CDM,80010113,Hc Aldolase,166.775,65.04,,,0
CDM,80010116,Hc Assay Of Aldosterone,441.145,172.045,,,0
CDM,80010117,Hc Alpha-1-Antitrypsin Quant,286.305,111.66,,,0
CDM,80010118,Hc Alpha 1 Antitrypsin Pheno,388.0,151.32,,,0
CDM,80010120,Hc Alpha-Fetoprotein Serum,298.81,116.535,,,0
CDM,80010122,Hc Aluminum Assay,351.0,136.89,,,0
CDM,80010123,Hc Amino Acids 1 Quantitative Each Specimen,634.0,247.26000000000002,,,0
CDM,80010126,Hc Delta Aminolevulinic Acid 24Hr,289.9,113.06,,,0
CDM,80010128,Hc Amino Acids 6 And Over Amino Acids Quantitative Ea Spec,267.6,104.36500000000001,,,0
CDM,80010129,Hc Ammonia Assay,353.25,137.76500000000001,,,0
CDM,80010131,Hc Assay Of Amylase,186.59,72.77,,,0
CDM,80010135,Hc Androstenendione Assay,381.8,148.9,,,0
CDM,80010136,Hc Angiotensin I-Converting Enzyme,281.26,109.69,,,0
CDM,80010138,Hc Assay Of Arsenic,291.415,113.64999999999999,,,0
CDM,80010140,Hc Beta-2 Microglobulin,308.5,120.315,,,0
CDM,80010142,Hc Bile Acids,494.7,192.935,,,0
CDM,80010145,Hc Bilirubin Total,111.4,43.445,,,0
CDM,80010147,Hc Bilirubin Direct,27.0,10.53,,,0
CDM,80010148,Hc Blood Occult Peroxidase Actv Qual Feces 1 Deter,56.0,21.84,,,0
CDM,80010151,Hc Occult Blood Other,77.475,30.215,,,0
CDM,80010155,Hc Blood Occult Peroxidase Actv Qual Feces 1-3 Spec,70.5,27.495,,,0
CDM,80010156,Hc Blood Occult Peroxidase Actv Qual Feces 1-3 Spec,124.0,48.36,,,0
CDM,80010158,Hc Fecal Globin,200.675,78.265,,,0
CDM,80010160,Hc 25 Hydroxy Includes Fractions If Performed,162.21,63.26,,,0
CDM,80010161,Hc Calcitonin Assay,524.85,204.69,,,0
CDM,80010162,Hc Calcium Total,93.0,36.269999999999996,,,0
CDM,80010169,Hc Calcium Ionized,534.0,208.26,,,0
CDM,80010171,Hc Calcium Ionized,303.0,118.16999999999999,,,0
CDM,80010176,Hc Calcium 24 Hr Urine,315.825,123.17,,,0
CDM,80010178,Hc Stone Analysis Other,286.0,111.54,,,0
CDM,80010179,Hc Carbon Dioxide Bicarbonate,91.975,35.87,,,0
CDM,80010182,Hc Abgrt Cohb Only,518.0,202.02,,,0
CDM,80010183,Hc Carboxyhemoglobin,287.525,112.135,,,0
CDM,80010189,Hc Carnitine Quantitative Each Specimen,600.0,234.0,,,0
CDM,80010190,Hc Carotene,202.535,78.99000000000001,,,0
CDM,80010191,Hc Catecholamines Fractionated,510.98,199.28,,,0
CDM,80010193,Hc Ceruloplasmin,153.915,60.025,,,0
CDM,80010194,Hc Chemiluminescent Assay,151.4,59.05,,,0
CDM,80010197,Hc Chloride Blood,92.0,35.879999999999995,,,0
CDM,80010201,Hc Chloride Urine,107.25,41.824999999999996,,,0
CDM,80010203,Hc Chloride Other Source,134.0,52.26,,,0
CDM,80010207,Hc Cholesterol Serum/Whole Blood Total,109.5,42.705,,,0
CDM,80010209,Hc Cholinesterase Plasma,162.2,63.260000000000005,,,0
CDM,80010218,Hc Citrate Urine,515.85,201.18,,,0
CDM,80010219,Hc Collagen Cross Links Any Method,484.195,188.83499999999998,,,0
CDM,80010221,Hc Assay Of Copper,280.685,109.465,,,0
CDM,80010224,Hc Cortisol Free,272.35,106.215,,,0
CDM,80010237,Hc Creatine Kinase Total,168.75,65.81,,,0
CDM,80010238,Hc Ck Isoenzymes,270.69,105.57,,,0
CDM,80010239,Hc Creatine Kinase Mb Fraction Only,281.5,109.785,,,0
CDM,80010243,Hc Creatinine Blood,27.0,10.53,,,0
CDM,80010251,Hc Assay Of Urine Creatinine,116.0,45.24,,,0
CDM,80010252,Hc Creatinine Clearance Urine,249.75,97.4,,,0
CDM,80010254,Hc Cryoglobulin Qualitative/Semi-Quantitative,167.5,65.325,,,0
CDM,80010255,Hc Cyanide Assay,286.0,111.53999999999999,,,0
CDM,80010256,Hc Vitamin B12 Assay,79.0,30.81,,,0
CDM,80010257,Hc Cystine Screen Urine,358.0,139.62,,,0
CDM,80010258,Hc Dhea Dehydroepiandrosterone,422.485,164.77,,,0
CDM,80010259,Hc Dhea Sulfate,437.24,170.525,,,0
CDM,80010260,Hc Vitamin D 1 25 Hydroxy Assay,569.25,222.01,,,0
CDM,80010262,Hc Nzym Activ Bld Cells/Tiss Nonradact Substrate Ea,426.25,166.235,,,0
CDM,80010263,Hc Protein Electrophoresis Bld,230.65,89.95,,,0
CDM,80010265,Hc Erythropoietin Assay,372.46500000000003,145.26,,,0
CDM,80010267,Hc Assay Of Total Estradiol,428.735,167.205,,,0
CDM,80010268,Hc Estrogen Total Serum,276.725,107.925,,,0
CDM,80010269,Hc Estriol Serum,303.71,118.445,,,0
CDM,80010270,Hc Estrone,348.175,135.79,,,0
CDM,80010272,Hc Ethylene Glycol Assay,290.9,113.45,,,0
CDM,80010274,Hc Fecal Fat Total Quant,495.5,193.245,,,0
CDM,80010275,Hc Ferritin Assay,308.0,120.12,,,0
CDM,80010277,Hc Folate Assay,373.0,145.47000000000003,,,0
CDM,80010279,Hc Assay Of Folic Acid Rbc,90.0,35.1,,,0
CDM,80010280,Hc Assay Of Galactose,1480.0,577.2,,,0
CDM,80010282,Hc Galactose-1-Phosphate Uridyl Transferase Quan,76.0,29.64,,,0
CDM,80010290,Hc Assay Of Gammaglobulin Iga Igd Igg Igm Each,249.725,97.395,,,0
CDM,80010293,Hc Ige,257.90999999999997,100.585,,,0
CDM,80010294,Hc Igg Subclasses Q,564.6,220.195,,,0
CDM,80010296,Hc Gases Blood Ph Only,191.25,74.59,,,0
CDM,80010298,Hc Gases Blood Ph Only,338.0,131.82,,,0
CDM,80010308,Hc Blood Gases Any Combination Ph Pco2 Po2 Co2 Hco3,402.875,157.12,,,0
CDM,80010312,Hc Blood Gases Any Combination Ph Pco2 Po2 Co2 Hco3,679.0,264.81,,,0
CDM,80010315,Hc Blood Gases W/O2 Saturation,503.2,196.25,,,0
CDM,80010316,Hc Gases Blood Ph Direct Meas Xcpt Pulse Oximitry,711.0,277.29,,,0
CDM,80010321,Hc Oxyhemoglobin Pct Card Cath,279.0,108.81,,,0
CDM,80010327,Hc Gases Blood O2 Saturation Only Direct Meas,168.25,65.61500000000001,,,0
CDM,80010328,Hc Assay Of Gastrin,168.5,65.715,,,0
CDM,80010331,Hc Glucose Body Fluid Other Than Blood,193.65,75.52499999999999,,,0
CDM,80010334,Hc Glucose Quantitative Blood Xcpt Reagent Strip,117.995,46.019999999999996,,,0
CDM,80010341,Hc Glucose Post Glucose Dose,145.89,56.894999999999996,,,0
CDM,80010342,Hc Glucose Tolerance Test Gtt 3 Specimens,276.995,108.03,,,0
CDM,80010347,Hc Glucose Tolerance Ea Addl Beyond 3 Specimens,72.535,28.29,,,0
CDM,80010352,Hc G6Pd Assay,276.95,108.00999999999999,,,0
CDM,80010353,Hc Ggt,116.5,45.435,,,0
CDM,80010354,Hc Fructosamine,280.475,109.38499999999999,,,0
CDM,80010357,Hc Growth Hormone Hgh,288.1,112.36000000000001,,,0
CDM,80010359,Hc Haptoglobin Blood,330.58,128.92499999999998,,,0
CDM,80010360,Hc Urea Breath Test Infrared Ubit,564.375,220.105,,,0
CDM,80010361,Hc Heavy Metal Qualitative Any Analytes,475.0,185.25,,,0
CDM,80010363,Hc Hemoglobin A2 Quant,503.0,196.17,,,0
CDM,80010364,Hc Hemoglobin Chromotography,196.29500000000002,76.555,,,0
CDM,80010369,Hc Methemoglobin,150.875,58.84,,,0
CDM,80010371,Hc Rt Methemoglobin,253.0,98.67,,,0
CDM,80010372,Hc Hemoglobin Plasma,117.675,45.894999999999996,,,0
CDM,80010374,Hc Hemoglobin Sulfhemoglobin Quantitative,498.7,194.49499999999998,,,0
CDM,80010375,Hc Assay Of Homocysteine,536.99,209.425,,,0
CDM,80010378,Hc Hydroxysteroids-17 Q,373.5,145.665,,,0
CDM,80010379,Hc Hiaa-5,218.765,85.32000000000001,,,0
CDM,80010380,Hc Assay Of Hydroxyprogesterone 17-D,486.385,189.69,,,0
CDM,80010384,Hc Immunoassay Analyte Qual/Semiqual Multiple Step,349.35,136.245,,,0
CDM,80010391,Hc Immunoassay Analyte Quant Radioimmunoassay,572.455,223.255,,,0
CDM,80010394,Hc Immunoassay Analyte Quantitative Nos,405.0,157.95,,,0
CDM,80010407,Hc Insulin,238.5,93.015,,,0
CDM,80010408,Hc Assay Of Iron,184.5,71.955,,,0
CDM,80010410,Hc Tibc,207.0,80.73,,,0
CDM,80010411,Hc Ketogenic Steroids 17,141.5,55.185,,,0
CDM,80010412,Hc Ketosteroids-17,188.25,73.41499999999999,,,0
CDM,80010413,Hc Rt Lactate Arterial,383.0,149.37,,,0
CDM,80010414,Hc Assay Of Lactic Acid,219.5,85.605,,,0
CDM,80010418,Hc Lactate Dehydrogenase Ldh,138.0,53.82,,,0
CDM,80010421,Hc Ldh Isoenzymes,243.29,94.885,,,0
CDM,80010423,Hc Assay Of Lead,171.585,66.92,,,0
CDM,80010424,Hc L/S Ratio,668.0,260.52,,,0
CDM,80010425,Hc Assay Of Lipase,201.5,78.585,,,0
CDM,80010427,Hc Lipoprotein A,175.37,68.39,,,0
CDM,80010428,Hc Lipoprotein Blood High Resoltj And Quantj Subclass,247.95,96.7,,,0
CDM,80010430,Hc Hdl Cholesterol,137.5,53.625,,,0
CDM,80010431,Hc Direct Ldl,48.75,19.01,,,0
CDM,80010433,Hc Assay Of Magnesium,124.995,48.75,,,0
CDM,80010437,Hc Mass Spect And Tandem Mass Spect Nondrg Anal Nes Ea,393.0,153.26999999999998,,,0
CDM,80010440,Hc Assay Of Mercury Quantitative,275.0,107.25,,,0
CDM,80010443,Hc Metanephrines,357.335,139.36,,,0
CDM,80010445,Hc Myelin Basic Protein,317.0,123.63,,,0
CDM,80010446,Hc Myoglobin,299.81,116.925,,,0
CDM,80010449,Hc Natriuretic Peptide,355.0,138.45,,,0
CDM,80010451,Hc Assay Of Nephelometry Each Analyte Nes,288.81,112.63499999999999,,,0
CDM,80010469,Hc Nucleotidase 5,196.61,76.68,,,0
CDM,80010470,Hc Oligoclonal Bands Hi Res Csf,335.875,130.99,,,0
CDM,80010473,Hc Organic Acid Single Quant,696.985,271.825,,,0
CDM,80010479,Hc Osmolality Blood,164.0,63.96,,,0
CDM,80010482,Hc Osmolality Urine,179.5,70.005,,,0
CDM,80010483,Hc Assay Of Osteocalcin,240.0,93.6,,,0
CDM,80010484,Hc Oxalate,218.5,85.215,,,0
CDM,80010496,Hc Assay Of Parathormone,564.325,220.08499999999998,,,0
CDM,80010502,Hc Phenylalanine,291.5,113.685,,,0
CDM,80010503,Hc Acid Phosphatase Prostatic,188.66,73.575,,,0
CDM,80010504,Hc Alkaline Phosphatase,120.8,47.11,,,0
CDM,80010506,Hc Alk Phos Isoenzyme Pattern,159.0,62.01,,,0
CDM,80010508,Hc Phosphatidyl Glycerol,439.0,171.21,,,0
CDM,80010509,Hc Assay Of Phosphorus Inorganic,84.0,32.760000000000005,,,0
CDM,80010512,Hc Phosphorus Urine,113.075,44.1,,,0
CDM,80010513,Hc Porphobilinogen Quant,164.65,64.215,,,0
CDM,80010514,Hc Pamg1 Protein Marker,362.0,141.18,,,0
CDM,80010516,Hc Porphyrins Urine Quantitation And Fractionation,304.5,118.755,,,0
CDM,80010518,Hc Potassium Serum Plasma/Whole Blood,193.0,75.27,,,0
CDM,80010522,Hc Potassium Serum Plasma/Whole Blood,108.5,42.315,,,0
CDM,80010528,Hc Potassium Urine,108.97,42.5,,,0
CDM,80010530,Hc Prealbumin,222.0,86.58,,,0
CDM,80010531,Hc Pregnenolone Lc Ms Ms,269.0,104.91,,,0
CDM,80010532,Hc Progesterone Assay,340.475,132.785,,,0
CDM,80010534,Hc Prolactin Blood,356.92,139.2,,,0
CDM,80010536,Hc Assay Of Prostate Specific Antigen Total,96.56,37.66,,,0
CDM,80010537,Hc Psa Free,299.0,116.60999999999999,,,0
CDM,80010546,Hc Protein Total Xcpt Refractometry Urine,106.5,41.535,,,0
CDM,80010549,Hc Protein Total Xcpt Refractometry Oth Src,130.0,50.699999999999996,,,0
CDM,80010550,Hc Protein Electrophoresis,191.4,74.645,,,0
CDM,80010552,Hc Protein Electrop Fxj And Quan Oth Flus Concentrati,188.01,73.325,,,0
CDM,80010553,Hc Vitamin B6 Assay,728.5,284.115,,,0
CDM,80010554,Hc Pyruvic Acid Blood,192.5,75.075,,,0
CDM,80010555,Hc Pyruvate Kinase Screen,290.25,113.2,,,0
CDM,80010556,Hc Tbii Receptor Assay,537.075,209.46,,,0
CDM,80010557,Hc Receptor Assay Non-Endocrine Specify Receptor,137.5,53.625,,,0
CDM,80010558,Hc Renin Blood,628.0,244.92,,,0
CDM,80010559,Hc Vitamin B2 Plasma,534.0,208.26,,,0
CDM,80010560,Hc Selenium Bld,439.0,171.21,,,0
CDM,80010561,Hc Assay Of Serotonin,907.0,353.73,,,0
CDM,80010563,Hc Assay Of Sex Hormone Binding Globulin,323.0,125.97,,,0
CDM,80010566,Hc Sodium Serum Plasma Or Whole Blood,99.285,38.72,,,0
CDM,80010567,Hc Assay Of Urine Sodium,106.75,41.635,,,0
CDM,80010571,Hc Assay Of Sodium Other Source,78.2,30.5,,,0
CDM,80010572,Hc Somatodedin C,425.75,166.045,,,0
CDM,80010577,Hc Specific Gravity Fluid,50.625,19.744999999999997,,,0
CDM,80010578,Hc Reducing Substance Feces,78.5,30.615000000000002,,,0
CDM,80010580,Hc Testosterone Free,424.475,165.54500000000002,,,0
CDM,80010581,Hc Assay Of Total Testosterone,382.0,148.98,,,0
CDM,80010583,Hc Vitamin B1 Thiamine Assay,515.43,201.02,,,0
CDM,80010584,Hc Thiocyanate Assay,206.425,80.505,,,0
CDM,80010585,Hc Thyroglobulin,306.38,119.49000000000001,,,0
CDM,80010588,Hc Assay Of Thyroxine Total,36.0,14.04,,,0
CDM,80010590,Hc Assay Of Free Thyroxine,57.42,22.39,,,0
CDM,80010591,Hc Assay Of Thyroxine Binding Globulin,217.725,84.91499999999999,,,0
CDM,80010595,Hc Assay Of Thyroid Stimulating Hormone Tsh,164.88,64.3,,,0
CDM,80010598,Hc Thyroid Stim Immunoglob,792.225,308.97,,,0
CDM,80010599,Hc Vitamin E Q,244.5,95.35499999999999,,,0
CDM,80010600,Hc Ast Sgot,93.0,36.269999999999996,,,0
CDM,80010601,Hc Alt Sgpt,93.025,36.28,,,0
CDM,80010602,Hc Transferrin Blood,237.5,92.625,,,0
CDM,80010605,Hc Assay Of Triglycerides,113.0,44.07,,,0
CDM,80010609,Hc T3 Total,66.6,25.97,,,0
CDM,80010612,Hc Assay Of Triiodothyronine T3 Free,89.38,34.86,,,0
CDM,80010613,Hc T3 Reverse,225.6,87.985,,,0
CDM,80010618,Hc Assay Of Troponin Quantitative,289.0,112.71,,,0
CDM,80010619,Hc Tyrosine,497.5,194.025,,,0
CDM,80010620,Hc Assay Of Urea Nitrogen Quantitative,85.5,33.345,,,0
CDM,80010626,Hc Urea Nitrogen Random Urine,120.58500000000001,47.03,,,0
CDM,80010630,Hc Urea Clearance Urine,235.0,91.65,,,0
CDM,80010631,Hc Uric Acid Blood,108.0,42.12,,,0
CDM,80010636,Hc Assay Of Uric Acid Other Source,132.5,51.675,,,0
CDM,80010641,Hc Vma 24Hr Urine,225.5,87.94500000000001,,,0
CDM,80010643,Hc Vasoactive Intestinal Polypep,612.5,238.875,,,0
CDM,80010644,Hc Antidiuretic Hormone,563.125,219.62,,,0
CDM,80010645,Hc Vitamin A Retinol Assay,274.5,107.05499999999999,,,0
CDM,80010646,Hc Vitamin Not Specified Q,170.6,66.53,,,0
CDM,80010647,Hc Volatiles Q,385.5,150.345,,,0
CDM,80010648,Hc Zinc Blood,259.0,101.01,,,0
CDM,80010649,Hc C-Peptide,357.2,139.31,,,0
CDM,80010651,Hc Gonadotropin Chorionic Quantitative,69.76,27.21,,,0
CDM,80010658,Hc Gonadotropin Chorionic Qualitative,49.0,19.11,,,0
CDM,80010660,Hc Bleeding Time,107.75,42.02,,,0
CDM,80010662,Hc Bl Smear W/Diff Wbc Count,17.94,7.0,,,0
CDM,80010664,Hc Bl Smear W/O Diff Wbc Count,60.25,23.5,,,0
CDM,80010666,Hc Blood Count Hematocrit,88.0,34.32,,,0
CDM,80010668,Hc Blood Count Hematocrit,50.0,19.5,,,0
CDM,80010674,Hc Blood Count Hemoglobin,54.155,21.12,,,0
CDM,80010676,Hc Rt Or Hemoglob,89.0,34.71,,,0
CDM,80010678,Hc Cbc W/O Differential,33.05,12.89,,,0
CDM,80010679,Hc Cbc With Differential,42.33,16.51,,,0
CDM,80010680,Hc Red Cell Sendout,59.5,23.205,,,0
CDM,80010682,Hc Retic Count,91.01,35.495,,,0
CDM,80010686,Hc Blood Count Leukocyte Wbc Automated,83.19,32.445,,,0
CDM,80010687,Hc Blood Count Platelet Automated,76.365,29.78,,,0
CDM,80010690,Hc Factor V Assay,409.875,159.85,,,0
CDM,80010691,Hc Factor Vii Assay,327.5,127.725,,,0
CDM,80010692,Hc Clotting Factor Viii Ahg 1-Stage,406.645,158.59,,,0
CDM,80010693,Hc Von Willebrand Cofactor,423.28,165.07999999999998,,,0
CDM,80010694,Hc Von Willebrand Factor Ag,408.57,159.34,,,0
CDM,80010696,Hc Clotting Factor Viii Multimetric Analysis,388.5,151.515,,,0
CDM,80010697,Hc Clotting Factor Ix Ptc/Christmas,410.0,159.9,,,0
CDM,80010698,Hc Factor X Assay,333.75,130.165,,,0
CDM,80010700,Hc Clotting Factor Xi Pta,327.5,127.725,,,0
CDM,80010701,Hc Factor Xii Assay,330.5,128.89499999999998,,,0
CDM,80010702,Hc Antithrombin Iii,295.71,115.325,,,0
CDM,80010703,Hc Antithrombin Iii Antigen,330.085,128.73499999999999,,,0
CDM,80010704,Hc Protein C Antigenic,538.0,209.82,,,0
CDM,80010705,Hc Protein C Activity,359.0,140.01,,,0
CDM,80010706,Hc Protein S Antigenic,509.5,198.70499999999998,,,0
CDM,80010707,Hc Protein S Activity,318.6,124.255,,,0
CDM,80010708,Hc Apc Resistance Assay Q,281.0,109.59,,,0
CDM,80010709,Hc Factor Inhibitor Test,297.35,115.965,,,0
CDM,80010712,Hc Fibrin Monomer,170.5,66.495,,,0
CDM,80010715,Hc D Dimer,229.7,89.58500000000001,,,0
CDM,80010718,Hc Fibrin Degradation Split Products Agglutination Slide Semiquan,179.75,70.1,,,0
CDM,80010719,Hc Plasminogen Activator Inhib,256.95,100.21000000000001,,,0
CDM,80010720,Hc Fetal Hemoglobin Stain,211.8,82.6,,,0
CDM,80010722,Hc Fetal Screen,128.55,50.135,,,0
CDM,80010723,Hc Heparin Assay,316.675,123.50500000000001,,,0
CDM,80010727,Hc Lysozyme,234.5,91.455,,,0
CDM,80010729,Hc Osmotic Fragility Screen,739.0,288.21,,,0
CDM,80010730,Hc Platelet Aggregation In Vitro Each Agent,241.65,94.24499999999999,,,0
CDM,80010735,Hc Phospholipid Neutralization,161.875,63.13,,,0
CDM,80010736,Hc Hexagonal Phase Neutralization,288.335,112.44999999999999,,,0
CDM,80010739,Hc Prothrombin Time,24.0,9.36,,,0
CDM,80010741,Hc 1-1 Mix Pt,124.5,48.55499999999999,,,0
CDM,80010742,Hc Russell Viper Venom Time Diluted,185.485,72.34,,,0
CDM,80010744,Hc Sed Rate,76.5,29.835,,,0
CDM,80010746,Hc Bb Sickle Cell Screen - Donor,99.0,38.61,,,0
CDM,80010748,Hc Sickle Cell Screen,169.0,65.91,,,0
CDM,80010749,Hc Thrombin Time,115.0,44.85,,,0
CDM,80010751,Hc Thromboplastin Time Partial Plasma/Whole Blood,32.0,12.48,,,0
CDM,80010753,Hc 1-1 Mix Ptt,163.0,63.56999999999999,,,0
CDM,80010754,Hc Viscosity,217.5,84.825,,,0
CDM,80010755,Hc Igg Allergen Specific,85.64500000000001,33.4,,,0
CDM,80010756,Hc Allergen Spec Ige Crude Allergen Extract Each,61.5,23.985,,,0
CDM,80010758,Hc Allergen Spec Ige Qual Multiallergen Screen,138.0,53.82,,,0
CDM,80010759,Hc Antibody Identification Leukocyte Antibodies,234.87,91.60000000000001,,,0
CDM,80010771,Hc Antibody Identification Platelet Antibodies,363.8,141.88,,,0
CDM,80010772,Hc Antiplatelet Antibody Direct,279.5,109.005,,,0
CDM,80010775,Hc Antinuclear Antibodies Ana,254.595,99.28999999999999,,,0
CDM,80010778,Hc Ana Abs Titer And Pattern,158.985,62.005,,,0
CDM,80010779,Hc Aso Screen,131.5,51.285,,,0
CDM,80010781,Hc C-Reactive Protein,27.0,10.53,,,0
CDM,80010784,Hc Beta 2 Glycoprotein I Antibody Each,191.23,74.58,,,0
CDM,80010785,Hc Cardiolipin Antibody Each Ig Class,314.92,122.82,,,0
CDM,80010790,Hc Phosphatidyl Iga Igm Igg,149.525,58.315,,,0
CDM,80010791,Hc Cold Agglutinin,113.0,44.07,,,0
CDM,80010798,Hc Complement Antigen Each Component,234.005,91.25999999999999,,,0
CDM,80010801,Hc C1 Esterase Inhib Functional,171.47,66.875,,,0
CDM,80010802,Hc Complement Total Ch50,198.35,77.35499999999999,,,0
CDM,80010803,Hc Cyclic Citrullinated Peptide Ccp,195.525,76.255,,,0
CDM,80010804,Hc Dnase B Antibody,184.0,71.76,,,0
CDM,80010807,Hc Dna Antibody Native/Double Stranded,249.015,97.11500000000001,,,0
CDM,80010809,Hc Extractable Nuclear Antigen Antibody Any Method,219.05,85.43,,,0
CDM,80010815,Hc Fluorescent Noninfectious Agent Antibody Screen Each Antibody,81.68,31.86,,,0
CDM,80010826,Hc Fluorescent Nonnfct Agt Antb Titer Ea Antibody,179.94,70.175,,,0
CDM,80010828,Hc Ca 27 29 Truquant,234.5,91.455,,,0
CDM,80010829,Hc Ca 19-9,232.6,90.715,,,0
CDM,80010830,Hc Ca 125,233.6,91.10499999999999,,,0
CDM,80010832,Hc Mono Test,128.5,50.115,,,0
CDM,80010833,Hc Chromogranin A,278.55,108.63499999999999,,,0
CDM,80010835,Hc Immunoassay Infectious Agent Antibody Quan Nos,170.865,66.635,,,0
CDM,80010836,Hc Immunoelectrophoresis Bld,211.5,82.485,,,0
CDM,80010838,Hc Immunodiffusion Gel Diffusion Qual Ea Ag/Antbdy,188.015,73.325,,,0
CDM,80010839,Hc Immune Complex Assay,367.7,143.405,,,0
CDM,80010841,Hc Immunofixation Serum,231.22,90.175,,,0
CDM,80010844,Hc Immunofixation Electrophoresis Other Fluids,270.825,105.62,,,0
CDM,80010845,Hc Inhibin A,255.575,99.67500000000001,,,0
CDM,80010846,Hc Insulin Ab Qual,217.14,84.685,,,0
CDM,80010847,Hc Intrinsic Factor,267.5,104.325,,,0
CDM,80010848,Hc Islet Cell Antibody,208.195,81.19500000000001,,,0
CDM,80010851,Hc T-Cells Total Count,274.35,106.995,,,0
CDM,80010852,Hc T-Helper/Suppressor,689.0350000000001,268.725,,,0
CDM,80010853,Hc Cd4,301.125,117.44,,,0
CDM,80010854,Hc Microsomal Antibodies Each,288.15,112.38,,,0
CDM,80010859,Hc Particle Agglutination Screen Ea Antibody,170.0,66.3,,,0
CDM,80010862,Hc Particle Agglutination Screen Each Antibody,111.5,43.485,,,0
CDM,80010863,Hc Rheumatoid Factor Qual,108.0,42.120000000000005,,,0
CDM,80010864,Hc Rheumatoid Factor Synovial Fluid,186.0,72.54,,,0
CDM,80010865,Hc Rheumatoid Factor,117.0,45.63,,,0
CDM,80010867,Hc Rheumatoid Factor Quant,204.0,79.56,,,0
CDM,80010869,Hc Syphilis Test Non-Treponemal Antibody Qual,58.87,22.959999999999997,,,0
CDM,80010872,Hc Rpr Titer,74.5,29.055,,,0
CDM,80010874,Hc Adenovirus Antibodies,166.835,65.065,,,0
CDM,80010875,Hc Aspergillus Antibody,267.925,104.49,,,0
CDM,80010876,Hc Antibody Bacterium Not Elsewhere Specified,104.75,40.85,,,0
CDM,80010884,Hc Antibody Bartonella,189.965,74.08500000000001,,,0
CDM,80010885,Hc Blastomyces Antibody Id,115.925,45.209999999999994,,,0
CDM,80010886,Hc Antibody Bordetella,149.9,58.46,,,0
CDM,80010887,Hc Lyme Disease Ab Wb,161.525,62.995,,,0
CDM,80010888,Hc Lyme Disease Ab W Rflx W Blot,107.0,41.730000000000004,,,0
CDM,80010889,Hc Brucella Antibody,164.0,63.96,,,0
CDM,80010890,Hc Antibody Chlamydia,190.3,74.215,,,0
CDM,80010892,Hc Chlamydia Ab Igm,171.445,66.865,,,0
CDM,80010893,Hc Antibody Coxiella Burnetii Q Fever,204.6,79.795,,,0
CDM,80010894,Hc Arc Cmv Testing,187.325,73.055,,,0
CDM,80010895,Hc Antibody Cytomegalovirus Cmv,308.0,120.12,,,0
CDM,80010896,Hc Cmv Antibodies Igm,240.0,93.6,,,0
CDM,80010897,Hc Diptheria Antibodies,309.795,120.82,,,0
CDM,80010898,Hc Encephalitis California,203.0,79.17,,,0
CDM,80010899,Hc Encephalitis Eastern Equine,203.0,79.17,,,0
CDM,80010900,Hc Encephalitis St Louis,203.0,79.17,,,0
CDM,80010901,Hc Encephalitis Western Equine,203.055,79.19,,,0
CDM,80010902,Hc Antibody Enterovirus,253.5,98.865,,,0
CDM,80010905,Hc Antibody Epstein-Barr Eb Virus Early Antigen Ea,189.5,73.905,,,0
CDM,80010906,Hc Eb Nuclear Antigen,161.49,62.98,,,0
CDM,80010907,Hc Eb Viral Capsid,212.3,82.79499999999999,,,0
CDM,80010908,Hc Antibody Ehrlichia,183.0,71.37,,,0
CDM,80010910,Hc Fungus Non-Specific,112.055,43.7,,,0
CDM,80010911,Hc Antibody Helicobacter Pylori,219.3,85.52499999999999,,,0
CDM,80010915,Hc Cysticercosis Antibodies,337.57,131.65,,,0
CDM,80010916,Hc H.Flu Type B Antibody Igg,180.5,70.395,,,0
CDM,80010919,Hc Antibody Htlv/Hiv Antibody Confirmatory Test,98.78,38.52,,,0
CDM,80010920,Hc Antibody Herpes Simplex Non-Specific Type Test,160.95,62.769999999999996,,,0
CDM,80010925,Hc Antibody Herpes Simplex Type 1,156.115,60.885,,,0
CDM,80010927,Hc Antibody Herpes Simplex Type 2,169.79,66.22,,,0
CDM,80010933,Hc Histoplasma Antibody,167.0,65.13,,,0
CDM,80010936,Hc Antibody Hiv-1,245.44,95.72,,,0
CDM,80010939,Hc Hiv1/Hiv2 Antibody,398.45,155.39499999999998,,,0
CDM,80010941,Hc Hepatitis B Core Total,175.9,68.6,,,0
CDM,80010945,Hc Hepatitis B Core Antibody Hbcab Igm Antibody,172.5,67.275,,,0
CDM,80010946,Hc Hepatitis B Coreigmab,162.9,63.53,,,0
CDM,80010947,Hc Hepatitis Be Antibody,164.5,64.155,,,0
CDM,80010948,Hc Hepatitis A Antibody Total,156.0,60.84,,,0
CDM,80010951,Hc Hepatitis Antibody Haab Igm Antibody,193.0,75.27,,,0
CDM,80010952,Hc Influenza Virus Antibody,192.25,74.98,,,0
CDM,80010955,Hc Legionella Pneumo Abs,265.1,103.38999999999999,,,0
CDM,80010956,Hc Leptospira Antibodies,268.0,104.52,,,0
CDM,80010957,Hc Mumps Antibody,168.05,65.53999999999999,,,0
CDM,80010960,Hc Mycoplasma Antibody,151.09,58.925,,,0
CDM,80010963,Hc Parvovirus Antibody,197.5,77.02499999999999,,,0
CDM,80010964,Hc E.Histolytica Ab Igg,290.705,113.375,,,0
CDM,80010966,Hc Rickettsia Antibody,206.465,80.52,,,0
CDM,80010970,Hc Rubella Antibody,125.9,49.1,,,0
CDM,80010973,Hc Rubeola Antibody,196.485,76.63,,,0
CDM,80010976,Hc Toxoplasma Antibody,171.825,67.01,,,0
CDM,80010977,Hc Toxoplasma Ab Igm,195.5,76.245,,,0
CDM,80010979,Hc Antibody Treponema Pallidum,61.59,24.02,,,0
CDM,80010981,Hc Varicella-Zoster Antibody,195.75,76.33999999999999,,,0
CDM,80010984,Hc West Nile Virus Igm,237.5,92.625,,,0
CDM,80010985,Hc West Nile Virus,228.5,89.11500000000001,,,0
CDM,80010987,Hc Antibody Virus Not Elsewhere Specififed,245.77,95.85000000000001,,,0
CDM,80010988,Hc Yersinia Entero Ab Profile,313.125,122.12,,,0
CDM,80010989,Hc Thyroglobulin Antibody,140.16,54.66,,,0
CDM,80010990,Hc Hepatitis C Ab Test,218.625,85.265,,,0
CDM,80010992,Hc Hla-B27,212.35,82.815,,,0
CDM,80010993,Hc Hla Tissue Type A B C,797.915,311.185,,,0
CDM,80010994,Hc Dr/Dq,1133.25,441.96500000000003,,,0
CDM,80010995,Hc Antibody Screen,345.075,134.58,,,0
CDM,80010998,Hc Antibody Screen Rbc Each Serum Technique,633.0,246.87,,,0
CDM,80011000,Hc Antibody Id Rbc Antibodies Each Panel Each Serum Tq,628.765,245.22,,,0
CDM,80011001,Hc Antibody Id Rbc Antibodies Ea Panel Ea Serum Tq,1181.0,460.59,,,0
CDM,80011008,Hc Antihuman Globulin Direct Each Antiserum,239.5,93.40499999999999,,,0
CDM,80011012,Hc Arc Antibody Id Ea Selected Cell,384.0,149.76,,,0
CDM,80011014,Hc Autologous Packed Red Cells,2875.0,1121.25,,,0
CDM,80011018,Hc Blood Group,181.22,70.675,,,0
CDM,80011019,Hc Abo Group Quest,253.0,98.67,,,0
CDM,80011021,Hc Rh Type,116.895,45.59,,,0
CDM,80011024,Hc Donor- Ag Typing Ea Ag Ea Unit,527.855,205.86499999999998,,,0
CDM,80011026,Hc Arc Rbc Ag Compat Scr Pt Serum,443.0,172.77,,,0
CDM,80011028,Hc Arc Rbc Ag Not Abo Or D Ea,331.9,129.44,,,0
CDM,80011030,Hc Rh Phenotype,557.0,217.23000000000002,,,0
CDM,80011036,Hc Compatibility Each Unit Immediate Spin Technique,309.37,120.655,,,0
CDM,80011038,Hc Compatibility Incubation,440.0,171.6,,,0
CDM,80011042,Hc Compatibility Each Unit Antiglobulin,792.0,308.88,,,0
CDM,80011044,Hc Thawing Fee,424.0,165.36,,,0
CDM,80011046,Hc Hemolysins And Agglutinins Auto Screen Each,536.0,209.04,,,0
CDM,80011047,Hc Sugar Water Test,537.0,209.43,,,0
CDM,80011048,Hc Irradiation Charge,618.0,241.02,,,0
CDM,80011049,Hc Irradiation Charge,618.0,241.02,,,0
CDM,80011051,Hc Pooling Fee,695.0,271.05,,,0
CDM,80011053,Hc Splittng Blood Or Blood Products Each Units,405.0,157.95,,,0
CDM,80011055,Hc Concentration In House,120.5,46.995000000000005,,,0
CDM,80011057,Hc Concentration Any Type,206.0,80.34,,,0
CDM,80011058,Hc Culture Bacterial Blood Aerobic W/Id Presumptive Isolates,247.81,96.64500000000001,,,0
CDM,80011063,Hc Culture Salmonella/Shigella,196.1,76.48,,,0
CDM,80011064,Hc Culture Bacterial Stool Aerobic Addl Pathogens And Id Each,143.6,56.004999999999995,,,0
CDM,80011104,Hc Culture Bacterial Except Urine Blood/Stool Aerobic Isolates,227.5,88.72500000000001,,,0
CDM,80011116,Hc Culture Bacterial Quan Aerobic Isolation Except Urine Blood/Stool,229.1,89.35000000000001,,,0
CDM,80011117,Hc Culture Bronchial Brushing,410.0,159.9,,,0
CDM,80011121,Hc Culture Anaerobe,230.0,89.7,,,0
CDM,80011123,Hc Anaerobic Isolate,154.765,60.36,,,0
CDM,80011139,Hc Cul Bact Aerobic Addl Meths Dfintve Ea Isol,145.17000000000002,56.615,,,0
CDM,80011165,Hc Culture Presumptive Pathogen Organism Screening W/Colony Estimated,410.0,159.9,,,0
CDM,80011168,Hc Culture Presumptive Pathogen Organism Screening W/Colony Estimated,226.42000000000002,88.305,,,0
CDM,80011180,Hc Culture Urine Cath,520.0,202.8,,,0
CDM,80011182,Hc Culture Bacterial Quanttative Colony Count Urine,282.825,110.30000000000001,,,0
CDM,80011183,"Hc Culture,Urine,Clean Catch",174.0,67.86,,,0
CDM,80011184,Hc Cul Bct Isol Prsmptv Id Isol Ea Urine,113.705,44.345,,,0
CDM,80011200,Hc Cul Fngi Mold/Yeast Prsmptv Id Skn Hair/Nail,414.0,161.46,,,0
CDM,80011202,Hc Cul Fungi Mold Yeast Prsmptv Other Except Blood,370.0,144.3,,,0
CDM,80011203,Hc Cul Fungi Mold Yeast Prsmptv Other Except Blood,696.0,271.44,,,0
CDM,80011204,Hc Culture Fungus Blood,383.875,149.71,,,0
CDM,80011207,Hc Cul Fungi Dfntiv Id Ea Organism Yeast,155.35,60.585,,,0
CDM,80011223,Hc Cul Fungi Dfintv Id Ea Organism Mold,155.35,60.585,,,0
CDM,80011235,Hc Culture M Hominis Ureaplasma,321.695,125.46,,,0
CDM,80011236,Hc Culture Chlamydia,327.5,127.725,,,0
CDM,80011237,Hc Culture Afb,212.025,82.69000000000001,,,0
CDM,80011239,Hc Culture Afb Blood,374.0,145.86,,,0
CDM,80011240,Hc Cul Mycobacterial Dfntiv Id Ea Isol,141.67000000000002,55.25,,,0
CDM,80011252,Hc Culture Typing Immunofluor,325.9,127.1,,,0
CDM,80011253,Hc Culture Typing Immunologic Other Than Immunofluorescence,69.0,26.91,,,0
CDM,80011268,Hc Pinworm Prep,102.1,39.82,,,0
CDM,80011269,Hc Tissue Grinding,119.5,46.605000000000004,,,0
CDM,80011271,Hc O And P Smear Conc Id,219.5,85.60499999999999,,,0
CDM,80011272,Hc O And P Body Fluid,392.0,152.88,,,0
CDM,80011274,Hc Susceptibility Study Antimicrobial Enzyme Detection,77.95,30.400000000000002,,,0
CDM,80011290,Hc Sensitivity,143.67000000000002,56.03,,,0
CDM,80011291,Hc Minimum Bacteriocidal Conc Mbc,296.325,115.565,,,0
CDM,80011294,Hc Smear Primary Source Gram/Giemsa Stain Bacteria Fungi/Cell,112.9,44.03,,,0
CDM,80011295,Hc Smear Fluores Afb Or Fungus,309.0,120.51,,,0
CDM,80011296,Hc Smear Primary Source Fluorescent And/Or Acid Fast Stain Bacteria Fungi Parasites,168.495,65.715,,,0
CDM,80011300,Hc Malaria Smear,147.07,57.355,,,0
CDM,80011302,Hc O And P Special Stain,165.5,64.545,,,0
CDM,80011308,Hc Smear Primary Source Wet Mount Infectious Agent,102.0,39.78,,,0
CDM,80011309,Hc Koh Smear,208.0,81.12,,,0
CDM,80011310,Hc Koh Prep,115.175,44.92,,,0
CDM,80011312,Hc Virus Tissue Culture Inoculation Cytopathic Effect,399.85,155.94,,,0
CDM,80011314,Hc Virus Centrifuge Enhanced Id Im Stain Ea,168.175,65.59,,,0
CDM,80011316,Hc Virus Id Non-Immunologic Other/Than Cytopathic,480.4,187.355,,,0
CDM,80011317,Hc Pertussis Direct Fa,322.875,125.92,,,0
CDM,80011318,Hc Chlamydia Trachomatis Ag Dfa,133.6,52.105000000000004,,,0
CDM,80011319,Hc Cryptosporidium W/Immunofluor Q,161.1,62.830000000000005,,,0
CDM,80011321,Hc Influenza Virus B Ag,116.9,45.59,,,0
CDM,80011323,Hc Influenza Virus A Ag,111.1,43.33,,,0
CDM,80011324,Hc Legionella Direct Fa,197.0,76.83,,,0
CDM,80011326,Hc Varicella Direct Fa,383.05,149.39,,,0
CDM,80011329,Hc Iaad Ia Clostridium Difficile Toxin,206.775,80.64,,,0
CDM,80011330,Hc Giardia Antigen Q,471.0,183.69,,,0
CDM,80011333,Hc Helicobacter Pylori Ag Stool,585.0,228.15,,,0
CDM,80011335,Hc Iaad Ia Hepatitis B Surface Antigen,155.4,60.605,,,0
CDM,80011337,Hc Hepatitis Be Antigen,143.5,55.965,,,0
CDM,80011339,Hc Histoplasma Antigen Urine,528.0,205.92,,,0
CDM,80011341,Hc Influenza A And B Ag,167.1,65.17,,,0
CDM,80011342,Hc Poc Rsv Antigen Eia,446.0,173.94,,,0
CDM,80011344,Hc Rsv Antigen Eia,253.825,98.99,,,0
CDM,80011346,Hc Rotavirus Antigen Feces,206.275,80.44500000000001,,,0
CDM,80011348,Hc Poc Strep Test,209.0,81.51,,,0
CDM,80011350,Hc Strep Screen Rapid Throat,136.025,53.050000000000004,,,0
CDM,80011352,Hc Legionella Antigen Urine,340.0,132.6,,,0
CDM,80011354,Hc Candida Sp Direct Probe Tech,171.825,67.00999999999999,,,0
CDM,80011355,Hc Iadna Chlamydia Trachomatis Amplified Probe Tq,196.5,76.63499999999999,,,0
CDM,80011357,Hc Chlamydia Trachomatis Amplified Probe Technique,256.4,99.99499999999999,,,0
CDM,80011359,Hc C Diff Toxin Detect Amp Probe,592.0,230.88,,,0
CDM,80011361,Hc Cdiff Pcr Qual,369.115,143.95499999999998,,,0
CDM,80011362,Hc Cmv Dna Pcr,1022.25,398.68,,,0
CDM,80011363,Hc Cytomegalovirus Dna Qn,618.34,241.155,,,0
CDM,80011365,Hc Infectious Agent Dna/Rna Influenza 1St 2 Types,560.5,218.59499999999997,,,0
CDM,80011366,Hc Gard Vag Direct Probe Tech,161.325,62.915,,,0
CDM,80011367,Hc Hepatitis B Dna Pcr Quant,225.0,87.75,,,0
CDM,80011368,Hc Hepatitis C Rna Pcr Qual,952.25,371.38,,,0
CDM,80011370,Hc Iadna Hepatitis C Quant And Reverse Transcription,921.47,359.375,,,0
CDM,80011371,Hc Hsv 1/2 By Pcr,594.25,231.76,,,0
CDM,80011374,Hc Iadna Hiv-1 Quant And Reverse Transcription,394.0,153.66,,,0
CDM,80011376,Hc Iadna Mycobacteria Tuberculosis Amp Probe,613.65,239.325,,,0
CDM,80011377,Hc Iadna Neisseria Gonorrhoeae Amplified Probe Tq,353.0,137.67,,,0
CDM,80011380,Hc Neisseria Gonorrhoeae Amplified Probe Technique,256.03,99.85,,,0
CDM,80011383,Hc Group A Strep Dna Probe,174.325,67.985,,,0
CDM,80011384,Hc Trich Vag Direct Probe Tech,148.325,57.845,,,0
CDM,80011388,Hc Hiv1 Genotyping Drug Resistance,1361.205,530.87,,,0
CDM,80011389,Hc Hepatitis C Genotype,1195.525,466.255,,,0
CDM,80011405,Hc Cytology Fna Immed Eval,433.0,168.87,,,0
CDM,80011408,Hc Dna Paternity Testing,889.0,346.71,,,0
CDM,80011411,Hc Flowcytometry/ Tc 1 Marker,269.425,105.075,,,0
CDM,80011414,Hc Flowcytometry/Tc Add-On,190.3,74.215,,,0
CDM,80011419,Hc Chrom Anal Lymph Culture,1060.8600000000001,413.735,,,0
CDM,80011420,Hc Chrom Anal Tissue Biopsy,1433.0,558.87,,,0
CDM,80011421,Hc Chrom Anal Amniotic Fluid,1064.25,415.05499999999995,,,0
CDM,80011422,Hc Tissue Culture Neoplastic Disorders Bone Marrow Blood Cells,715.65,279.105,,,0
CDM,80011423,Hc Tissue Culture,858.0,334.62,,,0
CDM,80011428,Hc Chrmsm Count 45 Cell Mosaicism 2Karyotype,3248.0,1266.72,,,0
CDM,80011429,Hc Chrom Anal 6 To 12 Colonies,1350.8899999999999,526.845,,,0
CDM,80011430,Hc Chrom Anal Add Cells Counted,632.15,246.54,,,0
CDM,80011431,Hc Chrmsm Analysis Addl High Resolution Study,377.0,147.03,,,0
CDM,80011433,Hc Surg Path Inter Tech Adm,693.0,270.27,,,0
CDM,80011437,Hc Surg Path Complex Tech Adm,706.2950000000001,275.45500000000004,,,0
CDM,80011438,Hc Surg Path Compre Tech Adm,880.775,343.5,,,0
CDM,80011442,Hc Special Stain Organism Interp,414.0,161.46,,,0
CDM,80011452,Hc First Tissue Block Fs,574.0,223.86,,,0
CDM,80011453,Hc Prof Interp Intra-Op Cyto Prep,1147.0,447.33,,,0
CDM,80011455,Hc Immunohistochem Each Antibody,1235.0,481.65,,,0
CDM,80011459,Hc Estrogen Receptor,1196.0,466.44,,,0
CDM,80011464,Hc Cell Count Miscellaneous Body Fluids,161.06,62.815,,,0
CDM,80011472,Hc Cell Count Misc Body Fluids W/Differential Count,168.75,65.81,,,0
CDM,80011475,Hc Leukocyte Feces,121.9,47.54,,,0
CDM,80011481,Hc Crystal Id Light Microscopy Analysis Tissue/Any Fluid,162.45,63.355,,,0
CDM,80011482,Hc Fat Stain Feces Urine/Respiratory Secretions,143.5,55.964999999999996,,,0
CDM,80011484,Hc Eosinophil Smear Nasal,133.615,52.11,,,0
CDM,80011485,Hc Sweat Chloride,403.0,157.17,,,0
CDM,80011487,Hc Wet Prep For Sperm,86.0,33.54,,,0
CDM,80011489,Hc Seminal Fluid Analysis,369.0,143.91,,,0
CDM,80011491,Hc Phlebotomy Therapeutic,1020.0,397.8,,,0
CDM,80011492,Hc Psa Screening,97.0,37.83,,,0
CDM,80011505,Hc Product Whole Blood,1952.0,761.28,,,0
CDM,80011508,Hc Blood Split Unit,883.0,344.37,,,0
CDM,80011511,Hc Rbc Leukocytes Reduced,2681.0,1045.59,,,0
CDM,80011515,Hc Fresh Frozen Plasma 1 Donor Frozen Within 8 Hours,785.0,306.15,,,0
CDM,80011517,Hc Platelets Each Unit,407.0,158.73,,,0
CDM,80011519,Hc Red Blood Cells Each Unit,1639.0,639.21,,,0
CDM,80011521,Hc Product Red Cells Washed,3421.0,1334.19,,,0
CDM,80011524,Hc Product Platelet Irradiated,1255.0,489.45,,,0
CDM,80011525,Hc Product Platelet Conc Lr Irrad,1350.0,526.5,,,0
CDM,80011526,Hc Product Platelet Pheresis,4733.0,1845.87,,,0
CDM,80011528,Hc Platelet Pheresis Leukocytes Reduced Each Unit,6838.0,2666.82,,,0
CDM,80011530,Hc Product Platelet Pheresis Lr Irr,8366.0,3262.74,,,0
CDM,80011531,Hc Product Packed Red Cells Irradiat,2170.0,846.3,,,0
CDM,80011532,Hc Product Red Cells Deglycerolized,2752.0,1073.28,,,0
CDM,80011533,Hc Product Red Blood Cells Lr Irrad,2683.0,1046.37,,,0
CDM,80011534,Hc Product Ffp Cryo Poor,1094.0,426.66,,,0
CDM,80011535,Hc Granulocytes Pheresis Unit,5045.0,1967.55,,,0
CDM,80011536,Hc Product Blood Lr Cmv Neg,2792.0,1088.88,,,0
CDM,80011537,Hc Product Platelet Pheresis Lr Hla,7009.0,2733.51,,,0
CDM,80011538,Hc Product Plate Pher Lr Cmv Neg Ir,8108.0,3162.12,,,0
CDM,80011539,Hc Product Blood Lr Froz Degly Wash,3988.0,1555.32,,,0
CDM,80011540,Hc Product Platelet Pheresis Lr Cmv,8379.0,3267.81,,,0
CDM,80011541,Hc Product Rbc Fr Degly Wash Lr Irr,4637.0,1808.43,,,0
CDM,80011542,Hc Product Rbc Lr Cmv Neg Irr,3194.0,1245.66,,,0
CDM,80011543,Hc Fresh Frozen Plasma Between 8-24 Hours,1094.0,426.66,,,0
CDM,80011545,Hc Newborn Metabolic Screen,186.0,72.54,,,0
CDM,80011578,Hc Arc Cryoprecipitate Each Unit,967.0,377.13,,,0
CDM,80011580,Hc Arc Crossmatch Platelets,641.0,249.99,,,0
CDM,80011584,Hc Arc Processing Fee,107.0,41.73,,,0
CDM,80011586,Hc Arc Therapeutic Cytopheresis,2727.0,1063.53,,,0
CDM,80011587,Hc Product Platelet Concentrate,407.0,158.73,,,0
CDM,80011588,Hc Arc Therapeutic Plasma Pheresis,9000.0,3510.0,,,0
CDM,80011592,Hc Arc Typing Incidence,620.0,241.8,,,0
CDM,80011601,Hc Candida Species Amplified Probe Technique,265.315,103.475,,,0
CDM,80011603,Hc Gardnerella Vaginalis Quantification,260.6,101.63499999999999,,,0
CDM,80011609,Hc Infectious Agent Drug Susceptibility Phenotype Prediction By Updated Genotypic Bioinformatics,719.625,280.65500000000003,,,0
CDM,80011611,Hc Hiv1 Antigens With Hiv1 And Hiv2 Antibodies Single Result,114.74,44.75,,,0
CDM,80011626,Hc Legal Blood Alcohol,47.0,18.33,,,0
CDM,80011638,Hc Misc Lab,430.15,167.76,,,0
CDM,80011666,Hc Lipid Panel,71.45,27.87,,,0
CDM,80011697,Hc Carcinoembryonic Antigen Cea,443.5,172.965,,,0
CDM,80011705,Hc Total Cortisol,399.82,155.93,,,0
CDM,80011712,Hc Fetal Fibronectin,866.35,337.875,,,0
CDM,80011718,Hc Lh Assay,373.0,145.47,,,0
CDM,80011720,Hc Hba1C With Eag,52.0,20.28,,,0
CDM,80011732,Hc Ph Body Fluid Not Elsewhere Specified,146.25,57.035,,,0
CDM,80011740,Hc Protein Except Refractometry Serum Plasma/Whole Blood,99.5,38.805,,,0
CDM,80011754,Hc Crp High Sensitivity Cardio,151.475,59.075,,,0
CDM,80019116,Hc Blood Smear Peripheral Interpretation Physician W/Written Report,222.0,86.58,,,0
CDM,80019118,Hc Clotting Factor Ii Prothrombin Specific,254.0,99.06,,,0
CDM,80019136,Hc Anticoagulation Test,94.0,36.66,,,0
CDM,80019140,Hc Fibrinolysins Or Coagulopathy Screen Interpret And Report,455.3,177.565,,,0
CDM,80020001,Hc Bone Marrow Biopsy,3435.675,1339.915,,,0
CDM,80020003,Hc Bcr/Abl T9 22 Pcr Mjr Io,742.0,289.38,,,0
CDM,80020005,Hc Bcr/Abl T9 22 Pcr Mnr Io,3218.0,1255.02,,,0
CDM,80020007,Hc Braf Gene Analysis V600 Variants,1459.05,569.03,,,0
CDM,80020010,Hc Cms-Egfr Mutationio,7851.0,3061.89,,,0
CDM,80020011,Hc Egfr Mutationio,4615.3,1799.965,,,0
CDM,80020013,Hc Bcell Gene Rearrange Pcr Io,1826.685,712.405,,,0
CDM,80020015,Hc Igvh Mutation Analysisio,9054.0,3531.06,,,0
CDM,80020017,Hc Jak2 V617F Mutate Detectio,1096.0,427.44,,,0
CDM,80020020,Hc Kras Mutation Analysisio,1129.85,440.64,,,0
CDM,80020022,Hc Microsatellite Instableio,1930.35,752.835,,,0
CDM,80020023,Hc Npm1 Nucleophosmin Gene Anal Exon 12 Variants,1086.0,423.54,,,0
CDM,80020026,Hc Pml/Rar Translocationio,2662.0,1038.18,,,0
CDM,80020028,Hc Tcell Gene Rearrange Pcr Io,1381.4450000000002,538.765,,,0
CDM,80020030,Hc Ugt1A1 Gene Analysis Common Variants,959.75,374.3,,,0
CDM,80020032,Hc Mpl Mutation Analysisio,1500.0,585.0,,,0
CDM,80020036,Hc Molecular Pathology Procedure Level 4,4741.0,1848.99,,,0
CDM,80020040,Hc Molecular Pathology Procedure Level 5,2702.505,1053.975,,,0
CDM,80020044,Hc Revealsm Snp Cma-Oncolio,3681.5,1435.785,,,0
CDM,80020080,Hc Bone Marrow Smear Interp,602.265,234.885,,,0
CDM,80020083,Hc Cytology Smears,373.575,145.695,,,0
CDM,80020085,Hc Cytology Concentration,226.025,88.15,,,0
CDM,80020086,Hc Cytology Thin Prep,290.375,113.245,,,0
CDM,80020088,Hc Cytology Gyn Path Review,220.45,85.975,,,0
CDM,80020092,Hc Cytopathology Other Source,179.525,70.015,,,0
CDM,80020095,Hc Cytp Smrs Any Oth Src Extnd Std Over 5 Slides,2031.0,792.09,,,0
CDM,80020099,Hc Cytology Fna Immed Eval,433.0,168.87,,,0
CDM,80020100,Hc Cytology Fna Interp/Report,734.42,286.425,,,0
CDM,80020101,Hc Surepath-Focal Point,191.025,74.5,,,0
CDM,80020102,Hc Automated Pap Smear Screening,217.54000000000002,84.84,,,0
CDM,80020103,Hc Dna Histogram,602.025,234.79,,,0
CDM,80020108,Hc Chrom Anal Tissue Biopsy Ap,1066.5,415.935,,,0
CDM,80020109,Hc Chrom Anal Count 5 Cells,1622.15,632.64,,,0
CDM,80020110,Hc Chromosome Count 15-20 Cell 2 Karyotypes Banding,1685.05,657.17,,,0
CDM,80020111,Hc Molecular Cytogenetics Dna Probe Each,480.25,187.29500000000002,,,0
CDM,80020112,Hc Molecular Cytogenetics Dna Probe Each,761.0,296.79,,,0
CDM,80020113,Hc Molecular Cytogenetics Interphase Ish 25-99 Cell,368.9,143.87,,,0
CDM,80020116,Hc Analyze 100-300 Cell,820.0,319.8,,,0
CDM,80020117,Hc Chrom Anal Add Karyotypes,636.25,248.135,,,0
CDM,80020118,Hc Cytogenetics Interp And Report,235.0,91.65,,,0
CDM,80020119,Hc Surg Path Gross Tech Adm,201.2,78.47,,,0
CDM,80020120,Hc Surg Path Ltd Tech Adm,284.5,110.95500000000001,,,0
CDM,80020121,Hc Surg Path Inter Tech/Adm,423.125,165.01999999999998,,,0
CDM,80020128,Hc Level Iv Surgical Pathology Gross And Microscopic Exam,524.375,204.505,,,0
CDM,80020131,Hc Bone Decal Tech Adm,123.4,48.125,,,0
CDM,80020132,Hc Special Stain Group 1 Microorganisms I And R,327.275,127.635,,,0
CDM,80020136,Hc Special Stain 2 I/R Excpt Microorg/Enzyme/Imcyt,355.75,138.745,,,0
CDM,80020137,Hc Histochemistry Frozen Tissue,420.375,163.945,,,0
CDM,80020139,Hc Special Stain I And R Group Iii Enzyme Consituents,710.8,277.21000000000004,,,0
CDM,80020142,Hc Consult Slides Tech Adm,317.225,123.72,,,0
CDM,80020143,Hc Consult Sendout Tech Adm,237.695,92.7,,,0
CDM,80020145,Hc Surgical Pathology Consult,1480.755,577.495,,,0
CDM,80020149,Hc Intra-Op Examination,567.5,221.325,,,0
CDM,80020150,Hc Path Consultation Surgery 1St Block Frozen Section 1 Spec,354.5,138.255,,,0
CDM,80020152,Hc Frozen Section Addl Tech Adm,271.5,105.885,,,0
CDM,80020153,Hc Prof Interp Intra-Op Cyto Prep,668.0,260.52,,,0
CDM,80020154,Hc Prof Interp Each Add Site,606.0,236.34,,,0
CDM,80020157,Hc Immunohistochemistry/Immunocytochemistry 1St Antibody Stain Procedure,742.625,289.625,,,0
CDM,80020160,Hc Immunofluorescence Per Specimen 1St Single Antibody Stain,509.825,198.83,,,0
CDM,80020162,Hc Electron Microscopy Diagnostic,2581.0,1006.59,,,0
CDM,80020168,Hc Morphometric Analysis Tumor Immunohistochemistry Ea Antibody Manual,808.0,315.12,,,0
CDM,80020174,Hc Morphometric Analysis Tumor Immunohistochemistry Ea Antibody Computer Asst,565.4,220.505,,,0
CDM,80020180,Hc Morphometric Analysis In Situ Hybridization Ea Probe Mnl,1129.825,440.63,,,0
CDM,80020183,Hc Microdissection Prep Identified Target Manual,918.02,358.03,,,0
CDM,80020190,Hc Miscellaneous Histology,2254.31,879.18,,,0
CDM,80020228,Hc Lab/Hematology Transfer Rule,184.79,72.07,,,0
CDM,80020229,Hc Lab/Bac-Micro Transfer Rule,233.5,91.06,,,0
CDM,80020230,Hc Lab/Chemistry Transfer Rule,121.41,47.35,,,0
CDM,80020231,Hc Lab/Immunology Transfer Rule,153.24,59.76,,,0
CDM,80020232,Hc Lab/Other Transfer Rule,469.13,182.96,,,0
CDM,80020233,Hc Pathology Lab Transfer Rule,886.14,345.59,,,0
CDM,80020234,Hc Pathology/Histology Transfer Rule,719.0,280.41,,,0
CDM,80020241,Hc Infectious Disease Rna 4 Targets Upper Respiratory Specimen,507.43,197.89999999999998,,,0
CDM,80020302,Hc Iaad Ia Not Otherwise Specified Each Organism,230.685,89.965,,,0
CDM,80020303,Hc Leishmania Antibody Igg,112.25,43.78,,,0
CDM,80020304,Hc Aspergillus Ag Eia,244.1,95.2,,,0
CDM,80020307,Hc Dna/Rna Amplified Probe,280.835,109.525,,,0
CDM,80020308,Hc Blood Lipoprotein Nmr,335.0,130.65,,,0
CDM,80020309,Hc Apolipoprotein Assay,79.15,30.87,,,0
CDM,80020312,Hc Drug Test Def Analgesics Non-Opioid,362.075,141.21,,,0
CDM,80020315,Hc Surg Path Gross And Micro Prostate Bx Any Mthd,842.0,328.38,,,0
CDM,80020349,Hc Immunohistochem/Immunocytochem Per Specimen Ea Multiplex Ab,530.425,206.865,,,0
CDM,80020350,Hc Immunohisto Antibody Slide,392.225,152.97,,,0
CDM,80030101,Hc Rbc Ab Elution Each,593.0,231.27,,,0
CDM,80030102,Hc Coombs Indirect Titer Each,367.975,143.51,,,0
CDM,80030103,Hc Rbc Pretreat W Chemical Each,426.0,166.14,,,0
CDM,80030104,Hc Rbc Pretreat W Enzyme Each,466.0,181.74,,,0
CDM,80030105,Hc Rbc Pretreat W Density Gradient,653.0,254.67,,,0
CDM,80030106,Hc Serum Pretreat W/Drugs Each,572.0,223.08,,,0
CDM,80030107,Hc Serum Pretreat By Dilution,285.0,111.15,,,0
CDM,80030108,Hc Serum Pretreat W Inhibitors Each,485.0,189.15,,,0
CDM,80030109,Hc Serum Pretreat By Adsorbtion Each,687.0,267.93,,,0
CDM,80036415,Hc Bc Venipuncture,25.82,10.07,,,0
CDM,80037216,Hc Legal Ba/Ua,597.0,232.83,,,0
CDM,80080001,Hc Covid-19 Cdc,377.0,147.03,,,0
CDM,80080002,Hc Covid-19 N-Cdc,377.0,147.03,,,0
CDM,80080050,Hc Gen Health Panel For Op Uhc And Oscar Only,528.1,205.96,,,0
CDM,80080055,Hc Obstetric Panel,221.675,86.455,,,0
CDM,80080143,Hc Drug Assay Acetaminophen,79.0,30.81,,,0
CDM,80080145,Hc Drug Assay Adalimumab,237.35,92.565,,,0
CDM,80080153,Hc Igk@ Gene Rearrange Detect Abnormal Clonal Pop,1024.0,399.36,,,0
CDM,80080154,Hc Gen Seq Analys Sol Org/Hemtolmphoid Neo 51 Genes And Over,5357.375,2089.375,,,0
CDM,80080155,Hc Trb Rearrangement Anal Direct Probe Methodology,133.0,51.87,,,0
CDM,80080156,Hc Hba1/Hba2 Gene Analysis Dup/Del Variants,488.0,190.32,,,0
CDM,80080157,Hc Iadna Dna/Rna Zika Virus Amplified Probe Tq,345.0,134.55,,,0
CDM,80080158,Hc Iron Liver Tissue - Histology,335.0,130.65,,,0
CDM,80080159,Hc Genomic Sequence Analysis 5-50 Genes,5039.125,1965.2599999999998,,,0
CDM,80080160,Hc Hpv Screening,482.0,187.98,,,0
CDM,80080162,Hc Culture Typing Nucleic Acid Probe Dir Ea Organsm,97.0,37.83,,,0
CDM,80080163,Hc Hemoglobin-Oxygen Affinity,83.0,32.37,,,0
CDM,80080164,Hc Immunoelectrophoresis Other Fluids Concentration,113.0,44.07,,,0
CDM,80080165,Hc B Cells Total Count,182.85,71.31,,,0
CDM,80080166,Hc Bcr/Abl1 Other Breakpnt Qualitative/Quantitative,1165.0,454.35,,,0
CDM,80080167,Hc Serpina1 Gene Analysis Common Variants,938.95,366.19,,,0
CDM,80080168,Hc Abl1 Gene Analysis Kinase Domain Variants,2377.1549999999997,927.0899999999999,,,0
CDM,80080169,Hc Fetal Congenital Abnor Assay Five Anal,1061.35,413.92499999999995,,,0
CDM,80080170,Hc Iaadi Herpes Smplx Virus Type 2,718.0,280.02,,,0
CDM,80080171,Hc Iaadi Herpes Smplx Virus Type 1,718.0,280.02,,,0
CDM,80080172,Hc Blood Count Reticulocytes Auto Cell Meas 1 Or Over,41.675,16.255,,,0
CDM,80080173,Hc Reticulated Platelet Assay,213.025,83.08,,,0
CDM,80080174,Hc Tpmt Gene Analaysis Common Variants,800.0,312.0,,,0
CDM,80080175,Hc Calr Gene Analysis Common Variants In Exon 9,955.9,372.8,,,0
CDM,80080176,Hc Egfr Gene Analysis Common Variants,7851.0,3061.89,,,0
CDM,80080177,Hc Igh@ Variable Region Somatic Mutation Analysis,5278.485,2058.61,,,0
CDM,80080178,Hc Myd88 Gene Analysis P.Leu265 L265P Variant,743.0,289.77,,,0
CDM,80080179,Hc Pml/Raralpha Common Breakpoints Qual/Quant,1811.45,706.465,,,0
CDM,80080180,Hc Sept9 Gene Promoter Methylation Analysis,812.0,316.68,,,0
CDM,80080181,Hc Trb@ Rearrangement Anal Amplification Method,1725.0,672.75,,,0
CDM,80080182,Hc Trg@ Gene Rearrangement Analysis,1633.0,636.87,,,0
CDM,80080183,Hc Molecular Pathology Procedure Level 4,2690.7,1049.375,,,0
CDM,80080184,Hc Flow Cytometry Cell Surf Marker Techl Only 1St,309.0,120.51,,,0
CDM,80080185,Hc Flowcytometry/Tc Add-On,234.0,91.26,,,0
CDM,80080186,Hc Molecular Cytogenetics Dna Probe Each,761.0,296.79,,,0
CDM,80080188,Hc Molec Cytg Interphase Ish Analyze 100-300 Cll,524.365,204.5,,,0
CDM,80080189,Hc Drug Assay Itraconazole,98.0,38.22,,,0
CDM,80080193,Hc Drug Assay Leflunomide,276.0,107.64,,,0
CDM,80080195,Hc Hla Class Typing High Resolution 1 Allele Or Allele Group Each,818.0899999999999,319.055,,,0
CDM,80080196,Hc Cytopath Cervical/Vaginal Auto Thin Layer Prep Manual Screen,269.505,105.105,,,0
CDM,80080199,Hc Hiv-2,249.485,97.3,,,0
CDM,80080202,Hc Hla Class Ii Typing Hi Res 1 Locus Each,688.6,268.555,,,0
CDM,80080203,Hc Infects Agent Detection By Nucleic Acid Not Specified Quant Ea Org,646.035,251.95499999999998,,,0
CDM,80080204,Hc Drug Assay Methotrexate,270.0,105.3,,,0
CDM,80080230,Hc Drug Assay Infliximab,231.5,90.285,,,0
CDM,80080235,Hc Drug Assay Lacosamide,114.0,44.46,,,0
CDM,80080280,Hc Drug Assay Vedolizumab,163.0,63.57,,,0
CDM,80080285,Hc Drug Assay Voriconazole,114.0,44.46,,,0
CDM,80080431,Hc Fsh Assay,329.495,128.505,,,0
CDM,80080432,Hc Iadna Nos Amplified Probe Technique Each Organism,600.22,234.085,,,0
CDM,80080433,Hc Chylmd Pneum Dna Amp Probe,379.245,147.905,,,0
CDM,80080434,Hc Legion Pneumo Dna Amp Prob,393.75,153.565,,,0
CDM,80080435,Hc Strep A Dna Amp Probe,386.05,150.56,,,0
CDM,80080436,Hc M.Pneumon Dna Amp Probe,232.25,90.58,,,0
CDM,80080437,Hc Staph A Dna Amp Probe,296.05,115.46000000000001,,,0
CDM,80080438,Hc Resp Virus 12-25 Targets,2139.35,834.345,,,0
CDM,80080439,Hc Enterovirus Probe And Revrs Trns,417.7,162.905,,,0
CDM,80080441,Hc Iadna Human Papillomavirus Types 16 And 18 Only,359.0,140.01,,,0
CDM,80080445,Hc Drug Test Def Opioids,364.075,141.99,,,0
CDM,80080447,Hc Automated Pap Smear Screening,300.0,117.0,,,0
CDM,80080450,Hc Mr-Staph Dna Amp Probe,298.1,116.25999999999999,,,0
CDM,80081117,Hc Chromium Blood Q,222.0,86.58,,,0
CDM,80081118,Hc Cyp2C19 Gene Analysis Common Variants,1653.0,644.67,,,0
CDM,80081123,Hc Thyroid Horm Uptk/Thyroid Hormone Binding Ratio,154.0,60.06,,,0
CDM,80081128,Hc Cryocrit Immunodiffusion,126.95,49.510000000000005,,,0
CDM,80081130,Hc Infectious Agent Ag Detect By Ia W Direct Optical Obs Not Specified,168.2,65.6,,,0
CDM,80081136,Hc Natural Killer Nk Cells Total Count,230.35,89.83500000000001,,,0
CDM,80081145,Hc Cobalt Q,284.55,110.975,,,0
CDM,80081147,Hc Quantiferon Tb Gold Client Inc Q,304.125,118.61,,,0
CDM,80081148,Hc Spectrophotometry Analyt Not Elsewhere Specified,243.0,94.77,,,0
CDM,80081150,Hc Rflxd Western Blot Q,358.685,139.885,,,0
CDM,80081151,Hc Susceptible Stdy Antimicrobe Disk Methd,124.625,48.605,,,0
CDM,80081153,Hc Susceptibility- Etest Method,63.115,24.615000000000002,,,0
CDM,80081156,Hc Protoporphyrin Rbc Quantitative,256.1,99.88000000000001,,,0
CDM,80081157,Hc Herpes Simplex Virus Direct Probe Technique,446.8,174.25,,,0
CDM,80081168,Hc Ccnd1/Igh Translocation Alys Major Bp Qual And Quan,1314.0,512.46,,,0
CDM,80081194,Hc Ntrk Translocation Analysis,1866.0,727.74,,,0
CDM,80081206,Hc Bcr/Abl1 Major Breakpnt Qualitative/Quantitative,554.6949999999999,216.32999999999998,,,0
CDM,80081207,Hc Bcr/Abl1 Minor Breakpnt Qualitative/Quantitative,1793.27,699.375,,,0
CDM,80081225,Hc Cyp2C19 Gene Analysis Common Variants,744.0,290.16,,,0
CDM,80081230,Hc Cyp3A4 Gene Analysis Common Variants,629.0,245.31,,,0
CDM,80081231,Hc Cyp3A5 Gene Analysis Common Variants,629.0,245.31,,,0
CDM,80081232,Hc Dpyd Gene Analysis Common Variants,821.095,320.225,,,0
CDM,80081238,Hc F9 Full Gene Sequence,5433.0,2118.87,,,0
CDM,80081242,Hc Fancc Gene Analysis Common Variant,1257.0,490.23,,,0
CDM,80081247,Hc Fancc Gene Analysis Common Variant,4270.0,1665.3,,,0
CDM,80081265,Hc Comparative Anal Str Markers Patient And Comp Spec,3788.0,1477.32,,,0
CDM,80081266,Hc Comparative Anal Str Markers Ea Addl Specimen,2848.0,1110.72,,,0
CDM,80081267,Hc Chimerism W/Comp To Baseline W/O Cell Selection,539.0,210.21,,,0
CDM,80081268,Hc Chimerism W/Comp To Baseline W/Cell Selection Ea,2848.0,1110.72,,,0
CDM,80081273,Hc Kit Gene Analysis D816 Variants,437.0,170.43,,,0
CDM,80081277,Hc Cytogenomic Neoplasia Mircroarray Analysis,4902.0,1911.78,,,0
CDM,80081278,Hc Igh/Bcl2 Tlcj Alys Mbr And Mcr Bp Qual/Quan,900.0,351.0,,,0
CDM,80081279,Hc Jak2 Targeted Sequence Analysis,1543.0,601.77,,,0
CDM,80081288,Hc Mlh1 Gene Analysis Promoter Methylation Analysis,1521.0,593.19,,,0
CDM,80081292,Hc Mlh1 Gene Analysis Full Sequence Analysis,1445.0,563.55,,,0
CDM,80081307,Hc Palb2 Gene Analysis Full Gene Sequence,1196.0,466.44,,,0
CDM,80081308,Hc Palb2 Gene Analysis Known Familial Variant,1274.0,496.86,,,0
CDM,80081309,Hc Pik3Ca Gene Analysis Targeted Sequence Analysis,1162.0,453.18,,,0
CDM,80081314,Hc Pdgfra Gene Analys Targeted Sequence Analys,1906.0,743.34,,,0
CDM,80081321,Hc Pten Gene Analysis Full Sequence Analysis,5793.0,2259.27,,,0
CDM,80081328,Hc Slco1B1 Gene Analysis Common Variants,1730.0,674.7,,,0
CDM,80081331,Hc Snrpn/Ube3A Methylation Analysis,179.0,69.81,,,0
CDM,80081338,Hc Mpl Gene Analysis Common Variants,234.0,91.26,,,0
CDM,80081339,Hc Mpl Gene Analysis Sequence Analysis Exon 10,1639.0,639.21,,,0
CDM,80081342,Hc Trg@ Gene Rearrangement Analysis,1633.0,636.87,,,0
CDM,80081352,Hc Tp53 Gene Analysis Targeted Sequence Analysis,3424.0,1335.36,,,0
CDM,80081361,Hc Hbb Common Variants,586.0,228.54,,,0
CDM,80081363,Hc Hbb Duplication/Deletion Variants,586.0,228.54,,,0
CDM,80081370,Hc Hla Class I And Ii Low Hla-A -B -C -Drb1/3/4/5 And Dqb,3609.0,1407.51,,,0
CDM,80081372,Hc Hla Class I Typing Low Resolution Complete,1620.0,631.8,,,0
CDM,80081375,Hc Hla Ii Low Resolution Hla-Drb1/3/4/5 And -Dqb1,954.0,372.06,,,0
CDM,80081376,Hc Hocm 149 Mg/Ml Or Less Iodine 1Ml,1001.0,390.39,,,0
CDM,80081378,Hc Hla I And Ii High Resolution Hla-A -B -C And -Drb1,2894.0,1128.66,,,0
CDM,80081400,Hc Plasminogen Act Inhib-1 4G/5Gq,645.75,251.84,,,0
CDM,80081403,Hc Molecular Pathology Procedure Level 4,4741.0,1848.99,,,0
CDM,80081405,Hc Molecular Pathology Procedure Level 6,2394.41,933.82,,,0
CDM,80081406,Hc In Situ Hybridization 1St Probe Stain,1170.325,456.42499999999995,,,0
CDM,80081407,Hc In Situ Hybridization Per Specimen Each Additl 1St Probe Stain,1878.0,732.42,,,0
CDM,80081408,Hc In Situ Hybridization Eg Fish Per Specimen Each Multiplex Probe Stain Procedure,544.0,212.16,,,0
CDM,80081409,Hc Morphometric Analys Ish Cmptr Assist Tech 1St Probe Stain,1878.0,732.42,,,0
CDM,80081410,Hc Morphometric Analys Ish Quant Or Semiq Cmptr Spec Ea,1878.0,732.42,,,0
CDM,80081411,Hc Morphometric Analys Ish Quant Or Semiq Cmptr Ea Multprb,1453.725,566.9549999999999,,,0
CDM,80081413,Hc Morphometric Analys Ish Quant Or Semiq Manl Per Spec Ea,1565.0,610.35,,,0
CDM,80081414,Hc Morphometric Analys Ish Quant Or Semiq Manl Ea Multprb,1391.8,542.8,,,0
CDM,80081416,Hc Human Papillomavirus Hpv High-Risk Types,322.25,125.67999999999999,,,0
CDM,80081417,Hc Col Chr Ms Nondrug Analyte Nes Qual Or Quan Ea Spec,225.0,87.75,,,0
CDM,80081418,Hc Immunofluoescent Study Each Antibody Direct Method,824.0,321.36,,,0
CDM,80081419,Hc Immunofluorescence Pr Spec Ea Add Singl Antb Stn,395.0,154.05,,,0
CDM,80081421,Hc Drug Test Def Antidepressants Nos,344.575,134.385,,,0
CDM,80081422,Hc Drug Test Def Antidepress Serotonergic,344.575,134.385,,,0
CDM,80081424,Hc Organic Acids Qualitative Each Specimen,455.6,177.685,,,0
CDM,80081425,Hc Drug Test Def 1-7 Classes,675.0,263.25,,,0
CDM,80081426,Hc Drug Test Def 15-21 Classes,585.925,228.51,,,0
CDM,80081428,Hc Drug Test Def 8-14 Classes,675.0,263.25,,,0
CDM,80081430,Hc Hiv 1 Antigw Hiv1 And Hiv2 Antibodies,520.0,202.8,,,0
CDM,80081431,Hc Hiv1 Amplified Probe Technique Includes Rev Transcrip Performed,523.11,204.01500000000001,,,0
CDM,80081445,Hc Solid Organ Neoplasm Gsap 5-50 Dna/Dna And Rna Alys,8452.0,3296.28,,,0
CDM,80081449,Hc Solid Organ Neoplasm Gsap 5-50 Rna Analysis,2093.0,816.27,,,0
CDM,80081456,Hc So/Hematolymphoid Neo/Do 51 Or More Rna Analysis,11700.0,4563.0,,,0
CDM,80081457,Hc So Neo Gsap Dna Alys Microsatellite Instability,11700.0,4563.0,,,0
CDM,80081460,Hc Whole Mitochondrial Genome,3552.0,1385.28,,,0
CDM,80081479,Hc Alk-1 Scan Only,1365.0,532.35,,,0
CDM,80081513,Hc Infectious Disease Bacteral Vaginosis Rna Vaginal-Fluid Algorithm,205.0,79.95,,,0
CDM,80081522,Hc Oncology Breast Mrna Gene Xprsn Prfl 12 Genes,17719.0,6910.41,,,0
CDM,80081560,Hc Trnsplj Ped Lvr And Bwl Mes Cd154 T-Cytotoxic Cell Whl Prph Bld,78.0,30.42,,,0
CDM,80082077,Hc Assay Of Alcohol Ethanol Spec Xcp Urine And Breath Ia,93.0,36.27,,,0
CDM,80082166,Hc Assay Of Anti-Mullerian Hormone,312.0,121.68,,,0
CDM,80082542,Hc Column Chrom Mass Spect Nondrug Analyte Nes Qual/Quan Ea Specmn,1396.0,544.44,,,0
CDM,80082653,Hc Elastase Pancreatic Fecal Quantitative,137.0,53.43,,,0
CDM,80082681,Hc Assay Of Direct Measurement Free Estradiol,150.0,58.5,,,0
CDM,80082978,Hc Assay Of Glutathione,62.0,24.18,,,0
CDM,80083006,Hc Growth Stimulation Expressed Gene 2,399.0,155.61,,,0
CDM,80083014,Hc Hpylori Drug Administration,29.0,11.31,,,0
CDM,80083521,Hc Immunoglobulin Light Chains Free Each,104.0,40.56,,,0
CDM,80083529,Hc Assay Of Interleukin-6 Il-6,121.0,47.19,,,0
CDM,80083664,Hc Fetal Lung Maturity Lamellar Body Density,131.0,51.09,,,0
CDM,80083971,Hc Cytology Specimen,292.25,113.98,,,0
CDM,80083972,Hc Iadna Trichomonas Vaginalis Amplified Probe Tech,381.98,148.97,,,0
CDM,80084078,Hc Assay Of Phosphatase Alkaline Heat Stable,148.0,57.72,,,0
CDM,80084145,Hc Procalcitonin Pct,427.3,166.64499999999998,,,0
CDM,80084295,Hc Sodium Serum Plasma Or Whole Blood,174.0,67.86,,,0
CDM,80084433,Hc Assay Thiopurine S-Methyltransferase,1293.0,504.27,,,0
CDM,80084637,Hc Drug Test Def Antidepress Tricyclic Otr Cyclics,381.075,148.62,,,0
CDM,80084638,Hc Drug Test Def Benzodiazepines,362.075,141.21,,,0
CDM,80084641,Hc Drug Test Def Quant Alcohols,458.11,178.66500000000002,,,0
CDM,80084642,Hc Drug Test Def Opiates,432.075,168.51,,,0
CDM,80084644,Hc Drug Test Def Alkaloids Nos,378.575,147.645,,,0
CDM,80084645,Hc Hpv Low-Risk Types,303.75,118.46,,,0
CDM,80084646,Hc Vitamin K,125.0,48.75,,,0
CDM,80084647,Hc Hpv High-Risk Types,482.0,187.98,,,0
CDM,80084650,Hc Iadna Human Papillomavirus Types 16 And 18 Only,260.75,101.695,,,0
CDM,80084652,Hc Poct Pt/Inr Poc 198,175.0,68.25,,,0
CDM,80084653,Hc Poc Dipstick Strep A,187.55,73.145,,,0
CDM,80084654,Hc Poct Urinalysis Dipstick,118.225,46.11,,,0
CDM,80084655,Hc Poc Hemoglobin Hemocue,89.0,34.71,,,0
CDM,80084656,Hc Poc Koh Prep,181.0,70.59,,,0
CDM,80084657,Hc Poc Ph Body Fluid,265.0,103.35,,,0
CDM,80084658,Hc Poc Wet Prep,181.0,70.59,,,0
CDM,80084659,Hc Bld Type Paternity Abo Rh Mn,222.0,86.58,,,0
CDM,80084660,Hc Skin Test Tuberculosis Intradermal,96.0,37.44,,,0
CDM,80084662,Hc Car Ion Chnnlpath Inc 10 Gns,2663.0,1038.57,,,0
CDM,80084663,Hc Car Ion Chnnlpath Inc 2 Gns,2996.0,1168.44,,,0
CDM,80084664,Hc Fetal Chrmoml Microdeltj,3166.0,1234.74,,,0
CDM,80084665,Hc Inherited Cardmypthy 5 Gns,3166.0,1234.74,,,0
CDM,80084666,Hc Oncology Prostate Prob Score,1034.045,403.28,,,0
CDM,80084667,Hc Testosterone Bioavailable,783.0,305.37,,,0
CDM,80084668,Hc Cns Dna Amp Probe Type 12-25,897.0,349.83,,,0
CDM,80084670,Hc Whole Blood Leukocytes Reduced Irradiated Each Unit,1222.0,476.58,,,0
CDM,80084671,Hc Plasmaprotein Fract 5 Pct 250Ml,1260.0,491.4,,,0
CDM,80084672,Hc Glucose Bld By Monit Dev,14.0,5.46,,,0
CDM,80084675,Hc Urine Sulfate,74.2,28.939999999999998,,,0
CDM,80084676,Hc Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt,869.0,338.91,,,0
CDM,80084677,Hc Cold Agglutinin Titer,59.0,23.01,,,0
CDM,80084678,Hc Pa Titer Ea Ab,157.25,61.324999999999996,,,0
CDM,80084679,Hc Semen Anal Vol/Count/Mot,798.0,311.22,,,0
CDM,80084680,Hc Cytp Fna Eval Ea Addl,112.0,43.68,,,0
CDM,80084681,Hc Chrom Analy 20 To 25 Cells,1369.0,533.91,,,0
CDM,80084682,Hc Mcg Situ Hybrid 10 To 30 Cells,1187.0,462.93,,,0
CDM,80084683,Hc Iaad Ia Shiga-Like Toxin,246.0,95.94,,,0
CDM,80084684,Hc Drug Screen Quant Clozapine,100.825,39.32,,,0
CDM,80084686,Hc Drug Screen Quant Everolimus,290.3,113.215,,,0
CDM,80084687,Hc Haloperidol Assay,74.0,28.86,,,0
CDM,80084688,Hc Drug Scrn Quan Mycophenolate,254.0,99.06,,,0
CDM,80084689,Hc Drug Scrn Quant Oxcarbazepin,148.0,57.72,,,0
CDM,80084690,Hc Drug Screen Quantitative Procainamide,94.0,36.66,,,0
CDM,80084696,Hc Drug Test Def Anabolic Steroid,307.075,119.76,,,0
CDM,80084697,Hc Drug Test Def Antipsychotics Nos,278.0,108.42,,,0
CDM,80084698,Hc Drug Test Def Illicit Drugs,272.075,106.11,,,0
CDM,80084700,Hc Drug Test Def Methylenedioxyamphetamines,675.0,263.25,,,0
CDM,80084701,Hc Drug Test Def Sedative Hypnotics,115.0,44.85,,,0
CDM,80084703,Hc Drug Test Def Skel Muscle Relaxants,675.0,263.25,,,0
CDM,80084707,Hc N-Autom Urine Dip W Micro,22.0,8.58,,,0
CDM,80084708,Hc Urinalysis Qual Not Ia,120.0,46.8,,,0
CDM,80084710,Hc Ftl Cgen Abnor Three Anal,685.0,267.15,,,0
CDM,80084711,Hc Ftl Cgen Abnor Four Anal,667.5,260.325,,,0
CDM,80084712,Hc Cyclic Adp Or Amp,1058.0,412.62,,,0
CDM,80084713,Hc Assay Of Breath Ethanol,213.0,83.07,,,0
CDM,80084714,Hc Amino Acids Multi Qual Ea,807.0,314.73,,,0
CDM,80084715,Hc Amniotic Fluid Spectroph,85.0,33.15,,,0
CDM,80084716,Hc Bile Acids Cholylglycine,523.0,203.97,,,0
CDM,80084717,Hc Biotinidase Ea Spec,231.2,90.17,,,0
CDM,80084718,Hc Cadmium,121.05,47.21,,,0
CDM,80084720,Hc Stone Qual,383.0,149.37,,,0
CDM,80084721,Hc Stone Quan Chemical,926.0,361.14,,,0
CDM,80084722,Hc Chlorinated Hc Screen,2223.0,866.97,,,0
CDM,80084723,Hc Cholinesterase Rbc,141.1,55.03,,,0
CDM,80084724,Hc Creatine,62.5,24.375,,,0
CDM,80084725,Hc Cryofibrinogen,46.525,18.145,,,0
CDM,80084726,Hc Cystatin C,199.5,77.80499999999999,,,0
CDM,80084727,Hc Deoxycortisol 11,193.3,75.385,,,0
CDM,80084729,Hc Pancreatic Elastase Fecal,961.0,374.78999999999996,,,0
CDM,80084730,Hc Estrogens Fractionated,326.925,127.5,,,0
CDM,80084731,Hc Fatty Acids Nonesterfied,128.0,49.92,,,0
CDM,80084732,Hc Very Long Fatty Acid Chains,378.075,147.45,,,0
CDM,80084734,Hc Glucose Blood Reagent Strip,106.0,41.34,,,0
CDM,80084735,Hc Hgb Methemoglobin Qual,194.0,75.66,,,0
CDM,80084736,Hc Hemoglobin Urine,103.875,40.51,,,0
CDM,80084737,Hc Assay Of Hemosiderin Qual,322.0,125.58,,,0
CDM,80084738,Hc Histamine,356.96,139.215,,,0
CDM,80084739,Hc Homovanillic Acid,81.375,31.735,,,0
CDM,80084740,Hc Free Insulin,202.5,78.975,,,0
CDM,80084742,Hc Lactoferrin Fecal Quant,328.0,127.91999999999999,,,0
CDM,80084743,Hc Lactogen Maternal Serum Hpl,480.0,187.2,,,0
CDM,80084744,Hc Leucine Aminopeptidase,285.0,111.15,,,0
CDM,80084745,Hc Assay Lipoprotein Pla2,261.85,102.12,,,0
CDM,80084746,Hc Lipopro Bld Electrophoretic,332.0,129.48,,,0
CDM,80084747,Hc Assay Of Blood Lipoprotein Vldl,317.0,123.63,,,0
CDM,80084748,Hc Manganese,466.835,182.065,,,0
CDM,80084749,Hc Mucopolysaccharides,767.0,299.13,,,0
CDM,80084750,Hc Mucin Synorvial Fluid,113.9,44.42,,,0
CDM,80084751,Hc Assay Myeloperoxidase,134.375,52.405,,,0
CDM,80084752,Hc Qual Organic Acids Ea Specim,204.0,79.56,,,0
CDM,80084753,Hc Oncoprotein Dcp,789.0,307.71,,,0
CDM,80084754,Hc Assay Of Phencyclidine,90.0,35.1,,,0
CDM,80084756,Hc Assay For Calprotectin Fecal,753.0,293.67,,,0
CDM,80084757,Hc Total Acid Phosphatase,98.0,38.22,,,0
CDM,80084758,Hc Porphobilinogen Urine Qual,198.0,77.22,,,0
CDM,80084759,Hc Qual Urine Porphyrins,170.0,66.3,,,0
CDM,80084760,Hc Assay Of Feces Porphyrins,519.65,202.66500000000002,,,0
CDM,80084761,Hc Pregnantriol,143.0,55.77,,,0
CDM,80084762,Hc 17-Hydroxypregnenolone,238.5,93.015,,,0
CDM,80084763,Hc Psa - Complexed-Prostate Specific Antigen Psa,766.0,298.74,,,0
CDM,80084764,Hc Protein Wb Im Id For Bands,628.2,245.0,,,0
CDM,80084766,Hc Pra-Receptor Assay Progesterone,1365.0,532.35,,,0
CDM,80084767,Hc Sialic Acid,128.0,49.92,,,0
CDM,80084768,Hc Somatostatin,550.25,214.595,,,0
CDM,80084769,Hc Sugars Multi Qual Ea Specimen,194.0,75.66,,,0
CDM,80084770,Hc Transcortin,238.3,92.935,,,0
CDM,80084771,Hc Trypsin Feces Qual,56.0,21.84,,,0
CDM,80084772,Hc Urobilinogen Feces Quan,53.0,20.67,,,0
CDM,80084773,Hc Urobilinogen Urine Qual,25.0,9.75,,,0
CDM,80084774,Hc Unlisted Chemistry Test,221.01999999999998,86.2,,,0
CDM,80084775,Hc Spun Hematocrit,129.0,50.31,,,0
CDM,80084776,Hc Manual Cell Count Each,196.0,76.44,,,0
CDM,80084778,Hc Manual Reticulocyte Count,191.0,74.49,,,0
CDM,80084779,Hc Chromogenic Substrate Assay,578.0,225.42,,,0
CDM,80084780,Hc Clotting Factor Viii Related Antigen,785.0,306.15,,,0
CDM,80084782,Hc Clotting Factor Xiii Fs,672.31,262.2,,,0
CDM,80084783,Hc Clotting Factor Xiii Screen Soluble,516.0,201.24,,,0
CDM,80084784,Hc Fibrinogen Test Paracoagulation,260.0,101.4,,,0
CDM,80084785,Hc D-Dimer- Qual/Semiquan,522.0,203.58,,,0
CDM,80084787,Hc D-Dimer Ultrasensitive,473.0,184.47,,,0
CDM,80084788,Hc Fibrinogen Antigen,219.05,85.43,,,0
CDM,80084790,Hc Functional Plasminogen,371.075,144.72,,,0
CDM,80084791,Hc Heinz Bodies Direct,276.0,107.64,,,0
CDM,80084792,Hc Hemolysin Acid,940.0,366.6,,,0
CDM,80084793,Hc Osmotic Fragility Rbc Unincubated,954.0,372.06,,,0
CDM,80084794,Hc Russell Viper Venom Time Undiluted,457.0,178.23,,,0
CDM,80084795,Hc Reptilase Test,326.7,127.415,,,0
CDM,80084796,Hc Sedimentation Rate Rbc Non-Automated,173.0,67.47,,,0
CDM,80084797,Hc Thromboplastin Inhibition Tissue,643.0,250.77,,,0
CDM,80084798,Hc Agglutinins Febrile,85.5,33.345,,,0
CDM,80084799,Hc Aso Screen,187.0,72.93,,,0
CDM,80084800,Hc Complemnt Fixation Ea Ag,254.0,99.06,,,0
CDM,80084801,Hc Dna Ab Ss,119.4,46.565,,,0
CDM,80084802,Hc Human Epididymis Protein 4,455.0,177.45,,,0
CDM,80084803,Hc Lhr Test-Leukocyte Histamine Release,243.0,94.77000000000001,,,0
CDM,80084804,Hc Leukocyte Phagocytosis,560.0,218.4,,,0
CDM,80084805,Hc Mononuclear Cell Antigent,149.15,58.17,,,0
CDM,80084806,Hc Viral Neutralization,170.0,66.3,,,0
CDM,80084807,Hc Tb Ag Response T-Cell Susp,212.5,82.875,,,0
CDM,80084808,Hc Ab Candida,89.85,35.04,,,0
CDM,80084809,Hc Ab Coccidioides,94.0,36.66,,,0
CDM,80084810,Hc Ab Cryptococcus,230.0,89.7,,,0
CDM,80084811,Hc Ab Giardia Lamblia,722.0,281.58,,,0
CDM,80084812,Hc Ab Htlv I,127.0,49.53,,,0
CDM,80084813,Hc Ab Htlv Ii,127.0,49.53,,,0
CDM,80084814,Hc Ab Hepatitis D,539.95,210.57999999999998,,,0
CDM,80084815,Hc Ab Lcm-Antibody Lymphocytic Choriomeningitis,188.75,73.615,,,0
CDM,80084816,Hc Ab Neisseria Meningitidis,319.0,124.41,,,0
CDM,80084817,Hc Ab Rsv Antibody Respiratory Syncytial Virus,507.0,197.73,,,0
CDM,80084818,Hc Ab Rotavirus,335.0,130.65,,,0
CDM,80084819,Hc Ab Salmonella,142.675,55.644999999999996,,,0
CDM,80084820,Hc Ab Tetanus,178.775,69.72,,,0
CDM,80084821,Hc Ab Trichinella,416.5,162.435,,,0
CDM,80084823,Hc Frozen Blood Prep,1313.0,512.07,,,0
CDM,80084824,Hc Frozen Blood Thaw Unit,650.0,253.5,,,0
CDM,80084826,Hc Dna/Rna Direct Probe,98.0,38.22,,,0
CDM,80084827,Hc Dna/Rna Sequencing,971.0,378.69,,,0
CDM,80084828,Hc Dark Field Wo Spec Collect,368.0,143.52,,,0
CDM,80084829,Hc Macroscopic Exam Arthropod,179.8,70.12,,,0
CDM,80084830,Hc Macroscopic Exam Parasite,81.6,31.825,,,0
CDM,80084831,Hc Sensitivity - Macrobroth Ea Agnt,887.5,346.125,,,0
CDM,80084832,Hc Sensitivity - Mycobact Ea Agnt,146.25,57.035,,,0
CDM,80084833,Hc Toxin Assay Tissue Culture,458.69,178.89000000000001,,,0
CDM,80084834,Hc Virus Isolate Embryo Egg Inj,425.0,165.75,,,0
CDM,80084835,Hc Virus Inoculate Tissue Addl,261.0,101.79,,,0
CDM,80084836,Hc Respiratory Syncytial Ag If,118.0,46.02,,,0
CDM,80084837,Hc Pneumocystis Carinii Ag If,91.14,35.545,,,0
CDM,80084838,Hc Adenovirus Ag Ia,58.0,22.62,,,0
CDM,80084839,Hc Cryptococcus Ag Quant,622.0,242.58,,,0
CDM,80084841,Hc Cryptosporidium Ag Ia,272.6,106.315,,,0
CDM,80084842,Hc Entamoeb Hist Group Ag Ia,189.0,73.71,,,0
CDM,80084843,Hc H Pylori Ag Ia,246.0,95.94,,,0
CDM,80084844,Hc Hepatitis Delta Ag Ia,323.0,125.97,,,0
CDM,80084845,Hc Hiv-1 Ag Ia,572.0,223.08,,,0
CDM,80084849,Hc Bartonella Dna Amp Probe,500.0,195.0,,,0
CDM,80084851,Hc Lyme Dis Dna Amp Probe,631.5,246.285,,,0
CDM,80084852,Hc Iadna Chlamydia Trachomatis Direct Probe Tq,695.0,271.05,,,0
CDM,80084853,Hc Influenza Dna Amp Prob Addl,579.0,225.81,,,0
CDM,80084855,Hc Hepatitis B Dna Amp Probe,366.25,142.84,,,0
CDM,80084856,Hc Hepatitis G Dna Dir Probe,103.0,40.17,,,0
CDM,80084857,Hc Hhv-6 Dna Amp Probe,355.25,138.55,,,0
CDM,80084858,Hc Hiv-2 Probe And Revrse Trnscripj,532.5,207.67499999999998,,,0
CDM,80084859,Hc M.Pneumon Dna Dir Probe,103.0,40.17,,,0
CDM,80084860,Hc Strep B Assay W/Optic,119.0,46.41,,,0
CDM,80084861,Hc Hiv Antigen W/Hiv Antibodies,183.95,71.74,,,0
CDM,80084862,Hc Chylmd Trach Assay W/Optic,280.0,109.2,,,0
CDM,80084863,Hc N. Gonorrhoeae Assay W/Optic,62.0,24.18,,,0
CDM,80084864,Hc Phenotype Dna Hiv W/Culture,1352.74,527.5699999999999,,,0
CDM,80084865,Hc Phenotype Dna Hiv W/Clt Add,76.84,29.97,,,0
CDM,80084868,Hc Tissue Culture Tumor,1357.0,529.23,,,0
CDM,80084870,Hc Bilirubin Total Transcutaneous,76.0,29.64,,,0
CDM,80084871,Hc Hgb Qnt Trnsctns-Hemoglobin Quantitative Transcutaneous,89.0,34.71,,,0
CDM,80084872,Hc Specimen Handling Pt-Lab,22.0,8.58,,,0
CDM,80084873,Hc Cepba Gene Analysis,1398.0,545.22,,,0
CDM,80084874,Hc Calr Calreticulin,1405.0,547.95,,,0
CDM,80084875,Hc Cyp2C9 Common Variants,696.775,271.74,,,0
CDM,80084876,Hc Cytog Alys Chrmoml Abnor Copy Number Vrnt Cgh,2910.05,1134.92,,,0
CDM,80084877,Hc Cytogen Variantchrom Anl,4000.315,1560.125,,,0
CDM,80084878,Hc Flt3 Gene Analysis,1016.05,396.26,,,0
CDM,80084879,Hc Flt3 Gene Analysis Tkd,685.0,267.15,,,0
CDM,80084880,Hc Kit Gene Targt Seq Anls,1399.1599999999999,545.67,,,0
CDM,80084883,Hc Mthfr Common Variants,275.0,107.25,,,0
CDM,80084884,Hc Nras Vrnt Conds 12 13 61,1627.625,634.7750000000001,,,0
CDM,80084885,Hc Pten Dup/Del Variants,614.0,239.46,,,0
CDM,80084886,Hc T Cell Ag Receptor Gamma,1282.925,500.34000000000003,,,0
CDM,80084887,Hc Vkorc1 Common Variant,738.0,287.82,,,0
CDM,80084888,Hc Hla I One Locus Low,1028.0,400.92,,,0
CDM,80084889,Hc Hla I Ag Equiv Each Low,272.605,106.315,,,0
CDM,80084890,Hc Hla Ii Ag Equiv Each Low,644.0,251.16,,,0
CDM,80084891,Hc Hla Ii One Alele/Grp Hgh,644.0,251.16,,,0
CDM,80084892,Hc Genotype Dna/Rna Hiv,1337.0,521.43,,,0
CDM,80084893,Hc Autop Gross Only Wo Cnsl,3863.0,1506.57,,,0
CDM,80084894,Hc Autop Gross And Micro W/Brn,6542.0,2551.38,,,0
CDM,80084895,Hc Cytopath Cerv/Vag M/Scrn,23.0,8.97,,,0
CDM,80084897,Hc Cytopath Unlisted,502.0,195.78,,,0
CDM,80084898,Hc Chrmsm Addl Spec Banding,605.0,235.95,,,0
CDM,80084900,Hc Unlisted Surgical Path,1128.0,439.92,,,0
CDM,80084901,Hc Pathology Lab Procedures,306.0,119.34,,,0
CDM,80084902,Hc Cyto Smr Gyn Tech Scrn,135.0,52.65,,,0
CDM,80084906,Hc Hydrxyproline Total,404.0,157.56,,,0
CDM,80084907,Hc Antibody Listeria Monocytogenes,156.0,60.84,,,0
CDM,80084910,Hc Assay Of Proinsulin,311.55,121.505,,,0
CDM,80084911,Hc Assay Of Dibucaine Number,141.5,55.185,,,0
CDM,80084912,Hc Hiv 1 Genotype Dna/Rna,966.5,376.93499999999995,,,0
CDM,80084913,Hc Clotting Function Activity Nos Ea Analyt Adamts13 Activity,399.04,155.625,,,0
CDM,80084955,Hc Ascorbic Acid Blood,80.375,31.345,,,0
CDM,80084956,Hc Glucagon,300.45,117.175,,,0
CDM,80084957,Hc Drug Screen Quant Zonisamide,216.5,84.43499999999999,,,0
CDM,80084960,Hc Drug/Substance Nos,272.075,106.11,,,0
CDM,80084961,Hc Fat Lipids Feces Qual,260.0,101.4,,,0
CDM,80084962,Hc Test For Acetone/Ketones,230.0,89.7,,,0
CDM,80084963,Hc Timed Urine Vol Measure Ea,19.65,7.664999999999999,,,0
CDM,80084964,Hc Vit B12 Unsaturated Bc,120.525,47.004999999999995,,,0
CDM,80084965,Hc Unlisted Urinalysis Procedure,76.0,29.64,,,0
CDM,80084972,Hc Platelets Pathogen Reduced,8108.0,3162.12,,,0
CDM,80084973,Hc Pathogen Test For Platelets,153.0,59.67,,,0
CDM,80084974,Hc Specimen Handling,22.0,8.58,,,0
CDM,80084976,Hc Crystals Exam Fluid,272.0,106.08,,,0
CDM,80084978,Hc Chromosome Analysis 20 To 25 Cells,978.375,381.565,,,0
CDM,80084979,Hc Rt- Basic Metabolic Panel,439.0,171.21,,,0
CDM,80084980,Hc Rt- Electrolyte Panel,360.0,140.4,,,0
CDM,80084981,Hc Rt Creatinine Blood,101.0,39.39,,,0
CDM,80084982,Hc Rt Glucose Quantitative Blood,215.0,83.85,,,0
CDM,80084983,Hc Rt Coagulation Time Activated,94.0,36.66,,,0
CDM,80085009,Hc Blood Count Manual Difrntl Wbc Count Buffy Coat,66.0,25.74,,,0
CDM,80085055,Hc Drug Test Prsmv Dir Opt Obs,413.125,161.12,,,0
CDM,80085057,Hc Drug Test Prsmv Chem Anlyzr,215.24,83.94,,,0
CDM,80085058,Hc Lactoferrin Fecal Qualitative,196.995,76.83,,,0
CDM,80085059,Hc Infect Agent Detect By Nucleic Acid Dna Or Rnamult Org,747.25,291.425,,,0
CDM,80085060,Hc Hba1/Hba2 Gene Analysis For Common Deletions Or Variant,1026.025,400.15,,,0
CDM,80085062,Hc Compatibility Test Each Unitelectronic,491.0,191.49,,,0
CDM,80085064,Hc Influenza,187.0,72.93,,,0
CDM,80085065,Hc Respiratory Syncytial Virus,157.5,61.425,,,0
CDM,80085066,Hc Kras Gene Analysis Additional Variants,1387.35,541.065,,,0
CDM,80085067,Hc Foundation Med - Solid Tumor Genomic Alterations Id,1436.5,560.24,,,0
CDM,80085068,Hc Nerve Teasing Preparations,1791.0,698.49,,,0
CDM,80085069,Hc Mgmt Gene Promoter Methylation Analysis,2171.0,846.69,,,0
CDM,80085070,Hc Iadna-Dna/Rna Gi Pthgn Multiplex Probe Tq 12-25,1517.0,591.63,,,0
CDM,80085071,Hc Drug Test Def Barbiturates,302.575,118.005,,,0
CDM,80085072,Hc Drug Test Def Amphetamines,290.9,113.44999999999999,,,0
CDM,80085074,Hc Antidepressants Class,284.075,110.79,,,0
CDM,80085075,Hc Drug Test Def Antiepileptics Nos,225.1,87.79,,,0
CDM,80085077,Hc Drug Test Def Stimulants Synthetic,139.0,54.21,,,0
CDM,80085078,Hc Chloramphenicol,200.0,78.0,,,0
CDM,80085079,Hc Quinine,200.0,78.0,,,0
CDM,80085080,Hc Immunofluorescence Per Spec Each Add'l,395.0,154.05,,,0
CDM,80085081,Hc Onc Breast Mrna Gene Express Profil By Hybrid Capture Of 58 Genes,9364.0,3651.96,,,0
CDM,80085082,Hc Onc Breast Mrna Microra Gene Xprsn Prfl 70 Genes,10669.0,4160.91,,,0
CDM,80085083,Hc Onc Prst8 Mrna Gene Xprsn Prfl Realtm Pcr 46 Genes,9967.0,3887.13,,,0
CDM,80085084,Hc Onc Prst8 Prmtr Methylation Prfl Realtm Pcr 3 Genes,9967.0,3887.13,,,0
CDM,80085085,Hc Nfct Agent Genotype Hepatitis B Virus,1280.45,499.375,,,0
CDM,80085087,Hc Hbb Full Gene Sequience,1053.57,410.89,,,0
CDM,80085088,Hc Hba1/Hba2 Gene Analysis Full Gene Sequence,1520.635,593.05,,,0
CDM,80085089,Hc Hemoglobin Unstable Screen,408.0,159.12,,,0
CDM,80085090,Hc Assay Of Nickel,232.775,90.78,,,0
CDM,80085091,Hc Molecular Pathology Procedure Level 3,1057.5,412.425,,,0
CDM,80085092,Hc Iaadi Not Otherwise Specified Each Organism,130.6,50.935,,,0
CDM,80085093,Hc Hhv-6 Dna Quant,575.0,224.25,,,0
CDM,80085094,Hc Ashkenazi Jewish Assoc Dsrdrs Gen Seq Anal 9 Gen,6315.0,2462.8500000000004,,,0
CDM,80085095,Hc Allergen Spec Ige Recombinant/Purified Compnt Ea,86.13499999999999,33.595,,,0
CDM,80085096,Hc Drug Screen Quant Dipropylacetic Acid Free,165.85,64.67999999999999,,,0
CDM,80085099,Hc Jak2 Gene Analysis P.Val617Phe Variant,1027.905,400.885,,,0
CDM,80085100,Hc Screen Fecal Globin Screening,159.75,62.3,,,0
CDM,80085101,Hc Brca1 Brca2 Gene Analysis Full Sequence Analysis,1975.0,770.25,,,0
CDM,80085102,Hc Brca1 Brca2 Gene Analysis Full Dup/Del Analysis,2464.0,960.96,,,0
CDM,80085103,Hc Brca1 Gene Analysis Full Sequence Analysis,1194.0,465.66,,,0
CDM,80085104,Hc Brca1 Gene Analysis Full Dup/Del Analysis,1271.0,495.69,,,0
CDM,80085105,Hc Brca2 Gene Analysis Full Dup/Del Analysis,1194.0,465.66,,,0
CDM,80085106,Hc Aff2 Gene Analysis Eval Detect Abnormal Alleles,578.0,225.42,,,0
CDM,80085107,Hc Aff2 Gene Analysis Characterization Of Alleles,1160.0,452.4,,,0
CDM,80085108,Hc Ar Gene Analysis Full Gene Sequence,1271.0,495.69,,,0
CDM,80085109,Hc Ar Gene Analysis Known Familial Variant,781.0,304.59,,,0
CDM,80085110,Hc Atn1 Gene Analysis Eval Detect Abnormal Alleles,375.31,146.37,,,0
CDM,80085111,Hc Atxn1 Gene Analysis Eval Detect Abnormal Alleles,375.31,146.37,,,0
CDM,80085112,Hc Atxn2 Gene Analysis Eval Detect Abnormal Alleles,375.31,146.37,,,0
CDM,80085113,Hc Atxn3 Gene Analysis Eval Detect Abnormal Alleles,375.31,146.37,,,0
CDM,80085114,Hc Atxn7 Gene Analysis Eval Detect Abnormal Alleles,375.31,146.37,,,0
CDM,80085115,Hc Atxn8Os Gene Analysis Eval Detect Abnor Alleles,375.31,146.37,,,0
CDM,80085116,Hc Atxn10 Gene Analysis Eval Detc Abnormal Alleles,375.31,146.37,,,0
CDM,80085117,Hc Cacna1A Gene Analysis Eval Detect Abnor Alleles,375.31,146.37,,,0
CDM,80085118,Hc Cacna1A Gene Analysis Full Gene Sequence,2984.0,1163.76,,,0
CDM,80085119,Hc Cacna1A Gene Analysis Known Familial Variant,781.0,304.59,,,0
CDM,80085120,Hc Cnbp Gene Analysis Eval Detect Abnormal Alleles,1079.5,421.005,,,0
CDM,80085121,Hc Cstb Gene Analysis Eval Detect Abnormal Alleles,578.0,225.42,,,0
CDM,80085122,Hc Cstb Gene Analysis Full Gene Sequence,739.0,288.21,,,0
CDM,80085123,Hc Cstb Gene Analysis Known Familial Variants,781.0,304.59,,,0
CDM,80085124,Hc Ar Gene Analysis Characterization Of Alleles,578.0,225.42,,,0
CDM,80085125,Hc Btk Gene Analysis Common Variants,743.0,289.77,,,0
CDM,80085126,Hc Dmpk Gene Analysis Eval Detect Abnormal Alleles,697.65,272.085,,,0
CDM,80085127,Hc Ezh2 Gene Analysis Full Gene Sequence,1194.0,465.66,,,0
CDM,80085128,Hc Ezh2 Gene Analysis Common Variants,739.0,288.21,,,0
CDM,80085129,Hc Dmpk Gene Analysis Characterization Of Alleles,1160.0,452.4,,,0
CDM,80085130,Hc Htt Gene Analysis Detect Abnormal Alleles,545.875,212.89,,,0
CDM,80085131,Hc Htt Gene Analysis Characterization Alleles,1160.0,452.4,,,0
CDM,80085132,Hc Fxn Gene Analysis Eval Detect Abnormal Alleles,375.31,146.37,,,0
CDM,80085133,Hc Fxn Gene Analysis Characterization Alleles,1160.0,452.4,,,0
CDM,80085134,Hc Fxn Gene Analysis Full Gene Sequence,753.15,293.73,,,0
CDM,80085135,Hc Fxn Gene Analysis Known Familial Variants,781.0,304.59,,,0
CDM,80085136,Hc Myd88 Gene Analysis P.Leu265 L265P Variant,700.375,273.145,,,0
CDM,80085137,Hc Nudt15 Gene Analysis Common Variants,1228.0,478.92,,,0
CDM,80085138,Hc Pabpn1 Gene Analysis Eval Detc Abnormal Alleles,578.0,225.42,,,0
CDM,80085139,Hc Plcg2 Gene Analysis Common Variants,1228.0,478.92,,,0
CDM,80085140,Hc Smn1 Gene Analysis Dosage/Delet Alys W/Smn2 Alys,578.0,225.42,,,0
CDM,80085141,Hc Tgfbi Gene Analysis Common Variants,578.0,225.42,,,0
CDM,80085142,Hc Smn1 Gene Analysis Full Gene Sequence,1271.0,495.69,,,0
CDM,80085143,Hc Smn1 Gene Analysis Known Familial Seq Variants,781.0,304.59,,,0
CDM,80085144,Hc Ppp2R2B Gene Analysis Eval Detc Abnormal Alleles,375.31,146.37,,,0
CDM,80085145,Hc Tbp Gene Analysis Eval Detect Abnormal Alleles,375.31,146.37,,,0
CDM,80085146,Hc Tert Gene Analysis Targeted Sequence Analysis,781.0,304.59,,,0
CDM,80085147,Hc Genetic Testing For Severe Inherited Conditions,10330.0,4028.7,,,0
CDM,80085148,Hc Oncology Breast Mrna Gene Expression 11 Genes,17749.0,6922.11,,,0
CDM,80085149,Hc Nfct Ds Chrnc Hcv 6 Biochem Assay Srm Alg Lvr,314.65,122.715,,,0
CDM,80085150,Hc Dihydrotestosterone Dht,162.99,63.565,,,0
CDM,80085151,Hc Dir Meas Lipoprotein Small Dense Ldl Cholesterol,215.0,83.85,,,0
CDM,80085152,Hc Hpa-5 Genotyping Gene Analysis Common Variant,637.0,248.43,,,0
CDM,80085153,Hc Brca1 And Brca2 Full Seq Analys/Full Dup/Del Analys,6081.84,2371.92,,,0
CDM,80085154,Hc Brca1 And Brca2 Anal 185Delag5385Insc/6174Delt,1856.0,723.84,,,0
CDM,80085155,Hc Brca1 Gene Analysis Known Familial Variant,1582.0,616.98,,,0
CDM,80085156,Hc Brca2 Gene Analysis Full Sequence Analysis,781.0,304.59,,,0
CDM,80085157,Hc Brca2 Gene Analysis Known Familial Variant,1582.0,616.98,,,0
CDM,80085158,Hc Fmr1 Gene Analysis Characterization Of Alleles,191.0,74.49,,,0
CDM,80085159,Hc Sept9 Gene Promoter Methylation Analysis,610.655,238.155,,,0
CDM,80085160,Hc Runx1 Gene Analysis Targeted Sequence Analysis,1393.0,543.27,,,0
CDM,80085161,Hc Iadna Respiratry Probe And Rev Trnscr 3-5 Targets,683.0,266.37,,,0
CDM,80085396,Hc Coagj/Fbrnlys Assay Whole Blood Additive Per Day,684.0,266.76,,,0
CDM,80085525,Hc Heparin Neutralization,183.0,71.37,,,0
CDM,80085530,Hc Heparin-Protamine Tolerance Tst,64.0,24.96,,,0
CDM,80085999,Hc Unlisted Hematology And Coagulation Procedure,143.79,56.080000000000005,,,0
CDM,80086015,Hc Actin Smooth Muscle Antibody Each,69.0,26.91,,,0
CDM,80086036,Hc Antineutrophil Cytoplasmic Antb Screen Ea Antb,57.0,22.23,,,0
CDM,80086037,Hc Antineutrophil Cytoplasmic Antb Titer Ea Antb,57.0,22.23,,,0
CDM,80086041,Hc Acetylcholine Receptor Binding Antibody,156.0,60.84,,,0
CDM,80086042,Hc Acetylcholine Receptor Blocking Antibody,82.0,31.98,,,0
CDM,80086053,Hc Aquaporin-4 Antibody Flow Cytometry Each,594.0,231.66,,,0
CDM,80086231,Hc Endomysial Antibody Each Immunoglobulin Class,108.0,42.12,,,0
CDM,80086258,Hc Gliadin Antibody Each Immunoglobulin Class,69.0,26.91,,,0
CDM,80086328,Hc Ia Infectious Agt Antibody Sars-Cov-2 Covid-19,478.0,186.42,,,0
CDM,80086352,Hc Cellular Function Assay Stimul And Detect Biomarke,490.0,191.1,,,0
CDM,80086353,Hc Lymphocyte Tr Mitogen/Ag Induced Blastogenesis,604.0,235.56,,,0
CDM,80086362,Hc Mog-Igg1 Antibody Cell-Based Imfluor Assay Each,42.0,16.38,,,0
CDM,80086363,Hc Mog-Igg1 Antibody Flow Cytometry Each,132.0,51.48,,,0
CDM,80086364,Hc Tissue Transglutaminase Ea Immunoglobulin Class,69.0,26.91,,,0
CDM,80086366,Hc Muscle-Specific Kinase Antibody,576.0,224.64,,,0
CDM,80086367,Hc Stem Cells Total Count,280.0,109.2,,,0
CDM,80086381,Hc Mitochondrial Antibody Each,152.0,59.28,,,0
CDM,80086408,Hc Neutralizing Antibody Sars-Cov-2 Screen,478.0,186.42,,,0
CDM,80086409,Hc Neutralizing Antibody Sars-Cov-2 Titer,478.0,186.42,,,0
CDM,80086413,Hc Severe Acute Respiratory Syndrome Coronavirus 2 Sarscov-2,478.0,186.42,,,0
CDM,80086596,Hc Voltage-Gated Calcium Channel Antibody Each,66.0,25.74,,,0
CDM,80086711,Hc Antibody John Cunningham Virus,2881.275,1123.6950000000002,,,0
CDM,80086769,Hc Antb Severe Aqt Respir Synd Sars-Cov-2 Covid19,335.43,130.82,,,0
CDM,80086794,Hc Zika Virus Igm Antibody,59.0,23.01,,,0
CDM,80086825,Hc Hla Crossmatch Noncytotoxic 1St Serum/Dilution,675.0,263.25,,,0
CDM,80086826,Hc Hla Crossmatch Noncytotoxic Addl Serum/Dilution,249.0,97.11,,,0
CDM,80086828,Hc Antibody Hla Class I And Class Ii Antigens Qual,827.5,322.725,,,0
CDM,80086830,Hc Antibody Hla Class I Phenotype Panel Qualitative,876.0,341.64,,,0
CDM,80086831,Hc Antibody Hla Class Ii Phenotype Panel Qual,876.0,341.64,,,0
CDM,80086832,Hc Antibody Hla Class I High Definition Panel Qual,1474.0,574.86,,,0
CDM,80086833,Hc Antibody Hla Class Ii High Definition Panel Qual,1483.0,578.37,,,0
CDM,80086932,Hc Frozen Blood Each Unit Freezing And Thawing,459.0,179.01,,,0
CDM,80086999,Hc Unlisted Transfusion Medicine Procedure,1790.0,698.1,,,0
CDM,80087073,Hc Cul Bact Quan Anaerc Isol Xcpt Ur Blood/Stool,341.0,132.99,,,0
CDM,80087154,Hc Culture Typing Id Bld Pthgn And Resist Typing 6 Or More Trgt,785.0,306.15,,,0
CDM,80087158,Hc Culture Typing Other Methods,28.0,10.92,,,0
CDM,80087426,Hc Iaad Ia Severe Acute Respir Synd Coronavirus,441.0,171.99,,,0
CDM,80087428,Hc Iaad Ia Sarscov And Influenza Virus Types A And B,441.0,171.99,,,0
CDM,80087468,Hc Iadna Anaplasma Phagocytophilum Amplifed Prb Tq,123.0,47.97,,,0
CDM,80087551,Hc Iadna Mycobacteria Species Amplified Probe Tq,174.0,67.86,,,0
CDM,80087563,Hc Iadna Mycoplasma Genitalium Amplified Probe Tech,147.0,57.33,,,0
CDM,80087593,Hc Iadna Orthopoxvirus Amplified Probe Technique Ea,537.5,209.625,,,0
CDM,80087634,Hc Iadna Dna/Rna Rsv Amplified Probe Technique,332.0,129.48,,,0
CDM,80087635,Hc Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq,215.0,83.85,,,0
CDM,80087636,Hc Iadna Sarscov2 And Influenza A And B Mult Amp Probe Tq,441.0,171.99,,,0
CDM,80087637,Hc Iadna Sarscov2 And Influenza A And B And Rsv Mult Amp Probe Tq,441.0,171.99,,,0
CDM,80087653,Hc Iadna Streptococcus Group B Amplified Probe Tq,98.795,38.53,,,0
CDM,80087801,Hc Iadna Multiple Organisms Amplified Probe Tq,1153.0,449.67,,,0
CDM,80087811,Hc Iaadiadoo Severe Acute Respiratory Syndrome Coronavirus,441.0,171.99,,,0
CDM,80088120,Hc Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl,1039.87,405.55,,,0
CDM,80088121,Hc Cytopathology Insitu Hybrid Urine Spec 3-5 Probes Computer-Assisted Ea,2205.0,859.95,,,0
CDM,80088239,Hc Tiss Cul Neo Disorders Solid Tumor,1357.0,529.23,,,0
CDM,80088240,Hc Cryoprsrv Frzing And Storage Cells Ea Cell Line,46.0,17.94,,,0
CDM,80088275,Hc Molecular Cytogenetics Interphase Ish Analyze 100-300 Cll,820.0,319.8,,,0
CDM,80088363,Hc Exam And Select Archive Tissue Molecular Analysi,52.0,20.28,,,0
CDM,80088380,Hc Microdissection Prep Identified Target Laser,3067.0,1196.13,,,0
CDM,80089257,Hc Sperm Id From Aspiration Other Than Seminal Fluid,226.0,88.14,,,0
CDM,80089300,Hc Semen Alys Presence /Motility Sprm Huhner,83.0,32.37,,,0
CDM,80090005,Hc Poc Flu A And B,187.0,72.93,,,0
CDM,80090006,Hc Poc Ua Dipstick 81003,192.0,74.88,,,0
CDM,80180151,Hc Drug Assay Amiodarone,79.0,30.81,,,0
CDM,80180167,Hc Drug Assay Felbamate,125.0,48.75,,,0
CDM,80180179,Hc Drug Assay Salicylate,79.0,30.81,,,0
CDM,80180187,Hc Drug Assay Posaconazole,101.0,39.39,,,0
CDM,80181120,Hc Idh1 Common Variants,676.0,263.64,,,0
CDM,80181121,Hc Idh2 Common Variants,1065.0,415.35,,,0
CDM,80181279,Hc Jak2 Targeted Sequence Analysis,1543.0,601.77,,,0
CDM,80181405,Hc Molecular Pathology Procedure Level 6,3867.0,1508.13,,,0
CDM,80181415,Hc Exome Sequence Analysis,9402.0,3666.78,,,0
CDM,80181416,Hc Exome Sequence Analysis Each Comparator Exome,15486.0,6039.54,,,0
CDM,80181425,Hc Genome Sequence Analysis,16422.0,6404.58,,,0
CDM,80187635,Hc Iadna Sars-Cov-2 Covid-19 Amp Prb,248.125,96.77,,,0
CDM,80287635,Hc Iadna Sars-Cov-2 Covid-19 Amplified Prb Tq,215.0,83.85,,,0
CDM,805684690,CYCLOBENZAPRINE 5 MG TABLET,3.6,1.4,,,0
CDM,810965425,"CIPROFLOXACIN 0.3 %-DEXAMETHASONE 0.1 % EAR DROPS,SUSPENSION",2149.4,838.27,,,0
CDM,813809184,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,75.0,29.25,,,0
CDM,813809185,ACETAMINOPHEN 325 MG TABLET,1.1,0.43,,,0
CDM,813809187,MORPHINE 4 MG/ ML INJECTION (WRAPPED),15.8,6.16,,,0
CDM,813863188,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,15.8,6.16,,,0
CDM,813863189,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,140.5,54.8,,,0
CDM,813995088,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,128.6,50.15,,,0
CDM,813999625,"BACITRACIN 50,000 UNIT INTRAMUSCULAR SOLUTION",79.2,30.89,,,0
CDM,813999626,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",15.8,6.16,,,0
CDM,813999627,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE,15.8,6.16,,,0
CDM,813999629,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,85.7,33.42,,,0
CDM,813999637,BACITRACIN TOPICAL OINTMENT (WRAPPED),16.1,6.28,,,0
CDM,813999642,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,15.8,6.16,,,0
CDM,814057383,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",15.8,6.16,,,0
CDM,814328468,LEVETIRACETAM 500 MG TABLET,4.699999999999999,1.835,,,0
CDM,81500001,Hc National Donor Prgm Reg Servic,4569.0,1781.91,,,0
CDM,81500002,Hc Nmdp Donor Confrm Hla Typ And Id S,3405.0,1327.95,,,0
CDM,81500003,Hc Donor Workup Pretransplant- Bld S,1937.0,755.43,,,0
CDM,81500004,Hc Primary Pbsc Collection,98842.0,38548.38,,,0
CDM,81500005,Hc Secondary Pbsc Collection,81039.0,31605.21,,,0
CDM,81500006,Hc Infective Disease Marker Sample Colledtion And Centra,3567.0,1391.13,,,0
CDM,81500007,Hc Primary Pbsc Physical Exam,8612.0,3358.68,,,0
CDM,81500008,Hc Primary Pbsc Information Session,2463.0,960.57,,,0
CDM,81500009,Hc Pbsc Workup Cancellation,8966.0,3496.74,,,0
CDM,81500010,Hc Donor Nephrectomy Cadaver Donor Uni/Bilateral,411851.0,160621.89,,,0
CDM,81500011,Hc Donor Nephrectomy Open Living Donor,411851.0,160621.89,,,0
CDM,81500012,Hc Marrow Collection Transportation,127922.0,49889.58,,,0
CDM,81538204,Hc Mgmt Pbsc Stem Cell Donor And Acquisj,11082.0,4321.98,,,0
CDM,81538208,Hc Trnspl Frozen Stem Cells Thaw W/O Wash Per Donor,1672.0,652.08,,,0
CDM,81538240,Hc Trnspl Allogeneic Hematopoietic Cells Per Donor,131976.0,51470.64,,,0
CDM,827186183,TETRACAINE 0.5 % EYE DROPS,4.8,1.87,,,0
CDM,834250545,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,6.6,2.57,,,0
CDM,851886712,"ARTICAINE 4 %-EPINEPHRINE BITARTRATE 1:200,000 INJECTION CARTRIDGE",19.6,7.64,,,0
CDM,852500994,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,12.4,4.84,,,0
CDM,860585943,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,58.5,22.82,,,0
CDM,863676734,"EPINEPHRINE (JR) 0.15 MG/0.3 ML INJECTION,AUTO-INJECTOR",1045.5,407.74,,,0
CDM,864139335,KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION,19.6,7.64,,,0
CDM,880624598,BACITRACIN TOPICAL OINTMENT (WRAPPED),0.9,0.35,,,0
CDM,883476970,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,17.8,6.94,,,0
CDM,883499439,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,136.2,53.12,,,0
CDM,883499466,HYDROMORPHONE 1 MG/ML INJECTION (WRAPPED),20.7,8.07,,,0
CDM,883499481,ASCORBIC ACID (VITAMIN C) 500 MG TABLET,0.6,0.23,,,0
CDM,883603293,OXYCODONE 5 MG TABLET,7.9,3.08,,,0
CDM,883603311,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,25.8,10.06,,,0
CDM,883603327,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,17.9,6.98,,,0
CDM,883936287,MIDAZOLAM 1 MG/ML INJ (WRAPPED),17.8,6.94,,,0
CDM,883936310,NEOSTIGMINE METHYLSULFATE 5 MG/5 ML (1 MG/ML) INTRAVENOUS SYRINGE,254.0,99.06,,,0
CDM,884022857,ERTAPENEM 1 GRAM INTRAVENOUS SOLUTION,888.9,346.67,,,0
CDM,884022860,SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK,48.7,18.99,,,0
CDM,884022865,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,74.7,29.13,,,0
CDM,884694789,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,40.45,15.780000000000001,,,0
CDM,884694793,ZINC SULFATE 50 MG ZINC (220 MG) CAPSULE,0.6,0.23,,,0
CDM,884694794,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,259.1,101.05,,,0
CDM,884694797,SERTRALINE 50 MG TABLET,4.4,1.72,,,0
CDM,884708398,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,10.1,3.94,,,0
CDM,884708427,SACCHAROMYCES BOULARDII 250 MG CAPSULE,6.8,2.65,,,0
CDM,885186730,ORITAVANCIN 400 MG INTRAVENOUS SOLUTION,0.01,0.0039,,,0
CDM,885186742,LORAZEPAM 2 MG/ML INJECTION SOLUTION,17.8,6.94,,,0
CDM,885186767,LORAZEPAM 2 MG/ML INJECTION SOLUTION,17.8,6.94,,,0
CDM,890396364,DIAZEPAM 5 MG TABLET,4.4,1.72,,,0
CDM,890396365,IBUPROFEN 800 MG TABLET,4.4,1.72,,,0
CDM,890396366,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,11.6,4.52,,,0
CDM,892736452,AMOXICILLIN 250 MG CAPSULE,4.8,1.87,,,0
CDM,90000001,Hc Limited Opth Exam Study,385.0,150.15,,,0
CDM,90000002,Hc Extended Opth Exam Study,385.0,150.15,,,0
CDM,90000003,Hc Shirmer Test Study,50.0,19.5,,,0
CDM,90000004,Hc Ocular Imaging Study,370.0,144.3,,,0
CDM,90000005,Hc Tbut Study,50.0,19.5,,,0
CDM,90000006,Hc Phenol Red Thread Study,50.0,19.5,,,0
CDM,90000007,Hc Rose Bengal Test Study,50.0,19.5,,,0
CDM,90000008,Hc Dye Disapperance Test Study,50.0,19.5,,,0
CDM,90000009,Hc Jones 1 Test Study,50.0,19.5,,,0
CDM,90000010,Hc Tear Ph Test Study,25.0,9.75,,,0
CDM,90000011,Hc New Cosmetic Evaluation,190.0,74.1,,,0
CDM,90000012,Hc Return Cosmetic Visit,154.0,60.06,,,0
CDM,90000013,Hc Cosmetic Srvs Per Unit?????,30.0,11.7,,,0
CDM,90000390,Hc Trauma 3 Small Team,8783.0,3425.37,,,0
CDM,90000463,Hc Hosp Op Visit For Assessment And Management,639.0,249.21,,,0
CDM,90002061,Hc Qnhp Ol Digital Assmt&Mgmt Est Pt Under 7Days 5-10M Total Time,78.0,30.42,,,0
CDM,90002062,Hc Qnhp Ol Digital Assmt&Mgmt Est Pt Under 7Days 11-20M Total Time,138.0,53.82,,,0
CDM,90002063,Hc Qnhp Ol Digital Assmt&Mgmt Est Pt Under 7Days 21 Or More Min,212.0,82.68,,,0
CDM,90002900,Hc Robotic Procedure,2242.0,874.38,,,0
CDM,90010012,Hc Manometry Anorectal Pressure Record,2299.5,896.8050000000001,,,0
CDM,90010013,Hc Pap Therapy,972.0,379.08,,,0
CDM,90010014,Hc Hemodialysis,12054.0,4701.06,,,0
CDM,90010020,Hc Esophageal Motility Study W/Interp And Rpt,6234.0,2431.26,,,0
CDM,90010021,Hc Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt,10859.0,4235.01,,,0
CDM,90010023,Hc Gastroesophag Reflux Test W/Telemtry Ph Eltrd,1574.0,613.86,,,0
CDM,90010026,Hc Audiometry Testing Distortion Ltd,873.0,340.47,,,0
CDM,90010027,Hc Dialysis Other Daily Crrt Capd Ccpd,2123.0,827.97,,,0
CDM,90010032,Hc Gastroesophag Reflx Test W/Intrluml Imped Eltrd,1880.0,733.2,,,0
CDM,90010051,Hc Interrogation Vad In Person,833.0,324.87,,,0
CDM,90010052,Hc Fundus Photography,550.0,214.5,,,0
CDM,90010053,Hc Spirometry,1065.0,415.35,,,0
CDM,90010054,Hc Spirometry-B And A Bronchodilator,1876.0,731.64,,,0
CDM,90010055,Hc Pft Disability Screening B And A,1876.0,731.64,,,0
CDM,90010056,Hc Bronchial Provacation Challenge,2246.0,875.94,,,0
CDM,90010057,Hc Maximum Voluntary Ventilation,469.0,182.91,,,0
CDM,90010059,Hc Pulmonary Stress Test - Complex,2070.0,807.3,,,0
CDM,90010061,Hc Nebulizer Rx,972.0,379.08,,,0
CDM,90010062,Hc Multi Dose Inhaler,972.0,379.08,,,0
CDM,90010067,Hc Indirect Calorimetry,1336.0,521.04,,,0
CDM,90010069,Hc Pft Pentam 300 Rx,1788.0,697.32,,,0
CDM,90010070,Hc Initial Cont Nebulizer Rx,2502.0,975.78,,,0
CDM,90010071,Hc Continuous Nebulizer Rx,1084.0,422.76,,,0
CDM,90010072,Hc Adult Cpap/Per Day,4240.0,1653.6,,,0
CDM,90010073,Hc Bipap/Day,4240.0,1653.6,,,0
CDM,90010074,Hc Infant Cpap/Day,4240.0,1653.6,,,0
CDM,90010075,Hc Mdi/Neb Instruct/Demo,588.0,229.32,,,0
CDM,90010076,Hc Oscillating Pep Therapy Initial,1319.0,514.41,,,0
CDM,90010077,Hc Chest Percussion/Vibration Initial,1319.0,514.41,,,0
CDM,90010078,Hc Oscillating Pep Therapy Subsq,1029.0,401.31,,,0
CDM,90010079,Hc Chest Percussion Vibration Subsq,1029.0,401.31,,,0
CDM,90010080,Hc Plethysmography,1365.0,532.35,,,0
CDM,90010081,Hc Gas Dilutions,1474.0,574.86,,,0
CDM,90010082,Hc Diffusing Capacity,1389.0,541.71,,,0
CDM,90010083,Hc Pulse Ox Single,79.0,30.81,,,0
CDM,90010084,Hc Home Oxygen Assessment,670.0,261.3,,,0
CDM,90010085,Hc Cont Glucose Monitor 30M/4 Units,144.0,56.16,,,0
CDM,90010086,Hc Pulse Ox Multiple,670.0,261.3,,,0
CDM,90010087,Hc Nocturnal Pulse Oximetry,1011.0,394.29,,,0
CDM,90010088,Hc Eeg Awake And Drowsy Recording,2208.0,861.12,,,0
CDM,90010089,Hc Pulse-Ox Continuous/Day,1011.0,394.29,,,0
CDM,90010090,Hc Ep-Somatosensory Upper,6348.0,2475.72,,,0
CDM,90010091,Hc Short-Latency Somatosens Ep Std Lwr Limbs,5918.0,2308.02,,,0
CDM,90010092,Hc Short-Latency Somatosens Ep Std Upr And Low Limb,10219.0,3985.41,,,0
CDM,90010098,Hc Genetic Counseling,858.0,334.62,,,0
CDM,90010099,Hc Chemotherapy Sq Im Non-Hormonal,1271.0,495.69,,,0
CDM,90010100,Hc Chemotherapy Sq Im Hormonal,1134.0,442.26,,,0
CDM,90010101,Hc Chemotherapy Admin Intralesional 7 Or Less Lesions,1587.0,618.93,,,0
CDM,90010102,Hc Chemotherapy Administration Intralesional Over 7 Lesions,1942.0,757.38,,,0
CDM,90010103,Hc Chemo Iv Push Initial Drug,1121.0,437.19,,,0
CDM,90010104,Hc Chemo Iv Push Each Addition Drug,1014.0,395.46,,,0
CDM,90010105,Hc Chemo Inf 1St Hr Initial Drug,1783.0,695.37,,,0
CDM,90010106,Hc Chemo Inf Each Additional Hr,509.0,198.51,,,0
CDM,90010107,Hc Chemo Inf Over 8 Hrs W/Pump Initial,1833.0,714.87,,,0
CDM,90010108,Hc Chemo Ia Push,1587.0,618.93,,,0
CDM,90010109,Hc Inf Chemotherapy Intra-Arteria 1 Hr Or Less,1551.0,604.89,,,0
CDM,90010110,Hc Chemo Ia Inf Ea Addl Hour,509.0,198.51,,,0
CDM,90010111,Hc Chemo Inf Intrarterial Over 8Hrs W/Pump,1463.0,570.57,,,0
CDM,90010112,Hc Chemo Intracavity W/Thoracentesis,1121.0,437.19,,,0
CDM,90010113,Hc Chemo Intrac. W/Peritoneocentesis,1121.0,437.19,,,0
CDM,90010114,Hc Chemo Into Cns W/Spinal Puncture,1121.0,437.19,,,0
CDM,90010117,Hc Debride Open Wound 1St 20Sqcm Or Less,2187.0,852.93,,,0
CDM,90010118,Hc Debride Open Wound Ea Add 20Sqcm Or Less,2654.0,1035.06,,,0
CDM,90010121,Hc Wound Care Non-Selective,512.0,199.68,,,0
CDM,90010123,Hc Neg Press Wound Tx 50Sqcm Or Less,542.0,211.38,,,0
CDM,90010125,Hc Neg Press Wound Tx Over 50 Sqcm,904.0,352.56,,,0
CDM,90010126,Hc Phlebotomy Therapeutic,1783.0,695.37,,,0
CDM,90010129,Hc Er Service Level I,575.0,224.25,,,0
CDM,90010131,Hc Er Service Level Ii,875.0,341.25,,,0
CDM,90010133,Hc Er Service Level Iii,1650.0,643.5,,,0
CDM,90010135,Hc Er Service Level Iv,2244.0,875.16,,,0
CDM,90010137,Hc Er Service Level V,3089.0,1204.71,,,0
CDM,90010138,Hc Er Critical Care 30-74Min,5918.0,2308.02,,,0
CDM,90010139,Hc Er Critical Care Ea Addtl 30 Min,2962.0,1155.18,,,0
CDM,90010146,Hc Introduction Long Gi Tube Separate Procedure,1176.0,458.64,,,0
CDM,90010147,Hc Trauma 2 Full Team,14412.0,5620.68,,,0
CDM,90010149,Hc Trauma 2 Partial Team,11976.0,4670.64,,,0
CDM,90010151,Hc Attn At Delivery 1St Stabilization Of Newborn,2343.0,913.77,,,0
CDM,90010152,Hc Inhaled Epoprostenol Neb Cont Therapy Initial,2502.0,975.78,,,0
CDM,90010153,Hc Inhaled Epoprostenol Neb Cont Therapy Subsq,1084.0,422.76,,,0
CDM,90010154,Hc Pneumogram,3729.0,1454.31,,,0
CDM,90010161,Hc Inhalation Svc - Transfer Rule,3089.57,1204.93,,,0
CDM,90010162,Hc Physical Therapy - Transfer Rule,161.0,62.79,,,0
CDM,90010163,Hc Phys Therp/Eval - Transfer Rule,823.75,321.26,,,0
CDM,90010164,Hc Occupation Therp - Transfer Rule,152.11,59.32,,,0
CDM,90010165,Hc Occup Therp/Eval - Transfer Rule,835.67,325.91,,,0
CDM,90010168,Hc Speech Path/Eval Transfer Rule,591.75,230.78,,,0
CDM,90010170,Hc Audiology/Dx- Transfer Rule,1165.6,454.58,,,0
CDM,90010178,Hc Speech Path/Visit Transfer Rule,313.0,122.07,,,0
CDM,90010186,Hc Anticoagulation Test,94.0,36.66,,,0
CDM,90010188,Hc Cv- Electrolyte Panel,360.0,140.4,,,0
CDM,90010191,Hc Glucose Blood,215.0,83.85,,,0
CDM,90010193,Hc Potassium Blood,193.0,75.27,,,0
CDM,90010197,Hc Hematocrit,88.0,34.32,,,0
CDM,90010198,Hc Hemoglobin,89.0,34.71,,,0
CDM,90010199,Hc *Fibrinogen Activity,278.0,108.42,,,0
CDM,90010202,Hc Cell Saver Procedure,3995.0,1558.05,,,0
CDM,90010204,Hc Reh Pulm Rehab Phase Iii/Month,51.0,19.89,,,0
CDM,90010205,Hc Reh-Respiratory Group,498.0,194.22,,,0
CDM,90010208,Hc Reh-Respiratory 1-1 Breathing 15Min,138.0,53.82,,,0
CDM,90010209,Hc Rt Breathing Retraining 1-1 15Min,138.0,53.82,,,0
CDM,90010211,Hc Inhaled Nitric Oxide/Day,6210.0,2421.9,,,0
CDM,90010244,Hc Newborn Cpr/Resuscitation,4666.0,1819.74,,,0
CDM,90010246,Hc Vent Initial Day,5847.0,2280.33,,,0
CDM,90010247,Hc Vent-Hifreqoscill/Day Subsq,5909.0,2304.51,,,0
CDM,90010248,Hc Ventilator Day/Sub Sq,5626.0,2194.14,,,0
CDM,90010250,Hc Np Survanta Procedure,920.0,358.8,,,0
CDM,90010251,Hc Polysomnography W/Cpap,4887.0,1905.93,,,0
CDM,90010263,Hc Sputum Induction W/Tx,972.0,379.08,,,0
CDM,90010264,Hc Chemo Iv Inf Ea Add Seq,1170.0,456.3,,,0
CDM,90010281,Hc Vent-Hifreqoscill/Initial,6322.0,2465.58,,,0
CDM,90010303,Hc Trauma 2 Small Team,11709.0,4566.51,,,0
CDM,90010310,Hc Critical Care Inhouse Trauma Act Full Team,13466.0,5251.74,,,0
CDM,90010311,Hc Critical Care Inhouse Trauma Act Partial Team,13466.0,5251.74,,,0
CDM,90010312,Hc Critical Care Inhouse Trauma Act Small Team,12429.0,4847.31,,,0
CDM,90010314,Hc Er Lvl5 Inhouse Act Trauma Team Full Team,10920.0,4258.8,,,0
CDM,90010315,Hc Er Lvl5 Inhouse Act Trauma Team Partial Team,9450.0,3685.5,,,0
CDM,90010316,Hc Er Lvl5 Inhouse Act Trauma Team Small Team,7984.0,3113.76,,,0
CDM,90010320,Hc Neg Press Wound Tx Disp Equipment 50Sqcm Or Less,1783.0,695.37,,,0
CDM,90010321,Hc Neg Press Wound Tx Using Disp Equip Over 50 Sqcm,1769.0,689.91,,,0
CDM,90010337,Hc Removal Of Skin Tags 15 Or Less Any Area,1029.0,401.31,,,0
CDM,90010341,Hc Excision B9 Lesion Marg S/N/H/F/G 0.5Cm Or Less,5618.0,2191.02,,,0
CDM,90010342,Hc Shave Skin Lesion Trunk/Arm/Leg 0.5 Cm Diam Or Less,408.0,159.12,,,0
CDM,90010343,Hc Drainage Of Skin Abscess,2038.0,794.82,,,0
CDM,90010344,Hc Insertion Intrauterine Device Iud,2181.0,850.59,,,0
CDM,90010345,Hc Biopsy Of Uterus Lining,1094.0,426.66,,,0
CDM,90010348,Hc Ambulance Ground Mileage Per Statute Mile,45.0,17.55,,,0
CDM,90010349,Hc Ambulance Adv Life Spt Level I,2288.0,892.32,,,0
CDM,90010350,Hc Ambulance Adv Life Spt Emergent,3304.0,1288.56,,,0
CDM,90010351,Hc Ambulance Basic Life Spt Non-Emergent,1700.0,663.0,,,0
CDM,90010352,Hc Ambulance Basic Life Spt Emergent,2288.0,892.32,,,0
CDM,90010353,Hc Ambulance Adv Life Spt Level Ii,3304.0,1288.56,,,0
CDM,90010354,Hc Ambulance Specialty Care Transport,3148.0,1227.72,,,0
CDM,90010355,Hc Ambulance Response/Treatment,288.0,112.32,,,0
CDM,90010357,Hc Pulmonary Stress Testing 6Mwt,1088.0,424.32,,,0
CDM,90010358,Hc Exercise Test For Bronchospasm W Ecg,1088.0,424.32,,,0
CDM,90010359,Hc Ventilator Day/Sub Sq 12 Hours Or Less,2813.0,1097.07,,,0
CDM,90010360,Hc Vent-Hifreqoscill/Day Subsq 12 Hours Or Less,2813.0,1097.07,,,0
CDM,90010361,Hc Trauma 2 Field Activation Full Team,14412.0,5620.68,,,0
CDM,90010362,Hc Trauma 2 Field Activaton Partial Team,11709.0,4566.51,,,0
CDM,90010363,Hc Trauma 2 Field Activation Small Team,9008.0,3513.12,,,0
CDM,90010370,Hc Ot Unlisted Modality Constant Attendance Ea 15 Min,467.0,182.13,,,0
CDM,90010374,Hc Ed Level 5 Critical Care Less Than 30 Minutes,4500.0,1755.0,,,0
CDM,90010385,Hc Home Sleep Study 2 Port,2171.0,846.69,,,0
CDM,90010386,Hc Home Sleep Study 4 Port,2171.0,846.69,,,0
CDM,90010390,Hc Trauma 3 Partial Team,9008.0,3513.12,,,0
CDM,90010400,Hc Trauma 1 Full Team,40574.0,15823.86,,,0
CDM,90010401,Hc Trauma 1 Small Team,34326.0,13387.14,,,0
CDM,90010404,Hc Trauma 1 Partial Team,37452.0,14606.28,,,0
CDM,90010405,Hc Reh Resp Function Indiv Per 15 Min,357.0,139.23,,,0
CDM,90010501,Hc Cmplex Chron Care Addl 30 Min,166.0,64.74,,,0
CDM,90010510,Hc Poc Lactate Cvor,383.0,149.37,,,0
CDM,90010513,Hc Vital Capacity Test,572.0,223.08,,,0
CDM,90010514,Hc Respiratory Flow Volume Loop,1199.0,467.61,,,0
CDM,90010515,Hc Pulm Funct Test Oscillometry,1242.0,484.38,,,0
CDM,90010517,Hc Car Seat/Bed Test Inft Thru 12 Mo 60 Min,595.0,232.05,,,0
CDM,90010518,Hc Car Seat/Bed Test Inft Thru 12 Mo Ea Addl 30 Min,214.0,83.46,,,0
CDM,90010519,Hc Inhalation Bronch Challenge Test,1914.0,746.46,,,0
CDM,90020390,Hc Trauma 3 Full Team,9582.0,3736.98,,,0
CDM,90030390,Hc Trauma 4 Small Team,6548.0,2553.72,,,0
CDM,90036640,Hc Arterial Catheter-Prolonged Chemo Infusion,8931.0,3483.09,,,0
CDM,90040175,Hc Proc Ionized Calcium,534.0,208.26,,,0
CDM,90040390,Hc Trauma 4 Partial Team,7186.0,2802.54,,,0
CDM,90040437,Hc Neb W/I-Pap,972.0,379.08,,,0
CDM,90040438,Hc Intrapul Percussive Ventilation Ipv,972.0,379.08,,,0
CDM,90050390,Hc Trauma 4 Full Team,7665.0,2989.35,,,0
CDM,90082952,Hc Proc Abg Arterial,679.0,264.81,,,0
CDM,90090480,Hc Imm Admn Sarscov2 Vaccine Single Dose,42.0,16.38,,,0
CDM,90090500,Hc Mod Sed Endo Svcs?Over 5Yrs 1St 15Min,204.0,79.56,,,0
CDM,90090870,Hc Electroconvulsive Therapy,11583.0,4517.37,,,0
CDM,90090912,Hc Bfb Traing W/Emg And/Or Manometry 1St 15 Min Cntct,333.0,129.87,,,0
CDM,90090913,Hc Bfb Traing W/Emg And/Or Manometry Ea Addl 15 Min Cntct,238.0,92.82,,,0
CDM,90091038,Hc Esophgl Funcj G-Esop Rflx Impd Eltrd Prolng,1548.0,603.72,,,0
CDM,90091040,Hc Esophgl Balo Distension Dx Std W/Provocation,1574.0,613.86,,,0
CDM,90091065,Hc Breath Hydrogen Or Methane Test,1179.0,459.81,,,0
CDM,90091110,Hc Gi Imag Intraluminal Esophagus-Ileum W/I And R,8269.0,3224.91,,,0
CDM,90091111,Hc Gi Tract Imaging Intraluminal Esophagus Wi And R,3963.0,1545.57,,,0
CDM,90091112,Hc Gi Transit And Pres Meas Wireless Capsule W/Interp,2691.0,1049.49,,,0
CDM,90091120,Hc Rectal Sesation Tone And Compliance Test,827.0,322.53,,,0
CDM,90092002,Hc Oph Svcs Medical Exam And Eval Intermediate New Pt,416.0,162.24,,,0
CDM,90092004,Hc Eye Exam New Pt 1 Or More Visits,376.0,146.64,,,0
CDM,90092012,Hc Oph Svcs Medical Exam And Eval Intermediate Est Pt,414.0,161.46,,,0
CDM,90092014,Hc Oph Svcs Medical Exam And Eval Compre Est Pt 1 Or More,290.0,113.1,,,0
CDM,90092020,Hc Gonioscopy Separate Procedure,374.0,145.86,,,0
CDM,90092025,Hc Computerized Corneal Topography Uni/Bi,287.0,111.93,,,0
CDM,90092060,Hc Sensormotor Exam Mult Meas Ocular Deviation,165.0,64.35,,,0
CDM,90092071,Hc Fit Contact Lens Tx Ocular Surface Disease,575.0,224.25,,,0
CDM,90092072,Hc Fitting Contact Lens For Mgmt Of Keratoconus 1St,320.0,124.8,,,0
CDM,90092081,Hc Visual Field Exam Limited,188.0,73.32,,,0
CDM,90092082,Hc Visual Field Exam Intermed,188.0,73.32,,,0
CDM,90092083,Hc Visual Field Exam Extended,200.0,78.0,,,0
CDM,90092227,Hc Img Retina Detcj/Mntr Ds Rem Clin Staff Uni/Bi,195.0,76.05,,,0
CDM,90092242,Hc Fluorescein Icg Angiography,2262.0,882.18,,,0
CDM,90092504,Hc Binocular Microscopy Separate Dx Procedure,119.0,46.41,,,0
CDM,90092540,Hc Vstblr Funcj Nystag Fovl And Perph Stimj Oscil Trk,480.0,187.2,,,0
CDM,90092928,Hc Robotic Asst Stent Bms Ld/Lad Artery Or Branch,25030.0,9761.7,,,0
CDM,90092929,Hc Robotic Asst Stent Bms Ld/Lad Additional Branch,6696.0,2611.44,,,0
CDM,90092934,Hc Robotic Asst Atherectomy Bms Stent Additional Ld/Lad,19223.0,7496.97,,,0
CDM,90092937,Hc Robotic Asst Graft Ptca And/Or Bms Stent To Ld/Lad,26913.0,10496.07,,,0
CDM,90092938,Hc Robotic Asst Graft Ptca And/Or Bms Stent Addtl Ld/Lad,20226.0,7888.14,,,0
CDM,90092941,Hc Ip Only-Robotic Asst Prq Card Bms Revasc Mi 1Vsl Ld,37819.0,14749.41,,,0
CDM,90092943,Hc Robotic Asst Cto Bms Stent Ld/Lad,37819.0,14749.41,,,0
CDM,90092944,Hc Robotic Asst Cto Bms Stent Addl Brch Ld/Lad,31131.0,12141.09,,,0
CDM,90092974,Hc Tcat Placement Radj Dlvr Dev Sbsq C Iv Brachytx,4048.0,1578.72,,,0
CDM,90093242,Hc Ext Ecg Over 48Hr To 7 Days Rcrd W/Conect Intl Recording,150.0,58.5,,,0
CDM,90093246,Hc Ext Ecg Over 7-14 Days Rcrd W/Conect Intl Rcrd,248.0,96.72,,,0
CDM,90093297,Hc Rem Interrog Icpms Less Than 30 Days Phys/Qhp,117.0,45.63,,,0
CDM,90093319,Hc 3D Echo Img And Pst-Pxessing Tee/Tte Cgen Car Anomal,216.5,84.435,,,0
CDM,90093595,Hc L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj,10380.0,4048.2,,,0
CDM,90094015,Hc Patient-Initiated Spirometric Recording,868.0,338.52,,,0
CDM,90094453,Hc High Altitude Simulatj W/Phys I And R W/O2 Titration,395.0,154.05,,,0
CDM,90094619,Hc Exercise Tst Bronchospasm Pre And Post Spmtry And Pulse Ox Wo/Ecg,1088.0,424.32,,,0
CDM,90094625,Hc Phys/Qhp Svcs Op Pulm Rehab Wo Cont Oximtry Mntr,343.0,133.77,,,0
CDM,90094626,Hc Phys/Qhp Svcs Op Pulm Rehab W/Cont Oximtry Mntr,343.0,133.77,,,0
CDM,90095004,Hc Percutaneous Tests W/Allergenic Extracts,137.0,53.43,,,0
CDM,90095017,Hc Allg Tstg Perq And Ic Venoms Immed React W/I And R,106.0,41.34,,,0
CDM,90095018,Hc Allg Test Perq And Ic Drug/Biol Immed React W/I And R,106.0,41.34,,,0
CDM,90095024,Hc Intracutaneous Tests With Allergenic Extracts,225.0,87.75,,,0
CDM,90095044,Hc Patch/Application Test Specify Number Tests,100.0,39.0,,,0
CDM,90095076,Hc Ingestion Challenge Test Initial 120 Minutes,2192.0,854.88,,,0
CDM,90095079,Hc Ingestion Challenge Test Each Addl 60 Minutes,486.0,189.54,,,0
CDM,90095115,Hc Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx,132.0,51.48,,,0
CDM,90095117,Hc Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs,96.0,37.44,,,0
CDM,90095180,Hc Rapid Desensitization Procedure Each Hour,1553.0,605.67,,,0
CDM,90095249,Hc Cont Gluc Monitoring Patient Provided Equipment,188.0,73.32,,,0
CDM,90095700,Hc Eeg Cont Rec W/Video By Tech Min 8 Channels,1131.0,441.09,,,0
CDM,90095705,Hc Eeg W/O Video By Tech 2-12 Hr Unmonitored,1131.0,441.09,,,0
CDM,90095706,Hc Eeg W/O Vid By Tech Ea Incr 12-26Hr Unmonitored,3164.0,1233.96,,,0
CDM,90095707,Hc Eeg W/O Video By Tech 2-12Hr Continuous R-T Mntr,3164.0,1233.96,,,0
CDM,90095708,Hc Eeg W/O Vid By Tech Ea Incr 12-26Hr Unmonitored,9053.0,3530.67,,,0
CDM,90095709,Hc Eeg W/O Vid By Tech Ea Incr 12-26 Hr Intmt Mntr,9053.0,3530.67,,,0
CDM,90095710,Hc Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr,9053.0,3530.67,,,0
CDM,90095711,Hc Veeg By Tech 2-12 Hours Unmonitored,1131.0,441.09,,,0
CDM,90095712,Hc Veeg By Tech 2-12 Hr Intermittent Monitoring,1654.0,645.06,,,0
CDM,90095713,Hc Veeg By Tech 2-12 Hr Continuous R-T Monitoring,2157.0,841.23,,,0
CDM,90095714,Hc Veeg By Tech Ea Increment 12-26 Hr Unmonitored,2110.0,822.9,,,0
CDM,90095715,Hc Veeg By Tech Ea Incr 12-26 Hr Intermittent Mntr,5581.0,2176.59,,,0
CDM,90095716,Hc Veeg By Tech Ea Incr 12-26 Hr Cont R-T Mntr,9053.0,3530.67,,,0
CDM,90095808,Hc Polysom Any Age Sleep Stage 1-3 Addl Param Attnd,3087.0,1203.93,,,0
CDM,90095829,Hc Electrocorticogram Surgery Spx,1107.0,431.73,,,0
CDM,90095861,Hc Emg Ndl 2 Xtr W/Wo Related Paraspinal Areas,1597.0,622.83,,,0
CDM,90095863,Hc Emg Ndl 3 Xtr W/Wo Related Paraspinal Areas,2279.0,888.81,,,0
CDM,90095864,Hc Emg Ndl 4 Xtr W/Wo Related Paraspinal Areas,3151.0,1228.89,,,0
CDM,90095865,Hc Emg Larynx,813.0,317.07,,,0
CDM,90095866,Hc Needle Electromyography Hemidiaphragm,312.0,121.68,,,0
CDM,90095867,Hc Ndl Electromyography Cranial Nrv Muscle Uni,968.0,377.52,,,0
CDM,90095868,Hc Ndl Electromyography Cranial Nrv Muscle Bi,1451.0,565.89,,,0
CDM,90095869,Hc Needle Emg Thrc Paraspi Musc Excluding T1/T12,474.0,184.86,,,0
CDM,90095870,Hc Emg Needle Lmtd Stdy Musc 1 Extremity Or Non-Limb Uni/Bi,419.0,163.41,,,0
CDM,90095872,Hc Needle Emg W/1 Fiber Electrode Quan Meas Jitter,700.0,273.0,,,0
CDM,90095885,Hc Emg Ndl Ea Extremity W/Paraspinl Area Ltd,969.0,377.91,,,0
CDM,90095886,Hc Needle Emg Ea Extremty W/Paraspinl Area Complete,1227.0,478.53,,,0
CDM,90095887,Hc Needle Emg Nonextremty Mscles W/Nerve Conduction,969.0,377.91,,,0
CDM,90095907,Hc Nerve Conduction Studies 1-2 Studies,2252.0,878.28,,,0
CDM,90095908,Hc Nerve Conduction Studies 3-4 Studies,4503.0,1756.17,,,0
CDM,90095909,Hc Nerve Conduction Studies 5-6 Studies,6753.0,2633.67,,,0
CDM,90095910,Hc Nerve Conduction Studies 7-8 Studies,9002.0,3510.78,,,0
CDM,90095911,Hc Nerve Conduction Studies 9-10 Studies,11250.0,4387.5,,,0
CDM,90095912,Hc Nerve Conduction Studies 11-12 Studies,7976.0,3110.64,,,0
CDM,90095913,Hc Nerve Conduction Studies 13 Or More Studies,9159.0,3572.01,,,0
CDM,90095927,Hc Short-Latency Somatosens Ep Std Trnk/Head,3375.0,1316.25,,,0
CDM,90095928,Hc Ctr Motor Ep Std Transcrnl Motor Stimj Upr Limbs,1718.0,670.02,,,0
CDM,90095929,Hc Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs,1466.0,571.74,,,0
CDM,90095937,Hc Neuromuscular Junct Tstg Ea Nrv Any 1 Meth,1243.0,484.77,,,0
CDM,90095939,Hc Ctr Motr Ep Std Transcrnl Motr Stim Upr And Lwr Limbs,1718.0,670.02,,,0
CDM,90095941,Hc Ionm Remote Or Nearby More 1 Patient In Or Per Hour,1149.0,448.11,,,0
CDM,90095955,Hc Eeg Nonintracranial Surgery,669.0,260.91,,,0
CDM,90095958,Hc Eeg Wada Activation Test Hemispheric Function,4105.0,1600.95,,,0
CDM,90095961,Hc Funcjal Cort And Subcort Mapg Phys/Qhp Attnd Init Hr,5810.0,2265.9,,,0
CDM,90095962,Hc Funcjal Cort And Subcort Mapg Phys/Qhp Attnd Addl Hr,1454.0,567.06,,,0
CDM,90095981,Hc Elec Alys Nstim Gen Gastric Sbsq Without Reprgrmg,480.0,187.2,,,0
CDM,90095982,Hc Elec Alys Nstim Pls Gen Gastric Sbsq With Reprgrmg,784.0,305.76,,,0
CDM,90096567,Hc Photodynamic Thy Distruction Premalignant Les Skin Illum Activation Of Drugs Per Day,724.0,282.36,,,0
CDM,90096900,Hc Actinotherapy Ultraviolet Light,164.0,63.96,,,0
CDM,90096910,Hc Photochemo Thy Using Tar And Uvb Petrolatum And Uvb,149.0,58.11,,,0
CDM,90096912,Hc Photochemotx Psoralens & Ultraviolet Puva,146.0,56.94,,,0
CDM,90096913,Hc Photochemotherapy Dermatoses 4 To 8 Hrs Supervision,1270.0,495.3,,,0
CDM,90096932,Hc Rcm Celulr & Subcelulr Skn Imgng Img Acquisition,194.0,75.66,,,0
CDM,90097129,Hc Ot Ther Ivnt Cognitive Func 1St 15 Minutes,186.0,72.54,,,0
CDM,90097130,Hc Ot Ther Ivnt Cognitive Func Ea Addl 15 Minutes,148.0,57.72,,,0
CDM,90097810,Hc Acupuncture 1 Or More Needles Without Elect Stim One To One Init 15 Mins,110.0,42.9,,,0
CDM,90097811,Hc Acupuncture 1 Or More Needles Without Elect Stim One To One Ea Add 15 Mins,395.0,154.05,,,0
CDM,90097813,Hc Acupuncture 1 Or More Needles With Elect Stim One To One Init 15 Mins,144.0,56.16,,,0
CDM,90097814,Hc Acupuncture 1 Or More Needles With Elect Stim One To One Ea Add 15 Mins,395.0,154.05,,,0
CDM,90098925,Hc Osteopathic Manipulative Tx 1-2 Body Regions,143.0,55.77,,,0
CDM,90098926,Hc Osteopathic Manipulative Tx 3-4 Body Regions,120.0,46.8,,,0
CDM,90098927,Hc Osteopathic Manipulative Tx 5-6 Body Regions,120.0,46.8,,,0
CDM,90098928,Hc Osteopathic Manipulative Tx 7-8 Body Regions,260.0,101.4,,,0
CDM,90098929,Hc Osteopathic Manipulative Tx 9-10 Body Regions,244.0,95.16,,,0
CDM,90098960,Hc Education And Training Self-Mgmt Nonphys 1 Pt,397.0,154.83,,,0
CDM,90099151,Hc Mod Sed Same Phys/Qhp Initial 15 Mins Under 5 Yrs,1453.0,566.67,,,0
CDM,90099152,Hc Mod Sed Same Phys/Qhp 5Yrs Or Over 1St 15Min,1453.0,566.67,,,0
CDM,90099153,Hc Mod Sed Same Phys/Qhp Ea Add 15Min,646.0,251.94,,,0
CDM,90099155,Hc Mod Sed Other Phys/Qhp Initial 15 Mins Under 5 Yrs,1271.0,495.69,,,0
CDM,90099156,Hc Mod Sed Oth Phys/Qhp 5Yrs Or Over 1St 15Min,1453.0,566.67,,,0
CDM,90099157,Hc Mod Sed Other Phys/Qhp Ea Add 15Min,646.0,251.94,,,0
CDM,90099439,Hc Chronic Care Mgmt Svc Staf Ea Addl 20 Min Cal Mo,119.0,46.41,,,0
CDM,90099453,Hc Rem Mntr Physiol Param 1St Set Up Pt Educaj Eqp,393.0,153.27,,,0
CDM,90099454,Hc Rem Mntr Physiol Param 1St Dev Supply Ea 30 D,130.0,50.7,,,0
CDM,90099459,Hc Pelvic Examination,71.0,27.69,,,0
CDM,90099490,Hc Chronic Care Mgmt Svcs Staff First 20 Mins Ea Cal Month,374.0,145.86,,,0
CDM,90099495,Hc Transitional Care Mgmt Mod Mdm F2F 14 Cal D Discharge,402.0,156.78,,,0
CDM,90099496,Hc Transitional Care Mgmt High Mdm F2F 7 Cal D Discharge,401.0,156.39,,,0
CDM,90099497,Hc Advance Care Planning First 30 Mins,316.0,123.24,,,0
CDM,90099498,Hc Advance Care Planning Ea Addl 30 Mins,312.0,121.68,,,0
CDM,90110158,Hc Vital Capacity W/Out Spirometry,572.0,223.08,,,0
CDM,90110364,Hc Trauma 3 Field Activation Full Team,10414.0,4061.46,,,0
CDM,90110365,Hc Trauma 3 Field Activation Partial Team,8332.0,3249.48,,,0
CDM,90110366,Hc Trauma 3 Field Activation Small Team,6249.0,2437.11,,,0
CDM,90110367,Hc Trauma 4 Field Activation Full Team,7637.0,2978.43,,,0
CDM,90110368,Hc Trauma 4 Field Activation Partial Team,6665.0,2599.35,,,0
CDM,90110369,Hc Trauma 4 Field Activation Small Team,5694.0,2220.66,,,0
CDM,90110371,Hc Trauma 1 Field Activation Full Team,35282.0,13759.98,,,0
CDM,90110372,Hc Trauma 1 Field Activation Partial Team,32567.0,12701.13,,,0
CDM,90110373,Hc Trauma 1 Field Activation Small Team,29849.0,11641.11,,,0
CDM,90192928,Hc Robotic Asst Stent Bms Lc/Lcx Artery Or Branch,25030.0,9761.7,,,0
CDM,90192929,Hc Robotic Asst Stent Bms Lc/Lcx Additional Branch,6696.0,2611.44,,,0
CDM,90192934,Hc Robotic Asst Atherectomy Bms Stent Additional Lc/Lcx,19223.0,7496.97,,,0
CDM,90192937,Hc Robotic Asst Graft Ptca And/Or Bms Stent To Lc/Lcx,26913.0,10496.07,,,0
CDM,90192938,Hc Robotic Asst Graft Ptca And/Or Bms Stent Addtl Lc/Lcx,20226.0,7888.14,,,0
CDM,90194625,Hc Phys/Qhp Svcs Op Pulm Rehab Wo Cont Oximtry Mntr Kx,343.0,133.77,,,0
CDM,90194626,Hc Phys/Qhp Svcs Op Pulm Rehab W/Cont Oximtry Mntr Kx,343.0,133.77,,,0
CDM,90197129,Hc Speech Ther Ivnt Cognitive Func 1St 15 Minutes,186.0,72.54,,,0
CDM,90197130,Hc Speech Ther Ivnt Cognitive Func Ea Addl 15 Minutes,148.0,57.72,,,0
CDM,90292928,Hc Robotic Asst Stent Bms Rc/Rca Artery Or Branch,25030.0,9761.7,,,0
CDM,90292929,Hc Robitic Asst Stent Bms Rc/Rca Additional Branch,6696.0,2611.44,,,0
CDM,90292934,Hc Robotic Asst Atherectomy Bms Stent Additional Rc/Rca,19223.0,7496.97,,,0
CDM,90292937,Hc Robotic Asst Graft Ptca And/Or Bms Stent To Rc/Rca,26913.0,10496.07,,,0
CDM,90292938,Hc Robotic Asst Graft Ptca And/Or Bms Stent Addtl Rc/Rca,20226.0,7888.14,,,0
CDM,90292941,Hc Ip Only-Robotic Asst Prq Card Bms Revasc Mi 1 Vsl Lc,37819.0,14749.41,,,0
CDM,90292943,Hc Robotic Asst Cto Bms Stent Lc/Lcx,37819.0,14749.41,,,0
CDM,90292944,Hc Robotic Asst Cto Bms Stent Addl Brch Lc/Lcx,31131.0,12141.09,,,0
CDM,90392928,Hc Robotic Asst Stent Bms Lm Artery,25030.0,9761.7,,,0
CDM,904178604,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,207.1,80.77,,,0
CDM,90492928,Hc Robotic Asst Stent Bms Ramus Artery,25030.0,9761.7,,,0
CDM,90492941,Hc Ip Only-Robotic Asst Prq Card Bms Revasc Mi 1 Vsl Rc,37819.0,14749.41,,,0
CDM,90492943,Hc Robotic Asst Cto Bms Stent Rc/Rca,37819.0,14749.41,,,0
CDM,90492944,Hc Robotic Asst Cto Bms Stent Addl Brch Rc/Rca,31131.0,12141.09,,,0
CDM,90692937,Hc Robotic Asst Graft Ptca And/Or Bms Stent Ramus Artery,26913.0,10496.07,,,0
CDM,90692941,Hc Ip Only-Robotic Asst Prq Card Bms Revasc Mi 1 Vsl Lm,37819.0,14749.41,,,0
CDM,90692943,Hc Robotic Asst Cto Bms Stent Lm Artery,37819.0,14749.41,,,0
CDM,90710233,Hc Hand Based Cmc Figure 8 Splnt,729.39,284.46000000000004,,,0
CDM,90710234,Hc Metacrpl Fx Brc Web Spcr Splnt,686.4,267.695,,,0
CDM,90710235,Hc Dyn/Stc Progr Thumb Splnt,807.505,314.93,,,0
CDM,90710238,Hc Fngr Gutr Splnts Cust Ring Splnt,539.34,210.34,,,0
CDM,90892941,Hc Ip Only-Robotic Asst Prq Card Bms Revasc Mi 1 Vsl Ri,37819.0,14749.41,,,0
CDM,90892943,Hc Robotic Asst Cto Bms Stent Ramus Artery,37819.0,14749.41,,,0
CDM,91000015,Hc Alcohol /Drug Intensive Outpatient Services,2252.0,878.28,,,0
CDM,91010010,Hc Psychiatric Diagnostic Evaluation,1375.0,536.25,,,0
CDM,91010011,Hc Eval Add-On Psych Diag Complex,959.0,374.01,,,0
CDM,91010012,Hc Re-Eval Psych Diag Without E/M,1375.0,536.25,,,0
CDM,91010013,Hc Therapy Ind And Family 30 Mins,790.0,308.1,,,0
CDM,91010014,Hc Therapy Ind And Family 45 Mins,998.0,389.22,,,0
CDM,91010015,Hc Therapy Ind And Family 60 Mins,1947.0,759.33,,,0
CDM,91010016,Hc Therapy Crisis Intervention 60 Mins,1375.0,536.25,,,0
CDM,91010017,Hc Therapy Add-On Crisis Intervention Ea 30 Min,499.0,194.61,,,0
CDM,91010018,Hc Family Psychotherapy W/Patient Present 50 Mins,525.0,204.75,,,0
CDM,91010026,Hc Behav Assmt W/Score And Docd/Stand Instrument,111.0,43.29,,,0
CDM,91012003,Hc Non Emergency Transportation Encounter Trip,55.0,21.45,,,0
CDM,91040361,Hc Psy Services Grp Activity Thy,1072.0,418.08,,,0
CDM,91043606,Hc Group Therapy,941.0,366.99,,,0
CDM,91090792,Hc Psychiatric Diagnostic Eval With Medical Services,508.0,198.12,,,0
CDM,91090833,Hc Psychotherapy W/Patient W/E And M Srvcs 30 Min,142.0,55.38,,,0
CDM,91090836,Hc Psychotherapy W/Patient W/E And M Srvcs 45 Min,142.0,55.38,,,0
CDM,91090838,Hc Psychotherapy W/Patient W/E And M Srvcs 60 Min,142.0,55.38,,,0
CDM,91090846,Hc Family Psychotherapy W/O Patient Present 50 Mins,474.0,184.86,,,0
CDM,91090867,Hc Repet Tms Tx Initial W/Map/Motr Threshld/Del And M,992.0,386.88,,,0
CDM,91090868,Hc Therap Repetitive Tms Tx Subseq Delivery And Mng,998.0,389.22,,,0
CDM,91090869,Hc Repet Tms Tx Subseq Motr Threshld W/Deliv And Mn,992.0,386.88,,,0
CDM,91093297,Hc Rem Interrog Icpms Up To 30 Days Phys/Qhp,117.0,45.63,,,0
CDM,91096112,Hc Developmental Tst Admin Phys Or Qhp 1St Hour,1008.0,393.12,,,0
CDM,91096113,Hc Developmental Tst Admin Phys/Qhp Ea Addl 30 Min,870.0,339.3,,,0
CDM,91096121,Hc Neurobehavioral Status Xm Phys/Qhp Ea Addl Hour,614.0,239.46,,,0
CDM,91096130,Hc Psychological Tst Eval Svc Phys/Qhp First Hour,587.0,228.93,,,0
CDM,91096131,Hc Psychological Tst Eval Svc Phys/Qhp Ea Addl Hour,346.0,134.94,,,0
CDM,91096132,Hc Neuropsychological Tst Eval Phys/Qhp 1St Hour,976.0,380.64,,,0
CDM,91096133,Hc Neuropsychological Tst Eval Phys/Qhp Ea Addl Hr,575.0,224.25,,,0
CDM,91096136,Hc Psyl/Nrpsycl Tst Phys/Qhp 2 Or More Tst 1St 30 Min,734.0,286.26,,,0
CDM,91096137,Hc Psycl/Nrpsycl Tst Phys/Qhp 2 Or More Tst Ea Addl 30 Min,614.0,239.46,,,0
CDM,91096138,Hc Psycl/Nrpsycl Tst Tech 2 Or More Tst 1St 30 Min,953.0,371.67,,,0
CDM,91096139,Hc Psycl/Nrpsycl Tst Tech 2 Or More Tst Ea Addl 30 Min,317.0,123.63,,,0
CDM,91096156,Hc Health Behavior Assessment/Re-Assessment,898.0,350.22,,,0
CDM,91096158,Hc Health Behavior Ivntj Indiv F2F 1St 30 Min,898.0,350.22,,,0
CDM,91096159,Hc Health Behavior Ivntj Indiv F2F Ea Addl 15 Min,153.0,59.67,,,0
CDM,91096164,Hc Behavior Intervention Group 2 Or More Patients Face To Face Initial 30 Mins,898.0,350.22,,,0
CDM,91096165,Hc Behavior Intervention Group 2 Or More Patients Face To Face Ea Add 15 Mins,53.0,20.67,,,0
CDM,91096167,Hc Behabior Intervention Family With Patient Present Face To Face Initial 30 Mins,898.0,350.22,,,0
CDM,91096168,Hc Behabior Intervention Family With Patient Present Face To Face Ea Add 15 Mins,66.0,25.74,,,0
CDM,91096573,Hc Pdt Dstr Prmlg Les Skn Illum/Activj By Phys/Qhp,620.0,241.8,,,0
CDM,91096574,Hc Debridement Prmlg Hyperkeratotic Les With Pdt,620.0,241.8,,,0
CDM,911980184,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,2.6,1.01,,,0
CDM,91501288,Hc Lactation Class Op Per Session,453.0,176.67,,,0
CDM,92010012,Hc Home Sleep Test Unattended 4 Channel,1373.5,535.665,,,0
CDM,92010014,Hc Misc Procedure,6311.0,2461.29,,,0
CDM,92010017,Hc Temp Transcutan Pacing,5469.0,2132.91,,,0
CDM,92092132,Hc Cmptr Opth Dx Img Ant Segmt W I And R Uni/Bi,203.0,79.17,,,0
CDM,92092133,Hc Cmptr Opth Imaging Optic Nerve Uni/Bi,204.0,79.56,,,0
CDM,92092134,Hc Cmptr Opth Imaging Retina Uni/Bi,204.0,79.56,,,0
CDM,92092136,Hc Opth Biometry Prtl Coher Intrfrmtry Io Lens Pwr Cal,227.0,88.53,,,0
CDM,92092235,Hc Fluorescein Angioraphy Img I And R Uni/Bi,498.0,194.22,,,0
CDM,92092651,Hc Aep Threshold Status Broadband Stimuli I And R,619.0,241.41,,,0
CDM,92092652,Hc Aep Threshold Estimation Mlt Frequencies I And R,972.0,379.08,,,0
CDM,92092653,Hc Aep Neurodiagnostic Interpretation And Report,972.0,379.08,,,0
CDM,92093985,Hc Vessel Mapping Hemo Access Bilateral,2652.0,1034.28,,,0
CDM,92093986,Hc Vessel Mapping Hemo Access Unilateral,1769.0,689.91,,,0
CDM,92099285,Hc Photography External W/I And R Docmt Med Prog,160.0,62.4,,,0
CDM,93000338,Hc Transcatheter Renal Sympath Denervation Unilat,17187.0,6702.93,,,0
CDM,93000339,Hc Transcatheter Renal Sympath Denervation Bilat,20051.0,7819.89,,,0
CDM,93000422,Hc Intens Cardiac Rehab W/Exerc,664.0,258.96,,,0
CDM,93000423,Hc Intens Cardiac Rehab No Exerc,633.0,246.87,,,0
CDM,93000484,Hc Ip Only-Tmvi W/Prosthetic Valve Transthoracic Exposure,36289.0,14152.71,,,0
CDM,93000571,Hc Insertion Or Rplcmt Icds With Substernal Electrode,104382.0,40708.98,,,0
CDM,93000572,Hc Insertion Substernal Implantable Defibrillator Eltrd,26563.0,10359.57,,,0
CDM,93000573,Hc Removal Substernal Implantable Defibrillator Eltrd,10905.0,4252.95,,,0
CDM,93000574,Hc Repos Prev Impl Substernal Impltbl Dfb Pacing Eltrd,10905.0,4252.95,,,0
CDM,93000575,Hc Programming Dev Eval Icds With Ss Eltrd In Person,114.0,44.46,,,0
CDM,93000576,Hc Interrogation Dev Eval Icds With Ss Eltrd In Person,114.0,44.46,,,0
CDM,93000577,Hc Electrophysiologic Eval Icds With Ss Electrode,3635.0,1417.65,,,0
CDM,93000579,Hc Remote Interrog Dev Eval Ss Ld Icds Up To 90Days Tech,114.0,44.46,,,0
CDM,93000580,Hc Rmvl Substernal Impltbl Dfb Pulse Generator Only,10905.0,4252.95,,,0
CDM,93000614,Hc Rmvl And Rplcmt Substernal Impltbl Defibrillator Pg,74255.0,28959.45,,,0
CDM,93000645,Hc Tcat Implantation Coronary Sinus Reduction Dev,55855.0,21783.45,,,0
CDM,93000695,Hc Bdy Surf Activation Mapg Pm/Cvdfb Leads Tm Implt,161.0,62.79,,,0
CDM,93000696,Hc Bdy Surf Activation Mapg Pm/Cvdfb Leads Tm F/Up,161.0,62.79,,,0
CDM,93008610,Hc Removal Pg Wcs Lv Pacing Both Components,12509.0,4878.51,,,0
CDM,93008921,Hc Tte W Or Wo Fol W Cont Com,3129.0,1220.31,,,0
CDM,93009783,Hc Blind Coronary Sinus Reducer Implantation,35042.0,13666.38,,,0
CDM,93010010,Hc Cardiopulmonary Resuscitation Cpr,2320.0,904.8,,,0
CDM,93010012,Hc Cardioversion Conversion Arrythmia External Elective,6351.0,2476.89,,,0
CDM,93010013,Hc Coronary Thrombectomy Angiojet,7766.0,3028.74,,,0
CDM,93010014,Hc Ip Only - Thrombolys/Intracoronry Infusion Selective,8351.0,3256.89,,,0
CDM,93010015,Hc Thrombolysis Coronary Iv Infusion,3613.0,1409.07,,,0
CDM,93010016,Hc Ivus Initial Vessel,6969.0,2717.91,,,0
CDM,93010017,Hc Ivus Additional Vessel,2990.0,1166.1,,,0
CDM,93010018,Hc Holter Xtrnl Ecg And 48 Hr Recording,937.5,365.625,,,0
CDM,93010020,Hc Echo Tte 2D Complete W/O Contrast,1068.5,416.71500000000003,,,0
CDM,93010022,Hc Pulm Art Balloon Angio Add Ld,9022.0,3518.58,,,0
CDM,93010023,Hc Echo Tte 2D F-Up/Lmtd W/O Contrast,825.5,321.945,,,0
CDM,93010024,Hc Pulm Art Balloon Angio Add Rc,9022.0,3518.58,,,0
CDM,93010028,Hc Eecp-Per Treatment,1241.0,483.99,,,0
CDM,93010029,Hc Cardioversion Internal,3849.0,1501.11,,,0
CDM,93010030,Hc Valvuloplasty Aortic,10404.0,4057.56,,,0
CDM,93010031,Hc Valvuloplasty Mitral,14290.0,5573.1,,,0
CDM,93010032,Hc Valvuloplasty Pulmonary,20024.0,7809.36,,,0
CDM,93010033,Hc Nasopharyngoscopy W Endoscope,1526.0,595.14,,,0
CDM,93010036,Hc Interventional Tee,4496.0,1753.44,,,0
CDM,93010037,Hc Anogenital Exam Child W Imag,274.0,106.86,,,0
CDM,93010038,Hc Ipecac Administration,437.0,170.43,,,0
CDM,93010039,Hc Pulm Arterial Balloon Angioplasty Single Vessel Ld,12889.0,5026.71,,,0
CDM,93010041,Hc Pulm Arterial Balloon Angio Ea Add On Lc,9022.0,3518.58,,,0
CDM,93010043,Hc Pulm Arterial Balloon Angio Ea Add On Rc,9022.0,3518.58,,,0
CDM,93010044,Hc Elec Alys Implt Npgt Smpl Sp/Pn Npgt Prgrmg,4339.0,1692.21,,,0
CDM,93010045,Hc Cardiovascular Stress Test,1325.0,516.75,,,0
CDM,93010046,Hc Microvolt T-Wave Alternans Assessment Ventricular Arrythmias,2014.0,785.46,,,0
CDM,93010047,Hc Analyze Neurostim Complex,4470.0,1743.3,,,0
CDM,93010048,Hc Pulm Art Balloon Angioplas Lc,12889.0,5026.71,,,0
CDM,93010049,Hc Holter External Ecg Scanning Analysis Report,1022.0,398.58000000000004,,,0
CDM,93010051,Hc Pulm Art Balloon Angioplas Lc,9022.0,3518.58,,,0
CDM,93010053,Hc Ecg Hookup/Recording/Disconnect 24Hrs Up To 30Days,143.0,55.769999999999996,,,0
CDM,93010055,Hc Prgrmg Dev Eval 1 Lead Pm/Ldls Pm 1 Car Chmbr Ip,264.0,102.96,,,0
CDM,93010056,Hc Prgrmg Dev Eval 1 Lead Pm/Ldls Pm 1 Car Chmbr Ip,280.0,109.2,,,0
CDM,93010057,Hc Program Eval Implantable In Prsn Multi Ld Pacer,173.0,67.47,,,0
CDM,93010058,Hc Prgrmng Dev Eval Implantable In Persn 1 Ld Dfb,172.0,67.08,,,0
CDM,93010059,Hc Prgrmg Eval Implantable In Prsn Dual Lead Dfb,215.0,83.85,,,0
CDM,93010060,Hc Prgrmg Eval Implantable In Person Multi Lead Dfb,232.0,90.48,,,0
CDM,93010061,Hc Prgrmg Dev Eval Scrms Phys/Qhp In Person,160.0,62.4,,,0
CDM,93010064,Hc Ide In-Person Any Pcmkr Leaded Or Leadless,320.0,124.8,,,0
CDM,93010065,Hc Ide In-Person Any Defib,275.0,107.25,,,0
CDM,93010066,Hc Interrog Dev Eval Scrms Phys/Qhp In Person,320.0,124.8,,,0
CDM,93010069,Hc Rem Interrog Pm/Ldls Pm/Ids Up To 90 D Tech Review,191.0,74.49,,,0
CDM,93010071,Hc Transthoracic Echo Congenital Anomalies Complete Without Cst,777.0,303.03,,,0
CDM,93010072,Hc Transthoracic Echo Congenital Anomalies Ltd Without Cst,518.0,202.02,,,0
CDM,93010076,Hc Echo 2D Tee W/O Contrast,3600.0,1404.0,,,0
CDM,93010077,Hc Echo 2D Tee Probe Placement Only No Image,1040.0,405.6,,,0
CDM,93010078,Hc Echo Transesophag Congen Probe Plcmt Imgng I And R,2367.0,923.13,,,0
CDM,93010079,Hc Echo Transesophag Image Acquisj Interp And Report,1215.0,473.85,,,0
CDM,93010080,Hc Transesophageal Echo Tee Monitor Tlc 2D Only W/O Cst,2803.0,1093.17,,,0
CDM,93010081,Hc Echo Doppler Complete,622.0,242.58,,,0
CDM,93010082,Hc Echo Doppler F/U Or Ltd,385.5,150.345,,,0
CDM,93010083,Hc Echo Doppler Colorflow,598.5,233.415,,,0
CDM,93010084,Hc Echo 2D Stress Tte Only W/O Contrast,2346.0,914.94,,,0
CDM,93010085,Hc Echo 2D Stress Tte Complete Continuous Monitor W/O Cst,2542.0,991.38,,,0
CDM,93010086,Hc Heart Cath Rt,12274.0,4786.86,,,0
CDM,93010087,Hc Lhc With Or Without Lv Gram,19819.0,7729.41,,,0
CDM,93010088,Hc Heart Cath Lt Plus Rt W/Wo Lt Ventriculography,22648.0,8832.72,,,0
CDM,93010089,Hc Coronary Angiograms Only,15338.0,5981.82,,,0
CDM,93010090,Hc Coronary Angio W/Grafts And S And I,16899.0,6590.61,,,0
CDM,93010091,Hc Heart Rt Coronary Artery Angio,21958.0,8563.62,,,0
CDM,93010092,Hc Rhc Coronary Angiograms And Grafts,23518.0,9172.02,,,0
CDM,93010093,Hc Heart Lt Coronary Artery Angio W/Wo Lt Ventriculography,25470.0,9933.3,,,0
CDM,93010094,Hc Heart Lt Coronary Artery Angio W/Grafts,27028.0,10540.92,,,0
CDM,93010095,Hc Heart Lt Plus Rt Coronary Angio W/Wo Lt Ventriculography,28299.0,11036.61,,,0
CDM,93010096,Hc Rlhc Coronary Angio Grafts W/Wo Lv Gram,29860.0,11645.4,,,0
CDM,93010097,Hc Pharmacologic Admin W/Measure Plus,773.0,301.47,,,0
CDM,93010098,Hc Cath Insertion Flo Directed Swan Ganz,5012.0,1954.68,,,0
CDM,93010101,Hc Injection Lv/La Gram Congenital Study,3206.0,1250.34,,,0
CDM,93010102,Hc Injection Rv/Ra Gram Congenital Study,3533.0,1377.87,,,0
CDM,93010103,Hc Injection Supravalvular Aortagram,4572.0,1783.08,,,0
CDM,93010104,Hc Inj Pulm Angio W Card Cath Nonsel Artery Add-On,4223.0,1646.97,,,0
CDM,93010105,Hc Ffr Iv Dop Vel And /Or Press C/Flo Rsrv Meas 1St Vsl,3176.0,1238.64,,,0
CDM,93010106,Hc Ffr Add Iv Dop Vel And /Or Press C/Flo Rsrv Meas Addl Vsl,2919.0,1138.41,,,0
CDM,93010107,Hc Asd Closure,33617.0,13110.63,,,0
CDM,93010108,Hc Vsd Closure,33617.0,13110.63,,,0
CDM,93010109,Hc His Bundle Recording,7367.0,2873.13,,,0
CDM,93010110,Hc Ntra-Atrial Recording,7367.0,2873.13,,,0
CDM,93010111,Hc Right Ventricle Recording,1604.0,625.56,,,0
CDM,93010112,Hc Catheter Mapping Tachycardia Add On,7066.0,2755.74,,,0
CDM,93010113,Hc Intra-Atrial Pacing,7367.0,2873.13,,,0
CDM,93010114,Hc Intraventricular Pacing,7367.0,2873.13,,,0
CDM,93010115,Hc 3D Mapping Electrophysiologic Add On,7066.0,2755.74,,,0
CDM,93010116,Hc Arrhythmia Induction Pacing,7060.0,2753.4,,,0
CDM,93010117,Hc Eps Eval Complete W/O Induction,11989.0,4675.71,,,0
CDM,93010118,Hc Eps Eval Complete With Induction,19702.0,7683.78,,,0
CDM,93010120,Hc Eps Eval W/Lt Atrial Pace Plus Record Add On,5608.0,2187.12,,,0
CDM,93010121,Hc Eps Eval W/Lt Ventricle Pace Plus Record Add On,7031.0,2742.09,,,0
CDM,93010122,Hc Drug Stimulation Heart Pacing,7060.0,2753.4,,,0
CDM,93010123,Hc Eps F/U With Attempted Induction,8679.0,3384.81,,,0
CDM,93010124,Hc Eps Eval Icd Leads Initial Implant/Replacement,16339.0,6372.21,,,0
CDM,93010125,Hc Eps Eval Icd Pulse Gen/Leads Initial Implant/Replacement,8799.0,3431.61,,,0
CDM,93010126,Hc Eps Eval Icd Gen/Leads Not At Implant,10030.0,3911.7,,,0
CDM,93010127,Hc Ablation Supraventricular Tachycardia,51383.0,20039.37,,,0
CDM,93010128,Hc Ablation Atrioventricular Node,17580.0,6856.2,,,0
CDM,93010131,Hc Cardiovascular Eval Tilt Table,3816.0,1488.24,,,0
CDM,93010132,Hc Intracardiac Echo During Intervention W/Imaging Add On,16677.0,6504.03,,,0
CDM,93010133,Hc Phase Ii Exercise W/O Ecg,355.0,138.45,,,0
CDM,93010134,Hc Phase Ii Exercise W/O Ecg Kx,355.0,138.45,,,0
CDM,93010137,Hc Phase Ii Exercise W/O Ecg Telemed,355.0,138.45,,,0
CDM,93010138,Hc Phase Ii Exercise W/Ecg,485.0,189.15,,,0
CDM,93010139,Hc Phase Ii Exercise W/Ecg Kx,485.0,189.15,,,0
CDM,93010141,Hc Phase Iii New Assessment,203.5,79.365,,,0
CDM,93010142,Hc Distal Protection,1195.0,466.05,,,0
CDM,93010143,Hc Phase Iii Self Pay Cardiac Rehab Daily,4.0,1.56,,,0
CDM,93010144,Hc Phase Iii Self Pay Cardiac Rehab Monthly,50.0,19.5,,,0
CDM,93010162,Hc Cardiology - Transfer Rule,1427.08,556.56,,,0
CDM,93010166,Hc Cardiac Cath Lab - Transfer Rule,31701.0,12363.39,,,0
CDM,93010169,Hc Pad Rehab Per Session,470.0,183.3,,,0
CDM,93010173,Hc Tte 2D W Or W+W/O Contrast Complete,2590.0,1010.0999999999999,,,0
CDM,93010174,Hc Echo 2D Tte W Or W/O Fol W/Con F/U,1391.0,542.49,,,0
CDM,93010180,Hc Nm Cv Stress Test,2297.5,896.025,,,0
CDM,93010192,Hc Tte W Or W/O Fol W/Con Stress,3347.0,1305.33,,,0
CDM,93010199,Hc Tee 2D W Or W Plus W/O Contrast,3754.0,1464.06,,,0
CDM,93010200,Hc Tte W Or W+W/O Contrast Complete,2745.0,1070.55,,,0
CDM,93010203,Hc Tte W Or W/O Contr Cont Ecg,2174.5,848.055,,,0
CDM,93010251,Hc Echo Tthrc R-T 2D W/Wom-Mode Compl Spec And Colr D,1699.5,662.805,,,0
CDM,93010255,Hc Ablation Ventricular Tachycardia,51383.0,20039.37,,,0
CDM,93010260,Hc Lhrt Cath Trnsptl Puncture,12916.0,5037.24,,,0
CDM,93010261,Hc Ablate Arrhythmia Add On Plus,17509.0,6828.51,,,0
CDM,93010262,Hc Comp Eps Tras W/Afib Ablat,38155.0,14880.45,,,0
CDM,93010263,Hc Addl Ablation Following Afib Plus,17915.0,6986.85,,,0
CDM,93010264,Hc Ptca Ld/Lad Artery Or Branch,11909.0,4644.51,,,0
CDM,93010265,Hc Ptca Lc/Lcx Artery Or Branch,11909.0,4644.51,,,0
CDM,93010266,Hc Ptca Rc/Rca,11909.0,4644.51,,,0
CDM,93010267,Hc Ptca Lm,11909.0,4644.51,,,0
CDM,93010268,Hc Pci Ramus,11909.0,4644.51,,,0
CDM,93010269,Hc Ptca Ld/Lad Additional Branch,6245.0,2435.55,,,0
CDM,93010270,Hc Ptca Lc/Lcx Additional Branch,6245.0,2435.55,,,0
CDM,93010271,Hc Ptca Rc/Rca Additional Branch,6245.0,2435.55,,,0
CDM,93010272,Hc Atherectomy Ld/Lad,20024.0,7809.36,,,0
CDM,93010273,Hc Atherectomy Lc/Lcx,20024.0,7809.36,,,0
CDM,93010274,Hc Atherect Rc/Rca,20024.0,7809.36,,,0
CDM,93010275,Hc Atherectomy Lm,20024.0,7809.36,,,0
CDM,93010276,Hc Atherectomy Ri,20024.0,7809.36,,,0
CDM,93010277,Hc Atherectomy Ld/Lad Additional Branch,5720.0,2230.8,,,0
CDM,93010278,Hc Atherectomy Lc/Lcx Additional Branch,5720.0,2230.8,,,0
CDM,93010279,Hc Atherectomy Rc/Rca Additional Branch,5720.0,2230.8,,,0
CDM,93010280,Hc Stent Bms Ld/Lad Artery Or Branch,25030.0,9761.7,,,0
CDM,93010281,Hc Stent Bms Lc/Lcx Artery Or Branch,25030.0,9761.7,,,0
CDM,93010282,Hc Stent Bms Rc/Rca Artery Or Branch,25030.0,9761.7,,,0
CDM,93010283,Hc Stent Bms Lm Artery,25030.0,9761.7,,,0
CDM,93010284,Hc Stent Bms Ramus Artery,25030.0,9761.7,,,0
CDM,93010285,Hc Prq Card Des Stent W/Angio 1 Vsl Ld,22856.0,8913.84,,,0
CDM,93010286,Hc Prq Card Des Stent W/Angio 1 Vsl Lc,22856.0,8913.84,,,0
CDM,93010287,Hc Prq Card Des Stent W/Angio 1 Vsl Rc,22856.0,8913.84,,,0
CDM,93010288,Hc Prq Card Des Stent W/Angio 1 Vsl Lm,22856.0,8913.84,,,0
CDM,93010289,Hc Prq Card Des Stent W/Angio 1 Vsl Ri,22856.0,8913.84,,,0
CDM,93010290,Hc Stent Bms Ld/Lad Additional Branch,6696.0,2611.44,,,0
CDM,93010291,Hc Stent Bms Lc/Lcx Additional Branch,6696.0,2611.44,,,0
CDM,93010292,Hc Stent Bms Rc/Rca Additional Branch,6696.0,2611.44,,,0
CDM,93010293,Hc Stent Des Ld/Lad Additional Branch,6696.0,2611.44,,,0
CDM,93010294,Hc Stent Des Lc/Lcx Additional Branch,6696.0,2611.44,,,0
CDM,93010295,Hc Stent Des Rc/Rca Additional Branch,6696.0,2611.44,,,0
CDM,93010296,Hc Atherectomy And Bms Stent Ld/Lad,28502.0,11115.78,,,0
CDM,93010297,Hc Atherectomy And Bms Stent Lc/Lcx,28502.0,11115.78,,,0
CDM,93010298,Hc Atherectomy And Bms Stent Rc/Rca,28502.0,11115.78,,,0
CDM,93010299,Hc Atherectomy And Bms Stent Lm Artery,28502.0,11115.78,,,0
CDM,93010300,Hc Atherectomy And Bms Stent Ramus Artery,28502.0,11115.78,,,0
CDM,93010301,Hc Atherectomy And Des Stent Ld/Lad,25911.0,10105.29,,,0
CDM,93010302,Hc Atherectomy Des Stent Lc/Lcx,25911.0,10105.29,,,0
CDM,93010303,Hc Atherectomy And Des Stent Rc/Rca,25911.0,10105.29,,,0
CDM,93010304,Hc Atherectomy And Des Stent Lm Artery,25911.0,10105.29,,,0
CDM,93010305,Hc Atherectomy And Des Stent Ramus Artery,25911.0,10105.29,,,0
CDM,93010306,Hc Atherectomy Bms Stent Additional Ld/Lad,19223.0,7496.97,,,0
CDM,93010307,Hc Atherectomy Bms Stent Additional Lc/Lcx,19223.0,7496.97,,,0
CDM,93010308,Hc Atherectomy Bms Stent Additional Rc/Rca,19223.0,7496.97,,,0
CDM,93010309,Hc Atherectomy Des Stent Additional Ld/Lad,19223.0,7496.97,,,0
CDM,93010310,Hc Atherectomy Des Stent Additional Lc/Lcx,19223.0,7496.97,,,0
CDM,93010311,Hc Atherectomy Des Stent Additional Rc/Rca,19223.0,7496.97,,,0
CDM,93010312,Hc Graft Ptca And/Or Bms Stent To Ld/Lad,26913.0,10496.07,,,0
CDM,93010313,Hc Graft Ptca And/Or Bms Stent To Lc/Lcx,26913.0,10496.07,,,0
CDM,93010314,Hc Graft Ptca And/Or Bms Stent To Rc/Rca,26913.0,10496.07,,,0
CDM,93010315,Hc Graft Ptca And Des Stent To Ld/Lad,26913.0,10496.07,,,0
CDM,93010316,Hc Graft Ptca And Des Stent To Lc/Lcx,26913.0,10496.07,,,0
CDM,93010317,Hc Graft Ptca And Des Stent To Rc/Rca,26913.0,10496.07,,,0
CDM,93010318,Hc Graft Ptca And/Or Bms Stent Addtl Ld/Lad,20226.0,7888.14,,,0
CDM,93010319,Hc Graft Ptca And/Or Bms Stent Addtl Lc/Lcx,20226.0,7888.14,,,0
CDM,93010320,Hc Graft Ptca And/Or Bms Stent Addtl Rc/Rca,20226.0,7888.14,,,0
CDM,93010321,Hc Graft Ptca And/Or Des Stent Addtl Ld/Lad,26913.0,10496.07,,,0
CDM,93010322,Hc Graft Ptca And/Or Des Stent Addtl Lc/Lcx,26913.0,10496.07,,,0
CDM,93010323,Hc Graft Ptca And/Or Des Stent Addtl Rc/Rca,26913.0,10496.07,,,0
CDM,93010324,Hc Ip Only-Prq Card Revasc Mi 1Vsl Ld,37819.0,14749.41,,,0
CDM,93010325,Hc Ip Only-Prq Card Des Revasc Mi 1Vsl Ld,37819.0,14749.41,,,0
CDM,93010326,Hc Ip Only-Prq Card Revasc Mi 1 Vsl Lc,37819.0,14749.41,,,0
CDM,93010327,Hc Ip Only-Prq Card Des Revasc Mi 1Vsl Lc,37819.0,14749.41,,,0
CDM,93010328,Hc Ip Only- Prq Card Revasc Mi 1 Vsl Rc,37819.0,14749.41,,,0
CDM,93010329,Hc Ip Only-Prq Card Des Revasc Mi 1Vsl Rc,37819.0,14749.41,,,0
CDM,93010330,Hc Ip Only-Prq Card Revasc Mi 1 Vsl Lm,37819.0,14749.41,,,0
CDM,93010331,Hc Ip Only- Prq Card Des Revasc Mi 1Vsl Lm,37819.0,14749.41,,,0
CDM,93010332,Hc Ip Only-Prq Card Revasc Mi 1 Vsl Ri,37819.0,14749.41,,,0
CDM,93010333,Hc Ip Only-Prq Card Des Revasc Mi 1Vsl Ri,37819.0,14749.41,,,0
CDM,93010334,Hc Cto Stent Ld/Lad,37819.0,14749.41,,,0
CDM,93010335,Hc Cto Des Stent Ld/Lad,37819.0,14749.41,,,0
CDM,93010336,Hc Cto Stent Lc/Lcx,37819.0,14749.41,,,0
CDM,93010337,Hc Cto Des Stent Lc/Lcx,37819.0,14749.41,,,0
CDM,93010338,Hc Cto Stent Rc/Rca,37819.0,14749.41,,,0
CDM,93010339,Hc Cto Des Stent Rc/Rca,37819.0,14749.41,,,0
CDM,93010340,Hc Cto Stent Lm Artery,37819.0,14749.41,,,0
CDM,93010341,Hc Cto Des Stent Lm Artery,37819.0,14749.41,,,0
CDM,93010342,Hc Cto Stent Ramus Artery,37819.0,14749.41,,,0
CDM,93010343,Hc Cto Des Stent Ramus Artery,37819.0,14749.41,,,0
CDM,93010344,Hc Cto Stent Addl Brch Ld/Lad,31131.0,12141.09,,,0
CDM,93010345,Hc Cto Des Stent Addl Brch Ld/Lad,31131.0,12141.09,,,0
CDM,93010346,Hc Cto Stent Addl Brch Lc/Lcx,31131.0,12141.09,,,0
CDM,93010347,Hc Cto Des Stent Addl Brch Lc/Lcx,31131.0,12141.09,,,0
CDM,93010348,Hc Cto Stent Addl Brch Rc/Rca,31131.0,12141.09,,,0
CDM,93010349,Hc Cto Des Stent Addl Brch Rc/Rca,31131.0,12141.09,,,0
CDM,93010350,Hc Insert Subq Defib W/Eltrd,74091.0,28895.49,,,0
CDM,93010351,Hc Insert Subq Defib Electrode,12395.0,4834.05,,,0
CDM,93010355,Hc Remove Subq Defib Electrode,5540.0,2160.6,,,0
CDM,93010356,Hc Reposition Subq Defib Eltrd And/Icd Gen,5540.0,2160.6,,,0
CDM,93010357,Hc Ephys Eval Subq Implant Icd Defib Gen And Lead,8799.0,3431.61,,,0
CDM,93010358,Hc Interrogation Subq Icd System,114.0,44.46,,,0
CDM,93010360,Hc Sp3 Cardiac Rehab Pkg 1/6V,696.5,271.635,,,0
CDM,93010361,Hc Sp3 Cardiac Rehab Pkg 2/9V,1005.0,391.95,,,0
CDM,93010362,Hc Sp3 Cardiac Rehab Pkg 3/12V,1312.5,511.875,,,0
CDM,93010363,Hc Graft Ptca And/Or Bms Stent Ramus Artery,26913.0,10496.07,,,0
CDM,93010364,Hc Graft Ptca And/Or Des Stent Ramus Artery,26913.0,10496.07,,,0
CDM,93010365,Hc Echo 2D Fetal Complete,450.0,175.5,,,0
CDM,93010366,Hc Echo Fetal Doppler Complete,450.0,175.5,,,0
CDM,93010367,Hc Echo 3D Rendering,258.0,100.62,,,0
CDM,93020359,Hc Programming Subq Icd System,114.0,44.46,,,0
CDM,93033897,Hc Ip Only - Perq Transluminal Angioplasty Native/Recr Coa,58034.0,22633.26,,,0
CDM,930628053,IBUPROFEN 400 MG TABLET,6.1,2.38,,,0
CDM,93071428,Hc Ip Only-Perq Transcath Septal Reduxn,15393.0,6003.27,,,0
CDM,93071430,Hc Ip Only-Tmvi Percutaneous Approach,36289.0,14152.71,,,0
CDM,93091398,Hc Svt/Vt Ablation Additional,17509.0,6828.51,,,0
CDM,93091400,Hc Closure Transcath Pda Congential,33617.0,13110.63,,,0
CDM,93091406,Hc Icd Repair Single Lead,11138.0,4343.82,,,0
CDM,93091407,Hc Icd Repair Dual Leads,11138.0,4343.82,,,0
CDM,93091418,Hc Ip Only-Tmvr Initial,59672.0,23272.08,,,0
CDM,93091419,Hc Ip Only- Tmvr Addl,14918.0,5818.02,,,0
CDM,93091420,Hc Ptca Addl Branch Ri,6245.0,2435.55,,,0
CDM,93091421,Hc Impl Pressure Sensor W/Angio-Cardiomem,32897.0,12829.83,,,0
CDM,93091422,Hc Ip Only- Replace Aortic Valve Perq Tavr/Tavi,34124.0,13308.36,,,0
CDM,93091424,Hc Ip Only- Perq Clsr Tcat L Atr Apndge,30853.0,12032.67,,,0
CDM,93091425,Hc Inject Congntl Card Cath,7488.0,2920.32,,,0
CDM,93091426,Hc Inject Hrt Congntl Art/Grft,5927.0,2311.53,,,0
CDM,93091427,Hc Iliac Art Bi W Card Cth,4759.0,1856.01,,,0
CDM,93092920,Hc Robotic Assist Ptca Ld/Lad Artery Or Branch,11909.0,4644.51,,,0
CDM,93092921,Hc Robotic Assist Ptca Ld/Lad Additional Branch,6245.0,2435.55,,,0
CDM,93092924,Hc Robotic Assist Atherectomy Ld/Lad,20024.0,7809.36,,,0
CDM,93092925,Hc Robotic Assist Atherectomy Lc/Lcx Additional Branch,5720.0,2230.8,,,0
CDM,93092929,Hc Robotic Asst Stent Des Ld/Lad Additional Branch,6696.0,2611.44,,,0
CDM,93092933,Hc Robotic Asst Roto/Laser Bms Initial Ld/Lad,28502.0,11115.78,,,0
CDM,93092938,Hc Robotic Asst Graft Ptca And/Or Des Stent Addtl Ld/Lad,26913.0,10496.07,,,0
CDM,93092972,Hc Percutaneous Transluminal Coronary Lithotripsy,11208.0,4371.12,,,0
CDM,93093229,Hc Ecg Remote W Technical Support 30 Days,1000.0,390.0,,,0
CDM,93093247,Hc External Ecg Recmore Than 7Days Up To 15Days Scanning Alys With Report,163.0,63.57,,,0
CDM,93093271,Hc Ecg Monitoring Pt Activated W Analysis 30 Days,308.0,120.12,,,0
CDM,93093290,Hc Interrog Dev Eval Icpms Phys/Qhp In Person,191.0,74.49,,,0
CDM,93093298,Hc Rem Interrog Scrms Up To 30 Days Phys Qhp,117.0,45.63,,,0
CDM,93093352,Hc Admin Ecg Contrast Agent,481.0,187.59,,,0
CDM,93093356,Hc Myocrd Strain Img Speckle Trck Assmt Myocrd Mech,1140.0,444.6,,,0
CDM,93093464,Hc Physiologic Exercise Study/Hemodynamic Measurement,911.0,355.29,,,0
CDM,93093505,Hc Endomyocardial Biopsy,11453.0,4466.67,,,0
CDM,93093569,Hc Inj Pulm Art W Card Cath Selective Angio Uni Add-On,4223.0,1646.97,,,0
CDM,93093573,Hc Inj Pulm Art W Card Cath Selective Angio Bil Add-On,4223.0,1646.97,,,0
CDM,93093574,Hc Inj Pulm Vein W Card Cath Selective Angio Ea Vein Add-On,4223.0,1646.97,,,0
CDM,93093575,Hc Inj Pulm Angio W Cc Select Mapca For Chd Ea Vessel Add-On,4223.0,1646.97,,,0
CDM,93093584,Hc Venography Chd Anomalous Or Persistent Svc Nt Drg,195.0,76.05,,,0
CDM,93093585,Hc Venography Chd Azygos Hemiazygos Venous System,184.0,71.76,,,0
CDM,93093586,Hc Venography Chd Coronary Sinus,232.0,90.48,,,0
CDM,93093587,Hc Venography Chd Venovenous Coltrl At Or Above Hrt,343.0,133.77,,,0
CDM,93093588,Hc Venography Chd Venovenous Collateral Below Heart,346.0,134.94,,,0
CDM,93093590,Hc Perq Transcath Closure Mitral Initial,58034.0,22633.26,,,0
CDM,93093591,Hc Perq Transcath Closure Aortic Initial,58034.0,22633.26,,,0
CDM,93093592,Hc Perq Transcath Closure Each Add,19344.0,7544.16,,,0
CDM,93093593,Hc R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj,12515.0,4880.85,,,0
CDM,93093594,Hc R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj,12515.0,4880.85,,,0
CDM,93093596,Hc R And L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj,12515.0,4880.85,,,0
CDM,93093597,Hc R And L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj,12515.0,4880.85,,,0
CDM,93093631,Hc Intraop Epicar And Endocar Pacg And Mapg,2546.0,992.94,,,0
CDM,93093724,Hc Electronic Analysis Antitachy Pacemaker System,925.0,360.75,,,0
CDM,93093786,Hc Ambulatory Bp Mntr With Sw 24 Hrs Or Longer Recording Only,447.0,174.33,,,0
CDM,93093788,Hc Ambulatory Bp Mntr With Sw 24 Hrs Or Longer Scanning Analysis With Rpt,414.0,161.46,,,0
CDM,93095976,Hc Analysis Cranial Neurostim Simple,276.0,107.64,,,0
CDM,93095977,Hc Analysis Cranial Neurostim Complex,873.0,340.47,,,0
CDM,93192920,Hc Robotic Assist Ptca Lc/Lcx Artery Or Branch,11909.0,4644.51,,,0
CDM,93192921,Hc Robotic Assist Ptca Lc/Lcx Additional Branch,6245.0,2435.55,,,0
CDM,93192924,Hc Robotic Assist Atherectomy Lc/Lcx,20024.0,7809.36,,,0
CDM,93192925,Hc Robotic Assist Atherectomy Ld/Lad Additional Branch,5720.0,2230.8,,,0
CDM,93192929,Hc Robotic Asst Stent Des Lc/Lcx Additional Branch,6696.0,2611.44,,,0
CDM,93192933,Hc Robotic Asst Roto/Laser Bms Initial Lc/Lcx,28502.0,11115.78,,,0
CDM,93192941,Hc Ip Only-Robotic Asst Prq Card Des Revasc Mi 1Vsl Ld,37819.0,14749.41,,,0
CDM,93192943,Hc Robotic Asst Cto Des Stent Ld/Lad,37819.0,14749.41,,,0
CDM,93192944,Hc Robotic Asst Cto Des Stent Addl Brch Ld/Lad,31131.0,12141.09,,,0
CDM,932038876,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,717.4,279.79,,,0
CDM,93292920,Hc Robotic Assist Ptca Rc/Rca,11909.0,4644.51,,,0
CDM,93292921,Hc Robotic Assist Ptca Rc/Rca Additional Branch,6245.0,2435.55,,,0
CDM,93292924,Hc Robotic Assist Atherect Rc/Rca,20024.0,7809.36,,,0
CDM,93292925,Hc Robotic Asssit Atherectomy Rc/Rca Additional Branch,5720.0,2230.8,,,0
CDM,93292929,Hc Robitic Asst Stent Des Rc/Rca Additional Branch,6696.0,2611.44,,,0
CDM,93292933,Hc Robotic Asst Roto/Laser Bms Initial Rc/Rcx,28502.0,11115.78,,,0
CDM,93392920,Hc Robotic Assist Ptca Lm,11909.0,4644.51,,,0
CDM,93392921,Hc Robotic Assist Ptca Addl Branch Ri,6245.0,2435.55,,,0
CDM,93392924,Hc Robotic Assist Atherectomy Lm,20024.0,7809.36,,,0
CDM,93392933,Hc Robotic Asst Roto/Laser Bms Initial Lm,28502.0,11115.78,,,0
CDM,93392934,Hc Robotic Asst Atherectomy Des Stent Additional Ld/Lad,19223.0,7496.97,,,0
CDM,93392937,Hc Robotic Asst Graft Ptca And Des Stent To Ld/Lad,26913.0,10496.07,,,0
CDM,93392941,Hc Ip Only-Robotic Asst Prq Card Des Revasc Mi 1Vsl Lc,37819.0,14749.41,,,0
CDM,93392943,Hc Robotic Asst Cto Des Stent Lc/Lcx,37819.0,14749.41,,,0
CDM,93392944,Hc Robotic Asst Cto Des Stent Addl Brch Lc/Lcx,31131.0,12141.09,,,0
CDM,93492920,Hc Robotic Assist Ri Pcta Ramus,11909.0,4644.51,,,0
CDM,93492924,Hc Robotic Assist Atherectomy Ri,20024.0,7809.36,,,0
CDM,93492928,Hc Robotic Asst Stent Des Ld/Lad Artery Or Branch,22856.0,8913.84,,,0
CDM,93492933,Hc Robotic Asst Roto/Laser Bms Initial Ri,28502.0,11115.78,,,0
CDM,93492934,Hc Robotic Asst Atherectomy Des Stent Additional Lc/Lcx,19223.0,7496.97,,,0
CDM,93492937,Hc Robotic Asst Graft Ptca And Des Stent To Lc/Lcx,26913.0,10496.07,,,0
CDM,93492938,Hc Robotic Asst Graft Ptca And/Or Des Stent Addtl Lc/Lcx,26913.0,10496.07,,,0
CDM,93492941,Hc Ip Only-Robotic Asst Prq Card Des Revasc Mi 1Vsl Rc,37819.0,14749.41,,,0
CDM,93592928,Hc Robotic Asst Stent Des Lc/Lcx Artery Or Branch,22856.0,8913.84,,,0
CDM,93592933,Hc Robotic Asst Atherectomy And Des Stent Ld/Lad,25911.0,10105.29,,,0
CDM,93592934,Hc Robotic Asst Atherectomy Des Stent Additional Rc/Rca,19223.0,7496.97,,,0
CDM,93592937,Hc Robotic Asst Graft Ptca And Des Stent To Rc/Rca,26913.0,10496.07,,,0
CDM,93592938,Hc Robotic Asst Graft Ptca And/Or Des Stent Addtl Rc/Rca,26913.0,10496.07,,,0
CDM,93592943,Hc Robotic Asst Cto Des Stent Rc/Rca,37819.0,14749.41,,,0
CDM,93592944,Hc Robotic Asst Cto Des Stent Addl Brch Rc/Rca,31131.0,12141.09,,,0
CDM,93692928,Hc Robotic Asst Stent Des Rc/Rca Artery Or Branch,22856.0,8913.84,,,0
CDM,93692933,Hc Robotic Asst Atherectomy Des Stent Lc/Lcx,25911.0,10105.29,,,0
CDM,93792928,Hc Robotic Asst Stent Des Lm Artery,22856.0,8913.84,,,0
CDM,93792933,Hc Robotic Asst Atherectomy And Des Stent Rc/Rca,25911.0,10105.29,,,0
CDM,93792937,Hc Robotic Asst Graft Ptca And/Or Des Stent Ramus Artery,26913.0,10496.07,,,0
CDM,93792941,Hc Ip Only- Robotic Asst Prq Card Des Revasc Mi 1Vsl Lm,37819.0,14749.41,,,0
CDM,93792943,Hc Robotic Asst Cto Des Stent Lm Artery,37819.0,14749.41,,,0
CDM,93892928,Hc Robotic Asst Stent Des Ramus Artery,22856.0,8913.84,,,0
CDM,93892933,Hc Robotic Asst Atherectomy And Des Stent Lm Artery,25911.0,10105.29,,,0
CDM,93992933,Hc Robotic Asst Atherectomy And Des Stent Ramus Artery,25911.0,10105.29,,,0
CDM,93992941,Hc Ip Only-Robotic Asst Prq Card Des Revasc Mi 1Vsl Ri,37819.0,14749.41,,,0
CDM,93992943,Hc Robotic Asst Cto Des Stent Ramus Artery,37819.0,14749.41,,,0
CDM,94010012,Hc Medical Nutrition Assmt And Ivntj Indiv Ea 15 Min,93.0,36.27,,,0
CDM,94010013,Hc Mnt Ind Re-Assessment Ea 15Mins??,93.0,36.27,,,0
CDM,94010015,Hc Self Mgmt Educ 2-4 Clients 30 Mins,423.0,164.97,,,0
CDM,94010016,Hc Self Mgmt Educ 5-8 Clients 30 Mins,426.0,166.14,,,0
CDM,94010017,Hc Cessation Smoking/Tobacco Counsel 3-10 Min,133.0,51.87,,,0
CDM,94010018,Hc Tobacco Use Cessation Intensive Over 10 Minutes,112.0,43.68,,,0
CDM,94010020,Hc Diab Manage Trn Per Indiv Per 30 Mins,201.5,78.585,,,0
CDM,94010021,Hc Diab Manage Trn Group 2 Or More Per 30 Mins,133.5,52.065,,,0
CDM,94010022,Hc Php Edu/Train Group 45Min Or More,741.0,288.99,,,0
CDM,94010024,Hc Heart Fit Wellness Cancel,26.0,10.14,,,0
CDM,94010025,Hc Heart Fit Wellness Fit Assess,31.0,12.09,,,0
CDM,94010026,Hc Heart Fit Wellness Coach 1 Mo,37.0,14.43,,,0
CDM,94010027,Hc Heart Wellness-Diet Consult,63.0,24.57,,,0
CDM,94010028,Hc Heart Fit Wellness Coach 3 Mo,103.0,40.17,,,0
CDM,94010029,Hc Heart Fit Wellness Option,209.0,81.51,,,0
CDM,94010030,Hc Heart Fit Wellness Employee,261.0,101.79,,,0
CDM,94010031,Hc Heart Fit Wellness Program,313.0,122.07,,,0
CDM,94010032,Hc Heart Fit Wellness-Couple,470.0,183.3,,,0
CDM,94010042,Hc Nutrition Counseling 30 Min,30.0,11.7,,,0
CDM,94010043,Hc Nutrition Counseling 60 Min,60.0,23.4,,,0
CDM,94020050,Hc Rehab,4762.0,1857.18,,,0
CDM,94020051,Hc Heart Fit Wellness Group,72.0,28.08,,,0
CDM,94020053,Hc Pulmonary Stress Testing 6Mwt,773.5,301.66499999999996,,,0
CDM,94020054,Hc Cardiopulmonary Exercise Testing,2070.0,807.3,,,0
CDM,94020055,Hc Exhaled Air Analysis O2/Co2,1372.0,535.08,,,0
CDM,94097804,Hc Medical Nutrition Therapy Group 2 Or More Individual Ea 30 Mins,86.0,33.54,,,0
CDM,941662668,PENICILLIN V POTASSIUM 250 MG TABLET,13.1,5.11,,,0
CDM,942710557,SODIUM BORATE-BORIC ACID-SODIUM CHLORIDE-WATER EYE WASH SOLN,23.6,9.2,,,0
CDM,948700066,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,33.0,12.87,,,0
CDM,949575027,PHENYLEPHRINE 0.25 % NASAL SPRAY,14.7,5.73,,,0
CDM,95010009,Hc Infant Sleep Study 4 Channel,1105.0,430.95,,,0
CDM,95010013,Hc Pap Nap Full 2 Or More Hours,3172.0,1237.08,,,0
CDM,95010015,Hc Polysom 6Yrs Or Over Sleep 4 Or Over Addl Param Attnd,4533.5,1768.065,,,0
CDM,95010023,Hc Mslt/Mwt,2563.0,999.57,,,0
CDM,95010024,Hc Polysomnography Under 6Yrs,9122.0,3557.58,,,0
CDM,95010025,Hc Eeg Awake And Asleep Recording,2405.0,937.95,,,0
CDM,95010026,Hc Eeg Coma Or Sleep Only,3117.0,1215.63,,,0
CDM,95010027,Hc Eeg Cerebral Death Evaluation Only,3085.0,1203.15,,,0
CDM,95010029,Hc Emg 1 W/Wo Related Paraspinal Areas,1118.0,436.02,,,0
CDM,95010035,Hc Visual Ep Testing Cns Except Glaucoma W I R,4063.0,1584.57,,,0
CDM,95010044,Hc Polysom Under 6Yrs Sleep W/Cpap/Bilvl Vent Param 4 Or Over,9122.0,3557.58,,,0
CDM,95010048,Hc Eeg 61-119 Minutes,3280.0,1279.2,,,0
CDM,95010049,Hc Eeg 41 - 60 Minutes,2395.0,934.05,,,0
CDM,95010051,Hc Eeg Bedside W/O Video 24Hr,734.0,286.26,,,0
CDM,95010053,Hc Motor/Sens Nrve Conduct Test,866.0,337.74,,,0
CDM,95020011,Hc Sleep Study Unattended,1105.0,430.95,,,0
CDM,95020012,Hc Elec Alys Implt Npgt Phys/Qhp W/O Programming,1454.0,567.06,,,0
CDM,95020013,Hc Home Sleep Test-Pat,677.5,264.225,,,0
CDM,95095803,Hc Actigraphy Testing Recording Analysis I And R,230.0,89.7,,,0
CDM,95095874,Hc Needle Emg Guid With Chemodenervation,299.0,116.61,,,0
CDM,95095921,Hc Tstg Ans Funcj Cardiovagal Innervaj Parasymp,1245.0,485.55,,,0
CDM,95095923,Hc Testing Autonomic Nervous System Function,936.0,365.04,,,0
CDM,95095933,Hc Orbicularis Oculi Reflx Electrodiagnostic Test,326.0,127.14,,,0
CDM,95095983,Hc Elec Alys Implt Brn Npgt Prgrmg 1St 15 Min,189.0,73.71,,,0
CDM,95095984,Hc Elec Alys Implt Brn Npgt Prgrmg Ea Addl 15 Min,142.0,55.38,,,0
CDM,95096002,Hc Dyn Surf Emg Walkg Or Functional Actv 1 Thru 12 Musc,689.0,268.71,,,0
CDM,95096020,Hc Test Select And Admn Functl Brain Map Phys Or Qhp,671.0,261.69,,,0
CDM,96000240,Hc Ivf Casirivimab And Imdevimab Incl Monitor 600Mg Repeat,1420.0,553.8,,,0
CDM,96000243,Hc Ivf Casirivimab And Imdevimab Incl Post Admin Monitor 1200Mg,1758.0,685.62,,,0
CDM,96000249,Hc Ivf Tocilizumab Incl Post Admin Monitoring 1St Dose,1420.0,553.8,,,0
CDM,96000250,Hc Ivf Tocilizumab Incl Post Admin Monitoring 2Nd Dose,1420.0,553.8,,,0
CDM,96010022,Hc Vaccine Admin - Initial Injection Sngl Or Combo,92.9,36.23,,,0
CDM,96010023,Hc Vaccine Admin - Ea Addl Injection Sngl Or Combo,92.9,36.23,,,0
CDM,96010024,Hc Admin Vacc Nasal Or Oral Wo Counsel Sgl Or Combo 1St,92.9,36.23,,,0
CDM,96010025,Hc Admin Vacc Nasal Or Oral Wo Counsel Sgl Or Combo Ea Add,92.9,36.23,,,0
CDM,96010027,Hc Iv Inf Hydration,1095.0,427.05,,,0
CDM,96010028,Hc Iv Inf Hydration Ea Addl Hr,133.0,51.87,,,0
CDM,96010030,Hc Iv Inf Tx/Dx 1St Hr,1095.0,427.05,,,0
CDM,96010031,Hc Iv Inf Tx/Dx Ea Addl Hr,133.0,51.87,,,0
CDM,96010032,Hc Iv Inf Sequential 1St Hr Not An Initial,1095.0,427.05,,,0
CDM,96010033,Hc Iv Inf Tx/Dx Concurrent,1095.0,427.05,,,0
CDM,96010035,Hc Inj Im/Subq,202.0,78.78,,,0
CDM,96010037,Hc Iv Inj Initial,786.0,306.54,,,0
CDM,96010039,Hc Iv Inj Ea New Med,322.0,125.58,,,0
CDM,96010041,Hc Iv Inj Ea Add Seq Same Drug,322.0,125.58,,,0
CDM,96010042,Hc Maintain Implanted Pump,1182.0,460.98,,,0
CDM,96010043,Hc Irrig Venous Access Picc Port Or Cl,844.0,329.16,,,0
CDM,96010044,Hc Influenza Admin,161.0,62.79,,,0
CDM,96010045,Hc Pneumonia Vaccine,92.9,36.23,,,0
CDM,96010046,Hc Hepatitis B Admin,92.9,36.23,,,0
CDM,96010047,Hc Refill And Maintenance Pump Drug Dlvr Spinalor Brain,1083.0,422.37,,,0
CDM,96010053,Hc Inj Tx/Proph/Dx Intra-Arterial,1716.0,669.24,,,0
CDM,96010057,Hc Chemo Ext Iv Inf W/Pump,2883.0,1124.37,,,0
CDM,96010065,Hc Refill Maintain Portable Pump,1826.0,712.14,,,0
CDM,96010066,Hc Chemo Inj/Sub-Intraventricular,1236.0,482.04,,,0
CDM,96010068,Hc Prolonged Iv Inf Requrie Pump Over 8 Hr,2469.0,962.91,,,0
CDM,96010070,Hc Blood Admin-Transfer Rule,1248.0,486.72,,,0
CDM,96010072,Hc Push Transfusion Blood 2Yr Or Under,4570.0,1782.3,,,0
CDM,96010078,Hc Application Of On-Body Injector For Timed Sq Inj,202.0,78.78,,,0
CDM,96010134,Hc Immunization Admn Sarscov2 Bivalent 50 Mcg 0.5 Ml Addl,42.0,16.38,,,0
CDM,96010164,Hc Immunization Admn Sarscov2 Bivalent 10 Mcg 0.2 Ml Addl,42.0,16.38,,,0
CDM,96010173,Hc Immunization Admn Sarscov2 Bivalent 3 Mcg 0.2 Ml 3Rd,42.0,16.38,,,0
CDM,96010174,Hc Immunization Admn Sarscov2 Bivalent 3 Mcg 0.2 Ml Addl,42.0,16.38,,,0
CDM,96010220,Hc Inj Tixagevimab And Cilgavimab Incl Post Admin Monitoring,1418.0,553.02,,,0
CDM,96010222,Hc Ivf Bebtelovimab Incl Post Admin Monitoring,1596.0,622.44,,,0
CDM,96010224,Hc Infusion Pemivibart Incl Post Admin Monitoring,1352.0,527.28,,,0
CDM,96010245,Hc Ivf Bamlanivimab And Etesevimab Incl Post Admin Monitor,1420.0,553.8,,,0
CDM,96010247,Hc Ivf Sotrovimab Incl Post Admin Monitoring,1420.0,553.8,,,0
CDM,96090460,Hc Vfc Admin Any Route Initial Under 18 Yrs,24.8,9.67,,,0
CDM,96090461,Hc Vfc Admin Any Route Ea Addl Under 18 Yrs,24.8,9.67,,,0
CDM,96095991,Hc Refill And Main Implt Pmp Or Rsvr Dlvr Spi Or Brn Phy Or Qhp,940.0,366.6,,,0
CDM,96096369,Hc Subq Inf W/Pump Set-Up Initial 1 Hr,683.0,266.37,,,0
CDM,96096370,Hc Subq Inf Ea Additional Hour,151.0,58.89,,,0
CDM,960987118,"ASPIRIN 81 MG TABLET,DELAYED RELEASE",0.6,0.23,,,0
CDM,960987121,FUROSEMIDE 80 MG TABLET,7.0,2.73,,,0
CDM,961443031,AZITHROMYCIN 250 MG TABLET,64.7,25.23,,,0
CDM,965995300,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
CDM,97000778,Hc Surface Mechanomyogrphy Imu Snsor Meas Rom - Pt,673.0,262.47,,,0
CDM,97010033,Hc Biofeedback Physical Therapy,187.0,72.93,,,0
CDM,97010034,Hc Biofeedback Occupational Therapy,187.0,72.93,,,0
CDM,97010041,Hc Treatment Of Speech,443.0,172.77,,,0
CDM,97010043,Hc Tx Speech Language Voice Comm Auditry 2 Or Over Indiv-St,279.0,108.81,,,0
CDM,97010044,Hc Laryngeal Function Studies - St,1817.0,708.63,,,0
CDM,97010046,Hc Treatment Of Swallowing,333.0,129.87,,,0
CDM,97010051,Hc Evaluation Of Swallowing,626.0,244.14,,,0
CDM,97010053,Hc Motion Fluoro Eval Swallow Function C/V Rec - St,857.0,334.23,,,0
CDM,97010054,Hc Flexible Endoscopic Eval Swallow C/V Rec -St,847.0,330.33,,,0
CDM,97010055,Hc Eval For Rx Of Non-Speech Prosthetic Device Ea Add'l 30 Min,365.0,142.35,,,0
CDM,97010062,Hc Rom Measurements And Report Ea Extremity Ex Hand/Ea Trunk Section Spine - Pt,477.0,186.03,,,0
CDM,97010063,Hc Rom Test Occupational Therapy,477.0,186.03,,,0
CDM,97010064,Hc Rom Test Hand Physical Therapy,424.0,165.36,,,0
CDM,97010065,Hc Rom Test Hand Occupational Therapy,424.0,165.36,,,0
CDM,97010066,Hc Canalith Repositioning Procedure - Pt,618.0,241.02,,,0
CDM,97010067,Hc Aphasia Assmt W/Intrp And Rpt,500.0,195.0,,,0
CDM,97010082,Hc Appl Modality Hot/Cold Packs 1 Or Over Areas-Pt,60.0,23.4,,,0
CDM,97010083,Hc Appl Modality Hot/Cold Packs 1 Or Over Areas-Ot,60.0,23.4,,,0
CDM,97010084,Hc Traction Mechanical Physical Therapy,201.0,78.39,,,0
CDM,97010085,Hc Traction Mechanical Occupational Therapy,201.0,78.39,,,0
CDM,97010086,Hc Appl Modality Vasopneumatic Devices 1 Or Over Areas -Pt,174.0,67.86,,,0
CDM,97010087,Hc Vasopneumatic Devices Occupational Therapy,174.0,67.86,,,0
CDM,97010088,Hc Paraffin Bath Physical Therapy,159.0,62.01,,,0
CDM,97010089,Hc Paraffin Bath Occupational Therapy,159.0,62.01,,,0
CDM,97010092,Hc Appl Modality Whirlpool 1 Or Over Areas -Pt,217.0,84.63,,,0
CDM,97010097,Hc Appl Modality Whirlpool 1 Or Over Areas -Ot,217.0,84.63,,,0
CDM,97010100,Hc Diathermy Physical Therapy,129.0,50.31,,,0
CDM,97010102,Hc Appl Modality Elec Stim Ea 15 Min 1 Or Over Areas -Pt,237.0,92.43,,,0
CDM,97010103,Hc Appl Modality Elec Stim Ea 15 Min 1 Or Over Areas -Ot,237.0,92.43,,,0
CDM,97010104,Hc Iontophoresis Ea 15 Min Physical Therapy,201.0,78.39,,,0
CDM,97010105,Hc Iontophoresis Ea 15 Min Occupational Therapy,201.0,78.39,,,0
CDM,97010108,Hc Appl Modality 1 Or More Areas Ultrasound Ea 15 Min -Pt,149.0,58.11,,,0
CDM,97010109,Hc Appl Modality 1 Or More Areas Ultrasound Ea 15 Min -Ot,149.0,58.11,,,0
CDM,97010112,Hc Therapeutic Exercise Ea 15 Min Physical Therapy,226.0,88.14,,,0
CDM,97010115,Hc Therapeutic Exercise Ea 15 Min Occupational Therapy,226.0,88.14,,,0
CDM,97010118,Hc Neuromuscular Reeducation Ea 15 Min Physical Therapy,226.0,88.14,,,0
CDM,97010120,Hc Neuromuscular Reeducation Ea 15 Min Occupational Therapy,226.0,88.14,,,0
CDM,97010121,Hc Aquatic Therapy Ea 15 Min Physical Therapy,196.0,76.44,,,0
CDM,97010122,Hc Aquatic Therapy Ea 15 Min Occupational Therapy,196.0,76.44,,,0
CDM,97010124,Hc Gait Training Ea 15 Min Physical Therapy,213.0,83.07,,,0
CDM,97010125,Hc Gait Training/Bilat Asst Ea 15 Min Physical Therapy,213.0,83.07,,,0
CDM,97010126,Hc Gait Training/Bilat Asst Ea 15 Min Occupational Therapy,213.0,83.07,,,0
CDM,97010127,Hc Massage Ea 15 Min Physical Therapy,213.0,83.07,,,0
CDM,97010128,Hc Massage Ea 15 Min Occupational Therapy,213.0,83.07,,,0
CDM,97010133,Hc Manual Therapy Ea 15 Min Physical Therapy,250.0,97.5,,,0
CDM,97010134,Hc Manual Therapy Ea 15 Min Occupational Therapy,250.0,97.5,,,0
CDM,97010137,Hc Therapeutic Procedures Group 2 Or More Individuals -Ot,163.0,63.57,,,0
CDM,97010138,Hc Therapeutic Procedures Group 2 Or More Individuals -Pt,163.0,63.57,,,0
CDM,97010140,Hc Therapeutic Activities Ea 15 Min Occupational Therapy,201.0,78.39,,,0
CDM,97010143,Hc Sensory Integration Ea 15 Min Physical Therapy,125.0,48.75,,,0
CDM,97010144,Hc Sensory Integration Ea 15 Min Occupational Therapy,125.0,48.75,,,0
CDM,97010145,Hc Selfcare/Home Mgmt Trng Ea 15 Min Physical Therapy,214.0,83.46,,,0
CDM,97010146,Hc Selfcare/Home Mgmt Trng Ea 15 Min Occupational Therapy,214.0,83.46,,,0
CDM,97010149,Hc Community Reintegration Ea 15 Min Physical Therapy,152.0,59.28,,,0
CDM,97010150,Hc Community Reintegration Ea 15 Min Occupational Therapy,152.0,59.28,,,0
CDM,97010151,Hc Wheelchair Mgmt Training Ea 15 Min Physical Therapy,302.0,117.78,,,0
CDM,97010152,Hc Wheelchair Mgmt Training Ea 15 Min Occupational Therapy,302.0,117.78,,,0
CDM,97010153,Hc Work Hardening/Cont Pt 1St 2 Hours,299.0,116.61,,,0
CDM,97010154,Hc Work Hardening/Conditioning 1St 2 Hours - Ot,299.0,116.61,,,0
CDM,97010155,Hc Add-On Work Hardening/Cond Pt Each Add'l Hour,126.0,49.14,,,0
CDM,97010156,Hc Add-On For Extra Work Hardening/Conditioning Occupational Therapy,126.0,49.14,,,0
CDM,97010157,Hc Debride Open Wound 1St 20Sqcm Or Less - Pt,2187.0,852.93,,,0
CDM,97010159,Hc Debride Open Wound 1St 20Sqcm Or Less - Ot,2187.0,852.93,,,0
CDM,97010161,Hc Debridement Open Wound Each Additional 20 Sq Cm - Pt,2654.0,1035.06,,,0
CDM,97010163,Hc Selective Debride/Dressing Ea Add 20Sqcm -Ot,2654.0,1035.06,,,0
CDM,97010165,Hc Physical Performance Testing Ea 15 Min Physical Therapy,128.0,49.92,,,0
CDM,97010167,Hc Physical Performance Testing Ea 15 Min Occupational Therapy,128.0,49.92,,,0
CDM,97010169,Hc Ortho Fitting/Training Ea 15 Min Physical Therapy,154.0,60.06,,,0
CDM,97010171,Hc Ortho Fitting/Training Ea 15 Min Occupational Therapy,154.0,60.06,,,0
CDM,97010173,Hc Prosthetic Training/ Ea 15 Min Physical Therapy,255.0,99.45,,,0
CDM,97010175,Hc Prosthetic Training/ Ea 15 Min Occupational Therapy,255.0,99.45,,,0
CDM,97010182,Hc Job Placement Assessment/Physical Therapy,293.0,114.27,,,0
CDM,97010184,Hc Job Placement Assessment Occupational Therapy,293.0,114.27,,,0
CDM,97010185,Hc Elec Stim Other Than Wound 1 Or More Areas - Pt,547.0,213.33,,,0
CDM,97010186,Hc Elec Stim Other Than Wound 1 Or More Areas - Ot,547.0,213.33,,,0
CDM,97010195,Hc Therapeutic Activities Ea 15 Min Physical Therapy,201.0,78.39,,,0
CDM,97010206,Hc Ahp Prefab Dynamic Pipj Splint,142.83,55.7,,,0
CDM,97010207_270,Noncdm Charge Record Medical Supplies - Hc Zz Ahp Prefab Resting Hand Splint- Use 27400087,549.33,214.24,,,0
CDM,97010207_L3931_274,Noncdm Charge Record Medical Supplies - Hc Zz Ahp Prefab Resting Hand Splint- Use 27400087,549.58,214.34,,,0
CDM,97010209,Hc Evaluation Of Speech Fluency,626.0,244.14,,,0
CDM,97010213,Hc Evaluate Speech Production,626.0,244.14,,,0
CDM,97010217,Hc Eval Speech Sound Lang Compreh,626.0,244.14,,,0
CDM,97010221,Hc Eval Behavral Qualit Analys Voice,626.0,244.14,,,0
CDM,97010227,Hc Static Elbow Splnt-Not Incl Wrst,717.36,279.77,,,0
CDM,97010228,Hc Static Elbow Splnt-Incl Wrst,1981.92,772.95,,,0
CDM,97010229,Hc Dyn/Stat Prog Elb Splnt Nt Prefb,2128.9449999999997,830.29,,,0
CDM,97010230,Hc Dyn/Stat Prog Mpj Pipj-Inc Wr,1135.4,442.81,,,0
CDM,97010232,Hc Wrist Cock-Up Includes Fitting And Adj W/O Joints,1073.335,418.6,,,0
CDM,97010233,Hc Elbow Orthosis Forearm/Arm Cuffs Free Motion,687.65,268.18,,,0
CDM,97010234,Hc Elbow Orthosis Forearm/Arm Cuffs Ext Flex-Asst,777.23,303.12,,,0
CDM,97010235,Hc Ewhfo Rigid W/O Jnts Cf,2128.9449999999997,830.29,,,0
CDM,97010236,Hc Ewhfo W/Joints Cf,1884.74,735.05,,,0
CDM,97010238,Hc Who Dyn Wrist/Hand Nontorsion Jntst Custom,1053.4250000000002,410.84000000000003,,,0
CDM,97010242,Hc Finger Orthosis Non Torsion Joint Custom Fab Incl Fit Or Adj,547.93,213.69,,,0
CDM,97010243,Hc Unlisted Therapeutic Rehab-Physical Therapy,201.0,78.39,,,0
CDM,97010250,Hc Pt Eval Low Complex 20 Min,325.0,126.75,,,0
CDM,97010251,Hc Pt Eval Mod Complex 30 Min,350.0,136.5,,,0
CDM,97010252,Hc Pt Eval High Complex 45 Min,375.0,146.25,,,0
CDM,97010253,Hc Physical Therapy Re-Eval Est Plan Care 20 Mins - Pt,275.0,107.25,,,0
CDM,97010254,Hc Ot Eval Low Complex 30 Min,383.0,149.37,,,0
CDM,97010255,Hc Ot Eval Mod Complex 45 Min,386.0,150.54,,,0
CDM,97010256,Hc Ot Eval High Complex 60 Min,391.0,152.49,,,0
CDM,97010257,Hc Ot Re-Eval Est Plan Care,247.0,96.33,,,0
CDM,97010302,Hc Orth/Prostc Mgmt Sbsq Enc Each 15 Min Pt,175.0,68.25,,,0
CDM,97010303,Hc Orth/Prostc Mgmt Sbsq Enc Each 15 Min Ot,175.0,68.25,,,0
CDM,97010320,Hc Wound Care Non Selective Physical Therapy,512.0,199.68,,,0
CDM,97010321,Hc Wound Care Non Selective Occupational Therapy,512.0,199.68,,,0
CDM,97062029,Hc Ip Only - Eval Behavral Qualit Analys Voice-45 Min,626.0,244.14,,,0
CDM,97062033,Hc Pr Low Frequency Non-Thermal Ultrasound,698.0,272.22,,,0
CDM,97062034,Hc Low Frequency Non-Thermal Ultrasound,698.0,272.22,,,0
CDM,97062699,Hc Videostroboscopy,4729.0,1844.31,,,0
CDM,97062700,Hc Eval Augumentative/Communication Device 1 Hr,629.0,245.31,,,0
CDM,97062704,Hc Apply Multilay Compress Arm/Hand Physical Therapy,871.0,339.69,,,0
CDM,97062706,Hc Application Short Leg Cast-Below Knee To Toes Phy Ther,2290.0,893.1,,,0
CDM,97062707,Hc Apply Multlay Compression Lower Leg - Pt,1182.0,460.98,,,0
CDM,97062712,Hc Rx Sp-Genratj Augmnt And Comunicaj Dev Ea 30 Min,294.0,114.66,,,0
CDM,97062715,Hc Strapping Of Toes Phyiscal Therapy,470.0,183.3,,,0
CDM,97062719,Hc Therapeutic Services Speech Generating Device,295.0,115.05,,,0
CDM,97062721,Hc Therapeutic Services Non Speech Generating Device,272.0,106.08,,,0
CDM,97062725,Hc Standardized Cognitive Performance Testing - St,359.0,140.01,,,0
CDM,97062727,Hc Cognitive Perf Test Ot Per Hr,359.0,140.01,,,0
CDM,97065004,Hc Cast/Strap Procedure Unlisted Physical Therapy,1504.0,586.56,,,0
CDM,97065007,Hc Oral Speech Device Eval,496.0,193.44,,,0
CDM,97065009,Hc Eval For Rx Of Non-Speech Prosthetic Device First Hour - St,731.0,285.09,,,0
CDM,97065018,Hc Tympanometry,405.0,157.95,,,0
CDM,97065019,Hc Tympanometrty And Acoustic Test,474.0,184.86,,,0
CDM,97065020,Hc Evoked Auditory Screen,1243.0,484.77,,,0
CDM,97065021,Hc Tinnitus Assessment,466.0,181.74,,,0
CDM,97065024,Hc Audio Pure Tone Air Onl,208.0,81.12,,,0
CDM,97065025,Hc Audio Pure Tone Air And Bone,344.0,134.16,,,0
CDM,97065026,Hc Speech Threshold,334.0,130.26,,,0
CDM,97065027,Hc Audio Sp Thres And Discrim,443.0,172.77,,,0
CDM,97065028,Hc Comprehensive Audio,1011.0,394.29,,,0
CDM,97065029,Hc Tone Decay Test,391.0,152.49,,,0
CDM,97065030,Hc Acoustic Reflex Testing,434.0,169.26,,,0
CDM,97065031,Hc Audio Visual Reinforce,485.0,189.15,,,0
CDM,97065032,Hc Audio Condtn Play,485.0,189.15,,,0
CDM,97065033,Hc Electrocochleography,1096.0,427.44,,,0
CDM,97065034,Hc Hearing Aid Chck Monarl,90.0,35.1,,,0
CDM,97065035,Hc Hearing Aid Chck Binaurl,143.0,55.77,,,0
CDM,97065036,Hc Ea Ha Check Monaural,90.0,35.1,,,0
CDM,97065037,Hc Ea Ha Check Binaural,143.0,55.77,,,0
CDM,97065040,Hc Pt Unlisted Modality Constant Attendance Ea 15 Min,467.0,182.13,,,0
CDM,97065042,Hc Acoustic Immittance Testing,802.0,312.78,,,0
CDM,97065043,Hc Hearing Aid Exam One Ear,124.0,48.36,,,0
CDM,97065044,Hc Hearing Aid Exam Both Ears,253.0,98.67,,,0
CDM,97065047,Hc Neurobehv Status Exam/Hr,1426.0,556.14,,,0
CDM,97065048,Hc Phototherapy Bilirubin Light Daily,445.0,173.55,,,0
CDM,97065053,Hc Estim Stg 3-4 Ulcer - Pt,359.0,140.01,,,0
CDM,97065054,Hc Estim Stg 3-4 Ulcer - Ot,359.0,140.01,,,0
CDM,97065055,Hc Evoked Auditory Test Complete,1320.0,514.8,,,0
CDM,97093702,Hc Bis Extracellular Fluid Alys Lymphedema Assmnt,545.0,212.55,,,0
CDM,97097037,Hc Pt Appl Modality 1 Or More Areas Low Level Laser Thy Post Op Pain Reduction,128.0,49.92,,,0
CDM,97097550,Hc Caregiver Training Strategies Techniques 1St 30 Min,182.0,70.98,,,0
CDM,97097551,Hc Caregiver Training Strategies And Techniques Ea Addl 15 Min,84.0,32.76,,,0
CDM,97097552,Hc Group Caregiver Training Strategies And Technique,77.0,30.03,,,0
CDM,976191830,KETOROLAC 10 MG TABLET,56.1,21.88,,,0
CDM,977977031,FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION,37.5,14.62,,,0
CDM,985899674,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (WRAPPED),4.5,1.76,,,0
CDM,99000001,Hc Fr Global Ivf Fee No Tx Frozen Embryo,3700.0,1443.0,,,0
CDM,99000002,Hc Fr Global Ivf W/Frozen Oocytes,3700.0,1443.0,,,0
CDM,99000003,Hc Fr Global Ivf For Fertility Preservation,2850.0,1111.5,,,0
CDM,99000004,Hc Fr Global Ivf No Transfer,3700.0,1443.0,,,0
CDM,99000005,Hc Fr Low Ivf Cost No Transfer Pgt,3700.0,1443.0,,,0
CDM,99000006,Hc Fr Global Ivf Cycle Fertility Preservation,2950.0,1150.5,,,0
CDM,99000007,Hc Fr Global Ivf Oocyte Cycle,4100.0,1599.0,,,0
CDM,99000008,Hc Fr Global Ivf Cycle,3700.0,1443.0,,,0
CDM,99000009,Hc Fr Global Frozen Embryo Transfer Cycle,1875.0,731.25,,,0
CDM,99000010,Hc Fr Donor Ivf Cycle No Transfer,3100.0,1209.0,,,0
CDM,99000015,Hc Td Vaccine Prsrv Free 7 Yrs Or Older For Im Use,78.3,30.54,,,0
CDM,99000016,Hc Tdap Vaccine 7 Yrs Or Older Im,61.5,23.98,,,0
CDM,99000017,Hc Hepa Vaccine Adult Dose For Intramuscular Use,77.5,30.22,,,0
CDM,99000018,Hc Hepb Vaccine Adult 3 Dose Schedule For Im Use,134.7,52.53,,,0
CDM,99000019,Hc Japanese Encephalitis Vaccine Inactivated Im,287.6,112.16,,,0
CDM,99000020,Hc Menacwyd/Menacwy-Crm Conj Vacc Grps Acwy Im Use,293.8,114.58,,,0
CDM,99000021,Hc Measles Mumps Rubella Virus Vaccine Live Subq,189.7,73.98,,,0
CDM,99000022,Hc Ppsv23 Vaccine 2 Yrs Or Older For Subq/Im Use,255.5,99.64,,,0
CDM,99000023,Hc Polio Ipol,80.2,31.28,,,0
CDM,99000024,Hc Rabies Avert,787.6,307.16,,,0
CDM,99000025,Hc Typhoid Vaccine Vi Capsular Polysaccharide Im,241.4,94.15,,,0
CDM,99000026,Hc Yellow Fever Vaccine Live Subq,336.9,131.39,,,0
CDM,99000027,Hc Hepatitis A & B Vaccine Hepa-Hepb Adult Im,103.0,40.17,,,0
CDM,99000028,Hc Travel Vaccine Clinic,15.2,5.93,,,0
CDM,99010011,Hc Med/Surg/Gyn,3238.0,1262.82,,,0
CDM,99010012,Hc All Inclusive Plus Ancillary Forensics,2881.0,1123.59,,,0
CDM,99010014,Hc Detoxification,5352.0,2087.28,,,0
CDM,99010017,Hc Newborn Care Level 1,1874.0,730.86,,,0
CDM,99010018,Hc Newborn Care Level 2,8358.0,3259.62,,,0
CDM,99010019,Hc Newborn Care Level 3,11351.0,4426.89,,,0
CDM,99010020,Hc Nursery Level 4 Nicu,15641.0,6099.99,,,0
CDM,99010021,Hc Icu Overflow,8460.0,3299.4,,,0
CDM,99010022,Hc Icu,10692.0,4169.88,,,0
CDM,99010024,Hc Burn Icu,14419.0,5623.41,,,0
CDM,99010026,Hc Ltac Vent,9503.0,3706.17,,,0
CDM,99010027,Hc Telemetry,9503.0,3706.17,,,0
CDM,99010032,Hc Newborn Care Level 3 - Transfer Rule,8822.38,3440.73,,,0
CDM,99010033,Hc Newborn Care Level 2 - Transfer Rule,2906.86,1133.68,,,0
CDM,99010035,Hc Observation Room-Transfer Rule,219.58,85.64,,,0
CDM,99010036,Hc Semi Private - Transfer Rule,1396.5,544.64,,,0
CDM,99010039,Hc Obstetrics,3238.0,1262.82,,,0
CDM,99010040,Hc Ltac Standard Non-Vent,3238.0,1262.82,,,0
CDM,99010041,Hc Behavioral Health,5352.0,2087.28,,,0
CDM,99010045,Hc Intermediate Care Imcu,9503.0,3706.17,,,0
CDM,99010046,Hc Surgical Icu,12013.0,4685.07,,,0
CDM,99010047,Hc Trauma Icu,14419.0,5623.41,,,0
CDM,99010048,Hc Ccu,10692.0,4169.88,,,0
CDM,99010051,Hc Pediatric Icu,10692.0,4169.88,,,0
CDM,99010052,Hc Pediatric Med/Surg,3238.0,1262.82,,,0
CDM,99010053,Hc High Risk Care,9503.0,3706.17,,,0
CDM,99010054,Hc Hospital At Home,2325.0,906.75,,,0
CDM,99010091,Hc Swing Bed,980.0,382.2,,,0
CDM,99019000,Hc Observation Carve-Out Radiology,1.9,0.74,,,0
CDM,99019001,Hc Observation Carve-Out Gastrointestional,1.9,0.74,,,0
CDM,99019002,Hc Observation Carve-Out Cardiology,1.9,0.74,,,0
CDM,99019003,Hc Observation Carve-Out Respiratory,1.9,0.74,,,0
CDM,99019004,Hc Observation Carve-Out Surgical,1.9,0.74,,,0
CDM,99019005,Hc Observation Carve-Out Dialysis,1.9,0.74,,,0
CDM,99019006,Hc Observation Carve-Out Physical Therapy,1.9,0.74,,,0
CDM,99101000,Hc Observation,12.41,4.84,,,0
CDM,99101000_A,Hc Observation,1.9949999999999999,0.78,,,0
CDM,99101001,Hc Obv Icu,36.05,14.06,,,0
CDM,99101001_A,Hc Obv Icu,6.529999999999999,2.55,,,0
CDM,99102000,Hc Obv Tele/High Risk/Imcu,32.06,12.5,,,0
CDM,99102000_A,Hc Obv Tele/High Risk/Imcu,5.795,2.26,,,0
CDM,99103000,Hc Direct Refer Hospital Observ,1625.8,634.06,,,0
CDM,991526121,"NEOMYCIN-POLYMYXIN-HYDROCORT 3.5 MG/ML-10,000 UNIT/ML-1 % EAR SOLUTION",643.6,251.0,,,0
CDM,99301001,Hc Hbot Full Body Chamber Ea 30 Min Interval,2486.0,969.54,,,0
CDM,99301003,Hc Telehealth Facility Fee,183.0,71.37,,,0
CDM,C9352,Noncdm Charge Record Medical Supplies - Neuragen Nerve Guide Per Cm,9775.58,3812.48,,,0
CDM,C9353,Noncdm Charge Record Medical Supplies - Neurawrap Nerve Protectorcm,9865.62,3847.59,,,0
CDM,L_3137053,Unreturned Medical Equipment,6600.0,2574.0,,,0
CDM,L_3220076,Aud Evoked Potential Screening,600.0,234.0,,,0
CDM,L_3376090,Suture Plain Gut,85.9,33.5,,,0
CDM,L_3376091,Suture Vicryl General,12.42,4.84,,,0
CDM,L_3376092,Suture Pds Mono,28.98,11.3,,,0
CDM,L_3376093,Suture Chromic Gut,16.56,6.46,,,0
CDM,L_3376094,Adhesive Barrier Seprafilm,1679.8,655.12,,,0
CDM,L_3376097,Vacurette Straight 16 Mm,28.98,11.3,,,0
CDM,L_3376155,Suture Vicryl Ct,16.56,6.46,,,0
CDM,L_3376156,Suture Vicryl Sh,18.63,7.27,,,0
CDM,L_3376158,Retractor Alexis,478.17,186.49,,,0
CDM,L_3376159,Powder Hemostasis Arista,986.36,384.68,,,0
CDM,L_3376174,Floseal,893.2,348.35,,,0
CDM,L_3376177,Suture 3-0 Ks 27 Monocryl,22.77,8.88,,,0
CDM,L_3500012,Collect Capillary Blood Finger,45.0,17.55,,,0
CDM,L_3511177,Unlisted Proc Musc Sys General,896.0,349.44,,,0
CDM,L_3541140,Shave Sgl Lsn Face/Ears <0.5Cm,543.0,211.77,,,0
CDM,L_3541175,Srep F/E/N/L/Mm 2.6-5.0 Cm,867.0,338.13,,,0
CDM,L_3551172,Us Sgl Organ Bladder,1547.0,603.33,,,0
CDM,L_3611102,Immunohisto Antibody Stain,407.0,158.73,,,0
CDM,L_3625228,Specimen Mailing,195.62,76.29,,,0
CDM,L_3625504,Special Handling,341.55,133.2,,,0
CDM,L_3625601,Washing Procedure Fee,442.52,172.58,,,0
CDM,L_3625837,Alloadsorption Ref Lab,318.0,124.02,,,0
CDM,L_3625857,Kidney Transplant Nat-Ref Lab,30.02,11.71,,,0
CDM,L_3625858,Bmt Trans Td Testing-Ref Lab,82.8,32.29,,,0
CDM,L_3625957,Preparation Car-T Cells,1020.0,397.8,,,0
CDM,L_3625958,Receipt/Prepare Car-T Cells,1020.0,397.8,,,0
CDM,L_3626205,Tray Central Line Adult,97.29,37.94,,,0
CDM,L_3626514,Harv Autologous Cart-T Cells,9636.0,3758.04,,,0
CDM,L_3626995,Apheresis Kit (Supply),1357.92,529.59,,,0
CDM,L_3635071,Hemosiderin (Urine) Qual,84.0,32.76,,,0
CDM,L_3650039,Vitamin K,342.0,133.38,,,0
CDM,L_3650114,Cyp3A5,629.0,245.31,,,0
CDM,L_3650122,Noncdm Legacy Charge,777.0,303.03,,,0
CDM,L_3650134,Pcca Ab Igg,44.0,17.16,,,0
CDM,L_3650142,Mitochondrial Sequencing,3552.0,1385.28,,,0
CDM,L_3650144,Hhv-7 Quant Pcr,1353.0,527.67,,,0
CDM,L_3650177,Musk Ab Immuno Qn Ria,576.0,224.64,,,0
CDM,L_3650213,Antimullerian Hormone,312.0,121.68,,,0
CDM,L_3650224,Achr Binding Antibody By Ria,156.0,60.84,,,0
CDM,L_3650599,Gabapentin,150.0,58.5,,,0
CDM,L_3651109,Insulin-Like Growth Factor 1,183.0,71.37,,,0
CDM,L_3651161,Noncdm Legacy Charge,90.0,35.1,,,0
CDM,L_3651404,Noncdm Legacy Charge,48.0,18.72,,,0
CDM,L_3651405,Noncdm Legacy Charge,48.0,18.72,,,0
CDM,L_3651425,Noncdm Legacy Charge,186.0,72.54,,,0
CDM,L_3651426,Noncdm Legacy Charge,610.0,237.9,,,0
CDM,L_3651613,"Beta 2 Gp1 Ab Iga, S",219.0,85.41,,,0
CDM,L_3651902,Noncdm Legacy Charge,117.0,45.63,,,0
CDM,L_3652533,Greenwood Spec Referral Misc,1100.0,429.0,,,0
CDM,L_3652570,Quantitative Hemoglobin Id,900.0,351.0,,,0
CDM,L_3652623,"Estrogens, Fractionated",117.0,45.63,,,0
CDM,L_3652706,Laminaribiosde Carb Ab,92.0,35.88,,,0
CDM,L_3652713,Chitobioside Carb Ab,92.0,35.88,,,0
CDM,L_3653147,Sflt-1/Pigf Ratio,1080.0,421.2,,,0
CDM,L_3910107,Stern Clavic Joint Min 3 Views,650.0,253.5,,,0
CDM,L_3910224,Open Liver Abscess Drainage,1524.0,594.36,,,0
CDM,L_3910228,Open Retroperitoneal Abscess,1524.0,594.36,,,0
CDM,L_3910231,Open Renal Abscess Drain,9620.0,3751.8,,,0
CDM,L_3910580,Dilation Biliary Duct Wo Stent,5386.0,2100.54,,,0
CDM,L_3910660,Xr Bone Survey Limited Mets,390.0,152.1,,,0
CDM,L_3914128,Noncdm Legacy Charge,3422.0,1334.58,,,0
CDM,L_3914135,Noncdm Legacy Charge,2087.0,813.93,,,0
CDM,L_3914156,Noncdm Legacy Charge,452.0,176.28,,,0
CDM,L_3916077,Basic Vascular Needles,21.74,8.48,,,0
CDM,L_3916078,Microset Vascular Needles,164.5,64.16,,,0
CDM,L_3916079,Neff Vascular Needles,468.86,182.86,,,0
CDM,L_3916080,Suture Needles,17.59,6.86,,,0
CDM,L_3916081,Muelographic Needles,49.68,19.38,,,0
CDM,L_3916082,Biopsy,182.16,71.04,,,0
CDM,L_3916083,Biopsy Needles,1079.51,421.01,,,0
CDM,L_3916084,Nephrostomy Needles,264.96,103.33,,,0
CDM,L_3916085,Abscess Needles,120.06,46.82,,,0
CDM,L_3916086,Basic Diag Guidewires,114.88,44.8,,,0
CDM,L_3916087,Shorty/Tad/Loc/Wholey Guidewir,412.96,161.05,,,0
CDM,L_3916088,Snare Guidewires,324.99,126.75,,,0
CDM,L_3916089,Microcuidewires,832.14,324.53,,,0
CDM,L_3916090,Gdc Guidewires,1816.42,708.4,,,0
CDM,L_3916091,Basic Dilators,46.58,18.17,,,0
CDM,L_3916092,1Fr/Amplatz Dilators,120.06,46.82,,,0
CDM,L_3916093,Amplatz Dilators,875.61,341.49,,,0
CDM,L_3916094,Basic Sheaths,86.94,33.91,,,0
CDM,L_3916095,Intermediate Sheaths,291.87,113.83,,,0
CDM,L_3916096,Balkin 45 Sheaths,540.27,210.71,,,0
CDM,L_3916097,Coils,598.23,233.31,,,0
CDM,L_3916098,Gdc Coils,4302.5,1677.98,,,0
CDM,L_3916099,Gdc Coils 18,4176.23,1628.73,,,0
CDM,L_3916100,Particles,428.49,167.11,,,0
CDM,L_3916101,Stat Loc Picc Lines,23.8,9.28,,,0
CDM,L_3916102,Groshong/Lumin Picc Lines,766.94,299.11,,,0
CDM,L_3916103,Basic Diagnostic Catherters,102.46,39.96,,,0
CDM,L_3916104,Intermediate Diagnostic Cather,536.13,209.09,,,0
CDM,L_3916105,Abscess Drainage Catheters,412.96,161.05,,,0
CDM,L_3916106,Biliary Drainage Catheters,439.88,171.55,,,0
CDM,L_3916107,Microcatheters,1846.44,720.11,,,0
CDM,L_3916108,Gdc Microcatheters,2060.68,803.67,,,0
CDM,L_3916109,Snare Catheters,1811.25,706.39,,,0
CDM,L_3916110,Guiding Catheters,633.42,247.03,,,0
CDM,L_3916111,Av-60/Etrain Angio Jet Cath.,2782.08,1085.01,,,0
CDM,L_3916112,Lf140 Angio Jet Cath.,5952.28,2321.39,,,0
CDM,L_3916113,Dialysis Cath. Permanent,2469.51,963.11,,,0
CDM,L_3916114,Dialysis Cath. Temporary,538.2,209.9,,,0
CDM,L_3916115,Sterile Covers,68.3,26.64,,,0
CDM,L_3916116,Ivc/Jugular-Ivc Filters,5364.4,2092.12,,,0
CDM,L_3916117,Basic Stopcocks,28.98,11.3,,,0
CDM,L_3916118,Metal Stopcocks,183.12,71.42,,,0
CDM,L_3916119,Syringes,55.88,21.79,,,0
CDM,L_3916120,Tubing,61.05,23.81,,,0
CDM,L_3916121,Basic Set,108.66,42.38,,,0
CDM,L_3916122,Pneumothorax Set/Kit,451.26,175.99,,,0
CDM,L_3916123,Pump/Abscess Set/Kit,939.78,366.51,,,0
CDM,L_3916124,Gdc Cable/Barrty/Torque Vise,163.49,63.76,,,0
CDM,L_3916125,Sump 24Fr/Encore-26 Device,488.52,190.52,,,0
CDM,L_3916126,Nephrostomy Stents,593.05,231.29,,,0
CDM,L_3916127,#1 Wallstents,7628.98,2975.3,,,0
CDM,L_3916128,#2 Wallstents,9871.83,3850.01,,,0
CDM,L_3916129,Basic Angioplasty Balloos,1326.87,517.48,,,0
CDM,L_3916130,Xxl/Angioplasty Ballons,1760.54,686.61,,,0
CDM,L_3916134,Gdc Coils 10 3D,5938.83,2316.14,,,0
CDM,L_3916135,Gdc Coils 18 3D,6349.72,2476.39,,,0
CDM,L_3916137,Spinal Patient Prep Kit,509.22,198.6,,,0
CDM,L_3916138,Ez Flow Cement Delivery,2781.04,1084.61,,,0
CDM,L_3916139,6F Suture Closure System,1450.04,565.52,,,0
CDM,L_3916141,Snared Knot Pusher,133.51,52.07,,,0
CDM,L_3916147,Trufin Glue,8686.75,3387.83,,,0
CDM,L_3916161,Pulse Ox Probe,68.3,26.64,,,0
CDM,L_3916162,Tips Stent,2560.59,998.63,,,0
CDM,L_3916171,Thrombin Injection,1226.0,478.14,,,0
CDM,L_3916172,Ins Non-Tunnel Cv Cath <5Yrs,4154.0,1620.06,,,0
CDM,L_3916292,Port Port-A-Cath,1196.46,466.62,,,0
CDM,L_3916295,System Infusion Trinav,33689.25,13138.81,,,0
CDM,L_3916347,Device Revasc Solitaire,40072.1,15628.12,,,0
CDM,L_3916351,Cath Emboli Flowtriever,44712.0,17437.68,,,0
CDM,L_3916352,Sheath Thrombo Clottriever Lf,5216.4,2034.4,,,0
CDM,L_3916353,Cath Thrombo Clottriever,20865.6,8137.58,,,0
CDM,L_3916387,Venipuncture > Age 3 Requiring,194.0,75.66,,,0
CDM,L_3916393,Inject Vascular Unlisted Proce,11620.0,4531.8,,,0
CDM,L_3916423,Cement Bone W/ Injection,688.28,268.43,,,0
CDM,L_3916424,Tube Jejunostomy 18Fr-22Fr,972.9,379.43,,,0
CDM,L_3916425,Cath Balloon Dil 101-150,500.94,195.37,,,0
CDM,L_3916426,Cath Balloon Dil 151-200,805.23,314.04,,,0
CDM,L_3916427,Cath Balloon Dil 201-250,979.11,381.85,,,0
CDM,L_3916428,Embolization Angio Guidewire,7824.6,3051.59,,,0
CDM,L_3916429,Tube Jejunostomy Mic-Key,1461.42,569.95,,,0
CDM,L_3916431,Tube Gastrostomy 18Fr,134.55,52.47,,,0
CDM,L_3916433,Catheter Needle,64.17,25.03,,,0
CDM,L_3916434,Cath Drainage 51-100,409.86,159.85,,,0
CDM,L_3916435,Cath Kit Dual Lumen,761.76,297.09,,,0
CDM,L_3916436,Cath Dialysis 27 Cm,1109.52,432.71,,,0
CDM,L_3916437,Cath Dialysis 28Cm,1370.34,534.43,,,0
CDM,L_3916438,Applicator Mw Ablation,19561.5,7628.98,,,0
CDM,L_3916439,Brush Cytology,380.88,148.54,,,0
CDM,L_3916440,Bandage Hemostatic Flowabl,509.22,198.6,,,0
CDM,L_3916441,Button Suture Perchik,70.38,27.45,,,0
CDM,L_3916442,Canister Penumbra Engine,1587.69,619.2,,,0
CDM,L_3916443,Cath Angplast,703.8,274.48,,,0
CDM,L_3916444,Coil Embo Detach Helical,239.08,93.24,,,0
CDM,L_3916445,Cath Angiographic 0-50,105.57,41.17,,,0
CDM,L_3916446,Catheter Angio 50-100,277.38,108.18,,,0
CDM,L_3916447,Cath Angio Micro,3221.96,1256.56,,,0
CDM,L_3916449,Cath Angio 151-200,534.06,208.28,,,0
CDM,L_3916451,Catheter Aspiration,10432.8,4068.79,,,0
CDM,L_3916452,Catheter Ballast,2109.33,822.64,,,0
CDM,L_3916453,Catheter Ballon Sceptor Occ,5477.22,2136.12,,,0
CDM,L_3916454,Catheter Ballon Sceptor Tra,6650.91,2593.85,,,0
CDM,L_3916457,Catheter Delivery System,2934.22,1144.35,,,0
CDM,L_3916458,Catheter Distal Access,5679.04,2214.83,,,0
CDM,L_3916459,Catheter Embolectomy,705.87,275.29,,,0
CDM,L_3916461,Catheter Guiding Distal,9761.08,3806.82,,,0
CDM,L_3916462,Catheter Guiding Sofia,5947.11,2319.37,,,0
CDM,L_3916463,Catheter Guiding Axs Infinity,2189.02,853.72,,,0
CDM,L_3916464,Catheter Guiding Ansel,334.3,130.38,,,0
CDM,L_3916465,Catheter Hydrophilic,277.38,108.18,,,0
CDM,L_3916466,Catheter Infusion Micro,4077.9,1590.38,,,0
CDM,L_3916470,Catheter Intracranial,7995.38,3118.2,,,0
CDM,L_3916472,Cath Intracranial Sofia,6650.91,2593.85,,,0
CDM,L_3916473,Catheter Micro  801-850,3537.63,1379.68,,,0
CDM,L_3916474,Catheter Micro 851-950,3840.88,1497.94,,,0
CDM,L_3916475,Cath Micro Headway 1001-1150,4955.58,1932.68,,,0
CDM,L_3916476,Cath Micro Headway 1051-1100,4694.76,1830.96,,,0
CDM,L_3916478,Cath Micro Phenom 1351-1500,6085.8,2373.46,,,0
CDM,L_3916480,Catheter Micro Progreat,1642.54,640.59,,,0
CDM,L_3916482,Cement Bone Radiopaque,370.53,144.51,,,0
CDM,L_3916483,Device Vascular Closure,840.42,327.76,,,0
CDM,L_3916484,Coil Azur Detachable 951-1000,4336.65,1691.29,,,0
CDM,L_3916485,Coil Azur Detach 1401-1450,6262.78,2442.48,,,0
CDM,L_3916486,Coil Emb Axium Prime,8195.13,3196.1,,,0
CDM,L_3916489,Coil Emb Nester Cook 101-150,484.38,188.91,,,0
CDM,L_3916491,Coil Emb Cosmos  1301-1350,5868.45,2288.7,,,0
CDM,L_3916494,Coil Embo Hydro Frm Cro,8476.65,3305.89,,,0
CDM,L_3916496,Coil Embolization Hypersoft,11249.42,4387.27,,,0
CDM,L_3916497,Coil Embo Hyd Frm 4Mm X 8Cm,10846.8,4230.25,,,0
CDM,L_3916498,Coil Optimax Complex Ss,7021.44,2738.36,,,0
CDM,L_3916501,Controller Deta Coil Azur,873.54,340.68,,,0
CDM,L_3916502,Dvc Detacher Coil Axium Xcel,648.95,253.09,,,0
CDM,L_3916503,Device Bone Biopsy Kyphx,481.28,187.7,,,0
CDM,L_3916504,Device Closure,1599.08,623.64,,,0
CDM,L_3916505,"Device Compression Rg, Lg",217.35,84.77,,,0
CDM,L_3916507,Dvc Closure Vascular Mynxace,1004.98,391.94,,,0
CDM,L_3916508,Device Suture Retention Flowst,869.4,339.07,,,0
CDM,L_3916509,Dilator Sheath Peel Away,419.18,163.48,,,0
CDM,L_3916510,Endopros Viabahn Vbx Blln Exp,16158.42,6301.78,,,0
CDM,L_3916511,Filter Dvt Femoral Or Jug,5474.12,2134.91,,,0
CDM,L_3916512,Controller Detachment V-Grip,805.23,314.04,,,0
CDM,L_3916513,Guidewire Aristotle,2152.8,839.59,,,0
CDM,L_3916514,Guidewire Aristotle Standard,3407.22,1328.82,,,0
CDM,L_3916515,Guidewire Exchange Micro,550.62,214.74,,,0
CDM,L_3916516,Glidewire Shapeable,216.32,84.36,,,0
CDM,L_3916517,Guidewire Starter,138.69,54.09,,,0
CDM,L_3916518,Guidewire Strokewire,2500.56,975.22,,,0
CDM,L_3916519,Guidewire Teflon Coated,54.86,21.4,,,0
CDM,L_3916520,Guidewire Vascular Stryker,2746.89,1071.29,,,0
CDM,L_3916522,Intro Cath Raabe Mod Wo/Radio,283.59,110.6,,,0
CDM,L_3916523,Introducer Micropuncture,126.27,49.25,,,0
CDM,L_3916524,Intro Sheath  Dilator Tuohy,580.64,226.45,,,0
CDM,L_3916525,Intro Sheath Access Set,1915.78,747.15,,,0
CDM,L_3916526,Sheath Dryseal Flex 16Fr,3364.78,1312.26,,,0
CDM,L_3916529,Cath Intracranial Bnchmk,4239.36,1653.35,,,0
CDM,L_3916530,Needle Bx Supercore 0-50,217.35,84.77,,,0
CDM,L_3916531,Needle Bx Supercore 51-100,434.7,169.53,,,0
CDM,L_3916535,Plug Micro Vascular,6737.85,2627.76,,,0
CDM,L_3916536,Particles Embolization,2638.22,1028.91,,,0
CDM,L_3916537,Particles Emboli 500-700U,1055.7,411.72,,,0
CDM,L_3916538,Particles Emboli Liquid,12150.9,4738.85,,,0
CDM,L_3916539,Port Powerport Kit,1513.17,590.14,,,0
CDM,L_3916540,Port Powerport Clearview,1191.29,464.6,,,0
CDM,L_3916541,Set Hemodialysis Dual,321.88,125.53,,,0
CDM,L_3916544,Biopsy Liver Access Trans Jug,1927.17,751.6,,,0
CDM,L_3916545,Set Gastrointestinal Anchor,492.66,192.14,,,0
CDM,L_3916546,Stent Catheter Resl 651-700,3013.92,1175.43,,,0
CDM,L_3916548,Stent Catheter Resl 701-750,3152.61,1229.52,,,0
CDM,L_3916549,Stent Carotid Tapered,7499.61,2924.85,,,0
CDM,L_3916550,Stent Endoprosthesis,23022.54,8978.79,,,0
CDM,L_3916551,Stent Revascular Solitaire,33037.2,12884.51,,,0
CDM,L_3916552,Stent Ureteral Radio,470.92,183.66,,,0
CDM,L_3916553,Stent Ureteral Mac,382.95,149.35,,,0
CDM,L_3916554,Stent Vascular  Self Ex,9207.36,3590.87,,,0
CDM,L_3916558,Tray Oncontrol Coaxia,1835.06,715.67,,,0
CDM,L_3916560,Kit Tamp Bone Kyphon,13194.18,5145.73,,,0
CDM,L_3916561,Wire Aristotle 24 Soft 200Cm,3238.52,1263.02,,,0
CDM,L_3916562,Introducer Accustick Ii,396.4,154.6,,,0
CDM,L_3916563,Dual Lumen Cath Microintro,1208.88,471.46,,,0
CDM,L_3916564,Port Iv Apheres Powerflow,2978.73,1161.7,,,0
CDM,L_3916565,Tube Feeding Tube Mic Jejunal,565.11,220.39,,,0
CDM,L_3916566,Tubing Aspiration Riptid,1196.46,466.62,,,0
CDM,L_3916567,Tubing High-Flow,1587.69,619.2,,,0
CDM,L_3916569,Valve Hemostasis Rotating,101.43,39.56,,,0
CDM,L_3916570,Sheath Clottriever 13Fr 15Cm,10867.5,4238.32,,,0
CDM,L_3916571,Catheter Phenom Plus,10345.86,4034.89,,,0
CDM,L_3916573,Catheter Reperfusion 3Mx,7085.61,2763.39,,,0
CDM,L_3916574,Catheter Guiding 5Fr Sofia,6240.02,2433.61,,,0
CDM,L_3916578,Set Transjugular Liver Biopsy,2387.74,931.22,,,0
CDM,L_3916579,Catheter Balloon Dil 9Fr,2170.4,846.46,,,0
CDM,L_3916580,Liver Access Ring Trans  Ndl,2113.47,824.25,,,0
CDM,L_3916582,Guidewire Vascular Straight,1549.4,604.27,,,0
CDM,L_3916585,Remover Filter Vena Cava Cook,1529.73,596.59,,,0
CDM,L_3916586,Guidewire Vas Soft Coil Tip,1313.42,512.23,,,0
CDM,L_3916587,Pump Riptide Collection,1304.1,508.6,,,0
CDM,L_3916588,Cath Powerport Slim Clearvue,1196.46,466.62,,,0
CDM,L_3916589,Guidewire Vascular  Angled,900.45,351.18,,,0
CDM,L_3916591,Catheter Penumbra,544.41,212.32,,,0
CDM,L_3916592,Cath Sheath Slender Nitinol,363.28,141.68,,,0
CDM,L_3916593,Device Torque Guidewire,66.24,25.83,,,0
CDM,L_3916594,Device Vascular Compression,89.01,34.71,,,0
CDM,L_3916595,Drape Picc Line,74.52,29.06,,,0
CDM,L_3916596,Valve Honor Hemostasis Valve,66.24,25.83,,,0
CDM,L_3916597,Sponge Gelatin,158.35,61.76,,,0
CDM,L_3916599,Guidewire Vasc Nitinol Ck 0-51,148.0,57.72,,,0
CDM,L_3916600,Set Introducer Cath Transi,145.94,56.92,,,0
CDM,L_3916601,Guidewire Straight Exchange,629.28,245.42,,,0
CDM,L_3916602,Set Introducer Cath Ring Trans,372.6,145.31,,,0
CDM,L_3916603,Set Neff Percutaneous Access S,296.01,115.44,,,0
CDM,L_3916604,Sheath Performer 16Frx45Cm,513.36,200.21,,,0
CDM,L_3916605,Cath Balloon Dil Pta Rapid,1043.28,406.88,,,0
CDM,L_3916606,Guidewire Vascular Torque,347.76,135.63,,,0
CDM,L_3916607,Guidewire Vas Str Amplatz 0-50,204.93,79.92,,,0
CDM,L_3916608,Guidewire Vasc Style Nitrex,352.94,137.65,,,0
CDM,L_3916609,Guidewire Vasc Cont Wire Ice,422.28,164.69,,,0
CDM,L_3916610,Kit Microintroducer Echpgenic,82.8,32.29,,,0
CDM,L_3916611,Microspheres Embozene,695.52,271.25,,,0
CDM,L_3916612,Kit Y Connector Single Side,74.52,29.06,,,0
CDM,L_3916615,Guidewire Vasc Super Stiff,113.85,44.4,,,0
CDM,L_3916617,Catheter Angio Pigtail,59.0,23.01,,,0
CDM,L_3916618,Needle Chiba Biopsy 22Ga 10Cm,46.58,18.17,,,0
CDM,L_3916619,Dilator Vessell/Standard,47.61,18.57,,,0
CDM,L_3916620,Sheath Pinnacle Coronary,49.68,19.38,,,0
CDM,L_3916621,Catheter Angio Vert Curve,52.78,20.58,,,0
CDM,L_3916622,Valve Homostasis Flo40Xr,52.78,20.58,,,0
CDM,L_3916623,Kit Co2 Baster Bag,54.86,21.4,,,0
CDM,L_3916627,Probe Rf Ablation Sys Osteocoo,19561.5,7628.98,,,0
CDM,L_3916628,Cement Bone Radiopaque,370.53,144.51,,,0
CDM,L_3916635,Needle Biopsy,55.89,21.8,,,0
CDM,L_3916636,Cath Drainage Cook Medical,302.22,117.87,,,0
CDM,L_3916637,Guidewire Aristotle 14 Soft 20,2065.86,805.69,,,0
CDM,L_3916638,Coil Embolication Advance,6358.0,2479.62,,,0
CDM,L_3916639,Cath Balloon Dilat Pta Viatrac,935.64,364.9,,,0
CDM,L_3916640,Cath Drainage Ultrathane,294.98,115.04,,,0
CDM,L_3916643,Coil Microplex  3Mm X 8Cm,8476.65,3305.89,,,0
CDM,L_3916644,Coil Embol Concerto 2Mm X 8Cm,3156.75,1231.13,,,0
CDM,L_3916645,Coil Optimax Complex Ss  7Mm X,9977.4,3891.19,,,0
CDM,L_3916646,Guidewire Heparin Coating,245.3,95.67,,,0
CDM,L_3916647,Device Embolic Spire Wire 5Mm,5630.4,2195.86,,,0
CDM,L_3916648,Gdwire Vascular Torque,900.45,351.18,,,0
CDM,L_3916657,Cath Angio Adv Torcon,107.64,41.98,,,0
CDM,L_3916659,Guidewire 35 X 260 3J,77.62,30.27,,,0
CDM,L_3916662,Guidewire Vas .021In 145Cm,95.22,37.14,,,0
CDM,L_3916666,Needle 18Ga 10Cm Chiba,49.68,19.38,,,0
CDM,L_3916667,Needle Biopsy Asp Chiba 21Ga,54.86,21.4,,,0
CDM,L_3916668,Needle Chiba Bio 18Ga 15Cm,61.06,23.81,,,0
CDM,L_3916670,Tube Drain 14Fr 40Cm,55.89,21.8,,,0
CDM,L_3916678,Guidewire Bentson Cerebral,77.62,30.27,,,0
CDM,L_3916680,Guidewire T-Coated Amplatz,127.3,49.65,,,0
CDM,L_3916686,Catheter Set Lumen Guide,204.93,79.92,,,0
CDM,L_3916687,Stent Universal Soft Ureteral,215.28,83.96,,,0
CDM,L_3916690,Catheter Balloon Dilatation,339.48,132.4,,,0
CDM,L_3916716,Brush Cytology,518.54,202.23,,,0
CDM,L_3916722,Cath Pneum Kit Drainage,1068.12,416.57,,,0
CDM,L_3916728,Tube Gastros Balloon,134.55,52.47,,,0
CDM,L_3916729,Needle Introducer Micro,125.69,49.02,,,0
CDM,L_3916734,Guidewire Vascular  Short,327.06,127.55,,,0
CDM,L_3916735,Device Quantum Inflation,405.72,158.23,,,0
CDM,L_3916851,Stent Pipeline 10-20Mm,127683.81,49796.69,,,0
CDM,L_3916852,Stent Pipeline 30-35Mm,93835.17,36595.72,,,0
CDM,L_3916853,Stent Enterprise,33878.66,13212.68,,,0
CDM,L_3916890,Balloon Occlusion,6382.84,2489.31,,,0
CDM,L_3916896,Balloon Cath Fogarty,588.92,229.68,,,0
CDM,L_3916962,Probe Needle Rfa Osteo Cool,20422.62,7964.82,,,0
CDM,L_3916963,Kit Osteo Bone Access,2347.38,915.48,,,0
CDM,L_3916988,Dvc Revascularization Solitair,40072.1,15628.12,,,0
CDM,L_3916992,Needle Cryoablation Iceforce,9515.79,3711.16,,,0
CDM,L_3916997,Probe Ablation Neuwave,11763.81,4587.89,,,0
CDM,L_3917058,Mri Biopsy Breast Additional,450.0,175.5,,,0
CDM,L_3917939,Preop Localizer Breast,1304.1,508.6,,,0
CDM,L_3917940,Preop Wire Placement,738.99,288.21,,,0
CDM,L_3919006,Guidewire Rf Powerwire,9056.25,3531.94,,,0
CDM,L_3919008,Fixed Core Bentson Sta,84.87,33.1,,,0
CDM,L_3919013,Cath Central Venous Set,148.0,57.72,,,0
CDM,L_3919017,Cath Ball Dil Quantum,339.48,132.4,,,0
CDM,L_3919019,Cath Cen Venous Ped,294.98,115.04,,,0
CDM,L_3919020,Cath Mal 18Fr Silicone,334.3,130.38,,,0
CDM,L_3919024,Balloon Dil Quantum,486.45,189.72,,,0
CDM,L_3919028,Stent Uret Neph W Radiop,487.48,190.12,,,0
CDM,L_3919030,Ndl Chiba 22X20 G00013,46.58,18.17,,,0
CDM,L_3919032,Cath Pigtail,79.69,31.08,,,0
CDM,L_3919034,Guidewire Vas Bentson,93.15,36.33,,,0
CDM,L_3919036,Dvc Embolic Pipeline,62596.8,24412.75,,,0
CDM,L_3919037,Coil Detachable Ev3,9106.96,3551.71,,,0
CDM,L_3919041,Needle Bx Quick Coaxial,218.38,85.17,,,0
CDM,L_3919042,Intro Sheath W/O Gw J&J,40.36,15.74,,,0
CDM,L_3919043,Cath Angio Guide Mik,51.75,20.18,,,0
CDM,L_3919044,Coil Detach 3D Intracr,5099.44,1988.78,,,0
CDM,L_3919046,Set Micropuncture Intro,108.68,42.39,,,0
CDM,L_3919047,Sheath Amplatz Tfe 16Cm,115.92,45.21,,,0
CDM,L_3919050,Tray 3 Fr Single Lumen 272,139.72,54.49,,,0
CDM,L_3919051,Catheter Cobra C-3,143.86,56.11,,,0
CDM,L_3919059,Stent Neurovas Atlas,28889.96,11267.08,,,0
CDM,L_3919060,Stent Clot Retrieval V01,33037.2,12884.51,,,0
CDM,L_3919062,Microspheres Embol,912.87,356.02,,,0
CDM,L_3919063,Catheter Diagnostic (Cordis),130.41,50.86,,,0
CDM,L_3919064,Intro Shealth Cannula,130.41,50.86,,,0
CDM,L_3919065,Cath Drain Gw Sjate4R,326.02,127.15,,,0
CDM,L_3919066,Cath Drain Nephros,326.02,127.15,,,0
CDM,L_3919067,Kit Snare Sgl Halo,1232.68,480.75,,,0
CDM,L_3919068,Microcath Vas Boston Science,2782.08,1085.01,,,0
CDM,L_3919069,Microcath Vas Distal Penu,2825.55,1101.96,,,0
CDM,L_3919073,Coil Periperal Vas Rub,3434.13,1339.31,,,0
CDM,L_3919074,Coil Peri Vas Penum,4303.53,1678.38,,,0
CDM,L_3919076,Dvc Revasc Embotrap Iii 6.5X45,37940.0,14796.6,,,0
CDM,L_3919077,Cath  Sys Thrombectomy,42470.19,16563.37,,,0
CDM,L_3919078,Cath Scepter Mini,11541.28,4501.1,,,0
CDM,L_3919081,Stent Peripheral Lvs Device,29940.48,11676.79,,,0
CDM,L_3919082,Stent Wingspan,33033.06,12882.89,,,0
CDM,L_3919087,Oncontrol Coaxial Tray,1834.02,715.27,,,0
CDM,L_3919088,Coil Packing Sft Hgh Flow,5607.63,2186.98,,,0
CDM,L_3919089,Coil Orbi Platinum,6607.44,2576.9,,,0
CDM,L_3919090,Coil Embo Helical Hypersft,6737.85,2627.76,,,0
CDM,L_3919091,Coil Embo Galaxy,7668.32,2990.64,,,0
CDM,L_3919093,Microsph Embozen Ye,1056.73,412.12,,,0
CDM,L_3919094,Needle Biopince Ultra,349.83,136.43,,,0
CDM,L_3919095,Needle Bx Supercore Adv,2173.5,847.66,,,0
CDM,L_3919103,Set Ring Transju,1792.62,699.12,,,0
CDM,L_3919106,Cannula Rf Venom,195.62,76.29,,,0
CDM,L_3919109,Cath Torcon? Rbt Beacon,1395.18,544.12,,,0
CDM,L_3919110,Cath Angio Terumo Glide,215.28,83.96,,,0
CDM,L_3919111,Cath Torcon Nb Advan,391.23,152.58,,,0
CDM,L_3919114,Cath Balloon Mustang,695.52,271.25,,,0
CDM,L_3919115,Cath Nephr Tube,312.57,121.9,,,0
CDM,L_3919117,Cath Angio Sterling Otw,804.2,313.64,,,0
CDM,L_3919118,Cath Perip Cutting Ball,3586.28,1398.65,,,0
CDM,L_3919119,Cath Ball Gateway,5197.77,2027.13,,,0
CDM,L_3919121,Cath Intracar Nitinol Srt,5799.1,2261.65,,,0
CDM,L_3919122,Cath Neurovas Sim,521.64,203.44,,,0
CDM,L_3919123,Guidewire Plat Plus,361.22,140.88,,,0
CDM,L_3919126,Cath Angio Peri G47186,456.44,178.01,,,0
CDM,L_3919127,Cath Angio G0584,530.96,207.07,,,0
CDM,L_3919129,Sheath Peel Away 12 Cook,199.76,77.91,,,0
CDM,L_3919134,Cath Central Venous Cook,310.5,121.1,,,0
CDM,L_3919135,Sheath Gud W/ Tiohy,316.71,123.52,,,0
CDM,L_3919136,Introducer Sheath Gw Neff,334.3,130.38,,,0
CDM,L_3919141,Stent Uret Cope Neph,560.97,218.78,,,0
CDM,L_3919155,Cath Sv Levin,882.86,344.32,,,0
CDM,L_3919157,Shealth Radial Long V01,5651.1,2203.93,,,0
CDM,L_3919161,Intr Sheath Prelude Pro,203.9,79.52,,,0
CDM,L_3919164,Guidewire Nitrex Nit,1886.8,735.85,,,0
CDM,L_3919170,Guidewire Vascular Splashwire,144.9,56.51,,,0
CDM,L_3919175,Guidewire Cardiac Cath Traxces,2230.43,869.87,,,0
CDM,L_3919177,Cath Select Benchmark Bmx96,4238.32,1652.94,,,0
CDM,L_3919178,Handle Detachment Ruby,1035.0,403.65,,,0
CDM,L_3919179,Gdwire Synchro,3407.22,1328.82,,,0
CDM,L_3919180,Gdwire Synchro Sel Sft,2745.86,1070.89,,,0
CDM,L_3919181,Gdwire Gold Coil,1497.64,584.08,,,0
CDM,L_3919182,Sheath Dryseal Flex,5920.2,2308.88,,,0
CDM,L_3919184,Needle Cryoablation Ice,8259.3,3221.13,,,0
CDM,L_3919189,Cath Aspiration Zoom 137 Cm,10584.94,4128.13,,,0
CDM,L_3919190,Cath Aspiration Zoom Platform,13019.26,5077.51,,,0
CDM,L_3919192,Guidewire Teflon Tsf-25-145,41.4,16.15,,,0
CDM,L_3919193,Cath Aspiration Zoom 35 160Cm,7150.82,2788.82,,,0
CDM,L_3919195,Needle Biopsy Biopince,83.84,32.7,,,0
CDM,L_3919196,Needle Biopsy Bio 18Ga X 20Cm,237.02,92.44,,,0
CDM,L_3919197,Guidewire Vas Amplatz Tip,89.01,34.71,,,0
CDM,L_3919199,Guidewire Vasc Splash (Trumo),225.63,88.0,,,0
CDM,L_3919200,Introducer Sheath Mini-Stick,73.48,28.66,,,0
CDM,L_3919201,Intro Glidesheath 6Fx10Cm Gw 0,87.98,34.31,,,0
CDM,L_3919202,Guidewire Bentson Fixed Core 0,73.48,28.66,,,0
CDM,L_3919203,Anchor Suture Rapidloc Ethibon,2007.9,783.08,,,0
CDM,L_3919205,Dilator Vascular Radiopaque Se,44.5,17.36,,,0
CDM,L_3919206,Cath Micro Del Lantern,2825.55,1101.96,,,0
CDM,L_3919207,Filter Vena Cava Delivery Kit,5216.4,2034.4,,,0
CDM,L_3919209,Tube G-Jet Lp,2643.39,1030.92,,,0
CDM,L_3919210,Needle Bx Supercore Argon,217.35,84.77,,,0
CDM,L_3919214,Gdwre Vas Roadrunner,746.24,291.03,,,0
CDM,L_3919215,Intr Check-Flo 7Fr 40 G10384,303.26,118.27,,,0
CDM,L_3919216,Intr Sheath Peel Away Cook,261.86,102.13,,,0
CDM,L_3919217,Cath Guid Radial Acs,13019.26,5077.51,,,0
CDM,L_3919218,Cath Dilation Conquest,869.4,339.07,,,0
CDM,L_3919219,Cath Pta Dilation Atlas,1304.1,508.6,,,0
CDM,L_3919220,Intro Glideshth Slender,286.7,111.81,,,0
CDM,L_3919221,Guiding Sheath Pinnacle,507.15,197.79,,,0
CDM,L_3919222,Guidewire Vasc Gt Dbl Ang,782.46,305.16,,,0
CDM,L_3919223,Graft Endopros Sheath,24634.04,9607.28,,,0
CDM,L_3919224,Kit Thrombectomy W/Revo Nxt,39978.94,15591.79,,,0
CDM,L_3919225,Cath Guiding Armadillo,7607.25,2966.83,,,0
CDM,L_3919226,Device Tigertriever 17,29603.07,11545.2,,,0
CDM,L_3919227,Guidewire Vas Transend Ex,2390.85,932.43,,,0
CDM,L_3919229,Cath Micro Truselect 175Cm,3042.9,1186.73,,,0
CDM,L_3919231,Guidewire Vas Thruway Long,543.38,211.92,,,0
CDM,L_3919232,Stent Biliary Cath Exp,3151.58,1229.12,,,0
CDM,L_3919234,Cath Powerline Sl Tr,1035.0,403.65,,,0
CDM,L_3919235,Ndl Bx Coax Franseen,28.98,11.3,,,0
CDM,L_3919236,Dvc Revasc Embotrap Iii 5X37,26951.4,10511.05,,,0
CDM,L_3919238,Coil Embol Hydroframe,9237.38,3602.58,,,0
CDM,L_3919239,Coil Embol Hyper 3D,7336.08,2861.07,,,0
CDM,L_3919240,Cath Ultrasound Visions Pv,4238.32,1652.94,,,0
CDM,L_3919242,Ureteral Stent G09712,675.86,263.59,,,0
CDM,L_3919243,Gwire Amplatz X Stiff,274.27,106.97,,,0
CDM,L_3919244,Gastrostomay Kit Entuit,565.11,220.39,,,0
CDM,L_3919245,Sys Feeding Tube Retention,296.01,115.44,,,0
CDM,L_3919247,Stent Ureth Amplats G09708,597.2,232.91,,,0
CDM,L_3919248,Stent Ureth Latex G09709,480.24,187.29,,,0
CDM,L_3919250,Cath Dxterity,35.19,13.72,,,0
CDM,L_3919252,Gwire Traxcess,652.05,254.3,,,0
CDM,L_3919254,Kit Tubing Suction,29603.07,11545.2,,,0
CDM,L_3919255,Adhesive Skin Dermabond Advanc,432.63,168.73,,,0
CDM,L_3919256,Separator Indigo 12 Ce,8454.92,3297.42,,,0
CDM,L_3919257,Anchor Corkscrew Ar-1920Snf,912.87,356.02,,,0
CDM,L_3919258,Neuroform Atlas No Tip,34440.66,13431.86,,,0
CDM,L_3919259,Anchor Suture Twinfix Ultra Pk,825.93,322.11,,,0
CDM,L_3919260,Kit Cath Drainage Aspira Perit,158.35,61.76,,,0
CDM,L_3919262,Cath Guiding Accu-Vu .038In 5F,165.6,64.58,,,0
CDM,L_3919263,Suture Polysorb 4-0 Cv-23 Und,157.32,61.35,,,0
CDM,L_3919264,Band Radial Compression Inflat,304.29,118.67,,,0
CDM,L_3919266,Adhesive Skin Dermabond Prineo,310.5,121.1,,,0
CDM,L_3919267,Cath Central Venous Multi Lum,723.46,282.15,,,0
CDM,L_3919268,Blade X-Lock 2.4/2.7Mm Short,448.16,174.78,,,0
CDM,L_3919270,Cath Hickman Triple-Lumen 12.5,1725.34,672.88,,,0
CDM,L_3919271,Device Endo Stitch Sulu-1 Poly,79.69,31.08,,,0
CDM,L_3919272,Port Poweport Std Ti 8,10819.89,4219.76,,,0
CDM,L_3919273,Drain Bulb/Reservoir J-Vac,46.58,18.17,,,0
CDM,L_3919275,Cath Angio Dx Imager Ii Sel 0.,56.92,22.2,,,0
CDM,L_3919276,Tube Jejunal Feed Abbvie 9Fr,360.18,140.47,,,0
CDM,L_3919277,Guidewire Glidewire-Hc Stiff 2,282.56,110.2,,,0
CDM,L_3919278,Adhesive Bioglue Syringe 5Ml 5,3478.64,1356.67,,,0
CDM,L_3919279,Coil Embolization Microcoil,6520.5,2543.0,,,0
CDM,L_3919282,Cath Micro Swiftninja,10432.8,4068.79,,,0
CDM,L_3919284,Introducer Coaxial 13.5G X10Cm,573.39,223.62,,,0
CDM,L_3919285,Intr Check-Flo Long 12Fr G0895,328.1,127.96,,,0
CDM,L_3919286,Cath Guiding Vista Brite Tip 6,237.02,92.44,,,0
CDM,L_3919287,Coil Emb Pod 14X60 Rbyod14-A,7781.13,3034.64,,,0
CDM,L_3919288,Handle Coil Detachment,1081.58,421.82,,,0
CDM,L_3919289,Tray Kyphopak Ex Ii Ibt 15/2 K,16113.92,6284.43,,,0
CDM,L_3919291,Surgifoam Gelatin Powder 1Gm,456.44,178.01,,,0
CDM,L_3919292,Intr Check-Flo Cook,409.86,159.85,,,0
CDM,L_3925027,Marker Ct Fiducial Gold 1.0X5.,260.82,101.72,,,0
CDM,L_3925028,Needle Pro Guide,139.72,54.49,,,0
CDM,L_3930141,Yttrium-90 Brachytx,66804.08,26053.59,,,0
CDM,L_3930143,Radiation Source Application,8536.0,3329.04,,,0
CDM,L_3930441,"In-111 Oxyquinoline, Per 0.5 M",4286.0,1671.54,,,0
CDM,L_3930446,Spleen Imaging,1984.0,773.76,,,0
CDM,L_3950083,Noncdm Legacy Charge,1080.0,421.2,,,0
CDM,L_3965023,"Brachytherapy Needle, Each",228.74,89.21,,,0
CDM,L_3965800,"Bracytx, Non-Str, Hdr Ir 192",751.41,293.05,,,0
CDM,L_3965821,Elekta Guide Tube Vaginal Cap,773.14,301.52,,,0
CDM,L_3980111,U/S Compression Repair Arty-An,911.0,355.29,,,0
CDM,L_4035118,Cancellous Chips 30Cc,1922.0,749.58,,,0
CDM,L_4035182,Cancellous Chips 90Cc,5920.2,2308.88,,,0
CDM,L_4035231,Patch Vascuguard 2X9Cm,1332.04,519.5,,,0
CDM,L_4035236,Dbx Putty 0.5Cc,635.49,247.84,,,0
CDM,L_4035237,Dbx Putty 5Cc,4543.65,1772.02,,,0
CDM,L_4035238,Dbx Putty 10Cc,6986.25,2724.64,,,0
CDM,L_4035240,Dbx Mix 5Cc,4999.05,1949.63,,,0
CDM,L_4035254,Femoral Head W/Torch,5159.48,2012.2,,,0
CDM,L_4035269,Pericardium Tutoplast 1.5Cm,1375.52,536.45,,,0
CDM,L_4035270,Peri-Guard Pericardium 6X8Cm,2524.36,984.5,,,0
CDM,L_4035271,Pericardium Peri-Guard 8X14Cm,3480.7,1357.47,,,0
CDM,L_4035299,Anmiotic Membrane (Prokera),4126.54,1609.35,,,0
CDM,L_4035304,Graft Duragen Xs 1X3,1908.54,744.33,,,0
CDM,L_4035305,Graft Duragen Xs 3X3,3902.98,1522.16,,,0
CDM,L_4035308,Graft Duragen Suturable 1X3,1461.42,569.95,,,0
CDM,L_4035309,Graft Duragen Suturable 3X3,2085.52,813.35,,,0
CDM,L_4035310,Graft Duragen Suturable 4X5,5327.14,2077.58,,,0
CDM,L_4035314,Cornea Tissue For Transplant,12600.0,4914.0,,,0
CDM,L_4035315,Tissue Corneal Special Cut,15120.0,5896.8,,,0
CDM,L_4035321,Graft Duragen 1X1,1171.62,456.93,,,0
CDM,L_4035322,Iliac Crest Wedge 24-26Mm,4408.06,1719.14,,,0
CDM,L_4035836,Graft Durepair Matrix 1Inx1In,1518.34,592.15,,,0
CDM,L_4035837,Graft Durepair Matrix 1Inx3In,2264.58,883.19,,,0
CDM,L_4035839,Graft Durepair Matric 3Inx3In,4131.72,1611.37,,,0
CDM,L_4035840,Graft Durepair Matrix 4Inx5In,4854.15,1893.12,,,0
CDM,L_4035854,Ilium Tricort Strip,7443.72,2903.05,,,0
CDM,L_4035859,Peri-Guard Pericardium 4 X 4,1564.92,610.32,,,0
CDM,L_4035865,Patch Vascu-Guard 8Cm X 8Cm,989.46,385.89,,,0
CDM,L_4035873,Fibula Shaft 10 Cm,3101.9,1209.74,,,0
CDM,L_4035904,Peri-Guard Pericardium 10X16,3631.82,1416.41,,,0
CDM,L_4035914,Optecure Ccc 10Cc,6325.92,2467.11,,,0
CDM,L_4035919,Tendon Gracillis,5216.4,2034.4,,,0
CDM,L_4035929,Nerve Protector Axogen 40Mm,9460.94,3689.77,,,0
CDM,L_4035935,Graft Nerve 70 Mm,26069.58,10167.14,,,0
CDM,L_4035936,Graft Nerve 50 Mm,13254.21,5169.14,,,0
CDM,L_4035951,Matrstem Wnd Matrix (10X15) Pe,149.04,58.13,,,0
CDM,L_4035964,Graft Durepair Matrix 5 X 7,6922.08,2699.61,,,0
CDM,L_4035983,Nerve Connector Axogen 3X15Mm,6747.16,2631.39,,,0
CDM,L_4035984,Femoral Cortical Strut Quarte,2053.44,800.84,,,0
CDM,L_4037006,Radius Distal,40641.34,15850.12,,,0
CDM,L_4037022,Bone Matrix Cell Vivigen 10Cc,18489.24,7210.8,,,0
CDM,L_4037036,Allograft Tibia Distal Fresh,35198.28,13727.33,,,0
CDM,L_4037037,Implant Regeneten Med Bioinduc,10954.44,4272.23,,,0
CDM,L_4037039,Allograft Graftlink Tendon10Mm,9546.84,3723.27,,,0
CDM,L_4037043,Valve Mitral Heart Mosaic,23473.8,9154.78,,,0
CDM,L_4037049,Skin Cryo Redigraft 232 Sqcm,3057.39,1192.38,,,0
CDM,L_4037050,Allograft Bone Allosync 5Cc,5336.46,2081.22,,,0
CDM,L_4037051,Transcath Aortic Valve 23Mm,111780.0,43594.2,,,0
CDM,L_4037052,Transcath Aortic Valve 26Mm,111780.0,43594.2,,,0
CDM,L_4037053,Transcath Aortic Valve 29 Mm,111780.0,43594.2,,,0
CDM,L_4037058,Tissue Connective Human,63195.03,24646.06,,,0
CDM,L_4037072,Edwards Sapien 3 Valve 20Mm,121095.0,47227.05,,,0
CDM,L_4037073,Edwards Sapien 3 Valve 23Mm,121095.0,47227.05,,,0
CDM,L_4037074,Edwards Sapien 3 Valve 26Mm,121095.0,47227.05,,,0
CDM,L_4037075,Edwards Sapien 3 Valve 29Mm,121095.0,47227.05,,,0
CDM,L_4037080,Absorbable Collagene Membrane,567.18,221.2,,,0
CDM,L_4037101,Biodesign Sinonasal 2X3Cm,1109.52,432.71,,,0
CDM,L_4037122,Graft Bone Influx 2.5Cc,1695.33,661.18,,,0
CDM,L_4037125,Costal Cartilage,3126.74,1219.43,,,0
CDM,L_4037127,Influx Cortical Bone 5Cc,3390.66,1322.36,,,0
CDM,L_4037141,Femoral Condyle,42569.55,16602.12,,,0
CDM,L_4037145,Biodesign Otologic Graft 2.5Cm,1130.22,440.79,,,0
CDM,L_4037151,Vialize 2X3 Cm,962.55,375.39,,,0
CDM,L_4037152,Vialize 4X4 Cm,952.2,371.36,,,0
CDM,L_4037153,Vialize 4X6 Cm,736.92,287.4,,,0
CDM,L_4037154,Vialize 6X8 Cm,764.86,298.3,,,0
CDM,L_4037164,Graft Vasc Artegraft 7.0Mmx30C,7386.8,2880.85,,,0
CDM,L_4037165,"Allosync Pure, 5Cc",2028.6,791.15,,,0
CDM,L_4037170,Graft Vasc Artegraft 6.0Mmx30C,7256.38,2829.99,,,0
CDM,L_4037173,Cancellous Plug 10,2002.72,781.06,,,0
CDM,L_4037182,Xenograft Duramatrix Suturable,2262.51,882.38,,,0
CDM,L_4037187,Optium 100 1Cc Moldable Dem,478.17,186.49,,,0
CDM,L_4037188,Optium 100 5Cc Moldable Dem,2390.85,932.43,,,0
CDM,L_4037191,Dehydrated Amnio Membr 2X4,14324.4,5586.52,,,0
CDM,L_4037196,Stempatch Xl 30X20Mm,3803.62,1483.41,,,0
CDM,L_4037207,Axogen Ha+ Nerve Pro 1Cmx2Cm,9089.37,3544.85,,,0
CDM,L_4037208,Axogen Ha+ Nerve Pro 2Cmx2Cm,9711.41,3787.45,,,0
CDM,L_4037211,Axogen Ha+ Nerve Pro 4Cmx8Cm,19830.6,7733.93,,,0
CDM,L_4037212,Distal Radius (Mtf),11189.38,4363.86,,,0
CDM,L_4037215,Artegraft 8Mm X 15Cm,13284.22,5180.85,,,0
CDM,L_4037216,Avalus Aortic Valve  29Mm,26516.7,10341.51,,,0
CDM,L_4043007,Valve Aortic Paramount Magna,31515.75,12291.14,,,0
CDM,L_4043010,Valve Conduit (Contegra),21714.3,8468.58,,,0
CDM,L_4043011,Valve Pulmonary Allograft,48419.37,18883.55,,,0
CDM,L_4043014,Pericardium 6X8Cm Photofix,4239.36,1653.35,,,0
CDM,L_4043021,Kit Maci Biopsy,2469.51,963.11,,,0
CDM,L_4043023,Durgen Plus Dural,6380.78,2488.5,,,0
CDM,L_4043024,Duragen 5Cm X 7Cm,9171.14,3576.74,,,0
CDM,L_4043027,21 Mm Avalus Aortic Valve,26516.7,10341.51,,,0
CDM,L_4043028,23 Mm Avalus Aortic Valve,26516.7,10341.51,,,0
CDM,L_4043029,25 Mm Avalus Aortic Valve,26516.7,10341.51,,,0
CDM,L_4043030,27Mm Avalus Aortic Valve,26516.7,10341.51,,,0
CDM,L_4043034,Suturable Duramatrix 1X1,1896.12,739.49,,,0
CDM,L_4091031,Cryopreserv. Of Blood Lymphocy,459.0,179.01,,,0
CDM,L_4091108,Noncdm Legacy Charge,2472.0,964.08,,,0
CDM,L_4094010,Cl Visit New Pt Level 4,474.0,184.86,,,0
CDM,L_5050001,Flowtr Thromb Device,44712.0,17437.68,,,0
CDM,L_5050024,Swan Ganz Ccombo,2122.78,827.88,,,0
CDM,L_5050027,Cath Thermodilution,240.12,93.65,,,0
CDM,L_5050030,Cath Balloon Wedge,107.64,41.98,,,0
CDM,L_5050036,Catheter Impella Cp,93150.0,36328.5,,,0
CDM,L_5050041,Cath Guiding,45.54,17.76,,,0
CDM,L_5050042,G Wire,36.22,14.13,,,0
CDM,L_5050045,Cath Atherectomy Rotational,5974.02,2329.87,,,0
CDM,L_5050046,G Wire Rotablator,343.62,134.01,,,0
CDM,L_5050048,Filter Vena Cava,7364.02,2871.97,,,0
CDM,L_5050060,Cath Ia Balloon Pump,1860.93,725.76,,,0
CDM,L_5050061,"Sheath, Ep, Non Peel-Away",52.78,20.58,,,0
CDM,L_5050063,Biopsy Sheath,960.48,374.59,,,0
CDM,L_5050108,"Iv Us, Peripheral Vessel, Init",2380.0,928.2,,,0
CDM,L_5050109,"Iv Us, Peripheral Vessel, Addi",483.0,188.37,,,0
CDM,L_5050118,Cath Hemo Dual Lumen Bard,1442.79,562.69,,,0
CDM,L_5050124,Catheter Finecross Mg .014X150,2347.38,915.48,,,0
CDM,L_5050133,Stent Drug Eluting,4361.49,1700.98,,,0
CDM,L_5050134,Balloon Catheter Tyshak Ii,2712.74,1057.97,,,0
CDM,L_5050154,Wire Filter,4353.21,1697.75,,,0
CDM,L_5050156,Cath Thromb/ Embolectomy,1956.15,762.9,,,0
CDM,L_5050449,G Wire Diagnostic,288.76,112.62,,,0
CDM,L_5050450,Cath Diagnostic,251.5,98.08,,,0
CDM,L_5050452,G Wire Peripheral Intervention,536.13,209.09,,,0
CDM,L_5050453,Cath Guiding Peripheral,432.63,168.73,,,0
CDM,L_5050454,Sheath Peripheral Intervention,314.64,122.71,,,0
CDM,L_5050455,Balloon Peripheral,1967.54,767.34,,,0
CDM,L_5050456,Stent Peripheral Non Coated W/,5387.18,2101.0,,,0
CDM,L_5050462,Cath Coronary Laser 1.7Mm,10846.8,4230.25,,,0
CDM,L_5050464,Coil Interlock 12 X 40,4660.6,1817.63,,,0
CDM,L_5050468,Guide Wire Interventional-1,285.66,111.41,,,0
CDM,L_5050469,Guide Wire Interventional-2,587.88,229.27,,,0
CDM,L_5050470,Catheter Guide Liner,1848.51,720.92,,,0
CDM,L_5050473,Cath Ivus Eagle Eye Platinum,3152.61,1229.52,,,0
CDM,L_5050476,G Wire Ffr Prestige Plus,2717.91,1059.98,,,0
CDM,L_5050491,Cath Ekosonic Endo Anigo Lf140,13020.3,5077.92,,,0
CDM,L_5050492,Balloon Periph Mustang,1047.42,408.49,,,0
CDM,L_5050493,Balloon Periph Mustang Short,941.85,367.32,,,0
CDM,L_5050494,Balloon Sterling Otw Short,1304.1,508.6,,,0
CDM,L_5050495,Balloon Periph Sterling Otw L,1499.72,584.89,,,0
CDM,L_5050496,Balloon Periph Sterling Mr Sh,1363.1,531.61,,,0
CDM,L_5050499,Balloon Cath Coyote Es Otw,1304.1,508.6,,,0
CDM,L_5050500,Card Dx &/Or Intrventn Ea 30Mi,14400.0,5616.0,,,0
CDM,L_5050501,Peripheral Dx  Only  Ea 30Min,13396.0,5224.44,,,0
CDM,L_5050502,Periph Dx &/Or Intrvntn Ea 30M,18954.0,7392.06,,,0
CDM,L_5050508,Balloon Cath Coyote Otw,1430.37,557.84,,,0
CDM,L_5050509,Balloon Cath Coyote Otw Long,1799.86,701.95,,,0
CDM,L_5050511,Cath Hemo Dual Lumen Bard Lng,1657.04,646.25,,,0
CDM,L_5050512,Patch Neptune,135.58,52.88,,,0
CDM,L_5050513,Band Tr Radial Closure,163.53,63.78,,,0
CDM,L_5050518,Guide Wire Viper,825.93,322.11,,,0
CDM,L_5050524,Sheath Cook Introducer,332.24,129.57,,,0
CDM,L_5050526,Retrieval Device Vc Filter,1822.64,710.83,,,0
CDM,L_5050529,Stent Periph I-Cast Covered,11194.56,4365.88,,,0
CDM,L_5050530,Stent Graftmaster (Jomed),13041.0,5085.99,,,0
CDM,L_5050531,Balloon Sizing Amplatzer,1500.75,585.29,,,0
CDM,L_5050532,Cath Delivery Syst Amplatzer,1048.46,408.9,,,0
CDM,L_5050533,Occluder Asd,10578.74,4125.71,,,0
CDM,L_5050534,Tray Pericardiocentesis,717.26,279.73,,,0
CDM,L_5050535,Catheter Intra Cardiac Echo,9128.7,3560.19,,,0
CDM,L_5050537,Cath Coronary Orbital Atherect,15214.5,5933.66,,,0
CDM,L_5050538,Balloon Catheter Lutonix,7172.55,2797.29,,,0
CDM,L_5050539,Cath Sheathless Eaucath Guide,565.11,220.39,,,0
CDM,L_5050544,Stent Cath Biliary Absolute P,4129.65,1610.56,,,0
CDM,L_5050546,Balloon Cath Chocolate Ptca,3260.25,1271.5,,,0
CDM,L_5050548,Catheter Swan Ganz Vip,414.0,161.46,,,0
CDM,L_5050552,Sheath Del Ampzr Talisman,3560.4,1388.56,,,0
CDM,L_5050571,Catheter Thrombectomy Fogarty,756.58,295.07,,,0
CDM,L_5050573,Closure Device Femstop Gold,518.54,202.23,,,0
CDM,L_5050574,Balloon Catheter Scoring,2935.26,1144.75,,,0
CDM,L_5050575,Balloon Catheter Cutting,3477.6,1356.26,,,0
CDM,L_5050701,Balloon Catheter Nonlaser,899.42,350.77,,,0
CDM,L_5050704,Cath Guiding,425.38,165.9,,,0
CDM,L_5050706,G Wire Interventional,331.2,129.17,,,0
CDM,L_5050818,Cath Retrieval,1692.22,659.97,,,0
CDM,L_5050845,Cath Pacing,332.24,129.57,,,0
CDM,L_5050847,"Closure Device, Vascular",1057.77,412.53,,,0
CDM,L_5050854,"Catheter, Angiojet, Xgv",7042.14,2746.43,,,0
CDM,L_5050867,Stent Visipro Periph,3823.29,1491.08,,,0
CDM,L_5050868,Shockwave Ivl Catheter,11954.25,4662.16,,,0
CDM,L_5050871,Catheter Beta Rail Delivery,14997.15,5848.89,,,0
CDM,L_5050880,Catheter Clover Snare G53008,2943.54,1147.98,,,0
CDM,L_5050898,Sheath Guiding Destination,1459.35,569.15,,,0
CDM,L_5050900,Dryseal Flex Introducer Sheath,3748.77,1462.02,,,0
CDM,L_5050903,Balloon Valvuloplasty Catheter,4510.53,1759.11,,,0
CDM,L_5050906,Guide Extension Catheter,2704.46,1054.74,,,0
CDM,L_5050908,Sensor Pulmonary Artery Pressu,93460.5,36449.6,,,0
CDM,L_5050909,Introducer Radial Sheath,260.82,101.72,,,0
CDM,L_5050910,Intra Cardiac Echo Cath,10459.71,4079.29,,,0
CDM,L_5050911,Vascular Dilator Kit,711.04,277.31,,,0
CDM,L_5050912,Catheter Coronary Lithotripsy,20430.9,7968.05,,,0
CDM,L_5050913,Cath Aspiration Cat Rx Kit,8433.18,3288.94,,,0
CDM,L_5050914,Catheter Aspiration Lighting,29603.07,11545.2,,,0
CDM,L_5050917,Pfo Occluder,41296.5,16105.64,,,0
CDM,L_5050919,Cadioform Occulder,40914.58,15956.69,,,0
CDM,L_5050926,Cath Guiding Railway Sheathles,391.23,152.58,,,0
CDM,L_5054073,Dressing Assembly Wound Vac Sy,287.73,112.21,,,0
CDM,L_5054150,Loop Recorder,22994.6,8967.89,,,0
CDM,L_5054152,Noncdm Legacy Charge,168.0,65.52,,,0
CDM,L_5054188,"Consolidated Bag Lt, Rt",1413.81,551.39,,,0
CDM,L_5054189,Lvad Modular Cable,21517.65,8391.88,,,0
CDM,L_5054194,Lvad Securement Devices,34.16,13.32,,,0
CDM,L_5054196,Lvad Daily Kit(Medline),142.83,55.7,,,0
CDM,L_5054205,11 Volt Lithium B/U Battery,2173.5,847.66,,,0
CDM,L_5054208,Lvad Weekly Kit (Medline),209.07,81.54,,,0
CDM,L_5054210,Lvad Daily Kit (Wake Forest),111.78,43.59,,,0
CDM,L_5054214,Hm3 Lvad Controller Inc Ebb,23908.5,9324.32,,,0
CDM,L_5060008,Occluder Ductal,8790.25,3428.2,,,0
CDM,L_5060013,Occluder Cribriform,30559.41,11918.17,,,0
CDM,L_5060016,Cath Guide,277.16,108.09,,,0
CDM,L_5060029,Cath Angio Berman,318.78,124.32,,,0
CDM,L_5060030,Wedge Pressure Catheter,260.82,101.72,,,0
CDM,L_5060034,Multipurpose Catheter,71.42,27.85,,,0
CDM,L_5060041,Su:  Judkins Catheter,59.0,23.01,,,0
CDM,L_5060042,G Wire,168.89,65.87,,,0
CDM,L_5060061,Introducer Guide,155.5,60.64,,,0
CDM,L_5060236,Coil Flipper System,520.6,203.03,,,0
CDM,L_5060500,Peds Cath Lab Room Time 30 Min,5691.0,2219.49,,,0
CDM,L_5060501,Ped Cl Rm Time 30Min Adult,13396.0,5224.44,,,0
CDM,L_5060722,G Wire Cook Exch 220 Cm,157.32,61.35,,,0
CDM,L_5060736,Syringe Inflation Wizzard/Pres,171.81,67.01,,,0
CDM,L_5060737,Cath Retrieval W Loop,1192.32,465.0,,,0
CDM,L_5060743,Catheter Glide,166.55,64.95,,,0
CDM,L_5060746,G Wire Glide Wire,289.8,113.02,,,0
CDM,L_5060754,G Wire Amplatz Extra Stiff,247.36,96.47,,,0
CDM,L_5060905,Needle Percutaneous,26.91,10.49,,,0
CDM,L_5060922,Septal Occluder,30559.41,11918.17,,,0
CDM,L_5060938,Sheath Cardiac Ultra,9128.7,3560.19,,,0
CDM,L_5060940,Sheath Flexor,152.15,59.34,,,0
CDM,L_5060941,Coil Embolization,545.45,212.73,,,0
CDM,L_5060942,Guidewire,61.06,23.81,,,0
CDM,L_5060943,Guidewire Vascular,274.9,107.21,,,0
CDM,L_5060944,Guidewire Support,410.55,160.11,,,0
CDM,L_5060945,Sheath / Introducer,116.96,45.61,,,0
CDM,L_5060946,Sheath / Introducer Guiding,513.36,200.21,,,0
CDM,L_5060947,Introducer Sheath,221.49,86.38,,,0
CDM,L_5060948,Catheter Balloon,652.05,254.3,,,0
CDM,L_5060949,Sheath Introducer Cardiac,1608.39,627.27,,,0
CDM,L_5060950,Catheter Glide,543.38,211.92,,,0
CDM,L_5060951,Balloon Catheter,2380.5,928.4,,,0
CDM,L_5060952,Catheter Dilation,2314.26,902.56,,,0
CDM,L_5060953,Cath Balloon Dil,2380.5,928.4,,,0
CDM,L_5060954,Dilation Catheter,3303.72,1288.45,,,0
CDM,L_5060955,Catheter Balloon Inque,9056.25,3531.94,,,0
CDM,L_5060959,Vascular Plug,3105.0,1210.95,,,0
CDM,L_5060963,Guide Wire,976.97,381.02,,,0
CDM,L_5060965,Cath Balloon Dilation,1834.02,715.27,,,0
CDM,L_5060966,Plug Cardiovascular,4022.01,1568.58,,,0
CDM,L_5060970,Stent Vascular Mounted,7023.51,2739.17,,,0
CDM,L_5060973,Transcath Delivery System,28255.5,11019.64,,,0
CDM,L_5060978,Periph Dx &/Or Intrvtn Ea 30M,18838.94,7347.19,,,0
CDM,L_5060985,Catheter Dilation Balloon,2380.5,928.4,,,0
CDM,L_5061008,Noncdm Legacy Charge,30.0,11.7,,,0
CDM,L_5063047,Cl Visit Estab Pt Level 4,327.0,127.53,,,0
CDM,L_5067002,Adult Ecmo Addl 24Hrs,8038.0,3134.82,,,0
CDM,L_5067004,15 Fr Nextgen Art/Jugular,2001.69,780.66,,,0
CDM,L_5067013,25 Fr Biomedicus Multistage,2479.86,967.15,,,0
CDM,L_5067015,26 Fr Crescent,14003.55,5461.38,,,0
CDM,L_5067019,3/8 Tubing,1996.52,778.64,,,0
CDM,L_5067032,Livanova Vascular Dilation Kit,1102.28,429.89,,,0
CDM,L_5067033,Opus Insertion Kit,4620.24,1801.89,,,0
CDM,L_5067035,Quadrox Id Oxygenator (Adult),27894.28,10878.77,,,0
CDM,L_5067044,Venous Ra 24Fr,2477.79,966.34,,,0
CDM,L_5070001,"Ppm, Sngl Chamber, Rate Rsp",20942.19,8167.45,,,0
CDM,L_5070002,"Ppm, Dual Chamber, Rate-Respon",31265.28,12193.46,,,0
CDM,L_5070006,"Retrieval Device, Lead Locking",2502.63,976.03,,,0
CDM,L_5070012,Plasmablade Peak 4.0 4.0 Mm,1529.73,596.59,,,0
CDM,L_5070021,Pencil Electrosurgical W/ Bovi,108.68,42.39,,,0
CDM,L_5070032,Reference Patch,1745.01,680.55,,,0
CDM,L_5070037,Cook N/Eye Snare Short/Femora,5564.16,2170.02,,,0
CDM,L_5070040,Retreival Device Lead Locking,2610.27,1018.01,,,0
CDM,L_5070041,Sheath Sls Laser 500-012 12-14,13759.29,5366.12,,,0
CDM,L_5070042,Guidewire,70.38,27.45,,,0
CDM,L_5070056,Lead Pacing Ingevity Str Exten,1813.32,707.19,,,0
CDM,L_5070058,Icd Defib Momentum El Dr,52272.68,20386.35,,,0
CDM,L_5070059,Lead Defibrillator Endotak S 5,14676.3,5723.76,,,0
CDM,L_5070061,Sheath Diagnostic,52.78,20.58,,,0
CDM,L_5070062,Icd Defib Dual Chamber,53665.78,20929.65,,,0
CDM,L_5070070,Cath Foley Tray Lubri-Sil 08F,97.29,37.94,,,0
CDM,L_5070076,"Catheter, Ibi 4F Inquiry Steer",2469.51,963.11,,,0
CDM,L_5070113,Cath Hemo-Flow Dual Lumen 28Cm,500.94,195.37,,,0
CDM,L_5070114,Cath Balloon Dilat 5X10X135,499.9,194.96,,,0
CDM,L_5070121,Cath Diagnostic Optrell Adv Fj,7973.64,3109.72,,,0
CDM,L_5070122,Guidewire Coronary Runthrough,383.98,149.75,,,0
CDM,L_5070123,Needle Arterial 18Gax2.75In,51.75,20.18,,,0
CDM,L_5070128,Icd Device Aurora Ev,77314.5,30152.66,,,0
CDM,L_5070129,Lead Epsila Ev,23430.33,9137.83,,,0
CDM,L_5070134,"Cable, Coaxial Umbilical",604.44,235.73,,,0
CDM,L_5070135,"Cable, Elextrical Umbilical",1170.58,456.53,,,0
CDM,L_5070136,"Catheter, Pigtail Angio",444.02,173.17,,,0
CDM,L_5070142,Radbarrier,176.98,69.02,,,0
CDM,L_5070146,"Cable, St Jude Ep Extension",574.42,224.02,,,0
CDM,L_5070153,Icd Defib Surescan Single Mri,42420.51,16544.0,,,0
CDM,L_5070154,Guidewire Angiographic Ss 0104,134.55,52.47,,,0
CDM,L_5070155,Icd Defib Viva Quad Xt Crt-D D,48076.78,18749.94,,,0
CDM,L_5070156,Cath Ablation Flexability Sens,16783.56,6545.59,,,0
CDM,L_5070157,Cable Extension Electrophysiol,3216.78,1254.54,,,0
CDM,L_5070165,Atrial And/Or Vent. Lead,3694.95,1441.03,,,0
CDM,L_5070166,"Icd, Bi-V Generator",111965.26,43666.45,,,0
CDM,L_5070167,Lead Lv Coronary Venous,14403.06,5617.19,,,0
CDM,L_5070168,"Ppm, Sngl Chamber, Bi-V",36821.16,14360.25,,,0
CDM,L_5070233,Loop Recorder,22366.35,8722.88,,,0
CDM,L_5070251,Catheter Ep Other Than Cool Ti,455.4,177.61,,,0
CDM,L_5070260,Sheath Steerable Agil/Mobicat,4060.3,1583.52,,,0
CDM,L_5070262,"Catheter, Ablation Acuson Acun",14409.27,5619.62,,,0
CDM,L_5070264,Catheter Bard Viking Deca,1433.48,559.06,,,0
CDM,L_5070327,Lead Ppm Transvenous Vdd,3912.3,1525.8,,,0
CDM,L_5070329,Lead Icd Dual Coil,23255.42,9069.61,,,0
CDM,L_5070333,"Introducer, Peel-Away",281.52,109.79,,,0
CDM,L_5070336,Catheter Diagnostic,57.96,22.6,,,0
CDM,L_5070347,Fluroscopy Up To 1 Hr,801.0,312.39,,,0
CDM,L_5070365,Catheter Ep Cryocath Freezor X,6648.84,2593.05,,,0
CDM,L_5070368,Gwire Specialty,676.89,263.99,,,0
CDM,L_5070378,Sheath 16F Sls Ii,13541.94,5281.36,,,0
CDM,L_5070418,Catheter Ep  19 Or Less Elec,2043.09,796.81,,,0
CDM,L_5070419,"Catheter, Ep",2664.09,1039.0,,,0
CDM,L_5070424,Sheath Diagnostic,389.16,151.77,,,0
CDM,L_5070427,Needle Brock 71Cm,1327.9,517.88,,,0
CDM,L_5070429,Catheter Ep  19 Or Less Elec,1433.48,559.06,,,0
CDM,L_5070435,Catheter F Curve Penta Ray,7656.93,2986.2,,,0
CDM,L_5070437,Cool Flow Tubing,382.95,149.35,,,0
CDM,L_5070443,"Catheter Ep, Ez Steer Nav D-F",12171.6,4746.92,,,0
CDM,L_5070445,Catheter Ice Soundstar 3D,12429.32,4847.43,,,0
CDM,L_5070463,"Cable, Bw Octa C6Mrmst8Sa",991.53,386.7,,,0
CDM,L_5070464,"Cable, Bw Deca C6Mrmst10Sa",928.4,362.08,,,0
CDM,L_5070466,"Cable, Bw Ablation Green",921.15,359.25,,,0
CDM,L_5070467,"Cable, Bw Ht Red",1452.1,566.32,,,0
CDM,L_5070470,"Cable, Bard 10 Pin",631.35,246.23,,,0
CDM,L_5070472,"Cable, Ibi Cs 1910 85954",799.02,311.62,,,0
CDM,L_5070474,Catheter Ep Ibi 4F L-Curve 815,3479.67,1357.07,,,0
CDM,L_5070475,Catheter Ep Ibi 5F M-Curve 811,3229.2,1259.39,,,0
CDM,L_5070476,Catheter Ep Ibi 5F L-Curve 811,3337.88,1301.77,,,0
CDM,L_5070479,Catheter Ep Bw 5F Octa D508D00,4444.29,1733.27,,,0
CDM,L_5070480,Catheter Ep Bw 6F Quad D-Type,2103.12,820.22,,,0
CDM,L_5070481,Catheter Bw 6F Octa D608Fr252R,2803.82,1093.49,,,0
CDM,L_5070482,Catheter Ep Bw 6F Deca Dtype D,2730.33,1064.83,,,0
CDM,L_5070485,Catheter Ep Bw Bd Cs Fj Curve,2782.08,1085.01,,,0
CDM,L_5070490,Quickcas - Stx,7389.9,2882.06,,,0
CDM,L_5070496,Bw Rmt Ablation Tc Catheter,13361.85,5211.12,,,0
CDM,L_5070497,Bw Rmt 4Mm Ablation Catheter,11206.98,4370.72,,,0
CDM,L_5070499,Sl0 8.5F Introducer,1203.7,469.44,,,0
CDM,L_5070500,Sl1 8.5F Introducer,1908.54,744.33,,,0
CDM,L_5070506,Transseptal Puncture,7089.0,2764.71,,,0
CDM,L_5070512,Sheath Flexcath Steerable 12F,5226.75,2038.43,,,0
CDM,L_5070515,Magnet Cover Microtek,185.26,72.25,,,0
CDM,L_5070516,Hemostat D-Stat,450.22,175.59,,,0
CDM,L_5070518,Catheter Ep Achieve 20Mm Lasso,4527.09,1765.57,,,0
CDM,L_5070519,Catheter Ep Achieve 15Mm Lasso,4495.0,1753.05,,,0
CDM,L_5070520,Sheath Diagnostic Terumo,77.62,30.27,,,0
CDM,L_5070521,Cables Carto,1945.8,758.86,,,0
CDM,L_5070527,Sheath 8 5F Mullins Fast Cath,807.3,314.85,,,0
CDM,L_5070532,Catheter 5F Jsn Quad,788.67,307.58,,,0
CDM,L_5070535,Laser Cook Bulldog Lead Ext,1309.28,510.62,,,0
CDM,L_5070537,Sheath Terumo 9F Pinnacle R/O,514.4,200.62,,,0
CDM,L_5070538,Hemostat Arista,519.57,202.63,,,0
CDM,L_5070539,Sheath 9F Brite Tip,216.32,84.36,,,0
CDM,L_5070561,Catheter Lasso Nav Eco Fixed,5668.7,2210.79,,,0
CDM,L_5070562,Cable Carto 3 Eco Interface,1670.49,651.49,,,0
CDM,L_5070582,Generator Pulse Sq Rx,80766.23,31498.83,,,0
CDM,L_5070583,Lead Q-Trak Sq (Rv),17784.4,6935.92,,,0
CDM,L_5070586,Catheter Smart Touch Df T-C00,12219.21,4765.49,,,0
CDM,L_5070587,Catheter Smart Touch Fj T-C00,12072.24,4708.17,,,0
CDM,L_5070588,Impella Catheter Cp,93150.0,36328.5,,,0
CDM,L_5070592,Needle 21G X 20Cm Micropunture,79.69,31.08,,,0
CDM,L_5070602,Sealer Bipolar 6.0 Auquamantys,2804.85,1093.89,,,0
CDM,L_5070603,Blade Plasma Peak 4.0,1411.74,550.58,,,0
CDM,L_5070612,Mesh Envelope Absorb Tyrx  Med,5188.46,2023.5,,,0
CDM,L_5070614,Dilator Tightrail 13F,9871.83,3850.01,,,0
CDM,L_5070622,Lead Bundle Of His,7815.28,3047.96,,,0
CDM,L_5070625,Cath 5F Vascade,840.42,327.76,,,0
CDM,L_5070626,Cath 11F/13F Tightrail Dilator,10368.63,4043.77,,,0
CDM,L_5070627,Cath Vert Worley Vein Selector,537.16,209.49,,,0
CDM,L_5070631,Ppm Micra Pacing System,40748.98,15892.1,,,0
CDM,L_5070632,Introducer Micra Pacing System,3326.49,1297.33,,,0
CDM,L_5070634,Dilator Standard 24Frx0.38X20C,85.9,33.5,,,0
CDM,L_5070635,Dilator Vessel18Frx0.38X20Cm,40.36,15.74,,,0
CDM,L_5070637,Device Closure Watchman 20 Mm,63342.0,24703.38,,,0
CDM,L_5070638,Device Closure Watchman 24Mm,63342.0,24703.38,,,0
CDM,L_5070639,Device Closure Watchman 27Mm,63342.0,24703.38,,,0
CDM,L_5070640,Device Closure Watchman 31Mm,63342.0,24703.38,,,0
CDM,L_5070641,Device Closure Watchman 35Mm,63342.0,24703.38,,,0
CDM,L_5070643,System Watchman Double Curve,4347.0,1695.33,,,0
CDM,L_5070646,Cath Electrophysiology Decanav,1993.41,777.43,,,0
CDM,L_5070649,Epsila Ev Tunneling Tool,2608.2,1017.2,,,0
CDM,L_5070650,Introducer Lead Safesheath,3477.6,1356.26,,,0
CDM,L_5070721,Introducer Catheter Check Flow,631.35,246.23,,,0
CDM,L_5070724,Cath Guiding Acuity Cut-Away 8,2151.76,839.19,,,0
CDM,L_5070740,Cath Cryoblator,18257.4,7120.39,,,0
CDM,L_5070742,Cable Cath Redel 12 Pin,1452.1,566.32,,,0
CDM,L_5070743,Dvc Wound Closure V-Loc 90 Abs,95.22,37.14,,,0
CDM,L_5070744,Icd Defib Compia Mri Quad Crt,73104.12,28510.61,,,0
CDM,L_5070745,Lead Attain Performa Icd,9760.05,3806.42,,,0
CDM,L_5070746,Pacemaker Dr Mri 2 Lead Accola,15267.28,5954.24,,,0
CDM,L_5070747,Guidewire Amplatz Stiff Str .0,65.2,25.43,,,0
CDM,L_5070752,Cath Guiding Launcher 7F 100Cm,173.88,67.81,,,0
CDM,L_5070755,Monitor Cardiac Jot Dx 1.7,19996.2,7798.52,,,0
CDM,L_5070757,Inflator Dvc Encore 26 Medi 20,148.0,57.72,,,0
CDM,L_5070758,Cath Guiding Vista Brite Tip A,237.02,92.44,,,0
CDM,L_5300001,Aerosol Treatment Supply,68.29,26.63,,,0
CDM,L_5300040,Cf Nebulizer,14.49,5.65,,,0
CDM,L_5300053,Bipap/Cpap  Circuit,344.66,134.42,,,0
CDM,L_5300055,Aeroneb Set,341.39,133.14,,,0
CDM,L_5300061,"Resuscitator, Hand",66.23,25.83,,,0
CDM,L_5300086,Hfov Circuit,2579.56,1006.03,,,0
CDM,L_5300105,Supply Oxygen Administration,68.29,26.63,,,0
CDM,L_5300178,Vent Initiation Supply,175.92,68.61,,,0
CDM,L_5300217,Peak Flow Meter Supply,84.87,33.1,,,0
CDM,L_5300219,Spacer Mdi,43.47,16.95,,,0
CDM,L_5300222,Vent Accessories Disp,108.59,42.35,,,0
CDM,L_5300243,Airway Vibrator Supply,331.2,129.17,,,0
CDM,L_5300262,Ezpap Positive Airway Pressure,195.5,76.24,,,0
CDM,L_5300265,Heliox Per Hr,21.74,8.48,,,0
CDM,L_5300311,Niv Mask,282.56,110.2,,,0
CDM,L_5300312,"Neb Kit, Continuous",116.96,45.61,,,0
CDM,L_5300313,Cpap/Bipap Mask,185.26,72.25,,,0
CDM,L_5300314,"Cannula, Nasal, High Flow",343.12,133.82,,,0
CDM,L_5300317,Mri Bag With Hoses,289.8,113.02,,,0
CDM,L_5300318,"Circuit, Nasal, High Flow",202.71,79.06,,,0
CDM,L_5300335,Endo Broncho Flex Dispo,1299.96,506.98,,,0
CDM,L_5300338,Cannula Ram Newborn,62.1,24.22,,,0
CDM,L_5300339,Cannula Ram Infant,62.1,24.22,,,0
CDM,L_5300340,Circuit Meta Neb,440.91,171.95,,,0
CDM,L_5301001,Aerosol Treatment Supply,68.31,26.64,,,0
CDM,L_5301061,"Resuscitator, Hand",65.96,25.72,,,0
CDM,L_5301099,Incentive Spirometer Disposabl,84.87,33.1,,,0
CDM,L_5301105,Oxygen Setup,68.31,26.64,,,0
CDM,L_5301178,Vent Initiation Supply,183.2,71.45,,,0
CDM,L_5301217,Peak Flow Meter Supply,84.87,33.1,,,0
CDM,L_5301219,Aerochamber Supply,49.68,19.38,,,0
CDM,L_5301222,Vent Accessories Disp,109.53,42.72,,,0
CDM,L_5301243,Airway Vibrator Supply,337.41,131.59,,,0
CDM,L_5301301,Aerochamber Mask,76.56,29.86,,,0
CDM,L_5301332,Cannula Ram Preemie,61.64,24.04,,,0
CDM,L_5301333,Cannula Ram Newborn,60.88,23.74,,,0
CDM,L_5301334,Cannula Ram Infant,61.67,24.05,,,0
CDM,L_5301335,Cannula Ram Micropreemie,62.1,24.22,,,0
CDM,L_5301336,Circuit Meta Neb,437.41,170.59,,,0
CDM,L_5574223,Kit Cooled Rf,4158.63,1621.87,,,0
CDM,L_5574344,Floroscop Guidance-Nerve Block,888.0,346.32,,,0
CDM,L_5574366,Perc Asp/Decompr Np Of Iv Disk,10312.0,4021.68,,,0
CDM,L_5574369,Lead Neurostim Test Kit,6494.62,2532.9,,,0
CDM,L_5603928,Cellulose Surgicel 4 X 8,497.15,193.89,,,0
CDM,L_5654083,Dc Beads Size 300-500,7492.64,2922.13,,,0
CDM,L_5654084,Dc Beads Size 500-700,7492.64,2922.13,,,0
CDM,L_5654132,Dc Beads Size 100-300,7492.64,2922.13,,,0
CDM,L_5658013,Surgiflo Hemostat Matrix Top,1268.46,494.7,,,0
CDM,L_5658014,Surgicel Snow Top 2X4,8521.24,3323.28,,,0
CDM,L_5658015,Surgicel Snow Top 4X4,1065.14,415.4,,,0
CDM,L_5658031,Water Sterile Irrigation 1L,98.29,38.33,,,0
CDM,L_5658176,Saline Irrigation 500Ml,75.92,29.61,,,0
CDM,L_5685450,Axicabtagene Cil Car+ Yescarta,2705774.23,1055251.95,,,0
CDM,L_5685451,Brexucabtagene Car+ Tecartus,2705774.23,1055251.95,,,0
CDM,L_5685452,Tisagenlecleu Car+ Kymriah Adt,2705774.23,1055251.95,,,0
CDM,L_5685837,Idecabtagene Vic Cart Abecma,2897167.68,1129895.4,,,0
CDM,L_5700061,Trach Tube - Custom - Non-Ster,2586.46,1008.72,,,0
CDM,L_5700155,Tube Tracheostomy Bivona Tts N,1365.16,532.41,,,0
CDM,L_5700219,Stylet Intubation,51.75,20.18,,,0
CDM,L_5701052,Heated Transport Gel Pad,188.23,73.41,,,0
CDM,L_5701067,"Posey Mittens, Padded",223.56,87.19,,,0
CDM,L_5701130,Sling Patient Medium,204.93,79.92,,,0
CDM,L_5701131,Sling Clip Patient Large,204.93,79.92,,,0
CDM,L_5701132,Sling Clip Patient X-Large,204.93,79.92,,,0
CDM,L_5701133,Sling Loop Patient Medium,175.95,68.62,,,0
CDM,L_5701134,Sling Loop Patient Large,175.95,68.62,,,0
CDM,L_5701135,Sling Loop Patient X-Large,175.95,68.62,,,0
CDM,L_5701136,Sling Repositioning Disposable,501.98,195.77,,,0
CDM,L_5701137,Positioner Neo Ped 16X24,645.55,251.76,,,0
CDM,L_5701138,Positioner Neo Ped 7X10,98.32,38.34,,,0
CDM,L_5701212,"Easy Cap, Nellcor",207.67,80.99,,,0
CDM,L_5701225,Pad Hemostatic,593.05,231.29,,,0
CDM,L_5701266,"Immobilizer, Infant",138.69,54.09,,,0
CDM,L_5701294,Set Needle Stablizer 15Mm,909.76,354.81,,,0
CDM,L_5701301,Set Needle Vascular45Mm Ez10,837.32,326.55,,,0
CDM,L_5701307,Set Infusion Powerloc 20X3/4,67.28,26.24,,,0
CDM,L_5701308,Set Infusion Powerloc 20X1,67.28,26.24,,,0
CDM,L_5701314,Bag Pressure Infusor 500Cc,108.68,42.39,,,0
CDM,L_5701315,Bag Pressure Infusor 1000Cc,109.63,42.76,,,0
CDM,L_5701370,Bone Marrow Needle 18 Gauge Di,71.42,27.85,,,0
CDM,L_5701372,Kit Traction Pin,3344.08,1304.19,,,0
CDM,L_5701373,"""Biopsy Needle 11Gx6"""" Manan""",214.24,83.55,,,0
CDM,L_5701403,"Needle,11Ga Jamshidi Biopsy",146.97,57.32,,,0
CDM,L_5701404,Needle/15Ga Ill Sternal/Illiac,152.15,59.34,,,0
CDM,L_5701447,Back Cervical Collaradultlarge,213.21,83.15,,,0
CDM,L_5701448,System Flotrac Sensor,2445.7,953.82,,,0
CDM,L_5701460,Pad Replace Child Univer(Aspen,213.21,83.15,,,0
CDM,L_5701461,Pad Replace Adult Univer(Aspen,213.21,83.15,,,0
CDM,L_5701462,Pad Replace Collar Adult Sm As,247.36,96.47,,,0
CDM,L_5701466,Pad Geo-Mat W/Soft Skin 26X12X,109.71,42.79,,,0
CDM,L_5701470,"""Pad, Decubitus 33"""" X 72""""""",66.24,25.83,,,0
CDM,L_5701516,Cover Transducer Civ-Flex,132.06,51.5,,,0
CDM,L_5701536,Brace Lumbar Small (Quickdraw),710.01,276.9,,,0
CDM,L_5701537,Brace Lumbar Medium (Quickdraw,710.01,276.9,,,0
CDM,L_5701538,Brace Lumbar Large (Quickdraw),710.01,276.9,,,0
CDM,L_5701539,Brace Lumbar X-Large(Quickdraw,710.01,276.9,,,0
CDM,L_5701548,Sleeve Knee Length Scd Large,303.26,118.27,,,0
CDM,L_5701550,"Sleeve, Knee Length, Pr",312.34,121.81,,,0
CDM,L_5701553,Impads Left Reg F/Foot Pump,371.56,144.91,,,0
CDM,L_5701554,Impads Left Large F/Foot Pumt,371.56,144.91,,,0
CDM,L_5701592,Boot Podus System Medium,403.65,157.42,,,0
CDM,L_5701593,Boot Podus System Large,668.61,260.76,,,0
CDM,L_5701600,"Stockings, Elas. Knee Hi S Reg",62.1,24.22,,,0
CDM,L_5701602,"Stocking, Elas. Knee Hi M Reg",62.1,24.22,,,0
CDM,L_5701604,"Stocking, Elas. Knee Hi L Reg",62.1,24.22,,,0
CDM,L_5701606,"Stocking, Elas. Knee, X-Large",72.45,28.26,,,0
CDM,L_5701611,"Stocking, Elas. Thi Hi S Reg #",92.12,35.93,,,0
CDM,L_5701616,"Stocking, Elas. Thi Hi M Reg.",92.12,35.93,,,0
CDM,L_5701621,"Stocking, Elas. Thi Hi L Reg.",92.12,35.93,,,0
CDM,L_5701651,"Suction Cannister, Vac",350.5,136.7,,,0
CDM,L_5701701,System Suctioning Oral Cleans,175.87,68.59,,,0
CDM,L_5701702,System Suctioning Oral Small,183.2,71.45,,,0
CDM,L_5701715,Transducer Adult,129.62,50.55,,,0
CDM,L_5701740,"Urinary Leg Bag, Adult",107.64,41.98,,,0
CDM,L_5701742,Boot Rooke One Size,834.57,325.48,,,0
CDM,L_5701760,Body Aligner,91.07,35.52,,,0
CDM,L_5701764,Boot Pressure Standard Heelif,172.61,67.32,,,0
CDM,L_5701796,Overlay Mattress Waffle,179.06,69.83,,,0
CDM,L_5701820,"""Infusion Y-Set 19G X 1"""" Bent""",62.1,24.22,,,0
CDM,L_5701830,"""Infusion Y-Set 20G X 5/8"""" Bent""",62.1,24.22,,,0
CDM,L_5701832,"""Infusion Y-Set 20G X 1"""" Bent""",62.1,24.22,,,0
CDM,L_5701840,"""Infusion Y-Set 22G X 5/8"""" Bent""",62.1,24.22,,,0
CDM,L_5703091,Dressing Honey Therahoney 1.5,83.72,32.65,,,0
CDM,L_5703112,Dressing Hydro Restore 4X4,42.38,16.53,,,0
CDM,L_5703113,Dressing Foam Restore 6X6,32.99,12.87,,,0
CDM,L_5703114,Dressing Hydro Restore 8X6,122.13,47.63,,,0
CDM,L_5703115,Appl Cavilon 2.7Ml,53.56,20.89,,,0
CDM,L_5703116,Dressing Foam Mediplex 7.2X7.2,43.05,16.79,,,0
CDM,L_5703125,Support Surgical Bra 3X-Large,234.94,91.63,,,0
CDM,L_5703127,Support Surgical Bra Large,234.94,91.63,,,0
CDM,L_5703128,Support Surgical Bra Xlarge,234.94,91.63,,,0
CDM,L_5703153,"""Dressing, Topical Wound 12"""" Ro""",62.1,24.22,,,0
CDM,L_5703156,Dressing Gel Silver 12 X 10,240.59,93.83,,,0
CDM,L_5703164,Gel Wound Dressing Carrasyn,109.71,42.79,,,0
CDM,L_5703167,"Dressing Lg, Vac",406.14,158.39,,,0
CDM,L_5703168,"Dressing Med, Vac",341.55,133.2,,,0
CDM,L_5703169,"Dressing Sm, Vac",273.24,106.56,,,0
CDM,L_5703173,Cannister Suction 250Ml Omni,307.4,119.89,,,0
CDM,L_5703179,Pad Trac W/ Tubin (Vac),208.04,81.14,,,0
CDM,L_5703188,Dressing Abthera Open Abdomin,2663.06,1038.59,,,0
CDM,L_5703189,Dressing Mepilex 4Inx5In,92.12,35.93,,,0
CDM,L_5703190,Dressing Mepilex 4Inx8In,122.13,47.63,,,0
CDM,L_5703192,Dressing Iv Secure Picc / Cvc,28.84,11.25,,,0
CDM,L_5703210,Kit Fistal Wound Mgmt 14070,692.42,270.04,,,0
CDM,L_5703223,Dressing Mediplex 8.7Inx9.8In,77.61,30.27,,,0
CDM,L_5703361,"""Micordon Sheeting 34"""" X 36"""" Ea""",252.54,98.49,,,0
CDM,L_5704290,Hypothermia Pad,366.39,142.89,,,0
CDM,L_5704291,Pad Articsun Gel Universal,2152.8,839.59,,,0
CDM,L_5704292,Pad Articsun Gel Small,6550.52,2554.7,,,0
CDM,L_5704293,Pad Articsun Gel Large,6550.52,2554.7,,,0
CDM,L_5705006,Pack Rad Artery Access Harrpe,262.82,102.5,,,0
CDM,L_5705007,Midline 4Fr 20Cm Dual Max,892.17,347.95,,,0
CDM,L_5705011,Midline 5Fr 20Cm Ct Dual Max,876.64,341.89,,,0
CDM,L_5705012,Kit Bundle Central Line,331.2,129.17,,,0
CDM,L_5705025,Tray Port Access Dt20875,142.83,55.7,,,0
CDM,L_5705033,Cath Solex,5426.5,2116.34,,,0
CDM,L_5705086,"""Jamshidi """"Basic"""" Bone Marrow B""",365.36,142.49,,,0
CDM,L_5705105,Breast Pump Kit,401.36,156.53,,,0
CDM,L_5705106,Kit Breast Pump Dual,400.54,156.21,,,0
CDM,L_5705107,Bag Storage Breast Milk,356.04,138.86,,,0
CDM,L_5705108,Cartridge Digestive Enzyme,339.48,132.4,,,0
CDM,L_5705126,Blade Video Lary Sz3 02700769,254.61,99.3,,,0
CDM,L_5705127,Blade Video Lary Sz3 02700770,254.61,99.3,,,0
CDM,L_5705129,System Prevena Incision Mgmt,4235.22,1651.74,,,0
CDM,L_5705135,Cardiac Output Set,308.43,120.29,,,0
CDM,L_5705156,Tray Central Line Adult,99.13,38.66,,,0
CDM,L_5705181,Tray Circumcision Sterile Disp,517.5,201.82,,,0
CDM,L_5705185,Tray Ciaglia Perc Sz 8,1787.44,697.1,,,0
CDM,L_5705186,Tray Ciaglia Perc Sz 6,1929.24,752.4,,,0
CDM,L_5705187,Kit Mac 9Fr Two Lumen Cenrt Ve,928.4,362.08,,,0
CDM,L_5705243,Tray Suture Disposable,113.85,44.4,,,0
CDM,L_5705245,Tray Chest Tube Disposable,221.49,86.38,,,0
CDM,L_5705308,Codman Ventricular Drain,545.45,212.73,,,0
CDM,L_5705309,Disp Ventricular Catheter,519.57,202.63,,,0
CDM,L_5705311,Eds-Ii Collection Bag 82-1722,444.02,173.17,,,0
CDM,L_5705313,External Drain Csf,688.28,268.43,,,0
CDM,L_5705314,Kit Perivac Pericardial,1264.51,493.16,,,0
CDM,L_5705322,Flotrac Sensor,2184.89,852.11,,,0
CDM,L_5705348,Microsensor Basic Kit,1641.51,640.19,,,0
CDM,L_5705405,Disp Icp Drill Kit,1026.72,400.42,,,0
CDM,L_5705408,"Introducer Kit, Sheath",474.03,184.87,,,0
CDM,L_5705414,Kit Picc 1.4Fr,160.2,62.48,,,0
CDM,L_5705415,Kit Picc 1.9Fr,157.75,61.52,,,0
CDM,L_5705440,"Lumbar Puncture Tray,Adult Dis",270.84,105.63,,,0
CDM,L_5705441,"Lumbar Puncture Tray,Pediatric",221.49,86.38,,,0
CDM,L_5705445,Monitoring Kit Bifurcated,439.75,171.5,,,0
CDM,L_5705446,Monitoring Kit Trifurcated,621.0,242.19,,,0
CDM,L_5705447,Probe Skin Temp Nf-023,95.22,37.14,,,0
CDM,L_5705502,Paracentesis Tray Disposable,519.57,202.63,,,0
CDM,L_5705505,Set Normothermic Iv Fluid Admi,582.71,227.26,,,0
CDM,L_5705530,Tray Pelvic Exam Disposable,91.08,35.52,,,0
CDM,L_5705558,Kit Dual Lumen 4Fr 5Cm Centra,602.37,234.92,,,0
CDM,L_5705559,Kit Catheter 28 Ga 25Cm,878.49,342.61,,,0
CDM,L_5705563,Pressure Monitor Kit Cpms250,278.42,108.58,,,0
CDM,L_5705565,"Drainage System, Chest Disp.",527.85,205.86,,,0
CDM,L_5705566,"Drainage System, Chest Disp. A",673.78,262.77,,,0
CDM,L_5705568,Tray Arterial Linme Femoral,333.27,129.98,,,0
CDM,L_5705569,Kit Dual Lumen 7Fr Cent Ven,931.5,363.28,,,0
CDM,L_5705601,Stapler Skin 35W Disposable,145.94,56.92,,,0
CDM,L_5705650,Kit Temporary Pacing Catheter,911.84,355.62,,,0
CDM,L_5705652,"Thoracentesis Tray, Disposable",381.92,148.95,,,0
CDM,L_5705655,Tube Trach 3.5 Peds 60Pfss35,521.64,203.44,,,0
CDM,L_5705678,Tube Trach 3.0 Flextend Tts,1322.73,515.86,,,0
CDM,L_5705680,Tube Trach 3.0 Flex Tts Str,1469.7,573.18,,,0
CDM,L_5705702,Tube Trach 3.5 67Pfss35,1422.09,554.62,,,0
CDM,L_5705703,Tube Trach 4.0 67Pfss40,1315.48,513.04,,,0
CDM,L_5705707,Tube Trach 3.5 67Nfps35,1322.73,515.86,,,0
CDM,L_5705714,Tube Trach 3.5 Cuffed Bivona,1343.43,523.94,,,0
CDM,L_5705718,Set Filter Line Adult/Pediatri,252.54,98.49,,,0
CDM,L_5705719,Set Filter Line Infant/Neonata,250.42,97.66,,,0
CDM,L_5705721,Tube Trach 6.0 Dismal Cuff,565.11,220.39,,,0
CDM,L_5705722,Tube Trach 6.0 Dismal Cuffless,565.11,220.39,,,0
CDM,L_5705723,Tube Trach 6.0 Proximal Cuff,565.11,220.39,,,0
CDM,L_5705724,Tube Trach 6.0 Proximal Cuffle,565.11,220.39,,,0
CDM,L_5705728,Tube Trach 8.0 Proximal Cuffed,565.11,220.39,,,0
CDM,L_5705744,Tube Trach 3.0 Neo Tts Cuff,1315.48,513.04,,,0
CDM,L_5705820,"Trach Tube,Shiley,Low Press Cu",555.79,216.76,,,0
CDM,L_5705822,"Trach Tube,Shiley,Low Press Cu",555.79,216.76,,,0
CDM,L_5705824,"Trach Tube,Shiley,Low Press Cu",555.79,216.76,,,0
CDM,L_5705828,Tube Endotracheal Anchorfast,51.69,20.16,,,0
CDM,L_5705830,"Trach Tube,Shly #Cfs 4",378.81,147.74,,,0
CDM,L_5705832,"Trach Tube,Shiley #Csf 6",378.81,147.74,,,0
CDM,L_5705834,"270Ch Tube,Shiley #Cfs 8",378.81,147.74,,,0
CDM,L_5705850,"Trach Tube,Shiley #Pt00",508.18,198.19,,,0
CDM,L_5705852,"Trach Tube, Shiley #Pt 0",508.18,198.19,,,0
CDM,L_5705854,"Trach Tube, Shiley #Pt 1",508.18,198.19,,,0
CDM,L_5705856,"Trach Tube,Shiley #Pt 2",508.18,198.19,,,0
CDM,L_5705857,Tube Trach 8.0  Xlt Distal,513.36,200.21,,,0
CDM,L_5705860,Tube Trach Sz. 5.0 Ped,414.0,161.46,,,0
CDM,L_5705900,"Trochar With Catheter,Chest 10",296.01,115.44,,,0
CDM,L_5705906,"Trochar With Catheter, Chest 2",307.4,119.89,,,0
CDM,L_5705926,Tray Pneumothorax,822.82,320.9,,,0
CDM,L_5705927,Tray 10.5(Pigtail)Fuhrman Pl,661.36,257.93,,,0
CDM,L_5705939,Needle A Bevel 5Fr 5Cm,244.26,95.26,,,0
CDM,L_5705962,Tray Poly Perqcath 4Fr Dbl L,1514.2,590.54,,,0
CDM,L_5705963,Tray Poly Perqcath 3Fr Sgl L,1200.64,468.25,,,0
CDM,L_5706035,Evd Insert Medline Dynj56328,447.12,174.38,,,0
CDM,L_5706042,Kit Pleurx Pleural Catheter 15,2738.61,1068.06,,,0
CDM,L_5706043,Kit Pleurx Drainage,476.1,185.68,,,0
CDM,L_5706054,Needle Introducer 2.8Fr,452.06,176.3,,,0
CDM,L_5706056,Catheter L Peel Away 24Ga 30Cm,380.59,148.43,,,0
CDM,L_5706073,Set Arterial Pressure Monitor,154.22,60.15,,,0
CDM,L_5706077,Catheter 5Fr Dual Lumen Umbili,564.08,219.99,,,0
CDM,L_5706078,Kit 7Fr 20Cm Multi Lumen Pres,1027.76,400.83,,,0
CDM,L_5706080,"Cath Set, Radial Artery",176.98,69.02,,,0
CDM,L_5706095,Tray Dbl Lumen 11.5X15Cm Sil,761.76,297.09,,,0
CDM,L_5706096,Tray Dbl Lumen 11.5X20Cm Sil,761.76,297.09,,,0
CDM,L_5706097,Tray Dbl Lumen 11.5X24Cm Sil,761.76,297.09,,,0
CDM,L_5706100,Catheter Coude 16Fr 5Cc Silve,76.59,29.87,,,0
CDM,L_5706101,Catheter Coude 18Fr 5Cc Silve,76.59,29.87,,,0
CDM,L_5706102,Catheter Coude 20Fr 5Cc Silve,76.59,29.87,,,0
CDM,L_5706103,Catheter Hi-Lo 8Fr,318.78,124.32,,,0
CDM,L_5706104,Catheter Hi-Lo 10Fr,318.78,124.32,,,0
CDM,L_5706105,Kit Cath 16Fr Foley Temp Silv,242.19,94.45,,,0
CDM,L_5706107,Mon-A-Therm 12Fr Foley Cath,316.71,123.52,,,0
CDM,L_5706108,Mon-A-Therm 14Fr Foley Cath,458.5,178.82,,,0
CDM,L_5706109,Foley Cath 6Fr W/Stylet,335.51,130.85,,,0
CDM,L_5706110,"Catheter, Foley 2 Way 3Cc 8Fr",92.12,35.93,,,0
CDM,L_5706112,"Catheter, Foley 2 Way 3Cc 10Fr",92.12,35.93,,,0
CDM,L_5706115,"Foley, Urine Closed, 14Fr",210.1,81.94,,,0
CDM,L_5706116,"Foley, Urine Closed, 16Fr",209.88,81.85,,,0
CDM,L_5706117,"Foley, Urine Closed, 18Fr",210.1,81.94,,,0
CDM,L_5706123,Catheter Foley 24Fr 5Cc Silve,82.8,32.29,,,0
CDM,L_5706130,Catheter Foley 12Fr 5Cc Silve,72.45,28.26,,,0
CDM,L_5706131,Catheter Foley 14Fr 5Cc Silve,72.45,28.26,,,0
CDM,L_5706134,Catheter Foley 20Fr 5Cc Silve,72.45,28.26,,,0
CDM,L_5706175,Needle Intro 20Ga For24Ga Lcat,414.44,161.63,,,0
CDM,L_5706191,Device Advisor Autovalve,773.14,301.52,,,0
CDM,L_5706215,3.5 Fr. Cath. Umbilical Artery,130.98,51.08,,,0
CDM,L_5706216,5 Fr. Cath. Umbilical Artery,177.41,69.19,,,0
CDM,L_5706217,Catheter Umbilical 3.5 Dual Lu,320.85,125.13,,,0
CDM,L_5706234,"Catheter, Urethral 18Fr",20.65,8.05,,,0
CDM,L_5706236,Catheter 3.0Mm Multiaccess,294.17,114.73,,,0
CDM,L_5706238,Barrier No Sting,175.95,68.62,,,0
CDM,L_5706244,"""System Trach 8Fr Closed """"Y"""" Ne""",285.86,111.49,,,0
CDM,L_5706245,System Trach 6Fr Closed Y,282.32,110.1,,,0
CDM,L_5706247,8 Fr Tracheal Closed Suction S,297.04,115.85,,,0
CDM,L_5706248,10 Fr Tracheal Closed Suction,297.04,115.85,,,0
CDM,L_5706249,12 Fr Tracheal Closed Suction,263.92,102.93,,,0
CDM,L_5706254,"Closed Tracheal Suction Sys, 1",252.37,98.42,,,0
CDM,L_5706257,Catheter Cco&Sv02 Combination,1369.3,534.03,,,0
CDM,L_5706258,Cath. Termodilution (Vip),519.57,202.63,,,0
CDM,L_5706414,Tube Feeding W/O Stylet 5Fr,130.41,50.86,,,0
CDM,L_5706415,Tube Feeding W/O Stylet 6Fr,130.41,50.86,,,0
CDM,L_5706416,Tube Feeding W/O Stylet 8Fr,130.41,50.86,,,0
CDM,L_5706417,Tube Feeding W/O Stylet 10Fr,130.41,50.86,,,0
CDM,L_5706422,Tube Feed 4F Neomd Fts4.0Peo,51.85,20.22,,,0
CDM,L_5706423,Tube Feed 5F Neomd Ftm5.0Peo,52.61,20.52,,,0
CDM,L_5706424,Tube Feed 6.5F Nemd Ftm6.5Peo,47.5,18.52,,,0
CDM,L_5706425,Tube Feed 8F Neomd Fts8.0Peo,52.78,20.58,,,0
CDM,L_5706568,"""Guide, Spring .025""""""",92.12,35.93,,,0
CDM,L_5706597,"J Wire, Safe T Cvd",138.69,54.09,,,0
CDM,L_5706614,System Fecal Bowel Mgmt,1805.04,703.97,,,0
CDM,L_5706818,Tube 24R Replc Ball Gast(Peg),331.2,129.17,,,0
CDM,L_5706825,"Feeding Tube, Wt5Gm, 10Fr, Pan",278.42,108.58,,,0
CDM,L_5706827,Kit Gastrostomy 14Fr 0.8Cm,818.68,319.29,,,0
CDM,L_5706843,Feeding Tube Corflo Ultra 12Fr,377.78,147.33,,,0
CDM,L_5706844,Set Bolus Ext Feeding,185.26,72.25,,,0
CDM,L_5706845,Set Ext Mic-Key W/Secur-Lok Ri,171.81,67.01,,,0
CDM,L_5706850,"Tube, Sump Nasal Gastric 10Fr",312.91,122.03,,,0
CDM,L_5706852,"Tube, Sump Nasal Gastric 14Fr",321.88,125.53,,,0
CDM,L_5706856,Vygon Lt. Sump Tube 8Fr 90Cm,78.43,30.59,,,0
CDM,L_5706868,Tubing Anesthesia Safeset,263.92,102.93,,,0
CDM,L_5706876,Tray 3Fr 5Cm Central Venous Ca,576.5,224.84,,,0
CDM,L_5707128,Little Ones Flex Wafers,260.82,101.72,,,0
CDM,L_5707129,Bag Ostomy 1.25In 9In Green,77.62,30.27,,,0
CDM,L_5707131,Little Ones Pouch 20916,508.18,198.19,,,0
CDM,L_5707221,"""Squibb Durahesive Wafer/1 3/4""""""",282.56,110.2,,,0
CDM,L_5707223,Pouch Urostomy 9In > 2 1/2In,240.55,93.81,,,0
CDM,L_5707224,Barrier Skin New Image 2.75,92.12,35.93,,,0
CDM,L_5707225,Squibb Stomawafer 4X4 2 3/4Fl,207.0,80.73,,,0
CDM,L_5707226,Stomawafer 6 X 6 4 Fl. 22341,290.83,113.42,,,0
CDM,L_5707245,"""Pouch Drainable 12"""" 1-3/4 Tran""",219.42,85.57,,,0
CDM,L_5707250,Squibb Sur Fit Drainable Pouch,219.42,85.57,,,0
CDM,L_5707251,Pouch Ostomy 2.75In 9In,46.58,18.17,,,0
CDM,L_5707258,Pouch Drainable High Output,625.14,243.8,,,0
CDM,L_5707260,Squibb Sur Fit Urostomy Pouch,307.4,119.89,,,0
CDM,L_5707410,United Surg Bongort Drain Tr11,321.33,125.32,,,0
CDM,L_5707633,Pouch Eakin Fistula Wound,33.18,12.94,,,0
CDM,L_6013013,Cath 5.5Fr Antimicrobial Picc,2145.71,836.83,,,0
CDM,L_6013014,Cath 6.0Fr Antimicrobial Picc,1483.16,578.43,,,0
CDM,L_6013015,Cath 4.5Fr Antimicrobial Picc,1290.64,503.35,,,0
CDM,L_6013026,Cath Iv Introcan,509.12,198.56,,,0
CDM,L_6014022,Cath Iv Introcan,509.22,198.6,,,0
CDM,L_6014023,Introducer Microez Kit 3.5F,434.7,169.53,,,0
CDM,L_6073036,Injection Subq Or Im,311.0,121.29,,,0
CDM,L_6073042,Iv Infusion For Ther/Proph/Dia,748.0,291.72,,,0
CDM,L_6073053,Noncdm Legacy Charge,6089.0,2374.71,,,0
CDM,L_6076021,Us Pregnancy 1 Or More Fetuses,382.0,148.98,,,0
CDM,L_6076028,System Pph Jada,1731.56,675.31,,,0
CDM,L_6076031,Dvc Clos V-Loc 90 3-0 V-20 Abs,90.04,35.12,,,0
CDM,L_6076032,Prevena Plus Custom Single,1648.76,643.02,,,0
CDM,L_6076035,System Stapling Signia,447.12,174.38,,,0
CDM,L_6076036,Retractor Pannus Retention,306.36,119.48,,,0
CDM,L_6076037,Adhesive Barrier Seprafilm 3X5,630.32,245.82,,,0
CDM,L_6076038,Dvc Stratafix Spiral Monocryl,106.6,41.57,,,0
CDM,L_6076039,Dvc Seal-Divider Maryland 23Cm,2355.66,918.71,,,0
CDM,L_6094010,Neonatal Circuit,1865.07,727.38,,,0
CDM,L_6094026,Oxygenator Perf Quadrox Id Ped,12747.06,4971.35,,,0
CDM,L_6094031,Cannula Arterial,2980.8,1162.51,,,0
CDM,L_6094032,Cannula Bi-Caval,15335.6,5980.88,,,0
CDM,L_6094035,Connector,37.26,14.53,,,0
CDM,L_6094038,Stopcock,49.68,19.38,,,0
CDM,L_6094039,Tubing 1/4,105.57,41.17,,,0
CDM,L_6094042,Cannula Venous,2980.8,1162.51,,,0
CDM,L_6300032,Retrevial Basket,1167.48,455.32,,,0
CDM,L_6300035,Needle Ebus Sono Tip,736.92,287.4,,,0
CDM,L_6300139,Bronch W/Needle Bx,5602.0,2184.78,,,0
CDM,L_6300181,Catheter Transbro Nc Need Aspi,278.42,108.58,,,0
CDM,L_6300182,Forceps Biopsy,129.38,50.46,,,0
CDM,L_6300184,Brush Disp Cytology,42.44,16.55,,,0
CDM,L_6300190,Adapter Portex,49.68,19.38,,,0
CDM,L_6300195,Kit Drainage 14Fr 29Cm,889.06,346.73,,,0
CDM,L_6300196,Tray Thoracentesis 8Fr 4.7,126.27,49.25,,,0
CDM,L_6300197,Pleural Kit Pleurx Drain,671.72,261.97,,,0
CDM,L_6300211,Exhaled Carbon Dioxide,126.27,49.25,,,0
CDM,L_6300212,Provocholine,189.4,73.87,,,0
CDM,L_6300221,Stent Tracheobronchial,9320.17,3634.87,,,0
CDM,L_6300230,Needle Ebus 19Gauge,1934.42,754.42,,,0
CDM,L_6300243,Brushes Cytology Disp Super D,161.46,62.97,,,0
CDM,L_6300244,Needle Super D 21G Aspirat,639.63,249.46,,,0
CDM,L_6300274,Coil Embolization Bs 241742,711.04,277.31,,,0
CDM,L_6300279,Retriever Raptor Mini,861.12,335.84,,,0
CDM,L_6300656,Small Oval Flex Polyp Snare,140.76,54.9,,,0
CDM,L_6300805,Boston Sci M00558470 Bal Dil,3096.72,1207.72,,,0
CDM,L_6300806,Boston Sci M00558480 Bal Dil,3096.72,1207.72,,,0
CDM,L_6300807,Boston Sci M00558460 Bal Dil,3096.72,1207.72,,,0
CDM,L_6300812,Laryngoscope Glidescope Gvl,2216.97,864.62,,,0
CDM,L_6300813,Laryngoscope Glidescope Gvl,1918.89,748.37,,,0
CDM,L_6300826,Aero Bronch Stent,10215.45,3984.03,,,0
CDM,L_6300828,"Flexision Bx Needle 19, 21 23G",5433.75,2119.16,,,0
CDM,L_6300829,Catheter Fully Articulating,21735.0,8476.65,,,0
CDM,L_6300830,Probe Peripheral Vision,16518.6,6442.25,,,0
CDM,L_6300831,Catheter Guide,2608.2,1017.2,,,0
CDM,L_6300832,Conn Swivel Ion,2825.55,1101.96,,,0
CDM,L_6300833,Adapter Probe/Suction Vi,2173.5,847.66,,,0
CDM,L_6300834,Vision Probe,956.34,372.97,,,0
CDM,L_6300835,Knife Fusion Needle 6Fr,600.3,234.12,,,0
CDM,L_6300836,Maxfast Covidien Frhead Sens,82.8,32.29,,,0
CDM,L_6300837,Flexible Probe Cryo 1.1Mm,1769.85,690.24,,,0
CDM,L_6300838,Flexible Probe Cryo 1.7Mm,1321.7,515.46,,,0
CDM,L_6300839,Bronchosopes  Peds Disp Olym,2587.5,1009.12,,,0
CDM,L_6300842,Bronchoscope Ascope 5.6,1866.1,727.78,,,0
CDM,L_6300843,Dvc Opep Aerobika,220.46,85.98,,,0
CDM,L_6300846,Pleurx Drainage Kit 100Ml,1141.6,445.22,,,0
CDM,L_6501046,Noncdm Legacy Charge,696.0,271.44,,,0
CDM,L_6501125,Cl Visit Estab Level 4,431.0,168.09,,,0
CDM,L_6501518,"Eval Implanted Pump, W/O Repro",833.0,324.87,,,0
CDM,L_6602014,Rod Titanium,956.34,372.97,,,0
CDM,L_6602016,Screw Titanium Pedicle Click,2260.44,881.57,,,0
CDM,L_6602019,Burr Hole Plate Cover,2173.5,847.66,,,0
CDM,L_6602042,Cannister Omini Jug W/Siphon,141.9,55.34,,,0
CDM,L_6602044,Kit Repose Tongue Stablizer,10432.8,4068.79,,,0
CDM,L_6602048,Cord Hand Control Disp,469.89,183.26,,,0
CDM,L_6602050,Bit Drill Linderman,306.36,119.48,,,0
CDM,L_6602051,Burr Cross Cut Fissure,260.82,101.72,,,0
CDM,L_6602052,Screw Infast Bone,1474.88,575.2,,,0
CDM,L_6602055,Balloon Xxl Dilatation,1130.22,440.79,,,0
CDM,L_6602058,Needle Arterial Entry,33.12,12.92,,,0
CDM,L_6602060,Balloon Non Laser,956.34,372.97,,,0
CDM,L_6602061,G Wire Start Endovasc,247.36,96.47,,,0
CDM,L_6602064,Blade Razor Cut/Abrader/Shaver,1669.29,651.02,,,0
CDM,L_6602065,Probe Blunt Xia,3237.48,1262.62,,,0
CDM,L_6602066,Electrode 90Degree L Hook,1580.44,616.37,,,0
CDM,L_6602067,Sys Hemo Femostop Gld,744.16,290.22,,,0
CDM,L_6602068,Plate Proximal Humeral,3569.72,1392.19,,,0
CDM,L_6602069,Blade Sickle Myringotomy Knife,76.59,29.87,,,0
CDM,L_6602075,Knife Laseredge,133.51,52.07,,,0
CDM,L_6602076,Tube Feeding 8Fr,12.42,4.84,,,0
CDM,L_6602083,Graft Infuse Bone,18996.39,7408.59,,,0
CDM,L_6602084,Catheter Drainage,133.51,52.07,,,0
CDM,L_6602086,Pin Apex Transfixing Self Dril,686.2,267.62,,,0
CDM,L_6602088,Clamp Carbon Ring 180Mm,2314.26,902.56,,,0
CDM,L_6602092,Knife Clear Cut Dual Bev 2.75M,128.34,50.05,,,0
CDM,L_6602093,Knife Clear Cut Side Port 1Mm,64.17,25.03,,,0
CDM,L_6602095,Cannula Micro J-Shape,31.05,12.11,,,0
CDM,L_6602098,Blade Sagittal Saw Dual Cut,241.16,94.05,,,0
CDM,L_6602227,Stent/Splint Nasal,296.01,115.44,,,0
CDM,L_6602234,Screw Smooth Threaded,811.44,316.46,,,0
CDM,L_6602235,Screw Cortical,421.24,164.28,,,0
CDM,L_6602236,Screw Cancellous,421.24,164.28,,,0
CDM,L_6602237,Bit Drill (Hi),403.65,157.42,,,0
CDM,L_6602238,Plate Distal Volar/Lt/Rt (Hi),3234.38,1261.41,,,0
CDM,L_6602251,Augmnx Hydrogel Inj C61,13225.37,5157.89,,,0
CDM,L_6602252,Integra Valve Pls Certa,21735.0,8476.65,,,0
CDM,L_6602254,Arthrex Coll Tissue Graft,1674.63,653.11,,,0
CDM,L_6602268,Mitraclip Cds0601 Tmvr,111780.0,43594.2,,,0
CDM,L_6602292,Probe Bipol Ablat 90Deg W/Suct,1196.46,466.62,,,0
CDM,L_6602293,Suture Endo Disp Device,905.62,353.19,,,0
CDM,L_6602295,Tubing Namic Inj Line(Endovas),34.16,13.32,,,0
CDM,L_6602296,Tube Trach,21.74,8.48,,,0
CDM,L_6602297,Tube Trach Laser,256.68,100.11,,,0
CDM,L_6602304,Blade Helical Synthes 11Mm,2400.16,936.06,,,0
CDM,L_6602306,Blade/Bone Cutter,934.6,364.49,,,0
CDM,L_6602372,Dressing Merocel,59.0,23.01,,,0
CDM,L_6602376,Introducer 16Fr,637.56,248.65,,,0
CDM,L_6602378,Catheter Kumpe 5Fr,226.66,88.4,,,0
CDM,L_6602380,Snare Gooseneck,1192.32,465.0,,,0
CDM,L_6602383,Blade/Knife/Micro,99.36,38.75,,,0
CDM,L_6602384,Kit Inlet Closure Procedure,391.23,152.58,,,0
CDM,L_6602389,Needle Micro Colorado,225.63,88.0,,,0
CDM,L_6602391,Tubing Hysteroscope,548.55,213.93,,,0
CDM,L_6602392,Bit Drill Twist,457.47,178.41,,,0
CDM,L_6602394,Plate 2 Hole,183.2,71.45,,,0
CDM,L_6602395,Plate Straight 4 Hole(Kls Mart,353.97,138.05,,,0
CDM,L_6602396,Plate Tubular,686.2,267.62,,,0
CDM,L_6602397,Plate Square,686.2,267.62,,,0
CDM,L_6602398,Plate Micro Square/Curved(Kls,866.3,337.86,,,0
CDM,L_6602399,Plate Y/L/T Shaped,809.37,315.65,,,0
CDM,L_6602400,Cover Burr Hole,765.9,298.7,,,0
CDM,L_6602409,Bit Drill Axis/Atlantis,1096.06,427.46,,,0
CDM,L_6602411,Screw Spine Cancellous/Cortica,1119.87,436.75,,,0
CDM,L_6602425,Tube Endotracheal,1804.0,703.56,,,0
CDM,L_6602426,Balloon Dilation Non-Vasc,2176.6,848.87,,,0
CDM,L_6602432,Cannula Twist,138.69,54.09,,,0
CDM,L_6602441,G Wire Endovasc,195.62,76.29,,,0
CDM,L_6602447,Kit Connector And Anchor Cath,492.66,192.14,,,0
CDM,L_6602449,Needle Guide Kit,60.03,23.41,,,0
CDM,L_6602459,Putty Allomatrix Bone/Inj 10Cc,13475.7,5255.52,,,0
CDM,L_6602462,Connector Lateral Vertex,2962.17,1155.25,,,0
CDM,L_6602464,Lead Neurostim Vagal Sgl Pin,34051.5,13280.08,,,0
CDM,L_6602468,Kit Accessory Re-Charger,5868.45,2288.7,,,0
CDM,L_6602473,Clamp Rod Attachment,1374.48,536.05,,,0
CDM,L_6602474,Clamp Adjustable,2954.92,1152.42,,,0
CDM,L_6602479,Needle Retrobulbar(Alcon),53.82,20.99,,,0
CDM,L_6602488,Anchor Screw Bn/Bn Tis/Bn,936.68,365.31,,,0
CDM,L_6602489,Suture Poly Propylene,173.88,67.81,,,0
CDM,L_6602491,Blade Sinus Rad Tricut,1297.89,506.18,,,0
CDM,L_6602500,Cover Burr Hole,765.9,298.7,,,0
CDM,L_6602502,Screw M8 Set Titanium,1020.51,398.0,,,0
CDM,L_6602503,Screw Legacy,4538.48,1770.01,,,0
CDM,L_6602504,G Wire Threaded,425.38,165.9,,,0
CDM,L_6602507,Wire Cutter,1287.54,502.14,,,0
CDM,L_6602510,Bit Drill W/Stop,1458.32,568.74,,,0
CDM,L_6602512,Clamp External Rod Titanium,5735.97,2237.03,,,0
CDM,L_6602516,Kit Vessel Harvest Vasoview,4265.23,1663.44,,,0
CDM,L_6602518,Cushion Donut,12.42,4.84,,,0
CDM,L_6602519,Stent Lacrimal Duct Mini Monok,396.4,154.6,,,0
CDM,L_6602521,Sleeve Drill Guide,580.64,226.45,,,0
CDM,L_6602523,Cap Nail,877.68,342.3,,,0
CDM,L_6602524,Generator Neurostim Interstim,38377.8,14967.34,,,0
CDM,L_6602525,Lead Neurostim Interstim,14846.04,5789.96,,,0
CDM,L_6602530,Needle Formen 20G Interstim,198.72,77.5,,,0
CDM,L_6602535,Adaptor/Ext Neurostim Lead,4347.0,1695.33,,,0
CDM,L_6602547,Probe Ablation,4613.0,1799.07,,,0
CDM,L_6602548,Cement Bone,1196.46,466.62,,,0
CDM,L_6602550,Bit Drill Vertex,1170.58,456.53,,,0
CDM,L_6602552,Plate Recon Template,580.64,226.45,,,0
CDM,L_6602558,Plate Distal Volar Wide Lt/Rt,3426.88,1336.48,,,0
CDM,L_6602559,Plate Small/Mini Fragment,1583.55,617.58,,,0
CDM,L_6602568,Pouch Endocatch Ii 15Mm Specim,928.4,362.08,,,0
CDM,L_6602587,Strap Stirrup W/Sling Ring,30.02,11.71,,,0
CDM,L_6602588,Mesh Vicryl Knitted 12X12,4263.53,1662.78,,,0
CDM,L_6602593,Lens Biom Super View,351.9,137.24,,,0
CDM,L_6602598,Unit Electrosurgical Ligasure,2549.9,994.46,,,0
CDM,L_6602600,Suture Passing Wire,571.32,222.81,,,0
CDM,L_6602601,Drill Pilot J Latch,630.32,245.82,,,0
CDM,L_6602602,Plate Recon 10-14 Hole,2871.09,1119.73,,,0
CDM,L_6602603,Plate Recon 16 Hole,4320.09,1684.84,,,0
CDM,L_6602604,Plate Recon Full,6051.64,2360.14,,,0
CDM,L_6602605,Plate Recon Straight/Curved,2066.9,806.09,,,0
CDM,L_6602608,Plate Fracture Dcp,1455.21,567.53,,,0
CDM,L_6602609,Plate Fracture Rigid Comminute,3059.46,1193.19,,,0
CDM,L_6602610,Screw Mandibular Emer/Saftey,284.62,111.0,,,0
CDM,L_6602613,Probe Endo Ocular/Ent Laser,935.64,364.9,,,0
CDM,L_6602615,Bit Drill Cannulated,2785.18,1086.22,,,0
CDM,L_6602616,G Wire,362.25,141.28,,,0
CDM,L_6602623,Rod Xia 270Mm-400Mm,1247.18,486.4,,,0
CDM,L_6602626,Nail Elastic,1912.68,745.95,,,0
CDM,L_6602628,Balloon Trocar/Bulb Autosuture,750.38,292.65,,,0
CDM,L_6602629,Balloon Preperitoneal Distensi,1815.39,708.0,,,0
CDM,L_6602631,Screw Periarticular,192.51,75.08,,,0
CDM,L_6602633,Suction Converter W/Tip(Peds),123.16,48.03,,,0
CDM,L_6602638,Patch Soft Tissue,2481.93,967.95,,,0
CDM,L_6602649,Pin Schanz,363.28,141.68,,,0
CDM,L_6602686,G Wire Kit Biotenodesis,2086.56,813.76,,,0
CDM,L_6602688,Plate Periarticlar Femur/Tibia,2915.6,1137.08,,,0
CDM,L_6602690,G Wire Control Wire,447.12,174.38,,,0
CDM,L_6602692,Plate Double Y/L,686.2,267.62,,,0
CDM,L_6602693,Shunt Assembly Strata,20497.14,7993.88,,,0
CDM,L_6602694,Passer Strata,449.19,175.18,,,0
CDM,L_6602696,Neuroendoscope Cranial Disp,9128.7,3560.19,,,0
CDM,L_6602698,Bar Transconnector,869.4,339.07,,,0
CDM,L_6602699,Screw Axon,3109.14,1212.56,,,0
CDM,L_6602700,Screw Locking Axon,686.2,267.62,,,0
CDM,L_6602703,Cannula Tracheal,556.83,217.16,,,0
CDM,L_6602705,Probe Swiss Lithoclast,1509.03,588.52,,,0
CDM,L_6602709,Cannula Set,601.34,234.52,,,0
CDM,L_6602710,Kit Puncture Tracheosophageal,1798.83,701.54,,,0
CDM,L_6602711,Clip Ligator Filshie,847.66,330.59,,,0
CDM,L_6602714,Screw Lumbar Cancellous,1842.3,718.5,,,0
CDM,L_6602716,Suture Cutter Knot Pusher,800.06,312.02,,,0
CDM,L_6602718,Needle Curved System,1463.49,570.76,,,0
CDM,L_6602720,Suture E Pack Cabg,1544.22,602.25,,,0
CDM,L_6602721,Forcep Bipolar Endopath,266.0,103.74,,,0
CDM,L_6602726,Burr Biamond 2.9,1289.61,502.95,,,0
CDM,L_6602733,Stablizer System Guidant Axius,3769.47,1470.09,,,0
CDM,L_6602740,Generator Neurostim Dbs,40209.75,15681.8,,,0
CDM,L_6602741,Adaptor/Ext Kit Dbs,2564.73,1000.24,,,0
CDM,L_6602742,Neuro Stim Programmer Ctrl Dbs,4008.56,1563.34,,,0
CDM,L_6602744,Filler Osteoset Bone Void,1718.1,670.06,,,0
CDM,L_6602746,K Wire,455.4,177.61,,,0
CDM,L_6602756,Burr High Speed Round Diamond,1542.15,601.44,,,0
CDM,L_6602759,Pin Guide,686.2,267.62,,,0
CDM,L_6602765,Generator Neurostim Deep Brain,66010.23,25743.99,,,0
CDM,L_6602767,Washer Spike,568.22,221.61,,,0
CDM,L_6602768,Screw Bio Interference,978.08,381.45,,,0
CDM,L_6602774,Cannula Tibial Tunnel,124.2,48.44,,,0
CDM,L_6602776,Suture Auto Purstring,217.35,84.77,,,0
CDM,L_6602777,Valve Strata Regular,18952.92,7391.64,,,0
CDM,L_6602779,Needle Cranial Biopsy,3281.98,1279.97,,,0
CDM,L_6602783,Pin Temp Fixation,765.9,298.7,,,0
CDM,L_6602784,Lead Neurostim Resume,9325.35,3636.89,,,0
CDM,L_6602785,Screw Cannulated/Cancellous,695.52,271.25,,,0
CDM,L_6602788,Plate Narrow Locking Dcp,1586.66,618.8,,,0
CDM,L_6602789,Plate Mandible Large Locking,1978.92,771.78,,,0
CDM,L_6602791,Plate Adaptation,1147.82,447.65,,,0
CDM,L_6602793,Plate Oblique L-Shaped,979.11,381.85,,,0
CDM,L_6602794,Infusion Pump Syncromed,37767.15,14729.19,,,0
CDM,L_6602800,Screw Tibial,607.54,236.94,,,0
CDM,L_6602801,Joint Device Radial Head Evolv,14926.77,5821.44,,,0
CDM,L_6602841,Revision Stem Extension,4891.41,1907.65,,,0
CDM,L_6602847,Plate Distal/Lateral Humeral,3797.42,1480.99,,,0
CDM,L_6602848,Screw Cancellous,686.2,267.62,,,0
CDM,L_6602850,Clamp Neutral Offset,3345.12,1304.6,,,0
CDM,L_6602851,Shell,5543.46,2161.95,,,0
CDM,L_6602852,G Wire Smooth W/ Bullet,310.5,121.1,,,0
CDM,L_6602854,Body Femoral,16070.44,6267.47,,,0
CDM,L_6602855,Liner,3477.6,1356.26,,,0
CDM,L_6602856,Head Femoral,4802.4,1872.94,,,0
CDM,L_6602861,Screw Schanz,1519.38,592.56,,,0
CDM,L_6602862,Plate Calcaneal,3718.76,1450.32,,,0
CDM,L_6602863,Screw Cancellous,189.4,73.87,,,0
CDM,L_6602867,Reservoir Spherical Penile,7258.46,2830.8,,,0
CDM,L_6602868,Plate Locking,9562.36,3729.32,,,0
CDM,L_6602869,Screw Biphase Titanium,705.87,275.29,,,0
CDM,L_6602870,Insert Tibial Duramer,2999.43,1169.78,,,0
CDM,L_6602871,Trocar Split Disposable,552.69,215.55,,,0
CDM,L_6602872,Spacer Peck,13041.0,5085.99,,,0
CDM,L_6602876,Liner Acetabular,5455.48,2127.64,,,0
CDM,L_6602878,Screw Bone,686.2,267.62,,,0
CDM,L_6602880,Cap Blocker,582.71,227.26,,,0
CDM,L_6602881,Connector Offset,1700.5,663.2,,,0
CDM,L_6602882,Plate Lcp,2390.85,932.43,,,0
CDM,L_6602885,Retractor Metrex,1664.28,649.07,,,0
CDM,L_6602889,Nail Fem Troch Antegrade,5805.32,2264.07,,,0
CDM,L_6602892,Bit Drill Acumed,643.77,251.07,,,0
CDM,L_6602894,Dilator Coaxial Vascular,152.15,59.34,,,0
CDM,L_6602896,Plate Lcp,1184.04,461.78,,,0
CDM,L_6602898,Plate Distal/Medial Humerus,3113.28,1214.18,,,0
CDM,L_6602899,Plate Mandible Recon,866.3,337.86,,,0
CDM,L_6602900,Tray Percutaneous Tracheostomy,2313.22,902.16,,,0
CDM,L_6602908,Screw Hex/Buttress Thread,1072.26,418.18,,,0
CDM,L_6602910,Plate Sternal Locking,5444.1,2123.2,,,0
CDM,L_6602918,Stent Biliary Sd,6785.46,2646.33,,,0
CDM,L_6602919,Porous Femoral Component,18367.11,7163.17,,,0
CDM,L_6602923,Tibial Component,15441.16,6022.05,,,0
CDM,L_6602926,Wrench Disposable,260.82,101.72,,,0
CDM,L_6602932,Suture Anchor,1172.66,457.34,,,0
CDM,L_6602933,Catheter Dual Lumen Mahurkar,928.4,362.08,,,0
CDM,L_6602934,Screw Cannulated 4/5Mm,735.88,286.99,,,0
CDM,L_6602935,Wire Cerclage,1097.1,427.87,,,0
CDM,L_6602936,Plate Mandible Locking,2321.5,905.38,,,0
CDM,L_6602938,Spherez Brain Disp,273.24,106.56,,,0
CDM,L_6602940,Mesh Dual 10Cmx15Cmx1,7280.19,2839.27,,,0
CDM,L_6602945,Suture Lasso,565.11,220.39,,,0
CDM,L_6602949,Anchor Screw Bn/Bn Tis/Bn,3318.21,1294.1,,,0
CDM,L_6602963,Stem Profemur Cementless,8607.06,3356.75,,,0
CDM,L_6602965,Head Femoral Ceramic,4347.0,1695.33,,,0
CDM,L_6602972,Stemfemoral Zimmer,13527.45,5275.71,,,0
CDM,L_6602973,Blade Stainless Steel Assi,61.06,23.81,,,0
CDM,L_6602976,Plate Maxillofacial,1953.04,761.69,,,0
CDM,L_6602977,Plate Midface Straight,2608.2,1017.2,,,0
CDM,L_6604001,Stem Offset,3129.84,1220.64,,,0
CDM,L_6604002,Head Hemi Femoral,1754.32,684.18,,,0
CDM,L_6604005,Electrode Clamp 6.3Mm,12693.24,4950.36,,,0
CDM,L_6604007,Patella Poly,2457.09,958.27,,,0
CDM,L_6604009,Expander Tissue Mentor,3738.42,1457.98,,,0
CDM,L_6604010,Graft Bone Infuse Large Ii,28559.79,11138.32,,,0
CDM,L_6604011,Plate Lcd Tibial,5467.9,2132.48,,,0
CDM,L_6604017,Rod Carbon Ex-Fixation,631.35,246.23,,,0
CDM,L_6604018,Graft Pro Osteon Bone 30Cc,3821.22,1490.28,,,0
CDM,L_6604022,Spacer Interspace Knee/Hip,4477.41,1746.19,,,0
CDM,L_6604027,Suction Electrode,475.06,185.27,,,0
CDM,L_6604028,Graft Gortex Soft Tissue,8742.64,3409.63,,,0
CDM,L_6604036,Generator Neurostim Enterra,40054.5,15621.26,,,0
CDM,L_6604037,Lead Neurostim Octad,11410.88,4450.24,,,0
CDM,L_6604039,Head Femoral Conserve,9346.05,3644.96,,,0
CDM,L_6604042,Plate Qtr Tubular 3-8 Holes,691.38,269.64,,,0
CDM,L_6604044,Stem Humeral Modular,12622.86,4922.92,,,0
CDM,L_6604045,Cement Bone Osteobond,730.71,284.98,,,0
CDM,L_6604046,Expander Tissue/Breast,5499.99,2145.0,,,0
CDM,L_6604047,Shell Hip Prosthesis,6955.2,2712.53,,,0
CDM,L_6604048,Stem Femoral Revision,16403.72,6397.45,,,0
CDM,L_6604050,Blade Fixation Humeral,2841.08,1108.02,,,0
CDM,L_6604052,Plate Ulna Proximal/Distal,5084.96,1983.13,,,0
CDM,L_6604056,Lead Pacing Capsurefix,2881.44,1123.76,,,0
CDM,L_6604059,Catheter Central Venous,848.7,330.99,,,0
CDM,L_6604060,Fiber Endo Laser,761.76,297.09,,,0
CDM,L_6604062,Suture Device Smartstich,661.36,257.93,,,0
CDM,L_6604063,Screw Emergency,334.3,130.38,,,0
CDM,L_6604064,G Wire Amplatz Super Stiff,155.25,60.55,,,0
CDM,L_6604065,Wire Kirschner For Ext Fixator,1290.64,503.35,,,0
CDM,L_6604073,Liner Acetabular,3912.3,1525.8,,,0
CDM,L_6604074,Articulating Surface,5251.59,2048.12,,,0
CDM,L_6604075,Femoral Componenttotal Knee,36696.96,14311.81,,,0
CDM,L_6604077,Patella All Poly,1647.72,642.61,,,0
CDM,L_6604078,Nail Trochanteric Cannulated,6485.31,2529.27,,,0
CDM,L_6604081,Cement W Mixer Kyphx Kit,701.73,273.67,,,0
CDM,L_6604087,Plate Mandible C Shape,1841.26,718.09,,,0
CDM,L_6604090,Loop Fiberwire W/Needle Punch,148.0,57.72,,,0
CDM,L_6604092,Ring Tension Capsular,779.36,303.95,,,0
CDM,L_6604098,Mesh Prolene Hernia System,1712.92,668.04,,,0
CDM,L_6604101,Prosthesis Penile Titan,39123.0,15257.97,,,0
CDM,L_6604102,Needle Scorpion Arthrex,651.02,253.9,,,0
CDM,L_6604106,Liner Acetabular,6936.57,2705.26,,,0
CDM,L_6604110,Ocular Imp Aqueous Drain,3955.77,1542.75,,,0
CDM,L_6604111,Needle Fine Aspiration/Biopsy,24.84,9.69,,,0
CDM,L_6604114,Screw Side Opening Spine,2260.44,881.57,,,0
CDM,L_6604123,Cornerstone Psr Peek Spacer,4468.1,1742.56,,,0
CDM,L_6604124,Plate Straight Fusion,6668.5,2600.72,,,0
CDM,L_6604125,Burr Hole Acc Kit Ring & Cap,467.82,182.45,,,0
CDM,L_6604127,Plate Clavicle/Elbow Acumed,4464.99,1741.35,,,0
CDM,L_6604132,Needle Dev Epidural/Spin Med,530.96,207.07,,,0
CDM,L_6604133,Plate Fracture Mandible,1599.08,623.64,,,0
CDM,L_6604137,Suture Mersilene,64.17,25.03,,,0
CDM,L_6604142,Stem Femoral Revision/Zimmer,6500.84,2535.33,,,0
CDM,L_6604144,Liner Acetabular S-Rom,3699.09,1442.65,,,0
CDM,L_6604145,Screwdriver Starburst Disposab,158.35,61.76,,,0
CDM,L_6604149,Reamer Acorn/Arthrotek,939.78,366.51,,,0
CDM,L_6604153,Tubing Irrigation Arthroscopy,129.38,50.46,,,0
CDM,L_6604155,Separator System Optical,509.22,198.6,,,0
CDM,L_6604156,Cannula Threaded W/Universal S,123.16,48.03,,,0
CDM,L_6604161,Catheter Central Venous 3 Lume,302.22,117.87,,,0
CDM,L_6604163,Bit Drill Graduated,1043.28,406.88,,,0
CDM,L_6604167,Stem Humeral Bigliani/Flatow,16403.72,6397.45,,,0
CDM,L_6604168,Joint Component Glenoid Biglia,5543.46,2161.95,,,0
CDM,L_6604169,System Fat Harvest And Transfe,1580.44,616.37,,,0
CDM,L_6604170,Graft Infuse Bone Small,18735.57,7306.87,,,0
CDM,L_6604171,Connector Stepdown,318.78,124.32,,,0
CDM,L_6604172,Connector V-P Shunt,335.34,130.78,,,0
CDM,L_6604174,Graft Hemashield Platinum,2481.93,967.95,,,0
CDM,L_6604181,Cage Peek,13041.0,5085.99,,,0
CDM,L_6604182,Catheter Uretheral Measuring,517.5,201.82,,,0
CDM,L_6604184,Mesh Low Profile Malleable,4706.15,1835.4,,,0
CDM,L_6604185,Endoscope Rigid Neuropen,4781.7,1864.86,,,0
CDM,L_6604186,Tap For Cortex Screw,1024.65,399.61,,,0
CDM,L_6604187,Introducer Suprapubic Catheter,86.94,33.91,,,0
CDM,L_6604188,Screw Mmf Maxillofacial,545.45,212.73,,,0
CDM,L_6604190,Plate Tibal,4315.95,1683.22,,,0
CDM,L_6604192,Tube Medullary Alignment,391.23,152.58,,,0
CDM,L_6604193,Generator Neurostim Restore,68931.0,26883.09,,,0
CDM,L_6604194,Kit Accessory Neurostimulator,899.42,350.77,,,0
CDM,L_6604198,Plate Osteotomy,6193.44,2415.44,,,0
CDM,L_6604199,Pin Guide,337.41,131.59,,,0
CDM,L_6604206,Tip Turbosonic Abs,1222.34,476.71,,,0
CDM,L_6604207,Patch Tympanic Membrane,3891.6,1517.72,,,0
CDM,L_6604209,"Stent, Coated/Cov W/Del Sys",20095.56,7837.27,,,0
CDM,L_6604210,Endoprosthesis Entender,14145.34,5516.68,,,0
CDM,L_6604219,Plate Straight 4 Hole,482.31,188.1,,,0
CDM,L_6604220,Plate 45 Degree Angle 6 Hole,2996.32,1168.56,,,0
CDM,L_6604221,Screw Mmf 2.0X11Mm,670.68,261.57,,,0
CDM,L_6604222,Screw Cortical,965.66,376.61,,,0
CDM,L_6604223,Implant Facial Medpore,1974.78,770.16,,,0
CDM,L_6604224,Neurostimulator Plug & Boot Ki,687.24,268.02,,,0
CDM,L_6604227,G Wire Thruway,984.28,383.87,,,0
CDM,L_6604228,Plate Peri Articular,3694.95,1441.03,,,0
CDM,L_6604229,Device Urinary W/ Sling,18758.34,7315.75,,,0
CDM,L_6604234,Staple Compression (Ortho),3326.49,1297.33,,,0
CDM,L_6604235,Excluder Limb,15769.26,6150.01,,,0
CDM,L_6604236,Excluder Endoprosth 23X12X14,59150.25,23068.6,,,0
CDM,L_6604237,Sheath Non Laser,507.15,197.79,,,0
CDM,L_6604238,Sheath Non Laser,495.76,193.35,,,0
CDM,L_6604239,Catheter Swan Ganz Latex Free,2295.63,895.3,,,0
CDM,L_6604240,Plate Vectra Level-2,5651.1,2203.93,,,0
CDM,L_6604241,Screw Atlantis,1172.66,457.34,,,0
CDM,L_6604250,Probe Percutaneous Lumbar Disc,10867.5,4238.32,,,0
CDM,L_6604251,Needle Biopsy,86.94,33.91,,,0
CDM,L_6604253,Suture Plastic/Micro Pack,42.41,16.54,,,0
CDM,L_6604255,Pack Major (Sri),315.16,122.91,,,0
CDM,L_6604257,Pack Minor Basic (Sri),188.33,73.45,,,0
CDM,L_6604259,Pack Vascular Access (Sri),57.96,22.6,,,0
CDM,L_6604260,Adhesion Barrier Dura Sealant,4231.08,1650.12,,,0
CDM,L_6604261,Cage Alif Cougar,13041.0,5085.99,,,0
CDM,L_6604265,Instrument Bipolar Cautery,57.96,22.6,,,0
CDM,L_6604266,Probe Eraser Wet Field Bipolar,239.08,93.24,,,0
CDM,L_6604272,Pack Extremity (Sri),288.76,112.62,,,0
CDM,L_6604273,Screw Pedicle Protex,2755.17,1074.52,,,0
CDM,L_6604276,Balloon Dilatation Non Vascula,4022.01,1568.58,,,0
CDM,L_6604281,Plate Condylar,5892.26,2297.98,,,0
CDM,L_6604283,Joint Component Tibial Stem,4190.72,1634.38,,,0
CDM,L_6604286,Balloon Polar Dilatation,3477.6,1356.26,,,0
CDM,L_6604287,Tube Tracheostomy Bivona,874.58,341.09,,,0
CDM,L_6604288,Basket Stone Extractor,1170.58,456.53,,,0
CDM,L_6604291,Screw Venture Fixed/Var Angle,1589.76,620.01,,,0
CDM,L_6604293,Neuro Stim Programmer,5314.72,2072.74,,,0
CDM,L_6604296,Drain Sys Vent Cath W/O Trocar,683.1,266.41,,,0
CDM,L_6604298,Pack Peripheral Vascular Graft,985.32,384.27,,,0
CDM,L_6604302,Introducer Sheath,1217.16,474.69,,,0
CDM,L_6604305,Clip Hemolock Polymer,70.38,27.45,,,0
CDM,L_6604307,Pack Neuro Back (Sri),1151.96,449.26,,,0
CDM,L_6604308,Plate Distal Radius,1358.96,529.99,,,0
CDM,L_6604309,Pack Craniotomy (Sri),195.62,76.29,,,0
CDM,L_6604313,Cath Hemodialysis Long Term,1045.35,407.69,,,0
CDM,L_6604314,Catheter Drainage Extrnl Venti,1529.73,596.59,,,0
CDM,L_6604315,Nail Knee,6128.24,2390.01,,,0
CDM,L_6604319,Stent Biliary Ld Expr 6Mm,3536.6,1379.27,,,0
CDM,L_6604320,"Stent, Non-Coa/Non-Cov W/Del",3283.02,1280.38,,,0
CDM,L_6604323,Sheet Silicone Ocular,109.71,42.79,,,0
CDM,L_6604324,Pack Cabg,251.5,98.08,,,0
CDM,L_6604325,"Stent, Non-Cor, Tem W/O Del",1935.45,754.83,,,0
CDM,L_6604327,"Anchor/Screw Bn/Bn,Tis/Bn",3643.2,1420.85,,,0
CDM,L_6604329,Connector End To End Tandem,4347.0,1695.33,,,0
CDM,L_6604336,Pack Opthalmology (Sri),98.32,38.34,,,0
CDM,L_6604337,Pack Kidney Transplant (Sri),2008.94,783.49,,,0
CDM,L_6604338,Pack Total Joint,2526.44,985.31,,,0
CDM,L_6604340,Forcep Bipolar Adson,146.97,57.32,,,0
CDM,L_6604342,Prosthesis Penile Dura-Ii,32689.44,12748.88,,,0
CDM,L_6604344,Device Mucosal Atomization,40.36,15.74,,,0
CDM,L_6604346,Implant Inj Vocal Cord Radiess,1434.51,559.46,,,0
CDM,L_6604347,System Vacuum Cement Mixing,852.84,332.61,,,0
CDM,L_6604352,Plug Vascular Amplatzer,5178.1,2019.46,,,0
CDM,L_6604354,Stapler Contour Curved,3787.06,1476.95,,,0
CDM,L_6604355,Stapler Reloads Contour Curved,1887.84,736.26,,,0
CDM,L_6604357,Pad Grounding Thermopad,1043.28,406.88,,,0
CDM,L_6604358,Set Feeding Tube Jejunal,607.54,236.94,,,0
CDM,L_6604361,Device Habib Resection Rfa,22604.4,8815.72,,,0
CDM,L_6604367,Bit Drill 300-400Mm,2153.84,840.0,,,0
CDM,L_6604368,Catheter Ext Drainage Bactisea,4204.17,1639.63,,,0
CDM,L_6604369,Filler Bone Void Mimix 25G,11971.84,4669.02,,,0
CDM,L_6604372,Plate Proximal Humerus,7222.23,2816.67,,,0
CDM,L_6604377,Needle Portal Dilation,484.38,188.91,,,0
CDM,L_6604378,Sizer Breast Implant Sterile,153.18,59.74,,,0
CDM,L_6604379,Blade Tricut Angle Tip,979.11,381.85,,,0
CDM,L_6604384,Tube Gastrostomy,171.81,67.01,,,0
CDM,L_6604386,Plate Symphysis Pubis,4613.0,1799.07,,,0
CDM,L_6604390,Stem Radial,9629.64,3755.56,,,0
CDM,L_6604397,System Illumination Quadrant,2011.0,784.29,,,0
CDM,L_6604398,Shim Percutaneous Interbody Nu,3694.95,1441.03,,,0
CDM,L_6604410,Ct Airway Disposable,172.84,67.41,,,0
CDM,L_6604413,Catheter Infusion 7Hr Triple L,381.92,148.95,,,0
CDM,L_6604417,Cable Disposable Light Nuvasiv,1588.72,619.6,,,0
CDM,L_6604424,Nail Im Versanail Trochanteric,5704.92,2224.92,,,0
CDM,L_6604425,Bit Drill Depuy Im Nail,883.89,344.72,,,0
CDM,L_6604430,Electrode Strip Subdural Wyler,2973.56,1159.69,,,0
CDM,L_6604431,Plate Distal Radius Locking,3557.3,1387.35,,,0
CDM,L_6604433,Screw Cortical Smith Nephew,625.14,243.8,,,0
CDM,L_6604440,Valve Biopsy Olympus,40.36,15.74,,,0
CDM,L_6604444,Cuvette Arterial Cdi-500 /Perf,904.59,352.79,,,0
CDM,L_6604448,Prosthesis Breast Contour Spec,4891.41,1907.65,,,0
CDM,L_6604449,Screw Resorbable Bio-Pushlock,1564.92,610.32,,,0
CDM,L_6604450,Plate Cmf,544.41,212.32,,,0
CDM,L_6604451,Screw Iliac Fixation,3817.08,1488.66,,,0
CDM,L_6604454,System Scissor Laproscopic,167.67,65.39,,,0
CDM,L_6604455,Stem Modular Shoulder Polaris,8864.78,3457.26,,,0
CDM,L_6604457,Retractor Disposable,1796.76,700.74,,,0
CDM,L_6604460,Stem Component,7824.6,3051.59,,,0
CDM,L_6604463,Vent Tracheostoma Bivona,258.75,100.91,,,0
CDM,L_6604466,Plate Lcp,5659.38,2207.16,,,0
CDM,L_6604469,Staple Device Endo Gia Unloade,737.96,287.8,,,0
CDM,L_6604470,Reload Endo Gia,734.85,286.59,,,0
CDM,L_6604471,Staple Device Endo Ta Loaded,2235.6,871.88,,,0
CDM,L_6604473,Sling Intravaginal Apogee,6630.21,2585.78,,,0
CDM,L_6604475,Connector Rod Parallel,4347.0,1695.33,,,0
CDM,L_6604488,Porous Femoral Component,16403.72,6397.45,,,0
CDM,L_6604489,Mesh (Implantable),557.86,217.57,,,0
CDM,L_6604490,Generator Neurostimulator,97997.94,38219.2,,,0
CDM,L_6604494,Cage V-Lift,25622.46,9992.76,,,0
CDM,L_6604496,Joint Body Femoral Device,9426.78,3676.44,,,0
CDM,L_6604500,Trocar Versastep 5Mm,259.79,101.32,,,0
CDM,L_6604501,Trocar Versastep 10Mm,304.29,118.67,,,0
CDM,L_6604502,Needle Step 14Ga,139.72,54.49,,,0
CDM,L_6604505,G Wire Arthrex,62.1,24.22,,,0
CDM,L_6604506,Screw Bio-Compression,1239.93,483.57,,,0
CDM,L_6604507,Cage Extender Spinal,979.11,381.85,,,0
CDM,L_6604514,Balloon Relieva Sinus,343.62,134.01,,,0
CDM,L_6604517,Retractor Endo Paddle,766.94,299.11,,,0
CDM,L_6604518,Device Urinary Tegress Implant,6259.68,2441.28,,,0
CDM,L_6604521,Scissor Monopolar Cautery,259.79,101.32,,,0
CDM,L_6604523,Surface Articular Knee Stabili,3694.95,1441.03,,,0
CDM,L_6604524,Head Humeral Modular Offset Zi,9681.39,3775.74,,,0
CDM,L_6604525,Stem Humeral Zimmer,12966.48,5056.93,,,0
CDM,L_6604527,Spacer Spinal Peek,31631.67,12336.35,,,0
CDM,L_6604529,Restrictor Cement,921.15,359.25,,,0
CDM,L_6604532,Electrode,104.54,40.77,,,0
CDM,L_6604543,Trocar Versastep Long 5Mm,285.66,111.41,,,0
CDM,L_6604544,Trocar Versastep Long 12Mm,520.6,203.03,,,0
CDM,L_6604545,Needle Step Long,223.56,87.19,,,0
CDM,L_6604546,G Wire Ortho Synthes,459.54,179.22,,,0
CDM,L_6604547,Bit Drill Calibrated,781.42,304.75,,,0
CDM,L_6604548,Bit Drill Synthes Modular Hand,619.96,241.78,,,0
CDM,L_6604550,Screw Cmf Self Drilling Plus D,333.27,129.98,,,0
CDM,L_6604551,Cage V-Lift 18Mmx25Mm,17862.03,6966.19,,,0
CDM,L_6604553,Rod Threaded Cannulated,2326.68,907.41,,,0
CDM,L_6604555,Countersink Cannulated,890.1,347.14,,,0
CDM,L_6604556,Plate Curved Reconstruction 14,3765.33,1468.48,,,0
CDM,L_6604561,Syringe Dilation 60Cc,310.5,121.1,,,0
CDM,L_6604563,Mesh Novasilk/Polypropylene,1268.91,494.87,,,0
CDM,L_6604568,Screw Peek Multiaxial,6132.38,2391.63,,,0
CDM,L_6604569,Screw Peek Set,1521.45,593.37,,,0
CDM,L_6604571,Generator Neurostim Restore Pr,45736.65,17837.29,,,0
CDM,L_6604573,Kit Humeral Condyle Biomet,6520.5,2543.0,,,0
CDM,L_6604575,Stem Humeral Right/Left Biomet,15996.96,6238.81,,,0
CDM,L_6604580,Kit Hip Disposable G Wire/Need,1289.61,502.95,,,0
CDM,L_6604581,Plate Ostomy Angled,1955.12,762.5,,,0
CDM,L_6604583,Tube Assembly Ria > 360Mm Leng,11194.56,4365.88,,,0
CDM,L_6604584,Seal Drive Shaft For Ria,200.79,78.31,,,0
CDM,L_6604585,Head Reamer Ria 13.5Mm,3448.62,1344.96,,,0
CDM,L_6604586,Hook Extraction For Cannulated,2545.06,992.57,,,0
CDM,L_6604588,Liner Hip Reflection Xlpe,16101.5,6279.58,,,0
CDM,L_6604589,Head Femoral Metal On Metal S-,6520.5,2543.0,,,0
CDM,L_6604590,Bag Sterile Ziploc Cranial Fla,17.6,6.86,,,0
CDM,L_6604591,Tubing Inflow Set Intellijet 2,256.62,100.08,,,0
CDM,L_6604592,Shell Nasal Medpor,2700.32,1053.12,,,0
CDM,L_6604595,Introducer Peel Away 7Fr,661.36,257.93,,,0
CDM,L_6604596,Needle Copatite Inj 14Ga,148.0,57.72,,,0
CDM,L_6604599,Generator Neuro Rechg Bat Sys,64273.5,25066.66,,,0
CDM,L_6604600,Plate Locking,8211.69,3202.56,,,0
CDM,L_6604601,Plate Dhs-Dcp 130-150 Degree,2449.84,955.44,,,0
CDM,L_6604602,Stapler Reload Endo Ta-30,732.78,285.78,,,0
CDM,L_6604603,Nail Im Versanail Tibial,7339.18,2862.28,,,0
CDM,L_6604604,Implant Block Sheet Medpor,1809.18,705.58,,,0
CDM,L_6604606,Stent Uterine,157.25,61.33,,,0
CDM,L_6604607,Screw Headless Acutrak Mini,6066.14,2365.79,,,0
CDM,L_6604608,Bit Drill Acutrak Mini,1263.73,492.85,,,0
CDM,L_6604609,Plate Angled Mandible,4288.0,1672.32,,,0
CDM,L_6604610,Plate Lactosorb Straight 4-6 H,534.06,208.28,,,0
CDM,L_6604611,Blade Microbrider Rad,1411.74,550.58,,,0
CDM,L_6604612,G Wire Bead Tip,422.28,164.69,,,0
CDM,L_6604613,Bit Drill 7Mm,1196.46,466.62,,,0
CDM,L_6604614,Prosethesis Urinary Sphincter,31495.05,12283.07,,,0
CDM,L_6604615,Pipelle Unimar Currette 3.1Mm,33.12,12.92,,,0
CDM,L_6604616,Port Lateral Psr 11Mm,3477.6,1356.26,,,0
CDM,L_6604617,Plate Narrow Distal Radius,3768.44,1469.69,,,0
CDM,L_6604618,Screw Locking Star Drive,735.88,286.99,,,0
CDM,L_6604620,Catheter Drainage,2799.68,1091.88,,,0
CDM,L_6604621,Drain Pleurx,529.92,206.67,,,0
CDM,L_6604625,Plate Vectra Level-1,5216.4,2034.4,,,0
CDM,L_6604626,Plate Vectra Level-3,5651.1,2203.93,,,0
CDM,L_6604630,Sphere Glenoid Aequalis Revers,5864.31,2287.08,,,0
CDM,L_6604631,Stem Cemented Aequalis Reverse,11084.85,4323.09,,,0
CDM,L_6604633,Screw Locking Aequalis Reverse,686.2,267.62,,,0
CDM,L_6604638,Blade Mill Bone Double,1130.22,440.79,,,0
CDM,L_6604639,Graft Wittmann Patch,8307.94,3240.1,,,0
CDM,L_6604640,Cup Acetabular Prostalac,4781.7,1864.86,,,0
CDM,L_6604650,Stent Tracheobronchial,12308.22,4800.21,,,0
CDM,L_6604652,"Anchor/Screw Bn/Bn,Tis/Bn",7339.18,2862.28,,,0
CDM,L_6604653,Bit Drill Brad Tip,909.76,354.81,,,0
CDM,L_6604654,Bit Drill Calibrated Synthes,1071.22,417.78,,,0
CDM,L_6604656,Strut Psr Cornerstone,7607.25,2966.83,,,0
CDM,L_6604657,Bar Locking Modular Tibial,1687.05,657.95,,,0
CDM,L_6604658,Vanguard Plus Tibial Bearing,7268.8,2834.83,,,0
CDM,L_6604659,Palte Venture Cervical 32-50Mm,4060.3,1583.52,,,0
CDM,L_6604660,Plate Venture Cervical 52-70Mm,5924.34,2310.49,,,0
CDM,L_6604666,Kit Core Decompression,3676.32,1433.76,,,0
CDM,L_6604670,"Stent, Non-Coa/Non-Cov W/Del",3117.42,1215.79,,,0
CDM,L_6604672,Balloon Esophageal,1430.37,557.84,,,0
CDM,L_6604673,G Wire,544.41,212.32,,,0
CDM,L_6604674,Syringe 60Ml Single Use,210.1,81.94,,,0
CDM,L_6604678,Bit Drill Flexible,1526.62,595.38,,,0
CDM,L_6604679,Pacer Dual Chamber Rr,14385.46,5610.33,,,0
CDM,L_6604680,Extender Ahmed Tube/Shunt,686.2,267.62,,,0
CDM,L_6604685,Catheter Angiographic Imager,92.12,35.93,,,0
CDM,L_6604687,Port Power Device Mri,1513.17,590.14,,,0
CDM,L_6604689,Graft Vascular Ringed,4277.66,1668.29,,,0
CDM,L_6604690,Stapler Reload Proximate,425.38,165.9,,,0
CDM,L_6604692,Plate Atlantis Vision,4412.2,1720.76,,,0
CDM,L_6604693,G Wire Angled Terumo 1,229.77,89.61,,,0
CDM,L_6604694,G Wire Angles Terumo 2,257.71,100.51,,,0
CDM,L_6604695,Catheter Angiographic Terumo,277.38,108.18,,,0
CDM,L_6604696,Bit Drill Flexible Shaft,1526.62,595.38,,,0
CDM,L_6604698,Balloon Quantum Ttc Colonic,478.17,186.49,,,0
CDM,L_6604699,Balloon Eclipse Ttc Esophageal,892.17,347.95,,,0
CDM,L_6604700,Rod Pre-Bent Synthes,1850.58,721.73,,,0
CDM,L_6604703,Screw Synapse,3912.3,1525.8,,,0
CDM,L_6604704,Screw Locking Synapse,621.0,242.19,,,0
CDM,L_6604707,Processor Audio Vibrant,13864.86,5407.3,,,0
CDM,L_6604708,Clip Locking,645.84,251.88,,,0
CDM,L_6604709,System Device Cochlear,71836.24,28016.13,,,0
CDM,L_6604717,Suture Auto Clip Applier,1020.51,398.0,,,0
CDM,L_6604722,Tunneler Sheath & Bullet Tip,238.05,92.84,,,0
CDM,L_6604723,Forcep Biopsy Pulmonary,281.52,109.79,,,0
CDM,L_6604725,Catheter Swan Neck Peritoneal,2307.02,899.74,,,0
CDM,L_6604730,Trocar Endopath Bladeless,307.4,119.89,,,0
CDM,L_6604739,Bit Drill Cannulated,2266.65,883.99,,,0
CDM,L_6604740,Kit Optivac,927.36,361.67,,,0
CDM,L_6604741,Cement Spacer Mold Small,6152.04,2399.3,,,0
CDM,L_6604742,Cement Spacer Mold Large,12867.12,5018.18,,,0
CDM,L_6604743,Cement Bone,2717.91,1059.98,,,0
CDM,L_6604752,Device Absorbatack,1729.48,674.5,,,0
CDM,L_6604757,Interloc Stem,5100.48,1989.19,,,0
CDM,L_6604758,Pin Locking,1412.78,550.98,,,0
CDM,L_6604760,Tibial Bushing,1538.01,599.82,,,0
CDM,L_6604761,Tibial Bearing,4781.7,1864.86,,,0
CDM,L_6604764,Ostene Bone Hemostasis Materi,382.95,149.35,,,0
CDM,L_6604765,Introducer Check Flo Large,513.36,200.21,,,0
CDM,L_6604766,Catheter Occlusion,1813.32,707.19,,,0
CDM,L_6604771,Nut Taylor,30.02,11.71,,,0
CDM,L_6604772,Pin 6-10Mm,755.55,294.66,,,0
CDM,L_6604776,Pin Caps,402.62,157.02,,,0
CDM,L_6604777,Retractor Soft Tissue,2078.28,810.53,,,0
CDM,L_6604787,Coil Embolization,551.66,215.15,,,0
CDM,L_6604793,Scissor Revolution,753.48,293.86,,,0
CDM,L_6604795,Cannula/Trocar,113.85,44.4,,,0
CDM,L_6604797,Probe Vitrectomy,546.48,213.13,,,0
CDM,L_6604798,Handle Backflush,395.37,154.19,,,0
CDM,L_6604800,Cage Mesh,12742.92,4969.74,,,0
CDM,L_6604803,Catheter Soft-Vu Mpa,104.54,40.77,,,0
CDM,L_6604804,Catheter Guiding Mpa,302.22,117.87,,,0
CDM,L_6604805,Tip Cautery Laparoscopic,151.11,58.93,,,0
CDM,L_6604816,Vein Harvest,3039.8,1185.52,,,0
CDM,L_6604824,Linear Bipolar,1304.1,508.6,,,0
CDM,L_6604825,Shell Bipolar,2340.14,912.65,,,0
CDM,L_6604826,Obturator Bladless (Dv),132.48,51.67,,,0
CDM,L_6604834,Cage Lordotic,30429.0,11867.31,,,0
CDM,L_6604838,Putty Fast Set,6590.88,2570.44,,,0
CDM,L_6604840,Punch Ultra Fit,300.15,117.06,,,0
CDM,L_6604846,Cable Device Hip Long,13562.64,5289.43,,,0
CDM,L_6604852,Cutter Endo,3092.58,1206.11,,,0
CDM,L_6604853,Cannula Montgomery Long Term,296.01,115.44,,,0
CDM,L_6604858,Mesh (Implantable),3955.77,1542.75,,,0
CDM,L_6604859,Catheter Closure Fast,4564.35,1780.1,,,0
CDM,L_6604862,Adapter Leur Lock,11.38,4.44,,,0
CDM,L_6604864,Airway Cath Exchange,285.66,111.41,,,0
CDM,L_6604867,Graft Vascular,8016.08,3126.27,,,0
CDM,L_6604870,Graft Vascular,2953.89,1152.02,,,0
CDM,L_6604871,Tray Lumbar Puncture,65.2,25.43,,,0
CDM,L_6604872,Needle Oro-Tracheal Injection,129.38,50.46,,,0
CDM,L_6604883,Electrode Turis Loop,2014.11,785.5,,,0
CDM,L_6604885,Drill Guide Pushlock,761.76,297.09,,,0
CDM,L_6604892,Introducer Set,322.92,125.94,,,0
CDM,L_6604896,Catheter Infusion,1312.38,511.83,,,0
CDM,L_6604900,Hydrodissector Ophth,35.19,13.72,,,0
CDM,L_6604902,Graft Vascular Propaten,6729.57,2624.53,,,0
CDM,L_6604907,Graft Vascular Flixine,5561.06,2168.81,,,0
CDM,L_6604911,Inserter Dsqek Endothelial,979.11,381.85,,,0
CDM,L_6604914,Mesh Implantable (Surgimesh),1420.02,553.81,,,0
CDM,L_6604916,Peg Multidirectional,706.9,275.69,,,0
CDM,L_6604918,Guide Tube & Stylet (For Dbs),986.36,384.68,,,0
CDM,L_6604919,Suture Auto Articulating,2740.68,1068.87,,,0
CDM,L_6604920,Screw Titanium Locking,829.04,323.33,,,0
CDM,L_6604921,Cage Peek Spinal,12780.18,4984.27,,,0
CDM,L_6604923,"Stent, Non-Coa/Non-Cov W/Del",2612.34,1018.81,,,0
CDM,L_6604924,Bolt Anchor Femoral,2912.49,1135.87,,,0
CDM,L_6604925,Joint Component Femoral Device,19030.54,7421.91,,,0
CDM,L_6604926,Patella Dome,2390.85,932.43,,,0
CDM,L_6604927,Sleeve Porus,9909.09,3864.55,,,0
CDM,L_6604929,Insert Femoral,9136.98,3563.42,,,0
CDM,L_6604930,Kit Monitor Neuro,5790.82,2258.42,,,0
CDM,L_6604931,"Stent, Non-Cor, Tem W/O Del",1232.68,480.75,,,0
CDM,L_6604935,Perf/Oxygenator/Quadrox,2265.61,883.59,,,0
CDM,L_6604936,Dressing Vacuum Foam,281.86,109.93,,,0
CDM,L_6604937,Cath Hemodialysis Venous Outfl,13019.26,5077.51,,,0
CDM,L_6604938,Graft Component Arterial,4781.7,1864.86,,,0
CDM,L_6604939,Kit Acessory Component,2390.85,932.43,,,0
CDM,L_6604940,Kit Hemovac,54.86,21.4,,,0
CDM,L_6604945,Sealer Vein,2587.5,1009.12,,,0
CDM,L_6604949,Stapler Echelon,1505.92,587.31,,,0
CDM,L_6604950,Reload Echelon,786.82,306.86,,,0
CDM,L_6604955,Handpiece Disposable Versajet,2587.5,1009.12,,,0
CDM,L_6604956,Bit Drill Cannulated,817.65,318.88,,,0
CDM,L_6604958,Pouch Urostomy,17.6,6.86,,,0
CDM,L_6604964,Tip Debridement,54.86,21.4,,,0
CDM,L_6604967,Tracker Patient Ent,1048.46,408.9,,,0
CDM,L_6604968,Set Tracker Instrument,866.3,337.86,,,0
CDM,L_6604969,Handpiece Endoscrub,266.0,103.74,,,0
CDM,L_6604970,"Stent, Coated/Cov W/Del Sys",7499.61,2924.85,,,0
CDM,L_6604974,Catheter Thrombec Spiroflex,8021.25,3128.29,,,0
CDM,L_6604975,Catheter Thrombec Avx Ultra,3955.77,1542.75,,,0
CDM,L_6604976,"Stent, Non-Coa/Non-Cov W/Del",13889.7,5416.98,,,0
CDM,L_6604978,Catheter Guiding,799.02,311.62,,,0
CDM,L_6604979,Kit Traction Pin,2271.82,886.01,,,0
CDM,L_6604981,Pad Polar Wrap,139.72,54.49,,,0
CDM,L_6604982,Bags Ostomy,80.73,31.48,,,0
CDM,L_6604983,Screw/Anchor Bn/Bn Tis/Bn,1738.8,678.13,,,0
CDM,L_6604984,Cannula Passport,139.72,54.49,,,0
CDM,L_6604985,Suture Fibertape,217.35,84.77,,,0
CDM,L_6604986,Forcep Grieshaber Max Grip,6085.8,2373.46,,,0
CDM,L_6604987,Excluder Aaa Endoprosthesis,47070.76,18357.6,,,0
CDM,L_6604988,Excluder Aaa Endoprosthesis,16802.19,6552.85,,,0
CDM,L_6604989,Applicator Arista,995.67,388.31,,,0
CDM,L_6604990,Hemostat 3Gm Arista,824.9,321.71,,,0
CDM,L_6604991,Nexfoam,346.6,135.17,,,0
CDM,L_6604993,Fiber Laser Beampath Ent,6520.5,2543.0,,,0
CDM,L_6604998,Screw Build-Up Block,1889.91,737.06,,,0
CDM,L_6604999,Joint Device Centralizer Dista,825.93,322.11,,,0
CDM,L_6611807,Lens Acrysof Sn60Wf Etc,642.74,250.67,,,0
CDM,L_6612029,Burr Egg,540.27,210.71,,,0
CDM,L_6612048,Bit Drill 4/8/10/20 Mm,639.63,249.46,,,0
CDM,L_6612049,Bit Drill Rod Short,270.14,105.35,,,0
CDM,L_6612074,Plate 1.5 Cranial 2--4 Hole,197.68,77.1,,,0
CDM,L_6618003,Bar Arch Logan Bow,231.84,90.42,,,0
CDM,L_6618009,Barrier Adhesion Seprafilm,1546.29,603.05,,,0
CDM,L_6618011,Bag/Drainage Cysto Tabl,65.2,25.43,,,0
CDM,L_6618013,Probe Argon Beam (Abc),1299.96,506.98,,,0
CDM,L_6618027,Bit Drill Burr Cutter,258.75,100.91,,,0
CDM,L_6618030,Blade Beaver,183.2,71.45,,,0
CDM,L_6618031,Blade / Dermatone,109.71,42.79,,,0
CDM,L_6618032,Blade Saw,204.93,79.92,,,0
CDM,L_6618034,Suction Tip/Via-Guard,62.1,24.22,,,0
CDM,L_6618039,Electrode Burr Hole 4 Contact,2178.68,849.69,,,0
CDM,L_6618040,Bit Drill,716.22,279.33,,,0
CDM,L_6618042,Cannula Finesse,36.22,14.13,,,0
CDM,L_6618044,Cable Pacer Disp,116.96,45.61,,,0
CDM,L_6618048,Cannula Art/Ven/Cpg,152.15,59.34,,,0
CDM,L_6618054,Drain Chest Dry Suction,282.56,110.2,,,0
CDM,L_6618056,Catheter Dual Lumen Cv,660.33,257.53,,,0
CDM,L_6618057,Catheter Swan Ganz,580.64,226.45,,,0
CDM,L_6618058,Cable Plate Spine Crimp,1850.58,721.73,,,0
CDM,L_6618061,Catheter Hickman 12F,617.9,240.98,,,0
CDM,L_6618063,Rod/Spi,1304.1,508.6,,,0
CDM,L_6618067,Cath Thrombectomy,171.81,67.01,,,0
CDM,L_6618068,Catheter Fogarty Occlusion,252.54,98.49,,,0
CDM,L_6618069,Connector Cordis,281.52,109.79,,,0
CDM,L_6618073,Clip Endo R Angle Multi,523.71,204.25,,,0
CDM,L_6618074,Retractor Stay Lone Star Surg,376.74,146.93,,,0
CDM,L_6618079,Catheter Occlusion Balloon,757.62,295.47,,,0
CDM,L_6618080,Catheter Ureteral,108.64,42.37,,,0
CDM,L_6618081,Protector Corneal,34.16,13.32,,,0
CDM,L_6618082,Catheter Peritoneal,495.76,193.35,,,0
CDM,L_6618086,Suture/Gortex,110.74,43.19,,,0
CDM,L_6618091,Wet Field,288.76,112.62,,,0
CDM,L_6618092,Bowl Brat Assembly,743.13,289.82,,,0
CDM,L_6618095,Cement Surgical,1083.64,422.62,,,0
CDM,L_6618103,Clip/Aneurysm,1326.87,517.48,,,0
CDM,L_6618104,Clip/Hemo/E-Z,434.7,169.53,,,0
CDM,L_6618106,Clip Raney Scalp,10.35,4.04,,,0
CDM,L_6618109,Conformer Eye Small Sterile,318.78,124.32,,,0
CDM,L_6618110,Connector,18.63,7.27,,,0
CDM,L_6618121,Hook Offset Lt/Rt 828,2381.54,928.8,,,0
CDM,L_6618124,Cuff/Tourniquet,93.15,36.33,,,0
CDM,L_6618126,Cannister Berkley,40.36,15.74,,,0
CDM,L_6618130,Dermacarrier,148.31,57.84,,,0
CDM,L_6618135,Drain Blake/Jp/T Tube,136.62,53.28,,,0
CDM,L_6618136,Drain J P Reservoir,149.04,58.13,,,0
CDM,L_6618138,Drain System Neuro Ext/Evd,660.33,257.53,,,0
CDM,L_6618140,Dressing Ear Glascock,78.66,30.68,,,0
CDM,L_6618142,Bit Drill Rt,630.32,245.82,,,0
CDM,L_6618146,Prosthesis/Ear/Goldenberg/Wehr,1393.11,543.31,,,0
CDM,L_6618150,Electrode Ball Loop,380.88,148.54,,,0
CDM,L_6618152,Electrode Adtech Monopolar,626.17,244.21,,,0
CDM,L_6618153,Electrode Subdural,1294.79,504.97,,,0
CDM,L_6618155,Tubing/Irrig/Sux/Endo,302.22,117.87,,,0
CDM,L_6618157,Pouch Endo,327.06,127.55,,,0
CDM,L_6618159,Suture Endo Loop Vicryl,76.59,29.87,,,0
CDM,L_6618162,Plate Reconstruction,2024.46,789.54,,,0
CDM,L_6618167,Basket/Nitinol Tipless Stn Ext,1604.25,625.66,,,0
CDM,L_6618172,Fiber/Laser,2109.33,822.64,,,0
CDM,L_6618175,Filter/Greenfield Vena Cava,4408.06,1719.14,,,0
CDM,L_6618177,Retractor Endo Lung,530.96,207.07,,,0
CDM,L_6618180,Plate Micro/Mini/6-24 Hole Syn,1344.46,524.34,,,0
CDM,L_6618191,Graft Vascular Straight,4008.56,1563.34,,,0
CDM,L_6618197,Graft Vascular,3055.32,1191.57,,,0
CDM,L_6618200,Graft Vascular Gortex Patch,6729.57,2624.53,,,0
CDM,L_6618201,Graft Vascular,2526.44,985.31,,,0
CDM,L_6618203,Graft Vascular Std Wall,2481.93,967.95,,,0
CDM,L_6618211,Needle Counter Magnet,104.54,40.77,,,0
CDM,L_6618212,Cannula Arter Ima Duck Bill,54.86,21.4,,,0
CDM,L_6618213,G Wire,221.44,86.36,,,0
CDM,L_6618215,G Wire Endo Sp,192.51,75.08,,,0
CDM,L_6618216,G Wire Triwire,173.88,67.81,,,0
CDM,L_6618218,G Wire 3.0Mm W/ Ball Tip,457.47,178.41,,,0
CDM,L_6618226,Cushion Donut Shea Head,30.02,11.71,,,0
CDM,L_6618237,Snare Endo Oval,86.94,33.91,,,0
CDM,L_6618240,Cath Hemodialysis Long Term,1184.04,461.78,,,0
CDM,L_6618242,Immobilizer/Knee,84.87,33.1,,,0
CDM,L_6618248,Manipulator/Uterine(Rumi Sys),298.08,116.25,,,0
CDM,L_6618251,Clamp Pads Fogarty,85.9,33.5,,,0
CDM,L_6618252,Introducer,316.71,123.52,,,0
CDM,L_6618258,Joint Device (Implantable),4891.41,1907.65,,,0
CDM,L_6618259,Wire  K Threaded,560.97,218.78,,,0
CDM,L_6618260,Catheter Cvp,204.93,79.92,,,0
CDM,L_6618264,Kit/Aneur/Cranioplasty,1411.74,550.58,,,0
CDM,L_6618266,Kit Icp Adult/Pedi,1258.56,490.84,,,0
CDM,L_6618267,Pin Cap/ End Lead,347.76,135.63,,,0
CDM,L_6618269,Kit Peg Gastrostomy Tube,401.54,156.6,,,0
CDM,L_6618272,Punch Aortic,161.46,62.97,,,0
CDM,L_6618277,Screw Locking,551.66,215.15,,,0
CDM,L_6618283,Punch Opth Cornea Barron,301.18,117.46,,,0
CDM,L_6618291,Mesh Marlex,1132.29,441.59,,,0
CDM,L_6618297,Cement Mixevac,414.0,161.46,,,0
CDM,L_6618307,Needle/Eyed/St/Cr/Aspirate,51.75,20.18,,,0
CDM,L_6618309,Needle/Opth,45.54,17.76,,,0
CDM,L_6618310,Needle/Spinal,40.36,15.74,,,0
CDM,L_6618320,Plate Haid 2-3 Hole,1324.8,516.67,,,0
CDM,L_6618328,Rod Loop Sur Fit Ostomy/Pouch,64.93,25.32,,,0
CDM,L_6618338,Perforator,918.04,358.04,,,0
CDM,L_6618343,Pin,211.14,82.34,,,0
CDM,L_6618345,Pin Skull Disposable,99.36,38.75,,,0
CDM,L_6618350,Stimulator Nerve,337.41,131.59,,,0
CDM,L_6618351,Plate/L,2369.11,923.95,,,0
CDM,L_6618352,Plate Angle,2786.22,1086.63,,,0
CDM,L_6618354,Plate Mandibul Angled Locking,7214.98,2813.84,,,0
CDM,L_6618355,Plate Mandibular Ostemed,2434.32,949.38,,,0
CDM,L_6618356,Plate Mandibular/St/Cr 6696,1026.72,400.42,,,0
CDM,L_6618357,Plate Micro/Min/L/Y/T/St/Cr,765.9,298.7,,,0
CDM,L_6618358,Plate Micro/Notch/2-7 Hole,753.48,293.86,,,0
CDM,L_6618363,Plate Comression Dhs,2449.84,955.44,,,0
CDM,L_6618364,Plate Cervical Locking,4023.04,1568.99,,,0
CDM,L_6618365,Plate Supracondylar,1355.85,528.78,,,0
CDM,L_6618368,Plate Dcp/4-10 Hole,2427.07,946.56,,,0
CDM,L_6618369,Plate Liss Tibia/Femur 4-9 Hol,6270.03,2445.31,,,0
CDM,L_6618370,Plate Narrow Dcp,5879.84,2293.14,,,0
CDM,L_6618371,Plate 3-12 Hole,623.07,243.0,,,0
CDM,L_6618373,Plate Lateral Tibial/Fibula,2787.26,1087.03,,,0
CDM,L_6618376,Plate Recon 3.5Mm 5-13 Hole,1675.66,653.51,,,0
CDM,L_6618378,Plate 8-12 Hole,930.46,362.88,,,0
CDM,L_6618379,Plate 8 Hole,3059.46,1193.19,,,0
CDM,L_6618383,Blade Osteo Stryker,546.48,213.13,,,0
CDM,L_6618384,Probe Esophageal Skin,21.74,8.48,,,0
CDM,L_6618386,Probe/Ehl/Doppler/Prass,716.22,279.33,,,0
CDM,L_6618388,Sling Arm,20.7,8.07,,,0
CDM,L_6618390,Screw Cortex,751.41,293.05,,,0
CDM,L_6618396,Screw Self-Tapping,389.16,151.77,,,0
CDM,L_6618398,Screw Cancellous/Cortex,285.66,111.41,,,0
CDM,L_6618400,Screw/Cannulated 6.5Mm/7.3Mm,948.06,369.74,,,0
CDM,L_6618402,Screw/Lag/Locking,1119.87,436.75,,,0
CDM,L_6618410,Screw/Emergency,256.68,100.11,,,0
CDM,L_6618411,Screw/1.5Mm/1.6Mm/2.0Mm/4.0,234.94,91.63,,,0
CDM,L_6618416,Screw Tendon/Acufex,1220.27,475.91,,,0
CDM,L_6618418,Screwbone,234.94,91.63,,,0
CDM,L_6618422,Screw Recon/Proximal,675.86,263.59,,,0
CDM,L_6618425,Screw/Locking,519.57,202.63,,,0
CDM,L_6618433,Screw Bone,1387.94,541.3,,,0
CDM,L_6618434,Pin Screw Schanz,1307.2,509.81,,,0
CDM,L_6618435,Screw Self Tapping Bone 4.5Mm,83.84,32.7,,,0
CDM,L_6618436,Screw Cannulated,3912.3,1525.8,,,0
CDM,L_6618437,Screw Self Tapping Mandibular,391.23,152.58,,,0
CDM,L_6618438,Screw Locking,914.94,356.83,,,0
CDM,L_6618439,Screw Small Fragment,113.85,44.4,,,0
CDM,L_6618443,Screw/Shaft Cortex,99.36,38.75,,,0
CDM,L_6618444,Screw Cortex Titanium,76.59,29.87,,,0
CDM,L_6618447,Mesh D&G,1111.59,433.52,,,0
CDM,L_6618456,Sheath Peritoneal,55.89,21.8,,,0
CDM,L_6618463,"Shunt,Carotid Artery",86.94,33.91,,,0
CDM,L_6618465,Catheter Shunt Lp,600.3,234.12,,,0
CDM,L_6618471,Catheter Drainage Ventricular,660.33,257.53,,,0
CDM,L_6618475,Shunt H-V Lumbar Valve,6849.63,2671.36,,,0
CDM,L_6618489,Cuff Seq Compression (Pair),89.01,34.71,,,0
CDM,L_6618506,Sigmoidoscope Disp,18.63,7.27,,,0
CDM,L_6618508,Irrigation System Simpulse,172.84,67.41,,,0
CDM,L_6618509,Ent/Splint,217.35,84.77,,,0
CDM,L_6618510,Prosthesis Ossicular Implant,1526.62,595.38,,,0
CDM,L_6618513,Stapler Skin,51.74,20.18,,,0
CDM,L_6618516,Stapler Multifire Ta Long,347.76,135.63,,,0
CDM,L_6618518,Stapler Endo Hernia 4.9 Reload,350.68,136.77,,,0
CDM,L_6618519,Stapler Multifire Gia 60,245.3,95.67,,,0
CDM,L_6618522,Stapler Endo Gia Loading,447.12,174.38,,,0
CDM,L_6618523,Stapler Ta Disp,313.6,122.3,,,0
CDM,L_6618524,Stapler Endopath Articulation,968.81,377.84,,,0
CDM,L_6618528,Screw Cortical/Cortex,686.2,267.62,,,0
CDM,L_6618529,Stent Non-Cor Tem W/O Del,883.89,344.72,,,0
CDM,L_6618530,Stent Non-Cor Tem W/O Del,666.54,259.95,,,0
CDM,L_6618531,Stent Urinary Diversion,644.8,251.47,,,0
CDM,L_6618534,Stopcock X,27.94,10.9,,,0
CDM,L_6618539,Trocar Sleeve Disp,564.89,220.31,,,0
CDM,L_6618540,Needle Verries 120/150Mm,91.08,35.52,,,0
CDM,L_6618543,Suture Gen Pk X,52.78,20.58,,,0
CDM,L_6618544,Suture Cv Multi Pk X,229.77,89.61,,,0
CDM,L_6618545,Suture Micro Pk X,134.55,52.47,,,0
CDM,L_6618546,Suture Ties Pk X,20.69,8.07,,,0
CDM,L_6618547,Suture Multi Pk X,99.36,38.75,,,0
CDM,L_6618548,Suture Opth Pk X,80.73,31.48,,,0
CDM,L_6618551,Shunt Reservoir,2608.2,1017.2,,,0
CDM,L_6618554,Retractor Mcnealy,91.08,35.52,,,0
CDM,L_6618555,"Retrieve,Suture",96.26,37.54,,,0
CDM,L_6618561,Rod Titanium,869.4,339.07,,,0
CDM,L_6618565,Rod/Guide/Reamer,376.74,146.93,,,0
CDM,L_6618572,Tubing Cysto,24.84,9.69,,,0
CDM,L_6618579,Tray Jamshidi,85.9,33.5,,,0
CDM,L_6618583,Tube Feeding Ng,34.16,13.32,,,0
CDM,L_6618584,"Tube, Trach Fenestrated",248.4,96.88,,,0
CDM,L_6618585,Tube Connector,126.27,49.25,,,0
CDM,L_6618586,Tube Ear,122.13,47.63,,,0
CDM,L_6618599,Valve Aortic Mitral,25864.65,10087.21,,,0
CDM,L_6618603,Vessel Loops,11.38,4.44,,,0
CDM,L_6618605,Washer Used W Bone Screw,129.38,50.46,,,0
CDM,L_6618607,Opth Weight Gold Eyelid,1500.75,585.29,,,0
CDM,L_6618611,Suture Umbilical Tape,24.84,9.69,,,0
CDM,L_6618626,Staple Remover,11.38,4.44,,,0
CDM,L_6618630,Catheter Lacrimal Duct,1335.15,520.71,,,0
CDM,L_6618631,Forcep Sp Jaw Radial Endo,2622.69,1022.85,,,0
CDM,L_6618634,Suture Cv Double Arm/Single/Pk,222.52,86.78,,,0
CDM,L_6618636,Prosthesis Ear Porp,1302.03,507.79,,,0
CDM,L_6618647,Catheter Foley,79.69,31.08,,,0
CDM,L_6618653,Pin Holder External Fixation,366.39,142.89,,,0
CDM,L_6618655,Basket Stone Retrieval,1486.26,579.64,,,0
CDM,L_6618657,Bit Drill Burr Neuro Ortho,129.38,50.46,,,0
CDM,L_6618658,Bit Drill Burr Ent,70.38,27.45,,,0
CDM,L_6618660,Blade Saw Sternal,188.37,73.46,,,0
CDM,L_6618665,Opth/Cautery/Eye,52.78,20.58,,,0
CDM,L_6618669,Endo/Grasp Roticular,778.32,303.54,,,0
CDM,L_6618674,Tray Cath,61.06,23.81,,,0
CDM,L_6618675,Drainage Bag Urinary,59.0,23.01,,,0
CDM,L_6618677,Needle Electrode,65.2,25.43,,,0
CDM,L_6618679,Catheter Balloon Dilatation,979.11,381.85,,,0
CDM,L_6618681,Kit/Lap/Gastrostomy,866.3,337.86,,,0
CDM,L_6618688,Foam Cervical Collar,70.38,27.45,,,0
CDM,L_6618689,Clip Vascular Disposable,104.54,40.77,,,0
CDM,L_6618691,Screw W Thorp Lock,668.61,260.76,,,0
CDM,L_6618693,Ptfe Pledget,480.24,187.29,,,0
CDM,L_6618696,Support Scrotal,52.78,20.58,,,0
CDM,L_6618697,Needle Biopsy Gun In J Asp,283.59,110.6,,,0
CDM,L_6618698,Plate Maxifacial Synth Angled,1194.39,465.81,,,0
CDM,L_6618699,Plate Maxifacial Snyth St/Cr,2344.28,914.27,,,0
CDM,L_6618700,Grasper Handle Laparoscopic,457.47,178.41,,,0
CDM,L_6618704,G Wire Orth,1325.84,517.08,,,0
CDM,L_6618705,G Wire Teflon Coated,86.94,33.91,,,0
CDM,L_6618706,Wire Cv Pacing 6500/6492,136.62,53.28,,,0
CDM,L_6618724,Port Life,1407.6,548.96,,,0
CDM,L_6618753,Tap Bone 040Pg,666.54,259.95,,,0
CDM,L_6618758,Fluid Drain Bag,157.32,61.35,,,0
CDM,L_6618778,Probe Hgm Laser,809.37,315.65,,,0
CDM,L_6618785,Bite Block,51.75,20.18,,,0
CDM,L_6618809,Cap/Pin/K-Cap,99.36,38.75,,,0
CDM,L_6618814,Plate Cervical Variable Angle,6723.36,2622.11,,,0
CDM,L_6618815,Plate 6-8 Hole,2555.42,996.61,,,0
CDM,L_6618825,Prothesis Penile Accessory Kit,2674.44,1043.03,,,0
CDM,L_6618833,Retractor Flex Iris Disp,247.36,96.47,,,0
CDM,L_6618847,Probe Occular Laser Cr/St,408.82,159.44,,,0
CDM,L_6618855,Catheter Neph Loop,340.52,132.8,,,0
CDM,L_6618856,Stapler Proximate Linear,666.54,259.95,,,0
CDM,L_6618858,Knife Bevel Cresent,282.56,110.2,,,0
CDM,L_6618867,Prosthesis Penile Inflatable,31321.17,12215.26,,,0
CDM,L_6618884,Band For Retina,66.24,25.83,,,0
CDM,L_6618885,Catheter Intrathecal,4564.35,1780.1,,,0
CDM,L_6618911,Bra Surgi,223.56,87.19,,,0
CDM,L_6618924,Screw Self Tapping 1.5Mm 400.7,183.2,71.45,,,0
CDM,L_6618947,Angiocath,65.2,25.43,,,0
CDM,L_6618951,Binder Abdominal,113.85,44.4,,,0
CDM,L_6618965,Blade/Rib-Back/Carbon/Surg Ste,12.42,4.84,,,0
CDM,L_6618966,Blade/Sterile Saw,449.19,175.18,,,0
CDM,L_6618977,Tunnler Vagal Nerve,2231.46,870.27,,,0
CDM,L_6618979,Catheterization Foley Tray,90.04,35.12,,,0
CDM,L_6618982,Anchor Bolt Modified Cap Smith,356.04,138.86,,,0
CDM,L_6618987,Clamp Sm/Lg,2228.36,869.06,,,0
CDM,L_6618997,Stent Double Pigtail,396.4,154.6,,,0
CDM,L_6619002,Prosthesis Breast,3521.07,1373.22,,,0
CDM,L_6619004,Prosthesis Breast Mentor 2714/,3521.07,1373.22,,,0
CDM,L_6619005,Stapler Skin Seamguard Strips,749.34,292.24,,,0
CDM,L_6619008,Catheter Guiding Radial,49.68,19.38,,,0
CDM,L_6619011,Bra Jaw,141.79,55.3,,,0
CDM,L_6619046,Introducer Kit Percutaneous Le,652.05,254.3,,,0
CDM,L_6619047,Introducer Perc Lead,167.67,65.39,,,0
CDM,L_6619050,Air Strip Dressing,65.2,25.43,,,0
CDM,L_6619054,Neuro Stim Programmer,3891.6,1517.72,,,0
CDM,L_6619066,Kit Pelit Dialysis Swan,1160.23,452.49,,,0
CDM,L_6619071,Catheter Red Rubber Robinson,12.42,4.84,,,0
CDM,L_6619072,Catheter Drainage,334.3,130.38,,,0
CDM,L_6619079,Tube Salivary By Pass,849.74,331.4,,,0
CDM,L_6619080,Sleeve Compression Impad,231.84,90.42,,,0
CDM,L_6619089,Scapel Harmonic,1718.1,670.06,,,0
CDM,L_6619090,Reservoir Omaya 28Mm Inlet,1426.23,556.23,,,0
CDM,L_6619106,Bioglue 5Ml,3470.36,1353.44,,,0
CDM,L_6619109,Screw Monarch Polyaxial,3912.3,1525.8,,,0
CDM,L_6619114,Cross Over Cross-Link,4347.0,1695.33,,,0
CDM,L_6619126,Needle/Radio Frequency,197.68,77.1,,,0
CDM,L_6619200,Trach Tube Holder,28.98,11.3,,,0
CDM,L_6619215,Mesh Implantable,4781.7,1864.86,,,0
CDM,L_6619217,Tubing Level 1 Fluid Warmer,252.54,98.49,,,0
CDM,L_6619243,Dermabond,164.56,64.18,,,0
CDM,L_6619247,Valvulotome Lemaitre Expand-2.,2879.37,1122.95,,,0
CDM,L_6619249,Nail-Femoral/Tibi-Antegrade,8797.5,3431.02,,,0
CDM,L_6619270,Ant/Post Tibialis Tendon,7389.9,2882.06,,,0
CDM,L_6619271,Trocar Flexipath,434.7,169.53,,,0
CDM,L_6619277,Suture Endo System Reload,126.27,49.25,,,0
CDM,L_6619281,Valve Aortic,25864.65,10087.21,,,0
CDM,L_6619303,Electrode Adtech 8 Contact,1252.35,488.42,,,0
CDM,L_6619304,Screw W/Interference,735.88,286.99,,,0
CDM,L_6619506,Prosthesis Penile,37625.36,14673.89,,,0
CDM,L_6619512,Arterial Line Kit With G Wire,105.57,41.17,,,0
CDM,L_6619513,Bit Drill Cannulated,1574.24,613.95,,,0
CDM,L_6619514,Screw Atlantis/Transfix,1474.88,575.2,,,0
CDM,L_6619515,Plate Atlantis,5892.26,2297.98,,,0
CDM,L_6619517,Screw Polyaxial,3477.6,1356.26,,,0
CDM,L_6619518,Rod Titanium Vertex Summit,2921.8,1139.5,,,0
CDM,L_6619523,Electrode Micro Bipolar,2691.0,1049.49,,,0
CDM,L_6619525,Evacuator Ellik,654.12,255.11,,,0
CDM,L_6619526,Micromat,144.9,56.51,,,0
CDM,L_6619527,Catheter Cholangiogram,849.74,331.4,,,0
CDM,L_6619528,Polar Care Pad,656.19,255.91,,,0
CDM,L_6619533,Blade Hemostatix Scalpel,301.18,117.46,,,0
CDM,L_6619543,Suture/Opth/Monofilam Blk Nylo,104.54,40.77,,,0
CDM,L_6619911,Floseal,686.2,267.62,,,0
CDM,L_6619912,Lead Dbs Kit,15214.5,5933.66,,,0
CDM,L_6619913,Wand Arthrocare,678.96,264.79,,,0
CDM,L_6619914,Digit Trap,82.8,32.29,,,0
CDM,L_6619917,Rod 30Mm-500Mm,1029.82,401.63,,,0
CDM,L_6619920,Screw Polyaxial/Multiaxial,3912.3,1525.8,,,0
CDM,L_6619921,Monarch Ii Cartridge,107.64,41.98,,,0
CDM,L_6619933,"Ligclp/Applr Surgclp Sm,Med,Lg",308.43,120.29,,,0
CDM,L_6619938,Blade Knife Parallel Graft,338.44,131.99,,,0
CDM,L_6619939,Cassette Maxvac,1703.61,664.41,,,0
CDM,L_6619943,Manifold,120.07,46.83,,,0
CDM,L_6619946,Balloon Ultrathn Diamond,970.83,378.62,,,0
CDM,L_6619947,Balloon Infln Device Encore 26,219.42,85.57,,,0
CDM,L_6619949,Catheter Soft Vu Berenstein,113.85,44.4,,,0
CDM,L_6619954,Sheath Coaxial Dilator,123.16,48.03,,,0
CDM,L_6619955,Ossicula Implant Bucket Handle,987.39,385.08,,,0
CDM,L_6619966,Screw Captured 4.5 Mm Internal,869.4,339.07,,,0
CDM,L_6619967,Screw Captured 5.0Mm Internal,928.4,362.08,,,0
CDM,L_6619970,Catheter Pigtail Endovascular,608.58,237.35,,,0
CDM,L_6619975,Dilator Vascular,24.84,9.69,,,0
CDM,L_6619978,Introducer Pinnacle (Endovascu,86.94,33.91,,,0
CDM,L_6619979,Protector Transducer,46.58,18.17,,,0
CDM,L_6619981,Berkley Vacurette,24.84,9.69,,,0
CDM,L_6619982,Tubing Berkley,40.36,15.74,,,0
CDM,L_6619983,Stapler Endopath Circ Cdh21-33,1269.94,495.28,,,0
CDM,L_6619985,Prothesis Prs Reg Urinary Sphn,7205.67,2810.21,,,0
CDM,L_6619987,Clamp Multipin,3312.0,1291.68,,,0
CDM,L_6619988,Screw Set,686.2,267.62,,,0
CDM,L_6619990,Connector Transverse,4347.0,1695.33,,,0
CDM,L_6619991,Drill Guide (Baha),832.14,324.53,,,0
CDM,L_6619993,Screw Tap 3Mm&4Mm,1318.59,514.25,,,0
CDM,L_6620001,Total Hip Prosthesis,17822.7,6950.85,,,0
CDM,L_6620004,Total Hop Prosthesis Simple,27386.1,10680.58,,,0
CDM,L_6630002,Screw Coupling,1022.58,398.81,,,0
CDM,L_6630005,Catheter System Indwelling Bow,1564.92,610.32,,,0
CDM,L_6630006,G Wire,254.61,99.3,,,0
CDM,L_6630007,Anchor/Screw Bn/Bn Tis/Bn,1408.64,549.37,,,0
CDM,L_6630008,Cath Hemodialysis Long Term,772.11,301.12,,,0
CDM,L_6630009,"Iol, Posterior Chamber",648.95,253.09,,,0
CDM,L_6630010,Centralizer Stem,686.2,267.62,,,0
CDM,L_6630013,Hemostat 5Gm Arista,935.12,364.7,,,0
CDM,L_6630014,Joint Device (Implantable),23473.8,9154.78,,,0
CDM,L_6630015,Head Humeral,22982.18,8963.05,,,0
CDM,L_6630016,Tubing Suction Cusa,1347.57,525.55,,,0
CDM,L_6630022,Joint Device (Implantable),14926.77,5821.44,,,0
CDM,L_6630024,Balloon Non-Vasc Dilatn,1190.25,464.2,,,0
CDM,L_6630026,Unit Electrosurgical Enseal,1863.0,726.57,,,0
CDM,L_6630031,Anchor/Screw Bn/Bn/ Tis/Bn,3912.3,1525.8,,,0
CDM,L_6630032,Anchor/Screw Bn/Bn/ Tis/Bn,3477.6,1356.26,,,0
CDM,L_6630033,Bit Drill,831.1,324.13,,,0
CDM,L_6630034,Cage Spinal Interbody,21904.74,8542.85,,,0
CDM,L_6630036,Joint Device (Implantable),6966.58,2716.97,,,0
CDM,L_6630037,Joint Device (Implantable),7630.02,2975.71,,,0
CDM,L_6630039,Stem Femoral,13910.4,5425.06,,,0
CDM,L_6630041,Electrode Pencil,96.26,37.54,,,0
CDM,L_6630042,Implant Orbital Synthetic,11502.99,4486.17,,,0
CDM,L_6630044,Forceps Bipolar Spetzler,2078.28,810.53,,,0
CDM,L_6630045,"Anchor/Screw Bn/Bn, Tis/Bn",362.25,141.28,,,0
CDM,L_6630051,Adhesive Tissue,79.69,31.08,,,0
CDM,L_6630052,Anchr/Screw Oppos Bn-Bn/Sft T,1738.8,678.13,,,0
CDM,L_6630053,Anchr/Screw Oppos Bn-Bn/Sft T,4668.88,1820.86,,,0
CDM,L_6630054,Anchr/Screw Oppos Bn-Bn/Sft T,8181.68,3190.86,,,0
CDM,L_6630057,System Recharger Dbs,6717.15,2619.69,,,0
CDM,L_6630062,Expander Tissue,1536.98,599.42,,,0
CDM,L_6630066,"Anchor/Screw Bn/Bn, Tis/Bn",8476.65,3305.89,,,0
CDM,L_6630067,Wire Cerclage,948.06,369.74,,,0
CDM,L_6630069,Retractor Wound,478.17,186.49,,,0
CDM,L_6630070,Coupler Anastomosis,1340.32,522.72,,,0
CDM,L_6630071,"Catheter, Drainage",359.14,140.06,,,0
CDM,L_6630072,Dressing Abdomen Pressure Kit,2677.96,1044.4,,,0
CDM,L_6630076,Catheter Tray Power-Trialysis,711.04,277.31,,,0
CDM,L_6630079,Joint Device ( Implantable),20031.39,7812.24,,,0
CDM,L_6630082,Dressing Foam Vac,54.55,21.27,,,0
CDM,L_6630084,Lead Neurostimulator,35598.82,13883.54,,,0
CDM,L_6630085,Tunneling Tool,635.49,247.84,,,0
CDM,L_6630087,Charging System,6520.5,2543.0,,,0
CDM,L_6630093,Device Closure Atriclip,16301.25,6357.49,,,0
CDM,L_6630095,Joint Device (Implantable),6085.8,2373.46,,,0
CDM,L_6630098,Introducer Catheter Check-Flo,979.11,381.85,,,0
CDM,L_6630099,Pledget Cardiovascular Ptfe,33.12,12.92,,,0
CDM,L_6630100,Clamp Electrosurgical,13910.4,5425.06,,,0
CDM,L_6630107,Balloon Sys Inflation Inspira,2283.21,890.45,,,0
CDM,L_6630109,Head Screw Matrix,1804.0,703.56,,,0
CDM,L_6630110,Needle Radiesse Transoral,391.23,152.58,,,0
CDM,L_6630111,System Wound Therapy,2152.8,839.59,,,0
CDM,L_6630112,Barrier Adhesion Seprafilm,2134.17,832.33,,,0
CDM,L_6630119,Spacer Spinal Trabecular Meta,5020.78,1958.1,,,0
CDM,L_6630122,Stapler Tristaple Endo Gia,891.14,347.54,,,0
CDM,L_6630123,Reload Tristaple Gia 45Mm,633.42,247.03,,,0
CDM,L_6630124,Reload Tristaple Gia 60Mm,2060.68,803.67,,,0
CDM,L_6630125,Applicator Extended Tip,613.76,239.37,,,0
CDM,L_6630126,Excluder Repositional Aaa,43449.3,16945.23,,,0
CDM,L_6630129,Probe Neuromonitoring,1368.27,533.63,,,0
CDM,L_6630131,Stent Airway,10629.45,4145.49,,,0
CDM,L_6630133,Trocar Laparoscopic,128.34,50.05,,,0
CDM,L_6630134,Adaptor Pocket 2 X 4,4326.3,1687.26,,,0
CDM,L_6630137,Device Ocular Perfluoron 7Ml,2309.08,900.54,,,0
CDM,L_6630138,Sealant Plureal Leak,5015.61,1956.09,,,0
CDM,L_6630139,Device Retinal Tamponade,1645.65,641.8,,,0
CDM,L_6630165,Snare Vascular,1433.48,559.06,,,0
CDM,L_6630171,Lead Pacing Steroid Eluting,2608.2,1017.2,,,0
CDM,L_6630172,Screw Osteotomy,1341.36,523.13,,,0
CDM,L_6630173,Plate Osteotomy,6364.22,2482.05,,,0
CDM,L_6630175,Cannula Ophthalmic,120.06,46.82,,,0
CDM,L_6630177,Sling Suburethral Gynecare Tvt,6578.46,2565.6,,,0
CDM,L_6630179,Device Tissue Removal,5934.69,2314.53,,,0
CDM,L_6630182,Introducer/Sheath Flexor,2308.05,900.14,,,0
CDM,L_6630189,Knife Micro Sickle,1045.35,407.69,,,0
CDM,L_6630190,Clip Internal Ligaclip,36.22,14.13,,,0
CDM,L_6630193,Stabilizer Cardiac Access,3547.98,1383.71,,,0
CDM,L_6630201,Catheter Balloon Dilatation,935.64,364.9,,,0
CDM,L_6630202,Device Closure V-Loc,151.11,58.93,,,0
CDM,L_6630203,Substitute Bone Moldable 2.5C,6135.48,2392.84,,,0
CDM,L_6630208,Substitute Bone Inject 10Cc,11780.37,4594.34,,,0
CDM,L_6630209,Substitute Bone Graft 2.5Cc,5606.6,2186.57,,,0
CDM,L_6630210,Substitute Bone Graft 5Cc,8542.89,3331.73,,,0
CDM,L_6630217,Illuminator Opthalmic,544.41,212.32,,,0
CDM,L_6630218,Retriever Suture Capio,2754.14,1074.11,,,0
CDM,L_6630219,Blade Micro Feather,345.69,134.82,,,0
CDM,L_6630221,Screw Set,524.74,204.65,,,0
CDM,L_6630226,Screwdriver Surgical,1144.71,446.44,,,0
CDM,L_6630231,Kit Access Port,3260.25,1271.5,,,0
CDM,L_6630234,Device Catheter Stabilization,20.7,8.07,,,0
CDM,L_6630235,Expander Opthalmic Malyugin,599.26,233.71,,,0
CDM,L_6630240,Cannula Perfusion,151.11,58.93,,,0
CDM,L_6630241,Cannula Perfusion,344.66,134.42,,,0
CDM,L_6630242,Cannula Perfusion,1461.42,569.95,,,0
CDM,L_6630244,Catheter Intraaortic Balloon P,2461.23,959.88,,,0
CDM,L_6630245,Catheter Venous Perfusion,235.98,92.03,,,0
CDM,L_6630248,Oxygenator Perfusion,2309.08,900.54,,,0
CDM,L_6630249,Hemoconcentrator Perfusion,478.17,186.49,,,0
CDM,L_6630250,Device Autotransfusion Brat,666.54,259.95,,,0
CDM,L_6630251,Perfusion Cannula,344.66,134.42,,,0
CDM,L_6630252,Kit Insertion Catheter Perf,500.94,195.37,,,0
CDM,L_6630254,Pack Pump And Table Adult Fx P,1796.76,700.74,,,0
CDM,L_6630255,Reservoir Autotransfusion Perf,254.61,99.3,,,0
CDM,L_6630260,Catheter Perfusion,89.01,34.71,,,0
CDM,L_6630266,Device Closure Vascular,1291.68,503.76,,,0
CDM,L_6630267,Irrigator Suction Endowrist,1152.99,449.67,,,0
CDM,L_6630271,Kit Tracheostomy Tube,171.81,67.01,,,0
CDM,L_6630274,Tip Sonopet 25Khz Straight,2555.42,996.61,,,0
CDM,L_6630275,Tip Sonopet 25Khz Claw,3880.22,1513.29,,,0
CDM,L_6630276,Set Tubing Sonopet,1320.66,515.06,,,0
CDM,L_6630277,Pointer Axiem Tracer,2469.51,963.11,,,0
CDM,L_6630278,Kit Axiem Shunt Placement,2469.51,963.11,,,0
CDM,L_6630282,Tube Endobronchial,248.4,96.88,,,0
CDM,L_6630286,Adapter Joint Std,968.76,377.82,,,0
CDM,L_6630288,Stent Tracheobronchial,11117.97,4336.01,,,0
CDM,L_6630289,Sizer Tracheobronchial Stent,869.4,339.07,,,0
CDM,L_6630290,Forceps Biopsy Ureteral,1494.54,582.87,,,0
CDM,L_6630292,Restylane-L 1Ml Syringe,1999.62,779.85,,,0
CDM,L_6630295,Set Dilator Urethral S-Curve,755.55,294.66,,,0
CDM,L_6630308,Lens Iol 24 Diopter 6Mm,648.95,253.09,,,0
CDM,L_6630310,Implant Hybrid Cochlear Nucleu,64799.28,25271.72,,,0
CDM,L_6630312,Implant Wide 3Mm Abutment 12,15479.46,6036.99,,,0
CDM,L_6630318,Marker Gold Soft Tissue,1276.93,498.0,,,0
CDM,L_6630319,Retractor Vbas Disposable,3021.16,1178.25,,,0
CDM,L_6630958,Trajector Accessor Guide,6442.88,2512.72,,,0
CDM,L_6630991,Pack Cellpoint W/Cell Ana,12606.3,4916.46,,,0
CDM,L_6630996,Paste Inqu Mix 5Cc/10Cc,4781.7,1864.86,,,0
CDM,L_6631001,Sheath 12Fr 16Fr Sls Laser,13541.94,5281.36,,,0
CDM,L_6631002,Device Lead Locking,869.4,339.07,,,0
CDM,L_6631003,Guidewire Amplatz,208.04,81.14,,,0
CDM,L_6631004,Introducer Sheath 4Fr 12Fr,55.89,21.8,,,0
CDM,L_6631005,Balloon Bridge Occlusion,3295.44,1285.22,,,0
CDM,L_6631014,Remote Monitor Neuro,5725.62,2232.99,,,0
CDM,L_6631015,Tube Aera Eustachian Balloon,5433.75,2119.16,,,0
CDM,L_6631016,Balloon Catheter Drug Coated,7064.91,2755.31,,,0
CDM,L_6631017,Transcath Delivery System,19431.09,7578.13,,,0
CDM,L_6631018,Transcatheter Load System,2216.97,864.62,,,0
CDM,L_6631021,Impl Ring Annuloplasty Mitral,12585.6,4908.38,,,0
CDM,L_6631024,Generator Pulse Implantable In,67906.35,26483.48,,,0
CDM,L_6631025,Lead Sensing Resp Inspire,14671.12,5721.74,,,0
CDM,L_6631026,Remote Contr Pulse Gen Inspire,6085.8,2373.46,,,0
CDM,L_6631027,Stimulation Respirat Inspire,14084.28,5492.87,,,0
CDM,L_6631028,Valve Endobronchial Zephyr,9780.75,3814.49,,,0
CDM,L_6631029,Catheter Delivery Zephyr,2216.97,864.62,,,0
CDM,L_6631031,Vsp Reconstruction Bundle,34626.96,13504.51,,,0
CDM,L_6631037,Impl Glaucoma Istent System,7499.61,2924.85,,,0
CDM,L_6631038,Neuropace Remote Monitor,15684.39,6116.91,,,0
CDM,L_6631050,Guidewire Enroute 0.014In,8672.26,3382.18,,,0
CDM,L_6631051,Stent System Transcarotid Enro,11736.9,4577.39,,,0
CDM,L_6631057,Impella 9Fr Catheter Circ,152766.0,59578.74,,,0
CDM,L_6631058,Kit Cath Trufreeze Aire Spray,8672.26,3382.18,,,0
CDM,L_6631059,Component Femoral Cement Knee,7981.92,3112.95,,,0
CDM,L_6631060,Valve Contoured Small Medium,3289.23,1282.8,,,0
CDM,L_6631061,Shell Multipolar Cup Size 48Mm,1956.15,762.9,,,0
CDM,L_6631317,Plate Cmrp Recon Mandible Kit,37828.21,14753.0,,,0
CDM,L_6631319,Putty Dbm Allomatrix Injectabl,5210.19,2031.97,,,0
CDM,L_6631321,Kit Simulator Tunneling Tool,1309.28,510.62,,,0
CDM,L_6631322,Implant Wide 4Mm W/ Abutment,12342.38,4813.53,,,0
CDM,L_6631323,Implant Compression Drilling,283.59,110.6,,,0
CDM,L_6631326,Lead Pacing  Fixation Ext,1738.8,678.13,,,0
CDM,L_6631328,Screw 4.0X37.5,3090.51,1205.3,,,0
CDM,L_6631329,Screw 4.0X35,2164.18,844.03,,,0
CDM,L_6631330,Screw4.0X32.5,3090.51,1205.3,,,0
CDM,L_6631332,5.0X45 Screw,3090.51,1205.3,,,0
CDM,L_6631333,5.0X47.5 Screw,3090.51,1205.3,,,0
CDM,L_6631334,Rns Neurostimulator Kit,119045.7,46427.82,,,0
CDM,L_6631340,System Fluid Management Kit Fl,1734.66,676.52,,,0
CDM,L_6631343,Thrombectomy Catheter,28255.5,11019.64,,,0
CDM,L_6631352,Zfold Combat Quickclot,196.65,76.69,,,0
CDM,L_6631353,Stent Ureteral 5Fr 22Cm,340.52,132.8,,,0
CDM,L_6631355,Stent Esoph Tts Taewoong,10125.84,3949.08,,,0
CDM,L_6631356,Sten Esop 20Mmx8Cm F Cov,10215.45,3984.03,,,0
CDM,L_6631360,Hemospray Endo 7Fr 220Cm 2.8Mm,6369.39,2484.06,,,0
CDM,L_6631361,Stent Ureteral 6Fr 24Cm Set,3390.66,1322.36,,,0
CDM,L_6631367,Reamer Head Surgical 11.5Mm,3300.62,1287.24,,,0
CDM,L_6631368,Forcep Bipolar Koag 9In 0.5Mm,7607.25,2966.83,,,0
CDM,L_6631370,Montage 2Cc Multi-Pack,3042.9,1186.73,,,0
CDM,L_6631375,Implant Medpor Sm Rt,8864.78,3457.26,,,0
CDM,L_6631378,Kit 2 Bone Hearesting 520Mm,12345.48,4814.74,,,0
CDM,L_6631381,Catheter Balloon Evercross,478.17,186.49,,,0
CDM,L_6631383,Cath Drain Incr 24Fr 16In,73.48,28.66,,,0
CDM,L_6631384,Cemented Augument,4013.73,1565.35,,,0
CDM,L_6631385,Stem Pressfit,5464.8,2131.27,,,0
CDM,L_6631386,Stem Cemented,6069.24,2367.0,,,0
CDM,L_6631387,Tibial Sleeve,12277.17,4788.1,,,0
CDM,L_6631388,Head Femoral Metal M-Spec,3490.02,1361.11,,,0
CDM,L_6631389,Plate Broad Bone,4924.53,1920.57,,,0
CDM,L_6631390,Implant Cranial Peek Custom Sm,44525.7,17365.02,,,0
CDM,L_6631400,Stent Endoprosthesis Biliary R,11302.2,4407.86,,,0
CDM,L_6631401,Stent Peripheral Everflex,2608.2,1017.2,,,0
CDM,L_6631403,Kit Peg 14Fr,296.01,115.44,,,0
CDM,L_6631404,Dynanite Super Mx Staple,9108.0,3552.12,,,0
CDM,L_6631405,Saline Testicular Prosthesis,13041.0,5085.99,,,0
CDM,L_6631406,Tube Tenax Laser Resistant,1041.21,406.07,,,0
CDM,L_6631407,Paste Rapid Cure Resorb Beads,5433.75,2119.16,,,0
CDM,L_6631409,Base Plate Assembly,24887.61,9706.17,,,0
CDM,L_6631412,Icd Cobalt Hf Quad Mri Is4 Fd4,70421.4,27464.35,,,0
CDM,L_6631415,Absorbalbe Antibacterial Env,4326.3,1687.26,,,0
CDM,L_6631417,Drill With Wrench,6895.17,2689.12,,,0
CDM,L_6631424,Fiberwire  W/ Taper Needle,96.26,37.54,,,0
CDM,L_6631426,Gravity Synchfix Suture,4973.18,1939.54,,,0
CDM,L_6631427,Neurostimulator Magnet,347.76,135.63,,,0
CDM,L_6631429,Easyclip Compression Staple,4781.7,1864.86,,,0
CDM,L_6631432,Pack Ortho Trauma (Custom),219.42,85.57,,,0
CDM,L_6631433,Stent Biliary Balloon Ex,2825.55,1101.96,,,0
CDM,L_6631435,Valve Codman W/ Program Sm Il,19126.8,7459.45,,,0
CDM,L_6631436,Valve Hemostasis Copilot,283.59,110.6,,,0
CDM,L_6631440,Hm3 Lvad Implant Kit,372320.55,145205.01,,,0
CDM,L_6631441,Hm3 Lvad Outflow Grft W/Bend,20865.6,8137.58,,,0
CDM,L_6631447,Hm3 Lvad Controller Inc Ebb,23908.5,9324.32,,,0
CDM,L_6631450,Femoral Adapter Bolt,968.76,377.82,,,0
CDM,L_6631451,Femoral Tc3 Cemented,20803.5,8113.36,,,0
CDM,L_6631454,Lvad Daily Kit (Medline),120.06,46.82,,,0
CDM,L_6631455,Lvad Daily Kit (Wake Forest),145.94,56.92,,,0
CDM,L_6631456,Hm3 Lvad Modular Cable,21517.65,8391.88,,,0
CDM,L_6631561,Sensight Lead Test Cable Kit,652.05,254.3,,,0
CDM,L_6631562,Nervo Ipg Kit 2500 Senza,88708.82,34596.44,,,0
CDM,L_6631564,Cath Balloon Monorail,848.7,330.99,,,0
CDM,L_6631565,Rod 5 X 65 Mm,943.92,368.13,,,0
CDM,L_6631567,Stent Pancreatic 7Fr X 5Cm,204.93,79.92,,,0
CDM,L_6631569,Octobase Suture Retractor,1400.36,546.14,,,0
CDM,L_6631572,Humeral Stem Pressfit 14Mm,7824.6,3051.59,,,0
CDM,L_6631573,36 Mm Humeral Liner,4694.76,1830.96,,,0
CDM,L_6631574,Suture Stratafix Pds,1483.16,578.43,,,0
CDM,L_6631579,30 Degree Posts,221.49,86.38,,,0
CDM,L_6631583,Stent Graft System Limb,20989.8,8186.02,,,0
CDM,L_6631586,Kit Generator Recharg Pulse,81599.4,31823.77,,,0
CDM,L_6631587,Vsp Suppleental Model Half,4761.0,1856.79,,,0
CDM,L_6631591,Tightrope & Flipcutter System,4413.24,1721.16,,,0
CDM,L_6631596,Template Craniectomy Kit,1631.16,636.15,,,0
CDM,L_6631597,Dynanite Super Mx Staple 1815,10846.8,4230.25,,,0
CDM,L_6631599,"Femoral Nail Gt, Left",6034.05,2353.28,,,0
CDM,L_6631600,Cage Stemless Humeral,17822.7,6950.85,,,0
CDM,L_6631601,Cemented Patella,2231.46,870.27,,,0
CDM,L_6631604,Mild Kit,11954.25,4662.16,,,0
CDM,L_6631605,Pacemaker Azure Xt Dr Mri,15723.72,6132.25,,,0
CDM,L_6631607,Vercise Dbs Remote Control Kit,3390.66,1322.36,,,0
CDM,L_6631609,Head Modular Component +3 Neck,3082.23,1202.07,,,0
CDM,L_6631611,Forcep Biopsy Cold,82.8,32.29,,,0
CDM,L_6631617,Balloon Expandable Endopros,16158.42,6301.78,,,0
CDM,L_6631618,Coupler External Fixation Rod,2444.67,953.42,,,0
CDM,L_6631627,External Fixator Pin Clamp Hof,442.98,172.76,,,0
CDM,L_6631628,Septal Cardioform Occlud,40914.58,15956.69,,,0
CDM,L_6631632,Bushing Sleeve Bumper Neutral,6789.6,2647.94,,,0
CDM,L_6631634,Liner Boot,194.58,75.89,,,0
CDM,L_6631641,Needle Access Bevel Tip,2608.2,1017.2,,,0
CDM,L_6631643,Cable Atlas W/Integral Crimp,2477.79,966.34,,,0
CDM,L_6631662,Template Straight Plate,395.37,154.19,,,0
CDM,L_6631665,Kit Endoscopic Sinus Surg,1592.86,621.22,,,0
CDM,L_6631666,Plate Craniofacial,850.77,331.8,,,0
CDM,L_6631667,Vsp Orthognathic Bundle,6114.78,2384.76,,,0
CDM,L_6631670,Paste Rapid Cure Resorb Beads,11736.9,4577.39,,,0
CDM,L_6631675,Nova Bone Putty 10 Ml,12171.6,4746.92,,,0
CDM,L_6631676,Novo Bone Putty 2.5 Cc,10650.15,4153.56,,,0
CDM,L_6631677,Rezum Handpiece,12317.54,4803.84,,,0
CDM,L_6631680,Versacross Rf Wire,4216.59,1644.47,,,0
CDM,L_6631684,Device Symphion Resection,4343.9,1694.12,,,0
CDM,L_6631686,Humeral Prosthesis Mid Seg,38635.52,15067.85,,,0
CDM,L_6631687,Introducer Sheath Thrombec,10867.5,4238.32,,,0
CDM,L_6631688,Catheter Balloon Nanocross,695.52,271.25,,,0
CDM,L_6631690,Universal Spacer,2130.03,830.71,,,0
CDM,L_6631691,Cath Thrombectomy W/ Lighting,24386.67,9510.8,,,0
CDM,L_6631692,Graft Vascular Aortic,14127.75,5509.82,,,0
CDM,L_6631693,Adapter Locking Titanium,776.25,302.74,,,0
CDM,L_6631694,Plate Bone Rib Lock 50Mm,8816.13,3438.29,,,0
CDM,L_6631695,Plate Bone Rib Lock 75Mm,9549.94,3724.48,,,0
CDM,L_6631696,Plate Bone Rib 18 Hole,7344.36,2864.3,,,0
CDM,L_6631698,Clamp Multipin Maverick,4717.53,1839.84,,,0
CDM,L_6631699,Swivel Attachment Maverick,4564.35,1780.1,,,0
CDM,L_6631707,Cath Asp Flowtriever Kit,44712.0,17437.68,,,0
CDM,L_6631708,Post Maverick,2825.55,1101.96,,,0
CDM,L_6631712,Plate Mandible Pre-Bent,24913.48,9716.26,,,0
CDM,L_6631715,Ext Fix Hinge Male/Female,548.55,213.93,,,0
CDM,L_6631723,Penile Cylinder Set,27278.46,10638.6,,,0
CDM,L_6631724,Penile Touch Pump,27278.46,10638.6,,,0
CDM,L_6631725,Bone Putty 5.0 Cc,4761.0,1856.79,,,0
CDM,L_6631727,Thoracic Stent Graft Conformab,76562.05,29859.2,,,0
CDM,L_6631729,Pin Guide Metatarsal Reamer 0.,1956.15,762.9,,,0
CDM,L_6631731,Impl Hip Femoral Stem,30416.58,11862.47,,,0
CDM,L_6631732,Vns Therapy-Symmetry,141494.85,55182.99,,,0
CDM,L_6631736,Endoanchor Applier Heli-Fx,20648.25,8052.82,,,0
CDM,L_6631737,Heli-Fx Endoanchor - Guide,7655.9,2985.8,,,0
CDM,L_6631738,Pinning System,1568.02,611.53,,,0
CDM,L_6631739,Tibial Base Rotating Platform,17888.94,6976.69,,,0
CDM,L_6631743,Conical Extractor,1535.94,599.02,,,0
CDM,L_6631744,Rotating Hinge Cemented,24453.94,9537.04,,,0
CDM,L_6631746,Implant Bi300 3Mm,5986.44,2334.71,,,0
CDM,L_6631747,Excluder Aaa Endoprosthesis,47070.76,18357.6,,,0
CDM,L_6631750,Rod External Fixation,1663.24,648.66,,,0
CDM,L_6631751,Prosthesis Penile Ams 700 Pump,47525.13,18534.8,,,0
CDM,L_6631752,On-Q Pain Relef System,2105.19,821.02,,,0
CDM,L_6631753,Adapter Cath Luer Lock,123.16,48.03,,,0
CDM,L_6631754,Noncdm Legacy Charge,2474.68,965.13,,,0
CDM,L_6631757,Generator Neurostimulator Vant,67679.68,26395.08,,,0
CDM,L_6631766,Cryoprobe Ice Cryoshere,10650.15,4153.56,,,0
CDM,L_6631769,Mandible Clear View Model,17765.78,6928.65,,,0
CDM,L_6631770,Mandible Clear View,10249.6,3997.34,,,0
CDM,L_6631772,Suture Eclipse Speedscap,10867.5,4238.32,,,0
CDM,L_6631774,Cable Saddle Evos 4.5,2608.2,1017.2,,,0
CDM,L_6631778,Pectus Support Bar,4303.53,1678.38,,,0
CDM,L_6631781,Vivacet - E Articular Surface,5868.45,2288.7,,,0
CDM,L_6631782,Sheath Dryseal Flex 12F 45Cm,3291.3,1283.61,,,0
CDM,L_6631789,Cannula Percutaneous Venous,1449.0,565.11,,,0
CDM,L_6631790,Maverick Half Pin,831.1,324.13,,,0
CDM,L_6631791,Implant Systems Fibertaks,2717.91,1059.98,,,0
CDM,L_6631792,Maverick Post 30 Degree,1272.02,496.09,,,0
CDM,L_6631793,Bolt Extraction Xl Semi Ext,1686.53,657.75,,,0
CDM,L_6631795,Filler Cerament G 10Ml,32333.4,12610.03,,,0
CDM,L_6631798,Processor Soundosia,17588.79,6859.63,,,0
CDM,L_6631799,Bur Drillbit Quick Connect,4825.17,1881.82,,,0
CDM,L_6631803,Nail Fusion Posterior Bow,10993.77,4287.57,,,0
CDM,L_6631809,Lead Specify Surescan Mri,27895.32,10879.17,,,0
CDM,L_6631810,Kit Bone Harvesting,15293.16,5964.33,,,0
CDM,L_6631811,Staple Sys Nitino,6916.9,2697.59,,,0
CDM,L_6631812,Tightrope Open Abs Ii,843.52,328.97,,,0
CDM,L_6631813,Plate Distal Periprosthetic,25522.06,9953.6,,,0
CDM,L_6631814,Processor Sound Rondo Dual,40140.4,15654.76,,,0
CDM,L_6631817,Gwire Inqwire J Fixed,426.42,166.3,,,0
CDM,L_6631818,Plate Wrist Spanning,20300.49,7917.19,,,0
CDM,L_6631819,Intr Transseptal Kit,7389.9,2882.06,,,0
CDM,L_6631821,Stent Cath Visi-Pro Balloon,2825.55,1101.96,,,0
CDM,L_6631828,Prosthesis Penile Malleable,33959.38,13244.16,,,0
CDM,L_6631829,Procedure Bowl 225Ml,587.88,229.27,,,0
CDM,L_6631834,Stent Protege Cath Self,2608.2,1017.2,,,0
CDM,L_6631836,Balloon Drug Coded Stent,9108.0,3552.12,,,0
CDM,L_6631837,Tracker Cranialmask,2204.55,859.77,,,0
CDM,L_6631838,Tube Suction Lighted Spetzler,1413.81,551.39,,,0
CDM,L_6631840,Reamer Flexible 50Cm Shaft,2065.86,805.69,,,0
CDM,L_6631841,Ext Fx Schanz Screw Ring,1304.1,508.6,,,0
CDM,L_6631842,Cerclage Dis Tensioner,1196.46,466.62,,,0
CDM,L_6631843,Ext Fx Multi Par Pin Mt Post,1027.76,400.83,,,0
CDM,L_6631846,Plate Utlity,18707.62,7295.97,,,0
CDM,L_6631847,Vortex Vacuum Mixing System,1791.58,698.72,,,0
CDM,L_6631855,Cervical Peek Interbody,3477.6,1356.26,,,0
CDM,L_6631858,Excluder Aaa Endoprosthesis,23192.28,9044.99,,,0
CDM,L_6631859,Plate Recon 2.8,12448.98,4855.1,,,0
CDM,L_6631860,Plate Mandible Fracture,5460.66,2129.66,,,0
CDM,L_6631862,Cath Embolectomy Fogarty 3Fr 5,208.04,81.14,,,0
CDM,L_6631865,Femoral Cemented Revison Crs,24647.49,9612.52,,,0
CDM,L_6631866,Impl Trbclr Mcrstnt Hydrus,7824.6,3051.59,,,0
CDM,L_6631868,Bit Drill Maveric,1858.86,724.96,,,0
CDM,L_6631869,Bar Maverick,1858.86,724.96,,,0
CDM,L_6631870,Retriever Roth Net,447.12,174.38,,,0
CDM,L_6631871,Plug Connector Dbs,1304.1,508.6,,,0
CDM,L_6631872,Kit Deep Brain Stimulat,3469.32,1353.03,,,0
CDM,L_6631873,Lens Optical Flat Single Use,95.22,37.14,,,0
CDM,L_6631876,System Surgical Omni Software,5868.45,2288.7,,,0
CDM,L_6631879,Kit Needle Electrode,9563.4,3729.73,,,0
CDM,L_6631881,Cath Retrieval Above Balloon,483.34,188.5,,,0
CDM,L_6631882,Moule Positioner,4347.0,1695.33,,,0
CDM,L_6631883,Cement Bone Kyphx Hv-R C01A,370.53,144.51,,,0
CDM,L_6631884,Implant Knee Rotating Hinge,7799.76,3041.91,,,0
CDM,L_6631886,Stimulator Neuro Remote Contrl,3694.95,1441.03,,,0
CDM,L_6631887,Coil Ruby Standard 4Mm X 10Cm,4303.53,1678.38,,,0
CDM,L_6631891,Cath Guide Launcher,173.88,67.81,,,0
CDM,L_6631892,Conical Connection Tiultra,1370.34,534.43,,,0
CDM,L_6631893,Needle Bronchoscopic 22Ga 13Mm,202.86,79.12,,,0
CDM,L_6631899,Generator Barostim Neuostim,167670.0,65391.3,,,0
CDM,L_6631903,Stent Graft Aortic Ext,33875.55,13211.46,,,0
CDM,L_6631907,Nail Fibula Intramedullary,13020.3,5077.92,,,0
CDM,L_6631909,Stent Resolute Onyx,3013.92,1175.43,,,0
CDM,L_6631912,Catheter Dxterity,35.19,13.72,,,0
CDM,L_6631913,Cath Ballon Dilation,391.23,152.58,,,0
CDM,L_6631914,Kit Tenodesis Graft Size,1283.4,500.53,,,0
CDM,L_6631915,Acetabular Shell Cementless,10883.02,4244.38,,,0
CDM,L_6631918,Graft Bone Sub Magnetos,2213.86,863.41,,,0
CDM,L_6631922,Cath Ep Fixed 110Cm,436.77,170.34,,,0
CDM,L_6631923,Device Ankle Invisiknot,3815.01,1487.85,,,0
CDM,L_6631925,Mesh Dynamic 17.Mm X 90 X 90 X,16701.79,6513.7,,,0
CDM,L_6631926,Stent Peripheral Cath Sheath,9259.11,3611.05,,,0
CDM,L_6631931,Tube Feed Neomed,304.29,118.67,,,0
CDM,L_6631932,Femoral Nail Cann  Titanium,11151.09,4348.93,,,0
CDM,L_6631934,Cage Flange Short,2347.38,915.48,,,0
CDM,L_6631936,Bone Graft Ifactor,10246.5,3996.14,,,0
CDM,L_6631937,Screwdriver 4.3Mm,1837.12,716.48,,,0
CDM,L_6631938,Bone Graft Ifactor Peptide,5216.4,2034.4,,,0
CDM,L_6631939,Extender Tab,2743.78,1070.07,,,0
CDM,L_6631942,Cath Drainage Closed Tip,770.04,300.32,,,0
CDM,L_6631943,Cath Guideing Jr4 Curve,238.05,92.84,,,0
CDM,L_6631944,Glenoid Baseplate Sm Augment,8476.65,3305.89,,,0
CDM,L_6631945,Symphion Fma-Fluid Accessory,1300.99,507.39,,,0
CDM,L_6631946,Obturator Anchor Bolt,1532.84,597.81,,,0
CDM,L_6631947,Drape Autoguide Stealth,2117.61,825.87,,,0
CDM,L_6631950,External Fixator Post Straight,538.2,209.9,,,0
CDM,L_6631954,Bearing Standard,9998.1,3899.26,,,0
CDM,L_6631956,Suture Anchor 5.0Mm,2318.4,904.18,,,0
CDM,L_6631957,Suboccipital Malleable Lg,7438.54,2901.03,,,0
CDM,L_6631958,Plate Box Sternum Core Jace 4,1735.7,676.92,,,0
CDM,L_6631959,Component Patellar,1631.16,636.15,,,0
CDM,L_6631960,Wand Ablation,2250.09,877.54,,,0
CDM,L_6631962,Cath Angioplasty Balloon,2495.39,973.2,,,0
CDM,L_6631968,Thoracic Branch Endopros,119232.0,46500.48,,,0
CDM,L_6631970,Thoracic Endoprosthesis,33906.6,13223.57,,,0
CDM,L_6631972,Bur Bone Fine Diamond,540.27,210.71,,,0
CDM,L_6631974,Component Femoral Standard,8694.0,3390.66,,,0
CDM,L_6631975,Plate Utility 12H,14953.68,5831.94,,,0
CDM,L_6631976,Cryoprobe Flexible,6847.56,2670.55,,,0
CDM,L_6631977,Dual Lumen Cath Cardiopulm,10325.16,4026.81,,,0
CDM,L_6631978,Vasc Access Kit,652.05,254.3,,,0
CDM,L_6631980,Fibersnare,457.47,178.41,,,0
CDM,L_6631981,Impl Tiss Expand Artoura 650Ml,9128.7,3560.19,,,0
CDM,L_6631983,Magnetos,12997.53,5069.04,,,0
CDM,L_6631984,Tubular Retractor,1796.76,700.74,,,0
CDM,L_6631985,Lapiplasty System 4,27360.22,10670.49,,,0
CDM,L_6631987,Cath Dilation Balloon,3891.6,1517.72,,,0
CDM,L_6631990,Suture Fiberlink Ar-7559,414.0,161.46,,,0
CDM,L_6631991,Plate Craniofacial,3789.14,1477.76,,,0
CDM,L_6631992,Tibial Nail,4266.27,1663.85,,,0
CDM,L_6631993,Model Maxilla Clearview,8541.86,3331.33,,,0
CDM,L_6631994,Kwire Fixation,122.13,47.63,,,0
CDM,L_6631996,Component Femoral Taper,7665.21,2989.43,,,0
CDM,L_6631997,Component Femoral Distal Lps,31606.83,12326.66,,,0
CDM,L_6631998,Plate Distal Humerus,4064.44,1585.13,,,0
CDM,L_6631999,Pin External Fixation,428.49,167.11,,,0
CDM,L_6632000,Plate Pevlic Flex,1502.82,586.1,,,0
CDM,L_6632002,Ureteral Stent,179.06,69.83,,,0
CDM,L_6632003,Male Urethral Sling,21735.0,8476.65,,,0
CDM,L_6632006,No Device W/Dev-Intensive Px,1.03,0.4,,,0
CDM,L_6632007,Glenosphere Shoulder Reverse,18348.48,7155.91,,,0
CDM,L_6632008,Tubular Plate Bone 6H,331.2,129.17,,,0
CDM,L_6632009,Stem Cemented Straight,15373.89,5995.82,,,0
CDM,L_6632010,Tibial Insert Hinge Universal,10854.04,4233.08,,,0
CDM,L_6632014,Shoulder System Revtray,7295.72,2845.33,,,0
CDM,L_6632016,Baseplate Reversed Standard,8201.34,3198.52,,,0
CDM,L_6632018,Mold Kn Fem Spacer Surespace,5343.7,2084.04,,,0
CDM,L_6632019,Plate Occipital Sm,10353.1,4037.71,,,0
CDM,L_6632023,Nail Tibial Intramedullary,4235.22,1651.74,,,0
CDM,L_6632024,Graft Endoprosthesis Stent Aaa,18764.55,7318.17,,,0
CDM,L_6632025,Instrument Kerrison Disposable,685.17,267.22,,,0
CDM,L_6632027,Sleeve Flex Entry Tube,2173.5,847.66,,,0
CDM,L_6632032,Pin Guide,1267.88,494.47,,,0
CDM,L_6632034,Clamp Combine Maverick,2689.96,1049.08,,,0
CDM,L_6632036,Grft Stent Enudurant Ii,31242.51,12184.58,,,0
CDM,L_6632037,Grft Stent Endurant Ii Limb,23376.51,9116.84,,,0
CDM,L_6632041,Tightrope Ii Mbtb,2337.03,911.44,,,0
CDM,L_6632042,Cath Thrombectomy Litng,35391.82,13802.81,,,0
CDM,L_6632043,Plate Primary Mandibular,8538.75,3330.11,,,0
CDM,L_6632044,Graft Tag Thoracic Tgm262610,65714.22,25628.55,,,0
CDM,L_6632045,Plate Tibia Lat Prox,7476.84,2915.97,,,0
CDM,L_6632047,Humerus Plate 15H,8177.54,3189.24,,,0
CDM,L_6632048,Thorax Drainage System,261.86,102.13,,,0
CDM,L_6632049,Plate Bone Chin,570.28,222.41,,,0
CDM,L_6632051,Implant Tightrope Syndemosis,5416.16,2112.3,,,0
CDM,L_6632055,Sphincterotome Jagtome Rx 39X2,2436.39,950.19,,,0
CDM,L_6632056,Connector Spinal,2083.46,812.55,,,0
CDM,L_6632057,Tap Surgical,996.7,388.71,,,0
CDM,L_6632058,Implant Sacroliliac Joint,12678.75,4944.71,,,0
CDM,L_6632059,Plate Bone Craniofacial,5969.88,2328.25,,,0
CDM,L_6632061,Cath Peritoneal Dialysis,504.04,196.58,,,0
CDM,L_6632062,Cath Peritoneal Dialysis Ext,1808.14,705.17,,,0
CDM,L_6632065,Plate Bone Skull Base Sm,2380.5,928.4,,,0
CDM,L_6632068,Stem Hum Pres Equinoxe 8Mm,9056.25,3531.94,,,0
CDM,L_6632071,Bone Cement Fast Cemex,1630.12,635.75,,,0
CDM,L_6632072,Porous Femoral,55.89,21.8,,,0
CDM,L_6632073,Dissector Vessel Sealing,1412.78,550.98,,,0
CDM,L_6632074,Clip Stimulating Safeop,1267.88,494.47,,,0
CDM,L_6632075,Probe Nerve Stimulator Safeop,1267.88,494.47,,,0
CDM,L_6632076,Kit Dilator Insulated Safeop,4528.12,1765.97,,,0
CDM,L_6632077,Lead Spacing Bipolar Atrial,1511.1,589.33,,,0
CDM,L_6632078,Passer Suture,1296.86,505.78,,,0
CDM,L_6632080,Penile Retractor,2303.91,898.52,,,0
CDM,L_6632081,Plate Bone 98Mm 8H Radius,3315.1,1292.89,,,0
CDM,L_6632082,Nail Tibial M/Dn 10Mm 36Cm,724.5,282.56,,,0
CDM,L_6632083,Mold Spacer Lg Tibial,5246.42,2046.1,,,0
CDM,L_6632085,Pin Half Blunt,535.1,208.69,,,0
CDM,L_6632086,Putty Bone Filler Mag,21082.95,8222.35,,,0
CDM,L_6632087,Plate Clavcle Variax 9H,3720.82,1451.12,,,0
CDM,L_6632088,Cable Cerclage W/Crimp,2121.75,827.48,,,0
CDM,L_6632091,Kit Cath Peritoneal Dial,673.78,262.77,,,0
CDM,L_6632092,Cath Balloon Dil Peripheral J&,1486.26,579.64,,,0
CDM,L_6632094,Cutting Inst,1195.42,466.21,,,0
CDM,L_6632095,Tap Iliac,1195.42,466.21,,,0
CDM,L_6632097,Lead Neurostimulator Triople,21735.0,8476.65,,,0
CDM,L_6632098,Clip Ligating Sm,326.02,127.15,,,0
CDM,L_6632100,Electrode Depth Probe Ad-Tech,2477.79,966.34,,,0
CDM,L_6632101,Patch Hemacarotid Heparin Ultr,514.4,200.62,,,0
CDM,L_6632103,Screw Bone Sq Torque,869.4,339.07,,,0
CDM,L_6632105,Cannula Femoral Venous 23Fr,1547.32,603.45,,,0
CDM,L_6632106,Sizer Breast Sm Rnd Mode Hgh,1043.28,406.88,,,0
CDM,L_6632108,Bar Bent Maverick,4890.38,1907.25,,,0
CDM,L_6632109,Cath Inflation Esophageal,2999.43,1169.78,,,0
CDM,L_6632110,Nail Intramed Hindfoot,10101.6,3939.62,,,0
CDM,L_6632111,Plate Orbital Floor Sm,7946.73,3099.22,,,0
CDM,L_6632112,Plate Spinal Ant Cervical,3694.95,1441.03,,,0
CDM,L_6632113,Implant Knee Femoral Comp,36695.93,14311.41,,,0
CDM,L_6632114,Impl Stem Extension,12621.82,4922.51,,,0
CDM,L_6632115,Rotating Hinge Knee Axel,4303.53,1678.38,,,0
CDM,L_6632116,Impl Tibial Bearing Component,12439.66,4851.47,,,0
CDM,L_6632117,Magnetos 1.5Cc,3151.58,1229.12,,,0
CDM,L_6632118,Plate Tubular Locking 3.5Mm,1394.14,543.71,,,0
CDM,L_6632119,Nail Tibial Knee Intram,5120.15,1996.86,,,0
CDM,L_6632120,Nail Femoral Knee Intra,326.02,127.15,,,0
CDM,L_6632121,Suture Violet,1073.3,418.59,,,0
CDM,L_6632122,Body Humeral,23021.5,8978.38,,,0
CDM,L_6632124,Vsp Preplan,12906.45,5033.52,,,0
CDM,L_6632125,Ortho Sleeve Nail Insertor,1295.82,505.37,,,0
CDM,L_6632126,Drill Bit 12Mm,11262.87,4392.52,,,0
CDM,L_6632128,Kit Arterial Catherization,235.98,92.03,,,0
CDM,L_6632132,Stem Extension,10102.64,3940.03,,,0
CDM,L_6632133,Stent Esophageal,10215.45,3984.03,,,0
CDM,L_6632134,Device Suture Retention Flowst,869.4,339.07,,,0
CDM,L_6632136,Endoprosthesis Stent Iliac,41198.18,16067.29,,,0
CDM,L_6632137,Graft Excluder Iliac,13536.76,5279.34,,,0
CDM,L_6632138,Grf Leg Excludeer Ext,19374.16,7555.92,,,0
CDM,L_6632139,Device Sut Cor-Knot Endoscopic,3803.62,1483.41,,,0
CDM,L_6632140,Rod Carbon Fiber Ext Fix Syn,3169.17,1235.98,,,0
CDM,L_6632141,5.0 Pin Thread Ex Fix Syn,1586.66,618.8,,,0
CDM,L_6632142,Screw Schanz Ex Fix Syn,2090.7,815.37,,,0
CDM,L_6632143,Lead Trial Infinion Kit,12171.6,4746.92,,,0
CDM,L_6632145,Plate Distal Humerus Lcp,13914.54,5426.67,,,0
CDM,L_6632146,Humeral Head 44X18,11929.41,4652.47,,,0
CDM,L_6632147,Acet Shell 100 Gription 50Mm,8550.14,3334.55,,,0
CDM,L_6632148,Plate Trochanteric Ring,18365.04,7162.37,,,0
CDM,L_6632149,Plate Narrow Locking,3592.48,1401.07,,,0
CDM,L_6632150,Plate Suprapectineal,7670.38,2991.45,,,0
CDM,L_6632151,Plate T Va-Lock 3H,4894.52,1908.86,,,0
CDM,L_6632152,Plate Lcp Hum Dist 7H,13323.56,5196.19,,,0
CDM,L_6632154,Connector Ventricular Drainage,381.92,148.95,,,0
CDM,L_6632155,Stem Humeral Collar Pressfit,7081.47,2761.77,,,0
CDM,L_6632156,Reamer Shaft Mod Trinkle Stry,1457.28,568.34,,,0
CDM,L_6632157,Spacer Bullet Plif,10867.5,4238.32,,,0
CDM,L_6632158,Articular Surface,15670.94,6111.67,,,0
CDM,L_6632159,Plate Bone 14 Hole Comp Lock,1107.45,431.91,,,0
CDM,L_6632160,Implant Tendon Patella,2803.82,1093.49,,,0
CDM,L_6632161,Screw Pk Fix Lapiplasty Lesser,8897.9,3470.18,,,0
CDM,L_6632162,Wire Cap,126.27,49.25,,,0
CDM,L_6632163,Vsp Recon Bundle Vspreconimpti,40363.96,15741.94,,,0
CDM,L_6632164,(Stem Cemented Distal),22052.74,8600.57,,,0
CDM,L_6632165,Plate Prosth Distal Fem Span,18318.46,7144.2,,,0
CDM,L_6632166,System Hemostatic Endoclot,5216.4,2034.4,,,0
CDM,L_6632167,Cover Bur Hole (Neuropace),1412.78,550.98,,,0
CDM,L_6632168,Graft Vascular Impregnated,4475.34,1745.38,,,0
CDM,L_6632169,Insert Locking Hole Evos,912.87,356.02,,,0
CDM,L_6632170,Prox Hum Plate,9158.72,3571.9,,,0
CDM,L_6632171,Ureterscope Single Use Digital,5542.42,2161.54,,,0
CDM,L_6632172,Nail Troch Trigen Meta,7227.4,2818.69,,,0
CDM,L_6632173,Plt Troch Periprosth Femoral,7628.98,2975.3,,,0
CDM,L_6632174,Inst Tib Attune Rotating,3920.58,1529.03,,,0
CDM,L_6632175,Patella Medialized Dome,3920.58,1529.03,,,0
CDM,L_6632176,Wire Kirschner Trocar,309.46,120.69,,,0
CDM,L_6632177,Tubing Lipo,321.88,125.53,,,0
CDM,L_6632178,Prosthesis Temporomandibular,71613.72,27929.35,,,0
CDM,L_6632179,Plate Bone Ankle Lateral,3920.58,1529.03,,,0
CDM,L_6632182,Cannula Prox Protekduo,48438.0,18890.82,,,0
CDM,L_6632184,Impl Mamm Exp Artoura Hp,8694.0,3390.66,,,0
CDM,L_6632185,5Rill Bit And Reamer,6216.21,2424.32,,,0
CDM,L_6632187,Gdwire Splashwire,144.9,56.51,,,0
CDM,L_6632188,Electrode 4 Contact Depth,673.78,262.77,,,0
CDM,L_6632189,Catheter Penumbra,129.38,50.46,,,0
CDM,L_6632190,Sheath Guiding,580.64,226.45,,,0
CDM,L_6632191,Blade Laryngoscope,3035.66,1183.91,,,0
CDM,L_6632192,Plate Tibia Prox Distal S&N,9346.05,3644.96,,,0
CDM,L_6632193,Cath Balloon Cr Brad,1412.78,550.98,,,0
CDM,L_6632194,Swivelock Anchor,3477.6,1356.26,,,0
CDM,L_6632195,Plate Prox Hum Smith&Nep,8831.66,3444.35,,,0
CDM,L_6632196,Osteotome Surgical 6Mm 1.5 In,1141.6,445.22,,,0
CDM,L_6632197,Lead Neuro Neuropace Kit,17822.7,6950.85,,,0
CDM,L_6632198,Cuff Tourniquet,1108.48,432.31,,,0
CDM,L_6632199,Cath Litho Shockwave L6 8X30M,14997.15,5848.89,,,0
CDM,L_6632200,Plate Mandibular Recon,13217.98,5155.01,,,0
CDM,L_6632201,Clip Aneurysm T2 Mini Temp,2125.89,829.1,,,0
CDM,L_6632202,Cath Ptv Tyshak Ii,2379.46,927.99,,,0
CDM,L_6632203,Kit Cryosurgical Probe,21735.0,8476.65,,,0
CDM,L_6632204,Nail Recon Intertan,10101.6,3939.62,,,0
CDM,L_6632205,Cath Pact Admiral Otw,6781.32,2644.71,,,0
CDM,L_6632206,Tightrope Abs Button,973.94,379.84,,,0
CDM,L_6632207,Acl Tightrobe Ii Implt,1282.36,500.12,,,0
CDM,L_6632208,Extender Cap 6642006,2073.1,808.51,,,0
CDM,L_6632210,Neuropace Remote Monitor Kit,12171.6,4746.92,,,0
CDM,L_6632211,Fiber Tak Biceps Implant,4303.53,1678.38,,,0
CDM,L_6632212,Apollo Tf Ablator Ar-9831,1021.54,398.4,,,0
CDM,L_6632213,Kit Wrist Monotube 5150-9-960,5358.2,2089.7,,,0
CDM,L_6632214,Tornado Bio Bone Graft 10Cc,15214.5,5933.66,,,0
CDM,L_6632215,Tornado Bone Graft 5Cc,7607.25,2966.83,,,0
CDM,L_6632216,Tibial Surepace,5445.14,2123.6,,,0
CDM,L_6632218,Sleeve Protect Tibial Nail,682.06,266.0,,,0
CDM,L_6632219,Rod Guide Ball-Tipped,5042.52,1966.58,,,0
CDM,L_6632220,Lag Screw Tap,3286.12,1281.59,,,0
CDM,L_6632221,Plate T Oblique,1291.68,503.76,,,0
CDM,L_6632222,Drill Bit (Depuy),2549.2,994.19,,,0
CDM,L_6632223,Sleeve Suprapatellar,1551.46,605.07,,,0
CDM,L_6632224,Cath Stent Graft Reliant Rel46,2051.37,800.03,,,0
CDM,L_6632225,Processor  Osia 2 I,32167.8,12545.44,,,0
CDM,L_6632227,Plate Recon 17 Hole,11072.43,4318.25,,,0
CDM,L_6632228,Humeral Head H21Mm,7998.48,3119.41,,,0
CDM,L_6632229,Plate Va-Lcp Fibula 2.7,3619.4,1411.57,,,0
CDM,L_6632230,Splnt Intranasal Posisep,956.34,372.97,,,0
CDM,L_6632231,Breast Implant Sm 545Cc,4224.87,1647.7,,,0
CDM,L_6632232,Peek Pezo-T,10867.5,4238.32,,,0
CDM,L_6632233,Introducer Gastrostomy Kit,914.94,356.83,,,0
CDM,L_6632234,Impl Testicular Medium 2.7,8415.58,3282.08,,,0
CDM,L_6632235,Femoral Component Standard,8694.0,3390.66,,,0
CDM,L_6632237,Defib Cardiac Dual Blue 80Gm,52402.05,20436.8,,,0
CDM,L_6632238,Immobil Arm Snuggle Wrap,108.68,42.39,,,0
CDM,L_6632239,Blade Electrosurgical,367.42,143.29,,,0
CDM,L_6632240,Handle Electrosurgical,936.68,365.31,,,0
CDM,L_6632241,Suture Fibertape Cerclage,2064.82,805.28,,,0
CDM,L_6632242,Cage Spinal Interbody,15214.5,5933.66,,,0
CDM,L_6632243,Electrode Cortical Strip,17822.7,6950.85,,,0
CDM,L_6632244,Ear Ponto Bhx W/14Mm Abutm 4Mm,18192.2,7094.96,,,0
CDM,L_6632245,Processor Ponto 5 Sprpwr,20343.96,7934.14,,,0
CDM,L_6632246,Reamer Intramed Flex,498.87,194.56,,,0
CDM,L_6632247,Tube Et Cuff Nasal,80.73,31.48,,,0
CDM,L_6632248,Ext Fix Post Outrigger,1477.98,576.41,,,0
CDM,L_6632249,Knife Annulotomy Bayonet,2608.2,1017.2,,,0
CDM,L_6632250,Knife Bayonet L170Mm,1738.8,678.13,,,0
CDM,L_6632251,Needle Scorpion Hd,847.66,330.59,,,0
CDM,L_6632253,Blade Shaw Scalpel,367.42,143.29,,,0
CDM,L_6632254,Impl Cranial Temporal (81037),47446.47,18504.12,,,0
CDM,L_6632255,Ext Fix Rod Telescope Ilizarov,402.62,157.02,,,0
CDM,L_6632256,Mandibular Recon Plate W/Tem,13489.16,5260.77,,,0
CDM,L_6632257,Hemostats Intranasal,499.9,194.96,,,0
CDM,L_6632258,Locking Attachment Washer (Rfn,3825.36,1491.89,,,0
CDM,L_6632259,Conn Spinal Lateral,7224.3,2817.48,,,0
CDM,L_6632260,Imp Knee Patella Oval Dome,3373.06,1315.49,,,0
CDM,L_6632261,Kit/Set Surgical Mips 4Mm,3216.78,1254.54,,,0
CDM,L_6632262,Femur Cemented Persona,8694.0,3390.66,,,0
CDM,L_6632264,Neuro Omega Electrode Cable,2477.79,966.34,,,0
CDM,L_6632265,System External Drainage Codmn,657.22,256.32,,,0
CDM,L_6632266,Bipolar Forceps 8Mm (471172),1073.3,418.59,,,0
CDM,L_6632267,Apical Cuff Lvad Heart Mate,2173.5,847.66,,,0
CDM,L_6632268,Probe Doppler G21363 Ck Med,2303.91,898.52,,,0
CDM,L_6632269,Glenoid Modular Systems,9998.1,3899.26,,,0
CDM,L_6632270,Titanium Spacer 39/+9 Mm,2130.03,830.71,,,0
CDM,L_6632271,Filter Vena Cava Fem 30X49,6125.13,2388.8,,,0
CDM,L_6632272,Pin Fixation Provisional,608.58,237.35,,,0
CDM,L_6632273,Power Module Lvad,34776.0,13562.64,,,0
CDM,L_6632274,Formal Steam Taper Cement,17591.9,6860.84,,,0
CDM,L_6632275,Cath Lito Shockwave S4,11954.25,4662.16,,,0
CDM,L_6632276,Pin Cranial Mount,839.38,327.36,,,0
CDM,L_6632277,Knee Fibertak-Dbl Knotted Ar-3,1847.48,720.52,,,0
CDM,L_6632278,Wire Compression Thrd,504.04,196.58,,,0
CDM,L_6632279,Femoral Head Spacer Remedy,10867.5,4238.32,,,0
CDM,L_6632280,Femoral Steam Spacer,10867.5,4238.32,,,0
CDM,L_6632281,Reamer Entry 12Mm Depuy,4359.42,1700.17,,,0
CDM,L_6632282,Surgifoam Gelatin Powder 1Gm,456.44,178.01,,,0
CDM,L_6632283,Needle Echogenic Glideacess,182.16,71.04,,,0
CDM,L_6632285,Tornado Bio Bone Graft 20Cc,30429.0,11867.31,,,0
CDM,L_6632286,System Incision Prevena Plus,2825.55,1101.96,,,0
CDM,L_6632287,Cath Angiograp G11642,530.96,207.07,,,0
CDM,L_6632288,Wire Olive Threaded,764.86,298.3,,,0
CDM,L_6632289,Insert Femur Attune Rp Cement,15214.5,5933.66,,,0
CDM,L_6632290,Cement Bone Smartset Hv,217.35,84.77,,,0
CDM,L_6632291,Oxidized Cellulose Hemostatic,237.02,92.44,,,0
CDM,L_6632294,Set Procedure Hta Procerva,7537.9,2939.78,,,0
CDM,L_6632297,Ext Fix Clamp Large 390.010,1320.66,515.06,,,0
CDM,L_6632298,Plate Lcp Olecranon,3653.55,1424.88,,,0
CDM,L_6632299,Cath Sterling Balloon,956.34,372.97,,,0
CDM,L_6632300,Construct Bi-Mentum Stem,31385.34,12240.28,,,0
CDM,L_6632305,Body Femoral Replacement,27635.54,10777.86,,,0
CDM,L_6632307,Spray Catheter Wp-18/2200,61.06,23.81,,,0
CDM,L_6632308,"""Forcep Bioplar Koag 7""""""",1499.72,584.89,,,0
CDM,L_6632309,Anchor Tendon Diposable,2875.23,1121.34,,,0
CDM,L_6632310,Anchor Bone (Depuy),2875.23,1121.34,,,0
CDM,L_6632311,Lead Surgical Kit Surpass,4347.0,1695.33,,,0
CDM,L_6632312,Hip Liner Constrct C-Stem,17822.7,6950.85,,,0
CDM,L_6632313,Pm Percepta Crt-P Mri Surescan,28255.5,11019.64,,,0
CDM,L_6632314,Outer Protection Sleeve Supra,385.02,150.16,,,0
CDM,L_6632315,Filler Bone Drillable 10Cc,9946.35,3879.08,,,0
CDM,L_6632316,Imp Knee Fem Distal,75798.23,29561.31,,,0
CDM,L_6632317,M.B.T Revision Sleeve,10922.36,4259.72,,,0
CDM,L_6632318,Plate Tib Prox Va Lcp,6599.16,2573.67,,,0
CDM,L_6632319,Rotating Platform Crs,11083.82,4322.69,,,0
CDM,L_6632321,Valve Heart Transcath Sapien X,121095.0,47227.05,,,0
CDM,L_6632322,Coil Detachable Azur 035 5Mm,6262.78,2442.48,,,0
CDM,L_6632323,Tornado Bone Grfat 40Cc,52164.0,20343.96,,,0
CDM,L_6632324,Electrode W/ Patient Plate,69.34,27.04,,,0
CDM,L_6632325,Handle Uterine Manip (Umh750),824.9,321.71,,,0
CDM,L_6632326,Dressing V.A.C. Veraflo,1070.19,417.37,,,0
CDM,L_6632328,Tip Uterine Sacro Hoyte,824.9,321.71,,,0
CDM,L_6632329,Nail Fusion Hindfoot,22731.7,8865.36,,,0
CDM,L_6632330,Knee Rotating Hinge 11Mm,6368.36,2483.66,,,0
CDM,L_6632331,Ex Fix Wire Compression,156.28,60.95,,,0
CDM,L_6632332,Prostheis Penile Assemb Kit,2673.4,1042.63,,,0
CDM,L_6632333,Fdl Implant Systems,6498.76,2534.52,,,0
CDM,L_6632334,Dressing Wound Veraflo,600.3,234.12,,,0
CDM,L_6632335,System Retention Pannus,306.36,119.48,,,0
CDM,L_6632336,Nail Ulna  Ftu-521-S,13475.7,5255.52,,,0
CDM,L_6632337,Flexible Reamer Shaft (352.044,12405.64,4838.2,,,0
CDM,L_6632338,Cap Healing M52080,86.94,33.91,,,0
CDM,L_6632339,Dynamic Locking Ring 70Mm,1294.79,504.97,,,0
CDM,L_6632340,Implant Hammertoe With Pip,6498.76,2534.52,,,0
CDM,L_6632341,Spiked Disk,1377.58,537.26,,,0
CDM,L_6632342,Construct Bipolar Liner Head,2608.2,1017.2,,,0
CDM,L_6632343,Stem Cemented Construct,2608.2,1017.2,,,0
CDM,L_6632344,Plate Lcp Curved Broad,4586.08,1788.57,,,0
CDM,L_6632345,Needle Bone Access,434.7,169.53,,,0
CDM,L_6632346,Wire Nitinol,760.72,296.68,,,0
CDM,L_6632347,Custom Temporal Bone,45969.52,17928.11,,,0
CDM,L_6632348,Acetabular Pinnacle Shell,12689.1,4948.75,,,0
CDM,L_6632349,Dsg Wound Jumpstart,213.21,83.15,,,0
CDM,L_6632350,Reamer Cannulated Ar-8973-40S,652.05,254.3,,,0
CDM,L_6632351,Introducer Male Sling,33754.46,13164.24,,,0
CDM,L_6632352,Wire Compressoin (Depuy ),407.79,159.04,,,0
CDM,L_6632353,Mesh Prolene,6939.68,2706.48,,,0
CDM,L_6632354,Pin Cerclage Posit Thr,611.68,238.56,,,0
CDM,L_6632355,Curved Stem,11715.16,4568.91,,,0
CDM,L_6632356,Head Trail V40,599.26,233.71,,,0
CDM,L_6632357,Taper Post Fixation Component,3485.88,1359.49,,,0
CDM,L_6632358,Articular Component,24552.27,9575.39,,,0
CDM,L_6632359,Wand Hemostasis Fastseal,5692.5,2220.08,,,0
CDM,L_6632360,Implant Orbital Wall,45969.52,17928.11,,,0
CDM,L_6632361,Ptp Access Module,4347.0,1695.33,,,0
CDM,L_6632362,Guide Pin 3.2 X 300 Mm,2839.0,1107.21,,,0
CDM,L_6632363,Distal Stem Collar Fix,7081.47,2761.77,,,0
CDM,L_6632364,Vercise M8 Adapter Kit,5216.4,2034.4,,,0
CDM,L_6632365,Guide Pin Osteotomy,160.43,62.57,,,0
CDM,L_6632366,Dermabond Prineo Sys J&J,310.5,121.1,,,0
CDM,L_6632367,Cemented Femur Attune Ps,12809.16,4995.57,,,0
CDM,L_6632368,Guide Wire 220Mm Length 1.6Mm,317.74,123.92,,,0
CDM,L_6632369,K-Wire Threaded,365.36,142.49,,,0
CDM,L_6632370,Wire Ball Tip 60Mm,3023.24,1179.06,,,0
CDM,L_6632372,Dressing Wound Pressure,956.34,372.97,,,0
CDM,L_6632374,Nail Hindfoot Fusion (Smith,10992.74,4287.17,,,0
CDM,L_6632375,Plate Fem Neck Sys 1H,3772.58,1471.31,,,0
CDM,L_6632376,Orbital Model Classic (Kls),12588.7,4909.59,,,0
CDM,L_6632377,Cath Peritoneal 91Cm,326.02,127.15,,,0
CDM,L_6632378,Stent Colonic Duodenal Wallfle,14767.38,5759.28,,,0
CDM,L_6632379,Hook Cautery Permanent,5477.22,2136.12,,,0
CDM,L_6632380,Basket Retrieval Trapezoid,1176.8,458.95,,,0
CDM,L_6632381,Kit Introducer Dilator,956.34,372.97,,,0
CDM,L_6632382,Grasper Tip Fenes,10041.57,3916.21,,,0
CDM,L_6632383,Forcep Davinci Grasping,12780.18,4984.27,,,0
CDM,L_6632385,Burr Cutting Diamond,2037.92,794.79,,,0
CDM,L_6632386,Impl Sinus Mometasone Furoate,4158.63,1621.87,,,0
CDM,L_6632387,Nail Trigen Intertan,13505.72,5267.23,,,0
CDM,L_6632388,Plate Standard Mtp,8672.26,3382.18,,,0
CDM,L_6632389,Plate Oc Sm,10867.5,4238.32,,,0
CDM,L_6632390,Stem Hip Offset,14796.36,5770.58,,,0
CDM,L_6632391,Suture Stratafix,110.74,43.19,,,0
CDM,L_6632392,Staple Bone Fixation,8237.56,3212.65,,,0
CDM,L_6632393,Staple Sys Nitinol Dynanite,9976.36,3890.78,,,0
CDM,L_6632394,Endopros Viabahn Vbx Blln Exp,14490.0,5651.1,,,0
CDM,L_6632395,Tap Bone For Screw,869.4,339.07,,,0
CDM,L_6632396,Graft Endopros (Vbjr070502A),13896.94,5419.81,,,0
CDM,L_6632397,Cap Protective For Wire,448.16,174.78,,,0
CDM,L_6632398,Screwdriver Shaft Driver Hex,489.56,190.93,,,0
CDM,L_6632399,Plate Occipital Quartex Sml,12423.1,4845.01,,,0
CDM,L_6632400,Plate Condylar 10H,8295.52,3235.25,,,0
CDM,L_6632401,Bone Void Filler Drill 10Cc,9947.38,3879.48,,,0
CDM,L_6632402,Harvester Bone Graft 8M,6846.52,2670.14,,,0
CDM,L_6632403,Plate Facial Id Recon,37586.02,14658.55,,,0
CDM,L_6632404,Plate Suboccipital Malleable S,2856.6,1114.07,,,0
CDM,L_6632406,Bit Drill Flex,3616.29,1410.35,,,0
CDM,L_6632407,Sleeve Femb Fully Porous,13006.84,5072.67,,,0
CDM,L_6632408,Device Stratafix,107.64,41.98,,,0
CDM,L_6632410,Lavage Irrigation (Irrisept),304.29,118.67,,,0
CDM,L_6632411,Stent Vascular (C R Bard),21713.26,8468.17,,,0
CDM,L_6632412,Plate Bone Skull Base Lg,7050.42,2749.66,,,0
CDM,L_6632413,Cemented Femur Standard,15894.5,6198.86,,,0
CDM,L_6632414,Guidewire Visiglide,743.13,289.82,,,0
CDM,L_6632415,Peg Bone Locking,725.54,282.96,,,0
CDM,L_6632416,Sphincterotome Omni Biliary,1382.76,539.28,,,0
CDM,L_6632417,Component Modular Head,5585.9,2178.5,,,0
CDM,L_6632418,Port Poweport Std Ti 8,10819.89,4219.76,,,0
CDM,L_6632419,Cage 7Mm (Astura),8694.0,3390.66,,,0
CDM,L_6632420,Burr Egg (Stryker),1078.47,420.6,,,0
CDM,L_6632421,Stem Taper,11950.11,4660.54,,,0
CDM,L_6632422,Impl Speedbridge Sys,11954.25,4662.16,,,0
CDM,L_6632423,Guide Wire 1.6 K,1586.66,618.8,,,0
CDM,L_6632424,Washer Titanium,271.17,105.76,,,0
CDM,L_6632425,Laser Guided Mri Visualase,58106.97,22661.72,,,0
CDM,L_6632426,Elevator Neuro Inst,586.84,228.87,,,0
CDM,L_6632427,Device Securing 16-18Fr Teal,372.6,145.31,,,0
CDM,L_6632428,Pack Vitrectomy Constellation,2821.41,1100.35,,,0
CDM,L_6632429,Cobalt Xt Hf Mr Is1 Df1,63303.7,24688.44,,,0
CDM,L_6632430,Stent Esophogeal Endomaxx,10867.5,4238.32,,,0
CDM,L_6632431,Plate Clavicle Va-Lcp,4048.92,1579.08,,,0
CDM,L_6632435,Plate Bone Tibia Lcp 93325,5200.88,2028.34,,,0
CDM,L_6632436,Plate Tibia Prox Va-Lcp,8133.03,3171.88,,,0
CDM,L_6632438,Plate Lcp-Va Curved Condylar,7166.34,2794.87,,,0
CDM,L_6632439,Cath Atherectomy Peripheral,14323.36,5586.11,,,0
CDM,L_6632440,Nail Meta Trigen,15243.48,5944.96,,,0
CDM,L_6632441,Rod Carbon 8Mm,544.41,212.32,,,0
CDM,L_6632442,Ext Fix Distal Radial Kit,9154.58,3570.29,,,0
CDM,L_6632443,Pin Hinge Replacement S-Rom,2072.07,808.11,,,0
CDM,L_6632444,Bipolar  Cemented Fx St/Bp Cp,5372.68,2095.35,,,0
CDM,L_6632445,Bundle Pr Prmst/Tm Cp,18357.79,7159.54,,,0
CDM,L_6632446,Bundle Prplrmst/G7Cp/,25932.96,10113.85,,,0
CDM,L_6632447,Nail Marker Wire 3Mm,1074.33,418.99,,,0
CDM,L_6632448,Nail Humeral Sterlie Tornier,21569.4,8412.07,,,0
CDM,L_6632449,Remedy Modular Long Stem,10867.5,4238.32,,,0
CDM,L_6632450,Sys Kit Proximal Tenodesis,2934.22,1144.35,,,0
CDM,L_6632451,Stent Biliary Shortwire Conmed,10650.15,4153.56,,,0
CDM,L_6632452,Sleeve Wire Centering,1315.48,513.04,,,0
CDM,L_6632455,Screw Spinal Uniplanar 4.5,5477.22,2136.12,,,0
CDM,L_6632456,Provisional Fixation Pin,942.88,367.72,,,0
CDM,L_6632457,Impl Gel Mentor Smooth Hp,5216.4,2034.4,,,0
CDM,L_6632458,Syndesmosis Repair Kit,7172.55,2797.29,,,0
CDM,L_6632459,Syndesmosis Fibulink Kit,4896.58,1909.67,,,0
CDM,L_6632460,Graft Endoprost Vbhr091502A,20678.26,8064.52,,,0
CDM,L_6632461,Cath Dilation Ball (Laborie),9106.96,3551.71,,,0
CDM,L_6632462,Stent Biliary Zimmon Ck G21640,204.93,79.92,,,0
CDM,L_6632463,Suture Monofilament,63.14,24.62,,,0
CDM,L_6632464,Tube Trach Bivona Ex Length,242.19,94.45,,,0
CDM,L_6632465,Ext Fix Rod Carbon Fiber,9154.58,3570.29,,,0
CDM,L_6632466,Trochanteric Nail 11.5,16402.68,6397.05,,,0
CDM,L_6632467,Plate Shelf,2934.22,1144.35,,,0
CDM,L_6632468,Nail Intertan 11.5X36,18041.08,7036.02,,,0
CDM,L_6632469,Percept Rc Dbs,109917.0,42867.63,,,0
CDM,L_6632470,Plate Lp Medial Sm,6498.76,2534.52,,,0
CDM,L_6632471,Head Hum Delta Cta Xtend 48X21,12297.87,4796.17,,,0
CDM,L_6632472,Sys Collection Bone Marrow,1369.3,534.03,,,0
CDM,L_6632473,Ex Fix Post Outrigger 11 90Deg,383.98,149.75,,,0
CDM,L_6632474,Ext Fix Coupler Rod To Rod,779.36,303.95,,,0
CDM,L_6632475,Ext Fix Clamp Pin,939.78,366.51,,,0
CDM,L_6632477,Kit Prevena Plus Unit Pre4010,2006.86,782.68,,,0
CDM,L_6632478,Plate Femur Prox 95573,11985.3,4674.27,,,0
CDM,L_6632479,Pin Positioning 95910,724.5,282.56,,,0
CDM,L_6632480,Flange Small,3964.05,1545.98,,,0
CDM,L_6632482,Customized Facial Implant,41414.49,16151.65,,,0
CDM,L_6632483,Recharge Sys Rs6230 Percept,8450.78,3295.8,,,0
CDM,L_6632484,Fibergraft Bg Matrix,6411.82,2500.61,,,0
CDM,L_6632485,Implant Cochlear Osia Osi300,19613.25,7649.17,,,0
CDM,L_6632486,Sleeve Protection Nail,980.14,382.25,,,0
CDM,L_6632488,Graft Spreader,1630.12,635.75,,,0
CDM,L_6632489,Coupling Pin To Rod,4133.79,1612.18,,,0
CDM,L_6632490,Ex Fix Connecting Rod,1391.04,542.51,,,0
CDM,L_6632491,Self-Punching Anchor,1956.15,762.9,,,0
CDM,L_6632492,Ex Fix Connecting Rod,942.88,367.72,,,0
CDM,L_6632493,Plate Lcp Postlat Distal Fib,1632.2,636.56,,,0
CDM,L_6632494,Femoral Stem Reclaim Mon,32890.23,12827.19,,,0
CDM,L_6632495,Bonesync (Filler Bone),3647.34,1422.46,,,0
CDM,L_6632496,Implant Fiberstitch,2390.85,932.43,,,0
CDM,L_6632497,Handpiece Electrosurg Cable,6034.05,2353.28,,,0
CDM,L_6632498,Reamer Flexibleb Monobloc,2544.03,992.17,,,0
CDM,L_6632499,Tap Screw,2410.52,940.1,,,0
CDM,L_6632500,Trocar Surg Recon Lck 3.2Mm,791.78,308.79,,,0
CDM,L_6632501,Stem Femoral Pressfit Arcos,12375.5,4826.44,,,0
CDM,L_6632502,Cone Femoral Arcos,24012.0,9364.68,,,0
CDM,L_6632503,Intro Sheath Peel Away G06492,184.23,71.85,,,0
CDM,L_6632504,Peg Locking  2.7Mmx 6Mm,456.44,178.01,,,0
CDM,L_6632505,Peg Locking 2.7Mmx20Mm,296.01,115.44,,,0
CDM,L_6632506,Hinge Universal Tibial Xsm,14498.28,5654.33,,,0
CDM,L_6632507,Balloon Airway Trachealator,5216.4,2034.4,,,0
CDM,L_6632508,Halyard Mic-Key Gj Feeding Tub,1525.59,594.98,,,0
CDM,L_6632509,Forcep Bipolar Koag 9In,1521.45,593.37,,,0
CDM,L_6632510,Screwdrivr Btry Powd Varispeed,1278.22,498.51,,,0
CDM,L_6632511,Recon Plate Evos 3.5Mm 8 Hole,3433.1,1338.91,,,0
CDM,L_6632512,Wire Bone Guide Trocar Tip Aos,1217.16,474.69,,,0
CDM,L_6632513,Rod Reaming Ball Tip 2.5Mm,495.76,193.35,,,0
CDM,L_6632514,Calibrate Nanotec Psx,23473.8,9154.78,,,0
CDM,L_6632515,Access Model 313-6002,4347.0,1695.33,,,0
CDM,L_6632516,Module Positioning Lif Ptp,4347.0,1695.33,,,0
CDM,L_6632517,Femoral Head Ceramic 36Mm,11058.98,4313.0,,,0
CDM,L_6632518,Shell Acetabb 20123606,13749.98,5362.49,,,0
CDM,L_6632519,Liner Acetab Longevity,4433.94,1729.24,,,0
CDM,L_6632520,Bg Matrix Fibergraft 12.5Cc,13041.0,5085.99,,,0
CDM,L_6632521,Cap Connector Threaded,326.02,127.15,,,0
CDM,L_6632522,Connector Lateral Open,7224.3,2817.48,,,0
CDM,L_6632523,Dbl Connector 12Mm Wide,12280.28,4789.31,,,0
CDM,L_6632524,Tap Navigation  Gi1 5Mm,1695.33,661.18,,,0
CDM,L_6632525,Guides Cutting/Marking Virtual,7407.5,2888.92,,,0
CDM,L_6632526,Lcp Proximal Humerus 12H Shft,7757.32,3025.35,,,0
CDM,L_6632527,Reamer Hollow Screw 2.7Mm,1204.74,469.85,,,0
CDM,L_6632528,Blade For Cable Cutter,3885.39,1515.3,,,0
CDM,L_6632529,Tensioner Cable Lock,2736.54,1067.25,,,0
CDM,L_6632530,Fillr Fibergraft Matrix 20Cc,21300.3,8307.12,,,0
CDM,L_6632531,Stent Venous Sys Abre 16X80Mm,6520.5,2543.0,,,0
CDM,L_6632532,Wire Compression Olive 15Mm,3833.64,1495.12,,,0
CDM,L_6632534,Tocar Long 3.5Mm,447.12,174.38,,,0
CDM,L_6632535,Driver Surgical Long,2430.18,947.77,,,0
CDM,L_6632538,Cath Dilation Pta Atlas,1217.16,474.69,,,0
CDM,L_6632539,Kit Template Anterior,671.72,261.97,,,0
CDM,L_6632540,Balloon Dilator Hercules,682.06,266.0,,,0
CDM,L_6632542,Sleeve Surgical Driver Short,4468.1,1742.56,,,0
CDM,L_6632543,Kit Lead 45Cm,12823.65,5001.22,,,0
CDM,L_6632544,Plate Tibia Va Dis (93629),3689.78,1439.01,,,0
CDM,L_6632545,Plate Tibia Medial Distal Lcp,8721.94,3401.56,,,0
CDM,L_6632546,Suture Gore-Tex Cv-6,161.46,62.97,,,0
CDM,L_6632547,Cannula Arterial Peds,114.88,44.8,,,0
CDM,L_6632549,Blade Helic Extractor,3299.58,1286.84,,,0
CDM,L_6632550,Nail Extractor (03.037.032),3093.62,1206.51,,,0
CDM,L_6632551,Screw Extraction (03.043.030),2262.51,882.38,,,0
CDM,L_6632553,Stent Frontier Onyx 4.0X12,1956.15,762.9,,,0
CDM,L_6632554,Graft Excluder Aaa Gore C3,40527.5,15805.72,,,0
CDM,L_6632555,Plate Humerus Lcp Postlat,4503.28,1756.28,,,0
CDM,L_6632556,Trigen Hindfoot Fusion Nail,25412.36,9910.82,,,0
CDM,L_6632557,Kit Percutaneous Insert Fibert,978.08,381.45,,,0
CDM,L_6632558,Stnt Wall Cath Tracheobronchia,7417.84,2892.96,,,0
CDM,L_6632559,Catheter Drainage (Trocar),51.75,20.18,,,0
CDM,L_6632560,Cap Healing With Plug,63.14,24.62,,,0
CDM,L_6632561,Cath Balloon Trek Nc,499.9,194.96,,,0
CDM,L_6632562,Plate Intrapelvic Acetab Strd,8299.67,3236.87,,,0
CDM,L_6632563,Tigertape Sternal Clos,760.72,296.68,,,0
CDM,L_6632564,Assembly Kit Titan,3904.02,1522.57,,,0
CDM,L_6632567,Plate Lcp Condylar 4.5 Mm,12646.66,4932.2,,,0
CDM,L_6632568,Drill 26Mm,1274.08,496.89,,,0
CDM,L_6632569,Hinge Insert,12757.41,4975.39,,,0
CDM,L_6632570,Tibial Baseplate Revison,22501.94,8775.76,,,0
CDM,L_6632571,Insrt Tibial Attune Platform,2738.61,1068.06,,,0
CDM,L_6632572,100Mm Mesh,4390.47,1712.28,,,0
CDM,L_6632573,Symmetric Patella,3357.54,1309.44,,,0
CDM,L_6632574,Y-Plate Lcp 3 Hole Head 8,1690.16,659.16,,,0
CDM,L_6632575,Plt Thinflap Craniomaxill,652.05,254.3,,,0
CDM,L_6632576,Dressing Ear Otopore Cylinder,451.26,175.99,,,0
CDM,L_6632577,Icd Dvpa2D4 Cobalt Mri,40670.32,15861.42,,,0
CDM,L_6632578,Snare Acunsare Polypec Mini,377.78,147.33,,,0
CDM,L_6632579,Jagtome Sphinct Endo Biliary,2361.87,921.13,,,0
CDM,L_6632580,Vercise Kit (Db-2500-C),1086.75,423.83,,,0
CDM,L_6632581,Plug Port Ipg Spare Spectra,43.47,16.95,,,0
CDM,L_6632582,Cath Guid Heartrail Iii,447.12,174.38,,,0
CDM,L_6632583,Graft Bypass Distaflo 6Mmx80,10041.57,3916.21,,,0
CDM,L_6632584,Inst Tib Attune Rp Post Stab,9512.68,3709.95,,,0
CDM,L_6632585,Osteotome Surgical 6Mm 3 In,1430.37,557.84,,,0
CDM,L_6632586,Inceptiv Generator Recharge,76383.0,29789.37,,,0
CDM,L_6632587,Inceptiv Wireless Ext Neuro,869.4,339.07,,,0
CDM,L_6632588,Cath Balloon 12 X 40 Inspira,11410.88,4450.24,,,0
CDM,L_6632590,Graft Endo Excl Aa Trnk,47092.5,18366.08,,,0
CDM,L_6632591,Cervical Dis Mobic-C,18909.45,7374.69,,,0
CDM,L_6632592,Snm Neurostimulator,43412.04,16930.7,,,0
CDM,L_6632593,Plate Mtp,8020.22,3127.89,,,0
CDM,L_6632594,Pin Fixation Temp 1.4Mm,351.9,137.24,,,0
CDM,L_6632595,Plate Lcp Tib A/L Tibia,6741.99,2629.38,,,0
CDM,L_6632596,Gen Activa Sc 37602,40209.75,15681.8,,,0
CDM,L_6632597,Trial Sacral Stimulator,956.34,372.97,,,0
CDM,L_6632598,Percutaneous Extension,417.1,162.67,,,0
CDM,L_6632599,Glidewire Catheter Gw 260Cm,252.54,98.49,,,0
CDM,L_6632600,Comm Handset Kit Inceptiv,4490.86,1751.44,,,0
CDM,L_6632601,Plate Condylar 6H Va,7980.88,3112.54,,,0
CDM,L_6632602,Impl Hum Equinoxe Liner,9476.46,3695.82,,,0
CDM,L_6632603,Plate Straight 8H,3603.87,1405.51,,,0
CDM,L_6632604,Implant Nail Innate,5433.75,2119.16,,,0
CDM,L_6632605,Impl Tibial Platform Rotating,28116.81,10965.56,,,0
CDM,L_6632606,Lead Vectris Surescan 977A275,11098.3,4328.34,,,0
CDM,L_6632607,Midface Straight Plate,1499.72,584.89,,,0
CDM,L_6632608,Femoral Head,5603.49,2185.36,,,0
CDM,L_6632609,Ventana C Lordotic Interbody,10867.5,4238.32,,,0
CDM,L_6632610,Kit Bone Harvesting Ria,10419.34,4063.54,,,0
CDM,L_6632611,Lead Contact Ext 55Cm Kit,8041.95,3136.36,,,0
CDM,L_6632612,Bolt Extraction 4.5Mm,430.56,167.92,,,0
CDM,L_6632613,Tibial Tray Infinity,47148.39,18387.87,,,0
CDM,L_6632614,Talar Dome Flatcut Infinity,50025.69,19510.02,,,0
CDM,L_6632615,Cross-Linked Poly Insert,20982.56,8183.2,,,0
CDM,L_6632616,Alignment Guides,4795.16,1870.11,,,0
CDM,L_6632617,Acetabular Shell Multi-Hole,14601.78,5694.69,,,0
CDM,L_6632618,Pin Fixation Univers,1738.8,678.13,,,0
CDM,L_6632619,T2  Stratosphere,30429.0,11867.31,,,0
CDM,L_6632621,Distal Biceps Implant System,5629.36,2195.45,,,0
CDM,L_6632622,Vsp Guide (Vspoaddguidesti),15627.46,6094.71,,,0
CDM,L_6632623,Vsp Custom Bundle,25969.18,10127.98,,,0
CDM,L_6632624,Inceptiv Handset Communicator,4490.86,1751.44,,,0
CDM,L_6632625,Patient Accessory Case,108.68,42.39,,,0
CDM,L_6632626,Graft Bone Ifactor,3042.9,1186.73,,,0
CDM,L_6632627,Stent Vascular Covered,20843.87,8129.11,,,0
CDM,L_6632628,Spacer Knee Osteobridge,46575.0,18164.25,,,0
CDM,L_6632629,Interlocking Screw Osteobridge,1956.15,762.9,,,0
CDM,L_6632630,Cath Dxterity Daign,56.92,22.2,,,0
CDM,L_6632631,Catheter Peritoneal Dialysis,226.66,88.4,,,0
CDM,L_6632632,Swivelock Arthrex Knotless,2151.76,839.19,,,0
CDM,L_6632633,Implant Laryngeal,3108.1,1212.16,,,0
CDM,L_6632635,Noncdm Legacy Charge,43002.18,16770.85,,,0
CDM,L_6632636,Noncdm Legacy Charge,4412.2,1720.76,,,0
CDM,L_6632637,Noncdm Legacy Charge,63342.0,24703.38,,,0
CDM,L_6632639,Noncdm Legacy Charge,4238.32,1652.94,,,0
CDM,L_6632640,Noncdm Legacy Charge,734.85,286.59,,,0
CDM,L_6632641,Noncdm Legacy Charge,217.35,84.77,,,0
CDM,L_6632642,Noncdm Legacy Charge,999.81,389.93,,,0
CDM,L_6632643,Noncdm Legacy Charge,18439.56,7191.43,,,0
CDM,L_6632644,Noncdm Legacy Charge,2608.2,1017.2,,,0
CDM,L_6632645,Noncdm Legacy Charge,1955.12,762.5,,,0
CDM,L_6632646,Noncdm Legacy Charge,31630.64,12335.95,,,0
CDM,L_6632647,Noncdm Legacy Charge,1651.86,644.23,,,0
CDM,L_6632648,Noncdm Legacy Charge,7324.7,2856.63,,,0
CDM,L_6632650,Noncdm Legacy Charge,2173.5,847.66,,,0
CDM,L_6632651,Noncdm Legacy Charge,1800.9,702.35,,,0
CDM,L_6632652,Noncdm Legacy Charge,593.05,231.29,,,0
CDM,L_6632653,Noncdm Legacy Charge,6303.15,2458.23,,,0
CDM,L_6632654,Noncdm Legacy Charge,108054.0,42141.06,,,0
CDM,L_6632655,Noncdm Legacy Charge,10576.66,4124.9,,,0
CDM,L_6632656,Noncdm Legacy Charge,1021.54,398.4,,,0
CDM,L_6632657,Noncdm Legacy Charge,7520.31,2932.92,,,0
CDM,L_6632658,Noncdm Legacy Charge,5477.22,2136.12,,,0
CDM,L_6632659,Noncdm Legacy Charge,1278.22,498.51,,,0
CDM,L_6632660,Noncdm Legacy Charge,26082.0,10171.98,,,0
CDM,L_6632661,Noncdm Legacy Charge,2173.5,847.66,,,0
CDM,L_6632662,Noncdm Legacy Charge,2173.5,847.66,,,0
CDM,L_6632663,Noncdm Legacy Charge,23473.8,9154.78,,,0
CDM,L_6632664,Noncdm Legacy Charge,21300.3,8307.12,,,0
CDM,L_6632665,Noncdm Legacy Charge,13266.63,5173.99,,,0
CDM,L_6632666,Noncdm Legacy Charge,4133.79,1612.18,,,0
CDM,L_6663002,Catheter Ercp,250.47,97.68,,,0
CDM,L_6663003,Stent Non-Cor Temp W/O Del,396.4,154.6,,,0
CDM,L_6663005,G Wire Tracer Hybrid,493.7,192.54,,,0
CDM,L_6663041,Needle Inject Varices,134.55,52.47,,,0
CDM,L_6663059,Spincterotome Ercp W/ G Wire,945.99,368.94,,,0
CDM,L_6663065,Ligator Multiband/Sixshooter K,695.52,271.25,,,0
CDM,L_6663066,Forceps Radial Jaw,166.64,64.99,,,0
CDM,L_6663067,Forceps Biopsy Cold,109.42,42.67,,,0
CDM,L_6663071,Tube Feeding,742.1,289.42,,,0
CDM,L_6663073,Tube Peg,401.58,156.62,,,0
CDM,L_6663084,Snare Polypectomy,155.25,60.55,,,0
CDM,L_6663091,Gastric Lavage Kit,52.78,20.58,,,0
CDM,L_6663098,Needle Aspiration,1347.57,525.55,,,0
CDM,L_6663099,Forceps Hot Bx,101.43,39.56,,,0
CDM,L_6663166,Inflation Device,256.68,100.11,,,0
CDM,L_6663172,Probe Argon Beamer,1126.08,439.17,,,0
CDM,L_6663175,Stent Coated/Cov W/Del Sys,12673.58,4942.7,,,0
CDM,L_6663178,Stent Esophageal 20Mmx10Cm,10215.45,3984.03,,,0
CDM,L_6663182,Tube Gastro Mic-Key,493.7,192.54,,,0
CDM,L_6663186,Gi Endoscopic Endocuff Vision,140.76,54.9,,,0
CDM,L_6663187,Catheter Microtech Spray,61.06,23.81,,,0
CDM,L_6663190,Purastat Adapter Syringe,109.71,42.79,,,0
CDM,L_6663195,System Hemostatic Endoclot,5216.4,2034.4,,,0
CDM,L_6663196,Kit Endoclot,9336.92,3641.4,,,0
CDM,L_6663198,Stnt Colonic Evolution 25X10,8733.33,3406.0,,,0
CDM,L_6663199,Electrode Ndl Subdermal,491.62,191.73,,,0
CDM,L_6663218,Purastat Prefilled Syringe,2233.53,871.08,,,0
CDM,L_6663220,Stent Pancreatic Wedge Johlin,457.47,178.41,,,0
CDM,L_6663224,Sleeve Compression Sm Cardin,75.56,29.47,,,0
CDM,L_6663226,Sleeve Compression Disps,92.12,35.93,,,0
CDM,L_6663230,Brush Cytology (Cook),102.46,39.96,,,0
CDM,L_6663231,Catheter Pushing Fusion,230.8,90.01,,,0
CDM,L_6663235,Kit Peg,369.5,144.1,,,0
CDM,L_6663237,Cath Pushing Fusion Guide,430.56,167.92,,,0
CDM,L_6663238,Device Clipping Triclip,434.7,169.53,,,0
CDM,L_6663241,Cath Endo Glo-Tip Ercp,513.36,200.21,,,0
CDM,L_6663243,Kit Decom Cath Guidewire,521.64,203.44,,,0
CDM,L_6663246,Ligator Multi-Band Saeed,660.33,257.53,,,0
CDM,L_6663258,Tube Feeding Jejunal Nasal,401.58,156.62,,,0
CDM,L_6663264,Stent Pancreatic Greenen Ercp,469.89,183.26,,,0
CDM,L_6663277,Sphincterotome Triple Lumen Er,718.29,280.13,,,0
CDM,L_6663278,Needle Knife Pappillotome,556.83,217.16,,,0
CDM,L_6663286,Snare Endo Mini Disposable,1070.19,417.37,,,0
CDM,L_6663287,Scissors Endo Microline 0.76,1397.25,544.93,,,0
CDM,L_6663294,Tube Feeding Jejunal 12Fr 60Cm,326.02,127.15,,,0
CDM,L_6663295,Tube Feeding Jejunal Pig Tail,670.68,261.57,,,0
CDM,L_6663296,Kit Peg 24Fr Safety Pull,657.22,256.32,,,0
CDM,L_6663297,Stent Biliary Amsterdam,383.98,149.75,,,0
CDM,L_6663298,Stent Solus Db Pigtail W Intr,380.88,148.54,,,0
CDM,L_6663299,Set  Nasal Biliary Drain,351.9,137.24,,,0
CDM,L_6663301,Snare Endoscopic Medium Oval,154.22,60.15,,,0
CDM,L_6663302,No Device W/Dev-Intensive Px,1.03,0.4,,,0
CDM,L_6663309,Needle Endoscopic 19Ga Echotip,695.52,271.25,,,0
CDM,L_6663310,Device Endoscopic 22Ga Us,1964.43,766.13,,,0
CDM,L_6663312,Needle Biopsy 19Ga Flex,2354.62,918.3,,,0
CDM,L_6663314,Hemospray Endoscopic,5796.0,2260.44,,,0
CDM,L_6663315,Sphincter Biliary Prel,1151.96,449.26,,,0
CDM,L_6663316,Sphincter Endo 5.5Fr 25Mm C,673.78,262.77,,,0
CDM,L_6663317,Clevercut3V Dist Wg,819.72,319.69,,,0
CDM,L_6663321,Zimmon Biliary Stent Set 7-4,383.98,149.75,,,0
CDM,L_6663322,Snare Polypectomy Mini,31.05,12.11,,,0
CDM,L_6663325,Cannulatome Cotton 6Fr,605.48,236.14,,,0
CDM,L_6663329,Sphincterotome Jagtome Rx 39X2,2436.39,950.19,,,0
CDM,L_6663330,Cath Balloon Dil Us Cuff,132.48,51.67,,,0
CDM,L_6663334,Anchor Otsc 165Cm,2051.37,800.03,,,0
CDM,L_6663340,Basket Extraction Fusion,1195.42,466.21,,,0
CDM,L_6663342,Organizer Medical Device Mio,43.47,16.95,,,0
CDM,L_6663343,Stent Pancreatic Zimmon,46.58,18.17,,,0
CDM,L_6663344,Binder Abdominal Panel,48.64,18.97,,,0
CDM,L_6663345,Snare Surgical 2.4Mm,61.06,23.81,,,0
CDM,L_6663350,Pleurx Starter Kit Drinage,1369.3,534.03,,,0
CDM,L_6663351,Pleurex Cath Kit Drainage,2938.36,1145.96,,,0
CDM,L_6663358,Clip Mantis Closure,2295.63,895.3,,,0
CDM,L_6663365,Forcep Biopsy Spybite,3653.55,1424.88,,,0
CDM,L_6663367,Catheter Drainage Thoracic,40.36,15.74,,,0
CDM,L_6663369,Cath Access Spyscope Ds,18554.44,7236.23,,,0
CDM,L_6663380,Capsule Gi Pillcam Sb3-Ex,2283.21,890.45,,,0
CDM,L_6663381,Needle Bx Sharkcore,2534.72,988.54,,,0
CDM,L_6663382,Cath Endo Rfa Barrx,10707.08,4175.76,,,0
CDM,L_6663395,Retriver Suture Drill,250.47,97.68,,,0
CDM,L_6663398,Device Infinity Sampling,652.05,254.3,,,0
CDM,L_6663400,Sleeve Compression Knee,45.54,17.76,,,0
CDM,L_6663404,Set Tissuer Otsc System,2486.07,969.57,,,0
CDM,L_6663407,Set Nasal Bill Drain 6Fr 7Fr,421.24,164.28,,,0
CDM,L_6663409,Vale Endobron Zephyr,9780.75,3814.49,,,0
CDM,L_6663414,Cath Pleurx Drain Kit,2938.36,1145.96,,,0
CDM,L_6663422,Grasping Raptor Device,565.11,220.39,,,0
CDM,L_6663423,Dvc Capsule Del (Us Endo),730.71,284.98,,,0
CDM,L_6663425,Stent Viabil Endo,10650.15,4153.56,,,0
CDM,L_6663432,Alphaone Ph Capsules,869.4,339.07,,,0
CDM,L_6663434,Stent Self-Expanding Biliary,4912.11,1915.72,,,0
CDM,L_6663435,Tube Tracheostomy Cuffless,275.31,107.37,,,0
CDM,L_6663436,Ndl Rigid W Huber Point 24Ga,282.56,110.2,,,0
CDM,L_6663437,Noncdm Legacy Charge,604.44,235.73,,,0
CDM,L_6663520,Basket Roth Net,457.47,178.41,,,0
CDM,L_6663522,Catheter Gold Probe Injection,666.54,259.95,,,0
CDM,L_6663539,Catheter Dilation Billiary,233.91,91.22,,,0
CDM,L_6663543,Ink Spot Tattoo,165.6,64.58,,,0
CDM,L_6663544,Balloon Dilator Pyloric,434.7,169.53,,,0
CDM,L_6663548,Device Wire Locking,84.87,33.1,,,0
CDM,L_6663549,G Wire Omni-Tome,745.2,290.63,,,0
CDM,L_6663550,G Wire Ultra Short,418.89,163.37,,,0
CDM,L_6663551,Balloon Extraction,537.16,209.49,,,0
CDM,L_6663552,Catheter Oasis,426.42,166.3,,,0
CDM,L_6663553,Brush Cytology,381.92,148.95,,,0
CDM,L_6663554,Needle Knife,818.68,319.29,,,0
CDM,L_6663555,Balloon Dilator Catheter,1126.08,439.17,,,0
CDM,L_6663556,Catheter Pushing Fusion,925.29,360.86,,,0
CDM,L_6663558,Syringe Dilation,210.1,81.94,,,0
CDM,L_6663561,G Wire Road Runner,505.08,196.98,,,0
CDM,L_6663565,Needle Ultrasound,1022.58,398.81,,,0
CDM,L_6663567,Balloon Achalasia,3227.13,1258.58,,,0
CDM,L_6663568,Tube Gastrostomy Replacement,99.36,38.75,,,0
CDM,L_6663571,Colon Set Decompression,7368.16,2873.58,,,0
CDM,L_6663573,Overtube Endoscopic,935.64,364.9,,,0
CDM,L_6663583,Clip Resolution,1349.12,526.16,,,0
CDM,L_6663589,Overtube Splinting,1222.34,476.71,,,0
CDM,L_6663594,Tube Nasogastric,95.22,37.14,,,0
CDM,L_6663596,Clip Hemostatic Endoscopic,1290.7,503.37,,,0
CDM,L_6663891,Stent Non-Cor Tem W/O Del,229.77,89.61,,,0
CDM,L_6663896,Balloon Dilation Catheter,869.4,339.07,,,0
CDM,L_6663897,Balloon Dilation/Ablation Cath,8642.25,3370.48,,,0
CDM,L_6663902,G Wire,500.26,195.1,,,0
CDM,L_6663905,Balloon Dilation Catheter,1782.27,695.09,,,0
CDM,L_6663907,Needle Procedure Accusnare,92.12,35.93,,,0
CDM,L_6663913,Sphincterotome Endoscopic,1059.84,413.34,,,0
CDM,L_6663915,G Wire Endoscopic,1065.02,415.36,,,0
CDM,L_6663916,G Wire Endoscopic,687.24,268.02,,,0
CDM,L_6663917,Catheter Extractor,652.05,254.3,,,0
CDM,L_6663919,Stent Biliary,424.35,165.5,,,0
CDM,L_6663920,Balloon Dilation Catheter,562.0,219.18,,,0
CDM,L_6663921,Stent Pancreatic,9053.14,3530.72,,,0
CDM,L_6663956,Adapter Side Arm,109.71,42.79,,,0
CDM,L_6663957,Retriever Endoscopic Stent,457.47,178.41,,,0
CDM,L_6663966,Stent Axios 138Cm 20X10Mm,28876.5,11261.84,,,0
CDM,L_6663969,Forcep Bipolar Het,2666.16,1039.8,,,0
CDM,L_6663975,Bravo Capsule Gastro,1337.22,521.52,,,0
CDM,L_6663977,Patency Capsule Pillcam,213.21,83.15,,,0
CDM,L_6663979,Trufreeze Rapid Av Spray Kit,8672.26,3382.18,,,0
CDM,L_6663981,Everlift Submucosal Lift Agt,304.29,118.67,,,0
CDM,L_6663986,Kit Drainage 1 Chamber,140.76,54.9,,,0
CDM,L_6663987,Stent Pancreatic W/ Pigtail,204.93,79.92,,,0
CDM,L_6663988,Cath Delivery System,2173.5,847.66,,,0
CDM,L_6663989,Valve Endobronch,9563.4,3729.73,,,0
CDM,L_6663990,Tube Tracheostomy Uncuffed,191.48,74.68,,,0
CDM,L_6663992,Tube Tracheostomy Cuffed,195.62,76.29,,,0
CDM,L_6663995,Cath Balloon Dilatation Shaft,444.02,173.17,,,0
CDM,L_6663997,Stent Biliary 10Mm X 6Cm 8.5Fr,11302.2,4407.86,,,0
CDM,L_6663999,Endo Grasper,564.24,220.05,,,0
CDM,L_6670075,Shaft Reamer Flexible,14605.92,5696.31,,,0
CDM,L_6670092,Cath/Cvp Kit,240.12,93.65,,,0
CDM,L_6670097,Guidewire/Teflon Coated,90.04,35.12,,,0
CDM,L_6670099,Introducer,318.78,124.32,,,0
CDM,L_6670105,Puncture Spinal Tray,71.42,27.85,,,0
CDM,L_6670139,Stent Ureteral,101.43,39.56,,,0
CDM,L_6670798,Needle Biopsy Gun,153.18,59.74,,,0
CDM,L_6670801,Blade Arth Scope,439.88,171.55,,,0
CDM,L_6670802,Blade Beaver,184.23,71.85,,,0
CDM,L_6670803,Blade Dermatone,183.2,71.45,,,0
CDM,L_6670804,Blade Osteo Stryker,1302.03,507.79,,,0
CDM,L_6670805,Blade Saw,182.16,71.04,,,0
CDM,L_6670806,Blade Saw Sternal,104.54,40.77,,,0
CDM,L_6670815,Blade Rib-Back Carbon Surg Ste,12.41,4.84,,,0
CDM,L_6670817,Blade Protected With Handle,12.42,4.84,,,0
CDM,L_6670846,Catheter Foley,66.24,25.83,,,0
CDM,L_6670847,Catheter Drainage Chest,89.6,34.94,,,0
CDM,L_6670850,Cath/Fogarty/Irrig,167.67,65.39,,,0
CDM,L_6670851,Cath/Fogarty/Occlusion,751.41,293.05,,,0
CDM,L_6670853,Catheter Foley Temp,83.84,32.7,,,0
CDM,L_6670855,Cath/Ureteral,178.02,69.43,,,0
CDM,L_6670856,Cath/Ven/Multi Lumen,544.41,212.32,,,0
CDM,L_6670857,Catheter Cystostomy,235.98,92.03,,,0
CDM,L_6670859,Cath Tray,33.12,12.92,,,0
CDM,L_6670865,Catheter Umbilical Artery,198.72,77.5,,,0
CDM,L_6670877,Clip Hemo,37.07,14.46,,,0
CDM,L_6670888,Tubing Connector,22.77,8.88,,,0
CDM,L_6670897,Cuff Seq Compression (Pair),89.01,34.71,,,0
CDM,L_6670915,Drain Becker External,683.1,266.41,,,0
CDM,L_6670916,Drain Blake Jp T-Tube,99.36,38.75,,,0
CDM,L_6670918,Drain Jp Reservoir,154.22,60.15,,,0
CDM,L_6670934,Dressing Ear Glascock Ambus,82.8,32.29,,,0
CDM,L_6670936,Bit Drill Cutter Diseection,939.78,366.51,,,0
CDM,L_6670937,Burr Drill Intermedullary,821.79,320.5,,,0
CDM,L_6670938,Bit Drill Rt,822.82,320.9,,,0
CDM,L_6670939,Tube Ear,129.38,50.46,,,0
CDM,L_6670953,Electrode Grid 4-Contact Strip,2178.68,849.69,,,0
CDM,L_6670963,Catheter Ercp Endo,457.47,178.41,,,0
CDM,L_6670964,Catheter Ext Endo,1604.25,625.66,,,0
CDM,L_6670971,Snare Oval Endo,80.73,31.48,,,0
CDM,L_6670979,Clip R Angle Multi Endo,527.85,205.86,,,0
CDM,L_6670980,Endo/Disp Inst,273.24,106.56,,,0
CDM,L_6670983,Endo/Linear/Reload/Vasc,747.8,291.64,,,0
CDM,L_6670991,Blade Arth-Micro Ent,1246.14,485.99,,,0
CDM,L_6671009,Catheter Icp,1258.56,490.84,,,0
CDM,L_6671015,Laser Fiber Enostat,1304.1,508.6,,,0
CDM,L_6671045,Graft Vascular Gortex,1934.42,754.42,,,0
CDM,L_6671050,Graft/Goretex/St/12Mm,2443.64,953.02,,,0
CDM,L_6671071,Gu/Guidewire,128.34,50.05,,,0
CDM,L_6671091,Immobilizer Knee,84.87,33.1,,,0
CDM,L_6671102,Tube Gastro Kit,704.84,274.89,,,0
CDM,L_6671109,K-Wire/Steinman Pin,59.0,23.01,,,0
CDM,L_6671110,Tubes Lacrimal,382.95,149.35,,,0
CDM,L_6671158,Needle Huber Bent Blunt,30.02,11.71,,,0
CDM,L_6671161,Needle Eyed St Cr,115.92,45.21,,,0
CDM,L_6671163,Needle Spinal,40.36,15.74,,,0
CDM,L_6671164,Needle Touhy,530.96,207.07,,,0
CDM,L_6671188,Cautery Eye,52.78,20.58,,,0
CDM,L_6671189,Needle Opth,45.54,17.76,,,0
CDM,L_6671190,Protector Corneal,34.16,13.32,,,0
CDM,L_6671196,Orth/Guide/Drill Tip Wires,1189.21,463.79,,,0
CDM,L_6671197,Orth/Guidewire,935.64,364.9,,,0
CDM,L_6671200,Pack Phaco,414.0,161.46,,,0
CDM,L_6671221,Cannula Arterial,134.55,52.47,,,0
CDM,L_6671222,Cannula Retro Cpg Perf,331.2,129.17,,,0
CDM,L_6671254,Picks Vein,66.24,25.83,,,0
CDM,L_6671259,Pin Guide,101.43,39.56,,,0
CDM,L_6671261,Pin Skull Disposable,101.43,39.56,,,0
CDM,L_6671275,Plate 3-6 Hole,1430.37,557.84,,,0
CDM,L_6671277,Plate/8-12 Hole,979.11,381.85,,,0
CDM,L_6671298,Plate/Mandibular/St/Cr,897.34,349.96,,,0
CDM,L_6671332,Punch Aortic,173.88,67.81,,,0
CDM,L_6671345,Rod/Guide/Reamer,459.54,179.22,,,0
CDM,L_6671360,Screw Compression,1173.69,457.74,,,0
CDM,L_6671361,Screw Cortex,160.43,62.57,,,0
CDM,L_6671362,Screw/Cortical,397.44,155.0,,,0
CDM,L_6671368,Screw Femoral,179.06,69.83,,,0
CDM,L_6671374,Screw Locking 4.0-6.5Mm,655.16,255.51,,,0
CDM,L_6671379,Screw/Pedi/Hip,796.95,310.81,,,0
CDM,L_6671388,Screw/Self Tapping,519.57,202.63,,,0
CDM,L_6671408,Valve Vp Shunt Delta,4593.33,1791.4,,,0
CDM,L_6671419,Shunt Csf Ventricular W Res,999.81,389.93,,,0
CDM,L_6671427,"Shunt,Spetzler Lumbar Perit",1819.53,709.62,,,0
CDM,L_6671436,Irrigation System Simpulse,172.84,67.41,,,0
CDM,L_6671448,Stapler Remover,11.38,4.44,,,0
CDM,L_6671455,Stapler Loading Proximate,848.7,330.99,,,0
CDM,L_6671456,Stapler Multifire Gis Endo,865.26,337.45,,,0
CDM,L_6671462,Stapler Skin,91.03,35.5,,,0
CDM,L_6671476,Clip Surgi Auto,298.46,116.4,,,0
CDM,L_6671479,Suture Cv Double Arm Single Pk,79.69,31.08,,,0
CDM,L_6671481,Suture Bone Wax Gen Pk,60.03,23.41,,,0
CDM,L_6671482,Suture Guide,86.94,33.91,,,0
CDM,L_6671484,Suture Micro Pk,157.32,61.35,,,0
CDM,L_6671485,Suture Multi Pk,95.22,37.14,,,0
CDM,L_6671486,Suture Opth Pk,92.12,35.93,,,0
CDM,L_6671487,Suture Ties Pk,37.26,14.53,,,0
CDM,L_6671489,Suture Valve & Pladgets Pk X,853.88,333.01,,,0
CDM,L_6671514,Trocar Disp,520.6,203.03,,,0
CDM,L_6671515,Sleeve Trocar Disp,509.22,198.6,,,0
CDM,L_6671517,"Tube, Tracheostomy Cuffed",183.2,71.45,,,0
CDM,L_6671523,Tubing Irrig/Sux/Endo,302.22,117.87,,,0
CDM,L_6671525,Tunneling Rod,1165.41,454.51,,,0
CDM,L_6671529,Vascular/Cath/Broviac,806.26,314.44,,,0
CDM,L_6671547,Washer,95.22,37.14,,,0
CDM,L_6671553,Wire Passer,203.9,79.52,,,0
CDM,L_6671556,Guidewire Coated,149.04,58.13,,,0
CDM,L_6671564,Synchromed Pump Baclofen,38493.72,15012.55,,,0
CDM,L_6671621,Rod Ortho,1956.15,762.9,,,0
CDM,L_6671755,Opth: Lens: Iol/Ma60Bm,582.71,227.26,,,0
CDM,L_6671799,Transfer Bag Perf,244.26,95.26,,,0
CDM,L_6671805,Dermabond,129.38,50.46,,,0
CDM,L_6671810,General Pk/Suture,51.75,20.18,,,0
CDM,L_6671832,Achilles Tendon  (Pre-Shaped),10412.1,4060.72,,,0
CDM,L_6671870,Shears Harmonic 5Mm,1483.16,578.43,,,0
CDM,L_6671885,Electrode Ball Cutting 24-48Fr,1594.94,622.03,,,0
CDM,L_6671898,Cannula Venous,134.55,52.47,,,0
CDM,L_6671900,Catheter Balloon Dilitation,1076.4,419.8,,,0
CDM,L_6671918,Nail Elastic Titanium 2.5-3.5,1160.23,452.49,,,0
CDM,L_6671962,Endo Sp/Cath/Balloon,543.38,211.92,,,0
CDM,L_6671975,Floseal Matrix Hemostatic Seal,672.75,262.37,,,0
CDM,L_6671999,Immobilizer Snuggle Wrap,103.5,40.36,,,0
CDM,L_6672017,Clamp Hydroclip Soft Jaw Inser,83.84,32.7,,,0
CDM,L_6672051,Suture Buttons Poly,128.34,50.05,,,0
CDM,L_6672055,Suture Chromic Gut 3-0,18.63,7.27,,,0
CDM,L_6672057,Suture Chromic Gut 4-0,20.7,8.07,,,0
CDM,L_6672061,Suture Chromic Gut 5-0,20.7,8.07,,,0
CDM,L_6672063,Suture Chromic Gut Oph 6-0,80.73,31.48,,,0
CDM,L_6672064,Suture Chromic Gut 6-0,21.74,8.48,,,0
CDM,L_6672067,Suture Chromic Gut 7-0,188.37,73.46,,,0
CDM,L_6672068,Suture Ethibond 2-0 Vascular,312.57,121.9,,,0
CDM,L_6672070,Suture Ethibond Ties,27.94,10.9,,,0
CDM,L_6672082,Suture Ethibond 5,74.52,29.06,,,0
CDM,L_6672085,Suture Ethilon Vasc,99.36,38.75,,,0
CDM,L_6672088,Suture Ethilon Blk,12.42,4.84,,,0
CDM,L_6672089,Suture Ethilon 3-0 Blk Mono Fs,12.42,4.84,,,0
CDM,L_6672090,Suture Ethilon 4-0 Blk Mono Fs,12.41,4.84,,,0
CDM,L_6672091,Suture Ethilon 4-0,18.59,7.25,,,0
CDM,L_6672093,Suture Ethilon,18.61,7.26,,,0
CDM,L_6672101,Suture Mersilene,65.2,25.43,,,0
CDM,L_6672102,Suture Monocryl,21.73,8.47,,,0
CDM,L_6672112,Suture Pds Mono,28.98,11.3,,,0
CDM,L_6672115,Suture Pds Mono 5-0,74.52,29.06,,,0
CDM,L_6672117,Suture Pds Vasc,77.62,30.27,,,0
CDM,L_6672126,Suture Prolene,37.26,14.53,,,0
CDM,L_6672138,Suture Prolene Vasc,72.45,28.26,,,0
CDM,L_6672144,Suture Silk Labyrinth,15.52,6.05,,,0
CDM,L_6672148,Suture Silk,95.22,37.14,,,0
CDM,L_6672149,Suture Silk Multi,36.22,14.13,,,0
CDM,L_6672179,Suture Vicryl General,18.63,7.27,,,0
CDM,L_6672194,Suture Vicryl Ties,53.82,20.99,,,0
CDM,L_6672203,Suture Vicryl Opth,159.39,62.16,,,0
CDM,L_6672233,System Metacarpal Internal Fx,2021.36,788.33,,,0
CDM,L_6672247,Catheter Pta Balloon Dilation,817.65,318.88,,,0
CDM,L_6672262,Dextran/Hyalur Acid 1Ml Deflux,13814.14,5387.51,,,0
CDM,L_6672281,Catheter Hemo Split,1170.58,456.53,,,0
CDM,L_6672282,Laser Fiber,2109.33,822.64,,,0
CDM,L_6672306,Valve Biopsy Olympus,18.63,7.27,,,0
CDM,L_6672319,Lens Ma60Ac,686.2,267.62,,,0
CDM,L_6672338,Wand Coblator,1066.05,415.76,,,0
CDM,L_6672343,Reamer Cannulated Head Arthrex,941.85,367.32,,,0
CDM,L_6672345,Wire Suture Passing Arthrex,577.53,225.24,,,0
CDM,L_6672363,Catheter Placement Set 5Fr,134.55,52.47,,,0
CDM,L_6672364,Clip Aneurysm Ti 4.0-6.0,1326.87,517.48,,,0
CDM,L_6672365,Probe Doppler Disposable,1675.66,653.51,,,0
CDM,L_6672369,Catheter Intrathecal,4564.35,1780.1,,,0
CDM,L_6672371,Nerve Locator,337.41,131.59,,,0
CDM,L_6672374,Verastep Dilator & Cannula 5Mm,426.42,166.3,,,0
CDM,L_6672376,Step Auto Suture Step Short,339.48,132.4,,,0
CDM,L_6672377,Auto Suture Insufflation Needl,227.7,88.8,,,0
CDM,L_6672378,Closure Abdominal System,1021.54,398.4,,,0
CDM,L_6672392,Tube G Mic-Key,401.58,156.62,,,0
CDM,L_6672405,Bit Drill Cannulated Ortho,720.36,280.94,,,0
CDM,L_6672418,Plastibell,27.94,10.9,,,0
CDM,L_6672427,Screw Cortex Self Tapping 4.5M,191.48,74.68,,,0
CDM,L_6672428,Screw Cortex Self Tapping 4.5M,103.5,40.36,,,0
CDM,L_6672429,Screw Cortex Self Tapping 4.5M,103.5,40.36,,,0
CDM,L_6672430,Screw Cortex Self Tapping 4.5M,103.5,40.36,,,0
CDM,L_6672440,Pectus Bar,4999.05,1949.63,,,0
CDM,L_6672441,Plate Pectus Bar Stabilizer,1991.34,776.62,,,0
CDM,L_6672447,Guide Wire Cook,67.28,26.24,,,0
CDM,L_6672449,Rocker Boot Cast,315.68,123.12,,,0
CDM,L_6672467,Bit Drill 1.5 Mm,393.3,153.39,,,0
CDM,L_6672469,Burr Carbide Crosscut Fissure,28.98,11.3,,,0
CDM,L_6672477,Bit Drill 2.0-2.5 Mm,623.07,243.0,,,0
CDM,L_6672479,Tube Peg,422.28,164.69,,,0
CDM,L_6672485,Screw Cortex Selftapping 3.5Mm,102.46,39.96,,,0
CDM,L_6672495,Bit Drill,619.96,241.78,,,0
CDM,L_6672504,Screw Cannulated 6.5-7.3,1326.87,517.48,,,0
CDM,L_6672505,Trocar Threaded W/Shielded,90.04,35.12,,,0
CDM,L_6672528,Burr Round Fluted,518.54,202.23,,,0
CDM,L_6672531,Burr Bone,540.27,210.71,,,0
CDM,L_6672538,Dressing Sponge Vacuum Small,159.39,62.16,,,0
CDM,L_6672539,Dressing Sponge Vacuum Medium,201.82,78.71,,,0
CDM,L_6672540,Dressing Sponge Vacuum Large,2700.32,1053.12,,,0
CDM,L_6672549,Catheter Fogerty Embolism,637.56,248.65,,,0
CDM,L_6672557,Tube Trach Cuffed,790.04,308.12,,,0
CDM,L_6672568,Stapler Linear Roticulator End,908.73,354.4,,,0
CDM,L_6672570,Stapler Multifire Endo,787.89,307.28,,,0
CDM,L_6672571,Wire Guide 25,131.79,51.4,,,0
CDM,L_6672584,Sheath Kit Introducer Percutan,263.92,102.93,,,0
CDM,L_6672601,Hooks Stay Surgical Lone Star,376.74,146.93,,,0
CDM,L_6672609,Knife Myringotomy,54.86,21.4,,,0
CDM,L_6672610,Blade With Tubing Debrider Ang,2442.6,952.61,,,0
CDM,L_6672612,Anchor Suture,704.84,274.89,,,0
CDM,L_6672629,Tube Chest Atrium,54.86,21.4,,,0
CDM,L_6672630,Port Vascular Access,1712.92,668.04,,,0
CDM,L_6672631,Blade Angle Tip Serrated 2.9Mm,2121.75,827.48,,,0
CDM,L_6672633,Sheath Flexor Ureteral Access,494.73,192.94,,,0
CDM,L_6672639,Needle Endoscp Deflux,287.73,112.21,,,0
CDM,L_6672646,Screw Cannulated Threaded,735.88,286.99,,,0
CDM,L_6672661,Kidney Transplant Disposible,2008.94,783.49,,,0
CDM,L_6672682,Bit Drill,1577.34,615.16,,,0
CDM,L_6672683,Bit Drill 2.4Mm,2177.64,849.28,,,0
CDM,L_6672692,Bioglue,3470.36,1353.44,,,0
CDM,L_6672695,Craniotomy Chog Disposible,509.22,198.6,,,0
CDM,L_6672696,Extremity Chog Disposible,267.03,104.14,,,0
CDM,L_6672697,Minor Ophthal Chog Disposible,79.69,31.08,,,0
CDM,L_6672698,Ortho Back Chog Disposible,383.98,149.75,,,0
CDM,L_6672700,Ped Heart Chog Disposible,2138.31,833.94,,,0
CDM,L_6672717,Wire Guide Threaded Tip,456.44,178.01,,,0
CDM,L_6672732,Suture Anchor With Handle,1300.99,507.39,,,0
CDM,L_6672736,Tube Chest 10Fr Argyle,127.3,49.65,,,0
CDM,L_6672738,Guidewire,221.49,86.38,,,0
CDM,L_6672741,Suture Fiberwire,139.72,54.49,,,0
CDM,L_6672746,Stent Ureteral Gu,782.46,305.16,,,0
CDM,L_6672747,Set Percutaneous Nephrostomy,734.85,286.59,,,0
CDM,L_6672748,Burr Side Cutting,41.4,16.15,,,0
CDM,L_6672764,Pouch Endo Cath,651.02,253.9,,,0
CDM,L_6672770,Screw Cortex 4.5Mm,103.5,40.36,,,0
CDM,L_6672773,Screw/Pin Schanz,651.02,253.9,,,0
CDM,L_6672780,"Biopsy Instrument, 18Ga",208.04,81.14,,,0
CDM,L_6672786,Bit Drill,1390.0,542.1,,,0
CDM,L_6672799,Blade Insulated Coated,31.05,12.11,,,0
CDM,L_6672815,Burr Round Diamond,529.92,206.67,,,0
CDM,L_6672821,Drill Pilot 1.3-1.6Mm,457.47,178.41,,,0
CDM,L_6672828,Blade Mini Radius Full 2.9Mm,264.96,103.33,,,0
CDM,L_6672838,Screw 2.4Mm,226.66,88.4,,,0
CDM,L_6672850,Bit Drill,457.47,178.41,,,0
CDM,L_6672851,Suture Monofilament 316L Ss,20.7,8.07,,,0
CDM,L_6672853,Suture Tevdek,79.69,31.08,,,0
CDM,L_6672858,Bit Drill Osteomed,600.3,234.12,,,0
CDM,L_6672862,Catheter Foley Silver,66.24,25.83,,,0
CDM,L_6672864,Drain Jackson Prat,123.16,48.03,,,0
CDM,L_6672869,Guidewire,132.48,51.67,,,0
CDM,L_6672884,Wire K Threaded Trocar Point,105.57,41.17,,,0
CDM,L_6672885,Catheter Venticular Shunt,600.3,234.12,,,0
CDM,L_6672888,Catheter Urology,70.38,27.45,,,0
CDM,L_6672889,Tube Trach Cuffed Ped/Neo,786.6,306.77,,,0
CDM,L_6672907,Port Indwelling Vascular,2278.04,888.44,,,0
CDM,L_6672914,Plate Reconstruction,2608.2,1017.2,,,0
CDM,L_6672959,Ped Gen Surgery Disposible,183.2,71.45,,,0
CDM,L_6672968,Suture Goretex Cv,107.64,41.98,,,0
CDM,L_6672969,Cap Wire/Pin,24.84,9.69,,,0
CDM,L_6672975,Suture Chromic Gut 6-0,70.38,27.45,,,0
CDM,L_6672977,Suture Chr Gut 3-0 Ps-2 27In,76.59,29.87,,,0
CDM,L_6672993,Screw Cortex Self Tapping,294.98,115.04,,,0
CDM,L_6672997,Catheter Lumbar Drain,660.33,257.53,,,0
CDM,L_6673003,Glidewire Guidewire,391.23,152.58,,,0
CDM,L_6673007,Screw Cortical 3.5Mm,432.63,168.73,,,0
CDM,L_6673015,Guidewire Bentson,97.29,37.94,,,0
CDM,L_6673017,Screw Cancellous 4.0Mm,130.41,50.86,,,0
CDM,L_6673025,Icp Microsensor Basic,5790.82,2258.42,,,0
CDM,L_6673030,Tap Self Drill,1262.7,492.45,,,0
CDM,L_6673034,Tube Endotracheal Emg,1737.76,677.73,,,0
CDM,L_6673037,Attachment Ext Rod To Clamp,1540.08,600.63,,,0
CDM,L_6673041,Bit Drill 1.5-2.0Mm,577.53,225.24,,,0
CDM,L_6673047,Blade Sinus Tri Cut,878.72,342.7,,,0
CDM,L_6673048,Wound Vac Cannister,141.79,55.3,,,0
CDM,L_6673049,Wire Threaded Guide,176.98,69.02,,,0
CDM,L_6673051,Catheter Broviac Single Lumen,555.79,216.76,,,0
CDM,L_6673055,Tube Myringotomy Vent,66.24,25.83,,,0
CDM,L_6673060,Needle Biopsy System,153.18,59.74,,,0
CDM,L_6673073,Stent Ureteral Pigtail,560.97,218.78,,,0
CDM,L_6673074,Wire Guide,83.84,32.7,,,0
CDM,L_6673075,Needle Percutaneous Entry,86.94,33.91,,,0
CDM,L_6673076,Patch Cardiovascular,2481.93,967.95,,,0
CDM,L_6673078,Suture Anchor W Fiberwire,990.5,386.3,,,0
CDM,L_6673079,Guidewire Tip Threaded,430.56,167.92,,,0
CDM,L_6673080,Bit Drill Long Pilot,619.96,241.78,,,0
CDM,L_6673086,Sheath Ureteral Access,463.68,180.84,,,0
CDM,L_6673087,Stent Ureteral,560.97,218.78,,,0
CDM,L_6673091,Bag Drainage Spinal,160.43,62.57,,,0
CDM,L_6673092,Catheter Drainage Assembly,660.33,257.53,,,0
CDM,L_6673095,Extractor Stone,676.89,263.99,,,0
CDM,L_6673102,Bit Drill Ebi 3.2-4.8,573.39,223.62,,,0
CDM,L_6673107,Screw Cortical 130/30,848.7,330.99,,,0
CDM,L_6673115,Catheter External Ventricular,505.08,196.98,,,0
CDM,L_6673130,Bit Drill J-Latch,819.72,319.69,,,0
CDM,L_6673136,Adhension Barrier Membrane,1562.85,609.51,,,0
CDM,L_6673137,Connector Stainless Steel,1521.45,593.37,,,0
CDM,L_6673154,Catheter Foley Non-Latex,10.35,4.04,,,0
CDM,L_6673160,Infuse Bone Graft Large,28559.79,11138.32,,,0
CDM,L_6673167,Catheter Foley Dover,40.36,15.74,,,0
CDM,L_6673170,Burr Cross Fissure Cut,30.02,11.71,,,0
CDM,L_6673175,Catheter Venous,227.7,88.8,,,0
CDM,L_6673179,Suture Pds 3-0,18.63,7.27,,,0
CDM,L_6673182,Plate Lc-Dcp 3.5Mm,686.2,267.62,,,0
CDM,L_6673195,Bit Drill 200Mm,565.11,220.39,,,0
CDM,L_6673200,Graft Vascular Thin Wall,3065.67,1195.61,,,0
CDM,L_6673205,Graft Vascular Thin Ringed,5614.88,2189.8,,,0
CDM,L_6673215,Sheet Silicone,109.71,42.79,,,0
CDM,L_6673216,Blade Beaver Needle Tip,76.59,29.87,,,0
CDM,L_6673218,Laparoscopic Chog Disposible,149.04,58.13,,,0
CDM,L_6673220,Drill Bit Calibrated,861.12,335.84,,,0
CDM,L_6673227,Screw Coretex 3.5Mm 10-55Mm,157.32,61.35,,,0
CDM,L_6673243,Trocar Port & Cannula,304.29,118.67,,,0
CDM,L_6673253,Plate Cmf 2.4 Straight,1792.62,699.12,,,0
CDM,L_6673259,K-Wire,164.56,64.18,,,0
CDM,L_6673266,Splint Nasal Doyle,260.82,101.72,,,0
CDM,L_6673271,Blade Micro,51.75,20.18,,,0
CDM,L_6673282,Screw Cannulated 4.5Mm,714.15,278.52,,,0
CDM,L_6673283,Screw Cancellous 6.5Mm,157.32,61.35,,,0
CDM,L_6673287,Bit Drill,426.42,166.3,,,0
CDM,L_6673294,Screw Ti Cortex Self Tapping,356.04,138.86,,,0
CDM,L_6673299,Rod Carbon Fiber 11Mm 400-500,887.0,345.93,,,0
CDM,L_6673300,Clamp Open Adjustable 4.0Mm,2748.96,1072.09,,,0
CDM,L_6673303,Screw Tap Resorbable,1264.77,493.26,,,0
CDM,L_6673325,Bit Drill,1804.0,703.56,,,0
CDM,L_6673330,Guidewire,304.29,118.67,,,0
CDM,L_6673338,Pin Steinman,113.85,44.4,,,0
CDM,L_6673347,K-Wire,121.1,47.23,,,0
CDM,L_6673351,Suture Prolene,30.02,11.71,,,0
CDM,L_6673352,Tube Trach Uncuffed Ped/Neo,171.81,67.01,,,0
CDM,L_6673374,Drain Blake Or Jp,103.5,40.36,,,0
CDM,L_6673378,Suture Vicryl Multi,140.76,54.9,,,0
CDM,L_6673388,Delivery Cartridge System,196.65,76.69,,,0
CDM,L_6673389,Catheter Hickman,688.28,268.43,,,0
CDM,L_6673394,Suture Retriever Hewson,608.58,237.35,,,0
CDM,L_6673395,Wire Fiber,96.26,37.54,,,0
CDM,L_6673398,Plate Cover Burr Hole,809.37,315.65,,,0
CDM,L_6673400,Bit Drill,687.24,268.02,,,0
CDM,L_6673420,Drill Countersink,933.57,364.09,,,0
CDM,L_6673455,Bit Drill,630.32,245.82,,,0
CDM,L_6673456,Burr Drill,192.51,75.08,,,0
CDM,L_6673461,Catheter Dialysis Peritoneal,614.79,239.77,,,0
CDM,L_6673470,Screw Schanz Self Drilling,670.68,261.57,,,0
CDM,L_6673472,Transconnector Ti 31.5-83Mm,4347.0,1695.33,,,0
CDM,L_6673473,Rod Titanium,869.4,339.07,,,0
CDM,L_6673475,Plate Lc-Dcp,1184.04,461.78,,,0
CDM,L_6673476,Sealer Bipolar,2803.82,1093.49,,,0
CDM,L_6673485,Wire Guide Hybrid,457.47,178.41,,,0
CDM,L_6673488,Drain Chest Atrium,161.46,62.97,,,0
CDM,L_6673490,Cannula Aortic,73.48,28.66,,,0
CDM,L_6673492,Wire Pacing Temp,148.0,57.72,,,0
CDM,L_6673496,Blade Turbinate,1047.42,408.49,,,0
CDM,L_6673499,Terumo Atf40 Fast Start Kit,666.54,259.95,,,0
CDM,L_6673511,Tube Gastric Low Profile,1461.42,569.95,,,0
CDM,L_6673512,Countersink,1020.51,398.0,,,0
CDM,L_6673516,Rod Spine,1521.45,593.37,,,0
CDM,L_6673521,Catheter Urethral Dilator,850.77,331.8,,,0
CDM,L_6673523,Probe Prass Monopolar Stimula,269.1,104.95,,,0
CDM,L_6673528,Aspiration Assembly,103.5,40.36,,,0
CDM,L_6673532,Screw Cortex Self Tapping,220.46,85.98,,,0
CDM,L_6673535,Wand Colbator Ii Procise,2691.0,1049.49,,,0
CDM,L_6673538,Plate Resorb Strut 2X10,1134.36,442.4,,,0
CDM,L_6673539,Blade Tricut Fusion,1297.89,506.18,,,0
CDM,L_6673540,Screw Cannulated Threaded,1303.06,508.19,,,0
CDM,L_6673541,Screw Locking 5.0Mm,965.66,376.61,,,0
CDM,L_6673542,Plate Lcp,5467.9,2132.48,,,0
CDM,L_6673547,Spatula Bone Mill,1136.43,443.21,,,0
CDM,L_6673550,Suture Custom,105.57,41.17,,,0
CDM,L_6676176,Cobaltor Reflex Ptr,979.11,381.85,,,0
CDM,L_6676182,Pin Ti Self Drilling,841.46,328.17,,,0
CDM,L_6676184,Clamp Wire Fixation,686.2,267.62,,,0
CDM,L_6676185,Screw Ti Machine,351.9,137.24,,,0
CDM,L_6676193,Screw Self Tapping Stryker,241.16,94.05,,,0
CDM,L_6676197,Plate 3-D,569.25,222.01,,,0
CDM,L_6676209,Catheter Permacath Double Lume,772.11,301.12,,,0
CDM,L_6676210,Screw Hex Socket,360.18,140.47,,,0
CDM,L_6676211,Screw Locking,415.04,161.87,,,0
CDM,L_6676212,Screw Non-Locking,196.65,76.69,,,0
CDM,L_6676219,Screw Ti Locking,1071.22,417.78,,,0
CDM,L_6676223,Bit Drill,1059.84,413.34,,,0
CDM,L_6676233,Screw Spinal 3.5Mm,3912.3,1525.8,,,0
CDM,L_6676237,Plate Cmf 1.5Mm,638.6,249.05,,,0
CDM,L_6676240,Guide Wire,458.5,178.82,,,0
CDM,L_6676244,Device Sinus Baloon Inflation,374.67,146.12,,,0
CDM,L_6676251,Screw Locking,558.9,217.97,,,0
CDM,L_6676254,Implant Ossicular Ttp,2052.41,800.44,,,0
CDM,L_6676276,Plate Low Profile,935.64,364.9,,,0
CDM,L_6676284,Plate 4  Hole,1627.02,634.54,,,0
CDM,L_6676285,Plate 7 Hole,2321.5,905.38,,,0
CDM,L_6676298,Electrodes Subdermal,626.17,244.21,,,0
CDM,L_6676323,Screw Set,705.87,275.29,,,0
CDM,L_6676332,Shears Harmonic Cvd,1718.1,670.06,,,0
CDM,L_6676335,Guidewire Marked Spring Tip,444.02,173.17,,,0
CDM,L_6676337,Guide Multiple Wire,3283.02,1280.38,,,0
CDM,L_6676347,Probe Argon Beamer,869.4,339.07,,,0
CDM,L_6676358,Wire K,241.16,94.05,,,0
CDM,L_6676360,Pack Ortho Neurosource,411.93,160.65,,,0
CDM,L_6676361,Vp Shunt Disposibles,313.6,122.3,,,0
CDM,L_6676362,Ecmo Disposibles,172.33,67.21,,,0
CDM,L_6676364,M&T Disposible,57.96,22.6,,,0
CDM,L_6676365,Peds Ex Lap Chog Disposibles,127.3,49.65,,,0
CDM,L_6676374,Perforator Neuro,1052.6,410.51,,,0
CDM,L_6676378,Plate Lcp,1527.66,595.79,,,0
CDM,L_6676382,Vac Therapy System,2587.5,1009.12,,,0
CDM,L_6676388,Tube Exchange,652.05,254.3,,,0
CDM,L_6676390,Guidewire Smooth,1097.1,427.87,,,0
CDM,L_6676391,Screw Cortical Taper,693.45,270.45,,,0
CDM,L_6676395,Screw Polyaxial,2755.17,1074.52,,,0
CDM,L_6676403,Screw Ti,3226.1,1258.18,,,0
CDM,L_6676405,Drill Bit Cannulated,8522.19,3323.65,,,0
CDM,L_6676408,Plate Contour Lock,7182.9,2801.33,,,0
CDM,L_6676412,Sheath Ureteral,461.61,180.03,,,0
CDM,L_6676417,Screw Cortical Locking,738.99,288.21,,,0
CDM,L_6676420,Nail Femoral,11569.23,4512.0,,,0
CDM,L_6676421,Cannulae Arterial Chest,831.1,324.13,,,0
CDM,L_6676423,Plate Lcp Tibial,6299.01,2456.61,,,0
CDM,L_6676437,Reamer Shaft Flexible,2912.49,1135.87,,,0
CDM,L_6676438,Screw Recon 4.5,1071.22,417.78,,,0
CDM,L_6676441,Lead Pacemaker,2414.66,941.72,,,0
CDM,L_6676447,Introducer Sheath,49.68,19.38,,,0
CDM,L_6676449,Ligator Multiband Saeed,695.52,271.25,,,0
CDM,L_6676451,Tracker Fusion Patient,1048.46,408.9,,,0
CDM,L_6676452,Unit Electrosurgical Ligasure,5348.88,2086.06,,,0
CDM,L_6676456,Needle Sclerotherapy,84.87,33.1,,,0
CDM,L_6676458,Screw Cortical Locking,693.45,270.45,,,0
CDM,L_6676459,Screw Cortical Self Tapping,233.91,91.22,,,0
CDM,L_6676460,Cannula Laparoscopic,90.04,35.12,,,0
CDM,L_6676461,Pack Vitrectomy,741.06,289.01,,,0
CDM,L_6676467,Nail Femoral,16301.25,6357.49,,,0
CDM,L_6676471,Implant Injectable Filler,1544.22,602.25,,,0
CDM,L_6676472,Screw Locking,705.87,275.29,,,0
CDM,L_6676473,Plate Ortho,6955.2,2712.53,,,0
CDM,L_6676474,Valve Shunt,3872.97,1510.46,,,0
CDM,L_6676476,Abutment System,14083.24,5492.46,,,0
CDM,L_6676479,Screw Cortical,554.76,216.36,,,0
CDM,L_6676483,Screw Bone,247.36,96.47,,,0
CDM,L_6676486,Lead Neurostimulator,13550.22,5284.59,,,0
CDM,L_6676487,Rod Spinal,1660.14,647.45,,,0
CDM,L_6676488,Wire Fixation,1365.16,532.41,,,0
CDM,L_6676489,Guidewire,493.7,192.54,,,0
CDM,L_6676492,Valve Neuro,17313.48,6752.26,,,0
CDM,L_6676498,Screw Cortical,258.75,100.91,,,0
CDM,L_6676499,Ligasure Small,1863.0,726.57,,,0
CDM,L_6676502,Fiber Laser,979.11,381.85,,,0
CDM,L_6676506,Tip Sonopet,2555.42,996.61,,,0
CDM,L_6676514,Sponge Topical Hemostatic,345.83,134.87,,,0
CDM,L_6676515,Kit Shunt Placement,2469.51,963.11,,,0
CDM,L_6676525,Sonicpins,1124.01,438.36,,,0
CDM,L_6676528,Electrode Depth,2477.79,966.34,,,0
CDM,L_6676529,Screw Emerg,686.2,267.62,,,0
CDM,L_6676530,Screw System 4Mm,1855.76,723.75,,,0
CDM,L_6676533,Screw Ti Cmf,825.93,322.11,,,0
CDM,L_6676534,Screw Ti Locking,1140.57,444.82,,,0
CDM,L_6676536,Bur Hole Cover,2403.27,937.28,,,0
CDM,L_6676539,Valve Shunt Neuro,20497.14,7993.88,,,0
CDM,L_6676540,Generator Neurostimulator,97997.94,38219.2,,,0
CDM,L_6676542,Screw Bone Ti,8936.19,3485.11,,,0
CDM,L_6676543,Screw Titanium,4239.36,1653.35,,,0
CDM,L_6676553,Screw Exp,4239.36,1653.35,,,0
CDM,L_6676554,Cap Locking,686.2,267.62,,,0
CDM,L_6676555,Rod,1956.15,762.9,,,0
CDM,L_6676559,Rod Spinal,869.4,339.07,,,0
CDM,L_6676563,Kit Tumor Resection,2469.51,963.11,,,0
CDM,L_6676569,Plate Double Y,950.13,370.55,,,0
CDM,L_6676572,Expander Cranial Spring Distr,3022.2,1178.66,,,0
CDM,L_6676574,Plate Ortho,7824.6,3051.59,,,0
CDM,L_6676587,Retractor Brain,2699.28,1052.72,,,0
CDM,L_6676597,Graft Cardiovascular,1756.4,685.0,,,0
CDM,L_6676598,Suture Ethibond,282.56,110.2,,,0
CDM,L_6676599,Suture Cardiovascular,251.5,98.08,,,0
CDM,L_6676600,Suture Prolene Cv,627.21,244.61,,,0
CDM,L_6676602,Wax Bone Hemostatic,824.9,321.71,,,0
CDM,L_6676605,Screw Cannulated,1519.38,592.56,,,0
CDM,L_6676627,Shunt Graft,3830.54,1493.91,,,0
CDM,L_6676633,Plate Bone,4464.99,1741.35,,,0
CDM,L_6676636,Suture Passer Revol,608.58,237.35,,,0
CDM,L_6676640,Screw Compression,1022.58,398.81,,,0
CDM,L_6676647,Fiber Laser Visualase,52145.37,20336.69,,,0
CDM,L_6676653,Stent Biliary 7Fr /2.3Mm 12C,217.35,84.77,,,0
CDM,L_6676657,Catheter Drainage Ventricular,1819.53,709.62,,,0
CDM,L_6676658,Catheter Drainage Peritoneal,3052.22,1190.37,,,0
CDM,L_6676663,Pacemaker Azure Xt Dr Mri,4411.17,1720.36,,,0
CDM,L_6676665,Pacemaker Azure Xt Dr Mri,15723.72,6132.25,,,0
CDM,L_6676672,Septal Cardioform Occlud,40914.58,15956.69,,,0
CDM,L_6676673,Suture Ulatratape,6503.94,2536.54,,,0
CDM,L_6676675,Syndesmosis Tightrope Xp,12158.14,4741.67,,,0
CDM,L_6676679,Prelude Sheath Ideal 4Fx X 7Cm,239.0,93.21,,,0
CDM,L_6676682,Implant Cochlear 3Mm,8910.32,3475.02,,,0
CDM,L_6676705,Dilator Vessel,27.94,10.9,,,0
CDM,L_6676707,Curved Blade,1196.46,466.62,,,0
CDM,L_6676708,Stent Biliary 10Mm X 8Cm 8.5Fr,11302.2,4407.86,,,0
CDM,L_6676710,Valve Mitral On-X Carbon,25864.65,10087.21,,,0
CDM,L_6676711,Punch Biopsy Uni-Punch Seamles,110.74,43.19,,,0
CDM,L_6676712,Bur Precision 5.0Mm Round,1614.6,629.69,,,0
CDM,L_6676718,Blue Cap Number 5,263.92,102.93,,,0
CDM,L_6676736,Introducer Peel Away 7Fr,109.71,42.79,,,0
CDM,L_6676737,Ti Flexable Im Nail,2722.05,1061.6,,,0
CDM,L_6676741,Small Grid Mesh Resorb,19858.54,7744.83,,,0
CDM,L_6676743,Suture Anchor/Wire Suture,1912.68,745.95,,,0
CDM,L_6676747,Tenodesis Graft Sizing Kit,1283.4,500.53,,,0
CDM,L_6676759,Rod Pre Contour Cocr,4347.0,1695.33,,,0
CDM,L_6676763,Tibial Nail,5083.92,1982.73,,,0
CDM,L_6676765,Hem-O-Lok Interal Clip,132.48,51.67,,,0
CDM,L_6676767,Tube Trach 6Mm 95Mm Cuffed,357.08,139.26,,,0
CDM,L_6676768,Sec Fixation W/ Swivelock,3152.61,1229.52,,,0
CDM,L_6676770,"Battery, Varispeed",1278.22,498.51,,,0
CDM,L_6676772,Lead Pacing Capsure Epi,1738.8,678.13,,,0
CDM,L_6676780,Iliac Bolt,7868.07,3068.55,,,0
CDM,L_6676781,Cardiac Monitor Lnq22,21062.25,8214.28,,,0
CDM,L_6676784,Lead Bipolar Pacing Temp,272.2,106.16,,,0
CDM,L_6676785,Occluder Duct Ii 4Mm X 10Mm,21027.06,8200.55,,,0
CDM,L_6676788,Drape W/ Fluid Control Pouch,62.1,24.22,,,0
CDM,L_6676789,Novo Pack Cmc Tonsil & Adenoid,51.75,20.18,,,0
CDM,L_6676792,Pack Ent Major For Nova Health,368.46,143.7,,,0
CDM,L_6676795,Suture Tape,500.94,195.37,,,0
CDM,L_6676800,Smartflex Spring,8673.3,3382.59,,,0
CDM,L_6676803,Needle Surgineedle 120Mm,55.89,21.8,,,0
CDM,L_6676805,Pack Gyn Laparoscopy Novo,1403.46,547.35,,,0
CDM,L_6676807,Suture Knotless #2,1825.74,712.04,,,0
CDM,L_6676809,Bolt Adolescent Nail,3326.49,1297.33,,,0
CDM,L_6676821,Bur Drill Bit Transfix 5.0Mm F,399.51,155.81,,,0
CDM,L_6676822,Screwdriver,1335.15,520.71,,,0
CDM,L_6676823,Kit Arthro Tightrope Btb Ar-15,2370.15,924.36,,,0
CDM,L_6676824,Plate Footplate,666.54,259.95,,,0
CDM,L_6676825,Pin Guide,1805.04,703.97,,,0
CDM,L_6676834,Processor Osia Cochlear,17961.39,7004.94,,,0
CDM,L_6676841,Spacer Spinal,7607.25,2966.83,,,0
CDM,L_6676842,Pacemaker Solara Crt-P Mri Sur,10432.8,4068.79,,,0
CDM,L_6676845,Mandible Clear View Model,10249.6,3997.34,,,0
CDM,L_6676848,Frisbee Ha Partial Titanium 1.,1445.9,563.9,,,0
CDM,L_6676850,Hemostat Putty Bone,652.05,254.3,,,0
CDM,L_6676854,Kit Dispsbl Allograft Oats,5216.4,2034.4,,,0
CDM,L_6676856,Processor Nucleus 7,43209.18,16851.58,,,0
CDM,L_6676857,F Cochlear  Profile Nucleus,66028.86,25751.26,,,0
CDM,L_6676860,Sut Passer Accu-Pass,1552.5,605.48,,,0
CDM,L_6676861,Screwdriver Compression,822.82,320.9,,,0
CDM,L_6676864,Plate Burr Hole Curved W/ Tab,1686.02,657.55,,,0
CDM,L_6676865,Kit Surgery Endoscopic Sinus,1517.31,591.75,,,0
CDM,L_6676867,Implant Nail,2722.05,1061.6,,,0
CDM,L_6676872,Stent Catheter Resolute Onyx,3013.92,1175.43,,,0
CDM,L_6676874,Filter Vena Cava,6125.13,2388.8,,,0
CDM,L_6676876,Staple Dynanite,9977.4,3891.19,,,0
CDM,L_6676880,/Oats Harvest Set,2825.55,1101.96,,,0
CDM,L_6676881,Dissector Curved,287.73,112.21,,,0
CDM,L_6676887,Hemospray Endo Hemostat,6369.39,2484.06,,,0
CDM,L_6676888,Valve Programmable Codman,22258.71,8680.9,,,0
CDM,L_6676891,Cannula Biomedicus 10Fr,1291.68,503.76,,,0
CDM,L_6676893,Pin Guide Entry,382.95,149.35,,,0
CDM,L_6676896,Exam Otolaryngologic W/Anes,1653.0,644.67,,,0
CDM,L_6676900,Stent Balloon Biliary,5504.13,2146.61,,,0
CDM,L_6676901,Pump Pain On-Q Del Sys 600 Ml,2104.16,820.62,,,0
CDM,L_6676903,Electrode Defibrillator Quick,109.71,42.79,,,0
CDM,L_6676906,Stent Biliary Ld Intra,4347.0,1695.33,,,0
CDM,L_6676907,Burr Round Ext,995.67,388.31,,,0
CDM,L_6676910,Stent Pancreatic  7Fr X 5Cm,204.93,79.92,,,0
CDM,L_6676918,Set Tubing Urology Bar,694.48,270.85,,,0
CDM,L_6676921,Cath Micro Del Lantern,2825.55,1101.96,,,0
CDM,L_6676923,Coil Ruby Standard 8Mm X 40Cm,5607.63,2186.98,,,0
CDM,L_6676925,Entry Reamer 12.5,4022.01,1568.58,,,0
CDM,L_6676927,Reducer Cannula Endowrist,109.71,42.79,,,0
CDM,L_6676930,Implant Fibertak Bicep,2717.91,1059.98,,,0
CDM,L_6676941,Sys Impl Bulking Agent,4999.05,1949.63,,,0
CDM,L_6676942,Sys Blln Dil Eustachian Tube,7864.96,3067.33,,,0
CDM,L_6676946,System Implant Fdl,6499.8,2534.92,,,0
CDM,L_6676947,Unit Electrosurgical Probe Bi,22604.4,8815.72,,,0
CDM,L_6676951,Cath Exchange System Sheath,3421.71,1334.47,,,0
CDM,L_6676952,Cath Coronary Diagnostic,35.19,13.72,,,0
CDM,L_6676956,Sheathless Access System,335.34,130.78,,,0
CDM,L_6676958,Plate Clavicle Midshaft,3558.33,1387.75,,,0
CDM,L_6676960,Suture Fiberwire,457.47,178.41,,,0
CDM,L_6676962,Snare Endo Single Use,185.26,72.25,,,0
CDM,L_6676963,Fibersnare,457.47,178.41,,,0
CDM,L_6676966,Tip Sonopet 360 X 12Cm Apex Iq,4059.27,1583.12,,,0
CDM,L_6676967,Staple Bone Fixation,6865.16,2677.41,,,0
CDM,L_6676968,No Device W/Dev-Intensive Px,1.03,0.4,,,0
CDM,L_6676969,Filler Cerament Bone Void 18Ml,16482.38,6428.13,,,0
CDM,L_6676971,Cath Angiographic 5Fr X 50Cm,344.66,134.42,,,0
CDM,L_6676972,Implant Anchor Fiberstich,1793.66,699.53,,,0
CDM,L_6676975,Tightrope Anchor Abs,1717.06,669.65,,,0
CDM,L_6676978,Implant Tightrope Syndemosis,5416.16,2112.3,,,0
CDM,L_6676980,Sphincterotome Jagtome Rx 39X2,2436.39,950.19,,,0
CDM,L_6676981,Knotless Ac Repair System,6792.7,2649.15,,,0
CDM,L_6676983,Button Fixation Clavicle,3568.68,1391.79,,,0
CDM,L_6676984,Cath Balloon Dila 11Mmx3Cm,2789.32,1087.83,,,0
CDM,L_6676985,Shaft Reamer 50Cm,1721.2,671.27,,,0
CDM,L_6676986,Pin Drill Guide,543.38,211.92,,,0
CDM,L_6676989,Plate Compression 5 H,3062.56,1194.4,,,0
CDM,L_6676992,Drillbit Cann,4590.23,1790.19,,,0
CDM,L_6676993,Suture Ultratape Blu,290.83,113.42,,,0
CDM,L_6676996,Suture Passer Curved,1334.12,520.31,,,0
CDM,L_6676997,Blade Myringotomy,488.52,190.52,,,0
CDM,L_6677003,Dressing Ear Otopore,358.11,139.66,,,0
CDM,L_6677004,System Transfer Autograft Oats,1883.7,734.64,,,0
CDM,L_6677005,Stent Ureteral Pigtail,215.28,83.96,,,0
CDM,L_6677006,Tightrope Open Abs Ii,1282.36,500.12,,,0
CDM,L_6677007,Kit Percut Knotless Guide Pin,978.08,381.45,,,0
CDM,L_6677009,Processor Sound Ponto,14173.29,5527.58,,,0
CDM,L_6677010,Impl Ear Ponto Abutment,11628.22,4535.01,,,0
CDM,L_6677011,Occluder Asd Cardioform,30371.04,11844.71,,,0
CDM,L_6677012,Screw Spinal Uniplanar,5477.22,2136.12,,,0
CDM,L_6677013,Cap End Humeral,1268.91,494.87,,,0
CDM,L_6677014,Electrode 12 Contact,3038.76,1185.12,,,0
CDM,L_6677015,Electrode 14 Contact,3295.44,1285.22,,,0
CDM,L_6677016,Electrode 16 Contact,4155.52,1620.65,,,0
CDM,L_6677017,Kit Proc Bone Marrow Angel,4260.06,1661.42,,,0
CDM,L_6677018,Dressinig Allevyn Non-Adhesive,195.62,76.29,,,0
CDM,L_6677019,Electrode Eeg 10Mm,2890.76,1127.4,,,0
CDM,L_6677020,Connector Ventricular Drainage,381.92,148.95,,,0
CDM,L_6677021,Needle Meniscal,312.57,121.9,,,0
CDM,L_6677022,Cath Teflon Introducer,819.72,319.69,,,0
CDM,L_6677023,Kit Gastro Jej Mic-Key Sec,1460.38,569.55,,,0
CDM,L_6677024,Countersink Surgical Cann,2130.03,830.71,,,0
CDM,L_6677025,Forceps Specimen Retrieval,1104.34,430.69,,,0
CDM,L_6677026,Wand Ablation For Covac,2361.87,921.13,,,0
CDM,L_6677027,Graft Bone Sm,19482.84,7598.31,,,0
CDM,L_6677028,Guide Pin Screw Set,282.56,110.2,,,0
CDM,L_6677029,Plate Bone Dvr 3 Hole,3898.84,1520.55,,,0
CDM,L_6677030,Device Occluder Cardioform,35432.19,13818.55,,,0
CDM,L_6677031,Cathete Diagnostic Pigtail,35.19,13.72,,,0
CDM,L_6677032,Cath Pact Admira Otw,6781.32,2644.71,,,0
CDM,L_6677033,Stent Palmaz Genesis Trans,7023.51,2739.17,,,0
CDM,L_6677034,Cath True Dilatation,5216.4,2034.4,,,0
CDM,L_6677035,Introd Sheath Dryseal Flex Wl,1995.48,778.24,,,0
CDM,L_6677036,Intro Sheath Dilator,580.64,226.45,,,0
CDM,L_6677037,Cath Angio Guide Soft-Vu,165.6,64.58,,,0
CDM,L_6677038,Guide Cath Launcher,187.34,73.06,,,0
CDM,L_6677039,Spinal Hook,3912.3,1525.8,,,0
CDM,L_6677040,Staple Sys Nitinol,4974.21,1939.94,,,0
CDM,L_6677041,Suture Vicryl Plus,574.42,224.02,,,0
CDM,L_6677042,Cath Angio Balloon Coda,412.96,161.05,,,0
CDM,L_6677043,Plate Tubular Evos,1759.5,686.2,,,0
CDM,L_6677044,Catheter Diagnostic Pigtail,173.88,67.81,,,0
CDM,L_6677045,Plate Smartlock Hmmf,1412.78,550.98,,,0
CDM,L_6677046,Cath Performa Vertebral Angio,51.75,20.18,,,0
CDM,L_6677047,Introducer Transseptal,7389.9,2882.06,,,0
CDM,L_6677048,Cath Intro Kit W Pacing,656.19,255.91,,,0
CDM,L_6677049,Retainer Nostril,904.59,352.79,,,0
CDM,L_6677050,Tap Surgical Screw,2878.34,1122.55,,,0
CDM,L_6677051,Blade Helical Fixation,3472.42,1354.24,,,0
CDM,L_6677052,Plate Femoral Compress 3.5Mm,11347.74,4425.62,,,0
CDM,L_6677053,Cannula Perfusion Arterial (Me,1821.6,710.42,,,0
CDM,L_6677054,Cassette Irrigation Core,267.03,104.14,,,0
CDM,L_6677055,Sleeve Irrigation Disp,282.56,110.2,,,0
CDM,L_6677056,Knot Pusher Cutter,956.34,372.97,,,0
CDM,L_6677057,Fiberstich Implant Curved,2390.85,932.43,,,0
CDM,L_6677058,Sheath Guid R2P Destn Slen 75,1459.35,569.15,,,0
CDM,L_6677059,Implant Cochlear Osi300,32167.8,12545.44,,,0
CDM,L_6677060,Sut Fiberwire 2-0 Ndl Meniscal,312.57,121.9,,,0
CDM,L_6677061,Plate  Lcp Tubular,869.4,339.07,,,0
CDM,L_6677062,Cannulae Arterial Eopa,198.72,77.5,,,0
CDM,L_6677063,Blade Torpedo Shaver,438.84,171.15,,,0
CDM,L_6677064,Prelude Sheath Introducer,36.22,14.13,,,0
CDM,L_6677065,Aortic Annuloplasty (Corcym),28255.5,11019.64,,,0
CDM,L_6677066,Femoral Nail (Depuy Syn),7434.4,2899.42,,,0
CDM,L_6677070,Bur Surgical Bullet Cutting,2134.17,832.33,,,0
CDM,L_6677071,Pledget Haart 100-06Us,1956.15,762.9,,,0
CDM,L_6677072,Smooth Wire 2.0 X 450Mm,1513.17,590.14,,,0
CDM,L_6677073,Guidewire Ball Tip,1578.38,615.57,,,0
CDM,L_6677074,Attachment Bolt Suprapat,5325.08,2076.78,,,0
CDM,L_6677075,Sleeve Soft Suprap,1286.51,501.74,,,0
CDM,L_6677076,K Wire Thd 3.2Mm X 330Mm,1865.07,727.38,,,0
CDM,L_6677077,Adapter Dialysis Titanium,791.78,308.79,,,0
CDM,L_6677078,Cath Peritoneal Merit Flex-Nec,604.44,235.73,,,0
CDM,L_6677079,Cath Insertion Peritoneal Kit,673.78,262.77,,,0
CDM,L_6677080,Plate Bone 6H,3228.16,1258.98,,,0
CDM,L_6677081,Plate Clavicle Superior Medial,2785.18,1086.22,,,0
CDM,L_6677082,Tube Trach Bivona Str Unc,356.04,138.86,,,0
CDM,L_6677083,Guidewire Visiglide Straight,743.13,289.82,,,0
CDM,L_6677084,Cath Balln Extrct Fusion,495.76,193.35,,,0
CDM,L_6677085,Hex Cannulated Driver,2282.18,890.05,,,0
CDM,L_6677086,Connector Transverse Fix,4777.56,1863.25,,,0
CDM,L_6677087,Graft Bone Putty I-Factor 5.0C,11954.25,4662.16,,,0
CDM,L_6677088,Graft Bone Novabone Putty,12171.6,4746.92,,,0
CDM,L_6677089,Plate Orbital 3D Lt Sm,8680.54,3385.41,,,0
CDM,L_6677090,Tube Vent Beveled,96.26,37.54,,,0
CDM,L_6677091,Plate Compresson Ortho,6126.16,2389.2,,,0
CDM,L_6677092,Plate Bone 8 Hole Compr Evos,552.69,215.55,,,0
CDM,L_6677093,Plasma Blade Peak 3Mm,1527.66,595.79,,,0
CDM,L_6677095,Device Stratafix,107.64,41.98,,,0
CDM,L_6677096,Kit Oats Disp,2825.55,1101.96,,,0
CDM,L_6677097,Plate Strut 0.5Mm,10016.73,3906.52,,,0
CDM,L_6677098,Plate Strut 1.4Mm,27190.48,10604.29,,,0
CDM,L_6677099,Screw Self Tapping,8294.49,3234.85,,,0
CDM,L_6677101,Hemostat Collagen Avitene Shee,570.28,222.41,,,0
CDM,L_6677102,Surgifoam Gelatin Powder 1Gm,456.44,178.01,,,0
CDM,L_6677103,Sponge Gelatin Surgifoam,85.9,33.5,,,0
CDM,L_6677104,Distractor Surgical Fast,2604.06,1015.58,,,0
CDM,L_6677105,Cochlear Porcessor Dual Kit,44458.42,17338.78,,,0
CDM,L_6677106,Impl Ear Electrode Mid-Scala,61551.45,24005.07,,,0
CDM,L_6677107,Biocomposite Implant System,3064.64,1195.21,,,0
CDM,L_6677108,Aspiration Eprp System,5346.81,2085.26,,,0
CDM,L_6677109,Wire Guide Pin Ball Tip 900Mm,2420.86,944.14,,,0
CDM,L_6677110,Nail Antegrade Tibia 335Mm,78819.39,30739.56,,,0
CDM,L_6677111,Locking Screws (Bolt) 3.5X30Mm,1278.22,498.51,,,0
CDM,L_6677112,Bone Void Filler (Wedge),2151.76,839.19,,,0
CDM,L_6677113,Quadlink Implant System,9454.72,3687.34,,,0
CDM,L_6677114,Locking Screws (Bolt) 3.5X30Mm,5194.66,2025.92,,,0
CDM,L_6677115,Chisel 2.7Mm (Infant),2738.61,1068.06,,,0
CDM,L_6677116,Plate Va Locking 28Mm,1451.07,565.92,,,0
CDM,L_6677117,Vsp Recon Vspcusts,42201.09,16458.43,,,0
CDM,L_6677118,Quadpro Harvester Ar-2386-10,1847.48,720.52,,,0
CDM,L_6677119,Cath Dilatation Balloon Mustan,608.58,237.35,,,0
CDM,L_6677120,Compression Wire Ext Fixation,156.28,60.95,,,0
CDM,L_6677121,Hemostat Nu-Knit,1247.18,486.4,,,0
CDM,L_6677122,Cath Dil Balloon Hercules 3,162.5,63.38,,,0
CDM,L_6677123,Cath Drainage Flexima Apd Loop,921.15,359.25,,,0
CDM,L_6677124,Tube Trach Uncuff 4.0,339.48,132.4,,,0
CDM,L_6677126,Impl Cochlear Hres Hi Focus,71715.15,27968.91,,,0
CDM,L_6677127,Guidewire Splashwire Stnd,144.9,56.51,,,0
CDM,L_6677128,Cath Introducer Flexor,282.56,110.2,,,0
CDM,L_6677129,Mesh Cmf Preformb 1.7 12X120X6,70015.68,27306.12,,,0
CDM,L_6677131,Intro Shth Flexr Ansel 5Fr 45C,293.94,114.64,,,0
CDM,L_6677132,Intro Shth Prelude Ideal 5Fr,214.24,83.55,,,0
CDM,L_6677133,System Prevena 125 Thrpy Unit,1386.9,540.89,,,0
CDM,L_6677134,Kit Shoulder Q-Fix 1.8Mm,804.2,313.64,,,0
CDM,L_6677135,Drill Double,2604.06,1015.58,,,0
CDM,L_6677136,Ndl Intraoss Kit Bioplasty W/D,3912.3,1525.8,,,0
CDM,L_6677137,Guide Surgical Hip Crosstrac,804.2,313.64,,,0
CDM,L_6677139,Screw Cannulated 2X18Mm,2973.56,1159.69,,,0
CDM,L_6677142,Allograft Allosync Bone,6737.85,2627.76,,,0
CDM,L_6677143,Osteotomy Guide Pin 3.0Mm,138.69,54.09,,,0
CDM,L_6677144,Graft Bone Matrix Bioactive 5C,7607.25,2966.83,,,0
CDM,L_6677145,Bonesync Bioactive Matrix 5Cc,3647.34,1422.46,,,0
CDM,L_6677146,Screw Dartfire Edge D1020000,6941.74,2707.28,,,0
CDM,L_6677147,Plate 8H Clavicle,4781.7,1864.86,,,0
CDM,L_6677148,Catheter Introducer Passive,1825.74,712.04,,,0
CDM,L_6677149,Fibertag Tighrope Ii W/Int,6303.15,2458.23,,,0
CDM,L_6677150,Blade Stripper Tendon 09Mm,760.72,296.68,,,0
CDM,L_6677151,Cath All Purp Nephro Skater 12,377.78,147.33,,,0
CDM,L_6677152,Implant Bone Tendon Pat Btb Re,2803.82,1093.49,,,0
CDM,L_6677153,Catheter Ballon Extractor 6.6F,504.04,196.58,,,0
CDM,L_6677154,Stent Suprastomal Rutter,616.86,240.58,,,0
CDM,L_6677155,Magnetos 5Cc,7824.6,3051.59,,,0
CDM,L_6677156,Nail Trigen Meta-Tan,14297.49,5576.02,,,0
CDM,L_6677157,Cannulated Handle Hex,5629.36,2195.45,,,0
CDM,L_6677158,Tracker Cranialmask,2357.73,919.51,,,0
CDM,L_6677159,Catheter Diag Angio 6Fr (5540),638.6,249.05,,,0
CDM,L_6677160,Anchor Fibertak Double Load,2282.18,890.05,,,0
CDM,L_6677161,Rod Template Mesa,1160.23,452.49,,,0
CDM,L_6677162,Suture Anchor,1564.92,610.32,,,0
CDM,L_6677163,Pin Fixation Bb-Tak Threaded,369.5,144.1,,,0
CDM,L_6677164,Suprapatellar Sleeve,385.02,150.16,,,0
CDM,L_6677165,Trach Bivona Tts Ped Str 3.0,1042.24,406.47,,,0
CDM,L_6677166,Cath Z-Med Ii 26Mmx100Cm,3605.94,1406.32,,,0
CDM,L_6677167,Kit Processor Sound Osia 2,19247.9,7506.68,,,0
CDM,L_6677168,Ndl Surefire Scorpion,608.58,237.35,,,0
CDM,L_6677169,Screw Voyager 4.5X35,6085.8,2373.46,,,0
CDM,L_6677170,Voyager Extender Cap,2073.1,808.51,,,0
CDM,L_6677171,Handpiece Tissue Resection Aut,15540.52,6060.8,,,0
CDM,L_6677172,Nico Fluid System (Nfs),369.5,144.1,,,0
CDM,L_6677173,Hook Wide Blade,1304.1,508.6,,,0
CDM,L_6677176,Sheath Dryseal Flex Intro,3647.34,1422.46,,,0
CDM,L_6677177,System Meniscal Fast-Fix,1666.35,649.88,,,0
CDM,L_6677178,Blade Surgical Tip,630.32,245.82,,,0
CDM,L_6677180,Csf Flow Control Valve,3312.0,1291.68,,,0
CDM,L_6677181,Suture Lasso,1282.36,500.12,,,0
CDM,L_6677182,Suture Tigerlink,369.5,144.1,,,0
CDM,L_6677183,Drill Bit Intertan,4210.38,1642.05,,,0
CDM,L_6677184,Peg Fixation,730.71,284.98,,,0
CDM,L_6677185,Cath Nanocross Ball,782.46,305.16,,,0
CDM,L_6677186,Noncdm Legacy Charge,2125.89,829.1,,,0
CDM,L_6677187,Noncdm Legacy Charge,2825.55,1101.96,,,0
CDM,L_6677188,Noncdm Legacy Charge,9106.96,3551.71,,,0
CDM,L_6677189,Noncdm Legacy Charge,10845.76,4229.85,,,0
CDM,L_6677190,Noncdm Legacy Charge,1760.54,686.61,,,0
CDM,L_6677191,Noncdm Legacy Charge,1195.42,466.21,,,0
CDM,L_6677192,Noncdm Legacy Charge,105.57,41.17,,,0
CDM,L_6677193,Noncdm Legacy Charge,560.97,218.78,,,0
CDM,L_6677194,Noncdm Legacy Charge,11736.9,4577.39,,,0
CDM,L_6677195,Noncdm Legacy Charge,80.73,31.48,,,0
CDM,L_6677196,Noncdm Legacy Charge,1956.15,762.9,,,0
CDM,L_6677198,Noncdm Legacy Charge,1908.54,744.33,,,0
CDM,L_6700321,Tracheo-Esophageal Voice Prost,657.22,256.32,,,0
CDM,L_6700322,Gel Cap App Device For Trach,22.77,8.88,,,0
CDM,L_6802130,Acne Surgery,227.0,88.53,,,0
CDM,L_6802365,"Graft, Ft Nose/Ear/Lid/Lip Up",5261.0,2051.79,,,0
CDM,L_6802707,Liquid Nitrogen,27.94,10.9,,,0
CDM,L_6802901,Ultraviolet Goggles,37.26,14.53,,,0
CDM,L_6803120,Electroretinography W/Interp &,1008.0,393.12,,,0
CDM,L_6803230,Probe Lacrimal Canaliculi,696.0,271.44,,,0
CDM,L_6803669,Kontur 55 Sphere 16D,167.67,65.39,,,0
CDM,L_6804473,Debride Musc/Fascia= <20 Sq Cm,401.0,156.39,,,0
CDM,L_6804645,Tube Gastrostomy Mic-Key Lp Ki,387.15,150.99,,,0
CDM,L_6805776,Smok/Tob Cessation Counsel Int,112.0,43.68,,,0
CDM,L_6806160,Cl Visit New Pt Level 5,616.0,240.24,,,0
CDM,L_6806228,Inhalation Treatment,484.0,188.76,,,0
CDM,L_6807587,Lead Neurostimulator Test Kit,297.04,115.85,,,0
CDM,L_6808076,Urethral Meatotomy Infant,10546.0,4112.94,,,0
CDM,L_6808087,"Destroy Lsn, Penis, Surgical E",6728.0,2623.92,,,0
CDM,L_6808457,"Catheter, Suprapubic",234.94,91.63,,,0
CDM,L_6808464,Lysis Penile Post-Circ Adhesi,6470.0,2523.3,,,0
CDM,L_6808530,Lead Neurostim Interstim Sures,695.52,271.25,,,0
CDM,L_6808534,Rpr Lac Int Scalp/Axil 2.6-7.5,1500.0,585.0,,,0
CDM,L_6808535,Noncdm Legacy Charge,247.36,96.47,,,0
CDM,L_6808536,Noncdm Legacy Charge,2433.0,948.87,,,0
CDM,L_6810209,Visual Acuity Screen Bilat,74.0,28.86,,,0
CDM,L_6810210,"Screening Test, Pure Tone, Air",180.0,70.2,,,0
CDM,L_6813085,Removal Sutr/Stapl W/O Anes,230.0,89.7,,,0
CDM,L_6813258,"Shave Sngl Lesion, Face/Ears 0",420.0,163.8,,,0
CDM,L_6813259,"Shave Sngl Lesion, Face/Ears 1",520.0,202.8,,,0
CDM,L_6813982,Forehead Flapw/Vascular Pedicl,10587.0,4128.93,,,0
CDM,L_6814235,Exc Bengn Lsn Sclp/Nck/Hd/Ft/G,2380.0,928.2,,,0
CDM,L_6814236,Exc Bengn Lsn Sclp/Nck/Hd/Ft/G,2542.0,991.38,,,0
CDM,L_6814261,Incise And Remove Fb Subq Simp,1140.0,444.6,,,0
CDM,L_6814373,Shave Sgl Lsn Sclp/Nck/Hd/Ft/G,400.0,156.0,,,0
CDM,L_6814479,2Xc Tumor Sof Tis Arm/Elbow Sc,3778.0,1473.42,,,0
CDM,L_6814480,Exc Tum Sof Tis Forearm<3Cm,4880.0,1903.2,,,0
CDM,L_6814509,Exc Tum Soft Tis Back/Flank Sq,10312.0,4021.68,,,0
CDM,L_6814548,App Skin Sub Addl 25 Cm T/A/L,1448.0,564.72,,,0
CDM,L_6814554,"Exc Tumor Arm/Elbow,Sc3+Cm",6756.0,2634.84,,,0
CDM,L_6814573,Aspiration Cyst Of Breast,1559.0,608.01,,,0
CDM,L_6814626,App Skn Grft T/A/L 1St25Sqcm<,5616.0,2190.24,,,0
CDM,L_6814631,Exc B9 Lsn H/F/N/Sp/G Ovr 4Cm,8553.0,3335.67,,,0
CDM,L_6814678,Neg Press Wound Tx Disposabl N,1215.0,473.85,,,0
CDM,L_6814684,Removal Sutr/Stapl W/O Anes,230.0,89.7,,,0
CDM,L_6814693,Exc Tumr Abd Tiss Wall Subq <3,5020.0,1957.8,,,0
CDM,L_6814694,Trnsf Tiss Eye/Ear/Lp <10Cm,6293.0,2454.27,,,0
CDM,L_6814695,Noncdm Legacy Charge,4808.0,1875.12,,,0
CDM,L_6817102,"Pare/Cut Benign Hyperkrtc, Sng",279.0,108.81,,,0
CDM,L_6817106,Debride Nail By Any Method 6+,267.0,104.13,,,0
CDM,L_6819712,"I&D Complex, Postop Wound Infe",6089.0,2374.71,,,0
CDM,L_6819783,Paperella Type 1 Tube,134.55,52.47,,,0
CDM,L_6819784,Touma T-Type 1.14 Mm,95.22,37.14,,,0
CDM,L_6819789,Chemodenerv Muscle Larynx Unil,2024.0,789.36,,,0
CDM,L_6819790,Biopsy Thyroid Needle Perc,2324.0,906.36,,,0
CDM,L_6821114,Cl Visit Estab Level 5,497.0,193.83,,,0
CDM,L_6821650,Assmt Care Pln Pt Cog Imp,254.0,99.06,,,0
CDM,L_6832113,Cl Visit Estab Level 4,431.0,168.09,,,0
CDM,L_6832632,Pneumococcal Vaccine Admin,102.0,39.78,,,0
CDM,L_6844271,Frenotomy Incision Of Labial F,1946.0,758.94,,,0
CDM,L_6844799,Cath Suprapubic/Cystoscopic,173.88,67.81,,,0
CDM,L_6844800,Tube Gastrostomy Mic-Key Lp Ki,391.23,152.58,,,0
CDM,L_6844802,Irrigate Implanted Venous Acce,273.0,106.47,,,0
CDM,L_6844826,Debr Mastoid Cavity Cplx,1662.0,648.18,,,0
CDM,L_6865007,Research Inf Space Fee Per Hr,60.0,23.4,,,0
CDM,L_6870022,Inj Trigger Point 1-2  Muscles,1824.0,711.36,,,0
CDM,L_6870032,Smartpill,3740.49,1458.79,,,0
CDM,L_6871118,Tube Gastrostomy Mic-Key Lp Ki,391.23,152.58,,,0
CDM,L_6871153,Marker Radiographic Sitzmarks,559.93,218.37,,,0
CDM,L_6911062,"Cmplx Lac 1.1-2.5Cm Sclp,Arm,L",1892.0,737.88,,,0
CDM,L_6911108,Clsd Tx Navicular Fx W/O Manip,923.0,359.97,,,0
CDM,L_6911162,Clsd Tx Tmt Jnt Disl W/0 Anest,947.0,369.33,,,0
CDM,L_6911169,"Remov/Bivalving A,L Cast",674.0,262.86,,,0
CDM,L_6911179,Transtrach Tracheostomy,3452.0,1346.28,,,0
CDM,L_6911221,Delivery Of Placenta,5210.0,2031.9,,,0
CDM,L_6911258,"Cmplx Lac N,E,E,L Add 5Cm Or <",968.0,377.52,,,0
CDM,L_6911259,Init Tx Burn 1 Dg Local Tx Onl,182.0,70.98,,,0
CDM,L_6911264,Explore Penetr Wound Abs Back,5530.0,2156.7,,,0
CDM,L_6911287,Clsd Tx Carpl S Caphoid Fx W/M,5159.0,2012.01,,,0
CDM,L_6911302,Clsd Tx Fem Fx Distal End Wo M,742.0,289.38,,,0
CDM,L_6911304,Tx Tibial Plateau Fx Wo Manip,807.0,314.73,,,0
CDM,L_6911476,Er Replace Gastrostomy Tube W/,926.0,361.14,,,0
CDM,L_6911500,Tube Gastrostomy Mic-Key Lp Ki,391.23,152.58,,,0
CDM,L_6911538,Er Excision Lesion Benign Scal,2380.0,928.2,,,0
CDM,L_6911552,Er Tx Fx Humeral Epicondylar O,42461.0,16559.79,,,0
CDM,L_6911555,Er Excision Bone Phalanx Dista,4668.0,1820.52,,,0
CDM,L_6911567,Er Amputate Toe Metatarsophala,9687.0,3777.93,,,0
CDM,L_6911579,Er Casting/Strapping Unlisted,476.0,185.64,,,0
CDM,L_6911613,Er Episiotomy Vaginal Repair B,9202.0,3588.78,,,0
CDM,L_6911615,Er Inject Epidural Blood/Clot,2127.0,829.53,,,0
CDM,L_6911616,Er Nervous System Unlisted Pro,1114.0,434.46,,,0
CDM,L_6950090,Debride Sq Tissue 20 Sq Cm/<,2433.0,948.87,,,0
CDM,L_6950115,Exc Lesn Mal Face/Ear <0.5 Cm,3390.0,1322.1,,,0
CDM,L_6950414,Biopsy Tangential Skin Ea Addl,514.0,200.46,,,0
CDM,L_6952130,Destroy Vaginal Lesion(S),4373.0,1705.47,,,0
CDM,L_6952447,Abdominal Paracentesis W/Imagi,2014.0,785.46,,,0
CDM,L_6952462,I&D Wound Post Op Complex,6089.0,2374.71,,,0
CDM,L_6960144,Cannula Femoral,2980.8,1162.51,,,0
CDM,L_6960148,Cannual Avalon Bi-Caval,15335.6,5980.88,,,0
CDM,L_6960158,Connector Perf 3/8X3/8X3/8 Y,37.26,14.53,,,0
CDM,L_6960178,Set Ext Y W/Luer Lock & Backch,1426.23,556.23,,,0
CDM,L_6960220,Kit Insertion,1102.28,429.89,,,0
CDM,L_6960221,Hemoconcentrator Bundle,3269.56,1275.13,,,0
CDM,L_6965230,Cl Visit New Pt Level 5,616.0,240.24,,,0
CDM,L_6969034,Rem Tunneled Cvad W Port/Pump,3760.0,1466.4,,,0
CDM,L_6969037,Instill Agent Renal Pelvis/Ure,962.0,375.18,,,0
CDM,L_6969040,Catheterization Foley Simple,347.0,135.33,,,0
CDM,L_6969043,Bladder Instill Of Anticarceno,1278.0,498.42,,,0
CDM,L_6969055,Lumbar Puncture,2378.0,927.42,,,0
CDM,L_6969058,Transfus Blood/Comp,1984.0,773.76,,,0
CDM,L_6969062,Declot Vasc Device Thombolytic,1376.0,536.64,,,0
CDM,L_6969063,Immunization Admin,102.0,39.78,,,0
CDM,L_6969064,Immunization Admin Ea Addtl,52.0,20.28,,,0
CDM,L_6969065,Pneumococcal Vaccine Admin,102.0,39.78,,,0
CDM,L_6969066,Hepatitis B Vacc Admin,102.0,39.78,,,0
CDM,L_6969067,Influenza Vaccine Admin,102.0,39.78,,,0
CDM,L_6969080,Blood Derived T Lymphcyte Admi,1083.0,422.37,,,0
CDM,L_6969082,Bone Marrow Biopsy & Aspiratio,6711.0,2617.29,,,0
CDM,L_6969083,Aspiration Bone Marrow Diag,5007.0,1952.73,,,0
CDM,L_6969087,Covid Vaccine Admin,151.42,59.05,,,0
CDM,L_6969088,Scalp Cooling 1St Measure & Ca,4063.0,1584.57,,,0
CDM,L_6969089,Scalp Cool Plmt Mntr Rmvl Sep,2032.0,792.48,,,0
CDM,L_6977004,Basic Metabolic Panel,210.0,81.9,,,0
CDM,L_6977005,Comprehensive Metabolic Panel,270.0,105.3,,,0
CDM,L_6977006,Urine Pregnancy Visual,201.0,78.39,,,0
CDM,L_6977008,Glucose Blood,94.0,36.66,,,0
CDM,L_6977010,Blood Count Cbc Auto W/Auto Di,167.0,65.13,,,0
CDM,L_6977011,Blood Count Cbc Auto W/O Diff,122.0,47.58,,,0
CDM,L_6977017,Direct Bilirubin,94.0,36.66,,,0
CDM,L_6977018,Hepatic Function Panel,236.0,92.04,,,0
CDM,L_6977022,Platelet Count Automated,40.0,15.6,,,0
CDM,L_6977023,U/A Only,72.0,28.08,,,0
CDM,L_9700013,Direct Refer Hospital Observ,1944.0,758.16,,,0
CDM,L_9700025,Iv Inf Hydrat Init 31Min-1Hr,744.0,290.16,,,0
CDM,L_9700026,Iv Hydrat Ea Addtl Hr,284.0,110.76,,,0
CDM,L_9700027,Iv Inf Initial Up To 1Hr,748.0,291.72,,,0
CDM,L_9700028,Iv Inf Ea Addl Hour,272.99,106.47,,,0
CDM,L_9700029,Iv Inf Sequential Up To 1 Hr,310.0,120.9,,,0
CDM,L_9700030,Iv Inf Concurrent,362.0,141.18,,,0
CDM,L_9700031,Injection Subq Or Im,310.99,121.29,,,0
CDM,L_9700032,"Injection, Iv Push, Initial",682.58,266.21,,,0
CDM,L_9700033,Inj Iv Push Seq New Drug,492.0,191.88,,,0
CDM,L_9700034,Inj Iv Push Sq Same Drug,422.98,164.96,,,0
CDM,L_9700035,Influenza Vaccine Administrati,102.0,39.78,,,0
CDM,L_9700036,Pneumococcal Vaccine Administr,102.0,39.78,,,0
CDM,L_9700037,Immunization Administration In,102.0,39.78,,,0
CDM,L_9700038,Immunization Admin Each Addtl,52.0,20.28,,,0
CDM,L_9700058,Tb Skin Test,65.0,25.35,,,0
CDM,L_9700070,Emergency Dialysis Esrd Pt,2379.0,927.81,,,0
CDM,L_9800001,Daily Service/Private Room,2325.0,906.75,,,0
CDM,MUSE50150,Hc Ekg Signal Averaging,2087.0,813.93,,,0
CDM,MUSE50152,Hc Electrocardiogram 12Lead Tracing Only,784.0,305.76,,,0
CDM,MUSE50154,Hc Electrocardiogram Tracing W/Wo Magnet,784.0,305.76,,,0
CDM,MUSE50172,Hc Rhythm Strip Ecg 1-3 Leads Tracing,304.0,118.56,,,0
CDM,NDC00000005100_A9502_343,NDC Description Not Available,157.98,61.61,,,0
CDM,NDC00000005100_A9505_343,NDC Description Not Available,123.0,47.97,,,0
CDM,NDC00000005101,Noncdm Charge Record Radiopharmaceuticals - Hc Tc 99M Sestamibi Dx Study Dose,253.0,98.67,,,0
CDM,NDC00000005102,Noncdm Charge Record Radiopharmaceuticals - Hc Tc 99M Medronate Dx Study Dose (Mdp),104.95,40.93,,,0
CDM,NDC00000005106,Noncdm Charge Record Radiopharmaceuticals - Hc Tc 99M Pertechnetate Dx Per Mci,220.44,85.97,,,0
CDM,NDC00000005107,Noncdm Charge Record Radiopharmaceuticals - Hc I-123 Sodium Iodide Dx Per 100 To 999 Uci,123.0,47.97,,,0
CDM,NDC00000005108,Noncdm Charge Record Radiopharmaceuticals - Hc I-131 Sodium Iodide Capsule(S) Thx Per Mci,993.89,387.62,,,0
CDM,NDC00000005109,Noncdm Charge Record Radiopharmaceuticals - Hc Tc 99M Exametazime Dx Study Dose To 25 Mci,3033.7,1183.14,,,0
CDM,NDC00000005110,Noncdm Charge Record Radiopharmaceuticals - Hc Tc 99M Mebrofenin Dx Per Dose To 15 Mci,184.92,72.12,,,0
CDM,NDC00000005111,Noncdm Charge Record Radiopharmaceuticals - Hc Tc 99M Pentetate Injection Dx Study Dose To 25 Mci (D,164.56,64.18,,,0
CDM,NDC00000005112,Noncdm Charge Record Radiopharmaceuticals - Hc Tc 99M Albumin Mag Dx Study Dose To 10 Mci (Maa),321.62,125.43,,,0
CDM,NDC00000005113,Noncdm Charge Record Radiopharmaceuticals - Hc Tc 99M Filtered Sulfur Colloid Dx Study Dose To 20 Mc,263.0,102.57,,,0
CDM,NDC00000005114_A9502_343,NDC Description Not Available,158.0,61.62,,,0
CDM,NDC00000005114_A9541_343,NDC Description Not Available,276.0,107.64,,,0
CDM,NDC00000005118,Noncdm Charge Record Radiopharmaceuticals - Hc In-111 Pentetate Dx Per 0.5 Mci (Dtpa),1137.0,443.43,,,0
CDM,NDC00000005121,Noncdm Charge Record Radiopharmaceuticals - Hc Tc 99M Labeled Red Blood Cells Per Study Dose To 30 M,393.79,153.58,,,0
CDM,NDC00000005122,Noncdm Charge Record Radiopharmaceuticals - Hc Tc 99M Mertiatide Dx Study Dose To 15 Mci (Mag3),929.0,362.31,,,0
CDM,NDC00000005123,Noncdm Charge Record Radiopharmaceuticals - Hc In-111 Pentetreotide Study Dose To 6.6 Mci,10756.0,4194.84,,,0
CDM,NDC00000005124,Noncdm Charge Record Radiopharmaceuticals - Hc I-123 Iobenguane-Adreview Dx Study Dose To 15 Mci,8779.0,3423.81,,,0
CDM,NDC00000005125,Noncdm Charge Record Radiopharmaceuticals - Hc I-123 Ioflupane Dx Study Dose To 5.5 Mci,6841.0,2667.99,,,0
CDM,NDC00000005130,Noncdm Charge Record Medical Supplies - Hc Y-90 Sir-Spheres Brachy,82827.95,32302.9,,,0
CDM,NDC00000005131,Noncdm Charge Record Radiopharmaceuticals - Hc Pet Rb-82 Rubidium Per Dose,1162.0,453.18,,,0
CDM,NDC00000005401,Noncdm Charge Record Radiopharmaceuticals - Hc In-111 Oxyquinoline Auto Wbc Study Dose,9706.0,3785.34,,,0
CDM,NDC00000005402,Noncdm Charge Record Radiopharmaceuticals - F-18 Fluorodeoxyglucose Fdg Dx Study Dose To 45 Mci,579.78,226.11,,,0
CDM,NDC00000005403,Noncdm Charge Record Radiopharmaceuticals - Hc Tc 99M Tilmanocept Dx Up To 0.5 Mci (Lymphoseek),2277.55,888.24,,,0
CDM,NDC00000005405,Noncdm Charge Record Radiopharmaceuticals - Hc I-131 Sodium Iodide Cap Dx Per Mci,1177.5,459.22,,,0
CDM,NDC00000005406,Noncdm Charge Record Radiopharmaceuticals - Hc Tc 99M Pentetate Aerosol Dx Study Dose (Dtpa),315.49,123.04,,,0
CDM,NDC00000005407,Noncdm Charge Record Radiopharmaceuticals - Hc Tc 99M Exametazime Auto Wbc Study Dose,3185.0,1242.15,,,0
CDM,NDC00000005408,Noncdm Charge Record Radiopharmaceuticals - Hc Ra 223 Dichloride Xofigo Thx Per Uci,13943.0,5437.77,,,0
CDM,NDC00000005409,Noncdm Charge Record Radiopharmaceuticals - Hc Tc 99M Sulfur Colloid Dx Study Dose To 20 Mci (Not Or,276.0,107.64,,,0
CDM,NDC00000005519,Noncdm Charge Record Radiopharmaceuticals - Hc Tc 99M Pyrophosphate Dx Study Dose To 29 Mci,329.0,128.31,,,0
CDM,NDC00000005636,Noncdm Charge Record Radiopharmaceuticals - Hc Ga-68 Gallium Dotatate Dx Per 0.1 Mci,13248.38,5166.87,,,0
CDM,NDC00000005905,Noncdm Charge Record Radiopharmaceuticals - Hc F-18 Flortaucipir Dx Per Mci,1514.0,590.46,,,0
CDM,NDC00000005955_272,Noncdm Charge Record Medical Supplies - Water For Irrigation Sterile Solution,40.0,15.6,,,0
CDM,NDC00002120001,Noncdm Charge Record Radiopharmaceuticals - Amyvid 10 Mci (370 Mbq) Intravenous Solution,2719.83,1060.73,,,0
CDM,NDC00116106108,Noncdm Charge Record Medical Supplies - Dyna-Hex 4 % Topical Liquid,80.73,31.48,,,0
CDM,NDC00234057504,Noncdm Charge Record Medical Supplies - Hibiclens 4 % Topical Liquid,30.02,11.71,,,0
CDM,NDC00234057508,Noncdm Charge Record Medical Supplies - Hibiclens 4 % Topical Liquid,41.4,16.15,,,0
CDM,NDC00264210100_272,Noncdm Charge Record Medical Supplies - Water For Irrigation Sterile Solution,41.38,16.14,,,0
CDM,NDC00264210110_272,Noncdm Charge Record Medical Supplies - Water For Irrigation Sterile Solution,29.09,11.35,,,0
CDM,NDC00264210110_A4649_272,Sterile Water: 16 Container In 1 Case (0264-2101-10)  / 500 Ml In 1 Container,34.16,13.32,,,0
CDM,NDC00264220100_272,Noncdm Charge Record Medical Supplies - Sodium Chloride 0.9 % Irrigation Solution,31.87,12.43,,,0
CDM,NDC00264220100_A4649_272,Sodium Chloride: 16 Container In 1 Case (0264-2201-00)  / 1000 Ml In 1 Container,31.72,12.37,,,0
CDM,NDC00264220100_A9999_272,Sodium Chloride: 16 Container In 1 Case (0264-2201-00)  / 1000 Ml In 1 Container,34.16,13.32,,,0
CDM,NDC00264220110_272,Noncdm Charge Record Medical Supplies - Sodium Chloride 0.9 % Irrigation Solution,31.02,12.1,,,0
CDM,NDC00264220110_A4649_272,Sodium Chloride: 16 Container In 1 Case (0264-2201-10)  / 500 Ml In 1 Container,29.71,11.59,,,0
CDM,NDC00264220150,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,NDC00264220170,Noncdm Charge Record Medical Supplies,54.89,21.41,,,0
CDM,NDC00264738660_272,Noncdm Charge Record Medical Supplies - Water For Irrigation Sterile Solution,126.84,49.47,,,0
CDM,NDC00264738660_A4649_272,Sterile Water: 4 Container In 1 Case (0264-7386-60)  / 3000 Ml In 1 Container,130.41,50.86,,,0
CDM,NDC00264738860_272,Noncdm Charge Record Medical Supplies - Sodium Chloride 0.9% 3000 Ml Irrigation Solution,119.63,46.66,,,0
CDM,NDC00264738860_A4649_272,Sodium Chloride For Irrigation: 4 Container In 1 Case (0264-7388-60)  / 3000 Ml In 1 Container,111.38,43.44,,,0
CDM,NDC00264738860_A9999_272,Sodium Chloride For Irrigation: 4 Container In 1 Case (0264-7388-60)  / 3000 Ml In 1 Container,130.41,50.86,,,0
CDM,NDC00264785000,Noncdm Charge Record Medical Supplies - Water For Injection Sterile Intravenous Solution,55.83,21.77,,,0
CDM,NDC00264785020_272,Noncdm Charge Record Medical Supplies - Water For Injection Sterile Intravenous Solution,132.0,51.48,,,0
CDM,NDC00338000347,Noncdm Charge Record Medical Supplies - Water For Irrigation Sterile Solution,109.02,42.52,,,0
CDM,NDC00338000403,Noncdm Charge Record Medical Supplies - Water For Irrigation Sterile Solution,31.54,12.3,,,0
CDM,NDC00338000404_272,Noncdm Charge Record Medical Supplies - Water For Irrigation Sterile Solution,33.54,13.08,,,0
CDM,NDC00338000404_A4649_272,"Sterile Water: 12 Bottle, Plastic In 1 Carton (0338-0004-04)  / 1000 Ml In 1 Bottle, Plastic",29.83,11.63,,,0
CDM,NDC00338000404_A9999_272,"Sterile Water: 12 Bottle, Plastic In 1 Carton (0338-0004-04)  / 1000 Ml In 1 Bottle, Plastic",34.16,13.32,,,0
CDM,NDC00338001304,Noncdm Charge Record Medical Supplies - Water For Injection Sterile Intravenous Solution,65.2,25.43,,,0
CDM,NDC00338001308,Noncdm Charge Record Medical Supplies - Water For Injection Sterile Intravenous Solution,86.94,33.91,,,0
CDM,NDC00338004727,Noncdm Charge Record Medical Supplies - Sodium Chloride 0.9% 3000 Ml Irrigation Solution,87.51,34.13,,,0
CDM,NDC00338004744,Noncdm Charge Record Medical Supplies - Sodium Chloride 0.9 % Irrigation Solution,57.96,22.6,,,0
CDM,NDC00338004802_272,Noncdm Charge Record Medical Supplies - Sodium Chloride 0.9 % Irrigation Solution,31.04,12.11,,,0
CDM,NDC00338004803_272,Noncdm Charge Record Medical Supplies - Sodium Chloride 0.9 % Irrigation Solution,31.96,12.46,,,0
CDM,NDC00338004803_A4649_272,"Sodium Chloride: 18 Bottle, Plastic In 1 Carton (0338-0048-03)  / 500 Ml In 1 Bottle, Plastic",31.83,12.41,,,0
CDM,NDC00338004804_272,Noncdm Charge Record Medical Supplies - Sodium Chloride 0.9 % Irrigation Solution,33.98,13.25,,,0
CDM,NDC00338004804_A4649_272,"Sodium Chloride: 12 Bottle, Plastic In 1 Carton (0338-0048-04)  / 1000 Ml In 1 Bottle, Plastic",34.39,13.41,,,0
CDM,NDC00338004804_A9999_272,"Sodium Chloride: 12 Bottle, Plastic In 1 Carton (0338-0048-04)  / 1000 Ml In 1 Bottle, Plastic",30.27,11.81,,,0
CDM,NDC00338004805_272,Noncdm Charge Record Medical Supplies,54.52,21.26,,,0
CDM,NDC00338004805_A4649_272,"9 BOTTLE, PLASTIC in 1 CARTON (0338-0048-05)  / 1500 mL in 1 BOTTLE, PLASTIC",53.71,20.95,,,0
CDM,NDC00338005047,Noncdm Charge Record Medical Supplies - Sodium Chloride 0.9 % Irrigation Solution,152.44,59.45,,,0
CDM,NDC00409196612_A4216_272,"Bacteriostatic Sodium Chloride: 25 Vial, Multi-Dose In 1 Tray (0409-1966-12)  / 10 Ml In 1 Vial, Multi-Dose (0409-1966-06)",18.11,7.06,,,0
CDM,NDC00409613803_272,Noncdm Charge Record Medical Supplies,40.25,15.7,,,0
CDM,NDC00409613803_A9999_272,"Sodium Chloride: 24 BOTTLE, PLASTIC in 1 CASE (0409-6138-03)  / 500 mL in 1 BOTTLE, PLASTIC",40.36,15.74,,,0
CDM,NDC00409713909_272,Noncdm Charge Record Medical Supplies,35.87,13.99,,,0
CDM,NDC00409713909_A4649_272,"Sterile Water: 12 BOTTLE, PLASTIC in 1 CASE (0409-7139-09)  / 1000 mL in 1 BOTTLE, PLASTIC",35.61,13.89,,,0
CDM,NDC00409713909_A9999_272,"Sterile Water: 12 BOTTLE, PLASTIC in 1 CASE (0409-7139-09)  / 1000 mL in 1 BOTTLE, PLASTIC",36.22,14.13,,,0
CDM,NDC00409797208_272,Noncdm Charge Record Medical Supplies - Sodium Chloride 0.9% 3000 Ml Irrigation Solution,64.56,25.18,,,0
CDM,NDC00409797208_A4649_272,Sodium Chloride: 4 POUCH in 1 CASE (0409-7972-08)  / 1 BAG in 1 POUCH / 3000 mL in 1 BAG,61.73,24.07,,,0
CDM,NDC00409797208_A9999_272,Sodium Chloride: 4 POUCH in 1 CASE (0409-7972-08)  / 1 BAG in 1 POUCH / 3000 mL in 1 BAG,61.84,24.12,,,0
CDM,NDC00409797307_272,Noncdm Charge Record Medical Supplies,71.79,28.0,,,0
CDM,NDC00409797307_A4649_272,Sterile Water: 6 POUCH in 1 CASE (0409-7973-07)  / 1 BAG in 1 POUCH / 2000 mL in 1 BAG,72.45,28.26,,,0
CDM,NDC00409797308,Noncdm Charge Record Medical Supplies,86.43,33.71,,,0
CDM,NDC00409799009,Noncdm Charge Record Medical Supplies,38.24,14.91,,,0
CDM,NDC00990613803_272,Noncdm Charge Record Medical Supplies - Sodium Chloride 0.9 % Irrigation Solution,40.14,15.65,,,0
CDM,NDC00990613803_A4649_272,"Sodium Chloride: 24 Bottle, Plastic In 1 Case (0990-6138-03)  / 500 Ml In 1 Bottle, Plastic",40.23,15.69,,,0
CDM,NDC00990613822_272,Noncdm Charge Record Medical Supplies - Sodium Chloride 0.9 % Irrigation Solution,38.92,15.18,,,0
CDM,NDC00990613903_272,Noncdm Charge Record Medical Supplies - Water For Irrigation Sterile Solution,40.37,15.74,,,0
CDM,NDC00990613903_A4649_272,"Sterile Water: 24 Bottle, Plastic In 1 Case (0990-6139-03)  / 500 Ml In 1 Bottle, Plastic",40.36,15.74,,,0
CDM,NDC00990613903_A9999_272,"Sterile Water: 24 Bottle, Plastic In 1 Case (0990-6139-03)  / 500 Ml In 1 Bottle, Plastic",40.36,15.74,,,0
CDM,NDC00990613922,Noncdm Charge Record Medical Supplies - Water For Irrigation Sterile Solution,35.19,13.72,,,0
CDM,NDC00990711807,Noncdm Charge Record Medical Supplies - Water For Injection Sterile Intravenous Solution,55.89,21.8,,,0
CDM,NDC00990713809_272,Noncdm Charge Record Medical Supplies - Sodium Chloride 0.9 % Irrigation Solution,35.15,13.71,,,0
CDM,NDC00990713809_A4217_272,"Sodium Chloride: 12 Bottle, Plastic In 1 Case (0990-7138-09)  / 1000 Ml In 1 Bottle, Plastic",31.2,12.17,,,0
CDM,NDC00990713809_A4649_272,"Sodium Chloride: 12 Bottle, Plastic In 1 Case (0990-7138-09)  / 1000 Ml In 1 Bottle, Plastic",34.67,13.52,,,0
CDM,NDC00990713809_A9999_272,"Sodium Chloride: 12 Bottle, Plastic In 1 Case (0990-7138-09)  / 1000 Ml In 1 Bottle, Plastic",35.81,13.97,,,0
CDM,NDC00990713909_272,Noncdm Charge Record Medical Supplies - Water For Irrigation Sterile Solution,36.79,14.35,,,0
CDM,NDC00990713909_A4649_272,"Sterile Water: 12 Bottle, Plastic In 1 Case (0990-7139-09)  / 1000 Ml In 1 Bottle, Plastic",36.22,14.13,,,0
CDM,NDC00990713909_A9999_272,"Sterile Water: 12 Bottle, Plastic In 1 Case (0990-7139-09)  / 1000 Ml In 1 Bottle, Plastic",36.22,14.13,,,0
CDM,NDC00990797205_272,Noncdm Charge Record Medical Supplies - Sodium Chloride 0.9 % Irrigation Solution,29.69,11.58,,,0
CDM,NDC00990797205_A4649_272,Sodium Chloride: 12 Bag In 1 Case (0990-7972-05)  / 1000 Ml In 1 Bag,31.33,12.22,,,0
CDM,NDC00990797205_A9999_272,Sodium Chloride: 12 Bag In 1 Case (0990-7972-05)  / 1000 Ml In 1 Bag,50.72,19.78,,,0
CDM,NDC00990797208_272,Noncdm Charge Record Medical Supplies - Sodium Chloride 0.9% 3000 Ml Irrigation Solution,65.47,25.53,,,0
CDM,NDC00990797208_A4649_272,Sodium Chloride: 4 Pouch In 1 Case (0990-7972-08)  / 1 Bag In 1 Pouch / 3000 Ml In 1 Bag,64.8,25.27,,,0
CDM,NDC00990797307_272,Noncdm Charge Record Medical Supplies - Water For Irrigation Sterile Solution,36.22,14.13,,,0
CDM,NDC00990797307_A4649_272,Sterile Water: 6 Pouch In 1 Case (0990-7973-07)  / 1 Bag In 1 Pouch / 2000 Ml In 1 Bag,36.22,14.13,,,0
CDM,NDC00990797308_272,Noncdm Charge Record Medical Supplies - Water For Irrigation Sterile Solution,87.14,33.98,,,0
CDM,NDC00990797308_A4649_272,Sterile Water: 4 Pouch In 1 Case (0990-7973-08)  / 1 Bag In 1 Pouch / 3000 Ml In 1 Bag,86.94,33.91,,,0
CDM,NDC00990799009_272,Noncdm Charge Record Medical Supplies - Water For Injection Sterile Intravenous Solution,94.44,36.83,,,0
CDM,NDC00990799009_A4649_272,Sterile Water: 12 Pouch In 1 Case (0990-7990-09)  / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,55.89,21.8,,,0
CDM,NDC08290306499,Noncdm Charge Record Medical Supplies - Bd Posiflush Normal Saline 0.9 % Injection Syringe,20.7,8.07,,,0
CDM,NDC08290306500_272,Noncdm Charge Record Medical Supplies,15.15,5.91,,,0
CDM,NDC08290306500_A4649_272,NDC Description Not Available,20.7,8.07,,,0
CDM,NDC08290306507,Noncdm Charge Record Medical Supplies,4.76,1.86,,,0
CDM,NDC08290306518,Noncdm Charge Record Medical Supplies - Sodium Chloride (Sterile) 0.9 % Injection Syringe,15.32,5.97,,,0
CDM,NDC08290306544_272,Noncdm Charge Record Medical Supplies - Bd Posiflush Normal Saline 0.9 % Injection Syringe,20.7,8.07,,,0
CDM,NDC08290306544_A4649_272,NDC Description Not Available,8.55,3.33,,,0
CDM,NDC08290306546_272,Noncdm Charge Record Medical Supplies - Bd Posiflush Normal Saline 0.9 % Injection Syringe,20.37,7.94,,,0
CDM,NDC08290306546_A4216_272,NDC Description Not Available,20.7,8.07,,,0
CDM,NDC08290306546_A4649_272,NDC Description Not Available,18.08,7.05,,,0
CDM,NDC08290306546_A9999_272,NDC Description Not Available,20.18,7.87,,,0
CDM,NDC08290306547_272,Noncdm Charge Record Medical Supplies - Normal Saline Flush 0.9 % Injection Syringe,19.25,7.51,,,0
CDM,NDC08290306547_A4216_272,NDC Description Not Available,19.29,7.52,,,0
CDM,NDC08290306547_A4649_272,NDC Description Not Available,18.42,7.18,,,0
CDM,NDC08290306547_A9999_272,NDC Description Not Available,18.05,7.04,,,0
CDM,NDC08290306547_J7050_272,NDC Description Not Available,13.46,5.25,,,0
CDM,NDC08290306553_272,Noncdm Charge Record Medical Supplies - Sodium Chloride (Sterile) 0.9 % Injection Syringe,19.74,7.7,,,0
CDM,NDC08290306553_A4649_272,NDC Description Not Available,20.7,8.07,,,0
CDM,NDC08290306553_A9999_272,NDC Description Not Available,20.7,8.07,,,0
CDM,NDC08290306553_J7050_272,NDC Description Not Available,20.7,8.07,,,0
CDM,NDC08881570300_272,Noncdm Charge Record Medical Supplies - Monoject Prefill Advanced 0.9 % Sodium Chloride Injection Sy,5.96,2.32,,,0
CDM,NDC08881570300_A4649_272,NDC Description Not Available,6.9,2.69,,,0
CDM,NDC08881579121_272,Noncdm Charge Record Medical Supplies - Monoject 0.9% Sodium Chloride Injection Syringe,18.72,7.3,,,0
CDM,NDC08881579121_A4649_272,NDC Description Not Available,20.58,8.03,,,0
CDM,NDC08881579123_272,Noncdm Charge Record Medical Supplies - Monoject 0.9% Sodium Chloride Injection Syringe,6.9,2.69,,,0
CDM,NDC08881579123_A4649_272,NDC Description Not Available,6.9,2.69,,,0
CDM,NDC08881579300,Noncdm Charge Record Medical Supplies - Monoject 0.9% Sodium Chloride Injection Syringe,18.99,7.41,,,0
CDM,NDC10565000104,Noncdm Charge Record Medical Supplies - Hydrogen Peroxide 3 % Solution,5.18,2.02,,,0
CDM,NDC21599034562,Noncdm Charge Record Medical Supplies - Hydrogen Peroxide 3 % Solution,5.18,2.02,,,0
CDM,NDC24275052501,Noncdm Charge Record Radiopharmaceuticals - Gallium Ga-68 Gozetotide 18.5 Mbq To 185 Mbq-Ml (0.5-5 M,3454.22,1347.15,,,0
CDM,NDC32551093835,Noncdm Charge Record Medical Supplies - Hibiclens 4 % Topical Liquid,30.02,11.71,,,0
CDM,NDC37205087134,Noncdm Charge Record Medical Supplies,11.38,4.44,,,0
CDM,NDC46122033443_270,Noncdm Charge Record Medical Supplies - Hydrogen Peroxide 3 % Solution,24.02,9.37,,,0
CDM,NDC46122033443_A4649_270,Gnp Hydrogen Peroxide 3 Percent: 473 Ml In 1 Bottle (46122-334-43),25.88,10.09,,,0
CDM,NDC49348017938,Noncdm Charge Record Medical Supplies - Hydrogen Peroxide 3 % Solution,71.42,27.85,,,0
CDM,NDC50004072500,Noncdm Charge Record Medical Supplies - Deflux 50 Mg-15 Mg-Ml (1) Syringe,22250.2,8677.58,,,0
CDM,NDC5042100878,Noncdm Charge Record Medical Supplies - Water For Irrigation Sterile Solution,40.18,15.67,,,0
CDM,NDC5042100882,Noncdm Charge Record Medical Supplies - Sodium Chloride 0.9 % Irrigation Solution,33.23,12.96,,,0
CDM,NDC5042100883_272,Noncdm Charge Record Medical Supplies - Sodium Chloride 0.9 % Irrigation Solution,40.26,15.7,,,0
CDM,NDC5042100883_A4649_272,NDC Description Not Available,40.36,15.74,,,0
CDM,NDC5042100884_272,Noncdm Charge Record Medical Supplies - Sodium Chloride 0.9 % Irrigation Solution,69.43,27.08,,,0
CDM,NDC5042100884_A4649_272,NDC Description Not Available,64.91,25.31,,,0
CDM,NDC5042100884_A9999_272,NDC Description Not Available,40.36,15.74,,,0
CDM,NDC50804087134,Noncdm Charge Record Medical Supplies - Hydrogen Peroxide 3 % Solution,9.73,3.79,,,0
CDM,NDC50914773104,Noncdm Charge Record Radiopharmaceuticals - Megatope 0.5 Mci-Ml To 1 Mci-Ml Intravenous Solution,7616.34,2970.37,,,0
CDM,NDC52380001301,Noncdm Charge Record Medical Supplies - Hydrogen Peroxide 3 % Solution,3.01,1.17,,,0
CDM,NDC59809000500,Noncdm Charge Record Medical Supplies - Aquastat Sfr 0.9% Sodium Chloride Injection Syringe,28.79,11.23,,,0
CDM,NDC59857000322_Q4103_278,NDC Description Not Available,69.97,27.29,,,0
CDM,NDC63517045026,Noncdm Charge Record Medical Supplies - Hydrogen Peroxide 3 % Solution,5.18,2.02,,,0
CDM,NDC63807001117_272,Noncdm Charge Record Medical Supplies - Clearshield 0.9% Sodium Chloride Flush Injection Syringe,34.15,13.32,,,0
CDM,NDC63807001117_A4216_272,NDC Description Not Available,34.16,13.32,,,0
CDM,NDC63807001117_A4649_272,NDC Description Not Available,34.16,13.32,,,0
CDM,NDC63807001117_A9999_272,NDC Description Not Available,34.16,13.32,,,0
CDM,NDC63807010003,Noncdm Charge Record Medical Supplies,6.64,2.59,,,0
CDM,NDC63807010033_272,Noncdm Charge Record Medical Supplies - Sodium Chloride 0.9 % (Flush) Injection Syringe,28.04,10.94,,,0
CDM,NDC63807010035,Noncdm Charge Record Medical Supplies - Sodium Chloride 0.9 % (Flush) Injection Syringe,9.44,3.68,,,0
CDM,NDC63807010051_272,Noncdm Charge Record Medical Supplies - Sodium Chloride 0.9 % (Flush) Injection Syringe,29.52,11.51,,,0
CDM,NDC63807010051_A4649_272,NDC Description Not Available,29.51,11.51,,,0
CDM,NDC64253011130_272,Noncdm Charge Record Medical Supplies - Normal Saline Flush 0.9 % Injection Syringe,31.77,12.39,,,0
CDM,NDC64253011130_A4649_272,NDC Description Not Available,31.25,12.19,,,0
CDM,NDC64253011130_A9999_272,NDC Description Not Available,32.38,12.63,,,0
CDM,NDC67618020004_270,Noncdm Charge Record Medical Supplies - Betasept Surgical Scrub 4 % Topical Liquid,49.66,19.37,,,0
CDM,NDC67618020004_A4649_270,Betasept: 118 Ml In 1 Bottle (67618-200-04),51.55,20.1,,,0
CDM,NDC69932000101,Noncdm Charge Record Radiopharmaceuticals - Axumin 10 Mci (370 Mbq) Intravenous Solution,1374.3,535.98,,,0
CDM,NDC71258002201,Noncdm Charge Record Radiopharmaceuticals -,2163.26,843.67,,,0
CDM,NDC74725010064,Noncdm Charge Record Radiopharmaceuticals - Illuccix 25 Mcg Intravenous Solution,3577.61,1395.27,,,0
CDM,NDC84521000026,Noncdm Charge Record Medical Supplies - Monoject 0.9% Sodium Chloride Injection Syringe,19.58,7.64,,,0
CDM,SUP10001,Noncdm Charge Record Medical Supplies - Anchor Suture 3Mmx12.2Mm Sut -Tak Two #2Fiberwire Arthrex,1574.24,613.95,,,0
CDM,SUP100016_270,Noncdm Charge Record Medical Supplies - Bag Drain 1000Ml Leg Lg Strp Pvc,21.74,8.48,,,0
CDM,SUP100016_A4649_270,Noncdm Charge Record Medical Supplies - Bag Drain 1000Ml Leg Lg Strp Pvc,21.74,8.48,,,0
CDM,SUP100016_A9999_270,Noncdm Charge Record Medical Supplies - Bag Drain 1000Ml Leg Lg Strp Pvc,21.74,8.48,,,0
CDM,SUP100039,Noncdm Charge Record Medical Supplies - Gw Gt Shapeable 0.018Inch 180Cm 25 Cm Taper,876.64,341.89,,,0
CDM,SUP100040,Noncdm Charge Record Medical Supplies - Gw Gt 45 Degree Angle 0.018Inch 180 Cm 25Cm Taper,855.59,333.68,,,0
CDM,SUP100041,Noncdm Charge Record Medical Supplies - Gw Gt 90 Degree Angle 0.018Inch 180 Cm 25 Cm Taper,842.38,328.53,,,0
CDM,SUP100042,Noncdm Charge Record Medical Supplies - Gw Gt Dbl Angle 0.018Inch 180Cm 25 Cm Taper,861.83,336.11,,,0
CDM,SUP100085,Noncdm Charge Record Medical Supplies - Catheter Quick-Cross Extreme 0.018X 15,905.62,353.19,,,0
CDM,SUP1001,Noncdm Charge Record Medical Supplies - Packing Iodoform 5Ydx2In Covidien,16.56,6.46,,,0
CDM,SUP100102,Noncdm Charge Record Medical Supplies,769.0,299.91,,,0
CDM,SUP100217_272,Noncdm Charge Record Medical Supplies - Pack Fluent Disposable,1244.56,485.38,,,0
CDM,SUP100217_A4649_272,Noncdm Charge Record Medical Supplies - Pack Fluent Disposable,1257.53,490.44,,,0
CDM,SUP100217_A9999_272,Noncdm Charge Record Medical Supplies - Pack Fluent Disposable,1224.4,477.52,,,0
CDM,SUP10025,Noncdm Charge Record Medical Supplies - Stem Fem 160Mm 18Mm Prft,6355.94,2478.82,,,0
CDM,SUP10031,Noncdm Charge Record Medical Supplies - Insert Artic 3-4 15Mm Uhmw,10633.59,4147.1,,,0
CDM,SUP10032,Noncdm Charge Record Medical Supplies - Baseplate Tib Legion 4Rt Knee,13364.96,5212.33,,,0
CDM,SUP100324,Noncdm Charge Record Medical Supplies - See 155825 Bronchoscope 3.8Mm Disp Ascope 4 Slim,1273.05,496.49,,,0
CDM,SUP10035,Noncdm Charge Record Medical Supplies - Needle Surg Ferg Disp,34.16,13.32,,,0
CDM,SUP10037,Noncdm Charge Record Medical Supplies - Stent Ddnl 27Mm 10Fr 9Cm,14439.28,5631.32,,,0
CDM,SUP10038_272,Noncdm Charge Record Medical Supplies - Hemostat Surgicel 2Inx4In Snow Ethicon,429.72,167.59,,,0
CDM,SUP10038_A4649_272,Noncdm Charge Record Medical Supplies - Hemostat Surgicel 2Inx4In Snow Ethicon,431.6,168.32,,,0
CDM,SUP10038_A9999_272,Noncdm Charge Record Medical Supplies - Hemostat Surgicel 2Inx4In Snow Ethicon,416.07,162.27,,,0
CDM,SUP100411,Noncdm Charge Record Medical Supplies - Catheter Lumen 10Fr Dual,251.82,98.21,,,0
CDM,SUP100440_272,Noncdm Charge Record Medical Supplies - Dressing Foam 4X4In Adh Sq Pad Sz 2X2In,9.07,3.54,,,0
CDM,SUP100440_A4649_272,Noncdm Charge Record Medical Supplies - Dressing Foam 4X4In Adh Sq Pad Sz 2X2In,9.32,3.63,,,0
CDM,SUP100441,Noncdm Charge Record Medical Supplies - See 126214 Dressing Wound Foam 9.85X1In Silicone Allevyn Lf,34.56,13.48,,,0
CDM,SUP100464,Noncdm Charge Record Medical Supplies - Wallflex Fully Covered 10X40,15343.88,5984.11,,,0
CDM,SUP100465,Noncdm Charge Record Medical Supplies - Wallflex Fully Covered 10X60,15343.88,5984.11,,,0
CDM,SUP100466,Noncdm Charge Record Medical Supplies - Wallstent Fully Covered 10X80,15343.88,5984.11,,,0
CDM,SUP10047,Noncdm Charge Record Medical Supplies - Anchor Suture 5.5Mmx14.7Mm Three#2 Fiberwire Arthrex,1611.5,628.48,,,0
CDM,SUP10048,Noncdm Charge Record Medical Supplies - Anchor Suture 5.5Mmx14Mm Corkscrew Arthrex,1530.76,597.0,,,0
CDM,SUP10049_272,Noncdm Charge Record Medical Supplies - Suture Fiberlink 2 Cls Loop Arthrex,269.1,104.95,,,0
CDM,SUP1005,Noncdm Charge Record Medical Supplies - Anchor Suture 2Cp - Quickanchor 2 G2 Green Depuy Mitek,2822.44,1100.75,,,0
CDM,SUP10051,Noncdm Charge Record Medical Supplies,1696.07,661.47,,,0
CDM,SUP10054,Noncdm Charge Record Medical Supplies - Kit Gastro 18Fr Sil Low Prof,191.48,74.68,,,0
CDM,SUP100563,Noncdm Charge Record Medical Supplies - Bizact Opensealer Div12Mm-12Cm,1624.95,633.73,,,0
CDM,SUP10060,Noncdm Charge Record Medical Supplies - Stent Colon 25Mm 10Fr 12Cm,14439.28,5631.32,,,0
CDM,SUP100622,Noncdm Charge Record Medical Supplies - Introducer Guiding Transseptal Braided Sl1 81Cm,1296.86,505.78,,,0
CDM,SUP100659,Noncdm Charge Record Medical Supplies - Set Hls Advanced 7.0,47668.58,18590.75,,,0
CDM,SUP100675,Noncdm Charge Record Medical Supplies - Kit Aspiria Repair,81.76,31.89,,,0
CDM,SUP1007,Noncdm Charge Record Medical Supplies - See 120175 Packing Plain 5Ydx0.25In Covidien,7.24,2.82,,,0
CDM,SUP100732,Noncdm Charge Record Medical Supplies - Implant Lvad Kit Heartmate 3Tm,482982.75,188363.27,,,0
CDM,SUP100733,Noncdm Charge Record Medical Supplies - Controller Lvad Heartmate 3Tm Includes Ebb,24250.05,9457.52,,,0
CDM,SUP10074,Noncdm Charge Record Medical Supplies - Wire Asahi Fielder Xt 190 Cm,638.11,248.86,,,0
CDM,SUP10078,Noncdm Charge Record Medical Supplies - Sponge Surg 2X.5In Neuro Ryn,17.62,6.87,,,0
CDM,SUP1008,Noncdm Charge Record Medical Supplies - Bit Drill 11Mm,489.56,190.93,,,0
CDM,SUP100827,Noncdm Charge Record Medical Supplies - Stapler 60 2.5 White Reload Sureform,1182.24,461.07,,,0
CDM,SUP100828_272,Noncdm Charge Record Medical Supplies - Stapler 60 3.5 Blue Reload Sureform,1182.28,461.09,,,0
CDM,SUP100828_A4649_272,Noncdm Charge Record Medical Supplies - Stapler 60 3.5 Blue Reload Sureform,1182.41,461.14,,,0
CDM,SUP100829,Noncdm Charge Record Medical Supplies - Stapler 60 4.3 Green Reload Sureform,1182.22,461.07,,,0
CDM,SUP100830,Noncdm Charge Record Medical Supplies - Stapler 60 Black Reload Sureform,1182.34,461.11,,,0
CDM,SUP100831_272,Noncdm Charge Record Medical Supplies - Stapler Spu 400 Reload Sureform,2453.96,957.04,,,0
CDM,SUP100831_A4649_272,Noncdm Charge Record Medical Supplies - Stapler Spu 400 Reload Sureform,2453.98,957.05,,,0
CDM,SUP100832_272,Noncdm Charge Record Medical Supplies - Cannula Radio 22 X 100 Rf,90.6,35.33,,,0
CDM,SUP100832_A4649_272,Noncdm Charge Record Medical Supplies - Cannula Radio 22 X 100 Rf,90.56,35.32,,,0
CDM,SUP100832_A9999_272,Noncdm Charge Record Medical Supplies - Cannula Radio 22 X 100 Rf,90.56,35.32,,,0
CDM,SUP100850,Noncdm Charge Record Medical Supplies - Guidewire Dreamwire 0.35 Stiff Wire Straight,1134.13,442.31,,,0
CDM,SUP100871_C1762_278,Noncdm Charge Record Medical Supplies - Implant Graft 5X5Cm Grafix Human Tissue,13050.32,5089.62,,,0
CDM,SUP100871_Q4133_278,Noncdm Charge Record Medical Supplies - Implant Graft 5X5Cm Grafix Human Tissue,13050.32,5089.62,,,0
CDM,SUP100872_C1762_278,Noncdm Charge Record Medical Supplies - Implant Allograft Plcnt 2X4Cm Stravix Human Tissue,8265.51,3223.55,,,0
CDM,SUP100872_Q4133_278,Noncdm Charge Record Medical Supplies - Implant Allograft Plcnt 2X4Cm Stravix Human Tissue,2551.08,994.92,,,0
CDM,SUP100873_Q4133_278,Noncdm Charge Record Medical Supplies - Implant Allograft Plcnt 3X6Cm Stravix Human Tissue,4115.9,1605.2,,,0
CDM,SUP100894,Noncdm Charge Record Medical Supplies - Minibore Bi-Fuse Pressure 2 Iv,11.38,4.44,,,0
CDM,SUP100919,Noncdm Charge Record Medical Supplies - Stapler Reload Endo 45Mm Med,1477.98,576.41,,,0
CDM,SUP100972_272,Noncdm Charge Record Medical Supplies - Catheter 7Fr 110Cm Td,1420.0,553.8,,,0
CDM,SUP100972_C1751_272,Noncdm Charge Record Medical Supplies - Catheter 7Fr 110Cm Td,1420.02,553.81,,,0
CDM,SUP100973,Noncdm Charge Record Medical Supplies - See 23533 Cautery High-Temp Fine Tip Medichoice,97.29,37.94,,,0
CDM,SUP100995_272,Noncdm Charge Record Medical Supplies - Hndl Laryngsco Britepro Solo Disp,21.77,8.49,,,0
CDM,SUP100995_A4649_272,Noncdm Charge Record Medical Supplies - Hndl Laryngsco Britepro Solo Disp,21.77,8.49,,,0
CDM,SUP100995_A9999_272,Noncdm Charge Record Medical Supplies - Hndl Laryngsco Britepro Solo Disp,21.77,8.49,,,0
CDM,SUP100996,Noncdm Charge Record Medical Supplies - Hndl Laryngsco Solo Mini Strl Britepro Disp,21.74,8.48,,,0
CDM,SUP100999,Noncdm Charge Record Medical Supplies - Blade Laryngoscope Size 3 Briteblade Pro Fiber Optic Mac,16.52,6.44,,,0
CDM,SUP101004_272,Noncdm Charge Record Medical Supplies - Blade Laryngoscope Briteblade Sz 1 Pro Fiber Optic Miller,16.53,6.45,,,0
CDM,SUP101004_A4649_272,Noncdm Charge Record Medical Supplies - Blade Laryngoscope Briteblade Sz 1 Pro Fiber Optic Miller,16.52,6.44,,,0
CDM,SUP101004_A9999_272,Noncdm Charge Record Medical Supplies - Blade Laryngoscope Briteblade Sz 1 Pro Fiber Optic Miller,16.53,6.45,,,0
CDM,SUP101021,Noncdm Charge Record Medical Supplies - Suture 0 Ct-2 Stratafix 18In,89.35,34.85,,,0
CDM,SUP101028,Noncdm Charge Record Medical Supplies - Extractor Tissue Pneumoliner Contained System,2537.82,989.75,,,0
CDM,SUP101069_272,Noncdm Charge Record Medical Supplies - Funnel Keller,712.91,278.03,,,0
CDM,SUP101069_A4649_272,Noncdm Charge Record Medical Supplies - Funnel Keller,712.86,278.02,,,0
CDM,SUP101087_272,Noncdm Charge Record Medical Supplies - Needle Guide Endocavity,77.37,30.17,,,0
CDM,SUP101087_A4649_272,Noncdm Charge Record Medical Supplies - Needle Guide Endocavity,79.69,31.08,,,0
CDM,SUP101143,Noncdm Charge Record Medical Supplies - Dissector 26Cm Sonicision Crdless Ultra Revsd Handpiece,1909.58,744.74,,,0
CDM,SUP101144_272,Noncdm Charge Record Medical Supplies - Dissector 39Cm Sonicision Crdless Ultra Revsd Handpiece,1933.39,754.02,,,0
CDM,SUP101144_A4649_272,Noncdm Charge Record Medical Supplies - Dissector 39Cm Sonicision Crdless Ultra Revsd Handpiece,1933.38,754.02,,,0
CDM,SUP101144_A9999_272,Noncdm Charge Record Medical Supplies - Dissector 39Cm Sonicision Crdless Ultra Revsd Handpiece,1933.38,754.02,,,0
CDM,SUP101205,Noncdm Charge Record Medical Supplies - Insert Softjaw 61Mm,105.57,41.17,,,0
CDM,SUP101261,Noncdm Charge Record Medical Supplies - Bit Drill Flutelss Diamond,1713.96,668.44,,,0
CDM,SUP101262,Noncdm Charge Record Medical Supplies - Plate Un3 Rectangular,1579.41,615.97,,,0
CDM,SUP101264,Noncdm Charge Record Medical Supplies - Disc Prestige Lp 6X18Mm,20300.49,7917.19,,,0
CDM,SUP10130,Noncdm Charge Record Medical Supplies - Anchor Suture 4.Quicint Smith And Nephew Endoscopy,1992.38,777.03,,,0
CDM,SUP10131_272,Noncdm Charge Record Medical Supplies - Probe Mri 10Ga Encor Blnt Tip Breast Bio,758.66,295.88,,,0
CDM,SUP10131_A4649_272,Noncdm Charge Record Medical Supplies - Probe Mri 10Ga Encor Blnt Tip Breast Bio,758.66,295.88,,,0
CDM,SUP10132_272,Noncdm Charge Record Medical Supplies - Introducer Encor 10Ga Troc Obt Cannula Blck,636.52,248.24,,,0
CDM,SUP10132_A4649_272,Noncdm Charge Record Medical Supplies - Introducer Encor 10Ga Troc Obt Cannula Blck,636.52,248.24,,,0
CDM,SUP10132_C1894_272,Noncdm Charge Record Medical Supplies - Introducer Encor 10Ga Troc Obt Cannula Blck,636.52,248.24,,,0
CDM,SUP10139,Noncdm Charge Record Medical Supplies - Graft Bn Dem Bn Mtrx 2.5Ml Inj,2632.0,1026.48,,,0
CDM,SUP101432_272,Noncdm Charge Record Medical Supplies - Bag Retreival Anchor Tissue 5 5.51In Dia 10Mm 235Ml,956.34,372.97,,,0
CDM,SUP101432_A9999_272,Noncdm Charge Record Medical Supplies - Bag Retreival Anchor Tissue 5 5.51In Dia 10Mm 235Ml,956.34,372.97,,,0
CDM,SUP10144,Noncdm Charge Record Medical Supplies - Insert Forcep Bipolar 3Mm 20Cm 45D,1898.66,740.48,,,0
CDM,SUP101447,Noncdm Charge Record Medical Supplies - Needle Tuohy 14Ga,844.56,329.38,,,0
CDM,SUP101449_272,Noncdm Charge Record Medical Supplies - Wand Apollo Rf Xxl Asp Ablator 90 Degree,930.45,362.88,,,0
CDM,SUP101449_A4649_272,Noncdm Charge Record Medical Supplies - Wand Apollo Rf Xxl Asp Ablator 90 Degree,930.46,362.88,,,0
CDM,SUP101449_A9999_272,Noncdm Charge Record Medical Supplies - Wand Apollo Rf Xxl Asp Ablator 90 Degree,930.46,362.88,,,0
CDM,SUP10145,Noncdm Charge Record Medical Supplies - Electrode Bipolar Coag 1.3Mm,1987.2,775.01,,,0
CDM,SUP101450_270,Noncdm Charge Record Medical Supplies - Head Beach Chair Padding,49.36,19.25,,,0
CDM,SUP101450_A4649_270,Noncdm Charge Record Medical Supplies - Head Beach Chair Padding,97.29,37.94,,,0
CDM,SUP101451,Noncdm Charge Record Medical Supplies - Burr Oval 5.0,288.76,112.62,,,0
CDM,SUP101452,Noncdm Charge Record Medical Supplies - Blade Crv Sabre Tth Shaver 4.0,322.92,125.94,,,0
CDM,SUP101453,Noncdm Charge Record Medical Supplies - Blade Excalibur Shaver 5.5,288.76,112.62,,,0
CDM,SUP101454,Noncdm Charge Record Medical Supplies - Blade Sabre Shaver 2.0,322.92,125.94,,,0
CDM,SUP101455,Noncdm Charge Record Medical Supplies - Blade Sabre Shaver 3.0,322.92,125.94,,,0
CDM,SUP101456,Noncdm Charge Record Medical Supplies - Blade Excalibur Shaver,288.76,112.62,,,0
CDM,SUP101458,Noncdm Charge Record Medical Supplies - Drill Pushlock Shaver 2.9,93.15,36.33,,,0
CDM,SUP101486,Noncdm Charge Record Medical Supplies - Catheter Coude Tip 16Fr 30Cc,46.55,18.15,,,0
CDM,SUP101566,Noncdm Charge Record Medical Supplies - Guidewire Vasc .014In 300Cm 3Cm Strt Strbl,359.66,140.27,,,0
CDM,SUP101589,Noncdm Charge Record Medical Supplies - Dil Radiopq Jcd 6.F.038In 20Cm,54.86,21.4,,,0
CDM,SUP101597,Noncdm Charge Record Medical Supplies - Needle Spnl Whtcr 22G 3.5In Disp,24.75,9.65,,,0
CDM,SUP101598,Noncdm Charge Record Medical Supplies - Kit Port Acc Pwrlk 20G .75In Wo Y Site,60.03,23.41,,,0
CDM,SUP101599,Noncdm Charge Record Medical Supplies - Kit Port Acc Pwrlk 20G 1In Wo Y Site,61.75,24.08,,,0
CDM,SUP101602,Noncdm Charge Record Medical Supplies - Electrode Rsc Cmplt 1Stp,340.86,132.94,,,0
CDM,SUP101617_272,Noncdm Charge Record Medical Supplies - See 124947 Set Admin Nvnt 60 Drop 106In,10.39,4.05,,,0
CDM,SUP101617_A4649_272,Noncdm Charge Record Medical Supplies - See 124947 Set Admin Nvnt 60 Drop 106In,10.35,4.04,,,0
CDM,SUP101621,Noncdm Charge Record Medical Supplies - Set Ext Lo Srb 30In,8.28,3.23,,,0
CDM,SUP101625,Noncdm Charge Record Medical Supplies - Device Suct Tube Attach,8.28,3.23,,,0
CDM,SUP101631,Noncdm Charge Record Medical Supplies - Tube Endotrach Mgl Adlt Sz 8.0,42.44,16.55,,,0
CDM,SUP101636,Noncdm Charge Record Medical Supplies,11.38,4.44,,,0
CDM,SUP101645,Noncdm Charge Record Medical Supplies - See 96326 Sys Drain Ext Csf Mntr 20Ml,1489.36,580.85,,,0
CDM,SUP101647,Noncdm Charge Record Medical Supplies - Kit Dressing Chg Teg Cust Adlt,59.0,23.01,,,0
CDM,SUP101650,Noncdm Charge Record Medical Supplies - See 31716 Dressing Wound Cgf Duoderm 4X4 Sgnl,13.46,5.25,,,0
CDM,SUP101651_272,Noncdm Charge Record Medical Supplies - Kit Lac Dlct Instr Ndl Syr,25.78,10.05,,,0
CDM,SUP101651_A9999_272,Noncdm Charge Record Medical Supplies - Kit Lac Dlct Instr Ndl Syr,25.88,10.09,,,0
CDM,SUP101653,Noncdm Charge Record Medical Supplies - Kit Dressing Picc Cust Adlt 4In Id Bptch,93.15,36.33,,,0
CDM,SUP101669,Noncdm Charge Record Medical Supplies - Kit Drainage Chest Tube W-25G G Ndl Lidocn 20F 41Cm,832.14,324.53,,,0
CDM,SUP101675,Noncdm Charge Record Medical Supplies - Set Admin Vnt-Nonvnt Non-Dehp P Fluid Path 107In L,23.8,9.28,,,0
CDM,SUP101677,Noncdm Charge Record Medical Supplies - Tray Spinal 24G X 4In W-Bupivi Icain,63.14,24.62,,,0
CDM,SUP101682,Noncdm Charge Record Medical Supplies - Tube Feeding Enteral W-Hydrom Mer,40.36,15.74,,,0
CDM,SUP101684,Noncdm Charge Record Medical Supplies - Kit Catheter Pleural With 100 0Ml Bottles Pleurx,4409.1,1719.55,,,0
CDM,SUP101691,Noncdm Charge Record Medical Supplies - See 64887 Tray Epidural Standard,79.95,31.18,,,0
CDM,SUP101692,Noncdm Charge Record Medical Supplies - See 156827 Kit Transducer Sgl Line Port F-F,36.22,14.13,,,0
CDM,SUP101693,Noncdm Charge Record Medical Supplies - Blanket Bair Hugger Lower B,35.71,13.93,,,0
CDM,SUP101701,Noncdm Charge Record Medical Supplies - Catheter 5Fr Single Lumen Solo,388.12,151.37,,,0
CDM,SUP101702,Noncdm Charge Record Medical Supplies - Catheter Biliary Drainage 1,540.48,210.79,,,0
CDM,SUP101703,Noncdm Charge Record Medical Supplies - Wire Bentson Iq35F150B,50.84,19.83,,,0
CDM,SUP101705_272,Noncdm Charge Record Medical Supplies - See 124934 Set Iv Admin Gravity 104In,13.17,5.14,,,0
CDM,SUP101705_A9999_272,Noncdm Charge Record Medical Supplies - See 124934 Set Iv Admin Gravity 104In,10.35,4.04,,,0
CDM,SUP101706,Noncdm Charge Record Medical Supplies - Guidewire 014In 180Cm Gldwire Adv Std 1Cm Flexible Ang Tip,979.11,381.85,,,0
CDM,SUP101724,Noncdm Charge Record Medical Supplies - Introducer Sheath 24Fr 13Cm Wo Gwire Set Plwy,208.04,81.14,,,0
CDM,SUP101726,Noncdm Charge Record Medical Supplies - Catheter Angio .035In Pigtail 5Fr 100Cm Sz 10 5-Bx,367.42,143.29,,,0
CDM,SUP101728,Noncdm Charge Record Medical Supplies - Catheter Angio .038In Kmp Crv 5Fr 40Cm Nyl Ss 5-Bx,107.53,41.94,,,0
CDM,SUP101732,Noncdm Charge Record Medical Supplies - Catheter Guide .035In 4.8-3.7Fr 90Cm Low Cx,783.5,305.56,,,0
CDM,SUP101734,Noncdm Charge Record Medical Supplies - Catheter Infus .018In 3-2.8Fr .027In 150Cm 10,1821.19,710.26,,,0
CDM,SUP101736,Noncdm Charge Record Medical Supplies - Catheter Infus 5Fr 135Cm 30Cm Slt Design Flow,648.95,253.09,,,0
CDM,SUP101737,Noncdm Charge Record Medical Supplies - Dilator Vasc 6Fr 15Cm Radiopq .038In Std,33.12,12.92,,,0
CDM,SUP101738,Noncdm Charge Record Medical Supplies - Dilator Vasc 8Fr 15Cm Radiopq .038In,33.12,12.92,,,0
CDM,SUP101739,Noncdm Charge Record Medical Supplies,549.58,214.34,,,0
CDM,SUP101740,Noncdm Charge Record Medical Supplies - Guidewire Vasc .035In 260Cm Ang Std R,225.63,88.0,,,0
CDM,SUP101741,Noncdm Charge Record Medical Supplies - Catheter Angio .035In Ruc Crv 5Fr 90Cm Vscr 5-Bx,200.79,78.31,,,0
CDM,SUP101742,Noncdm Charge Record Medical Supplies - Introducer Traw 10Cmx.018 6Fr Mic,78.66,30.68,,,0
CDM,SUP101744,Noncdm Charge Record Medical Supplies - Introducer Cath 13Cm 6Fr .035In Ckfl Prfrmr,157.32,61.35,,,0
CDM,SUP101746,Noncdm Charge Record Medical Supplies - Drip Macro Nonvented 72In,18.37,7.16,,,0
CDM,SUP101749,Noncdm Charge Record Medical Supplies - Bottle Vacuum Pleurx 1000Ml,303.34,118.3,,,0
CDM,SUP10175,Noncdm Charge Record Medical Supplies - Catheter Drain 40Fr Straight Taper Maquet,33.12,12.92,,,0
CDM,SUP101750,Noncdm Charge Record Medical Supplies - System Bn Cement Kt Acrylic Rsn Spnl Vrtbpl (X),1052.6,410.51,,,0
CDM,SUP101752,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 2Mm 200Mm 80Mm,1239.58,483.44,,,0
CDM,SUP101753,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 3Mm 150Mm 80Mm,1053.63,410.92,,,0
CDM,SUP101754,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .014In 3Mm 150Cm 150Mm,1101.24,429.48,,,0
CDM,SUP101755,Noncdm Charge Record Medical Supplies,416.07,162.27,,,0
CDM,SUP101757,Noncdm Charge Record Medical Supplies,416.07,162.27,,,0
CDM,SUP10176,Noncdm Charge Record Medical Supplies - Graft Bn Dem Bn Mtrx 2.5Ml Mx,2803.47,1093.35,,,0
CDM,SUP101761,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 6Mm 135Cm 20Mm,542.68,211.65,,,0
CDM,SUP101762,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 12Mm 80Cm 40Mm,416.07,162.27,,,0
CDM,SUP101766_272,Noncdm Charge Record Medical Supplies - Needle Loc 14Cm 20Ga Ghiatas Beaded Wire,190.44,74.27,,,0
CDM,SUP101766_C1819_272,Noncdm Charge Record Medical Supplies - Needle Loc 14Cm 20Ga Ghiatas Beaded Wire,190.44,74.27,,,0
CDM,SUP10178,Noncdm Charge Record Medical Supplies,8.28,3.23,,,0
CDM,SUP101885,Noncdm Charge Record Medical Supplies - System Sntnl Cerebral Protect,17636.4,6878.2,,,0
CDM,SUP101887,Noncdm Charge Record Medical Supplies - Bit Drill 2.0Mm,1165.41,454.51,,,0
CDM,SUP1018_270,Noncdm Charge Record Medical Supplies - Immobilizer Knee Universal Deroyal,55.41,21.61,,,0
CDM,SUP1018_A4649_270,Noncdm Charge Record Medical Supplies - Immobilizer Knee Universal Deroyal,57.44,22.4,,,0
CDM,SUP1018_A9999_270,Noncdm Charge Record Medical Supplies - Immobilizer Knee Universal Deroyal,55.89,21.8,,,0
CDM,SUP10198,Noncdm Charge Record Medical Supplies - Bone Femur Head 40Mm Frzdr,5602.46,2184.96,,,0
CDM,SUP101983,Noncdm Charge Record Medical Supplies - Dressing Wound Mepitel One 4X7,37.26,14.53,,,0
CDM,SUP101984,Noncdm Charge Record Medical Supplies - Dressing Woun Mepitel One 6X10,47.61,18.57,,,0
CDM,SUP101986,Noncdm Charge Record Medical Supplies - Dressing Woun Mepitel 10.8X20I,24.84,9.69,,,0
CDM,SUP1019_272,Noncdm Charge Record Medical Supplies - Binder Abdominal Medium Large Deroyal,33.56,13.09,,,0
CDM,SUP1019_A4649_272,Noncdm Charge Record Medical Supplies - Binder Abdominal Medium Large Deroyal,33.29,12.98,,,0
CDM,SUP1019_A9999_272,Noncdm Charge Record Medical Supplies - Binder Abdominal Medium Large Deroyal,33.12,12.92,,,0
CDM,SUP1020,Noncdm Charge Record Medical Supplies - Pouch 8X5In Lapsac Intgr Tab I,440.91,171.95,,,0
CDM,SUP102008,Noncdm Charge Record Medical Supplies - 2.3Mm X 10Mm Hex Multiscrew,593.57,231.49,,,0
CDM,SUP10201,Noncdm Charge Record Medical Supplies - Device Coreknot Laparoscopic Suture Tying Acute Innovations,235.05,91.67,,,0
CDM,SUP102045,Noncdm Charge Record Medical Supplies - Kit Dressing Change Picc Centr,165.6,64.58,,,0
CDM,SUP102046,Noncdm Charge Record Medical Supplies - Kit Dressing Change Ij Central,139.38,54.36,,,0
CDM,SUP10204_Q4186_278,Noncdm Charge Record Medical Supplies - Graft Amnio Membr 2Cmx3Cm Allograft Epifix (X),6121.25,2387.29,,,0
CDM,SUP10205_Q4186_278,Noncdm Charge Record Medical Supplies - Graft Amnio Membr 4Cmx4Cm Allograft Epifix (X),14797.74,5771.12,,,0
CDM,SUP102064,Noncdm Charge Record Medical Supplies,76368.51,29783.72,,,0
CDM,SUP102065,Noncdm Charge Record Medical Supplies - Graft Endovasc 18F 32Mmx155Mm Aaa Thoracic Proximal Componen,77166.5,30094.94,,,0
CDM,SUP102066,Noncdm Charge Record Medical Supplies - Graft Endovasc 18F 34Mmx209Mm Aaa Thoracic Proximal Componen,77033.5,30043.06,,,0
CDM,SUP102068,Noncdm Charge Record Medical Supplies - Graft Endovasc 18F 38Mmx217Mm Aaa Thoracic Proximal Componen,77166.5,30094.94,,,0
CDM,SUP102069,Noncdm Charge Record Medical Supplies - Graft Endovasc 18F 40Mmx167Mm Aaa Thoracic Proximal Componen,77166.5,30094.94,,,0
CDM,SUP10206_Q4186_278,Noncdm Charge Record Medical Supplies - Graft Amnio Membr 7Cmx7Cm Allograft Epifix (X),46883.6,18284.6,,,0
CDM,SUP102072,Noncdm Charge Record Medical Supplies - Graft Endovasc G38208 Proximal Tapered Alpha Thorac,77166.5,30094.94,,,0
CDM,SUP102074,Noncdm Charge Record Medical Supplies - Graft Endovasc G38191 Proximal Tapered Alpha Thorac,76767.5,29939.32,,,0
CDM,SUP102153,Noncdm Charge Record Medical Supplies - Catheter Ballon Mob 10-37Mm X 4.0Cm X 90Cm,2407.41,938.89,,,0
CDM,SUP10215_272,Noncdm Charge Record Medical Supplies - Tray Catheter Foley 16Fr Silicone Bard Medical,48.64,18.97,,,0
CDM,SUP10215_A4649_272,Noncdm Charge Record Medical Supplies - Tray Catheter Foley 16Fr Silicone Bard Medical,48.64,18.97,,,0
CDM,SUP10215_A9999_272,Noncdm Charge Record Medical Supplies - Tray Catheter Foley 16Fr Silicone Bard Medical,48.64,18.97,,,0
CDM,SUP10216_272,Noncdm Charge Record Medical Supplies - See 110816 - Tray Cath 16Fr Lbrcath W Drain Bag,52.77,20.58,,,0
CDM,SUP10216_A4649_272,Noncdm Charge Record Medical Supplies - See 110816 - Tray Cath 16Fr Lbrcath W Drain Bag,52.78,20.58,,,0
CDM,SUP10222,Noncdm Charge Record Medical Supplies - Graft Vasc 80Cm 4-7Mm Gore Propaten Eptfe Hep,10353.1,4037.71,,,0
CDM,SUP10224_272,Noncdm Charge Record Medical Supplies - Needle Suture 4 Half Circle Anchor Products Company,31.96,12.46,,,0
CDM,SUP10224_A9999_272,Noncdm Charge Record Medical Supplies - Needle Suture 4 Half Circle Anchor Products Company,31.57,12.31,,,0
CDM,SUP102259,Noncdm Charge Record Medical Supplies - Mesh 16X12 Flat Sheet,1806.08,704.37,,,0
CDM,SUP10225_272,Noncdm Charge Record Medical Supplies - Strip 1X5In Episeal Flx Cnfrm Nirr Por Skin,6.18,2.41,,,0
CDM,SUP10225_A4649_272,Noncdm Charge Record Medical Supplies - Strip 1X5In Episeal Flx Cnfrm Nirr Por Skin,6.21,2.42,,,0
CDM,SUP10225_A9999_272,Noncdm Charge Record Medical Supplies - Strip 1X5In Episeal Flx Cnfrm Nirr Por Skin,6.21,2.42,,,0
CDM,SUP10226,Noncdm Charge Record Medical Supplies - Coil Embol 15Cm 4Mm Intlk 2D,2026.01,790.14,,,0
CDM,SUP102260,Noncdm Charge Record Medical Supplies - Suture 180 Abs 4-0 Gr 6 V-20 Vloc,113.85,44.4,,,0
CDM,SUP102261,Noncdm Charge Record Medical Supplies - Sizer Enucleation Evisceration,171.81,67.01,,,0
CDM,SUP10228_272,Noncdm Charge Record Medical Supplies - Catheter Cnts 5Fr 7Cm 1Stp Slip Fit W Valve,136.62,53.28,,,0
CDM,SUP10228_C1769_272,Noncdm Charge Record Medical Supplies - Catheter Cnts 5Fr 7Cm 1Stp Slip Fit W Valve,95.82,37.37,,,0
CDM,SUP10229,Noncdm Charge Record Medical Supplies - Seprafilm Barrier Adh 3Inx2.5In Genzyme,1940.75,756.89,,,0
CDM,SUP1022_272,Noncdm Charge Record Medical Supplies - See 117155 Packing Plain 5Ydx0.5In Covidien,7.24,2.82,,,0
CDM,SUP1022_A4649_272,Noncdm Charge Record Medical Supplies - See 117155 Packing Plain 5Ydx0.5In Covidien,7.24,2.82,,,0
CDM,SUP102306,Noncdm Charge Record Medical Supplies - Endo Spray 10Mm Hemospray,11022.75,4298.87,,,0
CDM,SUP10232,Noncdm Charge Record Medical Supplies - Stent Uret 8.5Fr 28Cm .038In,625.14,243.8,,,0
CDM,SUP102371,Noncdm Charge Record Medical Supplies - Kit Watchdog Accessory 20 Pk,171.81,67.01,,,0
CDM,SUP102411,Noncdm Charge Record Medical Supplies - Catheter Balloon 14Fr 0.035 10Cmx40Cm Coda,2413.62,941.31,,,0
CDM,SUP10242,Noncdm Charge Record Medical Supplies - Stent Vasc 5Mm 5Cm 120Cm .018In Endopros Del,15452.55,6026.49,,,0
CDM,SUP10245,Noncdm Charge Record Medical Supplies - Stent Vasc 6Mm 2.5Cm 120Cm .018In Endopros Del,15452.55,6026.49,,,0
CDM,SUP10246,Noncdm Charge Record Medical Supplies - Stent Vascular 6Mm 5Cm 120Cm .018 Endoprosthesis,15356.4,5989.0,,,0
CDM,SUP10247,Noncdm Charge Record Medical Supplies - Stent Vasc 6Mm 10Cm 120Cm,17105.44,6671.12,,,0
CDM,SUP10248,Noncdm Charge Record Medical Supplies - Stent Vasc 6Mm 15Cm 120Cm .018In Endopros Del,19108.17,7452.19,,,0
CDM,SUP10249,Noncdm Charge Record Medical Supplies - Stent Vasc 7Mm 2.5Cm 120Cm .018In Endopros Del,14971.79,5839.0,,,0
CDM,SUP10250,Noncdm Charge Record Medical Supplies - Stent Vasc 7Mm 5Cm 120Cm,15345.71,5984.83,,,0
CDM,SUP10251,Noncdm Charge Record Medical Supplies - Stent Vasc 7Mm 10Cm 120Cm .018In Endopros Del,16938.64,6606.07,,,0
CDM,SUP10252,Noncdm Charge Record Medical Supplies - Stent Vasc 7Mm 15Cm 120Cm .018In Endopros Del,19108.17,7452.19,,,0
CDM,SUP10254,Noncdm Charge Record Medical Supplies - Stent Vasc 8Mm 5Cm 120Cm .018In Endopros Del,15292.3,5964.0,,,0
CDM,SUP10255,Noncdm Charge Record Medical Supplies - Stent Vascular 8Mm 10Cm 120Cm .018 Endoprosthesis W.L. Gore,16819.49,6559.6,,,0
CDM,SUP10256,Noncdm Charge Record Medical Supplies - Stent Vasc 8Mm 15Cm 120Cm .018In Endopros Del,19377.27,7557.14,,,0
CDM,SUP10261,Noncdm Charge Record Medical Supplies - Tray Circumcision,90.04,35.12,,,0
CDM,SUP10264,Noncdm Charge Record Medical Supplies - Kit Gstrc Lav W 3L Sol Bag Wo Chrcl,132.48,51.67,,,0
CDM,SUP102687,Noncdm Charge Record Medical Supplies - Stent Eluvia 6Mmx40Mmx130Cm,9643.09,3760.81,,,0
CDM,SUP102688,Noncdm Charge Record Medical Supplies - Stent Eluvia 6Mmx100Mmx130 Cm,15549.43,6064.28,,,0
CDM,SUP102689,Noncdm Charge Record Medical Supplies - Stent Eluvia 6Mmx120 Mmx130 Cm,12473.97,4864.85,,,0
CDM,SUP102690,Noncdm Charge Record Medical Supplies - Stent Eluvia 7Mmx100Mmx130Cm,12543.16,4891.83,,,0
CDM,SUP102691,Noncdm Charge Record Medical Supplies - Stent Eluvia 7Mmx120Mmx130Cm,15351.33,5987.02,,,0
CDM,SUP102819,Noncdm Charge Record Medical Supplies - Balloon Pulmonary Dialation,3292.34,1284.01,,,0
CDM,SUP102839,Noncdm Charge Record Medical Supplies,12345.48,4814.74,,,0
CDM,SUP102912,Noncdm Charge Record Medical Supplies - Guidewire Coaxial 4F Standard 45Cm Ss-Ss,78.66,30.68,,,0
CDM,SUP102913_272,Noncdm Charge Record Medical Supplies - Guidewire Coaxial 4F Stiff 45Cm Ni-Tu 7C,106.6,41.57,,,0
CDM,SUP102913_C1769_272,Noncdm Charge Record Medical Supplies - Guidewire Coaxial 4F Stiff 45Cm Ni-Tu 7C,102.8,40.09,,,0
CDM,SUP102913_C1894_272,Noncdm Charge Record Medical Supplies - Guidewire Coaxial 4F Stiff 45Cm Ni-Tu 7C,106.7,41.61,,,0
CDM,SUP102914,Noncdm Charge Record Medical Supplies - Guidewire Vascular L300Cm Dia0 Microwire Hydrophilic Approac,833.18,324.94,,,0
CDM,SUP102915,Noncdm Charge Record Medical Supplies - Catheter Peripheral 6F 5.9Cm3 3.0-7.0Mm 135Cm,13536.25,5279.14,,,0
CDM,SUP102984,Noncdm Charge Record Medical Supplies - Kit Protek Duo 29Fr X 51Cm,94795.65,36970.3,,,0
CDM,SUP102985,Noncdm Charge Record Medical Supplies - Kit Protek Duo 31Fr X 51Cm,77159.25,30092.11,,,0
CDM,SUP103060,Noncdm Charge Record Medical Supplies - Graft Vascular 50Cm 8Mm Gore,8540.82,3330.92,,,0
CDM,SUP103061,Noncdm Charge Record Medical Supplies - Graft Vascular 50Cm 6Mm Gore,14088.21,5494.4,,,0
CDM,SUP10306_272,Noncdm Charge Record Medical Supplies - Dermabond Advanced Pen Skin Adhesive Ethicon,78.77,30.72,,,0
CDM,SUP10306_A4649_272,Noncdm Charge Record Medical Supplies - Dermabond Advanced Pen Skin Adhesive Ethicon,78.77,30.72,,,0
CDM,SUP10306_A9999_272,Noncdm Charge Record Medical Supplies - Dermabond Advanced Pen Skin Adhesive Ethicon,78.72,30.7,,,0
CDM,SUP10307,Noncdm Charge Record Medical Supplies - Load Qck Ck Cor-Knot,1399.39,545.76,,,0
CDM,SUP10309_272,Noncdm Charge Record Medical Supplies - Tray Prctns Thorcnts Custom,96.22,37.53,,,0
CDM,SUP10309_A4649_272,Noncdm Charge Record Medical Supplies - Tray Prctns Thorcnts Custom,97.29,37.94,,,0
CDM,SUP10309_A9999_272,Noncdm Charge Record Medical Supplies - Tray Prctns Thorcnts Custom,94.76,36.96,,,0
CDM,SUP103100,Noncdm Charge Record Medical Supplies - Microcatheter 2.9F 130Cm Maestro No-Taper Straight,1403.46,547.35,,,0
CDM,SUP103138,Noncdm Charge Record Medical Supplies - Stapler Reload Endo 60Mm Tri- Staple Xtra Thck Blade,1939.57,756.43,,,0
CDM,SUP103139,Noncdm Charge Record Medical Supplies - Stapler Reload Endo 60Mm Tri- Staple Medium Thck Blade 2Mm,1610.46,628.08,,,0
CDM,SUP103140,Noncdm Charge Record Medical Supplies - Stapler Reload Endo 45Mm Tri- Staple Extra Thck Blade,1669.32,651.03,,,0
CDM,SUP103142,Noncdm Charge Record Medical Supplies - Dissector 13Cm Sonicision Crdless Ultra Revsd,1909.58,744.74,,,0
CDM,SUP103151,Noncdm Charge Record Medical Supplies - Tubing Adaptor Endo Qosina,39.33,15.34,,,0
CDM,SUP103152_272,Noncdm Charge Record Medical Supplies - Trocar Bladless 8Mm,99.36,38.75,,,0
CDM,SUP103152_A4649_272,Noncdm Charge Record Medical Supplies - Trocar Bladless 8Mm,99.36,38.75,,,0
CDM,SUP103152_A9999_272,Noncdm Charge Record Medical Supplies - Trocar Bladless 8Mm,99.36,38.75,,,0
CDM,SUP103154_272,Noncdm Charge Record Medical Supplies - Trocar Bladless 11Mm Optical L,110.03,42.91,,,0
CDM,SUP103154_A4649_272,Noncdm Charge Record Medical Supplies - Trocar Bladless 11Mm Optical L,112.82,44.0,,,0
CDM,SUP103154_A9999_272,Noncdm Charge Record Medical Supplies - Trocar Bladless 11Mm Optical L,102.46,39.96,,,0
CDM,SUP103155,Noncdm Charge Record Medical Supplies - System Anchor Tissue Retrieval,966.69,377.01,,,0
CDM,SUP10322,Noncdm Charge Record Medical Supplies - Sensor Inf Oxmx 18In Oxm Adh Strap Cable Lf,42.44,16.55,,,0
CDM,SUP103225,Noncdm Charge Record Medical Supplies - Needle Spinal 22 Gauge Chiba,36.22,14.13,,,0
CDM,SUP10324,Noncdm Charge Record Medical Supplies - Head Fem +13Mm 12-14 32Mm Hip Cementless M,3451.72,1346.17,,,0
CDM,SUP103266,Noncdm Charge Record Medical Supplies - Marker Bx Tissue 17G 10Cm Ndl 3Mm,274.27,106.97,,,0
CDM,SUP10330,Noncdm Charge Record Medical Supplies - Screw Bn Lock Variable Angle St 5X46Mm,830.07,323.73,,,0
CDM,SUP103348,Noncdm Charge Record Medical Supplies - Valve Endobronchial Zephyr 4.0,10875.46,4241.43,,,0
CDM,SUP103349,Noncdm Charge Record Medical Supplies - Valve Endobronchial 4.0--Lp Short Zephyr,10875.35,4241.39,,,0
CDM,SUP103350,Noncdm Charge Record Medical Supplies - Valve Endobronchial Zephyr 5.5,10875.78,4241.55,,,0
CDM,SUP103351,Noncdm Charge Record Medical Supplies - Catheter Delivery Zephyr 4.0,2249.05,877.13,,,0
CDM,SUP103352,Noncdm Charge Record Medical Supplies - Catheter Delivery Zephyr 4.0J,2249.05,877.13,,,0
CDM,SUP103354,Noncdm Charge Record Medical Supplies - Catheter Chartis,4276.62,1667.88,,,0
CDM,SUP103358,Noncdm Charge Record Medical Supplies - Cannula Femoral Arterial 15 Protek,2422.94,944.95,,,0
CDM,SUP103438_272,Noncdm Charge Record Medical Supplies - Manipulator Injector Laparos Balloon Seal Adj,100.38,39.15,,,0
CDM,SUP103438_A4649_272,Noncdm Charge Record Medical Supplies - Manipulator Injector Laparos Balloon Seal Adj,100.4,39.16,,,0
CDM,SUP103438_A9999_272,Noncdm Charge Record Medical Supplies - Manipulator Injector Laparos Balloon Seal Adj,100.4,39.16,,,0
CDM,SUP10343_272,Noncdm Charge Record Medical Supplies - Forceps Surg Raptor Graspg 24Mm 230Mm,611.73,238.57,,,0
CDM,SUP10343_A4649_272,Noncdm Charge Record Medical Supplies - Forceps Surg Raptor Graspg 24Mm 230Mm,611.68,238.56,,,0
CDM,SUP10343_A9999_272,Noncdm Charge Record Medical Supplies - Forceps Surg Raptor Graspg 24Mm 230Mm,611.68,238.56,,,0
CDM,SUP10347,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 45Mm Cocr,4108.52,1602.32,,,0
CDM,SUP10348,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 40Mm Cocr,4108.5,1602.32,,,0
CDM,SUP103480,Noncdm Charge Record Medical Supplies - Reservoir 400 Ml Pvc 10Fr T,36.22,14.13,,,0
CDM,SUP10349,Noncdm Charge Record Medical Supplies - Screw Set Non Brkof Ti,349.15,136.17,,,0
CDM,SUP10350,Noncdm Charge Record Medical Supplies - Rod Cocr 35Mm Crv,1128.15,439.98,,,0
CDM,SUP10354,Noncdm Charge Record Medical Supplies - Plate Bn 35Mm Atl Vsn Elt Cerv,3625.6,1413.98,,,0
CDM,SUP10355,Noncdm Charge Record Medical Supplies - See 160512 Catheter Angio Torcon 4Fr,73.48,28.66,,,0
CDM,SUP10357,Noncdm Charge Record Medical Supplies - Plate .5Mm 12H Orbit Rim Ti,2089.66,814.97,,,0
CDM,SUP10358,Noncdm Charge Record Medical Supplies - Plate Adapt 0.7Mm 20 Hl Ti,3411.36,1330.43,,,0
CDM,SUP103601,Noncdm Charge Record Medical Supplies - Electrode Balloon Catheter Bi Ipolar 5F 110Cm Dispo,1029.7,401.58,,,0
CDM,SUP103604,Noncdm Charge Record Medical Supplies - Coil Concerto Nyl Hlcl 5Mm 20C,3625.35,1413.89,,,0
CDM,SUP10362,Noncdm Charge Record Medical Supplies - Plate Med .7Mm 2X3 Hl L Oblq,1710.86,667.24,,,0
CDM,SUP103633,Noncdm Charge Record Medical Supplies - Set Introducer Ansel 2 Flexor Check Flo,1204.74,469.85,,,0
CDM,SUP103634,Noncdm Charge Record Medical Supplies - Helix Ev3 Concerto Pv-5-15,6723.36,2622.11,,,0
CDM,SUP103686,Noncdm Charge Record Medical Supplies - Dilator Vessel Radiopaque 24F .038In 20Cm,71.42,27.85,,,0
CDM,SUP103687,Noncdm Charge Record Medical Supplies - Introducer Sheath 20Fr 13Cm Wo Gwire Set Plwy,207.97,81.11,,,0
CDM,SUP103688,Noncdm Charge Record Medical Supplies - Introducer Sheath 22Fr 13Cm Wo Gwire Plwy,208.04,81.14,,,0
CDM,SUP103711,Noncdm Charge Record Medical Supplies - Implant Enucleation 18Mm Evisceration,242.19,94.45,,,0
CDM,SUP103712,Noncdm Charge Record Medical Supplies - Implant Enucleation 20Mm Evisceration,242.19,94.45,,,0
CDM,SUP103714,Noncdm Charge Record Medical Supplies - Conformer Sterile Small With 2 Holes,380.88,148.54,,,0
CDM,SUP103715,Noncdm Charge Record Medical Supplies - Conformer Sterile Medium With 2 Holes,493.7,192.54,,,0
CDM,SUP103717_272,Noncdm Charge Record Medical Supplies - Introducer Coolief 17G 75X2Mm,436.77,170.34,,,0
CDM,SUP103717_A4649_272,Noncdm Charge Record Medical Supplies - Introducer Coolief 17G 75X2Mm,436.77,170.34,,,0
CDM,SUP103718,Noncdm Charge Record Medical Supplies - See 131917 Introducer Coolief 17G 50X4Mm,426.42,166.3,,,0
CDM,SUP103722,Noncdm Charge Record Medical Supplies - Balloon Pta Dil Rx 4F 4.0Mmx40 Sterling Breakthrough,1169.03,455.92,,,0
CDM,SUP103723,Noncdm Charge Record Medical Supplies,991.53,386.7,,,0
CDM,SUP103729,Noncdm Charge Record Medical Supplies - Screw Trigen Low Profile 5.0Mm X 70Mm,2255.61,879.69,,,0
CDM,SUP103730,Noncdm Charge Record Medical Supplies - Screw Trigen Low Profile 5.0M X 77Mm,2255.26,879.55,,,0
CDM,SUP103751,Noncdm Charge Record Medical Supplies - Screw Vlp Ti 2.4Mm X 13Mm Ctx,442.98,172.76,,,0
CDM,SUP103752,Noncdm Charge Record Medical Supplies - Screw Vlp Ti 2.4Mm X 14Mm Ctx,443.32,172.89,,,0
CDM,SUP103753,Noncdm Charge Record Medical Supplies - Guidewire Amplatz Supstf 180 J,197.38,76.98,,,0
CDM,SUP103754,Noncdm Charge Record Medical Supplies,71.42,27.85,,,0
CDM,SUP103755,Noncdm Charge Record Medical Supplies - Dilator Vasc 9Fr 15Cm Radiopq .038In,82.8,32.29,,,0
CDM,SUP103756,Noncdm Charge Record Medical Supplies - Dilator Vasc 15Fr Radiopq,31.05,12.11,,,0
CDM,SUP10378,Noncdm Charge Record Medical Supplies - Plate 55Mm Ss 2.4Mm Screw 7X3 Hl Va 2 Column Rt,3744.97,1460.54,,,0
CDM,SUP1037_272,Noncdm Charge Record Medical Supplies - Packing Plain 5Ydx1In Covidien,9.32,3.63,,,0
CDM,SUP1037_A4649_272,Noncdm Charge Record Medical Supplies - Packing Plain 5Ydx1In Covidien,9.32,3.63,,,0
CDM,SUP103804,Noncdm Charge Record Medical Supplies - Bone Cancellous Chip 4-10Mm 15Cc,1643.58,641.0,,,0
CDM,SUP103826,Noncdm Charge Record Medical Supplies,393.3,153.39,,,0
CDM,SUP103857_272,Noncdm Charge Record Medical Supplies - Suture Vcl 1-0 Ctx 1X36In Braid Anti Bacterial,9.58,3.74,,,0
CDM,SUP103857_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vcl 1-0 Ctx 1X36In Braid Anti Bacterial,9.32,3.63,,,0
CDM,SUP103889,Noncdm Charge Record Medical Supplies,77.15,30.09,,,0
CDM,SUP103890,Noncdm Charge Record Medical Supplies - Tube Feeding Gastrostomy Mic-Key 18F 5Ml 2Cm,531.99,207.48,,,0
CDM,SUP103959,Noncdm Charge Record Medical Supplies - Bone Bicortical 22X20X8Mm Ev Evans Wedge Allopure Wright Me,8874.09,3460.9,,,0
CDM,SUP103964,Noncdm Charge Record Medical Supplies - Blade Large Bone 12.5X73 .8X1. 06Mm Oscillator Sterile Conme,333.27,129.98,,,0
CDM,SUP103965,Noncdm Charge Record Medical Supplies,31417.42,12252.79,,,0
CDM,SUP103966_272,Noncdm Charge Record Medical Supplies - Cannula Sr8 Gemini Arthrex,156.41,61.0,,,0
CDM,SUP103966_A4649_272,Noncdm Charge Record Medical Supplies - Cannula Sr8 Gemini Arthrex,156.28,60.95,,,0
CDM,SUP103966_A9999_272,Noncdm Charge Record Medical Supplies - Cannula Sr8 Gemini Arthrex,156.28,60.95,,,0
CDM,SUP103967,Noncdm Charge Record Medical Supplies - System Root Repair Meniscal Implant,4387.11,1710.97,,,0
CDM,SUP10397,Noncdm Charge Record Medical Supplies - Extension Fem 30Mm Knee Gmrs,11225.61,4377.99,,,0
CDM,SUP10399,Noncdm Charge Record Medical Supplies - Component Tib All Sz Gmrs Rot,11515.93,4491.21,,,0
CDM,SUP10403,Noncdm Charge Record Medical Supplies - Felt Cv 2.5Cmx2.5Cm Thk Ptfe,2537.82,989.75,,,0
CDM,SUP10404_272,Noncdm Charge Record Medical Supplies - Catheter Bil .035In 6-7Fr 9-12,1012.23,394.77,,,0
CDM,SUP10404_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Bil .035In 6-7Fr 9-12,1012.23,394.77,,,0
CDM,SUP10404_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Bil .035In 6-7Fr 9-12,1012.23,394.77,,,0
CDM,SUP10405_272,Noncdm Charge Record Medical Supplies - Catheter Bil.035In 7-6Fr 12-15,1012.23,394.77,,,0
CDM,SUP10405_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Bil.035In 7-6Fr 12-15,1012.23,394.77,,,0
CDM,SUP10406,Noncdm Charge Record Medical Supplies - Catheter Bil.035In 15-18Mm Abv 200Cm Inj Abv,1012.23,394.77,,,0
CDM,SUP10407,Noncdm Charge Record Medical Supplies,2725.67,1063.01,,,0
CDM,SUP104074,Noncdm Charge Record Medical Supplies - Cannula Nerve Block Facet S Tip 21Gx100Mm Sonoplex,74.52,29.06,,,0
CDM,SUP104075,Noncdm Charge Record Medical Supplies - Cannula Nerve Block Facet S Tip 22Gx80Mm Sonoplex Ii,67.28,26.24,,,0
CDM,SUP104076,Noncdm Charge Record Medical Supplies - Cannula Nerve Block Facet S Tip 22Gx50Mm Sonoplex,67.28,26.24,,,0
CDM,SUP104077,Noncdm Charge Record Medical Supplies - Cath Supreme Electrophysiology Decapolar Csl,1713.96,668.44,,,0
CDM,SUP104078,Noncdm Charge Record Medical Supplies - Cannula Nerve Block Facet S Tip 20Gx100Mm Sonoplex Ii,7.24,2.82,,,0
CDM,SUP104080,Noncdm Charge Record Medical Supplies,54.86,21.4,,,0
CDM,SUP104082,Noncdm Charge Record Medical Supplies - Cannula Nerve Block Facet Tip 21Gx150Mm Sonotap,62.1,24.22,,,0
CDM,SUP10410,Noncdm Charge Record Medical Supplies - Coil Embol 40Cm 15Mm .035 Cube,4726.84,1843.47,,,0
CDM,SUP10413,Noncdm Charge Record Medical Supplies - Coil Embol 40Cm 8Mm .035 2D,5181.55,2020.8,,,0
CDM,SUP104137,Noncdm Charge Record Medical Supplies - Wire 33Cm L-Hook Split Laparoscopic Electrode Ptfe Co,93.15,36.33,,,0
CDM,SUP104138,Noncdm Charge Record Medical Supplies - Syringe Bulb Silicone Sterile S-Vac,62.1,24.22,,,0
CDM,SUP10414,Noncdm Charge Record Medical Supplies - Coil Embol 40Cm 10Mm .035 2D,5181.21,2020.67,,,0
CDM,SUP104147,Noncdm Charge Record Medical Supplies - Catheter Thoracic Standard St Traight 20 Fr,32.08,12.51,,,0
CDM,SUP10415,Noncdm Charge Record Medical Supplies - Coil Embol 40Cm 12Mm .035 2D,5181.44,2020.76,,,0
CDM,SUP10416,Noncdm Charge Record Medical Supplies - Coil Embol 40Cm 15Mm .035 2D,5181.21,2020.67,,,0
CDM,SUP10426,Noncdm Charge Record Medical Supplies,3310.96,1291.27,,,0
CDM,SUP104277,Noncdm Charge Record Medical Supplies - Cable Extension Safire Tx,856.98,334.22,,,0
CDM,SUP104317_272,Noncdm Charge Record Medical Supplies - Dressing Two Pico 7 10Cmx30Cm,1076.68,419.91,,,0
CDM,SUP104317_A4649_272,Noncdm Charge Record Medical Supplies - Dressing Two Pico 7 10Cmx30Cm,1077.44,420.2,,,0
CDM,SUP104357,Noncdm Charge Record Medical Supplies,112.82,44.0,,,0
CDM,SUP104449,Noncdm Charge Record Medical Supplies - Catheter Angio .038In 5F Ang Ap2 110Cm 12Sh Torcon Nb 5-Bx,87.72,34.21,,,0
CDM,SUP104527,Noncdm Charge Record Medical Supplies,2756.2,1074.92,,,0
CDM,SUP104528,Noncdm Charge Record Medical Supplies,2756.2,1074.92,,,0
CDM,SUP104541,Noncdm Charge Record Medical Supplies - 0.18 Quickcross,783.5,305.56,,,0
CDM,SUP104651,Noncdm Charge Record Medical Supplies - Tubing 7.3F Tuohy Borst W-6In Extension Rotating Lue,76.57,29.86,,,0
CDM,SUP104652,Noncdm Charge Record Medical Supplies - Cath Phenom 120Cm Dist Acc +,5136.7,2003.31,,,0
CDM,SUP104662,Noncdm Charge Record Medical Supplies,5.18,2.02,,,0
CDM,SUP104678,Noncdm Charge Record Medical Supplies - Cap Reveal Distal Attachment,86.94,33.91,,,0
CDM,SUP10469,Noncdm Charge Record Medical Supplies,240.12,93.65,,,0
CDM,SUP10477,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 4Mm 60Mm 135Mm,416.07,162.27,,,0
CDM,SUP104782,Noncdm Charge Record Medical Supplies - Cath F5 Inf Ar Ii Mod 100Cm,44.5,17.36,,,0
CDM,SUP104783,Noncdm Charge Record Medical Supplies - Loop Gyrus Medium 12Inch Plasma Electrode,2256.3,879.96,,,0
CDM,SUP104785_272,Noncdm Charge Record Medical Supplies - Ureteroscope Dgt Disp Lithovue,6613.65,2579.32,,,0
CDM,SUP104785_A4649_272,Noncdm Charge Record Medical Supplies - Ureteroscope Dgt Disp Lithovue,6613.65,2579.32,,,0
CDM,SUP104785_A9999_272,Noncdm Charge Record Medical Supplies - Ureteroscope Dgt Disp Lithovue,6613.65,2579.32,,,0
CDM,SUP10479,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 6Mm 80Mm 135Mm,416.07,162.27,,,0
CDM,SUP104806,Noncdm Charge Record Medical Supplies - Set Screw Spinal 5.5-6Mm Cannulated Fenestrated Multiaxial,349.14,136.16,,,0
CDM,SUP10483,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 5Mm 80Mm 135Mm,416.07,162.27,,,0
CDM,SUP10484,Noncdm Charge Record Medical Supplies,416.07,162.27,,,0
CDM,SUP104874_272,Noncdm Charge Record Medical Supplies - Catheter 16Fr Council Tip Fole Y,104.54,40.77,,,0
CDM,SUP104874_A4649_272,Noncdm Charge Record Medical Supplies - Catheter 16Fr Council Tip Fole Y,104.54,40.77,,,0
CDM,SUP1048_272,Noncdm Charge Record Medical Supplies - See 143812 Cannister Suction Rigid 2.5L Deroyal,7.48,2.92,,,0
CDM,SUP1048_A4649_272,Noncdm Charge Record Medical Supplies - See 143812 Cannister Suction Rigid 2.5L Deroyal,7.56,2.95,,,0
CDM,SUP1048_A9999_272,Noncdm Charge Record Medical Supplies - See 143812 Cannister Suction Rigid 2.5L Deroyal,7.57,2.95,,,0
CDM,SUP104923_272,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr. 4.0 Ultra With Sideholes,109.55,42.72,,,0
CDM,SUP104923_A4649_272,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr. 4.0 Ultra With Sideholes,35.19,13.72,,,0
CDM,SUP104923_A9999_272,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr. 4.0 Ultra With Sideholes,146.97,57.32,,,0
CDM,SUP104924,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr. 4.5 Ultra With Sideholes,124.61,48.6,,,0
CDM,SUP104925_272,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Jl 3.5,29.03,11.32,,,0
CDM,SUP104925_A4649_272,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Jl 3.5,22.51,8.78,,,0
CDM,SUP104925_A9999_272,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Jl 3.5,39.33,15.34,,,0
CDM,SUP104926_272,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Jl 4.0,29.56,11.53,,,0
CDM,SUP104926_A4649_272,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Jl 4.0,12.42,4.84,,,0
CDM,SUP104926_A9999_272,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Jl 4.0,39.33,15.34,,,0
CDM,SUP104927,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Jl 4.5,25.88,10.09,,,0
CDM,SUP104928,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Jl 5.0,27.94,10.9,,,0
CDM,SUP104929_272,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Jl 6.0,19.15,7.47,,,0
CDM,SUP104929_A9999_272,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Jl 6.0,39.33,15.34,,,0
CDM,SUP104930,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Jr 3.5,31.64,12.34,,,0
CDM,SUP104931_272,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Jr 4.0,29.12,11.36,,,0
CDM,SUP104931_A4649_272,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Jr 4.0,19.15,7.47,,,0
CDM,SUP104931_A9999_272,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Jr 4.0,39.33,15.34,,,0
CDM,SUP104932,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Jr 5.0,35.19,13.72,,,0
CDM,SUP104934,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Jr 4.0 125 Cm,31.64,12.34,,,0
CDM,SUP104935_272,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Angled Pigtail,31.45,12.27,,,0
CDM,SUP104935_A4649_272,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Angled Pigtail,12.42,4.84,,,0
CDM,SUP104935_A9999_272,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Angled Pigtail,39.33,15.34,,,0
CDM,SUP104936_272,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Strght Ht Pigtail,29.54,11.52,,,0
CDM,SUP104936_A4649_272,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Strght Ht Pigtail,12.42,4.84,,,0
CDM,SUP104937,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Mpa With Sideholes,153.71,59.95,,,0
CDM,SUP104938_272,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Mpb With Sideholes,151.45,59.07,,,0
CDM,SUP104938_A9999_272,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Mpb With Sideholes,195.62,76.29,,,0
CDM,SUP104939_272,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Al 1.0,27.19,10.6,,,0
CDM,SUP104939_A4649_272,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Al 1.0,12.42,4.84,,,0
CDM,SUP104939_A9999_272,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Al 1.0,39.33,15.34,,,0
CDM,SUP104940_272,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Al 2.0,28.12,10.97,,,0
CDM,SUP104940_A9999_272,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Al 2.0,39.33,15.34,,,0
CDM,SUP104941_272,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Al 3.0,107.29,41.84,,,0
CDM,SUP104941_A4649_272,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Al 3.0,63.14,24.62,,,0
CDM,SUP104942_272,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Ima,31.3,12.21,,,0
CDM,SUP104942_A9999_272,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Ima,39.33,15.34,,,0
CDM,SUP104943,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Ar Mod,28.0,10.92,,,0
CDM,SUP104944_272,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr 3Drc,30.36,11.84,,,0
CDM,SUP104944_A9999_272,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr 3Drc,39.33,15.34,,,0
CDM,SUP104945,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Lcb,31.26,12.19,,,0
CDM,SUP104946,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Rcb,39.33,15.34,,,0
CDM,SUP104947,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 5Fr. 4.0 Ultra With Sideholes,115.72,45.13,,,0
CDM,SUP104948,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 5Fr. 4.5 Ultra With Sideholes,146.97,57.32,,,0
CDM,SUP104949_272,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 5Fr. 3.5 Jl,27.41,10.69,,,0
CDM,SUP104949_A9999_272,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 5Fr. 3.5 Jl,39.33,15.34,,,0
CDM,SUP104950,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 5Fr. 4.0 Jl,28.07,10.95,,,0
CDM,SUP104952_272,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 5Fr. 4.0 Jr,28.07,10.95,,,0
CDM,SUP104952_A9999_272,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 5Fr. 4.0 Jr,39.33,15.34,,,0
CDM,SUP104953_272,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 5Fr. Angld Pigtail,32.6,12.71,,,0
CDM,SUP104953_A4649_272,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 5Fr. Angld Pigtail,12.42,4.84,,,0
CDM,SUP104953_A9999_272,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 5Fr. Angld Pigtail,39.33,15.34,,,0
CDM,SUP104954,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 5Fr. Strgh Pigtail,39.33,15.34,,,0
CDM,SUP104955,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 5Fr. 1.0 Al,31.42,12.25,,,0
CDM,SUP104956,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 5Fr. Ima,31.45,12.27,,,0
CDM,SUP104957,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 5Fr. Ar Mod,30.36,11.84,,,0
CDM,SUP104958_272,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 5Fr. 3Drc,36.34,14.17,,,0
CDM,SUP104958_A9999_272,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 5Fr. 3Drc,39.33,15.34,,,0
CDM,SUP10498,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .018In 4Mm 200Mm 150Mm,1395.18,544.12,,,0
CDM,SUP104981,Noncdm Charge Record Medical Supplies - Catheter Coude Tip 18Fr-30Cc,46.58,18.17,,,0
CDM,SUP104991_272,Noncdm Charge Record Medical Supplies - Syringe Epidural Luer Slip Pla,7.24,2.82,,,0
CDM,SUP104991_A4649_272,Noncdm Charge Record Medical Supplies - Syringe Epidural Luer Slip Pla,7.24,2.82,,,0
CDM,SUP104995,Noncdm Charge Record Medical Supplies - Mesh Symbotex Skirt 30 X 20 C Composite,6397.34,2494.96,,,0
CDM,SUP104997,Noncdm Charge Record Medical Supplies - Mesh Parietene 15X8Cm Macroporous Mesh Polypropylene,173.88,67.81,,,0
CDM,SUP104998,Noncdm Charge Record Medical Supplies - Mesh Pp Macro 30X30Cm,511.5,199.48,,,0
CDM,SUP1049_272,Noncdm Charge Record Medical Supplies - Needle Sut Half Circ R Pt,34.16,13.32,,,0
CDM,SUP1049_A9999_272,Noncdm Charge Record Medical Supplies - Needle Sut Half Circ R Pt,34.16,13.32,,,0
CDM,SUP105005,Noncdm Charge Record Medical Supplies - Bone Matrix Trinity 1.2Cc Trinity Elite,2148.66,837.98,,,0
CDM,SUP105006,Noncdm Charge Record Medical Supplies - Bone Matrix Trinity 5.3Cc Trinity Elite,8458.94,3298.99,,,0
CDM,SUP105007,Noncdm Charge Record Medical Supplies - Bone Matrix Trinity 10.6Cc Trinity Elite,16433.73,6409.15,,,0
CDM,SUP105062,Noncdm Charge Record Medical Supplies - Sheath Introducer 038In 5F70Cm,317.86,123.97,,,0
CDM,SUP105081,Noncdm Charge Record Medical Supplies - Spacer Rise 12X30Mm 10 17Mm 15Deg Spine,21750.52,8482.7,,,0
CDM,SUP105082,Noncdm Charge Record Medical Supplies - Wire Salvation Olive 2Mm,1418.08,553.05,,,0
CDM,SUP105083,Noncdm Charge Record Medical Supplies - Wire Salvation Smooth 2Mm,1068.96,416.89,,,0
CDM,SUP105086,Noncdm Charge Record Medical Supplies - Bolt 20Mm,241.67,94.25,,,0
CDM,SUP105087,Noncdm Charge Record Medical Supplies,639.11,249.25,,,0
CDM,SUP105088,Noncdm Charge Record Medical Supplies,649.98,253.49,,,0
CDM,SUP105090,Noncdm Charge Record Medical Supplies - Wire Tall Post Salvation,1683.94,656.74,,,0
CDM,SUP105093,Noncdm Charge Record Medical Supplies,1639.96,639.58,,,0
CDM,SUP10512,Noncdm Charge Record Medical Supplies - Component Venous Oflw,11600.28,4524.11,,,0
CDM,SUP10513,Noncdm Charge Record Medical Supplies - Component Art Graft,5316.8,2073.55,,,0
CDM,SUP10514,Noncdm Charge Record Medical Supplies,1746.04,680.96,,,0
CDM,SUP10515,Noncdm Charge Record Medical Supplies - Catheter Drain 12Fr 40Cm Mclc,458.53,178.83,,,0
CDM,SUP1051_272,Noncdm Charge Record Medical Supplies - Cellulose Oxd 3X2In Abs Hemost Agent Flx,172.85,67.41,,,0
CDM,SUP1051_A4649_272,Noncdm Charge Record Medical Supplies - Cellulose Oxd 3X2In Abs Hemost Agent Flx,172.84,67.41,,,0
CDM,SUP105231,Noncdm Charge Record Medical Supplies - Drill Spine Guide,245.3,95.67,,,0
CDM,SUP105232,Noncdm Charge Record Medical Supplies - Rod Curved 3.5Mmx30Mm Ti,805.75,314.24,,,0
CDM,SUP105233,Noncdm Charge Record Medical Supplies - Cap Screw Locking,268.63,104.77,,,0
CDM,SUP105235,Noncdm Charge Record Medical Supplies - Screw 6.5M Serrato Polyaxial,4108.44,1602.29,,,0
CDM,SUP105251,Noncdm Charge Record Medical Supplies,420.21,163.88,,,0
CDM,SUP105255,Noncdm Charge Record Medical Supplies - Ligator With Bands,349.18,136.18,,,0
CDM,SUP105312_272,Noncdm Charge Record Medical Supplies - Loop Esg Medium 12Inch Plasma Electrode,2427.09,946.57,,,0
CDM,SUP105312_A4649_272,Noncdm Charge Record Medical Supplies - Loop Esg Medium 12Inch Plasma Electrode,2427.07,946.56,,,0
CDM,SUP105312_A9999_272,Noncdm Charge Record Medical Supplies,2427.07,946.56,,,0
CDM,SUP105313_272,Noncdm Charge Record Medical Supplies - Loop Esg Medium 30Inch Plasma Electrode,2427.11,946.57,,,0
CDM,SUP105313_A4649_272,Noncdm Charge Record Medical Supplies - Loop Esg Medium 30Inch Plasma Electrode,2427.07,946.56,,,0
CDM,SUP105313_A9999_272,Noncdm Charge Record Medical Supplies - Loop Esg Medium 30Inch Plasma Electrode,2427.07,946.56,,,0
CDM,SUP105314_272,Noncdm Charge Record Medical Supplies - Plasmabutton Esg Electrode,2286.32,891.66,,,0
CDM,SUP105314_A4649_272,Noncdm Charge Record Medical Supplies,2286.32,891.66,,,0
CDM,SUP105314_A9999_272,Noncdm Charge Record Medical Supplies - Plasmabutton Esg Electrode,2286.32,891.66,,,0
CDM,SUP105341,Noncdm Charge Record Medical Supplies - Suture Barbed Non-Absorbable Vloc Pbt 2.0 6 V20 Bl,112.01,43.68,,,0
CDM,SUP105353,Noncdm Charge Record Medical Supplies - Burr Surg 3.2Mm High Speed Septoplasty,1621.84,632.52,,,0
CDM,SUP105427,Noncdm Charge Record Medical Supplies - Clip Marker Ultra Tissue,333.27,129.98,,,0
CDM,SUP105500,Noncdm Charge Record Medical Supplies - Needle 23Ga Injection Crlk,245.24,95.64,,,0
CDM,SUP105525,Noncdm Charge Record Medical Supplies - Dressing Sorbaview Shld 3.75X4 Nano,17.44,6.8,,,0
CDM,SUP105536,Noncdm Charge Record Medical Supplies - Cage Leva 12Mm-25(L) X1 Lordotic,21750.52,8482.7,,,0
CDM,SUP105548,Noncdm Charge Record Medical Supplies - Loop Vessel Yellow Maxi W2.5Mm,5.18,2.02,,,0
CDM,SUP10556,Noncdm Charge Record Medical Supplies,1461.42,569.95,,,0
CDM,SUP105654,Noncdm Charge Record Medical Supplies - Screw 8.5X80Mm Ballast,6829.62,2663.55,,,0
CDM,SUP105698,Noncdm Charge Record Medical Supplies - Cath Launcher 8Fr 100Cm Sr3,186.3,72.66,,,0
CDM,SUP10581,Noncdm Charge Record Medical Supplies - Wedge Tib 5Mm Legion 5-6 Dist,5800.14,2262.05,,,0
CDM,SUP10582,Noncdm Charge Record Medical Supplies - Wedge Tib 5Mm Legion 5 Dist,6283.48,2450.56,,,0
CDM,SUP10584,Noncdm Charge Record Medical Supplies - Baseplate Tib Legion 4Lt Knee,13364.96,5212.33,,,0
CDM,SUP105846,Noncdm Charge Record Medical Supplies - Head Okinium 22Mm Od 12-14 Taper Ball,9038.66,3525.08,,,0
CDM,SUP105848,Noncdm Charge Record Medical Supplies - Screw Self Drill 1.5X3Mm,428.2,167.0,,,0
CDM,SUP105849,Noncdm Charge Record Medical Supplies - Plate Activ L Inf S1 Size M 5In Spikes,22556.44,8797.01,,,0
CDM,SUP105850,Noncdm Charge Record Medical Supplies - Plate Activ L Sup Size M 6In Spikes,22354.96,8718.43,,,0
CDM,SUP105851,Noncdm Charge Record Medical Supplies - Plate Inlay Activ L 8.5Mm,3079.47,1200.99,,,0
CDM,SUP10587,Noncdm Charge Record Medical Supplies - Nail Comp Ankle Ti 11Cmx200Cm,10015.0,3905.85,,,0
CDM,SUP10592,Noncdm Charge Record Medical Supplies - Screw 5-64Mm Nail Ex Lck Strl Fem-Tib Ti,922.18,359.65,,,0
CDM,SUP1059_272,Noncdm Charge Record Medical Supplies - Drain Flat 7Mm Bard,21.78,8.49,,,0
CDM,SUP1059_A4649_272,Noncdm Charge Record Medical Supplies - Drain Flat 7Mm Bard,21.74,8.48,,,0
CDM,SUP106008,Noncdm Charge Record Medical Supplies - Needle Biopsy Temno 20G X 11C Cm Green Disp,164.56,64.18,,,0
CDM,SUP106009_272,Noncdm Charge Record Medical Supplies - Stylus Vivear Arc,8156.84,3181.17,,,0
CDM,SUP106009_C1886_272,Noncdm Charge Record Medical Supplies - Stylus Vivear Arc,8156.84,3181.17,,,0
CDM,SUP106053,Noncdm Charge Record Medical Supplies - Mesh Parietene 11X6Cm Macro Keyhole Pp,344.66,134.42,,,0
CDM,SUP106054,Noncdm Charge Record Medical Supplies - Mesh Parietene 15X7.5Cm Macro Keyhole Pp,400.54,156.21,,,0
CDM,SUP1060_272,Noncdm Charge Record Medical Supplies - Drain Flat 10Mm Bard,21.82,8.51,,,0
CDM,SUP1060_A4649_272,Noncdm Charge Record Medical Supplies - Drain Flat 10Mm Bard,21.74,8.48,,,0
CDM,SUP106136,Noncdm Charge Record Medical Supplies - Myosure Tissue Removal 50-501Xl,5221.58,2036.42,,,0
CDM,SUP106137_272,Noncdm Charge Record Medical Supplies - Device Tissue Removal Myosure 30-401Lite,3009.78,1173.81,,,0
CDM,SUP106137_A4649_272,Noncdm Charge Record Medical Supplies - Device Tissue Removal Myosure 30-401Lite,3009.78,1173.81,,,0
CDM,SUP106137_A9999_272,Noncdm Charge Record Medical Supplies - Device Tissue Removal Myosure 30-401Lite,3009.78,1173.81,,,0
CDM,SUP106138_272,Noncdm Charge Record Medical Supplies - Myosure Reach 1Ea-Bx,5221.58,2036.42,,,0
CDM,SUP106138_A4649_272,Noncdm Charge Record Medical Supplies - Myosure Reach 1Ea-Bx,5221.58,2036.42,,,0
CDM,SUP106138_A9999_272,Noncdm Charge Record Medical Supplies - Myosure Reach 1Ea-Bx,5221.58,2036.42,,,0
CDM,SUP106231,Noncdm Charge Record Medical Supplies - Catheter Diagnostic 5Fr 3.5 Ultra 100Cm,91.08,35.52,,,0
CDM,SUP106232_272,Noncdm Charge Record Medical Supplies - Catheter Diagnostic 5Fr 4.0 Ultra 100Cm,105.75,41.24,,,0
CDM,SUP106232_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Diagnostic 5Fr 4.0 Ultra 100Cm,79.9,31.16,,,0
CDM,SUP106232_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Diagnostic 5Fr 4.0 Ultra 100Cm,146.97,57.32,,,0
CDM,SUP106233_272,Noncdm Charge Record Medical Supplies - Catheter Diagnostic 6Fr 4.0 Ultra 100Cm,154.45,60.24,,,0
CDM,SUP106233_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Diagnostic 6Fr 4.0 Ultra 100Cm,151.75,59.18,,,0
CDM,SUP106233_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Diagnostic 6Fr 4.0 Ultra 100Cm,146.97,57.32,,,0
CDM,SUP106234,Noncdm Charge Record Medical Supplies - Catheter Diagnostic 6Fr 3.5 Ultra 100Cm,91.08,35.52,,,0
CDM,SUP106235,Noncdm Charge Record Medical Supplies - Catheter Diagnostic 5Fr 4.5 Ultra 100Cm,103.98,40.55,,,0
CDM,SUP106236,Noncdm Charge Record Medical Supplies - Catheter Diagnostic 6Fr 4.5 Ultra 100Cm,115.53,45.06,,,0
CDM,SUP106237,Noncdm Charge Record Medical Supplies - Catheter Diagnostic 5Fr 100Cm Mpa,33.35,13.01,,,0
CDM,SUP106238,Noncdm Charge Record Medical Supplies - Catheter Diagnostic 6Fr 100Cm Mpa,34.08,13.29,,,0
CDM,SUP106239,Noncdm Charge Record Medical Supplies - Catheter Diagnostic 5Fr Jr 3.5 100Cm,39.33,15.34,,,0
CDM,SUP10626,Noncdm Charge Record Medical Supplies - Valve Hv Lumb Sys Yellow Tall Children Adlt,7248.1,2826.76,,,0
CDM,SUP10628_272,Noncdm Charge Record Medical Supplies - Bag Drain Cysto Dornier Medical,62.38,24.33,,,0
CDM,SUP10628_A4649_272,Noncdm Charge Record Medical Supplies - Bag Drain Cysto Dornier Medical,63.55,24.78,,,0
CDM,SUP10628_A9999_272,Noncdm Charge Record Medical Supplies - Bag Drain Cysto Dornier Medical,61.06,23.81,,,0
CDM,SUP10629,Noncdm Charge Record Medical Supplies - Bolt Wire Slot Mri Safe Ext Fix,309.05,120.53,,,0
CDM,SUP106301,Noncdm Charge Record Medical Supplies - Kit Pnmthrx 10.2F 29Cm 18G Troc Ndl,880.61,343.44,,,0
CDM,SUP106341_C1874_278,Noncdm Charge Record Medical Supplies - Stent Eluvia 6Mmx60Mmx130Cm,11093.13,4326.32,,,0
CDM,SUP106341_L8699_278,Noncdm Charge Record Medical Supplies - Stent Eluvia 6Mmx60Mmx130Cm,11093.13,4326.32,,,0
CDM,SUP106342,Noncdm Charge Record Medical Supplies - Stent Eluvia 6Mmx80Mmx130Cm,11044.48,4307.35,,,0
CDM,SUP106351,Noncdm Charge Record Medical Supplies - Stent Vasc 035In 6F 7Mmx40Mm 130Cm,13993.1,5457.31,,,0
CDM,SUP106352,Noncdm Charge Record Medical Supplies - Stent Vasc 035In 6F 7Mmx60Mm 130Cm,11093.13,4326.32,,,0
CDM,SUP106353,Noncdm Charge Record Medical Supplies - Stent Eluvia 7Mmx80Mmx130Cm,12543.16,4891.83,,,0
CDM,SUP106369,Noncdm Charge Record Medical Supplies - Catheter Tacticath Contact Force Ablation Df,13668.21,5330.6,,,0
CDM,SUP106370,Noncdm Charge Record Medical Supplies - Catheter Tacticath Contact Force Ablation Ff,13668.21,5330.6,,,0
CDM,SUP106371,Noncdm Charge Record Medical Supplies - Catheter Tacticath Contact Force Ablation Fj,13668.21,5330.6,,,0
CDM,SUP10641,Noncdm Charge Record Medical Supplies - Kit Artho Fx 2.9Mm Juggerknot,1953.04,761.69,,,0
CDM,SUP10642,Noncdm Charge Record Medical Supplies - Kit Orth Kphpk Xpndr 2Nd Fx 15 Try 15 3,13382.55,5219.19,,,0
CDM,SUP106467,Noncdm Charge Record Medical Supplies - Guidewire Hybrid .007Inch Straigh,2733.44,1066.04,,,0
CDM,SUP106468,Noncdm Charge Record Medical Supplies - Guidewire Hybrid .007Inch Double Angle Tip,2865.92,1117.71,,,0
CDM,SUP106469,Noncdm Charge Record Medical Supplies - Guidewire Hybrid .008Inch Straigh,2733.57,1066.09,,,0
CDM,SUP106470,Noncdm Charge Record Medical Supplies - Guidewire Hybrid .008Inch Double Angle Tip,2865.92,1117.71,,,0
CDM,SUP106471,Noncdm Charge Record Medical Supplies - Guidewire Hybrid .012-.014Inch Straight Tip,2203.52,859.37,,,0
CDM,SUP106472,Noncdm Charge Record Medical Supplies - Guidewire Hybrid .012-.014Inch Double Angle Tip,2325.63,907.0,,,0
CDM,SUP106485,Noncdm Charge Record Medical Supplies - Stent Entrust 6-60-120,3383.42,1319.53,,,0
CDM,SUP106487,Noncdm Charge Record Medical Supplies - Cath F4 Inf Mp A2 80Cm 2Sh,48.64,18.97,,,0
CDM,SUP106499,Noncdm Charge Record Medical Supplies - See 138532 Stapler Circular Medium 28Mm T T,1429.34,557.44,,,0
CDM,SUP106558,Noncdm Charge Record Medical Supplies - Introducer Sys Accustick Ii,312.73,121.96,,,0
CDM,SUP106561,Noncdm Charge Record Medical Supplies - Guidewre Amplatz 75Cm .035,123.32,48.09,,,0
CDM,SUP106562_272,Noncdm Charge Record Medical Supplies - Set Micropuncture,180.61,70.44,,,0
CDM,SUP106562_C1894_272,Noncdm Charge Record Medical Supplies - Set Micropuncture,177.45,69.21,,,0
CDM,SUP10658,Noncdm Charge Record Medical Supplies - Plate Lng 200Mm Ss 3.5Mm Screw 8 Hl Lcp Strl,7700.4,3003.16,,,0
CDM,SUP1065_272,Noncdm Charge Record Medical Supplies - Cautery Hi Temp Fn Tip Disp,61.99,24.18,,,0
CDM,SUP1065_A4649_272,Noncdm Charge Record Medical Supplies - Cautery Hi Temp Fn Tip Disp,62.1,24.22,,,0
CDM,SUP1066,Noncdm Charge Record Medical Supplies - Splint Orth Sm 11In Rt Wr,35.19,13.72,,,0
CDM,SUP10663,Noncdm Charge Record Medical Supplies - Rod Cocr 40Mm Crv,1128.15,439.98,,,0
CDM,SUP106632,Noncdm Charge Record Medical Supplies - Implant Plate Neuro 2 Hole 1. .5Mm Long,354.49,138.25,,,0
CDM,SUP106634,Noncdm Charge Record Medical Supplies - Cannister Info Vac 1000Ml,267.03,104.14,,,0
CDM,SUP106636,Noncdm Charge Record Medical Supplies - Insert Ps Tib X3 3 19Mm Trthln,8393.85,3273.6,,,0
CDM,SUP10664,Noncdm Charge Record Medical Supplies - Rod Cocr 90Mm Crv,1128.15,439.98,,,0
CDM,SUP106640,Noncdm Charge Record Medical Supplies - Insert Cs X3 Triathlon Sz4 9Mm Tibial Bearing,8851.32,3452.01,,,0
CDM,SUP106643,Noncdm Charge Record Medical Supplies - Insert Ps Tib X3 5 19Mm Trthln,3383.42,1319.53,,,0
CDM,SUP106648,Noncdm Charge Record Medical Supplies - Insert Cr Tib X3 3 9Mm Trthln,8393.85,3273.6,,,0
CDM,SUP10665,Noncdm Charge Record Medical Supplies - Screw Bn 5.5Mm 40Mm Cocr,4108.48,1602.31,,,0
CDM,SUP106651,Noncdm Charge Record Medical Supplies - Insert Cr Tib X3 7 9Mm Trthln,8393.85,3273.6,,,0
CDM,SUP106659,Noncdm Charge Record Medical Supplies,8393.85,3273.6,,,0
CDM,SUP10666,Noncdm Charge Record Medical Supplies - Screw Bn 5.5Mm 45Mm Cocr,4108.48,1602.31,,,0
CDM,SUP106660,Noncdm Charge Record Medical Supplies - Insert Ps Tib X3 5 9Mm Trthln,3383.42,1319.53,,,0
CDM,SUP106663,Noncdm Charge Record Medical Supplies,8393.85,3273.6,,,0
CDM,SUP106665,Noncdm Charge Record Medical Supplies - Insert Ps Tib X3 6 16Mm Trthln,8393.85,3273.6,,,0
CDM,SUP106669,Noncdm Charge Record Medical Supplies - Patella Asmym X3 A32Mm 10Mm Trthln,3839.85,1497.54,,,0
CDM,SUP10667,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 35Mm Cocr,4108.57,1602.34,,,0
CDM,SUP106675,Noncdm Charge Record Medical Supplies - Insert Tib 5 11Mm Knee X3 Post Stab Trthln,3383.42,1319.53,,,0
CDM,SUP106676,Noncdm Charge Record Medical Supplies,8393.85,3273.6,,,0
CDM,SUP106680,Noncdm Charge Record Medical Supplies - Component Patell 9Mm 29Mm Asym Trthln X3 T-K,4161.73,1623.07,,,0
CDM,SUP106681,Noncdm Charge Record Medical Supplies,8851.32,3452.01,,,0
CDM,SUP106682,Noncdm Charge Record Medical Supplies - Component + Patell 10Mm Sza35 Asym Trthln X3,3839.85,1497.54,,,0
CDM,SUP106685,Noncdm Charge Record Medical Supplies - Insert Tib 7 9Mm Knee X3 Post Stab Trthln,8393.85,3273.6,,,0
CDM,SUP10671,Noncdm Charge Record Medical Supplies - Plate Bn 37Mm Atl Vsn Elt Cerv,3625.6,1413.98,,,0
CDM,SUP106721,Noncdm Charge Record Medical Supplies - Graft Amniofix 4Cm X 4Cm,6990.8,2726.41,,,0
CDM,SUP10674,Noncdm Charge Record Medical Supplies - Post Otrgr 11Mm Strt,457.93,178.59,,,0
CDM,SUP10675,Noncdm Charge Record Medical Supplies - Plate 4.5Mm Condy 8H Va Crv Crv Lt Strl Lcp,8913.42,3476.23,,,0
CDM,SUP10676,Noncdm Charge Record Medical Supplies - Screw Ti 3Mm Cranmf Self Drill,318.6,124.25,,,0
CDM,SUP10677,Noncdm Charge Record Medical Supplies - Sleeve Centering 6Mm Lng,1241.0,483.99,,,0
CDM,SUP10678,Noncdm Charge Record Medical Supplies - Cube 2Hl Rnch W Posts,1958.78,763.92,,,0
CDM,SUP10679,Noncdm Charge Record Medical Supplies - Plate 1.5Mm 2X2Hl Dcp Matrix,3232.3,1260.6,,,0
CDM,SUP1067_270,Noncdm Charge Record Medical Supplies - See 47600 Adaptor Fiberoptic Bronchoscope Swivelsmiths Medic,19.66,7.67,,,0
CDM,SUP1067_A4649_270,Noncdm Charge Record Medical Supplies - See 47600 Adaptor Fiberoptic Bronchoscope Swivelsmiths Medic,19.66,7.67,,,0
CDM,SUP10680,Noncdm Charge Record Medical Supplies - Clip Half Pin Disc 4-6Mm Orng,56.23,21.93,,,0
CDM,SUP10682,Noncdm Charge Record Medical Supplies - Guidewire Mrk Spring Tip 210Cm,367.42,143.29,,,0
CDM,SUP106822,Noncdm Charge Record Medical Supplies - Lead Tachy Reliance 4 Front Active Fixation Coil 59Cm,12083.62,4712.61,,,0
CDM,SUP106823,Noncdm Charge Record Medical Supplies - Lead Tachy Endotak Reliance 4 Front Active Fixation Coil 6,12083.62,4712.61,,,0
CDM,SUP106836,Noncdm Charge Record Medical Supplies - Delivery System S-Icd Electrode,4409.1,1719.55,,,0
CDM,SUP10689,Noncdm Charge Record Medical Supplies,4422.56,1724.8,,,0
CDM,SUP10693,Noncdm Charge Record Medical Supplies - Baseplate Tib Legion 5 Rt Knee,13364.96,5212.33,,,0
CDM,SUP10697,Noncdm Charge Record Medical Supplies - Cannister Fat Hrvt Aquavage,856.98,334.22,,,0
CDM,SUP10698,Noncdm Charge Record Medical Supplies - Screw Bn Lock Va St 5X44Mm,830.07,323.73,,,0
CDM,SUP10699,Noncdm Charge Record Medical Supplies - Screw Bn Lock Lck Va St 5X80Mm,829.68,323.58,,,0
CDM,SUP1070,Noncdm Charge Record Medical Supplies,3866.76,1508.04,,,0
CDM,SUP10701,Noncdm Charge Record Medical Supplies - Stent Bil 9Mm 40Mm 80Cm .035In,4422.56,1724.8,,,0
CDM,SUP10706,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 55Mm Cocr,4108.5,1602.32,,,0
CDM,SUP10707,Noncdm Charge Record Medical Supplies - Screw Bn 7.5Mm 40Mm Cocr,4108.51,1602.32,,,0
CDM,SUP10708,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 60Mm Cocr,4108.58,1602.35,,,0
CDM,SUP10710,Noncdm Charge Record Medical Supplies - Cup Acetab 56Mm Pncl Lpc Rev Gription,9126.63,3559.39,,,0
CDM,SUP10711,Noncdm Charge Record Medical Supplies - Rod Cocr 60Mm Crv,1128.15,439.98,,,0
CDM,SUP10716,Noncdm Charge Record Medical Supplies - Rod Reamer 1150Mm 2.5Mm Ball Tip Strl,639.63,249.46,,,0
CDM,SUP107165,Noncdm Charge Record Medical Supplies - Loop Long Medium Wa22737S Olyp,2427.07,946.56,,,0
CDM,SUP107166,Noncdm Charge Record Medical Supplies - Button Long Wa227415 Olyp,2529.54,986.52,,,0
CDM,SUP107235,Noncdm Charge Record Medical Supplies - Versatex Mono 15X10Cm X3,421.24,164.28,,,0
CDM,SUP107247,Noncdm Charge Record Medical Supplies - Cath Navicross 0.035X135Cm Straight,893.58,348.5,,,0
CDM,SUP107248,Noncdm Charge Record Medical Supplies - Cath Navicross 0.035X135Cm Ang,930.26,362.8,,,0
CDM,SUP10728,Noncdm Charge Record Medical Supplies - Screw 5-50Mm Nail Ex Ti Strl Ft Fem-Tib,1756.4,685.0,,,0
CDM,SUP10729,Noncdm Charge Record Medical Supplies - Screw 5-36Mm Nail Ex Ti Strl Ft Fem-Tib,941.59,367.22,,,0
CDM,SUP10730,Noncdm Charge Record Medical Supplies - Screw 5-40Mm Nail Ex Ti Strl Ft Fem-Tib,931.89,363.44,,,0
CDM,SUP10732,Noncdm Charge Record Medical Supplies - Component Fem 5 Knee Cnstrn,33435.68,13039.92,,,0
CDM,SUP10733,Noncdm Charge Record Medical Supplies - Insert Gnss 2 Cnstrn Art,10633.59,4147.1,,,0
CDM,SUP10734_272,Noncdm Charge Record Medical Supplies - Drain Penrose .25In 18In Latex Free Medline,10.35,4.04,,,0
CDM,SUP10734_A4649_272,Noncdm Charge Record Medical Supplies - Drain Penrose .25In 18In Latex Free Medline,10.35,4.04,,,0
CDM,SUP10734_A9999_272,Noncdm Charge Record Medical Supplies - Drain Penrose .25In 18In Latex Free Medline,10.35,4.04,,,0
CDM,SUP10735,Noncdm Charge Record Medical Supplies - Drain Penrose .5In 18In Latex Free Medline,13.49,5.26,,,0
CDM,SUP107359,Noncdm Charge Record Medical Supplies - Catheter Visions Pv 0.014P Rx Digital I,3207.65,1250.98,,,0
CDM,SUP107360,Noncdm Charge Record Medical Supplies - Catheter Visions Pv 0.018 Digital Ivus,3747.74,1461.62,,,0
CDM,SUP107379,Noncdm Charge Record Medical Supplies - Catheter Nephrostomy 30 Fr L17,1303.97,508.55,,,0
CDM,SUP107444,Noncdm Charge Record Medical Supplies - Catheter Balloon Sterling Sl 2 .5-150,991.53,386.7,,,0
CDM,SUP107446_C1894_272,Noncdm Charge Record Medical Supplies - Sheath Pn Dstn 45 Cm Sh,401.58,156.62,,,0
CDM,SUP10747,Noncdm Charge Record Medical Supplies - Substitute Bn Graft 1Cmx5Cm Magnifuse Pc Grftn,4948.34,1929.85,,,0
CDM,SUP107474_272,Noncdm Charge Record Medical Supplies - Jl4 125Cm,145.94,56.92,,,0
CDM,SUP107474_A4649_272,Noncdm Charge Record Medical Supplies - Jl4 125Cm,63.14,24.62,,,0
CDM,SUP10748,Noncdm Charge Record Medical Supplies - Substitute Bn Graft 1Cmx10Cm,8168.22,3185.61,,,0
CDM,SUP10749,Noncdm Charge Record Medical Supplies - Substitute Bn Graft 1Cmx20Cm Magnifuse Sd Grftn,13658.9,5326.97,,,0
CDM,SUP107539_272,Noncdm Charge Record Medical Supplies - Dressing Foam Mepilex 8Inchx8Inch,44.5,17.36,,,0
CDM,SUP107539_A9999_272,Noncdm Charge Record Medical Supplies - Dressing Foam Mepilex 8Inchx8Inch,44.39,17.31,,,0
CDM,SUP107559,Noncdm Charge Record Medical Supplies - Versa-Kath 21 Gauge X 12 Radio-Opaque Epidural Catheter,380.88,148.54,,,0
CDM,SUP107681,Noncdm Charge Record Medical Supplies - Cath 4Fr Inf Ar Ii Mod,48.64,18.97,,,0
CDM,SUP107719,Noncdm Charge Record Medical Supplies - Sheath Endo Scrub 45 Degree 4 4Mm For Storz Disp,376.82,146.96,,,0
CDM,SUP107742,Noncdm Charge Record Medical Supplies,13332.87,5199.82,,,0
CDM,SUP10776,Noncdm Charge Record Medical Supplies - Component Fem 5 Rt Ts Femur,25052.18,9770.35,,,0
CDM,SUP107764,Noncdm Charge Record Medical Supplies - 7.0 Suction Above The Cuff Trachea,96.26,37.54,,,0
CDM,SUP107766,Noncdm Charge Record Medical Supplies - Catheter Diagnostic 6Fr Amplatz Right Dxterity,138.84,54.15,,,0
CDM,SUP107767,Noncdm Charge Record Medical Supplies - Envelope Cmrm6122 Absorb Med Tyrx,4326.29,1687.25,,,0
CDM,SUP107784_Q4160_278,Noncdm Charge Record Medical Supplies - Nushield 4X6Cm,9207.36,3590.87,,,0
CDM,SUP10785,Noncdm Charge Record Medical Supplies - Blade Explant Truncated 56Mm,2380.5,928.4,,,0
CDM,SUP10786,Noncdm Charge Record Medical Supplies,2380.5,928.4,,,0
CDM,SUP107891,Noncdm Charge Record Medical Supplies - Glidesheath Slender 4-5,330.18,128.77,,,0
CDM,SUP107892,Noncdm Charge Record Medical Supplies - R2P Destination Slender Sheath,1390.0,542.1,,,0
CDM,SUP107897,Noncdm Charge Record Medical Supplies - R2P Glidewire 400Cm,389.16,151.77,,,0
CDM,SUP10798,Noncdm Charge Record Medical Supplies - Needle Bx Bn Jamshidi 8 Ga,489.56,190.93,,,0
CDM,SUP1079_272,Noncdm Charge Record Medical Supplies - See 143811 Canister Suction 1.5L Rigid Deroyal,12.38,4.83,,,0
CDM,SUP1079_A4649_272,Noncdm Charge Record Medical Supplies - See 143811 Canister Suction 1.5L Rigid Deroyal,12.37,4.82,,,0
CDM,SUP1079_A9999_272,Noncdm Charge Record Medical Supplies - See 143811 Canister Suction 1.5L Rigid Deroyal,12.38,4.83,,,0
CDM,SUP1079_L8699_272,Noncdm Charge Record Medical Supplies,12.42,4.84,,,0
CDM,SUP10802,Noncdm Charge Record Medical Supplies - Anchor Suture Osteoraptor 2.3 With One Ultrabraid #2 Smith A,1977.88,771.37,,,0
CDM,SUP10803,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 50Mm Cocr,4108.5,1602.32,,,0
CDM,SUP10806,Noncdm Charge Record Medical Supplies,11904.57,4642.78,,,0
CDM,SUP108060,Noncdm Charge Record Medical Supplies - Cart Prec Falcon Oscillating Tip Saw 19.5Mmx105.0Mmx1.28Mm,1724.68,672.63,,,0
CDM,SUP108077_C1889_278,Noncdm Charge Record Medical Supplies - Device Embolization Pipeline Flex 4.50Mmx18Mm,56382.66,21989.24,,,0
CDM,SUP108077_C2625_278,Noncdm Charge Record Medical Supplies - Device Embolization Pipeline Flex 4.50Mmx18Mm,56382.66,21989.24,,,0
CDM,SUP108092,Noncdm Charge Record Medical Supplies - Eavey Easy Ear Wrap,13.46,5.25,,,0
CDM,SUP108116,Noncdm Charge Record Medical Supplies,1299.96,506.98,,,0
CDM,SUP10814,Noncdm Charge Record Medical Supplies - Screw Bn Cannula 85Mm 5Mm,1117.8,435.94,,,0
CDM,SUP108155,Noncdm Charge Record Medical Supplies - Catheter Arctic Front Pro Advance 28Mm,19400.04,7566.02,,,0
CDM,SUP10819_272,Noncdm Charge Record Medical Supplies - Snare Cptvtr 240Cm 2.4Mm 27Mm,159.39,62.16,,,0
CDM,SUP10819_A4649_272,Noncdm Charge Record Medical Supplies - Snare Cptvtr 240Cm 2.4Mm 27Mm,159.39,62.16,,,0
CDM,SUP10819_A9999_272,Noncdm Charge Record Medical Supplies - Snare Cptvtr 240Cm 2.4Mm 27Mm,159.39,62.16,,,0
CDM,SUP10821_272,Noncdm Charge Record Medical Supplies - Forceps Rad Jaw 4 240Cm 2.4Mm,142.83,55.7,,,0
CDM,SUP10821_A4649_272,Noncdm Charge Record Medical Supplies - Forceps Rad Jaw 4 240Cm 2.4Mm,142.83,55.7,,,0
CDM,SUP10821_A9999_272,Noncdm Charge Record Medical Supplies - Forceps Rad Jaw 4 240Cm 2.4Mm,142.83,55.7,,,0
CDM,SUP10822,Noncdm Charge Record Medical Supplies - Needle Sclrtx Intjct 25Ga,283.59,110.6,,,0
CDM,SUP108230_272,Noncdm Charge Record Medical Supplies - S4153108Bdp - Ethicon - Biopatch,822.82,320.9,,,0
CDM,SUP108230_C1751_272,Noncdm Charge Record Medical Supplies - S4153108Bdp - Ethicon - Biopatch,822.82,320.9,,,0
CDM,SUP10824_272,Noncdm Charge Record Medical Supplies - Forceps Surg Radial Jaw 4,238.04,92.84,,,0
CDM,SUP10824_A4649_272,Noncdm Charge Record Medical Supplies - Forceps Surg Radial Jaw 4,238.05,92.84,,,0
CDM,SUP10824_A9999_272,Noncdm Charge Record Medical Supplies - Forceps Surg Radial Jaw 4,238.05,92.84,,,0
CDM,SUP10825_272,Noncdm Charge Record Medical Supplies - Device Infl Encore 26,430.56,167.92,,,0
CDM,SUP10825_A4649_272,Noncdm Charge Record Medical Supplies - Device Infl Encore 26,430.56,167.92,,,0
CDM,SUP10829_272,Noncdm Charge Record Medical Supplies - Brush Cytology 150Cm 2.0Mm X 1.9Mm Boston Scientific,88.96,34.69,,,0
CDM,SUP10829_A9999_272,Noncdm Charge Record Medical Supplies - Brush Cytology 150Cm 2.0Mm X 1.9Mm Boston Scientific,89.01,34.71,,,0
CDM,SUP1083,Noncdm Charge Record Medical Supplies - See 36854 Dressing Trans 10X5.5In,7.07,2.76,,,0
CDM,SUP108311,Noncdm Charge Record Medical Supplies - See 138533 Cir Stpl Tri Eea 31Mt Medthk W T,1429.34,557.44,,,0
CDM,SUP108325_272,Noncdm Charge Record Medical Supplies - Introducer Sheath 10Frx25Cm,83.84,32.7,,,0
CDM,SUP108325_C1894_272,Noncdm Charge Record Medical Supplies - Introducer Sheath 10Frx25Cm,83.84,32.7,,,0
CDM,SUP108360_270,Noncdm Charge Record Medical Supplies - Bandage Coban St Non Latex 3In X 5Yd,8.16,3.18,,,0
CDM,SUP108360_A4649_270,Noncdm Charge Record Medical Supplies - Bandage Coban St Non Latex 3In X 5Yd,8.28,3.23,,,0
CDM,SUP108360_A9999_270,Noncdm Charge Record Medical Supplies - Bandage Coban St Non Latex 3In X 5Yd,7.76,3.03,,,0
CDM,SUP108363,Noncdm Charge Record Medical Supplies - Introducer Micropuncture Set Long 5Frx20Cm,185.26,72.25,,,0
CDM,SUP10842,Noncdm Charge Record Medical Supplies - Cap Protector 5Mm Pin Femur Synthes,30.7,11.97,,,0
CDM,SUP108426,Noncdm Charge Record Medical Supplies - Dressing Two Pico 7 10X10,1077.44,420.2,,,0
CDM,SUP108427_272,Noncdm Charge Record Medical Supplies - Dressing Pico 6X6,1077.33,420.16,,,0
CDM,SUP108427_A4649_272,Noncdm Charge Record Medical Supplies - Dressing Pico 6X6,1077.44,420.2,,,0
CDM,SUP108428,Noncdm Charge Record Medical Supplies - Dressing Pico 4X8,1077.35,420.17,,,0
CDM,SUP10844,Noncdm Charge Record Medical Supplies - Screw 5-32Mm Nail Ex Ti Strl Ft Fem-Tib St,931.89,363.44,,,0
CDM,SUP108485,Noncdm Charge Record Medical Supplies - Implant Ponto Bhx 4Mm W-9Mm Ab Utment,27293.21,10644.35,,,0
CDM,SUP108486,Noncdm Charge Record Medical Supplies - Implant Ponto Bhx 4Mm W-12Mm A Butment,23426.4,9136.3,,,0
CDM,SUP108488_272,Noncdm Charge Record Medical Supplies - Punch Biopsy 5Mm,45.54,17.76,,,0
CDM,SUP108488_A4649_272,Noncdm Charge Record Medical Supplies - Punch Biopsy 5Mm,45.54,17.76,,,0
CDM,SUP108490,Noncdm Charge Record Medical Supplies - Allevyn Wound Care,45.54,17.76,,,0
CDM,SUP108491,Noncdm Charge Record Medical Supplies - Kit Ponto Aftercare,74.52,29.06,,,0
CDM,SUP10851,Noncdm Charge Record Medical Supplies - Insert Legion Ps Slpe Hi Flx,8845.11,3449.59,,,0
CDM,SUP108515,Noncdm Charge Record Medical Supplies - Cath Intvasc Us 5F .014X150Cm Shtip,3201.46,1248.57,,,0
CDM,SUP108516,Noncdm Charge Record Medical Supplies - Catheter Angio 5Fr Ar 2.0,195.62,76.29,,,0
CDM,SUP108517,Noncdm Charge Record Medical Supplies - Catheter Angio 5Fr Mpa Sh,195.62,76.29,,,0
CDM,SUP10853,Noncdm Charge Record Medical Supplies - Nail 10Mm 24Cm Troch Intertan Intramed 125D,17059.9,6653.36,,,0
CDM,SUP10861,Noncdm Charge Record Medical Supplies - Screw 2.3Mm 22Mm Dist Rad Wr Radial Cort Wr Hnd,518.95,202.39,,,0
CDM,SUP108627,Noncdm Charge Record Medical Supplies - Marker Strand Gold 3Mm Long 18Ga 20Cm,1235.65,481.9,,,0
CDM,SUP108662_Q4118_278,Noncdm Charge Record Medical Supplies - Micro Matrix 1000Mg,11329.11,4418.35,,,0
CDM,SUP108665,Noncdm Charge Record Medical Supplies - Kit Fiducial Marker 1.0Mm X 3.0Mm,776.59,302.87,,,0
CDM,SUP108666,Noncdm Charge Record Medical Supplies - See 133039 Spacer Oar Hydrogel,12565.94,4900.72,,,0
CDM,SUP10871_272,Noncdm Charge Record Medical Supplies - See 144223 Dressing Aquacel Ag 9Cm 10Cm,102.43,39.95,,,0
CDM,SUP10871_A4649_272,Noncdm Charge Record Medical Supplies - See 144223 Dressing Aquacel Ag 9Cm 10Cm,102.46,39.96,,,0
CDM,SUP10872_272,Noncdm Charge Record Medical Supplies - See 144224 Dressing Aquacel Ag 9Cm 15Cm,124.24,48.45,,,0
CDM,SUP10872_A4649_272,Noncdm Charge Record Medical Supplies - See 144224 Dressing Aquacel Ag 9Cm 15Cm,124.2,48.44,,,0
CDM,SUP10872_A9999_272,Noncdm Charge Record Medical Supplies - See 144224 Dressing Aquacel Ag 9Cm 15Cm,124.2,48.44,,,0
CDM,SUP10873_272,Noncdm Charge Record Medical Supplies - See 144225 Dressing Aquacel 9Cm 25Cm Convatec,155.27,60.56,,,0
CDM,SUP10873_A4649_272,Noncdm Charge Record Medical Supplies - See 144225 Dressing Aquacel 9Cm 25Cm Convatec,155.25,60.55,,,0
CDM,SUP10873_A9999_272,Noncdm Charge Record Medical Supplies - See 144225 Dressing Aquacel 9Cm 25Cm Convatec,155.25,60.55,,,0
CDM,SUP10874_272,Noncdm Charge Record Medical Supplies - See 144227 Dressing Aquacel Ag 9Cm 35Cm,172.89,67.43,,,0
CDM,SUP10874_A4649_272,Noncdm Charge Record Medical Supplies - See 144227 Dressing Aquacel Ag 9Cm 35Cm,172.84,67.41,,,0
CDM,SUP10874_A9999_272,Noncdm Charge Record Medical Supplies - See 144227 Dressing Aquacel Ag 9Cm 35Cm,172.84,67.41,,,0
CDM,SUP10878,Noncdm Charge Record Medical Supplies - Cube 1Hl Rnch W Posts,1756.28,684.95,,,0
CDM,SUP10879,Noncdm Charge Record Medical Supplies - Stem 100Mm 14Mm Gen2 Lng Knee,4120.34,1606.93,,,0
CDM,SUP108813,Noncdm Charge Record Medical Supplies - Shell G7 Osseoti Multihl 48Mm Acetabular,13080.85,5101.53,,,0
CDM,SUP108814,Noncdm Charge Record Medical Supplies - Head Fem 32Mm-3 12-14 Taper Oxnm,9038.66,3525.08,,,0
CDM,SUP108826,Noncdm Charge Record Medical Supplies - Guidewire Ptfe Fixed-Core Ptfe Ss 035In 3Mm Safe-T-J-Tip 145,67.28,26.24,,,0
CDM,SUP108827,Noncdm Charge Record Medical Supplies - Introducer Sheath Flexor Check Flo Raabe Mod W-Rb 038In7F90C,317.74,123.92,,,0
CDM,SUP10884,Noncdm Charge Record Medical Supplies - Button Low Profile 3.4Cm 18Fr Boston Scientific,832.14,324.53,,,0
CDM,SUP108851,Noncdm Charge Record Medical Supplies - Catheter 16Fr 5Cc Coude Silicone,105.57,41.17,,,0
CDM,SUP10886,Noncdm Charge Record Medical Supplies - Screw Bn Lock Va St 5Mm 36Mm,834.32,325.38,,,0
CDM,SUP10888,Noncdm Charge Record Medical Supplies - Stent Bil 7Fr 5Cm Advanix Ddnl,383.98,149.75,,,0
CDM,SUP108889,Noncdm Charge Record Medical Supplies - Parietene Macroporus Mesh 20X20Cm,270.65,105.55,,,0
CDM,SUP10891,Noncdm Charge Record Medical Supplies - Stent Bil 8.5Fr 15Cm Sgl,383.98,149.75,,,0
CDM,SUP10895,Noncdm Charge Record Medical Supplies - Stent Bil 8.5Fr 7Cm Advanix,383.98,149.75,,,0
CDM,SUP108951,Noncdm Charge Record Medical Supplies - Parietene Macroporus Mesh 45Cm X30Cm,1129.7,440.58,,,0
CDM,SUP10898,Noncdm Charge Record Medical Supplies - Stent Biliary Duodenal 10Fx7Cm Bend Advanix Boston Scientifi,383.98,149.75,,,0
CDM,SUP10899,Noncdm Charge Record Medical Supplies,548.46,213.9,,,0
CDM,SUP109001,Noncdm Charge Record Medical Supplies - Marker Breast Tissue 12G,274.27,106.97,,,0
CDM,SUP109002,Noncdm Charge Record Medical Supplies - Probe Needle Biopsy 12G,758.66,295.88,,,0
CDM,SUP109003,Noncdm Charge Record Medical Supplies - Marker Ultra Breast Tissue 10G Senomark,274.27,106.97,,,0
CDM,SUP109004,Noncdm Charge Record Medical Supplies - Marker Ultra Breast Tissue 10G Senomark,274.27,106.97,,,0
CDM,SUP10902,Noncdm Charge Record Medical Supplies - Needle Endo 19Ga Us Fna,1423.12,555.02,,,0
CDM,SUP109029_272,Noncdm Charge Record Medical Supplies - Esg Plasma Needle-Angled,2427.07,946.56,,,0
CDM,SUP109029_A9999_272,Noncdm Charge Record Medical Supplies - Esg Plasma Needle-Angled,2427.07,946.56,,,0
CDM,SUP10903,Noncdm Charge Record Medical Supplies - Sphincterotome 450Cm 5Fr,2266.65,883.99,,,0
CDM,SUP109030,Noncdm Charge Record Medical Supplies - Esg Plasma Loop-Small 30,2434.32,949.38,,,0
CDM,SUP10906,Noncdm Charge Record Medical Supplies - Needle Endo 19Ga Us Fna Flx,2321.5,905.38,,,0
CDM,SUP109066,Noncdm Charge Record Medical Supplies - Alloderm Medium Perforated 16Cm X 20Cm,53370.81,20814.62,,,0
CDM,SUP109068,Noncdm Charge Record Medical Supplies - Graft Bone Cortical Shaft - Small 100-125,3097.76,1208.13,,,0
CDM,SUP10907,Noncdm Charge Record Medical Supplies - Dilator Balloon 3Mm 75Mm 8Mm,2013.08,785.1,,,0
CDM,SUP10908,Noncdm Charge Record Medical Supplies - Sphincterotome 260Cm 5Fr,2266.65,883.99,,,0
CDM,SUP10910,Noncdm Charge Record Medical Supplies - Handle Infl Allian,2342.2,913.46,,,0
CDM,SUP109104_C1762_278,Noncdm Charge Record Medical Supplies - Allograft Dermal Tissue 2Cm X 3Cm,3915.4,1527.01,,,0
CDM,SUP109104_Q4152_278,Noncdm Charge Record Medical Supplies - Allograft Dermal Tissue 2Cm X 3Cm,3915.4,1527.01,,,0
CDM,SUP109105_C1762_278,Noncdm Charge Record Medical Supplies - Allograft Dermal Tissue 3Cm X 4Cm,5558.98,2168.0,,,0
CDM,SUP109106_C1762_278,Noncdm Charge Record Medical Supplies - Allograft Dermal Tissue 4Cm X 6Cm,10609.78,4137.81,,,0
CDM,SUP109106_Q4152_278,Noncdm Charge Record Medical Supplies - Allograft Dermal Tissue 4Cm X 6Cm,10609.78,4137.81,,,0
CDM,SUP109107_C1762_278,Noncdm Charge Record Medical Supplies - Allograft Dermal Tissue 7Cm X 10Cm,11504.02,4486.57,,,0
CDM,SUP10911,Noncdm Charge Record Medical Supplies - Stent Bil 8.5Fr 3.2 80Mm Flly,9959.8,3884.32,,,0
CDM,SUP109112,Noncdm Charge Record Medical Supplies - Implant Innate 4.5Mm X 50Mm,2658.92,1036.98,,,0
CDM,SUP10916,Noncdm Charge Record Medical Supplies - Stent Ddnl 27Mm 10Fr 12Cm,14439.28,5631.32,,,0
CDM,SUP109192,Noncdm Charge Record Medical Supplies - Balloon 5.0Mmx30Mmx80Cm Fr Sterling,1272.24,496.17,,,0
CDM,SUP109193,Noncdm Charge Record Medical Supplies - Catheter Drainage 6.3Fr L25Cm,396.4,154.6,,,0
CDM,SUP109237,Noncdm Charge Record Medical Supplies - Graft Dura 1X3 Inch Patch,2718.43,1060.19,,,0
CDM,SUP10924,Noncdm Charge Record Medical Supplies - Balloon Extractor Rx Rtrvl 9-1,710.01,276.9,,,0
CDM,SUP10925,Noncdm Charge Record Medical Supplies - Needle Endo 25Ga Us Fna,1593.9,621.62,,,0
CDM,SUP1092_272,Noncdm Charge Record Medical Supplies - Needle Epdrl 18Ga 6In Prfx Touhy Wing,31.05,12.11,,,0
CDM,SUP1092_A4649_272,Noncdm Charge Record Medical Supplies - Needle Epdrl 18Ga 6In Prfx Touhy Wing,31.05,12.11,,,0
CDM,SUP10931,Noncdm Charge Record Medical Supplies - Screw Bn Lck Va St 5Mm 75Mm,829.72,323.59,,,0
CDM,SUP109321,Noncdm Charge Record Medical Supplies - Suture 3-0 Nylon Supramid Extra Ii White 12Inch Lopped,164.56,64.18,,,0
CDM,SUP10935,Noncdm Charge Record Medical Supplies - Screw Bn Lck Va St 5Mm 40Mm,829.72,323.59,,,0
CDM,SUP10937,Noncdm Charge Record Medical Supplies - Rod Cocr 70Mm Crv,1128.15,439.98,,,0
CDM,SUP109387,Noncdm Charge Record Medical Supplies - Isolator Synergy Clamp Std Jaw,12345.48,4814.74,,,0
CDM,SUP109394,Noncdm Charge Record Medical Supplies - Needle Bx Coax Achiev 14Gx11Cm W 6Cm Intro,240.12,93.65,,,0
CDM,SUP109395,Noncdm Charge Record Medical Supplies - Probe Mammotome Biopsy Elite 13Ga,1328.25,518.02,,,0
CDM,SUP109396,Noncdm Charge Record Medical Supplies - Cannula Perfusion 15 Fr43.2Cm Arterial Standalone,1502.82,586.1,,,0
CDM,SUP109397,Noncdm Charge Record Medical Supplies - Cannula Perfusion 17Fr L18Cm Arterial Standalone,1502.78,586.08,,,0
CDM,SUP109398,Noncdm Charge Record Medical Supplies - Cannula Perfusion 19Fr L18Cm Arterial Standalone,1502.74,586.07,,,0
CDM,SUP109399,Noncdm Charge Record Medical Supplies - Cannula Perfusion 21Fr L22.9Cm Arterial Standalone,1502.82,586.1,,,0
CDM,SUP109402,Noncdm Charge Record Medical Supplies - Drill Bit 3.0Mm,480.24,187.29,,,0
CDM,SUP109406,Noncdm Charge Record Medical Supplies,1299.96,506.98,,,0
CDM,SUP109407,Noncdm Charge Record Medical Supplies,1299.96,506.98,,,0
CDM,SUP109408,Noncdm Charge Record Medical Supplies,547.52,213.53,,,0
CDM,SUP109409,Noncdm Charge Record Medical Supplies,1299.96,506.98,,,0
CDM,SUP109462,Noncdm Charge Record Medical Supplies - Catheter Balloon Mustang 5.0-2 0,979.11,381.85,,,0
CDM,SUP109470,Noncdm Charge Record Medical Supplies - Device Visigi 36Frbypass-Short,936.69,365.31,,,0
CDM,SUP10949,Noncdm Charge Record Medical Supplies - Screw 4-32Mm Nail Ex Ti Strl Hum Tib Lck,922.18,359.65,,,0
CDM,SUP10952,Noncdm Charge Record Medical Supplies - Rod Spnl 80Mm 6Mm Xia 3 Ti,940.3,366.72,,,0
CDM,SUP109527,Noncdm Charge Record Medical Supplies - Wire Prowater 6W 180 St,367.42,143.29,,,0
CDM,SUP10954,Noncdm Charge Record Medical Supplies - Screw 5-60Mm Nail Ex Ti Strl Ft Fem-Tib St,922.18,359.65,,,0
CDM,SUP10956,Noncdm Charge Record Medical Supplies - Module Cut 12Mm Morcellation,1273.05,496.49,,,0
CDM,SUP10957,Noncdm Charge Record Medical Supplies - Module Cut 15Mm Morcellation,1273.05,496.49,,,0
CDM,SUP109576,Noncdm Charge Record Medical Supplies - Graft Endovasc Aa Thora Prox Comp Zenith Alpha 18F 36Mmx113,77166.5,30094.94,,,0
CDM,SUP109577,Noncdm Charge Record Medical Supplies - Cath Periph Vascular Imaging Ivus Pv 20 Mhz 014In 5F 150Cm,3197.12,1246.88,,,0
CDM,SUP10958,Noncdm Charge Record Medical Supplies - Module Cut 20Mm Morcellation,1273.05,496.49,,,0
CDM,SUP10959_272,Noncdm Charge Record Medical Supplies - Valve Module Univ,1150.89,448.85,,,0
CDM,SUP10959_A9999_272,Noncdm Charge Record Medical Supplies - Valve Module Univ,1150.92,448.86,,,0
CDM,SUP10962,Noncdm Charge Record Medical Supplies - Tube Feeding Mic G 24Fr Silicone Balloon,191.48,74.68,,,0
CDM,SUP10964,Noncdm Charge Record Medical Supplies - Plate 154Mm Ss 3.5Mm Screw 10 Hl Low Bend Lcp Strl,6545.34,2552.68,,,0
CDM,SUP10966_272,Noncdm Charge Record Medical Supplies - Forceps Surg Radial Jaw 4 Lc,104.55,40.77,,,0
CDM,SUP10966_A4649_272,Noncdm Charge Record Medical Supplies - Forceps Surg Radial Jaw 4 Lc,104.54,40.77,,,0
CDM,SUP10966_A9999_272,Noncdm Charge Record Medical Supplies - Forceps Surg Radial Jaw 4 Lc,104.54,40.77,,,0
CDM,SUP109692_270,Noncdm Charge Record Medical Supplies - Tray Shoulder - Dynj22889K,481.23,187.68,,,0
CDM,SUP109692_A9999_270,Noncdm Charge Record Medical Supplies - Tray Shoulder - Dynj22889K,478.17,186.49,,,0
CDM,SUP109695,Noncdm Charge Record Medical Supplies - Catheter Angiographic Sim2 5Fr,87.98,34.31,,,0
CDM,SUP109710,Noncdm Charge Record Medical Supplies - System Anastoclip Vssl Close Lg,3302.68,1288.05,,,0
CDM,SUP10975,Noncdm Charge Record Medical Supplies - Bone Plug 12Mm 18-25Mm Artc,2498.49,974.41,,,0
CDM,SUP10980,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 55Mm Cocr,4316.36,1683.38,,,0
CDM,SUP109801,Noncdm Charge Record Medical Supplies - Guidewire 200Cm Disp,616.46,240.42,,,0
CDM,SUP10981,Noncdm Charge Record Medical Supplies - Screw Bn 7.5Mm 50Mm Cocr,4108.57,1602.34,,,0
CDM,SUP10983,Noncdm Charge Record Medical Supplies - Plate Ss 5 Hl Lcp Bn Rt Dist Volr Radial Ns Strl,6796.84,2650.77,,,0
CDM,SUP109836,Noncdm Charge Record Medical Supplies - Introducer Vascular 9 Fr 23Cm 29.5Cm,255.64,99.7,,,0
CDM,SUP109838,Noncdm Charge Record Medical Supplies - Bending Template 20 Holes 260M,442.15,172.44,,,0
CDM,SUP109839,Noncdm Charge Record Medical Supplies - 2.4 Mm Cortex Screw 14Mm Lengt,313.6,122.3,,,0
CDM,SUP109840,Noncdm Charge Record Medical Supplies - Axs Self-Drilling Screw 1.5X5M,424.2,165.44,,,0
CDM,SUP109842_272,Noncdm Charge Record Medical Supplies - Suture 3-0 V-Loc 180 Green 9In V-20 Taper,113.76,44.37,,,0
CDM,SUP109842_A4649_272,Noncdm Charge Record Medical Supplies - Suture 3-0 V-Loc 180 Green 9In V-20 Taper,113.71,44.35,,,0
CDM,SUP109842_A9999_272,Noncdm Charge Record Medical Supplies - Suture 3-0 V-Loc 180 Green 9In V-20 Taper,113.85,44.4,,,0
CDM,SUP10990,Noncdm Charge Record Medical Supplies - Stent Bil 7Fr 5Cm Ddnl Preld,1049.49,409.3,,,0
CDM,SUP109902,Noncdm Charge Record Medical Supplies - Valve Glaucoma Ahmed Flexible Plate,4833.45,1885.05,,,0
CDM,SUP10991,Noncdm Charge Record Medical Supplies - Stent Bil 7Fr 7Cm Preld Ddnl,1049.49,409.3,,,0
CDM,SUP109916,Noncdm Charge Record Medical Supplies - Implant Hires Ultra 3D System W-Hifocus Mid-Scala Electrode,109307.64,42629.98,,,0
CDM,SUP109917,Noncdm Charge Record Medical Supplies - Implant Hires Ultra 3D System W-Hifocus Slimj Electrode Syst,49471.6,19293.92,,,0
CDM,SUP109918_272,Noncdm Charge Record Medical Supplies - 2.0Mm Drill Bit Qc 110Mm 30Mm Calibration,592.05,230.9,,,0
CDM,SUP109918_A4649_272,Noncdm Charge Record Medical Supplies - 2.0Mm Drill Bit Qc 110Mm 30Mm Calibration,524.74,204.65,,,0
CDM,SUP109918_A9999_272,Noncdm Charge Record Medical Supplies - 2.0Mm Drill Bit Qc 110Mm 30Mm Calibration,699.66,272.87,,,0
CDM,SUP109919_272,Noncdm Charge Record Medical Supplies - 2.0Mm Drill Bit Qc 140Mm 60Mm Calibration,653.26,254.77,,,0
CDM,SUP109919_A9999_272,Noncdm Charge Record Medical Supplies - 2.0Mm Drill Bit Qc 140Mm 60Mm Calibration,779.36,303.95,,,0
CDM,SUP10992,Noncdm Charge Record Medical Supplies - Stent Bil 7Fr 9Cm Advanix Ddnl,1049.49,409.3,,,0
CDM,SUP109920_272,Noncdm Charge Record Medical Supplies - 2.5Mm Drill Bit Qc 135Mm 45Mm Calibration,539.34,210.34,,,0
CDM,SUP109920_A4649_272,Noncdm Charge Record Medical Supplies - 2.5Mm Drill Bit Qc 135Mm 45Mm Calibration,471.96,184.06,,,0
CDM,SUP109921_272,Noncdm Charge Record Medical Supplies - 2.5Mm Drill Bit Qc 170Mm 80Mm Calibration,634.24,247.35,,,0
CDM,SUP109921_A4649_272,Noncdm Charge Record Medical Supplies - 2.5Mm Drill Bit Qc 170Mm 80Mm Calibration,557.86,217.57,,,0
CDM,SUP109922,Noncdm Charge Record Medical Supplies - 2.5Mm Drill Bit Qc 240Mm 150Mm Calibration,597.2,232.91,,,0
CDM,SUP109923,Noncdm Charge Record Medical Supplies - 2.7Mm Drill Bit Qc 125Mm Calibration,440.43,171.77,,,0
CDM,SUP109924,Noncdm Charge Record Medical Supplies - 2.8Mm Drill Bit Qc 135Mm 45Mm Calibration,463.68,180.84,,,0
CDM,SUP109925,Noncdm Charge Record Medical Supplies - 2.8Mm Drill Bit Qc 170Mm 80Mm Calibration,634.12,247.31,,,0
CDM,SUP109926,Noncdm Charge Record Medical Supplies - 2.8Mm Drill Bit Qc 200Mm 110Mm Calibration,611.8,238.6,,,0
CDM,SUP109927_272,Noncdm Charge Record Medical Supplies - 3.5Mm Drill Bit Qc 150Mm Calibration,325.64,127.0,,,0
CDM,SUP109927_A4649_272,Noncdm Charge Record Medical Supplies - 3.5Mm Drill Bit Qc 150Mm Calibration,275.31,107.37,,,0
CDM,SUP10993,Noncdm Charge Record Medical Supplies - Stent Bil 8.5Fr 5Cm Pre Loaded,1049.49,409.3,,,0
CDM,SUP10994,Noncdm Charge Record Medical Supplies - Stent Bil 8.5Fr 7Cm Pre Loaded,1049.49,409.3,,,0
CDM,SUP109945,Noncdm Charge Record Medical Supplies - Triathlon X3 Tibial Bearing Insert Sz6 Cs 9Mm,8851.32,3452.01,,,0
CDM,SUP10996,Noncdm Charge Record Medical Supplies - Stent Bil 8.5Fr 12Cm Preld,1049.49,409.3,,,0
CDM,SUP10997,Noncdm Charge Record Medical Supplies - Stent Bil 8.5Fr 15Cm Advanix,1049.49,409.3,,,0
CDM,SUP10998,Noncdm Charge Record Medical Supplies - Stent Biliary Duodenal 10Fx5Cm Bend Preloaded Advanix Boston,1049.49,409.3,,,0
CDM,SUP10999,Noncdm Charge Record Medical Supplies - Stent Biliary Duodenal 10Fx7Cm Double Pigtail Advanix Boston,1049.49,409.3,,,0
CDM,SUP109992,Noncdm Charge Record Medical Supplies - Kit Communication Handset Smart Programer,8597.75,3353.12,,,0
CDM,SUP11000,Noncdm Charge Record Medical Supplies - Stent Biliary Duodenal 10Fx9Cm Bend Preloaded Advanix Boston,1049.49,409.3,,,0
CDM,SUP11001,Noncdm Charge Record Medical Supplies - Stent Biliary Duodenal 10Fx12Cm Bend Preloaded Advanix Bosto,1049.49,409.3,,,0
CDM,SUP11002,Noncdm Charge Record Medical Supplies - Stent Bil 7Fr 12Cm Advanix,1049.49,409.3,,,0
CDM,SUP11003,Noncdm Charge Record Medical Supplies - Anchor Suture Orthocord Helix Advance 4.75Mm Knotless Peek D,2148.66,837.98,,,0
CDM,SUP110049,Noncdm Charge Record Medical Supplies - Bone Anchors(3) Smith,1798.83,701.54,,,0
CDM,SUP11005,Noncdm Charge Record Medical Supplies - Plate 2Mm 3X3Hl Ang Brd Centre,5189.49,2023.9,,,0
CDM,SUP110050_272,Noncdm Charge Record Medical Supplies - Vloc Non Abs Dvc Bl Size 0 L18In L37Mm Gs-21,131.56,51.31,,,0
CDM,SUP110050_A4649_272,Noncdm Charge Record Medical Supplies - Vloc Non Abs Dvc Bl Size 0 L18In L37Mm Gs-21,131.65,51.34,,,0
CDM,SUP110050_A9999_272,Noncdm Charge Record Medical Supplies - Vloc Non Abs Dvc Bl Size 0 L18In L37Mm Gs-21,131.7,51.36,,,0
CDM,SUP110052_C1762_278,Noncdm Charge Record Medical Supplies - Skin Cts 2:1 Meshed 232 Cryo,2390.85,932.43,,,0
CDM,SUP110052_Q4100_278,Noncdm Charge Record Medical Supplies - Skin Cts 2:1 Meshed 232 Cryo,2390.85,932.43,,,0
CDM,SUP110053_272,Noncdm Charge Record Medical Supplies - Fiber Moses Laser 200Um 2J 80Hz 60W D-F-L,2901.92,1131.75,,,0
CDM,SUP110053_A4649_272,Noncdm Charge Record Medical Supplies - Fiber Moses Laser 200Um 2J 80Hz 60W D-F-L,3370.26,1314.4,,,0
CDM,SUP110053_A9999_272,Noncdm Charge Record Medical Supplies - Fiber Moses Laser 200Um 2J 80Hz 60W D-F-L,2404.82,937.88,,,0
CDM,SUP110054_272,Noncdm Charge Record Medical Supplies - Fiber Moses Laser 365Um 6J 80Hz 120W D-F-L,2091.93,815.85,,,0
CDM,SUP110054_A4649_272,Noncdm Charge Record Medical Supplies - Fiber Moses Laser 365Um 6J 80Hz 120W D-F-L,2088.37,814.46,,,0
CDM,SUP110054_A9999_272,Noncdm Charge Record Medical Supplies - Fiber Moses Laser 365Um 6J 80Hz 120W D-F-L,1889.91,737.06,,,0
CDM,SUP110055_272,Noncdm Charge Record Medical Supplies - Fiber Moses Laser 550Um 6J 80Hz 120W D-F-L,2585.35,1008.29,,,0
CDM,SUP110055_A4649_272,Noncdm Charge Record Medical Supplies - Fiber Moses Laser 550Um 6J 80Hz 120W D-F-L,2358.76,919.92,,,0
CDM,SUP110055_A9999_272,Noncdm Charge Record Medical Supplies,2358.76,919.92,,,0
CDM,SUP110075,Noncdm Charge Record Medical Supplies - Catheter Angiographic Impress 038 In 4F Vert 65Cm,59.0,23.01,,,0
CDM,SUP110076,Noncdm Charge Record Medical Supplies - Catheter Angiographic Impress 038 In 4F Ka 2 65Cm,59.0,23.01,,,0
CDM,SUP11011,Noncdm Charge Record Medical Supplies - Plate 93Mm Ss Sm Frag Set 8Hl 1-3 Tube,756.53,295.05,,,0
CDM,SUP11012_270,Noncdm Charge Record Medical Supplies - Seal Myosure Hologic,48.65,18.97,,,0
CDM,SUP11012_A4649_270,Noncdm Charge Record Medical Supplies - Seal Myosure Hologic,48.64,18.97,,,0
CDM,SUP11012_A9999_270,Noncdm Charge Record Medical Supplies - Seal Myosure Hologic,48.64,18.97,,,0
CDM,SUP11013_272,Noncdm Charge Record Medical Supplies - See 140801 Pack Hand Kop,123.14,48.02,,,0
CDM,SUP11013_A4649_272,Noncdm Charge Record Medical Supplies - See 140801 Pack Hand Kop,123.16,48.03,,,0
CDM,SUP11013_A9999_272,Noncdm Charge Record Medical Supplies - See 140801 Pack Hand Kop,123.16,48.03,,,0
CDM,SUP110146,Noncdm Charge Record Medical Supplies - Catheter Peripheral Guide,543.38,211.92,,,0
CDM,SUP11017,Noncdm Charge Record Medical Supplies - Sphincterotome 20Mm 260Cm,2450.87,955.84,,,0
CDM,SUP11018,Noncdm Charge Record Medical Supplies - Sphincterotome 30Mm 260Cm,2450.88,955.84,,,0
CDM,SUP11025,Noncdm Charge Record Medical Supplies - Screw 4-28Mm Nail Ex Ti Strl Hum Tib Lck,921.77,359.49,,,0
CDM,SUP11026,Noncdm Charge Record Medical Supplies - Nail Multiloc Prox Hum 8Mm 160Mm Lt Blu Rnd Ti,7335.73,2860.93,,,0
CDM,SUP11027,Noncdm Charge Record Medical Supplies - Screw Bn Multiloc 4.5Mm 34Mm Ti,1254.28,489.17,,,0
CDM,SUP110331,Noncdm Charge Record Medical Supplies - Epi-Sense Guided Device Pack 3 Cm (No Cannula),44531.91,17367.44,,,0
CDM,SUP110332,Noncdm Charge Record Medical Supplies - Dressing 4X4 Inch Kerrmax Care Super Abs,10.35,4.04,,,0
CDM,SUP110333,Noncdm Charge Record Medical Supplies - Dressing 8X9 Inch Kerrmax Care Super Abs,34.16,13.32,,,0
CDM,SUP110336,Noncdm Charge Record Medical Supplies - Cable Sleeve Vit Beaded Dall-Miles Sm 2Mm Dia,1528.7,596.19,,,0
CDM,SUP110340,Noncdm Charge Record Medical Supplies - Probe Sp02 Oximeter Adult 30Kg,54.86,21.4,,,0
CDM,SUP110341_270,Noncdm Charge Record Medical Supplies - Probe Sp02 Oximeter Pediatric 10-50Kg,54.86,21.4,,,0
CDM,SUP110341_A4649_270,Noncdm Charge Record Medical Supplies - Probe Sp02 Oximeter Pediatric 10-50Kg,54.86,21.4,,,0
CDM,SUP110342_270,Noncdm Charge Record Medical Supplies - Probe Sp02 Oximeter Instep Neonate 3Kg Finger Adult 4,52.82,20.6,,,0
CDM,SUP110342_A4649_270,Noncdm Charge Record Medical Supplies - Probe Sp02 Oximeter Instep Neonate 3Kg Finger Adult 4,52.78,20.58,,,0
CDM,SUP110342_A9999_270,Noncdm Charge Record Medical Supplies - Probe Sp02 Oximeter Instep Neonate 3Kg Finger Adult 4,52.78,20.58,,,0
CDM,SUP110343_272,Noncdm Charge Record Medical Supplies - Disposable Bipolar Forceps 1.0,1590.82,620.42,,,0
CDM,SUP110343_A4649_272,Noncdm Charge Record Medical Supplies - Disposable Bipolar Forceps 1.0,1590.8,620.41,,,0
CDM,SUP110344_272,Noncdm Charge Record Medical Supplies - Disposable Bipolar Forceps,1590.81,620.42,,,0
CDM,SUP110344_A4649_272,Noncdm Charge Record Medical Supplies - Disposable Bipolar Forceps,1591.05,620.51,,,0
CDM,SUP110440,Noncdm Charge Record Medical Supplies - Cath Navicross 150Cm Straight Support,946.07,368.97,,,0
CDM,SUP110441,Noncdm Charge Record Medical Supplies - Cath Navicross 150Cm Ang Support,893.58,348.5,,,0
CDM,SUP110488,Noncdm Charge Record Medical Supplies - Plate W23Xl54Mm Dist Rad 2.5 13 Hole Left Adaptive Trilock,4108.95,1602.49,,,0
CDM,SUP1105,Noncdm Charge Record Medical Supplies - Catheter Iv 22Ga .75In Radiopq,12.42,4.84,,,0
CDM,SUP110502,Noncdm Charge Record Medical Supplies - Screw 2.5 Trilock 12Mm Hd7,531.73,207.37,,,0
CDM,SUP110503,Noncdm Charge Record Medical Supplies - Screw 2.5 Trilock 14Mm Hd7,531.99,207.48,,,0
CDM,SUP110514,Noncdm Charge Record Medical Supplies - Screw 2.5 Trilock 16Mm Hd7,531.99,207.48,,,0
CDM,SUP110515,Noncdm Charge Record Medical Supplies - Screw 2.5 Trilock 18Mm Hd7,531.69,207.36,,,0
CDM,SUP110516,Noncdm Charge Record Medical Supplies - Screw 2.5 Trilock 20Mm Hd7,531.99,207.48,,,0
CDM,SUP110533,Noncdm Charge Record Medical Supplies - Screw 2.5 Cortical 12Mm Hd7,424.35,165.5,,,0
CDM,SUP110535,Noncdm Charge Record Medical Supplies - Screw 2.5 Cortical 14Mm Hd7,424.35,165.5,,,0
CDM,SUP110538,Noncdm Charge Record Medical Supplies - Screw 2.5 Cortical 18Mm Hd7,424.35,165.5,,,0
CDM,SUP110542,Noncdm Charge Record Medical Supplies - Screw 2.5 Cortical 26Mm Hd7,424.35,165.5,,,0
CDM,SUP110543,Noncdm Charge Record Medical Supplies,424.35,165.5,,,0
CDM,SUP110547,Noncdm Charge Record Medical Supplies - Twist Drill Dia 2Mm X 40Mm L91,337.41,131.59,,,0
CDM,SUP110548,Noncdm Charge Record Medical Supplies - K-Wire 1.6 Trocar 150Mm,122.43,47.75,,,0
CDM,SUP11056,Noncdm Charge Record Medical Supplies - Screw Bn 7.5Mm 55Mm Cocr,4108.54,1602.33,,,0
CDM,SUP11057,Noncdm Charge Record Medical Supplies - Screw 5-44Mm Nail Ex Ti Strl Ft Fem-Tib St,922.18,359.65,,,0
CDM,SUP11058,Noncdm Charge Record Medical Supplies - Screw 5-34Mm Nail Ex Ti Strl Ft Fem-Tib St,922.12,359.63,,,0
CDM,SUP110626,Noncdm Charge Record Medical Supplies,241.67,94.25,,,0
CDM,SUP11063,Noncdm Charge Record Medical Supplies,1142.64,445.63,,,0
CDM,SUP110631,Noncdm Charge Record Medical Supplies - Catheter Nephromax Balloon 30F X 15Cm 20Cm Ptfe,1457.45,568.41,,,0
CDM,SUP110632,Noncdm Charge Record Medical Supplies - Tissue 6X12 Axis Dermis Allograft,15597.45,6083.01,,,0
CDM,SUP11064,Noncdm Charge Record Medical Supplies - Rod Spnl 50Mm Revolve Crv,940.3,366.72,,,0
CDM,SUP11068,Noncdm Charge Record Medical Supplies - Crosslink Multispand 47Mm 53Mm,2685.82,1047.47,,,0
CDM,SUP1106_272,Noncdm Charge Record Medical Supplies - Catheter Iv 20Ga 1In Radiopq Sfshld Prn Adapt,12.42,4.84,,,0
CDM,SUP1106_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Iv 20Ga 1In Radiopq Sfshld Prn Adapt,12.42,4.84,,,0
CDM,SUP1106_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Iv 20Ga 1In Radiopq Sfshld Prn Adapt,12.42,4.84,,,0
CDM,SUP11070,Noncdm Charge Record Medical Supplies - Screw Bn 5.5Mm 30Mm Cocr,4108.54,1602.33,,,0
CDM,SUP11071,Noncdm Charge Record Medical Supplies - Screw Bn 5.5Mm 25Mm Cocr,4108.43,1602.29,,,0
CDM,SUP110737,Noncdm Charge Record Medical Supplies - Needle Brachtherapy 18 G L20Cm Manual Disposable,19.64,7.66,,,0
CDM,SUP11075,Noncdm Charge Record Medical Supplies - Screw 5-30Mm Nail Ex Ti Strl Ft Fem-Tib,922.18,359.65,,,0
CDM,SUP110766_272,Noncdm Charge Record Medical Supplies - Novasure Endometrial Thermoablation Kit 6Mm,5227.96,2038.9,,,0
CDM,SUP110766_A4649_272,Noncdm Charge Record Medical Supplies - Novasure Endometrial Thermoablation Kit 6Mm,5103.58,1990.4,,,0
CDM,SUP110766_A9999_272,Noncdm Charge Record Medical Supplies - Novasure Endometrial Thermoablation Kit 6Mm,5273.32,2056.59,,,0
CDM,SUP110780,Noncdm Charge Record Medical Supplies,136.62,53.28,,,0
CDM,SUP110783,Noncdm Charge Record Medical Supplies - Cxi Support Catheter 2.3Fr X 0.014In X 150Cm Straight,894.24,348.75,,,0
CDM,SUP110784,Noncdm Charge Record Medical Supplies - Cxi Support Catheter 2.3Fr X .014 In X 150 Cm Angle,894.24,348.75,,,0
CDM,SUP110785,Noncdm Charge Record Medical Supplies - Cxi Support Catheter 2.3 Fr X .014In X 135 Cm Straight,894.24,348.75,,,0
CDM,SUP110787,Noncdm Charge Record Medical Supplies - Cxi Support Catheter 2.6 Fr X 0.018 In X 135 Cm Straight,993.6,387.5,,,0
CDM,SUP110788,Noncdm Charge Record Medical Supplies - Cxi Support Catheter 2.6Fr X 0.018 In X 135 Cm Angle,993.6,387.5,,,0
CDM,SUP110789,Noncdm Charge Record Medical Supplies - Cxi Support Catheter 2.6Fr X 0.018 In X 150 Cm Straight,993.6,387.5,,,0
CDM,SUP110790,Noncdm Charge Record Medical Supplies - Cxi Support Catheter 2.6Fr X 0.018 In X 150 Cm Angle,993.6,387.5,,,0
CDM,SUP110791,Noncdm Charge Record Medical Supplies - Cxi Support Catheter 4Fr X .035 In X 135 Cm Straight,894.24,348.75,,,0
CDM,SUP110792,Noncdm Charge Record Medical Supplies - Cxi Support Catheter 4Fr X.035 In X 135 Cm Angle,894.24,348.75,,,0
CDM,SUP110793,Noncdm Charge Record Medical Supplies - Cxi Support Catheter 4Fr X .035 In X 150Cm Straight,894.24,348.75,,,0
CDM,SUP110794,Noncdm Charge Record Medical Supplies - Cxi Support Catheter 4Fr X .035 In X 150Cm Angle,894.24,348.75,,,0
CDM,SUP11083_272,Noncdm Charge Record Medical Supplies - See 144226 Dressing Aquacel 9X30Cm Convatec,172.88,67.42,,,0
CDM,SUP11083_A4649_272,Noncdm Charge Record Medical Supplies - See 144226 Dressing Aquacel 9X30Cm Convatec,172.84,67.41,,,0
CDM,SUP11083_A9999_272,Noncdm Charge Record Medical Supplies - See 144226 Dressing Aquacel 9X30Cm Convatec,172.84,67.41,,,0
CDM,SUP11084,Noncdm Charge Record Medical Supplies - Guidewire Drmwire .035 Stnd,1171.62,456.93,,,0
CDM,SUP11085,Noncdm Charge Record Medical Supplies - Guidewire Dreamwire Hiperf,1171.62,456.93,,,0
CDM,SUP110859_272,Noncdm Charge Record Medical Supplies - Micro Introducer Kit Stiffened 5Fr L45Cm Od5Fr 0.018In 7Cm,180.61,70.44,,,0
CDM,SUP110859_C1894_272,Noncdm Charge Record Medical Supplies - Micro Introducer Kit Stiffened 5Fr L45Cm Od5Fr 0.018In 7Cm,158.93,61.98,,,0
CDM,SUP11086,Noncdm Charge Record Medical Supplies - Stent Bil 7Fr 15Cm Advanix,1049.49,409.3,,,0
CDM,SUP11090,Noncdm Charge Record Medical Supplies - System Stent Bil Wallflex,9959.8,3884.32,,,0
CDM,SUP11092,Noncdm Charge Record Medical Supplies - Plate Ss 7Hl Lcp Bn Rt Dist Volr Radial Strl,7028.68,2741.19,,,0
CDM,SUP110947,Noncdm Charge Record Medical Supplies - Oxinium 12-14 Taper Femoral Head +4 22Mm,9038.66,3525.08,,,0
CDM,SUP110951,Noncdm Charge Record Medical Supplies - Screw Infinity 3.5X14Mm,3504.27,1366.67,,,0
CDM,SUP110952,Noncdm Charge Record Medical Supplies - Screw Infinity 3.5X12Mm,3504.29,1366.67,,,0
CDM,SUP110953,Noncdm Charge Record Medical Supplies - Screw Infinity 4.00X22Mm,3504.51,1366.76,,,0
CDM,SUP110954,Noncdm Charge Record Medical Supplies - Screw Infinity 4.00X24Mm,3504.51,1366.76,,,0
CDM,SUP110957,Noncdm Charge Record Medical Supplies - Rod Spinal L70Mm Dia3.5Mm,1128.15,439.98,,,0
CDM,SUP110958,Noncdm Charge Record Medical Supplies - Crosslink Spinal M Rod To Rod Infinity,2739.64,1068.46,,,0
CDM,SUP110959,Noncdm Charge Record Medical Supplies - Rod Spinal L80Mm Dia3.5Mm,1128.15,439.98,,,0
CDM,SUP11096,Noncdm Charge Record Medical Supplies - Guidewire Vasc. .035In 260Cm Crv Amplatz,109.82,42.83,,,0
CDM,SUP110989,Noncdm Charge Record Medical Supplies - Catheter Angioplasty 6Fr 2.0X220X150 Fg Sterling Otw,1862.48,726.37,,,0
CDM,SUP110991,Noncdm Charge Record Medical Supplies,991.53,386.7,,,0
CDM,SUP110992_C1762_278,Noncdm Charge Record Medical Supplies - Implant Graft 7.5 X15 Grafix Human Tissue,43501.05,16965.41,,,0
CDM,SUP110992_Q4133_278,Noncdm Charge Record Medical Supplies - Implant Graft 7.5 X15 Grafix Human Tissue,1245.04,485.57,,,0
CDM,SUP110993,Noncdm Charge Record Medical Supplies - Mesh Symbotex 20Cm Circle,3097.76,1208.13,,,0
CDM,SUP111093_272,Noncdm Charge Record Medical Supplies - Catheter Angiography 4F L65Cm X .035In Soft Vu Omni Flush,183.32,71.49,,,0
CDM,SUP111093_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Angiography 4F L65Cm X .035In Soft Vu Omni Flush,198.72,77.5,,,0
CDM,SUP11112,Noncdm Charge Record Medical Supplies - Screw Bn Mutiloc 4.5Mm 38Mm Ti,1264.46,493.14,,,0
CDM,SUP11113,Noncdm Charge Record Medical Supplies - Screw Bn Multiloc 4.5Mm 40Mm Ti Strl,1244.29,485.27,,,0
CDM,SUP111148,Noncdm Charge Record Medical Supplies - Dressing Hemostatic Combat W- -Xray Peel Pouch 4X4In,87.98,34.31,,,0
CDM,SUP111149_272,Noncdm Charge Record Medical Supplies - Roll Hemostatic Xray Detectab Ble 3In X 4 Yd,189.16,73.77,,,0
CDM,SUP111149_A4649_272,Noncdm Charge Record Medical Supplies - Roll Hemostatic Xray Detectab Ble 3In X 4 Yd,189.4,73.87,,,0
CDM,SUP111149_A6209_272,Noncdm Charge Record Medical Supplies - Roll Hemostatic Xray Detectab Ble 3In X 4 Yd,189.4,73.87,,,0
CDM,SUP111149_A9999_272,Noncdm Charge Record Medical Supplies,189.4,73.87,,,0
CDM,SUP111150_272,Noncdm Charge Record Medical Supplies - Esg Plasmaloop - Large 12,2427.12,946.58,,,0
CDM,SUP111150_A9999_272,Noncdm Charge Record Medical Supplies - Esg Plasmaloop - Large 12,2427.07,946.56,,,0
CDM,SUP111151,Noncdm Charge Record Medical Supplies - Suture Barbed Non-Absorbable V-Loc 0 Gs-22 9,203.9,79.52,,,0
CDM,SUP111152,Noncdm Charge Record Medical Supplies - Suture Barbed Non-Absorbable V-Loc 0 Gs-22 6Inch,151.41,59.05,,,0
CDM,SUP11117,Noncdm Charge Record Medical Supplies - Guidewire Lndq Estf Dc Vasc,605.06,235.97,,,0
CDM,SUP11118,Noncdm Charge Record Medical Supplies - Screw Bn 5.5Mm 55Mm Cocr,4108.51,1602.32,,,0
CDM,SUP11119,Noncdm Charge Record Medical Supplies - Crosslink Multispand 41Mm 48Mm,2685.82,1047.47,,,0
CDM,SUP11120,Noncdm Charge Record Medical Supplies - Screw Bn 5.5Mm 50Mm Cocr,4108.51,1602.32,,,0
CDM,SUP111302,Noncdm Charge Record Medical Supplies - Implant System Hand-Wrist Internalbrace Ligament Augment,7226.24,2818.23,,,0
CDM,SUP111339_Q4166_278,Noncdm Charge Record Medical Supplies - Mtrx Ml Lr Wound Matristm 7X10,5244.34,2045.29,,,0
CDM,SUP111340_C1763_278,Noncdm Charge Record Medical Supplies,6187.23,2413.02,,,0
CDM,SUP111340_Q4118_278,Noncdm Charge Record Medical Supplies - Dressing Wound Matristem Micromatrix Lot# L,6187.23,2413.02,,,0
CDM,SUP11135,Noncdm Charge Record Medical Supplies - Plate Long 160Mm Ss 3.5Mm Screw 6Hl Strl,7179.8,2800.12,,,0
CDM,SUP11136_272,Noncdm Charge Record Medical Supplies - Syringe Mdln Ylw Plunger 10Ml Plycrb Sword Handle,9.54,3.72,,,0
CDM,SUP11136_A4649_272,Noncdm Charge Record Medical Supplies - Syringe Mdln Ylw Plunger 10Ml Plycrb Sword Handle,9.66,3.77,,,0
CDM,SUP11136_A9999_272,Noncdm Charge Record Medical Supplies - Syringe Mdln Ylw Plunger 10Ml Plycrb Sword Handle,9.66,3.77,,,0
CDM,SUP11137_272,Noncdm Charge Record Medical Supplies - Waveguide Eigr W Flat Sgl Use Ilum,1405.95,548.32,,,0
CDM,SUP11137_A4649_272,Noncdm Charge Record Medical Supplies - Waveguide Eigr W Flat Sgl Use Ilum,1529.73,596.59,,,0
CDM,SUP11137_A9999_272,Noncdm Charge Record Medical Supplies - Waveguide Eigr W Flat Sgl Use Ilum,1346.54,525.15,,,0
CDM,SUP111413,Noncdm Charge Record Medical Supplies - Graft Human Tissue 1000Mg Amniofill,10875.78,4241.55,,,0
CDM,SUP111415,Noncdm Charge Record Medical Supplies - Sheath Introducer Pinnacle Ro 10Cm 5 Fr,123.81,48.29,,,0
CDM,SUP111416,Noncdm Charge Record Medical Supplies - Sheath Introducer Pinnacle Ro 10Cm 6 Fr,112.65,43.93,,,0
CDM,SUP111419,Noncdm Charge Record Medical Supplies - Sheath Introducer Pinnacle Ro 10Cm 9 Fr,141.79,55.3,,,0
CDM,SUP111438,Noncdm Charge Record Medical Supplies - Balloon In.Pact Admiral Drug Coatd.035In 6F 5Mmx200Mm 130Cm,7936.38,3095.19,,,0
CDM,SUP111439,Noncdm Charge Record Medical Supplies - Balloon In.Pact Admiral Drug Coatd.035In 6F 5Mmx250Mm 130Cm,8597.75,3353.12,,,0
CDM,SUP111440,Noncdm Charge Record Medical Supplies - Balloon In.Pact Admiral Drug Coatd.035In 7F 6Mmx200Mm 130Cm,7936.38,3095.19,,,0
CDM,SUP111441,Noncdm Charge Record Medical Supplies - Balloon In.Pact Admiral Drug Coatd.035In 6F 6Mmx250Mm 130Cm,8597.75,3353.12,,,0
CDM,SUP111513,Noncdm Charge Record Medical Supplies - Dressing Wound Slvr 26X15X3.3 Granuform,333.27,129.98,,,0
CDM,SUP111514,Noncdm Charge Record Medical Supplies - Pad Sensatrac Wound Vac Kci,83.67,32.63,,,0
CDM,SUP111515_272,Noncdm Charge Record Medical Supplies - Suture Barbed 0 Vloc 180 Non-Absorbable Wound Closure,118.18,46.09,,,0
CDM,SUP111515_A9999_272,Noncdm Charge Record Medical Supplies - Suture Barbed 0 Vloc 180 Non-Absorbable Wound Closure,118.51,46.22,,,0
CDM,SUP11155,Noncdm Charge Record Medical Supplies - Screw 5-38Mm Nail Ex Ti Strl Ft Fem-Tib St,934.13,364.31,,,0
CDM,SUP111560,Noncdm Charge Record Medical Supplies - Beason Tap 6.5,1542.15,601.44,,,0
CDM,SUP11158,Noncdm Charge Record Medical Supplies - Bit Drill 330M-4.2M-100Mm Strl Calib Qc 3 Flute Strl,1126.28,439.25,,,0
CDM,SUP11159_272,Noncdm Charge Record Medical Supplies - Bit Drill 330M-3.2M-100Mm Strl Calib Qc 3 Flute Strl,1173.6,457.7,,,0
CDM,SUP11159_A9999_272,Noncdm Charge Record Medical Supplies - Bit Drill 330M-3.2M-100Mm Strl Calib Qc 3 Flute Strl,1172.66,457.34,,,0
CDM,SUP111698_272,Noncdm Charge Record Medical Supplies - Cannual Nerve Block Facet S Tip Sonoplex Ii,48.08,18.75,,,0
CDM,SUP111698_A4649_272,Noncdm Charge Record Medical Supplies - Cannual Nerve Block Facet S Tip Sonoplex Ii,19.25,7.51,,,0
CDM,SUP111698_A9999_272,Noncdm Charge Record Medical Supplies - Cannual Nerve Block Facet S Tip Sonoplex Ii,67.28,26.24,,,0
CDM,SUP111699,Noncdm Charge Record Medical Supplies - Cannual Nerve Block Facet S Tip Sonotap Ii 22Ga L80Mm,54.86,21.4,,,0
CDM,SUP11170,Noncdm Charge Record Medical Supplies,4108.95,1602.49,,,0
CDM,SUP111700_272,Noncdm Charge Record Medical Supplies - Cannual Nerve Block Facet T Tip Sonotap Ii 21Ga L110Mm,62.09,24.22,,,0
CDM,SUP111700_A4649_272,Noncdm Charge Record Medical Supplies - Cannual Nerve Block Facet T Tip Sonotap Ii 21Ga L110Mm,62.07,24.21,,,0
CDM,SUP111700_A9999_272,Noncdm Charge Record Medical Supplies - Cannual Nerve Block Facet T Tip Sonotap Ii 21Ga L110Mm,62.1,24.22,,,0
CDM,SUP111701_272,Noncdm Charge Record Medical Supplies - Cannual Nerve Block Facet S Tip Sonoplex Ii 21Ga L4In,74.52,29.06,,,0
CDM,SUP111701_A4649_272,Noncdm Charge Record Medical Supplies - Cannual Nerve Block Facet S Tip Sonoplex Ii 21Ga L4In,74.52,29.06,,,0
CDM,SUP111701_A9999_272,Noncdm Charge Record Medical Supplies - Cannual Nerve Block Facet S Tip Sonoplex Ii 21Ga L4In,74.52,29.06,,,0
CDM,SUP111704_270,Noncdm Charge Record Medical Supplies - Padding Cast W4In X L4Yd Nonadhesive Sof-Rol,8.43,3.29,,,0
CDM,SUP111704_A4649_270,Noncdm Charge Record Medical Supplies - Padding Cast W4In X L4Yd Nonadhesive Sof-Rol,8.28,3.23,,,0
CDM,SUP111704_A9999_270,Noncdm Charge Record Medical Supplies - Padding Cast W4In X L4Yd Nonadhesive Sof-Rol,8.54,3.33,,,0
CDM,SUP111705_270,Noncdm Charge Record Medical Supplies - Padding Cast W6In X L4Yd Nonadhesive Sof-Rol,11.36,4.43,,,0
CDM,SUP111705_A4649_270,Noncdm Charge Record Medical Supplies - Padding Cast W6In X L4Yd Nonadhesive Sof-Rol,11.38,4.44,,,0
CDM,SUP11171,Noncdm Charge Record Medical Supplies - Stent Iliac 10-40 6Fx110Cm Epic Self Expanding Boston Scient,5033.72,1963.15,,,0
CDM,SUP11172,Noncdm Charge Record Medical Supplies - Stent Iliac 10-60 6Fx112Cm Epic Self Expanding Boston Scient,3821.22,1490.28,,,0
CDM,SUP11173,Noncdm Charge Record Medical Supplies - Stent Biliary Self Expanding 10Mmx80Mmx6F 75Cm Epic Boston S,3821.22,1490.28,,,0
CDM,SUP11175,Noncdm Charge Record Medical Supplies - Stent Biliary Self Expanding 12Mmx40Mmx6F Epic Boston Scient,3821.22,1490.28,,,0
CDM,SUP11176,Noncdm Charge Record Medical Supplies - Stent Biliary Self Expanding 12Mmx60Mmx6F 75Cm Epic Boston S,4108.95,1602.49,,,0
CDM,SUP111763_272,Noncdm Charge Record Medical Supplies - Penumbra Engine Canister For Indigo System,1786.5,696.74,,,0
CDM,SUP111763_A4649_272,Noncdm Charge Record Medical Supplies - Penumbra Engine Canister For Indigo System,1786.41,696.7,,,0
CDM,SUP11178,Noncdm Charge Record Medical Supplies - Stent Bil 6Mm 29Mm 120Cm Self,3048.76,1189.02,,,0
CDM,SUP11179,Noncdm Charge Record Medical Supplies - Stent Bil 6Mm 41Mm 120Cm Self,4807.78,1875.03,,,0
CDM,SUP111801_272,Noncdm Charge Record Medical Supplies - See 157685 Tubing Suction L10Ft Dia0.25In Nonconductive,7.78,3.03,,,0
CDM,SUP111801_A4649_272,Noncdm Charge Record Medical Supplies - See 157685 Tubing Suction L10Ft Dia0.25In Nonconductive,7.79,3.04,,,0
CDM,SUP111801_A9999_272,Noncdm Charge Record Medical Supplies - See 157685 Tubing Suction L10Ft Dia0.25In Nonconductive,7.76,3.03,,,0
CDM,SUP11182,Noncdm Charge Record Medical Supplies - Stent Bil 6Mm 80Mm 120Cm Self,3999.45,1559.79,,,0
CDM,SUP11183,Noncdm Charge Record Medical Supplies - Stent Biliary Self Expanding 6Mmx100Mmx120Cm Epic Boston Sci,3241.88,1264.33,,,0
CDM,SUP11184,Noncdm Charge Record Medical Supplies - Stent Biliary Self Expanding 6Mmx120Mmx120Cm Epic Boston Sci,4899.0,1910.61,,,0
CDM,SUP11186,Noncdm Charge Record Medical Supplies - Stent Bil 7Mm 29Mm 120Cm Self,3821.22,1490.28,,,0
CDM,SUP11187,Noncdm Charge Record Medical Supplies - Stent Bil 7Mm 41Mm 120Cm Self,4712.35,1837.82,,,0
CDM,SUP11188,Noncdm Charge Record Medical Supplies - Stent Bil 7Mm 60Mm 120Cm Self,3434.99,1339.65,,,0
CDM,SUP11190,Noncdm Charge Record Medical Supplies - Stent Bil 7Mm 79Mm 120Cm Self,4415.31,1721.97,,,0
CDM,SUP11191,Noncdm Charge Record Medical Supplies - Stent Bil 7Mm 99Mm 120Cm Self,3821.05,1490.21,,,0
CDM,SUP11192,Noncdm Charge Record Medical Supplies - Stent Bil 7Mm 118Mm 120Cm Self,4225.13,1647.8,,,0
CDM,SUP11193,Noncdm Charge Record Medical Supplies - Stent Bil 8Mm 41Mm 120Cm Self,4427.47,1726.71,,,0
CDM,SUP11194,Noncdm Charge Record Medical Supplies - Stent Bil 8Mm 60Mm 120Cm Self,4144.55,1616.37,,,0
CDM,SUP11195,Noncdm Charge Record Medical Supplies - Stent Bil 8Mm 80Mm 120Cm Self,3821.22,1490.28,,,0
CDM,SUP111959,Noncdm Charge Record Medical Supplies - Guidewire Amplatz Spr Stf.038 8In Str 3.5 Flx 145Cm,170.35,66.44,,,0
CDM,SUP11197,Noncdm Charge Record Medical Supplies - See 120031 Dressing Foam Adh 9X9In Scrl,48.64,18.97,,,0
CDM,SUP1120_272,Noncdm Charge Record Medical Supplies - Catheter Ureth Rbnsn 14Fr Hlw,14.49,5.65,,,0
CDM,SUP1120_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Ureth Rbnsn 14Fr Hlw,14.49,5.65,,,0
CDM,SUP1120_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Ureth Rbnsn 14Fr Hlw,14.49,5.65,,,0
CDM,SUP1121,Noncdm Charge Record Medical Supplies - See 157479 Dilator Ureth 30Cm 6-30Fr Amplatz Rnl Tfe Set,1078.47,420.6,,,0
CDM,SUP112123,Noncdm Charge Record Medical Supplies - Guidewire Mrk Spring Tip 210Cm Safeguide Disp,245.3,95.67,,,0
CDM,SUP112242,Noncdm Charge Record Medical Supplies - Graft Bovine W6Xl8Cm,2447.26,954.43,,,0
CDM,SUP112268_272,Noncdm Charge Record Medical Supplies - Suture Absorbable V Loc L12In 30Cm 4-0 V Green,119.1,46.45,,,0
CDM,SUP112268_A4649_272,Noncdm Charge Record Medical Supplies - Suture Absorbable V Loc L12In 30Cm 4-0 V Green,119.17,46.48,,,0
CDM,SUP112268_A9999_272,Noncdm Charge Record Medical Supplies - Suture Absorbable V Loc L12In 30Cm 4-0 V Green,119.02,46.42,,,0
CDM,SUP112269,Noncdm Charge Record Medical Supplies - Suture Absorbable V-Loc 90 3-0 2Metric 9In 23Cm Undyed,113.5,44.26,,,0
CDM,SUP112270,Noncdm Charge Record Medical Supplies - Suture Absorbable V-Loc 90 4-0 1.5Metriv 18In 45Cm Violet,131.44,51.26,,,0
CDM,SUP112271_272,Noncdm Charge Record Medical Supplies - Telescoping Smoke Evacuation R,118.05,46.04,,,0
CDM,SUP112271_A4649_272,Noncdm Charge Record Medical Supplies - Telescoping Smoke Evacuation R,118.0,46.02,,,0
CDM,SUP112271_A9999_272,Noncdm Charge Record Medical Supplies - Telescoping Smoke Evacuation R,118.03,46.03,,,0
CDM,SUP11233,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 16Mm St T8 Strdr Acc Va Lck,587.85,229.26,,,0
CDM,SUP112343,Noncdm Charge Record Medical Supplies - Catheter Cobra Hydrophilic,164.56,64.18,,,0
CDM,SUP112344,Noncdm Charge Record Medical Supplies - Guidewire Vascular .035 Sti,152.97,59.66,,,0
CDM,SUP11234_C1713_278,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 18Mm St T8 Strdr Acc Va Lck,588.14,229.37,,,0
CDM,SUP11234_L8699_278,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 18Mm St T8 Strdr Acc Va Lck,664.47,259.14,,,0
CDM,SUP112364_272,Noncdm Charge Record Medical Supplies - Suture 2-0 Coated Vicryl Plus Violet 1X36In Ct-1,9.24,3.6,,,0
CDM,SUP112364_A4649_272,Noncdm Charge Record Medical Supplies - Suture 2-0 Coated Vicryl Plus Violet 1X36In Ct-1,8.95,3.49,,,0
CDM,SUP112364_A9999_272,Noncdm Charge Record Medical Supplies - Suture 2-0 Coated Vicryl Plus Violet 1X36In Ct-1,9.32,3.63,,,0
CDM,SUP1124,Noncdm Charge Record Medical Supplies - Dilator Vasc 6Fr 15Cm Std Radiopq .035In,28.98,11.3,,,0
CDM,SUP11241,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 2Mm 40Mm,1101.24,429.48,,,0
CDM,SUP11243,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 2.5Mm-40M,1101.24,429.48,,,0
CDM,SUP112437_270,Noncdm Charge Record Medical Supplies - Kit Pad Positioner Schlein Beach Chair,163.53,63.78,,,0
CDM,SUP112437_A4649_270,Noncdm Charge Record Medical Supplies - Kit Pad Positioner Schlein Beach Chair,163.53,63.78,,,0
CDM,SUP11244,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 3Mm 20Mm,1101.24,429.48,,,0
CDM,SUP11246,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 4Mm 20Mm,1101.24,429.48,,,0
CDM,SUP11248,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil Coyote 2Mm 60Mm,1101.24,429.48,,,0
CDM,SUP11250,Noncdm Charge Record Medical Supplies - Catheter Catheter Balloon Dil 3Mm 60Mm,1101.24,429.48,,,0
CDM,SUP11252,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 2Mm 80Mm,1224.4,477.52,,,0
CDM,SUP11253,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 2.5Mm-80M,1101.24,429.48,,,0
CDM,SUP11254,Noncdm Charge Record Medical Supplies - Coyote Otw 3.0 X 80,1101.24,429.48,,,0
CDM,SUP11255,Noncdm Charge Record Medical Supplies - Coyote Otw 4.0X80,1101.24,429.48,,,0
CDM,SUP11256,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 2Mm 100Mm,1101.24,429.48,,,0
CDM,SUP11257,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 2.5Mm-100Mm,1101.24,429.48,,,0
CDM,SUP11258,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil Coyote 3Mm 100Mm,1264.77,493.26,,,0
CDM,SUP11261,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil Coyote 2Mm 150Mm,1392.59,543.11,,,0
CDM,SUP11262,Noncdm Charge Record Medical Supplies - Catheter Ball Dil Coyote 2.5Mm-150Mm,1861.4,725.95,,,0
CDM,SUP112624,Noncdm Charge Record Medical Supplies - Wavewriter Implantable Pulse Generator (Ipg),84585.38,32988.3,,,0
CDM,SUP11265,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil Coyote 2Mm 220Mm,1101.24,429.48,,,0
CDM,SUP112654,Noncdm Charge Record Medical Supplies - Clik X Anchor (Set Of 2),1651.86,644.23,,,0
CDM,SUP11266,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 2.5Mm-220Mm,1101.24,429.48,,,0
CDM,SUP112663,Noncdm Charge Record Medical Supplies - Wavewriter Patient Trial Kit (Includes: Ets Belt,245.3,95.67,,,0
CDM,SUP11267,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 3Mm 220Mm,1683.94,656.74,,,0
CDM,SUP112670,Noncdm Charge Record Medical Supplies,48.64,18.97,,,0
CDM,SUP11268,Noncdm Charge Record Medical Supplies,1683.94,656.74,,,0
CDM,SUP11270,Noncdm Charge Record Medical Supplies - Plate 106-3.5Mm 7Hl Ss Rt Strl Hl Lcp Bn Rt Strl,6059.92,2363.37,,,0
CDM,SUP11272,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 60Mm St T8 Strdr Acc Va Lck,585.02,228.16,,,0
CDM,SUP11273,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 32Mm St T8 Strdr Acc Va Lck,574.21,223.94,,,0
CDM,SUP11274,Noncdm Charge Record Medical Supplies - Plate Ss 3.5 Screw 3 Hl Strl Spring Lcp Bn Strl,1912.47,745.86,,,0
CDM,SUP112744,Noncdm Charge Record Medical Supplies - Screw Bone L12Mm Dia2.7Mm Elbow Titanium Locking,531.99,207.48,,,0
CDM,SUP11275,Noncdm Charge Record Medical Supplies - Plate 106-3.5Mm Ss 7Hl Lt Strl Hl Lcp Bn Lt Strl,6059.92,2363.37,,,0
CDM,SUP112751,Noncdm Charge Record Medical Supplies - Plate Spinal Zevo L57Mm 3 Level Cervical,4350.1,1696.54,,,0
CDM,SUP112752,Noncdm Charge Record Medical Supplies - Screw Spinal Zevo L17Mm Dia3.5Mm,725.33,282.88,,,0
CDM,SUP112753,Noncdm Charge Record Medical Supplies - Screw Spinal Zevo L15Mm Dia3.5Mm,725.18,282.82,,,0
CDM,SUP11276,Noncdm Charge Record Medical Supplies - Plate Olcrn 3.5Mm 2.7Mm 4Hl Va Lcp Lt,4490.35,1751.24,,,0
CDM,SUP11277,Noncdm Charge Record Medical Supplies - Graft Nerve Avance 4-5Mm 50Mm,24249.02,9457.12,,,0
CDM,SUP11280,Noncdm Charge Record Medical Supplies - Graft Nerve Avance 1-2Mm 30Mm,14776.87,5762.98,,,0
CDM,SUP11281,Noncdm Charge Record Medical Supplies - Screw Cannula Lck Va 5Mm 70Mm Bn,1120.24,436.89,,,0
CDM,SUP112813,Noncdm Charge Record Medical Supplies - Catheter Guiding Od5Fr Xb 3.5 Curve Brite Tip,199.06,77.63,,,0
CDM,SUP11282,Noncdm Charge Record Medical Supplies - Screw Cannula Lck Va 5Mm 75Mm Bn,1129.28,440.42,,,0
CDM,SUP112829,Noncdm Charge Record Medical Supplies - Catheter Guiding Spiral Turnpk L135Cm D2.9X2.9X1.6Fr 0.014In,2469.51,963.11,,,0
CDM,SUP11284,Noncdm Charge Record Medical Supplies - Plate 46Mm Lcp Dist Uln W Hk 7 Hl Strl,3243.86,1265.11,,,0
CDM,SUP11286,Noncdm Charge Record Medical Supplies - Screw Ti 10Mm 2Mm Midfa St Bn,76.93,30.0,,,0
CDM,SUP11288,Noncdm Charge Record Medical Supplies - Device Stlk Art Stab,18.86,7.36,,,0
CDM,SUP112912_272,Noncdm Charge Record Medical Supplies - Ascope 4 Broncho Slim Disposab L23.6In Od0.15In Id0.047In,1273.04,496.49,,,0
CDM,SUP112912_A4649_272,Noncdm Charge Record Medical Supplies - Ascope 4 Broncho Slim Disposab L23.6In Od0.15In Id0.047In,1273.05,496.49,,,0
CDM,SUP112912_A9999_272,Noncdm Charge Record Medical Supplies - Ascope 4 Broncho Slim Disposab L23.6In Od0.15In Id0.047In,1273.05,496.49,,,0
CDM,SUP112913,Noncdm Charge Record Medical Supplies - See 155826 Ascope 4 Broncho Large Dispble L23.6In Od0.23In I,366.39,142.89,,,0
CDM,SUP112914_272,Noncdm Charge Record Medical Supplies - Suture 3-0 Ud 6 Cv-23 V-Loc 180,113.73,44.35,,,0
CDM,SUP112914_A9999_272,Noncdm Charge Record Medical Supplies - Suture 3-0 Ud 6 Cv-23 V-Loc 180,113.85,44.4,,,0
CDM,SUP11293,Noncdm Charge Record Medical Supplies - Screw Bn Cort 1.5Mm 8Mm St Strdr,249.44,97.28,,,0
CDM,SUP11294,Noncdm Charge Record Medical Supplies - Screw Bn Cort 1.5Mm 10Mm St Strdr,249.32,97.23,,,0
CDM,SUP11296,Noncdm Charge Record Medical Supplies - Applicator Duplospray Laparoscopic Baxalta Us Inc,436.77,170.34,,,0
CDM,SUP112966,Noncdm Charge Record Medical Supplies - Kit Centrl Vn Cath Mtlum 7F,607.44,236.9,,,0
CDM,SUP112967,Noncdm Charge Record Medical Supplies - Catheter Dilatation Balloon P Ptca 6.00X40Mmx135Cm,820.24,319.89,,,0
CDM,SUP11298,Noncdm Charge Record Medical Supplies - Coil Concerto Nyl Hlcl 6Mm 20C,3625.16,1413.81,,,0
CDM,SUP11299,Noncdm Charge Record Medical Supplies - Coil Concerto Nyl Hlcl 5Mm 15C,3625.26,1413.85,,,0
CDM,SUP1130,Noncdm Charge Record Medical Supplies - Guidewire Rosen Tfe-Ctd 145,66.24,25.83,,,0
CDM,SUP11300,Noncdm Charge Record Medical Supplies - Coil Concerto Nyl Hlcl 4Mm 8Cm,3625.29,1413.86,,,0
CDM,SUP11301,Noncdm Charge Record Medical Supplies - Coil Concerto Nyl Hlcl 3Mm 8Cm,3625.31,1413.87,,,0
CDM,SUP11302,Noncdm Charge Record Medical Supplies - Coil Concerto Nyl Hlcl 3Mm 4Cm,3625.38,1413.9,,,0
CDM,SUP11303,Noncdm Charge Record Medical Supplies - Coil Concerto Nyl Hlcl 2Mm 8Cm,3625.35,1413.89,,,0
CDM,SUP113036_272,Noncdm Charge Record Medical Supplies - Tape Measuring L30Cm Identify Vessel Lesion Length,142.72,55.66,,,0
CDM,SUP113036_A4649_272,Noncdm Charge Record Medical Supplies - Tape Measuring L30Cm Identify Vessel Lesion Length,141.79,55.3,,,0
CDM,SUP11304,Noncdm Charge Record Medical Supplies - Coil Concerto Nyl Hlcl 2Mm 6Cm,3625.3,1413.87,,,0
CDM,SUP113046,Noncdm Charge Record Medical Supplies - Gelpoint Path With Isb 5.5Cm Access Channel,3858.36,1504.76,,,0
CDM,SUP11305,Noncdm Charge Record Medical Supplies - Coil Concerto Nyl Hlcl 2Mm 4Cm,3625.28,1413.86,,,0
CDM,SUP11306,Noncdm Charge Record Medical Supplies - Detacher Inst Deploy,238.05,92.84,,,0
CDM,SUP11307,Noncdm Charge Record Medical Supplies,43.47,16.95,,,0
CDM,SUP11310,Noncdm Charge Record Medical Supplies - See 114712 Stent Bil 6Mm 150Mm 200Cm,8818.2,3439.1,,,0
CDM,SUP113113_270,Noncdm Charge Record Medical Supplies - Aquacel,18.63,7.27,,,0
CDM,SUP113113_272,Noncdm Charge Record Medical Supplies - Aquacel,19.28,7.52,,,0
CDM,SUP113116,Noncdm Charge Record Medical Supplies - Dil Balloon Hercules 3 Stg 8-9-10Mm X 8Cml,1097.1,427.87,,,0
CDM,SUP113117,Noncdm Charge Record Medical Supplies - Dil Balloon Hercules 3 Stg 10-11-12Mmx8Cml,1071.22,417.78,,,0
CDM,SUP113118,Noncdm Charge Record Medical Supplies - Dil Balloon Hercules 3 Stg 12-13.5-15Mmx8Cm,1011.71,394.57,,,0
CDM,SUP113119,Noncdm Charge Record Medical Supplies - Dil Balloon Hercules 3 Stg 15-16.5-18Mmx8Cm,1039.3,405.33,,,0
CDM,SUP11314,Noncdm Charge Record Medical Supplies - Head Bipolar 50Mm 26Mm Uhr,3963.02,1545.58,,,0
CDM,SUP11317,Noncdm Charge Record Medical Supplies - Syringe Aln Infl,146.97,57.32,,,0
CDM,SUP113176,Noncdm Charge Record Medical Supplies - Sheath Introducer Pinnacle Rp Q W-0.038Gw 7F 10Cm,122.75,47.87,,,0
CDM,SUP113177,Noncdm Charge Record Medical Supplies - Sheath Introducer Pinnacle Rp Q W-Gw 0.038 5F 10Cm,123.76,48.27,,,0
CDM,SUP113178,Noncdm Charge Record Medical Supplies - Sheath Introducer Pinnacle Rp Q W-Mini Gw 8F 10Cm,123.37,48.11,,,0
CDM,SUP113179,Noncdm Charge Record Medical Supplies - Sheath Introducer Pinnacle Rp Q W-Gw Markr 9F 10Cm,112.82,44.0,,,0
CDM,SUP11318,Noncdm Charge Record Medical Supplies - Anchor Suture 4.75X19.2Mm Biocomposite Arthrex,2524.36,984.5,,,0
CDM,SUP113182,Noncdm Charge Record Medical Supplies - Screw Spinal L45Mm Dia6.5Mm Fenestrated Set Cd Horizon,5075.16,1979.31,,,0
CDM,SUP113183,Noncdm Charge Record Medical Supplies - Screw Spinal L40Mm Dia6.5Mm Fenestrated Set Cd Horizon,5075.23,1979.34,,,0
CDM,SUP113184,Noncdm Charge Record Medical Supplies - Kyphon Bone Filler Device Size 3,1462.46,570.36,,,0
CDM,SUP113185,Noncdm Charge Record Medical Supplies - Adapter Driver - Qc Shaft For Cd Horizon Screw Set,611.98,238.67,,,0
CDM,SUP113186,Noncdm Charge Record Medical Supplies - Rod Curved Solera Cocr 5.5X35Mm,1128.15,439.98,,,0
CDM,SUP1131_272,Noncdm Charge Record Medical Supplies - Needle Bx 18Ga 15Cm Chba Asp,58.95,22.99,,,0
CDM,SUP1131_A4649_272,Noncdm Charge Record Medical Supplies - Needle Bx 18Ga 15Cm Chba Asp,59.0,23.01,,,0
CDM,SUP11322,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 34Mm St T8 Strdr Acc Va Lck,584.31,227.88,,,0
CDM,SUP11323,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 30Mm St T8 Strdr Acc Va Lck,583.65,227.62,,,0
CDM,SUP11324,Noncdm Charge Record Medical Supplies - Catheter Angio .038In Sft St1 Vu St1 5Fr 100Cm Sidewinder,116.96,45.61,,,0
CDM,SUP11325,Noncdm Charge Record Medical Supplies - Catheter Angio .038In Sft St2 Vu 5Fr 100Cm Sidewinder,71.42,27.85,,,0
CDM,SUP11326,Noncdm Charge Record Medical Supplies - Catheter .038In Sft Vu Nbrd 1 Head Hntr 5Fr 100Cm,87.98,34.31,,,0
CDM,SUP11327,Noncdm Charge Record Medical Supplies - Catheter .038In Sft Sos Omni Vu Braid,123.31,48.09,,,0
CDM,SUP11328,Noncdm Charge Record Medical Supplies - Catheter .038In Sft Vu Braid Cbr 2 5Fr 80Cm,68.31,26.64,,,0
CDM,SUP113285_L8699_278,Noncdm Charge Record Medical Supplies - Radiomark Graft Marker,86.94,33.91,,,0
CDM,SUP113285_L8699_624,Noncdm Charge Record Medical Supplies - Radiomark Graft Marker,86.94,33.91,,,0
CDM,SUP1133,Noncdm Charge Record Medical Supplies - Needle 3.5In 27Ga Ext Shaft,56.92,22.2,,,0
CDM,SUP11330_272,Noncdm Charge Record Medical Supplies - Catheter .038In Sft Vu Nbrd Mklsn 5Fr 80Cm,75.34,29.38,,,0
CDM,SUP11330_A4649_272,Noncdm Charge Record Medical Supplies - Catheter .038In Sft Vu Nbrd Mklsn 5Fr 80Cm,78.66,30.68,,,0
CDM,SUP11330_A9999_272,Noncdm Charge Record Medical Supplies - Catheter .038In Sft Vu Nbrd Mklsn 5Fr 80Cm,71.42,27.85,,,0
CDM,SUP11331,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 38Mm St T8 Strdr Acc Va Lck,580.38,226.35,,,0
CDM,SUP11332_C1713_278,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 14Mm St T8 Strdr Acc Va Lck,586.35,228.68,,,0
CDM,SUP11332_L8699_278,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 14Mm St T8 Strdr Acc Va Lck,664.47,259.14,,,0
CDM,SUP11334,Noncdm Charge Record Medical Supplies - Plate 4.5Mm Condy 8H Va Lcp Crv Lt Strl,7334.53,2860.47,,,0
CDM,SUP113381,Noncdm Charge Record Medical Supplies - Tracheostomy Tube Holder Shiley,11.38,4.44,,,0
CDM,SUP113383,Noncdm Charge Record Medical Supplies - Tube 6.5Mm Uncuf Nfen Inr Cannula Shly Tracheo,188.37,73.46,,,0
CDM,SUP113385,Noncdm Charge Record Medical Supplies - Battery Instr F-Nvg Sys,195.73,76.33,,,0
CDM,SUP113386,Noncdm Charge Record Medical Supplies - Garment Comp Calf Cir 23In Disp,41.4,16.15,,,0
CDM,SUP113388_270,Noncdm Charge Record Medical Supplies - Immobilizer Knee Dlx Xl 22In,57.96,22.6,,,0
CDM,SUP113388_A4649_270,Noncdm Charge Record Medical Supplies - Immobilizer Knee Dlx Xl 22In,57.96,22.6,,,0
CDM,SUP113389,Noncdm Charge Record Medical Supplies - See 22681 Binder Abd Knit Elc 12In Sz 46-62,26.91,10.49,,,0
CDM,SUP113390,Noncdm Charge Record Medical Supplies - Sling Arm Elevr Flu Adlt,48.64,18.97,,,0
CDM,SUP113395,Noncdm Charge Record Medical Supplies - Implant Screw Htorq 1.5X4Mm,513.84,200.4,,,0
CDM,SUP11342,Noncdm Charge Record Medical Supplies - Plate .8Mm Oblq 3X4Hl Lt Gold,1753.29,683.78,,,0
CDM,SUP11343_272,Noncdm Charge Record Medical Supplies - Needle Ortrch Injector Laryng,137.48,53.62,,,0
CDM,SUP11343_A4649_272,Noncdm Charge Record Medical Supplies - Needle Ortrch Injector Laryng,138.69,54.09,,,0
CDM,SUP11347,Noncdm Charge Record Medical Supplies - Screw 5-42Mm Nail Ex Ti Strl Ft Fem-Tib,930.81,363.02,,,0
CDM,SUP113472,Noncdm Charge Record Medical Supplies - Beason Tap 5.5,1542.15,601.44,,,0
CDM,SUP11348,Noncdm Charge Record Medical Supplies - Plate 102Mm Ss 3.5Mm Screw 6 Hl Low Bend Lcp Strl,6100.06,2379.02,,,0
CDM,SUP113493,Noncdm Charge Record Medical Supplies - Screw Non Locking Low-Pro Cort 3.5 X 36Mm,547.52,213.53,,,0
CDM,SUP11349_272,Noncdm Charge Record Medical Supplies - Barrier Adhesion Xl Interceed J And J Health,1475.04,575.27,,,0
CDM,SUP11349_A4649_272,Noncdm Charge Record Medical Supplies - Barrier Adhesion Xl Interceed J And J Health,1539.04,600.23,,,0
CDM,SUP11349_A9999_272,Noncdm Charge Record Medical Supplies - Barrier Adhesion Xl Interceed J And J Health,1449.69,565.38,,,0
CDM,SUP113504,Noncdm Charge Record Medical Supplies - See 13683 Catheter Ext Female Purewick 30-Cs,32.01,12.48,,,0
CDM,SUP113505,Noncdm Charge Record Medical Supplies - Sheath Guiding Destination 8Frx90Cm With 60Cm Hydrophilic,450.22,175.59,,,0
CDM,SUP113506,Noncdm Charge Record Medical Supplies - Introducer Sheath Ballast Long 088In 6F 90Cm,2192.86,855.22,,,0
CDM,SUP113507,Noncdm Charge Record Medical Supplies - Introducer Sheath Ballast Long 088In 6F 100Cm,2203.52,859.37,,,0
CDM,SUP11358_272,Noncdm Charge Record Medical Supplies - Snare Sns Shrthrw Jmb Oval,191.48,74.68,,,0
CDM,SUP11358_A9999_272,Noncdm Charge Record Medical Supplies - Snare Sns Shrthrw Jmb Oval,191.48,74.68,,,0
CDM,SUP11359_272,Noncdm Charge Record Medical Supplies - Snare Mic Oval 13Mm 2.4Mm,191.48,74.68,,,0
CDM,SUP11359_A4649_272,Noncdm Charge Record Medical Supplies - Snare Mic Oval 13Mm 2.4Mm,191.48,74.68,,,0
CDM,SUP11359_A9999_272,Noncdm Charge Record Medical Supplies - Snare Mic Oval 13Mm 2.4Mm,191.48,74.68,,,0
CDM,SUP113610_272,Noncdm Charge Record Medical Supplies - Suture V-Loc 180 Sz 3-0 L12In Grn V-20 Needle L26Mm 1-2 Dia,119.23,46.5,,,0
CDM,SUP113610_A4649_272,Noncdm Charge Record Medical Supplies - Suture V-Loc 180 Sz 3-0 L12In Grn V-20 Needle L26Mm 1-2 Dia,119.02,46.42,,,0
CDM,SUP11363,Noncdm Charge Record Medical Supplies - Rod 60Mm Thrd Mri Safe Ext Fix,316.19,123.31,,,0
CDM,SUP113632,Noncdm Charge Record Medical Supplies - Stent Graft Aaa Endurant Ii Short Bifurcat 25Mmx14Mmx103Mm,43392.38,16923.03,,,0
CDM,SUP113633,Noncdm Charge Record Medical Supplies - Stent Graft Aaa Endurant Ii Contralateral Limb 16X13X124Mm,21641.85,8440.32,,,0
CDM,SUP113634,Noncdm Charge Record Medical Supplies - Stent Graft Aaa Endurant Ii Contralateral Limb 16X16X124Mm,21424.5,8355.56,,,0
CDM,SUP11364,Noncdm Charge Record Medical Supplies - Rod 80Mm Thrd Mri Safe Ext Fix,312.91,122.03,,,0
CDM,SUP113739,Noncdm Charge Record Medical Supplies - Quadra Allure Mp Rf Crt-P Mri,32360.31,12620.52,,,0
CDM,SUP113883,Noncdm Charge Record Medical Supplies - Screw Solera 4.5X45Mm For 5.5Mm Rod Cd Horizon,4108.95,1602.49,,,0
CDM,SUP113884,Noncdm Charge Record Medical Supplies - Screw Solera 4.5X50Mm For 5.5Mm Rod Cd Horizon,4108.95,1602.49,,,0
CDM,SUP113885,Noncdm Charge Record Medical Supplies - Screw Solera 7.5X45Mm For 4.75Mm Rod Cd Horizon,4108.56,1602.34,,,0
CDM,SUP113910,Noncdm Charge Record Medical Supplies - Clip 12-14F Range Nasal Securement Bridle Pro,420.21,163.88,,,0
CDM,SUP113912,Noncdm Charge Record Medical Supplies - Trocar Short Optical 12Mm Dia - 70Mm Length,118.99,46.41,,,0
CDM,SUP11398,Noncdm Charge Record Medical Supplies - Baseplate Tib Trthln 7 Univ,10106.78,3941.64,,,0
CDM,SUP11404,Noncdm Charge Record Medical Supplies - Augment Fem 10Mm #3 Trthln,4693.21,1830.35,,,0
CDM,SUP114052_272,Noncdm Charge Record Medical Supplies - Duraclip Hemoclip 235Cm 11Mm,685.3,267.27,,,0
CDM,SUP114052_A4649_272,Noncdm Charge Record Medical Supplies - Duraclip Hemoclip 235Cm 11Mm,685.17,267.22,,,0
CDM,SUP114053,Noncdm Charge Record Medical Supplies - Duraclip Hemoclip 235Cm 16Mm,710.01,276.9,,,0
CDM,SUP11406,Noncdm Charge Record Medical Supplies - Stem Fem 100Mm 14Mm Prft Flute,4936.95,1925.41,,,0
CDM,SUP114106,Noncdm Charge Record Medical Supplies - Implant Hip Construct H1 Stryk 19,18878.23,7362.51,,,0
CDM,SUP114107,Noncdm Charge Record Medical Supplies - Implant Hip Construct H2 Stryk 19,20448.53,7974.93,,,0
CDM,SUP11411,Noncdm Charge Record Medical Supplies - Liner Mod Dual 42Mm Cementless,7745.94,3020.92,,,0
CDM,SUP114111,Noncdm Charge Record Medical Supplies - Implant Hip Partial Bipolar- Unipolar-Non-Porous H1 Stryk19,6902.01,2691.78,,,0
CDM,SUP114112,Noncdm Charge Record Medical Supplies - Implant Hip Partial Bipolar- Unipolar-Porous H2 Stryk 19,7431.3,2898.21,,,0
CDM,SUP114113,Noncdm Charge Record Medical Supplies - Implant Knee Construct - Any Total-Uni K1 Stryk 19,15639.74,6099.5,,,0
CDM,SUP114114,Noncdm Charge Record Medical Supplies - Implant Knee Construct K2 Stryk 19,16430.62,6407.94,,,0
CDM,SUP114115,Noncdm Charge Record Medical Supplies - Implant Knee Construct K2A Stryk 19,17113.68,6674.34,,,0
CDM,SUP114118,Noncdm Charge Record Medical Supplies - Implant Hip Construct H2 Depuy 19,19817.14,7728.68,,,0
CDM,SUP114121,Noncdm Charge Record Medical Supplies - Implant Hip Construct Dual Vendor-Stem-Head H1A Depuy 19,11116.94,4335.61,,,0
CDM,SUP114122,Noncdm Charge Record Medical Supplies - Implant Hip Partial Bipolar- Unipolar-Non-Porous H1 Depuy19,6009.73,2343.79,,,0
CDM,SUP114123,Noncdm Charge Record Medical Supplies - Implant Hip Partial Bipolar- Unipolar-Porous H2 Depuy 19,10513.27,4100.18,,,0
CDM,SUP114125,Noncdm Charge Record Medical Supplies,20783.84,8105.7,,,0
CDM,SUP114126,Noncdm Charge Record Medical Supplies - Implant Knee Construct K2 Depuy 19,15950.38,6220.65,,,0
CDM,SUP114127,Noncdm Charge Record Medical Supplies - Implant Knee Construct K2A Depuy 19,16929.79,6602.62,,,0
CDM,SUP114130,Noncdm Charge Record Medical Supplies - Implant Hip Construct H2 Smith 19,19817.14,7728.68,,,0
CDM,SUP114131,Noncdm Charge Record Medical Supplies - Implant Hip Construct - Hip Resurfacing H3 Smith 19,26583.98,10367.75,,,0
CDM,SUP114132,Noncdm Charge Record Medical Supplies - Implant Hip Construct Dual Vendor-Shell-Liner H1 Smith 19,7250.18,2827.57,,,0
CDM,SUP114134,Noncdm Charge Record Medical Supplies - Implant Hip Partial Bipolar- Unipolar-Non-Porous H1 Smith19,5841.57,2278.21,,,0
CDM,SUP114135,Noncdm Charge Record Medical Supplies - Implant Hip Partial Bipolar- Unipolar-Porous H2 Smith 19,7250.18,2827.57,,,0
CDM,SUP114136,Noncdm Charge Record Medical Supplies - Implant Knee Construct - Any Total-Uni K1 Smith 19,14500.35,5655.14,,,0
CDM,SUP114137,Noncdm Charge Record Medical Supplies - Implant Knee Construct K2 Smith 19,15950.38,6220.65,,,0
CDM,SUP114138,Noncdm Charge Record Medical Supplies - Implant Knee Construct K2A Smith 19,16917.08,6597.66,,,0
CDM,SUP11414,Noncdm Charge Record Medical Supplies,17074.4,6659.02,,,0
CDM,SUP114145,Noncdm Charge Record Medical Supplies - Implant Hip Partial Bipolar- Unipolar-Non-Porous H1 Exact19,5800.14,2262.05,,,0
CDM,SUP114154,Noncdm Charge Record Medical Supplies - Implant Hip Construct H1 United 19,18367.11,7163.17,,,0
CDM,SUP114159,Noncdm Charge Record Medical Supplies,5800.14,2262.05,,,0
CDM,SUP114161,Noncdm Charge Record Medical Supplies - Implant Knee Construct K1A United 19,14539.02,5670.22,,,0
CDM,SUP114162,Noncdm Charge Record Medical Supplies - Implant Knee Construct K2 United 19,15628.15,6094.98,,,0
CDM,SUP1142_272,Noncdm Charge Record Medical Supplies - Access Needle 18G 7Cm Merit Medical,10.45,4.08,,,0
CDM,SUP1142_A4649_272,Noncdm Charge Record Medical Supplies - Access Needle 18G 7Cm Merit Medical,10.48,4.09,,,0
CDM,SUP1142_A9999_272,Noncdm Charge Record Medical Supplies - Access Needle 18G 7Cm Merit Medical,10.35,4.04,,,0
CDM,SUP114519,Noncdm Charge Record Medical Supplies - Tube Vent Mini Baxter Beveled D Button Flroplas,79.69,31.08,,,0
CDM,SUP11458,Noncdm Charge Record Medical Supplies - Spacer Spnl 14X14X9Mm Cnrstn Psr Peek Strut,3866.76,1508.04,,,0
CDM,SUP11459,Noncdm Charge Record Medical Supplies - Plate Bn 23Mm Atl Vsn Elt Cerv,3625.6,1413.98,,,0
CDM,SUP11461,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 14Mm Atl Ti Ant Cerv Spine Self,725.28,282.86,,,0
CDM,SUP114614,Noncdm Charge Record Medical Supplies - Bag Enema Retent Cuff Plastic Clamp Air Tip 8925,36.22,14.13,,,0
CDM,SUP114615,Noncdm Charge Record Medical Supplies - Kit Enema Emp Snapcap Bag Rgd Tub 920,23.8,9.28,,,0
CDM,SUP114617,Noncdm Charge Record Medical Supplies - Barium Polibar Acb In Snap Cap Enema Bag Ap16 16Oz,27.94,10.9,,,0
CDM,SUP11462,Noncdm Charge Record Medical Supplies - Kit Drain Plr Cath Pleurx,2980.74,1162.49,,,0
CDM,SUP11463,Noncdm Charge Record Medical Supplies - Kit Drain Pleurx Vac Bl Valve Cap Thor 500Ml,291.35,113.63,,,0
CDM,SUP114651,Noncdm Charge Record Medical Supplies - Drill Kit Elite Compression Implant With 3.0 Mm Drill Bit,1215.78,474.15,,,0
CDM,SUP114652,Noncdm Charge Record Medical Supplies - Drilling Kt Template 15Mm 18Mm 20Mm 25Mm 30Mm Corresponding,269.56,105.13,,,0
CDM,SUP114653,Noncdm Charge Record Medical Supplies - Staple Bridge Kit 15Mm 2 Leg 15Mm Max Closure 9.1Mm Bme,5711.13,2227.34,,,0
CDM,SUP114654,Noncdm Charge Record Medical Supplies - Staple Bridge Kt 18Mm Leg 18Mm Max Closure 10.4Mm Bme Elite,6157.01,2401.23,,,0
CDM,SUP114657,Noncdm Charge Record Medical Supplies - Staple Kit W20Xl30Mm Bone Fixation Bridge 2 Leg Cont,5869.48,2289.1,,,0
CDM,SUP11466,Noncdm Charge Record Medical Supplies - Guidewire Ucss Nonthrd,367.17,143.2,,,0
CDM,SUP1147,Noncdm Charge Record Medical Supplies - Graft Vasc 40Cm 7Mm Grtx Std Wall Strch Tpr,2561.62,999.03,,,0
CDM,SUP11475,Noncdm Charge Record Medical Supplies - Device Bn Bx 3 Kphx Bn,576.37,224.78,,,0
CDM,SUP11477,Noncdm Charge Record Medical Supplies - System Bn Cement Kt Mxr Transf,850.77,331.8,,,0
CDM,SUP11478,Noncdm Charge Record Medical Supplies - Guidewire Orth Cd Hzn Sxtnt Ti Sharp Thrd,244.79,95.47,,,0
CDM,SUP11486,Noncdm Charge Record Medical Supplies - Probe Ns Nim Ball Tip Spnl,3306.82,1289.66,,,0
CDM,SUP11492,Noncdm Charge Record Medical Supplies - Device Bn Bx 2 Kphx Tpr Strl,495.76,193.35,,,0
CDM,SUP114932,Noncdm Charge Record Medical Supplies - Dissector Md Crv Strl 33Cmx5Mm,1547.32,603.45,,,0
CDM,SUP114934_272,Noncdm Charge Record Medical Supplies - System Prvena Peel And Place,2229.39,869.46,,,0
CDM,SUP114934_A4649_272,Noncdm Charge Record Medical Supplies - System Prvena Peel And Place,2229.39,869.46,,,0
CDM,SUP114934_A9999_272,Noncdm Charge Record Medical Supplies - System Prvena Peel And Place,2229.39,869.46,,,0
CDM,SUP114935,Noncdm Charge Record Medical Supplies - Implant Hip Construct H1 Zimm 19,18973.65,7399.72,,,0
CDM,SUP114936,Noncdm Charge Record Medical Supplies - Implant Hip Construct H2 Zimm 19,19994.28,7797.77,,,0
CDM,SUP114937,Noncdm Charge Record Medical Supplies,26583.98,10367.75,,,0
CDM,SUP114938,Noncdm Charge Record Medical Supplies - Implant Hip Construct Dual Vendor-Shell-Liner H1 Zimm 19,7250.18,2827.57,,,0
CDM,SUP114939,Noncdm Charge Record Medical Supplies - Implant Hip Construct Dual Vendor-Stem-Head H1A Zimm 19,19096.12,7447.49,,,0
CDM,SUP114940,Noncdm Charge Record Medical Supplies - Implant Hip Partial Bipolar- Unipolar-Non-Porous H1 Zimm19,5916.06,2307.26,,,0
CDM,SUP114941,Noncdm Charge Record Medical Supplies - Implant Hip Partial Bipolar- Unipolar-Porous H2 Zimm 19,7250.18,2827.57,,,0
CDM,SUP114942,Noncdm Charge Record Medical Supplies - Implant Knee Construct - Any Total-Uni K1 Zimm 19,14647.7,5712.6,,,0
CDM,SUP114943,Noncdm Charge Record Medical Supplies - Implant Knee Construct K2 Zimm 19,17869.38,6969.06,,,0
CDM,SUP114944,Noncdm Charge Record Medical Supplies - Implant Knee Construct K2B Zimm 19,21826.13,8512.19,,,0
CDM,SUP114947_272,Noncdm Charge Record Medical Supplies - Suture Stratafix Synnetric Pds 0 Ct-1 36Mm Taper,128.3,50.04,,,0
CDM,SUP114947_A4649_272,Noncdm Charge Record Medical Supplies - Suture Stratafix Synnetric Pds 0 Ct-1 36Mm Taper,126.71,49.42,,,0
CDM,SUP114948,Noncdm Charge Record Medical Supplies - Suture Stratafix Symmetric Pds Pluse Unidirectional Sz 1 Ct-,127.71,49.81,,,0
CDM,SUP114949_272,Noncdm Charge Record Medical Supplies - Suture Stratafix Symmetric Pds Pluse Unidirectiona Pds 1 Ct,149.01,58.11,,,0
CDM,SUP114949_A9999_272,Noncdm Charge Record Medical Supplies - Suture Stratafix Symmetric Pds Pluse Unidirectiona Pds 1 Ct,149.56,58.33,,,0
CDM,SUP114950,Noncdm Charge Record Medical Supplies - Vsi Micro-Introducer Kit L15Cm Od4Fr-9Cm,208.04,81.14,,,0
CDM,SUP114954,Noncdm Charge Record Medical Supplies,3310.96,1291.27,,,0
CDM,SUP114963,Noncdm Charge Record Medical Supplies - Evercross Otw Blln 8Mmx60Mmx135Cm 6F,605.99,236.34,,,0
CDM,SUP114965,Noncdm Charge Record Medical Supplies - Evercross Otw Pta Blln Catheter 9Mmx60Mmx135Cm 6F,416.07,162.27,,,0
CDM,SUP114966,Noncdm Charge Record Medical Supplies - Evercross Otw Blln 6Fr 10Mmx20Mmx135Cm,416.07,162.27,,,0
CDM,SUP114968,Noncdm Charge Record Medical Supplies - Evercross Otw Pta Blln Catheter 12Mmx20Mmx135Cm 7F,568.01,221.52,,,0
CDM,SUP114969,Noncdm Charge Record Medical Supplies - Evercross Otw Pta Blln Catheter 12Mmx40Mmx135Cm 7F,795.92,310.41,,,0
CDM,SUP1150,Noncdm Charge Record Medical Supplies - Button Fx Ebtn 12Mm 4Mm Arthro Strl,814.54,317.67,,,0
CDM,SUP11510_272,Noncdm Charge Record Medical Supplies - See 140820 Pack Arthroscopy Windy Hill Ww110023,428.49,167.11,,,0
CDM,SUP11510_A4649_272,Noncdm Charge Record Medical Supplies - See 140820 Pack Arthroscopy Windy Hill Ww110023,428.49,167.11,,,0
CDM,SUP11510_A9999_272,Noncdm Charge Record Medical Supplies - See 140820 Pack Arthroscopy Windy Hill Ww110023,428.49,167.11,,,0
CDM,SUP11511,Noncdm Charge Record Medical Supplies - Kit Drain Start Pleurx 500Ml 4 Btl In Kit,334.3,130.38,,,0
CDM,SUP11513,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 17Mm Atl Ti Ant,725.23,282.84,,,0
CDM,SUP115156_272,Noncdm Charge Record Medical Supplies - Alexis Ces 14Cm W Kii Balloon 3400Ml Rng D14Cm- L100Mm D12Mm,1889.98,737.09,,,0
CDM,SUP115156_A4649_272,Noncdm Charge Record Medical Supplies - Alexis Ces 14Cm W Kii Balloon 3400Ml Rng D14Cm- L100Mm D12Mm,1909.58,744.74,,,0
CDM,SUP115157_272,Noncdm Charge Record Medical Supplies - Alexis Ces W 12X100 Kii Bal Blnt 6500Ml Rng D17Cm,1899.08,740.64,,,0
CDM,SUP115157_A4649_272,Noncdm Charge Record Medical Supplies - Alexis Ces W 12X100 Kii Bal Blnt 6500Ml Rng D17Cm,1836.09,716.08,,,0
CDM,SUP11517,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 17Mm Fx Self Drill,725.54,282.96,,,0
CDM,SUP11519,Noncdm Charge Record Medical Supplies - Screw Bn 5.5Mm 35Mm Cocr,4108.54,1602.33,,,0
CDM,SUP1151_272,Noncdm Charge Record Medical Supplies - Brush Micro 1Mm 1.8Mm 110Cm Strl Disp,100.32,39.12,,,0
CDM,SUP1151_A4649_272,Noncdm Charge Record Medical Supplies - Brush Micro 1Mm 1.8Mm 110Cm Strl Disp,100.4,39.16,,,0
CDM,SUP1151_A9999_272,Noncdm Charge Record Medical Supplies - Brush Micro 1Mm 1.8Mm 110Cm Strl Disp,100.4,39.16,,,0
CDM,SUP1152,Noncdm Charge Record Medical Supplies - Tube 18In 18Fr Sil 3 Lum Feed,1346.54,525.15,,,0
CDM,SUP11521,Noncdm Charge Record Medical Supplies - Rod Cocr 30Mm Crv,1128.15,439.98,,,0
CDM,SUP115235_272,Noncdm Charge Record Medical Supplies - Trocar 12Mm Blunt Tip Latex Free,202.86,79.12,,,0
CDM,SUP115235_A4649_272,Noncdm Charge Record Medical Supplies - Trocar 12Mm Blunt Tip Latex Free,202.86,79.12,,,0
CDM,SUP115235_A9999_272,Noncdm Charge Record Medical Supplies - Trocar 12Mm Blunt Tip Latex Free,202.86,79.12,,,0
CDM,SUP11525,Noncdm Charge Record Medical Supplies - Rod Cocr 55Mm Crv,1128.15,439.98,,,0
CDM,SUP11526,Noncdm Charge Record Medical Supplies - Plate Bn 55Mm Atl Vsn Elt Cerv,3625.6,1413.98,,,0
CDM,SUP115275_272,Noncdm Charge Record Medical Supplies - Suture Fiberwire 2-5 Taper Needle 38In,107.64,41.98,,,0
CDM,SUP115275_A4649_272,Noncdm Charge Record Medical Supplies - Suture Fiberwire 2-5 Taper Needle 38In,107.64,41.98,,,0
CDM,SUP11528,Noncdm Charge Record Medical Supplies - Plate Bn 21Mm Atl Vsn Elt Cerv,3625.6,1413.98,,,0
CDM,SUP11530,Noncdm Charge Record Medical Supplies - Plate Bn 62Mm Atl Vsn Elt Cerv,3625.6,1413.98,,,0
CDM,SUP11531,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 15Mm Var Self Drill,725.19,282.82,,,0
CDM,SUP11532,Noncdm Charge Record Medical Supplies - Plate Bn 40Mm Atl Vsn Elt Cerv,3625.6,1413.98,,,0
CDM,SUP11533,Noncdm Charge Record Medical Supplies - Screw Bn 5.5Mm 55Mm Cocr,4108.48,1602.31,,,0
CDM,SUP11535,Noncdm Charge Record Medical Supplies - Crosslink Solera Ti 38Mm,2685.82,1047.47,,,0
CDM,SUP11536,Noncdm Charge Record Medical Supplies - Rod Cocr 500Mm Solera Strt,4108.95,1602.49,,,0
CDM,SUP11539,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 35Mm Cocr,4108.43,1602.29,,,0
CDM,SUP1154,Noncdm Charge Record Medical Supplies - Sheath 7Fr Terumo 25Cm Wo Mini,104.54,40.77,,,0
CDM,SUP11540,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 30Mm Cocr,4108.43,1602.29,,,0
CDM,SUP115401,Noncdm Charge Record Medical Supplies - Sheath Guiding L55Cm Od 7Fr Id Id2,376.74,146.93,,,0
CDM,SUP115403,Noncdm Charge Record Medical Supplies - Glidewire Catheter Exchange Angled .018X260Cm,379.43,147.98,,,0
CDM,SUP11541,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 30Mm Cocr,4108.6,1602.35,,,0
CDM,SUP11542,Noncdm Charge Record Medical Supplies - Set Line Pleurx Drain,122.13,47.63,,,0
CDM,SUP11546,Noncdm Charge Record Medical Supplies - Rod Cocr 50Mm Crv,1128.15,439.98,,,0
CDM,SUP11547,Noncdm Charge Record Medical Supplies - Rod Cocr 45Mm Crv,1128.15,439.98,,,0
CDM,SUP11548,Noncdm Charge Record Medical Supplies - Rod Cocr 80Mm Crv,1128.15,439.98,,,0
CDM,SUP11549,Noncdm Charge Record Medical Supplies - Rod Cocr 100Mm Crv,1128.15,439.98,,,0
CDM,SUP1155,Noncdm Charge Record Medical Supplies - Accustick Ii .038In J Tip Wire,370.74,144.59,,,0
CDM,SUP1156,Noncdm Charge Record Medical Supplies - Tubing Pigtail Crv Sil Drain,44.5,17.36,,,0
CDM,SUP11564,Noncdm Charge Record Medical Supplies - Bandage Strchnt 30In Sz 6 Ltx,8.28,3.23,,,0
CDM,SUP115641,Noncdm Charge Record Medical Supplies - Remede Implantable Pulse Generator (Ipg),166754.02,65034.07,,,0
CDM,SUP115642_C1778_278,Noncdm Charge Record Medical Supplies - Respistim R Stimulation Lead- Right 60Cm 25X24Mm,43501.05,16965.41,,,0
CDM,SUP115645,Noncdm Charge Record Medical Supplies - Respiguide Stimulation Lead Catheter Delivery System 5Pk,11022.75,4298.87,,,0
CDM,SUP115648,Noncdm Charge Record Medical Supplies - Attain Stability Quadpole 78Cm,8144.42,3176.32,,,0
CDM,SUP115649,Noncdm Charge Record Medical Supplies - Attain Stability Quadpole 88Cm,8144.42,3176.32,,,0
CDM,SUP115689,Noncdm Charge Record Medical Supplies - Device Embolization Assist Comaneci Petit,17063.01,6654.57,,,0
CDM,SUP115690,Noncdm Charge Record Medical Supplies - Device Embolization Assist Comaneci 17,17063.01,6654.57,,,0
CDM,SUP1157,Noncdm Charge Record Medical Supplies - Stent Uret 8Fr 26Cm Pgtail Usg,663.44,258.74,,,0
CDM,SUP11570,Noncdm Charge Record Medical Supplies - Suture Prolene 6-0 P-1 18In Blue Ethicon,24.84,9.69,,,0
CDM,SUP115741,Noncdm Charge Record Medical Supplies - Bit Drill 4Mm Carb Strl,1124.81,438.68,,,0
CDM,SUP115742,Noncdm Charge Record Medical Supplies - Bit Drill 6Mm Carb Strl,1286.85,501.87,,,0
CDM,SUP11574_272,Noncdm Charge Record Medical Supplies - Device Spec Ret Rtht 2.5Mm-160 160Cm 5.5X4Cm,464.76,181.26,,,0
CDM,SUP11574_A4649_272,Noncdm Charge Record Medical Supplies - Device Spec Ret Rtht 2.5Mm-160 160Cm 5.5X4Cm,464.72,181.24,,,0
CDM,SUP115757_272,Noncdm Charge Record Medical Supplies - Bur Surgical Dia4Mm Round Diamond Cutting Elite,718.0,280.02,,,0
CDM,SUP115757_A4649_272,Noncdm Charge Record Medical Supplies - Bur Surgical Dia4Mm Round Diamond Cutting Elite,692.42,270.04,,,0
CDM,SUP115758,Noncdm Charge Record Medical Supplies - Bur Surgical 5.0 Round Diamond Cutting Elite,745.51,290.75,,,0
CDM,SUP115759,Noncdm Charge Record Medical Supplies - Bur Surgical 6.0 Round Diamond Cutting Elite,719.51,280.61,,,0
CDM,SUP1159,Noncdm Charge Record Medical Supplies - Introducer Sheath 6Fr 2.5Cm 10Cm,48.96,19.09,,,0
CDM,SUP1160,Noncdm Charge Record Medical Supplies - Catheter Ureth Bdx Ic 18Fr 5Cc,70.38,27.45,,,0
CDM,SUP116020,Noncdm Charge Record Medical Supplies - Iph Procedure Kit,16203.96,6319.54,,,0
CDM,SUP11605,Noncdm Charge Record Medical Supplies - See 129751 Cuff Blood Pres Flexiprt A-11 Adlt 11 25-34Cm 1,9.32,3.63,,,0
CDM,SUP116076,Noncdm Charge Record Medical Supplies - Bit Drill And Guide Raptormite 2.6Mm,492.66,192.14,,,0
CDM,SUP116130,Noncdm Charge Record Medical Supplies - See 114966 Tube Fd Jjn Sil 14Fr 28Cc Blln,323.96,126.34,,,0
CDM,SUP11613_272,Noncdm Charge Record Medical Supplies - Dressing Trans 6X3.5In Polyureth Abs Nadh,5.17,2.02,,,0
CDM,SUP11613_A4649_272,Noncdm Charge Record Medical Supplies - Dressing Trans 6X3.5In Polyureth Abs Nadh,5.18,2.02,,,0
CDM,SUP11613_A9999_272,Noncdm Charge Record Medical Supplies - Dressing Trans 6X3.5In Polyureth Abs Nadh,5.18,2.02,,,0
CDM,SUP116202,Noncdm Charge Record Medical Supplies - Anastoclip L15Cm L Approximate Span Before Closure 1.7Mm,5051.84,1970.22,,,0
CDM,SUP11623_272,Noncdm Charge Record Medical Supplies - Kit Iv Start Cust,7.24,2.82,,,0
CDM,SUP11623_A4649_272,Noncdm Charge Record Medical Supplies - Kit Iv Start Cust,7.24,2.82,,,0
CDM,SUP11623_A9999_272,Noncdm Charge Record Medical Supplies - Kit Iv Start Cust,7.24,2.82,,,0
CDM,SUP11625_272,Noncdm Charge Record Medical Supplies - See 141104 Suture Pds2 4-0 Fs-2 27In Clear Ethicon,19.46,7.59,,,0
CDM,SUP11625_A9999_272,Noncdm Charge Record Medical Supplies - See 141104 Suture Pds2 4-0 Fs-2 27In Clear Ethicon,19.66,7.67,,,0
CDM,SUP11626,Noncdm Charge Record Medical Supplies - Suture Pds2 5-0 Fs-2 27In Clear Ethicon,20.18,7.87,,,0
CDM,SUP11630_272,Noncdm Charge Record Medical Supplies - Mattress Hovermat Sgl Pt Use,346.9,135.29,,,0
CDM,SUP11630_A4649_272,Noncdm Charge Record Medical Supplies - Mattress Hovermat Sgl Pt Use,342.58,133.61,,,0
CDM,SUP11630_A9999_272,Noncdm Charge Record Medical Supplies - Mattress Hovermat Sgl Pt Use,350.86,136.84,,,0
CDM,SUP11633_272,Noncdm Charge Record Medical Supplies - See 141081 Suture Monocryl 3-0 Ps-1 27In Undyed Ethicon,30.17,11.77,,,0
CDM,SUP11633_A4649_272,Noncdm Charge Record Medical Supplies - See 141081 Suture Monocryl 3-0 Ps-1 27In Undyed Ethicon,30.53,11.91,,,0
CDM,SUP116365,Noncdm Charge Record Medical Supplies - Blade Ophthalmic Dual Kahook,2422.94,944.95,,,0
CDM,SUP116372,Noncdm Charge Record Medical Supplies - Introducer Endoscopic 19Fr Dis,1333.97,520.25,,,0
CDM,SUP11637_272,Noncdm Charge Record Medical Supplies - See 141071 Suture Monocryl 3-0 Ps-2 18In Undyed Ethicon,27.93,10.89,,,0
CDM,SUP11637_A4649_272,Noncdm Charge Record Medical Supplies - See 141071 Suture Monocryl 3-0 Ps-2 18In Undyed Ethicon,27.94,10.9,,,0
CDM,SUP11637_A9999_272,Noncdm Charge Record Medical Supplies - See 141071 Suture Monocryl 3-0 Ps-2 18In Undyed Ethicon,27.94,10.9,,,0
CDM,SUP11638_272,Noncdm Charge Record Medical Supplies - See 141069 Suture Monocryl 5-0 P-3 18In Undyed Ethicon,30.03,11.71,,,0
CDM,SUP11638_A9999_272,Noncdm Charge Record Medical Supplies - See 141069 Suture Monocryl 5-0 P-3 18In Undyed Ethicon,30.02,11.71,,,0
CDM,SUP116396,Noncdm Charge Record Medical Supplies - Syringe 2.5Ml Urethral Bulking Agent Macroplatique,3475.4,1355.41,,,0
CDM,SUP11646,Noncdm Charge Record Medical Supplies - Suture Prolene 6-0 Bv-1 18In Double Arm Blue Ethicon,87.88,34.27,,,0
CDM,SUP116531,Noncdm Charge Record Medical Supplies - Patch Dressing Evarrest W2Xl4In Agent Hemostatic,3417.28,1332.74,,,0
CDM,SUP116532,Noncdm Charge Record Medical Supplies - Suture Vloc 90 4-0 Ud 12 P-11,114.88,44.8,,,0
CDM,SUP11658,Noncdm Charge Record Medical Supplies - Suture Chromic 1 27In Ct1 Abs Ethicon,15.72,6.13,,,0
CDM,SUP116646,Noncdm Charge Record Medical Supplies - Gentrix Hiatal Mesh 6X7.5Cm,4339.76,1692.51,,,0
CDM,SUP116656_272,Noncdm Charge Record Medical Supplies - Forceps Biopsy L230Cm 2.8Mm Standard Captura Pro,56.31,21.96,,,0
CDM,SUP116656_A4649_272,Noncdm Charge Record Medical Supplies - Forceps Biopsy L230Cm 2.8Mm Standard Captura Pro,59.0,23.01,,,0
CDM,SUP116656_A9999_272,Noncdm Charge Record Medical Supplies - Forceps Biopsy L230Cm 2.8Mm Standard Captura Pro,59.0,23.01,,,0
CDM,SUP116657,Noncdm Charge Record Medical Supplies - Hercules 3 Stage Balloon,1003.17,391.24,,,0
CDM,SUP11668_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 2-0 Fs 18In Black Ethicon,9.93,3.87,,,0
CDM,SUP11668_A4649_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 2-0 Fs 18In Black Ethicon,9.76,3.81,,,0
CDM,SUP11668_A9999_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 2-0 Fs 18In Black Ethicon,10.09,3.94,,,0
CDM,SUP116706_272,Noncdm Charge Record Medical Supplies - Suture Pds2 0-Ur6 2In D7185,193.19,75.34,,,0
CDM,SUP116706_A9999_272,Noncdm Charge Record Medical Supplies - Suture Pds2 0-Ur6 2In D7185,193.2,75.35,,,0
CDM,SUP116947,Noncdm Charge Record Medical Supplies - Catheter Central Venous L6In Od7Fr Polyurethane Dual Lumen,22.77,8.88,,,0
CDM,SUP117010,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus Size 0 L27I Absorbable Undyed Os-6 L36Mm,13.63,5.32,,,0
CDM,SUP117011,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus Size 1 L27I Absorbe Undyed L22Mm Os-4 1-2,13.97,5.45,,,0
CDM,SUP117012_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus Sz 1 L27In Absorbe Undyed Os-6 L36Mm 1-2,13.59,5.3,,,0
CDM,SUP117012_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus Sz 1 L27In Absorbe Undyed Os-6 L36Mm 1-2,13.2,5.15,,,0
CDM,SUP117012_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus Sz 1 L27In Absorbe Undyed Os-6 L36Mm 1-2,13.97,5.45,,,0
CDM,SUP11715,Noncdm Charge Record Medical Supplies - Suture Ethibond 0 St-3 42In Ethicon,131.44,51.26,,,0
CDM,SUP117176_270,Noncdm Charge Record Medical Supplies - Mask Oxygen Procedural,64.17,25.03,,,0
CDM,SUP117176_A4649_270,Noncdm Charge Record Medical Supplies - Mask Oxygen Procedural,64.17,25.03,,,0
CDM,SUP117176_A9999_270,Noncdm Charge Record Medical Supplies - Mask Oxygen Procedural,64.17,25.03,,,0
CDM,SUP117177,Noncdm Charge Record Medical Supplies - Retractor Surgical Heart Janke-Barron,705.88,275.29,,,0
CDM,SUP117178,Noncdm Charge Record Medical Supplies - See 135495 Coil Embol 9.5Cm 8-4Mm Trnd Sft Mciol .018In,484.38,188.91,,,0
CDM,SUP1171_272,Noncdm Charge Record Medical Supplies - Stopcock Angio 3W Hiprs Fx M,10.74,4.19,,,0
CDM,SUP1171_A4649_272,Noncdm Charge Record Medical Supplies - Stopcock Angio 3W Hiprs Fx M,10.63,4.15,,,0
CDM,SUP1171_A9999_272,Noncdm Charge Record Medical Supplies - Stopcock Angio 3W Hiprs Fx M,10.35,4.04,,,0
CDM,SUP117256_272,Noncdm Charge Record Medical Supplies - Catheter Angiographic Torcon Cerebral 038In 5F Sim1 65Cm,105.78,41.25,,,0
CDM,SUP117256_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Angiographic Torcon Cerebral 038In 5F Sim1 65Cm,96.26,37.54,,,0
CDM,SUP117257,Noncdm Charge Record Medical Supplies - Catheter Angiographic Torcon Select Visc 35In 5F Rc2 65Cm,106.83,41.66,,,0
CDM,SUP117276_272,Noncdm Charge Record Medical Supplies - Tubing Fluid Admin 72In High P Ress M-F Ll 1200Psi,28.98,11.3,,,0
CDM,SUP117276_A4649_272,Noncdm Charge Record Medical Supplies - Tubing Fluid Admin 72In High P Ress M-F Ll 1200Psi,28.98,11.3,,,0
CDM,SUP117408,Noncdm Charge Record Medical Supplies - Coil Embol 7Cm 6-2Mm Tornado End Hole Guidewire 0.018In Plt,597.2,232.91,,,0
CDM,SUP11741,Noncdm Charge Record Medical Supplies,440.91,171.95,,,0
CDM,SUP11744,Noncdm Charge Record Medical Supplies,18.63,7.27,,,0
CDM,SUP117457_272,Noncdm Charge Record Medical Supplies - Suture Fiberloop Fibertape 2In Swaged Straight Needle,611.68,238.56,,,0
CDM,SUP117457_A4649_272,Noncdm Charge Record Medical Supplies - Suture Fiberloop Fibertape 2In Swaged Straight Needle,611.68,238.56,,,0
CDM,SUP117460_272,Noncdm Charge Record Medical Supplies - Pin Drill Cutter Ii Surg Short 9.5Mm Flipcutter,1590.8,620.41,,,0
CDM,SUP117460_A9999_272,Noncdm Charge Record Medical Supplies - Pin Drill Cutter Ii Surg Short 9.5Mm Flipcutter,1590.8,620.41,,,0
CDM,SUP117461,Noncdm Charge Record Medical Supplies - Pin Drill Cutter Ii Surg Short 9.0Mm Flipcutter,1590.8,620.41,,,0
CDM,SUP117464,Noncdm Charge Record Medical Supplies - Pin Drill Cutter Ii Surg Short 10.5Mm Flipcutter,1590.8,620.41,,,0
CDM,SUP117465_272,Noncdm Charge Record Medical Supplies - Pin Drill Cutter Ii Surg Short 10.0Mm Flipcutter,1590.84,620.43,,,0
CDM,SUP11750,Noncdm Charge Record Medical Supplies,30.91,12.05,,,0
CDM,SUP117566,Noncdm Charge Record Medical Supplies - Screw Lp 4.5Mmx20Mm Orthopediatrics,1074.33,418.99,,,0
CDM,SUP117567,Noncdm Charge Record Medical Supplies - Screw Lp 4.5Mmx16Mm Orthopediatrics,1482.64,578.23,,,0
CDM,SUP117568,Noncdm Charge Record Medical Supplies - Screw Lp 4.5Mmx24Mm Orthopediatrics,1074.33,418.99,,,0
CDM,SUP117569,Noncdm Charge Record Medical Supplies - Screw Lp 4.5Mmx28Mm Orthopediatrics,1482.46,578.16,,,0
CDM,SUP117571,Noncdm Charge Record Medical Supplies - Screw Lp 4.5Mmx36Mm Orthopediatrics,1482.12,578.03,,,0
CDM,SUP117572,Noncdm Charge Record Medical Supplies - Plate -O 12Mm Center Hole Orthopediatrics,1872.32,730.2,,,0
CDM,SUP117573,Noncdm Charge Record Medical Supplies - Plate -O 20Mm Center Hole Orthopediatrics,2726.19,1063.21,,,0
CDM,SUP117574,Noncdm Charge Record Medical Supplies - Plate -O 24Mm Center Hole Orthopediatrics,2726.19,1063.21,,,0
CDM,SUP117613,Noncdm Charge Record Medical Supplies - Bit Drill 3.2 Cannulated Orthopediatrics,2013.08,785.1,,,0
CDM,SUP117614,Noncdm Charge Record Medical Supplies - Plate -O 16Mm Center Hole Orthopediatrics,1872.32,730.2,,,0
CDM,SUP117615_270,Noncdm Charge Record Medical Supplies - Dressing Dry Veil Contact Layer 36Inx36,39.28,15.32,,,0
CDM,SUP117615_A9999_270,Noncdm Charge Record Medical Supplies - Dressing Dry Veil Contact Layer 36Inx36,39.33,15.34,,,0
CDM,SUP117617_272,Noncdm Charge Record Medical Supplies - Esg Plasma Band - 12 Degree,2427.08,946.56,,,0
CDM,SUP117617_A4649_272,Noncdm Charge Record Medical Supplies - Esg Plasma Band - 12 Degree,2427.07,946.56,,,0
CDM,SUP117618,Noncdm Charge Record Medical Supplies - Esg Plasma Roller,2427.07,946.56,,,0
CDM,SUP117619,Noncdm Charge Record Medical Supplies - Esg Plasma Roller - Long,2427.07,946.56,,,0
CDM,SUP117688_272,Noncdm Charge Record Medical Supplies,139.71,54.49,,,0
CDM,SUP117688_A4649_272,Noncdm Charge Record Medical Supplies,139.72,54.49,,,0
CDM,SUP117752_272,Noncdm Charge Record Medical Supplies - Button Oval Esg Plasma,2529.56,986.53,,,0
CDM,SUP117752_A4649_272,Noncdm Charge Record Medical Supplies - Button Oval Esg Plasma,2529.54,986.52,,,0
CDM,SUP11782,Noncdm Charge Record Medical Supplies - Suture Polysorb 2-0 V-20 30In Undyed Covidien,17.6,6.86,,,0
CDM,SUP117897_272,Noncdm Charge Record Medical Supplies - Edge Insulated Blade Electrode L4In Ptfe,33.11,12.91,,,0
CDM,SUP117897_A4649_272,Noncdm Charge Record Medical Supplies - Edge Insulated Blade Electrode L4In Ptfe,33.12,12.92,,,0
CDM,SUP117897_A9999_272,Noncdm Charge Record Medical Supplies - Edge Insulated Blade Electrode L4In Ptfe,33.12,12.92,,,0
CDM,SUP117922,Noncdm Charge Record Medical Supplies - Long Bipolar Grasper Robotic Dia8Mm,600.3,234.12,,,0
CDM,SUP117958,Noncdm Charge Record Medical Supplies,3.1,1.21,,,0
CDM,SUP117959,Noncdm Charge Record Medical Supplies - Graft Biological Tissue W16Xl2 Strattice Reconstructive,43892.28,17117.99,,,0
CDM,SUP118018,Noncdm Charge Record Medical Supplies - Lead Respiratory Sensing L45Cm Standard Connector,16312.67,6361.94,,,0
CDM,SUP118097_272,Noncdm Charge Record Medical Supplies - Suction Bovie Pencil 15Ft,118.02,46.03,,,0
CDM,SUP118097_A4649_272,Noncdm Charge Record Medical Supplies - Suction Bovie Pencil 15Ft,117.99,46.02,,,0
CDM,SUP118097_A9999_272,Noncdm Charge Record Medical Supplies - Suction Bovie Pencil 15Ft,117.99,46.02,,,0
CDM,SUP118098,Noncdm Charge Record Medical Supplies - Vascular Closure Procedure Pack,195.62,76.29,,,0
CDM,SUP118099,Noncdm Charge Record Medical Supplies - Closure Fast Catheter 7Cmx100Cm,2447.78,954.63,,,0
CDM,SUP1181,Noncdm Charge Record Medical Supplies - Dressing Trans 11.75X11In,21.74,8.48,,,0
CDM,SUP118101,Noncdm Charge Record Medical Supplies - Tubing Tumescent Infiltration Pump,73.48,28.66,,,0
CDM,SUP118102,Noncdm Charge Record Medical Supplies - Embocube Embolization Gelatin 2.5Mm 50Mg 1Ml .027 Green,141.59,55.22,,,0
CDM,SUP118103,Noncdm Charge Record Medical Supplies - Embocube Embolization Gelatin 5.0Mm 100Mg 3Ml .040 Red,143.29,55.88,,,0
CDM,SUP118104,Noncdm Charge Record Medical Supplies,141.79,55.3,,,0
CDM,SUP118105,Noncdm Charge Record Medical Supplies - Embocube Embolization Gelatin 5.0Mm 50Mg 3Ml .040 Red,282.56,110.2,,,0
CDM,SUP118106,Noncdm Charge Record Medical Supplies - Embocube Embolization Torpedo .0.027 .1 Ml.2.5 Mmx10 Mm,141.54,55.2,,,0
CDM,SUP11826_272,Noncdm Charge Record Medical Supplies - Splint 8Cm Thk1.5Cm Std Stng,104.09,40.6,,,0
CDM,SUP11826_A9999_272,Noncdm Charge Record Medical Supplies - Splint 8Cm Thk1.5Cm Std Stng,95.22,37.14,,,0
CDM,SUP118324,Noncdm Charge Record Medical Supplies,109.71,42.79,,,0
CDM,SUP11845_270,Noncdm Charge Record Medical Supplies - Tape Durapore 3In 3M Healthcare,7.24,2.82,,,0
CDM,SUP11845_A4649_270,Noncdm Charge Record Medical Supplies - Tape Durapore 3In 3M Healthcare,7.24,2.82,,,0
CDM,SUP11845_A9999_270,Noncdm Charge Record Medical Supplies - Tape Durapore 3In 3M Healthcare,7.24,2.82,,,0
CDM,SUP11847_270,Noncdm Charge Record Medical Supplies - See 157067 Pad Table Patient Trendelenburg Symmetry,240.11,93.64,,,0
CDM,SUP11847_A4649_270,Noncdm Charge Record Medical Supplies - See 157067 Pad Table Patient Trendelenburg Symmetry,240.12,93.65,,,0
CDM,SUP11847_A9999_270,Noncdm Charge Record Medical Supplies - See 157067 Pad Table Patient Trendelenburg Symmetry,240.12,93.65,,,0
CDM,SUP11849_272,Noncdm Charge Record Medical Supplies - See 141119 Suture Pds2 1 Tp-1 48In Violet Loop Ethicon,24.84,9.69,,,0
CDM,SUP11849_A4649_272,Noncdm Charge Record Medical Supplies - See 141119 Suture Pds2 1 Tp-1 48In Violet Loop Ethicon,24.84,9.69,,,0
CDM,SUP11849_A9999_272,Noncdm Charge Record Medical Supplies - See 141119 Suture Pds2 1 Tp-1 48In Violet Loop Ethicon,24.84,9.69,,,0
CDM,SUP11850,Noncdm Charge Record Medical Supplies - Blade Wrsw 300Mm Ss Gigli Ns,123.61,48.21,,,0
CDM,SUP11851,Noncdm Charge Record Medical Supplies - Blade Wrsw 51Cm Ss Gigli Ns,178.77,69.72,,,0
CDM,SUP11858,Noncdm Charge Record Medical Supplies - Catheter Drain 80Cm Lumb Cls,1129.09,440.35,,,0
CDM,SUP1186,Noncdm Charge Record Medical Supplies - Tray Sut Ekt Lac Stn Fnsh Strl,21.74,8.48,,,0
CDM,SUP118617,Noncdm Charge Record Medical Supplies,92.12,35.93,,,0
CDM,SUP11862,Noncdm Charge Record Medical Supplies - See 141100 Suture Pds2 1 Ct 36In Violet Ethicon,14.49,5.65,,,0
CDM,SUP118663,Noncdm Charge Record Medical Supplies - Screw Crosspin Miniplate 2X6Mm,347.32,135.45,,,0
CDM,SUP118664,Noncdm Charge Record Medical Supplies,20.7,8.07,,,0
CDM,SUP118665,Noncdm Charge Record Medical Supplies - Dressing Foam 4Inx5In Blue Ready Transfer Hydrofera,32.09,12.52,,,0
CDM,SUP118666,Noncdm Charge Record Medical Supplies - See 136011 Dressing Foam 8Inx8In Blue Ready Transfer Hydrofe,71.16,27.75,,,0
CDM,SUP11866_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 3-0 Ps-2 18In Ethicon,19.55,7.62,,,0
CDM,SUP11866_A4649_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 3-0 Ps-2 18In Ethicon,19.48,7.6,,,0
CDM,SUP11866_A9999_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 3-0 Ps-2 18In Ethicon,19.75,7.7,,,0
CDM,SUP11869_272,Noncdm Charge Record Medical Supplies - See 141070 Suture Monocryl 4-0 Ps-2 18In Undyed Ethicon,27.94,10.9,,,0
CDM,SUP11869_A4649_272,Noncdm Charge Record Medical Supplies - See 141070 Suture Monocryl 4-0 Ps-2 18In Undyed Ethicon,27.94,10.9,,,0
CDM,SUP11869_A9999_272,Noncdm Charge Record Medical Supplies - See 141070 Suture Monocryl 4-0 Ps-2 18In Undyed Ethicon,27.94,10.9,,,0
CDM,SUP1187,Noncdm Charge Record Medical Supplies - Splint Orth Sm 11In Lt Wr,35.19,13.72,,,0
CDM,SUP118701,Noncdm Charge Record Medical Supplies,347.27,135.44,,,0
CDM,SUP11871,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 Bb 30In Black Ethicon,11.1,4.33,,,0
CDM,SUP11872,Noncdm Charge Record Medical Supplies - Catheter Drain 28Fr 20In Argle Trocar Tip Straight Covidien,21.74,8.48,,,0
CDM,SUP11874_272,Noncdm Charge Record Medical Supplies - Suture Vicryl 7-0 Tg140-8 18In Undyed Ethicon,67.54,26.34,,,0
CDM,SUP11874_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl 7-0 Tg140-8 18In Undyed Ethicon,67.53,26.34,,,0
CDM,SUP11874_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl 7-0 Tg140-8 18In Undyed Ethicon,68.31,26.64,,,0
CDM,SUP11876,Noncdm Charge Record Medical Supplies - See 140980 Suture Vicryl 5-0 P-3 18In Undyed Ethicon,21.74,8.48,,,0
CDM,SUP11878_272,Noncdm Charge Record Medical Supplies - See 140913 Suture Vicryl 0 18In Tie Undyed Ethicon,24.82,9.68,,,0
CDM,SUP11878_A4649_272,Noncdm Charge Record Medical Supplies - See 140913 Suture Vicryl 0 18In Tie Undyed Ethicon,24.32,9.48,,,0
CDM,SUP11879,Noncdm Charge Record Medical Supplies - Suture Chromic 3-0 Ct 27In Abs Ethicon,15.52,6.05,,,0
CDM,SUP1188,Noncdm Charge Record Medical Supplies,180.09,70.24,,,0
CDM,SUP118831,Noncdm Charge Record Medical Supplies - Generator Vns Therapy Symmetry,139585.28,54438.26,,,0
CDM,SUP11885,Noncdm Charge Record Medical Supplies - Stapler Intnl 65Mm Ss Endo Lin Cutter Strl Lf,297.06,115.85,,,0
CDM,SUP11888_272,Noncdm Charge Record Medical Supplies - Suture Prolene 5-0 Fs-2 18In Ethicon,14.05,5.48,,,0
CDM,SUP11888_A9999_272,Noncdm Charge Record Medical Supplies - Suture Prolene 5-0 Fs-2 18In Ethicon,14.49,5.65,,,0
CDM,SUP11889,Noncdm Charge Record Medical Supplies - Catheter Spbc Bnno 14Ga 11In Tray Pnct Ndl,310.5,121.1,,,0
CDM,SUP118894,Noncdm Charge Record Medical Supplies - Retriever Roth Net Maxi 3.0 D 230Cm 4X55 Net Size,549.21,214.19,,,0
CDM,SUP118895_272,Noncdm Charge Record Medical Supplies - Armstrong Beveled Grommet Type Vent Tub W-Tab 1.14Mm,81.07,31.62,,,0
CDM,SUP118895_A4649_272,Noncdm Charge Record Medical Supplies - Armstrong Beveled Grommet Type Vent Tub W-Tab 1.14Mm,77.11,30.07,,,0
CDM,SUP11891,Noncdm Charge Record Medical Supplies - See 140942 Suture Vicryl 2-0 Ct-3 27In Violet Ethicon,7.24,2.82,,,0
CDM,SUP11892,Noncdm Charge Record Medical Supplies - Wire Fx 1Mm 100M Ss Crlge Coil,302.74,118.07,,,0
CDM,SUP118927,Noncdm Charge Record Medical Supplies - Dressing Flex 7 Acticoat 6X6In,122.2,47.66,,,0
CDM,SUP118928,Noncdm Charge Record Medical Supplies - Dressing Flex 7 Acticoat 8X16 In,521.64,203.44,,,0
CDM,SUP11895_272,Noncdm Charge Record Medical Supplies - See 141016 Suture Vicryl 2-0 Cp-2 18In Cr Undyed Ethicon,68.31,26.64,,,0
CDM,SUP11895_A4649_272,Noncdm Charge Record Medical Supplies - See 141016 Suture Vicryl 2-0 Cp-2 18In Cr Undyed Ethicon,68.31,26.64,,,0
CDM,SUP11895_A9999_272,Noncdm Charge Record Medical Supplies - See 141016 Suture Vicryl 2-0 Cp-2 18In Cr Undyed Ethicon,68.31,26.64,,,0
CDM,SUP11896,Noncdm Charge Record Medical Supplies - See 155888 Bag Drain 17Oz Dover Covidien,6.21,2.42,,,0
CDM,SUP1189_270,Noncdm Charge Record Medical Supplies - Prep Duraprep 3M Healthcare,20.01,7.8,,,0
CDM,SUP1189_272,Noncdm Charge Record Medical Supplies - Prep Duraprep 3M Healthcare,17.6,6.86,,,0
CDM,SUP11906,Noncdm Charge Record Medical Supplies - Applier Clip Surgi Med 11.5 Shaft,245.18,95.62,,,0
CDM,SUP11907_270,Noncdm Charge Record Medical Supplies - See 17489 Sling Orth Xl Arm Dp Pckt Shoulder Pad Hook,14.49,5.65,,,0
CDM,SUP11907_A4649_270,Noncdm Charge Record Medical Supplies - See 17489 Sling Orth Xl Arm Dp Pckt Shoulder Pad Hook,14.49,5.65,,,0
CDM,SUP11907_A9999_270,Noncdm Charge Record Medical Supplies - See 17489 Sling Orth Xl Arm Dp Pckt Shoulder Pad Hook,14.49,5.65,,,0
CDM,SUP11908_272,Noncdm Charge Record Medical Supplies - Needle Spnl 3.5In 20Ga Bd Qnck Anes Strl Lf,6.21,2.42,,,0
CDM,SUP11908_A4649_272,Noncdm Charge Record Medical Supplies - Needle Spnl 3.5In 20Ga Bd Qnck Anes Strl Lf,6.21,2.42,,,0
CDM,SUP11908_A9999_272,Noncdm Charge Record Medical Supplies - Needle Spnl 3.5In 20Ga Bd Qnck Anes Strl Lf,6.21,2.42,,,0
CDM,SUP119090_272,Noncdm Charge Record Medical Supplies - Kit Endoscopic Instrument Syn Desmosis Implant Sys Tightr,7293.04,2844.29,,,0
CDM,SUP119090_A4649_272,Noncdm Charge Record Medical Supplies - Kit Endoscopic Instrument Syn Desmosis Implant Sys Tightr,7226.37,2818.28,,,0
CDM,SUP119090_C1713_278,Noncdm Charge Record Medical Supplies - Kit Endoscopic Instrument Syn Desmosis Implant Sys Tightr,7226.37,2818.28,,,0
CDM,SUP119123_272,Noncdm Charge Record Medical Supplies - Disposable Core Biopsy Instrument Kit 18G X 10Cm,187.31,73.05,,,0
CDM,SUP119123_A4649_272,Noncdm Charge Record Medical Supplies - Disposable Core Biopsy Instrument Kit 18G X 10Cm,187.13,72.98,,,0
CDM,SUP119124_272,Noncdm Charge Record Medical Supplies - Disposable Core Biopsy Instrument Kit 18G X 16Cm,187.31,73.05,,,0
CDM,SUP119124_A9999_272,Noncdm Charge Record Medical Supplies - Disposable Core Biopsy Instrument Kit 18G X 16Cm,187.34,73.06,,,0
CDM,SUP119125,Noncdm Charge Record Medical Supplies - Disposable Core Biopsy Instrument Kit 18G X 20Cm,187.34,73.06,,,0
CDM,SUP119126,Noncdm Charge Record Medical Supplies - Disposable Core Biopsy Instrument Kit 20G X 10Cm,187.31,73.05,,,0
CDM,SUP119127,Noncdm Charge Record Medical Supplies - Disposable Core Biopsy Instrument Kit 20G X 16Cm,187.3,73.05,,,0
CDM,SUP119128,Noncdm Charge Record Medical Supplies - Disposable Core Biopsy Instrument Kit 20G X 20Cm,187.34,73.06,,,0
CDM,SUP119130,Noncdm Charge Record Medical Supplies - Plate Bone L115Mm Rib Ribloc U,7158.32,2791.74,,,0
CDM,SUP119258,Noncdm Charge Record Medical Supplies - Cath Ptca L135Cm Blln L250Mm Dia4Mm Shth 5Fr 18Atm Periph,807.3,314.85,,,0
CDM,SUP11927_270,Noncdm Charge Record Medical Supplies - Protector Foam Pad Extermity Deroyal,10.81,4.22,,,0
CDM,SUP11927_272,Noncdm Charge Record Medical Supplies - Protector Foam Pad Extermity Deroyal,10.66,4.16,,,0
CDM,SUP11927_A4649_272,Noncdm Charge Record Medical Supplies - Protector Foam Pad Extermity Deroyal,10.62,4.14,,,0
CDM,SUP11927_A9999_272,Noncdm Charge Record Medical Supplies - Protector Foam Pad Extermity Deroyal,10.58,4.13,,,0
CDM,SUP11929,Noncdm Charge Record Medical Supplies - Bag Ost Prmr 2In 12In 1 Pc Drainable Ctf 1,2.37,0.92,,,0
CDM,SUP119290,Noncdm Charge Record Medical Supplies,6887.92,2686.29,,,0
CDM,SUP119292,Noncdm Charge Record Medical Supplies - Stent Periph L100Mm D5Mm Cath 6Fr L120Cm Nit Self Exp Otw,6887.92,2686.29,,,0
CDM,SUP119293,Noncdm Charge Record Medical Supplies - Stent Periph L120Mm D5Mm Cath 6Fr L120Cm Nit Self Exp Otw,6887.92,2686.29,,,0
CDM,SUP119301,Noncdm Charge Record Medical Supplies,5099.44,1988.78,,,0
CDM,SUP119304,Noncdm Charge Record Medical Supplies,5099.44,1988.78,,,0
CDM,SUP11931,Noncdm Charge Record Medical Supplies - Stapler Intnl 28Mm Ti Endo Lin Cutter Circ,1243.04,484.79,,,0
CDM,SUP119327,Noncdm Charge Record Medical Supplies - Stent Periph L15Mm Dia6Mm Cath L135Cm Renal Cocr Rx Strength,5437.89,2120.78,,,0
CDM,SUP119348,Noncdm Charge Record Medical Supplies - Catheter 0.014 Otw Pta Blln Cath 2Mmx60Mmx150Cm,1053.63,410.92,,,0
CDM,SUP119349,Noncdm Charge Record Medical Supplies - Catheter 0.014 Otw Pta Blln Cath 2Mmx100Mmx150Cm,1611.5,628.48,,,0
CDM,SUP119353,Noncdm Charge Record Medical Supplies - Catheter 0.014 Otw Pta Blln Cath 3Mmx60Mmx150Cm,1053.63,410.92,,,0
CDM,SUP119354,Noncdm Charge Record Medical Supplies - Catheter 0.014 Otw Pta Blln Cath 3Mmx100Mmx150Cm,1053.63,410.92,,,0
CDM,SUP119358,Noncdm Charge Record Medical Supplies,1611.5,628.48,,,0
CDM,SUP119360,Noncdm Charge Record Medical Supplies - Catheter 0.014 Otw Pta Blln Cath 3.5Mmx150Mmx150Cm,1101.24,429.48,,,0
CDM,SUP119361,Noncdm Charge Record Medical Supplies - Catheter 0.014 Otw Pta Blln Cath 4.0Mmx 60Mmx150Cm,1053.63,410.92,,,0
CDM,SUP119362,Noncdm Charge Record Medical Supplies - Catheter 0.014 Otw Pta Blln Cath 4.0Mmx100Mmx150Cm,1053.63,410.92,,,0
CDM,SUP119366,Noncdm Charge Record Medical Supplies - Catheter 0.014 Otw Pta Blln Cath 5.0Mmx80Mmx150Cm,1053.63,410.92,,,0
CDM,SUP119367,Noncdm Charge Record Medical Supplies,1332.56,519.7,,,0
CDM,SUP11936_272,Noncdm Charge Record Medical Supplies - Scalpel Rchrd Sckl Blade Flat Handle Myrngtm,56.05,21.86,,,0
CDM,SUP11936_A9999_272,Noncdm Charge Record Medical Supplies - Scalpel Rchrd Sckl Blade Flat Handle Myrngtm,62.1,24.22,,,0
CDM,SUP119372,Noncdm Charge Record Medical Supplies - Catheter 0.014 Otw Pta Blln Cath 6.0Mmx40Mmx150Cm,1053.63,410.92,,,0
CDM,SUP119375,Noncdm Charge Record Medical Supplies - Catheter 0.014 Otw Pta Blln Cath 6.0Mmx100Mmx150Cm,1611.5,628.48,,,0
CDM,SUP119376,Noncdm Charge Record Medical Supplies - Catheter 0.014 Otw Pta Blln Cath 6.0Mmx120Mmx150Cm,1053.63,410.92,,,0
CDM,SUP119377,Noncdm Charge Record Medical Supplies - Catheter 0.014 Otw Pta Blln Cath 6.0Mmx150Mmx150Cm,1101.24,429.48,,,0
CDM,SUP119378,Noncdm Charge Record Medical Supplies - Catheter 0.014 Otw Pta Blln Cath 6.0Mmx200Mmx150Cm,1101.24,429.48,,,0
CDM,SUP11938,Noncdm Charge Record Medical Supplies - Ligator 12.5In 8Mm Frng Fllpn,553.72,215.95,,,0
CDM,SUP119395,Noncdm Charge Record Medical Supplies - Set Irrigation 0.3Mm Bimanual Intrepid,85.6,33.38,,,0
CDM,SUP119397,Noncdm Charge Record Medical Supplies - Cannula Suction L14.5Cm Small Standard Tip Malleable,1351.71,527.17,,,0
CDM,SUP11939_270,Noncdm Charge Record Medical Supplies - Dressing Webril 4In Sterile Deroyal,10.13,3.95,,,0
CDM,SUP11939_A4649_270,Noncdm Charge Record Medical Supplies - Dressing Webril 4In Sterile Deroyal,10.0,3.9,,,0
CDM,SUP11939_A9999_270,Noncdm Charge Record Medical Supplies - Dressing Webril 4In Sterile Deroyal,10.18,3.97,,,0
CDM,SUP11940,Noncdm Charge Record Medical Supplies - Drill Prfr Cmpd Crntmy Disp,1133.02,441.88,,,0
CDM,SUP11944_272,Noncdm Charge Record Medical Supplies - Blade Saw 81.5X12.5X1.19Mm Nar Thk Ss Sag,101.44,39.56,,,0
CDM,SUP11944_A4649_272,Noncdm Charge Record Medical Supplies - Blade Saw 81.5X12.5X1.19Mm Nar Thk Ss Sag,101.43,39.56,,,0
CDM,SUP11944_A9999_272,Noncdm Charge Record Medical Supplies - Blade Saw 81.5X12.5X1.19Mm Nar Thk Ss Sag,101.43,39.56,,,0
CDM,SUP11945,Noncdm Charge Record Medical Supplies - See 30691 Catheter Ureth Lbrcth 24Fr 3W,62.1,24.22,,,0
CDM,SUP11948_272,Noncdm Charge Record Medical Supplies - Manipulator Uterine Kronner,183.21,71.45,,,0
CDM,SUP11948_A4649_272,Noncdm Charge Record Medical Supplies - Manipulator Uterine Kronner,183.34,71.5,,,0
CDM,SUP11948_A9999_272,Noncdm Charge Record Medical Supplies - Manipulator Uterine Kronner,183.2,71.45,,,0
CDM,SUP1195,Noncdm Charge Record Medical Supplies,364.66,142.22,,,0
CDM,SUP119508,Noncdm Charge Record Medical Supplies - Guide Biopsy Dual Sterile Disp,87.63,34.18,,,0
CDM,SUP11954_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 2 Lr 30In Double Arm Green Ethicon,18.97,7.4,,,0
CDM,SUP11956,Noncdm Charge Record Medical Supplies - See 141053 Suture Vicryl 1 Ctb-1 36In Undyed Ethicon,10.34,4.03,,,0
CDM,SUP11960,Noncdm Charge Record Medical Supplies - Pillow Abd Ezwrap Lg Disp,523.71,204.25,,,0
CDM,SUP11966,Noncdm Charge Record Medical Supplies,509.22,198.6,,,0
CDM,SUP119697,Noncdm Charge Record Medical Supplies - Cath 0.018 2Mmx120Mmx150Cm Pacific Plus Otw Pta Balloon,832.14,324.53,,,0
CDM,SUP1197,Noncdm Charge Record Medical Supplies,649.98,253.49,,,0
CDM,SUP119700,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP119702,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP119710,Noncdm Charge Record Medical Supplies,3310.96,1291.27,,,0
CDM,SUP11979_272,Noncdm Charge Record Medical Supplies - Blade Saw 70X25.4X.6Mm W Ss Sag Dual Cut Strl,135.7,52.92,,,0
CDM,SUP11979_A4649_272,Noncdm Charge Record Medical Supplies - Blade Saw 70X25.4X.6Mm W Ss Sag Dual Cut Strl,135.07,52.68,,,0
CDM,SUP1198,Noncdm Charge Record Medical Supplies - Graft Cv 15Cm 20Mm 2 Vlr Strt,2102.08,819.81,,,0
CDM,SUP119806,Noncdm Charge Record Medical Supplies - Device Coagulation 3Cm Guided Ablation Epi-Sense,50704.65,19774.81,,,0
CDM,SUP11984,Noncdm Charge Record Medical Supplies - See 141076 Suture Monocryl 5-0 Pc-1 18In Undyed Ethicon,30.28,11.81,,,0
CDM,SUP11985_272,Noncdm Charge Record Medical Supplies - See 83900 Suture Monocryl 3-0 Ps-2 27In Undyed Ethicon,28.14,10.97,,,0
CDM,SUP11985_A4649_272,Noncdm Charge Record Medical Supplies - See 83900 Suture Monocryl 3-0 Ps-2 27In Undyed Ethicon,28.01,10.92,,,0
CDM,SUP11985_A9999_272,Noncdm Charge Record Medical Supplies - See 83900 Suture Monocryl 3-0 Ps-2 27In Undyed Ethicon,28.2,11.0,,,0
CDM,SUP11985_C1889_272,Noncdm Charge Record Medical Supplies - See 83900 Suture Monocryl 3-0 Ps-2 27In Undyed Ethicon,27.94,10.9,,,0
CDM,SUP11989,Noncdm Charge Record Medical Supplies - Suture Prolene 3-0 Rb-1 36In Double Arm Ethicon,30.02,11.71,,,0
CDM,SUP11991_272,Noncdm Charge Record Medical Supplies - Needle Insfl 150Mm 14Ga Pnmprtn Lng,62.1,24.22,,,0
CDM,SUP11991_A4649_272,Noncdm Charge Record Medical Supplies - Needle Insfl 150Mm 14Ga Pnmprtn Lng,62.1,24.22,,,0
CDM,SUP11991_A9999_272,Noncdm Charge Record Medical Supplies - Needle Insfl 150Mm 14Ga Pnmprtn Lng,62.1,24.22,,,0
CDM,SUP11993,Noncdm Charge Record Medical Supplies - Handpiece Suct Opti4 12Fr 6In Laparos Caut,252.27,98.39,,,0
CDM,SUP11994,Noncdm Charge Record Medical Supplies - Sponge Cttn Xs 0.25In 2 Strng,17.6,6.86,,,0
CDM,SUP11995,Noncdm Charge Record Medical Supplies - Applier Clip 30D Large 13.25 Endo Titanium Ethicon,791.78,308.79,,,0
CDM,SUP11999_272,Noncdm Charge Record Medical Supplies - Tip Suct Ynkr Std 10 3-8In Cr,229.77,89.61,,,0
CDM,SUP11999_A4649_272,Noncdm Charge Record Medical Supplies - Tip Suct Ynkr Std 10 3-8In Cr,229.77,89.61,,,0
CDM,SUP11999_A9999_272,Noncdm Charge Record Medical Supplies - Tip Suct Ynkr Std 10 3-8In Cr,230.29,89.81,,,0
CDM,SUP12003_272,Noncdm Charge Record Medical Supplies - Clip Applier Medium 11.5In 30 Ethicon,872.5,340.28,,,0
CDM,SUP12003_A4649_272,Noncdm Charge Record Medical Supplies - Clip Applier Medium 11.5In 30 Ethicon,872.5,340.28,,,0
CDM,SUP12004_272,Noncdm Charge Record Medical Supplies - See 140939 Suture Vicryl 2-0 Sh 27In Violet Ethicon,7.24,2.82,,,0
CDM,SUP12004_A4649_272,Noncdm Charge Record Medical Supplies - See 140939 Suture Vicryl 2-0 Sh 27In Violet Ethicon,7.24,2.82,,,0
CDM,SUP12004_A9999_272,Noncdm Charge Record Medical Supplies - See 140939 Suture Vicryl 2-0 Sh 27In Violet Ethicon,7.24,2.82,,,0
CDM,SUP12005,Noncdm Charge Record Medical Supplies - Applier Clip 30D Medium 11.5 Endo Titanium Ethicon,806.26,314.44,,,0
CDM,SUP12009_272,Noncdm Charge Record Medical Supplies - See 141006 Suture Vicryl 3-0 Rb-1 18In Cr Violet Ethicon,56.92,22.2,,,0
CDM,SUP12009_A4649_272,Noncdm Charge Record Medical Supplies - See 141006 Suture Vicryl 3-0 Rb-1 18In Cr Violet Ethicon,56.92,22.2,,,0
CDM,SUP12015,Noncdm Charge Record Medical Supplies - Catheter Drain 26Fr Malecots Latex Bard,296.01,115.44,,,0
CDM,SUP120156,Noncdm Charge Record Medical Supplies - Mas Tlif 2 Access Kit,8318.3,3244.14,,,0
CDM,SUP120158,Noncdm Charge Record Medical Supplies - Guidewire Orthopedic Dia0.86Mm Stainless Steel Laser Line Q-,73.48,28.66,,,0
CDM,SUP120159,Noncdm Charge Record Medical Supplies - Guidewire Arthroscopic D1.35Mm For Patellar Fracture System,200.79,78.31,,,0
CDM,SUP12016,Noncdm Charge Record Medical Supplies - Suture Nurolon 0 Ct1 30In Black Ethicon,9.06,3.53,,,0
CDM,SUP120161,Noncdm Charge Record Medical Supplies - Kit Repair 3 Lrg Pec Button Fibertape Sutures W- 5Fibrwire,7975.71,3110.53,,,0
CDM,SUP120163,Noncdm Charge Record Medical Supplies - Screw Bone L45Mm Dia4Mm Ankle Stnless Stl Lng Thrd Low Prof,885.96,345.52,,,0
CDM,SUP120164,Noncdm Charge Record Medical Supplies - Screw Bone L26Mm Dia2.4M Wrist Titanium Angl Lck Low Prof,1307.2,509.81,,,0
CDM,SUP120165_272,Noncdm Charge Record Medical Supplies - Drill Bit Dia 1.7Mm Stainless Steel Cannulated For Qf System,856.98,334.22,,,0
CDM,SUP120165_A9999_272,Noncdm Charge Record Medical Supplies - Drill Bit Dia 1.7Mm Stainless Steel Cannulated For Qf System,856.98,334.22,,,0
CDM,SUP120166,Noncdm Charge Record Medical Supplies - Screw Bone L34Mm Dia4Mm Cannulated Blunt Tip,886.48,345.73,,,0
CDM,SUP120167,Noncdm Charge Record Medical Supplies - Suture Fiberwire Size 2 L38In Nonabsorbable Blue L36.6Mm,107.64,41.98,,,0
CDM,SUP120168,Noncdm Charge Record Medical Supplies - Suture Fibertape W2Mmxl17In Bl Straight Needle Braided Polyb,954.43,372.23,,,0
CDM,SUP120169,Noncdm Charge Record Medical Supplies - Reamer Surgical Dia8.5Mm Implant Suspension Tightrope G,954.27,372.17,,,0
CDM,SUP120170,Noncdm Charge Record Medical Supplies - Cup Humeral Dia36Mm Shoulder Neutral Suture Univers Revers,8627.76,3364.83,,,0
CDM,SUP120172,Noncdm Charge Record Medical Supplies - Screw Interference L20Mm D10Mm Vented Biocomposite Fastthrea,1584.58,617.99,,,0
CDM,SUP120177,Noncdm Charge Record Medical Supplies - Guidewire Sion Black Ptca .014X300X12 Strt Tip,611.87,238.63,,,0
CDM,SUP120180,Noncdm Charge Record Medical Supplies - Guidewire Vascular L190Cm Stra Mongo14,685.17,267.22,,,0
CDM,SUP120184,Noncdm Charge Record Medical Supplies - Asahi Gladius Mongo 14 300Cm,685.17,267.22,,,0
CDM,SUP12019_272,Noncdm Charge Record Medical Supplies - Needle Spnl 5In 22Ga Bd Qnck Anes Lng Strl Lf,17.22,6.72,,,0
CDM,SUP12019_A4649_272,Noncdm Charge Record Medical Supplies - Needle Spnl 5In 22Ga Bd Qnck Anes Lng Strl Lf,17.25,6.73,,,0
CDM,SUP12019_A9999_272,Noncdm Charge Record Medical Supplies - Needle Spnl 5In 22Ga Bd Qnck Anes Lng Strl Lf,17.25,6.73,,,0
CDM,SUP1201_270,Noncdm Charge Record Medical Supplies - Tape Dressing 3M Mcfm 2In 5.5Yd Adh Hypoall,10.35,4.04,,,0
CDM,SUP1201_A9999_270,Noncdm Charge Record Medical Supplies - Tape Dressing 3M Mcfm 2In 5.5Yd Adh Hypoall,10.35,4.04,,,0
CDM,SUP12020,Noncdm Charge Record Medical Supplies - Suture Permahand 2 60In Tie Black Ethicon,6.95,2.71,,,0
CDM,SUP120213_272,Noncdm Charge Record Medical Supplies - Dressing Aquacel Ag Adv 10 X 12Cm,38.03,14.83,,,0
CDM,SUP120213_A4649_272,Noncdm Charge Record Medical Supplies - Dressing Aquacel Ag Adv 10 X 12Cm,38.17,14.89,,,0
CDM,SUP12021_272,Noncdm Charge Record Medical Supplies - Suture Prolene 2-0 Sh 30In Ethicon,16.67,6.5,,,0
CDM,SUP12021_A4649_272,Noncdm Charge Record Medical Supplies - Suture Prolene 2-0 Sh 30In Ethicon,16.65,6.49,,,0
CDM,SUP12021_A9999_272,Noncdm Charge Record Medical Supplies - Suture Prolene 2-0 Sh 30In Ethicon,16.56,6.46,,,0
CDM,SUP12022,Noncdm Charge Record Medical Supplies - Bowl Cement Bone Mixer Spatula Stryker Medical,53.07,20.7,,,0
CDM,SUP12023,Noncdm Charge Record Medical Supplies - Tap 4.5Mm 130Mm Shaft Surg Dhs-Dcs Lcp Cort,807.3,314.85,,,0
CDM,SUP120243,Noncdm Charge Record Medical Supplies - Surgicel Absorbable Patch 2In X 14In,248.4,96.88,,,0
CDM,SUP120255,Noncdm Charge Record Medical Supplies - 1951 - J And J - Surgicel Hemostatic Dressing 2In X 14In,294.98,115.04,,,0
CDM,SUP12025_272,Noncdm Charge Record Medical Supplies - Trocar Endo 100Mm Dil Expand,237.01,92.43,,,0
CDM,SUP12025_A4649_272,Noncdm Charge Record Medical Supplies - Trocar Endo 100Mm Dil Expand,237.02,92.44,,,0
CDM,SUP120267,Noncdm Charge Record Medical Supplies - Stent Periph L120Mm D6Mm Cath 6Fr L120Cm Nit Self Exp Otw,6887.92,2686.29,,,0
CDM,SUP120268,Noncdm Charge Record Medical Supplies - Stent Periph L150Mm D6Mm Cath 6Fr L120Cm Nit Self Exp Otw,6887.92,2686.29,,,0
CDM,SUP120277,Noncdm Charge Record Medical Supplies - Surgicel Hemostatic Patch 2In X 14In,250.83,97.82,,,0
CDM,SUP12028_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 1 Os-6 30In Green Ethicon,12.23,4.77,,,0
CDM,SUP12028_A4649_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 1 Os-6 30In Green Ethicon,12.42,4.84,,,0
CDM,SUP1202_270,Noncdm Charge Record Medical Supplies - Tape Dressing 3M Mcfm 3In 5.5Yd Adh Hypoall,15.52,6.05,,,0
CDM,SUP1202_A4649_270,Noncdm Charge Record Medical Supplies - Tape Dressing 3M Mcfm 3In 5.5Yd Adh Hypoall,15.52,6.05,,,0
CDM,SUP1202_A9999_270,Noncdm Charge Record Medical Supplies - Tape Dressing 3M Mcfm 3In 5.5Yd Adh Hypoall,15.52,6.05,,,0
CDM,SUP120304,Noncdm Charge Record Medical Supplies - Microcatheter Supercross 90 Degree 130Cm Angled Tip Teleflex,2349.45,916.29,,,0
CDM,SUP120306,Noncdm Charge Record Medical Supplies - Microcatheter Supercross 120 Degree 130Cm Angled Tip Telefle,2307.62,899.97,,,0
CDM,SUP120329,Noncdm Charge Record Medical Supplies - Suture Tape 1.3Mm Fiberlink With Loop White-Blue Arthrex,416.07,162.27,,,0
CDM,SUP12033,Noncdm Charge Record Medical Supplies - Suture Prolene 2-0 Mo-6 30In Ethicon,16.34,6.37,,,0
CDM,SUP120330_272,Noncdm Charge Record Medical Supplies - Suture Tensioner-Cutter 2-0 And 0 Fiberwire Arthrex,856.98,334.22,,,0
CDM,SUP120330_A4649_272,Noncdm Charge Record Medical Supplies - Suture Tensioner-Cutter 2-0 And 0 Fiberwire Arthrex,856.98,334.22,,,0
CDM,SUP120331,Noncdm Charge Record Medical Supplies - Screw Interference 9Mmx30Mm Fast Thread Biocomposite Arthrex,1584.58,617.99,,,0
CDM,SUP120332,Noncdm Charge Record Medical Supplies - System Tightrope Bone Tendon Bone Arthrex,2283.21,890.45,,,0
CDM,SUP120333,Noncdm Charge Record Medical Supplies - Screw Interference 9Mmx20Mm Fast Thread Biocomposite Arthrex,1584.58,617.99,,,0
CDM,SUP120334,Noncdm Charge Record Medical Supplies - Suture Tape Anchor 1.3Mm With Two Needles Arthrex,2007.27,782.84,,,0
CDM,SUP120336,Noncdm Charge Record Medical Supplies - Drill Bit Cannulated 4.3Mm Arthrex,856.98,334.22,,,0
CDM,SUP120337,Noncdm Charge Record Medical Supplies - Drill Countersink For 6.5Mm Headless Screws Arthrex,856.98,334.22,,,0
CDM,SUP120343_272,Noncdm Charge Record Medical Supplies - Device Slitter Universal Cps St Jude Medical,244.98,95.54,,,0
CDM,SUP120343_A4649_272,Noncdm Charge Record Medical Supplies - Device Slitter Universal Cps St Jude Medical,245.3,95.67,,,0
CDM,SUP12037,Noncdm Charge Record Medical Supplies - Suture Pro 0 Mo-6 30In Ethicon,16.12,6.29,,,0
CDM,SUP12038,Noncdm Charge Record Medical Supplies - Suture Prolene 10-0 Bv100-4 5In Ethicon,113.18,44.14,,,0
CDM,SUP120393,Noncdm Charge Record Medical Supplies - Clip Laa Exclusion 45Mm Pro V Clip Atricure Inc,26583.98,10367.75,,,0
CDM,SUP120397,Noncdm Charge Record Medical Supplies - Catheter Angiocath 20G 1.88In Pink Becton Dickinson,17.6,6.86,,,0
CDM,SUP12040,Noncdm Charge Record Medical Supplies - Suture Ethilon 2 Lr 20In Black Ethicon,14.49,5.65,,,0
CDM,SUP12041,Noncdm Charge Record Medical Supplies - Suture Ethilon 1 Lr 30In Double Arm Black Ethicon,18.85,7.35,,,0
CDM,SUP12042_272,Noncdm Charge Record Medical Supplies - Suture Plain 3-0 Xlh 27In Ethicon,34.16,13.32,,,0
CDM,SUP12042_A4649_272,Noncdm Charge Record Medical Supplies - Suture Plain 3-0 Xlh 27In Ethicon,34.16,13.32,,,0
CDM,SUP12044,Noncdm Charge Record Medical Supplies - Burr Surg 45Mm 2.1Mm Carb Xcut Fssr Strl,18.63,7.27,,,0
CDM,SUP12046,Noncdm Charge Record Medical Supplies,406.76,158.64,,,0
CDM,SUP12047,Noncdm Charge Record Medical Supplies - Myosure Tissue Removal,5221.58,2036.42,,,0
CDM,SUP12049,Noncdm Charge Record Medical Supplies - Burr Surg 45Mm 1.2Mm Shrt Carb Xcut Fssr,28.98,11.3,,,0
CDM,SUP12052,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 3.5Mm 160Mm Synthes,1599.59,623.84,,,0
CDM,SUP12054_272,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 2.7Mm 160Mm Synthes,1520.53,593.01,,,0
CDM,SUP12054_A9999_272,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 2.7Mm 160Mm Synthes,1268.91,494.87,,,0
CDM,SUP12059,Noncdm Charge Record Medical Supplies - Blade Saw 11.5X9X.38Mm Prcs Shrt Med Ss Osc,122.13,47.63,,,0
CDM,SUP120593,Noncdm Charge Record Medical Supplies - Clip Laa Exclusion 40Mm Pro V Clip Atricure Inc,26583.98,10367.75,,,0
CDM,SUP120594,Noncdm Charge Record Medical Supplies - Clip Laa Exclusion 50Mm Pro V Clip Atricure Inc,26583.98,10367.75,,,0
CDM,SUP12060_272,Noncdm Charge Record Medical Supplies - See 112471 Applier Clip 30D Small 9 3-8In Endo Titanium Ethi,838.46,327.0,,,0
CDM,SUP12060_A4649_272,Noncdm Charge Record Medical Supplies - See 112471 Applier Clip 30D Small 9 3-8In Endo Titanium Ethi,838.35,326.96,,,0
CDM,SUP12060_A9999_272,Noncdm Charge Record Medical Supplies - See 112471 Applier Clip 30D Small 9 3-8In Endo Titanium Ethi,838.87,327.16,,,0
CDM,SUP12061,Noncdm Charge Record Medical Supplies - Rod 300Mm 11Mm Self Drill Mr Conditional Set,906.85,353.67,,,0
CDM,SUP120611,Noncdm Charge Record Medical Supplies - Sealant Human Fibrin 2Ml Vistaseal Ethicon,557.86,217.57,,,0
CDM,SUP120612_272,Noncdm Charge Record Medical Supplies - Sealant Human Fibrin 4Ml Vistaseal Ethicon,1105.61,431.19,,,0
CDM,SUP120612_A4649_272,Noncdm Charge Record Medical Supplies - Sealant Human Fibrin 4Ml Vistaseal Ethicon,1022.23,398.67,,,0
CDM,SUP120612_A9999_272,Noncdm Charge Record Medical Supplies - Sealant Human Fibrin 4Ml Vistaseal Ethicon,1179.64,460.06,,,0
CDM,SUP120612_C1889_272,Noncdm Charge Record Medical Supplies - Sealant Human Fibrin 4Ml Vistaseal Ethicon,1027.76,400.83,,,0
CDM,SUP120613_272,Noncdm Charge Record Medical Supplies - Sealant Human Fibrin 10Ml Vistaseal Ethicon,2360.79,920.71,,,0
CDM,SUP120613_A4649_272,Noncdm Charge Record Medical Supplies - Sealant Human Fibrin 10Ml Vistaseal Ethicon,2364.41,922.12,,,0
CDM,SUP120613_A9999_272,Noncdm Charge Record Medical Supplies - Sealant Human Fibrin 10Ml Vistaseal Ethicon,2364.98,922.34,,,0
CDM,SUP120614_272,Noncdm Charge Record Medical Supplies - Applicator Laparoscopic 35Cm Rigid Vistaseal Ethicon,291.41,113.65,,,0
CDM,SUP120614_A4649_272,Noncdm Charge Record Medical Supplies - Applicator Laparoscopic 35Cm Rigid Vistaseal Ethicon,297.04,115.85,,,0
CDM,SUP120615_272,Noncdm Charge Record Medical Supplies - Applicator Laparoscopic 45Cm Rigid Vistaseal Ethicon,291.91,113.84,,,0
CDM,SUP120615_A4649_272,Noncdm Charge Record Medical Supplies - Applicator Laparoscopic 45Cm Rigid Vistaseal Ethicon,292.25,113.98,,,0
CDM,SUP120615_A9999_272,Noncdm Charge Record Medical Supplies - Applicator Laparoscopic 45Cm Rigid Vistaseal Ethicon,294.98,115.04,,,0
CDM,SUP120616,Noncdm Charge Record Medical Supplies - Catheter Angiography 5Fr 150Mm Rubicon Straight Boston Scien,1705.8,665.26,,,0
CDM,SUP12062,Noncdm Charge Record Medical Supplies - Rod 250Mm 11Mm Self Drill Mr Conditional Set,890.88,347.44,,,0
CDM,SUP12063,Noncdm Charge Record Medical Supplies - Rod 200Mm 11Mm Self Drill Mr Conditional Set,863.57,336.79,,,0
CDM,SUP12064_272,Noncdm Charge Record Medical Supplies - Rod 150Mm 11Mm Self Drill Mr Conditional Set,848.63,330.97,,,0
CDM,SUP12064_A4649_272,Noncdm Charge Record Medical Supplies - Rod 150Mm 11Mm Self Drill Mr Conditional Set,787.64,307.18,,,0
CDM,SUP12066_272,Noncdm Charge Record Medical Supplies - Blade Saw 18X5.5X.38Mm Prcs Med Nar Ss Osc,133.42,52.03,,,0
CDM,SUP12066_A4649_272,Noncdm Charge Record Medical Supplies - Blade Saw 18X5.5X.38Mm Prcs Med Nar Ss Osc,153.18,59.74,,,0
CDM,SUP12069_272,Noncdm Charge Record Medical Supplies - Stylet 14 French Aluminum Plastic Covidien,15.85,6.18,,,0
CDM,SUP12069_A4649_272,Noncdm Charge Record Medical Supplies - Stylet 14 French Aluminum Plastic Covidien,15.52,6.05,,,0
CDM,SUP12069_A9999_272,Noncdm Charge Record Medical Supplies - Stylet 14 French Aluminum Plastic Covidien,15.52,6.05,,,0
CDM,SUP120701_272,Noncdm Charge Record Medical Supplies - Set Extension 7In Max Plus Carefusion,8.28,3.23,,,0
CDM,SUP120701_A4649_272,Noncdm Charge Record Medical Supplies - Set Extension 7In Max Plus Carefusion,8.28,3.23,,,0
CDM,SUP120701_A9999_272,Noncdm Charge Record Medical Supplies - Set Extension 7In Max Plus Carefusion,8.28,3.23,,,0
CDM,SUP12070_272,Noncdm Charge Record Medical Supplies - Clip Applier Medium 9 3-8In Ethicon,766.95,299.11,,,0
CDM,SUP12070_A4649_272,Noncdm Charge Record Medical Supplies - Clip Applier Medium 9 3-8In Ethicon,766.94,299.11,,,0
CDM,SUP12070_A9999_272,Noncdm Charge Record Medical Supplies - Clip Applier Medium 9 3-8In Ethicon,766.94,299.11,,,0
CDM,SUP12072,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 4.5Mm 145Mm Synthes,292.8,114.19,,,0
CDM,SUP12074_272,Noncdm Charge Record Medical Supplies - Curette Vac 7Mm Plastic,21.74,8.48,,,0
CDM,SUP12074_A4649_272,Noncdm Charge Record Medical Supplies - Curette Vac 7Mm Plastic,21.74,8.48,,,0
CDM,SUP12074_A9999_272,Noncdm Charge Record Medical Supplies - Curette Vac 7Mm Plastic,21.74,8.48,,,0
CDM,SUP12078_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 4-0 Ps-2 18In Black G Ethicon,19.68,7.68,,,0
CDM,SUP12078_A4649_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 4-0 Ps-2 18In Black G Ethicon,19.35,7.55,,,0
CDM,SUP12078_A9999_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 4-0 Ps-2 18In Black G Ethicon,19.92,7.77,,,0
CDM,SUP12081,Noncdm Charge Record Medical Supplies - Tunneler Surg Lg Blt Tip Sheath 20.5In 10Mm,274.33,106.99,,,0
CDM,SUP120812_272,Noncdm Charge Record Medical Supplies - Ligator Speedband Superview Super 7 Boston Scientific,2633.7,1027.14,,,0
CDM,SUP120812_A4649_272,Noncdm Charge Record Medical Supplies - Ligator Speedband Superview Super 7 Boston Scientific,2818.9,1099.37,,,0
CDM,SUP120812_A9999_272,Noncdm Charge Record Medical Supplies - Ligator Speedband Superview Super 7 Boston Scientific,1997.55,779.04,,,0
CDM,SUP120813,Noncdm Charge Record Medical Supplies - Suture Stratafix Pds 2-0 Sh 6In Ethicon,153.18,59.74,,,0
CDM,SUP12083,Noncdm Charge Record Medical Supplies - Bit Drill 85Mm 2.7Mm Jchk Sm Frag,296.01,115.44,,,0
CDM,SUP12084,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 3.5Mm 110Mm Synthes,302.22,117.87,,,0
CDM,SUP12085,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 3.2Mm 145Mm Synthes,278.91,108.77,,,0
CDM,SUP12086,Noncdm Charge Record Medical Supplies - Tip Pls Lav Intpls Coax Bn Cln Lf,54.14,21.11,,,0
CDM,SUP12087,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 2.7Mm 125Mm Synthes,332.24,129.57,,,0
CDM,SUP12088,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 2.7Mm 100Mm Synthes,297.39,115.98,,,0
CDM,SUP12089_272,Noncdm Charge Record Medical Supplies - Bit Drill Gold 110Mm 2.5Mm Ss Qc Ns,280.36,109.34,,,0
CDM,SUP12089_A4649_272,Noncdm Charge Record Medical Supplies - Bit Drill Gold 110Mm 2.5Mm Ss Qc Ns,275.31,107.37,,,0
CDM,SUP12089_A9999_272,Noncdm Charge Record Medical Supplies - Bit Drill Gold 110Mm 2.5Mm Ss Qc Ns,275.31,107.37,,,0
CDM,SUP1209,Noncdm Charge Record Medical Supplies - Pusher Surg 177Cm Embol Coil,925.29,360.86,,,0
CDM,SUP12090,Noncdm Charge Record Medical Supplies - Bit Drill Gold 180Mm 2.5Mm Ss Qc Ns,321.74,125.48,,,0
CDM,SUP12091,Noncdm Charge Record Medical Supplies - Drill Bit 2Mm 110Mm Mini Frag Synthes,300.15,117.06,,,0
CDM,SUP12092,Noncdm Charge Record Medical Supplies - Catheter Uret 6Fr 70Cm .038In Opend,53.82,20.99,,,0
CDM,SUP12093,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 2Mm 100Mm Synthes,298.34,116.35,,,0
CDM,SUP12095,Noncdm Charge Record Medical Supplies - See 141049 Suture Vicryl 0 Ctx Braided 36In Coat Undyed Ethi,8.28,3.23,,,0
CDM,SUP12096_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 5 Lr 30In Double Arm Green Ethicon,19.33,7.54,,,0
CDM,SUP12096_A4649_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 5 Lr 30In Double Arm Green Ethicon,19.25,7.51,,,0
CDM,SUP1210,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 42Mm Ss P-T Radial Cannula Ns,601.34,234.52,,,0
CDM,SUP12100,Noncdm Charge Record Medical Supplies - Catheter Drain 35Cm Edm-Ventri,810.4,316.06,,,0
CDM,SUP12101,Noncdm Charge Record Medical Supplies - Electrode Elctsg 24Fr Cut Loop Cmax Cut Loop,314.64,122.71,,,0
CDM,SUP12102,Noncdm Charge Record Medical Supplies - Suture Ethibond 0 Os-4 30In Green Ethicon,12.23,4.77,,,0
CDM,SUP121026,Noncdm Charge Record Medical Supplies - System Atherectomy 200Cm 1.25Mm Solid Crown Peripheral Cv Sy,15851.02,6181.9,,,0
CDM,SUP121029,Noncdm Charge Record Medical Supplies - Laser Fiber Single Use Qs 272 Laser Ventures,1224.4,477.52,,,0
CDM,SUP121054,Noncdm Charge Record Medical Supplies - Implant Bioinductive Large Arthroscopic Delivery Smith And N,13298.29,5186.33,,,0
CDM,SUP121055,Noncdm Charge Record Medical Supplies - Implant Bioinductive Medium Arthroscopic Delivery Smith And,13116.81,5115.56,,,0
CDM,SUP121056,Noncdm Charge Record Medical Supplies - Anchors Tendon Bioinductive 8Ea Regeneten Smith And Nephew,3184.98,1242.14,,,0
CDM,SUP121057,Noncdm Charge Record Medical Supplies - Anchors Bone Regeneten With Advanced Delivery System Smith A,4767.61,1859.37,,,0
CDM,SUP121058_272,Noncdm Charge Record Medical Supplies - Kit Centurion Intrepid Ultra Fms Alcon Vision,1779.16,693.87,,,0
CDM,SUP121058_A4649_272,Noncdm Charge Record Medical Supplies - Kit Centurion Intrepid Ultra Fms Alcon Vision,1779.16,693.87,,,0
CDM,SUP121058_A9999_272,Noncdm Charge Record Medical Supplies - Kit Centurion Intrepid Ultra Fms Alcon Vision,1779.16,693.87,,,0
CDM,SUP121059,Noncdm Charge Record Medical Supplies - Kit Small Parts With Intrepid Ultra Sleeves 0.9Mm Tipless Al,174.92,68.22,,,0
CDM,SUP12106,Noncdm Charge Record Medical Supplies - See 140973 Suture Vicryl 3-0 X-1 27In Undyed Ethicon,10.35,4.04,,,0
CDM,SUP12107,Noncdm Charge Record Medical Supplies - Pin Adlt Myfld Scr Fit Ring Wing Grv Plastic,44.83,17.48,,,0
CDM,SUP12108,Noncdm Charge Record Medical Supplies - Suture Ethibond 0 Ct-1 18In Cr Ethicon,57.44,22.4,,,0
CDM,SUP12110,Noncdm Charge Record Medical Supplies - Perforator Cranl 11Mm 7Mm,710.01,276.9,,,0
CDM,SUP121120,Noncdm Charge Record Medical Supplies - Sponge Tonsil Medium 1In Xray Detectable Medline,1.03,0.4,,,0
CDM,SUP12114_272,Noncdm Charge Record Medical Supplies - See 141008 Suture Vicryl 2-0 Ct-2 18In Cr Violet Ethicon,54.51,21.26,,,0
CDM,SUP12114_A4649_272,Noncdm Charge Record Medical Supplies - See 141008 Suture Vicryl 2-0 Ct-2 18In Cr Violet Ethicon,54.71,21.34,,,0
CDM,SUP12114_A9999_272,Noncdm Charge Record Medical Supplies - See 141008 Suture Vicryl 2-0 Ct-2 18In Cr Violet Ethicon,54.65,21.31,,,0
CDM,SUP121173_272,Noncdm Charge Record Medical Supplies - Cannula Venom 20 Ga 100Mm Curved Stryker Ortho,339.54,132.42,,,0
CDM,SUP121173_A4649_272,Noncdm Charge Record Medical Supplies - Cannula Venom 20 Ga 100Mm Curved Stryker Ortho,444.02,173.17,,,0
CDM,SUP121173_A9999_272,Noncdm Charge Record Medical Supplies - Cannula Venom 20 Ga 100Mm Curved Stryker Ortho,160.08,62.43,,,0
CDM,SUP12121,Noncdm Charge Record Medical Supplies - Introducer Sheath 46Cm Repl Polypro Prtnl,217.35,84.77,,,0
CDM,SUP121224,Noncdm Charge Record Medical Supplies - Catheter Centesis 4Fr 20Ga 7Cm Slip Fit Merit Medical,98.23,38.31,,,0
CDM,SUP12127_272,Noncdm Charge Record Medical Supplies - Sponge Surg 1X1In Ptt 1 Stng,17.6,6.86,,,0
CDM,SUP12127_A4649_272,Noncdm Charge Record Medical Supplies - Sponge Surg 1X1In Ptt 1 Stng,17.6,6.86,,,0
CDM,SUP12127_A9999_272,Noncdm Charge Record Medical Supplies - Sponge Surg 1X1In Ptt 1 Stng,17.67,6.89,,,0
CDM,SUP12128_270,Noncdm Charge Record Medical Supplies - Cable Electrosurg 10Ft Elt Uro,124.2,48.44,,,0
CDM,SUP12128_A4649_270,Noncdm Charge Record Medical Supplies - Cable Electrosurg 10Ft Elt Uro,126.27,49.25,,,0
CDM,SUP12128_A9999_270,Noncdm Charge Record Medical Supplies - Cable Electrosurg 10Ft Elt Uro,126.27,49.25,,,0
CDM,SUP12130,Noncdm Charge Record Medical Supplies - Ball Cttn Med 2 Strng Radiopq,7.24,2.82,,,0
CDM,SUP121324,Noncdm Charge Record Medical Supplies - Stent System 3.0Mm 15Mm Neuroform Atlas Stryker Neurovascula,38295.0,14935.05,,,0
CDM,SUP121325,Noncdm Charge Record Medical Supplies - Stent System 3.0Mm 21Mm Neuroform Atlas Stryker Neurovascula,38115.7,14865.12,,,0
CDM,SUP121326,Noncdm Charge Record Medical Supplies - Stent System 3.0Mm 24Mm Neuroform Atlas Stryker Neurovascula,38295.0,14935.05,,,0
CDM,SUP121327,Noncdm Charge Record Medical Supplies - Stent System 4.0Mm 21Mm Neuroform Atlas Stryker Neurovascula,38295.0,14935.05,,,0
CDM,SUP121328,Noncdm Charge Record Medical Supplies - Stent System 4.0Mm 24Mm Neuroform Atlas Stryker Neurovascula,38295.0,14935.05,,,0
CDM,SUP121329,Noncdm Charge Record Medical Supplies - Stent System 4.5Mm 21Mm Neuroform Atlas Stryker Neurovascula,38295.0,14935.05,,,0
CDM,SUP12133,Noncdm Charge Record Medical Supplies - Suture Prolene 6-0 Rb-2 18In Double Arm Blue Ethicon,29.92,11.67,,,0
CDM,SUP121330,Noncdm Charge Record Medical Supplies - Stent System 4.5Mm 30Mm Neuroform Atlas Stryker Neurovascula,38295.0,14935.05,,,0
CDM,SUP121341,Noncdm Charge Record Medical Supplies - Suction Cassett Sonopet Iq Stryker Neurovascular,2298.48,896.41,,,0
CDM,SUP121343,Noncdm Charge Record Medical Supplies - Tip Soft Tissue Sonopet Iq 12Cm 4.5In Barracuda Stryker Neur,3614.86,1409.8,,,0
CDM,SUP121344,Noncdm Charge Record Medical Supplies - Tip Soft Tissue Sonopet Iq 12Cm 4.6In Serrated Large Stryker,4304.56,1678.78,,,0
CDM,SUP121345,Noncdm Charge Record Medical Supplies - Tip Soft Tissue Sonopet Iq 12Cm 4.5In Standard Stryker Neuro,3458.97,1349.0,,,0
CDM,SUP12141_272,Noncdm Charge Record Medical Supplies - Suture Permahand 4-0 Sh 30In Black Ethicon,6.25,2.44,,,0
CDM,SUP12141_A4649_272,Noncdm Charge Record Medical Supplies - Suture Permahand 4-0 Sh 30In Black Ethicon,6.21,2.42,,,0
CDM,SUP12141_A9999_272,Noncdm Charge Record Medical Supplies - Suture Permahand 4-0 Sh 30In Black Ethicon,6.21,2.42,,,0
CDM,SUP121425_Q4160_278,Noncdm Charge Record Medical Supplies - Graft Human Tissue 6X6Cm Nushield Organogenesis,12179.88,4750.15,,,0
CDM,SUP121426_Q4160_278,Noncdm Charge Record Medical Supplies - Graft Human Tissue 4X4Cm Nushield Organogenesis,8555.31,3336.57,,,0
CDM,SUP121438,Noncdm Charge Record Medical Supplies - Hydrodebrieder Sinus Frontal Handpiece Disposable Medtronic,1427.26,556.63,,,0
CDM,SUP12147,Noncdm Charge Record Medical Supplies - Connector Shunt Acfl 15Cm Strt,392.26,152.98,,,0
CDM,SUP12154,Noncdm Charge Record Medical Supplies - See 141109 Suture Pds2 5-0 P-3 18In Clear Ethicon,28.98,11.3,,,0
CDM,SUP12156_272,Noncdm Charge Record Medical Supplies - Kit Glsck Adlt Dressing Ear Hrdshl Gauze Flf,75.56,29.47,,,0
CDM,SUP12156_A4649_272,Noncdm Charge Record Medical Supplies - Kit Glsck Adlt Dressing Ear Hrdshl Gauze Flf,75.56,29.47,,,0
CDM,SUP12156_A9999_272,Noncdm Charge Record Medical Supplies - Kit Glsck Adlt Dressing Ear Hrdshl Gauze Flf,75.56,29.47,,,0
CDM,SUP12157,Noncdm Charge Record Medical Supplies - Suture Ethilon 2-0 Ks 30In Black Ethicon,10.1,3.94,,,0
CDM,SUP12159_272,Noncdm Charge Record Medical Supplies - See 141044 Suture Vicryl 3-0 Ct1 36In Undyed Ethicon,8.08,3.15,,,0
CDM,SUP12159_A4649_272,Noncdm Charge Record Medical Supplies - See 141044 Suture Vicryl 3-0 Ct1 36In Undyed Ethicon,8.28,3.23,,,0
CDM,SUP12159_A9999_272,Noncdm Charge Record Medical Supplies - See 141044 Suture Vicryl 3-0 Ct1 36In Undyed Ethicon,8.28,3.23,,,0
CDM,SUP12160_272,Noncdm Charge Record Medical Supplies - See 141045 Suture Vicryl 2-0 Ct-1 36In Undyed Ethicon,7.98,3.11,,,0
CDM,SUP12160_A4649_272,Noncdm Charge Record Medical Supplies - See 141045 Suture Vicryl 2-0 Ct-1 36In Undyed Ethicon,7.93,3.09,,,0
CDM,SUP12160_A9999_272,Noncdm Charge Record Medical Supplies - See 141045 Suture Vicryl 2-0 Ct-1 36In Undyed Ethicon,7.76,3.03,,,0
CDM,SUP12161,Noncdm Charge Record Medical Supplies - See 117148 Splint Nasal 58X30Mm Pet Alum,260.82,101.72,,,0
CDM,SUP12165,Noncdm Charge Record Medical Supplies - Splint Nasal 50X28Mm Mini Alum,301.18,117.46,,,0
CDM,SUP12167,Noncdm Charge Record Medical Supplies - See 140998 Suture Vicryl 2-0 54In Ties Undyed Ethicon,10.61,4.14,,,0
CDM,SUP121677,Noncdm Charge Record Medical Supplies - Tap Bone Diamond 4.5Mm Noncannulatd Serrato Stryker Spine,3808.8,1485.43,,,0
CDM,SUP121678,Noncdm Charge Record Medical Supplies - Screw Polyaxial 5.5X40.0Mm Xia System 3 Stryker Spine,4108.43,1602.29,,,0
CDM,SUP121679,Noncdm Charge Record Medical Supplies - Pin Spinal Distraction 12Mm Maxcess Nuvasive,730.71,284.98,,,0
CDM,SUP12168,Noncdm Charge Record Medical Supplies - Suture Stainless Steel 5 V40 18In Ethicon,66.24,25.83,,,0
CDM,SUP121680,Noncdm Charge Record Medical Supplies - Rod Spinal 5.5X80Mm Curved Titanium Globus Medical,940.12,366.65,,,0
CDM,SUP121682,Noncdm Charge Record Medical Supplies - Screw Polyaxial 5.5X45Mm Xia System 3 Stryker Spine,4108.43,1602.29,,,0
CDM,SUP121683,Noncdm Charge Record Medical Supplies - Extension Reduction Reline Nuvasive,2417.24,942.72,,,0
CDM,SUP121685,Noncdm Charge Record Medical Supplies - Rod Spinal 40Mm 3.5Mm Thoracic Precut Infinity Medtronic,1128.15,439.98,,,0
CDM,SUP12169_272,Noncdm Charge Record Medical Supplies - Kit Glsck Ped Dressing Hrdshl Gauze Flf Strap,91.08,35.52,,,0
CDM,SUP12169_A4649_272,Noncdm Charge Record Medical Supplies - Kit Glsck Ped Dressing Hrdshl Gauze Flf Strap,91.08,35.52,,,0
CDM,SUP12170_272,Noncdm Charge Record Medical Supplies - Suture Chromic 3-0 Rb-1 27In Ethicon,15.66,6.11,,,0
CDM,SUP12170_A4649_272,Noncdm Charge Record Medical Supplies - Suture Chromic 3-0 Rb-1 27In Ethicon,15.52,6.05,,,0
CDM,SUP12170_A9999_272,Noncdm Charge Record Medical Supplies - Suture Chromic 3-0 Rb-1 27In Ethicon,15.52,6.05,,,0
CDM,SUP12172,Noncdm Charge Record Medical Supplies - Suture Chromic 0 Sh 27In Abs Ethicon,15.01,5.85,,,0
CDM,SUP12173_272,Noncdm Charge Record Medical Supplies - Suture Eth 2-0 Fslx 30In Monofil Blk Nonabs,10.3,4.02,,,0
CDM,SUP12173_A4649_272,Noncdm Charge Record Medical Supplies - Suture Eth 2-0 Fslx 30In Monofil Blk Nonabs,10.35,4.04,,,0
CDM,SUP12173_A9999_272,Noncdm Charge Record Medical Supplies - Suture Eth 2-0 Fslx 30In Monofil Blk Nonabs,10.35,4.04,,,0
CDM,SUP121756_272,Noncdm Charge Record Medical Supplies - Wrench Hex Disposable St Jude Medical,132.47,51.66,,,0
CDM,SUP121756_A4649_272,Noncdm Charge Record Medical Supplies - Wrench Hex Disposable St Jude Medical,132.48,51.67,,,0
CDM,SUP121757_272,Noncdm Charge Record Medical Supplies - Suture V-Loc 90 3-0 V-20 9In Taper Covidien,113.75,44.36,,,0
CDM,SUP121757_A9999_272,Noncdm Charge Record Medical Supplies - Suture V-Loc 90 3-0 V-20 9In Taper Covidien,113.5,44.26,,,0
CDM,SUP12175_272,Noncdm Charge Record Medical Supplies - See 140935 Suture Vicryl 2-0 Rb-1 27In Violet Ethicon,7.47,2.91,,,0
CDM,SUP12175_A4649_272,Noncdm Charge Record Medical Supplies - See 140935 Suture Vicryl 2-0 Rb-1 27In Violet Ethicon,7.24,2.82,,,0
CDM,SUP12176,Noncdm Charge Record Medical Supplies - Suture Permahand 4-0 Tf 18In Black Ethicon,60.24,23.49,,,0
CDM,SUP121767_272,Noncdm Charge Record Medical Supplies - Solution Wound Cleansing Therapy 1000Ml Prontosa Kci Inc,533.82,208.19,,,0
CDM,SUP121767_A4649_272,Noncdm Charge Record Medical Supplies - Solution Wound Cleansing Therapy 1000Ml Prontosa Kci Inc,533.85,208.2,,,0
CDM,SUP121768,Noncdm Charge Record Medical Supplies - Sensor Temperature 22Ga 15Mm Myocardial Level 1 Smiths Medic,86.94,33.91,,,0
CDM,SUP121769,Noncdm Charge Record Medical Supplies - Graft Endovascular 30Mmx34Mm Straight Zenith Cook Medical,74348.19,28995.79,,,0
CDM,SUP121770,Noncdm Charge Record Medical Supplies - Graft Endovascular 36Mmx180Mm Straight Zenith Cook Medical,67863.22,26466.66,,,0
CDM,SUP121780,Noncdm Charge Record Medical Supplies - Bone Matrix Osteosurge 300 2.5Ml Seaspine Sales,3233.34,1261.0,,,0
CDM,SUP12180,Noncdm Charge Record Medical Supplies - Suture Prolene 5-0 Rb-2 18In Double Arm Blue Ethicon,28.8,11.23,,,0
CDM,SUP12181_270,Noncdm Charge Record Medical Supplies - Padding 4Ydx3In Strl Wbrl Reg,8.26,3.22,,,0
CDM,SUP12181_A4649_270,Noncdm Charge Record Medical Supplies - Padding 4Ydx3In Strl Wbrl Reg,8.28,3.23,,,0
CDM,SUP12181_A9999_270,Noncdm Charge Record Medical Supplies - Padding 4Ydx3In Strl Wbrl Reg,8.28,3.23,,,0
CDM,SUP12182,Noncdm Charge Record Medical Supplies,5.69,2.22,,,0
CDM,SUP12184_272,Noncdm Charge Record Medical Supplies - Tube Ng 48In 14Fr 2 Lum Salem,10.35,4.04,,,0
CDM,SUP12184_A4649_272,Noncdm Charge Record Medical Supplies - Tube Ng 48In 14Fr 2 Lum Salem,10.35,4.04,,,0
CDM,SUP12184_A9999_272,Noncdm Charge Record Medical Supplies - Tube Ng 48In 14Fr 2 Lum Salem,10.35,4.04,,,0
CDM,SUP12186,Noncdm Charge Record Medical Supplies - Immobilizer Orth 2Xl 20In 22-24In Knee Lplk,58.14,22.67,,,0
CDM,SUP121861,Noncdm Charge Record Medical Supplies - Kit Bone Cement Total Hip With Canal Brush Suction Smith And,700.15,273.06,,,0
CDM,SUP121863,Noncdm Charge Record Medical Supplies - Rod Spinal Capitol 35Mmx3.5Mm Curved Globus Medical,806.26,314.44,,,0
CDM,SUP121864,Noncdm Charge Record Medical Supplies - Screw Spinal 50Mm 6.5Mm Modular Shank 2C Reline Nuvasive,2379.59,928.04,,,0
CDM,SUP121865,Noncdm Charge Record Medical Supplies - Screw Spinal Reduction 30Mm 5.5Mm Medtronic Inc,4108.43,1602.29,,,0
CDM,SUP121887,Noncdm Charge Record Medical Supplies - Catheter Thrombectomy 105Cm 16Mm Suction Clottriever Inari M,20546.41,8013.1,,,0
CDM,SUP121888_C1757_272,Noncdm Charge Record Medical Supplies - Catheter Thrombectomy 15Cm 4.6Mm Sheath Clottriever Symmetry,6613.65,2579.32,,,0
CDM,SUP121888_C1894_272,Noncdm Charge Record Medical Supplies - Catheter Thrombectomy 15Cm 4.6Mm Sheath Clottriever Symmetry,14308.33,5580.25,,,0
CDM,SUP121889_272,Noncdm Charge Record Medical Supplies - Blade Straight 4.0Mm 13Cm Torpedo Arthrex,494.73,192.94,,,0
CDM,SUP121889_A4649_272,Noncdm Charge Record Medical Supplies - Blade Straight 4.0Mm 13Cm Torpedo Arthrex,494.73,192.94,,,0
CDM,SUP121890,Noncdm Charge Record Medical Supplies - Blade Shaver 13Cm 1.5Mm 30Deg Powerpick Arthrex,494.38,192.81,,,0
CDM,SUP121891_272,Noncdm Charge Record Medical Supplies - Applicator Tip Surgicel Endoscopic For Surgicel Power Ethico,94.04,36.68,,,0
CDM,SUP121891_A4649_272,Noncdm Charge Record Medical Supplies - Applicator Tip Surgicel Endoscopic For Surgicel Power Ethico,92.63,36.13,,,0
CDM,SUP121891_A9999_272,Noncdm Charge Record Medical Supplies - Applicator Tip Surgicel Endoscopic For Surgicel Power Ethico,94.18,36.73,,,0
CDM,SUP121914_272,Noncdm Charge Record Medical Supplies - Catheter Nasal Measurement 8Cm Endoflip Covidien,2107.26,821.83,,,0
CDM,SUP121914_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Nasal Measurement 8Cm Endoflip Covidien,2195.24,856.14,,,0
CDM,SUP121914_C1726_272,Noncdm Charge Record Medical Supplies - Catheter Nasal Measurement 8Cm Endoflip Covidien,2019.28,787.52,,,0
CDM,SUP121915,Noncdm Charge Record Medical Supplies - Reload Small Diameter 30M Short Covidien,2325.52,906.95,,,0
CDM,SUP12192,Noncdm Charge Record Medical Supplies - Tool Dissect Blu 3Mm Mm Blkmx Mtchsk Cutter,428.49,167.11,,,0
CDM,SUP121930,Noncdm Charge Record Medical Supplies - Spacer Spinal 15 Degree 13Mm Monument Globus Medical,32988.56,12865.54,,,0
CDM,SUP121932,Noncdm Charge Record Medical Supplies - Catheter Balloon Pta 7Mm 135Cm Evercross Medtronic,464.72,181.24,,,0
CDM,SUP121933,Noncdm Charge Record Medical Supplies - Catheter Balloon Pta 10Mm 135Cm Evercross Medtronic,479.38,186.96,,,0
CDM,SUP12194,Noncdm Charge Record Medical Supplies - Catheter Drain 24Fr 20In Argyle Thoracic Straight Tip Covidi,21.74,8.48,,,0
CDM,SUP12198_272,Noncdm Charge Record Medical Supplies - See 141096 Suture Pds2 1 Ct1 27In Violet Ethicon,12.8,4.99,,,0
CDM,SUP12198_A4649_272,Noncdm Charge Record Medical Supplies - See 141096 Suture Pds2 1 Ct1 27In Violet Ethicon,12.94,5.05,,,0
CDM,SUP12198_A9999_272,Noncdm Charge Record Medical Supplies - See 141096 Suture Pds2 1 Ct1 27In Violet Ethicon,12.42,4.84,,,0
CDM,SUP12204_272,Noncdm Charge Record Medical Supplies - See 140996 Suture Vicryl 2-0 Ur-6 27In Violet Ethicon,9.32,3.63,,,0
CDM,SUP12204_A4649_272,Noncdm Charge Record Medical Supplies - See 140996 Suture Vicryl 2-0 Ur-6 27In Violet Ethicon,9.32,3.63,,,0
CDM,SUP12205,Noncdm Charge Record Medical Supplies - Catheter Balloon Occ 12Fr 43Mm,2295.63,895.3,,,0
CDM,SUP12206,Noncdm Charge Record Medical Supplies - Catheter Balloon Occ 3Fr 7Mm,1463.49,570.76,,,0
CDM,SUP122062,Noncdm Charge Record Medical Supplies - Guidewire Endoscopic 250Cm Savary-Gilliard Cook Medical,677.31,264.15,,,0
CDM,SUP12207,Noncdm Charge Record Medical Supplies - Catheter Balloon Occ 5Fr 11Mm 27Cm Aort,1664.09,649.0,,,0
CDM,SUP122079_272,Noncdm Charge Record Medical Supplies - Needle Epidural 18Ga 3.5In Perisaf Tuohy Modified Point Bd M,16.56,6.46,,,0
CDM,SUP122079_A4649_272,Noncdm Charge Record Medical Supplies - Needle Epidural 18Ga 3.5In Perisaf Tuohy Modified Point Bd M,16.56,6.46,,,0
CDM,SUP12208_272,Noncdm Charge Record Medical Supplies - Catheter 6Fr Jr 4,45.65,17.8,,,0
CDM,SUP12208_A4649_272,Noncdm Charge Record Medical Supplies - Catheter 6Fr Jr 4,46.45,18.12,,,0
CDM,SUP12208_A9999_272,Noncdm Charge Record Medical Supplies - Catheter 6Fr Jr 4,44.5,17.36,,,0
CDM,SUP12210,Noncdm Charge Record Medical Supplies - Connector Shunt Acfl Csf 17Mm Strt Radiopq,442.98,172.76,,,0
CDM,SUP122113,Noncdm Charge Record Medical Supplies - Tube Endotracheal 7.5Mm 320Cm Portex Sacett Smiths Medical,96.26,37.54,,,0
CDM,SUP122114,Noncdm Charge Record Medical Supplies - Skin Cts Non Meshed Irr 232 Cryo Community Blood Center,263.88,102.91,,,0
CDM,SUP122115,Noncdm Charge Record Medical Supplies - Skin Cts Non Meshed Irr 464 Cryo Community Blood Center,5606.6,2186.57,,,0
CDM,SUP122122,Noncdm Charge Record Medical Supplies - Skin Meshed 2:1 154 Sq Cm Community Blood Center,1616.67,630.5,,,0
CDM,SUP122135,Noncdm Charge Record Medical Supplies - Rod Spinal 40Mm 5.5Mm Posterior Thoracolumbosacral Nuvasive,988.42,385.48,,,0
CDM,SUP12214,Noncdm Charge Record Medical Supplies - Splint Nasal 65X35Mm Sm Alum,301.18,117.46,,,0
CDM,SUP12215_272,Noncdm Charge Record Medical Supplies - See 140999 Suture Vicryl 0 54In Tie Undyed Ethicon,10.87,4.24,,,0
CDM,SUP12215_A4649_272,Noncdm Charge Record Medical Supplies - See 140999 Suture Vicryl 0 54In Tie Undyed Ethicon,10.46,4.08,,,0
CDM,SUP12215_A9999_272,Noncdm Charge Record Medical Supplies - See 140999 Suture Vicryl 0 54In Tie Undyed Ethicon,11.38,4.44,,,0
CDM,SUP12216,Noncdm Charge Record Medical Supplies - Suture Chromic 0 27In Bp-1 Abs Ethicon,52.9,20.63,,,0
CDM,SUP12217,Noncdm Charge Record Medical Supplies - Suture Permahand 5-0 Rb1 24Indouble Arm Black Ethicon,17.6,6.86,,,0
CDM,SUP122176_C1887_272,Noncdm Charge Record Medical Supplies - Catheter Guiding Sheath 7Fr 55Cm 9Mm Steerable Oscor Inc,3968.19,1547.59,,,0
CDM,SUP122176_C1894_272,Noncdm Charge Record Medical Supplies - Catheter Guiding Sheath 7Fr 55Cm 9Mm Steerable Oscor Inc,3819.57,1489.63,,,0
CDM,SUP122178_272,Noncdm Charge Record Medical Supplies - Kit Bone Harvesting 520Mm Ria 2 Synthes Usa,10568.38,4121.67,,,0
CDM,SUP122178_A4649_272,Noncdm Charge Record Medical Supplies - Kit Bone Harvesting 520Mm Ria 2 Synthes Usa,10568.38,4121.67,,,0
CDM,SUP122179,Noncdm Charge Record Medical Supplies - Screw Bone 95Mm 6.4Mm Femoral Neck System Synthes Usa,1141.9,445.34,,,0
CDM,SUP122180,Noncdm Charge Record Medical Supplies - Screw Bone 40Mm 5Mm Locking Self Tapping Synthes Usa,830.69,323.97,,,0
CDM,SUP122181_272,Noncdm Charge Record Medical Supplies - Kit Pedicle Spinal Revere Globus Medical,4986.63,1944.79,,,0
CDM,SUP122181_A4649_272,Noncdm Charge Record Medical Supplies - Kit Pedicle Spinal Revere Globus Medical,4986.63,1944.79,,,0
CDM,SUP122182,Noncdm Charge Record Medical Supplies - Screw Thoracolumbar 45Mm 6.5Mm Cannulated Globus Medical,2111.09,823.33,,,0
CDM,SUP122183,Noncdm Charge Record Medical Supplies - Sleeve Tulip Modular 30Mm Polyaxial Globus Medical,2454.81,957.38,,,0
CDM,SUP122184_C1713_278,Noncdm Charge Record Medical Supplies - Cap Facet Reduction Spinal Posterior Creo Globus Medical,268.61,104.76,,,0
CDM,SUP122184_L8699_278,Noncdm Charge Record Medical Supplies - Cap Facet Reduction Spinal Posterior Creo Globus Medical,268.58,104.75,,,0
CDM,SUP122185_272,Noncdm Charge Record Medical Supplies - Needle Biopsy 11Ga Bone Access Bevel Tip Globus Medical,381.92,148.95,,,0
CDM,SUP122185_A4649_272,Noncdm Charge Record Medical Supplies - Needle Biopsy 11Ga Bone Access Bevel Tip Globus Medical,381.92,148.95,,,0
CDM,SUP122185_A9999_272,Noncdm Charge Record Medical Supplies - Needle Biopsy 11Ga Bone Access Bevel Tip Globus Medical,381.92,148.95,,,0
CDM,SUP122186,Noncdm Charge Record Medical Supplies - Screw Bone 5.5X25Mm Spinal Variable Angle Globus Medical,1552.46,605.46,,,0
CDM,SUP122187,Noncdm Charge Record Medical Supplies - Plate External Fixation 160Mm Ankle Foot Double Row Tl-Hex O,12083.62,4712.61,,,0
CDM,SUP122188,Noncdm Charge Record Medical Supplies - Kit Exchange Medium-Long Nut Clip Tl-Hex Orthofix,10797.12,4210.88,,,0
CDM,SUP122189,Noncdm Charge Record Medical Supplies - Nail Intramedullary 360Mm 10Mm Synthes Usa,8266.54,3223.95,,,0
CDM,SUP12219_272,Noncdm Charge Record Medical Supplies - See 112471 Applier Clip 20 Sm Endo Automatic Titanium Covidi,239.08,93.24,,,0
CDM,SUP12219_A4649_272,Noncdm Charge Record Medical Supplies - See 112471 Applier Clip 20 Sm Endo Automatic Titanium Covidi,239.08,93.24,,,0
CDM,SUP12220,Noncdm Charge Record Medical Supplies - See 140971 Suture Vicryl 3-0 Fs-1 27In Undyed Ethicon,10.35,4.04,,,0
CDM,SUP12221_272,Noncdm Charge Record Medical Supplies - See 140970 Suture Vicryl 4-0 Fs-1 27In Undyed Ethicon,10.35,4.04,,,0
CDM,SUP12221_A4649_272,Noncdm Charge Record Medical Supplies - See 140970 Suture Vicryl 4-0 Fs-1 27In Undyed Ethicon,10.35,4.04,,,0
CDM,SUP12221_A9999_272,Noncdm Charge Record Medical Supplies - See 140970 Suture Vicryl 4-0 Fs-1 27In Undyed Ethicon,10.35,4.04,,,0
CDM,SUP12223,Noncdm Charge Record Medical Supplies - Restraint Xtrmt 39.5Mm Univ,21.74,8.48,,,0
CDM,SUP12224,Noncdm Charge Record Medical Supplies - Suture Goretex Cv-6 Ttc-13 30In Wl Gore And Associates,141.79,55.3,,,0
CDM,SUP122262_272,Noncdm Charge Record Medical Supplies - Electrode Adhesive Neutral Patient Plate Multigen Stryker Or,138.62,54.06,,,0
CDM,SUP122262_A4649_272,Noncdm Charge Record Medical Supplies - Electrode Adhesive Neutral Patient Plate Multigen Stryker Or,273.24,106.56,,,0
CDM,SUP122262_A9999_272,Noncdm Charge Record Medical Supplies - Electrode Adhesive Neutral Patient Plate Multigen Stryker Or,107.64,41.98,,,0
CDM,SUP12226_272,Noncdm Charge Record Medical Supplies,1.85,0.72,,,0
CDM,SUP12226_A4649_272,Noncdm Charge Record Medical Supplies,1.95,0.76,,,0
CDM,SUP12226_A9999_272,Noncdm Charge Record Medical Supplies,1.81,0.71,,,0
CDM,SUP12229,Noncdm Charge Record Medical Supplies,1.99,0.78,,,0
CDM,SUP122331,Noncdm Charge Record Medical Supplies - Suture Anchor Q-Fix 1.8Mm Mini All Suture Smith And Nephew W,2155.27,840.56,,,0
CDM,SUP122332,Noncdm Charge Record Medical Supplies - Suture Anchor Qfix 1.8 Mini Smith And Nephew Wound,1321.7,515.46,,,0
CDM,SUP122333_272,Noncdm Charge Record Medical Supplies - Pin Distraction 10Mm Secure-C Cervical Globus Medical,268.66,104.78,,,0
CDM,SUP122333_C1713_278,Noncdm Charge Record Medical Supplies - Pin Distraction 10Mm Secure-C Cervical Globus Medical,268.63,104.77,,,0
CDM,SUP122334,Noncdm Charge Record Medical Supplies - Screw Spinal 14Mm 3.5Mm Polyaxial Quartex Globus Medical,3141.77,1225.29,,,0
CDM,SUP122335,Noncdm Charge Record Medical Supplies - Drill Bit For 3.5Mm Screw Quarte X Globus Medical,245.3,95.67,,,0
CDM,SUP122337,Noncdm Charge Record Medical Supplies - Plate Spinal 10Mm Anterior Cervical Titanium Globus Medical,3383.42,1319.53,,,0
CDM,SUP122338,Noncdm Charge Record Medical Supplies - Tap Bone For 3.5Mm Screw Globus Medical,1224.4,477.52,,,0
CDM,SUP122341_272,Noncdm Charge Record Medical Supplies - Connector Non Sterile Zoll Radiotransparent Tz Medical Inc.,108.65,42.37,,,0
CDM,SUP122341_A4649_272,Noncdm Charge Record Medical Supplies - Connector Non Sterile Zoll Radiotransparent Tz Medical Inc.,108.83,42.44,,,0
CDM,SUP122341_A9999_272,Noncdm Charge Record Medical Supplies - Connector Non Sterile Zoll Radiotransparent Tz Medical Inc.,107.64,41.98,,,0
CDM,SUP12238,Noncdm Charge Record Medical Supplies - Suture Plain 3-0 Sh 27In Ethicon,15.32,5.97,,,0
CDM,SUP122394,Noncdm Charge Record Medical Supplies - Valve Certas Plus Inline 120Cm Bactiseal Integra Lifescience,23529.69,9176.58,,,0
CDM,SUP122395,Noncdm Charge Record Medical Supplies - Probe Doppler Micro 20 Mhz Disposable Mizuho Osi Inc.,2208.98,861.5,,,0
CDM,SUP12239_272,Noncdm Charge Record Medical Supplies - Suture Plain 4-0 Fs-2 27In Ethicon,15.53,6.06,,,0
CDM,SUP12239_A4649_272,Noncdm Charge Record Medical Supplies - Suture Plain 4-0 Fs-2 27In Ethicon,15.52,6.05,,,0
CDM,SUP12239_A9999_272,Noncdm Charge Record Medical Supplies - Suture Plain 4-0 Fs-2 27In Ethicon,15.52,6.05,,,0
CDM,SUP1223_272,Noncdm Charge Record Medical Supplies - Powder Surgifoam Ethicon,269.61,105.15,,,0
CDM,SUP1223_A4649_272,Noncdm Charge Record Medical Supplies - Powder Surgifoam Ethicon,265.26,103.45,,,0
CDM,SUP1223_A9999_272,Noncdm Charge Record Medical Supplies - Powder Surgifoam Ethicon,273.65,106.72,,,0
CDM,SUP12240,Noncdm Charge Record Medical Supplies - Suture Plain 3-0 Fs-2 27In Ethicon,15.55,6.06,,,0
CDM,SUP12242,Noncdm Charge Record Medical Supplies - See 140979 Suture Vicryl 5-0 P-3 18In Undyed Ethicon,21.67,8.45,,,0
CDM,SUP12243_272,Noncdm Charge Record Medical Supplies - See 140987 Suture Vicryl 3-0 Ps-2 18In Undyed Ethicon,19.63,7.66,,,0
CDM,SUP12243_A9999_272,Noncdm Charge Record Medical Supplies - See 140987 Suture Vicryl 3-0 Ps-2 18In Undyed Ethicon,19.66,7.67,,,0
CDM,SUP12244_272,Noncdm Charge Record Medical Supplies - Suture Chromic 3-0 54In Reel Abs Ethicon,16.56,6.46,,,0
CDM,SUP12244_A4649_272,Noncdm Charge Record Medical Supplies - Suture Chromic 3-0 54In Reel Abs Ethicon,16.56,6.46,,,0
CDM,SUP122455,Noncdm Charge Record Medical Supplies - System Introducer 7Fr L13Cm 19.5Cm Orange Hub Medtronic,213.21,83.15,,,0
CDM,SUP122456,Noncdm Charge Record Medical Supplies - Needle Biopsy 20Ga 6Cm Core Disposable Mission Cr Bard,169.74,66.2,,,0
CDM,SUP12245_272,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 30In Tie Black Ethicon,11.4,4.45,,,0
CDM,SUP12245_A4649_272,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 30In Tie Black Ethicon,11.38,4.44,,,0
CDM,SUP12246_272,Noncdm Charge Record Medical Supplies - Suture Chromic 4-0 Rb-1 27In Ethicon,15.64,6.1,,,0
CDM,SUP12246_A4649_272,Noncdm Charge Record Medical Supplies - Suture Chromic 4-0 Rb-1 27In Ethicon,15.6,6.08,,,0
CDM,SUP12246_A9999_272,Noncdm Charge Record Medical Supplies - Suture Chromic 4-0 Rb-1 27In Ethicon,15.75,6.14,,,0
CDM,SUP122508,Noncdm Charge Record Medical Supplies - System Atherectomy 200Cm 1.25Mm Solid Crown Cv Systems Inc,15851.02,6181.9,,,0
CDM,SUP122509,Noncdm Charge Record Medical Supplies - Guidewire Vascular 475Cm 0.014In Viperwire Advance Cv System,734.73,286.54,,,0
CDM,SUP122510,Noncdm Charge Record Medical Supplies - Guidewire Vascular 475Cm 0.018In Viperwire Advance Cv System,734.85,286.59,,,0
CDM,SUP12253,Noncdm Charge Record Medical Supplies - Suture Prolene 6-0 Pc-1 18In Blue Ethicon,32.08,12.51,,,0
CDM,SUP12255_272,Noncdm Charge Record Medical Supplies - Suture Plain 4-0 Ps-2 18In Ethicon,31.18,12.16,,,0
CDM,SUP12255_A4649_272,Noncdm Charge Record Medical Supplies - Suture Plain 4-0 Ps-2 18In Ethicon,31.16,12.15,,,0
CDM,SUP12255_A9999_272,Noncdm Charge Record Medical Supplies - Suture Plain 4-0 Ps-2 18In Ethicon,31.21,12.17,,,0
CDM,SUP12256,Noncdm Charge Record Medical Supplies - See 141002 Suture Vicryl 1 54In Violet Ethicon,11.38,4.44,,,0
CDM,SUP122600,Noncdm Charge Record Medical Supplies - Sheath Introducer 5Fr 10Cm Precision Terumo Medical,186.61,72.78,,,0
CDM,SUP122613,Noncdm Charge Record Medical Supplies - Burr Powermini 2.9Mm 7Cm Purple Smith And Nephew Endoscopy,450.22,175.59,,,0
CDM,SUP122614,Noncdm Charge Record Medical Supplies - Burr Incisor Plus 2.9Mm 7Cm Peach Smith And Nephew Endoscopy,385.02,150.16,,,0
CDM,SUP122615,Noncdm Charge Record Medical Supplies - Burr Powermini 3.5Mm Incisor Light Green Smith And Nephew En,385.02,150.16,,,0
CDM,SUP122616,Noncdm Charge Record Medical Supplies - System Endoblade Plantar Fascia Release Arthrex,3946.46,1539.12,,,0
CDM,SUP12263_272,Noncdm Charge Record Medical Supplies - Suture Pds2 18In Violet Endoloop Ethicon,697.53,272.04,,,0
CDM,SUP12263_A4649_272,Noncdm Charge Record Medical Supplies - Suture Pds2 18In Violet Endoloop Ethicon,693.45,270.45,,,0
CDM,SUP12263_A9999_272,Noncdm Charge Record Medical Supplies - Suture Pds2 18In Violet Endoloop Ethicon,693.45,270.45,,,0
CDM,SUP12265_272,Noncdm Charge Record Medical Supplies - Suture Chromic 1 36In Ct Abs Ethicon,16.33,6.37,,,0
CDM,SUP12265_A4649_272,Noncdm Charge Record Medical Supplies - Suture Chromic 1 36In Ct Abs Ethicon,15.87,6.19,,,0
CDM,SUP122664,Noncdm Charge Record Medical Supplies - Strip Barrier Y Shape Elastic Brava Coloplast Corp,6.21,2.42,,,0
CDM,SUP12266_272,Noncdm Charge Record Medical Supplies - Suture Prolene 7-0 Bv-1 30In Double Arm Blue Ethicon,93.11,36.31,,,0
CDM,SUP12266_A4649_272,Noncdm Charge Record Medical Supplies - Suture Prolene 7-0 Bv-1 30In Double Arm Blue Ethicon,89.53,34.92,,,0
CDM,SUP12266_A9999_272,Noncdm Charge Record Medical Supplies - Suture Prolene 7-0 Bv-1 30In Double Arm Blue Ethicon,94.18,36.73,,,0
CDM,SUP122686,Noncdm Charge Record Medical Supplies - Retractor Short Cardiac Stabilizer 2 Finger Intuitek Medical,969.8,378.22,,,0
CDM,SUP122687,Noncdm Charge Record Medical Supplies - Retractor Short Cardiac Stabilizer 3 Finger Intuitek Medical,969.8,378.22,,,0
CDM,SUP122689,Noncdm Charge Record Medical Supplies - Retractor Long Cardiac Stabilizer 3 Finger Intuitek Medical,969.8,378.22,,,0
CDM,SUP122691,Noncdm Charge Record Medical Supplies - Catheter Uterine Artery Uac2 5F 100Cm Vetebral Braided Merit,164.56,64.18,,,0
CDM,SUP122692,Noncdm Charge Record Medical Supplies - Catheter Support 0.035In 65Cm Quick Cross Spectranetics,783.5,305.56,,,0
CDM,SUP122694,Noncdm Charge Record Medical Supplies - Catheter Micro 2.0F-2.4F 157Cm Concentric Trevo Stryker Neur,4407.03,1718.74,,,0
CDM,SUP122695,Noncdm Charge Record Medical Supplies - Stent Neurofoam 4.5Mmx30Mm Atlas Stryker Neurovascular,35043.03,13666.78,,,0
CDM,SUP122696,Noncdm Charge Record Medical Supplies - Sheath Pressure Sensing 8Fr 25Cm Endophys Holdings,3931.45,1533.27,,,0
CDM,SUP122697,Noncdm Charge Record Medical Supplies - Synchro 2 Support Pre-Shape Exchange Length 014In 300Cm,2935.78,1144.95,,,0
CDM,SUP122699_272,Noncdm Charge Record Medical Supplies - Kit Valves Defendo 5 Piece Single Use Medivators,57.99,22.62,,,0
CDM,SUP122699_A4649_272,Noncdm Charge Record Medical Supplies - Kit Valves Defendo 5 Piece Single Use Medivators,57.96,22.6,,,0
CDM,SUP122699_A9999_272,Noncdm Charge Record Medical Supplies - Kit Valves Defendo 5 Piece Single Use Medivators,57.97,22.61,,,0
CDM,SUP1226_272,Noncdm Charge Record Medical Supplies - Blade Straight Sharp 180D All Around 2 Bevel Beaver Visitec,98.59,38.45,,,0
CDM,SUP1226_A4649_272,Noncdm Charge Record Medical Supplies - Blade Straight Sharp 180D All Around 2 Bevel Beaver Visitec,52.32,20.4,,,0
CDM,SUP1226_A9999_272,Noncdm Charge Record Medical Supplies - Blade Straight Sharp 180D All Around 2 Bevel Beaver Visitec,115.92,45.21,,,0
CDM,SUP12270_272,Noncdm Charge Record Medical Supplies - Blade Shaver Orng 5.5Mm Dync Strt Full Radius,219.39,85.56,,,0
CDM,SUP12270_A4649_272,Noncdm Charge Record Medical Supplies - Blade Shaver Orng 5.5Mm Dync Strt Full Radius,219.42,85.57,,,0
CDM,SUP12271_272,Noncdm Charge Record Medical Supplies - Suture Vicryl 0 18In Endoloop Violet Ethicon,729.49,284.5,,,0
CDM,SUP12271_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl 0 18In Endoloop Violet Ethicon,727.86,283.87,,,0
CDM,SUP122741,Noncdm Charge Record Medical Supplies - K-Wires,411.13,160.34,,,0
CDM,SUP122743,Noncdm Charge Record Medical Supplies - Guide Surgical L04 Vertebra Low Profile Myspine Mc,1224.4,477.52,,,0
CDM,SUP122744,Noncdm Charge Record Medical Supplies - Guide Surgical L04 Drill Based Myspine Mc,1224.4,477.52,,,0
CDM,SUP122745,Noncdm Charge Record Medical Supplies - Guide Surgical L05 Vertebra Low Profile Myspine Mc,1224.4,477.52,,,0
CDM,SUP122746,Noncdm Charge Record Medical Supplies - Guide Surgical L05 Drill Based Myspine Mc,1224.4,477.52,,,0
CDM,SUP122752,Noncdm Charge Record Medical Supplies - Cannula Tc Disposable 410 20G 5.0Mm,143.21,55.85,,,0
CDM,SUP122753,Noncdm Charge Record Medical Supplies - Cannula Endoscopic L150Mm Od18Ga Venom,318.01,124.02,,,0
CDM,SUP122794,Noncdm Charge Record Medical Supplies - Bone Mtrx Osteosurge 300 1Cc Lot # 15792,2298.78,896.52,,,0
CDM,SUP12279_272,Noncdm Charge Record Medical Supplies - Blade Shaver Lime Grn 17Mm 4 4.5Mm Incsr Dync,297.04,115.85,,,0
CDM,SUP12279_A9999_272,Noncdm Charge Record Medical Supplies - Blade Shaver Lime Grn 17Mm 4 4.5Mm Incsr Dync,297.04,115.85,,,0
CDM,SUP12283,Noncdm Charge Record Medical Supplies - Catheter Angio .18In Ang Crv .018In 180Cm 3Cm,274.03,106.87,,,0
CDM,SUP12284,Noncdm Charge Record Medical Supplies - Introducer Sheath 6Fr 11Cm,31.05,12.11,,,0
CDM,SUP12285,Noncdm Charge Record Medical Supplies - Introducer Sheath 7Fr 11Cm,31.05,12.11,,,0
CDM,SUP122865,Noncdm Charge Record Medical Supplies - Mesh Hernia Parietex 20Cm X 15Cm Progrip Covidien,1229.58,479.54,,,0
CDM,SUP122866,Noncdm Charge Record Medical Supplies - Mesh Hernia Parietex 15Cm X 15Cm Progrip Covidien,1179.9,460.16,,,0
CDM,SUP12288,Noncdm Charge Record Medical Supplies - Blade Shaver Frstgrn 4.5Mm Crv Snvtr Dync Crv,297.04,115.85,,,0
CDM,SUP12289_272,Noncdm Charge Record Medical Supplies - Blade Shaver Ylw 4.5Mm Strt Dync Full Radius,219.36,85.55,,,0
CDM,SUP12289_A4649_272,Noncdm Charge Record Medical Supplies - Blade Shaver Ylw 4.5Mm Strt Dync Full Radius,219.42,85.57,,,0
CDM,SUP12289_A9999_272,Noncdm Charge Record Medical Supplies - Blade Shaver Ylw 4.5Mm Strt Dync Full Radius,219.42,85.57,,,0
CDM,SUP122903,Noncdm Charge Record Medical Supplies - Suction Coagulator 14Cm 13Fr Bipolar Kirwan Surgical,387.09,150.97,,,0
CDM,SUP122905,Noncdm Charge Record Medical Supplies - Reamer Head 10.0Mm Ria 2 Synthes Usa,2585.43,1008.32,,,0
CDM,SUP122906,Noncdm Charge Record Medical Supplies - Reamer Head 10.5Mm Ria 2 Synthes Usa,2585.43,1008.32,,,0
CDM,SUP122907_272,Noncdm Charge Record Medical Supplies - Reamer Head 11.0Mm Ria 2 Synthes Usa,2585.43,1008.32,,,0
CDM,SUP122907_A4649_272,Noncdm Charge Record Medical Supplies - Reamer Head 11.0Mm Ria 2 Synthes Usa,2585.43,1008.32,,,0
CDM,SUP122908,Noncdm Charge Record Medical Supplies - Reamer Head 12.0Mm Ria 2 Synthes Usa,2585.43,1008.32,,,0
CDM,SUP122909,Noncdm Charge Record Medical Supplies - Reamer Head 14.0Mm Ria 2 Synthes Usa,2585.43,1008.32,,,0
CDM,SUP12290_272,Noncdm Charge Record Medical Supplies - See 141092 Suture Pds2 2-0 Ct-2 27In Violet Ethicon,13.46,5.25,,,0
CDM,SUP12290_A4649_272,Noncdm Charge Record Medical Supplies - See 141092 Suture Pds2 2-0 Ct-2 27In Violet Ethicon,13.46,5.25,,,0
CDM,SUP122913,Noncdm Charge Record Medical Supplies - Reamer Head 17.0Mm Ria 2 Synthes Usa,2585.43,1008.32,,,0
CDM,SUP122914,Noncdm Charge Record Medical Supplies - Reamer Head 18.0Mm Ria 2 Synthes Usa,2585.43,1008.32,,,0
CDM,SUP122915,Noncdm Charge Record Medical Supplies - Drive Shaft 520Mm Ria 2 Synthes Usa,2585.43,1008.32,,,0
CDM,SUP12291_272,Noncdm Charge Record Medical Supplies - See 141095 Suture Pds2 0 Ct1 27In Violet Ethicon,12.46,4.86,,,0
CDM,SUP12291_A4649_272,Noncdm Charge Record Medical Supplies - See 141095 Suture Pds2 0 Ct1 27In Violet Ethicon,12.42,4.84,,,0
CDM,SUP122920,Noncdm Charge Record Medical Supplies - Plate Femoral Neck System 2-Hole Synthes Usa,3196.08,1246.47,,,0
CDM,SUP122921,Noncdm Charge Record Medical Supplies - Plate Femoral Neck System 1-Hole Synthes Usa,3077.9,1200.38,,,0
CDM,SUP122922,Noncdm Charge Record Medical Supplies - Screw Antirotation 75Mm Femoral Neck System Synthes Usa,1151.26,448.99,,,0
CDM,SUP122923,Noncdm Charge Record Medical Supplies - Screw Antirotation 80Mm Femoral Neck System Synthes Usa,1139.2,444.29,,,0
CDM,SUP122924,Noncdm Charge Record Medical Supplies - Screw Antirotation 85Mm Femoral Neck System Synthes Usa,1133.47,442.05,,,0
CDM,SUP122925,Noncdm Charge Record Medical Supplies - Screw Antirotation 90Mm Femoral Neck System Synthes Usa,1150.33,448.63,,,0
CDM,SUP122926,Noncdm Charge Record Medical Supplies - Screw Antirotation 100Mm Femoral Neck System Synthes Usa,1143.68,446.04,,,0
CDM,SUP122927,Noncdm Charge Record Medical Supplies - Screw Antirotation 105Mm Femoral Neck System Synthes Usa,1125.04,438.77,,,0
CDM,SUP122928,Noncdm Charge Record Medical Supplies - Screw Antirotation 110Mm Femoral Neck System Synthes Usa,1139.79,444.52,,,0
CDM,SUP122929,Noncdm Charge Record Medical Supplies - Screw Antirotation 115Mm Femoral Neck System Synthes Usa,1125.04,438.77,,,0
CDM,SUP122930,Noncdm Charge Record Medical Supplies,1184.04,461.78,,,0
CDM,SUP122933,Noncdm Charge Record Medical Supplies - Bolt 75Mm Femoral Neck System Synthes Usa,1701.74,663.68,,,0
CDM,SUP122934,Noncdm Charge Record Medical Supplies - Bolt 80Mm Femoral Neck System Synthes Usa,1683.85,656.7,,,0
CDM,SUP122935,Noncdm Charge Record Medical Supplies - Bolt 95Mm Femoral Neck System Synthes Usa,1694.66,660.92,,,0
CDM,SUP122936,Noncdm Charge Record Medical Supplies - Bolt 100Mm Femoral Neck System Synthes Usa,1678.14,654.47,,,0
CDM,SUP122937,Noncdm Charge Record Medical Supplies - Bolt 105Mm Femoral Neck System Synthes Usa,1668.42,650.68,,,0
CDM,SUP122938,Noncdm Charge Record Medical Supplies - Bolt 110Mm Femoral Neck System Synthes Usa,1738.39,677.97,,,0
CDM,SUP122941,Noncdm Charge Record Medical Supplies - Screw Locking 5.0Mm 30Mm T25 Star Drive Synthes Usa,1002.92,391.14,,,0
CDM,SUP122942,Noncdm Charge Record Medical Supplies - Screw Locking 5.0Mm 32Mm T25 Star Drive Synthes Usa,883.68,344.64,,,0
CDM,SUP122943,Noncdm Charge Record Medical Supplies - Screw Locking 5.0Mm 34Mm T25 Star Drive Synthes Usa,804.2,313.64,,,0
CDM,SUP122944,Noncdm Charge Record Medical Supplies - Screw Locking 5.0Mm 36Mm T25 Star Drive Synthes Usa,850.05,331.52,,,0
CDM,SUP122945,Noncdm Charge Record Medical Supplies - Screw Locking 5.0Mm 38Mm T25 Star Drive Synthes Usa,822.26,320.68,,,0
CDM,SUP122946,Noncdm Charge Record Medical Supplies - Screw Locking 5.0Mm 42Mm T25 Star Drive Synthes Usa,840.33,327.73,,,0
CDM,SUP122947,Noncdm Charge Record Medical Supplies - Screw Locking 5.0Mm 44Mm T25 Star Drive Synthes Usa,834.0,325.26,,,0
CDM,SUP122948,Noncdm Charge Record Medical Supplies - Screw Locking 5.0Mm 46Mm T25 Star Drive Synthes Usa,804.2,313.64,,,0
CDM,SUP122949,Noncdm Charge Record Medical Supplies - Screw Locking 5.0Mm 48Mm T25 Star Drive Synthes Usa,804.2,313.64,,,0
CDM,SUP12295,Noncdm Charge Record Medical Supplies,118.33,46.15,,,0
CDM,SUP122953,Noncdm Charge Record Medical Supplies - Drill Bit 4.3Mm 413Mm For Antiorotation Screw Synthes Usa,1692.3,660.0,,,0
CDM,SUP122954,Noncdm Charge Record Medical Supplies - Drill Bit 10.2Mm 251Mm For Antiorotation Screw Synthes Usa,2318.03,904.03,,,0
CDM,SUP122955,Noncdm Charge Record Medical Supplies - Reamer Head 11.5Mm Ria2 Sterile,2585.43,1008.32,,,0
CDM,SUP122956,Noncdm Charge Record Medical Supplies - Reamer Head 12.5Mm Ria2 Sterile,2585.43,1008.32,,,0
CDM,SUP122957,Noncdm Charge Record Medical Supplies - Reamer Head 13Mm Ria2 Sterile,2585.43,1008.32,,,0
CDM,SUP122958,Noncdm Charge Record Medical Supplies - Reamer Head 13.5Mm Ria2 Steril,2585.43,1008.32,,,0
CDM,SUP122959,Noncdm Charge Record Medical Supplies - Reamer Head 15Mm Ria2 Sterile,2585.43,1008.32,,,0
CDM,SUP12296,Noncdm Charge Record Medical Supplies - Suture Vicryl 6-0 Tg100-8 18In Violet Ethicon,65.2,25.43,,,0
CDM,SUP122960,Noncdm Charge Record Medical Supplies - Reamer Head 15.5Mm Ria2 Steril,2585.43,1008.32,,,0
CDM,SUP122961,Noncdm Charge Record Medical Supplies - Bolt Femoral Neck System 85Mm,1703.4,664.33,,,0
CDM,SUP122962,Noncdm Charge Record Medical Supplies - Bolt Femoral Neck System 90Mm,1683.0,656.37,,,0
CDM,SUP122963,Noncdm Charge Record Medical Supplies - Bolt Femoral Neck System 115Mm,1668.42,650.68,,,0
CDM,SUP12297,Noncdm Charge Record Medical Supplies - Suture Plain 6-0 Tg140-8 18In Double Arm Ethicon,106.47,41.52,,,0
CDM,SUP122974,Noncdm Charge Record Medical Supplies - Immobilizer Shoulder Xlarge With Abduction Pillow Medline,83.84,32.7,,,0
CDM,SUP122975,Noncdm Charge Record Medical Supplies - Immobilizer Shoulder Medium With Abduction Pillow Medline,83.84,32.7,,,0
CDM,SUP122977,Noncdm Charge Record Medical Supplies - Miamnion Patch 10Cm X 10Cm,14407.2,5618.81,,,0
CDM,SUP122978_Q4100_278,Noncdm Charge Record Medical Supplies - Miamnion Patch 7Cm X 15Cm,18342.79,7153.69,,,0
CDM,SUP12299,Noncdm Charge Record Medical Supplies - Ball Cttn Lg 2 Strng Radiopq 1In Strl Lf 5-Pk,7.3,2.85,,,0
CDM,SUP12300,Noncdm Charge Record Medical Supplies - Blade Shaver Bei 3.5Mm Full Ra Radius Strl Disp,219.39,85.56,,,0
CDM,SUP123009,Noncdm Charge Record Medical Supplies - Coil Embolization 5.8Cm 6-3Mm Tornado Cook,597.2,232.91,,,0
CDM,SUP123026,Noncdm Charge Record Medical Supplies - Screw Spinal 25Mm 5.5Mm 5.5-6Mm Rod Medtronic,4108.43,1602.29,,,0
CDM,SUP123054,Noncdm Charge Record Medical Supplies - Kit Pneumothorax 14F 29 Cm Wayne Wire Guided Cook,936.99,365.43,,,0
CDM,SUP123073,Noncdm Charge Record Medical Supplies - Drill Bit Cannulated 2.45Mm Phalinx Hammertoe Wright Medical,1097.1,427.87,,,0
CDM,SUP123074,Noncdm Charge Record Medical Supplies - Spacer Spinal 10Mm 7Mm 28Mm Lumbar Sacral Peek Medtronic,21750.52,8482.7,,,0
CDM,SUP12309,Noncdm Charge Record Medical Supplies - Suture Prolene 5-0 Ps-2 18In Ethicon,23.46,9.15,,,0
CDM,SUP12311,Noncdm Charge Record Medical Supplies - See 141054 Suture Vicryl 0 Ct-1 27In Cr Violet Ethicon,55.56,21.67,,,0
CDM,SUP123119,Noncdm Charge Record Medical Supplies - Catheter Balloon Dilation .014In 4Mm 20Mm Nano Cross Otw Med,1611.5,628.48,,,0
CDM,SUP12312_272,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 Fs 18In G Black Ethicon,7.97,3.11,,,0
CDM,SUP12312_A4649_272,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 Fs 18In G Black Ethicon,7.92,3.09,,,0
CDM,SUP12312_A9999_272,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 Fs 18In G Black Ethicon,8.28,3.23,,,0
CDM,SUP12313_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 5-0 Fs-2 18In Black H Ethicon,10.35,4.04,,,0
CDM,SUP12313_A4649_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 5-0 Fs-2 18In Black H Ethicon,10.35,4.04,,,0
CDM,SUP12314_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 4-0 Fs-2 18In Black H Ethicon,9.49,3.7,,,0
CDM,SUP12314_A4649_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 4-0 Fs-2 18In Black H Ethicon,9.66,3.77,,,0
CDM,SUP12314_A9999_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 4-0 Fs-2 18In Black H Ethicon,9.32,3.63,,,0
CDM,SUP123157,Noncdm Charge Record Medical Supplies - Catheter Male External Liberty Acute With Cath Grip Bioderm,104.68,40.83,,,0
CDM,SUP12316_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 3-0 Fs-1 18In Black Ethicon,10.16,3.96,,,0
CDM,SUP12316_A4649_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 3-0 Fs-1 18In Black Ethicon,10.13,3.95,,,0
CDM,SUP12316_A9999_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 3-0 Fs-1 18In Black Ethicon,10.07,3.93,,,0
CDM,SUP12317_272,Noncdm Charge Record Medical Supplies - See 140967 Suture Vicryl 3-0 Ps-2 27In Undyed Ethicon,19.66,7.67,,,0
CDM,SUP12317_A4649_272,Noncdm Charge Record Medical Supplies - See 140967 Suture Vicryl 3-0 Ps-2 27In Undyed Ethicon,19.66,7.67,,,0
CDM,SUP12317_A9999_272,Noncdm Charge Record Medical Supplies - See 140967 Suture Vicryl 3-0 Ps-2 27In Undyed Ethicon,19.66,7.67,,,0
CDM,SUP12318,Noncdm Charge Record Medical Supplies - See 140992 Suture Vicryl 4-0 Ps-4 18In Undyed Ethicon,19.66,7.67,,,0
CDM,SUP12320,Noncdm Charge Record Medical Supplies - See 132314 Suture Vicryl 3-0 Ctx 36In Undyed Ethicon,8.26,3.22,,,0
CDM,SUP12325,Noncdm Charge Record Medical Supplies - See 140908 Suture Vicryl 2-0 18In Ties Violet Ethicon,41.4,16.15,,,0
CDM,SUP123258,Noncdm Charge Record Medical Supplies - Component Knee Left 12Mm 8-11 Articular Femoral Persona Zimm,6008.95,2343.49,,,0
CDM,SUP12326_272,Noncdm Charge Record Medical Supplies - See 135156 Suture Vicryl 2-0 Ct1 36In Violet Ethicon,8.06,3.14,,,0
CDM,SUP12326_A4649_272,Noncdm Charge Record Medical Supplies - See 135156 Suture Vicryl 2-0 Ct1 36In Violet Ethicon,8.02,3.13,,,0
CDM,SUP12326_A9999_272,Noncdm Charge Record Medical Supplies - See 135156 Suture Vicryl 2-0 Ct1 36In Violet Ethicon,7.76,3.03,,,0
CDM,SUP12327,Noncdm Charge Record Medical Supplies - See 140975 Suture Vicryl 2-0 Cp-1 27In Violet Ethicon,8.02,3.13,,,0
CDM,SUP12328,Noncdm Charge Record Medical Supplies - See 140958 Suture Vicryl 0 Ctx Braided 36In Coat Violet Ethi,8.21,3.2,,,0
CDM,SUP123280,Noncdm Charge Record Medical Supplies - Shealth Introducer 35Cmx9F Brite Tip Without Mini Wire Cardi,59.0,23.01,,,0
CDM,SUP123281,Noncdm Charge Record Medical Supplies - Coil Embolization 2Cm 3-2Mm 0.018In Tornado Extended Embolus,597.2,232.91,,,0
CDM,SUP123282,Noncdm Charge Record Medical Supplies - Coil Embolization 4Cm 4-2Mm 0.018In Tornado Extended Embolus,569.59,222.14,,,0
CDM,SUP123283,Noncdm Charge Record Medical Supplies - Coil Embolization 5Cm 5-2Mm 0.018In Tornado Extended Embolus,597.2,232.91,,,0
CDM,SUP123284,Noncdm Charge Record Medical Supplies - Coil Embolization 9Cm 7-3Mm 0.018In Tornado Extended Embolus,597.2,232.91,,,0
CDM,SUP123285,Noncdm Charge Record Medical Supplies - Coil Embol 14Cm 10Mm Trnd Sft Mciol .018In Nester-01,576.15,224.7,,,0
CDM,SUP123286,Noncdm Charge Record Medical Supplies - Coil Embolization 12.5Cm 10-5Mm Tornado Cook,597.2,232.91,,,0
CDM,SUP123287,Noncdm Charge Record Medical Supplies - Coil Embolization 4.1Cm 5-3Mm Tornado Cook,597.2,232.91,,,0
CDM,SUP123288,Noncdm Charge Record Medical Supplies - Coil Embolization 8Cm 7-3Mm Tornado Cook,597.2,232.91,,,0
CDM,SUP123289,Noncdm Charge Record Medical Supplies - Coil Embolization 8Cm 8-4Mm Tornado Cook,597.2,232.91,,,0
CDM,SUP12329,Noncdm Charge Record Medical Supplies - See 140974 Suture Vicryl 2-0 X-1 27In Undyed Ethicon,10.35,4.04,,,0
CDM,SUP123290_272,Noncdm Charge Record Medical Supplies - Suction Irrigation 5Mmx45Mm Strykeflow Vented Stryker,1175.76,458.55,,,0
CDM,SUP123290_A9999_272,Noncdm Charge Record Medical Supplies - Suction Irrigation 5Mmx45Mm Strykeflow Vented Stryker,1175.76,458.55,,,0
CDM,SUP123293,Noncdm Charge Record Medical Supplies - Screw Multi Axial 4.0Mmx14Mm Infinity Occipitocervical Medtr,3504.51,1366.76,,,0
CDM,SUP123294,Noncdm Charge Record Medical Supplies - Rod Spine Straight 4.75Mm 130 Mm Cobalt Cd Horizon Longitude,1396.73,544.72,,,0
CDM,SUP123296,Noncdm Charge Record Medical Supplies - Screw Spinal Multi Axial 4.5Mmx26Mm Infinity Occipitocervica,3443.96,1343.14,,,0
CDM,SUP123314,Noncdm Charge Record Medical Supplies - Coil Embolization 9.5Cm 8-4Mm Tornado Cook,597.2,232.91,,,0
CDM,SUP123317,Noncdm Charge Record Medical Supplies - Screw Extended Tab 5.5Mmx50Mm Solera Voyager Medtronic,4108.43,1602.29,,,0
CDM,SUP12332,Noncdm Charge Record Medical Supplies - See 140960 Suture Vicryl 0 Ur-5 27In Violet Ethicon,9.32,3.63,,,0
CDM,SUP12333,Noncdm Charge Record Medical Supplies - See 140969 Suture Vicryl 0 Mo4 27In Violet Ethicon,10.35,4.04,,,0
CDM,SUP12334_272,Noncdm Charge Record Medical Supplies - See 141113 Suture Pds2 3-0 Ps-2 18In Cutting Clear Ethicon,26.8,10.45,,,0
CDM,SUP12334_A4649_272,Noncdm Charge Record Medical Supplies - See 141113 Suture Pds2 3-0 Ps-2 18In Cutting Clear Ethicon,26.91,10.49,,,0
CDM,SUP12334_A9999_272,Noncdm Charge Record Medical Supplies - See 141113 Suture Pds2 3-0 Ps-2 18In Cutting Clear Ethicon,26.91,10.49,,,0
CDM,SUP12336_272,Noncdm Charge Record Medical Supplies - Suture Plain 5-0 Pc-1 18In Ethicon,32.89,12.83,,,0
CDM,SUP12336_A4649_272,Noncdm Charge Record Medical Supplies - Suture Plain 5-0 Pc-1 18In Ethicon,32.62,12.72,,,0
CDM,SUP12336_A9999_272,Noncdm Charge Record Medical Supplies - Suture Plain 5-0 Pc-1 18In Ethicon,33.12,12.92,,,0
CDM,SUP123371,Noncdm Charge Record Medical Supplies,31.05,12.11,,,0
CDM,SUP12339_272,Noncdm Charge Record Medical Supplies - Carrier Graft 16In Skin Carrier Strl Lf,271.17,105.76,,,0
CDM,SUP12339_A9999_272,Noncdm Charge Record Medical Supplies - Carrier Graft 16In Skin Carrier Strl Lf,271.17,105.76,,,0
CDM,SUP123431,Noncdm Charge Record Medical Supplies - Stent Pancreatic 4Fr 7Cm Flexi Single Pigtail Hobs Medical,375.45,146.43,,,0
CDM,SUP123433,Noncdm Charge Record Medical Supplies - Hook Retraction Finger 3 Prong Blunt End Spiral Lone Star,82.8,32.29,,,0
CDM,SUP123449,Noncdm Charge Record Medical Supplies - Cuff Bp Cuff Large Adult 1 Tube Medline,43.47,16.95,,,0
CDM,SUP123451_270,Noncdm Charge Record Medical Supplies - Cuff Bp Child Single Tube Disposable Medline,10.35,4.04,,,0
CDM,SUP123451_A4649_270,Noncdm Charge Record Medical Supplies - Cuff Bp Child Single Tube Disposable Medline,10.35,4.04,,,0
CDM,SUP123451_A9999_270,Noncdm Charge Record Medical Supplies - Cuff Bp Child Single Tube Disposable Medline,10.35,4.04,,,0
CDM,SUP123453_270,Noncdm Charge Record Medical Supplies - Cuff Bp Adult Single Tube Disposable Medline,8.3,3.24,,,0
CDM,SUP123453_A4649_270,Noncdm Charge Record Medical Supplies - Cuff Bp Adult Single Tube Disposable Medline,8.28,3.23,,,0
CDM,SUP123453_A9999_270,Noncdm Charge Record Medical Supplies - Cuff Bp Adult Single Tube Disposable Medline,8.28,3.23,,,0
CDM,SUP123454,Noncdm Charge Record Medical Supplies - Cuff Bp Large Adult Long Single Tube Disposable Medline,25.88,10.09,,,0
CDM,SUP123457,Noncdm Charge Record Medical Supplies,103.5,40.36,,,0
CDM,SUP123458_270,Noncdm Charge Record Medical Supplies - Cuff Bp Adult Single Tube Disposable Medline,8.28,3.23,,,0
CDM,SUP123458_A4649_270,Noncdm Charge Record Medical Supplies - Cuff Bp Adult Single Tube Disposable Medline,8.28,3.23,,,0
CDM,SUP123458_A9999_270,Noncdm Charge Record Medical Supplies - Cuff Bp Adult Single Tube Disposable Medline,8.28,3.23,,,0
CDM,SUP123459_270,Noncdm Charge Record Medical Supplies - Cuff Bp Large Adult Single Tube Disposable Medline,9.3,3.63,,,0
CDM,SUP123459_A4649_270,Noncdm Charge Record Medical Supplies - Cuff Bp Large Adult Single Tube Disposable Medline,9.32,3.63,,,0
CDM,SUP123459_A9999_270,Noncdm Charge Record Medical Supplies - Cuff Bp Large Adult Single Tube Disposable Medline,9.32,3.63,,,0
CDM,SUP123461_270,Noncdm Charge Record Medical Supplies - Cuff Bp Small Adult Long Single Tube Disposable Medline,7.24,2.82,,,0
CDM,SUP123461_A4649_270,Noncdm Charge Record Medical Supplies - Cuff Bp Small Adult Long Single Tube Disposable Medline,7.24,2.82,,,0
CDM,SUP12346_272,Noncdm Charge Record Medical Supplies - Suture Surgiwip 0 Esk Ski 48In Green Covidien,69.5,27.1,,,0
CDM,SUP12346_A4649_272,Noncdm Charge Record Medical Supplies - Suture Surgiwip 0 Esk Ski 48In Green Covidien,69.34,27.04,,,0
CDM,SUP12349_272,Noncdm Charge Record Medical Supplies - See 83463 Suture Vicryl 2-0 Ct-2 27In Undyed Ethicon,7.98,3.11,,,0
CDM,SUP12349_A4649_272,Noncdm Charge Record Medical Supplies - See 83463 Suture Vicryl 2-0 Ct-2 27In Undyed Ethicon,8.28,3.23,,,0
CDM,SUP12349_A9999_272,Noncdm Charge Record Medical Supplies - See 83463 Suture Vicryl 2-0 Ct-2 27In Undyed Ethicon,7.89,3.08,,,0
CDM,SUP123503_272,Noncdm Charge Record Medical Supplies - See 141214 Pack Custom Robotic Medline,2904.21,1132.64,,,0
CDM,SUP123503_A9999_272,Noncdm Charge Record Medical Supplies - See 141214 Pack Custom Robotic Medline,2904.21,1132.64,,,0
CDM,SUP123504_272,Noncdm Charge Record Medical Supplies - Pack Custom Tirino Medline,836.28,326.15,,,0
CDM,SUP123504_A4649_272,Noncdm Charge Record Medical Supplies - Pack Custom Tirino Medline,836.28,326.15,,,0
CDM,SUP123504_A9999_272,Noncdm Charge Record Medical Supplies - Pack Custom Tirino Medline,836.28,326.15,,,0
CDM,SUP123505_272,Noncdm Charge Record Medical Supplies - See 138026 Pack Custom Cysto Medline,165.6,64.58,,,0
CDM,SUP123505_A9999_272,Noncdm Charge Record Medical Supplies - See 138026 Pack Custom Cysto Medline,165.6,64.58,,,0
CDM,SUP12351,Noncdm Charge Record Medical Supplies - Suture Prolene 5-0 Pc-3 18In Ethicon,29.68,11.58,,,0
CDM,SUP123513,Noncdm Charge Record Medical Supplies - Dressing Hemostatic 5X5In 4 Ply Quikclot Control Plus Z-Medi,287.06,111.95,,,0
CDM,SUP123514,Noncdm Charge Record Medical Supplies,801.09,312.43,,,0
CDM,SUP123515,Noncdm Charge Record Medical Supplies - Dressing Hemostatic 3X2In 1 Ply Quikclot Control Plus Z-Medi,721.19,281.26,,,0
CDM,SUP123516_272,Noncdm Charge Record Medical Supplies - Dressing Hemostatic 12X12In 3 Ply Quikclot Control Plus Z-Me,1301.92,507.75,,,0
CDM,SUP123516_A4649_272,Noncdm Charge Record Medical Supplies - Dressing Hemostatic 12X12In 3 Ply Quikclot Control Plus Z-Me,1302.03,507.79,,,0
CDM,SUP123576,Noncdm Charge Record Medical Supplies - Set Cylinder-Pump Infrapubic 11Cm Narrow Base Zero Degree Co,85118.4,33196.18,,,0
CDM,SUP123578,Noncdm Charge Record Medical Supplies,2035.84,793.98,,,0
CDM,SUP12358,Noncdm Charge Record Medical Supplies - Detector Co2 Etco2 Clip Indicator Ltx Ezcp Ns,25.88,10.09,,,0
CDM,SUP123610,Noncdm Charge Record Medical Supplies,410.9,160.25,,,0
CDM,SUP123620,Noncdm Charge Record Medical Supplies - Stent Venous 14Mm 80Mm 120Cm Venovo Bard Peripheral Vascular,15431.85,6018.42,,,0
CDM,SUP12363,Noncdm Charge Record Medical Supplies - Device 1.5Mm 145Cm Arthectomy Pta Stlth Sld Crwn,14998.6,5849.45,,,0
CDM,SUP123709,Noncdm Charge Record Medical Supplies - Component Femoral 6-7 Tib Cd-Cr 12Mm Vivacit-E Zimmer,7105.28,2771.06,,,0
CDM,SUP123710,Noncdm Charge Record Medical Supplies - Wire Kirschner Smooth 4In 0.062In Double End Trocar Orthomed,15.18,5.92,,,0
CDM,SUP12374,Noncdm Charge Record Medical Supplies - See 18600 Shoe Med F Pat Postop,20.7,8.07,,,0
CDM,SUP12375,Noncdm Charge Record Medical Supplies - See 325 Shoe Lg F Pat Postop,20.7,8.07,,,0
CDM,SUP12376,Noncdm Charge Record Medical Supplies - Blade Shaver Frstgrn 4.5Mm Str Snvtr Dync Strt,195.62,76.29,,,0
CDM,SUP123792,Noncdm Charge Record Medical Supplies - Wand Procise 19Cm Mlw With Integraded Cable Smith And Nephew,2711.7,1057.56,,,0
CDM,SUP1237_270,Noncdm Charge Record Medical Supplies - Bag Drain Urine 4L Bard Medical,11.38,4.44,,,0
CDM,SUP1237_A4649_270,Noncdm Charge Record Medical Supplies - Bag Drain Urine 4L Bard Medical,11.38,4.44,,,0
CDM,SUP1237_A9999_270,Noncdm Charge Record Medical Supplies - Bag Drain Urine 4L Bard Medical,11.38,4.44,,,0
CDM,SUP123817_270,Noncdm Charge Record Medical Supplies - Catheter Ext Female Purewick 30-Cs Latex Free Bard Medical,38.44,14.99,,,0
CDM,SUP123817_A4649_270,Noncdm Charge Record Medical Supplies - Catheter Ext Female Purewick 30-Cs Latex Free Bard Medical,39.33,15.34,,,0
CDM,SUP123819_272,Noncdm Charge Record Medical Supplies - Cutter Bone 5.5Mm 13Cm Arthrex,322.92,125.94,,,0
CDM,SUP123819_A4649_272,Noncdm Charge Record Medical Supplies - Cutter Bone 5.5Mm 13Cm Arthrex,322.92,125.94,,,0
CDM,SUP123819_A9999_272,Noncdm Charge Record Medical Supplies - Cutter Bone 5.5Mm 13Cm Arthrex,322.92,125.94,,,0
CDM,SUP12381_272,Noncdm Charge Record Medical Supplies - 6Fr Al2 Catheter,44.5,17.36,,,0
CDM,SUP12381_A4649_272,Noncdm Charge Record Medical Supplies - 6Fr Al2 Catheter,44.5,17.36,,,0
CDM,SUP12382,Noncdm Charge Record Medical Supplies - 6Fr Al3 Catheter,44.5,17.36,,,0
CDM,SUP123820_272,Noncdm Charge Record Medical Supplies - Blade Excalibur 4.0Mm Curved Arthrex,322.92,125.94,,,0
CDM,SUP123820_A4649_272,Noncdm Charge Record Medical Supplies - Blade Excalibur 4.0Mm Curved Arthrex,322.92,125.94,,,0
CDM,SUP123821,Noncdm Charge Record Medical Supplies - Burr Straight 3.5Mm 13Cm Saber Tooth Arthrex,288.76,112.62,,,0
CDM,SUP123823,Noncdm Charge Record Medical Supplies - System Cartilage Delivery Large Arthrex,1199.56,467.83,,,0
CDM,SUP123824,Noncdm Charge Record Medical Supplies - Button Round Concave 20Mm Tightrope Arthrex,1533.35,598.01,,,0
CDM,SUP123825,Noncdm Charge Record Medical Supplies - Button Round Concave 14Mm Tightrope Arthrex,1203.7,469.44,,,0
CDM,SUP123826,Noncdm Charge Record Medical Supplies - Kit Meniscal Root Repair With Ultrabraid Disposable Smith An,4481.55,1747.8,,,0
CDM,SUP123827_272,Noncdm Charge Record Medical Supplies - System Meniscal Repair 2-0 Novostitch Pro Smith And Nephew,3361.68,1311.06,,,0
CDM,SUP123827_A4649_272,Noncdm Charge Record Medical Supplies - System Meniscal Repair 2-0 Novostitch Pro Smith And Nephew,3361.68,1311.06,,,0
CDM,SUP123828,Noncdm Charge Record Medical Supplies - System Meniscal Repair 0 Novostitch Pro Smith And Nephew,3361.68,1311.06,,,0
CDM,SUP12383,Noncdm Charge Record Medical Supplies - 6Fr Ar Mod Catheter,45.79,17.86,,,0
CDM,SUP123833,Noncdm Charge Record Medical Supplies - Screw Cortical 2.7Mm 16Mm Orthopediatrics,1074.33,418.99,,,0
CDM,SUP123837_270,Noncdm Charge Record Medical Supplies - Boot Postoperative Medium Shoe Size 5-8 Women Darco Internat,66.24,25.83,,,0
CDM,SUP123837_A9999_270,Noncdm Charge Record Medical Supplies - Boot Postoperative Medium Shoe Size 5-8 Women Darco Internat,66.24,25.83,,,0
CDM,SUP123838,Noncdm Charge Record Medical Supplies - Boot Postoperative Large Shoe Size 8.5-10 Women Darco Intern,66.24,25.83,,,0
CDM,SUP123855,Noncdm Charge Record Medical Supplies - Boot Postoperative X-Large Shoe Size 12.5-14 Men Darco Inter,72.45,28.26,,,0
CDM,SUP123887,Noncdm Charge Record Medical Supplies - Drain Penrose Silicone 1Inx36In Radiopaque Bentec Medical,53.82,20.99,,,0
CDM,SUP12389_270,Noncdm Charge Record Medical Supplies - Restraint Xtrmt 39.5Mm 50Pair,12.42,4.84,,,0
CDM,SUP12389_A4649_270,Noncdm Charge Record Medical Supplies - Restraint Xtrmt 39.5Mm 50Pair,12.42,4.84,,,0
CDM,SUP12389_A9999_270,Noncdm Charge Record Medical Supplies - Restraint Xtrmt 39.5Mm 50Pair,12.42,4.84,,,0
CDM,SUP12390_272,Noncdm Charge Record Medical Supplies - Strap Ankl-Ft Surg Guhl Dstrct,179.06,69.83,,,0
CDM,SUP12390_A4649_272,Noncdm Charge Record Medical Supplies - Strap Ankl-Ft Surg Guhl Dstrct,179.06,69.83,,,0
CDM,SUP12391,Noncdm Charge Record Medical Supplies - Tubing Suct 8Ft 9.91Mm Strl,25.88,10.09,,,0
CDM,SUP12392,Noncdm Charge Record Medical Supplies - Wire Platinum Plus 260Cm,404.32,157.68,,,0
CDM,SUP12393_272,Noncdm Charge Record Medical Supplies - Blade Endo Crpl Tnl Strl,1215.95,474.22,,,0
CDM,SUP12393_A4649_272,Noncdm Charge Record Medical Supplies - Blade Endo Crpl Tnl Strl,1215.87,474.19,,,0
CDM,SUP12393_A9999_272,Noncdm Charge Record Medical Supplies - Blade Endo Crpl Tnl Strl,1216.12,474.29,,,0
CDM,SUP12394,Noncdm Charge Record Medical Supplies - Splint Nasal 4.5Cm Thk1.5Cm,77.62,30.27,,,0
CDM,SUP123955,Noncdm Charge Record Medical Supplies - Catheter Drainage 15Cm 8Fr Straight Fixed Luer Lock One-Step,91.01,35.49,,,0
CDM,SUP123956,Noncdm Charge Record Medical Supplies - Coil Embolization 2.6Cm 4-3Mm 0.035In Tornado Cook Medical,597.2,232.91,,,0
CDM,SUP123987,Noncdm Charge Record Medical Supplies - Rod Spinal Percutaneous Cd Horizon 4.7Mm 140Mm Straight Coba,1396.73,544.72,,,0
CDM,SUP123990,Noncdm Charge Record Medical Supplies - Kwire Fixation 2.5Mm Threaded Wright Medical,96.67,37.7,,,0
CDM,SUP123991,Noncdm Charge Record Medical Supplies - Rod Spinal Curved 5.5Mm 55Mm Creo Titanium Globus,940.3,366.72,,,0
CDM,SUP123993,Noncdm Charge Record Medical Supplies - Spacer Spinal 22Mm 50Mm 6 Degree Lateral Lumbar Globus,29788.34,11617.45,,,0
CDM,SUP123995,Noncdm Charge Record Medical Supplies - Screw Bone Max 3.4Mm X 34Mm Vpc Zimmer,215.28,83.96,,,0
CDM,SUP123996,Noncdm Charge Record Medical Supplies,2420.86,944.14,,,0
CDM,SUP12402_272,Noncdm Charge Record Medical Supplies - Probe Stimulator Prass Monopolar Medtronic,683.04,266.39,,,0
CDM,SUP12402_A4649_272,Noncdm Charge Record Medical Supplies - Probe Stimulator Prass Monopolar Medtronic,707.94,276.1,,,0
CDM,SUP12402_A9999_272,Noncdm Charge Record Medical Supplies - Probe Stimulator Prass Monopolar Medtronic,649.98,253.49,,,0
CDM,SUP124034,Noncdm Charge Record Medical Supplies - Screw Spnl L55Mm Od6.5Mm 4S Polyax Reline-O,4316.33,1683.37,,,0
CDM,SUP124036,Noncdm Charge Record Medical Supplies - Head Fem 36Mm +4Mm Ofst 12-14 Tpr Oxnm Prim Rev Sng,9038.66,3525.08,,,0
CDM,SUP124041,Noncdm Charge Record Medical Supplies - Screw Bn L25Mm Dia5Mm Trigen Cort Tib Gl Ti St Sd Noncannu,2255.61,879.69,,,0
CDM,SUP124042,Noncdm Charge Record Medical Supplies,744.16,290.22,,,0
CDM,SUP12404_272,Noncdm Charge Record Medical Supplies - 6Fr Mpa2 Catheter,46.57,18.16,,,0
CDM,SUP12404_A4649_272,Noncdm Charge Record Medical Supplies - 6Fr Mpa2 Catheter,46.58,18.17,,,0
CDM,SUP12404_A9999_272,Noncdm Charge Record Medical Supplies - 6Fr Mpa2 Catheter,46.58,18.17,,,0
CDM,SUP12405_272,Noncdm Charge Record Medical Supplies - Manipulator Surg Clrvw Ut,691.38,269.64,,,0
CDM,SUP12405_A9999_272,Noncdm Charge Record Medical Supplies - Manipulator Surg Clrvw Ut,681.03,265.6,,,0
CDM,SUP12406,Noncdm Charge Record Medical Supplies,293.94,114.64,,,0
CDM,SUP124083,Noncdm Charge Record Medical Supplies - Screw Spinal L30Mm Dia4Mm Occipitocervical,3366.12,1312.79,,,0
CDM,SUP124084,Noncdm Charge Record Medical Supplies - Screw Spinal L30Mm Dia5Mm For 5.5Mm Rod Cd Horizon,4316.47,1683.42,,,0
CDM,SUP124085,Noncdm Charge Record Medical Supplies - Set Screw Spinal Occipital Threaded With Tulip Screw,397.44,155.0,,,0
CDM,SUP124087,Noncdm Charge Record Medical Supplies - Implant Toe Sm L13Mm Proximal Distal L5.5Mm Dia4Mm Thk1.9Mm,5606.6,2186.57,,,0
CDM,SUP124089,Noncdm Charge Record Medical Supplies - Screw Spinal L18Mm Dia3.5Mm Polyaxial Quartex,3141.74,1225.28,,,0
CDM,SUP12409,Noncdm Charge Record Medical Supplies - Set Pads Repl Vst 3-Set,51.75,20.18,,,0
CDM,SUP12410,Noncdm Charge Record Medical Supplies - Collar Aspn Child Reg,113.85,44.4,,,0
CDM,SUP124104,Noncdm Charge Record Medical Supplies - See 103834 Tape Casting W2Xl10Yd Coverroll Stretch Leukotape,44.5,17.36,,,0
CDM,SUP124118,Noncdm Charge Record Medical Supplies - Implant Firber Tag Acl,2537.8,989.74,,,0
CDM,SUP124138,Noncdm Charge Record Medical Supplies - Non-Invasive Patient Tracker Shunt Kit,2601.32,1014.51,,,0
CDM,SUP124139_272,Noncdm Charge Record Medical Supplies - Pointer Tracer Stereotactic Surgery System Probe,2607.13,1016.78,,,0
CDM,SUP124139_A9999_272,Noncdm Charge Record Medical Supplies - Pointer Tracer Stereotactic Surgery System Probe,2504.7,976.83,,,0
CDM,SUP12413_272,Noncdm Charge Record Medical Supplies - Sleeve Laparos 100Mm Radial,191.62,74.73,,,0
CDM,SUP12413_A4649_272,Noncdm Charge Record Medical Supplies - Sleeve Laparos 100Mm Radial,191.48,74.68,,,0
CDM,SUP124142,Noncdm Charge Record Medical Supplies - Synchro 2 Support Pre-Shape Access Length 215Cm,2361.87,921.13,,,0
CDM,SUP124144,Noncdm Charge Record Medical Supplies - Sheath Guiding 8Fr L45Cm - Id2.9M Guidewire .018X0.038In,391.23,152.58,,,0
CDM,SUP12417,Noncdm Charge Record Medical Supplies - Plate Acculok 2 Rt Nar,4326.3,1687.26,,,0
CDM,SUP12418,Noncdm Charge Record Medical Supplies - Bit Drill Surg Qrlse Acumed 2.0Mm,455.4,177.61,,,0
CDM,SUP124232,Noncdm Charge Record Medical Supplies - Rod Spinal L65Mm Od3.5Mm Curved Capitol,805.92,314.31,,,0
CDM,SUP124233,Noncdm Charge Record Medical Supplies - Legion Tib Cone Id 22 Short,22959.4,8954.17,,,0
CDM,SUP124234,Noncdm Charge Record Medical Supplies - Screw Spinal L28Mm Dia4.5Mm Occipitocervical Upper Thoraci,3407.84,1329.06,,,0
CDM,SUP124235,Noncdm Charge Record Medical Supplies - Bit Drill Dia1.6Mm For Small B Bone Plating System Ortholoc,480.24,187.29,,,0
CDM,SUP124236,Noncdm Charge Record Medical Supplies - Screw Spinal L L12Mm Dia3.5Mm Posterior Occipitocervicothora,3262.84,1272.51,,,0
CDM,SUP124239,Noncdm Charge Record Medical Supplies - Screw Spinal L45Mm Dia5.5Mm Anterior Lumbar Variable,1552.5,605.48,,,0
CDM,SUP124240,Noncdm Charge Record Medical Supplies - Blade Surgical 4.5Mm Platinum Curved Incisor,59.0,23.01,,,0
CDM,SUP124242,Noncdm Charge Record Medical Supplies - Screw Spinal L26Mm Dia4Mm Occipitocervical Thoracic,3504.51,1366.76,,,0
CDM,SUP124244,Noncdm Charge Record Medical Supplies - Drill Surg Dia1.8Mm Sht Addon Quik Conn For 2.4Mm Vlp Mini,871.47,339.87,,,0
CDM,SUP124245,Noncdm Charge Record Medical Supplies - Rod Spnl L45Mm Dia5.5Mm Post Thoracolumbosacral Ti Lord,988.42,385.48,,,0
CDM,SUP124247,Noncdm Charge Record Medical Supplies - Microcatheter Merit Pursue 2.9F2.0F130 Cm (51)Straight,2218.26,865.12,,,0
CDM,SUP12426,Noncdm Charge Record Medical Supplies - Burr Surg Mau 4Mm Acrzr Dync,195.62,76.29,,,0
CDM,SUP12428,Noncdm Charge Record Medical Supplies - See 127215 Suture Vicryl 1 Ct1 27In Undyed Ethicon,57.7,22.5,,,0
CDM,SUP12429,Noncdm Charge Record Medical Supplies - Follower Ureth 13.35In 24Fr Heyman Plastic,51.75,20.18,,,0
CDM,SUP124294,Noncdm Charge Record Medical Supplies - Pack Pip Fusion Id2.7X4Mm Prox Mid Phalanx Implant Peek,6865.16,2677.41,,,0
CDM,SUP124297,Noncdm Charge Record Medical Supplies - Screw Bone 7.0X90Mm Cann Sc Ss 32Thd,2611.3,1018.41,,,0
CDM,SUP1243,Noncdm Charge Record Medical Supplies - Coupler Fem 6Mm Knee Offset Smith Nephew Orthopaedics,6343.52,2473.97,,,0
CDM,SUP12430,Noncdm Charge Record Medical Supplies - Burr Surg Brn 5.5Mm Acrzr Dync,195.62,76.29,,,0
CDM,SUP124300,Noncdm Charge Record Medical Supplies - Screw Spinal L45Mm Dia7.5Mm Po,4108.54,1602.33,,,0
CDM,SUP12436,Noncdm Charge Record Medical Supplies - Blade Shaver Mocha 5.5Mm Incsr Dync Arthro,203.05,79.19,,,0
CDM,SUP12439,Noncdm Charge Record Medical Supplies - Protack 5Mm Fixation Device,988.19,385.39,,,0
CDM,SUP124399,Noncdm Charge Record Medical Supplies - Stent Microdelivery W-O Tip Neuroform Atlas 3.0Mmx24Mm,35042.9,13666.73,,,0
CDM,SUP124400,Noncdm Charge Record Medical Supplies - Graft Bone Chips Crushed Cancellous 4Mm-10Mm Range 30Cc,2583.7,1007.64,,,0
CDM,SUP12441,Noncdm Charge Record Medical Supplies - See 141074 Suture Monocryl 2-0 Ur-6 27In Violet Ethicon,12.63,4.93,,,0
CDM,SUP124418,Noncdm Charge Record Medical Supplies - Bone Graft Matrix Osteosurge 300 5Cc,5771.16,2250.75,,,0
CDM,SUP12442,Noncdm Charge Record Medical Supplies - Suture Ethibond 4-0 Rb-1 30In Green Ethicon,10.35,4.04,,,0
CDM,SUP124428,Noncdm Charge Record Medical Supplies,600.3,234.12,,,0
CDM,SUP124430,Noncdm Charge Record Medical Supplies,974.97,380.24,,,0
CDM,SUP124492,Noncdm Charge Record Medical Supplies - Graft Endovascular L74Mm D16Mm Mmsheath Od5.4Mm Id4.7Mm,19537.41,7619.59,,,0
CDM,SUP1245,Noncdm Charge Record Medical Supplies - Guidepin Orth 5In 1-8In Gen2,123.37,48.11,,,0
CDM,SUP124523,Noncdm Charge Record Medical Supplies - Bit Drill Dia3.4Mm Cannulated 3.4Mm Instrument Max Vpc Screw,1762.6,687.41,,,0
CDM,SUP124526,Noncdm Charge Record Medical Supplies - Graft Bone Substitute 3Cc Sulfate Stimulan Rapid Cure,2876.17,1121.71,,,0
CDM,SUP124527,Noncdm Charge Record Medical Supplies - Laryngoscope Video L Su Stylet Glidescope,44.5,17.36,,,0
CDM,SUP12457,Noncdm Charge Record Medical Supplies - Stapler Skin Reg 15 Cnt Arcuate Style,6.21,2.42,,,0
CDM,SUP12458,Noncdm Charge Record Medical Supplies - Stapler Skin 25 Cnt Multishot Prcs Disp,26.91,10.49,,,0
CDM,SUP124648_272,Noncdm Charge Record Medical Supplies - Tubing Clevercap Hybrid Co2 Set,297.93,116.19,,,0
CDM,SUP124648_A4649_272,Noncdm Charge Record Medical Supplies - Tubing Clevercap Hybrid Co2 Set,127.3,49.65,,,0
CDM,SUP124648_A9999_272,Noncdm Charge Record Medical Supplies - Tubing Clevercap Hybrid Co2 Set,928.15,361.98,,,0
CDM,SUP124649,Noncdm Charge Record Medical Supplies - Pacemaker Leadless Micra Av Sy System Kit,59210.28,23092.01,,,0
CDM,SUP124650,Noncdm Charge Record Medical Supplies - Stent Icast 5Mmx38Mm 120Cm,12445.88,4853.89,,,0
CDM,SUP12465_272,Noncdm Charge Record Medical Supplies - See 157702 Sponge Gauze Vrsln 4X4In 4 Ply Abs Nonwvn 10-Tr,8.28,3.23,,,0
CDM,SUP12465_A9999_272,Noncdm Charge Record Medical Supplies - See 157702 Sponge Gauze Vrsln 4X4In 4 Ply Abs Nonwvn 10-Tr,8.28,3.23,,,0
CDM,SUP12465_L8699_272,Noncdm Charge Record Medical Supplies - See 157702 Sponge Gauze Vrsln 4X4In 4 Ply Abs Nonwvn 10-Tr,8.28,3.23,,,0
CDM,SUP124665,Noncdm Charge Record Medical Supplies,3205.4,1250.11,,,0
CDM,SUP124668,Noncdm Charge Record Medical Supplies - Introducer Delivery System Trevisio 9F 80Cm,3205.4,1250.11,,,0
CDM,SUP124669,Noncdm Charge Record Medical Supplies - Introducer Delivery System Trevisio 10F 80Cm,3205.4,1250.11,,,0
CDM,SUP124670,Noncdm Charge Record Medical Supplies - Introducer Delivery System Trevisio 12F 80Cm,3205.4,1250.11,,,0
CDM,SUP124754,Noncdm Charge Record Medical Supplies - See 37944 Pencil Electrosurgical Smoke L10Ft Dia9.5Mm,136.62,53.28,,,0
CDM,SUP12476,Noncdm Charge Record Medical Supplies - See 132799 Drape Cystoscopy Medline,25.88,10.09,,,0
CDM,SUP12477,Noncdm Charge Record Medical Supplies - Cleanser Wound Rstr Derm Btl Pump Spray,17.66,6.89,,,0
CDM,SUP124784_272,Noncdm Charge Record Medical Supplies - Tape Fiber Suture Tapered End D 2Mm,514.02,200.47,,,0
CDM,SUP124784_A9999_272,Noncdm Charge Record Medical Supplies - Tape Fiber Suture Tapered End D 2Mm,513.88,200.41,,,0
CDM,SUP124787,Noncdm Charge Record Medical Supplies - Dressing Foam W6.3Xl7.9In Sacr,28.98,11.3,,,0
CDM,SUP12479,Noncdm Charge Record Medical Supplies,6.69,2.61,,,0
CDM,SUP1248,Noncdm Charge Record Medical Supplies - Needle Bscp 13Mm 22Ga Wang Trn Br Mdstnl Cyto,259.79,101.32,,,0
CDM,SUP124827_272,Noncdm Charge Record Medical Supplies - Probe Microwave Ablation Neuwave Sr 13Ga X 25Cm,8827.17,3442.6,,,0
CDM,SUP124827_C2618_272,Noncdm Charge Record Medical Supplies - Probe Microwave Ablation Neuwave Sr 13Ga X 25Cm,8827.52,3442.73,,,0
CDM,SUP124838,Noncdm Charge Record Medical Supplies - Cannula Hls 23Fr L55Cm,2233.07,870.9,,,0
CDM,SUP124839,Noncdm Charge Record Medical Supplies - Cannula Hls 25Fr L55Cm,2288.97,892.7,,,0
CDM,SUP12484_272,Noncdm Charge Record Medical Supplies - Curette Vac Disp 10M,6.21,2.42,,,0
CDM,SUP12484_A4649_272,Noncdm Charge Record Medical Supplies - Curette Vac Disp 10M,6.21,2.42,,,0
CDM,SUP124856_272,Noncdm Charge Record Medical Supplies - Laparoscopic Flat L-Hook Elect 36Cm,150.07,58.53,,,0
CDM,SUP124856_A4649_272,Noncdm Charge Record Medical Supplies - Laparoscopic Flat L-Hook Elect 36Cm,150.07,58.53,,,0
CDM,SUP124856_A9999_272,Noncdm Charge Record Medical Supplies - Laparoscopic Flat L-Hook Elect 36Cm,150.07,58.53,,,0
CDM,SUP12486_272,Noncdm Charge Record Medical Supplies - Suture Prolene 3-0 Fs-1 18In Ethicon,16.28,6.35,,,0
CDM,SUP12486_A4649_272,Noncdm Charge Record Medical Supplies - Suture Prolene 3-0 Fs-1 18In Ethicon,16.1,6.28,,,0
CDM,SUP12486_A9999_272,Noncdm Charge Record Medical Supplies - Suture Prolene 3-0 Fs-1 18In Ethicon,16.56,6.46,,,0
CDM,SUP12487,Noncdm Charge Record Medical Supplies - See 141036 Suture Vicryl 2-0 Cp-2 27In Undyed Ethicon,8.28,3.23,,,0
CDM,SUP1249,Noncdm Charge Record Medical Supplies - Needle Insfl 120Mm14Ga Endopth,209.07,81.54,,,0
CDM,SUP12493,Noncdm Charge Record Medical Supplies - See 157679 Tip Suct Pl Rgd Control Vent,5.18,2.02,,,0
CDM,SUP124954_272,Noncdm Charge Record Medical Supplies - Dressingcollagenpuracolstrl,29.03,11.32,,,0
CDM,SUP124954_A4649_272,Noncdm Charge Record Medical Supplies - Dressingcollagenpuracolstrl,28.98,11.3,,,0
CDM,SUP12498,Noncdm Charge Record Medical Supplies - Blade Shaver 2.9 Full Radius Mini Disp,219.42,85.57,,,0
CDM,SUP124980,Noncdm Charge Record Medical Supplies - Tray Thoracentesis And Paracentesis Set Taps,199.06,77.63,,,0
CDM,SUP124997,Noncdm Charge Record Medical Supplies - Cannula Arterial Hls 17F As,1719.82,670.73,,,0
CDM,SUP124998,Noncdm Charge Record Medical Supplies,1701.54,663.6,,,0
CDM,SUP12503,Noncdm Charge Record Medical Supplies - Blade Shaver Lime Grn 4.5Mm Incsr Dync Strt,219.42,85.57,,,0
CDM,SUP125034,Noncdm Charge Record Medical Supplies,633.42,247.03,,,0
CDM,SUP12504,Noncdm Charge Record Medical Supplies - Burr Surg Aq 4Mm 4Mm Dync,219.07,85.44,,,0
CDM,SUP125041,Noncdm Charge Record Medical Supplies - Occluder Septal Cardioform 25Mm 10Fr,41864.71,16327.24,,,0
CDM,SUP125042,Noncdm Charge Record Medical Supplies - Occluder Septal Cardioform 30Mm 10Fr,45492.39,17742.03,,,0
CDM,SUP12505_272,Noncdm Charge Record Medical Supplies - Reducer Tub Smoke Evacuator 24In 7-8-.25In Rdcr,7.01,2.73,,,0
CDM,SUP12505_A4649_272,Noncdm Charge Record Medical Supplies - Reducer Tub Smoke Evacuator 24In 7-8-.25In Rdcr,7.24,2.82,,,0
CDM,SUP12506_272,Noncdm Charge Record Medical Supplies - Blade Shaver Pink 4.5Mm Rzrct Dync Arthro,219.41,85.57,,,0
CDM,SUP12506_A4649_272,Noncdm Charge Record Medical Supplies - Blade Shaver Pink 4.5Mm Rzrct Dync Arthro,219.42,85.57,,,0
CDM,SUP12506_A9999_272,Noncdm Charge Record Medical Supplies - Blade Shaver Pink 4.5Mm Rzrct Dync Arthro,219.42,85.57,,,0
CDM,SUP12507,Noncdm Charge Record Medical Supplies - Suture Nurolon 2-0 Sh 18In Cr Black Ethicon,53.56,20.89,,,0
CDM,SUP125085,Noncdm Charge Record Medical Supplies - Dressing Afm 4In X 48In,202.86,79.12,,,0
CDM,SUP12509,Noncdm Charge Record Medical Supplies - Suture Chromic 5-0 Ps 18In Ethicon,19.66,7.67,,,0
CDM,SUP125094_270,Noncdm Charge Record Medical Supplies - Din Style Radiotranslucent 5-Lead Wire Unshielded,59.0,23.01,,,0
CDM,SUP125094_272,Noncdm Charge Record Medical Supplies - Din Style Radiotranslucent 5-Lead Wire Unshielded,46.58,18.17,,,0
CDM,SUP1251,Noncdm Charge Record Medical Supplies - Tube Endotrach 5.5Mm Oral,12.76,4.98,,,0
CDM,SUP12511,Noncdm Charge Record Medical Supplies - Suture Surgical Steel 12 X 18In Strand Ethicon,35.19,13.72,,,0
CDM,SUP125110,Noncdm Charge Record Medical Supplies - Bandage Compression W4Inxl5Yd Foam Cohesive Quick Stick Self,9.32,3.63,,,0
CDM,SUP12512,Noncdm Charge Record Medical Supplies - Tape Umbilical Cotton 1-8In X 24In Ethicon,13.46,5.25,,,0
CDM,SUP125155_272,Noncdm Charge Record Medical Supplies - Captivator Single-Use Snares- Largeoval 30Mm Loop 240Cm Flex,159.39,62.16,,,0
CDM,SUP125155_A4649_272,Noncdm Charge Record Medical Supplies - Captivator Single-Use Snares- Largeoval 30Mm Loop 240Cm Flex,159.39,62.16,,,0
CDM,SUP125170,Noncdm Charge Record Medical Supplies - Kit Drill Cranial Access 6.35Mm Dia 70Mm Length,2275.96,887.62,,,0
CDM,SUP125171,Noncdm Charge Record Medical Supplies,14.49,5.65,,,0
CDM,SUP125176,Noncdm Charge Record Medical Supplies - Graft Bn 10Ml Dmnr Bn Mtrx,10392.18,4052.95,,,0
CDM,SUP12521_272,Noncdm Charge Record Medical Supplies - Stapler Skin 35W Mf Skin Prm,66.22,25.83,,,0
CDM,SUP12521_A4649_272,Noncdm Charge Record Medical Supplies - Stapler Skin 35W Mf Skin Prm,66.24,25.83,,,0
CDM,SUP12521_A9999_272,Noncdm Charge Record Medical Supplies - Stapler Skin 35W Mf Skin Prm,66.24,25.83,,,0
CDM,SUP12522,Noncdm Charge Record Medical Supplies,5.18,2.02,,,0
CDM,SUP125229_272,Noncdm Charge Record Medical Supplies,9.16,3.57,,,0
CDM,SUP125229_A9999_272,Noncdm Charge Record Medical Supplies,9.32,3.63,,,0
CDM,SUP12523_272,Noncdm Charge Record Medical Supplies - See 140997 Suture Vicryl 0 Ur-6 27In Violet Ethicon,9.21,3.59,,,0
CDM,SUP12523_A4649_272,Noncdm Charge Record Medical Supplies - See 140997 Suture Vicryl 0 Ur-6 27In Violet Ethicon,9.17,3.58,,,0
CDM,SUP12523_A9999_272,Noncdm Charge Record Medical Supplies - See 140997 Suture Vicryl 0 Ur-6 27In Violet Ethicon,9.17,3.58,,,0
CDM,SUP12524_272,Noncdm Charge Record Medical Supplies - See 140913 Suture Vicryl 0 18In Tie Undyed Violet Ethicon,38.32,14.94,,,0
CDM,SUP12524_A4649_272,Noncdm Charge Record Medical Supplies - See 140913 Suture Vicryl 0 18In Tie Undyed Violet Ethicon,38.3,14.94,,,0
CDM,SUP12525,Noncdm Charge Record Medical Supplies - See 76826 Suture Vicryl 1 Ctx 36In Undyed Ethicon,8.28,3.23,,,0
CDM,SUP125250,Noncdm Charge Record Medical Supplies - Graft Endovascular L90X40Cm Di,21165.75,8254.64,,,0
CDM,SUP12526,Noncdm Charge Record Medical Supplies - See 141091 Suture Pds2 2-0 Sh 27In Violet Ethicon,12.75,4.97,,,0
CDM,SUP125266_272,Noncdm Charge Record Medical Supplies - Dsg Nsl L3.15In 100% Syn Proprietary Polymer,1142.71,445.66,,,0
CDM,SUP125266_A4649_272,Noncdm Charge Record Medical Supplies - Dsg Nsl L3.15In 100% Syn Proprietary Polymer,1157.13,451.28,,,0
CDM,SUP125280,Noncdm Charge Record Medical Supplies - Catheter Angiographic L40Cm Dia5Fr 0.035In Kmp,95.84,37.38,,,0
CDM,SUP125281,Noncdm Charge Record Medical Supplies - See 126196 Laryngoscope Glidescope S3 Lo Pro Nonsterile,174.92,68.22,,,0
CDM,SUP125282,Noncdm Charge Record Medical Supplies - See 126197 Laryngoscope Glidescope S4 Lo Pro Nonsterile,174.92,68.22,,,0
CDM,SUP125284,Noncdm Charge Record Medical Supplies - Laryngoscope Glidescope S4 Dvm Nonsterile,174.92,68.22,,,0
CDM,SUP12529_272,Noncdm Charge Record Medical Supplies - Suture Vicryl 2-0 18In Tie Braided Violet Ethicon,38.3,14.94,,,0
CDM,SUP12529_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl 2-0 18In Tie Braided Violet Ethicon,38.3,14.94,,,0
CDM,SUP12529_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl 2-0 18In Tie Braided Violet Ethicon,38.3,14.94,,,0
CDM,SUP1253,Noncdm Charge Record Medical Supplies,90772.6,35401.31,,,0
CDM,SUP12530,Noncdm Charge Record Medical Supplies - Suture Pro 0 Ctx 30In Ethicon,11.85,4.62,,,0
CDM,SUP125312_272,Noncdm Charge Record Medical Supplies - Needle Anesthesia 27Ga L3.5In Reinforced,387.9,151.28,,,0
CDM,SUP125312_A4649_272,Noncdm Charge Record Medical Supplies - Needle Anesthesia 27Ga L3.5In Reinforced,505.08,196.98,,,0
CDM,SUP125312_A9999_272,Noncdm Charge Record Medical Supplies - Needle Anesthesia 27Ga L3.5In Reinforced,168.7,65.79,,,0
CDM,SUP12532_270,Noncdm Charge Record Medical Supplies - Tubing Gas Line C02 Carefusion,7.23,2.82,,,0
CDM,SUP12532_272,Noncdm Charge Record Medical Supplies - Tubing Gas Line C02 Carefusion,7.24,2.82,,,0
CDM,SUP12533,Noncdm Charge Record Medical Supplies - Stapler Intnl 4.8Mm Ti 65D Thk Tis Endo Lin,742.1,289.42,,,0
CDM,SUP12536_272,Noncdm Charge Record Medical Supplies - Pouch 6X3In Endobag Dispensing Slv Rub Ring,72.43,28.25,,,0
CDM,SUP12536_A4649_272,Noncdm Charge Record Medical Supplies - Pouch 6X3In Endobag Dispensing Slv Rub Ring,72.45,28.26,,,0
CDM,SUP12536_A9999_272,Noncdm Charge Record Medical Supplies - Pouch 6X3In Endobag Dispensing Slv Rub Ring,72.45,28.26,,,0
CDM,SUP12543_272,Noncdm Charge Record Medical Supplies - See 84052 Suture Monocryl 4-0 P-3 18In Undyed Ethicon,30.02,11.71,,,0
CDM,SUP12543_A4649_272,Noncdm Charge Record Medical Supplies - See 84052 Suture Monocryl 4-0 P-3 18In Undyed Ethicon,30.02,11.71,,,0
CDM,SUP12543_A9999_272,Noncdm Charge Record Medical Supplies - See 84052 Suture Monocryl 4-0 P-3 18In Undyed Ethicon,30.02,11.71,,,0
CDM,SUP12544_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 2-0 Sh 30In Ethicon,10.14,3.95,,,0
CDM,SUP12544_A4649_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 2-0 Sh 30In Ethicon,9.77,3.81,,,0
CDM,SUP12544_A9999_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 2-0 Sh 30In Ethicon,10.35,4.04,,,0
CDM,SUP12549,Noncdm Charge Record Medical Supplies - Applier Clip Medium Lg 28.9Cm Endo Titanium Rotatable Ethico,1260.63,491.65,,,0
CDM,SUP12550,Noncdm Charge Record Medical Supplies - See 94727 Reload Stapler 30X2.5Mm Mf,1002.92,391.14,,,0
CDM,SUP125513,Noncdm Charge Record Medical Supplies - Lead Pacing 6Fr L45Cm Atrial Ventricular,1987.2,775.01,,,0
CDM,SUP125514,Noncdm Charge Record Medical Supplies - Sheath Introducer 8Fr L25Cm Di Dilator L2.5Cm Peripheral Pin,102.25,39.88,,,0
CDM,SUP12552_272,Noncdm Charge Record Medical Supplies - Tube Endotrach 6Mm Nasal Cuff,18.63,7.27,,,0
CDM,SUP12552_A4649_272,Noncdm Charge Record Medical Supplies - Tube Endotrach 6Mm Nasal Cuff,20.7,8.07,,,0
CDM,SUP12554,Noncdm Charge Record Medical Supplies - Introducer Sheath 9 French 10 Cm Arrow International,356.05,138.86,,,0
CDM,SUP12562_272,Noncdm Charge Record Medical Supplies,54.58,21.29,,,0
CDM,SUP12562_A4649_272,Noncdm Charge Record Medical Supplies,8.45,3.3,,,0
CDM,SUP125650_272,Noncdm Charge Record Medical Supplies,5.18,2.02,,,0
CDM,SUP125650_A4649_272,Noncdm Charge Record Medical Supplies,5.18,2.02,,,0
CDM,SUP12569_270,Noncdm Charge Record Medical Supplies,9.37,3.65,,,0
CDM,SUP12569_A4649_270,Noncdm Charge Record Medical Supplies,10.69,4.17,,,0
CDM,SUP12569_A9999_270,Noncdm Charge Record Medical Supplies,8.28,3.23,,,0
CDM,SUP125770,Noncdm Charge Record Medical Supplies - Blade Curved 1Mm Micro Feather,413.54,161.28,,,0
CDM,SUP12581,Noncdm Charge Record Medical Supplies,4.14,1.61,,,0
CDM,SUP12582_272,Noncdm Charge Record Medical Supplies - Syringe Angio 150Ml Qkfl Tube Mrk5 Prvs,21.74,8.48,,,0
CDM,SUP12582_A4649_272,Noncdm Charge Record Medical Supplies - Syringe Angio 150Ml Qkfl Tube Mrk5 Prvs,21.74,8.48,,,0
CDM,SUP12582_A9999_272,Noncdm Charge Record Medical Supplies - Syringe Angio 150Ml Qkfl Tube Mrk5 Prvs,21.74,8.48,,,0
CDM,SUP12589_272,Noncdm Charge Record Medical Supplies - Tip Suction Frazier 12 French Covidien,9.3,3.63,,,0
CDM,SUP12589_A4649_272,Noncdm Charge Record Medical Supplies - Tip Suction Frazier 12 French Covidien,9.32,3.63,,,0
CDM,SUP12589_A9999_272,Noncdm Charge Record Medical Supplies - Tip Suction Frazier 12 French Covidien,9.32,3.63,,,0
CDM,SUP12590_272,Noncdm Charge Record Medical Supplies - Tip Suction Frazier 10 French Covidien,9.09,3.55,,,0
CDM,SUP12590_A9999_272,Noncdm Charge Record Medical Supplies - Tip Suction Frazier 10 French Covidien,9.32,3.63,,,0
CDM,SUP125920_270,Noncdm Charge Record Medical Supplies - Sensor Finger Lng Low Nse Cable Neonat,47.85,18.66,,,0
CDM,SUP125920_A4649_270,Noncdm Charge Record Medical Supplies - Sensor Finger Lng Low Nse Cable Neonat,47.25,18.43,,,0
CDM,SUP125920_A9999_270,Noncdm Charge Record Medical Supplies - Sensor Finger Lng Low Nse Cable Neonat,50.2,19.58,,,0
CDM,SUP12592_272,Noncdm Charge Record Medical Supplies - Kittner Endoscopic 5Mm Deroyal,39.35,15.35,,,0
CDM,SUP12592_A4649_272,Noncdm Charge Record Medical Supplies - Kittner Endoscopic 5Mm Deroyal,39.33,15.34,,,0
CDM,SUP12592_A9999_272,Noncdm Charge Record Medical Supplies - Kittner Endoscopic 5Mm Deroyal,39.33,15.34,,,0
CDM,SUP125931,Noncdm Charge Record Medical Supplies - Power Picc Catheter Single Lumen 4 Fr. Max Barrier Tray,1244.07,485.19,,,0
CDM,SUP125934,Noncdm Charge Record Medical Supplies - Catheter Tray Picc 4Fr Dual Lumen,1428.3,557.04,,,0
CDM,SUP125974,Noncdm Charge Record Medical Supplies - Clip 4Mm Straight Mini,2436.39,950.19,,,0
CDM,SUP125975,Noncdm Charge Record Medical Supplies - Clip 4Mm Straight Mini Titanium Slim Serrated,2436.39,950.19,,,0
CDM,SUP125976,Noncdm Charge Record Medical Supplies - Clip 6Mm Straight Mini,2436.39,950.19,,,0
CDM,SUP125977,Noncdm Charge Record Medical Supplies,2436.13,950.09,,,0
CDM,SUP125978,Noncdm Charge Record Medical Supplies,2435.87,949.99,,,0
CDM,SUP125982,Noncdm Charge Record Medical Supplies - Clip 5.2Mm More Curved St Mini,2436.39,950.19,,,0
CDM,SUP125983,Noncdm Charge Record Medical Supplies - Clip 5.5Mm Slightly Curved Mini,2436.39,950.19,,,0
CDM,SUP125984,Noncdm Charge Record Medical Supplies - Clip 5.5Mm Curved Slim Serrated Mini,2436.18,950.11,,,0
CDM,SUP125987,Noncdm Charge Record Medical Supplies - Clip 6.7Mm Curved Slim Serrated Mini,2436.39,950.19,,,0
CDM,SUP125989,Noncdm Charge Record Medical Supplies - Clip 7Mm Sideward Curved Mini,2436.39,950.19,,,0
CDM,SUP125992,Noncdm Charge Record Medical Supplies,2436.39,950.19,,,0
CDM,SUP125993,Noncdm Charge Record Medical Supplies - Clip 5Mm Bayonet Mini,2436.13,950.09,,,0
CDM,SUP126007,Noncdm Charge Record Medical Supplies - Clip 7Mm Straight,2436.39,950.19,,,0
CDM,SUP126008,Noncdm Charge Record Medical Supplies - Clip 10Mm Straight,2558.0,997.62,,,0
CDM,SUP126009,Noncdm Charge Record Medical Supplies,2436.39,950.19,,,0
CDM,SUP126011,Noncdm Charge Record Medical Supplies,2436.39,950.19,,,0
CDM,SUP126016,Noncdm Charge Record Medical Supplies - Clip 11Mm Slightly Curved,2436.39,950.19,,,0
CDM,SUP126029,Noncdm Charge Record Medical Supplies - Clip 7Mm Bayonet,2436.39,950.19,,,0
CDM,SUP126035,Noncdm Charge Record Medical Supplies,2558.0,997.62,,,0
CDM,SUP126079,Noncdm Charge Record Medical Supplies,2679.62,1045.05,,,0
CDM,SUP126081,Noncdm Charge Record Medical Supplies,2436.39,950.19,,,0
CDM,SUP126088,Noncdm Charge Record Medical Supplies - Nail 12Mm Ti Cann Frn 440Mm Right,8266.54,3223.95,,,0
CDM,SUP126089,Noncdm Charge Record Medical Supplies - Nail 12Mm Ti Cann Frn Pf 420Mm Right,8266.54,3223.95,,,0
CDM,SUP126094,Noncdm Charge Record Medical Supplies - Screw 4.0 14Mm Ti Cancellous Bone,175.95,68.62,,,0
CDM,SUP12610,Noncdm Charge Record Medical Supplies - See 141094 Suture Pds2 2-0 Ct1 27In Violet Ethicon,12.52,4.88,,,0
CDM,SUP12616,Noncdm Charge Record Medical Supplies - Trap Mcs Prcs 50Ml Tube Screw,7.24,2.82,,,0
CDM,SUP126177,Noncdm Charge Record Medical Supplies - Stent Graft 22F 37Mmx37Mmx15Cm Conformable Thoracic W-Active,97438.0,38000.82,,,0
CDM,SUP126178,Noncdm Charge Record Medical Supplies - Stent Graft 20F 31Mmx31Mmx15Cm Conformable Thoracic W-Active,97438.0,38000.82,,,0
CDM,SUP126181,Noncdm Charge Record Medical Supplies - Catheter Valvuloplasty L110Cm Angioplasty Balloon,5290.92,2063.46,,,0
CDM,SUP12622,Noncdm Charge Record Medical Supplies,5.18,2.02,,,0
CDM,SUP12625,Noncdm Charge Record Medical Supplies - Osteotome 120Mm Gry Flx Surg 1,1346.54,525.15,,,0
CDM,SUP126250,Noncdm Charge Record Medical Supplies - Istim Test Stim Basic Evaluation Kit,553.61,215.91,,,0
CDM,SUP126251,Noncdm Charge Record Medical Supplies - Istim Pne Test Stim Basic Evaluation Kit,332.6,129.71,,,0
CDM,SUP126294,Noncdm Charge Record Medical Supplies - Screw Spinal L35Mm Dia5.5Mm For 5.5-6Mm Rod,4108.95,1602.49,,,0
CDM,SUP126297,Noncdm Charge Record Medical Supplies,671.72,261.97,,,0
CDM,SUP126300,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 12.0,671.72,261.97,,,0
CDM,SUP126302,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 13.0,671.72,261.97,,,0
CDM,SUP126303,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 13.5,671.72,261.97,,,0
CDM,SUP126304,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 14.0,671.72,261.97,,,0
CDM,SUP126305,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 14.5,671.72,261.97,,,0
CDM,SUP126306,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 15.0,671.72,261.97,,,0
CDM,SUP126307,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 15.5,671.72,261.97,,,0
CDM,SUP126308,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 16.0,671.72,261.97,,,0
CDM,SUP126309,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 16.5,671.72,261.97,,,0
CDM,SUP12631,Noncdm Charge Record Medical Supplies - Suture Prolene 4-0 C-1 30In Double Arm Ethicon,121.27,47.3,,,0
CDM,SUP126310,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 17.0,671.72,261.97,,,0
CDM,SUP126311,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 17.5,671.72,261.97,,,0
CDM,SUP126312,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 18.0,671.72,261.97,,,0
CDM,SUP126313,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 18.5,671.72,261.97,,,0
CDM,SUP126314,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 19.0,671.72,261.97,,,0
CDM,SUP126315,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 19.5,671.72,261.97,,,0
CDM,SUP126316,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 20.0,671.72,261.97,,,0
CDM,SUP126317,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 20.5,671.72,261.97,,,0
CDM,SUP126318,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 21.0,671.72,261.97,,,0
CDM,SUP126319,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 21.5,671.72,261.97,,,0
CDM,SUP126320,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 22.0,671.72,261.97,,,0
CDM,SUP126321,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 22.5,671.72,261.97,,,0
CDM,SUP126322,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 23.0,671.72,261.97,,,0
CDM,SUP126323,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 23.5,671.72,261.97,,,0
CDM,SUP126324,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 24.0,671.72,261.97,,,0
CDM,SUP126325,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 24.5,671.72,261.97,,,0
CDM,SUP12632_272,Noncdm Charge Record Medical Supplies - See 140929 Suture Vicryl 0 Ct-2 27In Undyed Ethicon,7.43,2.9,,,0
CDM,SUP12632_A4649_272,Noncdm Charge Record Medical Supplies - See 140929 Suture Vicryl 0 Ct-2 27In Undyed Ethicon,7.37,2.87,,,0
CDM,SUP12632_A9999_272,Noncdm Charge Record Medical Supplies - See 140929 Suture Vicryl 0 Ct-2 27In Undyed Ethicon,7.5,2.92,,,0
CDM,SUP12634_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 1 Ctx 30In Green Ethicon,8.38,3.27,,,0
CDM,SUP12634_A4649_272,Noncdm Charge Record Medical Supplies,8.28,3.23,,,0
CDM,SUP12634_A9999_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 1 Ctx 30In Green Ethicon,8.49,3.31,,,0
CDM,SUP12637,Noncdm Charge Record Medical Supplies,538.2,209.9,,,0
CDM,SUP12638_272,Noncdm Charge Record Medical Supplies - Scissors Endo 5Mm Monopol Caut,225.63,88.0,,,0
CDM,SUP12638_A4649_272,Noncdm Charge Record Medical Supplies - Scissors Endo 5Mm Monopol Caut,225.63,88.0,,,0
CDM,SUP12638_A9999_272,Noncdm Charge Record Medical Supplies - Scissors Endo 5Mm Monopol Caut,225.63,88.0,,,0
CDM,SUP126394_272,Noncdm Charge Record Medical Supplies - Shield Corneal Small Protector,113.12,44.12,,,0
CDM,SUP126394_A9999_272,Noncdm Charge Record Medical Supplies - Shield Corneal Small Protector,113.33,44.2,,,0
CDM,SUP126395,Noncdm Charge Record Medical Supplies - Shield Corneal Medium Protector,113.27,44.18,,,0
CDM,SUP12640_272,Noncdm Charge Record Medical Supplies - Blade Dermatome 1.25-4.25In Zimmer Orthopaedics,302.59,118.01,,,0
CDM,SUP12640_A4649_272,Noncdm Charge Record Medical Supplies - Blade Dermatome 1.25-4.25In Zimmer Orthopaedics,309.98,120.89,,,0
CDM,SUP12641,Noncdm Charge Record Medical Supplies - Catheter Uret 3Fr 70Cm .018In,55.89,21.8,,,0
CDM,SUP12642_272,Noncdm Charge Record Medical Supplies - Catheter Uret 4Fr 70Cm .025In Opend Strl Disp,53.82,20.99,,,0
CDM,SUP12642_C1758_272,Noncdm Charge Record Medical Supplies - Catheter Uret 4Fr 70Cm .025In Opend Strl Disp,53.83,20.99,,,0
CDM,SUP126480_272,Noncdm Charge Record Medical Supplies - Dressing Aquacel Ag Adv 2 X 45Cm,45.46,17.73,,,0
CDM,SUP126480_A4649_272,Noncdm Charge Record Medical Supplies - Dressing Aquacel Ag Adv 2 X 45Cm,45.54,17.76,,,0
CDM,SUP126480_A9999_272,Noncdm Charge Record Medical Supplies - Dressing Aquacel Ag Adv 2 X 45Cm,45.54,17.76,,,0
CDM,SUP126481,Noncdm Charge Record Medical Supplies - Dressing Aquacel Ag Adv 1 X 45Cm,46.58,18.17,,,0
CDM,SUP126482,Noncdm Charge Record Medical Supplies - Dressing Aquacel Ag Adv 5X5Cm,20.7,8.07,,,0
CDM,SUP126483,Noncdm Charge Record Medical Supplies - Dressing Aquacel Ag Adv 15 X 15Cm,84.87,33.1,,,0
CDM,SUP126484_272,Noncdm Charge Record Medical Supplies - Dressing Aquacel Ag Adv 20 X 30Cm,124.44,48.53,,,0
CDM,SUP126484_A4649_272,Noncdm Charge Record Medical Supplies - Dressing Aquacel Ag Adv 20 X 30Cm,124.2,48.44,,,0
CDM,SUP126484_A9999_272,Noncdm Charge Record Medical Supplies - Dressing Aquacel Ag Adv 20 X 30Cm,124.2,48.44,,,0
CDM,SUP126486,Noncdm Charge Record Medical Supplies - Dressing Wound W2Xl2In Two Layers Aquacel,10.35,4.04,,,0
CDM,SUP12648_270,Noncdm Charge Record Medical Supplies - Collar Neck Aspen Adult Ajustable Aspen Medical,156.1,60.88,,,0
CDM,SUP12648_L0172_274,Noncdm Charge Record Medical Supplies - Collar Neck Aspen Adult Ajustable Aspen Medical,155.25,60.55,,,0
CDM,SUP12649,Noncdm Charge Record Medical Supplies,24.84,9.69,,,0
CDM,SUP12650,Noncdm Charge Record Medical Supplies - See 141047 Suture Vicryl 0 Ct 36In Undyed Ethicon,8.16,3.18,,,0
CDM,SUP126524,Noncdm Charge Record Medical Supplies - Shield Surgical Large 24X22Mm Black Sterile W-Suction Cup,113.07,44.1,,,0
CDM,SUP126525,Noncdm Charge Record Medical Supplies - Rod Ostomy L3In Plastic Loop Eyelet Both End Disposable,63.14,24.62,,,0
CDM,SUP12652_272,Noncdm Charge Record Medical Supplies - See 141033 Suture Vicryl 5-0 Pc-3 18In Undyed Ethicon,21.74,8.48,,,0
CDM,SUP12652_A4649_272,Noncdm Charge Record Medical Supplies - See 141033 Suture Vicryl 5-0 Pc-3 18In Undyed Ethicon,21.74,8.48,,,0
CDM,SUP12657,Noncdm Charge Record Medical Supplies - Trocar Laparos 100 12Mm Blnt Endopth Xcel,112.82,44.0,,,0
CDM,SUP12660,Noncdm Charge Record Medical Supplies - Graft Cv 30Cm 24Mm 2 Vlr Strt,2490.21,971.18,,,0
CDM,SUP126603,Noncdm Charge Record Medical Supplies - Tourniquet 7In 2 White 2 Red 2 Blue W-Snare,984.28,383.87,,,0
CDM,SUP126655,Noncdm Charge Record Medical Supplies - Lead Pacing L52Cm Endocardial Polyurethane Irox Electrode,1987.21,775.01,,,0
CDM,SUP126656,Noncdm Charge Record Medical Supplies - Lead Pacing L59Cm Endocardial Polyurethane Irox Electrode,1987.22,775.02,,,0
CDM,SUP126669,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 8Mm 135Cm 20Mm,416.07,162.27,,,0
CDM,SUP12667_272,Noncdm Charge Record Medical Supplies - Needle Spnl 7In 22Ga Bd Qnck Anes Strl Lf,18.56,7.24,,,0
CDM,SUP12667_A4649_272,Noncdm Charge Record Medical Supplies - Needle Spnl 7In 22Ga Bd Qnck Anes Strl Lf,18.63,7.27,,,0
CDM,SUP12670_272,Noncdm Charge Record Medical Supplies - Guidewire Vasc Std .035In 180Cm 3Cm Ang Tip,205.0,79.95,,,0
CDM,SUP12670_A4649_272,Noncdm Charge Record Medical Supplies - Guidewire Vasc Std .035In 180Cm 3Cm Ang Tip,217.66,84.89,,,0
CDM,SUP12670_A9999_272,Noncdm Charge Record Medical Supplies - Guidewire Vasc Std .035In 180Cm 3Cm Ang Tip,194.58,75.89,,,0
CDM,SUP12670_C1769_272,Noncdm Charge Record Medical Supplies - Guidewire Vasc Std .035In 180Cm 3Cm Ang Tip,194.41,75.82,,,0
CDM,SUP12671_272,Noncdm Charge Record Medical Supplies - Cannula 70Mm Grey Arthroscopic Conmed Linvatec,300.32,117.12,,,0
CDM,SUP12671_A4649_272,Noncdm Charge Record Medical Supplies - Cannula 70Mm Grey Arthroscopic Conmed Linvatec,389.68,151.98,,,0
CDM,SUP12671_A9999_272,Noncdm Charge Record Medical Supplies - Cannula 70Mm Grey Arthroscopic Conmed Linvatec,75.56,29.47,,,0
CDM,SUP126745,Noncdm Charge Record Medical Supplies - Adapter Luer For Pleural Drainage Disposable Aspira,73.48,28.66,,,0
CDM,SUP126746,Noncdm Charge Record Medical Supplies - Needle Biopsy Set 19Ga L60Cm Throw L20Mm Sheath 7Fr,2281.14,889.64,,,0
CDM,SUP12674_272,Noncdm Charge Record Medical Supplies - Suture Prolene 6-0 Bv-1 30In Double Arm Blue Ethicon,89.76,35.01,,,0
CDM,SUP12674_A4649_272,Noncdm Charge Record Medical Supplies - Suture Prolene 6-0 Bv-1 30In Double Arm Blue Ethicon,87.13,33.98,,,0
CDM,SUP12674_A9999_272,Noncdm Charge Record Medical Supplies - Suture Prolene 6-0 Bv-1 30In Double Arm Blue Ethicon,91.08,35.52,,,0
CDM,SUP12675_272,Noncdm Charge Record Medical Supplies - Snare Std 240Cm 2.4Mm 27Mm,159.39,62.16,,,0
CDM,SUP12675_A4649_272,Noncdm Charge Record Medical Supplies - Snare Std 240Cm 2.4Mm 27Mm,159.39,62.16,,,0
CDM,SUP12675_A9999_272,Noncdm Charge Record Medical Supplies - Snare Std 240Cm 2.4Mm 27Mm,159.39,62.16,,,0
CDM,SUP12676_272,Noncdm Charge Record Medical Supplies - Blade Saw 25X9X.38Mm Prcs Med Nar Thin Ss,166.37,64.88,,,0
CDM,SUP12676_A4649_272,Noncdm Charge Record Medical Supplies - Blade Saw 25X9X.38Mm Prcs Med Nar Thin Ss,166.64,64.99,,,0
CDM,SUP12676_A9999_272,Noncdm Charge Record Medical Supplies - Blade Saw 25X9X.38Mm Prcs Med Nar Thin Ss,166.64,64.99,,,0
CDM,SUP12679_272,Noncdm Charge Record Medical Supplies - Stapler Skin 35 Wide Pistol Grip Ethicon,30.96,12.07,,,0
CDM,SUP12679_A4649_272,Noncdm Charge Record Medical Supplies - Stapler Skin 35 Wide Pistol Grip Ethicon,33.01,12.87,,,0
CDM,SUP12679_A9999_272,Noncdm Charge Record Medical Supplies - Stapler Skin 35 Wide Pistol Grip Ethicon,30.02,11.71,,,0
CDM,SUP12684,Noncdm Charge Record Medical Supplies - Airway Esoph 3 Ped Laryng Mask Std Pack Lf,57.97,22.61,,,0
CDM,SUP126853,Noncdm Charge Record Medical Supplies - Retractor Alexis Wound Xlarge 11-17Cm,538.3,209.94,,,0
CDM,SUP12685_272,Noncdm Charge Record Medical Supplies - Tube Airway Esophageal 4 Adult Lma North America Inc,28.98,11.3,,,0
CDM,SUP12685_A4649_272,Noncdm Charge Record Medical Supplies - Tube Airway Esophageal 4 Adult Lma North America Inc,28.98,11.3,,,0
CDM,SUP12685_A9999_272,Noncdm Charge Record Medical Supplies - Tube Airway Esophageal 4 Adult Lma North America Inc,28.98,11.3,,,0
CDM,SUP12693_272,Noncdm Charge Record Medical Supplies - See 141078 Suture Monocryl 5-0 Pc-3 18In Undyed Ethicon,30.04,11.72,,,0
CDM,SUP12693_A4649_272,Noncdm Charge Record Medical Supplies - See 141078 Suture Monocryl 5-0 Pc-3 18In Undyed Ethicon,30.02,11.71,,,0
CDM,SUP12693_A9999_272,Noncdm Charge Record Medical Supplies - See 141078 Suture Monocryl 5-0 Pc-3 18In Undyed Ethicon,30.02,11.71,,,0
CDM,SUP12694,Noncdm Charge Record Medical Supplies - See 141077 Suture Monocryl 4-0 Pc-1 18In Undyed Ethicon,30.0,11.7,,,0
CDM,SUP12695_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 2-0 Ct-2 30In Green Ethicon,8.32,3.24,,,0
CDM,SUP12695_A4649_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 2-0 Ct-2 30In Green Ethicon,8.28,3.23,,,0
CDM,SUP12695_A9999_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 2-0 Ct-2 30In Green Ethicon,8.28,3.23,,,0
CDM,SUP12698,Noncdm Charge Record Medical Supplies - Suture Vicryl 3-0 Ct-3 27In Violet Ethicon,8.28,3.23,,,0
CDM,SUP126983,Noncdm Charge Record Medical Supplies - Blade Saw Sgtl W Tk Lng 4.72Cm 25.40Mm 1.27Mm,143.86,56.11,,,0
CDM,SUP12699,Noncdm Charge Record Medical Supplies - Manifold Angio 1 Valve Med,91.08,35.52,,,0
CDM,SUP12700,Noncdm Charge Record Medical Supplies - Cannula Opth 4Mm 27Ga Ant Cham,14.49,5.65,,,0
CDM,SUP12703_272,Noncdm Charge Record Medical Supplies - Cap Protector 0.28-0.62Mm Steinmen Pin Aspen Surgical,3.1,1.21,,,0
CDM,SUP12703_A4649_272,Noncdm Charge Record Medical Supplies - Cap Protector 0.28-0.62Mm Steinmen Pin Aspen Surgical,3.1,1.21,,,0
CDM,SUP127066,Noncdm Charge Record Medical Supplies - Handpiece Shaver Dia14Mm 15Deg Hydrosurgery Versajet Ii Plus,2672.31,1042.2,,,0
CDM,SUP127085,Noncdm Charge Record Medical Supplies - Flowtriever Aspiration Cath L95Cm Od6.7Mm 20Fr Insertion,11624.6,4533.59,,,0
CDM,SUP12712,Noncdm Charge Record Medical Supplies - Catheter Embol 40Cm 3Fr Art Ba Art Balloon Fgrty,192.51,75.08,,,0
CDM,SUP127120,Noncdm Charge Record Medical Supplies - Myosure Xl Fluent Tissue Disposable Device,5221.58,2036.42,,,0
CDM,SUP127136,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 4Mm 200Mm 80Mm,1053.63,410.92,,,0
CDM,SUP127139,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 3Mm 135Cm 40Mm,511.03,199.3,,,0
CDM,SUP127142,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 4Mm 135Cm 100Mm,416.07,162.27,,,0
CDM,SUP127143,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 4Mm 135Cm 150Mm,464.72,181.24,,,0
CDM,SUP127144,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 8Mm 135Cm 80Mm,479.38,186.96,,,0
CDM,SUP127145,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 9Mm 135Cm 20Mm,416.07,162.27,,,0
CDM,SUP12714_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 3-0 Ps-1 18In Black Ethicon,21.54,8.4,,,0
CDM,SUP12714_A4649_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 3-0 Ps-1 18In Black Ethicon,21.32,8.31,,,0
CDM,SUP12714_A9999_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 3-0 Ps-1 18In Black Ethicon,21.74,8.48,,,0
CDM,SUP1271_272,Noncdm Charge Record Medical Supplies - Needle Bx 20Ga 15Cm Chba Asp Strl Disp,58.95,22.99,,,0
CDM,SUP1271_A4649_272,Noncdm Charge Record Medical Supplies - Needle Bx 20Ga 15Cm Chba Asp Strl Disp,58.74,22.91,,,0
CDM,SUP1271_A9999_272,Noncdm Charge Record Medical Supplies - Needle Bx 20Ga 15Cm Chba Asp Strl Disp,59.0,23.01,,,0
CDM,SUP127200,Noncdm Charge Record Medical Supplies - Stent Urethral L12Cm Catheter 10Fr For Hypospadias,176.98,69.02,,,0
CDM,SUP12720_272,Noncdm Charge Record Medical Supplies - Cystotome Opth 25Ga Frm Ang Revct Irr Strl,17.01,6.63,,,0
CDM,SUP12720_A4649_272,Noncdm Charge Record Medical Supplies - Cystotome Opth 25Ga Frm Ang Revct Irr Strl,10.14,3.95,,,0
CDM,SUP12720_A9999_272,Noncdm Charge Record Medical Supplies - Cystotome Opth 25Ga Frm Ang Revct Irr Strl,21.04,8.21,,,0
CDM,SUP12724,Noncdm Charge Record Medical Supplies - Suture Endostitch 2-0 Es-9 48In Green Covidien,90.04,35.12,,,0
CDM,SUP12725,Noncdm Charge Record Medical Supplies - See 141003 Suture Vicryl 2-0 18In Tie Undyed Violet Ethicon,11.38,4.44,,,0
CDM,SUP12726,Noncdm Charge Record Medical Supplies - Bit Drill 300Mm 13Mm Cannula Ns,2364.98,922.34,,,0
CDM,SUP1272_272,Noncdm Charge Record Medical Supplies - Needle Bx 22Ga 15Cm Chba Asp,63.29,24.68,,,0
CDM,SUP1272_A4649_272,Noncdm Charge Record Medical Supplies - Needle Bx 22Ga 15Cm Chba Asp,63.31,24.69,,,0
CDM,SUP12730,Noncdm Charge Record Medical Supplies - Curette Vac Disp 12M,6.21,2.42,,,0
CDM,SUP12731,Noncdm Charge Record Medical Supplies - Curette Vac Disp 14M,8.28,3.23,,,0
CDM,SUP12734,Noncdm Charge Record Medical Supplies - Splint Orth Sm 2.25In Finger,8.28,3.23,,,0
CDM,SUP127348,Noncdm Charge Record Medical Supplies - Device Closure Vascular Mynx Control 5Fr,1189.23,463.8,,,0
CDM,SUP127349,Noncdm Charge Record Medical Supplies - Device Closure Vascular Mynx Control 6-7Fr,1182.83,461.3,,,0
CDM,SUP12735,Noncdm Charge Record Medical Supplies - Immobilizer Orth Sm 5-7In,278.42,108.58,,,0
CDM,SUP127368,Noncdm Charge Record Medical Supplies - Device Harvesting Cell Autologous Recell System,30312.82,11822.0,,,0
CDM,SUP1273_272,Noncdm Charge Record Medical Supplies - Needle Bx 22Ga 10Cm Chba Asp Strl Disp,63.23,24.66,,,0
CDM,SUP1273_A4649_272,Noncdm Charge Record Medical Supplies - Needle Bx 22Ga 10Cm Chba Asp Strl Disp,63.14,24.62,,,0
CDM,SUP1274,Noncdm Charge Record Medical Supplies - Needle Bx 18Ga 20Cm Chba Asp Strl Disp,58.91,22.97,,,0
CDM,SUP12741_272,Noncdm Charge Record Medical Supplies - Knife Surg Myrngtm,49.68,19.38,,,0
CDM,SUP12741_A4649_272,Noncdm Charge Record Medical Supplies - Knife Surg Myrngtm,49.68,19.38,,,0
CDM,SUP12741_A9999_272,Noncdm Charge Record Medical Supplies - Knife Surg Myrngtm,49.68,19.38,,,0
CDM,SUP127483,Noncdm Charge Record Medical Supplies - Suture Nonabsorbable 48In 4 Black Monofilament,272.61,106.32,,,0
CDM,SUP127484_C1757_272,Noncdm Charge Record Medical Supplies - Flowtriever Aspiration Catheter 16Fr L113Cm,14193.99,5535.66,,,0
CDM,SUP127484_C1887_272,Noncdm Charge Record Medical Supplies - Flowtriever Aspiration Catheter 16Fr L113Cm,36595.53,14272.26,,,0
CDM,SUP127485_C1757_272,Noncdm Charge Record Medical Supplies - Flowtriever Aspiration Catheter L95Cm Od6.7Mm 24Fr Single In,14271.27,5565.8,,,0
CDM,SUP127485_C1887_272,Noncdm Charge Record Medical Supplies - Flowtriever Aspiration Catheter L95Cm Od6.7Mm 24Fr Single In,36637.57,14288.65,,,0
CDM,SUP127487,Noncdm Charge Record Medical Supplies,12125.02,4728.76,,,0
CDM,SUP127488,Noncdm Charge Record Medical Supplies,12676.16,4943.7,,,0
CDM,SUP127489,Noncdm Charge Record Medical Supplies,10463.13,4080.62,,,0
CDM,SUP127490_272,Noncdm Charge Record Medical Supplies - System Adipose Processing Autologous Advanced,2368.31,923.64,,,0
CDM,SUP127490_A4649_272,Noncdm Charge Record Medical Supplies - System Adipose Processing Autologous Advanced,2231.46,870.27,,,0
CDM,SUP12751,Noncdm Charge Record Medical Supplies,2246.98,876.32,,,0
CDM,SUP12753,Noncdm Charge Record Medical Supplies - Needle Bx 21Ga 15Cm Chba Asp Strl Disp,58.65,22.87,,,0
CDM,SUP12754_C1887_272,Noncdm Charge Record Medical Supplies - Set Intro 10Cm 4Fr 21Ga Mpnch Slht .018In Ss,136.62,53.28,,,0
CDM,SUP12754_C1894_272,Noncdm Charge Record Medical Supplies - Set Intro 10Cm 4Fr 21Ga Mpnch Slht .018In Ss,106.6,41.57,,,0
CDM,SUP12756,Noncdm Charge Record Medical Supplies - See 141065 Suture Monocryl 3-0 Sh 27In Undyed Ethicon,10.35,4.04,,,0
CDM,SUP12757,Noncdm Charge Record Medical Supplies - Sheath 5Fr Terumo 10Cm Mini Gwire,46.25,18.04,,,0
CDM,SUP12759_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 2 V-37 30In Cr Ethicon,77.58,30.26,,,0
CDM,SUP12759_A4649_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 2 V-37 30In Cr Ethicon,77.76,30.33,,,0
CDM,SUP12759_A9999_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 2 V-37 30In Cr Ethicon,78.66,30.68,,,0
CDM,SUP12763,Noncdm Charge Record Medical Supplies - Suture Plain 3-0 54In Reel Ethicon,17.6,6.86,,,0
CDM,SUP12765_272,Noncdm Charge Record Medical Supplies - Blade Saw 11.5X5.5X.38Mm Prcs Micro Thin Ss,160.77,62.7,,,0
CDM,SUP12765_A4649_272,Noncdm Charge Record Medical Supplies - Blade Saw 11.5X5.5X.38Mm Prcs Micro Thin Ss,162.75,63.47,,,0
CDM,SUP12766,Noncdm Charge Record Medical Supplies - Guidewire Orth 230Mm 2.5Mm Lcp Fem Thrd Spd,185.26,72.25,,,0
CDM,SUP127670,Noncdm Charge Record Medical Supplies - Suture Prolene 5-0 Vb-Rb-1Rb-,40.27,15.71,,,0
CDM,SUP12772,Noncdm Charge Record Medical Supplies - Threaded Tip,910.8,355.21,,,0
CDM,SUP12773,Noncdm Charge Record Medical Supplies - Blade Saw 10X9X3.8Mm Prcs Thin Ss Osc Sag,160.77,62.7,,,0
CDM,SUP12774,Noncdm Charge Record Medical Supplies - 3.2 Drill Bit,896.31,349.56,,,0
CDM,SUP12775_272,Noncdm Charge Record Medical Supplies - Blade Saw 18.5X7X.38Mm Prcs Med Nar Thin Ss,167.55,65.34,,,0
CDM,SUP12775_A4649_272,Noncdm Charge Record Medical Supplies - Blade Saw 18.5X7X.38Mm Prcs Med Nar Thin Ss,168.7,65.79,,,0
CDM,SUP12775_A9999_272,Noncdm Charge Record Medical Supplies - Blade Saw 18.5X7X.38Mm Prcs Med Nar Thin Ss,168.7,65.79,,,0
CDM,SUP127761,Noncdm Charge Record Medical Supplies - Introducer Sheath 8.5Fr L81Cm 8.5Fr Dilator L85Cm 0.032In,1323.07,516.0,,,0
CDM,SUP127772_272,Noncdm Charge Record Medical Supplies - Disposible Bipolar Forceps 8In 1.5Mm,1811.25,706.39,,,0
CDM,SUP127772_A4649_272,Noncdm Charge Record Medical Supplies - Disposible Bipolar Forceps 8In 1.5Mm,1811.25,706.39,,,0
CDM,SUP127772_A9999_272,Noncdm Charge Record Medical Supplies - Disposible Bipolar Forceps 8In 1.5Mm,1811.25,706.39,,,0
CDM,SUP127773,Noncdm Charge Record Medical Supplies - Forceps Bipolar L8In Tip 0.5Mm Straight Disposable,1811.25,706.39,,,0
CDM,SUP127774_272,Noncdm Charge Record Medical Supplies - Forceps Bipolar L8In Tip 1.0Mm Straight Disposable,1811.25,706.39,,,0
CDM,SUP127774_A9999_272,Noncdm Charge Record Medical Supplies - Forceps Bipolar L8In Tip 1.0Mm Straight Disposable,1811.25,706.39,,,0
CDM,SUP127838,Noncdm Charge Record Medical Supplies - System Mitraclip G4,145003.5,56551.36,,,0
CDM,SUP127869,Noncdm Charge Record Medical Supplies,447.12,174.38,,,0
CDM,SUP127870,Noncdm Charge Record Medical Supplies - Burr Surgical Od 7.5Mm Acorn,460.92,179.76,,,0
CDM,SUP127890_272,Noncdm Charge Record Medical Supplies - Graft Delivery Device,569.54,222.12,,,0
CDM,SUP127890_A4649_272,Noncdm Charge Record Medical Supplies - Graft Delivery Device,550.62,214.74,,,0
CDM,SUP127890_A9999_272,Noncdm Charge Record Medical Supplies - Graft Delivery Device,636.52,248.24,,,0
CDM,SUP127891,Noncdm Charge Record Medical Supplies - Graft Bone Progenix Plus 5Ml,2487.1,969.97,,,0
CDM,SUP127892,Noncdm Charge Record Medical Supplies - Graft Bone Substitute 10Ml Demineralized Bone Matrix,3816.04,1488.26,,,0
CDM,SUP127893,Noncdm Charge Record Medical Supplies - Bur Shaver Dia5.5Mm Brick Red Straight Tip For Arthroscopic,328.1,127.96,,,0
CDM,SUP127894,Noncdm Charge Record Medical Supplies - Sheath Urological L30Cm D30Fr Nephrostomy Tract Continous,127.3,49.65,,,0
CDM,SUP127895,Noncdm Charge Record Medical Supplies - Eea Circular Stapler With Staple Technology 28Mm Medium-,1564.91,610.31,,,0
CDM,SUP127896,Noncdm Charge Record Medical Supplies - Eea Circular Stapler With Tristaple 31Mm Medium-Thick,1533.87,598.21,,,0
CDM,SUP12794_272,Noncdm Charge Record Medical Supplies - See 140982 Suture Vicryl 4-0 P-3 18In Undyed Ethicon,21.4,8.35,,,0
CDM,SUP12794_A4649_272,Noncdm Charge Record Medical Supplies - See 140982 Suture Vicryl 4-0 P-3 18In Undyed Ethicon,21.74,8.48,,,0
CDM,SUP12795_272,Noncdm Charge Record Medical Supplies - Suture Chromic 5-0 P-3 18In Ethicon,30.97,12.08,,,0
CDM,SUP12795_A4649_272,Noncdm Charge Record Medical Supplies - Suture Chromic 5-0 P-3 18In Ethicon,30.96,12.07,,,0
CDM,SUP12795_A9999_272,Noncdm Charge Record Medical Supplies - Suture Chromic 5-0 P-3 18In Ethicon,31.05,12.11,,,0
CDM,SUP12796,Noncdm Charge Record Medical Supplies,24.84,9.69,,,0
CDM,SUP127976,Noncdm Charge Record Medical Supplies - Staple Surgical 30Mm White Curved Tip,2314.92,902.82,,,0
CDM,SUP127977,Noncdm Charge Record Medical Supplies - Graft Human Tissue W40Xl70Mm Thk2.5-3.5Mm Acellular Dermal,18797.67,7331.09,,,0
CDM,SUP127978,Noncdm Charge Record Medical Supplies - Graft Bone Substitute Sm 1Ml Cryopreserved Viable Cortical,2578.18,1005.49,,,0
CDM,SUP127979,Noncdm Charge Record Medical Supplies - Graft Bone Substitute M 5Ml Cellular Vivigen,10383.08,4049.4,,,0
CDM,SUP12798,Noncdm Charge Record Medical Supplies - Suture Chromic 0 27In Ct1 Abs Ethicon,15.21,5.93,,,0
CDM,SUP127980,Noncdm Charge Record Medical Supplies - Graft Bone Substitute 10Cc Dem Demineralized Cellular Matrix,18958.1,7393.66,,,0
CDM,SUP127981,Noncdm Charge Record Medical Supplies - Graft Bone Substitute 15Cc Cellular Dbm Vivigen,23200.56,9048.22,,,0
CDM,SUP12799,Noncdm Charge Record Medical Supplies - Suture Plain 3-0 Ct-1 27In Ethicon,15.34,5.98,,,0
CDM,SUP12801_272,Noncdm Charge Record Medical Supplies - Suture Chromic 3-0 Ps-2 27In Ethicon,30.02,11.71,,,0
CDM,SUP12801_A4649_272,Noncdm Charge Record Medical Supplies - Suture Chromic 3-0 Ps-2 27In Ethicon,30.02,11.71,,,0
CDM,SUP12801_A9999_272,Noncdm Charge Record Medical Supplies - Suture Chromic 3-0 Ps-2 27In Ethicon,30.02,11.71,,,0
CDM,SUP12805,Noncdm Charge Record Medical Supplies - Knife Acl Graft 10Mm Depuy Mitek,1480.05,577.22,,,0
CDM,SUP12808,Noncdm Charge Record Medical Supplies - Suture Ethilon 5-0 Pc-3 18In Ethicon,21.57,8.41,,,0
CDM,SUP12811,Noncdm Charge Record Medical Supplies - Wire Doc Extension,608.27,237.23,,,0
CDM,SUP128151,Noncdm Charge Record Medical Supplies - Catheter Resolve Drainage 8Fr,320.95,125.17,,,0
CDM,SUP12817,Noncdm Charge Record Medical Supplies - Mesh Progrip 15 X 9,1135.52,442.85,,,0
CDM,SUP128207,Noncdm Charge Record Medical Supplies - Kit Fixation Rockerrail Truelok System,6714.04,2618.48,,,0
CDM,SUP128208,Noncdm Charge Record Medical Supplies - Maxframe Strut Id Band Set,1747.08,681.36,,,0
CDM,SUP128209,Noncdm Charge Record Medical Supplies - Maxframe Strut Id Plug Set,1958.22,763.71,,,0
CDM,SUP128237,Noncdm Charge Record Medical Supplies,1594.94,622.03,,,0
CDM,SUP128238,Noncdm Charge Record Medical Supplies,2423.0,944.97,,,0
CDM,SUP128239,Noncdm Charge Record Medical Supplies - Site Selective Pacing Catheter Extended Hook,2513.7,980.34,,,0
CDM,SUP128240,Noncdm Charge Record Medical Supplies,2423.28,945.08,,,0
CDM,SUP128257,Noncdm Charge Record Medical Supplies - Stent Ureteral Ascerta Firm 6Fx22Cm,799.58,311.84,,,0
CDM,SUP128258,Noncdm Charge Record Medical Supplies - Stent Ureteral Ascerta Firm 6Fx24Cm,754.94,294.43,,,0
CDM,SUP128259,Noncdm Charge Record Medical Supplies - Stent Ureteral Ascerta Firm 6Fx26Cm,682.97,266.36,,,0
CDM,SUP12828,Noncdm Charge Record Medical Supplies - Immobilizer Med Shlder Abd,278.42,108.58,,,0
CDM,SUP128288_272,Noncdm Charge Record Medical Supplies - Syringe Irrigation 70Ml W- Cath Adapter Disposable Toomey,8.28,3.23,,,0
CDM,SUP128288_A4649_272,Noncdm Charge Record Medical Supplies - Syringe Irrigation 70Ml W- Cath Adapter Disposable Toomey,8.28,3.23,,,0
CDM,SUP128288_A9999_272,Noncdm Charge Record Medical Supplies - Syringe Irrigation 70Ml W- Cath Adapter Disposable Toomey,8.28,3.23,,,0
CDM,SUP1283,Noncdm Charge Record Medical Supplies - Kit Ep 110Cm 5Fr Aflx Temp,1150.79,448.81,,,0
CDM,SUP12830,Noncdm Charge Record Medical Supplies - Stockinet 60X6In Orth Cttn 2,18.63,7.27,,,0
CDM,SUP128331,Noncdm Charge Record Medical Supplies - Stent Urethral 8Fr L12Cm Used During Hypospadias Epispadias,176.98,69.02,,,0
CDM,SUP128381,Noncdm Charge Record Medical Supplies - Tourniquet Surgical L13In Red Rubber Sheath Plug,32.08,12.51,,,0
CDM,SUP12840_272,Noncdm Charge Record Medical Supplies - Suture Permahand 0 30In Tie Black Ethicon,7.24,2.82,,,0
CDM,SUP12840_A4649_272,Noncdm Charge Record Medical Supplies - Suture Permahand 0 30In Tie Black Ethicon,7.24,2.82,,,0
CDM,SUP12840_A9999_272,Noncdm Charge Record Medical Supplies - Suture Permahand 0 30In Tie Black Ethicon,7.24,2.82,,,0
CDM,SUP128443_C1757_272,Noncdm Charge Record Medical Supplies - Catheter Thrombectomy L16Cm Dia4.6Mm Sheath Clottriever,7073.02,2758.48,,,0
CDM,SUP128443_C1894_272,Noncdm Charge Record Medical Supplies - Catheter Thrombectomy L16Cm Dia4.6Mm Sheath Clottriever,10807.23,4214.82,,,0
CDM,SUP128446,Noncdm Charge Record Medical Supplies - Device Revascularization Solitaire X 4X40,20943.22,8167.86,,,0
CDM,SUP128447,Noncdm Charge Record Medical Supplies - Device Revascularization Solitaire X 6X40,20943.22,8167.86,,,0
CDM,SUP128450,Noncdm Charge Record Medical Supplies - Catheter Vascular L160Cm Phenom 21,3968.19,1547.59,,,0
CDM,SUP128480_272,Noncdm Charge Record Medical Supplies - Drain Surgical 15Fr Silicone Round Channel,68.87,26.86,,,0
CDM,SUP128480_A4649_272,Noncdm Charge Record Medical Supplies - Drain Surgical 15Fr Silicone Round Channel,68.83,26.84,,,0
CDM,SUP12848_272,Noncdm Charge Record Medical Supplies - Pack Jaw Bra Ice,109.19,42.58,,,0
CDM,SUP12848_A4649_272,Noncdm Charge Record Medical Supplies - Pack Jaw Bra Ice,104.54,40.77,,,0
CDM,SUP12849,Noncdm Charge Record Medical Supplies - Curette Vac 9Mm Plastic Strt,21.74,8.48,,,0
CDM,SUP1284_272,Noncdm Charge Record Medical Supplies - Device Trq Gldcath,30.0,11.7,,,0
CDM,SUP1284_A4649_272,Noncdm Charge Record Medical Supplies - Device Trq Gldcath,30.83,12.02,,,0
CDM,SUP1284_A9999_272,Noncdm Charge Record Medical Supplies - Device Trq Gldcath,28.98,11.3,,,0
CDM,SUP1285,Noncdm Charge Record Medical Supplies - Guidewire Amplatz Super Stiff 180Cm,194.61,75.9,,,0
CDM,SUP12851,Noncdm Charge Record Medical Supplies - Burr Surg 45Mm 3.5Mm Carb,171.81,67.01,,,0
CDM,SUP12856,Noncdm Charge Record Medical Supplies,25.88,10.09,,,0
CDM,SUP12859,Noncdm Charge Record Medical Supplies - Guidewire Vasc Std.035In 145Cm Ang Std R,165.6,64.58,,,0
CDM,SUP12861,Noncdm Charge Record Medical Supplies - Guidewire .035In 150Cm3Mm Fxcr,33.02,12.88,,,0
CDM,SUP12862,Noncdm Charge Record Medical Supplies - Guidewire Vasc 7Cm Tip .035In,25.88,10.09,,,0
CDM,SUP12863_272,Noncdm Charge Record Medical Supplies - 6Fr Jl 3.5 Catheter,45.77,17.85,,,0
CDM,SUP12863_A4649_272,Noncdm Charge Record Medical Supplies - 6Fr Jl 3.5 Catheter,46.44,18.11,,,0
CDM,SUP12863_A9999_272,Noncdm Charge Record Medical Supplies - 6Fr Jl 3.5 Catheter,44.38,17.31,,,0
CDM,SUP12864,Noncdm Charge Record Medical Supplies - 6Fr Jr 3.5 Catheter,45.54,17.76,,,0
CDM,SUP12865_272,Noncdm Charge Record Medical Supplies - 6Fr Jl 5 Catheter,44.47,17.34,,,0
CDM,SUP12865_A4649_272,Noncdm Charge Record Medical Supplies - 6Fr Jl 5 Catheter,44.5,17.36,,,0
CDM,SUP12865_A9999_272,Noncdm Charge Record Medical Supplies - 6Fr Jl 5 Catheter,44.5,17.36,,,0
CDM,SUP12866_272,Noncdm Charge Record Medical Supplies - 6Fr Jr 5 Catheter,46.02,17.95,,,0
CDM,SUP12866_A4649_272,Noncdm Charge Record Medical Supplies - 6Fr Jr 5 Catheter,46.58,18.17,,,0
CDM,SUP12867,Noncdm Charge Record Medical Supplies - Catheter Angio 6Fr Jl6,46.58,18.17,,,0
CDM,SUP12868,Noncdm Charge Record Medical Supplies - 6Fr Jr 6 Catheter,44.5,17.36,,,0
CDM,SUP12869,Noncdm Charge Record Medical Supplies - 6Fr 125Cm Mpa2 Catheter,44.5,17.36,,,0
CDM,SUP1286_270,Noncdm Charge Record Medical Supplies - Net Spec Ret 230Cm 2.5Mm Rthnt Std Strng,464.79,181.27,,,0
CDM,SUP1286_A4649_270,Noncdm Charge Record Medical Supplies - Net Spec Ret 230Cm 2.5Mm Rthnt Std Strng,464.72,181.24,,,0
CDM,SUP1286_A9999_270,Noncdm Charge Record Medical Supplies - Net Spec Ret 230Cm 2.5Mm Rthnt Std Strng,464.72,181.24,,,0
CDM,SUP12870_272,Noncdm Charge Record Medical Supplies - 6Fr Al1 Catheter,45.73,17.83,,,0
CDM,SUP12870_A4649_272,Noncdm Charge Record Medical Supplies,46.58,18.17,,,0
CDM,SUP12870_A9999_272,Noncdm Charge Record Medical Supplies - 6Fr Al1 Catheter,44.5,17.36,,,0
CDM,SUP12871_272,Noncdm Charge Record Medical Supplies - 6Fr Mpb2 Catheter,45.86,17.89,,,0
CDM,SUP12871_A4649_272,Noncdm Charge Record Medical Supplies - 6Fr Mpb2 Catheter,46.58,18.17,,,0
CDM,SUP12872_272,Noncdm Charge Record Medical Supplies - 6Fr Im Catheter,45.69,17.82,,,0
CDM,SUP12872_A4649_272,Noncdm Charge Record Medical Supplies - 6Fr Im Catheter,46.58,18.17,,,0
CDM,SUP12874,Noncdm Charge Record Medical Supplies - 6Fr Lcb Catheter,45.06,17.57,,,0
CDM,SUP128747,Noncdm Charge Record Medical Supplies - Shim Disc Stainless Steel,2369.11,923.95,,,0
CDM,SUP128748,Noncdm Charge Record Medical Supplies - Suture Ethilon Size 9-0 L12In Tg160-6 L5.5Mm Double Armed,82.8,32.29,,,0
CDM,SUP128778_272,Noncdm Charge Record Medical Supplies,113.85,44.4,,,0
CDM,SUP128778_A4649_272,Noncdm Charge Record Medical Supplies,113.85,44.4,,,0
CDM,SUP128802,Noncdm Charge Record Medical Supplies - Surgipro Ii 4-0 48In Blue V-20 -Da,59.06,23.03,,,0
CDM,SUP12883,Noncdm Charge Record Medical Supplies - Suture Chromic 2-0 27In Ct-3 Abs Ethicon,15.58,6.08,,,0
CDM,SUP128866,Noncdm Charge Record Medical Supplies - Device Fixation 30 Tack,2285.97,891.53,,,0
CDM,SUP12887,Noncdm Charge Record Medical Supplies - Introducer Sheath 7Fr 24Cm 3W Stopcock Intgr,292.35,114.02,,,0
CDM,SUP12895_272,Noncdm Charge Record Medical Supplies - Right Heart Manifold Kit,96.28,37.55,,,0
CDM,SUP12895_A9999_272,Noncdm Charge Record Medical Supplies - Right Heart Manifold Kit,96.26,37.54,,,0
CDM,SUP128965,Noncdm Charge Record Medical Supplies - Catheter Vascular L132Cm Od0.0 Od0.0855In Id0.071In,7936.38,3095.19,,,0
CDM,SUP128983,Noncdm Charge Record Medical Supplies - Binder 4Xl 12In,119.02,46.42,,,0
CDM,SUP128984,Noncdm Charge Record Medical Supplies - Binder 3Xl 12In,49.68,19.38,,,0
CDM,SUP12899_272,Noncdm Charge Record Medical Supplies - Ioban 23X17In Anmc Imprg Adh Trans Strl,23.99,9.36,,,0
CDM,SUP12899_A4649_272,Noncdm Charge Record Medical Supplies - Ioban 23X17In Anmc Imprg Adh Trans Strl,23.8,9.28,,,0
CDM,SUP12899_A9999_272,Noncdm Charge Record Medical Supplies - Ioban 23X17In Anmc Imprg Adh Trans Strl,23.8,9.28,,,0
CDM,SUP12899_L8699_272,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP12901,Noncdm Charge Record Medical Supplies - Guidewire .035In 150Cm Wholey,302.22,117.87,,,0
CDM,SUP12905,Noncdm Charge Record Medical Supplies - Syringe Inj Medrad Injector Front Ld 200Ml,28.98,11.3,,,0
CDM,SUP129054_272,Noncdm Charge Record Medical Supplies - Omniclose Suture Passer W-Guide Cond 14 Guage,81.98,31.97,,,0
CDM,SUP129054_A4649_272,Noncdm Charge Record Medical Supplies - Omniclose Suture Passer W-Guide Cond 14 Guage,83.32,32.49,,,0
CDM,SUP129054_A9999_272,Noncdm Charge Record Medical Supplies - Omniclose Suture Passer W-Guide Cond 14 Guage,81.76,31.89,,,0
CDM,SUP129055,Noncdm Charge Record Medical Supplies - Catheter Angioplasty L130Cm Balloon L60Mm Dia7Mm,6216.73,2424.52,,,0
CDM,SUP129056,Noncdm Charge Record Medical Supplies - Genex Bone Graft Substitute 10Cc,10150.25,3958.6,,,0
CDM,SUP129057,Noncdm Charge Record Medical Supplies - Genex Bone Graft Substitute 5Cc,5316.8,2073.55,,,0
CDM,SUP129058,Noncdm Charge Record Medical Supplies - Sigmoidoscope Kit,749.93,292.47,,,0
CDM,SUP12906,Noncdm Charge Record Medical Supplies - Snare Vasc 120Cm 25Mm 6Fr Agn,1253.3,488.79,,,0
CDM,SUP12908,Noncdm Charge Record Medical Supplies - Catheter Drain 10Fr 30Cm,373.09,145.51,,,0
CDM,SUP12909,Noncdm Charge Record Medical Supplies - Catheter Drain 8Fr 30Cm,396.4,154.6,,,0
CDM,SUP12910,Noncdm Charge Record Medical Supplies - Catheter Angio .038In Crv 4Fr 4Fr 65Cm C2 Drct,249.3,97.23,,,0
CDM,SUP129112,Noncdm Charge Record Medical Supplies - Electrode Electrosurgical Cold Half Round Angled Needle Disp,889.06,346.73,,,0
CDM,SUP12913,Noncdm Charge Record Medical Supplies - Guidewire Vasc Std.035In150Cm 3Cm Ang Tip,147.74,57.62,,,0
CDM,SUP129135,Noncdm Charge Record Medical Supplies - 14.0 Mm Cann Drill Bit,3060.63,1193.65,,,0
CDM,SUP129139,Noncdm Charge Record Medical Supplies - Catheter Angioplasty 200Cm 6F X 5Mm X 80Mm,1851.62,722.13,,,0
CDM,SUP12914,Noncdm Charge Record Medical Supplies - Guidewire Vasc Std .035In 260Cm 3Cm Strt Tip,261.51,101.99,,,0
CDM,SUP129142,Noncdm Charge Record Medical Supplies,1851.62,722.13,,,0
CDM,SUP129146,Noncdm Charge Record Medical Supplies - Catheter Angioplasty 200Cm 6F X 8Mm X 60Mm,1851.62,722.13,,,0
CDM,SUP129157,Noncdm Charge Record Medical Supplies - Spacer Radiotherapy 10Ml Hydrogel Perirectal Absorbable,16651.08,6493.92,,,0
CDM,SUP12918_272,Noncdm Charge Record Medical Supplies - Suture Chromic 4-0 Fs-2 27In Ethicon,14.66,5.72,,,0
CDM,SUP12918_A4649_272,Noncdm Charge Record Medical Supplies - Suture Chromic 4-0 Fs-2 27In Ethicon,14.49,5.65,,,0
CDM,SUP12918_A9999_272,Noncdm Charge Record Medical Supplies - Suture Chromic 4-0 Fs-2 27In Ethicon,14.49,5.65,,,0
CDM,SUP12919,Noncdm Charge Record Medical Supplies - See 30702 Catheter Ureth Bdx 18Fr Cncl,81.76,31.89,,,0
CDM,SUP12922,Noncdm Charge Record Medical Supplies,5.18,2.02,,,0
CDM,SUP12923,Noncdm Charge Record Medical Supplies,2.07,0.81,,,0
CDM,SUP12925_272,Noncdm Charge Record Medical Supplies - Cover Pin Blu .078-.125In Med Thrmplst,6.21,2.42,,,0
CDM,SUP12925_A4649_272,Noncdm Charge Record Medical Supplies - Cover Pin Blu .078-.125In Med Thrmplst,6.21,2.42,,,0
CDM,SUP129261_C1766_272,Noncdm Charge Record Medical Supplies - Introducer Sheath 8.5Fr L71Cm Dilator 8.5Fr Med Curl 22.4Mm,3989.92,1556.07,,,0
CDM,SUP129261_C1894_272,Noncdm Charge Record Medical Supplies - Introducer Sheath 8.5Fr L71Cm Dilator 8.5Fr Med Curl 22.4Mm,3989.92,1556.07,,,0
CDM,SUP12927,Noncdm Charge Record Medical Supplies - Suture Ethibond 2-0 Mo-7 30In Green Ethicon,66.41,25.9,,,0
CDM,SUP12930,Noncdm Charge Record Medical Supplies - Needle 1-2 Circle Taper Point Mayo Richard Allen,11.38,4.44,,,0
CDM,SUP12932,Noncdm Charge Record Medical Supplies - Needle Nv Bvl Tip 1-Pas 3,2212.83,863.0,,,0
CDM,SUP129347,Noncdm Charge Record Medical Supplies - Guidewire Hydrophilic Coat 30 0Gr Tip .018In 300Cm,3485.88,1359.49,,,0
CDM,SUP129350,Noncdm Charge Record Medical Supplies - Allograft Moldable Cortical Bone Physio 5Cc,10392.44,4053.05,,,0
CDM,SUP129351,Noncdm Charge Record Medical Supplies - Allograft Moldable Cortical Bone Physio 10Cc,19575.84,7634.58,,,0
CDM,SUP12936_272,Noncdm Charge Record Medical Supplies - Burr Surg 55Mm 4Mm Round Fst Cut Strl,194.78,75.96,,,0
CDM,SUP12936_A4649_272,Noncdm Charge Record Medical Supplies - Burr Surg 55Mm 4Mm Round Fst Cut Strl,240.12,93.65,,,0
CDM,SUP12936_A9999_272,Noncdm Charge Record Medical Supplies - Burr Surg 55Mm 4Mm Round Fst Cut Strl,127.3,49.65,,,0
CDM,SUP12936_C1889_272,Noncdm Charge Record Medical Supplies,240.12,93.65,,,0
CDM,SUP12937,Noncdm Charge Record Medical Supplies - Suture Plain 3-0 Fs-1 27In Ethicon,15.52,6.05,,,0
CDM,SUP129376,Noncdm Charge Record Medical Supplies - Catheter Guide Extension 6Fr L L150Cm Od0.067In Id0.056In,1899.53,740.82,,,0
CDM,SUP129377,Noncdm Charge Record Medical Supplies - Catheter Guide Extension 7Fr L L150Cm Od0.075In Id0.062In,1890.94,737.47,,,0
CDM,SUP12938_270,Noncdm Charge Record Medical Supplies,14.57,5.68,,,0
CDM,SUP12938_A4649_270,Noncdm Charge Record Medical Supplies,14.49,5.65,,,0
CDM,SUP12938_A9999_270,Noncdm Charge Record Medical Supplies,14.49,5.65,,,0
CDM,SUP12939,Noncdm Charge Record Medical Supplies - Spear Eye Mrcl 3Ang Malle Hand,26.91,10.49,,,0
CDM,SUP12949,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 1.8Mm 100Mm Synthes,775.22,302.34,,,0
CDM,SUP12951,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 2.4Mm 100Mm Synthes,775.22,302.34,,,0
CDM,SUP12952,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 1.5Mm 110Mm Synthes,297.04,115.85,,,0
CDM,SUP129523,Noncdm Charge Record Medical Supplies - Screw Spinal Reduction 10Mm Po Polyaxial Tulip Modular Mis,2455.43,957.62,,,0
CDM,SUP12953_272,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 2Mm 125Mm Synthes,318.74,124.31,,,0
CDM,SUP12953_A4649_272,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 2Mm 125Mm Synthes,311.54,121.5,,,0
CDM,SUP1296,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 35Mm Reflc Canc,188.37,73.46,,,0
CDM,SUP12968_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 3-0 Ps-1 18In Ethicon,21.59,8.42,,,0
CDM,SUP12968_A4649_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 3-0 Ps-1 18In Ethicon,21.14,8.24,,,0
CDM,SUP12968_A9999_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 3-0 Ps-1 18In Ethicon,21.74,8.48,,,0
CDM,SUP129707_272,Noncdm Charge Record Medical Supplies - Forcep Bx L100Cm Dia2.2Mm 2.8Mm Wkg Chnl Std Cpc Pulm,358.11,139.66,,,0
CDM,SUP129707_A4649_272,Noncdm Charge Record Medical Supplies - Forcep Bx L100Cm Dia2.2Mm 2.8Mm Wkg Chnl Std Cpc Pulm,358.11,139.66,,,0
CDM,SUP129708,Noncdm Charge Record Medical Supplies - Monitor Cardiac Linq Ii,21618.26,8431.12,,,0
CDM,SUP129709,Noncdm Charge Record Medical Supplies - Sizer Surgical Measuring Graft Cardiovascular 24 To 38 Mm Di,51.49,20.08,,,0
CDM,SUP129710,Noncdm Charge Record Medical Supplies - Catheter Angioplasty L135Cm Sheath 6Fr 7Atm 0.035In,605.99,236.34,,,0
CDM,SUP129711,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 9Mm 135Cm 80Mm,416.07,162.27,,,0
CDM,SUP129712,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 10Mm 135Cm 60Mm,605.99,236.34,,,0
CDM,SUP12971_272,Noncdm Charge Record Medical Supplies - Suture Prolene 4-0 Ps-2 H 18In Ethicon,28.5,11.12,,,0
CDM,SUP12971_A4649_272,Noncdm Charge Record Medical Supplies - Suture Prolene 4-0 Ps-2 H 18In Ethicon,28.98,11.3,,,0
CDM,SUP12971_A9999_272,Noncdm Charge Record Medical Supplies - Suture Prolene 4-0 Ps-2 H 18In Ethicon,28.98,11.3,,,0
CDM,SUP12972_272,Noncdm Charge Record Medical Supplies - Suture Chromic 2-0 54In Reel Abs Ethicon,17.6,6.86,,,0
CDM,SUP12972_A9999_272,Noncdm Charge Record Medical Supplies - Suture Chromic 2-0 54In Reel Abs Ethicon,17.6,6.86,,,0
CDM,SUP12973,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 24In Tie Black Ethicon,12.12,4.73,,,0
CDM,SUP12974_272,Noncdm Charge Record Medical Supplies - Retriever Hewson Suture Smith And Nephew,751.38,293.04,,,0
CDM,SUP12974_A4649_272,Noncdm Charge Record Medical Supplies - Retriever Hewson Suture Smith And Nephew,751.41,293.05,,,0
CDM,SUP12974_A9999_272,Noncdm Charge Record Medical Supplies - Retriever Hewson Suture Smith And Nephew,751.06,292.91,,,0
CDM,SUP12977,Noncdm Charge Record Medical Supplies - Burr Surg 47.8Mm 5.5Mm Med Carb Oval Osc,115.92,45.21,,,0
CDM,SUP12978,Noncdm Charge Record Medical Supplies - Burr Surg 48Mm 4Mm Med Carb Oval Sld Strl,106.39,41.49,,,0
CDM,SUP12979,Noncdm Charge Record Medical Supplies - Burr Surg 50Mm 2Mm Med Carb Tpr Sdct Strl,98.32,38.34,,,0
CDM,SUP1298,Noncdm Charge Record Medical Supplies - Sponge Actct Dressing Ext Fix,33.12,12.92,,,0
CDM,SUP129805,Noncdm Charge Record Medical Supplies - Blanket Reflc Lower Body Premium Lower Body,30.02,11.71,,,0
CDM,SUP12983,Noncdm Charge Record Medical Supplies - Transducer 24In Std Kt,68.31,26.64,,,0
CDM,SUP129837,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Super Soft 1Mm X 1Cm,11576.48,4514.83,,,0
CDM,SUP129838,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Super Soft 1Mm X 2Cm,11575.96,4514.62,,,0
CDM,SUP129840,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Super Soft 1.5Mm X 2Cm,11576.48,4514.83,,,0
CDM,SUP129841,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Super Soft 1.5Mm X 3Cm,11576.48,4514.83,,,0
CDM,SUP129843,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Super Soft 2Mm X 3Cm,11576.48,4514.83,,,0
CDM,SUP129844,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Super Soft 2Mm X 4Cm,11576.3,4514.76,,,0
CDM,SUP129845,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Super Soft 2Mm X 6Cm,11576.48,4514.83,,,0
CDM,SUP129847,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Super Soft 2.5Mm X 5Cm,11576.48,4514.83,,,0
CDM,SUP129848,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Super Soft 3Mm X 3Cm,11576.48,4514.83,,,0
CDM,SUP129849,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Super Soft 3Mm X 7Cm,11576.27,4514.75,,,0
CDM,SUP129850,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Super Soft 3Mm X 10Cm,11576.22,4514.73,,,0
CDM,SUP129851,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Super Soft 3.5Mm X 3.5Cm,11576.48,4514.83,,,0
CDM,SUP129852,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Super Soft 3.5Mm X 5Cm,11576.27,4514.75,,,0
CDM,SUP129853,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Super Soft 3.5Mm X 8Cm,11576.48,4514.83,,,0
CDM,SUP129854,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Soft 4Mm X 4Cm,11576.48,4514.83,,,0
CDM,SUP129855,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Soft 4Mm X 7Cm,11576.48,4514.83,,,0
CDM,SUP129856,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Soft 4Mm X 10Cm,11576.48,4514.83,,,0
CDM,SUP129857,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Soft 4Mm X 13Cm,11576.22,4514.73,,,0
CDM,SUP129858,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Soft 4.5Mm X 4.5Cm,11576.48,4514.83,,,0
CDM,SUP129859,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Soft 4.5Mm X 10Cm,11576.48,4514.83,,,0
CDM,SUP129860,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Soft 5Mm X 7Cm,11576.48,4514.83,,,0
CDM,SUP129861,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Soft 5Mm X 10Cm,11576.48,4514.83,,,0
CDM,SUP129862,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Soft 5Mm X 17Cm,11576.48,4514.83,,,0
CDM,SUP129864,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Soft 6Mm X 15Cm,11576.48,4514.83,,,0
CDM,SUP129865,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Soft 6Mm X 20Cm,11576.48,4514.83,,,0
CDM,SUP129867,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Soft 7Mm X 20Cm,11576.48,4514.83,,,0
CDM,SUP129868,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Soft 8Mm X 20Cm,11576.48,4514.83,,,0
CDM,SUP129869,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Soft 8Mm X 30Cm,11576.48,4514.83,,,0
CDM,SUP129870,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Soft 9Mm X 30Cm,11575.96,4514.62,,,0
CDM,SUP129871,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Soft 10Mm X 40Cm,11576.22,4514.73,,,0
CDM,SUP129872,Noncdm Charge Record Medical Supplies - Sheath T-A Int Set - 30Cm,208.04,81.14,,,0
CDM,SUP12987_272,Noncdm Charge Record Medical Supplies - Kit Drain 1-8In Pvc Round,38.17,14.89,,,0
CDM,SUP12987_A4649_272,Noncdm Charge Record Medical Supplies - Kit Drain 1-8In Pvc Round,38.3,14.94,,,0
CDM,SUP129889,Noncdm Charge Record Medical Supplies - Dilator Balloon 3Mm 75Mm 15Mm Cre Pulm,2013.08,785.1,,,0
CDM,SUP1299,Noncdm Charge Record Medical Supplies - Stem Fem 160Mm 14Mm Prft Legion Knee,6355.94,2478.82,,,0
CDM,SUP12991,Noncdm Charge Record Medical Supplies,9.32,3.63,,,0
CDM,SUP129911,Noncdm Charge Record Medical Supplies - Cath Acc Del Used W-Spyglass Ds Digitial Controller,14859.5,5795.2,,,0
CDM,SUP129912_272,Noncdm Charge Record Medical Supplies - Cath Ep 8Fr L180Cm Bipolar Rf Disp Endohpb Habib,13802.76,5383.08,,,0
CDM,SUP129912_A4649_272,Noncdm Charge Record Medical Supplies - Cath Ep 8Fr L180Cm Bipolar Rf Disp Endohpb Habib,13802.76,5383.08,,,0
CDM,SUP129914_278,Noncdm Charge Record Medical Supplies - Surescan Mri Lead Kit,25421.67,9914.45,,,0
CDM,SUP129914_C1778_278,Noncdm Charge Record Medical Supplies - Surescan Mri Lead Kit,20694.23,8070.75,,,0
CDM,SUP129915,Noncdm Charge Record Medical Supplies - Surescan Micro Mri Lead Kit,18729.36,7304.45,,,0
CDM,SUP129917_272,Noncdm Charge Record Medical Supplies - Snare Endoscopic Adult L240Cm Captivator Ii Stiff 10Mm Round,159.39,62.16,,,0
CDM,SUP129917_A4649_272,Noncdm Charge Record Medical Supplies - Snare Endoscopic Adult L240Cm Captivator Ii Stiff 10Mm Round,159.39,62.16,,,0
CDM,SUP129917_A9999_272,Noncdm Charge Record Medical Supplies - Snare Endoscopic Adult L240Cm Captivator Ii Stiff 10Mm Round,159.39,62.16,,,0
CDM,SUP129918_272,Noncdm Charge Record Medical Supplies - Snare Endoscopic Adult L240Cm Captivator Ii Stiff 15Mm Round,159.39,62.16,,,0
CDM,SUP129918_A4649_272,Noncdm Charge Record Medical Supplies - Snare Endoscopic Adult L240Cm Captivator Ii Stiff 15Mm Round,159.39,62.16,,,0
CDM,SUP129918_A9999_272,Noncdm Charge Record Medical Supplies - Snare Endoscopic Adult L240Cm Captivator Ii Stiff 15Mm Round,159.39,62.16,,,0
CDM,SUP12996,Noncdm Charge Record Medical Supplies - Catheter Drain 10Fr 25Cm Reg,393.3,153.39,,,0
CDM,SUP129995,Noncdm Charge Record Medical Supplies - Suture Chord-X Usp 2-0 L16Mm L18Mm 1-2 Point Needle,2447.78,954.63,,,0
CDM,SUP129996,Noncdm Charge Record Medical Supplies - Suture Premeasured Loop 24Mm Size 2-0 L18Mm 1-2,2685.82,1047.47,,,0
CDM,SUP129998,Noncdm Charge Record Medical Supplies - Suture Chord-X Usp 2-0 L24Mm L18Mm 3-8 Circle Double Arm,2447.78,954.63,,,0
CDM,SUP1300,Noncdm Charge Record Medical Supplies - Wedge Tib 5Mm Legion 4 Dist,6283.48,2450.56,,,0
CDM,SUP13000_272,Noncdm Charge Record Medical Supplies - Snare Vasc 120Cm 10Mm 4Fr Agn,1266.06,493.76,,,0
CDM,SUP13000_A9999_272,Noncdm Charge Record Medical Supplies - Snare Vasc 120Cm 10Mm 4Fr Agn,1224.4,477.52,,,0
CDM,SUP130016,Noncdm Charge Record Medical Supplies - Sheath Endo L1050Mm Dia2.6Mm,661.36,257.93,,,0
CDM,SUP13004,Noncdm Charge Record Medical Supplies - Applier Clip 13 Lg Endo Automatic Titanium Covidien,212.16,82.74,,,0
CDM,SUP13009,Noncdm Charge Record Medical Supplies - Tube Corflo Feed 109Cm 12Fr,199.76,77.91,,,0
CDM,SUP130092,Noncdm Charge Record Medical Supplies - Four-Way Stopcock With Rotating Collar 400Psi,13.11,5.11,,,0
CDM,SUP130093,Noncdm Charge Record Medical Supplies - Sheath Introducer 6Fr L10Cm Needle 21Ga L38Mm Dilator 0.02,1651.86,644.23,,,0
CDM,SUP130095,Noncdm Charge Record Medical Supplies - Catheter Diagnostic 5Fr L130Cm Dia0.04In 0.035-0.038In,611.72,238.57,,,0
CDM,SUP130096,Noncdm Charge Record Medical Supplies - Catheter Diagnostic 5Fr L130Cm Dia0.04In 0.035-0.038In,611.68,238.56,,,0
CDM,SUP130097,Noncdm Charge Record Medical Supplies - Microcatheter Diagnostic 3.1-2.6Fr L156Cm Id0.027In,5290.92,2063.46,,,0
CDM,SUP130100,Noncdm Charge Record Medical Supplies - Precise Carotid Stent 5F 6Mmx 40Mmx135Cm,9929.79,3872.62,,,0
CDM,SUP130101,Noncdm Charge Record Medical Supplies - Pinnacle Sheath 5Fr X 25Cm,102.94,40.15,,,0
CDM,SUP13011_272,Noncdm Charge Record Medical Supplies - Cap Protector 0.062In Steinmen Pin Green Triad Group,10.18,3.97,,,0
CDM,SUP13011_A4649_272,Noncdm Charge Record Medical Supplies - Cap Protector 0.062In Steinmen Pin Green Triad Group,10.35,4.04,,,0
CDM,SUP13011_A9999_272,Noncdm Charge Record Medical Supplies - Cap Protector 0.062In Steinmen Pin Green Triad Group,10.0,3.9,,,0
CDM,SUP13013_272,Noncdm Charge Record Medical Supplies,4.34,1.69,,,0
CDM,SUP13013_A4649_272,Noncdm Charge Record Medical Supplies,4.35,1.7,,,0
CDM,SUP13013_A9999_272,Noncdm Charge Record Medical Supplies,4.14,1.61,,,0
CDM,SUP13014,Noncdm Charge Record Medical Supplies - See 141102 Suture Pds2 1 Ctx 36In Violet Ethicon,14.49,5.65,,,0
CDM,SUP13015_272,Noncdm Charge Record Medical Supplies - Suture Chromic 2-0 27In Ct1 Abs Ethicon,14.45,5.64,,,0
CDM,SUP13015_A4649_272,Noncdm Charge Record Medical Supplies - Suture Chromic 2-0 27In Ct1 Abs Ethicon,14.49,5.65,,,0
CDM,SUP13015_A9999_272,Noncdm Charge Record Medical Supplies - Suture Chromic 2-0 27In Ct1 Abs Ethicon,14.49,5.65,,,0
CDM,SUP13016,Noncdm Charge Record Medical Supplies - Stapler Skin 5.7Mm Reg 35 Cnt,139.72,54.49,,,0
CDM,SUP13018,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 Sh 24Indouble Arm Black Ethicon,17.6,6.86,,,0
CDM,SUP13021,Noncdm Charge Record Medical Supplies - Curette Vac 14Mm Plastic,24.84,9.69,,,0
CDM,SUP13024,Noncdm Charge Record Medical Supplies - Applier Int Clip Plastic Gun Raney Sclp Strl,320.79,125.11,,,0
CDM,SUP13028_272,Noncdm Charge Record Medical Supplies - Valve Hemosta Lg Bore,67.62,26.37,,,0
CDM,SUP13028_A4649_272,Noncdm Charge Record Medical Supplies - Valve Hemosta Lg Bore,67.28,26.24,,,0
CDM,SUP13028_A9999_272,Noncdm Charge Record Medical Supplies - Valve Hemosta Lg Bore,67.28,26.24,,,0
CDM,SUP13029,Noncdm Charge Record Medical Supplies - Device Trq Fluor Pink,17.6,6.86,,,0
CDM,SUP130316,Noncdm Charge Record Medical Supplies - I-Stent Inject W,8459.06,3299.03,,,0
CDM,SUP13032,Noncdm Charge Record Medical Supplies - Blade Saw 21X19Mm Prcs Ss Osc Sag Strl,322.92,125.94,,,0
CDM,SUP13033,Noncdm Charge Record Medical Supplies - Shunt Neuro Csf 87Cm Lmbprtnl,4175.19,1628.32,,,0
CDM,SUP130340,Noncdm Charge Record Medical Supplies - Tube Gastostomy Repl 10Cc 16Fr Balloon,312.52,121.88,,,0
CDM,SUP13038,Noncdm Charge Record Medical Supplies - See 35254 Shoe Xl M Pat Postop Smrg Mtrsl Shank Lplk Cl,39.33,15.34,,,0
CDM,SUP13039,Noncdm Charge Record Medical Supplies - Clip Surg Raney Plastic Sclp Strl Disp,64.44,25.13,,,0
CDM,SUP130390_270,Noncdm Charge Record Medical Supplies - Applicator Skin Prep Alcohol 10.5Ml,16.26,6.34,,,0
CDM,SUP130390_A4649_270,Noncdm Charge Record Medical Supplies - Applicator Skin Prep Alcohol 10.5Ml,16.56,6.46,,,0
CDM,SUP13042_272,Noncdm Charge Record Medical Supplies - See 140926 Suture Vicryl 2-0 Ct1 27In Undyed Ethicon,8.11,3.16,,,0
CDM,SUP13042_A4649_272,Noncdm Charge Record Medical Supplies - See 140926 Suture Vicryl 2-0 Ct1 27In Undyed Ethicon,8.28,3.23,,,0
CDM,SUP13043_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 2 Os-4 30In Green Ethicon,11.68,4.56,,,0
CDM,SUP13043_A4649_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 2 Os-4 30In Green Ethicon,11.8,4.6,,,0
CDM,SUP13044,Noncdm Charge Record Medical Supplies - Suture Ethibond 2-0 Ct-2 18In Green Cr Ethicon,55.37,21.59,,,0
CDM,SUP13045_272,Noncdm Charge Record Medical Supplies - Suture Pds2 0 Ct1 18In Violet Ethicon,98.61,38.46,,,0
CDM,SUP13045_A4649_272,Noncdm Charge Record Medical Supplies - Suture Pds2 0 Ct1 18In Violet Ethicon,95.22,37.14,,,0
CDM,SUP13046,Noncdm Charge Record Medical Supplies - Suture Pds2 1 Ct1 18In Violet Ethicon,98.2,38.3,,,0
CDM,SUP13048,Noncdm Charge Record Medical Supplies - Suture Ethilon 3-0 Fslx 30In Black Ethicon,23.8,9.28,,,0
CDM,SUP13049,Noncdm Charge Record Medical Supplies - Suture Ethilon 10-0 Tg140-8 12In Ethicon,69.49,27.1,,,0
CDM,SUP130510,Noncdm Charge Record Medical Supplies - Screw Spinal 6.5 Mm Dia 45 Mm,2111.04,823.31,,,0
CDM,SUP130512,Noncdm Charge Record Medical Supplies - Screw Bone L10Mm Dia2.3Mm Gold,811.44,316.46,,,0
CDM,SUP130513,Noncdm Charge Record Medical Supplies - Screw Bone L12Mm Dia2.3Mm Gold,811.44,316.46,,,0
CDM,SUP130514,Noncdm Charge Record Medical Supplies - Screw Bone L14Mm Dia2.3Mm Gold,515.58,201.08,,,0
CDM,SUP130516,Noncdm Charge Record Medical Supplies - Screw Bone L14Mm Dia2.3Mm Gold,811.18,316.36,,,0
CDM,SUP130517,Noncdm Charge Record Medical Supplies - Plate Bone Thk2.6Mm 16 Hole Mandibular Magenta Titanium,10735.02,4186.66,,,0
CDM,SUP130518,Noncdm Charge Record Medical Supplies - Plate Bone Thk1.6Mm 7 Hole Mandibular Titanium Straight,3586.28,1398.65,,,0
CDM,SUP13051_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 0 Mo-7 18In Cr Ethicon,67.69,26.4,,,0
CDM,SUP13051_A4649_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 0 Mo-7 18In Cr Ethicon,68.31,26.64,,,0
CDM,SUP130520,Noncdm Charge Record Medical Supplies - Bit Drill L115Mm Dia1.6Mm Stop 26Mm For Plating System,1101.24,429.48,,,0
CDM,SUP130521,Noncdm Charge Record Medical Supplies - Screw Bone 5X22.5Mm Titanium Threaded Low Profile Sterile,1107.45,431.91,,,0
CDM,SUP13052_272,Noncdm Charge Record Medical Supplies - See 141083 Suture Monocryl 2-0 Ct-1 36In Undyed Ethicon,11.57,4.51,,,0
CDM,SUP13052_A4649_272,Noncdm Charge Record Medical Supplies - See 141083 Suture Monocryl 2-0 Ct-1 36In Undyed Ethicon,11.68,4.56,,,0
CDM,SUP13053,Noncdm Charge Record Medical Supplies - Suture Prolene 1 Ct 30In Ethicon,12.94,5.05,,,0
CDM,SUP130538,Noncdm Charge Record Medical Supplies,1786.44,696.71,,,0
CDM,SUP13054_272,Noncdm Charge Record Medical Supplies - Suture Prolene 2-0 Fs 18In Ethicon,13.46,5.25,,,0
CDM,SUP13054_A4649_272,Noncdm Charge Record Medical Supplies - Suture Prolene 2-0 Fs 18In Ethicon,13.46,5.25,,,0
CDM,SUP13054_A9999_272,Noncdm Charge Record Medical Supplies - Suture Prolene 2-0 Fs 18In Ethicon,13.46,5.25,,,0
CDM,SUP13055,Noncdm Charge Record Medical Supplies - Suture Prolene 3-0 Ps-1 18In Ethicon,27.53,10.74,,,0
CDM,SUP13056,Noncdm Charge Record Medical Supplies - Suture Prolene 2-0 Mh 36In Ethicon,28.98,11.3,,,0
CDM,SUP13057,Noncdm Charge Record Medical Supplies - Suture Prolene 5-0 C-1 18In Double Arm Ethicon,75.74,29.54,,,0
CDM,SUP13058_272,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 Sh 18In Cr Ethicon,44.07,17.19,,,0
CDM,SUP13058_A9999_272,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 Sh 18In Cr Ethicon,44.5,17.36,,,0
CDM,SUP13059_272,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 Ct-1 18In Cr Ethicon,44.85,17.49,,,0
CDM,SUP13059_A9999_272,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 Ct-1 18In Cr Ethicon,45.54,17.76,,,0
CDM,SUP13061,Noncdm Charge Record Medical Supplies - Suture Plain 3-0 Ct 27In Ethicon,15.18,5.92,,,0
CDM,SUP13062,Noncdm Charge Record Medical Supplies - Suture Vicryl 0 Ct 27In Undyed Ethicon,7.76,3.03,,,0
CDM,SUP13064,Noncdm Charge Record Medical Supplies - See 140954 Suture Vicryl 1 Ct1 36In Coated Violet Ethicon,8.26,3.22,,,0
CDM,SUP13065_272,Noncdm Charge Record Medical Supplies - See 140930 Suture Vicryl 2-0 Ct 27In Undyed Ethicon,7.24,2.82,,,0
CDM,SUP13065_A4649_272,Noncdm Charge Record Medical Supplies - See 140930 Suture Vicryl 2-0 Ct 27In Undyed Ethicon,7.24,2.82,,,0
CDM,SUP13066,Noncdm Charge Record Medical Supplies - See 140952 Suture Vicryl 3-0 Ct1 36In Violet Ethicon,8.07,3.15,,,0
CDM,SUP13068,Noncdm Charge Record Medical Supplies - See 140957 Suture Vicryl 1 Ct1 36In Coat Violet Ethicon,24.55,9.57,,,0
CDM,SUP13069,Noncdm Charge Record Medical Supplies - Suture Vicryl 1 18In Ties Violet Ethicon,40.36,15.74,,,0
CDM,SUP130694,Noncdm Charge Record Medical Supplies - Suture Chord-X Size 2-0 Loop L20Mm L18Mm 1-2 Circle Taper,2685.82,1047.47,,,0
CDM,SUP13070,Noncdm Charge Record Medical Supplies - See 141075 Suture Monocryl 4-0 Pc-5 18In Undyed Ethicon,30.02,11.71,,,0
CDM,SUP13071,Noncdm Charge Record Medical Supplies - Introducer Shth 5Fr11Cm Wo Obt,31.05,12.11,,,0
CDM,SUP13072_272,Noncdm Charge Record Medical Supplies - Guidewire Cordis .035 260Cm J,48.64,18.97,,,0
CDM,SUP13072_C1769_272,Noncdm Charge Record Medical Supplies - Guidewire Cordis .035 260Cm J,48.64,18.97,,,0
CDM,SUP13075,Noncdm Charge Record Medical Supplies - 5Fr Jl4 Catheter,45.9,17.9,,,0
CDM,SUP13076_272,Noncdm Charge Record Medical Supplies - 5Fr Jr4 Catheter,46.57,18.16,,,0
CDM,SUP13076_A4649_272,Noncdm Charge Record Medical Supplies - 5Fr Jr4 Catheter,46.58,18.17,,,0
CDM,SUP13077,Noncdm Charge Record Medical Supplies - 5Fr Jl5 Catheter,44.5,17.36,,,0
CDM,SUP13078,Noncdm Charge Record Medical Supplies - 5Fr Mpa2 Catheter,45.74,17.84,,,0
CDM,SUP13079_272,Noncdm Charge Record Medical Supplies - 5Fr Al1 Catheter,45.32,17.67,,,0
CDM,SUP13079_A4649_272,Noncdm Charge Record Medical Supplies - 5Fr Al1 Catheter,44.5,17.36,,,0
CDM,SUP13080,Noncdm Charge Record Medical Supplies - 5Fr Str Pigtail Catheter,44.5,17.36,,,0
CDM,SUP13081,Noncdm Charge Record Medical Supplies - 5Fr Im Catheter,45.81,17.87,,,0
CDM,SUP13083,Noncdm Charge Record Medical Supplies - Adapter Cardioplegia Y Dlp Coronary Medtronic,43.47,16.95,,,0
CDM,SUP13084,Noncdm Charge Record Medical Supplies - Suction Sump 15In .25In Dlp Medtronic,64.15,25.02,,,0
CDM,SUP13085,Noncdm Charge Record Medical Supplies - Set 15In Dlp Ml4 Leg Crdplg .25In Slip,91.06,35.51,,,0
CDM,SUP13086,Noncdm Charge Record Medical Supplies - Set Press Dlp Dspl Sil,71.42,27.85,,,0
CDM,SUP13087,Noncdm Charge Record Medical Supplies - Cannula Perf 15In 32Fr Venous Adlt 3-8In,137.66,53.69,,,0
CDM,SUP1308_272,Noncdm Charge Record Medical Supplies - Bandage Esmark 4In Deroyal,7.24,2.82,,,0
CDM,SUP1308_A4649_272,Noncdm Charge Record Medical Supplies - Bandage Esmark 4In Deroyal,7.24,2.82,,,0
CDM,SUP1308_A9999_272,Noncdm Charge Record Medical Supplies - Bandage Esmark 4In Deroyal,7.24,2.82,,,0
CDM,SUP13091,Noncdm Charge Record Medical Supplies - See 156275 Kit Drain 1-16In 80Cm Closed Integra,963.58,375.8,,,0
CDM,SUP130911,Noncdm Charge Record Medical Supplies - Myosure Xl Fluent Tissue Disposable Device,5221.58,2036.42,,,0
CDM,SUP13092,Noncdm Charge Record Medical Supplies - Bit Drill 50Mm 1.5Mm Mtrx 8Mm Stop J Latch,796.95,310.81,,,0
CDM,SUP130979,Noncdm Charge Record Medical Supplies - Nail 12Mm Ti Cann Frn 400Mm Left St Sterile,8266.54,3223.95,,,0
CDM,SUP13099,Noncdm Charge Record Medical Supplies - Catheter Angio .035In Sos Omni 1 Crv 5Fr 80Cm Bx-5,71.42,27.85,,,0
CDM,SUP131004_272,Noncdm Charge Record Medical Supplies - Laparoscopic Smoke Tubing Covidien- Medtronic,83.84,32.7,,,0
CDM,SUP131004_A4649_272,Noncdm Charge Record Medical Supplies - Laparoscopic Smoke Tubing Covidien- Medtronic,83.84,32.7,,,0
CDM,SUP131004_A9999_272,Noncdm Charge Record Medical Supplies - Laparoscopic Smoke Tubing Covidien- Medtronic,83.84,32.7,,,0
CDM,SUP131005,Noncdm Charge Record Medical Supplies - Pad Protective Patient Sterile For De Mayo Knee Positioner,168.7,65.79,,,0
CDM,SUP131017,Noncdm Charge Record Medical Supplies - Veraflow Wound Vac Dressing,2369.11,923.95,,,0
CDM,SUP13104,Noncdm Charge Record Medical Supplies - See 141050 Suture Vicryl 2-0 Ctx 36In Undyed Ethicon,8.28,3.23,,,0
CDM,SUP131107,Noncdm Charge Record Medical Supplies - Guidewire Vascular L180Cm D.035In Taper 3Cm,591.19,230.56,,,0
CDM,SUP13111,Noncdm Charge Record Medical Supplies,5.18,2.02,,,0
CDM,SUP131183_272,Noncdm Charge Record Medical Supplies - Snare Vascular L240Cm Loop W10Mm Sheath Dia2.4Mm,121.08,47.22,,,0
CDM,SUP131183_A4649_272,Noncdm Charge Record Medical Supplies - Snare Vascular L240Cm Loop W10Mm Sheath Dia2.4Mm,121.1,47.23,,,0
CDM,SUP131183_A9999_272,Noncdm Charge Record Medical Supplies - Snare Vascular L240Cm Loop W10Mm Sheath Dia2.4Mm,121.1,47.23,,,0
CDM,SUP131234,Noncdm Charge Record Medical Supplies - Set 4.25Mmx.6Mm Piston Eye And Ear Mass,605.48,236.14,,,0
CDM,SUP131235,Noncdm Charge Record Medical Supplies - Prosthesis Ear L4Mm Piston Dia0.6Mm Titanium Classic Stap,1035.69,403.92,,,0
CDM,SUP131236,Noncdm Charge Record Medical Supplies,1581.48,616.78,,,0
CDM,SUP131237,Noncdm Charge Record Medical Supplies - Piston Smart .6X5.5 Mallous,1581.48,616.78,,,0
CDM,SUP131238,Noncdm Charge Record Medical Supplies - Piston Middle Ear Stape Bucket 3.5 Mm Length .4 Mm Dia,970.83,378.62,,,0
CDM,SUP13127,Noncdm Charge Record Medical Supplies - Catheter Glidecath .038In Ang Tip Tpr 5Fr 65Cm,252.71,98.56,,,0
CDM,SUP13128,Noncdm Charge Record Medical Supplies - Catheter Angio .038In 5Fr 100C 100Cm Tpr Ang Tip,247.29,96.44,,,0
CDM,SUP131299,Noncdm Charge Record Medical Supplies - See 110691 Device Fx 10 Tack Reload Relia Tack,646.36,252.08,,,0
CDM,SUP13129_272,Noncdm Charge Record Medical Supplies - Catheter Glidecath Sim2 .038In 5Fr 100Cm,254.72,99.34,,,0
CDM,SUP13129_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Glidecath Sim2 .038In 5Fr 100Cm,252.75,98.57,,,0
CDM,SUP13131_272,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 18In Tie Black Ethicon,7.37,2.87,,,0
CDM,SUP13131_A4649_272,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 18In Tie Black Ethicon,7.24,2.82,,,0
CDM,SUP13131_A9999_272,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 18In Tie Black Ethicon,7.37,2.87,,,0
CDM,SUP13133_272,Noncdm Charge Record Medical Supplies - Stockinette Impervious Xl Deroyal,23.82,9.29,,,0
CDM,SUP13133_A4649_272,Noncdm Charge Record Medical Supplies - Stockinette Impervious Xl Deroyal,23.8,9.28,,,0
CDM,SUP13133_A9999_272,Noncdm Charge Record Medical Supplies - Stockinette Impervious Xl Deroyal,23.8,9.28,,,0
CDM,SUP13134,Noncdm Charge Record Medical Supplies - Suture Vicryl Endoknot 42In Ethicon,458.5,178.82,,,0
CDM,SUP131432,Noncdm Charge Record Medical Supplies - Clip Aneurysm Tii Mini Temp 6.5 Straight 5Mm,2436.13,950.09,,,0
CDM,SUP131436,Noncdm Charge Record Medical Supplies - Clip Aneurysm Tii Mini Temp 13.5 Straight 15Mm,2679.62,1045.05,,,0
CDM,SUP131437,Noncdm Charge Record Medical Supplies - Clip Aneurysm Tii Mini Temp 16.5 Straight 20Mm,2436.39,950.19,,,0
CDM,SUP13150,Noncdm Charge Record Medical Supplies - Tray Epdrl 18Ga 90Mm Ndl Syr,86.98,33.92,,,0
CDM,SUP13155,Noncdm Charge Record Medical Supplies - See 140812 Pack Cust Cv Surg Proc Wk350013,426.42,166.3,,,0
CDM,SUP13158_272,Noncdm Charge Record Medical Supplies - Trocar Versaport 5-12Mm Covidien,126.27,49.25,,,0
CDM,SUP13158_A9999_272,Noncdm Charge Record Medical Supplies - Trocar Versaport 5-12Mm Covidien,126.27,49.25,,,0
CDM,SUP1316,Noncdm Charge Record Medical Supplies - Stem Fem 50Mm 12Mm Cement,4516.74,1761.53,,,0
CDM,SUP13163,Noncdm Charge Record Medical Supplies - Blade Saw 29.5X7X.38Mm Prcs Lng Micro Nar,168.7,65.79,,,0
CDM,SUP13164_272,Noncdm Charge Record Medical Supplies - Suture Plain 4-0 Sc-1 18In Ethicon,15.27,5.96,,,0
CDM,SUP13164_A4649_272,Noncdm Charge Record Medical Supplies - Suture Plain 4-0 Sc-1 18In Ethicon,15.16,5.91,,,0
CDM,SUP13164_A9999_272,Noncdm Charge Record Medical Supplies - Suture Plain 4-0 Sc-1 18In Ethicon,15.52,6.05,,,0
CDM,SUP13165,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 58Cm 5Fr,402.62,157.02,,,0
CDM,SUP13166,Noncdm Charge Record Medical Supplies - Needle Loc 5Cm 20Ga Hwk3,227.7,88.8,,,0
CDM,SUP13167_272,Noncdm Charge Record Medical Supplies - Suture Permahand 4-0 Sh 18In Cr Ethicon,41.4,16.15,,,0
CDM,SUP13167_A4649_272,Noncdm Charge Record Medical Supplies - Suture Permahand 4-0 Sh 18In Cr Ethicon,41.4,16.15,,,0
CDM,SUP13167_A9999_272,Noncdm Charge Record Medical Supplies - Suture Permahand 4-0 Sh 18In Cr Ethicon,41.4,16.15,,,0
CDM,SUP13168,Noncdm Charge Record Medical Supplies - See 140953 Suture Vicryl 0 Ct1 36In Coat Violet Ethicon,8.04,3.14,,,0
CDM,SUP13169,Noncdm Charge Record Medical Supplies - Catheter Ureth Bdx 20Fr Cncl 5,81.76,31.89,,,0
CDM,SUP13170_272,Noncdm Charge Record Medical Supplies - Catheter Ureth Bdx Ic 22F Cncl,81.76,31.89,,,0
CDM,SUP13170_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Ureth Bdx Ic 22F Cncl,81.76,31.89,,,0
CDM,SUP13172,Noncdm Charge Record Medical Supplies - Suture V-Loc 2-0 Gs-26 24In Covidien,140.76,54.9,,,0
CDM,SUP131722,Noncdm Charge Record Medical Supplies - Drill Pin Closed Eyelet 4 Mm - Ar-1595Tc,611.79,238.6,,,0
CDM,SUP131724,Noncdm Charge Record Medical Supplies - Implant System Secondary Fixa Fixation W- Swivelock Acl-Pcl,3141.85,1225.32,,,0
CDM,SUP13173,Noncdm Charge Record Medical Supplies - Splint Nasal 2.5Cmx2Cm Thk.9Cm,93.15,36.33,,,0
CDM,SUP13174_272,Noncdm Charge Record Medical Supplies - See 83903 Suture Monocryl 5-0 Ps-2 18In Undyed Ethicon,27.97,10.91,,,0
CDM,SUP13174_A4649_272,Noncdm Charge Record Medical Supplies - See 83903 Suture Monocryl 5-0 Ps-2 18In Undyed Ethicon,27.94,10.9,,,0
CDM,SUP13174_A9999_272,Noncdm Charge Record Medical Supplies - See 83903 Suture Monocryl 5-0 Ps-2 18In Undyed Ethicon,27.94,10.9,,,0
CDM,SUP13177,Noncdm Charge Record Medical Supplies - Blade Screw In Tip 15D 5X1.5Mm Alcon Surgical,16.89,6.59,,,0
CDM,SUP131770,Noncdm Charge Record Medical Supplies - Block Endoscopic Bite Adult Without Strap E-Z Guard,18.63,7.27,,,0
CDM,SUP13178_272,Noncdm Charge Record Medical Supplies - Wax Bone 2.5Gm Ethicon,25.73,10.03,,,0
CDM,SUP13178_A4649_272,Noncdm Charge Record Medical Supplies - Wax Bone 2.5Gm Ethicon,25.44,9.92,,,0
CDM,SUP13178_A9999_272,Noncdm Charge Record Medical Supplies - Wax Bone 2.5Gm Ethicon,25.88,10.09,,,0
CDM,SUP13180,Noncdm Charge Record Medical Supplies - See 7151 Sponge Surg 1.5X.5In Ptt 1,17.6,6.86,,,0
CDM,SUP13183_270,Noncdm Charge Record Medical Supplies - Splint Nasal Thrmplst Sept Elc Strl Lf Disp,41.38,16.14,,,0
CDM,SUP13183_A4649_270,Noncdm Charge Record Medical Supplies - Splint Nasal Thrmplst Sept Elc Strl Lf Disp,41.4,16.15,,,0
CDM,SUP13184_272,Noncdm Charge Record Medical Supplies - Suture Vicryl 7-0 P-1 18In Undyed Ethicon,22.59,8.81,,,0
CDM,SUP13184_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl 7-0 P-1 18In Undyed Ethicon,22.77,8.88,,,0
CDM,SUP13184_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl 7-0 P-1 18In Undyed Ethicon,22.77,8.88,,,0
CDM,SUP131858,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 600Cm Ct,6060.96,2363.77,,,0
CDM,SUP131860,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 650Cm Ct,6569.14,2561.96,,,0
CDM,SUP131866,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 800Cm Ct,8081.28,3151.7,,,0
CDM,SUP131867_Q4100_278,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 825Cm Ct,8332.78,3249.78,,,0
CDM,SUP131868_Q4100_278,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 850Cm Ct,8589.32,3349.83,,,0
CDM,SUP131869_Q4100_278,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 875Cm Ct,8839.94,3447.58,,,0
CDM,SUP131870,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 900Cm Ct,9091.61,3545.73,,,0
CDM,SUP131871_Q4100_278,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 925Cm Ct,9342.94,3643.75,,,0
CDM,SUP131872_C1762_278,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 950Cm Ct,9599.62,3743.85,,,0
CDM,SUP131872_Q4100_278,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 950Cm Ct,9599.62,3743.85,,,0
CDM,SUP131873,Noncdm Charge Record Medical Supplies,9850.09,3841.54,,,0
CDM,SUP131874_C1762_278,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1000Cm C,11938.72,4656.1,,,0
CDM,SUP131874_Q4100_278,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1000Cm C,11938.72,4656.1,,,0
CDM,SUP131875_C1762_278,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1025Cm C,12237.84,4772.76,,,0
CDM,SUP131875_Q4100_278,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1025Cm C,12238.1,4772.86,,,0
CDM,SUP131876,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1050Cm C,12537.99,4889.82,,,0
CDM,SUP131877,Noncdm Charge Record Medical Supplies,12832.96,5004.85,,,0
CDM,SUP131878,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1100Cm C,13132.34,5121.61,,,0
CDM,SUP131879,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1125Cm C,13432.23,5238.57,,,0
CDM,SUP131882_Q4100_278,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1200Cm C,14326.47,5587.32,,,0
CDM,SUP131883_Q4100_278,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1225Cm C,14625.58,5703.98,,,0
CDM,SUP131884_Q4100_278,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1250Cm C,14925.74,5821.04,,,0
CDM,SUP131885,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1275Cm C,15220.71,5936.08,,,0
CDM,SUP131886_Q4100_278,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1300Cm C,15520.08,6052.83,,,0
CDM,SUP131887_Q4100_278,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1325Cm C,15819.98,6169.79,,,0
CDM,SUP131889_Q4100_278,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1375Cm C,16414.06,6401.48,,,0
CDM,SUP131890_Q4100_278,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1400Cm C,16714.22,6518.55,,,0
CDM,SUP131891_Q4100_278,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1425Cm C,17013.33,6635.2,,,0
CDM,SUP131892,Noncdm Charge Record Medical Supplies,17313.48,6752.26,,,0
CDM,SUP131893,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1475Cm C,17608.46,6867.3,,,0
CDM,SUP131894_Q4100_278,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1500Cm C,17907.57,6983.95,,,0
CDM,SUP131896_Q4100_278,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1550Cm C,18506.84,7217.67,,,0
CDM,SUP131897,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1575Cm C,18801.81,7332.71,,,0
CDM,SUP131898_Q4100_278,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1600Cm C,19101.96,7449.76,,,0
CDM,SUP131899_Q4100_278,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1625Cm C,19401.42,7566.55,,,0
CDM,SUP131901,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1675Cm C,19996.2,7798.52,,,0
CDM,SUP131902_Q4100_278,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1700Cm C,20295.52,7915.25,,,0
CDM,SUP131903,Noncdm Charge Record Medical Supplies,20595.46,8032.23,,,0
CDM,SUP131904_Q4100_278,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1750Cm C,20894.92,8149.02,,,0
CDM,SUP131905_Q4100_278,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1775Cm C,23336.92,9101.4,,,0
CDM,SUP131906_Q4100_278,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1800Cm C,21489.6,8380.94,,,0
CDM,SUP13191,Noncdm Charge Record Medical Supplies - Sheath 6Fr Terumo 25Cm Wo Mini,106.16,41.4,,,0
CDM,SUP13192,Noncdm Charge Record Medical Supplies - Flexcath 12Fr Strbl Adv Sheath,4850.01,1891.5,,,0
CDM,SUP131941,Noncdm Charge Record Medical Supplies - Monitor Cardiac Lux-Dx 3Gm W7.2Xh44.8Mm D4Mm,20300.49,7917.19,,,0
CDM,SUP131942,Noncdm Charge Record Medical Supplies - Guidewire Pressure L185Cm Dia0.014In Comet Ii,3077.25,1200.13,,,0
CDM,SUP13196_272,Noncdm Charge Record Medical Supplies - See 83902 Suture Monocryl 4-0 Ps-2 27In Undyed Ethicon,28.9,11.27,,,0
CDM,SUP13196_A4649_272,Noncdm Charge Record Medical Supplies - See 83902 Suture Monocryl 4-0 Ps-2 27In Undyed Ethicon,28.98,11.3,,,0
CDM,SUP13196_A9999_272,Noncdm Charge Record Medical Supplies - See 83902 Suture Monocryl 4-0 Ps-2 27In Undyed Ethicon,28.98,11.3,,,0
CDM,SUP131970,Noncdm Charge Record Medical Supplies - Protector Leg Ball Joint Spar For Profx Ssxt Hana,112.82,44.0,,,0
CDM,SUP13198,Noncdm Charge Record Medical Supplies,9.32,3.63,,,0
CDM,SUP131982,Noncdm Charge Record Medical Supplies - Tandemheart Kit Blood Pump 17Fr Arter Cannula 62Cm Venous,85977.45,33531.21,,,0
CDM,SUP1319_272,Noncdm Charge Record Medical Supplies - Adaptor Vacurette 14Mm Plastic Canula Olympus America Inc,32.08,12.51,,,0
CDM,SUP1319_A4649_272,Noncdm Charge Record Medical Supplies - Adaptor Vacurette 14Mm Plastic Canula Olympus America Inc,32.08,12.51,,,0
CDM,SUP1319_A9999_272,Noncdm Charge Record Medical Supplies - Adaptor Vacurette 14Mm Plastic Canula Olympus America Inc,32.08,12.51,,,0
CDM,SUP13200_272,Noncdm Charge Record Medical Supplies - Blade Surgical Sz 12 Disposable Aspen Surgical,6.19,2.41,,,0
CDM,SUP13200_A4649_272,Noncdm Charge Record Medical Supplies - Blade Surgical Sz 12 Disposable Aspen Surgical,6.21,2.42,,,0
CDM,SUP13200_A9999_272,Noncdm Charge Record Medical Supplies - Blade Surgical Sz 12 Disposable Aspen Surgical,6.21,2.42,,,0
CDM,SUP13202,Noncdm Charge Record Medical Supplies - See 130561 Binder Abd 10-54In X Long Sld,42.44,16.55,,,0
CDM,SUP132048,Noncdm Charge Record Medical Supplies - Sizer Vascular Graft Sm Disp Dia5-24Mm Host Vessel Lumen,50.72,19.78,,,0
CDM,SUP13205_272,Noncdm Charge Record Medical Supplies - Ear Tube Ventilation 1.5Mm 1.27Mm Collar Button Olympus Amer,54.34,21.19,,,0
CDM,SUP13205_A4649_272,Noncdm Charge Record Medical Supplies - Ear Tube Ventilation 1.5Mm 1.27Mm Collar Button Olympus Amer,54.34,21.19,,,0
CDM,SUP132063,Noncdm Charge Record Medical Supplies - Clip Sideward No6 L17.8Mm Opening 10Mm 1.47N Standard,2436.39,950.19,,,0
CDM,SUP132078,Noncdm Charge Record Medical Supplies - Sheath 5Fr X 25 Cm Super Sheath,100.4,39.16,,,0
CDM,SUP1320_270,Noncdm Charge Record Medical Supplies - Filter Vac Asp Disp,30.92,12.06,,,0
CDM,SUP1320_A4649_270,Noncdm Charge Record Medical Supplies - Filter Vac Asp Disp,31.05,12.11,,,0
CDM,SUP1320_A9999_270,Noncdm Charge Record Medical Supplies - Filter Vac Asp Disp,31.05,12.11,,,0
CDM,SUP13210,Noncdm Charge Record Medical Supplies - Stent Graft Cath 10-50Mm 65Cm+,2130.03,830.71,,,0
CDM,SUP13212,Noncdm Charge Record Medical Supplies - Excluder Endopros C3 13Cm,52573.86,20503.81,,,0
CDM,SUP13215,Noncdm Charge Record Medical Supplies - Screw Ti 8Mm Midfa Bn,496.28,193.55,,,0
CDM,SUP13221_272,Noncdm Charge Record Medical Supplies - Suture Goretex Cv-2 Ph-24 48In Wl Gore And Assoicates,172.84,67.41,,,0
CDM,SUP13221_A4649_272,Noncdm Charge Record Medical Supplies - Suture Goretex Cv-2 Ph-24 48In Wl Gore And Assoicates,172.84,67.41,,,0
CDM,SUP13221_A9999_272,Noncdm Charge Record Medical Supplies - Suture Goretex Cv-2 Ph-24 48In Wl Gore And Assoicates,172.84,67.41,,,0
CDM,SUP13222,Noncdm Charge Record Medical Supplies - Catheter Word Barth Gl 10Fr,115.14,44.9,,,0
CDM,SUP13225_272,Noncdm Charge Record Medical Supplies - Blade Micro Ang Spr Myrngtm Ss Surg Strl Disp,94.3,36.78,,,0
CDM,SUP13225_A4649_272,Noncdm Charge Record Medical Supplies - Blade Micro Ang Spr Myrngtm Ss Surg Strl Disp,95.22,37.14,,,0
CDM,SUP13228,Noncdm Charge Record Medical Supplies - Set 25Cm 4Fr Mclc Nphstm Cath,417.1,162.67,,,0
CDM,SUP132289_272,Noncdm Charge Record Medical Supplies - Driver Needle L Dia8Mm Xi Endowrist,351.9,137.24,,,0
CDM,SUP132289_A4649_272,Noncdm Charge Record Medical Supplies - Driver Needle L Dia8Mm Xi Endowrist,351.9,137.24,,,0
CDM,SUP132289_A9999_272,Noncdm Charge Record Medical Supplies - Driver Needle L Dia8Mm Xi Endowrist,351.9,137.24,,,0
CDM,SUP132290_272,Noncdm Charge Record Medical Supplies - Forceps Robotic Dia8Mm Cadiere Xi Endowrist,310.5,121.1,,,0
CDM,SUP132290_A4649_272,Noncdm Charge Record Medical Supplies - Forceps Robotic Dia8Mm Cadiere Xi Endowrist,310.5,121.1,,,0
CDM,SUP132290_A9999_272,Noncdm Charge Record Medical Supplies - Forceps Robotic Dia8Mm Cadiere Xi Endowrist,310.5,121.1,,,0
CDM,SUP132291_272,Noncdm Charge Record Medical Supplies - Forceps Robotic Dia8Mm Prograsp Xi Endowrist,310.5,121.1,,,0
CDM,SUP132291_A4649_272,Noncdm Charge Record Medical Supplies - Forceps Robotic Dia8Mm Prograsp Xi Endowrist,310.5,121.1,,,0
CDM,SUP132291_A9999_272,Noncdm Charge Record Medical Supplies - Forceps Robotic Dia8Mm Prograsp Xi Endowrist,310.5,121.1,,,0
CDM,SUP132293_272,Noncdm Charge Record Medical Supplies - Forceps Robotic Dia8Mm Bipolar Maryland Xi Endowrist,486.45,189.72,,,0
CDM,SUP132293_A4649_272,Noncdm Charge Record Medical Supplies - Forceps Robotic Dia8Mm Bipolar Maryland Xi Endowrist,486.45,189.72,,,0
CDM,SUP132293_A9999_272,Noncdm Charge Record Medical Supplies - Forceps Robotic Dia8Mm Bipolar Maryland Xi Endowrist,486.45,189.72,,,0
CDM,SUP132294,Noncdm Charge Record Medical Supplies - Cobra Grasper,372.6,145.31,,,0
CDM,SUP132295_272,Noncdm Charge Record Medical Supplies - Forceps Robotic Dia8Mm Bipolar Fenestrated Xi Endowrist,414.0,161.46,,,0
CDM,SUP132295_A4649_272,Noncdm Charge Record Medical Supplies - Forceps Robotic Dia8Mm Bipolar Fenestrated Xi Endowrist,414.0,161.46,,,0
CDM,SUP132295_A9999_272,Noncdm Charge Record Medical Supplies - Forceps Robotic Dia8Mm Bipolar Fenestrated Xi Endowrist,414.0,161.46,,,0
CDM,SUP132296_272,Noncdm Charge Record Medical Supplies - Driver Needle L Dia8Mm Suture Cut Xi Endowrist,351.9,137.24,,,0
CDM,SUP132296_A4649_272,Noncdm Charge Record Medical Supplies - Driver Needle L Dia8Mm Suture Cut Xi Endowrist,351.9,137.24,,,0
CDM,SUP132296_A9999_272,Noncdm Charge Record Medical Supplies - Driver Needle L Dia8Mm Suture Cut Xi Endowrist,351.9,137.24,,,0
CDM,SUP132297_272,Noncdm Charge Record Medical Supplies - Driver Needle Dia8Mm Mega Suture Cut Xi Endowrist,362.25,141.28,,,0
CDM,SUP132297_A4649_272,Noncdm Charge Record Medical Supplies - Driver Needle Dia8Mm Mega Suture Cut Xi Endowrist,362.25,141.28,,,0
CDM,SUP132297_A9999_272,Noncdm Charge Record Medical Supplies - Driver Needle Dia8Mm Mega Suture Cut Xi Endowrist,362.25,141.28,,,0
CDM,SUP132298,Noncdm Charge Record Medical Supplies - Dissector Robotic Dia8Mm Curved Bipolar Xi Endowrist,558.9,217.97,,,0
CDM,SUP132299,Noncdm Charge Record Medical Supplies - Grasper Robotic Dia8Mm Long Bipolar Xi Endowrist,600.3,234.12,,,0
CDM,SUP132301_272,Noncdm Charge Record Medical Supplies - Forceps Robotic Dia8Mm Bipolar Xi Endowrist,486.45,189.72,,,0
CDM,SUP132301_A4649_272,Noncdm Charge Record Medical Supplies - Forceps Robotic Dia8Mm Bipolar Xi Endowrist,486.45,189.72,,,0
CDM,SUP132301_A9999_272,Noncdm Charge Record Medical Supplies - Forceps Robotic Dia8Mm Bipolar Xi Endowrist,486.45,189.72,,,0
CDM,SUP13231,Noncdm Charge Record Medical Supplies - Suture Plain 0 54In Ties Ethicon,14.52,5.66,,,0
CDM,SUP13232,Noncdm Charge Record Medical Supplies - Kit Art Line 2In 20Ga .018In,56.92,22.2,,,0
CDM,SUP13234,Noncdm Charge Record Medical Supplies - Stapler Intnl 10X4.0Mm Ti Endo,189.4,73.87,,,0
CDM,SUP13235,Noncdm Charge Record Medical Supplies - See 141034 Suture Vicryl 4-0 Pc-3 18In Undyed Ethicon,21.54,8.4,,,0
CDM,SUP13236,Noncdm Charge Record Medical Supplies,161.46,62.97,,,0
CDM,SUP132365,Noncdm Charge Record Medical Supplies - Collector Bone Dust L2.5In Steel Screen 80 Mesh Sheehy,269.1,104.95,,,0
CDM,SUP13238_272,Noncdm Charge Record Medical Supplies - Blade Endotrac Endoscopic Triangular Hook Disposable For Pla,2282.69,890.25,,,0
CDM,SUP13238_A4649_272,Noncdm Charge Record Medical Supplies - Blade Endotrac Endoscopic Triangular Hook Disposable For Pla,2408.45,939.3,,,0
CDM,SUP13239,Noncdm Charge Record Medical Supplies,107.64,41.98,,,0
CDM,SUP1324,Noncdm Charge Record Medical Supplies - Graft Bn Cnrstn Asr Canc Blck,3625.29,1413.86,,,0
CDM,SUP13240,Noncdm Charge Record Medical Supplies - Suture Plain 1 54In Tie Ethicon,15.24,5.94,,,0
CDM,SUP13245,Noncdm Charge Record Medical Supplies - Blade Shaver Gry 3.5Mm Incsr Dync Strt,219.42,85.57,,,0
CDM,SUP13250,Noncdm Charge Record Medical Supplies - Stem Fem 160Mm 16Mm Prft,6355.94,2478.82,,,0
CDM,SUP132507,Noncdm Charge Record Medical Supplies - Oval Resurfacing Genesis Ii Dia35Mm Thk9Mm Knee,4290.08,1673.13,,,0
CDM,SUP132508,Noncdm Charge Record Medical Supplies - Legion Xlpe Posterior Stablize Size 5-6 9Mm Articular Insert,8905.14,3473.0,,,0
CDM,SUP13252_272,Noncdm Charge Record Medical Supplies - Suture Chromic 4-0 Sh 27In Ethicon,15.36,5.99,,,0
CDM,SUP13252_A4649_272,Noncdm Charge Record Medical Supplies - Suture Chromic 4-0 Sh 27In Ethicon,15.52,6.05,,,0
CDM,SUP13252_A9999_272,Noncdm Charge Record Medical Supplies - Suture Chromic 4-0 Sh 27In Ethicon,15.52,6.05,,,0
CDM,SUP13253,Noncdm Charge Record Medical Supplies,8286.21,3231.62,,,0
CDM,SUP13254_272,Noncdm Charge Record Medical Supplies - Suture Chromic 3-0 Sh 27In Ethicon,15.12,5.9,,,0
CDM,SUP13254_A4649_272,Noncdm Charge Record Medical Supplies - Suture Chromic 3-0 Sh 27In Ethicon,14.91,5.81,,,0
CDM,SUP13254_A9999_272,Noncdm Charge Record Medical Supplies - Suture Chromic 3-0 Sh 27In Ethicon,15.35,5.99,,,0
CDM,SUP13255_272,Noncdm Charge Record Medical Supplies - See 154 Blade 15C Bp Ss Surg Strl Disp,5.21,2.03,,,0
CDM,SUP13255_A4649_272,Noncdm Charge Record Medical Supplies - See 154 Blade 15C Bp Ss Surg Strl Disp,5.18,2.02,,,0
CDM,SUP13255_A9999_272,Noncdm Charge Record Medical Supplies - See 154 Blade 15C Bp Ss Surg Strl Disp,5.18,2.02,,,0
CDM,SUP13257,Noncdm Charge Record Medical Supplies - Balloon Dstc Kndy Endo Pdp Spcmkr Prperitn Dstn,1148.09,447.76,,,0
CDM,SUP13258,Noncdm Charge Record Medical Supplies - Post Wire Mri Sfe Ext Fix Shrt,955.24,372.54,,,0
CDM,SUP13259,Noncdm Charge Record Medical Supplies - Post Wire Mri Sfe Ext Fix Tall,1084.51,422.96,,,0
CDM,SUP132608_270,Noncdm Charge Record Medical Supplies - Sensor Oximetry Adult Kit Cerebral-Somatic Dual Waveleng,572.35,223.22,,,0
CDM,SUP132608_272,Noncdm Charge Record Medical Supplies - Sensor Oximetry Adult Kit Cerebral-Somatic Dual Waveleng,572.18,223.15,,,0
CDM,SUP132611,Noncdm Charge Record Medical Supplies - Diamond Back Csi Catheter Atherectomy L135Cm Cr Crown 1.25Mm,16732.84,6525.81,,,0
CDM,SUP13262_272,Noncdm Charge Record Medical Supplies - Suture Chromic 2-0 Sh 27In Abs Ethicon,14.67,5.72,,,0
CDM,SUP13262_A4649_272,Noncdm Charge Record Medical Supplies - Suture Chromic 2-0 Sh 27In Abs Ethicon,14.56,5.68,,,0
CDM,SUP13262_A9999_272,Noncdm Charge Record Medical Supplies - Suture Chromic 2-0 Sh 27In Abs Ethicon,14.49,5.65,,,0
CDM,SUP13265_272,Noncdm Charge Record Medical Supplies - Blade Saw 15X7X.38Mm Prcs Shrt Nar Thin Ss,168.49,65.71,,,0
CDM,SUP13265_A4649_272,Noncdm Charge Record Medical Supplies - Blade Saw 15X7X.38Mm Prcs Shrt Nar Thin Ss,168.7,65.79,,,0
CDM,SUP13265_A9999_272,Noncdm Charge Record Medical Supplies - Blade Saw 15X7X.38Mm Prcs Shrt Nar Thin Ss,168.7,65.79,,,0
CDM,SUP13267_270,Noncdm Charge Record Medical Supplies - Splint Scotchcast 15X4In Fiber Glass 3M,23.8,9.28,,,0
CDM,SUP13267_A4649_270,Noncdm Charge Record Medical Supplies - Splint Scotchcast 15X4In Fiber Glass 3M,23.8,9.28,,,0
CDM,SUP1327,Noncdm Charge Record Medical Supplies - Barrier Adhesion Interceed J And J Health,1551.89,605.24,,,0
CDM,SUP13273,Noncdm Charge Record Medical Supplies - See 132797 Pack Orthopedic 3 Medline,99.36,38.75,,,0
CDM,SUP132742,Noncdm Charge Record Medical Supplies - Catheter Guide Extension Trapliner 6F,2877.3,1122.15,,,0
CDM,SUP132743,Noncdm Charge Record Medical Supplies - Catheter Guide Extension Trapliner 7F,2857.43,1114.4,,,0
CDM,SUP13274_272,Noncdm Charge Record Medical Supplies - Drape Laparoscopy Medline,36.2,14.12,,,0
CDM,SUP13274_A4649_272,Noncdm Charge Record Medical Supplies - Drape Laparoscopy Medline,36.22,14.13,,,0
CDM,SUP13277,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP132776_272,Noncdm Charge Record Medical Supplies - Handpiece Device For Bpsy-Dia Ag Exsn Vac Asstd 12G,1163.34,453.7,,,0
CDM,SUP132776_A4649_272,Noncdm Charge Record Medical Supplies - Handpiece Device For Bpsy-Dia Ag Exsn Vac Asstd 12G,1163.34,453.7,,,0
CDM,SUP132776_A9999_272,Noncdm Charge Record Medical Supplies - Handpiece Device For Bpsy-Dia Ag Exsn Vac Asstd 12G,1163.34,453.7,,,0
CDM,SUP132814_272,Noncdm Charge Record Medical Supplies - See 97854 Drain Penrose 0.25In 18In Latex Sterile,8.65,3.37,,,0
CDM,SUP132814_A4649_272,Noncdm Charge Record Medical Supplies - See 97854 Drain Penrose 0.25In 18In Latex Sterile,8.45,3.3,,,0
CDM,SUP132814_A9999_272,Noncdm Charge Record Medical Supplies - See 97854 Drain Penrose 0.25In 18In Latex Sterile,8.28,3.23,,,0
CDM,SUP132839,Noncdm Charge Record Medical Supplies - Microcatheter Diagnostic 2.4Fr L130Cm 750Psi,1629.85,635.64,,,0
CDM,SUP132970_272,Noncdm Charge Record Medical Supplies - Plasmablade Lighted 3.0S,1531.82,597.41,,,0
CDM,SUP132970_A4649_272,Noncdm Charge Record Medical Supplies - Plasmablade Lighted 3.0S,1531.8,597.4,,,0
CDM,SUP133071_272,Noncdm Charge Record Medical Supplies - Catheter Beacon Tip Advantage 5Fr L90Cm Guidewire 0.035In,307.52,119.93,,,0
CDM,SUP133071_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Beacon Tip Advantage 5Fr L90Cm Guidewire 0.035In,310.84,121.23,,,0
CDM,SUP133071_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Beacon Tip Advantage 5Fr L90Cm Guidewire 0.035In,303.26,118.27,,,0
CDM,SUP13308_270,Noncdm Charge Record Medical Supplies - Stockinet 48X4In Orth Cttn 2,12.45,4.86,,,0
CDM,SUP13308_A4649_270,Noncdm Charge Record Medical Supplies - Stockinet 48X4In Orth Cttn 2,12.42,4.84,,,0
CDM,SUP13308_A9999_270,Noncdm Charge Record Medical Supplies - Stockinet 48X4In Orth Cttn 2,12.42,4.84,,,0
CDM,SUP13309_270,Noncdm Charge Record Medical Supplies - Stockinet 54X6In Deroyal,21.7,8.46,,,0
CDM,SUP13309_A4649_270,Noncdm Charge Record Medical Supplies - Stockinet 54X6In Deroyal,21.74,8.48,,,0
CDM,SUP13309_A9999_270,Noncdm Charge Record Medical Supplies - Stockinet 54X6In Deroyal,21.74,8.48,,,0
CDM,SUP13310,Noncdm Charge Record Medical Supplies - See 90531 Stapler Skin Reg 35 Cnt Strl,59.0,23.01,,,0
CDM,SUP133102,Noncdm Charge Record Medical Supplies - Sapphire Ii Pro Balloon Dilation Catheter 1.0 X 10Mm,758.66,295.88,,,0
CDM,SUP133103,Noncdm Charge Record Medical Supplies - Sapphire Ii Pro Angioplasty Balloon L15Mm Dia1Mm,758.66,295.88,,,0
CDM,SUP13311,Noncdm Charge Record Medical Supplies - See 8928 Stapler Skin W 35 Cnt Pstl,59.0,23.01,,,0
CDM,SUP13328,Noncdm Charge Record Medical Supplies - Sling Orth Lg Arm Envelope,6.7,2.61,,,0
CDM,SUP133292_272,Noncdm Charge Record Medical Supplies - Set Introducer Localization 1 12G,95.22,37.14,,,0
CDM,SUP133292_A4649_272,Noncdm Charge Record Medical Supplies - Set Introducer Localization 1 12G,95.22,37.14,,,0
CDM,SUP133292_A9999_272,Noncdm Charge Record Medical Supplies - Set Introducer Localization 1 12G,95.22,37.14,,,0
CDM,SUP13341,Noncdm Charge Record Medical Supplies,16.71,6.52,,,0
CDM,SUP133436,Noncdm Charge Record Medical Supplies - Loop Cutting 24-26Fr D0.30Mm Bipolar Rectangular,1947.52,759.53,,,0
CDM,SUP133437_272,Noncdm Charge Record Medical Supplies - Loop Electrosurgicsl Dia0.3Mm,1985.47,774.33,,,0
CDM,SUP133437_A9999_272,Noncdm Charge Record Medical Supplies - Loop Electrosurgicsl Dia0.3Mm,1909.58,744.74,,,0
CDM,SUP133513,Noncdm Charge Record Medical Supplies - Clip Aneurysm No68 L9Mm Opening 10Mm 1.47N,2436.39,950.19,,,0
CDM,SUP133514,Noncdm Charge Record Medical Supplies,2436.39,950.19,,,0
CDM,SUP13354,Noncdm Charge Record Medical Supplies - Dilator Vasc 12Fr 20Cm Std Radiopq .038In,33.12,12.92,,,0
CDM,SUP13355,Noncdm Charge Record Medical Supplies - Dilator Vasc 14Fr 20Cm Radiopq Strl Disp Vsl,33.12,12.92,,,0
CDM,SUP13356,Noncdm Charge Record Medical Supplies - Dilator Vasc 16Fr 20Cm Gwire Strl Disp Vsl Iv,33.12,12.92,,,0
CDM,SUP13357,Noncdm Charge Record Medical Supplies - Dilator Vasc 7Fr 20Cm .38In Gwire Strl Disp Radiopq,33.12,12.92,,,0
CDM,SUP13358_272,Noncdm Charge Record Medical Supplies - Dilator Vasc 8Fr 20Cm Radiopq Gwire Strl Disp,33.12,12.92,,,0
CDM,SUP13358_A4649_272,Noncdm Charge Record Medical Supplies - Dilator Vasc 8Fr 20Cm Radiopq Gwire Strl Disp,33.12,12.92,,,0
CDM,SUP13359,Noncdm Charge Record Medical Supplies - Dilator Vasc 5Fr 20Cm .38In Gwire Strl Disp Radiopq,33.12,12.92,,,0
CDM,SUP13360_272,Noncdm Charge Record Medical Supplies - Dilator Vasc 6Fr 20Cm Ss Gwire Strl Disp Vsl,33.12,12.92,,,0
CDM,SUP13360_A4649_272,Noncdm Charge Record Medical Supplies - Dilator Vasc 6Fr 20Cm Ss Gwire Strl Disp Vsl,33.12,12.92,,,0
CDM,SUP133610,Noncdm Charge Record Medical Supplies - Laparoscopic Esophagus Linx Sizing Tool,979.11,381.85,,,0
CDM,SUP133611,Noncdm Charge Record Medical Supplies - Cochlear Implant Ci612 Nucleus Profile Plus,125110.26,48793.0,,,0
CDM,SUP133612,Noncdm Charge Record Medical Supplies - Cochlear Implant Ci622 Nucleus Profile,93613.85,36509.4,,,0
CDM,SUP133613,Noncdm Charge Record Medical Supplies - Processor Kit Dual N7,45704.56,17824.78,,,0
CDM,SUP133623,Noncdm Charge Record Medical Supplies - Screw Spinal L45Mm Dia6.5Mm,2111.05,823.31,,,0
CDM,SUP133694,Noncdm Charge Record Medical Supplies - 14Mm Flexible Drill,3210.57,1252.12,,,0
CDM,SUP13371_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 4-0 Fs-1 18In Ethicon,10.17,3.97,,,0
CDM,SUP13371_A4649_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 4-0 Fs-1 18In Ethicon,9.32,3.63,,,0
CDM,SUP13372,Noncdm Charge Record Medical Supplies - Passer Suture Swanson,660.33,257.53,,,0
CDM,SUP13373_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 3-0 Fsl 30In Black Ethicon,10.35,4.04,,,0
CDM,SUP13373_A4649_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 3-0 Fsl 30In Black Ethicon,10.35,4.04,,,0
CDM,SUP13373_A9999_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 3-0 Fsl 30In Black Ethicon,10.35,4.04,,,0
CDM,SUP13374,Noncdm Charge Record Medical Supplies - Catheter Iabp 40Cc Balloon,3456.99,1348.23,,,0
CDM,SUP133748,Noncdm Charge Record Medical Supplies - See 156206 Transseptal Solution Versacross Fixed Curve Pigta,3946.46,1539.12,,,0
CDM,SUP133749,Noncdm Charge Record Medical Supplies - Transseptal Solution Versacross Steerable Pigtail,7165.3,2794.47,,,0
CDM,SUP133750,Noncdm Charge Record Medical Supplies - Transseptal Solution Versacross Steerable J Tip,7165.3,2794.47,,,0
CDM,SUP133751_Q4118_278,Noncdm Charge Record Medical Supplies - Dressing Biological 100Mg Micromatrix 100,1493.5,582.46,,,0
CDM,SUP133752_Q4118_278,Noncdm Charge Record Medical Supplies - Dressing Biological 200Mg Micromatrix 200,2687.9,1048.28,,,0
CDM,SUP13375_272,Noncdm Charge Record Medical Supplies - See 136241 Airway Esoph 5 Adlt Laryng,57.97,22.61,,,0
CDM,SUP13375_A4649_272,Noncdm Charge Record Medical Supplies - See 136241 Airway Esoph 5 Adlt Laryng,57.96,22.6,,,0
CDM,SUP13375_A9999_272,Noncdm Charge Record Medical Supplies - See 136241 Airway Esoph 5 Adlt Laryng,57.96,22.6,,,0
CDM,SUP13376,Noncdm Charge Record Medical Supplies - Airway Esoph 2 Ped Lma Cl,1052.6,410.51,,,0
CDM,SUP13377,Noncdm Charge Record Medical Supplies - Airway Esoph 2.5 Ped Lma Cl,1003.95,391.54,,,0
CDM,SUP133773,Noncdm Charge Record Medical Supplies - Valve Aortic Inspiris Resilia 21Mm,37048.86,14449.06,,,0
CDM,SUP133774,Noncdm Charge Record Medical Supplies - Valve Aortic Inspiris Resilia 23Mm,37048.86,14449.06,,,0
CDM,SUP133775,Noncdm Charge Record Medical Supplies - Valve Aortic Inspiris Resilia 25Mm,37048.86,14449.06,,,0
CDM,SUP133776,Noncdm Charge Record Medical Supplies - Valve Aortic Inspiris Resilia 27Mm,37048.86,14449.06,,,0
CDM,SUP133777,Noncdm Charge Record Medical Supplies - Valve Aortic Inspiris Resilia 29Mm,37048.86,14449.06,,,0
CDM,SUP13378_272,Noncdm Charge Record Medical Supplies - See 118786 Suture Ethilon 5-0 Fs-2 18In Black G Ethicon,9.59,3.74,,,0
CDM,SUP13378_A9999_272,Noncdm Charge Record Medical Supplies - See 118786 Suture Ethilon 5-0 Fs-2 18In Black G Ethicon,9.32,3.63,,,0
CDM,SUP13379_270,Noncdm Charge Record Medical Supplies - Manifold Ultra Evac,53.82,20.99,,,0
CDM,SUP13379_A4649_270,Noncdm Charge Record Medical Supplies - Manifold Ultra Evac,53.82,20.99,,,0
CDM,SUP13379_A9999_270,Noncdm Charge Record Medical Supplies - Manifold Ultra Evac,53.82,20.99,,,0
CDM,SUP1338,Noncdm Charge Record Medical Supplies - Rod Spnl 100Mm 6Mm Xia Ti,940.12,366.65,,,0
CDM,SUP13382_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 4-0 Fs-2 18In Black G Ethicon,9.44,3.68,,,0
CDM,SUP13382_A4649_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 4-0 Fs-2 18In Black G Ethicon,9.32,3.63,,,0
CDM,SUP13382_A9999_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 4-0 Fs-2 18In Black G Ethicon,9.32,3.63,,,0
CDM,SUP13384_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 3-0 Fs-1 18In Black Ethicon,10.01,3.9,,,0
CDM,SUP13384_A4649_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 3-0 Fs-1 18In Black Ethicon,10.18,3.97,,,0
CDM,SUP13384_A9999_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 3-0 Fs-1 18In Black Ethicon,10.35,4.04,,,0
CDM,SUP13385_272,Noncdm Charge Record Medical Supplies - Endopouch Retriever Specimen Bag 10Mm,996.94,388.81,,,0
CDM,SUP13385_A4649_272,Noncdm Charge Record Medical Supplies - Endopouch Retriever Specimen Bag 10Mm,1017.4,396.79,,,0
CDM,SUP133864,Noncdm Charge Record Medical Supplies - Suture Stratafix Symmetric Pds Plus0 60Cm Ctx,142.19,55.45,,,0
CDM,SUP133866,Noncdm Charge Record Medical Supplies,9845.96,3839.92,,,0
CDM,SUP133867,Noncdm Charge Record Medical Supplies - Graft Jacket Now Thin 4X8Cm,10798.16,4211.28,,,0
CDM,SUP13387,Noncdm Charge Record Medical Supplies - Suture Stainless Steel 4-0 Ts 14In Ethicon,41.4,16.15,,,0
CDM,SUP133870,Noncdm Charge Record Medical Supplies - Graft Jacket Now Stnd 4X4Cm,11629.26,4535.41,,,0
CDM,SUP133871,Noncdm Charge Record Medical Supplies - Graft Jacket Now Stnd 4X8Cm,12896.1,5029.48,,,0
CDM,SUP133876,Noncdm Charge Record Medical Supplies,5520.17,2152.87,,,0
CDM,SUP133880,Noncdm Charge Record Medical Supplies - Prelude Short Sheath Introduce 7F X 4Cm,95.22,37.14,,,0
CDM,SUP13388_272,Noncdm Charge Record Medical Supplies - Set Intub Crwfrd Lcrml W-O Sut,460.58,179.63,,,0
CDM,SUP13388_A9999_272,Noncdm Charge Record Medical Supplies - Set Intub Crwfrd Lcrml W-O Sut,460.58,179.63,,,0
CDM,SUP13390,Noncdm Charge Record Medical Supplies - Cannula Perf 16In 32Fr Venous Rtn 90D 3-8In,186.3,72.66,,,0
CDM,SUP133904,Noncdm Charge Record Medical Supplies,10.97,4.28,,,0
CDM,SUP13392_272,Noncdm Charge Record Medical Supplies - Suture Permahand 3-0 24In Tie Black Ethicon,12.09,4.72,,,0
CDM,SUP13392_A9999_272,Noncdm Charge Record Medical Supplies - Suture Permahand 3-0 24In Tie Black Ethicon,12.42,4.84,,,0
CDM,SUP13393_272,Noncdm Charge Record Medical Supplies - Suture Permahand 3-0 Fs-1 18In Black Ethicon,9.32,3.63,,,0
CDM,SUP13393_A4649_272,Noncdm Charge Record Medical Supplies - Suture Permahand 3-0 Fs-1 18In Black Ethicon,9.32,3.63,,,0
CDM,SUP13393_A9999_272,Noncdm Charge Record Medical Supplies - Suture Permahand 3-0 Fs-1 18In Black Ethicon,9.32,3.63,,,0
CDM,SUP13394,Noncdm Charge Record Medical Supplies - Suture Chromic 18In Tie Abs Ethicon,73.48,28.66,,,0
CDM,SUP13395,Noncdm Charge Record Medical Supplies - Suture Prolene 6-0 C-1 18In 2 Arm Blue Ethicon,77.62,30.27,,,0
CDM,SUP13396,Noncdm Charge Record Medical Supplies - Suture Goretex Cv-3 Th-26 36In Wl Gore And Associates,121.1,47.23,,,0
CDM,SUP133967,Noncdm Charge Record Medical Supplies,60.55,23.61,,,0
CDM,SUP133968,Noncdm Charge Record Medical Supplies - Cath Ep 5Mm Spc Jsn Crv 5Fr 120Cm Qpolar,220.46,85.98,,,0
CDM,SUP133969,Noncdm Charge Record Medical Supplies - Rotapro Os 2.0 1.25Mm,11419.16,4453.47,,,0
CDM,SUP133970,Noncdm Charge Record Medical Supplies - Rotapro Os 2.0 1.50Mm,10374.44,4046.03,,,0
CDM,SUP133971,Noncdm Charge Record Medical Supplies - Rotapro Os 2.0 1.75Mm,8521.84,3323.52,,,0
CDM,SUP133973,Noncdm Charge Record Medical Supplies - Bit Drill 145Mm 3.2Mm Qc Ns,171.81,67.01,,,0
CDM,SUP133974,Noncdm Charge Record Medical Supplies - Bit Drill Gold 110Mm 2.5Mm Ss Qc Ns,195.62,76.29,,,0
CDM,SUP133979,Noncdm Charge Record Medical Supplies - Bit Drill 2.5Mm Cannula,460.58,179.63,,,0
CDM,SUP13398,Noncdm Charge Record Medical Supplies - Suture Prolene 2-0 Sh 36In Double Arm Ethicon,29.45,11.49,,,0
CDM,SUP133981,Noncdm Charge Record Medical Supplies,115.92,45.21,,,0
CDM,SUP133982_272,Noncdm Charge Record Medical Supplies - See 37456 Trocar Optc Bladeless 11Mm Std W-Fx100Mm Cannula,49.68,19.38,,,0
CDM,SUP133982_A9999_272,Noncdm Charge Record Medical Supplies - See 37456 Trocar Optc Bladeless 11Mm Std W-Fx100Mm Cannula,49.68,19.38,,,0
CDM,SUP133984,Noncdm Charge Record Medical Supplies - Catheter Ivus 90Cm .035In 8Fr Hydrophil,3086.37,1203.68,,,0
CDM,SUP133985_272,Noncdm Charge Record Medical Supplies - See 53285 Trocar Optc Bladeless 12Mm Std W-Fx Cannula,49.68,19.38,,,0
CDM,SUP133985_A4649_272,Noncdm Charge Record Medical Supplies - See 53285 Trocar Optc Bladeless 12Mm Std W-Fx Cannula,49.68,19.38,,,0
CDM,SUP133986_272,Noncdm Charge Record Medical Supplies,59.0,23.01,,,0
CDM,SUP133986_A9999_272,Noncdm Charge Record Medical Supplies,59.0,23.01,,,0
CDM,SUP133988,Noncdm Charge Record Medical Supplies - Catheter Ep 5Mm Spc Crd Crv 5Fr 120Cm Qpolar,197.68,77.1,,,0
CDM,SUP133989,Noncdm Charge Record Medical Supplies - Cath Ep 5Mm Spc Crd2 Crv 5Fr 120Cm Qpolar,218.38,85.17,,,0
CDM,SUP133990,Noncdm Charge Record Medical Supplies,1483.16,578.43,,,0
CDM,SUP133991,Noncdm Charge Record Medical Supplies - See 139127 Cath Ep 5Mm Spc Jsn Crv 5Fr 120Cm Qpolar,801.09,312.43,,,0
CDM,SUP133993,Noncdm Charge Record Medical Supplies - Bit Drill 2.6Mm 130Mm Cannula 4Mm P-T,460.58,179.63,,,0
CDM,SUP133995,Noncdm Charge Record Medical Supplies - Cuff Tourniquet 24In 2 Port 1 Bladr Pump Line,52.78,20.58,,,0
CDM,SUP133996_270,Noncdm Charge Record Medical Supplies - Cuff Tourniquet 34In 2 Port 1 Bladr Pump Line,52.78,20.58,,,0
CDM,SUP133996_A4649_270,Noncdm Charge Record Medical Supplies - Cuff Tourniquet 34In 2 Port 1 Bladr Pump Line,52.78,20.58,,,0
CDM,SUP133996_A9999_270,Noncdm Charge Record Medical Supplies - Cuff Tourniquet 34In 2 Port 1 Bladr Pump Line,52.78,20.58,,,0
CDM,SUP133997,Noncdm Charge Record Medical Supplies - Cuff Tourniquet 42In 2 Port 1 Bladr Pump Line,55.89,21.8,,,0
CDM,SUP133998,Noncdm Charge Record Medical Supplies - Bit Drill 180Mm 4.3Mm Qc 5Mm Lck Screw Ns,279.45,108.99,,,0
CDM,SUP13399_272,Noncdm Charge Record Medical Supplies - See 141072 Suture Monocryl 3-0 Ks 27In Undyed Ethicon,16.61,6.48,,,0
CDM,SUP13399_A4649_272,Noncdm Charge Record Medical Supplies - See 141072 Suture Monocryl 3-0 Ks 27In Undyed Ethicon,16.56,6.46,,,0
CDM,SUP13399_A9999_272,Noncdm Charge Record Medical Supplies - See 141072 Suture Monocryl 3-0 Ks 27In Undyed Ethicon,16.56,6.46,,,0
CDM,SUP13400,Noncdm Charge Record Medical Supplies - See 141110 Suture Pds2 4-0 P-3 18In Clear Ethicon,26.91,10.49,,,0
CDM,SUP134000,Noncdm Charge Record Medical Supplies - Bit Drill 110Mm 1.8Mm Qc D Mark Ns,370.53,144.51,,,0
CDM,SUP134001_C1766_272,Noncdm Charge Record Medical Supplies - Sheath Agilis Sm Curl 8.5Fr 71Cm,2671.34,1041.82,,,0
CDM,SUP134001_C1894_272,Noncdm Charge Record Medical Supplies - Sheath Agilis Sm Curl 8.5Fr 71Cm,2671.34,1041.82,,,0
CDM,SUP134004,Noncdm Charge Record Medical Supplies - Bit Drill 330Mm 4.2Mm 100Mm Calib Qc 3 Flute,572.36,223.22,,,0
CDM,SUP134005,Noncdm Charge Record Medical Supplies - Bit Drill 145Mm 4.2Mm Qc Ndl Pt 3 Flute Ns,355.24,138.54,,,0
CDM,SUP134006_272,Noncdm Charge Record Medical Supplies - See 86672 Unit Electrosurg 36X3.3-4.7Mm 18Cm Instr Disp,1418.98,553.4,,,0
CDM,SUP134006_A4649_272,Noncdm Charge Record Medical Supplies - See 86672 Unit Electrosurg 36X3.3-4.7Mm 18Cm Instr Disp,1418.98,553.4,,,0
CDM,SUP134009,Noncdm Charge Record Medical Supplies - Unit Electrosurg 37Cm 5Mm Blnt Lgsr,1332.04,519.5,,,0
CDM,SUP134010,Noncdm Charge Record Medical Supplies - Pad Mattress 39In Wide Disp,262.89,102.53,,,0
CDM,SUP134014,Noncdm Charge Record Medical Supplies - Cannula Twistin 7Mm 7Cm Thrd W No Squirt Cap Strl Trnlu,60.21,23.48,,,0
CDM,SUP134017,Noncdm Charge Record Medical Supplies - Unit Electrosurg 18.8Cm Sm Jaw Lgsr Strl,1493.5,582.46,,,0
CDM,SUP134018_272,Noncdm Charge Record Medical Supplies - See 97116 Cannula Fx 5Mm + Seal W Vrsprt + Bladeless Trocar,49.64,19.36,,,0
CDM,SUP134018_A4649_272,Noncdm Charge Record Medical Supplies - See 97116 Cannula Fx 5Mm + Seal W Vrsprt + Bladeless Trocar,49.68,19.38,,,0
CDM,SUP134019_272,Noncdm Charge Record Medical Supplies - See 97220 Trocar Vrsprt Bladelss 5Mm Optc,49.66,19.37,,,0
CDM,SUP134019_A4649_272,Noncdm Charge Record Medical Supplies - See 97220 Trocar Vrsprt Bladelss 5Mm Optc,49.68,19.38,,,0
CDM,SUP134019_A9999_272,Noncdm Charge Record Medical Supplies - See 97220 Trocar Vrsprt Bladelss 5Mm Optc,49.68,19.38,,,0
CDM,SUP134022_272,Noncdm Charge Record Medical Supplies - See 98974 Trocar Vrsprt V2T Bladeless 5Mm Optc,49.6,19.34,,,0
CDM,SUP134022_A9999_272,Noncdm Charge Record Medical Supplies - See 98974 Trocar Vrsprt V2T Bladeless 5Mm Optc,49.68,19.38,,,0
CDM,SUP134024,Noncdm Charge Record Medical Supplies - Transseptal Solution Versacross Steerable J Tip,7165.3,2794.47,,,0
CDM,SUP134026,Noncdm Charge Record Medical Supplies - Transseptal Solution Versacross Steerable J Tip,7165.3,2794.47,,,0
CDM,SUP134027,Noncdm Charge Record Medical Supplies - Sideward Cvd Clip 9Mm Permanent,2222.14,866.63,,,0
CDM,SUP134171,Noncdm Charge Record Medical Supplies - Wand Arthroscopic 90Deg 3.5Mm Ambient Super Turbovac,397.44,155.0,,,0
CDM,SUP134172_272,Noncdm Charge Record Medical Supplies - Cannula Arthroscopic L75Mm Dia8.5Mm Clear Threaded,54.42,21.22,,,0
CDM,SUP134172_A4649_272,Noncdm Charge Record Medical Supplies - Cannula Arthroscopic L75Mm Dia8.5Mm Clear Threaded,54.86,21.4,,,0
CDM,SUP134172_A9999_272,Noncdm Charge Record Medical Supplies - Cannula Arthroscopic L75Mm Dia8.5Mm Clear Threaded,54.34,21.19,,,0
CDM,SUP134173,Noncdm Charge Record Medical Supplies - Primoboot Purple-Navy - Stand,146.74,57.23,,,0
CDM,SUP134188,Noncdm Charge Record Medical Supplies - Guidewire Vascular L260Cm Dia0.035In,43.47,16.95,,,0
CDM,SUP134199,Noncdm Charge Record Medical Supplies - Pack Spine Ws370001,373.64,145.72,,,0
CDM,SUP134200,Noncdm Charge Record Medical Supplies - Screw Bn Mtphsl 2.7Mm 22Mm St T8 Stardr Recess,333.27,129.98,,,0
CDM,SUP134244,Noncdm Charge Record Medical Supplies - Hydromark Breast Biopsy Site Marker 14G Titanium Shape 3,513.86,200.41,,,0
CDM,SUP13425,Noncdm Charge Record Medical Supplies - See 140720 Catheter Embol 60Cm 2Fr Fgrty Art Balloon,388.28,151.43,,,0
CDM,SUP13428,Noncdm Charge Record Medical Supplies - Kit Arthro Fx Trnfx2 Wo Saw Blade Acl Trntb,710.01,276.9,,,0
CDM,SUP13429_272,Noncdm Charge Record Medical Supplies - System Bn Cement Hi Vac Kt Bowl Spat Paddle,249.39,97.26,,,0
CDM,SUP13429_A4649_272,Noncdm Charge Record Medical Supplies - System Bn Cement Hi Vac Kt Bowl Spat Paddle,249.44,97.28,,,0
CDM,SUP13429_A9999_272,Noncdm Charge Record Medical Supplies - System Bn Cement Hi Vac Kt Bowl Spat Paddle,249.44,97.28,,,0
CDM,SUP13430,Noncdm Charge Record Medical Supplies - Retractor 32Cm 10Mm Er2 Mn Inv Rotc Fan Hand,405.72,158.23,,,0
CDM,SUP13432,Noncdm Charge Record Medical Supplies - Trocar Laparos 10Mm Blnt Cnvtr Balloon Spcmkr,202.86,79.12,,,0
CDM,SUP13436,Noncdm Charge Record Medical Supplies - Evacuator M Connect Tub Ellik,1126.08,439.17,,,0
CDM,SUP134379,Noncdm Charge Record Medical Supplies - Kit Implant Valve - Sapien S3 Ultra Transcatheter Heart Valv,157087.12,61263.98,,,0
CDM,SUP134380,Noncdm Charge Record Medical Supplies - Kit Implant Valve - Sapien S3 Ultra Transcatheter Heart Valv,160349.7,62536.38,,,0
CDM,SUP134381_C1889_278,Noncdm Charge Record Medical Supplies - Kit Implant Valve - Sapien S3 Ultra Transcatheter Heart Valv,164337.3,64091.55,,,0
CDM,SUP134381_L8699_278,Noncdm Charge Record Medical Supplies - Kit Implant Valve - Sapien S3 Ultra Transcatheter Heart Valv,157570.47,61452.48,,,0
CDM,SUP13439_270,Noncdm Charge Record Medical Supplies,14.49,5.65,,,0
CDM,SUP13439_A4649_270,Noncdm Charge Record Medical Supplies,14.49,5.65,,,0
CDM,SUP1344,Noncdm Charge Record Medical Supplies - Wire Fx .062In 4In Krsh Ss 2,12.63,4.93,,,0
CDM,SUP134401,Noncdm Charge Record Medical Supplies - Kit Drill Cranial Access 6.35Mm Dia 70Mm Length,2277.0,888.03,,,0
CDM,SUP13444,Noncdm Charge Record Medical Supplies - Suture Prmhnd 0 Fsl 30In Braid,8.33,3.25,,,0
CDM,SUP13445_272,Noncdm Charge Record Medical Supplies - Suture Plain 3-0 Ctx 27In Ethicon,15.3,5.97,,,0
CDM,SUP13445_A9999_272,Noncdm Charge Record Medical Supplies - Suture Plain 3-0 Ctx 27In Ethicon,15.52,6.05,,,0
CDM,SUP13446_272,Noncdm Charge Record Medical Supplies - See 76893 Suture Vicryl 3-0 Sh 27In Undyed Ethicon,7.26,2.83,,,0
CDM,SUP13446_A4649_272,Noncdm Charge Record Medical Supplies - See 76893 Suture Vicryl 3-0 Sh 27In Undyed Ethicon,7.29,2.84,,,0
CDM,SUP13446_A9999_272,Noncdm Charge Record Medical Supplies - See 76893 Suture Vicryl 3-0 Sh 27In Undyed Ethicon,7.3,2.85,,,0
CDM,SUP134487,Noncdm Charge Record Medical Supplies - Kit Thrombectomy Catheter 6Fr L135Cm Coronary Peripheral Lrg,9942.36,3877.52,,,0
CDM,SUP134488,Noncdm Charge Record Medical Supplies - Indigo Catheter 12 + Dynamic Aspiration Tubing,30026.38,11710.29,,,0
CDM,SUP13448_272,Noncdm Charge Record Medical Supplies - Suture Pds2 6-0 P-1 18In Clear Ethicon,31.72,12.37,,,0
CDM,SUP13448_A4649_272,Noncdm Charge Record Medical Supplies - Suture Pds2 6-0 P-1 18In Clear Ethicon,32.08,12.51,,,0
CDM,SUP13448_A9999_272,Noncdm Charge Record Medical Supplies - Suture Pds2 6-0 P-1 18In Clear Ethicon,32.08,12.51,,,0
CDM,SUP1345,Noncdm Charge Record Medical Supplies - Wire Fx .054In 4In Krsh Ss 2,12.76,4.98,,,0
CDM,SUP134558,Noncdm Charge Record Medical Supplies - Catheter Neurovasc 5Fr L115Cm Intracranial Support Sofia,7120.8,2777.11,,,0
CDM,SUP134559,Noncdm Charge Record Medical Supplies - Microcatheter Trevo Trak 21,4301.69,1677.66,,,0
CDM,SUP134565,Noncdm Charge Record Medical Supplies - Blade Saw W0.75Xl3.54In Thk0.047In,286.7,111.81,,,0
CDM,SUP134567,Noncdm Charge Record Medical Supplies - Blade Saw W25Xl90Mm Thk0.047In Cut Edge 0.984In,286.66,111.8,,,0
CDM,SUP134569,Noncdm Charge Record Medical Supplies - Blade Saw W9Xl31Mm Thk0.38Mm Oscillating And Sagittal,253.58,98.9,,,0
CDM,SUP134679_270,Noncdm Charge Record Medical Supplies - Mask Oxygen Procedural Pom Elite 7 Oxygen Tubing,45.54,17.76,,,0
CDM,SUP134679_A4649_270,Noncdm Charge Record Medical Supplies - Mask Oxygen Procedural Pom Elite 7 Oxygen Tubing,45.54,17.76,,,0
CDM,SUP134679_A9999_270,Noncdm Charge Record Medical Supplies - Mask Oxygen Procedural Pom Elite 7 Oxygen Tubing,45.54,17.76,,,0
CDM,SUP13471,Noncdm Charge Record Medical Supplies - Suture Chromic 2-0 27In Ct Abs Ethicon,15.09,5.89,,,0
CDM,SUP13472,Noncdm Charge Record Medical Supplies - Introducer Sheath 14Fr 30Cm,220.46,85.98,,,0
CDM,SUP134723,Noncdm Charge Record Medical Supplies,72496.58,28273.67,,,0
CDM,SUP13474,Noncdm Charge Record Medical Supplies - Needle 7Cm 19Ga Entry Ulthn Wall Proc Perc,22.85,8.91,,,0
CDM,SUP134773,Noncdm Charge Record Medical Supplies - Ensnare Hemostatis Valve,24.98,9.74,,,0
CDM,SUP134774,Noncdm Charge Record Medical Supplies - Catheter Single Lumen Sheath,2443.12,952.82,,,0
CDM,SUP134776,Noncdm Charge Record Medical Supplies - Balloon Cath 100Cm 10F,3523.14,1374.02,,,0
CDM,SUP13478,Noncdm Charge Record Medical Supplies - Suture Chromic 0 27In Ct Abs Ethicon,15.52,6.05,,,0
CDM,SUP134828,Noncdm Charge Record Medical Supplies - Kit Acc Cannula Insertion,2317.5,903.82,,,0
CDM,SUP13482_272,Noncdm Charge Record Medical Supplies - See 140972 Suture Vicryl 2-0 Fs-1 27In Undyed Ethicon,10.35,4.04,,,0
CDM,SUP13482_A4649_272,Noncdm Charge Record Medical Supplies - See 140972 Suture Vicryl 2-0 Fs-1 27In Undyed Ethicon,10.35,4.04,,,0
CDM,SUP13483_272,Noncdm Charge Record Medical Supplies - Tubing Insufflation Deroyal,17.6,6.86,,,0
CDM,SUP13483_A4649_272,Noncdm Charge Record Medical Supplies - Tubing Insufflation Deroyal,17.6,6.86,,,0
CDM,SUP13483_A9999_272,Noncdm Charge Record Medical Supplies - Tubing Insufflation Deroyal,17.6,6.86,,,0
CDM,SUP134846,Noncdm Charge Record Medical Supplies - Cannula Radiofrequency 22Ga L5Cm Tip L5Mm Straight Sharp,117.55,45.84,,,0
CDM,SUP134848,Noncdm Charge Record Medical Supplies - Bit Drill Dia2.5Mm Calibrated Disposable For 3.5Mm,763.92,297.93,,,0
CDM,SUP134849,Noncdm Charge Record Medical Supplies - Bit Drill Dia3.5Mm For 2.7-3.5Mm Pedifrag System,514.4,200.62,,,0
CDM,SUP13484_272,Noncdm Charge Record Medical Supplies - Tubing Suct Irr Wo Tip,171.97,67.07,,,0
CDM,SUP13484_A4649_272,Noncdm Charge Record Medical Supplies - Tubing Suct Irr Wo Tip,173.92,67.83,,,0
CDM,SUP13484_A9999_272,Noncdm Charge Record Medical Supplies - Tubing Suct Irr Wo Tip,168.72,65.8,,,0
CDM,SUP13485,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 46Mm Ss P-T Cannula Ns,669.64,261.16,,,0
CDM,SUP134850,Noncdm Charge Record Medical Supplies - Screw Bone Pediatric L12Mm Dia3.5Mm,191.76,74.79,,,0
CDM,SUP134851,Noncdm Charge Record Medical Supplies - Screw Bone Pediatric L14Mm Dia3.5Mm,202.51,78.98,,,0
CDM,SUP134852,Noncdm Charge Record Medical Supplies - Screw Bone Pediatric L18Mm Dia3.5Mm,191.48,74.68,,,0
CDM,SUP13486_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 1 Ct-1 30In Green Ethicon,8.28,3.23,,,0
CDM,SUP13486_A4649_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 1 Ct-1 30In Green Ethicon,8.31,3.24,,,0
CDM,SUP13486_A9999_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 1 Ct-1 30In Green Ethicon,8.41,3.28,,,0
CDM,SUP13487,Noncdm Charge Record Medical Supplies - Tube Drain 30Cm 14Fr Uret 2 Fll Connect Y,85.9,33.5,,,0
CDM,SUP13488_272,Noncdm Charge Record Medical Supplies - Guidewire Ptfe 0.035In 150Cm Straight Boston Scientific,52.78,20.58,,,0
CDM,SUP13488_C1769_272,Noncdm Charge Record Medical Supplies - Guidewire Ptfe 0.035In 150Cm Straight Boston Scientific,77.55,30.24,,,0
CDM,SUP13489,Noncdm Charge Record Medical Supplies - Suture Chromic 1 27In Ct Abs Ethicon,15.84,6.18,,,0
CDM,SUP13490,Noncdm Charge Record Medical Supplies - Suture Pds2 2-0 Sh 18In Cr Violet Ethicon,98.32,38.34,,,0
CDM,SUP134927,Noncdm Charge Record Medical Supplies,806.26,314.44,,,0
CDM,SUP13493,Noncdm Charge Record Medical Supplies - Screw Bn Schnz Canc Spnl Ns Bolt,1088.86,424.66,,,0
CDM,SUP134933,Noncdm Charge Record Medical Supplies - Lens Tecnis Itec 1Pc Mono Preloaded 12.0,806.26,314.44,,,0
CDM,SUP134934,Noncdm Charge Record Medical Supplies,806.26,314.44,,,0
CDM,SUP134936,Noncdm Charge Record Medical Supplies - Lens Tecnis Itec 1Pc Mono Preloaded 13.5,806.26,314.44,,,0
CDM,SUP134938,Noncdm Charge Record Medical Supplies - Lens Tecnis Itec 1Pc Mono Preloaded 14.5,806.26,314.44,,,0
CDM,SUP134939,Noncdm Charge Record Medical Supplies - Lens Tecnis Itec 1Pc Mono Preloaded 15.0,806.26,314.44,,,0
CDM,SUP134941,Noncdm Charge Record Medical Supplies - Lens Tecnis Itec 1Pc Mono Preloaded 16.0,806.26,314.44,,,0
CDM,SUP134943,Noncdm Charge Record Medical Supplies - Lens Tecnis Itec 1Pc Mono Preloaded 17.0,806.26,314.44,,,0
CDM,SUP134944,Noncdm Charge Record Medical Supplies - Lens Tecnis Itec 1Pc Mono Preloaded 17.5,806.26,314.44,,,0
CDM,SUP134945,Noncdm Charge Record Medical Supplies - Lens Tecnis Itec 1Pc Mono Preloaded 18.0,806.26,314.44,,,0
CDM,SUP134946,Noncdm Charge Record Medical Supplies - Lens Tecnis Itec 1Pc Mono Preloaded 18.5,806.26,314.44,,,0
CDM,SUP134947,Noncdm Charge Record Medical Supplies - Lens Tecnis Itec 1Pc Mono Preloaded 19.0,806.26,314.44,,,0
CDM,SUP134948,Noncdm Charge Record Medical Supplies - Lens Tecnis Itec 1Pc Mono Preloaded 19.5,806.26,314.44,,,0
CDM,SUP134949,Noncdm Charge Record Medical Supplies - Lens Tecnis Itec 1Pc Mono Preloaded 20.0,806.26,314.44,,,0
CDM,SUP13494_272,Noncdm Charge Record Medical Supplies - Trocar Laparos 100Mm 5Mm Vrstp,189.4,73.87,,,0
CDM,SUP13494_A4649_272,Noncdm Charge Record Medical Supplies - Trocar Laparos 100Mm 5Mm Vrstp,189.4,73.87,,,0
CDM,SUP134950,Noncdm Charge Record Medical Supplies - Lens Tecnis Itec 1Pc Mono Preloaded 20.5,806.26,314.44,,,0
CDM,SUP134951,Noncdm Charge Record Medical Supplies - Lens Tecnis Itec 1Pc Mono Preloaded 21.0,806.26,314.44,,,0
CDM,SUP134952,Noncdm Charge Record Medical Supplies - Lens Tecnis Itec 1Pc Mono Preloaded 21.5,806.26,314.44,,,0
CDM,SUP134953,Noncdm Charge Record Medical Supplies - Lens Tecnis Itec 1Pc Mono Preloaded 22.0,806.26,314.44,,,0
CDM,SUP134954,Noncdm Charge Record Medical Supplies - Lens Tecnis Itec 1Pc Mono Preloaded 22.5,806.26,314.44,,,0
CDM,SUP134955,Noncdm Charge Record Medical Supplies - Lens Tecnis Itec 1Pc Mono Preloaded 23.0,806.26,314.44,,,0
CDM,SUP134957,Noncdm Charge Record Medical Supplies - Lens Tecnis Itec 1Pc Mono Preloaded 24.0,806.26,314.44,,,0
CDM,SUP134958,Noncdm Charge Record Medical Supplies - Lens Tecnis Itec 1Pc Mono Preloaded 24.5,806.26,314.44,,,0
CDM,SUP134959,Noncdm Charge Record Medical Supplies - Lens Tecnis Itec 1Pc Mono Preloaded 25.0,806.26,314.44,,,0
CDM,SUP13495_272,Noncdm Charge Record Medical Supplies - Needle Insfl 100Mm 14Ga Step Vrrs Pnmprtn,44.53,17.37,,,0
CDM,SUP13495_A4649_272,Noncdm Charge Record Medical Supplies - Needle Insfl 100Mm 14Ga Step Vrrs Pnmprtn,44.63,17.41,,,0
CDM,SUP13495_A9999_272,Noncdm Charge Record Medical Supplies - Needle Insfl 100Mm 14Ga Step Vrrs Pnmprtn,44.5,17.36,,,0
CDM,SUP13497,Noncdm Charge Record Medical Supplies - Catheter Uret 6Fr Ang Tip,175.95,68.62,,,0
CDM,SUP134977,Noncdm Charge Record Medical Supplies - See 125446 System Splnt 4Inx15Ft Orth Gls,279.45,108.99,,,0
CDM,SUP134980_272,Noncdm Charge Record Medical Supplies,7.37,2.87,,,0
CDM,SUP134980_A4649_272,Noncdm Charge Record Medical Supplies,7.24,2.82,,,0
CDM,SUP13504,Noncdm Charge Record Medical Supplies - Suture Monocryl 6-0 Pc-1 18In Undyed Ethicon,31.28,12.2,,,0
CDM,SUP13505,Noncdm Charge Record Medical Supplies - Inserter Surg 12Mm Plastic,216.32,84.36,,,0
CDM,SUP135050,Noncdm Charge Record Medical Supplies - Pin Drill 8Mm Acl Pcl Knee Ret Retrograde All In One,2031.7,792.36,,,0
CDM,SUP135051,Noncdm Charge Record Medical Supplies,1208.88,471.46,,,0
CDM,SUP135052,Noncdm Charge Record Medical Supplies,8615.34,3359.98,,,0
CDM,SUP13506,Noncdm Charge Record Medical Supplies - Guidewire Orth 300-2.8Mm Thrd Thrd Troc Pt Ss,158.33,61.75,,,0
CDM,SUP13507,Noncdm Charge Record Medical Supplies - Bit Drill 300Mm 5Mm Lg Ss Qc Cannula Ns,1630.79,636.01,,,0
CDM,SUP13509,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 3.2Mm 170Mm Synthes,1461.07,569.82,,,0
CDM,SUP135097_272,Noncdm Charge Record Medical Supplies - Device Manipulator Dia35Mm Distal Cup Vaginal Fornices,783.5,305.56,,,0
CDM,SUP135097_A4649_272,Noncdm Charge Record Medical Supplies - Device Manipulator Dia35Mm Distal Cup Vaginal Fornices,783.5,305.56,,,0
CDM,SUP135097_A9999_272,Noncdm Charge Record Medical Supplies - Device Manipulator Dia35Mm Distal Cup Vaginal Fornices,783.5,305.56,,,0
CDM,SUP135098,Noncdm Charge Record Medical Supplies - Needle Percutaneous Access 18Ga L16Cm,355.0,138.45,,,0
CDM,SUP135099_C1757_278,Noncdm Charge Record Medical Supplies - Device Closure Watchman Flx Laa 20Mm Us,82168.65,32045.77,,,0
CDM,SUP135099_C1889_278,Noncdm Charge Record Medical Supplies - Device Closure Watchman Flx Laa 20Mm Us,82168.65,32045.77,,,0
CDM,SUP1351,Noncdm Charge Record Medical Supplies - Blade Saw 70X12.5X.8Mm 2 Sided Recip Ns,184.23,71.85,,,0
CDM,SUP135100_278,Noncdm Charge Record Medical Supplies - Device Closure Watchman Flx Laa 24Mm Us,82168.65,32045.77,,,0
CDM,SUP135100_C1760_278,Noncdm Charge Record Medical Supplies - Device Closure Watchman Flx Laa 24Mm Us,82168.65,32045.77,,,0
CDM,SUP135100_C1889_278,Noncdm Charge Record Medical Supplies - Device Closure Watchman Flx Laa 24Mm Us,82168.65,32045.77,,,0
CDM,SUP135101_C1757_278,Noncdm Charge Record Medical Supplies - Device Closure Watchman Flx Laa 27Mm Us,82168.65,32045.77,,,0
CDM,SUP135101_C1889_278,Noncdm Charge Record Medical Supplies - Device Closure Watchman Flx Laa 27Mm Us,82168.65,32045.77,,,0
CDM,SUP135102_278,Noncdm Charge Record Medical Supplies - Device Closure Watchman Flx Laa 31Mm Us,82168.65,32045.77,,,0
CDM,SUP135102_C1757_278,Noncdm Charge Record Medical Supplies - Device Closure Watchman Flx Laa 31Mm Us,82168.65,32045.77,,,0
CDM,SUP135102_C1889_278,Noncdm Charge Record Medical Supplies - Device Closure Watchman Flx Laa 31Mm Us,82168.65,32045.77,,,0
CDM,SUP135103_C1757_278,Noncdm Charge Record Medical Supplies - Device Closure Watchman Flx Laa 35Mm Us,82168.65,32045.77,,,0
CDM,SUP135103_C1889_278,Noncdm Charge Record Medical Supplies - Device Closure Watchman Flx Laa 35Mm Us,82168.65,32045.77,,,0
CDM,SUP135106,Noncdm Charge Record Medical Supplies - Access System Watchman Truseal Ant Us,4409.1,1719.55,,,0
CDM,SUP13511,Noncdm Charge Record Medical Supplies - Shaver Gator 2.0Mm Blade Conmed,395.37,154.19,,,0
CDM,SUP135127_272,Noncdm Charge Record Medical Supplies - Manipulator Surgical 40Mm Distal Cup Mccarus-Volker Forn,501.17,195.46,,,0
CDM,SUP135127_A9999_272,Noncdm Charge Record Medical Supplies - Manipulator Surgical 40Mm Distal Cup Mccarus-Volker Forn,469.89,183.26,,,0
CDM,SUP135128,Noncdm Charge Record Medical Supplies - Catheter Lead Delivery 10.06Fr L47Cm 115Deg,2473.65,964.72,,,0
CDM,SUP13517,Noncdm Charge Record Medical Supplies - Suture Ethilon 6-0 Ps-3 18In Ethicon,19.15,7.47,,,0
CDM,SUP135175,Noncdm Charge Record Medical Supplies - Pack 6X6In Therap Hot Std Jr Lf Disp,3.67,1.43,,,0
CDM,SUP13518_272,Noncdm Charge Record Medical Supplies - Syringe Angio Wht 1Ml Plycrb,9.49,3.7,,,0
CDM,SUP13518_A4649_272,Noncdm Charge Record Medical Supplies - Syringe Angio Wht 1Ml Plycrb,9.57,3.73,,,0
CDM,SUP13518_A9999_272,Noncdm Charge Record Medical Supplies - Syringe Angio Wht 1Ml Plycrb,9.57,3.73,,,0
CDM,SUP13522_272,Noncdm Charge Record Medical Supplies - Tubing Irr Cassette Arthro,501.25,195.49,,,0
CDM,SUP13522_A4649_272,Noncdm Charge Record Medical Supplies - Tubing Irr Cassette Arthro,652.05,254.3,,,0
CDM,SUP13522_A9999_272,Noncdm Charge Record Medical Supplies - Tubing Irr Cassette Arthro,974.97,380.24,,,0
CDM,SUP13523,Noncdm Charge Record Medical Supplies - Suture Chromic 3-0 Ct 54In Arm Abs Ethicon,27.94,10.9,,,0
CDM,SUP13525,Noncdm Charge Record Medical Supplies - Cap Protector 0.035In Steinmen Pin Blue Triad Group,8.97,3.5,,,0
CDM,SUP13528,Noncdm Charge Record Medical Supplies - Splint Nasal Thk.25Mm Std Thin,324.99,126.75,,,0
CDM,SUP13531,Noncdm Charge Record Medical Supplies - Nail Prox Hum Shrt 8Mm Rt Strl,7266.74,2834.03,,,0
CDM,SUP13532,Noncdm Charge Record Medical Supplies - Screw Bn Multiloc 4.5Mm 36Mm Ti Strl,1274.22,496.95,,,0
CDM,SUP13533,Noncdm Charge Record Medical Supplies - Suture Prolene 4-0 P-3 18In Ethicon,9.76,3.81,,,0
CDM,SUP13534,Noncdm Charge Record Medical Supplies - Screw Bn Multiloc 4.5Mm 42Mm Ti Strl,1270.8,495.61,,,0
CDM,SUP13539,Noncdm Charge Record Medical Supplies - Suture Ethilon 6-0 P1 18In Black Ethicon,21.74,8.48,,,0
CDM,SUP13540,Noncdm Charge Record Medical Supplies - Kit Pericardiocentesis Tray,582.62,227.22,,,0
CDM,SUP135418,Noncdm Charge Record Medical Supplies - Tissue Thin 2X3Cm Pro3-P Amniotic Placental Membrane,4108.95,1602.49,,,0
CDM,SUP13543,Noncdm Charge Record Medical Supplies - Screw 6 60Mm Nail Ex Ti Strl Ft Fem-Tib,922.18,359.65,,,0
CDM,SUP13544,Noncdm Charge Record Medical Supplies - Electrode Bar Roller 24Fr Vmx2,595.12,232.1,,,0
CDM,SUP135442,Noncdm Charge Record Medical Supplies - Implant Abs Tight Rope,1799.77,701.91,,,0
CDM,SUP135443,Noncdm Charge Record Medical Supplies - Passer Lasso Left Tight Curve Quickpass,783.47,305.55,,,0
CDM,SUP135444_272,Noncdm Charge Record Medical Supplies - Passer Lasso Right Tight Curve Quickpass,783.5,305.56,,,0
CDM,SUP135444_A9999_272,Noncdm Charge Record Medical Supplies - Passer Lasso Right Tight Curve Quickpass,783.5,305.56,,,0
CDM,SUP135445,Noncdm Charge Record Medical Supplies - Burr Surgical 3.8Mm L 3.0Mm D Elite,670.85,261.63,,,0
CDM,SUP13545_272,Noncdm Charge Record Medical Supplies - Adaptor Foley Catheter Female Luer Lock Cook Medical Inc,31.05,12.11,,,0
CDM,SUP13545_A4649_272,Noncdm Charge Record Medical Supplies - Adaptor Foley Catheter Female Luer Lock Cook Medical Inc,31.05,12.11,,,0
CDM,SUP13548,Noncdm Charge Record Medical Supplies - Pin 80Mm 3.2D Cas Flute,150.4,58.66,,,0
CDM,SUP13549_272,Noncdm Charge Record Medical Supplies - Kit Cup Shell Stem Navitracker,998.43,389.39,,,0
CDM,SUP13549_A4649_272,Noncdm Charge Record Medical Supplies - Kit Cup Shell Stem Navitracker,1008.09,393.16,,,0
CDM,SUP13550_272,Noncdm Charge Record Medical Supplies - Sponge 4X4In Nonwvn Av Gz Dressing Strl Lf 2-Pk,0.43,0.17,,,0
CDM,SUP13550_A4649_272,Noncdm Charge Record Medical Supplies - Sponge 4X4In Nonwvn Av Gz Dressing Strl Lf 2-Pk,0.52,0.2,,,0
CDM,SUP135523,Noncdm Charge Record Medical Supplies - Generator Electrosurgical Bipolar Synchroseal Energy,3194.03,1245.67,,,0
CDM,SUP13554_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 5-0 P-3 18In Black G Ethicon,18.39,7.17,,,0
CDM,SUP13554_A4649_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 5-0 P-3 18In Black G Ethicon,18.31,7.14,,,0
CDM,SUP13554_A9999_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 5-0 P-3 18In Black G Ethicon,18.63,7.27,,,0
CDM,SUP13555,Noncdm Charge Record Medical Supplies - Shaver Oval Bur 4Mm Conmed,279.45,108.99,,,0
CDM,SUP135586,Noncdm Charge Record Medical Supplies - Cathether Jugular Dual Lumen Crescent 28Fr,10802.3,4212.9,,,0
CDM,SUP135588,Noncdm Charge Record Medical Supplies - Kit Opus Dilator,2713.27,1058.18,,,0
CDM,SUP13560_272,Noncdm Charge Record Medical Supplies - Burr Surg 45Mm 4Mm Carb Oval Strl,162.15,63.24,,,0
CDM,SUP13560_A4649_272,Noncdm Charge Record Medical Supplies - Burr Surg 45Mm 4Mm Carb Oval Strl,162.5,63.38,,,0
CDM,SUP13560_A9999_272,Noncdm Charge Record Medical Supplies - Burr Surg 45Mm 4Mm Carb Oval Strl,162.5,63.38,,,0
CDM,SUP13562,Noncdm Charge Record Medical Supplies - Suture Plain 2-0 Ct-3 27In Ethicon,15.4,6.01,,,0
CDM,SUP13564,Noncdm Charge Record Medical Supplies - Suture Vicryl 2 Tp-1 27In Violet Ethicon,35.99,14.04,,,0
CDM,SUP13565,Noncdm Charge Record Medical Supplies - Needle Stplx A Bvl Insul 30D,48.64,18.97,,,0
CDM,SUP135657,Noncdm Charge Record Medical Supplies - Sheath Intro 12Fr L28Cm 0.035In Gwire Hydrphlc Lok,661.19,257.86,,,0
CDM,SUP135658,Noncdm Charge Record Medical Supplies - Kit Microintroducer 4Fr L15Cm Ndl 21Ga L9Cm Gw L60Cm D.018In,163.05,63.59,,,0
CDM,SUP13567,Noncdm Charge Record Medical Supplies - 6Fr Str Pigtail Catheter,45.02,17.56,,,0
CDM,SUP135674,Noncdm Charge Record Medical Supplies - See 139792 Pack Total Joint,439.88,171.55,,,0
CDM,SUP13568,Noncdm Charge Record Medical Supplies - Knife Endo Strt Cold Elt,903.56,352.39,,,0
CDM,SUP13569_272,Noncdm Charge Record Medical Supplies - Suture Permahand 0 Sh 30In Black Ethicon,6.41,2.5,,,0
CDM,SUP13569_A4649_272,Noncdm Charge Record Medical Supplies - Suture Permahand 0 Sh 30In Black Ethicon,6.21,2.42,,,0
CDM,SUP13569_A9999_272,Noncdm Charge Record Medical Supplies - Suture Permahand 0 Sh 30In Black Ethicon,6.42,2.5,,,0
CDM,SUP13570,Noncdm Charge Record Medical Supplies - See 141106 Suture Pds2 2-0 Fs-1 27In Violet Ethicon,18.63,7.27,,,0
CDM,SUP13572_272,Noncdm Charge Record Medical Supplies - Catheter 6Fr Angled Pigtail,46.56,18.16,,,0
CDM,SUP13572_A4649_272,Noncdm Charge Record Medical Supplies - Catheter 6Fr Angled Pigtail,46.58,18.17,,,0
CDM,SUP13572_A9999_272,Noncdm Charge Record Medical Supplies - Catheter 6Fr Angled Pigtail,46.58,18.17,,,0
CDM,SUP13572_C1887_272,Noncdm Charge Record Medical Supplies - Catheter 6Fr Angled Pigtail,46.58,18.17,,,0
CDM,SUP135774_272,Noncdm Charge Record Medical Supplies - Drill Flipcutter Iii,2031.7,792.36,,,0
CDM,SUP135774_A4649_272,Noncdm Charge Record Medical Supplies - Drill Flipcutter Iii,2031.7,792.36,,,0
CDM,SUP135775,Noncdm Charge Record Medical Supplies - Burr Round 5.0Mm,322.92,125.94,,,0
CDM,SUP135776,Noncdm Charge Record Medical Supplies,1468.66,572.78,,,0
CDM,SUP135778,Noncdm Charge Record Medical Supplies - Catheter Vascular Guide Large Bore 2.16Mmx132Cm,7275.02,2837.26,,,0
CDM,SUP13578,Noncdm Charge Record Medical Supplies - Suture Ethilon 3-0 Ks 30In Black Ethicon,10.35,4.04,,,0
CDM,SUP13583_272,Noncdm Charge Record Medical Supplies - See 1510 Suture Vicryl 0 Ct-1 36In Undyed Ethicon,7.87,3.07,,,0
CDM,SUP13583_A4649_272,Noncdm Charge Record Medical Supplies - See 1510 Suture Vicryl 0 Ct-1 36In Undyed Ethicon,7.85,3.06,,,0
CDM,SUP13583_A9999_272,Noncdm Charge Record Medical Supplies - See 1510 Suture Vicryl 0 Ct-1 36In Undyed Ethicon,7.88,3.07,,,0
CDM,SUP13584,Noncdm Charge Record Medical Supplies - Suture Surgilon 0 Gs-22 18In Black Covidien,140.76,54.9,,,0
CDM,SUP135874_272,Noncdm Charge Record Medical Supplies - Suture Pds Symmetric Absr Sz# 1 36Mm 1-2Cir Tpr Pt,106.07,41.37,,,0
CDM,SUP135874_A4649_272,Noncdm Charge Record Medical Supplies - Suture Pds Symmetric Absr Sz# 1 36Mm 1-2Cir Tpr Pt,105.83,41.27,,,0
CDM,SUP135874_A9999_272,Noncdm Charge Record Medical Supplies - Suture Pds Symmetric Absr Sz# 1 36Mm 1-2Cir Tpr Pt,106.6,41.57,,,0
CDM,SUP135883,Noncdm Charge Record Medical Supplies - Ultracor Twirl 17G X 10Cm,348.82,136.04,,,0
CDM,SUP13591,Noncdm Charge Record Medical Supplies - See 139613 Tape Dressing 3M Mdpr 2In 10Yd Adh Hypoall,15.52,6.05,,,0
CDM,SUP13595,Noncdm Charge Record Medical Supplies - Pillow Fx 21.5X14.5X5.75In Xs,137.66,53.69,,,0
CDM,SUP135965,Noncdm Charge Record Medical Supplies - Kit Introducer Peg 20Fr Pull Method Safety Mic,639.63,249.46,,,0
CDM,SUP13598_272,Noncdm Charge Record Medical Supplies - Suture Prolene 0 Ct-2 30In Ethicon,12.46,4.86,,,0
CDM,SUP13598_A4649_272,Noncdm Charge Record Medical Supplies - Suture Prolene 0 Ct-2 30In Ethicon,12.42,4.84,,,0
CDM,SUP13598_A9999_272,Noncdm Charge Record Medical Supplies - Suture Prolene 0 Ct-2 30In Ethicon,12.42,4.84,,,0
CDM,SUP13600,Noncdm Charge Record Medical Supplies - Suture Prolene 2 Tp-1 60In Ethicon,23.29,9.08,,,0
CDM,SUP136005,Noncdm Charge Record Medical Supplies - See 140667 Pack Craniotomy Ws200001,451.26,175.99,,,0
CDM,SUP136006_272,Noncdm Charge Record Medical Supplies - See 140669 Pack Minor Basin Ws300001,182.16,71.04,,,0
CDM,SUP136006_A4649_272,Noncdm Charge Record Medical Supplies - See 140669 Pack Minor Basin Ws300001,182.16,71.04,,,0
CDM,SUP136007_272,Noncdm Charge Record Medical Supplies - See 140186 Pack Major General Abdominal Ws290001,278.42,108.58,,,0
CDM,SUP136007_A4649_272,Noncdm Charge Record Medical Supplies - See 140186 Pack Major General Abdominal Ws290001,278.42,108.58,,,0
CDM,SUP136007_A9999_272,Noncdm Charge Record Medical Supplies - See 140186 Pack Major General Abdominal Ws290001,278.42,108.58,,,0
CDM,SUP136008_272,Noncdm Charge Record Medical Supplies - See 139892 Pack Laparoscopy Ws270001,281.49,109.78,,,0
CDM,SUP136008_A4649_272,Noncdm Charge Record Medical Supplies - See 139892 Pack Laparoscopy Ws270001,281.52,109.79,,,0
CDM,SUP136008_A9999_272,Noncdm Charge Record Medical Supplies - See 139892 Pack Laparoscopy Ws270001,281.52,109.79,,,0
CDM,SUP136009,Noncdm Charge Record Medical Supplies - See 140772 Pack C-Section Ws210001,425.38,165.9,,,0
CDM,SUP13602,Noncdm Charge Record Medical Supplies - Suture Chromic 0 36In Ct1 Abs Ethicon,15.89,6.2,,,0
CDM,SUP13603,Noncdm Charge Record Medical Supplies - Suture Ethibond 0 Ct-2 18In Cr Ethicon,56.47,22.02,,,0
CDM,SUP13604,Noncdm Charge Record Medical Supplies - See 140990 Suture Vicryl 4-0 P-2 18In Undyed Ethicon,25.36,9.89,,,0
CDM,SUP136046,Noncdm Charge Record Medical Supplies - Tape Surgial W2Xl360In White Soft Cloth Perforated,16.59,6.47,,,0
CDM,SUP13605,Noncdm Charge Record Medical Supplies - See 141043 Suture Vicryl 3-0 Ps-1 27In Undyed Ethicon,21.74,8.48,,,0
CDM,SUP13606_272,Noncdm Charge Record Medical Supplies - See 140920 Suture Vicryl 3-0 Sh-1 27In Undyed Ethicon,8.28,3.23,,,0
CDM,SUP13606_A4649_272,Noncdm Charge Record Medical Supplies - See 140920 Suture Vicryl 3-0 Sh-1 27In Undyed Ethicon,8.28,3.23,,,0
CDM,SUP136070_272,Noncdm Charge Record Medical Supplies - Suture Stratafix Size 0 L9In Symmetric Pds Plus,129.81,50.63,,,0
CDM,SUP136070_A4649_272,Noncdm Charge Record Medical Supplies - Suture Stratafix Size 0 L9In Symmetric Pds Plus,128.68,50.19,,,0
CDM,SUP136070_A9999_272,Noncdm Charge Record Medical Supplies - Suture Stratafix Size 0 L9In Symmetric Pds Plus,130.62,50.94,,,0
CDM,SUP136072,Noncdm Charge Record Medical Supplies - Suture Stratafix 2-0 15Cm Spiral Pds Plus Violet Ct-1,97.81,38.15,,,0
CDM,SUP13608_272,Noncdm Charge Record Medical Supplies - See 140966 Suture Vicryl 4-0 Ps-2 27In Undyed Ethicon,19.66,7.67,,,0
CDM,SUP13608_A4649_272,Noncdm Charge Record Medical Supplies - See 140966 Suture Vicryl 4-0 Ps-2 27In Undyed Ethicon,19.66,7.67,,,0
CDM,SUP13608_A9999_272,Noncdm Charge Record Medical Supplies - See 140966 Suture Vicryl 4-0 Ps-2 27In Undyed Ethicon,19.66,7.67,,,0
CDM,SUP13609,Noncdm Charge Record Medical Supplies - See 141019 Suture Vicryl 3-0 Sh-1 18In Cr Violet Ethicon,55.89,21.8,,,0
CDM,SUP136107_272,Noncdm Charge Record Medical Supplies - Probe Doppler 20Mhz Straight Disposable,1466.48,571.93,,,0
CDM,SUP136107_A9999_272,Noncdm Charge Record Medical Supplies - Probe Doppler 20Mhz Straight Disposable,1466.6,571.97,,,0
CDM,SUP13612,Noncdm Charge Record Medical Supplies - Excluder Endopros C3 35-14 35Mmx14.5Mmx14Cm,52573.86,20503.81,,,0
CDM,SUP13613,Noncdm Charge Record Medical Supplies - Suture Permahand 4-0 Tf-4 18In Black Ethicon,11.63,4.54,,,0
CDM,SUP136156,Noncdm Charge Record Medical Supplies - Footplate Bone Long L150Mm Minum Maxframe,6449.77,2515.41,,,0
CDM,SUP136167,Noncdm Charge Record Medical Supplies - Screw Bone L70Mm Dia5Mm 3.5Mm,1200.94,468.37,,,0
CDM,SUP136168,Noncdm Charge Record Medical Supplies - Guidewire Surgical L220Mm Dia2.8Mm Nonsterile Fluted Tip,533.35,208.01,,,0
CDM,SUP136169,Noncdm Charge Record Medical Supplies - Guidewire Surgical L220Mm Dia1.6Mm Nonsterile Trocar Tip,380.74,148.49,,,0
CDM,SUP136170,Noncdm Charge Record Medical Supplies - Bit Drill L215Mm Dia5Mm,1798.83,701.54,,,0
CDM,SUP136173_272,Noncdm Charge Record Medical Supplies - Bur Surgical Head Dia3Mm Carbide Match Neuro Precision,1375.13,536.3,,,0
CDM,SUP136173_A4649_272,Noncdm Charge Record Medical Supplies - Bur Surgical Head Dia3Mm Carbide Match Neuro Precision,1392.28,542.99,,,0
CDM,SUP136173_A9999_272,Noncdm Charge Record Medical Supplies - Bur Surgical Head Dia3Mm Carbide Match Neuro Precision,1348.6,525.95,,,0
CDM,SUP136174,Noncdm Charge Record Medical Supplies - Bur Surgical Dia1.5Mm Round Extended Fine Diamond,751.41,293.05,,,0
CDM,SUP136175_272,Noncdm Charge Record Medical Supplies - Bur Surgical Dia3Mm Coarse Dia Diamond Rim Glide,786.44,306.71,,,0
CDM,SUP136175_A4649_272,Noncdm Charge Record Medical Supplies - Bur Surgical Dia3Mm Coarse Dia Diamond Rim Glide,817.65,318.88,,,0
CDM,SUP136176_272,Noncdm Charge Record Medical Supplies - Bur Surgical Dia3Mm 2 Flute Round,1226.06,478.16,,,0
CDM,SUP136176_A4649_272,Noncdm Charge Record Medical Supplies - Bur Surgical Dia3Mm 2 Flute Round,1275.12,497.3,,,0
CDM,SUP136177_272,Noncdm Charge Record Medical Supplies - Bur Surgical Dia5Mm 2 Flute Round,1244.53,485.37,,,0
CDM,SUP136177_A4649_272,Noncdm Charge Record Medical Supplies - Bur Surgical Dia5Mm 2 Flute Round,1300.65,507.25,,,0
CDM,SUP136177_A9999_272,Noncdm Charge Record Medical Supplies - Bur Surgical Dia5Mm 2 Flute Round,1167.48,455.32,,,0
CDM,SUP13618,Noncdm Charge Record Medical Supplies - See 141064 Suture Monocryl 4-0 Sh 27In Undyed Ethicon,10.35,4.04,,,0
CDM,SUP136199,Noncdm Charge Record Medical Supplies - See 139629 Pack Cath Lab Ws190001,259.79,101.32,,,0
CDM,SUP13619_272,Noncdm Charge Record Medical Supplies - See 141079 Suture Monocryl 4-0 Pc-3 18In Undyed Ethicon,30.02,11.71,,,0
CDM,SUP13619_A9999_272,Noncdm Charge Record Medical Supplies - See 141079 Suture Monocryl 4-0 Pc-3 18In Undyed Ethicon,30.02,11.71,,,0
CDM,SUP1361_272,Noncdm Charge Record Medical Supplies - See 120003 Sponge 4X4 Covidien 2 Per Pack,6.22,2.43,,,0
CDM,SUP1361_A4649_272,Noncdm Charge Record Medical Supplies - See 120003 Sponge 4X4 Covidien 2 Per Pack,6.21,2.42,,,0
CDM,SUP1361_A9999_272,Noncdm Charge Record Medical Supplies - See 120003 Sponge 4X4 Covidien 2 Per Pack,6.21,2.42,,,0
CDM,SUP13620,Noncdm Charge Record Medical Supplies - See 141097 Suture Pds2 0 Ct1 36In Violet Ethicon,13.46,5.25,,,0
CDM,SUP136200_272,Noncdm Charge Record Medical Supplies - See 155808 Pack Minor Proc Basin Kennestone Wk320032,100.4,39.16,,,0
CDM,SUP136200_A9999_272,Noncdm Charge Record Medical Supplies - See 155808 Pack Minor Proc Basin Kennestone Wk320032,100.4,39.16,,,0
CDM,SUP136235,Noncdm Charge Record Medical Supplies - Tray Chest Tube Deluxe Custom,284.62,111.0,,,0
CDM,SUP13631,Noncdm Charge Record Medical Supplies - Blade Beaver Blue 15 Degree Beaver Visitec,39.44,15.38,,,0
CDM,SUP13632,Noncdm Charge Record Medical Supplies - Tray Spbc 14Fr Lbrcth 5Ml Ltx,543.38,211.92,,,0
CDM,SUP136328,Noncdm Charge Record Medical Supplies - Stabilizer Surg Univ Acrb Std Ft Off Pump Sys,5299.2,2066.69,,,0
CDM,SUP13634,Noncdm Charge Record Medical Supplies - See 140914 Suture Vicryl 3-0 54In Reel Violet Ethicon,5.18,2.02,,,0
CDM,SUP13636,Noncdm Charge Record Medical Supplies,22.77,8.88,,,0
CDM,SUP136390,Noncdm Charge Record Medical Supplies - Implant System Internalbrace Ligament Augument Repair,7151.55,2789.1,,,0
CDM,SUP136391,Noncdm Charge Record Medical Supplies - System Implant 4.75X19.1 Secondary Fixation Swivelock,3504.51,1366.76,,,0
CDM,SUP136401,Noncdm Charge Record Medical Supplies - Valve Aort On-X Conduit 23Mm,32626.3,12724.26,,,0
CDM,SUP136402,Noncdm Charge Record Medical Supplies - Valve Aort On-X Conduit 25Mm,32626.3,12724.26,,,0
CDM,SUP136403,Noncdm Charge Record Medical Supplies - Valve Aort On-X Conduit 27-29M 27-29Mm,32626.3,12724.26,,,0
CDM,SUP13647,Noncdm Charge Record Medical Supplies - Tube Feed 15In 5Fr Omnispense,6.21,2.42,,,0
CDM,SUP136496,Noncdm Charge Record Medical Supplies - Balloon Drug Coated Ranger Dcb Otw 4.0 X 40Mm 135Cm,6834.1,2665.3,,,0
CDM,SUP136498,Noncdm Charge Record Medical Supplies - Balloon Drug Coated Ranger Dcb Otw 4.0 X 60Mm 135Cm,7495.47,2923.23,,,0
CDM,SUP136499,Noncdm Charge Record Medical Supplies,6151.0,2398.89,,,0
CDM,SUP13649_272,Noncdm Charge Record Medical Supplies - Device Digit Trap Finger Grasping Small Conmed,73.47,28.65,,,0
CDM,SUP13649_A4649_272,Noncdm Charge Record Medical Supplies - Device Digit Trap Finger Grasping Small Conmed,73.48,28.66,,,0
CDM,SUP136502,Noncdm Charge Record Medical Supplies - Balloon Drug Coated Ranger Dcb Otw 4.0 X 100Mm 135Cm,6569.74,2562.2,,,0
CDM,SUP136505,Noncdm Charge Record Medical Supplies - Balloon Drug Coated Ranger Dcb Otw 4.0 X 150Mm 150Cm,7859.53,3065.22,,,0
CDM,SUP136507,Noncdm Charge Record Medical Supplies - Balloon Drug Coated Ranger Dcb Otw 4.0 X 200Mm 150Cm,9585.76,3738.45,,,0
CDM,SUP136509,Noncdm Charge Record Medical Supplies - Balloon Drug Coated Ranger Dcb Otw 5.0 X 40Mm 135Cm,6602.78,2575.08,,,0
CDM,SUP13650_272,Noncdm Charge Record Medical Supplies - Stapler Skin 35W Cnt Rot Hd,281.83,109.91,,,0
CDM,SUP13650_A4649_272,Noncdm Charge Record Medical Supplies - Stapler Skin 35W Cnt Rot Hd,306.36,119.48,,,0
CDM,SUP13650_A9999_272,Noncdm Charge Record Medical Supplies - Stapler Skin 35W Cnt Rot Hd,306.36,119.48,,,0
CDM,SUP136511,Noncdm Charge Record Medical Supplies - Balloon Drug Coated Ranger Dcb Otw 5.0 X 60Mm 135Cm,6718.44,2620.19,,,0
CDM,SUP136515,Noncdm Charge Record Medical Supplies - Balloon Drug Coated Ranger Dcb Otw 5.0 X 100Mm 135Cm,6660.61,2597.64,,,0
CDM,SUP136517,Noncdm Charge Record Medical Supplies - Balloon Drug Coated Ranger Dcb Otw 5.0 X 120Mm 150Cm,6997.43,2729.0,,,0
CDM,SUP136518,Noncdm Charge Record Medical Supplies - Balloon Drug Coated Ranger Dcb Otw 5.0 X 150Mm 150Cm,7870.48,3069.49,,,0
CDM,SUP13652,Noncdm Charge Record Medical Supplies - Drill Bit 2.8Mm With Stop Calibrate Synthes,497.74,194.12,,,0
CDM,SUP136520,Noncdm Charge Record Medical Supplies - Balloon Drug Coated Ranger Dcb Otw 5.0 X 200Mm 150Cm,9618.16,3751.08,,,0
CDM,SUP136522,Noncdm Charge Record Medical Supplies - Balloon Drug Coated Ranger Dcb Otw 6.0 X 40Mm 135Cm,6602.78,2575.08,,,0
CDM,SUP136524,Noncdm Charge Record Medical Supplies - Balloon Drug Coated Ranger Dcb Otw 6.0 X 60Mm 135Cm,6602.78,2575.08,,,0
CDM,SUP136528,Noncdm Charge Record Medical Supplies - Balloon Drug Coated Ranger Dcb Otw 6.0 X 100Mm 135Cm,6746.13,2630.99,,,0
CDM,SUP136530,Noncdm Charge Record Medical Supplies - Balloon Drug Coated Ranger Dcb Otw 6.0 X 120Mm 150Cm,7089.96,2765.08,,,0
CDM,SUP136531,Noncdm Charge Record Medical Supplies - Balloon Drug Coated Ranger Dcb Otw 6.0 X 150Mm 150Cm,7788.52,3037.52,,,0
CDM,SUP136533,Noncdm Charge Record Medical Supplies - Balloon Drug Coated Ranger Dcb Otw 6.0 X 200Mm 150Cm,9560.75,3728.69,,,0
CDM,SUP136545,Noncdm Charge Record Medical Supplies - Balloon Drug Coated Ranger Dcb Otw 7.0 X 200Mm 150Cm,9524.07,3714.39,,,0
CDM,SUP13654_272,Noncdm Charge Record Medical Supplies - Bag Isolation 49X49Cm 3M Healthcare Division,3.88,1.51,,,0
CDM,SUP13654_A4649_272,Noncdm Charge Record Medical Supplies - Bag Isolation 49X49Cm 3M Healthcare Division,3.89,1.52,,,0
CDM,SUP13654_A9999_272,Noncdm Charge Record Medical Supplies - Bag Isolation 49X49Cm 3M Healthcare Division,3.84,1.5,,,0
CDM,SUP13656_270,Noncdm Charge Record Medical Supplies - See 157511 Padding 4Ydx6In Cttn Strl Wbrl Undcst Reg,9.51,3.71,,,0
CDM,SUP13656_A4649_270,Noncdm Charge Record Medical Supplies - See 157511 Padding 4Ydx6In Cttn Strl Wbrl Undcst Reg,9.32,3.63,,,0
CDM,SUP13656_A9999_270,Noncdm Charge Record Medical Supplies - See 157511 Padding 4Ydx6In Cttn Strl Wbrl Undcst Reg,9.32,3.63,,,0
CDM,SUP136595,Noncdm Charge Record Medical Supplies - Marker Breast 17Ga Needle L10Cm,274.25,106.96,,,0
CDM,SUP136596,Noncdm Charge Record Medical Supplies - Marker Breast Tissue 17Ga L10Cm Needle,274.27,106.97,,,0
CDM,SUP13659_272,Noncdm Charge Record Medical Supplies - Suture Pro 0 Sh 30In Ethicon,18.34,7.15,,,0
CDM,SUP13659_A4649_272,Noncdm Charge Record Medical Supplies - Suture Pro 0 Sh 30In Ethicon,18.28,7.13,,,0
CDM,SUP13659_A9999_272,Noncdm Charge Record Medical Supplies - Suture Pro 0 Sh 30In Ethicon,18.63,7.27,,,0
CDM,SUP1365_270,Noncdm Charge Record Medical Supplies - Sensor Adlt Oxmx 18In Oxm Adh Strap Compat,36.29,14.15,,,0
CDM,SUP1365_272,Noncdm Charge Record Medical Supplies - Sensor Adlt Oxmx 18In Oxm Adh Strap Compat,36.57,14.26,,,0
CDM,SUP1365_A4649_270,Noncdm Charge Record Medical Supplies - Sensor Adlt Oxmx 18In Oxm Adh Strap Compat,36.23,14.13,,,0
CDM,SUP1365_A9999_270,Noncdm Charge Record Medical Supplies - Sensor Adlt Oxmx 18In Oxm Adh Strap Compat,36.22,14.13,,,0
CDM,SUP1366,Noncdm Charge Record Medical Supplies - Brace Orth Med 11In Lt Wr,30.02,11.71,,,0
CDM,SUP13662,Noncdm Charge Record Medical Supplies - Extractor Surg Conic Screw Ns,1318.46,514.2,,,0
CDM,SUP136642,Noncdm Charge Record Medical Supplies - Guidewire L190Cm Straight Blue Asahi Sion,505.04,196.97,,,0
CDM,SUP13666_272,Noncdm Charge Record Medical Supplies - See 140947 Suture Vicryl 1 Ct-2 27In Violet Ethicon,7.47,2.91,,,0
CDM,SUP13666_A9999_272,Noncdm Charge Record Medical Supplies - See 140947 Suture Vicryl 1 Ct-2 27In Violet Ethicon,7.24,2.82,,,0
CDM,SUP13668,Noncdm Charge Record Medical Supplies - Introducer Sheath 8Fr 11Cm,31.05,12.11,,,0
CDM,SUP136688_272,Noncdm Charge Record Medical Supplies - Stapler Robotic Dia14Mm Staple Line 45Mm Sureform 45,2364.94,922.33,,,0
CDM,SUP136688_A4649_272,Noncdm Charge Record Medical Supplies,2364.98,922.34,,,0
CDM,SUP136688_A9999_272,Noncdm Charge Record Medical Supplies - Stapler Robotic Dia14Mm Staple Line 45Mm Sureform 45,2364.98,922.34,,,0
CDM,SUP136689_272,Noncdm Charge Record Medical Supplies - Reload Stapler 3.5Mm Blue 6 Sureform 45,2056.18,801.91,,,0
CDM,SUP136689_A4649_272,Noncdm Charge Record Medical Supplies,2056.54,802.05,,,0
CDM,SUP136689_A9999_272,Noncdm Charge Record Medical Supplies - Reload Stapler 3.5Mm Blue 6 Sureform 45,2056.54,802.05,,,0
CDM,SUP136690,Noncdm Charge Record Medical Supplies - Reload Stapler 2.5Mm White 6 Sureform 45,2056.22,801.93,,,0
CDM,SUP136691,Noncdm Charge Record Medical Supplies - Reload Stapler 4.3Mm Green 6 Sureform 45,2056.26,801.94,,,0
CDM,SUP136692,Noncdm Charge Record Medical Supplies - Reload Stapler 4.6Mm Black 6 Sureform 45,2056.24,801.93,,,0
CDM,SUP136703,Noncdm Charge Record Medical Supplies - Blade Saw D41Mm Thk0.38Mm Cut Edge 20Mm Cut Thk0.64Mm Teeth,221.89,86.54,,,0
CDM,SUP13671,Noncdm Charge Record Medical Supplies - Suture Permahand 0 Ct-1 30In Black Ethicon,6.43,2.51,,,0
CDM,SUP136742,Noncdm Charge Record Medical Supplies - Clip Surgical Sm Titanium Heart Shape Wire Horizon,12.72,4.96,,,0
CDM,SUP13675_270,Noncdm Charge Record Medical Supplies - Immobilizer Orth Sm 20In,58.24,22.71,,,0
CDM,SUP13675_A9999_270,Noncdm Charge Record Medical Supplies - Immobilizer Orth Sm 20In,55.89,21.8,,,0
CDM,SUP13677,Noncdm Charge Record Medical Supplies - Burr Surg Blk 5.5Mm Acrzr Dync Strt Arthro Strl,219.42,85.57,,,0
CDM,SUP13678,Noncdm Charge Record Medical Supplies - Immobilizer Orth Med 20In 16-18In Knee,58.66,22.88,,,0
CDM,SUP13679,Noncdm Charge Record Medical Supplies - Blade Shaver Purp 3.5Mm Rzrct Dync Strt,219.39,85.56,,,0
CDM,SUP13680,Noncdm Charge Record Medical Supplies - Immobilizer Orth Lg 20In 18-20In Knee Open,58.55,22.83,,,0
CDM,SUP13681,Noncdm Charge Record Medical Supplies - Pouch 18.5Inx9 5-8In 3 Pckt In,15.52,6.05,,,0
CDM,SUP13682,Noncdm Charge Record Medical Supplies - Immobilizer Orth Xl 20In 20-22In Knee Open,58.22,22.71,,,0
CDM,SUP136872,Noncdm Charge Record Medical Supplies - See 140783 Pack Total Joint Wellstar Ws400002,439.88,171.55,,,0
CDM,SUP136937,Noncdm Charge Record Medical Supplies - See 116498 Bone Flap Kit Surgical Procedure Disposable,102.46,39.96,,,0
CDM,SUP136938,Noncdm Charge Record Medical Supplies - Dressing Ca Alg Medihoney 4X5,43.47,16.95,,,0
CDM,SUP13697_272,Noncdm Charge Record Medical Supplies - See 141093 Suture Pds2 0 Ct2 27In Violet Ethicon,13.46,5.25,,,0
CDM,SUP13697_A9999_272,Noncdm Charge Record Medical Supplies - See 141093 Suture Pds2 0 Ct2 27In Violet Ethicon,13.46,5.25,,,0
CDM,SUP13698,Noncdm Charge Record Medical Supplies - Suture Pds2 2-0 Ccs-1 27In Violet Ethicon,19.92,7.77,,,0
CDM,SUP13699_272,Noncdm Charge Record Medical Supplies - See 127216 Suture Vicryl 1 Undyed Ct-1X36 In Ct-1 Ethicon,8.27,3.23,,,0
CDM,SUP13699_A4649_272,Noncdm Charge Record Medical Supplies - See 127216 Suture Vicryl 1 Undyed Ct-1X36 In Ct-1 Ethicon,8.28,3.23,,,0
CDM,SUP137008_272,Noncdm Charge Record Medical Supplies - See 139616 Pack Major Gen Abd Kennestone Wk290020,133.51,52.07,,,0
CDM,SUP137008_A4649_272,Noncdm Charge Record Medical Supplies - See 139616 Pack Major Gen Abd Kennestone Wk290020,133.51,52.07,,,0
CDM,SUP137008_A9999_272,Noncdm Charge Record Medical Supplies - See 139616 Pack Major Gen Abd Kennestone Wk290020,133.51,52.07,,,0
CDM,SUP13702_272,Noncdm Charge Record Medical Supplies - See 141037 Suture Vicryl 3-0 Sh 18In Cr Undyed Ethicon,56.04,21.86,,,0
CDM,SUP13702_A4649_272,Noncdm Charge Record Medical Supplies - See 141037 Suture Vicryl 3-0 Sh 18In Cr Undyed Ethicon,55.89,21.8,,,0
CDM,SUP13702_A9999_272,Noncdm Charge Record Medical Supplies - See 141037 Suture Vicryl 3-0 Sh 18In Cr Undyed Ethicon,55.89,21.8,,,0
CDM,SUP13704,Noncdm Charge Record Medical Supplies - Suture Chromic 2-0 27In Ur-6 Abs Ethicon,17.6,6.86,,,0
CDM,SUP137041,Noncdm Charge Record Medical Supplies - Needle Retrobulbar L38Mm Od25Ga Atkinson Style Bevel Su,12.42,4.84,,,0
CDM,SUP13705_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 0 Ct-2 30In Green Ethicon,8.27,3.23,,,0
CDM,SUP13705_A4649_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 0 Ct-2 30In Green Ethicon,8.1,3.16,,,0
CDM,SUP13705_A9999_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 0 Ct-2 30In Green Ethicon,8.28,3.23,,,0
CDM,SUP13707,Noncdm Charge Record Medical Supplies - See 141080 Suture Monocr 4-0 Ps-1 27In Undyed Ethicon,31.03,12.1,,,0
CDM,SUP13710,Noncdm Charge Record Medical Supplies - Stockinet 25Ydx2In Orth Prtch,70.38,27.45,,,0
CDM,SUP137101,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 3.00X16Mm,3603.12,1405.22,,,0
CDM,SUP137102,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 3.50X16Mm,3848.86,1501.06,,,0
CDM,SUP137103_C1874_278,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 3.00X20Mm,3755.22,1464.54,,,0
CDM,SUP137103_L8699_278,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 3.00X20Mm,4350.1,1696.54,,,0
CDM,SUP137104,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 3.50X20Mm,3714.85,1448.79,,,0
CDM,SUP137105,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 2.50X24Mm,3606.5,1406.54,,,0
CDM,SUP137106,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 3.00X24Mm,3698.64,1442.47,,,0
CDM,SUP137107,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 3.50X24Mm,3650.09,1423.54,,,0
CDM,SUP137108,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 4.00X24Mm,3866.76,1508.04,,,0
CDM,SUP137109,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 3.00X28Mm,3626.18,1414.21,,,0
CDM,SUP13711,Noncdm Charge Record Medical Supplies - Stockinet 25Ydx3In Orth Prtch,79.69,31.08,,,0
CDM,SUP137110,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 3.50X28Mm,3608.98,1407.5,,,0
CDM,SUP137111,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 3.00X32Mm,3886.09,1515.58,,,0
CDM,SUP137112,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 3.50X32Mm,3673.42,1432.63,,,0
CDM,SUP137113,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 2.50X38Mm,3718.04,1450.04,,,0
CDM,SUP137114,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 3.00X38Mm,3842.99,1498.77,,,0
CDM,SUP137115,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 3.50X38Mm,3802.31,1482.9,,,0
CDM,SUP137116,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 4.00X38Mm,3866.76,1508.04,,,0
CDM,SUP13715,Noncdm Charge Record Medical Supplies,429.52,167.51,,,0
CDM,SUP137151,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 2.50X48Mm,5270.02,2055.31,,,0
CDM,SUP137152,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 2.75X48Mm,4833.45,1885.05,,,0
CDM,SUP137153,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 3.00X48Mm,5223.52,2037.17,,,0
CDM,SUP137154,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 3.50X48Mm,5118.5,1996.22,,,0
CDM,SUP137155,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 4.00X48Mm,5195.96,2026.42,,,0
CDM,SUP13717,Noncdm Charge Record Medical Supplies - System Mnscl Crv Repr Fst Fx 360,2456.7,958.11,,,0
CDM,SUP13718,Noncdm Charge Record Medical Supplies - Cutter Sut Knt Pshr Slot,865.26,337.45,,,0
CDM,SUP137180,Noncdm Charge Record Medical Supplies - See 140823 Pack Shoulder Arthr Windy Hill Ww160028,361.22,140.88,,,0
CDM,SUP13720,Noncdm Charge Record Medical Supplies - Screw Spnl 4Mm 15Mm Stalif Cti,671.46,261.87,,,0
CDM,SUP13721,Noncdm Charge Record Medical Supplies - Screw Spnl 4Mm 16Mm Stalif Cti,671.72,261.97,,,0
CDM,SUP13722,Noncdm Charge Record Medical Supplies - Screw Spnl 4Mm 17Mm Stalif Cti,671.46,261.87,,,0
CDM,SUP13723,Noncdm Charge Record Medical Supplies - Cage Spnl 5.5X4.1X14Mm 3H,11359.12,4430.06,,,0
CDM,SUP13724,Noncdm Charge Record Medical Supplies - Cage Spnl 6.5X5.1X14Mm 3H Tpr,11359.12,4430.06,,,0
CDM,SUP137253,Noncdm Charge Record Medical Supplies,2435.87,949.99,,,0
CDM,SUP137256,Noncdm Charge Record Medical Supplies - Clip Aneurysm No55 L11Mm 11Mm 0.69N Slightly Curved,2436.39,950.19,,,0
CDM,SUP137258,Noncdm Charge Record Medical Supplies - Clip Aneurysm No137 L20.8Mm 12Mm Handle L12Mm 0.69N Strt,2435.87,949.99,,,0
CDM,SUP137269,Noncdm Charge Record Medical Supplies - Sleeve Catheter L65Cm For Check Flo Performer Sheath,141.71,55.27,,,0
CDM,SUP13726_272,Noncdm Charge Record Medical Supplies - Dressing Trans Tgdrm 2.75X2In Polyureth Abs Adh,1.3,0.51,,,0
CDM,SUP13726_A4649_272,Noncdm Charge Record Medical Supplies - Dressing Trans Tgdrm 2.75X2In Polyureth Abs Adh,1.3,0.51,,,0
CDM,SUP13726_A9999_272,Noncdm Charge Record Medical Supplies - Dressing Trans Tgdrm 2.75X2In Polyureth Abs Adh,1.3,0.51,,,0
CDM,SUP13727_270,Noncdm Charge Record Medical Supplies - See 22681 Binder 36-38In Med Postop,73.48,28.66,,,0
CDM,SUP13727_A4649_270,Noncdm Charge Record Medical Supplies - See 22681 Binder 36-38In Med Postop,73.48,28.66,,,0
CDM,SUP13728_270,Noncdm Charge Record Medical Supplies - Binder 38-40In Lg Postop Front,73.48,28.66,,,0
CDM,SUP13728_A4649_270,Noncdm Charge Record Medical Supplies - Binder 38-40In Lg Postop Front,73.48,28.66,,,0
CDM,SUP13729,Noncdm Charge Record Medical Supplies - Binder 44-46In Xl Postop Front,78.24,30.51,,,0
CDM,SUP137315,Noncdm Charge Record Medical Supplies - Introducer Vascular 17Ga L75Mm 4Mm Tethered Coolief,436.77,170.34,,,0
CDM,SUP13733,Noncdm Charge Record Medical Supplies - Needle Huber 1.5In 20Ga,11.38,4.44,,,0
CDM,SUP13735,Noncdm Charge Record Medical Supplies - See 132796 Dressing Cnfrm 2 12X24In Trans,15.52,6.05,,,0
CDM,SUP13736,Noncdm Charge Record Medical Supplies - Catheter Angio Tig4.0 Crv 6Fr Gldcath 100Cm,342.58,133.61,,,0
CDM,SUP13738,Noncdm Charge Record Medical Supplies - Guidewire Trascend 300Cm .014Mm 150Mm,2377.6,927.26,,,0
CDM,SUP137389,Noncdm Charge Record Medical Supplies - See 139617 Pack Laparoscopic Kennestone Wk270C,141.79,55.3,,,0
CDM,SUP13739,Noncdm Charge Record Medical Supplies - Microcatheter Sl10 150Cm 2.4Fr,3867.95,1508.5,,,0
CDM,SUP1374,Noncdm Charge Record Medical Supplies - Graft Vasc 7Mmx40Mm Artgrf,9990.18,3896.17,,,0
CDM,SUP13740,Noncdm Charge Record Medical Supplies - Catheter Guide .056In 90Cm,1412.78,550.98,,,0
CDM,SUP137404_272,Noncdm Charge Record Medical Supplies - See 141125 Pack Lap Colon Wellstar,216.31,84.36,,,0
CDM,SUP137404_A4649_272,Noncdm Charge Record Medical Supplies - See 141125 Pack Lap Colon Wellstar,216.32,84.36,,,0
CDM,SUP137404_A9999_272,Noncdm Charge Record Medical Supplies - See 141125 Pack Lap Colon Wellstar,216.32,84.36,,,0
CDM,SUP137450_272,Noncdm Charge Record Medical Supplies - See 155812 Pack Wellstar Laparoscopy Ws270002,281.51,109.79,,,0
CDM,SUP137450_A4649_272,Noncdm Charge Record Medical Supplies - See 155812 Pack Wellstar Laparoscopy Ws270002,281.52,109.79,,,0
CDM,SUP137450_A9999_272,Noncdm Charge Record Medical Supplies - See 155812 Pack Wellstar Laparoscopy Ws270002,281.52,109.79,,,0
CDM,SUP137451,Noncdm Charge Record Medical Supplies - See 140199 Pack Cath Lab Wellstar,266.0,103.74,,,0
CDM,SUP13747,Noncdm Charge Record Medical Supplies - Catheter Mic .021In 150Cm,3494.16,1362.72,,,0
CDM,SUP137472,Noncdm Charge Record Medical Supplies - Catheter Neurovascular 8Fr L90Cm Balloon Straight,7275.02,2837.26,,,0
CDM,SUP137473,Noncdm Charge Record Medical Supplies - Catheter Neurovascular 8Fr L95Cm Balloon Straight,7275.02,2837.26,,,0
CDM,SUP13748,Noncdm Charge Record Medical Supplies - Catheter Marksman Mc .027In 150Cm,3086.37,1203.68,,,0
CDM,SUP13749,Noncdm Charge Record Medical Supplies - Catheter Lum .088In 90Cm 8Fr,2227.32,868.65,,,0
CDM,SUP137506,Noncdm Charge Record Medical Supplies - See 140819 Pack Stroke Kennestone Wk440007A,1033.96,403.24,,,0
CDM,SUP137508,Noncdm Charge Record Medical Supplies - Bipolar Forcep 18Ga Angled,62.1,24.22,,,0
CDM,SUP137509,Noncdm Charge Record Medical Supplies - Bipolar Forcep 23Ga Straight,284.62,111.0,,,0
CDM,SUP137510,Noncdm Charge Record Medical Supplies - Cord Bipolar With Banana Plugs Disposable Sterile,26.91,10.49,,,0
CDM,SUP137523,Noncdm Charge Record Medical Supplies,3383.42,1319.53,,,0
CDM,SUP137525,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 3.00X8Mm,3383.42,1319.53,,,0
CDM,SUP137526,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 3.50X8Mm,3866.76,1508.04,,,0
CDM,SUP137527,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 4.00X8Mm,4350.1,1696.54,,,0
CDM,SUP137529,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 2.50X12Mm,3705.64,1445.2,,,0
CDM,SUP137531,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 3.00X12Mm,3813.05,1487.09,,,0
CDM,SUP137532,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 3.50X12Mm,3480.08,1357.23,,,0
CDM,SUP137533,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 4.00X12Mm,3647.06,1422.35,,,0
CDM,SUP137534,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 4.50X12Mm,3383.42,1319.53,,,0
CDM,SUP137536,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 2.25X16Mm,4350.1,1696.54,,,0
CDM,SUP137537,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 2.50X16Mm,3637.81,1418.75,,,0
CDM,SUP137538,Noncdm Charge Record Medical Supplies,3504.25,1366.66,,,0
CDM,SUP137539,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 4.00X16Mm,3562.43,1389.35,,,0
CDM,SUP137541,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 5.00X16Mm,4350.1,1696.54,,,0
CDM,SUP137543,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 2.50X20Mm,3716.86,1449.58,,,0
CDM,SUP137544,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 2.75X20Mm,4350.1,1696.54,,,0
CDM,SUP137545,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 4.00X20Mm,3737.87,1457.77,,,0
CDM,SUP137546,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 4.50X20Mm,3866.76,1508.04,,,0
CDM,SUP137548,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 2.25X24Mm,3866.76,1508.04,,,0
CDM,SUP137550,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 4.50X24Mm,4350.1,1696.54,,,0
CDM,SUP137551,Noncdm Charge Record Medical Supplies,3383.42,1319.53,,,0
CDM,SUP137552,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 2.25X28Mm,3383.42,1319.53,,,0
CDM,SUP137553,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 2.50X28Mm,3866.76,1508.04,,,0
CDM,SUP137554,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 2.75X28Mm,3705.64,1445.2,,,0
CDM,SUP137555,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 4.00X28Mm,3728.66,1454.18,,,0
CDM,SUP137559,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 2.50X32Mm,3786.2,1476.62,,,0
CDM,SUP137560,Noncdm Charge Record Medical Supplies,3383.42,1319.53,,,0
CDM,SUP137561,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 4.00X32Mm,3625.09,1413.79,,,0
CDM,SUP137562,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 4.50X32Mm,4027.87,1570.87,,,0
CDM,SUP137563,Noncdm Charge Record Medical Supplies,4350.1,1696.54,,,0
CDM,SUP137564,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 2.25X38Mm,4188.99,1633.71,,,0
CDM,SUP137566,Noncdm Charge Record Medical Supplies - Guidewire Orthopedic L150Mm Dia1.6Mm Smooth,92.12,35.93,,,0
CDM,SUP137567,Noncdm Charge Record Medical Supplies - Bit Drill Dia2Mm Calibrated For 2.7-3.5 Pedifrag System,713.12,278.12,,,0
CDM,SUP137568,Noncdm Charge Record Medical Supplies - Bit Drill Dia2.7Mm For 2.7-3.5Mm Pedifrag System,514.4,200.62,,,0
CDM,SUP137569,Noncdm Charge Record Medical Supplies - Screw Cortical 2.7Mmx14Mm Orthopedarics,214.84,83.79,,,0
CDM,SUP137570,Noncdm Charge Record Medical Supplies - Screw Cortical 2.7Mmx12Mm Orthopedarics,215.0,83.85,,,0
CDM,SUP137574,Noncdm Charge Record Medical Supplies - Component Patellar Dia38Mm Thk9.5Mm Knee Oval Resurfacing,4290.08,1673.13,,,0
CDM,SUP137575,Noncdm Charge Record Medical Supplies - Component Femoral Size 7 Left Knee Oxinium Posterior,18801.81,7332.71,,,0
CDM,SUP137580,Noncdm Charge Record Medical Supplies - Head Femoral Dia36Mm +0Mm Offs Offset 12-14 Tapered Oxinium,9038.66,3525.08,,,0
CDM,SUP137582,Noncdm Charge Record Medical Supplies - Insert Tibial Size 3-4 Thk9Mm Knee Xlpe Posterior Stabilized,9400.91,3666.35,,,0
CDM,SUP137583,Noncdm Charge Record Medical Supplies - Baseplate Tibial Size 6 Ap54Mm Ml77Mm Thk2.3Mm Left Knee,9014.85,3515.79,,,0
CDM,SUP137584_272,Noncdm Charge Record Medical Supplies - Scissors Robotic L31.5Cm D8Mm Jaw L1.1Cm 38Deg Round Tip,310.5,121.1,,,0
CDM,SUP137584_A4649_272,Noncdm Charge Record Medical Supplies - Scissors Robotic L31.5Cm D8Mm Jaw L1.1Cm 38Deg Round Tip,310.5,121.1,,,0
CDM,SUP137584_A9999_272,Noncdm Charge Record Medical Supplies - Scissors Robotic L31.5Cm D8Mm Jaw L1.1Cm 38Deg Round Tip,310.5,121.1,,,0
CDM,SUP137597,Noncdm Charge Record Medical Supplies,4229.01,1649.31,,,0
CDM,SUP13760,Noncdm Charge Record Medical Supplies - Catheter Reperfusionv 3.8Fr,6569.14,2561.96,,,0
CDM,SUP137602,Noncdm Charge Record Medical Supplies - Insert Tibial Size 3-4 Thk9Mm Knee Xlpe Posterior Legion,8905.14,3473.0,,,0
CDM,SUP137608,Noncdm Charge Record Medical Supplies - Bit Drill Dia3.5Mm 2.0-3.5Mm Pedifrag System Orthopediatric,514.25,200.56,,,0
CDM,SUP137609,Noncdm Charge Record Medical Supplies - Guidepin 1.6X100Mm K Wire Fixation Orthopediatric,245.3,95.67,,,0
CDM,SUP137610,Noncdm Charge Record Medical Supplies - Implant Systm Speedbrdge Scorp Multifire Ndl 4.74-5.5X19.1Mm,9232.2,3600.56,,,0
CDM,SUP137611,Noncdm Charge Record Medical Supplies - System Knee Vepoly Lef 12Mm Height Zimmer Biomet,1382.76,539.28,,,0
CDM,SUP13765,Noncdm Charge Record Medical Supplies - See 159077 Tube Asp Max F- Reperfusion,1762.6,687.41,,,0
CDM,SUP13766,Noncdm Charge Record Medical Supplies - Cement Bn Kph Xpede Mix Pk,940.08,366.63,,,0
CDM,SUP137669,Noncdm Charge Record Medical Supplies - Stapler 80Mm Purple Med Thick,748.4,291.88,,,0
CDM,SUP137670,Noncdm Charge Record Medical Supplies - Reload 80Mm Purple Med Thick,352.53,137.49,,,0
CDM,SUP137671,Noncdm Charge Record Medical Supplies - Reload 80Mm Black Xtr Thick,396.66,154.7,,,0
CDM,SUP137689,Noncdm Charge Record Medical Supplies - Catheter Balloon L150Cm L220Mm Dia2.5Mm Guidewire 0.018In,1454.18,567.13,,,0
CDM,SUP13768_272,Noncdm Charge Record Medical Supplies - Agent Hemost 5G Flexitip Xl,1090.81,425.42,,,0
CDM,SUP13768_A4649_272,Noncdm Charge Record Medical Supplies - Agent Hemost 5G Flexitip Xl,1090.89,425.45,,,0
CDM,SUP13769,Noncdm Charge Record Medical Supplies - Applicator Flex Tip Surgical Hemostatic Davol,122.13,47.63,,,0
CDM,SUP1376_272,Noncdm Charge Record Medical Supplies - Drain 15Fr Hubless Round Blake With Trocar Ethicon,479.19,186.88,,,0
CDM,SUP1376_A9999_272,Noncdm Charge Record Medical Supplies - Drain 15Fr Hubless Round Blake With Trocar Ethicon,478.17,186.49,,,0
CDM,SUP1377,Noncdm Charge Record Medical Supplies - Bit Drill 300Mm 3.2Mm Perc Qc Calibrate Ns,765.25,298.45,,,0
CDM,SUP13770_272,Noncdm Charge Record Medical Supplies - Applicator Xl Flextip Surg,71.42,27.85,,,0
CDM,SUP13770_A9999_272,Noncdm Charge Record Medical Supplies - Applicator Xl Flextip Surg,71.42,27.85,,,0
CDM,SUP13777,Noncdm Charge Record Medical Supplies - Suture Ethibond 2 27In Ethicon,254.39,99.21,,,0
CDM,SUP137771_270,Noncdm Charge Record Medical Supplies - Cuff Bp 1 Tube Infant Hp,7.97,3.11,,,0
CDM,SUP137771_A4649_270,Noncdm Charge Record Medical Supplies - Cuff Bp 1 Tube Infant Hp,7.37,2.87,,,0
CDM,SUP137771_A9999_270,Noncdm Charge Record Medical Supplies - Cuff Bp 1 Tube Infant Hp,8.28,3.23,,,0
CDM,SUP13779,Noncdm Charge Record Medical Supplies - Reducer Laparos Endopth 1Sl,327.06,127.55,,,0
CDM,SUP1378,Noncdm Charge Record Medical Supplies - Bit Drill 300Mm 4.3Mm Perc Qc Calibrate Ns,721.06,281.21,,,0
CDM,SUP13782,Noncdm Charge Record Medical Supplies - Trocar Laparos 100 12Mmdil Tip,297.04,115.85,,,0
CDM,SUP137830,Noncdm Charge Record Medical Supplies - Dressing Prevena Duo With Peel And Place 13Cmx13Cm,2413.62,941.31,,,0
CDM,SUP137842,Noncdm Charge Record Medical Supplies - Catheter Angioplasty 1.5Fr L145Cm L38Cm Guidewire .014In,2130.03,830.71,,,0
CDM,SUP137856,Noncdm Charge Record Medical Supplies - See 159285 Catheter Shockwave M5 Ivl 6.0X60,12125.02,4728.76,,,0
CDM,SUP137858,Noncdm Charge Record Medical Supplies - See 159287 Catheter Shockwave M5 Ivl 7.0X60,12125.02,4728.76,,,0
CDM,SUP137859,Noncdm Charge Record Medical Supplies,12125.02,4728.76,,,0
CDM,SUP13786_272,Noncdm Charge Record Medical Supplies - Suture Chromic 5-0 G-3 18In Ethicon,77.19,30.1,,,0
CDM,SUP13786_A9999_272,Noncdm Charge Record Medical Supplies - Suture Chromic 5-0 G-3 18In Ethicon,77.97,30.41,,,0
CDM,SUP13787,Noncdm Charge Record Medical Supplies - See 140961 Suture Vicryl 3-0 Fs-2 18In Violet Ethicon,10.35,4.04,,,0
CDM,SUP13788,Noncdm Charge Record Medical Supplies - Blade Saw 54.5X40X.8Mm Hall Strnm Re Strl,75.56,29.47,,,0
CDM,SUP13789_272,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 Fs 18In H Black Ethicon,8.1,3.16,,,0
CDM,SUP13789_A4649_272,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 Fs 18In H Black Ethicon,8.01,3.12,,,0
CDM,SUP13789_A9999_272,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 Fs 18In H Black Ethicon,8.19,3.19,,,0
CDM,SUP13795_272,Noncdm Charge Record Medical Supplies - Suture Goretex Cv-0 Thx-26 36In Wl Gore And Assoicates,170.72,66.58,,,0
CDM,SUP13795_A4649_272,Noncdm Charge Record Medical Supplies - Suture Goretex Cv-0 Thx-26 36In Wl Gore And Assoicates,173.88,67.81,,,0
CDM,SUP13797,Noncdm Charge Record Medical Supplies - Substitute Bn Graft 1.75X10Cm,13398.08,5225.25,,,0
CDM,SUP1379_272,Noncdm Charge Record Medical Supplies - Bolt Connect Mri Safe Ext Fix Lng,64.75,25.25,,,0
CDM,SUP1379_C1713_278,Noncdm Charge Record Medical Supplies - Bolt Connect Mri Safe Ext Fix Lng,86.49,33.73,,,0
CDM,SUP1380,Noncdm Charge Record Medical Supplies - Bolt Screw Cannula Post Mount Mri Safe Schnz,1253.64,488.92,,,0
CDM,SUP13803,Noncdm Charge Record Medical Supplies - Graft Cv 15Cm 32Mm Aort Root Wvn Glwv Vslv,12724.29,4962.47,,,0
CDM,SUP13804,Noncdm Charge Record Medical Supplies - Sling Altis Single Incision,12032.08,4692.51,,,0
CDM,SUP138083_272,Noncdm Charge Record Medical Supplies - Fiber Surgical Laser 272 Um Single Use,734.85,286.59,,,0
CDM,SUP138083_A4649_272,Noncdm Charge Record Medical Supplies - Fiber Surgical Laser 272 Um Single Use,734.85,286.59,,,0
CDM,SUP138084,Noncdm Charge Record Medical Supplies - Fiber Surgical Laser 365 Um Single Use,734.85,286.59,,,0
CDM,SUP13809_272,Noncdm Charge Record Medical Supplies - Bit Drill 2.5Mm 60Mm,480.24,187.29,,,0
CDM,SUP13809_A4649_272,Noncdm Charge Record Medical Supplies - Bit Drill 2.5Mm 60Mm,480.24,187.29,,,0
CDM,SUP13812,Noncdm Charge Record Medical Supplies,7518.24,2932.11,,,0
CDM,SUP138153_272,Noncdm Charge Record Medical Supplies - Blade Saw Thk1.04Mm Cut Edge 74Mm Material Thk0.77Mm,249.44,97.28,,,0
CDM,SUP138153_A4649_272,Noncdm Charge Record Medical Supplies - Blade Saw Thk1.04Mm Cut Edge 74Mm Material Thk0.77Mm,249.44,97.28,,,0
CDM,SUP138153_A9999_272,Noncdm Charge Record Medical Supplies - Blade Saw Thk1.04Mm Cut Edge 74Mm Material Thk0.77Mm,249.44,97.28,,,0
CDM,SUP138154_272,Noncdm Charge Record Medical Supplies - Blade Surgical Saw Sagittal 90Mml 90Mmcd 13Mmw 1.7Mmthick,286.67,111.8,,,0
CDM,SUP138154_A4649_272,Noncdm Charge Record Medical Supplies - Blade Surgical Saw Sagittal 90Mml 90Mmcd 13Mmw 1.7Mmthick,286.7,111.81,,,0
CDM,SUP138154_A9999_272,Noncdm Charge Record Medical Supplies - Blade Surgical Saw Sagittal 90Mml 90Mmcd 13Mmw 1.7Mmthick,286.7,111.81,,,0
CDM,SUP138156,Noncdm Charge Record Medical Supplies - Bur Surgical Od7.5Mm Precision,2024.49,789.55,,,0
CDM,SUP138168,Noncdm Charge Record Medical Supplies - Balloon Sapphire Ii Pro Semi Compliant 1.5 X 15,431.12,168.14,,,0
CDM,SUP138169,Noncdm Charge Record Medical Supplies - Balloon Sapphire Ii Pro Semi Compliant 2.0 X 15,440.91,171.95,,,0
CDM,SUP138172,Noncdm Charge Record Medical Supplies - Balloon Sapphire Ii Pro Semi Compliant 2.5 X 15,424.35,165.5,,,0
CDM,SUP138183,Noncdm Charge Record Medical Supplies - Balloon Sapphire Non Compliant Plus 3.0 X 18,440.91,171.95,,,0
CDM,SUP13819,Noncdm Charge Record Medical Supplies - Substitute Bn Graft 1.75X5Cm Magnifuse Sd Grftn,8640.09,3369.64,,,0
CDM,SUP1382,Noncdm Charge Record Medical Supplies - Bolt Wire Ofst Mri Safe Ext Fix,219.03,85.42,,,0
CDM,SUP138248_272,Noncdm Charge Record Medical Supplies - Extension Percuatenous Lead,1343.43,523.94,,,0
CDM,SUP138248_278,Noncdm Charge Record Medical Supplies - Extension Percuatenous Lead,1551.46,605.07,,,0
CDM,SUP138248_C1883_278,Noncdm Charge Record Medical Supplies - Extension Percuatenous Lead,1410.5,550.1,,,0
CDM,SUP138249_272,Noncdm Charge Record Medical Supplies - Envelope Nuero Absorbable W2.7Xl2.5In,6203.91,2419.52,,,0
CDM,SUP138249_A4649_272,Noncdm Charge Record Medical Supplies - Envelope Nuero Absorbable W2.7Xl2.5In,4809.65,1875.76,,,0
CDM,SUP13828_272,Noncdm Charge Record Medical Supplies - Agent Hemost 3G Flexitip Xl,829.1,323.35,,,0
CDM,SUP13828_A4649_272,Noncdm Charge Record Medical Supplies - Agent Hemost 3G Flexitip Xl,829.04,323.33,,,0
CDM,SUP13828_A9999_272,Noncdm Charge Record Medical Supplies - Agent Hemost 3G Flexitip Xl,829.14,323.36,,,0
CDM,SUP1383,Noncdm Charge Record Medical Supplies - Clamp 4 Pstn Pin Mr Sf Ext Fix Lg Ns Lg Ext,1576.29,614.75,,,0
CDM,SUP138319,Noncdm Charge Record Medical Supplies - Guidewire Vascular L315Cm Dia0.014In Workhorse Filter,861.12,335.84,,,0
CDM,SUP138321_272,Noncdm Charge Record Medical Supplies - Pack Major Abdominal Wellstar Ws290002,214.27,83.57,,,0
CDM,SUP138321_A4649_272,Noncdm Charge Record Medical Supplies - Pack Major Abdominal Wellstar Ws290002,214.24,83.55,,,0
CDM,SUP138321_A9999_272,Noncdm Charge Record Medical Supplies - Pack Major Abdominal Wellstar Ws290002,214.24,83.55,,,0
CDM,SUP138322,Noncdm Charge Record Medical Supplies - Stent Wall Venous 20 Mm 80 Mm 11 Fr 75Cm,10228.91,3989.27,,,0
CDM,SUP138350,Noncdm Charge Record Medical Supplies - Sheath Ballast Long 80Cm,2203.52,859.37,,,0
CDM,SUP138352,Noncdm Charge Record Medical Supplies - Catheter Occlusion 6Mmx12,7124.94,2778.73,,,0
CDM,SUP138354,Noncdm Charge Record Medical Supplies - Catheter Occlusion 6Mmx7Sn,8315.19,3242.92,,,0
CDM,SUP138355,Noncdm Charge Record Medical Supplies - Catheter Occlusion 6Mmx9,7124.94,2778.73,,,0
CDM,SUP138356,Noncdm Charge Record Medical Supplies - Guidewire Vascular .012-.014 Straigth,3064.64,1195.21,,,0
CDM,SUP13839,Noncdm Charge Record Medical Supplies - Screw Bn Lck 12Mm 3.5Mm,1074.33,418.99,,,0
CDM,SUP138396,Noncdm Charge Record Medical Supplies - Stent Carotid Balloon Tapered 10-8Mm X 40Mm,10445.22,4073.64,,,0
CDM,SUP138397,Noncdm Charge Record Medical Supplies - Catheter Diagnostic Impress 4F 100Cm,59.0,23.01,,,0
CDM,SUP138398,Noncdm Charge Record Medical Supplies - Catheter Diagnostic Impress 4F 125Cm,59.0,23.01,,,0
CDM,SUP138399_272,Noncdm Charge Record Medical Supplies - Catheter Diagnostic Impress 5F 100Cm,58.98,23.0,,,0
CDM,SUP138399_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Diagnostic Impress 5F 100Cm,59.0,23.01,,,0
CDM,SUP1384,Noncdm Charge Record Medical Supplies - Clamp 8X11Mm Cmbn Mr Sf Dip On Self Hld Ext,2259.15,881.07,,,0
CDM,SUP13840,Noncdm Charge Record Medical Supplies - Screw Bn Lck 14Mm 3.5Mm,1074.33,418.99,,,0
CDM,SUP13841,Noncdm Charge Record Medical Supplies - Screw Bn Lck 16Mm 3.5Mm,1074.33,418.99,,,0
CDM,SUP13842,Noncdm Charge Record Medical Supplies - Screw Bn Lck 18Mm 3.5Mm,1074.33,418.99,,,0
CDM,SUP13843,Noncdm Charge Record Medical Supplies - System Bn Cement Kt Brkwy Noz,411.93,160.65,,,0
CDM,SUP138437,Noncdm Charge Record Medical Supplies - Precise Pro Rx Nitinol Stent 5Mmx 40Mm,9468.7,3692.79,,,0
CDM,SUP138438,Noncdm Charge Record Medical Supplies - Catheter Diagnostic 5Fr L125Cm Guidewire 0.038In,122.65,47.83,,,0
CDM,SUP13844,Noncdm Charge Record Medical Supplies - Screw Bn Cort 16Mm 3.5Mm Low Prof,547.52,213.53,,,0
CDM,SUP13845,Noncdm Charge Record Medical Supplies - Screw Bn Cort 18Mm 3.5Mm Low Prof,547.66,213.59,,,0
CDM,SUP138458,Noncdm Charge Record Medical Supplies - Athletic Supporter Size L,30.02,11.71,,,0
CDM,SUP138459,Noncdm Charge Record Medical Supplies - Athletic Supporter Size M,30.02,11.71,,,0
CDM,SUP13846_272,Noncdm Charge Record Medical Supplies - Pin Fx Temp 1.4Mm Lg,288.76,112.62,,,0
CDM,SUP13846_A4649_272,Noncdm Charge Record Medical Supplies - Pin Fx Temp 1.4Mm Lg,288.76,112.62,,,0
CDM,SUP13848_272,Noncdm Charge Record Medical Supplies - See 61250 Clip Sm 2.6Mm Intnl Lgclp Ex,34.83,13.58,,,0
CDM,SUP13848_A4649_272,Noncdm Charge Record Medical Supplies,35.19,13.72,,,0
CDM,SUP13848_A9999_272,Noncdm Charge Record Medical Supplies - See 61250 Clip Sm 2.6Mm Intnl Lgclp Ex,35.19,13.72,,,0
CDM,SUP13849,Noncdm Charge Record Medical Supplies - Kit Sheath 14Fr Laser,13403.25,5227.27,,,0
CDM,SUP13855_272,Noncdm Charge Record Medical Supplies - Needle Centeze Cnts,78.6,30.65,,,0
CDM,SUP13855_A4649_272,Noncdm Charge Record Medical Supplies - Needle Centeze Cnts,78.66,30.68,,,0
CDM,SUP13855_A9999_272,Noncdm Charge Record Medical Supplies - Needle Centeze Cnts,78.66,30.68,,,0
CDM,SUP13856,Noncdm Charge Record Medical Supplies - Suture Vicryl 4-0 Ks 27In Undyed Ethicon,10.33,4.03,,,0
CDM,SUP13857,Noncdm Charge Record Medical Supplies - See 140944 Suture Vicryl 3-0 Ct-2 27In Violet Ethicon,7.24,2.82,,,0
CDM,SUP138575,Noncdm Charge Record Medical Supplies,282.56,110.2,,,0
CDM,SUP1386,Noncdm Charge Record Medical Supplies - Graft Cv 30Cm 6Mm 2 Vlr Strt,2625.73,1024.03,,,0
CDM,SUP138642_272,Noncdm Charge Record Medical Supplies - Suture 3-0 45Cm Stratafix Spiral Mono,154.22,60.15,,,0
CDM,SUP138642_A4649_272,Noncdm Charge Record Medical Supplies - Suture 3-0 45Cm Stratafix Spiral Mono,154.22,60.15,,,0
CDM,SUP138642_A9999_272,Noncdm Charge Record Medical Supplies - Suture 3-0 45Cm Stratafix Spiral Mono,154.22,60.15,,,0
CDM,SUP138643,Noncdm Charge Record Medical Supplies - Suture 2-0 45Cm Stratafix Spiral Pds,128.34,50.05,,,0
CDM,SUP13864_C1751_272,Noncdm Charge Record Medical Supplies - Catheter Ivus 90Cm .035In 8Fr,4188.65,1633.57,,,0
CDM,SUP13864_C1753_272,Noncdm Charge Record Medical Supplies - Catheter Ivus 90Cm .035In 8Fr,4251.63,1658.14,,,0
CDM,SUP1387,Noncdm Charge Record Medical Supplies - Graft Cv 30Cm 8Mm 2 Vlr Strt,2672.37,1042.22,,,0
CDM,SUP138708,Noncdm Charge Record Medical Supplies - Defibrillator Cardiac 31Cc W51Xh12Xl69Mm Gallant Dr,62085.51,24213.35,,,0
CDM,SUP138709,Noncdm Charge Record Medical Supplies - Defibrillator Cardiac 30Cc W51Xh12Xl63Mm Gallant Vr,57107.16,22271.79,,,0
CDM,SUP138710,Noncdm Charge Record Medical Supplies - Defibrillator Cardiac 34Cc W51Xh12Xl74Mm Gallant Crt-D,88718.13,34600.07,,,0
CDM,SUP138766_272,Noncdm Charge Record Medical Supplies - Catheter Foley All Silicone 2 2-Way 8Fr 3Cc,15.74,6.14,,,0
CDM,SUP138766_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Foley All Silicone 2 2-Way 8Fr 3Cc,15.52,6.05,,,0
CDM,SUP138766_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Foley All Silicone 2 2-Way 8Fr 3Cc,15.52,6.05,,,0
CDM,SUP138855,Noncdm Charge Record Medical Supplies - Sensor Leadwire Monitor Noninvasive Starling Sv,979.11,381.85,,,0
CDM,SUP138889,Noncdm Charge Record Medical Supplies,72.97,28.46,,,0
CDM,SUP138890,Noncdm Charge Record Medical Supplies - Dressing Nonadhesive L8Xw8In Without Border Sterile,62.1,24.22,,,0
CDM,SUP1388_272,Noncdm Charge Record Medical Supplies - Set .330In 102In Set Y Grvty,153.18,59.74,,,0
CDM,SUP1388_A4649_272,Noncdm Charge Record Medical Supplies - Set .330In 102In Set Y Grvty,153.18,59.74,,,0
CDM,SUP138909_272,Noncdm Charge Record Medical Supplies - Handpiece Argon Electrode,200.89,78.35,,,0
CDM,SUP138909_A4649_272,Noncdm Charge Record Medical Supplies - Handpiece Argon Electrode,200.79,78.31,,,0
CDM,SUP138911,Noncdm Charge Record Medical Supplies - Sonnet 2 And Rondo 3 Patient K Kit,56126.89,21889.49,,,0
CDM,SUP138913_L8613_278,Noncdm Charge Record Medical Supplies - Cochlear Implant Pt Kit 453,55140.59,21504.83,,,0
CDM,SUP138913_L8614_278,Noncdm Charge Record Medical Supplies - Cochlear Implant Pt Kit 453,52609.05,20517.53,,,0
CDM,SUP138914,Noncdm Charge Record Medical Supplies - Ultra 3D Cochlear Implant 04,93029.94,36281.68,,,0
CDM,SUP138932,Noncdm Charge Record Medical Supplies - Graft Bone Substitute Xsm 2Cc 45S5 Bioactive Glass,2148.66,837.98,,,0
CDM,SUP138934,Noncdm Charge Record Medical Supplies - Graft Bone Substitute M 6Cc 45S5 Bioactive Glass,5365.31,2092.47,,,0
CDM,SUP138936,Noncdm Charge Record Medical Supplies - Graft Bone Substitute Sm 4Cc 45S5 Bioactive Glass,4446.88,1734.28,,,0
CDM,SUP138937,Noncdm Charge Record Medical Supplies - Graft Bone Substitute M 6Cc 45S5 Bioactive Glass,6234.84,2431.59,,,0
CDM,SUP138938,Noncdm Charge Record Medical Supplies - Graft Bone Substitute L 11Cc 45S5 Bioactive Glass,10875.78,4241.55,,,0
CDM,SUP138940,Noncdm Charge Record Medical Supplies - Graft Bone Substitute M 6.25Cc 45S5 Bioactive Glass,7129.08,2780.34,,,0
CDM,SUP138941,Noncdm Charge Record Medical Supplies - Graft Bone Substitute L 12.5Cc 45S5 Bioactive Glass,14500.35,5655.14,,,0
CDM,SUP13894_272,Noncdm Charge Record Medical Supplies - Tool Pacemaker 2 Kt Wrench,171.79,67.0,,,0
CDM,SUP13894_A4649_272,Noncdm Charge Record Medical Supplies - Tool Pacemaker 2 Kt Wrench,171.81,67.01,,,0
CDM,SUP13895,Noncdm Charge Record Medical Supplies - Pinch-On-Tool 6056,93.15,36.33,,,0
CDM,SUP138957_C1887_272,Noncdm Charge Record Medical Supplies - Sheath Introducer 9Fr L10Cm Pinnacle,42.44,16.55,,,0
CDM,SUP138957_C1894_272,Noncdm Charge Record Medical Supplies - Sheath Introducer 9Fr L10Cm Pinnacle,60.7,23.67,,,0
CDM,SUP138958,Noncdm Charge Record Medical Supplies - Sheath Introducer 10Fr L10Cm Dilator L2.5Cm Pinnacle,55.91,21.8,,,0
CDM,SUP139003,Noncdm Charge Record Medical Supplies - Device Revascularization Solitaire 3X10,20943.22,8167.86,,,0
CDM,SUP139004_272,Noncdm Charge Record Medical Supplies - Suture Stratafix Pds Plus Ct-1 L36Mm,126.19,49.21,,,0
CDM,SUP139004_A4649_272,Noncdm Charge Record Medical Supplies - Suture Stratafix Pds Plus Ct-1 L36Mm,126.27,49.25,,,0
CDM,SUP13904,Noncdm Charge Record Medical Supplies - Suture Vicryl 2 Bp-1 Violet Ethicon,652.17,254.35,,,0
CDM,SUP139077,Noncdm Charge Record Medical Supplies - Guidewire Vascular 190Cm Straight Sion Ptca Gw,631.42,246.25,,,0
CDM,SUP13909,Noncdm Charge Record Medical Supplies - Suture Prolene 2-0 Rb-1 36In Double Arm Ethicon,29.5,11.5,,,0
CDM,SUP139130,Noncdm Charge Record Medical Supplies - Catheter Angioplasty 7Fr L75Cm L6Cm Dia16Mm 0.035In 16Atm,1762.6,687.41,,,0
CDM,SUP1392,Noncdm Charge Record Medical Supplies - Brace Walk Lg Ft-Ankl Low Prof Contour Flat,117.99,46.02,,,0
CDM,SUP13920,Noncdm Charge Record Medical Supplies - Needle Ferguson 1-2 Circle Taper Anchor Products Company,35.19,13.72,,,0
CDM,SUP13921,Noncdm Charge Record Medical Supplies - Needle Suture Size 4 Fergerson Anchor Products Company,34.16,13.32,,,0
CDM,SUP13922,Noncdm Charge Record Medical Supplies - Needle Suture I-2 Circle Size 6 Anchor Products Company,35.19,13.72,,,0
CDM,SUP13923,Noncdm Charge Record Medical Supplies - Needle Suture 1-2 Circle Size 8 Anchor Products Company,8.28,3.23,,,0
CDM,SUP139259,Noncdm Charge Record Medical Supplies - Shunt Carotid Javid 8Fr X 10Cm Straight,631.35,246.23,,,0
CDM,SUP13925_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 6In 10Fr Lectrovac Pncl,32.19,12.55,,,0
CDM,SUP13925_A4649_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 6In 10Fr Lectrovac Pncl,31.32,12.21,,,0
CDM,SUP13925_A9999_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 6In 10Fr Lectrovac Pncl,34.16,13.32,,,0
CDM,SUP13926,Noncdm Charge Record Medical Supplies - Shoe F Pat Postop Wdn Sole H Hook Loop Closure,38.3,14.94,,,0
CDM,SUP139260,Noncdm Charge Record Medical Supplies - Shunt Carotid 10Fr L13Cm Straight,256.68,100.11,,,0
CDM,SUP139261_272,Noncdm Charge Record Medical Supplies - Shunt Carotid 12Fr L13Cm Straight,256.68,100.11,,,0
CDM,SUP139261_C1889_278,Noncdm Charge Record Medical Supplies - Shunt Carotid 12Fr L13Cm Straight,256.68,100.11,,,0
CDM,SUP139269,Noncdm Charge Record Medical Supplies - Kit Ostomy Two Piece Pouch Formaflex Skin Barrier,7.3,2.85,,,0
CDM,SUP139271,Noncdm Charge Record Medical Supplies - A-Scope 4 Cysto Single Use Flexible Cystoscope,905.62,353.19,,,0
CDM,SUP139272_272,Noncdm Charge Record Medical Supplies - Rhinolaryngoscope L11.8In D3Mm 130Deg Flexible Cystoscope,734.85,286.59,,,0
CDM,SUP139272_A4649_272,Noncdm Charge Record Medical Supplies - Rhinolaryngoscope L11.8In D3Mm 130Deg Flexible Cystoscope,734.85,286.59,,,0
CDM,SUP139272_A9999_272,Noncdm Charge Record Medical Supplies - Rhinolaryngoscope L11.8In D3Mm 130Deg Flexible Cystoscope,734.85,286.59,,,0
CDM,SUP139274,Noncdm Charge Record Medical Supplies - See 140784 Pack Craniotomy Wellstar Ws200003,452.3,176.4,,,0
CDM,SUP139275,Noncdm Charge Record Medical Supplies - See 140751 Pack Wellstar Gen Abdominal Ws290003,214.24,83.55,,,0
CDM,SUP139276,Noncdm Charge Record Medical Supplies - See 140824 Pack Minor Basin Wellstar Ws300002,93.15,36.33,,,0
CDM,SUP139283_272,Noncdm Charge Record Medical Supplies - Blade Saw Ptfe Cartilage Microtome,73.48,28.66,,,0
CDM,SUP139283_A4649_272,Noncdm Charge Record Medical Supplies - Blade Saw Ptfe Cartilage Microtome,73.48,28.66,,,0
CDM,SUP13930,Noncdm Charge Record Medical Supplies - Suture Ethilon 5-0 P-3 18In Green Ethicon,21.74,8.48,,,0
CDM,SUP13932,Noncdm Charge Record Medical Supplies - Needle Prost Str 18Ga 20Cm,290.83,113.42,,,0
CDM,SUP13934_272,Noncdm Charge Record Medical Supplies - Set Iv Sol 69In,23.12,9.02,,,0
CDM,SUP13934_A4649_272,Noncdm Charge Record Medical Supplies - Set Iv Sol 69In,23.49,9.16,,,0
CDM,SUP13934_A9999_272,Noncdm Charge Record Medical Supplies - Set Iv Sol 69In,22.77,8.88,,,0
CDM,SUP139362,Noncdm Charge Record Medical Supplies - Fibulink Syndesmosis Repair Kit,5511.7,2149.56,,,0
CDM,SUP139363,Noncdm Charge Record Medical Supplies - Nail Intramedullary L420Mm Dia10Mm Right Femoral,8380.91,3268.55,,,0
CDM,SUP1393_272,Noncdm Charge Record Medical Supplies - Suspensory Support Med W Leg Strap,53.82,20.99,,,0
CDM,SUP1393_A4649_270,Noncdm Charge Record Medical Supplies - Suspensory Support Med W Leg Strap,82.8,32.29,,,0
CDM,SUP1393_A4649_272,Noncdm Charge Record Medical Supplies - Suspensory Support Med W Leg Strap,53.82,20.99,,,0
CDM,SUP1394,Noncdm Charge Record Medical Supplies - Support Scrt Blk B-B Lg Cttn Spns Leg Strap,66.56,25.96,,,0
CDM,SUP139402,Noncdm Charge Record Medical Supplies - Nozin 2Pk Nasal Sanitizer,27.94,10.9,,,0
CDM,SUP13940_272,Noncdm Charge Record Medical Supplies - Trocar Optc Bladeless 12Mm Std W-Fx Cannula,119.01,46.41,,,0
CDM,SUP13940_A4649_272,Noncdm Charge Record Medical Supplies - Trocar Optc Bladeless 12Mm Std W-Fx Cannula,119.02,46.42,,,0
CDM,SUP13940_A9999_272,Noncdm Charge Record Medical Supplies - Trocar Optc Bladeless 12Mm Std W-Fx Cannula,119.02,46.42,,,0
CDM,SUP13941_272,Noncdm Charge Record Medical Supplies - Trocar Optc Std 12Mm Fx Cannula,63.14,24.62,,,0
CDM,SUP13941_A4649_272,Noncdm Charge Record Medical Supplies - Trocar Optc Std 12Mm Fx Cannula,63.14,24.62,,,0
CDM,SUP13942_272,Noncdm Charge Record Medical Supplies - Tube Endtrch 4.5Mm Oral Shrd,19.87,7.75,,,0
CDM,SUP13942_A4649_272,Noncdm Charge Record Medical Supplies - Tube Endtrch 4.5Mm Oral Shrd,20.7,8.07,,,0
CDM,SUP13946_272,Noncdm Charge Record Medical Supplies - Hook 12Mm Retract Blnt Elc Stay Disp Strl Lf,43.67,17.03,,,0
CDM,SUP13946_A4649_272,Noncdm Charge Record Medical Supplies - Hook 12Mm Retract Blnt Elc Stay Disp Strl Lf,43.68,17.04,,,0
CDM,SUP13946_A9999_272,Noncdm Charge Record Medical Supplies - Hook 12Mm Retract Blnt Elc Stay Disp Strl Lf,43.73,17.05,,,0
CDM,SUP139478,Noncdm Charge Record Medical Supplies - Trap Tissue Fluent Fluid Management System,504.04,196.58,,,0
CDM,SUP139479,Noncdm Charge Record Medical Supplies - Bag Waste Fluent Fluid Management,302.38,117.93,,,0
CDM,SUP13948,Noncdm Charge Record Medical Supplies - Catheter Foley 2-Way 20Fr 30Cc Latex Bard Medical,22.77,8.88,,,0
CDM,SUP13949_272,Noncdm Charge Record Medical Supplies - See 140962 Suture Vicryl 4-0 Sh 27In Undyed Ethicon,7.28,2.84,,,0
CDM,SUP13949_A4649_272,Noncdm Charge Record Medical Supplies - See 140962 Suture Vicryl 4-0 Sh 27In Undyed Ethicon,7.24,2.82,,,0
CDM,SUP13949_A9999_272,Noncdm Charge Record Medical Supplies - See 140962 Suture Vicryl 4-0 Sh 27In Undyed Ethicon,7.24,2.82,,,0
CDM,SUP1395,Noncdm Charge Record Medical Supplies - Stent Uret 8Fr 22Cm Pgtail Ext Crv Drain,535.1,208.69,,,0
CDM,SUP13951,Noncdm Charge Record Medical Supplies - Suture Vicryl 6-0 S-24 12In Violet Ethicon,70.64,27.55,,,0
CDM,SUP13952,Noncdm Charge Record Medical Supplies - Suture Chromic 2 60In Abs Ethicon,33.12,12.92,,,0
CDM,SUP13953_272,Noncdm Charge Record Medical Supplies - See 141030 Suture Vicryl 2-0 Ct-1 18In Crundyed Ethicon,54.85,21.39,,,0
CDM,SUP13953_A9999_272,Noncdm Charge Record Medical Supplies - See 141030 Suture Vicryl 2-0 Ct-1 18In Crundyed Ethicon,54.86,21.4,,,0
CDM,SUP13954,Noncdm Charge Record Medical Supplies - Suture Permahand 3-0 Sh 30In Cr Double Arm Ethicon,49.2,19.19,,,0
CDM,SUP139596,Noncdm Charge Record Medical Supplies,2009.13,783.56,,,0
CDM,SUP139609,Noncdm Charge Record Medical Supplies - Microcatheter Phenom 1.8-2.2Fr L150Cm Id0.017In Straight Tip,3306.82,1289.66,,,0
CDM,SUP139611,Noncdm Charge Record Medical Supplies - Bronchoscope 3.8Mm Ds Flexible Disposable Glidescope Bflex,1270.98,495.68,,,0
CDM,SUP139612_272,Noncdm Charge Record Medical Supplies - Suture V-Loc 180 Sz 2-0 L15Cm Absorbable Wound Closure,113.81,44.39,,,0
CDM,SUP139612_A4649_272,Noncdm Charge Record Medical Supplies - Suture V-Loc 180 Sz 2-0 L15Cm Absorbable Wound Closure,113.85,44.4,,,0
CDM,SUP139612_A9999_272,Noncdm Charge Record Medical Supplies - Suture V-Loc 180 Sz 2-0 L15Cm Absorbable Wound Closure,113.85,44.4,,,0
CDM,SUP13963,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP13966_272,Noncdm Charge Record Medical Supplies - Suture Permahand 3-0 Sh 18In Black Ethicon,43.99,17.16,,,0
CDM,SUP13966_A4649_272,Noncdm Charge Record Medical Supplies - Suture Permahand 3-0 Sh 18In Black Ethicon,44.09,17.2,,,0
CDM,SUP13966_A9999_272,Noncdm Charge Record Medical Supplies - Suture Permahand 3-0 Sh 18In Black Ethicon,44.5,17.36,,,0
CDM,SUP13968,Noncdm Charge Record Medical Supplies - Cannister Max Pump Asp,1780.46,694.38,,,0
CDM,SUP13969,Noncdm Charge Record Medical Supplies - See 141062 Suture Monocryl 2-0 27In Ct-2 Violet Ethicon,10.35,4.04,,,0
CDM,SUP13970_272,Noncdm Charge Record Medical Supplies - See 140907 Suture Vicryl 3-0 18In Strand Violet Ethicon,41.4,16.15,,,0
CDM,SUP13970_A4649_272,Noncdm Charge Record Medical Supplies - See 140907 Suture Vicryl 3-0 18In Strand Violet Ethicon,41.4,16.15,,,0
CDM,SUP13970_A9999_272,Noncdm Charge Record Medical Supplies - See 140907 Suture Vicryl 3-0 18In Strand Violet Ethicon,41.4,16.15,,,0
CDM,SUP13972,Noncdm Charge Record Medical Supplies - Suture Vicry 2-0 36In Ctx A-2 Circle Violet Ethicon,12.63,4.93,,,0
CDM,SUP13974_272,Noncdm Charge Record Medical Supplies - See 141031 Suture Vicryl 0 Ct-1 18In Undyed Ethicon,56.11,21.88,,,0
CDM,SUP13974_A4649_272,Noncdm Charge Record Medical Supplies - See 141031 Suture Vicryl 0 Ct-1 18In Undyed Ethicon,56.06,21.86,,,0
CDM,SUP13974_A9999_272,Noncdm Charge Record Medical Supplies - See 141031 Suture Vicryl 0 Ct-1 18In Undyed Ethicon,55.89,21.8,,,0
CDM,SUP13976,Noncdm Charge Record Medical Supplies - Suture Vicryl 1 Ctb-1 18In Cr Undyed Ethicon,71.93,28.05,,,0
CDM,SUP13977,Noncdm Charge Record Medical Supplies - System Bn Cement Prep Kt Plug Inserter,529.92,206.67,,,0
CDM,SUP13978,Noncdm Charge Record Medical Supplies - Suture Goretex Cv-7 Ttc-9 30In Wl Gore And Associates,156.58,61.07,,,0
CDM,SUP13982,Noncdm Charge Record Medical Supplies - Dressing Vac Med Veraflo,535.1,208.69,,,0
CDM,SUP139829,Noncdm Charge Record Medical Supplies - Blade Osteot Flx 12Mm X 93Mm,1282.36,500.12,,,0
CDM,SUP13983,Noncdm Charge Record Medical Supplies - Cassette Vac Veralink,255.64,99.7,,,0
CDM,SUP139877,Noncdm Charge Record Medical Supplies - Stapler 60Mm Purple Med Thick,502.96,196.15,,,0
CDM,SUP139878,Noncdm Charge Record Medical Supplies - Stapler Purple 60Mm Reload Med Thick,267.03,104.14,,,0
CDM,SUP139879,Noncdm Charge Record Medical Supplies - Stapler Purple 60Mm Reload Xtra Thick,267.37,104.27,,,0
CDM,SUP13988_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 0 Mo-6 18In Cr Ethicon,67.55,26.34,,,0
CDM,SUP13988_A4649_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 0 Mo-6 18In Cr Ethicon,66.24,25.83,,,0
CDM,SUP13988_A9999_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 0 Mo-6 18In Cr Ethicon,68.31,26.64,,,0
CDM,SUP13991_272,Noncdm Charge Record Medical Supplies - Needle Chiba 21Ga-20Cm Dchn21-20,59.0,23.01,,,0
CDM,SUP13991_A4649_272,Noncdm Charge Record Medical Supplies - Needle Chiba 21Ga-20Cm Dchn21-20,59.0,23.01,,,0
CDM,SUP13998,Noncdm Charge Record Medical Supplies - Bit Drill 50.8Mm 1.5Mm Med Wrps Strl,188.37,73.46,,,0
CDM,SUP139990,Noncdm Charge Record Medical Supplies - Introducer Peelable 6F X 10Cm,87.98,34.31,,,0
CDM,SUP139997,Noncdm Charge Record Medical Supplies - Guidewire Vascular Soft L200Cm Dia0.014In,2203.45,859.35,,,0
CDM,SUP139998,Noncdm Charge Record Medical Supplies - Guidewire Vascular Standard L200Cm Dia0.014In,2203.37,859.31,,,0
CDM,SUP139999,Noncdm Charge Record Medical Supplies - Guidewire Vascular Soft L300Cm Dia0.014In,2422.94,944.95,,,0
CDM,SUP140000,Noncdm Charge Record Medical Supplies - Guidewire Vascular Standard L300Cm Dia0.014In,2422.94,944.95,,,0
CDM,SUP140001,Noncdm Charge Record Medical Supplies - Guidewire Zoom Wire 14 Support 200,2315.25,902.95,,,0
CDM,SUP140002,Noncdm Charge Record Medical Supplies - Guidewire Zoom Wire 14 Extra- Support 200,2315.3,902.97,,,0
CDM,SUP140003,Noncdm Charge Record Medical Supplies - Guidewire Aristotle 18 Soft 200,2659.42,1037.17,,,0
CDM,SUP140004,Noncdm Charge Record Medical Supplies - Guidewire Aristotle 18 Standard 200,2661.35,1037.93,,,0
CDM,SUP140005,Noncdm Charge Record Medical Supplies - Guidewire Aristotle 18 Support 200,2618.96,1021.39,,,0
CDM,SUP140006,Noncdm Charge Record Medical Supplies - Guidewire Aristotle 24 Soft 200,3285.09,1281.19,,,0
CDM,SUP140007,Noncdm Charge Record Medical Supplies - Guidewire Aristotle 24 Standard 200,3285.02,1281.16,,,0
CDM,SUP140008,Noncdm Charge Record Medical Supplies - Guidewire Aristotle 24 Support 200,3285.09,1281.19,,,0
CDM,SUP14001,Noncdm Charge Record Medical Supplies - Burr Surg 51Mm 2.1Mm Med Carb Round Strl,106.6,41.57,,,0
CDM,SUP140010_272,Noncdm Charge Record Medical Supplies - See 156026 Pack Lithomtomy Wellstar Ws310003,171.81,67.01,,,0
CDM,SUP140010_A4649_272,Noncdm Charge Record Medical Supplies - See 156026 Pack Lithomtomy Wellstar Ws310003,171.81,67.01,,,0
CDM,SUP140010_A9999_272,Noncdm Charge Record Medical Supplies - See 156026 Pack Lithomtomy Wellstar Ws310003,171.81,67.01,,,0
CDM,SUP140011_272,Noncdm Charge Record Medical Supplies - See 140767 Pack Cath Lab Wellstar Ws190006,261.86,102.13,,,0
CDM,SUP140011_A4649_272,Noncdm Charge Record Medical Supplies - See 140767 Pack Cath Lab Wellstar Ws190006,261.86,102.13,,,0
CDM,SUP140012,Noncdm Charge Record Medical Supplies - See 143724 Pack Cath Lab Wellstar Ws190007,261.86,102.13,,,0
CDM,SUP140013_272,Noncdm Charge Record Medical Supplies - See 140769 Pack Lavh Wellstar Ws280002,320.85,125.13,,,0
CDM,SUP140013_A4649_272,Noncdm Charge Record Medical Supplies - See 140769 Pack Lavh Wellstar Ws280002,320.85,125.13,,,0
CDM,SUP140014,Noncdm Charge Record Medical Supplies - See 157009 Pack Lavh Wellstar Ws280003,320.85,125.13,,,0
CDM,SUP140015,Noncdm Charge Record Medical Supplies - See 140771 Pack Cysto Wellstar Ws170003,134.55,52.47,,,0
CDM,SUP140016_272,Noncdm Charge Record Medical Supplies - See 155810 Pack Cysto Wellstar Ws170004,176.98,69.02,,,0
CDM,SUP140016_A4649_272,Noncdm Charge Record Medical Supplies - See 155810 Pack Cysto Wellstar Ws170004,176.98,69.02,,,0
CDM,SUP140016_A9999_272,Noncdm Charge Record Medical Supplies - See 155810 Pack Cysto Wellstar Ws170004,176.98,69.02,,,0
CDM,SUP140017,Noncdm Charge Record Medical Supplies - See 140773 Pack C-Section Wellstar Ws210002,431.6,168.32,,,0
CDM,SUP140018,Noncdm Charge Record Medical Supplies - See 156025 Pack C-Section Wellstar Ws210003,432.63,168.73,,,0
CDM,SUP140019_272,Noncdm Charge Record Medical Supplies - See 156166 Wellstar Minor Basin Pack Ws300004,82.8,32.29,,,0
CDM,SUP140019_A4649_272,Noncdm Charge Record Medical Supplies - See 156166 Wellstar Minor Basin Pack Ws300004,82.8,32.29,,,0
CDM,SUP14002,Noncdm Charge Record Medical Supplies - Burr Surg 48.3Mm 4Mm Med Carb Round Strl,113.26,44.17,,,0
CDM,SUP140020_272,Noncdm Charge Record Medical Supplies - See 155814 Pack Major Abdominal Wellstar Ws290005,217.35,84.77,,,0
CDM,SUP140020_A4649_272,Noncdm Charge Record Medical Supplies - See 155814 Pack Major Abdominal Wellstar Ws290005,217.35,84.77,,,0
CDM,SUP140024,Noncdm Charge Record Medical Supplies - See 143723 Pack Pacemaker Wellstar Ws330006,624.1,243.4,,,0
CDM,SUP140025,Noncdm Charge Record Medical Supplies - See 140781 Wellstar Spine Pack Ws370004,394.34,153.79,,,0
CDM,SUP140026,Noncdm Charge Record Medical Supplies - See 156203 Pack Spine Wellstar Ws370005 Ws370005,394.34,153.79,,,0
CDM,SUP140028_272,Noncdm Charge Record Medical Supplies - See 142471 Wellstar Total Joint Pack Ws400004,439.88,171.55,,,0
CDM,SUP140028_A4649_272,Noncdm Charge Record Medical Supplies - See 142471 Wellstar Total Joint Pack Ws400004,439.88,171.55,,,0
CDM,SUP140029,Noncdm Charge Record Medical Supplies - See 157010 Pack Craniotomy Wellstar Ws200004,452.24,176.37,,,0
CDM,SUP14004,Noncdm Charge Record Medical Supplies - Blade Saw 25.5X9.5X.38Mm Hall Micro Ss Sag,92.8,36.19,,,0
CDM,SUP14006,Noncdm Charge Record Medical Supplies,10.35,4.04,,,0
CDM,SUP140066,Noncdm Charge Record Medical Supplies - See 156717 Pack Carotid Wk340.021,237.02,92.44,,,0
CDM,SUP14007,Noncdm Charge Record Medical Supplies - Catheter Balloon Occ 4Fr 9Mm 27Cm Aort,1665.56,649.57,,,0
CDM,SUP140086,Noncdm Charge Record Medical Supplies - Catheter Interventional 5Fr L1 L150Cm Dia0.038X0.029In 0.014,2596.82,1012.76,,,0
CDM,SUP14008_272,Noncdm Charge Record Medical Supplies - See 83749 Suture Vicryl 3-0 Ks 27In Undyed Ethicon,10.35,4.04,,,0
CDM,SUP14008_A4649_272,Noncdm Charge Record Medical Supplies - See 83749 Suture Vicryl 3-0 Ks 27In Undyed Ethicon,10.35,4.04,,,0
CDM,SUP14010,Noncdm Charge Record Medical Supplies - Forceps Surg Radial Jaw 3,317.74,123.92,,,0
CDM,SUP14011_272,Noncdm Charge Record Medical Supplies - Ligator Multiband 6 Bands 2.8,2119.68,826.68,,,0
CDM,SUP14011_A9999_272,Noncdm Charge Record Medical Supplies - Ligator Multiband 6 Bands 2.8,2119.68,826.68,,,0
CDM,SUP14012,Noncdm Charge Record Medical Supplies - Electrode Elctrsg Grn 37Cm Flx,722.43,281.75,,,0
CDM,SUP140165,Noncdm Charge Record Medical Supplies,49795.92,19420.41,,,0
CDM,SUP140166,Noncdm Charge Record Medical Supplies,5626.26,2194.24,,,0
CDM,SUP140168,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP14016_272,Noncdm Charge Record Medical Supplies - Burr Surg 44.8Mm 1.6Mm Carb Sdct Tpr Strl,52.95,20.65,,,0
CDM,SUP14016_A4649_272,Noncdm Charge Record Medical Supplies - Burr Surg 44.8Mm 1.6Mm Carb Sdct Tpr Strl,49.68,19.38,,,0
CDM,SUP14017,Noncdm Charge Record Medical Supplies - Blade Saw 35X10X.38Mm Hall Ns Micro Ss Hvydty Ns,29.24,11.4,,,0
CDM,SUP14019,Noncdm Charge Record Medical Supplies - Blade Saw 105X18X1.2Mm Xlng Ss Sag Dual Cut,137.36,53.57,,,0
CDM,SUP140197_272,Noncdm Charge Record Medical Supplies - Pack Arthroscopy Cobb Wc100017,214.24,83.55,,,0
CDM,SUP140197_A4649_272,Noncdm Charge Record Medical Supplies - Pack Arthroscopy Cobb Wc100017,214.24,83.55,,,0
CDM,SUP140197_A9999_272,Noncdm Charge Record Medical Supplies - Pack Arthroscopy Cobb Wc100017,214.24,83.55,,,0
CDM,SUP1401_272,Noncdm Charge Record Medical Supplies - Drain Incs 19Fr Sil 4 Chan .75 Flute Round,72.45,28.26,,,0
CDM,SUP1401_A4649_272,Noncdm Charge Record Medical Supplies - Drain Incs 19Fr Sil 4 Chan .75 Flute Round,72.45,28.26,,,0
CDM,SUP1401_A9999_272,Noncdm Charge Record Medical Supplies - Drain Incs 19Fr Sil 4 Chan .75 Flute Round,72.45,28.26,,,0
CDM,SUP1401_C1729_272,Noncdm Charge Record Medical Supplies - Drain Incs 19Fr Sil 4 Chan .75 Flute Round,68.31,26.64,,,0
CDM,SUP1402,Noncdm Charge Record Medical Supplies - See 157075 Roll Cttn 56X12.5In Crty Prc 1 Lb Ns,17.6,6.86,,,0
CDM,SUP14020,Noncdm Charge Record Medical Supplies - Blade Saw 34.5X9X.64Mm Shrt Nar Thin Ss Sag,143.86,56.11,,,0
CDM,SUP140201_272,Noncdm Charge Record Medical Supplies - See 140793 Pack Major Basin Cobb Wc120027,113.85,44.4,,,0
CDM,SUP140201_A4649_272,Noncdm Charge Record Medical Supplies - See 140793 Pack Major Basin Cobb Wc120027,113.85,44.4,,,0
CDM,SUP140202,Noncdm Charge Record Medical Supplies - See 156082 Pack Major Basin Cobb Wc120028,113.85,44.4,,,0
CDM,SUP140203,Noncdm Charge Record Medical Supplies - See 156169 Pack Special Procedure Cobb Wc150032,578.51,225.62,,,0
CDM,SUP140204,Noncdm Charge Record Medical Supplies - See 155809 Pack Angio Kennestone Wk100018,249.44,97.28,,,0
CDM,SUP140205_272,Noncdm Charge Record Medical Supplies - See 155809 Pack Angio Kennestone Wk100019,250.48,97.69,,,0
CDM,SUP140205_A4649_272,Noncdm Charge Record Medical Supplies - See 155809 Pack Angio Kennestone Wk100019,250.47,97.68,,,0
CDM,SUP140207_272,Noncdm Charge Record Medical Supplies - Pack Arthro Kennestone Wk110017,137.66,53.69,,,0
CDM,SUP140207_A4649_272,Noncdm Charge Record Medical Supplies - Pack Arthro Kennestone Wk110017,137.66,53.69,,,0
CDM,SUP140207_A9999_272,Noncdm Charge Record Medical Supplies - Pack Arthro Kennestone Wk110017,137.66,53.69,,,0
CDM,SUP140209_272,Noncdm Charge Record Medical Supplies - See 156084 Pack Breast Proc Kennestone Wk130024,187.34,73.06,,,0
CDM,SUP140209_A4649_272,Noncdm Charge Record Medical Supplies - See 156084 Pack Breast Proc Kennestone Wk130024,187.34,73.06,,,0
CDM,SUP140209_A9999_272,Noncdm Charge Record Medical Supplies - See 156084 Pack Breast Proc Kennestone Wk130024,187.34,73.06,,,0
CDM,SUP140210_272,Noncdm Charge Record Medical Supplies - See 156085 Pack Kop Hand Kennestone Wk140016,123.16,48.03,,,0
CDM,SUP140210_A4649_272,Noncdm Charge Record Medical Supplies - See 156085 Pack Kop Hand Kennestone Wk140016,123.16,48.03,,,0
CDM,SUP140210_A9999_272,Noncdm Charge Record Medical Supplies - See 156085 Pack Kop Hand Kennestone Wk140016,123.16,48.03,,,0
CDM,SUP140216,Noncdm Charge Record Medical Supplies - Pack Convergent Kennestone Wk225002,495.76,193.35,,,0
CDM,SUP140217,Noncdm Charge Record Medical Supplies - See 140809 Pack Loop Recorder Kennestone Wk285009,180.09,70.24,,,0
CDM,SUP140218,Noncdm Charge Record Medical Supplies - See 156090 Pack Loop Recorder Kennestone Wk285010,180.09,70.24,,,0
CDM,SUP14021_272,Noncdm Charge Record Medical Supplies - Blade Saw 18.5X9X.38Mm Prcs Med Micro Thin Ss,164.79,64.27,,,0
CDM,SUP14021_A4649_272,Noncdm Charge Record Medical Supplies - Blade Saw 18.5X9X.38Mm Prcs Med Micro Thin Ss,168.7,65.79,,,0
CDM,SUP14021_A9999_272,Noncdm Charge Record Medical Supplies - Blade Saw 18.5X9X.38Mm Prcs Med Micro Thin Ss,156.8,61.15,,,0
CDM,SUP140220,Noncdm Charge Record Medical Supplies - See 156717 Pack Carotid Kennestone Wk340022,237.02,92.44,,,0
CDM,SUP140221,Noncdm Charge Record Medical Supplies - See 156723 Pack Cardiovascular Kennestone Wk350014,414.0,161.46,,,0
CDM,SUP140223_272,Noncdm Charge Record Medical Supplies - See 156724 Pack T A Kennestone Wk380013,96.26,37.54,,,0
CDM,SUP140223_A4649_272,Noncdm Charge Record Medical Supplies - See 156724 Pack T A Kennestone Wk380013,96.26,37.54,,,0
CDM,SUP140225,Noncdm Charge Record Medical Supplies - See 156179 Pack Upper Extremity Kennestone Wk420028,205.96,80.32,,,0
CDM,SUP140226_272,Noncdm Charge Record Medical Supplies - See 140818 Tray Picc Kennestone Wk430017,162.5,63.38,,,0
CDM,SUP140226_A4649_272,Noncdm Charge Record Medical Supplies - See 140818 Tray Picc Kennestone Wk430017,162.5,63.38,,,0
CDM,SUP140227,Noncdm Charge Record Medical Supplies - See 156181 Tray Picc Kennestone Wk430018,162.5,63.38,,,0
CDM,SUP140228,Noncdm Charge Record Medical Supplies - See 156725 Pack Stroke Kennestone Wk440008,776.25,302.74,,,0
CDM,SUP140229,Noncdm Charge Record Medical Supplies - See 156729 Pack Arthro Windy Hill Ww110024,266.0,103.74,,,0
CDM,SUP140230_272,Noncdm Charge Record Medical Supplies - Pack Basic Hand Windy Hill Ww120020,139.72,54.49,,,0
CDM,SUP140230_A4649_272,Noncdm Charge Record Medical Supplies - Pack Basic Hand Windy Hill Ww120020,139.72,54.49,,,0
CDM,SUP140231_272,Noncdm Charge Record Medical Supplies - See 156716 Pack Podiatry Windy Hill Ww150023,182.16,71.04,,,0
CDM,SUP140231_A4649_272,Noncdm Charge Record Medical Supplies - See 156716 Pack Podiatry Windy Hill Ww150023,182.16,71.04,,,0
CDM,SUP140232,Noncdm Charge Record Medical Supplies - See 156719 Pack Shldr Arthro Windy Hill Ww160029,361.22,140.88,,,0
CDM,SUP140233_272,Noncdm Charge Record Medical Supplies - See 156091 Pack Minor Proc Basin Kennestone Wk320033,106.6,41.57,,,0
CDM,SUP140233_A4649_272,Noncdm Charge Record Medical Supplies - See 156091 Pack Minor Proc Basin Kennestone Wk320033,106.6,41.57,,,0
CDM,SUP140233_A9999_272,Noncdm Charge Record Medical Supplies - See 156091 Pack Minor Proc Basin Kennestone Wk320033,106.6,41.57,,,0
CDM,SUP140234,Noncdm Charge Record Medical Supplies - Kit Kyphoplasty Needle 10Ga Balloon L15Mm Fracture Elite,4115.16,1604.91,,,0
CDM,SUP140235,Noncdm Charge Record Medical Supplies - Kit Kyphoplasty Needle 11Ga Balloon L15Mm Fracture Elite,4039.89,1575.56,,,0
CDM,SUP14025,Noncdm Charge Record Medical Supplies - See 141011 Suture Vicryl 4-0 Tf 18In Cr Violet Ethicon,76.59,29.87,,,0
CDM,SUP140269,Noncdm Charge Record Medical Supplies - Venous Wallstent 12X60X75Cm,6736.69,2627.31,,,0
CDM,SUP140272,Noncdm Charge Record Medical Supplies - Venous Wallstent 14X40X75Cm,13292.5,5184.08,,,0
CDM,SUP140273,Noncdm Charge Record Medical Supplies - Venous Wallstent 14X60X75Cm,6645.99,2591.94,,,0
CDM,SUP140274,Noncdm Charge Record Medical Supplies - Venous Wallstent 14X90X75Cm,10207.64,3980.98,,,0
CDM,SUP140276,Noncdm Charge Record Medical Supplies - Venous Wallstent 16X40X75Cm,7129.08,2780.34,,,0
CDM,SUP140277,Noncdm Charge Record Medical Supplies - Venous Wallstent 16X60X75Cm,6777.56,2643.25,,,0
CDM,SUP140278,Noncdm Charge Record Medical Supplies - Venous Wallstent 16X90X75Cm,10066.71,3926.02,,,0
CDM,SUP140279,Noncdm Charge Record Medical Supplies - Venous Wallstent 18X40X75Cm,7311.98,2851.67,,,0
CDM,SUP140280,Noncdm Charge Record Medical Supplies - Venous Wallstent 18X60X75Cm,7397.14,2884.88,,,0
CDM,SUP140281,Noncdm Charge Record Medical Supplies - Venous Wallstent 18X90X75Cm,9427.37,3676.67,,,0
CDM,SUP140282,Noncdm Charge Record Medical Supplies - Venous Wallstent 20X40X75Cm,7539.98,2940.59,,,0
CDM,SUP140283,Noncdm Charge Record Medical Supplies - Venous Wallstent 20X55X75Cm,7644.85,2981.49,,,0
CDM,SUP140313,Noncdm Charge Record Medical Supplies - Screw Spnl L26Mm 0D5.1Mm Va,671.72,261.97,,,0
CDM,SUP140314_272,Noncdm Charge Record Medical Supplies - See 140774 Pack Minor Basin Wellstar Ws300003,93.15,36.33,,,0
CDM,SUP140314_A4649_272,Noncdm Charge Record Medical Supplies - See 140774 Pack Minor Basin Wellstar Ws300003,93.15,36.33,,,0
CDM,SUP140314_A9999_272,Noncdm Charge Record Medical Supplies - See 140774 Pack Minor Basin Wellstar Ws300003,93.15,36.33,,,0
CDM,SUP140315_272,Noncdm Charge Record Medical Supplies - See 140822 Pack Podiatry Windy Hill Ww150022,182.16,71.04,,,0
CDM,SUP140315_A4649_272,Noncdm Charge Record Medical Supplies - See 140822 Pack Podiatry Windy Hill Ww150022,182.16,71.04,,,0
CDM,SUP140315_A9999_272,Noncdm Charge Record Medical Supplies - See 140822 Pack Podiatry Windy Hill Ww150022,182.16,71.04,,,0
CDM,SUP140316,Noncdm Charge Record Medical Supplies - See 140775 Pack Wellstar Major Abdominal Ws290004,217.35,84.77,,,0
CDM,SUP14032,Noncdm Charge Record Medical Supplies - Screw 3.5-55Mm Lc Dcp Ss Cort Pelvic St,163.53,63.78,,,0
CDM,SUP14034,Noncdm Charge Record Medical Supplies - Suture Permahand 0 Sh 4-30In Ethicon,34.01,13.26,,,0
CDM,SUP14039_272,Noncdm Charge Record Medical Supplies - Catheter 6Fr Jl4,31.15,12.15,,,0
CDM,SUP14039_A4649_272,Noncdm Charge Record Medical Supplies - Catheter 6Fr Jl4,46.58,18.17,,,0
CDM,SUP14039_A9999_272,Noncdm Charge Record Medical Supplies - Catheter 6Fr Jl4,9.32,3.63,,,0
CDM,SUP1403_272,Noncdm Charge Record Medical Supplies - See 116908 Sponge 6.75X6In Abs Flf Gauze Dry Super 20-Tr Wvn,24.84,9.69,,,0
CDM,SUP1403_A4649_272,Noncdm Charge Record Medical Supplies - See 116908 Sponge 6.75X6In Abs Flf Gauze Dry Super 20-Tr Wvn,24.84,9.69,,,0
CDM,SUP1403_A9999_272,Noncdm Charge Record Medical Supplies - See 116908 Sponge 6.75X6In Abs Flf Gauze Dry Super 20-Tr Wvn,24.84,9.69,,,0
CDM,SUP1404,Noncdm Charge Record Medical Supplies - See 108763 Sponge Gz Dermacea 4X4In 12Ply Usp7 Ns Lf 200-Bg,12.49,4.87,,,0
CDM,SUP140408,Noncdm Charge Record Medical Supplies - Defibrillator Cardiac Cobalt W51Xh66In D13Mm,59282.38,23120.13,,,0
CDM,SUP140504,Noncdm Charge Record Medical Supplies - Sheath Prelude 5Fr,46.58,18.17,,,0
CDM,SUP140505,Noncdm Charge Record Medical Supplies - Guidewire Vascular L260Cm Dia0.035In Fixed Core,53.27,20.78,,,0
CDM,SUP140506,Noncdm Charge Record Medical Supplies - Guidewire Vascular L260Cm D.035In J Curved Smooth,50.64,19.75,,,0
CDM,SUP14051,Noncdm Charge Record Medical Supplies - Tubing Perf 72.5Inx3-32In,166.64,64.99,,,0
CDM,SUP14056,Noncdm Charge Record Medical Supplies - Blade Saw 75X12X.8Mm Ss Recip 2 Sided Strl,153.18,59.74,,,0
CDM,SUP14057,Noncdm Charge Record Medical Supplies - Blade Saw 70X12.5X.64Mm Ss Recip 2 Sided Strl,170.26,66.4,,,0
CDM,SUP1405_270,Noncdm Charge Record Medical Supplies - Suspensory Support Xlg W Leg Strap,73.48,28.66,,,0
CDM,SUP1405_A9999_270,Noncdm Charge Record Medical Supplies - Suspensory Support Xlg W Leg Strap,73.48,28.66,,,0
CDM,SUP14060,Noncdm Charge Record Medical Supplies - See 141118 Suture Pds2 1 Tp-1 54In Violet Ethicon,7.24,2.82,,,0
CDM,SUP14061,Noncdm Charge Record Medical Supplies - See 141101 Suture Pds2 0 Ctx 36In Violet Ethicon,13.46,5.25,,,0
CDM,SUP140615,Noncdm Charge Record Medical Supplies - Introducer Suprapubic Catheter 16Fr Sheath 20Fr L17Cm Trocar,426.42,166.3,,,0
CDM,SUP140616,Noncdm Charge Record Medical Supplies - Set Suprapubic Access 18Fr L12Cm Peel-Away O Brien,527.85,205.86,,,0
CDM,SUP140617_272,Noncdm Charge Record Medical Supplies - Set Urology Access 20Fr L12Cm Obrien Suprapubic Peel-Away,527.85,205.86,,,0
CDM,SUP140617_C2627_272,Noncdm Charge Record Medical Supplies - Set Urology Access 20Fr L12Cm Obrien Suprapubic Peel-Away,527.85,205.86,,,0
CDM,SUP14062,Noncdm Charge Record Medical Supplies - See 15090 Suture Plain 6-0 Pc-1 18In Ethicon,33.12,12.92,,,0
CDM,SUP14064,Noncdm Charge Record Medical Supplies - Pillow Lg 20X24In Foam Pstn,162.5,63.38,,,0
CDM,SUP140659,Noncdm Charge Record Medical Supplies,538.2,209.9,,,0
CDM,SUP140661,Noncdm Charge Record Medical Supplies,188.37,73.46,,,0
CDM,SUP140663,Noncdm Charge Record Medical Supplies,242.19,94.45,,,0
CDM,SUP140666,Noncdm Charge Record Medical Supplies,939.78,366.51,,,0
CDM,SUP140672,Noncdm Charge Record Medical Supplies - Kit Mpfl Fast Thread Screw And Biocomposite Swivl Lock,9643.09,3760.81,,,0
CDM,SUP140688,Noncdm Charge Record Medical Supplies - See 139892 Pack Lap Colon Wellstar Ws260002,216.32,84.36,,,0
CDM,SUP140689,Noncdm Charge Record Medical Supplies,617.9,240.98,,,0
CDM,SUP14069,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 Sh 30In Cr Ethicon,49.57,19.33,,,0
CDM,SUP1406_272,Noncdm Charge Record Medical Supplies - See 117154 Packing Wound 5Ydx1In Gauze Ifrm Crty Strip,9.32,3.63,,,0
CDM,SUP1406_A4649_272,Noncdm Charge Record Medical Supplies - See 117154 Packing Wound 5Ydx1In Gauze Ifrm Crty Strip,9.32,3.63,,,0
CDM,SUP14071,Noncdm Charge Record Medical Supplies - See 140936 Suture Vicryl 4-0 Sh-1 27In Violet Ethicon,7.31,2.85,,,0
CDM,SUP14073_270,Noncdm Charge Record Medical Supplies - Tubing Suct 10Ft 5Mm Strkfl Tub Handpiece,270.72,105.58,,,0
CDM,SUP14073_A4649_270,Noncdm Charge Record Medical Supplies - Tubing Suct 10Ft 5Mm Strkfl Tub Handpiece,274.15,106.92,,,0
CDM,SUP14073_A9999_270,Noncdm Charge Record Medical Supplies - Tubing Suct 10Ft 5Mm Strkfl Tub Handpiece,266.0,103.74,,,0
CDM,SUP14074_272,Noncdm Charge Record Medical Supplies - See 141009 Suture Vicryl 0 Ct-2 18In Cr Violet Ethicon,55.89,21.8,,,0
CDM,SUP14074_A4649_272,Noncdm Charge Record Medical Supplies - See 141009 Suture Vicryl 0 Ct-2 18In Cr Violet Ethicon,55.89,21.8,,,0
CDM,SUP14074_A9999_272,Noncdm Charge Record Medical Supplies - See 141009 Suture Vicryl 0 Ct-2 18In Cr Violet Ethicon,55.89,21.8,,,0
CDM,SUP140773,Noncdm Charge Record Medical Supplies - Suture Mono Vio 1 48 Xlh Plus Pds Antibact,31.05,12.11,,,0
CDM,SUP14077_272,Noncdm Charge Record Medical Supplies - Wire All Star 300 Cm,440.91,171.95,,,0
CDM,SUP14077_C1769_272,Noncdm Charge Record Medical Supplies - Wire All Star 300 Cm,440.85,171.93,,,0
CDM,SUP14078,Noncdm Charge Record Medical Supplies - Wire All Star 190 Cm 3Cm Strt Hitorq,440.85,171.93,,,0
CDM,SUP14079,Noncdm Charge Record Medical Supplies - See 140931 Suture Vicryl 3-0 54In Reel Undyed Ethicon,10.35,4.04,,,0
CDM,SUP1407_272,Noncdm Charge Record Medical Supplies - Stopcock Angio 2W Flowswitch Flswtch,20.79,8.11,,,0
CDM,SUP1407_A4649_272,Noncdm Charge Record Medical Supplies - Stopcock Angio 2W Flowswitch Flswtch,20.76,8.1,,,0
CDM,SUP1407_A9999_272,Noncdm Charge Record Medical Supplies - Stopcock Angio 2W Flowswitch Flswtch,20.7,8.07,,,0
CDM,SUP14080,Noncdm Charge Record Medical Supplies - See 61253 Clip Med 3.2Mm Intnl Lgclp Ex Ti Endo Lgt,42.25,16.48,,,0
CDM,SUP140801_L8613_274,Noncdm Charge Record Medical Supplies - Ossicular Implant Offset Alto Total,2529.54,986.52,,,0
CDM,SUP140801_L8613_278,Noncdm Charge Record Medical Supplies - Ossicular Implant Offset Alto Total,2529.54,986.52,,,0
CDM,SUP140802,Noncdm Charge Record Medical Supplies,2094.84,816.99,,,0
CDM,SUP140803,Noncdm Charge Record Medical Supplies - Ossicular Implant Centered Alto Total,2092.77,816.18,,,0
CDM,SUP140804,Noncdm Charge Record Medical Supplies - Ossicular Implant Centered Alto Partial,2092.77,816.18,,,0
CDM,SUP14081,Noncdm Charge Record Medical Supplies - See 134162 Suture Vicryl 1 Ctx 36In Violet Ethicon,8.28,3.23,,,0
CDM,SUP140812_L8613_274,Noncdm Charge Record Medical Supplies - Ossicular Implant Centered Alto Concise Partial,2119.68,826.68,,,0
CDM,SUP140812_L8613_278,Noncdm Charge Record Medical Supplies - Ossicular Implant Centered Alto Concise Partial,2119.68,826.68,,,0
CDM,SUP140813,Noncdm Charge Record Medical Supplies - Ossicular Implant Dornhoffer Footplate Shoe 8Mmd,821.79,320.5,,,0
CDM,SUP14082,Noncdm Charge Record Medical Supplies - See 140925 Suture Vicryl 1 Ct-1 27In Undyed Ethicon,7.75,3.02,,,0
CDM,SUP140824,Noncdm Charge Record Medical Supplies - Burr Diamond 0.7Mm 95Mm L,1443.82,563.09,,,0
CDM,SUP140826,Noncdm Charge Record Medical Supplies - Burr Diamond 1.0Mm 95Mm L,1443.82,563.09,,,0
CDM,SUP14083,Noncdm Charge Record Medical Supplies - Rotowire Floppy 325Cm 2.2Cm Wrclp Trq,709.86,276.85,,,0
CDM,SUP14085,Noncdm Charge Record Medical Supplies - Rotolink 1.5 Mm Burr,3946.46,1539.12,,,0
CDM,SUP140853_L8613_274,Noncdm Charge Record Medical Supplies - Ossicular Implant Kraus K-Helix Crown,2570.94,1002.67,,,0
CDM,SUP140853_L8613_278,Noncdm Charge Record Medical Supplies - Ossicular Implant Kraus K-Helix Crown,2570.94,1002.67,,,0
CDM,SUP140854,Noncdm Charge Record Medical Supplies - Ossicular Implant Kraus K-Helix Piston,2619.58,1021.64,,,0
CDM,SUP140857_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Violet 12X18In Tie,48.22,18.81,,,0
CDM,SUP140857_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Violet 12X18In Tie,47.61,18.57,,,0
CDM,SUP140857_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Violet 12X18In Tie,48.99,19.11,,,0
CDM,SUP140858,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Violet 12X18In Tie,24.67,9.62,,,0
CDM,SUP14086,Noncdm Charge Record Medical Supplies - See 140940 Suture Vicryl 3-0 Mh 27In Violet Ethicon,7.24,2.82,,,0
CDM,SUP140860_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 12X18In Tie,50.24,19.59,,,0
CDM,SUP140860_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 12X18In Tie,48.64,18.97,,,0
CDM,SUP140861_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 12X18In Tie,48.11,18.76,,,0
CDM,SUP140861_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 12X18In Tie,48.41,18.88,,,0
CDM,SUP140861_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 12X18In Tie,48.64,18.97,,,0
CDM,SUP140862_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 12X18In Tie,49.09,19.15,,,0
CDM,SUP140862_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 12X18In Tie,48.53,18.93,,,0
CDM,SUP140862_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 12X18In Tie,49.68,19.38,,,0
CDM,SUP140863_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Undyed 6X18In Tie,28.78,11.22,,,0
CDM,SUP140863_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Undyed 6X18In Tie,28.29,11.03,,,0
CDM,SUP140863_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Undyed 6X18In Tie,28.98,11.3,,,0
CDM,SUP140864,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Violet 54In Ligapak Reel 0,6.21,2.42,,,0
CDM,SUP140865_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 54In Ligapak Reel 0,12.22,4.77,,,0
CDM,SUP140865_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 54In Ligapak Reel 0,12.42,4.84,,,0
CDM,SUP140865_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 54In Ligapak Reel 0,12.42,4.84,,,0
CDM,SUP140866_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 5-0 Coated Undyed 1X27In Rb-1,10.79,4.21,,,0
CDM,SUP140866_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 5-0 Coated Undyed 1X27In Rb-1,11.38,4.44,,,0
CDM,SUP140867_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 1X27In Rb-1,8.95,3.49,,,0
CDM,SUP140867_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 1X27In Rb-1,8.8,3.43,,,0
CDM,SUP140867_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 1X27In Rb-1,9.32,3.63,,,0
CDM,SUP140868_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 1X27In Rb-1,9.82,3.83,,,0
CDM,SUP140868_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 1X27In Rb-1,9.66,3.77,,,0
CDM,SUP140869,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 1X27In Sh-1,8.8,3.43,,,0
CDM,SUP14087,Noncdm Charge Record Medical Supplies - See 135897 Suture Vicryl 0 Os-6 27In Undyed Ethicon,11.38,4.44,,,0
CDM,SUP140870_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 1X27In Sh-1,9.97,3.89,,,0
CDM,SUP140870_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 1X27In Sh-1,9.94,3.88,,,0
CDM,SUP140870_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 1X27In Sh-1,10.35,4.04,,,0
CDM,SUP140871_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 1X27In Ct-2,8.97,3.5,,,0
CDM,SUP140871_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 1X27In Ct-2,8.54,3.33,,,0
CDM,SUP140872_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 1X27In Ct-1,8.51,3.32,,,0
CDM,SUP140872_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 1X27In Ct-1,8.8,3.43,,,0
CDM,SUP140873_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 1X27In Ct-1,8.53,3.33,,,0
CDM,SUP140873_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 1X27In Ct-1,8.49,3.31,,,0
CDM,SUP140873_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 1X27In Ct-1,8.69,3.39,,,0
CDM,SUP140874_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Undyed 1X27In Ct-1,8.55,3.33,,,0
CDM,SUP140874_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Undyed 1X27In Ct-1,8.41,3.28,,,0
CDM,SUP140874_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Undyed 1X27In Ct-1,8.62,3.36,,,0
CDM,SUP140875_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 Coated Undyed 1X27In Ct-1,9.03,3.52,,,0
CDM,SUP140875_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 Coated Undyed 1X27In Ct-1,8.9,3.47,,,0
CDM,SUP140875_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 Coated Undyed 1X27In Ct-1,9.32,3.63,,,0
CDM,SUP140876_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 1X27In Cp-1,9.29,3.62,,,0
CDM,SUP140876_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 1X27In Cp-1,9.32,3.63,,,0
CDM,SUP140877,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Undyed 1X27In Cp-1,9.32,3.63,,,0
CDM,SUP140879_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Undyed 1X27In Ct-2,9.01,3.51,,,0
CDM,SUP140879_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Undyed 1X27In Ct-2,8.95,3.49,,,0
CDM,SUP140879_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Undyed 1X27In Ct-2,9.11,3.55,,,0
CDM,SUP140880,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 1X27In Ct,9.3,3.63,,,0
CDM,SUP140882,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Undyed 1X54 Ligapak Reel 0,6.21,2.42,,,0
CDM,SUP140883,Noncdm Charge Record Medical Supplies,8.96,3.49,,,0
CDM,SUP140884,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Violet 1X27In Rb-1,9.43,3.68,,,0
CDM,SUP140885,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Violet 1X27In Rb-1,8.8,3.43,,,0
CDM,SUP140886,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Violet 1X27In Sh-1,8.72,3.4,,,0
CDM,SUP140887_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Violet 1X27In Sh,9.05,3.53,,,0
CDM,SUP140887_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Violet 1X27In Sh,8.28,3.23,,,0
CDM,SUP140888_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Violet 1X27In Sh,8.47,3.3,,,0
CDM,SUP140888_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Violet 1X27In Sh,8.42,3.28,,,0
CDM,SUP140888_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Violet 1X27In Sh,8.41,3.28,,,0
CDM,SUP140889_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Violet 1X27In Sh,8.48,3.31,,,0
CDM,SUP140889_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Violet 1X27In Sh,8.41,3.28,,,0
CDM,SUP140889_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Violet 1X27In Sh,8.28,3.23,,,0
CDM,SUP140890,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Violet 1X27In Mh,8.97,3.5,,,0
CDM,SUP140892,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Violet 1X27In Ct-3,8.99,3.51,,,0
CDM,SUP140893_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 1X27In Ct-3,9.2,3.59,,,0
CDM,SUP140893_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 1X27In Ct-3,9.32,3.63,,,0
CDM,SUP140894_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Violet 1X27In Ct-2,8.99,3.51,,,0
CDM,SUP140894_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Violet 1X27In Ct-2,8.28,3.23,,,0
CDM,SUP140894_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Violet 1X27In Ct-2,9.32,3.63,,,0
CDM,SUP140895,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Violet 1X27In Ct-2,8.92,3.48,,,0
CDM,SUP140896,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 1X27In Ct-2,8.94,3.49,,,0
CDM,SUP140897_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 Coated Violet 1X27In Ct-2,8.97,3.5,,,0
CDM,SUP140897_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 Coated Violet 1X27In Ct-2,9.32,3.63,,,0
CDM,SUP140898,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Violet 1X27In Ct-1,8.76,3.42,,,0
CDM,SUP140899_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Violet 1X27In Ct-1,8.55,3.33,,,0
CDM,SUP140899_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Violet 1X27In Ct-1,8.47,3.3,,,0
CDM,SUP140899_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Violet 1X27In Ct-1,8.68,3.39,,,0
CDM,SUP1408_272,Noncdm Charge Record Medical Supplies - Amplatz Super Stiff.035In 260Cm,203.9,79.52,,,0
CDM,SUP1408_C1769_272,Noncdm Charge Record Medical Supplies - Amplatz Super Stiff.035In 260Cm,203.86,79.51,,,0
CDM,SUP140900_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 1X27In Ct-1,8.86,3.46,,,0
CDM,SUP140900_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 1X27In Ct-1,9.32,3.63,,,0
CDM,SUP140901,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 Coated Violet 1X27In Ct-1,9.13,3.56,,,0
CDM,SUP140902_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Violet 1X36In Ct-1,9.24,3.6,,,0
CDM,SUP140902_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Violet 1X36In Ct-1,9.32,3.63,,,0
CDM,SUP140903_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 1X36In Ct-1,9.28,3.62,,,0
CDM,SUP140903_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 1X36In Ct-1,9.02,3.52,,,0
CDM,SUP140904_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 Coated Violet 1X36In Ct-1,9.33,3.64,,,0
CDM,SUP140904_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 Coated Violet 1X36In Ct-1,9.32,3.63,,,0
CDM,SUP140904_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 Coated Violet 1X36In Ct-1,9.32,3.63,,,0
CDM,SUP140905,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Violet 1X27In Ct,9.03,3.52,,,0
CDM,SUP140906_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 1X36In Ct,9.3,3.63,,,0
CDM,SUP140906_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 1X36In Ct,9.32,3.63,,,0
CDM,SUP140906_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 1X36In Ct,9.32,3.63,,,0
CDM,SUP140907,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 Coated Violet 1X36In Ct,9.58,3.74,,,0
CDM,SUP140908_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 1X36In Ctx,9.54,3.72,,,0
CDM,SUP140908_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 1X36In Ctx,9.83,3.83,,,0
CDM,SUP140909,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Violet 1X27In Ur-5,10.87,4.24,,,0
CDM,SUP14091,Noncdm Charge Record Medical Supplies - Introducer Sheath 7Fr 45Cm 3W Stopcock Intgr,369.5,144.1,,,0
CDM,SUP140911,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Violet 1X18In Fs-2,12.42,4.84,,,0
CDM,SUP140912_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 1X27In Sh,9.02,3.52,,,0
CDM,SUP140912_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 1X27In Sh,8.97,3.5,,,0
CDM,SUP140912_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 1X27In Sh,9.32,3.63,,,0
CDM,SUP140913,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Undyed 1X27 Sh,9.04,3.53,,,0
CDM,SUP140914_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 1X27In Fs-2,12.21,4.76,,,0
CDM,SUP140914_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 1X27In Fs-2,11.94,4.66,,,0
CDM,SUP140914_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 1X27In Fs-2,12.42,4.84,,,0
CDM,SUP140915,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 1X27In Fs-2,12.36,4.82,,,0
CDM,SUP140916_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 1X27In Ps-2,23.42,9.13,,,0
CDM,SUP140916_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 1X27In Ps-2,23.32,9.09,,,0
CDM,SUP140916_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 1X27In Ps-2,23.69,9.24,,,0
CDM,SUP140917_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 1X27In Ps-2,23.08,9.0,,,0
CDM,SUP140917_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 1X27In Ps-2,22.77,8.88,,,0
CDM,SUP140919,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 1X27In Mo-4,12.01,4.68,,,0
CDM,SUP14092,Noncdm Charge Record Medical Supplies - Introducer Sheath 8Fr 24Cm 3W Stopcock Intgr,271.86,106.03,,,0
CDM,SUP140920_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 1X27In Fs-1,12.12,4.73,,,0
CDM,SUP140920_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 1X27In Fs-1,12.42,4.84,,,0
CDM,SUP140921_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 1X27In Fs-1,12.22,4.77,,,0
CDM,SUP140921_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 1X27In Fs-1,12.07,4.71,,,0
CDM,SUP140921_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 1X27In Fs-1,12.42,4.84,,,0
CDM,SUP140922_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 1X27In Fs-1,12.17,4.75,,,0
CDM,SUP140922_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 1X27In Fs-1,12.42,4.84,,,0
CDM,SUP140923,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 1X27In X-1,11.59,4.52,,,0
CDM,SUP140924_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 1X27In X-1,12.12,4.73,,,0
CDM,SUP140924_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 1X27In X-1,12.07,4.71,,,0
CDM,SUP140924_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 1X27In X-1,12.42,4.84,,,0
CDM,SUP140925,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Violet 1X27In Cp-1,9.83,3.83,,,0
CDM,SUP140926,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 1X27In Cp-1,9.32,3.63,,,0
CDM,SUP140927,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 Coated Violet 1X36In Cp-1,11.38,4.44,,,0
CDM,SUP140928_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 5-0 Coated Undyed 1X18In P-1,12.42,4.84,,,0
CDM,SUP140928_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 5-0 Coated Undyed 1X18In P-1,12.42,4.84,,,0
CDM,SUP140929_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 5-0 Coated Undyed 1X18In P-3,25.1,9.79,,,0
CDM,SUP140929_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 5-0 Coated Undyed 1X18In P-3,25.36,9.89,,,0
CDM,SUP140930_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 5-0 Coated Undyed 1X18In P-3,25.77,10.05,,,0
CDM,SUP140930_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 5-0 Coated Undyed 1X18In P-3,25.88,10.09,,,0
CDM,SUP140930_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 5-0 Coated Undyed 1X18In P-3,25.88,10.09,,,0
CDM,SUP140931_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 1X18In P-3,25.13,9.8,,,0
CDM,SUP140931_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 1X18In P-3,25.36,9.89,,,0
CDM,SUP140931_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 1X18In P-3,25.88,10.09,,,0
CDM,SUP140932_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 1X18In P-3,25.2,9.83,,,0
CDM,SUP140932_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 1X18In P-3,25.46,9.93,,,0
CDM,SUP140933_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 5-0 Coated Undyed 1X18In Ps-2,23.64,9.22,,,0
CDM,SUP140933_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 5-0 Coated Undyed 1X18In Ps-2,23.8,9.28,,,0
CDM,SUP140934,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 5-0 Coated Undyed 1X18 Ps-3,23.8,9.28,,,0
CDM,SUP140935,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 1X18In Ps-2,22.87,8.92,,,0
CDM,SUP140936,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 1X18In Ps-2,22.8,8.89,,,0
CDM,SUP140937_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 1X18In Ps-2,22.77,8.88,,,0
CDM,SUP140937_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 1X18In Ps-2,22.77,8.88,,,0
CDM,SUP140937_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 1X18In Ps-2,22.77,8.88,,,0
CDM,SUP140938_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 1X18In Ps-2,22.49,8.77,,,0
CDM,SUP140938_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 1X18In Ps-2,22.49,8.77,,,0
CDM,SUP140938_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 1X18In Ps-2,22.77,8.88,,,0
CDM,SUP140939,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 5-0 Coated Undyed 1X18In P-2,15.12,5.9,,,0
CDM,SUP14093_272,Noncdm Charge Record Medical Supplies - Suture Prolene 7-0 Bv-1 18In Double Arm Blue Ethicon,90.83,35.42,,,0
CDM,SUP14093_A4649_272,Noncdm Charge Record Medical Supplies - Suture Prolene 7-0 Bv-1 18In Double Arm Blue Ethicon,86.94,33.91,,,0
CDM,SUP14094,Noncdm Charge Record Medical Supplies - Suture Nurolon 4-0 18In Cr Black Ethicon,75.98,29.63,,,0
CDM,SUP140940,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 1X18In P-2,14.49,5.65,,,0
CDM,SUP140942,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 1X18 Ps-4,11.38,4.44,,,0
CDM,SUP140943,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Violet 1X36 Sh Double Armed,17.8,6.94,,,0
CDM,SUP140944_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 1X27In Os-6,13.73,5.35,,,0
CDM,SUP140944_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 1X27In Os-6,13.8,5.38,,,0
CDM,SUP140944_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 1X27In Os-6,13.8,5.38,,,0
CDM,SUP140946_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Violet 1X27In Ur-6,10.85,4.23,,,0
CDM,SUP140946_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Violet 1X27In Ur-6,11.18,4.36,,,0
CDM,SUP140946_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Violet 1X27In Ur-6,11.04,4.31,,,0
CDM,SUP140947_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 1X27In Ur-6,10.57,4.12,,,0
CDM,SUP140947_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 1X27In Ur-6,10.5,4.1,,,0
CDM,SUP140947_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 1X27In Ur-6,10.64,4.15,,,0
CDM,SUP140948_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 1X54In Tie,12.53,4.89,,,0
CDM,SUP140948_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 1X54In Tie,12.42,4.84,,,0
CDM,SUP140949_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Undyed 1X54In Tie,12.44,4.85,,,0
CDM,SUP140949_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Undyed 1X54In Tie,12.42,4.84,,,0
CDM,SUP140949_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Undyed 1X54In Tie,12.42,4.84,,,0
CDM,SUP140950_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Violet 1X54 Tie,12.42,4.84,,,0
CDM,SUP140950_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Violet 1X54 Tie,12.42,4.84,,,0
CDM,SUP140950_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Violet 1X54 Tie,12.42,4.84,,,0
CDM,SUP140951,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 1X54 Tie,12.42,4.84,,,0
CDM,SUP140952_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 Coated Violet 1X54In Tie,13.1,5.11,,,0
CDM,SUP140952_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 Coated Violet 1X54In Tie,13.25,5.17,,,0
CDM,SUP140952_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 Coated Violet 1X54In Tie,13.46,5.25,,,0
CDM,SUP140953_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 3X18 Tie,13.47,5.25,,,0
CDM,SUP140953_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 3X18 Tie,13.97,5.45,,,0
CDM,SUP140955_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 8X18In Mo-4 Cr,85.98,33.53,,,0
CDM,SUP140955_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 8X18In Mo-4 Cr,83.06,32.39,,,0
CDM,SUP140955_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 8X18In Mo-4 Cr,86.94,33.91,,,0
CDM,SUP140956,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Violet 8X18In Rb-1 Cr,66.48,25.93,,,0
CDM,SUP140957_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 8X18In Rb-1 Cr,76.49,29.83,,,0
CDM,SUP140957_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 8X18In Rb-1 Cr,77.62,30.27,,,0
CDM,SUP140958_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Violet 8X18In Ct-2 Cr,63.68,24.84,,,0
CDM,SUP140958_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Violet 8X18In Ct-2 Cr,63.65,24.82,,,0
CDM,SUP140958_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Violet 8X18In Ct-2 Cr,64.56,25.18,,,0
CDM,SUP140959_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 8X18In Ct-2 Cr,65.51,25.55,,,0
CDM,SUP140959_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 8X18In Ct-2 Cr,65.15,25.41,,,0
CDM,SUP140959_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 8X18In Ct-2 Cr,66.24,25.83,,,0
CDM,SUP14095_272,Noncdm Charge Record Medical Supplies - Blade Saw 31X9X.38Mm Sag Med Lng Ss Osc Prcs,168.7,65.79,,,0
CDM,SUP14095_A4649_272,Noncdm Charge Record Medical Supplies - Blade Saw 31X9X.38Mm Sag Med Lng Ss Osc Prcs,168.7,65.79,,,0
CDM,SUP14095_A9999_272,Noncdm Charge Record Medical Supplies - Blade Saw 31X9X.38Mm Sag Med Lng Ss Osc Prcs,168.7,65.79,,,0
CDM,SUP140960,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Violet 8X18 Ct-1 Cr,65.8,25.66,,,0
CDM,SUP140962_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Violet 8X18In Ct-1 Cr,65.57,25.57,,,0
CDM,SUP140962_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Violet 8X18In Ct-1 Cr,63.65,24.82,,,0
CDM,SUP140962_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Violet 8X18In Ct-1 Cr,66.24,25.83,,,0
CDM,SUP140963_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 8X18In Ct-1 Cr,65.53,25.56,,,0
CDM,SUP140963_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 8X18In Ct-1 Cr,64.56,25.18,,,0
CDM,SUP140964,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 8X18In Ct Cr,65.14,25.4,,,0
CDM,SUP140965_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 Coated Violet 8X18In Ct Cr,65.81,25.67,,,0
CDM,SUP140965_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 Coated Violet 8X18In Ct Cr,66.24,25.83,,,0
CDM,SUP140966_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 8X18In Cp-2 Cr,79.79,31.12,,,0
CDM,SUP140966_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 8X18In Cp-2 Cr,79.92,31.17,,,0
CDM,SUP140966_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 8X18In Cp-2 Cr,80.73,31.48,,,0
CDM,SUP140967,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 8X18In Ctx Cr,66.24,25.83,,,0
CDM,SUP140969_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Violet 8X18In Sh-1 Cr,65.49,25.54,,,0
CDM,SUP140969_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Violet 8X18In Sh-1 Cr,66.24,25.83,,,0
CDM,SUP140970_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Violet 8X18In Sh Cr,65.63,25.6,,,0
CDM,SUP140970_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Violet 8X18In Sh Cr,65.2,25.43,,,0
CDM,SUP140970_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Violet 8X18In Sh Cr,66.24,25.83,,,0
CDM,SUP140971_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Violet 8X18In Sh Cr,64.57,25.18,,,0
CDM,SUP140971_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Violet 8X18In Sh Cr,63.34,24.7,,,0
CDM,SUP140971_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Violet 8X18In Sh Cr,65.2,25.43,,,0
CDM,SUP140972_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Violet 8X18In Sh Cr,63.38,24.72,,,0
CDM,SUP140972_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Violet 8X18In Sh Cr,61.84,24.12,,,0
CDM,SUP140972_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Violet 8X18In Sh Cr,64.17,25.03,,,0
CDM,SUP140973_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Violet 8X27 Sh Cr,65.6,25.58,,,0
CDM,SUP140973_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Violet 8X27 Sh Cr,65.72,25.63,,,0
CDM,SUP140974,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Violet 8X18In Mo-6 Cr,98.32,38.34,,,0
CDM,SUP140977,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 5-0 Coated Undyed 1X18In Pc-1,12.94,5.05,,,0
CDM,SUP140978,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 1X18In Pc-1,12.42,4.84,,,0
CDM,SUP140979,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 8X18In Ct-1 Cr,65.87,25.69,,,0
CDM,SUP14097_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 0 Ct-1 30In Green Ethicon,8.26,3.22,,,0
CDM,SUP14097_A4649_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 0 Ct-1 30In Green Ethicon,8.28,3.23,,,0
CDM,SUP140980_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 8X18In Ct-1 Cr,64.29,25.07,,,0
CDM,SUP140980_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 8X18In Ct-1 Cr,63.42,24.73,,,0
CDM,SUP140980_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 8X18In Ct-1 Cr,65.02,25.36,,,0
CDM,SUP140981_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Undyed 8X18In Ct-1 Cr,65.81,25.67,,,0
CDM,SUP140981_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Undyed 8X18In Ct-1 Cr,65.6,25.58,,,0
CDM,SUP140981_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Undyed 8X18In Ct-1 Cr,66.5,25.94,,,0
CDM,SUP140982_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 Coated Undyed 8X18In Ct-1 Cr,65.5,25.54,,,0
CDM,SUP140982_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 Coated Undyed 8X18In Ct-1 Cr,63.65,24.82,,,0
CDM,SUP140982_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 Coated Undyed 8X18In Ct-1 Cr,66.24,25.83,,,0
CDM,SUP140983,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 5-0 Coated Undyed 1X18In Pc-3,25.53,9.96,,,0
CDM,SUP140984_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 1X18In Pc-3,25.38,9.9,,,0
CDM,SUP140984_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 1X18In Pc-3,25.62,9.99,,,0
CDM,SUP140984_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 1X18In Pc-3,25.88,10.09,,,0
CDM,SUP140985,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2 Coated Undyed 2X27 Tp-1In,20.7,8.07,,,0
CDM,SUP140986_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 1X27 Cp-2,9.54,3.72,,,0
CDM,SUP140986_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 1X27 Cp-2,9.32,3.63,,,0
CDM,SUP140986_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 1X27 Cp-2,9.32,3.63,,,0
CDM,SUP140987_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 8X18In Sh Cr,66.16,25.8,,,0
CDM,SUP140987_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 8X18In Sh Cr,65.67,25.61,,,0
CDM,SUP140987_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 8X18In Sh Cr,67.06,26.15,,,0
CDM,SUP140988,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 1X27In Cp-2,9.32,3.63,,,0
CDM,SUP14098_272,Noncdm Charge Record Medical Supplies - Bx 18Ga 25Cm Mag,66.24,25.83,,,0
CDM,SUP14098_A4649_272,Noncdm Charge Record Medical Supplies - Bx 18Ga 25Cm Mag,66.24,25.83,,,0
CDM,SUP14098_A9999_272,Noncdm Charge Record Medical Supplies - Bx 18Ga 25Cm Mag,66.24,25.83,,,0
CDM,SUP14099,Noncdm Charge Record Medical Supplies - Graft Cv 15Cm 60Mm Aort Root,17199.28,6707.72,,,0
CDM,SUP140990_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 1X27In Ps-1,25.6,9.98,,,0
CDM,SUP140990_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 1X27In Ps-1,25.36,9.89,,,0
CDM,SUP140990_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 1X27In Ps-1,25.88,10.09,,,0
CDM,SUP140991_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 1X36In Ct-1,9.28,3.62,,,0
CDM,SUP140991_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 1X36In Ct-1,9.08,3.54,,,0
CDM,SUP140991_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 1X36In Ct-1,9.32,3.63,,,0
CDM,SUP140992_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 1X36In Ct-1,9.25,3.61,,,0
CDM,SUP140992_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 1X36In Ct-1,9.24,3.6,,,0
CDM,SUP140992_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 1X36In Ct-1,9.32,3.63,,,0
CDM,SUP140992_L8699_272,Noncdm Charge Record Medical Supplies,9.32,3.63,,,0
CDM,SUP140993,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 1X36In Ct,9.24,3.6,,,0
CDM,SUP140994_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Undyed 1X36In Ct,9.27,3.62,,,0
CDM,SUP140994_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Undyed 1X36In Ct,8.97,3.5,,,0
CDM,SUP140995_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 Coated Undyed 1X36In Ct,9.67,3.77,,,0
CDM,SUP140995_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 Coated Undyed 1X36In Ct,9.32,3.63,,,0
CDM,SUP140995_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 Coated Undyed 1X36In Ct,9.83,3.83,,,0
CDM,SUP140996_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Undyed 1X36In Ctx,9.54,3.72,,,0
CDM,SUP140996_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Undyed 1X36In Ctx,9.66,3.77,,,0
CDM,SUP140997,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 1X36In Ctx,9.35,3.65,,,0
CDM,SUP140998,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Undyed 1X27In Ctb-1,10.87,4.24,,,0
CDM,SUP1410,Noncdm Charge Record Medical Supplies - Needle Bx 22Ga 20Cm Chba Asp Strl Disp,63.26,24.67,,,0
CDM,SUP14100,Noncdm Charge Record Medical Supplies - Device Infus Eksonc Mach 30Cm 4 5Fr 035In 30Cmx106Cm,12764.14,4978.01,,,0
CDM,SUP141001_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 8X27In Ct-1 Cr,64.65,25.21,,,0
CDM,SUP141001_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 8X27In Ct-1 Cr,65.46,25.53,,,0
CDM,SUP141002_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Undyed 8X27In Ct-1 Cr,67.63,26.38,,,0
CDM,SUP141002_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Undyed 8X27In Ct-1 Cr,66.76,26.04,,,0
CDM,SUP141002_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Undyed 8X27In Ct-1 Cr,68.31,26.64,,,0
CDM,SUP141003_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 8X27In Ct-1 Cr,62.31,24.3,,,0
CDM,SUP141003_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 8X27In Ct-1 Cr,62.2,24.26,,,0
CDM,SUP141003_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 8X27In Ct-1 Cr,63.14,24.62,,,0
CDM,SUP141004_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 5-0 Undyed 1X27In Rb-1,14.18,5.53,,,0
CDM,SUP141004_A4649_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 5-0 Undyed 1X27In Rb-1,13.97,5.45,,,0
CDM,SUP141005_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 4-0 Undyed 1X27In Rb-1,12.63,4.93,,,0
CDM,SUP141005_A4649_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 4-0 Undyed 1X27In Rb-1,12.42,4.84,,,0
CDM,SUP141006,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 2-0 Undyed 1X27In Cp-1,13.1,5.11,,,0
CDM,SUP141007,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 3-0 Violet 1X27In Sh,12.1,4.72,,,0
CDM,SUP141008,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 2-0 Violet 1X27In Sh,11.9,4.64,,,0
CDM,SUP141009,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 2-0 Violet 1X27 Ct-2,12.35,4.82,,,0
CDM,SUP14101,Noncdm Charge Record Medical Supplies - Device Infus Eksnic Mach 106Cm 4 5Fr 035In 24Cmx106Cm,14087.38,5494.08,,,0
CDM,SUP141010,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 3-0 Violet 1X36In Ct-1,14.62,5.7,,,0
CDM,SUP141011_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 4-0 Undyed 1X27In Sh,12.16,4.74,,,0
CDM,SUP141011_A4649_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 4-0 Undyed 1X27In Sh,11.38,4.44,,,0
CDM,SUP141012_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 3-0 Undyed 1X27In Sh,12.21,4.76,,,0
CDM,SUP141012_A4649_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 3-0 Undyed 1X27In Sh,12.07,4.71,,,0
CDM,SUP141012_A9999_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 3-0 Undyed 1X27In Sh,12.42,4.84,,,0
CDM,SUP141013_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 2-0 Undyed 1X27In Sh,12.18,4.75,,,0
CDM,SUP141013_A4649_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 2-0 Undyed 1X27In Sh,12.42,4.84,,,0
CDM,SUP141013_A9999_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 2-0 Undyed 1X27In Sh,12.42,4.84,,,0
CDM,SUP141015,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 6-0 Undyed 1X18In P-3,18.63,7.27,,,0
CDM,SUP141016_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 5-0 Undyed 1X18In P-3,35.59,13.88,,,0
CDM,SUP141016_A4649_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 5-0 Undyed 1X18In P-3,35.27,13.76,,,0
CDM,SUP141016_A9999_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 5-0 Undyed 1X18In P-3,36.22,14.13,,,0
CDM,SUP141017_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 4-0 Undyed 1X18In Ps-2,32.68,12.75,,,0
CDM,SUP141017_A4649_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 4-0 Undyed 1X18In Ps-2,32.12,12.53,,,0
CDM,SUP141017_A9999_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 4-0 Undyed 1X18In Ps-2,33.12,12.92,,,0
CDM,SUP141018_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 3-0 Undyed 1X18In Ps-2,32.5,12.68,,,0
CDM,SUP141018_A4649_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 3-0 Undyed 1X18In Ps-2,32.29,12.59,,,0
CDM,SUP141018_A9999_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 3-0 Undyed 1X18In Ps-2,33.12,12.92,,,0
CDM,SUP141019_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 3-0 Undyed 1X27In Ks,19.46,7.59,,,0
CDM,SUP141019_A4649_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 3-0 Undyed 1X27In Ks,18.63,7.27,,,0
CDM,SUP14102,Noncdm Charge Record Medical Supplies - Device Infus Ekosonic Mach 4 5Fr 035In 12Cmx106Cm,13790.45,5378.28,,,0
CDM,SUP141021,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 2-0 Violet 1X27In Ur-6,14.76,5.76,,,0
CDM,SUP141022_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 4-0 Undyed 1X18In Pc-5,34.92,13.62,,,0
CDM,SUP141022_A4649_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 4-0 Undyed 1X18In Pc-5,34.38,13.41,,,0
CDM,SUP141022_A9999_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 4-0 Undyed 1X18In Pc-5,35.19,13.72,,,0
CDM,SUP141023,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 5-0 Undyed 1X18In Pc-1,35.66,13.91,,,0
CDM,SUP141024_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 4-0 Undyed 1X18In Pc-1,35.0,13.65,,,0
CDM,SUP141024_A4649_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 4-0 Undyed 1X18In Pc-1,34.95,13.63,,,0
CDM,SUP141024_A9999_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 4-0 Undyed 1X18In Pc-1,35.19,13.72,,,0
CDM,SUP141025_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 5-0 Undyed 1X18In Pc-3,35.49,13.84,,,0
CDM,SUP141025_A4649_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 5-0 Undyed 1X18In Pc-3,35.88,13.99,,,0
CDM,SUP141025_A9999_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 5-0 Undyed 1X18In Pc-3,36.22,14.13,,,0
CDM,SUP141026_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 4-0 Undyed 1X18In Pc-3,34.92,13.62,,,0
CDM,SUP141026_A4649_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 4-0 Undyed 1X18In Pc-3,35.19,13.72,,,0
CDM,SUP141027_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 4-0 Undyed 1X27In Ps-1,35.75,13.94,,,0
CDM,SUP141027_A4649_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 4-0 Undyed 1X27In Ps-1,35.71,13.93,,,0
CDM,SUP141028_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 3-0 Undyed 1X27In Ps-1,35.71,13.93,,,0
CDM,SUP141028_A4649_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 3-0 Undyed 1X27In Ps-1,35.84,13.98,,,0
CDM,SUP141028_A9999_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 3-0 Undyed 1X27In Ps-1,36.22,14.13,,,0
CDM,SUP141029_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 3-0 Undyed 1X36 Ct-1In,13.64,5.32,,,0
CDM,SUP141029_A9999_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 3-0 Undyed 1X36 Ct-1In,13.46,5.25,,,0
CDM,SUP14103,Noncdm Charge Record Medical Supplies - Device Infus Eksnic Mach 135X 4 5Fr 035In 30Cmx135Cm,12764.31,4978.08,,,0
CDM,SUP141030_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 2-0 Undyed 1X36In Ct-1,13.66,5.33,,,0
CDM,SUP141030_A4649_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 2-0 Undyed 1X36In Ct-1,13.66,5.33,,,0
CDM,SUP141030_A9999_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 2-0 Undyed 1X36In Ct-1,13.46,5.25,,,0
CDM,SUP141032,Noncdm Charge Record Medical Supplies - Suture Pds Plus 2-0 Undyed 1X27 Ct-1In,14.49,5.65,,,0
CDM,SUP141033_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 5-0 Violet 1X27In Rb-1,16.02,6.25,,,0
CDM,SUP141033_A4649_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 5-0 Violet 1X27In Rb-1,16.15,6.3,,,0
CDM,SUP141033_A9999_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 5-0 Violet 1X27In Rb-1,16.35,6.38,,,0
CDM,SUP141034_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 4-0 Violet 1X27In Rb-1,14.81,5.78,,,0
CDM,SUP141034_A4649_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 4-0 Violet 1X27In Rb-1,14.49,5.65,,,0
CDM,SUP141034_A9999_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 4-0 Violet 1X27In Rb-1,14.49,5.65,,,0
CDM,SUP141035_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 3-0 Violet 1X27In Rb-1,16.43,6.41,,,0
CDM,SUP141035_A4649_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 3-0 Violet 1X27In Rb-1,16.56,6.46,,,0
CDM,SUP141036_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 4-0 Violet 1X27In Sh,16.28,6.35,,,0
CDM,SUP141036_A4649_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 4-0 Violet 1X27In Sh,16.15,6.3,,,0
CDM,SUP141036_A9999_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 4-0 Violet 1X27In Sh,16.56,6.46,,,0
CDM,SUP141037_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 3-0 Violet 1X27In Sh,15.25,5.95,,,0
CDM,SUP141037_A4649_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 3-0 Violet 1X27In Sh,15.21,5.93,,,0
CDM,SUP141037_A9999_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 3-0 Violet 1X27In Sh,15.52,6.05,,,0
CDM,SUP141038_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 2-0 Violet 1X27In Sh,14.98,5.84,,,0
CDM,SUP141038_A4649_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 2-0 Violet 1X27In Sh,15.01,5.85,,,0
CDM,SUP141039_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 2-0 Violet 1X27In Ct-2,15.78,6.15,,,0
CDM,SUP141039_A4649_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 2-0 Violet 1X27In Ct-2,15.9,6.2,,,0
CDM,SUP14104,Noncdm Charge Record Medical Supplies - Device Infus Ekosnic Mach 40Cm 4 5Fr 035In 40Cmx135Cm,13558.09,5287.66,,,0
CDM,SUP141040_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 0 Violet 1X27In Ct-2,15.61,6.09,,,0
CDM,SUP141040_A4649_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 0 Violet 1X27In Ct-2,15.48,6.04,,,0
CDM,SUP141040_A9999_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 0 Violet 1X27In Ct-2,15.52,6.05,,,0
CDM,SUP141041_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 2-0 Violet 1X27In Ct-1,14.65,5.71,,,0
CDM,SUP141041_A4649_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 2-0 Violet 1X27In Ct-1,14.49,5.65,,,0
CDM,SUP141041_A9999_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 2-0 Violet 1X27In Ct-1,14.83,5.78,,,0
CDM,SUP141042_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 0 Violet 1X27In Ct-1,14.7,5.73,,,0
CDM,SUP141042_A4649_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 0 Violet 1X27In Ct-1,14.41,5.62,,,0
CDM,SUP141042_A9999_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 0 Violet 1X27In Ct-1,14.94,5.83,,,0
CDM,SUP141043_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 1 Violet 1X27In Ct-1,14.98,5.84,,,0
CDM,SUP141043_A4649_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 1 Violet 1X27In Ct-1,14.71,5.74,,,0
CDM,SUP141043_A9999_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 1 Violet 1X27In Ct-1,15.1,5.89,,,0
CDM,SUP141044_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 0 Violet 1X36In Ct-1,15.62,6.09,,,0
CDM,SUP141044_A9999_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 0 Violet 1X36In Ct-1,15.52,6.05,,,0
CDM,SUP141045_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 1 Violet 1X36In Ct-1,17.02,6.64,,,0
CDM,SUP141045_A9999_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 1 Violet 1X36In Ct-1,17.08,6.66,,,0
CDM,SUP141046,Noncdm Charge Record Medical Supplies - Suture Pds Plus 0 Violet 1X36In Ct,15.68,6.12,,,0
CDM,SUP141047_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 1 Violet 1X36In Ct,16.74,6.53,,,0
CDM,SUP141047_A4649_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 1 Violet 1X36In Ct,16.56,6.46,,,0
CDM,SUP141048_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 0 Violet 1X36In Ctx,15.68,6.12,,,0
CDM,SUP141048_A4649_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 0 Violet 1X36In Ctx,15.52,6.05,,,0
CDM,SUP141049_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 1 Violet 1X36In Ctx,17.05,6.65,,,0
CDM,SUP141049_A4649_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 1 Violet 1X36In Ctx,16.56,6.46,,,0
CDM,SUP141050,Noncdm Charge Record Medical Supplies - Suture Pds Plus 3-0 Undyed 1X27In Sh,15.23,5.94,,,0
CDM,SUP141051_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 4-0 Undyed 1X27In Fs-2,22.32,8.7,,,0
CDM,SUP141051_A4649_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 4-0 Undyed 1X27In Fs-2,22.08,8.61,,,0
CDM,SUP141052,Noncdm Charge Record Medical Supplies - Suture Pds Plus 3-0 Undyed 1X27In Fs-2,22.55,8.79,,,0
CDM,SUP141053,Noncdm Charge Record Medical Supplies - Suture Pds Plus 2-0 Undyed 1X27In Fs-1,22.05,8.6,,,0
CDM,SUP141055,Noncdm Charge Record Medical Supplies - Suture Pds Plus 6-0 Undyed 1X18In P-1,18.47,7.2,,,0
CDM,SUP141056_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 5-0 Undyed 1X18In P-3,33.61,13.11,,,0
CDM,SUP141056_A4649_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 5-0 Undyed 1X18In P-3,33.64,13.12,,,0
CDM,SUP141056_A9999_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 5-0 Undyed 1X18In P-3,34.16,13.32,,,0
CDM,SUP141057_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 4-0 Undyed 1X18In P-3,31.66,12.35,,,0
CDM,SUP141057_A4649_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 4-0 Undyed 1X18In P-3,30.79,12.01,,,0
CDM,SUP141058,Noncdm Charge Record Medical Supplies - Suture Pds Plus 5-0 Undyed 1X18In Ps-2 3-8,17.12,6.68,,,0
CDM,SUP141059_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 4-0 Undyed 1X18In Ps-2,17.6,6.86,,,0
CDM,SUP141059_A4649_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 4-0 Undyed 1X18In Ps-2,17.25,6.73,,,0
CDM,SUP141060_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 3-0 Undyed 1X18In Ps-2,31.28,12.2,,,0
CDM,SUP141060_A4649_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 3-0 Undyed 1X18In Ps-2,31.14,12.14,,,0
CDM,SUP141060_A9999_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 3-0 Undyed 1X18In Ps-2,31.57,12.31,,,0
CDM,SUP141062_272,Noncdm Charge Record Medical Supplies,16.56,6.46,,,0
CDM,SUP141062_A4649_272,Noncdm Charge Record Medical Supplies,16.56,6.46,,,0
CDM,SUP141064,Noncdm Charge Record Medical Supplies - Suture Pds Plus 5-0 Undyed 1X18In Pc-3,18.28,7.13,,,0
CDM,SUP141065,Noncdm Charge Record Medical Supplies - Suture Pds Plus 1 Violet 1X54In Tp-1,12.94,5.05,,,0
CDM,SUP141066,Noncdm Charge Record Medical Supplies - Suture Pds Plus 1 Violet 1X96In Looped 48In Tp-1,29.09,11.35,,,0
CDM,SUP141067,Noncdm Charge Record Medical Supplies - Suture Pds Plus 2-0 Violet 1X27In Cp-2,17.13,6.68,,,0
CDM,SUP141068_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 0 Violet 1X60In Looped 30In Ctx,32.84,12.81,,,0
CDM,SUP141068_A4649_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 0 Violet 1X60In Looped 30In Ctx,33.12,12.92,,,0
CDM,SUP141069,Noncdm Charge Record Medical Supplies - Suture Pds Plus 0 Violet 1X60In Looped 30In Tp-1,16.56,6.46,,,0
CDM,SUP14107,Noncdm Charge Record Medical Supplies - Device Infus Eksonic Mach 50Cm 4 5Fr 035In 50Cmx106Cm,13709.17,5346.58,,,0
CDM,SUP141070,Noncdm Charge Record Medical Supplies - Suture Vcl+ 5-0 Fs2 27In Braid Coat Antibact,12.42,4.84,,,0
CDM,SUP14108,Noncdm Charge Record Medical Supplies - Device Infus Eksnic Mach 4-5Fr 4 5Fr 035In 50Cmx135Cm,13822.74,5390.87,,,0
CDM,SUP14109,Noncdm Charge Record Medical Supplies - Device Infus Ekosonic Mach 5Fr 4 5Fr 035In 40Cmx106Cm,13822.84,5390.91,,,0
CDM,SUP141099,Noncdm Charge Record Medical Supplies,1769.02,689.92,,,0
CDM,SUP1411,Noncdm Charge Record Medical Supplies - Guidewire Rosen-Bh 053393,75.56,29.47,,,0
CDM,SUP141100,Noncdm Charge Record Medical Supplies,5206.05,2030.36,,,0
CDM,SUP141102,Noncdm Charge Record Medical Supplies - Biologic Tissue Revita 4X6Cm,7733.52,3016.07,,,0
CDM,SUP141110,Noncdm Charge Record Medical Supplies - Expander Naturelle Te Smooth 500Cc,7491.9,2921.84,,,0
CDM,SUP141111,Noncdm Charge Record Medical Supplies - Expander Naturelle Te Smooth 600Cc,7492.0,2921.88,,,0
CDM,SUP141112,Noncdm Charge Record Medical Supplies - Expander Naturelle Te Smooth 700Cc,7492.08,2921.91,,,0
CDM,SUP141114_272,Noncdm Charge Record Medical Supplies - Curette Vacuum 10Mm Rigid Curved Cannula Disposable,22.64,8.83,,,0
CDM,SUP141114_A4649_272,Noncdm Charge Record Medical Supplies - Curette Vacuum 10Mm Rigid Curved Cannula Disposable,22.77,8.88,,,0
CDM,SUP141114_A9999_272,Noncdm Charge Record Medical Supplies - Curette Vacuum 10Mm Rigid Curved Cannula Disposable,22.77,8.88,,,0
CDM,SUP14116_272,Noncdm Charge Record Medical Supplies - Suture Chromic 5-0 Rb-1 27In Ethicon,15.5,6.04,,,0
CDM,SUP14116_A4649_272,Noncdm Charge Record Medical Supplies - Suture Chromic 5-0 Rb-1 27In Ethicon,15.42,6.01,,,0
CDM,SUP14116_A9999_272,Noncdm Charge Record Medical Supplies - Suture Chromic 5-0 Rb-1 27In Ethicon,15.52,6.05,,,0
CDM,SUP14117,Noncdm Charge Record Medical Supplies - Burr Surg 45Mm 3Mm Shrt Carb Round Strl,140.97,54.98,,,0
CDM,SUP141194,Noncdm Charge Record Medical Supplies - Plate 2.7 Va Lckng Ant Patella Pl 3 Hole,8058.51,3142.82,,,0
CDM,SUP14120,Noncdm Charge Record Medical Supplies - Kit Shoulder Suspen 2,89.01,34.71,,,0
CDM,SUP14124_272,Noncdm Charge Record Medical Supplies - See 141090 Suture Pds2 3-0 Sh 27In Violet Ethicon,13.17,5.14,,,0
CDM,SUP14124_A4649_272,Noncdm Charge Record Medical Supplies - See 141090 Suture Pds2 3-0 Sh 27In Violet Ethicon,13.02,5.08,,,0
CDM,SUP14124_A9999_272,Noncdm Charge Record Medical Supplies - See 141090 Suture Pds2 3-0 Sh 27In Violet Ethicon,13.11,5.11,,,0
CDM,SUP14125,Noncdm Charge Record Medical Supplies - See 141089 Suture Pds2 4-0 Sh 27In Violet Ethicon,14.26,5.56,,,0
CDM,SUP14126,Noncdm Charge Record Medical Supplies - See 141088 Suture Pds2 3-0 Rb-1 27In Violet Ethicon,14.27,5.57,,,0
CDM,SUP14127,Noncdm Charge Record Medical Supplies - See 140922 Suture Vicryl 3-0 Ct-1 27In Undyed Ethicon,7.26,2.83,,,0
CDM,SUP14128_272,Noncdm Charge Record Medical Supplies - See 140923 Suture Vicryl 2-0 Ct1 27In Undyed Ethicon,7.24,2.82,,,0
CDM,SUP14128_A9999_272,Noncdm Charge Record Medical Supplies - See 140923 Suture Vicryl 2-0 Ct1 27In Undyed Ethicon,7.24,2.82,,,0
CDM,SUP14131_272,Noncdm Charge Record Medical Supplies - Suture Prolene 3-0 Fs-2 18In Ethicon,14.17,5.53,,,0
CDM,SUP14131_A4649_272,Noncdm Charge Record Medical Supplies - Suture Prolene 3-0 Fs-2 18In Ethicon,14.12,5.51,,,0
CDM,SUP14131_A9999_272,Noncdm Charge Record Medical Supplies - Suture Prolene 3-0 Fs-2 18In Ethicon,14.49,5.65,,,0
CDM,SUP14132,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 3.5Mm 195Mm Synthes,323.69,126.24,,,0
CDM,SUP14133_272,Noncdm Charge Record Medical Supplies - Suture Prolene 4-0 Fs-2 18In Ethicon,13.95,5.44,,,0
CDM,SUP14133_A9999_272,Noncdm Charge Record Medical Supplies - Suture Prolene 4-0 Fs-2 18In Ethicon,14.49,5.65,,,0
CDM,SUP14134,Noncdm Charge Record Medical Supplies - Burr Surg 55Mm 4Mm Ss Round 8 Flute Strl,228.51,89.12,,,0
CDM,SUP14135_272,Noncdm Charge Record Medical Supplies - See 140924 Suture Vicryl 0 Ct-1 27In Undyed Ethicon,7.26,2.83,,,0
CDM,SUP14135_A4649_272,Noncdm Charge Record Medical Supplies - See 140924 Suture Vicryl 0 Ct-1 27In Undyed Ethicon,7.24,2.82,,,0
CDM,SUP14135_A9999_272,Noncdm Charge Record Medical Supplies - See 140924 Suture Vicryl 0 Ct-1 27In Undyed Ethicon,7.35,2.87,,,0
CDM,SUP14136,Noncdm Charge Record Medical Supplies - See 140978 Suture Vicryl 5-0 P-1 18In Undyed Ethicon,21.74,8.48,,,0
CDM,SUP141370,Noncdm Charge Record Medical Supplies - Sponge Delicot 10X13Mm,12.42,4.84,,,0
CDM,SUP141379,Noncdm Charge Record Medical Supplies - Opticross 15Mhz 70 Mm Proximal 25 Cm 8Fr,6050.58,2359.73,,,0
CDM,SUP14137_272,Noncdm Charge Record Medical Supplies - Cannula Arthroscopic 9Cm Translucent Arthrex,122.51,47.78,,,0
CDM,SUP14137_A4649_272,Noncdm Charge Record Medical Supplies - Cannula Arthroscopic 9Cm Translucent Arthrex,122.13,47.63,,,0
CDM,SUP141381,Noncdm Charge Record Medical Supplies - Fibulink Removal Kit,3006.68,1172.61,,,0
CDM,SUP141382,Noncdm Charge Record Medical Supplies - Guidewire Orthopedic L100Mm Dia0.8Mm With Trocar Tip,275.77,107.55,,,0
CDM,SUP141383,Noncdm Charge Record Medical Supplies - Guidewire Surgical L150Mm Dia1.4Mm Nonsterile Trocar Tip,343.92,134.13,,,0
CDM,SUP141386,Noncdm Charge Record Medical Supplies,1725.34,672.88,,,0
CDM,SUP14139_272,Noncdm Charge Record Medical Supplies - Burr Surg 9.5Mm 4Mm Micro Egg Strl,273.3,106.59,,,0
CDM,SUP14139_A4649_272,Noncdm Charge Record Medical Supplies - Burr Surg 9.5Mm 4Mm Micro Egg Strl,274.27,106.97,,,0
CDM,SUP14139_A9999_272,Noncdm Charge Record Medical Supplies - Burr Surg 9.5Mm 4Mm Micro Egg Strl,274.27,106.97,,,0
CDM,SUP14140,Noncdm Charge Record Medical Supplies - Burr Surg 45Mm 6Mm Egg Strl,259.51,101.21,,,0
CDM,SUP14141,Noncdm Charge Record Medical Supplies - Burr Surg 55Mm 3Mm 2.5Mm Dmd Round J-Ntch,198.2,77.3,,,0
CDM,SUP14142,Noncdm Charge Record Medical Supplies - Burr Surg 45Mm 1.2Mm Carb Tpr Sdct Strl,49.53,19.32,,,0
CDM,SUP14143,Noncdm Charge Record Medical Supplies - Blade Saw 34.5X12X.38Mm Prcs Thin Ss Osc Sag,131.44,51.26,,,0
CDM,SUP141431,Noncdm Charge Record Medical Supplies - Kit Essential Catheter Periton,4397.78,1715.13,,,0
CDM,SUP14144,Noncdm Charge Record Medical Supplies - See 58129 Clip Med Lg 5.5Mm Intnl Lgclp Ti Endo Lgt,54.86,21.4,,,0
CDM,SUP141442,Noncdm Charge Record Medical Supplies - Graft Limb 2Sle-13-74-2T,18346.67,7155.2,,,0
CDM,SUP14145_272,Noncdm Charge Record Medical Supplies - Suture Chromic 4-0 Ps-4 18In Ethicon,30.02,11.71,,,0
CDM,SUP14145_A4649_272,Noncdm Charge Record Medical Supplies - Suture Chromic 4-0 Ps-4 18In Ethicon,30.02,11.71,,,0
CDM,SUP14145_A9999_272,Noncdm Charge Record Medical Supplies - Suture Chromic 4-0 Ps-4 18In Ethicon,30.02,11.71,,,0
CDM,SUP14146,Noncdm Charge Record Medical Supplies - See 141056 Suture Vicryl 2-0 Ct-1 27In Cr Undyed Ethicon,53.82,20.99,,,0
CDM,SUP14147,Noncdm Charge Record Medical Supplies - Suture Chromic 6-0 Ps-4 18In Ethicon,30.88,12.04,,,0
CDM,SUP14148,Noncdm Charge Record Medical Supplies - Needle Suture 1-2 Circle Mayo Anchor Medline,6.21,2.42,,,0
CDM,SUP141490,Noncdm Charge Record Medical Supplies - Component Femoral Size 6 Left Knee Oxinium,17150.98,6688.88,,,0
CDM,SUP14149_272,Noncdm Charge Record Medical Supplies - Clip Medium Large Green Horizon Teleflex Medical,20.69,8.07,,,0
CDM,SUP14149_A4649_272,Noncdm Charge Record Medical Supplies - Clip Medium Large Green Horizon Teleflex Medical,20.9,8.15,,,0
CDM,SUP14149_A9999_272,Noncdm Charge Record Medical Supplies - Clip Medium Large Green Horizon Teleflex Medical,20.44,7.97,,,0
CDM,SUP14150_272,Noncdm Charge Record Medical Supplies - Suture Plain 4-0 P-3 18In Ethicon,30.02,11.71,,,0
CDM,SUP14150_A4649_272,Noncdm Charge Record Medical Supplies - Suture Plain 4-0 P-3 18In Ethicon,30.02,11.71,,,0
CDM,SUP14151,Noncdm Charge Record Medical Supplies - Suture Mersline 4-0 18In P-3 Wvn Tape Braid White Ethicon,19.66,7.67,,,0
CDM,SUP14152,Noncdm Charge Record Medical Supplies - Immobilizer Orth Univ 19In,97.29,37.94,,,0
CDM,SUP14153,Noncdm Charge Record Medical Supplies - Suture Ethilon 10-0 Bv75-3 5In Black Ethicon,123.16,48.03,,,0
CDM,SUP141537,Noncdm Charge Record Medical Supplies - Suture 2 4-0 Cv-15 36In Pldge 2 Arm Blu 17Mm Srgpro,24.64,9.61,,,0
CDM,SUP141538,Noncdm Charge Record Medical Supplies - Suture Srgpro 2 5-0 Cv-301 36In Cntrl Rel 2,100.65,39.25,,,0
CDM,SUP14156,Noncdm Charge Record Medical Supplies - Burr Surg 50.8Mm 3Mm Med Carb Round 6 Flute,106.6,41.57,,,0
CDM,SUP14159,Noncdm Charge Record Medical Supplies - See 116321 Blade Shaver 11Mm 4Mm Ss Trct Infr Trbnt,963.58,375.8,,,0
CDM,SUP1416,Noncdm Charge Record Medical Supplies - Filter Ivc 75Cm 11Fr Del Lgth Jug,6585.7,2568.42,,,0
CDM,SUP14161,Noncdm Charge Record Medical Supplies - Suture Vicryl 8-0 Tg140-8 12In Undyed Ethicon,68.2,26.6,,,0
CDM,SUP141615_C1725_272,Noncdm Charge Record Medical Supplies - Shockwave Coronary Ivl C2 Balloon 2.5X12Mm,20722.77,8081.88,,,0
CDM,SUP141615_C1725_278,Noncdm Charge Record Medical Supplies - Shockwave Coronary Ivl C2 Balloon 2.5X12Mm,20722.77,8081.88,,,0
CDM,SUP141615_C1761_278,Noncdm Charge Record Medical Supplies - Shockwave Coronary Ivl C2 Balloon 2.5X12Mm,20722.77,8081.88,,,0
CDM,SUP141616_C1725_272,Noncdm Charge Record Medical Supplies - Shockwave Coronary Ivl C2 Balloon 3.0X12Mm,20722.77,8081.88,,,0
CDM,SUP141616_C1725_278,Noncdm Charge Record Medical Supplies - Shockwave Coronary Ivl C2 Balloon 3.0X12Mm,20722.77,8081.88,,,0
CDM,SUP141616_C1761_278,Noncdm Charge Record Medical Supplies - Shockwave Coronary Ivl C2 Balloon 3.0X12Mm,20722.77,8081.88,,,0
CDM,SUP141617_C1725_272,Noncdm Charge Record Medical Supplies - Shockwave Coronary Ivl C2 Balloon 3.5X12Mm,20722.77,8081.88,,,0
CDM,SUP141617_C1725_278,Noncdm Charge Record Medical Supplies - Shockwave Coronary Ivl C2 Balloon 3.5X12Mm,20722.77,8081.88,,,0
CDM,SUP141617_C1761_272,Noncdm Charge Record Medical Supplies - Shockwave Coronary Ivl C2 Balloon 3.5X12Mm,20722.77,8081.88,,,0
CDM,SUP141617_C1761_278,Noncdm Charge Record Medical Supplies - Shockwave Coronary Ivl C2 Balloon 3.5X12Mm,20722.77,8081.88,,,0
CDM,SUP141617_C1889_278,Noncdm Charge Record Medical Supplies - Shockwave Coronary Ivl C2 Balloon 3.5X12Mm,20722.77,8081.88,,,0
CDM,SUP141618_C1725_272,Noncdm Charge Record Medical Supplies - Shockwave Coronary Ivl C2 Balloon 4.0X12Mm,20722.77,8081.88,,,0
CDM,SUP141618_C1725_278,Noncdm Charge Record Medical Supplies - Shockwave Coronary Ivl C2 Balloon 4.0X12Mm,20722.77,8081.88,,,0
CDM,SUP141618_C1751_278,Noncdm Charge Record Medical Supplies - Shockwave Coronary Ivl C2 Balloon 4.0X12Mm,20722.77,8081.88,,,0
CDM,SUP141618_C1761_272,Noncdm Charge Record Medical Supplies - Shockwave Coronary Ivl C2 Balloon 4.0X12Mm,20722.77,8081.88,,,0
CDM,SUP141618_C1761_278,Noncdm Charge Record Medical Supplies - Shockwave Coronary Ivl C2 Balloon 4.0X12Mm,20722.77,8081.88,,,0
CDM,SUP141618_C1874_278,Noncdm Charge Record Medical Supplies - Shockwave Coronary Ivl C2 Balloon 4.0X12Mm,20722.77,8081.88,,,0
CDM,SUP141620,Noncdm Charge Record Medical Supplies - Sheath Introducer L25Cm Id6Fr Dilator L2.5Cm,136.45,53.22,,,0
CDM,SUP141621,Noncdm Charge Record Medical Supplies - Sheath Introducer 7Fr L25Cm Radiopaque Marker,127.3,49.65,,,0
CDM,SUP14166_272,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 Sh 30In Black Ethicon,6.25,2.44,,,0
CDM,SUP14166_A4649_272,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 Sh 30In Black Ethicon,6.21,2.42,,,0
CDM,SUP14166_A9999_272,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 Sh 30In Black Ethicon,6.26,2.44,,,0
CDM,SUP14167,Noncdm Charge Record Medical Supplies - Suture Permahand 3-0 Ks 30In Black Ethicon,8.25,3.22,,,0
CDM,SUP14168,Noncdm Charge Record Medical Supplies - Wire Fx 1.6Mm 100Mm Krsh Ss Thrd Ns,191.48,74.68,,,0
CDM,SUP1417,Noncdm Charge Record Medical Supplies - See 159180 Adaptor 3 Port 2 Clave Hospira Inc,12.43,4.85,,,0
CDM,SUP14170_272,Noncdm Charge Record Medical Supplies - Suture Permahand 3-0 Sh 30In Black Ethicon,6.27,2.45,,,0
CDM,SUP14170_A4649_272,Noncdm Charge Record Medical Supplies - Suture Permahand 3-0 Sh 30In Black Ethicon,6.21,2.42,,,0
CDM,SUP14170_A9999_272,Noncdm Charge Record Medical Supplies - Suture Permahand 3-0 Sh 30In Black Ethicon,6.4,2.5,,,0
CDM,SUP14171,Noncdm Charge Record Medical Supplies - Valvulotome W Intchn Head,12341.34,4813.12,,,0
CDM,SUP141753,Noncdm Charge Record Medical Supplies,312.57,121.9,,,0
CDM,SUP141754_L8613_274,Noncdm Charge Record Medical Supplies - Prosthesis Ossicular Offset Concise Partial Alto,2121.75,827.48,,,0
CDM,SUP141754_L8613_278,Noncdm Charge Record Medical Supplies - Prosthesis Ossicular Offset Concise Partial Alto,2121.75,827.48,,,0
CDM,SUP141755,Noncdm Charge Record Medical Supplies - Prosthesis Ossicular L3-7Mm He Head Od2X2.50Mm,2190.06,854.12,,,0
CDM,SUP14185_272,Noncdm Charge Record Medical Supplies - See 132594 Drape Lithotomy Medline,32.08,12.51,,,0
CDM,SUP14185_A4649_272,Noncdm Charge Record Medical Supplies - See 132594 Drape Lithotomy Medline,32.08,12.51,,,0
CDM,SUP141864,Noncdm Charge Record Medical Supplies - Sponge Neurosurgical W13Xl60Mm Delicot,7.24,2.82,,,0
CDM,SUP14187,Noncdm Charge Record Medical Supplies - Burr Surg 54Mm 2.5Mm Med Round Dmd Strl,415.04,161.87,,,0
CDM,SUP14188,Noncdm Charge Record Medical Supplies - Burr Surg 6.3Mm Round 8 Flute Strl,235.2,91.73,,,0
CDM,SUP14189_272,Noncdm Charge Record Medical Supplies - Burr Surg 54Mm 3.2Mm Carb 6 Flute Round Fst,240.12,93.65,,,0
CDM,SUP14189_A4649_272,Noncdm Charge Record Medical Supplies - Burr Surg 54Mm 3.2Mm Carb 6 Flute Round Fst,240.12,93.65,,,0
CDM,SUP14189_A9999_272,Noncdm Charge Record Medical Supplies - Burr Surg 54Mm 3.2Mm Carb 6 Flute Round Fst,240.12,93.65,,,0
CDM,SUP14191,Noncdm Charge Record Medical Supplies - Burr Surg 44.8Mm 1.2Mm Carb Round Tpr Fssr,18.63,7.27,,,0
CDM,SUP14193,Noncdm Charge Record Medical Supplies - Drill Surg Lndmn 2.2Mm Strl,274.27,106.97,,,0
CDM,SUP14194_272,Noncdm Charge Record Medical Supplies - Burr Surg 54Mm 4Mm Ss Egg Strl,274.24,106.95,,,0
CDM,SUP14194_A4649_272,Noncdm Charge Record Medical Supplies - Burr Surg 54Mm 4Mm Ss Egg Strl,274.27,106.97,,,0
CDM,SUP14194_A9999_272,Noncdm Charge Record Medical Supplies - Burr Surg 54Mm 4Mm Ss Egg Strl,274.27,106.97,,,0
CDM,SUP14195,Noncdm Charge Record Medical Supplies - Burr Surg 51.2Mm 4.8Mm Round Fst Cut Strl,240.07,93.63,,,0
CDM,SUP14196,Noncdm Charge Record Medical Supplies - Burr Surg 65Mm 1.1Mm Wrps Strl,265.48,103.54,,,0
CDM,SUP14198_272,Noncdm Charge Record Medical Supplies - Blade Saw 82X12.7X1.2Mm Nar Ss Sag Dual Cut,137.77,53.73,,,0
CDM,SUP14198_A4649_272,Noncdm Charge Record Medical Supplies - Blade Saw 82X12.7X1.2Mm Nar Ss Sag Dual Cut,138.17,53.89,,,0
CDM,SUP14198_A9999_272,Noncdm Charge Record Medical Supplies - Blade Saw 82X12.7X1.2Mm Nar Ss Sag Dual Cut,132.48,51.67,,,0
CDM,SUP14199,Noncdm Charge Record Medical Supplies - Suture Vicryl 2-0 27In Tie Ethicon,341.03,133.0,,,0
CDM,SUP14202,Noncdm Charge Record Medical Supplies - Burr Surg 2.1Mm Carb Xcut Fssr 6 Flute Strl,30.02,11.71,,,0
CDM,SUP142024,Noncdm Charge Record Medical Supplies - Catheter Embol 60Cm 2Fr Fgrty Art Balloon,407.82,159.05,,,0
CDM,SUP142025,Noncdm Charge Record Medical Supplies - Catheter Embol 80Cm 5Fr Fgrty Art Balloon,407.79,159.04,,,0
CDM,SUP14203,Noncdm Charge Record Medical Supplies - Bit Drill 9-64Mm 19-64In Ss Styrker,509.22,198.6,,,0
CDM,SUP14204,Noncdm Charge Record Medical Supplies - Bit Drill 128Mm 2.8Mm Twst Strl,522.3,203.7,,,0
CDM,SUP142041,Noncdm Charge Record Medical Supplies - Stent Nephroureteral Expel 8.3F X22 Cm,456.44,178.01,,,0
CDM,SUP14205,Noncdm Charge Record Medical Supplies - Bit Drill 5In 3-32In,528.88,206.26,,,0
CDM,SUP14206,Noncdm Charge Record Medical Supplies - Bit Drill 2Mm X 128Mm,528.86,206.26,,,0
CDM,SUP142077,Noncdm Charge Record Medical Supplies - Catheter Guidewire 8Fr L80Cm Id0.096In 0.038In,4032.59,1572.71,,,0
CDM,SUP142078,Noncdm Charge Record Medical Supplies - Catheter Guide Bmx96 90 Cm Straight Tip 125 Cm Sim-V 6 F,4005.28,1562.06,,,0
CDM,SUP14208,Noncdm Charge Record Medical Supplies - Cuff Tourniquet 18In 1 Port 1,91.7,35.76,,,0
CDM,SUP14209,Noncdm Charge Record Medical Supplies - Cuff Tourniquet 24In 1 Port 1,103.76,40.47,,,0
CDM,SUP142099_272,Noncdm Charge Record Medical Supplies - See 156651 Pack Robotics Wellstar Ws205001,387.09,150.97,,,0
CDM,SUP142099_A4649_272,Noncdm Charge Record Medical Supplies - See 156651 Pack Robotics Wellstar Ws205001,387.09,150.97,,,0
CDM,SUP142099_A9999_272,Noncdm Charge Record Medical Supplies - See 156651 Pack Robotics Wellstar Ws205001,387.09,150.97,,,0
CDM,SUP142100,Noncdm Charge Record Medical Supplies - Tubing Liposuction Clr Vnyl Lf 3-8Inx5-8Inx12Ft,86.94,33.91,,,0
CDM,SUP14210_270,Noncdm Charge Record Medical Supplies - Cuff Tourniquet 34In 1 Port 1,132.48,51.67,,,0
CDM,SUP14210_A4649_270,Noncdm Charge Record Medical Supplies - Cuff Tourniquet 34In 1 Port 1,132.48,51.67,,,0
CDM,SUP142168,Noncdm Charge Record Medical Supplies - Forceps Bipolar L7In Tip 1Mm Standard Spetzler-Malis,1835.31,715.77,,,0
CDM,SUP142169,Noncdm Charge Record Medical Supplies - Forceps Bipolar 7In Tip 0.5Mm Standard Spetzler-Malis,1895.86,739.39,,,0
CDM,SUP14219,Noncdm Charge Record Medical Supplies - Drill Bit 2.5Mm 230Mm Synthes,730.63,284.95,,,0
CDM,SUP1421_272,Noncdm Charge Record Medical Supplies - Extractor Surg Bolt 3.5 Mm Cort 3.5 Mm,488.69,190.59,,,0
CDM,SUP1421_A9999_272,Noncdm Charge Record Medical Supplies - Extractor Surg Bolt 3.5 Mm Cort 3.5 Mm,488.52,190.52,,,0
CDM,SUP1422,Noncdm Charge Record Medical Supplies - Extractor Surg Bolt 4.5 Mm Screw Ns,543.38,211.92,,,0
CDM,SUP142257,Noncdm Charge Record Medical Supplies - Drill Bit L145Mm Dia2.7Mm Nonsterile Cannulated,1868.35,728.66,,,0
CDM,SUP142258,Noncdm Charge Record Medical Supplies - Screw Bone L50Mm Dia3.5Mm Thread L20Mm Headless,1938.04,755.84,,,0
CDM,SUP142264,Noncdm Charge Record Medical Supplies - Screw Bone L50Mm Dia4Mm Thread L20Mm Headless,2290.46,893.28,,,0
CDM,SUP142276,Noncdm Charge Record Medical Supplies - Set Biopsy Needle 19Ga L60Cm Throw L20Mm Sheath 7Fr,1983.06,773.39,,,0
CDM,SUP14229,Noncdm Charge Record Medical Supplies - Cuff Tourniquet 12In 1 Port 1,84.87,33.1,,,0
CDM,SUP1423,Noncdm Charge Record Medical Supplies - Guidewire Orth 300Mm 2.5Mm Drill Tip Nonthrd,263.52,102.77,,,0
CDM,SUP14230,Noncdm Charge Record Medical Supplies - Cuff Tourniquet 8In 1 Port 1,74.0,28.86,,,0
CDM,SUP142306_Q4180_278,Noncdm Charge Record Medical Supplies - Revita Burn Clear 10X10 Cm,186.0,72.54,,,0
CDM,SUP142318,Noncdm Charge Record Medical Supplies - Catheter 7Fr L71-79Cm Sheath L65Cm Vena Cava Filter 7Fr,5980.23,2332.29,,,0
CDM,SUP14231_270,Noncdm Charge Record Medical Supplies - Cuff Tourniquet 30In 1 Port 1,109.71,42.79,,,0
CDM,SUP14231_A4649_270,Noncdm Charge Record Medical Supplies - Cuff Tourniquet 30In 1 Port 1,109.71,42.79,,,0
CDM,SUP142320_272,Noncdm Charge Record Medical Supplies - Clip Internal L235Cm Opening 17Mm 360 Ultra Clip,1514.5,590.66,,,0
CDM,SUP142320_A4649_272,Noncdm Charge Record Medical Supplies - Clip Internal L235Cm Opening 17Mm 360 Ultra Clip,1514.41,590.62,,,0
CDM,SUP142320_A9999_272,Noncdm Charge Record Medical Supplies - Clip Internal L235Cm Opening 17Mm 360 Ultra Clip,1514.5,590.66,,,0
CDM,SUP142321_272,Noncdm Charge Record Medical Supplies - Resolution 360 Ultra Clip 235C 235Cm Bx20,1398.27,545.33,,,0
CDM,SUP142321_A4649_272,Noncdm Charge Record Medical Supplies - Resolution 360 Ultra Clip 235C 235Cm Bx20,1398.24,545.31,,,0
CDM,SUP142321_A9999_272,Noncdm Charge Record Medical Supplies - Resolution 360 Ultra Clip 235C 235Cm Bx20,1398.28,545.33,,,0
CDM,SUP14232_272,Noncdm Charge Record Medical Supplies - See 140938 Suture Vicryl 3-0 Sh 27In Violet Ethicon,7.26,2.83,,,0
CDM,SUP14232_A4649_272,Noncdm Charge Record Medical Supplies - See 140938 Suture Vicryl 3-0 Sh 27In Violet Ethicon,7.24,2.82,,,0
CDM,SUP14232_A9999_272,Noncdm Charge Record Medical Supplies - See 140938 Suture Vicryl 3-0 Sh 27In Violet Ethicon,7.24,2.82,,,0
CDM,SUP14233_272,Noncdm Charge Record Medical Supplies - Cord Electrosurg 10Ft Monopol Act Adapt Turp,13.46,5.25,,,0
CDM,SUP14233_A9999_272,Noncdm Charge Record Medical Supplies - Cord Electrosurg 10Ft Monopol Act Adapt Turp,13.46,5.25,,,0
CDM,SUP142368,Noncdm Charge Record Medical Supplies - Introducer Sets And Trays Blue Rhino G2-Multi Percutaneous,1649.09,643.15,,,0
CDM,SUP142382,Noncdm Charge Record Medical Supplies - System Personalized Knee 11Mm Height Left,4588.16,1789.38,,,0
CDM,SUP142383,Noncdm Charge Record Medical Supplies,7566.88,2951.08,,,0
CDM,SUP14240_272,Noncdm Charge Record Medical Supplies - Blade Saw 89.5X25X.96Mm Xlng Ss Sag Dual Cut,141.15,55.05,,,0
CDM,SUP14240_A4649_272,Noncdm Charge Record Medical Supplies - Blade Saw 89.5X25X.96Mm Xlng Ss Sag Dual Cut,143.86,56.11,,,0
CDM,SUP14242_272,Noncdm Charge Record Medical Supplies - Catheter 5 French Open End Ureteral Cook Medical,53.82,20.99,,,0
CDM,SUP14242_C1758_272,Noncdm Charge Record Medical Supplies - Catheter 5 French Open End Ureteral Cook Medical,53.83,20.99,,,0
CDM,SUP14243_272,Noncdm Charge Record Medical Supplies - Catheter 5 French Open End Ureteral Cook Medical,64.17,25.03,,,0
CDM,SUP14243_C1758_272,Noncdm Charge Record Medical Supplies - Catheter 5 French Open End Ureteral Cook Medical,64.17,25.03,,,0
CDM,SUP14245_272,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 30In Lambrinth Black Ethicon,12.22,4.77,,,0
CDM,SUP14245_A4649_272,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 30In Lambrinth Black Ethicon,12.16,4.74,,,0
CDM,SUP14245_A9999_272,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 30In Lambrinth Black Ethicon,12.42,4.84,,,0
CDM,SUP142476_272,Noncdm Charge Record Medical Supplies - Marker 14Ga 10Cm Ndl Ti S,274.27,106.97,,,0
CDM,SUP142476_A4648_278,Noncdm Charge Record Medical Supplies - Marker 14Ga 10Cm Ndl Ti S,274.27,106.97,,,0
CDM,SUP142559,Noncdm Charge Record Medical Supplies - Suture Passer Hip Length Crescent Swiftstitch,1174.72,458.14,,,0
CDM,SUP14255_272,Noncdm Charge Record Medical Supplies - Suture Permahand 3-0 30In Tie Black Ethicon,15.23,5.94,,,0
CDM,SUP14255_A4649_272,Noncdm Charge Record Medical Supplies - Suture Permahand 3-0 30In Tie Black Ethicon,15.52,6.05,,,0
CDM,SUP14256,Noncdm Charge Record Medical Supplies,10.35,4.04,,,0
CDM,SUP14257,Noncdm Charge Record Medical Supplies - Suture Permahand 4-0 30In Tie Black Ethicon,15.23,5.94,,,0
CDM,SUP14258_272,Noncdm Charge Record Medical Supplies - Suture Permahand 3-0 18In Tie Black Ethicon,8.98,3.5,,,0
CDM,SUP14258_A4649_272,Noncdm Charge Record Medical Supplies - Suture Permahand 3-0 18In Tie Black Ethicon,8.74,3.41,,,0
CDM,SUP14258_A9999_272,Noncdm Charge Record Medical Supplies - Suture Permahand 3-0 18In Tie Black Ethicon,9.19,3.58,,,0
CDM,SUP1426,Noncdm Charge Record Medical Supplies - Nut Mri Safe Ext Fix,29.79,11.62,,,0
CDM,SUP14262_272,Noncdm Charge Record Medical Supplies - Suture Permahand 4-0 18In Tie Black Ethicon,10.34,4.03,,,0
CDM,SUP14262_A4649_272,Noncdm Charge Record Medical Supplies - Suture Permahand 4-0 18In Tie Black Ethicon,10.35,4.04,,,0
CDM,SUP14262_A9999_272,Noncdm Charge Record Medical Supplies - Suture Permahand 4-0 18In Tie Black Ethicon,10.35,4.04,,,0
CDM,SUP142636,Noncdm Charge Record Medical Supplies - Coil Orbit Galaxy Complex Xtrasoft 3X3,4591.95,1790.86,,,0
CDM,SUP142637,Noncdm Charge Record Medical Supplies - Coil Orbit Galaxy Complex Xtrasoft 3X4,4592.3,1791.0,,,0
CDM,SUP142638,Noncdm Charge Record Medical Supplies - Coil Orbit Galaxy Complex Xtrasoft 3X6,4591.78,1790.79,,,0
CDM,SUP142653,Noncdm Charge Record Medical Supplies - Device Revascularization Embotrap Iii 5 Mm X 22 Mm,17429.81,6797.63,,,0
CDM,SUP142654,Noncdm Charge Record Medical Supplies - Device Revascularization Embotrap Iii 5 Mm X 37 Mm,17539.85,6840.54,,,0
CDM,SUP14265_270,Noncdm Charge Record Medical Supplies - Pillow Med 20X18In Foam Pstn,192.51,75.08,,,0
CDM,SUP14265_A4649_270,Noncdm Charge Record Medical Supplies - Pillow Med 20X18In Foam Pstn,192.51,75.08,,,0
CDM,SUP14265_A9999_270,Noncdm Charge Record Medical Supplies - Pillow Med 20X18In Foam Pstn,192.51,75.08,,,0
CDM,SUP14266,Noncdm Charge Record Medical Supplies - Catheter Angio .038In Crv 5Fr 5Fr 40Cm 3Cm Bern,68.31,26.64,,,0
CDM,SUP142673_272,Noncdm Charge Record Medical Supplies - Curette Vacuum 7Mm Flexible Cannula With Dual Port Disp,22.77,8.88,,,0
CDM,SUP142673_A4649_272,Noncdm Charge Record Medical Supplies - Curette Vacuum 7Mm Flexible Cannula With Dual Port Disp,22.77,8.88,,,0
CDM,SUP142739_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus Size 2-0 L2,65.56,25.57,,,0
CDM,SUP142739_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus Size 2-0 L2,66.24,25.83,,,0
CDM,SUP142740_272,Noncdm Charge Record Medical Supplies - Suture Prolene Size 6-0,83.5,32.56,,,0
CDM,SUP142740_A4649_272,Noncdm Charge Record Medical Supplies - Suture Prolene Size 6-0,81.07,31.62,,,0
CDM,SUP142741,Noncdm Charge Record Medical Supplies - Suture Prolene Size 5-0 L30In,106.64,41.59,,,0
CDM,SUP142780_272,Noncdm Charge Record Medical Supplies - Needle Guide Insert 10G Encor,19.66,7.67,,,0
CDM,SUP142780_A4649_272,Noncdm Charge Record Medical Supplies - Needle Guide Insert 10G Encor,19.66,7.67,,,0
CDM,SUP142780_A9999_272,Noncdm Charge Record Medical Supplies - Needle Guide Insert 10G Encor,19.66,7.67,,,0
CDM,SUP14279,Noncdm Charge Record Medical Supplies - Adhesive Skin Closure Indermil Covidien Surgical Devices,126.27,49.25,,,0
CDM,SUP142887,Noncdm Charge Record Medical Supplies - Sensor Sp02 Direct Connect,43.47,16.95,,,0
CDM,SUP14290,Noncdm Charge Record Medical Supplies - Suture Grtx Cv-0 Thx-36 36In 2 Arm Monofil,125.72,49.03,,,0
CDM,SUP14299,Noncdm Charge Record Medical Supplies - Clip Raney Blue Codman And Shurtleff,6.42,2.5,,,0
CDM,SUP1430,Noncdm Charge Record Medical Supplies - Splint Orth Lg 11In Lt Wr,32.6,12.71,,,0
CDM,SUP143033_272,Noncdm Charge Record Medical Supplies - Probe 10G Affirm Upright,856.96,334.21,,,0
CDM,SUP143033_A4649_272,Noncdm Charge Record Medical Supplies - Probe 10G Affirm Upright,856.98,334.22,,,0
CDM,SUP143033_A9999_272,Noncdm Charge Record Medical Supplies - Probe 10G Affirm Upright,856.98,334.22,,,0
CDM,SUP14304,Noncdm Charge Record Medical Supplies - Introducer Cath 40Cm 6Fr .038In Ckfl Flxr Blk,341.55,133.2,,,0
CDM,SUP14307,Noncdm Charge Record Medical Supplies - Catheter Esoph Pyl 6Fr 10-12Mm 180Cm 8Cm Fx,1342.4,523.54,,,0
CDM,SUP14308,Noncdm Charge Record Medical Supplies - Cystotome Opth 27Ga Frm Ang Revct Irr Strl,15.64,6.1,,,0
CDM,SUP143097,Noncdm Charge Record Medical Supplies - Cartridge Meniscal Repair Size 2-0 Suture Novostitch Plus,3102.93,1210.14,,,0
CDM,SUP143098,Noncdm Charge Record Medical Supplies - Screw Interference L10Mm D4Mm Sz 2 Fiberwire Suture And Disp,2175.57,848.47,,,0
CDM,SUP143099_272,Noncdm Charge Record Medical Supplies - Bit Drill Anchor Curved Disposable Kit Fibertak,954.4,372.22,,,0
CDM,SUP143099_A9999_272,Noncdm Charge Record Medical Supplies - Bit Drill Anchor Curved Disposable Kit Fibertak,954.27,372.17,,,0
CDM,SUP143100,Noncdm Charge Record Medical Supplies - Kit Suture Anchor Insertion Disposables 1.8Mm,856.98,334.22,,,0
CDM,SUP143101,Noncdm Charge Record Medical Supplies - System Implant 4.75Mm Swivelok C Anchor With Scorpion Needle,9232.2,3600.56,,,0
CDM,SUP143102,Noncdm Charge Record Medical Supplies - Anchor Suture L8Mm Dia2.5Mm 2-0 Peek Knotless Mini Pushloc,1933.68,754.14,,,0
CDM,SUP14316,Noncdm Charge Record Medical Supplies - Device 12Fr Encr 26 Infl Press Ga 20Ml,152.07,59.31,,,0
CDM,SUP14317,Noncdm Charge Record Medical Supplies - Guidewire .035In180-15Cm Strt,84.67,33.02,,,0
CDM,SUP14318,Noncdm Charge Record Medical Supplies - Catheter Angio .038In Strt Tip Tpr 5Fr 65Cm,238.05,92.84,,,0
CDM,SUP14323,Noncdm Charge Record Medical Supplies - Bit Drill 65Mm 2Mm Mini Qc,301.18,117.46,,,0
CDM,SUP143248_272,Noncdm Charge Record Medical Supplies - See 155772 Anesthesia Circuit 120In Exp-Lf,46.58,18.17,,,0
CDM,SUP143248_A4649_272,Noncdm Charge Record Medical Supplies - See 155772 Anesthesia Circuit 120In Exp-Lf,46.58,18.17,,,0
CDM,SUP143248_A9999_272,Noncdm Charge Record Medical Supplies - See 155772 Anesthesia Circuit 120In Exp-Lf,46.58,18.17,,,0
CDM,SUP143307,Noncdm Charge Record Medical Supplies - Pack Custom Tirino,836.28,326.15,,,0
CDM,SUP14337_270,Noncdm Charge Record Medical Supplies - Esophageal Stethocope 9 Fr,8.28,3.23,,,0
CDM,SUP14337_A4649_270,Noncdm Charge Record Medical Supplies - Esophageal Stethocope 9 Fr,8.28,3.23,,,0
CDM,SUP1434,Noncdm Charge Record Medical Supplies - Catheter Arterial Line 20 Gauge Iv Arrow International,44.5,17.36,,,0
CDM,SUP14341,Noncdm Charge Record Medical Supplies - Set Infus Dehp-Fr Spk Del,10.35,4.04,,,0
CDM,SUP14343_272,Noncdm Charge Record Medical Supplies - Clip Sm Intnl Hrzn Ti Endo Lgt Strl Disp Lf,47.61,18.57,,,0
CDM,SUP14343_A4649_272,Noncdm Charge Record Medical Supplies - Clip Sm Intnl Hrzn Ti Endo Lgt Strl Disp Lf,47.72,18.61,,,0
CDM,SUP14343_A9999_272,Noncdm Charge Record Medical Supplies - Clip Sm Intnl Hrzn Ti Endo Lgt Strl Disp Lf,47.35,18.47,,,0
CDM,SUP14344_272,Noncdm Charge Record Medical Supplies - See 61250 Clip Sm Ti Endo Lgt Wide Slot Strl Disp Lf Intnl H,11.38,4.44,,,0
CDM,SUP14344_A9999_272,Noncdm Charge Record Medical Supplies - See 61250 Clip Sm Ti Endo Lgt Wide Slot Strl Disp Lf Intnl H,11.38,4.44,,,0
CDM,SUP143454_C1713_278,Noncdm Charge Record Medical Supplies - Graft Bone Substitute Inserter Diverted Filler Tube 3-4 Fill,1595.45,622.23,,,0
CDM,SUP143454_C1762_278,Noncdm Charge Record Medical Supplies - Graft Bone Substitute Inserter Diverted Filler Tube 3-4 Fill,1595.35,622.19,,,0
CDM,SUP143454_L8699_278,Noncdm Charge Record Medical Supplies,1594.94,622.03,,,0
CDM,SUP143455_C1762_278,Noncdm Charge Record Medical Supplies - Graft Bone Chips Filler Tube Cortical Cancellous,1084.68,423.03,,,0
CDM,SUP143455_L8699_278,Noncdm Charge Record Medical Supplies - Graft Bone Chips Filler Tube Cortical Cancellous,1084.68,423.03,,,0
CDM,SUP14346,Noncdm Charge Record Medical Supplies,4.43,1.73,,,0
CDM,SUP14347,Noncdm Charge Record Medical Supplies - Wand Turbovac 90 Arthrocare Smith And Nephew,848.7,330.99,,,0
CDM,SUP14350_272,Noncdm Charge Record Medical Supplies - Suture Prolene 5-0 Rb-1 36In Double Arm Blue Ethicon,30.58,11.93,,,0
CDM,SUP14350_A4649_272,Noncdm Charge Record Medical Supplies - Suture Prolene 5-0 Rb-1 36In Double Arm Blue Ethicon,31.05,12.11,,,0
CDM,SUP14350_A9999_272,Noncdm Charge Record Medical Supplies - Suture Prolene 5-0 Rb-1 36In Double Arm Blue Ethicon,31.05,12.11,,,0
CDM,SUP14351_270,Noncdm Charge Record Medical Supplies - Circuit Anes Ped Cust Lf,22.77,8.88,,,0
CDM,SUP14351_A4649_270,Noncdm Charge Record Medical Supplies - Circuit Anes Ped Cust Lf,22.77,8.88,,,0
CDM,SUP14351_A9999_270,Noncdm Charge Record Medical Supplies - Circuit Anes Ped Cust Lf,22.77,8.88,,,0
CDM,SUP143523,Noncdm Charge Record Medical Supplies - Dressing Gel 1.75Oz W4Xl4In Burn And Wound Plurogel,449.19,175.18,,,0
CDM,SUP14352_272,Noncdm Charge Record Medical Supplies - Suture Prolene 0 Ct-1 30In Ethicon,12.51,4.88,,,0
CDM,SUP14352_A4649_272,Noncdm Charge Record Medical Supplies - Suture Prolene 0 Ct-1 30In Ethicon,12.34,4.81,,,0
CDM,SUP14352_A9999_272,Noncdm Charge Record Medical Supplies - Suture Prolene 0 Ct-1 30In Ethicon,12.65,4.93,,,0
CDM,SUP14354,Noncdm Charge Record Medical Supplies - Trocar Laparos 100 5Mm Xcel Endopth Xcel,112.82,44.0,,,0
CDM,SUP143546,Noncdm Charge Record Medical Supplies - Overdrill Surgical Dia3.5Mm Small Plating System Evos,1129.18,440.38,,,0
CDM,SUP143547,Noncdm Charge Record Medical Supplies - Screw Bone L40Mm Dia4Mm Steel Cannulated,846.11,329.98,,,0
CDM,SUP143548,Noncdm Charge Record Medical Supplies,885.96,345.52,,,0
CDM,SUP143549,Noncdm Charge Record Medical Supplies - Plate Bone Left Volar Distal Narrow 3 Hole Comprehensive,3842.96,1498.75,,,0
CDM,SUP14355,Noncdm Charge Record Medical Supplies - Trocar Laparos 100 12Mm Stab,799.02,311.62,,,0
CDM,SUP143551,Noncdm Charge Record Medical Supplies - Screw Bone L10Mm Dia3.5Mm Locking Low Profile,806.26,314.44,,,0
CDM,SUP143553,Noncdm Charge Record Medical Supplies - See 142250 Screw Bone L22Mm Dia2.4Mm Locking Fully Threaded,1036.46,404.22,,,0
CDM,SUP143554_270,Noncdm Charge Record Medical Supplies - Cap Endoscopic L4Mm Dia15Mm Soft Straight Type Disposable,121.11,47.23,,,0
CDM,SUP143554_A4649_270,Noncdm Charge Record Medical Supplies - Cap Endoscopic L4Mm Dia15Mm Soft Straight Type Disposable,121.1,47.23,,,0
CDM,SUP1435_270,Noncdm Charge Record Medical Supplies - Shoe Med F Pat Postop Wdn Sole,18.3,7.14,,,0
CDM,SUP1435_A4649_270,Noncdm Charge Record Medical Supplies - Shoe Med F Pat Postop Wdn Sole,18.63,7.27,,,0
CDM,SUP1436,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 1In Argonplus Adapt,200.79,78.31,,,0
CDM,SUP143612,Noncdm Charge Record Medical Supplies - Forceps Bipolar 8In Tip 0.5Mm Standard Disposable,1892.26,737.98,,,0
CDM,SUP143613,Noncdm Charge Record Medical Supplies - Forceps Bipolar L8In Tip 1Mm Standard Nonstick Disposable,1899.43,740.78,,,0
CDM,SUP143614,Noncdm Charge Record Medical Supplies - Forceps Bipolar L8In Tip 1.5Mm Standard Nonstick Disposable,1881.47,733.77,,,0
CDM,SUP143615,Noncdm Charge Record Medical Supplies - Forceps Bipolar L9In Tip 0.5Mm Standard Nonstick Disposable,1835.06,715.67,,,0
CDM,SUP143616,Noncdm Charge Record Medical Supplies - Forceps Bipolar L9In Tip 1Mm Standard Nonstick Disposable,1787.44,697.1,,,0
CDM,SUP143617,Noncdm Charge Record Medical Supplies - Forceps Bipolar L9In Tip 1.5Mm Standard Nonstick Disposable,2028.94,791.29,,,0
CDM,SUP143624,Noncdm Charge Record Medical Supplies - Rotawire Drive Floppy,954.36,372.2,,,0
CDM,SUP143625,Noncdm Charge Record Medical Supplies - Rotawire Drive Extra Support 5,954.36,372.2,,,0
CDM,SUP143644,Noncdm Charge Record Medical Supplies - See 140785 Pack Ob Cobb Wc140A,70.38,27.45,,,0
CDM,SUP14364_272,Noncdm Charge Record Medical Supplies - Clip Med Lg Xl Intnl Hem-O-Lok Polymer Endo,160.72,62.68,,,0
CDM,SUP14364_A4649_272,Noncdm Charge Record Medical Supplies - Clip Med Lg Xl Intnl Hem-O-Lok Polymer Endo,163.67,63.83,,,0
CDM,SUP14364_A9999_272,Noncdm Charge Record Medical Supplies - Clip Med Lg Xl Intnl Hem-O-Lok Polymer Endo,157.65,61.48,,,0
CDM,SUP143669,Noncdm Charge Record Medical Supplies - Nail Intramedullary L380Mm Dia11Mm,8380.91,3268.55,,,0
CDM,SUP143675,Noncdm Charge Record Medical Supplies - Plate Clavicle 2.7Mm Va Lcp Lateral- Cs1- Left- Sterile,4796.19,1870.51,,,0
CDM,SUP143679,Noncdm Charge Record Medical Supplies - Plate Clavicle 2.7Mm Va Lcp Lateral- Cs2- Left- Sterile,5005.6,1952.18,,,0
CDM,SUP143680,Noncdm Charge Record Medical Supplies,5069.43,1977.08,,,0
CDM,SUP143681,Noncdm Charge Record Medical Supplies,4719.6,1840.64,,,0
CDM,SUP143685,Noncdm Charge Record Medical Supplies - Plate Clavicle 2.7Mm Va Lcp Lateral- Cs3- Right- Sterile,4725.81,1843.07,,,0
CDM,SUP143686,Noncdm Charge Record Medical Supplies - Plate Clavicle 2.7Mm Va Lcp Shaft- Cs1- Left,4216.42,1644.4,,,0
CDM,SUP143687,Noncdm Charge Record Medical Supplies - Plate Clavicle 2.7Mm Va Lcp Shaft- Cs1- Left- Sterile,4623.06,1802.99,,,0
CDM,SUP143688,Noncdm Charge Record Medical Supplies - Plate Clavicle 2.7Mm Va Lcp Shaft- Cs1- Right,4147.24,1617.42,,,0
CDM,SUP143689,Noncdm Charge Record Medical Supplies - Plate Clavicle 2.7Mm Va Lcp Shaft- Cs1- Right- Sterile,4562.28,1779.29,,,0
CDM,SUP14369,Noncdm Charge Record Medical Supplies - Binder 48-50In 2Xl Postop,79.69,31.08,,,0
CDM,SUP143690,Noncdm Charge Record Medical Supplies - Plate Clavicle 2.7Mm Va Lcp Shaft- Cs2- Left,4157.94,1621.6,,,0
CDM,SUP143691,Noncdm Charge Record Medical Supplies - Plate Clavicle 2.7Mm Va Lcp Shaft- Cs2- Left- Sterile,4425.66,1726.01,,,0
CDM,SUP143692,Noncdm Charge Record Medical Supplies - Plate Clavicle 2.7Mm Va Lcp Shaft- Cs2- Right,4024.08,1569.39,,,0
CDM,SUP143693,Noncdm Charge Record Medical Supplies - Plate Clavicle 2.7Mm Va Lcp Shaft- Cs2- Right- Sterile,4425.66,1726.01,,,0
CDM,SUP143696,Noncdm Charge Record Medical Supplies - Plate Clavicle 2.7Mm Va Lcp Shaft- Cs3- Right- Sterile,4668.06,1820.54,,,0
CDM,SUP1437,Noncdm Charge Record Medical Supplies - Needle Loc 7.5Cm 20Ga Hwk3,227.7,88.8,,,0
CDM,SUP143701,Noncdm Charge Record Medical Supplies - Plate Clavicle 2.7Mm Va Lcp Shaft- Xl- Left- Sterile,4580.91,1786.55,,,0
CDM,SUP143703,Noncdm Charge Record Medical Supplies - Plate Patella 2.7 Va Locking Ant Ss-Core-Small-Sterile,8668.64,3380.77,,,0
CDM,SUP143704,Noncdm Charge Record Medical Supplies - Plate Patella 2.7 Va Locking Ss-3-Hole-Small-Sterile,8790.77,3428.4,,,0
CDM,SUP143705,Noncdm Charge Record Medical Supplies - Plate Patella 2.7 Va Locking Ss-6-Hole-Small-Sterile,8863.74,3456.86,,,0
CDM,SUP143706,Noncdm Charge Record Medical Supplies - Plate Patella 2.7 Va Locking Ss-Core-Sterile,8058.51,3142.82,,,0
CDM,SUP143709,Noncdm Charge Record Medical Supplies - Patella Template Kit Anterior - Sterile,855.08,333.48,,,0
CDM,SUP143710,Noncdm Charge Record Medical Supplies - Guidewire Surgical L150Mm Dia1.1Mm Nonsterile Trocar Tip,268.3,104.64,,,0
CDM,SUP143712,Noncdm Charge Record Medical Supplies - Drill Countersink Ns 2.5Mm - 3.0Mm Cann Headless Screw- Qc,1691.19,659.56,,,0
CDM,SUP143713,Noncdm Charge Record Medical Supplies - Drill Countersink Ns 3.5Mm - - 4.0Mm Cann Headless Screw- Q,1645.65,641.8,,,0
CDM,SUP143721,Noncdm Charge Record Medical Supplies - Bit Drill L95Mm Dia1.6Mm N-S Cannulated For Quick Coupling,1777.44,693.2,,,0
CDM,SUP143722,Noncdm Charge Record Medical Supplies - Bit Drill L145Mm Dia2Mm Cannulated Quick Coupling,1927.84,751.86,,,0
CDM,SUP143723,Noncdm Charge Record Medical Supplies - Bit Drill L215Mm Dia3Mm Cannulated Quick Coupling,1827.89,712.88,,,0
CDM,SUP143726,Noncdm Charge Record Medical Supplies,8266.54,3223.95,,,0
CDM,SUP143727,Noncdm Charge Record Medical Supplies,8266.54,3223.95,,,0
CDM,SUP143728,Noncdm Charge Record Medical Supplies - 10Mm - Ti Cann Frn - Pf 380Mm - Right - Sterile,8266.54,3223.95,,,0
CDM,SUP14373,Noncdm Charge Record Medical Supplies - Protector Instr Std Jaw Cvr,13.35,5.21,,,0
CDM,SUP143733,Noncdm Charge Record Medical Supplies,8266.54,3223.95,,,0
CDM,SUP143735,Noncdm Charge Record Medical Supplies - 10Mm - Ti Cann Frn - Pf 440Mm - Left - Sterile,8266.54,3223.95,,,0
CDM,SUP143746,Noncdm Charge Record Medical Supplies,8266.54,3223.95,,,0
CDM,SUP143748,Noncdm Charge Record Medical Supplies - 10Mm - Ti Cann Frn - Gt 360Mm - Right - Sterile,8266.54,3223.95,,,0
CDM,SUP143750,Noncdm Charge Record Medical Supplies - 10Mm - Ti Cann Frn - Gt 380Mm - Right - Sterile,8266.54,3223.95,,,0
CDM,SUP143751,Noncdm Charge Record Medical Supplies - 10Mm - Ti Cann Frn - Gt 380Mm - Left - Sterile,8495.28,3313.16,,,0
CDM,SUP143752,Noncdm Charge Record Medical Supplies,8342.79,3253.69,,,0
CDM,SUP143753,Noncdm Charge Record Medical Supplies - 10Mm - Ti Cann Frn - Gt 400Mm - Left - Sterile,8266.54,3223.95,,,0
CDM,SUP143755,Noncdm Charge Record Medical Supplies - 10Mm - Ti Cann Frn - Gt 440Mm - Right - Sterile,8495.28,3313.16,,,0
CDM,SUP143766,Noncdm Charge Record Medical Supplies,8266.54,3223.95,,,0
CDM,SUP143767,Noncdm Charge Record Medical Supplies - 11Mm - Ti Cann Frn - Pf 360Mm - Right - Sterile,8495.28,3313.16,,,0
CDM,SUP143771,Noncdm Charge Record Medical Supplies - 11Mm - Ti Cann Frn - Pf 400Mm - Left - Sterile,8266.54,3223.95,,,0
CDM,SUP143787,Noncdm Charge Record Medical Supplies - 11Mm - Ti Cann Frn - Gt 360Mm - Left - Sterile,8495.28,3313.16,,,0
CDM,SUP143793,Noncdm Charge Record Medical Supplies,8495.28,3313.16,,,0
CDM,SUP143809,Noncdm Charge Record Medical Supplies,8495.28,3313.16,,,0
CDM,SUP14381,Noncdm Charge Record Medical Supplies - Catheter Esoph 7.5Fr 8-10M 180 Pyl 180Cm 5.5Cm,1510.06,588.92,,,0
CDM,SUP14382,Noncdm Charge Record Medical Supplies - Catheter Bal Dil Cre W-G 10-12 Esop10-12,1510.06,588.92,,,0
CDM,SUP143824,Noncdm Charge Record Medical Supplies - 12Mm - Ti Cann Frn - Gt 420Mm - Left - Sterile,8266.54,3223.95,,,0
CDM,SUP14383,Noncdm Charge Record Medical Supplies - Catheter Bal Dil Cre W-G 12-15 Esop12-15,1510.06,588.92,,,0
CDM,SUP143856,Noncdm Charge Record Medical Supplies,8927.91,3481.88,,,0
CDM,SUP14385_272,Noncdm Charge Record Medical Supplies - Curet Pipet 3Mm - Coopersurgical,34.16,13.32,,,0
CDM,SUP14385_A4649_272,Noncdm Charge Record Medical Supplies - Curet Pipet 3Mm - Coopersurgical,34.16,13.32,,,0
CDM,SUP143876,Noncdm Charge Record Medical Supplies,8266.54,3223.95,,,0
CDM,SUP143899,Noncdm Charge Record Medical Supplies - 9 Mm - Ti Cann Frn - Gt 360Mm - Left - Sterile,8266.54,3223.95,,,0
CDM,SUP143925,Noncdm Charge Record Medical Supplies,5018.72,1957.3,,,0
CDM,SUP143928,Noncdm Charge Record Medical Supplies,5230.89,2040.05,,,0
CDM,SUP143929,Noncdm Charge Record Medical Supplies,4867.6,1898.36,,,0
CDM,SUP14394,Noncdm Charge Record Medical Supplies,89.01,34.71,,,0
CDM,SUP143942,Noncdm Charge Record Medical Supplies,8877.2,3462.11,,,0
CDM,SUP143943,Noncdm Charge Record Medical Supplies,8877.2,3462.11,,,0
CDM,SUP143944,Noncdm Charge Record Medical Supplies - Plate Bone L195Mm 4.5Mm 8 Hole Va-Lcp Crvd Condylar Right-St,8913.42,3476.23,,,0
CDM,SUP143945,Noncdm Charge Record Medical Supplies - Plate Bone L195Mm 4.5Mm 8 Hole Va-Lcp Crvd Condylar Left-St,8913.42,3476.23,,,0
CDM,SUP143948,Noncdm Charge Record Medical Supplies - Plate Bone L266Mm 4.5Mm 12Hole Va-Lcp Crvd Condylar Right-St,9556.16,3726.9,,,0
CDM,SUP143949,Noncdm Charge Record Medical Supplies - Plate Bone L266Mm 4.5Mm 12Hole Va-Lcp Crvd Condylar Left-St,9737.28,3797.54,,,0
CDM,SUP143951,Noncdm Charge Record Medical Supplies - Plate Bone L301Mm 4.5Mm 14Hole Va-Lcp Crvd Condylar Left-St,10163.96,3963.94,,,0
CDM,SUP143953,Noncdm Charge Record Medical Supplies - Plate Bone L336Mm 4.5Mm 16Hole Va-Lcp Crvd Condylar Left-St,10465.92,4081.71,,,0
CDM,SUP143954,Noncdm Charge Record Medical Supplies - Plate Bone L370Mm 4.5Mm 18Hole Va-Lcp Crvd Condylar Right-St,11497.56,4484.05,,,0
CDM,SUP143955,Noncdm Charge Record Medical Supplies - Plate Bone L370Mm 4.5Mm 18Hole Va-Lcp Crvd Condylar Left-St,11569.23,4512.0,,,0
CDM,SUP143968,Noncdm Charge Record Medical Supplies - Screw Bone L12Mm D 2Mm Quick Insertion Screw,1725.34,672.88,,,0
CDM,SUP143969,Noncdm Charge Record Medical Supplies - Screw Bone L12Mm D 2Mm Quick Insertion Screw -Ster,1938.56,756.04,,,0
CDM,SUP143973,Noncdm Charge Record Medical Supplies,1938.56,756.04,,,0
CDM,SUP14397_272,Noncdm Charge Record Medical Supplies - Needle Epdrl 20Ga 3.5In Tuo,24.81,9.68,,,0
CDM,SUP14397_A4649_272,Noncdm Charge Record Medical Supplies - Needle Epdrl 20Ga 3.5In Tuo,24.84,9.69,,,0
CDM,SUP14397_A9999_272,Noncdm Charge Record Medical Supplies - Needle Epdrl 20Ga 3.5In Tuo,24.58,9.59,,,0
CDM,SUP143989,Noncdm Charge Record Medical Supplies - Screw Bone L16Mm D 2Mm Cann Comp Headless Screw- St- Ster,1938.56,756.04,,,0
CDM,SUP143992,Noncdm Charge Record Medical Supplies - Screw Bone L20Mm D 2Mm Cann Comp Headless Screw- St,1725.34,672.88,,,0
CDM,SUP143993,Noncdm Charge Record Medical Supplies,1938.56,756.04,,,0
CDM,SUP143994,Noncdm Charge Record Medical Supplies - Screw Bone L22Mm D 2Mm Cann Comp Headless Screw- St,1725.34,672.88,,,0
CDM,SUP1439_270,Noncdm Charge Record Medical Supplies - Shoe Lg M Pat Postop Wdn Sole,18.57,7.24,,,0
CDM,SUP1439_A4649_270,Noncdm Charge Record Medical Supplies - Shoe Lg M Pat Postop Wdn Sole,18.63,7.27,,,0
CDM,SUP144003,Noncdm Charge Record Medical Supplies - Screw Bone L30Mm D 2Mm Cann Comp Headless Screw- St- Ster,1938.56,756.04,,,0
CDM,SUP144010,Noncdm Charge Record Medical Supplies - Screw Bone L16Mm D 2.5Mm Cann Comp Headless Screw- St,1934.42,754.42,,,0
CDM,SUP144011,Noncdm Charge Record Medical Supplies - Screw Bone L16Mm D 2.5Mm Cann Comp Headless Screw- St- Ster,2114.5,824.66,,,0
CDM,SUP144012,Noncdm Charge Record Medical Supplies,1725.34,672.88,,,0
CDM,SUP144014,Noncdm Charge Record Medical Supplies,1803.75,703.46,,,0
CDM,SUP144015,Noncdm Charge Record Medical Supplies,2173.15,847.53,,,0
CDM,SUP144016,Noncdm Charge Record Medical Supplies,1725.34,672.88,,,0
CDM,SUP144017,Noncdm Charge Record Medical Supplies - Screw Bone L22Mm D 2.5Mm Cann Comp Headless Screw- St- Ster,1938.21,755.9,,,0
CDM,SUP144018,Noncdm Charge Record Medical Supplies,1725.34,672.88,,,0
CDM,SUP144019,Noncdm Charge Record Medical Supplies - Screw Bone L24Mm D 2.5Mm Cann Comp Headless Screw- St- Ster,2290.46,893.28,,,0
CDM,SUP144023,Noncdm Charge Record Medical Supplies,1938.56,756.04,,,0
CDM,SUP144025,Noncdm Charge Record Medical Supplies,2055.85,801.78,,,0
CDM,SUP144029,Noncdm Charge Record Medical Supplies - Screw Bone L34Mm D 2.5Mm Cann Comp Headless Screw- St- Ster,1938.56,756.04,,,0
CDM,SUP144030,Noncdm Charge Record Medical Supplies,1725.34,672.88,,,0
CDM,SUP144043,Noncdm Charge Record Medical Supplies,1938.56,756.04,,,0
CDM,SUP144045,Noncdm Charge Record Medical Supplies,1938.56,756.04,,,0
CDM,SUP144049,Noncdm Charge Record Medical Supplies - Screw Bone L22Mm D 3Mm Cann Comp Headless Screw- St- Ster,1938.56,756.04,,,0
CDM,SUP14405,Noncdm Charge Record Medical Supplies - Drill Twst 50Mm 1Mm Lorenz 5Mm Stop Mndb,710.01,276.9,,,0
CDM,SUP144051,Noncdm Charge Record Medical Supplies - Screw Bone L24Mm D 3Mm Cann Comp Headless Screw- St- Ster,1938.04,755.84,,,0
CDM,SUP144057,Noncdm Charge Record Medical Supplies,1938.56,756.04,,,0
CDM,SUP14406,Noncdm Charge Record Medical Supplies - Ear Tube Ventilation 1.14Mm Shepard Olympus America Inc,43.99,17.16,,,0
CDM,SUP144062,Noncdm Charge Record Medical Supplies,1725.34,672.88,,,0
CDM,SUP144066,Noncdm Charge Record Medical Supplies,1725.34,672.88,,,0
CDM,SUP144072,Noncdm Charge Record Medical Supplies,1725.34,672.88,,,0
CDM,SUP144074,Noncdm Charge Record Medical Supplies - Screw Bone L20Mm D 3.5Mm Cann Comp Headless Screw- St,1725.34,672.88,,,0
CDM,SUP14407_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 8-0 Tg175-8 12Indouble Arm Black Ethicon,64.88,25.3,,,0
CDM,SUP14407_A4649_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 8-0 Tg175-8 12Indouble Arm Black Ethicon,65.2,25.43,,,0
CDM,SUP14407_A9999_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 8-0 Tg175-8 12Indouble Arm Black Ethicon,65.2,25.43,,,0
CDM,SUP144087,Noncdm Charge Record Medical Supplies - Screw Bone L32Mm D 3.5Mm Cann Comp Headless Screw- St- Ster,2290.46,893.28,,,0
CDM,SUP144093,Noncdm Charge Record Medical Supplies,1938.56,756.04,,,0
CDM,SUP144095,Noncdm Charge Record Medical Supplies,2290.46,893.28,,,0
CDM,SUP144096,Noncdm Charge Record Medical Supplies - Screw Bone L42Mm D 3.5Mm Cann Comp Headless Screw- St,1938.56,756.04,,,0
CDM,SUP144098,Noncdm Charge Record Medical Supplies,1725.34,672.88,,,0
CDM,SUP1441,Noncdm Charge Record Medical Supplies - Shoe Med M Pat Postop Wdn Sole,18.11,7.06,,,0
CDM,SUP144100,Noncdm Charge Record Medical Supplies - Screw Bone L46Mm D 3.5Mm Cann Comp Headless Screw- St,1725.34,672.88,,,0
CDM,SUP144104,Noncdm Charge Record Medical Supplies - Screw Bone L50Mm D 3.5Mm Cann Comp Headless Screw- St,1725.34,672.88,,,0
CDM,SUP14411_272,Noncdm Charge Record Medical Supplies - Tray Nerve Blck Univ,93.15,36.33,,,0
CDM,SUP14411_A4649_272,Noncdm Charge Record Medical Supplies - Tray Nerve Blck Univ,93.15,36.33,,,0
CDM,SUP14411_A9999_272,Noncdm Charge Record Medical Supplies - Tray Nerve Blck Univ,93.15,36.33,,,0
CDM,SUP144124,Noncdm Charge Record Medical Supplies,1725.34,672.88,,,0
CDM,SUP144128,Noncdm Charge Record Medical Supplies - Screw Bone L36Mm D 4Mm Cann Comp Headless Screw- St,1725.34,672.88,,,0
CDM,SUP14412_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 12Cm 5Mm,63.1,24.61,,,0
CDM,SUP14412_A4649_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 12Cm 5Mm,63.14,24.62,,,0
CDM,SUP144137,Noncdm Charge Record Medical Supplies,1938.56,756.04,,,0
CDM,SUP144138,Noncdm Charge Record Medical Supplies,1725.34,672.88,,,0
CDM,SUP144176,Noncdm Charge Record Medical Supplies,1725.34,672.88,,,0
CDM,SUP144180,Noncdm Charge Record Medical Supplies,1725.34,672.88,,,0
CDM,SUP144182,Noncdm Charge Record Medical Supplies,1725.34,672.88,,,0
CDM,SUP144184,Noncdm Charge Record Medical Supplies - Screw Bone L44Mm D 4.5Mm Cann Comp Headless Screw-St,1725.34,672.88,,,0
CDM,SUP144190,Noncdm Charge Record Medical Supplies - Screw Bone L50Mm D 4.5Mm Cann Comp Headless Screw-St,1725.34,672.88,,,0
CDM,SUP1442,Noncdm Charge Record Medical Supplies - Tube Endotrach 4Mm Nsl-Orl,7.24,2.82,,,0
CDM,SUP144227,Noncdm Charge Record Medical Supplies,2615.45,1020.03,,,0
CDM,SUP144229,Noncdm Charge Record Medical Supplies,2615.45,1020.03,,,0
CDM,SUP144230,Noncdm Charge Record Medical Supplies - Screw Bone L60Mm D 5.5Mm Cann Comp Headless Screw- St,2615.96,1020.22,,,0
CDM,SUP144249,Noncdm Charge Record Medical Supplies,2615.45,1020.03,,,0
CDM,SUP144253,Noncdm Charge Record Medical Supplies - Screw Bone L70Mm D 6.5Mm Cann Comp Headless Screw- St,2615.45,1020.03,,,0
CDM,SUP144254,Noncdm Charge Record Medical Supplies - Screw Bone L75Mm D 6.5Mm Cann Comp Headless Screw- St,3091.54,1205.7,,,0
CDM,SUP144255,Noncdm Charge Record Medical Supplies - Screw Bone L80Mm D 6.5Mm Cann Comp Headless Screw- St,2615.45,1020.03,,,0
CDM,SUP144257,Noncdm Charge Record Medical Supplies,3091.54,1205.7,,,0
CDM,SUP144272,Noncdm Charge Record Medical Supplies,2615.45,1020.03,,,0
CDM,SUP144273,Noncdm Charge Record Medical Supplies,2615.45,1020.03,,,0
CDM,SUP144274,Noncdm Charge Record Medical Supplies - Screw Bone L70Mm D 7.5Mm Cann Comp Headless Screw- St,2615.45,1020.03,,,0
CDM,SUP144275,Noncdm Charge Record Medical Supplies - Screw Bone L75Mm D 7.5Mm Cann Comp Headless Screw- St,2615.45,1020.03,,,0
CDM,SUP144276,Noncdm Charge Record Medical Supplies - Screw Bone L80Mm D 7.5Mm Cann Comp Headless Screw- St,2615.45,1020.03,,,0
CDM,SUP144277,Noncdm Charge Record Medical Supplies - Screw Bone L85Mm D 7.5Mm Cann Comp Headless Screw- St,2615.45,1020.03,,,0
CDM,SUP144280,Noncdm Charge Record Medical Supplies - Screw Bone L20Mm D 2Mm Cann Comp Headless Screw- Lt,1803.75,703.46,,,0
CDM,SUP144284,Noncdm Charge Record Medical Supplies - Screw Bone L24Mm D 2Mm Cann Comp Headless Screw- Lt,1725.34,672.88,,,0
CDM,SUP144287,Noncdm Charge Record Medical Supplies - Screw Bone L26Mm D 2Mm Cann Comp Headless Screw- Lt- Ster,1938.56,756.04,,,0
CDM,SUP144293,Noncdm Charge Record Medical Supplies - Screw Bone L20Mm D 2.5Mm Cann Comp Headless Screw- Lt- Ster,1938.04,755.84,,,0
CDM,SUP144294,Noncdm Charge Record Medical Supplies - Screw Bone L22Mm D 2.5Mm Cann Comp Headless Screw- Lt,1829.88,713.65,,,0
CDM,SUP144296,Noncdm Charge Record Medical Supplies,1725.34,672.88,,,0
CDM,SUP144297,Noncdm Charge Record Medical Supplies - Screw Bone L24Mm D 2.5Mm Cann Comp Headless Screw- Lt- Ster,2202.48,858.97,,,0
CDM,SUP144298,Noncdm Charge Record Medical Supplies - Screw Bone L26Mm D 2.5Mm Cann Comp Headless Screw- Lt,1725.34,672.88,,,0
CDM,SUP1443,Noncdm Charge Record Medical Supplies - Shoe Lg F Pat Postop Wdn Sole,18.33,7.15,,,0
CDM,SUP144301,Noncdm Charge Record Medical Supplies - Screw Bone L28Mm D 2.5Mm Cann Comp Headless Screw- Lt- Ster,1938.56,756.04,,,0
CDM,SUP144302,Noncdm Charge Record Medical Supplies - Screw Bone L30Mm D 2.5Mm Cann Comp Headless Screw- Lt- Ster,1938.56,756.04,,,0
CDM,SUP144308,Noncdm Charge Record Medical Supplies - Screw Bone L38Mm D 2.5Mm Cann Comp Headless Screw- Lt,1725.34,672.88,,,0
CDM,SUP144309,Noncdm Charge Record Medical Supplies,1938.56,756.04,,,0
CDM,SUP14430_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurg Ylw 11Cm,76.59,29.87,,,0
CDM,SUP14430_A9999_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurg Ylw 11Cm,76.59,29.87,,,0
CDM,SUP144311,Noncdm Charge Record Medical Supplies - Screw Bone L40Mm D 2.5Mm Cann Comp Headless Screw- Lt- Ster,2290.46,893.28,,,0
CDM,SUP144313,Noncdm Charge Record Medical Supplies - Screw Bone L20Mm D 3Mm Cann Comp Headless Screw- Lt- Ster,1938.56,756.04,,,0
CDM,SUP144314,Noncdm Charge Record Medical Supplies - Screw Bone L22Mm D 3Mm Cann Comp Headless Screw- Lt,1725.34,672.88,,,0
CDM,SUP144317,Noncdm Charge Record Medical Supplies - Screw Bone L24Mm D 3Mm Cann Comp Headless Screw- Lt- Ster,1938.56,756.04,,,0
CDM,SUP14431_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurg Grn 11Cm,39.29,15.32,,,0
CDM,SUP14431_A4649_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurg Grn 11Cm,8.28,3.23,,,0
CDM,SUP144320,Noncdm Charge Record Medical Supplies - Screw Bone L28Mm D 3Mm Cann Comp Headless Screw- Lt,1725.34,672.88,,,0
CDM,SUP144321,Noncdm Charge Record Medical Supplies,1938.56,756.04,,,0
CDM,SUP144322,Noncdm Charge Record Medical Supplies - Screw Bone L30Mm D 3Mm Cann Comp Headless Screw- Lt,1725.34,672.88,,,0
CDM,SUP144323,Noncdm Charge Record Medical Supplies - Screw Bone L30Mm D 3Mm Cann Comp Headless Screw- Lt- Ster,1938.56,756.04,,,0
CDM,SUP144324,Noncdm Charge Record Medical Supplies - Screw Bone L32Mm D 3Mm Cann Comp Headless Screw- Lt,1725.34,672.88,,,0
CDM,SUP144327,Noncdm Charge Record Medical Supplies,1938.56,756.04,,,0
CDM,SUP144328,Noncdm Charge Record Medical Supplies - Screw Bone L36Mm D 3Mm Cann Comp Headless Screw- Lt,1725.34,672.88,,,0
CDM,SUP144329,Noncdm Charge Record Medical Supplies - Screw Bone L36Mm D 3Mm Cann Comp Headless Screw- Lt- Ster,1938.04,755.84,,,0
CDM,SUP14432_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurg Wht 11Cm Sf-T-Ga Round,41.4,16.15,,,0
CDM,SUP14432_A4649_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurg Wht 11Cm Sf-T-Ga Round,8.28,3.23,,,0
CDM,SUP14432_A9999_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurg Wht 11Cm Sf-T-Ga Round,76.59,29.87,,,0
CDM,SUP144331,Noncdm Charge Record Medical Supplies,1938.56,756.04,,,0
CDM,SUP144332,Noncdm Charge Record Medical Supplies - Screw Bone L40Mm D 3Mm Cann Comp Headless Screw- Lt,1725.34,672.88,,,0
CDM,SUP144336,Noncdm Charge Record Medical Supplies - Screw Bone L26Mm D 3.5Mm Cann Comp Headless Screw- Lt,1725.34,672.88,,,0
CDM,SUP144340,Noncdm Charge Record Medical Supplies,1725.34,672.88,,,0
CDM,SUP144346,Noncdm Charge Record Medical Supplies,1725.34,672.88,,,0
CDM,SUP144348,Noncdm Charge Record Medical Supplies,1725.34,672.88,,,0
CDM,SUP144366,Noncdm Charge Record Medical Supplies,1725.34,672.88,,,0
CDM,SUP14436_270,Noncdm Charge Record Medical Supplies - Tubing Antisiphon 72In Luer Lock Baxter,24.84,9.69,,,0
CDM,SUP14436_272,Noncdm Charge Record Medical Supplies - Tubing Antisiphon 72In Luer Lock Baxter,24.84,9.69,,,0
CDM,SUP14437,Noncdm Charge Record Medical Supplies - Suture Ethilon 9-0 Bv100-4 5In Black Ethicon,112.56,43.9,,,0
CDM,SUP144373,Noncdm Charge Record Medical Supplies - Screw Bone L36Mm D 4Mm Cann Comp Headless Screw-Lt,1725.34,672.88,,,0
CDM,SUP144374,Noncdm Charge Record Medical Supplies - Screw Bone L36Mm D 4Mm Cann Comp Headless Screw-Lt- Ster,1938.04,755.84,,,0
CDM,SUP144375,Noncdm Charge Record Medical Supplies,1829.88,713.65,,,0
CDM,SUP144377,Noncdm Charge Record Medical Supplies - Screw Bone L40Mm D 4Mm Cann Comp Headless Screw- Lt,2038.95,795.19,,,0
CDM,SUP144378,Noncdm Charge Record Medical Supplies - Screw Bone L40Mm D 4Mm Cann Comp Headless Screw- Lt- Ster,1938.56,756.04,,,0
CDM,SUP144379,Noncdm Charge Record Medical Supplies - Screw Bone L42Mm D 4Mm Cann Comp Headless Screw- Lt,1725.34,672.88,,,0
CDM,SUP14438,Noncdm Charge Record Medical Supplies - Suture Ethilon 8-0 Bv130-4 5In Black Ethicon,78.98,30.8,,,0
CDM,SUP144381,Noncdm Charge Record Medical Supplies - Screw Bone L44Mm D 4Mm Cann Comp Headless Screw- Lt,1725.34,672.88,,,0
CDM,SUP144384,Noncdm Charge Record Medical Supplies - Screw Bone L46Mm D 4Mm Cann Comp Headless Screw- Lt- Ster,2290.46,893.28,,,0
CDM,SUP144385,Noncdm Charge Record Medical Supplies,1934.42,754.42,,,0
CDM,SUP144387,Noncdm Charge Record Medical Supplies,1725.34,672.88,,,0
CDM,SUP144389,Noncdm Charge Record Medical Supplies,1725.34,672.88,,,0
CDM,SUP144390,Noncdm Charge Record Medical Supplies - Screw Bone L52Mm D 4Mm Cann Comp Headless Screw- Lt- Ster,1938.56,756.04,,,0
CDM,SUP144392,Noncdm Charge Record Medical Supplies,1938.56,756.04,,,0
CDM,SUP14439_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 0 Sh 60In Ethicon,149.04,58.13,,,0
CDM,SUP14439_A4649_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 0 Sh 60In Ethicon,152.15,59.34,,,0
CDM,SUP14439_A9999_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 0 Sh 60In Ethicon,144.03,56.17,,,0
CDM,SUP14440,Noncdm Charge Record Medical Supplies - Tube Endotrach 7Mm Oral Cuff,19.92,7.77,,,0
CDM,SUP144409,Noncdm Charge Record Medical Supplies - Screw Bone L34Mm D 4.5Mm Cann Comp Headless Screw-Lt,2038.95,795.19,,,0
CDM,SUP144415,Noncdm Charge Record Medical Supplies - Screw Bone L40Mm D 4.5Mm Cann Comp Headless Screw- Lt,1725.34,672.88,,,0
CDM,SUP144416,Noncdm Charge Record Medical Supplies,1938.04,755.84,,,0
CDM,SUP144417,Noncdm Charge Record Medical Supplies,1829.88,713.65,,,0
CDM,SUP144419,Noncdm Charge Record Medical Supplies - Screw Bone L44Mm D 4.5Mm Cann Comp Headless Screw- Lt,1725.34,672.88,,,0
CDM,SUP144420,Noncdm Charge Record Medical Supplies,1938.56,756.04,,,0
CDM,SUP144422,Noncdm Charge Record Medical Supplies - Screw Bone L46Mm D 4.5Mm Cann Comp Headless Screw- Lt- Ster,1938.56,756.04,,,0
CDM,SUP144425,Noncdm Charge Record Medical Supplies - Screw Bone L50Mm D 4.5Mm Cann Comp Headless Screw- Lt,1882.15,734.04,,,0
CDM,SUP144427,Noncdm Charge Record Medical Supplies - Screw Bone L55Mm D 4.5Mm Cann Comp Headless Screw- Lt,1725.34,672.88,,,0
CDM,SUP144429,Noncdm Charge Record Medical Supplies - Screw Bone L60Mm D 4.5Mm Cann Comp Headless Screw- Lt,1725.34,672.88,,,0
CDM,SUP144431,Noncdm Charge Record Medical Supplies - Screw Bone L65Mm D 4.5Mm Cann Comp Headless Screw- Lt,1725.34,672.88,,,0
CDM,SUP144433,Noncdm Charge Record Medical Supplies - Screw Bone L70Mm D 4.5Mm Cann Comp Headless Screw- Lt,1926.65,751.39,,,0
CDM,SUP144435,Noncdm Charge Record Medical Supplies - Screw Bone L75Mm D 4.5Mm Cann Comp Headless Screw- Lt,1926.65,751.39,,,0
CDM,SUP144437,Noncdm Charge Record Medical Supplies,1725.34,672.88,,,0
CDM,SUP14443_272,Noncdm Charge Record Medical Supplies - Cautery Needle Tip .75In .75Ga Teleflex Medical,20.96,8.17,,,0
CDM,SUP14443_A4649_272,Noncdm Charge Record Medical Supplies - Cautery Needle Tip .75In .75Ga Teleflex Medical,21.57,8.41,,,0
CDM,SUP14443_A9999_272,Noncdm Charge Record Medical Supplies - Cautery Needle Tip .75In .75Ga Teleflex Medical,18.63,7.27,,,0
CDM,SUP14444,Noncdm Charge Record Medical Supplies,13.46,5.25,,,0
CDM,SUP144452,Noncdm Charge Record Medical Supplies,2615.45,1020.03,,,0
CDM,SUP144453,Noncdm Charge Record Medical Supplies,2615.45,1020.03,,,0
CDM,SUP144454,Noncdm Charge Record Medical Supplies,2615.45,1020.03,,,0
CDM,SUP144456,Noncdm Charge Record Medical Supplies,2615.45,1020.03,,,0
CDM,SUP144459,Noncdm Charge Record Medical Supplies - Screw Bone L55Mm D 5.5Mm Cann Comp Headless Screw- Lt,2734.47,1066.44,,,0
CDM,SUP144465,Noncdm Charge Record Medical Supplies,2615.45,1020.03,,,0
CDM,SUP144474,Noncdm Charge Record Medical Supplies,2615.45,1020.03,,,0
CDM,SUP144476,Noncdm Charge Record Medical Supplies - Screw Bone L50Mm D 6.5Mm Cann Comp Headless Screw-Lt,3091.54,1205.7,,,0
CDM,SUP144477,Noncdm Charge Record Medical Supplies - Screw Bone L55Mm D 6.5Mm Cann Comp Headless Screw-Lt,2615.45,1020.03,,,0
CDM,SUP144478,Noncdm Charge Record Medical Supplies - Screw Bone L60Mm D 6.5Mm Cann Comp Headless Screw-Lt,2615.96,1020.22,,,0
CDM,SUP144479,Noncdm Charge Record Medical Supplies - Screw Bone L65Mm D 6.5Mm Cann Comp Headless Screw-Lt,2734.73,1066.54,,,0
CDM,SUP14448,Noncdm Charge Record Medical Supplies - Suture Vicryl 0 27In Tie Undyed Ethicon,352.94,137.65,,,0
CDM,SUP144480,Noncdm Charge Record Medical Supplies - Screw Bone L70Mm D 6.5Mm Cann Comp Headless Screw-Lt,2615.79,1020.16,,,0
CDM,SUP144483,Noncdm Charge Record Medical Supplies - Screw Bone L85Mm D 6.5Mm Cann Comp Headless Screw-Lt,2615.96,1020.22,,,0
CDM,SUP144486,Noncdm Charge Record Medical Supplies,2615.45,1020.03,,,0
CDM,SUP144494,Noncdm Charge Record Medical Supplies - Screw Bone L140Mm D 7.5Mm Cann Comp Headless Screw-Lt,2615.45,1020.03,,,0
CDM,SUP144495,Noncdm Charge Record Medical Supplies,2615.45,1020.03,,,0
CDM,SUP144497,Noncdm Charge Record Medical Supplies,2615.45,1020.03,,,0
CDM,SUP144498,Noncdm Charge Record Medical Supplies - Screw Bone L60Mm D 7.5Mm Cann Comp Headless Screw- Lt,2615.45,1020.03,,,0
CDM,SUP14449_272,Noncdm Charge Record Medical Supplies - Needle Spnl 8In 22Ga Qnck,23.8,9.28,,,0
CDM,SUP14449_A4649_272,Noncdm Charge Record Medical Supplies - Needle Spnl 8In 22Ga Qnck,23.8,9.28,,,0
CDM,SUP14449_A9999_272,Noncdm Charge Record Medical Supplies - Needle Spnl 8In 22Ga Qnck,23.8,9.28,,,0
CDM,SUP1445,Noncdm Charge Record Medical Supplies - Bag Collection Fecal Medium Convatec Inc,18.37,7.16,,,0
CDM,SUP144500,Noncdm Charge Record Medical Supplies - Screw Bone L70Mm D 7.5Mm Cann Comp Headless Screw- Lt,2615.45,1020.03,,,0
CDM,SUP144502,Noncdm Charge Record Medical Supplies,2615.45,1020.03,,,0
CDM,SUP144503,Noncdm Charge Record Medical Supplies,2615.45,1020.03,,,0
CDM,SUP144504,Noncdm Charge Record Medical Supplies - Screw Bone L90Mm D 7.5Mm Cann Comp Headless Screw- Lt,2615.45,1020.03,,,0
CDM,SUP144506,Noncdm Charge Record Medical Supplies - Screw Bone L10Mm D 5Mm Cann Peripr Val Scr -Slf-Tpng-Strd,1224.4,477.52,,,0
CDM,SUP144507,Noncdm Charge Record Medical Supplies - Screw Bone L12Mm D 5Mm Cann Peripr Val Scr- -Slf-Tpng-Str,1256.23,489.93,,,0
CDM,SUP144508,Noncdm Charge Record Medical Supplies - Screw Bone L14Mm D 5Mm Cann Peripr Val Scr- -Slf-Tpng-Str,1238.55,483.03,,,0
CDM,SUP144509,Noncdm Charge Record Medical Supplies - Screw Bone L16Mm D 5Mm Cann Peripr Val Scr -Slf-Tpng-Strd,1242.59,484.61,,,0
CDM,SUP144510,Noncdm Charge Record Medical Supplies - Screw Bone L18Mm D 5Mm Cann Peripr Val Scr-Slf-Tpng-Strdr,1224.4,477.52,,,0
CDM,SUP144511,Noncdm Charge Record Medical Supplies - Screw Bone L20Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,880.27,343.31,,,0
CDM,SUP144512,Noncdm Charge Record Medical Supplies - Screw Bone L22Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,880.27,343.31,,,0
CDM,SUP144513,Noncdm Charge Record Medical Supplies - Screw Bone L24Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,875.82,341.57,,,0
CDM,SUP144514,Noncdm Charge Record Medical Supplies - Screw Bone L26Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,858.02,334.63,,,0
CDM,SUP144515,Noncdm Charge Record Medical Supplies - Screw Bone L28Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,877.79,342.34,,,0
CDM,SUP144516,Noncdm Charge Record Medical Supplies - Screw Bone L30Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,872.85,340.41,,,0
CDM,SUP144517,Noncdm Charge Record Medical Supplies - Screw Bone L32Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,896.16,349.5,,,0
CDM,SUP144518,Noncdm Charge Record Medical Supplies - Screw Bone L34Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,881.75,343.88,,,0
CDM,SUP144519,Noncdm Charge Record Medical Supplies - Screw Bone L36Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,870.04,339.32,,,0
CDM,SUP144520,Noncdm Charge Record Medical Supplies - Screw Bone L38Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,871.2,339.77,,,0
CDM,SUP144521,Noncdm Charge Record Medical Supplies - Screw Bone L40Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,879.5,343.0,,,0
CDM,SUP144522,Noncdm Charge Record Medical Supplies - Screw Bone L42Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,868.49,338.71,,,0
CDM,SUP144523,Noncdm Charge Record Medical Supplies - Screw Bone L44Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,880.27,343.31,,,0
CDM,SUP144524,Noncdm Charge Record Medical Supplies - Screw Bone L46Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,893.62,348.51,,,0
CDM,SUP144525,Noncdm Charge Record Medical Supplies - Screw Bone L48Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,867.9,338.48,,,0
CDM,SUP144526,Noncdm Charge Record Medical Supplies - Screw Bone L50Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,878.96,342.79,,,0
CDM,SUP144527,Noncdm Charge Record Medical Supplies - Screw Bone L55Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,867.9,338.48,,,0
CDM,SUP144528,Noncdm Charge Record Medical Supplies - Screw Bone L60Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,860.49,335.59,,,0
CDM,SUP144529,Noncdm Charge Record Medical Supplies - Screw Bone L65Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,867.55,338.34,,,0
CDM,SUP144530,Noncdm Charge Record Medical Supplies - Screw Bone L70Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,870.0,339.3,,,0
CDM,SUP144531,Noncdm Charge Record Medical Supplies - Screw Bone L75Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,865.99,337.74,,,0
CDM,SUP144532,Noncdm Charge Record Medical Supplies - Screw Bone L80Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,868.97,338.9,,,0
CDM,SUP144533,Noncdm Charge Record Medical Supplies - Screw Bone L85Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,873.91,340.82,,,0
CDM,SUP144534,Noncdm Charge Record Medical Supplies - Screw Bone L90Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,887.68,346.2,,,0
CDM,SUP144541,Noncdm Charge Record Medical Supplies - Screw Bone L50Mm D 5Mm Cann Val Screw,1160.23,452.49,,,0
CDM,SUP144543,Noncdm Charge Record Medical Supplies - Screw Bone L65Mm D 5Mm Cann Val Screw,1160.23,452.49,,,0
CDM,SUP144544,Noncdm Charge Record Medical Supplies - Screw Bone L75Mm D 5Mm Cann Val Screw,1160.23,452.49,,,0
CDM,SUP144545,Noncdm Charge Record Medical Supplies - Screw Bone L80Mm D 5Mm Cann Val Screw,1160.23,452.49,,,0
CDM,SUP144546,Noncdm Charge Record Medical Supplies - Screw Bone L85Mm D 5Mm Cann Val Screw,1160.23,452.49,,,0
CDM,SUP1446,Noncdm Charge Record Medical Supplies - See 1129 Bag Drain Bile 19Oz Bard Medical,25.88,10.09,,,0
CDM,SUP14460_272,Noncdm Charge Record Medical Supplies - Syringe 5Ml Ll Tip Med Gls,28.98,11.3,,,0
CDM,SUP14460_A4649_272,Noncdm Charge Record Medical Supplies - Syringe 5Ml Ll Tip Med Gls,28.98,11.3,,,0
CDM,SUP144672,Noncdm Charge Record Medical Supplies - Stapler External Green Blue Sureform 60 Seamguard,861.54,336.0,,,0
CDM,SUP144673,Noncdm Charge Record Medical Supplies - Stapler External Black Sureform 60 Seamguard,861.79,336.1,,,0
CDM,SUP144674_272,Noncdm Charge Record Medical Supplies - Pack Ortho Quackenbush,664.37,259.1,,,0
CDM,SUP144674_A4649_272,Noncdm Charge Record Medical Supplies - Pack Ortho Quackenbush,672.75,262.37,,,0
CDM,SUP14471,Noncdm Charge Record Medical Supplies - Tube Endtrch 4Mm Oral Shrd,20.11,7.84,,,0
CDM,SUP14472,Noncdm Charge Record Medical Supplies - Tube Endbr 35Fr Lt Ang Loprs,366.39,142.89,,,0
CDM,SUP144729,Noncdm Charge Record Medical Supplies,920.63,359.05,,,0
CDM,SUP14473,Noncdm Charge Record Medical Supplies - Tube Endbr 37Fr Lt Ang Loprs,366.39,142.89,,,0
CDM,SUP144730,Noncdm Charge Record Medical Supplies - Terumo Finecross Coronary Micro-Guide Catheter,391.23,152.58,,,0
CDM,SUP144731,Noncdm Charge Record Medical Supplies - Wand Ablation 4.6Mm For Ambient Covac 50 Ifs,2441.56,952.21,,,0
CDM,SUP14476,Noncdm Charge Record Medical Supplies - Suture Nyl 10-0 12In Microgld,9.32,3.63,,,0
CDM,SUP14477,Noncdm Charge Record Medical Supplies - Basket Zerotip 3.0Fx120Cmx16Mm Boston Scientific,855.35,333.59,,,0
CDM,SUP14478_272,Noncdm Charge Record Medical Supplies - Cable Pacing 12Ft Algtr Clip,51.76,20.19,,,0
CDM,SUP14478_A4649_272,Noncdm Charge Record Medical Supplies - Cable Pacing 12Ft Algtr Clip,51.75,20.18,,,0
CDM,SUP14478_A9999_272,Noncdm Charge Record Medical Supplies - Cable Pacing 12Ft Algtr Clip,51.75,20.18,,,0
CDM,SUP14480,Noncdm Charge Record Medical Supplies - Shears Electrosurg 36Cm 5Mm,2035.84,793.98,,,0
CDM,SUP14481,Noncdm Charge Record Medical Supplies - Catheter Iabp 34Cc Balloon,3401.01,1326.39,,,0
CDM,SUP14482,Noncdm Charge Record Medical Supplies - Clip Filshie 4Mm Fallopian Tube Endo Coopersurgical Inc,436.25,170.14,,,0
CDM,SUP14484,Noncdm Charge Record Medical Supplies - Sensor Bis Monitor Lf,122.13,47.63,,,0
CDM,SUP14485,Noncdm Charge Record Medical Supplies - Solution Surg Prep 4Oz Bnzn,69.34,27.04,,,0
CDM,SUP14487,Noncdm Charge Record Medical Supplies - See 141121 Suture Pds2 0 Ctx 60In Violet Ethicon,27.94,10.9,,,0
CDM,SUP14490_272,Noncdm Charge Record Medical Supplies - Handpiece Intpls Coax Bn Cln Tip Set Pls Lav,189.38,73.86,,,0
CDM,SUP14490_A4649_272,Noncdm Charge Record Medical Supplies - Handpiece Intpls Coax Bn Cln Tip Set Pls Lav,186.26,72.64,,,0
CDM,SUP14490_A9999_272,Noncdm Charge Record Medical Supplies - Handpiece Intpls Coax Bn Cln Tip Set Pls Lav,195.89,76.4,,,0
CDM,SUP144921,Noncdm Charge Record Medical Supplies,839.38,327.36,,,0
CDM,SUP144922_272,Noncdm Charge Record Medical Supplies - Pack Cust Angio Spalding Regional,221.85,86.52,,,0
CDM,SUP144922_A4649_272,Noncdm Charge Record Medical Supplies - Pack Cust Angio Spalding Regional,222.73,86.86,,,0
CDM,SUP144922_A9999_272,Noncdm Charge Record Medical Supplies - Pack Cust Angio Spalding Regional,219.42,85.57,,,0
CDM,SUP14493,Noncdm Charge Record Medical Supplies - Suture Monocryl 2-0 Ct-1 18In Violet Ethicon,77.33,30.16,,,0
CDM,SUP144943,Noncdm Charge Record Medical Supplies - Drill Kit Disposable Phasor W- 2.7-Mm Size (E.G. For Camino),1953.24,761.76,,,0
CDM,SUP14495_272,Noncdm Charge Record Medical Supplies - Electrode Emg Chan Pr Sbdrm,595.65,232.3,,,0
CDM,SUP14495_A4649_272,Noncdm Charge Record Medical Supplies - Electrode Emg Chan Pr Sbdrm,613.1,239.11,,,0
CDM,SUP14495_A9999_272,Noncdm Charge Record Medical Supplies - Electrode Emg Chan Pr Sbdrm,566.14,220.79,,,0
CDM,SUP144983_272,Noncdm Charge Record Medical Supplies - Sjm Cable Extension Ablation Safire 300Cc,1063.51,414.77,,,0
CDM,SUP144983_A9999_272,Noncdm Charge Record Medical Supplies - Sjm Cable Extension Ablation Safire 300Cc,1047.42,408.49,,,0
CDM,SUP144985,Noncdm Charge Record Medical Supplies,4456.71,1738.12,,,0
CDM,SUP14510,Noncdm Charge Record Medical Supplies - Blade Shaver Brick Rd 5.5Mm Ac Acrbls Dync Strt,219.42,85.57,,,0
CDM,SUP145119_272,Noncdm Charge Record Medical Supplies - Tube Gastrostomy Feeding L10Cm Od18Fr 5-10Ml M Balloon,312.34,121.81,,,0
CDM,SUP145119_A4649_272,Noncdm Charge Record Medical Supplies - Tube Gastrostomy Feeding L10Cm Od18Fr 5-10Ml M Balloon,312.57,121.9,,,0
CDM,SUP145119_C1889_278,Noncdm Charge Record Medical Supplies - Tube Gastrostomy Feeding L10Cm Od18Fr 5-10Ml M Balloon,312.38,121.83,,,0
CDM,SUP14511_272,Noncdm Charge Record Medical Supplies - Burr Surg Slt 4.5Mm Helicut Dync Strt Arthro,523.71,204.25,,,0
CDM,SUP14511_A4649_272,Noncdm Charge Record Medical Supplies - Burr Surg Slt 4.5Mm Helicut Dync Strt Arthro,523.71,204.25,,,0
CDM,SUP145120,Noncdm Charge Record Medical Supplies - Microcoil Embolization L7Cm Dia10Mm 0.035In,570.28,222.41,,,0
CDM,SUP145123,Noncdm Charge Record Medical Supplies - Microcoil Embolization L7Cm Dia6Mm 0.035In,570.28,222.41,,,0
CDM,SUP14514,Noncdm Charge Record Medical Supplies - Blade Shaver Viol 4.5Mm Incsr + Dync Strt,219.42,85.57,,,0
CDM,SUP145143,Noncdm Charge Record Medical Supplies - Bur Surgical Acorn Cutting 9.0 Mm,469.39,183.06,,,0
CDM,SUP145147,Noncdm Charge Record Medical Supplies - Forceps Isocool Lpt 9.5L 4.5Wl 2Mm,2245.95,875.92,,,0
CDM,SUP14516,Noncdm Charge Record Medical Supplies - Valve Peep 1.5-20 Cmw 30Mm 20,9.32,3.63,,,0
CDM,SUP14517,Noncdm Charge Record Medical Supplies - See 140934 Suture Vicryl 3-0 Rb1 27In Violet Ethicon,8.28,3.23,,,0
CDM,SUP145199_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 1X27In Ks,11.8,4.6,,,0
CDM,SUP145199_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 1X27In Ks,12.42,4.84,,,0
CDM,SUP14519_272,Noncdm Charge Record Medical Supplies - Suture Plain 4-0 Sc-1 18In Double Arm Ethicon,29.77,11.61,,,0
CDM,SUP14519_A4649_272,Noncdm Charge Record Medical Supplies - Suture Plain 4-0 Sc-1 18In Double Arm Ethicon,29.61,11.55,,,0
CDM,SUP14519_A9999_272,Noncdm Charge Record Medical Supplies - Suture Plain 4-0 Sc-1 18In Double Arm Ethicon,30.02,11.71,,,0
CDM,SUP1451_270,Noncdm Charge Record Medical Supplies - Boot Cast Cnvs Lg Rckr Sole Op,22.98,8.96,,,0
CDM,SUP1451_A4649_270,Noncdm Charge Record Medical Supplies - Boot Cast Cnvs Lg Rckr Sole Op,22.77,8.88,,,0
CDM,SUP145201,Noncdm Charge Record Medical Supplies - Stent Positioner Ureteral 4.8Fr L45Cm,49.68,19.38,,,0
CDM,SUP145213,Noncdm Charge Record Medical Supplies - Gastrostomy Feeding Tube 20Fr L260Cm Silicone,832.14,324.53,,,0
CDM,SUP14522,Noncdm Charge Record Medical Supplies - Pad Hydrogel 2.5In Comfortgel,30.02,11.71,,,0
CDM,SUP14523_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 0 Sh 36In Double Arm Green Ethicon,20.69,8.07,,,0
CDM,SUP14523_A4649_272,Noncdm Charge Record Medical Supplies,20.7,8.07,,,0
CDM,SUP14523_A9999_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 0 Sh 36In Double Arm Green Ethicon,20.7,8.07,,,0
CDM,SUP14524_272,Noncdm Charge Record Medical Supplies - Clip Med Lg Intnl Hem-O-Lok Po Polymer Endo Lgt,160.69,62.67,,,0
CDM,SUP14524_A4649_272,Noncdm Charge Record Medical Supplies - Clip Med Lg Intnl Hem-O-Lok Po Polymer Endo Lgt,163.74,63.86,,,0
CDM,SUP14524_A9999_272,Noncdm Charge Record Medical Supplies - Clip Med Lg Intnl Hem-O-Lok Po Polymer Endo Lgt,157.66,61.49,,,0
CDM,SUP145252,Noncdm Charge Record Medical Supplies - Needle Aspiration 21X15Ga L15Mm Working L115Cm Channel,312.57,121.9,,,0
CDM,SUP145254_272,Noncdm Charge Record Medical Supplies,1047.42,408.49,,,0
CDM,SUP145254_C1726_272,Noncdm Charge Record Medical Supplies,1282.36,500.12,,,0
CDM,SUP145263,Noncdm Charge Record Medical Supplies - Graft Vascular L45Cm Dia4-6Mm Universal Ptfe Straight Stand,5935.72,2314.93,,,0
CDM,SUP145266_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 5-0 L18In Violet Antibacterial L13Mm,36.73,14.32,,,0
CDM,SUP145266_A4649_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 5-0 L18In Violet Antibacterial L13Mm,35.19,13.72,,,0
CDM,SUP145266_A9999_272,Noncdm Charge Record Medical Supplies - Suture Pds Plus 5-0 L18In Violet Antibacterial L13Mm,37.26,14.53,,,0
CDM,SUP145275,Noncdm Charge Record Medical Supplies - Tray Spinal 24Ga Anesthesia Design Options,72.45,28.26,,,0
CDM,SUP1453,Noncdm Charge Record Medical Supplies - Introducer Sheath 7Fr 2.5Cm 10Cm Wo Mini,42.5,16.58,,,0
CDM,SUP14530_272,Noncdm Charge Record Medical Supplies - Reload Stapler 12X4Mm Ti Univ,446.08,173.97,,,0
CDM,SUP14530_A4649_272,Noncdm Charge Record Medical Supplies - Reload Stapler 12X4Mm Ti Univ,446.08,173.97,,,0
CDM,SUP14531,Noncdm Charge Record Medical Supplies - Reload Stapler 45X2.5Mm Ti Uni V Vasc Endo Lin,676.89,263.99,,,0
CDM,SUP145336,Noncdm Charge Record Medical Supplies,586.84,228.87,,,0
CDM,SUP145337_272,Noncdm Charge Record Medical Supplies - Tubing Fluid Management Y Double Spike Dualwavea,102.49,39.97,,,0
CDM,SUP145337_A4649_272,Noncdm Charge Record Medical Supplies - Tubing Fluid Management Y Double Spike Dualwavea,102.46,39.96,,,0
CDM,SUP145337_A9999_272,Noncdm Charge Record Medical Supplies - Tubing Fluid Management Y Double Spike Dualwavea,102.46,39.96,,,0
CDM,SUP145338,Noncdm Charge Record Medical Supplies - Set Arthroscopy Outflow Cassette Tube Dualwave,107.64,41.98,,,0
CDM,SUP145349,Noncdm Charge Record Medical Supplies - Suture Srgpro 2 6-0 Cv-301 30In Cntrl Rel 2,34.31,13.38,,,0
CDM,SUP14538_272,Noncdm Charge Record Medical Supplies - Wire Fx 1.6Mm150Mm Troc Pt Ns Ss Krsh,288.76,112.62,,,0
CDM,SUP14538_C1713_278,Noncdm Charge Record Medical Supplies - Wire Fx 1.6Mm150Mm Troc Pt Ns Ss Krsh,92.89,36.23,,,0
CDM,SUP14539,Noncdm Charge Record Medical Supplies - System Bn Cement Sculp Strl Disp Bioprep,85.9,33.5,,,0
CDM,SUP145393_272,Noncdm Charge Record Medical Supplies - Bandage Compression W6Inxl15Yd Closure Matrix Wrap,30.02,11.71,,,0
CDM,SUP145393_A9999_272,Noncdm Charge Record Medical Supplies - Bandage Compression W6Inxl15Yd Closure Matrix Wrap,30.02,11.71,,,0
CDM,SUP14540,Noncdm Charge Record Medical Supplies - Suture Mersilene 5-0Mm Ctxb 12In 2 Arm White Ethicon,1034.33,403.39,,,0
CDM,SUP14541,Noncdm Charge Record Medical Supplies - Fiber Laser Ho,2447.78,954.63,,,0
CDM,SUP14543,Noncdm Charge Record Medical Supplies - See 137304 Cuff Blood Prs Tmpkf Adlt 27.5,9.32,3.63,,,0
CDM,SUP145456,Noncdm Charge Record Medical Supplies - See 155813 Kit C-Section Add On Wellstar,123.16,48.03,,,0
CDM,SUP145458_272,Noncdm Charge Record Medical Supplies - Ablator Asp 50D Apollo Rf Mp50,973.94,379.84,,,0
CDM,SUP145458_A4649_272,Noncdm Charge Record Medical Supplies - Ablator Asp 50D Apollo Rf Mp50,973.94,379.84,,,0
CDM,SUP145459,Noncdm Charge Record Medical Supplies - Burr Clrct Rnd 4.0Mmx13Cm 8 Flute,322.92,125.94,,,0
CDM,SUP14546,Noncdm Charge Record Medical Supplies - See 141099 Suture Pds2 0 Ct 36In Violet Cr Ethicon,13.46,5.25,,,0
CDM,SUP145469,Noncdm Charge Record Medical Supplies,13.46,5.25,,,0
CDM,SUP14547_272,Noncdm Charge Record Medical Supplies - Suture Monocryl 3-0 Sh 27In Violet Ethicon,19.55,7.62,,,0
CDM,SUP14547_A4649_272,Noncdm Charge Record Medical Supplies,19.66,7.67,,,0
CDM,SUP14547_A9999_272,Noncdm Charge Record Medical Supplies - Suture Monocryl 3-0 Sh 27In Violet Ethicon,19.66,7.67,,,0
CDM,SUP14548,Noncdm Charge Record Medical Supplies - Guidewire Vasc .018In 150Cm,396.06,154.46,,,0
CDM,SUP14549,Noncdm Charge Record Medical Supplies - Guidewire Vasc .018In 200Cm 8Cm Shp Tip Strbl,441.41,172.15,,,0
CDM,SUP14550,Noncdm Charge Record Medical Supplies - Guidewire Vasc .018In 300Cm 8Cm Shp Tip Strbl,440.57,171.82,,,0
CDM,SUP14551_270,Noncdm Charge Record Medical Supplies - Syringe Angio Wht 3Ml Plycrb,9.46,3.69,,,0
CDM,SUP14551_A4649_270,Noncdm Charge Record Medical Supplies - Syringe Angio Wht 3Ml Plycrb,9.42,3.67,,,0
CDM,SUP14551_A9999_270,Noncdm Charge Record Medical Supplies - Syringe Angio Wht 3Ml Plycrb,9.54,3.72,,,0
CDM,SUP14552_272,Noncdm Charge Record Medical Supplies - See 90532 Stapler Skin 35 Wide Ethicon,164.56,64.18,,,0
CDM,SUP14552_A4649_272,Noncdm Charge Record Medical Supplies - See 90532 Stapler Skin 35 Wide Ethicon,164.56,64.18,,,0
CDM,SUP14552_A9999_272,Noncdm Charge Record Medical Supplies - See 90532 Stapler Skin 35 Wide Ethicon,164.56,64.18,,,0
CDM,SUP14553,Noncdm Charge Record Medical Supplies - Dilator Surg Hydrophil,54.86,21.4,,,0
CDM,SUP14558_270,Noncdm Charge Record Medical Supplies - Device Pstn Prnvw Lg Foam Cushion Insert,122.13,47.63,,,0
CDM,SUP14558_A4649_270,Noncdm Charge Record Medical Supplies - Device Pstn Prnvw Lg Foam Cushion Insert,122.13,47.63,,,0
CDM,SUP14558_A9999_270,Noncdm Charge Record Medical Supplies - Device Pstn Prnvw Lg Foam Cushion Insert,122.13,47.63,,,0
CDM,SUP14559,Noncdm Charge Record Medical Supplies - Electrode Elctrsug 2.75In .75 .75In Ent Blade,23.55,9.18,,,0
CDM,SUP1455_272,Noncdm Charge Record Medical Supplies - Drain Full Round Fluted 19Fr Bard,66.27,25.85,,,0
CDM,SUP1455_A4649_272,Noncdm Charge Record Medical Supplies - Drain Full Round Fluted 19Fr Bard,66.24,25.83,,,0
CDM,SUP1455_A9999_272,Noncdm Charge Record Medical Supplies - Drain Full Round Fluted 19Fr Bard,66.24,25.83,,,0
CDM,SUP1455_C1729_272,Noncdm Charge Record Medical Supplies - Drain Full Round Fluted 19Fr Bard,60.03,23.41,,,0
CDM,SUP1456,Noncdm Charge Record Medical Supplies - See 18602 Boot Cast Cnvs Sm Rckr Sole Op,22.77,8.88,,,0
CDM,SUP14560,Noncdm Charge Record Medical Supplies - Blade 6In .75In Ext Ent Surg,94.25,36.76,,,0
CDM,SUP145614,Noncdm Charge Record Medical Supplies,159.39,62.16,,,0
CDM,SUP145615_270,Noncdm Charge Record Medical Supplies - See 125445 System Splnt 3Inx15Ft Orth Gls,232.88,90.82,,,0
CDM,SUP145615_A4649_270,Noncdm Charge Record Medical Supplies - See 125445 System Splnt 3Inx15Ft Orth Gls,232.88,90.82,,,0
CDM,SUP145615_A9999_270,Noncdm Charge Record Medical Supplies - See 125445 System Splnt 3Inx15Ft Orth Gls,232.88,90.82,,,0
CDM,SUP145617_272,Noncdm Charge Record Medical Supplies - Tourniquet 30In W- Sleeve Di,138.34,53.95,,,0
CDM,SUP145617_A4649_272,Noncdm Charge Record Medical Supplies - Tourniquet 30In W- Sleeve Di,135.58,52.88,,,0
CDM,SUP145617_A9999_272,Noncdm Charge Record Medical Supplies - Tourniquet 30In W- Sleeve Di,161.46,62.97,,,0
CDM,SUP14563_272,Noncdm Charge Record Medical Supplies - 6Fr 3Drc Catheter,46.56,18.16,,,0
CDM,SUP14563_A4649_272,Noncdm Charge Record Medical Supplies - 6Fr 3Drc Catheter,46.58,18.17,,,0
CDM,SUP145661,Noncdm Charge Record Medical Supplies - Catheter Urethral 14Fr Balloon 5Cc Silicone Coude Tip,105.57,41.17,,,0
CDM,SUP145663,Noncdm Charge Record Medical Supplies - Catheter Urethral 22Fr Balloon 5Cc Silicone Coude Tip,105.57,41.17,,,0
CDM,SUP145666,Noncdm Charge Record Medical Supplies - Catheter 18 Fr Silicone Silver Coude,105.57,41.17,,,0
CDM,SUP14569,Noncdm Charge Record Medical Supplies - Nut Rod Mri Safe Ext Fix,33.04,12.89,,,0
CDM,SUP1457,Noncdm Charge Record Medical Supplies - Terumo Glidewire Vasc Std .035In 260Cm 3Cm Ang Tip,229.88,89.65,,,0
CDM,SUP145723,Noncdm Charge Record Medical Supplies,26.91,10.49,,,0
CDM,SUP14573,Noncdm Charge Record Medical Supplies - Catheter Spbc Ob Plwy 16Fr,460.58,179.63,,,0
CDM,SUP14574_272,Noncdm Charge Record Medical Supplies - Needle Epdrl 20Ga 4.5In Tuo Wing Plastic Hub,34.16,13.32,,,0
CDM,SUP14574_A4649_272,Noncdm Charge Record Medical Supplies - Needle Epdrl 20Ga 4.5In Tuo Wing Plastic Hub,34.16,13.32,,,0
CDM,SUP14574_A9999_272,Noncdm Charge Record Medical Supplies - Needle Epdrl 20Ga 4.5In Tuo Wing Plastic Hub,34.16,13.32,,,0
CDM,SUP14576,Noncdm Charge Record Medical Supplies - Suture Mersline 3-0 Fs1 Wvn Braid Nonabs Ethicon,10.16,3.96,,,0
CDM,SUP14577_270,Noncdm Charge Record Medical Supplies - Splint Nasal Sil Neiman 1.67In,140.21,54.68,,,0
CDM,SUP14577_A9999_270,Noncdm Charge Record Medical Supplies - Splint Nasal Sil Neiman 1.67In,134.03,52.27,,,0
CDM,SUP1458,Noncdm Charge Record Medical Supplies - Tray Ultramer Red Rubber Latex 14Fr Covidien,15.52,6.05,,,0
CDM,SUP145830,Noncdm Charge Record Medical Supplies,3625.6,1413.98,,,0
CDM,SUP145831,Noncdm Charge Record Medical Supplies,3625.6,1413.98,,,0
CDM,SUP145832,Noncdm Charge Record Medical Supplies,3625.6,1413.98,,,0
CDM,SUP14599,Noncdm Charge Record Medical Supplies - Membrane Collagen 20Mmx30Mm Biomnd Abs,631.35,246.23,,,0
CDM,SUP145996,Noncdm Charge Record Medical Supplies - Stent Endoprosthesis W-Heparin 035In 8F 9Mmx5Cm 120Cm,14468.65,5642.77,,,0
CDM,SUP145997,Noncdm Charge Record Medical Supplies - Stent Endoprosthesis W-Heparin 035In 8F 9Mmx10Cm 120Cm,15853.87,6183.01,,,0
CDM,SUP146016,Noncdm Charge Record Medical Supplies - Guidewire Endoscopic 0.025Fr L260Cm Tip L5Cm,1171.62,456.93,,,0
CDM,SUP146017,Noncdm Charge Record Medical Supplies - Guidewire Endoscopic L260Cm Dia0.025In,1171.62,456.93,,,0
CDM,SUP146018,Noncdm Charge Record Medical Supplies - Guidewire Endoscopic L260Cm Dia0.018In Tip L6Cm,1286.51,501.74,,,0
CDM,SUP146019,Noncdm Charge Record Medical Supplies - Guidewire Endoscopic L480Cm Dia0.018In Tip L6Cm,1286.51,501.74,,,0
CDM,SUP146020,Noncdm Charge Record Medical Supplies,1699.47,662.79,,,0
CDM,SUP146021,Noncdm Charge Record Medical Supplies - Catheter Balloon Dilatation 7.5Fr L180Cm Balloon,1699.47,662.79,,,0
CDM,SUP146022,Noncdm Charge Record Medical Supplies - Catheter Balloon Dilatation 7.5Fr L180Cm Balloon,1699.47,662.79,,,0
CDM,SUP146023,Noncdm Charge Record Medical Supplies - Capsule Endoscope Calibration Free With Delivery System,6477.92,2526.39,,,0
CDM,SUP146024_272,Noncdm Charge Record Medical Supplies - Catheter Measurement L16Cm Esophageal,9499.14,3704.66,,,0
CDM,SUP146024_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Measurement L16Cm Esophageal,9413.33,3671.2,,,0
CDM,SUP146024_C1726_272,Noncdm Charge Record Medical Supplies - Catheter Measurement L16Cm Esophageal,9861.69,3846.06,,,0
CDM,SUP146025,Noncdm Charge Record Medical Supplies - Curette Vacuum 14Mm 1-2In Base Rigid Curved Cannula Disposab,24.84,9.69,,,0
CDM,SUP146027,Noncdm Charge Record Medical Supplies - Screw Bone 1.8X4Mm Tij Matrix Neuro Screw,1592.86,621.22,,,0
CDM,SUP146029,Noncdm Charge Record Medical Supplies - Catheter 6Fr L120Cm 5Mm Electrode Spacing Band,514.4,200.62,,,0
CDM,SUP146030,Noncdm Charge Record Medical Supplies - Catheter Eps 6Fr L120Cm 5Mm Jsn Curve,514.4,200.62,,,0
CDM,SUP146032,Noncdm Charge Record Medical Supplies - Introducer Sheath C-Lock Hemo 7Fr L12Cm Dia0.038In,59.0,23.01,,,0
CDM,SUP146070,Noncdm Charge Record Medical Supplies,26.91,10.49,,,0
CDM,SUP146075,Noncdm Charge Record Medical Supplies - 7502- Drape 33X23In Incs Anmc Ioban2 Trans Strl Lf,43.47,16.95,,,0
CDM,SUP146109_Q4158_278,Noncdm Charge Record Medical Supplies - Treatment Wound Skin Fish 3X3.5Cm Omega 3 Wound Kercecis,3533.49,1378.06,,,0
CDM,SUP146110_Q4158_278,Noncdm Charge Record Medical Supplies - Treatment Wound Skin Fish 3X7Cm Omega 3 Wound Kercecis,268.36,104.66,,,0
CDM,SUP146111_C1763_278,Noncdm Charge Record Medical Supplies - Treatment Wound Skin Fish 7X10Cm Omega 3 Wound Kercecis,18609.3,7257.63,,,0
CDM,SUP14614,Noncdm Charge Record Medical Supplies - Handpiece Electrosurg Hrmscpl,2191.09,854.53,,,0
CDM,SUP146167,Noncdm Charge Record Medical Supplies - See 143797 Wellstar Total Joint Pack Ws400005,449.19,175.18,,,0
CDM,SUP14617_272,Noncdm Charge Record Medical Supplies - Needle Spnl 3.5In 18Ga Bd Qnck Anes Strl Lv,6.29,2.45,,,0
CDM,SUP14617_A4649_272,Noncdm Charge Record Medical Supplies - Needle Spnl 3.5In 18Ga Bd Qnck Anes Strl Lv,6.21,2.42,,,0
CDM,SUP14617_A9999_272,Noncdm Charge Record Medical Supplies - Needle Spnl 3.5In 18Ga Bd Qnck Anes Strl Lv,6.21,2.42,,,0
CDM,SUP14618,Noncdm Charge Record Medical Supplies - Vacuum Xtrt Kw Prcp Bell Shp,139.99,54.6,,,0
CDM,SUP1461_270,Noncdm Charge Record Medical Supplies - Immobilizer Orth Univ 22In 12-24In Knee 3,122.79,47.89,,,0
CDM,SUP1461_A9999_270,Noncdm Charge Record Medical Supplies - Immobilizer Orth Univ 22In 12-24In Knee 3,122.13,47.63,,,0
CDM,SUP146249,Noncdm Charge Record Medical Supplies,66218.26,25825.12,,,0
CDM,SUP14625,Noncdm Charge Record Medical Supplies - Pouch Telem Aproto Cus Lf Disp,9.32,3.63,,,0
CDM,SUP146255_C1889_278,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 5Mm X 25Mm,66218.26,25825.12,,,0
CDM,SUP146255_C2625_278,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 5Mm X 25Mm,66218.26,25825.12,,,0
CDM,SUP146256_C1876_278,Noncdm Charge Record Medical Supplies,66218.26,25825.12,,,0
CDM,SUP146256_C2625_278,Noncdm Charge Record Medical Supplies,66218.26,25825.12,,,0
CDM,SUP146257,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 5Mm X 35Mm,66218.26,25825.12,,,0
CDM,SUP146265,Noncdm Charge Record Medical Supplies,62182.8,24251.29,,,0
CDM,SUP146270,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 3Mm X 10Mm,62182.8,24251.29,,,0
CDM,SUP146277,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 3.25Mm X 12Mm,62182.8,24251.29,,,0
CDM,SUP146284_C1876_278,Noncdm Charge Record Medical Supplies,62182.8,24251.29,,,0
CDM,SUP146284_C2625_278,Noncdm Charge Record Medical Supplies,62182.8,24251.29,,,0
CDM,SUP146285_C1889_278,Noncdm Charge Record Medical Supplies,62182.8,24251.29,,,0
CDM,SUP146285_C2625_278,Noncdm Charge Record Medical Supplies,62182.8,24251.29,,,0
CDM,SUP146286_C1889_278,Noncdm Charge Record Medical Supplies,62182.8,24251.29,,,0
CDM,SUP146286_C2625_278,Noncdm Charge Record Medical Supplies,62182.8,24251.29,,,0
CDM,SUP146287,Noncdm Charge Record Medical Supplies,62182.8,24251.29,,,0
CDM,SUP146289,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 3.75Mm X 12Mm,62182.8,24251.29,,,0
CDM,SUP146295_C1876_278,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 4Mm X 12Mm,62182.8,24251.29,,,0
CDM,SUP146295_C2625_278,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 4Mm X 12Mm,62182.59,24251.21,,,0
CDM,SUP146296_C1876_278,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 4Mm X 14Mm,62182.8,24251.29,,,0
CDM,SUP146296_C2625_278,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 4Mm X 14Mm,62182.8,24251.29,,,0
CDM,SUP146297,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 4Mm X 16Mm,62182.8,24251.29,,,0
CDM,SUP146298,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 4Mm X 18Mm,62182.8,24251.29,,,0
CDM,SUP146301,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 4.25Mm X 12Mm,62182.8,24251.29,,,0
CDM,SUP146302_C1889_278,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 4.25Mm X 14Mm,62182.8,24251.29,,,0
CDM,SUP146302_C2625_278,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 4.25Mm X 14Mm,62182.8,24251.29,,,0
CDM,SUP146303,Noncdm Charge Record Medical Supplies,62182.8,24251.29,,,0
CDM,SUP146307,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 4.5Mm X 12Mm,62182.8,24251.29,,,0
CDM,SUP146308_C1876_278,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 4.5Mm X 14Mm,62182.8,24251.29,,,0
CDM,SUP146308_C2625_278,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 4.5Mm X 14Mm,62182.8,24251.29,,,0
CDM,SUP146309_C1876_278,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 4.5Mm X 16Mm,62182.8,24251.29,,,0
CDM,SUP146309_C2625_278,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 4.5Mm X 16Mm,62182.8,24251.29,,,0
CDM,SUP146310,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 4.5Mm X 18Mm,62182.8,24251.29,,,0
CDM,SUP146311,Noncdm Charge Record Medical Supplies,62182.8,24251.29,,,0
CDM,SUP146315,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 4.75Mm X 16Mm,62182.8,24251.29,,,0
CDM,SUP146317_C1889_278,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 4.75Mm X 20Mm,62182.8,24251.29,,,0
CDM,SUP146317_C2625_278,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 4.75Mm X 20Mm,62182.8,24251.29,,,0
CDM,SUP146319,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 5Mm X 12Mm,62182.8,24251.29,,,0
CDM,SUP146320,Noncdm Charge Record Medical Supplies,62182.8,24251.29,,,0
CDM,SUP146322_C1874_278,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 5Mm X 18Mm,62182.8,24251.29,,,0
CDM,SUP146322_C2625_278,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 5Mm X 18Mm,62182.8,24251.29,,,0
CDM,SUP146323,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 5Mm X 20Mm,62182.8,24251.29,,,0
CDM,SUP146324_272,Noncdm Charge Record Medical Supplies - Wand Coblation Halo,1296.87,505.78,,,0
CDM,SUP146324_A4649_272,Noncdm Charge Record Medical Supplies - Wand Coblation Halo,1296.86,505.78,,,0
CDM,SUP146324_A9999_272,Noncdm Charge Record Medical Supplies - Wand Coblation Halo,1296.86,505.78,,,0
CDM,SUP14637,Noncdm Charge Record Medical Supplies - Cable Pacing 6Ft Clip Disp,102.46,39.96,,,0
CDM,SUP1463_272,Noncdm Charge Record Medical Supplies - Bandage Cbn 5Ydx6In Strl Tan Comp Lf Adh Elc,15.52,6.05,,,0
CDM,SUP1463_A4649_272,Noncdm Charge Record Medical Supplies - Bandage Cbn 5Ydx6In Strl Tan Comp Lf Adh Elc,15.52,6.05,,,0
CDM,SUP1463_A9999_272,Noncdm Charge Record Medical Supplies - Bandage Cbn 5Ydx6In Strl Tan Comp Lf Adh Elc,15.52,6.05,,,0
CDM,SUP14642,Noncdm Charge Record Medical Supplies - Introducer Sheath 11Fr 2.5Cm 10Cm Wo Mini,46.83,18.26,,,0
CDM,SUP14643,Noncdm Charge Record Medical Supplies - Splint Nasal Thrmplst,51.75,20.18,,,0
CDM,SUP14647,Noncdm Charge Record Medical Supplies - See 97264 Stapler Reload 45X2Mm Articulating Covidien,891.14,347.54,,,0
CDM,SUP146472,Noncdm Charge Record Medical Supplies - Marker Breast Biopsy 15Ga Coil 1 Titanium,422.28,164.69,,,0
CDM,SUP146474_C1757_272,Noncdm Charge Record Medical Supplies - Catheter Triever 20 Fr 105 Cm,19593.99,7641.66,,,0
CDM,SUP146474_C1887_272,Noncdm Charge Record Medical Supplies - Catheter Triever 20 Fr 105 Cm,6613.65,2579.32,,,0
CDM,SUP146475,Noncdm Charge Record Medical Supplies - Catheter Flortriever 2 Medium 12Fr 120 Cm,9112.29,3553.79,,,0
CDM,SUP146478,Noncdm Charge Record Medical Supplies - Probe Cryoablation L10Cm Aluminum Smooth Cryoice,10561.8,4119.1,,,0
CDM,SUP14648,Noncdm Charge Record Medical Supplies - Vacuum Xtrt Polyeth Cup Tub Filter Strl Disp,219.42,85.57,,,0
CDM,SUP146486,Noncdm Charge Record Medical Supplies - Catheter L156Mm Dia16X13Mm 16Fr Limb Distal Design,27840.46,10857.78,,,0
CDM,SUP14649,Noncdm Charge Record Medical Supplies - Catheter Ball Occ .038In 100Cm,1074.4,419.02,,,0
CDM,SUP1464_270,Noncdm Charge Record Medical Supplies - Immobilizer Orth Xl 16In,57.81,22.55,,,0
CDM,SUP1464_A4649_270,Noncdm Charge Record Medical Supplies - Immobilizer Orth Xl 16In,68.31,26.64,,,0
CDM,SUP14650,Noncdm Charge Record Medical Supplies - Suture Chromic 3-0 Ur-6 27In Ethicon,16.56,6.46,,,0
CDM,SUP14651,Noncdm Charge Record Medical Supplies - Kit Pstn Schlein Ult Shoulder Disp,156.28,60.95,,,0
CDM,SUP14659,Noncdm Charge Record Medical Supplies - Blade 1Mm 1Mm Ang Sdprt Clrct Surg Strl Disp,39.89,15.56,,,0
CDM,SUP1466,Noncdm Charge Record Medical Supplies - Needle Bx 14Ga 6In Trct Ndl Std Handle Sft,77.62,30.27,,,0
CDM,SUP14660,Noncdm Charge Record Medical Supplies - Holder Lens Iol Inserter B Cartridge Monarch,98.32,38.34,,,0
CDM,SUP14661,Noncdm Charge Record Medical Supplies - See 61254 Clip Lg 6.2Mm Intnl Lgclp Ex,69.39,27.06,,,0
CDM,SUP14662,Noncdm Charge Record Medical Supplies - Vacuum Xtrt 6Mm Kw Ocp Cup Mshrm Tract Frc,140.45,54.78,,,0
CDM,SUP14664_272,Noncdm Charge Record Medical Supplies - Suture Firberwire 38In T-5 Taper Blue Arthrex,107.64,41.98,,,0
CDM,SUP14664_A4649_272,Noncdm Charge Record Medical Supplies - Suture Firberwire 38In T-5 Taper Blue Arthrex,107.64,41.98,,,0
CDM,SUP14664_A9999_272,Noncdm Charge Record Medical Supplies - Suture Firberwire 38In T-5 Taper Blue Arthrex,107.64,41.98,,,0
CDM,SUP14664_C1713_278,Noncdm Charge Record Medical Supplies - Suture Firberwire 38In T-5 Taper Blue Arthrex,107.64,41.98,,,0
CDM,SUP14664_C1889_278,Noncdm Charge Record Medical Supplies - Suture Firberwire 38In T-5 Taper Blue Arthrex,107.64,41.98,,,0
CDM,SUP14671_272,Noncdm Charge Record Medical Supplies - Rod 350Mm 11Mm Self Drill Mr Conditional Set,944.49,368.35,,,0
CDM,SUP14671_A4649_272,Noncdm Charge Record Medical Supplies - Rod 350Mm 11Mm Self Drill Mr Conditional Set,844.56,329.38,,,0
CDM,SUP14672_272,Noncdm Charge Record Medical Supplies - Rod 400Mm 11Mm Carb Fib Ext Fix Ns,988.3,385.44,,,0
CDM,SUP14672_A4649_272,Noncdm Charge Record Medical Supplies - Rod 400Mm 11Mm Carb Fib Ext Fix Ns,925.81,361.07,,,0
CDM,SUP146749,Noncdm Charge Record Medical Supplies - Kit Gastrostomy Tube 18Fr Balloon 5Ml Stoma L5Cm,531.99,207.48,,,0
CDM,SUP14675,Noncdm Charge Record Medical Supplies - Suture Cp 0 48In 2 Arm Boston Scientific,226.66,88.4,,,0
CDM,SUP14676,Noncdm Charge Record Medical Supplies - Burr Surg 54Mm 3Mm Round Dmd Crs Strl,415.04,161.87,,,0
CDM,SUP14677,Noncdm Charge Record Medical Supplies - Guidewire Vasc 3Cm .035In150Cm,96.26,37.54,,,0
CDM,SUP14678,Noncdm Charge Record Medical Supplies - Guidewire Vasc 3Cm .035In,63.14,24.62,,,0
CDM,SUP14679_272,Noncdm Charge Record Medical Supplies - See 140964 Suture Vicryl 4-0 Fs-2 27In Undyed Ethicon,10.35,4.04,,,0
CDM,SUP14679_A4649_272,Noncdm Charge Record Medical Supplies - See 140964 Suture Vicryl 4-0 Fs-2 27In Undyed Ethicon,10.35,4.04,,,0
CDM,SUP14679_A9999_272,Noncdm Charge Record Medical Supplies - See 140964 Suture Vicryl 4-0 Fs-2 27In Undyed Ethicon,10.35,4.04,,,0
CDM,SUP1467_272,Noncdm Charge Record Medical Supplies - Catheter Cholangiogram 13 In 5Mm Ranfac,328.99,128.31,,,0
CDM,SUP1467_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Cholangiogram 13 In 5Mm Ranfac,326.02,127.15,,,0
CDM,SUP1468,Noncdm Charge Record Medical Supplies - Immobilizer Orth Lg 16In 18-20In Knee Contour,59.77,23.31,,,0
CDM,SUP146829,Noncdm Charge Record Medical Supplies,8.28,3.23,,,0
CDM,SUP14683,Noncdm Charge Record Medical Supplies - Kit Arthro Fx Trnfx2 2.4Mm Drill Pin Graft,744.16,290.22,,,0
CDM,SUP146847_272,Noncdm Charge Record Medical Supplies - Retractor Surgical 135X30Mm Sngle Use Cordless W Light Src,1101.24,429.48,,,0
CDM,SUP146847_A4649_272,Noncdm Charge Record Medical Supplies - Retractor Surgical 135X30Mm Sngle Use Cordless W Light Src,1101.24,429.48,,,0
CDM,SUP146847_A9999_272,Noncdm Charge Record Medical Supplies - Retractor Surgical 135X30Mm Sngle Use Cordless W Light Src,1101.24,429.48,,,0
CDM,SUP146848,Noncdm Charge Record Medical Supplies - Retractor Onetrac Lx 175Mm X 30Mm,1101.24,429.48,,,0
CDM,SUP146849,Noncdm Charge Record Medical Supplies - Retractor Onetrac Lx 90Mm X 60Mm,1101.24,429.48,,,0
CDM,SUP146850_272,Noncdm Charge Record Medical Supplies - Retractor Onetrac Lx 90Mm X 20Mm,1101.28,429.5,,,0
CDM,SUP146850_A4649_272,Noncdm Charge Record Medical Supplies - Retractor Onetrac Lx 90Mm X 20Mm,1101.24,429.48,,,0
CDM,SUP146851,Noncdm Charge Record Medical Supplies - Retractor Onetrac Lx 135Mm X 60Mm,1101.24,429.48,,,0
CDM,SUP146852,Noncdm Charge Record Medical Supplies - Retractor Onetrac Lx 30Mm X 15Mm And 50Mm X 20Mm,1224.39,477.51,,,0
CDM,SUP146855,Noncdm Charge Record Medical Supplies - Suction Device Onetrac Lxs Sngl Use Cordless W Light Src,1101.24,429.48,,,0
CDM,SUP146868_272,Noncdm Charge Record Medical Supplies - Set Iv Admin L92In 15Gtt With 1 Needle Free Port,9.32,3.63,,,0
CDM,SUP146868_A4649_272,Noncdm Charge Record Medical Supplies - Set Iv Admin L92In 15Gtt With 1 Needle Free Port,9.32,3.63,,,0
CDM,SUP146868_A9999_272,Noncdm Charge Record Medical Supplies - Set Iv Admin L92In 15Gtt With 1 Needle Free Port,9.32,3.63,,,0
CDM,SUP146870,Noncdm Charge Record Medical Supplies - Loop Hf 24F .35 Wire 30 Deg,540.27,210.71,,,0
CDM,SUP146874,Noncdm Charge Record Medical Supplies,48.64,18.97,,,0
CDM,SUP14689_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurg6.5In Ptf 3-32In Edge Std,21.69,8.46,,,0
CDM,SUP14689_A4649_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurg6.5In Ptf 3-32In Edge Std,21.74,8.48,,,0
CDM,SUP14689_A9999_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurg6.5In Ptf 3-32In Edge Std,21.74,8.48,,,0
CDM,SUP14689_C1889_272,Noncdm Charge Record Medical Supplies,21.74,8.48,,,0
CDM,SUP1469,Noncdm Charge Record Medical Supplies - Device Protect Gardent Tth Nyl,23.8,9.28,,,0
CDM,SUP146928,Noncdm Charge Record Medical Supplies - Device Inflation Peripheral Encore 40A,237.02,92.44,,,0
CDM,SUP146930,Noncdm Charge Record Medical Supplies - Sheath Introducer 7Fr L7Cm,91.08,35.52,,,0
CDM,SUP146931,Noncdm Charge Record Medical Supplies - Catheter Angioplasty L50Cm Balloon L40Mm Dia7Mm,1439.68,561.48,,,0
CDM,SUP146934,Noncdm Charge Record Medical Supplies - Balloon Athletis 8 X 60,1884.74,735.05,,,0
CDM,SUP146936,Noncdm Charge Record Medical Supplies - Balloon Athletis 10 X 40,1884.74,735.05,,,0
CDM,SUP146937,Noncdm Charge Record Medical Supplies - Balloon Athletis 12 X 40,1884.74,735.05,,,0
CDM,SUP14693_272,Noncdm Charge Record Medical Supplies - See 140965 Suture Vicryl 3-0 Fs-2 27In Undyed Ethicon,10.35,4.04,,,0
CDM,SUP14693_A4649_272,Noncdm Charge Record Medical Supplies - See 140965 Suture Vicryl 3-0 Fs-2 27In Undyed Ethicon,10.35,4.04,,,0
CDM,SUP14695,Noncdm Charge Record Medical Supplies - Clip Spring 3-4 Surg,71.42,27.85,,,0
CDM,SUP14698,Noncdm Charge Record Medical Supplies - Angioseal Vip 8F Closure St Jude Medical,993.6,387.5,,,0
CDM,SUP14699,Noncdm Charge Record Medical Supplies - Blade Saw 23.4X.38Mm Prcs Shrt Micro Thin,337.41,131.59,,,0
CDM,SUP14702_272,Noncdm Charge Record Medical Supplies - Coronary Sinus Balloon,426.38,166.29,,,0
CDM,SUP14702_A4649_272,Noncdm Charge Record Medical Supplies - Coronary Sinus Balloon,426.42,166.3,,,0
CDM,SUP14705_272,Noncdm Charge Record Medical Supplies - Trocar Laparos 12Mm Spcmkr Blnt Tip Balloon,202.86,79.12,,,0
CDM,SUP14705_A4649_272,Noncdm Charge Record Medical Supplies - Trocar Laparos 12Mm Spcmkr Blnt Tip Balloon,202.86,79.12,,,0
CDM,SUP14705_A9999_272,Noncdm Charge Record Medical Supplies - Trocar Laparos 12Mm Spcmkr Blnt Tip Balloon,202.86,79.12,,,0
CDM,SUP14706,Noncdm Charge Record Medical Supplies - Guidewire Angled .035In150Cm Boston Scientific,241.96,94.36,,,0
CDM,SUP147074_272,Noncdm Charge Record Medical Supplies - Bit Drill Evos Small 2.5Mm Drill W-Ao Qc,820.76,320.1,,,0
CDM,SUP147074_A4649_272,Noncdm Charge Record Medical Supplies - Bit Drill Evos Small 2.5Mm Drill W-Ao Qc,820.76,320.1,,,0
CDM,SUP147075,Noncdm Charge Record Medical Supplies - Snare Retriever Clot Revasc Device 0.021Inx 32Mm,31723.78,12372.27,,,0
CDM,SUP147076,Noncdm Charge Record Medical Supplies - Snare Retriever Clot Revasc Device 0.0171Inx24Mm,31723.78,12372.27,,,0
CDM,SUP14707_272,Noncdm Charge Record Medical Supplies - Guidewire Straight Nitinol 0.035In 150Cm Boston Scientific,427.25,166.63,,,0
CDM,SUP14707_C1769_272,Noncdm Charge Record Medical Supplies - Guidewire Straight Nitinol 0.035In 150Cm Boston Scientific,256.94,100.21,,,0
CDM,SUP14710,Noncdm Charge Record Medical Supplies - Tubing Irr 85In 4 Lead Tur,98.32,38.34,,,0
CDM,SUP147107,Noncdm Charge Record Medical Supplies - Omniwire Pressure Guidewire Vascular L185Cm Straight Tip,2865.92,1117.71,,,0
CDM,SUP14711_270,Noncdm Charge Record Medical Supplies - Kit Pstn 7In Jcksn Pat Tbl Spnl Care,128.34,50.05,,,0
CDM,SUP14711_A4649_270,Noncdm Charge Record Medical Supplies - Kit Pstn 7In Jcksn Pat Tbl Spnl Care,128.34,50.05,,,0
CDM,SUP14711_A9999_270,Noncdm Charge Record Medical Supplies - Kit Pstn 7In Jcksn Pat Tbl Spnl Care,128.34,50.05,,,0
CDM,SUP14714_272,Noncdm Charge Record Medical Supplies - Marker Rad India Ink Spot Syr Prefill C Prtcl,186.25,72.64,,,0
CDM,SUP14714_A4649_272,Noncdm Charge Record Medical Supplies - Marker Rad India Ink Spot Syr Prefill C Prtcl,186.24,72.63,,,0
CDM,SUP14714_A9999_272,Noncdm Charge Record Medical Supplies - Marker Rad India Ink Spot Syr Prefill C Prtcl,186.3,72.66,,,0
CDM,SUP14715,Noncdm Charge Record Medical Supplies - Adapter Pacemaker Cable Sf,244.95,95.53,,,0
CDM,SUP147156_272,Noncdm Charge Record Medical Supplies - Pack Ent,186.85,72.87,,,0
CDM,SUP147156_A4649_272,Noncdm Charge Record Medical Supplies - Pack Ent,186.56,72.76,,,0
CDM,SUP147156_A9999_272,Noncdm Charge Record Medical Supplies - Pack Ent,185.26,72.25,,,0
CDM,SUP147157,Noncdm Charge Record Medical Supplies - Tubing Suction W1.5Xl6In Plastic Clear Male Connector,19.66,7.67,,,0
CDM,SUP14716_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 24Fr Mx- Mx-Bld Uro,627.34,244.66,,,0
CDM,SUP14716_A4649_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 24Fr Mx- Mx-Bld Uro,629.28,245.42,,,0
CDM,SUP14716_A9999_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 24Fr Mx- Mx-Bld Uro,624.1,243.4,,,0
CDM,SUP14717,Noncdm Charge Record Medical Supplies - Cannula Arthroscopic 55Mm Clear Depuy Mitek,146.97,57.32,,,0
CDM,SUP147206_272,Noncdm Charge Record Medical Supplies - Fiber Laser Dia200Um 50W Flexiva Pulse 242,1997.95,779.2,,,0
CDM,SUP147206_A4649_272,Noncdm Charge Record Medical Supplies - Fiber Laser Dia200Um 50W Flexiva Pulse 242,2348.21,915.8,,,0
CDM,SUP147206_A9999_272,Noncdm Charge Record Medical Supplies - Fiber Laser Dia200Um 50W Flexiva Pulse 242,1834.02,715.27,,,0
CDM,SUP147207,Noncdm Charge Record Medical Supplies - Fiber Laser Dia200Um 50W Flexiva Pulse 242 - Box 5,1812.28,706.79,,,0
CDM,SUP147208_272,Noncdm Charge Record Medical Supplies - Fiber Laser Dia365Um 100W Flexiva Pulse 365,1768.04,689.54,,,0
CDM,SUP147208_A4649_272,Noncdm Charge Record Medical Supplies - Fiber Laser Dia365Um 100W Flexiva Pulse 365,1550.43,604.67,,,0
CDM,SUP147208_A9999_272,Noncdm Charge Record Medical Supplies - Fiber Laser Dia365Um 100W Flexiva Pulse 365,1534.56,598.48,,,0
CDM,SUP147209,Noncdm Charge Record Medical Supplies - Fiber Laser Dia365Um 100W Flexiva Pulse 365 - Box 5,1933.9,754.22,,,0
CDM,SUP147210_272,Noncdm Charge Record Medical Supplies - Fiber Laser Dia550Um 100W Flexiva Pulse 550,2231.46,870.27,,,0
CDM,SUP147210_A4649_272,Noncdm Charge Record Medical Supplies - Fiber Laser Dia550Um 100W Flexiva Pulse 550,2406.38,938.49,,,0
CDM,SUP147210_A9999_272,Noncdm Charge Record Medical Supplies - Fiber Laser Dia550Um 100W Flexiva Pulse 550,1964.43,766.13,,,0
CDM,SUP147211,Noncdm Charge Record Medical Supplies - See 157623 Fiber Laser Dia550Um 100W Flexiva Pulse 550 - Box,1942.7,757.65,,,0
CDM,SUP147212,Noncdm Charge Record Medical Supplies - Fiber Laser Dia910Um Flexiva Pulse 910,3390.77,1322.4,,,0
CDM,SUP147227,Noncdm Charge Record Medical Supplies - Diffuser Gas Temed,734.84,286.59,,,0
CDM,SUP14722_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 2 Lr 30In Double Arm Black Ethicon,18.7,7.29,,,0
CDM,SUP14722_A4649_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 2 Lr 30In Double Arm Black Ethicon,17.6,6.86,,,0
CDM,SUP14724_272,Noncdm Charge Record Medical Supplies - Retriever Sut 25Cm 12Mm Std Drsphr Exp Push,3883.32,1514.49,,,0
CDM,SUP14724_C2631_278,Noncdm Charge Record Medical Supplies - Retriever Sut 25Cm 12Mm Std Drsphr Exp Push,3747.86,1461.67,,,0
CDM,SUP14726,Noncdm Charge Record Medical Supplies - See 143811 Canister Suct 1500Ml Kt 2 Elb,15.52,6.05,,,0
CDM,SUP14727_270,Noncdm Charge Record Medical Supplies - Cradle Xtrmt Foam Lmi Trgh Lf,53.82,20.99,,,0
CDM,SUP14727_A9999_270,Noncdm Charge Record Medical Supplies - Cradle Xtrmt Foam Lmi Trgh Lf,53.82,20.99,,,0
CDM,SUP1473,Noncdm Charge Record Medical Supplies - Plate 94Mm Ss 3.5Mm 4 Hl Lt Lcp Bn Lt Prox,5894.32,2298.78,,,0
CDM,SUP14730,Noncdm Charge Record Medical Supplies - Needle Loc 57Mm 20Ga Dualok,75.56,29.47,,,0
CDM,SUP14733,Noncdm Charge Record Medical Supplies - Tip Asp 35 Khz Micro Us Set Ns,2675.48,1043.44,,,0
CDM,SUP14735,Noncdm Charge Record Medical Supplies - Aspirator Us 16.5Ft Slctr Kt,1810.22,705.99,,,0
CDM,SUP147367,Noncdm Charge Record Medical Supplies - Radial Head Replacement Instrument Kit Sterile,1692.22,659.97,,,0
CDM,SUP147369_Q4100_278,Noncdm Charge Record Medical Supplies - Kerecis Omega 3 Micrograft,4301.77,1677.69,,,0
CDM,SUP147370_272,Noncdm Charge Record Medical Supplies - Kit Catheter Access Port Neurological,127.3,49.65,,,0
CDM,SUP147370_C1776_278,Noncdm Charge Record Medical Supplies - Kit Catheter Access Port Neurological,127.3,49.65,,,0
CDM,SUP14739,Noncdm Charge Record Medical Supplies - Device Pstn Trap Suspen Kt Sf,186.3,72.66,,,0
CDM,SUP147399_270,Noncdm Charge Record Medical Supplies - System Calibration Tube 36Fr L 107Cm Sleeve Closed Round,1048.46,408.9,,,0
CDM,SUP147399_272,Noncdm Charge Record Medical Supplies - System Calibration Tube 36Fr L 107Cm Sleeve Closed Round,1048.46,408.9,,,0
CDM,SUP14741_272,Noncdm Charge Record Medical Supplies - Sheath 6Fr 12Cm Diag,24.84,9.69,,,0
CDM,SUP14741_C1894_272,Noncdm Charge Record Medical Supplies - Sheath 6Fr 12Cm Diag,39.46,15.39,,,0
CDM,SUP14742,Noncdm Charge Record Medical Supplies - Sheath 7Fr 12Cm Diag,34.6,13.49,,,0
CDM,SUP14743,Noncdm Charge Record Medical Supplies - Sheath 8Fr 12Cm Diag,33.41,13.03,,,0
CDM,SUP147433,Noncdm Charge Record Medical Supplies - Tray Cath Ic Temp Sns 16F Sil,146.97,57.32,,,0
CDM,SUP14745,Noncdm Charge Record Medical Supplies - Brace Walk Med Ankl-Ft Pneum Low Rckr Sole W,216.32,84.36,,,0
CDM,SUP147451,Noncdm Charge Record Medical Supplies - Stent Endoprosthesis W-Heparin 0.035In Av Access Superficial,16564.14,6460.01,,,0
CDM,SUP147452,Noncdm Charge Record Medical Supplies - Stent Endoprosthesis W-Heparin 0.035 8Fr 120Cml,14372.53,5605.29,,,0
CDM,SUP14746,Noncdm Charge Record Medical Supplies - Brace Walk Lg Ankl-Ft Pneum Low Rckr Sole W,216.32,84.36,,,0
CDM,SUP14747,Noncdm Charge Record Medical Supplies - Brace Walk Lg Xw Pneum Low,298.08,116.25,,,0
CDM,SUP14748,Noncdm Charge Record Medical Supplies - Brace Walk Xl Ankle Leg Low Rckr Sole Smrg,216.32,84.36,,,0
CDM,SUP147481,Noncdm Charge Record Medical Supplies - Drain Surgical Penrose 18In X .5In Latex,11.29,4.4,,,0
CDM,SUP14749,Noncdm Charge Record Medical Supplies - Valve Pacer-Swan Sleeve,26.95,10.51,,,0
CDM,SUP147516,Noncdm Charge Record Medical Supplies - Catheter Support Crossing Rub Bincon 0.018In X 135Cm,774.18,301.93,,,0
CDM,SUP147517,Noncdm Charge Record Medical Supplies - Stent Peripheral L140Mm Dia7Mm Catheter L125Cm Sheath 6Fr,11576.48,4514.83,,,0
CDM,SUP14752_272,Noncdm Charge Record Medical Supplies - Dilator 5Fr 19Cm,41.86,16.33,,,0
CDM,SUP14752_A4649_272,Noncdm Charge Record Medical Supplies - Dilator 5Fr 19Cm,21.74,8.48,,,0
CDM,SUP14752_A9999_272,Noncdm Charge Record Medical Supplies - Dilator 5Fr 19Cm,21.74,8.48,,,0
CDM,SUP14753_272,Noncdm Charge Record Medical Supplies - Dilator 6Fr 19Cm,21.74,8.48,,,0
CDM,SUP14753_A4649_272,Noncdm Charge Record Medical Supplies - Dilator 6Fr 19Cm,21.74,8.48,,,0
CDM,SUP14754,Noncdm Charge Record Medical Supplies - Dilator 7Fr 19Cm,21.74,8.48,,,0
CDM,SUP14755,Noncdm Charge Record Medical Supplies - Dilator 8Fr 19Cm,21.74,8.48,,,0
CDM,SUP14756,Noncdm Charge Record Medical Supplies - Guidewire Vasc .025In 150Cm J,32.73,12.76,,,0
CDM,SUP147566,Noncdm Charge Record Medical Supplies - Bag Blood Reinfusion,65.62,25.59,,,0
CDM,SUP14757,Noncdm Charge Record Medical Supplies - Guidewire Vasc Std .025In,30.02,11.71,,,0
CDM,SUP14758,Noncdm Charge Record Medical Supplies - Guidewire Vasc J .035In 150Mm,71.33,27.82,,,0
CDM,SUP14759,Noncdm Charge Record Medical Supplies - Wire St Jude 260 J 035,98.28,38.33,,,0
CDM,SUP14760,Noncdm Charge Record Medical Supplies - Guidewire 260 J Wire .035 Str,84.68,33.03,,,0
CDM,SUP147619_272,Noncdm Charge Record Medical Supplies - Curette Vacuum 7Mm Rigid Curved Cannula Disposable,22.58,8.81,,,0
CDM,SUP147619_A4649_272,Noncdm Charge Record Medical Supplies - Curette Vacuum 7Mm Rigid Curved Cannula Disposable,22.77,8.88,,,0
CDM,SUP147619_A9999_272,Noncdm Charge Record Medical Supplies - Curette Vacuum 7Mm Rigid Curved Cannula Disposable,21.74,8.48,,,0
CDM,SUP147621,Noncdm Charge Record Medical Supplies - Device W 29 Deep Purple Relieatack,2232.5,870.68,,,0
CDM,SUP147622_272,Noncdm Charge Record Medical Supplies - Needle Suture C-13 L36.6Mm 1-2 Circle Reverse Cutting,93.15,36.33,,,0
CDM,SUP147622_A4649_272,Noncdm Charge Record Medical Supplies - Needle Suture C-13 L36.6Mm 1-2 Circle Reverse Cutting,117.99,46.02,,,0
CDM,SUP147626,Noncdm Charge Record Medical Supplies - Catheter Angioplasty L150Cm Balloon L20Mm Dia2Mm Gd Wire,1204.53,469.77,,,0
CDM,SUP147627,Noncdm Charge Record Medical Supplies - Catheter Angioplasty L135Cm Balloon L100Mm Dia3Mm,705.18,275.02,,,0
CDM,SUP147628,Noncdm Charge Record Medical Supplies,528.88,206.26,,,0
CDM,SUP147629,Noncdm Charge Record Medical Supplies - Catheter Angioplasty L135Cm Balloon L20Mm Dia3Mm,636.52,248.24,,,0
CDM,SUP14763,Noncdm Charge Record Medical Supplies - Cap Endoscp Seal Asmbly Dextrus,2891.79,1127.8,,,0
CDM,SUP147630,Noncdm Charge Record Medical Supplies - Catheter Angioplasty L135Cm Balloon L150Mm Dia3Mm,528.88,206.26,,,0
CDM,SUP14766,Noncdm Charge Record Medical Supplies - Tunneler Surg Sm Blt Tip Sheath 20.5In 8Mm,285.66,111.41,,,0
CDM,SUP14777,Noncdm Charge Record Medical Supplies - Stapler Intnl 12Mm Ti Univ Xl,664.47,259.14,,,0
CDM,SUP14778_272,Noncdm Charge Record Medical Supplies - Unit Electrosurg 37Cm Hnd Swch Disp Lg Atls,1826.78,712.44,,,0
CDM,SUP14778_A4649_272,Noncdm Charge Record Medical Supplies - Unit Electrosurg 37Cm Hnd Swch Disp Lg Atls,1826.78,712.44,,,0
CDM,SUP14778_A9999_272,Noncdm Charge Record Medical Supplies - Unit Electrosurg 37Cm Hnd Swch Disp Lg Atls,1826.78,712.44,,,0
CDM,SUP14779,Noncdm Charge Record Medical Supplies - 5Fr Ar Mod Catheter,46.16,18.0,,,0
CDM,SUP1478,Noncdm Charge Record Medical Supplies - Plate Sm .3Mm Antm Orbit Flr,6494.62,2532.9,,,0
CDM,SUP14780_272,Noncdm Charge Record Medical Supplies - 5Fr Angled Pigtail Catheter,48.49,18.91,,,0
CDM,SUP14780_A4649_272,Noncdm Charge Record Medical Supplies - 5Fr Angled Pigtail Catheter,49.24,19.2,,,0
CDM,SUP14780_A9999_272,Noncdm Charge Record Medical Supplies - 5Fr Angled Pigtail Catheter,44.5,17.36,,,0
CDM,SUP14782,Noncdm Charge Record Medical Supplies - Guidewire Orth 6In .045Mm Std Hand Wrst,166.49,64.93,,,0
CDM,SUP14783,Noncdm Charge Record Medical Supplies - Guidewire Orth 6In .035In Actrk Mini Ss 1,182.68,71.25,,,0
CDM,SUP147836,Noncdm Charge Record Medical Supplies - Takeru 1.5Mm X 12 Mm Ptca Balloon Diilatation Catheter,563.04,219.59,,,0
CDM,SUP147837,Noncdm Charge Record Medical Supplies - Takeru 1.5Mm X 15 Mm Ptca Balloon Dilation Catheter,563.04,219.59,,,0
CDM,SUP14784,Noncdm Charge Record Medical Supplies - Guidewire Orth .062In 2 Troc,218.38,85.17,,,0
CDM,SUP147840,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP147864,Noncdm Charge Record Medical Supplies - R2P Destination Slender Guiding Sheath,1474.53,575.07,,,0
CDM,SUP147865,Noncdm Charge Record Medical Supplies - R2P Destination Slender Guiding Sheath,1438.77,561.12,,,0
CDM,SUP147866_272,Noncdm Charge Record Medical Supplies - Sheath Guiding 6Fr L90Cm Straight Tip,1390.0,542.1,,,0
CDM,SUP147866_C1894_272,Noncdm Charge Record Medical Supplies - Sheath Guiding 6Fr L90Cm Straight Tip,1516.79,591.55,,,0
CDM,SUP147867,Noncdm Charge Record Medical Supplies - Sheath Guiding 6Fr L100Cm Straight Tip,1390.0,542.1,,,0
CDM,SUP147869,Noncdm Charge Record Medical Supplies - Sheath Guiding 6Fr L149Cm Straight Tip,1643.58,641.0,,,0
CDM,SUP14791,Noncdm Charge Record Medical Supplies - Manipulator Surg Ut Zinnanti,139.72,54.49,,,0
CDM,SUP147915,Noncdm Charge Record Medical Supplies - Tube Double Lumen 35 Fr With Camera Viva Sight,1273.05,496.49,,,0
CDM,SUP147919,Noncdm Charge Record Medical Supplies - Probe Breast Biopsy 12Ga Triconcave Tip Single,1101.33,429.52,,,0
CDM,SUP147920_272,Noncdm Charge Record Medical Supplies - Probe Breast Biopsy 14Ga Triconcave Tip Single,1101.31,429.51,,,0
CDM,SUP147920_A4649_272,Noncdm Charge Record Medical Supplies - Probe Breast Biopsy 14Ga Triconcave Tip Single,1101.24,429.48,,,0
CDM,SUP147920_A9999_272,Noncdm Charge Record Medical Supplies - Probe Breast Biopsy 14Ga Triconcave Tip Single,1101.24,429.48,,,0
CDM,SUP147921,Noncdm Charge Record Medical Supplies - Probe Breast Biopsy 10Ga Triconcave Tip Single,1101.24,429.48,,,0
CDM,SUP147934_272,Noncdm Charge Record Medical Supplies - Left Heart Manifold - Wellstar Spalding,91.4,35.65,,,0
CDM,SUP147934_A4649_272,Noncdm Charge Record Medical Supplies - Left Heart Manifold - Wellstar Spalding,93.15,36.33,,,0
CDM,SUP147934_A9999_272,Noncdm Charge Record Medical Supplies - Left Heart Manifold - Wellstar Spalding,89.01,34.71,,,0
CDM,SUP14793_272,Noncdm Charge Record Medical Supplies - See 127147 Device Novasure Endometrial Ablation Hologic,4828.26,1883.02,,,0
CDM,SUP14793_A4649_272,Noncdm Charge Record Medical Supplies - See 127147 Device Novasure Endometrial Ablation Hologic,4828.27,1883.03,,,0
CDM,SUP14793_A9999_272,Noncdm Charge Record Medical Supplies - See 127147 Device Novasure Endometrial Ablation Hologic,4828.27,1883.03,,,0
CDM,SUP14794_270,Noncdm Charge Record Medical Supplies - Unit Suction Collection Sock Deroyal,10.53,4.11,,,0
CDM,SUP14794_A4649_270,Noncdm Charge Record Medical Supplies - Unit Suction Collection Sock Deroyal,11.38,4.44,,,0
CDM,SUP14794_A9999_270,Noncdm Charge Record Medical Supplies - Unit Suction Collection Sock Deroyal,9.57,3.73,,,0
CDM,SUP14795_272,Noncdm Charge Record Medical Supplies - Skimmer Angle-Tip Blade 22.5Cmx3.5Mm 15,2608.89,1017.47,,,0
CDM,SUP14795_A4649_272,Noncdm Charge Record Medical Supplies - Skimmer Angle-Tip Blade 22.5Cmx3.5Mm 15,2695.14,1051.1,,,0
CDM,SUP14795_A9999_272,Noncdm Charge Record Medical Supplies - Skimmer Angle-Tip Blade 22.5Cmx3.5Mm 15,2436.39,950.19,,,0
CDM,SUP1480,Noncdm Charge Record Medical Supplies - Plate Ss 3.5 Mm Screw 2 Hl Spring Lcp Bn,1605.08,625.98,,,0
CDM,SUP14801,Noncdm Charge Record Medical Supplies,4.14,1.61,,,0
CDM,SUP14802,Noncdm Charge Record Medical Supplies - Suture Bolster Retention 2.5Inch X 3-16Inch X 1-32Inch Ethic,13.46,5.25,,,0
CDM,SUP14804_272,Noncdm Charge Record Medical Supplies - Kit Arthro Fx Acl Acc Knee Strl Disp,1224.4,477.52,,,0
CDM,SUP14804_A4649_272,Noncdm Charge Record Medical Supplies - Kit Arthro Fx Acl Acc Knee Strl Disp,1224.4,477.52,,,0
CDM,SUP14806,Noncdm Charge Record Medical Supplies - Suture Prolene 2-0 Mh 48In Ethicon,30.64,11.95,,,0
CDM,SUP148083,Noncdm Charge Record Medical Supplies - Curette Vacuum 6Mm Flexible Cannula With Dual Port Disp,22.62,8.82,,,0
CDM,SUP148090,Noncdm Charge Record Medical Supplies - Graft Endoprosthesis L5Cm D 11Mm L 120Cm Sheath 10Fr,14756.77,5755.14,,,0
CDM,SUP148091,Noncdm Charge Record Medical Supplies - Graft Endoprosthesis L5Cm D 13Mm L 120Cm Sheath 10Fr,14757.03,5755.24,,,0
CDM,SUP148092,Noncdm Charge Record Medical Supplies - Catheter Angioplasty L150Cm L60Mm D 2Mm Gw .018In Shth 4Fr,1194.39,465.81,,,0
CDM,SUP14815,Noncdm Charge Record Medical Supplies - Cannula Nasal 7Ft Infant,5.18,2.02,,,0
CDM,SUP1482,Noncdm Charge Record Medical Supplies - Valve Shunt Csf Reg Lvl1 Bgl,8887.54,3466.14,,,0
CDM,SUP14826,Noncdm Charge Record Medical Supplies - Burr Surg 6.1Mm Barrel Strl,234.94,91.63,,,0
CDM,SUP148287,Noncdm Charge Record Medical Supplies - Device Suture Capturing For Pelvic Flr Recnstr Capio Slim,3142.28,1225.49,,,0
CDM,SUP148288,Noncdm Charge Record Medical Supplies,270.14,105.35,,,0
CDM,SUP148289,Noncdm Charge Record Medical Supplies - Swab Procto Sterile 16 1-2 Inc Inches 2Pk,20.7,8.07,,,0
CDM,SUP148290,Noncdm Charge Record Medical Supplies - Cannula Arthroscopic L5Cm Dia10Mm Double Dam One Piece,156.28,60.95,,,0
CDM,SUP148291,Noncdm Charge Record Medical Supplies - Anchor Suture L15.8Mm Dia3.5Mm Peek Vented Swivelock,403.13,157.22,,,0
CDM,SUP148292,Noncdm Charge Record Medical Supplies - Cannula Endoscopic 7X85Mm Translucent Blue,164.56,64.18,,,0
CDM,SUP148313_272,Noncdm Charge Record Medical Supplies - Snare Polypectomy Captivator Round,2384.55,929.97,,,0
CDM,SUP148313_A4649_272,Noncdm Charge Record Medical Supplies - Snare Polypectomy Captivator Round,2384.64,930.01,,,0
CDM,SUP148314,Noncdm Charge Record Medical Supplies - Stent Pancreatic 4Fr L5Cm 0.035In Polymer Pigtail,674.82,263.18,,,0
CDM,SUP148318,Noncdm Charge Record Medical Supplies - Cap Endoscopic L4Mm Dia11.4Mm Soft Straight Type Disposable,121.1,47.23,,,0
CDM,SUP148359,Noncdm Charge Record Medical Supplies - Screw 2.4 Cortex Slf-Tpng T8 Sd 8 Sile,253.58,98.9,,,0
CDM,SUP14835_270,Noncdm Charge Record Medical Supplies - Tubing Suct 18In Brkly,9.32,3.63,,,0
CDM,SUP14835_A4649_270,Noncdm Charge Record Medical Supplies - Tubing Suct 18In Brkly,9.32,3.63,,,0
CDM,SUP14835_A9999_270,Noncdm Charge Record Medical Supplies - Tubing Suct 18In Brkly,9.32,3.63,,,0
CDM,SUP148360,Noncdm Charge Record Medical Supplies - Screw 2.4 Cortex Slf-Tpng T8 Sd 10 Sile,312.57,121.9,,,0
CDM,SUP148361,Noncdm Charge Record Medical Supplies - Screw 2.4 Cortex Slf-Tpng T8 Sd 12 Sile,319.82,124.73,,,0
CDM,SUP148362,Noncdm Charge Record Medical Supplies - Screw 2.4 Cortex Slf-Tpng T8 Sd 16 Sile,312.22,121.77,,,0
CDM,SUP148363,Noncdm Charge Record Medical Supplies - Screw 2.4 Cortex Slf-Tpng T8 Sd 18 Sile,314.79,122.77,,,0
CDM,SUP148364,Noncdm Charge Record Medical Supplies - Screw 2.4 Cortex Slf-Tpng T8 Sd 20 Sile,299.46,116.79,,,0
CDM,SUP148365,Noncdm Charge Record Medical Supplies - Screw 2.4 Cortex Slf-Tpng T8 Sd 22 Sile,312.36,121.82,,,0
CDM,SUP148366,Noncdm Charge Record Medical Supplies - Screw 2.4 Cortex Slf-Tpng T8 Sd 24 Sile,312.57,121.9,,,0
CDM,SUP148367,Noncdm Charge Record Medical Supplies - Screw 2.4 Cortex Slf-Tpng T8 Sd 26 Sile,312.57,121.9,,,0
CDM,SUP148369,Noncdm Charge Record Medical Supplies - Screw 2.4 Cortex Slf-Tpng T8 Sd 30 Sile,253.58,98.9,,,0
CDM,SUP14836_272,Noncdm Charge Record Medical Supplies - Canister Suct Btl Seal Cap Tissue Trap Brkly,67.11,26.17,,,0
CDM,SUP14836_A4649_272,Noncdm Charge Record Medical Supplies - Canister Suct Btl Seal Cap Tissue Trap Brkly,67.28,26.24,,,0
CDM,SUP14836_A9999_272,Noncdm Charge Record Medical Supplies - Canister Suct Btl Seal Cap Tissue Trap Brkly,67.28,26.24,,,0
CDM,SUP148370,Noncdm Charge Record Medical Supplies,664.12,259.01,,,0
CDM,SUP148372,Noncdm Charge Record Medical Supplies - Screw 2.4 Va Locking Sddrive 12 Sterile,683.38,266.52,,,0
CDM,SUP148373,Noncdm Charge Record Medical Supplies - Screw 2.4 Va Locking Sddrive 14 Sterile,652.05,254.3,,,0
CDM,SUP148374,Noncdm Charge Record Medical Supplies - Screw 2.4 Va Locking Sddrive 16 Sterile,661.24,257.88,,,0
CDM,SUP148375,Noncdm Charge Record Medical Supplies - Screw 2.4 Va Locking Sddrive 18 Sterile,662.96,258.55,,,0
CDM,SUP148376,Noncdm Charge Record Medical Supplies - Screw 2.4 Va Locking Sddrive 20 Sterile,656.52,256.04,,,0
CDM,SUP148377,Noncdm Charge Record Medical Supplies - Screw 2.4 Va Locking Sddrive 22 Sterile,664.26,259.06,,,0
CDM,SUP148380,Noncdm Charge Record Medical Supplies - Screw 2.4 Va Locking Sddrive 28 Sterile,734.16,286.32,,,0
CDM,SUP148386,Noncdm Charge Record Medical Supplies,327.06,127.55,,,0
CDM,SUP148387,Noncdm Charge Record Medical Supplies,327.06,127.55,,,0
CDM,SUP1483_272,Noncdm Charge Record Medical Supplies - Blade Beaver 6400 Ophthalmic 1.102X4.134X1.417In Beaver-Visi,10.0,3.9,,,0
CDM,SUP1483_A4649_272,Noncdm Charge Record Medical Supplies - Blade Beaver 6400 Ophthalmic 1.102X4.134X1.417In Beaver-Visi,10.35,4.04,,,0
CDM,SUP1483_A9999_272,Noncdm Charge Record Medical Supplies - Blade Beaver 6400 Ophthalmic 1.102X4.134X1.417In Beaver-Visi,9.32,3.63,,,0
CDM,SUP1484,Noncdm Charge Record Medical Supplies - Immobilizer Orth Med 16In 16-18In Knee,57.87,22.57,,,0
CDM,SUP14849,Noncdm Charge Record Medical Supplies - Guidewire Orth 6In .035In Krsh,116.26,45.34,,,0
CDM,SUP148492_272,Noncdm Charge Record Medical Supplies - Device Manipulator Dia30Mm Cup Vaginal Fornices Sterile,866.28,337.85,,,0
CDM,SUP148492_A4649_272,Noncdm Charge Record Medical Supplies - Device Manipulator Dia30Mm Cup Vaginal Fornices Sterile,900.45,351.18,,,0
CDM,SUP148493,Noncdm Charge Record Medical Supplies,126.27,49.25,,,0
CDM,SUP148568_272,Noncdm Charge Record Medical Supplies - Shaver Small 3Mmx7Cm Sabre Disposable Coolcut,322.92,125.94,,,0
CDM,SUP148568_A4649_272,Noncdm Charge Record Medical Supplies - Shaver Small 3Mmx7Cm Sabre Disposable Coolcut,322.92,125.94,,,0
CDM,SUP148569_272,Noncdm Charge Record Medical Supplies - Shaver Small 2Mmx7Cm Sabre Small Hub Coolcut,322.92,125.94,,,0
CDM,SUP148569_A4649_272,Noncdm Charge Record Medical Supplies - Shaver Small 2Mmx7Cm Sabre Small Hub Coolcut,322.92,125.94,,,0
CDM,SUP148569_A9999_272,Noncdm Charge Record Medical Supplies - Shaver Small 2Mmx7Cm Sabre Small Hub Coolcut,322.92,125.94,,,0
CDM,SUP14858,Noncdm Charge Record Medical Supplies,8.28,3.23,,,0
CDM,SUP14859_272,Noncdm Charge Record Medical Supplies - Suture Prolene 5-0 Bv-1 24In Double Arm Ethicon,122.28,47.69,,,0
CDM,SUP14859_A4649_272,Noncdm Charge Record Medical Supplies - Suture Prolene 5-0 Bv-1 24In Double Arm Ethicon,117.64,45.88,,,0
CDM,SUP14860,Noncdm Charge Record Medical Supplies - Bit Drill 110Mm 2.5Mm Zps Ss Qc Ns,414.0,161.46,,,0
CDM,SUP14862,Noncdm Charge Record Medical Supplies - Carrier Graft 8X3In 1.5:1 Drmcr 2 Skin Pltu,200.07,78.03,,,0
CDM,SUP14863,Noncdm Charge Record Medical Supplies - Carrier Graft 8X3In 3:1 Drmcr 2 Skin Mesher,175.95,68.62,,,0
CDM,SUP148639_272,Noncdm Charge Record Medical Supplies - Trapeziectomy Tool W Handle Sterile,1224.4,477.52,,,0
CDM,SUP148639_A4649_272,Noncdm Charge Record Medical Supplies - Trapeziectomy Tool W Handle Sterile,1224.4,477.52,,,0
CDM,SUP148640_272,Noncdm Charge Record Medical Supplies - Airseal 12 Mm Access Port And Palm Grip Obturator 150 Mm L,485.43,189.32,,,0
CDM,SUP148640_A4649_272,Noncdm Charge Record Medical Supplies - Airseal 12 Mm Access Port And Palm Grip Obturator 150 Mm L,485.42,189.31,,,0
CDM,SUP148640_A9999_272,Noncdm Charge Record Medical Supplies - Airseal 12 Mm Access Port And Palm Grip Obturator 150 Mm L,485.42,189.31,,,0
CDM,SUP148653_272,Noncdm Charge Record Medical Supplies - Device Fastener Delivery Esoph Serosafuse Esophyx Z,22389.12,8731.76,,,0
CDM,SUP148653_C1889_278,Noncdm Charge Record Medical Supplies - Device Fastener Delivery Esoph Serosafuse Esophyx Z,22389.12,8731.76,,,0
CDM,SUP14865_272,Noncdm Charge Record Medical Supplies - Guidewire Endo .035In150Cm Flx Strt Tip Flx Tip,409.86,159.85,,,0
CDM,SUP14865_C1769_272,Noncdm Charge Record Medical Supplies - Guidewire Endo .035In150Cm Flx Strt Tip Flx Tip,244.36,95.3,,,0
CDM,SUP14868,Noncdm Charge Record Medical Supplies - Sponge Tnsl Cttn Strng 1 1-4In,89.01,34.71,,,0
CDM,SUP14872,Noncdm Charge Record Medical Supplies - Reload Stplr Univ 60X2.5Mm Wht Egia Ti Vasc,843.52,328.97,,,0
CDM,SUP148781,Noncdm Charge Record Medical Supplies - Stent Gi Cath 10.8Fr L138Cm Total L146Cm Flange Dia24Mm,26504.28,10336.67,,,0
CDM,SUP148784,Noncdm Charge Record Medical Supplies,2863.98,1116.95,,,0
CDM,SUP148785,Noncdm Charge Record Medical Supplies,429.52,167.51,,,0
CDM,SUP148788,Noncdm Charge Record Medical Supplies - Stent Pancreatic L6Cm Od5Fr Straight Leading Barb,674.82,263.18,,,0
CDM,SUP1487_272,Noncdm Charge Record Medical Supplies - Cable Bipolar 12Ft Sterile Disposable Conmed Linvatec,19.94,7.78,,,0
CDM,SUP1487_A4649_272,Noncdm Charge Record Medical Supplies - Cable Bipolar 12Ft Sterile Disposable Conmed Linvatec,20.7,8.07,,,0
CDM,SUP1487_A9999_272,Noncdm Charge Record Medical Supplies - Cable Bipolar 12Ft Sterile Disposable Conmed Linvatec,18.63,7.27,,,0
CDM,SUP148822,Noncdm Charge Record Medical Supplies - Binder 2Xl 12In,41.4,16.15,,,0
CDM,SUP1488_272,Noncdm Charge Record Medical Supplies - Burr Surg Lilac 5.5Mm Ntchbls,204.93,79.92,,,0
CDM,SUP1488_A4649_272,Noncdm Charge Record Medical Supplies - Burr Surg Lilac 5.5Mm Ntchbls,204.93,79.92,,,0
CDM,SUP1488_A9999_272,Noncdm Charge Record Medical Supplies - Burr Surg Lilac 5.5Mm Ntchbls,204.93,79.92,,,0
CDM,SUP14893,Noncdm Charge Record Medical Supplies - Tool Dissect 140Mm 3Mm Mdsrx Lgn Mtch Head,814.54,317.67,,,0
CDM,SUP14897,Noncdm Charge Record Medical Supplies - Tool Dissect 80Mm 2.3Mm Mdsrx Lgn Tpr Flute,594.09,231.7,,,0
CDM,SUP14899,Noncdm Charge Record Medical Supplies - Burr 9-M 7.5 Mm Acorn Medtronic,797.98,311.21,,,0
CDM,SUP14900_272,Noncdm Charge Record Medical Supplies - See 141023 Suture Vicryl 3-0 Sh 27In Cr Violet Ethicon,55.8,21.76,,,0
CDM,SUP14900_A4649_272,Noncdm Charge Record Medical Supplies - See 141023 Suture Vicryl 3-0 Sh 27In Cr Violet Ethicon,55.89,21.8,,,0
CDM,SUP14901,Noncdm Charge Record Medical Supplies - Pouch Surg Tissue 8X5In Lapsac Peel Open Clr,363.28,141.68,,,0
CDM,SUP149039_Q4158_278,Noncdm Charge Record Medical Supplies - Dressing Wound Kerecis Omega3 3X3.5 Cm,3789.14,1477.76,,,0
CDM,SUP149040_Q4158_278,Noncdm Charge Record Medical Supplies - Dressing Wound Kerecis Omega3 3X7 Cm,6046.47,2358.12,,,0
CDM,SUP149043_Q4158_278,Noncdm Charge Record Medical Supplies - Dressing Wound Kerecis Omega3 7X20 Cm,120.84,47.13,,,0
CDM,SUP14905,Noncdm Charge Record Medical Supplies - Punch Surg 3Mm Ss Derm Bx Sharp Rb Acpnch,12.42,4.84,,,0
CDM,SUP14906_272,Noncdm Charge Record Medical Supplies - Blade Saw 25X5.5X.38Mm Prcs Micro Thin Ss Osc,168.27,65.63,,,0
CDM,SUP14906_A9999_272,Noncdm Charge Record Medical Supplies - Blade Saw 25X5.5X.38Mm Prcs Micro Thin Ss Osc,168.7,65.79,,,0
CDM,SUP14907,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 65Mm Lcp Ss Prox Fem Cannula,1024.65,399.61,,,0
CDM,SUP14908,Noncdm Charge Record Medical Supplies - Guidewire Orth 200Mm 2.5Mm Lcp Ss Drill Tip,249.8,97.42,,,0
CDM,SUP1491,Noncdm Charge Record Medical Supplies - Electrode 18In Sprl 1 Hlx Sf,16.49,6.43,,,0
CDM,SUP14910,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 4.3Mm 200Mm Synthes,1449.0,565.11,,,0
CDM,SUP14911_272,Noncdm Charge Record Medical Supplies - Burr Surg 54Mm 2Mm Round Plsh Strl,240.12,93.65,,,0
CDM,SUP14911_A4649_272,Noncdm Charge Record Medical Supplies - Burr Surg 54Mm 2Mm Round Plsh Strl,224.6,87.59,,,0
CDM,SUP14912,Noncdm Charge Record Medical Supplies - Catheter Drain 35Cm Csf Ventri,742.1,289.42,,,0
CDM,SUP149129,Noncdm Charge Record Medical Supplies - Kit Case 5Mm Spinejack,19874.72,7751.14,,,0
CDM,SUP149138,Noncdm Charge Record Medical Supplies - Kit Catheter 20Fr Straight Spray Trufreeze Rapid Av,8796.46,3430.62,,,0
CDM,SUP149139_C1886_272,Noncdm Charge Record Medical Supplies - Catheter Cryotherapy 7Fr Passive Venting Straight,8796.46,3430.62,,,0
CDM,SUP149139_C2618_272,Noncdm Charge Record Medical Supplies - Catheter Cryotherapy 7Fr Passive Venting Straight,8796.46,3430.62,,,0
CDM,SUP149141_270,Noncdm Charge Record Medical Supplies - Curette Vacuum 9Mm Rigid Curved Cannula Disposable,22.59,8.81,,,0
CDM,SUP149141_A4649_270,Noncdm Charge Record Medical Supplies - Curette Vacuum 9Mm Rigid Curved Cannula Disposable,22.77,8.88,,,0
CDM,SUP149141_A9999_270,Noncdm Charge Record Medical Supplies - Curette Vacuum 9Mm Rigid Curved Cannula Disposable,22.77,8.88,,,0
CDM,SUP149142_270,Noncdm Charge Record Medical Supplies - Curette Vacuum 8Mm Curved Cannula Disposable,22.51,8.78,,,0
CDM,SUP149142_A9999_270,Noncdm Charge Record Medical Supplies - Curette Vacuum 8Mm Curved Cannula Disposable,22.77,8.88,,,0
CDM,SUP149143,Noncdm Charge Record Medical Supplies - Curette Vacuum 11Mm Rigid Curved Cannula Disposable,22.49,8.77,,,0
CDM,SUP149144,Noncdm Charge Record Medical Supplies - Curette Vacuum 12Mm Rigid Curved Cannula Disposable,22.56,8.8,,,0
CDM,SUP14915_272,Noncdm Charge Record Medical Supplies - Guidewire Orth 400Mm 3.2Mm Tib Thrd 6Mm Dist,368.46,143.7,,,0
CDM,SUP14915_C1769_272,Noncdm Charge Record Medical Supplies - Guidewire Orth 400Mm 3.2Mm Tib Thrd 6Mm Dist,395.86,154.39,,,0
CDM,SUP14921_272,Noncdm Charge Record Medical Supplies - 5Fr Jl 3.5 Catheter,45.64,17.8,,,0
CDM,SUP14921_A4649_272,Noncdm Charge Record Medical Supplies - 5Fr Jl 3.5 Catheter,46.58,18.17,,,0
CDM,SUP14926_272,Noncdm Charge Record Medical Supplies - Specboard Macbrud Corporation,115.94,45.22,,,0
CDM,SUP14926_A4649_272,Noncdm Charge Record Medical Supplies - Specboard Macbrud Corporation,115.92,45.21,,,0
CDM,SUP14926_A9999_272,Noncdm Charge Record Medical Supplies - Specboard Macbrud Corporation,115.92,45.21,,,0
CDM,SUP14928_270,Noncdm Charge Record Medical Supplies - Device Pstn Prnvw Sm Foam Cushion Insert,122.13,47.63,,,0
CDM,SUP14928_A4649_270,Noncdm Charge Record Medical Supplies - Device Pstn Prnvw Sm Foam Cushion Insert,122.13,47.63,,,0
CDM,SUP14932,Noncdm Charge Record Medical Supplies - Stylet Intub 45Cm 12Fr Plastic,8.28,3.23,,,0
CDM,SUP149323,Noncdm Charge Record Medical Supplies - Linear Strut Short Maxframe,5568.04,2171.54,,,0
CDM,SUP149324,Noncdm Charge Record Medical Supplies - Linear Strut Medium Maxframe,5568.04,2171.54,,,0
CDM,SUP149326,Noncdm Charge Record Medical Supplies,4824.14,1881.41,,,0
CDM,SUP149327,Noncdm Charge Record Medical Supplies,4824.14,1881.41,,,0
CDM,SUP149332,Noncdm Charge Record Medical Supplies - Polyaxial Strut Fgs Short Maxframe,6733.71,2626.15,,,0
CDM,SUP149333_270,Noncdm Charge Record Medical Supplies - Polyaxial Strut Fgs Medium Maxframe,6733.71,2626.15,,,0
CDM,SUP149333_272,Noncdm Charge Record Medical Supplies - Polyaxial Strut Fgs Medium Maxframe,6151.0,2398.89,,,0
CDM,SUP149334,Noncdm Charge Record Medical Supplies - Polyaxial Strut Fgs Long Maxframe,5801.18,2262.46,,,0
CDM,SUP149344,Noncdm Charge Record Medical Supplies - Ring Mount 6-5Mm Maxframe,840.33,327.73,,,0
CDM,SUP149345,Noncdm Charge Record Medical Supplies - Multi Parallel Post 1 High Maxframe,866.3,337.86,,,0
CDM,SUP149346,Noncdm Charge Record Medical Supplies - Multi Parallel Post 2 High Maxframe,926.67,361.4,,,0
CDM,SUP149347,Noncdm Charge Record Medical Supplies - Multi Parallel Post 3 High Maxframe,907.7,354.0,,,0
CDM,SUP149348,Noncdm Charge Record Medical Supplies - Multi Parallel Post 4 High Maxframe,1002.92,391.14,,,0
CDM,SUP14935,Noncdm Charge Record Medical Supplies - Needle Spnl 4.75In 24Ga Sprt,59.0,23.01,,,0
CDM,SUP149351,Noncdm Charge Record Medical Supplies - Multi Parallel Pin Mount Bolt Maxframe,873.98,340.85,,,0
CDM,SUP149352,Noncdm Charge Record Medical Supplies - Standoff 65Mm Maxframe,494.34,192.79,,,0
CDM,SUP149353_270,Noncdm Charge Record Medical Supplies - Standoff 80Mm Maxframe,698.28,272.33,,,0
CDM,SUP149353_272,Noncdm Charge Record Medical Supplies - Standoff 80Mm Maxframe,577.53,225.24,,,0
CDM,SUP149354_270,Noncdm Charge Record Medical Supplies,798.89,311.57,,,0
CDM,SUP149354_272,Noncdm Charge Record Medical Supplies,709.03,276.52,,,0
CDM,SUP149358,Noncdm Charge Record Medical Supplies,577.53,225.24,,,0
CDM,SUP149360,Noncdm Charge Record Medical Supplies - Retention Band Maxframe,309.46,120.69,,,0
CDM,SUP14940,Noncdm Charge Record Medical Supplies - See 141025 Suture Vicryl 3-0 X-1 18In Cr Violet Ethicon,81.76,31.89,,,0
CDM,SUP14942,Noncdm Charge Record Medical Supplies - See 140981 Suture Vicryl 4-0 P-3 18In Undyed Ethicon,21.52,8.39,,,0
CDM,SUP14944,Noncdm Charge Record Medical Supplies - See 140985 Suture Vicryl 4-0 Ps-2 18In Undyed Ethicon,19.66,7.67,,,0
CDM,SUP14945,Noncdm Charge Record Medical Supplies - Suture Permahand 0 Mo-7 18In Cr Ethicon,52.13,20.33,,,0
CDM,SUP14946,Noncdm Charge Record Medical Supplies - Cannula Ercp Rapid Exchange Boston Scientific,430.56,167.92,,,0
CDM,SUP14947_272,Noncdm Charge Record Medical Supplies - Basket Trapezoid Wireguided 2.5Cmx0.035X3.2Mm Boston Scienti,1800.9,702.35,,,0
CDM,SUP14947_A4649_272,Noncdm Charge Record Medical Supplies - Basket Trapezoid Wireguided 2.5Cmx0.035X3.2Mm Boston Scienti,1800.9,702.35,,,0
CDM,SUP14948_272,Noncdm Charge Record Medical Supplies - Device Lck Bx Cap Olmps Strl,67.28,26.24,,,0
CDM,SUP14948_A4649_272,Noncdm Charge Record Medical Supplies - Device Lck Bx Cap Olmps Strl,67.28,26.24,,,0
CDM,SUP14948_A9999_272,Noncdm Charge Record Medical Supplies - Device Lck Bx Cap Olmps Strl,67.28,26.24,,,0
CDM,SUP14949,Noncdm Charge Record Medical Supplies - Basket Trapezoid Wireguided 2Cmx0.035X3.2Mm Boston Scientifi,1800.9,702.35,,,0
CDM,SUP14951,Noncdm Charge Record Medical Supplies - Wire Fx 1.25Mm 150Mm Krsh Ti Troc Pt 1 End Ns,43.47,16.95,,,0
CDM,SUP14952,Noncdm Charge Record Medical Supplies - Wire Fx 1.6Mm 150Mm Krsh Ti Troc Pt Ns,43.47,16.95,,,0
CDM,SUP14953_272,Noncdm Charge Record Medical Supplies - Suture Pds2 2-0 Stp-10 27In Violet Double Arm Ethicon,90.7,35.37,,,0
CDM,SUP14953_A4649_272,Noncdm Charge Record Medical Supplies - Suture Pds2 2-0 Stp-10 27In Violet Double Arm Ethicon,89.01,34.71,,,0
CDM,SUP14953_A9999_272,Noncdm Charge Record Medical Supplies - Suture Pds2 2-0 Stp-10 27In Violet Double Arm Ethicon,91.08,35.52,,,0
CDM,SUP149541_C1762_278,Noncdm Charge Record Medical Supplies - Amnioburn 9Cm X 7Cm,10609.58,4137.74,,,0
CDM,SUP149541_Q4100_278,Noncdm Charge Record Medical Supplies - Amnioburn 9Cm X 7Cm,10609.78,4137.81,,,0
CDM,SUP149542_C1762_278,Noncdm Charge Record Medical Supplies - Amnioburn 7Cm X 15Cm,19309.74,7530.8,,,0
CDM,SUP149542_Q4100_278,Noncdm Charge Record Medical Supplies,19310.0,7530.9,,,0
CDM,SUP149543_Q4100_278,Noncdm Charge Record Medical Supplies - Amnioburn 9Cm X 20Cm,33061.0,12893.79,,,0
CDM,SUP14955_272,Noncdm Charge Record Medical Supplies - Sponge Neuro Patty .5X.5In Deroyal,17.61,6.87,,,0
CDM,SUP14955_A4649_272,Noncdm Charge Record Medical Supplies - Sponge Neuro Patty .5X.5In Deroyal,17.6,6.86,,,0
CDM,SUP14955_A9999_272,Noncdm Charge Record Medical Supplies - Sponge Neuro Patty .5X.5In Deroyal,17.6,6.86,,,0
CDM,SUP14956_272,Noncdm Charge Record Medical Supplies - Sponge Neuro Patty 3X1In Deroyal,17.62,6.87,,,0
CDM,SUP14956_A4649_272,Noncdm Charge Record Medical Supplies - Sponge Neuro Patty 3X1In Deroyal,17.6,6.86,,,0
CDM,SUP14956_A9999_272,Noncdm Charge Record Medical Supplies - Sponge Neuro Patty 3X1In Deroyal,17.6,6.86,,,0
CDM,SUP14958,Noncdm Charge Record Medical Supplies - Wire Fx 3Mm 285Mm Krsh Anzd Ti Alloy Rtrgd,1009.12,393.56,,,0
CDM,SUP149591,Noncdm Charge Record Medical Supplies - Catheter Urethral 16Fr Balloon 5Cc Silicone Hydrogel,17.6,6.86,,,0
CDM,SUP14960,Noncdm Charge Record Medical Supplies - Guidewire Orth 1000Mm 3Mm T2 Ball Tip Fem,626.17,244.21,,,0
CDM,SUP14961,Noncdm Charge Record Medical Supplies - Bit Drill 340Mm 4.2Mm T2 Ao Strl,568.22,221.61,,,0
CDM,SUP149613,Noncdm Charge Record Medical Supplies,7.24,2.82,,,0
CDM,SUP14967,Noncdm Charge Record Medical Supplies - Adaptor Uretheral Catheter Genito-Urinary Technology,106.57,41.56,,,0
CDM,SUP149678,Noncdm Charge Record Medical Supplies - System Access Catheter Bnchmrk Bmx96 90Cm Mp Tip 125Cm Sim 6,3946.46,1539.12,,,0
CDM,SUP14970,Noncdm Charge Record Medical Supplies - Blade Saw 6.27X32X.79Mm Thk 0.31In Stern Strl,111.18,43.36,,,0
CDM,SUP14971,Noncdm Charge Record Medical Supplies - See 141032 Suture Vicryl 1 Ct1 18In Cr Ethicon,55.89,21.8,,,0
CDM,SUP149749,Noncdm Charge Record Medical Supplies - Zephyr 5.5-Lp Endobronchial Valve,10875.43,4241.42,,,0
CDM,SUP149750,Noncdm Charge Record Medical Supplies - Zephyr 5.5 Dual Mark Delv Cath,2248.85,877.05,,,0
CDM,SUP149751,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 30- Xl25,941.35,367.13,,,0
CDM,SUP149752,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 32- Xl25,938.0,365.82,,,0
CDM,SUP149753,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 34- Xl25,971.32,378.81,,,0
CDM,SUP149754,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 36- Xl25,942.53,367.59,,,0
CDM,SUP149755,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 38- Xl25,945.18,368.62,,,0
CDM,SUP149756,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 40- Xl25,954.41,372.22,,,0
CDM,SUP149757,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 42- Xl25,964.42,376.12,,,0
CDM,SUP149758,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 44- Xl25,931.44,363.26,,,0
CDM,SUP149759,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 46- Xl25,950.5,370.7,,,0
CDM,SUP149760,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 48- Xl25,916.42,357.4,,,0
CDM,SUP149761,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 50- Xl25,936.82,365.36,,,0
CDM,SUP149762,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 52- Xl25,916.42,357.4,,,0
CDM,SUP149763,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 54- Xl25,957.77,373.53,,,0
CDM,SUP149764,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 56- Xl25,953.24,371.76,,,0
CDM,SUP149765,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 58- Xl25,907.98,354.11,,,0
CDM,SUP149766,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 60- Xl25,922.07,359.61,,,0
CDM,SUP149767,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 62- Xl25,995.32,388.17,,,0
CDM,SUP149768,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 64- Xl25,927.48,361.72,,,0
CDM,SUP149769,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 66- Xl25,918.27,358.13,,,0
CDM,SUP14976_272,Noncdm Charge Record Medical Supplies - See 141022 Suture Vicryl 2-0 Sh 18In Cr Violet Ethicon,53.84,21.0,,,0
CDM,SUP14976_A4649_272,Noncdm Charge Record Medical Supplies,53.82,20.99,,,0
CDM,SUP14976_A9999_272,Noncdm Charge Record Medical Supplies - See 141022 Suture Vicryl 2-0 Sh 18In Cr Violet Ethicon,53.82,20.99,,,0
CDM,SUP14977,Noncdm Charge Record Medical Supplies - Forceps Bipolar Endopth Mac Jaw Laparos Strl,809.37,315.65,,,0
CDM,SUP149770,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 68- Xl25,929.7,362.58,,,0
CDM,SUP149771,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 70- Xl25,941.75,367.28,,,0
CDM,SUP149772,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 72- Xl25,957.89,373.58,,,0
CDM,SUP149773,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 74- Xl25,937.38,365.58,,,0
CDM,SUP149774,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 76- Xl25,925.7,361.02,,,0
CDM,SUP149775,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 78- Xl25,934.84,364.59,,,0
CDM,SUP149776,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 80- Xl25,950.07,370.53,,,0
CDM,SUP149777,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 82- Xl25,945.73,368.83,,,0
CDM,SUP149778,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 84- Xl25,942.58,367.61,,,0
CDM,SUP149779,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 86- Xl25,940.96,366.97,,,0
CDM,SUP14978,Noncdm Charge Record Medical Supplies - See 141066 Suture Monocryl 2-0 Ct-1 27In Undyed Ethicon,10.35,4.04,,,0
CDM,SUP149780,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 88- Xl25,990.7,386.37,,,0
CDM,SUP149781,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 90- Xl25,968.2,377.6,,,0
CDM,SUP149787,Noncdm Charge Record Medical Supplies - Rfna - 9 - 300 5 Deg Bend - Sterile,7669.35,2991.05,,,0
CDM,SUP149788,Noncdm Charge Record Medical Supplies,7669.35,2991.05,,,0
CDM,SUP149789,Noncdm Charge Record Medical Supplies - Rfna - 9 - 340 5 Deg Bend - Sterile,7669.35,2991.05,,,0
CDM,SUP149790,Noncdm Charge Record Medical Supplies,7669.35,2991.05,,,0
CDM,SUP149812,Noncdm Charge Record Medical Supplies,7998.48,3119.41,,,0
CDM,SUP149813,Noncdm Charge Record Medical Supplies - Rfna - 10 - 240 5 Deg Bend - Sterile,7998.48,3119.41,,,0
CDM,SUP149815,Noncdm Charge Record Medical Supplies,7947.97,3099.71,,,0
CDM,SUP149816,Noncdm Charge Record Medical Supplies - Rfna - 10 - 320 5 Deg Bend - Sterile,7669.35,2991.05,,,0
CDM,SUP149817,Noncdm Charge Record Medical Supplies - Rfna - 10 - 340 5 Deg Bend - Sterile,8067.68,3146.4,,,0
CDM,SUP149818,Noncdm Charge Record Medical Supplies - Rfna - 10 - 360 5 Deg Bend - Sterile,8429.79,3287.62,,,0
CDM,SUP149819,Noncdm Charge Record Medical Supplies - Rfna - 10 - 380 5 Deg Bend - Sterile,7948.18,3099.79,,,0
CDM,SUP14982,Noncdm Charge Record Medical Supplies - Adaptor Safe Sheath Sealing 9Fr Standard Wing Medtronic Inc,195.62,76.29,,,0
CDM,SUP149820,Noncdm Charge Record Medical Supplies - Rfna - 10 - 400 5 Deg Bend - Sterile,8087.59,3154.16,,,0
CDM,SUP149821,Noncdm Charge Record Medical Supplies - Rfna - 10 - 420 5 Deg Bend - Sterile,7948.18,3099.79,,,0
CDM,SUP149822,Noncdm Charge Record Medical Supplies - Rfna - 10 - 440 5 Deg Bend - Sterile,8366.42,3262.9,,,0
CDM,SUP149826,Noncdm Charge Record Medical Supplies,8845.11,3449.59,,,0
CDM,SUP14983,Noncdm Charge Record Medical Supplies - Suture Chromic 1 36In Ct1 Abs Ethicon,16.86,6.58,,,0
CDM,SUP149830,Noncdm Charge Record Medical Supplies,8512.88,3320.02,,,0
CDM,SUP149831,Noncdm Charge Record Medical Supplies,8512.88,3320.02,,,0
CDM,SUP149832,Noncdm Charge Record Medical Supplies - Rfna - 10 - 360 10 Deg Bend - Sterile,8512.88,3320.02,,,0
CDM,SUP14984,Noncdm Charge Record Medical Supplies - Catheter Drain 14Fr 25Cm Reg,393.3,153.39,,,0
CDM,SUP149840,Noncdm Charge Record Medical Supplies,7998.48,3119.41,,,0
CDM,SUP149843,Noncdm Charge Record Medical Supplies,7669.35,2991.05,,,0
CDM,SUP149844,Noncdm Charge Record Medical Supplies - Rfna - 11 - 320 5 Deg Bend - Sterile,7669.35,2991.05,,,0
CDM,SUP149845,Noncdm Charge Record Medical Supplies - Rfna - 11 - 340 5 Deg Bend - Sterile,7979.16,3111.87,,,0
CDM,SUP149846,Noncdm Charge Record Medical Supplies - Rfna - 11 - 360 5 Deg Bend - Sterile,7669.35,2991.05,,,0
CDM,SUP149847,Noncdm Charge Record Medical Supplies - Rfna - 11 - 380 5 Deg Bend - Sterile,7968.02,3107.53,,,0
CDM,SUP149848,Noncdm Charge Record Medical Supplies - Rfna - 11 - 400 5 Deg Bend - Sterile,7795.9,3040.4,,,0
CDM,SUP149849,Noncdm Charge Record Medical Supplies - Rfna - 11 - 420 5 Deg Bend - Sterile,7669.35,2991.05,,,0
CDM,SUP14986,Noncdm Charge Record Medical Supplies - Suture Fiberwire 5 38In Nonabs Braid Blue Arthrex,195.69,76.32,,,0
CDM,SUP149867,Noncdm Charge Record Medical Supplies - Rfna - 12 - 160 5 Deg Bend - Sterile,8725.57,3402.97,,,0
CDM,SUP149868,Noncdm Charge Record Medical Supplies - Rfna - 12 - 200 5 Deg Bend - Sterile,7998.48,3119.41,,,0
CDM,SUP14987,Noncdm Charge Record Medical Supplies - System Comp Ther Crcf Std Shoulder Coolr Cryo,337.41,131.59,,,0
CDM,SUP149871,Noncdm Charge Record Medical Supplies - Rfna - 12 - 300 5 Deg Bend - Sterile,9063.5,3534.76,,,0
CDM,SUP149872,Noncdm Charge Record Medical Supplies - Rfna - 12 - 320 5 Deg Bend - Sterile,7669.35,2991.05,,,0
CDM,SUP149873,Noncdm Charge Record Medical Supplies - Rfna - 12 - 340 5 Deg Bend - Sterile,7669.35,2991.05,,,0
CDM,SUP149874,Noncdm Charge Record Medical Supplies - Rfna - 12 - 360 5 Deg Bend - Sterile,7868.51,3068.72,,,0
CDM,SUP149875,Noncdm Charge Record Medical Supplies - Rfna - 12 - 380 5 Deg Bend - Sterile,7768.86,3029.86,,,0
CDM,SUP149876,Noncdm Charge Record Medical Supplies - Rfna - 12 - 400 5 Deg Bend - Sterile,8227.01,3208.53,,,0
CDM,SUP149877,Noncdm Charge Record Medical Supplies - Rfna - 12 - 420 5 Deg Bend - Sterile,7669.35,2991.05,,,0
CDM,SUP149878,Noncdm Charge Record Medical Supplies - Rfna - 12 - 440 5 Deg Bend - Sterile,8366.42,3262.9,,,0
CDM,SUP149879,Noncdm Charge Record Medical Supplies,9452.66,3686.54,,,0
CDM,SUP14988,Noncdm Charge Record Medical Supplies - Stylet Lead 52Cm .014In Kt,152.04,59.3,,,0
CDM,SUP149888,Noncdm Charge Record Medical Supplies,8512.88,3320.02,,,0
CDM,SUP149889,Noncdm Charge Record Medical Supplies,8512.88,3320.02,,,0
CDM,SUP149890,Noncdm Charge Record Medical Supplies - Rfna - 12 - 400 10 Deg Bend - Sterile,8512.88,3320.02,,,0
CDM,SUP149898,Noncdm Charge Record Medical Supplies - Rfna - 14 - 340 5 Deg Bend - Sterile,8330.72,3248.98,,,0
CDM,SUP149899,Noncdm Charge Record Medical Supplies - Rfna - 14 - 360 5 Deg Bend - Sterile,9087.82,3544.25,,,0
CDM,SUP149900,Noncdm Charge Record Medical Supplies - Rfna - 14 - 380 5 Deg Bend - Sterile,8330.72,3248.98,,,0
CDM,SUP149901,Noncdm Charge Record Medical Supplies - Rfna - 14 - 400 5 Deg Bend - Sterile,9844.92,3839.52,,,0
CDM,SUP149903,Noncdm Charge Record Medical Supplies - Locking Screw For Im Nail 5- 26- Xl25,924.77,360.66,,,0
CDM,SUP149904,Noncdm Charge Record Medical Supplies - Locking Screw For Im Nail 5- 28- Xl25,960.4,374.56,,,0
CDM,SUP149905,Noncdm Charge Record Medical Supplies - Locking Screw For Im Nail 5- 95- Xl25,925.7,361.02,,,0
CDM,SUP149912,Noncdm Charge Record Medical Supplies - Low Prof Lckng Scr 5.0 - L 28 - Xl25,1290.64,503.35,,,0
CDM,SUP149913,Noncdm Charge Record Medical Supplies - Low Prof Lckng Scr 5.0 - L 30 - Xl25,1091.92,425.85,,,0
CDM,SUP149914,Noncdm Charge Record Medical Supplies - Low Prof Lckng Scr 5.0 - L 32 - Xl25,1091.92,425.85,,,0
CDM,SUP149915,Noncdm Charge Record Medical Supplies - Low Prof Lckng Scr 5.0 - L 34 - Xl25,1290.64,503.35,,,0
CDM,SUP149916,Noncdm Charge Record Medical Supplies - Low Prof Lckng Scr 5.0 - L 36 - Xl25,1091.92,425.85,,,0
CDM,SUP149917,Noncdm Charge Record Medical Supplies - Low Prof Lckng Scr 5.0 - L 38 - Xl25,1191.29,464.6,,,0
CDM,SUP149918,Noncdm Charge Record Medical Supplies - Low Prof Lckng Scr 5.0 - L 40 - Xl25,1191.29,464.6,,,0
CDM,SUP149919,Noncdm Charge Record Medical Supplies - Low Prof Lckng Scr 5.0 - L 42 - Xl25,1091.92,425.85,,,0
CDM,SUP14992,Noncdm Charge Record Medical Supplies - Closure 6 Fr Perclose At,954.42,372.22,,,0
CDM,SUP149920,Noncdm Charge Record Medical Supplies - Low Prof Lckng Scr 5.0 - L 44 - Xl25,1191.29,464.6,,,0
CDM,SUP149921,Noncdm Charge Record Medical Supplies - Low Prof Lckng Scr 5.0 - L 46 - Xl25,1191.29,464.6,,,0
CDM,SUP149922,Noncdm Charge Record Medical Supplies - Low Prof Lckng Scr 5.0 - L 50 - Xl25,1125.04,438.77,,,0
CDM,SUP149923,Noncdm Charge Record Medical Supplies - Low Prof Lckng Scr 5.0 - L 52 - Xl25,1091.92,425.85,,,0
CDM,SUP149926,Noncdm Charge Record Medical Supplies - Low Prof Lckng Scr 5.0 - L 58 - Xl25,1091.92,425.85,,,0
CDM,SUP149927,Noncdm Charge Record Medical Supplies - Low Prof Lckng Scr 5.0 - L 60 - Xl25,1091.92,425.85,,,0
CDM,SUP149928,Noncdm Charge Record Medical Supplies,1091.92,425.85,,,0
CDM,SUP149929,Noncdm Charge Record Medical Supplies,1091.92,425.85,,,0
CDM,SUP149930,Noncdm Charge Record Medical Supplies,1091.92,425.85,,,0
CDM,SUP149933,Noncdm Charge Record Medical Supplies,1091.92,425.85,,,0
CDM,SUP149934,Noncdm Charge Record Medical Supplies - Low Prof Lckng Scr 5.0 - L 74 - Xl25,1091.92,425.85,,,0
CDM,SUP149935,Noncdm Charge Record Medical Supplies,1091.92,425.85,,,0
CDM,SUP149936,Noncdm Charge Record Medical Supplies,1091.92,425.85,,,0
CDM,SUP14994,Noncdm Charge Record Medical Supplies - Splint Orth Med 8In Lt Wrst Low Prof Plmr,45.54,17.76,,,0
CDM,SUP149949,Noncdm Charge Record Medical Supplies - End Cap For Rfna - 0Mm Sterile,1010.09,393.94,,,0
CDM,SUP149950,Noncdm Charge Record Medical Supplies,971.86,379.03,,,0
CDM,SUP149952,Noncdm Charge Record Medical Supplies - Washer For Screw 14-7Mm Sterile,335.86,130.99,,,0
CDM,SUP149953,Noncdm Charge Record Medical Supplies - Nut 14Mm Sterile,1280.98,499.58,,,0
CDM,SUP149955,Noncdm Charge Record Medical Supplies - Lckng Attach Washer Rfna - 5 Deg- Rt- S,4356.87,1699.18,,,0
CDM,SUP149956,Noncdm Charge Record Medical Supplies - Lckng Attach Washer Rfna - 5 Deg- Lt- S,4339.76,1692.51,,,0
CDM,SUP149958,Noncdm Charge Record Medical Supplies,4253.85,1659.0,,,0
CDM,SUP149959,Noncdm Charge Record Medical Supplies - Drill Bit - Cann - 12.8 Lrg Qc,2661.82,1038.11,,,0
CDM,SUP14996,Noncdm Charge Record Medical Supplies - Guidewire Vasc .025In 260Cm,68.31,26.64,,,0
CDM,SUP149960,Noncdm Charge Record Medical Supplies - Drill Bit - Cann - 11.2 Lrg Qc,2703.94,1054.54,,,0
CDM,SUP149961_272,Noncdm Charge Record Medical Supplies - Drill Bit- Calibrated- 4.2 Extra-Long,1094.27,426.77,,,0
CDM,SUP149961_A4649_272,Noncdm Charge Record Medical Supplies - Drill Bit- Calibrated- 4.2 Extra-Long,1077.44,420.2,,,0
CDM,SUP149961_A9999_272,Noncdm Charge Record Medical Supplies - Drill Bit- Calibrated- 4.2 Extra-Long,1273.05,496.49,,,0
CDM,SUP149962_272,Noncdm Charge Record Medical Supplies - Guide Wire- W- Drill Tip 3.2- 400,430.58,167.93,,,0
CDM,SUP149962_A4649_272,Noncdm Charge Record Medical Supplies - Guide Wire- W- Drill Tip 3.2- 400,430.56,167.92,,,0
CDM,SUP149963_272,Noncdm Charge Record Medical Supplies - Guide Wire- Drill Tip 3.2- 400- -S,603.0,235.17,,,0
CDM,SUP149963_A4649_272,Noncdm Charge Record Medical Supplies - Guide Wire- Drill Tip 3.2- 400- -S,603.06,235.19,,,0
CDM,SUP149967,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 8 300 - Sterile,7077.33,2760.16,,,0
CDM,SUP149980,Noncdm Charge Record Medical Supplies,6748.2,2631.8,,,0
CDM,SUP149981,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 9 285 - Sterile,7585.52,2958.35,,,0
CDM,SUP149982,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 9 300 - Sterile,6418.04,2503.04,,,0
CDM,SUP149983,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 9 315 - Sterile,6547.87,2553.67,,,0
CDM,SUP149984,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 9 330 - Sterile,6651.53,2594.1,,,0
CDM,SUP149985,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 9 345 - Sterile,6651.63,2594.14,,,0
CDM,SUP149986,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 9 360 - Sterile,6651.53,2594.1,,,0
CDM,SUP14998_272,Noncdm Charge Record Medical Supplies - Suture Plain 5-0 P-3 18In Ethicon,30.1,11.74,,,0
CDM,SUP14998_A4649_272,Noncdm Charge Record Medical Supplies - Suture Plain 5-0 P-3 18In Ethicon,30.02,11.71,,,0
CDM,SUP149997,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 10 300 - Sterile,6709.9,2616.86,,,0
CDM,SUP149998,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 10 315 - Sterile,6729.43,2624.48,,,0
CDM,SUP149999,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 10 330 - Sterile,6563.97,2559.95,,,0
CDM,SUP14999_272,Noncdm Charge Record Medical Supplies - Suture Plain 6-0 G-1 18In Double Arm Ethicon,77.97,30.41,,,0
CDM,SUP14999_A4649_272,Noncdm Charge Record Medical Supplies - Suture Plain 6-0 G-1 18In Double Arm Ethicon,77.97,30.41,,,0
CDM,SUP14999_A9999_272,Noncdm Charge Record Medical Supplies - Suture Plain 6-0 G-1 18In Double Arm Ethicon,78.92,30.78,,,0
CDM,SUP1500,Noncdm Charge Record Medical Supplies,1822.64,710.83,,,0
CDM,SUP15000,Noncdm Charge Record Medical Supplies - Suture Chromic 3-0 Ct1 27In Abs Ethicon,15.23,5.94,,,0
CDM,SUP150000,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 10 345 - Sterile,6692.74,2610.17,,,0
CDM,SUP150001,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 10 360 - Sterile,6462.94,2520.55,,,0
CDM,SUP150002,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 10 375 - Sterile,6830.15,2663.76,,,0
CDM,SUP150003,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 10 390 - Sterile,6709.9,2616.86,,,0
CDM,SUP150004,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 10 405 - Sterile,6709.9,2616.86,,,0
CDM,SUP150012,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 11 300 - Sterile,6709.9,2616.86,,,0
CDM,SUP150013,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 11 315 - Sterile,6418.29,2503.13,,,0
CDM,SUP150014,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 11 330 - Sterile,6677.59,2604.26,,,0
CDM,SUP150015,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 11 345 - Sterile,6418.04,2503.04,,,0
CDM,SUP150016,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 11 360 - Sterile,6491.13,2531.54,,,0
CDM,SUP150017,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 11 375 - Sterile,6807.2,2654.81,,,0
CDM,SUP150018,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 11 390 - Sterile,6418.04,2503.04,,,0
CDM,SUP150019,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 11 405 - Sterile,6418.04,2503.04,,,0
CDM,SUP15002,Noncdm Charge Record Medical Supplies - Tubing Irr Hdrflx Hd Dstn Set,618.93,241.38,,,0
CDM,SUP150030,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 12 345 - Sterile,7293.64,2844.52,,,0
CDM,SUP150031,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 12 360 - Sterile,6418.04,2503.04,,,0
CDM,SUP150034,Noncdm Charge Record Medical Supplies,6418.04,2503.04,,,0
CDM,SUP15004,Noncdm Charge Record Medical Supplies - Suture Monocryl 1 Ct 36In Violet Ethicon,11.72,4.57,,,0
CDM,SUP150051,Noncdm Charge Record Medical Supplies,8364.87,3262.3,,,0
CDM,SUP150054,Noncdm Charge Record Medical Supplies - End Cap- 0Mm- Sterile,1059.84,413.34,,,0
CDM,SUP150055,Noncdm Charge Record Medical Supplies - End Cap- 5Mm- Sterile,1147.82,447.65,,,0
CDM,SUP150056,Noncdm Charge Record Medical Supplies - End Cap- 10Mm- Sterile,1007.06,392.75,,,0
CDM,SUP150057,Noncdm Charge Record Medical Supplies - End Cap- 15Mm- Sterile,1147.82,447.65,,,0
CDM,SUP150058,Noncdm Charge Record Medical Supplies - Protec Slv- Flex- Lg For Nl 8-11 - -S,1077.44,420.2,,,0
CDM,SUP150059,Noncdm Charge Record Medical Supplies - Trocar - Long For Nails 8-11 - Sile,484.38,188.91,,,0
CDM,SUP150062_272,Noncdm Charge Record Medical Supplies - Drill Bit - Flexible - 12Mm Long,4305.37,1679.09,,,0
CDM,SUP150062_A4649_272,Noncdm Charge Record Medical Supplies - Drill Bit - Flexible - 12Mm Long,4019.94,1567.78,,,0
CDM,SUP150062_A9999_272,Noncdm Charge Record Medical Supplies - Drill Bit - Flexible - 12Mm Long,4750.65,1852.75,,,0
CDM,SUP150063_272,Noncdm Charge Record Medical Supplies - Drill Bit- Flexible- 12 Long - Sterile,4429.72,1727.59,,,0
CDM,SUP150063_A4649_272,Noncdm Charge Record Medical Supplies - Drill Bit- Flexible- 12 Long - Sterile,4421.52,1724.39,,,0
CDM,SUP150064,Noncdm Charge Record Medical Supplies - Allograft Putty 2.5Cc,3504.51,1366.76,,,0
CDM,SUP15007,Noncdm Charge Record Medical Supplies - Suture Ethilon 7-0 P-1 18In Black Ethicon,22.77,8.88,,,0
CDM,SUP15008,Noncdm Charge Record Medical Supplies - Suture Cp 0 48In Braid 2 Arm Boston Scientific,215.8,84.16,,,0
CDM,SUP15009,Noncdm Charge Record Medical Supplies - Brace Walk Lg Shrt 9.5In Pneum Low Rckr Sole,202.86,79.12,,,0
CDM,SUP15011_272,Noncdm Charge Record Medical Supplies - Suture Prolene 2-0 Ct-2 30In Ethicon,12.64,4.93,,,0
CDM,SUP15011_A4649_272,Noncdm Charge Record Medical Supplies - Suture Prolene 2-0 Ct-2 30In Ethicon,12.67,4.94,,,0
CDM,SUP15011_A9999_272,Noncdm Charge Record Medical Supplies - Suture Prolene 2-0 Ct-2 30In Ethicon,12.81,5.0,,,0
CDM,SUP15012_272,Noncdm Charge Record Medical Supplies - Suture Prolene 1 Ctx 30In Ethicon,12.15,4.74,,,0
CDM,SUP15012_A4649_272,Noncdm Charge Record Medical Supplies - Suture Prolene 1 Ctx 30In Ethicon,12.42,4.84,,,0
CDM,SUP15014_272,Noncdm Charge Record Medical Supplies - Suture Prolene 6-0 P-3 18In Blue Ethicon,30.81,12.02,,,0
CDM,SUP15014_A4649_272,Noncdm Charge Record Medical Supplies - Suture Prolene 6-0 P-3 18In Blue Ethicon,31.05,12.11,,,0
CDM,SUP15015,Noncdm Charge Record Medical Supplies - Sheath Ureteral Forte Access 14Fr 2 28Cm Applied Medical,426.42,166.3,,,0
CDM,SUP15016_272,Noncdm Charge Record Medical Supplies - Suture Prolene 5-0 P-3 18In Ethicon,24.67,9.62,,,0
CDM,SUP15016_A4649_272,Noncdm Charge Record Medical Supplies - Suture Prolene 5-0 P-3 18In Ethicon,24.38,9.51,,,0
CDM,SUP15016_A9999_272,Noncdm Charge Record Medical Supplies - Suture Prolene 5-0 P-3 18In Ethicon,25.05,9.77,,,0
CDM,SUP15017_272,Noncdm Charge Record Medical Supplies - Marker Surg Spherz Pass Reflc Pat Rgd Antm,30.5,11.9,,,0
CDM,SUP15017_A4649_272,Noncdm Charge Record Medical Supplies - Marker Surg Spherz Pass Reflc Pat Rgd Antm,29.32,11.43,,,0
CDM,SUP150193_272,Noncdm Charge Record Medical Supplies - Tissue Retrieval System 12Mm L14Cm Introducer L7.6 Mouth Di,341.55,133.2,,,0
CDM,SUP150193_A9999_272,Noncdm Charge Record Medical Supplies - Tissue Retrieval System 12Mm L14Cm Introducer L7.6 Mouth Di,341.55,133.2,,,0
CDM,SUP15021,Noncdm Charge Record Medical Supplies - Applier Clip 12Mm Titanium Endo Rotatable Ethicon,1413.81,551.39,,,0
CDM,SUP150221,Noncdm Charge Record Medical Supplies,178.02,69.43,,,0
CDM,SUP150223_272,Noncdm Charge Record Medical Supplies - Dyonics 4.0Mm Acromioblaster Burr,328.1,127.96,,,0
CDM,SUP150223_A4649_272,Noncdm Charge Record Medical Supplies - Dyonics 4.0Mm Acromioblaster Burr,328.1,127.96,,,0
CDM,SUP150224_272,Noncdm Charge Record Medical Supplies - Kit Field Transfer 48In Ll Connect Spk Ck Valve,85.9,33.5,,,0
CDM,SUP150224_A4649_272,Noncdm Charge Record Medical Supplies - Kit Field Transfer 48In Ll Connect Spk Ck Valve,85.9,33.5,,,0
CDM,SUP150224_A9999_272,Noncdm Charge Record Medical Supplies - Kit Field Transfer 48In Ll Connect Spk Ck Valve,85.9,33.5,,,0
CDM,SUP150230_272,Noncdm Charge Record Medical Supplies - Suture V-Loc 90 Size 3-0 L15Cm L17Mm Cv23,113.77,44.37,,,0
CDM,SUP150230_A9999_272,Noncdm Charge Record Medical Supplies - Suture V-Loc 90 Size 3-0 L15Cm L17Mm Cv23,113.85,44.4,,,0
CDM,SUP15026_272,Noncdm Charge Record Medical Supplies - Suture Prolene 5-0 Rb-2 30In Double Arm Blue Ethicon,29.69,11.58,,,0
CDM,SUP15026_A4649_272,Noncdm Charge Record Medical Supplies - Suture Prolene 5-0 Rb-2 30In Double Arm Blue Ethicon,28.98,11.3,,,0
CDM,SUP15026_A9999_272,Noncdm Charge Record Medical Supplies - Suture Prolene 5-0 Rb-2 30In Double Arm Blue Ethicon,30.02,11.71,,,0
CDM,SUP15027,Noncdm Charge Record Medical Supplies,195.62,76.29,,,0
CDM,SUP150283,Noncdm Charge Record Medical Supplies - Mesh Surgical W7Xl10Cm Sepra Technology Rectangle Phasix,9390.56,3662.32,,,0
CDM,SUP15033_272,Noncdm Charge Record Medical Supplies - Suture Prolene 6-0 Rb-2 30In Double Arm Blue Ethicon,30.64,11.95,,,0
CDM,SUP15033_A9999_272,Noncdm Charge Record Medical Supplies - Suture Prolene 6-0 Rb-2 30In Double Arm Blue Ethicon,31.05,12.11,,,0
CDM,SUP150385,Noncdm Charge Record Medical Supplies - Coil Interlock .035 2D 4 Mm X 10 Cm,2556.97,997.22,,,0
CDM,SUP150386,Noncdm Charge Record Medical Supplies - Coil Interlock .035 2D 6 Mm X 10 Cm,2024.46,789.54,,,0
CDM,SUP150387,Noncdm Charge Record Medical Supplies,2669.26,1041.01,,,0
CDM,SUP150388,Noncdm Charge Record Medical Supplies - Coil Interlock .035 2D 6 Mm X 20 Cm,3528.32,1376.04,,,0
CDM,SUP150389,Noncdm Charge Record Medical Supplies - Coil Interlock .035 2D 8 Mm X 20 Cm,3576.7,1394.91,,,0
CDM,SUP15038_272,Noncdm Charge Record Medical Supplies - Suture Permahand 0 18In Tie Black Ethicon,4.89,1.91,,,0
CDM,SUP15038_A4649_272,Noncdm Charge Record Medical Supplies - Suture Permahand 0 18In Tie Black Ethicon,5.18,2.02,,,0
CDM,SUP15038_A9999_272,Noncdm Charge Record Medical Supplies - Suture Permahand 0 18In Tie Black Ethicon,5.18,2.02,,,0
CDM,SUP15039,Noncdm Charge Record Medical Supplies - Needle Bx 22Mm Img Gd Cranl,2178.68,849.69,,,0
CDM,SUP150390,Noncdm Charge Record Medical Supplies - Coil Interlock .035 2D 10 Mm X 20 Cm,3721.86,1451.53,,,0
CDM,SUP15040_270,Noncdm Charge Record Medical Supplies - Mask Anes Sm Adlt Ulthn Csh Inf Valve Hook Ring,12.42,4.84,,,0
CDM,SUP15040_A4649_270,Noncdm Charge Record Medical Supplies - Mask Anes Sm Adlt Ulthn Csh Inf Valve Hook Ring,12.42,4.84,,,0
CDM,SUP15040_A9999_270,Noncdm Charge Record Medical Supplies - Mask Anes Sm Adlt Ulthn Csh Inf Valve Hook Ring,12.42,4.84,,,0
CDM,SUP15041_272,Noncdm Charge Record Medical Supplies - See 140917 Suture Vicryl 4-0 Rb-1 27In Undyed Ethicon,7.41,2.89,,,0
CDM,SUP15041_A4649_272,Noncdm Charge Record Medical Supplies - See 140917 Suture Vicryl 4-0 Rb-1 27In Undyed Ethicon,7.42,2.89,,,0
CDM,SUP15041_A9999_272,Noncdm Charge Record Medical Supplies - See 140917 Suture Vicryl 4-0 Rb-1 27In Undyed Ethicon,7.24,2.82,,,0
CDM,SUP150435,Noncdm Charge Record Medical Supplies - Cannula Nasal End Tidal Adult Luer 14Ft Tubing,28.98,11.3,,,0
CDM,SUP150436_270,Noncdm Charge Record Medical Supplies - Cannula Nasal Dual Adult Co2-O2 Female Luer 7Ft,32.08,12.51,,,0
CDM,SUP150436_A4649_270,Noncdm Charge Record Medical Supplies - Cannula Nasal Dual Adult Co2-O2 Female Luer 7Ft,32.08,12.51,,,0
CDM,SUP150437,Noncdm Charge Record Medical Supplies,66.24,25.83,,,0
CDM,SUP150438,Noncdm Charge Record Medical Supplies - Clarifix System Delivery Device And Cryogen W-Cannsiter,9311.38,3631.44,,,0
CDM,SUP150439,Noncdm Charge Record Medical Supplies - Hook Apollorf Non-Aspirating 90 Degree,905.62,353.19,,,0
CDM,SUP150440,Noncdm Charge Record Medical Supplies - Harvester Surgical 9Mm Quadpro,2080.35,811.34,,,0
CDM,SUP150441,Noncdm Charge Record Medical Supplies - Fiberstitch Implant Curved 2-0 Fiberwire,2658.12,1036.67,,,0
CDM,SUP150442_272,Noncdm Charge Record Medical Supplies - Dilator Endoscopic Skid Portal Disposable,220.46,85.98,,,0
CDM,SUP150442_A4649_272,Noncdm Charge Record Medical Supplies - Dilator Endoscopic Skid Portal Disposable,220.46,85.98,,,0
CDM,SUP150443,Noncdm Charge Record Medical Supplies - Intro Sheath Prelude 7Fr 21G 23Cm,230.8,90.01,,,0
CDM,SUP15045,Noncdm Charge Record Medical Supplies - Guidewire Sensor .035In 150Cm Dualflex Nitinol Hydrophil Tip,256.78,100.14,,,0
CDM,SUP150452_272,Noncdm Charge Record Medical Supplies - Surgypad 36Inch W- Integrated Arm Protectors Lft Sheet Bdy S,242.44,94.55,,,0
CDM,SUP150452_A4649_272,Noncdm Charge Record Medical Supplies - Surgypad 36Inch W- Integrated Arm Protectors Lft Sheet Bdy S,270.14,105.35,,,0
CDM,SUP150452_A9999_272,Noncdm Charge Record Medical Supplies - Surgypad 36Inch W- Integrated Arm Protectors Lft Sheet Bdy S,229.77,89.61,,,0
CDM,SUP150453,Noncdm Charge Record Medical Supplies - Surgypad Xl 48Inch W- Integrated Arm Protect Lft Sheet Bdy S,279.45,108.99,,,0
CDM,SUP150454,Noncdm Charge Record Medical Supplies,44.5,17.36,,,0
CDM,SUP150466,Noncdm Charge Record Medical Supplies - Kit Size 3 Tibial Cruciate Retaining Single Use Instrumen,611.68,238.56,,,0
CDM,SUP150467,Noncdm Charge Record Medical Supplies - Instrument Orthopedic Size 5 F Femoral Kit Disposable Crucia,856.98,334.22,,,0
CDM,SUP150511,Noncdm Charge Record Medical Supplies,930.28,362.81,,,0
CDM,SUP150516,Noncdm Charge Record Medical Supplies - Kit Prep Size 4 Femoral Cruciate Retaining Disposable,867.59,338.36,,,0
CDM,SUP150517,Noncdm Charge Record Medical Supplies - Kit Prep Size 5 Tibial Cruciate Retaining Disposable,615.83,240.17,,,0
CDM,SUP150518,Noncdm Charge Record Medical Supplies - Kit Prep Size 3 Femoral Cruciate Retaining Disposable,856.98,334.22,,,0
CDM,SUP15052,Noncdm Charge Record Medical Supplies - Bit Drill 5In 2Mm Qrlse Strl,455.4,177.61,,,0
CDM,SUP15054,Noncdm Charge Record Medical Supplies - See 141021 Suture Vicryl 3-0 Sh 18In Cr Violet Ethicon,54.91,21.41,,,0
CDM,SUP15058,Noncdm Charge Record Medical Supplies - Catheter Angio .038In Om Flsh Crv 5Fr 65Cm,73.48,28.66,,,0
CDM,SUP15059,Noncdm Charge Record Medical Supplies - Acuity Whisper Wire,411.08,160.32,,,0
CDM,SUP1505_270,Noncdm Charge Record Medical Supplies - See 116913 Sponge Gauze Dermacea 4X4In,9.34,3.64,,,0
CDM,SUP1505_A9999_270,Noncdm Charge Record Medical Supplies - See 116913 Sponge Gauze Dermacea 4X4In,9.32,3.63,,,0
CDM,SUP1506,Noncdm Charge Record Medical Supplies - See 132798 Drape Laparotomy Medline,36.22,14.13,,,0
CDM,SUP150606,Noncdm Charge Record Medical Supplies,11343.6,4424.0,,,0
CDM,SUP150607,Noncdm Charge Record Medical Supplies - Insert Tibial Size 5 Thk9Mm Knee Poly X3,8429.04,3287.33,,,0
CDM,SUP150609,Noncdm Charge Record Medical Supplies - Dome Acetabular Hole Plug Hex Trident Ii,537.16,209.49,,,0
CDM,SUP150616,Noncdm Charge Record Medical Supplies - Catheter Picc L90Cm 0.035In 30Deg Angle Tip Stainless Stee,868.26,338.62,,,0
CDM,SUP150618,Noncdm Charge Record Medical Supplies - Spyglass Discover Retrieval Ba,1973.74,769.76,,,0
CDM,SUP15061_272,Noncdm Charge Record Medical Supplies - Catheter Angio .038In Mpa Crv 5Fr 65Cm Ang Mp 5-Bx,109.78,42.81,,,0
CDM,SUP15061_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Angio .038In Mpa Crv 5Fr 65Cm Ang Mp 5-Bx,96.26,37.54,,,0
CDM,SUP15062_272,Noncdm Charge Record Medical Supplies - Catheter Angio .035In C2 Crv 5Fr 65Cm Vscr 5-Bx,107.33,41.86,,,0
CDM,SUP15062_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Angio .035In C2 Crv 5Fr 65Cm Vscr 5-Bx,96.26,37.54,,,0
CDM,SUP15063,Noncdm Charge Record Medical Supplies - Dilator Vasc 11Fr 20Cm Sf-T-J Std Radiopq,33.12,12.92,,,0
CDM,SUP150631,Noncdm Charge Record Medical Supplies - Microcatheter Surmc135 Telemark 135Cm,1884.74,735.05,,,0
CDM,SUP150632,Noncdm Charge Record Medical Supplies - Microcatheter Surmc150 Telemark 150Cm,1884.74,735.05,,,0
CDM,SUP150667_272,Noncdm Charge Record Medical Supplies - Syringe Angiography 10Ml Coronary Control Thumb,22.76,8.88,,,0
CDM,SUP150667_A4649_272,Noncdm Charge Record Medical Supplies - Syringe Angiography 10Ml Coronary Control Thumb,22.77,8.88,,,0
CDM,SUP150667_A9999_272,Noncdm Charge Record Medical Supplies - Syringe Angiography 10Ml Coronary Control Thumb,22.77,8.88,,,0
CDM,SUP150669,Noncdm Charge Record Medical Supplies - Catheter Guiding 6Fr L100Cm Cls3 Curve Convey,269.1,104.95,,,0
CDM,SUP15067,Noncdm Charge Record Medical Supplies - Introducer Cath 30Cm 7Fr .038In Lng Lgth Ckfl,310.5,121.1,,,0
CDM,SUP150670,Noncdm Charge Record Medical Supplies - Catheter Guiding 6Fr L100Cm Cl Cls3.5 Curve Convey,269.1,104.95,,,0
CDM,SUP15068,Noncdm Charge Record Medical Supplies - Introducer Cath 30Cm 8Fr .038In Lng Lgth Ckfl,310.5,121.1,,,0
CDM,SUP15073,Noncdm Charge Record Medical Supplies,402.62,157.02,,,0
CDM,SUP150737,Noncdm Charge Record Medical Supplies - Applicator Swab L8In Procto Rayon Tipped Plastic Shaft,8.35,3.26,,,0
CDM,SUP150768,Noncdm Charge Record Medical Supplies - Americot 3 X 3Mm,10.43,4.07,,,0
CDM,SUP150769,Noncdm Charge Record Medical Supplies - Americot 10 X 10Mm,6.21,2.42,,,0
CDM,SUP15082,Noncdm Charge Record Medical Supplies - Introducer Sheath 9Fr 2.5Cm 10Cm Wo Mini,44.62,17.4,,,0
CDM,SUP150828,Noncdm Charge Record Medical Supplies,12.42,4.84,,,0
CDM,SUP15084,Noncdm Charge Record Medical Supplies - Catheter Angio .038In Crv 100C,71.07,27.72,,,0
CDM,SUP150842,Noncdm Charge Record Medical Supplies,6.73,2.62,,,0
CDM,SUP150847,Noncdm Charge Record Medical Supplies - Sponge Neurosurgical Strung Cotton Balls 10Mm,5.18,2.02,,,0
CDM,SUP15085,Noncdm Charge Record Medical Supplies - Catheter Angio .038In C2 Crv 4Fr 65Cm,248.19,96.79,,,0
CDM,SUP15088,Noncdm Charge Record Medical Supplies - Guidewire Vasc3Cm.035In150Cm 3,48.64,18.97,,,0
CDM,SUP150897,Noncdm Charge Record Medical Supplies - Electrode Emg 12.5Mm 2 Channel Prass Paired W- Small Hub Dis,666.02,259.75,,,0
CDM,SUP150899,Noncdm Charge Record Medical Supplies - Needle Endoscopic 2Fr Semi Rig Rotatable Luerlock Connection,550.62,214.74,,,0
CDM,SUP15089_272,Noncdm Charge Record Medical Supplies - Sheath 4Fr Terumo 10Cm Mini Gwire,42.44,16.55,,,0
CDM,SUP15089_C1894_272,Noncdm Charge Record Medical Supplies - Sheath 4Fr Terumo 10Cm Mini Gwire,44.61,17.4,,,0
CDM,SUP1508_272,Noncdm Charge Record Medical Supplies - Blade Angled Shart All Around Bevel 60D 2.5Mm Beaver Visitec,223.91,87.32,,,0
CDM,SUP1508_A4649_272,Noncdm Charge Record Medical Supplies - Blade Angled Shart All Around Bevel 60D 2.5Mm Beaver Visitec,224.6,87.59,,,0
CDM,SUP1508_A9999_272,Noncdm Charge Record Medical Supplies - Blade Angled Shart All Around Bevel 60D 2.5Mm Beaver Visitec,224.6,87.59,,,0
CDM,SUP150901,Noncdm Charge Record Medical Supplies - Shell Acetabular Size F D 54Mm Hip Titanium Pps Limtd Hole G,7460.28,2909.51,,,0
CDM,SUP150902,Noncdm Charge Record Medical Supplies - Liner Acetabular Size F D 44Mm Hip Cobalt G7,8609.13,3357.56,,,0
CDM,SUP150908_272,Noncdm Charge Record Medical Supplies - See 157006 Pack Cath Lab Wellstar Ws190.008,271.19,105.76,,,0
CDM,SUP150908_A4649_272,Noncdm Charge Record Medical Supplies,271.17,105.76,,,0
CDM,SUP150908_A9999_272,Noncdm Charge Record Medical Supplies - See 157006 Pack Cath Lab Wellstar Ws190.008,271.17,105.76,,,0
CDM,SUP150909,Noncdm Charge Record Medical Supplies - Kyphon Activos 10 Mixer Bone Cement Full Dose,355.0,138.45,,,0
CDM,SUP150946_A4648_278,Noncdm Charge Record Medical Supplies - Marker Radiographic Lumicoil L10Mm D .018In Figure 8,1097.1,427.87,,,0
CDM,SUP150946_C1889_278,Noncdm Charge Record Medical Supplies - Marker Radiographic Lumicoil L10Mm D .018In Figure 8,1097.1,427.87,,,0
CDM,SUP150947_A4648_278,Noncdm Charge Record Medical Supplies - Marker Fiducial L5Mm D 0.018In Platinum Straight Lumicoil,1097.44,428.0,,,0
CDM,SUP150947_L8699_278,Noncdm Charge Record Medical Supplies - Marker Fiducial L5Mm D 0.018In Platinum Straight Lumicoil,1097.62,428.07,,,0
CDM,SUP150948,Noncdm Charge Record Medical Supplies - Catheter Angiography 4Fr L40Cm 0.035In Kumpe High Torque,76.71,29.92,,,0
CDM,SUP150949,Noncdm Charge Record Medical Supplies - Liner Acetabular Size D D 40Mm Hip Cobalt Chrome G7,8909.9,3474.86,,,0
CDM,SUP150950,Noncdm Charge Record Medical Supplies - Cement Bone 40Gm W -Gentamicin Refobacin,1049.86,409.45,,,0
CDM,SUP150951_272,Noncdm Charge Record Medical Supplies - Dressing Transparent W6Xl8In Film Suresite 123,5.36,2.09,,,0
CDM,SUP150951_A4649_272,Noncdm Charge Record Medical Supplies - Dressing Transparent W6Xl8In Film Suresite 123,5.18,2.02,,,0
CDM,SUP15098_272,Noncdm Charge Record Medical Supplies - See 115909 Blade Saw 31X9X.38Mm Osc Med Lng Thin Ss Prcs,144.88,56.5,,,0
CDM,SUP15098_A4649_272,Noncdm Charge Record Medical Supplies - See 115909 Blade Saw 31X9X.38Mm Osc Med Lng Thin Ss Prcs,144.9,56.51,,,0
CDM,SUP15098_A9999_272,Noncdm Charge Record Medical Supplies - See 115909 Blade Saw 31X9X.38Mm Osc Med Lng Thin Ss Prcs,144.9,56.51,,,0
CDM,SUP150993,Noncdm Charge Record Medical Supplies - Monitor Cardiac 3.4Gm W8Xh45. 1Mm D4.2Mm Linq Ii,21267.18,8294.2,,,0
CDM,SUP1509_272,Noncdm Charge Record Medical Supplies - Set Extn 2.4Ml 60In Iv M Ll,5.17,2.02,,,0
CDM,SUP1509_A4649_272,Noncdm Charge Record Medical Supplies - Set Extn 2.4Ml 60In Iv M Ll,5.18,2.02,,,0
CDM,SUP1509_A9999_272,Noncdm Charge Record Medical Supplies - Set Extn 2.4Ml 60In Iv M Ll,5.18,2.02,,,0
CDM,SUP1510,Noncdm Charge Record Medical Supplies - Protector Univ Foam Xtrmt,18.74,7.31,,,0
CDM,SUP15100,Noncdm Charge Record Medical Supplies - Suture Chromic Surgitie 18In Loop Covidien,66.76,26.04,,,0
CDM,SUP15102,Noncdm Charge Record Medical Supplies - Stapler Intnl 80X3.8Mm Ti Reg Endo Lin Cutter,574.53,224.07,,,0
CDM,SUP15103,Noncdm Charge Record Medical Supplies - Stapler Reload 80X3.8Mm Endomechanical Gia Covidien,299.76,116.91,,,0
CDM,SUP15104_272,Noncdm Charge Record Medical Supplies - System Comp Ther Crcf Med Knee Coolr,300.15,117.06,,,0
CDM,SUP15104_A4649_272,Noncdm Charge Record Medical Supplies - System Comp Ther Crcf Med Knee Coolr,300.15,117.06,,,0
CDM,SUP15104_A9999_272,Noncdm Charge Record Medical Supplies - System Comp Ther Crcf Med Knee Coolr,300.15,117.06,,,0
CDM,SUP15106,Noncdm Charge Record Medical Supplies - Tape Msr 30Cm Glwntl Vspt Vasc Radiopq Ns Lf,292.9,114.23,,,0
CDM,SUP151070,Noncdm Charge Record Medical Supplies - Pacemaker Cardiac 8 Dr-T Mr Conditional Model Edora,15104.79,5890.87,,,0
CDM,SUP15108,Noncdm Charge Record Medical Supplies - Blade Saw 39X13X.51Mm Prcs Ss Osc Sag Strl,174.92,68.22,,,0
CDM,SUP151095,Noncdm Charge Record Medical Supplies - Microcatheter Interventional 2X2.5Fr L156Cm Tip Id0.021In,4585.09,1788.19,,,0
CDM,SUP151096,Noncdm Charge Record Medical Supplies,644.8,251.47,,,0
CDM,SUP151097,Noncdm Charge Record Medical Supplies - Bur Surgical Dia5Mm Diamond Rotary Cutting Disposable,674.3,262.98,,,0
CDM,SUP15109_272,Noncdm Charge Record Medical Supplies - Sound Surg Dil,13.46,5.25,,,0
CDM,SUP15109_A9999_272,Noncdm Charge Record Medical Supplies - Sound Surg Dil,13.46,5.25,,,0
CDM,SUP151119,Noncdm Charge Record Medical Supplies - Catheter Guide L150Cm Flexible Tube Delivery Assist Axs Offs,4756.86,1855.18,,,0
CDM,SUP15112,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 2.8Mm Titanium 165Mm Synthes,345.03,134.56,,,0
CDM,SUP151122,Noncdm Charge Record Medical Supplies - Embotrap Iii 6.5 X 45,17615.89,6870.2,,,0
CDM,SUP151127,Noncdm Charge Record Medical Supplies - Suture-Mediated Closure Perclose Prostyle,1608.24,627.21,,,0
CDM,SUP151128_272,Noncdm Charge Record Medical Supplies - Catheter Digital Spyglas Discover,16345.68,6374.82,,,0
CDM,SUP151128_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Digital Spyglas Discover,16345.76,6374.85,,,0
CDM,SUP151129_272,Noncdm Charge Record Medical Supplies - Forceps Endoscopic Mini L130Cm Dia1.2Mm Coredx,2863.88,1116.91,,,0
CDM,SUP151129_A4649_272,Noncdm Charge Record Medical Supplies - Forceps Endoscopic Mini L130Cm Dia1.2Mm Coredx,2863.84,1116.9,,,0
CDM,SUP151130,Noncdm Charge Record Medical Supplies - Spyglass Discover Jagwire .035 X 180Cm Box Of 2,1027.8,400.84,,,0
CDM,SUP15114,Noncdm Charge Record Medical Supplies - Guidewire .035In 180Cm 1.5Mm J Tip Rsn Vasc,66.3,25.86,,,0
CDM,SUP15115,Noncdm Charge Record Medical Supplies - Introducer Cath 30Cm 12Fr .038In Ckfl Wo Gw,369.39,144.06,,,0
CDM,SUP15116,Noncdm Charge Record Medical Supplies - Suture Plain 3-0 Ks 27In Straight Ethicon,15.01,5.85,,,0
CDM,SUP15120,Noncdm Charge Record Medical Supplies - Catheter Ball Dil .035-7Fr 4Cm,1733.56,676.09,,,0
CDM,SUP151205,Noncdm Charge Record Medical Supplies,15340.77,5982.9,,,0
CDM,SUP15126,Noncdm Charge Record Medical Supplies,611.68,238.56,,,0
CDM,SUP15127,Noncdm Charge Record Medical Supplies,611.68,238.56,,,0
CDM,SUP1513,Noncdm Charge Record Medical Supplies - Device Protect 30-38Cm 30-38Cm Biliband Reg,19.66,7.67,,,0
CDM,SUP151308,Noncdm Charge Record Medical Supplies - Screw Bone L48Mm Dia3.5Mm Standard Head 5Mm Cortical,1432.61,558.72,,,0
CDM,SUP151309_272,Noncdm Charge Record Medical Supplies - Flowstasis Suture Retention Device,1018.81,397.34,,,0
CDM,SUP151309_A4649_272,Noncdm Charge Record Medical Supplies - Flowstasis Suture Retention Device,979.11,381.85,,,0
CDM,SUP15131,Noncdm Charge Record Medical Supplies - Rasp Surg 11X4Mm Lg Ss Tear,577.23,225.12,,,0
CDM,SUP151310,Noncdm Charge Record Medical Supplies,11690.27,4559.21,,,0
CDM,SUP151326,Noncdm Charge Record Medical Supplies - Graft Bone Substitute 10Cc Dbm Putty Syringe Osteoselect Plu,6819.78,2659.71,,,0
CDM,SUP151327_C1713_278,Noncdm Charge Record Medical Supplies - Graft Bone Substitute 5Cc Dbm Putty Syringe Osteoselect Plus,4290.51,1673.3,,,0
CDM,SUP151327_C1762_278,Noncdm Charge Record Medical Supplies - Graft Bone Substitute 5Cc Dbm Putty Syringe Osteoselect Plus,4639.9,1809.56,,,0
CDM,SUP151328,Noncdm Charge Record Medical Supplies - Osteo Factor Allergeneic Proteins Lg,10754.55,4194.27,,,0
CDM,SUP151329,Noncdm Charge Record Medical Supplies - Osteo Factor Allergeneic Proteins Xl,19213.07,7493.1,,,0
CDM,SUP151330,Noncdm Charge Record Medical Supplies - Filler 30Cc 1-4Mm Chips Fine Osteosponge,9860.44,3845.57,,,0
CDM,SUP151331,Noncdm Charge Record Medical Supplies - Graft Bone Substitute 50X25Mm Boat 3Demin,11251.76,4388.19,,,0
CDM,SUP151332,Noncdm Charge Record Medical Supplies - Graft Bone Substitute 100X25Mm Boat 3Demin,20433.23,7968.96,,,0
CDM,SUP151333,Noncdm Charge Record Medical Supplies - Set Orthopedic Lapifuse Joint Prep Instrument,1346.54,525.15,,,0
CDM,SUP151334,Noncdm Charge Record Medical Supplies - Padding Cast W3Inxl4Yd Highly Absorbent,7.24,2.82,,,0
CDM,SUP15133_272,Noncdm Charge Record Medical Supplies - Ball Cttn Sm 2 Strng Radiopq .,7.24,2.82,,,0
CDM,SUP15133_A9999_272,Noncdm Charge Record Medical Supplies - Ball Cttn Sm 2 Strng Radiopq .,7.24,2.82,,,0
CDM,SUP15134,Noncdm Charge Record Medical Supplies - See 70074 Pouch 10X8In Lapsac Peel Open,241.16,94.05,,,0
CDM,SUP15135_270,Noncdm Charge Record Medical Supplies - Wrap Tract Mcconnell Lg Hand A,172.07,67.11,,,0
CDM,SUP15135_A9999_270,Noncdm Charge Record Medical Supplies - Wrap Tract Mcconnell Lg Hand A,171.81,67.01,,,0
CDM,SUP151368_272,Noncdm Charge Record Medical Supplies - Wand Hemostasis Fastseal 6.0 Werewolf,1920.93,749.16,,,0
CDM,SUP151368_A4649_272,Noncdm Charge Record Medical Supplies - Wand Hemostasis Fastseal 6.0 Werewolf,2047.51,798.53,,,0
CDM,SUP151368_A9999_272,Noncdm Charge Record Medical Supplies - Wand Hemostasis Fastseal 6.0 Werewolf,1713.96,668.44,,,0
CDM,SUP15137,Noncdm Charge Record Medical Supplies - Kit Pstn 7In Jcksn Pat Spnl Tbl Care,130.41,50.86,,,0
CDM,SUP15138,Noncdm Charge Record Medical Supplies - Suture Ethilon 4-0 Fsl 30In Black Ethicon,10.44,4.07,,,0
CDM,SUP151400_272,Noncdm Charge Record Medical Supplies - Needle Biopsy 19Ga Working 2.8Mm Sheath Dia1.73Mm,2963.18,1155.64,,,0
CDM,SUP151400_A4649_272,Noncdm Charge Record Medical Supplies - Needle Biopsy 19Ga Working 2.8Mm Sheath Dia1.73Mm,2963.2,1155.65,,,0
CDM,SUP151400_A9999_272,Noncdm Charge Record Medical Supplies - Needle Biopsy 19Ga Working 2.8Mm Sheath Dia1.73Mm,2963.2,1155.65,,,0
CDM,SUP15141,Noncdm Charge Record Medical Supplies - Catheter Uret 5Fr Flxm Cone,65.46,25.53,,,0
CDM,SUP15142,Noncdm Charge Record Medical Supplies - Guidewire .035In 260Cm Wholey,374.0,145.86,,,0
CDM,SUP151430_272,Noncdm Charge Record Medical Supplies - Wellstar Total Joint Pack Ws400006,428.49,167.11,,,0
CDM,SUP151430_A4649_272,Noncdm Charge Record Medical Supplies - Wellstar Total Joint Pack Ws400006,428.49,167.11,,,0
CDM,SUP151430_A9999_272,Noncdm Charge Record Medical Supplies - Wellstar Total Joint Pack Ws400006,428.49,167.11,,,0
CDM,SUP151431,Noncdm Charge Record Medical Supplies - Guidewire Access Length Soft Pre Shape .014In X 215,2363.59,921.8,,,0
CDM,SUP151432,Noncdm Charge Record Medical Supplies - Guidewire Access Length Soft Straight .014In X 215,2352.37,917.42,,,0
CDM,SUP151433,Noncdm Charge Record Medical Supplies - Guidewire Access Length Soft Standard .014In X 215,2355.5,918.64,,,0
CDM,SUP151434,Noncdm Charge Record Medical Supplies - Guidewire Access Length Soft Support.014In X 215,2301.32,897.51,,,0
CDM,SUP151436,Noncdm Charge Record Medical Supplies - Guidewire Access Length Soft Standard Ps .014In X 215,2361.87,921.13,,,0
CDM,SUP151437_272,Noncdm Charge Record Medical Supplies - Catheter Angiography 5Fr L125Cm Sim 2 Performa,140.57,54.82,,,0
CDM,SUP151437_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Angiography 5Fr L125Cm Sim 2 Performa,117.99,46.02,,,0
CDM,SUP151438,Noncdm Charge Record Medical Supplies - Catheter Angiography Adult 5Fr L100Mm 0.035In,59.0,23.01,,,0
CDM,SUP151439,Noncdm Charge Record Medical Supplies - Catheter Angiography 5Fr L100Cm Id1.17Mm 0.038In,59.0,23.01,,,0
CDM,SUP15143_270,Noncdm Charge Record Medical Supplies - Splint Nasal 2.38X1.53In Med,152.59,59.51,,,0
CDM,SUP15143_A4649_270,Noncdm Charge Record Medical Supplies - Splint Nasal 2.38X1.53In Med,186.3,72.66,,,0
CDM,SUP151440_272,Noncdm Charge Record Medical Supplies - Syringe Angiography 10Ml Red Polycarbonate High Pressure,10.35,4.04,,,0
CDM,SUP151440_A4649_272,Noncdm Charge Record Medical Supplies - Syringe Angiography 10Ml Red Polycarbonate High Pressure,10.35,4.04,,,0
CDM,SUP151441,Noncdm Charge Record Medical Supplies - Syringe Medical 10Ml Dark Green High Pressure,10.27,4.01,,,0
CDM,SUP15144_272,Noncdm Charge Record Medical Supplies - Suture Fiberwire 2-0 18In Ndl Tpr3-8 Circle Blue Arthrex,108.47,42.3,,,0
CDM,SUP15144_A9999_272,Noncdm Charge Record Medical Supplies - Suture Fiberwire 2-0 18In Ndl Tpr3-8 Circle Blue Arthrex,107.64,41.98,,,0
CDM,SUP151458_Q4133_278,Noncdm Charge Record Medical Supplies - Stravix Pl 2X4Cm Stravix Mesh 2X4 Cm,2343.56,913.99,,,0
CDM,SUP151459_Q4133_278,Noncdm Charge Record Medical Supplies - Implant Plcnt Tissue W3Xl6Cm Stravix Plcnt Tissue,3744.9,1460.51,,,0
CDM,SUP15145_272,Noncdm Charge Record Medical Supplies - Pouch 34.5Cm 15Mm E-Ctch 2 Fin Ger Control,418.19,163.09,,,0
CDM,SUP15145_A4649_272,Noncdm Charge Record Medical Supplies - Pouch 34.5Cm 15Mm E-Ctch 2 Fin Ger Control,418.14,163.07,,,0
CDM,SUP15145_A9999_272,Noncdm Charge Record Medical Supplies - Pouch 34.5Cm 15Mm E-Ctch 2 Fin Ger Control,418.14,163.07,,,0
CDM,SUP151460_Q4133_278,Noncdm Charge Record Medical Supplies - Stravix 3X6Cm Meshed (18 Cm2) Stravix Mesh 3X6 Cm,3919.31,1528.53,,,0
CDM,SUP15147_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 4-0 P-3 18In Black G Ethicon,17.46,6.81,,,0
CDM,SUP15147_A4649_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 4-0 P-3 18In Black G Ethicon,16.95,6.61,,,0
CDM,SUP15147_A9999_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 4-0 P-3 18In Black G Ethicon,16.56,6.46,,,0
CDM,SUP151483,Noncdm Charge Record Medical Supplies - Needle Spinal 25Ga L2In Disposable,14.8,5.77,,,0
CDM,SUP151484,Noncdm Charge Record Medical Supplies - Soft Tissue Shaver Truclear,2772.76,1081.38,,,0
CDM,SUP151485,Noncdm Charge Record Medical Supplies - Soft Tissue Shaver Plus Truclear,2431.22,948.18,,,0
CDM,SUP151486,Noncdm Charge Record Medical Supplies - Dense Tissue Shaver Truclear,3699.09,1442.65,,,0
CDM,SUP151487,Noncdm Charge Record Medical Supplies - Seal Hysteroscope Truclear Elite,77.53,30.24,,,0
CDM,SUP151488,Noncdm Charge Record Medical Supplies - Set Tube Inflow For Truclear System Hysterolux,796.95,310.81,,,0
CDM,SUP15148_272,Noncdm Charge Record Medical Supplies - Reload Stapler 60X3.8Mm Gia Ti Lin Cutter,204.99,79.95,,,0
CDM,SUP15148_A4649_272,Noncdm Charge Record Medical Supplies - Reload Stapler 60X3.8Mm Gia Ti Lin Cutter,204.93,79.92,,,0
CDM,SUP15151_272,Noncdm Charge Record Medical Supplies - See 61494 Clip Xl Gold Hem-O-Lok Teleflex Medical,148.83,58.04,,,0
CDM,SUP15151_A4649_272,Noncdm Charge Record Medical Supplies - See 61494 Clip Xl Gold Hem-O-Lok Teleflex Medical,148.52,57.92,,,0
CDM,SUP15152,Noncdm Charge Record Medical Supplies - Catheter Embol 40Cm 3Fr 8Mm,234.94,91.63,,,0
CDM,SUP15153,Noncdm Charge Record Medical Supplies,234.94,91.63,,,0
CDM,SUP151530,Noncdm Charge Record Medical Supplies - Bag Tissue Retrieval 1550Ml L25.4Cm Dia14.1Cm 175Cm Introd,676.89,263.99,,,0
CDM,SUP151531,Noncdm Charge Record Medical Supplies - Echelon-10 Ev3,2923.36,1140.11,,,0
CDM,SUP15155,Noncdm Charge Record Medical Supplies - Needle Brchtx 18Ga Prost,19.61,7.65,,,0
CDM,SUP15156,Noncdm Charge Record Medical Supplies - Suture Mersline 2-0 18In Fs2 Wvn Tape Braid White Ethicon,10.29,4.01,,,0
CDM,SUP151602_270,Noncdm Charge Record Medical Supplies - Canister Suction 1500Cc,10.94,4.27,,,0
CDM,SUP151602_272,Noncdm Charge Record Medical Supplies - Canister Suction 1500Cc,10.87,4.24,,,0
CDM,SUP151602_A4649_270,Noncdm Charge Record Medical Supplies - Canister Suction 1500Cc,10.91,4.25,,,0
CDM,SUP151602_A9999_270,Noncdm Charge Record Medical Supplies - Canister Suction 1500Cc,10.92,4.26,,,0
CDM,SUP151603_270,Noncdm Charge Record Medical Supplies - Canister Suction 2500Cc,14.24,5.55,,,0
CDM,SUP151603_A4649_270,Noncdm Charge Record Medical Supplies - Canister Suction 2500Cc,14.28,5.57,,,0
CDM,SUP151603_A9999_270,Noncdm Charge Record Medical Supplies - Canister Suction 2500Cc,14.21,5.54,,,0
CDM,SUP151604,Noncdm Charge Record Medical Supplies - Canister Suction 1000Cc Safeliner,7.24,2.82,,,0
CDM,SUP151605,Noncdm Charge Record Medical Supplies - Canister Suction 3000Cc Safeliner,12.42,4.84,,,0
CDM,SUP15161,Noncdm Charge Record Medical Supplies - Knife Arthro Graft 9Mm Knee,547.52,213.53,,,0
CDM,SUP151612_272,Noncdm Charge Record Medical Supplies - System Tissue Retrieval 125Ml Mouth Dia2In Bag L5.5In,440.89,171.95,,,0
CDM,SUP151612_A4649_272,Noncdm Charge Record Medical Supplies - System Tissue Retrieval 125Ml Mouth Dia2In Bag L5.5In,440.91,171.95,,,0
CDM,SUP151612_A9999_272,Noncdm Charge Record Medical Supplies - System Tissue Retrieval 125Ml Mouth Dia2In Bag L5.5In,440.91,171.95,,,0
CDM,SUP15162,Noncdm Charge Record Medical Supplies - Knife Arthro Graft 11Mm Knee,1023.62,399.21,,,0
CDM,SUP15167,Noncdm Charge Record Medical Supplies,53.82,20.99,,,0
CDM,SUP15170,Noncdm Charge Record Medical Supplies - See 115936 Blade Saw 73X25X1.24Mm W Thk Ss Sag,132.48,51.67,,,0
CDM,SUP15172,Noncdm Charge Record Medical Supplies - Ligasure Dolphin Tip 5Mmx37Cm - Covidien,1952.01,761.28,,,0
CDM,SUP15173,Noncdm Charge Record Medical Supplies - Catheter Ureth Ic 16Fr Cncl,98.32,38.34,,,0
CDM,SUP15175_272,Noncdm Charge Record Medical Supplies - Suture Vicryl + 2-0 Sh 27In Antibacterial Undyed Ethicon,8.52,3.32,,,0
CDM,SUP15175_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl + 2-0 Sh 27In Antibacterial Undyed Ethicon,8.54,3.33,,,0
CDM,SUP15175_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl + 2-0 Sh 27In Antibacterial Undyed Ethicon,8.62,3.36,,,0
CDM,SUP15175_L8699_272,Noncdm Charge Record Medical Supplies - Suture Vicryl + 2-0 Sh 27In Antibacterial Undyed Ethicon,8.28,3.23,,,0
CDM,SUP15176,Noncdm Charge Record Medical Supplies - See 14083 Splint Nasal 65X35Mm Sm-Medi,260.82,101.72,,,0
CDM,SUP15178,Noncdm Charge Record Medical Supplies - Blade Saw 85X25X1.19Mm W Thk Ss Sag Dual Cut,140.98,54.98,,,0
CDM,SUP1517_270,Noncdm Charge Record Medical Supplies - Bandage Mtrx 10Ydx6In Ns Comp Lf Elc Vlcr,7.23,2.82,,,0
CDM,SUP1517_A4649_270,Noncdm Charge Record Medical Supplies - Bandage Mtrx 10Ydx6In Ns Comp Lf Elc Vlcr,7.24,2.82,,,0
CDM,SUP1517_A9999_270,Noncdm Charge Record Medical Supplies - Bandage Mtrx 10Ydx6In Ns Comp Lf Elc Vlcr,7.24,2.82,,,0
CDM,SUP1518,Noncdm Charge Record Medical Supplies - Shoe Sm M Pat Postop Wdn Sole,18.33,7.15,,,0
CDM,SUP15180,Noncdm Charge Record Medical Supplies,350.86,136.84,,,0
CDM,SUP15183,Noncdm Charge Record Medical Supplies - Set Oats Osteochondral Autograft Transfer 10Mm,2292.52,894.08,,,0
CDM,SUP15184,Noncdm Charge Record Medical Supplies,5798.07,2261.25,,,0
CDM,SUP151843,Noncdm Charge Record Medical Supplies - 2F Selective Mc Straight 130Cm 1Ro,3260.25,1271.5,,,0
CDM,SUP151844_272,Noncdm Charge Record Medical Supplies - Cannula Cap And Obturator Airs Airseal 8 Mm W- Bladeless Tip,547.53,213.54,,,0
CDM,SUP151844_A4649_272,Noncdm Charge Record Medical Supplies - Cannula Cap And Obturator Airs Airseal 8 Mm W- Bladeless Tip,547.52,213.53,,,0
CDM,SUP151844_A9999_272,Noncdm Charge Record Medical Supplies - Cannula Cap And Obturator Airs Airseal 8 Mm W- Bladeless Tip,547.52,213.53,,,0
CDM,SUP151845_272,Noncdm Charge Record Medical Supplies - Bifurcated Filtered Tube Set Airseal,2961.14,1154.84,,,0
CDM,SUP151845_A4649_272,Noncdm Charge Record Medical Supplies - Bifurcated Filtered Tube Set Airseal,2961.14,1154.84,,,0
CDM,SUP151845_A9999_272,Noncdm Charge Record Medical Supplies - Bifurcated Filtered Tube Set Airseal,2961.14,1154.84,,,0
CDM,SUP15185,Noncdm Charge Record Medical Supplies,15.52,6.05,,,0
CDM,SUP151852,Noncdm Charge Record Medical Supplies - Connector Catheter Metal Ss Od1.9Mm Id1 Right Angled Bev,822.82,320.9,,,0
CDM,SUP151872,Noncdm Charge Record Medical Supplies - Introducer Sheath Check Flo Xl 20Fr L65Cm Dilator L81Cm,1757.43,685.4,,,0
CDM,SUP151874,Noncdm Charge Record Medical Supplies - Introducer Sheath Check Flo Xl 22Fr L65Cm Dilator L81Cm,1757.43,685.4,,,0
CDM,SUP15188_272,Noncdm Charge Record Medical Supplies - Probe Surg Swartz 20 Mhz,2413.05,941.09,,,0
CDM,SUP15188_A9999_272,Noncdm Charge Record Medical Supplies - Probe Surg Swartz 20 Mhz,2337.03,911.44,,,0
CDM,SUP15189,Noncdm Charge Record Medical Supplies - Cable Transducer 5Ft Swartz,576.35,224.78,,,0
CDM,SUP1519,Noncdm Charge Record Medical Supplies - Shoe Xl M Pat Postop Wdn Sole,18.19,7.09,,,0
CDM,SUP15190_270,Noncdm Charge Record Medical Supplies,6.21,2.42,,,0
CDM,SUP15190_272,Noncdm Charge Record Medical Supplies,6.21,2.42,,,0
CDM,SUP15190_A4649_270,Noncdm Charge Record Medical Supplies,6.21,2.42,,,0
CDM,SUP15190_A9999_270,Noncdm Charge Record Medical Supplies,6.21,2.42,,,0
CDM,SUP15191_272,Noncdm Charge Record Medical Supplies - Suture Prolene 4-0 Rb-1 36In Double Arm Ethicon,29.83,11.63,,,0
CDM,SUP15191_A4649_272,Noncdm Charge Record Medical Supplies - Suture Prolene 4-0 Rb-1 36In Double Arm Ethicon,29.67,11.57,,,0
CDM,SUP15191_A9999_272,Noncdm Charge Record Medical Supplies - Suture Prolene 4-0 Rb-1 36In Double Arm Ethicon,30.02,11.71,,,0
CDM,SUP151937,Noncdm Charge Record Medical Supplies - Tourniquet Cuff Single Bladder Quick Connect 18In,95.22,37.14,,,0
CDM,SUP151938,Noncdm Charge Record Medical Supplies - Tourniquet Cuff Single Bladder Quick Connect 30In,112.19,43.75,,,0
CDM,SUP151939_272,Noncdm Charge Record Medical Supplies - Tourniquet Cuff Double Bladder Quick Connect 18In,158.87,61.96,,,0
CDM,SUP151939_A9999_272,Noncdm Charge Record Medical Supplies - Tourniquet Cuff Double Bladder Quick Connect 18In,160.43,62.57,,,0
CDM,SUP151940_270,Noncdm Charge Record Medical Supplies - Tourniquet Cuff Double Bladder Quick Connect 24In,173.88,67.81,,,0
CDM,SUP151940_272,Noncdm Charge Record Medical Supplies - Tourniquet Cuff Double Bladder Quick Connect 24In,173.88,67.81,,,0
CDM,SUP15197,Noncdm Charge Record Medical Supplies - Blade Saw 83.5X18X1.24Mm Lng Thk Ss Sag Dual,139.27,54.32,,,0
CDM,SUP151979,Noncdm Charge Record Medical Supplies,1884.74,735.05,,,0
CDM,SUP15198,Noncdm Charge Record Medical Supplies - Catheter Ep 5 Fr Crd,514.28,200.57,,,0
CDM,SUP151982,Noncdm Charge Record Medical Supplies - Catheter Angioplasty L75Cm Balloon L40Mm Dia6Mm,1884.74,735.05,,,0
CDM,SUP151985,Noncdm Charge Record Medical Supplies - Catheter Angioplasty L75Cm Balloon L40Mm Dia7Mm,1439.17,561.28,,,0
CDM,SUP151988,Noncdm Charge Record Medical Supplies,1884.74,735.05,,,0
CDM,SUP15199,Noncdm Charge Record Medical Supplies - Catheter Ep 5 Fr Crd2,615.15,239.91,,,0
CDM,SUP151996,Noncdm Charge Record Medical Supplies - Catheter Angioplasty L75Cm Balloon L40Mm Dia12Mm,1588.03,619.33,,,0
CDM,SUP15200,Noncdm Charge Record Medical Supplies - Duo - Deca 7Fr Ep Catheter,4188.65,1633.57,,,0
CDM,SUP152009,Noncdm Charge Record Medical Supplies - Endometrial Sampling Set L8 1-8In W- Curette Syringe,24.84,9.69,,,0
CDM,SUP15201,Noncdm Charge Record Medical Supplies - Sheath 8Fr Guiding Sro,901.38,351.54,,,0
CDM,SUP15202,Noncdm Charge Record Medical Supplies - Catheter Ep 5Fr Jsn,514.28,200.57,,,0
CDM,SUP152030,Noncdm Charge Record Medical Supplies - Marker Breast Biopsy 9Ga Open Coil Rigid Titanium Hydromark,434.7,169.53,,,0
CDM,SUP152031,Noncdm Charge Record Medical Supplies - Probe Breast Biopsy 18Ga Titanirigid Mammotome Hydromar,434.71,169.54,,,0
CDM,SUP15204,Noncdm Charge Record Medical Supplies - See 141012 Suture Vicryl 2-0 Ct-1 18In Cr Violet Ethicon,55.89,21.8,,,0
CDM,SUP152044,Noncdm Charge Record Medical Supplies - Electrode Electrosurgical 28Fr 12Deg Monopolar High Frequenc,540.27,210.71,,,0
CDM,SUP152045_C1769_272,Noncdm Charge Record Medical Supplies - Set Tube Introducer 8-14Fr 18Fr Foley Catheter,511.29,199.4,,,0
CDM,SUP152045_C1894_272,Noncdm Charge Record Medical Supplies - Set Tube Introducer 8-14Fr 18Fr Foley Catheter,511.29,199.4,,,0
CDM,SUP15209,Noncdm Charge Record Medical Supplies - Set Extn 7.25In Iv Macbr Ndehp,8.38,3.27,,,0
CDM,SUP15213,Noncdm Charge Record Medical Supplies - Tube Endotrach 4.5Mm Oral Cuff,18.89,7.37,,,0
CDM,SUP152177,Noncdm Charge Record Medical Supplies - Alloderm Select 2X4 Thin 0.8-1.2,2445.7,953.82,,,0
CDM,SUP152190,Noncdm Charge Record Medical Supplies - Lead Coaxial Myocardial Wire Lead Pacing Adult Bipolar,342.59,133.61,,,0
CDM,SUP15220,Noncdm Charge Record Medical Supplies,675.86,263.59,,,0
CDM,SUP15223,Noncdm Charge Record Medical Supplies,611.68,238.56,,,0
CDM,SUP15225,Noncdm Charge Record Medical Supplies - Introducer Sheath Brite-Tip 6Fr 5.5Cm,106.39,41.49,,,0
CDM,SUP15226_272,Noncdm Charge Record Medical Supplies - Introducer Shth 4Fr 11Cm Brtp,59.0,23.01,,,0
CDM,SUP15226_C1894_272,Noncdm Charge Record Medical Supplies - Introducer Shth 4Fr 11Cm Brtp,101.58,39.62,,,0
CDM,SUP15227,Noncdm Charge Record Medical Supplies - Introducer Sheath 5Fr 11Cm,105.25,41.05,,,0
CDM,SUP152282,Noncdm Charge Record Medical Supplies - Stent Coronary 3.50 X 12Mm Synergy Megatron,4833.45,1885.05,,,0
CDM,SUP152283,Noncdm Charge Record Medical Supplies - Stent Coronary 4.00 X 12Mm Synergy Megatron,5800.14,2262.05,,,0
CDM,SUP152285,Noncdm Charge Record Medical Supplies - Stent Coronary 5.00 X 12Mm Synergy Megatron,4833.45,1885.05,,,0
CDM,SUP152286,Noncdm Charge Record Medical Supplies - Stent Coronary 3.50 X 16Mm Synergy Megatron,4833.45,1885.05,,,0
CDM,SUP152287,Noncdm Charge Record Medical Supplies,5316.8,2073.55,,,0
CDM,SUP152289,Noncdm Charge Record Medical Supplies - Stent Coronary 5.00 X 16Mm Synergy Megatron,5316.8,2073.55,,,0
CDM,SUP15228_272,Noncdm Charge Record Medical Supplies - Introducer Sheath 6Fr 11Cm,114.88,44.8,,,0
CDM,SUP15228_C1894_272,Noncdm Charge Record Medical Supplies - Introducer Sheath 6Fr 11Cm,105.6,41.18,,,0
CDM,SUP152290,Noncdm Charge Record Medical Supplies - Stent Coronary 3.50 X 20Mm Synergy Megatron,4833.45,1885.05,,,0
CDM,SUP152291,Noncdm Charge Record Medical Supplies,5155.68,2010.72,,,0
CDM,SUP152294,Noncdm Charge Record Medical Supplies - Stent Coronary 3.50 X 24Mm Synergy Megatron,5155.68,2010.72,,,0
CDM,SUP152295,Noncdm Charge Record Medical Supplies - Stent Coronary 4.00 X 24Mm Synergy Megatron,4833.45,1885.05,,,0
CDM,SUP152298,Noncdm Charge Record Medical Supplies,5558.47,2167.8,,,0
CDM,SUP15229_272,Noncdm Charge Record Medical Supplies - Introducer Sheath 7Fr 11Cm,59.0,23.01,,,0
CDM,SUP15229_C1894_272,Noncdm Charge Record Medical Supplies - Introducer Sheath 7Fr 11Cm,103.95,40.54,,,0
CDM,SUP15230,Noncdm Charge Record Medical Supplies - Introducer Sheath 8Fr 11Cm,112.26,43.78,,,0
CDM,SUP152300,Noncdm Charge Record Medical Supplies,5316.8,2073.55,,,0
CDM,SUP152302,Noncdm Charge Record Medical Supplies - Stent Coronary 3.50 X 32Mm Synergy Megatron,5316.8,2073.55,,,0
CDM,SUP152303,Noncdm Charge Record Medical Supplies,4833.45,1885.05,,,0
CDM,SUP15231,Noncdm Charge Record Medical Supplies - Introducer Sheath 7Fr 23Cm,144.95,56.53,,,0
CDM,SUP15232,Noncdm Charge Record Medical Supplies - Tool Dissect 14Cm 3Mm Mdsrx Lgn Mtch Head Dmd,925.29,360.86,,,0
CDM,SUP152324_270,Noncdm Charge Record Medical Supplies - Splint Pre-Cut 5X30 Quick Step Scotchcast Quick Step 5X30,51.65,20.14,,,0
CDM,SUP152324_A4649_270,Noncdm Charge Record Medical Supplies - Splint Pre-Cut 5X30 Quick Step Scotchcast Quick Step 5X30,51.75,20.18,,,0
CDM,SUP152325_270,Noncdm Charge Record Medical Supplies - Splint Pre-Cut 4X30 Quick Step Scotchcast Quick Step 4X30,41.36,16.13,,,0
CDM,SUP152325_A4649_270,Noncdm Charge Record Medical Supplies - Splint Pre-Cut 4X30 Quick Step Scotchcast Quick Step 4X30,41.4,16.15,,,0
CDM,SUP15238,Noncdm Charge Record Medical Supplies - Tool Dissect 3Mm Mdsrx Lgn Wheel Metal Cut,1173.69,457.74,,,0
CDM,SUP15239,Noncdm Charge Record Medical Supplies - Tool Dissect 120Mm 2Mm Mdsrx Lgn Burr Mtch,707.94,276.1,,,0
CDM,SUP1524,Noncdm Charge Record Medical Supplies - Tray Proc Pelvic Exam Disp Lf,45.54,17.76,,,0
CDM,SUP15240,Noncdm Charge Record Medical Supplies - Tool Dissect 120Mm 2.5Mm Mdsrx Lgn Tube Mtch,651.02,253.9,,,0
CDM,SUP15241,Noncdm Charge Record Medical Supplies - System Implant Bcmps Ahls,8718.58,3400.25,,,0
CDM,SUP15243,Noncdm Charge Record Medical Supplies - Catheter Angio.035In Pgtl Flsh 5Fr 70Cm 5F 20 Cm,494.64,192.91,,,0
CDM,SUP15244_270,Noncdm Charge Record Medical Supplies - Clamp Cmbn Clpon Self Hld Ext Fix Ns,2417.54,942.84,,,0
CDM,SUP15244_A4649_270,Noncdm Charge Record Medical Supplies - Clamp Cmbn Clpon Self Hld Ext Fix Ns,2291.36,893.63,,,0
CDM,SUP15245_270,Noncdm Charge Record Medical Supplies - Clamp Clpon Self Hld Ext Fix Ns,1960.13,764.45,,,0
CDM,SUP15245_A4649_270,Noncdm Charge Record Medical Supplies - Clamp Clpon Self Hld Ext Fix Ns,1898.19,740.29,,,0
CDM,SUP15246,Noncdm Charge Record Medical Supplies - Introducer Cath 30Cm 18Fr .038In Lg Ckfl Lg,577.53,225.24,,,0
CDM,SUP15247,Noncdm Charge Record Medical Supplies - Introducer Cath 45Cm5Fr Anl2 .018-.038In Anl2 Crv,357.08,139.26,,,0
CDM,SUP15248,Noncdm Charge Record Medical Supplies - Introducer Cath 45Cm6Fr Anl1 .018-.038In Crv,357.08,139.26,,,0
CDM,SUP152485,Noncdm Charge Record Medical Supplies - Suture Ti-Cron Size 2-0 Cv-305 L8X36In Nonabsorb 5 Blue 5 Wh,170.29,66.41,,,0
CDM,SUP152486,Noncdm Charge Record Medical Supplies - Suture Ti-Cron Size 2-0 Y-31 L8X30In Nonabsorb 4 Blue 4 Whi,234.94,91.63,,,0
CDM,SUP15249_272,Noncdm Charge Record Medical Supplies - Suture Bondek 0 48In Tc43 Double Armed Boston Scientific,277.64,108.28,,,0
CDM,SUP15249_A9999_272,Noncdm Charge Record Medical Supplies - Suture Bondek 0 48In Tc43 Double Armed Boston Scientific,257.71,100.51,,,0
CDM,SUP1525,Noncdm Charge Record Medical Supplies - Trap Mcs 20Ml 10Fr Suct Cath,25.14,9.8,,,0
CDM,SUP152534,Noncdm Charge Record Medical Supplies - Controller Medical Imaging Contrast Hand Sng Medrad Vflow,39.33,15.34,,,0
CDM,SUP152543,Noncdm Charge Record Medical Supplies - Kit Drill Speed-Arc-Triad S-200Qd Comprehensive,1085.71,423.43,,,0
CDM,SUP15259,Noncdm Charge Record Medical Supplies - Catheter Blazer Htd Lg Crv 7 Fr 4Mm,5181.21,2020.67,,,0
CDM,SUP152596,Noncdm Charge Record Medical Supplies,18.63,7.27,,,0
CDM,SUP15260,Noncdm Charge Record Medical Supplies - Blazer Xp Lg Crv 8Mm Catheter,7428.2,2897.0,,,0
CDM,SUP15265,Noncdm Charge Record Medical Supplies - Mill Bn Lgnd Spat Disp,1553.54,605.88,,,0
CDM,SUP15268_272,Noncdm Charge Record Medical Supplies - See 143525 Kit Fld Transf 48In Ll Connect Spk Ck Valve,54.86,21.4,,,0
CDM,SUP15268_A9999_272,Noncdm Charge Record Medical Supplies - See 143525 Kit Fld Transf 48In Ll Connect Spk Ck Valve,54.86,21.4,,,0
CDM,SUP1526_272,Noncdm Charge Record Medical Supplies - See 157493 Dressing Telfa 14X4In Abs Nonwvn Ilnd Adh,5.2,2.03,,,0
CDM,SUP1526_A4649_272,Noncdm Charge Record Medical Supplies - See 157493 Dressing Telfa 14X4In Abs Nonwvn Ilnd Adh,5.18,2.02,,,0
CDM,SUP15277,Noncdm Charge Record Medical Supplies - Dilator Vasc 9Fr 19Cm Hemosta,21.99,8.58,,,0
CDM,SUP15278,Noncdm Charge Record Medical Supplies - Dilator Vasc 10Fr 19Cm Hemosta,21.74,8.48,,,0
CDM,SUP152793,Noncdm Charge Record Medical Supplies,390.2,152.18,,,0
CDM,SUP152794,Noncdm Charge Record Medical Supplies,390.2,152.18,,,0
CDM,SUP1527_272,Noncdm Charge Record Medical Supplies - See 132721 Cord Bipolar 12Ft Ftswtch Strl Disp,13.47,5.25,,,0
CDM,SUP1527_A4649_272,Noncdm Charge Record Medical Supplies - See 132721 Cord Bipolar 12Ft Ftswtch Strl Disp,13.46,5.25,,,0
CDM,SUP1527_A9999_272,Noncdm Charge Record Medical Supplies - See 132721 Cord Bipolar 12Ft Ftswtch Strl Disp,13.46,5.25,,,0
CDM,SUP152802,Noncdm Charge Record Medical Supplies,390.2,152.18,,,0
CDM,SUP152804,Noncdm Charge Record Medical Supplies,390.2,152.18,,,0
CDM,SUP152805,Noncdm Charge Record Medical Supplies,390.2,152.18,,,0
CDM,SUP152807,Noncdm Charge Record Medical Supplies,390.2,152.18,,,0
CDM,SUP152810,Noncdm Charge Record Medical Supplies,390.2,152.18,,,0
CDM,SUP152811,Noncdm Charge Record Medical Supplies,390.2,152.18,,,0
CDM,SUP152812,Noncdm Charge Record Medical Supplies,390.2,152.18,,,0
CDM,SUP152813,Noncdm Charge Record Medical Supplies,390.2,152.18,,,0
CDM,SUP15281_272,Noncdm Charge Record Medical Supplies - Electrode 2.84In Insulated 3-32In Edge Std Electrosurg,19.66,7.67,,,0
CDM,SUP15281_A4649_272,Noncdm Charge Record Medical Supplies - Electrode 2.84In Insulated 3-32In Edge Std Electrosurg,19.66,7.67,,,0
CDM,SUP15281_A9999_272,Noncdm Charge Record Medical Supplies - Electrode 2.84In Insulated 3-32In Edge Std Electrosurg,19.66,7.67,,,0
CDM,SUP15284,Noncdm Charge Record Medical Supplies - Adapter Cath 6Fr Side Arm,128.34,50.05,,,0
CDM,SUP15289,Noncdm Charge Record Medical Supplies - Button Septal Adjustable Nasal 2 Part Medtronic Inc,2197.3,856.95,,,0
CDM,SUP1528_272,Noncdm Charge Record Medical Supplies - Reservoir Drain Bulb Evacuator Bard Medical,19.66,7.67,,,0
CDM,SUP1528_A4649_272,Noncdm Charge Record Medical Supplies - Reservoir Drain Bulb Evacuator Bard Medical,19.66,7.67,,,0
CDM,SUP1528_A9999_272,Noncdm Charge Record Medical Supplies - Reservoir Drain Bulb Evacuator Bard Medical,19.66,7.67,,,0
CDM,SUP152909,Noncdm Charge Record Medical Supplies - Zipwire .025In Straight Tip,181.12,70.64,,,0
CDM,SUP152910,Noncdm Charge Record Medical Supplies - Zipwire .035In Straight Tip,242.94,94.75,,,0
CDM,SUP152911,Noncdm Charge Record Medical Supplies - Zipwire .035In Angled Tip,238.16,92.88,,,0
CDM,SUP152912,Noncdm Charge Record Medical Supplies - Zipwire .038In Straight Tip,317.74,123.92,,,0
CDM,SUP152913,Noncdm Charge Record Medical Supplies - Zipwire .035In Straight Bentson Tip,204.93,79.92,,,0
CDM,SUP152914,Noncdm Charge Record Medical Supplies - Zipwire Stiff .035In St Tip,315.55,123.06,,,0
CDM,SUP152915,Noncdm Charge Record Medical Supplies - Zipwire Stiff .035In Angled Angled Tip,255.64,99.7,,,0
CDM,SUP152916_272,Noncdm Charge Record Medical Supplies - Cannula Endoscopic 5Mm L75Mm Non - Threaded Dri,565.42,220.51,,,0
CDM,SUP152916_A4649_272,Noncdm Charge Record Medical Supplies - Cannula Endoscopic 5Mm L75Mm Non - Threaded Dri,468.65,182.77,,,0
CDM,SUP152916_A9999_272,Noncdm Charge Record Medical Supplies - Cannula Endoscopic 5Mm L75Mm Non - Threaded Dri,689.31,268.83,,,0
CDM,SUP15294,Noncdm Charge Record Medical Supplies,46.58,18.17,,,0
CDM,SUP15295,Noncdm Charge Record Medical Supplies - Clamp Circ Clr 1.1Cm Plstbl Plastic Grv Glans,8.28,3.23,,,0
CDM,SUP152969_272,Noncdm Charge Record Medical Supplies - Dressing Aqua Adv Ag 9Cmx10Cm,102.39,39.93,,,0
CDM,SUP152969_A4649_272,Noncdm Charge Record Medical Supplies - Dressing Aqua Adv Ag 9Cmx10Cm,102.46,39.96,,,0
CDM,SUP152970_272,Noncdm Charge Record Medical Supplies - Dressing Aqua Adv Ag 9Cmx15Cm,124.23,48.45,,,0
CDM,SUP152970_A4649_272,Noncdm Charge Record Medical Supplies - Dressing Aqua Adv Ag 9Cmx15Cm,124.2,48.44,,,0
CDM,SUP152970_A9999_272,Noncdm Charge Record Medical Supplies - Dressing Aqua Adv Ag 9Cmx15Cm,124.2,48.44,,,0
CDM,SUP152971_272,Noncdm Charge Record Medical Supplies - Dressing Aqua Adv Ag 9Cmx25Cm,155.51,60.65,,,0
CDM,SUP152971_A4649_272,Noncdm Charge Record Medical Supplies - Dressing Aqua Adv Ag 9Cmx25Cm,156.04,60.86,,,0
CDM,SUP152971_A9999_272,Noncdm Charge Record Medical Supplies - Dressing Aqua Adv Ag 9Cmx25Cm,155.25,60.55,,,0
CDM,SUP152972_272,Noncdm Charge Record Medical Supplies - Dressing Aqua Adv Ag 9Cmx30Cm,172.88,67.42,,,0
CDM,SUP152972_A4649_272,Noncdm Charge Record Medical Supplies - Dressing Aqua Adv Ag 9Cmx30Cm,172.84,67.41,,,0
CDM,SUP152972_A9999_272,Noncdm Charge Record Medical Supplies - Dressing Aqua Adv Ag 9Cmx30Cm,172.84,67.41,,,0
CDM,SUP152973_272,Noncdm Charge Record Medical Supplies - Dressing Aqua Adv Ag 9Cmx35Cm,172.87,67.42,,,0
CDM,SUP152973_A4649_272,Noncdm Charge Record Medical Supplies - Dressing Aqua Adv Ag 9Cmx35Cm,172.84,67.41,,,0
CDM,SUP15299_272,Noncdm Charge Record Medical Supplies - See 141013 Suture Vicryl 0 Ct-1 18In Cr Violet Ethicon,55.97,21.83,,,0
CDM,SUP15299_A4649_272,Noncdm Charge Record Medical Supplies - See 141013 Suture Vicryl 0 Ct-1 18In Cr Violet Ethicon,55.89,21.8,,,0
CDM,SUP15299_A9999_272,Noncdm Charge Record Medical Supplies - See 141013 Suture Vicryl 0 Ct-1 18In Cr Violet Ethicon,55.89,21.8,,,0
CDM,SUP1529_272,Noncdm Charge Record Medical Supplies - Catheter Ureth Bdx Rbnsn 8Fr 2,14.49,5.65,,,0
CDM,SUP1529_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Ureth Bdx Rbnsn 8Fr 2,14.49,5.65,,,0
CDM,SUP1529_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Ureth Bdx Rbnsn 8Fr 2,14.49,5.65,,,0
CDM,SUP15302,Noncdm Charge Record Medical Supplies - Introducer Sheath 61Cm Repl Polypro Prtnl,1087.79,424.24,,,0
CDM,SUP15303_272,Noncdm Charge Record Medical Supplies - Burr Surg 45Mm 2.1Mm Carb Tpr Sdct Strl,51.49,20.08,,,0
CDM,SUP15303_A4649_272,Noncdm Charge Record Medical Supplies - Burr Surg 45Mm 2.1Mm Carb Tpr Sdct Strl,54.86,21.4,,,0
CDM,SUP15304,Noncdm Charge Record Medical Supplies - Introducer Cath45Cm5Fr Anl1Crv .018-.038In Anl1 Crv,357.08,139.26,,,0
CDM,SUP153057,Noncdm Charge Record Medical Supplies,59.37,23.15,,,0
CDM,SUP153058,Noncdm Charge Record Medical Supplies - Antifungal 3Oz White Phytoplex Miconazole Nitrate Powder,16.61,6.48,,,0
CDM,SUP153059,Noncdm Charge Record Medical Supplies - Dressing Anmc 10Inx36In Drigo-Hp Barrier Sheet,165.48,64.54,,,0
CDM,SUP15306,Noncdm Charge Record Medical Supplies - Catheter Guide Mp Crv 6Fr,401.58,156.62,,,0
CDM,SUP15307,Noncdm Charge Record Medical Supplies - Catheter Guide Mp2 Crv 6Fr,395.37,154.19,,,0
CDM,SUP15308_272,Noncdm Charge Record Medical Supplies - Device Closure Carter-Thomasan Sut Passer,400.24,156.09,,,0
CDM,SUP15308_A4649_272,Noncdm Charge Record Medical Supplies - Device Closure Carter-Thomasan Sut Passer,414.26,161.56,,,0
CDM,SUP15308_A9999_272,Noncdm Charge Record Medical Supplies - Device Closure Carter-Thomasan Sut Passer,393.3,153.39,,,0
CDM,SUP15309,Noncdm Charge Record Medical Supplies - Binder 5 Xl Postop Front Zip,226.66,88.4,,,0
CDM,SUP1530_272,Noncdm Charge Record Medical Supplies - Catheter Red Robinson 10Fr Bard,14.42,5.62,,,0
CDM,SUP1530_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Red Robinson 10Fr Bard,14.36,5.6,,,0
CDM,SUP1530_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Red Robinson 10Fr Bard,14.49,5.65,,,0
CDM,SUP1531,Noncdm Charge Record Medical Supplies - Immobilizer Orth Lg 12In Knee Contour Cnvs,48.64,18.97,,,0
CDM,SUP15312,Noncdm Charge Record Medical Supplies - Binder 4 Lg Postop Front,199.76,77.91,,,0
CDM,SUP15313,Noncdm Charge Record Medical Supplies - Burr Surg 45Mm 4Mm Shrt Carb Round Strl,158.35,61.76,,,0
CDM,SUP153189_270,Noncdm Charge Record Medical Supplies - Nasal Sensor Disposable,113.86,44.41,,,0
CDM,SUP153189_A4649_270,Noncdm Charge Record Medical Supplies - Nasal Sensor Disposable,112.82,44.0,,,0
CDM,SUP15321,Noncdm Charge Record Medical Supplies - Suture Permahand 4-0 Sh 75Cm Cr Ethicon,24.84,9.69,,,0
CDM,SUP153223,Noncdm Charge Record Medical Supplies,68.31,26.64,,,0
CDM,SUP15322_272,Noncdm Charge Record Medical Supplies - Electrode Monopol Laryng,2430.18,947.77,,,0
CDM,SUP15322_A4649_272,Noncdm Charge Record Medical Supplies - Electrode Monopol Laryng,2430.18,947.77,,,0
CDM,SUP15323_272,Noncdm Charge Record Medical Supplies - See 115910 Blade Saw 98.5Mmx25.4Mmx.98In Xlng W Ss Sag,101.43,39.56,,,0
CDM,SUP15323_A4649_272,Noncdm Charge Record Medical Supplies - See 115910 Blade Saw 98.5Mmx25.4Mmx.98In Xlng W Ss Sag,101.43,39.56,,,0
CDM,SUP15324_272,Noncdm Charge Record Medical Supplies - Suture Vicryl + 3-0 Sh 27In Antibacterial Undyed Ethicon,8.48,3.31,,,0
CDM,SUP15324_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl + 3-0 Sh 27In Antibacterial Undyed Ethicon,8.41,3.28,,,0
CDM,SUP15324_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl + 3-0 Sh 27In Antibacterial Undyed Ethicon,8.56,3.34,,,0
CDM,SUP15325_272,Noncdm Charge Record Medical Supplies - See 127217 Suture Vicryl 1 Ct-1 18In Cr Violet Ethicon,58.01,22.62,,,0
CDM,SUP15325_A4649_272,Noncdm Charge Record Medical Supplies - See 127217 Suture Vicryl 1 Ct-1 18In Cr Violet Ethicon,57.96,22.6,,,0
CDM,SUP15325_A9999_272,Noncdm Charge Record Medical Supplies - See 127217 Suture Vicryl 1 Ct-1 18In Cr Violet Ethicon,57.96,22.6,,,0
CDM,SUP1532_272,Noncdm Charge Record Medical Supplies - Catheter Red Robinson 12Fr Bard,14.4,5.62,,,0
CDM,SUP1532_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Red Robinson 12Fr Bard,14.14,5.51,,,0
CDM,SUP1532_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Red Robinson 12Fr Bard,14.49,5.65,,,0
CDM,SUP1533_272,Noncdm Charge Record Medical Supplies - Catheter Red Robinson 16Fr Bard,14.47,5.64,,,0
CDM,SUP1533_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Red Robinson 16Fr Bard,14.45,5.64,,,0
CDM,SUP1533_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Red Robinson 16Fr Bard,14.49,5.65,,,0
CDM,SUP1534,Noncdm Charge Record Medical Supplies - Catheter Ureth Bdx Rbnsn 18Fr,14.43,5.63,,,0
CDM,SUP15345,Noncdm Charge Record Medical Supplies - Lunderquist,543.46,211.95,,,0
CDM,SUP153455,Noncdm Charge Record Medical Supplies - Footswitching Pencil Holster E3504H,5.18,2.02,,,0
CDM,SUP153459,Noncdm Charge Record Medical Supplies - Sheath Radial Access Rist 25Cm Hydrophilic Coating 7F 105Cm,5158.44,2011.79,,,0
CDM,SUP15346,Noncdm Charge Record Medical Supplies - Catheter Infus .018In 3-2.8Fr,1778.82,693.74,,,0
CDM,SUP153460,Noncdm Charge Record Medical Supplies - Sheath Radial Access Rist 25Cm Hydrophilic Coating 7F 95Cm,5158.44,2011.79,,,0
CDM,SUP153461,Noncdm Charge Record Medical Supplies - Catheter Radial Access Rist Selective 5.5F Sim2 130Cm,528.88,206.26,,,0
CDM,SUP153488,Noncdm Charge Record Medical Supplies - Syringe Medical 11 N-Bca Trufill Dcs Ii,1527.66,595.79,,,0
CDM,SUP15348_272,Noncdm Charge Record Medical Supplies - Blade Saw 70Mmx12.5Mmx.9Mm Ss Recip 2 Sided,174.37,68.0,,,0
CDM,SUP15348_A4649_272,Noncdm Charge Record Medical Supplies - Blade Saw 70Mmx12.5Mmx.9Mm Ss Recip 2 Sided,184.23,71.85,,,0
CDM,SUP15349,Noncdm Charge Record Medical Supplies - Catheter Drain 18Fr Malecots Latex Bard,48.64,18.97,,,0
CDM,SUP1535,Noncdm Charge Record Medical Supplies - Catheter Ureth Bdx Rbnsn 20Fr,40.02,15.61,,,0
CDM,SUP15350_272,Noncdm Charge Record Medical Supplies - Tubing Suct Clr 10Ft 3-8In,36.22,14.13,,,0
CDM,SUP15350_A4649_272,Noncdm Charge Record Medical Supplies - Tubing Suct Clr 10Ft 3-8In,36.22,14.13,,,0
CDM,SUP15352,Noncdm Charge Record Medical Supplies - Suture Goretex Cv-0 Th-50 48In Wl Gore And Assoicates,96.26,37.54,,,0
CDM,SUP15353_272,Noncdm Charge Record Medical Supplies - Cuff Tourniquet Sterile 18In Zimmer,99.84,38.94,,,0
CDM,SUP15353_A4649_272,Noncdm Charge Record Medical Supplies - Cuff Tourniquet Sterile 18In Zimmer,100.4,39.16,,,0
CDM,SUP15353_A9999_272,Noncdm Charge Record Medical Supplies - Cuff Tourniquet Sterile 18In Zimmer,98.75,38.51,,,0
CDM,SUP15354_272,Noncdm Charge Record Medical Supplies - Cuff Tourniquet 24In 2 Port 1,111.86,43.63,,,0
CDM,SUP15354_A4649_272,Noncdm Charge Record Medical Supplies - Cuff Tourniquet 24In 2 Port 1,112.82,44.0,,,0
CDM,SUP15354_A9999_272,Noncdm Charge Record Medical Supplies - Cuff Tourniquet 24In 2 Port 1,108.68,42.39,,,0
CDM,SUP15355_272,Noncdm Charge Record Medical Supplies - Cuff Tourniquet Sterile 30In Zimmer,237.61,92.67,,,0
CDM,SUP15355_A4649_272,Noncdm Charge Record Medical Supplies - Cuff Tourniquet Sterile 30In Zimmer,239.08,93.24,,,0
CDM,SUP15355_A9999_272,Noncdm Charge Record Medical Supplies - Cuff Tourniquet Sterile 30In Zimmer,236.29,92.15,,,0
CDM,SUP153561,Noncdm Charge Record Medical Supplies - Peg Bone Locking Titanium L24Mm Dia2.3Mm Distal Radial,440.39,171.75,,,0
CDM,SUP153562,Noncdm Charge Record Medical Supplies - Screw Bone L12Mm Dia3.5Mm Titanium Locking Geminus,440.91,171.95,,,0
CDM,SUP153564,Noncdm Charge Record Medical Supplies - Drill Bit L214Mm Dia16Mm Cannulated Hollow Large,3320.62,1295.04,,,0
CDM,SUP153565_272,Noncdm Charge Record Medical Supplies - Drill Bit L110Mm 2Mm Calibration 30Mm Quick Couplin,582.66,227.24,,,0
CDM,SUP153565_A4649_272,Noncdm Charge Record Medical Supplies - Drill Bit L110Mm 2Mm Calibration 30Mm Quick Couplin,576.5,224.84,,,0
CDM,SUP153565_A9999_272,Noncdm Charge Record Medical Supplies - Drill Bit L110Mm 2Mm Calibration 30Mm Quick Couplin,576.5,224.84,,,0
CDM,SUP153566_272,Noncdm Charge Record Medical Supplies - Drill Bit L135Mm 2.5Mm Calibration 45Mm Quick Couplin,531.22,207.18,,,0
CDM,SUP153566_A4649_272,Noncdm Charge Record Medical Supplies - Drill Bit L135Mm 2.5Mm Calibration 45Mm Quick Couplin,519.57,202.63,,,0
CDM,SUP153566_A9999_272,Noncdm Charge Record Medical Supplies - Drill Bit L135Mm 2.5Mm Calibration 45Mm Quick Couplin,519.57,202.63,,,0
CDM,SUP153567_272,Noncdm Charge Record Medical Supplies - Bit Drill L125Mm 2.7Mm Sterile Quick Coupling,462.67,180.44,,,0
CDM,SUP153567_A4649_272,Noncdm Charge Record Medical Supplies - Bit Drill L125Mm 2.7Mm Sterile Quick Coupling,452.3,176.4,,,0
CDM,SUP153567_A9999_272,Noncdm Charge Record Medical Supplies - Bit Drill L125Mm 2.7Mm Sterile Quick Coupling,452.3,176.4,,,0
CDM,SUP15356_272,Noncdm Charge Record Medical Supplies - Cuff Tourniquet 34In 2 Port 1,128.67,50.18,,,0
CDM,SUP15356_A4649_272,Noncdm Charge Record Medical Supplies - Cuff Tourniquet 34In 2 Port 1,129.38,50.46,,,0
CDM,SUP15356_A9999_272,Noncdm Charge Record Medical Supplies - Cuff Tourniquet 34In 2 Port 1,128.04,49.94,,,0
CDM,SUP153570,Noncdm Charge Record Medical Supplies - Screw Bone L12Mm Dia3.5Mm Titanium Nonlocking Geminus,440.39,171.75,,,0
CDM,SUP153571,Noncdm Charge Record Medical Supplies - Guide Aiming Surgical Dia1.5Mm Geminus Volar Plating System,127.3,49.65,,,0
CDM,SUP153572,Noncdm Charge Record Medical Supplies - K Wire Fixation Dia1.5Mm L127Mm Geminus Volar Std Tip,102.81,40.1,,,0
CDM,SUP153573,Noncdm Charge Record Medical Supplies - Drill Bit L40Mm Dia2Mm Geminus Volar Plating System,445.05,173.57,,,0
CDM,SUP153574,Noncdm Charge Record Medical Supplies - Drill Bit L40Mm Dia2.5Mm Geminus Volar Plating System,445.05,173.57,,,0
CDM,SUP153575,Noncdm Charge Record Medical Supplies - Bone Plate 3 Hole Narrow Geminus Left Distal Titanium,3629.74,1415.6,,,0
CDM,SUP153578,Noncdm Charge Record Medical Supplies - Bone Peg L20Mm Dia2.3Mm Locking Screw Titanium Geminus,440.91,171.95,,,0
CDM,SUP153579,Noncdm Charge Record Medical Supplies - Bone Peg L22Mm Dia2.3Mm Locking Screw Titanium Geminus,440.39,171.75,,,0
CDM,SUP15357_272,Noncdm Charge Record Medical Supplies - Cuff Tourniquet 42In 2 Port 1 Bladr Pump Line,137.67,53.69,,,0
CDM,SUP15357_A4649_272,Noncdm Charge Record Medical Supplies - Cuff Tourniquet 42In 2 Port 1 Bladr Pump Line,138.69,54.09,,,0
CDM,SUP15357_A9999_272,Noncdm Charge Record Medical Supplies - Cuff Tourniquet 42In 2 Port 1 Bladr Pump Line,135.58,52.88,,,0
CDM,SUP153597,Noncdm Charge Record Medical Supplies,661.36,257.93,,,0
CDM,SUP1536,Noncdm Charge Record Medical Supplies - Catheter Ureth Bdx Rbnsn 22Fr,13.46,5.25,,,0
CDM,SUP15360,Noncdm Charge Record Medical Supplies - Guidewire Surg .018In 80Cm Tip,201.82,78.71,,,0
CDM,SUP153619,Noncdm Charge Record Medical Supplies - See 158302 Anesthesia Circuit 120In Exp-Lf,46.58,18.17,,,0
CDM,SUP15362,Noncdm Charge Record Medical Supplies - Cannula 20Ga 100Mm Curved Radiofrequency 10Mm Halyard Health,91.0,35.49,,,0
CDM,SUP15363_272,Noncdm Charge Record Medical Supplies - See 140918 Suture Vicryl 3-0 Rb1 27In Undyed Ethicon,8.28,3.23,,,0
CDM,SUP15363_A4649_272,Noncdm Charge Record Medical Supplies - See 140918 Suture Vicryl 3-0 Rb1 27In Undyed Ethicon,8.28,3.23,,,0
CDM,SUP15363_A9999_272,Noncdm Charge Record Medical Supplies - See 140918 Suture Vicryl 3-0 Rb1 27In Undyed Ethicon,8.28,3.23,,,0
CDM,SUP15364,Noncdm Charge Record Medical Supplies - See 141017 Suture Vicryl 0 Ctx 18In Cr Violet Ethicon,55.89,21.8,,,0
CDM,SUP15365,Noncdm Charge Record Medical Supplies - Forceps Bipolar 8.5In 1Mm Iscl Tip 3.5In Disp,2244.03,875.17,,,0
CDM,SUP15366,Noncdm Charge Record Medical Supplies - Probe Us Doppler Pncl 8.1,734.85,286.59,,,0
CDM,SUP15367_272,Noncdm Charge Record Medical Supplies - See 74603 Suture Vicryl 2-0 Sh 27In Undyed Ethicon,7.25,2.83,,,0
CDM,SUP15367_A4649_272,Noncdm Charge Record Medical Supplies - See 74603 Suture Vicryl 2-0 Sh 27In Undyed Ethicon,7.24,2.82,,,0
CDM,SUP15367_A9999_272,Noncdm Charge Record Medical Supplies - See 74603 Suture Vicryl 2-0 Sh 27In Undyed Ethicon,7.24,2.82,,,0
CDM,SUP153682,Noncdm Charge Record Medical Supplies - Wire Guide 1.35 Mm Diameter Threaded Trocar Tip Ss,73.48,28.66,,,0
CDM,SUP153683,Noncdm Charge Record Medical Supplies - Screw Bone 4 Mm Diameter 40 Mm Pt,886.17,345.61,,,0
CDM,SUP153685,Noncdm Charge Record Medical Supplies - System Implant 2.9Mm Short Biocomposite Pushlock Anchor,3407.29,1328.84,,,0
CDM,SUP153686,Noncdm Charge Record Medical Supplies - Screw Bone 4X38Mm Cancellous Cannulated Short Thread,886.48,345.73,,,0
CDM,SUP15369_272,Noncdm Charge Record Medical Supplies - Needle 5Cm 18Ga Gwire Proc Rnl,198.72,77.5,,,0
CDM,SUP15369_A4649_272,Noncdm Charge Record Medical Supplies - Needle 5Cm 18Ga Gwire Proc Rnl,198.72,77.5,,,0
CDM,SUP15371,Noncdm Charge Record Medical Supplies - Forceps Bipolar 8.5In .5Mm Iscl .5Mm Lymph,2254.75,879.35,,,0
CDM,SUP153724,Noncdm Charge Record Medical Supplies,44221.41,17246.35,,,0
CDM,SUP153725,Noncdm Charge Record Medical Supplies - Graft Vascular 60-69Cm Saphenous Vein,45188.1,17623.36,,,0
CDM,SUP153727,Noncdm Charge Record Medical Supplies - Graft Vascular 80-100Cm Saphenous Vein,55167.75,21515.42,,,0
CDM,SUP15373,Noncdm Charge Record Medical Supplies - System Inj Spk Asmbly Prs,22.77,8.88,,,0
CDM,SUP153734,Noncdm Charge Record Medical Supplies - Restoreflow Fa Greater Than 30Cm,35376.3,13796.76,,,0
CDM,SUP15374_270,Noncdm Charge Record Medical Supplies - Brace Walk Med 8.25In Ankl-Ft Pneum Low Rckr,202.86,79.12,,,0
CDM,SUP15374_A4649_270,Noncdm Charge Record Medical Supplies - Brace Walk Med 8.25In Ankl-Ft Pneum Low Rckr,202.86,79.12,,,0
CDM,SUP15376,Noncdm Charge Record Medical Supplies - Guidewire Orth 150Mm 1.4Mm,249.61,97.35,,,0
CDM,SUP15379,Noncdm Charge Record Medical Supplies - See 140921 Suture Vicryl 3-0 Ct-2 27In Undyed Ethicon,7.34,2.86,,,0
CDM,SUP15380_272,Noncdm Charge Record Medical Supplies - Applier Clip 10Mm Titanium Covidien,347.76,135.63,,,0
CDM,SUP15380_A4649_272,Noncdm Charge Record Medical Supplies - Applier Clip 10Mm Titanium Covidien,347.76,135.63,,,0
CDM,SUP15382,Noncdm Charge Record Medical Supplies - Unit Electrosurg 20Cm Hnd Swch Disp Lg Atls,1656.0,645.84,,,0
CDM,SUP153836_272,Noncdm Charge Record Medical Supplies - See 156058 Pack Cysto Wellstar Ws170.005 Ws170.005,193.54,75.48,,,0
CDM,SUP153836_A4649_272,Noncdm Charge Record Medical Supplies - See 156058 Pack Cysto Wellstar Ws170.005 Ws170.005,193.54,75.48,,,0
CDM,SUP153836_A9999_272,Noncdm Charge Record Medical Supplies - See 156058 Pack Cysto Wellstar Ws170.005 Ws170.005,193.54,75.48,,,0
CDM,SUP153837,Noncdm Charge Record Medical Supplies - Bronchoscope L600Mm Dia2.Disp Flexible Video Reg Ascope 4,1312.38,511.83,,,0
CDM,SUP153838,Noncdm Charge Record Medical Supplies - Ascope 4 Broncho Large Dispb Sample Set,1502.82,586.1,,,0
CDM,SUP15384_272,Noncdm Charge Record Medical Supplies - Suture Prolene 5-0 Ps-3 18In Blue Ethicon,24.62,9.6,,,0
CDM,SUP15384_A4649_272,Noncdm Charge Record Medical Supplies - Suture Prolene 5-0 Ps-3 18In Blue Ethicon,24.32,9.48,,,0
CDM,SUP15384_A9999_272,Noncdm Charge Record Medical Supplies - Suture Prolene 5-0 Ps-3 18In Blue Ethicon,24.84,9.69,,,0
CDM,SUP153857,Noncdm Charge Record Medical Supplies - Foley Tray Sil Drain Bag Stabl Statlock Surestep,53.82,20.99,,,0
CDM,SUP153858_272,Noncdm Charge Record Medical Supplies - Weck Sys Efx Classic Fc Clsr Efxct1,368.11,143.56,,,0
CDM,SUP153858_A9999_272,Noncdm Charge Record Medical Supplies - Weck Sys Efx Classic Fc Clsr Efxct1,367.42,143.29,,,0
CDM,SUP153888_272,Noncdm Charge Record Medical Supplies - See 156091 Pack Minor Proc Basin Wk320.03 Wk320.034,106.63,41.59,,,0
CDM,SUP153888_A4649_272,Noncdm Charge Record Medical Supplies - See 156091 Pack Minor Proc Basin Wk320.03 Wk320.034,106.6,41.57,,,0
CDM,SUP153889,Noncdm Charge Record Medical Supplies - See 156083 Pack Angio Kennestne Wk100.020 Wk100.020,249.44,97.28,,,0
CDM,SUP153891_272,Noncdm Charge Record Medical Supplies - See 157011 Pack Laprspy Wellstr Ws270.003 Ws270.003,291.87,113.83,,,0
CDM,SUP153891_A4649_272,Noncdm Charge Record Medical Supplies - See 157011 Pack Laprspy Wellstr Ws270.003 Ws270.003,291.87,113.83,,,0
CDM,SUP153892,Noncdm Charge Record Medical Supplies - See 157715 Kit C-Sect Addon Ws Kt170.003 Kt170.003,138.69,54.09,,,0
CDM,SUP153893_272,Noncdm Charge Record Medical Supplies - See 157012 Pack Gen Maj Abdmnl Ws290.006 Ws290.006,228.72,89.2,,,0
CDM,SUP153893_A4649_272,Noncdm Charge Record Medical Supplies - See 157012 Pack Gen Maj Abdmnl Ws290.006 Ws290.006,228.74,89.21,,,0
CDM,SUP153894,Noncdm Charge Record Medical Supplies - See 157008 Pack Total Joint Ws400.007 Ws400.007,428.49,167.11,,,0
CDM,SUP1539,Noncdm Charge Record Medical Supplies - Electrode Electrosurg Rd 11Cm,78.66,30.68,,,0
CDM,SUP15396,Noncdm Charge Record Medical Supplies - Sleeve 6Mm Half Pin Centering,1240.96,483.97,,,0
CDM,SUP15397_272,Noncdm Charge Record Medical Supplies - See 131494 Needle Stplx A Bvl Insul Extn,45.54,17.76,,,0
CDM,SUP15397_A4649_272,Noncdm Charge Record Medical Supplies - See 131494 Needle Stplx A Bvl Insul Extn,45.54,17.76,,,0
CDM,SUP15397_A9999_272,Noncdm Charge Record Medical Supplies - See 131494 Needle Stplx A Bvl Insul Extn,45.54,17.76,,,0
CDM,SUP15401,Noncdm Charge Record Medical Supplies - Set Blood Warm Tub Lvl 1 Disp,128.34,50.05,,,0
CDM,SUP15404_272,Noncdm Charge Record Medical Supplies - Snare Vasc 120Cm 9-15Mm 6Fr,1620.29,631.91,,,0
CDM,SUP15404_C1773_272,Noncdm Charge Record Medical Supplies - Snare Vasc 120Cm 9-15Mm 6Fr,1620.69,632.07,,,0
CDM,SUP15405,Noncdm Charge Record Medical Supplies - Snare Vasc 120Cm 12-20Mm 6Fr,1620.6,632.03,,,0
CDM,SUP15406,Noncdm Charge Record Medical Supplies - Snare Vasc 120Cm 8-30Mm 7Fr,1620.76,632.1,,,0
CDM,SUP15408,Noncdm Charge Record Medical Supplies - Suture Ndl 3 Half Circ Rpt Fr Spring Eye,11.38,4.44,,,0
CDM,SUP1540_272,Noncdm Charge Record Medical Supplies - Tube Drain 30Cm 14Fr Uret Vnyl,62.19,24.25,,,0
CDM,SUP1540_A4649_272,Noncdm Charge Record Medical Supplies - Tube Drain 30Cm 14Fr Uret Vnyl,62.1,24.22,,,0
CDM,SUP15410_272,Noncdm Charge Record Medical Supplies - See 141063 Suture Monocryl 3-0 Ct-1 36In Violet Ethicon,12.42,4.84,,,0
CDM,SUP15410_A9999_272,Noncdm Charge Record Medical Supplies - See 141063 Suture Monocryl 3-0 Ct-1 36In Violet Ethicon,12.42,4.84,,,0
CDM,SUP15411,Noncdm Charge Record Medical Supplies - Suture Ethibond 0 Mh 36In Double Arm Green Ethicon,26.62,10.38,,,0
CDM,SUP15412,Noncdm Charge Record Medical Supplies - Suture Ethibond 2-0 Sh-2 36In Double Arm Ethicon,22.05,8.6,,,0
CDM,SUP15413,Noncdm Charge Record Medical Supplies - Suture Ethibond 2-0 V-5 30In 8Ea-Double Arm Green-White Ethi,318.78,124.32,,,0
CDM,SUP15414,Noncdm Charge Record Medical Supplies - Suture Ethibond 2-0 Sh 30In Double Arm Ethicon,174.92,68.22,,,0
CDM,SUP15415,Noncdm Charge Record Medical Supplies - Suture Ethibond 2-0 36 Sh 2 Arm Pledge Ethicon,289.57,112.93,,,0
CDM,SUP154169_272,Noncdm Charge Record Medical Supplies - Curette 8Mm Rigid Curved,17.6,6.86,,,0
CDM,SUP154169_A4649_272,Noncdm Charge Record Medical Supplies - Curette 8Mm Rigid Curved,17.6,6.86,,,0
CDM,SUP1542,Noncdm Charge Record Medical Supplies,1201.64,468.64,,,0
CDM,SUP15421,Noncdm Charge Record Medical Supplies - Forceps Bipolar 8.5In 2Mm Iscl,2259.63,881.26,,,0
CDM,SUP15422,Noncdm Charge Record Medical Supplies - Introducer Cath 70Cm 6Fr .038In Ckfl Flxr,317.74,123.92,,,0
CDM,SUP154222_L8614_278,Noncdm Charge Record Medical Supplies,97575.66,38054.51,,,0
CDM,SUP154227_L8613_274,Noncdm Charge Record Medical Supplies - Magnet S-Vector Flexsoft Mi1250 Synchrony 2,103314.74,40292.75,,,0
CDM,SUP154227_L8613_278,Noncdm Charge Record Medical Supplies - Magnet S-Vector Flexsoft Mi1250 Synchrony 2,101401.71,39546.67,,,0
CDM,SUP154230_L8613_278,Noncdm Charge Record Medical Supplies,97575.66,38054.51,,,0
CDM,SUP15425,Noncdm Charge Record Medical Supplies,25.88,10.09,,,0
CDM,SUP154250,Noncdm Charge Record Medical Supplies,8.28,3.23,,,0
CDM,SUP154254,Noncdm Charge Record Medical Supplies - Drain Surgical 24Fr Blake Silicone Hubless 4 Channeled,547.52,213.53,,,0
CDM,SUP154266,Noncdm Charge Record Medical Supplies - Driver Neuro Battery Axs,2217.18,864.7,,,0
CDM,SUP154284_270,Noncdm Charge Record Medical Supplies - Scotchcast Quick Step Pre-Cut Splint 4In X 15In 10 Each-Case,20.63,8.05,,,0
CDM,SUP154284_A4649_270,Noncdm Charge Record Medical Supplies - Scotchcast Quick Step Pre-Cut Splint 4In X 15In 10 Each-Case,20.7,8.07,,,0
CDM,SUP15431,Noncdm Charge Record Medical Supplies - See 139649 Stabilizer Surg Univ Acrb Std Ft Off Pump Sys,4834.48,1885.45,,,0
CDM,SUP15432,Noncdm Charge Record Medical Supplies - Blade Saw Recip Stern,48.64,18.97,,,0
CDM,SUP15433,Noncdm Charge Record Medical Supplies - Cannula Perf 5.5In 7Fr Aort,98.32,38.34,,,0
CDM,SUP15435,Noncdm Charge Record Medical Supplies - Cannula Vsl Guyton Ndl Ima,138.74,54.11,,,0
CDM,SUP15436,Noncdm Charge Record Medical Supplies - Punch 8In 3.5Mm Clnct Rot Tip,123.16,48.03,,,0
CDM,SUP154364,Noncdm Charge Record Medical Supplies - Cannula Nasal 7Ft Gas Smpl Line O2 Tub Ll F,10.35,4.04,,,0
CDM,SUP154365_272,Noncdm Charge Record Medical Supplies - Bag Urinary Drain Leg 550 Ml Latex Free Valve,6.23,2.43,,,0
CDM,SUP154365_A4649_272,Noncdm Charge Record Medical Supplies - Bag Urinary Drain Leg 550 Ml Latex Free Valve,6.21,2.42,,,0
CDM,SUP154365_A9999_272,Noncdm Charge Record Medical Supplies - Bag Urinary Drain Leg 550 Ml Latex Free Valve,6.21,2.42,,,0
CDM,SUP15437,Noncdm Charge Record Medical Supplies - Punch Lng 8In 4Mm Clnct Rot,123.16,48.03,,,0
CDM,SUP15438,Noncdm Charge Record Medical Supplies - See 61253 Clip Med Intnl Hrzn Ti Endo,55.89,21.8,,,0
CDM,SUP15439,Noncdm Charge Record Medical Supplies - Adhesive Skin Closure Bioglue Crolife Inc,3797.54,1481.04,,,0
CDM,SUP1544,Noncdm Charge Record Medical Supplies - Dilator Vasc 10Fr 20Cm Std,33.12,12.92,,,0
CDM,SUP154400,Noncdm Charge Record Medical Supplies - Dressing Allevyn Life 15.4Cm X15.4Cm,13.46,5.25,,,0
CDM,SUP154401,Noncdm Charge Record Medical Supplies - Catheter Guiding 5Fr L125Cm Straight Tip Soft,6031.93,2352.45,,,0
CDM,SUP154402,Noncdm Charge Record Medical Supplies - Catheter Guiding 5Fr L115Cm Straight Tip Soft,6031.95,2352.46,,,0
CDM,SUP154407,Noncdm Charge Record Medical Supplies - Expander Tissue 550Cc W13X H13.5Cm Fourte Natrelle 133S,7491.85,2921.82,,,0
CDM,SUP154408,Noncdm Charge Record Medical Supplies,7491.85,2921.82,,,0
CDM,SUP154416,Noncdm Charge Record Medical Supplies - Implant Cochlear With Slim Mod Electrode Ci632 Nucleus Profi,106813.95,41657.44,,,0
CDM,SUP154445,Noncdm Charge Record Medical Supplies - Stapler Curved Cutter Echelon Blue Reload 4 Ethicon,3072.92,1198.44,,,0
CDM,SUP15445,Noncdm Charge Record Medical Supplies - Cannula Vessel 2In 3Mm Medtronic,21.42,8.35,,,0
CDM,SUP154456,Noncdm Charge Record Medical Supplies - Amplatzer Pfo Occluder 25-18Mm Talisman,43477.24,16956.12,,,0
CDM,SUP154457,Noncdm Charge Record Medical Supplies - Amplatzer Pfo Occluder 30-25Mm Talisman,43477.24,16956.12,,,0
CDM,SUP15446,Noncdm Charge Record Medical Supplies - Cannula Perf 14In 24Fr Venous,163.53,63.78,,,0
CDM,SUP15448,Noncdm Charge Record Medical Supplies - Cannula Perf 14In 28Fr Venous,163.53,63.78,,,0
CDM,SUP1545,Noncdm Charge Record Medical Supplies - Dilator Vasc 9Fr 20Cm Gwire,33.12,12.92,,,0
CDM,SUP15450,Noncdm Charge Record Medical Supplies - Shunt Cv 18Mm 2.25Mm Flthr,383.98,149.75,,,0
CDM,SUP15451,Noncdm Charge Record Medical Supplies - Shunt Cv 18Mm 1.25Mm Flthr,344.67,134.42,,,0
CDM,SUP154515_272,Noncdm Charge Record Medical Supplies - Line Filter Nasal 02 Adlt Lng,83.81,32.69,,,0
CDM,SUP154515_A4649_272,Noncdm Charge Record Medical Supplies - Line Filter Nasal 02 Adlt Lng,83.84,32.7,,,0
CDM,SUP15452,Noncdm Charge Record Medical Supplies - Shunt Cv 18In 1.5Mm Flthr,373.85,145.8,,,0
CDM,SUP15453,Noncdm Charge Record Medical Supplies - Shunt Cv 18Mm 1.75Mm Flthr,370.32,144.42,,,0
CDM,SUP15454,Noncdm Charge Record Medical Supplies - Shunt Cv 18Mm 2Mm Flthr,340.52,132.8,,,0
CDM,SUP15459,Noncdm Charge Record Medical Supplies - Shunt Cv 18Mm 1Mm Flthr Intrlum 1 Pc Radiopq,344.66,134.42,,,0
CDM,SUP15460,Noncdm Charge Record Medical Supplies - Electrode Elctrsrg 10Ft Ftswtc Edge Ss Ftswtch,12.42,4.84,,,0
CDM,SUP15461,Noncdm Charge Record Medical Supplies - Applier Int Clip .55Kg Lgt,141.79,55.3,,,0
CDM,SUP154649,Noncdm Charge Record Medical Supplies - Graft Art Bvn 6Mmx30Mm,10422.26,4064.68,,,0
CDM,SUP154651,Noncdm Charge Record Medical Supplies - Screw Bone L22Mm Dia3.5Mm Cortical Foot Ankle Locking,1074.33,418.99,,,0
CDM,SUP154652,Noncdm Charge Record Medical Supplies - Screw Bone L38Mm Dia3.5Mm Titanium Forefoot Midfoot,1074.33,418.99,,,0
CDM,SUP154653,Noncdm Charge Record Medical Supplies - Screw Bone 3.5X22Mm Foot Threaded Nonlocking,547.52,213.53,,,0
CDM,SUP154654,Noncdm Charge Record Medical Supplies - Staple Bone Fixation Leg L20Mm Bridge W20Mm Hand Fuseforce,6384.92,2490.12,,,0
CDM,SUP154656,Noncdm Charge Record Medical Supplies - Graft Vascular L30Cm Dia8Mm Bovine Carotid Collagen,17443.89,6803.12,,,0
CDM,SUP154658,Noncdm Charge Record Medical Supplies - Graft Vascular 4Mm By 40Cm Bovine Carotid Collagen,14962.65,5835.43,,,0
CDM,SUP154661,Noncdm Charge Record Medical Supplies - Graft Vascular 5Mm By 45Cm Bovine Carotid Collagen,17770.17,6930.37,,,0
CDM,SUP154663,Noncdm Charge Record Medical Supplies,16719.39,6520.56,,,0
CDM,SUP154665,Noncdm Charge Record Medical Supplies - Graft Vascular 7Mm By 45Cm Bovine Carotid Collagen,10870.4,4239.46,,,0
CDM,SUP15468_270,Noncdm Charge Record Medical Supplies - See 60732 Blanket 60X36In Adlt Polymer Br Hgr Air Sys,127.3,49.65,,,0
CDM,SUP15468_A4649_270,Noncdm Charge Record Medical Supplies - See 60732 Blanket 60X36In Adlt Polymer Br Hgr Air Sys,127.3,49.65,,,0
CDM,SUP15468_A9999_270,Noncdm Charge Record Medical Supplies - See 60732 Blanket 60X36In Adlt Polymer Br Hgr Air Sys,127.3,49.65,,,0
CDM,SUP15470,Noncdm Charge Record Medical Supplies - Connector Perf Strt Rdc .5X3-8In .5In Strl,23.92,9.33,,,0
CDM,SUP15471,Noncdm Charge Record Medical Supplies - Bag Atf 1000Ml Brt 2 Blood Collect,51.75,20.18,,,0
CDM,SUP15473,Noncdm Charge Record Medical Supplies - Assembly Atf Sys 2 Lum Suct Brt 2,48.69,18.99,,,0
CDM,SUP154733,Noncdm Charge Record Medical Supplies - Hip Hemi Unipolar Dps Cap,9516.31,3711.36,,,0
CDM,SUP15474,Noncdm Charge Record Medical Supplies - See 122690 Reservoir 120Um 3800Ml Blood Collect Grs,210.03,81.91,,,0
CDM,SUP15476,Noncdm Charge Record Medical Supplies - Adaptor Y Brat Lf,104.54,40.77,,,0
CDM,SUP15477,Noncdm Charge Record Medical Supplies - Pack Smrt Lvr Backsplash Lvad,1132.07,441.51,,,0
CDM,SUP15478,Noncdm Charge Record Medical Supplies - Reservoir Crdtm Filter,342.58,133.61,,,0
CDM,SUP15479,Noncdm Charge Record Medical Supplies - Connector Strt 1-4X1-4 Eql Strl,21.66,8.45,,,0
CDM,SUP154795,Noncdm Charge Record Medical Supplies - Spacer Spnl H9Xl10Mm Ti Mesh,24167.25,9425.23,,,0
CDM,SUP15480,Noncdm Charge Record Medical Supplies - Connector Perf Strt Eql.375 3-8Inx3-8,22.2,8.66,,,0
CDM,SUP15481,Noncdm Charge Record Medical Supplies - Connector Perf Y Eql 1-4In Strl,14.49,5.65,,,0
CDM,SUP15482,Noncdm Charge Record Medical Supplies - Connector Perf Y Eql 3-8In Strl,23.7,9.24,,,0
CDM,SUP15483,Noncdm Charge Record Medical Supplies - Connector Perf Strt Eql .25In 1-4Inx1-4In Strl,23.8,9.28,,,0
CDM,SUP154832,Noncdm Charge Record Medical Supplies,24167.25,9425.23,,,0
CDM,SUP15484,Noncdm Charge Record Medical Supplies - Connector Perf Strt Eql 3X8 3X8Inx3-8In Strl,24.84,9.69,,,0
CDM,SUP15485,Noncdm Charge Record Medical Supplies - Kit Atsbwl Set Cntrf Std Volume Acc 250Ml Brt,352.92,137.64,,,0
CDM,SUP15487,Noncdm Charge Record Medical Supplies - See 1890 Catheter Iv 14Ga 2In Radiopq O Sfshld Orng Acv+,7.67,2.99,,,0
CDM,SUP15490,Noncdm Charge Record Medical Supplies - Insert Clamp Fg Evgrp 86Mm Atrm Ocl Smth Set,69.48,27.1,,,0
CDM,SUP15491,Noncdm Charge Record Medical Supplies - Drain 19Fr Hubless Round Blake With Trocar Ethicon,251.48,98.08,,,0
CDM,SUP15492,Noncdm Charge Record Medical Supplies - Connector 3:1 19 French Cardiac Ethicon,71.41,27.85,,,0
CDM,SUP15493,Noncdm Charge Record Medical Supplies - Drain Catheter 18Fr 20In Ferguson Covidien,103.51,40.37,,,0
CDM,SUP15495_270,Noncdm Charge Record Medical Supplies - Device Pstn 19X3.5In Strup Strap Prsnl Slip,11.93,4.65,,,0
CDM,SUP15495_A4649_270,Noncdm Charge Record Medical Supplies - Device Pstn 19X3.5In Strup Strap Prsnl Slip,12.16,4.74,,,0
CDM,SUP15495_A9999_270,Noncdm Charge Record Medical Supplies - Device Pstn 19X3.5In Strup Strap Prsnl Slip,12.42,4.84,,,0
CDM,SUP15498,Noncdm Charge Record Medical Supplies,102.46,39.96,,,0
CDM,SUP15499,Noncdm Charge Record Medical Supplies - Blower Mister Medtronic,195.62,76.29,,,0
CDM,SUP1550,Noncdm Charge Record Medical Supplies - Immobilizer Orth Sm 16In,54.86,21.4,,,0
CDM,SUP15500,Noncdm Charge Record Medical Supplies - Retractor Octobase Medtronic,146.97,57.32,,,0
CDM,SUP15501,Noncdm Charge Record Medical Supplies - Positioner Heart Urchin,1003.91,391.52,,,0
CDM,SUP15504,Noncdm Charge Record Medical Supplies - Cannula Perf 15In 36-46Fr,167.67,65.39,,,0
CDM,SUP15506,Noncdm Charge Record Medical Supplies - Cannula Perf 12.5In 15Fr Cs,425.38,165.9,,,0
CDM,SUP15507,Noncdm Charge Record Medical Supplies - Set 10Ft Mps Del Ars Agent Crd Plg 3-16In Strl,1091.62,425.73,,,0
CDM,SUP15509,Noncdm Charge Record Medical Supplies - Cannula Perf 14In 7Mm Aort,181.12,70.64,,,0
CDM,SUP155112,Noncdm Charge Record Medical Supplies,1267.88,494.47,,,0
CDM,SUP15512,Noncdm Charge Record Medical Supplies - See 139187 Suture Surgipro 5-0 Cv-11 5Pk 36In Blue Covidien,100.46,39.18,,,0
CDM,SUP155127,Noncdm Charge Record Medical Supplies - Rod Bend Disp Digitizer Arry Sphr Bendini,10150.25,3958.6,,,0
CDM,SUP15514,Noncdm Charge Record Medical Supplies - See 139190 Suture Surgipro 6-0 Cv11 5X30In Blue Double Armed,100.45,39.18,,,0
CDM,SUP15515,Noncdm Charge Record Medical Supplies - See 139183 Suture Surgipro 7-0 Cv-1 5Pk 24In Blue Covidien,153.18,59.74,,,0
CDM,SUP15516,Noncdm Charge Record Medical Supplies - Suture Surgipro 8-0 Mv-175-8 2Pk 24In 2Arm Blue Covidien,663.36,258.71,,,0
CDM,SUP15519,Noncdm Charge Record Medical Supplies - Suture Surgipro 3-0 V26 36In Blue Double Armed Covidien,20.22,7.89,,,0
CDM,SUP1552,Noncdm Charge Record Medical Supplies - See 133573 Guidewire Vasc.035In145Cm20Cm,72.49,28.27,,,0
CDM,SUP15520,Noncdm Charge Record Medical Supplies - Suture Surgipro 4-0 Cv-15 36In 2Arm Blue Covidien,20.25,7.9,,,0
CDM,SUP15521,Noncdm Charge Record Medical Supplies - See 139186 Suture Surgipro 2 5-0 Cv-11 36In Covidien,20.49,7.99,,,0
CDM,SUP15522,Noncdm Charge Record Medical Supplies - Suture Surgipro 6-0 Cv11 30In Blue Double Armed Covidien,22.71,8.86,,,0
CDM,SUP15523,Noncdm Charge Record Medical Supplies - Suture Surgipro 7-0 Cv1 24In Blue Double Armed Covidien,31.03,12.1,,,0
CDM,SUP15524,Noncdm Charge Record Medical Supplies - Suture Surgipro 8-0 Mv175-8 24In Blue Double Armed Covidien,85.9,33.5,,,0
CDM,SUP15525,Noncdm Charge Record Medical Supplies - Introducer Sheath 6Fr 24Cm 3W Stopcock Intgr,302.71,118.06,,,0
CDM,SUP15526,Noncdm Charge Record Medical Supplies - Suture Mersline 4-0 18In S-2 2 Armed Wvn Braid Ethicon,70.64,27.55,,,0
CDM,SUP15528,Noncdm Charge Record Medical Supplies - Collar Cerv Lg 23.5Inx2In,35.19,13.72,,,0
CDM,SUP15529_270,Noncdm Charge Record Medical Supplies - Collar Cerv Med 22.5Inx2In,35.19,13.72,,,0
CDM,SUP15529_A4649_270,Noncdm Charge Record Medical Supplies - Collar Cerv Med 22.5Inx2In,35.19,13.72,,,0
CDM,SUP15530,Noncdm Charge Record Medical Supplies - Immobilizer Orth Shoulder,164.56,64.18,,,0
CDM,SUP15531,Noncdm Charge Record Medical Supplies - Guidewire Endo .035In 260Cm Strt Tip Hiperf,1171.62,456.93,,,0
CDM,SUP15534,Noncdm Charge Record Medical Supplies - Catheter Ball Dil .035-6F-8Mm 6Fr 8Mm 75Cm 2Cm,1296.86,505.78,,,0
CDM,SUP15535,Noncdm Charge Record Medical Supplies - Loop Vessel 12In Suture Quest Medical,81.76,31.89,,,0
CDM,SUP15537_270,Noncdm Charge Record Medical Supplies - See 157089 Quick Combo Defib Pads,88.97,34.7,,,0
CDM,SUP15537_272,Noncdm Charge Record Medical Supplies - See 157089 Quick Combo Defib Pads,88.66,34.58,,,0
CDM,SUP15537_A4649_270,Noncdm Charge Record Medical Supplies - See 157089 Quick Combo Defib Pads,89.01,34.71,,,0
CDM,SUP15537_A9999_270,Noncdm Charge Record Medical Supplies - See 157089 Quick Combo Defib Pads,89.01,34.71,,,0
CDM,SUP15540,Noncdm Charge Record Medical Supplies - System Acc Port Vsvw 6 Vsl,595.38,232.2,,,0
CDM,SUP15541,Noncdm Charge Record Medical Supplies - Catheter Ball Dil .035In-5.5Fr 5.5Fr 7Mm 75Cm 2,1296.86,505.78,,,0
CDM,SUP15542,Noncdm Charge Record Medical Supplies - Conquest Pta Balloon 7Mm X 4Cm X 75Cm,1296.86,505.78,,,0
CDM,SUP15543,Noncdm Charge Record Medical Supplies - Catheter Ball Dil.035In-6F-8Mm 6Fr 8Mm 75Cm 4Cm,1296.89,505.79,,,0
CDM,SUP15544,Noncdm Charge Record Medical Supplies - Catheter Ball Dil .035-5.8Fr 4 5.8Fr 9Mm 75Cm 4,1296.86,505.78,,,0
CDM,SUP15545,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035 6Fr 6Fr 10Mm 50Cm 4Cm,1296.94,505.81,,,0
CDM,SUP15546,Noncdm Charge Record Medical Supplies - Catheter Ball Dil .035In-8F-12 8Fr 12Mm 75Cm 4Cm,1297.03,505.84,,,0
CDM,SUP15547,Noncdm Charge Record Medical Supplies - Catheter Ball Dil Lg 6.5F-14Mm 75Cm 4Cm,1652.35,644.42,,,0
CDM,SUP15548,Noncdm Charge Record Medical Supplies - Catheter Ball Dil Lg 6.5F-16Mm 75Cm 4Cm,1762.6,687.41,,,0
CDM,SUP15549,Noncdm Charge Record Medical Supplies - Stopcock Iv 6In Icu Medical Inc,8.29,3.23,,,0
CDM,SUP1554_272,Noncdm Charge Record Medical Supplies - Tube Endtrch 5.5 Nsl-Orl Hi Cuff Mrph Eye,6.61,2.58,,,0
CDM,SUP1554_A9999_272,Noncdm Charge Record Medical Supplies - Tube Endtrch 5.5 Nsl-Orl Hi Cuff Mrph Eye,6.21,2.42,,,0
CDM,SUP15550,Noncdm Charge Record Medical Supplies - Kit Press Transducer Tspc4 Intfc Monitor,17.31,6.75,,,0
CDM,SUP15551,Noncdm Charge Record Medical Supplies - Set Adm Entrl 2W Bifur Fld,56.27,21.95,,,0
CDM,SUP15552_270,Noncdm Charge Record Medical Supplies - Armboard Iv Adult 9X3In Wrist Halyard Health,21.74,8.48,,,0
CDM,SUP15552_272,Noncdm Charge Record Medical Supplies - Armboard Iv Adult 9X3In Wrist Halyard Health,21.74,8.48,,,0
CDM,SUP15552_A4649_270,Noncdm Charge Record Medical Supplies - Armboard Iv Adult 9X3In Wrist Halyard Health,21.74,8.48,,,0
CDM,SUP15552_A9999_270,Noncdm Charge Record Medical Supplies - Armboard Iv Adult 9X3In Wrist Halyard Health,21.74,8.48,,,0
CDM,SUP15553,Noncdm Charge Record Medical Supplies - See 156828 Tubing Press M To F Connect,8.28,3.23,,,0
CDM,SUP15554,Noncdm Charge Record Medical Supplies - Tubing Press Monitor 48In Art Pvc M To M,6.73,2.62,,,0
CDM,SUP15555,Noncdm Charge Record Medical Supplies - Tubing High Pressure 84In Male To Male Icu Medical,7.49,2.92,,,0
CDM,SUP15557,Noncdm Charge Record Medical Supplies - Suture Tvdk 4-0 Kt-3 30In,92.39,36.03,,,0
CDM,SUP15558,Noncdm Charge Record Medical Supplies - Suture Tvdk 5-0 T-3 30In Braid,70.38,27.45,,,0
CDM,SUP15559,Noncdm Charge Record Medical Supplies - Catheter Foley 16 Fr Silicone Bard Medical,170.78,66.6,,,0
CDM,SUP15561,Noncdm Charge Record Medical Supplies - Clip Surg Fgrty Sfjw 6Mm Spring Atrm Ocl Strl,47.61,18.57,,,0
CDM,SUP15562,Noncdm Charge Record Medical Supplies - Suture Surgipro 6-0 Cv1 30In Blue Double Armed Covidien,20.26,7.9,,,0
CDM,SUP15564,Noncdm Charge Record Medical Supplies,9.51,3.71,,,0
CDM,SUP15566,Noncdm Charge Record Medical Supplies - Introducer Cath 13Cm 10Fr .038In Ckfl Flxr Lg,335.34,130.78,,,0
CDM,SUP15567,Noncdm Charge Record Medical Supplies - Introducer Cath 55Cm 5Fr .038In Ckfl Flxr,317.74,123.92,,,0
CDM,SUP15568,Noncdm Charge Record Medical Supplies - Dilator Vasc 18Fr 20Cm Std Radiopq .038In,33.12,12.92,,,0
CDM,SUP15569,Noncdm Charge Record Medical Supplies - Sleeve Laparos 100Mm Bladeless,131.44,51.26,,,0
CDM,SUP15570_272,Noncdm Charge Record Medical Supplies - Cable Pacing Ventri Sm,82.22,32.07,,,0
CDM,SUP15570_A4649_272,Noncdm Charge Record Medical Supplies - Cable Pacing Ventri Sm,81.07,31.62,,,0
CDM,SUP15571,Noncdm Charge Record Medical Supplies - See 156158 Transducer Press 12In Tspc4 Cable Sup Cnctv,35.73,13.93,,,0
CDM,SUP15584_272,Noncdm Charge Record Medical Supplies - Wand Plasma Evac 70 Smith And Nephew,1077.39,420.18,,,0
CDM,SUP15584_A4649_272,Noncdm Charge Record Medical Supplies - Wand Plasma Evac 70 Smith And Nephew,1077.44,420.2,,,0
CDM,SUP15584_A9999_272,Noncdm Charge Record Medical Supplies - Wand Plasma Evac 70 Smith And Nephew,1077.44,420.2,,,0
CDM,SUP15585,Noncdm Charge Record Medical Supplies - Guidewire Vasc45D.018In2Cm Std 180Cm Ang Std,842.49,328.57,,,0
CDM,SUP15587,Noncdm Charge Record Medical Supplies - Introducer Gwire .010-.018In,1.03,0.4,,,0
CDM,SUP15588_272,Noncdm Charge Record Medical Supplies - Copilot Bck Control,122.18,47.65,,,0
CDM,SUP15588_A4649_272,Noncdm Charge Record Medical Supplies - Copilot Bck Control,122.13,47.63,,,0
CDM,SUP15588_A9999_272,Noncdm Charge Record Medical Supplies - Copilot Bck Control,122.21,47.66,,,0
CDM,SUP1559,Noncdm Charge Record Medical Supplies - Screw 2.4-12Mm Lcp Ss Va Lck Dist Radial Va Lck,618.71,241.3,,,0
CDM,SUP15590,Noncdm Charge Record Medical Supplies - Guidewire Bmw Universal Ii 190 Cm,440.83,171.92,,,0
CDM,SUP15591,Noncdm Charge Record Medical Supplies - Bmw Universal Ii 300 Cm,440.91,171.95,,,0
CDM,SUP15592,Noncdm Charge Record Medical Supplies - Wire Whisper Ms 190 Cm,440.79,171.91,,,0
CDM,SUP15593,Noncdm Charge Record Medical Supplies - Wire Whisper Ms 300 Cm,440.77,171.9,,,0
CDM,SUP15594,Noncdm Charge Record Medical Supplies - Wire Pilot 50 190 Cm,440.83,171.92,,,0
CDM,SUP15595,Noncdm Charge Record Medical Supplies - Wire Pilot 50 300 Cm,440.86,171.94,,,0
CDM,SUP15596,Noncdm Charge Record Medical Supplies - Wire Iron Man 190 Cm,440.91,171.95,,,0
CDM,SUP15597,Noncdm Charge Record Medical Supplies - Wire Iron Man 300 Cm,440.84,171.93,,,0
CDM,SUP15598,Noncdm Charge Record Medical Supplies - Blade Saw 18.5X16.5X.38Mm Prcs Shrt Micro W,144.9,56.51,,,0
CDM,SUP15599,Noncdm Charge Record Medical Supplies - Balloon Trek Rx 3.0X12,489.56,190.93,,,0
CDM,SUP1560,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 12Mm Lcp Ti Dist Volr Radial,652.39,254.43,,,0
CDM,SUP15600,Noncdm Charge Record Medical Supplies - Balloon Trek Rx 3.0X15,489.56,190.93,,,0
CDM,SUP15601,Noncdm Charge Record Medical Supplies - Balloon Trek Rx 3.0X20,489.56,190.93,,,0
CDM,SUP15603,Noncdm Charge Record Medical Supplies - Balloon Trek Rx 3.5X8Mm,489.56,190.93,,,0
CDM,SUP15604,Noncdm Charge Record Medical Supplies - Balloon Trek Rx 3.5X12Mm,489.56,190.93,,,0
CDM,SUP15605,Noncdm Charge Record Medical Supplies - Balloon Trek Rx 1.5X8,416.07,162.27,,,0
CDM,SUP15606_272,Noncdm Charge Record Medical Supplies - Trek Rx 1.5 X 12,391.23,152.58,,,0
CDM,SUP15606_C1725_272,Noncdm Charge Record Medical Supplies - Trek Rx 1.5 X 12,428.4,167.08,,,0
CDM,SUP1561,Noncdm Charge Record Medical Supplies - Screw 2.4-14Mm Lcp Ti Volr Dist Volr Radial,681.03,265.6,,,0
CDM,SUP15610,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 2Mm 8Mm,489.56,190.93,,,0
CDM,SUP15611,Noncdm Charge Record Medical Supplies - Balloon Trek Rx 2.0 X 12,414.89,161.81,,,0
CDM,SUP15612_272,Noncdm Charge Record Medical Supplies - Trek Rx 2.0 X 15,391.23,152.58,,,0
CDM,SUP15612_C1725_272,Noncdm Charge Record Medical Supplies - Trek Rx 2.0 X 15,425.54,165.96,,,0
CDM,SUP15613,Noncdm Charge Record Medical Supplies - Balloon Trek Rx 3.5X15,489.56,190.93,,,0
CDM,SUP15614,Noncdm Charge Record Medical Supplies - Balloon Trek Rx 3.5X20Mm,489.56,190.93,,,0
CDM,SUP15615,Noncdm Charge Record Medical Supplies - Trek Rx 2.0 X 20,421.04,164.21,,,0
CDM,SUP15619_272,Noncdm Charge Record Medical Supplies - Balloon Trek Rx 2.5 X 12,440.91,171.95,,,0
CDM,SUP15619_C1725_272,Noncdm Charge Record Medical Supplies - Balloon Trek Rx 2.5 X 12,427.59,166.76,,,0
CDM,SUP1562,Noncdm Charge Record Medical Supplies - Screw 2.4-16Mm Lcp Ti Volr Dist Volr Radial,672.44,262.25,,,0
CDM,SUP15620,Noncdm Charge Record Medical Supplies - Trek Rx 2.5 X 15,427.84,166.86,,,0
CDM,SUP15621,Noncdm Charge Record Medical Supplies - Trek Rx 2.5 X 20,416.15,162.3,,,0
CDM,SUP15622,Noncdm Charge Record Medical Supplies - Trek Rx 2.5 X 30,489.56,190.93,,,0
CDM,SUP15623,Noncdm Charge Record Medical Supplies - Balloon Trek Rx 3.0X8,489.56,190.93,,,0
CDM,SUP15632,Noncdm Charge Record Medical Supplies - Suture Prolene 3-0 Sh 48In Double Arm Ethicon,30.97,12.08,,,0
CDM,SUP15634,Noncdm Charge Record Medical Supplies - Endoprosthesis Cnfrm Thor40-15 Tag 40Mmx15Cm,73077.21,28500.11,,,0
CDM,SUP15635,Noncdm Charge Record Medical Supplies - Reamer Surg 8Mm Shaft Mod Trnkl Grommet,1438.65,561.07,,,0
CDM,SUP15636_272,Noncdm Charge Record Medical Supplies - Suture Prolene 0 Ct-1 18In Ethicon,73.48,28.66,,,0
CDM,SUP15636_A4649_272,Noncdm Charge Record Medical Supplies - Suture Prolene 0 Ct-1 18In Ethicon,73.48,28.66,,,0
CDM,SUP156461,Noncdm Charge Record Medical Supplies - Set Scr Spnl Mini Univ Endcap For Mini Vbr Sys X-Cor,397.44,155.0,,,0
CDM,SUP156462,Noncdm Charge Record Medical Supplies - Screw Spnl Dia12Mm Ti Mini Lok For Mini Vbr Sys X-Cor,397.44,155.0,,,0
CDM,SUP156463,Noncdm Charge Record Medical Supplies,397.44,155.0,,,0
CDM,SUP156465,Noncdm Charge Record Medical Supplies,4833.45,1885.05,,,0
CDM,SUP156466,Noncdm Charge Record Medical Supplies - Spacer Spnl 15-20Mm Cor Dia12Mm For Mini Self Expnd,29788.34,11617.45,,,0
CDM,SUP156467,Noncdm Charge Record Medical Supplies - Spacer Spnl 17-24Mm Cor Dia12Mm For Mini Self Expnd,29788.34,11617.45,,,0
CDM,SUP156473,Noncdm Charge Record Medical Supplies - Endcap Spnl W15Xl12Mm Cor Dia12Mm Para For Mini Vbr Sys,4833.45,1885.05,,,0
CDM,SUP156475,Noncdm Charge Record Medical Supplies - Endcap Spnl W15Xl12Mm Cor Dia12Mm 7Deg Btm Lord For Mini,4833.45,1885.05,,,0
CDM,SUP156476,Noncdm Charge Record Medical Supplies - Endcap Spnl W15Xl12Mm Cor Dia12Mm 7Deg Top Lord For Mini,4833.45,1885.05,,,0
CDM,SUP156477,Noncdm Charge Record Medical Supplies,4833.45,1885.05,,,0
CDM,SUP156482,Noncdm Charge Record Medical Supplies - Endcap Spnl W17Xl14Mm Cor Dia14Mm Ang Btm Para For Mini,4833.45,1885.05,,,0
CDM,SUP156484,Noncdm Charge Record Medical Supplies - Endcap Spnl W17Xl14Mm Cor Dia14Mm 4Deg Ang Top Kyphotic,4833.45,1885.05,,,0
CDM,SUP156489,Noncdm Charge Record Medical Supplies - Spacer Spnl 15-20Mm Cor Dia14Mm For Mini Self Expnd,29788.34,11617.45,,,0
CDM,SUP156493,Noncdm Charge Record Medical Supplies,29788.34,11617.45,,,0
CDM,SUP156496,Noncdm Charge Record Medical Supplies,4833.45,1885.05,,,0
CDM,SUP1565,Noncdm Charge Record Medical Supplies - Needle Loc 10Cm 20Ga Hwk3,242.08,94.41,,,0
CDM,SUP156500,Noncdm Charge Record Medical Supplies - Endcap Spnl W19Xl16Mm Cor Dia14Mm Para For Mini Vbr Sys,4833.45,1885.05,,,0
CDM,SUP156503,Noncdm Charge Record Medical Supplies,4833.45,1885.05,,,0
CDM,SUP15651_272,Noncdm Charge Record Medical Supplies - Blade Saw 90X25X1.19Mm Ss 2 Cut Sag Strl,227.51,88.73,,,0
CDM,SUP15651_A4649_272,Noncdm Charge Record Medical Supplies - Blade Saw 90X25X1.19Mm Ss 2 Cut Sag Strl,230.8,90.01,,,0
CDM,SUP15651_A9999_272,Noncdm Charge Record Medical Supplies - Blade Saw 90X25X1.19Mm Ss 2 Cut Sag Strl,222.52,86.78,,,0
CDM,SUP15658,Noncdm Charge Record Medical Supplies - Rotawire Exta Support 325Cm,710.01,276.9,,,0
CDM,SUP15659,Noncdm Charge Record Medical Supplies - Passer Sutlso 90D Wireloop Sut,636.52,248.24,,,0
CDM,SUP15661,Noncdm Charge Record Medical Supplies - Guide 6 Fr Launcher Ebu 3 100Cm Lt Cor,198.67,77.48,,,0
CDM,SUP15662_272,Noncdm Charge Record Medical Supplies - Guide 6 Fr Launcher Ebu 3.5 100Cm Lt Cor,220.46,85.98,,,0
CDM,SUP15662_C1887_272,Noncdm Charge Record Medical Supplies - Guide 6 Fr Launcher Ebu 3.5 100Cm Lt Cor,200.54,78.21,,,0
CDM,SUP15663,Noncdm Charge Record Medical Supplies - Guide 6 Fr Launcher Ebu 3.75 100Cm,186.29,72.65,,,0
CDM,SUP15664,Noncdm Charge Record Medical Supplies - Guide 6 Fr Launcher Ebu 4 100Cm Lt Cor,200.09,78.04,,,0
CDM,SUP15665,Noncdm Charge Record Medical Supplies - Guide 6 Fr Launcher Ebu 4.5 100Cm Lt Cor,199.96,77.98,,,0
CDM,SUP15667,Noncdm Charge Record Medical Supplies - Guide 7 Fr Launcher Ebu 3.5 100Cm Lt Cor,199.24,77.7,,,0
CDM,SUP15668,Noncdm Charge Record Medical Supplies - Guide 7 Fr Launcher Ebu 3.75 Lt 100Cm Lt Cor,197.45,77.01,,,0
CDM,SUP15669,Noncdm Charge Record Medical Supplies - Guide 7 Fr Launcher Ebu 4 .081In 100Cm Lt,203.31,79.29,,,0
CDM,SUP1566_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurg Blk 11Cm,74.52,29.06,,,0
CDM,SUP1566_A4649_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurg Blk 11Cm,78.66,30.68,,,0
CDM,SUP1566_A9999_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurg Blk 11Cm,76.59,29.87,,,0
CDM,SUP15670,Noncdm Charge Record Medical Supplies - Guide 7 Fr Launcher Ebu 4.5 100Cm Lt Cor,186.3,72.66,,,0
CDM,SUP15671,Noncdm Charge Record Medical Supplies - Guide 8 Fr Launcher Ebu 3.5 100Cm Lt Cor,191.99,74.88,,,0
CDM,SUP15672,Noncdm Charge Record Medical Supplies - Guide 8 Fr Launcher Ebu 3.75 100Cm Lt Cor,186.3,72.66,,,0
CDM,SUP15676_272,Noncdm Charge Record Medical Supplies - Suture Chromic 4-0 P-3 18In Ethicon,30.03,11.71,,,0
CDM,SUP15676_A4649_272,Noncdm Charge Record Medical Supplies - Suture Chromic 4-0 P-3 18In Ethicon,30.02,11.71,,,0
CDM,SUP15676_A9999_272,Noncdm Charge Record Medical Supplies - Suture Chromic 4-0 P-3 18In Ethicon,30.02,11.71,,,0
CDM,SUP15678_270,Noncdm Charge Record Medical Supplies - Device Protect Adlt,11.38,4.44,,,0
CDM,SUP15678_A4649_270,Noncdm Charge Record Medical Supplies - Device Protect Adlt,11.38,4.44,,,0
CDM,SUP15678_A9999_270,Noncdm Charge Record Medical Supplies - Device Protect Adlt,11.38,4.44,,,0
CDM,SUP1568,Noncdm Charge Record Medical Supplies - Sensor Ped Oxmx 18In Oxm Adh Strap Compat,36.22,14.13,,,0
CDM,SUP15680,Noncdm Charge Record Medical Supplies - Stapler Intnl 60X3.8Mm Ti Reg,390.2,152.18,,,0
CDM,SUP15688,Noncdm Charge Record Medical Supplies - Guidewire Vasc .035In 260Cm7Cm,198.72,77.5,,,0
CDM,SUP15689,Noncdm Charge Record Medical Supplies - Catheter Guide Al1 Crv 6Fr,199.28,77.72,,,0
CDM,SUP15691,Noncdm Charge Record Medical Supplies - Catheter Guide Al2 Crv 6Fr,195.62,76.29,,,0
CDM,SUP15692,Noncdm Charge Record Medical Supplies - Catheter Guide Ar1 Crv 6Fr,204.24,79.65,,,0
CDM,SUP15693,Noncdm Charge Record Medical Supplies - Catheter Guide Ar2 Crv 6Fr,195.62,76.29,,,0
CDM,SUP15696,Noncdm Charge Record Medical Supplies - Catheter Guide Jl3.5 Crv 6Fr,195.62,76.29,,,0
CDM,SUP15698,Noncdm Charge Record Medical Supplies - Guide 6 Fr Jl4 Launcher,195.62,76.29,,,0
CDM,SUP15699,Noncdm Charge Record Medical Supplies - Catheter Guide Jr4 Crv 6Fr,195.62,76.29,,,0
CDM,SUP15700,Noncdm Charge Record Medical Supplies - Catheter Guide Jr4 Crv 6Fr Sh,201.9,78.74,,,0
CDM,SUP15703,Noncdm Charge Record Medical Supplies - Catheter Guide Mpa1 Crv 6Fr,195.62,76.29,,,0
CDM,SUP15706,Noncdm Charge Record Medical Supplies - Catheter Guide Xb3.5 Crv 6Fr,207.09,80.77,,,0
CDM,SUP15708,Noncdm Charge Record Medical Supplies - Catheter Guide Xblad3.5 Crv,201.58,78.62,,,0
CDM,SUP15709,Noncdm Charge Record Medical Supplies - Catheter Guide Xblad4 Crv 6Fr,200.79,78.31,,,0
CDM,SUP15712,Noncdm Charge Record Medical Supplies - Catheter Guide Al2 Crv 7Fr,195.62,76.29,,,0
CDM,SUP15727,Noncdm Charge Record Medical Supplies - Guide 6 Fr Mach 1 Kr 4H .070In 90Cm Peri,269.1,104.95,,,0
CDM,SUP15729,Noncdm Charge Record Medical Supplies - Guide 6 Fr Mach 1 Kr4S .070In 90Cm Peri,269.1,104.95,,,0
CDM,SUP157296,Noncdm Charge Record Medical Supplies,10657.4,4156.39,,,0
CDM,SUP15730,Noncdm Charge Record Medical Supplies - Guide 7 Fr Launcher Ebu 3 100Cm Lt Cor,199.96,77.98,,,0
CDM,SUP15731,Noncdm Charge Record Medical Supplies - Guide 7 Fr Launcher Ebu 3 Sh 100Cm Lt Cor Sh,186.3,72.66,,,0
CDM,SUP15732,Noncdm Charge Record Medical Supplies - Guide 7 Fr Launcher Ebu 3.5 Sh 100Cm Lt Cor Sh,199.89,77.96,,,0
CDM,SUP15734,Noncdm Charge Record Medical Supplies - Guide 6 Fr Launcher Ebu3.5 Sh 100Cm Lt Cor Sh,195.62,76.29,,,0
CDM,SUP15736,Noncdm Charge Record Medical Supplies - Catheter Embol 80Cm 6Fr Fgrty,183.32,71.49,,,0
CDM,SUP15738,Noncdm Charge Record Medical Supplies - Catheter Pronto 145Cm 6Fr,1562.19,609.25,,,0
CDM,SUP15739,Noncdm Charge Record Medical Supplies - Sut Fbrwire 4 18.7Mm 3-8 Circ Needle,107.64,41.98,,,0
CDM,SUP15741_272,Noncdm Charge Record Medical Supplies - Guidewire Bmw 190 Cm,440.8,171.91,,,0
CDM,SUP15741_A4649_272,Noncdm Charge Record Medical Supplies - Guidewire Bmw 190 Cm,440.91,171.95,,,0
CDM,SUP15742_272,Noncdm Charge Record Medical Supplies - Guidewire Bmw 300 Cm,440.71,171.88,,,0
CDM,SUP15742_A4649_272,Noncdm Charge Record Medical Supplies - Guidewire Bmw 300 Cm,440.91,171.95,,,0
CDM,SUP15744,Noncdm Charge Record Medical Supplies - Wire Cougar Xt 190 Cm Strt Cgr Xt,272.58,106.31,,,0
CDM,SUP15745_272,Noncdm Charge Record Medical Supplies - Wire Cougar Xt 300 Cm Strt Tip Cgr Xt,293.94,114.64,,,0
CDM,SUP15745_C1769_272,Noncdm Charge Record Medical Supplies - Wire Cougar Xt 300 Cm Strt Tip Cgr Xt,293.94,114.64,,,0
CDM,SUP15748,Noncdm Charge Record Medical Supplies - Catheter Guide Al.75 Crv 6Fr,202.96,79.15,,,0
CDM,SUP15749,Noncdm Charge Record Medical Supplies - Catheter Guide Al.75 Crv 6Fr,195.62,76.29,,,0
CDM,SUP15752,Noncdm Charge Record Medical Supplies - Catheter Guide Jl3 Crv 6Fr,198.57,77.44,,,0
CDM,SUP15753,Noncdm Charge Record Medical Supplies - Catheter Guide 3Drc Crv 6Fr,199.76,77.91,,,0
CDM,SUP15754,Noncdm Charge Record Medical Supplies - Guide 7 Fr Al..75,200.79,78.31,,,0
CDM,SUP15755,Noncdm Charge Record Medical Supplies - Catheter Guide Xblad3.5 Crv,195.62,76.29,,,0
CDM,SUP15757,Noncdm Charge Record Medical Supplies - Brk 71Cm Transeptal Needle,1084.68,423.03,,,0
CDM,SUP15758,Noncdm Charge Record Medical Supplies - Catheter Embol 80Cm 4Fr 6Mm Fgrty Adh Clt,1076.4,419.8,,,0
CDM,SUP1576,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 44Mm Lcp Ss Prox Med Tib St,553.13,215.72,,,0
CDM,SUP15762,Noncdm Charge Record Medical Supplies - Catheter Embol 80Cm 4Fr .025In Fgrty Thrlmn,433.66,169.13,,,0
CDM,SUP15763,Noncdm Charge Record Medical Supplies - Catheter Embol 80Cm 5.5Fr Fgrty .035In Thrlmn,433.66,169.13,,,0
CDM,SUP15764,Noncdm Charge Record Medical Supplies - Catheter Embol 40Cm 6Fr Fgrty .035In Thrlmn,433.66,169.13,,,0
CDM,SUP15766_272,Noncdm Charge Record Medical Supplies - See 140910 Suture Vicryl 4-0 12 X 18In Strand Undyed Ethicon,31.82,12.41,,,0
CDM,SUP15766_A4649_272,Noncdm Charge Record Medical Supplies - See 140910 Suture Vicryl 4-0 12 X 18In Strand Undyed Ethicon,37.95,14.8,,,0
CDM,SUP15766_A9999_272,Noncdm Charge Record Medical Supplies - See 140910 Suture Vicryl 4-0 12 X 18In Strand Undyed Ethicon,28.98,11.3,,,0
CDM,SUP15767,Noncdm Charge Record Medical Supplies - Guidewire Vasc.014In190Cm Strt,381.92,148.95,,,0
CDM,SUP1577,Noncdm Charge Record Medical Supplies - Screw Proximal Tibial 3.5Mmx52Mm Lcp Synthes,554.76,216.36,,,0
CDM,SUP15777,Noncdm Charge Record Medical Supplies - Suture Orthocord Size 2 36In Strand Violet Depuy Mitek,191.48,74.68,,,0
CDM,SUP15782_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 1.5Cm 3-,57.96,22.6,,,0
CDM,SUP15782_A4649_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 1.5Cm 3-,57.96,22.6,,,0
CDM,SUP157834,Noncdm Charge Record Medical Supplies,397.44,155.0,,,0
CDM,SUP15785,Noncdm Charge Record Medical Supplies - Catheter Guide 3Drc Crv 6Fr,195.62,76.29,,,0
CDM,SUP15793,Noncdm Charge Record Medical Supplies - Suture Polysorb 2-0 23Mm Covidien,98.32,38.34,,,0
CDM,SUP15798,Noncdm Charge Record Medical Supplies - Quick Cross .014 135 Cm Catheter Guide,783.5,305.56,,,0
CDM,SUP15800,Noncdm Charge Record Medical Supplies - Catheter Ball Dil .035In 75Cm 5.5Fr 6Mm 75Cm 2,1296.86,505.78,,,0
CDM,SUP15801,Noncdm Charge Record Medical Supplies - Catheter Ball Dil .035 75Cm 4 5.5Fr 6Mm 75Cm 4,1296.86,505.78,,,0
CDM,SUP15805,Noncdm Charge Record Medical Supplies - Clip Hemost Strl Lf Disp Rsl 235Cm Ti 11Mm,1207.84,471.06,,,0
CDM,SUP15812_272,Noncdm Charge Record Medical Supplies - Trocar Laparoscopic 10X12Mm Blade Applied Medical Resources,160.43,62.57,,,0
CDM,SUP15812_A4649_272,Noncdm Charge Record Medical Supplies - Trocar Laparoscopic 10X12Mm Blade Applied Medical Resources,160.43,62.57,,,0
CDM,SUP15813_272,Noncdm Charge Record Medical Supplies - Trocar Laparoscopic 10X12Mm No Threaded Applied Medical Reso,245.3,95.67,,,0
CDM,SUP15813_A4649_272,Noncdm Charge Record Medical Supplies - Trocar Laparoscopic 10X12Mm No Threaded Applied Medical Reso,245.3,95.67,,,0
CDM,SUP15814,Noncdm Charge Record Medical Supplies - Trocar Laparos 55Mm 5Mm Kii,148.0,57.72,,,0
CDM,SUP15817,Noncdm Charge Record Medical Supplies - Stapler 40Mm Thktis Endo Grn Lin Cutter Crv Intnl,3009.78,1173.81,,,0
CDM,SUP15818,Noncdm Charge Record Medical Supplies - See 155908 Stapler 40Mm Thktis Endo Blu Lin Cutter Crv Intnl,3344.08,1304.19,,,0
CDM,SUP15819,Noncdm Charge Record Medical Supplies - See 37456 Trocar Laparos 100Mm 11Mm Kii,139.72,54.49,,,0
CDM,SUP15820,Noncdm Charge Record Medical Supplies - See 140722 Catheter Embol 80Cm 3Fr Fgrty Art Balloon,36.37,14.18,,,0
CDM,SUP15821,Noncdm Charge Record Medical Supplies - Catheter Embol 80Cm 4Fr Art Ba Art Balloon Fgrty,194.11,75.7,,,0
CDM,SUP15822,Noncdm Charge Record Medical Supplies - Catheter Embol 40Cm 4Fr Fgrty Art Balloon,192.51,75.08,,,0
CDM,SUP15823,Noncdm Charge Record Medical Supplies - See 140725 Catheter Embol 80Cm 5Fr Fgrty Art Balloon,183.35,71.51,,,0
CDM,SUP15824,Noncdm Charge Record Medical Supplies - Hook .25In .25In Dura Retract,24.84,9.69,,,0
CDM,SUP15825,Noncdm Charge Record Medical Supplies - Port Hand Acc Alexis O Retract Laparos Glprt,3086.37,1203.68,,,0
CDM,SUP15826,Noncdm Charge Record Medical Supplies - Guidewire Orth 230Mm 2Mm Ss Nthrd Cannula,128.21,50.0,,,0
CDM,SUP15827,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 5.3Mm 180Mm 5Mm Lock Screw Synthes,475.2,185.33,,,0
CDM,SUP15829,Noncdm Charge Record Medical Supplies - Plate Nar 29Mm Ss 4.5Mm Screw Lg Frag Set 16,3279.92,1279.17,,,0
CDM,SUP15830,Noncdm Charge Record Medical Supplies,1843.34,718.9,,,0
CDM,SUP15836,Noncdm Charge Record Medical Supplies - Catheter Pacing 7.0 French 110Cm Heparin Coated Edwards,1437.62,560.67,,,0
CDM,SUP15842,Noncdm Charge Record Medical Supplies - Wire Ez Fltr 3.5-5.5Mm 190Cm .014In Filter,7679.05,2994.83,,,0
CDM,SUP15843,Noncdm Charge Record Medical Supplies - Wire Ez Fltr 3.5-5.5Mm 300Cm .014In Filter Svg,7725.24,3012.84,,,0
CDM,SUP15846,Noncdm Charge Record Medical Supplies - See 156003 Stapler 40Mm Thktis Reload Blu,1913.89,746.42,,,0
CDM,SUP15847,Noncdm Charge Record Medical Supplies - Stapler 40Mm Thktis Reload Grn,1914.06,746.48,,,0
CDM,SUP15848,Noncdm Charge Record Medical Supplies - Duraseal 5Ml,5569.22,2172.0,,,0
CDM,SUP15852_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 5 V-37 30In Green Ethicon,78.57,30.64,,,0
CDM,SUP15852_A4649_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 5 V-37 30In Green Ethicon,78.31,30.54,,,0
CDM,SUP15852_A9999_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 5 V-37 30In Green Ethicon,79.69,31.08,,,0
CDM,SUP15856,Noncdm Charge Record Medical Supplies - Brace Walk Sm 7.75In Ankl-Ft Low Rckr Sole,202.86,79.12,,,0
CDM,SUP15860_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 5-0 Ps-2 18In Ethicon,18.11,7.06,,,0
CDM,SUP15860_A4649_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 5-0 Ps-2 18In Ethicon,17.6,6.86,,,0
CDM,SUP15860_A9999_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 5-0 Ps-2 18In Ethicon,17.6,6.86,,,0
CDM,SUP158673,Noncdm Charge Record Medical Supplies - Screw Dstrctr 14Mm Maxcess-C Maxcess-C,730.71,284.98,,,0
CDM,SUP15874_270,Noncdm Charge Record Medical Supplies - See 124939 Set Adm 88In 60 Gtt 16Ml Iv Metriset Prim,38.3,14.94,,,0
CDM,SUP15874_272,Noncdm Charge Record Medical Supplies - See 124939 Set Adm 88In 60 Gtt 16Ml Iv Metriset Prim,38.3,14.94,,,0
CDM,SUP15876_272,Noncdm Charge Record Medical Supplies - Catheter Angio .038In Vs1 Crv 5Fr 80Cm Vscr 5-Bx,108.16,42.18,,,0
CDM,SUP15876_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Angio .038In Vs1 Crv 5Fr 80Cm Vscr 5-Bx,96.26,37.54,,,0
CDM,SUP15878,Noncdm Charge Record Medical Supplies - Stent Vasc 7-10Mm 40Mm .014In Rx Carotid Art,11002.05,4290.8,,,0
CDM,SUP15879,Noncdm Charge Record Medical Supplies - Stent Vasc 7-10Mm 30Mm .014In,10044.58,3917.39,,,0
CDM,SUP15882,Noncdm Charge Record Medical Supplies,528.88,206.26,,,0
CDM,SUP15885,Noncdm Charge Record Medical Supplies - Tubing Perf Pump 3-8Inx3-32In 72In Std,85.25,33.25,,,0
CDM,SUP15888,Noncdm Charge Record Medical Supplies - Catheter Angio .035In Vanschie,139.95,54.58,,,0
CDM,SUP15890,Noncdm Charge Record Medical Supplies - Catheter Baloon Dil .035In 7Fr 7Fr 10Mm 75Cm 2Cm,1296.86,505.78,,,0
CDM,SUP158913,Noncdm Charge Record Medical Supplies - Acp Temp Fix Pin,225.63,88.0,,,0
CDM,SUP15891_272,Noncdm Charge Record Medical Supplies - See 53285 System Laparoscopic 10X12Mm Trocar Access Z--Threa,342.58,133.61,,,0
CDM,SUP15891_A9999_272,Noncdm Charge Record Medical Supplies - See 53285 System Laparoscopic 10X12Mm Trocar Access Z--Threa,342.58,133.61,,,0
CDM,SUP15894_270,Noncdm Charge Record Medical Supplies - Splint Nasal Sil Dyle 2 Sept 5,336.4,131.2,,,0
CDM,SUP15894_A4649_270,Noncdm Charge Record Medical Supplies - Splint Nasal Sil Dyle 2 Sept 5,336.38,131.19,,,0
CDM,SUP15895,Noncdm Charge Record Medical Supplies - Extension Neurostim 40Cm Rstr Spnl Cord Kt,3093.62,1206.51,,,0
CDM,SUP15900,Noncdm Charge Record Medical Supplies - Sheath 8Fr Guiding Sl1,1038.1,404.86,,,0
CDM,SUP15902,Noncdm Charge Record Medical Supplies - Catheter Picc Tunneled Single,1131.14,441.14,,,0
CDM,SUP15903,Noncdm Charge Record Medical Supplies - Kit 6In 16Ga .032In Indwl Intgr Sut Wing,90.04,35.12,,,0
CDM,SUP15905,Noncdm Charge Record Medical Supplies - Guidewire Vasc .032In 180Cm 3Mm Crv Amplatz,109.8,42.82,,,0
CDM,SUP15906,Noncdm Charge Record Medical Supplies - Guidewire Vasc .032In 260Cm 3Mm Crv Exch,109.77,42.81,,,0
CDM,SUP15907,Noncdm Charge Record Medical Supplies - Wire Fx .062 9In Krsh 2 End Bay Pt,76.8,29.95,,,0
CDM,SUP15911,Noncdm Charge Record Medical Supplies - Phantom - 16 Guidewire Vasc .016In 180Cm,1594.52,621.86,,,0
CDM,SUP15918,Noncdm Charge Record Medical Supplies - Stapler Intnl 60X3.5Mm Ti Reg Thktis Endo Lin,176.88,68.98,,,0
CDM,SUP15919,Noncdm Charge Record Medical Supplies - Stapler Linear 60X3.5Mm Ta Covidien,371.52,144.89,,,0
CDM,SUP15920_272,Noncdm Charge Record Medical Supplies - Wire Asahi Prowater 180 Cm,391.38,152.64,,,0
CDM,SUP15920_A4649_272,Noncdm Charge Record Medical Supplies - Wire Asahi Prowater 180 Cm,391.23,152.58,,,0
CDM,SUP15923,Noncdm Charge Record Medical Supplies - Wire Asahi Miraclebros 3 300Cm,611.68,238.56,,,0
CDM,SUP15926,Noncdm Charge Record Medical Supplies - Introducer Sheath 6Fr 45Cm 3W Stopcock Intgr,444.55,173.37,,,0
CDM,SUP15928_272,Noncdm Charge Record Medical Supplies - Set Adm 108In Iv Prim Infus Sm,12.48,4.87,,,0
CDM,SUP15928_A4649_272,Noncdm Charge Record Medical Supplies - Set Adm 108In Iv Prim Infus Sm,12.42,4.84,,,0
CDM,SUP15929_272,Noncdm Charge Record Medical Supplies - Tubing 48Inch 1200 Psi,26.93,10.5,,,0
CDM,SUP15929_A4649_272,Noncdm Charge Record Medical Supplies - Tubing 48Inch 1200 Psi,26.85,10.47,,,0
CDM,SUP15929_A9999_272,Noncdm Charge Record Medical Supplies - Tubing 48Inch 1200 Psi,26.88,10.48,,,0
CDM,SUP15930,Noncdm Charge Record Medical Supplies - Cable Pacing Connection Wires,118.92,46.38,,,0
CDM,SUP15932,Noncdm Charge Record Medical Supplies - Guidewire Endo .035In 450Cm,1171.62,456.93,,,0
CDM,SUP15933,Noncdm Charge Record Medical Supplies - Catheter Ice Intracardiac Echo,4840.7,1887.87,,,0
CDM,SUP15934,Noncdm Charge Record Medical Supplies - Catheter Blazer Ii Htd Lg Crv 5Mm,5070.81,1977.62,,,0
CDM,SUP15935,Noncdm Charge Record Medical Supplies - Device Dock Fld Ul Ice Cath,135.93,53.01,,,0
CDM,SUP15936,Noncdm Charge Record Medical Supplies - Knife Opth 3.2Mm A-Ok Stn Strt Bvl Up Crsnt,91.73,35.77,,,0
CDM,SUP15937_272,Noncdm Charge Record Medical Supplies - 4Fr Jr4 Catheter,50.63,19.75,,,0
CDM,SUP15937_A9999_272,Noncdm Charge Record Medical Supplies - 4Fr Jr4 Catheter,48.64,18.97,,,0
CDM,SUP15938,Noncdm Charge Record Medical Supplies - 4Fr Jl4 Catheter,50.44,19.67,,,0
CDM,SUP15939,Noncdm Charge Record Medical Supplies - Catheter Angio Pigtail 145 Crv,48.64,18.97,,,0
CDM,SUP1594,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 35Mm Trlg Tiv,531.47,207.27,,,0
CDM,SUP15940_272,Noncdm Charge Record Medical Supplies - Catheter Angio Jl3.5 Crv 4Fr,48.84,19.05,,,0
CDM,SUP15940_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Angio Jl3.5 Crv 4Fr,46.58,18.17,,,0
CDM,SUP15941_272,Noncdm Charge Record Medical Supplies - Catheter Angio 3Drc Crv 4Fr,51.75,20.18,,,0
CDM,SUP15941_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Angio 3Drc Crv 4Fr,51.75,20.18,,,0
CDM,SUP15942,Noncdm Charge Record Medical Supplies - 4Fr Im Catheter,48.64,18.97,,,0
CDM,SUP15947,Noncdm Charge Record Medical Supplies - See 139029 Block Bite Adlt Tee Us,13.46,5.25,,,0
CDM,SUP159483,Noncdm Charge Record Medical Supplies,1128.15,439.98,,,0
CDM,SUP15948_272,Noncdm Charge Record Medical Supplies - Knife Opth 15 Degree Std,30.18,11.77,,,0
CDM,SUP15948_A4649_272,Noncdm Charge Record Medical Supplies - Knife Opth 15 Degree Std,19.87,7.75,,,0
CDM,SUP15948_A9999_272,Noncdm Charge Record Medical Supplies - Knife Opth 15 Degree Std,34.84,13.59,,,0
CDM,SUP15949,Noncdm Charge Record Medical Supplies - Catheter Angio .038In Sos Omni 1 Crv 4Fr 80Cm,87.98,34.31,,,0
CDM,SUP15951,Noncdm Charge Record Medical Supplies - Catheter Ep 5Fr Livewire Deca,2425.0,945.75,,,0
CDM,SUP15954,Noncdm Charge Record Medical Supplies,314.64,122.71,,,0
CDM,SUP15956,Noncdm Charge Record Medical Supplies - Bit Drill 300Mm 4.2Mm Sm Ao Strl,636.52,248.24,,,0
CDM,SUP1596,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 15Mm Trlg Tiv,770.04,300.32,,,0
CDM,SUP15961,Noncdm Charge Record Medical Supplies - Guidewire Orth .054Mm Hand Wrst,200.79,78.31,,,0
CDM,SUP15964_272,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 1.8Mm 110Mm Synthes,571.3,222.81,,,0
CDM,SUP15964_A4649_272,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 1.8Mm 110Mm Synthes,565.11,220.39,,,0
CDM,SUP15964_A9999_272,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 1.8Mm 110Mm Synthes,565.11,220.39,,,0
CDM,SUP15968_272,Noncdm Charge Record Medical Supplies - Wand Plsm Rflx Ul 45D,1027.76,400.83,,,0
CDM,SUP15968_A4649_272,Noncdm Charge Record Medical Supplies - Wand Plsm Rflx Ul 45D,1027.76,400.83,,,0
CDM,SUP1597,Noncdm Charge Record Medical Supplies,82.8,32.29,,,0
CDM,SUP15970,Noncdm Charge Record Medical Supplies - Drill Surg 25Mm Flx Screw 20Mm,751.41,293.05,,,0
CDM,SUP15971_272,Noncdm Charge Record Medical Supplies - Blade Reamer 51Mm Pilt Hl,489.56,190.93,,,0
CDM,SUP15971_A9999_272,Noncdm Charge Record Medical Supplies - Blade Reamer 51Mm Pilt Hl,489.56,190.93,,,0
CDM,SUP15977,Noncdm Charge Record Medical Supplies - Agilis Small Curl Sheath,3989.98,1556.09,,,0
CDM,SUP15984_272,Noncdm Charge Record Medical Supplies - Suture Vicryl 6-0 S-29 12In Violet Ethicon,70.38,27.45,,,0
CDM,SUP15984_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl 6-0 S-29 12In Violet Ethicon,70.38,27.45,,,0
CDM,SUP1598_272,Noncdm Charge Record Medical Supplies - See 116499 Pack Surgical Setup Medline,13.46,5.25,,,0
CDM,SUP1598_A4649_272,Noncdm Charge Record Medical Supplies - See 116499 Pack Surgical Setup Medline,13.46,5.25,,,0
CDM,SUP1598_A9999_272,Noncdm Charge Record Medical Supplies - See 116499 Pack Surgical Setup Medline,13.46,5.25,,,0
CDM,SUP15990,Noncdm Charge Record Medical Supplies - Solution Opth Visionblue Trypan Vial 1Ml,388.04,151.34,,,0
CDM,SUP15991,Noncdm Charge Record Medical Supplies - Catheter Ep Cs Torqr 5Fr,1126.08,439.17,,,0
CDM,SUP15995,Noncdm Charge Record Medical Supplies - See 125681 Electrode Elctsrg 36Cm Spat Opti2 Laparos Spat,178.02,69.43,,,0
CDM,SUP16000,Noncdm Charge Record Medical Supplies - Catheter Iu Thrmch Balloon,6035.08,2353.68,,,0
CDM,SUP16003,Noncdm Charge Record Medical Supplies - Card Smrt Full Fnct,1924.06,750.38,,,0
CDM,SUP16004,Noncdm Charge Record Medical Supplies - Scissors 14Cm Ace Handle Surg,1702.58,664.01,,,0
CDM,SUP16005,Noncdm Charge Record Medical Supplies - Anchor Suture 5Mmx15.5Mm Corkscrew Arthrex,461.87,180.13,,,0
CDM,SUP16008,Noncdm Charge Record Medical Supplies - Suture Mersline 2-0 30In Sh Wvn Tape Braid Green Ethicon,11.38,4.44,,,0
CDM,SUP16009,Noncdm Charge Record Medical Supplies - Kit Arthro Fx Trmit 100Mm 2Mm,1880.45,733.38,,,0
CDM,SUP16010,Noncdm Charge Record Medical Supplies - Tray Epdrl 18Ga 3.5In Epdrl,156.28,60.95,,,0
CDM,SUP16014,Noncdm Charge Record Medical Supplies - Wire Asahi Miraclebros 6 300Cm,611.68,238.56,,,0
CDM,SUP16015,Noncdm Charge Record Medical Supplies - Wire Choice Es 182 Cm 3Cm Strt X,421.24,164.28,,,0
CDM,SUP16020,Noncdm Charge Record Medical Supplies - Wire Asahi Prowater Flex 300Cm,367.42,143.29,,,0
CDM,SUP16021,Noncdm Charge Record Medical Supplies - Patch Oto Epdc Ear Lmn Precut,1012.23,394.77,,,0
CDM,SUP16022,Noncdm Charge Record Medical Supplies - Introducer Cath 30Cm 14Fr .038In Lng Lgth,580.64,226.45,,,0
CDM,SUP16029_272,Noncdm Charge Record Medical Supplies - Solution Prep Bdine Opth 5% Pvp Iod 30Ml 00065-0411-30,30.58,11.93,,,0
CDM,SUP16029_A4649_272,Noncdm Charge Record Medical Supplies - Solution Prep Bdine Opth 5% Pvp Iod 30Ml 00065-0411-30,21.56,8.41,,,0
CDM,SUP16029_A9999_272,Noncdm Charge Record Medical Supplies - Solution Prep Bdine Opth 5% Pvp Iod 30Ml 00065-0411-30,39.18,15.28,,,0
CDM,SUP16031,Noncdm Charge Record Medical Supplies - Cannula Arthroscopic 5.7Mm Smith And Nephew Endoscopy,273.33,106.6,,,0
CDM,SUP16034,Noncdm Charge Record Medical Supplies - Electrode Elctrsrg 3.75Mm 50D Mltvc 50 50D,874.58,341.09,,,0
CDM,SUP16035,Noncdm Charge Record Medical Supplies - Suture Prolene 1 Tp-1 60In Ethicon,19.13,7.46,,,0
CDM,SUP16040,Noncdm Charge Record Medical Supplies - Catheter Guide Im Crv 6Fr,202.51,78.98,,,0
CDM,SUP160436,Noncdm Charge Record Medical Supplies - Screw Spnl L14Mm Dia3.5Mm Oct Multiaxial St Vuepoint Ii,3262.63,1272.43,,,0
CDM,SUP160437,Noncdm Charge Record Medical Supplies - Screw Spnl L16Mm Dia3.5Mm Oct Multiaxial St Vuepoint Ii,3262.62,1272.42,,,0
CDM,SUP16044_272,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 2.7Mm 125Mm Synthes,444.89,173.51,,,0
CDM,SUP16044_A4649_272,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 2.7Mm 125Mm Synthes,438.84,171.15,,,0
CDM,SUP16047,Noncdm Charge Record Medical Supplies - Balloon Sprinter Otw 1.5X6,391.23,152.58,,,0
CDM,SUP16049,Noncdm Charge Record Medical Supplies - Balloon Sprinter Otw 1.5X15,391.23,152.58,,,0
CDM,SUP16050,Noncdm Charge Record Medical Supplies,538.2,209.9,,,0
CDM,SUP160592,Noncdm Charge Record Medical Supplies,2793.81,1089.59,,,0
CDM,SUP160593,Noncdm Charge Record Medical Supplies,2793.46,1089.45,,,0
CDM,SUP16059_272,Noncdm Charge Record Medical Supplies - Tricut Blade 11Cmx4Mm,1342.71,523.66,,,0
CDM,SUP16059_A9999_272,Noncdm Charge Record Medical Supplies - Tricut Blade 11Cmx4Mm,1267.88,494.47,,,0
CDM,SUP16060,Noncdm Charge Record Medical Supplies - Blade Shaver 110Mm 3.5Mm Trct Ethm Strt Rot,1310.31,511.02,,,0
CDM,SUP160600,Noncdm Charge Record Medical Supplies,2793.46,1089.45,,,0
CDM,SUP160601,Noncdm Charge Record Medical Supplies,2793.46,1089.45,,,0
CDM,SUP160602,Noncdm Charge Record Medical Supplies - Connector Spnl L40-50Mm Crss Lp Adj For 5.5Mm Rod Reline-O,2793.46,1089.45,,,0
CDM,SUP16061,Noncdm Charge Record Medical Supplies - Tricut Blade 11Cmx2.9Mm,1084.68,423.03,,,0
CDM,SUP16062_272,Noncdm Charge Record Medical Supplies - Inferior Turbinate Blade 11Cmx2.9Mm,1554.12,606.11,,,0
CDM,SUP16062_A4649_272,Noncdm Charge Record Medical Supplies - Inferior Turbinate Blade 11Cmx2.9Mm,1589.93,620.07,,,0
CDM,SUP16062_A9999_272,Noncdm Charge Record Medical Supplies - Inferior Turbinate Blade 11Cmx2.9Mm,1475.91,575.6,,,0
CDM,SUP16063,Noncdm Charge Record Medical Supplies - See 119087 Rad 40 Blade 40,1063.98,414.95,,,0
CDM,SUP16064_272,Noncdm Charge Record Medical Supplies - Rad 60 Blade 60,1292.34,504.01,,,0
CDM,SUP16064_A4649_272,Noncdm Charge Record Medical Supplies - Rad 60 Blade 60,1314.45,512.64,,,0
CDM,SUP16065,Noncdm Charge Record Medical Supplies - Blade Reamer 41Mm Pilt Hl,572.26,223.18,,,0
CDM,SUP16066_272,Noncdm Charge Record Medical Supplies - See 141020 Suture Vicryl 4-0 Sh 18In Cr Violet Ethicon,55.89,21.8,,,0
CDM,SUP16066_A4649_272,Noncdm Charge Record Medical Supplies - See 141020 Suture Vicryl 4-0 Sh 18In Cr Violet Ethicon,55.89,21.8,,,0
CDM,SUP16066_A9999_272,Noncdm Charge Record Medical Supplies - See 141020 Suture Vicryl 4-0 Sh 18In Cr Violet Ethicon,55.89,21.8,,,0
CDM,SUP16067,Noncdm Charge Record Medical Supplies - Shunt Carotid Artery 8-14 French 6In Covidien,97.29,37.94,,,0
CDM,SUP16068_272,Noncdm Charge Record Medical Supplies - Statlock Iabp Cath Stabilizer,398.45,155.4,,,0
CDM,SUP16068_A9999_272,Noncdm Charge Record Medical Supplies - Statlock Iabp Cath Stabilizer,89.01,34.71,,,0
CDM,SUP16069,Noncdm Charge Record Medical Supplies - Introducer Sheath 4Fr 11Cm,31.05,12.11,,,0
CDM,SUP16070,Noncdm Charge Record Medical Supplies - Rotoblator Rotoglide Lubricant,434.7,169.53,,,0
CDM,SUP16071_272,Noncdm Charge Record Medical Supplies - Tubing Suct Intljt Infl Set Fld Mgmt Sys Strl,225.63,88.0,,,0
CDM,SUP16071_A4649_272,Noncdm Charge Record Medical Supplies - Tubing Suct Intljt Infl Set Fld Mgmt Sys Strl,225.63,88.0,,,0
CDM,SUP16071_A9999_272,Noncdm Charge Record Medical Supplies - Tubing Suct Intljt Infl Set Fld Mgmt Sys Strl,225.63,88.0,,,0
CDM,SUP16072,Noncdm Charge Record Medical Supplies - Retractor Dextrus Acc Endo Med,277.38,108.18,,,0
CDM,SUP16077,Noncdm Charge Record Medical Supplies - 4Fr Angled Pigtail Catheter,50.2,19.58,,,0
CDM,SUP16078,Noncdm Charge Record Medical Supplies - Catheter Angio Jl5 Crv 4Fr,48.64,18.97,,,0
CDM,SUP1608,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 250Mm 80Mm Schnz Ss Self Drill,667.75,260.42,,,0
CDM,SUP16080,Noncdm Charge Record Medical Supplies - Catheter Angio Al1 Crv 4Fr,48.64,18.97,,,0
CDM,SUP16081,Noncdm Charge Record Medical Supplies - 4Fr Al 2 Catheter,48.64,18.97,,,0
CDM,SUP160811,Noncdm Charge Record Medical Supplies - Rod Spnl L50Mm Dia5.5Mm Post Thoracolumbosacral Ti Lord,988.42,385.48,,,0
CDM,SUP160812,Noncdm Charge Record Medical Supplies - Rod Spnl L55Mm Dia5.5Mm Post Thoracolumbosacral Ti Lord,988.42,385.48,,,0
CDM,SUP160814,Noncdm Charge Record Medical Supplies - Rod Spnl L65Mm Dia5.5Mm Post Thoracolumbosacral Ti Lord,988.42,385.48,,,0
CDM,SUP160815,Noncdm Charge Record Medical Supplies - Rod Spnl L70Mm Dia5.5Mm Post Thoracolumbosacral Ti Lord,988.42,385.48,,,0
CDM,SUP160816,Noncdm Charge Record Medical Supplies,988.42,385.48,,,0
CDM,SUP16082,Noncdm Charge Record Medical Supplies - Catheter Angio Ar Mod Crv 4Fr,48.85,19.05,,,0
CDM,SUP16086,Noncdm Charge Record Medical Supplies - Bit Drill 330Mm 3.2Mm 100Mm Calib Qc 3 Flute,919.61,358.65,,,0
CDM,SUP16087,Noncdm Charge Record Medical Supplies - Suture Permahand 3-0 Ps-1 18In Black Ethicon,19.66,7.67,,,0
CDM,SUP16089,Noncdm Charge Record Medical Supplies - See 110644 Valvulotome 1.8 110Cm Xpn Angs Angioscopic,8726.08,3403.17,,,0
CDM,SUP1609,Noncdm Charge Record Medical Supplies - Immobilizer Orth Univ 19X13In,52.78,20.58,,,0
CDM,SUP16092,Noncdm Charge Record Medical Supplies - Suture Cp 0 36In Circle 2 Braid Boston Scientific,288.91,112.67,,,0
CDM,SUP16094_272,Noncdm Charge Record Medical Supplies - Suture Vicryl + 2-0 Ct-2 27In Antibacterial Undyed Ethicon,9.22,3.6,,,0
CDM,SUP16094_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl + 2-0 Ct-2 27In Antibacterial Undyed Ethicon,9.32,3.63,,,0
CDM,SUP16094_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl + 2-0 Ct-2 27In Antibacterial Undyed Ethicon,9.32,3.63,,,0
CDM,SUP16098,Noncdm Charge Record Medical Supplies - Lead Pacing Xtrt Kt,592.02,230.89,,,0
CDM,SUP16099_272,Noncdm Charge Record Medical Supplies - Set Dil Ureth 37Cm 8-20Fr,1095.04,427.07,,,0
CDM,SUP16099_A4649_272,Noncdm Charge Record Medical Supplies - Set Dil Ureth 37Cm 8-20Fr,1095.03,427.06,,,0
CDM,SUP16104,Noncdm Charge Record Medical Supplies - See 117119 Suture Pds2 1 Xlh 48In Violet Loop Ethicon,26.91,10.49,,,0
CDM,SUP16106,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 3.2Mm 145Mm Needle Point Synthes,659.18,257.08,,,0
CDM,SUP16107,Noncdm Charge Record Medical Supplies - Stapler Intnl 60X4.8Mm Ti Thktis Endo Lin,176.73,68.92,,,0
CDM,SUP16110,Noncdm Charge Record Medical Supplies,300.15,117.06,,,0
CDM,SUP16111,Noncdm Charge Record Medical Supplies - Stapler Intnl 45X3.5Mm Ti Reg,526.82,205.46,,,0
CDM,SUP16112,Noncdm Charge Record Medical Supplies - Applier Int Clip 5Mm Endo Ligamax 5Mm Strl Lf,2299.77,896.91,,,0
CDM,SUP16113,Noncdm Charge Record Medical Supplies - Needle Insfl 14Ga Step Vrrs,42.44,16.55,,,0
CDM,SUP16119_272,Noncdm Charge Record Medical Supplies - Packing Nasal Nasopore 4Cm Standard Stryker,554.84,216.39,,,0
CDM,SUP16119_A4649_272,Noncdm Charge Record Medical Supplies - Packing Nasal Nasopore 4Cm Standard Stryker,581.67,226.85,,,0
CDM,SUP16119_A9999_272,Noncdm Charge Record Medical Supplies - Packing Nasal Nasopore 4Cm Standard Stryker,503.53,196.38,,,0
CDM,SUP1611_272,Noncdm Charge Record Medical Supplies - Suture Boot Yellow Deroyal,1.0,0.39,,,0
CDM,SUP1611_A4649_272,Noncdm Charge Record Medical Supplies - Suture Boot Yellow Deroyal,1.03,0.4,,,0
CDM,SUP1611_A9999_272,Noncdm Charge Record Medical Supplies - Suture Boot Yellow Deroyal,1.03,0.4,,,0
CDM,SUP16120_272,Noncdm Charge Record Medical Supplies - Dressing Nasopore 4Cm Firm,673.54,262.68,,,0
CDM,SUP16120_A4649_272,Noncdm Charge Record Medical Supplies - Dressing Nasopore 4Cm Firm,692.42,270.04,,,0
CDM,SUP16120_A9999_272,Noncdm Charge Record Medical Supplies - Dressing Nasopore 4Cm Firm,634.11,247.3,,,0
CDM,SUP161245,Noncdm Charge Record Medical Supplies,4316.47,1683.42,,,0
CDM,SUP161246,Noncdm Charge Record Medical Supplies - Screw Spnl L40Mm Od4.5Mm 4S Polyax Reline-O,4316.29,1683.35,,,0
CDM,SUP16125,Noncdm Charge Record Medical Supplies - Angioseal Vip 6F Closure St Jude Medical,993.6,387.5,,,0
CDM,SUP161267,Noncdm Charge Record Medical Supplies - Screw Spnl L40Mm Od6.5Mm 4S Polyax Reline-O,4316.21,1683.32,,,0
CDM,SUP161268,Noncdm Charge Record Medical Supplies - Screw Spnl L45Mm Dia6.5Mm Poly Trac Reline-O,4316.32,1683.36,,,0
CDM,SUP161269,Noncdm Charge Record Medical Supplies - Screw Spnl L50Mm Dia6.5Mm Poly Trac Reline-O,4316.33,1683.37,,,0
CDM,SUP16127,Noncdm Charge Record Medical Supplies - Electrode Elctsrg Blk 3Fr,540.64,210.85,,,0
CDM,SUP161270,Noncdm Charge Record Medical Supplies - Screw Spnl L60Mm Od6.5Mm 4S Polyax Reline-O,4316.19,1683.31,,,0
CDM,SUP161275,Noncdm Charge Record Medical Supplies - Screw Spnl L50Mm Od7.5Mm 4S Polyax Reline-O,4316.25,1683.34,,,0
CDM,SUP16133_272,Noncdm Charge Record Medical Supplies - Catheter Guide Xblad3 Crv 6Fr,198.2,77.3,,,0
CDM,SUP16133_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Guide Xblad3 Crv 6Fr,195.62,76.29,,,0
CDM,SUP16134,Noncdm Charge Record Medical Supplies - Suture Goretex Cv-6 Ttc-9 30In 2 Arm Wl Gore And Associates,137.66,53.69,,,0
CDM,SUP16135,Noncdm Charge Record Medical Supplies - Felt Cv 1-4X1-4In Thk 6Mm Ptfe,19.41,7.57,,,0
CDM,SUP16136,Noncdm Charge Record Medical Supplies - Tunneler Surg Sm Radiopq Sheath Blt Tip Prt,285.66,111.41,,,0
CDM,SUP16137,Noncdm Charge Record Medical Supplies - Tunneler Surg Lg Full Crv,234.94,91.63,,,0
CDM,SUP16138,Noncdm Charge Record Medical Supplies - Tunneler Surg Sm Sheath Blt,185.26,72.25,,,0
CDM,SUP16139,Noncdm Charge Record Medical Supplies - Tunneler Surg Sm Full Crv,219.42,85.57,,,0
CDM,SUP1613_272,Noncdm Charge Record Medical Supplies - See 174166 Strip 5X1In Strstrp Iphr Polyest Adh Por,7.24,2.82,,,0
CDM,SUP1613_A4649_272,Noncdm Charge Record Medical Supplies - See 174166 Strip 5X1In Strstrp Iphr Polyest Adh Por,7.24,2.82,,,0
CDM,SUP16142,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 6.5In Lg,1042.24,406.47,,,0
CDM,SUP16144,Noncdm Charge Record Medical Supplies - Kit Arthro Fx Btnds Bioabs,572.4,223.24,,,0
CDM,SUP16146,Noncdm Charge Record Medical Supplies - Trocar Laparos 100Mm 10-12Mm,876.64,341.89,,,0
CDM,SUP16147,Noncdm Charge Record Medical Supplies - See 139181 Suture 2 4-0 Cv-15 36In Pledget Covidien,24.63,9.61,,,0
CDM,SUP16148_272,Noncdm Charge Record Medical Supplies - Blade Shaver Radenoid Small 11Cm X 4Mm Medtronic Inc,1102.54,429.99,,,0
CDM,SUP16148_A4649_272,Noncdm Charge Record Medical Supplies - Blade Shaver Radenoid Small 11Cm X 4Mm Medtronic Inc,1107.45,431.91,,,0
CDM,SUP16148_A9999_272,Noncdm Charge Record Medical Supplies - Blade Shaver Radenoid Small 11Cm X 4Mm Medtronic Inc,1068.12,416.57,,,0
CDM,SUP16149_272,Noncdm Charge Record Medical Supplies - Lubricant Jly Srglb,49.89,19.46,,,0
CDM,SUP16149_A4649_272,Noncdm Charge Record Medical Supplies - Lubricant Jly Srglb,99.36,38.75,,,0
CDM,SUP16150,Noncdm Charge Record Medical Supplies - Bowl Bn Cement Qkvc Polyeth Mx,571.32,222.81,,,0
CDM,SUP161509,Noncdm Charge Record Medical Supplies - Rod Spnl L40Mm Dia5.5Mm Post Thoracolumbosacral Ti Lord,988.42,385.48,,,0
CDM,SUP161510,Noncdm Charge Record Medical Supplies - Rod Spnl L45Mm Dia5.5Mm Post Thoracolumbosacral Ti Lord,988.42,385.48,,,0
CDM,SUP161511,Noncdm Charge Record Medical Supplies - Rod Spnl L50Mm Dia5.5Mm Post Thoracolumbosacral Ti Lord,988.42,385.48,,,0
CDM,SUP161514,Noncdm Charge Record Medical Supplies - Rod Spnl L65Mm Dia5.5Mm Post Thoracolumbosacral Ti Lord,988.42,385.48,,,0
CDM,SUP161515,Noncdm Charge Record Medical Supplies - Rod Spnl L70Mm Dia5.5Mm Post Thoracolumbosacral Ti Lord,988.42,385.48,,,0
CDM,SUP161516,Noncdm Charge Record Medical Supplies - Rod Spnl L75Mm Dia5.5Mm Post Thoracolumbosacral Ti Lord,988.42,385.48,,,0
CDM,SUP161517,Noncdm Charge Record Medical Supplies,988.42,385.48,,,0
CDM,SUP161519,Noncdm Charge Record Medical Supplies - Rod Spnl L90Mm Dia5.5Mm Post Thoracolumbosacral Ti Lord,988.42,385.48,,,0
CDM,SUP161521,Noncdm Charge Record Medical Supplies,1128.15,439.98,,,0
CDM,SUP161522,Noncdm Charge Record Medical Supplies,1128.15,439.98,,,0
CDM,SUP16154_272,Noncdm Charge Record Medical Supplies - Suture Monocryl 3-0 Ps-2 27In Undyed Ethicon,33.33,13.0,,,0
CDM,SUP16154_A4649_272,Noncdm Charge Record Medical Supplies - Suture Monocryl 3-0 Ps-2 27In Undyed Ethicon,33.12,12.92,,,0
CDM,SUP16154_A9999_272,Noncdm Charge Record Medical Supplies - Suture Monocryl 3-0 Ps-2 27In Undyed Ethicon,33.9,13.22,,,0
CDM,SUP16155_272,Noncdm Charge Record Medical Supplies - Suture Monocryl 4-0 Ps-2 27In Undyed Ethicon,33.77,13.17,,,0
CDM,SUP16155_A4649_272,Noncdm Charge Record Medical Supplies - Suture Monocryl 4-0 Ps-2 27In Undyed Ethicon,33.26,12.97,,,0
CDM,SUP16155_A9999_272,Noncdm Charge Record Medical Supplies - Suture Monocryl 4-0 Ps-2 27In Undyed Ethicon,34.16,13.32,,,0
CDM,SUP16156_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 5-0 Ps-2 18In Undyed Antibacterial Ethi,32.73,12.76,,,0
CDM,SUP16156_A4649_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 5-0 Ps-2 18In Undyed Antibacterial Ethi,32.08,12.51,,,0
CDM,SUP16163,Noncdm Charge Record Medical Supplies - Cannula Venous Perfusion 29 French 15In Medtronic,245.28,95.66,,,0
CDM,SUP16167,Noncdm Charge Record Medical Supplies - System Drg Del 2-14Ml-Hr Onq,1406.56,548.56,,,0
CDM,SUP16174_272,Noncdm Charge Record Medical Supplies - Retractor Alexis Wound Sm 2.5-6Cm,303.26,118.27,,,0
CDM,SUP16174_A4649_272,Noncdm Charge Record Medical Supplies - Retractor Alexis Wound Sm 2.5-6Cm,303.26,118.27,,,0
CDM,SUP16175,Noncdm Charge Record Medical Supplies - Retractor Alexis Wound Xl 11-17Cm,538.21,209.9,,,0
CDM,SUP16176,Noncdm Charge Record Medical Supplies - Suture Express Sew Iii Suture Needle Depuy Mitek,856.98,334.22,,,0
CDM,SUP16179,Noncdm Charge Record Medical Supplies - Guidewire Orth 240Mm 2Mm Troc Tip Cannula Hum,131.44,51.26,,,0
CDM,SUP1619,Noncdm Charge Record Medical Supplies - Device Comp Fmstp Fem Pump,303.26,118.27,,,0
CDM,SUP16190,Noncdm Charge Record Medical Supplies - Irrigation Tubing Set,186.13,72.59,,,0
CDM,SUP16193,Noncdm Charge Record Medical Supplies - Catheter Balloon 10-46Mm 100Cm,1960.29,764.51,,,0
CDM,SUP16194,Noncdm Charge Record Medical Supplies - Stopcock 3-Way Ls Cvor,5.18,2.02,,,0
CDM,SUP16195,Noncdm Charge Record Medical Supplies - Catheter Angio .038In Mik Crv 5Fr 80Cm Vscr,93.15,36.33,,,0
CDM,SUP16199,Noncdm Charge Record Medical Supplies - Sheath 7Fr Safe Long 25Cm,259.27,101.12,,,0
CDM,SUP1620,Noncdm Charge Record Medical Supplies,159.39,62.16,,,0
CDM,SUP16204_272,Noncdm Charge Record Medical Supplies - Grasper Laparoscopic Atraumatic Applied,401.0,156.39,,,0
CDM,SUP16204_A4649_272,Noncdm Charge Record Medical Supplies - Grasper Laparoscopic Atraumatic Applied,429.98,167.69,,,0
CDM,SUP16204_A9999_272,Noncdm Charge Record Medical Supplies - Grasper Laparoscopic Atraumatic Applied,342.58,133.61,,,0
CDM,SUP16205_272,Noncdm Charge Record Medical Supplies - Cartridge Grasper D Dr 45Cm,408.55,159.33,,,0
CDM,SUP16205_A4649_272,Noncdm Charge Record Medical Supplies - Cartridge Grasper D Dr 45Cm,440.91,171.95,,,0
CDM,SUP16205_A9999_272,Noncdm Charge Record Medical Supplies - Cartridge Grasper D Dr 45Cm,342.58,133.61,,,0
CDM,SUP16207,Noncdm Charge Record Medical Supplies - Garment Fc Univ Band,136.62,53.28,,,0
CDM,SUP1621,Noncdm Charge Record Medical Supplies - Collar Stfnk Slct Adj One Size,26.91,10.49,,,0
CDM,SUP16210,Noncdm Charge Record Medical Supplies - Bit Drill 330Mm 4.2Mm 100Mm Calib Qc 3 Flute,948.0,369.72,,,0
CDM,SUP16211_272,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 4.2Mm 145Mm Needle Point Synthes,663.26,258.67,,,0
CDM,SUP16211_A4649_272,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 4.2Mm 145Mm Needle Point Synthes,643.25,250.87,,,0
CDM,SUP16211_A9999_272,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 4.2Mm 145Mm Needle Point Synthes,700.18,273.07,,,0
CDM,SUP16214,Noncdm Charge Record Medical Supplies - Guidewire Orth .054In,166.6,64.97,,,0
CDM,SUP16216,Noncdm Charge Record Medical Supplies - Introducer Kphpk Xpndr10-2 1St 1St Fx Try Kt Orth,13382.55,5219.19,,,0
CDM,SUP16217_270,Noncdm Charge Record Medical Supplies - Programmer Neurostim Activa,391.23,152.58,,,0
CDM,SUP16217_272,Noncdm Charge Record Medical Supplies - Programmer Neurostim Activa,391.23,152.58,,,0
CDM,SUP16217_C1787_278,Noncdm Charge Record Medical Supplies - Programmer Neurostim Activa,391.23,152.58,,,0
CDM,SUP16223_272,Noncdm Charge Record Medical Supplies - Catheter Surg 6Fr Pnmprtn,481.28,187.7,,,0
CDM,SUP16223_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Surg 6Fr Pnmprtn,481.28,187.7,,,0
CDM,SUP16227,Noncdm Charge Record Medical Supplies - Blade Saw 27Mm Thk.025In Shrt Recip Tpr Strl,364.22,142.05,,,0
CDM,SUP16229_272,Noncdm Charge Record Medical Supplies - Electrode Elctsrg 2.75In Ez Cl 4Mm Ez Cln Std,17.61,6.87,,,0
CDM,SUP16229_A4649_272,Noncdm Charge Record Medical Supplies - Electrode Elctsrg 2.75In Ez Cl 4Mm Ez Cln Std,17.6,6.86,,,0
CDM,SUP16229_A9999_272,Noncdm Charge Record Medical Supplies - Electrode Elctsrg 2.75In Ez Cl 4Mm Ez Cln Std,17.6,6.86,,,0
CDM,SUP16234,Noncdm Charge Record Medical Supplies - Scissors 4.75In Wrct Surg,48.88,19.06,,,0
CDM,SUP16236,Noncdm Charge Record Medical Supplies - Suture Fiberwire 3 18In Nonabs Braid Blue Arthrex,107.64,41.98,,,0
CDM,SUP16238,Noncdm Charge Record Medical Supplies - Needle Scorpion Arthrex,685.17,267.22,,,0
CDM,SUP16239_272,Noncdm Charge Record Medical Supplies - See 140949 Suture Vicryl 2-0 Ct1 27In Violet Ethicon,7.25,2.83,,,0
CDM,SUP16239_A4649_272,Noncdm Charge Record Medical Supplies - See 140949 Suture Vicryl 2-0 Ct1 27In Violet Ethicon,7.24,2.82,,,0
CDM,SUP16240,Noncdm Charge Record Medical Supplies - Suture Orthocord Size 2 Mo-7 36In Violet Depuy Mitek,158.56,61.84,,,0
CDM,SUP16241_272,Noncdm Charge Record Medical Supplies - Suture Prolene 1 Ct-1 30In Ethicon,12.98,5.06,,,0
CDM,SUP16241_A4649_272,Noncdm Charge Record Medical Supplies - Suture Prolene 1 Ct-1 30In Ethicon,12.76,4.98,,,0
CDM,SUP16241_A9999_272,Noncdm Charge Record Medical Supplies - Suture Prolene 1 Ct-1 30In Ethicon,13.46,5.25,,,0
CDM,SUP16242_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 2-0 Fs 18In Black Ethicon,9.91,3.86,,,0
CDM,SUP16242_A4649_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 2-0 Fs 18In Black Ethicon,9.75,3.8,,,0
CDM,SUP16242_A9999_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 2-0 Fs 18In Black Ethicon,10.09,3.94,,,0
CDM,SUP16244,Noncdm Charge Record Medical Supplies - See 140993 Suture Vicryl 3-0 Sh 36In Violet Ethicon,15.52,6.05,,,0
CDM,SUP1625,Noncdm Charge Record Medical Supplies - Filter Ng Prv Anrflx 80Ml Strl,23.68,9.24,,,0
CDM,SUP1626,Noncdm Charge Record Medical Supplies - Tube Feeding Mic Gj Endoscopic-Radiologic 18Fr Silicone Ball,2017.23,786.72,,,0
CDM,SUP16264,Noncdm Charge Record Medical Supplies - Introducer Shth 6Fr 65Cm Xcut Guide Strt,505.08,196.98,,,0
CDM,SUP16275_272,Noncdm Charge Record Medical Supplies - Suture Vicryl 3-0 18In Ties Undyed Ethicon,37.26,14.53,,,0
CDM,SUP16275_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl 3-0 18In Ties Undyed Ethicon,37.26,14.53,,,0
CDM,SUP16275_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl 3-0 18In Ties Undyed Ethicon,37.26,14.53,,,0
CDM,SUP16277,Noncdm Charge Record Medical Supplies - See 114574 Catheter Ivus Volcano Eagle,3197.12,1246.88,,,0
CDM,SUP16278_272,Noncdm Charge Record Medical Supplies - Handpiece 45D 14Mm Versajet,2019.28,787.52,,,0
CDM,SUP16278_A4649_272,Noncdm Charge Record Medical Supplies - Handpiece 45D 14Mm Versajet,2019.28,787.52,,,0
CDM,SUP16278_A9999_272,Noncdm Charge Record Medical Supplies - Handpiece 45D 14Mm Versajet,2019.28,787.52,,,0
CDM,SUP1627_272,Noncdm Charge Record Medical Supplies - Ligator S7 7 Band Rear Mnt Erg,1188.21,463.4,,,0
CDM,SUP1627_A4649_272,Noncdm Charge Record Medical Supplies - Ligator S7 7 Band Rear Mnt Erg,1188.18,463.39,,,0
CDM,SUP16283,Noncdm Charge Record Medical Supplies - Trocar Laparos 150 5Mm Optc,78.4,30.58,,,0
CDM,SUP16284_272,Noncdm Charge Record Medical Supplies - Electrode Electrsrg Blk Rl,621.0,242.19,,,0
CDM,SUP16284_A4649_272,Noncdm Charge Record Medical Supplies - Electrode Electrsrg Blk Rl,621.0,242.19,,,0
CDM,SUP16284_A9999_272,Noncdm Charge Record Medical Supplies - Electrode Electrsrg Blk Rl,621.0,242.19,,,0
CDM,SUP16286,Noncdm Charge Record Medical Supplies - Suture Mersilene 5-0Mm 12In 2 Arm White Ethicon,151.95,59.26,,,0
CDM,SUP16290,Noncdm Charge Record Medical Supplies - See 141046 Suture Vicryl 3-0 Ct 36In Undyed Ethicon,7.9,3.08,,,0
CDM,SUP16291,Noncdm Charge Record Medical Supplies - Suture Ethibond 2-0 36In Sh 2 Arm Braid Green Ethicon,20.47,7.98,,,0
CDM,SUP16297_272,Noncdm Charge Record Medical Supplies - Needle Brk 98Cm Transeptal,1013.88,395.41,,,0
CDM,SUP16297_A4649_272,Noncdm Charge Record Medical Supplies - Needle Brk 98Cm Transeptal,921.15,359.25,,,0
CDM,SUP16297_A9999_272,Noncdm Charge Record Medical Supplies - Needle Brk 98Cm Transeptal,1248.21,486.8,,,0
CDM,SUP16301_272,Noncdm Charge Record Medical Supplies - Inferior Turbinate Blade 11Cmx2Mm,1581.29,616.7,,,0
CDM,SUP16301_A4649_272,Noncdm Charge Record Medical Supplies - Inferior Turbinate Blade 11Cmx2Mm,1589.76,620.01,,,0
CDM,SUP16301_A9999_272,Noncdm Charge Record Medical Supplies - Inferior Turbinate Blade 11Cmx2Mm,1583.43,617.54,,,0
CDM,SUP16303,Noncdm Charge Record Medical Supplies - See 90406 Device Scr Centrl Venous Crsnt Trct Sld Post,13.46,5.25,,,0
CDM,SUP16304,Noncdm Charge Record Medical Supplies - Tube Suct Cardiac Dlp 6In 6Fr,75.56,29.47,,,0
CDM,SUP16305,Noncdm Charge Record Medical Supplies - See 133030 System Endo Vsl Hrvt Vsvw Hemopro Bx-5,4064.44,1585.13,,,0
CDM,SUP16307,Noncdm Charge Record Medical Supplies - Suture Orthocord Size 2 Os-6 Cutting 36In Violet Depuy Mitek,156.28,60.95,,,0
CDM,SUP16312_270,Noncdm Charge Record Medical Supplies - Manifold Neptune Stryker,107.64,41.98,,,0
CDM,SUP16312_A4649_270,Noncdm Charge Record Medical Supplies - Manifold Neptune Stryker,107.64,41.98,,,0
CDM,SUP16312_A9999_270,Noncdm Charge Record Medical Supplies - Manifold Neptune Stryker,107.64,41.98,,,0
CDM,SUP16313,Noncdm Charge Record Medical Supplies - Retractor Scrt Skw Dp,2349.45,916.29,,,0
CDM,SUP16314,Noncdm Charge Record Medical Supplies - Suture Prolene 9-0 Bv100-4 5In Black Ethicon,108.16,42.18,,,0
CDM,SUP16316,Noncdm Charge Record Medical Supplies - Needle Trans-Oral Inj,317.74,123.92,,,0
CDM,SUP16317,Noncdm Charge Record Medical Supplies - See 160320 Pack Cabg Deroyal,882.85,344.31,,,0
CDM,SUP16318_272,Noncdm Charge Record Medical Supplies - Suture Goretex Cv-2 Thx-25 36In Wl Gore And Associates,118.35,46.16,,,0
CDM,SUP16318_A9999_272,Noncdm Charge Record Medical Supplies - Suture Goretex Cv-2 Thx-25 36In Wl Gore And Associates,118.51,46.22,,,0
CDM,SUP16319_272,Noncdm Charge Record Medical Supplies - Stapler 100X3.8Mm Ti Reload Endo Lin Cutter Intnl,469.49,183.1,,,0
CDM,SUP16319_A9999_272,Noncdm Charge Record Medical Supplies - Stapler 100X3.8Mm Ti Reload Endo Lin Cutter Intnl,469.89,183.26,,,0
CDM,SUP16321_272,Noncdm Charge Record Medical Supplies - Stapler Intnl 100X3.8Mm Ti,900.55,351.21,,,0
CDM,SUP16321_A9999_272,Noncdm Charge Record Medical Supplies - Stapler Intnl 100X3.8Mm Ti,900.45,351.18,,,0
CDM,SUP16324,Noncdm Charge Record Medical Supplies - Catheter Angio Mpa2 Crv 4Fr,49.81,19.43,,,0
CDM,SUP16326,Noncdm Charge Record Medical Supplies - Suture Prolene 4-0 Pc-3 18In Ethicon,30.75,11.99,,,0
CDM,SUP16327,Noncdm Charge Record Medical Supplies - Catheter Ablt 160Cm 4Mm Halo90,8315.19,3242.92,,,0
CDM,SUP16330,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil.014In 135,1066.74,416.03,,,0
CDM,SUP16331,Noncdm Charge Record Medical Supplies - Catheter .014In 5.5Mm 135Cm 120Mm Balloon Dialator Abbott Va,1070.37,417.44,,,0
CDM,SUP16332,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil.014In-5Mm,1085.34,423.28,,,0
CDM,SUP16333,Noncdm Charge Record Medical Supplies - Catheter Baloon Dil .014In-135,1875.12,731.3,,,0
CDM,SUP16334,Noncdm Charge Record Medical Supplies - Kit Drain 14Fr 9In Polyurethral Catheter Extension Line Arro,565.11,220.39,,,0
CDM,SUP16336,Noncdm Charge Record Medical Supplies - Introducer Sheath 7Fr 40Cm 4Cm Spring Gwire,124.03,48.37,,,0
CDM,SUP16337,Noncdm Charge Record Medical Supplies - Introducer Sheath 8Fr 2.5Cm 4Cm Spring Gwire,117.99,46.02,,,0
CDM,SUP16346,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 2Mm 140Mm Synthes,571.45,222.87,,,0
CDM,SUP16348,Noncdm Charge Record Medical Supplies - See 37081 Tray Spnl 3.5In 24Ga Sprt Ndl,72.45,28.26,,,0
CDM,SUP16349,Noncdm Charge Record Medical Supplies - Blade Saw Sag Dual Cut,230.8,90.01,,,0
CDM,SUP16350,Noncdm Charge Record Medical Supplies - Blade Saw 90X25X1.35Mm Ss Sag Strl,224.44,87.53,,,0
CDM,SUP16351,Noncdm Charge Record Medical Supplies - System Gd Navigus Kt Trj,6528.32,2546.04,,,0
CDM,SUP16354,Noncdm Charge Record Medical Supplies - Prosthesis Penile 700Cx 15Cm Precnct Pump,60732.76,23685.78,,,0
CDM,SUP16355,Noncdm Charge Record Medical Supplies - Catheter Drain 28Fr Straight Taper Maquet,47.25,18.43,,,0
CDM,SUP16356_272,Noncdm Charge Record Medical Supplies - Drain Catheter 28Fr 6 Eyelet Maquet,30.97,12.08,,,0
CDM,SUP16360,Noncdm Charge Record Medical Supplies - Wrench Hex Spnl Cord Stm,367.42,143.29,,,0
CDM,SUP16361_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 6-0 P-3 18In Ethicon,17.6,6.86,,,0
CDM,SUP16361_A9999_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 6-0 P-3 18In Ethicon,17.6,6.86,,,0
CDM,SUP16363,Noncdm Charge Record Medical Supplies - Wire K Smooth 0.45Mmx9In,87.98,34.31,,,0
CDM,SUP163672,Noncdm Charge Record Medical Supplies - Screw Spnl L40Mm Od6.5Mm 2C Reduc Reline,4316.21,1683.32,,,0
CDM,SUP163674,Noncdm Charge Record Medical Supplies - Screw Spnl L50Mm Od6.5Mm 2C Reduc Reline,4316.47,1683.42,,,0
CDM,SUP16367_272,Noncdm Charge Record Medical Supplies - See 138026 Pack Basic Cysto 1,120.06,46.82,,,0
CDM,SUP16367_A4649_272,Noncdm Charge Record Medical Supplies - See 138026 Pack Basic Cysto 1,120.06,46.82,,,0
CDM,SUP16367_A9999_272,Noncdm Charge Record Medical Supplies - See 138026 Pack Basic Cysto 1,120.06,46.82,,,0
CDM,SUP163692,Noncdm Charge Record Medical Supplies - Screw Spnl L50Mm Od7.5Mm 2C Reduc Reline,4316.47,1683.42,,,0
CDM,SUP16373,Noncdm Charge Record Medical Supplies - Sleeve Fem Tndm +0Mm 12-14 Hip,616.86,240.58,,,0
CDM,SUP16382,Noncdm Charge Record Medical Supplies - Prosthesis Penile Asmbly Nar,61568.79,24011.83,,,0
CDM,SUP163871,Noncdm Charge Record Medical Supplies - Screw Spnl L45Mm Dia6.5Mm Post Thoracolumbosacral Mod Shnk 2,2379.46,927.99,,,0
CDM,SUP163872,Noncdm Charge Record Medical Supplies - Screw Spnl L55Mm Dia6.5Mm Post Thoracolumbosacral Mod Shnk 2,2379.59,928.04,,,0
CDM,SUP163873,Noncdm Charge Record Medical Supplies,2379.46,927.99,,,0
CDM,SUP163878,Noncdm Charge Record Medical Supplies - Screw Spnl L45Mm Dia7.5Mm Post Thoracolumbosacral Mod Shnk 2,2379.46,927.99,,,0
CDM,SUP163879,Noncdm Charge Record Medical Supplies - Screw Spnl L50Mm Dia7.5Mm Post Thoracolumbosacral Mod Shnk 2,2379.61,928.05,,,0
CDM,SUP16388,Noncdm Charge Record Medical Supplies - Guidewire Thrd 2.8Mm,275.67,107.51,,,0
CDM,SUP163880,Noncdm Charge Record Medical Supplies - Screw Spnl L55Mm Dia7.5Mm Post Thoracolumbosacral Mod Shnk 2,2379.65,928.06,,,0
CDM,SUP163890,Noncdm Charge Record Medical Supplies - Screw Spnl L50Mm Dia8.5Mm Post Thoracolumbosacral Mod Shnk 2,2379.46,927.99,,,0
CDM,SUP163891,Noncdm Charge Record Medical Supplies,2379.81,928.13,,,0
CDM,SUP16390,Noncdm Charge Record Medical Supplies - Wire Fx 1.6Mm Krsh Ss Troc Pt 1 End,96.66,37.7,,,0
CDM,SUP16391_272,Noncdm Charge Record Medical Supplies - Needle Electrosurg 3.5In 2.8Mm Pt Tung Strt 1,105.57,41.17,,,0
CDM,SUP16391_A4649_272,Noncdm Charge Record Medical Supplies - Needle Electrosurg 3.5In 2.8Mm Pt Tung Strt 1,105.57,41.17,,,0
CDM,SUP16392_272,Noncdm Charge Record Medical Supplies - Suture Vicryl 2-0 18In Tie Undyed Violet Ethicon,38.3,14.94,,,0
CDM,SUP16392_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl 2-0 18In Tie Undyed Violet Ethicon,38.3,14.94,,,0
CDM,SUP16397,Noncdm Charge Record Medical Supplies - Cuff Tourniquet 8In 2 Port 1 Bladr Pump Line,83.91,32.72,,,0
CDM,SUP16398_272,Noncdm Charge Record Medical Supplies - Cuff Tourniquet 12In 2 Port 1,90.3,35.22,,,0
CDM,SUP16398_A4649_272,Noncdm Charge Record Medical Supplies - Cuff Tourniquet 12In 2 Port 1,91.08,35.52,,,0
CDM,SUP16399,Noncdm Charge Record Medical Supplies - Trocar Laparos 150Mm 12Mm,926.32,361.26,,,0
CDM,SUP16402,Noncdm Charge Record Medical Supplies - See 135126 Catheter Iv Intro Sfty Strt 20 20Gax1-3-4,6.73,2.62,,,0
CDM,SUP16407,Noncdm Charge Record Medical Supplies - Catheter Angio 100Cm Pgtl Flsh .035In 20Cm 5 Box,494.07,192.69,,,0
CDM,SUP16409,Noncdm Charge Record Medical Supplies - Blade Reamer 38Mm Pilt Hl,607.54,236.94,,,0
CDM,SUP1641,Noncdm Charge Record Medical Supplies - See 128901 Dressing Tube Hydrogel Gel 3Oz,20.7,8.07,,,0
CDM,SUP16412,Noncdm Charge Record Medical Supplies - Straight Glide Cath 4Fr,238.05,92.84,,,0
CDM,SUP16413,Noncdm Charge Record Medical Supplies - Catheter Angio .038In 4Fr 65Cm 65Cm Ang Tip,240.97,93.98,,,0
CDM,SUP16414,Noncdm Charge Record Medical Supplies - Catheter Angio .038In 4Fr 120C 120Cm Hydrophil,238.05,92.84,,,0
CDM,SUP164170,Noncdm Charge Record Medical Supplies,4567.46,1781.31,,,0
CDM,SUP164172,Noncdm Charge Record Medical Supplies,4567.46,1781.31,,,0
CDM,SUP164178,Noncdm Charge Record Medical Supplies,4567.46,1781.31,,,0
CDM,SUP164186,Noncdm Charge Record Medical Supplies,4567.46,1781.31,,,0
CDM,SUP164190,Noncdm Charge Record Medical Supplies,4567.46,1781.31,,,0
CDM,SUP1642,Noncdm Charge Record Medical Supplies - Joint Toe Swnsn 3S Lat Mtp Sil Ti Grommet Flx,3832.6,1494.71,,,0
CDM,SUP164239,Noncdm Charge Record Medical Supplies - Plate Spnl L18Mm 1.6V Ant Cerv Ti Ally Lev 1 Acp,4567.46,1781.31,,,0
CDM,SUP164241,Noncdm Charge Record Medical Supplies - Plate Spnl L20Mm 1.6V Ant Cerv Ti Ally Lev 1 Acp,4567.46,1781.31,,,0
CDM,SUP164247,Noncdm Charge Record Medical Supplies,4567.46,1781.31,,,0
CDM,SUP16425,Noncdm Charge Record Medical Supplies - Introducer Cath 55Cm 7Fr .038In Ckfl Flxr,317.74,123.92,,,0
CDM,SUP164271,Noncdm Charge Record Medical Supplies - Plate Spnl L34Mm 1.6V Ant Cerv Ti Ally Lev 2 Acp,4567.46,1781.31,,,0
CDM,SUP164273,Noncdm Charge Record Medical Supplies - Plate Spnl L36Mm 1.6V Ant Cerv Ti Ally Lev 2 Acp,4567.46,1781.31,,,0
CDM,SUP164275,Noncdm Charge Record Medical Supplies,4567.46,1781.31,,,0
CDM,SUP164277,Noncdm Charge Record Medical Supplies - Plate Spnl L40Mm 1.6V Ant Cerv Ti Ally Lev 2 Acp,4567.46,1781.31,,,0
CDM,SUP164279,Noncdm Charge Record Medical Supplies,4567.46,1781.31,,,0
CDM,SUP16430,Noncdm Charge Record Medical Supplies - Introducer Cath 55Cm 8Fr .038In Ckfl Flxr,317.8,123.94,,,0
CDM,SUP16435_272,Noncdm Charge Record Medical Supplies - Pouch 34.5Cm 10Mm E-Ctch Gld Spec Ret Disp,195.62,76.29,,,0
CDM,SUP16435_A4649_272,Noncdm Charge Record Medical Supplies - Pouch 34.5Cm 10Mm E-Ctch Gld Spec Ret Disp,195.62,76.29,,,0
CDM,SUP16435_A9999_272,Noncdm Charge Record Medical Supplies - Pouch 34.5Cm 10Mm E-Ctch Gld Spec Ret Disp,195.62,76.29,,,0
CDM,SUP16436,Noncdm Charge Record Medical Supplies - Catheter Quick Cross .035 X 135,783.5,305.56,,,0
CDM,SUP16437,Noncdm Charge Record Medical Supplies - Introducer Cath 8Fr 15Cm Vlv,455.19,177.52,,,0
CDM,SUP16438,Noncdm Charge Record Medical Supplies - Introducer Cath 70Cm 7Fr .038In Ckfl Flxr,317.74,123.92,,,0
CDM,SUP164399,Noncdm Charge Record Medical Supplies - Screw Spnl L13Mm Dia3.5Mm Ant Cerv Ti Ally Slf Drl Va Acp,913.21,356.15,,,0
CDM,SUP16440,Noncdm Charge Record Medical Supplies,1425.2,555.83,,,0
CDM,SUP164401,Noncdm Charge Record Medical Supplies - Screw Spnl L15Mm Dia3.5Mm Ant Cerv Ti Ally Slf Drl Va Acp,913.17,356.14,,,0
CDM,SUP164403,Noncdm Charge Record Medical Supplies - Screw Spnl L17Mm Dia3.5Mm Ant Cerv Ti Ally Slf Drl Va Acp,913.15,356.13,,,0
CDM,SUP164405,Noncdm Charge Record Medical Supplies - Screw Spnl L19Mm Dia3.5Mm Ant Cerv Ti Ally Slf Drl Va Acp,913.18,356.14,,,0
CDM,SUP164412,Noncdm Charge Record Medical Supplies,912.87,356.02,,,0
CDM,SUP164414,Noncdm Charge Record Medical Supplies,913.15,356.13,,,0
CDM,SUP164416,Noncdm Charge Record Medical Supplies,913.13,356.12,,,0
CDM,SUP164418,Noncdm Charge Record Medical Supplies,913.21,356.15,,,0
CDM,SUP164425,Noncdm Charge Record Medical Supplies,913.21,356.15,,,0
CDM,SUP164427,Noncdm Charge Record Medical Supplies,913.21,356.15,,,0
CDM,SUP164429,Noncdm Charge Record Medical Supplies,913.13,356.12,,,0
CDM,SUP16443,Noncdm Charge Record Medical Supplies - Bit Drill 240Mm 3.2Mm Dnfx Vs Strl,626.17,244.21,,,0
CDM,SUP164438,Noncdm Charge Record Medical Supplies,913.25,356.17,,,0
CDM,SUP164440,Noncdm Charge Record Medical Supplies,913.2,356.15,,,0
CDM,SUP164442,Noncdm Charge Record Medical Supplies,913.18,356.14,,,0
CDM,SUP16444_272,Noncdm Charge Record Medical Supplies - Cuff Tourniquet 18In 2 Port 2,171.79,67.0,,,0
CDM,SUP16444_A9999_272,Noncdm Charge Record Medical Supplies - Cuff Tourniquet 18In 2 Port 2,171.81,67.01,,,0
CDM,SUP16445,Noncdm Charge Record Medical Supplies - Cuff Torniqut 24In 2 Port 2 Wo Bladr Wo Slv,176.0,68.64,,,0
CDM,SUP164451,Noncdm Charge Record Medical Supplies,913.21,356.15,,,0
CDM,SUP164453,Noncdm Charge Record Medical Supplies - Screw Spnl L15Mm Dia4Mm Ant Cerv Ti Ally St Va Acp,913.01,356.07,,,0
CDM,SUP164455,Noncdm Charge Record Medical Supplies,912.87,356.02,,,0
CDM,SUP164457,Noncdm Charge Record Medical Supplies,913.39,356.22,,,0
CDM,SUP16446,Noncdm Charge Record Medical Supplies - Protector Eye Univ Adlt,22.77,8.88,,,0
CDM,SUP164464,Noncdm Charge Record Medical Supplies,912.87,356.02,,,0
CDM,SUP164466,Noncdm Charge Record Medical Supplies,913.13,356.12,,,0
CDM,SUP164468,Noncdm Charge Record Medical Supplies,913.39,356.22,,,0
CDM,SUP164469,Noncdm Charge Record Medical Supplies,913.39,356.22,,,0
CDM,SUP164477,Noncdm Charge Record Medical Supplies,4567.46,1781.31,,,0
CDM,SUP164479,Noncdm Charge Record Medical Supplies,4567.46,1781.31,,,0
CDM,SUP164481,Noncdm Charge Record Medical Supplies,4567.46,1781.31,,,0
CDM,SUP164483,Noncdm Charge Record Medical Supplies,4567.46,1781.31,,,0
CDM,SUP164507,Noncdm Charge Record Medical Supplies - Plate Spnl L32Mm 1.9H Ant Cerv Ti Ally Lev 2 Acp,4567.46,1781.31,,,0
CDM,SUP164509,Noncdm Charge Record Medical Supplies - Plate Spnl L34Mm 1.9H Ant Cerv Ti Ally Lev 2 Acp,4567.46,1781.31,,,0
CDM,SUP164511,Noncdm Charge Record Medical Supplies - Plate Spnl L36Mm 1.9H Ant Cerv Ti Ally Lev 2 Acp,4567.46,1781.31,,,0
CDM,SUP164513,Noncdm Charge Record Medical Supplies - Plate Spnl L38Mm 1.9H Ant Cerv Ti Ally Lev 2 Acp,4567.46,1781.31,,,0
CDM,SUP164515,Noncdm Charge Record Medical Supplies - Plate Spnl L40Mm 1.9H Ant Cerv Ti Ally Lev 2 Acp,4567.46,1781.31,,,0
CDM,SUP164517,Noncdm Charge Record Medical Supplies,4567.46,1781.31,,,0
CDM,SUP164519,Noncdm Charge Record Medical Supplies,4567.46,1781.31,,,0
CDM,SUP164521,Noncdm Charge Record Medical Supplies,4567.46,1781.31,,,0
CDM,SUP164544,Noncdm Charge Record Medical Supplies,4567.46,1781.31,,,0
CDM,SUP164546,Noncdm Charge Record Medical Supplies,4567.46,1781.31,,,0
CDM,SUP164548,Noncdm Charge Record Medical Supplies,4567.46,1781.31,,,0
CDM,SUP164550,Noncdm Charge Record Medical Supplies,4567.46,1781.31,,,0
CDM,SUP164552,Noncdm Charge Record Medical Supplies,4567.46,1781.31,,,0
CDM,SUP164554,Noncdm Charge Record Medical Supplies,4567.46,1781.31,,,0
CDM,SUP16456,Noncdm Charge Record Medical Supplies - Shaft Bixcut Hall Mod 284Mm,1438.65,561.07,,,0
CDM,SUP16457,Noncdm Charge Record Medical Supplies - Suture Stainless Steel 2-0 Sh Sks-3 24In Blue Ethicon,57.96,22.6,,,0
CDM,SUP16460,Noncdm Charge Record Medical Supplies,466.78,182.04,,,0
CDM,SUP16463_272,Noncdm Charge Record Medical Supplies - Rasp Surg 11X5Mm Sm Ss Tear,580.64,226.45,,,0
CDM,SUP16463_A4649_272,Noncdm Charge Record Medical Supplies - Rasp Surg 11X5Mm Sm Ss Tear,580.64,226.45,,,0
CDM,SUP16463_A9999_272,Noncdm Charge Record Medical Supplies - Rasp Surg 11X5Mm Sm Ss Tear,580.64,226.45,,,0
CDM,SUP16464,Noncdm Charge Record Medical Supplies - Guidewire Orth 300Mm 2.8Mm Ss Nonthrd,332.59,129.71,,,0
CDM,SUP16465,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 2.9Mm 150Mm Synthes,370.53,144.51,,,0
CDM,SUP16467,Noncdm Charge Record Medical Supplies - Drill Bit 2.8Mm Quick Coupling 300Mm-200Mm Calibration Synth,774.18,301.93,,,0
CDM,SUP16470,Noncdm Charge Record Medical Supplies - Bit Drill Actrk2 Mini Lng,973.94,379.84,,,0
CDM,SUP164702,Noncdm Charge Record Medical Supplies - Kit Spnl Cage 8X34X24Mm 4Deg Med Lat Lum If Ti Lord Self,29788.34,11617.45,,,0
CDM,SUP164705,Noncdm Charge Record Medical Supplies - Kit Spnl Cage 8X34X24Mm 8Deg Med Lat Lum If Ti Lord Self,29788.34,11617.45,,,0
CDM,SUP164710,Noncdm Charge Record Medical Supplies - Kit Spnl Cage 8X38X28Mm 4Deg Med Lat Lum If Ti Lord Self,29788.34,11617.45,,,0
CDM,SUP164711,Noncdm Charge Record Medical Supplies - Kit Spnl Cage 10X38X28Mm 4Deg Med Lat Lum If Ti Lord Self,29788.34,11617.45,,,0
CDM,SUP164713,Noncdm Charge Record Medical Supplies - Kit Spnl Cage 8X38X28Mm 8Deg Med Lat Lum If Ti Lord Self,29788.34,11617.45,,,0
CDM,SUP164714,Noncdm Charge Record Medical Supplies,29788.34,11617.45,,,0
CDM,SUP16472,Noncdm Charge Record Medical Supplies - Scissors Laparos Dual Edge,186.3,72.66,,,0
CDM,SUP16473_270,Noncdm Charge Record Medical Supplies - Blanket Adult 74X36In 3M Health Care Division,73.48,28.66,,,0
CDM,SUP16473_272,Noncdm Charge Record Medical Supplies - Blanket Adult 74X36In 3M Health Care Division,73.14,28.52,,,0
CDM,SUP16473_A4649_270,Noncdm Charge Record Medical Supplies - Blanket Adult 74X36In 3M Health Care Division,73.48,28.66,,,0
CDM,SUP16473_A9999_270,Noncdm Charge Record Medical Supplies - Blanket Adult 74X36In 3M Health Care Division,73.48,28.66,,,0
CDM,SUP16474_272,Noncdm Charge Record Medical Supplies - Catheter Angio Pigtail 145D 6Fr 2 Lum,741.25,289.09,,,0
CDM,SUP16474_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Angio Pigtail 145D 6Fr 2 Lum,719.32,280.53,,,0
CDM,SUP16475,Noncdm Charge Record Medical Supplies - Trocar Laparos Splt Disp,1325.71,517.03,,,0
CDM,SUP16480,Noncdm Charge Record Medical Supplies - Programmer Neurostim Intstm,8597.75,3353.12,,,0
CDM,SUP16482_272,Noncdm Charge Record Medical Supplies - Knife Myrngtm Spr Intgr Handle Strl Disp,46.57,18.16,,,0
CDM,SUP16482_A4649_272,Noncdm Charge Record Medical Supplies - Knife Myrngtm Spr Intgr Handle Strl Disp,46.58,18.17,,,0
CDM,SUP16482_A9999_272,Noncdm Charge Record Medical Supplies - Knife Myrngtm Spr Intgr Handle Strl Disp,46.58,18.17,,,0
CDM,SUP16485,Noncdm Charge Record Medical Supplies - Catheter Ball Dil.018In 7-Fr-5,3527.28,1375.64,,,0
CDM,SUP164857,Noncdm Charge Record Medical Supplies,24167.25,9425.23,,,0
CDM,SUP16486,Noncdm Charge Record Medical Supplies - Catheter Ball Dil .018-7Fr-6Mm,3101.9,1209.74,,,0
CDM,SUP164868,Noncdm Charge Record Medical Supplies,24167.25,9425.23,,,0
CDM,SUP164869,Noncdm Charge Record Medical Supplies,24167.25,9425.23,,,0
CDM,SUP16489,Noncdm Charge Record Medical Supplies - Coil Emb 2Cm 2Mm Hl Mcl Fiber Plat,272.65,106.33,,,0
CDM,SUP16490,Noncdm Charge Record Medical Supplies - Introducer Cath 70Cm 8Fr .038In Ckfl Flxr,317.74,123.92,,,0
CDM,SUP16495,Noncdm Charge Record Medical Supplies - Kit Stimulator Charger Spnl,5731.83,2235.41,,,0
CDM,SUP16496,Noncdm Charge Record Medical Supplies - Guidepin Orth 150Mm 1Mm Chrlt,87.99,34.32,,,0
CDM,SUP16497,Noncdm Charge Record Medical Supplies - Cannula 5.75Mm 7Cm Partially Threaded Arthrex,122.13,47.63,,,0
CDM,SUP16499_272,Noncdm Charge Record Medical Supplies - Unit Ligasure Impact Curved Large Law 36Mm-18Cm Covidien,2585.43,1008.32,,,0
CDM,SUP16499_A4649_272,Noncdm Charge Record Medical Supplies - Unit Ligasure Impact Curved Large Law 36Mm-18Cm Covidien,2585.43,1008.32,,,0
CDM,SUP16499_A9999_272,Noncdm Charge Record Medical Supplies - Unit Ligasure Impact Curved Large Law 36Mm-18Cm Covidien,2585.43,1008.32,,,0
CDM,SUP165030,Noncdm Charge Record Medical Supplies - Plate Spnl Cage Xlif Ams 2 Side 8Mm,13171.41,5136.85,,,0
CDM,SUP16518_272,Noncdm Charge Record Medical Supplies - See 140916 Suture Vicryl 5-0 Rb1 27In Undyed Ethicon,9.32,3.63,,,0
CDM,SUP16518_A4649_272,Noncdm Charge Record Medical Supplies - See 140916 Suture Vicryl 5-0 Rb1 27In Undyed Ethicon,9.32,3.63,,,0
CDM,SUP16518_A9999_272,Noncdm Charge Record Medical Supplies - See 140916 Suture Vicryl 5-0 Rb1 27In Undyed Ethicon,9.32,3.63,,,0
CDM,SUP165207,Noncdm Charge Record Medical Supplies,4833.45,1885.05,,,0
CDM,SUP16523,Noncdm Charge Record Medical Supplies - Guidewire Vasc .035In260Cm Crv,549.79,214.42,,,0
CDM,SUP165242,Noncdm Charge Record Medical Supplies,22958.89,8953.97,,,0
CDM,SUP165245,Noncdm Charge Record Medical Supplies,22959.4,8954.17,,,0
CDM,SUP165255,Noncdm Charge Record Medical Supplies - Endcap Spnl Ti Lok Scr Mini X-Cor,397.44,155.0,,,0
CDM,SUP165282,Noncdm Charge Record Medical Supplies,29788.34,11617.45,,,0
CDM,SUP165288,Noncdm Charge Record Medical Supplies,4833.45,1885.05,,,0
CDM,SUP1653,Noncdm Charge Record Medical Supplies - Catheter Angio .035In Std Pigtail 5Fr 70Cm 10 5-Bx,72.45,28.26,,,0
CDM,SUP16531,Noncdm Charge Record Medical Supplies - Angiojet Spiroflex Ultra 5Fr Boston Scientific,7627.95,2974.9,,,0
CDM,SUP16532,Noncdm Charge Record Medical Supplies - Electrode Loop Electrosurg Flx,6591.66,2570.75,,,0
CDM,SUP16533_272,Noncdm Charge Record Medical Supplies - Adhesive Lq Lf Nirr Ocl Wtprf Amp Mstsl Strl,6.94,2.71,,,0
CDM,SUP16533_A4649_272,Noncdm Charge Record Medical Supplies - Adhesive Lq Lf Nirr Ocl Wtprf Amp Mstsl Strl,6.66,2.6,,,0
CDM,SUP16533_A9999_272,Noncdm Charge Record Medical Supplies - Adhesive Lq Lf Nirr Ocl Wtprf Amp Mstsl Strl,7.24,2.82,,,0
CDM,SUP16536,Noncdm Charge Record Medical Supplies - Catheter Angio .038In 5Fr .047 .047In 100Cm Ang,239.08,93.24,,,0
CDM,SUP16540,Noncdm Charge Record Medical Supplies - Applicator Surg 15Cm Confluent Strl Disp (X),1037.55,404.64,,,0
CDM,SUP16541,Noncdm Charge Record Medical Supplies - 6Fr Jl 4.5 Catheter,44.5,17.36,,,0
CDM,SUP16543,Noncdm Charge Record Medical Supplies - Guidewire Orth 9In 2In Shoulder Elb Ss,166.64,64.99,,,0
CDM,SUP165437,Noncdm Charge Record Medical Supplies - Spacer Spnl 6X15X12Mm 7Deg Cerv Lord Modulus,4712.35,1837.82,,,0
CDM,SUP165438,Noncdm Charge Record Medical Supplies - Spacer Spnl 7X15X12Mm 7Deg Cerv Lord Modulus,4712.56,1837.9,,,0
CDM,SUP165449,Noncdm Charge Record Medical Supplies - Spacer Spnl 6X17X14Mm 7Deg Cerv Lord Modulus,4712.61,1837.92,,,0
CDM,SUP16545,Noncdm Charge Record Medical Supplies - Bit Drill 4Mm Trgn Shrt Ao Pilt,1555.81,606.77,,,0
CDM,SUP165450,Noncdm Charge Record Medical Supplies - Spacer Spnl 7X17X14Mm 7Deg Cerv Lord Modulus,4712.61,1837.92,,,0
CDM,SUP165451,Noncdm Charge Record Medical Supplies - Spacer Spnl 8X17X14Mm 7Deg Cerv Lord Modulus,4712.35,1837.82,,,0
CDM,SUP165452,Noncdm Charge Record Medical Supplies,4712.35,1837.82,,,0
CDM,SUP165461_C1889_278,Noncdm Charge Record Medical Supplies,4712.77,1837.98,,,0
CDM,SUP165461_L8699_278,Noncdm Charge Record Medical Supplies,4712.35,1837.82,,,0
CDM,SUP16550_272,Noncdm Charge Record Medical Supplies - Pack Minor Lithotomy,172.84,67.41,,,0
CDM,SUP16550_A4649_272,Noncdm Charge Record Medical Supplies - Pack Minor Lithotomy,172.84,67.41,,,0
CDM,SUP16550_A9999_272,Noncdm Charge Record Medical Supplies - Pack Minor Lithotomy,172.84,67.41,,,0
CDM,SUP16551,Noncdm Charge Record Medical Supplies - Pack Suct Sckr Strl Lines,153.62,59.91,,,0
CDM,SUP16553,Noncdm Charge Record Medical Supplies - Insert Clamp Intrack 66Mm Std,111.78,43.59,,,0
CDM,SUP16554,Noncdm Charge Record Medical Supplies,107.64,41.98,,,0
CDM,SUP165569,Noncdm Charge Record Medical Supplies,29788.34,11617.45,,,0
CDM,SUP16559,Noncdm Charge Record Medical Supplies - See 110539 Strap Sf Patient Disp,7.24,2.82,,,0
CDM,SUP16562_272,Noncdm Charge Record Medical Supplies - See 110971 System Laparoscopic 100X12Mm Balloon Trocar Kii A,153.18,59.74,,,0
CDM,SUP16562_A4649_272,Noncdm Charge Record Medical Supplies - See 110971 System Laparoscopic 100X12Mm Balloon Trocar Kii A,153.18,59.74,,,0
CDM,SUP16562_A9999_272,Noncdm Charge Record Medical Supplies - See 110971 System Laparoscopic 100X12Mm Balloon Trocar Kii A,153.18,59.74,,,0
CDM,SUP16565,Noncdm Charge Record Medical Supplies,2065.86,805.69,,,0
CDM,SUP16566,Noncdm Charge Record Medical Supplies - Electrode Emg 12Mm Pr 4 Chan Set Sbdrm,826.96,322.51,,,0
CDM,SUP16569,Noncdm Charge Record Medical Supplies - Insert Clamp Intrack 66Mm Ult,150.07,58.53,,,0
CDM,SUP1656_272,Noncdm Charge Record Medical Supplies - Tube Feeding Mic G 20Fr Silicone Balloon,191.48,74.68,,,0
CDM,SUP1656_C1889_278,Noncdm Charge Record Medical Supplies - Tube Feeding Mic G 20Fr Silicone Balloon,151.11,58.93,,,0
CDM,SUP1657,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 32Mm Lcp Ss Cort St Ns Lg Frag,143.4,55.93,,,0
CDM,SUP16570,Noncdm Charge Record Medical Supplies - Bit Drill 4Mm Trgn Lng Ao Pilt Strl Disp,2147.68,837.6,,,0
CDM,SUP16573_272,Noncdm Charge Record Medical Supplies - Packing Nasal Stammerger Sinu- Foam Smith And Nephew,571.33,222.82,,,0
CDM,SUP16573_A4649_272,Noncdm Charge Record Medical Supplies - Packing Nasal Stammerger Sinu- Foam Smith And Nephew,436.77,170.34,,,0
CDM,SUP16573_A9999_272,Noncdm Charge Record Medical Supplies - Packing Nasal Stammerger Sinu- Foam Smith And Nephew,856.98,334.22,,,0
CDM,SUP16574,Noncdm Charge Record Medical Supplies - Guidewire Vasc .035In 260Cm Pc Exch Rdrr Pc Nmb,225.63,88.0,,,0
CDM,SUP1658,Noncdm Charge Record Medical Supplies - Screw 4.5-34Mm Lc Dcp Ss St Dhs-Dcs Ss Cort St,143.46,55.95,,,0
CDM,SUP16584,Noncdm Charge Record Medical Supplies - Introducer Sheath 9Fr 11Cm,105.57,41.17,,,0
CDM,SUP16585,Noncdm Charge Record Medical Supplies - Device Scr Stab Med 10-12Fr Strl Lf Stlk Univ,46.33,18.07,,,0
CDM,SUP16586,Noncdm Charge Record Medical Supplies - Device Scr Sut Free Releasable Clamp Cust,46.37,18.08,,,0
CDM,SUP16592,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 4Fr-4Mm-Otw,1169.03,455.92,,,0
CDM,SUP16595,Noncdm Charge Record Medical Supplies - Reamer Surg 4.0Mm Cannula 4Mm,3525.21,1374.83,,,0
CDM,SUP165986,Noncdm Charge Record Medical Supplies - Distractor Sur Mnl For Magec Spnl Bracing And Distr Sys,2685.82,1047.47,,,0
CDM,SUP1660,Noncdm Charge Record Medical Supplies - Mesh Surg Vcl 12X12In Abs Knit Wvn Strl Plgc,7326.59,2857.37,,,0
CDM,SUP16602,Noncdm Charge Record Medical Supplies - Quickcross .018,783.5,305.56,,,0
CDM,SUP166022,Noncdm Charge Record Medical Supplies - Endcap Lck Screw,397.44,155.0,,,0
CDM,SUP166118,Noncdm Charge Record Medical Supplies,12125.02,4728.76,,,0
CDM,SUP166120,Noncdm Charge Record Medical Supplies - Catheter Shockwave S4 Ivl 4.0 X 40,12125.02,4728.76,,,0
CDM,SUP166188_270,Noncdm Charge Record Medical Supplies - Probe Doppler Cuff L32Mm 20Mhz Long Cuff,2337.03,911.44,,,0
CDM,SUP166188_272,Noncdm Charge Record Medical Supplies - Probe Doppler Cuff L32Mm 20Mhz Long Cuff,2337.03,911.44,,,0
CDM,SUP166189,Noncdm Charge Record Medical Supplies - Catheter Urological L65Cm Od5Fr Torque Imager Ii,650.5,253.7,,,0
CDM,SUP166192,Noncdm Charge Record Medical Supplies - Bolt Femoral Neck System 90Mm,1843.34,718.9,,,0
CDM,SUP166199,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP166233_272,Noncdm Charge Record Medical Supplies - Adhesive Catheter Securement 0.15Ml Box 50,32.76,12.78,,,0
CDM,SUP166233_A4649_272,Noncdm Charge Record Medical Supplies - Adhesive Catheter Securement 0.15Ml Box 50,39.33,15.34,,,0
CDM,SUP166234_272,Noncdm Charge Record Medical Supplies - Device Compression 10Ml Band L24Cm Left Radial Hemostasis,154.22,60.15,,,0
CDM,SUP166234_A9999_272,Noncdm Charge Record Medical Supplies - Device Compression 10Ml Band L24Cm Left Radial Hemostasis,154.22,60.15,,,0
CDM,SUP166237,Noncdm Charge Record Medical Supplies - Positioner Head Rest Prone,61.06,23.81,,,0
CDM,SUP166324_272,Noncdm Charge Record Medical Supplies - C1544 - 3Mhc - Steri Strips2-3Ml,2.07,0.81,,,0
CDM,SUP166324_A4649_272,Noncdm Charge Record Medical Supplies - C1544 - 3Mhc - Steri Strips2-3Ml,2.07,0.81,,,0
CDM,SUP166359,Noncdm Charge Record Medical Supplies - Echelon Contour Curved Cutter Staplerwith Green Reload 40Mm,3072.92,1198.44,,,0
CDM,SUP166360,Noncdm Charge Record Medical Supplies - Stapler Reload Regular Tissue Green Echelon Contour Gst,1954.25,762.16,,,0
CDM,SUP166361,Noncdm Charge Record Medical Supplies - Stapler Reload Regular Tissue Blue Echelon Contour Gst,1954.11,762.1,,,0
CDM,SUP166362,Noncdm Charge Record Medical Supplies - Captivator Emr Standard Scope,2041.02,796.0,,,0
CDM,SUP166364_272,Noncdm Charge Record Medical Supplies - Snare Endoscopic L240Cm Sheath Dia2.4Mm Loop W10Mm,109.71,42.79,,,0
CDM,SUP166364_A4649_272,Noncdm Charge Record Medical Supplies - Snare Endoscopic L240Cm Sheath Dia2.4Mm Loop W10Mm,109.71,42.79,,,0
CDM,SUP166364_A9999_272,Noncdm Charge Record Medical Supplies - Snare Endoscopic L240Cm Sheath Dia2.4Mm Loop W10Mm,109.71,42.79,,,0
CDM,SUP166460,Noncdm Charge Record Medical Supplies - Drainage Bag 2000Ml Antireflux Twr W Slide Tap Or Sterl Luer,21.74,8.48,,,0
CDM,SUP166461,Noncdm Charge Record Medical Supplies - Bur Surgical Dia5Mm Round Flut Fluted Soft Touch,661.54,258.0,,,0
CDM,SUP166488,Noncdm Charge Record Medical Supplies - Control System Hemorrhage Jada Intrauterine Vacuum Induced,5269.1,2054.95,,,0
CDM,SUP16651,Noncdm Charge Record Medical Supplies,172.84,67.41,,,0
CDM,SUP16653,Noncdm Charge Record Medical Supplies,567.7,221.4,,,0
CDM,SUP166564,Noncdm Charge Record Medical Supplies - Set Sling Needles Silicone Ss 0.64Mm X 300Mm Tubing,261.16,101.85,,,0
CDM,SUP16657,Noncdm Charge Record Medical Supplies - Hook Xtrt Cannula Intramed Nail Strl,2020.15,787.86,,,0
CDM,SUP16658,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 2.8Mm 248Mm Synthes,645.32,251.67,,,0
CDM,SUP166582,Noncdm Charge Record Medical Supplies - Pack C-Section Wellstar Ws210004,447.12,174.38,,,0
CDM,SUP166583_272,Noncdm Charge Record Medical Supplies - See 157016 Pack Lithomtomy Wellstar Ws310004,150.07,58.53,,,0
CDM,SUP166583_A4649_272,Noncdm Charge Record Medical Supplies - See 157016 Pack Lithomtomy Wellstar Ws310004,150.07,58.53,,,0
CDM,SUP16659,Noncdm Charge Record Medical Supplies - Stylet Lead 52Cm .014In Kt J,152.15,59.34,,,0
CDM,SUP1666,Noncdm Charge Record Medical Supplies - Screw Ext Fix 4Mm 175Mm Schnz Ss Ha Self,919.08,358.44,,,0
CDM,SUP16660_272,Noncdm Charge Record Medical Supplies - Forceps Bx 2Mm Algtr Jaw W Ndl,132.54,51.69,,,0
CDM,SUP16660_A4649_272,Noncdm Charge Record Medical Supplies - Forceps Bx 2Mm Algtr Jaw W Ndl,132.48,51.67,,,0
CDM,SUP16662,Noncdm Charge Record Medical Supplies - Blade Reamer 46Mm Pilt Hl,489.56,190.93,,,0
CDM,SUP166653,Noncdm Charge Record Medical Supplies - Device Neuro Evacuation L27Cm Dia2.8Mm Cannula Artemis,30841.96,12028.36,,,0
CDM,SUP166654,Noncdm Charge Record Medical Supplies - Canister Suction For Pump Evacuation Max Artemis,1782.79,695.29,,,0
CDM,SUP166655,Noncdm Charge Record Medical Supplies - Catheter Angiography 4Fr L65Cm Guidewire 0.038In,238.05,92.84,,,0
CDM,SUP16666,Noncdm Charge Record Medical Supplies - Clamp Cvr Nonswivel Ext Fix,371.05,144.71,,,0
CDM,SUP1667,Noncdm Charge Record Medical Supplies - Screw Ext Fix 5Mm 250Mm Schnz Ss Ha Self,1305.14,509.0,,,0
CDM,SUP16671,Noncdm Charge Record Medical Supplies - Valve Guardian Hemosta,129.38,50.46,,,0
CDM,SUP16672_272,Noncdm Charge Record Medical Supplies - Pack Acc+ Angio Lg Bore Hemosta Valve Metal,77.43,30.2,,,0
CDM,SUP16672_A4649_272,Noncdm Charge Record Medical Supplies - Pack Acc+ Angio Lg Bore Hemosta Valve Metal,77.52,30.23,,,0
CDM,SUP16676_272,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 2.8Mm 200Mm Lcp 1 100Mm Calibrated S,673.85,262.8,,,0
CDM,SUP16676_A9999_272,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 2.8Mm 200Mm Lcp 1 100Mm Calibrated S,658.26,256.72,,,0
CDM,SUP166786,Noncdm Charge Record Medical Supplies - Probe Lithotripter 1.9Fr L375Cm,3313.83,1292.39,,,0
CDM,SUP1668,Noncdm Charge Record Medical Supplies - Screw Ti 4Mm Cranmf Self Drill Bn Matrixneuro,419.12,163.46,,,0
CDM,SUP166811,Noncdm Charge Record Medical Supplies - Cuff Uro Blood Pressure 38Mm L,347.76,135.63,,,0
CDM,SUP166813,Noncdm Charge Record Medical Supplies - Stent Peripheral L140Mm Dia6Mm Catheter L125Cm Sheath 6Fr,11576.48,4514.83,,,0
CDM,SUP16683,Noncdm Charge Record Medical Supplies - Introducer Lead 13Cm 9Fr,213.21,83.15,,,0
CDM,SUP16684,Noncdm Charge Record Medical Supplies - Introducer Safe Sheath 13Cm 6Fr,374.15,145.92,,,0
CDM,SUP166843_272,Noncdm Charge Record Medical Supplies - See 157014 Pack Cysto Wellstar Ws170.006 Ws170.006,167.67,65.39,,,0
CDM,SUP166843_A4649_272,Noncdm Charge Record Medical Supplies - See 157014 Pack Cysto Wellstar Ws170.006 Ws170.006,167.67,65.39,,,0
CDM,SUP166843_A9999_272,Noncdm Charge Record Medical Supplies - See 157014 Pack Cysto Wellstar Ws170.006 Ws170.006,167.67,65.39,,,0
CDM,SUP16685,Noncdm Charge Record Medical Supplies - See 137073 Introducer Lead 13Cm 7Fr,220.46,85.98,,,0
CDM,SUP16688_272,Noncdm Charge Record Medical Supplies - Bandage Esmark 6In Deroyal,10.37,4.04,,,0
CDM,SUP16688_A4649_272,Noncdm Charge Record Medical Supplies - Bandage Esmark 6In Deroyal,10.35,4.04,,,0
CDM,SUP16688_A9999_272,Noncdm Charge Record Medical Supplies - Bandage Esmark 6In Deroyal,10.4,4.06,,,0
CDM,SUP16689,Noncdm Charge Record Medical Supplies - Stapler 90X3.5Mm Ti Reg 6Units Thktis Endo Lin Intnl,186.64,72.79,,,0
CDM,SUP166896,Noncdm Charge Record Medical Supplies - Catheter Angiography 5Fr L65Cm 0.035In Soft Radiopaque Tip,79.57,31.03,,,0
CDM,SUP16690,Noncdm Charge Record Medical Supplies - Stapler 90X4.8Mm Ti Reg Thktis Endo Lin Intnl,186.3,72.66,,,0
CDM,SUP16691,Noncdm Charge Record Medical Supplies - Stapler 90X3.5Mm Ti Reg 3 Unit,392.22,152.97,,,0
CDM,SUP16692,Noncdm Charge Record Medical Supplies - Tool Lead Del Lng Tnl,1468.66,572.78,,,0
CDM,SUP16693,Noncdm Charge Record Medical Supplies - Elevator Tnl Pss Spnl Cord Stm,122.13,47.63,,,0
CDM,SUP166931,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP166932,Noncdm Charge Record Medical Supplies,1683.94,656.74,,,0
CDM,SUP166933,Noncdm Charge Record Medical Supplies,1228.2,479.0,,,0
CDM,SUP166935_270,Noncdm Charge Record Medical Supplies - Blanket Warming Pediatric Body Full Body Reflective Premium,146.88,57.28,,,0
CDM,SUP166935_A4649_270,Noncdm Charge Record Medical Supplies - Blanket Warming Pediatric Body Full Body Reflective Premium,83.84,32.7,,,0
CDM,SUP166935_A9999_270,Noncdm Charge Record Medical Supplies - Blanket Warming Pediatric Body Full Body Reflective Premium,153.18,59.74,,,0
CDM,SUP16695,Noncdm Charge Record Medical Supplies - See 124427 Trocar Laparos 100Mm 15Mm Kii,225.63,88.0,,,0
CDM,SUP166964_272,Noncdm Charge Record Medical Supplies - Suture Barbed Non-Absorbable V-Loc 180 Grn Sz 0L 12In Gs-22,125.24,48.84,,,0
CDM,SUP166964_A9999_272,Noncdm Charge Record Medical Supplies - Suture Barbed Non-Absorbable V-Loc 180 Grn Sz 0L 12In Gs-22,125.24,48.84,,,0
CDM,SUP166966,Noncdm Charge Record Medical Supplies - Drain Surgical 15 Fr Round Full Fluted 100 Cc Reservoir,61.58,24.02,,,0
CDM,SUP166967_A2012_278,Noncdm Charge Record Medical Supplies - Graft Synthetic 9X10Cm Pla Microporous Alloplastic Skin,773.4,301.63,,,0
CDM,SUP166968_A2012_278,Noncdm Charge Record Medical Supplies - Graft Synthetic 18X10Cm Pla Microporous Alloplastic Skin,5.73,2.23,,,0
CDM,SUP166969_A2012_278,Noncdm Charge Record Medical Supplies - Graft Synthetic 18X23Cm Pla Microporous Alloplastic Skin,4.3,1.68,,,0
CDM,SUP16698,Noncdm Charge Record Medical Supplies - Stapler Intnl 28X3.5Mm Ti Shaft Staples Endo,1307.2,509.81,,,0
CDM,SUP16699,Noncdm Charge Record Medical Supplies - Bit Drill 4.5Mm Ebtn Cl Cannula Endo,542.34,211.51,,,0
CDM,SUP16700_272,Noncdm Charge Record Medical Supplies - Micropuncture 4F Long,153.18,59.74,,,0
CDM,SUP16700_C1894_272,Noncdm Charge Record Medical Supplies - Micropuncture 4F Long,153.08,59.7,,,0
CDM,SUP16701,Noncdm Charge Record Medical Supplies - Catheter Angio 7Fr 110Cm Pulm Wedge Press,246.33,96.07,,,0
CDM,SUP16704,Noncdm Charge Record Medical Supplies - Pin Fx Hdls Flute 1-8Inx3.5In,1933.23,753.96,,,0
CDM,SUP167106,Noncdm Charge Record Medical Supplies - Coil Embolization L8Cm Dia3Mm 360Deg Soft Detachable Target,8678.48,3384.61,,,0
CDM,SUP167125,Noncdm Charge Record Medical Supplies - Clip Medical L35Mm Small Footprint Atriclip Flex V,8942.4,3487.54,,,0
CDM,SUP167126_C1889_278,Noncdm Charge Record Medical Supplies - Clip Medical L40Mm Small Footprint Atriclip Flex V,8942.4,3487.54,,,0
CDM,SUP167126_C1889_624,Noncdm Charge Record Medical Supplies - Clip Medical L40Mm Small Footprint Atriclip Flex V,8942.4,3487.54,,,0
CDM,SUP167126_L8699_278,Noncdm Charge Record Medical Supplies - Clip Medical L40Mm Small Footprint Atriclip Flex V,8942.4,3487.54,,,0
CDM,SUP167126_L8699_624,Noncdm Charge Record Medical Supplies - Clip Medical L40Mm Small Footprint Atriclip Flex V,8942.4,3487.54,,,0
CDM,SUP167127_L8699_278,Noncdm Charge Record Medical Supplies - Device Occlusion Clip L45Mm Atriclip Flex V,8942.4,3487.54,,,0
CDM,SUP167127_L8699_624,Noncdm Charge Record Medical Supplies - Device Occlusion Clip L45Mm Atriclip Flex V,8942.4,3487.54,,,0
CDM,SUP167128_L8699_278,Noncdm Charge Record Medical Supplies - Device Occlusion Clip L50Mm Atriclip Flex V,8942.4,3487.54,,,0
CDM,SUP167128_L8699_624,Noncdm Charge Record Medical Supplies - Device Occlusion Clip L50Mm Atriclip Flex V,8942.4,3487.54,,,0
CDM,SUP16713,Noncdm Charge Record Medical Supplies - Retractor Dextrus Acc Endo Sm,329.13,128.36,,,0
CDM,SUP16716,Noncdm Charge Record Medical Supplies - Bit Drill 14Mm,245.3,95.67,,,0
CDM,SUP16717,Noncdm Charge Record Medical Supplies - Pin Temp Fx,245.3,95.67,,,0
CDM,SUP167174,Noncdm Charge Record Medical Supplies - Suture Srgpro 2 4-0 Cv-15 48In 3-8 Circ 2 Arm,20.25,7.9,,,0
CDM,SUP167175,Noncdm Charge Record Medical Supplies - Suture Srgpro 2 5-0 Cv-11 36In 2 Arm Monofil,20.36,7.94,,,0
CDM,SUP167196,Noncdm Charge Record Medical Supplies - Catheter Diagnostic L90Cm L40Cm Steel Straight Tip,886.83,345.86,,,0
CDM,SUP167197,Noncdm Charge Record Medical Supplies - Catheter Diagnostic L65Cm 0.035In Straight Tip,837.32,326.55,,,0
CDM,SUP16719_272,Noncdm Charge Record Medical Supplies - Straightshot To Xps Irrigator Tubing,102.36,39.92,,,0
CDM,SUP16719_A4649_272,Noncdm Charge Record Medical Supplies - Straightshot To Xps Irrigator Tubing,103.5,40.36,,,0
CDM,SUP16719_A9999_272,Noncdm Charge Record Medical Supplies - Straightshot To Xps Irrigator Tubing,100.4,39.16,,,0
CDM,SUP1672,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 85Mm 16Mm Ss Fem Self Drill,839.38,327.36,,,0
CDM,SUP167200,Noncdm Charge Record Medical Supplies - Catheter Support L150Cm Dia0.018In Straight Tip,1014.15,395.52,,,0
CDM,SUP167201,Noncdm Charge Record Medical Supplies,992.05,386.9,,,0
CDM,SUP167204,Noncdm Charge Record Medical Supplies - Catheter Support L90Cm Dia0.018In Straight Tip,837.32,326.55,,,0
CDM,SUP167206,Noncdm Charge Record Medical Supplies - Coil Embolization L6Cm Dia3Mm 0.0165In Peripheral,3625.6,1413.98,,,0
CDM,SUP16720_272,Noncdm Charge Record Medical Supplies - Bit Drill 12Mm,245.27,95.66,,,0
CDM,SUP16720_A4649_272,Noncdm Charge Record Medical Supplies - Bit Drill 12Mm,245.3,95.67,,,0
CDM,SUP16720_A9999_272,Noncdm Charge Record Medical Supplies - Bit Drill 12Mm,245.3,95.67,,,0
CDM,SUP16724,Noncdm Charge Record Medical Supplies - Stapler Intnl 25X3.5Mm Endo Lin Cutter Reload,1585.66,618.41,,,0
CDM,SUP16727,Noncdm Charge Record Medical Supplies - Stapler Intnl 30X3.5Mm Ti Reg,359.14,140.06,,,0
CDM,SUP16729,Noncdm Charge Record Medical Supplies - Stapler Intnl 30X4.8Mm Ti Reg Thktis Endo Lin,157.32,61.35,,,0
CDM,SUP167298_272,Noncdm Charge Record Medical Supplies - Pack Major Basin Cobb Wc120.029,151.11,58.93,,,0
CDM,SUP167298_A4649_272,Noncdm Charge Record Medical Supplies - Pack Major Basin Cobb Wc120.029,151.11,58.93,,,0
CDM,SUP167298_A9999_272,Noncdm Charge Record Medical Supplies - Pack Major Basin Cobb Wc120.029,151.11,58.93,,,0
CDM,SUP167299_272,Noncdm Charge Record Medical Supplies - Pack Angio Kennestone Wk100.021,281.52,109.79,,,0
CDM,SUP167299_A9999_272,Noncdm Charge Record Medical Supplies - Pack Angio Kennestone Wk100.021,281.52,109.79,,,0
CDM,SUP1673,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 95Mm 16Mm Ss Fem Self Drill,1004.64,391.81,,,0
CDM,SUP16730,Noncdm Charge Record Medical Supplies - Set Ventri Ast Device Centrimag Blood Pump,50704.65,19774.81,,,0
CDM,SUP167300_272,Noncdm Charge Record Medical Supplies - Pack Breast Proc Kennestone Wk130.025,245.11,95.59,,,0
CDM,SUP167300_A4649_272,Noncdm Charge Record Medical Supplies - Pack Breast Proc Kennestone Wk130.025,245.3,95.67,,,0
CDM,SUP167301_272,Noncdm Charge Record Medical Supplies - Pack Kop Hand Kennestone Wk140.017,117.99,46.02,,,0
CDM,SUP167301_A4649_272,Noncdm Charge Record Medical Supplies - Pack Kop Hand Kennestone Wk140.017,117.99,46.02,,,0
CDM,SUP167301_A9999_272,Noncdm Charge Record Medical Supplies - Pack Kop Hand Kennestone Wk140.017,117.99,46.02,,,0
CDM,SUP167303,Noncdm Charge Record Medical Supplies - See 158116 Pack Cardiac Drape Kennestone Wk160.022,616.86,240.58,,,0
CDM,SUP167307_272,Noncdm Charge Record Medical Supplies - See 157717 Pack Minor Proc Basin Kennest Wk320.035,161.46,62.97,,,0
CDM,SUP167307_A4649_272,Noncdm Charge Record Medical Supplies - See 157717 Pack Minor Proc Basin Kennest Wk320.035,161.46,62.97,,,0
CDM,SUP167307_A9999_272,Noncdm Charge Record Medical Supplies - See 157717 Pack Minor Proc Basin Kennest Wk320.035,161.46,62.97,,,0
CDM,SUP16731,Noncdm Charge Record Medical Supplies - Wire Fx 1.4Mm 100Mm Krsh Smth,137.66,53.69,,,0
CDM,SUP167336_272,Noncdm Charge Record Medical Supplies - Suture Capio Size 0 L36In Tapercut L26Mm 1-2 Circle,267.63,104.38,,,0
CDM,SUP167336_A4649_272,Noncdm Charge Record Medical Supplies - Suture Capio Size 0 L36In Tapercut L26Mm 1-2 Circle,247.88,96.67,,,0
CDM,SUP167337,Noncdm Charge Record Medical Supplies - Myriad Thin 5X5Cm,1184.04,461.78,,,0
CDM,SUP167338,Noncdm Charge Record Medical Supplies - Myriad Thin 10X10Cm,4262.2,1662.26,,,0
CDM,SUP167339,Noncdm Charge Record Medical Supplies - Graft Human Tissue 10X20Cm Thin Myriad,8525.18,3324.82,,,0
CDM,SUP167340,Noncdm Charge Record Medical Supplies - Myriad Thick 5X5Cm,1638.4,638.98,,,0
CDM,SUP167341,Noncdm Charge Record Medical Supplies - Myriad Thick 10X10Cm,5896.4,2299.6,,,0
CDM,SUP167342,Noncdm Charge Record Medical Supplies - Myriad Thick 10X20Cm,11792.79,4599.19,,,0
CDM,SUP167343,Noncdm Charge Record Medical Supplies - Myriad Morcells 500Mg,4307.67,1679.99,,,0
CDM,SUP167344,Noncdm Charge Record Medical Supplies - Myriad Morcells 1000Mg,7866.15,3067.8,,,0
CDM,SUP167371,Noncdm Charge Record Medical Supplies - Microcoil Embolization L20Cm Dia12Mm 0.035In,709.75,276.8,,,0
CDM,SUP167372,Noncdm Charge Record Medical Supplies - Microcoil Embolization L20Cm Dia14Mm 0.035In,709.66,276.77,,,0
CDM,SUP167373,Noncdm Charge Record Medical Supplies - Microcoil Embolization L20Cm Dia20Mm 0.035In,709.71,276.79,,,0
CDM,SUP167374,Noncdm Charge Record Medical Supplies - Microcoil Embolization L20Cm Dia10Mm 0.035In,709.75,276.8,,,0
CDM,SUP16741_272,Noncdm Charge Record Medical Supplies - Clip Applier Long 30 Auto Titanium Covidien,225.63,88.0,,,0
CDM,SUP16741_A4649_272,Noncdm Charge Record Medical Supplies - Clip Applier Long 30 Auto Titanium Covidien,225.63,88.0,,,0
CDM,SUP167420_272,Noncdm Charge Record Medical Supplies - Pack Minor Basin Wellstar Ws300A,86.94,33.91,,,0
CDM,SUP167420_A4649_272,Noncdm Charge Record Medical Supplies - Pack Minor Basin Wellstar Ws300A,86.94,33.91,,,0
CDM,SUP167420_A9999_272,Noncdm Charge Record Medical Supplies - Pack Minor Basin Wellstar Ws300A,86.94,33.91,,,0
CDM,SUP16743,Noncdm Charge Record Medical Supplies - Tool Dissect 100Mm 5Mm Dmd Lgn Ball Mdsrx,722.43,281.75,,,0
CDM,SUP16748,Noncdm Charge Record Medical Supplies - See 130332 Catheter Balloon Dil 4Fr 3Mm,991.53,386.7,,,0
CDM,SUP16749,Noncdm Charge Record Medical Supplies - Catheter Ball Dil Rx 4Fr 4Mm,1352.74,527.57,,,0
CDM,SUP167494,Noncdm Charge Record Medical Supplies - Expander Tissue 650Cc W14X H14.5Cm Fourte Natrelle 133S,7491.9,2921.84,,,0
CDM,SUP167514,Noncdm Charge Record Medical Supplies - Transseptal Solution Versa Cross Steerable J Tip,7165.3,2794.47,,,0
CDM,SUP167515,Noncdm Charge Record Medical Supplies - Access Solution Versacross Fixed Curve Dilator Pigtail,3946.42,1539.1,,,0
CDM,SUP16753,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 3.8Fr 4Mm,1109.86,432.85,,,0
CDM,SUP16755,Noncdm Charge Record Medical Supplies - Catheter Ball Dil Sterling 3.8F 5Mm Otw,991.53,386.7,,,0
CDM,SUP167552_272,Noncdm Charge Record Medical Supplies - Catheter Urethral 16Fr Red Rubber Smooth Tip,4.14,1.61,,,0
CDM,SUP167552_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Urethral 16Fr Red Rubber Smooth Tip,4.14,1.61,,,0
CDM,SUP167552_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Urethral 16Fr Red Rubber Smooth Tip,4.14,1.61,,,0
CDM,SUP167556,Noncdm Charge Record Medical Supplies - Kit Prep Size 6 Femoral Cruciate Retaining Disposable,899.42,350.77,,,0
CDM,SUP167559,Noncdm Charge Record Medical Supplies - See 156651 Pack Robotic Wellstar Ws205.002,239.08,93.24,,,0
CDM,SUP16756,Noncdm Charge Record Medical Supplies - Catheter Baloon Dil 4F 5Mm Otw,1204.53,469.77,,,0
CDM,SUP167561,Noncdm Charge Record Medical Supplies - See 157007 Pack Spine Wellstar Ws370.006,405.72,158.23,,,0
CDM,SUP167562,Noncdm Charge Record Medical Supplies - Kit Pleural Drainage Starter Insertion Tray Catheter,2662.02,1038.19,,,0
CDM,SUP167590_272,Noncdm Charge Record Medical Supplies - Tray Spnl 3.5In 22Ga Adlt Lumbar Puncture Ph,116.77,45.54,,,0
CDM,SUP167590_A4649_272,Noncdm Charge Record Medical Supplies - Tray Spnl 3.5In 22Ga Adlt Lumbar Puncture Ph,117.47,45.81,,,0
CDM,SUP167591_272,Noncdm Charge Record Medical Supplies - Tray Lumbar Adult 20 Ga L3.5In Puncture Needle Luerlock Syr,71.38,27.84,,,0
CDM,SUP167591_A4649_272,Noncdm Charge Record Medical Supplies - Tray Lumbar Adult 20 Ga L3.5In Puncture Needle Luerlock Syr,71.42,27.85,,,0
CDM,SUP167591_A9999_272,Noncdm Charge Record Medical Supplies - Tray Lumbar Adult 20 Ga L3.5In Puncture Needle Luerlock Syr,71.42,27.85,,,0
CDM,SUP167615,Noncdm Charge Record Medical Supplies - Device Traction Universal Adlt Neck Head Halter Deluxe,54.86,21.4,,,0
CDM,SUP167617,Noncdm Charge Record Medical Supplies,5896.4,2299.6,,,0
CDM,SUP167619,Noncdm Charge Record Medical Supplies - Set Anchor Suture 3 Preloaded Needle Adj L12Cm Odsec17Ga,758.66,295.88,,,0
CDM,SUP167693,Noncdm Charge Record Medical Supplies - Electrode Electrosurgical M 24Fr 12-30Deg Plasmaloop,2427.07,946.56,,,0
CDM,SUP167694,Noncdm Charge Record Medical Supplies - Graft Human Tissue W16Xl20Cm Thk0.4-2.4Mm Regenerative Tiss,53370.81,20814.62,,,0
CDM,SUP1677,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 75Mm 32Mm Ss Fem Cannula Ns,938.4,365.98,,,0
CDM,SUP16773,Noncdm Charge Record Medical Supplies - Guide 6 Fr Mach 1 Kr4H Sh .070In 90Cm Peri,269.1,104.95,,,0
CDM,SUP167764_272,Noncdm Charge Record Medical Supplies - Pad Defibrillator Adult L60In Radiolucent For Physio Control,79.69,31.08,,,0
CDM,SUP167764_A4649_272,Noncdm Charge Record Medical Supplies - Pad Defibrillator Adult L60In Radiolucent For Physio Control,79.69,31.08,,,0
CDM,SUP167764_A9999_272,Noncdm Charge Record Medical Supplies - Pad Defibrillator Adult L60In Radiolucent For Physio Control,79.69,31.08,,,0
CDM,SUP16778,Noncdm Charge Record Medical Supplies - Dressing Ear Wrap Eavey E3 Ps Sgl,59.0,23.01,,,0
CDM,SUP167780,Noncdm Charge Record Medical Supplies - Guidewire Vascular Nitinol L180Cm Dia0.038In Tip L3In,228.74,89.21,,,0
CDM,SUP167781,Noncdm Charge Record Medical Supplies - Kit Introducer 16Fr Dilator 18Fr With Hemostat Needle Gw,551.66,215.15,,,0
CDM,SUP16779,Noncdm Charge Record Medical Supplies - Seal Da Vinci Intuitive,77.54,30.24,,,0
CDM,SUP16780_272,Noncdm Charge Record Medical Supplies - Cap Endoscp Seal 8Mm 8Mm Monopol Tip Cvr Hot,102.48,39.97,,,0
CDM,SUP16780_A4649_272,Noncdm Charge Record Medical Supplies - Cap Endoscp Seal 8Mm 8Mm Monopol Tip Cvr Hot,102.48,39.97,,,0
CDM,SUP16780_A9999_272,Noncdm Charge Record Medical Supplies - Cap Endoscp Seal 8Mm 8Mm Monopol Tip Cvr Hot,102.48,39.97,,,0
CDM,SUP16786_272,Noncdm Charge Record Medical Supplies - Obturator Da Vinci Intuitive,128.34,50.05,,,0
CDM,SUP16786_A9999_272,Noncdm Charge Record Medical Supplies - Obturator Da Vinci Intuitive,128.34,50.05,,,0
CDM,SUP16787,Noncdm Charge Record Medical Supplies - Obturator Da Vinci Bladeless Long Intuitive,128.34,50.05,,,0
CDM,SUP1679,Noncdm Charge Record Medical Supplies - Screw 7.3Mm 32Mm Ss Fem 85Mm Cannula Thrd Ns,938.4,365.98,,,0
CDM,SUP16790,Noncdm Charge Record Medical Supplies - Driver Ndl 8Mm 0-30D 54.7Cm Mega Endowst 1.3,455.4,177.61,,,0
CDM,SUP16791,Noncdm Charge Record Medical Supplies - Driver Ndl 8Mm 0-30D Lg 54.4Cm Holder Jaw Da,455.4,177.61,,,0
CDM,SUP167911,Noncdm Charge Record Medical Supplies - Catheter Drainage Lumbar L80Cm Od1.5Mm Id0.7Mm Hermetic,1086.23,423.63,,,0
CDM,SUP16792,Noncdm Charge Record Medical Supplies - Cadiere Da Vinci Intuitive,414.0,161.46,,,0
CDM,SUP16793,Noncdm Charge Record Medical Supplies - Forceps Bipolar 55.9Cm 8Mm Endowst Da Vinci S,558.9,217.97,,,0
CDM,SUP167930,Noncdm Charge Record Medical Supplies - Kit Trnsdcr Sgl 12In No Rsrvr,64.2,25.04,,,0
CDM,SUP167932,Noncdm Charge Record Medical Supplies - Kit Trnsdcr Dbl Vamp 84In,310.59,121.13,,,0
CDM,SUP16794,Noncdm Charge Record Medical Supplies - Maryland Da Vinci Intuitive,558.9,217.97,,,0
CDM,SUP167953,Noncdm Charge Record Medical Supplies - See 156180 Pack Upper Extremity Kenneston Wk420.029,208.04,81.14,,,0
CDM,SUP16796,Noncdm Charge Record Medical Supplies - Forceps Electrosurg 56.2Cm 8Mm Da Vinci,455.4,177.61,,,0
CDM,SUP167990,Noncdm Charge Record Medical Supplies,2189.02,853.72,,,0
CDM,SUP167995,Noncdm Charge Record Medical Supplies - Stent Ureteral 4.8Fr 22Cm Firm Without Guidewire Tria,1314.27,512.57,,,0
CDM,SUP167996,Noncdm Charge Record Medical Supplies - Stent Ureteral 4.8Fr 24Cm Firm Without Guidewire Tria,1466.83,572.06,,,0
CDM,SUP167997,Noncdm Charge Record Medical Supplies - Stent Ureteral 4.8Fr 26Cm Firm Without Guidewire Tria,1257.04,490.25,,,0
CDM,SUP167998,Noncdm Charge Record Medical Supplies - Stent Ureteral 4.8Fr 28Cm Firm Without Guidewire Tria,1521.45,593.37,,,0
CDM,SUP16799_272,Noncdm Charge Record Medical Supplies - Scissors Monopol 55.9Cm 8Mm Davvinci S Hot,662.4,258.34,,,0
CDM,SUP16799_A4649_272,Noncdm Charge Record Medical Supplies - Scissors Monopol 55.9Cm 8Mm Davvinci S Hot,662.4,258.34,,,0
CDM,SUP1680,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 90Mm 32Mm Ss Fem Cannula Ns,971.52,378.89,,,0
CDM,SUP168000,Noncdm Charge Record Medical Supplies - Stent Ureteral 6Fr L20Cm Firm 3Layer Raw Clrt Radio Mon,1090.37,425.24,,,0
CDM,SUP168001,Noncdm Charge Record Medical Supplies - Stent Ureteral 6Fr L22Cm Firm 3Layer Raw Clrt Radio Mon,1361.05,530.81,,,0
CDM,SUP168002,Noncdm Charge Record Medical Supplies - Stent Ureteral 6Fr L24Cm Firm 3Layer Raw Clrt Radio Mon,1497.42,583.99,,,0
CDM,SUP168003,Noncdm Charge Record Medical Supplies - Stent Ureteral 6Fr L26Cm Firm 3Layer Raw Clrt Radio Mon,1359.09,530.05,,,0
CDM,SUP168004,Noncdm Charge Record Medical Supplies - Stent Ureteral 6Fr L28Cm Firm 3Layer Raw Clrt Radio Mon,1242.89,484.73,,,0
CDM,SUP168008,Noncdm Charge Record Medical Supplies - Stent Ureteral 7Fr L24Cm Firm 3Layer Raw Clrt Radio Mon,1383.52,539.57,,,0
CDM,SUP168009,Noncdm Charge Record Medical Supplies,1401.54,546.6,,,0
CDM,SUP16800_272,Noncdm Charge Record Medical Supplies - Elevator Endo Vcare Med 34Mm Cerv Retract Cup,375.87,146.59,,,0
CDM,SUP16800_A4649_272,Noncdm Charge Record Medical Supplies - Elevator Endo Vcare Med 34Mm Cerv Retract Cup,381.92,148.95,,,0
CDM,SUP16800_A9999_272,Noncdm Charge Record Medical Supplies - Elevator Endo Vcare Med 34Mm Cerv Retract Cup,369.5,144.1,,,0
CDM,SUP168010,Noncdm Charge Record Medical Supplies,1639.96,639.58,,,0
CDM,SUP168012,Noncdm Charge Record Medical Supplies,2189.02,853.72,,,0
CDM,SUP168013,Noncdm Charge Record Medical Supplies,1395.33,544.18,,,0
CDM,SUP168014,Noncdm Charge Record Medical Supplies,1639.96,639.58,,,0
CDM,SUP168015,Noncdm Charge Record Medical Supplies - Stent Ureteral 8Fr L26Cm Firm Without Guidewire Tria,1749.77,682.41,,,0
CDM,SUP168016,Noncdm Charge Record Medical Supplies,1090.89,425.45,,,0
CDM,SUP168018,Noncdm Charge Record Medical Supplies - Stent Ureteral 6Fr L20Cm Soft Without Guidewire Tria,1270.29,495.41,,,0
CDM,SUP168019,Noncdm Charge Record Medical Supplies - Stent Ureteral 6Fr L22Cm Soft Microfil Suture Percushie,1344.3,524.28,,,0
CDM,SUP16801_272,Noncdm Charge Record Medical Supplies - Elevator Endo Vcare Lg 37Mm Cerv Retract Cup,375.2,146.33,,,0
CDM,SUP16801_A4649_272,Noncdm Charge Record Medical Supplies - Elevator Endo Vcare Lg 37Mm Cerv Retract Cup,380.36,148.34,,,0
CDM,SUP16801_A9999_272,Noncdm Charge Record Medical Supplies - Elevator Endo Vcare Lg 37Mm Cerv Retract Cup,367.42,143.29,,,0
CDM,SUP168020,Noncdm Charge Record Medical Supplies - Stent Ureteral 6Fr L24Cm Soft Without Guidewire Tria,1391.18,542.56,,,0
CDM,SUP168021,Noncdm Charge Record Medical Supplies - Stent Ureteral 6Fr L26Cm Soft Without Guidewire Tria,1448.34,564.85,,,0
CDM,SUP168022,Noncdm Charge Record Medical Supplies - Set Ureteral Stent 6Fr L28Cm Soft Durometer Wo Guidewire Mo,1348.32,525.84,,,0
CDM,SUP168023,Noncdm Charge Record Medical Supplies,2189.02,853.72,,,0
CDM,SUP168024,Noncdm Charge Record Medical Supplies,1090.89,425.45,,,0
CDM,SUP168025,Noncdm Charge Record Medical Supplies - Stent Ureteral 7Fr L22Cm Soft Without Guidewire Tria,1334.17,520.33,,,0
CDM,SUP168026,Noncdm Charge Record Medical Supplies - Stent Ureteral 7Fr L24Cm Soft Without Guidewire Tria,1330.09,518.74,,,0
CDM,SUP168027,Noncdm Charge Record Medical Supplies - Stent Ureteral 7Fr L26Cm Soft Without Guidewire Tria,1082.2,422.06,,,0
CDM,SUP168028,Noncdm Charge Record Medical Supplies,1069.16,416.97,,,0
CDM,SUP16802_272,Noncdm Charge Record Medical Supplies - Elevator Endo Vcare Sm 32Mm Cerv Retract Cup,376.16,146.7,,,0
CDM,SUP16802_A4649_272,Noncdm Charge Record Medical Supplies - Elevator Endo Vcare Sm 32Mm Cerv Retract Cup,367.42,143.29,,,0
CDM,SUP16803,Noncdm Charge Record Medical Supplies - Shears Harmonic Focus 9Cm Curved Ethicon,2482.96,968.35,,,0
CDM,SUP168030,Noncdm Charge Record Medical Supplies - Stent Ureteral 8Fr L20Cm Soft Without Guidewire Tria,1080.02,421.21,,,0
CDM,SUP168031,Noncdm Charge Record Medical Supplies - Stent Ureteral 8Fr L22Cm Soft Without Guidewire Tria,1090.89,425.45,,,0
CDM,SUP168032,Noncdm Charge Record Medical Supplies - Stent Ureteral 8Fr L24Cm Soft Without Guidewire Tria,1090.89,425.45,,,0
CDM,SUP168033,Noncdm Charge Record Medical Supplies - Stent Ureteral 8Fr L26Cm Soft Without Guidewire Tria,1270.12,495.35,,,0
CDM,SUP168034,Noncdm Charge Record Medical Supplies,1090.37,425.24,,,0
CDM,SUP168036,Noncdm Charge Record Medical Supplies - Implant Breast 485Cc P4.6Cm Dia14Cm Silicone Smooth Round,6404.58,2497.79,,,0
CDM,SUP168039_272,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP168039_C1789_278,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP168041,Noncdm Charge Record Medical Supplies - Implant Breast 650Cc P5.9Cm Dia14.5Cm Silicone Smooth Rd,6404.58,2497.79,,,0
CDM,SUP168043,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP16805,Noncdm Charge Record Medical Supplies - Guide 7 Fr Mach 1 Kr4H,269.1,104.95,,,0
CDM,SUP16806_272,Noncdm Charge Record Medical Supplies - Forceps Bipolar 8Mm Da Vinci,558.9,217.97,,,0
CDM,SUP1681,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 95Mm 32Mm Ss Fem Cannula Thrd,839.38,327.36,,,0
CDM,SUP16812,Noncdm Charge Record Medical Supplies - Wire Whisper Es 300 Cm 3Cm Strt X,440.76,171.9,,,0
CDM,SUP168128_272,Noncdm Charge Record Medical Supplies - Sensor Pulse Oximeter Adult L Foresight Elite,662.4,258.34,,,0
CDM,SUP168128_A4649_272,Noncdm Charge Record Medical Supplies - Sensor Pulse Oximeter Adult L Foresight Elite,734.85,286.59,,,0
CDM,SUP16813,Noncdm Charge Record Medical Supplies - Guidewire Whisper Es 190 Cm,440.78,171.9,,,0
CDM,SUP168130,Noncdm Charge Record Medical Supplies - Interstim X Ins,60692.67,23670.14,,,0
CDM,SUP168131,Noncdm Charge Record Medical Supplies - Interstim Smart Programerkit,8947.19,3489.4,,,0
CDM,SUP16815,Noncdm Charge Record Medical Supplies - See 83644 Trocar Laparos Xlng 150Mm,875.61,341.49,,,0
CDM,SUP16816,Noncdm Charge Record Medical Supplies - Valve Shunt Strt2 Csf Reg Prgm Flow Control,23409.24,9129.6,,,0
CDM,SUP16817_272,Noncdm Charge Record Medical Supplies - Guide 55Cm Glwntl Surg,382.18,149.05,,,0
CDM,SUP16817_A9999_272,Noncdm Charge Record Medical Supplies - Guide 55Cm Glwntl Surg,380.88,148.54,,,0
CDM,SUP16818,Noncdm Charge Record Medical Supplies - Ligator E-Lp Plyp Loop Strl,510.26,199.0,,,0
CDM,SUP16819,Noncdm Charge Record Medical Supplies - Guidewire W-Troc Tip .062,73.48,28.66,,,0
CDM,SUP1682,Noncdm Charge Record Medical Supplies - Washer Cannula Screw 10.0Mm 4.5Mm,90.04,35.12,,,0
CDM,SUP168224,Noncdm Charge Record Medical Supplies,442.98,172.76,,,0
CDM,SUP16824,Noncdm Charge Record Medical Supplies,78.66,30.68,,,0
CDM,SUP168300,Noncdm Charge Record Medical Supplies,918.04,358.04,,,0
CDM,SUP16833,Noncdm Charge Record Medical Supplies - Unit Suct Mini Wound Orth Neg,88.89,34.67,,,0
CDM,SUP168347_272,Noncdm Charge Record Medical Supplies - Kit Surface Electrode Ep Sys Navx Array Ensite X Patch,5048.67,1968.98,,,0
CDM,SUP168347_A4649_272,Noncdm Charge Record Medical Supplies - Kit Surface Electrode Ep Sys Navx Array Ensite X Patch,5048.73,1969.0,,,0
CDM,SUP168347_A9999_272,Noncdm Charge Record Medical Supplies - Kit Surface Electrode Ep Sys Navx Array Ensite X Patch,5048.73,1969.0,,,0
CDM,SUP168348_272,Noncdm Charge Record Medical Supplies - Cable Ep System 22 Pin Advisor Catheter Connector Hd Vl Se,2203.52,859.37,,,0
CDM,SUP168348_A4649_272,Noncdm Charge Record Medical Supplies - Cable Ep System 22 Pin Advisor Catheter Connector Hd Vl Se,2203.52,859.37,,,0
CDM,SUP168349_272,Noncdm Charge Record Medical Supplies - Cable Ep System 4 Pin Catheter Connector Ensite X Supreme,1468.66,572.78,,,0
CDM,SUP168349_A4649_272,Noncdm Charge Record Medical Supplies - Cable Ep System 4 Pin Catheter Connector Ensite X Supreme,1468.66,572.78,,,0
CDM,SUP16834_272,Noncdm Charge Record Medical Supplies - Needle Rgd 14.6In 21Ga Sdkck Inj Coaptite,310.02,120.91,,,0
CDM,SUP16834_A4649_272,Noncdm Charge Record Medical Supplies - Needle Rgd 14.6In 21Ga Sdkck Inj Coaptite,324.99,126.75,,,0
CDM,SUP16835,Noncdm Charge Record Medical Supplies - Kit Suct Tub 20L Uhi 3 Uhi 2,156.28,60.95,,,0
CDM,SUP168350,Noncdm Charge Record Medical Supplies - Cable Cath Connect 20 Pin Ensite X Livewire Response,1958.22,763.71,,,0
CDM,SUP168351,Noncdm Charge Record Medical Supplies - Graft Glycerol Cornea Whole,1584.58,617.99,,,0
CDM,SUP16837,Noncdm Charge Record Medical Supplies - Slitter Cath Univ 2,132.48,51.67,,,0
CDM,SUP16840_272,Noncdm Charge Record Medical Supplies - Kit Marker Mrgn Ink,836.97,326.42,,,0
CDM,SUP16840_A4649_272,Noncdm Charge Record Medical Supplies - Kit Marker Mrgn Ink,850.77,331.8,,,0
CDM,SUP16840_A9999_272,Noncdm Charge Record Medical Supplies - Kit Marker Mrgn Ink,813.51,317.27,,,0
CDM,SUP16841_270,Noncdm Charge Record Medical Supplies - Kit Arthro Fx Shoulder Suspen Cbn Wrap Arm,377.78,147.33,,,0
CDM,SUP16841_A4649_270,Noncdm Charge Record Medical Supplies - Kit Arthro Fx Shoulder Suspen Cbn Wrap Arm,377.78,147.33,,,0
CDM,SUP16842,Noncdm Charge Record Medical Supplies - Catheter Guide Quick Cross.014In 6F-5Mm 150,783.5,305.56,,,0
CDM,SUP168439,Noncdm Charge Record Medical Supplies - System Introducer Transseptal Sheath Steerable 72Cm,7165.3,2794.47,,,0
CDM,SUP168440,Noncdm Charge Record Medical Supplies - Transseptal Solution Versacros Steerable J Tip,7165.29,2794.46,,,0
CDM,SUP168441,Noncdm Charge Record Medical Supplies - Transseptal Solution Versacros Steerable Pigtail,7165.3,2794.47,,,0
CDM,SUP16845,Noncdm Charge Record Medical Supplies - Bit Drill 180Mm 4.8Mm Calibrate Strl,589.95,230.08,,,0
CDM,SUP168454,Noncdm Charge Record Medical Supplies - Wavewriter Alpha 16 Pulse Generator,83429.99,32537.7,,,0
CDM,SUP168455_270,Noncdm Charge Record Medical Supplies - Freelink Remote Cntl Kit Stim Ipg Wavewriter Alpha,3866.76,1508.04,,,0
CDM,SUP168455_C1787_278,Noncdm Charge Record Medical Supplies - Freelink Remote Cntl Kit Stim Ipg Wavewriter Alpha,3866.76,1508.04,,,0
CDM,SUP16847,Noncdm Charge Record Medical Supplies - Catheter Angio .035In Om Flsh Crv 5Fr 70Cm 20 Bx-10,489.79,191.02,,,0
CDM,SUP168489,Noncdm Charge Record Medical Supplies - Catheter Dialysis L62.5Cm Swan Neck Curl Peritoneal Missouri,806.26,314.44,,,0
CDM,SUP168501,Noncdm Charge Record Medical Supplies - Guidewire Vascular L300Cm Dia0.035In Taper L11Cm,546.13,212.99,,,0
CDM,SUP16852,Noncdm Charge Record Medical Supplies - Stapler Intnl 30X4.8Mm Ti Vasc Endo Lin,398.48,155.41,,,0
CDM,SUP16854_272,Noncdm Charge Record Medical Supplies - See 157701 Tip Suct Frzr 12Fr Cntl W Vent,7.24,2.82,,,0
CDM,SUP16854_A4649_272,Noncdm Charge Record Medical Supplies - See 157701 Tip Suct Frzr 12Fr Cntl W Vent,7.24,2.82,,,0
CDM,SUP16854_A9999_272,Noncdm Charge Record Medical Supplies - See 157701 Tip Suct Frzr 12Fr Cntl W Vent,7.24,2.82,,,0
CDM,SUP16855_272,Noncdm Charge Record Medical Supplies - Tip Suct Frzr 10Fr Control,7.24,2.82,,,0
CDM,SUP16855_A4649_272,Noncdm Charge Record Medical Supplies - Tip Suct Frzr 10Fr Control,7.24,2.82,,,0
CDM,SUP168574_272,Noncdm Charge Record Medical Supplies - Wand Ablation 90Deg With Flow-Iq Technology Werewolf,1440.72,561.88,,,0
CDM,SUP168574_A4649_272,Noncdm Charge Record Medical Supplies - Wand Ablation 90Deg With Flow-Iq Technology Werewolf,1440.72,561.88,,,0
CDM,SUP168574_A9999_272,Noncdm Charge Record Medical Supplies - Wand Ablation 90Deg With Flow-Iq Technology Werewolf,1440.72,561.88,,,0
CDM,SUP16859,Noncdm Charge Record Medical Supplies - Holder Lens Iol Inserter C Cartridge Monarch,98.32,38.34,,,0
CDM,SUP16865,Noncdm Charge Record Medical Supplies - Guidewire Vasc 0D .018In 60Cm,278.55,108.63,,,0
CDM,SUP16867,Noncdm Charge Record Medical Supplies - Guidewire Vasc 0D .018In 80Cm,280.36,109.34,,,0
CDM,SUP1687,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 38Mm Ss P-T Cannula Ns,669.64,261.16,,,0
CDM,SUP16871,Noncdm Charge Record Medical Supplies - Guide Drill 7Mm Drill Comp,1759.5,686.2,,,0
CDM,SUP16877,Noncdm Charge Record Medical Supplies - Warmer Lapscp Strl Lf Disp,48.64,18.97,,,0
CDM,SUP16878,Noncdm Charge Record Medical Supplies - Catheter Pronto Lp 6 Fr,1539.58,600.44,,,0
CDM,SUP168789,Noncdm Charge Record Medical Supplies,11343.6,4424.0,,,0
CDM,SUP1688,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 40Mm Ss P-T Canc Cannula Ns,669.64,261.16,,,0
CDM,SUP168818,Noncdm Charge Record Medical Supplies,1933.38,754.02,,,0
CDM,SUP168819,Noncdm Charge Record Medical Supplies,1933.38,754.02,,,0
CDM,SUP168820_270,Noncdm Charge Record Medical Supplies,1933.38,754.02,,,0
CDM,SUP168820_A4649_270,Noncdm Charge Record Medical Supplies,1933.38,754.02,,,0
CDM,SUP16883,Noncdm Charge Record Medical Supplies - Sheath Endo Eshth Sldon Eent 1,81.76,31.89,,,0
CDM,SUP168836,Noncdm Charge Record Medical Supplies - Suture Fiberlink 0.9Mm White Black Suturetape,465.06,181.37,,,0
CDM,SUP168837,Noncdm Charge Record Medical Supplies - Suture Fiberwire 0 L38In Non Absorbable Blue Polyethylene,102.88,40.12,,,0
CDM,SUP168838_272,Noncdm Charge Record Medical Supplies - Tubing Insufflation Iso Connector Disposable,46.45,18.12,,,0
CDM,SUP168838_A4649_272,Noncdm Charge Record Medical Supplies - Tubing Insufflation Iso Connector Disposable,166.64,64.99,,,0
CDM,SUP168838_A9999_272,Noncdm Charge Record Medical Supplies - Tubing Insufflation Iso Connector Disposable,8.28,3.23,,,0
CDM,SUP168839_272,Noncdm Charge Record Medical Supplies - Dressing 4X5In Silver Exsalt Oxysalt,26.91,10.49,,,0
CDM,SUP168839_A4649_272,Noncdm Charge Record Medical Supplies - Dressing 4X5In Silver Exsalt Oxysalt,26.91,10.49,,,0
CDM,SUP16887,Noncdm Charge Record Medical Supplies - Wire Fx Trulock Stpr,7.05,2.75,,,0
CDM,SUP16890,Noncdm Charge Record Medical Supplies - Sheath Vas Sol 5Fr Radial,279.45,108.99,,,0
CDM,SUP168901,Noncdm Charge Record Medical Supplies - Catheter Embol 80Cm 6Fr Fgrty Art Balloon,192.51,75.08,,,0
CDM,SUP16891_272,Noncdm Charge Record Medical Supplies - Retractor 10Mm Spat Sys Sil,65.51,25.55,,,0
CDM,SUP16891_A9999_272,Noncdm Charge Record Medical Supplies - Retractor 10Mm Spat Sys Sil,64.17,25.03,,,0
CDM,SUP16894_272,Noncdm Charge Record Medical Supplies - Introducer Sheath 10Fr 11Cm,114.47,44.64,,,0
CDM,SUP16894_C1894_272,Noncdm Charge Record Medical Supplies - Introducer Sheath 10Fr 11Cm,102.4,39.94,,,0
CDM,SUP168962,Noncdm Charge Record Medical Supplies - Tube Aspirating 20Ml L6.25In,16.56,6.46,,,0
CDM,SUP16896_272,Noncdm Charge Record Medical Supplies - Probe Neurostim Nm Rspn Prass,683.51,266.57,,,0
CDM,SUP16896_A4649_272,Noncdm Charge Record Medical Supplies - Probe Neurostim Nm Rspn Prass,661.62,258.03,,,0
CDM,SUP16896_A9999_272,Noncdm Charge Record Medical Supplies - Probe Neurostim Nm Rspn Prass,643.77,251.07,,,0
CDM,SUP16900,Noncdm Charge Record Medical Supplies - Blanket Lg Ped Polymer Sngwrm,63.14,24.62,,,0
CDM,SUP16901,Noncdm Charge Record Medical Supplies - Set Ext Fix Minirail Sys Guide,711.5,277.48,,,0
CDM,SUP169017_Q4103_278,Noncdm Charge Record Medical Supplies - Matrix Wound Burn Oasis 7Cm X 20Cm,154.37,60.2,,,0
CDM,SUP169018,Noncdm Charge Record Medical Supplies - Matrix Wound Burn Oasis 20Cm X 30Cm,112.19,43.75,,,0
CDM,SUP169019,Noncdm Charge Record Medical Supplies,426.42,166.3,,,0
CDM,SUP169020,Noncdm Charge Record Medical Supplies - Catheter Access Kit For Use Pleurx Catheter System,143.86,56.11,,,0
CDM,SUP16905,Noncdm Charge Record Medical Supplies - Punch Surg 4Mm Bx Baha Aud,528.88,206.26,,,0
CDM,SUP16908,Noncdm Charge Record Medical Supplies - See 132587 Battery Pack Sterile For Battery Driver Synthes,1145.74,446.84,,,0
CDM,SUP169095_272,Noncdm Charge Record Medical Supplies - Fast-Fix Flex Curved Inserter Needle,2855.28,1113.56,,,0
CDM,SUP169095_A4649_272,Noncdm Charge Record Medical Supplies - Fast-Fix Flex Curved Inserter Needle,2844.18,1109.23,,,0
CDM,SUP169095_A9999_272,Noncdm Charge Record Medical Supplies - Fast-Fix Flex Curved Inserter Needle,2844.44,1109.33,,,0
CDM,SUP169095_C1713_278,Noncdm Charge Record Medical Supplies - Fast-Fix Flex Curved Inserter Needle,2834.86,1105.6,,,0
CDM,SUP169096,Noncdm Charge Record Medical Supplies,328.1,127.96,,,0
CDM,SUP169137,Noncdm Charge Record Medical Supplies - Implant Plate Straight Regula Ar 6 Hole 1.5,671.72,261.97,,,0
CDM,SUP16915,Noncdm Charge Record Medical Supplies - Insert Clamp Fg Evgrp 33Mm Atrm Ocl Smth Set,105.57,41.17,,,0
CDM,SUP169154_272,Noncdm Charge Record Medical Supplies - Nasal Packing Cs3600-10 Novapak 10Pk Std,1377.79,537.34,,,0
CDM,SUP169154_A4649_272,Noncdm Charge Record Medical Supplies - Nasal Packing Cs3600-10 Novapak 10Pk Std,1385.86,540.49,,,0
CDM,SUP169202,Noncdm Charge Record Medical Supplies - Blanket Therapeutic Adult 24X6 24X60In,70.38,27.45,,,0
CDM,SUP169226,Noncdm Charge Record Medical Supplies - See 156182 Tray Picc Kennestone Wk430.019,156.28,60.95,,,0
CDM,SUP16922_270,Noncdm Charge Record Medical Supplies - See 134877 Wipe Prep 7.5X7.5In 2% Chg Sage,26.92,10.5,,,0
CDM,SUP16922_A4649_270,Noncdm Charge Record Medical Supplies - See 134877 Wipe Prep 7.5X7.5In 2% Chg Sage,26.91,10.49,,,0
CDM,SUP16922_A9999_270,Noncdm Charge Record Medical Supplies - See 134877 Wipe Prep 7.5X7.5In 2% Chg Sage,26.91,10.49,,,0
CDM,SUP16924_270,Noncdm Charge Record Medical Supplies - Manifold Suct Nptn 2 2 Std 4,87.98,34.31,,,0
CDM,SUP16924_A9999_270,Noncdm Charge Record Medical Supplies - Manifold Suct Nptn 2 2 Std 4,87.98,34.31,,,0
CDM,SUP16926,Noncdm Charge Record Medical Supplies - Cement Bn Agc Univ Crcte 60Mm,9574.78,3734.16,,,0
CDM,SUP16928,Noncdm Charge Record Medical Supplies - System Bn Cement 65Mm Mold,4166.91,1625.09,,,0
CDM,SUP16932,Noncdm Charge Record Medical Supplies - Device Scr Centrl Venous Sld Post Btrfly Trct,26.91,10.49,,,0
CDM,SUP16935,Noncdm Charge Record Medical Supplies - Probe Electrosurg Intgreflex,2584.4,1007.92,,,0
CDM,SUP16938,Noncdm Charge Record Medical Supplies - Blade Shaver Slt 4.5Mm Crv Inc+ Elt Lng Crv,294.74,114.95,,,0
CDM,SUP16939,Noncdm Charge Record Medical Supplies - Suture Monocryl 1 Ctb 36In Undyed Ethicon,15.7,6.12,,,0
CDM,SUP169392,Noncdm Charge Record Medical Supplies - Drill Bit Calibrated 4.2 Mm Extra-Long Sterile,1258.86,490.96,,,0
CDM,SUP169394,Noncdm Charge Record Medical Supplies - Screw Bone 5X76Mm Sterile Xl25 Recess Locking Titanium Tn Ad,1082.61,422.22,,,0
CDM,SUP169395,Noncdm Charge Record Medical Supplies - Screw Bone 5X56Mm Sterile Xl25 Recess Locking Titanium Tn Ad,1082.61,422.22,,,0
CDM,SUP169396,Noncdm Charge Record Medical Supplies - Screw Bone 5X40Mm Sterile Xl25 Recess Locking Titanium Tn Ad,1086.62,423.78,,,0
CDM,SUP169397_272,Noncdm Charge Record Medical Supplies - Bit Drill L145Mm Dia2.7Mm Sterile Cannulated For Qc,1967.23,767.22,,,0
CDM,SUP169397_A4649_272,Noncdm Charge Record Medical Supplies - Bit Drill L145Mm Dia2.7Mm Sterile Cannulated For Qc,1954.08,762.09,,,0
CDM,SUP169399,Noncdm Charge Record Medical Supplies - Guidewire Surgical L150Mm Dia1.1Mm Sterile Trocar Tip,279.91,109.16,,,0
CDM,SUP1694,Noncdm Charge Record Medical Supplies - See 172 Catheter Urethral 16Fr 2Way 30Cc Un Coated Silicone,22.77,8.88,,,0
CDM,SUP16940,Noncdm Charge Record Medical Supplies - Scissors Laparos Rbtc Da Vinci,403.65,157.42,,,0
CDM,SUP169400,Noncdm Charge Record Medical Supplies - Guidewire Surgical L150Mm Dia1.4Mm Sterile Trocar Tip,600.3,234.12,,,0
CDM,SUP169401,Noncdm Charge Record Medical Supplies - Screw Bone 5X42Mm Sterile Xl25,1281.33,499.72,,,0
CDM,SUP169402,Noncdm Charge Record Medical Supplies - Screw Bone 5X54Mm Sterile Xl25,1082.61,422.22,,,0
CDM,SUP169403_272,Noncdm Charge Record Medical Supplies - Bit Drill L170Mm 2.8Mm Calibration 80Mm Quick Couplin,620.57,242.02,,,0
CDM,SUP169403_A4649_272,Noncdm Charge Record Medical Supplies - Bit Drill L170Mm 2.8Mm Calibration 80Mm Quick Couplin,607.54,236.94,,,0
CDM,SUP169403_A9999_272,Noncdm Charge Record Medical Supplies - Bit Drill L170Mm 2.8Mm Calibration 80Mm Quick Couplin,607.54,236.94,,,0
CDM,SUP169404,Noncdm Charge Record Medical Supplies - Screw Bone 5X42Mm Sterile Xl25,1089.28,424.82,,,0
CDM,SUP169406,Noncdm Charge Record Medical Supplies - Screw Bone 5X38Mm Sterile Xl25,1093.71,426.55,,,0
CDM,SUP169409,Noncdm Charge Record Medical Supplies - Screw Bone 5X34Mm Sterile Xl25,1281.02,499.6,,,0
CDM,SUP16941,Noncdm Charge Record Medical Supplies - Applier Int Clip Sm Davinci,43.47,16.95,,,0
CDM,SUP169410,Noncdm Charge Record Medical Supplies - Set Dilator 14Fr L45Cm Guidewire 0.035In Endovascular,680.28,265.31,,,0
CDM,SUP169411,Noncdm Charge Record Medical Supplies - Plate 58Mm Ss 2.4Mm Screw 6X3 Hl Va 2 Column Lt Strl,2884.14,1124.81,,,0
CDM,SUP169454,Noncdm Charge Record Medical Supplies - Needle Biopsy Aspiration 22Ga L25Cm Disposable Chiba,59.0,23.01,,,0
CDM,SUP169485,Noncdm Charge Record Medical Supplies - Set Extension Iv Patient Line,81.72,31.87,,,0
CDM,SUP169486,Noncdm Charge Record Medical Supplies - Stent Pancreatic L3Cm Dia5Fr Pigtail,674.82,263.18,,,0
CDM,SUP169487,Noncdm Charge Record Medical Supplies - Stent Pancreatic L5Cm Dia5Fr Pigtail,674.82,263.18,,,0
CDM,SUP169488,Noncdm Charge Record Medical Supplies - Stent Pancreatic L7Cm Dia5Fr Pigtail,674.82,263.18,,,0
CDM,SUP169489,Noncdm Charge Record Medical Supplies,337.41,131.59,,,0
CDM,SUP169518,Noncdm Charge Record Medical Supplies - Endovascualr Dilator Set,905.62,353.19,,,0
CDM,SUP16951_272,Noncdm Charge Record Medical Supplies - Forceps Bipolar 2Mm Neuro-Tec,846.71,330.22,,,0
CDM,SUP16951_A4649_272,Noncdm Charge Record Medical Supplies - Forceps Bipolar 2Mm Neuro-Tec,846.7,330.21,,,0
CDM,SUP16951_A9999_272,Noncdm Charge Record Medical Supplies - Forceps Bipolar 2Mm Neuro-Tec,846.8,330.25,,,0
CDM,SUP16952_272,Noncdm Charge Record Medical Supplies - Forceps Bipolar 1Mm Neuro-Tec,846.66,330.2,,,0
CDM,SUP16952_A4649_272,Noncdm Charge Record Medical Supplies - Forceps Bipolar 1Mm Neuro-Tec,846.63,330.19,,,0
CDM,SUP16952_A9999_272,Noncdm Charge Record Medical Supplies - Forceps Bipolar 1Mm Neuro-Tec,846.63,330.19,,,0
CDM,SUP16954_270,Noncdm Charge Record Medical Supplies - See 137006 Prep Chloraprep Orange 10.5Ml Carefusion Corp,15.53,6.06,,,0
CDM,SUP16954_A4649_270,Noncdm Charge Record Medical Supplies - See 137006 Prep Chloraprep Orange 10.5Ml Carefusion Corp,15.52,6.05,,,0
CDM,SUP16954_A9999_270,Noncdm Charge Record Medical Supplies - See 137006 Prep Chloraprep Orange 10.5Ml Carefusion Corp,15.52,6.05,,,0
CDM,SUP169578,Noncdm Charge Record Medical Supplies - Catheter Angiographic L135Cm Od2.6Fr Id0.018In Guide Sheath,636.52,248.24,,,0
CDM,SUP169579,Noncdm Charge Record Medical Supplies - Catheter 15Mm Guidewire 0.014In 135Cm Tailblazer,636.52,248.24,,,0
CDM,SUP169580,Noncdm Charge Record Medical Supplies - Rubicon .018 90Cm Support Catheter,774.18,301.93,,,0
CDM,SUP169581,Noncdm Charge Record Medical Supplies - Rubicon .018 150Cm Support Catheter,737.75,287.72,,,0
CDM,SUP169625,Noncdm Charge Record Medical Supplies - Graft Dural Suturable Bovine Pericardium 8X12Cm,3557.3,1387.35,,,0
CDM,SUP169627,Noncdm Charge Record Medical Supplies - Graft Bone Substitute L Demineralized Bone Fiber,12610.44,4918.07,,,0
CDM,SUP169628,Noncdm Charge Record Medical Supplies - Graft Biological W4Xl5Cm Duraflex Suturable,1893.02,738.28,,,0
CDM,SUP16963,Noncdm Charge Record Medical Supplies - Stapler Intnl 28X3.5Mm Ti Endo Lin Cutter,1585.65,618.4,,,0
CDM,SUP16964,Noncdm Charge Record Medical Supplies - Stapler Intnl 28 Ti Endo Lin Cutter,1500.75,585.29,,,0
CDM,SUP16965_272,Noncdm Charge Record Medical Supplies - Stapler Skin 35 Regular Covidien,22.76,8.88,,,0
CDM,SUP16965_A4649_272,Noncdm Charge Record Medical Supplies - Stapler Skin 35 Regular Covidien,22.77,8.88,,,0
CDM,SUP16965_A9999_272,Noncdm Charge Record Medical Supplies - Stapler Skin 35 Regular Covidien,22.77,8.88,,,0
CDM,SUP16966_272,Noncdm Charge Record Medical Supplies - Stapler Skin 35 Wide Covidien,22.73,8.86,,,0
CDM,SUP16966_A4649_272,Noncdm Charge Record Medical Supplies - Stapler Skin 35 Wide Covidien,22.76,8.88,,,0
CDM,SUP16966_A9999_272,Noncdm Charge Record Medical Supplies - Stapler Skin 35 Wide Covidien,22.75,8.87,,,0
CDM,SUP16966_L8699_272,Noncdm Charge Record Medical Supplies,22.77,8.88,,,0
CDM,SUP169688,Noncdm Charge Record Medical Supplies,1382.76,539.28,,,0
CDM,SUP169689,Noncdm Charge Record Medical Supplies - System Knee 10Mm Heightright Vepoly Zimmer Biomet,5427.19,2116.6,,,0
CDM,SUP169693_272,Noncdm Charge Record Medical Supplies - Bit Drill Dia2.6Mm Hip Knotless Microraptor,1278.52,498.62,,,0
CDM,SUP169693_A4649_272,Noncdm Charge Record Medical Supplies - Bit Drill Dia2.6Mm Hip Knotless Microraptor,1224.4,477.52,,,0
CDM,SUP169694,Noncdm Charge Record Medical Supplies - Anchor Suture Knotless Rg Microraptor,2582.55,1007.19,,,0
CDM,SUP169695_272,Noncdm Charge Record Medical Supplies - Suture Minitape Blue For Knotless Anchor And Guide Sys,366.77,143.04,,,0
CDM,SUP169695_A9999_272,Noncdm Charge Record Medical Supplies - Suture Minitape Blue For Knotless Anchor And Guide Sys,366.39,142.89,,,0
CDM,SUP169696_272,Noncdm Charge Record Medical Supplies - Suture Minitape Cobraid Blue Anchor And Guide System,366.78,143.04,,,0
CDM,SUP169696_A9999_272,Noncdm Charge Record Medical Supplies - Suture Minitape Cobraid Blue Anchor And Guide System,366.91,143.09,,,0
CDM,SUP1697,Noncdm Charge Record Medical Supplies - Screw Ti 5Mm Midfa Bn,501.07,195.42,,,0
CDM,SUP169714_272,Noncdm Charge Record Medical Supplies - Kit Trnsdcr Sngl Vamp 84In,165.79,64.66,,,0
CDM,SUP169714_A4649_272,Noncdm Charge Record Medical Supplies - Kit Trnsdcr Sngl Vamp 84In,216.32,84.36,,,0
CDM,SUP169714_A9999_272,Noncdm Charge Record Medical Supplies - Kit Trnsdcr Sngl Vamp 84In,127.3,49.65,,,0
CDM,SUP169715,Noncdm Charge Record Medical Supplies - Kit Trnsdcr Trpl Vamp 84In,385.59,150.38,,,0
CDM,SUP169716,Noncdm Charge Record Medical Supplies - Kit Trnsdcr Dbt One Way Sc,60.03,23.41,,,0
CDM,SUP169725,Noncdm Charge Record Medical Supplies - System Fecal Mgmt Prtct Pls Ef,685.19,267.22,,,0
CDM,SUP169749_272,Noncdm Charge Record Medical Supplies - Harvester Bone With Filter Avitus,6417.41,2502.79,,,0
CDM,SUP169749_A4649_272,Noncdm Charge Record Medical Supplies - Harvester Bone With Filter Avitus,6944.85,2708.49,,,0
CDM,SUP169749_A9999_272,Noncdm Charge Record Medical Supplies - Harvester Bone With Filter Avitus,5727.69,2233.8,,,0
CDM,SUP169750_272,Noncdm Charge Record Medical Supplies - Pilot Hole Creator- Sterile 11Mmx20Mm Avitus,1932.66,753.74,,,0
CDM,SUP169750_A4649_272,Noncdm Charge Record Medical Supplies - Pilot Hole Creator- Sterile 11Mmx20Mm Avitus,2183.85,851.7,,,0
CDM,SUP169792,Noncdm Charge Record Medical Supplies - Graft Bone Substitute Synthetic Injectable Tactoset,10633.59,4147.1,,,0
CDM,SUP169793_272,Noncdm Charge Record Medical Supplies - Tactoset Delivery Cannula 15Ga,1747.75,681.62,,,0
CDM,SUP169793_A4649_272,Noncdm Charge Record Medical Supplies - Tactoset Delivery Cannula 15Ga,1748.12,681.77,,,0
CDM,SUP169794_272,Noncdm Charge Record Medical Supplies - Tactoset 11Ga Delivery Cannula,1747.91,681.68,,,0
CDM,SUP169794_A4649_272,Noncdm Charge Record Medical Supplies - Tactoset 11Ga Delivery Cannula,1748.12,681.77,,,0
CDM,SUP169803,Noncdm Charge Record Medical Supplies - Kit Press Transducer Trpl 48In Macro,257.09,100.27,,,0
CDM,SUP169805,Noncdm Charge Record Medical Supplies - Splint Ortho W3Xl 15Ft Fiber System Splnt 3Inx15Ft Orth Gls,269.1,104.95,,,0
CDM,SUP16983,Noncdm Charge Record Medical Supplies - Clip Sm Hem-O-Clip Lgt Ti,25.45,9.93,,,0
CDM,SUP16984,Noncdm Charge Record Medical Supplies - Screw 5-45Mm Nail Ex Lck Strl Ft Tib St Ti 2,808.34,315.25,,,0
CDM,SUP16985,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 10Mm 190Mm Synthes,2415.69,942.12,,,0
CDM,SUP169864,Noncdm Charge Record Medical Supplies - Tubing Perfusion 3-8X3-8In For B Care 5In,422.28,164.69,,,0
CDM,SUP16988,Noncdm Charge Record Medical Supplies - Screw Bioabs 20Mm 2.7Mm,2121.75,827.48,,,0
CDM,SUP1699,Noncdm Charge Record Medical Supplies - Screw Ti 6Mm Midfa Bn,496.33,193.57,,,0
CDM,SUP16993_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 3.3Mm Cvc 2O 20D Rot,930.46,362.88,,,0
CDM,SUP16993_A4649_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 3.3Mm Cvc 2O 20D Rot,930.46,362.88,,,0
CDM,SUP169946,Noncdm Charge Record Medical Supplies,29154.92,11370.42,,,0
CDM,SUP169963_272,Noncdm Charge Record Medical Supplies - Curette Vacuum Aspiration 6Mm Curette Vacuum Aspiration,20.7,8.07,,,0
CDM,SUP169963_A9999_272,Noncdm Charge Record Medical Supplies - Curette Vacuum Aspiration 6Mm Curette Vacuum Aspiration,20.7,8.07,,,0
CDM,SUP169964_270,Noncdm Charge Record Medical Supplies - Curette Vacuum Aspiration 7Mm Curette Vacuum Aspiration,20.7,8.07,,,0
CDM,SUP169964_A9999_270,Noncdm Charge Record Medical Supplies - Curette Vacuum Aspiration 7Mm Curette Vacuum Aspiration,20.7,8.07,,,0
CDM,SUP169965,Noncdm Charge Record Medical Supplies - See 155842 Curette Vacuum Aspiration 8Mm Curette Vacuum Aspi,17.6,6.86,,,0
CDM,SUP169966,Noncdm Charge Record Medical Supplies - Curette Vacuum Aspiration 9Mm Curette Vacuum Aspiration,20.7,8.07,,,0
CDM,SUP169967_270,Noncdm Charge Record Medical Supplies - Curette Vacuum Aspiration 10Mm Curette Vacuum Aspiration,20.7,8.07,,,0
CDM,SUP169967_A9999_270,Noncdm Charge Record Medical Supplies - Curette Vacuum Aspiration 10Mm Curette Vacuum Aspiration,20.7,8.07,,,0
CDM,SUP169968_272,Noncdm Charge Record Medical Supplies - Curette Vacuum Aspiration 11Mm Curette Vacuum Aspiration,20.7,8.07,,,0
CDM,SUP169968_A4649_272,Noncdm Charge Record Medical Supplies - Curette Vacuum Aspiration 11Mm Curette Vacuum Aspiration,20.7,8.07,,,0
CDM,SUP169969_272,Noncdm Charge Record Medical Supplies - See 142573 Curette Vacuum Aspiration 12Mm Curette Vacuum Asp,17.6,6.86,,,0
CDM,SUP169969_A9999_272,Noncdm Charge Record Medical Supplies - See 142573 Curette Vacuum Aspiration 12Mm Curette Vacuum Asp,17.6,6.86,,,0
CDM,SUP169973,Noncdm Charge Record Medical Supplies - Curette Rigid Straight 7Mm,20.7,8.07,,,0
CDM,SUP169974_272,Noncdm Charge Record Medical Supplies - Curette Rigid Straight 8Mm,18.63,7.27,,,0
CDM,SUP169974_A9999_272,Noncdm Charge Record Medical Supplies - Curette Rigid Straight 8Mm,18.63,7.27,,,0
CDM,SUP169975,Noncdm Charge Record Medical Supplies - Curette Rigid Straight 9Mm,18.63,7.27,,,0
CDM,SUP169976,Noncdm Charge Record Medical Supplies - Curette Rigid Straight 10Mm,18.63,7.27,,,0
CDM,SUP16998,Noncdm Charge Record Medical Supplies - Saw Prcs Osc 25X1.33X105Mm,1335.15,520.71,,,0
CDM,SUP170016,Noncdm Charge Record Medical Supplies,2366.01,922.74,,,0
CDM,SUP170033,Noncdm Charge Record Medical Supplies,6404.58,2497.79,,,0
CDM,SUP170099,Noncdm Charge Record Medical Supplies - Pack Endograft Kennestone Wk230.020,692.42,270.04,,,0
CDM,SUP170100_272,Noncdm Charge Record Medical Supplies - Pack Upper Extremity Kenneston Wk420.030,262.87,102.52,,,0
CDM,SUP170100_A4649_272,Noncdm Charge Record Medical Supplies - Pack Upper Extremity Kenneston Wk420.030,262.89,102.53,,,0
CDM,SUP170100_A9999_272,Noncdm Charge Record Medical Supplies - Pack Upper Extremity Kenneston Wk420.030,262.89,102.53,,,0
CDM,SUP170101,Noncdm Charge Record Medical Supplies - See 157721 Tray Picc Kennestone Wk430.020,190.44,74.27,,,0
CDM,SUP17012,Noncdm Charge Record Medical Supplies - Catheter Ball Dil .018In-15,1321.7,515.46,,,0
CDM,SUP17018,Noncdm Charge Record Medical Supplies - Bit Drill 96Mm 1.5Mm Ns,568.09,221.56,,,0
CDM,SUP170218,Noncdm Charge Record Medical Supplies - Tubing Pressure Ext 12In,19.66,7.67,,,0
CDM,SUP170235,Noncdm Charge Record Medical Supplies,2180.74,850.49,,,0
CDM,SUP170236,Noncdm Charge Record Medical Supplies - Implant Screw Nonlck 2.7X14Mm,859.31,335.13,,,0
CDM,SUP170238,Noncdm Charge Record Medical Supplies - Implant Screw Hi-Trq 1.65 Dia A X 5Mm L Self-Drill,499.54,194.82,,,0
CDM,SUP17025,Noncdm Charge Record Medical Supplies - Stabilizer Surg Xpose Hrt 4 Device,3712.54,1447.89,,,0
CDM,SUP17028,Noncdm Charge Record Medical Supplies - Tube Ng 48In 16Fr 2 Lum Salem,12.42,4.84,,,0
CDM,SUP170322,Noncdm Charge Record Medical Supplies - Probe Curette Debridement With Aspiration Sharpvac,2349.45,916.29,,,0
CDM,SUP170323,Noncdm Charge Record Medical Supplies - Probe Ultrasound Debridement Disposable Sonicvac,2314.79,902.77,,,0
CDM,SUP17034,Noncdm Charge Record Medical Supplies - Tube Ng 48In 18Fr Std 2 Lum,10.35,4.04,,,0
CDM,SUP170345_272,Noncdm Charge Record Medical Supplies - Stimulator Surgical Handheld Disposable Checkpoint Guardian,2889.2,1126.79,,,0
CDM,SUP170345_A4649_272,Noncdm Charge Record Medical Supplies - Stimulator Surgical Handheld Disposable Checkpoint Guardian,2914.56,1136.68,,,0
CDM,SUP170345_A9999_272,Noncdm Charge Record Medical Supplies - Stimulator Surgical Handheld Disposable Checkpoint Guardian,2914.56,1136.68,,,0
CDM,SUP17039,Noncdm Charge Record Medical Supplies - Retractor Sm Sft Tis Surg,1554.57,606.28,,,0
CDM,SUP17040,Noncdm Charge Record Medical Supplies - Wire Ez Fltr 2.25-3.5Mm 190Cm .014In Filter,7651.34,2984.02,,,0
CDM,SUP17041,Noncdm Charge Record Medical Supplies - Dressing Cls Pad Adh Nonwvn Adh Strl Lf Disp,22.77,8.88,,,0
CDM,SUP170416,Noncdm Charge Record Medical Supplies,1.03,0.4,,,0
CDM,SUP170417_272,Noncdm Charge Record Medical Supplies - See 157720 Pack Av Fistula Kennestone Wk120.020,266.0,103.74,,,0
CDM,SUP170417_A9999_272,Noncdm Charge Record Medical Supplies - See 157720 Pack Av Fistula Kennestone Wk120.020,266.0,103.74,,,0
CDM,SUP170418_272,Noncdm Charge Record Medical Supplies - Pack Head And Neck Kennestone Wk250.023,164.56,64.18,,,0
CDM,SUP170418_A4649_272,Noncdm Charge Record Medical Supplies - Pack Head And Neck Kennestone Wk250.023,164.56,64.18,,,0
CDM,SUP170418_A9999_272,Noncdm Charge Record Medical Supplies - Pack Head And Neck Kennestone Wk250.023,164.56,64.18,,,0
CDM,SUP170429,Noncdm Charge Record Medical Supplies - Electrode Electrosurg Adl Vlly Cordless Pat Retn Valleylabre,7.24,2.82,,,0
CDM,SUP170430,Noncdm Charge Record Medical Supplies - Electrode Electrosurg Adl Cordls Pat Retn Pem Polyhesive,7.24,2.82,,,0
CDM,SUP170447,Noncdm Charge Record Medical Supplies,1112.62,433.92,,,0
CDM,SUP170449,Noncdm Charge Record Medical Supplies - Sheath Introducer 12Fr L12Cm 0.035In Dilator Ultimum Ev,51.23,19.98,,,0
CDM,SUP17045,Noncdm Charge Record Medical Supplies - System Hrtstr 3.8Mm Prox Seal Iii Ea-5,2414.68,941.73,,,0
CDM,SUP170450,Noncdm Charge Record Medical Supplies - Graft Dural Adult W3Xl3In Biosynthesized Interconnected,5014.92,1955.82,,,0
CDM,SUP170451,Noncdm Charge Record Medical Supplies - Graft Dural Adult W2Xl2In Cellulose Water Synthecel,3470.36,1353.44,,,0
CDM,SUP170452,Noncdm Charge Record Medical Supplies - Tubing Insufflation L10Ft 0.3U,40.36,15.74,,,0
CDM,SUP17047,Noncdm Charge Record Medical Supplies - Guidewire .035In150Cm 3Cm Strt 3Cm Flx Tip Vasc,189.4,73.87,,,0
CDM,SUP17052,Noncdm Charge Record Medical Supplies - Safire Tx 8Mm Ablation Catheter,4188.65,1633.57,,,0
CDM,SUP170527_272,Noncdm Charge Record Medical Supplies,32.11,12.52,,,0
CDM,SUP170527_A4649_272,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP170529,Noncdm Charge Record Medical Supplies - Pad Grding Univ Split 9Ftcord Split 9100 Series Novation,18.01,7.02,,,0
CDM,SUP17053,Noncdm Charge Record Medical Supplies - Cannula Perf 5.5In 7Fr W 8 In,98.32,38.34,,,0
CDM,SUP17055,Noncdm Charge Record Medical Supplies - Kit Arthro Fx Rpc 1.5Mm Pin,1314.45,512.64,,,0
CDM,SUP170564,Noncdm Charge Record Medical Supplies - Padding 4Ydx6In Cttn Ns Wbrl2,4.14,1.61,,,0
CDM,SUP170573,Noncdm Charge Record Medical Supplies - Pad Defib Adl Radiolcnt Physio Lead Out,98.32,38.34,,,0
CDM,SUP170578,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 85Mm Lc Dcp Dhs -Dcs Ss Cort St,270.14,105.35,,,0
CDM,SUP170594_Q4103_278,Noncdm Charge Record Medical Supplies,71.07,27.72,,,0
CDM,SUP170595_Q4102_278,Noncdm Charge Record Medical Supplies,48.78,19.02,,,0
CDM,SUP170596_Q4102_278,Noncdm Charge Record Medical Supplies,22.53,8.79,,,0
CDM,SUP170612,Noncdm Charge Record Medical Supplies,8.28,3.23,,,0
CDM,SUP170615_272,Noncdm Charge Record Medical Supplies - Probe Electrosurgical Flexible Intracept Rf,18518.22,7222.11,,,0
CDM,SUP170615_C1889_272,Noncdm Charge Record Medical Supplies - Probe Electrosurgical Flexible Intracept Rf,18518.22,7222.11,,,0
CDM,SUP170615_C1889_278,Noncdm Charge Record Medical Supplies - Probe Electrosurgical Flexible Intracept Rf,18518.22,7222.11,,,0
CDM,SUP170617,Noncdm Charge Record Medical Supplies - Instrument Access Intracept,7054.56,2751.28,,,0
CDM,SUP170636,Noncdm Charge Record Medical Supplies - See 97476 Set Infusion Univ 3 Bag Spike,774.18,301.93,,,0
CDM,SUP17064,Noncdm Charge Record Medical Supplies - Sheath Acc 35Cm 12Fr Flxr Uret,652.05,254.3,,,0
CDM,SUP170673,Noncdm Charge Record Medical Supplies - Dressing Foam Wound Care Disposable Baha Fast Surgery,22.77,8.88,,,0
CDM,SUP170675_272,Noncdm Charge Record Medical Supplies - Punch Surgical Dia5Mm Biopsy Disposable Baha 4,12.42,4.84,,,0
CDM,SUP170675_A4649_272,Noncdm Charge Record Medical Supplies - Punch Surgical Dia5Mm Biopsy Disposable Baha 4,12.42,4.84,,,0
CDM,SUP170683,Noncdm Charge Record Medical Supplies - Device Harvesting Cell Autologous Skin Cell Grafting,30312.77,11821.98,,,0
CDM,SUP17068_272,Noncdm Charge Record Medical Supplies - Extractor Stone 115Cm 3.2Fr 3Fr 4Wire Basket,1043.28,406.88,,,0
CDM,SUP17068_A4649_272,Noncdm Charge Record Medical Supplies - Extractor Stone 115Cm 3.2Fr 3Fr 4Wire Basket,1043.28,406.88,,,0
CDM,SUP17069_272,Noncdm Charge Record Medical Supplies - Basket Ngage 1.7Fx115Cmx8Mm Cook Medical,1294.79,504.97,,,0
CDM,SUP17069_A4649_272,Noncdm Charge Record Medical Supplies - Basket Ngage 1.7Fx115Cmx8Mm Cook Medical,1294.79,504.97,,,0
CDM,SUP17069_A9999_272,Noncdm Charge Record Medical Supplies - Basket Ngage 1.7Fx115Cmx8Mm Cook Medical,1294.79,504.97,,,0
CDM,SUP17070,Noncdm Charge Record Medical Supplies - Extractor Stone 115Cm 1.5Fr 1Cm Tpls Basket,1294.79,504.97,,,0
CDM,SUP170730,Noncdm Charge Record Medical Supplies - Set Bone Screw With Plantar Plate Gravity,7153.92,2790.03,,,0
CDM,SUP170731,Noncdm Charge Record Medical Supplies,1353.78,527.97,,,0
CDM,SUP170732,Noncdm Charge Record Medical Supplies - Staple Bone W10Xl10Mm Nitinol Disposable Fuseforce,4592.2,1790.96,,,0
CDM,SUP170734_272,Noncdm Charge Record Medical Supplies - Tip Monopolar Scissors Curved Da Vinci System,616.86,240.58,,,0
CDM,SUP170734_A4649_272,Noncdm Charge Record Medical Supplies - Tip Monopolar Scissors Curved Da Vinci System,616.86,240.58,,,0
CDM,SUP170734_A9999_272,Noncdm Charge Record Medical Supplies - Tip Monopolar Scissors Curved Da Vinci System,616.86,240.58,,,0
CDM,SUP170735,Noncdm Charge Record Medical Supplies - Kit Entry Guide 25X100Mm Standard Da Vinci Sp,925.29,360.86,,,0
CDM,SUP170736_272,Noncdm Charge Record Medical Supplies - Sheath Instrument Disposable Davinci Sp,154.22,60.15,,,0
CDM,SUP170736_A4649_272,Noncdm Charge Record Medical Supplies - Sheath Instrument Disposable Davinci Sp,154.22,60.15,,,0
CDM,SUP170736_A9999_272,Noncdm Charge Record Medical Supplies - Sheath Instrument Disposable Davinci Sp,154.22,60.15,,,0
CDM,SUP170737_272,Noncdm Charge Record Medical Supplies - Sheath Camera Instrument Da Vinci Sp,308.43,120.29,,,0
CDM,SUP170737_A4649_272,Noncdm Charge Record Medical Supplies - Sheath Camera Instrument Da Vinci Sp,308.43,120.29,,,0
CDM,SUP170737_A9999_272,Noncdm Charge Record Medical Supplies - Sheath Camera Instrument Da Vinci Sp,308.43,120.29,,,0
CDM,SUP17074,Noncdm Charge Record Medical Supplies - Guidewire Amplatz 0.035In 145Cm Ultra Stiff Cook Medical,153.17,59.74,,,0
CDM,SUP170741_272,Noncdm Charge Record Medical Supplies - Sp Access Port Kit Small Incision 2.7-4Cm,2441.57,952.21,,,0
CDM,SUP170741_A4649_272,Noncdm Charge Record Medical Supplies - Sp Access Port Kit Small Incision 2.7-4Cm,2441.56,952.21,,,0
CDM,SUP170741_A9999_272,Noncdm Charge Record Medical Supplies - Sp Access Port Kit Small Incision 2.7-4Cm,2441.77,952.29,,,0
CDM,SUP170742,Noncdm Charge Record Medical Supplies - Sp Access Port Kit Large Incision 2.7-7Cm,2441.56,952.21,,,0
CDM,SUP17079_272,Noncdm Charge Record Medical Supplies - Catheter Uret Flxtp 10Fr 24Cm,203.9,79.52,,,0
CDM,SUP17079_C1758_272,Noncdm Charge Record Medical Supplies - Catheter Uret Flxtp 10Fr 24Cm,203.91,79.52,,,0
CDM,SUP170817,Noncdm Charge Record Medical Supplies - Tag Conform Thoracic Sg Ac 18Mmx28Mmx10Cm 20F,97438.0,38000.82,,,0
CDM,SUP170818,Noncdm Charge Record Medical Supplies - Tag Conform Thoracic Sg Ac 45M 45Mmx45Mmx15Cm 24F,97438.0,38000.82,,,0
CDM,SUP170819,Noncdm Charge Record Medical Supplies - Tag Conform Thoracic Sg Ac 31M 31Mmx31Mmx10Cm 20F,97437.49,38000.62,,,0
CDM,SUP17082,Noncdm Charge Record Medical Supplies - Device Spec Ret Prc Nc 10Fr,735.88,286.99,,,0
CDM,SUP170820,Noncdm Charge Record Medical Supplies - Tag Conform Thoracic Sg Ac 40Mmx40Mmx15Cm 22F,97437.75,38000.72,,,0
CDM,SUP17083_270,Noncdm Charge Record Medical Supplies - Armboard Iv 10.5X3In Foam Aline Art Support,13.9,5.42,,,0
CDM,SUP17083_A4649_270,Noncdm Charge Record Medical Supplies - Armboard Iv 10.5X3In Foam Aline Art Support,13.46,5.25,,,0
CDM,SUP17083_A9999_270,Noncdm Charge Record Medical Supplies - Armboard Iv 10.5X3In Foam Aline Art Support,13.92,5.43,,,0
CDM,SUP17085_272,Noncdm Charge Record Medical Supplies - Catheter Uret Flxtp 6-10Fr Aq 50Cm .038In Acc 2,251.5,98.08,,,0
CDM,SUP17085_C1758_272,Noncdm Charge Record Medical Supplies - Catheter Uret Flxtp 6-10Fr Aq 50Cm .038In Acc 2,251.49,98.08,,,0
CDM,SUP17086,Noncdm Charge Record Medical Supplies - Sheath Acc 30Fr Opq Amplatz,133.51,52.07,,,0
CDM,SUP170871,Noncdm Charge Record Medical Supplies,6404.58,2497.79,,,0
CDM,SUP170873,Noncdm Charge Record Medical Supplies - Inspira Natrelle Smooth Soft 580Cc Ssx,6404.58,2497.79,,,0
CDM,SUP170874,Noncdm Charge Record Medical Supplies - Inspira Natrelle Smooth Soft 615Cc Ssx,6404.58,2497.79,,,0
CDM,SUP170876,Noncdm Charge Record Medical Supplies - Inspira Natrelle Smooth Soft 750Cc Ssx,6404.58,2497.79,,,0
CDM,SUP170877,Noncdm Charge Record Medical Supplies - Inspira Natrelle Smooth Soft 800Cc Ssx,6404.58,2497.79,,,0
CDM,SUP170881,Noncdm Charge Record Medical Supplies,6404.58,2497.79,,,0
CDM,SUP170885,Noncdm Charge Record Medical Supplies,6404.58,2497.79,,,0
CDM,SUP170901,Noncdm Charge Record Medical Supplies - Inspira Natrelle Ssf Smooth Soft Touch 520Cc,6404.58,2497.79,,,0
CDM,SUP170902,Noncdm Charge Record Medical Supplies - Inspira Natrelle Ssf Smooth Soft Touch 560Cc,6404.58,2497.79,,,0
CDM,SUP170903,Noncdm Charge Record Medical Supplies - Inspira Natrelle Ssf Smooth Soft Touch 605Cc,6404.58,2497.79,,,0
CDM,SUP170904,Noncdm Charge Record Medical Supplies,6404.58,2497.79,,,0
CDM,SUP170905,Noncdm Charge Record Medical Supplies - Inspira Natrelle Ssf Smooth Soft Touch 695Cc,6404.58,2497.79,,,0
CDM,SUP170910,Noncdm Charge Record Medical Supplies - Inspira Natrelle Ssm Smooth Moderate 445Cc,6404.58,2497.79,,,0
CDM,SUP1710,Noncdm Charge Record Medical Supplies - Cable Dbl W Intgr Crimp,979.11,381.85,,,0
CDM,SUP17101,Noncdm Charge Record Medical Supplies - Sheath Acc 45Cm 12Fr Flxr Uret,652.05,254.3,,,0
CDM,SUP171022,Noncdm Charge Record Medical Supplies - Pack Convergent Kennestone Wk225A,495.51,193.25,,,0
CDM,SUP17103,Noncdm Charge Record Medical Supplies - Sheath Acc 55Cm 12Fr Flxr Uret,652.05,254.3,,,0
CDM,SUP171033_270,Noncdm Charge Record Medical Supplies - Sheet 36X60In Gld Lft Rund Guie,114.87,44.8,,,0
CDM,SUP171033_272,Noncdm Charge Record Medical Supplies - Sheet 36X60In Gld Lft Rund Guie,125.75,49.04,,,0
CDM,SUP171034,Noncdm Charge Record Medical Supplies,142.83,55.7,,,0
CDM,SUP17108,Noncdm Charge Record Medical Supplies - Guidewirevasc.035In150Cm3Cmtip 3Cm Strt Tip,190.44,74.27,,,0
CDM,SUP1711,Noncdm Charge Record Medical Supplies - Girdle Comp Med Bk Pic-Eze,287.73,112.21,,,0
CDM,SUP171166_272,Noncdm Charge Record Medical Supplies - Curette Surgical Od12Mm Rigid Vac Sterile Curved Disp,18.63,7.27,,,0
CDM,SUP171166_A4649_272,Noncdm Charge Record Medical Supplies - Curette Surgical Od12Mm Rigid Vac Sterile Curved Disp,18.63,7.27,,,0
CDM,SUP171166_A9999_272,Noncdm Charge Record Medical Supplies - Curette Surgical Od12Mm Rigid Vac Sterile Curved Disp,18.63,7.27,,,0
CDM,SUP171167,Noncdm Charge Record Medical Supplies - Cath 12Fr 10Ml Foley Sili Sili Elast Ltx,6.21,2.42,,,0
CDM,SUP171169_272,Noncdm Charge Record Medical Supplies - Cath 14Fr 10Ml Foley Silcone 100 Silicone Lf,16.53,6.45,,,0
CDM,SUP171169_A4649_272,Noncdm Charge Record Medical Supplies - Cath 14Fr 10Ml Foley Silcone 100 Silicone Lf,16.56,6.46,,,0
CDM,SUP17117,Noncdm Charge Record Medical Supplies - Stent Uret 6Fr 20Cm Rsnce,4703.04,1834.19,,,0
CDM,SUP171170,Noncdm Charge Record Medical Supplies,4.14,1.61,,,0
CDM,SUP171173,Noncdm Charge Record Medical Supplies,1344.46,524.34,,,0
CDM,SUP17118,Noncdm Charge Record Medical Supplies - Stent Uret 6Fr 22Cm Rsnce,5312.66,2071.94,,,0
CDM,SUP17119,Noncdm Charge Record Medical Supplies - Stent Uret 6Fr 24Cm Positioner Set Rsnce,5312.66,2071.94,,,0
CDM,SUP1712,Noncdm Charge Record Medical Supplies - Girdle Comp Lg Bk Pic-Eze,307.4,119.89,,,0
CDM,SUP17120,Noncdm Charge Record Medical Supplies - Stent Uret 6Fr 26Cm Rsnce,5312.66,2071.94,,,0
CDM,SUP17121,Noncdm Charge Record Medical Supplies - Stent Uret 7Fr 75Cm Open Tip,611.58,238.52,,,0
CDM,SUP17127,Noncdm Charge Record Medical Supplies - Guidewire Orth 290Mm 3.2Mm Ti Thrd Fem Nail,369.07,143.94,,,0
CDM,SUP171289_272,Noncdm Charge Record Medical Supplies - Catheter Thrombectomy Dia16Mm Suction Clottriever Bold,24250.05,9457.52,,,0
CDM,SUP171289_C1757_272,Noncdm Charge Record Medical Supplies - Catheter Thrombectomy Dia16Mm Suction Clottriever Bold,17902.81,6982.1,,,0
CDM,SUP1713,Noncdm Charge Record Medical Supplies - Girdle Comp Xlg Bk Pic-Eze,307.4,119.89,,,0
CDM,SUP171379,Noncdm Charge Record Medical Supplies - Valve Aortic Konect 25Mm Cobalt Chrome Stent Silicone,72501.75,28275.68,,,0
CDM,SUP171380,Noncdm Charge Record Medical Supplies - Valve Aortic Konect 27Mm Cobalt Chrome Stent Silicone,72501.75,28275.68,,,0
CDM,SUP171381,Noncdm Charge Record Medical Supplies - Valve Aortic Konect 29Mm Cobalt Chrome Stent Silicone,72501.75,28275.68,,,0
CDM,SUP17139,Noncdm Charge Record Medical Supplies - Plate Lng 196Mm Ss 3.5Mm Screw 8 Hl Lcp Strl,7200.5,2808.2,,,0
CDM,SUP17141,Noncdm Charge Record Medical Supplies - See 134069 Trocar Laparos 100 8Mm Optc,78.66,30.68,,,0
CDM,SUP17143,Noncdm Charge Record Medical Supplies - Reamer Surg Flx Shaft,2257.34,880.36,,,0
CDM,SUP171436,Noncdm Charge Record Medical Supplies - Bag Collect 1L Prtct Pls,27.94,10.9,,,0
CDM,SUP17147,Noncdm Charge Record Medical Supplies - Tubing Suct Lpsctn Autofuse,68.31,26.64,,,0
CDM,SUP1714_270,Noncdm Charge Record Medical Supplies - Tape Dressing 3M Mdpr H 4In 10Yd Adh Hypoall,34.13,13.31,,,0
CDM,SUP1714_272,Noncdm Charge Record Medical Supplies - Tape Dressing 3M Mdpr H 4In 10Yd Adh Hypoall,33.64,13.12,,,0
CDM,SUP1714_A4649_270,Noncdm Charge Record Medical Supplies - Tape Dressing 3M Mdpr H 4In 10Yd Adh Hypoall,34.16,13.32,,,0
CDM,SUP1714_A9999_270,Noncdm Charge Record Medical Supplies - Tape Dressing 3M Mdpr H 4In 10Yd Adh Hypoall,34.16,13.32,,,0
CDM,SUP1715,Noncdm Charge Record Medical Supplies - Evacuator Bladr Cmplt Strl Ltx Disp Ellik,33.12,12.92,,,0
CDM,SUP171536_Q4100_278,Noncdm Charge Record Medical Supplies - Amniocore Burn 10X10Cm Graft Human Tissue,13509.75,5268.8,,,0
CDM,SUP171537_C1762_278,Noncdm Charge Record Medical Supplies,32867.46,12818.31,,,0
CDM,SUP171537_Q4100_278,Noncdm Charge Record Medical Supplies - Amniocore 9X20Cm Graft Human Tissue,32867.46,12818.31,,,0
CDM,SUP171573,Noncdm Charge Record Medical Supplies - Kit Prep Size 6 Tibial Cruciate Retaining Disposable,611.68,238.56,,,0
CDM,SUP171574,Noncdm Charge Record Medical Supplies - Head Femoral Dia36Mm 5Mm Offset C Taper Biolox,7040.07,2745.63,,,0
CDM,SUP1716,Noncdm Charge Record Medical Supplies - See 97131 Needle Insfl 120Mm 14Ga Vrrs,249.44,97.28,,,0
CDM,SUP17161,Noncdm Charge Record Medical Supplies - Suture Prolene 3-0 Ps-2 18In Ethicon,27.89,10.88,,,0
CDM,SUP171622,Noncdm Charge Record Medical Supplies - Pad Rehabilitation 18X41X3-4In Gel Foam Base Morphboard,276.35,107.78,,,0
CDM,SUP171625,Noncdm Charge Record Medical Supplies - Graft Human Tissue W8Xl16Cm Thk2-2.79Mm Rtu Alloderm,20725.88,8083.09,,,0
CDM,SUP171626,Noncdm Charge Record Medical Supplies - Stapler Laproscopic L45Mm Curved Tip Sureform Davinci,2291.53,893.7,,,0
CDM,SUP171627,Noncdm Charge Record Medical Supplies - Amplatz Renal Dilator Set,1141.09,445.03,,,0
CDM,SUP171628,Noncdm Charge Record Medical Supplies - Blade Saw W21Xl90Mm Thk1Mm Sagittal Stainless Steel,282.18,110.05,,,0
CDM,SUP17168,Noncdm Charge Record Medical Supplies - Probe Doppler Vasc 8Mhz Mizuho,605.48,236.14,,,0
CDM,SUP17170,Noncdm Charge Record Medical Supplies - See 115500 Catheter Export Aspiration 140Cm 6Fr,1590.84,620.43,,,0
CDM,SUP17171,Noncdm Charge Record Medical Supplies - Angiojet Spiroflex Ultra 4Fr Boston Scientific,8569.8,3342.22,,,0
CDM,SUP171731,Noncdm Charge Record Medical Supplies - Capture Tap 5.5Mm,2685.82,1047.47,,,0
CDM,SUP171732,Noncdm Charge Record Medical Supplies - Cage Spinal W9Xh7Xl25Mm Self Expanding Convex Low Prof,21750.52,8482.7,,,0
CDM,SUP171733,Noncdm Charge Record Medical Supplies - Capture Tap 4.5Mm,2685.82,1047.47,,,0
CDM,SUP171734,Noncdm Charge Record Medical Supplies - Screw Bone 3.5X10Mm T10 Drive Fully Threaded Locking,526.82,205.46,,,0
CDM,SUP171736_272,Noncdm Charge Record Medical Supplies - Bit Drill L135Mm Dia2.6Mm Scaled For Variax Plate System,494.73,192.94,,,0
CDM,SUP171736_A4649_272,Noncdm Charge Record Medical Supplies - Bit Drill L135Mm Dia2.6Mm Scaled For Variax Plate System,494.73,192.94,,,0
CDM,SUP171737,Noncdm Charge Record Medical Supplies - Tray Myelogram 22Ga L3 1-2In Safe-T Plus,85.9,33.5,,,0
CDM,SUP17174,Noncdm Charge Record Medical Supplies - Introducer Cath 30Cm 5Fr .038In Lng Lgth Ckfl,310.5,121.1,,,0
CDM,SUP17179,Noncdm Charge Record Medical Supplies - Cassette Core Irr Essx Mcdbrdr,274.98,107.24,,,0
CDM,SUP171790_272,Noncdm Charge Record Medical Supplies - Pack Robotic Wellstar Ws205A,398.45,155.4,,,0
CDM,SUP171790_A4649_272,Noncdm Charge Record Medical Supplies - Pack Robotic Wellstar Ws205A,398.48,155.41,,,0
CDM,SUP171790_A9999_272,Noncdm Charge Record Medical Supplies - Pack Robotic Wellstar Ws205A,398.48,155.41,,,0
CDM,SUP171804,Noncdm Charge Record Medical Supplies - Kit Hemostasis Valve Access 9 Metal Wire Intrdcr And Torque,77.42,30.19,,,0
CDM,SUP17181,Noncdm Charge Record Medical Supplies - Burr Surg 2Mm Elt Round Dmd,653.2,254.75,,,0
CDM,SUP17183,Noncdm Charge Record Medical Supplies - Adaptor Uros Drain Tube Disposable Hollister Inc.,2.07,0.81,,,0
CDM,SUP171867,Noncdm Charge Record Medical Supplies - Durasorb Mesh 20X25Cm,20300.49,7917.19,,,0
CDM,SUP171888,Noncdm Charge Record Medical Supplies,102.46,39.96,,,0
CDM,SUP17193_272,Noncdm Charge Record Medical Supplies - Knife Opth 2.4Mm Clrct Hp2 2.4Mm Ang Dual Bvl,111.68,43.56,,,0
CDM,SUP17193_A4649_272,Noncdm Charge Record Medical Supplies - Knife Opth 2.4Mm Clrct Hp2 2.4Mm Ang Dual Bvl,74.73,29.14,,,0
CDM,SUP17193_A9999_272,Noncdm Charge Record Medical Supplies - Knife Opth 2.4Mm Clrct Hp2 2.4Mm Ang Dual Bvl,134.2,52.34,,,0
CDM,SUP17195,Noncdm Charge Record Medical Supplies - Catheter Drain 20Fr Thoracic Straight Silicone Maquet,53.82,20.99,,,0
CDM,SUP171954,Noncdm Charge Record Medical Supplies - Osteofactor Allogeneic Proteins Medium,7008.65,2733.37,,,0
CDM,SUP171955,Noncdm Charge Record Medical Supplies,13117.07,5115.66,,,0
CDM,SUP171956,Noncdm Charge Record Medical Supplies,6022.66,2348.84,,,0
CDM,SUP17196_272,Noncdm Charge Record Medical Supplies - Cannula Arthroscopic 7Mm X 75Mm Clear Depuy Mitek,136.73,53.32,,,0
CDM,SUP17196_A4649_272,Noncdm Charge Record Medical Supplies - Cannula Arthroscopic 7Mm X 75Mm Clear Depuy Mitek,136.62,53.28,,,0
CDM,SUP17197_272,Noncdm Charge Record Medical Supplies - Nozzle Bn Cement Rev Fem Brkwy Prs Strl,622.62,242.82,,,0
CDM,SUP17197_A4649_272,Noncdm Charge Record Medical Supplies - Nozzle Bn Cement Rev Fem Brkwy Prs Strl,632.38,246.63,,,0
CDM,SUP17197_A9999_272,Noncdm Charge Record Medical Supplies - Nozzle Bn Cement Rev Fem Brkwy Prs Strl,625.48,243.94,,,0
CDM,SUP1720,Noncdm Charge Record Medical Supplies - Blanket 66X26In Adlt Polyureth,48.13,18.77,,,0
CDM,SUP17203,Noncdm Charge Record Medical Supplies - Brush Cytology 115Cm 3.2Fr Cook Medical,462.64,180.43,,,0
CDM,SUP172058,Noncdm Charge Record Medical Supplies - Cannula Button Passport,156.28,60.95,,,0
CDM,SUP172059,Noncdm Charge Record Medical Supplies - Sheath Introducer 7Fr L25Cm Dilator L2.5Cm,83.84,32.7,,,0
CDM,SUP172077,Noncdm Charge Record Medical Supplies - Pack Tvt And Vag Hyst Kennesto Wk410A,145.94,56.92,,,0
CDM,SUP172078,Noncdm Charge Record Medical Supplies - Pack Stroke Kennestone Wk440A,804.95,313.93,,,0
CDM,SUP172079,Noncdm Charge Record Medical Supplies - Pack Spine Wellstar Ws370A,405.72,158.23,,,0
CDM,SUP172080_272,Noncdm Charge Record Medical Supplies - Pack Lithotomy Wellstar Ws310A,162.63,63.43,,,0
CDM,SUP172080_A4649_272,Noncdm Charge Record Medical Supplies - Pack Lithotomy Wellstar Ws310A,158.23,61.71,,,0
CDM,SUP172080_A9999_272,Noncdm Charge Record Medical Supplies - Pack Lithotomy Wellstar Ws310A,171.81,67.01,,,0
CDM,SUP172095_272,Noncdm Charge Record Medical Supplies - Retractor Small Alexis Lap Sys Surgical Wound Protector,1282.19,500.05,,,0
CDM,SUP172095_A4649_272,Noncdm Charge Record Medical Supplies - Retractor Small Alexis Lap Sys Surgical Wound Protector,1150.92,448.86,,,0
CDM,SUP172095_A9999_272,Noncdm Charge Record Medical Supplies - Retractor Small Alexis Lap Sys Surgical Wound Protector,1420.02,553.81,,,0
CDM,SUP172096,Noncdm Charge Record Medical Supplies - Retractor Medium Alexis Lap Sys Surgical Wound Protector,1240.62,483.84,,,0
CDM,SUP1721,Noncdm Charge Record Medical Supplies - See 12090 Needle Insfl 150Mm 14Ga Vrrs,216.32,84.36,,,0
CDM,SUP172100,Noncdm Charge Record Medical Supplies - Suture Stratafix Pds 24In Ctx Antibacterial 48Mm 1-2 Circle,139.72,54.49,,,0
CDM,SUP172101,Noncdm Charge Record Medical Supplies - Suture Stratafix 3-0 L30X30Cm Monocryl Undyed Ps,120.32,46.92,,,0
CDM,SUP172102,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Ligapak 54In Absorbable Undyed,12.07,4.71,,,0
CDM,SUP17214,Noncdm Charge Record Medical Supplies - Needle Epdrl 18Ga 3.5In Tuo Plastic Hub,16.56,6.46,,,0
CDM,SUP172166,Noncdm Charge Record Medical Supplies - Cable Cath Blu 5Ft Sprm Ep Bipolar Trplr,221.6,86.42,,,0
CDM,SUP172167_272,Noncdm Charge Record Medical Supplies - Cable Cath Rd 150Cm Sprm Ep Bipolar Trplr,221.49,86.38,,,0
CDM,SUP172167_A9999_272,Noncdm Charge Record Medical Supplies - Cable Cath Rd 150Cm Sprm Ep Bipolar Trplr,221.49,86.38,,,0
CDM,SUP172168_272,Noncdm Charge Record Medical Supplies - Cable Cath Connect 150Cm Bipolar Qpolar Gry,221.58,86.42,,,0
CDM,SUP172168_A9999_272,Noncdm Charge Record Medical Supplies - Cable Cath Connect 150Cm Bipolar Qpolar Gry,221.49,86.38,,,0
CDM,SUP172169_272,Noncdm Charge Record Medical Supplies - Cable Cath Connect 150Cm Hexploctpl Dcapl Rd,277.38,108.18,,,0
CDM,SUP172169_A9999_272,Noncdm Charge Record Medical Supplies - Cable Cath Connect 150Cm Hexploctpl Dcapl Rd,277.38,108.18,,,0
CDM,SUP172170,Noncdm Charge Record Medical Supplies - Cable Cath Connect 150Cm Hexploctpl Dcapl Blk,592.08,230.91,,,0
CDM,SUP172236,Noncdm Charge Record Medical Supplies,11.46,4.47,,,0
CDM,SUP172237_270,Noncdm Charge Record Medical Supplies - Cradle Arm 3X5X24In Noncomprss Purple Foam,33.13,12.92,,,0
CDM,SUP172237_A4649_270,Noncdm Charge Record Medical Supplies - Cradle Arm 3X5X24In Noncomprss Purple Foam,33.13,12.92,,,0
CDM,SUP172237_A9999_270,Noncdm Charge Record Medical Supplies - Cradle Arm 3X5X24In Noncomprss Purple Foam,33.12,12.92,,,0
CDM,SUP17227_272,Noncdm Charge Record Medical Supplies - Device Balloon Infl Acclarent Nasal Sin Dil,365.36,142.49,,,0
CDM,SUP17227_A4649_272,Noncdm Charge Record Medical Supplies - Device Balloon Infl Acclarent Nasal Sin Dil,365.36,142.49,,,0
CDM,SUP172284_272,Noncdm Charge Record Medical Supplies - Pack Cath Lab Wellstar Pb Ws190A,271.21,105.77,,,0
CDM,SUP172284_A4649_272,Noncdm Charge Record Medical Supplies - Pack Cath Lab Wellstar Pb Ws190A,271.17,105.76,,,0
CDM,SUP172284_A9999_272,Noncdm Charge Record Medical Supplies - Pack Cath Lab Wellstar Pb Ws190A,271.17,105.76,,,0
CDM,SUP172285_272,Noncdm Charge Record Medical Supplies - Pack Cysto Wellstar Pb Ws170A,167.66,65.39,,,0
CDM,SUP172285_A4649_272,Noncdm Charge Record Medical Supplies - Pack Cysto Wellstar Pb Ws170A,167.67,65.39,,,0
CDM,SUP172285_A9999_272,Noncdm Charge Record Medical Supplies - Pack Cysto Wellstar Pb Ws170A,167.67,65.39,,,0
CDM,SUP1722_272,Noncdm Charge Record Medical Supplies - Needle Port .75In 20Ga 90D,21.8,8.5,,,0
CDM,SUP1722_A9999_272,Noncdm Charge Record Medical Supplies - Needle Port .75In 20Ga 90D,21.74,8.48,,,0
CDM,SUP172328,Noncdm Charge Record Medical Supplies - Device Closure Laa Amplatzer Amulet 22Mm,93768.93,36569.88,,,0
CDM,SUP172329,Noncdm Charge Record Medical Supplies - Device Closure Laa Amplatzer Amulet 28Mm,93768.93,36569.88,,,0
CDM,SUP17233,Noncdm Charge Record Medical Supplies - Adapter Lght Cable 100Cm Rlv,2100.02,819.01,,,0
CDM,SUP172330,Noncdm Charge Record Medical Supplies - Device Closure Laa Amplatzer Amulet 31Mm,93768.93,36569.88,,,0
CDM,SUP17238_272,Noncdm Charge Record Medical Supplies - Dressing Nasopore 8Cm Stryker,995.97,388.43,,,0
CDM,SUP17238_A4649_272,Noncdm Charge Record Medical Supplies - Dressing Nasopore 8Cm Stryker,1051.04,409.91,,,0
CDM,SUP17238_A9999_272,Noncdm Charge Record Medical Supplies - Dressing Nasopore 8Cm Stryker,948.58,369.95,,,0
CDM,SUP172390,Noncdm Charge Record Medical Supplies - Securement Device Medium Dual Strap Low Profile Cath Grip,51.26,19.99,,,0
CDM,SUP172470_270,Noncdm Charge Record Medical Supplies - Dl Disposable Lead Set Leadwire Ekg 72In Radiolucent,101.82,39.71,,,0
CDM,SUP172470_A4649_270,Noncdm Charge Record Medical Supplies - Dl Disposable Lead Set Leadwire Ekg 72In Radiolucent,110.73,43.18,,,0
CDM,SUP172470_A9999_270,Noncdm Charge Record Medical Supplies - Dl Disposable Lead Set Leadwire Ekg 72In Radiolucent,85.67,33.41,,,0
CDM,SUP172477,Noncdm Charge Record Medical Supplies - Tube Gastric Sump 16Fr 48In,12.42,4.84,,,0
CDM,SUP172484,Noncdm Charge Record Medical Supplies,28.98,11.3,,,0
CDM,SUP172488,Noncdm Charge Record Medical Supplies,12.42,4.84,,,0
CDM,SUP172525,Noncdm Charge Record Medical Supplies - Tube Suction Curved One Piece Yankauer 6Ft No Vent Bulb Tip,10.35,4.04,,,0
CDM,SUP172526,Noncdm Charge Record Medical Supplies,143.86,56.11,,,0
CDM,SUP172568,Noncdm Charge Record Medical Supplies - Surface Articular Femoral Size 8-11 Right Knee System Person,7793.55,3039.48,,,0
CDM,SUP172601_272,Noncdm Charge Record Medical Supplies - Drain Surgical 19Fr Dia0.25In Silicone Round,68.31,26.64,,,0
CDM,SUP172601_A4649_272,Noncdm Charge Record Medical Supplies - Drain Surgical 19Fr Dia0.25In Silicone Round,68.31,26.64,,,0
CDM,SUP172658,Noncdm Charge Record Medical Supplies - Introducer Sheath 6.5Fr L11Cm Guidewire 0.038In,41.4,16.15,,,0
CDM,SUP17271_C1713_272,Noncdm Charge Record Medical Supplies - Suture Double Sternal Wire Ccs#1 A And E Medical Corp,530.44,206.87,,,0
CDM,SUP17271_C1713_278,Noncdm Charge Record Medical Supplies - Suture Double Sternal Wire Ccs#1 A And E Medical Corp,510.56,199.12,,,0
CDM,SUP172736_270,Noncdm Charge Record Medical Supplies - Catheter Extl Urinary Female Purewick,38.48,15.01,,,0
CDM,SUP172736_A4649_270,Noncdm Charge Record Medical Supplies - Catheter Extl Urinary Female Purewick,38.3,14.94,,,0
CDM,SUP172818,Noncdm Charge Record Medical Supplies - Screw Bone 3.5X16Mm T10 Drive Nonlocking Titanium Variax,284.62,111.0,,,0
CDM,SUP172837,Noncdm Charge Record Medical Supplies,11576.48,4514.83,,,0
CDM,SUP172848,Noncdm Charge Record Medical Supplies,6887.92,2686.29,,,0
CDM,SUP172863_272,Noncdm Charge Record Medical Supplies - Tube Suct 12Fr Frazier Ctrl Vt Venter Universal Sterile,9.32,3.63,,,0
CDM,SUP172863_A4649_272,Noncdm Charge Record Medical Supplies - Tube Suct 12Fr Frazier Ctrl Vt Venter Universal Sterile,9.32,3.63,,,0
CDM,SUP172863_A9999_272,Noncdm Charge Record Medical Supplies - Tube Suct 12Fr Frazier Ctrl Vt Venter Universal Sterile,9.32,3.63,,,0
CDM,SUP172865,Noncdm Charge Record Medical Supplies,3.1,1.21,,,0
CDM,SUP172866,Noncdm Charge Record Medical Supplies - Pack Burn Cobb Wc115A,303.26,118.27,,,0
CDM,SUP17289,Noncdm Charge Record Medical Supplies - Reamer Surg Spr Tube 309.065 Ns,1143.68,446.04,,,0
CDM,SUP172916,Noncdm Charge Record Medical Supplies - Cover Cassette 24Inx40In Strl,11.8,4.6,,,0
CDM,SUP17292,Noncdm Charge Record Medical Supplies - Reamer Surg 16.5Mm Head Ria Strl Disp,2665.12,1039.4,,,0
CDM,SUP172944,Noncdm Charge Record Medical Supplies - Tip Poole Sterile Yankauer,9.64,3.76,,,0
CDM,SUP172946,Noncdm Charge Record Medical Supplies - Tubing Suction 9-32Inx100Ft Female Connector,55.89,21.8,,,0
CDM,SUP172948,Noncdm Charge Record Medical Supplies - Stockinette 6X48 Single 1Ply Sterile Cotton,9.32,3.63,,,0
CDM,SUP172949,Noncdm Charge Record Medical Supplies - Tip Suction Bulb Nonvnt 10Ft 5 In 1 Connector,8.28,3.23,,,0
CDM,SUP17297_272,Noncdm Charge Record Medical Supplies - Suture Orthocord Size 2 Mo-6 36In Violet Depuy Mitek,191.77,74.79,,,0
CDM,SUP17297_A4649_272,Noncdm Charge Record Medical Supplies - Suture Orthocord Size 2 Mo-6 36In Violet Depuy Mitek,191.48,74.68,,,0
CDM,SUP17298,Noncdm Charge Record Medical Supplies - See 87672 Remover Staple Alcohol Prep,7.24,2.82,,,0
CDM,SUP17303,Noncdm Charge Record Medical Supplies - Ostene 3.5Gm Haemostasis Synth,617.89,240.98,,,0
CDM,SUP17304,Noncdm Charge Record Medical Supplies - Mold Knee Cement 75Mm Fem Spacer,7036.96,2744.41,,,0
CDM,SUP173115,Noncdm Charge Record Medical Supplies - Stent Endovascular L29Mm Dia8- 16Mm Catheter L80Cm,14350.62,5596.74,,,0
CDM,SUP17312,Noncdm Charge Record Medical Supplies - Pin Fx 5Mm Centrl Thrd 300Mm,691.38,269.64,,,0
CDM,SUP173138_272,Noncdm Charge Record Medical Supplies - Pack T And A Kennestone Wk380B,165.99,64.74,,,0
CDM,SUP173138_A4649_272,Noncdm Charge Record Medical Supplies - Pack T And A Kennestone Wk380B,163.15,63.63,,,0
CDM,SUP173138_A9999_272,Noncdm Charge Record Medical Supplies - Pack T And A Kennestone Wk380B,155.25,60.55,,,0
CDM,SUP173139,Noncdm Charge Record Medical Supplies - Pack Craniotomy Wellstar Ws200A,452.3,176.4,,,0
CDM,SUP17314,Noncdm Charge Record Medical Supplies - Bit Drill 5.2Mm Cannula,4170.02,1626.31,,,0
CDM,SUP17318_272,Noncdm Charge Record Medical Supplies - Wire Fx 1.8Mm 400Mm Trulock Stpr,600.51,234.2,,,0
CDM,SUP17318_C1713_278,Noncdm Charge Record Medical Supplies - Wire Fx 1.8Mm 400Mm Trulock Stpr,600.47,234.18,,,0
CDM,SUP17319_272,Noncdm Charge Record Medical Supplies - Wire Fx 1.8Mm Trulock Bay,257.79,100.54,,,0
CDM,SUP17319_C1713_278,Noncdm Charge Record Medical Supplies - Wire Fx 1.8Mm Trulock Bay,257.71,100.51,,,0
CDM,SUP17321,Noncdm Charge Record Medical Supplies,129.38,50.46,,,0
CDM,SUP173227,Noncdm Charge Record Medical Supplies - Kit Instr Drll Gde 1.6-1.35Mm Guidewire Disposable Fibertak,1346.54,525.15,,,0
CDM,SUP17322_272,Noncdm Charge Record Medical Supplies - Cannula Arthroscopic 8.5Mm 75Mm Clear Depuy Mitek,137.08,53.46,,,0
CDM,SUP17322_A4649_272,Noncdm Charge Record Medical Supplies - Cannula Arthroscopic 8.5Mm 75Mm Clear Depuy Mitek,137.03,53.44,,,0
CDM,SUP17322_A9999_272,Noncdm Charge Record Medical Supplies - Cannula Arthroscopic 8.5Mm 75Mm Clear Depuy Mitek,137.14,53.48,,,0
CDM,SUP173284_270,Noncdm Charge Record Medical Supplies - Marker Radiology L7Mm Dia4Mm Nitinol Coil Superlock,1081.7,421.86,,,0
CDM,SUP173284_A4648_278,Noncdm Charge Record Medical Supplies - Marker Radiology L7Mm Dia4Mm Nitinol Coil Superlock,1081.83,421.91,,,0
CDM,SUP173285,Noncdm Charge Record Medical Supplies - Kit Marker Delivery Catheter 5Fr L125Cm Guidewire L150Cm,555.45,216.63,,,0
CDM,SUP17329,Noncdm Charge Record Medical Supplies - Catheter Drain 32Fr Straight Taper Maquet,30.44,11.87,,,0
CDM,SUP173295_270,Noncdm Charge Record Medical Supplies - See 3043 Sensor Adlt Oxmx 18In Oxm Adh Strap Compat Reproces,31.05,12.11,,,0
CDM,SUP173295_A4649_270,Noncdm Charge Record Medical Supplies - See 3043 Sensor Adlt Oxmx 18In Oxm Adh Strap Compat Reproces,31.05,12.11,,,0
CDM,SUP173295_A9999_270,Noncdm Charge Record Medical Supplies - See 3043 Sensor Adlt Oxmx 18In Oxm Adh Strap Compat Reproces,31.05,12.11,,,0
CDM,SUP173297_270,Noncdm Charge Record Medical Supplies - See 14111 Sensor Neo-Adlt Oxmx 18In Oxm Adh Strap Reprocesse,31.05,12.11,,,0
CDM,SUP173297_A4649_270,Noncdm Charge Record Medical Supplies - See 14111 Sensor Neo-Adlt Oxmx 18In Oxm Adh Strap Reprocesse,31.05,12.11,,,0
CDM,SUP173297_A9999_270,Noncdm Charge Record Medical Supplies - See 14111 Sensor Neo-Adlt Oxmx 18In Oxm Adh Strap Reprocesse,31.05,12.11,,,0
CDM,SUP17330,Noncdm Charge Record Medical Supplies - Mill Bn 210 Lgnd Kt Bx Disp,1697.4,661.99,,,0
CDM,SUP17334,Noncdm Charge Record Medical Supplies - Balloon Trek Rx 5.0X15,489.56,190.93,,,0
CDM,SUP173358,Noncdm Charge Record Medical Supplies - Surpass Evolve 4.0Mm X 15Mm - Pmas,60910.78,23755.2,,,0
CDM,SUP17336,Noncdm Charge Record Medical Supplies - Trek Rx 2.75 X 15,440.56,171.82,,,0
CDM,SUP173365,Noncdm Charge Record Medical Supplies,60910.78,23755.2,,,0
CDM,SUP173370,Noncdm Charge Record Medical Supplies - Surpass Evolve 5.0Mm X 15Mm - Pmas,60910.78,23755.2,,,0
CDM,SUP173371,Noncdm Charge Record Medical Supplies - Surpass Evolve 5.0Mm X 20Mm - Pmas,60910.78,23755.2,,,0
CDM,SUP173373,Noncdm Charge Record Medical Supplies - Surpass Evolve 5.0Mm X 30Mm - Pmas,60910.78,23755.2,,,0
CDM,SUP173374,Noncdm Charge Record Medical Supplies,66243.1,25834.81,,,0
CDM,SUP173434_272,Noncdm Charge Record Medical Supplies - Pack Gen Maj Abdominl Wellstar Ws290A,228.71,89.2,,,0
CDM,SUP173434_A4649_272,Noncdm Charge Record Medical Supplies - Pack Gen Maj Abdominl Wellstar Ws290A,228.74,89.21,,,0
CDM,SUP173434_A9999_272,Noncdm Charge Record Medical Supplies - Pack Gen Maj Abdominl Wellstar Ws290A,228.74,89.21,,,0
CDM,SUP17344,Noncdm Charge Record Medical Supplies - Kit 4 Arm Acc Disp,1145.74,446.84,,,0
CDM,SUP1735,Noncdm Charge Record Medical Supplies - Kit Drain 8Fr 6.44In Ndl Stopcock,414.78,161.76,,,0
CDM,SUP173503_272,Noncdm Charge Record Medical Supplies,196.65,76.69,,,0
CDM,SUP173503_A4649_272,Noncdm Charge Record Medical Supplies,196.65,76.69,,,0
CDM,SUP173506_272,Noncdm Charge Record Medical Supplies - Pack Angio Kennestone Wk100C,369.79,144.22,,,0
CDM,SUP173506_A4649_272,Noncdm Charge Record Medical Supplies - Pack Angio Kennestone Wk100C,320.85,125.13,,,0
CDM,SUP173506_A9999_272,Noncdm Charge Record Medical Supplies - Pack Angio Kennestone Wk100C,430.56,167.92,,,0
CDM,SUP173507_272,Noncdm Charge Record Medical Supplies - Pack Loop Recorder Kennestone Wk285A,232.88,90.82,,,0
CDM,SUP173507_A4649_272,Noncdm Charge Record Medical Supplies - Pack Loop Recorder Kennestone Wk285A,232.88,90.82,,,0
CDM,SUP173508_272,Noncdm Charge Record Medical Supplies - Pack Major Basin Cobb Wc120A,165.76,64.65,,,0
CDM,SUP173508_A4649_272,Noncdm Charge Record Medical Supplies - Pack Major Basin Cobb Wc120A,159.39,62.16,,,0
CDM,SUP173509_272,Noncdm Charge Record Medical Supplies - Pack Special Procedure Cobb Wc150A,608.56,237.34,,,0
CDM,SUP173509_A4649_272,Noncdm Charge Record Medical Supplies - Pack Special Procedure Cobb Wc150A,603.4,235.33,,,0
CDM,SUP173509_A9999_272,Noncdm Charge Record Medical Supplies - Pack Special Procedure Cobb Wc150A,603.4,235.33,,,0
CDM,SUP173510,Noncdm Charge Record Medical Supplies - Pack Endograft Kennestone Wk230A,705.06,274.97,,,0
CDM,SUP173511,Noncdm Charge Record Medical Supplies - Pack Pacemaker Wellstar Ws330A,710.01,276.9,,,0
CDM,SUP173512,Noncdm Charge Record Medical Supplies - Kit C-Section Add On Wellstar Kt170A,155.25,60.55,,,0
CDM,SUP173513,Noncdm Charge Record Medical Supplies,187.34,73.06,,,0
CDM,SUP173514_272,Noncdm Charge Record Medical Supplies - Pack Minor Proc Basin Kennestn Wk320D,192.3,75.0,,,0
CDM,SUP173514_A4649_272,Noncdm Charge Record Medical Supplies - Pack Minor Proc Basin Kennestn Wk320D,199.45,77.79,,,0
CDM,SUP173514_A9999_272,Noncdm Charge Record Medical Supplies - Pack Minor Proc Basin Kennestn Wk320D,179.06,69.83,,,0
CDM,SUP173517_272,Noncdm Charge Record Medical Supplies - Pack Av Fistula Kennestone Wk120A,281.24,109.68,,,0
CDM,SUP173517_A9999_272,Noncdm Charge Record Medical Supplies - Pack Av Fistula Kennestone Wk120A,277.38,108.18,,,0
CDM,SUP173518_272,Noncdm Charge Record Medical Supplies - Tray Picc Kennestone Wk430C,231.58,90.32,,,0
CDM,SUP173518_A4649_272,Noncdm Charge Record Medical Supplies - Tray Picc Kennestone Wk430C,263.41,102.73,,,0
CDM,SUP173518_A9999_272,Noncdm Charge Record Medical Supplies - Tray Picc Kennestone Wk430C,203.9,79.52,,,0
CDM,SUP173519,Noncdm Charge Record Medical Supplies - Pack Cardiac Basin Kennestone Wk150A,103.5,40.36,,,0
CDM,SUP17351_272,Noncdm Charge Record Medical Supplies - Kit Drain 3-16In Pvc 3 Spring,38.24,14.91,,,0
CDM,SUP17351_A4649_272,Noncdm Charge Record Medical Supplies - Kit Drain 3-16In Pvc 3 Spring,38.3,14.94,,,0
CDM,SUP17351_A9999_272,Noncdm Charge Record Medical Supplies - Kit Drain 3-16In Pvc 3 Spring,38.3,14.94,,,0
CDM,SUP173520,Noncdm Charge Record Medical Supplies - Pack Upper Extremity Kennestn Wk420A,279.36,108.95,,,0
CDM,SUP173521_272,Noncdm Charge Record Medical Supplies - Pack Kop Hand Kennestone Wk140A,171.81,67.01,,,0
CDM,SUP173521_A4649_272,Noncdm Charge Record Medical Supplies - Pack Kop Hand Kennestone Wk140A,171.81,67.01,,,0
CDM,SUP173521_A9999_272,Noncdm Charge Record Medical Supplies - Pack Kop Hand Kennestone Wk140A,171.81,67.01,,,0
CDM,SUP173522,Noncdm Charge Record Medical Supplies - Pack Cvor Kennestone Pb Wk220A,806.33,314.47,,,0
CDM,SUP17359,Noncdm Charge Record Medical Supplies - Suture Lasso Sd 90 Degree Straight Arthrex,685.17,267.22,,,0
CDM,SUP17360,Noncdm Charge Record Medical Supplies - Suture Fiberloop 2-0 15In Straight Arthrex,245.0,95.55,,,0
CDM,SUP17361_272,Noncdm Charge Record Medical Supplies - Suture Tigerloop #2 20In White-Green Arthrex,245.09,95.59,,,0
CDM,SUP17361_A4649_272,Noncdm Charge Record Medical Supplies - Suture Tigerloop #2 20In White-Green Arthrex,244.95,95.53,,,0
CDM,SUP17362_272,Noncdm Charge Record Medical Supplies - Suture Fiberwire 2 54In Braid Arthrex,245.11,95.59,,,0
CDM,SUP17362_A4649_272,Noncdm Charge Record Medical Supplies - Suture Fiberwire 2 54In Braid Arthrex,244.95,95.53,,,0
CDM,SUP17363,Noncdm Charge Record Medical Supplies - Suture Tigertape 2Mm 30In White-Black Arthrex,245.13,95.6,,,0
CDM,SUP173634,Noncdm Charge Record Medical Supplies - Guidewire Vascular Viperwire 0.012Inx325Cm Flex Tip,954.27,372.17,,,0
CDM,SUP17364,Noncdm Charge Record Medical Supplies - Kit Arthro Fx Shoulder Ascp,856.98,334.22,,,0
CDM,SUP17365,Noncdm Charge Record Medical Supplies - Suture Lasso Sd 90 Degree Curve Left Arthrex,685.17,267.22,,,0
CDM,SUP17366,Noncdm Charge Record Medical Supplies - Punch Artho Disp 4.5Mm Crkscr,367.42,143.29,,,0
CDM,SUP173664,Noncdm Charge Record Medical Supplies - Tightrope Xp Buttress Plate Implant Sys,19739.17,7698.28,,,0
CDM,SUP17367_272,Noncdm Charge Record Medical Supplies - Catheter Art 7Fr 110Cm 2 Lum Monitoring Sg,468.56,182.74,,,0
CDM,SUP17367_C1751_272,Noncdm Charge Record Medical Supplies - Catheter Art 7Fr 110Cm 2 Lum Monitoring Sg,352.94,137.65,,,0
CDM,SUP17374,Noncdm Charge Record Medical Supplies - Sheath Acc 45Cm 9.5Fr Flxr,723.46,282.15,,,0
CDM,SUP17375,Noncdm Charge Record Medical Supplies - Kit Advance Cement Mixing Stryker,437.8,170.74,,,0
CDM,SUP17377,Noncdm Charge Record Medical Supplies - Cannula Perf 25Fr Venous,2447.78,954.63,,,0
CDM,SUP17378,Noncdm Charge Record Medical Supplies - Cannula Perf 16Ga Perc Venous .038In,352.94,137.65,,,0
CDM,SUP173782,Noncdm Charge Record Medical Supplies - Visiglide .025 Ercp Measuri,837.32,326.55,,,0
CDM,SUP173787,Noncdm Charge Record Medical Supplies - Sheath Introducer Intri24 24Fr,10629.08,4145.34,,,0
CDM,SUP173788_272,Noncdm Charge Record Medical Supplies - Drain Wound 10Fr 1.8Th In Silicone Channel Round Full,61.06,23.81,,,0
CDM,SUP173788_C1729_272,Noncdm Charge Record Medical Supplies - Drain Wound 10Fr 1.8Th In Silicone Channel Round Full,61.06,23.81,,,0
CDM,SUP173789,Noncdm Charge Record Medical Supplies - Tip Aspirator L4.2In Working L15.25Mm W0.83Xl11.6Mm Knife,4195.91,1636.4,,,0
CDM,SUP17379,Noncdm Charge Record Medical Supplies - Kit Cath Insertion 18Ga Perc Art Perc Art,286.83,111.86,,,0
CDM,SUP173790,Noncdm Charge Record Medical Supplies - Needle Bscp 15Mm 19Ga Wang Trn Br Bx Asp Histo,210.97,82.28,,,0
CDM,SUP1737_272,Noncdm Charge Record Medical Supplies - Tubing Endotrachal 7Mm Teleflex,6.78,2.64,,,0
CDM,SUP1737_A4649_272,Noncdm Charge Record Medical Supplies - Tubing Endotrachal 7Mm Teleflex,7.12,2.78,,,0
CDM,SUP1737_A9999_272,Noncdm Charge Record Medical Supplies - Tubing Endotrachal 7Mm Teleflex,6.21,2.42,,,0
CDM,SUP17380,Noncdm Charge Record Medical Supplies - Cannula Perf 16Fr Art,1126.08,439.17,,,0
CDM,SUP17381,Noncdm Charge Record Medical Supplies - Cannula Perf 18Fr Art,1198.91,467.57,,,0
CDM,SUP17382,Noncdm Charge Record Medical Supplies - Cannula Perf 20Fr Art,1188.77,463.62,,,0
CDM,SUP173823,Noncdm Charge Record Medical Supplies - Clamp Bipolar Radiofrequency Ablation,23809.14,9285.56,,,0
CDM,SUP17383,Noncdm Charge Record Medical Supplies - Cannula Perf 22Fr Art,1203.84,469.5,,,0
CDM,SUP17384,Noncdm Charge Record Medical Supplies - Kit Bx Navigus Ndl Pass Cranl,3341.27,1303.1,,,0
CDM,SUP173848,Noncdm Charge Record Medical Supplies - Tray Biopsy Needle L4In Bn Mrw Povidone Iodine Swabstick,250.47,97.68,,,0
CDM,SUP173865,Noncdm Charge Record Medical Supplies,808.34,315.25,,,0
CDM,SUP173888_272,Noncdm Charge Record Medical Supplies - Bit Drill L170Mm 2.5Mm Calibration 80Mm Sterile Qc,627.47,244.71,,,0
CDM,SUP173888_A4649_272,Noncdm Charge Record Medical Supplies - Bit Drill L170Mm 2.5Mm Calibration 80Mm Sterile Qc,614.79,239.77,,,0
CDM,SUP1738_272,Noncdm Charge Record Medical Supplies - Tube Endotrachal 7.5Mm Teleflex,6.82,2.66,,,0
CDM,SUP1738_A4649_272,Noncdm Charge Record Medical Supplies - Tube Endotrachal 7.5Mm Teleflex,7.14,2.78,,,0
CDM,SUP1738_A9999_272,Noncdm Charge Record Medical Supplies - Tube Endotrachal 7.5Mm Teleflex,6.21,2.42,,,0
CDM,SUP173931,Noncdm Charge Record Medical Supplies - Gamma Finder Iii Sterile Sleeves,66.24,25.83,,,0
CDM,SUP173934_272,Noncdm Charge Record Medical Supplies - Tool Dissect Mr8 10Cm 4Mm Dia Fluted,794.88,310.0,,,0
CDM,SUP173934_A4649_272,Noncdm Charge Record Medical Supplies - Tool Dissect Mr8 10Cm 4Mm Dia Fluted,794.88,310.0,,,0
CDM,SUP173935,Noncdm Charge Record Medical Supplies - Tool Dissect Mr8 10Cm 4Mm Dia Diamond,888.03,346.33,,,0
CDM,SUP173936,Noncdm Charge Record Medical Supplies - Tool Dissect Mr8 10Cm 4Mm Dia Fluted Symmetry,979.11,381.85,,,0
CDM,SUP173937_272,Noncdm Charge Record Medical Supplies - Tool Dissect Mr8 10Cm 5Mm Dia Fluted,824.9,321.71,,,0
CDM,SUP173937_A4649_272,Noncdm Charge Record Medical Supplies - Tool Dissect Mr8 10Cm 5Mm Dia Fluted,888.72,346.6,,,0
CDM,SUP173937_A9999_272,Noncdm Charge Record Medical Supplies - Tool Dissect Mr8 10Cm 5Mm Dia Fluted,757.62,295.47,,,0
CDM,SUP173938,Noncdm Charge Record Medical Supplies - Tool Dissect Mr8 10Cm 5Mm Dia Diamond,786.88,306.88,,,0
CDM,SUP173940,Noncdm Charge Record Medical Supplies - Tool Dissect Mr8 10Cm 3Mm Dia Matchead Fluted,824.31,321.48,,,0
CDM,SUP173944,Noncdm Charge Record Medical Supplies - Tool Dissect Mr8 14Cm 3Mm Dia Diamond,877.68,342.3,,,0
CDM,SUP173946,Noncdm Charge Record Medical Supplies - Tool Dissect Mr8 14Cm 4Mm Fluted,843.52,328.97,,,0
CDM,SUP173947,Noncdm Charge Record Medical Supplies - Tool Dissect Mr8 14Cm 4Mm Diamond,893.2,348.35,,,0
CDM,SUP173951_C1889_272,Noncdm Charge Record Medical Supplies - Tool Dissect Mr8 14Cm 5Mm Diamond,1355.85,528.78,,,0
CDM,SUP173955,Noncdm Charge Record Medical Supplies - Tool Dissect Mr8 14Cm 6Mm Dia Diamond,877.68,342.3,,,0
CDM,SUP173962_272,Noncdm Charge Record Medical Supplies - Tool Dissect Mr8 14Cm 3Mm Dia Matchead Fluted,783.2,305.45,,,0
CDM,SUP173962_A4649_272,Noncdm Charge Record Medical Supplies - Tool Dissect Mr8 14Cm 3Mm Dia Matchead Fluted,789.11,307.75,,,0
CDM,SUP173962_A9999_272,Noncdm Charge Record Medical Supplies - Tool Dissect Mr8 14Cm 3Mm Dia Matchead Fluted,773.14,301.52,,,0
CDM,SUP173963,Noncdm Charge Record Medical Supplies - Tool Dissect Mr8 14Cm 3Mm Dia Matchead Diamond,961.04,374.81,,,0
CDM,SUP173964_272,Noncdm Charge Record Medical Supplies - Tool Dissect Mr8 14Cm 3Mm Dia Matchead Fluted Symm,963.62,375.81,,,0
CDM,SUP173964_A9999_272,Noncdm Charge Record Medical Supplies - Tool Dissect Mr8 14Cm 3Mm Dia Matchead Fluted Symm,963.58,375.8,,,0
CDM,SUP173967,Noncdm Charge Record Medical Supplies - Tool Dissect Mr8 15Cm 2.2Mm Dia Matchead Fluted,857.52,334.43,,,0
CDM,SUP173983,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP173987,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP17399,Noncdm Charge Record Medical Supplies,2379.46,927.99,,,0
CDM,SUP173993,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP173994_272,Noncdm Charge Record Medical Supplies - Tool Dissect Mr8 7Cm 1.7Mm Dia Matchead,690.41,269.26,,,0
CDM,SUP173994_A4649_272,Noncdm Charge Record Medical Supplies - Tool Dissect Mr8 7Cm 1.7Mm Dia Matchead,637.56,248.65,,,0
CDM,SUP173995,Noncdm Charge Record Medical Supplies - Tool Dissect Mr8 7Cm 1.1Mm Dia Tapered,621.99,242.58,,,0
CDM,SUP173997,Noncdm Charge Record Medical Supplies - Tool Dissect Mr8 9Cm 7.5Mm Dia Acorn,827.34,322.66,,,0
CDM,SUP173999,Noncdm Charge Record Medical Supplies - Tool Dissect Mr8 9Cm 25.4Mm Dia Wheel Metal Cutter,919.08,358.44,,,0
CDM,SUP1739_272,Noncdm Charge Record Medical Supplies - Tube Endotrachal 8.0Mm Teleflex,6.79,2.65,,,0
CDM,SUP1739_A4649_272,Noncdm Charge Record Medical Supplies - Tube Endotrachal 8.0Mm Teleflex,7.24,2.82,,,0
CDM,SUP1739_A9999_272,Noncdm Charge Record Medical Supplies - Tube Endotrachal 8.0Mm Teleflex,6.21,2.42,,,0
CDM,SUP174000,Noncdm Charge Record Medical Supplies - Tool Dissect Mr8 9Cm 3Mm Dia Metal Cutter,1114.59,434.69,,,0
CDM,SUP174001,Noncdm Charge Record Medical Supplies - Tool Dissect Mr8 7Cm 2.3Mm Dia Tapered,644.1,251.2,,,0
CDM,SUP174002,Noncdm Charge Record Medical Supplies - Tool Dissect Mr8 9Cm 3Mm Dia Tapered,764.86,298.3,,,0
CDM,SUP174005,Noncdm Charge Record Medical Supplies - Tool Clearview Mr8 Transnasa 4Mm Fluted,2375.32,926.37,,,0
CDM,SUP174006,Noncdm Charge Record Medical Supplies - Tool Clearview Mr8 Transnasa 4Mm Diamond Course,2375.32,926.37,,,0
CDM,SUP174007,Noncdm Charge Record Medical Supplies,2375.32,926.37,,,0
CDM,SUP174014_272,Noncdm Charge Record Medical Supplies - Tool Dissect Mr8 12Cm 3Mm Dia Matchead Telescoping,827.26,322.63,,,0
CDM,SUP174014_A4649_272,Noncdm Charge Record Medical Supplies - Tool Dissect Mr8 12Cm 3Mm Dia Matchead Telescoping,1150.92,448.86,,,0
CDM,SUP174017_270,Noncdm Charge Record Medical Supplies - Needle Guide Disposable Endocavity Use W. Samsung Med,72.46,28.26,,,0
CDM,SUP174017_A9999_270,Noncdm Charge Record Medical Supplies - Needle Guide Disposable Endocavity Use W. Samsung Med,72.45,28.26,,,0
CDM,SUP17402_272,Noncdm Charge Record Medical Supplies - Sheath 8Fr Terumo 10Cm Mini Gwire,48.99,19.11,,,0
CDM,SUP17402_C1894_272,Noncdm Charge Record Medical Supplies - Sheath 8Fr Terumo 10Cm Mini Gwire,46.95,18.31,,,0
CDM,SUP174038,Noncdm Charge Record Medical Supplies,268.58,104.75,,,0
CDM,SUP174040,Noncdm Charge Record Medical Supplies - Bit Drill Dia2.4Mm Long 3.5Mm Screw Symphony,342.58,133.61,,,0
CDM,SUP174041,Noncdm Charge Record Medical Supplies - Tap Bone 3Mm Standard Thread System Symphony,1321.7,515.46,,,0
CDM,SUP174047_272,Noncdm Charge Record Medical Supplies - Guidewire Trocar Tip L220Mm Dia1.6Mm Sterile Surgical,327.06,127.55,,,0
CDM,SUP174047_C1769_272,Noncdm Charge Record Medical Supplies - Guidewire Trocar Tip L220Mm Dia1.6Mm Sterile Surgical,327.4,127.69,,,0
CDM,SUP17406,Noncdm Charge Record Medical Supplies - Catheter Foley 3-Way 24Fr 30Cc Red Rubber Latex Bard Medical,159.39,62.16,,,0
CDM,SUP17407,Noncdm Charge Record Medical Supplies,159.39,62.16,,,0
CDM,SUP174087_270,Noncdm Charge Record Medical Supplies - Cannister 12L Jumbojug Suction,80.75,31.49,,,0
CDM,SUP174087_272,Noncdm Charge Record Medical Supplies - Cannister 12L Jumbojug Suction,80.73,31.48,,,0
CDM,SUP174088,Noncdm Charge Record Medical Supplies - See 157013 C-Section Pack Tray,702.76,274.08,,,0
CDM,SUP174089,Noncdm Charge Record Medical Supplies - C-Section Pack Tray Dynj48455A,239.08,93.24,,,0
CDM,SUP17409,Noncdm Charge Record Medical Supplies - Bit Drill 35Mm Flx Screw,751.41,293.05,,,0
CDM,SUP1741,Noncdm Charge Record Medical Supplies - Barrier Skin Tube Pst Stmhsv,4.14,1.61,,,0
CDM,SUP174106,Noncdm Charge Record Medical Supplies - Screwdriver L55Mm Short T8 Self Holding Qc Stardrive,1455.21,567.53,,,0
CDM,SUP174142_272,Noncdm Charge Record Medical Supplies - Pad Defib Adlt Radiotrans Zoll,77.61,30.27,,,0
CDM,SUP174142_A4649_272,Noncdm Charge Record Medical Supplies - Pad Defib Adlt Radiotrans Zoll,77.57,30.25,,,0
CDM,SUP174142_A9999_272,Noncdm Charge Record Medical Supplies - Pad Defib Adlt Radiotrans Zoll,77.62,30.27,,,0
CDM,SUP174143,Noncdm Charge Record Medical Supplies - Guidewire 3Mm J 0.035Inx150Cm Fc S,43.47,16.95,,,0
CDM,SUP174145_272,Noncdm Charge Record Medical Supplies - Tube Suct 10Fr Fraizer Ctrl Vent Strl,15.58,6.08,,,0
CDM,SUP174145_A9999_272,Noncdm Charge Record Medical Supplies - Tube Suct 10Fr Fraizer Ctrl Vent Strl,16.56,6.46,,,0
CDM,SUP174146_272,Noncdm Charge Record Medical Supplies - Tray Biopsy Soft Tissue,58.91,22.97,,,0
CDM,SUP174146_A4649_272,Noncdm Charge Record Medical Supplies - Tray Biopsy Soft Tissue,59.48,23.2,,,0
CDM,SUP174146_A9999_272,Noncdm Charge Record Medical Supplies - Tray Biopsy Soft Tissue,57.75,22.52,,,0
CDM,SUP174158,Noncdm Charge Record Medical Supplies,66.24,25.83,,,0
CDM,SUP174161_272,Noncdm Charge Record Medical Supplies - Pack Podiatry Kennestone Wk335A,268.85,104.85,,,0
CDM,SUP174161_A4649_272,Noncdm Charge Record Medical Supplies - Pack Podiatry Kennestone Wk335A,272.72,106.36,,,0
CDM,SUP174161_A9999_272,Noncdm Charge Record Medical Supplies - Pack Podiatry Kennestone Wk335A,263.92,102.93,,,0
CDM,SUP174182_270,Noncdm Charge Record Medical Supplies - Ring Fixation Full Size 180Mm Aluminum Maxframe,5298.58,2066.45,,,0
CDM,SUP174182_272,Noncdm Charge Record Medical Supplies - Ring Fixation Full Size 180Mm Aluminum Maxframe,4963.34,1935.7,,,0
CDM,SUP174185,Noncdm Charge Record Medical Supplies - Graft Bone Substitute 2.5Cc Dbm Plus Putty Syringe,2307.22,899.82,,,0
CDM,SUP174186,Noncdm Charge Record Medical Supplies,9803.99,3823.56,,,0
CDM,SUP174188,Noncdm Charge Record Medical Supplies - Graft Bone 15Cc Thk1-4Mm Fine Filler Chips Osteosponge,5220.47,2035.98,,,0
CDM,SUP174190,Noncdm Charge Record Medical Supplies - Cannula 31Fr L51Cm Dual Lumen Introducer,57318.3,22354.14,,,0
CDM,SUP174198,Noncdm Charge Record Medical Supplies - Drill Bit Complete Opening Reamer Assembly,5709.06,2226.53,,,0
CDM,SUP174199,Noncdm Charge Record Medical Supplies - Guidewire Vascular 0.035Inx260Cm Straight Tip,228.1,88.96,,,0
CDM,SUP174201,Noncdm Charge Record Medical Supplies - Genex Kit 5Cc,8075.93,3149.61,,,0
CDM,SUP174202,Noncdm Charge Record Medical Supplies - Genex Kit 10Cc,16215.41,6324.01,,,0
CDM,SUP17420_272,Noncdm Charge Record Medical Supplies - Blade Shaver 4Mm Trct Strt Trk,2034.53,793.47,,,0
CDM,SUP17420_A4649_272,Noncdm Charge Record Medical Supplies - Blade Shaver 4Mm Trct Strt Trk,2046.2,798.02,,,0
CDM,SUP17420_A9999_272,Noncdm Charge Record Medical Supplies - Blade Shaver 4Mm Trct Strt Trk,2022.04,788.6,,,0
CDM,SUP174212_272,Noncdm Charge Record Medical Supplies - Bit Drill L140Mm Dia2Mm 60Mm Cal Qc Small Fragment System,657.77,256.53,,,0
CDM,SUP174212_A4649_272,Noncdm Charge Record Medical Supplies - Bit Drill L140Mm Dia2Mm 60Mm Cal Qc Small Fragment System,641.7,250.26,,,0
CDM,SUP174212_A9999_272,Noncdm Charge Record Medical Supplies - Bit Drill L140Mm Dia2Mm 60Mm Cal Qc Small Fragment System,641.7,250.26,,,0
CDM,SUP17421_272,Noncdm Charge Record Medical Supplies - Rotatable Fusion Blade Rad 40,2034.12,793.31,,,0
CDM,SUP17421_A4649_272,Noncdm Charge Record Medical Supplies - Rotatable Fusion Blade Rad 40,2046.2,798.02,,,0
CDM,SUP17421_A9999_272,Noncdm Charge Record Medical Supplies - Rotatable Fusion Blade Rad 40,2009.97,783.89,,,0
CDM,SUP17423,Noncdm Charge Record Medical Supplies - Grasper Algtr Minilap,1173.69,457.74,,,0
CDM,SUP174246,Noncdm Charge Record Medical Supplies - Dilator Vascular 22Fr L20Cm 0.038In Tapered Coons,103.48,40.36,,,0
CDM,SUP17424_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 3Mr Frc Triverse Device,143.86,56.11,,,0
CDM,SUP17424_A4649_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 3Mr Frc Triverse Device,143.86,56.11,,,0
CDM,SUP17424_A9999_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 3Mr Frc Triverse Device,143.86,56.11,,,0
CDM,SUP174258,Noncdm Charge Record Medical Supplies - Catheter Guiding 5Fr L200Cm Straight Peripheral,979.11,381.85,,,0
CDM,SUP17426_272,Noncdm Charge Record Medical Supplies - Sheath 0D 4Mm Escrb2 Sin,430.86,168.04,,,0
CDM,SUP17426_A4649_272,Noncdm Charge Record Medical Supplies - Sheath 0D 4Mm Escrb2 Sin,435.74,169.94,,,0
CDM,SUP17426_A9999_272,Noncdm Charge Record Medical Supplies - Sheath 0D 4Mm Escrb2 Sin,420.21,163.88,,,0
CDM,SUP17427_272,Noncdm Charge Record Medical Supplies - Sheath 30D 4Mm Escrb2 Sin,360.75,140.69,,,0
CDM,SUP17427_A4649_272,Noncdm Charge Record Medical Supplies - Sheath 30D 4Mm Escrb2 Sin,390.2,152.18,,,0
CDM,SUP17428_272,Noncdm Charge Record Medical Supplies - Suture Cp 0 36In Circle 2 Boston Scientific,216.18,84.31,,,0
CDM,SUP17428_A4649_272,Noncdm Charge Record Medical Supplies - Suture Cp 0 36In Circle 2 Boston Scientific,247.88,96.67,,,0
CDM,SUP17429,Noncdm Charge Record Medical Supplies - Suture Prolene 2-0 Ct-2 18In Cr Ethicon,77.08,30.06,,,0
CDM,SUP1743,Noncdm Charge Record Medical Supplies - Joint Toe Swnsn 3 Mtp Sil Reg Stem Flx Hinge,3832.6,1494.71,,,0
CDM,SUP17430,Noncdm Charge Record Medical Supplies - Port Endo Cannula Obt Sils,1705.68,665.22,,,0
CDM,SUP174301,Noncdm Charge Record Medical Supplies - Catheter Diagnostic Adult 6Fr L125Cm Angled Pigtail,164.56,64.18,,,0
CDM,SUP17432,Noncdm Charge Record Medical Supplies - Cannula Arthroscopic 75Mm Clear Depuy Mitek,77.62,30.27,,,0
CDM,SUP174382,Noncdm Charge Record Medical Supplies - Graft Dural W5Xl7In Ultrapure Regeneration Collagen,12240.6,4773.83,,,0
CDM,SUP1744,Noncdm Charge Record Medical Supplies - Probe Esoph Rctl 10Ft Adlt,53.94,21.04,,,0
CDM,SUP174410,Noncdm Charge Record Medical Supplies - Device Fixation Articulating Reloadable W 5 Deep Purp Tack,415.04,161.87,,,0
CDM,SUP17442,Noncdm Charge Record Medical Supplies - Burr Surg 150Mm 4Mm 15D,2137.28,833.54,,,0
CDM,SUP17443_272,Noncdm Charge Record Medical Supplies - Laparoscope Rigid Warmer Blue Endo,104.04,40.58,,,0
CDM,SUP17443_A4649_272,Noncdm Charge Record Medical Supplies - Laparoscope Rigid Warmer Blue Endo,98.37,38.36,,,0
CDM,SUP17443_A9999_272,Noncdm Charge Record Medical Supplies - Laparoscope Rigid Warmer Blue Endo,103.52,40.37,,,0
CDM,SUP17449,Noncdm Charge Record Medical Supplies - Shoe Lg M Pat Postop Rckr Sole,48.64,18.97,,,0
CDM,SUP17453,Noncdm Charge Record Medical Supplies - Catheter Blazer Xp Stnd Crv 8Mm,7395.42,2884.21,,,0
CDM,SUP174554,Noncdm Charge Record Medical Supplies,9.32,3.63,,,0
CDM,SUP174619,Noncdm Charge Record Medical Supplies - Device Closure Laa Amplatzer Amulet 25Mm,93768.93,36569.88,,,0
CDM,SUP17463,Noncdm Charge Record Medical Supplies - Screw Bn 5.5Mm 35Mm Independ Spine Va,1552.5,605.48,,,0
CDM,SUP174635,Noncdm Charge Record Medical Supplies - Device Pep Therpy Vibr Acapell Blue 22Mm Proximal Connection,141.79,55.3,,,0
CDM,SUP174636,Noncdm Charge Record Medical Supplies - Dilator Vascular 12Fr L20Cm 0.038In Taper,72.45,28.26,,,0
CDM,SUP17469,Noncdm Charge Record Medical Supplies - Optipack Kennestone Cust,2623.27,1023.08,,,0
CDM,SUP174728,Noncdm Charge Record Medical Supplies - Contact Layer Ag Slv 8X16In Urgotul,244.05,95.18,,,0
CDM,SUP17475,Noncdm Charge Record Medical Supplies - Collar Cerv Sm 20.5Inx2In,35.19,13.72,,,0
CDM,SUP17477,Noncdm Charge Record Medical Supplies - Blade Saw 41X19.5Mm Hall Ss Osc Strl,99.36,38.75,,,0
CDM,SUP17478,Noncdm Charge Record Medical Supplies - Suture Lasso Sd 45 Degree Curve Left Arthrex,685.17,267.22,,,0
CDM,SUP17479,Noncdm Charge Record Medical Supplies - Suture Lasso Sd 45 Degree Curve Right Arthrex,685.17,267.22,,,0
CDM,SUP17480,Noncdm Charge Record Medical Supplies - Suture Lasso Sd 25 Degree Curve Left Arthrex,685.17,267.22,,,0
CDM,SUP17482,Noncdm Charge Record Medical Supplies - Wire Asahi Fielder Xt 300 Cm,623.7,243.24,,,0
CDM,SUP174833_272,Noncdm Charge Record Medical Supplies - Catheter Urinay 16Fr Intmt Ltx,4.14,1.61,,,0
CDM,SUP174833_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Urinay 16Fr Intmt Ltx,4.14,1.61,,,0
CDM,SUP17483_272,Noncdm Charge Record Medical Supplies - Guidewire Runthrough Ns 180Cm,391.75,152.78,,,0
CDM,SUP17483_C1769_272,Noncdm Charge Record Medical Supplies - Guidewire Runthrough Ns 180Cm,372.9,145.43,,,0
CDM,SUP17485,Noncdm Charge Record Medical Supplies - Handpiece 45D 8Mm Versajet,484.38,188.91,,,0
CDM,SUP17486,Noncdm Charge Record Medical Supplies - Cannula Perf 11.4In 4Mm Cor,417.1,162.67,,,0
CDM,SUP174861_270,Noncdm Charge Record Medical Supplies - Holder Trach Tube One Size Alt Univ Soft Strap Hook Close,9.42,3.67,,,0
CDM,SUP174861_272,Noncdm Charge Record Medical Supplies - Holder Trach Tube One Size Alt Univ Soft Strap Hook Close,10.35,4.04,,,0
CDM,SUP17487,Noncdm Charge Record Medical Supplies - Cannula Perf 11.4In 5Mm Ball,435.74,169.94,,,0
CDM,SUP174881_272,Noncdm Charge Record Medical Supplies - Rosi Tubing,977.03,381.04,,,0
CDM,SUP174881_A4649_272,Noncdm Charge Record Medical Supplies - Rosi Tubing,977.04,381.05,,,0
CDM,SUP174881_A9999_272,Noncdm Charge Record Medical Supplies - Rosi Tubing,977.04,381.05,,,0
CDM,SUP17488_272,Noncdm Charge Record Medical Supplies - Guidewire Runthrough Ns 300Cm,385.54,150.36,,,0
CDM,SUP17488_C1769_272,Noncdm Charge Record Medical Supplies - Guidewire Runthrough Ns 300Cm,374.21,145.94,,,0
CDM,SUP17489,Noncdm Charge Record Medical Supplies - Catheter Ball Dil .035In 200Mm,1053.63,410.92,,,0
CDM,SUP17491,Noncdm Charge Record Medical Supplies - Catheter Blloon Dil.014In-150M,1101.24,429.48,,,0
CDM,SUP17492,Noncdm Charge Record Medical Supplies - Catheter Blloon Dil .014In-3Mm,1053.63,410.92,,,0
CDM,SUP17494_272,Noncdm Charge Record Medical Supplies - Tubing Arthroscopy Flow Steady Stryker,290.83,113.42,,,0
CDM,SUP17494_A4649_272,Noncdm Charge Record Medical Supplies - Tubing Arthroscopy Flow Steady Stryker,290.83,113.42,,,0
CDM,SUP174958_Q4100_278,Noncdm Charge Record Medical Supplies - Membrane Allograft 2X3Cm Lyophilized Dehydrated Comp,5206.05,2030.36,,,0
CDM,SUP174959_C1762_278,Noncdm Charge Record Medical Supplies - Membrane Allograft 4X4Cm Lyophilized Dehydrated,6752.34,2633.41,,,0
CDM,SUP174959_Q4100_278,Noncdm Charge Record Medical Supplies - Membrane Allograft 4X4Cm Lyophilized Dehydrated,6752.34,2633.41,,,0
CDM,SUP174960_C1762_278,Noncdm Charge Record Medical Supplies - Membrane Allograft 4X6Cm Lyophilized Dehydrated Comp,8618.44,3361.19,,,0
CDM,SUP174960_C1763_278,Noncdm Charge Record Medical Supplies - Membrane Allograft 4X6Cm Lyophilized Dehydrated Comp,8618.44,3361.19,,,0
CDM,SUP174960_Q4100_278,Noncdm Charge Record Medical Supplies - Membrane Allograft 4X6Cm Lyophilized Dehydrated Comp,8618.44,3361.19,,,0
CDM,SUP174961_C1762_278,Noncdm Charge Record Medical Supplies,16864.29,6577.07,,,0
CDM,SUP174961_Q4100_278,Noncdm Charge Record Medical Supplies,16864.26,6577.06,,,0
CDM,SUP174962_C1762_278,Noncdm Charge Record Medical Supplies - Membrane Allograft 4X6Cm Translucent Dehydrated Comp,7733.52,3016.07,,,0
CDM,SUP174962_Q4258_278,Noncdm Charge Record Medical Supplies - Membrane Allograft 4X6Cm Translucent Dehydrated Comp,7733.52,3016.07,,,0
CDM,SUP174963_C1762_278,Noncdm Charge Record Medical Supplies - Membrane Allograft 6X8Cm Translucent Dehydrated Comp,14500.35,5655.14,,,0
CDM,SUP174963_Q4258_278,Noncdm Charge Record Medical Supplies - Membrane Allograft 6X8Cm Translucent Dehydrated Comp,14500.35,5655.14,,,0
CDM,SUP17497,Noncdm Charge Record Medical Supplies - Cannula Perf 11.4In 4Mm Rt Ang,426.42,166.3,,,0
CDM,SUP17498,Noncdm Charge Record Medical Supplies - Cannula Perf 11.4In 5Mm Rt Ang,419.47,163.59,,,0
CDM,SUP17499,Noncdm Charge Record Medical Supplies - Tube Naso 28Fr Thnwl Intrr Srr,19.15,7.47,,,0
CDM,SUP17500,Noncdm Charge Record Medical Supplies - Burr Shaver 180Mm 4Mm Dync Lng Abrader Arthro,431.6,168.32,,,0
CDM,SUP17504,Noncdm Charge Record Medical Supplies - See 139185 Suture Surgipro 2 4-0 Cv-15 48In Covidien,20.28,7.91,,,0
CDM,SUP175052,Noncdm Charge Record Medical Supplies,1920.96,749.17,,,0
CDM,SUP175073,Noncdm Charge Record Medical Supplies - Cannula Perfusion 21Fr L72Cm Dilator Introducer Tandemheart,44825.85,17482.08,,,0
CDM,SUP175074,Noncdm Charge Record Medical Supplies - Cannula Ventricular Assist 21Fr L62Cm Left Venous Trans,41886.45,16335.72,,,0
CDM,SUP175127_270,Noncdm Charge Record Medical Supplies - Leadwire Set 5 Electode Ekg Pre Attached Radiolucent,41.4,16.15,,,0
CDM,SUP175127_272,Noncdm Charge Record Medical Supplies - Leadwire Set 5 Electode Ekg Pre Attached Radiolucent,41.4,16.15,,,0
CDM,SUP175128,Noncdm Charge Record Medical Supplies - Guidewire Vascular 0.014Inx300Cm Hydrophilic Std,2939.4,1146.37,,,0
CDM,SUP17513_270,Noncdm Charge Record Medical Supplies - Band Tr Reg 2 Balloon Air In J Port Trans 24Cm 2 Balloon A,140.04,54.62,,,0
CDM,SUP17513_A4649_270,Noncdm Charge Record Medical Supplies - Band Tr Reg 2 Balloon Air In J Port Trans 24Cm 2 Balloon A,151.09,58.93,,,0
CDM,SUP17513_A9999_270,Noncdm Charge Record Medical Supplies - Band Tr Reg 2 Balloon Air In J Port Trans 24Cm 2 Balloon A,127.3,49.65,,,0
CDM,SUP17515_272,Noncdm Charge Record Medical Supplies - Handpiece Suct Hydrodebrider,1427.26,556.63,,,0
CDM,SUP17515_A4649_272,Noncdm Charge Record Medical Supplies - Handpiece Suct Hydrodebrider,1427.26,556.63,,,0
CDM,SUP17516,Noncdm Charge Record Medical Supplies - Solution Iv 1000Ml,24.84,9.69,,,0
CDM,SUP175191,Noncdm Charge Record Medical Supplies - Pulmonary Embolism Flowtriever Price Per Procedure,33803.1,13183.21,,,0
CDM,SUP17523,Noncdm Charge Record Medical Supplies - Pillow Abd 29.25X26.75In Foam,193.29,75.38,,,0
CDM,SUP175348,Noncdm Charge Record Medical Supplies,634.46,247.44,,,0
CDM,SUP17535,Noncdm Charge Record Medical Supplies,795.92,310.41,,,0
CDM,SUP17538_272,Noncdm Charge Record Medical Supplies - Dressing Compression Knee Medium Dj Ortho Llc,479.2,186.89,,,0
CDM,SUP17538_A9999_272,Noncdm Charge Record Medical Supplies - Dressing Compression Knee Medium Dj Ortho Llc,479.2,186.89,,,0
CDM,SUP17539,Noncdm Charge Record Medical Supplies - System Comp Ther Crcf Ic Shoulder Intmt,492.66,192.14,,,0
CDM,SUP17540,Noncdm Charge Record Medical Supplies - Cuff Comp Ther Cryo Ankle Ez To Use Ps Swl,465.75,181.64,,,0
CDM,SUP175411,Noncdm Charge Record Medical Supplies - Grasper Rattooth Alligator Ste,232.88,90.82,,,0
CDM,SUP17543,Noncdm Charge Record Medical Supplies - Balloon Amplatz Sizing 18Mm,1624.95,633.73,,,0
CDM,SUP17544,Noncdm Charge Record Medical Supplies - Balloon Amplatz Sizing 24Mm,1624.95,633.73,,,0
CDM,SUP17546,Noncdm Charge Record Medical Supplies - 12 Fr Torque Delivery System,3205.4,1250.11,,,0
CDM,SUP175464_272,Noncdm Charge Record Medical Supplies - Pack Laparoscopy Wellstar Ws270A,291.87,113.83,,,0
CDM,SUP175464_A4649_272,Noncdm Charge Record Medical Supplies - Pack Laparoscopy Wellstar Ws270A,291.87,113.83,,,0
CDM,SUP175464_A9999_272,Noncdm Charge Record Medical Supplies - Pack Laparoscopy Wellstar Ws270A,291.87,113.83,,,0
CDM,SUP1755,Noncdm Charge Record Medical Supplies - Bit Drill 3Mm Aqls Rev Shld,773.14,301.52,,,0
CDM,SUP17550_272,Noncdm Charge Record Medical Supplies - Dilator Ureth 37Cm 8-24Fr,1221.3,476.31,,,0
CDM,SUP17550_A4649_272,Noncdm Charge Record Medical Supplies - Dilator Ureth 37Cm 8-24Fr,1221.3,476.31,,,0
CDM,SUP17551_272,Noncdm Charge Record Medical Supplies - Suture Chromic 3-0 Fs-2 27In Ethicon,14.49,5.65,,,0
CDM,SUP17551_A4649_272,Noncdm Charge Record Medical Supplies - Suture Chromic 3-0 Fs-2 27In Ethicon,14.49,5.65,,,0
CDM,SUP17551_A9999_272,Noncdm Charge Record Medical Supplies - Suture Chromic 3-0 Fs-2 27In Ethicon,14.49,5.65,,,0
CDM,SUP17552,Noncdm Charge Record Medical Supplies - Guidewire Orth 500Mm Spnl Blnt,244.78,95.46,,,0
CDM,SUP175565,Noncdm Charge Record Medical Supplies - Drain Round Fluted Smart 19F,68.52,26.72,,,0
CDM,SUP17557,Noncdm Charge Record Medical Supplies - Wire Fx 2Mm 150Mm Drill Tip,149.73,58.39,,,0
CDM,SUP17558,Noncdm Charge Record Medical Supplies - Wire Fx 1.6Mm 150Mm Drill Tip,95.56,37.27,,,0
CDM,SUP175635_272,Noncdm Charge Record Medical Supplies - Suture 9-0 Ethilon Black 6.5Mm Tg140-8 3-8 Double Armed,64.04,24.98,,,0
CDM,SUP175635_A4649_272,Noncdm Charge Record Medical Supplies - Suture 9-0 Ethilon Black 6.5Mm Tg140-8 3-8 Double Armed,65.2,25.43,,,0
CDM,SUP175636_272,Noncdm Charge Record Medical Supplies - Attachment Smoke Evacuator 15F 15Ft 3-8In Pencil Valleylab,82.81,32.3,,,0
CDM,SUP175636_A4649_272,Noncdm Charge Record Medical Supplies - Attachment Smoke Evacuator 15F 15Ft 3-8In Pencil Valleylab,82.8,32.29,,,0
CDM,SUP175636_A9999_272,Noncdm Charge Record Medical Supplies - Attachment Smoke Evacuator 15F 15Ft 3-8In Pencil Valleylab,82.8,32.29,,,0
CDM,SUP17565_272,Noncdm Charge Record Medical Supplies - Bit Drill Calibrate,416.07,162.27,,,0
CDM,SUP17565_A4649_272,Noncdm Charge Record Medical Supplies - Bit Drill Calibrate,416.07,162.27,,,0
CDM,SUP17566,Noncdm Charge Record Medical Supplies - Bit Drill 2Mm Ankle Calibrate Grad,464.72,181.24,,,0
CDM,SUP175666_272,Noncdm Charge Record Medical Supplies - Probe Cryosurgery L1150Mm Dia2.4Mm Flexible Disposable,1476.6,575.87,,,0
CDM,SUP175666_C2618_272,Noncdm Charge Record Medical Supplies - Probe Cryosurgery L1150Mm Dia2.4Mm Flexible Disposable,1443.82,563.09,,,0
CDM,SUP17569,Noncdm Charge Record Medical Supplies - Trocar Laparos 100 5Mm Adv Fix Kii,195.62,76.29,,,0
CDM,SUP17570,Noncdm Charge Record Medical Supplies - Sleeve 100Mm 5Mm Kii Adv Fix Laparos,132.27,51.59,,,0
CDM,SUP175714,Noncdm Charge Record Medical Supplies,33.81,13.19,,,0
CDM,SUP175715,Noncdm Charge Record Medical Supplies - Suture V-Loc 90 Size 3-0 L6In Violet V-20 L26Mm 1-2,113.78,44.37,,,0
CDM,SUP17574_272,Noncdm Charge Record Medical Supplies - Sealer-Divider Ligasure Blunt Tip 5Mm-37Cm Covidien.,2097.95,818.2,,,0
CDM,SUP17574_A4649_272,Noncdm Charge Record Medical Supplies - Sealer-Divider Ligasure Blunt Tip 5Mm-37Cm Covidien.,2097.95,818.2,,,0
CDM,SUP17574_A9999_272,Noncdm Charge Record Medical Supplies - Sealer-Divider Ligasure Blunt Tip 5Mm-37Cm Covidien.,2097.95,818.2,,,0
CDM,SUP17577,Noncdm Charge Record Medical Supplies - Guidewire Orth 300Mm 2.8Mm Pt Nonthrd Troc Ss,124.46,48.54,,,0
CDM,SUP17578,Noncdm Charge Record Medical Supplies - Tray Cath 15Cm Pwr Crv,970.27,378.41,,,0
CDM,SUP175780,Noncdm Charge Record Medical Supplies,85.9,33.5,,,0
CDM,SUP17580,Noncdm Charge Record Medical Supplies - Tray Cath 15Cm Pwr Strt,774.8,302.17,,,0
CDM,SUP175800,Noncdm Charge Record Medical Supplies,120836.25,47126.14,,,0
CDM,SUP175801,Noncdm Charge Record Medical Supplies - Catheter Urethral 14Fr 30Cc Infection Control 2 Way Coude,66.24,25.83,,,0
CDM,SUP175802_272,Noncdm Charge Record Medical Supplies - Catheter 7Fr L230Cm Gi Applier Clip Endoscopic W16Mm,1139.34,444.34,,,0
CDM,SUP175802_A4649_272,Noncdm Charge Record Medical Supplies - Catheter 7Fr L230Cm Gi Applier Clip Endoscopic W16Mm,1235.49,481.84,,,0
CDM,SUP17581,Noncdm Charge Record Medical Supplies - Tray Cath 20Cm Pwr Trialysis 3,835.15,325.71,,,0
CDM,SUP17583,Noncdm Charge Record Medical Supplies - Tubing Dia 12Ft Extn Set Apd D Drain Strl,20.0,7.8,,,0
CDM,SUP17584,Noncdm Charge Record Medical Supplies - Suture Lasso Sd 25 Degree Curve Right Arthrex,871.47,339.87,,,0
CDM,SUP17585,Noncdm Charge Record Medical Supplies - Suture Fiberloop 2-0 24In Loop Arthrex,245.3,95.67,,,0
CDM,SUP17587,Noncdm Charge Record Medical Supplies - Catheter Ep 7Fr Blazer Dx-20,7210.59,2812.13,,,0
CDM,SUP175870,Noncdm Charge Record Medical Supplies,50.72,19.78,,,0
CDM,SUP175871_270,Noncdm Charge Record Medical Supplies - Bag Urinry Drain 2000Ml No Ltx No Latex,12.42,4.84,,,0
CDM,SUP175871_A4649_270,Noncdm Charge Record Medical Supplies - Bag Urinry Drain 2000Ml No Ltx No Latex,12.42,4.84,,,0
CDM,SUP175875,Noncdm Charge Record Medical Supplies - Laryngoscope Video Lopro S2 Spectrum Glidescope Go,228.74,89.21,,,0
CDM,SUP17588,Noncdm Charge Record Medical Supplies - Suture Nurolon 0 Ct1 18In Cr Black Ethicon,54.16,21.12,,,0
CDM,SUP17589,Noncdm Charge Record Medical Supplies - Bit Drill 3.2Mm Chrlt Carolina Cannula,656.19,255.91,,,0
CDM,SUP17594,Noncdm Charge Record Medical Supplies - Balloon Coda 9F 32Mm,2168.5,845.72,,,0
CDM,SUP17596_272,Noncdm Charge Record Medical Supplies - Fiber Laser Slmln 550Um Del,2222.14,866.63,,,0
CDM,SUP17596_A9999_272,Noncdm Charge Record Medical Supplies - Fiber Laser Slmln 550Um Del,2222.14,866.63,,,0
CDM,SUP175975,Noncdm Charge Record Medical Supplies - Stocking Comp Xl L16-18 Reg Ted Knee High Xl,13.46,5.25,,,0
CDM,SUP175976,Noncdm Charge Record Medical Supplies - Catheter Embol 80Cm 3Fr Fgrty Art Balloon,193.89,75.62,,,0
CDM,SUP175977,Noncdm Charge Record Medical Supplies - Access Sheath With Dilator Sgl Watchman Fxd Curve Access Sys,4409.1,1719.55,,,0
CDM,SUP175978,Noncdm Charge Record Medical Supplies - Access Sheath With Dilator Dbl Watchman Fxd Curve Access Sys,4409.1,1719.55,,,0
CDM,SUP17601,Noncdm Charge Record Medical Supplies - Mill Bn Med Bx Disp,1899.81,740.93,,,0
CDM,SUP176016,Noncdm Charge Record Medical Supplies - Defib Pads Adt Physo Control Compat Adt Radiotransparent L,91.08,35.52,,,0
CDM,SUP176017_270,Noncdm Charge Record Medical Supplies - Cannula Nasl 7Ft 15Lpm Ote Adt Termstar Lumen Soft Grn Disp,2.07,0.81,,,0
CDM,SUP176017_A9999_270,Noncdm Charge Record Medical Supplies - Cannula Nasl 7Ft 15Lpm Ote Adt Termstar Lumen Soft Grn Disp,2.07,0.81,,,0
CDM,SUP176018_272,Noncdm Charge Record Medical Supplies - Syringe Angiography 10Ml Male Rotating Luer Adapter Control,22.77,8.88,,,0
CDM,SUP176018_A4649_272,Noncdm Charge Record Medical Supplies - Syringe Angiography 10Ml Male Rotating Luer Adapter Control,22.77,8.88,,,0
CDM,SUP176024,Noncdm Charge Record Medical Supplies - Forceps Endoscopic L230Cm Dia1 Dia1.8Mm Opening 7Mm Rat Teet,474.03,184.87,,,0
CDM,SUP17607,Noncdm Charge Record Medical Supplies - Stapler 25Mm Ti Endo Lin Circ Cutter Intnl,1243.04,484.79,,,0
CDM,SUP176084,Noncdm Charge Record Medical Supplies,2406.38,938.49,,,0
CDM,SUP176085,Noncdm Charge Record Medical Supplies - Prosthesis Clip Partial 0.2 X 2.0Mm,2578.18,1005.49,,,0
CDM,SUP176086,Noncdm Charge Record Medical Supplies - Prosthesis Clip Partial 0.2 X 2.25Mm,2578.18,1005.49,,,0
CDM,SUP176087,Noncdm Charge Record Medical Supplies - Prosthesis Clip Partial 0.2 X 2.5Mm,2578.18,1005.49,,,0
CDM,SUP176088,Noncdm Charge Record Medical Supplies - Prosthesis Clip Partial 0.2 X 2.75Mm,2578.18,1005.49,,,0
CDM,SUP176089,Noncdm Charge Record Medical Supplies - Prosthesis Clip Partial 0.2 X 3.0Mm,2578.18,1005.49,,,0
CDM,SUP176091,Noncdm Charge Record Medical Supplies,2406.38,938.49,,,0
CDM,SUP176102_272,Noncdm Charge Record Medical Supplies - Needle Biopsy 21Ga For Robotic Assisted Nav System Flex,1224.35,477.5,,,0
CDM,SUP176102_A4649_272,Noncdm Charge Record Medical Supplies - Needle Biopsy 21Ga For Robotic Assisted Nav System Flex,1224.26,477.46,,,0
CDM,SUP176102_A9999_272,Noncdm Charge Record Medical Supplies - Needle Biopsy 21Ga For Robotic Assisted Nav System Flex,1224.4,477.52,,,0
CDM,SUP176103,Noncdm Charge Record Medical Supplies - Needle Biopsy 19Ga For Robotic Assisted Nav System Flex,1224.4,477.52,,,0
CDM,SUP176104_272,Noncdm Charge Record Medical Supplies - Connector Swivel Ion,636.52,248.24,,,0
CDM,SUP176104_A4649_272,Noncdm Charge Record Medical Supplies - Connector Swivel Ion,636.52,248.24,,,0
CDM,SUP176104_A9999_272,Noncdm Charge Record Medical Supplies - Connector Swivel Ion,636.52,248.24,,,0
CDM,SUP176105_272,Noncdm Charge Record Medical Supplies - Adapter Suction For Vision Probe Endoluminal System,245.3,95.67,,,0
CDM,SUP176105_A4649_272,Noncdm Charge Record Medical Supplies - Adapter Suction For Vision Probe Endoluminal System,245.3,95.67,,,0
CDM,SUP176105_A9999_272,Noncdm Charge Record Medical Supplies - Adapter Suction For Vision Probe Endoluminal System,245.3,95.67,,,0
CDM,SUP17611,Noncdm Charge Record Medical Supplies - Guideliner Catheter 6 Fr,1689.12,658.76,,,0
CDM,SUP17615,Noncdm Charge Record Medical Supplies - Wire Impella Cath 2.5,2447.78,954.63,,,0
CDM,SUP17616,Noncdm Charge Record Medical Supplies,930.46,362.88,,,0
CDM,SUP17617,Noncdm Charge Record Medical Supplies - Catheter 8Fr Mega Iabp 50Cc Balloon,3765.33,1468.48,,,0
CDM,SUP17618,Noncdm Charge Record Medical Supplies - Bit Drill 5Mm Chrlt Ss Cannula Strl,656.19,255.91,,,0
CDM,SUP176189,Noncdm Charge Record Medical Supplies - Set Tb Gastro T W-Fastener 14F,592.45,231.06,,,0
CDM,SUP176190_272,Noncdm Charge Record Medical Supplies - Attachment Smoke Evacuator 10Ft 3-8In Pencil Disposable,69.37,27.05,,,0
CDM,SUP176190_A4649_272,Noncdm Charge Record Medical Supplies - Attachment Smoke Evacuator 10Ft 3-8In Pencil Disposable,69.34,27.04,,,0
CDM,SUP176190_A9999_272,Noncdm Charge Record Medical Supplies - Attachment Smoke Evacuator 10Ft 3-8In Pencil Disposable,69.34,27.04,,,0
CDM,SUP176206,Noncdm Charge Record Medical Supplies - Screw Locking Bone 5X32Mm Xl25 Sterile Recess Titanium,1092.05,425.9,,,0
CDM,SUP17620_272,Noncdm Charge Record Medical Supplies - Clip Applier 10Mm Titanium Covidien,347.73,135.61,,,0
CDM,SUP17620_A4649_272,Noncdm Charge Record Medical Supplies - Clip Applier 10Mm Titanium Covidien,347.76,135.63,,,0
CDM,SUP176245,Noncdm Charge Record Medical Supplies - Kit Indigo Cat Rx Thrombectomy Catheter L140Cm Coronary Peri,8553.32,3335.79,,,0
CDM,SUP17627_272,Noncdm Charge Record Medical Supplies - Platform Gelpoint Adv Acc,3306.82,1289.66,,,0
CDM,SUP17627_A4649_272,Noncdm Charge Record Medical Supplies - Platform Gelpoint Adv Acc,3306.82,1289.66,,,0
CDM,SUP17628,Noncdm Charge Record Medical Supplies - Suture Mersline 5-0 18In Tape Braid White Ethicon,20.44,7.97,,,0
CDM,SUP176286,Noncdm Charge Record Medical Supplies - Implant Screw Set Spinal 4.75 Mm Solera,349.09,136.15,,,0
CDM,SUP176287,Noncdm Charge Record Medical Supplies - Implant Screw Spinal Cann Tit 6.5X50Mm Voyager,4108.43,1602.29,,,0
CDM,SUP176288,Noncdm Charge Record Medical Supplies - Rod Spinal L85Mm Dia5.5Mm Titanium Curved Creo Mis,939.99,366.6,,,0
CDM,SUP176306,Noncdm Charge Record Medical Supplies - Pin Fixation L100Mm Spinal Percutaneous Disposable O Arm,1521.4,593.35,,,0
CDM,SUP176307_270,Noncdm Charge Record Medical Supplies - Splint Conformable W3Xl35In Scotchcast Ds White Felt,40.31,15.72,,,0
CDM,SUP176307_A4649_270,Noncdm Charge Record Medical Supplies - Splint Conformable W3Xl35In Scotchcast Ds White Felt,40.36,15.74,,,0
CDM,SUP176367,Noncdm Charge Record Medical Supplies - Catheter Lab Surgical Tray I,187.34,73.06,,,0
CDM,SUP176368,Noncdm Charge Record Medical Supplies - See 159320 Anes Circ 120In Exp-Lf,41.4,16.15,,,0
CDM,SUP17638_272,Noncdm Charge Record Medical Supplies - Stapler Intnl 12Mm Handle 3-Staple Egia,450.27,175.61,,,0
CDM,SUP17638_A4649_272,Noncdm Charge Record Medical Supplies - Stapler Intnl 12Mm Handle 3-Staple Egia,450.37,175.64,,,0
CDM,SUP17638_A9999_272,Noncdm Charge Record Medical Supplies - Stapler Intnl 12Mm Handle 3-Staple Egia,451.92,176.25,,,0
CDM,SUP1763_270,Noncdm Charge Record Medical Supplies - See 388 Tape Dressing 3M Mdpr 6In 10Yd Adh Hypoall,47.58,18.56,,,0
CDM,SUP1763_A4649_270,Noncdm Charge Record Medical Supplies - See 388 Tape Dressing 3M Mdpr 6In 10Yd Adh Hypoall,47.61,18.57,,,0
CDM,SUP1763_A9999_270,Noncdm Charge Record Medical Supplies - See 388 Tape Dressing 3M Mdpr 6In 10Yd Adh Hypoall,47.61,18.57,,,0
CDM,SUP17640_272,Noncdm Charge Record Medical Supplies - Stapler Intnl Xl Univ Ult Next Gnrtn Erg Prcs,699.65,272.86,,,0
CDM,SUP17640_A4649_272,Noncdm Charge Record Medical Supplies - Stapler Intnl Xl Univ Ult Next Gnrtn Erg Prcs,699.66,272.87,,,0
CDM,SUP17640_A9999_272,Noncdm Charge Record Medical Supplies - Stapler Intnl Xl Univ Ult Next Gnrtn Erg Prcs,699.66,272.87,,,0
CDM,SUP176435,Noncdm Charge Record Medical Supplies - Edge Nerve Cutter Kit,1713.96,668.44,,,0
CDM,SUP176436,Noncdm Charge Record Medical Supplies - Stent Pancreat 4Cm 5Fr Advanix Pigtail Endo Marker,674.82,263.18,,,0
CDM,SUP176437,Noncdm Charge Record Medical Supplies,674.82,263.18,,,0
CDM,SUP176439,Noncdm Charge Record Medical Supplies,674.82,263.18,,,0
CDM,SUP176440_272,Noncdm Charge Record Medical Supplies - Captivator Emr Standard Scope Device Resection Upper Gi Tr,2349.45,916.29,,,0
CDM,SUP176440_C2617_278,Noncdm Charge Record Medical Supplies - Captivator Emr Standard Scope Device Resection Upper Gi Tr,2349.45,916.29,,,0
CDM,SUP176441,Noncdm Charge Record Medical Supplies,54.86,21.4,,,0
CDM,SUP17645,Noncdm Charge Record Medical Supplies - Balloon Apex Rx 2.0X12 Ptca Rx,416.07,162.27,,,0
CDM,SUP176456,Noncdm Charge Record Medical Supplies - Dilator Curved Urethral 22Fr L37Cm Male Neck Contr Dilation,165.6,64.58,,,0
CDM,SUP176457,Noncdm Charge Record Medical Supplies - Dilator Curved Urethral 24Fr L37Cm Aq Male Neck Contr Dilat,165.6,64.58,,,0
CDM,SUP176458,Noncdm Charge Record Medical Supplies - Dilator Curved Urethral 26Fr L37Cm Aq Male Neck Contr Dilat,165.6,64.58,,,0
CDM,SUP176488_272,Noncdm Charge Record Medical Supplies - Nasal Packing Cs3900-10 Novapak 10Pk Ext,1351.05,526.91,,,0
CDM,SUP176488_A9999_272,Noncdm Charge Record Medical Supplies - Nasal Packing Cs3900-10 Novapak 10Pk Ext,1272.7,496.35,,,0
CDM,SUP1765,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 6In Ucln,17.44,6.8,,,0
CDM,SUP17650,Noncdm Charge Record Medical Supplies - Apex Rx 2.5 X 12,416.07,162.27,,,0
CDM,SUP176502_272,Noncdm Charge Record Medical Supplies - Pack Podiatry Windy Hill Ww150A,272.44,106.25,,,0
CDM,SUP176502_A4649_272,Noncdm Charge Record Medical Supplies - Pack Podiatry Windy Hill Ww150A,271.51,105.89,,,0
CDM,SUP176502_A9999_272,Noncdm Charge Record Medical Supplies - Pack Podiatry Windy Hill Ww150A,247.36,96.47,,,0
CDM,SUP17653,Noncdm Charge Record Medical Supplies,538.2,209.9,,,0
CDM,SUP17654,Noncdm Charge Record Medical Supplies - Apex Rx 3.0 X 12,416.07,162.27,,,0
CDM,SUP17657,Noncdm Charge Record Medical Supplies - Apex Rx 3.5 X 12,471.18,183.76,,,0
CDM,SUP17658,Noncdm Charge Record Medical Supplies,538.72,210.1,,,0
CDM,SUP17663,Noncdm Charge Record Medical Supplies - Tip Suction Yankauer 6Ft With Tubing Cardinal,4.98,1.94,,,0
CDM,SUP176652,Noncdm Charge Record Medical Supplies,2685.82,1047.47,,,0
CDM,SUP176656,Noncdm Charge Record Medical Supplies,2685.82,1047.47,,,0
CDM,SUP17667,Noncdm Charge Record Medical Supplies - Balloon Apex Rx 2.0X8 Ptca Rx Nonlaser,447.56,174.55,,,0
CDM,SUP17669,Noncdm Charge Record Medical Supplies - Apex Rx 2.5 X 8,416.07,162.27,,,0
CDM,SUP17674,Noncdm Charge Record Medical Supplies - Apex Rx 3.0 X 8,416.07,162.27,,,0
CDM,SUP17679_272,Noncdm Charge Record Medical Supplies - See 134099 Manipulator Uterine Injector Marina Medical,90.04,35.12,,,0
CDM,SUP17679_A4649_272,Noncdm Charge Record Medical Supplies - See 134099 Manipulator Uterine Injector Marina Medical,90.04,35.12,,,0
CDM,SUP17679_A9999_272,Noncdm Charge Record Medical Supplies - See 134099 Manipulator Uterine Injector Marina Medical,90.04,35.12,,,0
CDM,SUP17681,Noncdm Charge Record Medical Supplies - Catheter Dia 112.8Cm 2 Cuff Prtnl Crl,2685.82,1047.47,,,0
CDM,SUP17683,Noncdm Charge Record Medical Supplies - Burr Surg 50.8Mm .9Mm Med Carb Tpr Sdct Strl,94.43,36.83,,,0
CDM,SUP176867,Noncdm Charge Record Medical Supplies,6404.58,2497.79,,,0
CDM,SUP176872,Noncdm Charge Record Medical Supplies,6404.58,2497.79,,,0
CDM,SUP176875,Noncdm Charge Record Medical Supplies - Natrelle Inspira Scl 170Cc Bi - Us,6404.58,2497.79,,,0
CDM,SUP17689,Noncdm Charge Record Medical Supplies - Unit Lthtrp Us Probe Set Cyber,3552.12,1385.33,,,0
CDM,SUP176891,Noncdm Charge Record Medical Supplies,6404.58,2497.79,,,0
CDM,SUP17695,Noncdm Charge Record Medical Supplies - Drain Wound 7Mm Silicone Full Fluted Medline,53.82,20.99,,,0
CDM,SUP17696,Noncdm Charge Record Medical Supplies - Drain Full Flat 7Mm 20Cm Hubless Perforated Silicone Medline,21.74,8.48,,,0
CDM,SUP17698,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil Lg,2879.37,1122.95,,,0
CDM,SUP1769_272,Noncdm Charge Record Medical Supplies - Catheter Iv 22 Gauge 1In Radiopaque Bd Medical,7.25,2.83,,,0
CDM,SUP1769_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Iv 22 Gauge 1In Radiopaque Bd Medical,7.24,2.82,,,0
CDM,SUP1769_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Iv 22 Gauge 1In Radiopaque Bd Medical,7.24,2.82,,,0
CDM,SUP17700_C1730_272,Noncdm Charge Record Medical Supplies - Catheter 5Fr Temp Pacemaker,759.79,296.32,,,0
CDM,SUP17700_C1751_272,Noncdm Charge Record Medical Supplies - Catheter 5Fr Temp Pacemaker,538.21,209.9,,,0
CDM,SUP17702_272,Noncdm Charge Record Medical Supplies - Anchor Suture 45 Degree Shuttle Left Depuy Mitek,710.01,276.9,,,0
CDM,SUP17702_A4649_272,Noncdm Charge Record Medical Supplies - Anchor Suture 45 Degree Shuttle Left Depuy Mitek,710.01,276.9,,,0
CDM,SUP17703_272,Noncdm Charge Record Medical Supplies - Anchor Suture 45 Degree Shuttle Gryphon Depuy Mitek,1307.2,509.81,,,0
CDM,SUP17703_A4649_272,Noncdm Charge Record Medical Supplies - Anchor Suture 45 Degree Shuttle Gryphon Depuy Mitek,1307.2,509.81,,,0
CDM,SUP17703_A9999_272,Noncdm Charge Record Medical Supplies - Anchor Suture 45 Degree Shuttle Gryphon Depuy Mitek,1307.2,509.81,,,0
CDM,SUP17706,Noncdm Charge Record Medical Supplies - Cannula Arthroscopic 110Mm Smith And Nephew Endoscopy,164.56,64.18,,,0
CDM,SUP177073,Noncdm Charge Record Medical Supplies,6404.58,2497.79,,,0
CDM,SUP1770_272,Noncdm Charge Record Medical Supplies - Catheter Iv 20Ga 1In Radiopq,7.24,2.82,,,0
CDM,SUP1770_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Iv 20Ga 1In Radiopq,7.24,2.82,,,0
CDM,SUP1770_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Iv 20Ga 1In Radiopq,7.24,2.82,,,0
CDM,SUP17711,Noncdm Charge Record Medical Supplies - Nozzle Bn Cement Rev Hum,93.15,36.33,,,0
CDM,SUP17715,Noncdm Charge Record Medical Supplies - Femoral Gunther Tulip,5363.98,2091.95,,,0
CDM,SUP17716,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil Sm,2879.37,1122.95,,,0
CDM,SUP177189,Noncdm Charge Record Medical Supplies,220.46,85.98,,,0
CDM,SUP1771_272,Noncdm Charge Record Medical Supplies - Catheter Iv 18Ga 1.16In,7.25,2.83,,,0
CDM,SUP1771_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Iv 18Ga 1.16In,7.24,2.82,,,0
CDM,SUP1771_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Iv 18Ga 1.16In,7.24,2.82,,,0
CDM,SUP1772,Noncdm Charge Record Medical Supplies - Catheter Iv 16Ga 1.16In,7.24,2.82,,,0
CDM,SUP17721,Noncdm Charge Record Medical Supplies - Tool Reduct 3.5Mm 78Mm Thrd S-T,1288.58,502.55,,,0
CDM,SUP177219,Noncdm Charge Record Medical Supplies,3981.64,1552.84,,,0
CDM,SUP177220,Noncdm Charge Record Medical Supplies,3981.64,1552.84,,,0
CDM,SUP177221,Noncdm Charge Record Medical Supplies - Catheter Iabp 9Fr 50Cc Adult Ultraflex L262Mm Dia16Mm Poly,3716.68,1449.51,,,0
CDM,SUP17723,Noncdm Charge Record Medical Supplies - Drill Bit J-Latch 1.1Mm With 4Mm Stop Synthes,792.81,309.2,,,0
CDM,SUP17726,Noncdm Charge Record Medical Supplies - Bit Drill 75Mm 2.4Mm J Latch,775.22,302.34,,,0
CDM,SUP17727_272,Noncdm Charge Record Medical Supplies - Guidewire Orth 150Mm 1.25Mm Nonthrd 4Mm,90.62,35.34,,,0
CDM,SUP17727_A9999_272,Noncdm Charge Record Medical Supplies - Guidewire Orth 150Mm 1.25Mm Nonthrd 4Mm,84.87,33.1,,,0
CDM,SUP177287,Noncdm Charge Record Medical Supplies - Catheter Pusher 7Fr 0.035 Dia,254.61,99.3,,,0
CDM,SUP177289,Noncdm Charge Record Medical Supplies - Catheter Passer 36Cm,850.9,331.85,,,0
CDM,SUP1773,Noncdm Charge Record Medical Supplies - Kit Tracheo Care Drape Glove,9.57,3.73,,,0
CDM,SUP177302,Noncdm Charge Record Medical Supplies - Spacer Spnl 18 X 50Mm 8-15M,29788.34,11617.45,,,0
CDM,SUP17732_272,Noncdm Charge Record Medical Supplies - Clip Applier Da Vinci 8Mm Intuitive,28.98,11.3,,,0
CDM,SUP17732_A4649_272,Noncdm Charge Record Medical Supplies - Clip Applier Da Vinci 8Mm Intuitive,28.98,11.3,,,0
CDM,SUP17732_A9999_272,Noncdm Charge Record Medical Supplies - Clip Applier Da Vinci 8Mm Intuitive,28.98,11.3,,,0
CDM,SUP17733_272,Noncdm Charge Record Medical Supplies - See 139583 Pack Total Joint Cobb,357.07,139.26,,,0
CDM,SUP17733_A4649_272,Noncdm Charge Record Medical Supplies - See 139583 Pack Total Joint Cobb,357.08,139.26,,,0
CDM,SUP17733_A9999_272,Noncdm Charge Record Medical Supplies - See 139583 Pack Total Joint Cobb,357.08,139.26,,,0
CDM,SUP1775,Noncdm Charge Record Medical Supplies - Immobilizer Orth Med Shoulder Elc Contour,42.78,16.68,,,0
CDM,SUP177518,Noncdm Charge Record Medical Supplies - Xience Skypoint Coronary Stent 3.50 Mm X 38 Mm,2656.53,1036.05,,,0
CDM,SUP177519,Noncdm Charge Record Medical Supplies,3383.42,1319.53,,,0
CDM,SUP177520,Noncdm Charge Record Medical Supplies - Xience Skypoint Coronary Stent 4.00 Mm X 12 Mm,3383.42,1319.53,,,0
CDM,SUP177521,Noncdm Charge Record Medical Supplies - Xience Skypoint Coronary Stent 4.00 Mm X 15 Mm,3168.73,1235.8,,,0
CDM,SUP177522,Noncdm Charge Record Medical Supplies - Xience Skypoint Coronary Stent 4.00 Mm X 18 Mm,2910.14,1134.95,,,0
CDM,SUP177523,Noncdm Charge Record Medical Supplies - Xience Skypoint Coronary Stent 4.00 Mm X 23 Mm,2947.74,1149.62,,,0
CDM,SUP177524,Noncdm Charge Record Medical Supplies - Xience Skypoint Coronary Stent 4.00 Mm X 28 Mm,3036.34,1184.17,,,0
CDM,SUP177525,Noncdm Charge Record Medical Supplies - Xience Skypoint Coronary Stent 4.00 Mm X 33 Mm,3094.19,1206.73,,,0
CDM,SUP177526,Noncdm Charge Record Medical Supplies - Xience Skypoint Coronary Stent 4.00 Mm X 38 Mm,3383.42,1319.53,,,0
CDM,SUP177529,Noncdm Charge Record Medical Supplies - Xience Skypoint Coronary Stent 4.50 Mm X 18 Mm,3383.42,1319.53,,,0
CDM,SUP177530,Noncdm Charge Record Medical Supplies - Xience Skypoint Coronary Stent 4.50 Mm X 23 Mm,2283.21,890.45,,,0
CDM,SUP177532,Noncdm Charge Record Medical Supplies - Xience Skypoint Coronary Stent 4.50 Mm X 33 Mm,1880.6,733.43,,,0
CDM,SUP177534,Noncdm Charge Record Medical Supplies - Stent Coronary Rapid Exhange 5.00 Mm X 15 Mm,1880.6,733.43,,,0
CDM,SUP177536,Noncdm Charge Record Medical Supplies - Xience Skypoint Coronary Stent 5.00 Mm X 23 Mm,1880.6,733.43,,,0
CDM,SUP177537,Noncdm Charge Record Medical Supplies - Xience Skypoint Coronary Stent 5.00 Mm X 28 Mm,3383.42,1319.53,,,0
CDM,SUP177538,Noncdm Charge Record Medical Supplies - Xience Skypoint Coronary Stent 5.00 Mm X 33 Mm,3383.42,1319.53,,,0
CDM,SUP177549,Noncdm Charge Record Medical Supplies - Guidewire Hi Trq St Core 0.018 300Cm,470.6,183.53,,,0
CDM,SUP1776,Noncdm Charge Record Medical Supplies - Immobilizer Orth Lg Shoulder Elc Contour Rb,41.4,16.15,,,0
CDM,SUP177613,Noncdm Charge Record Medical Supplies - Plate Bone Thoracic 8 Hole Sterile X-Plate Peek,2894.94,1129.03,,,0
CDM,SUP177616,Noncdm Charge Record Medical Supplies - Plate Bone Thoracic 4 Hole Sterile Box Peek,2653.74,1034.96,,,0
CDM,SUP177617,Noncdm Charge Record Medical Supplies - Plate Bone Thoracic 16 Hole Sterile Ladder Peek,3620.43,1411.97,,,0
CDM,SUP177620,Noncdm Charge Record Medical Supplies - Plate Bone Thoracic 16 Hole Sterile Straight Peek,5311.93,2071.65,,,0
CDM,SUP177624,Noncdm Charge Record Medical Supplies - Screw Bone 3X10 Mm Sterile Double Lead Thread,848.7,330.99,,,0
CDM,SUP177625,Noncdm Charge Record Medical Supplies - Screw Bone 3X13Mm Sterile Double Lead Thread,848.7,330.99,,,0
CDM,SUP177629,Noncdm Charge Record Medical Supplies - Screw Ha 30 X 13Mm 2-Pack Qty 2,1697.4,661.99,,,0
CDM,SUP177631,Noncdm Charge Record Medical Supplies - Screw Bone 3X8Mm Sterile Double Lead Thread,1697.4,661.99,,,0
CDM,SUP177632,Noncdm Charge Record Medical Supplies - Screw Bone 3X10Mm Sterile Double Lead Thread,1697.4,661.99,,,0
CDM,SUP177633,Noncdm Charge Record Medical Supplies - Screw Bone 3X13Mm Sterile Double Lead Thread,1697.4,661.99,,,0
CDM,SUP177635,Noncdm Charge Record Medical Supplies,3054.8,1191.37,,,0
CDM,SUP177636,Noncdm Charge Record Medical Supplies - Screw Ha 30 X 10Mm 4-Pack Qty 4,6109.53,2382.72,,,0
CDM,SUP177638,Noncdm Charge Record Medical Supplies - Screw Ha 30 X 13Mm 4-Pack Qty 4,6109.6,2382.74,,,0
CDM,SUP177639,Noncdm Charge Record Medical Supplies - Disposable Driver Bit,122.14,47.63,,,0
CDM,SUP177640,Noncdm Charge Record Medical Supplies,424.35,165.5,,,0
CDM,SUP177641,Noncdm Charge Record Medical Supplies - Disposable Power Driver,851.8,332.2,,,0
CDM,SUP177642_272,Noncdm Charge Record Medical Supplies - Scissors Curved Monopolar 6Mm Da Vinci System Endowrist Sp,910.8,355.21,,,0
CDM,SUP177642_A4649_272,Noncdm Charge Record Medical Supplies - Scissors Curved Monopolar 6Mm Da Vinci System Endowrist Sp,910.8,355.21,,,0
CDM,SUP177642_A9999_272,Noncdm Charge Record Medical Supplies - Scissors Curved Monopolar 6Mm Da Vinci System Endowrist Sp,910.8,355.21,,,0
CDM,SUP177643_272,Noncdm Charge Record Medical Supplies - Forceps Bipolar Maryland 6Mm Da Vinci System Endowrist Sp,848.7,330.99,,,0
CDM,SUP177643_A4649_272,Noncdm Charge Record Medical Supplies - Forceps Bipolar Maryland 6Mm Da Vinci System Endowrist Sp,848.7,330.99,,,0
CDM,SUP177643_A9999_272,Noncdm Charge Record Medical Supplies - Forceps Bipolar Maryland 6Mm Da Vinci System Endowrist Sp,848.7,330.99,,,0
CDM,SUP177644_272,Noncdm Charge Record Medical Supplies - Forceps Bipolar Fenestrated 6Mm Da Vinci Sys Endowrist Sp,848.7,330.99,,,0
CDM,SUP177644_A4649_272,Noncdm Charge Record Medical Supplies - Forceps Bipolar Fenestrated 6Mm Da Vinci Sys Endowrist Sp,848.7,330.99,,,0
CDM,SUP177644_A9999_272,Noncdm Charge Record Medical Supplies - Forceps Bipolar Fenestrated 6Mm Da Vinci Sys Endowrist Sp,848.7,330.99,,,0
CDM,SUP177645_272,Noncdm Charge Record Medical Supplies - Needle Driver L Dia6Mm Da Vinci System Endowrist Sp,694.48,270.85,,,0
CDM,SUP177645_A4649_272,Noncdm Charge Record Medical Supplies - Needle Driver L Dia6Mm Da Vinci System Endowrist Sp,694.48,270.85,,,0
CDM,SUP177645_A9999_272,Noncdm Charge Record Medical Supplies - Needle Driver L Dia6Mm Da Vinci System Endowrist Sp,694.48,270.85,,,0
CDM,SUP177646,Noncdm Charge Record Medical Supplies - Forceps Robotics Cadiere 6Mm Da Vinci System Endowrist Sp,615.83,240.17,,,0
CDM,SUP177647_272,Noncdm Charge Record Medical Supplies - Clip Applier Med-Lg Dia6Mm Da Vinci System Endowrist Sp,82.8,32.29,,,0
CDM,SUP177647_A4649_272,Noncdm Charge Record Medical Supplies - Clip Applier Med-Lg Dia6Mm Da Vinci System Endowrist Sp,82.8,32.29,,,0
CDM,SUP177647_A9999_272,Noncdm Charge Record Medical Supplies - Clip Applier Med-Lg Dia6Mm Da Vinci System Endowrist Sp,82.8,32.29,,,0
CDM,SUP177648,Noncdm Charge Record Medical Supplies,16076.31,6269.76,,,0
CDM,SUP177649,Noncdm Charge Record Medical Supplies,6886.89,2685.89,,,0
CDM,SUP177687,Noncdm Charge Record Medical Supplies - Cement Bone 40Gm High Viscosity Radiopaque Rev Surg,307.85,120.06,,,0
CDM,SUP1777,Noncdm Charge Record Medical Supplies - Immobilizer Orth Xl Shoulder Elc Contour,40.36,15.74,,,0
CDM,SUP177702,Noncdm Charge Record Medical Supplies - Cath 20Fr 5Cc 3Way Foley,41.4,16.15,,,0
CDM,SUP177703,Noncdm Charge Record Medical Supplies - Implant Cartridge Urolift 2,5290.78,2063.4,,,0
CDM,SUP177704,Noncdm Charge Record Medical Supplies - Kit Handle Urolift 2 Implant Cartridge,1338.54,522.03,,,0
CDM,SUP177706,Noncdm Charge Record Medical Supplies - Drill Surgical Dia2.3Mm Arbide Round S2 Mini,1076.81,419.96,,,0
CDM,SUP177707_272,Noncdm Charge Record Medical Supplies - Drill Surgical Dia1.8Mm Carbide Round S2 Mini,1112.62,433.92,,,0
CDM,SUP177707_A4649_272,Noncdm Charge Record Medical Supplies - Drill Surgical Dia1.8Mm Carbide Round S2 Mini,1149.88,448.45,,,0
CDM,SUP177726_272,Noncdm Charge Record Medical Supplies - Set Adm Grvty Chk Valve Slide,16.56,6.46,,,0
CDM,SUP177726_A9999_272,Noncdm Charge Record Medical Supplies - Set Adm Grvty Chk Valve Slide,16.56,6.46,,,0
CDM,SUP177782,Noncdm Charge Record Medical Supplies - Graft Vascular L40Cm Bore 28Mm Side Branch Dia10Mm,13292.5,5184.08,,,0
CDM,SUP177801,Noncdm Charge Record Medical Supplies - Hi-Flow Aspiration Tubing Class Iia Rule 2,1775.15,692.31,,,0
CDM,SUP177818,Noncdm Charge Record Medical Supplies - Catheter Interventional 2.9Fr L135Cm Tip 1.6Fr 0.014In,2087.25,814.03,,,0
CDM,SUP17784_272,Noncdm Charge Record Medical Supplies - Suture Mersilene 5-0Mm Mo-4 12In White Ethicon,170.96,66.67,,,0
CDM,SUP17784_A4649_272,Noncdm Charge Record Medical Supplies - Suture Mersilene 5-0Mm Mo-4 12In White Ethicon,172.84,67.41,,,0
CDM,SUP17785_272,Noncdm Charge Record Medical Supplies - Stapler Intnl 3.5Mm Hmrhd Set Disp Prolps Eea,1589.76,620.01,,,0
CDM,SUP17785_A4649_272,Noncdm Charge Record Medical Supplies - Stapler Intnl 3.5Mm Hmrhd Set Disp Prolps Eea,1589.76,620.01,,,0
CDM,SUP177868,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 2.25 Mm X 12 Mm,3383.42,1319.53,,,0
CDM,SUP177869,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 2.25 Mm X 15 Mm,3383.42,1319.53,,,0
CDM,SUP17787,Noncdm Charge Record Medical Supplies - Septal Occluder 20Mm,32684.26,12746.86,,,0
CDM,SUP177870,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 2.25 Mm X 18 Mm,2632.0,1026.48,,,0
CDM,SUP177871,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 2.25 Mm X 23 Mm,2949.58,1150.34,,,0
CDM,SUP177872,Noncdm Charge Record Medical Supplies,2283.21,890.45,,,0
CDM,SUP177873,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 2.25 Mm X 33 Mm,3383.42,1319.53,,,0
CDM,SUP177874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 2.25 Mm X 38 Mm,2849.7,1111.38,,,0
CDM,SUP177875,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 2.50 Mm X 8 Mm,3383.42,1319.53,,,0
CDM,SUP177876,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 2.50 Mm X 12 Mm,2149.0,838.11,,,0
CDM,SUP177877,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 2.50 Mm X 15 Mm,3168.73,1235.8,,,0
CDM,SUP177878,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 2.50 Mm X 18 Mm,2916.03,1137.25,,,0
CDM,SUP177879,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 2.50 Mm X 23 Mm,2943.33,1147.9,,,0
CDM,SUP17788,Noncdm Charge Record Medical Supplies - Balloon Apex Rx 3.0X20 Ptca Rx,471.18,183.76,,,0
CDM,SUP177880,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 2.50 Mm X 28 Mm,2949.58,1150.34,,,0
CDM,SUP177881,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 2.50 Mm X 33 Mm,2949.58,1150.34,,,0
CDM,SUP177882,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 2.50 Mm X 38 Mm,3109.54,1212.72,,,0
CDM,SUP177885,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 2.75 Mm X 15 Mm,3383.42,1319.53,,,0
CDM,SUP177886,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 2.75 Mm X 18 Mm,2882.48,1124.17,,,0
CDM,SUP177887,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 2.75 Mm X 23 Mm,2632.0,1026.48,,,0
CDM,SUP177889,Noncdm Charge Record Medical Supplies,3011.55,1174.5,,,0
CDM,SUP177890,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 2.75 Mm X 38 Mm,2954.04,1152.08,,,0
CDM,SUP177892,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 3.00 Mm X 12 Mm,2882.48,1124.17,,,0
CDM,SUP177893,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 3.00 Mm X 15 Mm,3011.55,1174.5,,,0
CDM,SUP177894,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 3.00 Mm X 18 Mm,2807.8,1095.04,,,0
CDM,SUP177895,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 3.00 Mm X 23 Mm,3083.07,1202.4,,,0
CDM,SUP177896,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 3.00 Mm X 28 Mm,3054.95,1191.43,,,0
CDM,SUP177897,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 3.00 Mm X 33 Mm,3132.94,1221.85,,,0
CDM,SUP177898,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 3.00 Mm X 38 Mm,2862.99,1116.57,,,0
CDM,SUP17789_272,Noncdm Charge Record Medical Supplies - Sheath 0D 4Mm Escrb2 Stryk Irr,372.6,145.31,,,0
CDM,SUP17789_A9999_272,Noncdm Charge Record Medical Supplies - Sheath 0D 4Mm Escrb2 Stryk Irr,372.6,145.31,,,0
CDM,SUP17790,Noncdm Charge Record Medical Supplies - Sheath Endoscrub 2 30Deg 4Mm,370.72,144.58,,,0
CDM,SUP177900,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 3.25 Mm X 12 Mm,3383.42,1319.53,,,0
CDM,SUP177902,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 3.25 Mm X 18 Mm,3383.42,1319.53,,,0
CDM,SUP177903,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 3.25 Mm X 23 Mm,3016.68,1176.51,,,0
CDM,SUP177904,Noncdm Charge Record Medical Supplies,3383.42,1319.53,,,0
CDM,SUP177905,Noncdm Charge Record Medical Supplies,2862.81,1116.5,,,0
CDM,SUP177906,Noncdm Charge Record Medical Supplies,3195.56,1246.27,,,0
CDM,SUP177907,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 3.50 Mm X 8 Mm,2833.31,1104.99,,,0
CDM,SUP177908,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 3.50 Mm X 12 Mm,3163.37,1233.71,,,0
CDM,SUP177909,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 3.50 Mm X 15 Mm,2973.56,1159.69,,,0
CDM,SUP177910,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 3.50 Mm X 18 Mm,2904.21,1132.64,,,0
CDM,SUP177911,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 3.50 Mm X 23 Mm,2865.37,1117.49,,,0
CDM,SUP177912,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 3.50 Mm X 28 Mm,3215.09,1253.89,,,0
CDM,SUP177913,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 3.50 Mm X 33 Mm,3061.38,1193.94,,,0
CDM,SUP177914,Noncdm Charge Record Medical Supplies - Minor Basin Proced Set Up Tray,169.74,66.2,,,0
CDM,SUP17793,Noncdm Charge Record Medical Supplies - Kit Arthro Fx Btnds Fbrwire,1443.82,563.09,,,0
CDM,SUP17796,Noncdm Charge Record Medical Supplies - Ligator 5In 15Mm Shortshot Sa,259.79,101.32,,,0
CDM,SUP177966,Noncdm Charge Record Medical Supplies - Implant Cochlear Bia400 W 6Mm Abtmnt,14852.25,5792.38,,,0
CDM,SUP177979,Noncdm Charge Record Medical Supplies - Retriever Vasc Cloversnare 6Fr L90Cm Sheath L85Cm 4 Loop,2955.96,1152.82,,,0
CDM,SUP17799,Noncdm Charge Record Medical Supplies - See 134356 Electrode Button Plsm Vpr,2369.11,923.95,,,0
CDM,SUP17801,Noncdm Charge Record Medical Supplies - Distractor 100Mm Spnl Lnr True,2093.8,816.58,,,0
CDM,SUP178028,Noncdm Charge Record Medical Supplies - Vest Bra Slvls W Pouches Med,427.31,166.65,,,0
CDM,SUP17805,Noncdm Charge Record Medical Supplies - Nut Lck 10Mm Ext Hex Head,169.05,65.93,,,0
CDM,SUP178054,Noncdm Charge Record Medical Supplies - Tube Gastro Feed Jet 18F 45Cm,1687.57,658.15,,,0
CDM,SUP178055_272,Noncdm Charge Record Medical Supplies - Basket Stone Retrieval 2.4Fr L90Cm Dia16Mm Polyimide 4,941.91,367.34,,,0
CDM,SUP178055_A9999_272,Noncdm Charge Record Medical Supplies - Basket Stone Retrieval 2.4Fr L90Cm Dia16Mm Polyimide 4,869.4,339.07,,,0
CDM,SUP17808,Noncdm Charge Record Medical Supplies - Forceps Spec Ret 115Cm 3Fr,1698.44,662.39,,,0
CDM,SUP178092,Noncdm Charge Record Medical Supplies - Major Abdominal Pack Dynj24423G,347.76,135.63,,,0
CDM,SUP178093,Noncdm Charge Record Medical Supplies - Minor Surgical Single Basin Tr Dynjs0164,149.04,58.13,,,0
CDM,SUP17809_C1760_278,Noncdm Charge Record Medical Supplies - Device Closure 5Fr Mynx Vasc,1023.62,399.21,,,0
CDM,SUP17809_C1762_278,Noncdm Charge Record Medical Supplies - Device Closure 5Fr Mynx Vasc,1023.62,399.21,,,0
CDM,SUP17810,Noncdm Charge Record Medical Supplies,146.97,57.32,,,0
CDM,SUP178129,Noncdm Charge Record Medical Supplies - Anchor Suture 5.5Mm Regenesorb Knotless Healicoil,2576.7,1004.91,,,0
CDM,SUP178131,Noncdm Charge Record Medical Supplies - Anchor Suture 5Mm Pk Knotless Healicoil,2580.51,1006.4,,,0
CDM,SUP178132,Noncdm Charge Record Medical Supplies,2580.26,1006.3,,,0
CDM,SUP178147,Noncdm Charge Record Medical Supplies - Stent Eluvia 6Mmx150 Mmx130Cm,18542.57,7231.6,,,0
CDM,SUP178148,Noncdm Charge Record Medical Supplies - Stent Eluvia 7Mmx15 Mmx130Cm,20284.53,7910.97,,,0
CDM,SUP178149,Noncdm Charge Record Medical Supplies - Coil Neurovascular L12Mm D 4Mm Helical Soft Stretch Resistan,12176.78,4748.94,,,0
CDM,SUP178162,Noncdm Charge Record Medical Supplies - See 2693 Pouch Fluid Collct W Drain Prt Pouch Invisishield W,22.77,8.88,,,0
CDM,SUP178163_270,Noncdm Charge Record Medical Supplies - Bag Tissue Retrieval 1850Ml L10.4In Mouth Dia6In,1315.09,512.89,,,0
CDM,SUP178163_272,Noncdm Charge Record Medical Supplies - Bag Tissue Retrieval 1850Ml L10.4In Mouth Dia6In,803.16,313.23,,,0
CDM,SUP178164_C1757_272,Noncdm Charge Record Medical Supplies - Snare Retriever Clot 0.016Inx20.5Mm,31723.78,12372.27,,,0
CDM,SUP178164_C1757_278,Noncdm Charge Record Medical Supplies - Snare Retriever Clot 0.016Inx20.5Mm,31723.78,12372.27,,,0
CDM,SUP178164_C1773_278,Noncdm Charge Record Medical Supplies - Snare Retriever Clot 0.016Inx20.5Mm,31723.78,12372.27,,,0
CDM,SUP178164_C1889_278,Noncdm Charge Record Medical Supplies - Snare Retriever Clot 0.016Inx20.5Mm,31723.78,12372.27,,,0
CDM,SUP178205_272,Noncdm Charge Record Medical Supplies - Sterile Water For Irrigation 500Ml,18.63,7.27,,,0
CDM,SUP178205_A4649_272,Noncdm Charge Record Medical Supplies - Sterile Water For Irrigation 500Ml,18.63,7.27,,,0
CDM,SUP178205_A9999_272,Noncdm Charge Record Medical Supplies - Sterile Water For Irrigation 500Ml,18.63,7.27,,,0
CDM,SUP178206_272,Noncdm Charge Record Medical Supplies - Catheter Iv 18Ga L1.88In Angiocath Straight Fep,9.32,3.63,,,0
CDM,SUP178206_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Iv 18Ga L1.88In Angiocath Straight Fep,9.32,3.63,,,0
CDM,SUP178206_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Iv 18Ga L1.88In Angiocath Straight Fep,9.32,3.63,,,0
CDM,SUP178209,Noncdm Charge Record Medical Supplies - Catheter Urethral 14Fr L16In Catheterization Self-Cath,10.35,4.04,,,0
CDM,SUP178210,Noncdm Charge Record Medical Supplies - Guide Ultrasound Needle Endocavity Biopsy Disposable,1632.2,636.56,,,0
CDM,SUP178216,Noncdm Charge Record Medical Supplies - Cath Tray Precon 14F Drain Bag Red Rubber Straight,28.98,11.3,,,0
CDM,SUP178217,Noncdm Charge Record Medical Supplies,18.63,7.27,,,0
CDM,SUP178218_270,Noncdm Charge Record Medical Supplies - Saline Container Scrwtp 250Ml Usp Normal,7.44,2.9,,,0
CDM,SUP178218_A4649_270,Noncdm Charge Record Medical Supplies - Saline Container Scrwtp 250Ml Usp Normal,7.24,2.82,,,0
CDM,SUP178219_270,Noncdm Charge Record Medical Supplies - Saline Container Scrwtp 500Ml Usp Normal,14.43,5.63,,,0
CDM,SUP178219_A4649_270,Noncdm Charge Record Medical Supplies - Saline Container Scrwtp 500Ml Usp Normal,14.37,5.6,,,0
CDM,SUP178264,Noncdm Charge Record Medical Supplies - Catheter Guiding L85Cm Od0.112In Id0.087In Tip L5Mm,7275.02,2837.26,,,0
CDM,SUP178265,Noncdm Charge Record Medical Supplies - Catheter Guiding L95Cm Od0.112In Id0.087In Tip L5Mm,7275.02,2837.26,,,0
CDM,SUP178278,Noncdm Charge Record Medical Supplies,648.95,253.09,,,0
CDM,SUP178279,Noncdm Charge Record Medical Supplies,714.15,278.52,,,0
CDM,SUP178282,Noncdm Charge Record Medical Supplies - Sheath Catheter L80Cm Od4.8Mm Id4.0Mm 45X45Deg,3205.4,1250.11,,,0
CDM,SUP178283,Noncdm Charge Record Medical Supplies - Sheath Catheter L80Cm Od5.5Mm Id4.7Mm 45X45Deg,3205.4,1250.11,,,0
CDM,SUP178316,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.00 X 08Rx,3021.16,1178.25,,,0
CDM,SUP178317,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.00 X 12Rx,2903.69,1132.44,,,0
CDM,SUP178318,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.00 X 15Rx,2903.69,1132.44,,,0
CDM,SUP178319,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.00 X 18Rx,2668.75,1040.81,,,0
CDM,SUP178320,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.00 X 22Rx,2786.22,1086.63,,,0
CDM,SUP178321,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.00 X 26Rx,2864.53,1117.17,,,0
CDM,SUP178322,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.00 X 30Rx,2707.9,1056.08,,,0
CDM,SUP178323,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.25 X 08Rx,2934.96,1144.63,,,0
CDM,SUP178324,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.25 X 12Rx,2798.86,1091.56,,,0
CDM,SUP178325,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.25 X 15Rx,2779.8,1084.12,,,0
CDM,SUP178326,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.25 X 18Rx,2832.6,1104.71,,,0
CDM,SUP178327,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.25 X 26Rx,2820.03,1099.81,,,0
CDM,SUP178328,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.25 X 30Rx,2719.46,1060.59,,,0
CDM,SUP178329,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.25 X 34Rx,2762.56,1077.4,,,0
CDM,SUP178330,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.25 X 38Rx,2809.97,1095.89,,,0
CDM,SUP178331,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.50 X 08Rx,2762.56,1077.4,,,0
CDM,SUP178332,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.50 X 12Rx,2794.86,1090.0,,,0
CDM,SUP178333,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.50 X 15Rx,2771.46,1080.87,,,0
CDM,SUP178334,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.50 X 18Rx,2809.44,1095.68,,,0
CDM,SUP178335,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.50 X 22Rx,2796.17,1090.51,,,0
CDM,SUP178336,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.50 X 26Rx,2879.94,1123.18,,,0
CDM,SUP178337,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.50 X 30Rx,2800.41,1092.16,,,0
CDM,SUP178338,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.50 X 34Rx,2860.26,1115.5,,,0
CDM,SUP178339,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.50 X 38Rx,2823.87,1101.31,,,0
CDM,SUP17834,Noncdm Charge Record Medical Supplies - Suture V-Loc 4-0 P-12 18In Covidien,131.44,51.26,,,0
CDM,SUP178340,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.75 X 08Rx,2417.76,942.93,,,0
CDM,SUP178341,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.75 X 12Rx,2685.94,1047.52,,,0
CDM,SUP178342,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.75 X 15Rx,2870.31,1119.42,,,0
CDM,SUP178343,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.75 X 18Rx,2911.46,1135.47,,,0
CDM,SUP178344,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.75 X 22Rx,2772.7,1081.35,,,0
CDM,SUP178345,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.75 X 26Rx,2950.18,1150.57,,,0
CDM,SUP178346,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.75 X 30Rx,2848.76,1111.02,,,0
CDM,SUP178347,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.75 X 34Rx,2920.6,1139.03,,,0
CDM,SUP178348,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.75 X 38Rx,2750.67,1072.76,,,0
CDM,SUP178349,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 3.00 X 08Rx,2879.19,1122.88,,,0
CDM,SUP17835,Noncdm Charge Record Medical Supplies - Suture V-Loc 4-0 P-12 12In Covidien,114.94,44.83,,,0
CDM,SUP178350,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 3.00 X 12Rx,2799.51,1091.81,,,0
CDM,SUP178351,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 3.00 X 15Rx,2797.99,1091.22,,,0
CDM,SUP178352,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 3.00 X 18Rx,2762.56,1077.4,,,0
CDM,SUP178353,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 3.00 X 22Rx,2807.54,1094.94,,,0
CDM,SUP178354,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 3.00 X 26Rx,2799.89,1091.96,,,0
CDM,SUP178355,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 3.00 X 30Rx,2825.47,1101.93,,,0
CDM,SUP178356,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 3.00 X 34Rx,2870.31,1119.42,,,0
CDM,SUP178357_C1874_278,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 3.00 X 38Rx,2782.05,1085.0,,,0
CDM,SUP178357_L8699_278,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 3.00 X 38Rx,3021.16,1178.25,,,0
CDM,SUP178358,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 3.50 X 08Rx,2737.15,1067.49,,,0
CDM,SUP178359,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 3.50 X 12Rx,2884.91,1125.11,,,0
CDM,SUP178360,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 3.50 X 15Rx,2783.19,1085.44,,,0
CDM,SUP178361,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 3.50 X 18Rx,2772.14,1081.13,,,0
CDM,SUP178362,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 3.50 X 22Rx,2795.8,1090.36,,,0
CDM,SUP178363,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 3.50 X 26Rx,2784.39,1085.91,,,0
CDM,SUP178364,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 3.50 X 30Rx,2826.22,1102.23,,,0
CDM,SUP178365,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 3.50 X 34Rx,2828.08,1102.95,,,0
CDM,SUP178366,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 3.50 X 38Rx,2801.36,1092.53,,,0
CDM,SUP178367,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 4.00 X 08Rx,2820.03,1099.81,,,0
CDM,SUP178368,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 4.00 X 12Rx,2708.29,1056.23,,,0
CDM,SUP178369,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 4.00 X 15Rx,2754.27,1074.17,,,0
CDM,SUP17836_272,Noncdm Charge Record Medical Supplies - See 139834 Pack Shoulder Arthr Windy Hill Ww160026,381.92,148.95,,,0
CDM,SUP17836_A4649_272,Noncdm Charge Record Medical Supplies - See 139834 Pack Shoulder Arthr Windy Hill Ww160026,381.92,148.95,,,0
CDM,SUP17836_A9999_272,Noncdm Charge Record Medical Supplies - See 139834 Pack Shoulder Arthr Windy Hill Ww160026,381.92,148.95,,,0
CDM,SUP178370,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 4.00 X 18Rx,2810.67,1096.16,,,0
CDM,SUP178371,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 4.00 X 22Rx,2784.11,1085.8,,,0
CDM,SUP178372,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 4.00 X 26Rx,2845.98,1109.93,,,0
CDM,SUP178373,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 4.00 X 30Rx,2776.03,1082.65,,,0
CDM,SUP178374,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 4.00 X 34Rx,2848.76,1111.02,,,0
CDM,SUP178375,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 4.00 X 38Rx,2856.55,1114.05,,,0
CDM,SUP178376,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 4.50 X 12Rx,2820.03,1099.81,,,0
CDM,SUP178377,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 4.50 X 15Rx,2794.89,1090.01,,,0
CDM,SUP178378,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 4.50 X 18Rx,3021.16,1178.25,,,0
CDM,SUP178379,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 4.50 X 22Rx,2769.75,1080.2,,,0
CDM,SUP17837_272,Noncdm Charge Record Medical Supplies - Forceps Surg Tln Graspg,636.52,248.24,,,0
CDM,SUP17837_A4649_272,Noncdm Charge Record Medical Supplies - Forceps Surg Tln Graspg,636.52,248.24,,,0
CDM,SUP17837_A9999_272,Noncdm Charge Record Medical Supplies - Forceps Surg Tln Graspg,636.52,248.24,,,0
CDM,SUP178380,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 4.50 X 26Rx,2835.5,1105.84,,,0
CDM,SUP178381,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 4.50 X 30Rx,2659.12,1037.06,,,0
CDM,SUP178382,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 5.00 X 12Rx,2794.89,1090.01,,,0
CDM,SUP178383,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 5.00 X 15Rx,2779.8,1084.12,,,0
CDM,SUP178384,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 5.00 X 18Rx,3021.16,1178.25,,,0
CDM,SUP178385,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 5.00 X 22Rx,2820.03,1099.81,,,0
CDM,SUP178386,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 5.00 X 26Rx,2719.46,1060.59,,,0
CDM,SUP178387,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 5.00 X 30Rx,2934.96,1144.63,,,0
CDM,SUP178406,Noncdm Charge Record Medical Supplies - Sheath Guiding L90Cm Id0.09In Flexible Dexterous Tip,2203.5,859.36,,,0
CDM,SUP178407,Noncdm Charge Record Medical Supplies - Sheath Guiding L95Cm Id0.09In Flexible Dexterous Tip,2203.52,859.37,,,0
CDM,SUP17841,Noncdm Charge Record Medical Supplies - Burr Surg 1Mm Elt Round Dmd,644.8,251.47,,,0
CDM,SUP178437_270,Noncdm Charge Record Medical Supplies - Remote Monitor Handheld Inspir Inspire Sleep Bluetooth Enabl,6172.74,2407.37,,,0
CDM,SUP178437_C1787_270,Noncdm Charge Record Medical Supplies - Remote Monitor Handheld Inspir Inspire Sleep Bluetooth Enabl,6172.74,2407.37,,,0
CDM,SUP178437_C1787_278,Noncdm Charge Record Medical Supplies - Remote Monitor Handheld Inspir Inspire Sleep Bluetooth Enabl,6172.74,2407.37,,,0
CDM,SUP17843_272,Noncdm Charge Record Medical Supplies - Suture V-Loc 0 Gs-21 12In Covidien,119.19,46.48,,,0
CDM,SUP17843_A4649_272,Noncdm Charge Record Medical Supplies - Suture V-Loc 0 Gs-21 12In Covidien,119.19,46.48,,,0
CDM,SUP17843_A9999_272,Noncdm Charge Record Medical Supplies - Suture V-Loc 0 Gs-21 12In Covidien,119.17,46.48,,,0
CDM,SUP17844,Noncdm Charge Record Medical Supplies - Burr Surg 2Mm Elt Round Sftch,644.8,251.47,,,0
CDM,SUP178454,Noncdm Charge Record Medical Supplies - Bur Surgical Dia1Mm Diamond Round For S2 Mini Drill System,1078.99,420.81,,,0
CDM,SUP178458,Noncdm Charge Record Medical Supplies,1972.71,769.36,,,0
CDM,SUP17847,Noncdm Charge Record Medical Supplies - Suture V-Loc 3-0 90 3-0 P12 18In Undyed Covidien,128.32,50.04,,,0
CDM,SUP17848,Noncdm Charge Record Medical Supplies - Burr Surg 4Mm Elt Round Dmd,644.8,251.47,,,0
CDM,SUP17849,Noncdm Charge Record Medical Supplies - Catheter Finecross Mg,2080.37,811.34,,,0
CDM,SUP1785,Noncdm Charge Record Medical Supplies - Tube Salem Sump Dual Lumen Silicone 18Fr 48In Covidien,53.82,20.99,,,0
CDM,SUP17850,Noncdm Charge Record Medical Supplies - Suture Monoderm 3-0 7X7Cm 18Mm Undyed Quill Surgical Special,56.92,22.2,,,0
CDM,SUP178502,Noncdm Charge Record Medical Supplies - Catheter Lithotripter L135Cm Balloon L60Mm Dia4Mm Sheath,15211.4,5932.45,,,0
CDM,SUP178504,Noncdm Charge Record Medical Supplies - Catheter Lithotripter L135Cm Balloon L60Mm Dia5Mm Sheath,15211.4,5932.45,,,0
CDM,SUP178506,Noncdm Charge Record Medical Supplies - Catheter Lithotripter L135Cm Balloon L60Mm Dia6Mm Sheath,15211.4,5932.45,,,0
CDM,SUP178508,Noncdm Charge Record Medical Supplies - Catheter Lithotripter L135Cm Balloon L60Mm Dia7Mm Sheath,15211.4,5932.45,,,0
CDM,SUP178509,Noncdm Charge Record Medical Supplies - Catheter Lithotripter L135Cm Balloon L60Mm Dia8Mm Sheath,15211.4,5932.45,,,0
CDM,SUP17851,Noncdm Charge Record Medical Supplies - Suture Monoderm 3-0 14X14Cm 18Mm Undyed Quill Surgical Speci,71.72,27.97,,,0
CDM,SUP17852,Noncdm Charge Record Medical Supplies - Suture Monoderm 3-0 30X30Cm 18Mm Undyed Quill Surgical Speci,98.32,38.34,,,0
CDM,SUP17853_272,Noncdm Charge Record Medical Supplies - Suture Monoderm 2-0 30X30Cm Undyed Quill Surgical Speciialti,117.1,45.67,,,0
CDM,SUP17853_A4649_272,Noncdm Charge Record Medical Supplies - Suture Monoderm 2-0 30X30Cm Undyed Quill Surgical Speciialti,117.47,45.81,,,0
CDM,SUP17853_A9999_272,Noncdm Charge Record Medical Supplies - Suture Monoderm 2-0 30X30Cm Undyed Quill Surgical Speciialti,116.96,45.61,,,0
CDM,SUP17854,Noncdm Charge Record Medical Supplies - Suture Pdo 0 36X36Cm Violet Quill,96.82,37.76,,,0
CDM,SUP17857,Noncdm Charge Record Medical Supplies - Cutter Wire 4.75In Scissor Lf,8.28,3.23,,,0
CDM,SUP17858,Noncdm Charge Record Medical Supplies - Cannula Suct Hlx 4Mm 10Mm 30Cm,296.01,115.44,,,0
CDM,SUP17859,Noncdm Charge Record Medical Supplies - Cannula Suction Mercedes 3Mm 8Mm 30Cm Single Use Microaire S,326.02,127.15,,,0
CDM,SUP1786,Noncdm Charge Record Medical Supplies - Splint Nail 14Mm W Reg Surg Inro-Request Ups Shipment,258.75,100.91,,,0
CDM,SUP17860,Noncdm Charge Record Medical Supplies - Cannula Suct Dbl Mrcds 5Mm,430.56,167.92,,,0
CDM,SUP17861_272,Noncdm Charge Record Medical Supplies - Tubing Infltr 9Ft Infus Pump,146.97,57.32,,,0
CDM,SUP17861_A4649_272,Noncdm Charge Record Medical Supplies - Tubing Infltr 9Ft Infus Pump,146.97,57.32,,,0
CDM,SUP17862,Noncdm Charge Record Medical Supplies - Tubing Asp 9 Ft Disp Strl 6-Bx,52.78,20.58,,,0
CDM,SUP17863,Noncdm Charge Record Medical Supplies - Cannula Suction 5Mm 10Mm 30Cm Microaire Surgical Instruments,376.74,146.93,,,0
CDM,SUP17864_272,Noncdm Charge Record Medical Supplies - Cannula Suction 4Mm 10Mm 30Cm Microaire Surgical Instruments,326.02,127.15,,,0
CDM,SUP17864_A4649_272,Noncdm Charge Record Medical Supplies - Cannula Suction 4Mm 10Mm 30Cm Microaire Surgical Instruments,367.42,143.29,,,0
CDM,SUP17867,Noncdm Charge Record Medical Supplies - See 140772 Pack C-Section Cobb Wc110034,453.33,176.8,,,0
CDM,SUP178671_272,Noncdm Charge Record Medical Supplies - Anes Circ 120In Exp Lf Version G,49.97,19.49,,,0
CDM,SUP178671_A4649_272,Noncdm Charge Record Medical Supplies - Anes Circ 120In Exp Lf Version G,51.39,20.04,,,0
CDM,SUP178671_A9999_272,Noncdm Charge Record Medical Supplies - Anes Circ 120In Exp Lf Version G,47.61,18.57,,,0
CDM,SUP17869,Noncdm Charge Record Medical Supplies - See 140802 Pack Cardiac Drape Kennestone Wk160020,593.05,231.29,,,0
CDM,SUP1787,Noncdm Charge Record Medical Supplies - Tubing Irr 85In .280In 4 Lead,75.56,29.47,,,0
CDM,SUP17870,Noncdm Charge Record Medical Supplies - Coupler Fem Legion 2Mm Knee,6343.52,2473.97,,,0
CDM,SUP178741,Noncdm Charge Record Medical Supplies - Urolift Advanced Tissue Control,6042.33,2356.51,,,0
CDM,SUP178742_272,Noncdm Charge Record Medical Supplies - Super Sheath Cbde Box 10,320.85,125.13,,,0
CDM,SUP178742_C1894_272,Noncdm Charge Record Medical Supplies - Super Sheath Cbde Box 10,320.85,125.13,,,0
CDM,SUP17875,Noncdm Charge Record Medical Supplies - Burr Surg Std Pfj Milling,585.81,228.47,,,0
CDM,SUP178762,Noncdm Charge Record Medical Supplies - Nut External Fixation L10Mm Stainless Steel Truelok System,7.58,2.96,,,0
CDM,SUP17876_272,Noncdm Charge Record Medical Supplies - Distractor 12Mm Cerv Screw Cspr Surg Strl,235.8,91.96,,,0
CDM,SUP17876_A4649_272,Noncdm Charge Record Medical Supplies - Distractor 12Mm Cerv Screw Cspr Surg Strl,242.97,94.76,,,0
CDM,SUP17877_272,Noncdm Charge Record Medical Supplies - Distractor 14Mm Cerv Screw Cspr Surg Strl,317.61,123.87,,,0
CDM,SUP17877_A4649_272,Noncdm Charge Record Medical Supplies - Distractor 14Mm Cerv Screw Cspr Surg Strl,328.78,128.22,,,0
CDM,SUP17877_A9999_272,Noncdm Charge Record Medical Supplies - Distractor 14Mm Cerv Screw Cspr Surg Strl,322.92,125.94,,,0
CDM,SUP178784,Noncdm Charge Record Medical Supplies,19913.4,7766.23,,,0
CDM,SUP178789,Noncdm Charge Record Medical Supplies - Valve Mitral 33Mm H20Mm Cuff Dia41Mm Porcine Tissue Stent,20048.98,7819.1,,,0
CDM,SUP178812,Noncdm Charge Record Medical Supplies - Coretemp Drape 56In X 56In,178.46,69.6,,,0
CDM,SUP178813,Noncdm Charge Record Medical Supplies - Suture Absrb L18 3-0 Sc-2 Vloc 90 Undyed,131.56,51.31,,,0
CDM,SUP178837,Noncdm Charge Record Medical Supplies - Rod Spinal L55Mm Dia5.5Mm Titanium Curved Creo Mis,940.17,366.67,,,0
CDM,SUP178872,Noncdm Charge Record Medical Supplies - Breast Tissue Expander Suture Integral Injection Dome 300Cc,8458.54,3298.83,,,0
CDM,SUP178874,Noncdm Charge Record Medical Supplies - Breast Tissue Expander Suture Integral Injection Dome 475Cc,8458.67,3298.88,,,0
CDM,SUP178875,Noncdm Charge Record Medical Supplies - Breast Tissue Expander Suture Integral Injection Dome 500Cc,8458.61,3298.86,,,0
CDM,SUP178876,Noncdm Charge Record Medical Supplies,8458.54,3298.83,,,0
CDM,SUP178877,Noncdm Charge Record Medical Supplies - Breast Tissue Expander Suture Integral Injection Dome 750Cc,8458.91,3298.97,,,0
CDM,SUP178879,Noncdm Charge Record Medical Supplies - Expander Breast Tissue 455Cc Suture Tab Artoura Plus,8458.54,3298.83,,,0
CDM,SUP178880,Noncdm Charge Record Medical Supplies - Expander Breast Tissue 535Cc Suture Tab Artoura Plus,8458.71,3298.9,,,0
CDM,SUP178887,Noncdm Charge Record Medical Supplies - Creo 5.5 Cross Connector 38-5,2685.82,1047.47,,,0
CDM,SUP17888_272,Noncdm Charge Record Medical Supplies - Wire Intuition 180 Cm Intuition Hdr-Trk,59.0,23.01,,,0
CDM,SUP17888_C1769_272,Noncdm Charge Record Medical Supplies - Wire Intuition 180 Cm Intuition Hdr-Trk,208.33,81.25,,,0
CDM,SUP17889_272,Noncdm Charge Record Medical Supplies - Wire Intuition 300 Cm Intuition Hdr-Trk,59.0,23.01,,,0
CDM,SUP17889_C1769_272,Noncdm Charge Record Medical Supplies - Wire Intuition 300 Cm Intuition Hdr-Trk,249.89,97.46,,,0
CDM,SUP17891_272,Noncdm Charge Record Medical Supplies - Suture V-Loc 3-0 Cv-23 6In Covidien,113.69,44.34,,,0
CDM,SUP17891_A4649_272,Noncdm Charge Record Medical Supplies - Suture V-Loc 3-0 Cv-23 6In Covidien,113.59,44.3,,,0
CDM,SUP17891_A9999_272,Noncdm Charge Record Medical Supplies - Suture V-Loc 3-0 Cv-23 6In Covidien,113.68,44.34,,,0
CDM,SUP17892,Noncdm Charge Record Medical Supplies - Clamp 4 Pstn Mlpn Ext Fix Lg Ns,2792.43,1089.05,,,0
CDM,SUP17895,Noncdm Charge Record Medical Supplies - Guidewire Orth 150Mm 1.6Mm Drill Tip Ns,135.68,52.92,,,0
CDM,SUP17896,Noncdm Charge Record Medical Supplies - Ring Malyugin 7.0Mm Mst Strl,667.58,260.36,,,0
CDM,SUP17897,Noncdm Charge Record Medical Supplies - Ring Malyugin 6.25Mm Mst Strl,697.37,271.97,,,0
CDM,SUP178972,Noncdm Charge Record Medical Supplies - Tray Humeral Standard For Comprehensive Rev Shoulder Sys,8818.2,3439.1,,,0
CDM,SUP179001,Noncdm Charge Record Medical Supplies,132.48,51.67,,,0
CDM,SUP179013,Noncdm Charge Record Medical Supplies,463.68,180.84,,,0
CDM,SUP17902,Noncdm Charge Record Medical Supplies - Kit Spnl Xlif Nrvsn Dil M5,4330.44,1688.87,,,0
CDM,SUP17909,Noncdm Charge Record Medical Supplies - See 139618 Pack C-Section Kennestone Wk210033,376.74,146.93,,,0
CDM,SUP17911_272,Noncdm Charge Record Medical Supplies - Suture V-Loc 3-0 V-20 6In Covidien,113.75,44.36,,,0
CDM,SUP17911_A4649_272,Noncdm Charge Record Medical Supplies - Suture V-Loc 3-0 V-20 6In Covidien,113.73,44.35,,,0
CDM,SUP17911_A9999_272,Noncdm Charge Record Medical Supplies - Suture V-Loc 3-0 V-20 6In Covidien,113.73,44.35,,,0
CDM,SUP17917,Noncdm Charge Record Medical Supplies - Reamer Surg 10Mm Low Prof,954.27,372.17,,,0
CDM,SUP17921_272,Noncdm Charge Record Medical Supplies - Cannula Twistin 7Mm 7Cm Thrd W No Squirt Cap Strl Trnlu,122.2,47.66,,,0
CDM,SUP17921_A4649_272,Noncdm Charge Record Medical Supplies - Cannula Twistin 7Mm 7Cm Thrd W No Squirt Cap Strl Trnlu,122.13,47.63,,,0
CDM,SUP17921_A9999_272,Noncdm Charge Record Medical Supplies - Cannula Twistin 7Mm 7Cm Thrd W No Squirt Cap Strl Trnlu,122.39,47.73,,,0
CDM,SUP179223,Noncdm Charge Record Medical Supplies - Tube Vent Moretz 1.27Mm 6-Bxpc Coated Fluoroplastic,67.91,26.48,,,0
CDM,SUP17922_272,Noncdm Charge Record Medical Supplies - Suture Fiberwire 2 50In Tie Blue Arthrex,245.19,95.62,,,0
CDM,SUP17922_A4649_272,Noncdm Charge Record Medical Supplies - Suture Fiberwire 2 50In Tie Blue Arthrex,245.3,95.67,,,0
CDM,SUP17922_A9999_272,Noncdm Charge Record Medical Supplies - Suture Fiberwire 2 50In Tie Blue Arthrex,245.3,95.67,,,0
CDM,SUP17923,Noncdm Charge Record Medical Supplies - Suture Fiberwire 2 26In Loop Cls Green Arthrex,514.14,200.51,,,0
CDM,SUP179247,Noncdm Charge Record Medical Supplies - Tubing Smoke Evacuator 3-8Inx10Ft Interface,40.37,15.74,,,0
CDM,SUP179256_272,Noncdm Charge Record Medical Supplies - Pack Shldr Arthro Windy Hill Ww160A,423.32,165.09,,,0
CDM,SUP179256_A4649_272,Noncdm Charge Record Medical Supplies - Pack Shldr Arthro Windy Hill Ww160A,423.32,165.09,,,0
CDM,SUP179290_272,Noncdm Charge Record Medical Supplies - Catheter Radial Acc 6Fr L95Cm Neurovascular Guide Rist,5158.44,2011.79,,,0
CDM,SUP179290_C1894_272,Noncdm Charge Record Medical Supplies - Catheter Radial Acc 6Fr L95Cm Neurovascular Guide Rist,5158.44,2011.79,,,0
CDM,SUP179292,Noncdm Charge Record Medical Supplies - Catheter Radial Acc 6Fr L105Cm Neurovascular Guide Rist,5158.44,2011.79,,,0
CDM,SUP17930,Noncdm Charge Record Medical Supplies - Safesept Trnspt Guidewire,1258.54,490.83,,,0
CDM,SUP17931,Noncdm Charge Record Medical Supplies - See 133371 Introducer Sheath 5Fr 10Mm Kt Glidesheath Z,234.94,91.63,,,0
CDM,SUP17932,Noncdm Charge Record Medical Supplies - Introducer Sheath 6Fr 10Mm Kt Glidesheath Z,234.94,91.63,,,0
CDM,SUP17933,Noncdm Charge Record Medical Supplies - Introducer Sheath 6Fr 25Mm Kt Glidesheath Z,234.94,91.63,,,0
CDM,SUP179338,Noncdm Charge Record Medical Supplies - Bulkamid Kit Urethral Bulking System With Needle 2G 12Mm,5558.81,2167.94,,,0
CDM,SUP179339,Noncdm Charge Record Medical Supplies - Cystoscope 2.7 X 113Mm 0 Deg Bulkamid Uretheral Scope,8796.46,3430.62,,,0
CDM,SUP17935_272,Noncdm Charge Record Medical Supplies - Sleeve 100Mm 5Mm Kii Zthrd Laparos,220.45,85.98,,,0
CDM,SUP17935_A4649_272,Noncdm Charge Record Medical Supplies - Sleeve 100Mm 5Mm Kii Zthrd Laparos,220.46,85.98,,,0
CDM,SUP17935_A9999_272,Noncdm Charge Record Medical Supplies - Sleeve 100Mm 5Mm Kii Zthrd Laparos,220.46,85.98,,,0
CDM,SUP17936_272,Noncdm Charge Record Medical Supplies - See 97105 Trocar Laparos 100 5Mm Zthrd,78.66,30.68,,,0
CDM,SUP17936_A4649_272,Noncdm Charge Record Medical Supplies - See 97105 Trocar Laparos 100 5Mm Zthrd,78.66,30.68,,,0
CDM,SUP17937_272,Noncdm Charge Record Medical Supplies - Trocar Laparos 100 5Mm 1St Ent Thrd Kii,440.85,171.93,,,0
CDM,SUP17937_A4649_272,Noncdm Charge Record Medical Supplies - Trocar Laparos 100 5Mm 1St Ent Thrd Kii,440.91,171.95,,,0
CDM,SUP17937_A9999_272,Noncdm Charge Record Medical Supplies - Trocar Laparos 100 5Mm 1St Ent Thrd Kii,440.91,171.95,,,0
CDM,SUP17938,Noncdm Charge Record Medical Supplies - Osteotome Gry Flx Blade Surg,1288.29,502.43,,,0
CDM,SUP17941,Noncdm Charge Record Medical Supplies - Cannula 20Ga 145Mm Sharp Radiofrequency Halyard Health,91.01,35.49,,,0
CDM,SUP17942_272,Noncdm Charge Record Medical Supplies - Pad Grnd Cord Disp,36.22,14.13,,,0
CDM,SUP17942_A4649_272,Noncdm Charge Record Medical Supplies - Pad Grnd Cord Disp,36.22,14.13,,,0
CDM,SUP17942_A9999_272,Noncdm Charge Record Medical Supplies - Pad Grnd Cord Disp,36.22,14.13,,,0
CDM,SUP17943_272,Noncdm Charge Record Medical Supplies - Drill Surg 75Mm Hex Troc Tip Pin Nxgn 3.2Mm,1555.72,606.73,,,0
CDM,SUP17943_A4649_272,Noncdm Charge Record Medical Supplies - Drill Surg 75Mm Hex Troc Tip Pin Nxgn 3.2Mm,1510.06,588.92,,,0
CDM,SUP17943_A9999_272,Noncdm Charge Record Medical Supplies - Drill Surg 75Mm Hex Troc Tip Pin Nxgn 3.2Mm,1590.8,620.41,,,0
CDM,SUP17944,Noncdm Charge Record Medical Supplies - Stabilizer Surg Oct3 Sys,4828.27,1883.03,,,0
CDM,SUP17945,Noncdm Charge Record Medical Supplies - Bundle Octps Cab Positioner,4629.56,1805.53,,,0
CDM,SUP17947,Noncdm Charge Record Medical Supplies - Passer 12In Sut Strl,164.56,64.18,,,0
CDM,SUP17948,Noncdm Charge Record Medical Supplies - Tubing Irr Intljt Pump Infl,195.62,76.29,,,0
CDM,SUP17949_272,Noncdm Charge Record Medical Supplies - Tubing Angio 1200 Psi 10In,19.39,7.56,,,0
CDM,SUP17949_A4649_272,Noncdm Charge Record Medical Supplies - Tubing Angio 1200 Psi 10In,19.66,7.67,,,0
CDM,SUP17949_A9999_272,Noncdm Charge Record Medical Supplies - Tubing Angio 1200 Psi 10In,19.49,7.6,,,0
CDM,SUP17950,Noncdm Charge Record Medical Supplies - Bit Drill 75Mm 1.1Mm 2 Flute Mnqk Coupling 61,359.14,140.06,,,0
CDM,SUP17951_272,Noncdm Charge Record Medical Supplies - See 77267 Foley Stabilization Statlock Device 3-Way Anchor B,14.53,5.67,,,0
CDM,SUP17951_A4649_272,Noncdm Charge Record Medical Supplies - See 77267 Foley Stabilization Statlock Device 3-Way Anchor B,14.83,5.78,,,0
CDM,SUP17951_A9999_272,Noncdm Charge Record Medical Supplies - See 77267 Foley Stabilization Statlock Device 3-Way Anchor B,14.49,5.65,,,0
CDM,SUP17955,Noncdm Charge Record Medical Supplies - See 1022 Trocar Laparos 150 12Mm Optc,245.3,95.67,,,0
CDM,SUP17956,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP17958_272,Noncdm Charge Record Medical Supplies - Bit Drill 3Mm Chrlt Ss Cannula Strl,656.19,255.91,,,0
CDM,SUP17958_A9999_272,Noncdm Charge Record Medical Supplies - Bit Drill 3Mm Chrlt Ss Cannula Strl,656.19,255.91,,,0
CDM,SUP17959,Noncdm Charge Record Medical Supplies - Bit Drill 155Mm 2.7Mm Cannula,3367.89,1313.48,,,0
CDM,SUP1796,Noncdm Charge Record Medical Supplies - Wire Fx 1.6Mm 15Cm Krsh Ss Troc Pt 1 End 5Mm,69.34,27.04,,,0
CDM,SUP17960_272,Noncdm Charge Record Medical Supplies - 6Fr 4.0 Tiger,154.57,60.28,,,0
CDM,SUP17960_A4649_272,Noncdm Charge Record Medical Supplies - 6Fr 4.0 Tiger,146.97,57.32,,,0
CDM,SUP17960_A9999_272,Noncdm Charge Record Medical Supplies - 6Fr 4.0 Tiger,163.53,63.78,,,0
CDM,SUP17961,Noncdm Charge Record Medical Supplies - Catheter Angio Jacky Radial Crv 6Fr 3.5Mm 100,146.97,57.32,,,0
CDM,SUP17965_272,Noncdm Charge Record Medical Supplies - Suture V-Loc 2-0 Gs-21 18In Covidien,131.47,51.27,,,0
CDM,SUP17965_A4649_272,Noncdm Charge Record Medical Supplies - Suture V-Loc 2-0 Gs-21 18In Covidien,131.44,51.26,,,0
CDM,SUP17966,Noncdm Charge Record Medical Supplies - Suture V-Loc 2-0 90 2-0 P12 18In Undyed Covidien,128.34,50.05,,,0
CDM,SUP17967,Noncdm Charge Record Medical Supplies - Suture V-Loc 3-0 P-14 23In Covidien,147.34,57.46,,,0
CDM,SUP179670,Noncdm Charge Record Medical Supplies - Suture Eth 3-0 Fslx 30In Black Rev Cutting Polyamide 6 Mono,10.35,4.04,,,0
CDM,SUP17969,Noncdm Charge Record Medical Supplies - Drill Surg Qrlse Acumed 2.8Mm,712.67,277.94,,,0
CDM,SUP179702,Noncdm Charge Record Medical Supplies,51887.66,20236.19,,,0
CDM,SUP17976,Noncdm Charge Record Medical Supplies - Forcep Bipolar 10In Bayo 1.0Mm Tip,5304.38,2068.71,,,0
CDM,SUP17978_272,Noncdm Charge Record Medical Supplies - Curette Vac 6Mm Plastic Cannula Crv Round Tip,21.74,8.48,,,0
CDM,SUP17978_A4649_272,Noncdm Charge Record Medical Supplies - Curette Vac 6Mm Plastic Cannula Crv Round Tip,21.74,8.48,,,0
CDM,SUP17978_A9999_272,Noncdm Charge Record Medical Supplies - Curette Vac 6Mm Plastic Cannula Crv Round Tip,21.74,8.48,,,0
CDM,SUP17979_272,Noncdm Charge Record Medical Supplies - Curette Vac 7Mm Plastic Flx Tp,21.74,8.48,,,0
CDM,SUP17979_A9999_272,Noncdm Charge Record Medical Supplies - Curette Vac 7Mm Plastic Flx Tp,21.74,8.48,,,0
CDM,SUP1797_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 5In 4Mm Ez Cln Std Ptfe,41.42,16.15,,,0
CDM,SUP1797_A4649_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 5In 4Mm Ez Cln Std Ptfe,41.4,16.15,,,0
CDM,SUP1797_A9999_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 5In 4Mm Ez Cln Std Ptfe,41.4,16.15,,,0
CDM,SUP179816,Noncdm Charge Record Medical Supplies - Probe Ball Tip 20Cm,342.58,133.61,,,0
CDM,SUP17983,Noncdm Charge Record Medical Supplies - Curette Vac 8Mm Plastic Strt,21.74,8.48,,,0
CDM,SUP179870,Noncdm Charge Record Medical Supplies - Introducer Pin Disposable For Parapedicular Optimesh 1500Ds,245.3,95.67,,,0
CDM,SUP179871,Noncdm Charge Record Medical Supplies - Guidepin Orthopedic L508Mm Dia2.4Mm Round Tip Disposable,245.3,95.67,,,0
CDM,SUP179872,Noncdm Charge Record Medical Supplies - Guidepin Orthopedic L508Mm Dia2.4Mm Round,245.15,95.61,,,0
CDM,SUP179892,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP179894,Noncdm Charge Record Medical Supplies - Introducer Orthopedic Pin Capture Facet Fixation System,245.3,95.67,,,0
CDM,SUP179896,Noncdm Charge Record Medical Supplies - Needle Biopsy 11Ga Bevel Tip,1875.42,731.41,,,0
CDM,SUP179897,Noncdm Charge Record Medical Supplies,1875.42,731.41,,,0
CDM,SUP179898,Noncdm Charge Record Medical Supplies - Probe Monopolar 387X4Mm Detachable,2645.46,1031.73,,,0
CDM,SUP179899,Noncdm Charge Record Medical Supplies - Dilator Disposable,734.85,286.59,,,0
CDM,SUP1799,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 26Mm Aqls,1037.07,404.46,,,0
CDM,SUP179900,Noncdm Charge Record Medical Supplies - Emg Probe Sterile,1101.24,429.48,,,0
CDM,SUP179902,Noncdm Charge Record Medical Supplies - Breaker Circuit,122.13,47.63,,,0
CDM,SUP179903,Noncdm Charge Record Medical Supplies - Cannula Bladder Verify Ster,1101.24,429.48,,,0
CDM,SUP179907,Noncdm Charge Record Medical Supplies - Tube Spinal Portal E Sequential,979.11,381.85,,,0
CDM,SUP17990_272,Noncdm Charge Record Medical Supplies - See 143140 Curette Vac 8Mm Plastic Rnd,21.74,8.48,,,0
CDM,SUP17990_A4649_272,Noncdm Charge Record Medical Supplies - See 143140 Curette Vac 8Mm Plastic Rnd,21.74,8.48,,,0
CDM,SUP17990_A9999_272,Noncdm Charge Record Medical Supplies - See 143140 Curette Vac 8Mm Plastic Rnd,21.74,8.48,,,0
CDM,SUP179912,Noncdm Charge Record Medical Supplies - Brush Extractor Tissue Powered Bent Disposable,305.87,119.29,,,0
CDM,SUP179913,Noncdm Charge Record Medical Supplies - Blade Shaper Disposable,1836.09,716.08,,,0
CDM,SUP179918,Noncdm Charge Record Medical Supplies,21750.52,8482.7,,,0
CDM,SUP17992,Noncdm Charge Record Medical Supplies,2508.84,978.45,,,0
CDM,SUP17994_272,Noncdm Charge Record Medical Supplies - Curette Vac 9Mm Plastic Rnd Cannula Strt Round,35.19,13.72,,,0
CDM,SUP17994_A4649_272,Noncdm Charge Record Medical Supplies - Curette Vac 9Mm Plastic Rnd Cannula Strt Round,35.19,13.72,,,0
CDM,SUP17994_A9999_272,Noncdm Charge Record Medical Supplies - Curette Vac 9Mm Plastic Rnd Cannula Strt Round,35.19,13.72,,,0
CDM,SUP17995,Noncdm Charge Record Medical Supplies - Catheter Angio .035In Vtk Crv 6.5Fr 125Cm,268.06,104.54,,,0
CDM,SUP17996,Noncdm Charge Record Medical Supplies - Retriever Sut 60D Idl Ang Arthro Shoulder,1997.55,779.04,,,0
CDM,SUP17999,Noncdm Charge Record Medical Supplies - See 141140 Curette Vac 10Mm Plastic,21.74,8.48,,,0
CDM,SUP18000,Noncdm Charge Record Medical Supplies - Trocar Laparos Std 5-12Mm,180.09,70.24,,,0
CDM,SUP180028,Noncdm Charge Record Medical Supplies,268.69,104.79,,,0
CDM,SUP180030,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP180033,Noncdm Charge Record Medical Supplies - Guidepin Orthopedic L610Mm Dia1.4Mm Blunt,244.78,95.46,,,0
CDM,SUP180040,Noncdm Charge Record Medical Supplies,940.3,366.72,,,0
CDM,SUP18005_272,Noncdm Charge Record Medical Supplies - Curette Vac 11Mm Plastic,21.74,8.48,,,0
CDM,SUP18005_A4649_272,Noncdm Charge Record Medical Supplies - Curette Vac 11Mm Plastic,21.74,8.48,,,0
CDM,SUP18005_A9999_272,Noncdm Charge Record Medical Supplies - Curette Vac 11Mm Plastic,21.74,8.48,,,0
CDM,SUP180094,Noncdm Charge Record Medical Supplies,4108.43,1602.29,,,0
CDM,SUP180117,Noncdm Charge Record Medical Supplies,21750.52,8482.7,,,0
CDM,SUP180119,Noncdm Charge Record Medical Supplies,21750.52,8482.7,,,0
CDM,SUP18011_272,Noncdm Charge Record Medical Supplies - Curette Vac 12Mm Plastic,35.19,13.72,,,0
CDM,SUP18011_A4649_272,Noncdm Charge Record Medical Supplies - Curette Vac 12Mm Plastic,35.19,13.72,,,0
CDM,SUP18011_A9999_272,Noncdm Charge Record Medical Supplies - Curette Vac 12Mm Plastic,35.19,13.72,,,0
CDM,SUP180123,Noncdm Charge Record Medical Supplies,21750.52,8482.7,,,0
CDM,SUP18013,Noncdm Charge Record Medical Supplies - Burr Surg 110Mm 4Mm Crv Endo,1524.56,594.58,,,0
CDM,SUP180161,Noncdm Charge Record Medical Supplies,2900.07,1131.03,,,0
CDM,SUP180162,Noncdm Charge Record Medical Supplies,2900.07,1131.03,,,0
CDM,SUP180206,Noncdm Charge Record Medical Supplies - Rod Spinal L25Mm Short Lordotic Fortress,940.12,366.65,,,0
CDM,SUP180207,Noncdm Charge Record Medical Supplies - Rod Spinal L30Mm Short Lordotic Fortress,939.78,366.51,,,0
CDM,SUP180208,Noncdm Charge Record Medical Supplies - Rod Spinal L220X35Mm Dia2.2Mm Short Curved Lumbar,939.93,366.57,,,0
CDM,SUP180209,Noncdm Charge Record Medical Supplies - Rod Spinal L220Mm Dia40Mm Short Lordotic Fortress,939.78,366.51,,,0
CDM,SUP180210,Noncdm Charge Record Medical Supplies - Rod Spinal L45Mm Short Lordotic Fortress,940.12,366.65,,,0
CDM,SUP180211,Noncdm Charge Record Medical Supplies - Rod Spinal L220X50Mm Dia2.2Mm Short Curved Lumbar,940.04,366.62,,,0
CDM,SUP180212,Noncdm Charge Record Medical Supplies - Rod Spinal L220X55Mm Dia2.2Mm Short Curved Lumbar,940.08,366.63,,,0
CDM,SUP180213,Noncdm Charge Record Medical Supplies - Rod Spinal L60Mm Short Lordotic Fortress,940.12,366.65,,,0
CDM,SUP180214,Noncdm Charge Record Medical Supplies - Rod Spinal L65Mm Short Lordotic Fortress,940.3,366.72,,,0
CDM,SUP180215,Noncdm Charge Record Medical Supplies - Rod Spinal L220X70Mm Dia2.2Mm Short Curved Lumbar,939.78,366.51,,,0
CDM,SUP180216,Noncdm Charge Record Medical Supplies - Rod Spinal L75Mm Short Lordotic Fortress,940.3,366.72,,,0
CDM,SUP180217,Noncdm Charge Record Medical Supplies - Rod Spinal L80Mm Short Lordotic Fortress,940.3,366.72,,,0
CDM,SUP180218,Noncdm Charge Record Medical Supplies - Rod Spinal M L90Mm Lordotic Fortress,940.3,366.72,,,0
CDM,SUP180219,Noncdm Charge Record Medical Supplies - Rod Spinal M L100Mm Short Lordotic Fortress,940.3,366.72,,,0
CDM,SUP18022,Noncdm Charge Record Medical Supplies - Wand Plsm Procise Lw,2689.96,1049.08,,,0
CDM,SUP180220,Noncdm Charge Record Medical Supplies,940.12,366.65,,,0
CDM,SUP180223,Noncdm Charge Record Medical Supplies - Set Screw Spinal Pedicle Fortress,268.61,104.76,,,0
CDM,SUP180225,Noncdm Charge Record Medical Supplies - Screw Spinal L30Mm Dia4.5Mm Pedicle Noncannulated Fortress,4108.43,1602.29,,,0
CDM,SUP180226,Noncdm Charge Record Medical Supplies - Screw Spinal L35Mm Od4.5Mm Pedicle Fortress,4108.43,1602.29,,,0
CDM,SUP180227,Noncdm Charge Record Medical Supplies - Screw Spinal L40Mm Od4.5Mm Pedicle Fortress,4108.51,1602.32,,,0
CDM,SUP180229,Noncdm Charge Record Medical Supplies - Set Screw Spinal Fortress,268.82,104.84,,,0
CDM,SUP180231,Noncdm Charge Record Medical Supplies - Screw Spinal L30Mm Dia5.5Mm Pedicle Noncannulated Fortress,4108.43,1602.29,,,0
CDM,SUP180232,Noncdm Charge Record Medical Supplies - Screw Spinal L35Mm Dia5.5Mm Pedicle Noncannulated Fortress,4108.56,1602.34,,,0
CDM,SUP180233,Noncdm Charge Record Medical Supplies - Screw Spinal L40Mm Dia5.5Mm Pedicle Fortress,4108.5,1602.32,,,0
CDM,SUP180234,Noncdm Charge Record Medical Supplies - Screw Spinal L45Mm Od5.5Mm Pedicle Fortress,4108.52,1602.32,,,0
CDM,SUP180235,Noncdm Charge Record Medical Supplies,4108.51,1602.32,,,0
CDM,SUP180238,Noncdm Charge Record Medical Supplies - Screw Spinal L35Mm Od6.5Mm Pedicle Fortress,4108.49,1602.31,,,0
CDM,SUP180239,Noncdm Charge Record Medical Supplies - Screw Spinal L40Mm Od6.5Mm Pedicle Fortress,4108.47,1602.3,,,0
CDM,SUP180240,Noncdm Charge Record Medical Supplies - Screw Spinal L45Mm Od6.5Mm Pedicle Fortress,4108.48,1602.31,,,0
CDM,SUP180241,Noncdm Charge Record Medical Supplies - Screw Spinal L50Mm Dia6.5Mm Pedicle Noncannulated Fortress,4108.54,1602.33,,,0
CDM,SUP180242,Noncdm Charge Record Medical Supplies,269.1,104.95,,,0
CDM,SUP180243,Noncdm Charge Record Medical Supplies,268.69,104.79,,,0
CDM,SUP180244,Noncdm Charge Record Medical Supplies,940.3,366.72,,,0
CDM,SUP180245,Noncdm Charge Record Medical Supplies,939.78,366.51,,,0
CDM,SUP180246,Noncdm Charge Record Medical Supplies,940.12,366.65,,,0
CDM,SUP18025,Noncdm Charge Record Medical Supplies - See 130040 Trocar Laparos 150Mm 15Mm Kii,440.91,171.95,,,0
CDM,SUP18026,Noncdm Charge Record Medical Supplies - Patch Vasc 9.5X4.8Cm Tachosil,3752.81,1463.6,,,0
CDM,SUP18027_272,Noncdm Charge Record Medical Supplies - See 140795 Pack Angio Kennestone,247.36,96.47,,,0
CDM,SUP18027_A4649_272,Noncdm Charge Record Medical Supplies - See 140795 Pack Angio Kennestone,247.36,96.47,,,0
CDM,SUP18028,Noncdm Charge Record Medical Supplies - See 140805 Pack Cvor Kennestone,987.35,385.07,,,0
CDM,SUP180284,Noncdm Charge Record Medical Supplies,4108.95,1602.49,,,0
CDM,SUP180285,Noncdm Charge Record Medical Supplies,4108.95,1602.49,,,0
CDM,SUP180286,Noncdm Charge Record Medical Supplies,4108.54,1602.33,,,0
CDM,SUP180296,Noncdm Charge Record Medical Supplies,2685.82,1047.47,,,0
CDM,SUP180297,Noncdm Charge Record Medical Supplies - Connector Spinal L31-37Mm Cross Offset Adjustable Rod,2685.82,1047.47,,,0
CDM,SUP180298,Noncdm Charge Record Medical Supplies - Connector Spinal L37-40Mm Cross Adjustable Connex,2685.82,1047.47,,,0
CDM,SUP180299,Noncdm Charge Record Medical Supplies,2685.82,1047.47,,,0
CDM,SUP180300,Noncdm Charge Record Medical Supplies,2685.82,1047.47,,,0
CDM,SUP180317,Noncdm Charge Record Medical Supplies,8797.54,3431.04,,,0
CDM,SUP18031_272,Noncdm Charge Record Medical Supplies - Device Fx Absorbatack 5Mm 30,1958.22,763.71,,,0
CDM,SUP18031_A4649_272,Noncdm Charge Record Medical Supplies - Device Fx Absorbatack 5Mm 30,1958.22,763.71,,,0
CDM,SUP18031_A9999_272,Noncdm Charge Record Medical Supplies - Device Fx Absorbatack 5Mm 30,1958.22,763.71,,,0
CDM,SUP180344,Noncdm Charge Record Medical Supplies,4850.01,1891.5,,,0
CDM,SUP180349,Noncdm Charge Record Medical Supplies,7539.98,2940.59,,,0
CDM,SUP18035,Noncdm Charge Record Medical Supplies - Tool Dissect 140Mm 4Mm Mdsrx Lgn Ball Flute,823.86,321.31,,,0
CDM,SUP180352,Noncdm Charge Record Medical Supplies,4850.01,1891.5,,,0
CDM,SUP180355,Noncdm Charge Record Medical Supplies,7539.98,2940.59,,,0
CDM,SUP180357,Noncdm Charge Record Medical Supplies,4850.01,1891.5,,,0
CDM,SUP180358,Noncdm Charge Record Medical Supplies,4850.01,1891.5,,,0
CDM,SUP180359,Noncdm Charge Record Medical Supplies,6878.61,2682.66,,,0
CDM,SUP18036,Noncdm Charge Record Medical Supplies - Burr Surg 1.7Mm Neuro Elt Prcs,1459.69,569.28,,,0
CDM,SUP180360,Noncdm Charge Record Medical Supplies - In Pact 6 Mm X 120 Mm 0.018 Dcb 130 Cm Shaft,4850.01,1891.5,,,0
CDM,SUP180361,Noncdm Charge Record Medical Supplies - In Pact 6 Mm X 150 Mm 0.018 Dcb 130 Cm Shaft,6128.24,2390.01,,,0
CDM,SUP18037_272,Noncdm Charge Record Medical Supplies - Burr Surg 3.0Mm Neuro Elt Prcs,1440.97,561.98,,,0
CDM,SUP18037_A4649_272,Noncdm Charge Record Medical Supplies - Burr Surg 3.0Mm Neuro Elt Prcs,1533.87,598.21,,,0
CDM,SUP18037_A9999_272,Noncdm Charge Record Medical Supplies - Burr Surg 3.0Mm Neuro Elt Prcs,1299.96,506.98,,,0
CDM,SUP18037_C1713_278,Noncdm Charge Record Medical Supplies,1533.87,598.21,,,0
CDM,SUP180382,Noncdm Charge Record Medical Supplies,7539.98,2940.59,,,0
CDM,SUP18038_272,Noncdm Charge Record Medical Supplies - Balloon Sprinter Legend 1.25X6Mm Otw,391.23,152.58,,,0
CDM,SUP18038_C1725_272,Noncdm Charge Record Medical Supplies - Balloon Sprinter Legend 1.25X6Mm Otw,391.23,152.58,,,0
CDM,SUP18041_272,Noncdm Charge Record Medical Supplies - Pad Pstn Hana Tbl,167.6,65.36,,,0
CDM,SUP18041_A4649_272,Noncdm Charge Record Medical Supplies - Pad Pstn Hana Tbl,167.67,65.39,,,0
CDM,SUP18041_A9999_272,Noncdm Charge Record Medical Supplies - Pad Pstn Hana Tbl,167.67,65.39,,,0
CDM,SUP18044,Noncdm Charge Record Medical Supplies - Suture Permahand 0 Ct1 18In Black Ethicon,45.36,17.69,,,0
CDM,SUP18045_272,Noncdm Charge Record Medical Supplies - Reload Stapler Med 45Mm Egia Vasc Artc,713.02,278.08,,,0
CDM,SUP18045_A4649_272,Noncdm Charge Record Medical Supplies - Reload Stapler Med 45Mm Egia Vasc Artc,712.96,278.05,,,0
CDM,SUP18045_A9999_272,Noncdm Charge Record Medical Supplies - Reload Stapler Med 45Mm Egia Vasc Artc,713.12,278.12,,,0
CDM,SUP18046,Noncdm Charge Record Medical Supplies - Reload Stapler Tri 45Mm Egia Xthk Artc,832.16,324.54,,,0
CDM,SUP18047_272,Noncdm Charge Record Medical Supplies - Stapler Intnl 45Mm Med Artc Crv Tip Reload,743.29,289.88,,,0
CDM,SUP18047_A4649_272,Noncdm Charge Record Medical Supplies - Stapler Intnl 45Mm Med Artc Crv Tip Reload,743.24,289.86,,,0
CDM,SUP18047_A9999_272,Noncdm Charge Record Medical Supplies - Stapler Intnl 45Mm Med Artc Crv Tip Reload,743.36,289.91,,,0
CDM,SUP180492,Noncdm Charge Record Medical Supplies - Harvester Bone Dia8Mm With Filter Insert Disposable,1765.19,688.42,,,0
CDM,SUP180493,Noncdm Charge Record Medical Supplies - Harvester Bone Dia6Mm With Filter Insert Disposable,6031.98,2352.47,,,0
CDM,SUP18050,Noncdm Charge Record Medical Supplies - Adapter Y 7.5Inx3In Dlp Vnt,44.5,17.36,,,0
CDM,SUP18052,Noncdm Charge Record Medical Supplies - Cannula Femoral Venous 23-25 French Sorin,2231.46,870.27,,,0
CDM,SUP180548,Noncdm Charge Record Medical Supplies - Intermitt Cath Tray Surestep Preconnected Drainage Bab,33.4,13.03,,,0
CDM,SUP18058,Noncdm Charge Record Medical Supplies - Cannula Perf 14Ga 7Fr Aort,146.97,57.32,,,0
CDM,SUP18059,Noncdm Charge Record Medical Supplies - See 156086 Pack Cardiac Basin Kennestone,25.91,10.1,,,0
CDM,SUP18060,Noncdm Charge Record Medical Supplies - Needle Spnl 18Ga 3.5 Mono Mtl,13.46,5.25,,,0
CDM,SUP180616,Noncdm Charge Record Medical Supplies,260.82,101.72,,,0
CDM,SUP180617_272,Noncdm Charge Record Medical Supplies - Snare Endoscopic Xl L240Cm Sheath D2.4Mm Loop W33Mm 2.8Mm,159.39,62.16,,,0
CDM,SUP180617_A4649_272,Noncdm Charge Record Medical Supplies - Snare Endoscopic Xl L240Cm Sheath D2.4Mm Loop W33Mm 2.8Mm,159.39,62.16,,,0
CDM,SUP180618_272,Noncdm Charge Record Medical Supplies - Snare Endoscopic L240Cm Dia2.4Mm Loop W20Mm Round,159.39,62.16,,,0
CDM,SUP180618_A4649_272,Noncdm Charge Record Medical Supplies - Snare Endoscopic L240Cm Dia2.4Mm Loop W20Mm Round,159.39,62.16,,,0
CDM,SUP180618_A9999_272,Noncdm Charge Record Medical Supplies - Snare Endoscopic L240Cm Dia2.4Mm Loop W20Mm Round,159.39,62.16,,,0
CDM,SUP180619,Noncdm Charge Record Medical Supplies - Suture Coated Vicryl 8-0 5In 5Mm Bv130-4 E-8 Circle,85.13,33.2,,,0
CDM,SUP18063,Noncdm Charge Record Medical Supplies - Mesh Surg Parietex 6.5Cm Plug,493.04,192.29,,,0
CDM,SUP180633,Noncdm Charge Record Medical Supplies - Kit Insertion 40Cc Balloon Catheter Sensation Plus,4166.91,1625.09,,,0
CDM,SUP180634,Noncdm Charge Record Medical Supplies - Catheter Iabp 8Fr Balloon 50Cc Statlock Datascope Sensation,4298.23,1676.31,,,0
CDM,SUP18064_272,Noncdm Charge Record Medical Supplies - Set Proc Genesys Hta Procerva,7645.54,2981.76,,,0
CDM,SUP18064_A4649_272,Noncdm Charge Record Medical Supplies - Set Proc Genesys Hta Procerva,7645.54,2981.76,,,0
CDM,SUP18064_A9999_272,Noncdm Charge Record Medical Supplies - Set Proc Genesys Hta Procerva,7645.54,2981.76,,,0
CDM,SUP18068,Noncdm Charge Record Medical Supplies - Suture Cut Da Vinci Intuitive,496.8,193.75,,,0
CDM,SUP18069,Noncdm Charge Record Medical Supplies - Device Fx Absorbatack 5Mm 15 Tack Strl Disp,1458.32,568.74,,,0
CDM,SUP18071,Noncdm Charge Record Medical Supplies - Balloon Nc Trek Rx 1.5X6,489.56,190.93,,,0
CDM,SUP18073,Noncdm Charge Record Medical Supplies - Balloon Nc Trek Rx 2.0X15,489.56,190.93,,,0
CDM,SUP18074,Noncdm Charge Record Medical Supplies - Balloon Nc Trek Rx 2.25X6,489.56,190.93,,,0
CDM,SUP18076,Noncdm Charge Record Medical Supplies - Balloon Nc Trek Rx 2.25X15,489.56,190.93,,,0
CDM,SUP1808,Noncdm Charge Record Medical Supplies - See 1129 Bag Drain 19Oz Dsabg Anrflx Cap Valve Leg,7.24,2.82,,,0
CDM,SUP18081,Noncdm Charge Record Medical Supplies - Balloon Nc Trek Rx 2.5X15,489.56,190.93,,,0
CDM,SUP180820,Noncdm Charge Record Medical Supplies,11.38,4.44,,,0
CDM,SUP18090,Noncdm Charge Record Medical Supplies - Nc Trek Rx 3.0 X 12,489.56,190.93,,,0
CDM,SUP18091,Noncdm Charge Record Medical Supplies - Balloon Nc Trek Rx 3.0X15,489.56,190.93,,,0
CDM,SUP18095,Noncdm Charge Record Medical Supplies - Balloon Nc Trek Rx 3.25X12,489.56,190.93,,,0
CDM,SUP18097,Noncdm Charge Record Medical Supplies - Balloon Nc Trek Rx 3.25X20 20Mm,489.56,190.93,,,0
CDM,SUP18099,Noncdm Charge Record Medical Supplies - Balloon Nc Trek Rx 3.5X8,489.56,190.93,,,0
CDM,SUP1809_270,Noncdm Charge Record Medical Supplies - Sling Orth Sm Arm Dp Pckt,15.38,6.0,,,0
CDM,SUP1809_A4649_270,Noncdm Charge Record Medical Supplies - Sling Orth Sm Arm Dp Pckt,15.52,6.05,,,0
CDM,SUP18101,Noncdm Charge Record Medical Supplies - Balloon Nc Trek Rx 3.5X15,489.56,190.93,,,0
CDM,SUP18102,Noncdm Charge Record Medical Supplies - Balloon Nc Trek Rx 3.5X20 20Mm,489.56,190.93,,,0
CDM,SUP18104,Noncdm Charge Record Medical Supplies - Balloon Nc Trek Rx 3.75X8,489.56,190.93,,,0
CDM,SUP18107,Noncdm Charge Record Medical Supplies - Balloon Nc Trek Rx 4.0X8,489.56,190.93,,,0
CDM,SUP18108,Noncdm Charge Record Medical Supplies,1874.38,731.01,,,0
CDM,SUP1810_270,Noncdm Charge Record Medical Supplies - Sling Orth Med Arm Dp Pckt Shoulder Pad Hook,15.36,5.99,,,0
CDM,SUP1810_A4649_270,Noncdm Charge Record Medical Supplies - Sling Orth Med Arm Dp Pckt Shoulder Pad Hook,15.52,6.05,,,0
CDM,SUP1810_A9999_270,Noncdm Charge Record Medical Supplies - Sling Orth Med Arm Dp Pckt Shoulder Pad Hook,14.49,5.65,,,0
CDM,SUP18110,Noncdm Charge Record Medical Supplies - Balloon Nc Trek Rx 4.0X15,489.56,190.93,,,0
CDM,SUP18112,Noncdm Charge Record Medical Supplies - Nc Trek Rx 4.5 X 8,489.56,190.93,,,0
CDM,SUP18115,Noncdm Charge Record Medical Supplies - Balloon Nc Trek Rx 5.0X8,489.56,190.93,,,0
CDM,SUP18116,Noncdm Charge Record Medical Supplies - Balloon Nc Trek Rx 5.0X12,489.56,190.93,,,0
CDM,SUP181178,Noncdm Charge Record Medical Supplies - Suture 2-0 36 Chromic 913H,16.21,6.32,,,0
CDM,SUP181204,Noncdm Charge Record Medical Supplies - Pack Cysto Tur Lf Dynj0381858G,12.42,4.84,,,0
CDM,SUP181205,Noncdm Charge Record Medical Supplies - Pack General Laparoscopy Dynj0381885G,128.34,50.05,,,0
CDM,SUP18121,Noncdm Charge Record Medical Supplies - Burr Surg 4Mm Precision Round,2072.63,808.33,,,0
CDM,SUP18122,Noncdm Charge Record Medical Supplies - Sponge Surg .5X6In Strip,19.66,7.67,,,0
CDM,SUP181228,Noncdm Charge Record Medical Supplies - Pack Basic-Lf Dynj0816847N,249.44,97.28,,,0
CDM,SUP18124,Noncdm Charge Record Medical Supplies - Sponge Surg .75X6In Strip,19.66,7.67,,,0
CDM,SUP181303,Noncdm Charge Record Medical Supplies,26450.46,10315.68,,,0
CDM,SUP181312,Noncdm Charge Record Medical Supplies - Suture Anchor Secondary Peek 4.75X19.1Mm Fixation Swivelock,3504.47,1366.74,,,0
CDM,SUP181319_272,Noncdm Charge Record Medical Supplies - Bur Multi-Flute 3.00Mm Round Surgical,728.72,284.2,,,0
CDM,SUP181319_A9999_272,Noncdm Charge Record Medical Supplies - Bur Multi-Flute 3.00Mm Round Surgical,692.42,270.04,,,0
CDM,SUP181320_272,Noncdm Charge Record Medical Supplies - Bur Multi-Flute 4.00Mm Round Surgical,747.66,291.59,,,0
CDM,SUP181320_A4649_272,Noncdm Charge Record Medical Supplies - Bur Multi-Flute 4.00Mm Round Surgical,762.8,297.49,,,0
CDM,SUP181321,Noncdm Charge Record Medical Supplies - Bur Multi-Flute 5.00Mm Round Cranial Surgical Head,715.87,279.19,,,0
CDM,SUP181322_272,Noncdm Charge Record Medical Supplies - Bur Multi-Flute 6.00Mm Round Surgical,734.43,286.43,,,0
CDM,SUP181322_A4649_272,Noncdm Charge Record Medical Supplies - Bur Multi-Flute 6.00Mm Round Surgical,762.8,297.49,,,0
CDM,SUP181322_A9999_272,Noncdm Charge Record Medical Supplies - Bur Multi-Flute 6.00Mm Round Surgical,692.42,270.04,,,0
CDM,SUP181324,Noncdm Charge Record Medical Supplies - Bur Fine Diamond Extended 1Mm Cutting Elite Surgical,694.78,270.96,,,0
CDM,SUP181325,Noncdm Charge Record Medical Supplies - Bur Ss Diamond Round 2Mm Surgical Elite Saber Shank,674.3,262.98,,,0
CDM,SUP181327_272,Noncdm Charge Record Medical Supplies - Bur Round Diamond Head 3Mm Surgical,733.7,286.14,,,0
CDM,SUP181327_A4649_272,Noncdm Charge Record Medical Supplies - Bur Round Diamond Head 3Mm Surgical,745.2,290.63,,,0
CDM,SUP181327_A9999_272,Noncdm Charge Record Medical Supplies - Bur Round Diamond Head 3Mm Surgical,692.42,270.04,,,0
CDM,SUP181329,Noncdm Charge Record Medical Supplies,781.94,304.96,,,0
CDM,SUP181371_272,Noncdm Charge Record Medical Supplies - Pack Arthro Windy Hill Ww110A,270.14,105.35,,,0
CDM,SUP181371_A4649_272,Noncdm Charge Record Medical Supplies - Pack Arthro Windy Hill Ww110A,270.14,105.35,,,0
CDM,SUP18137_272,Noncdm Charge Record Medical Supplies - System Retrival 5Mm Inzii Applied,342.58,133.61,,,0
CDM,SUP18137_A4649_272,Noncdm Charge Record Medical Supplies - System Retrival 5Mm Inzii Applied,342.58,133.61,,,0
CDM,SUP18137_A9999_272,Noncdm Charge Record Medical Supplies - System Retrival 5Mm Inzii Applied,342.58,133.61,,,0
CDM,SUP1814,Noncdm Charge Record Medical Supplies - Guiderod Orth 8Mm Sut Loop Gforc,758.66,295.88,,,0
CDM,SUP18147_272,Noncdm Charge Record Medical Supplies - Guide 6 Fr Al 7.5 Launcher 0.75,186.3,72.66,,,0
CDM,SUP18147_C1887_272,Noncdm Charge Record Medical Supplies - Guide 6 Fr Al 7.5 Launcher 0.75,198.65,77.47,,,0
CDM,SUP181482_272,Noncdm Charge Record Medical Supplies - Bur Surgical Dia2Mm Round Diam,731.33,285.22,,,0
CDM,SUP181482_A4649_272,Noncdm Charge Record Medical Supplies - Bur Surgical Dia2Mm Round Diam,751.06,292.91,,,0
CDM,SUP181482_A9999_272,Noncdm Charge Record Medical Supplies - Bur Surgical Dia2Mm Round Diam,692.42,270.04,,,0
CDM,SUP181483,Noncdm Charge Record Medical Supplies - Bur Surgical 2Mm Cranial Diamo,781.94,304.96,,,0
CDM,SUP18148_272,Noncdm Charge Record Medical Supplies - Guide 6 Fr Al1 Launcher 1.0,186.3,72.66,,,0
CDM,SUP18148_C1887_272,Noncdm Charge Record Medical Supplies - Guide 6 Fr Al1 Launcher 1.0,198.63,77.47,,,0
CDM,SUP18150,Noncdm Charge Record Medical Supplies - Guide 6 Fr Al 2.0 Launcher 2.0,193.49,75.46,,,0
CDM,SUP18151_272,Noncdm Charge Record Medical Supplies - Guide 6 Fr Ar 1 Launcher 1.0,186.3,72.66,,,0
CDM,SUP18151_C1887_272,Noncdm Charge Record Medical Supplies - Guide 6 Fr Ar 1 Launcher 1.0,202.29,78.89,,,0
CDM,SUP18152,Noncdm Charge Record Medical Supplies - Guide 6 Fr Ar 2 Sh Launcher 2 Sh,205.96,80.32,,,0
CDM,SUP18153,Noncdm Charge Record Medical Supplies - Guide 6 Fr Hs I Launcher,203.38,79.32,,,0
CDM,SUP18154,Noncdm Charge Record Medical Supplies - Guide 6 Fr Ima Launcher,199.04,77.63,,,0
CDM,SUP18156,Noncdm Charge Record Medical Supplies - Guide 6 Fr Jl 3.5 Launcher 3.5,198.88,77.56,,,0
CDM,SUP18157,Noncdm Charge Record Medical Supplies - Guide 6 Fr Jl 3.5 Sh Launcher .5 Sh,197.68,77.1,,,0
CDM,SUP18158,Noncdm Charge Record Medical Supplies - Guide 6 Fr Jl 4 Launcher 4,197.17,76.9,,,0
CDM,SUP18159,Noncdm Charge Record Medical Supplies - Guide 6 Fr Jl 4 Sh Launcher 4.0 Sh,186.3,72.66,,,0
CDM,SUP1816,Noncdm Charge Record Medical Supplies,2369.11,923.95,,,0
CDM,SUP18160,Noncdm Charge Record Medical Supplies - Guide 6 Fr Jl 5 Launcher 5.0,220.46,85.98,,,0
CDM,SUP18161,Noncdm Charge Record Medical Supplies - Guide 6 Fr Jr 4 Launcher 4,197.66,77.09,,,0
CDM,SUP18162,Noncdm Charge Record Medical Supplies - Guide 6 Fr Jr 4 Sh Launcher 4.0Sh,199.92,77.97,,,0
CDM,SUP18163,Noncdm Charge Record Medical Supplies - Guide 6 Fr Lcb Launcher,209.07,81.54,,,0
CDM,SUP18164,Noncdm Charge Record Medical Supplies - Guide 6 Fr Mb1 Launcher,209.07,81.54,,,0
CDM,SUP181654,Noncdm Charge Record Medical Supplies - Versacross Connect Laac Access Solution-12Fx 85Cm Large Curv,4806.58,1874.57,,,0
CDM,SUP18166_272,Noncdm Charge Record Medical Supplies - Guide 6 Fr Mp1 Launcher,220.46,85.98,,,0
CDM,SUP18166_C1887_272,Noncdm Charge Record Medical Supplies - Guide 6 Fr Mp1 Launcher,198.01,77.22,,,0
CDM,SUP18167_272,Noncdm Charge Record Medical Supplies - Guide 6 Fr 3Drc Launcher Drc,220.46,85.98,,,0
CDM,SUP18167_C1887_272,Noncdm Charge Record Medical Supplies - Guide 6 Fr 3Drc Launcher Drc,197.65,77.08,,,0
CDM,SUP18168,Noncdm Charge Record Medical Supplies - Guide 6 Fr 3Drc Sh Launcher Drc Sh,203.38,79.32,,,0
CDM,SUP18169,Noncdm Charge Record Medical Supplies - Guide 6 Fr Ebu 3 Sh Launcher,205.96,80.32,,,0
CDM,SUP18170,Noncdm Charge Record Medical Supplies - Guide 6 Fr Jcl 4 Launcher 4,220.46,85.98,,,0
CDM,SUP18171_272,Noncdm Charge Record Medical Supplies - Guide 7 Fr Al 1 Launcher 1,186.3,72.66,,,0
CDM,SUP18171_C1887_272,Noncdm Charge Record Medical Supplies - Guide 7 Fr Al 1 Launcher 1,198.35,77.36,,,0
CDM,SUP18172,Noncdm Charge Record Medical Supplies - Guide 7 Fr Jl 4 Launcher 4,186.3,72.66,,,0
CDM,SUP18173,Noncdm Charge Record Medical Supplies - Reload Stapler 30X2Mm Mf Egia Ti Vasc Lin,771.08,300.72,,,0
CDM,SUP18174,Noncdm Charge Record Medical Supplies - Guide 7 Fr 4 Launcher 4,194.2,75.74,,,0
CDM,SUP18175,Noncdm Charge Record Medical Supplies - Guide 7 Fr Jr 4 Sh Launcher 4.0 Sh,186.3,72.66,,,0
CDM,SUP181753,Noncdm Charge Record Medical Supplies,201.31,78.51,,,0
CDM,SUP18178_272,Noncdm Charge Record Medical Supplies - Suture Endostitch Reload 48In Violet Covidien,90.2,35.18,,,0
CDM,SUP18178_A4649_272,Noncdm Charge Record Medical Supplies - Suture Endostitch Reload 48In Violet Covidien,90.23,35.19,,,0
CDM,SUP18178_A9999_272,Noncdm Charge Record Medical Supplies - Suture Endostitch Reload 48In Violet Covidien,90.22,35.19,,,0
CDM,SUP18179,Noncdm Charge Record Medical Supplies - Guide 7 Fr Mp1 Launcher,191.18,74.56,,,0
CDM,SUP18180_270,Noncdm Charge Record Medical Supplies - Splint Nasal Doyle Medtronic,212.04,82.7,,,0
CDM,SUP18180_A4649_270,Noncdm Charge Record Medical Supplies - Splint Nasal Doyle Medtronic,223.84,87.3,,,0
CDM,SUP18180_A9999_270,Noncdm Charge Record Medical Supplies - Splint Nasal Doyle Medtronic,186.3,72.66,,,0
CDM,SUP18183,Noncdm Charge Record Medical Supplies - Catheter Guide Lnch 6Fr Jr 3.5 Rt Cor,186.3,72.66,,,0
CDM,SUP181843,Noncdm Charge Record Medical Supplies - Pack Custom Cabg Dynj83176,636.52,248.24,,,0
CDM,SUP18184_272,Noncdm Charge Record Medical Supplies - Wand Ambient 90 Ifs Super Trbv Trbvc,930.46,362.88,,,0
CDM,SUP18184_A4649_272,Noncdm Charge Record Medical Supplies - Wand Ambient 90 Ifs Super Trbv Trbvc,930.46,362.88,,,0
CDM,SUP18184_A9999_272,Noncdm Charge Record Medical Supplies - Wand Ambient 90 Ifs Super Trbv Trbvc,930.46,362.88,,,0
CDM,SUP18186_272,Noncdm Charge Record Medical Supplies - Tubing Set Cool Point,367.42,143.29,,,0
CDM,SUP18186_A4649_272,Noncdm Charge Record Medical Supplies - Tubing Set Cool Point,367.42,143.29,,,0
CDM,SUP18186_A9999_272,Noncdm Charge Record Medical Supplies - Tubing Set Cool Point,367.42,143.29,,,0
CDM,SUP181901_270,Noncdm Charge Record Medical Supplies - Sizer System Disposable Ac Partial Sterile Pp,153.18,59.74,,,0
CDM,SUP181901_A4649_270,Noncdm Charge Record Medical Supplies - Sizer System Disposable Ac Partial Sterile Pp,153.18,59.74,,,0
CDM,SUP181901_A9999_270,Noncdm Charge Record Medical Supplies - Sizer System Disposable Ac Partial Sterile Pp,153.18,59.74,,,0
CDM,SUP18194,Noncdm Charge Record Medical Supplies - Stabilizer Octps Nuvo Mi,11419.16,4453.47,,,0
CDM,SUP181960,Noncdm Charge Record Medical Supplies - Catheter Angioplasty L60Mm Dia12Mm 7Fr L75Cm Atlas,1615.64,630.1,,,0
CDM,SUP181962,Noncdm Charge Record Medical Supplies - Catheter Angioplasty L75Cm L6C Dia18Mm Balloon 0.035In 6Atm,1762.6,687.41,,,0
CDM,SUP181966,Noncdm Charge Record Medical Supplies - Cannula Ventricular Assist 29Fr Left Dual Lumen,57318.3,22354.14,,,0
CDM,SUP18197,Noncdm Charge Record Medical Supplies - Guide 7 Fr 3Drc Launcher,186.3,72.66,,,0
CDM,SUP18198,Noncdm Charge Record Medical Supplies - Suture Ultrabraid #2 Co Braid 38In Smith And Nephew,95.22,37.14,,,0
CDM,SUP181985_272,Noncdm Charge Record Medical Supplies - Brush Cytology Dia2Mm Endo Sheath 5Fr L120Cm Up Low Gi,94.18,36.73,,,0
CDM,SUP181985_A4649_272,Noncdm Charge Record Medical Supplies - Brush Cytology Dia2Mm Endo Sheath 5Fr L120Cm Up Low Gi,94.18,36.73,,,0
CDM,SUP1820,Noncdm Charge Record Medical Supplies - Introducer Sheath 8.5Mm 10Cm Intgr Hemosta,244.19,95.23,,,0
CDM,SUP18200,Noncdm Charge Record Medical Supplies - Trocar Laparos 150Mm 5Mm,1563.88,609.91,,,0
CDM,SUP18201,Noncdm Charge Record Medical Supplies - Wand Plsm Rflx Ul,974.73,380.14,,,0
CDM,SUP182018,Noncdm Charge Record Medical Supplies,1630.12,635.75,,,0
CDM,SUP182020,Noncdm Charge Record Medical Supplies - Cuff Tourniquet 18In 2 Port Non-Sterile,87.9,34.28,,,0
CDM,SUP182021,Noncdm Charge Record Medical Supplies - Cuff Tourniquet 30In 2 Port Non-Sterile,113.85,44.4,,,0
CDM,SUP182022,Noncdm Charge Record Medical Supplies - Cuff Tourniquet 34In 2 Port Non-Sterile,87.35,34.07,,,0
CDM,SUP182023,Noncdm Charge Record Medical Supplies - Catheter Guiding 6Fr L100Cm Id Id0.071In 3D Right Curve,203.38,79.32,,,0
CDM,SUP182024,Noncdm Charge Record Medical Supplies - Catheter Thrombectomy L130Cm Lightning Aspiration Tubing,24735.46,9646.83,,,0
CDM,SUP18202_272,Noncdm Charge Record Medical Supplies - Wand Plsm Procise Max,1199.56,467.83,,,0
CDM,SUP18202_A9999_272,Noncdm Charge Record Medical Supplies - Wand Plsm Procise Max,1199.56,467.83,,,0
CDM,SUP18203,Noncdm Charge Record Medical Supplies - Module Tub Irr 10Ft Ingr Bipolar Cord,288.76,112.62,,,0
CDM,SUP182085,Noncdm Charge Record Medical Supplies - Bandage Gauze W3Inxl10Yd Zinc Impreg Elastic Unna Z Stretch,25.88,10.09,,,0
CDM,SUP182119,Noncdm Charge Record Medical Supplies - Guidewire 0.038 Fixed Core Safe-T-J Curved 80 Cm,59.86,23.35,,,0
CDM,SUP1821_270,Noncdm Charge Record Medical Supplies - Sling Orth Lg Arm Dp Pckt Shoulder Pad Hook,15.3,5.97,,,0
CDM,SUP1821_A4649_270,Noncdm Charge Record Medical Supplies - Sling Orth Lg Arm Dp Pckt Shoulder Pad Hook,15.52,6.05,,,0
CDM,SUP1821_A9999_270,Noncdm Charge Record Medical Supplies - Sling Orth Lg Arm Dp Pckt Shoulder Pad Hook,14.83,5.78,,,0
CDM,SUP182238,Noncdm Charge Record Medical Supplies - Valve Aortic Dia23Mm Porcine Transcatheter Evolut Fx,145003.5,56551.36,,,0
CDM,SUP182239,Noncdm Charge Record Medical Supplies - Valve Aortic Dia26Mm Porcine Transcatheter Evolut Fx,145003.5,56551.36,,,0
CDM,SUP182240,Noncdm Charge Record Medical Supplies - Valve Aortic Dia29Mm Porcine Transcatheter Evolut Fx,145003.5,56551.36,,,0
CDM,SUP182241,Noncdm Charge Record Medical Supplies - Valve Aortic Dia34Mm Porcine Transcatheter Evolut Fx,145003.5,56551.36,,,0
CDM,SUP182242,Noncdm Charge Record Medical Supplies - System Delivery Catheter 18Fr L7.6Cm Sheath 14Fr,9303.6,3628.4,,,0
CDM,SUP182243,Noncdm Charge Record Medical Supplies - System Delivery Catheter 22Fr L7.7Cm Sheath 18Fr,9303.62,3628.41,,,0
CDM,SUP182244,Noncdm Charge Record Medical Supplies - System Loading 23-29Mm Transcatheter Aortic Valve,1909.58,744.74,,,0
CDM,SUP182245,Noncdm Charge Record Medical Supplies - System Loading 34Mm Transcatheter Aortic Valve,1909.58,744.74,,,0
CDM,SUP1822_272,Noncdm Charge Record Medical Supplies - Electrode Electrsurg 10Ft 3-32 3-32In Edge Std,26.9,10.49,,,0
CDM,SUP1822_A4649_272,Noncdm Charge Record Medical Supplies - Electrode Electrsurg 10Ft 3-32 3-32In Edge Std,26.91,10.49,,,0
CDM,SUP1822_A9999_272,Noncdm Charge Record Medical Supplies - Electrode Electrsurg 10Ft 3-32 3-32In Edge Std,26.91,10.49,,,0
CDM,SUP1822_L8699_272,Noncdm Charge Record Medical Supplies - Electrode Electrsurg 10Ft 3-32 3-32In Edge Std,26.91,10.49,,,0
CDM,SUP1823,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 28Mm Lcp Ss Chld Adol Cort St,138.91,54.17,,,0
CDM,SUP18235,Noncdm Charge Record Medical Supplies - Cannula Suction 4Mm 10Mm 22Cm Microaire Surgical Instruments,207.0,80.73,,,0
CDM,SUP182382_270,Noncdm Charge Record Medical Supplies - Gravity Set 10Dp Ckv 2Sms Dehp,12.42,4.84,,,0
CDM,SUP182382_A9999_270,Noncdm Charge Record Medical Supplies - Gravity Set 10Dp Ckv 2Sms Dehp,12.42,4.84,,,0
CDM,SUP18242_272,Noncdm Charge Record Medical Supplies - Blade Shaver Ylw 4.5Mm Orbit Crv Full Radius,296.97,115.82,,,0
CDM,SUP18242_A4649_272,Noncdm Charge Record Medical Supplies - Blade Shaver Ylw 4.5Mm Orbit Crv Full Radius,297.04,115.85,,,0
CDM,SUP18242_A9999_272,Noncdm Charge Record Medical Supplies - Blade Shaver Ylw 4.5Mm Orbit Crv Full Radius,297.04,115.85,,,0
CDM,SUP1825,Noncdm Charge Record Medical Supplies - Screw 4.5Mm 36Mm Lc Dcp Ss St Dhs-Dcs Ss Cort Ns,139.81,54.53,,,0
CDM,SUP18250,Noncdm Charge Record Medical Supplies,2623.72,1023.25,,,0
CDM,SUP18253,Noncdm Charge Record Medical Supplies - Catheter Drain 36Fr 20In Argle Thoracic Straight Silicone Ma,53.82,20.99,,,0
CDM,SUP182543,Noncdm Charge Record Medical Supplies - Catheter Balloon Angiosculpt 2.5X10Mm Evo,3747.74,1461.62,,,0
CDM,SUP182547,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP182548,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP182549,Noncdm Charge Record Medical Supplies - Catheter Balloon Angiosculpt 3.5X15Mm Evo,3747.74,1461.62,,,0
CDM,SUP18255,Noncdm Charge Record Medical Supplies - Catheter Dil Minitrek 1.50Mm 8 8Mm Cor Otw,416.07,162.27,,,0
CDM,SUP18256,Noncdm Charge Record Medical Supplies - Balloon Mini Trek 1.50Mm X 12Mm 145Cm Otw,426.01,166.14,,,0
CDM,SUP182574_272,Noncdm Charge Record Medical Supplies - Device Self Retracting Gripper,336.38,131.19,,,0
CDM,SUP182574_A9999_272,Noncdm Charge Record Medical Supplies - Device Self Retracting Gripper,336.38,131.19,,,0
CDM,SUP182575,Noncdm Charge Record Medical Supplies - Needle Kit Fracture Ivas 11Ga 10Mm Kyphoplasty Ivas Elite,12000.31,4680.12,,,0
CDM,SUP182576,Noncdm Charge Record Medical Supplies - Needle Kit Fracture Bilateral Ivas Elite 11Ga X 15Mm Kypho,11777.88,4593.37,,,0
CDM,SUP1826,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 42Mm Lcp Ss Cort St Ns Lg Frag,138.01,53.82,,,0
CDM,SUP18260,Noncdm Charge Record Medical Supplies - Catheter Dil Minitrek 2.0Mm 15 15Mm Cor Otw,416.07,162.27,,,0
CDM,SUP18261,Noncdm Charge Record Medical Supplies - Balloon Trek Otw 2.0X20 20Mm,440.91,171.95,,,0
CDM,SUP18266_272,Noncdm Charge Record Medical Supplies - See 132336 Unit Electrosurg 18.8Cm Sm Jaw Lgsr Strl,1867.11,728.17,,,0
CDM,SUP18266_A4649_272,Noncdm Charge Record Medical Supplies - See 132336 Unit Electrosurg 18.8Cm Sm Jaw Lgsr Strl,1867.14,728.18,,,0
CDM,SUP18267,Noncdm Charge Record Medical Supplies,95.22,37.14,,,0
CDM,SUP182683,Noncdm Charge Record Medical Supplies,880.78,343.5,,,0
CDM,SUP182695,Noncdm Charge Record Medical Supplies - Coil Ruby Lp 3Mm X 4Cm,3818.29,1489.13,,,0
CDM,SUP182696,Noncdm Charge Record Medical Supplies,4784.8,1866.07,,,0
CDM,SUP182697,Noncdm Charge Record Medical Supplies,4784.8,1866.07,,,0
CDM,SUP182699,Noncdm Charge Record Medical Supplies - Coil Ruby Lp 4Mm X 15Cm,4784.8,1866.07,,,0
CDM,SUP1827,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 44Mm Lc Dcp Dhs-Dcs Ss Cort St,141.59,55.22,,,0
CDM,SUP18270,Noncdm Charge Record Medical Supplies - Suture Vicryl 2-0 Ct-2 18In Cr Violet Ethicon,1001.92,390.75,,,0
CDM,SUP182700,Noncdm Charge Record Medical Supplies - Coil Ruby Lp 4Mm X 30Cm,6234.84,2431.59,,,0
CDM,SUP182701,Noncdm Charge Record Medical Supplies,4784.8,1866.07,,,0
CDM,SUP182702,Noncdm Charge Record Medical Supplies,4785.22,1866.24,,,0
CDM,SUP182703,Noncdm Charge Record Medical Supplies,4784.8,1866.07,,,0
CDM,SUP182704,Noncdm Charge Record Medical Supplies - Coil Packing Lp 15Cm,4784.8,1866.07,,,0
CDM,SUP182705,Noncdm Charge Record Medical Supplies,6234.84,2431.59,,,0
CDM,SUP182706,Noncdm Charge Record Medical Supplies - Handle Lp Detachment,1278.22,498.51,,,0
CDM,SUP18271,Noncdm Charge Record Medical Supplies - Suture Vicryl 0 Ct-2 18In Cr Undyed Ethicon,1229.58,479.54,,,0
CDM,SUP182715,Noncdm Charge Record Medical Supplies - Catheter Aspiration Kit Xtorq Indigo System 7F 50Cm,11860.06,4625.42,,,0
CDM,SUP182716,Noncdm Charge Record Medical Supplies - Catheter Aspiration Sys Htorq 12Plus Lightning Tub Indigo,30026.38,11710.29,,,0
CDM,SUP182719,Noncdm Charge Record Medical Supplies,2865.92,1117.71,,,0
CDM,SUP182721,Noncdm Charge Record Medical Supplies - Indigo Sprtr 7,7407.5,2888.92,,,0
CDM,SUP182722,Noncdm Charge Record Medical Supplies - Indigo Sprtr 7D,7407.5,2888.92,,,0
CDM,SUP182723,Noncdm Charge Record Medical Supplies,6235.01,2431.65,,,0
CDM,SUP182724,Noncdm Charge Record Medical Supplies,6235.18,2431.72,,,0
CDM,SUP182725,Noncdm Charge Record Medical Supplies - Pod Coil L20Cm 3Mm Lantern,8651.56,3374.11,,,0
CDM,SUP182726,Noncdm Charge Record Medical Supplies - Pod Coil L60Cm 10Mm Lantern,8651.56,3374.11,,,0
CDM,SUP182727,Noncdm Charge Record Medical Supplies - Pod Coil L60Cm 12Mm Lantern,8651.56,3374.11,,,0
CDM,SUP182728,Noncdm Charge Record Medical Supplies - Pod Coil L60Cm 14Mm Lantern,8651.56,3374.11,,,0
CDM,SUP182729,Noncdm Charge Record Medical Supplies - Pod Coil Packing J Soft L5Cm,4784.8,1866.07,,,0
CDM,SUP182730,Noncdm Charge Record Medical Supplies - Coil Ruby Lp 1Mm X 2Cm,3818.12,1489.07,,,0
CDM,SUP182731,Noncdm Charge Record Medical Supplies - Coil Ruby Lp 1Mm X 5Cm,3818.12,1489.07,,,0
CDM,SUP182732,Noncdm Charge Record Medical Supplies - Coil Ruby Lp 2Mm X 2Cm,3818.46,1489.2,,,0
CDM,SUP182733,Noncdm Charge Record Medical Supplies - Coil Ruby Lp 2Mm X 4Cm,3818.12,1489.07,,,0
CDM,SUP182734,Noncdm Charge Record Medical Supplies - Coil Ruby Lp 2Mm X 10Cm,4784.8,1866.07,,,0
CDM,SUP18274,Noncdm Charge Record Medical Supplies - Device Ck Cor-Knot,2051.79,800.2,,,0
CDM,SUP18275,Noncdm Charge Record Medical Supplies,3013.92,1175.43,,,0
CDM,SUP182756,Noncdm Charge Record Medical Supplies,57807.86,22545.07,,,0
CDM,SUP182757,Noncdm Charge Record Medical Supplies - Flow Diverter Fredx 4.0 X 18 Stent,57807.86,22545.07,,,0
CDM,SUP182758,Noncdm Charge Record Medical Supplies,57807.86,22545.07,,,0
CDM,SUP182759,Noncdm Charge Record Medical Supplies,57807.86,22545.07,,,0
CDM,SUP182760,Noncdm Charge Record Medical Supplies - Flow Diverter Fredx 4.5 X 20 Stent,57807.86,22545.07,,,0
CDM,SUP182761,Noncdm Charge Record Medical Supplies,57807.86,22545.07,,,0
CDM,SUP182764,Noncdm Charge Record Medical Supplies,57807.86,22545.07,,,0
CDM,SUP182765,Noncdm Charge Record Medical Supplies,57807.86,22545.07,,,0
CDM,SUP182767,Noncdm Charge Record Medical Supplies - Catheter Angio Jr3.5 100Cm 6Fr Infnt,44.5,17.36,,,0
CDM,SUP1828,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 46Mm Lc Dcp Dhs-Dcs Ss Cort St,142.95,55.75,,,0
CDM,SUP18280,Noncdm Charge Record Medical Supplies - Sleeve Laparos 100Mm 5Mm,131.44,51.26,,,0
CDM,SUP18281,Noncdm Charge Record Medical Supplies - Catheter Guide Launch 8Fr Rt Sr30,191.99,74.88,,,0
CDM,SUP18282,Noncdm Charge Record Medical Supplies - Set Dil Uret 60Cm 6Fr Polyeth,993.6,387.5,,,0
CDM,SUP1829,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 48Mm Lc Dcp Dhs-Dcs Ss Cort St,132.48,51.67,,,0
CDM,SUP182939,Noncdm Charge Record Medical Supplies - J-Tip Fixed Curve Kit Rf Wire Versacross,3946.46,1539.12,,,0
CDM,SUP182958_272,Noncdm Charge Record Medical Supplies - C Wire Fix L5In Dia0.035In Smooth Trocar Tip,3.1,1.21,,,0
CDM,SUP182958_A9999_272,Noncdm Charge Record Medical Supplies - C Wire Fix L5In Dia0.035In Smooth Trocar Tip,3.1,1.21,,,0
CDM,SUP182959_272,Noncdm Charge Record Medical Supplies - C Wire Fix L5In Dia0.045In Smooth Trocar Tip,41.78,16.29,,,0
CDM,SUP182959_A4649_272,Noncdm Charge Record Medical Supplies - C Wire Fix L5In Dia0.045In Smooth Trocar Tip,41.4,16.15,,,0
CDM,SUP182959_A9999_272,Noncdm Charge Record Medical Supplies - C Wire Fix L5In Dia0.045In Smooth Trocar Tip,41.74,16.28,,,0
CDM,SUP182959_C1713_278,Noncdm Charge Record Medical Supplies - C Wire Fix L5In Dia0.045In Smooth Trocar Tip,41.66,16.25,,,0
CDM,SUP18302_272,Noncdm Charge Record Medical Supplies - Wand Ambient 50 Ifs Super Trbv Trbvc,930.46,362.88,,,0
CDM,SUP18302_A9999_272,Noncdm Charge Record Medical Supplies - Wand Ambient 50 Ifs Super Trbv Trbvc,930.46,362.88,,,0
CDM,SUP18303,Noncdm Charge Record Medical Supplies - Suture Prolene 3-0 Mh 36In Ethicon,29.39,11.46,,,0
CDM,SUP183030_272,Noncdm Charge Record Medical Supplies - Pack Lavh Wellstar Ws280A,323.96,126.34,,,0
CDM,SUP183030_A4649_272,Noncdm Charge Record Medical Supplies - Pack Lavh Wellstar Ws280A,323.96,126.34,,,0
CDM,SUP183030_A9999_272,Noncdm Charge Record Medical Supplies - Pack Lavh Wellstar Ws280A,323.96,126.34,,,0
CDM,SUP18304,Noncdm Charge Record Medical Supplies - Suture Ethibond 2-0 Mh 36In Double Arm Green Ethicon,24.84,9.69,,,0
CDM,SUP183046,Noncdm Charge Record Medical Supplies,24.84,9.69,,,0
CDM,SUP183047,Noncdm Charge Record Medical Supplies,24.84,9.69,,,0
CDM,SUP18305,Noncdm Charge Record Medical Supplies - Catheter Guide 130Cm 20Cm 1,2129.86,830.65,,,0
CDM,SUP183069_270,Noncdm Charge Record Medical Supplies - Tubing Ext 20In Flexcil High Pressure Injection,37.29,14.54,,,0
CDM,SUP183069_A4649_270,Noncdm Charge Record Medical Supplies - Tubing Ext 20In Flexcil High Pressure Injection,37.26,14.53,,,0
CDM,SUP183069_A9999_270,Noncdm Charge Record Medical Supplies - Tubing Ext 20In Flexcil High Pressure Injection,37.26,14.53,,,0
CDM,SUP18308,Noncdm Charge Record Medical Supplies - Balloon Trek Otw 1.2X12 12Mm,489.56,190.93,,,0
CDM,SUP1831,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 52Mm Lc Dcp Dhs-Dcs Ss Cort St,153.18,59.74,,,0
CDM,SUP18310,Noncdm Charge Record Medical Supplies - See 115979 Burr Surg 5Mm Prec Round Lf,1713.81,668.39,,,0
CDM,SUP18311,Noncdm Charge Record Medical Supplies - Burr Surg 6Mm Elt Round Dmd,644.8,251.47,,,0
CDM,SUP18313,Noncdm Charge Record Medical Supplies - Burr Surg 3Mm Elt Round Dmd,703.8,274.48,,,0
CDM,SUP183138,Noncdm Charge Record Medical Supplies - Dressing Abs Oval Clr 5.625X 6.25In Acrylic,26.91,10.49,,,0
CDM,SUP183139,Noncdm Charge Record Medical Supplies,8.28,3.23,,,0
CDM,SUP18314,Noncdm Charge Record Medical Supplies - Burr Surg 5Mm Elt Round Dmd,667.5,260.32,,,0
CDM,SUP18315,Noncdm Charge Record Medical Supplies - Burr Surg 6Mm Prec Round Lf,1816.08,708.27,,,0
CDM,SUP183166,Noncdm Charge Record Medical Supplies - Catheter Angio L65Cm Od4Fr Berenstein 0.038In Peripheral,59.0,23.01,,,0
CDM,SUP183167,Noncdm Charge Record Medical Supplies - Waste Mgmt Addon Bag 1400Ml Pericardiocentesis,25.8,10.06,,,0
CDM,SUP18316_272,Noncdm Charge Record Medical Supplies - Reload Stplr Med 60 Egia Vasc Vasc Artc,887.95,346.3,,,0
CDM,SUP18316_A4649_272,Noncdm Charge Record Medical Supplies - Reload Stplr Med 60 Egia Vasc Vasc Artc,888.03,346.33,,,0
CDM,SUP18316_A9999_272,Noncdm Charge Record Medical Supplies - Reload Stplr Med 60 Egia Vasc Vasc Artc,888.03,346.33,,,0
CDM,SUP183184_Q4100_278,Noncdm Charge Record Medical Supplies - Collagen Surg Matrix Acm 8X12,25827.04,10072.55,,,0
CDM,SUP183187_Q4100_278,Noncdm Charge Record Medical Supplies - Collagen Surg Matrix Acm 4X5,10638.13,4148.87,,,0
CDM,SUP183188_Q4100_278,Noncdm Charge Record Medical Supplies - Collagen Surg Matrix Acm 7X7,15829.29,6173.42,,,0
CDM,SUP183189_Q4100_278,Noncdm Charge Record Medical Supplies - Vial Surgical Acm 1 Gram,8216.86,3204.58,,,0
CDM,SUP18318_272,Noncdm Charge Record Medical Supplies - Reload Stplr Med 60Mm Egia Crv Thktis Artc Crv,887.93,346.29,,,0
CDM,SUP18318_A4649_272,Noncdm Charge Record Medical Supplies - Reload Stplr Med 60Mm Egia Crv Thktis Artc Crv,888.03,346.33,,,0
CDM,SUP18319,Noncdm Charge Record Medical Supplies - Catheter Guid.021In 3-2.4F Ang,2127.81,829.85,,,0
CDM,SUP183190_270,Noncdm Charge Record Medical Supplies - Set Extn 20In 3Ml Way Stopcock,17.6,6.86,,,0
CDM,SUP183190_A4649_270,Noncdm Charge Record Medical Supplies - Set Extn 20In 3Ml Way Stopcock,17.6,6.86,,,0
CDM,SUP1832,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 54Mm Lc Dcp Dhs-Dcs Ss Cort St,128.34,50.05,,,0
CDM,SUP18320,Noncdm Charge Record Medical Supplies - Renegade Embolectomy Catheter Guid.021In 3-2.4F Str,2129.91,830.66,,,0
CDM,SUP18321,Noncdm Charge Record Medical Supplies - Device Thrmb Cleaner 65Cmx9Mm 6Fr Rot,4845.87,1889.89,,,0
CDM,SUP183211,Noncdm Charge Record Medical Supplies - Allograft Agx Coalition 8X14M 7 Deg 6Mm,7975.71,3110.53,,,0
CDM,SUP183216,Noncdm Charge Record Medical Supplies,7975.71,3110.53,,,0
CDM,SUP183217,Noncdm Charge Record Medical Supplies - Allograft Agx Coalit 10X16Mm 7 Deg 6Mm,7975.59,3110.48,,,0
CDM,SUP183218,Noncdm Charge Record Medical Supplies - Allograft Agx Coalit 10X16Mm 7 Deg 7Mm,7975.47,3110.43,,,0
CDM,SUP183219,Noncdm Charge Record Medical Supplies - Allograft Agx Coalit 10X16Mm 7 Deg 8Mm,7975.71,3110.53,,,0
CDM,SUP18322,Noncdm Charge Record Medical Supplies - Filter Vc 6.5Fr Infr Option,12771.98,4981.07,,,0
CDM,SUP183220,Noncdm Charge Record Medical Supplies,7975.71,3110.53,,,0
CDM,SUP183223,Noncdm Charge Record Medical Supplies,7975.71,3110.53,,,0
CDM,SUP183224,Noncdm Charge Record Medical Supplies,7975.41,3110.41,,,0
CDM,SUP183231,Noncdm Charge Record Medical Supplies - Optimizer Smart Mini Pulse Gen Implantable Heart Fail System,125669.7,49011.18,,,0
CDM,SUP183232,Noncdm Charge Record Medical Supplies - Sling Sys Advantage Fit Blue Urethral Transvag Mesh Assy,9362.22,3651.27,,,0
CDM,SUP18324,Noncdm Charge Record Medical Supplies - Trocar Vrsprt Bldeless 5Mm Lng W Fx Cannula,87.98,34.31,,,0
CDM,SUP18325,Noncdm Charge Record Medical Supplies - See 110971 Trocar Blunt 5-12Mm Threaded Covidien,126.2,49.22,,,0
CDM,SUP183265_272,Noncdm Charge Record Medical Supplies - Blade Shaver L13Cm Dia4Mm Curved Torpedo,540.38,210.75,,,0
CDM,SUP183265_A4649_272,Noncdm Charge Record Medical Supplies - Blade Shaver L13Cm Dia4Mm Curved Torpedo,494.73,192.94,,,0
CDM,SUP183265_A9999_272,Noncdm Charge Record Medical Supplies - Blade Shaver L13Cm Dia4Mm Curved Torpedo,494.73,192.94,,,0
CDM,SUP183266_272,Noncdm Charge Record Medical Supplies - Fibertape Collagen Coated 2-0 L7In Non-Absorbable Blue Taper,192.31,75.0,,,0
CDM,SUP183267,Noncdm Charge Record Medical Supplies - Tape Suture Tigerlink 1.3Mm White-Black Closed Loop,416.07,162.27,,,0
CDM,SUP183269_272,Noncdm Charge Record Medical Supplies - Suturetape White-Blue 1.7Mm L38In Circle Conv Cut Needle,244.91,95.51,,,0
CDM,SUP183269_A9999_272,Noncdm Charge Record Medical Supplies - Suturetape White-Blue 1.7Mm L38In Circle Conv Cut Needle,245.04,95.57,,,0
CDM,SUP18326_272,Noncdm Charge Record Medical Supplies - Trocar Vrsprt V2 5Mm W Fx Cannula,76.59,29.87,,,0
CDM,SUP18326_A4649_272,Noncdm Charge Record Medical Supplies - Trocar Vrsprt V2 5Mm W Fx Cannula,76.59,29.87,,,0
CDM,SUP18326_A9999_272,Noncdm Charge Record Medical Supplies - Trocar Vrsprt V2 5Mm W Fx Cannula,76.59,29.87,,,0
CDM,SUP18328,Noncdm Charge Record Medical Supplies - Trocar Bladeless 12 Std Smth Std W Smth Cannula Vrsprt,358.11,139.66,,,0
CDM,SUP18329,Noncdm Charge Record Medical Supplies - See 53285 Trocar Bladeless 12Mm Std,121.1,47.23,,,0
CDM,SUP18331,Noncdm Charge Record Medical Supplies - Trocar Bladeless 15Mm Std W Fx Cannula Vrsprt,162.5,63.38,,,0
CDM,SUP18332_272,Noncdm Charge Record Medical Supplies - Trocar Vrsprt Bldeless 5Mm Std W Fx Cannula,88.01,34.32,,,0
CDM,SUP18332_A4649_272,Noncdm Charge Record Medical Supplies - Trocar Vrsprt Bldeless 5Mm Std W Fx Cannula,87.98,34.31,,,0
CDM,SUP18333,Noncdm Charge Record Medical Supplies - See 97103 Trocar Versaport 5Mm Short Covidien,78.56,30.64,,,0
CDM,SUP18335_272,Noncdm Charge Record Medical Supplies - Trocar Vrsprt + Bladeless 8Mm Std W Fx Cannula,102.46,39.96,,,0
CDM,SUP18335_A4649_272,Noncdm Charge Record Medical Supplies - Trocar Vrsprt + Bladeless 8Mm Std W Fx Cannula,102.46,39.96,,,0
CDM,SUP18335_A9999_272,Noncdm Charge Record Medical Supplies - Trocar Vrsprt + Bladeless 8Mm Std W Fx Cannula,102.46,39.96,,,0
CDM,SUP18336,Noncdm Charge Record Medical Supplies - See 53286 Cannula 5-12Mm W-Seal Covidien Surgical,66.24,25.83,,,0
CDM,SUP18337_272,Noncdm Charge Record Medical Supplies - Cannula Fx 5Mm + Seal W Vrsprt + Bladeless Trocar,32.41,12.64,,,0
CDM,SUP18337_A4649_272,Noncdm Charge Record Medical Supplies - Cannula Fx 5Mm + Seal W Vrsprt + Bladeless Trocar,32.45,12.66,,,0
CDM,SUP18337_A9999_272,Noncdm Charge Record Medical Supplies - Cannula Fx 5Mm + Seal W Vrsprt + Bladeless Trocar,32.43,12.65,,,0
CDM,SUP18338,Noncdm Charge Record Medical Supplies - Trocar 5Mm Seal Short Covidien,35.19,13.72,,,0
CDM,SUP183386_272,Noncdm Charge Record Medical Supplies - Injectable Lifting Agent 10Ml Submucosal Aries Eleview,408.02,159.13,,,0
CDM,SUP183386_A4649_272,Noncdm Charge Record Medical Supplies - Injectable Lifting Agent 10Ml Submucosal Aries Eleview,409.05,159.53,,,0
CDM,SUP183386_A9999_272,Noncdm Charge Record Medical Supplies - Injectable Lifting Agent 10Ml Submucosal Aries Eleview,409.34,159.64,,,0
CDM,SUP18344_272,Noncdm Charge Record Medical Supplies - Applier Clip Med Titanium Endo Titanium Covidien,423.36,165.11,,,0
CDM,SUP18344_A4649_272,Noncdm Charge Record Medical Supplies - Applier Clip Med Titanium Endo Titanium Covidien,601.63,234.64,,,0
CDM,SUP18344_A9999_272,Noncdm Charge Record Medical Supplies - Applier Clip Med Titanium Endo Titanium Covidien,225.63,88.0,,,0
CDM,SUP18346_272,Noncdm Charge Record Medical Supplies - Remover Staple Appose Disp,8.48,3.31,,,0
CDM,SUP18346_A4649_272,Noncdm Charge Record Medical Supplies - Remover Staple Appose Disp,8.28,3.23,,,0
CDM,SUP18347,Noncdm Charge Record Medical Supplies - Suture Polysorb 2 21In Violet Covidien,90.04,35.12,,,0
CDM,SUP18348,Noncdm Charge Record Medical Supplies - Suture Polysorb 2-0 21In Violet Covidien,84.57,32.98,,,0
CDM,SUP18350_272,Noncdm Charge Record Medical Supplies - Needle Insfl 120Mm 14Ga Pnmprtn,62.11,24.22,,,0
CDM,SUP18350_A4649_272,Noncdm Charge Record Medical Supplies - Needle Insfl 120Mm 14Ga Pnmprtn,62.1,24.22,,,0
CDM,SUP18350_A9999_272,Noncdm Charge Record Medical Supplies - Needle Insfl 120Mm 14Ga Pnmprtn,62.1,24.22,,,0
CDM,SUP18351,Noncdm Charge Record Medical Supplies - Trocar Vrsprt + Rpf 5-12Mm,220.46,85.98,,,0
CDM,SUP18354,Noncdm Charge Record Medical Supplies - Reload Stapler Med 45Mm Med Egia Vasc Artc Crv,824.92,321.72,,,0
CDM,SUP18356,Noncdm Charge Record Medical Supplies - Trocar Laparos 100 5Mm Balloon,148.35,57.86,,,0
CDM,SUP18358,Noncdm Charge Record Medical Supplies - Device Lead Lck Lld Ez,2550.24,994.59,,,0
CDM,SUP18359_272,Noncdm Charge Record Medical Supplies - Suture Monoderm 3-0 30X30Cm 24Mm Undyed Quill Surgical Speci,101.91,39.74,,,0
CDM,SUP18359_A4649_272,Noncdm Charge Record Medical Supplies - Suture Monoderm 3-0 30X30Cm 24Mm Undyed Quill Surgical Speci,101.95,39.76,,,0
CDM,SUP18359_A9999_272,Noncdm Charge Record Medical Supplies - Suture Monoderm 3-0 30X30Cm 24Mm Undyed Quill Surgical Speci,101.95,39.76,,,0
CDM,SUP183609_272,Noncdm Charge Record Medical Supplies - See 127307 Kit Plus Prevena 4001 System Neg Pressure Customi,2663.06,1038.59,,,0
CDM,SUP183609_A4649_272,Noncdm Charge Record Medical Supplies - See 127307 Kit Plus Prevena 4001 System Neg Pressure Customi,2663.06,1038.59,,,0
CDM,SUP18360_272,Noncdm Charge Record Medical Supplies - Suture Pdo 2 36X36Cm 48Mm Violet Quill,100.42,39.16,,,0
CDM,SUP18360_A4649_272,Noncdm Charge Record Medical Supplies - Suture Pdo 2 36X36Cm 48Mm Violet Quill,101.43,39.56,,,0
CDM,SUP18360_A9999_272,Noncdm Charge Record Medical Supplies - Suture Pdo 2 36X36Cm 48Mm Violet Quill,101.43,39.56,,,0
CDM,SUP18362,Noncdm Charge Record Medical Supplies - Stapler Intnl 25Mm 4.8Mm Ti Endo Lin Cutter,1500.75,585.29,,,0
CDM,SUP18363,Noncdm Charge Record Medical Supplies - Reload Stapler 60X4.8Mm Ti Univ Vasc Endo Lin,1053.5,410.86,,,0
CDM,SUP18364,Noncdm Charge Record Medical Supplies - Reload Stplr Med 60Mm Xthktis Artc Crv Egia,1172.6,457.31,,,0
CDM,SUP18366,Noncdm Charge Record Medical Supplies - Connector Shunt Acfl 5Cm Csf,446.08,173.97,,,0
CDM,SUP183660,Noncdm Charge Record Medical Supplies - Placental Tissue Membr 2Cmx4Cm,5075.64,1979.5,,,0
CDM,SUP183663,Noncdm Charge Record Medical Supplies - Placental Tissue Membr 4Cmx4Cm,7226.16,2818.2,,,0
CDM,SUP18368_272,Noncdm Charge Record Medical Supplies - Trocar Bldeless 5Mm Shrt W Fx,78.49,30.61,,,0
CDM,SUP18368_A4649_272,Noncdm Charge Record Medical Supplies - Trocar Bldeless 5Mm Shrt W Fx,78.66,30.68,,,0
CDM,SUP18369,Noncdm Charge Record Medical Supplies - Kit Shunt Axiem Cranl Ninvs,3316.14,1293.29,,,0
CDM,SUP18372,Noncdm Charge Record Medical Supplies - See 89774 Applier 5Mm Hem-O-Lok Polymer Endo Auto Strl,636.52,248.24,,,0
CDM,SUP183737,Noncdm Charge Record Medical Supplies - Onlay Duramatrix W3Xl3In Thk 6.0Mm Absorbable Graft,4010.62,1564.14,,,0
CDM,SUP183738,Noncdm Charge Record Medical Supplies - Onlay Duramatrix W2Xl2In Thk 6.0Mm Absorbable Graft,2865.92,1117.71,,,0
CDM,SUP18373_272,Noncdm Charge Record Medical Supplies - Device Tissue Rem Myosure Hysc,5221.58,2036.42,,,0
CDM,SUP18373_A4649_272,Noncdm Charge Record Medical Supplies - Device Tissue Rem Myosure Hysc,5221.58,2036.42,,,0
CDM,SUP18375,Noncdm Charge Record Medical Supplies - Sponge Surg .5X1In Ptt 1 Stng,17.63,6.88,,,0
CDM,SUP18376_272,Noncdm Charge Record Medical Supplies - Trocar Vrsprt Bladelss 5Mm Optc,80.73,31.48,,,0
CDM,SUP18376_A4649_272,Noncdm Charge Record Medical Supplies - Trocar Vrsprt Bladelss 5Mm Optc,80.73,31.48,,,0
CDM,SUP18376_A9999_272,Noncdm Charge Record Medical Supplies - Trocar Vrsprt Bladelss 5Mm Optc,80.73,31.48,,,0
CDM,SUP18377,Noncdm Charge Record Medical Supplies - Bit Drill 90Mm 1.5Mm Mtrx Stop,848.7,330.99,,,0
CDM,SUP183776_272,Noncdm Charge Record Medical Supplies - Wand Ablation 50Deg With Flow 50 Coblation Werewolf,1314.45,512.64,,,0
CDM,SUP183776_A4649_272,Noncdm Charge Record Medical Supplies - Wand Ablation 50Deg With Flow 50 Coblation Werewolf,1314.45,512.64,,,0
CDM,SUP183776_A9999_272,Noncdm Charge Record Medical Supplies - Wand Ablation 50Deg With Flow 50 Coblation Werewolf,1314.45,512.64,,,0
CDM,SUP183791,Noncdm Charge Record Medical Supplies - Stent Nitinol Neva Vs Retriev For Cerebral Vasospasm,29761.42,11606.95,,,0
CDM,SUP18381,Noncdm Charge Record Medical Supplies - Insert Knife Sckl Shp Mic,856.49,334.03,,,0
CDM,SUP18382_272,Noncdm Charge Record Medical Supplies - Suture Vicryl 6-0 P-3 18In Undyed Ethicon,22.38,8.73,,,0
CDM,SUP18382_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl 6-0 P-3 18In Undyed Ethicon,22.77,8.88,,,0
CDM,SUP18383_272,Noncdm Charge Record Medical Supplies - Reload Stapler 45Mm Egiz Vasc Endo Gry,713.03,278.08,,,0
CDM,SUP18383_A4649_272,Noncdm Charge Record Medical Supplies - Reload Stapler 45Mm Egiz Vasc Endo Gry,713.12,278.12,,,0
CDM,SUP18383_A9999_272,Noncdm Charge Record Medical Supplies - Reload Stapler 45Mm Egiz Vasc Endo Gry,713.12,278.12,,,0
CDM,SUP18386,Noncdm Charge Record Medical Supplies - Catheter Guide Lnch 8Fr Jr 3,203.38,79.32,,,0
CDM,SUP18387,Noncdm Charge Record Medical Supplies - Splint Nasal 8Cm Thk1.5Cm 2Cm,158.66,61.88,,,0
CDM,SUP1839,Noncdm Charge Record Medical Supplies - Set Spnl 4 11-16In 25Ga Drsf Ndl Strl Lf,54.86,21.4,,,0
CDM,SUP183900_272,Noncdm Charge Record Medical Supplies - Forcep Endo Alligator Disp.,132.48,51.67,,,0
CDM,SUP183900_A4649_272,Noncdm Charge Record Medical Supplies - Forcep Endo Alligator Disp.,132.48,51.67,,,0
CDM,SUP183921,Noncdm Charge Record Medical Supplies - Catheter Aspiration L138Cm Dia0.062Cm Reperfusion Red 62,10586.54,4128.75,,,0
CDM,SUP183922,Noncdm Charge Record Medical Supplies - Catheter Aspiration L132Cm Dia0.068Cm Reperfusion Red 68,10596.39,4132.59,,,0
CDM,SUP183926,Noncdm Charge Record Medical Supplies - Mesh Hernia 4.6In Phasix L10Cm Synthetic Absorb Hydroxybuty,13319.42,5194.57,,,0
CDM,SUP183927,Noncdm Charge Record Medical Supplies - Mesh Surgical 6X8In Phasix Soft Tissue Reconstruction,25820.14,10069.85,,,0
CDM,SUP183928,Noncdm Charge Record Medical Supplies,41220.5,16076.0,,,0
CDM,SUP183929,Noncdm Charge Record Medical Supplies,73621.62,28712.43,,,0
CDM,SUP18393_272,Noncdm Charge Record Medical Supplies - Adapter T-B 6Fr,79.69,31.08,,,0
CDM,SUP18393_A4649_272,Noncdm Charge Record Medical Supplies - Adapter T-B 6Fr,79.69,31.08,,,0
CDM,SUP18394_270,Noncdm Charge Record Medical Supplies - Collar Aspn Adlt Reg 3In,98.32,38.34,,,0
CDM,SUP18394_272,Noncdm Charge Record Medical Supplies - Collar Aspn Adlt Reg 3In,98.32,38.34,,,0
CDM,SUP18394_L0172_274,Noncdm Charge Record Medical Supplies - Collar Aspn Adlt Reg 3In,98.32,38.34,,,0
CDM,SUP183950,Noncdm Charge Record Medical Supplies - Mesh Hernia W10Xl10Cm Square Hydrogel Barrier Phasix,11809.35,4605.65,,,0
CDM,SUP183951,Noncdm Charge Record Medical Supplies - Mesh Hernia 10X15Cm Sepra Technology Sepra Phasix,18462.67,7200.44,,,0
CDM,SUP183954,Noncdm Charge Record Medical Supplies - Mesh Hernia 20X35Cm Phasix St Sepra Technology Rectangle,83220.21,32455.88,,,0
CDM,SUP183955,Noncdm Charge Record Medical Supplies - Mesh Hernia 30X35Cm Phasix St Sepra Technology Rectangle,142809.3,55695.63,,,0
CDM,SUP183956,Noncdm Charge Record Medical Supplies - Brush Cleaning Canal Cement Sc Disposable Bone Prep System,42.44,16.55,,,0
CDM,SUP183957,Noncdm Charge Record Medical Supplies - Sponge Femoral With Suction Attachment Bone Prep System,220.46,85.98,,,0
CDM,SUP183958,Noncdm Charge Record Medical Supplies,736.92,287.4,,,0
CDM,SUP18397,Noncdm Charge Record Medical Supplies - Agilis Large Curl Sheath,4177.33,1629.16,,,0
CDM,SUP183975,Noncdm Charge Record Medical Supplies - Catheter Aspiration L132Cm Dia0.072Cm Reperfusion Red 72,10606.59,4136.57,,,0
CDM,SUP18398,Noncdm Charge Record Medical Supplies - Wire Bmw 190 Cm,440.78,171.9,,,0
CDM,SUP18399,Noncdm Charge Record Medical Supplies - Guidewire Vasc .014In 190Cm,440.91,171.95,,,0
CDM,SUP18400,Noncdm Charge Record Medical Supplies - See 157650 Connector Expand 5In 15Mmx22Mm Adpr 15Mm,15.01,5.85,,,0
CDM,SUP18401_272,Noncdm Charge Record Medical Supplies - Stapler Egia Shrt Ult Univ,380.88,148.54,,,0
CDM,SUP18401_A4649_272,Noncdm Charge Record Medical Supplies - Stapler Egia Shrt Ult Univ,380.88,148.54,,,0
CDM,SUP184054_272,Noncdm Charge Record Medical Supplies - Snare Polyp Mini Ovl 7Fr 1.5,80.56,31.42,,,0
CDM,SUP184054_A4649_272,Noncdm Charge Record Medical Supplies - Snare Polyp Mini Ovl 7Fr 1.5,92.12,35.93,,,0
CDM,SUP184054_A9999_272,Noncdm Charge Record Medical Supplies - Snare Polyp Mini Ovl 7Fr 1.5,92.12,35.93,,,0
CDM,SUP18406,Noncdm Charge Record Medical Supplies - Suture Ethilon 7-0 P-6 18In Black Ethicon,24.01,9.36,,,0
CDM,SUP184088,Noncdm Charge Record Medical Supplies - Dressing Soft Foam 10Cm X 7.5 5Cm For V.A.C. Sys,45.69,17.82,,,0
CDM,SUP1841,Noncdm Charge Record Medical Supplies - Immobilizer Orth Med Univ,25.92,10.11,,,0
CDM,SUP184126,Noncdm Charge Record Medical Supplies - Pump Heart Impella 5.5 Device Cardiac Vent Assist Stlatxfree,180773.1,70501.51,,,0
CDM,SUP184187,Noncdm Charge Record Medical Supplies - Y-Valve Ambu,59.0,23.01,,,0
CDM,SUP184188,Noncdm Charge Record Medical Supplies - Marquis Stopcock Ambu,17.55,6.84,,,0
CDM,SUP184218,Noncdm Charge Record Medical Supplies - Suture 2 7-0 Cv-1 24In Cntrl Rel 2 Arm Srgpro,155.0,60.45,,,0
CDM,SUP184269,Noncdm Charge Record Medical Supplies - Tightrope Xp Titm Syndesmosis,7432.82,2898.8,,,0
CDM,SUP184289_272,Noncdm Charge Record Medical Supplies - Snare Plpctm Stnd Ovl 7Fr 2.5,61.46,23.97,,,0
CDM,SUP184289_A4649_272,Noncdm Charge Record Medical Supplies - Snare Plpctm Stnd Ovl 7Fr 2.5,71.93,28.05,,,0
CDM,SUP184289_A9999_272,Noncdm Charge Record Medical Supplies - Snare Plpctm Stnd Ovl 7Fr 2.5,51.75,20.18,,,0
CDM,SUP184290,Noncdm Charge Record Medical Supplies - Snare Plpctm 1Pc Disp Jmb,51.75,20.18,,,0
CDM,SUP1842_270,Noncdm Charge Record Medical Supplies - Circuit Adaptor 15Mm Dual Axis Smiths Medical,20.2,7.88,,,0
CDM,SUP1842_A4649_270,Noncdm Charge Record Medical Supplies - Circuit Adaptor 15Mm Dual Axis Smiths Medical,20.7,8.07,,,0
CDM,SUP184321,Noncdm Charge Record Medical Supplies - Pack Cardiovascular Kennestone Wk350A,474.03,184.87,,,0
CDM,SUP184359,Noncdm Charge Record Medical Supplies - Defibrillator Cobalt Surescan Xt Dr Mri Cardiac 80Gm 51X68Mm,59031.97,23022.47,,,0
CDM,SUP18450,Noncdm Charge Record Medical Supplies - Set Disp Line 3 Spk Sgl Pat Use,737.93,287.79,,,0
CDM,SUP184508,Noncdm Charge Record Medical Supplies - Defibrillator Cobalt Vr Df4 Mri Icd W51Xh64In D13Mm Connec,52119.84,20326.74,,,0
CDM,SUP184509,Noncdm Charge Record Medical Supplies - Defibrillator Cobalt Df1-Is1 Crt-D Hf Mri 82Gm 51X71In 13Mm,82524.34,32184.49,,,0
CDM,SUP18451,Noncdm Charge Record Medical Supplies - Reservoir Lg Volume W Connect,670.68,261.57,,,0
CDM,SUP184510,Noncdm Charge Record Medical Supplies - Defibrillator Cobalt Mri Df4 Crt-D Hf 82.1Gm 51X73In D13Mm,81825.03,31911.76,,,0
CDM,SUP184511,Noncdm Charge Record Medical Supplies - Defibrillator Cobalt Quad Df1 Crt-D Hf Mri 83Gm 51X74In 13Mm,81125.71,31639.03,,,0
CDM,SUP184512,Noncdm Charge Record Medical Supplies - Defibrillator Cobalt Quad Df4 Crt-D Hf Mri 83Gm 51X74In 13Mm,81825.03,31911.76,,,0
CDM,SUP18452,Noncdm Charge Record Medical Supplies - Suture Monoderm 2-0 14X14Cm Undyed Quill Surgical Specialtie,71.67,27.95,,,0
CDM,SUP18454,Noncdm Charge Record Medical Supplies - Introducer Sheath 11Fr 13Cm,208.04,81.14,,,0
CDM,SUP18455,Noncdm Charge Record Medical Supplies - Introducer Sheath 12Fr 13Cm,208.04,81.14,,,0
CDM,SUP184560,Noncdm Charge Record Medical Supplies,393.82,153.59,,,0
CDM,SUP184561,Noncdm Charge Record Medical Supplies,482.31,188.1,,,0
CDM,SUP18457,Noncdm Charge Record Medical Supplies - Kit Comp Acc,2425.0,945.75,,,0
CDM,SUP18458_272,Noncdm Charge Record Medical Supplies - Kit Sut Tk Mini Disp,856.98,334.22,,,0
CDM,SUP18458_A4649_272,Noncdm Charge Record Medical Supplies - Kit Sut Tk Mini Disp,856.98,334.22,,,0
CDM,SUP18460,Noncdm Charge Record Medical Supplies - Scissors Rnd Tip Da Vinci,403.65,157.42,,,0
CDM,SUP184609,Noncdm Charge Record Medical Supplies - Sponge Dissection Laparoscopic Kittner 1-2In X 6In Sterile,63.14,24.62,,,0
CDM,SUP18463,Noncdm Charge Record Medical Supplies - Suture Pdo 2 36X36Cm 36Mm Violet Quill,91.08,35.52,,,0
CDM,SUP18464,Noncdm Charge Record Medical Supplies - Cannula Arthroscopic 5.75 X 7Cm Arthrex,122.13,47.63,,,0
CDM,SUP18465,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 4Mmx20X75Cm,790.59,308.33,,,0
CDM,SUP18467,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 4Mmx40X135Cm,617.07,240.66,,,0
CDM,SUP18468,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 4Mmx40X75Cm,677.55,264.24,,,0
CDM,SUP18469,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 4Mmx80Mmx,528.88,206.26,,,0
CDM,SUP18470,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 4Mmx100Mm,528.88,206.26,,,0
CDM,SUP18471,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 4Mmx150Mm,652.44,254.45,,,0
CDM,SUP18472,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 4Mmx200Mm,829.04,323.33,,,0
CDM,SUP184721_270,Noncdm Charge Record Medical Supplies,64.98,25.34,,,0
CDM,SUP184721_A4649_270,Noncdm Charge Record Medical Supplies,73.48,28.66,,,0
CDM,SUP18473,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 5Mmx20X135Cm,586.25,228.64,,,0
CDM,SUP18474,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 5Mmx20X75Cm,582.71,227.26,,,0
CDM,SUP184742,Noncdm Charge Record Medical Supplies - Coil Helical Detachable 6X10 18D System Azur,3840.88,1497.94,,,0
CDM,SUP184744,Noncdm Charge Record Medical Supplies,4112.57,1603.9,,,0
CDM,SUP184747_272,Noncdm Charge Record Medical Supplies - Coil Cx Detachable 035 6Mmx9Cm Azur,5277.98,2058.41,,,0
CDM,SUP184747_C1889_278,Noncdm Charge Record Medical Supplies - Coil Cx Detachable 035 6Mmx9Cm Azur,5278.5,2058.62,,,0
CDM,SUP184748_272,Noncdm Charge Record Medical Supplies - Coil Cx Detachable 035In 8Mmx 12Cm Azur,5278.09,2058.46,,,0
CDM,SUP184748_C1889_278,Noncdm Charge Record Medical Supplies - Coil Cx Detachable 035In 8Mmx 12Cm Azur,5278.15,2058.48,,,0
CDM,SUP184749,Noncdm Charge Record Medical Supplies - Coil Cx Detachable 035In 10Mmx 19Cm Azur,5278.15,2058.48,,,0
CDM,SUP18475,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 5Mmx40X135Cm,618.58,241.25,,,0
CDM,SUP18476,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 5Mmx40X75Cm,746.41,291.1,,,0
CDM,SUP18477,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 5Mmx60Mmx,689.52,268.91,,,0
CDM,SUP18478,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 5Mmx80Mmx,615.0,239.85,,,0
CDM,SUP18479,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 5Mmx1000M,783.5,305.56,,,0
CDM,SUP1848,Noncdm Charge Record Medical Supplies - Cellulose Oxd 4X3In Abs Hemost,273.79,106.78,,,0
CDM,SUP18480,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 5Mmx150Mm,764.86,298.3,,,0
CDM,SUP18481,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 5Mmx200Mm,866.55,337.95,,,0
CDM,SUP18482,Noncdm Charge Record Medical Supplies - Charger Balloon 6Mmx20X135Cm,593.47,231.45,,,0
CDM,SUP18483,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 6Mmx20X75Cm,729.68,284.58,,,0
CDM,SUP18484,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 6Mmx40X135,820.94,320.17,,,0
CDM,SUP18485,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 6Mmx40X75Cm,734.5,286.46,,,0
CDM,SUP18486,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 6Mmx60Mmx,633.63,247.12,,,0
CDM,SUP18487,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 6Mmx100Mm,662.74,258.47,,,0
CDM,SUP18488,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 6Mmx150Mm,652.44,254.45,,,0
CDM,SUP18489,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 6Mmx200Mm,771.49,300.88,,,0
CDM,SUP1849,Noncdm Charge Record Medical Supplies - Bandage 10Ydx3In Zn Imprg Open,21.04,8.21,,,0
CDM,SUP18490,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 7Mmx20Mmx,758.21,295.7,,,0
CDM,SUP18491,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 7Mmx40X135Cm,787.04,306.95,,,0
CDM,SUP18492,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 7Mmx40X75Cm,636.52,248.24,,,0
CDM,SUP18493,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 7Mmx60Mmx,823.42,321.13,,,0
CDM,SUP18494,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 7Mmx100Mm,571.94,223.06,,,0
CDM,SUP18495,Noncdm Charge Record Medical Supplies - Balloon Charger 8Mmx20Mmx,845.78,329.85,,,0
CDM,SUP18496,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 8Mmx40X135Cm,636.52,248.24,,,0
CDM,SUP184969,Noncdm Charge Record Medical Supplies,1136.43,443.21,,,0
CDM,SUP18497,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 8Mmx40X75Cm,721.95,281.56,,,0
CDM,SUP18498,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 8Mmx60Mmx 75Cm Charger,729.57,284.53,,,0
CDM,SUP18499,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 9Mmx20Mmx,612.2,238.76,,,0
CDM,SUP18500,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 9Mmx40Mmx,707.36,275.87,,,0
CDM,SUP18501,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 10Mmx20Mm,772.64,301.33,,,0
CDM,SUP18502,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 10Mmx40Mm,668.4,260.68,,,0
CDM,SUP18503,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 12Mmx20Mm,636.52,248.24,,,0
CDM,SUP18504,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 12Mmx40Mm X75Cm Charger,857.36,334.37,,,0
CDM,SUP18506,Noncdm Charge Record Medical Supplies - Tape Dressing 3M Mdpr 1In 10Yd Adh Hypoall,8.28,3.23,,,0
CDM,SUP18507,Noncdm Charge Record Medical Supplies - See 97116 Sleeve Optc Bladels V2 Std 5Mm Fx Can Vrstp,59.0,23.01,,,0
CDM,SUP18508_272,Noncdm Charge Record Medical Supplies - Band Tr Lge J Port Trans 24Cm Lng 3 Balloo,153.69,59.94,,,0
CDM,SUP18508_A4649_272,Noncdm Charge Record Medical Supplies - Band Tr Lge J Port Trans 24Cm Lng 3 Balloo,158.49,61.81,,,0
CDM,SUP18508_A9999_272,Noncdm Charge Record Medical Supplies - Band Tr Lge J Port Trans 24Cm Lng 3 Balloo,127.3,49.65,,,0
CDM,SUP18509,Noncdm Charge Record Medical Supplies - Wire Reduct 2.0Mm Mri Safe,1117.9,435.98,,,0
CDM,SUP1850_270,Noncdm Charge Record Medical Supplies - Immobilizer Orth Lg Univ,25.59,9.98,,,0
CDM,SUP1850_A4649_270,Noncdm Charge Record Medical Supplies - Immobilizer Orth Lg Univ,25.88,10.09,,,0
CDM,SUP1850_A9999_270,Noncdm Charge Record Medical Supplies - Immobilizer Orth Lg Univ,25.88,10.09,,,0
CDM,SUP18510,Noncdm Charge Record Medical Supplies - Suture Vicryl 3-0 Cp-2 18In Cr Undyed Ethicon,71.42,27.85,,,0
CDM,SUP185110_272,Noncdm Charge Record Medical Supplies - Guidewire Vasc 0.014 300Cm Img Straight Tip,661.36,257.93,,,0
CDM,SUP185110_C1769_272,Noncdm Charge Record Medical Supplies - Guidewire Vasc 0.014 300Cm Img Straight Tip,661.36,257.93,,,0
CDM,SUP185111,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP185113,Noncdm Charge Record Medical Supplies,783.5,305.56,,,0
CDM,SUP185114,Noncdm Charge Record Medical Supplies - Guidewire Vasc 0.018 300Cm Gld Gladius,783.5,305.56,,,0
CDM,SUP185115,Noncdm Charge Record Medical Supplies - Guidewire Vasc 0.035 145Cm Why Wholey,199.24,77.7,,,0
CDM,SUP185116,Noncdm Charge Record Medical Supplies - Guidewire Vasc 0.035 300Cm Why Wholey,213.05,83.09,,,0
CDM,SUP185117,Noncdm Charge Record Medical Supplies,59.0,23.01,,,0
CDM,SUP185123,Noncdm Charge Record Medical Supplies - Catheter 4Fr 150Cm Strt Glide,238.05,92.84,,,0
CDM,SUP18512_272,Noncdm Charge Record Medical Supplies - Sleeve Optc Bladeless V2 Shrt 5Mm Fx Can Vrstp,32.43,12.65,,,0
CDM,SUP18512_A4649_272,Noncdm Charge Record Medical Supplies - Sleeve Optc Bladeless V2 Shrt 5Mm Fx Can Vrstp,32.08,12.51,,,0
CDM,SUP18512_A9999_272,Noncdm Charge Record Medical Supplies - Sleeve Optc Bladeless V2 Shrt 5Mm Fx Can Vrstp,32.5,12.68,,,0
CDM,SUP18513_272,Noncdm Charge Record Medical Supplies - Trocar Vrsprt Bldelss 5Mm Shrt Optc,80.73,31.48,,,0
CDM,SUP18513_A4649_272,Noncdm Charge Record Medical Supplies - Trocar Vrsprt Bldelss 5Mm Shrt Optc,80.73,31.48,,,0
CDM,SUP18513_A9999_272,Noncdm Charge Record Medical Supplies - Trocar Vrsprt Bldelss 5Mm Shrt Optc,80.73,31.48,,,0
CDM,SUP185219_272,Noncdm Charge Record Medical Supplies - Patch Pericardial 8X14Cm Xenosure,3069.73,1197.19,,,0
CDM,SUP185219_C1713_278,Noncdm Charge Record Medical Supplies - Patch Pericardial 8X14Cm Xenosure,3069.81,1197.23,,,0
CDM,SUP185219_C1763_278,Noncdm Charge Record Medical Supplies - Patch Pericardial 8X14Cm Xenosure,3069.81,1197.23,,,0
CDM,SUP185219_C1768_278,Noncdm Charge Record Medical Supplies - Patch Pericardial 8X14Cm Xenosure,3077.53,1200.24,,,0
CDM,SUP185219_C1781_278,Noncdm Charge Record Medical Supplies - Patch Pericardial 8X14Cm Xenosure,3068.78,1196.82,,,0
CDM,SUP18522,Noncdm Charge Record Medical Supplies - Evercross Ball Dil.035 4X120X135,795.92,310.41,,,0
CDM,SUP18523,Noncdm Charge Record Medical Supplies - 5Fr 4.0 Tiger Catheter,153.84,60.0,,,0
CDM,SUP185243,Noncdm Charge Record Medical Supplies - Bur Surgical 2.5Mm Match Head Precision Proximal Bend Ibur,1983.0,773.37,,,0
CDM,SUP185244,Noncdm Charge Record Medical Supplies - Bur Surgical 3.0Mm Match Head Precision Proximal Bend Ibur,1983.06,773.39,,,0
CDM,SUP18525,Noncdm Charge Record Medical Supplies - Catheter Angio Tiger Radial Tig Crv 5Fr 4.5Mm 100Cm,146.97,57.32,,,0
CDM,SUP185268,Noncdm Charge Record Medical Supplies - Graft Bone Substitute 1.5Cc Rhpdgf-Bb Solution Carrier,8700.21,3393.08,,,0
CDM,SUP185269,Noncdm Charge Record Medical Supplies - Catheter Torqueable Urology 5Fr L65Cm C1 Polymer Ss Wire,83.84,32.7,,,0
CDM,SUP185270_C1762_278,Noncdm Charge Record Medical Supplies - Bone Graft Biocartilage 1Cc Extracell Matrix Injectable,4737.2,1847.51,,,0
CDM,SUP185270_C1763_278,Noncdm Charge Record Medical Supplies - Bone Graft Biocartilage 1Cc Extracell Matrix Injectable,4737.2,1847.51,,,0
CDM,SUP185271,Noncdm Charge Record Medical Supplies - Shaver Powerpick 45Deg 6Mm Drill Depth Stainless Steel,494.73,192.94,,,0
CDM,SUP185273,Noncdm Charge Record Medical Supplies - Suture 2-0 Fiberwire Fbrstitch Implant Crv W 2 Poly Implants,2658.92,1036.98,,,0
CDM,SUP185274_270,Noncdm Charge Record Medical Supplies - Sleeve Arm Disp Shoulder Susp System Disp Lat Decubitus,538.2,209.9,,,0
CDM,SUP185274_272,Noncdm Charge Record Medical Supplies - Sleeve Arm Disp Shoulder Susp System Disp Lat Decubitus,538.2,209.9,,,0
CDM,SUP185275,Noncdm Charge Record Medical Supplies - Sling Lateral Traction S3 Lat Dec Shldr Suspension Sys,293.94,114.64,,,0
CDM,SUP185276_272,Noncdm Charge Record Medical Supplies - Glove Biogel Pi Micro Sz5.5,29.03,11.32,,,0
CDM,SUP185276_A4649_272,Noncdm Charge Record Medical Supplies - Glove Biogel Pi Micro Sz5.5,29.19,11.38,,,0
CDM,SUP185277_C1763_278,Noncdm Charge Record Medical Supplies - Skin Fish 19Cm2 Omega3 Micro Surgiclose Kerecis,5358.2,2089.7,,,0
CDM,SUP185277_Q4100_278,Noncdm Charge Record Medical Supplies - Skin Fish 19Cm2 Omega3 Micro Surgiclose Kerecis,5075.37,1979.39,,,0
CDM,SUP185277_Q4158_278,Noncdm Charge Record Medical Supplies - Skin Fish 19Cm2 Omega3 Micro Surgiclose Kerecis,1624.08,633.39,,,0
CDM,SUP18528,Noncdm Charge Record Medical Supplies - Cap Pin 6Mm Orange Smith And Nephew,259.37,101.15,,,0
CDM,SUP18531,Noncdm Charge Record Medical Supplies - Catheter Support Trlblzr-90Cm,636.52,248.24,,,0
CDM,SUP18532,Noncdm Charge Record Medical Supplies - Catheter Support Trlblzr .035,646.43,252.11,,,0
CDM,SUP18533,Noncdm Charge Record Medical Supplies - Catheter Support Trlblzr .,636.52,248.24,,,0
CDM,SUP18534,Noncdm Charge Record Medical Supplies - Catheter Support Trlblzr .014,683.1,266.41,,,0
CDM,SUP18537,Noncdm Charge Record Medical Supplies - Catheter Baloo Dil.014-150-150,1101.24,429.48,,,0
CDM,SUP18538,Noncdm Charge Record Medical Supplies - Catheter Ball Dil.014-150-210,1101.24,429.48,,,0
CDM,SUP18539,Noncdm Charge Record Medical Supplies - Catheter Ball Dil.014In-150-40,1053.63,410.92,,,0
CDM,SUP18541,Noncdm Charge Record Medical Supplies - Catheter Ball Dil.014-3.5-150,1053.63,410.92,,,0
CDM,SUP18543,Noncdm Charge Record Medical Supplies - Reload Stapler Med 45X2Mm Crv Tristaple,1031.02,402.1,,,0
CDM,SUP185471_Q4100_278,Noncdm Charge Record Medical Supplies - Skin Fish Surgiclose Omega3 7X20 Kerecis,52705.3,20555.07,,,0
CDM,SUP185471_Q4158_278,Noncdm Charge Record Medical Supplies - Skin Fish Surgiclose Omega3 7X20 Kerecis,45176.2,17618.72,,,0
CDM,SUP185493,Noncdm Charge Record Medical Supplies - Mesh Self-Fixating Progrip Rt 12X8Cm W-Flap Right,1191.29,464.6,,,0
CDM,SUP185494,Noncdm Charge Record Medical Supplies - Mesh Self-Fixating Progrip Lft 12X8Cm W-Flap Left,1191.29,464.6,,,0
CDM,SUP185495,Noncdm Charge Record Medical Supplies - Mesh Self-Fixating Progrip Flt Flat Sheet 15X9Cm,1121.94,437.56,,,0
CDM,SUP18551,Noncdm Charge Record Medical Supplies - Suture Plain 2-0 Ct-1 27In Ethicon,14.55,5.67,,,0
CDM,SUP18554,Noncdm Charge Record Medical Supplies - Catheter Ep 5Fr Dao,636.52,248.24,,,0
CDM,SUP185541,Noncdm Charge Record Medical Supplies - Alexis Ortho Protector Hr004,1174.72,458.14,,,0
CDM,SUP18555,Noncdm Charge Record Medical Supplies - Suture Endostitch 2-0 Es-9 48In Undyed Covidien,89.01,34.71,,,0
CDM,SUP18556,Noncdm Charge Record Medical Supplies - Wire Dbl End 1.6Mm 150Mm Trocar Tip,83.44,32.54,,,0
CDM,SUP18557,Noncdm Charge Record Medical Supplies - Cable Accord Ss 2.0 W Clamp,2167.29,845.24,,,0
CDM,SUP185601,Noncdm Charge Record Medical Supplies,161.46,62.97,,,0
CDM,SUP185674,Noncdm Charge Record Medical Supplies - Circuit Cardiopulmonary Bypass Biomedicus Wc Hy10M03R9,3267.5,1274.32,,,0
CDM,SUP1857,Noncdm Charge Record Medical Supplies,2369.11,923.95,,,0
CDM,SUP185714,Noncdm Charge Record Medical Supplies,11.38,4.44,,,0
CDM,SUP18575,Noncdm Charge Record Medical Supplies - Pack Acc Cust,91.08,35.52,,,0
CDM,SUP185772,Noncdm Charge Record Medical Supplies - Catheter Lightning Flash 100C,43076.7,16799.91,,,0
CDM,SUP18578,Noncdm Charge Record Medical Supplies - Drill Bit 10Mm Humeral Nail System Synthes,1384.74,540.05,,,0
CDM,SUP18579,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 3.8Mm 270Mm Calibrated Synthes,867.16,338.19,,,0
CDM,SUP18580,Noncdm Charge Record Medical Supplies - Suture Shuttle Accu Pass Right 45 Degree Curve Smith And Nep,695.52,271.25,,,0
CDM,SUP18581,Noncdm Charge Record Medical Supplies - Suture Shuttle Accu Pass Left 45 Degree Curve Smith And Neph,695.52,271.25,,,0
CDM,SUP18583,Noncdm Charge Record Medical Supplies - Bit Drill 6.5Mm Conic W Stop,1286.51,501.74,,,0
CDM,SUP18584,Noncdm Charge Record Medical Supplies - Rod Guide 2.5Mm 230Mm W Stop Troc Tip,135.87,52.99,,,0
CDM,SUP18585,Noncdm Charge Record Medical Supplies - Wrench Pat 8Mm 11Mm,959.06,374.03,,,0
CDM,SUP18588,Noncdm Charge Record Medical Supplies - Suture Ethibond 2-0 Ct-1 30In Green Ethicon,8.92,3.48,,,0
CDM,SUP18589,Noncdm Charge Record Medical Supplies - Extractor Surg Recess 3.5 Mm Conic Screw,525.78,205.05,,,0
CDM,SUP1858_C1713_272,Noncdm Charge Record Medical Supplies - Wire Fx .9Mm 150Mm Krsh Troc,96.26,37.54,,,0
CDM,SUP1858_C1713_278,Noncdm Charge Record Medical Supplies - Wire Fx .9Mm 150Mm Krsh Troc,96.69,37.71,,,0
CDM,SUP18590,Noncdm Charge Record Medical Supplies - Extractor Surg Nail Lg Bolt,2147.62,837.57,,,0
CDM,SUP18594,Noncdm Charge Record Medical Supplies - See 135244 Retractor Gelseal Cap W Port 4X4.5Cm 5-10Mm 10Mm,3638.02,1418.83,,,0
CDM,SUP18597_272,Noncdm Charge Record Medical Supplies,6.18,2.41,,,0
CDM,SUP18597_A4649_272,Noncdm Charge Record Medical Supplies,6.21,2.42,,,0
CDM,SUP18597_A9999_272,Noncdm Charge Record Medical Supplies,6.21,2.42,,,0
CDM,SUP18598_272,Noncdm Charge Record Medical Supplies - Awl Surg 27Cm 5.5Cm Rtrtc,1757.43,685.4,,,0
CDM,SUP18598_A4649_272,Noncdm Charge Record Medical Supplies - Awl Surg 27Cm 5.5Cm Rtrtc,1757.43,685.4,,,0
CDM,SUP18599,Noncdm Charge Record Medical Supplies - Velocity Patch Electrode Kit,4607.82,1797.05,,,0
CDM,SUP18600_272,Noncdm Charge Record Medical Supplies - Awl Indpd Bent,2046.2,798.02,,,0
CDM,SUP18600_A4649_272,Noncdm Charge Record Medical Supplies - Awl Indpd Bent,2046.2,798.02,,,0
CDM,SUP18603,Noncdm Charge Record Medical Supplies - Bit Drill 300Mm 13Mm Strl Can Cannula,2337.55,911.64,,,0
CDM,SUP18605_272,Noncdm Charge Record Medical Supplies - Reload Stapler Med 60Mm Purp Thktis Artc Crv Ct Egia,1160.23,452.49,,,0
CDM,SUP18605_A9999_272,Noncdm Charge Record Medical Supplies - Reload Stapler Med 60Mm Purp Thktis Artc Crv Ct Egia,1160.23,452.49,,,0
CDM,SUP18606,Noncdm Charge Record Medical Supplies - Cannula Passport 10Mm Id 3Cm Arthrex,156.35,60.98,,,0
CDM,SUP186143_272,Noncdm Charge Record Medical Supplies - Burr 4.0 Coarse Diamond,356.04,138.86,,,0
CDM,SUP186143_A4649_272,Noncdm Charge Record Medical Supplies - Burr 4.0 Coarse Diamond,356.04,138.86,,,0
CDM,SUP186143_A9999_272,Noncdm Charge Record Medical Supplies - Burr 4.0 Coarse Diamond,356.04,138.86,,,0
CDM,SUP186144_272,Noncdm Charge Record Medical Supplies - Burr 6.0 Coarse Diamond,670.41,261.46,,,0
CDM,SUP186144_A4649_272,Noncdm Charge Record Medical Supplies - Burr 6.0 Coarse Diamond,644.8,251.47,,,0
CDM,SUP186144_A9999_272,Noncdm Charge Record Medical Supplies - Burr 6.0 Coarse Diamond,644.8,251.47,,,0
CDM,SUP186146,Noncdm Charge Record Medical Supplies - Burr 1.0Mm Round Diamond,705.18,275.02,,,0
CDM,SUP186147,Noncdm Charge Record Medical Supplies - Orthopedic Felt 1Inx1Inx1-4In,13.46,5.25,,,0
CDM,SUP186148_270,Noncdm Charge Record Medical Supplies - Orthopedic Felt 3Inx3Inx1-4In,17.6,6.86,,,0
CDM,SUP186148_272,Noncdm Charge Record Medical Supplies - Orthopedic Felt 3Inx3Inx1-4In,17.6,6.86,,,0
CDM,SUP186148_A4649_270,Noncdm Charge Record Medical Supplies - Orthopedic Felt 3Inx3Inx1-4In,17.6,6.86,,,0
CDM,SUP186149_270,Noncdm Charge Record Medical Supplies - Orthopedic Felt 4Inx4Inx1-8In,5.18,2.02,,,0
CDM,SUP186149_272,Noncdm Charge Record Medical Supplies - Orthopedic Felt 4Inx4Inx1-8In,5.18,2.02,,,0
CDM,SUP186149_A4649_270,Noncdm Charge Record Medical Supplies - Orthopedic Felt 4Inx4Inx1-8In,5.18,2.02,,,0
CDM,SUP186149_A9999_270,Noncdm Charge Record Medical Supplies - Orthopedic Felt 4Inx4Inx1-8In,5.18,2.02,,,0
CDM,SUP18617,Noncdm Charge Record Medical Supplies - Wrench Hex Spnl Cord Stem,48.64,18.97,,,0
CDM,SUP18618,Noncdm Charge Record Medical Supplies - Balloon Z-Med 18X4X100,3292.34,1284.01,,,0
CDM,SUP186185,Noncdm Charge Record Medical Supplies - Femoral Bone Cement Prep Kit,1038.75,405.11,,,0
CDM,SUP18619,Noncdm Charge Record Medical Supplies - Z-Med 20 X 4 X 100,3292.25,1283.98,,,0
CDM,SUP1862,Noncdm Charge Record Medical Supplies - Immobilizer Orth Sm Univ,25.88,10.09,,,0
CDM,SUP18620,Noncdm Charge Record Medical Supplies - Balloon Z-Med 22X4X100,3291.99,1283.88,,,0
CDM,SUP18621,Noncdm Charge Record Medical Supplies - Balloon Z-Med 23X4X100,3292.34,1284.01,,,0
CDM,SUP18624,Noncdm Charge Record Medical Supplies - Burr Abrader 5.5Mm Dync Hi Vsb,311.54,121.5,,,0
CDM,SUP18625,Noncdm Charge Record Medical Supplies - Burr Barrel 4.0Mm Dync Hi Vsb,623.07,243.0,,,0
CDM,SUP18628,Noncdm Charge Record Medical Supplies - Guidewire .018 60Cm Ss Mndrl Sftp,81.62,31.83,,,0
CDM,SUP1863,Noncdm Charge Record Medical Supplies - Set Extn .5Ml 6In Iv Y Spnlk,6.21,2.42,,,0
CDM,SUP18630,Noncdm Charge Record Medical Supplies - Catheter Infus .038 5Fr 135Cm,695.52,271.25,,,0
CDM,SUP18634,Noncdm Charge Record Medical Supplies - Connector W Tub 1-2X1-2In Strl,58.17,22.69,,,0
CDM,SUP18635,Noncdm Charge Record Medical Supplies - Burr Surg Trans Nasal Rcd 3Mm,2254.23,879.15,,,0
CDM,SUP18637,Noncdm Charge Record Medical Supplies - Burr Transnasal Irr Tub,167.5,65.32,,,0
CDM,SUP186379,Noncdm Charge Record Medical Supplies - Catheter Dawson Mueller 12,396.4,154.6,,,0
CDM,SUP186380,Noncdm Charge Record Medical Supplies - Catheter Nephrostomy 14 Fr,396.4,154.6,,,0
CDM,SUP18640_272,Noncdm Charge Record Medical Supplies - Blade Shaver Dync Full Radius Powermini 2.9Mm Rd,415.04,161.87,,,0
CDM,SUP18640_A4649_272,Noncdm Charge Record Medical Supplies - Blade Shaver Dync Full Radius Powermini 2.9Mm Rd,415.04,161.87,,,0
CDM,SUP18642,Noncdm Charge Record Medical Supplies - Suture Ethilon 8-0 Tg100-8 12In Double Arm Black Ethicon,63.59,24.8,,,0
CDM,SUP186441_272,Noncdm Charge Record Medical Supplies - Tape Fiber Tapered 2Mm 17In,382.12,149.03,,,0
CDM,SUP186441_A9999_272,Noncdm Charge Record Medical Supplies - Tape Fiber Tapered 2Mm 17In,371.91,145.04,,,0
CDM,SUP186442,Noncdm Charge Record Medical Supplies - Zipwire 0.038X150Cm Straight,255.64,99.7,,,0
CDM,SUP186443_272,Noncdm Charge Record Medical Supplies - Mantis Closure Clip,2085.52,813.35,,,0
CDM,SUP186443_A4649_272,Noncdm Charge Record Medical Supplies - Mantis Closure Clip,2085.52,813.35,,,0
CDM,SUP186443_A9999_272,Noncdm Charge Record Medical Supplies - Mantis Closure Clip,2085.52,813.35,,,0
CDM,SUP18648,Noncdm Charge Record Medical Supplies - Suture Surgipro 5-0 C13 18In Blue Covidien,7.24,2.82,,,0
CDM,SUP186490_272,Noncdm Charge Record Medical Supplies - Bur Coarse Surgical Diamond Dia3Mm Round Coarse 5,658.42,256.78,,,0
CDM,SUP186490_A9999_272,Noncdm Charge Record Medical Supplies - Bur Coarse Surgical Diamond Dia3Mm Round Coarse 5,644.8,251.47,,,0
CDM,SUP186491,Noncdm Charge Record Medical Supplies - Knife Apex Iq 11Cm Aspirator Tp L4.2In L15.6Mm W0.83Xl 12Mm,4195.89,1636.4,,,0
CDM,SUP186494,Noncdm Charge Record Medical Supplies,1713.96,668.44,,,0
CDM,SUP186495,Noncdm Charge Record Medical Supplies,1713.9,668.42,,,0
CDM,SUP186564,Noncdm Charge Record Medical Supplies - Mitris Mitral Valve 29Mm,37048.86,14449.06,,,0
CDM,SUP186565,Noncdm Charge Record Medical Supplies,37048.86,14449.06,,,0
CDM,SUP186586,Noncdm Charge Record Medical Supplies - Laser Fiber Single Use 200 Micron Tfl,1974.78,770.16,,,0
CDM,SUP186587,Noncdm Charge Record Medical Supplies,1974.78,770.16,,,0
CDM,SUP1866,Noncdm Charge Record Medical Supplies - Catheter Infus .038In 5Fr 10Cm,416.07,162.27,,,0
CDM,SUP186614,Noncdm Charge Record Medical Supplies - Grafix Xc Pl 7.5X15Cm,1975.05,770.27,,,0
CDM,SUP18670,Noncdm Charge Record Medical Supplies,12.42,4.84,,,0
CDM,SUP186792,Noncdm Charge Record Medical Supplies - Kit Reperfusion Catheter 138Cm,12210.19,4761.97,,,0
CDM,SUP186793,Noncdm Charge Record Medical Supplies - Kit Reperfusion Catheter 132Cm,12157.53,4741.44,,,0
CDM,SUP186794,Noncdm Charge Record Medical Supplies - Kit Reperfusion Catheter 132Cm,12191.26,4754.59,,,0
CDM,SUP18694,Noncdm Charge Record Medical Supplies - Wax Bone 2.5Gm Covidien,14.49,5.65,,,0
CDM,SUP186991,Noncdm Charge Record Medical Supplies - Tourni Cuff 12X3.5In 2-Ln Plm Two Line Sterile Disposable,73.48,28.66,,,0
CDM,SUP186992_272,Noncdm Charge Record Medical Supplies - Tourni Cuff 18Inx4In 2-Ln Red 2-Line Sterile Disposable,84.87,33.1,,,0
CDM,SUP186992_A4649_272,Noncdm Charge Record Medical Supplies - Tourni Cuff 18Inx4In 2-Ln Red 2-Line Sterile Disposable,84.87,33.1,,,0
CDM,SUP186992_A9999_272,Noncdm Charge Record Medical Supplies - Tourni Cuff 18Inx4In 2-Ln Red 2-Line Sterile Disposable,84.87,33.1,,,0
CDM,SUP186993_272,Noncdm Charge Record Medical Supplies - Tourni Cuff 24Inx4In 2-Ln Yel 2-Line Sterile Disposable,97.29,37.94,,,0
CDM,SUP186993_A9999_272,Noncdm Charge Record Medical Supplies - Tourni Cuff 24Inx4In 2-Ln Yel 2-Line Sterile Disposable,97.29,37.94,,,0
CDM,SUP186994_272,Noncdm Charge Record Medical Supplies - Tourni Cuff 30Inx4In 2-Ln Wht 2-Line Sterile Disposable,101.43,39.56,,,0
CDM,SUP186994_A4649_272,Noncdm Charge Record Medical Supplies - Tourni Cuff 30Inx4In 2-Ln Wht 2-Line Sterile Disposable,101.43,39.56,,,0
CDM,SUP186995_272,Noncdm Charge Record Medical Supplies - Tourni Cuff 34Inx4In 2-Ln Blu 2-Line Sterile Disposable,109.74,42.8,,,0
CDM,SUP186995_A4649_272,Noncdm Charge Record Medical Supplies - Tourni Cuff 34Inx4In 2-Ln Blu 2-Line Sterile Disposable,109.71,42.79,,,0
CDM,SUP186996,Noncdm Charge Record Medical Supplies - Tourni Cuff 44Inx4In 2-Ln Grn 2-Line Sterile Disposable,126.37,49.28,,,0
CDM,SUP18701,Noncdm Charge Record Medical Supplies - Suture Plain Gut 0 60In Covidien,7.18,2.8,,,0
CDM,SUP187012,Noncdm Charge Record Medical Supplies - Punch Aortic Vein L5 3-4In Dia3.5Mm,191.48,74.68,,,0
CDM,SUP187013,Noncdm Charge Record Medical Supplies - Punch Aortic Vein L5 3-4In Dia2.7Mm,191.48,74.68,,,0
CDM,SUP187127,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP187128,Noncdm Charge Record Medical Supplies - Bag Wound Lav Bactisure,611.89,238.64,,,0
CDM,SUP18714,Noncdm Charge Record Medical Supplies - Suture Chromic 3-0 60In 123Q Covidien,38.15,14.88,,,0
CDM,SUP187179,Noncdm Charge Record Medical Supplies,6834.1,2665.3,,,0
CDM,SUP187328,Noncdm Charge Record Medical Supplies,3699.09,1442.65,,,0
CDM,SUP187329,Noncdm Charge Record Medical Supplies - Introducer Sheath Endovascular 18Fr L65Cm Dryseal Flex,3699.09,1442.65,,,0
CDM,SUP187330,Noncdm Charge Record Medical Supplies - System Thrombectomy Catheter 80Cm Htorq Tip 6Fr 105Cm,43076.7,16799.91,,,0
CDM,SUP187331,Noncdm Charge Record Medical Supplies - System Thrombectomy Catheter 115Cm Htorq Tip 6Fr 135Cm,43076.7,16799.91,,,0
CDM,SUP187332,Noncdm Charge Record Medical Supplies,43076.7,16799.91,,,0
CDM,SUP18754,Noncdm Charge Record Medical Supplies - Suture Monosof 2 Gs-18 30In Black Covidien,11.04,4.31,,,0
CDM,SUP187548,Noncdm Charge Record Medical Supplies - Wick Ear Sponge Dry-Wet 24Mm Sterile,46.86,18.28,,,0
CDM,SUP187559_272,Noncdm Charge Record Medical Supplies - Tube Feeding Adult 12Fr L43In Nasogstrc Wo Stylet And Y Port,36.22,14.13,,,0
CDM,SUP187559_A9999_272,Noncdm Charge Record Medical Supplies - Tube Feeding Adult 12Fr L43In Nasogstrc Wo Stylet And Y Port,36.22,14.13,,,0
CDM,SUP187589_272,Noncdm Charge Record Medical Supplies - Arthroscope 125Mm Disposable Nanoneedle Scope,2315.3,902.97,,,0
CDM,SUP187589_A9999_272,Noncdm Charge Record Medical Supplies - Arthroscope 125Mm Disposable Nanoneedle Scope,2315.3,902.97,,,0
CDM,SUP187619_272,Noncdm Charge Record Medical Supplies - Shaver 4.0Mm Flyer Blade,428.49,167.11,,,0
CDM,SUP187619_A4649_272,Noncdm Charge Record Medical Supplies - Shaver 4.0Mm Flyer Blade,428.49,167.11,,,0
CDM,SUP187619_A9999_272,Noncdm Charge Record Medical Supplies - Shaver 4.0Mm Flyer Blade,428.49,167.11,,,0
CDM,SUP187620,Noncdm Charge Record Medical Supplies - Sucker Cardiac L9In Connector 0.25In Mini Rigid Soft Tip,58.51,22.82,,,0
CDM,SUP18767,Noncdm Charge Record Medical Supplies - Suture Maxon 0 Gs-21 36In Green Covidien,18.63,7.27,,,0
CDM,SUP18768,Noncdm Charge Record Medical Supplies - Suture Plain Gut 3-0 C-13 30In Covidien,7.24,2.82,,,0
CDM,SUP1877,Noncdm Charge Record Medical Supplies - Collar Cerv Sm 19Inx3In Med,23.8,9.28,,,0
CDM,SUP1878,Noncdm Charge Record Medical Supplies - Collar Cerv Med 21Inx4In Med,20.7,8.07,,,0
CDM,SUP187849,Noncdm Charge Record Medical Supplies - Ostomy Pouch 55Mmx2 1-8In 1Pc Hi Output Sft Cvx Skn Brr Tape,7.24,2.82,,,0
CDM,SUP18788,Noncdm Charge Record Medical Supplies,11.38,4.44,,,0
CDM,SUP187922_270,Noncdm Charge Record Medical Supplies - Blanket Adt 24X60In Hypetherm,140.76,54.9,,,0
CDM,SUP187922_272,Noncdm Charge Record Medical Supplies - Blanket Adt 24X60In Hypetherm,140.76,54.9,,,0
CDM,SUP18796_272,Noncdm Charge Record Medical Supplies - Suture Plain Gut 2-0 Gs-23 30In Covidien,38.45,15.0,,,0
CDM,SUP18796_A4649_272,Noncdm Charge Record Medical Supplies - Suture Plain Gut 2-0 Gs-23 30In Covidien,40.16,15.66,,,0
CDM,SUP1879_270,Noncdm Charge Record Medical Supplies - Collar Cerv Lg 24Inx4.25In Med,17.6,6.86,,,0
CDM,SUP1879_L0120_274,Noncdm Charge Record Medical Supplies - Collar Cerv Lg 24Inx4.25In Med,19.66,7.67,,,0
CDM,SUP1880,Noncdm Charge Record Medical Supplies - Graft Vasc 45Cm 4-7Mm Grtx Std Wall Remove,3156.75,1231.13,,,0
CDM,SUP188022,Noncdm Charge Record Medical Supplies - Suture Ethibond Excel 2-0 5-30 Green-White Synthetic Braided,177.49,69.22,,,0
CDM,SUP188160,Noncdm Charge Record Medical Supplies - Burr Cut Acorn Prcs 9Mm,1092.61,426.12,,,0
CDM,SUP188161,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP1882,Noncdm Charge Record Medical Supplies - Cable Electrosurg 12Ft Bipolar,66.24,25.83,,,0
CDM,SUP188258,Noncdm Charge Record Medical Supplies,60.03,23.41,,,0
CDM,SUP188268,Noncdm Charge Record Medical Supplies - Mesh Biological W 6Xl10Cm Ovine Rumen Permanent Ovitex,2610.27,1018.01,,,0
CDM,SUP188269_C1763_272,Noncdm Charge Record Medical Supplies - Mesh Biologic W10Xl6Cm Ovine Extracellular,4697.86,1832.17,,,0
CDM,SUP188269_C1763_278,Noncdm Charge Record Medical Supplies - Mesh Biologic W10Xl6Cm Ovine Extracellular,4852.73,1892.56,,,0
CDM,SUP188269_C1781_278,Noncdm Charge Record Medical Supplies - Mesh Biologic W10Xl6Cm Ovine Extracellular,4697.86,1832.17,,,0
CDM,SUP18828,Noncdm Charge Record Medical Supplies - Suture Chromic 0 115P Gs-24 30In Covidien,6.21,2.42,,,0
CDM,SUP188335,Noncdm Charge Record Medical Supplies - Suture Ti-Cron Size 2-0 Cv-305 8X30 Ptfe 3X6X1.85Mm,288.25,112.42,,,0
CDM,SUP188359,Noncdm Charge Record Medical Supplies - Set Extension 7Ml L40In Standard Bore,13.46,5.25,,,0
CDM,SUP188360,Noncdm Charge Record Medical Supplies - Sealant Fibrin Human Dual Applicator Vistaseal,220.5,86.0,,,0
CDM,SUP188399,Noncdm Charge Record Medical Supplies,139.13,54.26,,,0
CDM,SUP188400,Noncdm Charge Record Medical Supplies,142.83,55.7,,,0
CDM,SUP188401,Noncdm Charge Record Medical Supplies - Kit Neurovascular Catheter 95Cm Benchmark Bmx81,3985.55,1554.36,,,0
CDM,SUP188402,Noncdm Charge Record Medical Supplies - Kit Neurovascular Catheter 105Cm Benchmark Bmx81,4017.04,1566.65,,,0
CDM,SUP188403,Noncdm Charge Record Medical Supplies,50850.14,19831.55,,,0
CDM,SUP188404,Noncdm Charge Record Medical Supplies - Kit Introducer 14Fr Short Abmd Impella,3086.37,1203.68,,,0
CDM,SUP188406,Noncdm Charge Record Medical Supplies - Kit Introducer 23Fr With Sheath Insertion Dilators,3086.37,1203.68,,,0
CDM,SUP188407,Noncdm Charge Record Medical Supplies - Guidewire Vascular Impella 0.018Inx260Cm,2447.78,954.63,,,0
CDM,SUP18841,Noncdm Charge Record Medical Supplies - Suture Maxon 0 Gs-25 60In Loop Covidien,25.88,10.09,,,0
CDM,SUP188465,Noncdm Charge Record Medical Supplies - Graft Bone Substitute 1Cc Dbm Plus Putty Syringe Osteoselect,688.84,268.65,,,0
CDM,SUP188487_C1763_278,Noncdm Charge Record Medical Supplies - Puraply Mz 100 Mg,1369.72,534.19,,,0
CDM,SUP188487_Q4100_278,Noncdm Charge Record Medical Supplies - Puraply Mz 100 Mg,1350.53,526.71,,,0
CDM,SUP188488,Noncdm Charge Record Medical Supplies - Puraply Mz 500Mg,7733.52,3016.07,,,0
CDM,SUP188489,Noncdm Charge Record Medical Supplies,11189.38,4363.86,,,0
CDM,SUP188490_Q4197_278,Noncdm Charge Record Medical Supplies,20542.68,8011.65,,,0
CDM,SUP188577,Noncdm Charge Record Medical Supplies - Catheter Balloon Dilation 6X40Mm Dual Lumen Encore 26,1395.18,544.12,,,0
CDM,SUP188579,Noncdm Charge Record Medical Supplies - Catheter Balloon Dilation 8X40Mm Dual Lumen Encore 26,1395.18,544.12,,,0
CDM,SUP188580,Noncdm Charge Record Medical Supplies - Catheter Intraoperative Spyglass Discover Imager Ii,213.21,83.15,,,0
CDM,SUP188735,Noncdm Charge Record Medical Supplies - Needle Spinal Quincke Needle 22Gax10In,28.98,11.3,,,0
CDM,SUP188736,Noncdm Charge Record Medical Supplies - Coil Embolization L24Cm Loop Dia13Mm Detachable,5278.24,2058.51,,,0
CDM,SUP188737_L8699_272,Noncdm Charge Record Medical Supplies - Coil Embolization L32Cm Loop Dia16Mm 0.029In Detachable,5277.98,2058.41,,,0
CDM,SUP188737_L8699_278,Noncdm Charge Record Medical Supplies - Coil Embolization L32Cm Loop Dia16Mm 0.029In Detachable,5278.14,2058.47,,,0
CDM,SUP188747,Noncdm Charge Record Medical Supplies - Dressing Absorbent 5.6X6In Clear Acrylic Tegaderm,43.57,16.99,,,0
CDM,SUP188790_272,Noncdm Charge Record Medical Supplies - Pack Total Joint Wellstar Ws400A,438.9,171.17,,,0
CDM,SUP188790_A4649_272,Noncdm Charge Record Medical Supplies - Pack Total Joint Wellstar Ws400A,454.36,177.2,,,0
CDM,SUP188790_A9999_272,Noncdm Charge Record Medical Supplies - Pack Total Joint Wellstar Ws400A,431.6,168.32,,,0
CDM,SUP188798,Noncdm Charge Record Medical Supplies,8193.06,3195.29,,,0
CDM,SUP188800,Noncdm Charge Record Medical Supplies,8193.06,3195.29,,,0
CDM,SUP188804,Noncdm Charge Record Medical Supplies - Stent Self Expand 18X100 Abre Gwire System 9Fr .035Inx90Cm,8193.06,3195.29,,,0
CDM,SUP188813,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP188816,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP188820,Noncdm Charge Record Medical Supplies,8216.86,3204.58,,,0
CDM,SUP188864,Noncdm Charge Record Medical Supplies - Scissors Wire Cutting Disposable 4.5In,15.52,6.05,,,0
CDM,SUP188865_272,Noncdm Charge Record Medical Supplies - System Port Site Closure Sterile Disposable Bariatric,514.39,200.61,,,0
CDM,SUP188865_A4649_272,Noncdm Charge Record Medical Supplies - System Port Site Closure Sterile Disposable Bariatric,514.4,200.62,,,0
CDM,SUP188886,Noncdm Charge Record Medical Supplies,2363.94,921.94,,,0
CDM,SUP188892,Noncdm Charge Record Medical Supplies - Sutures Bc Swiveloc,10392.26,4052.98,,,0
CDM,SUP188893,Noncdm Charge Record Medical Supplies - Sutures Bc Swiveloc C Implant System Scorpion Multifire Nedl,10392.44,4053.05,,,0
CDM,SUP188894,Noncdm Charge Record Medical Supplies - Suture Knotless Swivel 4.75Mm Swivellock Biocomp Arthrex,2502.14,975.83,,,0
CDM,SUP188895,Noncdm Charge Record Medical Supplies - Suture Knotless Swivel 5.5Mm Swivellock Biocomp Arthrex,2506.33,977.47,,,0
CDM,SUP188896,Noncdm Charge Record Medical Supplies - Anchor Knotless Soft 1.8 Fibertak Arthrex,2363.5,921.76,,,0
CDM,SUP188897_272,Noncdm Charge Record Medical Supplies - Suture Cutter Knot Pusher Arthrex,1077.44,420.2,,,0
CDM,SUP188897_A4649_272,Noncdm Charge Record Medical Supplies - Suture Cutter Knot Pusher Arthrex,1077.44,420.2,,,0
CDM,SUP188897_A9999_272,Noncdm Charge Record Medical Supplies - Suture Cutter Knot Pusher Arthrex,1077.44,420.2,,,0
CDM,SUP188898,Noncdm Charge Record Medical Supplies - Kit Percutaneous Insertion Fibertak Arthrex,1101.26,429.49,,,0
CDM,SUP188899,Noncdm Charge Record Medical Supplies - Pacemaker Crt-P Connector Type Cardiac 33Gm 16.6Ml,23683.9,9236.72,,,0
CDM,SUP1888_272,Noncdm Charge Record Medical Supplies - Tray Sut Cust Lac,33.12,12.92,,,0
CDM,SUP1888_A4649_272,Noncdm Charge Record Medical Supplies - Tray Sut Cust Lac,33.12,12.92,,,0
CDM,SUP1888_A9999_272,Noncdm Charge Record Medical Supplies - Tray Sut Cust Lac,33.12,12.92,,,0
CDM,SUP1889,Noncdm Charge Record Medical Supplies - Block Bite Endotrach Tube Bite Blok Lf,108.33,42.25,,,0
CDM,SUP188951,Noncdm Charge Record Medical Supplies,1057.48,412.42,,,0
CDM,SUP188952,Noncdm Charge Record Medical Supplies - Syringe Frozen 4Ml Artiss,1815.39,708.0,,,0
CDM,SUP188953,Noncdm Charge Record Medical Supplies - Syringe Frozen 10Ml Artiss,3658.72,1426.9,,,0
CDM,SUP188967,Noncdm Charge Record Medical Supplies - Foley Cath Tray 6Fr Lubri-Sil Pediatric 6Fr W Urine Meter,145.94,56.92,,,0
CDM,SUP188968,Noncdm Charge Record Medical Supplies,109.71,42.79,,,0
CDM,SUP18899_272,Noncdm Charge Record Medical Supplies - Evacuator Urovac Boston Scientific,126.88,49.48,,,0
CDM,SUP18899_A4649_272,Noncdm Charge Record Medical Supplies - Evacuator Urovac Boston Scientific,96.26,37.54,,,0
CDM,SUP18899_A9999_272,Noncdm Charge Record Medical Supplies - Evacuator Urovac Boston Scientific,93.15,36.33,,,0
CDM,SUP1890,Noncdm Charge Record Medical Supplies - Wire Choice Pt Es 300 Cm 35Cm Strt X,421.24,164.28,,,0
CDM,SUP189039_272,Noncdm Charge Record Medical Supplies - Suture 2-0 30Cm Stratafix Spiral Pds,97.53,38.04,,,0
CDM,SUP189039_A9999_272,Noncdm Charge Record Medical Supplies - Suture 2-0 30Cm Stratafix Spiral Pds,97.81,38.15,,,0
CDM,SUP189040_272,Noncdm Charge Record Medical Supplies - Suture 0 22Cm Stratafix Spiral 9In,124.91,48.71,,,0
CDM,SUP189040_A4649_272,Noncdm Charge Record Medical Supplies - Suture 0 22Cm Stratafix Spiral 9In,122.13,47.63,,,0
CDM,SUP189040_A9999_272,Noncdm Charge Record Medical Supplies - Suture 0 22Cm Stratafix Spiral 9In,125.24,48.84,,,0
CDM,SUP189043,Noncdm Charge Record Medical Supplies,1281.33,499.72,,,0
CDM,SUP189045,Noncdm Charge Record Medical Supplies,125.24,48.84,,,0
CDM,SUP189046,Noncdm Charge Record Medical Supplies - Suture Stratafix 3-0 L20Cm Sh-1 L22Mm 1-2 Circle,124.95,48.73,,,0
CDM,SUP189047,Noncdm Charge Record Medical Supplies - Suture Stratafix Spiral Pds 2-0 L9In L26Mm Ct-2,129.69,50.58,,,0
CDM,SUP189048_272,Noncdm Charge Record Medical Supplies - Electrode Insulated Needle Tip 4In Lower Power Setting Edge,25.86,10.09,,,0
CDM,SUP189048_A4649_272,Noncdm Charge Record Medical Supplies - Electrode Insulated Needle Tip 4In Lower Power Setting Edge,25.81,10.07,,,0
CDM,SUP189048_A9999_272,Noncdm Charge Record Medical Supplies - Electrode Insulated Needle Tip 4In Lower Power Setting Edge,25.88,10.09,,,0
CDM,SUP189058_270,Noncdm Charge Record Medical Supplies - Syringe Cement Mixer,453.33,176.8,,,0
CDM,SUP189058_272,Noncdm Charge Record Medical Supplies - Syringe Cement Mixer,453.33,176.8,,,0
CDM,SUP189188,Noncdm Charge Record Medical Supplies - Mesh Permanent 4 Layer 9X9Cm Circle Biologic Ovitex Lpr,5258.84,2050.95,,,0
CDM,SUP189189,Noncdm Charge Record Medical Supplies,4697.86,1832.17,,,0
CDM,SUP189191,Noncdm Charge Record Medical Supplies,15660.58,6107.63,,,0
CDM,SUP189194,Noncdm Charge Record Medical Supplies,61989.26,24175.81,,,0
CDM,SUP189197,Noncdm Charge Record Medical Supplies,19720.89,7691.15,,,0
CDM,SUP189205,Noncdm Charge Record Medical Supplies,9348.98,3646.1,,,0
CDM,SUP189208,Noncdm Charge Record Medical Supplies,14084.71,5493.04,,,0
CDM,SUP189209,Noncdm Charge Record Medical Supplies - Mesh Resorbable 6 Layer 10X12 Biologic Tissue Ovitex Is,9395.73,3664.33,,,0
CDM,SUP189210,Noncdm Charge Record Medical Supplies,15660.58,6107.63,,,0
CDM,SUP189211,Noncdm Charge Record Medical Supplies,25056.32,9771.96,,,0
CDM,SUP189217,Noncdm Charge Record Medical Supplies,39856.82,15544.16,,,0
CDM,SUP189220,Noncdm Charge Record Medical Supplies - Mesh Permanent 4 Layer 15X15Cm Circle Biologic Ovitex Lpr,14606.96,5696.71,,,0
CDM,SUP189225,Noncdm Charge Record Medical Supplies - Mesh Resorbabl 2 Layer 11.5X22 Contour Biologic Ovitex Prs,21001.18,8190.46,,,0
CDM,SUP189230,Noncdm Charge Record Medical Supplies,39029.85,15221.64,,,0
CDM,SUP189232,Noncdm Charge Record Medical Supplies,80356.37,31338.98,,,0
CDM,SUP189249_272,Noncdm Charge Record Medical Supplies - Kit Bone Mill Medium Blade And Prep Plus Mill Plus,8176.65,3188.89,,,0
CDM,SUP189249_A9999_272,Noncdm Charge Record Medical Supplies - Kit Bone Mill Medium Blade And Prep Plus Mill Plus,8019.18,3127.48,,,0
CDM,SUP1893,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 32Mm Lcp Ss Sh Thrd Canc Cannula,751.41,293.05,,,0
CDM,SUP189326_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurgical L10.2Cm Blade L4In,22.77,8.88,,,0
CDM,SUP189326_A4649_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurgical L10.2Cm Blade L4In,22.77,8.88,,,0
CDM,SUP18933,Noncdm Charge Record Medical Supplies - Suture Surgidac 4-0 Ss-2 18In White Coviden,36.22,14.13,,,0
CDM,SUP189335,Noncdm Charge Record Medical Supplies,63.14,24.62,,,0
CDM,SUP189336,Noncdm Charge Record Medical Supplies,53.82,20.99,,,0
CDM,SUP189337,Noncdm Charge Record Medical Supplies,63.48,24.76,,,0
CDM,SUP1894,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 36Mm Lcp Ss Sh Thrd Fem Cannula,636.52,248.24,,,0
CDM,SUP1895,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 44Mm Lcp Ss Sh Thrd Fem Cannula,636.52,248.24,,,0
CDM,SUP18952,Noncdm Charge Record Medical Supplies - Suture Surgipro 2-0 V26 48In Blue Double Armed Covidien,20.65,8.05,,,0
CDM,SUP189540,Noncdm Charge Record Medical Supplies - Stent Onyxng22522Ux Onyx 2.25X22Rx,2769.75,1080.2,,,0
CDM,SUP189541,Noncdm Charge Record Medical Supplies,85.95,33.52,,,0
CDM,SUP189630_272,Noncdm Charge Record Medical Supplies - Artiss 2Ml Kitted With Easyspray Spraysets,1034.15,403.32,,,0
CDM,SUP189630_A4649_272,Noncdm Charge Record Medical Supplies - Artiss 2Ml Kitted With Easyspray Spraysets,1082.17,422.05,,,0
CDM,SUP189631_272,Noncdm Charge Record Medical Supplies - Artiss 4Ml Kitted With Easyspray Spraysets,1766.0,688.74,,,0
CDM,SUP189631_A4649_272,Noncdm Charge Record Medical Supplies - Artiss 4Ml Kitted With Easyspray Spraysets,1804.0,703.56,,,0
CDM,SUP189632_272,Noncdm Charge Record Medical Supplies - Artiss 10Ml Kitted With Easyspray Spraysets,3470.09,1353.34,,,0
CDM,SUP189632_A4649_272,Noncdm Charge Record Medical Supplies - Artiss 10Ml Kitted With Easyspray Spraysets,3452.76,1346.58,,,0
CDM,SUP1896_272,Noncdm Charge Record Medical Supplies - Forceps Rad Jaw 4 100Cm 2.0Mm,358.11,139.66,,,0
CDM,SUP1896_A4649_272,Noncdm Charge Record Medical Supplies - Forceps Rad Jaw 4 100Cm 2.0Mm,358.11,139.66,,,0
CDM,SUP1896_A9999_272,Noncdm Charge Record Medical Supplies - Forceps Rad Jaw 4 100Cm 2.0Mm,358.11,139.66,,,0
CDM,SUP189725,Noncdm Charge Record Medical Supplies,3858.48,1504.81,,,0
CDM,SUP189726,Noncdm Charge Record Medical Supplies - Allograft Amnion Dual Layer Amniocore Burn 6X16Cm,12968.34,5057.65,,,0
CDM,SUP189780,Noncdm Charge Record Medical Supplies,276.86,107.98,,,0
CDM,SUP189781,Noncdm Charge Record Medical Supplies,4132.76,1611.78,,,0
CDM,SUP189782,Noncdm Charge Record Medical Supplies,9493.02,3702.28,,,0
CDM,SUP189783,Noncdm Charge Record Medical Supplies,12281.31,4789.71,,,0
CDM,SUP1898,Noncdm Charge Record Medical Supplies - Protector Lg Vlfm Xtrmt Ankle,217.35,84.77,,,0
CDM,SUP18981_272,Noncdm Charge Record Medical Supplies - Suture Surgilon 0 Gs-21 18In Black Covidien,124.33,48.49,,,0
CDM,SUP18981_A4649_272,Noncdm Charge Record Medical Supplies - Suture Surgilon 0 Gs-21 18In Black Covidien,134.55,52.47,,,0
CDM,SUP189856,Noncdm Charge Record Medical Supplies,152.15,59.34,,,0
CDM,SUP1899,Noncdm Charge Record Medical Supplies - Protector Med Foam Xtrmt Ankle,252.54,98.49,,,0
CDM,SUP18990,Noncdm Charge Record Medical Supplies - Suture Ticron 2-0 Cv-305 10X30In Blue And White Double Armed,129.38,50.46,,,0
CDM,SUP189940,Noncdm Charge Record Medical Supplies,76.65,29.89,,,0
CDM,SUP189942,Noncdm Charge Record Medical Supplies - Bone Graft Substitute 4Cc Spindle Drive Syringe Bg Putty,4446.36,1734.08,,,0
CDM,SUP189943,Noncdm Charge Record Medical Supplies - Screw Bone 4.5X46Mm Thread Self Cut Blunt Tip Sterile,1244.33,485.29,,,0
CDM,SUP189944,Noncdm Charge Record Medical Supplies - Plate Bone 76Mm 4 Hole Left Tibial Low Bend Sterile,6102.36,2379.92,,,0
CDM,SUP189958_C1762_278,Noncdm Charge Record Medical Supplies - Graft Human Tissue Sheet Amnioburn 9X20Cm,28034.01,10933.26,,,0
CDM,SUP189958_Q4100_278,Noncdm Charge Record Medical Supplies - Graft Human Tissue Sheet Amnioburn 9X20Cm,28878.41,11262.58,,,0
CDM,SUP18996,Noncdm Charge Record Medical Supplies - Suture Sofsilk 6-0 Se-140-8 18In Black Covidien,68.1,26.56,,,0
CDM,SUP190035,Noncdm Charge Record Medical Supplies,15211.4,5932.45,,,0
CDM,SUP190036,Noncdm Charge Record Medical Supplies,15211.4,5932.45,,,0
CDM,SUP190117,Noncdm Charge Record Medical Supplies - Catheter Imaging Cover 3Ml Purge Syringe Dragonfly Opstar,3747.74,1461.62,,,0
CDM,SUP190118_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurgical L6.5In Dia2.4Mm Tip L0.2In,21.74,8.48,,,0
CDM,SUP190118_A4649_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurgical L6.5In Dia2.4Mm Tip L0.2In,21.74,8.48,,,0
CDM,SUP190163_C1762_278,Noncdm Charge Record Medical Supplies - Amnioburn 7Cm X 15Cm - 10Pk,15467.04,6032.15,,,0
CDM,SUP190163_Q4100_278,Noncdm Charge Record Medical Supplies - Amnioburn 7Cm X 15Cm - 10Pk,15294.42,5964.82,,,0
CDM,SUP19017,Noncdm Charge Record Medical Supplies - Suture Surgipro 7-0 Cv1 18In Blue Double Armed Covidien,31.05,12.11,,,0
CDM,SUP19018,Noncdm Charge Record Medical Supplies,38.3,14.94,,,0
CDM,SUP19019,Noncdm Charge Record Medical Supplies - Suture Ticron 2-0 Y-31 8X30In Blue And White Covidien,239.6,93.44,,,0
CDM,SUP19020,Noncdm Charge Record Medical Supplies - Suture Ticron 2-0 Cv-305 10X30In Blue And White Double Armed,261.86,102.13,,,0
CDM,SUP19021,Noncdm Charge Record Medical Supplies - Suture Ticron 2-0 Y-31 8X30In Blue And White Covidien,213.66,83.33,,,0
CDM,SUP19022_272,Noncdm Charge Record Medical Supplies - Suture Ulbrd 2 38In Blu,101.37,39.53,,,0
CDM,SUP19022_A4649_272,Noncdm Charge Record Medical Supplies - Suture Ulbrd 2 38In Blu,101.43,39.56,,,0
CDM,SUP190312,Noncdm Charge Record Medical Supplies - Probe Cryoice Cryosphere 11In Cryos,11119.44,4336.58,,,0
CDM,SUP190313,Noncdm Charge Record Medical Supplies,11243.2,4384.85,,,0
CDM,SUP190428_272,Noncdm Charge Record Medical Supplies - Gastroscope Distal L103Cm Dia 9.9Mm Disposable Ascope,2442.11,952.42,,,0
CDM,SUP190428_A9999_272,Noncdm Charge Record Medical Supplies - Gastroscope Distal L103Cm Dia 9.9Mm Disposable Ascope,2442.6,952.61,,,0
CDM,SUP190481,Noncdm Charge Record Medical Supplies,391.23,152.58,,,0
CDM,SUP190482,Noncdm Charge Record Medical Supplies,430.97,168.08,,,0
CDM,SUP190483,Noncdm Charge Record Medical Supplies,433.66,169.13,,,0
CDM,SUP190484,Noncdm Charge Record Medical Supplies,440.91,171.95,,,0
CDM,SUP190487,Noncdm Charge Record Medical Supplies,391.23,152.58,,,0
CDM,SUP190488,Noncdm Charge Record Medical Supplies,391.23,152.58,,,0
CDM,SUP19049,Noncdm Charge Record Medical Supplies - Tubing Suct 15In Kamvac Std Crv Lf,328.1,127.96,,,0
CDM,SUP190491,Noncdm Charge Record Medical Supplies,407.79,159.04,,,0
CDM,SUP190492,Noncdm Charge Record Medical Supplies,428.49,167.11,,,0
CDM,SUP190493,Noncdm Charge Record Medical Supplies,434.7,169.53,,,0
CDM,SUP190494,Noncdm Charge Record Medical Supplies,416.03,162.25,,,0
CDM,SUP190498,Noncdm Charge Record Medical Supplies,430.77,168.0,,,0
CDM,SUP190499,Noncdm Charge Record Medical Supplies,416.07,162.27,,,0
CDM,SUP190500,Noncdm Charge Record Medical Supplies,416.07,162.27,,,0
CDM,SUP190502,Noncdm Charge Record Medical Supplies,421.04,164.21,,,0
CDM,SUP190503,Noncdm Charge Record Medical Supplies,424.25,165.46,,,0
CDM,SUP190504,Noncdm Charge Record Medical Supplies,421.88,164.53,,,0
CDM,SUP190505,Noncdm Charge Record Medical Supplies,416.15,162.3,,,0
CDM,SUP190506,Noncdm Charge Record Medical Supplies,434.7,169.53,,,0
CDM,SUP190508,Noncdm Charge Record Medical Supplies,416.07,162.27,,,0
CDM,SUP190509,Noncdm Charge Record Medical Supplies,391.23,152.58,,,0
CDM,SUP190510,Noncdm Charge Record Medical Supplies,440.56,171.82,,,0
CDM,SUP190513,Noncdm Charge Record Medical Supplies,406.13,158.39,,,0
CDM,SUP190514,Noncdm Charge Record Medical Supplies,429.19,167.38,,,0
CDM,SUP190515,Noncdm Charge Record Medical Supplies,429.42,167.47,,,0
CDM,SUP190516_272,Noncdm Charge Record Medical Supplies,391.75,152.78,,,0
CDM,SUP190516_C1725_272,Noncdm Charge Record Medical Supplies,418.11,163.06,,,0
CDM,SUP190517,Noncdm Charge Record Medical Supplies,440.91,171.95,,,0
CDM,SUP190519,Noncdm Charge Record Medical Supplies,440.91,171.95,,,0
CDM,SUP190522,Noncdm Charge Record Medical Supplies,421.04,164.21,,,0
CDM,SUP190523,Noncdm Charge Record Medical Supplies,426.64,166.39,,,0
CDM,SUP190524,Noncdm Charge Record Medical Supplies,424.1,165.4,,,0
CDM,SUP190525,Noncdm Charge Record Medical Supplies,417.69,162.9,,,0
CDM,SUP190526,Noncdm Charge Record Medical Supplies,391.23,152.58,,,0
CDM,SUP190527,Noncdm Charge Record Medical Supplies,405.42,158.11,,,0
CDM,SUP190528,Noncdm Charge Record Medical Supplies,416.07,162.27,,,0
CDM,SUP190529,Noncdm Charge Record Medical Supplies,424.35,165.5,,,0
CDM,SUP190530,Noncdm Charge Record Medical Supplies,411.1,160.33,,,0
CDM,SUP190531,Noncdm Charge Record Medical Supplies,413.81,161.39,,,0
CDM,SUP190532,Noncdm Charge Record Medical Supplies,418.94,163.39,,,0
CDM,SUP190533,Noncdm Charge Record Medical Supplies,440.91,171.95,,,0
CDM,SUP190534,Noncdm Charge Record Medical Supplies,411.1,160.33,,,0
CDM,SUP190535,Noncdm Charge Record Medical Supplies,391.23,152.58,,,0
CDM,SUP190536,Noncdm Charge Record Medical Supplies,407.79,159.04,,,0
CDM,SUP190537,Noncdm Charge Record Medical Supplies,401.17,156.46,,,0
CDM,SUP190538,Noncdm Charge Record Medical Supplies,440.91,171.95,,,0
CDM,SUP190539,Noncdm Charge Record Medical Supplies,440.91,171.95,,,0
CDM,SUP190655,Noncdm Charge Record Medical Supplies - Disp Firstpass Str Passr Self,2429.19,947.38,,,0
CDM,SUP190656,Noncdm Charge Record Medical Supplies - Sheath Introducer Short Needle J Floppy Prelude L4Cm Od5Fr,143.86,56.11,,,0
CDM,SUP190657,Noncdm Charge Record Medical Supplies - Sheath Adult 6Fr L4Cm Green Radial Permanent,143.86,56.11,,,0
CDM,SUP190658,Noncdm Charge Record Medical Supplies - Introducer Sheath L4Cm Od7Fr Needle L4Cm Od21Ga,143.86,56.11,,,0
CDM,SUP19073,Noncdm Charge Record Medical Supplies - Catheter Iv Intro Sfty Strt 18 18Gax1-3-4,6.21,2.42,,,0
CDM,SUP190751,Noncdm Charge Record Medical Supplies,42.44,16.55,,,0
CDM,SUP190753,Noncdm Charge Record Medical Supplies,2670.92,1041.66,,,0
CDM,SUP190754,Noncdm Charge Record Medical Supplies,47126.66,18379.4,,,0
CDM,SUP190755,Noncdm Charge Record Medical Supplies,7864.55,3067.17,,,0
CDM,SUP19076,Noncdm Charge Record Medical Supplies - Catheter Ventri Anmc 23Cm,2213.86,863.41,,,0
CDM,SUP19077,Noncdm Charge Record Medical Supplies - Catheter Dist Anmc 120Cm,2047.52,798.53,,,0
CDM,SUP19078,Noncdm Charge Record Medical Supplies - Kit Cath Impreg Antibiotic,3132.92,1221.84,,,0
CDM,SUP19079_272,Noncdm Charge Record Medical Supplies - Trocar Vrsprt V2T Bladeless 5Mm Optc,80.73,31.48,,,0
CDM,SUP19079_A4649_272,Noncdm Charge Record Medical Supplies - Trocar Vrsprt V2T Bladeless 5Mm Optc,80.73,31.48,,,0
CDM,SUP19079_A9999_272,Noncdm Charge Record Medical Supplies - Trocar Vrsprt V2T Bladeless 5Mm Optc,80.73,31.48,,,0
CDM,SUP19080,Noncdm Charge Record Medical Supplies - Line Press F- Mps Bkup Sys Disp,91.08,35.52,,,0
CDM,SUP19081,Noncdm Charge Record Medical Supplies - Burr Surg Heliocoidal Rasp,690.49,269.29,,,0
CDM,SUP19083_272,Noncdm Charge Record Medical Supplies - Suture V-Loc 0 Gs-25 24In Covidien,147.03,57.34,,,0
CDM,SUP19083_A4649_272,Noncdm Charge Record Medical Supplies - Suture V-Loc 0 Gs-25 24In Covidien,146.97,57.32,,,0
CDM,SUP19089,Noncdm Charge Record Medical Supplies - Arctic Front 28Mm Catheter,19400.04,7566.02,,,0
CDM,SUP19091_272,Noncdm Charge Record Medical Supplies - Cable Coaxial Umb,426.42,166.3,,,0
CDM,SUP19091_A4649_272,Noncdm Charge Record Medical Supplies - Cable Coaxial Umb,426.42,166.3,,,0
CDM,SUP19091_A9999_272,Noncdm Charge Record Medical Supplies - Cable Coaxial Umb,426.42,166.3,,,0
CDM,SUP19092_272,Noncdm Charge Record Medical Supplies - Cable Elec Umb,874.59,341.09,,,0
CDM,SUP19092_A4649_272,Noncdm Charge Record Medical Supplies - Cable Elec Umb,874.58,341.09,,,0
CDM,SUP19092_A9999_272,Noncdm Charge Record Medical Supplies - Cable Elec Umb,874.58,341.09,,,0
CDM,SUP190990,Noncdm Charge Record Medical Supplies - Oxygenator Smart Ecmo Nautilus W Bundle Ec Membrane W Pres 0,17636.4,6878.2,,,0
CDM,SUP190991_272,Noncdm Charge Record Medical Supplies,10.2,3.98,,,0
CDM,SUP190991_A4649_272,Noncdm Charge Record Medical Supplies,10.35,4.04,,,0
CDM,SUP19109_272,Noncdm Charge Record Medical Supplies - Suture V-Loc 3-0 P-14 18In Covidien,131.48,51.28,,,0
CDM,SUP19109_A4649_272,Noncdm Charge Record Medical Supplies - Suture V-Loc 3-0 P-14 18In Covidien,131.44,51.26,,,0
CDM,SUP19113_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 3-0 30In Green Ties Ethicon,10.39,4.05,,,0
CDM,SUP19113_A4649_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 3-0 30In Green Ties Ethicon,10.35,4.04,,,0
CDM,SUP19113_A9999_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 3-0 30In Green Ties Ethicon,10.35,4.04,,,0
CDM,SUP19114,Noncdm Charge Record Medical Supplies - Catheter Solent Proxi 3Mm 90Cm,7015.23,2735.94,,,0
CDM,SUP19117,Noncdm Charge Record Medical Supplies,18.63,7.27,,,0
CDM,SUP19119,Noncdm Charge Record Medical Supplies - Suture Plain Gut 6-0 18In Covidien,77.62,30.27,,,0
CDM,SUP191229,Noncdm Charge Record Medical Supplies - Surstp Tempsens Coude Cath16Fr,142.82,55.7,,,0
CDM,SUP19125,Noncdm Charge Record Medical Supplies - Suture V-Loc 2-0 V-20 12In Covidien,115.08,44.88,,,0
CDM,SUP191333,Noncdm Charge Record Medical Supplies,414.0,161.46,,,0
CDM,SUP19134,Noncdm Charge Record Medical Supplies - Screw Bn Cannula Lck Va 5Mm 65 Mm,1121.59,437.42,,,0
CDM,SUP191366,Noncdm Charge Record Medical Supplies - Electrode Cautery L6.5In Ptfe Modified Blade Tip Extended,44.5,17.36,,,0
CDM,SUP19137,Noncdm Charge Record Medical Supplies - Plate 128Mm Ss 3.5Mm 8Hl Strl L Low Bend Lcp Strl,6386.98,2490.92,,,0
CDM,SUP19138,Noncdm Charge Record Medical Supplies - Introducer Checkflo 16F 13Cm,248.4,96.88,,,0
CDM,SUP19141,Noncdm Charge Record Medical Supplies - Plate 94Mm Ss3.5Mm 4Hl Rt Strl Lcp Bn Rt Prox Strl,6471.16,2523.75,,,0
CDM,SUP19144,Noncdm Charge Record Medical Supplies - Plate Olcrn3.5-2.7Mm2Hlva Strl Lcp Lt Strl,4379.21,1707.89,,,0
CDM,SUP19145,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 20Mm St T8 Strd R Acc Va Lck,588.38,229.47,,,0
CDM,SUP191461,Noncdm Charge Record Medical Supplies - Catheter Interventional Adult 4Fr L40Cm Diagnostic Ka 2,59.0,23.01,,,0
CDM,SUP191462,Noncdm Charge Record Medical Supplies,171.81,67.01,,,0
CDM,SUP19147,Noncdm Charge Record Medical Supplies - Clamp Cmbn Sm Fx Mtrl,1505.92,587.31,,,0
CDM,SUP19148_272,Noncdm Charge Record Medical Supplies - Adhesive Histoacryl Top Clr,80.73,31.48,,,0
CDM,SUP19148_A4649_272,Noncdm Charge Record Medical Supplies - Adhesive Histoacryl Top Clr,80.73,31.48,,,0
CDM,SUP19149_272,Noncdm Charge Record Medical Supplies - See 97197 Adhesive Histoacryl Aesculap,89.65,34.96,,,0
CDM,SUP19149_A4649_272,Noncdm Charge Record Medical Supplies - See 97197 Adhesive Histoacryl Aesculap,84.87,33.1,,,0
CDM,SUP19149_A9999_272,Noncdm Charge Record Medical Supplies - See 97197 Adhesive Histoacryl Aesculap,84.87,33.1,,,0
CDM,SUP19150_272,Noncdm Charge Record Medical Supplies - Device Securestrap Fx Abs 5Mm,3815.57,1488.07,,,0
CDM,SUP19150_A4649_272,Noncdm Charge Record Medical Supplies - Device Securestrap Fx Abs 5Mm,3938.18,1535.89,,,0
CDM,SUP19154_272,Noncdm Charge Record Medical Supplies - Suture V-Loc 0 Gs-21 9In Covidien,113.81,44.39,,,0
CDM,SUP19154_A4649_272,Noncdm Charge Record Medical Supplies - Suture V-Loc 0 Gs-21 9In Covidien,113.85,44.4,,,0
CDM,SUP19154_A9999_272,Noncdm Charge Record Medical Supplies - Suture V-Loc 0 Gs-21 9In Covidien,113.85,44.4,,,0
CDM,SUP19155,Noncdm Charge Record Medical Supplies - Plate 370Mm 4.5Mm Condy 18Hl V A Lcp Crv Rt,11569.23,4512.0,,,0
CDM,SUP191559_272,Noncdm Charge Record Medical Supplies - Kit Guide Sheath With Forceps Brush Stopper For Bronchoscope,1273.05,496.49,,,0
CDM,SUP191559_A4649_272,Noncdm Charge Record Medical Supplies,1273.05,496.49,,,0
CDM,SUP191560,Noncdm Charge Record Medical Supplies - Needle Bronchoscope 21Ga L2Cm Periview Flex Tbna Ndl,1367.24,533.22,,,0
CDM,SUP191561,Noncdm Charge Record Medical Supplies,929.43,362.48,,,0
CDM,SUP19159,Noncdm Charge Record Medical Supplies - Kit Maxess 4,8318.3,3244.14,,,0
CDM,SUP19160,Noncdm Charge Record Medical Supplies - Module Emg M5 Ndl,5679.04,2214.83,,,0
CDM,SUP19163,Noncdm Charge Record Medical Supplies - Tissue Decellularized Derm Matracell 10X70Mm,9795.24,3820.14,,,0
CDM,SUP1916_272,Noncdm Charge Record Medical Supplies - See 156192 Quick Combo Defib Adlt 24In Pad,33.13,12.92,,,0
CDM,SUP1916_A4649_272,Noncdm Charge Record Medical Supplies - See 156192 Quick Combo Defib Adlt 24In Pad,33.12,12.92,,,0
CDM,SUP1916_A9999_272,Noncdm Charge Record Medical Supplies - See 156192 Quick Combo Defib Adlt 24In Pad,33.12,12.92,,,0
CDM,SUP19173,Noncdm Charge Record Medical Supplies - Electrode Button Rcsct 24Fr,2229.39,869.46,,,0
CDM,SUP191783_270,Noncdm Charge Record Medical Supplies - Aveta Waste Bag. 6L For Use With Aveta System,48.64,18.97,,,0
CDM,SUP191783_272,Noncdm Charge Record Medical Supplies - Aveta Waste Bag. 6L For Use With Aveta System,48.65,18.97,,,0
CDM,SUP191783_A4649_272,Noncdm Charge Record Medical Supplies - Aveta Waste Bag. 6L For Use With Aveta System,48.77,19.02,,,0
CDM,SUP191783_A9999_272,Noncdm Charge Record Medical Supplies - Aveta Waste Bag. 6L For Use With Aveta System,48.64,18.97,,,0
CDM,SUP191784_272,Noncdm Charge Record Medical Supplies - Accessory Fluid Management For Intrauterine Tissue Removal,636.52,248.24,,,0
CDM,SUP191784_A4649_272,Noncdm Charge Record Medical Supplies - Accessory Fluid Management For Intrauterine Tissue Removal,636.52,248.24,,,0
CDM,SUP191784_A9999_272,Noncdm Charge Record Medical Supplies - Accessory Fluid Management For Intrauterine Tissue Removal,636.52,248.24,,,0
CDM,SUP191785_270,Noncdm Charge Record Medical Supplies - Aveta Waste Management Accessory,293.94,114.64,,,0
CDM,SUP191785_272,Noncdm Charge Record Medical Supplies - Aveta Waste Management Accessory,253.97,99.05,,,0
CDM,SUP191785_A4649_272,Noncdm Charge Record Medical Supplies - Aveta Waste Management Accessory,245.3,95.67,,,0
CDM,SUP191785_A9999_272,Noncdm Charge Record Medical Supplies - Aveta Waste Management Accessory,293.94,114.64,,,0
CDM,SUP191786_272,Noncdm Charge Record Medical Supplies - Resector Endoscopic 2.9Mm Flexible Disposable,3527.28,1375.64,,,0
CDM,SUP191786_A4649_272,Noncdm Charge Record Medical Supplies - Resector Endoscopic 2.9Mm Flexible Disposable,3527.28,1375.64,,,0
CDM,SUP191786_A9999_272,Noncdm Charge Record Medical Supplies - Resector Endoscopic 2.9Mm Flexible Disposable,3527.28,1375.64,,,0
CDM,SUP191787_272,Noncdm Charge Record Medical Supplies - Resector Endoscopic 3.9Mm Hard Dense Fibroid Aveta Wave,4364.61,1702.2,,,0
CDM,SUP191787_A4649_272,Noncdm Charge Record Medical Supplies - Resector Endoscopic 3.9Mm Hard Dense Fibroid Aveta Wave,4364.6,1702.19,,,0
CDM,SUP191788_272,Noncdm Charge Record Medical Supplies - Resector Endoscopic 2.9Mm Soft Tissue Polyp Aveta Smol,2645.46,1031.73,,,0
CDM,SUP191788_A4649_272,Noncdm Charge Record Medical Supplies - Resector Endoscopic 2.9Mm Soft Tissue Polyp Aveta Smol,2645.46,1031.73,,,0
CDM,SUP191788_A9999_272,Noncdm Charge Record Medical Supplies - Resector Endoscopic 2.9Mm Soft Tissue Polyp Aveta Smol,2645.46,1031.73,,,0
CDM,SUP191789_272,Noncdm Charge Record Medical Supplies - Hysteroscope Dia5.7Mm Aveta 4Mm Pearl Disposable,1224.36,477.5,,,0
CDM,SUP191789_A4649_272,Noncdm Charge Record Medical Supplies - Hysteroscope Dia5.7Mm Aveta 4Mm Pearl Disposable,1224.4,477.52,,,0
CDM,SUP191790_272,Noncdm Charge Record Medical Supplies - Hysteroscope Dia4.6Mm Aveta 3Mm Coral Disposable,1224.39,477.51,,,0
CDM,SUP191790_A4649_272,Noncdm Charge Record Medical Supplies - Hysteroscope Dia4.6Mm Aveta 3Mm Coral Disposable,1224.4,477.52,,,0
CDM,SUP191790_A9999_272,Noncdm Charge Record Medical Supplies - Hysteroscope Dia4.6Mm Aveta 3Mm Coral Disposable,1224.4,477.52,,,0
CDM,SUP191846,Noncdm Charge Record Medical Supplies - Valve Shunt Programmable Cylin Cylindrical L14Cm,21750.52,8482.7,,,0
CDM,SUP191847,Noncdm Charge Record Medical Supplies,19333.8,7540.18,,,0
CDM,SUP191848,Noncdm Charge Record Medical Supplies,3653.55,1424.88,,,0
CDM,SUP19185,Noncdm Charge Record Medical Supplies - Stapler Intnl Entact Spt Sgl Use,2489.32,970.83,,,0
CDM,SUP191871,Noncdm Charge Record Medical Supplies - Patch Duraguard W2Xl9Cm Repair Bovine Pericardium Radial,1712.67,667.94,,,0
CDM,SUP191872,Noncdm Charge Record Medical Supplies - Patch Duraguard W4Xl4Cm Repair Pericardium Glutaraldehyde No,1901.71,741.67,,,0
CDM,SUP191873,Noncdm Charge Record Medical Supplies - Patch Duraguard W6Xl8Cm Repair Bovine Pericardium Glutaralde,2673.4,1042.63,,,0
CDM,SUP191874,Noncdm Charge Record Medical Supplies,3575.92,1394.61,,,0
CDM,SUP191891_272,Noncdm Charge Record Medical Supplies - Strl Water For Irr Srb 500Ml,26.91,10.49,,,0
CDM,SUP191891_A4649_272,Noncdm Charge Record Medical Supplies - Strl Water For Irr Srb 500Ml,26.91,10.49,,,0
CDM,SUP191891_A9999_272,Noncdm Charge Record Medical Supplies - Strl Water For Irr Srb 500Ml,26.91,10.49,,,0
CDM,SUP19190,Noncdm Charge Record Medical Supplies - Screw Bn Lock Va St 5Mm 38Mm,830.07,323.73,,,0
CDM,SUP19191,Noncdm Charge Record Medical Supplies - Screw Bn Lck Va St 5Mm 60Mm,830.07,323.73,,,0
CDM,SUP19192,Noncdm Charge Record Medical Supplies - Plate 336Mm 4.5Mm Condy 16Hl V A Lcp Crv Lt Strl,10136.79,3953.35,,,0
CDM,SUP191952,Noncdm Charge Record Medical Supplies - Restoreflow Saphenous Vein 85Cm - 100Cm,64867.15,25298.19,,,0
CDM,SUP191953,Noncdm Charge Record Medical Supplies - Runthrough Izanai Blue 180Cm,391.34,152.62,,,0
CDM,SUP191954,Noncdm Charge Record Medical Supplies,391.75,152.78,,,0
CDM,SUP191955,Noncdm Charge Record Medical Supplies,391.29,152.6,,,0
CDM,SUP191956,Noncdm Charge Record Medical Supplies - Finecross M3 Microguide 2.5Fr 130Cm,2291.46,893.67,,,0
CDM,SUP191957,Noncdm Charge Record Medical Supplies,2291.45,893.67,,,0
CDM,SUP1920,Noncdm Charge Record Medical Supplies - See 158205 Bag Drain 2L Dsabg Anrflx,12.42,4.84,,,0
CDM,SUP19202_272,Noncdm Charge Record Medical Supplies - Suture Prolene 4-0 Ps-2 G 18In Ethicon,28.52,11.12,,,0
CDM,SUP19202_A4649_272,Noncdm Charge Record Medical Supplies - Suture Prolene 4-0 Ps-2 G 18In Ethicon,27.94,10.9,,,0
CDM,SUP19202_A9999_272,Noncdm Charge Record Medical Supplies - Suture Prolene 4-0 Ps-2 G 18In Ethicon,28.98,11.3,,,0
CDM,SUP192045,Noncdm Charge Record Medical Supplies - Patch Duraguard W10X16Cm Bovine Pericardium,3925.83,1531.07,,,0
CDM,SUP19207,Noncdm Charge Record Medical Supplies - Pin 2.5Mm 200Mm Algn L Strl,773.14,301.52,,,0
CDM,SUP1921,Noncdm Charge Record Medical Supplies - Electrode Elctsg Ylw 24Fr .015,336.38,131.19,,,0
CDM,SUP19210,Noncdm Charge Record Medical Supplies - Screw Calcaneous Thrd 5X70Mm,1017.34,396.76,,,0
CDM,SUP19211,Noncdm Charge Record Medical Supplies - Screw Calcaneous Thrd 5Mmx40Mm,1029.95,401.68,,,0
CDM,SUP19212,Noncdm Charge Record Medical Supplies - Screw Calcaneous Thrd 5Mmx25Mm,1107.66,431.99,,,0
CDM,SUP19213,Noncdm Charge Record Medical Supplies - Screw Calcaneous Thrd 5Mmx45Mm Head,1107.45,431.91,,,0
CDM,SUP19215,Noncdm Charge Record Medical Supplies - Cap Lck End 0Mm,954.27,372.17,,,0
CDM,SUP19216,Noncdm Charge Record Medical Supplies - Reamer Entry 13Mm,1118.84,436.35,,,0
CDM,SUP19217,Noncdm Charge Record Medical Supplies - Reamer Entry 9Mm,1118.84,436.35,,,0
CDM,SUP192191,Noncdm Charge Record Medical Supplies,5511.38,2149.44,,,0
CDM,SUP19224,Noncdm Charge Record Medical Supplies - Cap Knee K1 Zimmer,16428.56,6407.14,,,0
CDM,SUP19226,Noncdm Charge Record Medical Supplies,20411.24,7960.38,,,0
CDM,SUP19230,Noncdm Charge Record Medical Supplies - Hip Dep Total Cap Noncement H2,19939.96,7776.58,,,0
CDM,SUP192324,Noncdm Charge Record Medical Supplies,6162.65,2403.43,,,0
CDM,SUP192325,Noncdm Charge Record Medical Supplies,6195.6,2416.28,,,0
CDM,SUP192326,Noncdm Charge Record Medical Supplies,6525.16,2544.81,,,0
CDM,SUP192327,Noncdm Charge Record Medical Supplies,5800.14,2262.05,,,0
CDM,SUP192328,Noncdm Charge Record Medical Supplies,1464.52,571.16,,,0
CDM,SUP192329,Noncdm Charge Record Medical Supplies,1270.98,495.68,,,0
CDM,SUP192331,Noncdm Charge Record Medical Supplies,1464.52,571.16,,,0
CDM,SUP19240,Noncdm Charge Record Medical Supplies - Bone Canc Cort 15Cc 1-4Mm,902.52,351.98,,,0
CDM,SUP19244,Noncdm Charge Record Medical Supplies - Plate 301Mm 4.5Mm Condy 14Hl V A Lcp Crv Lt Strl,9649.82,3763.43,,,0
CDM,SUP192440,Noncdm Charge Record Medical Supplies,6639.63,2589.46,,,0
CDM,SUP192441,Noncdm Charge Record Medical Supplies,6214.44,2423.63,,,0
CDM,SUP192442,Noncdm Charge Record Medical Supplies,6525.16,2544.81,,,0
CDM,SUP192443,Noncdm Charge Record Medical Supplies,6090.15,2375.16,,,0
CDM,SUP192444,Noncdm Charge Record Medical Supplies,6835.88,2665.99,,,0
CDM,SUP192445,Noncdm Charge Record Medical Supplies,1239.31,483.33,,,0
CDM,SUP19245,Noncdm Charge Record Medical Supplies - Screw Bn Lock Lck Va St 5X85Mm,829.86,323.65,,,0
CDM,SUP19249,Noncdm Charge Record Medical Supplies - Guidewire Entry 3.2Mm,486.8,189.85,,,0
CDM,SUP192492,Noncdm Charge Record Medical Supplies,11022.75,4298.87,,,0
CDM,SUP192493_272,Noncdm Charge Record Medical Supplies - Band Vascular Compression 30Cm Regular Zephyr,122.17,47.65,,,0
CDM,SUP192493_A4649_272,Noncdm Charge Record Medical Supplies - Band Vascular Compression 30Cm Regular Zephyr,122.13,47.63,,,0
CDM,SUP192493_A9999_272,Noncdm Charge Record Medical Supplies - Band Vascular Compression 30Cm Regular Zephyr,122.13,47.63,,,0
CDM,SUP192494,Noncdm Charge Record Medical Supplies,1472.8,574.39,,,0
CDM,SUP192495,Noncdm Charge Record Medical Supplies,3051.7,1190.16,,,0
CDM,SUP192496,Noncdm Charge Record Medical Supplies - Catheter Angiography 4Fr L 100Cm Glidecath,247.24,96.42,,,0
CDM,SUP192497,Noncdm Charge Record Medical Supplies,10.35,4.04,,,0
CDM,SUP192498,Noncdm Charge Record Medical Supplies,86.59,33.77,,,0
CDM,SUP192499,Noncdm Charge Record Medical Supplies,12.42,4.84,,,0
CDM,SUP19250,Noncdm Charge Record Medical Supplies - Bit Drill Calib Entry 4.3Mm,822.82,320.9,,,0
CDM,SUP192500,Noncdm Charge Record Medical Supplies,12.42,4.84,,,0
CDM,SUP192501,Noncdm Charge Record Medical Supplies,259.79,101.32,,,0
CDM,SUP192502,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP192555,Noncdm Charge Record Medical Supplies - Catheter Thrombectomy 4-10Mmx65Cm Inthrill,9700.02,3783.01,,,0
CDM,SUP192556,Noncdm Charge Record Medical Supplies - Sheath Thrombectomy 8Fr 6Cm Inthrill,7936.38,3095.19,,,0
CDM,SUP192557,Noncdm Charge Record Medical Supplies,6928.81,2702.24,,,0
CDM,SUP19258,Noncdm Charge Record Medical Supplies - Device Ck Cor-Knot Lf,3697.92,1442.19,,,0
CDM,SUP19260,Noncdm Charge Record Medical Supplies - Screw Bn Lck Va St 5Mm 70Mm,845.6,329.78,,,0
CDM,SUP19261,Noncdm Charge Record Medical Supplies - Plate 266Mm 4.5Mm Condy 12Hl V A Lcp Crv Lt,8524.26,3324.46,,,0
CDM,SUP192841_272,Noncdm Charge Record Medical Supplies,310.04,120.92,,,0
CDM,SUP192841_A4649_272,Noncdm Charge Record Medical Supplies,309.23,120.6,,,0
CDM,SUP192841_A9999_272,Noncdm Charge Record Medical Supplies,322.92,125.94,,,0
CDM,SUP192842,Noncdm Charge Record Medical Supplies - Pack Spine Wellstar Ws370B,405.93,158.31,,,0
CDM,SUP192843_272,Noncdm Charge Record Medical Supplies,421.4,164.35,,,0
CDM,SUP192843_A4649_272,Noncdm Charge Record Medical Supplies,423.6,165.2,,,0
CDM,SUP192843_A9999_272,Noncdm Charge Record Medical Supplies,416.07,162.27,,,0
CDM,SUP192844,Noncdm Charge Record Medical Supplies - Pack Ob Wellstar Ws140B,128.34,50.05,,,0
CDM,SUP19285_272,Noncdm Charge Record Medical Supplies - Suture Prolene 4-0 P-3 18In Ethicon,28.76,11.22,,,0
CDM,SUP19285_A9999_272,Noncdm Charge Record Medical Supplies - Suture Prolene 4-0 P-3 18In Ethicon,28.98,11.3,,,0
CDM,SUP1928_272,Noncdm Charge Record Medical Supplies - Ear Tube Ventilation 9.5Mm 4.5Mm 1.27Mm Goode T-Tube Modifie,184.26,71.86,,,0
CDM,SUP1928_A4649_272,Noncdm Charge Record Medical Supplies - Ear Tube Ventilation 9.5Mm 4.5Mm 1.27Mm Goode T-Tube Modifie,187.34,73.06,,,0
CDM,SUP192956,Noncdm Charge Record Medical Supplies - Tubing Infiltration L15.5Ft Iv Od0.16In Id0.11In,71.66,27.95,,,0
CDM,SUP19297,Noncdm Charge Record Medical Supplies - Guide Convey 5 Fr Jr 4,269.1,104.95,,,0
CDM,SUP193004_270,Noncdm Charge Record Medical Supplies - System Activation Card Cardiov Cardiovascular Ultrasound Ima,1875.42,731.41,,,0
CDM,SUP193004_272,Noncdm Charge Record Medical Supplies - System Activation Card Cardiov Cardiovascular Ultrasound Ima,1875.42,731.41,,,0
CDM,SUP19304_C1713_278,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 22Mm St T8 Strd R Acc Va Lck,585.02,228.16,,,0
CDM,SUP19304_L8699_278,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 22Mm St T8 Strd R Acc Va Lck,664.47,259.14,,,0
CDM,SUP19305,Noncdm Charge Record Medical Supplies - Plate 73Mm 2Hl Ss 3.5Mm 2.7Mm Va Lcp Lt,3705.13,1445.0,,,0
CDM,SUP19308,Noncdm Charge Record Medical Supplies - Wire K Bvl Tip Precept Nitenol,252.54,98.49,,,0
CDM,SUP193099_272,Noncdm Charge Record Medical Supplies - Angiocath Iv Catheter Orange 14G X 1.88,25.28,9.86,,,0
CDM,SUP193099_A4649_272,Noncdm Charge Record Medical Supplies,18.63,7.27,,,0
CDM,SUP193099_A9999_272,Noncdm Charge Record Medical Supplies - Angiocath Iv Catheter Orange 14G X 1.88,18.63,7.27,,,0
CDM,SUP1931,Noncdm Charge Record Medical Supplies - Crutches Tall Adlt Pshbtn,54.79,21.37,,,0
CDM,SUP193172,Noncdm Charge Record Medical Supplies - Probe Ablation 15-17Ga L15Cm Tapered Open Surgical Pr,8523.11,3324.01,,,0
CDM,SUP1932,Noncdm Charge Record Medical Supplies - Crutches Adlt Pshbtn,56.55,22.05,,,0
CDM,SUP193226,Noncdm Charge Record Medical Supplies,21.74,8.48,,,0
CDM,SUP19323,Noncdm Charge Record Medical Supplies - Suture Surgipro 4-0 Cvf-21 24In Covidien,23.8,9.28,,,0
CDM,SUP19325,Noncdm Charge Record Medical Supplies - Screw Bn Lck Va St 5Mm 18Mm,1191.29,464.6,,,0
CDM,SUP19326,Noncdm Charge Record Medical Supplies - Screw Bn Lck Va St 5Mm 14Mm,1191.29,464.6,,,0
CDM,SUP19327,Noncdm Charge Record Medical Supplies - Screw Bn Lck Va St 5Mm 12Mm,1193.36,465.41,,,0
CDM,SUP19328,Noncdm Charge Record Medical Supplies - Screw Bn Lck Va St 5Mm 65Mm,843.87,329.11,,,0
CDM,SUP193284,Noncdm Charge Record Medical Supplies - Indigo Catheter 7 130Cm Torq Lightning Bolt Aspiration Tube,35360.78,13790.7,,,0
CDM,SUP193294,Noncdm Charge Record Medical Supplies,2296.66,895.7,,,0
CDM,SUP193295,Noncdm Charge Record Medical Supplies,1457.28,568.34,,,0
CDM,SUP193296,Noncdm Charge Record Medical Supplies,1107.35,431.87,,,0
CDM,SUP19332,Noncdm Charge Record Medical Supplies - Component Tibplt Sz 1 Stem,22965.62,8956.59,,,0
CDM,SUP19338,Noncdm Charge Record Medical Supplies - Valve Aort 29Mm Msc Ul Biopros,24761.34,9656.92,,,0
CDM,SUP19339,Noncdm Charge Record Medical Supplies - Suture Ticron 2-0 Cv-305 8X36In Blue And White Double Armed,199.76,77.91,,,0
CDM,SUP19340,Noncdm Charge Record Medical Supplies - Bit Drill Indpd Strt,1757.43,685.4,,,0
CDM,SUP19341,Noncdm Charge Record Medical Supplies - Bit Drill Indpd Ang,1027.76,400.83,,,0
CDM,SUP19343,Noncdm Charge Record Medical Supplies - Catheter Picc Dual Tunneled,1561.82,609.11,,,0
CDM,SUP193446,Noncdm Charge Record Medical Supplies,871.47,339.87,,,0
CDM,SUP193476_272,Noncdm Charge Record Medical Supplies - Snare Endoscopic 10Mm Thin Wire Oval Cold,33.29,12.98,,,0
CDM,SUP193476_A4649_272,Noncdm Charge Record Medical Supplies - Snare Endoscopic 10Mm Thin Wire Oval Cold,32.92,12.84,,,0
CDM,SUP193476_A9999_272,Noncdm Charge Record Medical Supplies - Snare Endoscopic 10Mm Thin Wire Oval Cold,34.16,13.32,,,0
CDM,SUP193477_272,Noncdm Charge Record Medical Supplies,32.96,12.85,,,0
CDM,SUP193477_A4649_272,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP193478_272,Noncdm Charge Record Medical Supplies - Snare Endoscopic 10Mm Diamond Thin Wire,32.08,12.51,,,0
CDM,SUP193478_A4649_272,Noncdm Charge Record Medical Supplies - Snare Endoscopic 10Mm Diamond Thin Wire,32.08,12.51,,,0
CDM,SUP193478_A9999_272,Noncdm Charge Record Medical Supplies - Snare Endoscopic 10Mm Diamond Thin Wire,32.08,12.51,,,0
CDM,SUP193479,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP19348,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 50Mm St T8 Strd R Acc Va Lck,592.68,231.15,,,0
CDM,SUP19349_C1713_278,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 48Mm St T8 Strd R Acc Va Lck,585.59,228.38,,,0
CDM,SUP19349_L8699_278,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 48Mm St T8 Strd R Acc Va Lck,664.47,259.14,,,0
CDM,SUP1935,Noncdm Charge Record Medical Supplies - Anchor Suture 4.75Mmx19.1Mm Biocomposite Cls Arthrex,2178.44,849.59,,,0
CDM,SUP193506,Noncdm Charge Record Medical Supplies - Dissector 5Mm-13Cm 7 Curved Ultrasonic,317.74,123.92,,,0
CDM,SUP193507_272,Noncdm Charge Record Medical Supplies - Dissector 5Mm-26Cm 7 Curved Ultrasonic,1714.6,668.69,,,0
CDM,SUP193507_A4649_272,Noncdm Charge Record Medical Supplies - Dissector 5Mm-26Cm 7 Curved Ultrasonic,1909.58,744.74,,,0
CDM,SUP193507_A9999_272,Noncdm Charge Record Medical Supplies - Dissector 5Mm-26Cm 7 Curved Ultrasonic,1909.58,744.74,,,0
CDM,SUP19350_C1713_278,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 24Mm St T8 Strd R Acc Va Lck,589.26,229.81,,,0
CDM,SUP19350_L8699_278,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 24Mm St T8 Strd R Acc Va Lck,596.68,232.71,,,0
CDM,SUP19351_C1713_278,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 28Mm St T8 Strd R Acc Va Lck,581.61,226.83,,,0
CDM,SUP19351_L8699_278,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 28Mm St T8 Strd R Acc Va Lck,664.47,259.14,,,0
CDM,SUP19352,Noncdm Charge Record Medical Supplies - Plate 90Mm Olcrn 3.5Mm 2.7Mm 2 Hl Va Lcp Rt Strl,4374.22,1705.95,,,0
CDM,SUP19353,Noncdm Charge Record Medical Supplies - Stabilizer Octps Nuvo Tissue,5710.1,2226.94,,,0
CDM,SUP19354,Noncdm Charge Record Medical Supplies - Plate 88Mm 2.7Mm 3.5Mm Va Lcp Dist Hum 4Hl Med,4919.35,1918.55,,,0
CDM,SUP19355,Noncdm Charge Record Medical Supplies - Plate 111Mm 2.7Mm 3.5Mm Va Lcp Dist Hum 4Hl Rt Med,5135.67,2002.91,,,0
CDM,SUP19356,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 20Mm Aqls,1037.07,404.46,,,0
CDM,SUP19358,Noncdm Charge Record Medical Supplies - Anchor Suture 4.75X19.1Mm Swivelock Tigertape Blue Arthrex,2524.54,984.57,,,0
CDM,SUP19359,Noncdm Charge Record Medical Supplies - Plate 128Mm Ss 3.5Mm Screw 8 H L Lt Low Bend Lcp Strl,6386.98,2490.92,,,0
CDM,SUP1936,Noncdm Charge Record Medical Supplies - Anchor Suture 4.75X19.1Mm Swivelock Arthex,2014.42,785.62,,,0
CDM,SUP193614_272,Noncdm Charge Record Medical Supplies - Catheter Reperfusion 43 Red,10547.95,4113.7,,,0
CDM,SUP193614_C1887_272,Noncdm Charge Record Medical Supplies - Catheter Reperfusion 43 Red,10659.86,4157.35,,,0
CDM,SUP193615_272,Noncdm Charge Record Medical Supplies - Catheter Reperfusion Kit 43 Red,12323.74,4806.26,,,0
CDM,SUP193615_C1757_272,Noncdm Charge Record Medical Supplies - Catheter Reperfusion Kit 43 Red,12323.74,4806.26,,,0
CDM,SUP193615_C1887_272,Noncdm Charge Record Medical Supplies - Catheter Reperfusion Kit 43 Red,12235.42,4771.81,,,0
CDM,SUP193616,Noncdm Charge Record Medical Supplies - Kit Neurovascular Catheter 95C Mp Benchmark Bmx81,4042.69,1576.65,,,0
CDM,SUP193617,Noncdm Charge Record Medical Supplies - Kit Neurovascular Catheter 105Cm Mp Benchmark Bmx81,4064.1,1585.0,,,0
CDM,SUP19364,Noncdm Charge Record Medical Supplies - Screw Bn Cort 1.5Mm 6Mm St Str Dr,249.44,97.28,,,0
CDM,SUP193662,Noncdm Charge Record Medical Supplies - Dakin Solution,102.94,40.15,,,0
CDM,SUP193663,Noncdm Charge Record Medical Supplies,52.58,20.51,,,0
CDM,SUP193664,Noncdm Charge Record Medical Supplies - Implant Bear Acl Cylindrical Shape 45 Mm Length X 22 Mm Dia,24288.34,9472.45,,,0
CDM,SUP193665,Noncdm Charge Record Medical Supplies - Probe Nerve Stimulator Disp Monopolar Probe Short,1302.03,507.79,,,0
CDM,SUP193687,Noncdm Charge Record Medical Supplies,4585.05,1788.17,,,0
CDM,SUP193688,Noncdm Charge Record Medical Supplies - Anchor Suture With Slotted Uide 1.9Mm Drill Fibertak,3021.12,1178.24,,,0
CDM,SUP193689,Noncdm Charge Record Medical Supplies - Anchor Suture 3.5X19.5Mm Biocomposite Pushlock,2417.27,942.74,,,0
CDM,SUP193690,Noncdm Charge Record Medical Supplies - Sp Soft Anchor 1.7Mm Tigertape White-Black,2524.46,984.54,,,0
CDM,SUP193691,Noncdm Charge Record Medical Supplies - Anchor Suture 1.7 Mm Fibertape Loop 1.3 Mm Suturetape,2524.4,984.52,,,0
CDM,SUP1937,Noncdm Charge Record Medical Supplies - Anchor Suture 5.5Mmx19.1Mm Biocomposite Swivelock Arthex,2148.66,837.98,,,0
CDM,SUP19374,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 56Mm Nail Ex Ti F T Fem-Tib Strl,922.18,359.65,,,0
CDM,SUP19375,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 46Mm Nail Ex Ti F T Fem-Tib Strl,922.18,359.65,,,0
CDM,SUP193798_272,Noncdm Charge Record Medical Supplies,9514.75,3710.75,,,0
CDM,SUP193798_Q4100_278,Noncdm Charge Record Medical Supplies,111.42,43.45,,,0
CDM,SUP193799_Q4100_278,Noncdm Charge Record Medical Supplies,491.11,191.53,,,0
CDM,SUP193800_272,Noncdm Charge Record Medical Supplies - Device Inflation 60Ml 15Atm Pressure Cook Sphere,272.08,106.11,,,0
CDM,SUP193800_A9999_272,Noncdm Charge Record Medical Supplies - Device Inflation 60Ml 15Atm Pressure Cook Sphere,254.61,99.3,,,0
CDM,SUP193847_272,Noncdm Charge Record Medical Supplies,6613.65,2579.32,,,0
CDM,SUP193847_C1747_272,Noncdm Charge Record Medical Supplies,6613.65,2579.32,,,0
CDM,SUP193847_C1747_278,Noncdm Charge Record Medical Supplies,6613.65,2579.32,,,0
CDM,SUP1938_272,Noncdm Charge Record Medical Supplies - Syringe Inj Mrk5 Quickfill Tube 200Ml,21.73,8.47,,,0
CDM,SUP1938_A4649_272,Noncdm Charge Record Medical Supplies - Syringe Inj Mrk5 Quickfill Tube 200Ml,21.74,8.48,,,0
CDM,SUP1938_A9999_272,Noncdm Charge Record Medical Supplies - Syringe Inj Mrk5 Quickfill Tube 200Ml,21.74,8.48,,,0
CDM,SUP1939,Noncdm Charge Record Medical Supplies - Anchor Suture 5.5Mmx19.1Mm Swivelock Closed Eyelet Arthrex,2014.32,785.58,,,0
CDM,SUP19390,Noncdm Charge Record Medical Supplies - See 130168 Kit Surgiflow 8Ml Jj,824.9,321.71,,,0
CDM,SUP19391,Noncdm Charge Record Medical Supplies,11359.12,4430.06,,,0
CDM,SUP193925,Noncdm Charge Record Medical Supplies - Hemostat Surgcl Orgnl 2X14In,287.76,112.23,,,0
CDM,SUP193926_272,Noncdm Charge Record Medical Supplies - Hemostat Surgcl Orgnl 4X8In,304.14,118.61,,,0
CDM,SUP193926_A4649_272,Noncdm Charge Record Medical Supplies - Hemostat Surgcl Orgnl 4X8In,300.81,117.32,,,0
CDM,SUP193926_A9999_272,Noncdm Charge Record Medical Supplies - Hemostat Surgcl Orgnl 4X8In,309.64,120.76,,,0
CDM,SUP193927_272,Noncdm Charge Record Medical Supplies - Hemostat Surgcl Orgnl 2X3In,169.62,66.15,,,0
CDM,SUP193927_A4649_272,Noncdm Charge Record Medical Supplies - Hemostat Surgcl Orgnl 2X3In,168.7,65.79,,,0
CDM,SUP193927_A9999_272,Noncdm Charge Record Medical Supplies - Hemostat Surgcl Orgnl 2X3In,172.84,67.41,,,0
CDM,SUP193929,Noncdm Charge Record Medical Supplies - Hemostat Surgcl Nuknit 3X4In,270.5,105.5,,,0
CDM,SUP19393,Noncdm Charge Record Medical Supplies - Hemasorb Orthocon Hmst Abs Bn,862.69,336.45,,,0
CDM,SUP193930_C1762_278,Noncdm Charge Record Medical Supplies - Allograft Dermis 2Cm X 4Cm Cortiva Human Tissue Acellular,1216.12,474.29,,,0
CDM,SUP193930_Q4100_278,Noncdm Charge Record Medical Supplies - Allograft Dermis 2Cm X 4Cm Cortiva Human Tissue Acellular,1216.12,474.29,,,0
CDM,SUP19395,Noncdm Charge Record Medical Supplies - Plate 76Mm Ss 3.5Mm Screw 4 Hl Low Bend Lcp Strl,6102.01,2379.78,,,0
CDM,SUP193954,Noncdm Charge Record Medical Supplies,7.59,2.96,,,0
CDM,SUP19397,Noncdm Charge Record Medical Supplies - Catheter 4Fr Wedge Pressure,376.74,146.93,,,0
CDM,SUP193972,Noncdm Charge Record Medical Supplies - Tape Surgical 4Inx10Yd Nonsterile,31.05,12.11,,,0
CDM,SUP19398_272,Noncdm Charge Record Medical Supplies - Catheter Balloon Wedge Predd 5Fr 110Cm,393.26,153.37,,,0
CDM,SUP19398_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Balloon Wedge Predd 5Fr 110Cm,426.42,166.3,,,0
CDM,SUP19398_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Balloon Wedge Predd 5Fr 110Cm,376.74,146.93,,,0
CDM,SUP1940,Noncdm Charge Record Medical Supplies - Ear Tube Ventilation 1Mm 1.27Mm Moretz Activated Medtronic I,83.84,32.7,,,0
CDM,SUP19400,Noncdm Charge Record Medical Supplies,2384.64,930.01,,,0
CDM,SUP194026_270,Noncdm Charge Record Medical Supplies - Cream Glucanpro 3000 3.5Oz,136.75,53.33,,,0
CDM,SUP194026_A4649_270,Noncdm Charge Record Medical Supplies - Cream Glucanpro 3000 3.5Oz,136.62,53.28,,,0
CDM,SUP19403,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 42Mm St T8 Strd R Acc Va Lck,589.3,229.83,,,0
CDM,SUP19406,Noncdm Charge Record Medical Supplies - Introducer Sheath 6Fr Hydrophil Plastic Shrt Taper,389.16,151.77,,,0
CDM,SUP194092,Noncdm Charge Record Medical Supplies,135.58,52.88,,,0
CDM,SUP19410_272,Noncdm Charge Record Medical Supplies - Blade Saw 77.5X11X.6.3Mm Ss Recip 2 Sided Strl,148.0,57.72,,,0
CDM,SUP19410_A9999_272,Noncdm Charge Record Medical Supplies - Blade Saw 77.5X11X.6.3Mm Ss Recip 2 Sided Strl,148.0,57.72,,,0
CDM,SUP19411,Noncdm Charge Record Medical Supplies - Cage Spnl 14X12X5Mm Roi-C,2417.76,942.93,,,0
CDM,SUP19413,Noncdm Charge Record Medical Supplies,5547.08,2163.36,,,0
CDM,SUP19415,Noncdm Charge Record Medical Supplies - Stapler Endo Gia Tri Reload 45Mm,1496.61,583.68,,,0
CDM,SUP19416,Noncdm Charge Record Medical Supplies - Plate 154Mm Ss 3.5Mm Screw 10H L Low Bend Lcp Rt Strl,6281.42,2449.75,,,0
CDM,SUP19418,Noncdm Charge Record Medical Supplies - Introducer Sheath Optiseal 6Fr,217.01,84.63,,,0
CDM,SUP19419,Noncdm Charge Record Medical Supplies - Sheath 7Fr 13Cm Optiseal,213.22,83.16,,,0
CDM,SUP19421,Noncdm Charge Record Medical Supplies - Sheath 8Fr 13Cm Optiseal,238.53,93.03,,,0
CDM,SUP19422,Noncdm Charge Record Medical Supplies - Sheath 9Fr 13Cm Optiseal,213.22,83.16,,,0
CDM,SUP19423,Noncdm Charge Record Medical Supplies - Sheath 10Fr 13Cm Optiseal,213.78,83.37,,,0
CDM,SUP19424,Noncdm Charge Record Medical Supplies - Introducer Sheath Optiseal 7Fr Long Medtronic Inc,250.99,97.89,,,0
CDM,SUP194240,Noncdm Charge Record Medical Supplies,2427.07,946.56,,,0
CDM,SUP19425,Noncdm Charge Record Medical Supplies - Introducer Sheath Optiseal 8Fr Long Medtronic Inc,251.5,98.08,,,0
CDM,SUP194251,Noncdm Charge Record Medical Supplies,2609.24,1017.6,,,0
CDM,SUP19426,Noncdm Charge Record Medical Supplies - Sheath 9Fr 25Cm Optiseal,251.5,98.08,,,0
CDM,SUP19427,Noncdm Charge Record Medical Supplies - Introducer Sheath Optiseal 10Fr Long Medtronic Inc,251.5,98.08,,,0
CDM,SUP194285,Noncdm Charge Record Medical Supplies,2277.15,888.09,,,0
CDM,SUP194286_272,Noncdm Charge Record Medical Supplies,1958.22,763.71,,,0
CDM,SUP194286_A4649_272,Noncdm Charge Record Medical Supplies,1958.22,763.71,,,0
CDM,SUP194289,Noncdm Charge Record Medical Supplies,1403.46,547.35,,,0
CDM,SUP19429,Noncdm Charge Record Medical Supplies - Screw Bn 1.5Mm 10Mm Lcp Ss Han D St Lck Stardr,450.22,175.59,,,0
CDM,SUP194293,Noncdm Charge Record Medical Supplies,859.83,335.33,,,0
CDM,SUP194296,Noncdm Charge Record Medical Supplies,1765.9,688.7,,,0
CDM,SUP194297,Noncdm Charge Record Medical Supplies,2545.46,992.73,,,0
CDM,SUP194299,Noncdm Charge Record Medical Supplies,19817.14,7728.68,,,0
CDM,SUP1942_272,Noncdm Charge Record Medical Supplies - Ear Tube Ventilation 4.5Mm 1.27Mm Goode Medtronic Inc,167.67,65.39,,,0
CDM,SUP1942_A4649_272,Noncdm Charge Record Medical Supplies - Ear Tube Ventilation 4.5Mm 1.27Mm Goode Medtronic Inc,167.67,65.39,,,0
CDM,SUP194306,Noncdm Charge Record Medical Supplies,4896.58,1909.67,,,0
CDM,SUP194307,Noncdm Charge Record Medical Supplies,5164.65,2014.21,,,0
CDM,SUP194310,Noncdm Charge Record Medical Supplies,108303.44,42238.34,,,0
CDM,SUP194313,Noncdm Charge Record Medical Supplies,8366.94,3263.11,,,0
CDM,SUP194314,Noncdm Charge Record Medical Supplies,19828.53,7733.13,,,0
CDM,SUP194316,Noncdm Charge Record Medical Supplies,11327.52,4417.73,,,0
CDM,SUP194317,Noncdm Charge Record Medical Supplies - Amnioeffect 2 Cm X 3 Cm,4503.05,1756.19,,,0
CDM,SUP194318,Noncdm Charge Record Medical Supplies,9308.53,3630.33,,,0
CDM,SUP194320_C1762_278,Noncdm Charge Record Medical Supplies - Amnioeffect 4 Cm X 6 Cm,11227.23,4378.62,,,0
CDM,SUP194320_C1763_278,Noncdm Charge Record Medical Supplies - Amnioeffect 4 Cm X 6 Cm,12436.56,4850.26,,,0
CDM,SUP194322,Noncdm Charge Record Medical Supplies,22883.26,8924.47,,,0
CDM,SUP19434,Noncdm Charge Record Medical Supplies - Catheter Spyglass Acc 10Fr,3351.33,1307.02,,,0
CDM,SUP194356,Noncdm Charge Record Medical Supplies,50751.22,19792.98,,,0
CDM,SUP19436,Noncdm Charge Record Medical Supplies - Awl Strt,1224.4,477.52,,,0
CDM,SUP194363,Noncdm Charge Record Medical Supplies,6613.65,2579.32,,,0
CDM,SUP19437,Noncdm Charge Record Medical Supplies - Awl Bent,1224.4,477.52,,,0
CDM,SUP19440,Noncdm Charge Record Medical Supplies - Ring 3D Trcsd Annulop 30Mm,9183.56,3581.59,,,0
CDM,SUP194406,Noncdm Charge Record Medical Supplies,154670.4,60321.46,,,0
CDM,SUP19441,Noncdm Charge Record Medical Supplies - Ring 3D Trcsd Annulop 32Mm,9183.56,3581.59,,,0
CDM,SUP19442,Noncdm Charge Record Medical Supplies - Ring 3D Trcsd Annulop 34Mm,9183.56,3581.59,,,0
CDM,SUP19443,Noncdm Charge Record Medical Supplies - Ring 3D Trcsd Annulop 36Mm,9183.56,3581.59,,,0
CDM,SUP194446,Noncdm Charge Record Medical Supplies,72260.6,28181.63,,,0
CDM,SUP19445,Noncdm Charge Record Medical Supplies,63.14,24.62,,,0
CDM,SUP194452,Noncdm Charge Record Medical Supplies,72260.6,28181.63,,,0
CDM,SUP194454,Noncdm Charge Record Medical Supplies,72260.6,28181.63,,,0
CDM,SUP19447_272,Noncdm Charge Record Medical Supplies - Sealer Vsl Endo Wrst 1 Da Vinci,2623.72,1023.25,,,0
CDM,SUP19447_A9999_272,Noncdm Charge Record Medical Supplies - Sealer Vsl Endo Wrst 1 Da Vinci,2623.72,1023.25,,,0
CDM,SUP1945,Noncdm Charge Record Medical Supplies - Introducer Sheath 8Fr2.5Cm10Cm 10Cm Wo Mini,46.43,18.11,,,0
CDM,SUP194511,Noncdm Charge Record Medical Supplies - Prosthesis Stapes L4.50Mm D .5Mm Pstn Flt Ribbon Eclipse,2030.67,791.96,,,0
CDM,SUP194513_L8613_278,Noncdm Charge Record Medical Supplies - Prosthesis Stapes L4.Mm D .6Mm Pstn Flt Ribbon Eclipse,2045.94,797.92,,,0
CDM,SUP194514_L8613_274,Noncdm Charge Record Medical Supplies - Prosthesis Stapes L4.25Mm D .6Mm Pstn Flt Ribbon Eclipse,2091.74,815.78,,,0
CDM,SUP194514_L8613_278,Noncdm Charge Record Medical Supplies - Prosthesis Stapes L4.25Mm D .6Mm Pstn Flt Ribbon Eclipse,2079.52,811.01,,,0
CDM,SUP194515,Noncdm Charge Record Medical Supplies - Prosthesis Stapes L4.50Mm D .6Mm Pstn Flt Ribbon Eclipse,2071.38,807.84,,,0
CDM,SUP194516_272,Noncdm Charge Record Medical Supplies,2030.67,791.96,,,0
CDM,SUP194516_L8613_278,Noncdm Charge Record Medical Supplies,2091.74,815.78,,,0
CDM,SUP194517,Noncdm Charge Record Medical Supplies,2580.0,1006.2,,,0
CDM,SUP194518_272,Noncdm Charge Record Medical Supplies - Tube Ventilation L12Mm Flange L9.8Mm Lumen 1.14Mm,110.23,42.99,,,0
CDM,SUP194518_A4649_272,Noncdm Charge Record Medical Supplies - Tube Ventilation L12Mm Flange L9.8Mm Lumen 1.14Mm,128.34,50.05,,,0
CDM,SUP194518_A9999_272,Noncdm Charge Record Medical Supplies - Tube Ventilation L12Mm Flange L9.8Mm Lumen 1.14Mm,176.98,69.02,,,0
CDM,SUP194518_C1729_272,Noncdm Charge Record Medical Supplies - Tube Ventilation L12Mm Flange L9.8Mm Lumen 1.14Mm,193.54,75.48,,,0
CDM,SUP194519_272,Noncdm Charge Record Medical Supplies - Tube Vent Coated Silicone T L12Mm Lumen Id1.14Mm,106.86,41.68,,,0
CDM,SUP194519_A4649_272,Noncdm Charge Record Medical Supplies - Tube Vent Coated Silicone T L12Mm Lumen Id1.14Mm,108.68,42.39,,,0
CDM,SUP194519_A9999_272,Noncdm Charge Record Medical Supplies - Tube Vent Coated Silicone T L12Mm Lumen Id1.14Mm,103.5,40.36,,,0
CDM,SUP194520,Noncdm Charge Record Medical Supplies,2347.38,915.48,,,0
CDM,SUP194556_272,Noncdm Charge Record Medical Supplies - Dressing Collagen Bovine 2 X 2In Puracol Plus,32.15,12.54,,,0
CDM,SUP194556_A4649_272,Noncdm Charge Record Medical Supplies - Dressing Collagen Bovine 2 X 2In Puracol Plus,32.08,12.51,,,0
CDM,SUP194556_A9999_272,Noncdm Charge Record Medical Supplies - Dressing Collagen Bovine 2 X 2In Puracol Plus,32.08,12.51,,,0
CDM,SUP19456,Noncdm Charge Record Medical Supplies - Plate 184Mm Ss 3.5Mm 13Hl Strl Hl Lcp Bn Lt Strl,6256.32,2439.96,,,0
CDM,SUP19457,Noncdm Charge Record Medical Supplies - Suture Ticron 4-0 Cv-330 24In Blue Double Armed Covidien,14.49,5.65,,,0
CDM,SUP19459,Noncdm Charge Record Medical Supplies - Plate 370Mm Ss 4.5Mm Condy 18H L Va Lcp Crv Lt Strl,11569.23,4512.0,,,0
CDM,SUP19461,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 50Mm Nail Ex Ti F T Tib St Lck 2 Strl,1018.44,397.19,,,0
CDM,SUP19466,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 80Mm 20Mm Schnz S S Fem Self,683.1,266.41,,,0
CDM,SUP194662,Noncdm Charge Record Medical Supplies - Kit Autologous Conditioned Plasma Series I,856.9,334.19,,,0
CDM,SUP19478,Noncdm Charge Record Medical Supplies - Plate 158Mm Ss 3.5Mm Screw 6 H L Lcp Bn Lt Strl,5732.86,2235.82,,,0
CDM,SUP19479,Noncdm Charge Record Medical Supplies - Plate 194Mm Ss 3.5Mm Screw 8 H L Lcp Bn Lt Strl,6692.31,2610.0,,,0
CDM,SUP19480,Noncdm Charge Record Medical Supplies - Plate Olcrn 3.5Mm 2.7Mm 2Hl Va Lcp Lt Ns,4340.79,1692.91,,,0
CDM,SUP19481,Noncdm Charge Record Medical Supplies - Plate Olcrn3.5-2.7Mm 4Hl Va Ns Lcp Lt Ns,4062.38,1584.33,,,0
CDM,SUP19482,Noncdm Charge Record Medical Supplies - Plate 55Mm Ss2.4Mm 7X3 Rt Strl Hl Va 2 Column Rt Strl,3125.87,1219.09,,,0
CDM,SUP194823,Noncdm Charge Record Medical Supplies - Mesh Gynecological M W10Xl15Cm Restorelle,5016.65,1956.49,,,0
CDM,SUP19483,Noncdm Charge Record Medical Supplies - Plate 58Mm Ss 2.4Mm Screw 7X3 Hl 2 Column V,2654.78,1035.36,,,0
CDM,SUP19484,Noncdm Charge Record Medical Supplies - Plate 58Mm Ss 2.4Mm 7X3 Strl Hl 2 Column V Strl,3340.58,1302.83,,,0
CDM,SUP1949,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 95Mm Lc Dcp Dhs-Dcs Ss Cort St,232.18,90.55,,,0
CDM,SUP19492,Noncdm Charge Record Medical Supplies - Plate 85Mm Ss 3.5Mm Screw 8Hl Lcp Bn Rt Sup Strl,4262.13,1662.23,,,0
CDM,SUP19497,Noncdm Charge Record Medical Supplies - Plate 120Mm Ss 3.5Mm Screw 7Hl Lcp Rt Sup,3674.25,1432.96,,,0
CDM,SUP19504,Noncdm Charge Record Medical Supplies - Screw Connect Lck Attach Plt S Tardr Strl,968.41,377.68,,,0
CDM,SUP19507,Noncdm Charge Record Medical Supplies - Plate 102Mm Ss 3.5Mm Screw 6 H L Low Bend Lcp Strl,6067.43,2366.3,,,0
CDM,SUP195078,Noncdm Charge Record Medical Supplies - Belt Gait 72In Cttn Hvydty Str Buckle Closure,21.74,8.48,,,0
CDM,SUP195080,Noncdm Charge Record Medical Supplies,152.15,59.34,,,0
CDM,SUP195081,Noncdm Charge Record Medical Supplies,152.15,59.34,,,0
CDM,SUP195082,Noncdm Charge Record Medical Supplies,874.58,341.09,,,0
CDM,SUP195084,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP195085,Noncdm Charge Record Medical Supplies - See 160071 Connect Tego Ndls Hemodia,16.04,6.26,,,0
CDM,SUP195086,Noncdm Charge Record Medical Supplies,123.93,48.33,,,0
CDM,SUP195087,Noncdm Charge Record Medical Supplies,144.77,56.46,,,0
CDM,SUP195091,Noncdm Charge Record Medical Supplies - Tube 7.5Mm Uncuf Nfen Inr Cannula Shly,188.37,73.46,,,0
CDM,SUP195092,Noncdm Charge Record Medical Supplies - Tube 7.5Mm Cuff Loprs Inr Disp Cannula Shly,14.49,5.65,,,0
CDM,SUP195093,Noncdm Charge Record Medical Supplies,14.49,5.65,,,0
CDM,SUP195095,Noncdm Charge Record Medical Supplies,55.89,21.8,,,0
CDM,SUP195096,Noncdm Charge Record Medical Supplies,41.4,16.15,,,0
CDM,SUP195098,Noncdm Charge Record Medical Supplies - Pouch Telem Clr Poly Zplk,3.1,1.21,,,0
CDM,SUP195099,Noncdm Charge Record Medical Supplies,136.96,53.41,,,0
CDM,SUP1951,Noncdm Charge Record Medical Supplies - Screw Cort Synth St 4.5Mm 105M,270.14,105.35,,,0
CDM,SUP195100,Noncdm Charge Record Medical Supplies - Set Infus 3 Ndls Valve 127In,18.62,7.26,,,0
CDM,SUP195106,Noncdm Charge Record Medical Supplies - Dressing Wound Alvn Foam 3X3 Gntl Brdr,8.4,3.28,,,0
CDM,SUP195107_272,Noncdm Charge Record Medical Supplies,15.52,6.05,,,0
CDM,SUP195107_A4649_272,Noncdm Charge Record Medical Supplies,15.52,6.05,,,0
CDM,SUP195108,Noncdm Charge Record Medical Supplies,20.7,8.07,,,0
CDM,SUP19511,Noncdm Charge Record Medical Supplies - Plate 266Mm Ss 4.5Mm Condy 12H L Va Lcp Crv Rt Strl,8986.65,3504.79,,,0
CDM,SUP195110,Noncdm Charge Record Medical Supplies,8.06,3.14,,,0
CDM,SUP195114,Noncdm Charge Record Medical Supplies - Mitten Peek A Boo,74.48,29.05,,,0
CDM,SUP195115,Noncdm Charge Record Medical Supplies - Set Adm 0.2Um Iv Ndehp,22.85,8.91,,,0
CDM,SUP195116,Noncdm Charge Record Medical Supplies - Set Ext 0.2 Filter Dehp Free,13.3,5.19,,,0
CDM,SUP195118,Noncdm Charge Record Medical Supplies,8.18,3.19,,,0
CDM,SUP19512,Noncdm Charge Record Medical Supplies - Plate 301Mm Ss 4.5Mm Condy 14H L Va Lcp Crv Rt Strl,10089.18,3934.78,,,0
CDM,SUP195120,Noncdm Charge Record Medical Supplies,8.28,3.23,,,0
CDM,SUP195121,Noncdm Charge Record Medical Supplies,7.93,3.09,,,0
CDM,SUP195123_270,Noncdm Charge Record Medical Supplies - Cuff Bp 1 Tube Child Hp,8.28,3.23,,,0
CDM,SUP195123_A4649_270,Noncdm Charge Record Medical Supplies - Cuff Bp 1 Tube Child Hp,8.28,3.23,,,0
CDM,SUP195123_A9999_270,Noncdm Charge Record Medical Supplies - Cuff Bp 1 Tube Child Hp,8.28,3.23,,,0
CDM,SUP195124,Noncdm Charge Record Medical Supplies,94.18,36.73,,,0
CDM,SUP195125,Noncdm Charge Record Medical Supplies - System Oral Care,73.57,28.69,,,0
CDM,SUP195126,Noncdm Charge Record Medical Supplies,14.41,5.62,,,0
CDM,SUP195127,Noncdm Charge Record Medical Supplies,13.33,5.2,,,0
CDM,SUP195128,Noncdm Charge Record Medical Supplies - Blanket 85.8Inx501In Adult +,21.67,8.45,,,0
CDM,SUP195129,Noncdm Charge Record Medical Supplies,83.84,32.7,,,0
CDM,SUP19513,Noncdm Charge Record Medical Supplies - Plate 405 Ss4.5Mm Condy 20H Rt L Va Lcp Crv Rt Strl,12242.32,4774.5,,,0
CDM,SUP195130,Noncdm Charge Record Medical Supplies - Spray Zinc Skin Barrier 2Oz,25.78,10.05,,,0
CDM,SUP195131,Noncdm Charge Record Medical Supplies,641.7,250.26,,,0
CDM,SUP195133,Noncdm Charge Record Medical Supplies - Cath Liberty Refill,71.42,27.85,,,0
CDM,SUP195135,Noncdm Charge Record Medical Supplies,102.46,39.96,,,0
CDM,SUP195138,Noncdm Charge Record Medical Supplies - Catheter 18G 10Cm Power Glide Midline Full Kit 10-Kt,552.69,215.55,,,0
CDM,SUP195139,Noncdm Charge Record Medical Supplies,552.69,215.55,,,0
CDM,SUP195140,Noncdm Charge Record Medical Supplies - Barrier Film Skin Protectant 2.7Ml Management Of Iad,37.25,14.53,,,0
CDM,SUP195144,Noncdm Charge Record Medical Supplies,51.75,20.18,,,0
CDM,SUP195147,Noncdm Charge Record Medical Supplies,78.34,30.55,,,0
CDM,SUP195148,Noncdm Charge Record Medical Supplies,282.56,110.2,,,0
CDM,SUP195149,Noncdm Charge Record Medical Supplies - Kit Wedge Firm Set Positioning 15In Upper And 19In Lower Bod,197.05,76.85,,,0
CDM,SUP19515,Noncdm Charge Record Medical Supplies - Screw2.4-8Mm Ss Dist Va Lck Radial Va Lck Lcp,615.83,240.17,,,0
CDM,SUP195152_272,Noncdm Charge Record Medical Supplies,262.89,102.53,,,0
CDM,SUP195152_A4649_272,Noncdm Charge Record Medical Supplies,262.89,102.53,,,0
CDM,SUP195156,Noncdm Charge Record Medical Supplies,1329.98,518.69,,,0
CDM,SUP19516,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 10Mm Lcp Ss Dis T Radial Va Lck,620.16,241.86,,,0
CDM,SUP195161,Noncdm Charge Record Medical Supplies,28.98,11.3,,,0
CDM,SUP195162_270,Noncdm Charge Record Medical Supplies - Spirometer Incentive Adult 250 Grad W Mouthpiece Voldyne 250,9.57,3.73,,,0
CDM,SUP195163,Noncdm Charge Record Medical Supplies - Male External Urine Management Primofit,80.75,31.49,,,0
CDM,SUP195164,Noncdm Charge Record Medical Supplies,13.46,5.25,,,0
CDM,SUP19517,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 26Mm Lcp Ss Dis T Radial Va Lck,622.55,242.79,,,0
CDM,SUP195176,Noncdm Charge Record Medical Supplies,10.61,4.14,,,0
CDM,SUP195177,Noncdm Charge Record Medical Supplies - Tray Chest Tube Ins Lf,857.19,334.3,,,0
CDM,SUP19518,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 26Mm St T8 Strd R Acc Va Lck,586.95,228.91,,,0
CDM,SUP195180,Noncdm Charge Record Medical Supplies,68.83,26.84,,,0
CDM,SUP195181,Noncdm Charge Record Medical Supplies,200.79,78.31,,,0
CDM,SUP195185,Noncdm Charge Record Medical Supplies,379.84,148.14,,,0
CDM,SUP195187,Noncdm Charge Record Medical Supplies,379.84,148.14,,,0
CDM,SUP195188,Noncdm Charge Record Medical Supplies - Set Spk Screw Sf Epump 1000Ml,18.85,7.35,,,0
CDM,SUP195189,Noncdm Charge Record Medical Supplies,21.88,8.53,,,0
CDM,SUP19519,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 46Mm St T8 Strdr Acc Va Lck,599.2,233.69,,,0
CDM,SUP1952,Noncdm Charge Record Medical Supplies - Seprafilm Barrier Adh Sod 6X5Inch 10 Membr Halur Cmc Bioresb,1756.28,684.95,,,0
CDM,SUP195216_272,Noncdm Charge Record Medical Supplies,95.36,37.19,,,0
CDM,SUP195216_A4649_272,Noncdm Charge Record Medical Supplies,102.46,39.96,,,0
CDM,SUP195216_C1725_272,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP195216_C1751_272,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP195216_C1887_272,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP19522,Noncdm Charge Record Medical Supplies,556.83,217.16,,,0
CDM,SUP19523,Noncdm Charge Record Medical Supplies - Screw Bn 1.5Mm 16Mm Lcp Ss Han D St Lck Stardr,491.62,191.73,,,0
CDM,SUP19524,Noncdm Charge Record Medical Supplies - Screw Bn Cort 1.5Mm 7Mm St Str Dr,249.44,97.28,,,0
CDM,SUP19525,Noncdm Charge Record Medical Supplies - Screw Bn Cort 1.5Mm 9Mm St Str Dr,249.44,97.28,,,0
CDM,SUP19526,Noncdm Charge Record Medical Supplies - Screw Bn Cort 1.5Mm 12Mm St St Rdr,249.44,97.28,,,0
CDM,SUP195320,Noncdm Charge Record Medical Supplies,143.86,56.11,,,0
CDM,SUP1954,Noncdm Charge Record Medical Supplies - See 31247 Brace Walk Sm M5-7-W 6-8 4 Lplk Strap Prof Fx Ankl,134.55,52.47,,,0
CDM,SUP195587,Noncdm Charge Record Medical Supplies - Guidewire Vascular Zoom Wire 0.014Inx300Cm Soft Tip,2535.68,988.92,,,0
CDM,SUP195588,Noncdm Charge Record Medical Supplies - Guidewire Vascular Zoom Wire 0.014Inx300Cm,2535.75,988.94,,,0
CDM,SUP195628_272,Noncdm Charge Record Medical Supplies - Pack Loop Recorder Kennestone Wk285.012,225.63,88.0,,,0
CDM,SUP195628_A9999_272,Noncdm Charge Record Medical Supplies - Pack Loop Recorder Kennestone Wk285.012,225.63,88.0,,,0
CDM,SUP19563,Noncdm Charge Record Medical Supplies - Screw Bn Lck Va St 5Mm 30Mm,830.07,323.73,,,0
CDM,SUP19564,Noncdm Charge Record Medical Supplies - Screw Bn Lck Va St 5Mm 42Mm,830.07,323.73,,,0
CDM,SUP195703_272,Noncdm Charge Record Medical Supplies - Marker Tissue 10G M Clip,273.76,106.77,,,0
CDM,SUP195703_A4648_278,Noncdm Charge Record Medical Supplies - Marker Tissue 10G M Clip,274.13,106.91,,,0
CDM,SUP19572,Noncdm Charge Record Medical Supplies - Catheter Guide Mach1 6F Pv,450.8,175.81,,,0
CDM,SUP19574,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 10Mm St T8 Strd R Acc Va Lck,577.69,225.3,,,0
CDM,SUP19575,Noncdm Charge Record Medical Supplies - Catheter Guide Mach1 6F Pv Rdc,418.46,163.2,,,0
CDM,SUP19576_272,Noncdm Charge Record Medical Supplies - Suture V-Loc 1 Gs-21 18In Covidien,131.45,51.27,,,0
CDM,SUP19576_A4649_272,Noncdm Charge Record Medical Supplies - Suture V-Loc 1 Gs-21 18In Covidien,131.44,51.26,,,0
CDM,SUP19576_A9999_272,Noncdm Charge Record Medical Supplies - Suture V-Loc 1 Gs-21 18In Covidien,131.44,51.26,,,0
CDM,SUP195781_272,Noncdm Charge Record Medical Supplies - System Contrast Delivery Tubing L72In Burette 30Ml,55.89,21.8,,,0
CDM,SUP195781_A4649_272,Noncdm Charge Record Medical Supplies - System Contrast Delivery Tubing L72In Burette 30Ml,55.89,21.8,,,0
CDM,SUP195781_A9999_272,Noncdm Charge Record Medical Supplies - System Contrast Delivery Tubing L72In Burette 30Ml,55.89,21.8,,,0
CDM,SUP19587,Noncdm Charge Record Medical Supplies - Suture V-Loc 3-0 V-20 18In Green Covidien,131.44,51.26,,,0
CDM,SUP19588,Noncdm Charge Record Medical Supplies - Suture V-Loc 3-0 V-20 18In Covidien,128.08,49.95,,,0
CDM,SUP19589,Noncdm Charge Record Medical Supplies - Plate Lng 232 Ss 3.5 Scrw Strl 10 Hl Lck Lcp Strl,7235.68,2821.92,,,0
CDM,SUP196047,Noncdm Charge Record Medical Supplies,1356.41,529.0,,,0
CDM,SUP19607,Noncdm Charge Record Medical Supplies - Wire Fx 2Mm 285Mm Krsh Ss Troc Pt Ns,46.92,18.3,,,0
CDM,SUP19608_272,Noncdm Charge Record Medical Supplies - Rod Guide 2.5-230Mm Wstop Strl Troc Tip Strl,463.33,180.7,,,0
CDM,SUP19608_A4649_272,Noncdm Charge Record Medical Supplies - Rod Guide 2.5-230Mm Wstop Strl Troc Tip Strl,479.2,186.89,,,0
CDM,SUP19609_272,Noncdm Charge Record Medical Supplies - Drill Bit 10Mm Humeral Nail System Synthes,1295.41,505.21,,,0
CDM,SUP19609_A4649_272,Noncdm Charge Record Medical Supplies - Drill Bit 10Mm Humeral Nail System Synthes,1261.66,492.05,,,0
CDM,SUP19609_A9999_272,Noncdm Charge Record Medical Supplies - Drill Bit 10Mm Humeral Nail System Synthes,1261.66,492.05,,,0
CDM,SUP19610,Noncdm Charge Record Medical Supplies - Screw Bn Multiloc 4.5Mm 44Mm Ti Strl,1244.07,485.19,,,0
CDM,SUP19611,Noncdm Charge Record Medical Supplies - Screw Bn Mutiloc 4.5Mm 32Mm Ti Strl,1260.86,491.74,,,0
CDM,SUP19612_270,Noncdm Charge Record Medical Supplies - Kit Pstn 7In Jcksn Pat Care Spnl W-Prnview,193.56,75.49,,,0
CDM,SUP19612_A4649_270,Noncdm Charge Record Medical Supplies - Kit Pstn 7In Jcksn Pat Care Spnl W-Prnview,193.54,75.48,,,0
CDM,SUP19612_A9999_270,Noncdm Charge Record Medical Supplies - Kit Pstn 7In Jcksn Pat Care Spnl W-Prnview,193.54,75.48,,,0
CDM,SUP19616,Noncdm Charge Record Medical Supplies - Sensor Chair Pad 30 Day,62.1,24.22,,,0
CDM,SUP19618,Noncdm Charge Record Medical Supplies - Nail Multiloc Prox Hum 7Mm 240Mm Rt Ti,7958.94,3103.99,,,0
CDM,SUP1962,Noncdm Charge Record Medical Supplies - Cap Lead 5Mm 3.2Mm Spl Med Adh,367.42,143.29,,,0
CDM,SUP19624,Noncdm Charge Record Medical Supplies - Introducer Kit Mic G 22Fr For A 18Fr G Tube,1103.31,430.29,,,0
CDM,SUP1963,Noncdm Charge Record Medical Supplies - Cap Lead 4.6-8.4Fr 5Mm 3.2Mm,102.27,39.89,,,0
CDM,SUP19636,Noncdm Charge Record Medical Supplies - Bone Tendon Patella Pshp 10Mm,13770.68,5370.57,,,0
CDM,SUP19637,Noncdm Charge Record Medical Supplies - Screw Bn Cannula 80Mm 5Mm,1119.56,436.63,,,0
CDM,SUP1964,Noncdm Charge Record Medical Supplies - Service Kit 5873C,171.81,67.01,,,0
CDM,SUP196417,Noncdm Charge Record Medical Supplies,3064.64,1195.21,,,0
CDM,SUP19645_272,Noncdm Charge Record Medical Supplies - Positioner Pigazzi Pink Pad Xodus,339.03,132.22,,,0
CDM,SUP19645_A4649_272,Noncdm Charge Record Medical Supplies - Positioner Pigazzi Pink Pad Xodus,354.61,138.3,,,0
CDM,SUP19645_A9999_272,Noncdm Charge Record Medical Supplies - Positioner Pigazzi Pink Pad Xodus,313.54,122.28,,,0
CDM,SUP19649,Noncdm Charge Record Medical Supplies - Dressing Y Connect Trac Vac,8.28,3.23,,,0
CDM,SUP19654,Noncdm Charge Record Medical Supplies - Graft Tissue Biodesign 4 Lyr 4X7Cm,4475.34,1745.38,,,0
CDM,SUP196552_270,Noncdm Charge Record Medical Supplies,75.56,29.47,,,0
CDM,SUP196552_272,Noncdm Charge Record Medical Supplies,75.56,29.47,,,0
CDM,SUP196552_A9999_272,Noncdm Charge Record Medical Supplies,75.56,29.47,,,0
CDM,SUP19659_272,Noncdm Charge Record Medical Supplies - Suture V-Loc 3-0 V-20 9In Covidien,102.7,40.05,,,0
CDM,SUP19659_A4649_272,Noncdm Charge Record Medical Supplies - Suture V-Loc 3-0 V-20 9In Covidien,102.81,40.1,,,0
CDM,SUP1966,Noncdm Charge Record Medical Supplies - Stylet Lead 58Cm .014In Blu,152.15,59.34,,,0
CDM,SUP19666,Noncdm Charge Record Medical Supplies - Catheter Viewflex Xtra Ice,8818.2,3439.1,,,0
CDM,SUP19667,Noncdm Charge Record Medical Supplies - Marker Surg Sphr Pass Ndi Igs,471.03,183.7,,,0
CDM,SUP196696,Noncdm Charge Record Medical Supplies - Cap Barrier Cath Blu Red Antim Disposable For Hemodialysis,25.52,9.95,,,0
CDM,SUP196698,Noncdm Charge Record Medical Supplies,19840.95,7737.97,,,0
CDM,SUP196699,Noncdm Charge Record Medical Supplies,18077.31,7050.15,,,0
CDM,SUP1967,Noncdm Charge Record Medical Supplies - Stylet Lead 58Cm .014In Kt,152.06,59.3,,,0
CDM,SUP19678,Noncdm Charge Record Medical Supplies - Catheter Balloon Angiosculpt 3.5X15Mm Rx,3747.74,1461.62,,,0
CDM,SUP19679_272,Noncdm Charge Record Medical Supplies - Device Tissue Rem Myosure Lite Hyscp,3009.78,1173.81,,,0
CDM,SUP19679_A4649_272,Noncdm Charge Record Medical Supplies - Device Tissue Rem Myosure Lite Hyscp,3009.78,1173.81,,,0
CDM,SUP19679_A9999_272,Noncdm Charge Record Medical Supplies - Device Tissue Rem Myosure Lite Hyscp,3009.78,1173.81,,,0
CDM,SUP19680,Noncdm Charge Record Medical Supplies - Device Tissue Rem Myosure Xl,4828.27,1883.03,,,0
CDM,SUP19684,Noncdm Charge Record Medical Supplies - Catheter Drain W Ck Spctrm Anbtc Impreg Troc 15Cm,1649.65,643.36,,,0
CDM,SUP19688,Noncdm Charge Record Medical Supplies - Cannister Wound Drain 300Cc Kinetic Concepts,171.81,67.01,,,0
CDM,SUP1969,Noncdm Charge Record Medical Supplies - Guidewire Endo Jag .035In450Cm,836.28,326.15,,,0
CDM,SUP19698_272,Noncdm Charge Record Medical Supplies - Suture V-Loc 3-0 Cv-23 6In Covidien,113.78,44.37,,,0
CDM,SUP19698_A4649_272,Noncdm Charge Record Medical Supplies - Suture V-Loc 3-0 Cv-23 6In Covidien,113.85,44.4,,,0
CDM,SUP19698_A9999_272,Noncdm Charge Record Medical Supplies - Suture V-Loc 3-0 Cv-23 6In Covidien,113.7,44.34,,,0
CDM,SUP19701_272,Noncdm Charge Record Medical Supplies - Hook Rake 16Mm 6.5Mm Sld Blade,78.66,30.68,,,0
CDM,SUP19701_A4649_272,Noncdm Charge Record Medical Supplies - Hook Rake 16Mm 6.5Mm Sld Blade,78.66,30.68,,,0
CDM,SUP19701_A9999_272,Noncdm Charge Record Medical Supplies - Hook Rake 16Mm 6.5Mm Sld Blade,78.66,30.68,,,0
CDM,SUP19702_C1760_278,Noncdm Charge Record Medical Supplies - Device Clsr Mynxgrip Vascular 5F Gry,968.86,377.86,,,0
CDM,SUP19702_L8699_278,Noncdm Charge Record Medical Supplies - Device Clsr Mynxgrip Vascular 5F Gry,958.41,373.78,,,0
CDM,SUP19707_272,Noncdm Charge Record Medical Supplies - Suture Endostitch 10Mm 15In Covidien,495.81,193.37,,,0
CDM,SUP19707_A4649_272,Noncdm Charge Record Medical Supplies - Suture Endostitch 10Mm 15In Covidien,495.76,193.35,,,0
CDM,SUP19707_A9999_272,Noncdm Charge Record Medical Supplies - Suture Endostitch 10Mm 15In Covidien,495.94,193.42,,,0
CDM,SUP19709,Noncdm Charge Record Medical Supplies - Suture Endostitch Reload 48In Green Covidien,90.04,35.12,,,0
CDM,SUP19713,Noncdm Charge Record Medical Supplies - 3.2Mm Drill,770.04,300.32,,,0
CDM,SUP19714,Noncdm Charge Record Medical Supplies - See 99984 2.7Mm Drill,1145.74,446.84,,,0
CDM,SUP19717,Noncdm Charge Record Medical Supplies - Bit Drill 2.7Mm Peripheral Zimmer,832.66,324.74,,,0
CDM,SUP197208_C1762_278,Noncdm Charge Record Medical Supplies,7081.47,2761.77,,,0
CDM,SUP197208_Q4100_278,Noncdm Charge Record Medical Supplies,5514.89,2150.81,,,0
CDM,SUP19723,Noncdm Charge Record Medical Supplies - Coupler Anstm 1.5Mm,1739.84,678.54,,,0
CDM,SUP197270,Noncdm Charge Record Medical Supplies,128.47,50.1,,,0
CDM,SUP197271,Noncdm Charge Record Medical Supplies,125.15,48.81,,,0
CDM,SUP197295,Noncdm Charge Record Medical Supplies,3.36,1.31,,,0
CDM,SUP197296_272,Noncdm Charge Record Medical Supplies,95.22,37.14,,,0
CDM,SUP197296_C1894_272,Noncdm Charge Record Medical Supplies,95.22,37.14,,,0
CDM,SUP197297,Noncdm Charge Record Medical Supplies,95.22,37.14,,,0
CDM,SUP19737,Noncdm Charge Record Medical Supplies - Plug Cv 100Cm 6Mm 11Mm,5892.26,2297.98,,,0
CDM,SUP19738,Noncdm Charge Record Medical Supplies - Plug Cv 100Cm 8Mm 13Mm,5712.85,2228.01,,,0
CDM,SUP19741,Noncdm Charge Record Medical Supplies - Suture Ethilon 5-0 P-3 18In Clear Ethicon,21.53,8.4,,,0
CDM,SUP19746,Noncdm Charge Record Medical Supplies - Dressing Afm Alvn 24X36In,39.33,15.34,,,0
CDM,SUP197477,Noncdm Charge Record Medical Supplies,125.15,48.81,,,0
CDM,SUP19755,Noncdm Charge Record Medical Supplies - Screw Bn Lck 14Mm 2.7Mm,1036.79,404.35,,,0
CDM,SUP19757,Noncdm Charge Record Medical Supplies - Screw Bn Cort 12Mm 2.7Mm Low,687.24,268.02,,,0
CDM,SUP19758,Noncdm Charge Record Medical Supplies - Screw Bn Cort 14Mm 2.7Mm Low Prof,687.24,268.02,,,0
CDM,SUP19759,Noncdm Charge Record Medical Supplies - Screw Bn Cort 16Mm 2.7Mm Low,687.24,268.02,,,0
CDM,SUP19760,Noncdm Charge Record Medical Supplies - Pin Fx Temp 1.1Mm Lg,288.76,112.62,,,0
CDM,SUP19761,Noncdm Charge Record Medical Supplies - Kwire 1.4Mm,98.96,38.59,,,0
CDM,SUP19763,Noncdm Charge Record Medical Supplies - Baseplate Tib Gen2 2 Rt Knee,10318.95,4024.39,,,0
CDM,SUP19764,Noncdm Charge Record Medical Supplies - Filter Vc 6.5Fr Infr E,4639.9,1809.56,,,0
CDM,SUP19767,Noncdm Charge Record Medical Supplies - Suture Permahand 3-0 30In Ties Black Ethicon,11.38,4.44,,,0
CDM,SUP19774,Noncdm Charge Record Medical Supplies - Suture Prolene 5-0 18In 2 Arm Blue Ethicon,28.98,11.3,,,0
CDM,SUP197746_272,Noncdm Charge Record Medical Supplies - Screw Interference 7X20Mm Peek Fastthread,1584.58,617.99,,,0
CDM,SUP197746_C1713_278,Noncdm Charge Record Medical Supplies - Screw Interference 7X20Mm Peek Fastthread,1584.58,617.99,,,0
CDM,SUP197747_272,Noncdm Charge Record Medical Supplies - Screw Interference L20Mm Dia8Mm Peek Nonvented,1584.58,617.99,,,0
CDM,SUP197747_C1713_278,Noncdm Charge Record Medical Supplies - Screw Interference L20Mm Dia8Mm Peek Nonvented,1584.58,617.99,,,0
CDM,SUP197748,Noncdm Charge Record Medical Supplies - Screw Interference 9X20Mm Peek Fastthread,1584.58,617.99,,,0
CDM,SUP197749,Noncdm Charge Record Medical Supplies,1571.13,612.74,,,0
CDM,SUP19775_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 2-0 Ps-2 18In Ethicon,19.49,7.6,,,0
CDM,SUP19775_A4649_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 2-0 Ps-2 18In Ethicon,18.89,7.37,,,0
CDM,SUP19775_A9999_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 2-0 Ps-2 18In Ethicon,19.66,7.67,,,0
CDM,SUP19776,Noncdm Charge Record Medical Supplies - Introducer Sheath 5Fr 25Mm Kt Glidesheath Z,234.94,91.63,,,0
CDM,SUP19778_272,Noncdm Charge Record Medical Supplies - Dressing Cnfrm 2 24X36In Trans Nadh Sheet Wound,22.98,8.96,,,0
CDM,SUP19778_A4649_272,Noncdm Charge Record Medical Supplies,22.77,8.88,,,0
CDM,SUP19778_A9999_272,Noncdm Charge Record Medical Supplies - Dressing Cnfrm 2 24X36In Trans Nadh Sheet Wound,22.77,8.88,,,0
CDM,SUP1978,Noncdm Charge Record Medical Supplies - Mesh Surg Pro 6X3In Hernia Nonabs Sft Knit,679.14,264.86,,,0
CDM,SUP197808,Noncdm Charge Record Medical Supplies,6960.38,2714.55,,,0
CDM,SUP19783,Noncdm Charge Record Medical Supplies - Graft Cv 15Cm 26Mm Aort Root Wvn Glwv Vslv,12445.88,4853.89,,,0
CDM,SUP19785,Noncdm Charge Record Medical Supplies - Liner Acetab Cup 36Mm F,6390.09,2492.14,,,0
CDM,SUP19786,Noncdm Charge Record Medical Supplies - Catheter Cyte 3X220Mm 150Cm,1683.94,656.74,,,0
CDM,SUP19788,Noncdm Charge Record Medical Supplies - Catheter Cyte 2X60Mm 150Cm,1346.54,525.15,,,0
CDM,SUP19789,Noncdm Charge Record Medical Supplies - Catheter Cyte 2X150Mm 150Cm,1683.94,656.74,,,0
CDM,SUP19790,Noncdm Charge Record Medical Supplies - Catheter Cyte 2X220Mm 150Cm,1465.43,571.52,,,0
CDM,SUP19791,Noncdm Charge Record Medical Supplies - Catheter Cyte 2.5X60Mm 150Cm,1101.24,429.48,,,0
CDM,SUP19794,Noncdm Charge Record Medical Supplies - Catheter Cyte 2.5X220Mm 150Cm,1656.0,645.84,,,0
CDM,SUP19795,Noncdm Charge Record Medical Supplies - Catheter Cyte 3X60Mm 150Cm,1101.24,429.48,,,0
CDM,SUP19796,Noncdm Charge Record Medical Supplies - Catheter Cyte 3X100Mm 150Cm,1273.26,496.57,,,0
CDM,SUP19797,Noncdm Charge Record Medical Supplies - Catheter Cyte 3X150Mm 150Cm,1683.94,656.74,,,0
CDM,SUP19803,Noncdm Charge Record Medical Supplies - Catheter Cyte 4X100Mm 150Cm,1346.54,525.15,,,0
CDM,SUP19805,Noncdm Charge Record Medical Supplies - Catheter Cyte 4X220Mm 150Cm,1755.88,684.79,,,0
CDM,SUP19810,Noncdm Charge Record Medical Supplies - Catheter 035In 12X60Mm 75Cm,640.66,249.86,,,0
CDM,SUP19812,Noncdm Charge Record Medical Supplies - Catheter 035In 10X60Mm 75Cm Balloon Charger Dil,593.47,231.45,,,0
CDM,SUP19817,Noncdm Charge Record Medical Supplies - Catheter 035In 7X80Mm 75Cm,673.78,262.77,,,0
CDM,SUP19818,Noncdm Charge Record Medical Supplies - Catheter 035In 8X100Mm 75Cm,873.1,340.51,,,0
CDM,SUP19819,Noncdm Charge Record Medical Supplies - Catheter 035In 5X80Mm 75Cm,636.52,248.24,,,0
CDM,SUP19822,Noncdm Charge Record Medical Supplies - Catheter 035In 8X80Mm 75Cm,579.08,225.84,,,0
CDM,SUP19823,Noncdm Charge Record Medical Supplies - Catheter 035In 6X80Mm 75Cm,528.88,206.26,,,0
CDM,SUP19826,Noncdm Charge Record Medical Supplies - Catheter 035In 4X60Mm 75Cm,729.68,284.58,,,0
CDM,SUP19829,Noncdm Charge Record Medical Supplies - Catheter 035In 5X100Mm 75Cm,600.64,234.25,,,0
CDM,SUP19830,Noncdm Charge Record Medical Supplies - Catheter 035In 4X100Mm 75Cm,930.46,362.88,,,0
CDM,SUP19837,Noncdm Charge Record Medical Supplies - Catheter 035In 10X20Mm 135Cm,774.56,302.08,,,0
CDM,SUP19838,Noncdm Charge Record Medical Supplies - Catheter 035In 8X200Mm 135Cm,587.88,229.27,,,0
CDM,SUP198397,Noncdm Charge Record Medical Supplies,322.92,125.94,,,0
CDM,SUP1984,Noncdm Charge Record Medical Supplies - Electrode Electrosurg Purp,78.66,30.68,,,0
CDM,SUP19843,Noncdm Charge Record Medical Supplies - Catheter 035In 8X100Mm 135Cm,587.88,229.27,,,0
CDM,SUP19847,Noncdm Charge Record Medical Supplies - Balloon Rx 4F 2X20Mm 143Cm,1162.56,453.4,,,0
CDM,SUP19848,Noncdm Charge Record Medical Supplies,1101.24,429.48,,,0
CDM,SUP198493,Noncdm Charge Record Medical Supplies - Primofit,84.87,33.1,,,0
CDM,SUP19850,Noncdm Charge Record Medical Supplies - Balloon Rx 4F 2.5X40Mm 146Cm,1285.47,501.33,,,0
CDM,SUP19851,Noncdm Charge Record Medical Supplies - Balloon Rx 4F 3X20Mm 144Cm,1101.24,429.48,,,0
CDM,SUP19855,Noncdm Charge Record Medical Supplies - Balloon Rx 4F 4X20Mm 144Cm,1101.58,429.62,,,0
CDM,SUP19858,Noncdm Charge Record Medical Supplies - Balloon 6.5X20Mm 135Cm,991.53,386.7,,,0
CDM,SUP19859,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP1985_270,Noncdm Charge Record Medical Supplies - Electrode Electrosurg Orng,37.56,14.65,,,0
CDM,SUP1985_A9999_270,Noncdm Charge Record Medical Supplies - Electrode Electrosurg Orng,76.59,29.87,,,0
CDM,SUP1986,Noncdm Charge Record Medical Supplies - Electrode Electrosurg Brn 10Cm,76.59,29.87,,,0
CDM,SUP19867,Noncdm Charge Record Medical Supplies - Balloon 6X40Mm 135Cm,1169.03,455.92,,,0
CDM,SUP19870,Noncdm Charge Record Medical Supplies - Balloon 3X60Mm 135Cm,1287.37,502.07,,,0
CDM,SUP19873,Noncdm Charge Record Medical Supplies - Balloon 7X30Mm 135Cm,1101.24,429.48,,,0
CDM,SUP19875,Noncdm Charge Record Medical Supplies,991.53,386.7,,,0
CDM,SUP19877,Noncdm Charge Record Medical Supplies - Balloon 3X40Mm 135Cm,1177.48,459.22,,,0
CDM,SUP19878,Noncdm Charge Record Medical Supplies - Balloon 6X60Mm 135Cm,991.53,386.7,,,0
CDM,SUP1988,Noncdm Charge Record Medical Supplies - Bone Tendon Ahls W Strut Frzn,6592.95,2571.25,,,0
CDM,SUP19881,Noncdm Charge Record Medical Supplies - Balloon 4X60Mm 135Cm,991.53,386.7,,,0
CDM,SUP19884,Noncdm Charge Record Medical Supplies - Balloon Brk Thr 4X150Mmx150Cm Dil Strlg Sl Otw 4F,991.53,386.7,,,0
CDM,SUP198852,Noncdm Charge Record Medical Supplies,306.36,119.48,,,0
CDM,SUP198853_272,Noncdm Charge Record Medical Supplies,391.4,152.65,,,0
CDM,SUP198853_A4649_272,Noncdm Charge Record Medical Supplies,391.75,152.78,,,0
CDM,SUP19886,Noncdm Charge Record Medical Supplies - Wire Fx .045 9In Krsh Ss 2,34.16,13.32,,,0
CDM,SUP19888_272,Noncdm Charge Record Medical Supplies - System Weck Endo Fc Clsr,525.35,204.89,,,0
CDM,SUP19888_A4649_272,Noncdm Charge Record Medical Supplies - System Weck Endo Fc Clsr,544.28,212.27,,,0
CDM,SUP19888_A9999_272,Noncdm Charge Record Medical Supplies - System Weck Endo Fc Clsr,514.4,200.62,,,0
CDM,SUP19890,Noncdm Charge Record Medical Supplies - See 130114 Dressing Sensa Trac Open Abd,2342.17,913.45,,,0
CDM,SUP19896,Noncdm Charge Record Medical Supplies - Dressing Conform 2 36X36In Smith And Nephew,35.45,13.83,,,0
CDM,SUP19900,Noncdm Charge Record Medical Supplies - Catheter Ablation Safire 4Mm,3197.08,1246.86,,,0
CDM,SUP199017,Noncdm Charge Record Medical Supplies,1101.24,429.48,,,0
CDM,SUP199019,Noncdm Charge Record Medical Supplies,143.98,56.15,,,0
CDM,SUP19902_272,Noncdm Charge Record Medical Supplies - Scissor Insert 5Mm Curved Metzenbaum Care Fusion,326.28,127.25,,,0
CDM,SUP19902_A4649_272,Noncdm Charge Record Medical Supplies - Scissor Insert 5Mm Curved Metzenbaum Care Fusion,341.49,133.18,,,0
CDM,SUP19902_A9999_272,Noncdm Charge Record Medical Supplies - Scissor Insert 5Mm Curved Metzenbaum Care Fusion,294.98,115.04,,,0
CDM,SUP19908,Noncdm Charge Record Medical Supplies,3142.26,1225.48,,,0
CDM,SUP199090,Noncdm Charge Record Medical Supplies,2442.6,952.61,,,0
CDM,SUP19918,Noncdm Charge Record Medical Supplies - Catheter Drain 24Fr Thoracic Straight Silicone Maquet,108.68,42.39,,,0
CDM,SUP19919,Noncdm Charge Record Medical Supplies - Catheter Drain 28Fr Thoracic Straight Silicone Maquet,55.73,21.73,,,0
CDM,SUP1992,Noncdm Charge Record Medical Supplies - Rotoblator Advancer,979.11,381.85,,,0
CDM,SUP19921,Noncdm Charge Record Medical Supplies - Clip Instinct Endo Hmclp,1088.04,424.34,,,0
CDM,SUP199238_272,Noncdm Charge Record Medical Supplies,1170.17,456.37,,,0
CDM,SUP199238_C1769_272,Noncdm Charge Record Medical Supplies,5710.1,2226.94,,,0
CDM,SUP19926,Noncdm Charge Record Medical Supplies - Suture Nylon 9-0 5In Black 1-2 Circle 150 Degree 100 Micron,200.79,78.31,,,0
CDM,SUP19927_272,Noncdm Charge Record Medical Supplies - Needle Centeze Cnts 5Fr 7Cm,89.03,34.72,,,0
CDM,SUP19927_A4649_272,Noncdm Charge Record Medical Supplies - Needle Centeze Cnts 5Fr 7Cm,89.01,34.71,,,0
CDM,SUP19927_A9999_272,Noncdm Charge Record Medical Supplies - Needle Centeze Cnts 5Fr 7Cm,89.01,34.71,,,0
CDM,SUP19928,Noncdm Charge Record Medical Supplies - Needle Centeze Cnts 5Fr 15Cm,90.14,35.15,,,0
CDM,SUP19929,Noncdm Charge Record Medical Supplies - Graft Nerve Avance 2-3Mm 30Mm,14679.4,5724.97,,,0
CDM,SUP19931,Noncdm Charge Record Medical Supplies - Suture Prolene 2-0 Ct-1 30In Ethicon,13.04,5.09,,,0
CDM,SUP19935_272,Noncdm Charge Record Medical Supplies - Tubing Outflow Myosure Hologic,98.32,38.34,,,0
CDM,SUP19935_A4649_272,Noncdm Charge Record Medical Supplies - Tubing Outflow Myosure Hologic,98.32,38.34,,,0
CDM,SUP19935_A9999_272,Noncdm Charge Record Medical Supplies - Tubing Outflow Myosure Hologic,98.32,38.34,,,0
CDM,SUP19936_272,Noncdm Charge Record Medical Supplies - Tubing Inflow Myosure Hologic,538.2,209.9,,,0
CDM,SUP19936_A4649_272,Noncdm Charge Record Medical Supplies - Tubing Inflow Myosure Hologic,538.2,209.9,,,0
CDM,SUP19936_A9999_272,Noncdm Charge Record Medical Supplies - Tubing Inflow Myosure Hologic,538.2,209.9,,,0
CDM,SUP19937,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 42.5Mm Trgn Lp,2255.26,879.55,,,0
CDM,SUP19938,Noncdm Charge Record Medical Supplies - Guidewire Nitinol .018In 60Cm,127.3,49.65,,,0
CDM,SUP19942,Noncdm Charge Record Medical Supplies - Lead Pacing Df4 Active,12958.2,5053.7,,,0
CDM,SUP19943,Noncdm Charge Record Medical Supplies - Syringe 60Mm Lck,20.5,8.0,,,0
CDM,SUP199459_272,Noncdm Charge Record Medical Supplies,5379.23,2097.9,,,0
CDM,SUP199459_A4649_272,Noncdm Charge Record Medical Supplies,4867.6,1898.36,,,0
CDM,SUP199459_A9999_272,Noncdm Charge Record Medical Supplies,4720.64,1841.05,,,0
CDM,SUP19964_272,Noncdm Charge Record Medical Supplies - Suture Prolene 3-0 Sh 36In Double Arm Ethicon,29.62,11.55,,,0
CDM,SUP19964_A9999_272,Noncdm Charge Record Medical Supplies - Suture Prolene 3-0 Sh 36In Double Arm Ethicon,30.02,11.71,,,0
CDM,SUP19971,Noncdm Charge Record Medical Supplies - Ipg Sesr01 Sensia Usa Is-1 Sr,9183.56,3581.59,,,0
CDM,SUP199723,Noncdm Charge Record Medical Supplies,8458.54,3298.83,,,0
CDM,SUP199725,Noncdm Charge Record Medical Supplies,6042.33,2356.51,,,0
CDM,SUP19974,Noncdm Charge Record Medical Supplies - Lead 5076-45 Bi Sil Scr-In 10L,2041.02,796.0,,,0
CDM,SUP19975,Noncdm Charge Record Medical Supplies - Lead 5076-52 Ous 52Cm Cdrom Mpri,2041.02,796.0,,,0
CDM,SUP20005,Noncdm Charge Record Medical Supplies - Lead 693565 Quattro Defib,12958.2,5053.7,,,0
CDM,SUP20006,Noncdm Charge Record Medical Supplies - Lead 693575 Quattro Defib,12958.2,5053.7,,,0
CDM,SUP20008,Noncdm Charge Record Medical Supplies - Lead 6935M72 Df4 Active Sc,12958.2,5053.7,,,0
CDM,SUP200129,Noncdm Charge Record Medical Supplies,6041.81,2356.31,,,0
CDM,SUP200143,Noncdm Charge Record Medical Supplies,8459.06,3299.03,,,0
CDM,SUP200144,Noncdm Charge Record Medical Supplies,8458.71,3298.9,,,0
CDM,SUP200145,Noncdm Charge Record Medical Supplies,8459.06,3299.03,,,0
CDM,SUP200151,Noncdm Charge Record Medical Supplies,5075.64,1979.5,,,0
CDM,SUP200154,Noncdm Charge Record Medical Supplies,5075.12,1979.3,,,0
CDM,SUP200157,Noncdm Charge Record Medical Supplies,5075.64,1979.5,,,0
CDM,SUP200158,Noncdm Charge Record Medical Supplies,5075.64,1979.5,,,0
CDM,SUP200159,Noncdm Charge Record Medical Supplies,5075.25,1979.35,,,0
CDM,SUP200160,Noncdm Charge Record Medical Supplies,5075.64,1979.5,,,0
CDM,SUP200161,Noncdm Charge Record Medical Supplies,5075.29,1979.36,,,0
CDM,SUP200170,Noncdm Charge Record Medical Supplies,4205.2,1640.03,,,0
CDM,SUP200180,Noncdm Charge Record Medical Supplies,4205.2,1640.03,,,0
CDM,SUP20019,Noncdm Charge Record Medical Supplies - Lead 429688 Can-Intl Mkt 88Cm,6452.19,2516.35,,,0
CDM,SUP200190,Noncdm Charge Record Medical Supplies,4205.2,1640.03,,,0
CDM,SUP200191,Noncdm Charge Record Medical Supplies,4205.2,1640.03,,,0
CDM,SUP200197,Noncdm Charge Record Medical Supplies,4205.2,1640.03,,,0
CDM,SUP200198,Noncdm Charge Record Medical Supplies,4205.2,1640.03,,,0
CDM,SUP200208,Noncdm Charge Record Medical Supplies,5075.12,1979.3,,,0
CDM,SUP200209,Noncdm Charge Record Medical Supplies,5075.64,1979.5,,,0
CDM,SUP200211,Noncdm Charge Record Medical Supplies,5075.64,1979.5,,,0
CDM,SUP200212,Noncdm Charge Record Medical Supplies,5075.12,1979.3,,,0
CDM,SUP200215,Noncdm Charge Record Medical Supplies,5075.12,1979.3,,,0
CDM,SUP20022,Noncdm Charge Record Medical Supplies - Catheter 6250Vc Attain,3999.24,1559.7,,,0
CDM,SUP200222,Noncdm Charge Record Medical Supplies,4205.2,1640.03,,,0
CDM,SUP200229,Noncdm Charge Record Medical Supplies,4205.2,1640.03,,,0
CDM,SUP200230,Noncdm Charge Record Medical Supplies,4205.2,1640.03,,,0
CDM,SUP200232,Noncdm Charge Record Medical Supplies,4205.2,1640.03,,,0
CDM,SUP200251,Noncdm Charge Record Medical Supplies,8941.88,3487.33,,,0
CDM,SUP20028_272,Noncdm Charge Record Medical Supplies - Catheter 6250V-Eh Attain Command,1649.79,643.42,,,0
CDM,SUP20028_A4649_272,Noncdm Charge Record Medical Supplies - Catheter 6250V-Eh Attain Command,1649.79,643.42,,,0
CDM,SUP20030,Noncdm Charge Record Medical Supplies - Catheter 6250V-Mb2 Attain,1649.79,643.42,,,0
CDM,SUP20031,Noncdm Charge Record Medical Supplies - Catheter 6250V-Mb2X Attain,1649.79,643.42,,,0
CDM,SUP20033,Noncdm Charge Record Medical Supplies - Catheter 6250V-Mpr Attain,1649.79,643.42,,,0
CDM,SUP20035,Noncdm Charge Record Medical Supplies - Catheter 6248V-130 Attain,1439.68,561.48,,,0
CDM,SUP20037,Noncdm Charge Record Medical Supplies - Catheter 6248V-130P Attain,1439.65,561.46,,,0
CDM,SUP20038,Noncdm Charge Record Medical Supplies - Catheter 6248V-90 Attain,1439.68,561.48,,,0
CDM,SUP20040,Noncdm Charge Record Medical Supplies - Catheter 6248V-90P Attain,1439.6,561.44,,,0
CDM,SUP20042,Noncdm Charge Record Medical Supplies - Catheter 6248V-90Sp Attain,1439.68,561.48,,,0
CDM,SUP20049,Noncdm Charge Record Medical Supplies - Anchoring Sleeve Lead Kit Medtronic Inc,93.15,36.33,,,0
CDM,SUP200553,Noncdm Charge Record Medical Supplies,97.16,37.89,,,0
CDM,SUP20058,Noncdm Charge Record Medical Supplies,152.15,59.34,,,0
CDM,SUP20066,Noncdm Charge Record Medical Supplies - Stylet Kitrust Knob6054-65,195.62,76.29,,,0
CDM,SUP200679,Noncdm Charge Record Medical Supplies - Sheath Peel Away 18Fr,207.97,81.11,,,0
CDM,SUP20070_272,Noncdm Charge Record Medical Supplies - Lead Acc. Kit 6056M Global 17L,152.12,59.33,,,0
CDM,SUP20070_A4649_272,Noncdm Charge Record Medical Supplies - Lead Acc. Kit 6056M Global 17L,152.15,59.34,,,0
CDM,SUP20073,Noncdm Charge Record Medical Supplies,1067.08,416.16,,,0
CDM,SUP20074_272,Noncdm Charge Record Medical Supplies - Stylet 6057-52 Ball Tip Sty Kt,151.94,59.26,,,0
CDM,SUP20074_A9999_272,Noncdm Charge Record Medical Supplies - Stylet 6057-52 Ball Tip Sty Kt,152.15,59.34,,,0
CDM,SUP20076,Noncdm Charge Record Medical Supplies - Stylet Kit 6057-65,152.15,59.34,,,0
CDM,SUP20077,Noncdm Charge Record Medical Supplies - Stylet Kit 6057-75 Blue,195.62,76.29,,,0
CDM,SUP20079,Noncdm Charge Record Medical Supplies - Stylet 6082-45 Ball Tip Stykt,152.15,59.34,,,0
CDM,SUP20083,Noncdm Charge Record Medical Supplies - Stylet 6082-65 Strt Ex Tpr Bll,152.15,59.34,,,0
CDM,SUP20088,Noncdm Charge Record Medical Supplies - Stylet Kitj-Shapeextdtaprd,152.15,59.34,,,0
CDM,SUP20089,Noncdm Charge Record Medical Supplies - Stylet Kit J-Shpdball-Tip,152.15,59.34,,,0
CDM,SUP20103,Noncdm Charge Record Medical Supplies - Stylet 6094-45 Kit,152.15,59.34,,,0
CDM,SUP20119_272,Noncdm Charge Record Medical Supplies - Slitter 6232Adj Adjustable,132.48,51.67,,,0
CDM,SUP20119_A4649_272,Noncdm Charge Record Medical Supplies - Slitter 6232Adj Adjustable,132.48,51.67,,,0
CDM,SUP201242,Noncdm Charge Record Medical Supplies,715.18,278.92,,,0
CDM,SUP20126,Noncdm Charge Record Medical Supplies - Catheter 625045S01 Attain,832.14,324.53,,,0
CDM,SUP201307_272,Noncdm Charge Record Medical Supplies,344.66,134.42,,,0
CDM,SUP201307_A4649_272,Noncdm Charge Record Medical Supplies,344.66,134.42,,,0
CDM,SUP201308_272,Noncdm Charge Record Medical Supplies,16.21,6.32,,,0
CDM,SUP201308_A9999_272,Noncdm Charge Record Medical Supplies,12.42,4.84,,,0
CDM,SUP20136,Noncdm Charge Record Medical Supplies - Catheter 6250Mb202 Attain Mb2,832.14,324.53,,,0
CDM,SUP201383,Noncdm Charge Record Medical Supplies,176.98,69.02,,,0
CDM,SUP201384,Noncdm Charge Record Medical Supplies,21516.62,8391.48,,,0
CDM,SUP20143,Noncdm Charge Record Medical Supplies - Lead Quickflex Micro 86Cm,8463.2,3300.65,,,0
CDM,SUP20146,Noncdm Charge Record Medical Supplies - Lead Quartet Quadripolar 86Cm,7733.52,3016.07,,,0
CDM,SUP20147,Noncdm Charge Record Medical Supplies - Lead Quartet Quadripolar 92Cm,8463.2,3300.65,,,0
CDM,SUP201484,Noncdm Charge Record Medical Supplies,59054.75,23031.35,,,0
CDM,SUP201485,Noncdm Charge Record Medical Supplies,54146.54,21117.15,,,0
CDM,SUP201486,Noncdm Charge Record Medical Supplies,53551.49,20885.08,,,0
CDM,SUP201487,Noncdm Charge Record Medical Supplies,83148.06,32427.74,,,0
CDM,SUP201488,Noncdm Charge Record Medical Supplies,82659.24,32237.1,,,0
CDM,SUP201489,Noncdm Charge Record Medical Supplies,83353.87,32508.01,,,0
CDM,SUP201490,Noncdm Charge Record Medical Supplies,82645.41,32231.71,,,0
CDM,SUP201491,Noncdm Charge Record Medical Supplies,63897.8,24920.14,,,0
CDM,SUP201492,Noncdm Charge Record Medical Supplies,45483.08,17738.4,,,0
CDM,SUP201553,Noncdm Charge Record Medical Supplies,120.06,46.82,,,0
CDM,SUP20172,Noncdm Charge Record Medical Supplies - Lead Durata Df4 65Cm,12566.97,4901.12,,,0
CDM,SUP20177,Noncdm Charge Record Medical Supplies - Icd Fortify Assura Vr 40,45917.78,17907.93,,,0
CDM,SUP20178,Noncdm Charge Record Medical Supplies - Icd Fortify Assura Vr 40,45917.78,17907.93,,,0
CDM,SUP20179,Noncdm Charge Record Medical Supplies - Icd Ellipse Vr36 Nxgn Next Generation,52273.71,20386.75,,,0
CDM,SUP201796,Noncdm Charge Record Medical Supplies,404.68,157.83,,,0
CDM,SUP20185,Noncdm Charge Record Medical Supplies - Icd Fortify Assura Dr 40,53167.95,20735.5,,,0
CDM,SUP20186,Noncdm Charge Record Medical Supplies - Icd Fortify Assura Dr 40 Df4 Next Generation Connector,53167.95,20735.5,,,0
CDM,SUP20188,Noncdm Charge Record Medical Supplies - Icd Ellipse 36Df4 Nxgn Next Generation Connector Dr,53167.95,20735.5,,,0
CDM,SUP2019,Noncdm Charge Record Medical Supplies - See 35296 Dressing Telfa + 6X4In Abs Nadh Nonwvn Ilnd,5.18,2.02,,,0
CDM,SUP20195,Noncdm Charge Record Medical Supplies - Icd Unify Assura Crt-D 40,72501.75,28275.68,,,0
CDM,SUP20196,Noncdm Charge Record Medical Supplies - Icd Unify Assura Crt-D 40 Df4,72501.75,28275.68,,,0
CDM,SUP20209,Noncdm Charge Record Medical Supplies,2326.68,907.41,,,0
CDM,SUP20214_272,Noncdm Charge Record Medical Supplies - Retractor Alexis Wound Lrg 9-14Cm,421.24,164.28,,,0
CDM,SUP20214_A4649_272,Noncdm Charge Record Medical Supplies - Retractor Alexis Wound Lrg 9-14Cm,421.24,164.28,,,0
CDM,SUP202187,Noncdm Charge Record Medical Supplies,800.06,312.02,,,0
CDM,SUP202189,Noncdm Charge Record Medical Supplies,800.06,312.02,,,0
CDM,SUP202191,Noncdm Charge Record Medical Supplies,800.06,312.02,,,0
CDM,SUP202192,Noncdm Charge Record Medical Supplies,800.06,312.02,,,0
CDM,SUP202193,Noncdm Charge Record Medical Supplies,800.06,312.02,,,0
CDM,SUP202194,Noncdm Charge Record Medical Supplies,800.06,312.02,,,0
CDM,SUP202197,Noncdm Charge Record Medical Supplies,800.06,312.02,,,0
CDM,SUP202198,Noncdm Charge Record Medical Supplies,800.06,312.02,,,0
CDM,SUP202199,Noncdm Charge Record Medical Supplies,800.06,312.02,,,0
CDM,SUP2021_272,Noncdm Charge Record Medical Supplies - Snare W Std 240Cm 1.9Mm 27Mm,195.62,76.29,,,0
CDM,SUP2021_A9999_272,Noncdm Charge Record Medical Supplies - Snare W Std 240Cm 1.9Mm 27Mm,195.62,76.29,,,0
CDM,SUP2022,Noncdm Charge Record Medical Supplies - Catheter Drain 8Fr 25Cm Reg,396.4,154.6,,,0
CDM,SUP202200,Noncdm Charge Record Medical Supplies,800.06,312.02,,,0
CDM,SUP202202,Noncdm Charge Record Medical Supplies,800.06,312.02,,,0
CDM,SUP202203,Noncdm Charge Record Medical Supplies,800.06,312.02,,,0
CDM,SUP202204,Noncdm Charge Record Medical Supplies,800.06,312.02,,,0
CDM,SUP202205,Noncdm Charge Record Medical Supplies,800.06,312.02,,,0
CDM,SUP202206,Noncdm Charge Record Medical Supplies,800.06,312.02,,,0
CDM,SUP202207,Noncdm Charge Record Medical Supplies,800.06,312.02,,,0
CDM,SUP202208,Noncdm Charge Record Medical Supplies,800.06,312.02,,,0
CDM,SUP202209,Noncdm Charge Record Medical Supplies,800.06,312.02,,,0
CDM,SUP202210,Noncdm Charge Record Medical Supplies,800.06,312.02,,,0
CDM,SUP202211,Noncdm Charge Record Medical Supplies,800.06,312.02,,,0
CDM,SUP202212,Noncdm Charge Record Medical Supplies,800.06,312.02,,,0
CDM,SUP202213,Noncdm Charge Record Medical Supplies,800.06,312.02,,,0
CDM,SUP202214,Noncdm Charge Record Medical Supplies,800.06,312.02,,,0
CDM,SUP202215,Noncdm Charge Record Medical Supplies,800.06,312.02,,,0
CDM,SUP202216,Noncdm Charge Record Medical Supplies,800.06,312.02,,,0
CDM,SUP202217,Noncdm Charge Record Medical Supplies,800.06,312.02,,,0
CDM,SUP202218,Noncdm Charge Record Medical Supplies,800.06,312.02,,,0
CDM,SUP202219,Noncdm Charge Record Medical Supplies,800.06,312.02,,,0
CDM,SUP202220,Noncdm Charge Record Medical Supplies,800.06,312.02,,,0
CDM,SUP202221,Noncdm Charge Record Medical Supplies,800.06,312.02,,,0
CDM,SUP202222,Noncdm Charge Record Medical Supplies,800.06,312.02,,,0
CDM,SUP202223,Noncdm Charge Record Medical Supplies,800.06,312.02,,,0
CDM,SUP202224,Noncdm Charge Record Medical Supplies,800.06,312.02,,,0
CDM,SUP202225,Noncdm Charge Record Medical Supplies,800.06,312.02,,,0
CDM,SUP202226,Noncdm Charge Record Medical Supplies,800.06,312.02,,,0
CDM,SUP202227,Noncdm Charge Record Medical Supplies,800.06,312.02,,,0
CDM,SUP202228,Noncdm Charge Record Medical Supplies,800.06,312.02,,,0
CDM,SUP202229,Noncdm Charge Record Medical Supplies,800.06,312.02,,,0
CDM,SUP202230,Noncdm Charge Record Medical Supplies,800.06,312.02,,,0
CDM,SUP202231,Noncdm Charge Record Medical Supplies,800.06,312.02,,,0
CDM,SUP202233,Noncdm Charge Record Medical Supplies,16196.72,6316.72,,,0
CDM,SUP202234,Noncdm Charge Record Medical Supplies,3968.19,1547.59,,,0
CDM,SUP202235,Noncdm Charge Record Medical Supplies,1077.44,420.2,,,0
CDM,SUP202236,Noncdm Charge Record Medical Supplies,1396.22,544.53,,,0
CDM,SUP202237,Noncdm Charge Record Medical Supplies,1689.12,658.76,,,0
CDM,SUP202238_C1897_278,Noncdm Charge Record Medical Supplies,215.28,83.96,,,0
CDM,SUP202238_L8699_278,Noncdm Charge Record Medical Supplies,214.76,83.76,,,0
CDM,SUP202239,Noncdm Charge Record Medical Supplies,3716.68,1449.51,,,0
CDM,SUP202241,Noncdm Charge Record Medical Supplies,56314.35,21962.6,,,0
CDM,SUP202242,Noncdm Charge Record Medical Supplies,51964.24,20266.05,,,0
CDM,SUP202243,Noncdm Charge Record Medical Supplies,37.26,14.53,,,0
CDM,SUP202247,Noncdm Charge Record Medical Supplies,1324.8,516.67,,,0
CDM,SUP202251,Noncdm Charge Record Medical Supplies,375.26,146.35,,,0
CDM,SUP20227,Noncdm Charge Record Medical Supplies,4315.95,1683.22,,,0
CDM,SUP20228,Noncdm Charge Record Medical Supplies - Screw Bn 7.5Mm 40Mm Solera,4316.47,1683.42,,,0
CDM,SUP2023,Noncdm Charge Record Medical Supplies - Sling Orth Chld 11X6In Arm Spcl Dp Pckt,21.74,8.48,,,0
CDM,SUP202304,Noncdm Charge Record Medical Supplies,761.41,296.95,,,0
CDM,SUP202320,Noncdm Charge Record Medical Supplies,889.06,346.73,,,0
CDM,SUP202335_272,Noncdm Charge Record Medical Supplies,1424.22,555.45,,,0
CDM,SUP202335_A4649_272,Noncdm Charge Record Medical Supplies,1424.16,555.42,,,0
CDM,SUP202335_A9999_272,Noncdm Charge Record Medical Supplies,1424.25,555.46,,,0
CDM,SUP202338_270,Noncdm Charge Record Medical Supplies,246.33,96.07,,,0
CDM,SUP202338_A4649_270,Noncdm Charge Record Medical Supplies,246.33,96.07,,,0
CDM,SUP202340,Noncdm Charge Record Medical Supplies,10.35,4.04,,,0
CDM,SUP202341_270,Noncdm Charge Record Medical Supplies,212.18,82.75,,,0
CDM,SUP202341_A4649_270,Noncdm Charge Record Medical Supplies,212.18,82.75,,,0
CDM,SUP202343_270,Noncdm Charge Record Medical Supplies,99.36,38.75,,,0
CDM,SUP202343_A4649_270,Noncdm Charge Record Medical Supplies,99.53,38.82,,,0
CDM,SUP202346_272,Noncdm Charge Record Medical Supplies,213.11,83.11,,,0
CDM,SUP202346_A4649_272,Noncdm Charge Record Medical Supplies,212.18,82.75,,,0
CDM,SUP202347_270,Noncdm Charge Record Medical Supplies,189.4,73.87,,,0
CDM,SUP202347_272,Noncdm Charge Record Medical Supplies,189.4,73.87,,,0
CDM,SUP202347_A4649_270,Noncdm Charge Record Medical Supplies,189.4,73.87,,,0
CDM,SUP202347_A9999_272,Noncdm Charge Record Medical Supplies,189.4,73.87,,,0
CDM,SUP202348,Noncdm Charge Record Medical Supplies,106.6,41.57,,,0
CDM,SUP202349,Noncdm Charge Record Medical Supplies,20.7,8.07,,,0
CDM,SUP20235,Noncdm Charge Record Medical Supplies - Coupler Flow 2Mm 1 Un Mcvsc,4809.65,1875.76,,,0
CDM,SUP20236,Noncdm Charge Record Medical Supplies - Coupler Flow 2.5Mm 1 Un Mcvsc,4809.65,1875.76,,,0
CDM,SUP20237,Noncdm Charge Record Medical Supplies - Coupler Flow 3Mm 1 Un Mcvsc,4809.65,1875.76,,,0
CDM,SUP20238,Noncdm Charge Record Medical Supplies - Coupler Anstm 3.5Mm 1 Un Mcvsc,1656.0,645.84,,,0
CDM,SUP20239,Noncdm Charge Record Medical Supplies - Coupler Anstm 4Mm 1 Un Mcvsc Fst Safe Gold Gm,1739.84,678.54,,,0
CDM,SUP20248_272,Noncdm Charge Record Medical Supplies - Trocar Optc Bladeless 12Mm Lng Cannula,119.02,46.42,,,0
CDM,SUP20248_A4649_272,Noncdm Charge Record Medical Supplies,119.02,46.42,,,0
CDM,SUP20248_A9999_272,Noncdm Charge Record Medical Supplies - Trocar Optc Bladeless 12Mm Lng Cannula,119.02,46.42,,,0
CDM,SUP202519,Noncdm Charge Record Medical Supplies,73.48,28.66,,,0
CDM,SUP202521,Noncdm Charge Record Medical Supplies,73.74,28.76,,,0
CDM,SUP20267_272,Noncdm Charge Record Medical Supplies - Endokit Custom Endochoice,32.05,12.5,,,0
CDM,SUP20267_A4649_272,Noncdm Charge Record Medical Supplies - Endokit Custom Endochoice,32.08,12.51,,,0
CDM,SUP20267_A9999_272,Noncdm Charge Record Medical Supplies - Endokit Custom Endochoice,32.08,12.51,,,0
CDM,SUP20268,Noncdm Charge Record Medical Supplies - Kit Vasc Dil Gwire 18Ga Ndl #10 Scalpel 5 Dil,975.93,380.61,,,0
CDM,SUP20271,Noncdm Charge Record Medical Supplies - Bandage Cvr-Rl 6In 2Yds Strch,18.63,7.27,,,0
CDM,SUP202802,Noncdm Charge Record Medical Supplies,618.93,241.38,,,0
CDM,SUP202803,Noncdm Charge Record Medical Supplies,647.91,252.68,,,0
CDM,SUP202804,Noncdm Charge Record Medical Supplies,721.4,281.35,,,0
CDM,SUP202807,Noncdm Charge Record Medical Supplies,4307.67,1679.99,,,0
CDM,SUP202808,Noncdm Charge Record Medical Supplies,7866.0,3067.74,,,0
CDM,SUP20282,Noncdm Charge Record Medical Supplies - See 141087 Suture Pds2 4-0 Rb-1 27In Violet Ethicon,12.59,4.91,,,0
CDM,SUP20283,Noncdm Charge Record Medical Supplies - Suture Ethilon 4-0 P-3 18In Clear Ethicon,21.44,8.36,,,0
CDM,SUP20286,Noncdm Charge Record Medical Supplies - Suture Prolene 4-0 Sh 36In Double Arm Ethicon,29.91,11.66,,,0
CDM,SUP202875,Noncdm Charge Record Medical Supplies,442.98,172.76,,,0
CDM,SUP202876,Noncdm Charge Record Medical Supplies,442.98,172.76,,,0
CDM,SUP202877,Noncdm Charge Record Medical Supplies,442.98,172.76,,,0
CDM,SUP202878,Noncdm Charge Record Medical Supplies,442.98,172.76,,,0
CDM,SUP202879,Noncdm Charge Record Medical Supplies,625.14,243.8,,,0
CDM,SUP20287_272,Noncdm Charge Record Medical Supplies - See 129515 Gelfoam Small 12-7Mm Pharamacia And Upjohn,19.66,7.67,,,0
CDM,SUP20287_A4649_272,Noncdm Charge Record Medical Supplies - See 129515 Gelfoam Small 12-7Mm Pharamacia And Upjohn,19.66,7.67,,,0
CDM,SUP20287_A9999_272,Noncdm Charge Record Medical Supplies - See 129515 Gelfoam Small 12-7Mm Pharamacia And Upjohn,19.66,7.67,,,0
CDM,SUP202880,Noncdm Charge Record Medical Supplies,417.1,162.67,,,0
CDM,SUP202881,Noncdm Charge Record Medical Supplies,417.1,162.67,,,0
CDM,SUP202882,Noncdm Charge Record Medical Supplies,417.1,162.67,,,0
CDM,SUP202883,Noncdm Charge Record Medical Supplies,86.94,33.91,,,0
CDM,SUP202885,Noncdm Charge Record Medical Supplies,89.01,34.71,,,0
CDM,SUP20288_272,Noncdm Charge Record Medical Supplies - Gelfoam Large 100Mm Pharmacia And Upjohn,114.94,44.83,,,0
CDM,SUP20288_A9999_272,Noncdm Charge Record Medical Supplies - Gelfoam Large 100Mm Pharmacia And Upjohn,114.88,44.8,,,0
CDM,SUP20290,Noncdm Charge Record Medical Supplies,74.52,29.06,,,0
CDM,SUP20291,Noncdm Charge Record Medical Supplies - Protector Wound 2.5Cm 6Cm,109.71,42.79,,,0
CDM,SUP20292,Noncdm Charge Record Medical Supplies - Protector Wound 5Cm 9Cm Covidien,109.71,42.79,,,0
CDM,SUP20295,Noncdm Charge Record Medical Supplies - See 135899 Suture Vicryl 1 Os-6 27In Undyed Ethicon,11.9,4.64,,,0
CDM,SUP20296_272,Noncdm Charge Record Medical Supplies - Suture Prolene 3-0 Sh 30In Ethicon,17.37,6.77,,,0
CDM,SUP20296_A4649_272,Noncdm Charge Record Medical Supplies - Suture Prolene 3-0 Sh 30In Ethicon,16.56,6.46,,,0
CDM,SUP20296_A9999_272,Noncdm Charge Record Medical Supplies - Suture Prolene 3-0 Sh 30In Ethicon,17.6,6.86,,,0
CDM,SUP20297,Noncdm Charge Record Medical Supplies - See 140937 Suture Vicryl 4-0 Sh 27In Violet Ethicon,7.59,2.96,,,0
CDM,SUP20298,Noncdm Charge Record Medical Supplies - Suture Chromic 0 27In Ur6 Ethicon,18.11,7.06,,,0
CDM,SUP20299,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 Ct-1 30In Black Ethicon,6.49,2.53,,,0
CDM,SUP20301,Noncdm Charge Record Medical Supplies - See 141055 Suture Vicryl 0 Ct1 Braided 27In Undyed Ethicon,57.88,22.57,,,0
CDM,SUP20303,Noncdm Charge Record Medical Supplies,14.49,5.65,,,0
CDM,SUP20305,Noncdm Charge Record Medical Supplies - Immobilizer Lg Shoulder Abd,278.42,108.58,,,0
CDM,SUP20306,Noncdm Charge Record Medical Supplies - Drill Surg Wire Pass 1.5Mm Bn,127.3,49.65,,,0
CDM,SUP20307_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 4-0 P-3 18In Black H Ethicon,20.73,8.08,,,0
CDM,SUP20307_A4649_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 4-0 P-3 18In Black H Ethicon,20.7,8.07,,,0
CDM,SUP20307_A9999_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 4-0 P-3 18In Black H Ethicon,20.7,8.07,,,0
CDM,SUP203087,Noncdm Charge Record Medical Supplies,20.7,8.07,,,0
CDM,SUP203088,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP20308_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 5-0 P-3 18In Black H Ethicon,18.39,7.17,,,0
CDM,SUP20308_A4649_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 5-0 P-3 18In Black H Ethicon,18.63,7.27,,,0
CDM,SUP20308_A9999_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 5-0 P-3 18In Black H Ethicon,18.63,7.27,,,0
CDM,SUP203094,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP2030_270,Noncdm Charge Record Medical Supplies - Spirometer Incnt 2.5L Sm Volume Low Flow,9.32,3.63,,,0
CDM,SUP2030_A4649_270,Noncdm Charge Record Medical Supplies - Spirometer Incnt 2.5L Sm Volume Low Flow,9.32,3.63,,,0
CDM,SUP2030_A9999_270,Noncdm Charge Record Medical Supplies - Spirometer Incnt 2.5L Sm Volume Low Flow,9.32,3.63,,,0
CDM,SUP20311,Noncdm Charge Record Medical Supplies - Sphincterotome 260Cm 7 5.5Fr,2266.65,883.99,,,0
CDM,SUP20312,Noncdm Charge Record Medical Supplies - See 140946 Suture Vicryl 0 Ct-2 27In Violet Ethicon,7.24,2.82,,,0
CDM,SUP203130_270,Noncdm Charge Record Medical Supplies,10.84,4.23,,,0
CDM,SUP203130_272,Noncdm Charge Record Medical Supplies,9.32,3.63,,,0
CDM,SUP203135,Noncdm Charge Record Medical Supplies,6.21,2.42,,,0
CDM,SUP20313_272,Noncdm Charge Record Medical Supplies - See 157242 Tape Umbilical Cotton 1-8In X 30In Ethicon,7.33,2.86,,,0
CDM,SUP20313_A4649_272,Noncdm Charge Record Medical Supplies - See 157242 Tape Umbilical Cotton 1-8In X 30In Ethicon,7.24,2.82,,,0
CDM,SUP20313_A9999_272,Noncdm Charge Record Medical Supplies - See 157242 Tape Umbilical Cotton 1-8In X 30In Ethicon,7.24,2.82,,,0
CDM,SUP20314_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 3-0 Fs-1 30In Black Ethicon,9.44,3.68,,,0
CDM,SUP20314_A4649_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 3-0 Fs-1 30In Black Ethicon,9.46,3.69,,,0
CDM,SUP20314_A9999_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 3-0 Fs-1 30In Black Ethicon,9.32,3.63,,,0
CDM,SUP20316,Noncdm Charge Record Medical Supplies - Adhesive Sterile Medical Medtronic Inc,141.79,55.3,,,0
CDM,SUP203170,Noncdm Charge Record Medical Supplies,4.83,1.88,,,0
CDM,SUP203173,Noncdm Charge Record Medical Supplies,49.68,19.38,,,0
CDM,SUP203175,Noncdm Charge Record Medical Supplies,12.42,4.84,,,0
CDM,SUP20317_272,Noncdm Charge Record Medical Supplies - See 155913 Tubing Line Filter Nasal 02 Philips,84.87,33.1,,,0
CDM,SUP20317_A4649_272,Noncdm Charge Record Medical Supplies - See 155913 Tubing Line Filter Nasal 02 Philips,84.87,33.1,,,0
CDM,SUP20317_A9999_272,Noncdm Charge Record Medical Supplies - See 155913 Tubing Line Filter Nasal 02 Philips,84.87,33.1,,,0
CDM,SUP20318,Noncdm Charge Record Medical Supplies - See 133889 Dissector 39Cm Sonicision,1664.28,649.07,,,0
CDM,SUP203197_270,Noncdm Charge Record Medical Supplies,4.14,1.61,,,0
CDM,SUP203197_A9999_270,Noncdm Charge Record Medical Supplies,4.14,1.61,,,0
CDM,SUP20319_272,Noncdm Charge Record Medical Supplies - See 141086 Suture Pds2 5-0 Rb-1 27In Violet Ethicon,13.46,5.25,,,0
CDM,SUP20319_A4649_272,Noncdm Charge Record Medical Supplies - See 141086 Suture Pds2 5-0 Rb-1 27In Violet Ethicon,13.46,5.25,,,0
CDM,SUP20319_A9999_272,Noncdm Charge Record Medical Supplies - See 141086 Suture Pds2 5-0 Rb-1 27In Violet Ethicon,13.46,5.25,,,0
CDM,SUP2032,Noncdm Charge Record Medical Supplies - Catheter Drain 20Fr 16In Argle Trocar Tip Straight Covidien,59.0,23.01,,,0
CDM,SUP20320,Noncdm Charge Record Medical Supplies - Suture Ethilon 4-0 Ps-2 18In Clear Ethicon,19.66,7.67,,,0
CDM,SUP203209,Noncdm Charge Record Medical Supplies,2.88,1.12,,,0
CDM,SUP203211,Noncdm Charge Record Medical Supplies,172.84,67.41,,,0
CDM,SUP203212,Noncdm Charge Record Medical Supplies,433.66,169.13,,,0
CDM,SUP203214,Noncdm Charge Record Medical Supplies,3.1,1.21,,,0
CDM,SUP203217,Noncdm Charge Record Medical Supplies,10.01,3.9,,,0
CDM,SUP203222,Noncdm Charge Record Medical Supplies,7.24,2.82,,,0
CDM,SUP20323,Noncdm Charge Record Medical Supplies - Suture Vicryl 3-0 54In Ties Undyed Ethicon,11.15,4.35,,,0
CDM,SUP203237,Noncdm Charge Record Medical Supplies,6.21,2.42,,,0
CDM,SUP20324,Noncdm Charge Record Medical Supplies,7.24,2.82,,,0
CDM,SUP20325,Noncdm Charge Record Medical Supplies - Clip Hemostatic Micro Synovis,151.78,59.19,,,0
CDM,SUP203254,Noncdm Charge Record Medical Supplies,76.59,29.87,,,0
CDM,SUP203255,Noncdm Charge Record Medical Supplies,76.59,29.87,,,0
CDM,SUP203272,Noncdm Charge Record Medical Supplies,289.45,112.89,,,0
CDM,SUP203273,Noncdm Charge Record Medical Supplies,197.59,77.06,,,0
CDM,SUP20328,Noncdm Charge Record Medical Supplies - Connector Perf Strt Eql.5In-24 .5In 24In Strl,22.77,8.88,,,0
CDM,SUP203283,Noncdm Charge Record Medical Supplies,9.32,3.63,,,0
CDM,SUP203287,Noncdm Charge Record Medical Supplies,7.37,2.87,,,0
CDM,SUP20329_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 4-0 Ps-2 18In Black H Ethicon,19.94,7.78,,,0
CDM,SUP20329_A4649_272,Noncdm Charge Record Medical Supplies - Suture Ethilon 4-0 Ps-2 18In Black H Ethicon,19.92,7.77,,,0
CDM,SUP20330_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 4-0 P-3 18In Undyed Antibacterial Ethic,34.87,13.6,,,0
CDM,SUP20330_A4649_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 4-0 P-3 18In Undyed Antibacterial Ethic,34.89,13.61,,,0
CDM,SUP20330_A9999_272,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 4-0 P-3 18In Undyed Antibacterial Ethic,35.19,13.72,,,0
CDM,SUP203321,Noncdm Charge Record Medical Supplies,3.1,1.21,,,0
CDM,SUP20332_272,Noncdm Charge Record Medical Supplies - Dressing Brn Fst Act 16X16 Vrstl Ncrstln Antibact,306.13,119.39,,,0
CDM,SUP20332_A4649_272,Noncdm Charge Record Medical Supplies - Dressing Brn Fst Act 16X16 Vrstl Ncrstln Antibact,306.15,119.4,,,0
CDM,SUP20332_A6209_272,Noncdm Charge Record Medical Supplies - Dressing Brn Fst Act 16X16 Vrstl Ncrstln Antibact,306.36,119.48,,,0
CDM,SUP20332_A9999_272,Noncdm Charge Record Medical Supplies - Dressing Brn Fst Act 16X16 Vrstl Ncrstln Antibact,306.15,119.4,,,0
CDM,SUP20333_272,Noncdm Charge Record Medical Supplies - Debrider Skin Norsen Bel-Med,146.96,57.31,,,0
CDM,SUP20333_A4649_272,Noncdm Charge Record Medical Supplies - Debrider Skin Norsen Bel-Med,146.97,57.32,,,0
CDM,SUP20333_A9999_272,Noncdm Charge Record Medical Supplies - Debrider Skin Norsen Bel-Med,146.97,57.32,,,0
CDM,SUP20334,Noncdm Charge Record Medical Supplies,783.5,305.56,,,0
CDM,SUP203367,Noncdm Charge Record Medical Supplies,442.98,172.76,,,0
CDM,SUP203379_272,Noncdm Charge Record Medical Supplies,48.22,18.81,,,0
CDM,SUP203379_A4649_272,Noncdm Charge Record Medical Supplies,48.05,18.74,,,0
CDM,SUP203379_A9999_272,Noncdm Charge Record Medical Supplies,47.61,18.57,,,0
CDM,SUP2034,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 34Mm 11Mm Lcp Ss Sh Thrd Fem,693.71,270.55,,,0
CDM,SUP20340,Noncdm Charge Record Medical Supplies,1811.25,706.39,,,0
CDM,SUP20341,Noncdm Charge Record Medical Supplies - Electrode Leep Loop Radius,63.14,24.62,,,0
CDM,SUP20343,Noncdm Charge Record Medical Supplies - Cuff Tourniquet 44X4In 1 Bladr,278.42,108.58,,,0
CDM,SUP20345,Noncdm Charge Record Medical Supplies - See 118052 Cuff Tourniquet 18X4In Dual Port 1 Bladr Qc,100.4,39.16,,,0
CDM,SUP20346,Noncdm Charge Record Medical Supplies - See 118053 Cuff Tourniquet 24X4In 1 Bladr Dual Port Qc,111.78,43.59,,,0
CDM,SUP2035,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 38Mm Lcp Ss Sh Thrd Canc Cannula,682.27,266.09,,,0
CDM,SUP20351,Noncdm Charge Record Medical Supplies - Device Pstn 1 Supn Postop Pad,507.15,197.79,,,0
CDM,SUP20352_272,Noncdm Charge Record Medical Supplies - Tracepak Minor Procedure Ksoc Wdc,192.52,75.08,,,0
CDM,SUP20352_A4649_272,Noncdm Charge Record Medical Supplies - Tracepak Minor Procedure Ksoc Wdc,192.53,75.09,,,0
CDM,SUP20352_A9999_272,Noncdm Charge Record Medical Supplies - Tracepak Minor Procedure Ksoc Wdc,192.51,75.08,,,0
CDM,SUP20353,Noncdm Charge Record Medical Supplies - Tracepak Major Gen Abd Ksoc,314.64,122.71,,,0
CDM,SUP20354_272,Noncdm Charge Record Medical Supplies - Tracepak Breast Procedure Ksoc Wdc,509.22,198.6,,,0
CDM,SUP20354_A4649_272,Noncdm Charge Record Medical Supplies - Tracepak Breast Procedure Ksoc Wdc,509.22,198.6,,,0
CDM,SUP20354_A9999_272,Noncdm Charge Record Medical Supplies - Tracepak Breast Procedure Ksoc Wdc,509.22,198.6,,,0
CDM,SUP20355_272,Noncdm Charge Record Medical Supplies - Tracepak Gyn Lap Ksoc Wdc,463.68,180.84,,,0
CDM,SUP20355_A4649_272,Noncdm Charge Record Medical Supplies - Tracepak Gyn Lap Ksoc Wdc,463.68,180.84,,,0
CDM,SUP20355_A9999_272,Noncdm Charge Record Medical Supplies - Tracepak Gyn Lap Ksoc Wdc,463.68,180.84,,,0
CDM,SUP20356_272,Noncdm Charge Record Medical Supplies - Tracepak Minor Lithotomy Ksoc Wdc,188.36,73.46,,,0
CDM,SUP20356_A4649_272,Noncdm Charge Record Medical Supplies - Tracepak Minor Lithotomy Ksoc Wdc,188.31,73.44,,,0
CDM,SUP20356_A9999_272,Noncdm Charge Record Medical Supplies - Tracepak Minor Lithotomy Ksoc Wdc,188.31,73.44,,,0
CDM,SUP20357_272,Noncdm Charge Record Medical Supplies - Tracepak T And A Ksoc Wdc,103.5,40.36,,,0
CDM,SUP20357_A4649_272,Noncdm Charge Record Medical Supplies - Tracepak T And A Ksoc Wdc,103.5,40.36,,,0
CDM,SUP20357_A9999_272,Noncdm Charge Record Medical Supplies - Tracepak T And A Ksoc Wdc,103.5,40.36,,,0
CDM,SUP203581_272,Noncdm Charge Record Medical Supplies,264.14,103.01,,,0
CDM,SUP203581_A9999_272,Noncdm Charge Record Medical Supplies,254.61,99.3,,,0
CDM,SUP203582,Noncdm Charge Record Medical Supplies,194.55,75.87,,,0
CDM,SUP203583,Noncdm Charge Record Medical Supplies,246.09,95.98,,,0
CDM,SUP20358_272,Noncdm Charge Record Medical Supplies - Tracepak Nasal Head And Neck Wdc,219.42,85.57,,,0
CDM,SUP20358_A4649_272,Noncdm Charge Record Medical Supplies - Tracepak Nasal Head And Neck Wdc,219.42,85.57,,,0
CDM,SUP20358_A9999_272,Noncdm Charge Record Medical Supplies - Tracepak Nasal Head And Neck Wdc,219.42,85.57,,,0
CDM,SUP20359_272,Noncdm Charge Record Medical Supplies - Tracepak Laparoscopic Ksoc,350.86,136.84,,,0
CDM,SUP20359_A4649_272,Noncdm Charge Record Medical Supplies - Tracepak Laparoscopic Ksoc,350.86,136.84,,,0
CDM,SUP20359_A9999_272,Noncdm Charge Record Medical Supplies - Tracepak Laparoscopic Ksoc,350.86,136.84,,,0
CDM,SUP2036,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 42Mm Lcp Ss Sh Thrd Sm Bn,636.52,248.24,,,0
CDM,SUP20360_272,Noncdm Charge Record Medical Supplies - Tracepak Head And Neck Ksoc,155.26,60.55,,,0
CDM,SUP20360_A4649_272,Noncdm Charge Record Medical Supplies - Tracepak Head And Neck Ksoc,155.25,60.55,,,0
CDM,SUP20360_A9999_272,Noncdm Charge Record Medical Supplies - Tracepak Head And Neck Ksoc,155.25,60.55,,,0
CDM,SUP20361,Noncdm Charge Record Medical Supplies - Tracepak Tvt And Vag Hyst,178.02,69.43,,,0
CDM,SUP20363,Noncdm Charge Record Medical Supplies - Suture Prolene 5-0 P-3 18In Ethicon,29.67,11.57,,,0
CDM,SUP20365,Noncdm Charge Record Medical Supplies - Suture Surgipro 3-0 V-20 36In Blue Covidien,20.24,7.89,,,0
CDM,SUP20366_272,Noncdm Charge Record Medical Supplies - Tracepak Suction D And C Kosc,344.66,134.42,,,0
CDM,SUP20366_A4649_272,Noncdm Charge Record Medical Supplies - Tracepak Suction D And C Kosc,344.66,134.42,,,0
CDM,SUP20366_A9999_272,Noncdm Charge Record Medical Supplies - Tracepak Suction D And C Kosc,344.66,134.42,,,0
CDM,SUP20367,Noncdm Charge Record Medical Supplies - Tracepak Oral Sub Assembly,36.22,14.13,,,0
CDM,SUP2037,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 48Mm Lcp Ss Sh Thrd Fem Cannula,636.52,248.24,,,0
CDM,SUP203724_272,Noncdm Charge Record Medical Supplies,322.92,125.94,,,0
CDM,SUP203724_A4649_272,Noncdm Charge Record Medical Supplies,322.92,125.94,,,0
CDM,SUP20373,Noncdm Charge Record Medical Supplies - Screw Hex Prsnl Knee 25Mm 2.5M,368.84,143.85,,,0
CDM,SUP20374,Noncdm Charge Record Medical Supplies - Excluder Cntrlt Endo 18Mm 12Cm,21542.49,8401.57,,,0
CDM,SUP203765,Noncdm Charge Record Medical Supplies,13.46,5.25,,,0
CDM,SUP20378,Noncdm Charge Record Medical Supplies - Coupler Anstm 2Mm 1 Un Mcvsc Fst Safe Rd Gm,1739.84,678.54,,,0
CDM,SUP20382,Noncdm Charge Record Medical Supplies - Blade Reamer,626.95,244.51,,,0
CDM,SUP20385,Noncdm Charge Record Medical Supplies - Suture Pds2 3-0 Sh 8 18In Violet Cr Ethicon,97.5,38.02,,,0
CDM,SUP203956,Noncdm Charge Record Medical Supplies,704.84,274.89,,,0
CDM,SUP203957,Noncdm Charge Record Medical Supplies,704.84,274.89,,,0
CDM,SUP203986_272,Noncdm Charge Record Medical Supplies,2528.68,986.19,,,0
CDM,SUP203986_A4649_272,Noncdm Charge Record Medical Supplies,2481.93,967.95,,,0
CDM,SUP2041,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 30Mm Lcp Ss L-T Fem Cannula Ns,636.52,248.24,,,0
CDM,SUP204148_270,Noncdm Charge Record Medical Supplies,45.54,17.76,,,0
CDM,SUP204148_272,Noncdm Charge Record Medical Supplies,45.54,17.76,,,0
CDM,SUP20415,Noncdm Charge Record Medical Supplies - Graft Endopros Aaa 23Mm 10Cm,21542.49,8401.57,,,0
CDM,SUP20416,Noncdm Charge Record Medical Supplies - Graft Endopros Aaa 27Mm 10Cm Cntrlt,21542.49,8401.57,,,0
CDM,SUP20417,Noncdm Charge Record Medical Supplies - Catheter 6Fr Jl4 125Cm,45.54,17.76,,,0
CDM,SUP20418_272,Noncdm Charge Record Medical Supplies - Catheter 6Fr Jr4 125Cm,45.22,17.64,,,0
CDM,SUP20418_A4649_272,Noncdm Charge Record Medical Supplies - Catheter 6Fr Jr4 125Cm,46.58,18.17,,,0
CDM,SUP20418_C1887_272,Noncdm Charge Record Medical Supplies - Catheter 6Fr Jr4 125Cm,44.5,17.36,,,0
CDM,SUP2042,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 32Mm Lcp Ss L-T Fem Cannula Ns,636.01,248.04,,,0
CDM,SUP20424,Noncdm Charge Record Medical Supplies - Wire Pilot 200 - 300 Cm,440.76,171.9,,,0
CDM,SUP20426,Noncdm Charge Record Medical Supplies - Balloon Trek Rx 4.0X12Mm,391.23,152.58,,,0
CDM,SUP20427,Noncdm Charge Record Medical Supplies - Balloon Trek Rx 4.0X15Mm,424.35,165.5,,,0
CDM,SUP20428,Noncdm Charge Record Medical Supplies - Balloon Trek Rx 4.0X20Mm,416.07,162.27,,,0
CDM,SUP2043,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 34Mm Lcp Ss L-T Fem Cannula Ns,751.41,293.05,,,0
CDM,SUP2044,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 36Mm Lcp Ss L-T Fem Cannula Ns,636.52,248.24,,,0
CDM,SUP20440,Noncdm Charge Record Medical Supplies - Catheter Guide Xblad4.5 Crv,195.62,76.29,,,0
CDM,SUP20446,Noncdm Charge Record Medical Supplies - Guide Launcher Extra Backup 6 Fr 3 Short Medtronic,200.94,78.37,,,0
CDM,SUP204471,Noncdm Charge Record Medical Supplies,9237.38,3602.58,,,0
CDM,SUP204472,Noncdm Charge Record Medical Supplies,9237.38,3602.58,,,0
CDM,SUP204473,Noncdm Charge Record Medical Supplies,10714.32,4178.58,,,0
CDM,SUP204474,Noncdm Charge Record Medical Supplies,10445.69,4073.82,,,0
CDM,SUP2045,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 38Mm Lcp Ss L-T Fem Cannula Ns,636.18,248.11,,,0
CDM,SUP2046,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 40Mm Lcp Ss L-T Fem Cannula Ns,679.9,265.16,,,0
CDM,SUP204705,Noncdm Charge Record Medical Supplies,4202.1,1638.82,,,0
CDM,SUP204706,Noncdm Charge Record Medical Supplies,1061.91,414.14,,,0
CDM,SUP204787,Noncdm Charge Record Medical Supplies,140.76,54.9,,,0
CDM,SUP2048,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 44Mm Lcp Ss L-T Fem Cannula Ns,636.18,248.11,,,0
CDM,SUP204810,Noncdm Charge Record Medical Supplies,434.7,169.53,,,0
CDM,SUP20482_272,Noncdm Charge Record Medical Supplies - Catheter Guide Launch 6Fr Al .75 Sh,220.46,85.98,,,0
CDM,SUP20482_C1887_272,Noncdm Charge Record Medical Supplies - Catheter Guide Launch 6Fr Al .75 Sh,200.89,78.35,,,0
CDM,SUP20483,Noncdm Charge Record Medical Supplies - Catheter Guide Launch 6Fr Al 1.0 Sh,200.79,78.31,,,0
CDM,SUP204847,Noncdm Charge Record Medical Supplies,426.42,166.3,,,0
CDM,SUP20485,Noncdm Charge Record Medical Supplies - Guide Launcher 6Fr Ar 1 Sh Medtronic,186.3,72.66,,,0
CDM,SUP204850,Noncdm Charge Record Medical Supplies,8.54,3.33,,,0
CDM,SUP20487,Noncdm Charge Record Medical Supplies - Guide 7 Fr Al .75 Launcher 0.75,199.17,77.68,,,0
CDM,SUP20488,Noncdm Charge Record Medical Supplies - Guide 7 Fr Ar 1 Launcher 1,186.3,72.66,,,0
CDM,SUP2049,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 46Mm Lcp Ss L-T Fem Cannula Ns,636.18,248.11,,,0
CDM,SUP20496,Noncdm Charge Record Medical Supplies - Balloon Trek Otw 2.5X12 12Mm,440.91,171.95,,,0
CDM,SUP20504,Noncdm Charge Record Medical Supplies - Guide Convey 5 Fr Al 2,269.1,104.95,,,0
CDM,SUP205048,Noncdm Charge Record Medical Supplies,1693.26,660.37,,,0
CDM,SUP205049,Noncdm Charge Record Medical Supplies,12199.54,4757.82,,,0
CDM,SUP205050,Noncdm Charge Record Medical Supplies,40960.12,15974.45,,,0
CDM,SUP205051,Noncdm Charge Record Medical Supplies,31339.8,12222.52,,,0
CDM,SUP20511,Noncdm Charge Record Medical Supplies - Balloon Angiosculpt 3.0 Mm X 15 Mm,3747.74,1461.62,,,0
CDM,SUP20516_272,Noncdm Charge Record Medical Supplies - Knife Sataloff Micro Sickle Disposable Integra,331.35,129.23,,,0
CDM,SUP20516_A4649_272,Noncdm Charge Record Medical Supplies - Knife Sataloff Micro Sickle Disposable Integra,333.27,129.98,,,0
CDM,SUP20517_C1713_278,Noncdm Charge Record Medical Supplies - Screw 2-10Mm Dcp Ss Sm Bn Lck St Lck T6,450.33,175.63,,,0
CDM,SUP20517_L8699_278,Noncdm Charge Record Medical Supplies - Screw 2-10Mm Dcp Ss Sm Bn Lck St Lck T6,450.22,175.59,,,0
CDM,SUP20518_272,Noncdm Charge Record Medical Supplies - Platform Gelpoint Mini Acc,3306.82,1289.66,,,0
CDM,SUP20518_A4649_272,Noncdm Charge Record Medical Supplies - Platform Gelpoint Mini Acc,3306.82,1289.66,,,0
CDM,SUP20518_A9999_272,Noncdm Charge Record Medical Supplies - Platform Gelpoint Mini Acc,3306.82,1289.66,,,0
CDM,SUP20519,Noncdm Charge Record Medical Supplies - Catheter Balloon 2Mm 100Mm,1305.65,509.2,,,0
CDM,SUP20520_272,Noncdm Charge Record Medical Supplies - Handpiece 2 45D8Mm Vrsajet Set,2936.3,1145.16,,,0
CDM,SUP20520_A4649_272,Noncdm Charge Record Medical Supplies - Handpiece 2 45D8Mm Vrsajet Set,2936.3,1145.16,,,0
CDM,SUP20521_272,Noncdm Charge Record Medical Supplies - Handpiece 2 45D 14Mm Versajet,3340.88,1302.94,,,0
CDM,SUP20521_A4649_272,Noncdm Charge Record Medical Supplies - Handpiece 2 45D 14Mm Versajet,2936.3,1145.16,,,0
CDM,SUP20521_A9999_272,Noncdm Charge Record Medical Supplies - Handpiece 2 45D 14Mm Versajet,3964.05,1545.98,,,0
CDM,SUP20523,Noncdm Charge Record Medical Supplies - Elbow Implant With Ziploop System Cannulated Biomet,9473.36,3694.61,,,0
CDM,SUP20525,Noncdm Charge Record Medical Supplies - Retractor Alexis Wound Xlrg 11-17Cm,337.41,131.59,,,0
CDM,SUP205286_272,Noncdm Charge Record Medical Supplies,94.18,36.73,,,0
CDM,SUP205286_A9999_272,Noncdm Charge Record Medical Supplies,94.18,36.73,,,0
CDM,SUP20529,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 100Mm Ss Cannul A Ft Ns,881.82,343.91,,,0
CDM,SUP20530_272,Noncdm Charge Record Medical Supplies - Suture Vicryl + 0 Ct-1 36In Undyed Ethicon,9.13,3.56,,,0
CDM,SUP20530_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl + 0 Ct-1 36In Undyed Ethicon,9.09,3.55,,,0
CDM,SUP20530_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl + 0 Ct-1 36In Undyed Ethicon,9.28,3.62,,,0
CDM,SUP20530_L8699_272,Noncdm Charge Record Medical Supplies,9.32,3.63,,,0
CDM,SUP20532,Noncdm Charge Record Medical Supplies - Head Fem Cerm V40,6390.09,2492.14,,,0
CDM,SUP20534,Noncdm Charge Record Medical Supplies - Catheter Guide Ebu3.75 90Cm 8Fr Lt Cor Crv,186.3,72.66,,,0
CDM,SUP20536,Noncdm Charge Record Medical Supplies - Guidewire Vasc 300Cm Bros12,660.67,257.66,,,0
CDM,SUP205409,Noncdm Charge Record Medical Supplies,7201.53,2808.6,,,0
CDM,SUP205412_Q4158_278,Noncdm Charge Record Medical Supplies,14.03,5.47,,,0
CDM,SUP205420_Q4158_278,Noncdm Charge Record Medical Supplies,41688.51,16258.52,,,0
CDM,SUP20543,Noncdm Charge Record Medical Supplies - Suture Monocryl 0 Ctx 36In Violet Ethicon,12.74,4.97,,,0
CDM,SUP205445_Q4100_278,Noncdm Charge Record Medical Supplies,5807.28,2264.84,,,0
CDM,SUP205445_Q4158_278,Noncdm Charge Record Medical Supplies,611.95,238.66,,,0
CDM,SUP205447_Q4100_278,Noncdm Charge Record Medical Supplies,56722.08,22121.61,,,0
CDM,SUP205447_Q4158_278,Noncdm Charge Record Medical Supplies,183.43,71.54,,,0
CDM,SUP205449,Noncdm Charge Record Medical Supplies,45859.82,17885.33,,,0
CDM,SUP205451_Q4100_278,Noncdm Charge Record Medical Supplies,8796.82,3430.76,,,0
CDM,SUP20550,Noncdm Charge Record Medical Supplies - Pin Steinmann 3.2Mm 9Mm,770.04,300.32,,,0
CDM,SUP205568,Noncdm Charge Record Medical Supplies,1771.4,690.85,,,0
CDM,SUP205569,Noncdm Charge Record Medical Supplies,1082.61,422.22,,,0
CDM,SUP20558,Noncdm Charge Record Medical Supplies - Peg 14In Foam Disp,19.66,7.67,,,0
CDM,SUP20559,Noncdm Charge Record Medical Supplies - Liner Actrx Pinacl +4 10D 54Mm,7204.64,2809.81,,,0
CDM,SUP20560,Noncdm Charge Record Medical Supplies - Head Fem +1.5Mm Dlt Rev 12-14,8794.4,3429.82,,,0
CDM,SUP20561,Noncdm Charge Record Medical Supplies - Stent Vasc Epic 8Mm 31Mm 120Cm,4108.95,1602.49,,,0
CDM,SUP205737,Noncdm Charge Record Medical Supplies,192.51,75.08,,,0
CDM,SUP205738_272,Noncdm Charge Record Medical Supplies,47.61,18.57,,,0
CDM,SUP205738_A4649_272,Noncdm Charge Record Medical Supplies,47.61,18.57,,,0
CDM,SUP205738_C1769_272,Noncdm Charge Record Medical Supplies,47.61,18.57,,,0
CDM,SUP20574,Noncdm Charge Record Medical Supplies - Catheter Blloon Dil 6Mm .014,1075.71,419.53,,,0
CDM,SUP20575,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 4Mm-135,1014.71,395.74,,,0
CDM,SUP20576,Noncdm Charge Record Medical Supplies,2645.46,1031.73,,,0
CDM,SUP20577_272,Noncdm Charge Record Medical Supplies - Dressing Anmc Acticoat 4X8In,56.86,22.18,,,0
CDM,SUP20577_A4649_272,Noncdm Charge Record Medical Supplies - Dressing Anmc Acticoat 4X8In,56.92,22.2,,,0
CDM,SUP20584,Noncdm Charge Record Medical Supplies - Guidewire 190Cm .014 J Tip,440.77,171.9,,,0
CDM,SUP205854,Noncdm Charge Record Medical Supplies,10.35,4.04,,,0
CDM,SUP205869,Noncdm Charge Record Medical Supplies,33.12,12.92,,,0
CDM,SUP205899,Noncdm Charge Record Medical Supplies,53.82,20.99,,,0
CDM,SUP20591,Noncdm Charge Record Medical Supplies - Catheter Foley 16Fr 3Way 30Cc Urethral Silicone Bard,48.64,18.97,,,0
CDM,SUP20592_272,Noncdm Charge Record Medical Supplies - Catheter Foley 18Fr 3Way 30Cc Urethral Silicone Bard,48.64,18.97,,,0
CDM,SUP20592_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Foley 18Fr 3Way 30Cc Urethral Silicone Bard,48.64,18.97,,,0
CDM,SUP20593,Noncdm Charge Record Medical Supplies - Catheter Foley 20Fr 3Way 30Cc Urethral Silicone Bard,48.64,18.97,,,0
CDM,SUP20594,Noncdm Charge Record Medical Supplies - Catheter Foley 22Fr 3Way 30Cc Urethral Silicone Bard,48.64,18.97,,,0
CDM,SUP205949_272,Noncdm Charge Record Medical Supplies,349.65,136.36,,,0
CDM,SUP205949_A4649_272,Noncdm Charge Record Medical Supplies,349.83,136.43,,,0
CDM,SUP20595,Noncdm Charge Record Medical Supplies - Catheter Foley 24Fr 3Way 30Cc Urethral Silicone Bard,48.64,18.97,,,0
CDM,SUP205950,Noncdm Charge Record Medical Supplies,1808.38,705.27,,,0
CDM,SUP20598,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm Low Prof Trgn,2255.26,879.55,,,0
CDM,SUP20599,Noncdm Charge Record Medical Supplies - Suture Stainless Steel 6 V40 18In Ethicon,69.65,27.16,,,0
CDM,SUP20600,Noncdm Charge Record Medical Supplies - Suture Stainless Steel Ccs 18In Ethicon,79.84,31.14,,,0
CDM,SUP20601,Noncdm Charge Record Medical Supplies - Screw Bn 48Mm Mis Hdls,348.69,135.99,,,0
CDM,SUP20602_272,Noncdm Charge Record Medical Supplies - Device Stopcock 3 Way 1050 Psi,12.34,4.81,,,0
CDM,SUP20602_A4649_272,Noncdm Charge Record Medical Supplies - Device Stopcock 3 Way 1050 Psi,12.35,4.82,,,0
CDM,SUP20605,Noncdm Charge Record Medical Supplies,8158.9,3181.97,,,0
CDM,SUP20606,Noncdm Charge Record Medical Supplies - Tray Ecntrc Rvrs 3.5Mm 0Mm,9063.5,3534.76,,,0
CDM,SUP20614,Noncdm Charge Record Medical Supplies - Ashai Fielder Fc 300Cm .014,367.42,143.29,,,0
CDM,SUP206187,Noncdm Charge Record Medical Supplies,4592.23,1790.97,,,0
CDM,SUP206201,Noncdm Charge Record Medical Supplies,152.15,59.34,,,0
CDM,SUP206229,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP206305,Noncdm Charge Record Medical Supplies,991.79,386.8,,,0
CDM,SUP20631,Noncdm Charge Record Medical Supplies - Tube Endotrach 5Mm Cuff Nsrorl,49.33,19.24,,,0
CDM,SUP20633,Noncdm Charge Record Medical Supplies - Tray Ecntrc Rvrs 3.5Mm 6Mm,12724.29,4962.47,,,0
CDM,SUP20634,Noncdm Charge Record Medical Supplies - Stent-Graft 9.5Cm 16Mm Low,21542.49,8401.57,,,0
CDM,SUP20635,Noncdm Charge Record Medical Supplies - Stent-Gft Endopros 11.5Cm Low Prof 16Mm Exclud Xtd,21542.49,8401.57,,,0
CDM,SUP20636,Noncdm Charge Record Medical Supplies - Stent-Gft Endopros 13.5Cm Low Prof16Mm Exclud Xtd,21542.49,8401.57,,,0
CDM,SUP206362,Noncdm Charge Record Medical Supplies,2.07,0.81,,,0
CDM,SUP20637,Noncdm Charge Record Medical Supplies,21542.49,8401.57,,,0
CDM,SUP206373,Noncdm Charge Record Medical Supplies,875.61,341.49,,,0
CDM,SUP206398,Noncdm Charge Record Medical Supplies,6233.8,2431.18,,,0
CDM,SUP206400,Noncdm Charge Record Medical Supplies,5058.04,1972.64,,,0
CDM,SUP206401,Noncdm Charge Record Medical Supplies,6522.57,2543.8,,,0
CDM,SUP206402,Noncdm Charge Record Medical Supplies,381.83,148.91,,,0
CDM,SUP206403,Noncdm Charge Record Medical Supplies,4003.38,1561.32,,,0
CDM,SUP206404,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP206405,Noncdm Charge Record Medical Supplies,32252.67,12578.54,,,0
CDM,SUP206407,Noncdm Charge Record Medical Supplies,9170.79,3576.61,,,0
CDM,SUP206408,Noncdm Charge Record Medical Supplies,9170.79,3576.61,,,0
CDM,SUP206410,Noncdm Charge Record Medical Supplies,901.19,351.46,,,0
CDM,SUP206411,Noncdm Charge Record Medical Supplies,1061.56,414.01,,,0
CDM,SUP206416,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP20642,Noncdm Charge Record Medical Supplies - Sheath Arrow 8Fr 45Cm,450.22,175.59,,,0
CDM,SUP20643,Noncdm Charge Record Medical Supplies - Guideliner Catheter 7Fr,1689.12,658.76,,,0
CDM,SUP20645,Noncdm Charge Record Medical Supplies - Syringe Angio 6Ml Plycrb Fx,11.38,4.44,,,0
CDM,SUP206452,Noncdm Charge Record Medical Supplies,10.35,4.04,,,0
CDM,SUP20646_272,Noncdm Charge Record Medical Supplies - Syringe Hypoderm Ll Tip 10Ml,9.33,3.64,,,0
CDM,SUP20646_A4649_272,Noncdm Charge Record Medical Supplies - Syringe Hypoderm Ll Tip 10Ml,9.36,3.65,,,0
CDM,SUP20646_A9999_272,Noncdm Charge Record Medical Supplies - Syringe Hypoderm Ll Tip 10Ml,9.32,3.63,,,0
CDM,SUP20649,Noncdm Charge Record Medical Supplies - Excluder Cntrlt 18Mm 13.5Cm Aaa Endo,21542.49,8401.57,,,0
CDM,SUP20650,Noncdm Charge Record Medical Supplies - Excluder Cntrlt 20Mm 9.5Cm,21542.49,8401.57,,,0
CDM,SUP206509,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP20651,Noncdm Charge Record Medical Supplies - Excluder Cntrlt 20Mm 11.5Cm Aaa Endo,21542.49,8401.57,,,0
CDM,SUP206510,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP20653,Noncdm Charge Record Medical Supplies - Excluder Cntrlt 23Mm 12Cm Aaa Endo,21542.49,8401.57,,,0
CDM,SUP20655,Noncdm Charge Record Medical Supplies - Excluder Cntrlt 27Mm 12Cm Aaa Endo,21542.49,8401.57,,,0
CDM,SUP20656,Noncdm Charge Record Medical Supplies - Excluder Cntrlt 23Mm 14Cm Aaa Endo,21542.49,8401.57,,,0
CDM,SUP20657,Noncdm Charge Record Medical Supplies - Excluder Cntrlt 32Mm 4.5Cm,14998.18,5849.29,,,0
CDM,SUP20660,Noncdm Charge Record Medical Supplies - Anchor Suture Healicoil 5.5Mm Smith And Nephew Endoscopy,2113.47,824.25,,,0
CDM,SUP206606,Noncdm Charge Record Medical Supplies,5075.12,1979.3,,,0
CDM,SUP206609,Noncdm Charge Record Medical Supplies,5075.29,1979.36,,,0
CDM,SUP206610,Noncdm Charge Record Medical Supplies,5075.12,1979.3,,,0
CDM,SUP206612,Noncdm Charge Record Medical Supplies,1772.96,691.45,,,0
CDM,SUP206613,Noncdm Charge Record Medical Supplies,3946.46,1539.12,,,0
CDM,SUP206614,Noncdm Charge Record Medical Supplies,238.05,92.84,,,0
CDM,SUP206615,Noncdm Charge Record Medical Supplies,9900.81,3861.32,,,0
CDM,SUP206616,Noncdm Charge Record Medical Supplies,9570.64,3732.55,,,0
CDM,SUP206617,Noncdm Charge Record Medical Supplies,2939.4,1146.37,,,0
CDM,SUP206618,Noncdm Charge Record Medical Supplies,2939.4,1146.37,,,0
CDM,SUP206619,Noncdm Charge Record Medical Supplies,33.12,12.92,,,0
CDM,SUP206634,Noncdm Charge Record Medical Supplies,33.12,12.92,,,0
CDM,SUP206638_272,Noncdm Charge Record Medical Supplies,9.32,3.63,,,0
CDM,SUP206638_C1729_272,Noncdm Charge Record Medical Supplies,9.32,3.63,,,0
CDM,SUP206639,Noncdm Charge Record Medical Supplies,9.32,3.63,,,0
CDM,SUP206640,Noncdm Charge Record Medical Supplies,9.66,3.77,,,0
CDM,SUP206641,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP206642_272,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP206642_A4649_272,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP206643_272,Noncdm Charge Record Medical Supplies,23.9,9.32,,,0
CDM,SUP206643_A4649_272,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP206644,Noncdm Charge Record Medical Supplies,25.1,9.79,,,0
CDM,SUP206646,Noncdm Charge Record Medical Supplies,38.3,14.94,,,0
CDM,SUP206648,Noncdm Charge Record Medical Supplies,9.32,3.63,,,0
CDM,SUP20665,Noncdm Charge Record Medical Supplies - Kit Tind Lead 28Cm,17183.07,6701.4,,,0
CDM,SUP206651,Noncdm Charge Record Medical Supplies,5.18,2.02,,,0
CDM,SUP206652,Noncdm Charge Record Medical Supplies,81.76,31.89,,,0
CDM,SUP2067,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 35Mm Lc Dcp Ss Ft Canc Ns Sm,145.55,56.76,,,0
CDM,SUP206703,Noncdm Charge Record Medical Supplies,404.68,157.83,,,0
CDM,SUP206808,Noncdm Charge Record Medical Supplies,1476.94,576.01,,,0
CDM,SUP206849,Noncdm Charge Record Medical Supplies,33.12,12.92,,,0
CDM,SUP206893,Noncdm Charge Record Medical Supplies,729.88,284.65,,,0
CDM,SUP206894,Noncdm Charge Record Medical Supplies,2111.04,823.31,,,0
CDM,SUP206895,Noncdm Charge Record Medical Supplies,4712.35,1837.82,,,0
CDM,SUP206896,Noncdm Charge Record Medical Supplies,132.48,51.67,,,0
CDM,SUP206897,Noncdm Charge Record Medical Supplies,4660.09,1817.44,,,0
CDM,SUP206898,Noncdm Charge Record Medical Supplies,475.79,185.56,,,0
CDM,SUP206899,Noncdm Charge Record Medical Supplies,1605.42,626.11,,,0
CDM,SUP206900,Noncdm Charge Record Medical Supplies,9179.3,3579.93,,,0
CDM,SUP206901,Noncdm Charge Record Medical Supplies,387.56,151.15,,,0
CDM,SUP206902,Noncdm Charge Record Medical Supplies,1235.27,481.76,,,0
CDM,SUP206903,Noncdm Charge Record Medical Supplies,9170.79,3576.61,,,0
CDM,SUP206907,Noncdm Charge Record Medical Supplies,6522.57,2543.8,,,0
CDM,SUP20691,Noncdm Charge Record Medical Supplies,714.15,278.52,,,0
CDM,SUP20693,Noncdm Charge Record Medical Supplies - Bolt 8Mm Connect,55.72,21.73,,,0
CDM,SUP206984,Noncdm Charge Record Medical Supplies,356.94,139.21,,,0
CDM,SUP206985,Noncdm Charge Record Medical Supplies,4384.67,1710.02,,,0
CDM,SUP206986_272,Noncdm Charge Record Medical Supplies,326.02,127.15,,,0
CDM,SUP206986_C1713_278,Noncdm Charge Record Medical Supplies,328.96,128.29,,,0
CDM,SUP206987,Noncdm Charge Record Medical Supplies,109.71,42.79,,,0
CDM,SUP206989,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP206990,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP206991,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP206992,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP206993,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP206994,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP206995,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP206996,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP2070,Noncdm Charge Record Medical Supplies - See 173006 Set Adm 84In .22Um 3.7Ml Iv Prim Infus M Ll,45.54,17.76,,,0
CDM,SUP207005,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP207006,Noncdm Charge Record Medical Supplies,633.42,247.03,,,0
CDM,SUP20706,Noncdm Charge Record Medical Supplies - Connector Ang Pin 35Mm,3346.16,1305.0,,,0
CDM,SUP20707,Noncdm Charge Record Medical Supplies - Connector Ang Pin 85Mm,3346.05,1304.96,,,0
CDM,SUP207182,Noncdm Charge Record Medical Supplies,4350.1,1696.54,,,0
CDM,SUP207189,Noncdm Charge Record Medical Supplies,4350.1,1696.54,,,0
CDM,SUP2071_270,Noncdm Charge Record Medical Supplies - Tubing Suction Dc Berkley Olympus,39.31,15.33,,,0
CDM,SUP2071_A4649_270,Noncdm Charge Record Medical Supplies - Tubing Suction Dc Berkley Olympus,39.33,15.34,,,0
CDM,SUP2072,Noncdm Charge Record Medical Supplies - See 132789 Pack Basic V Medline,27.94,10.9,,,0
CDM,SUP207201,Noncdm Charge Record Medical Supplies,4350.1,1696.54,,,0
CDM,SUP207204,Noncdm Charge Record Medical Supplies,4350.1,1696.54,,,0
CDM,SUP207336,Noncdm Charge Record Medical Supplies,8192.71,3195.16,,,0
CDM,SUP207338,Noncdm Charge Record Medical Supplies,8192.71,3195.16,,,0
CDM,SUP207340,Noncdm Charge Record Medical Supplies,8192.62,3195.12,,,0
CDM,SUP207342,Noncdm Charge Record Medical Supplies,8192.54,3195.09,,,0
CDM,SUP207463,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP207478,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP207481,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP207483,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP207491,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP207520,Noncdm Charge Record Medical Supplies,5848.27,2280.83,,,0
CDM,SUP207522,Noncdm Charge Record Medical Supplies,5848.31,2280.84,,,0
CDM,SUP207524,Noncdm Charge Record Medical Supplies,5848.27,2280.83,,,0
CDM,SUP207526,Noncdm Charge Record Medical Supplies,5848.78,2281.02,,,0
CDM,SUP207609,Noncdm Charge Record Medical Supplies,3866.76,1508.04,,,0
CDM,SUP207695,Noncdm Charge Record Medical Supplies,317.74,123.92,,,0
CDM,SUP207712,Noncdm Charge Record Medical Supplies,317.74,123.92,,,0
CDM,SUP207760,Noncdm Charge Record Medical Supplies,721.4,281.35,,,0
CDM,SUP207776,Noncdm Charge Record Medical Supplies,770.25,300.4,,,0
CDM,SUP207777_C1713_278,Noncdm Charge Record Medical Supplies,2571.63,1002.94,,,0
CDM,SUP207777_L8699_278,Noncdm Charge Record Medical Supplies,2571.6,1002.92,,,0
CDM,SUP207792,Noncdm Charge Record Medical Supplies,253.06,98.69,,,0
CDM,SUP207853,Noncdm Charge Record Medical Supplies,458.5,178.82,,,0
CDM,SUP207875,Noncdm Charge Record Medical Supplies,276.35,107.78,,,0
CDM,SUP207877,Noncdm Charge Record Medical Supplies,761.24,296.88,,,0
CDM,SUP207884,Noncdm Charge Record Medical Supplies,761.76,297.09,,,0
CDM,SUP207885,Noncdm Charge Record Medical Supplies,761.76,297.09,,,0
CDM,SUP207886,Noncdm Charge Record Medical Supplies,761.59,297.02,,,0
CDM,SUP207947,Noncdm Charge Record Medical Supplies,57.44,22.4,,,0
CDM,SUP207971,Noncdm Charge Record Medical Supplies,1273.05,496.49,,,0
CDM,SUP207973,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP208014,Noncdm Charge Record Medical Supplies,1008.09,393.16,,,0
CDM,SUP208015,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP208016,Noncdm Charge Record Medical Supplies,255.64,99.7,,,0
CDM,SUP208068,Noncdm Charge Record Medical Supplies,109.71,42.79,,,0
CDM,SUP208070,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP208071,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP208072,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP208073,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP208074,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP208076,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP208077,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP208097,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP20813,Noncdm Charge Record Medical Supplies - Plate 4.5Mm Broad 9Hl 177Mm,752.44,293.45,,,0
CDM,SUP208136,Noncdm Charge Record Medical Supplies,261.86,102.13,,,0
CDM,SUP208137,Noncdm Charge Record Medical Supplies,261.86,102.13,,,0
CDM,SUP208138,Noncdm Charge Record Medical Supplies,1853.68,722.94,,,0
CDM,SUP208139,Noncdm Charge Record Medical Supplies,2022.39,788.73,,,0
CDM,SUP208150,Noncdm Charge Record Medical Supplies,154.22,60.15,,,0
CDM,SUP208166,Noncdm Charge Record Medical Supplies,23478.98,9156.8,,,0
CDM,SUP208176,Noncdm Charge Record Medical Supplies,76.59,29.87,,,0
CDM,SUP208177,Noncdm Charge Record Medical Supplies,122.47,47.76,,,0
CDM,SUP208178,Noncdm Charge Record Medical Supplies,232.88,90.82,,,0
CDM,SUP208180,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP208181,Noncdm Charge Record Medical Supplies,611.68,238.56,,,0
CDM,SUP208184,Noncdm Charge Record Medical Supplies,399.51,155.81,,,0
CDM,SUP208189,Noncdm Charge Record Medical Supplies,2283.21,890.45,,,0
CDM,SUP208198,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP208199,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP208200,Noncdm Charge Record Medical Supplies,1370.34,534.43,,,0
CDM,SUP208213,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP208214,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP208217,Noncdm Charge Record Medical Supplies,342.58,133.61,,,0
CDM,SUP208218,Noncdm Charge Record Medical Supplies,2557.48,997.42,,,0
CDM,SUP208222,Noncdm Charge Record Medical Supplies,1297.89,506.18,,,0
CDM,SUP208223,Noncdm Charge Record Medical Supplies,1297.89,506.18,,,0
CDM,SUP208237,Noncdm Charge Record Medical Supplies,1611.5,628.48,,,0
CDM,SUP208243,Noncdm Charge Record Medical Supplies,63.14,24.62,,,0
CDM,SUP208244,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP208246,Noncdm Charge Record Medical Supplies,23478.98,9156.8,,,0
CDM,SUP208264,Noncdm Charge Record Medical Supplies,1899.22,740.7,,,0
CDM,SUP208265,Noncdm Charge Record Medical Supplies,2085.52,813.35,,,0
CDM,SUP208275,Noncdm Charge Record Medical Supplies,2468.48,962.71,,,0
CDM,SUP208276,Noncdm Charge Record Medical Supplies,2032.74,792.77,,,0
CDM,SUP208288,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP208289,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP208290,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP208291,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP208292,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP208293,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP208294,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP208295,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP208331,Noncdm Charge Record Medical Supplies,651.02,253.9,,,0
CDM,SUP208359,Noncdm Charge Record Medical Supplies,18.63,7.27,,,0
CDM,SUP208361,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP208363,Noncdm Charge Record Medical Supplies,1218.2,475.1,,,0
CDM,SUP208368,Noncdm Charge Record Medical Supplies,171.81,67.01,,,0
CDM,SUP208369,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP208370,Noncdm Charge Record Medical Supplies,715.18,278.92,,,0
CDM,SUP208371,Noncdm Charge Record Medical Supplies,704.84,274.89,,,0
CDM,SUP208372,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP208373,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP208374,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP208376,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP208377,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP208378,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP208379,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP208381,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP208392,Noncdm Charge Record Medical Supplies,1713.96,668.44,,,0
CDM,SUP208418,Noncdm Charge Record Medical Supplies,1400.36,546.14,,,0
CDM,SUP208420,Noncdm Charge Record Medical Supplies,9590.31,3740.22,,,0
CDM,SUP208423,Noncdm Charge Record Medical Supplies,856.98,334.22,,,0
CDM,SUP208427,Noncdm Charge Record Medical Supplies,657.22,256.32,,,0
CDM,SUP208430,Noncdm Charge Record Medical Supplies,1440.72,561.88,,,0
CDM,SUP208439,Noncdm Charge Record Medical Supplies,292.9,114.23,,,0
CDM,SUP208442,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP208457,Noncdm Charge Record Medical Supplies,889.06,346.73,,,0
CDM,SUP208459,Noncdm Charge Record Medical Supplies,4647.15,1812.39,,,0
CDM,SUP208460,Noncdm Charge Record Medical Supplies,4647.15,1812.39,,,0
CDM,SUP208461,Noncdm Charge Record Medical Supplies,4647.15,1812.39,,,0
CDM,SUP208462,Noncdm Charge Record Medical Supplies,6745.32,2630.67,,,0
CDM,SUP208463,Noncdm Charge Record Medical Supplies,6701.91,2613.74,,,0
CDM,SUP208464,Noncdm Charge Record Medical Supplies,6544.97,2552.54,,,0
CDM,SUP208471,Noncdm Charge Record Medical Supplies,1517.31,591.75,,,0
CDM,SUP208498,Noncdm Charge Record Medical Supplies,215.28,83.96,,,0
CDM,SUP208499,Noncdm Charge Record Medical Supplies,142.14,55.43,,,0
CDM,SUP208502,Noncdm Charge Record Medical Supplies,856.98,334.22,,,0
CDM,SUP208523,Noncdm Charge Record Medical Supplies,122.13,47.63,,,0
CDM,SUP208527,Noncdm Charge Record Medical Supplies,146.97,57.32,,,0
CDM,SUP208528,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP208530,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP208538,Noncdm Charge Record Medical Supplies,4409.1,1719.55,,,0
CDM,SUP208546,Noncdm Charge Record Medical Supplies,728.64,284.17,,,0
CDM,SUP208557,Noncdm Charge Record Medical Supplies,4409.1,1719.55,,,0
CDM,SUP208560,Noncdm Charge Record Medical Supplies,2645.46,1031.73,,,0
CDM,SUP208575,Noncdm Charge Record Medical Supplies,433.66,169.13,,,0
CDM,SUP208578,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP208592,Noncdm Charge Record Medical Supplies,2413.62,941.31,,,0
CDM,SUP208594,Noncdm Charge Record Medical Supplies,74.52,29.06,,,0
CDM,SUP2086,Noncdm Charge Record Medical Supplies - Wire Fx .062In 9In Krsh Ss Smth Troc Strl,31.05,12.11,,,0
CDM,SUP208641,Noncdm Charge Record Medical Supplies,1199.56,467.83,,,0
CDM,SUP208657,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP208667,Noncdm Charge Record Medical Supplies,917.01,357.63,,,0
CDM,SUP208668,Noncdm Charge Record Medical Supplies,708.98,276.5,,,0
CDM,SUP208670,Noncdm Charge Record Medical Supplies,1206.29,470.45,,,0
CDM,SUP208671,Noncdm Charge Record Medical Supplies,1092.7,426.15,,,0
CDM,SUP208673,Noncdm Charge Record Medical Supplies,983.77,383.67,,,0
CDM,SUP208681,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP208689,Noncdm Charge Record Medical Supplies,1312.38,511.83,,,0
CDM,SUP208690,Noncdm Charge Record Medical Supplies,1248.21,486.8,,,0
CDM,SUP208692,Noncdm Charge Record Medical Supplies,51.4,20.05,,,0
CDM,SUP2087,Noncdm Charge Record Medical Supplies - Wire Fx .045In 4In Krsh Ss,8.28,3.23,,,0
CDM,SUP208724,Noncdm Charge Record Medical Supplies,155.25,60.55,,,0
CDM,SUP208737,Noncdm Charge Record Medical Supplies,930.46,362.88,,,0
CDM,SUP208740,Noncdm Charge Record Medical Supplies,127.3,49.65,,,0
CDM,SUP208742,Noncdm Charge Record Medical Supplies,376.74,146.93,,,0
CDM,SUP208743,Noncdm Charge Record Medical Supplies,376.74,146.93,,,0
CDM,SUP208752,Noncdm Charge Record Medical Supplies,534.06,208.28,,,0
CDM,SUP208796,Noncdm Charge Record Medical Supplies,3905.2,1523.03,,,0
CDM,SUP208798,Noncdm Charge Record Medical Supplies,2186.96,852.91,,,0
CDM,SUP208799,Noncdm Charge Record Medical Supplies,1861.14,725.84,,,0
CDM,SUP208800,Noncdm Charge Record Medical Supplies,2992.18,1166.95,,,0
CDM,SUP208808,Noncdm Charge Record Medical Supplies,1434.51,559.46,,,0
CDM,SUP208809,Noncdm Charge Record Medical Supplies,115.92,45.21,,,0
CDM,SUP208823,Noncdm Charge Record Medical Supplies,260.82,101.72,,,0
CDM,SUP208830,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP208844,Noncdm Charge Record Medical Supplies,1170.58,456.53,,,0
CDM,SUP208858,Noncdm Charge Record Medical Supplies,5589.0,2179.71,,,0
CDM,SUP208859,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP208863,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP208864,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP208868,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP208869,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP208884,Noncdm Charge Record Medical Supplies,9805.59,3824.18,,,0
CDM,SUP208885,Noncdm Charge Record Medical Supplies,11794.86,4600.0,,,0
CDM,SUP208886,Noncdm Charge Record Medical Supplies,480.24,187.29,,,0
CDM,SUP208889,Noncdm Charge Record Medical Supplies,383.47,149.55,,,0
CDM,SUP208890,Noncdm Charge Record Medical Supplies,6260.72,2441.68,,,0
CDM,SUP208891,Noncdm Charge Record Medical Supplies,548.55,213.93,,,0
CDM,SUP208894,Noncdm Charge Record Medical Supplies,480.24,187.29,,,0
CDM,SUP208919,Noncdm Charge Record Medical Supplies,210.1,81.94,,,0
CDM,SUP208922,Noncdm Charge Record Medical Supplies,244.78,95.46,,,0
CDM,SUP208923,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP208929,Noncdm Charge Record Medical Supplies,293.94,114.64,,,0
CDM,SUP208952,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP208955,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP208956,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP208973,Noncdm Charge Record Medical Supplies,611.68,238.56,,,0
CDM,SUP208986,Noncdm Charge Record Medical Supplies,2844.18,1109.23,,,0
CDM,SUP208990,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP208991,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP209,Noncdm Charge Record Medical Supplies - Tube Feeding Mic J 14Fr Silicone Balloon,635.49,247.84,,,0
CDM,SUP209014,Noncdm Charge Record Medical Supplies,1061.91,414.14,,,0
CDM,SUP209019,Noncdm Charge Record Medical Supplies,1546.29,603.05,,,0
CDM,SUP209020,Noncdm Charge Record Medical Supplies,1635.3,637.77,,,0
CDM,SUP209021,Noncdm Charge Record Medical Supplies,2375.32,926.37,,,0
CDM,SUP209022,Noncdm Charge Record Medical Supplies,404.68,157.83,,,0
CDM,SUP209027,Noncdm Charge Record Medical Supplies,328.1,127.96,,,0
CDM,SUP209028,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP209029,Noncdm Charge Record Medical Supplies,1101.24,429.48,,,0
CDM,SUP209030,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP209039,Noncdm Charge Record Medical Supplies,35.19,13.72,,,0
CDM,SUP209056,Noncdm Charge Record Medical Supplies,1174.72,458.14,,,0
CDM,SUP209059,Noncdm Charge Record Medical Supplies,1167.48,455.32,,,0
CDM,SUP209061,Noncdm Charge Record Medical Supplies,602.37,234.92,,,0
CDM,SUP209066,Noncdm Charge Record Medical Supplies,1544.61,602.4,,,0
CDM,SUP209067,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP209073,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP209079,Noncdm Charge Record Medical Supplies,7495.47,2923.23,,,0
CDM,SUP209082,Noncdm Charge Record Medical Supplies,2301.84,897.72,,,0
CDM,SUP209083,Noncdm Charge Record Medical Supplies,480.24,187.29,,,0
CDM,SUP209084,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP209088,Noncdm Charge Record Medical Supplies,1544.56,602.38,,,0
CDM,SUP209089,Noncdm Charge Record Medical Supplies,2605.09,1015.99,,,0
CDM,SUP209090,Noncdm Charge Record Medical Supplies,142.14,55.43,,,0
CDM,SUP209093,Noncdm Charge Record Medical Supplies,215.28,83.96,,,0
CDM,SUP209094,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP209095,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP209096,Noncdm Charge Record Medical Supplies,1590.8,620.41,,,0
CDM,SUP209097,Noncdm Charge Record Medical Supplies,5710.1,2226.94,,,0
CDM,SUP209099,Noncdm Charge Record Medical Supplies,480.24,187.29,,,0
CDM,SUP209106,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP209107_272,Noncdm Charge Record Medical Supplies,2389.82,932.03,,,0
CDM,SUP209107_A4649_272,Noncdm Charge Record Medical Supplies,2389.82,932.03,,,0
CDM,SUP209107_A9999_272,Noncdm Charge Record Medical Supplies,2389.82,932.03,,,0
CDM,SUP209108_272,Noncdm Charge Record Medical Supplies,2389.82,932.03,,,0
CDM,SUP209108_A4649_272,Noncdm Charge Record Medical Supplies,2389.82,932.03,,,0
CDM,SUP209108_A9999_272,Noncdm Charge Record Medical Supplies,2389.82,932.03,,,0
CDM,SUP209112,Noncdm Charge Record Medical Supplies,122.13,47.63,,,0
CDM,SUP209115,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP209116,Noncdm Charge Record Medical Supplies,230.18,89.77,,,0
CDM,SUP209124,Noncdm Charge Record Medical Supplies,1375.69,536.52,,,0
CDM,SUP209125,Noncdm Charge Record Medical Supplies,1483.16,578.43,,,0
CDM,SUP209127,Noncdm Charge Record Medical Supplies,79941.33,31177.12,,,0
CDM,SUP209140,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP209159,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP209167,Noncdm Charge Record Medical Supplies,27.94,10.9,,,0
CDM,SUP209169,Noncdm Charge Record Medical Supplies,16754.58,6534.29,,,0
CDM,SUP209184,Noncdm Charge Record Medical Supplies,7495.47,2923.23,,,0
CDM,SUP209186,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP209195,Noncdm Charge Record Medical Supplies,543.38,211.92,,,0
CDM,SUP209198,Noncdm Charge Record Medical Supplies,1204.74,469.85,,,0
CDM,SUP209202,Noncdm Charge Record Medical Supplies,1510.32,589.02,,,0
CDM,SUP209203,Noncdm Charge Record Medical Supplies,2240.78,873.9,,,0
CDM,SUP209208,Noncdm Charge Record Medical Supplies,1199.56,467.83,,,0
CDM,SUP209214,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP209216,Noncdm Charge Record Medical Supplies,16754.58,6534.29,,,0
CDM,SUP209217,Noncdm Charge Record Medical Supplies,15828.77,6173.22,,,0
CDM,SUP209249,Noncdm Charge Record Medical Supplies,529.92,206.67,,,0
CDM,SUP209266,Noncdm Charge Record Medical Supplies,972.9,379.43,,,0
CDM,SUP209271,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP209280,Noncdm Charge Record Medical Supplies,1399.32,545.73,,,0
CDM,SUP209282,Noncdm Charge Record Medical Supplies,27.94,10.9,,,0
CDM,SUP2092_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurg6.5-.24Cm 3-32In Edge Std,19.66,7.67,,,0
CDM,SUP2092_A4649_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurg6.5-.24Cm 3-32In Edge Std,19.66,7.67,,,0
CDM,SUP2092_A9999_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurg6.5-.24Cm 3-32In Edge Std,19.66,7.67,,,0
CDM,SUP209304,Noncdm Charge Record Medical Supplies,404.68,157.83,,,0
CDM,SUP209305,Noncdm Charge Record Medical Supplies,1061.91,414.14,,,0
CDM,SUP209313,Noncdm Charge Record Medical Supplies,763.83,297.89,,,0
CDM,SUP209314,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP209319,Noncdm Charge Record Medical Supplies,16754.58,6534.29,,,0
CDM,SUP209355_272,Noncdm Charge Record Medical Supplies,1248.21,486.8,,,0
CDM,SUP209355_A4649_272,Noncdm Charge Record Medical Supplies,1351.71,527.17,,,0
CDM,SUP209356,Noncdm Charge Record Medical Supplies,2056.54,802.05,,,0
CDM,SUP209367,Noncdm Charge Record Medical Supplies,16754.58,6534.29,,,0
CDM,SUP209375,Noncdm Charge Record Medical Supplies,20.7,8.07,,,0
CDM,SUP209381,Noncdm Charge Record Medical Supplies,7495.47,2923.23,,,0
CDM,SUP209385,Noncdm Charge Record Medical Supplies,483.86,188.71,,,0
CDM,SUP209389,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP209391,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP209392,Noncdm Charge Record Medical Supplies,66.24,25.83,,,0
CDM,SUP2094,Noncdm Charge Record Medical Supplies,913.9,356.42,,,0
CDM,SUP209409,Noncdm Charge Record Medical Supplies,304.9,118.91,,,0
CDM,SUP209410,Noncdm Charge Record Medical Supplies,16754.58,6534.29,,,0
CDM,SUP209412,Noncdm Charge Record Medical Supplies,228.74,89.21,,,0
CDM,SUP209414,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP209419,Noncdm Charge Record Medical Supplies,1611.5,628.48,,,0
CDM,SUP209421,Noncdm Charge Record Medical Supplies,4994.91,1948.01,,,0
CDM,SUP209422,Noncdm Charge Record Medical Supplies,8216.86,3204.58,,,0
CDM,SUP209433,Noncdm Charge Record Medical Supplies,8818.2,3439.1,,,0
CDM,SUP209435,Noncdm Charge Record Medical Supplies,5731.83,2235.41,,,0
CDM,SUP209436,Noncdm Charge Record Medical Supplies,8818.2,3439.1,,,0
CDM,SUP209437,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP209438,Noncdm Charge Record Medical Supplies,130.93,51.06,,,0
CDM,SUP209439,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP209443,Noncdm Charge Record Medical Supplies,596.68,232.71,,,0
CDM,SUP209444,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP209446,Noncdm Charge Record Medical Supplies,3726.0,1453.14,,,0
CDM,SUP209450,Noncdm Charge Record Medical Supplies,2302.18,897.85,,,0
CDM,SUP209451,Noncdm Charge Record Medical Supplies,12034.63,4693.51,,,0
CDM,SUP209452,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP209453,Noncdm Charge Record Medical Supplies,704.84,274.89,,,0
CDM,SUP209454,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP209455,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP209456,Noncdm Charge Record Medical Supplies,715.18,278.92,,,0
CDM,SUP209457,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP209458,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP209459,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP209460,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP209461,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP209462,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP209463,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP209464,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP209469,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP209474,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP209475,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP209477,Noncdm Charge Record Medical Supplies,5058.04,1972.64,,,0
CDM,SUP209478,Noncdm Charge Record Medical Supplies,6522.57,2543.8,,,0
CDM,SUP209483,Noncdm Charge Record Medical Supplies,264.44,103.13,,,0
CDM,SUP209485,Noncdm Charge Record Medical Supplies,1987.2,775.01,,,0
CDM,SUP209486,Noncdm Charge Record Medical Supplies,889.06,346.73,,,0
CDM,SUP209487,Noncdm Charge Record Medical Supplies,166.64,64.99,,,0
CDM,SUP209488,Noncdm Charge Record Medical Supplies,622.04,242.6,,,0
CDM,SUP209492,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP209493,Noncdm Charge Record Medical Supplies,12565.94,4900.72,,,0
CDM,SUP209494,Noncdm Charge Record Medical Supplies,876.64,341.89,,,0
CDM,SUP209495,Noncdm Charge Record Medical Supplies,455.4,177.61,,,0
CDM,SUP209499,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP209501,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP209503,Noncdm Charge Record Medical Supplies,32252.67,12578.54,,,0
CDM,SUP209505,Noncdm Charge Record Medical Supplies,1156.1,450.88,,,0
CDM,SUP209506,Noncdm Charge Record Medical Supplies,9171.14,3576.74,,,0
CDM,SUP209507,Noncdm Charge Record Medical Supplies,9170.96,3576.67,,,0
CDM,SUP209511,Noncdm Charge Record Medical Supplies,109.71,42.79,,,0
CDM,SUP209512,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP209514,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP209515,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP209516,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP209517,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP209520,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP209521,Noncdm Charge Record Medical Supplies,7495.47,2923.23,,,0
CDM,SUP209532,Noncdm Charge Record Medical Supplies,3460.0,1349.4,,,0
CDM,SUP209533,Noncdm Charge Record Medical Supplies,1690.16,659.16,,,0
CDM,SUP209534,Noncdm Charge Record Medical Supplies,464.72,181.24,,,0
CDM,SUP209535,Noncdm Charge Record Medical Supplies,195.62,76.29,,,0
CDM,SUP209536,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP209537,Noncdm Charge Record Medical Supplies,464.72,181.24,,,0
CDM,SUP209538,Noncdm Charge Record Medical Supplies,195.62,76.29,,,0
CDM,SUP209539,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP209554,Noncdm Charge Record Medical Supplies,899.42,350.77,,,0
CDM,SUP209583,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP209585,Noncdm Charge Record Medical Supplies,611.68,238.56,,,0
CDM,SUP209603,Noncdm Charge Record Medical Supplies,645.84,251.88,,,0
CDM,SUP209604,Noncdm Charge Record Medical Supplies,288.76,112.62,,,0
CDM,SUP209620,Noncdm Charge Record Medical Supplies,12786.39,4986.69,,,0
CDM,SUP209630,Noncdm Charge Record Medical Supplies,1199.56,467.83,,,0
CDM,SUP209640,Noncdm Charge Record Medical Supplies,611.68,238.56,,,0
CDM,SUP209641,Noncdm Charge Record Medical Supplies,7.76,3.03,,,0
CDM,SUP209644,Noncdm Charge Record Medical Supplies,16754.58,6534.29,,,0
CDM,SUP209653,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP209661,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP209662,Noncdm Charge Record Medical Supplies,8.28,3.23,,,0
CDM,SUP209687,Noncdm Charge Record Medical Supplies,1199.56,467.83,,,0
CDM,SUP2097,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 44Mm Ss Ft Cannula Ns,687.24,268.02,,,0
CDM,SUP209701,Noncdm Charge Record Medical Supplies,16754.58,6534.29,,,0
CDM,SUP209704,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP209709,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP209710,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP209711,Noncdm Charge Record Medical Supplies,685.17,267.22,,,0
CDM,SUP209712,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP209713,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP209715,Noncdm Charge Record Medical Supplies,611.68,238.56,,,0
CDM,SUP209716,Noncdm Charge Record Medical Supplies,685.17,267.22,,,0
CDM,SUP209723,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP209727,Noncdm Charge Record Medical Supplies,2932.16,1143.54,,,0
CDM,SUP209739,Noncdm Charge Record Medical Supplies,5952.28,2321.39,,,0
CDM,SUP209740,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP209742,Noncdm Charge Record Medical Supplies,1987.2,775.01,,,0
CDM,SUP209747,Noncdm Charge Record Medical Supplies,109.71,42.79,,,0
CDM,SUP209748,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP209749,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP209750,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP209751,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP209752,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP209753,Noncdm Charge Record Medical Supplies,1758.46,685.8,,,0
CDM,SUP209754,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP209755,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP209758,Noncdm Charge Record Medical Supplies,304.9,118.91,,,0
CDM,SUP209759,Noncdm Charge Record Medical Supplies,982.22,383.07,,,0
CDM,SUP209760,Noncdm Charge Record Medical Supplies,596.68,232.71,,,0
CDM,SUP209761,Noncdm Charge Record Medical Supplies,253.58,98.9,,,0
CDM,SUP209771,Noncdm Charge Record Medical Supplies,611.68,238.56,,,0
CDM,SUP209772,Noncdm Charge Record Medical Supplies,1933.38,754.02,,,0
CDM,SUP209773,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP209774,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP209775,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP209776,Noncdm Charge Record Medical Supplies,685.17,267.22,,,0
CDM,SUP209777,Noncdm Charge Record Medical Supplies,294.98,115.04,,,0
CDM,SUP209792,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP209793,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP209821,Noncdm Charge Record Medical Supplies,4753.31,1853.79,,,0
CDM,SUP209822,Noncdm Charge Record Medical Supplies,29672.62,11572.32,,,0
CDM,SUP209823,Noncdm Charge Record Medical Supplies,1012.67,394.94,,,0
CDM,SUP209824,Noncdm Charge Record Medical Supplies,983.25,383.47,,,0
CDM,SUP209825,Noncdm Charge Record Medical Supplies,8429.39,3287.46,,,0
CDM,SUP209826,Noncdm Charge Record Medical Supplies,6156.87,2401.18,,,0
CDM,SUP209827,Noncdm Charge Record Medical Supplies,1035.22,403.74,,,0
CDM,SUP209857,Noncdm Charge Record Medical Supplies,227.7,88.8,,,0
CDM,SUP209878,Noncdm Charge Record Medical Supplies,1476.94,576.01,,,0
CDM,SUP209883,Noncdm Charge Record Medical Supplies,903.56,352.39,,,0
CDM,SUP209898,Noncdm Charge Record Medical Supplies,1008.09,393.16,,,0
CDM,SUP209899,Noncdm Charge Record Medical Supplies,151.11,58.93,,,0
CDM,SUP209910,Noncdm Charge Record Medical Supplies,385.02,150.16,,,0
CDM,SUP209917,Noncdm Charge Record Medical Supplies,3505.54,1367.16,,,0
CDM,SUP209931,Noncdm Charge Record Medical Supplies,269.1,104.95,,,0
CDM,SUP209944,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP209946,Noncdm Charge Record Medical Supplies,109.71,42.79,,,0
CDM,SUP209947,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP209950,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP209951,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP209952,Noncdm Charge Record Medical Supplies,1758.46,685.8,,,0
CDM,SUP209954,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP209955,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP209956,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP209958,Noncdm Charge Record Medical Supplies,2231.46,870.27,,,0
CDM,SUP209960,Noncdm Charge Record Medical Supplies,75.56,29.47,,,0
CDM,SUP209961,Noncdm Charge Record Medical Supplies,183.2,71.45,,,0
CDM,SUP209962,Noncdm Charge Record Medical Supplies,63.14,24.62,,,0
CDM,SUP209963,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP209977,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP209981,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP209984,Noncdm Charge Record Medical Supplies,889.06,346.73,,,0
CDM,SUP209991,Noncdm Charge Record Medical Supplies,253.58,98.9,,,0
CDM,SUP210010,Noncdm Charge Record Medical Supplies,528.88,206.26,,,0
CDM,SUP210011,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP210021,Noncdm Charge Record Medical Supplies,5132.56,2001.7,,,0
CDM,SUP210023,Noncdm Charge Record Medical Supplies,163.53,63.78,,,0
CDM,SUP210025,Noncdm Charge Record Medical Supplies,1171.62,456.93,,,0
CDM,SUP210026,Noncdm Charge Record Medical Supplies,49.24,19.2,,,0
CDM,SUP210027,Noncdm Charge Record Medical Supplies,191.48,74.68,,,0
CDM,SUP210030,Noncdm Charge Record Medical Supplies,531.99,207.48,,,0
CDM,SUP210031,Noncdm Charge Record Medical Supplies,531.99,207.48,,,0
CDM,SUP210037,Noncdm Charge Record Medical Supplies,700.7,273.27,,,0
CDM,SUP210038,Noncdm Charge Record Medical Supplies,700.7,273.27,,,0
CDM,SUP210040_272,Noncdm Charge Record Medical Supplies,919.08,358.44,,,0
CDM,SUP210041,Noncdm Charge Record Medical Supplies,1171.62,456.93,,,0
CDM,SUP210049,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP210052,Noncdm Charge Record Medical Supplies,191.48,74.68,,,0
CDM,SUP210054,Noncdm Charge Record Medical Supplies,191.48,74.68,,,0
CDM,SUP210056,Noncdm Charge Record Medical Supplies,191.48,74.68,,,0
CDM,SUP210060,Noncdm Charge Record Medical Supplies,1772.96,691.45,,,0
CDM,SUP210064,Noncdm Charge Record Medical Supplies,605.99,236.34,,,0
CDM,SUP210065,Noncdm Charge Record Medical Supplies,2231.46,870.27,,,0
CDM,SUP210067,Noncdm Charge Record Medical Supplies,529.92,206.67,,,0
CDM,SUP210069,Noncdm Charge Record Medical Supplies,135.58,52.88,,,0
CDM,SUP210070,Noncdm Charge Record Medical Supplies,153.96,60.04,,,0
CDM,SUP210091,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP210093,Noncdm Charge Record Medical Supplies,1400.36,546.14,,,0
CDM,SUP210121,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP210132_C1713_278,Noncdm Charge Record Medical Supplies,1385.86,540.49,,,0
CDM,SUP210132_C1734_278,Noncdm Charge Record Medical Supplies,1385.86,540.49,,,0
CDM,SUP210133_C1713_278,Noncdm Charge Record Medical Supplies,2494.35,972.8,,,0
CDM,SUP210133_C1734_278,Noncdm Charge Record Medical Supplies,2494.21,972.74,,,0
CDM,SUP210133_C1762_278,Noncdm Charge Record Medical Supplies,2494.35,972.8,,,0
CDM,SUP210134,Noncdm Charge Record Medical Supplies,4572.63,1783.33,,,0
CDM,SUP210136,Noncdm Charge Record Medical Supplies,671.46,261.87,,,0
CDM,SUP210137_272,Noncdm Charge Record Medical Supplies,984.74,384.05,,,0
CDM,SUP210137_A4649_272,Noncdm Charge Record Medical Supplies,1158.85,451.95,,,0
CDM,SUP210137_C1830_272,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP210138_272,Noncdm Charge Record Medical Supplies,1004.86,391.9,,,0
CDM,SUP210138_A4649_272,Noncdm Charge Record Medical Supplies,744.16,290.22,,,0
CDM,SUP210140,Noncdm Charge Record Medical Supplies,1737.76,677.73,,,0
CDM,SUP210143_272,Noncdm Charge Record Medical Supplies,2163.77,843.87,,,0
CDM,SUP210143_A4649_272,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP210144,Noncdm Charge Record Medical Supplies,2135.72,832.93,,,0
CDM,SUP210146_272,Noncdm Charge Record Medical Supplies,188.34,73.45,,,0
CDM,SUP210146_A4649_272,Noncdm Charge Record Medical Supplies,188.37,73.46,,,0
CDM,SUP210146_A9999_272,Noncdm Charge Record Medical Supplies,188.37,73.46,,,0
CDM,SUP210173,Noncdm Charge Record Medical Supplies,2231.46,870.27,,,0
CDM,SUP210175,Noncdm Charge Record Medical Supplies,46.06,17.96,,,0
CDM,SUP210176,Noncdm Charge Record Medical Supplies,1186.11,462.58,,,0
CDM,SUP210177,Noncdm Charge Record Medical Supplies,903.56,352.39,,,0
CDM,SUP210184,Noncdm Charge Record Medical Supplies,16754.58,6534.29,,,0
CDM,SUP210202,Noncdm Charge Record Medical Supplies,2091.74,815.78,,,0
CDM,SUP210203,Noncdm Charge Record Medical Supplies,1260.63,491.65,,,0
CDM,SUP210205,Noncdm Charge Record Medical Supplies,2091.74,815.78,,,0
CDM,SUP210206,Noncdm Charge Record Medical Supplies,154.22,60.15,,,0
CDM,SUP210213,Noncdm Charge Record Medical Supplies,440.91,171.95,,,0
CDM,SUP210220,Noncdm Charge Record Medical Supplies,2014.11,785.5,,,0
CDM,SUP210222,Noncdm Charge Record Medical Supplies,899.42,350.77,,,0
CDM,SUP210227,Noncdm Charge Record Medical Supplies,610.65,238.15,,,0
CDM,SUP210255,Noncdm Charge Record Medical Supplies,767.97,299.51,,,0
CDM,SUP210256,Noncdm Charge Record Medical Supplies,767.97,299.51,,,0
CDM,SUP210264,Noncdm Charge Record Medical Supplies,4625.42,1803.91,,,0
CDM,SUP210266,Noncdm Charge Record Medical Supplies,1348.6,525.95,,,0
CDM,SUP210268,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP210274,Noncdm Charge Record Medical Supplies,1352.74,527.57,,,0
CDM,SUP210280,Noncdm Charge Record Medical Supplies,3472.42,1354.24,,,0
CDM,SUP210283,Noncdm Charge Record Medical Supplies,2452.43,956.45,,,0
CDM,SUP210285,Noncdm Charge Record Medical Supplies,2451.92,956.25,,,0
CDM,SUP210291,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP210301,Noncdm Charge Record Medical Supplies,1693.26,660.37,,,0
CDM,SUP210305,Noncdm Charge Record Medical Supplies,3254.04,1269.08,,,0
CDM,SUP210306,Noncdm Charge Record Medical Supplies,4625.42,1803.91,,,0
CDM,SUP210307,Noncdm Charge Record Medical Supplies,39.33,15.34,,,0
CDM,SUP210338,Noncdm Charge Record Medical Supplies,16754.58,6534.29,,,0
CDM,SUP210345,Noncdm Charge Record Medical Supplies,168.7,65.79,,,0
CDM,SUP210347,Noncdm Charge Record Medical Supplies,109.71,42.79,,,0
CDM,SUP210353,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP210354,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP210356,Noncdm Charge Record Medical Supplies,1370.34,534.43,,,0
CDM,SUP210357,Noncdm Charge Record Medical Supplies,146.97,57.32,,,0
CDM,SUP210360,Noncdm Charge Record Medical Supplies,1370.34,534.43,,,0
CDM,SUP210364,Noncdm Charge Record Medical Supplies,1606.32,626.46,,,0
CDM,SUP210370,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP210383,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP210388,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP210400,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP210403,Noncdm Charge Record Medical Supplies,23478.98,9156.8,,,0
CDM,SUP210405,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP210406,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP210407_272,Noncdm Charge Record Medical Supplies,4625.42,1803.91,,,0
CDM,SUP210407_A4649_272,Noncdm Charge Record Medical Supplies,4625.42,1803.91,,,0
CDM,SUP210407_A9999_272,Noncdm Charge Record Medical Supplies,4625.42,1803.91,,,0
CDM,SUP210408_272,Noncdm Charge Record Medical Supplies,2463.71,960.85,,,0
CDM,SUP210408_A4649_272,Noncdm Charge Record Medical Supplies,2548.17,993.79,,,0
CDM,SUP210408_A9999_272,Noncdm Charge Record Medical Supplies,2548.17,993.79,,,0
CDM,SUP210427,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP210428,Noncdm Charge Record Medical Supplies,839.38,327.36,,,0
CDM,SUP210429,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP210430,Noncdm Charge Record Medical Supplies,797.98,311.21,,,0
CDM,SUP210431,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP210442,Noncdm Charge Record Medical Supplies,1101.24,429.48,,,0
CDM,SUP210443,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP210465,Noncdm Charge Record Medical Supplies,371.56,144.91,,,0
CDM,SUP210470,Noncdm Charge Record Medical Supplies,18.63,7.27,,,0
CDM,SUP210480,Noncdm Charge Record Medical Supplies,1440.72,561.88,,,0
CDM,SUP210492,Noncdm Charge Record Medical Supplies,464.72,181.24,,,0
CDM,SUP210498,Noncdm Charge Record Medical Supplies,7495.47,2923.23,,,0
CDM,SUP2105,Noncdm Charge Record Medical Supplies - Screw 7.3Mm 32Mm Ss Fem 135Mm Cannula Thrd Ns,839.38,327.36,,,0
CDM,SUP210502,Noncdm Charge Record Medical Supplies,16754.58,6534.29,,,0
CDM,SUP210503,Noncdm Charge Record Medical Supplies,1228.54,479.13,,,0
CDM,SUP210504,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP210512,Noncdm Charge Record Medical Supplies,657.22,256.32,,,0
CDM,SUP210513,Noncdm Charge Record Medical Supplies,16754.58,6534.29,,,0
CDM,SUP210514,Noncdm Charge Record Medical Supplies,608.58,237.35,,,0
CDM,SUP210518,Noncdm Charge Record Medical Supplies,3279.92,1279.17,,,0
CDM,SUP210519,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP210520,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP210521,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP210522,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP210524,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP210525,Noncdm Charge Record Medical Supplies,715.18,278.92,,,0
CDM,SUP210527,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP210532,Noncdm Charge Record Medical Supplies,416.07,162.27,,,0
CDM,SUP210537,Noncdm Charge Record Medical Supplies,391.23,152.58,,,0
CDM,SUP210541,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP210542,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP210543,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP210546,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP210548,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP210549,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP210550,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP210551,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP210552,Noncdm Charge Record Medical Supplies,715.18,278.92,,,0
CDM,SUP210553,Noncdm Charge Record Medical Supplies,704.84,274.89,,,0
CDM,SUP210560,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP210566,Noncdm Charge Record Medical Supplies,464.72,181.24,,,0
CDM,SUP210576,Noncdm Charge Record Medical Supplies,202.86,79.12,,,0
CDM,SUP210577,Noncdm Charge Record Medical Supplies,1779.16,693.87,,,0
CDM,SUP210581,Noncdm Charge Record Medical Supplies,484.38,188.91,,,0
CDM,SUP210582,Noncdm Charge Record Medical Supplies,2746.89,1071.29,,,0
CDM,SUP210584,Noncdm Charge Record Medical Supplies,342.58,133.61,,,0
CDM,SUP210589_C1726_272,Noncdm Charge Record Medical Supplies,9805.59,3824.18,,,0
CDM,SUP210592,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP210594,Noncdm Charge Record Medical Supplies,2546.1,992.98,,,0
CDM,SUP210596,Noncdm Charge Record Medical Supplies,2051.37,800.03,,,0
CDM,SUP210597,Noncdm Charge Record Medical Supplies,2546.1,992.98,,,0
CDM,SUP210601,Noncdm Charge Record Medical Supplies,2450.88,955.84,,,0
CDM,SUP210602,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP210603,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP210604,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP210606,Noncdm Charge Record Medical Supplies,704.84,274.89,,,0
CDM,SUP210607,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP210611,Noncdm Charge Record Medical Supplies,146.97,57.32,,,0
CDM,SUP210614,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP210615,Noncdm Charge Record Medical Supplies,391.23,152.58,,,0
CDM,SUP210622,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP210631,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP210633,Noncdm Charge Record Medical Supplies,304.9,118.91,,,0
CDM,SUP210634,Noncdm Charge Record Medical Supplies,11022.75,4298.87,,,0
CDM,SUP210642,Noncdm Charge Record Medical Supplies,464.72,181.24,,,0
CDM,SUP210643,Noncdm Charge Record Medical Supplies,195.62,76.29,,,0
CDM,SUP210644,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP210645,Noncdm Charge Record Medical Supplies,596.78,232.74,,,0
CDM,SUP210653,Noncdm Charge Record Medical Supplies,3383.42,1319.53,,,0
CDM,SUP210654,Noncdm Charge Record Medical Supplies,253.92,99.03,,,0
CDM,SUP210655,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP210667_272,Noncdm Charge Record Medical Supplies,1799.35,701.75,,,0
CDM,SUP210667_C1713_278,Noncdm Charge Record Medical Supplies,1799.66,701.87,,,0
CDM,SUP210668,Noncdm Charge Record Medical Supplies,856.98,334.22,,,0
CDM,SUP210670,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP210676,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP210677,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP210678,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP210679,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP210680,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP210681,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP210682,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP210687,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP210688,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP210693,Noncdm Charge Record Medical Supplies,404.68,157.83,,,0
CDM,SUP210695,Noncdm Charge Record Medical Supplies,640.66,249.86,,,0
CDM,SUP210699,Noncdm Charge Record Medical Supplies,73.48,28.66,,,0
CDM,SUP210714,Noncdm Charge Record Medical Supplies,16754.58,6534.29,,,0
CDM,SUP210716,Noncdm Charge Record Medical Supplies,16754.58,6534.29,,,0
CDM,SUP210720,Noncdm Charge Record Medical Supplies,1678.77,654.72,,,0
CDM,SUP210739,Noncdm Charge Record Medical Supplies,96.26,37.54,,,0
CDM,SUP210746,Noncdm Charge Record Medical Supplies,480.24,187.29,,,0
CDM,SUP210777,Noncdm Charge Record Medical Supplies,16754.58,6534.29,,,0
CDM,SUP210795,Noncdm Charge Record Medical Supplies,23478.98,9156.8,,,0
CDM,SUP210819,Noncdm Charge Record Medical Supplies,109.71,42.79,,,0
CDM,SUP210820,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP210821,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP210823,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP210826,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP210827,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP210828,Noncdm Charge Record Medical Supplies,1758.46,685.8,,,0
CDM,SUP210829,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP210830,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP210833,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP210834,Noncdm Charge Record Medical Supplies,1053.63,410.92,,,0
CDM,SUP210835,Noncdm Charge Record Medical Supplies,2932.16,1143.54,,,0
CDM,SUP210838,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP210840,Noncdm Charge Record Medical Supplies,480.24,187.29,,,0
CDM,SUP210841,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP210845,Noncdm Charge Record Medical Supplies,538.2,209.9,,,0
CDM,SUP210847,Noncdm Charge Record Medical Supplies,1546.29,603.05,,,0
CDM,SUP210848,Noncdm Charge Record Medical Supplies,2375.32,926.37,,,0
CDM,SUP210849,Noncdm Charge Record Medical Supplies,1635.3,637.77,,,0
CDM,SUP210856,Noncdm Charge Record Medical Supplies,10537.34,4109.56,,,0
CDM,SUP210858,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP210859,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP210863,Noncdm Charge Record Medical Supplies,23478.98,9156.8,,,0
CDM,SUP210877,Noncdm Charge Record Medical Supplies,1308.24,510.21,,,0
CDM,SUP210878,Noncdm Charge Record Medical Supplies,1691.19,659.56,,,0
CDM,SUP210879,Noncdm Charge Record Medical Supplies,48.64,18.97,,,0
CDM,SUP210883,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP210904,Noncdm Charge Record Medical Supplies,195.62,76.29,,,0
CDM,SUP210905,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP210906,Noncdm Charge Record Medical Supplies,464.72,181.24,,,0
CDM,SUP210907,Noncdm Charge Record Medical Supplies,195.62,76.29,,,0
CDM,SUP210908,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP210909,Noncdm Charge Record Medical Supplies,195.62,76.29,,,0
CDM,SUP210910,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP210917,Noncdm Charge Record Medical Supplies,4945.4,1928.71,,,0
CDM,SUP210918,Noncdm Charge Record Medical Supplies,4945.4,1928.71,,,0
CDM,SUP210927,Noncdm Charge Record Medical Supplies,8.28,3.23,,,0
CDM,SUP210947,Noncdm Charge Record Medical Supplies,1713.96,668.44,,,0
CDM,SUP210949,Noncdm Charge Record Medical Supplies,159.39,62.16,,,0
CDM,SUP210965,Noncdm Charge Record Medical Supplies,899.36,350.75,,,0
CDM,SUP210966,Noncdm Charge Record Medical Supplies,1400.36,546.14,,,0
CDM,SUP210967,Noncdm Charge Record Medical Supplies,214.24,83.55,,,0
CDM,SUP210968,Noncdm Charge Record Medical Supplies,708.98,276.5,,,0
CDM,SUP21097,Noncdm Charge Record Medical Supplies - Connector Ext Lng 50Mm,1361.71,531.07,,,0
CDM,SUP210994,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP211009,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP211011,Noncdm Charge Record Medical Supplies,1576.3,614.76,,,0
CDM,SUP211016,Noncdm Charge Record Medical Supplies,16754.58,6534.29,,,0
CDM,SUP211019,Noncdm Charge Record Medical Supplies,371.56,144.91,,,0
CDM,SUP211020,Noncdm Charge Record Medical Supplies,3968.19,1547.59,,,0
CDM,SUP211034,Noncdm Charge Record Medical Supplies,1958.22,763.71,,,0
CDM,SUP211038,Noncdm Charge Record Medical Supplies,1061.91,414.14,,,0
CDM,SUP211043,Noncdm Charge Record Medical Supplies,130.41,50.86,,,0
CDM,SUP211044,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP211072,Noncdm Charge Record Medical Supplies,3726.0,1453.14,,,0
CDM,SUP211080,Noncdm Charge Record Medical Supplies,293.94,114.64,,,0
CDM,SUP211086,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP211091,Noncdm Charge Record Medical Supplies,16754.58,6534.29,,,0
CDM,SUP2111,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 95Mm Ss Cannula Ft Ns,1136.43,443.21,,,0
CDM,SUP211101,Noncdm Charge Record Medical Supplies,239.86,93.55,,,0
CDM,SUP211103,Noncdm Charge Record Medical Supplies,240.12,93.65,,,0
CDM,SUP211104,Noncdm Charge Record Medical Supplies,954.79,372.37,,,0
CDM,SUP211109,Noncdm Charge Record Medical Supplies,3610.08,1407.93,,,0
CDM,SUP211112,Noncdm Charge Record Medical Supplies,3610.08,1407.93,,,0
CDM,SUP211138,Noncdm Charge Record Medical Supplies,171.81,67.01,,,0
CDM,SUP211142,Noncdm Charge Record Medical Supplies,1081.92,421.95,,,0
CDM,SUP211162,Noncdm Charge Record Medical Supplies,587.36,229.07,,,0
CDM,SUP211179,Noncdm Charge Record Medical Supplies,2742.75,1069.67,,,0
CDM,SUP211180,Noncdm Charge Record Medical Supplies,161.46,62.97,,,0
CDM,SUP211181,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP211182,Noncdm Charge Record Medical Supplies,3690.81,1439.42,,,0
CDM,SUP211195,Noncdm Charge Record Medical Supplies,171.81,67.01,,,0
CDM,SUP211210,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP211244,Noncdm Charge Record Medical Supplies,885.96,345.52,,,0
CDM,SUP211252,Noncdm Charge Record Medical Supplies,636.52,248.24,,,0
CDM,SUP211253,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP211263_C1886_272,Noncdm Charge Record Medical Supplies,4188.65,1633.57,,,0
CDM,SUP211274,Noncdm Charge Record Medical Supplies,529.92,206.67,,,0
CDM,SUP211278,Noncdm Charge Record Medical Supplies,3375.14,1316.3,,,0
CDM,SUP211282,Noncdm Charge Record Medical Supplies,1027.76,400.83,,,0
CDM,SUP211284,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP211286,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP211287_272,Noncdm Charge Record Medical Supplies,220.46,85.98,,,0
CDM,SUP211287_A4649_272,Noncdm Charge Record Medical Supplies,220.46,85.98,,,0
CDM,SUP211334,Noncdm Charge Record Medical Supplies,231.84,90.42,,,0
CDM,SUP211343,Noncdm Charge Record Medical Supplies,480.24,187.29,,,0
CDM,SUP211347,Noncdm Charge Record Medical Supplies,13.97,5.45,,,0
CDM,SUP211348,Noncdm Charge Record Medical Supplies,8.8,3.43,,,0
CDM,SUP211383,Noncdm Charge Record Medical Supplies,111.78,43.59,,,0
CDM,SUP211392,Noncdm Charge Record Medical Supplies,23478.98,9156.8,,,0
CDM,SUP211402,Noncdm Charge Record Medical Supplies,8787.15,3426.99,,,0
CDM,SUP211422,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP211429,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP211430,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP211434,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP211435,Noncdm Charge Record Medical Supplies,8818.2,3439.1,,,0
CDM,SUP211436,Noncdm Charge Record Medical Supplies,5731.83,2235.41,,,0
CDM,SUP211437,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP211438,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP211440,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP211441,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP211442,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP211443,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP211444,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP211445,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP211450,Noncdm Charge Record Medical Supplies,1027.76,400.83,,,0
CDM,SUP211455,Noncdm Charge Record Medical Supplies,4409.1,1719.55,,,0
CDM,SUP211468,Noncdm Charge Record Medical Supplies,179.24,69.9,,,0
CDM,SUP211469,Noncdm Charge Record Medical Supplies,161.11,62.83,,,0
CDM,SUP211470,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP211471,Noncdm Charge Record Medical Supplies,1434.51,559.46,,,0
CDM,SUP21148,Noncdm Charge Record Medical Supplies - Device Endoskeleton 7Mm Med,5195.7,2026.32,,,0
CDM,SUP2115_C1713_278,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 12Mm Lc Dcp Ss Cort St Ns Sm,130.42,50.86,,,0
CDM,SUP2115_L8699_278,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 12Mm Lc Dcp Ss Cort St Ns Sm,134.55,52.47,,,0
CDM,SUP2116_272,Noncdm Charge Record Medical Supplies - Screw 3.5-14Mm Lcp Ss Cort St Cort St Ns Sm Frag,134.2,52.34,,,0
CDM,SUP2116_C1713_278,Noncdm Charge Record Medical Supplies - Screw 3.5-14Mm Lcp Ss Cort St Cort St Ns Sm Frag,128.38,50.07,,,0
CDM,SUP2116_L8699_278,Noncdm Charge Record Medical Supplies - Screw 3.5-14Mm Lcp Ss Cort St Cort St Ns Sm Frag,134.55,52.47,,,0
CDM,SUP211718,Noncdm Charge Record Medical Supplies,4954.54,1932.27,,,0
CDM,SUP211736,Noncdm Charge Record Medical Supplies,4954.54,1932.27,,,0
CDM,SUP211737,Noncdm Charge Record Medical Supplies,4954.54,1932.27,,,0
CDM,SUP211756,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP211758,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP211766,Noncdm Charge Record Medical Supplies,9269.46,3615.09,,,0
CDM,SUP211767,Noncdm Charge Record Medical Supplies,9269.46,3615.09,,,0
CDM,SUP211768,Noncdm Charge Record Medical Supplies,9269.46,3615.09,,,0
CDM,SUP211769,Noncdm Charge Record Medical Supplies,9269.46,3615.09,,,0
CDM,SUP211770,Noncdm Charge Record Medical Supplies,9269.46,3615.09,,,0
CDM,SUP211771,Noncdm Charge Record Medical Supplies,9269.46,3615.09,,,0
CDM,SUP211772,Noncdm Charge Record Medical Supplies,9269.46,3615.09,,,0
CDM,SUP211773,Noncdm Charge Record Medical Supplies,9269.46,3615.09,,,0
CDM,SUP211776,Noncdm Charge Record Medical Supplies,9269.46,3615.09,,,0
CDM,SUP211777_C1889_278,Noncdm Charge Record Medical Supplies,9269.46,3615.09,,,0
CDM,SUP211777_L8699_278,Noncdm Charge Record Medical Supplies,9269.46,3615.09,,,0
CDM,SUP211778,Noncdm Charge Record Medical Supplies,9269.46,3615.09,,,0
CDM,SUP211779,Noncdm Charge Record Medical Supplies,9269.46,3615.09,,,0
CDM,SUP211780,Noncdm Charge Record Medical Supplies,9269.46,3615.09,,,0
CDM,SUP211781,Noncdm Charge Record Medical Supplies,8898.93,3470.58,,,0
CDM,SUP211782,Noncdm Charge Record Medical Supplies,9269.46,3615.09,,,0
CDM,SUP211783,Noncdm Charge Record Medical Supplies,9269.46,3615.09,,,0
CDM,SUP211784,Noncdm Charge Record Medical Supplies,9269.46,3615.09,,,0
CDM,SUP211785,Noncdm Charge Record Medical Supplies,9269.46,3615.09,,,0
CDM,SUP211795,Noncdm Charge Record Medical Supplies,6705.76,2615.25,,,0
CDM,SUP211796,Noncdm Charge Record Medical Supplies,5961.6,2325.02,,,0
CDM,SUP211797,Noncdm Charge Record Medical Supplies,5961.6,2325.02,,,0
CDM,SUP2117_C1713_278,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 16Mm Lc Dcp Ss Cort St Ns Sm,128.04,49.94,,,0
CDM,SUP2117_L8699_278,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 16Mm Lc Dcp Ss Cort St Ns Sm,134.29,52.37,,,0
CDM,SUP211814,Noncdm Charge Record Medical Supplies,476.1,185.68,,,0
CDM,SUP211825,Noncdm Charge Record Medical Supplies,464.72,181.24,,,0
CDM,SUP211836,Noncdm Charge Record Medical Supplies,633.07,246.9,,,0
CDM,SUP211837,Noncdm Charge Record Medical Supplies,390.2,152.18,,,0
CDM,SUP211847,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP211852,Noncdm Charge Record Medical Supplies,109.71,42.79,,,0
CDM,SUP211853,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP211854,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP211855,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP211856,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP211862,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP211863,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP211865,Noncdm Charge Record Medical Supplies,483.86,188.71,,,0
CDM,SUP211867,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP211868,Noncdm Charge Record Medical Supplies,391.75,152.78,,,0
CDM,SUP211869,Noncdm Charge Record Medical Supplies,469.89,183.26,,,0
CDM,SUP211870,Noncdm Charge Record Medical Supplies,304.91,118.91,,,0
CDM,SUP211871,Noncdm Charge Record Medical Supplies,175.95,68.62,,,0
CDM,SUP211873,Noncdm Charge Record Medical Supplies,8.28,3.23,,,0
CDM,SUP2118_C1713_278,Noncdm Charge Record Medical Supplies - Screw 3.5-18Mm Lcp Ss Cort St Cort St Ns Sm Frag,130.2,50.78,,,0
CDM,SUP2118_L8699_278,Noncdm Charge Record Medical Supplies - Screw 3.5-18Mm Lcp Ss Cort St Cort St Ns Sm Frag,94.18,36.73,,,0
CDM,SUP211926,Noncdm Charge Record Medical Supplies,7473.74,2914.76,,,0
CDM,SUP211937,Noncdm Charge Record Medical Supplies,5952.28,2321.39,,,0
CDM,SUP211938,Noncdm Charge Record Medical Supplies,5952.28,2321.39,,,0
CDM,SUP211939,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP211951,Noncdm Charge Record Medical Supplies,13471.56,5253.91,,,0
CDM,SUP211952,Noncdm Charge Record Medical Supplies,13471.56,5253.91,,,0
CDM,SUP211953,Noncdm Charge Record Medical Supplies,13471.56,5253.91,,,0
CDM,SUP211959,Noncdm Charge Record Medical Supplies,689.31,268.83,,,0
CDM,SUP211966,Noncdm Charge Record Medical Supplies,1257.53,490.44,,,0
CDM,SUP211968,Noncdm Charge Record Medical Supplies,1234.76,481.56,,,0
CDM,SUP211982,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP2119_C1713_278,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 20Mm Lc Dcp Ss Cort St Ns Sm,128.21,50.0,,,0
CDM,SUP2119_L8699_278,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 20Mm Lc Dcp Ss Cort St Ns Sm,94.18,36.73,,,0
CDM,SUP212014,Noncdm Charge Record Medical Supplies,8818.2,3439.1,,,0
CDM,SUP212015,Noncdm Charge Record Medical Supplies,8818.2,3439.1,,,0
CDM,SUP212018,Noncdm Charge Record Medical Supplies,1689.12,658.76,,,0
CDM,SUP212019,Noncdm Charge Record Medical Supplies,1836.09,716.08,,,0
CDM,SUP212020,Noncdm Charge Record Medical Supplies,1787.44,697.1,,,0
CDM,SUP212034,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP212035,Noncdm Charge Record Medical Supplies,1958.22,763.71,,,0
CDM,SUP212049,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP212050,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP212052,Noncdm Charge Record Medical Supplies,28.46,11.1,,,0
CDM,SUP21206,Noncdm Charge Record Medical Supplies - Screw 5.5Mm 25Mm,1552.5,605.48,,,0
CDM,SUP212060,Noncdm Charge Record Medical Supplies,1008.09,393.16,,,0
CDM,SUP212062,Noncdm Charge Record Medical Supplies,151.11,58.93,,,0
CDM,SUP212065,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP212069,Noncdm Charge Record Medical Supplies,240.12,93.65,,,0
CDM,SUP21207,Noncdm Charge Record Medical Supplies - Screw 5.5Mm 30Mm,1552.5,605.48,,,0
CDM,SUP212070,Noncdm Charge Record Medical Supplies,240.12,93.65,,,0
CDM,SUP212073,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP212074,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP212076,Noncdm Charge Record Medical Supplies,648.95,253.09,,,0
CDM,SUP212077,Noncdm Charge Record Medical Supplies,1713.96,668.44,,,0
CDM,SUP212086,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP21209,Noncdm Charge Record Medical Supplies - Screw 6.5Mm 30Mm,1074.33,418.99,,,0
CDM,SUP212094,Noncdm Charge Record Medical Supplies,1853.68,722.94,,,0
CDM,SUP212099,Noncdm Charge Record Medical Supplies,751.41,293.05,,,0
CDM,SUP2120_C1713_278,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 22Mm Lcp Ss Cort St Ns Sm Frag,129.38,50.46,,,0
CDM,SUP2120_L8699_278,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 22Mm Lcp Ss Cort St Ns Sm Frag,94.18,36.73,,,0
CDM,SUP212114,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP212115,Noncdm Charge Record Medical Supplies,66.24,25.83,,,0
CDM,SUP212116,Noncdm Charge Record Medical Supplies,1206.81,470.66,,,0
CDM,SUP212119,Noncdm Charge Record Medical Supplies,983.77,383.67,,,0
CDM,SUP212132,Noncdm Charge Record Medical Supplies,243.74,95.06,,,0
CDM,SUP212136,Noncdm Charge Record Medical Supplies,1346.19,525.01,,,0
CDM,SUP212137,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP212138,Noncdm Charge Record Medical Supplies,337.41,131.59,,,0
CDM,SUP212139,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP212145,Noncdm Charge Record Medical Supplies,854.91,333.41,,,0
CDM,SUP212151,Noncdm Charge Record Medical Supplies,692.42,270.04,,,0
CDM,SUP212152,Noncdm Charge Record Medical Supplies,404.68,157.83,,,0
CDM,SUP212178,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP212179,Noncdm Charge Record Medical Supplies,4483.62,1748.61,,,0
CDM,SUP212180,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP212199,Noncdm Charge Record Medical Supplies,109.71,42.79,,,0
CDM,SUP2121_C1713_278,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 24Mm Lcp Ss Cort St Ns Sm Frag,126.18,49.21,,,0
CDM,SUP2121_L8699_278,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 24Mm Lcp Ss Cort St Ns Sm Frag,134.14,52.31,,,0
CDM,SUP212200,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP212202,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP212203,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP212204,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP212206,Noncdm Charge Record Medical Supplies,1569.06,611.93,,,0
CDM,SUP212207,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP212208,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP212210,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP212217,Noncdm Charge Record Medical Supplies,21.74,8.48,,,0
CDM,SUP212218,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP212219,Noncdm Charge Record Medical Supplies,1087.75,424.22,,,0
CDM,SUP212220,Noncdm Charge Record Medical Supplies,1082.6,422.21,,,0
CDM,SUP212221,Noncdm Charge Record Medical Supplies,1085.38,423.3,,,0
CDM,SUP212222,Noncdm Charge Record Medical Supplies,1094.22,426.75,,,0
CDM,SUP212223,Noncdm Charge Record Medical Supplies,1332.25,519.58,,,0
CDM,SUP212224,Noncdm Charge Record Medical Supplies,951.16,370.95,,,0
CDM,SUP21223,Noncdm Charge Record Medical Supplies - Kit Pump Rev Sgmnt Sc Tray Pr,2148.66,837.98,,,0
CDM,SUP212233,Noncdm Charge Record Medical Supplies,764.86,298.3,,,0
CDM,SUP212248,Noncdm Charge Record Medical Supplies,120.06,46.82,,,0
CDM,SUP212256,Noncdm Charge Record Medical Supplies,10.35,4.04,,,0
CDM,SUP21228,Noncdm Charge Record Medical Supplies - Wrench Torque 4In,274.27,106.97,,,0
CDM,SUP212280,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP212281,Noncdm Charge Record Medical Supplies,109.71,42.79,,,0
CDM,SUP212282,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP212283,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP212285,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP212286,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP212287,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP212288,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP212289,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP212290,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP212299,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP2122_C1713_278,Noncdm Charge Record Medical Supplies - Screw 3.5-26Mm Lcp Ss Cort St Cort St Ns Sm Frag,124.87,48.7,,,0
CDM,SUP2122_L8699_278,Noncdm Charge Record Medical Supplies - Screw 3.5-26Mm Lcp Ss Cort St Cort St Ns Sm Frag,127.65,49.78,,,0
CDM,SUP21231,Noncdm Charge Record Medical Supplies,3591.45,1400.67,,,0
CDM,SUP212324,Noncdm Charge Record Medical Supplies,171.81,67.01,,,0
CDM,SUP212326,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP212327,Noncdm Charge Record Medical Supplies,1850.58,721.73,,,0
CDM,SUP212370,Noncdm Charge Record Medical Supplies,797.98,311.21,,,0
CDM,SUP212371,Noncdm Charge Record Medical Supplies,839.38,327.36,,,0
CDM,SUP21238,Noncdm Charge Record Medical Supplies - Catheter Ascenda It Shrt,4721.19,1841.26,,,0
CDM,SUP212384,Noncdm Charge Record Medical Supplies,676.89,263.99,,,0
CDM,SUP212389,Noncdm Charge Record Medical Supplies,18750.06,7312.52,,,0
CDM,SUP212390,Noncdm Charge Record Medical Supplies,84.87,33.1,,,0
CDM,SUP212395,Noncdm Charge Record Medical Supplies,10.35,4.04,,,0
CDM,SUP2123_C1713_278,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 28Mm Lc Dcp Ss Cort St Ns Sm,125.63,49.0,,,0
CDM,SUP2123_L8699_278,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 28Mm Lc Dcp Ss Cort St Ns Sm,94.18,36.73,,,0
CDM,SUP21241,Noncdm Charge Record Medical Supplies - Graft Cv 30Cm 10Mm Thor Abd,2639.25,1029.31,,,0
CDM,SUP212425,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP21243,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Ult 1Mm 2Cm,8898.76,3470.52,,,0
CDM,SUP21244,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Ult 1Mm 3Cm,8898.67,3470.48,,,0
CDM,SUP212441,Noncdm Charge Record Medical Supplies,700.7,273.27,,,0
CDM,SUP21245,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Ult 1.5Mm 2Cm,8898.75,3470.51,,,0
CDM,SUP21246,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Ult 1.5Mm 3Cm,8898.65,3470.47,,,0
CDM,SUP21247,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Ult 1.5Mm 4Cm,8898.7,3470.49,,,0
CDM,SUP212473,Noncdm Charge Record Medical Supplies,101.43,39.56,,,0
CDM,SUP212474,Noncdm Charge Record Medical Supplies,292.9,114.23,,,0
CDM,SUP212475,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP21248,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Ult 2Mm 3Cm,8898.72,3470.5,,,0
CDM,SUP212485,Noncdm Charge Record Medical Supplies,7495.47,2923.23,,,0
CDM,SUP21249,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Ult 2Mm 4Cm,8898.67,3470.48,,,0
CDM,SUP212490,Noncdm Charge Record Medical Supplies,889.03,346.72,,,0
CDM,SUP2124_C1713_278,Noncdm Charge Record Medical Supplies - Screw Bn 3Mm 30Mm Lc Dcp Ss Cort St Ns Sm,124.62,48.6,,,0
CDM,SUP2124_L8699_278,Noncdm Charge Record Medical Supplies - Screw Bn 3Mm 30Mm Lc Dcp Ss Cort St Ns Sm,94.18,36.73,,,0
CDM,SUP2125,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 32Mm Lc Dcp Ss Cort St Ns Sm,124.2,48.44,,,0
CDM,SUP21250,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Ult 2Mm 6Cm,9084.2,3542.84,,,0
CDM,SUP212503,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP212508,Noncdm Charge Record Medical Supplies,622.04,242.6,,,0
CDM,SUP21251,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Ult 2.5Mm 4Cm,8898.72,3470.5,,,0
CDM,SUP212511,Noncdm Charge Record Medical Supplies,156.28,60.95,,,0
CDM,SUP212513,Noncdm Charge Record Medical Supplies,33.12,12.92,,,0
CDM,SUP21252,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Ult 3Mm 4Cm,8898.58,3470.45,,,0
CDM,SUP212525,Noncdm Charge Record Medical Supplies,889.06,346.73,,,0
CDM,SUP212526,Noncdm Charge Record Medical Supplies,550.62,214.74,,,0
CDM,SUP21253,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Ult 3Mm 6Cm,8843.82,3449.09,,,0
CDM,SUP212539,Noncdm Charge Record Medical Supplies,2218.0,865.02,,,0
CDM,SUP21254,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Ult 3Mm 8Cm,8898.67,3470.48,,,0
CDM,SUP21255,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Ult 3Mm 10Cm,8898.58,3470.45,,,0
CDM,SUP212555,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP212557,Noncdm Charge Record Medical Supplies,7495.47,2923.23,,,0
CDM,SUP21256,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Ult 4Mm 6Cm,8898.93,3470.58,,,0
CDM,SUP212566,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP21257,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Ult 4Mm 8Cm,8991.3,3506.61,,,0
CDM,SUP212578,Noncdm Charge Record Medical Supplies,715.18,278.92,,,0
CDM,SUP212579,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP21258,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Ult 4Mm 10Cm,9163.59,3573.8,,,0
CDM,SUP212580,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP212581,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP212582,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP212583,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP212584,Noncdm Charge Record Medical Supplies,2330.82,909.02,,,0
CDM,SUP212585,Noncdm Charge Record Medical Supplies,2330.82,909.02,,,0
CDM,SUP212586,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP212587,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP212589,Noncdm Charge Record Medical Supplies,391.23,152.58,,,0
CDM,SUP21259,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Ult 4Mm 15Cm,8898.72,3470.5,,,0
CDM,SUP2126,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 34Mm Lc Dcp Ss Cort Prox Med,124.98,48.74,,,0
CDM,SUP21260,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Ult 5Mm 10Cm,8951.72,3491.17,,,0
CDM,SUP212608,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP212609,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP21261,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Ult 5Mm 15Cm,8898.93,3470.58,,,0
CDM,SUP212611,Noncdm Charge Record Medical Supplies,25.36,9.89,,,0
CDM,SUP212613,Noncdm Charge Record Medical Supplies,25.36,9.89,,,0
CDM,SUP212617,Noncdm Charge Record Medical Supplies,2546.1,992.98,,,0
CDM,SUP212618,Noncdm Charge Record Medical Supplies,2446.74,954.23,,,0
CDM,SUP212619,Noncdm Charge Record Medical Supplies,2546.1,992.98,,,0
CDM,SUP212622,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP212628,Noncdm Charge Record Medical Supplies,1067.08,416.16,,,0
CDM,SUP212631,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP212649,Noncdm Charge Record Medical Supplies,240.9,93.95,,,0
CDM,SUP212653,Noncdm Charge Record Medical Supplies,317.74,123.92,,,0
CDM,SUP212654,Noncdm Charge Record Medical Supplies,312.57,121.9,,,0
CDM,SUP212659,Noncdm Charge Record Medical Supplies,293.94,114.64,,,0
CDM,SUP212663,Noncdm Charge Record Medical Supplies,1454.18,567.13,,,0
CDM,SUP212664,Noncdm Charge Record Medical Supplies,1678.77,654.72,,,0
CDM,SUP212670,Noncdm Charge Record Medical Supplies,1454.18,567.13,,,0
CDM,SUP212673,Noncdm Charge Record Medical Supplies,1454.18,567.13,,,0
CDM,SUP212675,Noncdm Charge Record Medical Supplies,969.8,378.22,,,0
CDM,SUP212676,Noncdm Charge Record Medical Supplies,969.8,378.22,,,0
CDM,SUP21268,Noncdm Charge Record Medical Supplies - Coil Trgt Hlcl Ult 1.5Mm 4Cm,5773.23,2251.56,,,0
CDM,SUP212687,Noncdm Charge Record Medical Supplies,7495.47,2923.23,,,0
CDM,SUP212691,Noncdm Charge Record Medical Supplies,608.58,237.35,,,0
CDM,SUP212696,Noncdm Charge Record Medical Supplies,563.38,219.72,,,0
CDM,SUP212697,Noncdm Charge Record Medical Supplies,1206.81,470.66,,,0
CDM,SUP212699,Noncdm Charge Record Medical Supplies,3509.68,1368.78,,,0
CDM,SUP212700,Noncdm Charge Record Medical Supplies,983.77,383.67,,,0
CDM,SUP212703,Noncdm Charge Record Medical Supplies,161.46,62.97,,,0
CDM,SUP212716,Noncdm Charge Record Medical Supplies,1713.96,668.44,,,0
CDM,SUP212718,Noncdm Charge Record Medical Supplies,73.48,28.66,,,0
CDM,SUP212725,Noncdm Charge Record Medical Supplies,698.62,272.46,,,0
CDM,SUP212727,Noncdm Charge Record Medical Supplies,1081.99,421.98,,,0
CDM,SUP212735,Noncdm Charge Record Medical Supplies,94.18,36.73,,,0
CDM,SUP212739,Noncdm Charge Record Medical Supplies,404.68,157.83,,,0
CDM,SUP212745,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP212746,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP212747,Noncdm Charge Record Medical Supplies,5952.28,2321.39,,,0
CDM,SUP212754,Noncdm Charge Record Medical Supplies,12565.94,4900.72,,,0
CDM,SUP212755,Noncdm Charge Record Medical Supplies,1199.56,467.83,,,0
CDM,SUP212759,Noncdm Charge Record Medical Supplies,299.12,116.66,,,0
CDM,SUP212761,Noncdm Charge Record Medical Supplies,4404.96,1717.93,,,0
CDM,SUP212764,Noncdm Charge Record Medical Supplies,7495.47,2923.23,,,0
CDM,SUP212778,Noncdm Charge Record Medical Supplies,293.94,114.64,,,0
CDM,SUP212787,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP212790,Noncdm Charge Record Medical Supplies,1546.29,603.05,,,0
CDM,SUP212791,Noncdm Charge Record Medical Supplies,2330.82,909.02,,,0
CDM,SUP212793,Noncdm Charge Record Medical Supplies,1635.3,637.77,,,0
CDM,SUP212794,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP212798,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP2127_C1713_278,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 36Mm Lc Dcp Ss Cort St Ns Sm,127.68,49.8,,,0
CDM,SUP2127_L8699_278,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 36Mm Lc Dcp Ss Cort St Ns Sm,134.55,52.47,,,0
CDM,SUP212801,Noncdm Charge Record Medical Supplies,440.91,171.95,,,0
CDM,SUP212819,Noncdm Charge Record Medical Supplies,1101.24,429.48,,,0
CDM,SUP212820,Noncdm Charge Record Medical Supplies,880.78,343.5,,,0
CDM,SUP212836,Noncdm Charge Record Medical Supplies,11001.02,4290.4,,,0
CDM,SUP212840,Noncdm Charge Record Medical Supplies,191.48,74.68,,,0
CDM,SUP21285,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Sft 2Mm 4Cm,8898.63,3470.47,,,0
CDM,SUP212858,Noncdm Charge Record Medical Supplies,1973.74,769.76,,,0
CDM,SUP21286,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Sft 3Mm 6Cm,8991.3,3506.61,,,0
CDM,SUP212864,Noncdm Charge Record Medical Supplies,8.28,3.23,,,0
CDM,SUP21287,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Sft 3Mm 8Cm,8898.93,3470.58,,,0
CDM,SUP21288,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Sft 3Mm 10Cm,8898.67,3470.48,,,0
CDM,SUP212880,Noncdm Charge Record Medical Supplies,322.92,125.94,,,0
CDM,SUP21289,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Sft 4Mm 6Cm,8898.93,3470.58,,,0
CDM,SUP212893,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP2128_C1713_278,Noncdm Charge Record Medical Supplies - Screw 3.5-38Mm Lcp Ss Cort St Cort St Ns Sm Frag,128.93,50.28,,,0
CDM,SUP2128_L8699_278,Noncdm Charge Record Medical Supplies - Screw 3.5-38Mm Lcp Ss Cort St Cort St Ns Sm Frag,134.2,52.34,,,0
CDM,SUP21290,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Sft 4Mm 8Cm,8898.93,3470.58,,,0
CDM,SUP212906,Noncdm Charge Record Medical Supplies,769.0,299.91,,,0
CDM,SUP21291,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Sft 4Mm 10Cm,8788.7,3427.59,,,0
CDM,SUP212915,Noncdm Charge Record Medical Supplies,600.3,234.12,,,0
CDM,SUP212916,Noncdm Charge Record Medical Supplies,15298.34,5966.35,,,0
CDM,SUP212917,Noncdm Charge Record Medical Supplies,1089.63,424.96,,,0
CDM,SUP212918,Noncdm Charge Record Medical Supplies,359.97,140.39,,,0
CDM,SUP212919,Noncdm Charge Record Medical Supplies,8455.8,3297.76,,,0
CDM,SUP21292,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Sft 4Mm 15Cm,8898.93,3470.58,,,0
CDM,SUP212921,Noncdm Charge Record Medical Supplies,3505.54,1367.16,,,0
CDM,SUP212924,Noncdm Charge Record Medical Supplies,122.13,47.63,,,0
CDM,SUP21293,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Sft 5Mm 10Cm,8960.68,3494.67,,,0
CDM,SUP212931,Noncdm Charge Record Medical Supplies,1199.56,467.83,,,0
CDM,SUP21294,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Sft 5Mm 15Cm,8898.93,3470.58,,,0
CDM,SUP212947,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP212948,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP21296,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Sft 6Mm 10Cm,8898.93,3470.58,,,0
CDM,SUP212960,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP212961,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP212962,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP21297,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Sft 6Mm 15Cm,8898.93,3470.58,,,0
CDM,SUP212976,Noncdm Charge Record Medical Supplies,1234.76,481.56,,,0
CDM,SUP21298,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Sft 6Mm 20Cm,9084.2,3542.84,,,0
CDM,SUP212995,Noncdm Charge Record Medical Supplies,2491.24,971.58,,,0
CDM,SUP212996,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP2129_C1713_278,Noncdm Charge Record Medical Supplies - Screw 3.5-40Mm Lcp Ss Cort St Cort St Ns Sm Frag,126.35,49.28,,,0
CDM,SUP2129_L8699_278,Noncdm Charge Record Medical Supplies - Screw 3.5-40Mm Lcp Ss Cort St Cort St Ns Sm Frag,134.55,52.47,,,0
CDM,SUP213,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 60Mm Lcp Ss Med Prox Tib T15,553.72,215.95,,,0
CDM,SUP2130,Noncdm Charge Record Medical Supplies - Screw 3.5-45Mm Lcp Ss Cort St Cort St Ns Sm Frag,128.68,50.19,,,0
CDM,SUP213000,Noncdm Charge Record Medical Supplies,156.28,60.95,,,0
CDM,SUP213002,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP21301,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Sft 7Mm 20Cm,8898.93,3470.58,,,0
CDM,SUP213017,Noncdm Charge Record Medical Supplies,293.94,114.64,,,0
CDM,SUP213029,Noncdm Charge Record Medical Supplies,699.31,272.73,,,0
CDM,SUP213032,Noncdm Charge Record Medical Supplies,12565.94,4900.72,,,0
CDM,SUP213033,Noncdm Charge Record Medical Supplies,293.94,114.64,,,0
CDM,SUP213037,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP21304,Noncdm Charge Record Medical Supplies,8678.48,3384.61,,,0
CDM,SUP213054,Noncdm Charge Record Medical Supplies,4366.66,1703.0,,,0
CDM,SUP21307,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Sft 10Mm 30Cm,8898.93,3470.58,,,0
CDM,SUP213072,Noncdm Charge Record Medical Supplies,333.27,129.98,,,0
CDM,SUP213073,Noncdm Charge Record Medical Supplies,982.22,383.07,,,0
CDM,SUP213074,Noncdm Charge Record Medical Supplies,2203.52,859.37,,,0
CDM,SUP213075,Noncdm Charge Record Medical Supplies,2203.52,859.37,,,0
CDM,SUP213076,Noncdm Charge Record Medical Supplies,1787.44,697.1,,,0
CDM,SUP213077,Noncdm Charge Record Medical Supplies,1787.44,697.1,,,0
CDM,SUP213079,Noncdm Charge Record Medical Supplies,1297.89,506.18,,,0
CDM,SUP213080,Noncdm Charge Record Medical Supplies,1297.89,506.18,,,0
CDM,SUP21309,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Sft 12Mm 30Cm,8898.93,3470.58,,,0
CDM,SUP213093,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP2131,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 55Mm Lc Dcp Ss Cort Prox Med,125.73,49.03,,,0
CDM,SUP21311,Noncdm Charge Record Medical Supplies,8898.93,3470.58,,,0
CDM,SUP213113,Noncdm Charge Record Medical Supplies,1884.74,735.05,,,0
CDM,SUP213118,Noncdm Charge Record Medical Supplies,3792.24,1478.97,,,0
CDM,SUP213123,Noncdm Charge Record Medical Supplies,46.58,18.17,,,0
CDM,SUP213124,Noncdm Charge Record Medical Supplies,1273.05,496.49,,,0
CDM,SUP213126,Noncdm Charge Record Medical Supplies,2153.84,840.0,,,0
CDM,SUP213127,Noncdm Charge Record Medical Supplies,1987.2,775.01,,,0
CDM,SUP213128,Noncdm Charge Record Medical Supplies,264.44,103.13,,,0
CDM,SUP213135,Noncdm Charge Record Medical Supplies,1380.69,538.47,,,0
CDM,SUP213136,Noncdm Charge Record Medical Supplies,499.9,194.96,,,0
CDM,SUP213137,Noncdm Charge Record Medical Supplies,900.45,351.18,,,0
CDM,SUP213143,Noncdm Charge Record Medical Supplies,4483.62,1748.61,,,0
CDM,SUP213144,Noncdm Charge Record Medical Supplies,2399.13,935.66,,,0
CDM,SUP213148,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP213150,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP213161,Noncdm Charge Record Medical Supplies,1532.84,597.81,,,0
CDM,SUP213162,Noncdm Charge Record Medical Supplies,2399.13,935.66,,,0
CDM,SUP213167,Noncdm Charge Record Medical Supplies,56.92,22.2,,,0
CDM,SUP21317,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Std 5Mm 15Cm,8898.93,3470.58,,,0
CDM,SUP213172,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP213173,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP213174,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP213180,Noncdm Charge Record Medical Supplies,822.82,320.9,,,0
CDM,SUP21319,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Std 6Mm 15Cm,8788.7,3427.59,,,0
CDM,SUP213199,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP21320,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Std 6Mm 20Cm,8898.93,3470.58,,,0
CDM,SUP213205,Noncdm Charge Record Medical Supplies,929.95,362.68,,,0
CDM,SUP213216_272,Noncdm Charge Record Medical Supplies,17.6,6.86,,,0
CDM,SUP213216_A4649_272,Noncdm Charge Record Medical Supplies,17.6,6.86,,,0
CDM,SUP21323,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Std 7Mm 20Cm,8898.93,3470.58,,,0
CDM,SUP213233,Noncdm Charge Record Medical Supplies,637.56,248.65,,,0
CDM,SUP213243,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP21325,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Std 8Mm 20Cm,8825.44,3441.92,,,0
CDM,SUP213251,Noncdm Charge Record Medical Supplies,171.81,67.01,,,0
CDM,SUP213255,Noncdm Charge Record Medical Supplies,11022.75,4298.87,,,0
CDM,SUP213256,Noncdm Charge Record Medical Supplies,11022.75,4298.87,,,0
CDM,SUP213257,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP213265,Noncdm Charge Record Medical Supplies,930.46,362.88,,,0
CDM,SUP213267,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP213268,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP213275,Noncdm Charge Record Medical Supplies,1101.24,429.48,,,0
CDM,SUP213276,Noncdm Charge Record Medical Supplies,685.17,267.22,,,0
CDM,SUP213277,Noncdm Charge Record Medical Supplies,371.56,144.91,,,0
CDM,SUP213278,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP213279,Noncdm Charge Record Medical Supplies,685.17,267.22,,,0
CDM,SUP213280,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP2132_C1713_278,Noncdm Charge Record Medical Supplies - Screw 3.5-60Mm Lc Dcp Ss Cort St Ns Sm,127.92,49.89,,,0
CDM,SUP2132_C1776_278,Noncdm Charge Record Medical Supplies - Screw 3.5-60Mm Lc Dcp Ss Cort St Ns Sm,134.55,52.47,,,0
CDM,SUP2133,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 65Mm Lc Dcp Dcp Ss Cort Ft St,124.42,48.52,,,0
CDM,SUP213303_270,Noncdm Charge Record Medical Supplies,221.47,86.37,,,0
CDM,SUP213303_A4649_270,Noncdm Charge Record Medical Supplies,221.49,86.38,,,0
CDM,SUP213323,Noncdm Charge Record Medical Supplies,244.78,95.46,,,0
CDM,SUP213331,Noncdm Charge Record Medical Supplies,33.12,12.92,,,0
CDM,SUP213342_272,Noncdm Charge Record Medical Supplies,12.32,4.8,,,0
CDM,SUP213342_A4649_272,Noncdm Charge Record Medical Supplies,12.42,4.84,,,0
CDM,SUP21335,Noncdm Charge Record Medical Supplies - Coil Trgt L 360 Sft 6X20Cm Detach,12176.78,4748.94,,,0
CDM,SUP21337,Noncdm Charge Record Medical Supplies - Coil Trgt L 360 Sft 8X30Cm Detach,12176.78,4748.94,,,0
CDM,SUP21338,Noncdm Charge Record Medical Supplies - Coil Trgt L 360 Sft 9X30Cm Detach,11880.76,4633.5,,,0
CDM,SUP21339,Noncdm Charge Record Medical Supplies - Coil Trgt L 360 Sft 10X40Cm Detach,12176.78,4748.94,,,0
CDM,SUP2134,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 70Mm Lc Dcp Ss Cort Prox Med,124.77,48.66,,,0
CDM,SUP213402,Noncdm Charge Record Medical Supplies,3406.18,1328.41,,,0
CDM,SUP213403,Noncdm Charge Record Medical Supplies,244.78,95.46,,,0
CDM,SUP21341,Noncdm Charge Record Medical Supplies - Coil Trgt L 360 Sft 14X50Cm Detach,11288.74,4402.61,,,0
CDM,SUP213411,Noncdm Charge Record Medical Supplies,107.64,41.98,,,0
CDM,SUP213415,Noncdm Charge Record Medical Supplies,100.4,39.16,,,0
CDM,SUP21342,Noncdm Charge Record Medical Supplies - Coil Trgt L 360 Sft 16X50Cm Detach,11288.4,4402.48,,,0
CDM,SUP213424,Noncdm Charge Record Medical Supplies,12764.66,4978.22,,,0
CDM,SUP21343,Noncdm Charge Record Medical Supplies - Coil Trgt L 360 Sft 18X50Cm Detach,11288.74,4402.61,,,0
CDM,SUP213431,Noncdm Charge Record Medical Supplies,416.07,162.27,,,0
CDM,SUP213432,Noncdm Charge Record Medical Supplies,2901.1,1131.43,,,0
CDM,SUP213433,Noncdm Charge Record Medical Supplies,119.02,46.42,,,0
CDM,SUP213436,Noncdm Charge Record Medical Supplies,7495.47,2923.23,,,0
CDM,SUP213438,Noncdm Charge Record Medical Supplies,1532.84,597.81,,,0
CDM,SUP21344,Noncdm Charge Record Medical Supplies - Coil Trgt L 360 Sft 20X50Cm Detach,11288.74,4402.61,,,0
CDM,SUP213440,Noncdm Charge Record Medical Supplies,1247.18,486.4,,,0
CDM,SUP213460,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP21347,Noncdm Charge Record Medical Supplies - Coil Trgt L 360 Std 8X30Cm Detach,12176.78,4748.94,,,0
CDM,SUP213477,Noncdm Charge Record Medical Supplies,28.46,11.1,,,0
CDM,SUP213480,Noncdm Charge Record Medical Supplies,1463.49,570.76,,,0
CDM,SUP213481,Noncdm Charge Record Medical Supplies,53.82,20.99,,,0
CDM,SUP213488,Noncdm Charge Record Medical Supplies,188.37,73.46,,,0
CDM,SUP213495,Noncdm Charge Record Medical Supplies,3273.7,1276.74,,,0
CDM,SUP2135,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 75Mm Lc Dcp Ss Cort Prox Med,126.63,49.39,,,0
CDM,SUP21350,Noncdm Charge Record Medical Supplies - Coil Trgt L 360 Std 12X45Cm Detach,12176.78,4748.94,,,0
CDM,SUP21351,Noncdm Charge Record Medical Supplies - Coil Trgt L 360 Std 14X50Cm,11288.74,4402.61,,,0
CDM,SUP213510,Noncdm Charge Record Medical Supplies,1933.38,754.02,,,0
CDM,SUP213511,Noncdm Charge Record Medical Supplies,577.53,225.24,,,0
CDM,SUP213512,Noncdm Charge Record Medical Supplies,616.86,240.58,,,0
CDM,SUP213526,Noncdm Charge Record Medical Supplies,1341.36,523.13,,,0
CDM,SUP213528,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP213530,Noncdm Charge Record Medical Supplies,1439.68,561.48,,,0
CDM,SUP213531,Noncdm Charge Record Medical Supplies,1440.72,561.88,,,0
CDM,SUP213532,Noncdm Charge Record Medical Supplies,1097.1,427.87,,,0
CDM,SUP213534,Noncdm Charge Record Medical Supplies,293.94,114.64,,,0
CDM,SUP213535,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP213536,Noncdm Charge Record Medical Supplies,1440.72,561.88,,,0
CDM,SUP213542_C1726_272,Noncdm Charge Record Medical Supplies,4874.85,1901.19,,,0
CDM,SUP213543,Noncdm Charge Record Medical Supplies,328.1,127.96,,,0
CDM,SUP213549,Noncdm Charge Record Medical Supplies,1027.76,400.83,,,0
CDM,SUP213552,Noncdm Charge Record Medical Supplies,11.38,4.44,,,0
CDM,SUP213570,Noncdm Charge Record Medical Supplies,12.42,4.84,,,0
CDM,SUP213575,Noncdm Charge Record Medical Supplies,98.32,38.34,,,0
CDM,SUP213576,Noncdm Charge Record Medical Supplies,856.98,334.22,,,0
CDM,SUP213592,Noncdm Charge Record Medical Supplies,80.21,31.28,,,0
CDM,SUP213594,Noncdm Charge Record Medical Supplies,869.4,339.07,,,0
CDM,SUP213595,Noncdm Charge Record Medical Supplies,112.82,44.0,,,0
CDM,SUP2136,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 85Mm Lc Dcp Ss Cort Prox Med,128.61,50.16,,,0
CDM,SUP213606,Noncdm Charge Record Medical Supplies,40.36,15.74,,,0
CDM,SUP213609,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP213615,Noncdm Charge Record Medical Supplies,36.22,14.13,,,0
CDM,SUP213616,Noncdm Charge Record Medical Supplies,168.7,65.79,,,0
CDM,SUP213622,Noncdm Charge Record Medical Supplies,208.04,81.14,,,0
CDM,SUP213626,Noncdm Charge Record Medical Supplies,337.41,131.59,,,0
CDM,SUP213629,Noncdm Charge Record Medical Supplies,715.18,278.92,,,0
CDM,SUP213631,Noncdm Charge Record Medical Supplies,704.84,274.89,,,0
CDM,SUP213633,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP213635,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP213636,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP213637,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP213638,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP213640,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP213642,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP213643,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP213644,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP213657,Noncdm Charge Record Medical Supplies,406.76,158.64,,,0
CDM,SUP213676,Noncdm Charge Record Medical Supplies,50.72,19.78,,,0
CDM,SUP213683,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP213692,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP21370,Noncdm Charge Record Medical Supplies - System Inzone 2Mm Detach,1191.16,464.55,,,0
CDM,SUP213707,Noncdm Charge Record Medical Supplies,1933.38,754.02,,,0
CDM,SUP213708,Noncdm Charge Record Medical Supplies,636.52,248.24,,,0
CDM,SUP213729,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP213730,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP213731,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP213732,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP213733,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP213734,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP213735,Noncdm Charge Record Medical Supplies,1758.46,685.8,,,0
CDM,SUP213737,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP213746,Noncdm Charge Record Medical Supplies,328.1,127.96,,,0
CDM,SUP213778,Noncdm Charge Record Medical Supplies,2456.05,957.86,,,0
CDM,SUP213779,Noncdm Charge Record Medical Supplies,1253.38,488.82,,,0
CDM,SUP213791,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP213792,Noncdm Charge Record Medical Supplies,1590.8,620.41,,,0
CDM,SUP213796,Noncdm Charge Record Medical Supplies,2257.34,880.36,,,0
CDM,SUP213813,Noncdm Charge Record Medical Supplies,1476.94,576.01,,,0
CDM,SUP213821,Noncdm Charge Record Medical Supplies,4299.39,1676.76,,,0
CDM,SUP213823,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP213847,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP213854,Noncdm Charge Record Medical Supplies,1042.24,406.47,,,0
CDM,SUP213858,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP213862,Noncdm Charge Record Medical Supplies,2932.16,1143.54,,,0
CDM,SUP213868,Noncdm Charge Record Medical Supplies,36.22,14.13,,,0
CDM,SUP213870,Noncdm Charge Record Medical Supplies,168.7,65.79,,,0
CDM,SUP213881,Noncdm Charge Record Medical Supplies,25.88,10.09,,,0
CDM,SUP213882,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP213883,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP213884,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP213886,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP213887,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP213888,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP213890,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP213891,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP213892,Noncdm Charge Record Medical Supplies,254.61,99.3,,,0
CDM,SUP2139,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 55Mm Ss P-T Canc Ns,127.99,49.92,,,0
CDM,SUP213907,Noncdm Charge Record Medical Supplies,10403.3,4057.29,,,0
CDM,SUP213912,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP21393,Noncdm Charge Record Medical Supplies,3472.42,1354.24,,,0
CDM,SUP213940,Noncdm Charge Record Medical Supplies,328.1,127.96,,,0
CDM,SUP213941,Noncdm Charge Record Medical Supplies,2002.72,781.06,,,0
CDM,SUP213956,Noncdm Charge Record Medical Supplies,2105.19,821.02,,,0
CDM,SUP213957,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP213958,Noncdm Charge Record Medical Supplies,4409.1,1719.55,,,0
CDM,SUP213961,Noncdm Charge Record Medical Supplies,796.95,310.81,,,0
CDM,SUP213967,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP213975,Noncdm Charge Record Medical Supplies,509.22,198.6,,,0
CDM,SUP213976,Noncdm Charge Record Medical Supplies,3821.22,1490.28,,,0
CDM,SUP213981,Noncdm Charge Record Medical Supplies,509.22,198.6,,,0
CDM,SUP213982,Noncdm Charge Record Medical Supplies,5684.22,2216.85,,,0
CDM,SUP213983,Noncdm Charge Record Medical Supplies,1843.34,718.9,,,0
CDM,SUP213987,Noncdm Charge Record Medical Supplies,16754.58,6534.29,,,0
CDM,SUP214002,Noncdm Charge Record Medical Supplies,1713.96,668.44,,,0
CDM,SUP214003,Noncdm Charge Record Medical Supplies,159.39,62.16,,,0
CDM,SUP214004,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP214006,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP214007,Noncdm Charge Record Medical Supplies,822.82,320.9,,,0
CDM,SUP214021,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP214025,Noncdm Charge Record Medical Supplies,16754.58,6534.29,,,0
CDM,SUP214045,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP214057,Noncdm Charge Record Medical Supplies,12034.98,4693.64,,,0
CDM,SUP214076,Noncdm Charge Record Medical Supplies,16754.58,6534.29,,,0
CDM,SUP214085,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP214086,Noncdm Charge Record Medical Supplies,889.06,346.73,,,0
CDM,SUP214087,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP214089,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP214092,Noncdm Charge Record Medical Supplies,240.12,93.65,,,0
CDM,SUP214093,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP214094,Noncdm Charge Record Medical Supplies,240.12,93.65,,,0
CDM,SUP214095,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP214096,Noncdm Charge Record Medical Supplies,240.12,93.65,,,0
CDM,SUP214097,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP2141,Noncdm Charge Record Medical Supplies - Cannula Twstin 8.25Mm 7Cm Thrd Strl Trnlu Arthro,122.31,47.7,,,0
CDM,SUP214107,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP214108,Noncdm Charge Record Medical Supplies,2932.16,1143.54,,,0
CDM,SUP214111,Noncdm Charge Record Medical Supplies,371.05,144.71,,,0
CDM,SUP214116,Noncdm Charge Record Medical Supplies,9920.48,3868.99,,,0
CDM,SUP214120,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP214128,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP214151,Noncdm Charge Record Medical Supplies,4409.1,1719.55,,,0
CDM,SUP214153,Noncdm Charge Record Medical Supplies,1395.18,544.12,,,0
CDM,SUP214155,Noncdm Charge Record Medical Supplies,1958.22,763.71,,,0
CDM,SUP214159,Noncdm Charge Record Medical Supplies,205.96,80.32,,,0
CDM,SUP214162,Noncdm Charge Record Medical Supplies,89.01,34.71,,,0
CDM,SUP21417,Noncdm Charge Record Medical Supplies,36906.03,14393.35,,,0
CDM,SUP214193,Noncdm Charge Record Medical Supplies,1273.05,496.49,,,0
CDM,SUP2142,Noncdm Charge Record Medical Supplies - Wire Fx 1.6Mm150Mm Troc Pt Bt On Both Ss Krsh,222.78,86.88,,,0
CDM,SUP214210,Noncdm Charge Record Medical Supplies,4483.62,1748.61,,,0
CDM,SUP214211,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP214212,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP214220,Noncdm Charge Record Medical Supplies,31.11,12.13,,,0
CDM,SUP214221,Noncdm Charge Record Medical Supplies,385.02,150.16,,,0
CDM,SUP214222,Noncdm Charge Record Medical Supplies,392.78,153.18,,,0
CDM,SUP214223,Noncdm Charge Record Medical Supplies,3821.22,1490.28,,,0
CDM,SUP214224,Noncdm Charge Record Medical Supplies,541.51,211.19,,,0
CDM,SUP21423,Noncdm Charge Record Medical Supplies - Stent Sys 3.5X9Mm Wingpan,36906.03,14393.35,,,0
CDM,SUP214232,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP214233,Noncdm Charge Record Medical Supplies,1209.22,471.6,,,0
CDM,SUP214234,Noncdm Charge Record Medical Supplies,9651.38,3764.04,,,0
CDM,SUP214235,Noncdm Charge Record Medical Supplies,39691.21,15479.57,,,0
CDM,SUP214237,Noncdm Charge Record Medical Supplies,10692.58,4170.11,,,0
CDM,SUP214240,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP214242,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP214244,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP214245,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP214246,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP214248,Noncdm Charge Record Medical Supplies,704.84,274.89,,,0
CDM,SUP214249,Noncdm Charge Record Medical Supplies,274.27,106.97,,,0
CDM,SUP214250,Noncdm Charge Record Medical Supplies,274.27,106.97,,,0
CDM,SUP214261,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP214266,Noncdm Charge Record Medical Supplies,2231.46,870.27,,,0
CDM,SUP214267,Noncdm Charge Record Medical Supplies,605.99,236.34,,,0
CDM,SUP214272,Noncdm Charge Record Medical Supplies,1853.68,722.94,,,0
CDM,SUP214273,Noncdm Charge Record Medical Supplies,328.1,127.96,,,0
CDM,SUP214274,Noncdm Charge Record Medical Supplies,261.86,102.13,,,0
CDM,SUP214275,Noncdm Charge Record Medical Supplies,2231.46,870.27,,,0
CDM,SUP214315,Noncdm Charge Record Medical Supplies,5132.56,2001.7,,,0
CDM,SUP214323,Noncdm Charge Record Medical Supplies,6743.02,2629.78,,,0
CDM,SUP214325,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP214326,Noncdm Charge Record Medical Supplies,1101.24,429.48,,,0
CDM,SUP214327,Noncdm Charge Record Medical Supplies,1199.56,467.83,,,0
CDM,SUP21433,Noncdm Charge Record Medical Supplies - Guidewire Snchr2 200Cmsft Pshp,2361.87,921.13,,,0
CDM,SUP214338,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP21434,Noncdm Charge Record Medical Supplies - Guidewire Snchr2 200Cm Std,2361.87,921.13,,,0
CDM,SUP214342,Noncdm Charge Record Medical Supplies,637.56,248.65,,,0
CDM,SUP214344,Noncdm Charge Record Medical Supplies,8.8,3.43,,,0
CDM,SUP214346,Noncdm Charge Record Medical Supplies,1297.89,506.18,,,0
CDM,SUP21435,Noncdm Charge Record Medical Supplies,2785.18,1086.22,,,0
CDM,SUP21437,Noncdm Charge Record Medical Supplies - Guidewire Snchr2 300Cm Std,2939.4,1146.37,,,0
CDM,SUP214370,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP214371,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP214372,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP21438,Noncdm Charge Record Medical Supplies,2932.16,1143.54,,,0
CDM,SUP214384,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP214402,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP214403,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP214411,Noncdm Charge Record Medical Supplies,100.4,39.16,,,0
CDM,SUP214414,Noncdm Charge Record Medical Supplies,1651.86,644.23,,,0
CDM,SUP214420,Noncdm Charge Record Medical Supplies,27.94,10.9,,,0
CDM,SUP214423,Noncdm Charge Record Medical Supplies,153.87,60.01,,,0
CDM,SUP214425,Noncdm Charge Record Medical Supplies,328.1,127.96,,,0
CDM,SUP214435,Noncdm Charge Record Medical Supplies,26.91,10.49,,,0
CDM,SUP214445,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP214448,Noncdm Charge Record Medical Supplies,649.98,253.49,,,0
CDM,SUP21445,Noncdm Charge Record Medical Supplies - Guidewire -10 200Cm 55Cm Snchr,2353.22,917.76,,,0
CDM,SUP214462,Noncdm Charge Record Medical Supplies,27.94,10.9,,,0
CDM,SUP214481,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP214484,Noncdm Charge Record Medical Supplies,2932.16,1143.54,,,0
CDM,SUP21449,Noncdm Charge Record Medical Supplies - Guidewire .014In E 205Cm Flpy Trnsd Flpy,2262.54,882.39,,,0
CDM,SUP214492,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP214493,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP214494,Noncdm Charge Record Medical Supplies,1370.34,534.43,,,0
CDM,SUP21450,Noncdm Charge Record Medical Supplies - Guidewire .014In E 205Cm Trnsd Plat,2262.58,882.41,,,0
CDM,SUP21452,Noncdm Charge Record Medical Supplies - Guidewire Flpy 300Cm Trnsd,2377.4,927.19,,,0
CDM,SUP214521,Noncdm Charge Record Medical Supplies,451.26,175.99,,,0
CDM,SUP214523,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP214524,Noncdm Charge Record Medical Supplies,5952.28,2321.39,,,0
CDM,SUP21453,Noncdm Charge Record Medical Supplies - Catheter Micro 150Cm 6Cm Sl10 2 Tip Marker Pshp,3879.18,1512.88,,,0
CDM,SUP214530,Noncdm Charge Record Medical Supplies,16754.58,6534.29,,,0
CDM,SUP214535,Noncdm Charge Record Medical Supplies,7047.32,2748.45,,,0
CDM,SUP214537,Noncdm Charge Record Medical Supplies,1097.1,427.87,,,0
CDM,SUP214539,Noncdm Charge Record Medical Supplies,2026.53,790.35,,,0
CDM,SUP21454,Noncdm Charge Record Medical Supplies - Catheter Micr 90150Cm 6Cm Strt Sl-10 2 Tip Marker Pshp,3879.18,1512.88,,,0
CDM,SUP214540,Noncdm Charge Record Medical Supplies,1439.68,561.48,,,0
CDM,SUP214542,Noncdm Charge Record Medical Supplies,7715.92,3009.21,,,0
CDM,SUP21455,Noncdm Charge Record Medical Supplies - Catheter Micr J 150Cm 6Cm Sl10 2 Tip Marker Pshp,3879.18,1512.88,,,0
CDM,SUP21456,Noncdm Charge Record Medical Supplies - Catheter Micr C 150Cm 6Cm Sl10 2 Tip Marker Pshp,3879.18,1512.88,,,0
CDM,SUP214573,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP214575,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP214576,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP214577,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP214578,Noncdm Charge Record Medical Supplies,2330.82,909.02,,,0
CDM,SUP21458,Noncdm Charge Record Medical Supplies - Catheter Micro 150Cm 6Cm Strt,3685.98,1437.53,,,0
CDM,SUP214580,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP214586,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP214587,Noncdm Charge Record Medical Supplies,715.18,278.92,,,0
CDM,SUP214588,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP214589,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP214590,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP214591,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP214599,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP2146,Noncdm Charge Record Medical Supplies - Kit Arthro Fx Pushlock 2.9Mm,856.98,334.22,,,0
CDM,SUP214601,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP214602,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP214604,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP214607,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP214609,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP214611,Noncdm Charge Record Medical Supplies,822.82,320.9,,,0
CDM,SUP214623,Noncdm Charge Record Medical Supplies,1077.44,420.2,,,0
CDM,SUP214624,Noncdm Charge Record Medical Supplies,7715.92,3009.21,,,0
CDM,SUP214627,Noncdm Charge Record Medical Supplies,1816.42,708.4,,,0
CDM,SUP21463,Noncdm Charge Record Medical Supplies - Catheter Micro 150Cm 6Cm 1 Tip Strt Marker T-27,4259.02,1661.02,,,0
CDM,SUP214631,Noncdm Charge Record Medical Supplies,304.89,118.91,,,0
CDM,SUP214639,Noncdm Charge Record Medical Supplies,596.85,232.77,,,0
CDM,SUP214650,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP214651,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP214656,Noncdm Charge Record Medical Supplies,408.82,159.44,,,0
CDM,SUP214661,Noncdm Charge Record Medical Supplies,528.88,206.26,,,0
CDM,SUP214662,Noncdm Charge Record Medical Supplies,2746.89,1071.29,,,0
CDM,SUP214670,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP214674,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP214677,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP214684,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP214689,Noncdm Charge Record Medical Supplies,2231.46,870.27,,,0
CDM,SUP214695,Noncdm Charge Record Medical Supplies,692.42,270.04,,,0
CDM,SUP214696,Noncdm Charge Record Medical Supplies,1674.63,653.11,,,0
CDM,SUP214708,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP214709,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP214722,Noncdm Charge Record Medical Supplies,46.58,18.17,,,0
CDM,SUP214728,Noncdm Charge Record Medical Supplies,1463.49,570.76,,,0
CDM,SUP214729,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP214734,Noncdm Charge Record Medical Supplies,14.49,5.65,,,0
CDM,SUP214735,Noncdm Charge Record Medical Supplies,139.72,54.49,,,0
CDM,SUP21474,Noncdm Charge Record Medical Supplies - System Transform 3Mm 10Mm Compliant,7176.76,2798.94,,,0
CDM,SUP214743,Noncdm Charge Record Medical Supplies,6.21,2.42,,,0
CDM,SUP214744,Noncdm Charge Record Medical Supplies,8.28,3.23,,,0
CDM,SUP214746,Noncdm Charge Record Medical Supplies,80.73,31.48,,,0
CDM,SUP214750,Noncdm Charge Record Medical Supplies,7.24,2.82,,,0
CDM,SUP214754,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP214757,Noncdm Charge Record Medical Supplies,611.68,238.56,,,0
CDM,SUP214763,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP214767,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP214769,Noncdm Charge Record Medical Supplies,480.24,187.29,,,0
CDM,SUP21477,Noncdm Charge Record Medical Supplies - System Transform 4Mm 15Mm,7176.69,2798.91,,,0
CDM,SUP214770,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP214776,Noncdm Charge Record Medical Supplies,328.1,127.96,,,0
CDM,SUP214784_A4649_272,Noncdm Charge Record Medical Supplies,1199.56,467.83,,,0
CDM,SUP214787,Noncdm Charge Record Medical Supplies,1532.84,597.81,,,0
CDM,SUP214790,Noncdm Charge Record Medical Supplies,78.14,30.47,,,0
CDM,SUP214799,Noncdm Charge Record Medical Supplies,856.98,334.22,,,0
CDM,SUP2147_272,Noncdm Charge Record Medical Supplies - Needle Scorpion Multifire Arthrex,832.14,324.53,,,0
CDM,SUP2147_A4649_272,Noncdm Charge Record Medical Supplies - Needle Scorpion Multifire Arthrex,832.14,324.53,,,0
CDM,SUP214805,Noncdm Charge Record Medical Supplies,2.41,0.94,,,0
CDM,SUP214806,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP214807,Noncdm Charge Record Medical Supplies,8156.84,3181.17,,,0
CDM,SUP214808,Noncdm Charge Record Medical Supplies,328.1,127.96,,,0
CDM,SUP214809,Noncdm Charge Record Medical Supplies,46.58,18.17,,,0
CDM,SUP21481,Noncdm Charge Record Medical Supplies - System Transform 5Mm 15Mm,6871.88,2680.03,,,0
CDM,SUP214810,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP214811,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP214812,Noncdm Charge Record Medical Supplies,622.04,242.6,,,0
CDM,SUP214813,Noncdm Charge Record Medical Supplies,622.04,242.6,,,0
CDM,SUP214814,Noncdm Charge Record Medical Supplies,641.7,250.26,,,0
CDM,SUP214819,Noncdm Charge Record Medical Supplies,4610.92,1798.26,,,0
CDM,SUP214820,Noncdm Charge Record Medical Supplies,2065.86,805.69,,,0
CDM,SUP214821,Noncdm Charge Record Medical Supplies,2065.86,805.69,,,0
CDM,SUP214834,Noncdm Charge Record Medical Supplies,33.64,13.12,,,0
CDM,SUP214835,Noncdm Charge Record Medical Supplies,1850.58,721.73,,,0
CDM,SUP214836,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP214838,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP214839,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP21484,Noncdm Charge Record Medical Supplies - System Transform 3Mm 5Mm Super Compliant,7045.98,2747.93,,,0
CDM,SUP214840,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP214841,Noncdm Charge Record Medical Supplies,186.3,72.66,,,0
CDM,SUP214843,Noncdm Charge Record Medical Supplies,2425.0,945.75,,,0
CDM,SUP214844,Noncdm Charge Record Medical Supplies,2203.52,859.37,,,0
CDM,SUP214845,Noncdm Charge Record Medical Supplies,661.36,257.93,,,0
CDM,SUP214846,Noncdm Charge Record Medical Supplies,480.24,187.29,,,0
CDM,SUP21485,Noncdm Charge Record Medical Supplies - System Transform 4 10Mm Super Compliant,6947.96,2709.7,,,0
CDM,SUP214851,Noncdm Charge Record Medical Supplies,171.81,67.01,,,0
CDM,SUP21486,Noncdm Charge Record Medical Supplies - System Transform 4Mm 7Mm Super Compliant,7176.69,2798.91,,,0
CDM,SUP214860,Noncdm Charge Record Medical Supplies,2386.71,930.82,,,0
CDM,SUP21487,Noncdm Charge Record Medical Supplies,6261.75,2442.08,,,0
CDM,SUP214872,Noncdm Charge Record Medical Supplies,24.32,9.48,,,0
CDM,SUP21489,Noncdm Charge Record Medical Supplies - System Transform 7Mm 7Mm Super Compliant,7176.69,2798.91,,,0
CDM,SUP214890,Noncdm Charge Record Medical Supplies,1483.16,578.43,,,0
CDM,SUP214891,Noncdm Charge Record Medical Supplies,1375.62,536.49,,,0
CDM,SUP214892,Noncdm Charge Record Medical Supplies,1958.22,763.71,,,0
CDM,SUP2149,Noncdm Charge Record Medical Supplies - Screw Bioabs 23Mm 7Mm Bcmps Tenodesis Tendon,1853.68,722.94,,,0
CDM,SUP214903,Noncdm Charge Record Medical Supplies,15211.4,5932.45,,,0
CDM,SUP214918,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP214919,Noncdm Charge Record Medical Supplies,5952.28,2321.39,,,0
CDM,SUP214922,Noncdm Charge Record Medical Supplies,8.62,3.36,,,0
CDM,SUP214926,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP214927,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP214929,Noncdm Charge Record Medical Supplies,5290.92,2063.46,,,0
CDM,SUP214930,Noncdm Charge Record Medical Supplies,8.28,3.23,,,0
CDM,SUP214931,Noncdm Charge Record Medical Supplies,159.39,62.16,,,0
CDM,SUP214932,Noncdm Charge Record Medical Supplies,371.56,144.91,,,0
CDM,SUP214935,Noncdm Charge Record Medical Supplies,688.79,268.63,,,0
CDM,SUP214936,Noncdm Charge Record Medical Supplies,710.01,276.9,,,0
CDM,SUP214941,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP214944,Noncdm Charge Record Medical Supplies,1713.96,668.44,,,0
CDM,SUP214956,Noncdm Charge Record Medical Supplies,240.12,93.65,,,0
CDM,SUP214958,Noncdm Charge Record Medical Supplies,331.2,129.17,,,0
CDM,SUP214960,Noncdm Charge Record Medical Supplies,416.07,162.27,,,0
CDM,SUP214961,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP214965,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP214974,Noncdm Charge Record Medical Supplies,48500.1,18915.04,,,0
CDM,SUP214975,Noncdm Charge Record Medical Supplies,8.28,3.23,,,0
CDM,SUP214977,Noncdm Charge Record Medical Supplies,18.63,7.27,,,0
CDM,SUP214978,Noncdm Charge Record Medical Supplies,19.66,7.67,,,0
CDM,SUP214984,Noncdm Charge Record Medical Supplies,154.22,60.15,,,0
CDM,SUP214986,Noncdm Charge Record Medical Supplies,923.22,360.06,,,0
CDM,SUP214987,Noncdm Charge Record Medical Supplies,923.22,360.06,,,0
CDM,SUP215,Noncdm Charge Record Medical Supplies - Sponge Sft Dry Ilz Dressing Strl Lf Disp Wht,14.49,5.65,,,0
CDM,SUP215008,Noncdm Charge Record Medical Supplies,137.14,53.48,,,0
CDM,SUP215022,Noncdm Charge Record Medical Supplies,710.01,276.9,,,0
CDM,SUP215025,Noncdm Charge Record Medical Supplies,923.22,360.06,,,0
CDM,SUP21504,Noncdm Charge Record Medical Supplies - Catheter Dist .038In 125Cm Access Dac,4103.77,1600.47,,,0
CDM,SUP215044,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP215045,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP215053,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP215054,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP215055,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP21506,Noncdm Charge Record Medical Supplies - Catheter Dist .044In 115Cm Access Dac,4586.08,1788.57,,,0
CDM,SUP215063,Noncdm Charge Record Medical Supplies,1654.96,645.43,,,0
CDM,SUP215066,Noncdm Charge Record Medical Supplies,28.46,11.1,,,0
CDM,SUP215078,Noncdm Charge Record Medical Supplies,33.64,13.12,,,0
CDM,SUP215086,Noncdm Charge Record Medical Supplies,635.49,247.84,,,0
CDM,SUP215098,Noncdm Charge Record Medical Supplies,1219.23,475.5,,,0
CDM,SUP215099,Noncdm Charge Record Medical Supplies,309.98,120.89,,,0
CDM,SUP2150_272,Noncdm Charge Record Medical Supplies - Valve Bx Brnchl Ventri Bscp,24.67,9.62,,,0
CDM,SUP2150_A4649_272,Noncdm Charge Record Medical Supplies - Valve Bx Brnchl Ventri Bscp,24.69,9.63,,,0
CDM,SUP2150_A9999_272,Noncdm Charge Record Medical Supplies - Valve Bx Brnchl Ventri Bscp,25.01,9.75,,,0
CDM,SUP2151,Noncdm Charge Record Medical Supplies - Anchor Fixation Disposable For Ankle Fracture System Bb-Tak,245.0,95.55,,,0
CDM,SUP215101,Noncdm Charge Record Medical Supplies,310.24,120.99,,,0
CDM,SUP215102,Noncdm Charge Record Medical Supplies,310.5,121.1,,,0
CDM,SUP215104,Noncdm Charge Record Medical Supplies,248.14,96.77,,,0
CDM,SUP215105,Noncdm Charge Record Medical Supplies,309.98,120.89,,,0
CDM,SUP215124,Noncdm Charge Record Medical Supplies,469.89,183.26,,,0
CDM,SUP215125,Noncdm Charge Record Medical Supplies,107.64,41.98,,,0
CDM,SUP215135,Noncdm Charge Record Medical Supplies,469.89,183.26,,,0
CDM,SUP215136,Noncdm Charge Record Medical Supplies,469.89,183.26,,,0
CDM,SUP215137,Noncdm Charge Record Medical Supplies,333.27,129.98,,,0
CDM,SUP215150,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP215151,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP215153,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP215168,Noncdm Charge Record Medical Supplies,2411.55,940.5,,,0
CDM,SUP21517,Noncdm Charge Record Medical Supplies - Guidewire Orth 6In .062 Dbl,146.97,57.32,,,0
CDM,SUP215172,Noncdm Charge Record Medical Supplies,1606.32,626.46,,,0
CDM,SUP215173,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP21518,Noncdm Charge Record Medical Supplies - Guidewire Orth 6In .045 Dbl,146.97,57.32,,,0
CDM,SUP215183,Noncdm Charge Record Medical Supplies,1713.96,668.44,,,0
CDM,SUP215184,Noncdm Charge Record Medical Supplies,159.39,62.16,,,0
CDM,SUP215189,Noncdm Charge Record Medical Supplies,4483.62,1748.61,,,0
CDM,SUP215190,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP215191,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP215194,Noncdm Charge Record Medical Supplies,1008.09,393.16,,,0
CDM,SUP215198,Noncdm Charge Record Medical Supplies,166.64,64.99,,,0
CDM,SUP215199,Noncdm Charge Record Medical Supplies,166.64,64.99,,,0
CDM,SUP215201,Noncdm Charge Record Medical Supplies,2051.37,800.03,,,0
CDM,SUP215202,Noncdm Charge Record Medical Supplies,2051.37,800.03,,,0
CDM,SUP215207,Noncdm Charge Record Medical Supplies,4409.1,1719.55,,,0
CDM,SUP215209,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP215232,Noncdm Charge Record Medical Supplies,8156.84,3181.17,,,0
CDM,SUP215237,Noncdm Charge Record Medical Supplies,4409.1,1719.55,,,0
CDM,SUP215238,Noncdm Charge Record Medical Supplies,1395.18,544.12,,,0
CDM,SUP215239,Noncdm Charge Record Medical Supplies,1958.22,763.71,,,0
CDM,SUP215242,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP215253,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP215254,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP215255,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP215256,Noncdm Charge Record Medical Supplies,715.18,278.92,,,0
CDM,SUP215257,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP215258,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP215259,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP215260,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP215262,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP215265,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP215267,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP215269,Noncdm Charge Record Medical Supplies,665.5,259.54,,,0
CDM,SUP215271,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP215272,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP215273,Noncdm Charge Record Medical Supplies,96.77,37.74,,,0
CDM,SUP215294,Noncdm Charge Record Medical Supplies,855.43,333.62,,,0
CDM,SUP215298,Noncdm Charge Record Medical Supplies,635.49,247.84,,,0
CDM,SUP215299_272,Noncdm Charge Record Medical Supplies,183.21,71.45,,,0
CDM,SUP215299_A4649_272,Noncdm Charge Record Medical Supplies,183.2,71.45,,,0
CDM,SUP215300,Noncdm Charge Record Medical Supplies,7.24,2.82,,,0
CDM,SUP215310,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP215312,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP215314,Noncdm Charge Record Medical Supplies,3968.19,1547.59,,,0
CDM,SUP215315,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP215319,Noncdm Charge Record Medical Supplies,122.39,47.73,,,0
CDM,SUP215327,Noncdm Charge Record Medical Supplies,1101.24,429.48,,,0
CDM,SUP215328,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP215329,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP215331,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP215332,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP215333,Noncdm Charge Record Medical Supplies,704.84,274.89,,,0
CDM,SUP215334,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP215338,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP215345,Noncdm Charge Record Medical Supplies,2416.72,942.52,,,0
CDM,SUP215347,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP215355,Noncdm Charge Record Medical Supplies,94.18,36.73,,,0
CDM,SUP215359,Noncdm Charge Record Medical Supplies,1464.52,571.16,,,0
CDM,SUP215374,Noncdm Charge Record Medical Supplies,261.86,102.13,,,0
CDM,SUP215376,Noncdm Charge Record Medical Supplies,1854.72,723.34,,,0
CDM,SUP215377,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP215378,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP215379,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP215380,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP215381,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP215392,Noncdm Charge Record Medical Supplies,63.14,24.62,,,0
CDM,SUP215395,Noncdm Charge Record Medical Supplies,1199.56,467.83,,,0
CDM,SUP215398,Noncdm Charge Record Medical Supplies,8.8,3.43,,,0
CDM,SUP215409,Noncdm Charge Record Medical Supplies,165.6,64.58,,,0
CDM,SUP215413,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP215415,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP215421,Noncdm Charge Record Medical Supplies,156.28,60.95,,,0
CDM,SUP215424,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP215425,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP215426,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP215432,Noncdm Charge Record Medical Supplies,8.28,3.23,,,0
CDM,SUP215438,Noncdm Charge Record Medical Supplies,166.64,64.99,,,0
CDM,SUP215439,Noncdm Charge Record Medical Supplies,166.29,64.85,,,0
CDM,SUP215440,Noncdm Charge Record Medical Supplies,166.64,64.99,,,0
CDM,SUP215442,Noncdm Charge Record Medical Supplies,1380.69,538.47,,,0
CDM,SUP215443,Noncdm Charge Record Medical Supplies,1380.69,538.47,,,0
CDM,SUP215444,Noncdm Charge Record Medical Supplies,498.87,194.56,,,0
CDM,SUP215445,Noncdm Charge Record Medical Supplies,900.45,351.18,,,0
CDM,SUP215452,Noncdm Charge Record Medical Supplies,1933.38,754.02,,,0
CDM,SUP215453,Noncdm Charge Record Medical Supplies,18.63,7.27,,,0
CDM,SUP215469,Noncdm Charge Record Medical Supplies,5511.38,2149.44,,,0
CDM,SUP215472,Noncdm Charge Record Medical Supplies,371.56,144.91,,,0
CDM,SUP215473,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP215474,Noncdm Charge Record Medical Supplies,269.1,104.95,,,0
CDM,SUP215475,Noncdm Charge Record Medical Supplies,1395.18,544.12,,,0
CDM,SUP215477,Noncdm Charge Record Medical Supplies,1097.1,427.87,,,0
CDM,SUP215478,Noncdm Charge Record Medical Supplies,1097.1,427.87,,,0
CDM,SUP215479,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP215480,Noncdm Charge Record Medical Supplies,2453.98,957.05,,,0
CDM,SUP215481,Noncdm Charge Record Medical Supplies,2456.05,957.86,,,0
CDM,SUP215506,Noncdm Charge Record Medical Supplies,1484.19,578.83,,,0
CDM,SUP215508,Noncdm Charge Record Medical Supplies,1440.72,561.88,,,0
CDM,SUP215510,Noncdm Charge Record Medical Supplies,292.9,114.23,,,0
CDM,SUP215518,Noncdm Charge Record Medical Supplies,1464.52,571.16,,,0
CDM,SUP215526,Noncdm Charge Record Medical Supplies,1909.58,744.74,,,0
CDM,SUP215532,Noncdm Charge Record Medical Supplies,1297.89,506.18,,,0
CDM,SUP215533,Noncdm Charge Record Medical Supplies,704.84,274.89,,,0
CDM,SUP215535,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP215536,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP215538,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP215541,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP215543,Noncdm Charge Record Medical Supplies,715.18,278.92,,,0
CDM,SUP215544,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP215546,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP215548_C1889_272,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP215549,Noncdm Charge Record Medical Supplies,715.18,278.92,,,0
CDM,SUP215551,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP215555,Noncdm Charge Record Medical Supplies,210.62,82.14,,,0
CDM,SUP215557,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP215561,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP215590,Noncdm Charge Record Medical Supplies,97.81,38.15,,,0
CDM,SUP215594,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP215596,Noncdm Charge Record Medical Supplies,612.03,238.69,,,0
CDM,SUP215597,Noncdm Charge Record Medical Supplies,612.03,238.69,,,0
CDM,SUP215618,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP215620,Noncdm Charge Record Medical Supplies,18518.22,7222.11,,,0
CDM,SUP215621,Noncdm Charge Record Medical Supplies,2932.16,1143.54,,,0
CDM,SUP215623,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP215629,Noncdm Charge Record Medical Supplies,1958.22,763.71,,,0
CDM,SUP215630,Noncdm Charge Record Medical Supplies,480.24,187.29,,,0
CDM,SUP215631,Noncdm Charge Record Medical Supplies,1998.58,779.45,,,0
CDM,SUP215632,Noncdm Charge Record Medical Supplies,21212.32,8272.8,,,0
CDM,SUP215635,Noncdm Charge Record Medical Supplies,4409.1,1719.55,,,0
CDM,SUP215649,Noncdm Charge Record Medical Supplies,12565.94,4900.72,,,0
CDM,SUP215681,Noncdm Charge Record Medical Supplies,127.3,49.65,,,0
CDM,SUP215684,Noncdm Charge Record Medical Supplies,274.27,106.97,,,0
CDM,SUP215685,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP215697,Noncdm Charge Record Medical Supplies,1459.35,569.15,,,0
CDM,SUP215698,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP215699,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP215708,Noncdm Charge Record Medical Supplies,2231.46,870.27,,,0
CDM,SUP215711,Noncdm Charge Record Medical Supplies,10403.3,4057.29,,,0
CDM,SUP215729,Noncdm Charge Record Medical Supplies,333.27,129.98,,,0
CDM,SUP215734,Noncdm Charge Record Medical Supplies,107.64,41.98,,,0
CDM,SUP215735,Noncdm Charge Record Medical Supplies,1968.57,767.74,,,0
CDM,SUP215736,Noncdm Charge Record Medical Supplies,146.97,57.32,,,0
CDM,SUP215737,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP215738,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP215739,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP215740,Noncdm Charge Record Medical Supplies,458.5,178.82,,,0
CDM,SUP215743,Noncdm Charge Record Medical Supplies,469.89,183.26,,,0
CDM,SUP215747,Noncdm Charge Record Medical Supplies,1199.56,467.83,,,0
CDM,SUP21575,Noncdm Charge Record Medical Supplies - Screw 14Mm 4Mm Cannula Hdls Bn,1880.25,733.3,,,0
CDM,SUP215750,Noncdm Charge Record Medical Supplies,4483.62,1748.61,,,0
CDM,SUP215758,Noncdm Charge Record Medical Supplies,3655.62,1425.69,,,0
CDM,SUP215760,Noncdm Charge Record Medical Supplies,469.89,183.26,,,0
CDM,SUP215761,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP215763,Noncdm Charge Record Medical Supplies,929.95,362.68,,,0
CDM,SUP215764,Noncdm Charge Record Medical Supplies,1370.34,534.43,,,0
CDM,SUP215771,Noncdm Charge Record Medical Supplies,3679.42,1434.97,,,0
CDM,SUP215772,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP215775,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP215779,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP215780,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP215793,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP215794_C1713_272,Noncdm Charge Record Medical Supplies,1728.1,673.96,,,0
CDM,SUP215806,Noncdm Charge Record Medical Supplies,1001.88,390.73,,,0
CDM,SUP215807,Noncdm Charge Record Medical Supplies,43.47,16.95,,,0
CDM,SUP215808,Noncdm Charge Record Medical Supplies,84.53,32.97,,,0
CDM,SUP215821,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP215822,Noncdm Charge Record Medical Supplies,507.15,197.79,,,0
CDM,SUP215824,Noncdm Charge Record Medical Supplies,288.76,112.62,,,0
CDM,SUP215833,Noncdm Charge Record Medical Supplies,18.28,7.13,,,0
CDM,SUP215834,Noncdm Charge Record Medical Supplies,19.66,7.67,,,0
CDM,SUP215837,Noncdm Charge Record Medical Supplies,19.66,7.67,,,0
CDM,SUP215851,Noncdm Charge Record Medical Supplies,220.46,85.98,,,0
CDM,SUP215852,Noncdm Charge Record Medical Supplies,220.46,85.98,,,0
CDM,SUP215883,Noncdm Charge Record Medical Supplies,19.66,7.67,,,0
CDM,SUP215901,Noncdm Charge Record Medical Supplies,225.63,88.0,,,0
CDM,SUP215915,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP215918,Noncdm Charge Record Medical Supplies,225.63,88.0,,,0
CDM,SUP215920,Noncdm Charge Record Medical Supplies,1253.38,488.82,,,0
CDM,SUP215928,Noncdm Charge Record Medical Supplies,889.06,346.73,,,0
CDM,SUP215934,Noncdm Charge Record Medical Supplies,9.83,3.83,,,0
CDM,SUP215965,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP215967,Noncdm Charge Record Medical Supplies,440.39,171.75,,,0
CDM,SUP215969,Noncdm Charge Record Medical Supplies,1174.72,458.14,,,0
CDM,SUP215972,Noncdm Charge Record Medical Supplies,2249.05,877.13,,,0
CDM,SUP215977,Noncdm Charge Record Medical Supplies,25.02,9.76,,,0
CDM,SUP2160,Noncdm Charge Record Medical Supplies - Rod 500Mm 11Mm Carb Fib Ext Fix Ns,939.65,366.46,,,0
CDM,SUP216017,Noncdm Charge Record Medical Supplies,17.08,6.66,,,0
CDM,SUP216070,Noncdm Charge Record Medical Supplies,73.48,28.66,,,0
CDM,SUP216071,Noncdm Charge Record Medical Supplies,102.46,39.96,,,0
CDM,SUP216073,Noncdm Charge Record Medical Supplies,1.38,0.54,,,0
CDM,SUP216087,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP216088,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP216089,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP216090,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP216091,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP2161,Noncdm Charge Record Medical Supplies - Rod 550Mm 11Mm Carb Fib Ext,1495.4,583.21,,,0
CDM,SUP216101,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP216106,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP216110,Noncdm Charge Record Medical Supplies,12034.46,4693.44,,,0
CDM,SUP216113,Noncdm Charge Record Medical Supplies,1713.96,668.44,,,0
CDM,SUP216136,Noncdm Charge Record Medical Supplies,41.4,16.15,,,0
CDM,SUP216144,Noncdm Charge Record Medical Supplies,661.36,257.93,,,0
CDM,SUP216145,Noncdm Charge Record Medical Supplies,261.86,102.13,,,0
CDM,SUP216146,Noncdm Charge Record Medical Supplies,2022.39,788.73,,,0
CDM,SUP216160,Noncdm Charge Record Medical Supplies,1199.56,467.83,,,0
CDM,SUP216161,Noncdm Charge Record Medical Supplies,225.63,88.0,,,0
CDM,SUP216163,Noncdm Charge Record Medical Supplies,225.11,87.79,,,0
CDM,SUP216164,Noncdm Charge Record Medical Supplies,469.89,183.26,,,0
CDM,SUP216171,Noncdm Charge Record Medical Supplies,225.63,88.0,,,0
CDM,SUP216173,Noncdm Charge Record Medical Supplies,819.72,319.69,,,0
CDM,SUP216188,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP216189,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP216190,Noncdm Charge Record Medical Supplies,1370.34,534.43,,,0
CDM,SUP216199,Noncdm Charge Record Medical Supplies,685.17,267.22,,,0
CDM,SUP2162,Noncdm Charge Record Medical Supplies - Screw Bn 6Mm 190Mm Schnz Ss Fem Spd Pt Ns Lg,438.84,171.15,,,0
CDM,SUP216200,Noncdm Charge Record Medical Supplies,1933.38,754.02,,,0
CDM,SUP216203,Noncdm Charge Record Medical Supplies,978.08,381.45,,,0
CDM,SUP216206,Noncdm Charge Record Medical Supplies,611.68,238.56,,,0
CDM,SUP216209,Noncdm Charge Record Medical Supplies,261.86,102.13,,,0
CDM,SUP216210,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP216211,Noncdm Charge Record Medical Supplies,1854.72,723.34,,,0
CDM,SUP216215,Noncdm Charge Record Medical Supplies,6172.74,2407.37,,,0
CDM,SUP216254,Noncdm Charge Record Medical Supplies,336.38,131.19,,,0
CDM,SUP216259,Noncdm Charge Record Medical Supplies,8.28,3.23,,,0
CDM,SUP216266,Noncdm Charge Record Medical Supplies,440.91,171.95,,,0
CDM,SUP216283,Noncdm Charge Record Medical Supplies,889.06,346.73,,,0
CDM,SUP216284,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP216285,Noncdm Charge Record Medical Supplies,210.1,81.94,,,0
CDM,SUP216286,Noncdm Charge Record Medical Supplies,552.69,215.55,,,0
CDM,SUP216287,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP216288,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP216291,Noncdm Charge Record Medical Supplies,371.56,144.91,,,0
CDM,SUP216292,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP216294,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP216295,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP216296,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP216297,Noncdm Charge Record Medical Supplies,715.18,278.92,,,0
CDM,SUP216298,Noncdm Charge Record Medical Supplies,704.84,274.89,,,0
CDM,SUP216299,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP216300,Noncdm Charge Record Medical Supplies,7495.47,2923.23,,,0
CDM,SUP216302,Noncdm Charge Record Medical Supplies,1825.74,712.04,,,0
CDM,SUP216304,Noncdm Charge Record Medical Supplies,1206.81,470.66,,,0
CDM,SUP216305,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP216306,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP216311,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP216315,Noncdm Charge Record Medical Supplies,605.99,236.34,,,0
CDM,SUP216319,Noncdm Charge Record Medical Supplies,48.99,19.11,,,0
CDM,SUP216320,Noncdm Charge Record Medical Supplies,304.87,118.9,,,0
CDM,SUP216324,Noncdm Charge Record Medical Supplies,767.97,299.51,,,0
CDM,SUP216332,Noncdm Charge Record Medical Supplies,1517.31,591.75,,,0
CDM,SUP216333,Noncdm Charge Record Medical Supplies,596.68,232.71,,,0
CDM,SUP216334,Noncdm Charge Record Medical Supplies,1165.41,454.51,,,0
CDM,SUP216336,Noncdm Charge Record Medical Supplies,12565.94,4900.72,,,0
CDM,SUP216337,Noncdm Charge Record Medical Supplies,2386.71,930.82,,,0
CDM,SUP216340,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP216341,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP216342,Noncdm Charge Record Medical Supplies,2130.03,830.71,,,0
CDM,SUP216343,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP216345,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP216355,Noncdm Charge Record Medical Supplies,342.58,133.61,,,0
CDM,SUP216362,Noncdm Charge Record Medical Supplies,558.9,217.97,,,0
CDM,SUP216363,Noncdm Charge Record Medical Supplies,371.56,144.91,,,0
CDM,SUP216365,Noncdm Charge Record Medical Supplies,342.58,133.61,,,0
CDM,SUP216373,Noncdm Charge Record Medical Supplies,1487.3,580.05,,,0
CDM,SUP216374,Noncdm Charge Record Medical Supplies,598.23,233.31,,,0
CDM,SUP216375,Noncdm Charge Record Medical Supplies,1806.08,704.37,,,0
CDM,SUP216377,Noncdm Charge Record Medical Supplies,1929.24,752.4,,,0
CDM,SUP216379,Noncdm Charge Record Medical Supplies,225.11,87.79,,,0
CDM,SUP216383,Noncdm Charge Record Medical Supplies,1101.24,429.48,,,0
CDM,SUP216388,Noncdm Charge Record Medical Supplies,518.88,202.36,,,0
CDM,SUP216389,Noncdm Charge Record Medical Supplies,822.82,320.9,,,0
CDM,SUP216399,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP2164,Noncdm Charge Record Medical Supplies - See 18271 Pin Fx 6Mm Trnfx 225Mm Stein,683.1,266.41,,,0
CDM,SUP216403,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP216406,Noncdm Charge Record Medical Supplies,611.68,238.56,,,0
CDM,SUP216412,Noncdm Charge Record Medical Supplies,548.55,213.93,,,0
CDM,SUP216414,Noncdm Charge Record Medical Supplies,808.34,315.25,,,0
CDM,SUP216415,Noncdm Charge Record Medical Supplies,1933.38,754.02,,,0
CDM,SUP216419,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP216420,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP216421,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP216422,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP216423,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP216424,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP216425,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP216426,Noncdm Charge Record Medical Supplies,704.84,274.89,,,0
CDM,SUP216427,Noncdm Charge Record Medical Supplies,715.18,278.92,,,0
CDM,SUP216428,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP216433,Noncdm Charge Record Medical Supplies,2231.46,870.27,,,0
CDM,SUP216438,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP216440,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP216441,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP216442,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP216443,Noncdm Charge Record Medical Supplies,654.12,255.11,,,0
CDM,SUP216456,Noncdm Charge Record Medical Supplies,1918.89,748.37,,,0
CDM,SUP216470,Noncdm Charge Record Medical Supplies,1097.1,427.87,,,0
CDM,SUP216471,Noncdm Charge Record Medical Supplies,2026.53,790.35,,,0
CDM,SUP216472,Noncdm Charge Record Medical Supplies,2456.05,957.86,,,0
CDM,SUP216482,Noncdm Charge Record Medical Supplies,2826.58,1102.37,,,0
CDM,SUP216534,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP216536,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP216539,Noncdm Charge Record Medical Supplies,1454.18,567.13,,,0
CDM,SUP216540,Noncdm Charge Record Medical Supplies,1624.95,633.73,,,0
CDM,SUP216551,Noncdm Charge Record Medical Supplies,232.88,90.82,,,0
CDM,SUP216552,Noncdm Charge Record Medical Supplies,2792.43,1089.05,,,0
CDM,SUP216562,Noncdm Charge Record Medical Supplies,809.37,315.65,,,0
CDM,SUP216568,Noncdm Charge Record Medical Supplies,1837.81,716.75,,,0
CDM,SUP216569,Noncdm Charge Record Medical Supplies,2795.54,1090.26,,,0
CDM,SUP216570,Noncdm Charge Record Medical Supplies,3902.29,1521.89,,,0
CDM,SUP216571_272,Noncdm Charge Record Medical Supplies,165.6,64.58,,,0
CDM,SUP216571_A4649_272,Noncdm Charge Record Medical Supplies,165.6,64.58,,,0
CDM,SUP216595,Noncdm Charge Record Medical Supplies,122.13,47.63,,,0
CDM,SUP2166,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 16Mm Lc Dcp Dhs-Dcs Ss Cort St,153.18,59.74,,,0
CDM,SUP216604,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP216609,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP216610,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP216611,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP216612,Noncdm Charge Record Medical Supplies,244.78,95.46,,,0
CDM,SUP216613,Noncdm Charge Record Medical Supplies,244.78,95.46,,,0
CDM,SUP216615,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP216619,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP216717,Noncdm Charge Record Medical Supplies,9805.59,3824.18,,,0
CDM,SUP216720,Noncdm Charge Record Medical Supplies,8156.84,3181.17,,,0
CDM,SUP216728,Noncdm Charge Record Medical Supplies,930.46,362.88,,,0
CDM,SUP216730,Noncdm Charge Record Medical Supplies,4475.34,1745.38,,,0
CDM,SUP216731,Noncdm Charge Record Medical Supplies,930.46,362.88,,,0
CDM,SUP216732,Noncdm Charge Record Medical Supplies,685.17,267.22,,,0
CDM,SUP216733,Noncdm Charge Record Medical Supplies,622.04,242.6,,,0
CDM,SUP216734,Noncdm Charge Record Medical Supplies,622.04,242.6,,,0
CDM,SUP216735,Noncdm Charge Record Medical Supplies,166.64,64.99,,,0
CDM,SUP216736,Noncdm Charge Record Medical Supplies,166.38,64.89,,,0
CDM,SUP216737,Noncdm Charge Record Medical Supplies,1008.09,393.16,,,0
CDM,SUP216738,Noncdm Charge Record Medical Supplies,1077.44,420.2,,,0
CDM,SUP216748,Noncdm Charge Record Medical Supplies,2491.24,971.58,,,0
CDM,SUP216749,Noncdm Charge Record Medical Supplies,1713.96,668.44,,,0
CDM,SUP216762,Noncdm Charge Record Medical Supplies,225.63,88.0,,,0
CDM,SUP216771,Noncdm Charge Record Medical Supplies,159.39,62.16,,,0
CDM,SUP216772,Noncdm Charge Record Medical Supplies,244.78,95.46,,,0
CDM,SUP216773,Noncdm Charge Record Medical Supplies,107.64,41.98,,,0
CDM,SUP216775,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP216779,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP216783,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP216784,Noncdm Charge Record Medical Supplies,225.63,88.0,,,0
CDM,SUP216785,Noncdm Charge Record Medical Supplies,225.63,88.0,,,0
CDM,SUP216794,Noncdm Charge Record Medical Supplies,225.63,88.0,,,0
CDM,SUP216796,Noncdm Charge Record Medical Supplies,225.63,88.0,,,0
CDM,SUP216801,Noncdm Charge Record Medical Supplies,9805.59,3824.18,,,0
CDM,SUP216812,Noncdm Charge Record Medical Supplies,865.26,337.45,,,0
CDM,SUP216840,Noncdm Charge Record Medical Supplies,2.07,0.81,,,0
CDM,SUP216883,Noncdm Charge Record Medical Supplies,4409.1,1719.55,,,0
CDM,SUP216896,Noncdm Charge Record Medical Supplies,371.56,144.91,,,0
CDM,SUP2169,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 22Mm Lc Dcp Dhs-Dcs Ss Cort,153.18,59.74,,,0
CDM,SUP216904,Noncdm Charge Record Medical Supplies,8.62,3.36,,,0
CDM,SUP216920,Noncdm Charge Record Medical Supplies,1249.24,487.2,,,0
CDM,SUP216922,Noncdm Charge Record Medical Supplies,830.07,323.73,,,0
CDM,SUP216925,Noncdm Charge Record Medical Supplies,1440.72,561.88,,,0
CDM,SUP216926,Noncdm Charge Record Medical Supplies,5356.12,2088.89,,,0
CDM,SUP216936,Noncdm Charge Record Medical Supplies,94.18,36.73,,,0
CDM,SUP216940,Noncdm Charge Record Medical Supplies,18.63,7.27,,,0
CDM,SUP216941,Noncdm Charge Record Medical Supplies,19.66,7.67,,,0
CDM,SUP216942,Noncdm Charge Record Medical Supplies,865.26,337.45,,,0
CDM,SUP216951,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP216967,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP216968,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP216970,Noncdm Charge Record Medical Supplies,371.56,144.91,,,0
CDM,SUP216972,Noncdm Charge Record Medical Supplies,225.11,87.79,,,0
CDM,SUP216984,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP216985,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP216986,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP216988,Noncdm Charge Record Medical Supplies,3425.85,1336.08,,,0
CDM,SUP216992,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP216993,Noncdm Charge Record Medical Supplies,274.27,106.97,,,0
CDM,SUP2170,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 24Mm Lc Dcp Dhs-Dcs Ss Cort St,153.03,59.68,,,0
CDM,SUP21702,Noncdm Charge Record Medical Supplies,698.28,272.33,,,0
CDM,SUP217021,Noncdm Charge Record Medical Supplies,151.11,58.93,,,0
CDM,SUP217023,Noncdm Charge Record Medical Supplies,371.56,144.91,,,0
CDM,SUP217027,Noncdm Charge Record Medical Supplies,1101.24,429.48,,,0
CDM,SUP217031,Noncdm Charge Record Medical Supplies,5864.31,2287.08,,,0
CDM,SUP217037,Noncdm Charge Record Medical Supplies,1346.19,525.01,,,0
CDM,SUP217041,Noncdm Charge Record Medical Supplies,1287.54,502.14,,,0
CDM,SUP217047,Noncdm Charge Record Medical Supplies,304.94,118.93,,,0
CDM,SUP217061,Noncdm Charge Record Medical Supplies,274.27,106.97,,,0
CDM,SUP217062,Noncdm Charge Record Medical Supplies,993.6,387.5,,,0
CDM,SUP217063,Noncdm Charge Record Medical Supplies,8.62,3.36,,,0
CDM,SUP217068,Noncdm Charge Record Medical Supplies,308.43,120.29,,,0
CDM,SUP217071,Noncdm Charge Record Medical Supplies,308.43,120.29,,,0
CDM,SUP217076,Noncdm Charge Record Medical Supplies,133.51,52.07,,,0
CDM,SUP2171,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 26Mm Lc Dcp Dhs-Dcs Ss Cort St,151.04,58.91,,,0
CDM,SUP217103,Noncdm Charge Record Medical Supplies,127.3,49.65,,,0
CDM,SUP217104,Noncdm Charge Record Medical Supplies,274.27,106.97,,,0
CDM,SUP217105,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP217107,Noncdm Charge Record Medical Supplies,127.3,49.65,,,0
CDM,SUP217108,Noncdm Charge Record Medical Supplies,274.27,106.97,,,0
CDM,SUP217109,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP217113,Noncdm Charge Record Medical Supplies,127.3,49.65,,,0
CDM,SUP217115,Noncdm Charge Record Medical Supplies,274.27,106.97,,,0
CDM,SUP217116,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP217118,Noncdm Charge Record Medical Supplies,127.3,49.65,,,0
CDM,SUP217120,Noncdm Charge Record Medical Supplies,274.27,106.97,,,0
CDM,SUP217121,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP217123,Noncdm Charge Record Medical Supplies,287.73,112.21,,,0
CDM,SUP217126,Noncdm Charge Record Medical Supplies,636.52,248.24,,,0
CDM,SUP217135,Noncdm Charge Record Medical Supplies,2246.98,876.32,,,0
CDM,SUP217146,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP217162,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP217169,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP217175,Noncdm Charge Record Medical Supplies,538.2,209.9,,,0
CDM,SUP217179,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP217182,Noncdm Charge Record Medical Supplies,2792.43,1089.05,,,0
CDM,SUP217184,Noncdm Charge Record Medical Supplies,1947.87,759.67,,,0
CDM,SUP217185,Noncdm Charge Record Medical Supplies,1199.56,467.83,,,0
CDM,SUP217186,Noncdm Charge Record Medical Supplies,1635.3,637.77,,,0
CDM,SUP217190,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP217197,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP2172,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 56Mm Lc Dcp Dhs-Dcs Ss Cort,133.86,52.21,,,0
CDM,SUP217206,Noncdm Charge Record Medical Supplies,208.04,81.14,,,0
CDM,SUP217207,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP217208,Noncdm Charge Record Medical Supplies,460.06,179.42,,,0
CDM,SUP217209,Noncdm Charge Record Medical Supplies,2557.48,997.42,,,0
CDM,SUP217214,Noncdm Charge Record Medical Supplies,84.87,33.1,,,0
CDM,SUP217215,Noncdm Charge Record Medical Supplies,2370.15,924.36,,,0
CDM,SUP217218,Noncdm Charge Record Medical Supplies,440.91,171.95,,,0
CDM,SUP217222,Noncdm Charge Record Medical Supplies,651.02,253.9,,,0
CDM,SUP217223,Noncdm Charge Record Medical Supplies,406.24,158.43,,,0
CDM,SUP217230,Noncdm Charge Record Medical Supplies,405.72,158.23,,,0
CDM,SUP217231,Noncdm Charge Record Medical Supplies,1489.36,580.85,,,0
CDM,SUP217243,Noncdm Charge Record Medical Supplies,763.66,297.83,,,0
CDM,SUP217244,Noncdm Charge Record Medical Supplies,387.09,150.97,,,0
CDM,SUP217250,Noncdm Charge Record Medical Supplies,232.88,90.82,,,0
CDM,SUP217258,Noncdm Charge Record Medical Supplies,411.93,160.65,,,0
CDM,SUP217269,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP217272,Noncdm Charge Record Medical Supplies,2756.2,1074.92,,,0
CDM,SUP217273,Noncdm Charge Record Medical Supplies,2854.53,1113.27,,,0
CDM,SUP217288,Noncdm Charge Record Medical Supplies,963.58,375.8,,,0
CDM,SUP217292,Noncdm Charge Record Medical Supplies,220.46,85.98,,,0
CDM,SUP2173,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 58Mm Lc Dcp Dhs-Dcs Ss Cort St,133.86,52.21,,,0
CDM,SUP217309,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP217319,Noncdm Charge Record Medical Supplies,247.88,96.67,,,0
CDM,SUP217334,Noncdm Charge Record Medical Supplies,371.05,144.71,,,0
CDM,SUP217347,Noncdm Charge Record Medical Supplies,464.72,181.24,,,0
CDM,SUP217348,Noncdm Charge Record Medical Supplies,269.1,104.95,,,0
CDM,SUP217352,Noncdm Charge Record Medical Supplies,1061.91,414.14,,,0
CDM,SUP217370,Noncdm Charge Record Medical Supplies,244.78,95.46,,,0
CDM,SUP217371,Noncdm Charge Record Medical Supplies,244.78,95.46,,,0
CDM,SUP217426,Noncdm Charge Record Medical Supplies,115.92,45.21,,,0
CDM,SUP217435,Noncdm Charge Record Medical Supplies,455.4,177.61,,,0
CDM,SUP217452,Noncdm Charge Record Medical Supplies,220.46,85.98,,,0
CDM,SUP217454,Noncdm Charge Record Medical Supplies,440.91,171.95,,,0
CDM,SUP217460,Noncdm Charge Record Medical Supplies,1918.89,748.37,,,0
CDM,SUP217469,Noncdm Charge Record Medical Supplies,193.03,75.28,,,0
CDM,SUP217488,Noncdm Charge Record Medical Supplies,9030.38,3521.85,,,0
CDM,SUP217494,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP217495,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP217496,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP217497,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP2175,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 64Mm Lcp Ss Cort St Ns Lg Frag,153.18,59.74,,,0
CDM,SUP217503,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP217504,Noncdm Charge Record Medical Supplies,1249.24,487.2,,,0
CDM,SUP217514,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP217516,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP217517,Noncdm Charge Record Medical Supplies,220.46,85.98,,,0
CDM,SUP217518,Noncdm Charge Record Medical Supplies,440.91,171.95,,,0
CDM,SUP217522,Noncdm Charge Record Medical Supplies,244.78,95.46,,,0
CDM,SUP217523,Noncdm Charge Record Medical Supplies,244.78,95.46,,,0
CDM,SUP217524,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP217544,Noncdm Charge Record Medical Supplies,624.1,243.4,,,0
CDM,SUP217552,Noncdm Charge Record Medical Supplies,1169.55,456.12,,,0
CDM,SUP217563,Noncdm Charge Record Medical Supplies,738.99,288.21,,,0
CDM,SUP217564,Noncdm Charge Record Medical Supplies,743.13,289.82,,,0
CDM,SUP217565,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP217566,Noncdm Charge Record Medical Supplies,743.13,289.82,,,0
CDM,SUP217568,Noncdm Charge Record Medical Supplies,983.25,383.47,,,0
CDM,SUP217569,Noncdm Charge Record Medical Supplies,308.43,120.29,,,0
CDM,SUP217572,Noncdm Charge Record Medical Supplies,1873.35,730.61,,,0
CDM,SUP217573,Noncdm Charge Record Medical Supplies,1508.0,588.12,,,0
CDM,SUP217574,Noncdm Charge Record Medical Supplies,1873.35,730.61,,,0
CDM,SUP217578,Noncdm Charge Record Medical Supplies,2063.79,804.88,,,0
CDM,SUP217579,Noncdm Charge Record Medical Supplies,416.07,162.27,,,0
CDM,SUP217581,Noncdm Charge Record Medical Supplies,2901.1,1131.43,,,0
CDM,SUP217583,Noncdm Charge Record Medical Supplies,743.13,289.82,,,0
CDM,SUP217585,Noncdm Charge Record Medical Supplies,738.99,288.21,,,0
CDM,SUP217589,Noncdm Charge Record Medical Supplies,743.13,289.82,,,0
CDM,SUP217598,Noncdm Charge Record Medical Supplies,220.46,85.98,,,0
CDM,SUP217599,Noncdm Charge Record Medical Supplies,440.91,171.95,,,0
CDM,SUP2176,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 68Mm Lcp Ss Cort Pelvic St Ns,153.18,59.74,,,0
CDM,SUP217608,Noncdm Charge Record Medical Supplies,514.4,200.62,,,0
CDM,SUP217610,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP217612,Noncdm Charge Record Medical Supplies,514.4,200.62,,,0
CDM,SUP217619,Noncdm Charge Record Medical Supplies,18.63,7.27,,,0
CDM,SUP217622,Noncdm Charge Record Medical Supplies,1355.85,528.78,,,0
CDM,SUP217626,Noncdm Charge Record Medical Supplies,1199.56,467.83,,,0
CDM,SUP217633,Noncdm Charge Record Medical Supplies,2080.35,811.34,,,0
CDM,SUP217635,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP217640,Noncdm Charge Record Medical Supplies,2512.98,980.06,,,0
CDM,SUP217642,Noncdm Charge Record Medical Supplies,1884.74,735.05,,,0
CDM,SUP217643,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP217644,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP217645,Noncdm Charge Record Medical Supplies,64.17,25.03,,,0
CDM,SUP217647,Noncdm Charge Record Medical Supplies,73.48,28.66,,,0
CDM,SUP217648,Noncdm Charge Record Medical Supplies,45.54,17.76,,,0
CDM,SUP217651,Noncdm Charge Record Medical Supplies,20184.57,7871.98,,,0
CDM,SUP217653,Noncdm Charge Record Medical Supplies,19511.82,7609.61,,,0
CDM,SUP217655,Noncdm Charge Record Medical Supplies,73.48,28.66,,,0
CDM,SUP217656,Noncdm Charge Record Medical Supplies,45.54,17.76,,,0
CDM,SUP217657,Noncdm Charge Record Medical Supplies,64.17,25.03,,,0
CDM,SUP217658,Noncdm Charge Record Medical Supplies,1884.74,735.05,,,0
CDM,SUP217660,Noncdm Charge Record Medical Supplies,5132.56,2001.7,,,0
CDM,SUP217661,Noncdm Charge Record Medical Supplies,383.98,149.75,,,0
CDM,SUP217662,Noncdm Charge Record Medical Supplies,1590.8,620.41,,,0
CDM,SUP217664,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP217682,Noncdm Charge Record Medical Supplies,482.83,188.3,,,0
CDM,SUP217692,Noncdm Charge Record Medical Supplies,220.46,85.98,,,0
CDM,SUP217693,Noncdm Charge Record Medical Supplies,440.91,171.95,,,0
CDM,SUP217694,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP217696,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP217698,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP217699,Noncdm Charge Record Medical Supplies,2623.38,1023.12,,,0
CDM,SUP217713,Noncdm Charge Record Medical Supplies,33.12,12.92,,,0
CDM,SUP217730,Noncdm Charge Record Medical Supplies,2261.48,881.98,,,0
CDM,SUP217745,Noncdm Charge Record Medical Supplies,440.91,171.95,,,0
CDM,SUP217757,Noncdm Charge Record Medical Supplies,154.22,60.15,,,0
CDM,SUP217759,Noncdm Charge Record Medical Supplies,342.58,133.61,,,0
CDM,SUP217760,Noncdm Charge Record Medical Supplies,2557.48,997.42,,,0
CDM,SUP217764,Noncdm Charge Record Medical Supplies,610.65,238.15,,,0
CDM,SUP217775,Noncdm Charge Record Medical Supplies,49.16,19.17,,,0
CDM,SUP217800,Noncdm Charge Record Medical Supplies,41.92,16.35,,,0
CDM,SUP217809,Noncdm Charge Record Medical Supplies,1987.2,775.01,,,0
CDM,SUP217810,Noncdm Charge Record Medical Supplies,264.44,103.13,,,0
CDM,SUP217811,Noncdm Charge Record Medical Supplies,622.04,242.6,,,0
CDM,SUP217812,Noncdm Charge Record Medical Supplies,622.04,242.6,,,0
CDM,SUP217835,Noncdm Charge Record Medical Supplies,98.32,38.34,,,0
CDM,SUP217843,Noncdm Charge Record Medical Supplies,4895.55,1909.26,,,0
CDM,SUP217844,Noncdm Charge Record Medical Supplies,1249.24,487.2,,,0
CDM,SUP217850,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP217853,Noncdm Charge Record Medical Supplies,440.91,171.95,,,0
CDM,SUP217855,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP217856,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP217859,Noncdm Charge Record Medical Supplies,1532.84,597.81,,,0
CDM,SUP217864,Noncdm Charge Record Medical Supplies,136.62,53.28,,,0
CDM,SUP217872,Noncdm Charge Record Medical Supplies,340.52,132.8,,,0
CDM,SUP217902,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP217907,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP217909,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP217910,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP217911,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP217912,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP217913,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP217919,Noncdm Charge Record Medical Supplies,641.7,250.26,,,0
CDM,SUP217925,Noncdm Charge Record Medical Supplies,661.36,257.93,,,0
CDM,SUP217935,Noncdm Charge Record Medical Supplies,3726.0,1453.14,,,0
CDM,SUP217939,Noncdm Charge Record Medical Supplies,767.97,299.51,,,0
CDM,SUP217940,Noncdm Charge Record Medical Supplies,518.54,202.23,,,0
CDM,SUP217941,Noncdm Charge Record Medical Supplies,288.76,112.62,,,0
CDM,SUP217942,Noncdm Charge Record Medical Supplies,616.86,240.58,,,0
CDM,SUP217954,Noncdm Charge Record Medical Supplies,8156.84,3181.17,,,0
CDM,SUP217956,Noncdm Charge Record Medical Supplies,288.76,112.62,,,0
CDM,SUP217983,Noncdm Charge Record Medical Supplies,1454.18,567.13,,,0
CDM,SUP217993,Noncdm Charge Record Medical Supplies,371.56,144.91,,,0
CDM,SUP217998,Noncdm Charge Record Medical Supplies,304.87,118.9,,,0
CDM,SUP218005,Noncdm Charge Record Medical Supplies,1635.3,637.77,,,0
CDM,SUP218006,Noncdm Charge Record Medical Supplies,596.68,232.71,,,0
CDM,SUP218007,Noncdm Charge Record Medical Supplies,1546.29,603.05,,,0
CDM,SUP218008,Noncdm Charge Record Medical Supplies,2361.87,921.13,,,0
CDM,SUP218016,Noncdm Charge Record Medical Supplies,1101.24,429.48,,,0
CDM,SUP218018,Noncdm Charge Record Medical Supplies,1454.18,567.13,,,0
CDM,SUP218028,Noncdm Charge Record Medical Supplies,1008.09,393.16,,,0
CDM,SUP218031,Noncdm Charge Record Medical Supplies,151.11,58.93,,,0
CDM,SUP218038,Noncdm Charge Record Medical Supplies,3086.37,1203.68,,,0
CDM,SUP218040,Noncdm Charge Record Medical Supplies,636.52,248.24,,,0
CDM,SUP218049,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP218050,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP218051,Noncdm Charge Record Medical Supplies,408.82,159.44,,,0
CDM,SUP218052,Noncdm Charge Record Medical Supplies,648.95,253.09,,,0
CDM,SUP218056,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP218057,Noncdm Charge Record Medical Supplies,7.24,2.82,,,0
CDM,SUP218059,Noncdm Charge Record Medical Supplies,3086.37,1203.68,,,0
CDM,SUP218066,Noncdm Charge Record Medical Supplies,692.42,270.04,,,0
CDM,SUP218067,Noncdm Charge Record Medical Supplies,1900.26,741.1,,,0
CDM,SUP218068,Noncdm Charge Record Medical Supplies,1247.18,486.4,,,0
CDM,SUP218070,Noncdm Charge Record Medical Supplies,636.52,248.24,,,0
CDM,SUP218072,Noncdm Charge Record Medical Supplies,608.58,237.35,,,0
CDM,SUP218073,Noncdm Charge Record Medical Supplies,597.2,232.91,,,0
CDM,SUP218074,Noncdm Charge Record Medical Supplies,152.15,59.34,,,0
CDM,SUP218095,Noncdm Charge Record Medical Supplies,313.6,122.3,,,0
CDM,SUP218098,Noncdm Charge Record Medical Supplies,261.86,102.13,,,0
CDM,SUP218121,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP218124,Noncdm Charge Record Medical Supplies,1199.56,467.83,,,0
CDM,SUP218126,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP218128,Noncdm Charge Record Medical Supplies,440.91,171.95,,,0
CDM,SUP218129,Noncdm Charge Record Medical Supplies,1097.1,427.87,,,0
CDM,SUP218130,Noncdm Charge Record Medical Supplies,2026.53,790.35,,,0
CDM,SUP218131,Noncdm Charge Record Medical Supplies,1439.68,561.48,,,0
CDM,SUP218132,Noncdm Charge Record Medical Supplies,2456.05,957.86,,,0
CDM,SUP218139,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP218141,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP218142,Noncdm Charge Record Medical Supplies,244.78,95.46,,,0
CDM,SUP218143,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP218145,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP218146,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP218147,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP218148,Noncdm Charge Record Medical Supplies,464.72,181.24,,,0
CDM,SUP218159,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP218160,Noncdm Charge Record Medical Supplies,146.97,57.32,,,0
CDM,SUP218162,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP218169,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP218170,Noncdm Charge Record Medical Supplies,109.71,42.79,,,0
CDM,SUP218171,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP218172,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP218173,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP218174,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP218175,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP218176,Noncdm Charge Record Medical Supplies,1758.46,685.8,,,0
CDM,SUP218177,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP218178,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP218181,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP218184,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP218186,Noncdm Charge Record Medical Supplies,3086.37,1203.68,,,0
CDM,SUP218190,Noncdm Charge Record Medical Supplies,1101.24,429.48,,,0
CDM,SUP218227,Noncdm Charge Record Medical Supplies,19.66,7.67,,,0
CDM,SUP218228,Noncdm Charge Record Medical Supplies,19.66,7.67,,,0
CDM,SUP218239,Noncdm Charge Record Medical Supplies,1249.24,487.2,,,0
CDM,SUP218243,Noncdm Charge Record Medical Supplies,1848.51,720.92,,,0
CDM,SUP218273,Noncdm Charge Record Medical Supplies,842.49,328.57,,,0
CDM,SUP218302,Noncdm Charge Record Medical Supplies,8.28,3.23,,,0
CDM,SUP218305,Noncdm Charge Record Medical Supplies,982.22,383.07,,,0
CDM,SUP218306,Noncdm Charge Record Medical Supplies,8.54,3.33,,,0
CDM,SUP218307,Noncdm Charge Record Medical Supplies,19.66,7.67,,,0
CDM,SUP218320,Noncdm Charge Record Medical Supplies,1854.72,723.34,,,0
CDM,SUP218321,Noncdm Charge Record Medical Supplies,636.52,248.24,,,0
CDM,SUP218325,Noncdm Charge Record Medical Supplies,1848.51,720.92,,,0
CDM,SUP218326,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP218327,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP218333,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP218345,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP218346,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP218371,Noncdm Charge Record Medical Supplies,440.91,171.95,,,0
CDM,SUP218393,Noncdm Charge Record Medical Supplies,1272.02,496.09,,,0
CDM,SUP218396,Noncdm Charge Record Medical Supplies,1089.86,425.05,,,0
CDM,SUP218401,Noncdm Charge Record Medical Supplies,919.6,358.64,,,0
CDM,SUP218402,Noncdm Charge Record Medical Supplies,1379.66,538.07,,,0
CDM,SUP218403,Noncdm Charge Record Medical Supplies,1329.98,518.69,,,0
CDM,SUP218407,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP218412,Noncdm Charge Record Medical Supplies,1679.8,655.12,,,0
CDM,SUP218418,Noncdm Charge Record Medical Supplies,1077.44,420.2,,,0
CDM,SUP218419,Noncdm Charge Record Medical Supplies,2575.08,1004.28,,,0
CDM,SUP218421,Noncdm Charge Record Medical Supplies,4184.5,1631.96,,,0
CDM,SUP218435,Noncdm Charge Record Medical Supplies,3478.64,1356.67,,,0
CDM,SUP218437,Noncdm Charge Record Medical Supplies,504.04,196.58,,,0
CDM,SUP218443,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP218445,Noncdm Charge Record Medical Supplies,1958.22,763.71,,,0
CDM,SUP218450,Noncdm Charge Record Medical Supplies,4409.1,1719.55,,,0
CDM,SUP218452,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP218454,Noncdm Charge Record Medical Supplies,114.88,44.8,,,0
CDM,SUP218462,Noncdm Charge Record Medical Supplies,504.04,196.58,,,0
CDM,SUP218475,Noncdm Charge Record Medical Supplies,127.3,49.65,,,0
CDM,SUP218486,Noncdm Charge Record Medical Supplies,11441.92,4462.35,,,0
CDM,SUP218501,Noncdm Charge Record Medical Supplies,50.72,19.78,,,0
CDM,SUP218504,Noncdm Charge Record Medical Supplies,1747.6,681.56,,,0
CDM,SUP218507,Noncdm Charge Record Medical Supplies,13.97,5.45,,,0
CDM,SUP218508,Noncdm Charge Record Medical Supplies,97.81,38.15,,,0
CDM,SUP218521,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP218522,Noncdm Charge Record Medical Supplies,7495.47,2923.23,,,0
CDM,SUP218526,Noncdm Charge Record Medical Supplies,16754.58,6534.29,,,0
CDM,SUP218530,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP218534,Noncdm Charge Record Medical Supplies,1464.52,571.16,,,0
CDM,SUP218536,Noncdm Charge Record Medical Supplies,168.7,65.79,,,0
CDM,SUP218550,Noncdm Charge Record Medical Supplies,293.94,114.64,,,0
CDM,SUP218560,Noncdm Charge Record Medical Supplies,16754.58,6534.29,,,0
CDM,SUP218561,Noncdm Charge Record Medical Supplies,13.97,5.45,,,0
CDM,SUP218562,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP218577,Noncdm Charge Record Medical Supplies,2056.54,802.05,,,0
CDM,SUP218587,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP218588,Noncdm Charge Record Medical Supplies,1791.58,698.72,,,0
CDM,SUP218589,Noncdm Charge Record Medical Supplies,2315.3,902.97,,,0
CDM,SUP218590,Noncdm Charge Record Medical Supplies,1713.96,668.44,,,0
CDM,SUP218591,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP218602,Noncdm Charge Record Medical Supplies,80.73,31.48,,,0
CDM,SUP218603,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP218604,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP218612,Noncdm Charge Record Medical Supplies,3055.32,1191.57,,,0
CDM,SUP218613,Noncdm Charge Record Medical Supplies,1305.14,509.0,,,0
CDM,SUP218618,Noncdm Charge Record Medical Supplies,538.54,210.03,,,0
CDM,SUP218626,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP218627,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP218647,Noncdm Charge Record Medical Supplies,2231.46,870.27,,,0
CDM,SUP218659,Noncdm Charge Record Medical Supplies,623.07,243.0,,,0
CDM,SUP218660,Noncdm Charge Record Medical Supplies,1181.97,460.97,,,0
CDM,SUP218668,Noncdm Charge Record Medical Supplies,596.85,232.77,,,0
CDM,SUP218670,Noncdm Charge Record Medical Supplies,304.88,118.9,,,0
CDM,SUP218671,Noncdm Charge Record Medical Supplies,288.76,112.62,,,0
CDM,SUP218673,Noncdm Charge Record Medical Supplies,763.83,297.89,,,0
CDM,SUP2187,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 12Mm Lc Dcp Ss Cort St Ns Sm,170.78,66.6,,,0
CDM,SUP218700,Noncdm Charge Record Medical Supplies,292.9,114.23,,,0
CDM,SUP218701,Noncdm Charge Record Medical Supplies,219.42,85.57,,,0
CDM,SUP218704,Noncdm Charge Record Medical Supplies,5511.38,2149.44,,,0
CDM,SUP218716,Noncdm Charge Record Medical Supplies,5511.38,2149.44,,,0
CDM,SUP218719,Noncdm Charge Record Medical Supplies,4143.01,1615.77,,,0
CDM,SUP218720,Noncdm Charge Record Medical Supplies,12125.02,4728.76,,,0
CDM,SUP218722,Noncdm Charge Record Medical Supplies,12315.46,4803.03,,,0
CDM,SUP218726,Noncdm Charge Record Medical Supplies,4850.01,1891.5,,,0
CDM,SUP218729,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP218730,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP218731,Noncdm Charge Record Medical Supplies,100.4,39.16,,,0
CDM,SUP218743,Noncdm Charge Record Medical Supplies,576.5,224.84,,,0
CDM,SUP218744,Noncdm Charge Record Medical Supplies,339.48,132.4,,,0
CDM,SUP218747,Noncdm Charge Record Medical Supplies,304.94,118.93,,,0
CDM,SUP218748,Noncdm Charge Record Medical Supplies,11022.75,4298.87,,,0
CDM,SUP218749,Noncdm Charge Record Medical Supplies,205.96,80.32,,,0
CDM,SUP218756,Noncdm Charge Record Medical Supplies,18.63,7.27,,,0
CDM,SUP218757,Noncdm Charge Record Medical Supplies,19.66,7.67,,,0
CDM,SUP218772,Noncdm Charge Record Medical Supplies,1352.74,527.57,,,0
CDM,SUP218774,Noncdm Charge Record Medical Supplies,8.28,3.23,,,0
CDM,SUP218776,Noncdm Charge Record Medical Supplies,3314.07,1292.49,,,0
CDM,SUP218777,Noncdm Charge Record Medical Supplies,1305.14,509.0,,,0
CDM,SUP218778,Noncdm Charge Record Medical Supplies,1305.14,509.0,,,0
CDM,SUP218779,Noncdm Charge Record Medical Supplies,763.83,297.89,,,0
CDM,SUP218780,Noncdm Charge Record Medical Supplies,1050.53,409.71,,,0
CDM,SUP2188,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 14Mm Lcp Ss Cort St Ns Sm Frag,191.73,74.77,,,0
CDM,SUP218804,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP218806,Noncdm Charge Record Medical Supplies,31.05,12.11,,,0
CDM,SUP218807,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP218808,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP218823,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP218825,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP218827,Noncdm Charge Record Medical Supplies,416.07,162.27,,,0
CDM,SUP218828,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP218831,Noncdm Charge Record Medical Supplies,464.72,181.24,,,0
CDM,SUP218834,Noncdm Charge Record Medical Supplies,2865.92,1117.71,,,0
CDM,SUP218836_C1886_272,Noncdm Charge Record Medical Supplies,4387.36,1711.07,,,0
CDM,SUP218841,Noncdm Charge Record Medical Supplies,2865.92,1117.71,,,0
CDM,SUP218842,Noncdm Charge Record Medical Supplies,2865.92,1117.71,,,0
CDM,SUP218851,Noncdm Charge Record Medical Supplies,859.05,335.03,,,0
CDM,SUP218852,Noncdm Charge Record Medical Supplies,903.56,352.39,,,0
CDM,SUP218855,Noncdm Charge Record Medical Supplies,4409.1,1719.55,,,0
CDM,SUP218857,Noncdm Charge Record Medical Supplies,5339.56,2082.43,,,0
CDM,SUP218868,Noncdm Charge Record Medical Supplies,519.22,202.5,,,0
CDM,SUP218870,Noncdm Charge Record Medical Supplies,1346.19,525.01,,,0
CDM,SUP218871,Noncdm Charge Record Medical Supplies,538.2,209.9,,,0
CDM,SUP218872,Noncdm Charge Record Medical Supplies,4621.27,1802.3,,,0
CDM,SUP218879,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP21889,Noncdm Charge Record Medical Supplies,13050.32,5089.62,,,0
CDM,SUP218897,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP2189,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 16Mm Lc Dcp Ss Cort St Ns Sm,191.91,74.84,,,0
CDM,SUP218900,Noncdm Charge Record Medical Supplies,1958.22,763.71,,,0
CDM,SUP218901,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP218902,Noncdm Charge Record Medical Supplies,1958.22,763.71,,,0
CDM,SUP218922,Noncdm Charge Record Medical Supplies,18.63,7.27,,,0
CDM,SUP218923,Noncdm Charge Record Medical Supplies,19.66,7.67,,,0
CDM,SUP218925,Noncdm Charge Record Medical Supplies,220.46,85.98,,,0
CDM,SUP218926,Noncdm Charge Record Medical Supplies,440.91,171.95,,,0
CDM,SUP218937,Noncdm Charge Record Medical Supplies,885.96,345.52,,,0
CDM,SUP218938,Noncdm Charge Record Medical Supplies,304.86,118.9,,,0
CDM,SUP218939,Noncdm Charge Record Medical Supplies,596.78,232.74,,,0
CDM,SUP21894,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP218940,Noncdm Charge Record Medical Supplies,7.07,2.76,,,0
CDM,SUP218942,Noncdm Charge Record Medical Supplies,411.93,160.65,,,0
CDM,SUP218943,Noncdm Charge Record Medical Supplies,48500.1,18915.04,,,0
CDM,SUP218944,Noncdm Charge Record Medical Supplies,48500.1,18915.04,,,0
CDM,SUP218948,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP218949,Noncdm Charge Record Medical Supplies,611.68,238.56,,,0
CDM,SUP218950,Noncdm Charge Record Medical Supplies,685.17,267.22,,,0
CDM,SUP218951,Noncdm Charge Record Medical Supplies,1933.38,754.02,,,0
CDM,SUP218952,Noncdm Charge Record Medical Supplies,808.34,315.25,,,0
CDM,SUP218953,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP218955,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP218963,Noncdm Charge Record Medical Supplies,810.4,316.06,,,0
CDM,SUP218978,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP218980,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP218981,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP218982,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP218984,Noncdm Charge Record Medical Supplies,407.79,159.04,,,0
CDM,SUP218999,Noncdm Charge Record Medical Supplies,12.16,4.74,,,0
CDM,SUP2190,Noncdm Charge Record Medical Supplies - Screw 2.7Mm 18Mm Dcp Ss St Ns Cort St Ns Sm Frag,193.27,75.38,,,0
CDM,SUP219001,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP219002,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP219003,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP219011,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP219012,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP219014,Noncdm Charge Record Medical Supplies,856.98,334.22,,,0
CDM,SUP219015,Noncdm Charge Record Medical Supplies,3277.84,1278.36,,,0
CDM,SUP219018,Noncdm Charge Record Medical Supplies,588.92,229.68,,,0
CDM,SUP219019,Noncdm Charge Record Medical Supplies,1958.22,763.71,,,0
CDM,SUP219024,Noncdm Charge Record Medical Supplies,371.56,144.91,,,0
CDM,SUP219031,Noncdm Charge Record Medical Supplies,244.78,95.46,,,0
CDM,SUP219043,Noncdm Charge Record Medical Supplies,226.66,88.4,,,0
CDM,SUP219052,Noncdm Charge Record Medical Supplies,15.52,6.05,,,0
CDM,SUP219054,Noncdm Charge Record Medical Supplies,116.96,45.61,,,0
CDM,SUP219071,Noncdm Charge Record Medical Supplies,6274.17,2446.93,,,0
CDM,SUP219081,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP219086,Noncdm Charge Record Medical Supplies,440.91,171.95,,,0
CDM,SUP219087,Noncdm Charge Record Medical Supplies,220.46,85.98,,,0
CDM,SUP219090,Noncdm Charge Record Medical Supplies,440.91,171.95,,,0
CDM,SUP219091,Noncdm Charge Record Medical Supplies,220.46,85.98,,,0
CDM,SUP219093,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP2191,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 20Mm Lc Dcp Ss Cort Lck St Ns,190.34,74.23,,,0
CDM,SUP219108,Noncdm Charge Record Medical Supplies,22927.32,8941.65,,,0
CDM,SUP219112,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP219113,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP219117,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP219118,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP219119,Noncdm Charge Record Medical Supplies,74954.7,29232.33,,,0
CDM,SUP21912,Noncdm Charge Record Medical Supplies - Drill Bit 2.65Mm,959.44,374.18,,,0
CDM,SUP219136,Noncdm Charge Record Medical Supplies,122.13,47.63,,,0
CDM,SUP219138,Noncdm Charge Record Medical Supplies,1468.66,572.78,,,0
CDM,SUP219145,Noncdm Charge Record Medical Supplies,498.87,194.56,,,0
CDM,SUP219146,Noncdm Charge Record Medical Supplies,4421.52,1724.39,,,0
CDM,SUP219150,Noncdm Charge Record Medical Supplies,8.62,3.36,,,0
CDM,SUP219151,Noncdm Charge Record Medical Supplies,1510.06,588.92,,,0
CDM,SUP219183,Noncdm Charge Record Medical Supplies,4527.43,1765.7,,,0
CDM,SUP219184,Noncdm Charge Record Medical Supplies,4527.43,1765.7,,,0
CDM,SUP219185,Noncdm Charge Record Medical Supplies,4945.4,1928.71,,,0
CDM,SUP219198,Noncdm Charge Record Medical Supplies,404.68,157.83,,,0
CDM,SUP2192,Noncdm Charge Record Medical Supplies - Screw 2.7-22Mm Dcp Ss Cort St Cort St Ns Lcp,194.8,75.97,,,0
CDM,SUP219202,Noncdm Charge Record Medical Supplies,1933.38,754.02,,,0
CDM,SUP219204,Noncdm Charge Record Medical Supplies,27.94,10.9,,,0
CDM,SUP219222,Noncdm Charge Record Medical Supplies,73.48,28.66,,,0
CDM,SUP219240,Noncdm Charge Record Medical Supplies,565.11,220.39,,,0
CDM,SUP219241,Noncdm Charge Record Medical Supplies,576.5,224.84,,,0
CDM,SUP219247,Noncdm Charge Record Medical Supplies,16.56,6.46,,,0
CDM,SUP219249,Noncdm Charge Record Medical Supplies,127.3,49.65,,,0
CDM,SUP219253,Noncdm Charge Record Medical Supplies,4483.62,1748.61,,,0
CDM,SUP219259,Noncdm Charge Record Medical Supplies,644.8,251.47,,,0
CDM,SUP219276,Noncdm Charge Record Medical Supplies,166.38,64.89,,,0
CDM,SUP219278,Noncdm Charge Record Medical Supplies,1008.09,393.16,,,0
CDM,SUP219295,Noncdm Charge Record Medical Supplies,24250.05,9457.52,,,0
CDM,SUP2193,Noncdm Charge Record Medical Supplies - Screw 2.7-24Mm Dcp Ss St Hex Cort St Hex Lcp,192.35,75.02,,,0
CDM,SUP219301,Noncdm Charge Record Medical Supplies,1590.8,620.41,,,0
CDM,SUP219302,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP219315,Noncdm Charge Record Medical Supplies,1321.7,515.46,,,0
CDM,SUP219316,Noncdm Charge Record Medical Supplies,342.58,133.61,,,0
CDM,SUP219320,Noncdm Charge Record Medical Supplies,1958.22,763.71,,,0
CDM,SUP219327,Noncdm Charge Record Medical Supplies,469.89,183.26,,,0
CDM,SUP219328,Noncdm Charge Record Medical Supplies,1477.98,576.41,,,0
CDM,SUP219329,Noncdm Charge Record Medical Supplies,1967.54,767.34,,,0
CDM,SUP219330,Noncdm Charge Record Medical Supplies,1052.6,410.51,,,0
CDM,SUP219342,Noncdm Charge Record Medical Supplies,889.06,346.73,,,0
CDM,SUP219346,Noncdm Charge Record Medical Supplies,1884.74,735.05,,,0
CDM,SUP219349,Noncdm Charge Record Medical Supplies,308.43,120.29,,,0
CDM,SUP2194,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 26Mm Lcp Dcp Ss Cort St Ns,198.72,77.5,,,0
CDM,SUP219407,Noncdm Charge Record Medical Supplies,7495.47,2923.23,,,0
CDM,SUP219419,Noncdm Charge Record Medical Supplies,1199.56,467.83,,,0
CDM,SUP219446,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP219462,Noncdm Charge Record Medical Supplies,1606.32,626.46,,,0
CDM,SUP219467,Noncdm Charge Record Medical Supplies,661.36,257.93,,,0
CDM,SUP219469,Noncdm Charge Record Medical Supplies,1854.72,723.34,,,0
CDM,SUP219470,Noncdm Charge Record Medical Supplies,261.86,102.13,,,0
CDM,SUP219480,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP219481,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP219482,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP2195,Noncdm Charge Record Medical Supplies - Screw 2.7-28Mm Lcp Ss Cort St Cort St Ns Mini-Sm,184.75,72.05,,,0
CDM,SUP219500_C1757_624,Noncdm Charge Record Medical Supplies,31723.78,12372.27,,,0
CDM,SUP219503,Noncdm Charge Record Medical Supplies,8.8,3.43,,,0
CDM,SUP219512,Noncdm Charge Record Medical Supplies,796.95,310.81,,,0
CDM,SUP219513,Noncdm Charge Record Medical Supplies,3305.79,1289.26,,,0
CDM,SUP219514,Noncdm Charge Record Medical Supplies,1434.51,559.46,,,0
CDM,SUP219515,Noncdm Charge Record Medical Supplies,2175.57,848.47,,,0
CDM,SUP219523,Noncdm Charge Record Medical Supplies,8253.78,3218.97,,,0
CDM,SUP219527,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP219530,Noncdm Charge Record Medical Supplies,71.42,27.85,,,0
CDM,SUP219533,Noncdm Charge Record Medical Supplies,1678.77,654.72,,,0
CDM,SUP219539,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP219541,Noncdm Charge Record Medical Supplies,2409.48,939.7,,,0
CDM,SUP219544,Noncdm Charge Record Medical Supplies,1635.3,637.77,,,0
CDM,SUP219545,Noncdm Charge Record Medical Supplies,2361.87,921.13,,,0
CDM,SUP219546,Noncdm Charge Record Medical Supplies,349.48,136.3,,,0
CDM,SUP219548,Noncdm Charge Record Medical Supplies,1546.29,603.05,,,0
CDM,SUP219560,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP219568,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP219570,Noncdm Charge Record Medical Supplies,1052.6,410.51,,,0
CDM,SUP219571,Noncdm Charge Record Medical Supplies,930.12,362.75,,,0
CDM,SUP219575,Noncdm Charge Record Medical Supplies,1689.12,658.76,,,0
CDM,SUP219577,Noncdm Charge Record Medical Supplies,1689.12,658.76,,,0
CDM,SUP219579,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP219580,Noncdm Charge Record Medical Supplies,71.42,27.85,,,0
CDM,SUP219581,Noncdm Charge Record Medical Supplies,1027.76,400.83,,,0
CDM,SUP219595,Noncdm Charge Record Medical Supplies,320.85,125.13,,,0
CDM,SUP219597,Noncdm Charge Record Medical Supplies,244.78,95.46,,,0
CDM,SUP2196,Noncdm Charge Record Medical Supplies - Screw 2.7-30Mm Lcp Ss Cort Hex Cort Hex Dcp,198.72,77.5,,,0
CDM,SUP219609,Noncdm Charge Record Medical Supplies,1689.12,658.76,,,0
CDM,SUP219610,Noncdm Charge Record Medical Supplies,885.96,345.52,,,0
CDM,SUP21963,Noncdm Charge Record Medical Supplies - Screw Bn Cort 1.5Mm 11Mm St St Rdr,249.44,97.28,,,0
CDM,SUP219630,Noncdm Charge Record Medical Supplies,71.42,27.85,,,0
CDM,SUP219632,Noncdm Charge Record Medical Supplies,5316.8,2073.55,,,0
CDM,SUP219643,Noncdm Charge Record Medical Supplies,2908.35,1134.26,,,0
CDM,SUP219647,Noncdm Charge Record Medical Supplies,440.91,171.95,,,0
CDM,SUP219650,Noncdm Charge Record Medical Supplies,220.46,85.98,,,0
CDM,SUP219652,Noncdm Charge Record Medical Supplies,4.66,1.82,,,0
CDM,SUP219653,Noncdm Charge Record Medical Supplies,11022.75,4298.87,,,0
CDM,SUP219660,Noncdm Charge Record Medical Supplies,1097.1,427.87,,,0
CDM,SUP219674,Noncdm Charge Record Medical Supplies,304.88,118.9,,,0
CDM,SUP219677,Noncdm Charge Record Medical Supplies,596.68,232.71,,,0
CDM,SUP219692,Noncdm Charge Record Medical Supplies,328.1,127.96,,,0
CDM,SUP219693,Noncdm Charge Record Medical Supplies,194.58,75.89,,,0
CDM,SUP219699,Noncdm Charge Record Medical Supplies,328.1,127.96,,,0
CDM,SUP2197,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 32Mm Lcp Dcp Ss Cort St Ns,198.72,77.5,,,0
CDM,SUP219707,Noncdm Charge Record Medical Supplies,328.1,127.96,,,0
CDM,SUP219708,Noncdm Charge Record Medical Supplies,328.1,127.96,,,0
CDM,SUP219713,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP219730,Noncdm Charge Record Medical Supplies,5952.28,2321.39,,,0
CDM,SUP219731,Noncdm Charge Record Medical Supplies,5952.28,2321.39,,,0
CDM,SUP219732,Noncdm Charge Record Medical Supplies,5952.28,2321.39,,,0
CDM,SUP219733,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP219742,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP219745,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP219753,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP219755,Noncdm Charge Record Medical Supplies,1052.6,410.51,,,0
CDM,SUP219756,Noncdm Charge Record Medical Supplies,1379.66,538.07,,,0
CDM,SUP219766,Noncdm Charge Record Medical Supplies,304.89,118.91,,,0
CDM,SUP219768,Noncdm Charge Record Medical Supplies,1052.6,410.51,,,0
CDM,SUP219769,Noncdm Charge Record Medical Supplies,220.46,85.98,,,0
CDM,SUP219772,Noncdm Charge Record Medical Supplies,440.91,171.95,,,0
CDM,SUP219773,Noncdm Charge Record Medical Supplies,885.96,345.52,,,0
CDM,SUP219781,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP219782,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP219786,Noncdm Charge Record Medical Supplies,159.39,62.16,,,0
CDM,SUP219789,Noncdm Charge Record Medical Supplies,440.91,171.95,,,0
CDM,SUP219790,Noncdm Charge Record Medical Supplies,220.46,85.98,,,0
CDM,SUP219794,Noncdm Charge Record Medical Supplies,596.85,232.77,,,0
CDM,SUP219797,Noncdm Charge Record Medical Supplies,3055.32,1191.57,,,0
CDM,SUP219798,Noncdm Charge Record Medical Supplies,1305.14,509.0,,,0
CDM,SUP219809,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP219810,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP219821,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP219822,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP219823,Noncdm Charge Record Medical Supplies,2468.48,962.71,,,0
CDM,SUP219824,Noncdm Charge Record Medical Supplies,2032.74,792.77,,,0
CDM,SUP219826,Noncdm Charge Record Medical Supplies,288.76,112.62,,,0
CDM,SUP219828,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP219829,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP219842,Noncdm Charge Record Medical Supplies,48500.1,18915.04,,,0
CDM,SUP219844,Noncdm Charge Record Medical Supplies,2137.28,833.54,,,0
CDM,SUP219856,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP219857,Noncdm Charge Record Medical Supplies,8.28,3.23,,,0
CDM,SUP219859,Noncdm Charge Record Medical Supplies,43.47,16.95,,,0
CDM,SUP219868,Noncdm Charge Record Medical Supplies,1249.24,487.2,,,0
CDM,SUP219870,Noncdm Charge Record Medical Supplies,5269.18,2054.98,,,0
CDM,SUP219873,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP219875,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP219877,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP219878,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP219884,Noncdm Charge Record Medical Supplies,1061.91,414.14,,,0
CDM,SUP2198_C1713_278,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 34Mm Lcp Dcp Ss Cort St Ns,198.72,77.5,,,0
CDM,SUP2198_L8699_278,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 34Mm Lcp Dcp Ss Cort St Ns,199.24,77.7,,,0
CDM,SUP219907,Noncdm Charge Record Medical Supplies,1801.94,702.76,,,0
CDM,SUP219909,Noncdm Charge Record Medical Supplies,156.28,60.95,,,0
CDM,SUP219910,Noncdm Charge Record Medical Supplies,382.33,149.11,,,0
CDM,SUP219916,Noncdm Charge Record Medical Supplies,6508.08,2538.15,,,0
CDM,SUP219924,Noncdm Charge Record Medical Supplies,1249.24,487.2,,,0
CDM,SUP219926,Noncdm Charge Record Medical Supplies,1169.55,456.12,,,0
CDM,SUP219927,Noncdm Charge Record Medical Supplies,27.94,10.9,,,0
CDM,SUP219928,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP219943,Noncdm Charge Record Medical Supplies,889.06,346.73,,,0
CDM,SUP219952,Noncdm Charge Record Medical Supplies,5357.16,2089.29,,,0
CDM,SUP219957,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP219960,Noncdm Charge Record Medical Supplies,452.3,176.4,,,0
CDM,SUP219961,Noncdm Charge Record Medical Supplies,452.3,176.4,,,0
CDM,SUP219968,Noncdm Charge Record Medical Supplies,440.91,171.95,,,0
CDM,SUP219969,Noncdm Charge Record Medical Supplies,7425.09,2895.79,,,0
CDM,SUP219984,Noncdm Charge Record Medical Supplies,13668.21,5330.6,,,0
CDM,SUP219989,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP219990,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP219991,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP219992,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP219997,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP219998,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP219999,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP2199_C1713_278,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 36Mm Dcp Ss Cort St Ns Mini,198.98,77.6,,,0
CDM,SUP2199_L8699_278,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 36Mm Dcp Ss Cort St Ns Mini,198.72,77.5,,,0
CDM,SUP219_270,Noncdm Charge Record Medical Supplies - Stethoscope Airway Esophageal 18 French Temperature Sensor S,10.33,4.03,,,0
CDM,SUP219_A4649_270,Noncdm Charge Record Medical Supplies - Stethoscope Airway Esophageal 18 French Temperature Sensor S,10.35,4.04,,,0
CDM,SUP219_A9999_270,Noncdm Charge Record Medical Supplies - Stethoscope Airway Esophageal 18 French Temperature Sensor S,10.35,4.04,,,0
CDM,SUP2200,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 50Mm Dcp Ss Cort St Ns Mini-Sm,198.72,77.5,,,0
CDM,SUP220000,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP220001,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP220002,Noncdm Charge Record Medical Supplies,1758.46,685.8,,,0
CDM,SUP220003,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP220004,Noncdm Charge Record Medical Supplies,1208.88,471.46,,,0
CDM,SUP220005,Noncdm Charge Record Medical Supplies,1899.22,740.7,,,0
CDM,SUP220006,Noncdm Charge Record Medical Supplies,648.95,253.09,,,0
CDM,SUP220022,Noncdm Charge Record Medical Supplies,1468.66,572.78,,,0
CDM,SUP220025,Noncdm Charge Record Medical Supplies,240.12,93.65,,,0
CDM,SUP220026,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP220039,Noncdm Charge Record Medical Supplies,107.64,41.98,,,0
CDM,SUP220040,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP220041,Noncdm Charge Record Medical Supplies,2056.54,802.05,,,0
CDM,SUP220045,Noncdm Charge Record Medical Supplies,660.33,257.53,,,0
CDM,SUP220062,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP220065,Noncdm Charge Record Medical Supplies,2636.14,1028.09,,,0
CDM,SUP220099,Noncdm Charge Record Medical Supplies,421.35,164.33,,,0
CDM,SUP220105,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP220107,Noncdm Charge Record Medical Supplies,8.28,3.23,,,0
CDM,SUP220108,Noncdm Charge Record Medical Supplies,1538.01,599.82,,,0
CDM,SUP220109,Noncdm Charge Record Medical Supplies,983.77,383.67,,,0
CDM,SUP220110,Noncdm Charge Record Medical Supplies,1527.66,595.79,,,0
CDM,SUP220118,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP220148,Noncdm Charge Record Medical Supplies,10.35,4.04,,,0
CDM,SUP220150,Noncdm Charge Record Medical Supplies,8.62,3.36,,,0
CDM,SUP220158,Noncdm Charge Record Medical Supplies,18.63,7.27,,,0
CDM,SUP220159,Noncdm Charge Record Medical Supplies,19.66,7.67,,,0
CDM,SUP220166,Noncdm Charge Record Medical Supplies,1261.66,492.05,,,0
CDM,SUP220167,Noncdm Charge Record Medical Supplies,479.2,186.89,,,0
CDM,SUP220168,Noncdm Charge Record Medical Supplies,1057.77,412.53,,,0
CDM,SUP220170,Noncdm Charge Record Medical Supplies,893.2,348.35,,,0
CDM,SUP220171,Noncdm Charge Record Medical Supplies,1172.66,457.34,,,0
CDM,SUP220173,Noncdm Charge Record Medical Supplies,1384.83,540.08,,,0
CDM,SUP220176,Noncdm Charge Record Medical Supplies,2865.92,1117.71,,,0
CDM,SUP22018,Noncdm Charge Record Medical Supplies - Coil Xl 8Mmx16Cm,5800.14,2262.05,,,0
CDM,SUP220180,Noncdm Charge Record Medical Supplies,8156.84,3181.17,,,0
CDM,SUP220183,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP220188,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP2202,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 45Mm Dcp Ss Cort St Ns Mini,195.36,76.19,,,0
CDM,SUP220207,Noncdm Charge Record Medical Supplies,159.39,62.16,,,0
CDM,SUP220208,Noncdm Charge Record Medical Supplies,328.1,127.96,,,0
CDM,SUP220209,Noncdm Charge Record Medical Supplies,16754.58,6534.29,,,0
CDM,SUP220235,Noncdm Charge Record Medical Supplies,205.96,80.32,,,0
CDM,SUP220236,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP220237,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP220241,Noncdm Charge Record Medical Supplies,651.02,253.9,,,0
CDM,SUP220247,Noncdm Charge Record Medical Supplies,122.47,47.76,,,0
CDM,SUP220252,Noncdm Charge Record Medical Supplies,36.22,14.13,,,0
CDM,SUP220255,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP22026,Noncdm Charge Record Medical Supplies - Coil Xl 14Mmx36Cm,5800.14,2262.05,,,0
CDM,SUP22027,Noncdm Charge Record Medical Supplies - Coil Xl 15Mmx40Cm,7961.22,3104.88,,,0
CDM,SUP220271,Noncdm Charge Record Medical Supplies,303.26,118.27,,,0
CDM,SUP220283,Noncdm Charge Record Medical Supplies,1249.24,487.2,,,0
CDM,SUP22029,Noncdm Charge Record Medical Supplies - Coil Xl 17Mmx40Cm,5800.14,2262.05,,,0
CDM,SUP220294,Noncdm Charge Record Medical Supplies,498.87,194.56,,,0
CDM,SUP220302,Noncdm Charge Record Medical Supplies,903.56,352.39,,,0
CDM,SUP220303,Noncdm Charge Record Medical Supplies,859.05,335.03,,,0
CDM,SUP220325,Noncdm Charge Record Medical Supplies,1527.66,595.79,,,0
CDM,SUP220328,Noncdm Charge Record Medical Supplies,1538.01,599.82,,,0
CDM,SUP220329,Noncdm Charge Record Medical Supplies,984.28,383.87,,,0
CDM,SUP220331,Noncdm Charge Record Medical Supplies,984.28,383.87,,,0
CDM,SUP220332,Noncdm Charge Record Medical Supplies,2214.9,863.81,,,0
CDM,SUP220350,Noncdm Charge Record Medical Supplies,528.88,206.26,,,0
CDM,SUP220351,Noncdm Charge Record Medical Supplies,2746.89,1071.29,,,0
CDM,SUP220376,Noncdm Charge Record Medical Supplies,2865.92,1117.71,,,0
CDM,SUP220379,Noncdm Charge Record Medical Supplies,497.84,194.16,,,0
CDM,SUP2204,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 55Mm Lcp Dcp Ss Cort St Ns,226.18,88.21,,,0
CDM,SUP220401,Noncdm Charge Record Medical Supplies,219.42,85.57,,,0
CDM,SUP220404,Noncdm Charge Record Medical Supplies,16754.58,6534.29,,,0
CDM,SUP220406,Noncdm Charge Record Medical Supplies,292.9,114.23,,,0
CDM,SUP220407,Noncdm Charge Record Medical Supplies,1440.72,561.88,,,0
CDM,SUP220408,Noncdm Charge Record Medical Supplies,1285.47,501.33,,,0
CDM,SUP22041,Noncdm Charge Record Medical Supplies,5800.14,2262.05,,,0
CDM,SUP220410,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP220413,Noncdm Charge Record Medical Supplies,328.1,127.96,,,0
CDM,SUP220417,Noncdm Charge Record Medical Supplies,279.45,108.99,,,0
CDM,SUP220426,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP220433,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP220444,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP220463,Noncdm Charge Record Medical Supplies,2222.14,866.63,,,0
CDM,SUP220464,Noncdm Charge Record Medical Supplies,1916.82,747.56,,,0
CDM,SUP220467,Noncdm Charge Record Medical Supplies,2222.14,866.63,,,0
CDM,SUP220469,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP220470,Noncdm Charge Record Medical Supplies,1442.79,562.69,,,0
CDM,SUP220471,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP220474,Noncdm Charge Record Medical Supplies,1678.77,654.72,,,0
CDM,SUP220476,Noncdm Charge Record Medical Supplies,1395.18,544.12,,,0
CDM,SUP220477,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP220480,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP220483,Noncdm Charge Record Medical Supplies,1249.24,487.2,,,0
CDM,SUP220487,Noncdm Charge Record Medical Supplies,469.89,183.26,,,0
CDM,SUP220489,Noncdm Charge Record Medical Supplies,469.89,183.26,,,0
CDM,SUP220490,Noncdm Charge Record Medical Supplies,303.26,118.27,,,0
CDM,SUP220491,Noncdm Charge Record Medical Supplies,107.64,41.98,,,0
CDM,SUP220492,Noncdm Charge Record Medical Supplies,1967.54,767.34,,,0
CDM,SUP220496,Noncdm Charge Record Medical Supplies,661.36,257.93,,,0
CDM,SUP220500,Noncdm Charge Record Medical Supplies,333.27,129.98,,,0
CDM,SUP220504,Noncdm Charge Record Medical Supplies,25079.08,9780.84,,,0
CDM,SUP220507,Noncdm Charge Record Medical Supplies,1477.98,576.41,,,0
CDM,SUP220511,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP220512,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP220513,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP220515,Noncdm Charge Record Medical Supplies,339.48,132.4,,,0
CDM,SUP220518,Noncdm Charge Record Medical Supplies,416.07,162.27,,,0
CDM,SUP220520,Noncdm Charge Record Medical Supplies,2901.1,1131.43,,,0
CDM,SUP220522,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP220525,Noncdm Charge Record Medical Supplies,48.64,18.97,,,0
CDM,SUP220530,Noncdm Charge Record Medical Supplies,510.26,199.0,,,0
CDM,SUP220531,Noncdm Charge Record Medical Supplies,303.26,118.27,,,0
CDM,SUP220534,Noncdm Charge Record Medical Supplies,12034.46,4693.44,,,0
CDM,SUP220535,Noncdm Charge Record Medical Supplies,2302.18,897.85,,,0
CDM,SUP220537,Noncdm Charge Record Medical Supplies,12034.98,4693.64,,,0
CDM,SUP220539,Noncdm Charge Record Medical Supplies,12034.63,4693.51,,,0
CDM,SUP220556,Noncdm Charge Record Medical Supplies,3333.74,1300.16,,,0
CDM,SUP220561,Noncdm Charge Record Medical Supplies,16754.58,6534.29,,,0
CDM,SUP22057,Noncdm Charge Record Medical Supplies,7767.68,3029.4,,,0
CDM,SUP220573,Noncdm Charge Record Medical Supplies,7.24,2.82,,,0
CDM,SUP220576,Noncdm Charge Record Medical Supplies,102.98,40.16,,,0
CDM,SUP220578,Noncdm Charge Record Medical Supplies,9805.59,3824.18,,,0
CDM,SUP220580,Noncdm Charge Record Medical Supplies,221.49,86.38,,,0
CDM,SUP220582,Noncdm Charge Record Medical Supplies,587.88,229.27,,,0
CDM,SUP220585,Noncdm Charge Record Medical Supplies,41198.18,16067.29,,,0
CDM,SUP220588,Noncdm Charge Record Medical Supplies,611.68,238.56,,,0
CDM,SUP220589,Noncdm Charge Record Medical Supplies,221.49,86.38,,,0
CDM,SUP220591,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP220600,Noncdm Charge Record Medical Supplies,244.78,95.46,,,0
CDM,SUP220601,Noncdm Charge Record Medical Supplies,4409.1,1719.55,,,0
CDM,SUP220606,Noncdm Charge Record Medical Supplies,221.49,86.38,,,0
CDM,SUP220608,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP220609,Noncdm Charge Record Medical Supplies,244.78,95.46,,,0
CDM,SUP220618,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP220619,Noncdm Charge Record Medical Supplies,802.12,312.83,,,0
CDM,SUP220624,Noncdm Charge Record Medical Supplies,109.71,42.79,,,0
CDM,SUP220633,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP220637,Noncdm Charge Record Medical Supplies,1199.56,467.83,,,0
CDM,SUP220652,Noncdm Charge Record Medical Supplies,244.78,95.46,,,0
CDM,SUP220661,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP220662,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP220665,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP220668,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP220669,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP220672,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP220673,Noncdm Charge Record Medical Supplies,2130.03,830.71,,,0
CDM,SUP220674,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP220675,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP220679,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP220680,Noncdm Charge Record Medical Supplies,166.29,64.85,,,0
CDM,SUP220687,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP220690,Noncdm Charge Record Medical Supplies,695.52,271.25,,,0
CDM,SUP220691,Noncdm Charge Record Medical Supplies,3901.95,1521.76,,,0
CDM,SUP220692,Noncdm Charge Record Medical Supplies,1027.76,400.83,,,0
CDM,SUP220693,Noncdm Charge Record Medical Supplies,2046.2,798.02,,,0
CDM,SUP220699,Noncdm Charge Record Medical Supplies,760.72,296.68,,,0
CDM,SUP22069_C1874_278,Noncdm Charge Record Medical Supplies - Stent Intercranial 4.5Mm D 22Mm L Codman And Shurtleff,5624.19,2193.43,,,0
CDM,SUP22069_C2625_278,Noncdm Charge Record Medical Supplies - Stent Intercranial 4.5Mm D 22Mm L Codman And Shurtleff,5624.19,2193.43,,,0
CDM,SUP220700,Noncdm Charge Record Medical Supplies,796.95,310.81,,,0
CDM,SUP220705,Noncdm Charge Record Medical Supplies,487.48,190.12,,,0
CDM,SUP220706,Noncdm Charge Record Medical Supplies,1077.44,420.2,,,0
CDM,SUP220707,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP220708,Noncdm Charge Record Medical Supplies,2250.09,877.54,,,0
CDM,SUP220709,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP220711,Noncdm Charge Record Medical Supplies,1023.62,399.21,,,0
CDM,SUP22072,Noncdm Charge Record Medical Supplies - Stent Intercranial 4.0Mm D 30Mm L Codman And Shurtleff,5624.19,2193.43,,,0
CDM,SUP220727,Noncdm Charge Record Medical Supplies,14.49,5.65,,,0
CDM,SUP220765,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP220766,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP220770,Noncdm Charge Record Medical Supplies,2032.74,792.77,,,0
CDM,SUP220771,Noncdm Charge Record Medical Supplies,8.28,3.23,,,0
CDM,SUP220772,Noncdm Charge Record Medical Supplies,2468.48,962.71,,,0
CDM,SUP220784,Noncdm Charge Record Medical Supplies,133.51,52.07,,,0
CDM,SUP220788,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP220795,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP220800,Noncdm Charge Record Medical Supplies,342.58,133.61,,,0
CDM,SUP220803,Noncdm Charge Record Medical Supplies,18364.0,7161.96,,,0
CDM,SUP220818,Noncdm Charge Record Medical Supplies,455.4,177.61,,,0
CDM,SUP220826,Noncdm Charge Record Medical Supplies,1464.52,571.16,,,0
CDM,SUP220827,Noncdm Charge Record Medical Supplies,100.4,39.16,,,0
CDM,SUP220828,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP220831,Noncdm Charge Record Medical Supplies,888.03,346.33,,,0
CDM,SUP220841,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP220843,Noncdm Charge Record Medical Supplies,3156.75,1231.13,,,0
CDM,SUP220844,Noncdm Charge Record Medical Supplies,1249.24,487.2,,,0
CDM,SUP220847,Noncdm Charge Record Medical Supplies,3156.75,1231.13,,,0
CDM,SUP220849,Noncdm Charge Record Medical Supplies,1179.9,460.16,,,0
CDM,SUP220857,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP220861,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP220862,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP220864,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP220865,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP220866,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP220868,Noncdm Charge Record Medical Supplies,5710.1,2226.94,,,0
CDM,SUP220869,Noncdm Charge Record Medical Supplies,460.06,179.42,,,0
CDM,SUP220870,Noncdm Charge Record Medical Supplies,460.58,179.63,,,0
CDM,SUP220871,Noncdm Charge Record Medical Supplies,2124.86,828.7,,,0
CDM,SUP220880,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP220888,Noncdm Charge Record Medical Supplies,337.41,131.59,,,0
CDM,SUP22089,Noncdm Charge Record Medical Supplies - Catheter Env 6F Xb Mpc 100Cm,1814.36,707.6,,,0
CDM,SUP22090,Noncdm Charge Record Medical Supplies,1748.12,681.77,,,0
CDM,SUP220900,Noncdm Charge Record Medical Supplies,455.4,177.61,,,0
CDM,SUP220921,Noncdm Charge Record Medical Supplies,729.68,284.58,,,0
CDM,SUP220924,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP220925,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP220927,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP220929,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP220930,Noncdm Charge Record Medical Supplies,1758.46,685.8,,,0
CDM,SUP220931,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP220944,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP220955,Noncdm Charge Record Medical Supplies,109.71,42.79,,,0
CDM,SUP22096,Noncdm Charge Record Medical Supplies,1412.78,550.98,,,0
CDM,SUP220963,Noncdm Charge Record Medical Supplies,1249.24,487.2,,,0
CDM,SUP220969,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP22098,Noncdm Charge Record Medical Supplies - Catheter Env 6F Xb Str 90Cm,1412.78,550.98,,,0
CDM,SUP220989,Noncdm Charge Record Medical Supplies,37608.57,14667.34,,,0
CDM,SUP220996,Noncdm Charge Record Medical Supplies,11.38,4.44,,,0
CDM,SUP220997,Noncdm Charge Record Medical Supplies,11.38,4.44,,,0
CDM,SUP221,Noncdm Charge Record Medical Supplies - Tube 6Mm Uncuf Fen Inr Cannula Shly Tracheo,164.56,64.18,,,0
CDM,SUP221000,Noncdm Charge Record Medical Supplies,4409.1,1719.55,,,0
CDM,SUP221002,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP221003,Noncdm Charge Record Medical Supplies,1850.58,721.73,,,0
CDM,SUP221005,Noncdm Charge Record Medical Supplies,8597.75,3353.12,,,0
CDM,SUP221017,Noncdm Charge Record Medical Supplies,109.71,42.79,,,0
CDM,SUP221019,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP221020,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP221021,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP221022,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP221023,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP221024,Noncdm Charge Record Medical Supplies,1758.46,685.8,,,0
CDM,SUP221025,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP221026,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP22105,Noncdm Charge Record Medical Supplies - Microcatheter Prowler-14 150Cm,2907.32,1133.85,,,0
CDM,SUP221058,Noncdm Charge Record Medical Supplies,424.35,165.5,,,0
CDM,SUP221062,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP221095,Noncdm Charge Record Medical Supplies,2865.92,1117.71,,,0
CDM,SUP221096,Noncdm Charge Record Medical Supplies,16754.58,6534.29,,,0
CDM,SUP221097,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP221107,Noncdm Charge Record Medical Supplies,7491.33,2921.62,,,0
CDM,SUP221109,Noncdm Charge Record Medical Supplies,963.58,375.8,,,0
CDM,SUP221110,Noncdm Charge Record Medical Supplies,963.58,375.8,,,0
CDM,SUP221116,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP22112,Noncdm Charge Record Medical Supplies - Kit Lq Embol N-Bca-2 Gram,23938.52,9336.02,,,0
CDM,SUP221128,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP221129,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP221131,Noncdm Charge Record Medical Supplies,1370.34,534.43,,,0
CDM,SUP221135,Noncdm Charge Record Medical Supplies,100.4,39.16,,,0
CDM,SUP221137,Noncdm Charge Record Medical Supplies,1510.06,588.92,,,0
CDM,SUP221158,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP221167,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP221171,Noncdm Charge Record Medical Supplies,519.57,202.63,,,0
CDM,SUP221173,Noncdm Charge Record Medical Supplies,2865.92,1117.71,,,0
CDM,SUP221174,Noncdm Charge Record Medical Supplies,1199.56,467.83,,,0
CDM,SUP221175,Noncdm Charge Record Medical Supplies,641.7,250.26,,,0
CDM,SUP221176,Noncdm Charge Record Medical Supplies,452.3,176.4,,,0
CDM,SUP221177,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP221179,Noncdm Charge Record Medical Supplies,645.84,251.88,,,0
CDM,SUP221187,Noncdm Charge Record Medical Supplies,205.96,80.32,,,0
CDM,SUP221200,Noncdm Charge Record Medical Supplies,10.35,4.04,,,0
CDM,SUP221211,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP221212,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP221221,Noncdm Charge Record Medical Supplies,1531.8,597.4,,,0
CDM,SUP221223,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP221224,Noncdm Charge Record Medical Supplies,715.18,278.92,,,0
CDM,SUP221225,Noncdm Charge Record Medical Supplies,704.84,274.89,,,0
CDM,SUP221226,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP221227,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP221229,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP221232,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP221233,Noncdm Charge Record Medical Supplies,4409.1,1719.55,,,0
CDM,SUP221234_272,Noncdm Charge Record Medical Supplies,4409.1,1719.55,,,0
CDM,SUP221235,Noncdm Charge Record Medical Supplies,4409.1,1719.55,,,0
CDM,SUP221236,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP221239,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP22124,Noncdm Charge Record Medical Supplies - Coil Xl 7Mmx14Cm,5800.14,2262.05,,,0
CDM,SUP221240,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP221241,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP221242,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP221243,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP221244,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP221254,Noncdm Charge Record Medical Supplies,219.42,85.57,,,0
CDM,SUP221256,Noncdm Charge Record Medical Supplies,1440.72,561.88,,,0
CDM,SUP221263,Noncdm Charge Record Medical Supplies,292.9,114.23,,,0
CDM,SUP221275,Noncdm Charge Record Medical Supplies,767.97,299.51,,,0
CDM,SUP221277,Noncdm Charge Record Medical Supplies,767.97,299.51,,,0
CDM,SUP221283,Noncdm Charge Record Medical Supplies,1008.09,393.16,,,0
CDM,SUP221284,Noncdm Charge Record Medical Supplies,151.11,58.93,,,0
CDM,SUP221285,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP221294,Noncdm Charge Record Medical Supplies,8.8,3.43,,,0
CDM,SUP221295,Noncdm Charge Record Medical Supplies,1008.09,393.16,,,0
CDM,SUP221296,Noncdm Charge Record Medical Supplies,151.11,58.93,,,0
CDM,SUP2213,Noncdm Charge Record Medical Supplies - See 157620 Dressing Telfa + 7X6In Abs Nadh Nonwvn Ilnd,6.21,2.42,,,0
CDM,SUP22130,Noncdm Charge Record Medical Supplies - Stent Intercranial 4.0Mm D 39Mm L Codman And Shurtleff,15944.18,6218.23,,,0
CDM,SUP221302,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP221306,Noncdm Charge Record Medical Supplies,1349.64,526.36,,,0
CDM,SUP221307,Noncdm Charge Record Medical Supplies,983.77,383.67,,,0
CDM,SUP221312,Noncdm Charge Record Medical Supplies,1027.76,400.83,,,0
CDM,SUP221318,Noncdm Charge Record Medical Supplies,24.84,9.69,,,0
CDM,SUP221324,Noncdm Charge Record Medical Supplies,97.29,37.94,,,0
CDM,SUP22133,Noncdm Charge Record Medical Supplies - Cable Enpower Strl Control Detach,1077.44,420.2,,,0
CDM,SUP221337,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP221338,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP221341,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP221343,Noncdm Charge Record Medical Supplies,18364.0,7161.96,,,0
CDM,SUP221344,Noncdm Charge Record Medical Supplies,2865.92,1117.71,,,0
CDM,SUP221353,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP221355,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP221356,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP221357,Noncdm Charge Record Medical Supplies,715.18,278.92,,,0
CDM,SUP221358,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP221359,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP221360,Noncdm Charge Record Medical Supplies,1848.51,720.92,,,0
CDM,SUP221361,Noncdm Charge Record Medical Supplies,109.71,42.79,,,0
CDM,SUP221362,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP221363,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP221364,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP221365,Noncdm Charge Record Medical Supplies,1840.23,717.69,,,0
CDM,SUP221366,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP221367,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP221369,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP221370,Noncdm Charge Record Medical Supplies,27067.32,10556.25,,,0
CDM,SUP221371,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP221372,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP221374,Noncdm Charge Record Medical Supplies,704.84,274.89,,,0
CDM,SUP221375,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP221377,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP22138,Noncdm Charge Record Medical Supplies - Catheter Env 5F Mpc 90Cm,1695.33,661.18,,,0
CDM,SUP221380,Noncdm Charge Record Medical Supplies,10140.93,3954.96,,,0
CDM,SUP221381,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP221382,Noncdm Charge Record Medical Supplies,2080.35,811.34,,,0
CDM,SUP221384,Noncdm Charge Record Medical Supplies,2080.35,811.34,,,0
CDM,SUP221386,Noncdm Charge Record Medical Supplies,2080.35,811.34,,,0
CDM,SUP221390,Noncdm Charge Record Medical Supplies,299.63,116.86,,,0
CDM,SUP221398,Noncdm Charge Record Medical Supplies,685.17,267.22,,,0
CDM,SUP221401,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP221406,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP221408,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP221413,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP221414,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP221415,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP221416,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP221424,Noncdm Charge Record Medical Supplies,930.46,362.88,,,0
CDM,SUP221435,Noncdm Charge Record Medical Supplies,13668.21,5330.6,,,0
CDM,SUP221442,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP221444,Noncdm Charge Record Medical Supplies,1758.46,685.8,,,0
CDM,SUP221459,Noncdm Charge Record Medical Supplies,13668.21,5330.6,,,0
CDM,SUP221462,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP221464,Noncdm Charge Record Medical Supplies,45.54,17.76,,,0
CDM,SUP221465,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP221475,Noncdm Charge Record Medical Supplies,1128.15,439.98,,,0
CDM,SUP221476,Noncdm Charge Record Medical Supplies,15708.98,6126.5,,,0
CDM,SUP221477,Noncdm Charge Record Medical Supplies,32867.46,12818.31,,,0
CDM,SUP221486,Noncdm Charge Record Medical Supplies,1305.14,509.0,,,0
CDM,SUP221487,Noncdm Charge Record Medical Supplies,1305.14,509.0,,,0
CDM,SUP221488,Noncdm Charge Record Medical Supplies,763.83,297.89,,,0
CDM,SUP221489,Noncdm Charge Record Medical Supplies,1050.53,409.71,,,0
CDM,SUP221496,Noncdm Charge Record Medical Supplies,455.4,177.61,,,0
CDM,SUP221497,Noncdm Charge Record Medical Supplies,24.84,9.69,,,0
CDM,SUP2214_272,Noncdm Charge Record Medical Supplies - See 132790 Pack Setup 1 Medline,10.35,4.04,,,0
CDM,SUP2214_A4649_272,Noncdm Charge Record Medical Supplies - See 132790 Pack Setup 1 Medline,10.35,4.04,,,0
CDM,SUP221523,Noncdm Charge Record Medical Supplies,6397.34,2494.96,,,0
CDM,SUP221526,Noncdm Charge Record Medical Supplies,16754.58,6534.29,,,0
CDM,SUP221529,Noncdm Charge Record Medical Supplies,4444.29,1733.27,,,0
CDM,SUP221530,Noncdm Charge Record Medical Supplies,100.4,39.16,,,0
CDM,SUP221534,Noncdm Charge Record Medical Supplies,670.68,261.57,,,0
CDM,SUP221536,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP22154,Noncdm Charge Record Medical Supplies - Microcatheter 150-5Cm 45Tip Prwlr Sl +,2976.66,1160.9,,,0
CDM,SUP221540,Noncdm Charge Record Medical Supplies,889.06,346.73,,,0
CDM,SUP22155,Noncdm Charge Record Medical Supplies - Microcatheter Plus 150-5Cm Prwlr Sl,2907.32,1133.85,,,0
CDM,SUP221550,Noncdm Charge Record Medical Supplies,1220.27,475.91,,,0
CDM,SUP221551,Noncdm Charge Record Medical Supplies,1296.86,505.78,,,0
CDM,SUP221554,Noncdm Charge Record Medical Supplies,1296.86,505.78,,,0
CDM,SUP221555,Noncdm Charge Record Medical Supplies,313.6,122.3,,,0
CDM,SUP221558,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP221571_272,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP221571_A4649_272,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP221578,Noncdm Charge Record Medical Supplies,328.1,127.96,,,0
CDM,SUP221580,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP221582,Noncdm Charge Record Medical Supplies,263.92,102.93,,,0
CDM,SUP221585,Noncdm Charge Record Medical Supplies,328.1,127.96,,,0
CDM,SUP221586,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP221592_272,Noncdm Charge Record Medical Supplies,225.63,88.0,,,0
CDM,SUP221592_A4649_272,Noncdm Charge Record Medical Supplies,225.63,88.0,,,0
CDM,SUP221593,Noncdm Charge Record Medical Supplies,42.44,16.55,,,0
CDM,SUP22160,Noncdm Charge Record Medical Supplies - Catheter Env 6F Xb Mpc 90Cm,1412.78,550.98,,,0
CDM,SUP221606,Noncdm Charge Record Medical Supplies,67.28,26.24,,,0
CDM,SUP221607,Noncdm Charge Record Medical Supplies,42.44,16.55,,,0
CDM,SUP22161,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 34Mm Nail Ex Strl Ft Hum Tib St Ti,922.18,359.65,,,0
CDM,SUP221611,Noncdm Charge Record Medical Supplies,1061.91,414.14,,,0
CDM,SUP221613,Noncdm Charge Record Medical Supplies,434.7,169.53,,,0
CDM,SUP221614,Noncdm Charge Record Medical Supplies,73.48,28.66,,,0
CDM,SUP221615,Noncdm Charge Record Medical Supplies,33.9,13.22,,,0
CDM,SUP221616,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP221634,Noncdm Charge Record Medical Supplies,18.63,7.27,,,0
CDM,SUP221635,Noncdm Charge Record Medical Supplies,19.66,7.67,,,0
CDM,SUP221640,Noncdm Charge Record Medical Supplies,100.4,39.16,,,0
CDM,SUP221644,Noncdm Charge Record Medical Supplies,1249.24,487.2,,,0
CDM,SUP22165,Noncdm Charge Record Medical Supplies - Blade Saw Osteo Hub Style S,362.25,141.28,,,0
CDM,SUP221661,Noncdm Charge Record Medical Supplies,232.88,90.82,,,0
CDM,SUP221662,Noncdm Charge Record Medical Supplies,1249.24,487.2,,,0
CDM,SUP221663,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP221664,Noncdm Charge Record Medical Supplies,3659.76,1427.31,,,0
CDM,SUP221665,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP221673,Noncdm Charge Record Medical Supplies,19.66,7.67,,,0
CDM,SUP221681,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP221696,Noncdm Charge Record Medical Supplies,1468.66,572.78,,,0
CDM,SUP221697,Noncdm Charge Record Medical Supplies,2315.3,902.97,,,0
CDM,SUP221698,Noncdm Charge Record Medical Supplies,2407.41,938.89,,,0
CDM,SUP221699,Noncdm Charge Record Medical Supplies,1791.58,698.72,,,0
CDM,SUP221712,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP221720,Noncdm Charge Record Medical Supplies,65.11,25.39,,,0
CDM,SUP221721_272,Noncdm Charge Record Medical Supplies,547.52,213.53,,,0
CDM,SUP221721_A4649_272,Noncdm Charge Record Medical Supplies,547.52,213.53,,,0
CDM,SUP221723_272,Noncdm Charge Record Medical Supplies,1395.18,544.12,,,0
CDM,SUP221723_A4649_272,Noncdm Charge Record Medical Supplies,1395.18,544.12,,,0
CDM,SUP221724,Noncdm Charge Record Medical Supplies,2537.77,989.73,,,0
CDM,SUP221725,Noncdm Charge Record Medical Supplies,1836.09,716.08,,,0
CDM,SUP221726_272,Noncdm Charge Record Medical Supplies,269.1,104.95,,,0
CDM,SUP221726_A4649_272,Noncdm Charge Record Medical Supplies,269.1,104.95,,,0
CDM,SUP221734,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP221735,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP221737,Noncdm Charge Record Medical Supplies,244.78,95.46,,,0
CDM,SUP221738,Noncdm Charge Record Medical Supplies,244.78,95.46,,,0
CDM,SUP221741,Noncdm Charge Record Medical Supplies,1150.92,448.86,,,0
CDM,SUP221750,Noncdm Charge Record Medical Supplies,8.28,3.23,,,0
CDM,SUP221767,Noncdm Charge Record Medical Supplies,2865.92,1117.71,,,0
CDM,SUP221768,Noncdm Charge Record Medical Supplies,889.06,346.73,,,0
CDM,SUP221772,Noncdm Charge Record Medical Supplies,455.4,177.61,,,0
CDM,SUP221781_272,Noncdm Charge Record Medical Supplies,37477.35,14616.17,,,0
CDM,SUP221781_C1757_272,Noncdm Charge Record Medical Supplies,32517.11,12681.67,,,0
CDM,SUP221796,Noncdm Charge Record Medical Supplies,111.78,43.59,,,0
CDM,SUP221797,Noncdm Charge Record Medical Supplies,86.94,33.91,,,0
CDM,SUP2218,Noncdm Charge Record Medical Supplies - Valve Aort 23Mm Frstl Aort,29638.26,11558.92,,,0
CDM,SUP221801,Noncdm Charge Record Medical Supplies,3503.48,1366.36,,,0
CDM,SUP221810,Noncdm Charge Record Medical Supplies,10449.36,4075.25,,,0
CDM,SUP221812_272,Noncdm Charge Record Medical Supplies,28.04,10.94,,,0
CDM,SUP221812_A4649_272,Noncdm Charge Record Medical Supplies,27.94,10.9,,,0
CDM,SUP221817,Noncdm Charge Record Medical Supplies,170.26,66.4,,,0
CDM,SUP221831,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP221832,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP221834_272,Noncdm Charge Record Medical Supplies,1199.56,467.83,,,0
CDM,SUP221838,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP221840,Noncdm Charge Record Medical Supplies,455.4,177.61,,,0
CDM,SUP22185,Noncdm Charge Record Medical Supplies - Drill Twist 1.1X50Mm 5Mm Stop W Notch,640.66,249.86,,,0
CDM,SUP221853,Noncdm Charge Record Medical Supplies,342.58,133.61,,,0
CDM,SUP221855,Noncdm Charge Record Medical Supplies,1135.4,442.81,,,0
CDM,SUP22187,Noncdm Charge Record Medical Supplies - Drill Twist 1.5X115Mm W Notch,640.66,249.86,,,0
CDM,SUP221870,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP22188,Noncdm Charge Record Medical Supplies - Drill Twist 1.5X50Mm W Notch,640.41,249.76,,,0
CDM,SUP221887,Noncdm Charge Record Medical Supplies,16754.58,6534.29,,,0
CDM,SUP221888,Noncdm Charge Record Medical Supplies,195.62,76.29,,,0
CDM,SUP2219,Noncdm Charge Record Medical Supplies - Valve Aort 25Mm Frstl Aort,29638.26,11558.92,,,0
CDM,SUP221902,Noncdm Charge Record Medical Supplies,5339.56,2082.43,,,0
CDM,SUP221915,Noncdm Charge Record Medical Supplies,12.07,4.71,,,0
CDM,SUP221916_270,Noncdm Charge Record Medical Supplies,9.33,3.64,,,0
CDM,SUP221916_A4649_270,Noncdm Charge Record Medical Supplies,9.32,3.63,,,0
CDM,SUP221930,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP221935,Noncdm Charge Record Medical Supplies,1204.74,469.85,,,0
CDM,SUP221938,Noncdm Charge Record Medical Supplies,3205.4,1250.11,,,0
CDM,SUP221947,Noncdm Charge Record Medical Supplies,631.35,246.23,,,0
CDM,SUP221948,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP221963,Noncdm Charge Record Medical Supplies,100.4,39.16,,,0
CDM,SUP221965,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP221966,Noncdm Charge Record Medical Supplies,1958.22,763.71,,,0
CDM,SUP221971,Noncdm Charge Record Medical Supplies,1199.56,467.83,,,0
CDM,SUP221977,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP221978,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP221994,Noncdm Charge Record Medical Supplies,228.74,89.21,,,0
CDM,SUP221995,Noncdm Charge Record Medical Supplies,494.73,192.94,,,0
CDM,SUP221997,Noncdm Charge Record Medical Supplies,342.58,133.61,,,0
CDM,SUP222005,Noncdm Charge Record Medical Supplies,161.46,62.97,,,0
CDM,SUP222006,Noncdm Charge Record Medical Supplies,1206.81,470.66,,,0
CDM,SUP222008,Noncdm Charge Record Medical Supplies,984.28,383.87,,,0
CDM,SUP222009_C1889_272,Noncdm Charge Record Medical Supplies,8156.84,3181.17,,,0
CDM,SUP222017,Noncdm Charge Record Medical Supplies,1703.61,664.41,,,0
CDM,SUP222019,Noncdm Charge Record Medical Supplies,644.29,251.27,,,0
CDM,SUP222027,Noncdm Charge Record Medical Supplies,9237.38,3602.58,,,0
CDM,SUP222028,Noncdm Charge Record Medical Supplies,1206.81,470.66,,,0
CDM,SUP222029,Noncdm Charge Record Medical Supplies,2393.96,933.64,,,0
CDM,SUP22203,Noncdm Charge Record Medical Supplies - Plate 4 Hl 28Mm Ncmpr 1.5Mm,2620.27,1021.91,,,0
CDM,SUP222037,Noncdm Charge Record Medical Supplies,8.54,3.33,,,0
CDM,SUP222040,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP222043,Noncdm Charge Record Medical Supplies,622.04,242.6,,,0
CDM,SUP222044,Noncdm Charge Record Medical Supplies,622.04,242.6,,,0
CDM,SUP222045,Noncdm Charge Record Medical Supplies,1008.09,393.16,,,0
CDM,SUP222046,Noncdm Charge Record Medical Supplies,166.29,64.85,,,0
CDM,SUP222066,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP222072,Noncdm Charge Record Medical Supplies,46.58,18.17,,,0
CDM,SUP222082,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP222083_270,Noncdm Charge Record Medical Supplies,214.24,83.55,,,0
CDM,SUP222083_A4649_270,Noncdm Charge Record Medical Supplies,214.24,83.55,,,0
CDM,SUP222084_270,Noncdm Charge Record Medical Supplies,233.91,91.22,,,0
CDM,SUP222084_A4649_270,Noncdm Charge Record Medical Supplies,233.91,91.22,,,0
CDM,SUP222085,Noncdm Charge Record Medical Supplies,216.32,84.36,,,0
CDM,SUP222088,Noncdm Charge Record Medical Supplies,3197.12,1246.88,,,0
CDM,SUP222089,Noncdm Charge Record Medical Supplies,318.22,124.11,,,0
CDM,SUP222090,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP222094,Noncdm Charge Record Medical Supplies,8.28,3.23,,,0
CDM,SUP222097,Noncdm Charge Record Medical Supplies,8.62,3.36,,,0
CDM,SUP2221,Noncdm Charge Record Medical Supplies - Tube Feeding Mic G 16Fr Silicone Balloon,191.48,74.68,,,0
CDM,SUP222106,Noncdm Charge Record Medical Supplies,1390.0,542.1,,,0
CDM,SUP222108,Noncdm Charge Record Medical Supplies,26.13,10.19,,,0
CDM,SUP222110,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP222111,Noncdm Charge Record Medical Supplies,133.51,52.07,,,0
CDM,SUP222115,Noncdm Charge Record Medical Supplies,704.84,274.89,,,0
CDM,SUP222123,Noncdm Charge Record Medical Supplies,174.92,68.22,,,0
CDM,SUP222135,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP222136,Noncdm Charge Record Medical Supplies,380.88,148.54,,,0
CDM,SUP222137,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP222138,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP222139,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP222140,Noncdm Charge Record Medical Supplies,609.62,237.75,,,0
CDM,SUP222144,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP222145,Noncdm Charge Record Medical Supplies,480.24,187.29,,,0
CDM,SUP222149,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP222151,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP222158,Noncdm Charge Record Medical Supplies,15189.66,5923.97,,,0
CDM,SUP222164,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP222166,Noncdm Charge Record Medical Supplies,3313.04,1292.09,,,0
CDM,SUP222167,Noncdm Charge Record Medical Supplies,1586.66,618.8,,,0
CDM,SUP222169,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP222173,Noncdm Charge Record Medical Supplies,2473.65,964.72,,,0
CDM,SUP222174,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP222178,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP222179,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP222181,Noncdm Charge Record Medical Supplies,18468.54,7202.73,,,0
CDM,SUP222182,Noncdm Charge Record Medical Supplies,16.56,6.46,,,0
CDM,SUP222183,Noncdm Charge Record Medical Supplies,176.98,69.02,,,0
CDM,SUP222184,Noncdm Charge Record Medical Supplies,16.56,6.46,,,0
CDM,SUP222187,Noncdm Charge Record Medical Supplies,78.66,30.68,,,0
CDM,SUP222188,Noncdm Charge Record Medical Supplies,16.56,6.46,,,0
CDM,SUP222190,Noncdm Charge Record Medical Supplies,57.94,22.6,,,0
CDM,SUP222191,Noncdm Charge Record Medical Supplies,4350.1,1696.54,,,0
CDM,SUP222195,Noncdm Charge Record Medical Supplies,16.56,6.46,,,0
CDM,SUP222196,Noncdm Charge Record Medical Supplies,11666.52,4549.94,,,0
CDM,SUP22220,Noncdm Charge Record Medical Supplies - Plate Lck 4Hl 1.0Mm Long Cp Ti,1880.6,733.43,,,0
CDM,SUP222202,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP22221,Noncdm Charge Record Medical Supplies - Plate Lck 4Hl 1.0Mm Reg Cp Ti,1941.66,757.25,,,0
CDM,SUP222215,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP222216,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP222217,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP222218,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP222221,Noncdm Charge Record Medical Supplies,704.84,274.89,,,0
CDM,SUP222222,Noncdm Charge Record Medical Supplies,715.18,278.92,,,0
CDM,SUP222225,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP222226,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP222227,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP222232,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP222233,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP222234,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP222236,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP222241,Noncdm Charge Record Medical Supplies,2.48,0.97,,,0
CDM,SUP222242,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP222249,Noncdm Charge Record Medical Supplies,645.84,251.88,,,0
CDM,SUP222266,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP222267,Noncdm Charge Record Medical Supplies,783.5,305.56,,,0
CDM,SUP222268,Noncdm Charge Record Medical Supplies,783.5,305.56,,,0
CDM,SUP222269,Noncdm Charge Record Medical Supplies,2407.41,938.89,,,0
CDM,SUP222271,Noncdm Charge Record Medical Supplies,2315.3,902.97,,,0
CDM,SUP222272,Noncdm Charge Record Medical Supplies,2315.3,902.97,,,0
CDM,SUP222278,Noncdm Charge Record Medical Supplies,16203.96,6319.54,,,0
CDM,SUP222285,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP222299,Noncdm Charge Record Medical Supplies,842.49,328.57,,,0
CDM,SUP222310,Noncdm Charge Record Medical Supplies,1181.97,460.97,,,0
CDM,SUP222319,Noncdm Charge Record Medical Supplies,8.62,3.36,,,0
CDM,SUP222323,Noncdm Charge Record Medical Supplies,2.59,1.01,,,0
CDM,SUP222326,Noncdm Charge Record Medical Supplies,7.24,2.82,,,0
CDM,SUP222337,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP222338,Noncdm Charge Record Medical Supplies,1855.76,723.75,,,0
CDM,SUP222339,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP222340,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP222341,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP222344,Noncdm Charge Record Medical Supplies,2826.58,1102.37,,,0
CDM,SUP222350,Noncdm Charge Record Medical Supplies,2026.53,790.35,,,0
CDM,SUP222351,Noncdm Charge Record Medical Supplies,661.36,257.93,,,0
CDM,SUP222362,Noncdm Charge Record Medical Supplies,97220.66,37916.06,,,0
CDM,SUP222363,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP222365,Noncdm Charge Record Medical Supplies,783.5,305.56,,,0
CDM,SUP222368,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP222371,Noncdm Charge Record Medical Supplies,8156.84,3181.17,,,0
CDM,SUP222377,Noncdm Charge Record Medical Supplies,27.94,10.9,,,0
CDM,SUP222382,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP222383,Noncdm Charge Record Medical Supplies,871.47,339.87,,,0
CDM,SUP222384,Noncdm Charge Record Medical Supplies,27.94,10.9,,,0
CDM,SUP222389,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP2223_270,Noncdm Charge Record Medical Supplies - Cannister Vac Pkt Encr,114.88,44.8,,,0
CDM,SUP2223_A4649_270,Noncdm Charge Record Medical Supplies - Cannister Vac Pkt Encr,114.88,44.8,,,0
CDM,SUP2223_A9999_270,Noncdm Charge Record Medical Supplies - Cannister Vac Pkt Encr,114.88,44.8,,,0
CDM,SUP222400,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP222408,Noncdm Charge Record Medical Supplies,11794.86,4600.0,,,0
CDM,SUP222409,Noncdm Charge Record Medical Supplies,4621.27,1802.3,,,0
CDM,SUP222410,Noncdm Charge Record Medical Supplies,1850.58,721.73,,,0
CDM,SUP222419,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP222420_272,Noncdm Charge Record Medical Supplies,8156.84,3181.17,,,0
CDM,SUP222420_C1886_272,Noncdm Charge Record Medical Supplies,8156.84,3181.17,,,0
CDM,SUP222420_C1889_272,Noncdm Charge Record Medical Supplies,8156.84,3181.17,,,0
CDM,SUP222421_272,Noncdm Charge Record Medical Supplies,8156.84,3181.17,,,0
CDM,SUP222421_C1886_272,Noncdm Charge Record Medical Supplies,8156.84,3181.17,,,0
CDM,SUP222421_C1889_272,Noncdm Charge Record Medical Supplies,8156.84,3181.17,,,0
CDM,SUP222422,Noncdm Charge Record Medical Supplies,8156.84,3181.17,,,0
CDM,SUP222427,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP222429,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP222430,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP222431,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP222432,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP222433,Noncdm Charge Record Medical Supplies,856.98,334.22,,,0
CDM,SUP222435,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP222436,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP222437,Noncdm Charge Record Medical Supplies,856.98,334.22,,,0
CDM,SUP222438,Noncdm Charge Record Medical Supplies,611.68,238.56,,,0
CDM,SUP222439,Noncdm Charge Record Medical Supplies,1003.95,391.54,,,0
CDM,SUP222457,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP222458,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP222469,Noncdm Charge Record Medical Supplies,4409.1,1719.55,,,0
CDM,SUP222470,Noncdm Charge Record Medical Supplies,209.07,81.54,,,0
CDM,SUP222479,Noncdm Charge Record Medical Supplies,4621.27,1802.3,,,0
CDM,SUP222483,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP222485,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP222492,Noncdm Charge Record Medical Supplies,1735.7,676.92,,,0
CDM,SUP222499,Noncdm Charge Record Medical Supplies,19.66,7.67,,,0
CDM,SUP222524,Noncdm Charge Record Medical Supplies,7.24,2.82,,,0
CDM,SUP222545,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP222562,Noncdm Charge Record Medical Supplies,1296.86,505.78,,,0
CDM,SUP222567,Noncdm Charge Record Medical Supplies,2865.92,1117.71,,,0
CDM,SUP222578,Noncdm Charge Record Medical Supplies,1296.86,505.78,,,0
CDM,SUP222579,Noncdm Charge Record Medical Supplies,1249.24,487.2,,,0
CDM,SUP222582,Noncdm Charge Record Medical Supplies,410.9,160.25,,,0
CDM,SUP222587,Noncdm Charge Record Medical Supplies,6613.65,2579.32,,,0
CDM,SUP222588,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP222589,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP222608,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP222609,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP222610,Noncdm Charge Record Medical Supplies,122.47,47.76,,,0
CDM,SUP222611,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP222613,Noncdm Charge Record Medical Supplies,1296.86,505.78,,,0
CDM,SUP222619,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP22263,Noncdm Charge Record Medical Supplies - Plate Mdfc 4Hl .8Mm Strt,668.61,260.76,,,0
CDM,SUP222637,Noncdm Charge Record Medical Supplies,1047.42,408.49,,,0
CDM,SUP222638,Noncdm Charge Record Medical Supplies,507.15,197.79,,,0
CDM,SUP222643,Noncdm Charge Record Medical Supplies,4409.1,1719.55,,,0
CDM,SUP222645,Noncdm Charge Record Medical Supplies,244.78,95.46,,,0
CDM,SUP222646,Noncdm Charge Record Medical Supplies,107.64,41.98,,,0
CDM,SUP222652,Noncdm Charge Record Medical Supplies,88882.7,34664.25,,,0
CDM,SUP222666,Noncdm Charge Record Medical Supplies,122.13,47.63,,,0
CDM,SUP222684,Noncdm Charge Record Medical Supplies,2645.46,1031.73,,,0
CDM,SUP222685,Noncdm Charge Record Medical Supplies,2865.92,1117.71,,,0
CDM,SUP2226_270,Noncdm Charge Record Medical Supplies - System Blood Warm Adm Set Inj Port Lvl 1 Htln,44.51,17.36,,,0
CDM,SUP2226_272,Noncdm Charge Record Medical Supplies - System Blood Warm Adm Set Inj Port Lvl 1 Htln,44.5,17.36,,,0
CDM,SUP222702,Noncdm Charge Record Medical Supplies,1265.8,493.66,,,0
CDM,SUP222708,Noncdm Charge Record Medical Supplies,1328.94,518.29,,,0
CDM,SUP222712,Noncdm Charge Record Medical Supplies,804.2,313.64,,,0
CDM,SUP222722,Noncdm Charge Record Medical Supplies,1508.0,588.12,,,0
CDM,SUP222724,Noncdm Charge Record Medical Supplies,1508.0,588.12,,,0
CDM,SUP222726,Noncdm Charge Record Medical Supplies,274.27,106.97,,,0
CDM,SUP222727,Noncdm Charge Record Medical Supplies,290.83,113.42,,,0
CDM,SUP222728,Noncdm Charge Record Medical Supplies,274.27,106.97,,,0
CDM,SUP222731,Noncdm Charge Record Medical Supplies,308.43,120.29,,,0
CDM,SUP222733,Noncdm Charge Record Medical Supplies,308.43,120.29,,,0
CDM,SUP222734,Noncdm Charge Record Medical Supplies,2561.62,999.03,,,0
CDM,SUP222735,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP222736,Noncdm Charge Record Medical Supplies,2633.4,1027.03,,,0
CDM,SUP22274,Noncdm Charge Record Medical Supplies - Plate Mdfc 7Hl .8Mm L-Shape,1265.8,493.66,,,0
CDM,SUP222746,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP222750,Noncdm Charge Record Medical Supplies,519.57,202.63,,,0
CDM,SUP222751,Noncdm Charge Record Medical Supplies,303.26,118.27,,,0
CDM,SUP222752,Noncdm Charge Record Medical Supplies,614.79,239.77,,,0
CDM,SUP222791,Noncdm Charge Record Medical Supplies,34170.52,13326.5,,,0
CDM,SUP222795,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP222797,Noncdm Charge Record Medical Supplies,2645.46,1031.73,,,0
CDM,SUP222798,Noncdm Charge Record Medical Supplies,2325.57,906.97,,,0
CDM,SUP222799,Noncdm Charge Record Medical Supplies,293.94,114.64,,,0
CDM,SUP2228,Noncdm Charge Record Medical Supplies - Set Dia Y Ult Dscnct Prtnl,37.41,14.59,,,0
CDM,SUP22280,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP222800,Noncdm Charge Record Medical Supplies,26051.98,10160.27,,,0
CDM,SUP222802,Noncdm Charge Record Medical Supplies,2645.46,1031.73,,,0
CDM,SUP222803,Noncdm Charge Record Medical Supplies,856.72,334.12,,,0
CDM,SUP222804,Noncdm Charge Record Medical Supplies,100294.6,39114.89,,,0
CDM,SUP222805,Noncdm Charge Record Medical Supplies,251.5,98.08,,,0
CDM,SUP222815,Noncdm Charge Record Medical Supplies,1158.16,451.68,,,0
CDM,SUP222818,Noncdm Charge Record Medical Supplies,294.98,115.04,,,0
CDM,SUP222819,Noncdm Charge Record Medical Supplies,2031.7,792.36,,,0
CDM,SUP222824,Noncdm Charge Record Medical Supplies,20722.77,8081.88,,,0
CDM,SUP222825_C1725_272,Noncdm Charge Record Medical Supplies,20722.77,8081.88,,,0
CDM,SUP222825_C1761_278,Noncdm Charge Record Medical Supplies,20722.77,8081.88,,,0
CDM,SUP222826,Noncdm Charge Record Medical Supplies,20722.77,8081.88,,,0
CDM,SUP222827,Noncdm Charge Record Medical Supplies,120836.25,47126.14,,,0
CDM,SUP222828,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP222829_C1725_272,Noncdm Charge Record Medical Supplies,20722.77,8081.88,,,0
CDM,SUP222829_C1761_278,Noncdm Charge Record Medical Supplies,20722.77,8081.88,,,0
CDM,SUP22284,Noncdm Charge Record Medical Supplies - Plate Mini 4Hl Reg Cp Ti,590.98,230.48,,,0
CDM,SUP222854,Noncdm Charge Record Medical Supplies,342.58,133.61,,,0
CDM,SUP222855_C1713_278,Noncdm Charge Record Medical Supplies,2938.36,1145.96,,,0
CDM,SUP222856,Noncdm Charge Record Medical Supplies,14452.74,5636.57,,,0
CDM,SUP222858,Noncdm Charge Record Medical Supplies,136.62,53.28,,,0
CDM,SUP222859,Noncdm Charge Record Medical Supplies,274.27,106.97,,,0
CDM,SUP222860,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP222867,Noncdm Charge Record Medical Supplies,728.64,284.17,,,0
CDM,SUP222871,Noncdm Charge Record Medical Supplies,293.94,114.64,,,0
CDM,SUP222876,Noncdm Charge Record Medical Supplies,293.94,114.64,,,0
CDM,SUP222896,Noncdm Charge Record Medical Supplies,23417.91,9132.98,,,0
CDM,SUP222898,Noncdm Charge Record Medical Supplies,22451.22,8755.98,,,0
CDM,SUP222899,Noncdm Charge Record Medical Supplies,127.3,49.65,,,0
CDM,SUP222901,Noncdm Charge Record Medical Supplies,254.61,99.3,,,0
CDM,SUP222902,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP222904,Noncdm Charge Record Medical Supplies,71.42,27.85,,,0
CDM,SUP222906,Noncdm Charge Record Medical Supplies,729.68,284.58,,,0
CDM,SUP222907,Noncdm Charge Record Medical Supplies,661.36,257.93,,,0
CDM,SUP222909,Noncdm Charge Record Medical Supplies,342.58,133.61,,,0
CDM,SUP22291,Noncdm Charge Record Medical Supplies,610.65,238.15,,,0
CDM,SUP222913,Noncdm Charge Record Medical Supplies,767.97,299.51,,,0
CDM,SUP222923,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP222928,Noncdm Charge Record Medical Supplies,2090.7,815.37,,,0
CDM,SUP222933,Noncdm Charge Record Medical Supplies,544.41,212.32,,,0
CDM,SUP222943,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP222952,Noncdm Charge Record Medical Supplies,4409.1,1719.55,,,0
CDM,SUP222953_272,Noncdm Charge Record Medical Supplies,1072.19,418.15,,,0
CDM,SUP222953_A4649_272,Noncdm Charge Record Medical Supplies,1016.16,396.3,,,0
CDM,SUP222958,Noncdm Charge Record Medical Supplies,1061.91,414.14,,,0
CDM,SUP223006,Noncdm Charge Record Medical Supplies,1077.44,420.2,,,0
CDM,SUP223008,Noncdm Charge Record Medical Supplies,856.98,334.22,,,0
CDM,SUP223016,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP223017,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP223039,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP223040,Noncdm Charge Record Medical Supplies,538.72,210.1,,,0
CDM,SUP223052,Noncdm Charge Record Medical Supplies,2249.05,877.13,,,0
CDM,SUP223053,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP223054,Noncdm Charge Record Medical Supplies,2519.19,982.48,,,0
CDM,SUP223084,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP223088,Noncdm Charge Record Medical Supplies,661.36,257.93,,,0
CDM,SUP223090,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP223097,Noncdm Charge Record Medical Supplies,1440.72,561.88,,,0
CDM,SUP223101,Noncdm Charge Record Medical Supplies,292.9,114.23,,,0
CDM,SUP223118,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP223128,Noncdm Charge Record Medical Supplies,311.54,121.5,,,0
CDM,SUP223130_272,Noncdm Charge Record Medical Supplies,35.09,13.69,,,0
CDM,SUP223130_A4649_272,Noncdm Charge Record Medical Supplies,35.19,13.72,,,0
CDM,SUP223136,Noncdm Charge Record Medical Supplies,18367.11,7163.17,,,0
CDM,SUP223139,Noncdm Charge Record Medical Supplies,577.53,225.24,,,0
CDM,SUP22315,Noncdm Charge Record Medical Supplies - Retractor Cheek Transbucccal,885.96,345.52,,,0
CDM,SUP223167,Noncdm Charge Record Medical Supplies,71.42,27.85,,,0
CDM,SUP223171,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP223172,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP223173,Noncdm Charge Record Medical Supplies,670.68,261.57,,,0
CDM,SUP223179,Noncdm Charge Record Medical Supplies,774.18,301.93,,,0
CDM,SUP223180,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP223185,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP223187,Noncdm Charge Record Medical Supplies,93.15,36.33,,,0
CDM,SUP223188,Noncdm Charge Record Medical Supplies,1297.89,506.18,,,0
CDM,SUP223189,Noncdm Charge Record Medical Supplies,363.28,141.68,,,0
CDM,SUP223195,Noncdm Charge Record Medical Supplies,1786.93,696.9,,,0
CDM,SUP223196,Noncdm Charge Record Medical Supplies,6834.1,2665.3,,,0
CDM,SUP2232,Noncdm Charge Record Medical Supplies,3484.84,1359.09,,,0
CDM,SUP223213,Noncdm Charge Record Medical Supplies,785.56,306.37,,,0
CDM,SUP223222,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP223234,Noncdm Charge Record Medical Supplies,5952.28,2321.39,,,0
CDM,SUP223237,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP223240,Noncdm Charge Record Medical Supplies,889.06,346.73,,,0
CDM,SUP223242,Noncdm Charge Record Medical Supplies,8700.21,3393.08,,,0
CDM,SUP223257,Noncdm Charge Record Medical Supplies,889.06,346.73,,,0
CDM,SUP22326,Noncdm Charge Record Medical Supplies - Screw Bn Mini 2.3Mmx7Mm,320.85,125.13,,,0
CDM,SUP223264,Noncdm Charge Record Medical Supplies,8.8,3.43,,,0
CDM,SUP223268,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP223270,Noncdm Charge Record Medical Supplies,889.06,346.73,,,0
CDM,SUP223277,Noncdm Charge Record Medical Supplies,849.22,331.2,,,0
CDM,SUP223278,Noncdm Charge Record Medical Supplies,1249.24,487.2,,,0
CDM,SUP223288,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP223289,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP223290,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP223295,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP223296,Noncdm Charge Record Medical Supplies,2932.16,1143.54,,,0
CDM,SUP223297,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP223298,Noncdm Charge Record Medical Supplies,18518.22,7222.11,,,0
CDM,SUP2233,Noncdm Charge Record Medical Supplies,3484.84,1359.09,,,0
CDM,SUP223305,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP223318,Noncdm Charge Record Medical Supplies,8.8,3.43,,,0
CDM,SUP223322,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP223348,Noncdm Charge Record Medical Supplies,102.98,40.16,,,0
CDM,SUP223356,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP223359,Noncdm Charge Record Medical Supplies,7491.33,2921.62,,,0
CDM,SUP223363,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP223365,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP223377,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP223402,Noncdm Charge Record Medical Supplies,195.62,76.29,,,0
CDM,SUP223418,Noncdm Charge Record Medical Supplies,982.22,383.07,,,0
CDM,SUP223430,Noncdm Charge Record Medical Supplies,4787.91,1867.28,,,0
CDM,SUP223436,Noncdm Charge Record Medical Supplies,156.8,61.15,,,0
CDM,SUP223437,Noncdm Charge Record Medical Supplies,156.64,61.09,,,0
CDM,SUP223438,Noncdm Charge Record Medical Supplies,156.8,61.15,,,0
CDM,SUP223450,Noncdm Charge Record Medical Supplies,76.59,29.87,,,0
CDM,SUP223451,Noncdm Charge Record Medical Supplies,84.04,32.78,,,0
CDM,SUP223452,Noncdm Charge Record Medical Supplies,86.94,33.91,,,0
CDM,SUP223479,Noncdm Charge Record Medical Supplies,7495.47,2923.23,,,0
CDM,SUP223489,Noncdm Charge Record Medical Supplies,121.1,47.23,,,0
CDM,SUP223511,Noncdm Charge Record Medical Supplies,59.0,23.01,,,0
CDM,SUP223512,Noncdm Charge Record Medical Supplies,109.71,42.79,,,0
CDM,SUP223513,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP223514,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP223515,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP223516,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP223517,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP223518,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP223519,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP223520,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP223521,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP223524,Noncdm Charge Record Medical Supplies,1516.28,591.35,,,0
CDM,SUP223527,Noncdm Charge Record Medical Supplies,5339.56,2082.43,,,0
CDM,SUP22353,Noncdm Charge Record Medical Supplies - Screw Lck 2Mmx13Mm Maxdrive,687.24,268.02,,,0
CDM,SUP223532,Noncdm Charge Record Medical Supplies,1516.28,591.35,,,0
CDM,SUP22354,Noncdm Charge Record Medical Supplies - Screw Lck 2Mmx15Mm Maxdrive,687.76,268.23,,,0
CDM,SUP223568,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP22358,Noncdm Charge Record Medical Supplies - Screw Lck 2Mmx7Mm Maxdrive,687.24,268.02,,,0
CDM,SUP223583,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP223584,Noncdm Charge Record Medical Supplies,514.4,200.62,,,0
CDM,SUP22359,Noncdm Charge Record Medical Supplies - Screw Lck 2Mmx9Mm Maxdrive,687.55,268.14,,,0
CDM,SUP223601,Noncdm Charge Record Medical Supplies,3417.57,1332.85,,,0
CDM,SUP223608,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP223615,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP223625,Noncdm Charge Record Medical Supplies,1973.74,769.76,,,0
CDM,SUP22363,Noncdm Charge Record Medical Supplies - Screw Micro 1.5Mmx5Mm Drlfr,289.8,113.02,,,0
CDM,SUP223633,Noncdm Charge Record Medical Supplies,6453.22,2516.76,,,0
CDM,SUP223634,Noncdm Charge Record Medical Supplies,1420.02,553.81,,,0
CDM,SUP223635,Noncdm Charge Record Medical Supplies,651.02,253.9,,,0
CDM,SUP223637,Noncdm Charge Record Medical Supplies,616.86,240.58,,,0
CDM,SUP223641,Noncdm Charge Record Medical Supplies,1008.09,393.16,,,0
CDM,SUP223642,Noncdm Charge Record Medical Supplies,166.29,64.85,,,0
CDM,SUP223647,Noncdm Charge Record Medical Supplies,9237.38,3602.58,,,0
CDM,SUP223648,Noncdm Charge Record Medical Supplies,9237.38,3602.58,,,0
CDM,SUP223658,Noncdm Charge Record Medical Supplies,49.68,19.38,,,0
CDM,SUP223661,Noncdm Charge Record Medical Supplies,370.53,144.51,,,0
CDM,SUP223662,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP22367,Noncdm Charge Record Medical Supplies - Screw Mini 2Mmx11Mm Maxdrive Ti 6Al-4V,286.31,111.66,,,0
CDM,SUP223678,Noncdm Charge Record Medical Supplies,661.36,257.93,,,0
CDM,SUP223682,Noncdm Charge Record Medical Supplies,152.66,59.54,,,0
CDM,SUP223684,Noncdm Charge Record Medical Supplies,27.94,10.9,,,0
CDM,SUP22369,Noncdm Charge Record Medical Supplies - Screw Mini 2Mmx15Mm Maxdrive Ti 6Al-4V,286.44,111.71,,,0
CDM,SUP223691,Noncdm Charge Record Medical Supplies,2865.92,1117.71,,,0
CDM,SUP223698,Noncdm Charge Record Medical Supplies,2022.39,788.73,,,0
CDM,SUP223699,Noncdm Charge Record Medical Supplies,261.86,102.13,,,0
CDM,SUP223700,Noncdm Charge Record Medical Supplies,2618.55,1021.23,,,0
CDM,SUP223703,Noncdm Charge Record Medical Supplies,27.94,10.9,,,0
CDM,SUP223705,Noncdm Charge Record Medical Supplies,1249.24,487.2,,,0
CDM,SUP223706,Noncdm Charge Record Medical Supplies,152.77,59.58,,,0
CDM,SUP223713,Noncdm Charge Record Medical Supplies,27.94,10.9,,,0
CDM,SUP22372,Noncdm Charge Record Medical Supplies - Screw Mini 2Mmx5Mm Drlfr Maxdrive,309.29,120.62,,,0
CDM,SUP223728,Noncdm Charge Record Medical Supplies,240.12,93.65,,,0
CDM,SUP223729,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP223732,Noncdm Charge Record Medical Supplies,27.94,10.9,,,0
CDM,SUP22374,Noncdm Charge Record Medical Supplies - Screw Mini 2Mmx7Mm Drlfr Maxdrive,309.21,120.59,,,0
CDM,SUP223778,Noncdm Charge Record Medical Supplies,79.69,31.08,,,0
CDM,SUP223782,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP223783,Noncdm Charge Record Medical Supplies,25.88,10.09,,,0
CDM,SUP223803,Noncdm Charge Record Medical Supplies,1061.91,414.14,,,0
CDM,SUP223804,Noncdm Charge Record Medical Supplies,2290.46,893.28,,,0
CDM,SUP223805,Noncdm Charge Record Medical Supplies,912.87,356.02,,,0
CDM,SUP223806,Noncdm Charge Record Medical Supplies,239.08,93.24,,,0
CDM,SUP223809,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP223824,Noncdm Charge Record Medical Supplies,17636.4,6878.2,,,0
CDM,SUP223826,Noncdm Charge Record Medical Supplies,25.88,10.09,,,0
CDM,SUP223827,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP223831,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP223832,Noncdm Charge Record Medical Supplies,3170.2,1236.38,,,0
CDM,SUP223843,Noncdm Charge Record Medical Supplies,1061.91,414.14,,,0
CDM,SUP223846,Noncdm Charge Record Medical Supplies,1440.72,561.88,,,0
CDM,SUP223850,Noncdm Charge Record Medical Supplies,1484.19,578.83,,,0
CDM,SUP223852,Noncdm Charge Record Medical Supplies,292.9,114.23,,,0
CDM,SUP223855,Noncdm Charge Record Medical Supplies,219.42,85.57,,,0
CDM,SUP223856,Noncdm Charge Record Medical Supplies,10403.3,4057.29,,,0
CDM,SUP223858,Noncdm Charge Record Medical Supplies,2157.98,841.61,,,0
CDM,SUP223859,Noncdm Charge Record Medical Supplies,10446.25,4074.04,,,0
CDM,SUP223862,Noncdm Charge Record Medical Supplies,10446.25,4074.04,,,0
CDM,SUP223864,Noncdm Charge Record Medical Supplies,25.88,10.09,,,0
CDM,SUP223869,Noncdm Charge Record Medical Supplies,1772.96,691.45,,,0
CDM,SUP223876,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP223878,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP223888,Noncdm Charge Record Medical Supplies,4409.1,1719.55,,,0
CDM,SUP223892,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP223896,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP223897,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP2239,Noncdm Charge Record Medical Supplies - Shield Strl Sm 2.5X4 Sorbaview,12.42,4.84,,,0
CDM,SUP223905,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP223907,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP22391,Noncdm Charge Record Medical Supplies - Drill Twist 1.5X50Mm 5Mm Stop W Notch,639.63,249.46,,,0
CDM,SUP223914,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP223916,Noncdm Charge Record Medical Supplies,2585.43,1008.32,,,0
CDM,SUP223917,Noncdm Charge Record Medical Supplies,2585.43,1008.32,,,0
CDM,SUP223918,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP22392,Noncdm Charge Record Medical Supplies - Drill Twist 1.5X50Mm 7Mm Stop W Notch,640.66,249.86,,,0
CDM,SUP223921,Noncdm Charge Record Medical Supplies,304.81,118.88,,,0
CDM,SUP223930,Noncdm Charge Record Medical Supplies,1958.22,763.71,,,0
CDM,SUP223934,Noncdm Charge Record Medical Supplies,3672.18,1432.15,,,0
CDM,SUP223935,Noncdm Charge Record Medical Supplies,274.27,106.97,,,0
CDM,SUP223936,Noncdm Charge Record Medical Supplies,127.3,49.65,,,0
CDM,SUP223946,Noncdm Charge Record Medical Supplies,2065.86,805.69,,,0
CDM,SUP223948,Noncdm Charge Record Medical Supplies,1566.99,611.13,,,0
CDM,SUP223954,Noncdm Charge Record Medical Supplies,2349.45,916.29,,,0
CDM,SUP223959,Noncdm Charge Record Medical Supplies,1449.0,565.11,,,0
CDM,SUP223960,Noncdm Charge Record Medical Supplies,641.7,250.26,,,0
CDM,SUP223961,Noncdm Charge Record Medical Supplies,127.3,49.65,,,0
CDM,SUP223964,Noncdm Charge Record Medical Supplies,274.27,106.97,,,0
CDM,SUP223965,Noncdm Charge Record Medical Supplies,127.3,49.65,,,0
CDM,SUP223966,Noncdm Charge Record Medical Supplies,274.27,106.97,,,0
CDM,SUP223983,Noncdm Charge Record Medical Supplies,3808.8,1485.43,,,0
CDM,SUP223984,Noncdm Charge Record Medical Supplies,1400.36,546.14,,,0
CDM,SUP223991,Noncdm Charge Record Medical Supplies,100.4,39.16,,,0
CDM,SUP223994,Noncdm Charge Record Medical Supplies,1.29,0.5,,,0
CDM,SUP224010,Noncdm Charge Record Medical Supplies,8.8,3.43,,,0
CDM,SUP224018,Noncdm Charge Record Medical Supplies,4409.1,1719.55,,,0
CDM,SUP22402,Noncdm Charge Record Medical Supplies,1953.04,761.69,,,0
CDM,SUP224022,Noncdm Charge Record Medical Supplies,1686.02,657.55,,,0
CDM,SUP224023_272,Noncdm Charge Record Medical Supplies,107.64,41.98,,,0
CDM,SUP224023_A4649_272,Noncdm Charge Record Medical Supplies,107.64,41.98,,,0
CDM,SUP224023_A9999_272,Noncdm Charge Record Medical Supplies,107.64,41.98,,,0
CDM,SUP224030,Noncdm Charge Record Medical Supplies,424.35,165.5,,,0
CDM,SUP224036,Noncdm Charge Record Medical Supplies,1321.7,515.46,,,0
CDM,SUP224037,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP224038,Noncdm Charge Record Medical Supplies,244.78,95.46,,,0
CDM,SUP224040,Noncdm Charge Record Medical Supplies,293.94,114.64,,,0
CDM,SUP224041,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP224043,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP224045,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP224046,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP224047,Noncdm Charge Record Medical Supplies,1836.09,716.08,,,0
CDM,SUP224048,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP224050,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP224051,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP224052,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP224053,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP224055,Noncdm Charge Record Medical Supplies,225.63,88.0,,,0
CDM,SUP224056,Noncdm Charge Record Medical Supplies,40.36,15.74,,,0
CDM,SUP224057,Noncdm Charge Record Medical Supplies,189.4,73.87,,,0
CDM,SUP224064,Noncdm Charge Record Medical Supplies,636.52,248.24,,,0
CDM,SUP224068,Noncdm Charge Record Medical Supplies,710.01,276.9,,,0
CDM,SUP224088,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP224089_C1889_272,Noncdm Charge Record Medical Supplies,2932.16,1143.54,,,0
CDM,SUP224097,Noncdm Charge Record Medical Supplies,8.62,3.36,,,0
CDM,SUP2241,Noncdm Charge Record Medical Supplies - Bone Ilc Crst Wedge Lg 1.5Mmx10Mmx25Mm Frzdr,3837.78,1496.73,,,0
CDM,SUP224109,Noncdm Charge Record Medical Supplies,8.28,3.23,,,0
CDM,SUP224143,Noncdm Charge Record Medical Supplies,1.03,0.4,,,0
CDM,SUP224159,Noncdm Charge Record Medical Supplies,1375.52,536.45,,,0
CDM,SUP224161,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP224163,Noncdm Charge Record Medical Supplies,1871.28,729.8,,,0
CDM,SUP224167,Noncdm Charge Record Medical Supplies,131.44,51.26,,,0
CDM,SUP224171,Noncdm Charge Record Medical Supplies,2468.48,962.71,,,0
CDM,SUP224172,Noncdm Charge Record Medical Supplies,2032.74,792.77,,,0
CDM,SUP224182,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP224205,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP224215,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP224237,Noncdm Charge Record Medical Supplies,2249.05,877.13,,,0
CDM,SUP224239,Noncdm Charge Record Medical Supplies,2249.05,877.13,,,0
CDM,SUP224240,Noncdm Charge Record Medical Supplies,4276.62,1667.88,,,0
CDM,SUP224241,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP224242,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP224243,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP224244,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP224245,Noncdm Charge Record Medical Supplies,244.78,95.46,,,0
CDM,SUP224246,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP224251,Noncdm Charge Record Medical Supplies,156.28,60.95,,,0
CDM,SUP224256,Noncdm Charge Record Medical Supplies,661.36,257.93,,,0
CDM,SUP224259,Noncdm Charge Record Medical Supplies,4850.01,1891.5,,,0
CDM,SUP224263,Noncdm Charge Record Medical Supplies,24.84,9.69,,,0
CDM,SUP224270,Noncdm Charge Record Medical Supplies,24.84,9.69,,,0
CDM,SUP224280,Noncdm Charge Record Medical Supplies,1260.63,491.65,,,0
CDM,SUP224299,Noncdm Charge Record Medical Supplies,663.44,258.74,,,0
CDM,SUP2243,Noncdm Charge Record Medical Supplies - Rod 60Mm 3Mm Carb Fib Ext Fix Mini Ext Fix,164.56,64.18,,,0
CDM,SUP224303,Noncdm Charge Record Medical Supplies,1260.63,491.65,,,0
CDM,SUP224309,Noncdm Charge Record Medical Supplies,25.88,10.09,,,0
CDM,SUP224312,Noncdm Charge Record Medical Supplies,109.71,42.79,,,0
CDM,SUP224313,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP224314,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP224315,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP224316,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP224317,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP224318,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP224319,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP224332,Noncdm Charge Record Medical Supplies,2386.71,930.82,,,0
CDM,SUP224334,Noncdm Charge Record Medical Supplies,7.24,2.82,,,0
CDM,SUP224336,Noncdm Charge Record Medical Supplies,7866.0,3067.74,,,0
CDM,SUP224346,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP224349,Noncdm Charge Record Medical Supplies,75305.56,29369.17,,,0
CDM,SUP224350,Noncdm Charge Record Medical Supplies,20300.49,7917.19,,,0
CDM,SUP224352,Noncdm Charge Record Medical Supplies,989.46,385.89,,,0
CDM,SUP224354,Noncdm Charge Record Medical Supplies,13471.56,5253.91,,,0
CDM,SUP224356,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP224358,Noncdm Charge Record Medical Supplies,55101.33,21489.52,,,0
CDM,SUP224359_C2596_272,Noncdm Charge Record Medical Supplies,14329.58,5588.54,,,0
CDM,SUP224359_C2596_278,Noncdm Charge Record Medical Supplies,14329.58,5588.54,,,0
CDM,SUP224360,Noncdm Charge Record Medical Supplies,52684.6,20546.99,,,0
CDM,SUP224366,Noncdm Charge Record Medical Supplies,122.13,47.63,,,0
CDM,SUP224367,Noncdm Charge Record Medical Supplies,5.18,2.02,,,0
CDM,SUP224372,Noncdm Charge Record Medical Supplies,1848.51,720.92,,,0
CDM,SUP224374,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP224385,Noncdm Charge Record Medical Supplies,304.88,118.9,,,0
CDM,SUP224387,Noncdm Charge Record Medical Supplies,596.85,232.77,,,0
CDM,SUP224388,Noncdm Charge Record Medical Supplies,596.68,232.71,,,0
CDM,SUP224389,Noncdm Charge Record Medical Supplies,11022.75,4298.87,,,0
CDM,SUP224390,Noncdm Charge Record Medical Supplies,3751.88,1463.23,,,0
CDM,SUP224391,Noncdm Charge Record Medical Supplies,4690.62,1829.34,,,0
CDM,SUP224392,Noncdm Charge Record Medical Supplies,3751.88,1463.23,,,0
CDM,SUP224393,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP224394,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP224396,Noncdm Charge Record Medical Supplies,1.03,0.4,,,0
CDM,SUP224398,Noncdm Charge Record Medical Supplies,2117.61,825.87,,,0
CDM,SUP224400,Noncdm Charge Record Medical Supplies,303.26,118.27,,,0
CDM,SUP224408,Noncdm Charge Record Medical Supplies,2715.84,1059.18,,,0
CDM,SUP224409,Noncdm Charge Record Medical Supplies,6.21,2.42,,,0
CDM,SUP224410,Noncdm Charge Record Medical Supplies,1713.96,668.44,,,0
CDM,SUP224411,Noncdm Charge Record Medical Supplies,73.48,28.66,,,0
CDM,SUP224412,Noncdm Charge Record Medical Supplies,856.98,334.22,,,0
CDM,SUP224458,Noncdm Charge Record Medical Supplies,1223.89,477.32,,,0
CDM,SUP224459,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP224467,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP224492,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP224493,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP224494,Noncdm Charge Record Medical Supplies,2425.0,945.75,,,0
CDM,SUP224495,Noncdm Charge Record Medical Supplies,10251.67,3998.15,,,0
CDM,SUP224506,Noncdm Charge Record Medical Supplies,1713.96,668.44,,,0
CDM,SUP224509,Noncdm Charge Record Medical Supplies,507.15,197.79,,,0
CDM,SUP224515,Noncdm Charge Record Medical Supplies,1713.96,668.44,,,0
CDM,SUP224519,Noncdm Charge Record Medical Supplies,9.32,3.63,,,0
CDM,SUP224524,Noncdm Charge Record Medical Supplies,1.03,0.4,,,0
CDM,SUP224525,Noncdm Charge Record Medical Supplies,6613.65,2579.32,,,0
CDM,SUP224527,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP224528,Noncdm Charge Record Medical Supplies,1848.51,720.92,,,0
CDM,SUP224529,Noncdm Charge Record Medical Supplies,1916.82,747.56,,,0
CDM,SUP224531,Noncdm Charge Record Medical Supplies,1930.28,752.81,,,0
CDM,SUP224532,Noncdm Charge Record Medical Supplies,2124.86,828.7,,,0
CDM,SUP224533,Noncdm Charge Record Medical Supplies,283.93,110.73,,,0
CDM,SUP224534,Noncdm Charge Record Medical Supplies,622.04,242.6,,,0
CDM,SUP224535,Noncdm Charge Record Medical Supplies,166.64,64.99,,,0
CDM,SUP224539,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP224545,Noncdm Charge Record Medical Supplies,2315.3,902.97,,,0
CDM,SUP224548,Noncdm Charge Record Medical Supplies,2499.52,974.81,,,0
CDM,SUP224549,Noncdm Charge Record Medical Supplies,1053.63,410.92,,,0
CDM,SUP224551,Noncdm Charge Record Medical Supplies,1081.92,421.95,,,0
CDM,SUP224552,Noncdm Charge Record Medical Supplies,481.28,187.7,,,0
CDM,SUP224598,Noncdm Charge Record Medical Supplies,1296.86,505.78,,,0
CDM,SUP224601,Noncdm Charge Record Medical Supplies,1566.99,611.13,,,0
CDM,SUP224612,Noncdm Charge Record Medical Supplies,1449.0,565.11,,,0
CDM,SUP224623,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP224628_C1713_278,Noncdm Charge Record Medical Supplies,12764.66,4978.22,,,0
CDM,SUP224630,Noncdm Charge Record Medical Supplies,1884.74,735.05,,,0
CDM,SUP224635,Noncdm Charge Record Medical Supplies,4.66,1.82,,,0
CDM,SUP224645,Noncdm Charge Record Medical Supplies,3472.42,1354.24,,,0
CDM,SUP224658,Noncdm Charge Record Medical Supplies,4.14,1.61,,,0
CDM,SUP224661,Noncdm Charge Record Medical Supplies,8.62,3.36,,,0
CDM,SUP224667,Noncdm Charge Record Medical Supplies,972.9,379.43,,,0
CDM,SUP224670,Noncdm Charge Record Medical Supplies,59.0,23.01,,,0
CDM,SUP224672,Noncdm Charge Record Medical Supplies,6453.22,2516.76,,,0
CDM,SUP224674,Noncdm Charge Record Medical Supplies,4.14,1.61,,,0
CDM,SUP224696,Noncdm Charge Record Medical Supplies,342.58,133.61,,,0
CDM,SUP224699,Noncdm Charge Record Medical Supplies,6.25,2.44,,,0
CDM,SUP224701,Noncdm Charge Record Medical Supplies,1370.34,534.43,,,0
CDM,SUP224703,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP224704,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP224705,Noncdm Charge Record Medical Supplies,146.97,57.32,,,0
CDM,SUP224706,Noncdm Charge Record Medical Supplies,367.17,143.2,,,0
CDM,SUP224708,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP224732,Noncdm Charge Record Medical Supplies,710.01,276.9,,,0
CDM,SUP224734,Noncdm Charge Record Medical Supplies,8156.84,3181.17,,,0
CDM,SUP224738,Noncdm Charge Record Medical Supplies,1220.27,475.91,,,0
CDM,SUP224739,Noncdm Charge Record Medical Supplies,665.28,259.46,,,0
CDM,SUP224740,Noncdm Charge Record Medical Supplies,1889.91,737.06,,,0
CDM,SUP224741,Noncdm Charge Record Medical Supplies,820.67,320.06,,,0
CDM,SUP224742,Noncdm Charge Record Medical Supplies,1184.56,461.98,,,0
CDM,SUP224743,Noncdm Charge Record Medical Supplies,1437.97,560.81,,,0
CDM,SUP224744,Noncdm Charge Record Medical Supplies,1781.24,694.68,,,0
CDM,SUP224746,Noncdm Charge Record Medical Supplies,6087.87,2374.27,,,0
CDM,SUP22475,Noncdm Charge Record Medical Supplies - Bit Drill 5.0Mm Long,1008.23,393.21,,,0
CDM,SUP224761,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP224762,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP224766,Noncdm Charge Record Medical Supplies,767.97,299.51,,,0
CDM,SUP224768,Noncdm Charge Record Medical Supplies,1305.14,509.0,,,0
CDM,SUP224770,Noncdm Charge Record Medical Supplies,3055.32,1191.57,,,0
CDM,SUP224775,Noncdm Charge Record Medical Supplies,310.5,121.1,,,0
CDM,SUP224779,Noncdm Charge Record Medical Supplies,767.97,299.51,,,0
CDM,SUP224790,Noncdm Charge Record Medical Supplies,2349.45,916.29,,,0
CDM,SUP224792,Noncdm Charge Record Medical Supplies,1840.23,717.69,,,0
CDM,SUP2247_272,Noncdm Charge Record Medical Supplies - Electrode 2.84In Coated 3-32In Edge Std Electrosurg,18.62,7.26,,,0
CDM,SUP2247_A4649_272,Noncdm Charge Record Medical Supplies - Electrode 2.84In Coated 3-32In Edge Std Electrosurg,18.63,7.27,,,0
CDM,SUP2247_A9999_272,Noncdm Charge Record Medical Supplies - Electrode 2.84In Coated 3-32In Edge Std Electrosurg,18.63,7.27,,,0
CDM,SUP224800,Noncdm Charge Record Medical Supplies,608.58,237.35,,,0
CDM,SUP224801,Noncdm Charge Record Medical Supplies,634.46,247.44,,,0
CDM,SUP224805,Noncdm Charge Record Medical Supplies,708.98,276.5,,,0
CDM,SUP224811,Noncdm Charge Record Medical Supplies,603.4,235.33,,,0
CDM,SUP224823,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP224824,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP224828,Noncdm Charge Record Medical Supplies,621.69,242.46,,,0
CDM,SUP224829,Noncdm Charge Record Medical Supplies,2473.65,964.72,,,0
CDM,SUP224833,Noncdm Charge Record Medical Supplies,1400.36,546.14,,,0
CDM,SUP224834,Noncdm Charge Record Medical Supplies,59.0,23.01,,,0
CDM,SUP224835,Noncdm Charge Record Medical Supplies,20722.77,8081.88,,,0
CDM,SUP224838,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP224839,Noncdm Charge Record Medical Supplies,8787.15,3426.99,,,0
CDM,SUP224846,Noncdm Charge Record Medical Supplies,8818.2,3439.1,,,0
CDM,SUP224847,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP224849,Noncdm Charge Record Medical Supplies,5731.83,2235.41,,,0
CDM,SUP224850,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP224853,Noncdm Charge Record Medical Supplies,4332.51,1689.68,,,0
CDM,SUP224857_C1762_278,Noncdm Charge Record Medical Supplies,4108.95,1602.49,,,0
CDM,SUP224857_C1763_278,Noncdm Charge Record Medical Supplies,4108.95,1602.49,,,0
CDM,SUP224858,Noncdm Charge Record Medical Supplies,5921.24,2309.28,,,0
CDM,SUP224860,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP224861,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP224862,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP224863,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP224864,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP224865,Noncdm Charge Record Medical Supplies,3472.42,1354.24,,,0
CDM,SUP224866,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP224868,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP224869,Noncdm Charge Record Medical Supplies,4.14,1.61,,,0
CDM,SUP224870,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP224871,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP224872,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP224873,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP224876,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP224884,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP224894,Noncdm Charge Record Medical Supplies,608.58,237.35,,,0
CDM,SUP224895,Noncdm Charge Record Medical Supplies,123.16,48.03,,,0
CDM,SUP224909,Noncdm Charge Record Medical Supplies,531.99,207.48,,,0
CDM,SUP224923,Noncdm Charge Record Medical Supplies,423.32,165.09,,,0
CDM,SUP224924,Noncdm Charge Record Medical Supplies,725.54,282.96,,,0
CDM,SUP224944,Noncdm Charge Record Medical Supplies,303.26,118.27,,,0
CDM,SUP224953,Noncdm Charge Record Medical Supplies,68.31,26.64,,,0
CDM,SUP224954,Noncdm Charge Record Medical Supplies,82.8,32.29,,,0
CDM,SUP224955_272,Noncdm Charge Record Medical Supplies,145.21,56.63,,,0
CDM,SUP224955_C1713_278,Noncdm Charge Record Medical Supplies,97.29,37.94,,,0
CDM,SUP224955_C1889_278,Noncdm Charge Record Medical Supplies,134.55,52.47,,,0
CDM,SUP224955_L8699_278,Noncdm Charge Record Medical Supplies,134.55,52.47,,,0
CDM,SUP224956,Noncdm Charge Record Medical Supplies,73.48,28.66,,,0
CDM,SUP224973,Noncdm Charge Record Medical Supplies,313.6,122.3,,,0
CDM,SUP224978,Noncdm Charge Record Medical Supplies,274.27,106.97,,,0
CDM,SUP224979,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP224980,Noncdm Charge Record Medical Supplies,127.3,49.65,,,0
CDM,SUP224983,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP224985,Noncdm Charge Record Medical Supplies,18518.22,7222.11,,,0
CDM,SUP224988,Noncdm Charge Record Medical Supplies,2932.16,1143.54,,,0
CDM,SUP224989,Noncdm Charge Record Medical Supplies,608.58,237.35,,,0
CDM,SUP224998,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP224999,Noncdm Charge Record Medical Supplies,1686.02,657.55,,,0
CDM,SUP225,Noncdm Charge Record Medical Supplies - Tube 62Mm 9.4 5Mm Cuff Loprs Inr Cannula,170.78,66.6,,,0
CDM,SUP225002,Noncdm Charge Record Medical Supplies,802.12,312.83,,,0
CDM,SUP225003,Noncdm Charge Record Medical Supplies,16754.58,6534.29,,,0
CDM,SUP225016,Noncdm Charge Record Medical Supplies,322.92,125.94,,,0
CDM,SUP225017,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP225018,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP225020,Noncdm Charge Record Medical Supplies,2932.16,1143.54,,,0
CDM,SUP225021_C1889_278,Noncdm Charge Record Medical Supplies,18518.22,7222.11,,,0
CDM,SUP225029,Noncdm Charge Record Medical Supplies,2257.34,880.36,,,0
CDM,SUP225032,Noncdm Charge Record Medical Supplies,2257.34,880.36,,,0
CDM,SUP225033,Noncdm Charge Record Medical Supplies,612.2,238.76,,,0
CDM,SUP225034,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP225035,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP225036,Noncdm Charge Record Medical Supplies,1516.28,591.35,,,0
CDM,SUP225038,Noncdm Charge Record Medical Supplies,510.26,199.0,,,0
CDM,SUP225041,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP225043,Noncdm Charge Record Medical Supplies,43.47,16.95,,,0
CDM,SUP225053,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP225063,Noncdm Charge Record Medical Supplies,1440.72,561.88,,,0
CDM,SUP225068,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP225102,Noncdm Charge Record Medical Supplies,476.1,185.68,,,0
CDM,SUP225104,Noncdm Charge Record Medical Supplies,508.18,198.19,,,0
CDM,SUP225115,Noncdm Charge Record Medical Supplies,2032.74,792.77,,,0
CDM,SUP225116,Noncdm Charge Record Medical Supplies,2468.48,962.71,,,0
CDM,SUP225124,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP225125,Noncdm Charge Record Medical Supplies,1321.7,515.46,,,0
CDM,SUP225130,Noncdm Charge Record Medical Supplies,692.42,270.04,,,0
CDM,SUP225132,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP225136,Noncdm Charge Record Medical Supplies,5511.38,2149.44,,,0
CDM,SUP225156,Noncdm Charge Record Medical Supplies,983.25,383.47,,,0
CDM,SUP225193,Noncdm Charge Record Medical Supplies,805.23,314.04,,,0
CDM,SUP225198,Noncdm Charge Record Medical Supplies,36.22,14.13,,,0
CDM,SUP225200,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP225202,Noncdm Charge Record Medical Supplies,63.14,24.62,,,0
CDM,SUP225204,Noncdm Charge Record Medical Supplies,2080.35,811.34,,,0
CDM,SUP225211,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP22522,Noncdm Charge Record Medical Supplies - Componet Ps Fem 5 Lt Cement,11605.46,4526.13,,,0
CDM,SUP225248,Noncdm Charge Record Medical Supplies,605.99,236.34,,,0
CDM,SUP22525,Noncdm Charge Record Medical Supplies - Baseplate Tib Tri Ts 6,10611.86,4138.63,,,0
CDM,SUP225250,Noncdm Charge Record Medical Supplies,2231.46,870.27,,,0
CDM,SUP225257,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP225259,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP225261,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP225267,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP225288,Noncdm Charge Record Medical Supplies,244.78,95.46,,,0
CDM,SUP225292,Noncdm Charge Record Medical Supplies,30.53,11.91,,,0
CDM,SUP2253,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 26Mm Lc Dcp Ss P-T Canc Ns Sm,155.25,60.55,,,0
CDM,SUP225321,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP225322,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP225350,Noncdm Charge Record Medical Supplies,11419.16,4453.47,,,0
CDM,SUP225355,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP225382,Noncdm Charge Record Medical Supplies,2364.98,922.34,,,0
CDM,SUP225387,Noncdm Charge Record Medical Supplies,48.64,18.97,,,0
CDM,SUP225390,Noncdm Charge Record Medical Supplies,719.32,280.53,,,0
CDM,SUP225391_270,Noncdm Charge Record Medical Supplies,26.91,10.49,,,0
CDM,SUP225391_272,Noncdm Charge Record Medical Supplies,26.91,10.49,,,0
CDM,SUP225391_A4649_270,Noncdm Charge Record Medical Supplies,26.91,10.49,,,0
CDM,SUP225393,Noncdm Charge Record Medical Supplies,2408.45,939.3,,,0
CDM,SUP225406,Noncdm Charge Record Medical Supplies,1884.74,735.05,,,0
CDM,SUP225436,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP225437,Noncdm Charge Record Medical Supplies,35360.78,13790.7,,,0
CDM,SUP225440,Noncdm Charge Record Medical Supplies,9942.21,3877.46,,,0
CDM,SUP225453,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP225460,Noncdm Charge Record Medical Supplies,410.9,160.25,,,0
CDM,SUP225462,Noncdm Charge Record Medical Supplies,5622.12,2192.63,,,0
CDM,SUP225489,Noncdm Charge Record Medical Supplies,497.84,194.16,,,0
CDM,SUP225492,Noncdm Charge Record Medical Supplies,1107.45,431.91,,,0
CDM,SUP225507,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP225508,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP225513,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP225515,Noncdm Charge Record Medical Supplies,1101.24,429.48,,,0
CDM,SUP225525,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP225528,Noncdm Charge Record Medical Supplies,49.68,19.38,,,0
CDM,SUP225549,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP225550,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP225551,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP225552,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP225553,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP225554,Noncdm Charge Record Medical Supplies,1610.46,628.08,,,0
CDM,SUP225570_270,Noncdm Charge Record Medical Supplies,133.51,52.07,,,0
CDM,SUP225579,Noncdm Charge Record Medical Supplies,342.58,133.61,,,0
CDM,SUP225580,Noncdm Charge Record Medical Supplies,2557.48,997.42,,,0
CDM,SUP225582,Noncdm Charge Record Medical Supplies,25.88,10.09,,,0
CDM,SUP225588,Noncdm Charge Record Medical Supplies,423.32,165.09,,,0
CDM,SUP225589,Noncdm Charge Record Medical Supplies,37.26,14.53,,,0
CDM,SUP225596,Noncdm Charge Record Medical Supplies,1973.74,769.76,,,0
CDM,SUP225599,Noncdm Charge Record Medical Supplies,2888.68,1126.59,,,0
CDM,SUP2255_272,Noncdm Charge Record Medical Supplies - Washer 7Mm Orth Ss 4Mm Cannula Screw Ns,102.46,39.96,,,0
CDM,SUP2255_C1713_278,Noncdm Charge Record Medical Supplies - Washer 7Mm Orth Ss 4Mm Cannula Screw Ns,104.1,40.6,,,0
CDM,SUP2255_L8699_278,Noncdm Charge Record Medical Supplies - Washer 7Mm Orth Ss 4Mm Cannula Screw Ns,102.46,39.96,,,0
CDM,SUP225601,Noncdm Charge Record Medical Supplies,2056.54,802.05,,,0
CDM,SUP225605,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP225615,Noncdm Charge Record Medical Supplies,166.29,64.85,,,0
CDM,SUP225616,Noncdm Charge Record Medical Supplies,880.78,343.5,,,0
CDM,SUP225619,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP225620,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP225621,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP225623,Noncdm Charge Record Medical Supplies,166.64,64.99,,,0
CDM,SUP225626,Noncdm Charge Record Medical Supplies,1349.64,526.36,,,0
CDM,SUP225627,Noncdm Charge Record Medical Supplies,983.77,383.67,,,0
CDM,SUP225640,Noncdm Charge Record Medical Supplies,494.73,192.94,,,0
CDM,SUP225647,Noncdm Charge Record Medical Supplies,1167.48,455.32,,,0
CDM,SUP225648_272,Noncdm Charge Record Medical Supplies,5820.92,2270.16,,,0
CDM,SUP225648_A4649_272,Noncdm Charge Record Medical Supplies,5810.79,2266.21,,,0
CDM,SUP225649,Noncdm Charge Record Medical Supplies,27.94,10.9,,,0
CDM,SUP225651,Noncdm Charge Record Medical Supplies,2183.85,851.7,,,0
CDM,SUP225652,Noncdm Charge Record Medical Supplies,481.28,187.7,,,0
CDM,SUP225655,Noncdm Charge Record Medical Supplies,6151.0,2398.89,,,0
CDM,SUP225658,Noncdm Charge Record Medical Supplies,27.94,10.9,,,0
CDM,SUP225660,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP225662,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP225663,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP225664,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP225668,Noncdm Charge Record Medical Supplies,37.26,14.53,,,0
CDM,SUP225670,Noncdm Charge Record Medical Supplies,671.72,261.97,,,0
CDM,SUP225711,Noncdm Charge Record Medical Supplies,7226.37,2818.28,,,0
CDM,SUP225712,Noncdm Charge Record Medical Supplies,127.3,49.65,,,0
CDM,SUP225713,Noncdm Charge Record Medical Supplies,274.27,106.97,,,0
CDM,SUP225714,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP225726,Noncdm Charge Record Medical Supplies,28.98,11.3,,,0
CDM,SUP225727_272,Noncdm Charge Record Medical Supplies,97.87,38.17,,,0
CDM,SUP225727_A4649_272,Noncdm Charge Record Medical Supplies,97.85,38.16,,,0
CDM,SUP225738,Noncdm Charge Record Medical Supplies,648.95,253.09,,,0
CDM,SUP225747,Noncdm Charge Record Medical Supplies,767.97,299.51,,,0
CDM,SUP225748,Noncdm Charge Record Medical Supplies,767.97,299.51,,,0
CDM,SUP225762,Noncdm Charge Record Medical Supplies,1454.18,567.13,,,0
CDM,SUP225772,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP225779,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP225780,Noncdm Charge Record Medical Supplies,190.96,74.47,,,0
CDM,SUP225781,Noncdm Charge Record Medical Supplies,1067.08,416.16,,,0
CDM,SUP225782,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP225783,Noncdm Charge Record Medical Supplies,1806.08,704.37,,,0
CDM,SUP225784,Noncdm Charge Record Medical Supplies,1678.77,654.72,,,0
CDM,SUP225786,Noncdm Charge Record Medical Supplies,1718.1,670.06,,,0
CDM,SUP225789,Noncdm Charge Record Medical Supplies,18.63,7.27,,,0
CDM,SUP225797,Noncdm Charge Record Medical Supplies,5577.62,2175.27,,,0
CDM,SUP225800,Noncdm Charge Record Medical Supplies,453.33,176.8,,,0
CDM,SUP225811,Noncdm Charge Record Medical Supplies,2130.03,830.71,,,0
CDM,SUP225816,Noncdm Charge Record Medical Supplies,2212.83,863.0,,,0
CDM,SUP225819,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP225821,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP225822,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP225823,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP225824,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP225825,Noncdm Charge Record Medical Supplies,1943.73,758.05,,,0
CDM,SUP225826,Noncdm Charge Record Medical Supplies,3571.78,1392.99,,,0
CDM,SUP225828,Noncdm Charge Record Medical Supplies,2270.79,885.61,,,0
CDM,SUP225830,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP225837,Noncdm Charge Record Medical Supplies,7495.47,2923.23,,,0
CDM,SUP225845,Noncdm Charge Record Medical Supplies,5577.62,2175.27,,,0
CDM,SUP225850,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP225851,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP225852,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP225853,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP225854_A4649_272,Noncdm Charge Record Medical Supplies,1425.97,556.13,,,0
CDM,SUP225855,Noncdm Charge Record Medical Supplies,2164.18,844.03,,,0
CDM,SUP225856,Noncdm Charge Record Medical Supplies,244.78,95.46,,,0
CDM,SUP225857,Noncdm Charge Record Medical Supplies,1909.58,744.74,,,0
CDM,SUP225858,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP225859,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP225868,Noncdm Charge Record Medical Supplies,12125.02,4728.76,,,0
CDM,SUP225881,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP225884,Noncdm Charge Record Medical Supplies,4850.01,1891.5,,,0
CDM,SUP225888,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP225889,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP225890,Noncdm Charge Record Medical Supplies,2130.03,830.71,,,0
CDM,SUP225891_272,Noncdm Charge Record Medical Supplies,7.41,2.89,,,0
CDM,SUP225891_A4649_272,Noncdm Charge Record Medical Supplies,8.28,3.23,,,0
CDM,SUP225891_A9999_272,Noncdm Charge Record Medical Supplies,5.18,2.02,,,0
CDM,SUP2259,Noncdm Charge Record Medical Supplies,4.14,1.61,,,0
CDM,SUP225905,Noncdm Charge Record Medical Supplies,13426.02,5236.15,,,0
CDM,SUP225908,Noncdm Charge Record Medical Supplies,7632.09,2976.52,,,0
CDM,SUP225909,Noncdm Charge Record Medical Supplies,480.24,187.29,,,0
CDM,SUP225910,Noncdm Charge Record Medical Supplies,200.79,78.31,,,0
CDM,SUP225916,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP225917,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP225922,Noncdm Charge Record Medical Supplies,1356.88,529.18,,,0
CDM,SUP225924,Noncdm Charge Record Medical Supplies,408.82,159.44,,,0
CDM,SUP225927,Noncdm Charge Record Medical Supplies,409.86,159.85,,,0
CDM,SUP225928,Noncdm Charge Record Medical Supplies,4850.01,1891.5,,,0
CDM,SUP225936,Noncdm Charge Record Medical Supplies,68.31,26.64,,,0
CDM,SUP225937,Noncdm Charge Record Medical Supplies,929.95,362.68,,,0
CDM,SUP225938,Noncdm Charge Record Medical Supplies,1052.6,410.51,,,0
CDM,SUP225939,Noncdm Charge Record Medical Supplies,2618.55,1021.23,,,0
CDM,SUP225940,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP225941,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP225951,Noncdm Charge Record Medical Supplies,11.38,4.44,,,0
CDM,SUP225964,Noncdm Charge Record Medical Supplies,480.24,187.29,,,0
CDM,SUP225987,Noncdm Charge Record Medical Supplies,1484.19,578.83,,,0
CDM,SUP225992,Noncdm Charge Record Medical Supplies,1440.72,561.88,,,0
CDM,SUP226,Noncdm Charge Record Medical Supplies - See 112434 Tube Sz8 7.6X12.2X79 Cuff Inr Loprs Cannula,170.78,66.6,,,0
CDM,SUP226000,Noncdm Charge Record Medical Supplies,1199.56,467.83,,,0
CDM,SUP226001,Noncdm Charge Record Medical Supplies,1287.54,502.14,,,0
CDM,SUP226002,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP226009,Noncdm Charge Record Medical Supplies,2425.0,945.75,,,0
CDM,SUP226010,Noncdm Charge Record Medical Supplies,2203.52,859.37,,,0
CDM,SUP226017,Noncdm Charge Record Medical Supplies,1199.56,467.83,,,0
CDM,SUP226018,Noncdm Charge Record Medical Supplies,538.48,210.01,,,0
CDM,SUP226019,Noncdm Charge Record Medical Supplies,416.07,162.27,,,0
CDM,SUP226024,Noncdm Charge Record Medical Supplies,1206.81,470.66,,,0
CDM,SUP226031,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP226034,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP226037,Noncdm Charge Record Medical Supplies,18518.22,7222.11,,,0
CDM,SUP226038,Noncdm Charge Record Medical Supplies,4.14,1.61,,,0
CDM,SUP226069,Noncdm Charge Record Medical Supplies,97.81,38.15,,,0
CDM,SUP226070,Noncdm Charge Record Medical Supplies,333.27,129.98,,,0
CDM,SUP226071,Noncdm Charge Record Medical Supplies,387.09,150.97,,,0
CDM,SUP226077,Noncdm Charge Record Medical Supplies,8818.2,3439.1,,,0
CDM,SUP226078,Noncdm Charge Record Medical Supplies,5731.83,2235.41,,,0
CDM,SUP226079,Noncdm Charge Record Medical Supplies,410.9,160.25,,,0
CDM,SUP22608,Noncdm Charge Record Medical Supplies - Componet Ps Fem 3 Lt Cement,11605.46,4526.13,,,0
CDM,SUP226080,Noncdm Charge Record Medical Supplies,202.34,78.91,,,0
CDM,SUP226082,Noncdm Charge Record Medical Supplies,889.06,346.73,,,0
CDM,SUP226088,Noncdm Charge Record Medical Supplies,1806.08,704.37,,,0
CDM,SUP226089,Noncdm Charge Record Medical Supplies,598.23,233.31,,,0
CDM,SUP226091,Noncdm Charge Record Medical Supplies,1929.24,752.4,,,0
CDM,SUP226093,Noncdm Charge Record Medical Supplies,1092.96,426.25,,,0
CDM,SUP226094,Noncdm Charge Record Medical Supplies,1801.94,702.76,,,0
CDM,SUP22610,Noncdm Charge Record Medical Supplies - Componet Ps Fem 4 Lt Cement,11605.46,4526.13,,,0
CDM,SUP226104,Noncdm Charge Record Medical Supplies,1249.24,487.2,,,0
CDM,SUP226105,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP226106,Noncdm Charge Record Medical Supplies,3353.99,1308.06,,,0
CDM,SUP226107,Noncdm Charge Record Medical Supplies,1825.74,712.04,,,0
CDM,SUP226110,Noncdm Charge Record Medical Supplies,3968.19,1547.59,,,0
CDM,SUP226111,Noncdm Charge Record Medical Supplies,880.78,343.5,,,0
CDM,SUP226112,Noncdm Charge Record Medical Supplies,166.64,64.99,,,0
CDM,SUP226113,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP226114,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP226115,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP22612,Noncdm Charge Record Medical Supplies,11605.46,4526.13,,,0
CDM,SUP226120,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP226122,Noncdm Charge Record Medical Supplies,17.08,6.66,,,0
CDM,SUP226125,Noncdm Charge Record Medical Supplies,11.38,4.44,,,0
CDM,SUP226126,Noncdm Charge Record Medical Supplies,52.78,20.58,,,0
CDM,SUP226136,Noncdm Charge Record Medical Supplies,708.98,276.5,,,0
CDM,SUP226141,Noncdm Charge Record Medical Supplies,44.5,17.36,,,0
CDM,SUP226142,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP226146,Noncdm Charge Record Medical Supplies,901.48,351.58,,,0
CDM,SUP226148,Noncdm Charge Record Medical Supplies,760.72,296.68,,,0
CDM,SUP226149,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP22617,Noncdm Charge Record Medical Supplies - Componet Ps Fem 5 Rt Cement,11605.46,4526.13,,,0
CDM,SUP226175,Noncdm Charge Record Medical Supplies,465.06,181.37,,,0
CDM,SUP226178,Noncdm Charge Record Medical Supplies,114.88,44.8,,,0
CDM,SUP226180,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP226191,Noncdm Charge Record Medical Supplies,804.2,313.64,,,0
CDM,SUP226195,Noncdm Charge Record Medical Supplies,636.52,248.24,,,0
CDM,SUP226197,Noncdm Charge Record Medical Supplies,37.26,14.53,,,0
CDM,SUP2262,Noncdm Charge Record Medical Supplies - Reamer Surg 3Mm Rod Strt Ball Tip 950Mm Ns,516.46,201.42,,,0
CDM,SUP22620_272,Noncdm Charge Record Medical Supplies - Ligasure 37Cm Blunt Lf1637 Covidien,2255.26,879.55,,,0
CDM,SUP22620_A4649_272,Noncdm Charge Record Medical Supplies - Ligasure 37Cm Blunt Lf1637 Covidien,2255.26,879.55,,,0
CDM,SUP22620_A9999_272,Noncdm Charge Record Medical Supplies - Ligasure 37Cm Blunt Lf1637 Covidien,2255.26,879.55,,,0
CDM,SUP22621,Noncdm Charge Record Medical Supplies - Kit Cath 16Cm 4 Lum Cntrl,695.42,271.21,,,0
CDM,SUP226215,Noncdm Charge Record Medical Supplies,494.73,192.94,,,0
CDM,SUP226218_272,Noncdm Charge Record Medical Supplies,322.92,125.94,,,0
CDM,SUP226218_A4649_272,Noncdm Charge Record Medical Supplies,322.92,125.94,,,0
CDM,SUP226236,Noncdm Charge Record Medical Supplies,738.99,288.21,,,0
CDM,SUP226239,Noncdm Charge Record Medical Supplies,738.99,288.21,,,0
CDM,SUP226243,Noncdm Charge Record Medical Supplies,738.99,288.21,,,0
CDM,SUP226246,Noncdm Charge Record Medical Supplies,743.13,289.82,,,0
CDM,SUP226247,Noncdm Charge Record Medical Supplies,983.25,383.47,,,0
CDM,SUP226249,Noncdm Charge Record Medical Supplies,1169.55,456.12,,,0
CDM,SUP22625,Noncdm Charge Record Medical Supplies - Kit Cvc W-Abg 3Lum 7Fr 16Cm,415.04,161.87,,,0
CDM,SUP226253,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP226254,Noncdm Charge Record Medical Supplies,465.23,181.44,,,0
CDM,SUP226258,Noncdm Charge Record Medical Supplies,738.99,288.21,,,0
CDM,SUP226259,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP226263,Noncdm Charge Record Medical Supplies,37.26,14.53,,,0
CDM,SUP226265,Noncdm Charge Record Medical Supplies,645.84,251.88,,,0
CDM,SUP226266,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP226270,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP226276,Noncdm Charge Record Medical Supplies,750.38,292.65,,,0
CDM,SUP226277,Noncdm Charge Record Medical Supplies,1274.08,496.89,,,0
CDM,SUP226281,Noncdm Charge Record Medical Supplies,1274.08,496.89,,,0
CDM,SUP226282,Noncdm Charge Record Medical Supplies,3.1,1.21,,,0
CDM,SUP226283,Noncdm Charge Record Medical Supplies,317.74,123.92,,,0
CDM,SUP226286,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP226288,Noncdm Charge Record Medical Supplies,37.26,14.53,,,0
CDM,SUP22631,Noncdm Charge Record Medical Supplies - Screw Bn 5.5Mm 40Mm Va,1552.5,605.48,,,0
CDM,SUP22632,Noncdm Charge Record Medical Supplies - Screw Bn 5.5Mm 45Mm Va,1552.5,605.48,,,0
CDM,SUP226328,Noncdm Charge Record Medical Supplies,4020.98,1568.18,,,0
CDM,SUP22633,Noncdm Charge Record Medical Supplies - Screw Bn 5.5Mm 50Mm Va,1552.5,605.48,,,0
CDM,SUP226333,Noncdm Charge Record Medical Supplies,112.82,44.0,,,0
CDM,SUP226345,Noncdm Charge Record Medical Supplies,2408.45,939.3,,,0
CDM,SUP226357,Noncdm Charge Record Medical Supplies,4.14,1.61,,,0
CDM,SUP22636,Noncdm Charge Record Medical Supplies - Spacer Independ 15Deg 11Mm Sm,21750.52,8482.7,,,0
CDM,SUP226363,Noncdm Charge Record Medical Supplies,1759.5,686.2,,,0
CDM,SUP226364,Noncdm Charge Record Medical Supplies,1759.5,686.2,,,0
CDM,SUP226365,Noncdm Charge Record Medical Supplies,1759.5,686.2,,,0
CDM,SUP226366,Noncdm Charge Record Medical Supplies,903.56,352.39,,,0
CDM,SUP226367,Noncdm Charge Record Medical Supplies,859.05,335.03,,,0
CDM,SUP226368,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP226374,Noncdm Charge Record Medical Supplies,16754.58,6534.29,,,0
CDM,SUP226383,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP226387,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP226388,Noncdm Charge Record Medical Supplies,11.38,4.44,,,0
CDM,SUP226389,Noncdm Charge Record Medical Supplies,11.38,4.44,,,0
CDM,SUP226390,Noncdm Charge Record Medical Supplies,11.38,4.44,,,0
CDM,SUP226393,Noncdm Charge Record Medical Supplies,47.61,18.57,,,0
CDM,SUP226394,Noncdm Charge Record Medical Supplies,47.61,18.57,,,0
CDM,SUP226395,Noncdm Charge Record Medical Supplies,47.61,18.57,,,0
CDM,SUP226411,Noncdm Charge Record Medical Supplies,292.9,114.23,,,0
CDM,SUP226440,Noncdm Charge Record Medical Supplies,2745.86,1070.89,,,0
CDM,SUP226442,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP226450,Noncdm Charge Record Medical Supplies,1101.24,429.48,,,0
CDM,SUP226451,Noncdm Charge Record Medical Supplies,1341.36,523.13,,,0
CDM,SUP226452,Noncdm Charge Record Medical Supplies,1341.36,523.13,,,0
CDM,SUP226454_A9999_272,Noncdm Charge Record Medical Supplies,309.98,120.89,,,0
CDM,SUP226456,Noncdm Charge Record Medical Supplies,310.24,120.99,,,0
CDM,SUP226458_A9999_272,Noncdm Charge Record Medical Supplies,310.5,121.1,,,0
CDM,SUP226459_A9999_272,Noncdm Charge Record Medical Supplies,248.14,96.77,,,0
CDM,SUP226460_A9999_272,Noncdm Charge Record Medical Supplies,309.98,120.89,,,0
CDM,SUP226465,Noncdm Charge Record Medical Supplies,47.61,18.57,,,0
CDM,SUP226467,Noncdm Charge Record Medical Supplies,4332.51,1689.68,,,0
CDM,SUP226469,Noncdm Charge Record Medical Supplies,1873.35,730.61,,,0
CDM,SUP226473,Noncdm Charge Record Medical Supplies,1169.55,456.12,,,0
CDM,SUP226474,Noncdm Charge Record Medical Supplies,983.25,383.47,,,0
CDM,SUP226475,Noncdm Charge Record Medical Supplies,738.99,288.21,,,0
CDM,SUP226476,Noncdm Charge Record Medical Supplies,743.13,289.82,,,0
CDM,SUP226479,Noncdm Charge Record Medical Supplies,2063.79,804.88,,,0
CDM,SUP226482,Noncdm Charge Record Medical Supplies,738.99,288.21,,,0
CDM,SUP226483,Noncdm Charge Record Medical Supplies,4.14,1.61,,,0
CDM,SUP226503,Noncdm Charge Record Medical Supplies,13668.21,5330.6,,,0
CDM,SUP226509,Noncdm Charge Record Medical Supplies,9237.38,3602.58,,,0
CDM,SUP226510,Noncdm Charge Record Medical Supplies,97.29,37.94,,,0
CDM,SUP226521,Noncdm Charge Record Medical Supplies,2386.71,930.82,,,0
CDM,SUP226534,Noncdm Charge Record Medical Supplies,9049.0,3529.11,,,0
CDM,SUP226536,Noncdm Charge Record Medical Supplies,961.52,374.99,,,0
CDM,SUP226543,Noncdm Charge Record Medical Supplies,461.61,180.03,,,0
CDM,SUP226547,Noncdm Charge Record Medical Supplies,529.92,206.67,,,0
CDM,SUP226553,Noncdm Charge Record Medical Supplies,1510.06,588.92,,,0
CDM,SUP226554,Noncdm Charge Record Medical Supplies,73698.21,28742.3,,,0
CDM,SUP226562,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP226581,Noncdm Charge Record Medical Supplies,133.51,52.07,,,0
CDM,SUP2266,Noncdm Charge Record Medical Supplies - Port Implant Infus Slmprt Ti 6Fr 1 Lum Atch,1025.68,400.02,,,0
CDM,SUP226606,Noncdm Charge Record Medical Supplies,474.03,184.87,,,0
CDM,SUP226610,Noncdm Charge Record Medical Supplies,92.12,35.93,,,0
CDM,SUP226625,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP226626,Noncdm Charge Record Medical Supplies,2841.2,1108.07,,,0
CDM,SUP226628,Noncdm Charge Record Medical Supplies,4.14,1.61,,,0
CDM,SUP226632,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP226645,Noncdm Charge Record Medical Supplies,1.03,0.4,,,0
CDM,SUP226646,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP22665,Noncdm Charge Record Medical Supplies,762.8,297.49,,,0
CDM,SUP226650,Noncdm Charge Record Medical Supplies,605.99,236.34,,,0
CDM,SUP226651,Noncdm Charge Record Medical Supplies,2231.46,870.27,,,0
CDM,SUP226652,Noncdm Charge Record Medical Supplies,1.03,0.4,,,0
CDM,SUP226659,Noncdm Charge Record Medical Supplies,856.98,334.22,,,0
CDM,SUP226665,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP226668,Noncdm Charge Record Medical Supplies,416.07,162.27,,,0
CDM,SUP226675,Noncdm Charge Record Medical Supplies,2031.7,792.36,,,0
CDM,SUP226677,Noncdm Charge Record Medical Supplies,4.14,1.61,,,0
CDM,SUP22668,Noncdm Charge Record Medical Supplies - Screw Bn 3.6Mm 18Mm Self Drill Var,671.72,261.97,,,0
CDM,SUP226686,Noncdm Charge Record Medical Supplies,2451.92,956.25,,,0
CDM,SUP226688,Noncdm Charge Record Medical Supplies,2451.92,956.25,,,0
CDM,SUP226697,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP226698,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP226704,Noncdm Charge Record Medical Supplies,410.9,160.25,,,0
CDM,SUP226711,Noncdm Charge Record Medical Supplies,7495.47,2923.23,,,0
CDM,SUP226719,Noncdm Charge Record Medical Supplies,11.38,4.44,,,0
CDM,SUP226720,Noncdm Charge Record Medical Supplies,11.38,4.44,,,0
CDM,SUP226721,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP226723,Noncdm Charge Record Medical Supplies,10512.62,4099.92,,,0
CDM,SUP226729,Noncdm Charge Record Medical Supplies,1077.44,420.2,,,0
CDM,SUP226730,Noncdm Charge Record Medical Supplies,102.46,39.96,,,0
CDM,SUP226731,Noncdm Charge Record Medical Supplies,10512.6,4099.91,,,0
CDM,SUP226732,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP226733,Noncdm Charge Record Medical Supplies,2139.34,834.34,,,0
CDM,SUP226735,Noncdm Charge Record Medical Supplies,2844.18,1109.23,,,0
CDM,SUP226736,Noncdm Charge Record Medical Supplies,2279.07,888.84,,,0
CDM,SUP226742,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP226743,Noncdm Charge Record Medical Supplies,704.84,274.89,,,0
CDM,SUP226752,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP226755,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP226756,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP226758,Noncdm Charge Record Medical Supplies,4850.01,1891.5,,,0
CDM,SUP226764,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP226772,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP226785_272,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP226786_272,Noncdm Charge Record Medical Supplies,1101.24,429.48,,,0
CDM,SUP226787,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP226789,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP226799,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP226801,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP226803,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP226818,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP226821,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP226825,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP226829,Noncdm Charge Record Medical Supplies,20.7,8.07,,,0
CDM,SUP226831,Noncdm Charge Record Medical Supplies,636.52,248.24,,,0
CDM,SUP226838,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP226841,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP226842,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP226844,Noncdm Charge Record Medical Supplies,2270.79,885.61,,,0
CDM,SUP226846,Noncdm Charge Record Medical Supplies,3571.78,1392.99,,,0
CDM,SUP226847,Noncdm Charge Record Medical Supplies,2212.83,863.0,,,0
CDM,SUP226848,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP226849,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP226850,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP226851,Noncdm Charge Record Medical Supplies,1943.73,758.05,,,0
CDM,SUP226852,Noncdm Charge Record Medical Supplies,2130.03,830.71,,,0
CDM,SUP226853,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP226859,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP226860,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP226861,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP226873,Noncdm Charge Record Medical Supplies,891.14,347.54,,,0
CDM,SUP226875,Noncdm Charge Record Medical Supplies,1463.49,570.76,,,0
CDM,SUP226881,Noncdm Charge Record Medical Supplies,8.28,3.23,,,0
CDM,SUP226882,Noncdm Charge Record Medical Supplies,50.61,19.74,,,0
CDM,SUP226888,Noncdm Charge Record Medical Supplies,151.11,58.93,,,0
CDM,SUP226895,Noncdm Charge Record Medical Supplies,144.9,56.51,,,0
CDM,SUP226897,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP226898,Noncdm Charge Record Medical Supplies,59.0,23.01,,,0
CDM,SUP226899,Noncdm Charge Record Medical Supplies,686.2,267.62,,,0
CDM,SUP226906,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP226911,Noncdm Charge Record Medical Supplies,2301.84,897.72,,,0
CDM,SUP226913,Noncdm Charge Record Medical Supplies,2301.84,897.72,,,0
CDM,SUP226914,Noncdm Charge Record Medical Supplies,12034.98,4693.64,,,0
CDM,SUP226915,Noncdm Charge Record Medical Supplies,12034.98,4693.64,,,0
CDM,SUP226926,Noncdm Charge Record Medical Supplies,286.7,111.81,,,0
CDM,SUP226927,Noncdm Charge Record Medical Supplies,88.23,34.41,,,0
CDM,SUP226928,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP226929,Noncdm Charge Record Medical Supplies,1290.64,503.35,,,0
CDM,SUP226931,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP22694,Noncdm Charge Record Medical Supplies - Spacer Coal 7Deg 15Mm 18Mm 6Mm,11359.12,4430.06,,,0
CDM,SUP226948,Noncdm Charge Record Medical Supplies,6.21,2.42,,,0
CDM,SUP226949,Noncdm Charge Record Medical Supplies,141.79,55.3,,,0
CDM,SUP22695,Noncdm Charge Record Medical Supplies - Spacer Coal 7Deg 15Mm 18Mm 9Mm,11359.12,4430.06,,,0
CDM,SUP226950,Noncdm Charge Record Medical Supplies,16.56,6.46,,,0
CDM,SUP226951,Noncdm Charge Record Medical Supplies,170.78,66.6,,,0
CDM,SUP226959,Noncdm Charge Record Medical Supplies,1249.24,487.2,,,0
CDM,SUP226961,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP226968,Noncdm Charge Record Medical Supplies,4850.01,1891.5,,,0
CDM,SUP226973,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP226974,Noncdm Charge Record Medical Supplies,480.24,187.29,,,0
CDM,SUP226975,Noncdm Charge Record Medical Supplies,480.24,187.29,,,0
CDM,SUP226977,Noncdm Charge Record Medical Supplies,288.76,112.62,,,0
CDM,SUP226979,Noncdm Charge Record Medical Supplies,480.24,187.29,,,0
CDM,SUP226981,Noncdm Charge Record Medical Supplies,480.24,187.29,,,0
CDM,SUP226986,Noncdm Charge Record Medical Supplies,3632.85,1416.81,,,0
CDM,SUP226987,Noncdm Charge Record Medical Supplies,3632.85,1416.81,,,0
CDM,SUP226988,Noncdm Charge Record Medical Supplies,1624.95,633.73,,,0
CDM,SUP226990,Noncdm Charge Record Medical Supplies,303.26,118.27,,,0
CDM,SUP226991,Noncdm Charge Record Medical Supplies,190.96,74.47,,,0
CDM,SUP226992,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP226993,Noncdm Charge Record Medical Supplies,1067.08,416.16,,,0
CDM,SUP226994,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP226995,Noncdm Charge Record Medical Supplies,1454.18,567.13,,,0
CDM,SUP226997,Noncdm Charge Record Medical Supplies,240.12,93.65,,,0
CDM,SUP2270,Noncdm Charge Record Medical Supplies,349.83,136.43,,,0
CDM,SUP227007,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP227008,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP227009,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP227010,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP227013,Noncdm Charge Record Medical Supplies,127.3,49.65,,,0
CDM,SUP227014,Noncdm Charge Record Medical Supplies,254.61,99.3,,,0
CDM,SUP227016,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP227017,Noncdm Charge Record Medical Supplies,127.3,49.65,,,0
CDM,SUP227018,Noncdm Charge Record Medical Supplies,254.61,99.3,,,0
CDM,SUP227021,Noncdm Charge Record Medical Supplies,127.3,49.65,,,0
CDM,SUP227022,Noncdm Charge Record Medical Supplies,254.61,99.3,,,0
CDM,SUP227024,Noncdm Charge Record Medical Supplies,127.3,49.65,,,0
CDM,SUP227025,Noncdm Charge Record Medical Supplies,254.61,99.3,,,0
CDM,SUP227026,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP227030,Noncdm Charge Record Medical Supplies,786.25,306.64,,,0
CDM,SUP227031,Noncdm Charge Record Medical Supplies,395.37,154.19,,,0
CDM,SUP227032,Noncdm Charge Record Medical Supplies,1853.68,722.94,,,0
CDM,SUP227037,Noncdm Charge Record Medical Supplies,1518.34,592.15,,,0
CDM,SUP227038,Noncdm Charge Record Medical Supplies,1518.34,592.15,,,0
CDM,SUP227039,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP227045,Noncdm Charge Record Medical Supplies,4020.98,1568.18,,,0
CDM,SUP227056,Noncdm Charge Record Medical Supplies,1516.28,591.35,,,0
CDM,SUP227058,Noncdm Charge Record Medical Supplies,1516.28,591.35,,,0
CDM,SUP227065_C1889_272,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP227067,Noncdm Charge Record Medical Supplies,2932.16,1143.54,,,0
CDM,SUP227068,Noncdm Charge Record Medical Supplies,13205.56,5150.17,,,0
CDM,SUP227072,Noncdm Charge Record Medical Supplies,36.22,14.13,,,0
CDM,SUP227094,Noncdm Charge Record Medical Supplies,13668.21,5330.6,,,0
CDM,SUP227107,Noncdm Charge Record Medical Supplies,13668.21,5330.6,,,0
CDM,SUP227111,Noncdm Charge Record Medical Supplies,5952.28,2321.39,,,0
CDM,SUP227113,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP227127,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP227128,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP227130,Noncdm Charge Record Medical Supplies,5952.28,2321.39,,,0
CDM,SUP227132,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP227134,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP227135,Noncdm Charge Record Medical Supplies,457.99,178.62,,,0
CDM,SUP227136,Noncdm Charge Record Medical Supplies,1081.58,421.82,,,0
CDM,SUP227137,Noncdm Charge Record Medical Supplies,2121.75,827.48,,,0
CDM,SUP227142,Noncdm Charge Record Medical Supplies,7495.47,2923.23,,,0
CDM,SUP227175,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP227176,Noncdm Charge Record Medical Supplies,611.68,238.56,,,0
CDM,SUP227180,Noncdm Charge Record Medical Supplies,68.31,26.64,,,0
CDM,SUP227181,Noncdm Charge Record Medical Supplies,929.95,362.68,,,0
CDM,SUP227188,Noncdm Charge Record Medical Supplies,5269.18,2054.98,,,0
CDM,SUP227204,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP227205,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP227206,Noncdm Charge Record Medical Supplies,1204.74,469.85,,,0
CDM,SUP22721,Noncdm Charge Record Medical Supplies - Spacer Cln Acdf Lrdtc 5Mm Xl,4712.35,1837.82,,,0
CDM,SUP227210,Noncdm Charge Record Medical Supplies,166.64,64.99,,,0
CDM,SUP227211,Noncdm Charge Record Medical Supplies,59.0,23.01,,,0
CDM,SUP227212,Noncdm Charge Record Medical Supplies,175.95,68.62,,,0
CDM,SUP22722,Noncdm Charge Record Medical Supplies - Spacer Cln Acdf Lrdtc 6Mm Xl,4599.75,1793.9,,,0
CDM,SUP227226,Noncdm Charge Record Medical Supplies,130.15,50.76,,,0
CDM,SUP227228,Noncdm Charge Record Medical Supplies,480.24,187.29,,,0
CDM,SUP227230,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP227244,Noncdm Charge Record Medical Supplies,26.91,10.49,,,0
CDM,SUP227248,Noncdm Charge Record Medical Supplies,661.36,257.93,,,0
CDM,SUP227254,Noncdm Charge Record Medical Supplies,3035.66,1183.91,,,0
CDM,SUP227260,Noncdm Charge Record Medical Supplies,5731.83,2235.41,,,0
CDM,SUP227264,Noncdm Charge Record Medical Supplies,8818.2,3439.1,,,0
CDM,SUP227266,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP227268,Noncdm Charge Record Medical Supplies,11022.75,4298.87,,,0
CDM,SUP227269,Noncdm Charge Record Medical Supplies,11022.75,4298.87,,,0
CDM,SUP227276,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP227277,Noncdm Charge Record Medical Supplies,410.9,160.25,,,0
CDM,SUP227280,Noncdm Charge Record Medical Supplies,25.88,10.09,,,0
CDM,SUP227282,Noncdm Charge Record Medical Supplies,1454.18,567.13,,,0
CDM,SUP227284,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP2272_272,Noncdm Charge Record Medical Supplies - Cord Electrosurg 10Ft 4Mm Monopol Ftswtch Act,12.42,4.84,,,0
CDM,SUP2272_A4649_272,Noncdm Charge Record Medical Supplies - Cord Electrosurg 10Ft 4Mm Monopol Ftswtch Act,12.42,4.84,,,0
CDM,SUP2272_A9999_272,Noncdm Charge Record Medical Supplies - Cord Electrosurg 10Ft 4Mm Monopol Ftswtch Act,12.42,4.84,,,0
CDM,SUP2273,Noncdm Charge Record Medical Supplies - Insert Clamp Stlts 3 60Mm Atrm Ocl Stlth Strl,91.6,35.72,,,0
CDM,SUP227304,Noncdm Charge Record Medical Supplies,410.9,160.25,,,0
CDM,SUP227306,Noncdm Charge Record Medical Supplies,25.88,10.09,,,0
CDM,SUP227308,Noncdm Charge Record Medical Supplies,636.52,248.24,,,0
CDM,SUP227310,Noncdm Charge Record Medical Supplies,636.52,248.24,,,0
CDM,SUP227311,Noncdm Charge Record Medical Supplies,969.8,378.22,,,0
CDM,SUP227312,Noncdm Charge Record Medical Supplies,969.8,378.22,,,0
CDM,SUP227313,Noncdm Charge Record Medical Supplies,122.13,47.63,,,0
CDM,SUP227314,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP227315,Noncdm Charge Record Medical Supplies,122.65,47.83,,,0
CDM,SUP227316,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP227321,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP227322,Noncdm Charge Record Medical Supplies,1439.17,561.28,,,0
CDM,SUP227338,Noncdm Charge Record Medical Supplies,9528.21,3716.0,,,0
CDM,SUP227347,Noncdm Charge Record Medical Supplies,13668.21,5330.6,,,0
CDM,SUP227357,Noncdm Charge Record Medical Supplies,9528.21,3716.0,,,0
CDM,SUP22736,Noncdm Charge Record Medical Supplies - Spacer Cln Acdf Lrdtc 6Mm Xxl,4712.35,1837.82,,,0
CDM,SUP227360,Noncdm Charge Record Medical Supplies,982.22,383.07,,,0
CDM,SUP227368,Noncdm Charge Record Medical Supplies,410.9,160.25,,,0
CDM,SUP227369,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP22737,Noncdm Charge Record Medical Supplies - Spacer Cln Acdf Lrdtc 7Mm Xxl,4712.7,1837.95,,,0
CDM,SUP227371,Noncdm Charge Record Medical Supplies,2090.7,815.37,,,0
CDM,SUP227374,Noncdm Charge Record Medical Supplies,333.27,129.98,,,0
CDM,SUP227375,Noncdm Charge Record Medical Supplies,469.89,183.26,,,0
CDM,SUP227376,Noncdm Charge Record Medical Supplies,107.64,41.98,,,0
CDM,SUP227377,Noncdm Charge Record Medical Supplies,107.64,41.98,,,0
CDM,SUP227379,Noncdm Charge Record Medical Supplies,2090.7,815.37,,,0
CDM,SUP22738,Noncdm Charge Record Medical Supplies - Spacer Cln Acdf Lrdtc 8Mm Xxl,4712.56,1837.9,,,0
CDM,SUP227383,Noncdm Charge Record Medical Supplies,7495.47,2923.23,,,0
CDM,SUP227384,Noncdm Charge Record Medical Supplies,469.89,183.26,,,0
CDM,SUP227387,Noncdm Charge Record Medical Supplies,469.89,183.26,,,0
CDM,SUP227421,Noncdm Charge Record Medical Supplies,231.84,90.42,,,0
CDM,SUP227440,Noncdm Charge Record Medical Supplies,611.68,238.56,,,0
CDM,SUP227459,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP227460,Noncdm Charge Record Medical Supplies,2361.87,921.13,,,0
CDM,SUP227461,Noncdm Charge Record Medical Supplies,1635.3,637.77,,,0
CDM,SUP227486,Noncdm Charge Record Medical Supplies,410.9,160.25,,,0
CDM,SUP227488,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP227499,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP227500,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP227505,Noncdm Charge Record Medical Supplies,1590.8,620.41,,,0
CDM,SUP227509,Noncdm Charge Record Medical Supplies,781.94,304.96,,,0
CDM,SUP22751,Noncdm Charge Record Medical Supplies - Tube Gastro Mic-Key 18F 3Mc,531.99,207.48,,,0
CDM,SUP227516,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP227521,Noncdm Charge Record Medical Supplies,109.71,42.79,,,0
CDM,SUP227522,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP227523,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP227524,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP227527,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP227528,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP22753,Noncdm Charge Record Medical Supplies - Tube Gastro Mic-Key 18F 3.5Cm,531.99,207.48,,,0
CDM,SUP227530,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP227531,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP227533,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP227538,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP227539,Noncdm Charge Record Medical Supplies,1440.72,561.88,,,0
CDM,SUP227540,Noncdm Charge Record Medical Supplies,1308.24,510.21,,,0
CDM,SUP227541,Noncdm Charge Record Medical Supplies,657.22,256.32,,,0
CDM,SUP227547,Noncdm Charge Record Medical Supplies,219.42,85.57,,,0
CDM,SUP227548,Noncdm Charge Record Medical Supplies,1308.24,510.21,,,0
CDM,SUP227549,Noncdm Charge Record Medical Supplies,292.9,114.23,,,0
CDM,SUP227550,Noncdm Charge Record Medical Supplies,1440.72,561.88,,,0
CDM,SUP227554,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP22756,Noncdm Charge Record Medical Supplies - Cap Lck 8.2Mm 70Mm Cannula,146.97,57.32,,,0
CDM,SUP227562,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP227567,Noncdm Charge Record Medical Supplies,2901.1,1131.43,,,0
CDM,SUP227568,Noncdm Charge Record Medical Supplies,416.07,162.27,,,0
CDM,SUP227569,Noncdm Charge Record Medical Supplies,153.18,59.74,,,0
CDM,SUP227573,Noncdm Charge Record Medical Supplies,1206.81,470.66,,,0
CDM,SUP227574,Noncdm Charge Record Medical Supplies,983.77,383.67,,,0
CDM,SUP227579,Noncdm Charge Record Medical Supplies,1126.08,439.17,,,0
CDM,SUP227581,Noncdm Charge Record Medical Supplies,3509.68,1368.78,,,0
CDM,SUP227582,Noncdm Charge Record Medical Supplies,3807.76,1485.03,,,0
CDM,SUP227583,Noncdm Charge Record Medical Supplies,3807.76,1485.03,,,0
CDM,SUP227597,Noncdm Charge Record Medical Supplies,856.98,334.22,,,0
CDM,SUP227601,Noncdm Charge Record Medical Supplies,598.23,233.31,,,0
CDM,SUP227602,Noncdm Charge Record Medical Supplies,1806.08,704.37,,,0
CDM,SUP227603,Noncdm Charge Record Medical Supplies,1929.24,752.4,,,0
CDM,SUP227604,Noncdm Charge Record Medical Supplies,3183.66,1241.63,,,0
CDM,SUP227607,Noncdm Charge Record Medical Supplies,21.74,8.48,,,0
CDM,SUP227617,Noncdm Charge Record Medical Supplies,3183.66,1241.63,,,0
CDM,SUP227618,Noncdm Charge Record Medical Supplies,5710.1,2226.94,,,0
CDM,SUP227619,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP227620,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP227621,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP227623,Noncdm Charge Record Medical Supplies,611.68,238.56,,,0
CDM,SUP227626,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP227636,Noncdm Charge Record Medical Supplies,1061.91,414.14,,,0
CDM,SUP227639,Noncdm Charge Record Medical Supplies,383.98,149.75,,,0
CDM,SUP22764,Noncdm Charge Record Medical Supplies - Catheter Dsc 5F X 125Cm Us,4850.01,1891.5,,,0
CDM,SUP227640,Noncdm Charge Record Medical Supplies,767.97,299.51,,,0
CDM,SUP227641,Noncdm Charge Record Medical Supplies,5339.56,2082.43,,,0
CDM,SUP22765,Noncdm Charge Record Medical Supplies - Catheter Dsc 5F X 115Cm Us,4850.01,1891.5,,,0
CDM,SUP227650,Noncdm Charge Record Medical Supplies,1589.76,620.01,,,0
CDM,SUP227653,Noncdm Charge Record Medical Supplies,11904.57,4642.78,,,0
CDM,SUP227655,Noncdm Charge Record Medical Supplies,11904.57,4642.78,,,0
CDM,SUP227674,Noncdm Charge Record Medical Supplies,27.94,10.9,,,0
CDM,SUP227675,Noncdm Charge Record Medical Supplies,345.69,134.82,,,0
CDM,SUP22768,Noncdm Charge Record Medical Supplies - Kit Embolization Onyx 18 Avm Us,10392.16,4052.94,,,0
CDM,SUP227681,Noncdm Charge Record Medical Supplies,17231.72,6720.37,,,0
CDM,SUP22769,Noncdm Charge Record Medical Supplies - Kit Embolization Onyx 34 Avm Us,10392.14,4052.93,,,0
CDM,SUP227708,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP227709,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP227711,Noncdm Charge Record Medical Supplies,560.97,218.78,,,0
CDM,SUP227712,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP227718,Noncdm Charge Record Medical Supplies,9805.59,3824.18,,,0
CDM,SUP227731,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP227732,Noncdm Charge Record Medical Supplies,494.73,192.94,,,0
CDM,SUP227733,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP227735,Noncdm Charge Record Medical Supplies,455.4,177.61,,,0
CDM,SUP227736,Noncdm Charge Record Medical Supplies,27.94,10.9,,,0
CDM,SUP227741,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP227744,Noncdm Charge Record Medical Supplies,2512.98,980.06,,,0
CDM,SUP22776,Noncdm Charge Record Medical Supplies - Snare Vasc 7Mm 200Cm,2614.41,1019.62,,,0
CDM,SUP227760,Noncdm Charge Record Medical Supplies,27.94,10.9,,,0
CDM,SUP227779,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP227785,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP227789,Noncdm Charge Record Medical Supplies,7866.0,3067.74,,,0
CDM,SUP22779,Noncdm Charge Record Medical Supplies - Cuff Tourniquet 42In 1 Port 1,129.58,50.54,,,0
CDM,SUP227790,Noncdm Charge Record Medical Supplies,1508.0,588.12,,,0
CDM,SUP227791,Noncdm Charge Record Medical Supplies,308.43,120.29,,,0
CDM,SUP227792,Noncdm Charge Record Medical Supplies,308.43,120.29,,,0
CDM,SUP227793,Noncdm Charge Record Medical Supplies,274.27,106.97,,,0
CDM,SUP227795,Noncdm Charge Record Medical Supplies,4409.1,1719.55,,,0
CDM,SUP227798,Noncdm Charge Record Medical Supplies,1249.24,487.2,,,0
CDM,SUP227802,Noncdm Charge Record Medical Supplies,342.58,133.61,,,0
CDM,SUP227803,Noncdm Charge Record Medical Supplies,2557.48,997.42,,,0
CDM,SUP227804,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP227805,Noncdm Charge Record Medical Supplies,1958.22,763.71,,,0
CDM,SUP227825,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP227827,Noncdm Charge Record Medical Supplies,317.74,123.92,,,0
CDM,SUP227829,Noncdm Charge Record Medical Supplies,1.03,0.4,,,0
CDM,SUP227831,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP227832,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP227834,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP227835,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP227836,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP227837,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP227841,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP227849,Noncdm Charge Record Medical Supplies,303.26,118.27,,,0
CDM,SUP227853,Noncdm Charge Record Medical Supplies,304.9,118.91,,,0
CDM,SUP227854,Noncdm Charge Record Medical Supplies,11022.75,4298.87,,,0
CDM,SUP227857,Noncdm Charge Record Medical Supplies,596.68,232.71,,,0
CDM,SUP227867,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP227868,Noncdm Charge Record Medical Supplies,1958.22,763.71,,,0
CDM,SUP227869,Noncdm Charge Record Medical Supplies,4409.1,1719.55,,,0
CDM,SUP227875,Noncdm Charge Record Medical Supplies,634.46,247.44,,,0
CDM,SUP227876,Noncdm Charge Record Medical Supplies,2361.87,921.13,,,0
CDM,SUP22788,Noncdm Charge Record Medical Supplies - Guidewire Vasc Std .035In180Cm 3Cm Ang Tip,177.76,69.33,,,0
CDM,SUP227888,Noncdm Charge Record Medical Supplies,1426.06,556.16,,,0
CDM,SUP227907,Noncdm Charge Record Medical Supplies,244.78,95.46,,,0
CDM,SUP227909,Noncdm Charge Record Medical Supplies,1909.58,744.74,,,0
CDM,SUP22791,Noncdm Charge Record Medical Supplies - Collar Cerv Med 5.25In Phil,53.82,20.99,,,0
CDM,SUP227910,Noncdm Charge Record Medical Supplies,2164.18,844.03,,,0
CDM,SUP227913,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP227919,Noncdm Charge Record Medical Supplies,767.97,299.51,,,0
CDM,SUP227921,Noncdm Charge Record Medical Supplies,4409.1,1719.55,,,0
CDM,SUP227922,Noncdm Charge Record Medical Supplies,1958.22,763.71,,,0
CDM,SUP227923,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP227925,Noncdm Charge Record Medical Supplies,93.15,36.33,,,0
CDM,SUP227934,Noncdm Charge Record Medical Supplies,16051.82,6260.21,,,0
CDM,SUP227935,Noncdm Charge Record Medical Supplies,12566.97,4901.12,,,0
CDM,SUP227937_C1713_278,Noncdm Charge Record Medical Supplies,333.27,129.98,,,0
CDM,SUP227937_L8699_278,Noncdm Charge Record Medical Supplies,333.26,129.97,,,0
CDM,SUP22794,Noncdm Charge Record Medical Supplies - Catheter Guide Xb 6Fr .070In 100Cm,1412.78,550.98,,,0
CDM,SUP227945,Noncdm Charge Record Medical Supplies,614.79,239.77,,,0
CDM,SUP227946,Noncdm Charge Record Medical Supplies,311.54,121.5,,,0
CDM,SUP22795,Noncdm Charge Record Medical Supplies - Catheter Dx Tempo 5Fr .038In,171.81,67.01,,,0
CDM,SUP227953,Noncdm Charge Record Medical Supplies,21.74,8.48,,,0
CDM,SUP227964,Noncdm Charge Record Medical Supplies,114.37,44.6,,,0
CDM,SUP227968,Noncdm Charge Record Medical Supplies,333.27,129.98,,,0
CDM,SUP227970,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP227971,Noncdm Charge Record Medical Supplies,1477.05,576.05,,,0
CDM,SUP227972,Noncdm Charge Record Medical Supplies,2242.64,874.63,,,0
CDM,SUP227974,Noncdm Charge Record Medical Supplies,767.97,299.51,,,0
CDM,SUP227980,Noncdm Charge Record Medical Supplies,455.4,177.61,,,0
CDM,SUP227982,Noncdm Charge Record Medical Supplies,856.98,334.22,,,0
CDM,SUP227994,Noncdm Charge Record Medical Supplies,2105.19,821.02,,,0
CDM,SUP227995,Noncdm Charge Record Medical Supplies,2105.19,821.02,,,0
CDM,SUP227999,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP228018,Noncdm Charge Record Medical Supplies,121.1,47.23,,,0
CDM,SUP22803,Noncdm Charge Record Medical Supplies - Catheter Ball Dil .014In-4-135,1057.64,412.48,,,0
CDM,SUP228032,Noncdm Charge Record Medical Supplies,552.69,215.55,,,0
CDM,SUP22804,Noncdm Charge Record Medical Supplies - Catheter .014In 5.5Mm 135Cm 20Mm Balloon Dialator Abbott Vas,1082.59,422.21,,,0
CDM,SUP228046,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP228047,Noncdm Charge Record Medical Supplies,4.14,1.61,,,0
CDM,SUP228050,Noncdm Charge Record Medical Supplies,1590.8,620.41,,,0
CDM,SUP228051,Noncdm Charge Record Medical Supplies,4.14,1.61,,,0
CDM,SUP22806,Noncdm Charge Record Medical Supplies - See 91304 Catheter Iv Autog Wing Lf 24Ga Shld Dehp-Fr,7.24,2.82,,,0
CDM,SUP228061,Noncdm Charge Record Medical Supplies,1092.79,426.19,,,0
CDM,SUP228062,Noncdm Charge Record Medical Supplies,1801.94,702.76,,,0
CDM,SUP228064,Noncdm Charge Record Medical Supplies,1825.74,712.04,,,0
CDM,SUP228066,Noncdm Charge Record Medical Supplies,1199.56,467.83,,,0
CDM,SUP228067,Noncdm Charge Record Medical Supplies,1806.08,704.37,,,0
CDM,SUP228068,Noncdm Charge Record Medical Supplies,598.23,233.31,,,0
CDM,SUP228069,Noncdm Charge Record Medical Supplies,1929.24,752.4,,,0
CDM,SUP22807,Noncdm Charge Record Medical Supplies - Stent Vasc 5Mm 30Mm .014In Rx,9449.55,3685.32,,,0
CDM,SUP228079,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP22808,Noncdm Charge Record Medical Supplies - Stent Vasc 5Mm 40Mm .014In Rx,9734.17,3796.33,,,0
CDM,SUP228080,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP228081,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP228092,Noncdm Charge Record Medical Supplies,1635.3,637.77,,,0
CDM,SUP228094,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP228098,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP228100,Noncdm Charge Record Medical Supplies,1027.76,400.83,,,0
CDM,SUP228103,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP228104,Noncdm Charge Record Medical Supplies,3086.37,1203.68,,,0
CDM,SUP228110,Noncdm Charge Record Medical Supplies,2159.01,842.01,,,0
CDM,SUP228113,Noncdm Charge Record Medical Supplies,12034.63,4693.51,,,0
CDM,SUP228116,Noncdm Charge Record Medical Supplies,2302.18,897.85,,,0
CDM,SUP228124,Noncdm Charge Record Medical Supplies,1052.6,410.51,,,0
CDM,SUP228125,Noncdm Charge Record Medical Supplies,4850.01,1891.5,,,0
CDM,SUP228126,Noncdm Charge Record Medical Supplies,65.98,25.73,,,0
CDM,SUP22813,Noncdm Charge Record Medical Supplies - Nail 11.5Mm 24Cm Troch,17059.9,6653.36,,,0
CDM,SUP228132,Noncdm Charge Record Medical Supplies,66.24,25.83,,,0
CDM,SUP228137,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP22814,Noncdm Charge Record Medical Supplies - Implant Distal Biceps Repair Arthrex,4108.95,1602.49,,,0
CDM,SUP228148,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP228149,Noncdm Charge Record Medical Supplies,497.84,194.16,,,0
CDM,SUP228169,Noncdm Charge Record Medical Supplies,36.74,14.33,,,0
CDM,SUP228182,Noncdm Charge Record Medical Supplies,4387.36,1711.07,,,0
CDM,SUP228193,Noncdm Charge Record Medical Supplies,1292.71,504.16,,,0
CDM,SUP228196,Noncdm Charge Record Medical Supplies,1440.72,561.88,,,0
CDM,SUP228203,Noncdm Charge Record Medical Supplies,460.23,179.49,,,0
CDM,SUP228204,Noncdm Charge Record Medical Supplies,2124.86,828.7,,,0
CDM,SUP228205,Noncdm Charge Record Medical Supplies,2051.37,800.03,,,0
CDM,SUP22821,Noncdm Charge Record Medical Supplies - Filter Smrt O2 Adlt Sureline +,74.52,29.06,,,0
CDM,SUP228210,Noncdm Charge Record Medical Supplies,5710.1,2226.94,,,0
CDM,SUP228212,Noncdm Charge Record Medical Supplies,113.85,44.4,,,0
CDM,SUP228213,Noncdm Charge Record Medical Supplies,36.74,14.33,,,0
CDM,SUP228219,Noncdm Charge Record Medical Supplies,4.14,1.61,,,0
CDM,SUP22824,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 30Mm Trgn Lp,2255.35,879.59,,,0
CDM,SUP228255,Noncdm Charge Record Medical Supplies,982.22,383.07,,,0
CDM,SUP228266,Noncdm Charge Record Medical Supplies,636.52,248.24,,,0
CDM,SUP22827,Noncdm Charge Record Medical Supplies - Stent Bil 9Mm 60Mm 120Cm Self,4266.79,1664.05,,,0
CDM,SUP228270,Noncdm Charge Record Medical Supplies,1517.31,591.75,,,0
CDM,SUP228273,Noncdm Charge Record Medical Supplies,5710.1,2226.94,,,0
CDM,SUP228275,Noncdm Charge Record Medical Supplies,1728.45,674.1,,,0
CDM,SUP22828,Noncdm Charge Record Medical Supplies - Stent Bil 9Mm 40Mm 120Cm Self,4501.01,1755.39,,,0
CDM,SUP22829,Noncdm Charge Record Medical Supplies - Stent Bil 9Mm 81Mm 120Cm Self,3821.22,1490.28,,,0
CDM,SUP228295,Noncdm Charge Record Medical Supplies,12566.97,4901.12,,,0
CDM,SUP228297,Noncdm Charge Record Medical Supplies,12566.97,4901.12,,,0
CDM,SUP228298,Noncdm Charge Record Medical Supplies,12566.97,4901.12,,,0
CDM,SUP228304,Noncdm Charge Record Medical Supplies,12566.97,4901.12,,,0
CDM,SUP228306,Noncdm Charge Record Medical Supplies,12566.97,4901.12,,,0
CDM,SUP228322,Noncdm Charge Record Medical Supplies,1713.96,668.44,,,0
CDM,SUP228323,Noncdm Charge Record Medical Supplies,159.39,62.16,,,0
CDM,SUP228326,Noncdm Charge Record Medical Supplies,455.4,177.61,,,0
CDM,SUP228341,Noncdm Charge Record Medical Supplies,383.98,149.75,,,0
CDM,SUP228342,Noncdm Charge Record Medical Supplies,5339.56,2082.43,,,0
CDM,SUP228343,Noncdm Charge Record Medical Supplies,767.97,299.51,,,0
CDM,SUP228350,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP22837,Noncdm Charge Record Medical Supplies - Stent Bil 7Mm 17Mm 135Cm,4229.35,1649.45,,,0
CDM,SUP22838,Noncdm Charge Record Medical Supplies - Stent Bil Express Ld 7-30Mm 15Mm 150Cm,3595.59,1402.28,,,0
CDM,SUP228390,Noncdm Charge Record Medical Supplies,2312.19,901.75,,,0
CDM,SUP22840,Noncdm Charge Record Medical Supplies - Stent Bil 7Mm 57Mm 135Cm,3866.76,1508.04,,,0
CDM,SUP228403,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP228405,Noncdm Charge Record Medical Supplies,651.02,253.9,,,0
CDM,SUP228407,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP228408,Noncdm Charge Record Medical Supplies,495.76,193.35,,,0
CDM,SUP228409,Noncdm Charge Record Medical Supplies,4.14,1.61,,,0
CDM,SUP22841,Noncdm Charge Record Medical Supplies - Stent Bil 8Mm 17Mm 135Cm,3866.76,1508.04,,,0
CDM,SUP228411,Noncdm Charge Record Medical Supplies,9623.43,3753.14,,,0
CDM,SUP228413,Noncdm Charge Record Medical Supplies,9623.43,3753.14,,,0
CDM,SUP228415,Noncdm Charge Record Medical Supplies,181.12,70.64,,,0
CDM,SUP22842,Noncdm Charge Record Medical Supplies - Stent Bil 8Mm 27Mm 135Cm,5130.5,2000.9,,,0
CDM,SUP228420,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP228426,Noncdm Charge Record Medical Supplies,4475.34,1745.38,,,0
CDM,SUP22843,Noncdm Charge Record Medical Supplies - Stent Bil 8Mm 37Mm 135Cm,5226.75,2038.43,,,0
CDM,SUP228431,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP228440,Noncdm Charge Record Medical Supplies,1454.18,567.13,,,0
CDM,SUP228443,Noncdm Charge Record Medical Supplies,2777.94,1083.4,,,0
CDM,SUP228446,Noncdm Charge Record Medical Supplies,552.69,215.55,,,0
CDM,SUP228470,Noncdm Charge Record Medical Supplies,2687.9,1048.28,,,0
CDM,SUP228473,Noncdm Charge Record Medical Supplies,2227.32,868.65,,,0
CDM,SUP228475,Noncdm Charge Record Medical Supplies,14452.74,5636.57,,,0
CDM,SUP228476,Noncdm Charge Record Medical Supplies,127.3,49.65,,,0
CDM,SUP228477,Noncdm Charge Record Medical Supplies,254.61,99.3,,,0
CDM,SUP228478,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP228481,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP228485,Noncdm Charge Record Medical Supplies,1106.42,431.5,,,0
CDM,SUP228486,Noncdm Charge Record Medical Supplies,2469.51,963.11,,,0
CDM,SUP228492,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP228495,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP2284_270,Noncdm Charge Record Medical Supplies - See 114101 Bag Collection Urine 2000Ml Bard Medical,16.56,6.46,,,0
CDM,SUP2284_A4649_270,Noncdm Charge Record Medical Supplies - See 114101 Bag Collection Urine 2000Ml Bard Medical,16.56,6.46,,,0
CDM,SUP2284_A9999_270,Noncdm Charge Record Medical Supplies - See 114101 Bag Collection Urine 2000Ml Bard Medical,16.56,6.46,,,0
CDM,SUP2285,Noncdm Charge Record Medical Supplies - Bag Drain 2.5L Bdx Urmtr Infct Control Bctrst,35.19,13.72,,,0
CDM,SUP22850,Noncdm Charge Record Medical Supplies - Substitute Skin 20X25Cm Strattice Porc Derm (X),66595.35,25972.19,,,0
CDM,SUP228507,Noncdm Charge Record Medical Supplies,767.97,299.51,,,0
CDM,SUP228513,Noncdm Charge Record Medical Supplies,313.6,122.3,,,0
CDM,SUP228518,Noncdm Charge Record Medical Supplies,3293.37,1284.41,,,0
CDM,SUP228528,Noncdm Charge Record Medical Supplies,310.5,121.1,,,0
CDM,SUP228532,Noncdm Charge Record Medical Supplies,313.6,122.3,,,0
CDM,SUP228538,Noncdm Charge Record Medical Supplies,1713.96,668.44,,,0
CDM,SUP228541,Noncdm Charge Record Medical Supplies,2491.24,971.58,,,0
CDM,SUP228542,Noncdm Charge Record Medical Supplies,4.14,1.61,,,0
CDM,SUP228543,Noncdm Charge Record Medical Supplies,159.39,62.16,,,0
CDM,SUP228546,Noncdm Charge Record Medical Supplies,4.14,1.61,,,0
CDM,SUP228552,Noncdm Charge Record Medical Supplies,616.86,240.58,,,0
CDM,SUP228555,Noncdm Charge Record Medical Supplies,767.97,299.51,,,0
CDM,SUP228570,Noncdm Charge Record Medical Supplies,1370.34,534.43,,,0
CDM,SUP228571,Noncdm Charge Record Medical Supplies,1199.56,467.83,,,0
CDM,SUP228572,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP228574,Noncdm Charge Record Medical Supplies,146.97,57.32,,,0
CDM,SUP228575,Noncdm Charge Record Medical Supplies,146.97,57.32,,,0
CDM,SUP228576,Noncdm Charge Record Medical Supplies,1370.34,534.43,,,0
CDM,SUP22858,Noncdm Charge Record Medical Supplies - Plate 63Mm Ss 3.5Mm Screw 3X3 Hl T Rt Oblq,1503.86,586.51,,,0
CDM,SUP228580,Noncdm Charge Record Medical Supplies,1713.96,668.44,,,0
CDM,SUP228581,Noncdm Charge Record Medical Supplies,159.39,62.16,,,0
CDM,SUP228582,Noncdm Charge Record Medical Supplies,367.17,143.2,,,0
CDM,SUP228592,Noncdm Charge Record Medical Supplies,1713.96,668.44,,,0
CDM,SUP228595,Noncdm Charge Record Medical Supplies,97.98,38.21,,,0
CDM,SUP228599,Noncdm Charge Record Medical Supplies,513.88,200.41,,,0
CDM,SUP22860,Noncdm Charge Record Medical Supplies - Plate 56Mm Ss 3.5Mm Screw Sm Frag Set 3X3 Hl T Rt Ang,1325.84,517.08,,,0
CDM,SUP228621,Noncdm Charge Record Medical Supplies,3777.75,1473.32,,,0
CDM,SUP228626,Noncdm Charge Record Medical Supplies,1566.99,611.13,,,0
CDM,SUP228627,Noncdm Charge Record Medical Supplies,1449.17,565.18,,,0
CDM,SUP228629,Noncdm Charge Record Medical Supplies,2065.86,805.69,,,0
CDM,SUP228631,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP228632,Noncdm Charge Record Medical Supplies,7375.41,2876.41,,,0
CDM,SUP228634,Noncdm Charge Record Medical Supplies,767.97,299.51,,,0
CDM,SUP228635,Noncdm Charge Record Medical Supplies,2996.32,1168.56,,,0
CDM,SUP228636,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP228645,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP228667,Noncdm Charge Record Medical Supplies,37.26,14.53,,,0
CDM,SUP228678,Noncdm Charge Record Medical Supplies,5511.38,2149.44,,,0
CDM,SUP228679,Noncdm Charge Record Medical Supplies,225.63,88.0,,,0
CDM,SUP228680,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP228681,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP228682,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP228684,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP228690,Noncdm Charge Record Medical Supplies,36.74,14.33,,,0
CDM,SUP228691,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP228692,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP228693,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP228695,Noncdm Charge Record Medical Supplies,2394.47,933.84,,,0
CDM,SUP228698,Noncdm Charge Record Medical Supplies,12515.91,4881.2,,,0
CDM,SUP228699,Noncdm Charge Record Medical Supplies,6643.15,2590.83,,,0
CDM,SUP228700,Noncdm Charge Record Medical Supplies,1008.09,393.16,,,0
CDM,SUP228701,Noncdm Charge Record Medical Supplies,166.64,64.99,,,0
CDM,SUP228705,Noncdm Charge Record Medical Supplies,783.5,305.56,,,0
CDM,SUP228706,Noncdm Charge Record Medical Supplies,622.04,242.6,,,0
CDM,SUP22871,Noncdm Charge Record Medical Supplies - Catheter Micro Px 45D 2.95F,3897.81,1520.15,,,0
CDM,SUP228712,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP228713,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP228716,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP228717,Noncdm Charge Record Medical Supplies,36.91,14.39,,,0
CDM,SUP228735,Noncdm Charge Record Medical Supplies,322.92,125.94,,,0
CDM,SUP228751,Noncdm Charge Record Medical Supplies,5339.56,2082.43,,,0
CDM,SUP228752,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP228760,Noncdm Charge Record Medical Supplies,37.26,14.53,,,0
CDM,SUP228762,Noncdm Charge Record Medical Supplies,304.9,118.91,,,0
CDM,SUP228766,Noncdm Charge Record Medical Supplies,596.78,232.74,,,0
CDM,SUP22877,Noncdm Charge Record Medical Supplies - Handle Coil Detachment,1165.41,454.51,,,0
CDM,SUP228772,Noncdm Charge Record Medical Supplies,637.56,248.65,,,0
CDM,SUP228773,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP228774,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP228787,Noncdm Charge Record Medical Supplies,783.5,305.56,,,0
CDM,SUP228788,Noncdm Charge Record Medical Supplies,783.5,305.56,,,0
CDM,SUP228789,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP2288,Noncdm Charge Record Medical Supplies - Catheter Foley 12Fr 2Way 5Ml Bard,16.56,6.46,,,0
CDM,SUP22880,Noncdm Charge Record Medical Supplies - Catheter Ebu 3.5 90Cm Guide,202.03,78.79,,,0
CDM,SUP228825,Noncdm Charge Record Medical Supplies,136.62,53.28,,,0
CDM,SUP228826,Noncdm Charge Record Medical Supplies,254.61,99.3,,,0
CDM,SUP228827,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP228829,Noncdm Charge Record Medical Supplies,70.38,27.45,,,0
CDM,SUP228840,Noncdm Charge Record Medical Supplies,1598.04,623.24,,,0
CDM,SUP228841,Noncdm Charge Record Medical Supplies,2275.96,887.62,,,0
CDM,SUP228842,Noncdm Charge Record Medical Supplies,2275.96,887.62,,,0
CDM,SUP228843,Noncdm Charge Record Medical Supplies,4.14,1.61,,,0
CDM,SUP22885,Noncdm Charge Record Medical Supplies - Catheter 8Fr Al.75 90Cm Guide Launch,209.07,81.54,,,0
CDM,SUP228851,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP228855,Noncdm Charge Record Medical Supplies,22.33,8.71,,,0
CDM,SUP22886,Noncdm Charge Record Medical Supplies - Catheter 8Fr Al.75 Side Hl 90C Guide Launch,220.46,85.98,,,0
CDM,SUP228864,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP228868,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP228869,Noncdm Charge Record Medical Supplies,313.6,122.3,,,0
CDM,SUP228875,Noncdm Charge Record Medical Supplies,98.32,38.34,,,0
CDM,SUP228880,Noncdm Charge Record Medical Supplies,3375.14,1316.3,,,0
CDM,SUP228881,Noncdm Charge Record Medical Supplies,614.79,239.77,,,0
CDM,SUP228903,Noncdm Charge Record Medical Supplies,244.78,95.46,,,0
CDM,SUP228906,Noncdm Charge Record Medical Supplies,34170.52,13326.5,,,0
CDM,SUP22891,Noncdm Charge Record Medical Supplies,186.3,72.66,,,0
CDM,SUP228936,Noncdm Charge Record Medical Supplies,616.86,240.58,,,0
CDM,SUP22894,Noncdm Charge Record Medical Supplies,127.3,49.65,,,0
CDM,SUP228940,Noncdm Charge Record Medical Supplies,74.52,29.06,,,0
CDM,SUP228948,Noncdm Charge Record Medical Supplies,12034.98,4693.64,,,0
CDM,SUP228949,Noncdm Charge Record Medical Supplies,2301.84,897.72,,,0
CDM,SUP22895,Noncdm Charge Record Medical Supplies - Suture Vicryl + 1 Ctx 36In Undyed Ethicon,9.58,3.74,,,0
CDM,SUP22897,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 3Mm 25Mm,391.23,152.58,,,0
CDM,SUP2289_272,Noncdm Charge Record Medical Supplies - Catheter Ureth Bdx Ic 14Fr,16.47,6.42,,,0
CDM,SUP2289_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Ureth Bdx Ic 14Fr,16.56,6.46,,,0
CDM,SUP228_270,Noncdm Charge Record Medical Supplies - See 26814 Tracheostomy Tube Holder Universal Blue 240 Dale M,11.38,4.44,,,0
CDM,SUP22902,Noncdm Charge Record Medical Supplies - Trek 4.00 X 8Mm X 145 Cm Balloon,416.07,162.27,,,0
CDM,SUP229020,Noncdm Charge Record Medical Supplies,37.26,14.53,,,0
CDM,SUP229021,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP229022,Noncdm Charge Record Medical Supplies,313.6,122.3,,,0
CDM,SUP229024,Noncdm Charge Record Medical Supplies,37.26,14.53,,,0
CDM,SUP229026,Noncdm Charge Record Medical Supplies,4409.1,1719.55,,,0
CDM,SUP229038,Noncdm Charge Record Medical Supplies,455.4,177.61,,,0
CDM,SUP229040,Noncdm Charge Record Medical Supplies,37.26,14.53,,,0
CDM,SUP229042,Noncdm Charge Record Medical Supplies,416.07,162.27,,,0
CDM,SUP229044,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP229045,Noncdm Charge Record Medical Supplies,876.64,341.89,,,0
CDM,SUP229047,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP229048,Noncdm Charge Record Medical Supplies,2411.55,940.5,,,0
CDM,SUP229052,Noncdm Charge Record Medical Supplies,37.26,14.53,,,0
CDM,SUP229055,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP229059,Noncdm Charge Record Medical Supplies,3505.54,1367.16,,,0
CDM,SUP229062,Noncdm Charge Record Medical Supplies,455.4,177.61,,,0
CDM,SUP229066,Noncdm Charge Record Medical Supplies,37.26,14.53,,,0
CDM,SUP229084,Noncdm Charge Record Medical Supplies,1544.56,602.38,,,0
CDM,SUP229086,Noncdm Charge Record Medical Supplies,2645.46,1031.73,,,0
CDM,SUP2290_272,Noncdm Charge Record Medical Supplies - Catheter Ureth Ic 16Fr 5Cc,16.39,6.39,,,0
CDM,SUP2290_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Ureth Ic 16Fr 5Cc,16.56,6.46,,,0
CDM,SUP2290_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Ureth Ic 16Fr 5Cc,16.56,6.46,,,0
CDM,SUP22910,Noncdm Charge Record Medical Supplies - Guidewire Vasc.035In80-8Cmstrt,115.86,45.19,,,0
CDM,SUP229107,Noncdm Charge Record Medical Supplies,37.26,14.53,,,0
CDM,SUP229108,Noncdm Charge Record Medical Supplies,1145.74,446.84,,,0
CDM,SUP229109,Noncdm Charge Record Medical Supplies,982.22,383.07,,,0
CDM,SUP22911,Noncdm Charge Record Medical Supplies - Catheter Drain 16Fr 40Cm Grdn,409.86,159.85,,,0
CDM,SUP229113,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP229133,Noncdm Charge Record Medical Supplies,66.24,25.83,,,0
CDM,SUP22917,Noncdm Charge Record Medical Supplies - Suture Vicryl + 3-0 Ks 27In Undyed Ethicon,12.03,4.69,,,0
CDM,SUP229198,Noncdm Charge Record Medical Supplies,469.89,183.26,,,0
CDM,SUP229199,Noncdm Charge Record Medical Supplies,333.27,129.98,,,0
CDM,SUP2291_272,Noncdm Charge Record Medical Supplies - Catheter Ureth Bdx 18Fr-2W 5Cc,16.3,6.36,,,0
CDM,SUP2291_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Ureth Bdx 18Fr-2W 5Cc,16.33,6.37,,,0
CDM,SUP2291_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Ureth Bdx 18Fr-2W 5Cc,16.41,6.4,,,0
CDM,SUP229200,Noncdm Charge Record Medical Supplies,107.64,41.98,,,0
CDM,SUP229201,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP229202,Noncdm Charge Record Medical Supplies,1967.54,767.34,,,0
CDM,SUP229211,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP229214,Noncdm Charge Record Medical Supplies,469.89,183.26,,,0
CDM,SUP22922,Noncdm Charge Record Medical Supplies - Needle Bx 19Ga 15Cm Cust 5-Bx,93.15,36.33,,,0
CDM,SUP229236,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP229238,Noncdm Charge Record Medical Supplies,27.94,10.9,,,0
CDM,SUP229242,Noncdm Charge Record Medical Supplies,1454.18,567.13,,,0
CDM,SUP229246,Noncdm Charge Record Medical Supplies,262.2,102.26,,,0
CDM,SUP229247,Noncdm Charge Record Medical Supplies,1853.68,722.94,,,0
CDM,SUP229249,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP229251,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP229254,Noncdm Charge Record Medical Supplies,1933.38,754.02,,,0
CDM,SUP229267,Noncdm Charge Record Medical Supplies,16.9,6.59,,,0
CDM,SUP229273,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP229275,Noncdm Charge Record Medical Supplies,151.11,58.93,,,0
CDM,SUP229288,Noncdm Charge Record Medical Supplies,2301.84,897.72,,,0
CDM,SUP22929,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 4.5Mm 15Mm Cor Smth,440.91,171.95,,,0
CDM,SUP2292_272,Noncdm Charge Record Medical Supplies - Catheter Ureth Bdx Ic 20Fr-2W,16.56,6.46,,,0
CDM,SUP2292_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Ureth Bdx Ic 20Fr-2W,16.56,6.46,,,0
CDM,SUP2292_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Ureth Bdx Ic 20Fr-2W,16.56,6.46,,,0
CDM,SUP2293,Noncdm Charge Record Medical Supplies - Catheter Foley 2-Way 22Fr 5Cc Latex Bard Medical,16.56,6.46,,,0
CDM,SUP229301,Noncdm Charge Record Medical Supplies,538.2,209.9,,,0
CDM,SUP229305,Noncdm Charge Record Medical Supplies,25.88,10.09,,,0
CDM,SUP229343,Noncdm Charge Record Medical Supplies,30.02,11.71,,,0
CDM,SUP229344,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP229345,Noncdm Charge Record Medical Supplies,1426.23,556.23,,,0
CDM,SUP229346,Noncdm Charge Record Medical Supplies,3625.6,1413.98,,,0
CDM,SUP229348,Noncdm Charge Record Medical Supplies,78.66,30.68,,,0
CDM,SUP229349,Noncdm Charge Record Medical Supplies,241.16,94.05,,,0
CDM,SUP229358,Noncdm Charge Record Medical Supplies,97.29,37.94,,,0
CDM,SUP229360,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP229374,Noncdm Charge Record Medical Supplies,755.55,294.66,,,0
CDM,SUP229376,Noncdm Charge Record Medical Supplies,10.35,4.04,,,0
CDM,SUP229377,Noncdm Charge Record Medical Supplies,10802.3,4212.9,,,0
CDM,SUP229379,Noncdm Charge Record Medical Supplies,2402.92,937.14,,,0
CDM,SUP229380,Noncdm Charge Record Medical Supplies,3037.72,1184.71,,,0
CDM,SUP229381,Noncdm Charge Record Medical Supplies,700.7,273.27,,,0
CDM,SUP229382,Noncdm Charge Record Medical Supplies,10802.3,4212.9,,,0
CDM,SUP229385,Noncdm Charge Record Medical Supplies,1403.46,547.35,,,0
CDM,SUP229391,Noncdm Charge Record Medical Supplies,27.94,10.9,,,0
CDM,SUP229393,Noncdm Charge Record Medical Supplies,166.64,64.99,,,0
CDM,SUP229397,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP229398,Noncdm Charge Record Medical Supplies,229.77,89.61,,,0
CDM,SUP2294,Noncdm Charge Record Medical Supplies - Catheter Foley 2-Way 24Fr 5Cc Latex Bard Medical,16.56,6.46,,,0
CDM,SUP229401,Noncdm Charge Record Medical Supplies,48.99,19.11,,,0
CDM,SUP229405,Noncdm Charge Record Medical Supplies,2575.08,1004.28,,,0
CDM,SUP229410,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP229411,Noncdm Charge Record Medical Supplies,11022.75,4298.87,,,0
CDM,SUP229421,Noncdm Charge Record Medical Supplies,1281.33,499.72,,,0
CDM,SUP229429,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP229432,Noncdm Charge Record Medical Supplies,2124.86,828.7,,,0
CDM,SUP229433,Noncdm Charge Record Medical Supplies,1155.06,450.47,,,0
CDM,SUP229434,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP229435,Noncdm Charge Record Medical Supplies,166.64,64.99,,,0
CDM,SUP229436,Noncdm Charge Record Medical Supplies,5710.1,2226.94,,,0
CDM,SUP229437,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP229438,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP229439,Noncdm Charge Record Medical Supplies,27.94,10.9,,,0
CDM,SUP229440,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP229445,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP229447,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP229450,Noncdm Charge Record Medical Supplies,285.66,111.41,,,0
CDM,SUP229464,Noncdm Charge Record Medical Supplies,554.76,216.36,,,0
CDM,SUP229466,Noncdm Charge Record Medical Supplies,257.2,100.31,,,0
CDM,SUP229468,Noncdm Charge Record Medical Supplies,52708.93,20556.48,,,0
CDM,SUP229477,Noncdm Charge Record Medical Supplies,7.24,2.82,,,0
CDM,SUP22948,Noncdm Charge Record Medical Supplies - Occluder Cv 10Mm Spt Del Sys,32684.26,12746.86,,,0
CDM,SUP229481,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP229482,Noncdm Charge Record Medical Supplies,1370.34,534.43,,,0
CDM,SUP229484,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP229486,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP229490,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP229491,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP229493,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP2295,Noncdm Charge Record Medical Supplies - Catheter Ureth Bdx Ic 26Fr 5Cc,16.56,6.46,,,0
CDM,SUP22951,Noncdm Charge Record Medical Supplies - Balloon Amplatz Sizing 34Mm,1624.95,633.73,,,0
CDM,SUP229518,Noncdm Charge Record Medical Supplies,25.88,10.09,,,0
CDM,SUP229524,Noncdm Charge Record Medical Supplies,33.12,12.92,,,0
CDM,SUP229537_272,Noncdm Charge Record Medical Supplies,9336.92,3641.4,,,0
CDM,SUP229537_A4649_272,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP22954,Noncdm Charge Record Medical Supplies - Snare Vasc 150Cm 25Mm Expro,1933.38,754.02,,,0
CDM,SUP229542,Noncdm Charge Record Medical Supplies,2301.84,897.72,,,0
CDM,SUP229546,Noncdm Charge Record Medical Supplies,1798.83,701.54,,,0
CDM,SUP229552,Noncdm Charge Record Medical Supplies,1172.66,457.34,,,0
CDM,SUP229553,Noncdm Charge Record Medical Supplies,1057.77,412.53,,,0
CDM,SUP229555,Noncdm Charge Record Medical Supplies,12034.98,4693.64,,,0
CDM,SUP229556,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP22963,Noncdm Charge Record Medical Supplies - Occluder Cv 28Mm Spt Del Sys,32684.26,12746.86,,,0
CDM,SUP229630,Noncdm Charge Record Medical Supplies,73.48,28.66,,,0
CDM,SUP229631,Noncdm Charge Record Medical Supplies,1206.81,470.66,,,0
CDM,SUP229638,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP229639,Noncdm Charge Record Medical Supplies,3509.68,1368.78,,,0
CDM,SUP22964,Noncdm Charge Record Medical Supplies - Occluder Cv 30Mm Spt Del Sys,32684.26,12746.86,,,0
CDM,SUP229670,Noncdm Charge Record Medical Supplies,6721.29,2621.3,,,0
CDM,SUP229671,Noncdm Charge Record Medical Supplies,4631.62,1806.33,,,0
CDM,SUP229679,Noncdm Charge Record Medical Supplies,10934.78,4264.56,,,0
CDM,SUP22968,Noncdm Charge Record Medical Supplies - Catheter Dil Nc Trek 1.5Mm 20 20M Cor Rx,440.91,171.95,,,0
CDM,SUP229680,Noncdm Charge Record Medical Supplies,92.63,36.13,,,0
CDM,SUP229681,Noncdm Charge Record Medical Supplies,2162.11,843.22,,,0
CDM,SUP2297,Noncdm Charge Record Medical Supplies - Catheter Ureth Bdx Ic 14Fr 30C,18.63,7.27,,,0
CDM,SUP229700,Noncdm Charge Record Medical Supplies,297.56,116.05,,,0
CDM,SUP229721,Noncdm Charge Record Medical Supplies,45.54,17.76,,,0
CDM,SUP229724,Noncdm Charge Record Medical Supplies,19.66,7.67,,,0
CDM,SUP229725,Noncdm Charge Record Medical Supplies,12.42,4.84,,,0
CDM,SUP229730,Noncdm Charge Record Medical Supplies,289.8,113.02,,,0
CDM,SUP229731,Noncdm Charge Record Medical Supplies,45.54,17.76,,,0
CDM,SUP229732,Noncdm Charge Record Medical Supplies,36.22,14.13,,,0
CDM,SUP229733,Noncdm Charge Record Medical Supplies,6.95,2.71,,,0
CDM,SUP22975,Noncdm Charge Record Medical Supplies - Catheter Guide Launcher 6Fr No Medtronic,186.3,72.66,,,0
CDM,SUP229755,Noncdm Charge Record Medical Supplies,4850.01,1891.5,,,0
CDM,SUP229756,Noncdm Charge Record Medical Supplies,1052.6,410.51,,,0
CDM,SUP229767,Noncdm Charge Record Medical Supplies,877.68,342.3,,,0
CDM,SUP229768,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP22977,Noncdm Charge Record Medical Supplies - Catheter Guide Launch 6Fr Rcb,186.3,72.66,,,0
CDM,SUP229776,Noncdm Charge Record Medical Supplies,5238.14,2042.87,,,0
CDM,SUP22978,Noncdm Charge Record Medical Supplies - Catheter Guide Launcher 6Fr Al Medtronic,197.68,77.1,,,0
CDM,SUP229782,Noncdm Charge Record Medical Supplies,11794.86,4600.0,,,0
CDM,SUP229783,Noncdm Charge Record Medical Supplies,4660.09,1817.44,,,0
CDM,SUP229793,Noncdm Charge Record Medical Supplies,856.98,334.22,,,0
CDM,SUP229796,Noncdm Charge Record Medical Supplies,629.28,245.42,,,0
CDM,SUP229799,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP2298,Noncdm Charge Record Medical Supplies - Catheter Ureth Ic 16Fr 30Cc,18.63,7.27,,,0
CDM,SUP22980,Noncdm Charge Record Medical Supplies - Catheter Guide Launch 6Fr Al,205.96,80.32,,,0
CDM,SUP229800,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP229801,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP229807,Noncdm Charge Record Medical Supplies,127.3,49.65,,,0
CDM,SUP229808,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP229809,Noncdm Charge Record Medical Supplies,274.27,106.97,,,0
CDM,SUP22981,Noncdm Charge Record Medical Supplies - Catheter Guide Launcher 6Fr Ar Medtronic,206.79,80.65,,,0
CDM,SUP229810,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP229817,Noncdm Charge Record Medical Supplies,81.76,31.89,,,0
CDM,SUP229821,Noncdm Charge Record Medical Supplies,47.95,18.7,,,0
CDM,SUP229823,Noncdm Charge Record Medical Supplies,17.6,6.86,,,0
CDM,SUP22983,Noncdm Charge Record Medical Supplies - Catheter Guide Launch 6Fr Ima Sh,203.38,79.32,,,0
CDM,SUP229831,Noncdm Charge Record Medical Supplies,242.19,94.45,,,0
CDM,SUP229849,Noncdm Charge Record Medical Supplies,5269.18,2054.98,,,0
CDM,SUP22985,Noncdm Charge Record Medical Supplies - Catheter Guide Launcher 6Fr Jl 3.0 Medtronic,189.98,74.09,,,0
CDM,SUP229850,Noncdm Charge Record Medical Supplies,16.56,6.46,,,0
CDM,SUP229853,Noncdm Charge Record Medical Supplies,37.26,14.53,,,0
CDM,SUP229856,Noncdm Charge Record Medical Supplies,7632.09,2976.52,,,0
CDM,SUP229857,Noncdm Charge Record Medical Supplies,13426.02,5236.15,,,0
CDM,SUP229867,Noncdm Charge Record Medical Supplies,1439.68,561.48,,,0
CDM,SUP229876,Noncdm Charge Record Medical Supplies,44.5,17.36,,,0
CDM,SUP22988,Noncdm Charge Record Medical Supplies - Catheter Guide Launcher 6Fr Jl 4.5 Medtronic,220.46,85.98,,,0
CDM,SUP229888,Noncdm Charge Record Medical Supplies,296.01,115.44,,,0
CDM,SUP22989,Noncdm Charge Record Medical Supplies - Catheter Guide Launcher 6Fr Jl Medtronic,186.3,72.66,,,0
CDM,SUP229892,Noncdm Charge Record Medical Supplies,12565.94,4900.72,,,0
CDM,SUP229904,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP229908,Noncdm Charge Record Medical Supplies,2080.35,811.34,,,0
CDM,SUP229932,Noncdm Charge Record Medical Supplies,13.46,5.25,,,0
CDM,SUP229934,Noncdm Charge Record Medical Supplies,113.16,44.13,,,0
CDM,SUP229935,Noncdm Charge Record Medical Supplies,113.16,44.13,,,0
CDM,SUP229936,Noncdm Charge Record Medical Supplies,1871.28,729.8,,,0
CDM,SUP22995,Noncdm Charge Record Medical Supplies - Catheter Guide Launcher 6Fr 10 Medtronic,186.3,72.66,,,0
CDM,SUP229967,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP229968,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP229969,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP229981,Noncdm Charge Record Medical Supplies,2124.86,828.7,,,0
CDM,SUP229982,Noncdm Charge Record Medical Supplies,460.32,179.52,,,0
CDM,SUP229983,Noncdm Charge Record Medical Supplies,401.58,156.62,,,0
CDM,SUP229988,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP229989,Noncdm Charge Record Medical Supplies,1942.7,757.65,,,0
CDM,SUP229994,Noncdm Charge Record Medical Supplies,16754.58,6534.29,,,0
CDM,SUP229995,Noncdm Charge Record Medical Supplies,48.99,19.11,,,0
CDM,SUP229997,Noncdm Charge Record Medical Supplies,1106.42,431.5,,,0
CDM,SUP229998,Noncdm Charge Record Medical Supplies,2469.51,963.11,,,0
CDM,SUP2299_272,Noncdm Charge Record Medical Supplies - Catheter Ureth Ic 18Fr 2W 30Cc,18.63,7.27,,,0
CDM,SUP2299_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Ureth Ic 18Fr 2W 30Cc,18.63,7.27,,,0
CDM,SUP2299_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Ureth Ic 18Fr 2W 30Cc,18.63,7.27,,,0
CDM,SUP230,Noncdm Charge Record Medical Supplies - Tube 120Mm 7Mm Cuff Adj Neck Flange Wr Bvn,806.26,314.44,,,0
CDM,SUP2300,Noncdm Charge Record Medical Supplies - Catheter Ureth Bdx Ic 20F 30Cc,18.63,7.27,,,0
CDM,SUP23000,Noncdm Charge Record Medical Supplies - Catheter Guide Launcher 6Fr Jcl Medtronic,203.38,79.32,,,0
CDM,SUP230002,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP230003,Noncdm Charge Record Medical Supplies,2844.18,1109.23,,,0
CDM,SUP230004,Noncdm Charge Record Medical Supplies,2139.34,834.34,,,0
CDM,SUP230005,Noncdm Charge Record Medical Supplies,166.64,64.99,,,0
CDM,SUP230006,Noncdm Charge Record Medical Supplies,2139.34,834.34,,,0
CDM,SUP230007,Noncdm Charge Record Medical Supplies,2689.96,1049.08,,,0
CDM,SUP230019,Noncdm Charge Record Medical Supplies,2139.34,834.34,,,0
CDM,SUP230021,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP230023,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230026,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230028,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230029,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230033,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230035,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230036,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230037,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230039,Noncdm Charge Record Medical Supplies,629.28,245.42,,,0
CDM,SUP230041,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230042,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230045,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230048,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230049,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230055,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP230056,Noncdm Charge Record Medical Supplies,2056.54,802.05,,,0
CDM,SUP230058,Noncdm Charge Record Medical Supplies,2645.46,1031.73,,,0
CDM,SUP230060,Noncdm Charge Record Medical Supplies,513.88,200.41,,,0
CDM,SUP230061,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP230063,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230068,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230073,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230074,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230075,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230076,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230077,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230078,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230079,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230082,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230083,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230084,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230086,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230090,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230094,Noncdm Charge Record Medical Supplies,428.08,166.95,,,0
CDM,SUP230099,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP2301,Noncdm Charge Record Medical Supplies - Catheter Ureth Bdx 22Fr 2W-30,18.63,7.27,,,0
CDM,SUP230103,Noncdm Charge Record Medical Supplies,746.24,291.03,,,0
CDM,SUP230105,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230106,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230110,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230111,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230112,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230113,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230115,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230117,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230120,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230121,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230123,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP23013,Noncdm Charge Record Medical Supplies - See 96573 Catheter Guide Launch 7Fr Al 1.0 Sh,205.96,80.32,,,0
CDM,SUP230130,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230131,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230132,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230135,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230138,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230139,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP23014,Noncdm Charge Record Medical Supplies - Catheter Guide Launch 7Fr Al,220.46,85.98,,,0
CDM,SUP230141,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230142,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230143,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230144,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230146,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230147,Noncdm Charge Record Medical Supplies,7250.18,2827.57,,,0
CDM,SUP230160,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP230161,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP230162,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP230163,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP230164,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP230165,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP230166,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP230170,Noncdm Charge Record Medical Supplies,342.58,133.61,,,0
CDM,SUP230171,Noncdm Charge Record Medical Supplies,2557.48,997.42,,,0
CDM,SUP23018,Noncdm Charge Record Medical Supplies - Catheter Guide Launcher 7Fr Al 20 Medtronic,220.46,85.98,,,0
CDM,SUP230181,Noncdm Charge Record Medical Supplies,8083.35,3152.51,,,0
CDM,SUP230182,Noncdm Charge Record Medical Supplies,8083.35,3152.51,,,0
CDM,SUP230186,Noncdm Charge Record Medical Supplies,889.06,346.73,,,0
CDM,SUP230187,Noncdm Charge Record Medical Supplies,685.17,267.22,,,0
CDM,SUP230195,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP2302,Noncdm Charge Record Medical Supplies - Catheter Ureth Bdx 24Fr 30Cc-,17.94,7.0,,,0
CDM,SUP230233,Noncdm Charge Record Medical Supplies,708.98,276.5,,,0
CDM,SUP230234,Noncdm Charge Record Medical Supplies,1058.8,412.93,,,0
CDM,SUP230235,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP230236,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP230241,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP230248,Noncdm Charge Record Medical Supplies,636.52,248.24,,,0
CDM,SUP230249,Noncdm Charge Record Medical Supplies,1899.22,740.7,,,0
CDM,SUP23027,Noncdm Charge Record Medical Supplies,205.96,80.32,,,0
CDM,SUP23028,Noncdm Charge Record Medical Supplies - Catheter Guide Launcher 7Fr Ima Medtronic,220.46,85.98,,,0
CDM,SUP2303,Noncdm Charge Record Medical Supplies - Catheter Ureth Bdx 28Fr 2W-30,18.63,7.27,,,0
CDM,SUP230322,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP230347,Noncdm Charge Record Medical Supplies,636.52,248.24,,,0
CDM,SUP23041,Noncdm Charge Record Medical Supplies - Catheter Guide Lnch 7F Jr 4-Sh 4.0 Sht Tip,186.3,72.66,,,0
CDM,SUP230420,Noncdm Charge Record Medical Supplies,4332.51,1689.68,,,0
CDM,SUP230447,Noncdm Charge Record Medical Supplies,37.26,14.53,,,0
CDM,SUP230459,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP230472,Noncdm Charge Record Medical Supplies,37.26,14.53,,,0
CDM,SUP230479,Noncdm Charge Record Medical Supplies,482.31,188.1,,,0
CDM,SUP23048,Noncdm Charge Record Medical Supplies - Catheter Guide Launcher 7Fr Hs Medtronic,186.3,72.66,,,0
CDM,SUP230481,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP230485,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP2304_272,Noncdm Charge Record Medical Supplies - Catheter Urethral 16Fr 30Cc 3Way Bard,42.44,16.55,,,0
CDM,SUP2304_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Urethral 16Fr 30Cc 3Way Bard,42.44,16.55,,,0
CDM,SUP2305,Noncdm Charge Record Medical Supplies - Catheter Foley 3-Way 20 Fr 30Cc Bard Medical,59.0,23.01,,,0
CDM,SUP230548,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP230553,Noncdm Charge Record Medical Supplies,677.92,264.39,,,0
CDM,SUP230554,Noncdm Charge Record Medical Supplies,592.02,230.89,,,0
CDM,SUP230556,Noncdm Charge Record Medical Supplies,5710.1,2226.94,,,0
CDM,SUP230566,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP230585,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP2306,Noncdm Charge Record Medical Supplies - Catheter Ureth Bdx 22Fr 3W-30,59.0,23.01,,,0
CDM,SUP230628,Noncdm Charge Record Medical Supplies,15.52,6.05,,,0
CDM,SUP23067,Noncdm Charge Record Medical Supplies - Catheter Guide Launcher 8Fr Jr Medtronics,220.46,85.98,,,0
CDM,SUP230681,Noncdm Charge Record Medical Supplies,6642.63,2590.63,,,0
CDM,SUP230683,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP230693,Noncdm Charge Record Medical Supplies,4851.56,1892.11,,,0
CDM,SUP230696,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP23071,Noncdm Charge Record Medical Supplies - Catheter Guide Launch 8Fr Mp-1,220.46,85.98,,,0
CDM,SUP230713,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP230715,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP23072,Noncdm Charge Record Medical Supplies - Catheter Guide Launcher 8Fr Mp-1 Medtronic,186.3,72.66,,,0
CDM,SUP230720,Noncdm Charge Record Medical Supplies,244.78,95.46,,,0
CDM,SUP230722,Noncdm Charge Record Medical Supplies,973.94,379.84,,,0
CDM,SUP230723,Noncdm Charge Record Medical Supplies,4.14,1.61,,,0
CDM,SUP230727,Noncdm Charge Record Medical Supplies,284.11,110.8,,,0
CDM,SUP230739,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP230747,Noncdm Charge Record Medical Supplies,24.84,9.69,,,0
CDM,SUP230756,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP230763,Noncdm Charge Record Medical Supplies,461.61,180.03,,,0
CDM,SUP230764,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP230770,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP230777,Noncdm Charge Record Medical Supplies,333.27,129.98,,,0
CDM,SUP230795,Noncdm Charge Record Medical Supplies,54.86,21.4,,,0
CDM,SUP230796,Noncdm Charge Record Medical Supplies,219.42,85.57,,,0
CDM,SUP230801,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP230809,Noncdm Charge Record Medical Supplies,317.74,123.92,,,0
CDM,SUP230820,Noncdm Charge Record Medical Supplies,98.32,38.34,,,0
CDM,SUP230853,Noncdm Charge Record Medical Supplies,1884.74,735.05,,,0
CDM,SUP230868,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP23087,Noncdm Charge Record Medical Supplies - Catheter Guide 5F Convey,245.19,95.62,,,0
CDM,SUP230870,Noncdm Charge Record Medical Supplies,127.3,49.65,,,0
CDM,SUP230885,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP23089,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP230914,Noncdm Charge Record Medical Supplies,412.96,161.05,,,0
CDM,SUP230928,Noncdm Charge Record Medical Supplies,1171.62,456.93,,,0
CDM,SUP230941,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP230942,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP230943,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP230944,Noncdm Charge Record Medical Supplies,43.47,16.95,,,0
CDM,SUP230947_272,Noncdm Charge Record Medical Supplies,52.66,20.54,,,0
CDM,SUP230947_A4649_272,Noncdm Charge Record Medical Supplies,113.85,44.4,,,0
CDM,SUP230948,Noncdm Charge Record Medical Supplies,322.92,125.94,,,0
CDM,SUP230949,Noncdm Charge Record Medical Supplies,494.73,192.94,,,0
CDM,SUP230950,Noncdm Charge Record Medical Supplies,43.47,16.95,,,0
CDM,SUP230952,Noncdm Charge Record Medical Supplies,288.76,112.62,,,0
CDM,SUP230963,Noncdm Charge Record Medical Supplies,180.61,70.44,,,0
CDM,SUP230964,Noncdm Charge Record Medical Supplies,7495.47,2923.23,,,0
CDM,SUP230966,Noncdm Charge Record Medical Supplies,13205.56,5150.17,,,0
CDM,SUP230968,Noncdm Charge Record Medical Supplies,102.46,39.96,,,0
CDM,SUP230969,Noncdm Charge Record Medical Supplies,283.59,110.6,,,0
CDM,SUP230998,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP231,Noncdm Charge Record Medical Supplies - Tube 130Mm 8Mm Cuff Adj Neck Flange Wr Bvn,806.26,314.44,,,0
CDM,SUP231001,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP231002,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP231012,Noncdm Charge Record Medical Supplies,2598.89,1013.57,,,0
CDM,SUP231047,Noncdm Charge Record Medical Supplies,307.4,119.89,,,0
CDM,SUP231048,Noncdm Charge Record Medical Supplies,554.76,216.36,,,0
CDM,SUP231053,Noncdm Charge Record Medical Supplies,8.28,3.23,,,0
CDM,SUP231054,Noncdm Charge Record Medical Supplies,8.28,3.23,,,0
CDM,SUP231055,Noncdm Charge Record Medical Supplies,42.44,16.55,,,0
CDM,SUP231088,Noncdm Charge Record Medical Supplies,37.26,14.53,,,0
CDM,SUP231094,Noncdm Charge Record Medical Supplies,2080.35,811.34,,,0
CDM,SUP2311,Noncdm Charge Record Medical Supplies - Catheter Dia 14Fr 62Cm 2 Cuff Prtnl Qn Crlcth,391.32,152.61,,,0
CDM,SUP231117,Noncdm Charge Record Medical Supplies,552.69,215.55,,,0
CDM,SUP231119,Noncdm Charge Record Medical Supplies,577.53,225.24,,,0
CDM,SUP231120,Noncdm Charge Record Medical Supplies,109.71,42.79,,,0
CDM,SUP231123,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP231131,Noncdm Charge Record Medical Supplies,37.26,14.53,,,0
CDM,SUP231134,Noncdm Charge Record Medical Supplies,4850.01,1891.5,,,0
CDM,SUP231136,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP231137,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP231138,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP231147,Noncdm Charge Record Medical Supplies,2130.03,830.71,,,0
CDM,SUP231148,Noncdm Charge Record Medical Supplies,123.16,48.03,,,0
CDM,SUP231151,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP231154,Noncdm Charge Record Medical Supplies,1958.22,763.71,,,0
CDM,SUP231155,Noncdm Charge Record Medical Supplies,1958.22,763.71,,,0
CDM,SUP231156,Noncdm Charge Record Medical Supplies,4144.66,1616.42,,,0
CDM,SUP231157,Noncdm Charge Record Medical Supplies,4144.14,1616.21,,,0
CDM,SUP231158,Noncdm Charge Record Medical Supplies,4144.14,1616.21,,,0
CDM,SUP231159,Noncdm Charge Record Medical Supplies,4144.14,1616.21,,,0
CDM,SUP23116,Noncdm Charge Record Medical Supplies - Screw 2.4 Cort St W-Strdrv42Mm W-T8 Strdrv Recess,261.86,102.13,,,0
CDM,SUP231168,Noncdm Charge Record Medical Supplies,1440.72,561.88,,,0
CDM,SUP231169,Noncdm Charge Record Medical Supplies,152.15,59.34,,,0
CDM,SUP23117,Noncdm Charge Record Medical Supplies - Screw 2.4 Cort St W-Strdrv44Mm Cort St W- T8 Strdrv Recess,253.58,98.9,,,0
CDM,SUP231171,Noncdm Charge Record Medical Supplies,895.28,349.16,,,0
CDM,SUP23118,Noncdm Charge Record Medical Supplies - Screw 2.4 Cort St W-Strdrv46Mm Cort St W- T8 Strdrv Recess,253.58,98.9,,,0
CDM,SUP231184,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP23119,Noncdm Charge Record Medical Supplies - Screw 2.4 Cort St W-Strdrv50Mm Cort St W- T8 Strdrv Recess,257.71,100.51,,,0
CDM,SUP231190,Noncdm Charge Record Medical Supplies,113.85,44.4,,,0
CDM,SUP231194,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP231198,Noncdm Charge Record Medical Supplies,328.1,127.96,,,0
CDM,SUP23120,Noncdm Charge Record Medical Supplies - Screw 2.4 Cort St W-Strdrv52Mm Cort St W- T8 Strdrv Recess,261.86,102.13,,,0
CDM,SUP231200,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP231201,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP231202,Noncdm Charge Record Medical Supplies,5511.38,2149.44,,,0
CDM,SUP231204,Noncdm Charge Record Medical Supplies,885.96,345.52,,,0
CDM,SUP231205,Noncdm Charge Record Medical Supplies,11022.75,4298.87,,,0
CDM,SUP231208,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP23121,Noncdm Charge Record Medical Supplies - Screw 2.4 Cort St W-Strdrv54Mm Cort St W- T8 Strdrv Recess,261.86,102.13,,,0
CDM,SUP231215,Noncdm Charge Record Medical Supplies,596.75,232.73,,,0
CDM,SUP231218,Noncdm Charge Record Medical Supplies,179.06,69.83,,,0
CDM,SUP23122,Noncdm Charge Record Medical Supplies - Screw 2.4 Cort St W-Strdrv56Mm Cort St W- T8 Strdrv Recess,261.86,102.13,,,0
CDM,SUP231222,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP231224,Noncdm Charge Record Medical Supplies,1253.38,488.82,,,0
CDM,SUP23123,Noncdm Charge Record Medical Supplies,261.86,102.13,,,0
CDM,SUP231231_272,Noncdm Charge Record Medical Supplies,293.94,114.64,,,0
CDM,SUP231231_A4649_272,Noncdm Charge Record Medical Supplies,293.94,114.64,,,0
CDM,SUP231245,Noncdm Charge Record Medical Supplies,5511.38,2149.44,,,0
CDM,SUP23125,Noncdm Charge Record Medical Supplies - Screw 2.4 Cort Stw-Strdrv48Mm Cort St W- T8 Strdrv Recess,253.58,98.9,,,0
CDM,SUP231266,Noncdm Charge Record Medical Supplies,2408.45,939.3,,,0
CDM,SUP231268,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP231286,Noncdm Charge Record Medical Supplies,1663.24,648.66,,,0
CDM,SUP231323,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP231324,Noncdm Charge Record Medical Supplies,2361.87,921.13,,,0
CDM,SUP231325,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP231336,Noncdm Charge Record Medical Supplies,304.9,118.91,,,0
CDM,SUP231344,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP231345,Noncdm Charge Record Medical Supplies,179.06,69.83,,,0
CDM,SUP231347,Noncdm Charge Record Medical Supplies,410.9,160.25,,,0
CDM,SUP231353,Noncdm Charge Record Medical Supplies,523.71,204.25,,,0
CDM,SUP231354,Noncdm Charge Record Medical Supplies,5.18,2.02,,,0
CDM,SUP231355,Noncdm Charge Record Medical Supplies,596.85,232.77,,,0
CDM,SUP231373,Noncdm Charge Record Medical Supplies,11.38,4.44,,,0
CDM,SUP231374,Noncdm Charge Record Medical Supplies,7.24,2.82,,,0
CDM,SUP231385,Noncdm Charge Record Medical Supplies,1454.18,567.13,,,0
CDM,SUP231388,Noncdm Charge Record Medical Supplies,1181.97,460.97,,,0
CDM,SUP231389,Noncdm Charge Record Medical Supplies,2276.48,887.83,,,0
CDM,SUP231396,Noncdm Charge Record Medical Supplies,6711.7,2617.56,,,0
CDM,SUP231397_272,Noncdm Charge Record Medical Supplies,293.94,114.64,,,0
CDM,SUP231397_A4649_272,Noncdm Charge Record Medical Supplies,293.94,114.64,,,0
CDM,SUP231398,Noncdm Charge Record Medical Supplies,9380.38,3658.35,,,0
CDM,SUP231399,Noncdm Charge Record Medical Supplies,3482.55,1358.19,,,0
CDM,SUP231402,Noncdm Charge Record Medical Supplies,410.9,160.25,,,0
CDM,SUP231412,Noncdm Charge Record Medical Supplies,4332.51,1689.68,,,0
CDM,SUP231414,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP231415,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP231416,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP231417,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP231418,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP231419,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP231420,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP231421,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP231422,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP231423,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP231424,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP231425,Noncdm Charge Record Medical Supplies,704.84,274.89,,,0
CDM,SUP231426,Noncdm Charge Record Medical Supplies,715.18,278.92,,,0
CDM,SUP231460,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP231461,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP231462,Noncdm Charge Record Medical Supplies,11.38,4.44,,,0
CDM,SUP2314_272,Noncdm Charge Record Medical Supplies - Electrode Elctrsrg 10Ft Acvc 3-32In Ss,39.35,15.35,,,0
CDM,SUP2314_A4649_272,Noncdm Charge Record Medical Supplies - Electrode Elctrsrg 10Ft Acvc 3-32In Ss,39.5,15.4,,,0
CDM,SUP2314_A9999_272,Noncdm Charge Record Medical Supplies - Electrode Elctrsrg 10Ft Acvc 3-32In Ss,39.33,15.34,,,0
CDM,SUP231516,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP231530,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP231531,Noncdm Charge Record Medical Supplies,2932.16,1143.54,,,0
CDM,SUP231534,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP231535,Noncdm Charge Record Medical Supplies,2932.16,1143.54,,,0
CDM,SUP231585,Noncdm Charge Record Medical Supplies,27.94,10.9,,,0
CDM,SUP231589,Noncdm Charge Record Medical Supplies,1023.1,399.01,,,0
CDM,SUP231593,Noncdm Charge Record Medical Supplies,2530.57,986.92,,,0
CDM,SUP231600,Noncdm Charge Record Medical Supplies,104.54,40.77,,,0
CDM,SUP231601,Noncdm Charge Record Medical Supplies,411.93,160.65,,,0
CDM,SUP231613_272,Noncdm Charge Record Medical Supplies,16754.58,6534.29,,,0
CDM,SUP231613_A4649_272,Noncdm Charge Record Medical Supplies,16754.58,6534.29,,,0
CDM,SUP231614,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP231616,Noncdm Charge Record Medical Supplies,6.21,2.42,,,0
CDM,SUP231618,Noncdm Charge Record Medical Supplies,179.06,69.83,,,0
CDM,SUP231619,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP231620,Noncdm Charge Record Medical Supplies,14.49,5.65,,,0
CDM,SUP231629,Noncdm Charge Record Medical Supplies,1234.76,481.56,,,0
CDM,SUP231631,Noncdm Charge Record Medical Supplies,1638.4,638.98,,,0
CDM,SUP231668,Noncdm Charge Record Medical Supplies,137.66,53.69,,,0
CDM,SUP231669,Noncdm Charge Record Medical Supplies,254.61,99.3,,,0
CDM,SUP231670,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP231671,Noncdm Charge Record Medical Supplies,127.3,49.65,,,0
CDM,SUP231672,Noncdm Charge Record Medical Supplies,254.61,99.3,,,0
CDM,SUP231673,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP231674,Noncdm Charge Record Medical Supplies,127.3,49.65,,,0
CDM,SUP231678,Noncdm Charge Record Medical Supplies,254.61,99.3,,,0
CDM,SUP231679,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP231680,Noncdm Charge Record Medical Supplies,254.61,99.3,,,0
CDM,SUP231681,Noncdm Charge Record Medical Supplies,127.3,49.65,,,0
CDM,SUP231683,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP2316_272,Noncdm Charge Record Medical Supplies - Tubing Smoke Evacuation 6Ft Bufalo,52.61,20.52,,,0
CDM,SUP2316_A4649_272,Noncdm Charge Record Medical Supplies - Tubing Smoke Evacuation 6Ft Bufalo,53.82,20.99,,,0
CDM,SUP2316_A9999_272,Noncdm Charge Record Medical Supplies - Tubing Smoke Evacuation 6Ft Bufalo,46.58,18.17,,,0
CDM,SUP231721,Noncdm Charge Record Medical Supplies,2408.45,939.3,,,0
CDM,SUP231723,Noncdm Charge Record Medical Supplies,1058.8,412.93,,,0
CDM,SUP231726,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP231731,Noncdm Charge Record Medical Supplies,4.14,1.61,,,0
CDM,SUP231766,Noncdm Charge Record Medical Supplies,1958.22,763.71,,,0
CDM,SUP231767,Noncdm Charge Record Medical Supplies,4409.1,1719.55,,,0
CDM,SUP231769,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP231777,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP231795,Noncdm Charge Record Medical Supplies,767.97,299.51,,,0
CDM,SUP2317_270,Noncdm Charge Record Medical Supplies - Filter Bctr-Vir 7-8In Vrsf 6 1,613.81,239.39,,,0
CDM,SUP2317_A4649_270,Noncdm Charge Record Medical Supplies - Filter Bctr-Vir 7-8In Vrsf 6 1,638.6,249.05,,,0
CDM,SUP2317_A9999_270,Noncdm Charge Record Medical Supplies - Filter Bctr-Vir 7-8In Vrsf 6 1,638.6,249.05,,,0
CDM,SUP231803,Noncdm Charge Record Medical Supplies,286.7,111.81,,,0
CDM,SUP231829,Noncdm Charge Record Medical Supplies,21.74,8.48,,,0
CDM,SUP231832,Noncdm Charge Record Medical Supplies,2374.29,925.97,,,0
CDM,SUP231835,Noncdm Charge Record Medical Supplies,27377.98,10677.41,,,0
CDM,SUP231836,Noncdm Charge Record Medical Supplies,79.69,31.08,,,0
CDM,SUP231843,Noncdm Charge Record Medical Supplies,895.28,349.16,,,0
CDM,SUP231854,Noncdm Charge Record Medical Supplies,2758.28,1075.73,,,0
CDM,SUP231859,Noncdm Charge Record Medical Supplies,63.14,24.62,,,0
CDM,SUP231861,Noncdm Charge Record Medical Supplies,15.18,5.92,,,0
CDM,SUP231862,Noncdm Charge Record Medical Supplies,15.27,5.96,,,0
CDM,SUP231866,Noncdm Charge Record Medical Supplies,455.4,177.61,,,0
CDM,SUP2318_270,Noncdm Charge Record Medical Supplies - See 125875 Tubing Smk Evac 6Ft Cnct Vac,13.46,5.25,,,0
CDM,SUP2318_A4649_270,Noncdm Charge Record Medical Supplies - See 125875 Tubing Smk Evac 6Ft Cnct Vac,13.46,5.25,,,0
CDM,SUP2318_A9999_270,Noncdm Charge Record Medical Supplies - See 125875 Tubing Smk Evac 6Ft Cnct Vac,13.46,5.25,,,0
CDM,SUP231903,Noncdm Charge Record Medical Supplies,66.24,25.83,,,0
CDM,SUP231918,Noncdm Charge Record Medical Supplies,5339.56,2082.43,,,0
CDM,SUP231919,Noncdm Charge Record Medical Supplies,383.98,149.75,,,0
CDM,SUP231920,Noncdm Charge Record Medical Supplies,514.4,200.62,,,0
CDM,SUP231922,Noncdm Charge Record Medical Supplies,514.4,200.62,,,0
CDM,SUP231924,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP231927,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP231933,Noncdm Charge Record Medical Supplies,1590.8,620.41,,,0
CDM,SUP231937,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP231940,Noncdm Charge Record Medical Supplies,856.98,334.22,,,0
CDM,SUP231941,Noncdm Charge Record Medical Supplies,856.98,334.22,,,0
CDM,SUP231948,Noncdm Charge Record Medical Supplies,461.61,180.03,,,0
CDM,SUP231950,Noncdm Charge Record Medical Supplies,4.14,1.61,,,0
CDM,SUP231959,Noncdm Charge Record Medical Supplies,141.79,55.3,,,0
CDM,SUP231961,Noncdm Charge Record Medical Supplies,710.01,276.9,,,0
CDM,SUP231962,Noncdm Charge Record Medical Supplies,166.64,64.99,,,0
CDM,SUP231963,Noncdm Charge Record Medical Supplies,5710.1,2226.94,,,0
CDM,SUP231966,Noncdm Charge Record Medical Supplies,401.58,156.62,,,0
CDM,SUP231972,Noncdm Charge Record Medical Supplies,1077.44,420.2,,,0
CDM,SUP231975,Noncdm Charge Record Medical Supplies,96.26,37.54,,,0
CDM,SUP231977,Noncdm Charge Record Medical Supplies,2575.08,1004.28,,,0
CDM,SUP231978,Noncdm Charge Record Medical Supplies,2354.62,918.3,,,0
CDM,SUP231980,Noncdm Charge Record Medical Supplies,2742.75,1069.67,,,0
CDM,SUP231981,Noncdm Charge Record Medical Supplies,152.15,59.34,,,0
CDM,SUP232003,Noncdm Charge Record Medical Supplies,1635.3,637.77,,,0
CDM,SUP232016,Noncdm Charge Record Medical Supplies,1972.71,769.36,,,0
CDM,SUP23205,Noncdm Charge Record Medical Supplies - Screw 2.4 Va Lck W-Strdrv 30Mm Va Lck St W-Strdr Recess,615.83,240.17,,,0
CDM,SUP232062_272,Noncdm Charge Record Medical Supplies,66.23,25.83,,,0
CDM,SUP232062_A4649_272,Noncdm Charge Record Medical Supplies,66.24,25.83,,,0
CDM,SUP232065,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP2321,Noncdm Charge Record Medical Supplies - Catheter Ureth Smpls 22Fr 16In,89.76,35.01,,,0
CDM,SUP232103,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP232106,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP232107,Noncdm Charge Record Medical Supplies,10934.78,4264.56,,,0
CDM,SUP232110,Noncdm Charge Record Medical Supplies,5005.26,1952.05,,,0
CDM,SUP232111,Noncdm Charge Record Medical Supplies,2916.63,1137.49,,,0
CDM,SUP232116,Noncdm Charge Record Medical Supplies,2239.74,873.5,,,0
CDM,SUP232119,Noncdm Charge Record Medical Supplies,14452.74,5636.57,,,0
CDM,SUP232120,Noncdm Charge Record Medical Supplies,136.62,53.28,,,0
CDM,SUP232121,Noncdm Charge Record Medical Supplies,254.61,99.3,,,0
CDM,SUP232122,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP232123,Noncdm Charge Record Medical Supplies,59.0,23.01,,,0
CDM,SUP232132,Noncdm Charge Record Medical Supplies,25.88,10.09,,,0
CDM,SUP232135,Noncdm Charge Record Medical Supplies,153.18,59.74,,,0
CDM,SUP232142,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP232148_270,Noncdm Charge Record Medical Supplies,66.93,26.1,,,0
CDM,SUP232148_A4649_270,Noncdm Charge Record Medical Supplies,54.86,21.4,,,0
CDM,SUP232149,Noncdm Charge Record Medical Supplies,90.04,35.12,,,0
CDM,SUP232152,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP232166,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP232167,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP232168,Noncdm Charge Record Medical Supplies,1370.34,534.43,,,0
CDM,SUP232170,Noncdm Charge Record Medical Supplies,25.88,10.09,,,0
CDM,SUP232172,Noncdm Charge Record Medical Supplies,889.06,346.73,,,0
CDM,SUP232173,Noncdm Charge Record Medical Supplies,416.07,162.27,,,0
CDM,SUP232183,Noncdm Charge Record Medical Supplies,7491.33,2921.62,,,0
CDM,SUP23220,Noncdm Charge Record Medical Supplies,638.6,249.05,,,0
CDM,SUP23221,Noncdm Charge Record Medical Supplies - Screw 2.4 Va Lck W-Strdrv 7Mm Va Lck St W-Strdr Recess,638.25,248.92,,,0
CDM,SUP232218,Noncdm Charge Record Medical Supplies,12034.98,4693.64,,,0
CDM,SUP232219,Noncdm Charge Record Medical Supplies,2301.84,897.72,,,0
CDM,SUP232220,Noncdm Charge Record Medical Supplies,6642.63,2590.63,,,0
CDM,SUP232226,Noncdm Charge Record Medical Supplies,225.63,88.0,,,0
CDM,SUP232241,Noncdm Charge Record Medical Supplies,1713.96,668.44,,,0
CDM,SUP232242,Noncdm Charge Record Medical Supplies,1713.96,668.44,,,0
CDM,SUP232243,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP232247,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP232248,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP232249,Noncdm Charge Record Medical Supplies,2130.03,830.71,,,0
CDM,SUP232251,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP232252,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP232253,Noncdm Charge Record Medical Supplies,3571.78,1392.99,,,0
CDM,SUP232254,Noncdm Charge Record Medical Supplies,2270.79,885.61,,,0
CDM,SUP232255,Noncdm Charge Record Medical Supplies,1943.73,758.05,,,0
CDM,SUP232256,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP232257,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP232260,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP232263,Noncdm Charge Record Medical Supplies,1454.18,567.13,,,0
CDM,SUP232265,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP232266,Noncdm Charge Record Medical Supplies,1454.18,567.13,,,0
CDM,SUP232267,Noncdm Charge Record Medical Supplies,6274.17,2446.93,,,0
CDM,SUP232281,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP232282,Noncdm Charge Record Medical Supplies,13205.56,5150.17,,,0
CDM,SUP232286,Noncdm Charge Record Medical Supplies,1199.56,467.83,,,0
CDM,SUP232287,Noncdm Charge Record Medical Supplies,1199.56,467.83,,,0
CDM,SUP232291,Noncdm Charge Record Medical Supplies,8676.41,3383.8,,,0
CDM,SUP232293,Noncdm Charge Record Medical Supplies,1199.56,467.83,,,0
CDM,SUP2322_270,Noncdm Charge Record Medical Supplies - Cannister Suction Omni Jug 16L Deroyal,106.6,41.57,,,0
CDM,SUP2322_A4649_270,Noncdm Charge Record Medical Supplies - Cannister Suction Omni Jug 16L Deroyal,106.6,41.57,,,0
CDM,SUP2322_A9999_270,Noncdm Charge Record Medical Supplies - Cannister Suction Omni Jug 16L Deroyal,106.6,41.57,,,0
CDM,SUP232303,Noncdm Charge Record Medical Supplies,636.52,248.24,,,0
CDM,SUP232304,Noncdm Charge Record Medical Supplies,122.65,47.83,,,0
CDM,SUP232305,Noncdm Charge Record Medical Supplies,41.23,16.08,,,0
CDM,SUP232310,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP232316,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP232319,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP232321,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP232322,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP232323,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP232324,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP232328,Noncdm Charge Record Medical Supplies,2879.37,1122.95,,,0
CDM,SUP232329,Noncdm Charge Record Medical Supplies,1713.96,668.44,,,0
CDM,SUP232337,Noncdm Charge Record Medical Supplies,464.72,181.24,,,0
CDM,SUP232339,Noncdm Charge Record Medical Supplies,969.8,378.22,,,0
CDM,SUP232340,Noncdm Charge Record Medical Supplies,969.8,378.22,,,0
CDM,SUP232341,Noncdm Charge Record Medical Supplies,122.13,47.63,,,0
CDM,SUP232347,Noncdm Charge Record Medical Supplies,369.5,144.1,,,0
CDM,SUP232349,Noncdm Charge Record Medical Supplies,24.84,9.69,,,0
CDM,SUP232354,Noncdm Charge Record Medical Supplies,369.5,144.1,,,0
CDM,SUP232355,Noncdm Charge Record Medical Supplies,903.56,352.39,,,0
CDM,SUP232365,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP232366,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP232367,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP232368,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP232369,Noncdm Charge Record Medical Supplies,704.84,274.89,,,0
CDM,SUP232370,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP232371,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP232372,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP232373,Noncdm Charge Record Medical Supplies,715.18,278.92,,,0
CDM,SUP232376,Noncdm Charge Record Medical Supplies,1958.22,763.71,,,0
CDM,SUP232377,Noncdm Charge Record Medical Supplies,4409.1,1719.55,,,0
CDM,SUP232378,Noncdm Charge Record Medical Supplies,7870.14,3069.35,,,0
CDM,SUP232379,Noncdm Charge Record Medical Supplies,93.15,36.33,,,0
CDM,SUP232380,Noncdm Charge Record Medical Supplies,464.72,181.24,,,0
CDM,SUP232384,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP232389,Noncdm Charge Record Medical Supplies,596.68,232.71,,,0
CDM,SUP232395,Noncdm Charge Record Medical Supplies,13426.02,5236.15,,,0
CDM,SUP232397,Noncdm Charge Record Medical Supplies,7632.09,2976.52,,,0
CDM,SUP232398,Noncdm Charge Record Medical Supplies,1496.61,583.68,,,0
CDM,SUP232399,Noncdm Charge Record Medical Supplies,1468.66,572.78,,,0
CDM,SUP232400,Noncdm Charge Record Medical Supplies,5727.69,2233.8,,,0
CDM,SUP232401,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP232408,Noncdm Charge Record Medical Supplies,1495.58,583.28,,,0
CDM,SUP232409,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP232410,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP232411,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP232412,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP232419,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP232420,Noncdm Charge Record Medical Supplies,136.62,53.28,,,0
CDM,SUP232421,Noncdm Charge Record Medical Supplies,274.27,106.97,,,0
CDM,SUP232422,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP232424,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP232425,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP232427,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP232428,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP232430,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP232432,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP232439,Noncdm Charge Record Medical Supplies,709.32,276.63,,,0
CDM,SUP232440,Noncdm Charge Record Medical Supplies,2408.45,939.3,,,0
CDM,SUP232471,Noncdm Charge Record Medical Supplies,494.73,192.94,,,0
CDM,SUP232472,Noncdm Charge Record Medical Supplies,288.76,112.62,,,0
CDM,SUP232485,Noncdm Charge Record Medical Supplies,1556.64,607.09,,,0
CDM,SUP232486,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP232487,Noncdm Charge Record Medical Supplies,1101.24,429.48,,,0
CDM,SUP232491,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP232502,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP232503,Noncdm Charge Record Medical Supplies,1836.09,716.08,,,0
CDM,SUP232506,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP232510,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP232511,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP232512,Noncdm Charge Record Medical Supplies,2425.0,945.75,,,0
CDM,SUP232513,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP232514,Noncdm Charge Record Medical Supplies,2203.52,859.37,,,0
CDM,SUP232544,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP232549,Noncdm Charge Record Medical Supplies,424.35,165.5,,,0
CDM,SUP232556,Noncdm Charge Record Medical Supplies,2850.39,1111.65,,,0
CDM,SUP232558,Noncdm Charge Record Medical Supplies,523.71,204.25,,,0
CDM,SUP232571,Noncdm Charge Record Medical Supplies,6988.32,2725.44,,,0
CDM,SUP232580,Noncdm Charge Record Medical Supplies,7937.42,3095.59,,,0
CDM,SUP232582,Noncdm Charge Record Medical Supplies,669.64,261.16,,,0
CDM,SUP232585,Noncdm Charge Record Medical Supplies,5339.56,2082.43,,,0
CDM,SUP232587,Noncdm Charge Record Medical Supplies,1516.28,591.35,,,0
CDM,SUP232603,Noncdm Charge Record Medical Supplies,97.29,37.94,,,0
CDM,SUP232610,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP232624,Noncdm Charge Record Medical Supplies,5952.28,2321.39,,,0
CDM,SUP232625,Noncdm Charge Record Medical Supplies,5952.28,2321.39,,,0
CDM,SUP232686,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP232727,Noncdm Charge Record Medical Supplies,1748.12,681.77,,,0
CDM,SUP232795,Noncdm Charge Record Medical Supplies,1372.41,535.24,,,0
CDM,SUP232797,Noncdm Charge Record Medical Supplies,912.87,356.02,,,0
CDM,SUP232798,Noncdm Charge Record Medical Supplies,239.08,93.24,,,0
CDM,SUP2328,Noncdm Charge Record Medical Supplies - Electrode Electrosurg Tan 11Cm 8Mm Letz,43.47,16.95,,,0
CDM,SUP232810,Noncdm Charge Record Medical Supplies,688.28,268.43,,,0
CDM,SUP232815,Noncdm Charge Record Medical Supplies,220.46,85.98,,,0
CDM,SUP232818,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP232819,Noncdm Charge Record Medical Supplies,670.68,261.57,,,0
CDM,SUP232821,Noncdm Charge Record Medical Supplies,1678.77,654.72,,,0
CDM,SUP232830,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP232833,Noncdm Charge Record Medical Supplies,310.5,121.1,,,0
CDM,SUP232841,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP232846,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP232867,Noncdm Charge Record Medical Supplies,11794.86,4600.0,,,0
CDM,SUP232868,Noncdm Charge Record Medical Supplies,6642.63,2590.63,,,0
CDM,SUP232869,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP232870,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP232876,Noncdm Charge Record Medical Supplies,416.07,162.27,,,0
CDM,SUP232887,Noncdm Charge Record Medical Supplies,3505.54,1367.16,,,0
CDM,SUP232895,Noncdm Charge Record Medical Supplies,529.92,206.67,,,0
CDM,SUP232907,Noncdm Charge Record Medical Supplies,880.78,343.5,,,0
CDM,SUP232916,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP232917,Noncdm Charge Record Medical Supplies,376.74,146.93,,,0
CDM,SUP232918,Noncdm Charge Record Medical Supplies,376.74,146.93,,,0
CDM,SUP232921,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP232923,Noncdm Charge Record Medical Supplies,317.74,123.92,,,0
CDM,SUP232925,Noncdm Charge Record Medical Supplies,317.74,123.92,,,0
CDM,SUP232926,Noncdm Charge Record Medical Supplies,1590.8,620.41,,,0
CDM,SUP232942,Noncdm Charge Record Medical Supplies,2254.23,879.15,,,0
CDM,SUP232943,Noncdm Charge Record Medical Supplies,583.39,227.52,,,0
CDM,SUP232945,Noncdm Charge Record Medical Supplies,983.94,383.74,,,0
CDM,SUP232946,Noncdm Charge Record Medical Supplies,1206.81,470.66,,,0
CDM,SUP232947,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP232948,Noncdm Charge Record Medical Supplies,2298.74,896.51,,,0
CDM,SUP232949,Noncdm Charge Record Medical Supplies,2383.6,929.6,,,0
CDM,SUP232970,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP233,Noncdm Charge Record Medical Supplies - Tube 95Mm 11Mm 6Mm Cuff Prox,286.7,111.81,,,0
CDM,SUP233007,Noncdm Charge Record Medical Supplies,1713.96,668.44,,,0
CDM,SUP233008,Noncdm Charge Record Medical Supplies,159.39,62.16,,,0
CDM,SUP233009,Noncdm Charge Record Medical Supplies,2491.24,971.58,,,0
CDM,SUP233035,Noncdm Charge Record Medical Supplies,552.69,215.55,,,0
CDM,SUP233037,Noncdm Charge Record Medical Supplies,616.86,240.58,,,0
CDM,SUP233039,Noncdm Charge Record Medical Supplies,805.23,314.04,,,0
CDM,SUP233040,Noncdm Charge Record Medical Supplies,2408.45,939.3,,,0
CDM,SUP233045,Noncdm Charge Record Medical Supplies,577.53,225.24,,,0
CDM,SUP233046,Noncdm Charge Record Medical Supplies,4.14,1.61,,,0
CDM,SUP233047,Noncdm Charge Record Medical Supplies,4.14,1.61,,,0
CDM,SUP233049,Noncdm Charge Record Medical Supplies,4.14,1.61,,,0
CDM,SUP233069,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP233071,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP233093,Noncdm Charge Record Medical Supplies,333.27,129.98,,,0
CDM,SUP233094,Noncdm Charge Record Medical Supplies,387.09,150.97,,,0
CDM,SUP233097,Noncdm Charge Record Medical Supplies,1305.14,509.0,,,0
CDM,SUP233098,Noncdm Charge Record Medical Supplies,408.82,159.44,,,0
CDM,SUP233099,Noncdm Charge Record Medical Supplies,1305.14,509.0,,,0
CDM,SUP233100,Noncdm Charge Record Medical Supplies,763.83,297.89,,,0
CDM,SUP233101,Noncdm Charge Record Medical Supplies,1050.53,409.71,,,0
CDM,SUP233109,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP233110,Noncdm Charge Record Medical Supplies,107.64,41.98,,,0
CDM,SUP233111,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP233115,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP233117,Noncdm Charge Record Medical Supplies,122.65,47.83,,,0
CDM,SUP233121,Noncdm Charge Record Medical Supplies,1286.51,501.74,,,0
CDM,SUP233122,Noncdm Charge Record Medical Supplies,763.83,297.89,,,0
CDM,SUP233123,Noncdm Charge Record Medical Supplies,2257.34,880.36,,,0
CDM,SUP233134,Noncdm Charge Record Medical Supplies,529.92,206.67,,,0
CDM,SUP233139,Noncdm Charge Record Medical Supplies,5710.1,2226.94,,,0
CDM,SUP233147,Noncdm Charge Record Medical Supplies,1816.42,708.4,,,0
CDM,SUP233148,Noncdm Charge Record Medical Supplies,2124.86,828.7,,,0
CDM,SUP233149,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP233204,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP233215,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP233227,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP233229,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP233231,Noncdm Charge Record Medical Supplies,805.23,314.04,,,0
CDM,SUP233241,Noncdm Charge Record Medical Supplies,704.84,274.89,,,0
CDM,SUP233242,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP233243,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP233244,Noncdm Charge Record Medical Supplies,4.14,1.61,,,0
CDM,SUP233245,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP233251,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP233252,Noncdm Charge Record Medical Supplies,715.18,278.92,,,0
CDM,SUP233254,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP233256,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP233257,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP233258,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP233260,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP233263,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP233265,Noncdm Charge Record Medical Supplies,105.57,41.17,,,0
CDM,SUP233267,Noncdm Charge Record Medical Supplies,7491.33,2921.62,,,0
CDM,SUP233285,Noncdm Charge Record Medical Supplies,2557.48,997.42,,,0
CDM,SUP233288,Noncdm Charge Record Medical Supplies,342.58,133.61,,,0
CDM,SUP233289,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP233290,Noncdm Charge Record Medical Supplies,13668.21,5330.6,,,0
CDM,SUP233319,Noncdm Charge Record Medical Supplies,136.62,53.28,,,0
CDM,SUP233320,Noncdm Charge Record Medical Supplies,15.52,6.05,,,0
CDM,SUP233321,Noncdm Charge Record Medical Supplies,2080.35,811.34,,,0
CDM,SUP233322,Noncdm Charge Record Medical Supplies,146.97,57.32,,,0
CDM,SUP233323,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP233324,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP233338,Noncdm Charge Record Medical Supplies,6613.65,2579.32,,,0
CDM,SUP23336,Noncdm Charge Record Medical Supplies,632.73,246.76,,,0
CDM,SUP23337,Noncdm Charge Record Medical Supplies,632.38,246.63,,,0
CDM,SUP233373,Noncdm Charge Record Medical Supplies,6453.22,2516.76,,,0
CDM,SUP233382,Noncdm Charge Record Medical Supplies,21.74,8.48,,,0
CDM,SUP23339,Noncdm Charge Record Medical Supplies,632.73,246.76,,,0
CDM,SUP233391,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP233394,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP23340,Noncdm Charge Record Medical Supplies - Screw 2.7 Va Lck Slf-Tpng-16Mm Ti W T8 Stardr Recess,632.73,246.76,,,0
CDM,SUP23341,Noncdm Charge Record Medical Supplies - Screw 2.7 Va Lck Slf-Tpng-18Mm Ti W T8 Stardr Recess,664.81,259.28,,,0
CDM,SUP233421,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP233426,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP23343,Noncdm Charge Record Medical Supplies,632.38,246.63,,,0
CDM,SUP233434,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP233438,Noncdm Charge Record Medical Supplies,1305.14,509.0,,,0
CDM,SUP23344,Noncdm Charge Record Medical Supplies - Screw 2.7 Va Lck Slf-Tpng-24Mm Ti W T8 Stardr Recess,632.38,246.63,,,0
CDM,SUP233440,Noncdm Charge Record Medical Supplies,4.14,1.61,,,0
CDM,SUP233442,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP233443,Noncdm Charge Record Medical Supplies,3668.04,1430.54,,,0
CDM,SUP233444,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP233448,Noncdm Charge Record Medical Supplies,328.1,127.96,,,0
CDM,SUP233458,Noncdm Charge Record Medical Supplies,2404.3,937.68,,,0
CDM,SUP233463,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP233464,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP233466,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP233467,Noncdm Charge Record Medical Supplies,715.18,278.92,,,0
CDM,SUP233469,Noncdm Charge Record Medical Supplies,704.84,274.89,,,0
CDM,SUP233471,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP233472,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP233473,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP233474,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP233478,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP233480,Noncdm Charge Record Medical Supplies,4.48,1.75,,,0
CDM,SUP233481,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP233482,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP233483,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP233484,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP233491,Noncdm Charge Record Medical Supplies,2977.7,1161.3,,,0
CDM,SUP233501,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP233502,Noncdm Charge Record Medical Supplies,7495.47,2923.23,,,0
CDM,SUP233505,Noncdm Charge Record Medical Supplies,337.06,131.45,,,0
CDM,SUP233506,Noncdm Charge Record Medical Supplies,1464.52,571.16,,,0
CDM,SUP233508,Noncdm Charge Record Medical Supplies,113.85,44.4,,,0
CDM,SUP233522,Noncdm Charge Record Medical Supplies,1484.19,578.83,,,0
CDM,SUP233523,Noncdm Charge Record Medical Supplies,1440.72,561.88,,,0
CDM,SUP233533,Noncdm Charge Record Medical Supplies,122.13,47.63,,,0
CDM,SUP233539,Noncdm Charge Record Medical Supplies,2865.92,1117.71,,,0
CDM,SUP23354,Noncdm Charge Record Medical Supplies - Screw 2.7 Va Lck Slf-Tpng-60Mm Ti W T8 Stardr Recess,632.38,246.63,,,0
CDM,SUP233541,Noncdm Charge Record Medical Supplies,5511.38,2149.44,,,0
CDM,SUP233543,Noncdm Charge Record Medical Supplies,1678.77,654.72,,,0
CDM,SUP233548,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP233549,Noncdm Charge Record Medical Supplies,4850.01,1891.5,,,0
CDM,SUP233550,Noncdm Charge Record Medical Supplies,68.31,26.64,,,0
CDM,SUP233553,Noncdm Charge Record Medical Supplies,822.82,320.9,,,0
CDM,SUP233566,Noncdm Charge Record Medical Supplies,72113.62,28124.31,,,0
CDM,SUP233573,Noncdm Charge Record Medical Supplies,5.18,2.02,,,0
CDM,SUP233578,Noncdm Charge Record Medical Supplies,2491.24,971.58,,,0
CDM,SUP233582,Noncdm Charge Record Medical Supplies,205.96,80.32,,,0
CDM,SUP233588,Noncdm Charge Record Medical Supplies,205.96,80.32,,,0
CDM,SUP233590,Noncdm Charge Record Medical Supplies,205.96,80.32,,,0
CDM,SUP233594,Noncdm Charge Record Medical Supplies,5511.38,2149.44,,,0
CDM,SUP23360,Noncdm Charge Record Medical Supplies - Screw 2.7 Va Lck St W-T8 36Mm Va W- T8 Strdrv Recess,584.9,228.11,,,0
CDM,SUP23361,Noncdm Charge Record Medical Supplies - Screw 2.7 Va Lck St W-T8 40Mm Va W- T8 Strdrv Recess,591.7,230.76,,,0
CDM,SUP233614,Noncdm Charge Record Medical Supplies,14452.74,5636.57,,,0
CDM,SUP233616,Noncdm Charge Record Medical Supplies,136.62,53.28,,,0
CDM,SUP233617,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP23362,Noncdm Charge Record Medical Supplies - Screw 2.7 Va Lck St W-T8 52Mm Va W- T8 Strdrv Recess,574.42,224.02,,,0
CDM,SUP23363,Noncdm Charge Record Medical Supplies - Screw 2.7 Va Lck St W-T8 56Mm Va W- T8 Strdrv Recess,598.79,233.53,,,0
CDM,SUP23364_C1713_278,Noncdm Charge Record Medical Supplies - Screw 2.7 Va Lck St W-T8 58Mm Va W- T8 Strdrv Recess,574.42,224.02,,,0
CDM,SUP23364_L8699_278,Noncdm Charge Record Medical Supplies - Screw 2.7 Va Lck St W-T8 58Mm Va W- T8 Strdrv Recess,664.47,259.14,,,0
CDM,SUP233677,Noncdm Charge Record Medical Supplies,387.09,150.97,,,0
CDM,SUP233678,Noncdm Charge Record Medical Supplies,333.27,129.98,,,0
CDM,SUP233679,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP233682,Noncdm Charge Record Medical Supplies,109.71,42.79,,,0
CDM,SUP233683,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP233685,Noncdm Charge Record Medical Supplies,553.72,215.95,,,0
CDM,SUP233686,Noncdm Charge Record Medical Supplies,577.53,225.24,,,0
CDM,SUP233688,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP233689,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP233690,Noncdm Charge Record Medical Supplies,5.18,2.02,,,0
CDM,SUP233692,Noncdm Charge Record Medical Supplies,48.64,18.97,,,0
CDM,SUP2336_270,Noncdm Charge Record Medical Supplies - Punch Surg 2Mm Ss Derm Bx Rzr,10.87,4.24,,,0
CDM,SUP2336_A9999_270,Noncdm Charge Record Medical Supplies - Punch Surg 2Mm Ss Derm Bx Rzr,10.35,4.04,,,0
CDM,SUP2337,Noncdm Charge Record Medical Supplies - Punch Surg 3Mm Ss Derm Bx Rzr,6.21,2.42,,,0
CDM,SUP233700,Noncdm Charge Record Medical Supplies,122.13,47.63,,,0
CDM,SUP233703,Noncdm Charge Record Medical Supplies,254.61,99.3,,,0
CDM,SUP23371,Noncdm Charge Record Medical Supplies - Screw 2.7Mm Mtphsl Stw-T8 14Mm W-T8 Strdrv Recess,333.27,129.98,,,0
CDM,SUP233715,Noncdm Charge Record Medical Supplies,430.56,167.92,,,0
CDM,SUP233716,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP233718,Noncdm Charge Record Medical Supplies,616.86,240.58,,,0
CDM,SUP233719,Noncdm Charge Record Medical Supplies,13.46,5.25,,,0
CDM,SUP233720,Noncdm Charge Record Medical Supplies,136.62,53.28,,,0
CDM,SUP233721,Noncdm Charge Record Medical Supplies,274.27,106.97,,,0
CDM,SUP233722,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP233723,Noncdm Charge Record Medical Supplies,127.3,49.65,,,0
CDM,SUP233724,Noncdm Charge Record Medical Supplies,249.44,97.28,,,0
CDM,SUP233726,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP23374,Noncdm Charge Record Medical Supplies - Screw 2.7Mm Mtphsl Stw-T8 36Mm W-T8 Strdrv Recess,333.27,129.98,,,0
CDM,SUP233740,Noncdm Charge Record Medical Supplies,685.17,267.22,,,0
CDM,SUP233750,Noncdm Charge Record Medical Supplies,4.14,1.61,,,0
CDM,SUP233754,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP233757,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP233758,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP233759,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP233760,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP233761,Noncdm Charge Record Medical Supplies,612.2,238.76,,,0
CDM,SUP233764,Noncdm Charge Record Medical Supplies,1848.51,720.92,,,0
CDM,SUP23377,Noncdm Charge Record Medical Supplies - Screw 2.7Mm Mtphsl Stw-T8 48Mm W-T8 Strdrv Recess,333.27,129.98,,,0
CDM,SUP233772,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP233773,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP23378,Noncdm Charge Record Medical Supplies - Screw 2.7Mm Mtphsl Stw-T8 52Mm W-T8 Strdrv Recess,333.27,129.98,,,0
CDM,SUP233787,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP233788,Noncdm Charge Record Medical Supplies,949.1,370.15,,,0
CDM,SUP23379,Noncdm Charge Record Medical Supplies - Screw 2.7Mm Mtphsl Stw-T8 54Mm W-T8 Strdrv Recess,333.27,129.98,,,0
CDM,SUP2338,Noncdm Charge Record Medical Supplies - Punch Surg 4Mm Ss Bx Rzr 50Box,9.79,3.82,,,0
CDM,SUP23380,Noncdm Charge Record Medical Supplies - Screw 2.7Mm Mtphsl Stw-T8 56Mm W-T8 Strdrv Recess,293.59,114.5,,,0
CDM,SUP233801,Noncdm Charge Record Medical Supplies,293.94,114.64,,,0
CDM,SUP23381,Noncdm Charge Record Medical Supplies - Screw 2.7Mm Mtphsl Stw-T8 62Mm W-T8 Strdrv Recess,333.27,129.98,,,0
CDM,SUP23382,Noncdm Charge Record Medical Supplies - Screw 2.7Mm Mtphsl Stw-T8 64Mm W-T8 Strdrv Recess,333.27,129.98,,,0
CDM,SUP233826,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP233829,Noncdm Charge Record Medical Supplies,964.62,376.2,,,0
CDM,SUP23383,Noncdm Charge Record Medical Supplies - Screw 2.7Mm Mtphsl Stw-T8 66Mm W-T8 Strdrv Recess,333.27,129.98,,,0
CDM,SUP23385_C1713_278,Noncdm Charge Record Medical Supplies - Screw 2.7Mm Mtphsl Stw-T8 70Mm W-T8 Strdrv Recess,333.27,129.98,,,0
CDM,SUP23385_L8699_278,Noncdm Charge Record Medical Supplies - Screw 2.7Mm Mtphsl Stw-T8 70Mm W-T8 Strdrv Recess,214.24,83.55,,,0
CDM,SUP233863,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP233887,Noncdm Charge Record Medical Supplies,2.07,0.81,,,0
CDM,SUP233899,Noncdm Charge Record Medical Supplies,139.72,54.49,,,0
CDM,SUP2339,Noncdm Charge Record Medical Supplies - Punch Surg 5Mm Ss Derm Bx Rzr,10.69,4.17,,,0
CDM,SUP233926,Noncdm Charge Record Medical Supplies,1454.18,567.13,,,0
CDM,SUP233938,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP233940,Noncdm Charge Record Medical Supplies,2756.2,1074.92,,,0
CDM,SUP233962,Noncdm Charge Record Medical Supplies,636.52,248.24,,,0
CDM,SUP233965,Noncdm Charge Record Medical Supplies,122.13,47.63,,,0
CDM,SUP233968,Noncdm Charge Record Medical Supplies,636.52,248.24,,,0
CDM,SUP233971,Noncdm Charge Record Medical Supplies,122.13,47.63,,,0
CDM,SUP233972,Noncdm Charge Record Medical Supplies,969.8,378.22,,,0
CDM,SUP233973,Noncdm Charge Record Medical Supplies,969.8,378.22,,,0
CDM,SUP233993,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP234,Noncdm Charge Record Medical Supplies - Tube 100Mm 12.3Mm 7Mm Cuff,309.46,120.69,,,0
CDM,SUP2340,Noncdm Charge Record Medical Supplies - Set Cell Smplr Endocell Endmtrl 3.1Mm Mld,28.15,10.98,,,0
CDM,SUP234000,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP234005,Noncdm Charge Record Medical Supplies,1454.18,567.13,,,0
CDM,SUP234029,Noncdm Charge Record Medical Supplies,105.57,41.17,,,0
CDM,SUP234033,Noncdm Charge Record Medical Supplies,1464.52,571.16,,,0
CDM,SUP234034,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP234049,Noncdm Charge Record Medical Supplies,97.29,37.94,,,0
CDM,SUP234066,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP234067,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP23412,Noncdm Charge Record Medical Supplies - Screw 2.7 Ti St Recess 10 Cort Cort W T8 Strdr,202.86,79.12,,,0
CDM,SUP234144,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP234165,Noncdm Charge Record Medical Supplies,616.86,240.58,,,0
CDM,SUP234168,Noncdm Charge Record Medical Supplies,14660.78,5717.7,,,0
CDM,SUP234170,Noncdm Charge Record Medical Supplies,1502.82,586.1,,,0
CDM,SUP234181,Noncdm Charge Record Medical Supplies,1061.91,414.14,,,0
CDM,SUP234190,Noncdm Charge Record Medical Supplies,3726.0,1453.14,,,0
CDM,SUP234192,Noncdm Charge Record Medical Supplies,1163.34,453.7,,,0
CDM,SUP2341_272,Noncdm Charge Record Medical Supplies - Retractor Ring Long Star Disposable Coopersurgical,385.02,150.16,,,0
CDM,SUP2341_A4649_272,Noncdm Charge Record Medical Supplies - Retractor Ring Long Star Disposable Coopersurgical,385.02,150.16,,,0
CDM,SUP2341_A9999_272,Noncdm Charge Record Medical Supplies - Retractor Ring Long Star Disposable Coopersurgical,385.02,150.16,,,0
CDM,SUP234200,Noncdm Charge Record Medical Supplies,611.68,238.56,,,0
CDM,SUP234204,Noncdm Charge Record Medical Supplies,14983.7,5843.64,,,0
CDM,SUP234210,Noncdm Charge Record Medical Supplies,1466.6,571.97,,,0
CDM,SUP234224,Noncdm Charge Record Medical Supplies,983.25,383.47,,,0
CDM,SUP234228,Noncdm Charge Record Medical Supplies,743.13,289.82,,,0
CDM,SUP234230,Noncdm Charge Record Medical Supplies,738.99,288.21,,,0
CDM,SUP234232,Noncdm Charge Record Medical Supplies,683.1,266.41,,,0
CDM,SUP234233,Noncdm Charge Record Medical Supplies,738.99,288.21,,,0
CDM,SUP234234,Noncdm Charge Record Medical Supplies,2063.79,804.88,,,0
CDM,SUP234239,Noncdm Charge Record Medical Supplies,2491.24,971.58,,,0
CDM,SUP234241,Noncdm Charge Record Medical Supplies,4.14,1.61,,,0
CDM,SUP234248,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP234250,Noncdm Charge Record Medical Supplies,109.71,42.79,,,0
CDM,SUP234255,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP234257,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP234259,Noncdm Charge Record Medical Supplies,1758.46,685.8,,,0
CDM,SUP234266,Noncdm Charge Record Medical Supplies,109.71,42.79,,,0
CDM,SUP234268,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP234269,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP234270,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP234271,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP234272,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP234273,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP234274,Noncdm Charge Record Medical Supplies,461.61,180.03,,,0
CDM,SUP234275,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP234276,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP234281,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP234284_272,Noncdm Charge Record Medical Supplies,222.52,86.78,,,0
CDM,SUP234284_A4649_272,Noncdm Charge Record Medical Supplies,222.52,86.78,,,0
CDM,SUP234285,Noncdm Charge Record Medical Supplies,38807.58,15134.96,,,0
CDM,SUP234286,Noncdm Charge Record Medical Supplies,39531.82,15417.41,,,0
CDM,SUP234291,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP234292,Noncdm Charge Record Medical Supplies,611.68,238.56,,,0
CDM,SUP234298,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP2342_272,Noncdm Charge Record Medical Supplies - Hooks Retractor 5Mm Lone Star Coopersurgical,384.98,150.14,,,0
CDM,SUP2342_A4649_272,Noncdm Charge Record Medical Supplies - Hooks Retractor 5Mm Lone Star Coopersurgical,385.02,150.16,,,0
CDM,SUP2342_A9999_272,Noncdm Charge Record Medical Supplies - Hooks Retractor 5Mm Lone Star Coopersurgical,385.02,150.16,,,0
CDM,SUP234304,Noncdm Charge Record Medical Supplies,46.58,18.17,,,0
CDM,SUP234305,Noncdm Charge Record Medical Supplies,21.74,8.48,,,0
CDM,SUP234316,Noncdm Charge Record Medical Supplies,5269.18,2054.98,,,0
CDM,SUP23433,Noncdm Charge Record Medical Supplies,202.86,79.12,,,0
CDM,SUP234334,Noncdm Charge Record Medical Supplies,112.3,43.8,,,0
CDM,SUP234382_272,Noncdm Charge Record Medical Supplies,328.1,127.96,,,0
CDM,SUP234382_A4649_272,Noncdm Charge Record Medical Supplies,328.1,127.96,,,0
CDM,SUP234383,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP234385,Noncdm Charge Record Medical Supplies,611.68,238.56,,,0
CDM,SUP234394,Noncdm Charge Record Medical Supplies,2780.01,1084.2,,,0
CDM,SUP234408,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP234409,Noncdm Charge Record Medical Supplies,2780.01,1084.2,,,0
CDM,SUP234428,Noncdm Charge Record Medical Supplies,392.26,152.98,,,0
CDM,SUP234429,Noncdm Charge Record Medical Supplies,1870.24,729.39,,,0
CDM,SUP234434,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP234435,Noncdm Charge Record Medical Supplies,5.69,2.22,,,0
CDM,SUP234451,Noncdm Charge Record Medical Supplies,2780.01,1084.2,,,0
CDM,SUP234453,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP234455,Noncdm Charge Record Medical Supplies,455.4,177.61,,,0
CDM,SUP234467,Noncdm Charge Record Medical Supplies,453.85,177.0,,,0
CDM,SUP234475,Noncdm Charge Record Medical Supplies,72.45,28.26,,,0
CDM,SUP234485_270,Noncdm Charge Record Medical Supplies,1933.39,754.02,,,0
CDM,SUP234485_A4649_270,Noncdm Charge Record Medical Supplies,1933.38,754.02,,,0
CDM,SUP234495,Noncdm Charge Record Medical Supplies,7495.47,2923.23,,,0
CDM,SUP234504,Noncdm Charge Record Medical Supplies,1514.2,590.54,,,0
CDM,SUP234505,Noncdm Charge Record Medical Supplies,897.34,349.96,,,0
CDM,SUP234515,Noncdm Charge Record Medical Supplies,419.18,163.48,,,0
CDM,SUP234547,Noncdm Charge Record Medical Supplies,7588.62,2959.56,,,0
CDM,SUP234550,Noncdm Charge Record Medical Supplies,3794.31,1479.78,,,0
CDM,SUP234564,Noncdm Charge Record Medical Supplies,1514.2,590.54,,,0
CDM,SUP234566,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP234573,Noncdm Charge Record Medical Supplies,5577.62,2175.27,,,0
CDM,SUP234579,Noncdm Charge Record Medical Supplies,4332.51,1689.68,,,0
CDM,SUP234582,Noncdm Charge Record Medical Supplies,13135.18,5122.72,,,0
CDM,SUP234589,Noncdm Charge Record Medical Supplies,9065.56,3535.57,,,0
CDM,SUP234595,Noncdm Charge Record Medical Supplies,59.0,23.01,,,0
CDM,SUP234597,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP234601,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP234603,Noncdm Charge Record Medical Supplies,5577.62,2175.27,,,0
CDM,SUP234604,Noncdm Charge Record Medical Supplies,1244.07,485.19,,,0
CDM,SUP234605,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP234609,Noncdm Charge Record Medical Supplies,304.91,118.91,,,0
CDM,SUP234610,Noncdm Charge Record Medical Supplies,596.68,232.71,,,0
CDM,SUP234612,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP234616,Noncdm Charge Record Medical Supplies,1456.24,567.93,,,0
CDM,SUP234621,Noncdm Charge Record Medical Supplies,122.13,47.63,,,0
CDM,SUP234628,Noncdm Charge Record Medical Supplies,13121.73,5117.47,,,0
CDM,SUP234631,Noncdm Charge Record Medical Supplies,20678.26,8064.52,,,0
CDM,SUP234643,Noncdm Charge Record Medical Supplies,3095.34,1207.18,,,0
CDM,SUP234647_C1778_278,Noncdm Charge Record Medical Supplies,12083.62,4712.61,,,0
CDM,SUP234648_C1767_278,Noncdm Charge Record Medical Supplies,48334.5,18850.46,,,0
CDM,SUP234648_C1820_278,Noncdm Charge Record Medical Supplies,48334.5,18850.46,,,0
CDM,SUP234662,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP234668,Noncdm Charge Record Medical Supplies,59.0,23.01,,,0
CDM,SUP234673,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP234681,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP234686,Noncdm Charge Record Medical Supplies,382.43,149.15,,,0
CDM,SUP234694,Noncdm Charge Record Medical Supplies,392.26,152.98,,,0
CDM,SUP234698,Noncdm Charge Record Medical Supplies,10.35,4.04,,,0
CDM,SUP234699,Noncdm Charge Record Medical Supplies,109.71,42.79,,,0
CDM,SUP234700,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP234701,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP234702,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP234704,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP234711,Noncdm Charge Record Medical Supplies,519.57,202.63,,,0
CDM,SUP234712,Noncdm Charge Record Medical Supplies,614.79,239.77,,,0
CDM,SUP234713,Noncdm Charge Record Medical Supplies,607.54,236.94,,,0
CDM,SUP234717,Noncdm Charge Record Medical Supplies,303.26,118.27,,,0
CDM,SUP234722,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP234723,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP234724,Noncdm Charge Record Medical Supplies,986.87,384.88,,,0
CDM,SUP234751,Noncdm Charge Record Medical Supplies,483.34,188.5,,,0
CDM,SUP234753,Noncdm Charge Record Medical Supplies,856.98,334.22,,,0
CDM,SUP234763,Noncdm Charge Record Medical Supplies,255.64,99.7,,,0
CDM,SUP234790,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP234801,Noncdm Charge Record Medical Supplies,608.58,237.35,,,0
CDM,SUP234808,Noncdm Charge Record Medical Supplies,1278.22,498.51,,,0
CDM,SUP234818,Noncdm Charge Record Medical Supplies,5.18,2.02,,,0
CDM,SUP234830,Noncdm Charge Record Medical Supplies,1305.14,509.0,,,0
CDM,SUP234831,Noncdm Charge Record Medical Supplies,763.83,297.89,,,0
CDM,SUP234832,Noncdm Charge Record Medical Supplies,1050.53,409.71,,,0
CDM,SUP234837,Noncdm Charge Record Medical Supplies,13882.46,5414.16,,,0
CDM,SUP234840,Noncdm Charge Record Medical Supplies,962.96,375.55,,,0
CDM,SUP234851,Noncdm Charge Record Medical Supplies,219.42,85.57,,,0
CDM,SUP234853,Noncdm Charge Record Medical Supplies,308.43,120.29,,,0
CDM,SUP234859,Noncdm Charge Record Medical Supplies,1067.08,416.16,,,0
CDM,SUP234863,Noncdm Charge Record Medical Supplies,430.56,167.92,,,0
CDM,SUP234870,Noncdm Charge Record Medical Supplies,424.35,165.5,,,0
CDM,SUP234872,Noncdm Charge Record Medical Supplies,1305.14,509.0,,,0
CDM,SUP234873,Noncdm Charge Record Medical Supplies,3055.32,1191.57,,,0
CDM,SUP234884,Noncdm Charge Record Medical Supplies,17.7,6.9,,,0
CDM,SUP234907,Noncdm Charge Record Medical Supplies,10.35,4.04,,,0
CDM,SUP234908,Noncdm Charge Record Medical Supplies,18.89,7.37,,,0
CDM,SUP234911,Noncdm Charge Record Medical Supplies,74.15,28.92,,,0
CDM,SUP234913,Noncdm Charge Record Medical Supplies,28.29,11.03,,,0
CDM,SUP234919,Noncdm Charge Record Medical Supplies,70.64,27.55,,,0
CDM,SUP234920,Noncdm Charge Record Medical Supplies,89.92,35.07,,,0
CDM,SUP234922,Noncdm Charge Record Medical Supplies,10.35,4.04,,,0
CDM,SUP234923,Noncdm Charge Record Medical Supplies,196.65,76.69,,,0
CDM,SUP234931,Noncdm Charge Record Medical Supplies,2770.7,1080.57,,,0
CDM,SUP234934,Noncdm Charge Record Medical Supplies,1836.09,716.08,,,0
CDM,SUP23494,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 32Mm 130Mm Cannula,943.92,368.13,,,0
CDM,SUP23495,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 32Mm 140Mm Cannula,1142.64,445.63,,,0
CDM,SUP234954,Noncdm Charge Record Medical Supplies,2865.92,1117.71,,,0
CDM,SUP234955,Noncdm Charge Record Medical Supplies,2203.52,859.37,,,0
CDM,SUP234959,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP234971,Noncdm Charge Record Medical Supplies,3395.84,1324.38,,,0
CDM,SUP234998,Noncdm Charge Record Medical Supplies,2880.92,1123.56,,,0
CDM,SUP235,Noncdm Charge Record Medical Supplies - Tube 8Mm Cuff Prox Extn Sh,286.7,111.81,,,0
CDM,SUP23502,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 32Mm 55Mm Cannula,993.6,387.5,,,0
CDM,SUP235023,Noncdm Charge Record Medical Supplies,2061.72,804.07,,,0
CDM,SUP235026,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP23503,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 32Mm 90Mm Cannula,844.56,329.38,,,0
CDM,SUP235099,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP235102,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP235103,Noncdm Charge Record Medical Supplies,5952.28,2321.39,,,0
CDM,SUP235107,Noncdm Charge Record Medical Supplies,2394.47,933.84,,,0
CDM,SUP235109,Noncdm Charge Record Medical Supplies,12516.26,4881.34,,,0
CDM,SUP235133,Noncdm Charge Record Medical Supplies,1468.66,572.78,,,0
CDM,SUP235141,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP235150,Noncdm Charge Record Medical Supplies,410.9,160.25,,,0
CDM,SUP235153,Noncdm Charge Record Medical Supplies,244.78,95.46,,,0
CDM,SUP235155,Noncdm Charge Record Medical Supplies,455.4,177.61,,,0
CDM,SUP235157,Noncdm Charge Record Medical Supplies,238.05,92.84,,,0
CDM,SUP235159,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP235160,Noncdm Charge Record Medical Supplies,1206.81,470.66,,,0
CDM,SUP235161,Noncdm Charge Record Medical Supplies,2393.96,933.64,,,0
CDM,SUP235165,Noncdm Charge Record Medical Supplies,2393.96,933.64,,,0
CDM,SUP235188,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP23520,Noncdm Charge Record Medical Supplies - Drill Bit J-Latch 1.5Mm 110Mm Stryker,615.83,240.17,,,0
CDM,SUP235213,Noncdm Charge Record Medical Supplies,1262.7,492.45,,,0
CDM,SUP235219,Noncdm Charge Record Medical Supplies,2394.3,933.78,,,0
CDM,SUP235222,Noncdm Charge Record Medical Supplies,2067.93,806.49,,,0
CDM,SUP235224,Noncdm Charge Record Medical Supplies,983.77,383.67,,,0
CDM,SUP235225,Noncdm Charge Record Medical Supplies,1206.81,470.66,,,0
CDM,SUP235226,Noncdm Charge Record Medical Supplies,3509.68,1368.78,,,0
CDM,SUP235227,Noncdm Charge Record Medical Supplies,12515.91,4881.2,,,0
CDM,SUP23523,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 1.5Mm 85Mm Synthes,297.25,115.93,,,0
CDM,SUP235239,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP235245,Noncdm Charge Record Medical Supplies,1206.81,470.66,,,0
CDM,SUP235255,Noncdm Charge Record Medical Supplies,3959.91,1544.36,,,0
CDM,SUP235258,Noncdm Charge Record Medical Supplies,2110.36,823.04,,,0
CDM,SUP235262,Noncdm Charge Record Medical Supplies,1003.95,391.54,,,0
CDM,SUP235271_272,Noncdm Charge Record Medical Supplies,51.75,20.18,,,0
CDM,SUP235271_A4649_272,Noncdm Charge Record Medical Supplies,51.75,20.18,,,0
CDM,SUP235272,Noncdm Charge Record Medical Supplies,806.26,314.44,,,0
CDM,SUP235278,Noncdm Charge Record Medical Supplies,84.87,33.1,,,0
CDM,SUP23528,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 1.7Mm 100Mm Synthes,1374.48,536.05,,,0
CDM,SUP235283,Noncdm Charge Record Medical Supplies,192.51,75.08,,,0
CDM,SUP235299,Noncdm Charge Record Medical Supplies,9590.31,3740.22,,,0
CDM,SUP235302,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP235303,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP235304,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP235305,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP235306,Noncdm Charge Record Medical Supplies,2079.32,810.93,,,0
CDM,SUP235307,Noncdm Charge Record Medical Supplies,22061.02,8603.8,,,0
CDM,SUP235309,Noncdm Charge Record Medical Supplies,2393.96,933.64,,,0
CDM,SUP235311,Noncdm Charge Record Medical Supplies,12516.26,4881.34,,,0
CDM,SUP235314,Noncdm Charge Record Medical Supplies,21.74,8.48,,,0
CDM,SUP235341,Noncdm Charge Record Medical Supplies,203.9,79.52,,,0
CDM,SUP235349,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP235362,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP235364,Noncdm Charge Record Medical Supplies,521.64,203.44,,,0
CDM,SUP235366,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP235368,Noncdm Charge Record Medical Supplies,1822.64,710.83,,,0
CDM,SUP235372,Noncdm Charge Record Medical Supplies,322.92,125.94,,,0
CDM,SUP235380,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP235381,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP23539,Noncdm Charge Record Medical Supplies - Bit Drill 3.2Mm 3 Flt Qc-230Mm -200Mm Calib-Strl,1143.68,446.04,,,0
CDM,SUP23540,Noncdm Charge Record Medical Supplies - Bit Drill 3.2Mm Cannula -Qc 170Mm-Strl,1516.28,591.35,,,0
CDM,SUP23541,Noncdm Charge Record Medical Supplies - Bit Drill 3.2Mm Jc-130Mm Strl,490.59,191.33,,,0
CDM,SUP235414,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP235415,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP23542,Noncdm Charge Record Medical Supplies,580.64,226.45,,,0
CDM,SUP23543,Noncdm Charge Record Medical Supplies - Bit Drill 3.2Mm Qc-145Mm Strl,495.1,193.09,,,0
CDM,SUP235434,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP23545,Noncdm Charge Record Medical Supplies - Bit Drill 3.5Mm Jc 95Mm,300.15,117.06,,,0
CDM,SUP235451,Noncdm Charge Record Medical Supplies,219.42,85.57,,,0
CDM,SUP235467,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP235468,Noncdm Charge Record Medical Supplies,68.31,26.64,,,0
CDM,SUP235469,Noncdm Charge Record Medical Supplies,3968.19,1547.59,,,0
CDM,SUP235471,Noncdm Charge Record Medical Supplies,1052.6,410.51,,,0
CDM,SUP235472,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP235473,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP235476,Noncdm Charge Record Medical Supplies,220.46,85.98,,,0
CDM,SUP235477,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP235478,Noncdm Charge Record Medical Supplies,68.31,26.64,,,0
CDM,SUP235480,Noncdm Charge Record Medical Supplies,1052.6,410.51,,,0
CDM,SUP235483,Noncdm Charge Record Medical Supplies,2159.01,842.01,,,0
CDM,SUP235487,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP235496,Noncdm Charge Record Medical Supplies,4528.12,1765.97,,,0
CDM,SUP235497,Noncdm Charge Record Medical Supplies,40563.72,15819.85,,,0
CDM,SUP235498,Noncdm Charge Record Medical Supplies,220.2,85.88,,,0
CDM,SUP235499,Noncdm Charge Record Medical Supplies,1209.22,471.6,,,0
CDM,SUP23550,Noncdm Charge Record Medical Supplies - Bit Drill 4.5Mm 3 Flt Qc-195Mm Strl,774.18,301.93,,,0
CDM,SUP235500,Noncdm Charge Record Medical Supplies,1639.96,639.58,,,0
CDM,SUP235506,Noncdm Charge Record Medical Supplies,592.36,231.02,,,0
CDM,SUP235507,Noncdm Charge Record Medical Supplies,582.71,227.26,,,0
CDM,SUP235508,Noncdm Charge Record Medical Supplies,9651.38,3764.04,,,0
CDM,SUP235529,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP235531,Noncdm Charge Record Medical Supplies,1052.6,410.51,,,0
CDM,SUP235532,Noncdm Charge Record Medical Supplies,1052.6,410.51,,,0
CDM,SUP235533,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP235548,Noncdm Charge Record Medical Supplies,1487.3,580.05,,,0
CDM,SUP235560,Noncdm Charge Record Medical Supplies,2065.86,805.69,,,0
CDM,SUP235564,Noncdm Charge Record Medical Supplies,1762.6,687.41,,,0
CDM,SUP235570,Noncdm Charge Record Medical Supplies,2428.11,946.96,,,0
CDM,SUP235571,Noncdm Charge Record Medical Supplies,2428.11,946.96,,,0
CDM,SUP235572,Noncdm Charge Record Medical Supplies,2428.11,946.96,,,0
CDM,SUP235576,Noncdm Charge Record Medical Supplies,1566.99,611.13,,,0
CDM,SUP235577,Noncdm Charge Record Medical Supplies,1449.13,565.16,,,0
CDM,SUP235582,Noncdm Charge Record Medical Supplies,1933.38,754.02,,,0
CDM,SUP235584,Noncdm Charge Record Medical Supplies,175.95,68.62,,,0
CDM,SUP235611,Noncdm Charge Record Medical Supplies,98.32,38.34,,,0
CDM,SUP235615,Noncdm Charge Record Medical Supplies,1468.66,572.78,,,0
CDM,SUP235619,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP235626,Noncdm Charge Record Medical Supplies,122.13,47.63,,,0
CDM,SUP235636,Noncdm Charge Record Medical Supplies,889.06,346.73,,,0
CDM,SUP23564,Noncdm Charge Record Medical Supplies - Drill Bit 2.5Mm Quick Coupling 300Mm-200Mm Calibration Synth,769.0,299.91,,,0
CDM,SUP235660,Noncdm Charge Record Medical Supplies,66.24,25.83,,,0
CDM,SUP235663,Noncdm Charge Record Medical Supplies,410.9,160.25,,,0
CDM,SUP235669,Noncdm Charge Record Medical Supplies,109.71,42.79,,,0
CDM,SUP235670,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP235672,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP235673,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP235674,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP235676,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP235677,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP235678,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP235679,Noncdm Charge Record Medical Supplies,2349.45,916.29,,,0
CDM,SUP235687,Noncdm Charge Record Medical Supplies,68.31,26.64,,,0
CDM,SUP235689,Noncdm Charge Record Medical Supplies,13668.21,5330.6,,,0
CDM,SUP235698,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP235706,Noncdm Charge Record Medical Supplies,220.46,85.98,,,0
CDM,SUP235707,Noncdm Charge Record Medical Supplies,1370.34,534.43,,,0
CDM,SUP235708,Noncdm Charge Record Medical Supplies,1370.34,534.43,,,0
CDM,SUP235709,Noncdm Charge Record Medical Supplies,1370.34,534.43,,,0
CDM,SUP235710,Noncdm Charge Record Medical Supplies,299.63,116.86,,,0
CDM,SUP235712,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP235721,Noncdm Charge Record Medical Supplies,2390.69,932.37,,,0
CDM,SUP235722,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP235731,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP235787,Noncdm Charge Record Medical Supplies,97.81,38.15,,,0
CDM,SUP235788,Noncdm Charge Record Medical Supplies,3395.84,1324.38,,,0
CDM,SUP235823,Noncdm Charge Record Medical Supplies,410.9,160.25,,,0
CDM,SUP235831,Noncdm Charge Record Medical Supplies,336.89,131.39,,,0
CDM,SUP235836,Noncdm Charge Record Medical Supplies,219.42,85.57,,,0
CDM,SUP235838,Noncdm Charge Record Medical Supplies,871.47,339.87,,,0
CDM,SUP235839,Noncdm Charge Record Medical Supplies,962.55,375.39,,,0
CDM,SUP235840,Noncdm Charge Record Medical Supplies,871.47,339.87,,,0
CDM,SUP235841,Noncdm Charge Record Medical Supplies,1308.24,510.21,,,0
CDM,SUP235844,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP23585,Noncdm Charge Record Medical Supplies - Blade Saw Parallel Oblique 45 Degree Shortening Distance 3Mm,888.03,346.33,,,0
CDM,SUP235850,Noncdm Charge Record Medical Supplies,168.7,65.79,,,0
CDM,SUP235883,Noncdm Charge Record Medical Supplies,598.23,233.31,,,0
CDM,SUP235885,Noncdm Charge Record Medical Supplies,1404.5,547.76,,,0
CDM,SUP235886,Noncdm Charge Record Medical Supplies,1206.81,470.66,,,0
CDM,SUP235887,Noncdm Charge Record Medical Supplies,1801.94,702.76,,,0
CDM,SUP235901,Noncdm Charge Record Medical Supplies,1886.8,735.85,,,0
CDM,SUP235905,Noncdm Charge Record Medical Supplies,1440.72,561.88,,,0
CDM,SUP235910,Noncdm Charge Record Medical Supplies,1484.19,578.83,,,0
CDM,SUP235923,Noncdm Charge Record Medical Supplies,8818.2,3439.1,,,0
CDM,SUP235924,Noncdm Charge Record Medical Supplies,5731.83,2235.41,,,0
CDM,SUP235925,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP235926,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP235927,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP235928,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP235929,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP235930,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP235936,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP235937,Noncdm Charge Record Medical Supplies,514.4,200.62,,,0
CDM,SUP235941,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP235942,Noncdm Charge Record Medical Supplies,296.01,115.44,,,0
CDM,SUP235943,Noncdm Charge Record Medical Supplies,73.48,28.66,,,0
CDM,SUP235944,Noncdm Charge Record Medical Supplies,73.48,28.66,,,0
CDM,SUP235945,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP235946,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP235947,Noncdm Charge Record Medical Supplies,856.98,334.22,,,0
CDM,SUP235949,Noncdm Charge Record Medical Supplies,856.98,334.22,,,0
CDM,SUP235950,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP235961,Noncdm Charge Record Medical Supplies,27.94,10.9,,,0
CDM,SUP235962,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP235963,Noncdm Charge Record Medical Supplies,109.71,42.79,,,0
CDM,SUP235964,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP235965,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP235966,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP235968,Noncdm Charge Record Medical Supplies,1836.09,716.08,,,0
CDM,SUP235969,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP235970,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP235971,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP235972,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP235973,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP235974,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP235976,Noncdm Charge Record Medical Supplies,2349.45,916.29,,,0
CDM,SUP235987,Noncdm Charge Record Medical Supplies,1933.38,754.02,,,0
CDM,SUP235994,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP235995,Noncdm Charge Record Medical Supplies,195.62,76.29,,,0
CDM,SUP235996,Noncdm Charge Record Medical Supplies,464.72,181.24,,,0
CDM,SUP235997,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP236,Noncdm Charge Record Medical Supplies - Tube 105Mm 8Mm Cuff Dist Extn Trchsf Xlt,286.7,111.81,,,0
CDM,SUP236003,Noncdm Charge Record Medical Supplies,445.57,173.77,,,0
CDM,SUP236006,Noncdm Charge Record Medical Supplies,3108.1,1212.16,,,0
CDM,SUP236007,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP236008,Noncdm Charge Record Medical Supplies,407.88,159.07,,,0
CDM,SUP236024,Noncdm Charge Record Medical Supplies,27.94,10.9,,,0
CDM,SUP236025,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP236075,Noncdm Charge Record Medical Supplies,1713.96,668.44,,,0
CDM,SUP236082,Noncdm Charge Record Medical Supplies,140.76,54.9,,,0
CDM,SUP236083,Noncdm Charge Record Medical Supplies,257.71,100.51,,,0
CDM,SUP236084,Noncdm Charge Record Medical Supplies,257.75,100.52,,,0
CDM,SUP236085,Noncdm Charge Record Medical Supplies,276.35,107.78,,,0
CDM,SUP236090,Noncdm Charge Record Medical Supplies,146.97,57.32,,,0
CDM,SUP236101,Noncdm Charge Record Medical Supplies,136.62,53.28,,,0
CDM,SUP236103,Noncdm Charge Record Medical Supplies,254.61,99.3,,,0
CDM,SUP236105,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP236116,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP236150,Noncdm Charge Record Medical Supplies,240.12,93.65,,,0
CDM,SUP236151,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP236155,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP23616,Noncdm Charge Record Medical Supplies - Cap End Ti Mllk 0Mm Extn Strl F- Mllk Nail,918.49,358.21,,,0
CDM,SUP236174,Noncdm Charge Record Medical Supplies,1590.8,620.41,,,0
CDM,SUP236185,Noncdm Charge Record Medical Supplies,8108.19,3162.19,,,0
CDM,SUP236207,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP236209,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP236210,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP236222,Noncdm Charge Record Medical Supplies,889.06,346.73,,,0
CDM,SUP236259,Noncdm Charge Record Medical Supplies,19.66,7.67,,,0
CDM,SUP23626,Noncdm Charge Record Medical Supplies - Cutter Wire,3665.97,1429.73,,,0
CDM,SUP236263,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP236280,Noncdm Charge Record Medical Supplies,1462.46,570.36,,,0
CDM,SUP236320,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP236322,Noncdm Charge Record Medical Supplies,239.08,93.24,,,0
CDM,SUP236323,Noncdm Charge Record Medical Supplies,912.87,356.02,,,0
CDM,SUP236324,Noncdm Charge Record Medical Supplies,2290.46,893.28,,,0
CDM,SUP236343,Noncdm Charge Record Medical Supplies,239.08,93.24,,,0
CDM,SUP236346,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP236348,Noncdm Charge Record Medical Supplies,239.08,93.24,,,0
CDM,SUP236353,Noncdm Charge Record Medical Supplies,11022.75,4298.87,,,0
CDM,SUP236362,Noncdm Charge Record Medical Supplies,521.64,203.44,,,0
CDM,SUP236375,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP236380,Noncdm Charge Record Medical Supplies,349.83,136.43,,,0
CDM,SUP236384,Noncdm Charge Record Medical Supplies,1.03,0.4,,,0
CDM,SUP236393,Noncdm Charge Record Medical Supplies,1.03,0.4,,,0
CDM,SUP236398,Noncdm Charge Record Medical Supplies,1206.81,470.66,,,0
CDM,SUP236399,Noncdm Charge Record Medical Supplies,1.03,0.4,,,0
CDM,SUP236409,Noncdm Charge Record Medical Supplies,495.76,193.35,,,0
CDM,SUP236429,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP236438,Noncdm Charge Record Medical Supplies,3439.3,1341.33,,,0
CDM,SUP236440,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP236443,Noncdm Charge Record Medical Supplies,830.07,323.73,,,0
CDM,SUP236452,Noncdm Charge Record Medical Supplies,3472.42,1354.24,,,0
CDM,SUP236466,Noncdm Charge Record Medical Supplies,3439.3,1341.33,,,0
CDM,SUP236479,Noncdm Charge Record Medical Supplies,1.03,0.4,,,0
CDM,SUP236495,Noncdm Charge Record Medical Supplies,1713.96,668.44,,,0
CDM,SUP236501,Noncdm Charge Record Medical Supplies,1918.89,748.37,,,0
CDM,SUP236502,Noncdm Charge Record Medical Supplies,1947.87,759.67,,,0
CDM,SUP236507_C1886_272,Noncdm Charge Record Medical Supplies,8156.84,3181.17,,,0
CDM,SUP236516,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP236517,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP236518,Noncdm Charge Record Medical Supplies,1958.22,763.71,,,0
CDM,SUP236519,Noncdm Charge Record Medical Supplies,4409.1,1719.55,,,0
CDM,SUP236523,Noncdm Charge Record Medical Supplies,10934.78,4264.56,,,0
CDM,SUP236526,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP236529,Noncdm Charge Record Medical Supplies,122.13,47.63,,,0
CDM,SUP236532,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP236555,Noncdm Charge Record Medical Supplies,461.61,180.03,,,0
CDM,SUP236566,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP236567,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP236572,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP236574,Noncdm Charge Record Medical Supplies,1848.51,720.92,,,0
CDM,SUP236575,Noncdm Charge Record Medical Supplies,1586.66,618.8,,,0
CDM,SUP236581,Noncdm Charge Record Medical Supplies,954.79,372.37,,,0
CDM,SUP236583,Noncdm Charge Record Medical Supplies,240.12,93.65,,,0
CDM,SUP236588,Noncdm Charge Record Medical Supplies,1544.61,602.4,,,0
CDM,SUP236589,Noncdm Charge Record Medical Supplies,2645.46,1031.73,,,0
CDM,SUP236590,Noncdm Charge Record Medical Supplies,4.14,1.61,,,0
CDM,SUP236591,Noncdm Charge Record Medical Supplies,424.35,165.5,,,0
CDM,SUP2366,Noncdm Charge Record Medical Supplies - Bone Cort Canc 1-4 30Cc,1805.04,703.97,,,0
CDM,SUP236619,Noncdm Charge Record Medical Supplies,424.35,165.5,,,0
CDM,SUP236620,Noncdm Charge Record Medical Supplies,4.14,1.61,,,0
CDM,SUP236621,Noncdm Charge Record Medical Supplies,783.5,305.56,,,0
CDM,SUP236622,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP236625,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP236626,Noncdm Charge Record Medical Supplies,127.3,49.65,,,0
CDM,SUP236631,Noncdm Charge Record Medical Supplies,4483.62,1748.61,,,0
CDM,SUP236640,Noncdm Charge Record Medical Supplies,103.5,40.36,,,0
CDM,SUP236644,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP236650,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP236664,Noncdm Charge Record Medical Supplies,1590.8,620.41,,,0
CDM,SUP236665,Noncdm Charge Record Medical Supplies,1590.8,620.41,,,0
CDM,SUP236674,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP236676,Noncdm Charge Record Medical Supplies,1899.22,740.7,,,0
CDM,SUP236692,Noncdm Charge Record Medical Supplies,21.74,8.48,,,0
CDM,SUP2367,Noncdm Charge Record Medical Supplies - Bone Ilc Crst Wedge Sm 9Mmx9Mmx18Mm Frzdr,3528.32,1376.04,,,0
CDM,SUP236731,Noncdm Charge Record Medical Supplies,9.32,3.63,,,0
CDM,SUP236742,Noncdm Charge Record Medical Supplies,30.02,11.71,,,0
CDM,SUP236749,Noncdm Charge Record Medical Supplies,1.03,0.4,,,0
CDM,SUP236754,Noncdm Charge Record Medical Supplies,4409.1,1719.55,,,0
CDM,SUP236755,Noncdm Charge Record Medical Supplies,1247.18,486.4,,,0
CDM,SUP236757,Noncdm Charge Record Medical Supplies,1.03,0.4,,,0
CDM,SUP236759,Noncdm Charge Record Medical Supplies,303.26,118.27,,,0
CDM,SUP236761,Noncdm Charge Record Medical Supplies,1.03,0.4,,,0
CDM,SUP236766,Noncdm Charge Record Medical Supplies,661.36,257.93,,,0
CDM,SUP236770,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP236777,Noncdm Charge Record Medical Supplies,30.02,11.71,,,0
CDM,SUP23678,Noncdm Charge Record Medical Supplies - Kit Lg Ext Fix Ankle Strl Frame,14088.42,5494.48,,,0
CDM,SUP236781,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP236791,Noncdm Charge Record Medical Supplies,109.71,42.79,,,0
CDM,SUP236792,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP236794,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP236795,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP236796,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP236798,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP236799,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP236808,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP236813,Noncdm Charge Record Medical Supplies,45.45,17.73,,,0
CDM,SUP236827,Noncdm Charge Record Medical Supplies,3439.3,1341.33,,,0
CDM,SUP236839,Noncdm Charge Record Medical Supplies,6453.22,2516.76,,,0
CDM,SUP236841,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP236842,Noncdm Charge Record Medical Supplies,1836.09,716.08,,,0
CDM,SUP236860,Noncdm Charge Record Medical Supplies,10934.78,4264.56,,,0
CDM,SUP236878,Noncdm Charge Record Medical Supplies,109.71,42.79,,,0
CDM,SUP236879,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP236880,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP236881,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP236882,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP236883,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP236884,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP236888,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP236889,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP236899,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP236934,Noncdm Charge Record Medical Supplies,2865.92,1117.71,,,0
CDM,SUP236935,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP236936,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP236937,Noncdm Charge Record Medical Supplies,244.78,95.46,,,0
CDM,SUP236973,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP236974,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP236975,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP236979,Noncdm Charge Record Medical Supplies,199.76,77.91,,,0
CDM,SUP236985,Noncdm Charge Record Medical Supplies,4850.01,1891.5,,,0
CDM,SUP236986,Noncdm Charge Record Medical Supplies,2130.03,830.71,,,0
CDM,SUP236987,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP236988,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP236989,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP236991,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP236998,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP237,Noncdm Charge Record Medical Supplies - Tube 95Mm 11Mm 6Mm Cuff Dist,286.7,111.81,,,0
CDM,SUP2370,Noncdm Charge Record Medical Supplies - Catheter Drain 7Fr 25Cm,396.4,154.6,,,0
CDM,SUP237002,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP237004,Noncdm Charge Record Medical Supplies,1624.95,633.73,,,0
CDM,SUP237009,Noncdm Charge Record Medical Supplies,380.36,148.34,,,0
CDM,SUP237011,Noncdm Charge Record Medical Supplies,361.22,140.88,,,0
CDM,SUP237014,Noncdm Charge Record Medical Supplies,6121.51,2387.39,,,0
CDM,SUP237016,Noncdm Charge Record Medical Supplies,7282.26,2840.08,,,0
CDM,SUP237018,Noncdm Charge Record Medical Supplies,6120.99,2387.19,,,0
CDM,SUP237024,Noncdm Charge Record Medical Supplies,7282.26,2840.08,,,0
CDM,SUP237025,Noncdm Charge Record Medical Supplies,4144.14,1616.21,,,0
CDM,SUP237026,Noncdm Charge Record Medical Supplies,12516.26,4881.34,,,0
CDM,SUP237027,Noncdm Charge Record Medical Supplies,4144.14,1616.21,,,0
CDM,SUP237028,Noncdm Charge Record Medical Supplies,2393.96,933.64,,,0
CDM,SUP237030,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP237031,Noncdm Charge Record Medical Supplies,5952.28,2321.39,,,0
CDM,SUP237035,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP237046,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP237048,Noncdm Charge Record Medical Supplies,998.78,389.52,,,0
CDM,SUP237050,Noncdm Charge Record Medical Supplies,1958.22,763.71,,,0
CDM,SUP237051,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP237058,Noncdm Charge Record Medical Supplies,2702.73,1054.06,,,0
CDM,SUP237062,Noncdm Charge Record Medical Supplies,1933.38,754.02,,,0
CDM,SUP237068,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP237071,Noncdm Charge Record Medical Supplies,2881.44,1123.76,,,0
CDM,SUP237073,Noncdm Charge Record Medical Supplies,142.83,55.7,,,0
CDM,SUP237074,Noncdm Charge Record Medical Supplies,5577.62,2175.27,,,0
CDM,SUP237076,Noncdm Charge Record Medical Supplies,8.28,3.23,,,0
CDM,SUP237079,Noncdm Charge Record Medical Supplies,997.74,389.12,,,0
CDM,SUP237081,Noncdm Charge Record Medical Supplies,3751.88,1463.23,,,0
CDM,SUP237082,Noncdm Charge Record Medical Supplies,3751.88,1463.23,,,0
CDM,SUP237083,Noncdm Charge Record Medical Supplies,704.84,274.89,,,0
CDM,SUP237084,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP237085,Noncdm Charge Record Medical Supplies,304.89,118.91,,,0
CDM,SUP237086,Noncdm Charge Record Medical Supplies,1253.38,488.82,,,0
CDM,SUP237087,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP237088,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP237089,Noncdm Charge Record Medical Supplies,4444.29,1733.27,,,0
CDM,SUP237090,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP237091,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP237093,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP237096,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP237097,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP237099,Noncdm Charge Record Medical Supplies,715.18,278.92,,,0
CDM,SUP237104,Noncdm Charge Record Medical Supplies,3485.36,1359.29,,,0
CDM,SUP237107,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP237117,Noncdm Charge Record Medical Supplies,64.17,25.03,,,0
CDM,SUP237118,Noncdm Charge Record Medical Supplies,3037.72,1184.71,,,0
CDM,SUP237128,Noncdm Charge Record Medical Supplies,288.76,112.62,,,0
CDM,SUP237132,Noncdm Charge Record Medical Supplies,257.71,100.51,,,0
CDM,SUP237136,Noncdm Charge Record Medical Supplies,1440.72,561.88,,,0
CDM,SUP237137,Noncdm Charge Record Medical Supplies,113.85,44.4,,,0
CDM,SUP237138,Noncdm Charge Record Medical Supplies,565.11,220.39,,,0
CDM,SUP237148,Noncdm Charge Record Medical Supplies,369.5,144.1,,,0
CDM,SUP237149,Noncdm Charge Record Medical Supplies,903.56,352.39,,,0
CDM,SUP237158,Noncdm Charge Record Medical Supplies,1566.99,611.13,,,0
CDM,SUP237160,Noncdm Charge Record Medical Supplies,1449.13,565.16,,,0
CDM,SUP237171,Noncdm Charge Record Medical Supplies,1101.24,429.48,,,0
CDM,SUP237172,Noncdm Charge Record Medical Supplies,122.13,47.63,,,0
CDM,SUP237173,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP237174,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP237175,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP237176,Noncdm Charge Record Medical Supplies,244.78,95.46,,,0
CDM,SUP2372,Noncdm Charge Record Medical Supplies - Cable Orth Vit 2Mm Hmg Dlmls 2,1426.19,556.21,,,0
CDM,SUP237212,Noncdm Charge Record Medical Supplies,6710.94,2617.27,,,0
CDM,SUP237213,Noncdm Charge Record Medical Supplies,6710.42,2617.06,,,0
CDM,SUP237214,Noncdm Charge Record Medical Supplies,356.04,138.86,,,0
CDM,SUP237222,Noncdm Charge Record Medical Supplies,13.46,5.25,,,0
CDM,SUP237223,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP237254,Noncdm Charge Record Medical Supplies,605.99,236.34,,,0
CDM,SUP237261,Noncdm Charge Record Medical Supplies,2231.46,870.27,,,0
CDM,SUP237271,Noncdm Charge Record Medical Supplies,410.9,160.25,,,0
CDM,SUP237282,Noncdm Charge Record Medical Supplies,480.24,187.29,,,0
CDM,SUP237283,Noncdm Charge Record Medical Supplies,288.76,112.62,,,0
CDM,SUP237286,Noncdm Charge Record Medical Supplies,1909.58,744.74,,,0
CDM,SUP237287,Noncdm Charge Record Medical Supplies,2491.24,971.58,,,0
CDM,SUP237289,Noncdm Charge Record Medical Supplies,2491.24,971.58,,,0
CDM,SUP237290,Noncdm Charge Record Medical Supplies,2777.94,1083.4,,,0
CDM,SUP237292,Noncdm Charge Record Medical Supplies,2164.18,844.03,,,0
CDM,SUP237293,Noncdm Charge Record Medical Supplies,1425.97,556.13,,,0
CDM,SUP237294,Noncdm Charge Record Medical Supplies,244.78,95.46,,,0
CDM,SUP237297,Noncdm Charge Record Medical Supplies,2164.18,844.03,,,0
CDM,SUP237307,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP237310,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP237312,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP237314,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP237315,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP237316,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP237320,Noncdm Charge Record Medical Supplies,1854.2,723.14,,,0
CDM,SUP237321,Noncdm Charge Record Medical Supplies,261.86,102.13,,,0
CDM,SUP237324,Noncdm Charge Record Medical Supplies,13.46,5.25,,,0
CDM,SUP237333,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP237335,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP237347,Noncdm Charge Record Medical Supplies,2231.46,870.27,,,0
CDM,SUP237348,Noncdm Charge Record Medical Supplies,598.23,233.31,,,0
CDM,SUP237349,Noncdm Charge Record Medical Supplies,2255.26,879.55,,,0
CDM,SUP237350,Noncdm Charge Record Medical Supplies,247.36,96.47,,,0
CDM,SUP23736,Noncdm Charge Record Medical Supplies - Nail 4Mm Ti Elc 440Mm,1598.04,623.24,,,0
CDM,SUP237362,Noncdm Charge Record Medical Supplies,1842.3,718.5,,,0
CDM,SUP237420,Noncdm Charge Record Medical Supplies,383.98,149.75,,,0
CDM,SUP237425,Noncdm Charge Record Medical Supplies,136.62,53.28,,,0
CDM,SUP237491,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP237530,Noncdm Charge Record Medical Supplies,1566.99,611.13,,,0
CDM,SUP237531,Noncdm Charge Record Medical Supplies,1111.28,433.4,,,0
CDM,SUP237534,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP237538,Noncdm Charge Record Medical Supplies,1023.62,399.21,,,0
CDM,SUP237568,Noncdm Charge Record Medical Supplies,495.76,193.35,,,0
CDM,SUP237572,Noncdm Charge Record Medical Supplies,1713.96,668.44,,,0
CDM,SUP237573,Noncdm Charge Record Medical Supplies,159.39,62.16,,,0
CDM,SUP237574,Noncdm Charge Record Medical Supplies,410.9,160.25,,,0
CDM,SUP237577,Noncdm Charge Record Medical Supplies,225.63,88.0,,,0
CDM,SUP237581,Noncdm Charge Record Medical Supplies,2865.92,1117.71,,,0
CDM,SUP237582,Noncdm Charge Record Medical Supplies,321.88,125.53,,,0
CDM,SUP237583,Noncdm Charge Record Medical Supplies,1484.19,578.83,,,0
CDM,SUP237595,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP237598,Noncdm Charge Record Medical Supplies,2742.75,1069.67,,,0
CDM,SUP237599,Noncdm Charge Record Medical Supplies,2742.75,1069.67,,,0
CDM,SUP237601,Noncdm Charge Record Medical Supplies,495.76,193.35,,,0
CDM,SUP237605,Noncdm Charge Record Medical Supplies,1517.31,591.75,,,0
CDM,SUP237608,Noncdm Charge Record Medical Supplies,1510.06,588.92,,,0
CDM,SUP237609,Noncdm Charge Record Medical Supplies,3472.42,1354.24,,,0
CDM,SUP237631,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP237641,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP237645,Noncdm Charge Record Medical Supplies,7275.02,2837.26,,,0
CDM,SUP23766,Noncdm Charge Record Medical Supplies - Plate 2.4 6Hhd 5H Shft Rt Strl Va Lcp 2Clmn Vlr Dstl Rad,3102.93,1210.14,,,0
CDM,SUP237662,Noncdm Charge Record Medical Supplies,12373.42,4825.63,,,0
CDM,SUP237664,Noncdm Charge Record Medical Supplies,1292.71,504.16,,,0
CDM,SUP237682,Noncdm Charge Record Medical Supplies,796.95,310.81,,,0
CDM,SUP2377,Noncdm Charge Record Medical Supplies - Pencil Electrosurg Hndswh Disp,49.68,19.38,,,0
CDM,SUP23770,Noncdm Charge Record Medical Supplies - Plate 2.4-2.7 Mtpfus Sm5Dlt Va Lcp 1St Mtp Fus,4142.07,1615.41,,,0
CDM,SUP237702,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP237705,Noncdm Charge Record Medical Supplies,113.33,44.2,,,0
CDM,SUP23773,Noncdm Charge Record Medical Supplies - Plate 2.4-2.7 Mtpfusmed10Drt Va Lcp 1St Mtp Fus,4142.07,1615.41,,,0
CDM,SUP23774,Noncdm Charge Record Medical Supplies - Plate 2.4-2.7 Mtpfusmed10Drt-S Va Lcp 1St Mtp Fus Strl,4354.24,1698.15,,,0
CDM,SUP237761,Noncdm Charge Record Medical Supplies,195.62,76.29,,,0
CDM,SUP237798,Noncdm Charge Record Medical Supplies,10934.78,4264.56,,,0
CDM,SUP23780,Noncdm Charge Record Medical Supplies - Plate 2.4-2.7 T-Fus 2Hhd Lng-S Va Lcp T-Fus Strl,4050.99,1579.89,,,0
CDM,SUP237837,Noncdm Charge Record Medical Supplies,982.22,383.07,,,0
CDM,SUP23785,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 4Hlt88Mm Medstrl Va-Lcp Postlat Dhp-Lat Supt,4984.56,1943.98,,,0
CDM,SUP237872,Noncdm Charge Record Medical Supplies,4555.04,1776.47,,,0
CDM,SUP237877,Noncdm Charge Record Medical Supplies,130.15,50.76,,,0
CDM,SUP23788,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Lo 12H 180Mm Rt Lcp Prox Tib Lo Bend,6092.01,2375.88,,,0
CDM,SUP237880,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP237881,Noncdm Charge Record Medical Supplies,1848.51,720.92,,,0
CDM,SUP237888,Noncdm Charge Record Medical Supplies,519.57,202.63,,,0
CDM,SUP2379,Noncdm Charge Record Medical Supplies,2246.98,876.32,,,0
CDM,SUP237914,Noncdm Charge Record Medical Supplies,261.86,102.13,,,0
CDM,SUP237916,Noncdm Charge Record Medical Supplies,1854.72,723.34,,,0
CDM,SUP237918,Noncdm Charge Record Medical Supplies,1206.81,470.66,,,0
CDM,SUP237925,Noncdm Charge Record Medical Supplies,11246.31,4386.06,,,0
CDM,SUP237926,Noncdm Charge Record Medical Supplies,11246.31,4386.06,,,0
CDM,SUP237927,Noncdm Charge Record Medical Supplies,2150.73,838.78,,,0
CDM,SUP237929,Noncdm Charge Record Medical Supplies,1933.38,754.02,,,0
CDM,SUP237932,Noncdm Charge Record Medical Supplies,1058.8,412.93,,,0
CDM,SUP237937,Noncdm Charge Record Medical Supplies,5339.56,2082.43,,,0
CDM,SUP237959,Noncdm Charge Record Medical Supplies,13533.66,5278.13,,,0
CDM,SUP237974,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP237987,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP237992,Noncdm Charge Record Medical Supplies,20.18,7.87,,,0
CDM,SUP237993,Noncdm Charge Record Medical Supplies,1218.2,475.1,,,0
CDM,SUP237995,Noncdm Charge Record Medical Supplies,78.66,30.68,,,0
CDM,SUP238,Noncdm Charge Record Medical Supplies - Tube 7Mm Cuff Dist Extn Sh,309.46,120.69,,,0
CDM,SUP238001,Noncdm Charge Record Medical Supplies,734.33,286.39,,,0
CDM,SUP238010,Noncdm Charge Record Medical Supplies,1150.92,448.86,,,0
CDM,SUP238026,Noncdm Charge Record Medical Supplies,1848.51,720.92,,,0
CDM,SUP23803,Noncdm Charge Record Medical Supplies - Screw 2.4Mm Cort St 30Mm T8 W T8 Stardr Recess,252.96,98.65,,,0
CDM,SUP23805,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 80Mm Pelvic St Cort,163.53,63.78,,,0
CDM,SUP238056,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP238064,Noncdm Charge Record Medical Supplies,259.79,101.32,,,0
CDM,SUP238066,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP23807,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 16Mm Thrd 80Mm Cannula,965.14,376.4,,,0
CDM,SUP238073,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP238075,Noncdm Charge Record Medical Supplies,48.99,19.11,,,0
CDM,SUP238089_272,Noncdm Charge Record Medical Supplies,445.31,173.67,,,0
CDM,SUP238089_A4649_272,Noncdm Charge Record Medical Supplies,416.07,162.27,,,0
CDM,SUP238090,Noncdm Charge Record Medical Supplies,235.95,92.02,,,0
CDM,SUP238091,Noncdm Charge Record Medical Supplies,14990.94,5846.47,,,0
CDM,SUP238095,Noncdm Charge Record Medical Supplies,259.79,101.32,,,0
CDM,SUP2381,Noncdm Charge Record Medical Supplies - Catheter Esoph Pyl 6Fr 15-18Mm,1151.96,449.26,,,0
CDM,SUP238102,Noncdm Charge Record Medical Supplies,514.4,200.62,,,0
CDM,SUP238108,Noncdm Charge Record Medical Supplies,1261.66,492.05,,,0
CDM,SUP238109,Noncdm Charge Record Medical Supplies,1057.77,412.53,,,0
CDM,SUP238110,Noncdm Charge Record Medical Supplies,479.2,186.89,,,0
CDM,SUP238111,Noncdm Charge Record Medical Supplies,893.2,348.35,,,0
CDM,SUP238113,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP238117,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP238118,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP23813,Noncdm Charge Record Medical Supplies,156.28,60.95,,,0
CDM,SUP238134,Noncdm Charge Record Medical Supplies,510.26,199.0,,,0
CDM,SUP238145,Noncdm Charge Record Medical Supplies,304.86,118.9,,,0
CDM,SUP238149,Noncdm Charge Record Medical Supplies,11022.75,4298.87,,,0
CDM,SUP238150,Noncdm Charge Record Medical Supplies,2393.96,933.64,,,0
CDM,SUP238151,Noncdm Charge Record Medical Supplies,885.96,345.52,,,0
CDM,SUP238152,Noncdm Charge Record Medical Supplies,12516.26,4881.34,,,0
CDM,SUP238153,Noncdm Charge Record Medical Supplies,6642.63,2590.63,,,0
CDM,SUP238154,Noncdm Charge Record Medical Supplies,596.85,232.77,,,0
CDM,SUP238173,Noncdm Charge Record Medical Supplies,11246.31,4386.06,,,0
CDM,SUP238175,Noncdm Charge Record Medical Supplies,6642.63,2590.63,,,0
CDM,SUP238176,Noncdm Charge Record Medical Supplies,12516.26,4881.34,,,0
CDM,SUP238177,Noncdm Charge Record Medical Supplies,2393.96,933.64,,,0
CDM,SUP238187,Noncdm Charge Record Medical Supplies,1305.14,509.0,,,0
CDM,SUP238190,Noncdm Charge Record Medical Supplies,3055.32,1191.57,,,0
CDM,SUP238220,Noncdm Charge Record Medical Supplies,856.98,334.22,,,0
CDM,SUP238228,Noncdm Charge Record Medical Supplies,18.63,7.27,,,0
CDM,SUP238252,Noncdm Charge Record Medical Supplies,4651.29,1814.0,,,0
CDM,SUP238257,Noncdm Charge Record Medical Supplies,1586.66,618.8,,,0
CDM,SUP238262,Noncdm Charge Record Medical Supplies,445.05,173.57,,,0
CDM,SUP238263,Noncdm Charge Record Medical Supplies,322.92,125.94,,,0
CDM,SUP238278,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP238280,Noncdm Charge Record Medical Supplies,109.71,42.79,,,0
CDM,SUP238281,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP238282,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP238283,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP238284,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP238285,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP238286,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP238289,Noncdm Charge Record Medical Supplies,97.29,37.94,,,0
CDM,SUP238291,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP238297,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP238300,Noncdm Charge Record Medical Supplies,1918.89,748.37,,,0
CDM,SUP238302,Noncdm Charge Record Medical Supplies,64.17,25.03,,,0
CDM,SUP238304,Noncdm Charge Record Medical Supplies,10934.78,4264.56,,,0
CDM,SUP238308,Noncdm Charge Record Medical Supplies,514.4,200.62,,,0
CDM,SUP238324,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP238328,Noncdm Charge Record Medical Supplies,580.64,226.45,,,0
CDM,SUP238329,Noncdm Charge Record Medical Supplies,611.68,238.56,,,0
CDM,SUP238416,Noncdm Charge Record Medical Supplies,100.4,39.16,,,0
CDM,SUP238430,Noncdm Charge Record Medical Supplies,74.52,29.06,,,0
CDM,SUP238478,Noncdm Charge Record Medical Supplies,5339.56,2082.43,,,0
CDM,SUP23848,Noncdm Charge Record Medical Supplies,605.48,236.14,,,0
CDM,SUP238481,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP238490,Noncdm Charge Record Medical Supplies,146.97,57.32,,,0
CDM,SUP238492,Noncdm Charge Record Medical Supplies,1370.34,534.43,,,0
CDM,SUP238494,Noncdm Charge Record Medical Supplies,1370.34,534.43,,,0
CDM,SUP238496,Noncdm Charge Record Medical Supplies,1464.52,571.16,,,0
CDM,SUP238510,Noncdm Charge Record Medical Supplies,114.88,44.8,,,0
CDM,SUP238558,Noncdm Charge Record Medical Supplies,611.68,238.56,,,0
CDM,SUP238559,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP238569,Noncdm Charge Record Medical Supplies,692.42,270.04,,,0
CDM,SUP238591,Noncdm Charge Record Medical Supplies,710.01,276.9,,,0
CDM,SUP238592,Noncdm Charge Record Medical Supplies,445.57,173.77,,,0
CDM,SUP238594,Noncdm Charge Record Medical Supplies,710.01,276.9,,,0
CDM,SUP238595,Noncdm Charge Record Medical Supplies,1008.09,393.16,,,0
CDM,SUP238596,Noncdm Charge Record Medical Supplies,166.64,64.99,,,0
CDM,SUP238597,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP238598,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP238621,Noncdm Charge Record Medical Supplies,464.72,181.24,,,0
CDM,SUP238623,Noncdm Charge Record Medical Supplies,710.01,276.9,,,0
CDM,SUP238624,Noncdm Charge Record Medical Supplies,43.47,16.95,,,0
CDM,SUP238627,Noncdm Charge Record Medical Supplies,166.64,64.99,,,0
CDM,SUP238628,Noncdm Charge Record Medical Supplies,1008.09,393.16,,,0
CDM,SUP238632,Noncdm Charge Record Medical Supplies,513.36,200.21,,,0
CDM,SUP238688,Noncdm Charge Record Medical Supplies,1454.18,567.13,,,0
CDM,SUP2386_272,Noncdm Charge Record Medical Supplies - Electrode Elctsg 6In 10Fr Suct Coag Strl,44.5,17.36,,,0
CDM,SUP2386_A4649_272,Noncdm Charge Record Medical Supplies - Electrode Elctsg 6In 10Fr Suct Coag Strl,44.5,17.36,,,0
CDM,SUP2386_A9999_272,Noncdm Charge Record Medical Supplies - Electrode Elctsg 6In 10Fr Suct Coag Strl,44.5,17.36,,,0
CDM,SUP2387,Noncdm Charge Record Medical Supplies - Sheath 5Fr Terumo 10Cm Wo Mini,46.85,18.27,,,0
CDM,SUP238700,Noncdm Charge Record Medical Supplies,1726.38,673.29,,,0
CDM,SUP238702,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP238705_272,Noncdm Charge Record Medical Supplies,2369.11,923.95,,,0
CDM,SUP238748,Noncdm Charge Record Medical Supplies,1916.82,747.56,,,0
CDM,SUP238758,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP238763,Noncdm Charge Record Medical Supplies,1740.01,678.6,,,0
CDM,SUP238776,Noncdm Charge Record Medical Supplies,464.72,181.24,,,0
CDM,SUP238784,Noncdm Charge Record Medical Supplies,337.93,131.79,,,0
CDM,SUP238786,Noncdm Charge Record Medical Supplies,1101.24,429.48,,,0
CDM,SUP2388,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 4In Ez Cln Ptfe Mod Prt,22.83,8.9,,,0
CDM,SUP238807,Noncdm Charge Record Medical Supplies,1916.82,747.56,,,0
CDM,SUP23881,Noncdm Charge Record Medical Supplies,166.64,64.99,,,0
CDM,SUP238821,Noncdm Charge Record Medical Supplies,1130.74,440.99,,,0
CDM,SUP238828,Noncdm Charge Record Medical Supplies,171.81,67.01,,,0
CDM,SUP238837,Noncdm Charge Record Medical Supplies,1930.28,752.81,,,0
CDM,SUP23885,Noncdm Charge Record Medical Supplies - Screw 3.5 Crtx W-Hexdrv14Mm W- Lo Prof Hd St Hexdrv,167.15,65.19,,,0
CDM,SUP238855,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP23887,Noncdm Charge Record Medical Supplies - Screw 3.5 Crtx W-Hexdrv16Mm W- Lo Prof Hd St Hexdrv,190.44,74.27,,,0
CDM,SUP238875,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP238876,Noncdm Charge Record Medical Supplies,1958.22,763.71,,,0
CDM,SUP238877,Noncdm Charge Record Medical Supplies,4409.1,1719.55,,,0
CDM,SUP238895,Noncdm Charge Record Medical Supplies,1899.22,740.7,,,0
CDM,SUP23889_C1713_278,Noncdm Charge Record Medical Supplies,166.64,64.99,,,0
CDM,SUP23889_L8699_278,Noncdm Charge Record Medical Supplies,167.15,65.19,,,0
CDM,SUP238901,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP238906,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP238907,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP238908,Noncdm Charge Record Medical Supplies,607.54,236.94,,,0
CDM,SUP238909,Noncdm Charge Record Medical Supplies,240.12,93.65,,,0
CDM,SUP238910,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP238938,Noncdm Charge Record Medical Supplies,30.02,11.71,,,0
CDM,SUP238944,Noncdm Charge Record Medical Supplies,2756.2,1074.92,,,0
CDM,SUP238947,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP238949,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP238956,Noncdm Charge Record Medical Supplies,30.02,11.71,,,0
CDM,SUP238973,Noncdm Charge Record Medical Supplies,30.02,11.71,,,0
CDM,SUP238975,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP238978,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP238979,Noncdm Charge Record Medical Supplies,4409.1,1719.55,,,0
CDM,SUP238980,Noncdm Charge Record Medical Supplies,1958.22,763.71,,,0
CDM,SUP238981,Noncdm Charge Record Medical Supplies,7036.96,2744.41,,,0
CDM,SUP2389_272,Noncdm Charge Record Medical Supplies - Pencil Electrosurg 10Ft,23.8,9.28,,,0
CDM,SUP2389_A9999_272,Noncdm Charge Record Medical Supplies - Pencil Electrosurg 10Ft,23.8,9.28,,,0
CDM,SUP2390,Noncdm Charge Record Medical Supplies - See 110484 Blanket Warmer 72X24In Upperbody 3M Healthcare,23.81,9.29,,,0
CDM,SUP239031,Noncdm Charge Record Medical Supplies,14500.35,5655.14,,,0
CDM,SUP239036,Noncdm Charge Record Medical Supplies,14500.35,5655.14,,,0
CDM,SUP239040,Noncdm Charge Record Medical Supplies,14500.35,5655.14,,,0
CDM,SUP239047,Noncdm Charge Record Medical Supplies,519.57,202.63,,,0
CDM,SUP239048,Noncdm Charge Record Medical Supplies,607.54,236.94,,,0
CDM,SUP239053,Noncdm Charge Record Medical Supplies,641.7,250.26,,,0
CDM,SUP239054,Noncdm Charge Record Medical Supplies,161.46,62.97,,,0
CDM,SUP239055,Noncdm Charge Record Medical Supplies,452.3,176.4,,,0
CDM,SUP239094,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP2391,Noncdm Charge Record Medical Supplies - See 110485 Blanket Warmer 60X36In Lowerbody 3M Healthcare,23.8,9.28,,,0
CDM,SUP239133,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP239144,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP239146,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP239147,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP239148,Noncdm Charge Record Medical Supplies,1943.73,758.05,,,0
CDM,SUP239149,Noncdm Charge Record Medical Supplies,2130.03,830.71,,,0
CDM,SUP239150,Noncdm Charge Record Medical Supplies,3571.78,1392.99,,,0
CDM,SUP239151,Noncdm Charge Record Medical Supplies,2270.79,885.61,,,0
CDM,SUP239152,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP239153,Noncdm Charge Record Medical Supplies,304.81,118.88,,,0
CDM,SUP239154,Noncdm Charge Record Medical Supplies,2227.32,868.65,,,0
CDM,SUP239155,Noncdm Charge Record Medical Supplies,2227.32,868.65,,,0
CDM,SUP239156,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP239158,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP239159,Noncdm Charge Record Medical Supplies,885.96,345.52,,,0
CDM,SUP239160,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP239168,Noncdm Charge Record Medical Supplies,2976.66,1160.9,,,0
CDM,SUP239172,Noncdm Charge Record Medical Supplies,4.66,1.82,,,0
CDM,SUP239189,Noncdm Charge Record Medical Supplies,1106.42,431.5,,,0
CDM,SUP239190,Noncdm Charge Record Medical Supplies,107.64,41.98,,,0
CDM,SUP239192,Noncdm Charge Record Medical Supplies,2844.18,1109.23,,,0
CDM,SUP239193,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP239195,Noncdm Charge Record Medical Supplies,5511.38,2149.44,,,0
CDM,SUP239197,Noncdm Charge Record Medical Supplies,1305.14,509.0,,,0
CDM,SUP2392,Noncdm Charge Record Medical Supplies - Blanket 83X37In Adlt Polyest,20.7,8.07,,,0
CDM,SUP23920,Noncdm Charge Record Medical Supplies,403.65,157.42,,,0
CDM,SUP239200,Noncdm Charge Record Medical Supplies,776.25,302.74,,,0
CDM,SUP239203,Noncdm Charge Record Medical Supplies,1305.14,509.0,,,0
CDM,SUP23921,Noncdm Charge Record Medical Supplies,403.65,157.42,,,0
CDM,SUP239213,Noncdm Charge Record Medical Supplies,1439.68,561.48,,,0
CDM,SUP239214,Noncdm Charge Record Medical Supplies,1439.68,561.48,,,0
CDM,SUP23922,Noncdm Charge Record Medical Supplies - Screw 3.5 Crtx W-Hexdrv54Mm W- Lo Prof Hd St Hexdrv,171.46,66.87,,,0
CDM,SUP239223,Noncdm Charge Record Medical Supplies,1439.68,561.48,,,0
CDM,SUP239224,Noncdm Charge Record Medical Supplies,1439.68,561.48,,,0
CDM,SUP239225,Noncdm Charge Record Medical Supplies,1439.68,561.48,,,0
CDM,SUP239226,Noncdm Charge Record Medical Supplies,1439.68,561.48,,,0
CDM,SUP239228,Noncdm Charge Record Medical Supplies,217.35,84.77,,,0
CDM,SUP239245,Noncdm Charge Record Medical Supplies,220.46,85.98,,,0
CDM,SUP239246,Noncdm Charge Record Medical Supplies,2105.19,821.02,,,0
CDM,SUP239247,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP239248,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP239249,Noncdm Charge Record Medical Supplies,1370.34,534.43,,,0
CDM,SUP23925,Noncdm Charge Record Medical Supplies - Screw 3.5 Crtx W-Hexdrv56Mm W- Lo Prof Hd St Hexdrv,170.96,66.67,,,0
CDM,SUP239251,Noncdm Charge Record Medical Supplies,366.91,143.09,,,0
CDM,SUP23926,Noncdm Charge Record Medical Supplies - Screw 3.5 Crtx W-Hexdrv56Mm-S W- Lo Prof Hd St Hexdrv Strl,403.65,157.42,,,0
CDM,SUP239267,Noncdm Charge Record Medical Supplies,1440.72,561.88,,,0
CDM,SUP23927,Noncdm Charge Record Medical Supplies - Screw 3.5 Crtx W-Hexdrv58Mm W- Lo Prof Hd St Hexdrv,166.64,64.99,,,0
CDM,SUP23928,Noncdm Charge Record Medical Supplies - Screw 3.5 Crtx W-Hexdrv58Mm-S W- Lo Prof Hd St Hexdrv Strl,403.65,157.42,,,0
CDM,SUP239280,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP239281,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP239284,Noncdm Charge Record Medical Supplies,2105.19,821.02,,,0
CDM,SUP239300,Noncdm Charge Record Medical Supplies,1369.3,534.03,,,0
CDM,SUP239303,Noncdm Charge Record Medical Supplies,1214.06,473.48,,,0
CDM,SUP239308,Noncdm Charge Record Medical Supplies,337.41,131.59,,,0
CDM,SUP239309,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP239321,Noncdm Charge Record Medical Supplies,5731.83,2235.41,,,0
CDM,SUP239322,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP239323,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP239324,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP239325,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP239326,Noncdm Charge Record Medical Supplies,8818.2,3439.1,,,0
CDM,SUP239348,Noncdm Charge Record Medical Supplies,596.68,232.71,,,0
CDM,SUP239349,Noncdm Charge Record Medical Supplies,304.91,118.91,,,0
CDM,SUP239350,Noncdm Charge Record Medical Supplies,635.49,247.84,,,0
CDM,SUP239364,Noncdm Charge Record Medical Supplies,7495.47,2923.23,,,0
CDM,SUP23937,Noncdm Charge Record Medical Supplies,166.64,64.99,,,0
CDM,SUP239371,Noncdm Charge Record Medical Supplies,7495.47,2923.23,,,0
CDM,SUP239372,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP239381,Noncdm Charge Record Medical Supplies,2404.3,937.68,,,0
CDM,SUP239385,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP239386,Noncdm Charge Record Medical Supplies,1958.22,763.71,,,0
CDM,SUP239387,Noncdm Charge Record Medical Supplies,1958.22,763.71,,,0
CDM,SUP239394,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP239399,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP2394,Noncdm Charge Record Medical Supplies - Catheter Esoph Pyl 6Fr 12-15Mm,1151.96,449.26,,,0
CDM,SUP239400,Noncdm Charge Record Medical Supplies,773.14,301.52,,,0
CDM,SUP239403,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP239405,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP239410,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP239436,Noncdm Charge Record Medical Supplies,109.71,42.79,,,0
CDM,SUP239437,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP239438,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP239439,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP239440,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP239441,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP239442,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP239443,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP239444,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP23945,Noncdm Charge Record Medical Supplies,403.65,157.42,,,0
CDM,SUP239450,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP239454,Noncdm Charge Record Medical Supplies,3472.42,1354.24,,,0
CDM,SUP239456,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP239483,Noncdm Charge Record Medical Supplies,122.65,47.83,,,0
CDM,SUP239484,Noncdm Charge Record Medical Supplies,1315.48,513.04,,,0
CDM,SUP239492,Noncdm Charge Record Medical Supplies,122.39,47.73,,,0
CDM,SUP239497,Noncdm Charge Record Medical Supplies,169.74,66.2,,,0
CDM,SUP2395,Noncdm Charge Record Medical Supplies - Needle Bx 17Ga 17.8Cm Trgd,48.58,18.95,,,0
CDM,SUP239512,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP239514,Noncdm Charge Record Medical Supplies,2386.71,930.82,,,0
CDM,SUP239515,Noncdm Charge Record Medical Supplies,1544.61,602.4,,,0
CDM,SUP239517,Noncdm Charge Record Medical Supplies,1167.48,455.32,,,0
CDM,SUP239518,Noncdm Charge Record Medical Supplies,1349.64,526.36,,,0
CDM,SUP239525,Noncdm Charge Record Medical Supplies,10361.38,4040.94,,,0
CDM,SUP239531,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP239532,Noncdm Charge Record Medical Supplies,48.99,19.11,,,0
CDM,SUP239568,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP239578,Noncdm Charge Record Medical Supplies,31.05,12.11,,,0
CDM,SUP239579,Noncdm Charge Record Medical Supplies,2712.9,1058.03,,,0
CDM,SUP239583,Noncdm Charge Record Medical Supplies,9237.38,3602.58,,,0
CDM,SUP239587,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP239591,Noncdm Charge Record Medical Supplies,1582.52,617.18,,,0
CDM,SUP239602,Noncdm Charge Record Medical Supplies,1582.52,617.18,,,0
CDM,SUP239603,Noncdm Charge Record Medical Supplies,1582.52,617.18,,,0
CDM,SUP239604,Noncdm Charge Record Medical Supplies,1582.52,617.18,,,0
CDM,SUP239619,Noncdm Charge Record Medical Supplies,33.12,12.92,,,0
CDM,SUP239636,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP239637,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP239638,Noncdm Charge Record Medical Supplies,2056.54,802.05,,,0
CDM,SUP239639,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP239640,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP239641,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP239642,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP239643,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP239644,Noncdm Charge Record Medical Supplies,3782.92,1475.34,,,0
CDM,SUP239645,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP239646,Noncdm Charge Record Medical Supplies,6643.15,2590.83,,,0
CDM,SUP239647,Noncdm Charge Record Medical Supplies,6120.99,2387.19,,,0
CDM,SUP239648,Noncdm Charge Record Medical Supplies,6121.51,2387.39,,,0
CDM,SUP239649,Noncdm Charge Record Medical Supplies,380.36,148.34,,,0
CDM,SUP239650,Noncdm Charge Record Medical Supplies,361.22,140.88,,,0
CDM,SUP239652,Noncdm Charge Record Medical Supplies,109.71,42.79,,,0
CDM,SUP239653,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP239654,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP239655,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP239656,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP239657,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP239658,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP239659,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP239660,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP239661,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP239666,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP239689,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP2396_272,Noncdm Charge Record Medical Supplies - Needle Bx 17Ga 13.8Cm Trgd,48.6,18.95,,,0
CDM,SUP2396_A4649_272,Noncdm Charge Record Medical Supplies - Needle Bx 17Ga 13.8Cm Trgd,48.64,18.97,,,0
CDM,SUP2396_A9999_272,Noncdm Charge Record Medical Supplies - Needle Bx 17Ga 13.8Cm Trgd,48.64,18.97,,,0
CDM,SUP239736,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP239740,Noncdm Charge Record Medical Supplies,3968.19,1547.59,,,0
CDM,SUP239765_C1820_278,Noncdm Charge Record Medical Supplies,72750.15,28372.56,,,0
CDM,SUP239780,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP239799,Noncdm Charge Record Medical Supplies,11246.31,4386.06,,,0
CDM,SUP2397_272,Noncdm Charge Record Medical Supplies - Cable Bipolar 12Ft Disposable 10-Pkg Codman And Shurtleff,70.41,27.46,,,0
CDM,SUP2397_A4649_272,Noncdm Charge Record Medical Supplies - Cable Bipolar 12Ft Disposable 10-Pkg Codman And Shurtleff,71.16,27.75,,,0
CDM,SUP2397_A9999_272,Noncdm Charge Record Medical Supplies - Cable Bipolar 12Ft Disposable 10-Pkg Codman And Shurtleff,67.28,26.24,,,0
CDM,SUP239800,Noncdm Charge Record Medical Supplies,11245.79,4385.86,,,0
CDM,SUP239802,Noncdm Charge Record Medical Supplies,6120.99,2387.19,,,0
CDM,SUP239804,Noncdm Charge Record Medical Supplies,6121.51,2387.39,,,0
CDM,SUP239812,Noncdm Charge Record Medical Supplies,1199.56,467.83,,,0
CDM,SUP239817,Noncdm Charge Record Medical Supplies,1933.38,754.02,,,0
CDM,SUP239820,Noncdm Charge Record Medical Supplies,1544.56,602.38,,,0
CDM,SUP239833,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP239839,Noncdm Charge Record Medical Supplies,1206.81,470.66,,,0
CDM,SUP239845,Noncdm Charge Record Medical Supplies,152.15,59.34,,,0
CDM,SUP239860,Noncdm Charge Record Medical Supplies,710.01,276.9,,,0
CDM,SUP239866,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP239876,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP239888,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP239889,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP239890,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP239891,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP239892,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP239893,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP239894,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP239895,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP2398_272,Noncdm Charge Record Medical Supplies - Needle Bx 19Ga 13.8Cm Trgd,31.04,12.11,,,0
CDM,SUP2398_A4649_272,Noncdm Charge Record Medical Supplies - Needle Bx 19Ga 13.8Cm Trgd,31.05,12.11,,,0
CDM,SUP2398_A9999_272,Noncdm Charge Record Medical Supplies - Needle Bx 19Ga 13.8Cm Trgd,31.05,12.11,,,0
CDM,SUP239908,Noncdm Charge Record Medical Supplies,109.71,42.79,,,0
CDM,SUP239909,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP239910,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP239911,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP239912,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP239913,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP239914,Noncdm Charge Record Medical Supplies,1190.25,464.2,,,0
CDM,SUP239915,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP239934,Noncdm Charge Record Medical Supplies,153.18,59.74,,,0
CDM,SUP239942,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP239943,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP239944,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP239946,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP239955,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP239997,Noncdm Charge Record Medical Supplies,1958.22,763.71,,,0
CDM,SUP2400,Noncdm Charge Record Medical Supplies - Sponge Surg .75X.75In Ptt 1,17.6,6.86,,,0
CDM,SUP240029,Noncdm Charge Record Medical Supplies,1341.36,523.13,,,0
CDM,SUP240030,Noncdm Charge Record Medical Supplies,1341.36,523.13,,,0
CDM,SUP240031,Noncdm Charge Record Medical Supplies,310.24,120.99,,,0
CDM,SUP240032,Noncdm Charge Record Medical Supplies,309.98,120.89,,,0
CDM,SUP240033,Noncdm Charge Record Medical Supplies,310.5,121.1,,,0
CDM,SUP240035,Noncdm Charge Record Medical Supplies,248.14,96.77,,,0
CDM,SUP240036,Noncdm Charge Record Medical Supplies,309.98,120.89,,,0
CDM,SUP240041,Noncdm Charge Record Medical Supplies,2231.46,870.27,,,0
CDM,SUP240042,Noncdm Charge Record Medical Supplies,528.88,206.26,,,0
CDM,SUP240045,Noncdm Charge Record Medical Supplies,2645.46,1031.73,,,0
CDM,SUP24005,Noncdm Charge Record Medical Supplies,168.7,65.79,,,0
CDM,SUP240077,Noncdm Charge Record Medical Supplies,1713.96,668.44,,,0
CDM,SUP240081,Noncdm Charge Record Medical Supplies,510.26,199.0,,,0
CDM,SUP240083,Noncdm Charge Record Medical Supplies,183.2,71.45,,,0
CDM,SUP240095,Noncdm Charge Record Medical Supplies,240.12,93.65,,,0
CDM,SUP240096,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP240104,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP240106,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP240109,Noncdm Charge Record Medical Supplies,10512.5,4099.88,,,0
CDM,SUP240138,Noncdm Charge Record Medical Supplies,1527.66,595.79,,,0
CDM,SUP240139,Noncdm Charge Record Medical Supplies,1527.66,595.79,,,0
CDM,SUP240146,Noncdm Charge Record Medical Supplies,2369.11,923.95,,,0
CDM,SUP240147,Noncdm Charge Record Medical Supplies,1930.28,752.81,,,0
CDM,SUP240153,Noncdm Charge Record Medical Supplies,1707.75,666.02,,,0
CDM,SUP240154,Noncdm Charge Record Medical Supplies,4567.46,1781.31,,,0
CDM,SUP240220,Noncdm Charge Record Medical Supplies,767.97,299.51,,,0
CDM,SUP240226,Noncdm Charge Record Medical Supplies,1206.81,470.66,,,0
CDM,SUP240242,Noncdm Charge Record Medical Supplies,253.58,98.9,,,0
CDM,SUP240253,Noncdm Charge Record Medical Supplies,4.14,1.61,,,0
CDM,SUP240259,Noncdm Charge Record Medical Supplies,767.97,299.51,,,0
CDM,SUP240266,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP240267,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP240285,Noncdm Charge Record Medical Supplies,18410.06,7179.92,,,0
CDM,SUP240310,Noncdm Charge Record Medical Supplies,69.34,27.04,,,0
CDM,SUP240311,Noncdm Charge Record Medical Supplies,10934.78,4264.56,,,0
CDM,SUP240312,Noncdm Charge Record Medical Supplies,2805.88,1094.29,,,0
CDM,SUP240322_272,Noncdm Charge Record Medical Supplies,782.46,305.16,,,0
CDM,SUP240322_A4649_272,Noncdm Charge Record Medical Supplies,782.46,305.16,,,0
CDM,SUP240328,Noncdm Charge Record Medical Supplies,4902.8,1912.09,,,0
CDM,SUP240332,Noncdm Charge Record Medical Supplies,6927.26,2701.63,,,0
CDM,SUP240335,Noncdm Charge Record Medical Supplies,565.11,220.39,,,0
CDM,SUP240338,Noncdm Charge Record Medical Supplies,1930.28,752.81,,,0
CDM,SUP240345,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP240370,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP240372,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP240373,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP240374,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP240375,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP240377,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP240378,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP240379,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP240380,Noncdm Charge Record Medical Supplies,1943.73,758.05,,,0
CDM,SUP240381,Noncdm Charge Record Medical Supplies,3571.78,1392.99,,,0
CDM,SUP240382,Noncdm Charge Record Medical Supplies,2270.79,885.61,,,0
CDM,SUP240383,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP240384,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP240385,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP240386,Noncdm Charge Record Medical Supplies,2130.03,830.71,,,0
CDM,SUP240387,Noncdm Charge Record Medical Supplies,5511.38,2149.44,,,0
CDM,SUP240388,Noncdm Charge Record Medical Supplies,30.02,11.71,,,0
CDM,SUP24039,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Stardr St 12Mm Stardr Cort St,112.82,44.0,,,0
CDM,SUP240393,Noncdm Charge Record Medical Supplies,261.86,102.13,,,0
CDM,SUP240394,Noncdm Charge Record Medical Supplies,1854.72,723.34,,,0
CDM,SUP240402,Noncdm Charge Record Medical Supplies,70.38,27.45,,,0
CDM,SUP240423,Noncdm Charge Record Medical Supplies,1253.38,488.82,,,0
CDM,SUP240429,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP240433,Noncdm Charge Record Medical Supplies,4716.5,1839.44,,,0
CDM,SUP240435,Noncdm Charge Record Medical Supplies,3808.8,1485.43,,,0
CDM,SUP24044,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Stardr St 18Mm Stardr Cort St,136.36,53.18,,,0
CDM,SUP240443,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP240444,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP240445,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP24045,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Stardr St 20Mm Stardr Cort St,136.1,53.08,,,0
CDM,SUP24046,Noncdm Charge Record Medical Supplies,112.3,43.8,,,0
CDM,SUP240462,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP240463,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP24047,Noncdm Charge Record Medical Supplies,136.62,53.28,,,0
CDM,SUP240488,Noncdm Charge Record Medical Supplies,293.94,114.64,,,0
CDM,SUP240489,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP240490,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP240491,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP240501,Noncdm Charge Record Medical Supplies,293.94,114.64,,,0
CDM,SUP240506,Noncdm Charge Record Medical Supplies,1206.81,470.66,,,0
CDM,SUP240508,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP240509,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP240510,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP240513,Noncdm Charge Record Medical Supplies,13426.02,5236.15,,,0
CDM,SUP240514,Noncdm Charge Record Medical Supplies,7632.09,2976.52,,,0
CDM,SUP240515,Noncdm Charge Record Medical Supplies,583.74,227.66,,,0
CDM,SUP240540,Noncdm Charge Record Medical Supplies,99204.75,38689.85,,,0
CDM,SUP240543,Noncdm Charge Record Medical Supplies,1131.26,441.19,,,0
CDM,SUP240576,Noncdm Charge Record Medical Supplies,1223.89,477.32,,,0
CDM,SUP240578,Noncdm Charge Record Medical Supplies,2645.46,1031.73,,,0
CDM,SUP24059,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Stardr St 55Mm Stardr Cort St,112.82,44.0,,,0
CDM,SUP240595,Noncdm Charge Record Medical Supplies,10714.32,4178.58,,,0
CDM,SUP24060,Noncdm Charge Record Medical Supplies,112.82,44.0,,,0
CDM,SUP240602,Noncdm Charge Record Medical Supplies,1052.6,410.51,,,0
CDM,SUP240604,Noncdm Charge Record Medical Supplies,1052.6,410.51,,,0
CDM,SUP240605,Noncdm Charge Record Medical Supplies,1052.6,410.51,,,0
CDM,SUP240606,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP240609,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP240610,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP240615,Noncdm Charge Record Medical Supplies,2032.74,792.77,,,0
CDM,SUP240618,Noncdm Charge Record Medical Supplies,2468.48,962.71,,,0
CDM,SUP240625,Noncdm Charge Record Medical Supplies,5132.56,2001.7,,,0
CDM,SUP240631,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP240633,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP240635,Noncdm Charge Record Medical Supplies,12610.44,4918.07,,,0
CDM,SUP240653,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP24067,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Ti Cort St 12Mm,146.97,57.32,,,0
CDM,SUP240671,Noncdm Charge Record Medical Supplies,338.44,131.99,,,0
CDM,SUP240672,Noncdm Charge Record Medical Supplies,711.56,277.51,,,0
CDM,SUP240673,Noncdm Charge Record Medical Supplies,380.88,148.54,,,0
CDM,SUP240678,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP240686,Noncdm Charge Record Medical Supplies,2231.46,870.27,,,0
CDM,SUP240687,Noncdm Charge Record Medical Supplies,605.99,236.34,,,0
CDM,SUP240688,Noncdm Charge Record Medical Supplies,1590.8,620.41,,,0
CDM,SUP240690,Noncdm Charge Record Medical Supplies,13668.21,5330.6,,,0
CDM,SUP24070,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Ti Cort St 30Mm,146.97,57.32,,,0
CDM,SUP24071,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Ti Cort St 40Mm,146.62,57.18,,,0
CDM,SUP240717,Noncdm Charge Record Medical Supplies,8156.84,3181.17,,,0
CDM,SUP24072,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Ti Cort St 50Mm,146.62,57.18,,,0
CDM,SUP240722,Noncdm Charge Record Medical Supplies,1101.24,429.48,,,0
CDM,SUP24073,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Ti Cort St 55Mm,146.97,57.32,,,0
CDM,SUP240749,Noncdm Charge Record Medical Supplies,4993.88,1947.61,,,0
CDM,SUP240756,Noncdm Charge Record Medical Supplies,3395.84,1324.38,,,0
CDM,SUP240758,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP240763,Noncdm Charge Record Medical Supplies,636.52,248.24,,,0
CDM,SUP240766,Noncdm Charge Record Medical Supplies,304.87,118.9,,,0
CDM,SUP240767,Noncdm Charge Record Medical Supplies,152.15,59.34,,,0
CDM,SUP240768,Noncdm Charge Record Medical Supplies,7503.75,2926.46,,,0
CDM,SUP240773,Noncdm Charge Record Medical Supplies,4444.29,1733.27,,,0
CDM,SUP240774,Noncdm Charge Record Medical Supplies,3301.3,1287.51,,,0
CDM,SUP240775,Noncdm Charge Record Medical Supplies,4063.93,1584.93,,,0
CDM,SUP240776,Noncdm Charge Record Medical Supplies,2501.08,975.42,,,0
CDM,SUP240777,Noncdm Charge Record Medical Supplies,556.31,216.96,,,0
CDM,SUP240778,Noncdm Charge Record Medical Supplies,612.72,238.96,,,0
CDM,SUP240779,Noncdm Charge Record Medical Supplies,631.87,246.43,,,0
CDM,SUP240783,Noncdm Charge Record Medical Supplies,9849.06,3841.13,,,0
CDM,SUP240815,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP24083,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Ti St Recess 34Mm Lck W Strdr,558.9,217.97,,,0
CDM,SUP24085,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Ti St Recess 36Mm Lck W Strdr,558.9,217.97,,,0
CDM,SUP24087,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Ti St Recess 40Mm Lck W Strdr,611.68,238.56,,,0
CDM,SUP240928,Noncdm Charge Record Medical Supplies,122.13,47.63,,,0
CDM,SUP24093,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Ti St Recess 50Mm Lck W Strdr,611.68,238.56,,,0
CDM,SUP240939,Noncdm Charge Record Medical Supplies,122.39,47.73,,,0
CDM,SUP240946,Noncdm Charge Record Medical Supplies,495.76,193.35,,,0
CDM,SUP240948,Noncdm Charge Record Medical Supplies,495.76,193.35,,,0
CDM,SUP240952,Noncdm Charge Record Medical Supplies,921.15,359.25,,,0
CDM,SUP240957,Noncdm Charge Record Medical Supplies,1101.24,429.48,,,0
CDM,SUP24096,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Ti St Recess 60Mm Lck W Strdr,611.68,238.56,,,0
CDM,SUP240971,Noncdm Charge Record Medical Supplies,889.06,346.73,,,0
CDM,SUP240987_272,Noncdm Charge Record Medical Supplies,131.15,51.15,,,0
CDM,SUP240987_A4649_272,Noncdm Charge Record Medical Supplies,131.44,51.26,,,0
CDM,SUP240988,Noncdm Charge Record Medical Supplies,693.45,270.45,,,0
CDM,SUP24100,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Ti St Recess 80Mm Lck W Strdr,558.9,217.97,,,0
CDM,SUP241001,Noncdm Charge Record Medical Supplies,767.97,299.51,,,0
CDM,SUP241005,Noncdm Charge Record Medical Supplies,767.97,299.51,,,0
CDM,SUP241008,Noncdm Charge Record Medical Supplies,359.66,140.27,,,0
CDM,SUP241009,Noncdm Charge Record Medical Supplies,3517.96,1372.0,,,0
CDM,SUP241039,Noncdm Charge Record Medical Supplies,1943.73,758.05,,,0
CDM,SUP24104,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 10Mm Va Lck W-St Strdr,715.53,279.06,,,0
CDM,SUP241040,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP241041,Noncdm Charge Record Medical Supplies,3571.78,1392.99,,,0
CDM,SUP241042,Noncdm Charge Record Medical Supplies,2270.79,885.61,,,0
CDM,SUP241043,Noncdm Charge Record Medical Supplies,2130.03,830.71,,,0
CDM,SUP241044,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP241046,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP241047,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP24105,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 12Mm Va Lck W-St Strdr,716.9,279.59,,,0
CDM,SUP241052,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP24106,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 14Mm Va Lck W-St Strdr,717.37,279.77,,,0
CDM,SUP241063,Noncdm Charge Record Medical Supplies,3438.79,1341.13,,,0
CDM,SUP241064,Noncdm Charge Record Medical Supplies,3439.3,1341.33,,,0
CDM,SUP24107,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 16Mm Va Lck W-St Strdr,716.76,279.54,,,0
CDM,SUP241076,Noncdm Charge Record Medical Supplies,889.06,346.73,,,0
CDM,SUP24108,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 18Mm Va Lck W-St Strdr,710.1,276.94,,,0
CDM,SUP24109,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 20Mm Va Lck W-St Strdr,716.3,279.36,,,0
CDM,SUP24110,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 22Mm Va Lck W-St Strdr,716.9,279.59,,,0
CDM,SUP24111,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 24Mm Va Lck W-St Strdr,716.44,279.41,,,0
CDM,SUP24112,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 26Mm Va Lck W-St Strdr,714.75,278.75,,,0
CDM,SUP24113,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 28Mm Va Lck W-St Strdr,717.07,279.66,,,0
CDM,SUP24114,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 30Mm Va Lck W-St Strdr,715.59,279.08,,,0
CDM,SUP24115,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 32Mm Va Lck W-St Strdr,716.7,279.51,,,0
CDM,SUP241154,Noncdm Charge Record Medical Supplies,1713.96,668.44,,,0
CDM,SUP241157,Noncdm Charge Record Medical Supplies,159.39,62.16,,,0
CDM,SUP24116,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 34Mm Va Lck W-St Strdr,715.63,279.1,,,0
CDM,SUP24117,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 36Mm Va Lck W-St Strdr,716.31,279.36,,,0
CDM,SUP24118,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 38Mm Va Lck W-St Strdr,715.12,278.9,,,0
CDM,SUP24119,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 40Mm Va Lck W-St Strdr,711.36,277.43,,,0
CDM,SUP24120,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 42Mm Va Lck W-St Strdr,716.62,279.48,,,0
CDM,SUP241202,Noncdm Charge Record Medical Supplies,1590.8,620.41,,,0
CDM,SUP241203,Noncdm Charge Record Medical Supplies,1341.36,523.13,,,0
CDM,SUP241204,Noncdm Charge Record Medical Supplies,1341.36,523.13,,,0
CDM,SUP241206,Noncdm Charge Record Medical Supplies,309.98,120.89,,,0
CDM,SUP241207,Noncdm Charge Record Medical Supplies,310.24,120.99,,,0
CDM,SUP241209,Noncdm Charge Record Medical Supplies,310.5,121.1,,,0
CDM,SUP24121,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 44Mm Va Lck W-St Strdr,715.96,279.22,,,0
CDM,SUP241210,Noncdm Charge Record Medical Supplies,248.14,96.77,,,0
CDM,SUP241214,Noncdm Charge Record Medical Supplies,309.98,120.89,,,0
CDM,SUP241219,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP24122,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 46Mm Va Lck W-St Strdr,717.1,279.67,,,0
CDM,SUP241223,Noncdm Charge Record Medical Supplies,387.09,150.97,,,0
CDM,SUP241227,Noncdm Charge Record Medical Supplies,495.76,193.35,,,0
CDM,SUP24123,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 48Mm Va Lck W-St Strdr,713.8,278.38,,,0
CDM,SUP24124,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 50Mm Va Lck W-St Strdr,714.57,278.68,,,0
CDM,SUP24125,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 52Mm Va Lck W-St Strdr,715.24,278.94,,,0
CDM,SUP241258,Noncdm Charge Record Medical Supplies,3472.42,1354.24,,,0
CDM,SUP24126,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 54Mm Va Lck W-St Strdr,715.68,279.12,,,0
CDM,SUP241261,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP24127,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 56Mm Va Lck W-St Strdr,715.13,278.9,,,0
CDM,SUP24128,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 58Mm Va Lck W-St Strdr,710.18,276.97,,,0
CDM,SUP24129,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 60Mm Va Lck W-St Strdr,715.82,279.17,,,0
CDM,SUP241298,Noncdm Charge Record Medical Supplies,303.26,118.27,,,0
CDM,SUP24130,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 65Mm Va Lck W-St Strdr,716.95,279.61,,,0
CDM,SUP241302,Noncdm Charge Record Medical Supplies,27.94,10.9,,,0
CDM,SUP241307,Noncdm Charge Record Medical Supplies,915.98,357.23,,,0
CDM,SUP241308,Noncdm Charge Record Medical Supplies,287.73,112.21,,,0
CDM,SUP24131,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 70Mm Va Lck W-St Strdr,715.84,279.18,,,0
CDM,SUP241311,Noncdm Charge Record Medical Supplies,2645.46,1031.73,,,0
CDM,SUP241312,Noncdm Charge Record Medical Supplies,1703.61,664.41,,,0
CDM,SUP24132,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 75Mm Va Lck W-St Strdr,715.86,279.19,,,0
CDM,SUP24133,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 80Mm Va Lck W-St Strdr,715.0,278.85,,,0
CDM,SUP241333,Noncdm Charge Record Medical Supplies,464.72,181.24,,,0
CDM,SUP24134,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 85Mm Va Lck W-St Strdr,715.31,278.97,,,0
CDM,SUP241342,Noncdm Charge Record Medical Supplies,1456.24,567.93,,,0
CDM,SUP24135,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 90Mm Va Lck W-St Strdr,715.81,279.17,,,0
CDM,SUP24136,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 95Mm Va Lck W-St Strdr,718.63,280.27,,,0
CDM,SUP241376,Noncdm Charge Record Medical Supplies,261.86,102.13,,,0
CDM,SUP241377,Noncdm Charge Record Medical Supplies,261.86,102.13,,,0
CDM,SUP241378,Noncdm Charge Record Medical Supplies,1854.72,723.34,,,0
CDM,SUP241379,Noncdm Charge Record Medical Supplies,2022.39,788.73,,,0
CDM,SUP241388,Noncdm Charge Record Medical Supplies,253.58,98.9,,,0
CDM,SUP241389,Noncdm Charge Record Medical Supplies,4.14,1.61,,,0
CDM,SUP24139,Noncdm Charge Record Medical Supplies,659.3,257.13,,,0
CDM,SUP241402,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP241434,Noncdm Charge Record Medical Supplies,856.98,334.22,,,0
CDM,SUP241436,Noncdm Charge Record Medical Supplies,104.54,40.77,,,0
CDM,SUP241446,Noncdm Charge Record Medical Supplies,3439.3,1341.33,,,0
CDM,SUP241448,Noncdm Charge Record Medical Supplies,6453.22,2516.76,,,0
CDM,SUP241451,Noncdm Charge Record Medical Supplies,271.17,105.76,,,0
CDM,SUP241453,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP241474,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP241487,Noncdm Charge Record Medical Supplies,27.94,10.9,,,0
CDM,SUP24149,Noncdm Charge Record Medical Supplies - Screw 3.7Mm Cannula Lck 95Mm Cannula Lck,843.52,328.97,,,0
CDM,SUP241492,Noncdm Charge Record Medical Supplies,1199.56,467.83,,,0
CDM,SUP241504,Noncdm Charge Record Medical Supplies,3472.42,1354.24,,,0
CDM,SUP241508,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP241526,Noncdm Charge Record Medical Supplies,1206.81,470.66,,,0
CDM,SUP241528,Noncdm Charge Record Medical Supplies,192.85,75.21,,,0
CDM,SUP241536,Noncdm Charge Record Medical Supplies,93.15,36.33,,,0
CDM,SUP241537,Noncdm Charge Record Medical Supplies,710.01,276.9,,,0
CDM,SUP241553,Noncdm Charge Record Medical Supplies,2408.45,939.3,,,0
CDM,SUP241561,Noncdm Charge Record Medical Supplies,1958.22,763.71,,,0
CDM,SUP241562,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP241563,Noncdm Charge Record Medical Supplies,4409.1,1719.55,,,0
CDM,SUP241584,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP241591,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP241593,Noncdm Charge Record Medical Supplies,715.18,278.92,,,0
CDM,SUP241594,Noncdm Charge Record Medical Supplies,704.84,274.89,,,0
CDM,SUP241595,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP241596,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP241597,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP241598,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP241599,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP241601,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP241602,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP241603,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP241608,Noncdm Charge Record Medical Supplies,1440.72,561.88,,,0
CDM,SUP241615,Noncdm Charge Record Medical Supplies,3395.84,1324.38,,,0
CDM,SUP241619,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP241620,Noncdm Charge Record Medical Supplies,1101.24,429.48,,,0
CDM,SUP241622,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP241624,Noncdm Charge Record Medical Supplies,962.55,375.39,,,0
CDM,SUP241625,Noncdm Charge Record Medical Supplies,962.55,375.39,,,0
CDM,SUP241627,Noncdm Charge Record Medical Supplies,1484.19,578.83,,,0
CDM,SUP241656,Noncdm Charge Record Medical Supplies,1916.82,747.56,,,0
CDM,SUP241663,Noncdm Charge Record Medical Supplies,519.57,202.63,,,0
CDM,SUP241664,Noncdm Charge Record Medical Supplies,614.79,239.77,,,0
CDM,SUP241667,Noncdm Charge Record Medical Supplies,1624.95,633.73,,,0
CDM,SUP241668,Noncdm Charge Record Medical Supplies,3597.66,1403.09,,,0
CDM,SUP241670,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP241671,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP241672,Noncdm Charge Record Medical Supplies,1943.73,758.05,,,0
CDM,SUP241673,Noncdm Charge Record Medical Supplies,576.5,224.84,,,0
CDM,SUP241674,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP241675,Noncdm Charge Record Medical Supplies,519.57,202.63,,,0
CDM,SUP241676,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP241677,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP241678,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP241680,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP241681,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP241682,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP241683,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP241685,Noncdm Charge Record Medical Supplies,576.5,224.84,,,0
CDM,SUP241687,Noncdm Charge Record Medical Supplies,452.3,176.4,,,0
CDM,SUP241696,Noncdm Charge Record Medical Supplies,1204.74,469.85,,,0
CDM,SUP2416_272,Noncdm Charge Record Medical Supplies - Tube Endotrach 6.5Mm Nsl-Orl,6.65,2.59,,,0
CDM,SUP2416_A4649_272,Noncdm Charge Record Medical Supplies - Tube Endotrach 6.5Mm Nsl-Orl,7.24,2.82,,,0
CDM,SUP2417,Noncdm Charge Record Medical Supplies - Tube Endotrach 8.5 Nsl-Orl Hi Cuff Mrph Eye,6.21,2.42,,,0
CDM,SUP241708,Noncdm Charge Record Medical Supplies,2349.45,916.29,,,0
CDM,SUP241717,Noncdm Charge Record Medical Supplies,2865.92,1117.71,,,0
CDM,SUP241721,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP241732,Noncdm Charge Record Medical Supplies,107.64,41.98,,,0
CDM,SUP241733,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP241742,Noncdm Charge Record Medical Supplies,1440.72,561.88,,,0
CDM,SUP241743,Noncdm Charge Record Medical Supplies,962.55,375.39,,,0
CDM,SUP241744,Noncdm Charge Record Medical Supplies,1484.19,578.83,,,0
CDM,SUP241745,Noncdm Charge Record Medical Supplies,962.55,375.39,,,0
CDM,SUP241746,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP241751,Noncdm Charge Record Medical Supplies,510.26,199.0,,,0
CDM,SUP241752,Noncdm Charge Record Medical Supplies,455.4,177.61,,,0
CDM,SUP241753,Noncdm Charge Record Medical Supplies,480.24,187.29,,,0
CDM,SUP241754,Noncdm Charge Record Medical Supplies,480.24,187.29,,,0
CDM,SUP241755,Noncdm Charge Record Medical Supplies,288.76,112.62,,,0
CDM,SUP241756,Noncdm Charge Record Medical Supplies,480.24,187.29,,,0
CDM,SUP241757,Noncdm Charge Record Medical Supplies,603.4,235.33,,,0
CDM,SUP241760,Noncdm Charge Record Medical Supplies,962.55,375.39,,,0
CDM,SUP241761,Noncdm Charge Record Medical Supplies,962.55,375.39,,,0
CDM,SUP241762,Noncdm Charge Record Medical Supplies,1484.19,578.83,,,0
CDM,SUP241763,Noncdm Charge Record Medical Supplies,1440.72,561.88,,,0
CDM,SUP241770,Noncdm Charge Record Medical Supplies,856.98,334.22,,,0
CDM,SUP241791,Noncdm Charge Record Medical Supplies,1305.14,509.0,,,0
CDM,SUP241792,Noncdm Charge Record Medical Supplies,3055.32,1191.57,,,0
CDM,SUP241793,Noncdm Charge Record Medical Supplies,2425.0,945.75,,,0
CDM,SUP2418,Noncdm Charge Record Medical Supplies,7.24,2.82,,,0
CDM,SUP241800,Noncdm Charge Record Medical Supplies,2399.13,935.66,,,0
CDM,SUP241815,Noncdm Charge Record Medical Supplies,636.52,248.24,,,0
CDM,SUP241819,Noncdm Charge Record Medical Supplies,2399.13,935.66,,,0
CDM,SUP241838,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP241842,Noncdm Charge Record Medical Supplies,146.97,57.32,,,0
CDM,SUP241843,Noncdm Charge Record Medical Supplies,1370.34,534.43,,,0
CDM,SUP241844,Noncdm Charge Record Medical Supplies,1370.34,534.43,,,0
CDM,SUP241847,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP241848,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP241849,Noncdm Charge Record Medical Supplies,5290.92,2063.46,,,0
CDM,SUP241850,Noncdm Charge Record Medical Supplies,1933.38,754.02,,,0
CDM,SUP241855,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP241860,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP241876,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP241897,Noncdm Charge Record Medical Supplies,252.02,98.29,,,0
CDM,SUP241901,Noncdm Charge Record Medical Supplies,262.2,102.26,,,0
CDM,SUP241905,Noncdm Charge Record Medical Supplies,1349.64,526.36,,,0
CDM,SUP241906,Noncdm Charge Record Medical Supplies,3540.74,1380.89,,,0
CDM,SUP241941,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP241942,Noncdm Charge Record Medical Supplies,260.82,101.72,,,0
CDM,SUP241949,Noncdm Charge Record Medical Supplies,2777.94,1083.4,,,0
CDM,SUP241950,Noncdm Charge Record Medical Supplies,2777.94,1083.4,,,0
CDM,SUP241975,Noncdm Charge Record Medical Supplies,380.36,148.34,,,0
CDM,SUP241979,Noncdm Charge Record Medical Supplies,1713.96,668.44,,,0
CDM,SUP241980,Noncdm Charge Record Medical Supplies,6640.56,2589.82,,,0
CDM,SUP241981,Noncdm Charge Record Medical Supplies,6120.99,2387.19,,,0
CDM,SUP241983,Noncdm Charge Record Medical Supplies,420.21,163.88,,,0
CDM,SUP241984,Noncdm Charge Record Medical Supplies,6710.42,2617.06,,,0
CDM,SUP241985,Noncdm Charge Record Medical Supplies,3395.84,1324.38,,,0
CDM,SUP24201,Noncdm Charge Record Medical Supplies - Screw 4.5 Hdls Comp Lng65Mm-S Hdls Comp Thrd Strl,1545.26,602.65,,,0
CDM,SUP242017,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP242023,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP242025,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP242082,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP242088,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP242089,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP242092,Noncdm Charge Record Medical Supplies,186.3,72.66,,,0
CDM,SUP242111,Noncdm Charge Record Medical Supplies,794.88,310.0,,,0
CDM,SUP242112,Noncdm Charge Record Medical Supplies,2202.48,858.97,,,0
CDM,SUP242113,Noncdm Charge Record Medical Supplies,2121.75,827.48,,,0
CDM,SUP242114,Noncdm Charge Record Medical Supplies,74.52,29.06,,,0
CDM,SUP242115,Noncdm Charge Record Medical Supplies,111.78,43.59,,,0
CDM,SUP242119,Noncdm Charge Record Medical Supplies,2865.92,1117.71,,,0
CDM,SUP242124,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP242127,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP242138,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP242139,Noncdm Charge Record Medical Supplies,1305.14,509.0,,,0
CDM,SUP242140,Noncdm Charge Record Medical Supplies,763.83,297.89,,,0
CDM,SUP242142,Noncdm Charge Record Medical Supplies,1050.53,409.71,,,0
CDM,SUP242155,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP242170,Noncdm Charge Record Medical Supplies,636.52,248.24,,,0
CDM,SUP242171,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP242186,Noncdm Charge Record Medical Supplies,2524.36,984.5,,,0
CDM,SUP242189,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP242191,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP242194,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP242196,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP242198,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP242206,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP242238,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP242249,Noncdm Charge Record Medical Supplies,2286.32,891.66,,,0
CDM,SUP242254,Noncdm Charge Record Medical Supplies,2393.96,933.64,,,0
CDM,SUP242259,Noncdm Charge Record Medical Supplies,6642.63,2590.63,,,0
CDM,SUP242263,Noncdm Charge Record Medical Supplies,12516.26,4881.34,,,0
CDM,SUP242277,Noncdm Charge Record Medical Supplies,109.71,42.79,,,0
CDM,SUP242278,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP242279,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP242280,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP242283,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP242284,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP242285,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP242286,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP242302,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP242303,Noncdm Charge Record Medical Supplies,2229.39,869.46,,,0
CDM,SUP242315,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP242316,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP242318,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP242333,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP242376_272,Noncdm Charge Record Medical Supplies,13.46,5.25,,,0
CDM,SUP242376_A4649_272,Noncdm Charge Record Medical Supplies,13.46,5.25,,,0
CDM,SUP242392,Noncdm Charge Record Medical Supplies,685.17,267.22,,,0
CDM,SUP242393,Noncdm Charge Record Medical Supplies,1516.28,591.35,,,0
CDM,SUP242397,Noncdm Charge Record Medical Supplies,5339.56,2082.43,,,0
CDM,SUP242405,Noncdm Charge Record Medical Supplies,1516.28,591.35,,,0
CDM,SUP242413,Noncdm Charge Record Medical Supplies,171.81,67.01,,,0
CDM,SUP242422,Noncdm Charge Record Medical Supplies,480.24,187.29,,,0
CDM,SUP242423,Noncdm Charge Record Medical Supplies,480.24,187.29,,,0
CDM,SUP242428,Noncdm Charge Record Medical Supplies,330.16,128.76,,,0
CDM,SUP242458,Noncdm Charge Record Medical Supplies,2865.92,1117.71,,,0
CDM,SUP242474,Noncdm Charge Record Medical Supplies,114.88,44.8,,,0
CDM,SUP242487,Noncdm Charge Record Medical Supplies,3395.84,1324.38,,,0
CDM,SUP242488,Noncdm Charge Record Medical Supplies,170.78,66.6,,,0
CDM,SUP242489,Noncdm Charge Record Medical Supplies,171.81,67.01,,,0
CDM,SUP242495,Noncdm Charge Record Medical Supplies,636.52,248.24,,,0
CDM,SUP242499,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP242543,Noncdm Charge Record Medical Supplies,6613.65,2579.32,,,0
CDM,SUP242544,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP242557,Noncdm Charge Record Medical Supplies,603.4,235.33,,,0
CDM,SUP242576,Noncdm Charge Record Medical Supplies,6642.63,2590.63,,,0
CDM,SUP242596,Noncdm Charge Record Medical Supplies,1480.05,577.22,,,0
CDM,SUP242600,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP242636,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP242638,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP242643,Noncdm Charge Record Medical Supplies,1848.51,720.92,,,0
CDM,SUP242664,Noncdm Charge Record Medical Supplies,510.26,199.0,,,0
CDM,SUP242665,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP242666,Noncdm Charge Record Medical Supplies,2246.98,876.32,,,0
CDM,SUP242677,Noncdm Charge Record Medical Supplies,1163.34,453.7,,,0
CDM,SUP242678,Noncdm Charge Record Medical Supplies,2349.45,916.29,,,0
CDM,SUP242682,Noncdm Charge Record Medical Supplies,7495.47,2923.23,,,0
CDM,SUP242723,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP242727,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP242728,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP242747,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP24275,Noncdm Charge Record Medical Supplies - Screw 4.5Mm Ti 20Mm 30Mm Strl Mllk,1244.07,485.19,,,0
CDM,SUP242757,Noncdm Charge Record Medical Supplies,47.61,18.57,,,0
CDM,SUP242759,Noncdm Charge Record Medical Supplies,460.58,179.63,,,0
CDM,SUP24276,Noncdm Charge Record Medical Supplies - Screw 4.5Mm Ti 20Mm 48Mm Strl Mllk,1244.33,485.29,,,0
CDM,SUP242765,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP242768,Noncdm Charge Record Medical Supplies,4768.24,1859.61,,,0
CDM,SUP24277,Noncdm Charge Record Medical Supplies - Screw 4.5Mm Ti 20Mm 50Mm Strl Mllk,1294.09,504.7,,,0
CDM,SUP242832,Noncdm Charge Record Medical Supplies,1106.42,431.5,,,0
CDM,SUP242833,Noncdm Charge Record Medical Supplies,8597.75,3353.12,,,0
CDM,SUP242834,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP242835,Noncdm Charge Record Medical Supplies,2469.51,963.11,,,0
CDM,SUP242836,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP242843,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP242844,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP242845,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP242849,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP242852,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP242854,Noncdm Charge Record Medical Supplies,2330.82,909.02,,,0
CDM,SUP242855,Noncdm Charge Record Medical Supplies,2270.79,885.61,,,0
CDM,SUP242856,Noncdm Charge Record Medical Supplies,1943.73,758.05,,,0
CDM,SUP242858,Noncdm Charge Record Medical Supplies,3571.78,1392.99,,,0
CDM,SUP242867,Noncdm Charge Record Medical Supplies,4332.51,1689.68,,,0
CDM,SUP242869,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP242888,Noncdm Charge Record Medical Supplies,1023.62,399.21,,,0
CDM,SUP242889,Noncdm Charge Record Medical Supplies,9065.56,3535.57,,,0
CDM,SUP242891,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP242895,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP242896,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP242899,Noncdm Charge Record Medical Supplies,9805.59,3824.18,,,0
CDM,SUP242900,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP242902,Noncdm Charge Record Medical Supplies,9065.56,3535.57,,,0
CDM,SUP242908,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP242909,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP242912,Noncdm Charge Record Medical Supplies,1484.19,578.83,,,0
CDM,SUP242931,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP242935,Noncdm Charge Record Medical Supplies,7495.47,2923.23,,,0
CDM,SUP242936,Noncdm Charge Record Medical Supplies,171.81,67.01,,,0
CDM,SUP242940,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP242945,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP242960,Noncdm Charge Record Medical Supplies,5290.92,2063.46,,,0
CDM,SUP242969,Noncdm Charge Record Medical Supplies,1106.42,431.5,,,0
CDM,SUP242970,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP242971,Noncdm Charge Record Medical Supplies,2469.51,963.11,,,0
CDM,SUP242972,Noncdm Charge Record Medical Supplies,1439.68,561.48,,,0
CDM,SUP24298,Noncdm Charge Record Medical Supplies - Screw 4.5Mm Ti Cort St 28Mm,95.22,37.14,,,0
CDM,SUP24299,Noncdm Charge Record Medical Supplies - Screw 4.5Mm Ti Cort St 30Mm,167.67,65.39,,,0
CDM,SUP24300,Noncdm Charge Record Medical Supplies - Screw 4.5Mm Ti Cort St 32Mm,113.33,44.2,,,0
CDM,SUP243000,Noncdm Charge Record Medical Supplies,2288.39,892.47,,,0
CDM,SUP243004,Noncdm Charge Record Medical Supplies,13426.02,5236.15,,,0
CDM,SUP243005,Noncdm Charge Record Medical Supplies,7632.09,2976.52,,,0
CDM,SUP24301,Noncdm Charge Record Medical Supplies - Screw 4.5Mm Ti Cort St 34Mm,131.44,51.26,,,0
CDM,SUP243018,Noncdm Charge Record Medical Supplies,3395.84,1324.38,,,0
CDM,SUP24302,Noncdm Charge Record Medical Supplies - Screw 4.5Mm Ti Cort St 36Mm,95.22,37.14,,,0
CDM,SUP243020,Noncdm Charge Record Medical Supplies,1848.51,720.92,,,0
CDM,SUP243022,Noncdm Charge Record Medical Supplies,2394.47,933.84,,,0
CDM,SUP243023,Noncdm Charge Record Medical Supplies,12516.26,4881.34,,,0
CDM,SUP243024,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP24303,Noncdm Charge Record Medical Supplies - Screw 4.5Mm Ti Cort St 38Mm,136.62,53.28,,,0
CDM,SUP243037,Noncdm Charge Record Medical Supplies,189.4,73.87,,,0
CDM,SUP24304,Noncdm Charge Record Medical Supplies - Screw 4.5Mm Ti Cort St 40Mm,95.22,37.14,,,0
CDM,SUP243042,Noncdm Charge Record Medical Supplies,6121.51,2387.39,,,0
CDM,SUP243044,Noncdm Charge Record Medical Supplies,360.7,140.67,,,0
CDM,SUP243046,Noncdm Charge Record Medical Supplies,420.21,163.88,,,0
CDM,SUP243047,Noncdm Charge Record Medical Supplies,6120.99,2387.19,,,0
CDM,SUP243048,Noncdm Charge Record Medical Supplies,378.03,147.43,,,0
CDM,SUP243049,Noncdm Charge Record Medical Supplies,6120.99,2387.19,,,0
CDM,SUP24305,Noncdm Charge Record Medical Supplies - Screw 4.5Mm Ti Cort St 42Mm,95.22,37.14,,,0
CDM,SUP243050,Noncdm Charge Record Medical Supplies,380.36,148.34,,,0
CDM,SUP243053,Noncdm Charge Record Medical Supplies,361.22,140.88,,,0
CDM,SUP243058,Noncdm Charge Record Medical Supplies,361.22,140.88,,,0
CDM,SUP243059,Noncdm Charge Record Medical Supplies,380.36,148.34,,,0
CDM,SUP24306,Noncdm Charge Record Medical Supplies - Screw 4.5Mm Ti Cort St 44Mm,95.22,37.14,,,0
CDM,SUP243060,Noncdm Charge Record Medical Supplies,6120.99,2387.19,,,0
CDM,SUP243062,Noncdm Charge Record Medical Supplies,304.87,118.9,,,0
CDM,SUP243064,Noncdm Charge Record Medical Supplies,2501.08,975.42,,,0
CDM,SUP24307,Noncdm Charge Record Medical Supplies - Screw 4.5Mm Ti Cort St 48Mm,107.64,41.98,,,0
CDM,SUP243072,Noncdm Charge Record Medical Supplies,1556.64,607.09,,,0
CDM,SUP24308,Noncdm Charge Record Medical Supplies - Screw 4.5Mm Ti Cort St 50Mm,167.67,65.39,,,0
CDM,SUP243095,Noncdm Charge Record Medical Supplies,303.26,118.27,,,0
CDM,SUP243099,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP243104,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP243112,Noncdm Charge Record Medical Supplies,2361.87,921.13,,,0
CDM,SUP243119,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP243120,Noncdm Charge Record Medical Supplies,1635.3,637.77,,,0
CDM,SUP243126,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP24313,Noncdm Charge Record Medical Supplies - Screw 4.5Mm Ti Cort St 60Mm,95.22,37.14,,,0
CDM,SUP243132,Noncdm Charge Record Medical Supplies,11022.75,4298.87,,,0
CDM,SUP243133,Noncdm Charge Record Medical Supplies,3751.88,1463.23,,,0
CDM,SUP243135,Noncdm Charge Record Medical Supplies,4690.62,1829.34,,,0
CDM,SUP243139,Noncdm Charge Record Medical Supplies,18518.22,7222.11,,,0
CDM,SUP243140,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP243141,Noncdm Charge Record Medical Supplies,93.15,36.33,,,0
CDM,SUP243152,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP243153,Noncdm Charge Record Medical Supplies,1958.22,763.71,,,0
CDM,SUP243155,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP243162,Noncdm Charge Record Medical Supplies,304.91,118.91,,,0
CDM,SUP243166,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP243167,Noncdm Charge Record Medical Supplies,596.85,232.77,,,0
CDM,SUP243172,Noncdm Charge Record Medical Supplies,1590.8,620.41,,,0
CDM,SUP24318,Noncdm Charge Record Medical Supplies - Screw 4.5Mm Ti Cort St 70Mm,95.22,37.14,,,0
CDM,SUP243183,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP243196,Noncdm Charge Record Medical Supplies,1454.18,567.13,,,0
CDM,SUP243206,Noncdm Charge Record Medical Supplies,1292.71,504.16,,,0
CDM,SUP243210,Noncdm Charge Record Medical Supplies,93.15,36.33,,,0
CDM,SUP243217,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP243229,Noncdm Charge Record Medical Supplies,244.78,95.46,,,0
CDM,SUP243230,Noncdm Charge Record Medical Supplies,244.78,95.46,,,0
CDM,SUP243231,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP243232,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP243234,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP243237,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP243242,Noncdm Charge Record Medical Supplies,5290.92,2063.46,,,0
CDM,SUP243243,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP243244,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP243265,Noncdm Charge Record Medical Supplies,9651.38,3764.04,,,0
CDM,SUP243274,Noncdm Charge Record Medical Supplies,763.83,297.89,,,0
CDM,SUP243275,Noncdm Charge Record Medical Supplies,1084.68,423.03,,,0
CDM,SUP24329,Noncdm Charge Record Medical Supplies - Screw 4.5Mm Ti Lgth 20Mm 30Mm Mllk,1158.16,451.68,,,0
CDM,SUP243307,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP24331,Noncdm Charge Record Medical Supplies - Screw 4.5Mm Ti Lgth 20Mm 38Mm Mllk,1158.16,451.68,,,0
CDM,SUP243325,Noncdm Charge Record Medical Supplies,6988.32,2725.44,,,0
CDM,SUP243354,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP243362,Noncdm Charge Record Medical Supplies,2393.96,933.64,,,0
CDM,SUP243364,Noncdm Charge Record Medical Supplies,12516.26,4881.34,,,0
CDM,SUP243365,Noncdm Charge Record Medical Supplies,2393.96,933.64,,,0
CDM,SUP243371,Noncdm Charge Record Medical Supplies,1930.28,752.81,,,0
CDM,SUP243397,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP243401,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP243405,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP243406,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP243411,Noncdm Charge Record Medical Supplies,495.76,193.35,,,0
CDM,SUP243426,Noncdm Charge Record Medical Supplies,2084.49,812.95,,,0
CDM,SUP243427,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP243431,Noncdm Charge Record Medical Supplies,16754.58,6534.29,,,0
CDM,SUP243433,Noncdm Charge Record Medical Supplies,112.82,44.0,,,0
CDM,SUP243434_272,Noncdm Charge Record Medical Supplies,53.82,20.99,,,0
CDM,SUP243434_A4649_272,Noncdm Charge Record Medical Supplies,53.82,20.99,,,0
CDM,SUP243435_272,Noncdm Charge Record Medical Supplies,1440.72,561.88,,,0
CDM,SUP243435_A4649_272,Noncdm Charge Record Medical Supplies,1440.72,561.88,,,0
CDM,SUP243437,Noncdm Charge Record Medical Supplies,727.6,283.76,,,0
CDM,SUP243447,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP243449,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP243460,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP243469,Noncdm Charge Record Medical Supplies,1815.39,708.0,,,0
CDM,SUP243471,Noncdm Charge Record Medical Supplies,1671.52,651.89,,,0
CDM,SUP243473,Noncdm Charge Record Medical Supplies,2283.21,890.45,,,0
CDM,SUP243482,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP243515,Noncdm Charge Record Medical Supplies,27611.73,10768.57,,,0
CDM,SUP243523,Noncdm Charge Record Medical Supplies,8155.8,3180.76,,,0
CDM,SUP243527,Noncdm Charge Record Medical Supplies,93.15,36.33,,,0
CDM,SUP243536,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP243538,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP243539,Noncdm Charge Record Medical Supplies,5871.56,2289.91,,,0
CDM,SUP243540,Noncdm Charge Record Medical Supplies,12178.5,4749.62,,,0
CDM,SUP243541,Noncdm Charge Record Medical Supplies,11959.01,4664.01,,,0
CDM,SUP243542,Noncdm Charge Record Medical Supplies,383.47,149.55,,,0
CDM,SUP243543,Noncdm Charge Record Medical Supplies,5871.56,2289.91,,,0
CDM,SUP243544,Noncdm Charge Record Medical Supplies,2301.84,897.72,,,0
CDM,SUP243546_272,Noncdm Charge Record Medical Supplies,10626.34,4144.27,,,0
CDM,SUP243546_C1776_278,Noncdm Charge Record Medical Supplies,10626.34,4144.27,,,0
CDM,SUP243550,Noncdm Charge Record Medical Supplies,343.1,133.81,,,0
CDM,SUP243551,Noncdm Charge Record Medical Supplies,1998.58,779.45,,,0
CDM,SUP243552,Noncdm Charge Record Medical Supplies,21212.32,8272.8,,,0
CDM,SUP243553,Noncdm Charge Record Medical Supplies,346.72,135.22,,,0
CDM,SUP243555,Noncdm Charge Record Medical Supplies,346.72,135.22,,,0
CDM,SUP243557,Noncdm Charge Record Medical Supplies,5974.02,2329.87,,,0
CDM,SUP243558,Noncdm Charge Record Medical Supplies,2359.41,920.17,,,0
CDM,SUP243560,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP243561,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP243565,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP243567,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP243592,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP243630,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP243636,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP243644,Noncdm Charge Record Medical Supplies,469.89,183.26,,,0
CDM,SUP243645,Noncdm Charge Record Medical Supplies,333.27,129.98,,,0
CDM,SUP243646,Noncdm Charge Record Medical Supplies,469.89,183.26,,,0
CDM,SUP243647,Noncdm Charge Record Medical Supplies,469.89,183.26,,,0
CDM,SUP243648,Noncdm Charge Record Medical Supplies,107.64,41.98,,,0
CDM,SUP243670,Noncdm Charge Record Medical Supplies,2428.11,946.96,,,0
CDM,SUP243671,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP243676,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP243678,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP243695,Noncdm Charge Record Medical Supplies,880.78,343.5,,,0
CDM,SUP243704,Noncdm Charge Record Medical Supplies,107.64,41.98,,,0
CDM,SUP243705,Noncdm Charge Record Medical Supplies,469.89,183.26,,,0
CDM,SUP243707,Noncdm Charge Record Medical Supplies,944.96,368.53,,,0
CDM,SUP243741,Noncdm Charge Record Medical Supplies,203.9,79.52,,,0
CDM,SUP243758,Noncdm Charge Record Medical Supplies,68.31,26.64,,,0
CDM,SUP243763,Noncdm Charge Record Medical Supplies,3968.19,1547.59,,,0
CDM,SUP243765,Noncdm Charge Record Medical Supplies,3968.19,1547.59,,,0
CDM,SUP243767,Noncdm Charge Record Medical Supplies,68.31,26.64,,,0
CDM,SUP243768,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP243770,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP243771,Noncdm Charge Record Medical Supplies,220.46,85.98,,,0
CDM,SUP243772,Noncdm Charge Record Medical Supplies,1052.6,410.51,,,0
CDM,SUP243790,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP243791,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP243797,Noncdm Charge Record Medical Supplies,2408.45,939.3,,,0
CDM,SUP243805,Noncdm Charge Record Medical Supplies,1.03,0.4,,,0
CDM,SUP243810,Noncdm Charge Record Medical Supplies,641.7,250.26,,,0
CDM,SUP243812,Noncdm Charge Record Medical Supplies,1.03,0.4,,,0
CDM,SUP243813,Noncdm Charge Record Medical Supplies,1.03,0.4,,,0
CDM,SUP243883,Noncdm Charge Record Medical Supplies,1.03,0.4,,,0
CDM,SUP243896,Noncdm Charge Record Medical Supplies,2315.3,902.97,,,0
CDM,SUP243914,Noncdm Charge Record Medical Supplies,1118.84,436.35,,,0
CDM,SUP243915,Noncdm Charge Record Medical Supplies,964.62,376.2,,,0
CDM,SUP243916,Noncdm Charge Record Medical Supplies,608.58,237.35,,,0
CDM,SUP243918,Noncdm Charge Record Medical Supplies,885.96,345.52,,,0
CDM,SUP24392,Noncdm Charge Record Medical Supplies - Screw 4Mm Lck W T25 22Mm Ti Stardr F- Im Nails,803.5,313.36,,,0
CDM,SUP243924,Noncdm Charge Record Medical Supplies,1464.52,571.16,,,0
CDM,SUP24393,Noncdm Charge Record Medical Supplies - Screw 4Mm Lck W T25 22Mm Strl Ti Stardr F- Im Nails,921.93,359.55,,,0
CDM,SUP243953,Noncdm Charge Record Medical Supplies,2645.46,1031.73,,,0
CDM,SUP243963_272,Noncdm Charge Record Medical Supplies,7.2,2.81,,,0
CDM,SUP243963_A4649_272,Noncdm Charge Record Medical Supplies,7.24,2.82,,,0
CDM,SUP243964,Noncdm Charge Record Medical Supplies,455.4,177.61,,,0
CDM,SUP243968,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP24398,Noncdm Charge Record Medical Supplies - Screw 4Mm Lck W T25 52Mm Strl Ti Stardr F- Im Nails,922.18,359.65,,,0
CDM,SUP243989,Noncdm Charge Record Medical Supplies,880.78,343.5,,,0
CDM,SUP243991,Noncdm Charge Record Medical Supplies,710.01,276.9,,,0
CDM,SUP24401,Noncdm Charge Record Medical Supplies - Screw 4Mm Lck W T25 60Mm Strl Ti Stardr F- Im Nails,922.18,359.65,,,0
CDM,SUP244026,Noncdm Charge Record Medical Supplies,333.27,129.98,,,0
CDM,SUP244029,Noncdm Charge Record Medical Supplies,2349.45,916.29,,,0
CDM,SUP244035,Noncdm Charge Record Medical Supplies,644.29,251.27,,,0
CDM,SUP244059,Noncdm Charge Record Medical Supplies,495.76,193.35,,,0
CDM,SUP244062,Noncdm Charge Record Medical Supplies,856.98,334.22,,,0
CDM,SUP244074,Noncdm Charge Record Medical Supplies,217.35,84.77,,,0
CDM,SUP244078,Noncdm Charge Record Medical Supplies,484.38,188.91,,,0
CDM,SUP244087,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP244088,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP244102,Noncdm Charge Record Medical Supplies,69.34,27.04,,,0
CDM,SUP244108,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP244134,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP244148,Noncdm Charge Record Medical Supplies,166.64,64.99,,,0
CDM,SUP244164,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP244165,Noncdm Charge Record Medical Supplies,519.57,202.63,,,0
CDM,SUP244166,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP244167,Noncdm Charge Record Medical Supplies,607.54,236.94,,,0
CDM,SUP244168,Noncdm Charge Record Medical Supplies,641.7,250.26,,,0
CDM,SUP244173,Noncdm Charge Record Medical Supplies,498.87,194.56,,,0
CDM,SUP24418,Noncdm Charge Record Medical Supplies - Screw 4Mm Self Drill 150Mm- Schnz Ha Coat- Strl,1029.0,401.31,,,0
CDM,SUP244192,Noncdm Charge Record Medical Supplies,469.89,183.26,,,0
CDM,SUP244193,Noncdm Charge Record Medical Supplies,1566.99,611.13,,,0
CDM,SUP244195,Noncdm Charge Record Medical Supplies,1449.1,565.15,,,0
CDM,SUP244203,Noncdm Charge Record Medical Supplies,2065.86,805.69,,,0
CDM,SUP244216,Noncdm Charge Record Medical Supplies,1249.24,487.2,,,0
CDM,SUP24425,Noncdm Charge Record Medical Supplies - Screw 4Mm-3Mm Self Drill 80Mm- Schnz Ha Coat- Strl,1183.69,461.64,,,0
CDM,SUP24433,Noncdm Charge Record Medical Supplies - Screw 5 Cannula Va Lck60Mm Cannula Va Lck,1117.8,435.94,,,0
CDM,SUP244332,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP244379,Noncdm Charge Record Medical Supplies,692.42,270.04,,,0
CDM,SUP244382,Noncdm Charge Record Medical Supplies,12199.54,4757.82,,,0
CDM,SUP244383,Noncdm Charge Record Medical Supplies,769.0,299.91,,,0
CDM,SUP244385,Noncdm Charge Record Medical Supplies,2290.46,893.28,,,0
CDM,SUP244395,Noncdm Charge Record Medical Supplies,644.29,251.27,,,0
CDM,SUP244402,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP244403,Noncdm Charge Record Medical Supplies,42803.46,16693.35,,,0
CDM,SUP244425,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP244429,Noncdm Charge Record Medical Supplies,1021.54,398.4,,,0
CDM,SUP244430,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP244433,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP244434,Noncdm Charge Record Medical Supplies,68.31,26.64,,,0
CDM,SUP244435,Noncdm Charge Record Medical Supplies,159.39,62.16,,,0
CDM,SUP244439,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP24444,Noncdm Charge Record Medical Supplies - Screw 5 Pprsthtic Strdrv14Mm-S Pprsthtic Lck St Strdrv Strl,1080.54,421.41,,,0
CDM,SUP24446,Noncdm Charge Record Medical Supplies - Screw 5 Pprsthtic Strdrv18Mm-S Pprsthtic Lck St Strdrv Strl,1159.2,452.09,,,0
CDM,SUP244462,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP244463,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP244464,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP244465,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP244466,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP244467,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP244468,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP244469,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP244471,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP244474,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP244476,Noncdm Charge Record Medical Supplies,44.5,17.36,,,0
CDM,SUP244508,Noncdm Charge Record Medical Supplies,645.84,251.88,,,0
CDM,SUP24451,Noncdm Charge Record Medical Supplies - Screw 5 Va Lck St Strdrv 32Mm Va Lck W- St Strdr,830.07,323.73,,,0
CDM,SUP244516,Noncdm Charge Record Medical Supplies,47126.66,18379.4,,,0
CDM,SUP244518,Noncdm Charge Record Medical Supplies,61143.66,23846.03,,,0
CDM,SUP244521,Noncdm Charge Record Medical Supplies,8087.49,3154.12,,,0
CDM,SUP244522,Noncdm Charge Record Medical Supplies,11243.2,4384.85,,,0
CDM,SUP244541,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP244542,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP244554,Noncdm Charge Record Medical Supplies,2231.46,870.27,,,0
CDM,SUP244575,Noncdm Charge Record Medical Supplies,220.46,85.98,,,0
CDM,SUP244583,Noncdm Charge Record Medical Supplies,2091.74,815.78,,,0
CDM,SUP244584,Noncdm Charge Record Medical Supplies,1516.28,591.35,,,0
CDM,SUP24459,Noncdm Charge Record Medical Supplies - Screw 5 Va Peripr Strdrv14Mm-S Va Peripr Lck St Strdrv Strl,1420.02,553.81,,,0
CDM,SUP244613,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP244631,Noncdm Charge Record Medical Supplies,2231.46,870.27,,,0
CDM,SUP244655,Noncdm Charge Record Medical Supplies,260.82,101.72,,,0
CDM,SUP244680,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP244707,Noncdm Charge Record Medical Supplies,2227.32,868.65,,,0
CDM,SUP24471,Noncdm Charge Record Medical Supplies - Screw 5Mm Blnt Pt 170Mm Schnz Ha Coat- Strl,673.27,262.58,,,0
CDM,SUP244718,Noncdm Charge Record Medical Supplies,1027.76,400.83,,,0
CDM,SUP24472,Noncdm Charge Record Medical Supplies - Screw 5Mm Blnt Pt 200Mm Schnz Ha Coat- Strl,593.83,231.59,,,0
CDM,SUP244729,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP24473,Noncdm Charge Record Medical Supplies - Screw 5Mm Blnt Pt 250Mm Schnz Ha Coat- Strl,867.33,338.26,,,0
CDM,SUP244732,Noncdm Charge Record Medical Supplies,4409.1,1719.55,,,0
CDM,SUP244735,Noncdm Charge Record Medical Supplies,648.95,253.09,,,0
CDM,SUP244739,Noncdm Charge Record Medical Supplies,303.26,118.27,,,0
CDM,SUP244747,Noncdm Charge Record Medical Supplies,1131.26,441.19,,,0
CDM,SUP244758,Noncdm Charge Record Medical Supplies,3197.12,1246.88,,,0
CDM,SUP244764,Noncdm Charge Record Medical Supplies,889.06,346.73,,,0
CDM,SUP244765,Noncdm Charge Record Medical Supplies,375.7,146.52,,,0
CDM,SUP244775,Noncdm Charge Record Medical Supplies,1958.22,763.71,,,0
CDM,SUP244816,Noncdm Charge Record Medical Supplies,47.61,18.57,,,0
CDM,SUP244818,Noncdm Charge Record Medical Supplies,2645.46,1031.73,,,0
CDM,SUP244847,Noncdm Charge Record Medical Supplies,2645.46,1031.73,,,0
CDM,SUP244848,Noncdm Charge Record Medical Supplies,4555.04,1776.47,,,0
CDM,SUP244849,Noncdm Charge Record Medical Supplies,5343.7,2084.04,,,0
CDM,SUP244851,Noncdm Charge Record Medical Supplies,261.86,102.13,,,0
CDM,SUP244853,Noncdm Charge Record Medical Supplies,261.86,102.13,,,0
CDM,SUP244854,Noncdm Charge Record Medical Supplies,2022.39,788.73,,,0
CDM,SUP244862,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP244863,Noncdm Charge Record Medical Supplies,97.81,38.15,,,0
CDM,SUP244864,Noncdm Charge Record Medical Supplies,27.94,10.9,,,0
CDM,SUP244882,Noncdm Charge Record Medical Supplies,616.86,240.58,,,0
CDM,SUP244888,Noncdm Charge Record Medical Supplies,7495.47,2923.23,,,0
CDM,SUP244889,Noncdm Charge Record Medical Supplies,7495.47,2923.23,,,0
CDM,SUP244893,Noncdm Charge Record Medical Supplies,1538.01,599.82,,,0
CDM,SUP244894,Noncdm Charge Record Medical Supplies,1527.66,595.79,,,0
CDM,SUP244895,Noncdm Charge Record Medical Supplies,949.1,370.15,,,0
CDM,SUP244898,Noncdm Charge Record Medical Supplies,1057.77,412.53,,,0
CDM,SUP244902,Noncdm Charge Record Medical Supplies,342.58,133.61,,,0
CDM,SUP244903,Noncdm Charge Record Medical Supplies,2557.48,997.42,,,0
CDM,SUP244905,Noncdm Charge Record Medical Supplies,11.38,4.44,,,0
CDM,SUP244913,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP244914,Noncdm Charge Record Medical Supplies,4986.63,1944.79,,,0
CDM,SUP244933,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP244959,Noncdm Charge Record Medical Supplies,795.92,310.41,,,0
CDM,SUP244962,Noncdm Charge Record Medical Supplies,31.05,12.11,,,0
CDM,SUP244968,Noncdm Charge Record Medical Supplies,576.5,224.84,,,0
CDM,SUP244972,Noncdm Charge Record Medical Supplies,234.94,91.63,,,0
CDM,SUP244979,Noncdm Charge Record Medical Supplies,3210.57,1252.12,,,0
CDM,SUP245004,Noncdm Charge Record Medical Supplies,767.97,299.51,,,0
CDM,SUP245017,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP245018,Noncdm Charge Record Medical Supplies,1093.99,426.66,,,0
CDM,SUP245039,Noncdm Charge Record Medical Supplies,9065.56,3535.57,,,0
CDM,SUP245043,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP245044,Noncdm Charge Record Medical Supplies,3571.78,1392.99,,,0
CDM,SUP245047,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP245049,Noncdm Charge Record Medical Supplies,2270.79,885.61,,,0
CDM,SUP245052,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP245053,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP245055,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP245056,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP245057,Noncdm Charge Record Medical Supplies,1943.73,758.05,,,0
CDM,SUP245058,Noncdm Charge Record Medical Supplies,2130.03,830.71,,,0
CDM,SUP245059,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP245060,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP245061,Noncdm Charge Record Medical Supplies,9065.56,3535.57,,,0
CDM,SUP245062,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP245078,Noncdm Charge Record Medical Supplies,611.68,238.56,,,0
CDM,SUP245093,Noncdm Charge Record Medical Supplies,9065.56,3535.57,,,0
CDM,SUP245101,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP24511,Noncdm Charge Record Medical Supplies - Screw 5Mm Lck W T25 28Mm Ti Stardr F- Im Nails,776.25,302.74,,,0
CDM,SUP245134,Noncdm Charge Record Medical Supplies,386.57,150.76,,,0
CDM,SUP245143,Noncdm Charge Record Medical Supplies,13426.02,5236.15,,,0
CDM,SUP245144,Noncdm Charge Record Medical Supplies,7632.09,2976.52,,,0
CDM,SUP245149,Noncdm Charge Record Medical Supplies,9.32,3.63,,,0
CDM,SUP245154,Noncdm Charge Record Medical Supplies,4651.29,1814.0,,,0
CDM,SUP245157,Noncdm Charge Record Medical Supplies,303.26,118.27,,,0
CDM,SUP245159,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP245163,Noncdm Charge Record Medical Supplies,510.26,199.0,,,0
CDM,SUP245171,Noncdm Charge Record Medical Supplies,1233.72,481.15,,,0
CDM,SUP245174,Noncdm Charge Record Medical Supplies,186.3,72.66,,,0
CDM,SUP245175,Noncdm Charge Record Medical Supplies,226.66,88.4,,,0
CDM,SUP245177,Noncdm Charge Record Medical Supplies,636.52,248.24,,,0
CDM,SUP245179,Noncdm Charge Record Medical Supplies,1611.5,628.48,,,0
CDM,SUP2451_272,Noncdm Charge Record Medical Supplies - Grommet Amstr Flrplas 1.14Mm,131.62,51.33,,,0
CDM,SUP2451_A4649_272,Noncdm Charge Record Medical Supplies - Grommet Amstr Flrplas 1.14Mm,131.44,51.26,,,0
CDM,SUP245220,Noncdm Charge Record Medical Supplies,2865.92,1117.71,,,0
CDM,SUP245245,Noncdm Charge Record Medical Supplies,5710.1,2226.94,,,0
CDM,SUP245249,Noncdm Charge Record Medical Supplies,168.7,65.79,,,0
CDM,SUP245251,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP245255,Noncdm Charge Record Medical Supplies,1.03,0.4,,,0
CDM,SUP245265,Noncdm Charge Record Medical Supplies,1346.19,525.01,,,0
CDM,SUP245282,Noncdm Charge Record Medical Supplies,93.15,36.33,,,0
CDM,SUP245284,Noncdm Charge Record Medical Supplies,1590.8,620.41,,,0
CDM,SUP245285,Noncdm Charge Record Medical Supplies,3086.37,1203.68,,,0
CDM,SUP245294,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP245303,Noncdm Charge Record Medical Supplies,5290.92,2063.46,,,0
CDM,SUP245328,Noncdm Charge Record Medical Supplies,1713.96,668.44,,,0
CDM,SUP245330,Noncdm Charge Record Medical Supplies,1516.28,591.35,,,0
CDM,SUP245333,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP245335,Noncdm Charge Record Medical Supplies,5339.56,2082.43,,,0
CDM,SUP245340,Noncdm Charge Record Medical Supplies,170.78,66.6,,,0
CDM,SUP245344,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP245359,Noncdm Charge Record Medical Supplies,152.15,59.34,,,0
CDM,SUP24536,Noncdm Charge Record Medical Supplies - Screw 5Mm Self Drill 125Mm- Schnz Ha Coat- Strl,1014.3,395.58,,,0
CDM,SUP24537,Noncdm Charge Record Medical Supplies - Screw 5Mm Self Drill 150Mm- Schnz Ha Coat- Strl,1208.02,471.13,,,0
CDM,SUP245375,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP245378,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP24538,Noncdm Charge Record Medical Supplies - Screw 5Mm Self Drill 175Mm- Schnz Ha Coat- Strl,1080.49,421.39,,,0
CDM,SUP245381,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP245388,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP24539,Noncdm Charge Record Medical Supplies - Screw 5Mm Self Drill 200Mm- Schnz Ha Coat- Strl,1206.0,470.34,,,0
CDM,SUP245390,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP245391,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP245392,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP245393,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP245394,Noncdm Charge Record Medical Supplies,611.68,238.56,,,0
CDM,SUP245395,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP245396,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP245397,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP245398,Noncdm Charge Record Medical Supplies,685.17,267.22,,,0
CDM,SUP245399,Noncdm Charge Record Medical Supplies,537.16,209.49,,,0
CDM,SUP245400,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP245401,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP245402,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP245403,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP245404,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP245405,Noncdm Charge Record Medical Supplies,94.18,36.73,,,0
CDM,SUP245406,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP245407,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP245410,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP245411,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP245412,Noncdm Charge Record Medical Supplies,94.18,36.73,,,0
CDM,SUP245413,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP245417,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP245418,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP245419,Noncdm Charge Record Medical Supplies,94.18,36.73,,,0
CDM,SUP245422,Noncdm Charge Record Medical Supplies,94.18,36.73,,,0
CDM,SUP245423,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP245424,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP245425,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP245426,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP245427,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP245428,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP245429,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP245430,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP245431,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP245442,Noncdm Charge Record Medical Supplies,9012.78,3514.98,,,0
CDM,SUP245443,Noncdm Charge Record Medical Supplies,73.48,28.66,,,0
CDM,SUP245444,Noncdm Charge Record Medical Supplies,254.61,99.3,,,0
CDM,SUP245445,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP245449,Noncdm Charge Record Medical Supplies,7495.47,2923.23,,,0
CDM,SUP245467,Noncdm Charge Record Medical Supplies,3395.84,1324.38,,,0
CDM,SUP245468,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP245469,Noncdm Charge Record Medical Supplies,35.19,13.72,,,0
CDM,SUP245477,Noncdm Charge Record Medical Supplies,616.86,240.58,,,0
CDM,SUP245478,Noncdm Charge Record Medical Supplies,577.53,225.24,,,0
CDM,SUP245483,Noncdm Charge Record Medical Supplies,1538.01,599.82,,,0
CDM,SUP245484,Noncdm Charge Record Medical Supplies,1527.66,595.79,,,0
CDM,SUP245485,Noncdm Charge Record Medical Supplies,984.28,383.87,,,0
CDM,SUP2455,Noncdm Charge Record Medical Supplies - Catheter Esoph Pyl 8Fr 18-20Mm,1151.96,449.26,,,0
CDM,SUP245527,Noncdm Charge Record Medical Supplies,217.35,84.77,,,0
CDM,SUP245534,Noncdm Charge Record Medical Supplies,1454.18,567.13,,,0
CDM,SUP245560,Noncdm Charge Record Medical Supplies,122.13,47.63,,,0
CDM,SUP245567,Noncdm Charge Record Medical Supplies,122.47,47.76,,,0
CDM,SUP24557,Noncdm Charge Record Medical Supplies - Screw 5Mm Ti Recon 55Mm Strl W W-T25 Stardr,1002.92,391.14,,,0
CDM,SUP245570,Noncdm Charge Record Medical Supplies,636.52,248.24,,,0
CDM,SUP245571,Noncdm Charge Record Medical Supplies,969.8,378.22,,,0
CDM,SUP245578,Noncdm Charge Record Medical Supplies,2865.92,1117.71,,,0
CDM,SUP245586,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP245599,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP245610,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP245622,Noncdm Charge Record Medical Supplies,577.53,225.24,,,0
CDM,SUP245623,Noncdm Charge Record Medical Supplies,616.86,240.58,,,0
CDM,SUP245624,Noncdm Charge Record Medical Supplies,616.86,240.58,,,0
CDM,SUP245638,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP245639,Noncdm Charge Record Medical Supplies,1811.25,706.39,,,0
CDM,SUP245645,Noncdm Charge Record Medical Supplies,1003.95,391.54,,,0
CDM,SUP245646,Noncdm Charge Record Medical Supplies,715.18,278.92,,,0
CDM,SUP245657,Noncdm Charge Record Medical Supplies,1.03,0.4,,,0
CDM,SUP245658,Noncdm Charge Record Medical Supplies,1947.87,759.67,,,0
CDM,SUP245659,Noncdm Charge Record Medical Supplies,1918.89,748.37,,,0
CDM,SUP245660,Noncdm Charge Record Medical Supplies,1502.82,586.1,,,0
CDM,SUP245661,Noncdm Charge Record Medical Supplies,370.53,144.51,,,0
CDM,SUP245662,Noncdm Charge Record Medical Supplies,2161.08,842.82,,,0
CDM,SUP245665,Noncdm Charge Record Medical Supplies,1307.2,509.81,,,0
CDM,SUP245677,Noncdm Charge Record Medical Supplies,4299.39,1676.76,,,0
CDM,SUP245712,Noncdm Charge Record Medical Supplies,2865.92,1117.71,,,0
CDM,SUP245716,Noncdm Charge Record Medical Supplies,293.94,114.64,,,0
CDM,SUP245721,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP245723,Noncdm Charge Record Medical Supplies,636.52,248.24,,,0
CDM,SUP245727,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP245729,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP245730,Noncdm Charge Record Medical Supplies,704.84,274.89,,,0
CDM,SUP245731,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP245732,Noncdm Charge Record Medical Supplies,2085.52,813.35,,,0
CDM,SUP245733,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP245734,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP245735,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP245736,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP245737,Noncdm Charge Record Medical Supplies,715.18,278.92,,,0
CDM,SUP245739,Noncdm Charge Record Medical Supplies,2330.82,909.02,,,0
CDM,SUP245740,Noncdm Charge Record Medical Supplies,11022.75,4298.87,,,0
CDM,SUP245741,Noncdm Charge Record Medical Supplies,304.91,118.91,,,0
CDM,SUP245747,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP245751,Noncdm Charge Record Medical Supplies,3482.78,1358.28,,,0
CDM,SUP245759,Noncdm Charge Record Medical Supplies,455.4,177.61,,,0
CDM,SUP245763,Noncdm Charge Record Medical Supplies,4444.29,1733.27,,,0
CDM,SUP245765,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP245766,Noncdm Charge Record Medical Supplies,596.68,232.71,,,0
CDM,SUP245774,Noncdm Charge Record Medical Supplies,495.76,193.35,,,0
CDM,SUP245776,Noncdm Charge Record Medical Supplies,608.58,237.35,,,0
CDM,SUP245784,Noncdm Charge Record Medical Supplies,645.84,251.88,,,0
CDM,SUP245790,Noncdm Charge Record Medical Supplies,1339.29,522.32,,,0
CDM,SUP245801,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP245806,Noncdm Charge Record Medical Supplies,724.5,282.56,,,0
CDM,SUP245819,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP245821,Noncdm Charge Record Medical Supplies,1097.1,427.87,,,0
CDM,SUP245823,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP245824,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP245844,Noncdm Charge Record Medical Supplies,4555.04,1776.47,,,0
CDM,SUP245850,Noncdm Charge Record Medical Supplies,387.09,150.97,,,0
CDM,SUP245861,Noncdm Charge Record Medical Supplies,467.82,182.45,,,0
CDM,SUP245905,Noncdm Charge Record Medical Supplies,16308.42,6360.28,,,0
CDM,SUP245906,Noncdm Charge Record Medical Supplies,3755.84,1464.78,,,0
CDM,SUP245907,Noncdm Charge Record Medical Supplies,26560.17,10358.47,,,0
CDM,SUP245908,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP245911,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP245934,Noncdm Charge Record Medical Supplies,889.06,346.73,,,0
CDM,SUP245943,Noncdm Charge Record Medical Supplies,224.6,87.59,,,0
CDM,SUP245945,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP245948,Noncdm Charge Record Medical Supplies,224.6,87.59,,,0
CDM,SUP245954,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP245956,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP245961,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP245964,Noncdm Charge Record Medical Supplies,262.2,102.26,,,0
CDM,SUP245966,Noncdm Charge Record Medical Supplies,1854.72,723.34,,,0
CDM,SUP245975,Noncdm Charge Record Medical Supplies,719.32,280.53,,,0
CDM,SUP245980,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP245984,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP245_270,Noncdm Charge Record Medical Supplies - Positioner Well Leg Foam Arthroscopic Deroyal Medical,48.64,18.97,,,0
CDM,SUP245_A9999_270,Noncdm Charge Record Medical Supplies - Positioner Well Leg Foam Arthroscopic Deroyal Medical,48.64,18.97,,,0
CDM,SUP246004,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP246018,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP246024,Noncdm Charge Record Medical Supplies,21.74,8.48,,,0
CDM,SUP246029,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP246039,Noncdm Charge Record Medical Supplies,5343.7,2084.04,,,0
CDM,SUP246052,Noncdm Charge Record Medical Supplies,1206.81,470.66,,,0
CDM,SUP246053,Noncdm Charge Record Medical Supplies,93.15,36.33,,,0
CDM,SUP246055,Noncdm Charge Record Medical Supplies,342.58,133.61,,,0
CDM,SUP246056,Noncdm Charge Record Medical Supplies,1370.34,534.43,,,0
CDM,SUP246058,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP246059,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP246070,Noncdm Charge Record Medical Supplies,3086.37,1203.68,,,0
CDM,SUP246075,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP246078,Noncdm Charge Record Medical Supplies,2428.11,946.96,,,0
CDM,SUP246080,Noncdm Charge Record Medical Supplies,2428.11,946.96,,,0
CDM,SUP246081,Noncdm Charge Record Medical Supplies,391.23,152.58,,,0
CDM,SUP246106,Noncdm Charge Record Medical Supplies,343.1,133.81,,,0
CDM,SUP246121,Noncdm Charge Record Medical Supplies,21.74,8.48,,,0
CDM,SUP246141,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP246147,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP246159,Noncdm Charge Record Medical Supplies,5038.38,1964.97,,,0
CDM,SUP246168,Noncdm Charge Record Medical Supplies,2865.92,1117.71,,,0
CDM,SUP246169,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP246172,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP246179,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP246188,Noncdm Charge Record Medical Supplies,171.81,67.01,,,0
CDM,SUP246191,Noncdm Charge Record Medical Supplies,12565.94,4900.72,,,0
CDM,SUP246199,Noncdm Charge Record Medical Supplies,391.23,152.58,,,0
CDM,SUP246204,Noncdm Charge Record Medical Supplies,122.13,47.63,,,0
CDM,SUP246205,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP246229,Noncdm Charge Record Medical Supplies,3197.12,1246.88,,,0
CDM,SUP246230,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP246231,Noncdm Charge Record Medical Supplies,12565.94,4900.72,,,0
CDM,SUP246233,Noncdm Charge Record Medical Supplies,894.24,348.75,,,0
CDM,SUP246235,Noncdm Charge Record Medical Supplies,440.91,171.95,,,0
CDM,SUP246237,Noncdm Charge Record Medical Supplies,885.96,345.52,,,0
CDM,SUP246238,Noncdm Charge Record Medical Supplies,304.86,118.9,,,0
CDM,SUP246239,Noncdm Charge Record Medical Supplies,596.78,232.74,,,0
CDM,SUP24626,Noncdm Charge Record Medical Supplies - Screw 6.5Mm Recon 70Mm Strl Ti W T25 Stardr,951.16,370.95,,,0
CDM,SUP246271,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP246273,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP246279,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP246280,Noncdm Charge Record Medical Supplies,19208.56,7491.34,,,0
CDM,SUP246286,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP246287,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP246288,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP246289,Noncdm Charge Record Medical Supplies,1052.6,410.51,,,0
CDM,SUP246290,Noncdm Charge Record Medical Supplies,930.21,362.78,,,0
CDM,SUP246291,Noncdm Charge Record Medical Supplies,7495.47,2923.23,,,0
CDM,SUP24630,Noncdm Charge Record Medical Supplies - Screw 6.5Mm Recon 85Mm Strl Ti W T25 Stardr,1030.86,402.04,,,0
CDM,SUP246303,Noncdm Charge Record Medical Supplies,122.13,47.63,,,0
CDM,SUP24631,Noncdm Charge Record Medical Supplies - Screw 6.5Mm Recon 90Mm Ti W T25 Stardr,951.16,370.95,,,0
CDM,SUP246311,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP24632,Noncdm Charge Record Medical Supplies - Screw 6.5Mm Recon 90Mm Strl Ti W T25 Stardr,998.98,389.6,,,0
CDM,SUP24633,Noncdm Charge Record Medical Supplies - Screw 6.5Mm Recon 95Mm Ti W T25 Stardr,807.3,314.85,,,0
CDM,SUP246343,Noncdm Charge Record Medical Supplies,936.68,365.31,,,0
CDM,SUP246347,Noncdm Charge Record Medical Supplies,885.96,345.52,,,0
CDM,SUP246348,Noncdm Charge Record Medical Supplies,12565.94,4900.72,,,0
CDM,SUP246353,Noncdm Charge Record Medical Supplies,636.52,248.24,,,0
CDM,SUP246356,Noncdm Charge Record Medical Supplies,304.91,118.91,,,0
CDM,SUP246358,Noncdm Charge Record Medical Supplies,391.23,152.58,,,0
CDM,SUP246362,Noncdm Charge Record Medical Supplies,391.23,152.58,,,0
CDM,SUP246364,Noncdm Charge Record Medical Supplies,661.36,257.93,,,0
CDM,SUP246365,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP246366,Noncdm Charge Record Medical Supplies,596.85,232.77,,,0
CDM,SUP246373,Noncdm Charge Record Medical Supplies,1468.66,572.78,,,0
CDM,SUP246391,Noncdm Charge Record Medical Supplies,2865.92,1117.71,,,0
CDM,SUP246392,Noncdm Charge Record Medical Supplies,244.78,95.46,,,0
CDM,SUP246393,Noncdm Charge Record Medical Supplies,734.33,286.39,,,0
CDM,SUP246394,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP246401,Noncdm Charge Record Medical Supplies,11.38,4.44,,,0
CDM,SUP246408,Noncdm Charge Record Medical Supplies,964.62,376.2,,,0
CDM,SUP246426,Noncdm Charge Record Medical Supplies,685.17,267.22,,,0
CDM,SUP246436,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP246445,Noncdm Charge Record Medical Supplies,29.44,11.48,,,0
CDM,SUP246447,Noncdm Charge Record Medical Supplies,2303.91,898.52,,,0
CDM,SUP246461,Noncdm Charge Record Medical Supplies,1027.76,400.83,,,0
CDM,SUP246468,Noncdm Charge Record Medical Supplies,889.06,346.73,,,0
CDM,SUP246551,Noncdm Charge Record Medical Supplies,304.86,118.9,,,0
CDM,SUP246552,Noncdm Charge Record Medical Supplies,7503.75,2926.46,,,0
CDM,SUP246554,Noncdm Charge Record Medical Supplies,2501.08,975.42,,,0
CDM,SUP246555,Noncdm Charge Record Medical Supplies,596.68,232.71,,,0
CDM,SUP246556,Noncdm Charge Record Medical Supplies,1078.47,420.6,,,0
CDM,SUP246581,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP246616,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP246672,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP246673,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP246674,Noncdm Charge Record Medical Supplies,2032.74,792.77,,,0
CDM,SUP246675,Noncdm Charge Record Medical Supplies,2468.48,962.71,,,0
CDM,SUP246680,Noncdm Charge Record Medical Supplies,1260.63,491.65,,,0
CDM,SUP246681,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP246688,Noncdm Charge Record Medical Supplies,1260.63,491.65,,,0
CDM,SUP246713,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP246716,Noncdm Charge Record Medical Supplies,1260.63,491.65,,,0
CDM,SUP246718,Noncdm Charge Record Medical Supplies,181.12,70.64,,,0
CDM,SUP246721,Noncdm Charge Record Medical Supplies,8818.2,3439.1,,,0
CDM,SUP246730,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP246736,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP246742,Noncdm Charge Record Medical Supplies,181.12,70.64,,,0
CDM,SUP246746,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP246750,Noncdm Charge Record Medical Supplies,2468.48,962.71,,,0
CDM,SUP246761,Noncdm Charge Record Medical Supplies,181.12,70.64,,,0
CDM,SUP246771,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP2468,Noncdm Charge Record Medical Supplies - Tube Feeding Mic J 16Fr Silicone Balloon,689.4,268.87,,,0
CDM,SUP246806,Noncdm Charge Record Medical Supplies,27.94,10.9,,,0
CDM,SUP246821,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP246822,Noncdm Charge Record Medical Supplies,94.18,36.73,,,0
CDM,SUP246850,Noncdm Charge Record Medical Supplies,2491.24,971.58,,,0
CDM,SUP246861,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP246862,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP246863,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP246864,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP246866,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP246869,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP246870,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP246877,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP246878,Noncdm Charge Record Medical Supplies,1187.14,462.98,,,0
CDM,SUP246890,Noncdm Charge Record Medical Supplies,1052.6,410.51,,,0
CDM,SUP246891,Noncdm Charge Record Medical Supplies,1052.6,410.51,,,0
CDM,SUP246892,Noncdm Charge Record Medical Supplies,1052.6,410.51,,,0
CDM,SUP246897,Noncdm Charge Record Medical Supplies,2032.74,792.77,,,0
CDM,SUP246898,Noncdm Charge Record Medical Supplies,2468.48,962.71,,,0
CDM,SUP246904,Noncdm Charge Record Medical Supplies,410.9,160.25,,,0
CDM,SUP246915,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP246929,Noncdm Charge Record Medical Supplies,455.4,177.61,,,0
CDM,SUP246939,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP246941,Noncdm Charge Record Medical Supplies,2291.49,893.68,,,0
CDM,SUP246943,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP246946,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP246948,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP246966,Noncdm Charge Record Medical Supplies,1713.96,668.44,,,0
CDM,SUP246969,Noncdm Charge Record Medical Supplies,159.39,62.16,,,0
CDM,SUP246970,Noncdm Charge Record Medical Supplies,94.18,36.73,,,0
CDM,SUP246971,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP246972,Noncdm Charge Record Medical Supplies,455.4,177.61,,,0
CDM,SUP246981,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP246997,Noncdm Charge Record Medical Supplies,936.68,365.31,,,0
CDM,SUP246998,Noncdm Charge Record Medical Supplies,648.95,253.09,,,0
CDM,SUP24700,Noncdm Charge Record Medical Supplies - Screw 6Mm Spd Pt 190Mm Schnz Ha Coat- Strl,625.83,244.07,,,0
CDM,SUP247005,Noncdm Charge Record Medical Supplies,5798.07,2261.25,,,0
CDM,SUP247012,Noncdm Charge Record Medical Supplies,293.94,114.64,,,0
CDM,SUP247042,Noncdm Charge Record Medical Supplies,2444.46,953.34,,,0
CDM,SUP247049,Noncdm Charge Record Medical Supplies,261.86,102.13,,,0
CDM,SUP247050,Noncdm Charge Record Medical Supplies,1850.58,721.73,,,0
CDM,SUP247053,Noncdm Charge Record Medical Supplies,25.88,10.09,,,0
CDM,SUP247063,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP247077,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP247081,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP247082,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP247083,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP247090,Noncdm Charge Record Medical Supplies,97.29,37.94,,,0
CDM,SUP247096,Noncdm Charge Record Medical Supplies,2465.37,961.49,,,0
CDM,SUP247111,Noncdm Charge Record Medical Supplies,2350.48,916.69,,,0
CDM,SUP247113,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP247118,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP247127,Noncdm Charge Record Medical Supplies,4501.22,1755.48,,,0
CDM,SUP247132,Noncdm Charge Record Medical Supplies,4202.1,1638.82,,,0
CDM,SUP247133,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP247135,Noncdm Charge Record Medical Supplies,1728.45,674.1,,,0
CDM,SUP247136,Noncdm Charge Record Medical Supplies,15431.85,6018.42,,,0
CDM,SUP247137,Noncdm Charge Record Medical Supplies,4832.42,1884.64,,,0
CDM,SUP247153,Noncdm Charge Record Medical Supplies,1307.2,509.81,,,0
CDM,SUP247168,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP247173,Noncdm Charge Record Medical Supplies,87.98,34.31,,,0
CDM,SUP247174,Noncdm Charge Record Medical Supplies,288.76,112.62,,,0
CDM,SUP247175,Noncdm Charge Record Medical Supplies,480.24,187.29,,,0
CDM,SUP247181,Noncdm Charge Record Medical Supplies,7495.47,2923.23,,,0
CDM,SUP247183,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP247194,Noncdm Charge Record Medical Supplies,97.29,37.94,,,0
CDM,SUP247200,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP247201,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP247202,Noncdm Charge Record Medical Supplies,1370.34,534.43,,,0
CDM,SUP247204,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP247211_272,Noncdm Charge Record Medical Supplies,20.7,8.07,,,0
CDM,SUP247211_A4649_272,Noncdm Charge Record Medical Supplies,20.7,8.07,,,0
CDM,SUP247220,Noncdm Charge Record Medical Supplies,11600.28,4524.11,,,0
CDM,SUP247272_272,Noncdm Charge Record Medical Supplies,2649.66,1033.37,,,0
CDM,SUP247272_A4649_272,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP247273_C1732_278,Noncdm Charge Record Medical Supplies,42988.72,16765.6,,,0
CDM,SUP247273_C1733_272,Noncdm Charge Record Medical Supplies,37819.06,14749.43,,,0
CDM,SUP247273_C1733_278,Noncdm Charge Record Medical Supplies,28218.24,11005.11,,,0
CDM,SUP247273_C1886_278,Noncdm Charge Record Medical Supplies,42988.72,16765.6,,,0
CDM,SUP247274,Noncdm Charge Record Medical Supplies,8171.67,3186.95,,,0
CDM,SUP247275,Noncdm Charge Record Medical Supplies,5290.92,2063.46,,,0
CDM,SUP247282,Noncdm Charge Record Medical Supplies,455.4,177.61,,,0
CDM,SUP247296,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP247308,Noncdm Charge Record Medical Supplies,1218.2,475.1,,,0
CDM,SUP247309,Noncdm Charge Record Medical Supplies,1204.74,469.85,,,0
CDM,SUP247310,Noncdm Charge Record Medical Supplies,871.47,339.87,,,0
CDM,SUP247319,Noncdm Charge Record Medical Supplies,2618.55,1021.23,,,0
CDM,SUP247321,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP247322,Noncdm Charge Record Medical Supplies,2361.87,921.13,,,0
CDM,SUP247324,Noncdm Charge Record Medical Supplies,1635.3,637.77,,,0
CDM,SUP247330,Noncdm Charge Record Medical Supplies,181.12,70.64,,,0
CDM,SUP247334,Noncdm Charge Record Medical Supplies,7588.62,2959.56,,,0
CDM,SUP247335,Noncdm Charge Record Medical Supplies,7588.1,2959.36,,,0
CDM,SUP247340,Noncdm Charge Record Medical Supplies,2369.11,923.95,,,0
CDM,SUP247360,Noncdm Charge Record Medical Supplies,1566.99,611.13,,,0
CDM,SUP247361,Noncdm Charge Record Medical Supplies,1457.28,568.34,,,0
CDM,SUP247362,Noncdm Charge Record Medical Supplies,1449.0,565.11,,,0
CDM,SUP247384,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP247385,Noncdm Charge Record Medical Supplies,2361.87,921.13,,,0
CDM,SUP247388,Noncdm Charge Record Medical Supplies,1635.3,637.77,,,0
CDM,SUP247401,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP247402,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP247411,Noncdm Charge Record Medical Supplies,217.35,84.77,,,0
CDM,SUP247415,Noncdm Charge Record Medical Supplies,73.48,28.66,,,0
CDM,SUP247416,Noncdm Charge Record Medical Supplies,254.61,99.3,,,0
CDM,SUP247417,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP247418,Noncdm Charge Record Medical Supplies,7632.09,2976.52,,,0
CDM,SUP247419,Noncdm Charge Record Medical Supplies,13426.02,5236.15,,,0
CDM,SUP247420,Noncdm Charge Record Medical Supplies,73.48,28.66,,,0
CDM,SUP247421,Noncdm Charge Record Medical Supplies,254.61,99.3,,,0
CDM,SUP247422,Noncdm Charge Record Medical Supplies,254.61,99.3,,,0
CDM,SUP247423,Noncdm Charge Record Medical Supplies,5727.69,2233.8,,,0
CDM,SUP247424,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP247434,Noncdm Charge Record Medical Supplies,9.32,3.63,,,0
CDM,SUP247437,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP247447,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP2475,Noncdm Charge Record Medical Supplies,61.06,23.81,,,0
CDM,SUP247505,Noncdm Charge Record Medical Supplies,44.5,17.36,,,0
CDM,SUP247507,Noncdm Charge Record Medical Supplies,495.76,193.35,,,0
CDM,SUP247514,Noncdm Charge Record Medical Supplies,1077.44,420.2,,,0
CDM,SUP247518,Noncdm Charge Record Medical Supplies,2575.08,1004.28,,,0
CDM,SUP247520,Noncdm Charge Record Medical Supplies,102.46,39.96,,,0
CDM,SUP247522,Noncdm Charge Record Medical Supplies,44.5,17.36,,,0
CDM,SUP247524,Noncdm Charge Record Medical Supplies,283.93,110.73,,,0
CDM,SUP247526,Noncdm Charge Record Medical Supplies,2124.86,828.7,,,0
CDM,SUP247527,Noncdm Charge Record Medical Supplies,284.11,110.8,,,0
CDM,SUP247534,Noncdm Charge Record Medical Supplies,5710.1,2226.94,,,0
CDM,SUP247535,Noncdm Charge Record Medical Supplies,44.5,17.36,,,0
CDM,SUP247538,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP247539,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP247542,Noncdm Charge Record Medical Supplies,44.5,17.36,,,0
CDM,SUP247543,Noncdm Charge Record Medical Supplies,142.31,55.5,,,0
CDM,SUP247549,Noncdm Charge Record Medical Supplies,31.05,12.11,,,0
CDM,SUP247554,Noncdm Charge Record Medical Supplies,73.48,28.66,,,0
CDM,SUP247560,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP247561,Noncdm Charge Record Medical Supplies,44.5,17.36,,,0
CDM,SUP247565,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP247566,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP247590,Noncdm Charge Record Medical Supplies,44.5,17.36,,,0
CDM,SUP247591,Noncdm Charge Record Medical Supplies,2491.24,971.58,,,0
CDM,SUP247592,Noncdm Charge Record Medical Supplies,7187.04,2802.95,,,0
CDM,SUP247596,Noncdm Charge Record Medical Supplies,220.46,85.98,,,0
CDM,SUP247597,Noncdm Charge Record Medical Supplies,856.98,334.22,,,0
CDM,SUP247598,Noncdm Charge Record Medical Supplies,1052.6,410.51,,,0
CDM,SUP247599,Noncdm Charge Record Medical Supplies,330.16,128.76,,,0
CDM,SUP247600,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP247601,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP247602,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP247605,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP247608,Noncdm Charge Record Medical Supplies,856.98,334.22,,,0
CDM,SUP247620,Noncdm Charge Record Medical Supplies,4409.1,1719.55,,,0
CDM,SUP247629,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP24764,Noncdm Charge Record Medical Supplies - Screw 6Mm Lck W T25 72Mm Strl Ti Stardr F- Im Nails,922.18,359.65,,,0
CDM,SUP247651,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP247657,Noncdm Charge Record Medical Supplies,648.95,253.09,,,0
CDM,SUP247660,Noncdm Charge Record Medical Supplies,231.84,90.42,,,0
CDM,SUP247663,Noncdm Charge Record Medical Supplies,124.2,48.44,,,0
CDM,SUP247669,Noncdm Charge Record Medical Supplies,133.51,52.07,,,0
CDM,SUP247670,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP247671,Noncdm Charge Record Medical Supplies,5952.28,2321.39,,,0
CDM,SUP247672,Noncdm Charge Record Medical Supplies,1566.99,611.13,,,0
CDM,SUP247673,Noncdm Charge Record Medical Supplies,1449.0,565.11,,,0
CDM,SUP247674,Noncdm Charge Record Medical Supplies,308.69,120.39,,,0
CDM,SUP247676,Noncdm Charge Record Medical Supplies,308.69,120.39,,,0
CDM,SUP247677,Noncdm Charge Record Medical Supplies,2301.84,897.72,,,0
CDM,SUP247678,Noncdm Charge Record Medical Supplies,308.95,120.49,,,0
CDM,SUP247682,Noncdm Charge Record Medical Supplies,10.35,4.04,,,0
CDM,SUP247688,Noncdm Charge Record Medical Supplies,2065.86,805.69,,,0
CDM,SUP247689,Noncdm Charge Record Medical Supplies,75.56,29.47,,,0
CDM,SUP247691,Noncdm Charge Record Medical Supplies,107.64,41.98,,,0
CDM,SUP247692,Noncdm Charge Record Medical Supplies,426.42,166.3,,,0
CDM,SUP247695,Noncdm Charge Record Medical Supplies,79.69,31.08,,,0
CDM,SUP247696,Noncdm Charge Record Medical Supplies,426.42,166.3,,,0
CDM,SUP2477,Noncdm Charge Record Medical Supplies - Shoe Lg M-F Pat Postop Remove Insl Hook Loop,65.2,25.43,,,0
CDM,SUP247700,Noncdm Charge Record Medical Supplies,203.9,79.52,,,0
CDM,SUP247703,Noncdm Charge Record Medical Supplies,44.5,17.36,,,0
CDM,SUP247705,Noncdm Charge Record Medical Supplies,153.18,59.74,,,0
CDM,SUP247721,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP247737,Noncdm Charge Record Medical Supplies,1687.05,657.95,,,0
CDM,SUP247743,Noncdm Charge Record Medical Supplies,57.96,22.6,,,0
CDM,SUP247750,Noncdm Charge Record Medical Supplies,1101.24,429.48,,,0
CDM,SUP247751,Noncdm Charge Record Medical Supplies,30.02,11.71,,,0
CDM,SUP247754,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP247766,Noncdm Charge Record Medical Supplies,593.05,231.29,,,0
CDM,SUP24777,Noncdm Charge Record Medical Supplies - Screw 7.3Mm Cannula 135Mm Fully Thrd-Strl,1022.58,398.81,,,0
CDM,SUP247774,Noncdm Charge Record Medical Supplies,47188.76,18403.62,,,0
CDM,SUP247786,Noncdm Charge Record Medical Supplies,45588.64,17779.57,,,0
CDM,SUP24779,Noncdm Charge Record Medical Supplies - Screw 7.3Mm Cannula 145Mm Fully Thrd-Strl,1399.32,545.73,,,0
CDM,SUP24780,Noncdm Charge Record Medical Supplies - Screw 7.3Mm Cannula 150Mm Fully Thrd-Strl,1399.32,545.73,,,0
CDM,SUP247800,Noncdm Charge Record Medical Supplies,89.01,34.71,,,0
CDM,SUP24781,Noncdm Charge Record Medical Supplies - Screw 7.3Mm Cannula 155Mm Fully Thrd-Strl,1399.32,545.73,,,0
CDM,SUP247810,Noncdm Charge Record Medical Supplies,10.35,4.04,,,0
CDM,SUP247814,Noncdm Charge Record Medical Supplies,107.64,41.98,,,0
CDM,SUP247817,Noncdm Charge Record Medical Supplies,12.42,4.84,,,0
CDM,SUP24782,Noncdm Charge Record Medical Supplies - Screw 7.3Mm Cannula 160Mm Fully Thrd-Strl,1399.32,545.73,,,0
CDM,SUP247820,Noncdm Charge Record Medical Supplies,1060.88,413.74,,,0
CDM,SUP247842,Noncdm Charge Record Medical Supplies,1173.69,457.74,,,0
CDM,SUP247844,Noncdm Charge Record Medical Supplies,20.29,7.91,,,0
CDM,SUP247874,Noncdm Charge Record Medical Supplies,936.68,365.31,,,0
CDM,SUP247878,Noncdm Charge Record Medical Supplies,1933.38,754.02,,,0
CDM,SUP247919,Noncdm Charge Record Medical Supplies,1884.74,735.05,,,0
CDM,SUP247949,Noncdm Charge Record Medical Supplies,53.82,20.99,,,0
CDM,SUP247962,Noncdm Charge Record Medical Supplies,242.19,94.45,,,0
CDM,SUP248017,Noncdm Charge Record Medical Supplies,1718.1,670.06,,,0
CDM,SUP248027,Noncdm Charge Record Medical Supplies,65.2,25.43,,,0
CDM,SUP248062,Noncdm Charge Record Medical Supplies,254.61,99.3,,,0
CDM,SUP248075,Noncdm Charge Record Medical Supplies,326.02,127.15,,,0
CDM,SUP248083,Noncdm Charge Record Medical Supplies,122.13,47.63,,,0
CDM,SUP248113,Noncdm Charge Record Medical Supplies,19.66,7.67,,,0
CDM,SUP248129,Noncdm Charge Record Medical Supplies,131.44,51.26,,,0
CDM,SUP248131,Noncdm Charge Record Medical Supplies,5.18,2.02,,,0
CDM,SUP24815,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm Cort St 10Mm W T8 Stardr Recess,252.28,98.39,,,0
CDM,SUP24818,Noncdm Charge Record Medical Supplies - Screw 2.4Mm Cort St 20Mm T8 W T8 Stardr Recess,252.24,98.37,,,0
CDM,SUP248184_272,Noncdm Charge Record Medical Supplies,685.17,267.22,,,0
CDM,SUP248184_A4649_272,Noncdm Charge Record Medical Supplies,685.17,267.22,,,0
CDM,SUP2481_272,Noncdm Charge Record Medical Supplies - Needle Bx 20Ga 16-13.8Cm Mxcor,129.34,50.44,,,0
CDM,SUP2481_A4649_272,Noncdm Charge Record Medical Supplies - Needle Bx 20Ga 16-13.8Cm Mxcor,129.38,50.46,,,0
CDM,SUP2481_A9999_272,Noncdm Charge Record Medical Supplies - Needle Bx 20Ga 16-13.8Cm Mxcor,129.38,50.46,,,0
CDM,SUP248201,Noncdm Charge Record Medical Supplies,107.64,41.98,,,0
CDM,SUP248204,Noncdm Charge Record Medical Supplies,1454.18,567.13,,,0
CDM,SUP24822,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm Cort St 40Mm W T8 Stardr Recess,252.72,98.56,,,0
CDM,SUP248226,Noncdm Charge Record Medical Supplies,54380.97,21208.58,,,0
CDM,SUP248243_270,Noncdm Charge Record Medical Supplies,8.28,3.23,,,0
CDM,SUP248243_A4649_270,Noncdm Charge Record Medical Supplies,8.28,3.23,,,0
CDM,SUP248273,Noncdm Charge Record Medical Supplies,27.94,10.9,,,0
CDM,SUP2482_272,Noncdm Charge Record Medical Supplies - Needle Bx 18Ga 16Cm Mxcor Ul,128.35,50.06,,,0
CDM,SUP2482_A4649_272,Noncdm Charge Record Medical Supplies - Needle Bx 18Ga 16Cm Mxcor Ul,128.34,50.05,,,0
CDM,SUP2482_A9999_272,Noncdm Charge Record Medical Supplies - Needle Bx 18Ga 16Cm Mxcor Ul,128.34,50.05,,,0
CDM,SUP2483,Noncdm Charge Record Medical Supplies - Guidewire Endo Jag .025In,836.28,326.15,,,0
CDM,SUP248319,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP24833,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm L-T 20Mm Cannula,664.47,259.14,,,0
CDM,SUP248341,Noncdm Charge Record Medical Supplies,141.79,55.3,,,0
CDM,SUP248361,Noncdm Charge Record Medical Supplies,15.52,6.05,,,0
CDM,SUP248363,Noncdm Charge Record Medical Supplies,196.65,76.69,,,0
CDM,SUP248383,Noncdm Charge Record Medical Supplies,8.28,3.23,,,0
CDM,SUP248409,Noncdm Charge Record Medical Supplies,46.58,18.17,,,0
CDM,SUP248428,Noncdm Charge Record Medical Supplies,57.9,22.58,,,0
CDM,SUP248435,Noncdm Charge Record Medical Supplies,85.9,33.5,,,0
CDM,SUP24844,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm Sh Thrd 24Mm Cannula,664.47,259.14,,,0
CDM,SUP24845,Noncdm Charge Record Medical Supplies,865.78,337.65,,,0
CDM,SUP248453,Noncdm Charge Record Medical Supplies,7.24,2.82,,,0
CDM,SUP248472,Noncdm Charge Record Medical Supplies,323.44,126.14,,,0
CDM,SUP248478,Noncdm Charge Record Medical Supplies,279.45,108.99,,,0
CDM,SUP24848,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm St P-T 10Mm Stardr Recess St,513.36,200.21,,,0
CDM,SUP24849,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm St P-T 20Mm Stardr Recess St,513.36,200.21,,,0
CDM,SUP2485,Noncdm Charge Record Medical Supplies - Tube Feeding Mic G 22Fr Silicone Balloon,191.48,74.68,,,0
CDM,SUP24850,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm Cort 10Mm W Stardr Recess St,184.23,71.85,,,0
CDM,SUP248502,Noncdm Charge Record Medical Supplies,8.28,3.23,,,0
CDM,SUP24851,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm Cort 20Mm W Stardr Recess St,182.74,71.27,,,0
CDM,SUP24852,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm Cort 30Mm W Stardr Recess St,180.83,70.52,,,0
CDM,SUP24853,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm Cort 40Mm W Stardr Recess St,184.23,71.85,,,0
CDM,SUP248531,Noncdm Charge Record Medical Supplies,613.76,239.37,,,0
CDM,SUP248532,Noncdm Charge Record Medical Supplies,95.22,37.14,,,0
CDM,SUP24855,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm St Cort 40Mm,199.24,77.7,,,0
CDM,SUP248559,Noncdm Charge Record Medical Supplies,2854.53,1113.27,,,0
CDM,SUP248578,Noncdm Charge Record Medical Supplies,95.22,37.14,,,0
CDM,SUP24858,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm St Cort 50Mm,192.31,75.0,,,0
CDM,SUP2486,Noncdm Charge Record Medical Supplies - Tube Gastro Entr Feed Mic 57.9Cm 7-10Ml Bal 20Fr,834.21,325.34,,,0
CDM,SUP24861_C1713_278,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm St Lck 10Mm W T8 Stardr Recess,509.22,198.6,,,0
CDM,SUP24861_L8699_278,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm St Lck 10Mm W T8 Stardr Recess,477.14,186.08,,,0
CDM,SUP24862,Noncdm Charge Record Medical Supplies,524.74,204.65,,,0
CDM,SUP24864,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm St Lck 30Mm W T8 Stardr Recess,524.74,204.65,,,0
CDM,SUP248699,Noncdm Charge Record Medical Supplies,12.42,4.84,,,0
CDM,SUP248703,Noncdm Charge Record Medical Supplies,115.92,45.21,,,0
CDM,SUP248721,Noncdm Charge Record Medical Supplies,154.22,60.15,,,0
CDM,SUP248730,Noncdm Charge Record Medical Supplies,97.29,37.94,,,0
CDM,SUP248754,Noncdm Charge Record Medical Supplies,95.74,37.34,,,0
CDM,SUP248807,Noncdm Charge Record Medical Supplies,2.07,0.81,,,0
CDM,SUP24883,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 100Mm Pelvic St Cort,150.76,58.8,,,0
CDM,SUP24884,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 105Mm Pelvic St Cort,163.53,63.78,,,0
CDM,SUP24886,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 110Mm Pelvic St Cort,163.53,63.78,,,0
CDM,SUP24887,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 120Mm Pelvic St Cort,159.27,62.12,,,0
CDM,SUP24888,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 125Mm Pelvic St Cort,163.53,63.78,,,0
CDM,SUP248880,Noncdm Charge Record Medical Supplies,216.32,84.36,,,0
CDM,SUP248881,Noncdm Charge Record Medical Supplies,3376.17,1316.71,,,0
CDM,SUP24890,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 135Mm Pelvic St Cort,402.62,157.02,,,0
CDM,SUP24892,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 150Mm Pelvic St Cort,488.65,190.57,,,0
CDM,SUP248928,Noncdm Charge Record Medical Supplies,370.53,144.51,,,0
CDM,SUP248932,Noncdm Charge Record Medical Supplies,33.95,13.24,,,0
CDM,SUP248949,Noncdm Charge Record Medical Supplies,126829.94,49463.68,,,0
CDM,SUP248958,Noncdm Charge Record Medical Supplies,440.91,171.95,,,0
CDM,SUP248962_272,Noncdm Charge Record Medical Supplies,71.42,27.85,,,0
CDM,SUP248962_A4649_272,Noncdm Charge Record Medical Supplies,71.42,27.85,,,0
CDM,SUP248977,Noncdm Charge Record Medical Supplies,322.92,125.94,,,0
CDM,SUP248978,Noncdm Charge Record Medical Supplies,10.56,4.12,,,0
CDM,SUP24899,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 34Mm Ft Cannula,623.07,243.0,,,0
CDM,SUP249008,Noncdm Charge Record Medical Supplies,36.05,14.06,,,0
CDM,SUP249023,Noncdm Charge Record Medical Supplies,1458.32,568.74,,,0
CDM,SUP249027,Noncdm Charge Record Medical Supplies,685.17,267.22,,,0
CDM,SUP249049,Noncdm Charge Record Medical Supplies,440.91,171.95,,,0
CDM,SUP24905,Noncdm Charge Record Medical Supplies,623.07,243.0,,,0
CDM,SUP249059,Noncdm Charge Record Medical Supplies,773.66,301.73,,,0
CDM,SUP249076,Noncdm Charge Record Medical Supplies,1732.59,675.71,,,0
CDM,SUP249086,Noncdm Charge Record Medical Supplies,4.66,1.82,,,0
CDM,SUP249087,Noncdm Charge Record Medical Supplies,25.36,9.89,,,0
CDM,SUP24909,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 50Mm Ft Cannula,623.07,243.0,,,0
CDM,SUP2491,Noncdm Charge Record Medical Supplies - Tube 74Mm 6.4Mm Uncuf Nfen Inr Cannula Shly,158.35,61.76,,,0
CDM,SUP24911,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 65Mm Pelvic St Cort,163.53,63.78,,,0
CDM,SUP24912,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 70Mm Pelvic St Cort,163.53,63.78,,,0
CDM,SUP24913,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 75Mm Pelvic St Cort,163.53,63.78,,,0
CDM,SUP249136,Noncdm Charge Record Medical Supplies,8.28,3.23,,,0
CDM,SUP24914,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 85Mm Pelvic St Cort,163.53,63.78,,,0
CDM,SUP24915,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 90Mm Pelvic St Cort,163.53,63.78,,,0
CDM,SUP249159,Noncdm Charge Record Medical Supplies,3371.0,1314.69,,,0
CDM,SUP24917,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm Cort St 100Mm,127.82,49.85,,,0
CDM,SUP249172,Noncdm Charge Record Medical Supplies,70.38,27.45,,,0
CDM,SUP24918,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm Cort St 10Mm,126.8,49.45,,,0
CDM,SUP249181,Noncdm Charge Record Medical Supplies,9052.11,3530.32,,,0
CDM,SUP24919,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm Cort St 110Mm,94.18,36.73,,,0
CDM,SUP24920,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm Cort St 90Mm,125.75,49.04,,,0
CDM,SUP249237,Noncdm Charge Record Medical Supplies,37.26,14.53,,,0
CDM,SUP249262,Noncdm Charge Record Medical Supplies,8.28,3.23,,,0
CDM,SUP249271,Noncdm Charge Record Medical Supplies,274.27,106.97,,,0
CDM,SUP249298,Noncdm Charge Record Medical Supplies,65.2,25.43,,,0
CDM,SUP2493,Noncdm Charge Record Medical Supplies - Ear Tube Ventilated 4.8L X 1.32Mm Richard Olympus America In,117.01,45.63,,,0
CDM,SUP249338,Noncdm Charge Record Medical Supplies,70.38,27.45,,,0
CDM,SUP249340,Noncdm Charge Record Medical Supplies,132.48,51.67,,,0
CDM,SUP249345,Noncdm Charge Record Medical Supplies,279.45,108.99,,,0
CDM,SUP249381,Noncdm Charge Record Medical Supplies,48.64,18.97,,,0
CDM,SUP249392,Noncdm Charge Record Medical Supplies,48.64,18.97,,,0
CDM,SUP249394,Noncdm Charge Record Medical Supplies,8.69,3.39,,,0
CDM,SUP249420,Noncdm Charge Record Medical Supplies,107.64,41.98,,,0
CDM,SUP249433,Noncdm Charge Record Medical Supplies,11.38,4.44,,,0
CDM,SUP249440,Noncdm Charge Record Medical Supplies,21.74,8.48,,,0
CDM,SUP249445,Noncdm Charge Record Medical Supplies,1.81,0.71,,,0
CDM,SUP249464,Noncdm Charge Record Medical Supplies,176.98,69.02,,,0
CDM,SUP249542,Noncdm Charge Record Medical Supplies,195.62,76.29,,,0
CDM,SUP249547,Noncdm Charge Record Medical Supplies,133.51,52.07,,,0
CDM,SUP249558,Noncdm Charge Record Medical Supplies,281.52,109.79,,,0
CDM,SUP2496,Noncdm Charge Record Medical Supplies - See 30697 Catheter Urethral Latex 2Way 5Cc 20Fr,60.51,23.6,,,0
CDM,SUP249623,Noncdm Charge Record Medical Supplies,514.4,200.62,,,0
CDM,SUP249658,Noncdm Charge Record Medical Supplies,6.51,2.54,,,0
CDM,SUP249672,Noncdm Charge Record Medical Supplies,2748.96,1072.09,,,0
CDM,SUP249702,Noncdm Charge Record Medical Supplies,22.77,8.88,,,0
CDM,SUP249737,Noncdm Charge Record Medical Supplies,122.13,47.63,,,0
CDM,SUP249758,Noncdm Charge Record Medical Supplies,122.13,47.63,,,0
CDM,SUP249773,Noncdm Charge Record Medical Supplies,99.52,38.81,,,0
CDM,SUP2498,Noncdm Charge Record Medical Supplies - Catheter Ureth Bdx Ic 16Fr,60.03,23.41,,,0
CDM,SUP249801,Noncdm Charge Record Medical Supplies,16.56,6.46,,,0
CDM,SUP249805,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP249807,Noncdm Charge Record Medical Supplies,26.91,10.49,,,0
CDM,SUP249809,Noncdm Charge Record Medical Supplies,83.84,32.7,,,0
CDM,SUP249832,Noncdm Charge Record Medical Supplies,8.8,3.43,,,0
CDM,SUP249841,Noncdm Charge Record Medical Supplies,3.1,1.21,,,0
CDM,SUP249843,Noncdm Charge Record Medical Supplies,184.23,71.85,,,0
CDM,SUP249849,Noncdm Charge Record Medical Supplies,175.95,68.62,,,0
CDM,SUP249854,Noncdm Charge Record Medical Supplies,47.61,18.57,,,0
CDM,SUP249861,Noncdm Charge Record Medical Supplies,416.07,162.27,,,0
CDM,SUP249899,Noncdm Charge Record Medical Supplies,9.32,3.63,,,0
CDM,SUP2499,Noncdm Charge Record Medical Supplies - Catheter Ureth Bdx Ic 14Fr,60.03,23.41,,,0
CDM,SUP24990,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm Ft 30Mm Cannula,687.24,268.02,,,0
CDM,SUP24991,Noncdm Charge Record Medical Supplies,913.9,356.42,,,0
CDM,SUP24992,Noncdm Charge Record Medical Supplies,687.24,268.02,,,0
CDM,SUP249923,Noncdm Charge Record Medical Supplies,3681.5,1435.78,,,0
CDM,SUP249928,Noncdm Charge Record Medical Supplies,4809.65,1875.76,,,0
CDM,SUP24993,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm Ft 40Mm Cannula,687.24,268.02,,,0
CDM,SUP249947,Noncdm Charge Record Medical Supplies,537.16,209.49,,,0
CDM,SUP249954_272,Noncdm Charge Record Medical Supplies,13.11,5.11,,,0
CDM,SUP249954_A4649_272,Noncdm Charge Record Medical Supplies,13.46,5.25,,,0
CDM,SUP249962,Noncdm Charge Record Medical Supplies,48.64,18.97,,,0
CDM,SUP25001,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm Ft 72Mm Cannula,687.24,268.02,,,0
CDM,SUP250020_272,Noncdm Charge Record Medical Supplies,46.58,18.17,,,0
CDM,SUP250020_C1887_272,Noncdm Charge Record Medical Supplies,47.52,18.53,,,0
CDM,SUP250021,Noncdm Charge Record Medical Supplies,5.18,2.02,,,0
CDM,SUP250025,Noncdm Charge Record Medical Supplies,763.83,297.89,,,0
CDM,SUP250051,Noncdm Charge Record Medical Supplies,103.5,40.36,,,0
CDM,SUP250057,Noncdm Charge Record Medical Supplies,56.92,22.2,,,0
CDM,SUP250076,Noncdm Charge Record Medical Supplies,15.52,6.05,,,0
CDM,SUP250086_C1786_275,Noncdm Charge Record Medical Supplies,45483.08,17738.4,,,0
CDM,SUP250086_C1786_278,Noncdm Charge Record Medical Supplies,45483.08,17738.4,,,0
CDM,SUP250093,Noncdm Charge Record Medical Supplies,72.45,28.26,,,0
CDM,SUP250101,Noncdm Charge Record Medical Supplies,27.43,10.7,,,0
CDM,SUP250120,Noncdm Charge Record Medical Supplies,676.11,263.68,,,0
CDM,SUP250127,Noncdm Charge Record Medical Supplies,796.95,310.81,,,0
CDM,SUP250145,Noncdm Charge Record Medical Supplies,16.56,6.46,,,0
CDM,SUP25016,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm Troc Pt 175Mm Schnz Blnt,438.32,170.94,,,0
CDM,SUP25020,Noncdm Charge Record Medical Supplies - Screw Bn 40Mm Thrd 175Mm Schnz 4Mm,691.1,269.53,,,0
CDM,SUP25022,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 10Mm Canc Ft,155.25,60.55,,,0
CDM,SUP25023,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 20Mm Canc Ft,127.02,49.54,,,0
CDM,SUP25024,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 30Mm Canc Ft,116.44,45.41,,,0
CDM,SUP25028,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 40Mm Canc Ft,145.55,56.76,,,0
CDM,SUP25029,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 50Mm Canc Ft,149.71,58.39,,,0
CDM,SUP2503,Noncdm Charge Record Medical Supplies - Graft Cv 40Cm 18X9Mm 2 Vlr,3560.4,1388.56,,,0
CDM,SUP25031,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 60Mm Canc Ft,155.25,60.55,,,0
CDM,SUP250310,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP250329,Noncdm Charge Record Medical Supplies,6.21,2.42,,,0
CDM,SUP250336,Noncdm Charge Record Medical Supplies,2389.82,932.03,,,0
CDM,SUP250349,Noncdm Charge Record Medical Supplies,122.13,47.63,,,0
CDM,SUP250398,Noncdm Charge Record Medical Supplies,199.76,77.91,,,0
CDM,SUP250408,Noncdm Charge Record Medical Supplies,440.91,171.95,,,0
CDM,SUP25041,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 40Mm Thrd 125Mm Self Drill Schnz 5Mm,611.17,238.36,,,0
CDM,SUP250412,Noncdm Charge Record Medical Supplies,3346.16,1305.0,,,0
CDM,SUP250472,Noncdm Charge Record Medical Supplies,9.32,3.63,,,0
CDM,SUP250477,Noncdm Charge Record Medical Supplies,323.26,126.07,,,0
CDM,SUP250485,Noncdm Charge Record Medical Supplies,11.38,4.44,,,0
CDM,SUP250496,Noncdm Charge Record Medical Supplies,195.62,76.29,,,0
CDM,SUP2505,Noncdm Charge Record Medical Supplies - Graft Cv 40Cm 16X8Mm 2 Vlr,3502.18,1365.85,,,0
CDM,SUP250512,Noncdm Charge Record Medical Supplies,529.92,206.67,,,0
CDM,SUP250525_272,Noncdm Charge Record Medical Supplies,6613.65,2579.32,,,0
CDM,SUP250525_A4649_272,Noncdm Charge Record Medical Supplies,6613.65,2579.32,,,0
CDM,SUP250528,Noncdm Charge Record Medical Supplies,35.19,13.72,,,0
CDM,SUP250567,Noncdm Charge Record Medical Supplies,279.45,108.99,,,0
CDM,SUP250569,Noncdm Charge Record Medical Supplies,8700.21,3393.08,,,0
CDM,SUP25057,Noncdm Charge Record Medical Supplies,421.76,164.49,,,0
CDM,SUP25059,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm Schnz 150Mm Blnt Troc Pt Spd Pt,342.17,133.45,,,0
CDM,SUP25060,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm Schnz 170Mm Blnt Troc Pt Spd Pt,465.34,181.48,,,0
CDM,SUP250604,Noncdm Charge Record Medical Supplies,2844.18,1109.23,,,0
CDM,SUP250605,Noncdm Charge Record Medical Supplies,71.42,27.85,,,0
CDM,SUP25061,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm Schnz 200Mm Blnt Troc Pt Spd Pt,388.05,151.34,,,0
CDM,SUP25063,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 16Mm 105Mm Thrd Cannula,844.56,329.38,,,0
CDM,SUP250633,Noncdm Charge Record Medical Supplies,21.74,8.48,,,0
CDM,SUP25064,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 16Mm 110Mm Thrd Cannula,844.56,329.38,,,0
CDM,SUP250641,Noncdm Charge Record Medical Supplies,148.0,57.72,,,0
CDM,SUP250652,Noncdm Charge Record Medical Supplies,31.05,12.11,,,0
CDM,SUP25067,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 16Mm 130Mm Thrd Cannula,844.56,329.38,,,0
CDM,SUP250681,Noncdm Charge Record Medical Supplies,44.5,17.36,,,0
CDM,SUP250693,Noncdm Charge Record Medical Supplies,7.24,2.82,,,0
CDM,SUP2507,Noncdm Charge Record Medical Supplies - Device Spec Ret Rtht 2.5Mm 230 230Cm 6X3Cm,416.07,162.27,,,0
CDM,SUP250789,Noncdm Charge Record Medical Supplies,195.62,76.29,,,0
CDM,SUP25079,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 16Mm Thrd 75Mm Cannula,943.92,368.13,,,0
CDM,SUP25080,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 16Mm Thrd 85Mm Cannula,844.04,329.18,,,0
CDM,SUP25081,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 16Mm Thrd 90Mm Cannula,844.56,329.38,,,0
CDM,SUP25082,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 16Mm Thrd 95Mm Cannula,844.56,329.38,,,0
CDM,SUP250829,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP250832,Noncdm Charge Record Medical Supplies,215.28,83.96,,,0
CDM,SUP25084,Noncdm Charge Record Medical Supplies,156.28,60.95,,,0
CDM,SUP2509,Noncdm Charge Record Medical Supplies - Tube Feeding Mic-Key G Low Profile 2.5 Stoma,531.99,207.48,,,0
CDM,SUP250930,Noncdm Charge Record Medical Supplies,1042.24,406.47,,,0
CDM,SUP250937,Noncdm Charge Record Medical Supplies,765.9,298.7,,,0
CDM,SUP250945,Noncdm Charge Record Medical Supplies,9.83,3.83,,,0
CDM,SUP25096,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 32Mm 70Mm Canc Thrd,294.98,115.04,,,0
CDM,SUP250961,Noncdm Charge Record Medical Supplies,1103.31,430.29,,,0
CDM,SUP250987,Noncdm Charge Record Medical Supplies,279.45,108.99,,,0
CDM,SUP250996,Noncdm Charge Record Medical Supplies,2746.89,1071.29,,,0
CDM,SUP251066,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP251081,Noncdm Charge Record Medical Supplies,78.66,30.68,,,0
CDM,SUP251096,Noncdm Charge Record Medical Supplies,1073.3,418.59,,,0
CDM,SUP251103,Noncdm Charge Record Medical Supplies,8216.86,3204.58,,,0
CDM,SUP25112,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 16Mm Thrd 100Mm Cannula,1037.76,404.73,,,0
CDM,SUP251145,Noncdm Charge Record Medical Supplies,28.98,11.3,,,0
CDM,SUP251148,Noncdm Charge Record Medical Supplies,1061.39,413.94,,,0
CDM,SUP251153,Noncdm Charge Record Medical Supplies,215.28,83.96,,,0
CDM,SUP251154,Noncdm Charge Record Medical Supplies,22.77,8.88,,,0
CDM,SUP251157,Noncdm Charge Record Medical Supplies,9.32,3.63,,,0
CDM,SUP251158,Noncdm Charge Record Medical Supplies,141.79,55.3,,,0
CDM,SUP251160,Noncdm Charge Record Medical Supplies,33.64,13.12,,,0
CDM,SUP251161,Noncdm Charge Record Medical Supplies,43.88,17.11,,,0
CDM,SUP251162,Noncdm Charge Record Medical Supplies,110.54,43.11,,,0
CDM,SUP251163,Noncdm Charge Record Medical Supplies,11.38,4.44,,,0
CDM,SUP251166,Noncdm Charge Record Medical Supplies,141.79,55.3,,,0
CDM,SUP251174,Noncdm Charge Record Medical Supplies,21.39,8.34,,,0
CDM,SUP251188,Noncdm Charge Record Medical Supplies,1566.99,611.13,,,0
CDM,SUP251189,Noncdm Charge Record Medical Supplies,1449.0,565.11,,,0
CDM,SUP251194,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP251198,Noncdm Charge Record Medical Supplies,7.24,2.82,,,0
CDM,SUP251200,Noncdm Charge Record Medical Supplies,10.35,4.04,,,0
CDM,SUP251204,Noncdm Charge Record Medical Supplies,7.24,2.82,,,0
CDM,SUP251233,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP251234,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP251236,Noncdm Charge Record Medical Supplies,122.13,47.63,,,0
CDM,SUP251243,Noncdm Charge Record Medical Supplies,28.98,11.3,,,0
CDM,SUP251251,Noncdm Charge Record Medical Supplies,1561.82,609.11,,,0
CDM,SUP251264,Noncdm Charge Record Medical Supplies,1930.28,752.81,,,0
CDM,SUP251265,Noncdm Charge Record Medical Supplies,495.76,193.35,,,0
CDM,SUP25127,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 32Mm Thrd 110Mm Cannula,839.38,327.36,,,0
CDM,SUP251270,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP251286,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP251287,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP251288,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP251290,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP2512_272,Noncdm Charge Record Medical Supplies - Passer Surg 38Cm Ss Polypro Cath Remove,626.98,244.52,,,0
CDM,SUP2512_A4649_272,Noncdm Charge Record Medical Supplies - Passer Surg 38Cm Ss Polypro Cath Remove,607.34,236.86,,,0
CDM,SUP2512_A9999_272,Noncdm Charge Record Medical Supplies - Passer Surg 38Cm Ss Polypro Cath Remove,504.04,196.58,,,0
CDM,SUP2513,Noncdm Charge Record Medical Supplies,1977.88,771.37,,,0
CDM,SUP25130,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 32Mm Thrd 130Mm Cannula,839.38,327.36,,,0
CDM,SUP251300,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP25131,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 32Mm Thrd 140Mm Cannula,1136.43,443.21,,,0
CDM,SUP251316,Noncdm Charge Record Medical Supplies,14.49,5.65,,,0
CDM,SUP251319,Noncdm Charge Record Medical Supplies,2390.8,932.41,,,0
CDM,SUP25132,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 32Mm Thrd 150Mm Cannula,839.38,327.36,,,0
CDM,SUP251321,Noncdm Charge Record Medical Supplies,21.35,8.33,,,0
CDM,SUP251334,Noncdm Charge Record Medical Supplies,141.79,55.3,,,0
CDM,SUP251335,Noncdm Charge Record Medical Supplies,142.31,55.5,,,0
CDM,SUP251340,Noncdm Charge Record Medical Supplies,2468.48,962.71,,,0
CDM,SUP251349,Noncdm Charge Record Medical Supplies,1.03,0.4,,,0
CDM,SUP25136,Noncdm Charge Record Medical Supplies,1175.76,458.55,,,0
CDM,SUP251361,Noncdm Charge Record Medical Supplies,1958.22,763.71,,,0
CDM,SUP251362,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP251364,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP25139,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 32Mm Thrd 60Mm Cannula,987.91,385.28,,,0
CDM,SUP251391,Noncdm Charge Record Medical Supplies,928.4,362.08,,,0
CDM,SUP251397,Noncdm Charge Record Medical Supplies,455.4,177.61,,,0
CDM,SUP25140,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 32Mm Thrd 70Mm Cannula,839.38,327.36,,,0
CDM,SUP251402,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP251403,Noncdm Charge Record Medical Supplies,928.4,362.08,,,0
CDM,SUP251404,Noncdm Charge Record Medical Supplies,1909.58,744.74,,,0
CDM,SUP251405,Noncdm Charge Record Medical Supplies,5035.27,1963.76,,,0
CDM,SUP251409,Noncdm Charge Record Medical Supplies,1566.99,611.13,,,0
CDM,SUP25141,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 32Mm Thrd 80Mm Cannula,987.91,385.28,,,0
CDM,SUP251410,Noncdm Charge Record Medical Supplies,11.38,4.44,,,0
CDM,SUP251415,Noncdm Charge Record Medical Supplies,1909.23,744.6,,,0
CDM,SUP251417,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP251420,Noncdm Charge Record Medical Supplies,2.59,1.01,,,0
CDM,SUP251421,Noncdm Charge Record Medical Supplies,3.45,1.35,,,0
CDM,SUP251424,Noncdm Charge Record Medical Supplies,10.35,4.04,,,0
CDM,SUP251433,Noncdm Charge Record Medical Supplies,496.8,193.75,,,0
CDM,SUP251442,Noncdm Charge Record Medical Supplies,737.61,287.67,,,0
CDM,SUP25145,Noncdm Charge Record Medical Supplies - Screw Bn Canc 4Mm Pt 40Mm,152.11,59.32,,,0
CDM,SUP25146,Noncdm Charge Record Medical Supplies - Screw Bn Canc 4Mm Pt 50Mm,155.25,60.55,,,0
CDM,SUP251473,Noncdm Charge Record Medical Supplies,552.69,215.55,,,0
CDM,SUP251491,Noncdm Charge Record Medical Supplies,919.08,358.44,,,0
CDM,SUP251511,Noncdm Charge Record Medical Supplies,3504.51,1366.76,,,0
CDM,SUP251518,Noncdm Charge Record Medical Supplies,1687.05,657.95,,,0
CDM,SUP251528,Noncdm Charge Record Medical Supplies,13533.66,5278.13,,,0
CDM,SUP251533,Noncdm Charge Record Medical Supplies,494.73,192.94,,,0
CDM,SUP251535,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP251564,Noncdm Charge Record Medical Supplies,1062.43,414.35,,,0
CDM,SUP251572,Noncdm Charge Record Medical Supplies,569.25,222.01,,,0
CDM,SUP251577,Noncdm Charge Record Medical Supplies,569.25,222.01,,,0
CDM,SUP251579,Noncdm Charge Record Medical Supplies,988.42,385.48,,,0
CDM,SUP251581,Noncdm Charge Record Medical Supplies,6964.52,2716.16,,,0
CDM,SUP251582,Noncdm Charge Record Medical Supplies,1082.61,422.22,,,0
CDM,SUP2516,Noncdm Charge Record Medical Supplies - Felt Cv 6X6In Thk1.65Mm Ptfe Patch,1368.18,533.59,,,0
CDM,SUP251609,Noncdm Charge Record Medical Supplies,3472.42,1354.24,,,0
CDM,SUP251610,Noncdm Charge Record Medical Supplies,1240.96,483.97,,,0
CDM,SUP251617,Noncdm Charge Record Medical Supplies,837.32,326.55,,,0
CDM,SUP251656,Noncdm Charge Record Medical Supplies,2142.45,835.56,,,0
CDM,SUP251659,Noncdm Charge Record Medical Supplies,1082.61,422.22,,,0
CDM,SUP251667,Noncdm Charge Record Medical Supplies,284.62,111.0,,,0
CDM,SUP25167,Noncdm Charge Record Medical Supplies,144.9,56.51,,,0
CDM,SUP2517,Noncdm Charge Record Medical Supplies - Washer 13Mm Orth Ss 7.3Mm Cannula Screw Ns,117.77,45.93,,,0
CDM,SUP251706,Noncdm Charge Record Medical Supplies,1106.42,431.5,,,0
CDM,SUP25172,Noncdm Charge Record Medical Supplies - Screw Bn Canc 6.5Mm 30Mm 16Mm Thrd,144.9,56.51,,,0
CDM,SUP251726,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP251730,Noncdm Charge Record Medical Supplies,268.58,104.75,,,0
CDM,SUP251763,Noncdm Charge Record Medical Supplies,569.25,222.01,,,0
CDM,SUP251764,Noncdm Charge Record Medical Supplies,1281.33,499.72,,,0
CDM,SUP251768,Noncdm Charge Record Medical Supplies,1848.51,720.92,,,0
CDM,SUP251782,Noncdm Charge Record Medical Supplies,963.17,375.64,,,0
CDM,SUP251846,Noncdm Charge Record Medical Supplies,1082.61,422.22,,,0
CDM,SUP251854,Noncdm Charge Record Medical Supplies,6178.95,2409.79,,,0
CDM,SUP251856,Noncdm Charge Record Medical Supplies,1643.58,641.0,,,0
CDM,SUP251869,Noncdm Charge Record Medical Supplies,1082.61,422.22,,,0
CDM,SUP251883,Noncdm Charge Record Medical Supplies,219.42,85.57,,,0
CDM,SUP251922,Noncdm Charge Record Medical Supplies,274.27,106.97,,,0
CDM,SUP251947,Noncdm Charge Record Medical Supplies,274.27,106.97,,,0
CDM,SUP251949,Noncdm Charge Record Medical Supplies,569.25,222.01,,,0
CDM,SUP251958,Noncdm Charge Record Medical Supplies,1097.1,427.87,,,0
CDM,SUP251963,Noncdm Charge Record Medical Supplies,1082.61,422.22,,,0
CDM,SUP251965,Noncdm Charge Record Medical Supplies,1155.75,450.74,,,0
CDM,SUP251967,Noncdm Charge Record Medical Supplies,3929.9,1532.66,,,0
CDM,SUP251984,Noncdm Charge Record Medical Supplies,1082.61,422.22,,,0
CDM,SUP251_270,Noncdm Charge Record Medical Supplies - Cast Fiberglass 4Ydx2In 3M Healthcare,8.54,3.33,,,0
CDM,SUP251_A4649_270,Noncdm Charge Record Medical Supplies - Cast Fiberglass 4Ydx2In 3M Healthcare,8.59,3.35,,,0
CDM,SUP251_A9999_270,Noncdm Charge Record Medical Supplies - Cast Fiberglass 4Ydx2In 3M Healthcare,8.62,3.36,,,0
CDM,SUP2520,Noncdm Charge Record Medical Supplies - Set Adm Hmchc Prtnl Auto Pad 4,132.73,51.76,,,0
CDM,SUP252006,Noncdm Charge Record Medical Supplies,2605.09,1015.99,,,0
CDM,SUP252012,Noncdm Charge Record Medical Supplies,333.27,129.98,,,0
CDM,SUP252030,Noncdm Charge Record Medical Supplies,40.36,15.74,,,0
CDM,SUP252038,Noncdm Charge Record Medical Supplies,1240.96,483.97,,,0
CDM,SUP252044,Noncdm Charge Record Medical Supplies,1240.96,483.97,,,0
CDM,SUP252056,Noncdm Charge Record Medical Supplies,569.25,222.01,,,0
CDM,SUP252073,Noncdm Charge Record Medical Supplies,1552.5,605.48,,,0
CDM,SUP252099,Noncdm Charge Record Medical Supplies,6656.08,2595.87,,,0
CDM,SUP252102,Noncdm Charge Record Medical Supplies,728.12,283.97,,,0
CDM,SUP252103,Noncdm Charge Record Medical Supplies,333.27,129.98,,,0
CDM,SUP252104,Noncdm Charge Record Medical Supplies,480.24,187.29,,,0
CDM,SUP252105,Noncdm Charge Record Medical Supplies,7.24,2.82,,,0
CDM,SUP252110,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP252115,Noncdm Charge Record Medical Supplies,249.44,97.28,,,0
CDM,SUP25212,Noncdm Charge Record Medical Supplies - Screw Bn Cannula 3.5Mm 46Mm P-T,835.24,325.74,,,0
CDM,SUP252130,Noncdm Charge Record Medical Supplies,963.24,375.66,,,0
CDM,SUP252131,Noncdm Charge Record Medical Supplies,1262.18,492.25,,,0
CDM,SUP252166,Noncdm Charge Record Medical Supplies,1082.61,422.22,,,0
CDM,SUP25226,Noncdm Charge Record Medical Supplies - Screw Bn Cannula 4-50Mm L-T,712.94,278.05,,,0
CDM,SUP252272,Noncdm Charge Record Medical Supplies,1365.16,532.41,,,0
CDM,SUP25228,Noncdm Charge Record Medical Supplies - Screw Bn Cannula 4Mm 60Mm L-T,636.01,248.04,,,0
CDM,SUP252284,Noncdm Charge Record Medical Supplies,893.2,348.35,,,0
CDM,SUP252301,Noncdm Charge Record Medical Supplies,1707.75,666.02,,,0
CDM,SUP2523_270,Noncdm Charge Record Medical Supplies - Defib Pads Adlt Gel Conduct,124.73,48.64,,,0
CDM,SUP2523_A9999_270,Noncdm Charge Record Medical Supplies - Defib Pads Adlt Gel Conduct,122.13,47.63,,,0
CDM,SUP252468,Noncdm Charge Record Medical Supplies,3156.75,1231.13,,,0
CDM,SUP2525,Noncdm Charge Record Medical Supplies - Dressing Thk3.3Cm Sm 10X7.5Cm,158.3,61.74,,,0
CDM,SUP252514,Noncdm Charge Record Medical Supplies,368.8,143.83,,,0
CDM,SUP252561,Noncdm Charge Record Medical Supplies,1281.33,499.72,,,0
CDM,SUP252599,Noncdm Charge Record Medical Supplies,1281.33,499.72,,,0
CDM,SUP2526,Noncdm Charge Record Medical Supplies - Dressing Thk3.3Cm Lg 26X15Cm,240.28,93.71,,,0
CDM,SUP25263,Noncdm Charge Record Medical Supplies,270.14,105.35,,,0
CDM,SUP25265,Noncdm Charge Record Medical Supplies - Screw Bn Cort 4.5Mm 115Mm St,156.28,60.95,,,0
CDM,SUP252651,Noncdm Charge Record Medical Supplies,963.07,375.6,,,0
CDM,SUP25266,Noncdm Charge Record Medical Supplies,270.14,105.35,,,0
CDM,SUP25272,Noncdm Charge Record Medical Supplies - Screw Bn Cort 4.5Mm 20Mm St,153.18,59.74,,,0
CDM,SUP25273,Noncdm Charge Record Medical Supplies - See 113997 Screw Bn Cort 4.5Mm 30Mm St,148.81,58.04,,,0
CDM,SUP25274,Noncdm Charge Record Medical Supplies - Screw Bn Cort 4.5Mm 50Mm St,129.25,50.41,,,0
CDM,SUP252743,Noncdm Charge Record Medical Supplies,893.2,348.35,,,0
CDM,SUP25275,Noncdm Charge Record Medical Supplies - Screw Bn Cort 4.5Mm 60Mm St,141.59,55.22,,,0
CDM,SUP25276,Noncdm Charge Record Medical Supplies - Screw Bn Cort 4.5Mm 70Mm St,141.59,55.22,,,0
CDM,SUP25277,Noncdm Charge Record Medical Supplies - Screw Bn Cort 4.5Mm 72Mm St,124.2,48.44,,,0
CDM,SUP25278,Noncdm Charge Record Medical Supplies - Screw Bn Cort 4.5Mm 80Mm St,270.14,105.35,,,0
CDM,SUP252785,Noncdm Charge Record Medical Supplies,1240.96,483.97,,,0
CDM,SUP25279,Noncdm Charge Record Medical Supplies - Screw Bn Cort 4.5Mm 90Mm St,241.67,94.25,,,0
CDM,SUP2527_270,Noncdm Charge Record Medical Supplies - Canister Wound Vac 500Ml Without Gel Kinetic Concepts,134.68,52.53,,,0
CDM,SUP252856,Noncdm Charge Record Medical Supplies,1240.96,483.97,,,0
CDM,SUP252861,Noncdm Charge Record Medical Supplies,5519.66,2152.67,,,0
CDM,SUP25287,Noncdm Charge Record Medical Supplies - Screw Bn Cort 4Mm 26Mm St,116.96,45.61,,,0
CDM,SUP2528_272,Noncdm Charge Record Medical Supplies - Catheter 7Fr Edwards Thermo,443.95,173.14,,,0
CDM,SUP2528_A4649_272,Noncdm Charge Record Medical Supplies - Catheter 7Fr Edwards Thermo,636.52,248.24,,,0
CDM,SUP2528_C1751_272,Noncdm Charge Record Medical Supplies - Catheter 7Fr Edwards Thermo,283.6,110.6,,,0
CDM,SUP25291,Noncdm Charge Record Medical Supplies - Screw Bn Cort 4Mm 40Mm St,157.32,61.35,,,0
CDM,SUP25292,Noncdm Charge Record Medical Supplies - Screw Bn Cort 4Mm 50Mm St,157.32,61.35,,,0
CDM,SUP252921,Noncdm Charge Record Medical Supplies,3156.75,1231.13,,,0
CDM,SUP252946,Noncdm Charge Record Medical Supplies,1281.33,499.72,,,0
CDM,SUP252961,Noncdm Charge Record Medical Supplies,343.62,134.01,,,0
CDM,SUP25297,Noncdm Charge Record Medical Supplies - Screw Bn Ft 6.5Mm 100Mm Cannula,1142.64,445.63,,,0
CDM,SUP252977,Noncdm Charge Record Medical Supplies,1240.96,483.97,,,0
CDM,SUP25298,Noncdm Charge Record Medical Supplies - Screw Bn Ft 6.5Mm 105Mm Cannula,1142.64,445.63,,,0
CDM,SUP25299,Noncdm Charge Record Medical Supplies - Screw Bn Ft 6.5Mm 110Mm Cannula,844.56,329.38,,,0
CDM,SUP252_270,Noncdm Charge Record Medical Supplies - Cast Fiberglass 4Ydx3In 3M Healthcare,10.29,4.01,,,0
CDM,SUP252_A4649_270,Noncdm Charge Record Medical Supplies - Cast Fiberglass 4Ydx3In 3M Healthcare,10.35,4.04,,,0
CDM,SUP252_A9999_270,Noncdm Charge Record Medical Supplies - Cast Fiberglass 4Ydx3In 3M Healthcare,10.35,4.04,,,0
CDM,SUP25300,Noncdm Charge Record Medical Supplies - Screw Bn Ft 6.5Mm 115Mm Cannula,1142.64,445.63,,,0
CDM,SUP25301,Noncdm Charge Record Medical Supplies - Screw Bn Ft 6.5Mm 120Mm Cannula,894.24,348.75,,,0
CDM,SUP253014,Noncdm Charge Record Medical Supplies,6549.13,2554.16,,,0
CDM,SUP253018,Noncdm Charge Record Medical Supplies,1707.75,666.02,,,0
CDM,SUP25302,Noncdm Charge Record Medical Supplies - Screw Bn Ft 6.5Mm 125Mm Cannula,844.56,329.38,,,0
CDM,SUP253027,Noncdm Charge Record Medical Supplies,8.28,3.23,,,0
CDM,SUP25303,Noncdm Charge Record Medical Supplies - Screw Bn Ft 6.5Mm 130Mm Cannula,993.6,387.5,,,0
CDM,SUP25304,Noncdm Charge Record Medical Supplies - Screw Bn Ft 6.5Mm 140Mm Cannula,939.3,366.33,,,0
CDM,SUP25305,Noncdm Charge Record Medical Supplies - Screw Bn Ft 6.5Mm 150Mm Cannula,1054.25,411.16,,,0
CDM,SUP25306,Noncdm Charge Record Medical Supplies - Screw Bn Ft 6.5Mm 160Mm Cannula,1045.35,407.69,,,0
CDM,SUP25315,Noncdm Charge Record Medical Supplies,844.04,329.18,,,0
CDM,SUP253151,Noncdm Charge Record Medical Supplies,1707.75,666.02,,,0
CDM,SUP253164,Noncdm Charge Record Medical Supplies,1103.31,430.29,,,0
CDM,SUP25317,Noncdm Charge Record Medical Supplies - Screw Bn Ft 6.5Mm 60Mm Cannula,844.56,329.38,,,0
CDM,SUP25319,Noncdm Charge Record Medical Supplies - Screw Bn Ft 6.5Mm 75Mm Cannula,844.56,329.38,,,0
CDM,SUP253199,Noncdm Charge Record Medical Supplies,8710.56,3397.12,,,0
CDM,SUP25320,Noncdm Charge Record Medical Supplies - Screw Bn Ft 6.5Mm 80Mm Cannula,894.24,348.75,,,0
CDM,SUP25321,Noncdm Charge Record Medical Supplies - Screw Bn Ft 6.5Mm 85Mm Cannula,844.21,329.24,,,0
CDM,SUP25322,Noncdm Charge Record Medical Supplies - Screw Bn Ft 6.5Mm 90Mm Cannula,993.6,387.5,,,0
CDM,SUP25323,Noncdm Charge Record Medical Supplies - Screw Bn Ft 6.5Mm 95Mm Cannula,844.56,329.38,,,0
CDM,SUP25324,Noncdm Charge Record Medical Supplies - Screw Bn Ft 7.3Mm 105Mm Cannula,839.38,327.36,,,0
CDM,SUP253247,Noncdm Charge Record Medical Supplies,1281.33,499.72,,,0
CDM,SUP25325,Noncdm Charge Record Medical Supplies - Screw Bn Ft 7.3Mm 110Mm Cannula,839.38,327.36,,,0
CDM,SUP25327,Noncdm Charge Record Medical Supplies,839.38,327.36,,,0
CDM,SUP25329,Noncdm Charge Record Medical Supplies - Screw Bn Ft 7.3Mm 130Mm Cannula,913.65,356.32,,,0
CDM,SUP25331,Noncdm Charge Record Medical Supplies - Screw Bn Ft 7.3Mm 140Mm Cannula,1175.76,458.55,,,0
CDM,SUP25334,Noncdm Charge Record Medical Supplies,1175.76,458.55,,,0
CDM,SUP25335,Noncdm Charge Record Medical Supplies,1175.76,458.55,,,0
CDM,SUP253412,Noncdm Charge Record Medical Supplies,1365.16,532.41,,,0
CDM,SUP25345,Noncdm Charge Record Medical Supplies - Screw Bn Ft 7.3Mm 75Mm Cannula,839.38,327.36,,,0
CDM,SUP253455,Noncdm Charge Record Medical Supplies,1047.42,408.49,,,0
CDM,SUP253514,Noncdm Charge Record Medical Supplies,893.2,348.35,,,0
CDM,SUP25354,Noncdm Charge Record Medical Supplies - Screw Bn Lck 3.5Mm 28Mm Stardr Recess St,550.85,214.83,,,0
CDM,SUP253540,Noncdm Charge Record Medical Supplies,1082.61,422.22,,,0
CDM,SUP25355,Noncdm Charge Record Medical Supplies - Screw Bn Lck 3.5Mm 48Mm Stardr Recess St,550.88,214.84,,,0
CDM,SUP253559,Noncdm Charge Record Medical Supplies,1240.96,483.97,,,0
CDM,SUP25356,Noncdm Charge Record Medical Supplies - Screw Bn Lck 3.5Mm 90Mm Stardr Recess St,564.59,220.19,,,0
CDM,SUP25357,Noncdm Charge Record Medical Supplies,550.62,214.74,,,0
CDM,SUP25358,Noncdm Charge Record Medical Supplies - Screw Bn Lck 5Mm 32Mm T25 Stardr St,590.98,230.48,,,0
CDM,SUP25359,Noncdm Charge Record Medical Supplies - Screw Bn Lck 5Mm 55Mm T25 Stardr St,647.91,252.68,,,0
CDM,SUP253629,Noncdm Charge Record Medical Supplies,1707.75,666.02,,,0
CDM,SUP2536_272,Noncdm Charge Record Medical Supplies - Needle Spnl 3.5In 25Ga Bd Qnck Anes Strl Lf,6.4,2.5,,,0
CDM,SUP2536_A4649_272,Noncdm Charge Record Medical Supplies - Needle Spnl 3.5In 25Ga Bd Qnck Anes Strl Lf,6.21,2.42,,,0
CDM,SUP2536_A9999_272,Noncdm Charge Record Medical Supplies - Needle Spnl 3.5In 25Ga Bd Qnck Anes Strl Lf,6.21,2.42,,,0
CDM,SUP253728,Noncdm Charge Record Medical Supplies,1365.16,532.41,,,0
CDM,SUP25373,Noncdm Charge Record Medical Supplies - Screw Bn Spd Pt 4Mm 100Mm Schnz,382.95,149.35,,,0
CDM,SUP25374,Noncdm Charge Record Medical Supplies,382.95,149.35,,,0
CDM,SUP253740,Noncdm Charge Record Medical Supplies,1365.16,532.41,,,0
CDM,SUP25378,Noncdm Charge Record Medical Supplies - Screw Conic Xtrt F- Lg 4.9Mm Bolt,303.26,118.27,,,0
CDM,SUP25379,Noncdm Charge Record Medical Supplies - Screw Conic Xtrt F-2.7Mm 3.5Mm Cort Screw,521.64,203.44,,,0
CDM,SUP253799,Noncdm Charge Record Medical Supplies,1240.96,483.97,,,0
CDM,SUP2537_272,Noncdm Charge Record Medical Supplies - Needle Spnl 3.5In 22Ga Bd Qnck Anes Strl Lf,6.3,2.46,,,0
CDM,SUP2537_A4649_272,Noncdm Charge Record Medical Supplies - Needle Spnl 3.5In 22Ga Bd Qnck Anes Strl Lf,6.21,2.42,,,0
CDM,SUP2537_A9999_272,Noncdm Charge Record Medical Supplies - Needle Spnl 3.5In 22Ga Bd Qnck Anes Strl Lf,6.21,2.42,,,0
CDM,SUP253832,Noncdm Charge Record Medical Supplies,1103.31,430.29,,,0
CDM,SUP253844,Noncdm Charge Record Medical Supplies,488.52,190.52,,,0
CDM,SUP253889,Noncdm Charge Record Medical Supplies,3156.75,1231.13,,,0
CDM,SUP2539,Noncdm Charge Record Medical Supplies - Sponge Lap 36X18In Radiopq,87.92,34.29,,,0
CDM,SUP253903,Noncdm Charge Record Medical Supplies,1281.33,499.72,,,0
CDM,SUP25395,Noncdm Charge Record Medical Supplies - Screw Lag 12.7Mm 1Stp-80Mm Thrd Dhs- Dcs-Strl,1661.18,647.86,,,0
CDM,SUP253974,Noncdm Charge Record Medical Supplies,8262.41,3222.34,,,0
CDM,SUP253_270,Noncdm Charge Record Medical Supplies - Cast Fiberglass 4Ydx4In 3M Healthcare,13.37,5.21,,,0
CDM,SUP253_A4649_270,Noncdm Charge Record Medical Supplies - Cast Fiberglass 4Ydx4In 3M Healthcare,13.46,5.25,,,0
CDM,SUP253_A9999_270,Noncdm Charge Record Medical Supplies - Cast Fiberglass 4Ydx4In 3M Healthcare,13.46,5.25,,,0
CDM,SUP254,Noncdm Charge Record Medical Supplies - Cast Fiberglass 4Ydx5In 3M Healthcare,16.04,6.26,,,0
CDM,SUP2540,Noncdm Charge Record Medical Supplies - Tray Spinal Suppt Braun Dsp Lf,44.5,17.36,,,0
CDM,SUP254030,Noncdm Charge Record Medical Supplies,41.4,16.15,,,0
CDM,SUP254074,Noncdm Charge Record Medical Supplies,1707.75,666.02,,,0
CDM,SUP254225,Noncdm Charge Record Medical Supplies,1365.16,532.41,,,0
CDM,SUP254236,Noncdm Charge Record Medical Supplies,3156.75,1231.13,,,0
CDM,SUP254247,Noncdm Charge Record Medical Supplies,8710.56,3397.12,,,0
CDM,SUP254323,Noncdm Charge Record Medical Supplies,5519.66,2152.67,,,0
CDM,SUP254364,Noncdm Charge Record Medical Supplies,1082.61,422.22,,,0
CDM,SUP254371,Noncdm Charge Record Medical Supplies,5519.66,2152.67,,,0
CDM,SUP254399,Noncdm Charge Record Medical Supplies,1082.61,422.22,,,0
CDM,SUP254585,Noncdm Charge Record Medical Supplies,1365.16,532.41,,,0
CDM,SUP254731,Noncdm Charge Record Medical Supplies,1240.96,483.97,,,0
CDM,SUP254752,Noncdm Charge Record Medical Supplies,1552.5,605.48,,,0
CDM,SUP2548,Noncdm Charge Record Medical Supplies - Tray Epdrl 1 Shot Lumb Lf Disp,77.62,30.27,,,0
CDM,SUP254816,Noncdm Charge Record Medical Supplies,3156.75,1231.13,,,0
CDM,SUP254888,Noncdm Charge Record Medical Supplies,1365.16,532.41,,,0
CDM,SUP2549,Noncdm Charge Record Medical Supplies - Cement Bone Palacos 40Gm Zimmer,349.25,136.21,,,0
CDM,SUP254914,Noncdm Charge Record Medical Supplies,1082.61,422.22,,,0
CDM,SUP254954,Noncdm Charge Record Medical Supplies,1365.16,532.41,,,0
CDM,SUP254975,Noncdm Charge Record Medical Supplies,358.11,139.66,,,0
CDM,SUP2550,Noncdm Charge Record Medical Supplies - Electrode Electrosurg Blu 11Cm,59.02,23.02,,,0
CDM,SUP255028,Noncdm Charge Record Medical Supplies,8710.56,3397.12,,,0
CDM,SUP255033,Noncdm Charge Record Medical Supplies,2488.14,970.37,,,0
CDM,SUP255035,Noncdm Charge Record Medical Supplies,343.62,134.01,,,0
CDM,SUP255054,Noncdm Charge Record Medical Supplies,1365.16,532.41,,,0
CDM,SUP255077,Noncdm Charge Record Medical Supplies,368.46,143.7,,,0
CDM,SUP2551,Noncdm Charge Record Medical Supplies,1220.61,476.04,,,0
CDM,SUP255134,Noncdm Charge Record Medical Supplies,22.77,8.88,,,0
CDM,SUP255217,Noncdm Charge Record Medical Supplies,3156.75,1231.13,,,0
CDM,SUP2553,Noncdm Charge Record Medical Supplies - Tube Endotrach 5Mm Nsl-Orl Hi,6.77,2.64,,,0
CDM,SUP255318,Noncdm Charge Record Medical Supplies,8710.56,3397.12,,,0
CDM,SUP255342,Noncdm Charge Record Medical Supplies,3156.75,1231.13,,,0
CDM,SUP255459,Noncdm Charge Record Medical Supplies,1281.33,499.72,,,0
CDM,SUP2554_272,Noncdm Charge Record Medical Supplies - Tube Endotrach 6 Nsl-Orl Hi,6.53,2.55,,,0
CDM,SUP2554_A9999_272,Noncdm Charge Record Medical Supplies - Tube Endotrach 6 Nsl-Orl Hi,6.21,2.42,,,0
CDM,SUP255501,Noncdm Charge Record Medical Supplies,1082.61,422.22,,,0
CDM,SUP255553,Noncdm Charge Record Medical Supplies,1281.33,499.72,,,0
CDM,SUP25560,Noncdm Charge Record Medical Supplies - Shaft 2.4Mm Crfrm 100Mm Screwdriver,1684.98,657.14,,,0
CDM,SUP255629,Noncdm Charge Record Medical Supplies,1707.75,666.02,,,0
CDM,SUP255697,Noncdm Charge Record Medical Supplies,1365.16,532.41,,,0
CDM,SUP255828,Noncdm Charge Record Medical Supplies,1552.5,605.48,,,0
CDM,SUP255921,Noncdm Charge Record Medical Supplies,1707.75,666.02,,,0
CDM,SUP255994,Noncdm Charge Record Medical Supplies,1240.96,483.97,,,0
CDM,SUP256043,Noncdm Charge Record Medical Supplies,1082.61,422.22,,,0
CDM,SUP256108,Noncdm Charge Record Medical Supplies,1281.33,499.72,,,0
CDM,SUP256236,Noncdm Charge Record Medical Supplies,1281.33,499.72,,,0
CDM,SUP256412,Noncdm Charge Record Medical Supplies,1707.75,666.02,,,0
CDM,SUP256517,Noncdm Charge Record Medical Supplies,1281.33,499.72,,,0
CDM,SUP25651_272,Noncdm Charge Record Medical Supplies - Sleeve 12Mm Outr Strl Protect F-Suprapaellar,428.72,167.2,,,0
CDM,SUP25651_A4649_272,Noncdm Charge Record Medical Supplies - Sleeve 12Mm Outr Strl Protect F-Suprapaellar,433.66,169.13,,,0
CDM,SUP25651_A9999_272,Noncdm Charge Record Medical Supplies - Sleeve 12Mm Outr Strl Protect F-Suprapaellar,407.79,159.04,,,0
CDM,SUP256536,Noncdm Charge Record Medical Supplies,1082.61,422.22,,,0
CDM,SUP256538,Noncdm Charge Record Medical Supplies,1281.33,499.72,,,0
CDM,SUP25660,Noncdm Charge Record Medical Supplies - Sleeve 14.5Mm Outr Strl Protect F-Suprapaellar,425.04,165.77,,,0
CDM,SUP256627,Noncdm Charge Record Medical Supplies,1365.16,532.41,,,0
CDM,SUP256713,Noncdm Charge Record Medical Supplies,3156.75,1231.13,,,0
CDM,SUP25677,Noncdm Charge Record Medical Supplies - Sleeve 8Mm 4Mm Drill 164Mm,799.02,311.62,,,0
CDM,SUP25681,Noncdm Charge Record Medical Supplies - Sleeve Dbl Drill 2.7Mm 1.25Mm,1420.02,553.81,,,0
CDM,SUP256862,Noncdm Charge Record Medical Supplies,1938.56,756.04,,,0
CDM,SUP256905,Noncdm Charge Record Medical Supplies,1240.96,483.97,,,0
CDM,SUP256929,Noncdm Charge Record Medical Supplies,72.45,28.26,,,0
CDM,SUP257083,Noncdm Charge Record Medical Supplies,1707.75,666.02,,,0
CDM,SUP257084,Noncdm Charge Record Medical Supplies,1707.75,666.02,,,0
CDM,SUP2571,Noncdm Charge Record Medical Supplies - Dressing 3.2Cm Round Sensatrac,199.86,77.95,,,0
CDM,SUP257108,Noncdm Charge Record Medical Supplies,550.62,214.74,,,0
CDM,SUP257113,Noncdm Charge Record Medical Supplies,1685.5,657.34,,,0
CDM,SUP257137,Noncdm Charge Record Medical Supplies,668.61,260.76,,,0
CDM,SUP2572,Noncdm Charge Record Medical Supplies - See 135498 Coil Embol 4.1Cm 5-3Mm Trnd .035In Std Plat,566.14,220.79,,,0
CDM,SUP257239,Noncdm Charge Record Medical Supplies,1365.16,532.41,,,0
CDM,SUP257285,Noncdm Charge Record Medical Supplies,464.72,181.24,,,0
CDM,SUP257312,Noncdm Charge Record Medical Supplies,269.1,104.95,,,0
CDM,SUP257420,Noncdm Charge Record Medical Supplies,29.67,11.57,,,0
CDM,SUP257422,Noncdm Charge Record Medical Supplies,164.05,63.98,,,0
CDM,SUP257584,Noncdm Charge Record Medical Supplies,1446.93,564.3,,,0
CDM,SUP257612,Noncdm Charge Record Medical Supplies,2423.01,944.97,,,0
CDM,SUP257633,Noncdm Charge Record Medical Supplies,1707.75,666.02,,,0
CDM,SUP257688,Noncdm Charge Record Medical Supplies,12.42,4.84,,,0
CDM,SUP257738,Noncdm Charge Record Medical Supplies,132.48,51.67,,,0
CDM,SUP257770,Noncdm Charge Record Medical Supplies,400.72,156.28,,,0
CDM,SUP25779,Noncdm Charge Record Medical Supplies,165.6,64.58,,,0
CDM,SUP2578,Noncdm Charge Record Medical Supplies - Catheter Drain 8.5Fr 25Cm Mclc,437.45,170.61,,,0
CDM,SUP257864,Noncdm Charge Record Medical Supplies,1365.16,532.41,,,0
CDM,SUP257897,Noncdm Charge Record Medical Supplies,1707.75,666.02,,,0
CDM,SUP2579,Noncdm Charge Record Medical Supplies - Catheter Drain 10.2Fr 25Cm,437.86,170.77,,,0
CDM,SUP258043,Noncdm Charge Record Medical Supplies,187.34,73.06,,,0
CDM,SUP258048_272,Noncdm Charge Record Medical Supplies,130.41,50.86,,,0
CDM,SUP258048_A4649_272,Noncdm Charge Record Medical Supplies,130.41,50.86,,,0
CDM,SUP258050,Noncdm Charge Record Medical Supplies,1240.96,483.97,,,0
CDM,SUP25825,Noncdm Charge Record Medical Supplies - Tube Spr Reamer (309.250) F- Hlw Reamer,885.18,345.22,,,0
CDM,SUP25826,Noncdm Charge Record Medical Supplies - Tube Spr Reamer (309.450) F- Hlw Reamer,1143.68,446.04,,,0
CDM,SUP25832,Noncdm Charge Record Medical Supplies - Washer Spc 1Mm,30.38,11.85,,,0
CDM,SUP25833,Noncdm Charge Record Medical Supplies - Washer Spc 2Mm,61.32,23.91,,,0
CDM,SUP258496,Noncdm Charge Record Medical Supplies,1240.96,483.97,,,0
CDM,SUP258516,Noncdm Charge Record Medical Supplies,18.84,7.35,,,0
CDM,SUP25852,Noncdm Charge Record Medical Supplies - Wire 1.25Mm Krsh 100Mm W Thrd Tip,1912.68,745.95,,,0
CDM,SUP258523,Noncdm Charge Record Medical Supplies,3585.24,1398.24,,,0
CDM,SUP258544,Noncdm Charge Record Medical Supplies,1707.75,666.02,,,0
CDM,SUP25855,Noncdm Charge Record Medical Supplies - Wire 1.25Mm Plt 150Mm Lrg Reduct Thrd W-Lrg Stop,552.69,215.55,,,0
CDM,SUP258550,Noncdm Charge Record Medical Supplies,55.89,21.8,,,0
CDM,SUP258552,Noncdm Charge Record Medical Supplies,1552.5,605.48,,,0
CDM,SUP258582,Noncdm Charge Record Medical Supplies,1439.34,561.34,,,0
CDM,SUP25860,Noncdm Charge Record Medical Supplies - Wire 1.6Mm Guide Drill 200Mm Tip,149.15,58.17,,,0
CDM,SUP25861,Noncdm Charge Record Medical Supplies - Wire 1.6Mm Pt 285Mm Krsh W Troc,46.58,18.17,,,0
CDM,SUP25863,Noncdm Charge Record Medical Supplies - Wire 1.6Mm W 15 Thrd 150Mm Krsh Troc Pt,69.34,27.04,,,0
CDM,SUP25864,Noncdm Charge Record Medical Supplies - Wire 1.6Mmcomp10Mmthrd150Mmlng,192.51,75.08,,,0
CDM,SUP25865,Noncdm Charge Record Medical Supplies - Wire 1.6Mmcomp15Mmthrd150Mmlng,192.51,75.08,,,0
CDM,SUP258655,Noncdm Charge Record Medical Supplies,1281.33,499.72,,,0
CDM,SUP258679,Noncdm Charge Record Medical Supplies,43.47,16.95,,,0
CDM,SUP25869,Noncdm Charge Record Medical Supplies - Wire 1.8Mm Krsh W Troc Pt150Mm,33.12,12.92,,,0
CDM,SUP25872,Noncdm Charge Record Medical Supplies - Wire 1Mm Pt 150Mm Krsh W Troc,372.77,145.38,,,0
CDM,SUP25873,Noncdm Charge Record Medical Supplies - Wire 1Mm Pt 285Mm Krsh W Troc,50.72,19.78,,,0
CDM,SUP25875,Noncdm Charge Record Medical Supplies - Wire 2.5Mm Pt 150Mm Krsh W Troc,40.36,15.74,,,0
CDM,SUP25876,Noncdm Charge Record Medical Supplies - Wire 2.5Mm Ti Krsh 150Mm,46.58,18.17,,,0
CDM,SUP258882,Noncdm Charge Record Medical Supplies,889.06,346.73,,,0
CDM,SUP258900,Noncdm Charge Record Medical Supplies,1707.75,666.02,,,0
CDM,SUP258906,Noncdm Charge Record Medical Supplies,3156.75,1231.13,,,0
CDM,SUP258923,Noncdm Charge Record Medical Supplies,813.51,317.27,,,0
CDM,SUP258934,Noncdm Charge Record Medical Supplies,359.14,140.06,,,0
CDM,SUP258959,Noncdm Charge Record Medical Supplies,1707.75,666.02,,,0
CDM,SUP258961,Noncdm Charge Record Medical Supplies,5806.35,2264.48,,,0
CDM,SUP25898,Noncdm Charge Record Medical Supplies,277.38,108.18,,,0
CDM,SUP258990,Noncdm Charge Record Medical Supplies,1707.75,666.02,,,0
CDM,SUP259018,Noncdm Charge Record Medical Supplies,514.4,200.62,,,0
CDM,SUP25902,Noncdm Charge Record Medical Supplies - Wire 2.8Mm Guide W-Flut 450Mm,375.01,146.25,,,0
CDM,SUP25905,Noncdm Charge Record Medical Supplies - Wire 2Mm Krsh W Drill 150Mm,173.88,67.81,,,0
CDM,SUP25906_272,Noncdm Charge Record Medical Supplies - Wire 2Mm Pt 150Mm Krsh W Troc,372.6,145.31,,,0
CDM,SUP25906_C1713_278,Noncdm Charge Record Medical Supplies - Wire 2Mm Pt 150Mm Krsh W Troc,75.08,29.28,,,0
CDM,SUP2591,Noncdm Charge Record Medical Supplies - Catheter Bal Dil 6-8Mm 8Cm Cre F-G,1342.4,523.54,,,0
CDM,SUP25910,Noncdm Charge Record Medical Supplies - Wire 2Mm W 15 Thrd 150Mm Krsh Troc Pt,77.62,30.27,,,0
CDM,SUP259114,Noncdm Charge Record Medical Supplies,53.82,20.99,,,0
CDM,SUP25919,Noncdm Charge Record Medical Supplies - Wire Guide 150Mm Non Thrd Spd Pt On 1 End 1.6Mm,88.18,34.39,,,0
CDM,SUP2592,Noncdm Charge Record Medical Supplies - Catheter Esoph Pyl 6Fr 8-10Mm,1342.4,523.54,,,0
CDM,SUP259219,Noncdm Charge Record Medical Supplies,705.35,275.09,,,0
CDM,SUP25925,Noncdm Charge Record Medical Supplies - Wire Guide Thrd 1.6Mm 410Mm,208.04,81.14,,,0
CDM,SUP259273,Noncdm Charge Record Medical Supplies,1240.96,483.97,,,0
CDM,SUP2593,Noncdm Charge Record Medical Supplies - Catheter Bal Dil Cre 6-8Mm 240Cm 5.5F-G,1510.06,588.92,,,0
CDM,SUP25932,Noncdm Charge Record Medical Supplies - Wire Reduct 2.0Mm Dia Tip Half Pt,1108.31,432.24,,,0
CDM,SUP259323,Noncdm Charge Record Medical Supplies,35.19,13.72,,,0
CDM,SUP25939,Noncdm Charge Record Medical Supplies,37.26,14.53,,,0
CDM,SUP2594,Noncdm Charge Record Medical Supplies - Catheter Esoph 7.5F 8-10M 240 Pyl 240Cm 5.5Cm,1510.06,588.92,,,0
CDM,SUP259435,Noncdm Charge Record Medical Supplies,49606.52,19346.54,,,0
CDM,SUP259448,Noncdm Charge Record Medical Supplies,17.6,6.86,,,0
CDM,SUP259455,Noncdm Charge Record Medical Supplies,1365.16,532.41,,,0
CDM,SUP2595,Noncdm Charge Record Medical Supplies - Catheter Esoph Pyl 7.5Fr 10-12 10-12Mm 240Cm 5.5Cm,1510.06,588.92,,,0
CDM,SUP2596,Noncdm Charge Record Medical Supplies - Catheter Esoph Pyl 7.5Fr 12-15 12-15Mm 240Cm 5.5Cm,1510.06,588.92,,,0
CDM,SUP259692,Noncdm Charge Record Medical Supplies,8.28,3.23,,,0
CDM,SUP2597,Noncdm Charge Record Medical Supplies - Catheter Esoph Pyl 7.5Fr 15-18 15-18Mm 240Cm 5.5Cm,1510.06,588.92,,,0
CDM,SUP259708,Noncdm Charge Record Medical Supplies,1439.17,561.28,,,0
CDM,SUP259732,Noncdm Charge Record Medical Supplies,498.87,194.56,,,0
CDM,SUP259735,Noncdm Charge Record Medical Supplies,1707.75,666.02,,,0
CDM,SUP2598,Noncdm Charge Record Medical Supplies - Catheter Esoph Pyl 7.5Fr 240Cm 18-20Mm 5.5Cm,1510.06,588.92,,,0
CDM,SUP25984,Noncdm Charge Record Medical Supplies,569.77,222.21,,,0
CDM,SUP25988,Noncdm Charge Record Medical Supplies - Pin Stnm 5Mm W Thrd 250Mm Centrl,634.46,247.44,,,0
CDM,SUP25989,Noncdm Charge Record Medical Supplies - Pin Stnm 5Mm W Thrd 275Mm Centrl,634.46,247.44,,,0
CDM,SUP25990,Noncdm Charge Record Medical Supplies - Pin Stnm 5Mm W Thrd 300Mm Centrl,499.46,194.79,,,0
CDM,SUP25991,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 32Mm 105Mm Cannula,844.56,329.38,,,0
CDM,SUP25992,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 32Mm 110Mm Cannula,844.3,329.28,,,0
CDM,SUP25993,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 32Mm 115Mm Cannula,943.92,368.13,,,0
CDM,SUP25994,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 32Mm 120Mm Cannula,919.08,358.44,,,0
CDM,SUP259948,Noncdm Charge Record Medical Supplies,30026.73,11710.42,,,0
CDM,SUP259957,Noncdm Charge Record Medical Supplies,10.35,4.04,,,0
CDM,SUP25996,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 32Mm 135Mm Cannula,1142.64,445.63,,,0
CDM,SUP2600,Noncdm Charge Record Medical Supplies - Catheter Drain 10.2Fr 40Cm Mcl,468.72,182.8,,,0
CDM,SUP260011,Noncdm Charge Record Medical Supplies,1935.97,755.03,,,0
CDM,SUP260034,Noncdm Charge Record Medical Supplies,1707.75,666.02,,,0
CDM,SUP260047,Noncdm Charge Record Medical Supplies,14.49,5.65,,,0
CDM,SUP2601,Noncdm Charge Record Medical Supplies - Introducer Cath 30Cm 9Fr .038In Ckfl Flxr Sm,310.5,121.1,,,0
CDM,SUP260117,Noncdm Charge Record Medical Supplies,436.77,170.34,,,0
CDM,SUP26017,Noncdm Charge Record Medical Supplies - Bar Connect 8Mm 120Mm Synthes,612.72,238.96,,,0
CDM,SUP260205,Noncdm Charge Record Medical Supplies,3372.03,1315.09,,,0
CDM,SUP26026,Noncdm Charge Record Medical Supplies - Bit 11.5Mm Hlw F-9.5Mm Strl Drill F-Multiloc Prox Nail,1798.83,701.54,,,0
CDM,SUP26027,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 12Mm 270Mm Synthes,1773.99,691.86,,,0
CDM,SUP26028,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect Straight 270Mm Synthes,1961.32,764.91,,,0
CDM,SUP26030,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 13Mm 465Mm Flexilbe Quick Connect Sy,2607.16,1016.79,,,0
CDM,SUP26031,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 13Mm 465Mm Straight Flexible Quick C,2563.7,999.84,,,0
CDM,SUP260314,Noncdm Charge Record Medical Supplies,309.46,120.69,,,0
CDM,SUP260340,Noncdm Charge Record Medical Supplies,919.42,358.57,,,0
CDM,SUP260351,Noncdm Charge Record Medical Supplies,1386.38,540.69,,,0
CDM,SUP260380,Noncdm Charge Record Medical Supplies,97438.0,38000.82,,,0
CDM,SUP26039,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 2.5Mm 250Mm Calibrated Synthes,498.31,194.34,,,0
CDM,SUP260397,Noncdm Charge Record Medical Supplies,2444.67,953.42,,,0
CDM,SUP26040,Noncdm Charge Record Medical Supplies - Drill Bit 2.7Mm 150Mm Radiolucent Brad Point Synthes,1067.08,416.16,,,0
CDM,SUP26042,Noncdm Charge Record Medical Supplies,284.62,111.0,,,0
CDM,SUP260433,Noncdm Charge Record Medical Supplies,1707.75,666.02,,,0
CDM,SUP260480,Noncdm Charge Record Medical Supplies,773.14,301.52,,,0
CDM,SUP260506,Noncdm Charge Record Medical Supplies,195.62,76.29,,,0
CDM,SUP260585,Noncdm Charge Record Medical Supplies,402.96,157.15,,,0
CDM,SUP260595,Noncdm Charge Record Medical Supplies,2325.64,907.0,,,0
CDM,SUP26063,Noncdm Charge Record Medical Supplies - Drill Bit 4.2Mm 145Mm Radiolucent Sterile Synthes,1181.28,460.7,,,0
CDM,SUP260689,Noncdm Charge Record Medical Supplies,46.58,18.17,,,0
CDM,SUP26078,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 5Mm 330Mm 100Mm Sterile Synthes,1172.66,457.34,,,0
CDM,SUP2608,Noncdm Charge Record Medical Supplies - Reamer Surg 3Mm Ti Strt Ball Tip 950Mm Strl,750.63,292.75,,,0
CDM,SUP260813,Noncdm Charge Record Medical Supplies,34170.52,13326.5,,,0
CDM,SUP260823,Noncdm Charge Record Medical Supplies,333.27,129.98,,,0
CDM,SUP260882,Noncdm Charge Record Medical Supplies,20.7,8.07,,,0
CDM,SUP260954,Noncdm Charge Record Medical Supplies,3398.94,1325.59,,,0
CDM,SUP2610,Noncdm Charge Record Medical Supplies - Drain Incs 18Fr 11In Cattell Rub Bil 12In,36.22,14.13,,,0
CDM,SUP26100,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 2.5Mm 230Mm-200Mm Calibrated Sterile,965.45,376.53,,,0
CDM,SUP261004,Noncdm Charge Record Medical Supplies,7.24,2.82,,,0
CDM,SUP26103,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 2.5Mm 110Mm Gold Synthes,498.57,194.44,,,0
CDM,SUP26104,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 2.5Mm 180Mm Synthes,537.51,209.63,,,0
CDM,SUP26105,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 2.7Mm 110Mm Sterile Synthes,682.06,266.0,,,0
CDM,SUP26106,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 2.7Mm 125Mm Sterile Synthes,675.16,263.31,,,0
CDM,SUP26107,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 2.7Mm 160Mm Sterile Synthes,1571.24,612.78,,,0
CDM,SUP26111,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 2.7Mm 100Mm Sterile Synthes,504.04,196.58,,,0
CDM,SUP261156,Noncdm Charge Record Medical Supplies,27.94,10.9,,,0
CDM,SUP261165,Noncdm Charge Record Medical Supplies,180.09,70.24,,,0
CDM,SUP2612,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 66Mm Lc Dcp Dhs-Dcs Ss Cort St,95.22,37.14,,,0
CDM,SUP26120,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 2Mm 110Mm With Depth Mark Synthes,416.07,162.27,,,0
CDM,SUP26121_272,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 2Mm 100Mm Sterile Synthes,517.5,201.82,,,0
CDM,SUP26121_A9999_272,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 2Mm 100Mm Sterile Synthes,517.5,201.82,,,0
CDM,SUP26122,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 2Mm 125Mm Sterile Synthes,538.72,210.1,,,0
CDM,SUP261240,Noncdm Charge Record Medical Supplies,5733.9,2236.22,,,0
CDM,SUP261242,Noncdm Charge Record Medical Supplies,10.56,4.12,,,0
CDM,SUP261243,Noncdm Charge Record Medical Supplies,837.32,326.55,,,0
CDM,SUP261269,Noncdm Charge Record Medical Supplies,5290.92,2063.46,,,0
CDM,SUP2613,Noncdm Charge Record Medical Supplies - Device Bx 15Cm 11Ga Ostst Bn Ndl Troc Tip,292.9,114.23,,,0
CDM,SUP26130,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 3.2Mm 230Mm 200Mm Calibrated Synthes,954.27,372.17,,,0
CDM,SUP261304,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP26134,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 4.5Mm 195Mm Synthes,563.04,219.59,,,0
CDM,SUP261379,Noncdm Charge Record Medical Supplies,169170.75,65976.59,,,0
CDM,SUP261404,Noncdm Charge Record Medical Supplies,1.03,0.4,,,0
CDM,SUP261478,Noncdm Charge Record Medical Supplies,494.19,192.73,,,0
CDM,SUP261494,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP261504,Noncdm Charge Record Medical Supplies,619.96,241.78,,,0
CDM,SUP26151,Noncdm Charge Record Medical Supplies - Bit Drill 3.5Mm Qc-110Mm Strl,518.54,202.23,,,0
CDM,SUP261515,Noncdm Charge Record Medical Supplies,2557.48,997.42,,,0
CDM,SUP26152,Noncdm Charge Record Medical Supplies - Bit Drill 3.5Mm Qc-195Mm Strl,535.67,208.91,,,0
CDM,SUP261543,Noncdm Charge Record Medical Supplies,1312.38,511.83,,,0
CDM,SUP26155,Noncdm Charge Record Medical Supplies - Bit Drill 4.5Mm Qc-145Mm Strl,495.17,193.12,,,0
CDM,SUP26159,Noncdm Charge Record Medical Supplies - Bit Drill 5Mm Cannula Qc 300Mm Strl,1583.35,617.51,,,0
CDM,SUP261601,Noncdm Charge Record Medical Supplies,11194.56,4365.88,,,0
CDM,SUP26168,Noncdm Charge Record Medical Supplies - Bit Drill 8Mm F- Dhs Dcs Tprl Reamer,2233.53,871.08,,,0
CDM,SUP2617,Noncdm Charge Record Medical Supplies - Catheter Gldprb Entrl 7Fr,1482.12,578.03,,,0
CDM,SUP261811,Noncdm Charge Record Medical Supplies,731.74,285.38,,,0
CDM,SUP261867,Noncdm Charge Record Medical Supplies,6766.83,2639.06,,,0
CDM,SUP261868,Noncdm Charge Record Medical Supplies,107.64,41.98,,,0
CDM,SUP261894,Noncdm Charge Record Medical Supplies,2557.48,997.42,,,0
CDM,SUP2619,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 55Mm 32Mm Lcp Ss Canc Thrd Ns,294.98,115.04,,,0
CDM,SUP261953,Noncdm Charge Record Medical Supplies,224.6,87.59,,,0
CDM,SUP262006,Noncdm Charge Record Medical Supplies,210.1,81.94,,,0
CDM,SUP2621,Noncdm Charge Record Medical Supplies,144.9,56.51,,,0
CDM,SUP26212,Noncdm Charge Record Medical Supplies - Blade Spiral Titanium 44Mm Sterile Synthes,2340.14,912.65,,,0
CDM,SUP262213,Noncdm Charge Record Medical Supplies,7.24,2.82,,,0
CDM,SUP262240,Noncdm Charge Record Medical Supplies,1077.44,420.2,,,0
CDM,SUP262276,Noncdm Charge Record Medical Supplies,2094.84,816.99,,,0
CDM,SUP2623,Noncdm Charge Record Medical Supplies - Guidewire Vasc.014In190Cm 10Cm,438.84,171.15,,,0
CDM,SUP262330,Noncdm Charge Record Medical Supplies,3625.26,1413.85,,,0
CDM,SUP2624,Noncdm Charge Record Medical Supplies - Guidewire Vasc .014In300Cm10Cm,472.41,184.24,,,0
CDM,SUP262423,Noncdm Charge Record Medical Supplies,269.1,104.95,,,0
CDM,SUP262430,Noncdm Charge Record Medical Supplies,2989.08,1165.74,,,0
CDM,SUP262477,Noncdm Charge Record Medical Supplies,53443.26,20842.87,,,0
CDM,SUP262541,Noncdm Charge Record Medical Supplies,5049.77,1969.41,,,0
CDM,SUP262581,Noncdm Charge Record Medical Supplies,100.4,39.16,,,0
CDM,SUP262589,Noncdm Charge Record Medical Supplies,4502.25,1755.88,,,0
CDM,SUP262591,Noncdm Charge Record Medical Supplies,1611.5,628.48,,,0
CDM,SUP262665,Noncdm Charge Record Medical Supplies,160592.67,62631.14,,,0
CDM,SUP262672,Noncdm Charge Record Medical Supplies,4536.4,1769.2,,,0
CDM,SUP262675,Noncdm Charge Record Medical Supplies,20.7,8.07,,,0
CDM,SUP262711,Noncdm Charge Record Medical Supplies,9.32,3.63,,,0
CDM,SUP262787,Noncdm Charge Record Medical Supplies,11463.66,4470.83,,,0
CDM,SUP262819,Noncdm Charge Record Medical Supplies,496.8,193.75,,,0
CDM,SUP262860,Noncdm Charge Record Medical Supplies,4953.51,1931.87,,,0
CDM,SUP2629,Noncdm Charge Record Medical Supplies - Catheter Suct 14Fr 12In Cls,33.12,12.92,,,0
CDM,SUP262901,Noncdm Charge Record Medical Supplies,2413.62,941.31,,,0
CDM,SUP262916,Noncdm Charge Record Medical Supplies,213.21,83.15,,,0
CDM,SUP262928,Noncdm Charge Record Medical Supplies,7645.54,2981.76,,,0
CDM,SUP262959,Noncdm Charge Record Medical Supplies,9612.04,3748.7,,,0
CDM,SUP263006,Noncdm Charge Record Medical Supplies,3055.32,1191.57,,,0
CDM,SUP26304,Noncdm Charge Record Medical Supplies - Bolt Xtrt F- 2.7Mm Screw,474.72,185.14,,,0
CDM,SUP263040,Noncdm Charge Record Medical Supplies,464.72,181.24,,,0
CDM,SUP263044,Noncdm Charge Record Medical Supplies,3729.27,1454.42,,,0
CDM,SUP26307,Noncdm Charge Record Medical Supplies - Bolt Xtrt F- 6.5Mm 7Mm Screw,536.13,209.09,,,0
CDM,SUP263075,Noncdm Charge Record Medical Supplies,249.44,97.28,,,0
CDM,SUP263129,Noncdm Charge Record Medical Supplies,7764.57,3028.18,,,0
CDM,SUP263136,Noncdm Charge Record Medical Supplies,7607.25,2966.83,,,0
CDM,SUP26320,Noncdm Charge Record Medical Supplies,294.98,115.04,,,0
CDM,SUP263253,Noncdm Charge Record Medical Supplies,55.89,21.8,,,0
CDM,SUP26326,Noncdm Charge Record Medical Supplies - Cable 1.7Mm W Crmp 750Mm 10- Pk Strl,2085.52,813.35,,,0
CDM,SUP26327,Noncdm Charge Record Medical Supplies - Cable 1Mm W Crmp 750Mm Strl,2021.65,788.44,,,0
CDM,SUP263275,Noncdm Charge Record Medical Supplies,963.58,375.8,,,0
CDM,SUP263294,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP263323,Noncdm Charge Record Medical Supplies,1586.66,618.8,,,0
CDM,SUP263334,Noncdm Charge Record Medical Supplies,592.76,231.18,,,0
CDM,SUP263367,Noncdm Charge Record Medical Supplies,65913.98,25706.45,,,0
CDM,SUP263374,Noncdm Charge Record Medical Supplies,53443.26,20842.87,,,0
CDM,SUP2634,Noncdm Charge Record Medical Supplies - Bone Canc 1-4 30Cc,1584.58,617.99,,,0
CDM,SUP263404,Noncdm Charge Record Medical Supplies,13075.16,5099.31,,,0
CDM,SUP263449,Noncdm Charge Record Medical Supplies,21163.68,8253.84,,,0
CDM,SUP263453,Noncdm Charge Record Medical Supplies,112.82,44.0,,,0
CDM,SUP263475,Noncdm Charge Record Medical Supplies,37700.91,14703.35,,,0
CDM,SUP263487,Noncdm Charge Record Medical Supplies,7.24,2.82,,,0
CDM,SUP263489,Noncdm Charge Record Medical Supplies,309.98,120.89,,,0
CDM,SUP263490,Noncdm Charge Record Medical Supplies,248.14,96.77,,,0
CDM,SUP263491,Noncdm Charge Record Medical Supplies,310.5,121.1,,,0
CDM,SUP263492,Noncdm Charge Record Medical Supplies,310.24,120.99,,,0
CDM,SUP263493,Noncdm Charge Record Medical Supplies,309.98,120.89,,,0
CDM,SUP263495,Noncdm Charge Record Medical Supplies,1341.36,523.13,,,0
CDM,SUP263496,Noncdm Charge Record Medical Supplies,1341.36,523.13,,,0
CDM,SUP263497,Noncdm Charge Record Medical Supplies,244.78,95.46,,,0
CDM,SUP263499,Noncdm Charge Record Medical Supplies,577.53,225.24,,,0
CDM,SUP263511,Noncdm Charge Record Medical Supplies,782.46,305.16,,,0
CDM,SUP263512,Noncdm Charge Record Medical Supplies,783.5,305.56,,,0
CDM,SUP263515,Noncdm Charge Record Medical Supplies,782.46,305.16,,,0
CDM,SUP263519,Noncdm Charge Record Medical Supplies,1854.72,723.34,,,0
CDM,SUP263520,Noncdm Charge Record Medical Supplies,262.2,102.26,,,0
CDM,SUP263521,Noncdm Charge Record Medical Supplies,1493.5,582.46,,,0
CDM,SUP263534,Noncdm Charge Record Medical Supplies,767.97,299.51,,,0
CDM,SUP263537,Noncdm Charge Record Medical Supplies,767.97,299.51,,,0
CDM,SUP263556,Noncdm Charge Record Medical Supplies,4366.66,1703.0,,,0
CDM,SUP263558,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP263562,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP263564,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP263565,Noncdm Charge Record Medical Supplies,4483.62,1748.61,,,0
CDM,SUP263567,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP263569,Noncdm Charge Record Medical Supplies,3968.19,1547.59,,,0
CDM,SUP263570,Noncdm Charge Record Medical Supplies,3180.85,1240.53,,,0
CDM,SUP263571,Noncdm Charge Record Medical Supplies,2465.37,961.49,,,0
CDM,SUP263572_272,Noncdm Charge Record Medical Supplies,94.09,36.7,,,0
CDM,SUP263572_A4649_272,Noncdm Charge Record Medical Supplies,94.18,36.73,,,0
CDM,SUP263578,Noncdm Charge Record Medical Supplies,141.79,55.3,,,0
CDM,SUP263584,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP263585,Noncdm Charge Record Medical Supplies,48.64,18.97,,,0
CDM,SUP263587,Noncdm Charge Record Medical Supplies,15.52,6.05,,,0
CDM,SUP263597,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP263599,Noncdm Charge Record Medical Supplies,72.45,28.26,,,0
CDM,SUP2636,Noncdm Charge Record Medical Supplies - Dilator Vasc 6Fr 20Cm Std Radiopq Vsl .035In,33.12,12.92,,,0
CDM,SUP263603,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP263608,Noncdm Charge Record Medical Supplies,1590.8,620.41,,,0
CDM,SUP263609,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP26362,Noncdm Charge Record Medical Supplies,953.24,371.76,,,0
CDM,SUP263634,Noncdm Charge Record Medical Supplies,4409.1,1719.55,,,0
CDM,SUP263635,Noncdm Charge Record Medical Supplies,4409.1,1719.55,,,0
CDM,SUP263644,Noncdm Charge Record Medical Supplies,73.48,28.66,,,0
CDM,SUP263646,Noncdm Charge Record Medical Supplies,783.5,305.56,,,0
CDM,SUP263647,Noncdm Charge Record Medical Supplies,783.5,305.56,,,0
CDM,SUP263648,Noncdm Charge Record Medical Supplies,73.48,28.66,,,0
CDM,SUP263650,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP263651,Noncdm Charge Record Medical Supplies,73.48,28.66,,,0
CDM,SUP263652,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP263653,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP263655,Noncdm Charge Record Medical Supplies,73.48,28.66,,,0
CDM,SUP263656,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP263657,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP263662,Noncdm Charge Record Medical Supplies,48.64,18.97,,,0
CDM,SUP263667,Noncdm Charge Record Medical Supplies,7.24,2.82,,,0
CDM,SUP263668,Noncdm Charge Record Medical Supplies,12.42,4.84,,,0
CDM,SUP263674,Noncdm Charge Record Medical Supplies,141.79,55.3,,,0
CDM,SUP263676,Noncdm Charge Record Medical Supplies,7.24,2.82,,,0
CDM,SUP263680,Noncdm Charge Record Medical Supplies,3.45,1.35,,,0
CDM,SUP263683,Noncdm Charge Record Medical Supplies,17.6,6.86,,,0
CDM,SUP263684,Noncdm Charge Record Medical Supplies,13.46,5.25,,,0
CDM,SUP263692,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP263694,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP263707,Noncdm Charge Record Medical Supplies,9457.83,3688.55,,,0
CDM,SUP263709,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP263710,Noncdm Charge Record Medical Supplies,889.06,346.73,,,0
CDM,SUP263712,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP263716,Noncdm Charge Record Medical Supplies,179.06,69.83,,,0
CDM,SUP263717,Noncdm Charge Record Medical Supplies,179.06,69.83,,,0
CDM,SUP263723,Noncdm Charge Record Medical Supplies,4555.04,1776.47,,,0
CDM,SUP263725,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP263734,Noncdm Charge Record Medical Supplies,297.56,116.05,,,0
CDM,SUP263736,Noncdm Charge Record Medical Supplies,3883.32,1514.49,,,0
CDM,SUP263743,Noncdm Charge Record Medical Supplies,7495.47,2923.23,,,0
CDM,SUP263748,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP263750,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP263751,Noncdm Charge Record Medical Supplies,3375.14,1316.3,,,0
CDM,SUP263763,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP263769,Noncdm Charge Record Medical Supplies,100.4,39.16,,,0
CDM,SUP263777,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP263778,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP263780,Noncdm Charge Record Medical Supplies,455.4,177.61,,,0
CDM,SUP263781,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP263782,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP263783,Noncdm Charge Record Medical Supplies,94.18,36.73,,,0
CDM,SUP263784,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP263785,Noncdm Charge Record Medical Supplies,293.94,114.64,,,0
CDM,SUP263786,Noncdm Charge Record Medical Supplies,141.79,55.3,,,0
CDM,SUP263788,Noncdm Charge Record Medical Supplies,73.48,28.66,,,0
CDM,SUP263789,Noncdm Charge Record Medical Supplies,7715.92,3009.21,,,0
CDM,SUP263790,Noncdm Charge Record Medical Supplies,146.97,57.32,,,0
CDM,SUP263791,Noncdm Charge Record Medical Supplies,2325.64,907.0,,,0
CDM,SUP263792,Noncdm Charge Record Medical Supplies,309.46,120.69,,,0
CDM,SUP263801,Noncdm Charge Record Medical Supplies,179.06,69.83,,,0
CDM,SUP263805,Noncdm Charge Record Medical Supplies,100.4,39.16,,,0
CDM,SUP263811,Noncdm Charge Record Medical Supplies,7495.47,2923.23,,,0
CDM,SUP263812,Noncdm Charge Record Medical Supplies,641.7,250.26,,,0
CDM,SUP263820,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP263828,Noncdm Charge Record Medical Supplies,3293.37,1284.41,,,0
CDM,SUP26383,Noncdm Charge Record Medical Supplies - Cap Ti End T25 0Mm Ext Strl Strdrv Hum Nail Ex Sprl Bld,754.52,294.26,,,0
CDM,SUP263834,Noncdm Charge Record Medical Supplies,7.24,2.82,,,0
CDM,SUP263844,Noncdm Charge Record Medical Supplies,36.22,14.13,,,0
CDM,SUP263847,Noncdm Charge Record Medical Supplies,13.46,5.25,,,0
CDM,SUP263861,Noncdm Charge Record Medical Supplies,1624.95,633.73,,,0
CDM,SUP263864,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP263878,Noncdm Charge Record Medical Supplies,4020.98,1568.18,,,0
CDM,SUP263880,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP263884,Noncdm Charge Record Medical Supplies,234.43,91.43,,,0
CDM,SUP263887,Noncdm Charge Record Medical Supplies,328.1,127.96,,,0
CDM,SUP263890,Noncdm Charge Record Medical Supplies,54.51,21.26,,,0
CDM,SUP2639,Noncdm Charge Record Medical Supplies - Graft Bn Grftn Dem Bn Mtrx 1Ml Putty Strl (X),1128.15,439.98,,,0
CDM,SUP263910,Noncdm Charge Record Medical Supplies,2143.48,835.96,,,0
CDM,SUP263911,Noncdm Charge Record Medical Supplies,1145.74,446.84,,,0
CDM,SUP263914,Noncdm Charge Record Medical Supplies,141.79,55.3,,,0
CDM,SUP263933,Noncdm Charge Record Medical Supplies,141.79,55.3,,,0
CDM,SUP263938,Noncdm Charge Record Medical Supplies,288.76,112.62,,,0
CDM,SUP263941,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP263942,Noncdm Charge Record Medical Supplies,652.05,254.3,,,0
CDM,SUP263944,Noncdm Charge Record Medical Supplies,141.79,55.3,,,0
CDM,SUP263945,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP263949,Noncdm Charge Record Medical Supplies,122.13,47.63,,,0
CDM,SUP263951,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP263952,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP263954,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP26396,Noncdm Charge Record Medical Supplies - Caps Protect F- 4.5Mm Fx Pins,25.88,10.09,,,0
CDM,SUP263963,Noncdm Charge Record Medical Supplies,308.69,120.39,,,0
CDM,SUP26397,Noncdm Charge Record Medical Supplies - Caps Protect F- 4Mm Fx Pins,25.88,10.09,,,0
CDM,SUP263973,Noncdm Charge Record Medical Supplies,4850.01,1891.5,,,0
CDM,SUP26398,Noncdm Charge Record Medical Supplies - Caps Protect F- 6Mm Fx Pins,22.25,8.68,,,0
CDM,SUP263988,Noncdm Charge Record Medical Supplies,4373.91,1705.82,,,0
CDM,SUP263990,Noncdm Charge Record Medical Supplies,1836.09,716.08,,,0
CDM,SUP263992,Noncdm Charge Record Medical Supplies,7867.04,3068.15,,,0
CDM,SUP263993,Noncdm Charge Record Medical Supplies,5140.83,2004.92,,,0
CDM,SUP263994,Noncdm Charge Record Medical Supplies,6436.66,2510.3,,,0
CDM,SUP263995_C1062_278,Noncdm Charge Record Medical Supplies,6582.67,2567.24,,,0
CDM,SUP263995_L8699_278,Noncdm Charge Record Medical Supplies,6710.42,2617.06,,,0
CDM,SUP263996,Noncdm Charge Record Medical Supplies,7495.47,2923.23,,,0
CDM,SUP2640,Noncdm Charge Record Medical Supplies - Graft Bn Dem Bn Mtrx 5Ml Tissue Putty (X),4156.56,1621.06,,,0
CDM,SUP264000,Noncdm Charge Record Medical Supplies,53.82,20.99,,,0
CDM,SUP264002,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP264004,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP264008,Noncdm Charge Record Medical Supplies,537.16,209.49,,,0
CDM,SUP264019,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP264021,Noncdm Charge Record Medical Supplies,727.6,283.76,,,0
CDM,SUP264023,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP264027,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP264028,Noncdm Charge Record Medical Supplies,44.5,17.36,,,0
CDM,SUP264031,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP264032,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP264033,Noncdm Charge Record Medical Supplies,10581.84,4126.92,,,0
CDM,SUP264034,Noncdm Charge Record Medical Supplies,8818.2,3439.1,,,0
CDM,SUP264041,Noncdm Charge Record Medical Supplies,3472.42,1354.24,,,0
CDM,SUP264043,Noncdm Charge Record Medical Supplies,1836.09,716.08,,,0
CDM,SUP264044,Noncdm Charge Record Medical Supplies,3638.02,1418.83,,,0
CDM,SUP264045,Noncdm Charge Record Medical Supplies,3125.7,1219.02,,,0
CDM,SUP264047,Noncdm Charge Record Medical Supplies,1590.8,620.41,,,0
CDM,SUP264054,Noncdm Charge Record Medical Supplies,10.35,4.04,,,0
CDM,SUP264055,Noncdm Charge Record Medical Supplies,4631.62,1806.33,,,0
CDM,SUP264056,Noncdm Charge Record Medical Supplies,5974.02,2329.87,,,0
CDM,SUP264057,Noncdm Charge Record Medical Supplies,3168.14,1235.57,,,0
CDM,SUP264058,Noncdm Charge Record Medical Supplies,1547.32,603.45,,,0
CDM,SUP264059,Noncdm Charge Record Medical Supplies,4852.08,1892.31,,,0
CDM,SUP264060,Noncdm Charge Record Medical Supplies,122.13,47.63,,,0
CDM,SUP264062,Noncdm Charge Record Medical Supplies,110.23,42.99,,,0
CDM,SUP2641,Noncdm Charge Record Medical Supplies - Graft Bn Dem Bn Mtrx 10Ml Tissue Putty (X),5896.4,2299.6,,,0
CDM,SUP264111,Noncdm Charge Record Medical Supplies,2844.18,1109.23,,,0
CDM,SUP264112,Noncdm Charge Record Medical Supplies,1439.17,561.28,,,0
CDM,SUP264113,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP264118,Noncdm Charge Record Medical Supplies,100.4,39.16,,,0
CDM,SUP264132,Noncdm Charge Record Medical Supplies,387.09,150.97,,,0
CDM,SUP264133,Noncdm Charge Record Medical Supplies,333.27,129.98,,,0
CDM,SUP264135,Noncdm Charge Record Medical Supplies,408.82,159.44,,,0
CDM,SUP264137,Noncdm Charge Record Medical Supplies,6843.42,2668.93,,,0
CDM,SUP264153,Noncdm Charge Record Medical Supplies,1296.86,505.78,,,0
CDM,SUP264156,Noncdm Charge Record Medical Supplies,998.78,389.52,,,0
CDM,SUP264163,Noncdm Charge Record Medical Supplies,3330.63,1298.95,,,0
CDM,SUP264170,Noncdm Charge Record Medical Supplies,27.94,10.9,,,0
CDM,SUP264175,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP264176,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP264177,Noncdm Charge Record Medical Supplies,1853.68,722.94,,,0
CDM,SUP264178,Noncdm Charge Record Medical Supplies,94.18,36.73,,,0
CDM,SUP264179,Noncdm Charge Record Medical Supplies,395.37,154.19,,,0
CDM,SUP264181,Noncdm Charge Record Medical Supplies,293.94,114.64,,,0
CDM,SUP264182,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP264184,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP264186,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP264187,Noncdm Charge Record Medical Supplies,94.18,36.73,,,0
CDM,SUP264188,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP264191,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP264192,Noncdm Charge Record Medical Supplies,293.94,114.64,,,0
CDM,SUP264194,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP264198,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP264200,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP264202,Noncdm Charge Record Medical Supplies,73.48,28.66,,,0
CDM,SUP264203,Noncdm Charge Record Medical Supplies,7715.92,3009.21,,,0
CDM,SUP264204,Noncdm Charge Record Medical Supplies,94.18,36.73,,,0
CDM,SUP264216,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP264217,Noncdm Charge Record Medical Supplies,100.4,39.16,,,0
CDM,SUP264220,Noncdm Charge Record Medical Supplies,73.48,28.66,,,0
CDM,SUP264221,Noncdm Charge Record Medical Supplies,97.29,37.94,,,0
CDM,SUP264222,Noncdm Charge Record Medical Supplies,44.5,17.36,,,0
CDM,SUP264224,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP264225,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP264230,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP264231,Noncdm Charge Record Medical Supplies,2865.92,1117.71,,,0
CDM,SUP264238,Noncdm Charge Record Medical Supplies,94.18,36.73,,,0
CDM,SUP264242,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP264246,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP264248,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP264252,Noncdm Charge Record Medical Supplies,2257.34,880.36,,,0
CDM,SUP264260,Noncdm Charge Record Medical Supplies,783.5,305.56,,,0
CDM,SUP264276,Noncdm Charge Record Medical Supplies,2425.0,945.75,,,0
CDM,SUP264277,Noncdm Charge Record Medical Supplies,10251.67,3998.15,,,0
CDM,SUP264280,Noncdm Charge Record Medical Supplies,176.47,68.82,,,0
CDM,SUP264281,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP264282,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP264283,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP264284,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP264286,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP264288,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP264307,Noncdm Charge Record Medical Supplies,27.94,10.9,,,0
CDM,SUP264308,Noncdm Charge Record Medical Supplies,13658.9,5326.97,,,0
CDM,SUP264309,Noncdm Charge Record Medical Supplies,4851.56,1892.11,,,0
CDM,SUP264311,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP264327,Noncdm Charge Record Medical Supplies,1338.77,522.12,,,0
CDM,SUP264370,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP264375,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP2644,Noncdm Charge Record Medical Supplies,2125.89,829.1,,,0
CDM,SUP264400,Noncdm Charge Record Medical Supplies,974.97,380.24,,,0
CDM,SUP264407,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP264408,Noncdm Charge Record Medical Supplies,152.15,59.34,,,0
CDM,SUP264409,Noncdm Charge Record Medical Supplies,1297.89,506.18,,,0
CDM,SUP264427,Noncdm Charge Record Medical Supplies,8156.84,3181.17,,,0
CDM,SUP264450,Noncdm Charge Record Medical Supplies,495.76,193.35,,,0
CDM,SUP264455,Noncdm Charge Record Medical Supplies,2465.28,961.46,,,0
CDM,SUP264460,Noncdm Charge Record Medical Supplies,495.76,193.35,,,0
CDM,SUP264481,Noncdm Charge Record Medical Supplies,7495.47,2923.23,,,0
CDM,SUP264491,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP264502,Noncdm Charge Record Medical Supplies,1204.74,469.85,,,0
CDM,SUP264518,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP264521,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP264526,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP264527,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP264528,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP264529,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP264530,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP264531,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP264536,Noncdm Charge Record Medical Supplies,308.95,120.49,,,0
CDM,SUP264537,Noncdm Charge Record Medical Supplies,1204.74,469.85,,,0
CDM,SUP26454,Noncdm Charge Record Medical Supplies - Clamp Lg Pin 6 Pstn,1701.6,663.62,,,0
CDM,SUP264541,Noncdm Charge Record Medical Supplies,796.95,310.81,,,0
CDM,SUP264546,Noncdm Charge Record Medical Supplies,3504.51,1366.76,,,0
CDM,SUP264547,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP264558,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP264559,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP264560,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP264563,Noncdm Charge Record Medical Supplies,2369.11,923.95,,,0
CDM,SUP264564,Noncdm Charge Record Medical Supplies,1930.28,752.81,,,0
CDM,SUP264569,Noncdm Charge Record Medical Supplies,692.42,270.04,,,0
CDM,SUP264570,Noncdm Charge Record Medical Supplies,677.92,264.39,,,0
CDM,SUP264586,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP264598,Noncdm Charge Record Medical Supplies,1871.28,729.8,,,0
CDM,SUP264599,Noncdm Charge Record Medical Supplies,376.74,146.93,,,0
CDM,SUP264600,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP264601,Noncdm Charge Record Medical Supplies,10.35,4.04,,,0
CDM,SUP264606,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP264607,Noncdm Charge Record Medical Supplies,3897.81,1520.15,,,0
CDM,SUP264609,Noncdm Charge Record Medical Supplies,2746.89,1071.29,,,0
CDM,SUP26461,Noncdm Charge Record Medical Supplies - Clamp Tube To Tube,2633.04,1026.89,,,0
CDM,SUP264613,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP264616,Noncdm Charge Record Medical Supplies,4483.62,1748.61,,,0
CDM,SUP264618,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP264620,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP264621,Noncdm Charge Record Medical Supplies,4483.62,1748.61,,,0
CDM,SUP264622,Noncdm Charge Record Medical Supplies,1444.34,563.29,,,0
CDM,SUP26463,Noncdm Charge Record Medical Supplies - Coil 1.25Mm Wire 10M Crlge,312.57,121.9,,,0
CDM,SUP264635,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP26465,Noncdm Charge Record Medical Supplies,3964.05,1545.98,,,0
CDM,SUP264654,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP264655,Noncdm Charge Record Medical Supplies,237.02,92.44,,,0
CDM,SUP264668,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP264678,Noncdm Charge Record Medical Supplies,186.3,72.66,,,0
CDM,SUP264687,Noncdm Charge Record Medical Supplies,2386.71,930.82,,,0
CDM,SUP264689,Noncdm Charge Record Medical Supplies,7861.86,3066.13,,,0
CDM,SUP264692,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP2647,Noncdm Charge Record Medical Supplies - Screw 2-12Mm Dcp Ss Cort St Ns St Ns Mini Frag,168.7,65.79,,,0
CDM,SUP264701,Noncdm Charge Record Medical Supplies,2777.94,1083.4,,,0
CDM,SUP264703,Noncdm Charge Record Medical Supplies,1247.18,486.4,,,0
CDM,SUP264707,Noncdm Charge Record Medical Supplies,13668.21,5330.6,,,0
CDM,SUP264708,Noncdm Charge Record Medical Supplies,1454.18,567.13,,,0
CDM,SUP264709,Noncdm Charge Record Medical Supplies,1454.18,567.13,,,0
CDM,SUP264717,Noncdm Charge Record Medical Supplies,122.65,47.83,,,0
CDM,SUP264718,Noncdm Charge Record Medical Supplies,969.8,378.22,,,0
CDM,SUP264719,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP264724,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP264728,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP264731,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP264732,Noncdm Charge Record Medical Supplies,293.94,114.64,,,0
CDM,SUP264734,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP264735,Noncdm Charge Record Medical Supplies,94.18,36.73,,,0
CDM,SUP264736,Noncdm Charge Record Medical Supplies,44.5,17.36,,,0
CDM,SUP264737,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP264738,Noncdm Charge Record Medical Supplies,1836.09,716.08,,,0
CDM,SUP264739,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP264741,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP264742,Noncdm Charge Record Medical Supplies,94.18,36.73,,,0
CDM,SUP264745,Noncdm Charge Record Medical Supplies,293.94,114.64,,,0
CDM,SUP264747,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP264749,Noncdm Charge Record Medical Supplies,15851.02,6181.9,,,0
CDM,SUP264769,Noncdm Charge Record Medical Supplies,1247.18,486.4,,,0
CDM,SUP264778,Noncdm Charge Record Medical Supplies,1061.91,414.14,,,0
CDM,SUP264779,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP264780,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP264781,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP264789,Noncdm Charge Record Medical Supplies,188504.55,73516.77,,,0
CDM,SUP264797,Noncdm Charge Record Medical Supplies,320.85,125.13,,,0
CDM,SUP264817,Noncdm Charge Record Medical Supplies,261.86,102.13,,,0
CDM,SUP264818,Noncdm Charge Record Medical Supplies,13412.56,5230.9,,,0
CDM,SUP264819,Noncdm Charge Record Medical Supplies,15330.42,5978.86,,,0
CDM,SUP264822,Noncdm Charge Record Medical Supplies,12543.16,4891.83,,,0
CDM,SUP26483,Noncdm Charge Record Medical Supplies - Device Ti Troch Reatt W Cable -Long-Strl,10369.67,4044.17,,,0
CDM,SUP26484,Noncdm Charge Record Medical Supplies - Device Ti Troch Reatt W Std Cable-Strl,7195.32,2806.17,,,0
CDM,SUP264860,Noncdm Charge Record Medical Supplies,97.98,38.21,,,0
CDM,SUP264872,Noncdm Charge Record Medical Supplies,2756.2,1074.92,,,0
CDM,SUP264873,Noncdm Charge Record Medical Supplies,1723.28,672.08,,,0
CDM,SUP264879,Noncdm Charge Record Medical Supplies,22.77,8.88,,,0
CDM,SUP264880,Noncdm Charge Record Medical Supplies,17.6,6.86,,,0
CDM,SUP264888,Noncdm Charge Record Medical Supplies,171.81,67.01,,,0
CDM,SUP264892,Noncdm Charge Record Medical Supplies,7495.47,2923.23,,,0
CDM,SUP264899,Noncdm Charge Record Medical Supplies,14.23,5.55,,,0
CDM,SUP264900,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP264905,Noncdm Charge Record Medical Supplies,1.03,0.4,,,0
CDM,SUP264907,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP264922_C1874_624,Noncdm Charge Record Medical Supplies,1.03,0.4,,,0
CDM,SUP264927,Noncdm Charge Record Medical Supplies,391.23,152.58,,,0
CDM,SUP264941,Noncdm Charge Record Medical Supplies,455.4,177.61,,,0
CDM,SUP264963,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP264966,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP264969,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP264970,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP264971,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP264976,Noncdm Charge Record Medical Supplies,3293.37,1284.41,,,0
CDM,SUP264977,Noncdm Charge Record Medical Supplies,880.78,343.5,,,0
CDM,SUP264978,Noncdm Charge Record Medical Supplies,710.01,276.9,,,0
CDM,SUP264979,Noncdm Charge Record Medical Supplies,710.01,276.9,,,0
CDM,SUP26498,Noncdm Charge Record Medical Supplies,1625.98,634.13,,,0
CDM,SUP264980,Noncdm Charge Record Medical Supplies,166.64,64.99,,,0
CDM,SUP264981,Noncdm Charge Record Medical Supplies,1321.7,515.46,,,0
CDM,SUP264986,Noncdm Charge Record Medical Supplies,3472.42,1354.24,,,0
CDM,SUP264987,Noncdm Charge Record Medical Supplies,3472.42,1354.24,,,0
CDM,SUP2650,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 18Mm Dcp Ss Cort St Ns Mini Frag,168.7,65.79,,,0
CDM,SUP265001,Noncdm Charge Record Medical Supplies,983.25,383.47,,,0
CDM,SUP265005,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP265031,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP265034,Noncdm Charge Record Medical Supplies,1305.14,509.0,,,0
CDM,SUP26504,Noncdm Charge Record Medical Supplies,1805.04,703.97,,,0
CDM,SUP265046,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP265048,Noncdm Charge Record Medical Supplies,5511.38,2149.44,,,0
CDM,SUP265059,Noncdm Charge Record Medical Supplies,9065.56,3535.57,,,0
CDM,SUP265077,Noncdm Charge Record Medical Supplies,20678.26,8064.52,,,0
CDM,SUP265078,Noncdm Charge Record Medical Supplies,9065.56,3535.57,,,0
CDM,SUP265095,Noncdm Charge Record Medical Supplies,2468.48,962.71,,,0
CDM,SUP265096,Noncdm Charge Record Medical Supplies,727.6,283.76,,,0
CDM,SUP265097,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP2651,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 20Mm Dcp Ss Cort,162.5,63.38,,,0
CDM,SUP265121,Noncdm Charge Record Medical Supplies,1871.28,729.8,,,0
CDM,SUP265122,Noncdm Charge Record Medical Supplies,629.28,245.42,,,0
CDM,SUP265126,Noncdm Charge Record Medical Supplies,12565.94,4900.72,,,0
CDM,SUP265131,Noncdm Charge Record Medical Supplies,445.39,173.7,,,0
CDM,SUP265133,Noncdm Charge Record Medical Supplies,3108.1,1212.16,,,0
CDM,SUP265149,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP265150,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP265153,Noncdm Charge Record Medical Supplies,917.01,357.63,,,0
CDM,SUP265154,Noncdm Charge Record Medical Supplies,2865.92,1117.71,,,0
CDM,SUP265155,Noncdm Charge Record Medical Supplies,1001.88,390.73,,,0
CDM,SUP265156,Noncdm Charge Record Medical Supplies,114.88,44.8,,,0
CDM,SUP265159,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP265160,Noncdm Charge Record Medical Supplies,328.1,127.96,,,0
CDM,SUP265163,Noncdm Charge Record Medical Supplies,514.4,200.62,,,0
CDM,SUP265164,Noncdm Charge Record Medical Supplies,13424.98,5235.74,,,0
CDM,SUP265165,Noncdm Charge Record Medical Supplies,7632.09,2976.52,,,0
CDM,SUP265169,Noncdm Charge Record Medical Supplies,514.4,200.62,,,0
CDM,SUP265181,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP265192,Noncdm Charge Record Medical Supplies,2105.19,821.02,,,0
CDM,SUP265201,Noncdm Charge Record Medical Supplies,2278.04,888.44,,,0
CDM,SUP265219,Noncdm Charge Record Medical Supplies,608.58,237.35,,,0
CDM,SUP265226,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP265235,Noncdm Charge Record Medical Supplies,4852.08,1892.31,,,0
CDM,SUP265255,Noncdm Charge Record Medical Supplies,100.4,39.16,,,0
CDM,SUP265256,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP265261,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP265262,Noncdm Charge Record Medical Supplies,109.71,42.79,,,0
CDM,SUP265263,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP265264,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP265265,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP265266,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP265267,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP265268,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP265269,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP265273,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP265278,Noncdm Charge Record Medical Supplies,986.36,384.68,,,0
CDM,SUP265288,Noncdm Charge Record Medical Supplies,1092.81,426.2,,,0
CDM,SUP265289,Noncdm Charge Record Medical Supplies,642.74,250.67,,,0
CDM,SUP265290,Noncdm Charge Record Medical Supplies,1825.74,712.04,,,0
CDM,SUP265292,Noncdm Charge Record Medical Supplies,1801.42,702.55,,,0
CDM,SUP265293,Noncdm Charge Record Medical Supplies,598.23,233.31,,,0
CDM,SUP265294,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP265303,Noncdm Charge Record Medical Supplies,469.89,183.26,,,0
CDM,SUP265307,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP265308,Noncdm Charge Record Medical Supplies,109.71,42.79,,,0
CDM,SUP265309,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP265310,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP265311,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP265312,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP265313,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP265314,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP265315,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP265320,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP265336,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP265337_C1761_624,Noncdm Charge Record Medical Supplies,1.03,0.4,,,0
CDM,SUP265338,Noncdm Charge Record Medical Supplies,1590.8,620.41,,,0
CDM,SUP265341,Noncdm Charge Record Medical Supplies,2361.87,921.13,,,0
CDM,SUP265348,Noncdm Charge Record Medical Supplies,1196.46,466.62,,,0
CDM,SUP265349,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP265350,Noncdm Charge Record Medical Supplies,983.77,383.67,,,0
CDM,SUP265351,Noncdm Charge Record Medical Supplies,109.71,42.79,,,0
CDM,SUP265352,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP265353,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP265354,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP265355,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP265356,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP265357,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP265358,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP265368,Noncdm Charge Record Medical Supplies,100.4,39.16,,,0
CDM,SUP265373,Noncdm Charge Record Medical Supplies,3083.26,1202.47,,,0
CDM,SUP265376,Noncdm Charge Record Medical Supplies,1052.6,410.51,,,0
CDM,SUP265378,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP265379,Noncdm Charge Record Medical Supplies,1052.6,410.51,,,0
CDM,SUP265380,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP265381,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP265382,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP265383,Noncdm Charge Record Medical Supplies,1067.08,416.16,,,0
CDM,SUP265387,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP265396,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP265405,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP265412,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP265413_C1889_278,Noncdm Charge Record Medical Supplies,18518.22,7222.11,,,0
CDM,SUP265422,Noncdm Charge Record Medical Supplies,983.77,383.67,,,0
CDM,SUP265424,Noncdm Charge Record Medical Supplies,1206.81,470.66,,,0
CDM,SUP265446,Noncdm Charge Record Medical Supplies,3504.51,1366.76,,,0
CDM,SUP265447,Noncdm Charge Record Medical Supplies,711.56,277.51,,,0
CDM,SUP265448,Noncdm Charge Record Medical Supplies,380.88,148.54,,,0
CDM,SUP265449,Noncdm Charge Record Medical Supplies,338.44,131.99,,,0
CDM,SUP265457,Noncdm Charge Record Medical Supplies,146.97,57.32,,,0
CDM,SUP265460,Noncdm Charge Record Medical Supplies,1395.18,544.12,,,0
CDM,SUP265461,Noncdm Charge Record Medical Supplies,498.87,194.56,,,0
CDM,SUP265463,Noncdm Charge Record Medical Supplies,107.64,41.98,,,0
CDM,SUP265511,Noncdm Charge Record Medical Supplies,1930.28,752.81,,,0
CDM,SUP265572,Noncdm Charge Record Medical Supplies,1566.47,610.92,,,0
CDM,SUP265579,Noncdm Charge Record Medical Supplies,498.87,194.56,,,0
CDM,SUP265580,Noncdm Charge Record Medical Supplies,1449.06,565.13,,,0
CDM,SUP2655_272,Noncdm Charge Record Medical Supplies - Set Transf 48In 48In Spk Conne,80.73,31.48,,,0
CDM,SUP2655_A9999_272,Noncdm Charge Record Medical Supplies - Set Transf 48In 48In Spk Conne,80.73,31.48,,,0
CDM,SUP2656,Noncdm Charge Record Medical Supplies - Wire Fx .8Mm 70Mm Krsh Ss Troc Pt 1 End Ns,322.92,125.94,,,0
CDM,SUP265627,Noncdm Charge Record Medical Supplies,1454.18,567.13,,,0
CDM,SUP265635,Noncdm Charge Record Medical Supplies,122.65,47.83,,,0
CDM,SUP265636,Noncdm Charge Record Medical Supplies,5842.58,2278.61,,,0
CDM,SUP265638,Noncdm Charge Record Medical Supplies,636.52,248.24,,,0
CDM,SUP265644,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP265645,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP26565,Noncdm Charge Record Medical Supplies - Guide 1.8Mm Univ Va Lck Drill,2621.66,1022.45,,,0
CDM,SUP265650,Noncdm Charge Record Medical Supplies,727.6,283.76,,,0
CDM,SUP265657,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP265660,Noncdm Charge Record Medical Supplies,9920.48,3868.99,,,0
CDM,SUP265661,Noncdm Charge Record Medical Supplies,9920.48,3868.99,,,0
CDM,SUP265664,Noncdm Charge Record Medical Supplies,122.13,47.63,,,0
CDM,SUP265666,Noncdm Charge Record Medical Supplies,969.8,378.22,,,0
CDM,SUP265681,Noncdm Charge Record Medical Supplies,342.58,133.61,,,0
CDM,SUP265685,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP265703,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP265707,Noncdm Charge Record Medical Supplies,343.1,133.81,,,0
CDM,SUP265712,Noncdm Charge Record Medical Supplies,3769.81,1470.23,,,0
CDM,SUP265737,Noncdm Charge Record Medical Supplies,1484.19,578.83,,,0
CDM,SUP265745,Noncdm Charge Record Medical Supplies,7010.06,2733.92,,,0
CDM,SUP265749,Noncdm Charge Record Medical Supplies,900.45,351.18,,,0
CDM,SUP265751,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP265752,Noncdm Charge Record Medical Supplies,727.6,283.76,,,0
CDM,SUP265753,Noncdm Charge Record Medical Supplies,1848.51,720.92,,,0
CDM,SUP265758,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP265759,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP265761,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP265762,Noncdm Charge Record Medical Supplies,1165.41,454.51,,,0
CDM,SUP265763,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP265764,Noncdm Charge Record Medical Supplies,3897.81,1520.15,,,0
CDM,SUP265765,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP265766,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP265768,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP265770,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP265771,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP265784,Noncdm Charge Record Medical Supplies,464.72,181.24,,,0
CDM,SUP265808,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP265809,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP265816,Noncdm Charge Record Medical Supplies,790.74,308.39,,,0
CDM,SUP265828,Noncdm Charge Record Medical Supplies,1713.96,668.44,,,0
CDM,SUP265849,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP265859,Noncdm Charge Record Medical Supplies,2392.92,933.24,,,0
CDM,SUP265863,Noncdm Charge Record Medical Supplies,710.01,276.9,,,0
CDM,SUP265864,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP265865,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP265866,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP265868,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP265870,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP265871,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP265872,Noncdm Charge Record Medical Supplies,704.84,274.89,,,0
CDM,SUP265873,Noncdm Charge Record Medical Supplies,715.18,278.92,,,0
CDM,SUP265874,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP265875,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP265877,Noncdm Charge Record Medical Supplies,37.26,14.53,,,0
CDM,SUP265881,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP265884,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP265893,Noncdm Charge Record Medical Supplies,122.65,47.83,,,0
CDM,SUP265896,Noncdm Charge Record Medical Supplies,122.65,47.83,,,0
CDM,SUP2659,Noncdm Charge Record Medical Supplies - Device Bx 10Cm 13Ga Ostst Bn Ndl Troc Tip,292.9,114.23,,,0
CDM,SUP265909,Noncdm Charge Record Medical Supplies,973.94,379.84,,,0
CDM,SUP265912,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP265915,Noncdm Charge Record Medical Supplies,1266.84,494.07,,,0
CDM,SUP265917,Noncdm Charge Record Medical Supplies,1211.47,472.47,,,0
CDM,SUP265924,Noncdm Charge Record Medical Supplies,1590.8,620.41,,,0
CDM,SUP265925,Noncdm Charge Record Medical Supplies,1958.22,763.71,,,0
CDM,SUP265927,Noncdm Charge Record Medical Supplies,4409.1,1719.55,,,0
CDM,SUP265928,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP265930,Noncdm Charge Record Medical Supplies,973.94,379.84,,,0
CDM,SUP265931,Noncdm Charge Record Medical Supplies,2491.24,971.58,,,0
CDM,SUP265932,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP265939,Noncdm Charge Record Medical Supplies,1590.8,620.41,,,0
CDM,SUP265940,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP265964,Noncdm Charge Record Medical Supplies,6834.1,2665.3,,,0
CDM,SUP265994,Noncdm Charge Record Medical Supplies,26013.69,10145.34,,,0
CDM,SUP265995,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP266003,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP266005,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP266006,Noncdm Charge Record Medical Supplies,4421.52,1724.39,,,0
CDM,SUP266027,Noncdm Charge Record Medical Supplies,1904.4,742.72,,,0
CDM,SUP266030,Noncdm Charge Record Medical Supplies,1899.22,740.7,,,0
CDM,SUP266045,Noncdm Charge Record Medical Supplies,1.03,0.4,,,0
CDM,SUP266047,Noncdm Charge Record Medical Supplies,5511.38,2149.44,,,0
CDM,SUP266048,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP266051,Noncdm Charge Record Medical Supplies,587.88,229.27,,,0
CDM,SUP266061,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP266073,Noncdm Charge Record Medical Supplies,3086.37,1203.68,,,0
CDM,SUP266075,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP266076_C1886_272,Noncdm Charge Record Medical Supplies,8156.84,3181.17,,,0
CDM,SUP266078,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP266082,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP266084,Noncdm Charge Record Medical Supplies,27.94,10.9,,,0
CDM,SUP266085,Noncdm Charge Record Medical Supplies,7495.47,2923.23,,,0
CDM,SUP26609,Noncdm Charge Record Medical Supplies - Guide Wire Drill Tip 2.5Mm W 12Mm Thrd 300Mm,269.1,104.95,,,0
CDM,SUP266096,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP2661,Noncdm Charge Record Medical Supplies - Catheter Drain 14Fr 25Cm Loop,393.3,153.39,,,0
CDM,SUP266105,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP266107,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP266109,Noncdm Charge Record Medical Supplies,244.78,95.46,,,0
CDM,SUP266110,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP266111,Noncdm Charge Record Medical Supplies,27.94,10.9,,,0
CDM,SUP266113,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP266114,Noncdm Charge Record Medical Supplies,30.02,11.71,,,0
CDM,SUP266118,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP266127,Noncdm Charge Record Medical Supplies,1739.84,678.54,,,0
CDM,SUP266138,Noncdm Charge Record Medical Supplies,6646.77,2592.24,,,0
CDM,SUP266159,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP266161,Noncdm Charge Record Medical Supplies,27.94,10.9,,,0
CDM,SUP266166,Noncdm Charge Record Medical Supplies,1728.45,674.1,,,0
CDM,SUP266198,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP2662,Noncdm Charge Record Medical Supplies - Catheter Drain 12Fr 25Cm Flxm,393.3,153.39,,,0
CDM,SUP266213,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP266224,Noncdm Charge Record Medical Supplies,899.42,350.77,,,0
CDM,SUP266225,Noncdm Charge Record Medical Supplies,13668.21,5330.6,,,0
CDM,SUP266229,Noncdm Charge Record Medical Supplies,514.4,200.62,,,0
CDM,SUP266230,Noncdm Charge Record Medical Supplies,514.4,200.62,,,0
CDM,SUP266236,Noncdm Charge Record Medical Supplies,829.04,323.33,,,0
CDM,SUP266272,Noncdm Charge Record Medical Supplies,1061.91,414.14,,,0
CDM,SUP266286,Noncdm Charge Record Medical Supplies,10.35,4.04,,,0
CDM,SUP266304,Noncdm Charge Record Medical Supplies,983.25,383.47,,,0
CDM,SUP266306,Noncdm Charge Record Medical Supplies,3671.14,1431.74,,,0
CDM,SUP266307,Noncdm Charge Record Medical Supplies,1204.74,469.85,,,0
CDM,SUP266308,Noncdm Charge Record Medical Supplies,623.07,243.0,,,0
CDM,SUP266310,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP266316,Noncdm Charge Record Medical Supplies,1713.96,668.44,,,0
CDM,SUP266317,Noncdm Charge Record Medical Supplies,5709.06,2226.53,,,0
CDM,SUP266333,Noncdm Charge Record Medical Supplies,5710.1,2226.94,,,0
CDM,SUP266334,Noncdm Charge Record Medical Supplies,3168.14,1235.57,,,0
CDM,SUP266335,Noncdm Charge Record Medical Supplies,1547.32,603.45,,,0
CDM,SUP266339,Noncdm Charge Record Medical Supplies,7010.06,2733.92,,,0
CDM,SUP266347,Noncdm Charge Record Medical Supplies,342.58,133.61,,,0
CDM,SUP266369,Noncdm Charge Record Medical Supplies,345.95,134.92,,,0
CDM,SUP266388,Noncdm Charge Record Medical Supplies,1454.18,567.13,,,0
CDM,SUP2663_C1887_272,Noncdm Charge Record Medical Supplies - Introducer Sheath 4Fr .018In 7Cm Gwire Cath,218.38,85.17,,,0
CDM,SUP2663_C1894_272,Noncdm Charge Record Medical Supplies - Introducer Sheath 4Fr .018In 7Cm Gwire Cath,195.16,76.11,,,0
CDM,SUP266401,Noncdm Charge Record Medical Supplies,25.88,10.09,,,0
CDM,SUP266403,Noncdm Charge Record Medical Supplies,2408.45,939.3,,,0
CDM,SUP266404,Noncdm Charge Record Medical Supplies,513.36,200.21,,,0
CDM,SUP266405,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP266415,Noncdm Charge Record Medical Supplies,6646.77,2592.24,,,0
CDM,SUP266416,Noncdm Charge Record Medical Supplies,790.74,308.39,,,0
CDM,SUP266427,Noncdm Charge Record Medical Supplies,240.12,93.65,,,0
CDM,SUP266428,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP266436,Noncdm Charge Record Medical Supplies,790.74,308.39,,,0
CDM,SUP266446,Noncdm Charge Record Medical Supplies,1305.14,509.0,,,0
CDM,SUP266451,Noncdm Charge Record Medical Supplies,18518.22,7222.11,,,0
CDM,SUP266454,Noncdm Charge Record Medical Supplies,2932.16,1143.54,,,0
CDM,SUP266456,Noncdm Charge Record Medical Supplies,842.49,328.57,,,0
CDM,SUP266457,Noncdm Charge Record Medical Supplies,3055.32,1191.57,,,0
CDM,SUP266458,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP266469,Noncdm Charge Record Medical Supplies,790.74,308.39,,,0
CDM,SUP26648,Noncdm Charge Record Medical Supplies - Head Reamer Mdlry 8.5Mm,1370.34,534.43,,,0
CDM,SUP2665,Noncdm Charge Record Medical Supplies - Guidewire Endo .038In 260Cm,557.86,217.57,,,0
CDM,SUP266505,Noncdm Charge Record Medical Supplies,18518.22,7222.11,,,0
CDM,SUP266509,Noncdm Charge Record Medical Supplies,2932.16,1143.54,,,0
CDM,SUP266517,Noncdm Charge Record Medical Supplies,964.62,376.2,,,0
CDM,SUP266518,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP266543,Noncdm Charge Record Medical Supplies,73.48,28.66,,,0
CDM,SUP266545,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP266548,Noncdm Charge Record Medical Supplies,254.61,99.3,,,0
CDM,SUP266554,Noncdm Charge Record Medical Supplies,73.48,28.66,,,0
CDM,SUP266555,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP266557,Noncdm Charge Record Medical Supplies,254.61,99.3,,,0
CDM,SUP266559,Noncdm Charge Record Medical Supplies,1836.09,716.08,,,0
CDM,SUP266575,Noncdm Charge Record Medical Supplies,2425.0,945.75,,,0
CDM,SUP266576,Noncdm Charge Record Medical Supplies,73.48,28.66,,,0
CDM,SUP266577,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP266578,Noncdm Charge Record Medical Supplies,254.61,99.3,,,0
CDM,SUP266579,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP266588,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP266589,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP266590,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP266599,Noncdm Charge Record Medical Supplies,220.46,85.98,,,0
CDM,SUP2666,Noncdm Charge Record Medical Supplies - Guidewire Endo Jag .035In260Cm,763.62,297.81,,,0
CDM,SUP266600,Noncdm Charge Record Medical Supplies,2105.19,821.02,,,0
CDM,SUP266601,Noncdm Charge Record Medical Supplies,2105.19,821.02,,,0
CDM,SUP266616,Noncdm Charge Record Medical Supplies,1502.82,586.1,,,0
CDM,SUP266623,Noncdm Charge Record Medical Supplies,2636.14,1028.09,,,0
CDM,SUP266627,Noncdm Charge Record Medical Supplies,6944.85,2708.49,,,0
CDM,SUP266631,Noncdm Charge Record Medical Supplies,333.27,129.98,,,0
CDM,SUP266632,Noncdm Charge Record Medical Supplies,432.7,168.75,,,0
CDM,SUP266659,Noncdm Charge Record Medical Supplies,4852.08,1892.31,,,0
CDM,SUP2667,Noncdm Charge Record Medical Supplies - Balloon Dil Bil 5.8Fr 4Mm 4Cm,1733.62,676.11,,,0
CDM,SUP266723,Noncdm Charge Record Medical Supplies,37.26,14.53,,,0
CDM,SUP266753,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP266765,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP266787,Noncdm Charge Record Medical Supplies,387.09,150.97,,,0
CDM,SUP266788,Noncdm Charge Record Medical Supplies,333.27,129.98,,,0
CDM,SUP2668,Noncdm Charge Record Medical Supplies - Balloon Dil Bil 5.8Fr 6Mm 4Cm,1733.62,676.11,,,0
CDM,SUP266812,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP266840,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP266857,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP266858,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP266859,Noncdm Charge Record Medical Supplies,382.43,149.15,,,0
CDM,SUP266874,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP266875,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP266876,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP266878,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP266881,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP266882,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP266896,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP266898,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP2669,Noncdm Charge Record Medical Supplies - Balloon Dil Bil 5.8Fr 8Mm 4Cm,1733.62,676.11,,,0
CDM,SUP266900,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP266903,Noncdm Charge Record Medical Supplies,73.48,28.66,,,0
CDM,SUP266905,Noncdm Charge Record Medical Supplies,44.5,17.36,,,0
CDM,SUP266907,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP266909,Noncdm Charge Record Medical Supplies,94.18,36.73,,,0
CDM,SUP266910,Noncdm Charge Record Medical Supplies,293.94,114.64,,,0
CDM,SUP266913,Noncdm Charge Record Medical Supplies,663.44,258.74,,,0
CDM,SUP266917,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP266919,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP266923,Noncdm Charge Record Medical Supplies,73.48,28.66,,,0
CDM,SUP266924,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP266926,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP266928,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP266930,Noncdm Charge Record Medical Supplies,137.14,53.48,,,0
CDM,SUP266935,Noncdm Charge Record Medical Supplies,1452.1,566.32,,,0
CDM,SUP266953,Noncdm Charge Record Medical Supplies,8156.84,3181.17,,,0
CDM,SUP266964,Noncdm Charge Record Medical Supplies,1206.81,470.66,,,0
CDM,SUP266965,Noncdm Charge Record Medical Supplies,583.53,227.58,,,0
CDM,SUP266966,Noncdm Charge Record Medical Supplies,1092.96,426.25,,,0
CDM,SUP266969,Noncdm Charge Record Medical Supplies,984.03,383.77,,,0
CDM,SUP266973,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP266977,Noncdm Charge Record Medical Supplies,5710.1,2226.94,,,0
CDM,SUP266983,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP266984,Noncdm Charge Record Medical Supplies,1424.16,555.42,,,0
CDM,SUP266987,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP266997,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP2670,Noncdm Charge Record Medical Supplies - Balloon Dil Bil 5.8Fr 10Mm 4Cm,1733.62,676.11,,,0
CDM,SUP267013,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP267014,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP267015,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP267016,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP267017,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP267045,Noncdm Charge Record Medical Supplies,9.32,3.63,,,0
CDM,SUP267051_272,Noncdm Charge Record Medical Supplies,9805.59,3824.18,,,0
CDM,SUP267051_C1726_272,Noncdm Charge Record Medical Supplies,9805.59,3824.18,,,0
CDM,SUP267052_272,Noncdm Charge Record Medical Supplies,389.68,151.98,,,0
CDM,SUP267053,Noncdm Charge Record Medical Supplies,2636.22,1028.13,,,0
CDM,SUP267071,Noncdm Charge Record Medical Supplies,1590.8,620.41,,,0
CDM,SUP267080,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP267097,Noncdm Charge Record Medical Supplies,936.68,365.31,,,0
CDM,SUP267105,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP267111,Noncdm Charge Record Medical Supplies,8787.15,3426.99,,,0
CDM,SUP267118,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP267125,Noncdm Charge Record Medical Supplies,1483.16,578.43,,,0
CDM,SUP267127,Noncdm Charge Record Medical Supplies,792.81,309.2,,,0
CDM,SUP267128,Noncdm Charge Record Medical Supplies,792.81,309.2,,,0
CDM,SUP267138,Noncdm Charge Record Medical Supplies,15211.4,5932.45,,,0
CDM,SUP267148,Noncdm Charge Record Medical Supplies,318.78,124.32,,,0
CDM,SUP267149,Noncdm Charge Record Medical Supplies,318.78,124.32,,,0
CDM,SUP267150,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP267160,Noncdm Charge Record Medical Supplies,367.08,143.16,,,0
CDM,SUP267188,Noncdm Charge Record Medical Supplies,1174.72,458.14,,,0
CDM,SUP267189,Noncdm Charge Record Medical Supplies,1510.06,588.92,,,0
CDM,SUP267191,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP267193,Noncdm Charge Record Medical Supplies,8267.58,3224.36,,,0
CDM,SUP267194,Noncdm Charge Record Medical Supplies,7588.62,2959.56,,,0
CDM,SUP2671_270,Noncdm Charge Record Medical Supplies - Cuff Blood Press Adlt 26-33Cm,10.35,4.04,,,0
CDM,SUP2671_A4649_270,Noncdm Charge Record Medical Supplies - Cuff Blood Press Adlt 26-33Cm,10.35,4.04,,,0
CDM,SUP2671_A9999_270,Noncdm Charge Record Medical Supplies - Cuff Blood Press Adlt 26-33Cm,10.35,4.04,,,0
CDM,SUP267204,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP267211,Noncdm Charge Record Medical Supplies,480.24,187.29,,,0
CDM,SUP267213,Noncdm Charge Record Medical Supplies,480.24,187.29,,,0
CDM,SUP267215,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP267217,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP267220,Noncdm Charge Record Medical Supplies,1590.8,620.41,,,0
CDM,SUP267221,Noncdm Charge Record Medical Supplies,27.94,10.9,,,0
CDM,SUP267223,Noncdm Charge Record Medical Supplies,55.89,21.8,,,0
CDM,SUP267224,Noncdm Charge Record Medical Supplies,107.64,41.98,,,0
CDM,SUP267225,Noncdm Charge Record Medical Supplies,107.64,41.98,,,0
CDM,SUP267233,Noncdm Charge Record Medical Supplies,783.5,305.56,,,0
CDM,SUP267234,Noncdm Charge Record Medical Supplies,734.33,286.39,,,0
CDM,SUP267236,Noncdm Charge Record Medical Supplies,894.24,348.75,,,0
CDM,SUP267286,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP267290,Noncdm Charge Record Medical Supplies,1370.34,534.43,,,0
CDM,SUP267292,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP267300,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP267301,Noncdm Charge Record Medical Supplies,146.97,57.32,,,0
CDM,SUP267307,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP267311,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP267318,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP267321,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP267323,Noncdm Charge Record Medical Supplies,899.42,350.77,,,0
CDM,SUP267335,Noncdm Charge Record Medical Supplies,24.32,9.48,,,0
CDM,SUP267339,Noncdm Charge Record Medical Supplies,269.1,104.95,,,0
CDM,SUP267342,Noncdm Charge Record Medical Supplies,152.83,59.6,,,0
CDM,SUP267347,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP267348,Noncdm Charge Record Medical Supplies,391.23,152.58,,,0
CDM,SUP267364,Noncdm Charge Record Medical Supplies,391.23,152.58,,,0
CDM,SUP267371,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP267380,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP267382,Noncdm Charge Record Medical Supplies,2407.41,938.89,,,0
CDM,SUP267383,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP267385,Noncdm Charge Record Medical Supplies,1468.66,572.78,,,0
CDM,SUP267386,Noncdm Charge Record Medical Supplies,2315.3,902.97,,,0
CDM,SUP267387,Noncdm Charge Record Medical Supplies,1713.96,668.44,,,0
CDM,SUP267389,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP267393,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP267399_C1713_278,Noncdm Charge Record Medical Supplies,263.23,102.66,,,0
CDM,SUP2673_270,Noncdm Charge Record Medical Supplies - See 141320 Circuit Anesthesia Westmed Inc,28.01,10.92,,,0
CDM,SUP2673_272,Noncdm Charge Record Medical Supplies - See 141320 Circuit Anesthesia Westmed Inc,28.46,11.1,,,0
CDM,SUP2673_A4649_270,Noncdm Charge Record Medical Supplies - See 141320 Circuit Anesthesia Westmed Inc,27.94,10.9,,,0
CDM,SUP2673_A9999_270,Noncdm Charge Record Medical Supplies - See 141320 Circuit Anesthesia Westmed Inc,27.94,10.9,,,0
CDM,SUP267400,Noncdm Charge Record Medical Supplies,1853.68,722.94,,,0
CDM,SUP267406,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP267407,Noncdm Charge Record Medical Supplies,3108.1,1212.16,,,0
CDM,SUP267408,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP267409,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP267411,Noncdm Charge Record Medical Supplies,445.05,173.57,,,0
CDM,SUP267412,Noncdm Charge Record Medical Supplies,1464.52,571.16,,,0
CDM,SUP267413,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP267415,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP267416,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP267417,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP267419,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP267420,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP267421,Noncdm Charge Record Medical Supplies,10.35,4.04,,,0
CDM,SUP267423,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP267429,Noncdm Charge Record Medical Supplies,73.51,28.67,,,0
CDM,SUP267434,Noncdm Charge Record Medical Supplies,773.66,301.73,,,0
CDM,SUP267435,Noncdm Charge Record Medical Supplies,1713.96,668.44,,,0
CDM,SUP267443,Noncdm Charge Record Medical Supplies,773.14,301.52,,,0
CDM,SUP267472,Noncdm Charge Record Medical Supplies,73.48,28.66,,,0
CDM,SUP267473,Noncdm Charge Record Medical Supplies,856.98,334.22,,,0
CDM,SUP267488,Noncdm Charge Record Medical Supplies,709.49,276.7,,,0
CDM,SUP2674_272,Noncdm Charge Record Medical Supplies - Sponge Pattie .5X3In Deroyal,17.62,6.87,,,0
CDM,SUP2674_A4649_272,Noncdm Charge Record Medical Supplies - Sponge Pattie .5X3In Deroyal,17.6,6.86,,,0
CDM,SUP2674_A9999_272,Noncdm Charge Record Medical Supplies - Sponge Pattie .5X3In Deroyal,17.6,6.86,,,0
CDM,SUP267516,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP267524,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP267533,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP267534,Noncdm Charge Record Medical Supplies,238.05,92.84,,,0
CDM,SUP267535,Noncdm Charge Record Medical Supplies,889.06,346.73,,,0
CDM,SUP267537,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP267538,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP267555,Noncdm Charge Record Medical Supplies,5511.38,2149.44,,,0
CDM,SUP267561,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP267562,Noncdm Charge Record Medical Supplies,2756.2,1074.92,,,0
CDM,SUP267566,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP267568,Noncdm Charge Record Medical Supplies,2130.03,830.71,,,0
CDM,SUP267569,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP267570,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP267579,Noncdm Charge Record Medical Supplies,11904.57,4642.78,,,0
CDM,SUP267581,Noncdm Charge Record Medical Supplies,82.8,32.29,,,0
CDM,SUP267582,Noncdm Charge Record Medical Supplies,254.61,99.3,,,0
CDM,SUP267583,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP267584,Noncdm Charge Record Medical Supplies,1454.18,567.13,,,0
CDM,SUP267585,Noncdm Charge Record Medical Supplies,1958.22,763.71,,,0
CDM,SUP267586,Noncdm Charge Record Medical Supplies,68.31,26.64,,,0
CDM,SUP267587,Noncdm Charge Record Medical Supplies,1027.76,400.83,,,0
CDM,SUP267589,Noncdm Charge Record Medical Supplies,1468.66,572.78,,,0
CDM,SUP2675_270,Noncdm Charge Record Medical Supplies - See 155883 Cannula Nasal 7Ft 02-Co2 Connect Covidien,9.32,3.63,,,0
CDM,SUP2675_272,Noncdm Charge Record Medical Supplies - See 155883 Cannula Nasal 7Ft 02-Co2 Connect Covidien,9.32,3.63,,,0
CDM,SUP2675_A4649_270,Noncdm Charge Record Medical Supplies - See 155883 Cannula Nasal 7Ft 02-Co2 Connect Covidien,9.32,3.63,,,0
CDM,SUP2676,Noncdm Charge Record Medical Supplies - Sheet Medpor 38Mmx50Mmx.085Mm,2422.94,944.95,,,0
CDM,SUP267606,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP267609,Noncdm Charge Record Medical Supplies,2130.03,830.71,,,0
CDM,SUP267610,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP267611,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP267612,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP267617,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP267620,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP267622,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP267624,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP267626,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP267629,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP267630,Noncdm Charge Record Medical Supplies,1958.22,763.71,,,0
CDM,SUP267635,Noncdm Charge Record Medical Supplies,1027.76,400.83,,,0
CDM,SUP267662,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP267669,Noncdm Charge Record Medical Supplies,1624.95,633.73,,,0
CDM,SUP267670,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP267671,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP267677,Noncdm Charge Record Medical Supplies,1759.5,686.2,,,0
CDM,SUP267678,Noncdm Charge Record Medical Supplies,1728.45,674.1,,,0
CDM,SUP267682,Noncdm Charge Record Medical Supplies,1104.34,430.69,,,0
CDM,SUP267687,Noncdm Charge Record Medical Supplies,61.58,24.02,,,0
CDM,SUP267694,Noncdm Charge Record Medical Supplies,24.32,9.48,,,0
CDM,SUP2677,Noncdm Charge Record Medical Supplies - Catheter Angio .035In Sim1 Crv 5Fr 100Cm 5-Bx,99.23,38.7,,,0
CDM,SUP267700,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP267706,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP267707,Noncdm Charge Record Medical Supplies,7715.92,3009.21,,,0
CDM,SUP267710,Noncdm Charge Record Medical Supplies,1305.14,509.0,,,0
CDM,SUP267713,Noncdm Charge Record Medical Supplies,3055.32,1191.57,,,0
CDM,SUP267716,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP267737,Noncdm Charge Record Medical Supplies,4444.29,1733.27,,,0
CDM,SUP267738,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP267741,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP267746,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP267747,Noncdm Charge Record Medical Supplies,495.76,193.35,,,0
CDM,SUP267748,Noncdm Charge Record Medical Supplies,670.68,261.57,,,0
CDM,SUP267764,Noncdm Charge Record Medical Supplies,433.66,169.13,,,0
CDM,SUP267766,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP267780,Noncdm Charge Record Medical Supplies,1440.72,561.88,,,0
CDM,SUP267785,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP267789,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP267792,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP267796,Noncdm Charge Record Medical Supplies,93.15,36.33,,,0
CDM,SUP267800,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP267815,Noncdm Charge Record Medical Supplies,2283.21,890.45,,,0
CDM,SUP267816,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP267818,Noncdm Charge Record Medical Supplies,5710.1,2226.94,,,0
CDM,SUP267819,Noncdm Charge Record Medical Supplies,166.64,64.99,,,0
CDM,SUP267820,Noncdm Charge Record Medical Supplies,5290.92,2063.46,,,0
CDM,SUP267821,Noncdm Charge Record Medical Supplies,2746.89,1071.29,,,0
CDM,SUP267822_272,Noncdm Charge Record Medical Supplies,528.88,206.26,,,0
CDM,SUP267830,Noncdm Charge Record Medical Supplies,710.01,276.9,,,0
CDM,SUP267832,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP267843,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP267845,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP267847,Noncdm Charge Record Medical Supplies,2865.92,1117.71,,,0
CDM,SUP267850,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP267864,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP267865,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP267866,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP267868,Noncdm Charge Record Medical Supplies,2932.16,1143.54,,,0
CDM,SUP267869,Noncdm Charge Record Medical Supplies,102.46,39.96,,,0
CDM,SUP267870,Noncdm Charge Record Medical Supplies,2932.16,1143.54,,,0
CDM,SUP267873,Noncdm Charge Record Medical Supplies,969.8,378.22,,,0
CDM,SUP267874,Noncdm Charge Record Medical Supplies,763.83,297.89,,,0
CDM,SUP267876,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP267877,Noncdm Charge Record Medical Supplies,2932.16,1143.54,,,0
CDM,SUP267879,Noncdm Charge Record Medical Supplies,2932.16,1143.54,,,0
CDM,SUP267880,Noncdm Charge Record Medical Supplies,2932.16,1143.54,,,0
CDM,SUP267881,Noncdm Charge Record Medical Supplies,18518.22,7222.11,,,0
CDM,SUP267882,Noncdm Charge Record Medical Supplies,2932.16,1143.54,,,0
CDM,SUP267883,Noncdm Charge Record Medical Supplies,2932.16,1143.54,,,0
CDM,SUP2679,Noncdm Charge Record Medical Supplies - Drape 18X18In Bag Isl Vdrp Trans Strl Lf Disp,23.8,9.28,,,0
CDM,SUP267936,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP26795,Noncdm Charge Record Medical Supplies - Nail 2Mm Ti Elastic 440Mm,1184.73,462.04,,,0
CDM,SUP267967,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP26799,Noncdm Charge Record Medical Supplies - Nail 3Mm Ti Elc 440Mm,1407.6,548.96,,,0
CDM,SUP268007,Noncdm Charge Record Medical Supplies,14452.74,5636.57,,,0
CDM,SUP268008,Noncdm Charge Record Medical Supplies,269.1,104.95,,,0
CDM,SUP268009,Noncdm Charge Record Medical Supplies,136.62,53.28,,,0
CDM,SUP268010,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP268017,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP268018,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP268028,Noncdm Charge Record Medical Supplies,727.6,283.76,,,0
CDM,SUP268035,Noncdm Charge Record Medical Supplies,9873.9,3850.82,,,0
CDM,SUP268055,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP268058,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP268063,Noncdm Charge Record Medical Supplies,727.6,283.76,,,0
CDM,SUP268064,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP268071,Noncdm Charge Record Medical Supplies,445.05,173.57,,,0
CDM,SUP268072,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP268074_C1889_272,Noncdm Charge Record Medical Supplies,18518.22,7222.11,,,0
CDM,SUP268076,Noncdm Charge Record Medical Supplies,2932.16,1143.54,,,0
CDM,SUP268082,Noncdm Charge Record Medical Supplies,3142.26,1225.48,,,0
CDM,SUP268083,Noncdm Charge Record Medical Supplies,288.76,112.62,,,0
CDM,SUP268092,Noncdm Charge Record Medical Supplies,1493.5,582.46,,,0
CDM,SUP2681,Noncdm Charge Record Medical Supplies - Graft Vasc 10Cm 6Mm Grtx Thnwl,735.88,286.99,,,0
CDM,SUP268112,Noncdm Charge Record Medical Supplies,1841.26,718.09,,,0
CDM,SUP268117,Noncdm Charge Record Medical Supplies,3472.42,1354.24,,,0
CDM,SUP26813,Noncdm Charge Record Medical Supplies - Nail 7Mm Mllk Lt 225Mm Strl Ti Hum Cannula,7572.06,2953.1,,,0
CDM,SUP268130,Noncdm Charge Record Medical Supplies,455.4,177.61,,,0
CDM,SUP268131,Noncdm Charge Record Medical Supplies,1395.18,544.12,,,0
CDM,SUP26814,Noncdm Charge Record Medical Supplies - Nail 7Mm Mllk Lt 240Mm Strl Ti Hum Cannula,7572.06,2953.1,,,0
CDM,SUP26815,Noncdm Charge Record Medical Supplies - Nail 7Mm Mllk Lt 255Mm Strl Ti Hum Cannula,7572.06,2953.1,,,0
CDM,SUP268152,Noncdm Charge Record Medical Supplies,900.45,351.18,,,0
CDM,SUP268153,Noncdm Charge Record Medical Supplies,1484.19,578.83,,,0
CDM,SUP268154,Noncdm Charge Record Medical Supplies,962.55,375.39,,,0
CDM,SUP268155,Noncdm Charge Record Medical Supplies,962.55,375.39,,,0
CDM,SUP268156,Noncdm Charge Record Medical Supplies,3334.77,1300.56,,,0
CDM,SUP268157,Noncdm Charge Record Medical Supplies,1440.72,561.88,,,0
CDM,SUP26816,Noncdm Charge Record Medical Supplies - Nail 7Mm Mllk Lt 270Mm Strl Ti Hum Cannula,7572.06,2953.1,,,0
CDM,SUP268160,Noncdm Charge Record Medical Supplies,343.1,133.81,,,0
CDM,SUP268165,Noncdm Charge Record Medical Supplies,244.78,95.46,,,0
CDM,SUP268168,Noncdm Charge Record Medical Supplies,2231.46,870.27,,,0
CDM,SUP268169,Noncdm Charge Record Medical Supplies,1527.66,595.79,,,0
CDM,SUP268170,Noncdm Charge Record Medical Supplies,2168.84,845.85,,,0
CDM,SUP268181,Noncdm Charge Record Medical Supplies,93.15,36.33,,,0
CDM,SUP268182,Noncdm Charge Record Medical Supplies,494.73,192.94,,,0
CDM,SUP268183,Noncdm Charge Record Medical Supplies,342.58,133.61,,,0
CDM,SUP268187,Noncdm Charge Record Medical Supplies,279.45,108.99,,,0
CDM,SUP268190,Noncdm Charge Record Medical Supplies,1595.97,622.43,,,0
CDM,SUP268201,Noncdm Charge Record Medical Supplies,1434.51,559.46,,,0
CDM,SUP268204,Noncdm Charge Record Medical Supplies,1540.08,600.63,,,0
CDM,SUP268206,Noncdm Charge Record Medical Supplies,308.95,120.49,,,0
CDM,SUP26822,Noncdm Charge Record Medical Supplies - Nail4Mm Ti Elc 440Mm-Strl,1575.27,614.36,,,0
CDM,SUP268230,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP268237,Noncdm Charge Record Medical Supplies,1463.49,570.76,,,0
CDM,SUP268239,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP268243,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP268249,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP268256,Noncdm Charge Record Medical Supplies,2501.08,975.42,,,0
CDM,SUP268263,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP268264,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP268265,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP268266,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP268268,Noncdm Charge Record Medical Supplies,114.88,44.8,,,0
CDM,SUP268269,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP268270,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP268274,Noncdm Charge Record Medical Supplies,24.15,9.42,,,0
CDM,SUP268279,Noncdm Charge Record Medical Supplies,304.91,118.91,,,0
CDM,SUP268281,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP268284,Noncdm Charge Record Medical Supplies,5952.28,2321.39,,,0
CDM,SUP268294,Noncdm Charge Record Medical Supplies,376.74,146.93,,,0
CDM,SUP268295,Noncdm Charge Record Medical Supplies,376.74,146.93,,,0
CDM,SUP268296,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP2683,Noncdm Charge Record Medical Supplies - Guidewire Vasc Std .035In 180Cm 3Cm Ang Tip,194.58,75.89,,,0
CDM,SUP26830,Noncdm Charge Record Medical Supplies - Plate 2.4 7Hhd 4H Shft Rt Va Lcp 2Clmn Vlr Dstl Rad,2719.98,1060.79,,,0
CDM,SUP268301,Noncdm Charge Record Medical Supplies,905.62,353.19,,,0
CDM,SUP268302,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP268308,Noncdm Charge Record Medical Supplies,611.68,238.56,,,0
CDM,SUP268324,Noncdm Charge Record Medical Supplies,1590.8,620.41,,,0
CDM,SUP268327,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP268329,Noncdm Charge Record Medical Supplies,1174.72,458.14,,,0
CDM,SUP268333,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP268339,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP268348,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP268352,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP268355,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP268362,Noncdm Charge Record Medical Supplies,1061.91,414.14,,,0
CDM,SUP268377,Noncdm Charge Record Medical Supplies,461.61,180.03,,,0
CDM,SUP268384,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP268385,Noncdm Charge Record Medical Supplies,783.5,305.56,,,0
CDM,SUP268399,Noncdm Charge Record Medical Supplies,1021.54,398.4,,,0
CDM,SUP268401,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP268403,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP268410,Noncdm Charge Record Medical Supplies,808.34,315.25,,,0
CDM,SUP268447,Noncdm Charge Record Medical Supplies,51.23,19.98,,,0
CDM,SUP268460,Noncdm Charge Record Medical Supplies,455.4,177.61,,,0
CDM,SUP268471,Noncdm Charge Record Medical Supplies,1.03,0.4,,,0
CDM,SUP268472,Noncdm Charge Record Medical Supplies,317.74,123.92,,,0
CDM,SUP268480,Noncdm Charge Record Medical Supplies,4299.39,1676.76,,,0
CDM,SUP268490,Noncdm Charge Record Medical Supplies,1510.06,588.92,,,0
CDM,SUP268505,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP268507,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP268511,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP268512,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP268515,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP268516,Noncdm Charge Record Medical Supplies,14863.64,5796.82,,,0
CDM,SUP268520,Noncdm Charge Record Medical Supplies,547.52,213.53,,,0
CDM,SUP268549,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP268551,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP268554,Noncdm Charge Record Medical Supplies,547.52,213.53,,,0
CDM,SUP268557,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP268558,Noncdm Charge Record Medical Supplies,1101.24,429.48,,,0
CDM,SUP268561,Noncdm Charge Record Medical Supplies,122.13,47.63,,,0
CDM,SUP26857,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 13Hrt205Mmstrl Va-Lcp Postlat Dhp-Lat Supt,4984.56,1943.98,,,0
CDM,SUP268575,Noncdm Charge Record Medical Supplies,499.9,194.96,,,0
CDM,SUP268590,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP2685_272,Noncdm Charge Record Medical Supplies,796.95,310.81,,,0
CDM,SUP2685_C1713_278,Noncdm Charge Record Medical Supplies,731.85,285.42,,,0
CDM,SUP26861,Noncdm Charge Record Medical Supplies,4854.15,1893.12,,,0
CDM,SUP268613,Noncdm Charge Record Medical Supplies,2133.14,831.92,,,0
CDM,SUP268619,Noncdm Charge Record Medical Supplies,192.51,75.08,,,0
CDM,SUP26862,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 1Hlt69Mmshrtstrl Va-Lcp Lat Dist Hum,4854.15,1893.12,,,0
CDM,SUP268620,Noncdm Charge Record Medical Supplies,1906.77,743.64,,,0
CDM,SUP268621,Noncdm Charge Record Medical Supplies,1584.58,617.99,,,0
CDM,SUP268626,Noncdm Charge Record Medical Supplies,245.0,95.55,,,0
CDM,SUP268629,Noncdm Charge Record Medical Supplies,1082.61,422.22,,,0
CDM,SUP26863,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 1Hlt72Mmshrt Va-Lcp Ext Medl Dist Hum,4940.06,1926.62,,,0
CDM,SUP268632,Noncdm Charge Record Medical Supplies,1082.61,422.22,,,0
CDM,SUP268635,Noncdm Charge Record Medical Supplies,1584.58,617.99,,,0
CDM,SUP268637,Noncdm Charge Record Medical Supplies,1082.61,422.22,,,0
CDM,SUP268641,Noncdm Charge Record Medical Supplies,107.64,41.98,,,0
CDM,SUP268642,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP268644,Noncdm Charge Record Medical Supplies,1082.61,422.22,,,0
CDM,SUP268645,Noncdm Charge Record Medical Supplies,1082.61,422.22,,,0
CDM,SUP268646,Noncdm Charge Record Medical Supplies,1082.61,422.22,,,0
CDM,SUP268647,Noncdm Charge Record Medical Supplies,2203.52,859.37,,,0
CDM,SUP268648,Noncdm Charge Record Medical Supplies,1082.61,422.22,,,0
CDM,SUP268649,Noncdm Charge Record Medical Supplies,1082.61,422.22,,,0
CDM,SUP26865,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 Rt69Shrtstrl Lat Va-Lcp Lat Dist Hum,4854.15,1893.12,,,0
CDM,SUP268651,Noncdm Charge Record Medical Supplies,837.32,326.55,,,0
CDM,SUP268652,Noncdm Charge Record Medical Supplies,1281.33,499.72,,,0
CDM,SUP268653,Noncdm Charge Record Medical Supplies,1281.33,499.72,,,0
CDM,SUP268655,Noncdm Charge Record Medical Supplies,1439.17,561.28,,,0
CDM,SUP268656,Noncdm Charge Record Medical Supplies,1082.61,422.22,,,0
CDM,SUP268658,Noncdm Charge Record Medical Supplies,1082.61,422.22,,,0
CDM,SUP268659,Noncdm Charge Record Medical Supplies,1082.61,422.22,,,0
CDM,SUP26866,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 1Hrt72Mmshrt Va-Lcp Ext Medl Dist Hum,4675.78,1823.55,,,0
CDM,SUP268661,Noncdm Charge Record Medical Supplies,5742.18,2239.45,,,0
CDM,SUP268665,Noncdm Charge Record Medical Supplies,1082.61,422.22,,,0
CDM,SUP268666,Noncdm Charge Record Medical Supplies,963.58,375.8,,,0
CDM,SUP26867,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 2Hlt85Mm Med Va-Lcp Ext Medl Dist Hum,4951.09,1930.93,,,0
CDM,SUP268672,Noncdm Charge Record Medical Supplies,1102.28,429.89,,,0
CDM,SUP268673,Noncdm Charge Record Medical Supplies,1082.61,422.22,,,0
CDM,SUP268676,Noncdm Charge Record Medical Supplies,1082.61,422.22,,,0
CDM,SUP268677,Noncdm Charge Record Medical Supplies,1082.61,422.22,,,0
CDM,SUP268679,Noncdm Charge Record Medical Supplies,1082.61,422.22,,,0
CDM,SUP268680,Noncdm Charge Record Medical Supplies,983.25,383.47,,,0
CDM,SUP268685,Noncdm Charge Record Medical Supplies,2758.28,1075.73,,,0
CDM,SUP26869,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 4Hlt108Mmlng Va-Lcp Medl Dist Hum,4411.17,1720.36,,,0
CDM,SUP268691,Noncdm Charge Record Medical Supplies,617.9,240.98,,,0
CDM,SUP268695,Noncdm Charge Record Medical Supplies,2203.52,859.37,,,0
CDM,SUP268698,Noncdm Charge Record Medical Supplies,4854.15,1893.12,,,0
CDM,SUP2687,Noncdm Charge Record Medical Supplies - Plate 102Mm Ss 3.5Mm 6Hl Low Hl Low Bend Lcp,5690.43,2219.27,,,0
CDM,SUP26870,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 4Hlt111Mm Lng Va-Lcp Ext Medl Dist Hum,4923.5,1920.16,,,0
CDM,SUP268700,Noncdm Charge Record Medical Supplies,654.33,255.19,,,0
CDM,SUP268701,Noncdm Charge Record Medical Supplies,617.9,240.98,,,0
CDM,SUP268704,Noncdm Charge Record Medical Supplies,1082.61,422.22,,,0
CDM,SUP26871,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 4Hlt111Mmlngstrl Va-Lcp Ext Medl Dist Hum,5006.3,1952.46,,,0
CDM,SUP26872,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 4Hlt88Mm Med Va-Lcp Postlat Dhp-Lat Supt,4812.75,1876.97,,,0
CDM,SUP268720,Noncdm Charge Record Medical Supplies,9149.4,3568.27,,,0
CDM,SUP268726,Noncdm Charge Record Medical Supplies,1487.3,580.05,,,0
CDM,SUP268729_272,Noncdm Charge Record Medical Supplies,648.95,253.09,,,0
CDM,SUP268729_A4649_272,Noncdm Charge Record Medical Supplies,648.95,253.09,,,0
CDM,SUP268730,Noncdm Charge Record Medical Supplies,2672.37,1042.22,,,0
CDM,SUP268732,Noncdm Charge Record Medical Supplies,1713.96,668.44,,,0
CDM,SUP268733,Noncdm Charge Record Medical Supplies,617.9,240.98,,,0
CDM,SUP26874,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 4Hrt108Mmlngstrl Va-Lcp Medl Dist Hum,4984.56,1943.98,,,0
CDM,SUP268752,Noncdm Charge Record Medical Supplies,1282.36,500.12,,,0
CDM,SUP26876,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 4Hrt88Mm Med Va-Lcp Postlat Dhp-Lat Supt,4771.35,1860.83,,,0
CDM,SUP26877,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 4Hrt88Mmmed Va-Lcp Postlat Dhp-Lat Supt,4923.5,1920.16,,,0
CDM,SUP268783,Noncdm Charge Record Medical Supplies,190.44,74.27,,,0
CDM,SUP2688,Noncdm Charge Record Medical Supplies - Plate 102Mm Ss 3.5Mm 6Hl Lcp Hl Low Bend Lcp,5768.83,2249.84,,,0
CDM,SUP268803,Noncdm Charge Record Medical Supplies,1875.42,731.41,,,0
CDM,SUP26881,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 153Xlgstrl Lat Va-Lcp Postlat Dhp-Lat Supt,5135.67,2002.91,,,0
CDM,SUP26885,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm 9H 89Mm Strl Va Lcp Lat Ant Clavicle,4484.66,1749.02,,,0
CDM,SUP268878,Noncdm Charge Record Medical Supplies,6100.29,2379.11,,,0
CDM,SUP26888,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Med 10H Ltstrl Va Lcp Med Dist Tib,6754.67,2634.32,,,0
CDM,SUP268888,Noncdm Charge Record Medical Supplies,547.52,213.53,,,0
CDM,SUP26889,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Med 6H Rt Va Lcp Med Dist Tib,6242.08,2434.41,,,0
CDM,SUP26890,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Med 8H Rtstrl Va Lcp Med Dist Tib,7199.46,2807.79,,,0
CDM,SUP268918,Noncdm Charge Record Medical Supplies,2065.86,805.69,,,0
CDM,SUP26893,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Fib 7H Ltstrl Va Lcp Lat Dist Fib,3428.96,1337.29,,,0
CDM,SUP268932,Noncdm Charge Record Medical Supplies,1512.14,589.73,,,0
CDM,SUP268935,Noncdm Charge Record Medical Supplies,1875.42,731.41,,,0
CDM,SUP26894,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Fib 7H Rt Va Lcp Lat Dist Fib,4075.83,1589.57,,,0
CDM,SUP268944,Noncdm Charge Record Medical Supplies,4271.44,1665.86,,,0
CDM,SUP268947,Noncdm Charge Record Medical Supplies,111.78,43.59,,,0
CDM,SUP26895,Noncdm Charge Record Medical Supplies,6793.74,2649.56,,,0
CDM,SUP26896,Noncdm Charge Record Medical Supplies - Plate 3.5 Proxhum10H235Mm Lt-S Lcp Peri Art Prox Hum Strl,7251.21,2827.97,,,0
CDM,SUP26898,Noncdm Charge Record Medical Supplies - Plate 3.5 Proxhum13H109Mm Rt Lcp Peri Art Prox Hum,7269.32,2835.03,,,0
CDM,SUP268981,Noncdm Charge Record Medical Supplies,167.67,65.39,,,0
CDM,SUP268997,Noncdm Charge Record Medical Supplies,1200.6,468.23,,,0
CDM,SUP269,Noncdm Charge Record Medical Supplies,8.28,3.23,,,0
CDM,SUP26901,Noncdm Charge Record Medical Supplies,8894.79,3468.97,,,0
CDM,SUP269013,Noncdm Charge Record Medical Supplies,1875.42,731.41,,,0
CDM,SUP26902,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Lg 6H117Mm Rt-S Va Lcp Prox Tib Lg Bend Strl,6691.28,2609.6,,,0
CDM,SUP269020,Noncdm Charge Record Medical Supplies,611.68,238.56,,,0
CDM,SUP26903,Noncdm Charge Record Medical Supplies,7371.27,2874.8,,,0
CDM,SUP269049,Noncdm Charge Record Medical Supplies,67.28,26.24,,,0
CDM,SUP26906,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Sm 14H237Mm Lt-S Va Lcp Prox Tib Sm Bend Strl,10548.72,4114.0,,,0
CDM,SUP269079,Noncdm Charge Record Medical Supplies,512.33,199.81,,,0
CDM,SUP269088,Noncdm Charge Record Medical Supplies,252.54,98.49,,,0
CDM,SUP269092,Noncdm Charge Record Medical Supplies,8156.84,3181.17,,,0
CDM,SUP269097,Noncdm Charge Record Medical Supplies,12789.5,4987.9,,,0
CDM,SUP269099,Noncdm Charge Record Medical Supplies,252.54,98.49,,,0
CDM,SUP269136,Noncdm Charge Record Medical Supplies,2403.27,937.28,,,0
CDM,SUP269141,Noncdm Charge Record Medical Supplies,20.7,8.07,,,0
CDM,SUP269163,Noncdm Charge Record Medical Supplies,339.48,132.4,,,0
CDM,SUP269165,Noncdm Charge Record Medical Supplies,3815.01,1487.85,,,0
CDM,SUP269166,Noncdm Charge Record Medical Supplies,6719.22,2620.5,,,0
CDM,SUP269178,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP269197,Noncdm Charge Record Medical Supplies,4350.1,1696.54,,,0
CDM,SUP269227,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP269258,Noncdm Charge Record Medical Supplies,82541.25,32191.09,,,0
CDM,SUP269302,Noncdm Charge Record Medical Supplies,217.35,84.77,,,0
CDM,SUP269324,Noncdm Charge Record Medical Supplies,168933.29,65883.98,,,0
CDM,SUP269332,Noncdm Charge Record Medical Supplies,284.62,111.0,,,0
CDM,SUP269340,Noncdm Charge Record Medical Supplies,252.54,98.49,,,0
CDM,SUP269376,Noncdm Charge Record Medical Supplies,252.54,98.49,,,0
CDM,SUP26939,Noncdm Charge Record Medical Supplies - Plate 3.5Mm X 10H Lt 230Mm Str Lcp Articlr Dist Hum,6752.86,2633.62,,,0
CDM,SUP26940,Noncdm Charge Record Medical Supplies - Plate 3.5Mm X 10H Rt 230Mm Lng Lcp Articlr Dist Hum,6215.18,2423.92,,,0
CDM,SUP269403,Noncdm Charge Record Medical Supplies,4350.1,1696.54,,,0
CDM,SUP269409,Noncdm Charge Record Medical Supplies,4350.1,1696.54,,,0
CDM,SUP26941,Noncdm Charge Record Medical Supplies - Plate 3.5Mm X 10H Rt230Mm Strl Lcp Articlr Dist Hum,7088.72,2764.6,,,0
CDM,SUP26942,Noncdm Charge Record Medical Supplies - Plate 3.5Tib Lo 14H 206Mm Lt-S Lcp Prox Tib Lo Bend Strl,7030.76,2742.0,,,0
CDM,SUP269434,Noncdm Charge Record Medical Supplies,4350.1,1696.54,,,0
CDM,SUP269448,Noncdm Charge Record Medical Supplies,567.18,221.2,,,0
CDM,SUP26947,Noncdm Charge Record Medical Supplies - Plate 4.5Mm Crv 12H 266Mm Rt Va Lcp Crv Condy,8524.26,3324.46,,,0
CDM,SUP269470,Noncdm Charge Record Medical Supplies,57.96,22.6,,,0
CDM,SUP26948,Noncdm Charge Record Medical Supplies - Plate 4.5Mm Crv 18H 370Mm Rt-S Va Lcp Crv Condy Strl,11061.04,4313.81,,,0
CDM,SUP26952,Noncdm Charge Record Medical Supplies - Plate 4.5Mm Cur Broad 18 H-336 Lcp-Strl,4566.42,1780.9,,,0
CDM,SUP269523,Noncdm Charge Record Medical Supplies,65913.98,25706.45,,,0
CDM,SUP26953,Noncdm Charge Record Medical Supplies - Plate 4.5Mm Cur Broad 20 H-372 Lcp-Strl,4741.34,1849.12,,,0
CDM,SUP26954,Noncdm Charge Record Medical Supplies,5820.84,2270.13,,,0
CDM,SUP269546,Noncdm Charge Record Medical Supplies,966.69,377.01,,,0
CDM,SUP269563,Noncdm Charge Record Medical Supplies,837.32,326.55,,,0
CDM,SUP26957,Noncdm Charge Record Medical Supplies,7003.84,2731.5,,,0
CDM,SUP269582,Noncdm Charge Record Medical Supplies,4807.0,1874.73,,,0
CDM,SUP269583,Noncdm Charge Record Medical Supplies,83377.53,32517.24,,,0
CDM,SUP269594,Noncdm Charge Record Medical Supplies,293.94,114.64,,,0
CDM,SUP269603,Noncdm Charge Record Medical Supplies,504.04,196.58,,,0
CDM,SUP269617,Noncdm Charge Record Medical Supplies,835.24,325.74,,,0
CDM,SUP269647,Noncdm Charge Record Medical Supplies,42.44,16.55,,,0
CDM,SUP2697,Noncdm Charge Record Medical Supplies - Stent Bil 6Mm 80Mm 120Cm 6F,3383.42,1319.53,,,0
CDM,SUP269733,Noncdm Charge Record Medical Supplies,14476.54,5645.85,,,0
CDM,SUP269743,Noncdm Charge Record Medical Supplies,2391.89,932.84,,,0
CDM,SUP269749,Noncdm Charge Record Medical Supplies,2689.96,1049.08,,,0
CDM,SUP269750,Noncdm Charge Record Medical Supplies,2080.35,811.34,,,0
CDM,SUP269776,Noncdm Charge Record Medical Supplies,2456.05,957.86,,,0
CDM,SUP269818,Noncdm Charge Record Medical Supplies,101.43,39.56,,,0
CDM,SUP269819,Noncdm Charge Record Medical Supplies,546.48,213.13,,,0
CDM,SUP269824,Noncdm Charge Record Medical Supplies,122.13,47.63,,,0
CDM,SUP269838,Noncdm Charge Record Medical Supplies,940.3,366.72,,,0
CDM,SUP269865,Noncdm Charge Record Medical Supplies,3049.9,1189.46,,,0
CDM,SUP269868_272,Noncdm Charge Record Medical Supplies,2203.52,859.37,,,0
CDM,SUP269868_A4649_272,Noncdm Charge Record Medical Supplies,2203.52,859.37,,,0
CDM,SUP269885,Noncdm Charge Record Medical Supplies,1607.36,626.87,,,0
CDM,SUP269888,Noncdm Charge Record Medical Supplies,9643.09,3760.81,,,0
CDM,SUP269899,Noncdm Charge Record Medical Supplies,848.7,330.99,,,0
CDM,SUP269912,Noncdm Charge Record Medical Supplies,671.72,261.97,,,0
CDM,SUP269913,Noncdm Charge Record Medical Supplies,146.97,57.32,,,0
CDM,SUP269916,Noncdm Charge Record Medical Supplies,837.32,326.55,,,0
CDM,SUP269924,Noncdm Charge Record Medical Supplies,233.91,91.22,,,0
CDM,SUP269958,Noncdm Charge Record Medical Supplies,583.74,227.66,,,0
CDM,SUP269967,Noncdm Charge Record Medical Supplies,5316.8,2073.55,,,0
CDM,SUP269972,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP269990,Noncdm Charge Record Medical Supplies,3439.3,1341.33,,,0
CDM,SUP269997,Noncdm Charge Record Medical Supplies,1742.68,679.65,,,0
CDM,SUP269999,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP270004,Noncdm Charge Record Medical Supplies,429.71,167.59,,,0
CDM,SUP270006,Noncdm Charge Record Medical Supplies,377.26,147.13,,,0
CDM,SUP270013,Noncdm Charge Record Medical Supplies,1584.58,617.99,,,0
CDM,SUP270028_272,Noncdm Charge Record Medical Supplies,3055.32,1191.57,,,0
CDM,SUP270028_A4649_272,Noncdm Charge Record Medical Supplies,3055.32,1191.57,,,0
CDM,SUP270065,Noncdm Charge Record Medical Supplies,2972.52,1159.28,,,0
CDM,SUP27008,Noncdm Charge Record Medical Supplies - Plate Bn 2.7Mm 40Mm 4Hl Lcp,1681.88,655.93,,,0
CDM,SUP270091,Noncdm Charge Record Medical Supplies,274.27,106.97,,,0
CDM,SUP270097,Noncdm Charge Record Medical Supplies,34170.52,13326.5,,,0
CDM,SUP270099,Noncdm Charge Record Medical Supplies,188.37,73.46,,,0
CDM,SUP2701,Noncdm Charge Record Medical Supplies - Stent Bil 7Mm 60Mm 120Cm 6F,3383.42,1319.53,,,0
CDM,SUP270107,Noncdm Charge Record Medical Supplies,372.7,145.35,,,0
CDM,SUP270114,Noncdm Charge Record Medical Supplies,778.32,303.54,,,0
CDM,SUP270123,Noncdm Charge Record Medical Supplies,175.95,68.62,,,0
CDM,SUP270129,Noncdm Charge Record Medical Supplies,9425.75,3676.04,,,0
CDM,SUP270137,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP270140,Noncdm Charge Record Medical Supplies,856.98,334.22,,,0
CDM,SUP270146,Noncdm Charge Record Medical Supplies,1120.9,437.15,,,0
CDM,SUP270151,Noncdm Charge Record Medical Supplies,16.04,6.26,,,0
CDM,SUP270159,Noncdm Charge Record Medical Supplies,28759.54,11216.22,,,0
CDM,SUP270178,Noncdm Charge Record Medical Supplies,10.35,4.04,,,0
CDM,SUP270180,Noncdm Charge Record Medical Supplies,7226.37,2818.28,,,0
CDM,SUP270234,Noncdm Charge Record Medical Supplies,3866.76,1508.04,,,0
CDM,SUP270239,Noncdm Charge Record Medical Supplies,1.03,0.4,,,0
CDM,SUP270247,Noncdm Charge Record Medical Supplies,971.86,379.03,,,0
CDM,SUP270252,Noncdm Charge Record Medical Supplies,89.16,34.77,,,0
CDM,SUP270261,Noncdm Charge Record Medical Supplies,188.37,73.46,,,0
CDM,SUP270263,Noncdm Charge Record Medical Supplies,9643.09,3760.81,,,0
CDM,SUP270265,Noncdm Charge Record Medical Supplies,279.45,108.99,,,0
CDM,SUP270275,Noncdm Charge Record Medical Supplies,19314.13,7532.51,,,0
CDM,SUP270303,Noncdm Charge Record Medical Supplies,2381.54,928.8,,,0
CDM,SUP270307,Noncdm Charge Record Medical Supplies,188.37,73.46,,,0
CDM,SUP270312,Noncdm Charge Record Medical Supplies,1477.98,576.41,,,0
CDM,SUP270314,Noncdm Charge Record Medical Supplies,3734.28,1456.37,,,0
CDM,SUP270315,Noncdm Charge Record Medical Supplies,279.45,108.99,,,0
CDM,SUP27032,Noncdm Charge Record Medical Supplies - Plate Bn Recon 3.5Mm 10Hl Low Prof,2347.38,915.48,,,0
CDM,SUP270320,Noncdm Charge Record Medical Supplies,2203.52,859.37,,,0
CDM,SUP270327,Noncdm Charge Record Medical Supplies,671.72,261.97,,,0
CDM,SUP270337,Noncdm Charge Record Medical Supplies,252.54,98.49,,,0
CDM,SUP270338,Noncdm Charge Record Medical Supplies,8216.86,3204.58,,,0
CDM,SUP270382,Noncdm Charge Record Medical Supplies,73.48,28.66,,,0
CDM,SUP270384,Noncdm Charge Record Medical Supplies,1958.22,763.71,,,0
CDM,SUP270396,Noncdm Charge Record Medical Supplies,98414.01,38381.46,,,0
CDM,SUP270407,Noncdm Charge Record Medical Supplies,1052.6,410.51,,,0
CDM,SUP270412,Noncdm Charge Record Medical Supplies,3086.37,1203.68,,,0
CDM,SUP270415,Noncdm Charge Record Medical Supplies,2537.82,989.75,,,0
CDM,SUP270429,Noncdm Charge Record Medical Supplies,2965.28,1156.46,,,0
CDM,SUP270438,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP270489,Noncdm Charge Record Medical Supplies,9.32,3.63,,,0
CDM,SUP270503,Noncdm Charge Record Medical Supplies,2085.52,813.35,,,0
CDM,SUP270510,Noncdm Charge Record Medical Supplies,3177.45,1239.21,,,0
CDM,SUP270518,Noncdm Charge Record Medical Supplies,187.96,73.3,,,0
CDM,SUP270530,Noncdm Charge Record Medical Supplies,6766.83,2639.06,,,0
CDM,SUP270564,Noncdm Charge Record Medical Supplies,3625.6,1413.98,,,0
CDM,SUP2706,Noncdm Charge Record Medical Supplies - Stent Bil 8Mm 40Mm 120Cm Gwire,3383.42,1319.53,,,0
CDM,SUP270622,Noncdm Charge Record Medical Supplies,1439.68,561.48,,,0
CDM,SUP270627,Noncdm Charge Record Medical Supplies,671.72,261.97,,,0
CDM,SUP270632,Noncdm Charge Record Medical Supplies,1439.68,561.48,,,0
CDM,SUP270643,Noncdm Charge Record Medical Supplies,5731.83,2235.41,,,0
CDM,SUP270647,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP270655,Noncdm Charge Record Medical Supplies,2965.28,1156.46,,,0
CDM,SUP270657,Noncdm Charge Record Medical Supplies,279.45,108.99,,,0
CDM,SUP270667,Noncdm Charge Record Medical Supplies,1020.51,398.0,,,0
CDM,SUP270710,Noncdm Charge Record Medical Supplies,1953.04,761.69,,,0
CDM,SUP270711,Noncdm Charge Record Medical Supplies,480.24,187.29,,,0
CDM,SUP270718,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP270733_272,Noncdm Charge Record Medical Supplies,173.88,67.81,,,0
CDM,SUP270733_A4649_272,Noncdm Charge Record Medical Supplies,173.88,67.81,,,0
CDM,SUP270739,Noncdm Charge Record Medical Supplies,2231.46,870.27,,,0
CDM,SUP270751,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP270754,Noncdm Charge Record Medical Supplies,1106.42,431.5,,,0
CDM,SUP270789,Noncdm Charge Record Medical Supplies,1061.91,414.14,,,0
CDM,SUP270814,Noncdm Charge Record Medical Supplies,1916.82,747.56,,,0
CDM,SUP270819,Noncdm Charge Record Medical Supplies,3168.14,1235.57,,,0
CDM,SUP270820,Noncdm Charge Record Medical Supplies,1547.32,603.45,,,0
CDM,SUP270832,Noncdm Charge Record Medical Supplies,1762.6,687.41,,,0
CDM,SUP270855,Noncdm Charge Record Medical Supplies,6613.65,2579.32,,,0
CDM,SUP270867,Noncdm Charge Record Medical Supplies,3168.14,1235.57,,,0
CDM,SUP270868,Noncdm Charge Record Medical Supplies,1547.32,603.45,,,0
CDM,SUP270886,Noncdm Charge Record Medical Supplies,12565.94,4900.72,,,0
CDM,SUP270889,Noncdm Charge Record Medical Supplies,17.6,6.86,,,0
CDM,SUP270901,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP270903,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP270904,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP270905,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP270907,Noncdm Charge Record Medical Supplies,141.79,55.3,,,0
CDM,SUP270909,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP270911,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP270912,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP270913,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP270914,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP270922,Noncdm Charge Record Medical Supplies,1624.95,633.73,,,0
CDM,SUP270927,Noncdm Charge Record Medical Supplies,983.25,383.47,,,0
CDM,SUP270932,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP270944,Noncdm Charge Record Medical Supplies,1.03,0.4,,,0
CDM,SUP270945,Noncdm Charge Record Medical Supplies,1061.91,414.14,,,0
CDM,SUP270953,Noncdm Charge Record Medical Supplies,962.55,375.39,,,0
CDM,SUP270957,Noncdm Charge Record Medical Supplies,900.45,351.18,,,0
CDM,SUP271002,Noncdm Charge Record Medical Supplies,685.17,267.22,,,0
CDM,SUP271005,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP271007,Noncdm Charge Record Medical Supplies,5710.1,2226.94,,,0
CDM,SUP271016,Noncdm Charge Record Medical Supplies,168.7,65.79,,,0
CDM,SUP271020,Noncdm Charge Record Medical Supplies,495.76,193.35,,,0
CDM,SUP271030,Noncdm Charge Record Medical Supplies,2117.61,825.87,,,0
CDM,SUP271033,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP271049,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP27106,Noncdm Charge Record Medical Supplies - Plate Wrst Fus Shrt Bend Lcp,6447.02,2514.34,,,0
CDM,SUP271061,Noncdm Charge Record Medical Supplies,48.64,18.97,,,0
CDM,SUP271063,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP271080,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP271086,Noncdm Charge Record Medical Supplies,900.45,351.18,,,0
CDM,SUP271088,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP271100,Noncdm Charge Record Medical Supplies,93.15,36.33,,,0
CDM,SUP271107,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP27114,Noncdm Charge Record Medical Supplies - Post Wire-3 Hl,1141.36,445.13,,,0
CDM,SUP271145,Noncdm Charge Record Medical Supplies,1590.8,620.41,,,0
CDM,SUP271150,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP271151,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP271153,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP27116,Noncdm Charge Record Medical Supplies - Ring Ti Half 150Mm Dia,2256.3,879.96,,,0
CDM,SUP27118,Noncdm Charge Record Medical Supplies - Rod 11Mm Carb Fib 100Mm,1131.26,441.19,,,0
CDM,SUP271186,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP27119,Noncdm Charge Record Medical Supplies - Rod 11Mm Carb Fib 550Mm,1109.52,432.71,,,0
CDM,SUP271206,Noncdm Charge Record Medical Supplies,229.77,89.61,,,0
CDM,SUP271213,Noncdm Charge Record Medical Supplies,170.78,66.6,,,0
CDM,SUP271214,Noncdm Charge Record Medical Supplies,57.96,22.6,,,0
CDM,SUP271215,Noncdm Charge Record Medical Supplies,899.42,350.77,,,0
CDM,SUP271238,Noncdm Charge Record Medical Supplies,170.78,66.6,,,0
CDM,SUP271239,Noncdm Charge Record Medical Supplies,170.78,66.6,,,0
CDM,SUP271240,Noncdm Charge Record Medical Supplies,899.42,350.77,,,0
CDM,SUP271250,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP271255,Noncdm Charge Record Medical Supplies,2623.72,1023.25,,,0
CDM,SUP271259,Noncdm Charge Record Medical Supplies,829.04,323.33,,,0
CDM,SUP27126,Noncdm Charge Record Medical Supplies - Rod Thrd 350Mm Lng,571.15,222.75,,,0
CDM,SUP271260,Noncdm Charge Record Medical Supplies,371.56,144.91,,,0
CDM,SUP27127,Noncdm Charge Record Medical Supplies - Rod Thrd 400Mm Lng,781.13,304.64,,,0
CDM,SUP27129,Noncdm Charge Record Medical Supplies - Screw 1.5Mm Cort St W-T4 18Mm Cort W- T4 Strdrv Recess,239.08,93.24,,,0
CDM,SUP27130,Noncdm Charge Record Medical Supplies - Screw 1.5Mm Cort St W-T4 20Mm Cort W- T4 Strdrv Recess,249.44,97.28,,,0
CDM,SUP271317,Noncdm Charge Record Medical Supplies,13668.21,5330.6,,,0
CDM,SUP271321,Noncdm Charge Record Medical Supplies,1590.8,620.41,,,0
CDM,SUP271327,Noncdm Charge Record Medical Supplies,1930.28,752.81,,,0
CDM,SUP271352,Noncdm Charge Record Medical Supplies,1307.2,509.81,,,0
CDM,SUP271353,Noncdm Charge Record Medical Supplies,710.01,276.9,,,0
CDM,SUP271354,Noncdm Charge Record Medical Supplies,2124.86,828.7,,,0
CDM,SUP271355,Noncdm Charge Record Medical Supplies,460.06,179.42,,,0
CDM,SUP271365,Noncdm Charge Record Medical Supplies,538.2,209.9,,,0
CDM,SUP271366,Noncdm Charge Record Medical Supplies,538.2,209.9,,,0
CDM,SUP271386,Noncdm Charge Record Medical Supplies,155.25,60.55,,,0
CDM,SUP271397,Noncdm Charge Record Medical Supplies,379.84,148.14,,,0
CDM,SUP271399,Noncdm Charge Record Medical Supplies,1061.91,414.14,,,0
CDM,SUP271400,Noncdm Charge Record Medical Supplies,1211.47,472.47,,,0
CDM,SUP271406,Noncdm Charge Record Medical Supplies,849.74,331.4,,,0
CDM,SUP271416,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP271417,Noncdm Charge Record Medical Supplies,431.08,168.12,,,0
CDM,SUP271419,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP271439,Noncdm Charge Record Medical Supplies,783.5,305.56,,,0
CDM,SUP271440,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP271442,Noncdm Charge Record Medical Supplies,464.72,181.24,,,0
CDM,SUP271447,Noncdm Charge Record Medical Supplies,8576.01,3344.64,,,0
CDM,SUP271449,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP271458,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP271467,Noncdm Charge Record Medical Supplies,159.39,62.16,,,0
CDM,SUP271468,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP271485,Noncdm Charge Record Medical Supplies,8156.84,3181.17,,,0
CDM,SUP271490,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP271491,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP271501,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP271508,Noncdm Charge Record Medical Supplies,21.74,8.48,,,0
CDM,SUP271510,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP271518,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP271530,Noncdm Charge Record Medical Supplies,100.4,39.16,,,0
CDM,SUP271538,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP271543,Noncdm Charge Record Medical Supplies,495.76,193.35,,,0
CDM,SUP271545,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP271547,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP271548,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP271549,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP271551,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP271552,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP271553,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP271554,Noncdm Charge Record Medical Supplies,293.94,114.64,,,0
CDM,SUP271555,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP271560,Noncdm Charge Record Medical Supplies,10.35,4.04,,,0
CDM,SUP271573,Noncdm Charge Record Medical Supplies,60.03,23.41,,,0
CDM,SUP271581,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP271599,Noncdm Charge Record Medical Supplies,2134.17,832.33,,,0
CDM,SUP271600,Noncdm Charge Record Medical Supplies,1854.72,723.34,,,0
CDM,SUP271649,Noncdm Charge Record Medical Supplies,11904.57,4642.78,,,0
CDM,SUP271655,Noncdm Charge Record Medical Supplies,390.2,152.18,,,0
CDM,SUP271667,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP271673,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP271674,Noncdm Charge Record Medical Supplies,709.36,276.65,,,0
CDM,SUP271684,Noncdm Charge Record Medical Supplies,1058.8,412.93,,,0
CDM,SUP271688,Noncdm Charge Record Medical Supplies,806.26,314.44,,,0
CDM,SUP27169,Noncdm Charge Record Medical Supplies,632.38,246.63,,,0
CDM,SUP271698,Noncdm Charge Record Medical Supplies,1492.47,582.06,,,0
CDM,SUP271713,Noncdm Charge Record Medical Supplies,4332.51,1689.68,,,0
CDM,SUP271715,Noncdm Charge Record Medical Supplies,455.4,177.61,,,0
CDM,SUP271716,Noncdm Charge Record Medical Supplies,199.76,77.91,,,0
CDM,SUP271726,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP271727,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP271736,Noncdm Charge Record Medical Supplies,1624.95,633.73,,,0
CDM,SUP271742,Noncdm Charge Record Medical Supplies,24.84,9.69,,,0
CDM,SUP271746,Noncdm Charge Record Medical Supplies,2159.01,842.01,,,0
CDM,SUP271755,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP271763,Noncdm Charge Record Medical Supplies,1211.98,472.67,,,0
CDM,SUP271771,Noncdm Charge Record Medical Supplies,5511.38,2149.44,,,0
CDM,SUP271801,Noncdm Charge Record Medical Supplies,856.98,334.22,,,0
CDM,SUP271802,Noncdm Charge Record Medical Supplies,514.4,200.62,,,0
CDM,SUP271812,Noncdm Charge Record Medical Supplies,1836.09,716.08,,,0
CDM,SUP271814,Noncdm Charge Record Medical Supplies,10934.78,4264.56,,,0
CDM,SUP271827,Noncdm Charge Record Medical Supplies,7495.47,2923.23,,,0
CDM,SUP271829,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP271832,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP271833,Noncdm Charge Record Medical Supplies,1305.14,509.0,,,0
CDM,SUP271834,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP271838,Noncdm Charge Record Medical Supplies,3571.78,1392.99,,,0
CDM,SUP271841,Noncdm Charge Record Medical Supplies,1943.73,758.05,,,0
CDM,SUP271843,Noncdm Charge Record Medical Supplies,2270.79,885.61,,,0
CDM,SUP271844,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP271845,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP271846,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP271847,Noncdm Charge Record Medical Supplies,13426.02,5236.15,,,0
CDM,SUP271851,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP271857,Noncdm Charge Record Medical Supplies,1933.38,754.02,,,0
CDM,SUP271858,Noncdm Charge Record Medical Supplies,1886.8,735.85,,,0
CDM,SUP271861,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP271863,Noncdm Charge Record Medical Supplies,1589.76,620.01,,,0
CDM,SUP271864,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP271865,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP271866,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP271874,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP271875,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP271876,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP271877,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP271878,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP271880,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP271881,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP271882,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP271892,Noncdm Charge Record Medical Supplies,313.6,122.3,,,0
CDM,SUP271894,Noncdm Charge Record Medical Supplies,856.98,334.22,,,0
CDM,SUP271895,Noncdm Charge Record Medical Supplies,73.48,28.66,,,0
CDM,SUP271896,Noncdm Charge Record Medical Supplies,8377.29,3267.14,,,0
CDM,SUP271898,Noncdm Charge Record Medical Supplies,1101.76,429.69,,,0
CDM,SUP271900,Noncdm Charge Record Medical Supplies,2080.35,811.34,,,0
CDM,SUP271901,Noncdm Charge Record Medical Supplies,8377.29,3267.14,,,0
CDM,SUP271904,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP27191,Noncdm Charge Record Medical Supplies - Screw 2.7 Ti St Recess 26 Cort Cort W T8 Strdr,202.86,79.12,,,0
CDM,SUP271912,Noncdm Charge Record Medical Supplies,710.01,276.9,,,0
CDM,SUP271923,Noncdm Charge Record Medical Supplies,2850.39,1111.65,,,0
CDM,SUP271970,Noncdm Charge Record Medical Supplies,100.4,39.16,,,0
CDM,SUP271981,Noncdm Charge Record Medical Supplies,269.1,104.95,,,0
CDM,SUP271984,Noncdm Charge Record Medical Supplies,296.01,115.44,,,0
CDM,SUP271985,Noncdm Charge Record Medical Supplies,136.62,53.28,,,0
CDM,SUP271987,Noncdm Charge Record Medical Supplies,269.1,104.95,,,0
CDM,SUP271994,Noncdm Charge Record Medical Supplies,1305.14,509.0,,,0
CDM,SUP271995,Noncdm Charge Record Medical Supplies,269.1,104.95,,,0
CDM,SUP271997,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP271999,Noncdm Charge Record Medical Supplies,1958.22,763.71,,,0
CDM,SUP27200,Noncdm Charge Record Medical Supplies - Screw 3.5 Crtx W-Hexdrv52Mm W- Lo Prof Hd St Hexdrv,174.64,68.11,,,0
CDM,SUP272000,Noncdm Charge Record Medical Supplies,4409.1,1719.55,,,0
CDM,SUP27200068,Noncdm Charge Record Medical Supplies,180.96,70.57,,,0
CDM,SUP272006,Noncdm Charge Record Medical Supplies,2865.92,1117.71,,,0
CDM,SUP272009,Noncdm Charge Record Medical Supplies,2865.92,1117.71,,,0
CDM,SUP27201,Noncdm Charge Record Medical Supplies,403.5,157.36,,,0
CDM,SUP272019,Noncdm Charge Record Medical Supplies,342.58,133.61,,,0
CDM,SUP272020,Noncdm Charge Record Medical Supplies,2257.34,880.36,,,0
CDM,SUP272021,Noncdm Charge Record Medical Supplies,2257.34,880.36,,,0
CDM,SUP272024,Noncdm Charge Record Medical Supplies,729.68,284.58,,,0
CDM,SUP272033,Noncdm Charge Record Medical Supplies,304.89,118.91,,,0
CDM,SUP272035,Noncdm Charge Record Medical Supplies,18518.22,7222.11,,,0
CDM,SUP272037,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP272041,Noncdm Charge Record Medical Supplies,596.68,232.71,,,0
CDM,SUP272044,Noncdm Charge Record Medical Supplies,1165.41,454.51,,,0
CDM,SUP272045,Noncdm Charge Record Medical Supplies,3897.81,1520.15,,,0
CDM,SUP272048,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP272049,Noncdm Charge Record Medical Supplies,18518.22,7222.11,,,0
CDM,SUP272051,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP272055,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP272057,Noncdm Charge Record Medical Supplies,783.5,305.56,,,0
CDM,SUP272059,Noncdm Charge Record Medical Supplies,1454.18,567.13,,,0
CDM,SUP272060,Noncdm Charge Record Medical Supplies,1454.18,567.13,,,0
CDM,SUP272062,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP272063,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP272064,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP272066,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP272069,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP272070,Noncdm Charge Record Medical Supplies,293.94,114.64,,,0
CDM,SUP272072,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP272073,Noncdm Charge Record Medical Supplies,24.32,9.48,,,0
CDM,SUP272077,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP272079,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP272080,Noncdm Charge Record Medical Supplies,100.4,39.16,,,0
CDM,SUP272082,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP272086,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP272087,Noncdm Charge Record Medical Supplies,2315.3,902.97,,,0
CDM,SUP272090,Noncdm Charge Record Medical Supplies,24.84,9.69,,,0
CDM,SUP272091,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP2721,Noncdm Charge Record Medical Supplies - Lead Pacing 58Cm 6.2Fr 7Fr,2041.02,796.0,,,0
CDM,SUP272101,Noncdm Charge Record Medical Supplies,122.13,47.63,,,0
CDM,SUP272104,Noncdm Charge Record Medical Supplies,8576.01,3344.64,,,0
CDM,SUP272105,Noncdm Charge Record Medical Supplies,636.52,248.24,,,0
CDM,SUP272106,Noncdm Charge Record Medical Supplies,969.8,378.22,,,0
CDM,SUP272107,Noncdm Charge Record Medical Supplies,122.13,47.63,,,0
CDM,SUP272109,Noncdm Charge Record Medical Supplies,969.8,378.22,,,0
CDM,SUP272112,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP272113,Noncdm Charge Record Medical Supplies,1836.09,716.08,,,0
CDM,SUP272114,Noncdm Charge Record Medical Supplies,1859.9,725.36,,,0
CDM,SUP272118,Noncdm Charge Record Medical Supplies,1.03,0.4,,,0
CDM,SUP272121,Noncdm Charge Record Medical Supplies,1454.18,567.13,,,0
CDM,SUP272126,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP272127,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP27221,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Stardr St 22Mm Stardr Cort St,112.82,44.0,,,0
CDM,SUP272211,Noncdm Charge Record Medical Supplies,68.31,26.64,,,0
CDM,SUP272212,Noncdm Charge Record Medical Supplies,246.33,96.07,,,0
CDM,SUP272213,Noncdm Charge Record Medical Supplies,3968.19,1547.59,,,0
CDM,SUP272218,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP272219,Noncdm Charge Record Medical Supplies,3968.19,1547.59,,,0
CDM,SUP272220,Noncdm Charge Record Medical Supplies,829.04,323.33,,,0
CDM,SUP272223,Noncdm Charge Record Medical Supplies,68.31,26.64,,,0
CDM,SUP272230,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP272233,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP272249,Noncdm Charge Record Medical Supplies,220.46,85.98,,,0
CDM,SUP27226,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Ti Cort St 38Mm,146.97,57.32,,,0
CDM,SUP272265,Noncdm Charge Record Medical Supplies,1513.17,590.14,,,0
CDM,SUP272269,Noncdm Charge Record Medical Supplies,1275.12,497.3,,,0
CDM,SUP272270,Noncdm Charge Record Medical Supplies,750.38,292.65,,,0
CDM,SUP272272,Noncdm Charge Record Medical Supplies,750.38,292.65,,,0
CDM,SUP272274,Noncdm Charge Record Medical Supplies,1275.12,497.3,,,0
CDM,SUP272275,Noncdm Charge Record Medical Supplies,738.99,288.21,,,0
CDM,SUP272277,Noncdm Charge Record Medical Supplies,738.99,288.21,,,0
CDM,SUP272282,Noncdm Charge Record Medical Supplies,1052.6,410.51,,,0
CDM,SUP2723,Noncdm Charge Record Medical Supplies - Tray Epdrl 17Ga 90Mm Ndl Sftp,98.28,38.33,,,0
CDM,SUP272300,Noncdm Charge Record Medical Supplies,984.28,383.87,,,0
CDM,SUP272301,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP272311,Noncdm Charge Record Medical Supplies,35.19,13.72,,,0
CDM,SUP272314,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP272350,Noncdm Charge Record Medical Supplies,738.99,288.21,,,0
CDM,SUP272355,Noncdm Charge Record Medical Supplies,1052.6,410.51,,,0
CDM,SUP272359,Noncdm Charge Record Medical Supplies,379.84,148.14,,,0
CDM,SUP272361,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP272364,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP272366,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP272367,Noncdm Charge Record Medical Supplies,563.04,219.59,,,0
CDM,SUP272379,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP272380,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP272382,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP272384,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP272415,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP272421,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP272422,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP272447,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP272449,Noncdm Charge Record Medical Supplies,309.98,120.89,,,0
CDM,SUP27245,Noncdm Charge Record Medical Supplies - Screw 4.5Mm Ti Cort St 46Mm,95.22,37.14,,,0
CDM,SUP272451,Noncdm Charge Record Medical Supplies,310.24,120.99,,,0
CDM,SUP272453,Noncdm Charge Record Medical Supplies,4483.62,1748.61,,,0
CDM,SUP272454,Noncdm Charge Record Medical Supplies,310.5,121.1,,,0
CDM,SUP272455,Noncdm Charge Record Medical Supplies,247.88,96.67,,,0
CDM,SUP272458,Noncdm Charge Record Medical Supplies,1341.36,523.13,,,0
CDM,SUP272484,Noncdm Charge Record Medical Supplies,16529.98,6446.69,,,0
CDM,SUP272488,Noncdm Charge Record Medical Supplies,10043.64,3917.02,,,0
CDM,SUP272489,Noncdm Charge Record Medical Supplies,1297.89,506.18,,,0
CDM,SUP272491,Noncdm Charge Record Medical Supplies,1297.89,506.18,,,0
CDM,SUP272494,Noncdm Charge Record Medical Supplies,822.82,320.9,,,0
CDM,SUP272513,Noncdm Charge Record Medical Supplies,783.5,305.56,,,0
CDM,SUP272514,Noncdm Charge Record Medical Supplies,577.53,225.24,,,0
CDM,SUP272515,Noncdm Charge Record Medical Supplies,4.14,1.61,,,0
CDM,SUP272516,Noncdm Charge Record Medical Supplies,783.5,305.56,,,0
CDM,SUP272517,Noncdm Charge Record Medical Supplies,611.68,238.56,,,0
CDM,SUP272520,Noncdm Charge Record Medical Supplies,1211.98,472.67,,,0
CDM,SUP272521,Noncdm Charge Record Medical Supplies,455.4,177.61,,,0
CDM,SUP272529,Noncdm Charge Record Medical Supplies,605.99,236.34,,,0
CDM,SUP272535,Noncdm Charge Record Medical Supplies,2231.46,870.27,,,0
CDM,SUP272538,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP272551,Noncdm Charge Record Medical Supplies,109.71,42.79,,,0
CDM,SUP272552,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP272553,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP272554,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP272555,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP272556,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP272559,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP272560,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP272561,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP272562,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP272573,Noncdm Charge Record Medical Supplies,1871.28,729.8,,,0
CDM,SUP272576,Noncdm Charge Record Medical Supplies,376.74,146.93,,,0
CDM,SUP272577,Noncdm Charge Record Medical Supplies,376.74,146.93,,,0
CDM,SUP272580,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP272581,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP272582,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP272585,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP272586,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP272589,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP272592,Noncdm Charge Record Medical Supplies,293.94,114.64,,,0
CDM,SUP272594,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP272600,Noncdm Charge Record Medical Supplies,2451.92,956.25,,,0
CDM,SUP272601,Noncdm Charge Record Medical Supplies,2451.92,956.25,,,0
CDM,SUP272606,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP272607,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP272608,Noncdm Charge Record Medical Supplies,109.71,42.79,,,0
CDM,SUP272609,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP272611,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP272612,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP272613,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP272614,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP272615,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP272616,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP272617,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP272618,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP272625,Noncdm Charge Record Medical Supplies,5511.38,2149.44,,,0
CDM,SUP272626,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP272627,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP272667,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP272671_C1886_272,Noncdm Charge Record Medical Supplies,8112.33,3163.81,,,0
CDM,SUP27269,Noncdm Charge Record Medical Supplies - Screw 5Mm Lck W T25 68Mm Strl Ti Stardr F- Im Nails,999.81,389.93,,,0
CDM,SUP272690,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP272694,Noncdm Charge Record Medical Supplies,7495.47,2923.23,,,0
CDM,SUP272700,Noncdm Charge Record Medical Supplies,661.36,257.93,,,0
CDM,SUP272701,Noncdm Charge Record Medical Supplies,518.54,202.23,,,0
CDM,SUP272702,Noncdm Charge Record Medical Supplies,944.96,368.53,,,0
CDM,SUP272705,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP272706,Noncdm Charge Record Medical Supplies,6613.65,2579.32,,,0
CDM,SUP272715,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP272716_C1761_624,Noncdm Charge Record Medical Supplies,1.03,0.4,,,0
CDM,SUP272729,Noncdm Charge Record Medical Supplies,27.94,10.9,,,0
CDM,SUP272743,Noncdm Charge Record Medical Supplies,14457.92,5638.59,,,0
CDM,SUP272751,Noncdm Charge Record Medical Supplies,269.1,104.95,,,0
CDM,SUP272752,Noncdm Charge Record Medical Supplies,136.62,53.28,,,0
CDM,SUP272753,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP272765,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP272781,Noncdm Charge Record Medical Supplies,10934.78,4264.56,,,0
CDM,SUP272783,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP272785,Noncdm Charge Record Medical Supplies,4409.1,1719.55,,,0
CDM,SUP27279,Noncdm Charge Record Medical Supplies - Screw 6.5Mm Recon 105Mm Strl Ti W T25 Stardr,1030.86,402.04,,,0
CDM,SUP272794,Noncdm Charge Record Medical Supplies,7870.14,3069.35,,,0
CDM,SUP272803,Noncdm Charge Record Medical Supplies,464.72,181.24,,,0
CDM,SUP272805,Noncdm Charge Record Medical Supplies,171.81,67.01,,,0
CDM,SUP272812,Noncdm Charge Record Medical Supplies,269.1,104.95,,,0
CDM,SUP272813,Noncdm Charge Record Medical Supplies,136.62,53.28,,,0
CDM,SUP272814,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP272815,Noncdm Charge Record Medical Supplies,14452.74,5636.57,,,0
CDM,SUP272817,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP272820,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP272822,Noncdm Charge Record Medical Supplies,2270.79,885.61,,,0
CDM,SUP272823,Noncdm Charge Record Medical Supplies,3571.78,1392.99,,,0
CDM,SUP272824,Noncdm Charge Record Medical Supplies,1943.73,758.05,,,0
CDM,SUP272825,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP272826,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP272827,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP272828,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP272829,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP272830,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP272831,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP272835,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP272837,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP27284,Noncdm Charge Record Medical Supplies - Screw 6.5Mm Recon 75Mm Strl Ti W T25 Stardr,951.16,370.95,,,0
CDM,SUP272844,Noncdm Charge Record Medical Supplies,3562.47,1389.36,,,0
CDM,SUP272847,Noncdm Charge Record Medical Supplies,416.07,162.27,,,0
CDM,SUP272867,Noncdm Charge Record Medical Supplies,342.58,133.61,,,0
CDM,SUP272868,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP272877,Noncdm Charge Record Medical Supplies,7588.62,2959.56,,,0
CDM,SUP272878,Noncdm Charge Record Medical Supplies,7588.62,2959.56,,,0
CDM,SUP272880,Noncdm Charge Record Medical Supplies,122.13,47.63,,,0
CDM,SUP272881,Noncdm Charge Record Medical Supplies,2963.2,1155.65,,,0
CDM,SUP272887,Noncdm Charge Record Medical Supplies,1097.1,427.87,,,0
CDM,SUP272890,Noncdm Charge Record Medical Supplies,3562.47,1389.36,,,0
CDM,SUP272894,Noncdm Charge Record Medical Supplies,12848.49,5010.91,,,0
CDM,SUP272895,Noncdm Charge Record Medical Supplies,416.07,162.27,,,0
CDM,SUP272897,Noncdm Charge Record Medical Supplies,1061.91,414.14,,,0
CDM,SUP272910,Noncdm Charge Record Medical Supplies,8377.29,3267.14,,,0
CDM,SUP272911,Noncdm Charge Record Medical Supplies,8377.29,3267.14,,,0
CDM,SUP272915,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP272916,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP272917,Noncdm Charge Record Medical Supplies,4332.51,1689.68,,,0
CDM,SUP272922,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP272929,Noncdm Charge Record Medical Supplies,24.32,9.48,,,0
CDM,SUP272930,Noncdm Charge Record Medical Supplies,7632.09,2976.52,,,0
CDM,SUP272931,Noncdm Charge Record Medical Supplies,13426.02,5236.15,,,0
CDM,SUP272932,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP272934,Noncdm Charge Record Medical Supplies,6834.1,2665.3,,,0
CDM,SUP272946,Noncdm Charge Record Medical Supplies,13.46,5.25,,,0
CDM,SUP272947,Noncdm Charge Record Medical Supplies,2361.87,921.13,,,0
CDM,SUP272949,Noncdm Charge Record Medical Supplies,589.95,230.08,,,0
CDM,SUP272951,Noncdm Charge Record Medical Supplies,4555.04,1776.47,,,0
CDM,SUP273016,Noncdm Charge Record Medical Supplies,343.1,133.81,,,0
CDM,SUP273024,Noncdm Charge Record Medical Supplies,885.96,345.52,,,0
CDM,SUP273031,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP273060,Noncdm Charge Record Medical Supplies,5710.1,2226.94,,,0
CDM,SUP273064,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP273065,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP273077,Noncdm Charge Record Medical Supplies,1440.72,561.88,,,0
CDM,SUP273085,Noncdm Charge Record Medical Supplies,5945.04,2318.57,,,0
CDM,SUP273088,Noncdm Charge Record Medical Supplies,1305.14,509.0,,,0
CDM,SUP273089,Noncdm Charge Record Medical Supplies,220.46,85.98,,,0
CDM,SUP273090,Noncdm Charge Record Medical Supplies,1052.6,410.51,,,0
CDM,SUP273091,Noncdm Charge Record Medical Supplies,68.65,26.77,,,0
CDM,SUP273099,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP273102,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP273112,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP273113,Noncdm Charge Record Medical Supplies,48.64,18.97,,,0
CDM,SUP273125,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP273126,Noncdm Charge Record Medical Supplies,1916.82,747.56,,,0
CDM,SUP273127,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP273136,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP273189,Noncdm Charge Record Medical Supplies,1566.99,611.13,,,0
CDM,SUP273190,Noncdm Charge Record Medical Supplies,1449.17,565.18,,,0
CDM,SUP273277,Noncdm Charge Record Medical Supplies,1718.1,670.06,,,0
CDM,SUP273278,Noncdm Charge Record Medical Supplies,416.07,162.27,,,0
CDM,SUP273279,Noncdm Charge Record Medical Supplies,2491.24,971.58,,,0
CDM,SUP273280,Noncdm Charge Record Medical Supplies,1806.08,704.37,,,0
CDM,SUP273296,Noncdm Charge Record Medical Supplies,175.95,68.62,,,0
CDM,SUP273303,Noncdm Charge Record Medical Supplies,2491.24,971.58,,,0
CDM,SUP273307,Noncdm Charge Record Medical Supplies,416.07,162.27,,,0
CDM,SUP27331,Noncdm Charge Record Medical Supplies - Screw Bn 12.7Mm Thrd Lag 95Mm Dhs Dcs 1Stp,1454.18,567.13,,,0
CDM,SUP273315,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP273319,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP273322,Noncdm Charge Record Medical Supplies,3383.42,1319.53,,,0
CDM,SUP273329,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP273330,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP273353,Noncdm Charge Record Medical Supplies,1061.91,414.14,,,0
CDM,SUP273359,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP273360,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP273362,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP273364,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP273365,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP273371,Noncdm Charge Record Medical Supplies,1836.09,716.08,,,0
CDM,SUP273374,Noncdm Charge Record Medical Supplies,2392.92,933.24,,,0
CDM,SUP273395,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP2734,Noncdm Charge Record Medical Supplies - Lead Pacemaker 52Cm 5Fr Fln2,1987.2,775.01,,,0
CDM,SUP273402,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP273404,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP273405,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP27341,Noncdm Charge Record Medical Supplies,1742.94,679.75,,,0
CDM,SUP273410,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP273412,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP273413,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP273414,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP273430,Noncdm Charge Record Medical Supplies,707.94,276.1,,,0
CDM,SUP273431,Noncdm Charge Record Medical Supplies,556.83,217.16,,,0
CDM,SUP273434,Noncdm Charge Record Medical Supplies,553.72,215.95,,,0
CDM,SUP273437,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP273439,Noncdm Charge Record Medical Supplies,2512.98,980.06,,,0
CDM,SUP27343_C1713_278,Noncdm Charge Record Medical Supplies - Screw Bn 2.0Mm Lck St 20Mm W T8 Stardr Recess,450.43,175.67,,,0
CDM,SUP27343_L8699_278,Noncdm Charge Record Medical Supplies - Screw Bn 2.0Mm Lck St 20Mm W T8 Stardr Recess,450.22,175.59,,,0
CDM,SUP27344,Noncdm Charge Record Medical Supplies - Screw Bn 2.0Mm Lck St 30Mm W T8 Stardr Recess,450.22,175.59,,,0
CDM,SUP273443,Noncdm Charge Record Medical Supplies,4409.1,1719.55,,,0
CDM,SUP273444,Noncdm Charge Record Medical Supplies,4409.1,1719.55,,,0
CDM,SUP273445,Noncdm Charge Record Medical Supplies,8818.2,3439.1,,,0
CDM,SUP273449,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP273450,Noncdm Charge Record Medical Supplies,7.24,2.82,,,0
CDM,SUP27346,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm St P-T 30Mm Stardr Recess St,514.69,200.73,,,0
CDM,SUP27347,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm St Cort 44Mm,170.78,66.6,,,0
CDM,SUP273470,Noncdm Charge Record Medical Supplies,464.72,181.24,,,0
CDM,SUP273475,Noncdm Charge Record Medical Supplies,332.24,129.57,,,0
CDM,SUP273478,Noncdm Charge Record Medical Supplies,107.64,41.98,,,0
CDM,SUP273488,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP273489,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP273490,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP273491,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP273492,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP273493,Noncdm Charge Record Medical Supplies,1570.1,612.34,,,0
CDM,SUP273494,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP273495,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP273513,Noncdm Charge Record Medical Supplies,4483.62,1748.61,,,0
CDM,SUP273523,Noncdm Charge Record Medical Supplies,2491.24,971.58,,,0
CDM,SUP273531,Noncdm Charge Record Medical Supplies,1341.36,523.13,,,0
CDM,SUP273534,Noncdm Charge Record Medical Supplies,309.98,120.89,,,0
CDM,SUP273535,Noncdm Charge Record Medical Supplies,310.24,120.99,,,0
CDM,SUP273536,Noncdm Charge Record Medical Supplies,166.64,64.99,,,0
CDM,SUP273537,Noncdm Charge Record Medical Supplies,310.5,121.1,,,0
CDM,SUP273538,Noncdm Charge Record Medical Supplies,247.88,96.67,,,0
CDM,SUP273539,Noncdm Charge Record Medical Supplies,820.76,320.1,,,0
CDM,SUP273540,Noncdm Charge Record Medical Supplies,462.64,180.43,,,0
CDM,SUP273547,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP273549,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP273551,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP273557,Noncdm Charge Record Medical Supplies,483.34,188.5,,,0
CDM,SUP27356,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm Pt 44Mm Cannula,669.64,261.16,,,0
CDM,SUP273561,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP273566,Noncdm Charge Record Medical Supplies,1590.8,620.41,,,0
CDM,SUP273568,Noncdm Charge Record Medical Supplies,26.91,10.49,,,0
CDM,SUP273570,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP273580,Noncdm Charge Record Medical Supplies,1590.8,620.41,,,0
CDM,SUP27359,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm Schnz 250Mm Blnt Troc Pt Spd Pt,488.96,190.69,,,0
CDM,SUP27360,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 16Mm 120Mm Thrd Cannula,1142.64,445.63,,,0
CDM,SUP273601,Noncdm Charge Record Medical Supplies,21.74,8.48,,,0
CDM,SUP273623,Noncdm Charge Record Medical Supplies,6063.03,2364.58,,,0
CDM,SUP273638,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP273644,Noncdm Charge Record Medical Supplies,2741.72,1069.27,,,0
CDM,SUP273661,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP273662,Noncdm Charge Record Medical Supplies,10.35,4.04,,,0
CDM,SUP273666,Noncdm Charge Record Medical Supplies,1346.19,525.01,,,0
CDM,SUP273679,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP273681,Noncdm Charge Record Medical Supplies,45.54,17.76,,,0
CDM,SUP27369,Noncdm Charge Record Medical Supplies - Screw Bn Cannula 4Mm 40Mm,1060.88,413.74,,,0
CDM,SUP273694_272,Noncdm Charge Record Medical Supplies,293.94,114.64,,,0
CDM,SUP273694_A4649_272,Noncdm Charge Record Medical Supplies,293.94,114.64,,,0
CDM,SUP273705,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP27372,Noncdm Charge Record Medical Supplies - Screw Bn Ft 6.5Mm 70Mm Cannula,844.56,329.38,,,0
CDM,SUP273722,Noncdm Charge Record Medical Supplies,45.54,17.76,,,0
CDM,SUP273726,Noncdm Charge Record Medical Supplies,342.58,133.61,,,0
CDM,SUP273728,Noncdm Charge Record Medical Supplies,45.54,17.76,,,0
CDM,SUP273731,Noncdm Charge Record Medical Supplies,3197.12,1246.88,,,0
CDM,SUP273738,Noncdm Charge Record Medical Supplies,661.36,257.93,,,0
CDM,SUP273746,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP273749,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP273750,Noncdm Charge Record Medical Supplies,164.56,64.18,,,0
CDM,SUP273754,Noncdm Charge Record Medical Supplies,45.54,17.76,,,0
CDM,SUP27376,Noncdm Charge Record Medical Supplies - Screw Bn Ft 7.3Mm 80Mm Cannula,1136.43,443.21,,,0
CDM,SUP27377,Noncdm Charge Record Medical Supplies - Screw Bn Ft 7.3Mm 90Mm Cannula,938.4,365.98,,,0
CDM,SUP273784,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP273787,Noncdm Charge Record Medical Supplies,11.38,4.44,,,0
CDM,SUP273788,Noncdm Charge Record Medical Supplies,1464.52,571.16,,,0
CDM,SUP2738,Noncdm Charge Record Medical Supplies - Sponge Ultrafoam Lf 100 Sq Cm,327.38,127.68,,,0
CDM,SUP273803,Noncdm Charge Record Medical Supplies,45.54,17.76,,,0
CDM,SUP273805,Noncdm Charge Record Medical Supplies,146.97,57.32,,,0
CDM,SUP273810,Noncdm Charge Record Medical Supplies,1918.89,748.37,,,0
CDM,SUP273823,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP273837,Noncdm Charge Record Medical Supplies,7358.85,2869.95,,,0
CDM,SUP273842,Noncdm Charge Record Medical Supplies,27226.71,10618.42,,,0
CDM,SUP273843,Noncdm Charge Record Medical Supplies,27226.71,10618.42,,,0
CDM,SUP273847,Noncdm Charge Record Medical Supplies,252.54,98.49,,,0
CDM,SUP273872,Noncdm Charge Record Medical Supplies,83.84,32.7,,,0
CDM,SUP273873,Noncdm Charge Record Medical Supplies,856.98,334.22,,,0
CDM,SUP273874,Noncdm Charge Record Medical Supplies,98.32,38.34,,,0
CDM,SUP273879,Noncdm Charge Record Medical Supplies,5511.38,2149.44,,,0
CDM,SUP273881,Noncdm Charge Record Medical Supplies,210.1,81.94,,,0
CDM,SUP273886,Noncdm Charge Record Medical Supplies,43076.7,16799.91,,,0
CDM,SUP273890,Noncdm Charge Record Medical Supplies,1787.44,697.1,,,0
CDM,SUP2739,Noncdm Charge Record Medical Supplies - Kit Art Line 4.25In 18Ga,65.2,25.43,,,0
CDM,SUP273901,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP273902,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP273905,Noncdm Charge Record Medical Supplies,3571.78,1392.99,,,0
CDM,SUP273907,Noncdm Charge Record Medical Supplies,2270.79,885.61,,,0
CDM,SUP273908,Noncdm Charge Record Medical Supplies,1943.73,758.05,,,0
CDM,SUP273909,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP273910,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP273911,Noncdm Charge Record Medical Supplies,690.34,269.23,,,0
CDM,SUP273912,Noncdm Charge Record Medical Supplies,693.45,270.45,,,0
CDM,SUP273913,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP273915,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP273917,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP273918,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP273919,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP273925,Noncdm Charge Record Medical Supplies,1889.91,737.06,,,0
CDM,SUP27393,Noncdm Charge Record Medical Supplies - Screw Lag 12.7Mm 1Stp -90Mm Thrd Dhs- Dcs-Strl,1661.18,647.86,,,0
CDM,SUP273940,Noncdm Charge Record Medical Supplies,244.78,95.46,,,0
CDM,SUP273945,Noncdm Charge Record Medical Supplies,252.54,98.49,,,0
CDM,SUP273949,Noncdm Charge Record Medical Supplies,304.86,118.9,,,0
CDM,SUP273952,Noncdm Charge Record Medical Supplies,596.78,232.74,,,0
CDM,SUP273960,Noncdm Charge Record Medical Supplies,885.96,345.52,,,0
CDM,SUP273977,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP273978,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP273979,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP273981,Noncdm Charge Record Medical Supplies,704.84,274.89,,,0
CDM,SUP273982,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP273983,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP273989,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP273990,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP273991,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP273992,Noncdm Charge Record Medical Supplies,715.18,278.92,,,0
CDM,SUP273996,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP274011,Noncdm Charge Record Medical Supplies,252.54,98.49,,,0
CDM,SUP274016,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP274019,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP274020,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP274021,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP274023,Noncdm Charge Record Medical Supplies,2330.82,909.02,,,0
CDM,SUP274024,Noncdm Charge Record Medical Supplies,704.84,274.89,,,0
CDM,SUP274025,Noncdm Charge Record Medical Supplies,715.18,278.92,,,0
CDM,SUP274027,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP274028,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP274029,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP274042,Noncdm Charge Record Medical Supplies,4.66,1.82,,,0
CDM,SUP274047,Noncdm Charge Record Medical Supplies,387.09,150.97,,,0
CDM,SUP274048,Noncdm Charge Record Medical Supplies,333.27,129.98,,,0
CDM,SUP27405,Noncdm Charge Record Medical Supplies,699.14,272.66,,,0
CDM,SUP274051,Noncdm Charge Record Medical Supplies,328.1,127.96,,,0
CDM,SUP274057,Noncdm Charge Record Medical Supplies,4850.01,1891.5,,,0
CDM,SUP274060,Noncdm Charge Record Medical Supplies,3505.54,1367.16,,,0
CDM,SUP274061,Noncdm Charge Record Medical Supplies,636.52,248.24,,,0
CDM,SUP274078,Noncdm Charge Record Medical Supplies,445.57,173.77,,,0
CDM,SUP274115,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP274120,Noncdm Charge Record Medical Supplies,18518.22,7222.11,,,0
CDM,SUP274123,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP274132,Noncdm Charge Record Medical Supplies,661.36,257.93,,,0
CDM,SUP274133,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP274138,Noncdm Charge Record Medical Supplies,734.33,286.39,,,0
CDM,SUP274139,Noncdm Charge Record Medical Supplies,244.78,95.46,,,0
CDM,SUP274146,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP274149,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP274150,Noncdm Charge Record Medical Supplies,495.76,193.35,,,0
CDM,SUP274164,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP274165,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP274166,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP274170,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP274171,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP274172,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP274182,Noncdm Charge Record Medical Supplies,1590.8,620.41,,,0
CDM,SUP274183,Noncdm Charge Record Medical Supplies,790.74,308.39,,,0
CDM,SUP274186,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP274193,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP274201_C1886_272,Noncdm Charge Record Medical Supplies,8156.84,3181.17,,,0
CDM,SUP274206,Noncdm Charge Record Medical Supplies,1199.56,467.83,,,0
CDM,SUP274239,Noncdm Charge Record Medical Supplies,565.11,220.39,,,0
CDM,SUP274240,Noncdm Charge Record Medical Supplies,2117.61,825.87,,,0
CDM,SUP27428,Noncdm Charge Record Medical Supplies - Sleeve 13Mm 3.2Mm Antgrd Fem,575.46,224.43,,,0
CDM,SUP274297,Noncdm Charge Record Medical Supplies,495.76,193.35,,,0
CDM,SUP274300,Noncdm Charge Record Medical Supplies,68.31,26.64,,,0
CDM,SUP274329,Noncdm Charge Record Medical Supplies,2777.94,1083.4,,,0
CDM,SUP274338,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP274350,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP274360,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP274362,Noncdm Charge Record Medical Supplies,435.74,169.94,,,0
CDM,SUP274364,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP274366,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP274367,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP274368,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP274369,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP274377,Noncdm Charge Record Medical Supplies,8787.15,3426.99,,,0
CDM,SUP274379,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP274382,Noncdm Charge Record Medical Supplies,379.84,148.14,,,0
CDM,SUP274385,Noncdm Charge Record Medical Supplies,13668.21,5330.6,,,0
CDM,SUP274391,Noncdm Charge Record Medical Supplies,455.4,177.61,,,0
CDM,SUP274392,Noncdm Charge Record Medical Supplies,376.74,146.93,,,0
CDM,SUP274397,Noncdm Charge Record Medical Supplies,299.12,116.66,,,0
CDM,SUP274411,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP274419,Noncdm Charge Record Medical Supplies,1307.2,509.81,,,0
CDM,SUP274421,Noncdm Charge Record Medical Supplies,2900.07,1131.03,,,0
CDM,SUP274423,Noncdm Charge Record Medical Supplies,2014.11,785.5,,,0
CDM,SUP274424,Noncdm Charge Record Medical Supplies,2900.07,1131.03,,,0
CDM,SUP274431,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP274439,Noncdm Charge Record Medical Supplies,10043.64,3917.02,,,0
CDM,SUP274443,Noncdm Charge Record Medical Supplies,27792.86,10839.22,,,0
CDM,SUP274445,Noncdm Charge Record Medical Supplies,27792.86,10839.22,,,0
CDM,SUP274446,Noncdm Charge Record Medical Supplies,27792.86,10839.22,,,0
CDM,SUP274478,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP274479,Noncdm Charge Record Medical Supplies,4483.62,1748.61,,,0
CDM,SUP274483,Noncdm Charge Record Medical Supplies,669.64,261.16,,,0
CDM,SUP274488,Noncdm Charge Record Medical Supplies,669.64,261.16,,,0
CDM,SUP274500,Noncdm Charge Record Medical Supplies,495.76,193.35,,,0
CDM,SUP274506,Noncdm Charge Record Medical Supplies,1341.36,523.13,,,0
CDM,SUP274509,Noncdm Charge Record Medical Supplies,309.98,120.89,,,0
CDM,SUP274511,Noncdm Charge Record Medical Supplies,310.24,120.99,,,0
CDM,SUP274513,Noncdm Charge Record Medical Supplies,310.5,121.1,,,0
CDM,SUP274514,Noncdm Charge Record Medical Supplies,247.88,96.67,,,0
CDM,SUP274527,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP274530,Noncdm Charge Record Medical Supplies,1590.8,620.41,,,0
CDM,SUP274535,Noncdm Charge Record Medical Supplies,1590.8,620.41,,,0
CDM,SUP274562,Noncdm Charge Record Medical Supplies,1211.47,472.47,,,0
CDM,SUP274565,Noncdm Charge Record Medical Supplies,5.18,2.02,,,0
CDM,SUP274566,Noncdm Charge Record Medical Supplies,1953.04,761.69,,,0
CDM,SUP274570,Noncdm Charge Record Medical Supplies,1953.04,761.69,,,0
CDM,SUP274581,Noncdm Charge Record Medical Supplies,4421.52,1724.39,,,0
CDM,SUP274594,Noncdm Charge Record Medical Supplies,244.78,95.46,,,0
CDM,SUP274635,Noncdm Charge Record Medical Supplies,636.52,248.24,,,0
CDM,SUP274637,Noncdm Charge Record Medical Supplies,10.35,4.04,,,0
CDM,SUP274658,Noncdm Charge Record Medical Supplies,24.32,9.48,,,0
CDM,SUP274662,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP274672,Noncdm Charge Record Medical Supplies,237.02,92.44,,,0
CDM,SUP274673,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP274680,Noncdm Charge Record Medical Supplies,719.32,280.53,,,0
CDM,SUP274682,Noncdm Charge Record Medical Supplies,24.32,9.48,,,0
CDM,SUP274689,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP274691,Noncdm Charge Record Medical Supplies,1510.32,589.02,,,0
CDM,SUP274699,Noncdm Charge Record Medical Supplies,30.02,11.71,,,0
CDM,SUP274707,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP27473,Noncdm Charge Record Medical Supplies - Screw 2.4Mm Cortex Self Tapping 32Mm Synthes,216.32,84.36,,,0
CDM,SUP274735,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP274736,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP274751,Noncdm Charge Record Medical Supplies,3293.37,1284.41,,,0
CDM,SUP274753,Noncdm Charge Record Medical Supplies,13668.21,5330.6,,,0
CDM,SUP274755,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP274759,Noncdm Charge Record Medical Supplies,100.4,39.16,,,0
CDM,SUP274767,Noncdm Charge Record Medical Supplies,73.48,28.66,,,0
CDM,SUP27478,Noncdm Charge Record Medical Supplies - Standoff 20Mm Lng,217.87,84.97,,,0
CDM,SUP2747_272,Noncdm Charge Record Medical Supplies - Sponge Surgifoam 8Cm 12.5Cm Absorbable Ethicon,97.63,38.08,,,0
CDM,SUP2747_A9999_272,Noncdm Charge Record Medical Supplies - Sponge Surgifoam 8Cm 12.5Cm Absorbable Ethicon,98.32,38.34,,,0
CDM,SUP274808,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP274809,Noncdm Charge Record Medical Supplies,10.35,4.04,,,0
CDM,SUP27481,Noncdm Charge Record Medical Supplies - Standoff 50Mm Lng,385.71,150.43,,,0
CDM,SUP274833,Noncdm Charge Record Medical Supplies,8700.21,3393.08,,,0
CDM,SUP274834,Noncdm Charge Record Medical Supplies,8700.21,3393.08,,,0
CDM,SUP274835,Noncdm Charge Record Medical Supplies,8700.21,3393.08,,,0
CDM,SUP274843,Noncdm Charge Record Medical Supplies,343.1,133.81,,,0
CDM,SUP274847,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP274851,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP274852,Noncdm Charge Record Medical Supplies,1106.42,431.5,,,0
CDM,SUP274855,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP274865,Noncdm Charge Record Medical Supplies,1454.18,567.13,,,0
CDM,SUP274868,Noncdm Charge Record Medical Supplies,1454.18,567.13,,,0
CDM,SUP274883,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP274884,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP274888,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP274890,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP274891,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP274892,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP274893,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP274894,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP274895,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP274896,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP274897,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP274904,Noncdm Charge Record Medical Supplies,122.65,47.83,,,0
CDM,SUP274906,Noncdm Charge Record Medical Supplies,969.8,378.22,,,0
CDM,SUP274907,Noncdm Charge Record Medical Supplies,969.8,378.22,,,0
CDM,SUP274908,Noncdm Charge Record Medical Supplies,122.13,47.63,,,0
CDM,SUP274909,Noncdm Charge Record Medical Supplies,636.52,248.24,,,0
CDM,SUP274913,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP274924,Noncdm Charge Record Medical Supplies,220.46,85.98,,,0
CDM,SUP274930,Noncdm Charge Record Medical Supplies,293.94,114.64,,,0
CDM,SUP274949,Noncdm Charge Record Medical Supplies,1615.64,630.1,,,0
CDM,SUP274951,Noncdm Charge Record Medical Supplies,12565.94,4900.72,,,0
CDM,SUP274963,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP274964,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP274971,Noncdm Charge Record Medical Supplies,2756.2,1074.92,,,0
CDM,SUP274972,Noncdm Charge Record Medical Supplies,68.31,26.64,,,0
CDM,SUP274973,Noncdm Charge Record Medical Supplies,7588.1,2959.36,,,0
CDM,SUP274974,Noncdm Charge Record Medical Supplies,7588.62,2959.56,,,0
CDM,SUP274975,Noncdm Charge Record Medical Supplies,3968.19,1547.59,,,0
CDM,SUP274976,Noncdm Charge Record Medical Supplies,3968.19,1547.59,,,0
CDM,SUP275009,Noncdm Charge Record Medical Supplies,6063.03,2364.58,,,0
CDM,SUP275010,Noncdm Charge Record Medical Supplies,1061.91,414.14,,,0
CDM,SUP275012,Noncdm Charge Record Medical Supplies,927.36,361.67,,,0
CDM,SUP275013,Noncdm Charge Record Medical Supplies,927.36,361.67,,,0
CDM,SUP275017,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP27502,Noncdm Charge Record Medical Supplies - Trocar 8Mm,515.43,201.02,,,0
CDM,SUP275020,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP275021,Noncdm Charge Record Medical Supplies,304.87,118.9,,,0
CDM,SUP275022,Noncdm Charge Record Medical Supplies,7503.75,2926.46,,,0
CDM,SUP275025,Noncdm Charge Record Medical Supplies,953.24,371.76,,,0
CDM,SUP275027,Noncdm Charge Record Medical Supplies,4444.29,1733.27,,,0
CDM,SUP275030,Noncdm Charge Record Medical Supplies,2501.08,975.42,,,0
CDM,SUP275039,Noncdm Charge Record Medical Supplies,1543.18,601.84,,,0
CDM,SUP275057,Noncdm Charge Record Medical Supplies,805.57,314.17,,,0
CDM,SUP275059,Noncdm Charge Record Medical Supplies,2408.45,939.3,,,0
CDM,SUP27506,Noncdm Charge Record Medical Supplies - Washer Spc 4Mm,74.62,29.1,,,0
CDM,SUP275068,Noncdm Charge Record Medical Supplies,328.1,127.96,,,0
CDM,SUP275071,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP275072,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP275073,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP275074,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP275076,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP275078,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP275079,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP275082,Noncdm Charge Record Medical Supplies,293.94,114.64,,,0
CDM,SUP275084,Noncdm Charge Record Medical Supplies,293.94,114.64,,,0
CDM,SUP275086,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP275087,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP275088,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP275089,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP27509,Noncdm Charge Record Medical Supplies - Wire Guide .8Mm 100Mm,45.54,17.76,,,0
CDM,SUP275091,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP275095,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP275096,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP275119,Noncdm Charge Record Medical Supplies,751.41,293.05,,,0
CDM,SUP275141_C1889_272,Noncdm Charge Record Medical Supplies,18518.22,7222.11,,,0
CDM,SUP275143,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP275145,Noncdm Charge Record Medical Supplies,455.4,177.61,,,0
CDM,SUP275149,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP27516,Noncdm Charge Record Medical Supplies - Pin Trnfx 6Mm 225Mm,507.86,198.07,,,0
CDM,SUP275164,Noncdm Charge Record Medical Supplies,395.37,154.19,,,0
CDM,SUP275168,Noncdm Charge Record Medical Supplies,5339.56,2082.43,,,0
CDM,SUP275169,Noncdm Charge Record Medical Supplies,3086.37,1203.68,,,0
CDM,SUP275170,Noncdm Charge Record Medical Supplies,2231.46,870.27,,,0
CDM,SUP275178_C1889_272,Noncdm Charge Record Medical Supplies,18518.22,7222.11,,,0
CDM,SUP27518,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm 6Hlt131Mm Va Lcp X Articlr Prox Uln,4992.84,1947.21,,,0
CDM,SUP275180,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP27520,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm 6Hrt 112Mmstrl Lcp Lat Dist Fib Strl,2294.59,894.89,,,0
CDM,SUP275201_C1889_272,Noncdm Charge Record Medical Supplies,18518.22,7222.11,,,0
CDM,SUP275202,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP275204,Noncdm Charge Record Medical Supplies,2932.16,1143.54,,,0
CDM,SUP275212,Noncdm Charge Record Medical Supplies,1.03,0.4,,,0
CDM,SUP275213,Noncdm Charge Record Medical Supplies,817.65,318.88,,,0
CDM,SUP275214,Noncdm Charge Record Medical Supplies,1.03,0.4,,,0
CDM,SUP275216,Noncdm Charge Record Medical Supplies,5290.92,2063.46,,,0
CDM,SUP275217,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP27522,Noncdm Charge Record Medical Supplies,3971.3,1548.81,,,0
CDM,SUP275232_C1889_272,Noncdm Charge Record Medical Supplies,18518.22,7222.11,,,0
CDM,SUP275235,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP275236,Noncdm Charge Record Medical Supplies,2932.16,1143.54,,,0
CDM,SUP275244,Noncdm Charge Record Medical Supplies,1473.84,574.8,,,0
CDM,SUP275246,Noncdm Charge Record Medical Supplies,109.71,42.79,,,0
CDM,SUP275247,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP275248,Noncdm Charge Record Medical Supplies,1727.42,673.69,,,0
CDM,SUP275249,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP275250,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP275251,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP275252,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP275253,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP275254,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP275255,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP275355,Noncdm Charge Record Medical Supplies,252.54,98.49,,,0
CDM,SUP275362,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP275374,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP275379,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP275380,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP275381,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP275384,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP275386,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP275388,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP275391,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP275394,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP275396,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP275401,Noncdm Charge Record Medical Supplies,1165.41,454.51,,,0
CDM,SUP275440,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP275447,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP275449,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP275450,Noncdm Charge Record Medical Supplies,7588.62,2959.56,,,0
CDM,SUP275458,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP275464,Noncdm Charge Record Medical Supplies,7632.09,2976.52,,,0
CDM,SUP275465,Noncdm Charge Record Medical Supplies,13426.02,5236.15,,,0
CDM,SUP275470,Noncdm Charge Record Medical Supplies,480.24,187.29,,,0
CDM,SUP275471,Noncdm Charge Record Medical Supplies,15131.7,5901.36,,,0
CDM,SUP275473,Noncdm Charge Record Medical Supplies,15759.94,6146.38,,,0
CDM,SUP275497,Noncdm Charge Record Medical Supplies,1292.71,504.16,,,0
CDM,SUP275499,Noncdm Charge Record Medical Supplies,900.45,351.18,,,0
CDM,SUP275500,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP275501,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP275502,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP275503,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP275504,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP275508,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP275509,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP275514,Noncdm Charge Record Medical Supplies,3154.68,1230.33,,,0
CDM,SUP275515,Noncdm Charge Record Medical Supplies,856.98,334.22,,,0
CDM,SUP275529,Noncdm Charge Record Medical Supplies,26.91,10.49,,,0
CDM,SUP275538,Noncdm Charge Record Medical Supplies,10.35,4.04,,,0
CDM,SUP275596,Noncdm Charge Record Medical Supplies,1884.74,735.05,,,0
CDM,SUP275611,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP275616,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP275617,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP275625,Noncdm Charge Record Medical Supplies,1214.06,473.48,,,0
CDM,SUP275630,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP275636,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP275660,Noncdm Charge Record Medical Supplies,1757.43,685.4,,,0
CDM,SUP275672,Noncdm Charge Record Medical Supplies,244.78,95.46,,,0
CDM,SUP275675,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP275680,Noncdm Charge Record Medical Supplies,2386.71,930.82,,,0
CDM,SUP275690,Noncdm Charge Record Medical Supplies,286.7,111.81,,,0
CDM,SUP275700,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP275701,Noncdm Charge Record Medical Supplies,656.19,255.91,,,0
CDM,SUP275703,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP275704,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP275706,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP275707,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP275708,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP275709,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP275710,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP275712,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP275714,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP275735,Noncdm Charge Record Medical Supplies,6646.77,2592.24,,,0
CDM,SUP275771,Noncdm Charge Record Medical Supplies,10.35,4.04,,,0
CDM,SUP275778,Noncdm Charge Record Medical Supplies,146.97,57.32,,,0
CDM,SUP275780,Noncdm Charge Record Medical Supplies,1370.34,534.43,,,0
CDM,SUP275838,Noncdm Charge Record Medical Supplies,842.49,328.57,,,0
CDM,SUP275870,Noncdm Charge Record Medical Supplies,2788.29,1087.43,,,0
CDM,SUP275871,Noncdm Charge Record Medical Supplies,122.13,47.63,,,0
CDM,SUP275872,Noncdm Charge Record Medical Supplies,2491.24,971.58,,,0
CDM,SUP275881,Noncdm Charge Record Medical Supplies,1370.34,534.43,,,0
CDM,SUP275882,Noncdm Charge Record Medical Supplies,1370.34,534.43,,,0
CDM,SUP275883,Noncdm Charge Record Medical Supplies,1370.34,534.43,,,0
CDM,SUP275890,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP275891,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP275894,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP275897,Noncdm Charge Record Medical Supplies,205.96,80.32,,,0
CDM,SUP275900,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP275902_C1886_272,Noncdm Charge Record Medical Supplies,8156.84,3181.17,,,0
CDM,SUP275906,Noncdm Charge Record Medical Supplies,2680.65,1045.45,,,0
CDM,SUP275908,Noncdm Charge Record Medical Supplies,343.1,133.81,,,0
CDM,SUP275924,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP275925,Noncdm Charge Record Medical Supplies,1273.05,496.49,,,0
CDM,SUP275927,Noncdm Charge Record Medical Supplies,17614.66,6869.72,,,0
CDM,SUP275929,Noncdm Charge Record Medical Supplies,1061.91,414.14,,,0
CDM,SUP275930,Noncdm Charge Record Medical Supplies,2645.46,1031.73,,,0
CDM,SUP275938,Noncdm Charge Record Medical Supplies,5339.56,2082.43,,,0
CDM,SUP27595,Noncdm Charge Record Medical Supplies - Curette Sz 2 Kph Lt Wedge Tip Surg Strl Disp,2195.24,856.14,,,0
CDM,SUP275964,Noncdm Charge Record Medical Supplies,2491.24,971.58,,,0
CDM,SUP275970,Noncdm Charge Record Medical Supplies,244.78,95.46,,,0
CDM,SUP27598,Noncdm Charge Record Medical Supplies - Stapler Cannula Seal Da Vinci Intuitive,98.32,38.34,,,0
CDM,SUP275991,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP27599_272,Noncdm Charge Record Medical Supplies - Stapler Sheath Da Vinci Intuitive,102.46,39.96,,,0
CDM,SUP27599_A4649_272,Noncdm Charge Record Medical Supplies - Stapler Sheath Da Vinci Intuitive,102.46,39.96,,,0
CDM,SUP276000,Noncdm Charge Record Medical Supplies,2491.24,971.58,,,0
CDM,SUP276004,Noncdm Charge Record Medical Supplies,900.45,351.18,,,0
CDM,SUP276008,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP276012,Noncdm Charge Record Medical Supplies,7495.47,2923.23,,,0
CDM,SUP276013,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP276021,Noncdm Charge Record Medical Supplies,1204.74,469.85,,,0
CDM,SUP276025,Noncdm Charge Record Medical Supplies,40.36,15.74,,,0
CDM,SUP276028_C1762_624,Noncdm Charge Record Medical Supplies,1.03,0.4,,,0
CDM,SUP276033,Noncdm Charge Record Medical Supplies,2491.24,971.58,,,0
CDM,SUP276042,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP276043,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP276045,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP276049,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP276064,Noncdm Charge Record Medical Supplies,596.68,232.71,,,0
CDM,SUP276070,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP276072,Noncdm Charge Record Medical Supplies,304.9,118.91,,,0
CDM,SUP276081,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP276086,Noncdm Charge Record Medical Supplies,2032.74,792.77,,,0
CDM,SUP276090,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP276091,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP276092,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP276093,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP276094,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP276095,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP276099,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP276100,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP276101,Noncdm Charge Record Medical Supplies,1943.73,758.05,,,0
CDM,SUP276102,Noncdm Charge Record Medical Supplies,3571.78,1392.99,,,0
CDM,SUP276103,Noncdm Charge Record Medical Supplies,2270.79,885.61,,,0
CDM,SUP276104,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP276105,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP276113,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP276142,Noncdm Charge Record Medical Supplies,17568.09,6851.56,,,0
CDM,SUP276149,Noncdm Charge Record Medical Supplies,1249.24,487.2,,,0
CDM,SUP276150,Noncdm Charge Record Medical Supplies,445.39,173.7,,,0
CDM,SUP276152,Noncdm Charge Record Medical Supplies,286.18,111.61,,,0
CDM,SUP276170,Noncdm Charge Record Medical Supplies,5099.44,1988.78,,,0
CDM,SUP276172,Noncdm Charge Record Medical Supplies,727.6,283.76,,,0
CDM,SUP276174,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP276178,Noncdm Charge Record Medical Supplies,2865.92,1117.71,,,0
CDM,SUP276195,Noncdm Charge Record Medical Supplies,1028.1,400.96,,,0
CDM,SUP276205,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP276206,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP276212,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP276218,Noncdm Charge Record Medical Supplies,146.97,57.32,,,0
CDM,SUP276219,Noncdm Charge Record Medical Supplies,1370.34,534.43,,,0
CDM,SUP276221,Noncdm Charge Record Medical Supplies,1370.34,534.43,,,0
CDM,SUP276223,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP276225,Noncdm Charge Record Medical Supplies,856.98,334.22,,,0
CDM,SUP276235,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP276238,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP276239,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP276241,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP276242,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP276250,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP276251,Noncdm Charge Record Medical Supplies,304.86,118.9,,,0
CDM,SUP276254,Noncdm Charge Record Medical Supplies,596.68,232.71,,,0
CDM,SUP276255,Noncdm Charge Record Medical Supplies,596.68,232.71,,,0
CDM,SUP276260,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP276269,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP276276,Noncdm Charge Record Medical Supplies,518.54,202.23,,,0
CDM,SUP276278,Noncdm Charge Record Medical Supplies,944.96,368.53,,,0
CDM,SUP276279,Noncdm Charge Record Medical Supplies,100.4,39.16,,,0
CDM,SUP276283,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP276292,Noncdm Charge Record Medical Supplies,495.76,193.35,,,0
CDM,SUP276296,Noncdm Charge Record Medical Supplies,171.81,67.01,,,0
CDM,SUP276303,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP276304,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP276307,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP276308,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP276313,Noncdm Charge Record Medical Supplies,244.78,95.46,,,0
CDM,SUP276316,Noncdm Charge Record Medical Supplies,244.78,95.46,,,0
CDM,SUP276319,Noncdm Charge Record Medical Supplies,171.81,67.01,,,0
CDM,SUP276320,Noncdm Charge Record Medical Supplies,527.85,205.86,,,0
CDM,SUP276321,Noncdm Charge Record Medical Supplies,3751.88,1463.23,,,0
CDM,SUP276343,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP276420,Noncdm Charge Record Medical Supplies,2231.46,870.27,,,0
CDM,SUP276435,Noncdm Charge Record Medical Supplies,272.2,106.16,,,0
CDM,SUP276448,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP276463,Noncdm Charge Record Medical Supplies,110.74,43.19,,,0
CDM,SUP276467_C1761_624,Noncdm Charge Record Medical Supplies,1.03,0.4,,,0
CDM,SUP27647,Noncdm Charge Record Medical Supplies,20783.84,8105.7,,,0
CDM,SUP276472,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP276489,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP276498,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP276500,Noncdm Charge Record Medical Supplies,44.5,17.36,,,0
CDM,SUP276502,Noncdm Charge Record Medical Supplies,407.79,159.04,,,0
CDM,SUP276504,Noncdm Charge Record Medical Supplies,1973.74,769.76,,,0
CDM,SUP276509,Noncdm Charge Record Medical Supplies,15.52,6.05,,,0
CDM,SUP276510,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP276556,Noncdm Charge Record Medical Supplies,1484.19,578.83,,,0
CDM,SUP276557,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP276559,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP27656,Noncdm Charge Record Medical Supplies - See 141122 Suture Pds2 0 Tp1 60In Violet Ethicon,28.46,11.1,,,0
CDM,SUP276562,Noncdm Charge Record Medical Supplies,1589.76,620.01,,,0
CDM,SUP276573,Noncdm Charge Record Medical Supplies,856.98,334.22,,,0
CDM,SUP276605,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP276606,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP27663,Noncdm Charge Record Medical Supplies - Forceps Bn Hld F- Plates 7Mm,2219.04,865.43,,,0
CDM,SUP27664,Noncdm Charge Record Medical Supplies,12913.18,5036.14,,,0
CDM,SUP276649,Noncdm Charge Record Medical Supplies,6181.02,2410.6,,,0
CDM,SUP276653,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP276657,Noncdm Charge Record Medical Supplies,4483.62,1748.61,,,0
CDM,SUP276660,Noncdm Charge Record Medical Supplies,790.74,308.39,,,0
CDM,SUP276662,Noncdm Charge Record Medical Supplies,5339.56,2082.43,,,0
CDM,SUP276669,Noncdm Charge Record Medical Supplies,1341.36,523.13,,,0
CDM,SUP276686,Noncdm Charge Record Medical Supplies,2346.34,915.07,,,0
CDM,SUP276687,Noncdm Charge Record Medical Supplies,790.74,308.39,,,0
CDM,SUP276691,Noncdm Charge Record Medical Supplies,565.11,220.39,,,0
CDM,SUP276692,Noncdm Charge Record Medical Supplies,565.11,220.39,,,0
CDM,SUP276698,Noncdm Charge Record Medical Supplies,342.58,133.61,,,0
CDM,SUP276727,Noncdm Charge Record Medical Supplies,461.61,180.03,,,0
CDM,SUP276733,Noncdm Charge Record Medical Supplies,1516.28,591.35,,,0
CDM,SUP276734,Noncdm Charge Record Medical Supplies,1516.28,591.35,,,0
CDM,SUP276755,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP27676,Noncdm Charge Record Medical Supplies - Mount Schanz Screw Bolt Post,1156.1,450.88,,,0
CDM,SUP276763,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP276775,Noncdm Charge Record Medical Supplies,342.58,133.61,,,0
CDM,SUP276801,Noncdm Charge Record Medical Supplies,7596.9,2962.79,,,0
CDM,SUP276808,Noncdm Charge Record Medical Supplies,286.18,111.61,,,0
CDM,SUP276809,Noncdm Charge Record Medical Supplies,44.5,17.36,,,0
CDM,SUP276832,Noncdm Charge Record Medical Supplies,1053.63,410.92,,,0
CDM,SUP276833,Noncdm Charge Record Medical Supplies,1084.68,423.03,,,0
CDM,SUP276836,Noncdm Charge Record Medical Supplies,751.41,293.05,,,0
CDM,SUP276863,Noncdm Charge Record Medical Supplies,24.32,9.48,,,0
CDM,SUP276865,Noncdm Charge Record Medical Supplies,14.49,5.65,,,0
CDM,SUP276876,Noncdm Charge Record Medical Supplies,641.7,250.26,,,0
CDM,SUP276880,Noncdm Charge Record Medical Supplies,519.57,202.63,,,0
CDM,SUP276881,Noncdm Charge Record Medical Supplies,607.54,236.94,,,0
CDM,SUP276882,Noncdm Charge Record Medical Supplies,641.7,250.26,,,0
CDM,SUP276883,Noncdm Charge Record Medical Supplies,452.3,176.4,,,0
CDM,SUP276886,Noncdm Charge Record Medical Supplies,152.15,59.34,,,0
CDM,SUP276889,Noncdm Charge Record Medical Supplies,2645.46,1031.73,,,0
CDM,SUP276895,Noncdm Charge Record Medical Supplies,5290.92,2063.46,,,0
CDM,SUP276896,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP276909,Noncdm Charge Record Medical Supplies,642.74,250.67,,,0
CDM,SUP276918,Noncdm Charge Record Medical Supplies,7495.47,2923.23,,,0
CDM,SUP276940,Noncdm Charge Record Medical Supplies,7010.06,2733.92,,,0
CDM,SUP276951,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP276952,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP276957,Noncdm Charge Record Medical Supplies,2325.64,907.0,,,0
CDM,SUP276958,Noncdm Charge Record Medical Supplies,2315.3,902.97,,,0
CDM,SUP276959,Noncdm Charge Record Medical Supplies,1791.58,698.72,,,0
CDM,SUP27696,Noncdm Charge Record Medical Supplies - Nail 10Mm Fem Ex 240Mm Strl Ti Cannula Rtrgd,6572.25,2563.18,,,0
CDM,SUP276968,Noncdm Charge Record Medical Supplies,495.76,193.35,,,0
CDM,SUP276969,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP276977,Noncdm Charge Record Medical Supplies,195.62,76.29,,,0
CDM,SUP276978,Noncdm Charge Record Medical Supplies,195.62,76.29,,,0
CDM,SUP276979,Noncdm Charge Record Medical Supplies,790.74,308.39,,,0
CDM,SUP276981,Noncdm Charge Record Medical Supplies,24.32,9.48,,,0
CDM,SUP276984,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP276986,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP276987,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP276991,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP276992,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP276993,Noncdm Charge Record Medical Supplies,24.32,9.48,,,0
CDM,SUP276997,Noncdm Charge Record Medical Supplies,100.4,39.16,,,0
CDM,SUP277008,Noncdm Charge Record Medical Supplies,2354.62,918.3,,,0
CDM,SUP277009,Noncdm Charge Record Medical Supplies,1420.02,553.81,,,0
CDM,SUP277010,Noncdm Charge Record Medical Supplies,557.86,217.57,,,0
CDM,SUP277011,Noncdm Charge Record Medical Supplies,1077.44,420.2,,,0
CDM,SUP277012,Noncdm Charge Record Medical Supplies,2575.08,1004.28,,,0
CDM,SUP277016,Noncdm Charge Record Medical Supplies,5710.1,2226.94,,,0
CDM,SUP277035,Noncdm Charge Record Medical Supplies,1566.99,611.13,,,0
CDM,SUP277036,Noncdm Charge Record Medical Supplies,1449.13,565.16,,,0
CDM,SUP277045,Noncdm Charge Record Medical Supplies,21.74,8.48,,,0
CDM,SUP277056,Noncdm Charge Record Medical Supplies,5339.56,2082.43,,,0
CDM,SUP277069,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP277070,Noncdm Charge Record Medical Supplies,2491.24,971.58,,,0
CDM,SUP277077,Noncdm Charge Record Medical Supplies,386.06,150.56,,,0
CDM,SUP277087,Noncdm Charge Record Medical Supplies,1314.45,512.64,,,0
CDM,SUP277088,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP277091,Noncdm Charge Record Medical Supplies,2329.78,908.61,,,0
CDM,SUP277102,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP277121,Noncdm Charge Record Medical Supplies,13.97,5.45,,,0
CDM,SUP277129,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP277134_C1761_624,Noncdm Charge Record Medical Supplies,1.03,0.4,,,0
CDM,SUP277150,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP277151,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP277156,Noncdm Charge Record Medical Supplies,14527.26,5665.63,,,0
CDM,SUP277165,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP277169,Noncdm Charge Record Medical Supplies,9700.02,3783.01,,,0
CDM,SUP277170,Noncdm Charge Record Medical Supplies,9700.02,3783.01,,,0
CDM,SUP277185,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP27721,Noncdm Charge Record Medical Supplies,7497.54,2924.04,,,0
CDM,SUP277225,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP277226,Noncdm Charge Record Medical Supplies,3769.47,1470.09,,,0
CDM,SUP277228,Noncdm Charge Record Medical Supplies,1160.23,452.49,,,0
CDM,SUP277237,Noncdm Charge Record Medical Supplies,1953.04,761.69,,,0
CDM,SUP277246,Noncdm Charge Record Medical Supplies,751.41,293.05,,,0
CDM,SUP277247,Noncdm Charge Record Medical Supplies,11698.6,4562.45,,,0
CDM,SUP277249,Noncdm Charge Record Medical Supplies,4417.38,1722.78,,,0
CDM,SUP277251,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP277263,Noncdm Charge Record Medical Supplies,1728.45,674.1,,,0
CDM,SUP277265,Noncdm Charge Record Medical Supplies,1093.99,426.66,,,0
CDM,SUP277278,Noncdm Charge Record Medical Supplies,3554.19,1386.13,,,0
CDM,SUP277284,Noncdm Charge Record Medical Supplies,2645.46,1031.73,,,0
CDM,SUP277285,Noncdm Charge Record Medical Supplies,455.4,177.61,,,0
CDM,SUP277305,Noncdm Charge Record Medical Supplies,1165.41,454.51,,,0
CDM,SUP277309,Noncdm Charge Record Medical Supplies,2246.98,876.32,,,0
CDM,SUP277311,Noncdm Charge Record Medical Supplies,550.62,214.74,,,0
CDM,SUP277313,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP277326,Noncdm Charge Record Medical Supplies,5486.54,2139.75,,,0
CDM,SUP277360,Noncdm Charge Record Medical Supplies,611.68,238.56,,,0
CDM,SUP277362,Noncdm Charge Record Medical Supplies,498.87,194.56,,,0
CDM,SUP277363,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP277364,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP277415,Noncdm Charge Record Medical Supplies,1590.8,620.41,,,0
CDM,SUP277416,Noncdm Charge Record Medical Supplies,1590.8,620.41,,,0
CDM,SUP277433,Noncdm Charge Record Medical Supplies,790.74,308.39,,,0
CDM,SUP277439,Noncdm Charge Record Medical Supplies,138.69,54.09,,,0
CDM,SUP277440,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP277441,Noncdm Charge Record Medical Supplies,1052.6,410.51,,,0
CDM,SUP277442,Noncdm Charge Record Medical Supplies,68.31,26.64,,,0
CDM,SUP277444,Noncdm Charge Record Medical Supplies,220.46,85.98,,,0
CDM,SUP277446,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP277447,Noncdm Charge Record Medical Supplies,1929.24,752.4,,,0
CDM,SUP277448,Noncdm Charge Record Medical Supplies,598.23,233.31,,,0
CDM,SUP277451,Noncdm Charge Record Medical Supplies,109.71,42.79,,,0
CDM,SUP277452,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP277453,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP277454,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP277455,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP277456,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP277457,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP277462,Noncdm Charge Record Medical Supplies,5109.8,1992.82,,,0
CDM,SUP277465,Noncdm Charge Record Medical Supplies,5109.8,1992.82,,,0
CDM,SUP277471,Noncdm Charge Record Medical Supplies,1175.07,458.28,,,0
CDM,SUP277477,Noncdm Charge Record Medical Supplies,3086.37,1203.68,,,0
CDM,SUP277478,Noncdm Charge Record Medical Supplies,395.37,154.19,,,0
CDM,SUP277479,Noncdm Charge Record Medical Supplies,793.84,309.6,,,0
CDM,SUP277480,Noncdm Charge Record Medical Supplies,5339.56,2082.43,,,0
CDM,SUP277484,Noncdm Charge Record Medical Supplies,1175.07,458.28,,,0
CDM,SUP277486,Noncdm Charge Record Medical Supplies,1590.8,620.41,,,0
CDM,SUP277488,Noncdm Charge Record Medical Supplies,2645.46,1031.73,,,0
CDM,SUP277518,Noncdm Charge Record Medical Supplies,790.74,308.39,,,0
CDM,SUP277527,Noncdm Charge Record Medical Supplies,138.69,54.09,,,0
CDM,SUP277569,Noncdm Charge Record Medical Supplies,2141.42,835.15,,,0
CDM,SUP277570,Noncdm Charge Record Medical Supplies,2239.74,873.5,,,0
CDM,SUP277571,Noncdm Charge Record Medical Supplies,2239.74,873.5,,,0
CDM,SUP277573,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP277575,Noncdm Charge Record Medical Supplies,3866.76,1508.04,,,0
CDM,SUP277632,Noncdm Charge Record Medical Supplies,1292.71,504.16,,,0
CDM,SUP277633,Noncdm Charge Record Medical Supplies,900.45,351.18,,,0
CDM,SUP277639,Noncdm Charge Record Medical Supplies,1757.43,685.4,,,0
CDM,SUP277647,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP277663,Noncdm Charge Record Medical Supplies,1454.18,567.13,,,0
CDM,SUP277666,Noncdm Charge Record Medical Supplies,3014.96,1175.83,,,0
CDM,SUP277667,Noncdm Charge Record Medical Supplies,1510.06,588.92,,,0
CDM,SUP277670,Noncdm Charge Record Medical Supplies,1454.18,567.13,,,0
CDM,SUP277672,Noncdm Charge Record Medical Supplies,217.35,84.77,,,0
CDM,SUP277673,Noncdm Charge Record Medical Supplies,9920.48,3868.99,,,0
CDM,SUP277677,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP277700,Noncdm Charge Record Medical Supplies,730.71,284.98,,,0
CDM,SUP277702,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP277706,Noncdm Charge Record Medical Supplies,122.65,47.83,,,0
CDM,SUP277708,Noncdm Charge Record Medical Supplies,969.8,378.22,,,0
CDM,SUP277710,Noncdm Charge Record Medical Supplies,636.52,248.24,,,0
CDM,SUP277712,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP277722,Noncdm Charge Record Medical Supplies,313.6,122.3,,,0
CDM,SUP277730,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP277735,Noncdm Charge Record Medical Supplies,1087.79,424.24,,,0
CDM,SUP277736,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP277737,Noncdm Charge Record Medical Supplies,9237.38,3602.58,,,0
CDM,SUP277744,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP277748,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP277766,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP277797,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP277802,Noncdm Charge Record Medical Supplies,269.1,104.95,,,0
CDM,SUP277804,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP277819,Noncdm Charge Record Medical Supplies,636.52,248.24,,,0
CDM,SUP277821,Noncdm Charge Record Medical Supplies,1211.98,472.67,,,0
CDM,SUP277839,Noncdm Charge Record Medical Supplies,9920.48,3868.99,,,0
CDM,SUP277876,Noncdm Charge Record Medical Supplies,2239.74,873.5,,,0
CDM,SUP277880,Noncdm Charge Record Medical Supplies,461.61,180.03,,,0
CDM,SUP277882,Noncdm Charge Record Medical Supplies,1053.63,410.92,,,0
CDM,SUP277883,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP277884,Noncdm Charge Record Medical Supplies,1082.09,422.02,,,0
CDM,SUP277887,Noncdm Charge Record Medical Supplies,460.23,179.49,,,0
CDM,SUP277890,Noncdm Charge Record Medical Supplies,7226.37,2818.28,,,0
CDM,SUP277891,Noncdm Charge Record Medical Supplies,136.62,53.28,,,0
CDM,SUP277892,Noncdm Charge Record Medical Supplies,254.61,99.3,,,0
CDM,SUP277893,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP277894,Noncdm Charge Record Medical Supplies,7226.37,2818.28,,,0
CDM,SUP277896,Noncdm Charge Record Medical Supplies,136.62,53.28,,,0
CDM,SUP277897,Noncdm Charge Record Medical Supplies,254.61,99.3,,,0
CDM,SUP277898,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP2778_272,Noncdm Charge Record Medical Supplies - Bulb Irr 10In Pthfnd + Uro Tub,147.83,57.65,,,0
CDM,SUP2778_A4649_272,Noncdm Charge Record Medical Supplies - Bulb Irr 10In Pthfnd + Uro Tub,19.66,7.67,,,0
CDM,SUP2779,Noncdm Charge Record Medical Supplies - Hemostatic Agent Surgifoam 8Cmx3Cm,92.11,35.92,,,0
CDM,SUP277901,Noncdm Charge Record Medical Supplies,440.91,171.95,,,0
CDM,SUP277902,Noncdm Charge Record Medical Supplies,984.28,383.87,,,0
CDM,SUP277905,Noncdm Charge Record Medical Supplies,651.02,253.9,,,0
CDM,SUP277909,Noncdm Charge Record Medical Supplies,1541.63,601.24,,,0
CDM,SUP277914,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP277919,Noncdm Charge Record Medical Supplies,343.1,133.81,,,0
CDM,SUP277920,Noncdm Charge Record Medical Supplies,431.6,168.32,,,0
CDM,SUP277931,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP277938,Noncdm Charge Record Medical Supplies,13.46,5.25,,,0
CDM,SUP277942,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP277946,Noncdm Charge Record Medical Supplies,669.64,261.16,,,0
CDM,SUP277949,Noncdm Charge Record Medical Supplies,286.18,111.61,,,0
CDM,SUP277959,Noncdm Charge Record Medical Supplies,1531.8,597.4,,,0
CDM,SUP277962,Noncdm Charge Record Medical Supplies,6436.66,2510.3,,,0
CDM,SUP277965,Noncdm Charge Record Medical Supplies,146.97,57.32,,,0
CDM,SUP277966,Noncdm Charge Record Medical Supplies,1370.34,534.43,,,0
CDM,SUP277967,Noncdm Charge Record Medical Supplies,1370.34,534.43,,,0
CDM,SUP277979,Noncdm Charge Record Medical Supplies,710.01,276.9,,,0
CDM,SUP277980,Noncdm Charge Record Medical Supplies,5734.94,2236.63,,,0
CDM,SUP277984,Noncdm Charge Record Medical Supplies,220.46,85.98,,,0
CDM,SUP277985,Noncdm Charge Record Medical Supplies,1052.6,410.51,,,0
CDM,SUP277986,Noncdm Charge Record Medical Supplies,3968.19,1547.59,,,0
CDM,SUP277988,Noncdm Charge Record Medical Supplies,3968.19,1547.59,,,0
CDM,SUP277989,Noncdm Charge Record Medical Supplies,75.04,29.27,,,0
CDM,SUP277991,Noncdm Charge Record Medical Supplies,73.48,28.66,,,0
CDM,SUP277992,Noncdm Charge Record Medical Supplies,1101.24,429.48,,,0
CDM,SUP278003,Noncdm Charge Record Medical Supplies,219.42,85.57,,,0
CDM,SUP278005,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP278006,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP278035,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP278048,Noncdm Charge Record Medical Supplies,8156.84,3181.17,,,0
CDM,SUP278050,Noncdm Charge Record Medical Supplies,783.5,305.56,,,0
CDM,SUP278052,Noncdm Charge Record Medical Supplies,146.97,57.32,,,0
CDM,SUP278053,Noncdm Charge Record Medical Supplies,1370.34,534.43,,,0
CDM,SUP278054,Noncdm Charge Record Medical Supplies,1370.34,534.43,,,0
CDM,SUP278090,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP278099,Noncdm Charge Record Medical Supplies,661.36,257.93,,,0
CDM,SUP2781,Noncdm Charge Record Medical Supplies - Graft Vasc 8Mmx40Mm Artgrf,9464.32,3691.08,,,0
CDM,SUP278137,Noncdm Charge Record Medical Supplies,47.61,18.57,,,0
CDM,SUP278141,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP278143,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP278144,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP278145,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP278146,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP278150,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP278164,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP278183,Noncdm Charge Record Medical Supplies,636.52,248.24,,,0
CDM,SUP278198,Noncdm Charge Record Medical Supplies,52.78,20.58,,,0
CDM,SUP278237,Noncdm Charge Record Medical Supplies,1305.14,509.0,,,0
CDM,SUP278238,Noncdm Charge Record Medical Supplies,257.71,100.51,,,0
CDM,SUP278239,Noncdm Charge Record Medical Supplies,3055.32,1191.57,,,0
CDM,SUP278251,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP278255,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP278270,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP278279,Noncdm Charge Record Medical Supplies,1748.12,681.77,,,0
CDM,SUP278290,Noncdm Charge Record Medical Supplies,1211.47,472.47,,,0
CDM,SUP278323,Noncdm Charge Record Medical Supplies,229.25,89.41,,,0
CDM,SUP278328,Noncdm Charge Record Medical Supplies,128.34,50.05,,,0
CDM,SUP278336,Noncdm Charge Record Medical Supplies,445.57,173.77,,,0
CDM,SUP278337,Noncdm Charge Record Medical Supplies,2557.48,997.42,,,0
CDM,SUP278340,Noncdm Charge Record Medical Supplies,4483.62,1748.61,,,0
CDM,SUP278342,Noncdm Charge Record Medical Supplies,3.1,1.21,,,0
CDM,SUP278355,Noncdm Charge Record Medical Supplies,379.84,148.14,,,0
CDM,SUP278358,Noncdm Charge Record Medical Supplies,6613.65,2579.32,,,0
CDM,SUP278367,Noncdm Charge Record Medical Supplies,4765.14,1858.4,,,0
CDM,SUP278399,Noncdm Charge Record Medical Supplies,2408.45,939.3,,,0
CDM,SUP278400,Noncdm Charge Record Medical Supplies,708.98,276.5,,,0
CDM,SUP278412,Noncdm Charge Record Medical Supplies,7010.06,2733.92,,,0
CDM,SUP278441,Noncdm Charge Record Medical Supplies,685.17,267.22,,,0
CDM,SUP278447,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP278450,Noncdm Charge Record Medical Supplies,1454.18,567.13,,,0
CDM,SUP278452,Noncdm Charge Record Medical Supplies,1454.18,567.13,,,0
CDM,SUP278456,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP278458,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP27846,Noncdm Charge Record Medical Supplies - Nail 12Mm Arthds 180Mm-Rt Strl Ti Hindfoot Cannula Ex,6974.86,2720.2,,,0
CDM,SUP278463,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP278464,Noncdm Charge Record Medical Supplies,1678.77,654.72,,,0
CDM,SUP278465,Noncdm Charge Record Medical Supplies,734.33,286.39,,,0
CDM,SUP278466,Noncdm Charge Record Medical Supplies,636.52,248.24,,,0
CDM,SUP278467,Noncdm Charge Record Medical Supplies,636.52,248.24,,,0
CDM,SUP278469,Noncdm Charge Record Medical Supplies,122.13,47.63,,,0
CDM,SUP278470,Noncdm Charge Record Medical Supplies,685.17,267.22,,,0
CDM,SUP278471,Noncdm Charge Record Medical Supplies,1370.34,534.43,,,0
CDM,SUP278472,Noncdm Charge Record Medical Supplies,969.8,378.22,,,0
CDM,SUP278473,Noncdm Charge Record Medical Supplies,1370.34,534.43,,,0
CDM,SUP278474,Noncdm Charge Record Medical Supplies,122.13,47.63,,,0
CDM,SUP278477,Noncdm Charge Record Medical Supplies,146.97,57.32,,,0
CDM,SUP278481,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP278485,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP278489,Noncdm Charge Record Medical Supplies,5340.6,2082.83,,,0
CDM,SUP278494,Noncdm Charge Record Medical Supplies,370.87,144.64,,,0
CDM,SUP278495,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP278503,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP278504,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP278506,Noncdm Charge Record Medical Supplies,685.17,267.22,,,0
CDM,SUP278507,Noncdm Charge Record Medical Supplies,1061.91,414.14,,,0
CDM,SUP278522,Noncdm Charge Record Medical Supplies,17636.4,6878.2,,,0
CDM,SUP278523,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP278524,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP278525,Noncdm Charge Record Medical Supplies,4409.1,1719.55,,,0
CDM,SUP278526,Noncdm Charge Record Medical Supplies,4409.1,1719.55,,,0
CDM,SUP278536,Noncdm Charge Record Medical Supplies,343.1,133.81,,,0
CDM,SUP278537,Noncdm Charge Record Medical Supplies,5871.56,2289.91,,,0
CDM,SUP278540,Noncdm Charge Record Medical Supplies,1443.82,563.09,,,0
CDM,SUP278542,Noncdm Charge Record Medical Supplies,289.8,113.02,,,0
CDM,SUP278547,Noncdm Charge Record Medical Supplies,685.17,267.22,,,0
CDM,SUP278549,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP278551,Noncdm Charge Record Medical Supplies,1973.74,769.76,,,0
CDM,SUP278552,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP278553,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP278555,Noncdm Charge Record Medical Supplies,27226.71,10618.42,,,0
CDM,SUP278556,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP278557,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP278558,Noncdm Charge Record Medical Supplies,27226.71,10618.42,,,0
CDM,SUP278559,Noncdm Charge Record Medical Supplies,24.32,9.48,,,0
CDM,SUP278561,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP278562,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP278563,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP278567,Noncdm Charge Record Medical Supplies,4332.51,1689.68,,,0
CDM,SUP278576,Noncdm Charge Record Medical Supplies,497.84,194.16,,,0
CDM,SUP278591,Noncdm Charge Record Medical Supplies,636.52,248.24,,,0
CDM,SUP2786,Noncdm Charge Record Medical Supplies - Catheter Drain 8.5Fr 40Cm Mclc,458.5,178.82,,,0
CDM,SUP278606,Noncdm Charge Record Medical Supplies,7010.06,2733.92,,,0
CDM,SUP278623,Noncdm Charge Record Medical Supplies,643.77,251.07,,,0
CDM,SUP278695,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP2787,Noncdm Charge Record Medical Supplies,1220.27,475.91,,,0
CDM,SUP278704,Noncdm Charge Record Medical Supplies,495.76,193.35,,,0
CDM,SUP27871,Noncdm Charge Record Medical Supplies,1282.36,500.12,,,0
CDM,SUP278711,Noncdm Charge Record Medical Supplies,2379.46,927.99,,,0
CDM,SUP278712,Noncdm Charge Record Medical Supplies,68.65,26.77,,,0
CDM,SUP278714,Noncdm Charge Record Medical Supplies,645.84,251.88,,,0
CDM,SUP278716,Noncdm Charge Record Medical Supplies,395.37,154.19,,,0
CDM,SUP278718,Noncdm Charge Record Medical Supplies,636.52,248.24,,,0
CDM,SUP278720,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP278722,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP278724,Noncdm Charge Record Medical Supplies,220.46,85.98,,,0
CDM,SUP278731,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP278741,Noncdm Charge Record Medical Supplies,1186.11,462.58,,,0
CDM,SUP278747,Noncdm Charge Record Medical Supplies,1099.17,428.68,,,0
CDM,SUP278776,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP278796,Noncdm Charge Record Medical Supplies,3155.72,1230.73,,,0
CDM,SUP278802,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP278830,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP278831,Noncdm Charge Record Medical Supplies,252.54,98.49,,,0
CDM,SUP278834,Noncdm Charge Record Medical Supplies,339.48,132.4,,,0
CDM,SUP278840,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP27887,Noncdm Charge Record Medical Supplies - System Detachment Inzone,906.66,353.6,,,0
CDM,SUP278884,Noncdm Charge Record Medical Supplies,159.39,62.16,,,0
CDM,SUP278886,Noncdm Charge Record Medical Supplies,2491.24,971.58,,,0
CDM,SUP27888_272,Noncdm Charge Record Medical Supplies - System Inj Syr Medrad,39.37,15.35,,,0
CDM,SUP27888_A4649_272,Noncdm Charge Record Medical Supplies - System Inj Syr Medrad,39.33,15.34,,,0
CDM,SUP27888_A9999_272,Noncdm Charge Record Medical Supplies - System Inj Syr Medrad,39.33,15.34,,,0
CDM,SUP2789,Noncdm Charge Record Medical Supplies - Graft Vasc 12.5Cm 11Mm,113537.43,44279.6,,,0
CDM,SUP278911,Noncdm Charge Record Medical Supplies,113.85,44.4,,,0
CDM,SUP278917,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP278918,Noncdm Charge Record Medical Supplies,4483.62,1748.61,,,0
CDM,SUP27893,Noncdm Charge Record Medical Supplies - Guidewire Vasc Std .038In 260Cm 3Cm Ang Tip,217.35,84.77,,,0
CDM,SUP278935,Noncdm Charge Record Medical Supplies,5709.06,2226.53,,,0
CDM,SUP278936,Noncdm Charge Record Medical Supplies,8156.84,3181.17,,,0
CDM,SUP278937,Noncdm Charge Record Medical Supplies,983.25,383.47,,,0
CDM,SUP278938,Noncdm Charge Record Medical Supplies,3168.14,1235.57,,,0
CDM,SUP278939,Noncdm Charge Record Medical Supplies,1547.32,603.45,,,0
CDM,SUP278941,Noncdm Charge Record Medical Supplies,2756.2,1074.92,,,0
CDM,SUP278955,Noncdm Charge Record Medical Supplies,1077.44,420.2,,,0
CDM,SUP278961,Noncdm Charge Record Medical Supplies,1590.8,620.41,,,0
CDM,SUP278962,Noncdm Charge Record Medical Supplies,1590.8,620.41,,,0
CDM,SUP278969,Noncdm Charge Record Medical Supplies,1420.02,553.81,,,0
CDM,SUP27898,Noncdm Charge Record Medical Supplies - Nail 7Mm Mllk Rt 210Mm Strl Ti Hum Cannula,8216.86,3204.58,,,0
CDM,SUP278985,Noncdm Charge Record Medical Supplies,281.52,109.79,,,0
CDM,SUP27899,Noncdm Charge Record Medical Supplies - Nail 7Mm Mllk Rt 255Mm Strl Ti Hum Cannula,7572.06,2953.1,,,0
CDM,SUP278992,Noncdm Charge Record Medical Supplies,1227.51,478.73,,,0
CDM,SUP278995,Noncdm Charge Record Medical Supplies,3659.76,1427.31,,,0
CDM,SUP279001,Noncdm Charge Record Medical Supplies,445.05,173.57,,,0
CDM,SUP279009,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP279012,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP279015,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP279017,Noncdm Charge Record Medical Supplies,710.01,276.9,,,0
CDM,SUP279022,Noncdm Charge Record Medical Supplies,1321.7,515.46,,,0
CDM,SUP279028,Noncdm Charge Record Medical Supplies,880.78,343.5,,,0
CDM,SUP279029,Noncdm Charge Record Medical Supplies,880.78,343.5,,,0
CDM,SUP279030,Noncdm Charge Record Medical Supplies,1689.12,658.76,,,0
CDM,SUP279034,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP27904,Noncdm Charge Record Medical Supplies - Nail 7Mm Prox Hum Ex 150Mmstrl Cannula,6059.92,2363.37,,,0
CDM,SUP279051,Noncdm Charge Record Medical Supplies,710.01,276.9,,,0
CDM,SUP279052,Noncdm Charge Record Medical Supplies,710.01,276.9,,,0
CDM,SUP279053,Noncdm Charge Record Medical Supplies,166.64,64.99,,,0
CDM,SUP279054,Noncdm Charge Record Medical Supplies,880.78,343.5,,,0
CDM,SUP27906,Noncdm Charge Record Medical Supplies - Nail 8.5Mm Mllk Lt 210Mm Strl Ti Hum Cannula,7572.06,2953.1,,,0
CDM,SUP279063,Noncdm Charge Record Medical Supplies,1297.89,506.18,,,0
CDM,SUP279064,Noncdm Charge Record Medical Supplies,1297.37,505.97,,,0
CDM,SUP27907,Noncdm Charge Record Medical Supplies - Nail 8.5Mm Mllk Lt 225Mm Strl Ti Hum Cannula,8216.86,3204.58,,,0
CDM,SUP279070,Noncdm Charge Record Medical Supplies,244.95,95.53,,,0
CDM,SUP27909,Noncdm Charge Record Medical Supplies - Nail 8.5Mm Mllk Lt 255Mm Strl Ti Hum Cannula,7572.06,2953.1,,,0
CDM,SUP279095,Noncdm Charge Record Medical Supplies,269.1,104.95,,,0
CDM,SUP279097,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP2791,Noncdm Charge Record Medical Supplies - Graft Dura 5X4In Patch Resrb Suturable Drgn +,7176.93,2799.0,,,0
CDM,SUP27910,Noncdm Charge Record Medical Supplies - Nail 8.5Mm Mllk Lt 270Mm Strl Ti Hum Cannula,7572.06,2953.1,,,0
CDM,SUP27911,Noncdm Charge Record Medical Supplies - Nail 8.5Mm Mllk Lt 285Mm Strl Ti Hum Cannula,8216.86,3204.58,,,0
CDM,SUP279118,Noncdm Charge Record Medical Supplies,7495.47,2923.23,,,0
CDM,SUP279119,Noncdm Charge Record Medical Supplies,2865.92,1117.71,,,0
CDM,SUP279133,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP279143,Noncdm Charge Record Medical Supplies,27.94,10.9,,,0
CDM,SUP279152,Noncdm Charge Record Medical Supplies,1514.2,590.54,,,0
CDM,SUP279157,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP279158,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP27917,Noncdm Charge Record Medical Supplies - Nail 8.5Mm Mllk Rt 225Mm Strl Ti Hum Cannula,7572.06,2953.1,,,0
CDM,SUP279171,Noncdm Charge Record Medical Supplies,1.55,0.6,,,0
CDM,SUP279174,Noncdm Charge Record Medical Supplies,26.91,10.49,,,0
CDM,SUP279179,Noncdm Charge Record Medical Supplies,3006.68,1172.61,,,0
CDM,SUP27919,Noncdm Charge Record Medical Supplies - Nail 8.5Mm Mllk Rt 255Mm Strl Ti Hum Cannula,7572.06,2953.1,,,0
CDM,SUP279191,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP279198,Noncdm Charge Record Medical Supplies,93.15,36.33,,,0
CDM,SUP2792,Noncdm Charge Record Medical Supplies - Graft Dura 1X1In Patch Resrb Suturable Drgn +,1601.26,624.49,,,0
CDM,SUP27920,Noncdm Charge Record Medical Supplies - Nail 8.5Mm Mllk Rt 270Mm Strl Ti Hum Cannula,8216.86,3204.58,,,0
CDM,SUP279206,Noncdm Charge Record Medical Supplies,27.94,10.9,,,0
CDM,SUP279221,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP279223,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP279224,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP279226,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP279230,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP279233,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP279242,Noncdm Charge Record Medical Supplies,587.88,229.27,,,0
CDM,SUP279246,Noncdm Charge Record Medical Supplies,3968.19,1547.59,,,0
CDM,SUP279247,Noncdm Charge Record Medical Supplies,3968.19,1547.59,,,0
CDM,SUP279249,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP279250,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP279254,Noncdm Charge Record Medical Supplies,1370.34,534.43,,,0
CDM,SUP279261,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP27929,Noncdm Charge Record Medical Supplies - Nail 9.5Mm Mllk Lt 160Mm Strl Ti Prox Hum Cannula,7577.24,2955.12,,,0
CDM,SUP279292,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP279294,Noncdm Charge Record Medical Supplies,2246.98,876.32,,,0
CDM,SUP2793,Noncdm Charge Record Medical Supplies - Graft Dura 3X3In Patch Resrb Suturable Drgn +,4255.14,1659.5,,,0
CDM,SUP27930,Noncdm Charge Record Medical Supplies - Nail 9.5Mm Mllk Rt 160Mm Strl,7266.74,2834.03,,,0
CDM,SUP279355,Noncdm Charge Record Medical Supplies,1953.04,761.69,,,0
CDM,SUP279357,Noncdm Charge Record Medical Supplies,7495.47,2923.23,,,0
CDM,SUP279363,Noncdm Charge Record Medical Supplies,1077.44,420.2,,,0
CDM,SUP279366,Noncdm Charge Record Medical Supplies,1572.16,613.14,,,0
CDM,SUP279368,Noncdm Charge Record Medical Supplies,669.64,261.16,,,0
CDM,SUP279373,Noncdm Charge Record Medical Supplies,400.54,156.21,,,0
CDM,SUP279376,Noncdm Charge Record Medical Supplies,299.12,116.66,,,0
CDM,SUP279377,Noncdm Charge Record Medical Supplies,889.06,346.73,,,0
CDM,SUP279381,Noncdm Charge Record Medical Supplies,730.71,284.98,,,0
CDM,SUP279385,Noncdm Charge Record Medical Supplies,1454.18,567.13,,,0
CDM,SUP279386,Noncdm Charge Record Medical Supplies,2447.78,954.63,,,0
CDM,SUP279395,Noncdm Charge Record Medical Supplies,430.56,167.92,,,0
CDM,SUP279401,Noncdm Charge Record Medical Supplies,1930.28,752.81,,,0
CDM,SUP279406,Noncdm Charge Record Medical Supplies,1678.77,654.72,,,0
CDM,SUP279410,Noncdm Charge Record Medical Supplies,969.8,378.22,,,0
CDM,SUP279412,Noncdm Charge Record Medical Supplies,215.28,83.96,,,0
CDM,SUP279434,Noncdm Charge Record Medical Supplies,1940.28,756.71,,,0
CDM,SUP279436,Noncdm Charge Record Medical Supplies,930.46,362.88,,,0
CDM,SUP279437,Noncdm Charge Record Medical Supplies,469.89,183.26,,,0
CDM,SUP279439,Noncdm Charge Record Medical Supplies,259.27,101.12,,,0
CDM,SUP279440,Noncdm Charge Record Medical Supplies,729.68,284.58,,,0
CDM,SUP279447,Noncdm Charge Record Medical Supplies,1973.74,769.76,,,0
CDM,SUP279448,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP279450,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP279462,Noncdm Charge Record Medical Supplies,1454.18,567.13,,,0
CDM,SUP279468,Noncdm Charge Record Medical Supplies,1454.18,567.13,,,0
CDM,SUP279472,Noncdm Charge Record Medical Supplies,636.52,248.24,,,0
CDM,SUP279473,Noncdm Charge Record Medical Supplies,215.28,83.96,,,0
CDM,SUP279474,Noncdm Charge Record Medical Supplies,969.8,378.22,,,0
CDM,SUP279475,Noncdm Charge Record Medical Supplies,7632.09,2976.52,,,0
CDM,SUP279476,Noncdm Charge Record Medical Supplies,13426.02,5236.15,,,0
CDM,SUP279500,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP279501,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP279502,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP279503,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP279514,Noncdm Charge Record Medical Supplies,1454.18,567.13,,,0
CDM,SUP279526,Noncdm Charge Record Medical Supplies,1454.18,567.13,,,0
CDM,SUP279527,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP279530,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP279531,Noncdm Charge Record Medical Supplies,328.1,127.96,,,0
CDM,SUP279535,Noncdm Charge Record Medical Supplies,1678.77,654.72,,,0
CDM,SUP279548,Noncdm Charge Record Medical Supplies,830.59,323.93,,,0
CDM,SUP279560,Noncdm Charge Record Medical Supplies,2645.46,1031.73,,,0
CDM,SUP279578,Noncdm Charge Record Medical Supplies,4555.04,1776.47,,,0
CDM,SUP279580,Noncdm Charge Record Medical Supplies,5343.7,2084.04,,,0
CDM,SUP279581,Noncdm Charge Record Medical Supplies,7606.22,2966.43,,,0
CDM,SUP279582,Noncdm Charge Record Medical Supplies,113.85,44.4,,,0
CDM,SUP279584,Noncdm Charge Record Medical Supplies,2756.2,1074.92,,,0
CDM,SUP279590,Noncdm Charge Record Medical Supplies,220.46,85.98,,,0
CDM,SUP279606,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP279619,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP279624,Noncdm Charge Record Medical Supplies,1262.7,492.45,,,0
CDM,SUP279625,Noncdm Charge Record Medical Supplies,1262.7,492.45,,,0
CDM,SUP279626,Noncdm Charge Record Medical Supplies,401.58,156.62,,,0
CDM,SUP279627,Noncdm Charge Record Medical Supplies,1262.7,492.45,,,0
CDM,SUP279639,Noncdm Charge Record Medical Supplies,730.71,284.98,,,0
CDM,SUP279652,Noncdm Charge Record Medical Supplies,730.71,284.98,,,0
CDM,SUP279661,Noncdm Charge Record Medical Supplies,36.74,14.33,,,0
CDM,SUP279662,Noncdm Charge Record Medical Supplies,1836.09,716.08,,,0
CDM,SUP279665_C1889_272,Noncdm Charge Record Medical Supplies,18518.22,7222.11,,,0
CDM,SUP279666,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP279667,Noncdm Charge Record Medical Supplies,2932.16,1143.54,,,0
CDM,SUP279668,Noncdm Charge Record Medical Supplies,328.1,127.96,,,0
CDM,SUP279671,Noncdm Charge Record Medical Supplies,1003.95,391.54,,,0
CDM,SUP279681,Noncdm Charge Record Medical Supplies,719.32,280.53,,,0
CDM,SUP279688,Noncdm Charge Record Medical Supplies,215.28,83.96,,,0
CDM,SUP279689,Noncdm Charge Record Medical Supplies,969.8,378.22,,,0
CDM,SUP279690,Noncdm Charge Record Medical Supplies,636.52,248.24,,,0
CDM,SUP279691_C1889_272,Noncdm Charge Record Medical Supplies,18518.22,7222.11,,,0
CDM,SUP279692,Noncdm Charge Record Medical Supplies,215.28,83.96,,,0
CDM,SUP279694,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP279695,Noncdm Charge Record Medical Supplies,215.28,83.96,,,0
CDM,SUP279696,Noncdm Charge Record Medical Supplies,969.8,378.22,,,0
CDM,SUP279697,Noncdm Charge Record Medical Supplies,2932.16,1143.54,,,0
CDM,SUP279702,Noncdm Charge Record Medical Supplies,2932.16,1143.54,,,0
CDM,SUP279704,Noncdm Charge Record Medical Supplies,853.88,333.01,,,0
CDM,SUP279850,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP279852,Noncdm Charge Record Medical Supplies,7596.9,2962.79,,,0
CDM,SUP279856,Noncdm Charge Record Medical Supplies,730.71,284.98,,,0
CDM,SUP279881,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP279902,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP279903,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP279909,Noncdm Charge Record Medical Supplies,495.76,193.35,,,0
CDM,SUP279928,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP279929,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP279938,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP279940,Noncdm Charge Record Medical Supplies,32.08,12.51,,,0
CDM,SUP279945,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP279954,Noncdm Charge Record Medical Supplies,27226.71,10618.42,,,0
CDM,SUP279979,Noncdm Charge Record Medical Supplies,109.71,42.79,,,0
CDM,SUP279981,Noncdm Charge Record Medical Supplies,198.72,77.5,,,0
CDM,SUP279982,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP279983,Noncdm Charge Record Medical Supplies,1209.92,471.87,,,0
CDM,SUP279984,Noncdm Charge Record Medical Supplies,2042.06,796.4,,,0
CDM,SUP279985,Noncdm Charge Record Medical Supplies,1134.36,442.4,,,0
CDM,SUP279986,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP279987,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP279989,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP279990,Noncdm Charge Record Medical Supplies,1672.56,652.3,,,0
CDM,SUP280007,Noncdm Charge Record Medical Supplies,139.72,54.49,,,0
CDM,SUP280014,Noncdm Charge Record Medical Supplies,210.1,81.94,,,0
CDM,SUP280015,Noncdm Charge Record Medical Supplies,210.1,81.94,,,0
CDM,SUP280020,Noncdm Charge Record Medical Supplies,272.2,106.16,,,0
CDM,SUP280029,Noncdm Charge Record Medical Supplies,3747.74,1461.62,,,0
CDM,SUP280032,Noncdm Charge Record Medical Supplies,464.72,181.24,,,0
CDM,SUP280034,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP280117,Noncdm Charge Record Medical Supplies,1713.96,668.44,,,0
CDM,SUP280148,Noncdm Charge Record Medical Supplies,293.94,114.64,,,0
CDM,SUP280156,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP280174,Noncdm Charge Record Medical Supplies,719.32,280.53,,,0
CDM,SUP280175,Noncdm Charge Record Medical Supplies,4483.62,1748.61,,,0
CDM,SUP280177,Noncdm Charge Record Medical Supplies,2422.94,944.95,,,0
CDM,SUP280215,Noncdm Charge Record Medical Supplies,240.12,93.65,,,0
CDM,SUP280216,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP280217,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP28025,Noncdm Charge Record Medical Supplies - Nail1.5Mm Ti Elc 300Mm-Strl,1388.45,541.5,,,0
CDM,SUP280260,Noncdm Charge Record Medical Supplies,98.32,38.34,,,0
CDM,SUP280268,Noncdm Charge Record Medical Supplies,113.85,44.4,,,0
CDM,SUP280287,Noncdm Charge Record Medical Supplies,3527.28,1375.64,,,0
CDM,SUP280313,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP280315,Noncdm Charge Record Medical Supplies,381.92,148.95,,,0
CDM,SUP280329,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP280380,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP280382,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
CDM,SUP280383,Noncdm Charge Record Medical Supplies,18518.22,7222.11,,,0
CDM,SUP280386,Noncdm Charge Record Medical Supplies,337.41,131.59,,,0
CDM,SUP280390,Noncdm Charge Record Medical Supplies,12.42,4.84,,,0
CDM,SUP280410_C2596_272,Noncdm Charge Record Medical Supplies,15652.3,6104.4,,,0
CDM,SUP280413,Noncdm Charge Record Medical Supplies,2173.5,847.66,,,0
CDM,SUP280428,Noncdm Charge Record Medical Supplies,7495.47,2923.23,,,0
CDM,SUP280463,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP280468,Noncdm Charge Record Medical Supplies,1370.34,534.43,,,0
CDM,SUP280469,Noncdm Charge Record Medical Supplies,146.97,57.32,,,0
CDM,SUP280477,Noncdm Charge Record Medical Supplies,1370.34,534.43,,,0
CDM,SUP280494,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP280495,Noncdm Charge Record Medical Supplies,15652.3,6104.4,,,0
CDM,SUP280496,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP280498,Noncdm Charge Record Medical Supplies,730.71,284.98,,,0
CDM,SUP280502,Noncdm Charge Record Medical Supplies,92.12,35.93,,,0
CDM,SUP280503,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP280506,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP280509,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP280520,Noncdm Charge Record Medical Supplies,661.36,257.93,,,0
CDM,SUP280531,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP280532,Noncdm Charge Record Medical Supplies,734.85,286.59,,,0
CDM,SUP280533,Noncdm Charge Record Medical Supplies,1370.34,534.43,,,0
CDM,SUP280545,Noncdm Charge Record Medical Supplies,1097.1,427.87,,,0
CDM,SUP280555,Noncdm Charge Record Medical Supplies,5511.38,2149.44,,,0
CDM,SUP280574,Noncdm Charge Record Medical Supplies,730.71,284.98,,,0
CDM,SUP280609,Noncdm Charge Record Medical Supplies,2228.36,869.06,,,0
CDM,SUP280610,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP280611,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP280612,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP280614,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP280615,Noncdm Charge Record Medical Supplies,1189.21,463.79,,,0
CDM,SUP280617,Noncdm Charge Record Medical Supplies,934.6,364.49,,,0
CDM,SUP280619,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP280620,Noncdm Charge Record Medical Supplies,2270.79,885.61,,,0
CDM,SUP280621,Noncdm Charge Record Medical Supplies,3571.78,1392.99,,,0
CDM,SUP280622,Noncdm Charge Record Medical Supplies,1943.73,758.05,,,0
CDM,SUP280623,Noncdm Charge Record Medical Supplies,1644.62,641.4,,,0
CDM,SUP280626,Noncdm Charge Record Medical Supplies,2036.88,794.38,,,0
CDM,SUP280639,Noncdm Charge Record Medical Supplies,979.11,381.85,,,0
CDM,SUP280680,Noncdm Charge Record Medical Supplies,396.4,154.6,,,0
CDM,SUP280707,Noncdm Charge Record Medical Supplies,699.66,272.87,,,0
CDM,SUP280740,Noncdm Charge Record Medical Supplies,360.18,140.47,,,0
CDM,SUP280741,Noncdm Charge Record Medical Supplies,122.13,47.63,,,0
CDM,SUP280748,Noncdm Charge Record Medical Supplies,962.55,375.39,,,0
CDM,SUP280751,Noncdm Charge Record Medical Supplies,900.45,351.18,,,0
CDM,SUP280766,Noncdm Charge Record Medical Supplies,1464.52,571.16,,,0
CDM,SUP280776,Noncdm Charge Record Medical Supplies,1916.82,747.56,,,0
CDM,SUP28118,Noncdm Charge Record Medical Supplies - Pin Spr Centering (309.065) F- Hlw Reamer,555.79,216.76,,,0
CDM,SUP28132,Noncdm Charge Record Medical Supplies - Pin Stnm 5Mm 150Mm,274.79,107.17,,,0
CDM,SUP28154,Noncdm Charge Record Medical Supplies,966.69,377.01,,,0
CDM,SUP28160,Noncdm Charge Record Medical Supplies - Plate 130D-Shrt Barrel 2Hl- -46Mm Dhs-Strl,2420.86,944.14,,,0
CDM,SUP28161,Noncdm Charge Record Medical Supplies - Plate 130D-Shrt Barrel 3Hl- -62Mm Dhs-Strl,2645.46,1031.73,,,0
CDM,SUP28171,Noncdm Charge Record Medical Supplies - Plate 131Mm Univlck Troch Stab,3551.08,1384.92,,,0
CDM,SUP28184,Noncdm Charge Record Medical Supplies - Plate 135D-Std Barrel 3Hl- -62Mm Dhs-Strl,2420.86,944.14,,,0
CDM,SUP28199,Noncdm Charge Record Medical Supplies - Plate 140D-Std Barrel 4Hl- -78Mm Dhs-Strl,2420.86,944.14,,,0
CDM,SUP28235,Noncdm Charge Record Medical Supplies,2682.72,1046.26,,,0
CDM,SUP28241,Noncdm Charge Record Medical Supplies - Plate 2.4 2-Clmn-6Hl Hd-5H Lt Ti Va Lcp Volr Dist Rad,3386.52,1320.74,,,0
CDM,SUP28251,Noncdm Charge Record Medical Supplies - Plate 2.4 6Hhd 3H Shft Rt Va Lcp 2Clmn Vlr Dstl Rad,3000.55,1170.21,,,0
CDM,SUP28252,Noncdm Charge Record Medical Supplies - Plate 2.4 6Hhd 4H Shft Lt Va Lcp 2Clmn Vlr Dstl Rad,4338.72,1692.1,,,0
CDM,SUP28254,Noncdm Charge Record Medical Supplies - Plate 2.4 6Hhd 4H Shft Rt Strl Va Lcp 2Clmn Vlr Dstl Rad,3769.99,1470.3,,,0
CDM,SUP28255,Noncdm Charge Record Medical Supplies - Plate 2.4 6Hhd 5H Shft Lt Va Lcp 2Clmn Vlr Dstl Rad,4500.18,1755.07,,,0
CDM,SUP28256,Noncdm Charge Record Medical Supplies - Plate 2.4 6Hhd 5H Shft Lt Strl Va Lcp 2Clmn Vlr Dstl Rad,3333.0,1299.87,,,0
CDM,SUP28257,Noncdm Charge Record Medical Supplies - Plate 2.4 6Hhd 5H Shft Rt Va Lcp 2Clmn Vlr Dstl Rad,4713.39,1838.22,,,0
CDM,SUP28260,Noncdm Charge Record Medical Supplies - Plate 2.4 6Hhd3Hshftlt Nrwstrl Va Lcp 2Col Dstl Rad Nrw,2836.94,1106.41,,,0
CDM,SUP28261,Noncdm Charge Record Medical Supplies - Plate 2.4 6Hhd3Hshftrt Nrwstrl Va Lcp 2Col Dstl Rad Nrw,2836.94,1106.41,,,0
CDM,SUP28267,Noncdm Charge Record Medical Supplies - Plate 2.4 7Hhd 2H Shft Lt Strl Va Lcp 2Clmn Vlr Dstl Rad,2773.8,1081.78,,,0
CDM,SUP28268,Noncdm Charge Record Medical Supplies - Plate 2.4 7Hhd 2H Shft Rt Va Lcp 2Clmn Vlr Dstl Rad,2520.22,982.89,,,0
CDM,SUP28269,Noncdm Charge Record Medical Supplies - Plate 2.4 7Hhd 2H Shft Rt Strl Va Lcp 2Clmn Vlr Dstl Rad,2773.8,1081.78,,,0
CDM,SUP28270,Noncdm Charge Record Medical Supplies - Plate 2.4 7Hhd 4H Shft Lt Va Lcp 2Clmn Vlr Dstl Rad,2719.98,1060.79,,,0
CDM,SUP28271,Noncdm Charge Record Medical Supplies - Plate 2.4 7Hhd 4H Shft Rt Strl Va Lcp 2Clmn Vlr Dstl Rad,2992.18,1166.95,,,0
CDM,SUP28273,Noncdm Charge Record Medical Supplies - Plate 2.4 7Hhd 5H Shft Lt Strl Va Lcp 2Clmn Vlr Dstl Rad,3105.0,1210.95,,,0
CDM,SUP28274,Noncdm Charge Record Medical Supplies - Plate 2.4 7Hhd 5H Shft Rt Va Lcp 2Clmn Vlr Dstl Rad,4500.18,1755.07,,,0
CDM,SUP2828,Noncdm Charge Record Medical Supplies - Bone Plate Tib 20Mmx150Mm Frzn,2923.88,1140.31,,,0
CDM,SUP28293,Noncdm Charge Record Medical Supplies - Plate 2.4 Volr6Hhd5Hshft Rt Va-Lcp Volr Rim Dist Rad,4013.73,1565.35,,,0
CDM,SUP282973,Noncdm Charge Record Medical Supplies,12565.94,4900.72,,,0
CDM,SUP2830,Noncdm Charge Record Medical Supplies - Lens Iol +20.0 Diop 6Mm,719.32,280.53,,,0
CDM,SUP28302,Noncdm Charge Record Medical Supplies,3203.32,1249.29,,,0
CDM,SUP28321,Noncdm Charge Record Medical Supplies - Plate 2.4-2.7 Mtpfus Sm10Dlt-S Va Lcp 1St Mtp Fus Strl,4354.24,1698.15,,,0
CDM,SUP28322,Noncdm Charge Record Medical Supplies - Plate 2.4-2.7 Mtpfus Sm10Drt Va Lcp 1St Mtp Fus,4142.07,1615.41,,,0
CDM,SUP28333,Noncdm Charge Record Medical Supplies,5438.92,2121.18,,,0
CDM,SUP28335,Noncdm Charge Record Medical Supplies - Plate 2.4-2.7 T-Fus 2Hhd Std-S Va Lcp T-Fus Strl,3954.74,1542.35,,,0
CDM,SUP28337,Noncdm Charge Record Medical Supplies - Plate 2.4-2.7 T-Fus 3Hhd Xlg-S Va Lcp T-Fus Strl,5070.46,1977.48,,,0
CDM,SUP2834,Noncdm Charge Record Medical Supplies - Needle Bx 20Ga 10-7.8Cm Mxcor,129.35,50.45,,,0
CDM,SUP2835,Noncdm Charge Record Medical Supplies - Mesh Pro 5-32Inx.5In 3 15-1 4 15-16Inx2 Surg,1590.8,620.41,,,0
CDM,SUP28351,Noncdm Charge Record Medical Supplies - Plate 2.4-2.7Clvrlf Fus Lng-S Va Lcp Clvrlf Fus Strl,4050.99,1579.89,,,0
CDM,SUP28355,Noncdm Charge Record Medical Supplies - Plate 2.4-2.7Clvrlf Fus Std-S Va Lcp Clvrlf Fus Strl,3889.53,1516.92,,,0
CDM,SUP28361,Noncdm Charge Record Medical Supplies - Plate 2.4-2.7Va Lck Navicular- Va Lck Navicular Strl,4923.5,1920.16,,,0
CDM,SUP28363,Noncdm Charge Record Medical Supplies - Plate 2.4Mm 6Hhd 2H Shft Rt Nr Va Lcp 2Col Dstl Rad Nrw,4022.01,1568.58,,,0
CDM,SUP28364,Noncdm Charge Record Medical Supplies - Plate 2.4Mm 6Hhd 2Hshftlt Nrw Va Lcp 2Col Dstl Rad Nrw,4022.01,1568.58,,,0
CDM,SUP28365,Noncdm Charge Record Medical Supplies - Plate 2.4Mm 6Hhd 3Hshftlt Nrw Va Lcp 2Col Dstl Rad Nrw,4181.4,1630.75,,,0
CDM,SUP2837,Noncdm Charge Record Medical Supplies - Catheter Drain 25Cm 10Fr Gp,293.94,114.64,,,0
CDM,SUP28372,Noncdm Charge Record Medical Supplies - Plate 2.4Mm Column 5H Shftstrl Va-Lcp Drsl Dist Rad,2784.15,1085.82,,,0
CDM,SUP28374,Noncdm Charge Record Medical Supplies - Plate 2.4Mm Column 6H Shftstrl Va-Lcp Drsl Dist Rad,2931.12,1143.14,,,0
CDM,SUP28391,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 Lt179Strl Lat Va-Lcp Postlat Dhp-Lat Supt,5135.67,2002.91,,,0
CDM,SUP28397,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 2Hlt82Mm Med Va-Lcp Lat Dist Hum,4771.35,1860.83,,,0
CDM,SUP28398,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 2Hrt82Mm Med Lat Va-Lcp Lat Dist Hum,4771.35,1860.83,,,0
CDM,SUP28399,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 2Hrt82Mm Medstrl Va-Lcp Medl Dist Hum,4854.15,1893.12,,,0
CDM,SUP28401,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 3Hlt75Mmshrt Va-Lcp Postlat Dhp-Lat Supt,4771.35,1860.83,,,0
CDM,SUP28407,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 4Hlt108Mmlngstrl Va-Lcp Medl Dist Hum,4984.56,1943.98,,,0
CDM,SUP28410,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 5Hlt121Mmlngstrl Va-Lcp Lat Dist Hum,4854.15,1893.12,,,0
CDM,SUP28419,Noncdm Charge Record Medical Supplies,4984.56,1943.98,,,0
CDM,SUP28423,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 Lt127Lngstrl Lat Va-Lcp Postlat Dhp-Lat Supt,5006.3,1952.46,,,0
CDM,SUP28424,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 7Hlt127Mmlngstrl Va-Lcp Postlat Dhp-Lat Supt,4854.15,1893.12,,,0
CDM,SUP28433,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 8Hlt160Mmstrl Va-Lcp Medl Dist Hum,4984.56,1943.98,,,0
CDM,SUP28438,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 9Hlt153Mmxlg Lat Va-Lcp Postlat Dhp-Lat Supt,4923.5,1920.16,,,0
CDM,SUP28439,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 9Hlt153Mmxlg Va-Lcp Postlat Dhp-Lat Supt,4771.35,1860.83,,,0
CDM,SUP28441,Noncdm Charge Record Medical Supplies,4984.56,1943.98,,,0
CDM,SUP28443,Noncdm Charge Record Medical Supplies,4984.56,1943.98,,,0
CDM,SUP28452,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm 10H 101Mm Va Lcp Lat Ant Clavicle,3770.5,1470.5,,,0
CDM,SUP28456,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm 11H 113Mm Va Lcp Lat Ant Clavicle,3770.5,1470.5,,,0
CDM,SUP28457,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm 11H 113Mm Strl Va Lcp Lat Ant Clavicle,3971.3,1548.81,,,0
CDM,SUP284734,Noncdm Charge Record Medical Supplies,12565.94,4900.72,,,0
CDM,SUP28475,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm 3Hrt 73Mm Strl Lcp Lat Dist Fib Strl,2195.24,856.14,,,0
CDM,SUP28476,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm 3Hrt 75Mmshrt Va-Lcp Postlat Dhp-Lat Supt,4923.5,1920.16,,,0
CDM,SUP28479,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm 4Hlt 86Mm Strl Lcp Lat Dist Fib Strl,2211.8,862.6,,,0
CDM,SUP28480,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm 4Hlt 88Mm Med Va-Lcp Postlat Dhp-Lat Supt,4923.5,1920.16,,,0
CDM,SUP28481,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm 4Hrt 86Mm Strl Lcp Lat Dist Fib Strl,2211.8,862.6,,,0
CDM,SUP28482,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm 5Hrt 99Mm Strl Lcp Lat Dist Fib Strl,2244.92,875.52,,,0
CDM,SUP28493,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm 9H 89Mm Va Lcp Lat Ant Clavicle,3770.5,1470.5,,,0
CDM,SUP28497,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm 9Hlt 151Mmstrl Lcp Lat Dist Fib,2455.02,957.46,,,0
CDM,SUP285,Noncdm Charge Record Medical Supplies - Splint Orth 30X4In Precut Flt Pad Fbgls,21.88,8.53,,,0
CDM,SUP28501,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Ant 10H Rt Va Lcp Ant Dist Tib,6776.14,2642.69,,,0
CDM,SUP28515,Noncdm Charge Record Medical Supplies,9272.56,3616.3,,,0
CDM,SUP28525,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Ant 4H Ltstrl Va Lcp Ant Dist Tib,6779.25,2643.91,,,0
CDM,SUP28526,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 Ant 4H Rtstrl Va Va Lcp Ant Dist Tib,7405.42,2888.11,,,0
CDM,SUP28527,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Ant 4H Rtstrl Va Lcp Ant Dist Tib,6779.25,2643.91,,,0
CDM,SUP28530,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Ant 6H Ltstrl Va Lcp Ant Dist Tib,7581.38,2956.74,,,0
CDM,SUP28533,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Ant 8H Lt Va Lcp Ant Dist Tib,6715.08,2618.88,,,0
CDM,SUP28535,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Ant 8H Ltstrl Va Lcp Ant Dist Tib,7662.1,2988.22,,,0
CDM,SUP28536,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Ant 8H Rt Va Lcp Ant Dist Tib,6967.62,2717.37,,,0
CDM,SUP28542,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Med 10H Lt Va Lcp Med Dist Tib,6605.37,2576.09,,,0
CDM,SUP28543,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Med 10H Rt Va Lcp Med Dist Tib,6605.37,2576.09,,,0
CDM,SUP28544,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Med 10H Rtstrl Va Lcp Med Dist Tib,6926.74,2701.43,,,0
CDM,SUP28545,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Med 12H Lt Va Lcp Med Dist Tib,7711.78,3007.59,,,0
CDM,SUP28548,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Med 12H Rtstrl Va Lcp Med Dist Tib,8483.9,3308.72,,,0
CDM,SUP28551,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Med 14H Rt Va Lcp Med Dist Tib,8289.32,3232.83,,,0
CDM,SUP28554,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Med 16H Ltstrl Va Lcp Med Dist Tib,8708.49,3396.31,,,0
CDM,SUP28556,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Med 16H Rtstrl Va Lcp Med Dist Tib,9697.95,3782.2,,,0
CDM,SUP28557,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Med 4H Lt Va Lcp Med Dist Tib,6403.54,2497.38,,,0
CDM,SUP28562,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Med 6H Rtstrl Va Lcp Med Dist Tib,7122.87,2777.92,,,0
CDM,SUP28564,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Med 8H Ltstrl Va Lcp Med Dist Tib,7199.46,2807.79,,,0
CDM,SUP28565,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Med 8H Rt Va Lcp Med Dist Tib,6544.3,2552.28,,,0
CDM,SUP28566,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Va 2H Rt 73Mm Lcp Prox Olcrn,3667.83,1430.45,,,0
CDM,SUP28569,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Va 6H Rt 142Mm Lcp Prox Olcrn,4340.79,1692.91,,,0
CDM,SUP28574,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm4Hlt88Mmmedstrl Va-Lcp Postlat Dhp-Lat Supt,5006.3,1952.46,,,0
CDM,SUP28576,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm7Hlt127Mmlng Va-Lcp Postlat Dhp-Lat Supt,4923.5,1920.16,,,0
CDM,SUP28577,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Osteot 6Hl Strl Lcp Ulna,4780.66,1864.46,,,0
CDM,SUP28586,Noncdm Charge Record Medical Supplies,2540.93,990.96,,,0
CDM,SUP28599,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Fib 3H Lt Va Lcp Lat Dist Fib,2577.15,1005.09,,,0
CDM,SUP28600,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Fib 3H Ltstrl Va Lcp Lat Dist Fib,2827.62,1102.77,,,0
CDM,SUP28601,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Fib 3H Rt Va Lcp Lat Dist Fib,2639.77,1029.51,,,0
CDM,SUP28602,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Fib 3H Rtstrl Va Lcp Lat Dist Fib,3017.8,1176.94,,,0
CDM,SUP28603,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Fib 4H Lt Va Lcp Lat Dist Fib,2671.34,1041.82,,,0
CDM,SUP28604,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Fib 4H Ltstrl Va Lcp Lat Dist Fib,2933.19,1143.94,,,0
CDM,SUP28605,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Fib 4H Rt Va Lcp Lat Dist Fib,2885.32,1125.27,,,0
CDM,SUP28606,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Fib 4H Rtstrl Va Lcp Lat Dist Fib,2933.19,1143.94,,,0
CDM,SUP28607,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Fib 5H Lt Va Lcp Lat Dist Fib,3036.95,1184.41,,,0
CDM,SUP28608,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Fib 5H Ltstrl Va Lcp Lat Dist Fib,3179.75,1240.1,,,0
CDM,SUP28609,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Fib 5H Rt Va Lcp Lat Dist Fib,2814.16,1097.52,,,0
CDM,SUP28610,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Fib 5H Rtstrl Va Lcp Lat Dist Fib,3087.4,1204.09,,,0
CDM,SUP28611,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Fib 6H Lt Va Lcp Lat Dist Fib,3891.6,1517.72,,,0
CDM,SUP28612,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Fib 6H Ltstrl Va Lcp Lat Dist Fib,3264.39,1273.11,,,0
CDM,SUP28613,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Fib 6H Rt Va Lcp Lat Dist Fib,2974.59,1160.09,,,0
CDM,SUP28614,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Fib 6H Rtstrl Va Lcp Lat Dist Fib,3264.39,1273.11,,,0
CDM,SUP28615,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Fib 7H Lt Va Lcp Lat Dist Fib,4075.83,1589.57,,,0
CDM,SUP28616,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Fib 7H Rtstrl Va Lcp Lat Dist Fib,3858.48,1504.81,,,0
CDM,SUP28617,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Fib 9H Lt Va Lcp Lat Dist Fib,4261.1,1661.83,,,0
CDM,SUP28619,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Fib 9H Rt Va Lcp Lat Dist Fib,4261.1,1661.83,,,0
CDM,SUP28623,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Tib 4H Rt Va Lcp Dist Tib,3847.1,1500.37,,,0
CDM,SUP28645,Noncdm Charge Record Medical Supplies - Plate 3.5 Proxhum 2H 91Mm Lt-S Lcp Peri Art Prox Hum Strl,7363.2,2871.65,,,0
CDM,SUP28646,Noncdm Charge Record Medical Supplies - Plate 3.5 Proxhum 2H 91Mm Rt Lcp Peri Art Prox Hum,6026.8,2350.45,,,0
CDM,SUP28647,Noncdm Charge Record Medical Supplies - Plate 3.5 Proxhum 2H 91Mm Rt-S Lcp Peri Art Prox Hum Strl,6701.37,2613.53,,,0
CDM,SUP28650,Noncdm Charge Record Medical Supplies - Plate 3.5 Proxhum 4H127Mm Lt-S Lcp Peri Art Prox Hum Strl,6408.72,2499.4,,,0
CDM,SUP28651,Noncdm Charge Record Medical Supplies - Plate 3.5 Proxhum 4H127Mm Rt-S Lcp Peri Art Prox Hum Strl,6408.72,2499.4,,,0
CDM,SUP28652,Noncdm Charge Record Medical Supplies,6545.34,2552.68,,,0
CDM,SUP28658,Noncdm Charge Record Medical Supplies - Plate 3.5 Proxhum10H235Mm Rt-S Lcp Peri Art Prox Hum Strl,7251.21,2827.97,,,0
CDM,SUP28663,Noncdm Charge Record Medical Supplies - Plate 3.5 Proxhum13H109Mm Lt-S Lcp Peri Art Prox Hum Strl,8423.86,3285.31,,,0
CDM,SUP2868,Noncdm Charge Record Medical Supplies - Cannula Nasal 7Ft Gas Male O2,10.35,4.04,,,0
CDM,SUP28682,Noncdm Charge Record Medical Supplies - Plate 3.5 Sup 7H Lt 100Mm Lcp Sup Clavicle,3973.36,1549.61,,,0
CDM,SUP28685,Noncdm Charge Record Medical Supplies - Plate 3.5 Sup 7H Rt 110Mm Lcp Sup Ant Clavicle,3973.36,1549.61,,,0
CDM,SUP28695,Noncdm Charge Record Medical Supplies - Plate 3.5 Sup 8H Rt 135Mm Lcp Ant Clav W- Lat Extn,3770.5,1470.5,,,0
CDM,SUP28696,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Lg 10H177Mm Lt Va Lcp Prox Tib Lg Bend,7457.18,2908.3,,,0
CDM,SUP28697,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Lg 10H177Mm Lt-S Va Lcp Prox Tib Lg Bend Strl,7669.35,2991.05,,,0
CDM,SUP28698,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Lg 10H177Mm Rt Va Lcp Prox Tib Lg Bend,8632.42,3366.64,,,0
CDM,SUP28699,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Lg 10H177Mm Rt-S Va Lcp Prox Tib Lg Bend Strl,8262.41,3222.34,,,0
CDM,SUP2869_270,Noncdm Charge Record Medical Supplies - See 64419 Cannula Nasal 7Ft Gas F O2,10.35,4.04,,,0
CDM,SUP2869_A9999_270,Noncdm Charge Record Medical Supplies - See 64419 Cannula Nasal 7Ft Gas F O2,10.35,4.04,,,0
CDM,SUP286_270,Noncdm Charge Record Medical Supplies - Splint Orth 30X5In Precut Cnfr M Fbgls,50.72,19.78,,,0
CDM,SUP286_A4649_270,Noncdm Charge Record Medical Supplies - Splint Orth 30X5In Precut Cnfr M Fbgls,50.72,19.78,,,0
CDM,SUP28701,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Lg 12H207Mm Lt-S Va Lcp Prox Tib Lg Bend Strl,8530.47,3326.88,,,0
CDM,SUP28703,Noncdm Charge Record Medical Supplies,8530.47,3326.88,,,0
CDM,SUP28705,Noncdm Charge Record Medical Supplies,8894.79,3468.97,,,0
CDM,SUP28707,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Lg 4H87Mm Lt Va Lcp Prox Tib Lg Bend,6409.76,2499.81,,,0
CDM,SUP28708,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Lg 4H87Mm Lt-S Va Lcp Prox Tib Lg Bend Strl,6860.32,2675.52,,,0
CDM,SUP2871,Noncdm Charge Record Medical Supplies - Graft Sft Tis 67Cm 4-5Mm Cryovein Saph Vn (X),48835.7,19045.92,,,0
CDM,SUP28710,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Lg 4H87Mm Rt-S Va Lcp Prox Tib Lg Bend Strl,6764.97,2638.34,,,0
CDM,SUP28712,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Lg 6H117Mm Lt-S Va Lcp Prox Tib Lg Bend Strl,6691.28,2609.6,,,0
CDM,SUP28713,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Lg 6H117Mm Rt Va Lcp Prox Tib Lg Bend,6478.06,2526.44,,,0
CDM,SUP28714,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Lg 8H147Mm Lt-S Va Lcp Prox Tib Lg Bend Strl,7584.48,2957.95,,,0
CDM,SUP28715,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Lg 8H147Mm Rt-S Va Lcp Prox Tib Lg Bend Strl,7584.48,2957.95,,,0
CDM,SUP28716,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Lo 8H 128Mm Lt Lcp Prox Tib Lo Bend,5804.28,2263.67,,,0
CDM,SUP28718,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Sm 10H177Mm Lt Va Lcp Prox Tib Sm Bend,7816.32,3048.36,,,0
CDM,SUP28719,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Sm 10H177Mm Lt-S Va Lcp Prox Tib Sm Bend Strl,7669.35,2991.05,,,0
CDM,SUP2872,Noncdm Charge Record Medical Supplies - Applicator Surg Ext Spray Ss S,280.48,109.39,,,0
CDM,SUP28720,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Sm 10H177Mm Rt Va Lcp Prox Tib Sm Bend,8175.46,3188.43,,,0
CDM,SUP28721,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Sm 10H177Mm Rt-S Va Lcp Prox Tib Sm Bend Strl,7669.35,2991.05,,,0
CDM,SUP28722,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Sm 12H207Mm Lt Va Lcp Prox Tib Sm Bend,8601.54,3354.6,,,0
CDM,SUP28723,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Sm 12H207Mm Lt-S Va Lcp Prox Tib Sm Bend Strl,10087.11,3933.97,,,0
CDM,SUP28724,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Sm 12H207Mm Rt Va Lcp Prox Tib Sm Bend,9168.03,3575.53,,,0
CDM,SUP28725,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Sm 12H207Mm Rt-S Va Lcp Prox Tib Sm Bend Strl,10087.11,3933.97,,,0
CDM,SUP28727,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Sm 14H237Mm Rt Va Lcp Prox Tib Sm Bend,9589.28,3739.82,,,0
CDM,SUP28728,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Sm 14H237Mm Rt-S Va Lcp Prox Tib Sm Bend Strl,10548.72,4114.0,,,0
CDM,SUP28729,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Sm 4H87Mm Lt Va Lcp Prox Tib Sm Bend,6581.56,2566.81,,,0
CDM,SUP2873,Noncdm Charge Record Medical Supplies - Graft Bn Almtr Dem Bn Mtrx 1Ml Putty Inj (X),1149.88,448.45,,,0
CDM,SUP28730,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Sm 4H87Mm Lt-S Va Lcp Prox Tib Sm Bend Strl,7337.12,2861.48,,,0
CDM,SUP28731,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Sm 4H87Mm Rt Va Lcp Prox Tib Sm Bend,6804.78,2653.86,,,0
CDM,SUP28732,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Sm 4H87Mm Rt-S Va Lcp Prox Tib Sm Bend Strl,7337.12,2861.48,,,0
CDM,SUP28733,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Sm 6H117Mm Lt Va Lcp Prox Tib Sm Bend,6863.08,2676.6,,,0
CDM,SUP28734,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Sm 6H117Mm Lt-S Va Lcp Prox Tib Sm Bend Strl,6691.28,2609.6,,,0
CDM,SUP28735,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Sm 6H117Mm Rt Va Lcp Prox Tib Sm Bend,6863.08,2676.6,,,0
CDM,SUP28736,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Sm 6H117Mm Rt-S Va Lcp Prox Tib Sm Bend Strl,7552.4,2945.44,,,0
CDM,SUP28737,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Sm 8H147Mm Lt Va Lcp Prox Tib Sm Bend,7591.03,2960.5,,,0
CDM,SUP28738,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Sm 8H147Mm Lt-S Va Lcp Prox Tib Sm Bend Strl,8834.76,3445.56,,,0
CDM,SUP28740,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Sm 8H147Mm Rt-S Va Lcp Prox Tib Sm Bend Strl,8418.0,3283.02,,,0
CDM,SUP28768,Noncdm Charge Record Medical Supplies - Plate 3.5Mm Dist Tib 17 H Rt Alat Lcp-Strl,6633.32,2586.99,,,0
CDM,SUP28784,Noncdm Charge Record Medical Supplies,4662.33,1818.31,,,0
CDM,SUP287_270,Noncdm Charge Record Medical Supplies - Splint Orth 15X4In Precut Flt Pad Fbgls,19.66,7.67,,,0
CDM,SUP287_A4649_270,Noncdm Charge Record Medical Supplies - Splint Orth 15X4In Precut Flt Pad Fbgls,19.66,7.67,,,0
CDM,SUP288,Noncdm Charge Record Medical Supplies - Splint Orth 35X3In Precut Flt,39.33,15.34,,,0
CDM,SUP28805,Noncdm Charge Record Medical Supplies - Plate 3.5Mm Med 6Hlt 135Mm Lcp Lo Bend Medi Dstl Tib,5544.5,2162.36,,,0
CDM,SUP28807,Noncdm Charge Record Medical Supplies - Plate 3.5Mm Med 8Hrt 161Mmstrl Lcp Lo Bend Medi Dstl Tib,5553.81,2165.99,,,0
CDM,SUP28832,Noncdm Charge Record Medical Supplies - Plate 3.5Mm Symphysis 4H Public,3255.08,1269.48,,,0
CDM,SUP28833,Noncdm Charge Record Medical Supplies - Plate 3.5Mm Symphysis 4H Dcp2H Public,3547.98,1383.71,,,0
CDM,SUP28834,Noncdm Charge Record Medical Supplies - Plate 3.5Mm Symphysis 6H Dcp2H Public,3760.16,1466.46,,,0
CDM,SUP28874,Noncdm Charge Record Medical Supplies - Plate 3.5Mm X 8H Rt 194Mm Lng Lcp Articlr Dist Hum,5871.56,2289.91,,,0
CDM,SUP28879,Noncdm Charge Record Medical Supplies - Plate 3.5Tib Lo 14H 206Mm Rt-S Lcp Prox Tib Lo Bend Strl,7030.76,2742.0,,,0
CDM,SUP28883,Noncdm Charge Record Medical Supplies - Plate 3.5Tib Lo 16H 232Mm Rt-S Lcp Prox Tib Lo Bend Strl,7280.19,2839.27,,,0
CDM,SUP28884,Noncdm Charge Record Medical Supplies - Plate 3Hl Head 4Hl Shaft 57Mm Rt Ang T 3.5Mm,1480.05,577.22,,,0
CDM,SUP28916,Noncdm Charge Record Medical Supplies - Plate 4.5Mm Crv 10H 230Mm Lt Va Lcp Crv Condy,8804.75,3433.85,,,0
CDM,SUP28918,Noncdm Charge Record Medical Supplies - Plate 4.5Mm Crv 14H 301Mm Lt Va Lcp Crv Condy,9172.17,3577.15,,,0
CDM,SUP28919,Noncdm Charge Record Medical Supplies - Plate 4.5Mm Crv 14H 301Mm Rt Va Lcp Crv Condy,9172.17,3577.15,,,0
CDM,SUP28920,Noncdm Charge Record Medical Supplies - Plate 4.5Mm Crv 16H 336Mm Lt Va Lcp Crv Condy,9205.55,3590.16,,,0
CDM,SUP28921,Noncdm Charge Record Medical Supplies - Plate 4.5Mm Crv 16H 336Mm Rt Va Lcp Crv Condy,8277.93,3228.39,,,0
CDM,SUP28922,Noncdm Charge Record Medical Supplies - Plate 4.5Mm Crv 16H 336Mm Rt-S Va Lcp Crv Condy Strl,10465.92,4081.71,,,0
CDM,SUP28923,Noncdm Charge Record Medical Supplies,11569.23,4512.0,,,0
CDM,SUP28926,Noncdm Charge Record Medical Supplies - Plate 4.5Mm Crv 6H 159Mm Lt Va Lcp Crv Condy,8877.2,3462.11,,,0
CDM,SUP28928,Noncdm Charge Record Medical Supplies - Plate 4.5Mm Crv 8H 195Mm Rt Va Lcp Crv Condy,7121.84,2777.52,,,0
CDM,SUP28951,Noncdm Charge Record Medical Supplies - Plate 4.5Mm Prox 4H-175Mm Lt Fem Lcp-Strl,5826.02,2272.15,,,0
CDM,SUP2902,Noncdm Charge Record Medical Supplies - Set Adm .75In 300 Gtt Iv Powerloc Prim Infus,30.99,12.09,,,0
CDM,SUP29029,Noncdm Charge Record Medical Supplies - Plate Bn 135D 4Hl 78Mm Barrell Std Dhs,2444.67,953.42,,,0
CDM,SUP2904_272,Noncdm Charge Record Medical Supplies - Electrode Elctrsurg 10Ft Swbld Acvc Ss Rckr,12.42,4.84,,,0
CDM,SUP2904_A4649_272,Noncdm Charge Record Medical Supplies - Electrode Elctrsurg 10Ft Swbld Acvc Ss Rckr,12.42,4.84,,,0
CDM,SUP2904_A9999_272,Noncdm Charge Record Medical Supplies - Electrode Elctrsurg 10Ft Swbld Acvc Ss Rckr,12.42,4.84,,,0
CDM,SUP2904_C1889_272,Noncdm Charge Record Medical Supplies - Electrode Elctrsurg 10Ft Swbld Acvc Ss Rckr,12.42,4.84,,,0
CDM,SUP291,Noncdm Charge Record Medical Supplies - Bone Fem Plate 20Mmx150Mm,3233.34,1261.0,,,0
CDM,SUP29106,Noncdm Charge Record Medical Supplies - Plate Bn 2.4Mm 2Hl Head Lcp T 7Hl Head,2632.0,1026.48,,,0
CDM,SUP29108,Noncdm Charge Record Medical Supplies - Plate Bn 2.4Mm 2Hl Neck Rad Head Lcp,2563.7,999.84,,,0
CDM,SUP29109,Noncdm Charge Record Medical Supplies - Plate Bn 2.4Mm 2Hl Rt Lcp Rad Head Rim,2417.76,942.93,,,0
CDM,SUP29149,Noncdm Charge Record Medical Supplies - Plate Bn 2.7Mm Adapt 12Hl Lcp 97Mm,1877.93,732.39,,,0
CDM,SUP29158,Noncdm Charge Record Medical Supplies - Plate Bn 2Mm 10Hl 73Mm Lcp,996.7,388.71,,,0
CDM,SUP29161,Noncdm Charge Record Medical Supplies - Plate 2Mm Y 3Hl Hd 7Hl Shft 7Hl Shaft Lcp,1759.5,686.2,,,0
CDM,SUP29163,Noncdm Charge Record Medical Supplies - Plate Bn 3.5Mm 108Mm Rad 10Hl Low Prof Crv Recon,3268.53,1274.73,,,0
CDM,SUP29164,Noncdm Charge Record Medical Supplies - Plate Bn 3.5Mm 108Mm Rad 14Hl,3532.46,1377.66,,,0
CDM,SUP29181,Noncdm Charge Record Medical Supplies,6587.78,2569.23,,,0
CDM,SUP29188,Noncdm Charge Record Medical Supplies - Plate Bn 3.5Mm 88Mm Rad 10Hl,3268.53,1274.73,,,0
CDM,SUP29190,Noncdm Charge Record Medical Supplies - Plate Bn 3.5Mm 88Mm Rad 14Hl,2597.85,1013.16,,,0
CDM,SUP29193,Noncdm Charge Record Medical Supplies - Plate Bn 3.5Mm 8Hl Rt 145Mm Prox Tib Med Lcp,5745.28,2240.66,,,0
CDM,SUP292,Noncdm Charge Record Medical Supplies - See 116249 Balloon Dissection Round Endo Covidien Surgical D,1137.46,443.61,,,0
CDM,SUP29203,Noncdm Charge Record Medical Supplies - Plate Bn 3.5Mm Spring 1Hl Strl,1765.71,688.63,,,0
CDM,SUP2921,Noncdm Charge Record Medical Supplies - Drill Twst 50Mm 1.8Mm Lorenz 25Mm Stop Mndb,680.0,265.2,,,0
CDM,SUP29230,Noncdm Charge Record Medical Supplies - Plate Bn 4.5Mm 3.5Mm Lcp 10Hl Mtphsl,3774.64,1472.11,,,0
CDM,SUP2924,Noncdm Charge Record Medical Supplies - Plate Lg 1.6Mm Mandib Strt 4 Hl Mtrx Sys Bn,3015.99,1176.24,,,0
CDM,SUP29241,Noncdm Charge Record Medical Supplies - Plate Bn 4.5Mm 6Hl 118Mm Lt Prox Tib Lcp,6056.82,2362.16,,,0
CDM,SUP29251,Noncdm Charge Record Medical Supplies,3053.25,1190.77,,,0
CDM,SUP29266,Noncdm Charge Record Medical Supplies - Plate Bn 6Hl Shaft 160Mm Hum Prox Lcp Lng 3.5Mm,7403.36,2887.31,,,0
CDM,SUP2928,Noncdm Charge Record Medical Supplies - Kit Arthro Fx Toggleloc Ziploop Tech Sys Fem,7999.31,3119.73,,,0
CDM,SUP2929,Noncdm Charge Record Medical Supplies - Coupler Anstm 2.5Mm 1 Un Mcvsc,1729.23,674.4,,,0
CDM,SUP2930,Noncdm Charge Record Medical Supplies - Coupler Anstm 3Mm 1 Un Mcvsc,1739.72,678.49,,,0
CDM,SUP29302,Noncdm Charge Record Medical Supplies - Plate Bn Alat 11Hl Lt 3.5Mm Alat Dist Tib Lcp,6014.38,2345.61,,,0
CDM,SUP29313,Noncdm Charge Record Medical Supplies - Plate Bn Arthds 6Hl 100Mm Strl Lcp Ant Ankl,4099.64,1598.86,,,0
CDM,SUP2931_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 4In 3-32In Edge Std,25.86,10.09,,,0
CDM,SUP2931_A4649_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 4In 3-32In Edge Std,25.88,10.09,,,0
CDM,SUP2931_A9999_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 4In 3-32In Edge Std,25.88,10.09,,,0
CDM,SUP29321,Noncdm Charge Record Medical Supplies - Plate Bn Brd 16Hl 296Mm 4.5Mm Lcp,3527.28,1375.64,,,0
CDM,SUP29371,Noncdm Charge Record Medical Supplies - Plate Bn Lcp 1-3 3Hl 33Mm W Collar Tube,699.66,272.87,,,0
CDM,SUP29372,Noncdm Charge Record Medical Supplies - Plate Bn Lcp 1-3 9Hl 105Mm W Collar Tube,766.94,299.11,,,0
CDM,SUP29399,Noncdm Charge Record Medical Supplies - Plate Bn Lcp Ti 5 Hl 57Mm 0.33 Tube W Collar,758.66,295.88,,,0
CDM,SUP294,Noncdm Charge Record Medical Supplies - Catheter Jjnstm 108In 16Fr,1411.74,550.58,,,0
CDM,SUP29401,Noncdm Charge Record Medical Supplies - Plate Bn Lcp Ti 7 Hl 81Mm 0.33 Tube W Collar,773.14,301.52,,,0
CDM,SUP29406,Noncdm Charge Record Medical Supplies - Plate Bn Nar 4.5Mm 11Hl 206Mm Lcp,2387.74,931.22,,,0
CDM,SUP29421,Noncdm Charge Record Medical Supplies,1631.16,636.15,,,0
CDM,SUP29439,Noncdm Charge Record Medical Supplies - Plate Connect 1 Hl,355.0,138.45,,,0
CDM,SUP29446,Noncdm Charge Record Medical Supplies - Plate Connect Thrd 2 Hl,381.92,148.95,,,0
CDM,SUP29447,Noncdm Charge Record Medical Supplies - Plate Connect Thrd 3 Hl,426.91,166.49,,,0
CDM,SUP29448,Noncdm Charge Record Medical Supplies,449.71,175.39,,,0
CDM,SUP29463,Noncdm Charge Record Medical Supplies - Plate Dia Meta 5H Shft Rt Strl Lcp Volar Dist Radius,6796.84,2650.77,,,0
CDM,SUP29464,Noncdm Charge Record Medical Supplies - Plate Dia Meta 7H Shft Lt Lcp Volar Dist Radius,6313.5,2462.26,,,0
CDM,SUP29465,Noncdm Charge Record Medical Supplies - Plate Dia Meta 9H Shft Lt Lcp Volar Dist Radius,6464.61,2521.2,,,0
CDM,SUP29490,Noncdm Charge Record Medical Supplies,1787.44,697.1,,,0
CDM,SUP295,Noncdm Charge Record Medical Supplies - System Blood Warm Handpiece Tub Hiflow Lvl 1,144.9,56.51,,,0
CDM,SUP29503,Noncdm Charge Record Medical Supplies - Plate Hk Clav 3.5Mm 4H-Rt-12Mm Hk Depth-44Mm Lcp-Strl,4569.52,1782.11,,,0
CDM,SUP29564,Noncdm Charge Record Medical Supplies,1200.6,468.23,,,0
CDM,SUP29612,Noncdm Charge Record Medical Supplies - Plate T 2.4Mmva3Hhd 3Hshftstrl Va-Lcp Drsl Dist Rad,2581.29,1006.7,,,0
CDM,SUP29617,Noncdm Charge Record Medical Supplies - Plate T 2.7Mm Va Tib 4H Va Lcp Dist Tib,3728.07,1453.95,,,0
CDM,SUP29618,Noncdm Charge Record Medical Supplies - Plate T 2.7Mm Va Tib 4H Strl Va Lcp Dist Tib,4102.74,1600.07,,,0
CDM,SUP29619,Noncdm Charge Record Medical Supplies - Plate T 2.7Mm Va Tib 6H Va Lcp Dist Tib,3879.18,1512.88,,,0
CDM,SUP29620,Noncdm Charge Record Medical Supplies - Plate T 2.7Mm Va Tib 6H Strl Va Lcp Dist Tib,3926.79,1531.45,,,0
CDM,SUP2963,Noncdm Charge Record Medical Supplies - Joint Toe Swnsn 2S Lat Mtp Sil Ti Grommet Flx,3832.6,1494.71,,,0
CDM,SUP29639,Noncdm Charge Record Medical Supplies - Plate Tib 3.5Mm 10H-159Mm-Lt Prox Lcp-Strl,7428.2,2897.0,,,0
CDM,SUP29640,Noncdm Charge Record Medical Supplies - Plate Tib 3.5Mm 10H-159Mm-Rt Prox Lcp-Strl,7428.2,2897.0,,,0
CDM,SUP29645,Noncdm Charge Record Medical Supplies,7502.72,2926.06,,,0
CDM,SUP29647,Noncdm Charge Record Medical Supplies,6155.14,2400.5,,,0
CDM,SUP29651,Noncdm Charge Record Medical Supplies - Plate Tib 3.5Mm 16H-249Mm-Lt Med Prox Lcp-Strl,7376.96,2877.01,,,0
CDM,SUP29655,Noncdm Charge Record Medical Supplies - Plate Tib 3.5Mm 20H-301Mm-Lt Med Prox Lcp-Strl,7004.88,2731.9,,,0
CDM,SUP29656,Noncdm Charge Record Medical Supplies,5820.84,2270.13,,,0
CDM,SUP29658,Noncdm Charge Record Medical Supplies - Plate Tib 3.5Mm 4H-93Mm-Lt Med Prox Lcp-Strl,6805.12,2654.0,,,0
CDM,SUP2966,Noncdm Charge Record Medical Supplies - Mesh Parietex 6X4In Vntrl Comp,1780.76,694.5,,,0
CDM,SUP29660,Noncdm Charge Record Medical Supplies - Plate Tib 3.5Mm 6H-119Mm-Lt Med Prox Lcp-Strl,6685.36,2607.29,,,0
CDM,SUP29662,Noncdm Charge Record Medical Supplies - Plate Tib 3.5Mm 8H-133Mm-Rt Prox Lcp-Strl,7288.47,2842.5,,,0
CDM,SUP29663,Noncdm Charge Record Medical Supplies - Plate Tib 3.5Mm 8H-145Mm-Lt Med Prox Lcp-Strl,7230.51,2819.9,,,0
CDM,SUP29664,Noncdm Charge Record Medical Supplies - Plate Tib 3.5Mm 8H-145Mm-Rt Med Prox Lcp-Strl,7230.51,2819.9,,,0
CDM,SUP29668,Noncdm Charge Record Medical Supplies - Plate Tib 4.5Mm 12H-226Mm-Rt Prox Lcp-Strl,6887.92,2686.29,,,0
CDM,SUP2967,Noncdm Charge Record Medical Supplies - Mesh Surg Parietex 8X6In Vntrl,2569.12,1001.96,,,0
CDM,SUP29673,Noncdm Charge Record Medical Supplies - Plate Tib 4.5Mm 16H-298Mm-Lt Prox Lcp-Strl,6381.81,2488.91,,,0
CDM,SUP2968,Noncdm Charge Record Medical Supplies - Mesh Surg Parietex 10X8In Comp,3923.68,1530.24,,,0
CDM,SUP29680,Noncdm Charge Record Medical Supplies,6628.14,2584.97,,,0
CDM,SUP2969,Noncdm Charge Record Medical Supplies - Mesh Surg Parietex 12X8In Vntrl Hernia Comp,5364.4,2092.12,,,0
CDM,SUP29693,Noncdm Charge Record Medical Supplies - Plate Wrst Fus Shrt Bend Strl Lcp,7089.75,2765.0,,,0
CDM,SUP2970,Noncdm Charge Record Medical Supplies - Mesh Surg Parietex 4.8In Vntrl Hernia Comp,1778.31,693.54,,,0
CDM,SUP2972,Noncdm Charge Record Medical Supplies - Graft Bn Almx D Dem Bn Mtrx 3Ml Putty Chp (X),3189.87,1244.05,,,0
CDM,SUP29736_272,Noncdm Charge Record Medical Supplies - Post Wire-1 Hl,979.11,381.85,,,0
CDM,SUP29736_C1713_278,Noncdm Charge Record Medical Supplies - Post Wire-1 Hl,1065.07,415.38,,,0
CDM,SUP29737_272,Noncdm Charge Record Medical Supplies - Post Wire-2 Hl,1023.62,399.21,,,0
CDM,SUP29737_C1713_278,Noncdm Charge Record Medical Supplies - Post Wire-2 Hl,1088.13,424.37,,,0
CDM,SUP29738,Noncdm Charge Record Medical Supplies - Post Wire-4 Hl,1196.92,466.8,,,0
CDM,SUP29739,Noncdm Charge Record Medical Supplies - Post Wire-5 Hl,1243.04,484.79,,,0
CDM,SUP2974,Noncdm Charge Record Medical Supplies - Stent Vasc 7Mm 5Cm 120Cm .035In Endopros,12387.92,4831.29,,,0
CDM,SUP29780,Noncdm Charge Record Medical Supplies - Suture Chromic 0 36In Ctx Abs Ethicon,16.48,6.43,,,0
CDM,SUP29789,Noncdm Charge Record Medical Supplies - Reamer Hlw Cmplt F-2.7Mm Screw,1237.34,482.56,,,0
CDM,SUP29790,Noncdm Charge Record Medical Supplies - Reamer Hlw Cmplt F-4.5Mm Screw,1796.16,700.5,,,0
CDM,SUP29833,Noncdm Charge Record Medical Supplies - Ring Ti Half 180Mm Dia,2642.36,1030.52,,,0
CDM,SUP2984,Noncdm Charge Record Medical Supplies - Dressing Thk1Cm Lg 10X15Cm,254.61,99.3,,,0
CDM,SUP29840,Noncdm Charge Record Medical Supplies - Rod 11Mm Carb Fib 125Mm,787.64,307.18,,,0
CDM,SUP29841,Noncdm Charge Record Medical Supplies - Rod 11Mm Carb Fib 450Mm,974.28,379.97,,,0
CDM,SUP29842,Noncdm Charge Record Medical Supplies - Rod 11Mm Carb Fib 600Mm,1000.84,390.33,,,0
CDM,SUP29843,Noncdm Charge Record Medical Supplies - Rod 11Mm Carb Fib 650Mm,1000.84,390.33,,,0
CDM,SUP29863,Noncdm Charge Record Medical Supplies - Rod 8Mm Carb Fib 240Mm,664.47,259.14,,,0
CDM,SUP29877,Noncdm Charge Record Medical Supplies - Screw Cortex 1.5Mm 14Mm Titanium Self-Tapping Stardrive Depu,680.68,265.47,,,0
CDM,SUP29882,Noncdm Charge Record Medical Supplies - Screw Cortex 1.5Mm 22Mm Titanium Self-Tapping Stardrive Depu,208.04,81.14,,,0
CDM,SUP2989_272,Noncdm Charge Record Medical Supplies - Introducer Cath 12Cm 5Fr Ultm,53.82,20.99,,,0
CDM,SUP2989_C1894_272,Noncdm Charge Record Medical Supplies - Introducer Cath 12Cm 5Fr Ultm,41.04,16.01,,,0
CDM,SUP29918,Noncdm Charge Record Medical Supplies - Screw 1.5Mm Cort St W-T4 14Mm Cort W- T4 Strdrv Recess,249.44,97.28,,,0
CDM,SUP2993,Noncdm Charge Record Medical Supplies - Brace Walk Sm Ankl-Ft Pneum Low Rckr Sole W,216.32,84.36,,,0
CDM,SUP29956,Noncdm Charge Record Medical Supplies - Cement Bn Cds Kyp Balloon Kyphoplasty,442.98,172.76,,,0
CDM,SUP29957,Noncdm Charge Record Medical Supplies - Gun Cement Bn Sz 2 Cds Kyp Balloon Kyphoplasty,1538.01,599.82,,,0
CDM,SUP29958,Noncdm Charge Record Medical Supplies - Gun Cement Bn Sz 3 Cds Kyp,1538.01,599.82,,,0
CDM,SUP3006,Noncdm Charge Record Medical Supplies - Plate 45Mm Ti 2.4Mm 6X2 Va Hl 2 Column Va,4022.01,1568.58,,,0
CDM,SUP3009,Noncdm Charge Record Medical Supplies - Plate 54Mm Ti 2.4Mm Screw 6X3 Hl 2 Column Va,4181.4,1630.75,,,0
CDM,SUP3012,Noncdm Charge Record Medical Supplies - Plate 76Mm Ss 3.5Mm 4Hl Low Low Bend Lcp,5620.05,2191.82,,,0
CDM,SUP3013,Noncdm Charge Record Medical Supplies - Plate 76Mm Ss 3.5Mm 4Hl Bend Low Bend Lcp,5620.05,2191.82,,,0
CDM,SUP3022,Noncdm Charge Record Medical Supplies - Pin Fx Tnsnbnd Kt 50Mm,1291.68,503.76,,,0
CDM,SUP3023_272,Noncdm Charge Record Medical Supplies,12.42,4.84,,,0
CDM,SUP3023_A4649_272,Noncdm Charge Record Medical Supplies,12.42,4.84,,,0
CDM,SUP3028,Noncdm Charge Record Medical Supplies - Stent Uret 8Fr 24Cm Pgtail Ext Crv Drain,553.72,215.95,,,0
CDM,SUP305,Noncdm Charge Record Medical Supplies - Guiding Catheter 175Cm 14 Fr .035In Kit Decompression Cook M,954.27,372.17,,,0
CDM,SUP3076,Noncdm Charge Record Medical Supplies - Implant Breast 200Ml Gel P4 Smth Siltx Round,3504.51,1366.76,,,0
CDM,SUP3077,Noncdm Charge Record Medical Supplies,3504.51,1366.76,,,0
CDM,SUP3081,Noncdm Charge Record Medical Supplies - Implant Breast 325Ml Gel Smth,3504.51,1366.76,,,0
CDM,SUP3086,Noncdm Charge Record Medical Supplies - Implant Breast 450Ml Gel Smth,3504.51,1366.76,,,0
CDM,SUP3091,Noncdm Charge Record Medical Supplies - Implant Breast 700Ml Gel Smth,3504.51,1366.76,,,0
CDM,SUP3111,Noncdm Charge Record Medical Supplies - Screw 2.7-14Mm Lcp Ti Cort Dis Cort Dist Radial,215.28,83.96,,,0
CDM,SUP3112,Noncdm Charge Record Medical Supplies - Screw 2.7-16Mm Lcp Ti Dist Rad Cort Dist Radial,215.62,84.09,,,0
CDM,SUP3115,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 16Mm Lc Dcp Lcp Ti Cort Prox,146.97,57.32,,,0
CDM,SUP3116,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 18Mm Lc Dcp Lcp Ti Cort Prox,146.97,57.32,,,0
CDM,SUP3123,Noncdm Charge Record Medical Supplies - Set Adm 100In 15 Gtt 16Ml Iv,21.74,8.48,,,0
CDM,SUP3124,Noncdm Charge Record Medical Supplies - Set Adm 104In 15 Gtt 19.6Ml Iv,53.82,20.99,,,0
CDM,SUP3125_272,Noncdm Charge Record Medical Supplies - Set Adm 100In 15 Gtt 17Ml Iv,23.56,9.19,,,0
CDM,SUP3125_A4649_272,Noncdm Charge Record Medical Supplies - Set Adm 100In 15 Gtt 17Ml Iv,26.36,10.28,,,0
CDM,SUP3125_A9999_272,Noncdm Charge Record Medical Supplies - Set Adm 100In 15 Gtt 17Ml Iv,18.63,7.27,,,0
CDM,SUP3128,Noncdm Charge Record Medical Supplies - Set Extn .2Um 17In Iv Clv,17.6,6.86,,,0
CDM,SUP3132,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 200Mm 80Mm Schnz Ss Self Drill,639.25,249.31,,,0
CDM,SUP3133,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 150Mm Schnz Ss Condy Hip Self,654.86,255.4,,,0
CDM,SUP3138,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 55Mm T2 Ti Alloy Ft Prox Fem Lck,1486.26,579.64,,,0
CDM,SUP314,Noncdm Charge Record Medical Supplies - Head Bipolar 43Mm 26Mm Uhr,4161.73,1623.07,,,0
CDM,SUP3140,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 45Mm T2 Ti Alloy Ft Prox Fem Lck,1486.78,579.84,,,0
CDM,SUP3141,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 35Mm T2 Ti Alloy Ft Prox Fem Lck,1073.42,418.63,,,0
CDM,SUP3142,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 70Mm T2 Ti Alloy,1486.26,579.64,,,0
CDM,SUP3145_272,Noncdm Charge Record Medical Supplies - Rasp Surg 11X5Mm Lg Ss Tear,580.66,226.46,,,0
CDM,SUP3145_A4649_272,Noncdm Charge Record Medical Supplies - Rasp Surg 11X5Mm Lg Ss Tear,580.64,226.45,,,0
CDM,SUP3146,Noncdm Charge Record Medical Supplies - Ear Tube Ventilation 1.14Mm 2.4Mm Shephard Medtronic Inc,80.73,31.48,,,0
CDM,SUP3147,Noncdm Charge Record Medical Supplies - Sensor Adlt Mxfst Frhd Oxm Adh Disp,83.85,32.7,,,0
CDM,SUP3158,Noncdm Charge Record Medical Supplies - Kit Trial Lead,5075.12,1979.3,,,0
CDM,SUP316,Noncdm Charge Record Medical Supplies - Head Unplr 46Mm Untrx Fem Hip,3006.68,1172.61,,,0
CDM,SUP3161,Noncdm Charge Record Medical Supplies - Graft Bn Dem Bn Mtrx 5Ml Mx Ns (X),4978.35,1941.56,,,0
CDM,SUP3164,Noncdm Charge Record Medical Supplies - Clamp Circ 1.3Cm Gmco 1.3 Strl Disp,123.68,48.24,,,0
CDM,SUP3177_272,Noncdm Charge Record Medical Supplies - Drain 10 French Round Bard,72.43,28.25,,,0
CDM,SUP3177_A4649_272,Noncdm Charge Record Medical Supplies - Drain 10 French Round Bard,72.45,28.26,,,0
CDM,SUP3177_A9999_272,Noncdm Charge Record Medical Supplies - Drain 10 French Round Bard,72.45,28.26,,,0
CDM,SUP3178,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 175Mm Schnz Ss Condy Hip Self,646.76,252.24,,,0
CDM,SUP3179_272,Noncdm Charge Record Medical Supplies - Snare Sns 240Cm 27Mm Polyp Std,114.88,44.8,,,0
CDM,SUP3179_A4649_272,Noncdm Charge Record Medical Supplies - Snare Sns 240Cm 27Mm Polyp Std,114.88,44.8,,,0
CDM,SUP3179_A9999_272,Noncdm Charge Record Medical Supplies - Snare Sns 240Cm 27Mm Polyp Std,114.88,44.8,,,0
CDM,SUP320,Noncdm Charge Record Medical Supplies - Stem Fem 30Mm Cement 132D 8,5940.9,2316.95,,,0
CDM,SUP32078,Noncdm Charge Record Medical Supplies,10868.54,4238.73,,,0
CDM,SUP32079,Noncdm Charge Record Medical Supplies - Liner Neut 32Idx48Od,6394.23,2493.75,,,0
CDM,SUP32089,Noncdm Charge Record Medical Supplies - Screw Dia 5Mm Len 75Mm Ti,1065.02,415.36,,,0
CDM,SUP32096,Noncdm Charge Record Medical Supplies - Clamp Adv Strt,2692.04,1049.9,,,0
CDM,SUP32097,Noncdm Charge Record Medical Supplies - Screw Len 260-90 Dia 6-5.6 Str Xclbr Slf Drl Osteotite,580.12,226.25,,,0
CDM,SUP321,Noncdm Charge Record Medical Supplies - Stem Fem 30Mm Cement 132D 7,5657.31,2206.35,,,0
CDM,SUP32104,Noncdm Charge Record Medical Supplies,423.32,165.09,,,0
CDM,SUP3212,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 40Mm T2 Ti Alloy Ft Prox Fem Lck,1073.3,418.59,,,0
CDM,SUP3213,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 50Mm T2 Ti Alloy Ft Prox Fem Lck,660.33,257.53,,,0
CDM,SUP32132,Noncdm Charge Record Medical Supplies,487.48,190.12,,,0
CDM,SUP3215,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 75Mm T2 Ti Alloy Ft Prox Fem Lck,660.85,257.73,,,0
CDM,SUP3216,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 80Mm T2 Ti Alloy,660.33,257.53,,,0
CDM,SUP3217,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 85Mm T2 T1 Alloy Ft Prox Fem Lck,1073.3,418.59,,,0
CDM,SUP32170,Noncdm Charge Record Medical Supplies - Guide Drill 140Mm 4.8Mm,369.5,144.1,,,0
CDM,SUP3218,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 90Mm T2 Ti Alloy,1486.26,579.64,,,0
CDM,SUP322,Noncdm Charge Record Medical Supplies - Stem Fem 25Mm Cement 132D 6,5657.31,2206.35,,,0
CDM,SUP32233,Noncdm Charge Record Medical Supplies,2337.03,911.44,,,0
CDM,SUP32259,Noncdm Charge Record Medical Supplies,418.14,163.07,,,0
CDM,SUP32265,Noncdm Charge Record Medical Supplies - Kit Fixator Ped F- Sm Blue Daf 31000 Series,5905.71,2303.23,,,0
CDM,SUP32293,Noncdm Charge Record Medical Supplies - Clicker Comp-Dstrct Std Unit,1945.8,758.86,,,0
CDM,SUP32348,Noncdm Charge Record Medical Supplies - Kit Clamp K-Wire 2 Hl,676.89,263.99,,,0
CDM,SUP3235,Noncdm Charge Record Medical Supplies - Kit Peg 20 French Pull M00566070 Boston Scientific,889.05,346.73,,,0
CDM,SUP3236,Noncdm Charge Record Medical Supplies - Kit Peg 20Fr Sil Yprt Fen 3Ml,889.04,346.73,,,0
CDM,SUP3237,Noncdm Charge Record Medical Supplies - Kit Peg 24Fr Sil Yprt Fen,416.07,162.27,,,0
CDM,SUP32373,Noncdm Charge Record Medical Supplies - Cutter Bn Screw Xclbr Beere Medical,4571.42,1782.85,,,0
CDM,SUP3238,Noncdm Charge Record Medical Supplies - Tube Endotrach 7.5Mm Oral Cuff,19.15,7.47,,,0
CDM,SUP324,Noncdm Charge Record Medical Supplies - Sleeve Adjustment Unitrax +5Mm Femoral Hip Stryker Orthopedi,719.32,280.53,,,0
CDM,SUP3240,Noncdm Charge Record Medical Supplies - Plug Adapt Art Pin Plug Is-1,419.18,163.48,,,0
CDM,SUP32417,Noncdm Charge Record Medical Supplies - Screwdriver Hex 3.5Mm,190.44,74.27,,,0
CDM,SUP32443,Noncdm Charge Record Medical Supplies - Sleeve Main F- Pc.C.P,1414.84,551.79,,,0
CDM,SUP3245,Noncdm Charge Record Medical Supplies - Graft Bn Infs Rhbmp-2 2.8Ml Sm Kt Cerv Spine (X),21075.7,8219.52,,,0
CDM,SUP3246,Noncdm Charge Record Medical Supplies - Graft Bn Infs Rhbmp-2 5.6Ml Med Kt Cerv Spine (X),28517.36,11121.77,,,0
CDM,SUP3247,Noncdm Charge Record Medical Supplies - Graft Bn Infs Rhbmp-2 8Ml Reg Lg Kt Cerv (X),31755.87,12384.79,,,0
CDM,SUP32485,Noncdm Charge Record Medical Supplies - Drill Bit Qc Dia4.8 Lgth280Mm,651.02,253.9,,,0
CDM,SUP32506,Noncdm Charge Record Medical Supplies - Strut Tru Lok + Med Qck Adj,3619.4,1411.57,,,0
CDM,SUP32507,Noncdm Charge Record Medical Supplies - Strut Ce Tru Lok + Med Qck Adj,3619.4,1411.57,,,0
CDM,SUP32508,Noncdm Charge Record Medical Supplies - Strut Tru Lok + Lng Qck Adj,3393.1,1323.31,,,0
CDM,SUP32509,Noncdm Charge Record Medical Supplies - Strut Ce Tru Lok + Lng Qck Adj,3393.22,1323.36,,,0
CDM,SUP32515,Noncdm Charge Record Medical Supplies - Driver Tl 0.125 In Hex,797.98,311.21,,,0
CDM,SUP32532,Noncdm Charge Record Medical Supplies - Rod Thrd 60Mm,162.24,63.27,,,0
CDM,SUP32544,Noncdm Charge Record Medical Supplies - Ring Tl Half Dia160Mm,2552.31,995.4,,,0
CDM,SUP32598,Noncdm Charge Record Medical Supplies,631.35,246.23,,,0
CDM,SUP32602,Noncdm Charge Record Medical Supplies,631.35,246.23,,,0
CDM,SUP32642,Noncdm Charge Record Medical Supplies - Nail Ankle Comp Ti 10Mm L150Mm Cannula,9647.24,3762.42,,,0
CDM,SUP32643,Noncdm Charge Record Medical Supplies - Nail Ankle Comp Ti 10Mm L200Mm Cannula,9646.89,3762.29,,,0
CDM,SUP32646,Noncdm Charge Record Medical Supplies - Nail Ankle Comp Ti 11Mm L300Mm Cannula,9647.24,3762.42,,,0
CDM,SUP32661,Noncdm Charge Record Medical Supplies - Screw Thrd Hd Ti 5Mm L 65Mm,1017.4,396.79,,,0
CDM,SUP327,Noncdm Charge Record Medical Supplies - Cannula Ercp .035In Tapered Tip Boston Scientific,391.23,152.58,,,0
CDM,SUP32847,Noncdm Charge Record Medical Supplies - Fixator Minirail Artc W- Hinge,7733.52,3016.07,,,0
CDM,SUP328_270,Noncdm Charge Record Medical Supplies - Positioner Head Craddle Foam Deroyal Industries,13.46,5.25,,,0
CDM,SUP328_A4649_270,Noncdm Charge Record Medical Supplies - Positioner Head Craddle Foam Deroyal Industries,13.46,5.25,,,0
CDM,SUP328_A9999_270,Noncdm Charge Record Medical Supplies - Positioner Head Craddle Foam Deroyal Industries,13.46,5.25,,,0
CDM,SUP329,Noncdm Charge Record Medical Supplies - Introducer 70Cm 15Fr Et Tube Adlt,52.78,20.58,,,0
CDM,SUP32941,Noncdm Charge Record Medical Supplies - Wire K 1.1Mm 150Mm,171.55,66.9,,,0
CDM,SUP330,Noncdm Charge Record Medical Supplies - See 156160 Kit Press Transducer Dual Line Cust Monitor,150.07,58.53,,,0
CDM,SUP33055,Noncdm Charge Record Medical Supplies - Wire Guide 1.8Mm X 350Mm,465.75,181.64,,,0
CDM,SUP33083,Noncdm Charge Record Medical Supplies - Drill Bit Kit D 3.2Mm L 200Mm,329.13,128.36,,,0
CDM,SUP33088,Noncdm Charge Record Medical Supplies - Drill Bit Qc Dia4.8 Lgth240Mm Coated,635.49,247.84,,,0
CDM,SUP33127,Noncdm Charge Record Medical Supplies - Rail 350Mm Lrs Adv Radioluc,6287.62,2452.17,,,0
CDM,SUP33144,Noncdm Charge Record Medical Supplies,6729.57,2624.53,,,0
CDM,SUP33173,Noncdm Charge Record Medical Supplies,380.88,148.54,,,0
CDM,SUP331_272,Noncdm Charge Record Medical Supplies - Device 5-18Fr Tube Feed Attached Holder Hollister,9.32,3.63,,,0
CDM,SUP331_A9999_272,Noncdm Charge Record Medical Supplies - Device 5-18Fr Tube Feed Attached Holder Hollister,9.32,3.63,,,0
CDM,SUP33357,Noncdm Charge Record Medical Supplies - Disc Cerv Artf 13X17 H7 Mobi-C Us,21750.52,8482.7,,,0
CDM,SUP33360,Noncdm Charge Record Medical Supplies - Disc Cerv Artf 15X17 H5 Mobi-C Us,21750.52,8482.7,,,0
CDM,SUP3339,Noncdm Charge Record Medical Supplies - Wire Fx .045In 22.9Cm Krsh Ss,43.47,16.95,,,0
CDM,SUP33436,Noncdm Charge Record Medical Supplies - Tube Trach 2 Pc Adlt Tie,5.18,2.02,,,0
CDM,SUP3349_272,Noncdm Charge Record Medical Supplies - Tubing Irrigation Cysto Hospira,32.25,12.58,,,0
CDM,SUP3349_A4649_272,Noncdm Charge Record Medical Supplies - Tubing Irrigation Cysto Hospira,32.75,12.77,,,0
CDM,SUP3349_A9999_272,Noncdm Charge Record Medical Supplies - Tubing Irrigation Cysto Hospira,31.14,12.14,,,0
CDM,SUP3354,Noncdm Charge Record Medical Supplies - Shunt Neuro Bctsl Csf Ventri Cath Barium Sil,2439.75,951.5,,,0
CDM,SUP33541,Noncdm Charge Record Medical Supplies - Sling Pat Med Mesh Disp,1604.25,625.66,,,0
CDM,SUP33543,Noncdm Charge Record Medical Supplies - Sling Pat Ll Mesh Disp,136.62,53.28,,,0
CDM,SUP33546,Noncdm Charge Record Medical Supplies - Sling Sara 3000 Disp Flites,113.85,44.4,,,0
CDM,SUP3355,Noncdm Charge Record Medical Supplies - Shunt Neuro Bctsl Csf Prtnl Cath Barium Sil,2453.98,957.05,,,0
CDM,SUP3357_272,Noncdm Charge Record Medical Supplies - Tubing Irrigation Tur Hospira,50.26,19.6,,,0
CDM,SUP3357_A4649_272,Noncdm Charge Record Medical Supplies - Tubing Irrigation Tur Hospira,51.19,19.96,,,0
CDM,SUP3357_A9999_272,Noncdm Charge Record Medical Supplies - Tubing Irrigation Tur Hospira,48.7,18.99,,,0
CDM,SUP3359,Noncdm Charge Record Medical Supplies - Probe Irr 150Cm 1.5Mm Fiapc,1136.54,443.25,,,0
CDM,SUP3360,Noncdm Charge Record Medical Supplies - Pouch 10X8In Lapsac Spec Ret,409.17,159.58,,,0
CDM,SUP3361,Noncdm Charge Record Medical Supplies - Ring Retract Sm G2 Noryl Rsn Wo Stay Kt Rctl,385.02,150.16,,,0
CDM,SUP33617,Noncdm Charge Record Medical Supplies - Adapter Perfusion 1-4In,28.93,11.28,,,0
CDM,SUP3365,Noncdm Charge Record Medical Supplies - Punch Surg 4Mm Ss Derm Bx Rzr,12.42,4.84,,,0
CDM,SUP3369,Noncdm Charge Record Medical Supplies,830.07,323.73,,,0
CDM,SUP336_272,Noncdm Charge Record Medical Supplies - Suture Shuttle Ideal Straight Cresent Depuy Mitek,934.62,364.5,,,0
CDM,SUP336_A4649_272,Noncdm Charge Record Medical Supplies - Suture Shuttle Ideal Straight Cresent Depuy Mitek,934.6,364.49,,,0
CDM,SUP336_A9999_272,Noncdm Charge Record Medical Supplies - Suture Shuttle Ideal Straight Cresent Depuy Mitek,934.6,364.49,,,0
CDM,SUP33727,Noncdm Charge Record Medical Supplies - Distractor 12Mm,1726.9,673.49,,,0
CDM,SUP3374,Noncdm Charge Record Medical Supplies - Screw 5-65Mm Lcp Ss Prox Lck Fem Cannula,830.07,323.73,,,0
CDM,SUP33752,Noncdm Charge Record Medical Supplies,5436.86,2120.38,,,0
CDM,SUP33781,Noncdm Charge Record Medical Supplies - Plate Bn 55Mm L1 Atl Vsn Elt Cerv,3808.8,1485.43,,,0
CDM,SUP33824,Noncdm Charge Record Medical Supplies - Screw 4.0X14 Self Drill Fix,725.28,282.86,,,0
CDM,SUP3383,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 70Mm Lcp Ss Peri Art Fem-Tib,1024.65,399.61,,,0
CDM,SUP3384,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 75Mm Lcp Ss Peri Art Fem-Tib,764.86,298.3,,,0
CDM,SUP3385,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 80Mm Lcp Ss Peri Art Fem-Tib,894.76,348.96,,,0
CDM,SUP3386,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 85Mm Lcp Ss Peri Art Fem-Tib,1024.65,399.61,,,0
CDM,SUP33876,Noncdm Charge Record Medical Supplies - Instrument 5.5Mm Rod Reduc Lng,14508.63,5658.37,,,0
CDM,SUP33920,Noncdm Charge Record Medical Supplies,2173.5,847.66,,,0
CDM,SUP3395,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 90Mm Lcp Ss Ft Condy Fem-Tib,1120.9,437.15,,,0
CDM,SUP34002,Noncdm Charge Record Medical Supplies - Plate Bn 27.5Mm Atl Vsn Elt Cerv,3625.6,1413.98,,,0
CDM,SUP34072_272,Noncdm Charge Record Medical Supplies - Forceps Rad Jaw Ped Bx,346.72,135.22,,,0
CDM,SUP34072_A9999_272,Noncdm Charge Record Medical Supplies - Forceps Rad Jaw Ped Bx,346.72,135.22,,,0
CDM,SUP34077,Noncdm Charge Record Medical Supplies - Dressing Ca Alg Medihoney 2X2,18.97,7.4,,,0
CDM,SUP34078,Noncdm Charge Record Medical Supplies - See 99550 Gel Medihoney .5Fl Oz Twistofst,20.7,8.07,,,0
CDM,SUP34138_C1762_278,Noncdm Charge Record Medical Supplies - Graft Amnio Membr 5Cmx6Cm Allograft Epifix (X),30092.62,11736.12,,,0
CDM,SUP34138_Q4186_278,Noncdm Charge Record Medical Supplies - Graft Amnio Membr 5Cmx6Cm Allograft Epifix (X),29083.11,11342.41,,,0
CDM,SUP34260,Noncdm Charge Record Medical Supplies,920.12,358.85,,,0
CDM,SUP343,Noncdm Charge Record Medical Supplies - See 127748 Sitz Bath Graphite Mediline Industries Inc.,9.32,3.63,,,0
CDM,SUP34779,Noncdm Charge Record Medical Supplies,1358.96,529.99,,,0
CDM,SUP34784,Noncdm Charge Record Medical Supplies - Screw Maxlck 4.0X14Mm S-T,4929.7,1922.58,,,0
CDM,SUP348,Noncdm Charge Record Medical Supplies - See 1077 Drain Round .25In Bard,33.12,12.92,,,0
CDM,SUP34875,Noncdm Charge Record Medical Supplies - Stent Vasc 6Mm 25Cm 120Cm .018In Endopros Del,31630.12,12335.75,,,0
CDM,SUP349,Noncdm Charge Record Medical Supplies - Drain Round 3-16In Bard,33.25,12.97,,,0
CDM,SUP34928,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 22Mm Actrk2 Ti Mini Hand Full,2449.84,955.44,,,0
CDM,SUP34937,Noncdm Charge Record Medical Supplies - Pin Steinmann Thrd Tip,1053.56,410.89,,,0
CDM,SUP34938,Noncdm Charge Record Medical Supplies - Suture Surgipro 3-0 V20 48In Blue Double Armed Covidien,20.18,7.87,,,0
CDM,SUP3499,Noncdm Charge Record Medical Supplies - Plate 72Mm Ss 3.5Mm Screw Sm Frag Set 5 Hl,1223.37,477.11,,,0
CDM,SUP3500,Noncdm Charge Record Medical Supplies - Plate 85Mm Ss 3.5Mm Screw Sm F Frag Set 6 Hl,1295.47,505.23,,,0
CDM,SUP3501,Noncdm Charge Record Medical Supplies - Plate 111Mm Ss 3.5Mm Screw Sm Frag Set 8 Hl,1415.61,552.09,,,0
CDM,SUP35016,Noncdm Charge Record Medical Supplies - Standard Rt Aculoc 2 Distal Plate,5297.65,2066.08,,,0
CDM,SUP3502,Noncdm Charge Record Medical Supplies - Plate 124Mm Ss 3.5Mm Screw Sm Frag Set 9 Hl,1498.83,584.54,,,0
CDM,SUP35021,Noncdm Charge Record Medical Supplies - Lead D4 Act,12888.16,5026.38,,,0
CDM,SUP3503,Noncdm Charge Record Medical Supplies - Plate 137Mm Ss 3.5Mm Screw Sm Frag Set 10 Hl,1516.28,591.35,,,0
CDM,SUP35039,Noncdm Charge Record Medical Supplies - Pin Half 200Mm 6Mm Ha 70Mm,1958.91,763.97,,,0
CDM,SUP3504,Noncdm Charge Record Medical Supplies - Plate 163Mm Ss 3.5Mm Screw Sm Frag Set 12 Hl,1677.74,654.32,,,0
CDM,SUP3505,Noncdm Charge Record Medical Supplies - Plate 189Mm Ss 3.5Mm Screw Sm Frag Set 14 Hl,2524.36,984.5,,,0
CDM,SUP3506,Noncdm Charge Record Medical Supplies - Plate 70Mm Ss 3.5Mm Screw Sm Frag Set 5 Hl,1792.1,698.92,,,0
CDM,SUP3507,Noncdm Charge Record Medical Supplies - Plate 84Mm Ss 3.5Mm Screw Sm Frag Set 6 Hl,2070.26,807.4,,,0
CDM,SUP3508,Noncdm Charge Record Medical Supplies - Plate 98Mm Ss 3.5Mm Screw Sm Frag Set 7 Hl,2125.89,829.1,,,0
CDM,SUP3509,Noncdm Charge Record Medical Supplies - Plate 112Mm Ss 3.5Mm Screw Sm Frag Set 8 Hl,2221.11,866.23,,,0
CDM,SUP351,Noncdm Charge Record Medical Supplies - Head Bipolar 47Mm 26Mm Uhr,4161.73,1623.07,,,0
CDM,SUP3510,Noncdm Charge Record Medical Supplies - Plate 50Mm Ss 3.5Mm Screw Sm Frag Set 3X3 Hl T Rt Ang,1300.48,507.19,,,0
CDM,SUP3511,Noncdm Charge Record Medical Supplies - Plate 67Mm Ss 3.5Mm Screw Sm Frag Set 8 Hl T,1454.18,567.13,,,0
CDM,SUP3512,Noncdm Charge Record Medical Supplies - Plate 78Mm Ss 3.5Mm Screw Sm Frag Set 6X4 Hl,1699.47,662.79,,,0
CDM,SUP35128,Noncdm Charge Record Medical Supplies - Ring Prof 3D 26Mm,8942.4,3487.54,,,0
CDM,SUP35129,Noncdm Charge Record Medical Supplies - Ring Prof 3D 28Mm,8942.4,3487.54,,,0
CDM,SUP35130,Noncdm Charge Record Medical Supplies - Ring Prof 3D 30Mm,8942.4,3487.54,,,0
CDM,SUP35131,Noncdm Charge Record Medical Supplies - Ring Prof 3D 32Mm,8942.4,3487.54,,,0
CDM,SUP35132,Noncdm Charge Record Medical Supplies - Ring Prof 3D 34Mm,8942.4,3487.54,,,0
CDM,SUP35133,Noncdm Charge Record Medical Supplies - Ring Prof 3D 36Mm,8942.4,3487.54,,,0
CDM,SUP35134,Noncdm Charge Record Medical Supplies - Ring Prof 3D 38Mm,8942.4,3487.54,,,0
CDM,SUP35135,Noncdm Charge Record Medical Supplies - Ring Prof 3D 40Mm,8942.4,3487.54,,,0
CDM,SUP35138,Noncdm Charge Record Medical Supplies - Device Guiding Coagulation 3Cm,50704.65,19774.81,,,0
CDM,SUP35139,Noncdm Charge Record Medical Supplies - Introducer Sheath Optiseal 11F 13Cm,213.21,83.15,,,0
CDM,SUP35140,Noncdm Charge Record Medical Supplies - Introducer Sheath Optiseal 6Fr,251.5,98.08,,,0
CDM,SUP3518,Noncdm Charge Record Medical Supplies - Plate 57Mm Ss Sm Frag Set 5 Hl 1-3 Tube,702.57,274.0,,,0
CDM,SUP3519,Noncdm Charge Record Medical Supplies - Plate 69Mm Ss Sm Frag Set 6 Hl 1-3 Tube,708.91,276.47,,,0
CDM,SUP3520,Noncdm Charge Record Medical Supplies - Plate 81Mm Ss Sm Frag 7Hl 1-3 1-3 Tube,704.4,274.72,,,0
CDM,SUP3522,Noncdm Charge Record Medical Supplies - Plate 117Mm Ss Sm Frag Set 10 Hl 1-3 Tube,774.75,302.15,,,0
CDM,SUP3523,Noncdm Charge Record Medical Supplies - Plate 141Mm Ss Sm Frag Set 12 Hl 1-3 Tube,791.92,308.85,,,0
CDM,SUP35239,Noncdm Charge Record Medical Supplies - Cup Multihole W-Gription 52Mm,14110.16,5502.96,,,0
CDM,SUP3524,Noncdm Charge Record Medical Supplies - Screw 3.5-10Mm Lcp Ss Tib Lck Prox Med Tib Lck,550.83,214.82,,,0
CDM,SUP35240,Noncdm Charge Record Medical Supplies,12458.3,4858.74,,,0
CDM,SUP35247,Noncdm Charge Record Medical Supplies - Liner 4 10D 36Idx52Od,6100.29,2379.11,,,0
CDM,SUP35248,Noncdm Charge Record Medical Supplies - Liner 4 10D 36Idx54Od,6730.26,2624.8,,,0
CDM,SUP3525,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 12Mm Lcp Ss Prox Med Tib Lck,550.96,214.87,,,0
CDM,SUP35253,Noncdm Charge Record Medical Supplies,9248.76,3607.02,,,0
CDM,SUP3526,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 14Mm Lcp Ss Prox Med Tib Lck,550.79,214.81,,,0
CDM,SUP3527,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 16Mm Lcp Ss Troch St Lck,550.85,214.83,,,0
CDM,SUP35270,Noncdm Charge Record Medical Supplies - Head Ts Cer 41622 36Mm 1.5,11334.8,4420.57,,,0
CDM,SUP35271,Noncdm Charge Record Medical Supplies - Head Ts Cer Hd 41622 36Mm 5,9108.0,3552.12,,,0
CDM,SUP3528,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 18Mm Lcp Ss Prox Med Tib Lck,551.49,215.08,,,0
CDM,SUP3529,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 20Mm Lcp Ss Prox Med Tib T15,551.66,215.15,,,0
CDM,SUP3530,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 22Mm Lcp Ss Ped Univ Med Prox,552.95,215.65,,,0
CDM,SUP3531,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 24Mm Lcp Ss Med Prox Tib T15,551.25,214.99,,,0
CDM,SUP3532,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 26Mm Lcp Ss Prox Med Tib T15,551.84,215.22,,,0
CDM,SUP35332_272,Noncdm Charge Record Medical Supplies - Instrument Strl Thrd Pins Head,1265.8,493.66,,,0
CDM,SUP35332_A4649_272,Noncdm Charge Record Medical Supplies - Instrument Strl Thrd Pins Head,1265.8,493.66,,,0
CDM,SUP3534,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 30Mm Lcp Ss Prox Med Tib Lck,553.1,215.71,,,0
CDM,SUP3535,Noncdm Charge Record Medical Supplies - Screw 3.5-32Mm Lcp Ss Tib Lck Prox Med Tib Lck,554.53,216.27,,,0
CDM,SUP3536,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 34Mm Lcp Ss Cort T15 Stardr,552.17,215.35,,,0
CDM,SUP3537,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 36Mm Lcp Ss Prox Med Tib Lck,551.66,215.15,,,0
CDM,SUP35375,Noncdm Charge Record Medical Supplies,7675.56,2993.47,,,0
CDM,SUP35376,Noncdm Charge Record Medical Supplies - Head Cer 41622 36Mm 1.5,7859.17,3065.08,,,0
CDM,SUP3538,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 38Mm Lcp Ss Prox Med Tib Lck,552.69,215.55,,,0
CDM,SUP35385,Noncdm Charge Record Medical Supplies - Liner Neut 36Idx58Od,6100.29,2379.11,,,0
CDM,SUP35386,Noncdm Charge Record Medical Supplies - Liner Neut 32Idx50Od,5616.94,2190.61,,,0
CDM,SUP35387,Noncdm Charge Record Medical Supplies,6100.29,2379.11,,,0
CDM,SUP3539,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 40Mm Lcp Ss Prox Med Tib Lck,553.29,215.78,,,0
CDM,SUP35390,Noncdm Charge Record Medical Supplies - Cup Sector W-Gription 50Mm,10868.54,4238.73,,,0
CDM,SUP35394,Noncdm Charge Record Medical Supplies - Liner Neut 36Idx52Od,6935.54,2704.86,,,0
CDM,SUP35395,Noncdm Charge Record Medical Supplies - Liner Neut 36Idx54Od,6935.54,2704.86,,,0
CDM,SUP35397,Noncdm Charge Record Medical Supplies - Instrument Strl Threaded Pins,1108.48,432.31,,,0
CDM,SUP353_272,Noncdm Charge Record Medical Supplies - Drain Incs 1-8In 49In Sil End Perf Round Troc,33.12,12.92,,,0
CDM,SUP353_A4649_272,Noncdm Charge Record Medical Supplies - Drain Incs 1-8In 49In Sil End Perf Round Troc,33.12,12.92,,,0
CDM,SUP353_A9999_272,Noncdm Charge Record Medical Supplies - Drain Incs 1-8In 49In Sil End Perf Round Troc,33.12,12.92,,,0
CDM,SUP354,Noncdm Charge Record Medical Supplies - Head Bipolar 45Mm 26Mm Uhr,3963.02,1545.58,,,0
CDM,SUP3540,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 45Mm Lcp Ss Prox Med Tib Lck,551.86,215.23,,,0
CDM,SUP3541,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 50Mm Lcp Ss Prox Med Tib Lck,553.38,215.82,,,0
CDM,SUP3542,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 55Mm Lcp Ss Prox Med Tib Lck,552.17,215.35,,,0
CDM,SUP35425,Noncdm Charge Record Medical Supplies - Head Femoral Cocr 28+6,2746.89,1071.29,,,0
CDM,SUP3543_272,Noncdm Charge Record Medical Supplies - Needle Bx 18Ga 10Cm Mxcor Ul,129.35,50.45,,,0
CDM,SUP3543_A4649_272,Noncdm Charge Record Medical Supplies - Needle Bx 18Ga 10Cm Mxcor Ul,129.38,50.46,,,0
CDM,SUP3543_A9999_272,Noncdm Charge Record Medical Supplies - Needle Bx 18Ga 10Cm Mxcor Ul,129.38,50.46,,,0
CDM,SUP3544_272,Noncdm Charge Record Medical Supplies - Needle Bx 17Ga 7.8Cm Trgd Coax,48.64,18.97,,,0
CDM,SUP3544_A4649_272,Noncdm Charge Record Medical Supplies - Needle Bx 17Ga 7.8Cm Trgd Coax,48.64,18.97,,,0
CDM,SUP3544_A9999_272,Noncdm Charge Record Medical Supplies - Needle Bx 17Ga 7.8Cm Trgd Coax,48.64,18.97,,,0
CDM,SUP3548,Noncdm Charge Record Medical Supplies - Retractor Syst Uro Wilson Stay Hook Elev Strap Strl,1443.82,563.09,,,0
CDM,SUP3550,Noncdm Charge Record Medical Supplies - Electrode Pacing 110Cm 5Fr,1835.06,715.67,,,0
CDM,SUP3552,Noncdm Charge Record Medical Supplies - Cement Bn Smpx P Radiopq Fd Strl 10Pk,436.77,170.34,,,0
CDM,SUP35578,Noncdm Charge Record Medical Supplies - Instrument Post Retract Ace Rt,2105.19,821.02,,,0
CDM,SUP3565,Noncdm Charge Record Medical Supplies - Stent-Graft Endopros 7Cm 12Mm,14998.18,5849.29,,,0
CDM,SUP35665,Noncdm Charge Record Medical Supplies - Head Femoral Cocr 28+9,3330.63,1298.95,,,0
CDM,SUP3567,Noncdm Charge Record Medical Supplies - Stent-Graft Endopros 7Cm,14998.18,5849.29,,,0
CDM,SUP356_272,Noncdm Charge Record Medical Supplies - Tube Endotrach 6Mm Oral Cuff,20.18,7.87,,,0
CDM,SUP356_A4649_272,Noncdm Charge Record Medical Supplies - Tube Endotrach 6Mm Oral Cuff,20.7,8.07,,,0
CDM,SUP3571,Noncdm Charge Record Medical Supplies - Stent-Graft Endopros 10Cm 12Mm,21542.49,8401.57,,,0
CDM,SUP3572,Noncdm Charge Record Medical Supplies - Stent-Graft Endopros 12Cm 12Mm,21542.49,8401.57,,,0
CDM,SUP3573,Noncdm Charge Record Medical Supplies - Stent-Graft Endopros 14Cm 12Mm,21542.49,8401.57,,,0
CDM,SUP3574,Noncdm Charge Record Medical Supplies - Stent-Graft Endopros 10Cm 14.5Mm Exclud Xtd,21542.49,8401.57,,,0
CDM,SUP35754_272,Noncdm Charge Record Medical Supplies - Cannula Troc 5.5Mm Lck W Wdfrd Spk Troc,178.55,69.63,,,0
CDM,SUP35754_A4649_272,Noncdm Charge Record Medical Supplies - Cannula Troc 5.5Mm Lck W Wdfrd Spk Troc,178.54,69.63,,,0
CDM,SUP35754_A9999_272,Noncdm Charge Record Medical Supplies - Cannula Troc 5.5Mm Lck W Wdfrd Spk Troc,178.54,69.63,,,0
CDM,SUP3577,Noncdm Charge Record Medical Supplies - Catheter Drain 8.5Fr 25Cm,396.4,154.6,,,0
CDM,SUP3578,Noncdm Charge Record Medical Supplies - Sphincterotome Rx 20Mmx5Mm,1493.5,582.46,,,0
CDM,SUP3584,Noncdm Charge Record Medical Supplies - Stent Bil 8Mm 6Fr 27Mm 75Cm,3595.59,1402.28,,,0
CDM,SUP3585,Noncdm Charge Record Medical Supplies - Stent Bil 8Mm 6Fr 37Mm 75Cm,5442.2,2122.46,,,0
CDM,SUP3587,Noncdm Charge Record Medical Supplies - Stent Bil 9Mm 6Fr 37Mm 75Cm,4334.37,1690.4,,,0
CDM,SUP3589,Noncdm Charge Record Medical Supplies,3866.76,1508.04,,,0
CDM,SUP3596,Noncdm Charge Record Medical Supplies - Catheter Drain 24Fr Malecots Latex Bard,48.68,18.99,,,0
CDM,SUP3599,Noncdm Charge Record Medical Supplies,93.15,36.33,,,0
CDM,SUP360,Noncdm Charge Record Medical Supplies - Ear Tube Ventilation 4.8L X 1.32Mm Modified T Richard Olympu,116.08,45.27,,,0
CDM,SUP3600,Noncdm Charge Record Medical Supplies - Tube Feed 20Fr Y-Port Adpr,41.4,16.15,,,0
CDM,SUP3601,Noncdm Charge Record Medical Supplies - Catheter 10Fr 25Ga 210Cm,1901.3,741.51,,,0
CDM,SUP3603,Noncdm Charge Record Medical Supplies - Needleknife Rx 7-5.5Fr 4-6Mm 5Mm Trpl Lum,1124.01,438.36,,,0
CDM,SUP3604_272,Noncdm Charge Record Medical Supplies - Brush Cytology 8Fr 200Cm 2.1Mm Boston Scientific,665.5,259.54,,,0
CDM,SUP3604_A4649_272,Noncdm Charge Record Medical Supplies - Brush Cytology 8Fr 200Cm 2.1Mm Boston Scientific,665.5,259.54,,,0
CDM,SUP3606,Noncdm Charge Record Medical Supplies - Basket Trapezoid Wireguided 1.5Cmx0.035X3.2Mm Boston Scienti,1800.9,702.35,,,0
CDM,SUP3607,Noncdm Charge Record Medical Supplies - Needle 0-8Cm Us Ball Tip Lck,1097.1,427.87,,,0
CDM,SUP3610,Noncdm Charge Record Medical Supplies - Catheter Drain 3-15Cm Csf Ventri Anmc D Mrkng,2341.35,913.13,,,0
CDM,SUP3612,Noncdm Charge Record Medical Supplies - Plate 28Mm Ti 1 Lvl Fx Hl Ctk Bn Ant Cerv,8033.41,3133.03,,,0
CDM,SUP3616_C1713_278,Noncdm Charge Record Medical Supplies - Bone Canc 4-10 30Cc,1584.58,617.99,,,0
CDM,SUP3616_C1762_278,Noncdm Charge Record Medical Supplies - Bone Canc 4-10 30Cc,1584.58,617.99,,,0
CDM,SUP3618,Noncdm Charge Record Medical Supplies - Substitute Bn Grft Dem Putty 1 Bn Mtrx (X) Grftn,537.16,209.49,,,0
CDM,SUP3619,Noncdm Charge Record Medical Supplies - Substitute Bn Graft 5X2.5Cm,7221.2,2816.27,,,0
CDM,SUP362,Noncdm Charge Record Medical Supplies - Sling Orth S-Med 7.5X5.5In Arm Cva Cnvs Foam,20.7,8.07,,,0
CDM,SUP36224,Noncdm Charge Record Medical Supplies,3902.98,1522.16,,,0
CDM,SUP3630_270,Noncdm Charge Record Medical Supplies - Cautery Tip Electrosurgical Megadyne,85.89,33.5,,,0
CDM,SUP3630_A4649_270,Noncdm Charge Record Medical Supplies - Cautery Tip Electrosurgical Megadyne,85.9,33.5,,,0
CDM,SUP3631,Noncdm Charge Record Medical Supplies - Cement Bn Radiopq Fd Strl,1638.4,638.98,,,0
CDM,SUP36465,Noncdm Charge Record Medical Supplies - Cup 300 Acet 54Mm,14110.16,5502.96,,,0
CDM,SUP36489,Noncdm Charge Record Medical Supplies,9628.6,3755.15,,,0
CDM,SUP36536,Noncdm Charge Record Medical Supplies,12458.3,4858.74,,,0
CDM,SUP36537,Noncdm Charge Record Medical Supplies - Cup Multihole W-Gription 56Mm,14111.71,5503.57,,,0
CDM,SUP36538,Noncdm Charge Record Medical Supplies,14620.06,5701.82,,,0
CDM,SUP36560,Noncdm Charge Record Medical Supplies - Screw Can Bone 6.5Mmx45Mm,607.54,236.94,,,0
CDM,SUP3666,Noncdm Charge Record Medical Supplies - Plate Mini 90X90X.6Mm 1.7Mm Screw Cranmf Ti,7534.63,2938.51,,,0
CDM,SUP3668,Noncdm Charge Record Medical Supplies - Bandage D-Stat Patch,189.88,74.05,,,0
CDM,SUP3671,Noncdm Charge Record Medical Supplies - Device Comp Gold Fmstp 2 Act Hndfr Dressing,681.62,265.83,,,0
CDM,SUP3672,Noncdm Charge Record Medical Supplies - Catheter Centrl Venous 7Fr 8In,154.22,60.15,,,0
CDM,SUP3673,Noncdm Charge Record Medical Supplies - Kit Art Line 6In 18Ga .025In Radiopq Spring,164.56,64.18,,,0
CDM,SUP3674,Noncdm Charge Record Medical Supplies - Device Univ 15L Drain Grvty Rc,47.61,18.57,,,0
CDM,SUP36756,Noncdm Charge Record Medical Supplies,8643.28,3370.88,,,0
CDM,SUP36783,Noncdm Charge Record Medical Supplies - Liner 4 10D 32Idx48Od,6486.34,2529.67,,,0
CDM,SUP36798,Noncdm Charge Record Medical Supplies - Liner 4 10D 36Idx56Od,7990.2,3116.18,,,0
CDM,SUP36887,Noncdm Charge Record Medical Supplies - Hole Elim Positive Stop,761.76,297.09,,,0
CDM,SUP3692,Noncdm Charge Record Medical Supplies - See 131890 Lead Pacemaker Myocardial 35Cm,1933.38,754.02,,,0
CDM,SUP3697,Noncdm Charge Record Medical Supplies - Basket Airway Retrival 0.8Mmx120Cmx12Mm Boston Scientific,1540.08,600.63,,,0
CDM,SUP3698_272,Noncdm Charge Record Medical Supplies,1521.45,593.37,,,0
CDM,SUP3698_A4649_272,Noncdm Charge Record Medical Supplies,1512.14,589.73,,,0
CDM,SUP3699,Noncdm Charge Record Medical Supplies - Mesh Surg Pro 6X6In Hernia Nonabs Sft Knit,658.45,256.8,,,0
CDM,SUP37029,Noncdm Charge Record Medical Supplies - Screw Can Bone,607.54,236.94,,,0
CDM,SUP3702_272,Noncdm Charge Record Medical Supplies - See 138566 Syringe Toomey Bard,7.99,3.12,,,0
CDM,SUP3702_A4649_272,Noncdm Charge Record Medical Supplies,8.28,3.23,,,0
CDM,SUP3702_A9999_272,Noncdm Charge Record Medical Supplies - See 138566 Syringe Toomey Bard,8.28,3.23,,,0
CDM,SUP3703,Noncdm Charge Record Medical Supplies - Drain Incs 15X5-8In Abrmn Sil,104.54,40.77,,,0
CDM,SUP3704,Noncdm Charge Record Medical Supplies - Tube Ng 8In 20Fr Esoph 3 Lum 2,718.29,280.13,,,0
CDM,SUP3705,Noncdm Charge Record Medical Supplies - Guidewire Vasc .018In 60Cm 7Cm,207.01,80.73,,,0
CDM,SUP3709_270,Noncdm Charge Record Medical Supplies - Unit Suction Puddle Guppy Deroyal,35.19,13.72,,,0
CDM,SUP3709_A4649_270,Noncdm Charge Record Medical Supplies - Unit Suction Puddle Guppy Deroyal,35.19,13.72,,,0
CDM,SUP3709_A9999_270,Noncdm Charge Record Medical Supplies - Unit Suction Puddle Guppy Deroyal,35.19,13.72,,,0
CDM,SUP371,Noncdm Charge Record Medical Supplies,58.65,22.87,,,0
CDM,SUP3717,Noncdm Charge Record Medical Supplies - Catheter Drain 10.2Fr 25Cm Dws,396.4,154.6,,,0
CDM,SUP3719,Noncdm Charge Record Medical Supplies - Catheter Angio .035In H1 5Fr 100Cm Crbrl 5-Bx,96.26,37.54,,,0
CDM,SUP3720,Noncdm Charge Record Medical Supplies - Graft Bn Infs Rgbmp Lg Kt Cerv Spine Lumb Tpr (X),31755.87,12384.79,,,0
CDM,SUP3728,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 10Mm Wr Hnd,548.03,213.73,,,0
CDM,SUP3729,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 12Mm Wr Hnd,547.52,213.53,,,0
CDM,SUP373_270,Noncdm Charge Record Medical Supplies - Catheter Drain 32Fr 16In Argle Trocar Tip Straight Covidien,58.58,22.85,,,0
CDM,SUP373_272,Noncdm Charge Record Medical Supplies - Catheter Drain 32Fr 16In Argle Trocar Tip Straight Covidien,58.65,22.87,,,0
CDM,SUP3742_272,Noncdm Charge Record Medical Supplies - Catheter Torcon Nb Beacon Tip .038 Kmp Crv Cook,105.51,41.15,,,0
CDM,SUP3742_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Torcon Nb Beacon Tip .038 Kmp Crv Cook,96.26,37.54,,,0
CDM,SUP3743,Noncdm Charge Record Medical Supplies - Dilator Vasc 8Fr 20Cm Std Radiopq .035In,31.05,12.11,,,0
CDM,SUP3745,Noncdm Charge Record Medical Supplies - See 135495 Coil Embol 9.5Cm 8-4Mm Trnd Sft Mciol .018In,566.14,220.79,,,0
CDM,SUP3747,Noncdm Charge Record Medical Supplies - See 135499 Coil Embol 5.8Cm 6-3Mm Trnd .035In Std Plat,566.14,220.79,,,0
CDM,SUP375,Noncdm Charge Record Medical Supplies - See 157615 Tube Salem Sump Dual Lumen Silicone 16Fr 481N Sto,51.75,20.18,,,0
CDM,SUP37596,Noncdm Charge Record Medical Supplies - Head Fem Biolox 28Mm -3.5Mm,6606.4,2576.5,,,0
CDM,SUP37597,Noncdm Charge Record Medical Supplies - Head Fem Biolox 28Mm +0Mm,6606.4,2576.5,,,0
CDM,SUP37598,Noncdm Charge Record Medical Supplies - Head Fem Biolox 28Mm +3.5Mm,6606.4,2576.5,,,0
CDM,SUP37603,Noncdm Charge Record Medical Supplies - Head Fem Biolox 36Mm +7Mm,7743.87,3020.11,,,0
CDM,SUP3761,Noncdm Charge Record Medical Supplies - Introducer Cath 30Cm 6Fr .038In Lng Lgth Ckfl,278.42,108.58,,,0
CDM,SUP37637,Noncdm Charge Record Medical Supplies,24418.76,9523.32,,,0
CDM,SUP3764,Noncdm Charge Record Medical Supplies - Introducer Cath 45Cm 7Fr .018-.038In Anl1 Crv,357.08,139.26,,,0
CDM,SUP3766,Noncdm Charge Record Medical Supplies - Guidewire Vasc .035In 80Cm,67.2,26.21,,,0
CDM,SUP3767,Noncdm Charge Record Medical Supplies - Guidewire Vasc.035In180Cm Amplatz Extra Stiff,158.35,61.76,,,0
CDM,SUP37751,Noncdm Charge Record Medical Supplies - Cable Rdy Assy 1.8-914Mm Sst,3971.71,1548.97,,,0
CDM,SUP3781,Noncdm Charge Record Medical Supplies - Guidewire Rosen .035 J,82.97,32.36,,,0
CDM,SUP3782,Noncdm Charge Record Medical Supplies - Catheter Angio .038In Crv 5Fr 100Cm Mpa 5-Bx,200.79,78.31,,,0
CDM,SUP3783_C1887_272,Noncdm Charge Record Medical Supplies - Sheath 6Fr Terumo 45Cm Strt Xcut,542.22,211.47,,,0
CDM,SUP3783_C1894_272,Noncdm Charge Record Medical Supplies - Sheath 6Fr Terumo 45Cm Strt Xcut,404.49,157.75,,,0
CDM,SUP3784_C1887_272,Noncdm Charge Record Medical Supplies - Sheath 7Fr Terumo 45Cm Strt Xcut,570.37,222.44,,,0
CDM,SUP3784_C1894_272,Noncdm Charge Record Medical Supplies - Sheath 7Fr Terumo 45Cm Strt Xcut,401.58,156.62,,,0
CDM,SUP3785_272,Noncdm Charge Record Medical Supplies - Guidewire Vasc Stiff Ang Gs3509 .035In 260Cm,318.78,124.32,,,0
CDM,SUP3785_C1769_272,Noncdm Charge Record Medical Supplies - Guidewire Vasc Stiff Ang Gs3509 .035In 260Cm,259.88,101.35,,,0
CDM,SUP3786_C1769_272,Noncdm Charge Record Medical Supplies - Guidewire Vasc.035In180Cm 15Cm Strt Bntsn,75.47,29.43,,,0
CDM,SUP3786_L8699_278,Noncdm Charge Record Medical Supplies - Guidewire Vasc.035In180Cm 15Cm Strt Bntsn,75.56,29.47,,,0
CDM,SUP37877,Noncdm Charge Record Medical Supplies - Impella Cp 3.5L Catheter,120836.25,47126.14,,,0
CDM,SUP37878,Noncdm Charge Record Medical Supplies - Stent Endopros 22Mm 45Mm 75Cm,6438.22,2510.91,,,0
CDM,SUP37880,Noncdm Charge Record Medical Supplies - Screw Hex Prsnl Knee 48Mm 2.5M,671.72,261.97,,,0
CDM,SUP37881_C1893_272,Noncdm Charge Record Medical Supplies - Catheter St Jude Sli 8.5 Fr,807.3,314.85,,,0
CDM,SUP37881_C1894_272,Noncdm Charge Record Medical Supplies - Catheter St Jude Sli 8.5 Fr,807.3,314.85,,,0
CDM,SUP37886,Noncdm Charge Record Medical Supplies - Rod Reamer 950Mm 2.5Mm Ball Ns,476.1,185.68,,,0
CDM,SUP3794_270,Noncdm Charge Record Medical Supplies - Cable Electrosurgical Bipolar Adler Instruments,123.16,48.03,,,0
CDM,SUP3794_A4649_270,Noncdm Charge Record Medical Supplies - Cable Electrosurgical Bipolar Adler Instruments,123.16,48.03,,,0
CDM,SUP3794_A9999_270,Noncdm Charge Record Medical Supplies - Cable Electrosurgical Bipolar Adler Instruments,123.16,48.03,,,0
CDM,SUP37972,Noncdm Charge Record Medical Supplies - System Bx Tray 152Mm,719.32,280.53,,,0
CDM,SUP37973,Noncdm Charge Record Medical Supplies - Needle Tuohy17Ga 6.0In Tuo,36.22,14.13,,,0
CDM,SUP37978,Noncdm Charge Record Medical Supplies - Lead 383069 Slct Scr Us Cl,2041.02,796.0,,,0
CDM,SUP37986,Noncdm Charge Record Medical Supplies - Lead Transv Ure Bip Steroid,2041.02,796.0,,,0
CDM,SUP37987,Noncdm Charge Record Medical Supplies - Lead Vent Pssive Mri Mpri 58Cm,2041.02,796.0,,,0
CDM,SUP37989,Noncdm Charge Record Medical Supplies - Lead Atrium 45Cm 10L Bipoly J,2041.02,796.0,,,0
CDM,SUP3798_272,Noncdm Charge Record Medical Supplies - Sponge Abs Hemost Powder Kt,574.92,224.22,,,0
CDM,SUP3798_A4649_272,Noncdm Charge Record Medical Supplies - Sponge Abs Hemost Powder Kt,571.32,222.81,,,0
CDM,SUP3798_A9999_272,Noncdm Charge Record Medical Supplies - Sponge Abs Hemost Powder Kt,565.11,220.39,,,0
CDM,SUP37990,Noncdm Charge Record Medical Supplies - Lead Trans 53Cm Bi Atr J Int,2041.02,796.0,,,0
CDM,SUP380,Noncdm Charge Record Medical Supplies - Kit Cath Sft Glove Towel 5Fr,7.76,3.03,,,0
CDM,SUP38004,Noncdm Charge Record Medical Supplies - Lead 58Cm Quadsgl-P A-Va-V 10L,2041.02,796.0,,,0
CDM,SUP3801_272,Noncdm Charge Record Medical Supplies - See 140219 Tray Surg Proc Cust Picc Wk430015,162.56,63.4,,,0
CDM,SUP3801_A4649_272,Noncdm Charge Record Medical Supplies - See 140219 Tray Surg Proc Cust Picc Wk430015,162.5,63.38,,,0
CDM,SUP3801_A9999_272,Noncdm Charge Record Medical Supplies - See 140219 Tray Surg Proc Cust Picc Wk430015,162.5,63.38,,,0
CDM,SUP38027,Noncdm Charge Record Medical Supplies - Catheter 6218A-50S Attain,832.14,324.53,,,0
CDM,SUP3803,Noncdm Charge Record Medical Supplies - Blade Surg Clipper Pvt Head 3M Remington,10.35,4.04,,,0
CDM,SUP3804,Noncdm Charge Record Medical Supplies - Sponge Surg Pat Cdmn Micro,39.56,15.43,,,0
CDM,SUP3805,Noncdm Charge Record Medical Supplies - Guidewire Vasc .018In 125Cm,170.78,66.6,,,0
CDM,SUP38066,Noncdm Charge Record Medical Supplies,832.14,324.53,,,0
CDM,SUP3808,Noncdm Charge Record Medical Supplies - Tissue Synth Ca Slf 5Ml Ostst Resrb Bead Kt,2900.07,1131.03,,,0
CDM,SUP38087,Noncdm Charge Record Medical Supplies,23442.75,9142.67,,,0
CDM,SUP38095,Noncdm Charge Record Medical Supplies - Catheter C315His01,1375.52,536.45,,,0
CDM,SUP38096,Noncdm Charge Record Medical Supplies - Catheter C315His02,1375.52,536.45,,,0
CDM,SUP381,Noncdm Charge Record Medical Supplies - Catheter It 2 Pc Sutured Pump,2270.79,885.61,,,0
CDM,SUP38113,Noncdm Charge Record Medical Supplies - Introducer 6209-S1 9F,317.74,123.92,,,0
CDM,SUP3813,Noncdm Charge Record Medical Supplies - Mesh Surg Parietex 3.6X3.1In,1889.3,736.83,,,0
CDM,SUP3815,Noncdm Charge Record Medical Supplies - Set Extension 3Ml 21In Iv Luerlock Baxter,15.52,6.05,,,0
CDM,SUP3822,Noncdm Charge Record Medical Supplies - Wire Fx 3.2Mm 45Cm Krsh Ss Strl,406.39,158.49,,,0
CDM,SUP38229,Noncdm Charge Record Medical Supplies,710.01,276.9,,,0
CDM,SUP38252,Noncdm Charge Record Medical Supplies - Cable Disp Patient 5Pk 12Ft,2105.19,821.02,,,0
CDM,SUP3827,Noncdm Charge Record Medical Supplies - Drain Flat Fluted 7Mm With Trocar Ethicon,675.86,263.59,,,0
CDM,SUP38271,Noncdm Charge Record Medical Supplies - Catheter C315S10,1420.02,553.81,,,0
CDM,SUP38273,Noncdm Charge Record Medical Supplies,1420.02,553.81,,,0
CDM,SUP3828,Noncdm Charge Record Medical Supplies - Retractor Fiberop 2X1.1In Ltmt,416.07,162.27,,,0
CDM,SUP38280,Noncdm Charge Record Medical Supplies - Catheter Selectsite Steer Ab,3527.28,1375.64,,,0
CDM,SUP3829,Noncdm Charge Record Medical Supplies - Graft Sft Tis 8X6Cm Vrts Bvn Collagen Mtrx,8097.84,3158.16,,,0
CDM,SUP38300,Noncdm Charge Record Medical Supplies - Mastergraft Matrix Ext 20Cc Medtronic Inc,5220.54,2036.01,,,0
CDM,SUP38378,Noncdm Charge Record Medical Supplies - Rod 4.75 Ccm Ns Curv 110Mm Cd Horizon Solera,1128.15,439.98,,,0
CDM,SUP38382,Noncdm Charge Record Medical Supplies - Rod 5.5 Ccm Ns Curv 30Mm Cd Horizon Solera,1256.49,490.03,,,0
CDM,SUP38383,Noncdm Charge Record Medical Supplies - Rod 5.5 Ccm Ns Strt 500Mm Cd Horizon Solera,2148.66,837.98,,,0
CDM,SUP38385,Noncdm Charge Record Medical Supplies - Rod 5.5 Ti Cp4 Ns Curv 110Mm Cd Horizon Solera,1128.15,439.98,,,0
CDM,SUP38393,Noncdm Charge Record Medical Supplies - Screw 5.5 Mas 5.5X40 Cc Cd Horizon Solera,4108.5,1602.32,,,0
CDM,SUP38394,Noncdm Charge Record Medical Supplies - Screw 5.5 Mas 5.5X45 Cc,4108.53,1602.33,,,0
CDM,SUP38396,Noncdm Charge Record Medical Supplies - Screw 5.5 Mas 6.5X40 Cc Cd Horizon Solera,4108.53,1602.33,,,0
CDM,SUP38397,Noncdm Charge Record Medical Supplies - Screw 5.5 Mas 6.5X45 Cc Cd Horizon Solera,4108.48,1602.31,,,0
CDM,SUP38398,Noncdm Charge Record Medical Supplies - Screw 5.5 Mas 6.5X50 Cc Cd Horizon Solera,4108.47,1602.3,,,0
CDM,SUP38399,Noncdm Charge Record Medical Supplies - Screw 5.5 Mas 6.5X55 Cc Cd Horizon Solera,4108.5,1602.32,,,0
CDM,SUP38400,Noncdm Charge Record Medical Supplies - Screw 5.5 Mas 7.5X35 Cc Cd Horizon Solera,4108.95,1602.49,,,0
CDM,SUP38401,Noncdm Charge Record Medical Supplies - Screw 5.5 Mas 7.5X55 Cc Cd Horizon Solera,4108.65,1602.37,,,0
CDM,SUP38411,Noncdm Charge Record Medical Supplies - Screw Cannula Mas 6.5X45Cc Solera 4.75,4108.43,1602.29,,,0
CDM,SUP38420,Noncdm Charge Record Medical Supplies - Screw Mas 7.5X35Cc 4.75Rod Dia Cd Horizon Solera,4108.43,1602.29,,,0
CDM,SUP38422,Noncdm Charge Record Medical Supplies - Screw Set 5.5 Breakoff Medtronic,348.81,136.04,,,0
CDM,SUP38437,Noncdm Charge Record Medical Supplies - Substitute Bn 2.5X5Cm T42210,7236.55,2822.25,,,0
CDM,SUP385_270,Noncdm Charge Record Medical Supplies - Binder Abdominal 27-48X12In Deroyal,59.57,23.23,,,0
CDM,SUP385_A4649_270,Noncdm Charge Record Medical Supplies - Binder Abdominal 27-48X12In Deroyal,62.79,24.49,,,0
CDM,SUP385_A9999_270,Noncdm Charge Record Medical Supplies - Binder Abdominal 27-48X12In Deroyal,58.48,22.81,,,0
CDM,SUP38642,Noncdm Charge Record Medical Supplies,17195.49,6706.24,,,0
CDM,SUP38643,Noncdm Charge Record Medical Supplies - Lead Phrase Iii Ext 55Cm,1074.33,418.99,,,0
CDM,SUP38648,Noncdm Charge Record Medical Supplies - Cable Spctr Ext 2Ft 1X16,4.83,1.88,,,0
CDM,SUP38651,Noncdm Charge Record Medical Supplies - Needle Epimed Crv,48.64,18.97,,,0
CDM,SUP38656,Noncdm Charge Record Medical Supplies,53.82,20.99,,,0
CDM,SUP38666,Noncdm Charge Record Medical Supplies - Plugs Spctr Port Plugs,48.64,18.97,,,0
CDM,SUP38688,Noncdm Charge Record Medical Supplies - Screw Mdln Abo Rev 6Mm X 30Mm,1149.06,448.13,,,0
CDM,SUP38689,Noncdm Charge Record Medical Supplies - Screw Mdln Abo Rev 6Mm X 35Mm,1134.07,442.29,,,0
CDM,SUP387,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 28Mm Lc Dcp Ss Ft Canc Prox Med,155.25,60.55,,,0
CDM,SUP38716,Noncdm Charge Record Medical Supplies - Lead Lnr 3-4 Trl 50Cm,1746.04,680.96,,,0
CDM,SUP38717,Noncdm Charge Record Medical Supplies - Kit Patient Trial,245.3,95.67,,,0
CDM,SUP38718,Noncdm Charge Record Medical Supplies,245.3,95.67,,,0
CDM,SUP3873,Noncdm Charge Record Medical Supplies - Plate 34-36Mm Ti 5.5Mm Screw Low Prof X10,2685.82,1047.47,,,0
CDM,SUP3875,Noncdm Charge Record Medical Supplies,2685.82,1047.47,,,0
CDM,SUP3876,Noncdm Charge Record Medical Supplies - Plate 45-58Mm Ti 5.5Mm Screw Mlspn Low Prof,2685.82,1047.47,,,0
CDM,SUP38796,Noncdm Charge Record Medical Supplies,1600.11,624.04,,,0
CDM,SUP388,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 22Mm Lcp Ss Ft Canc Ns Sm Frag,155.25,60.55,,,0
CDM,SUP3885_272,Noncdm Charge Record Medical Supplies - Electrode Elctrsrg 2.75In Std 3-32In Edge Std,18.55,7.23,,,0
CDM,SUP3885_A4649_272,Noncdm Charge Record Medical Supplies - Electrode Elctrsrg 2.75In Std 3-32In Edge Std,18.59,7.25,,,0
CDM,SUP3885_A9999_272,Noncdm Charge Record Medical Supplies - Electrode Elctrsrg 2.75In Std 3-32In Edge Std,18.6,7.25,,,0
CDM,SUP3885_C1889_272,Noncdm Charge Record Medical Supplies,18.11,7.06,,,0
CDM,SUP3886,Noncdm Charge Record Medical Supplies - Slitter Cath Atn Univ Cs Ss,146.97,57.32,,,0
CDM,SUP389,Noncdm Charge Record Medical Supplies - Graft Cv 40Cm 14X7Mm Bfur Hmshg Mcvl,3467.25,1352.23,,,0
CDM,SUP3890,Noncdm Charge Record Medical Supplies - Kit Hemodia 27Cm 14.5Fr,1509.03,588.52,,,0
CDM,SUP38935,Noncdm Charge Record Medical Supplies - Insert Comp Rp Std+ 15Mm,6288.66,2452.58,,,0
CDM,SUP390,Noncdm Charge Record Medical Supplies - Introducer Sheath 10Fr Peel-Apart Bard Peripheral Vascular,293.94,114.64,,,0
CDM,SUP3908,Noncdm Charge Record Medical Supplies - Drain Incs 10Fr Sil 4 Chan Full Flute Round,66.3,25.86,,,0
CDM,SUP391,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 45Mm Lc Dcp Ss Ft Canc Ns Sm,149.28,58.22,,,0
CDM,SUP39259,Noncdm Charge Record Medical Supplies - Stem Modular Hum D12 Ha,7990.2,3116.18,,,0
CDM,SUP39270,Noncdm Charge Record Medical Supplies - Epiphyses Mod Cent 1 Ha,15313.86,5972.41,,,0
CDM,SUP39278,Noncdm Charge Record Medical Supplies - Cup Stand Pe D38 +3Mm,15539.49,6060.4,,,0
CDM,SUP39285,Noncdm Charge Record Medical Supplies,15539.49,6060.4,,,0
CDM,SUP39295,Noncdm Charge Record Medical Supplies - Screw No Lock D4.5X18Mm,2663.06,1038.59,,,0
CDM,SUP393,Noncdm Charge Record Medical Supplies - Wire Fx 2Mm150Mm Ss Troc Pt Ns,72.92,28.44,,,0
CDM,SUP39300,Noncdm Charge Record Medical Supplies - Screw Lock D4.5X24Mm,2663.06,1038.59,,,0
CDM,SUP39302,Noncdm Charge Record Medical Supplies - Screw Lock D4.5X36Mm,2663.06,1038.59,,,0
CDM,SUP39311,Noncdm Charge Record Medical Supplies - Head Cathcart Ball 42Mm Od,2578.18,1005.49,,,0
CDM,SUP39314,Noncdm Charge Record Medical Supplies - Head Cathcart Ball 54Mm Od,2519.19,982.48,,,0
CDM,SUP39338,Noncdm Charge Record Medical Supplies - Head Cer 41622 28Mm 1.5,7746.98,3021.32,,,0
CDM,SUP39339,Noncdm Charge Record Medical Supplies - Head Cer 41622 28Mm 5,6900.34,2691.13,,,0
CDM,SUP39342,Noncdm Charge Record Medical Supplies - Head Ts Cer 41622 28Mm 8.5,8255.16,3219.51,,,0
CDM,SUP39344,Noncdm Charge Record Medical Supplies,2508.84,978.45,,,0
CDM,SUP39352,Noncdm Charge Record Medical Supplies - Head Ts Cer Hd 41622 32Mm 5,8692.96,3390.25,,,0
CDM,SUP39363,Noncdm Charge Record Medical Supplies - Head Cer 41622 36Mm 8.5,8098.88,3158.56,,,0
CDM,SUP39384,Noncdm Charge Record Medical Supplies,3780.86,1474.54,,,0
CDM,SUP39425,Noncdm Charge Record Medical Supplies - Cementralizer 10.5,486.45,189.72,,,0
CDM,SUP39426,Noncdm Charge Record Medical Supplies - Cementralizer 8.5Mm,477.14,186.08,,,0
CDM,SUP3943,Noncdm Charge Record Medical Supplies - Clamp 6 Pstn Mlpn Ext Fix Lg Ns,2386.71,930.82,,,0
CDM,SUP3944,Noncdm Charge Record Medical Supplies - Rod Attach Ext Fix Lg Ns Mlpn Clamp,1468.66,572.78,,,0
CDM,SUP395,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 26Mm Lcp Ss Ft Canc Prox Med Tib,116.44,45.41,,,0
CDM,SUP39560,Noncdm Charge Record Medical Supplies,16433.73,6409.15,,,0
CDM,SUP396,Noncdm Charge Record Medical Supplies - Needle Suture Keith 2In Anchor Products Company,37.59,14.66,,,0
CDM,SUP39738,Noncdm Charge Record Medical Supplies - Patella Medial Dome 35Mm,3417.05,1332.65,,,0
CDM,SUP39739,Noncdm Charge Record Medical Supplies - Patella Medial Dome 38Mm,3625.6,1413.98,,,0
CDM,SUP39784,Noncdm Charge Record Medical Supplies,17167.54,6695.34,,,0
CDM,SUP39844,Noncdm Charge Record Medical Supplies - Stem Por Taper Sz4 Std Off,17039.21,6645.29,,,0
CDM,SUP39845,Noncdm Charge Record Medical Supplies - Stem Por Taper Sz5 Std Off,18204.62,7099.8,,,0
CDM,SUP39853,Noncdm Charge Record Medical Supplies,20206.3,7880.46,,,0
CDM,SUP399,Noncdm Charge Record Medical Supplies - Suture Ndl Mrtn 7 Ut Half Circ Revct Strl,43.38,16.92,,,0
CDM,SUP4000,Noncdm Charge Record Medical Supplies - Introducer Cath 90Cm 6Fr .087In .038In Flxr,709.32,276.63,,,0
CDM,SUP4009_270,Noncdm Charge Record Medical Supplies - See 116204 Shield Eye Optiguard Clr Plastic,32.09,12.52,,,0
CDM,SUP4009_A4649_270,Noncdm Charge Record Medical Supplies - See 116204 Shield Eye Optiguard Clr Plastic,32.08,12.51,,,0
CDM,SUP4009_A9999_270,Noncdm Charge Record Medical Supplies - See 116204 Shield Eye Optiguard Clr Plastic,32.08,12.51,,,0
CDM,SUP400_272,Noncdm Charge Record Medical Supplies - Needle Suture 5 Half Circle Anchor Products Company,22.66,8.84,,,0
CDM,SUP400_A4649_272,Noncdm Charge Record Medical Supplies - Needle Suture 5 Half Circle Anchor Products Company,22.77,8.88,,,0
CDM,SUP400_A9999_272,Noncdm Charge Record Medical Supplies - Needle Suture 5 Half Circle Anchor Products Company,22.77,8.88,,,0
CDM,SUP4014,Noncdm Charge Record Medical Supplies - Wire Fx 1.25Mm150Mm Troc Pt Ns Krsh Ss,76.97,30.02,,,0
CDM,SUP4021_272,Noncdm Charge Record Medical Supplies - Locator Nerve Pulse Vristm,319.41,124.57,,,0
CDM,SUP4021_A9999_272,Noncdm Charge Record Medical Supplies - Locator Nerve Pulse Vristm,319.82,124.73,,,0
CDM,SUP4022_272,Noncdm Charge Record Medical Supplies - Tube Endotrach 6.5Mm Oral Cuff,19.52,7.61,,,0
CDM,SUP4022_A4649_272,Noncdm Charge Record Medical Supplies - Tube Endotrach 6.5Mm Oral Cuff,20.7,8.07,,,0
CDM,SUP4024,Noncdm Charge Record Medical Supplies - See 35317 Reservoir Drain Evacuator Bard,21.74,8.48,,,0
CDM,SUP4025,Noncdm Charge Record Medical Supplies - Prosthesis Penile Ams 700 Acc Kt,4688.55,1828.53,,,0
CDM,SUP4026,Noncdm Charge Record Medical Supplies - Implant Uro A800 Continence Urin Control Sys,90772.6,35401.31,,,0
CDM,SUP4027,Noncdm Charge Record Medical Supplies - Needle Port 1In 20Ga Grpr +,21.74,8.48,,,0
CDM,SUP4028,Noncdm Charge Record Medical Supplies - Introducer Cath 38.5Cm 10Fr .,442.98,172.76,,,0
CDM,SUP4029,Noncdm Charge Record Medical Supplies - Introducer Cath 30Cm 16Fr .038In Lg Ckfl,577.53,225.24,,,0
CDM,SUP40305,Noncdm Charge Record Medical Supplies,1104.34,430.69,,,0
CDM,SUP40309,Noncdm Charge Record Medical Supplies,16941.92,6607.35,,,0
CDM,SUP40313,Noncdm Charge Record Medical Supplies - Cone Prx Bdy 24X75,17794.76,6939.96,,,0
CDM,SUP40314,Noncdm Charge Record Medical Supplies,17794.76,6939.96,,,0
CDM,SUP40328,Noncdm Charge Record Medical Supplies,13773.78,5371.77,,,0
CDM,SUP40332,Noncdm Charge Record Medical Supplies - Stem Distal Tapered 20X140,13773.78,5371.77,,,0
CDM,SUP40357,Noncdm Charge Record Medical Supplies,12763.62,4977.81,,,0
CDM,SUP4035_270,Noncdm Charge Record Medical Supplies - Probe Mri 10Ga Encor Troc Tip Breast Bio,758.66,295.88,,,0
CDM,SUP4035_A4649_270,Noncdm Charge Record Medical Supplies - Probe Mri 10Ga Encor Troc Tip Breast Bio,758.66,295.88,,,0
CDM,SUP4035_A9999_270,Noncdm Charge Record Medical Supplies - Probe Mri 10Ga Encor Troc Tip Breast Bio,758.66,295.88,,,0
CDM,SUP4036,Noncdm Charge Record Medical Supplies - Marker 14Ga 4 Pla Pelt,274.27,106.97,,,0
CDM,SUP40369,Noncdm Charge Record Medical Supplies,66008.16,25743.18,,,0
CDM,SUP4037_270,Noncdm Charge Record Medical Supplies - Tub Rns Set,46.58,18.17,,,0
CDM,SUP4037_A4649_270,Noncdm Charge Record Medical Supplies - Tub Rns Set,46.58,18.17,,,0
CDM,SUP4037_A9999_270,Noncdm Charge Record Medical Supplies - Tub Rns Set,46.58,18.17,,,0
CDM,SUP404,Noncdm Charge Record Medical Supplies - Protector Eye Crouch Remove,32.71,12.76,,,0
CDM,SUP4040,Noncdm Charge Record Medical Supplies - Marker 10Ga Glmrk Encor Breast,274.16,106.92,,,0
CDM,SUP40401,Noncdm Charge Record Medical Supplies - System Pinning Epak Attune,1221.3,476.31,,,0
CDM,SUP40467,Noncdm Charge Record Medical Supplies - Pin Drill Strl Quick,1334.12,520.31,,,0
CDM,SUP405_272,Noncdm Charge Record Medical Supplies - Catheter Ureth Bdx Ic 8Fr,31.05,12.11,,,0
CDM,SUP405_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Ureth Bdx Ic 8Fr,31.05,12.11,,,0
CDM,SUP406,Noncdm Charge Record Medical Supplies - Catheter Ureth Bdx Ic 10Fr,31.05,12.11,,,0
CDM,SUP40601,Noncdm Charge Record Medical Supplies - Stem 36+8Lnk 20X15X325R,27367.47,10673.31,,,0
CDM,SUP4062,Noncdm Charge Record Medical Supplies - Rod Spnl 30Mm 5.5Mm Cd Hzn Lgc Ti Prebnt,988.42,385.48,,,0
CDM,SUP40678,Noncdm Charge Record Medical Supplies - Reamer 20.5Mm Blt Tip,3628.71,1415.2,,,0
CDM,SUP4076_272,Noncdm Charge Record Medical Supplies - Tube Ng 48In 14Fr 2 Lum Prv,27.94,10.9,,,0
CDM,SUP4076_A4649_272,Noncdm Charge Record Medical Supplies - Tube Ng 48In 14Fr 2 Lum Prv,27.94,10.9,,,0
CDM,SUP4076_A9999_272,Noncdm Charge Record Medical Supplies - Tube Ng 48In 14Fr 2 Lum Prv,27.94,10.9,,,0
CDM,SUP40776,Noncdm Charge Record Medical Supplies - Retractor Frame Incision Only,2218.0,865.02,,,0
CDM,SUP4078,Noncdm Charge Record Medical Supplies - Dilator Vasc 20Fr 20Cm Std Tip Radiopq Strl,71.42,27.85,,,0
CDM,SUP4079,Noncdm Charge Record Medical Supplies - Screw Bn 5.5Mm Cd Hzn Lgc Ti Pdcl Brkof Strl,397.44,155.0,,,0
CDM,SUP407_272,Noncdm Charge Record Medical Supplies - Catheter Ureth Bdx 18Fr 30Cc 2,22.77,8.88,,,0
CDM,SUP407_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Ureth Bdx 18Fr 30Cc 2,22.77,8.88,,,0
CDM,SUP4082,Noncdm Charge Record Medical Supplies - Cook Vcf Retrieval Kit,1637.31,638.55,,,0
CDM,SUP40838,Noncdm Charge Record Medical Supplies - Grasper Apg Glenoid,3006.68,1172.61,,,0
CDM,SUP4084,Noncdm Charge Record Medical Supplies - Catheter Angio .035 Accu-Vu Radiopq 5F 70Cm 2Cm,166.64,64.99,,,0
CDM,SUP4085,Noncdm Charge Record Medical Supplies - Cath Thrmb Om Angiojet Solent,7820.36,3049.94,,,0
CDM,SUP4086,Noncdm Charge Record Medical Supplies - Catheter Thrmb Avx Cus Fg Pkg 5-3-2012,4436.06,1730.06,,,0
CDM,SUP409,Noncdm Charge Record Medical Supplies - Catheter Ureth Lbrcth 20Fr,48.64,18.97,,,0
CDM,SUP4090,Noncdm Charge Record Medical Supplies - Guidewire Vasc .018In 100Cm,170.78,66.6,,,0
CDM,SUP40902,Noncdm Charge Record Medical Supplies - Tray Surface Prep,1542.15,601.44,,,0
CDM,SUP4091,Noncdm Charge Record Medical Supplies - Raabe Sheath 55Cm 6Fr .038In Ckfl Flxr,317.74,123.92,,,0
CDM,SUP4092,Noncdm Charge Record Medical Supplies - Catheter Drain 10.2Fr 25Cm 5 Sdprt Bil Ulthne Cust 5-Bx,807.3,314.85,,,0
CDM,SUP40934,Noncdm Charge Record Medical Supplies - Bit Drill 1Pc Flx 25,2579.22,1005.9,,,0
CDM,SUP4094,Noncdm Charge Record Medical Supplies - Mesh Surg Pro 12X12In Hernia Nonabs Sft Knit,1778.06,693.44,,,0
CDM,SUP4095,Noncdm Charge Record Medical Supplies - Ear Tube Ventilation 5Mm 1.14Mm Touma Medtronic Inc,144.9,56.51,,,0
CDM,SUP41040,Noncdm Charge Record Medical Supplies - Stop Drl Cannula 10Mm,1238.9,483.17,,,0
CDM,SUP4108_272,Noncdm Charge Record Medical Supplies - Foley Stabilization Statlock Device 2-Way Anchor Bard Medica,14.46,5.64,,,0
CDM,SUP4108_A4649_272,Noncdm Charge Record Medical Supplies - Foley Stabilization Statlock Device 2-Way Anchor Bard Medica,14.49,5.65,,,0
CDM,SUP4108_A9999_272,Noncdm Charge Record Medical Supplies - Foley Stabilization Statlock Device 2-Way Anchor Bard Medica,14.4,5.62,,,0
CDM,SUP4109,Noncdm Charge Record Medical Supplies - Cement Bn Plc R 40Gm Gnta Sgl,1342.96,523.75,,,0
CDM,SUP4113,Noncdm Charge Record Medical Supplies - Bag Collection Fecal Convatec Inc,17.6,6.86,,,0
CDM,SUP4115,Noncdm Charge Record Medical Supplies - Clip Xs Intnl Hem-O-Lok Polymer Endo Lgt Strl,367.94,143.5,,,0
CDM,SUP4116,Noncdm Charge Record Medical Supplies - Rod Ost 2In 2In Eylt,63.14,24.62,,,0
CDM,SUP4117,Noncdm Charge Record Medical Supplies - Substitute Bn Graft 25X50X4Mm,5844.13,2279.21,,,0
CDM,SUP4119,Noncdm Charge Record Medical Supplies - Plate 14Mm Ti 1 Lvl Asr Bn Ant Cerv Spine,3383.42,1319.53,,,0
CDM,SUP4120,Noncdm Charge Record Medical Supplies - Plate 16Mm Ti 1 Lvl Asr Bn Ant Cerv Spine,1756.29,684.95,,,0
CDM,SUP4123,Noncdm Charge Record Medical Supplies - Plate 30Mm Ti 2 Lvl Asr Bn Ant Cerv Spine,3383.42,1319.53,,,0
CDM,SUP41237,Noncdm Charge Record Medical Supplies,7063.88,2754.91,,,0
CDM,SUP4124,Noncdm Charge Record Medical Supplies - Plate 32Mm Ti 2 Lvl Asr Bn Ant Cerv Spine,3383.42,1319.53,,,0
CDM,SUP4125,Noncdm Charge Record Medical Supplies - Plate 34Mm Ti 2 Lvl Asr Bn Ant,3383.42,1319.53,,,0
CDM,SUP4126,Noncdm Charge Record Medical Supplies - Plate 36Mm Ti 2 Lvl Asr Bn Ant,3383.42,1319.53,,,0
CDM,SUP4131,Noncdm Charge Record Medical Supplies - Plate 51Mm Ti 3 Lvl Asr Bn Ant,3625.6,1413.98,,,0
CDM,SUP4132,Noncdm Charge Record Medical Supplies - Plate 54Mm Ti 3 Lvl Asr Bn Ant,3625.6,1413.98,,,0
CDM,SUP4139,Noncdm Charge Record Medical Supplies - Screw 4X12Mm Asr Ti Std Ant Cerv Spine,671.51,261.89,,,0
CDM,SUP4140,Noncdm Charge Record Medical Supplies - Screw 4- 14Mm Asr Ti Std Cerv,671.51,261.89,,,0
CDM,SUP4141,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 14Mm Asr Ti Std,671.72,261.97,,,0
CDM,SUP4146,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 14Mm Asr Ti Ant,671.53,261.9,,,0
CDM,SUP4147,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 16Mm Asr Ti Ant,671.52,261.89,,,0
CDM,SUP41478,Noncdm Charge Record Medical Supplies - Mill Bone Course Blade,2021.36,788.33,,,0
CDM,SUP4149,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 14Mm Asr Ti Ant,671.72,261.97,,,0
CDM,SUP4155,Noncdm Charge Record Medical Supplies - Screw Rigid Set Globus,266.91,104.09,,,0
CDM,SUP41596,Noncdm Charge Record Medical Supplies,2301.84,897.72,,,0
CDM,SUP4161,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 50Mm Asns 3 Ti,676.89,263.99,,,0
CDM,SUP41633,Noncdm Charge Record Medical Supplies,3862.62,1506.42,,,0
CDM,SUP41641,Noncdm Charge Record Medical Supplies,2349.45,916.29,,,0
CDM,SUP41708,Noncdm Charge Record Medical Supplies - Cement Ii Cart W-Brkoff Nozzle,154.73,60.34,,,0
CDM,SUP4180,Noncdm Charge Record Medical Supplies - Bone Canc 15Cc,1181.96,460.96,,,0
CDM,SUP41806,Noncdm Charge Record Medical Supplies - Cup Stand Pe D38 +9Mm,6731.64,2625.34,,,0
CDM,SUP4181,Noncdm Charge Record Medical Supplies - Bone Tendon Tib 8Mmx260Mm Ant,7153.88,2790.01,,,0
CDM,SUP4187,Noncdm Charge Record Medical Supplies - See 126103 Bag Press Infus 3L Infsbl Bulb,115.92,45.21,,,0
CDM,SUP4195_272,Noncdm Charge Record Medical Supplies - Set Extn Iv Prim Clv 4Gangstop,49.67,19.37,,,0
CDM,SUP4195_A9999_272,Noncdm Charge Record Medical Supplies - Set Extn Iv Prim Clv 4Gangstop,48.64,18.97,,,0
CDM,SUP4196,Noncdm Charge Record Medical Supplies - See 156826 Transducer Pressure Monitor Icu Medical Inc,262.89,102.53,,,0
CDM,SUP4197,Noncdm Charge Record Medical Supplies - Connector 2 To 1 19Fr Sil Cardiac,71.41,27.85,,,0
CDM,SUP41977,Noncdm Charge Record Medical Supplies,925.29,360.86,,,0
CDM,SUP4198,Noncdm Charge Record Medical Supplies - Drain Blake 19Fr 4 Channel Ethicon,445.42,173.71,,,0
CDM,SUP419_272,Noncdm Charge Record Medical Supplies - Sponge Tonsil Medium Deroyal Industries,12.3,4.8,,,0
CDM,SUP419_A4649_272,Noncdm Charge Record Medical Supplies - Sponge Tonsil Medium Deroyal Industries,12.36,4.82,,,0
CDM,SUP419_A9999_272,Noncdm Charge Record Medical Supplies - Sponge Tonsil Medium Deroyal Industries,12.34,4.81,,,0
CDM,SUP420,Noncdm Charge Record Medical Supplies,4.14,1.61,,,0
CDM,SUP4206,Noncdm Charge Record Medical Supplies - Washer Conic Cpl Ilz Ext Fix,389.68,151.98,,,0
CDM,SUP4208,Noncdm Charge Record Medical Supplies - Bolt 16Mm Cmps Hinge Kt Ilz,70.9,27.65,,,0
CDM,SUP4210,Noncdm Charge Record Medical Supplies - Bolt 20Mm Cmps Hinge Kt Ilz,70.9,27.65,,,0
CDM,SUP4211,Noncdm Charge Record Medical Supplies - Nut 10Mm Ilz Ext Fix,70.9,27.65,,,0
CDM,SUP4212,Noncdm Charge Record Medical Supplies - Nut 10Mm Nyl Insert Ilz Ext,70.9,27.65,,,0
CDM,SUP42170,Noncdm Charge Record Medical Supplies - Sheath 8Fr Terumo 45Cm Guide Strt Xcut,401.58,156.62,,,0
CDM,SUP42172,Noncdm Charge Record Medical Supplies - Asahi Sion 300Cm,622.18,242.65,,,0
CDM,SUP4219,Noncdm Charge Record Medical Supplies - Socket 60Mm Thrd Ilz Ext Fix A,782.8,305.29,,,0
CDM,SUP421_272,Noncdm Charge Record Medical Supplies - Tray Spnl 3.5In 22Ga Adlt,35.19,13.72,,,0
CDM,SUP421_A4649_272,Noncdm Charge Record Medical Supplies - Tray Spnl 3.5In 22Ga Adlt,35.19,13.72,,,0
CDM,SUP42267,Noncdm Charge Record Medical Supplies - Lead Penta 3Mm-60Cm,25133.94,9802.24,,,0
CDM,SUP42277,Noncdm Charge Record Medical Supplies - Wrench Torque,98.32,38.34,,,0
CDM,SUP422_272,Noncdm Charge Record Medical Supplies - See 156326 Tray Spnl 3.5In 20Ga Adlt,43.72,17.05,,,0
CDM,SUP422_A4649_272,Noncdm Charge Record Medical Supplies - See 156326 Tray Spnl 3.5In 20Ga Adlt,47.61,18.57,,,0
CDM,SUP4230,Noncdm Charge Record Medical Supplies - Plate 45Mm 3 Hl Connect Ilz,1131.26,441.19,,,0
CDM,SUP42311,Noncdm Charge Record Medical Supplies - Extension Pc-Ld 30Cm,4325.78,1687.05,,,0
CDM,SUP42335,Noncdm Charge Record Medical Supplies - Snare Vasc 175Cm 27-45Mm 120Cm Ensnr Mini Cath,1620.81,632.12,,,0
CDM,SUP42336,Noncdm Charge Record Medical Supplies - Guidewire Ptfe 350Cm Ss,872.65,340.33,,,0
CDM,SUP42404,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 35Mm Trgn Lp,2255.26,879.55,,,0
CDM,SUP42405_272,Noncdm Charge Record Medical Supplies - Stylet Rdg Glidescope,153.18,59.74,,,0
CDM,SUP42405_A4649_272,Noncdm Charge Record Medical Supplies - Stylet Rdg Glidescope,153.18,59.74,,,0
CDM,SUP42406_272,Noncdm Charge Record Medical Supplies - See 30095 Suture Vicryl 5-0 Fs-2 27In Undyed Ethicon,10.35,4.04,,,0
CDM,SUP42406_A4649_272,Noncdm Charge Record Medical Supplies - See 30095 Suture Vicryl 5-0 Fs-2 27In Undyed Ethicon,10.35,4.04,,,0
CDM,SUP4242,Noncdm Charge Record Medical Supplies - Washer Star Exteral Fixator Smith And Nephew,47.22,18.42,,,0
CDM,SUP42441_272,Noncdm Charge Record Medical Supplies - Bit Drill 3.8Mm Conic W Stop Strl,1064.25,415.06,,,0
CDM,SUP42441_A9999_272,Noncdm Charge Record Medical Supplies - Bit Drill 3.8Mm Conic W Stop Strl,1057.77,412.53,,,0
CDM,SUP4247,Noncdm Charge Record Medical Supplies - Cube 5 Hl Circ Ext Fix Rnch,2503.66,976.43,,,0
CDM,SUP425,Noncdm Charge Record Medical Supplies - See 157617 Stocking Compression Medium Regular Knee-Hi Antie,11.38,4.44,,,0
CDM,SUP42635,Noncdm Charge Record Medical Supplies - Bit Drill 2.8Mm Univ,455.4,177.61,,,0
CDM,SUP42636,Noncdm Charge Record Medical Supplies - Guidewire 2X2.5Mm .09Mm 100Mm,78.66,30.68,,,0
CDM,SUP42638_272,Noncdm Charge Record Medical Supplies - Device Sut Sngl Expressbraid,594.39,231.81,,,0
CDM,SUP42638_A4649_272,Noncdm Charge Record Medical Supplies - Device Sut Sngl Expressbraid,548.29,213.83,,,0
CDM,SUP42639,Noncdm Charge Record Medical Supplies - Anchor Suture Healicoil # 2 5.5Mm With 3 Ultrabraid Smith An,2538.08,989.85,,,0
CDM,SUP4266,Noncdm Charge Record Medical Supplies - Set Strl Id Band Sptl Frame,1088.82,424.64,,,0
CDM,SUP4267,Noncdm Charge Record Medical Supplies - Strut Id Band Fstfx Ext Fix,3173.31,1237.59,,,0
CDM,SUP42671,Noncdm Charge Record Medical Supplies - Screw Poly Dbl Lead 6.5X45Mm,2900.07,1131.03,,,0
CDM,SUP42672,Noncdm Charge Record Medical Supplies - Screw Poly Dbl Lead 6.5X50Mm,2900.07,1131.03,,,0
CDM,SUP42689,Noncdm Charge Record Medical Supplies - Rod Crv 5.5X35Mm,939.78,366.51,,,0
CDM,SUP4269,Noncdm Charge Record Medical Supplies - Strut Circ Fstfx Ext Fix Shrt,9959.8,3884.32,,,0
CDM,SUP42690,Noncdm Charge Record Medical Supplies - Rod Crv 5.5X40Mm,939.78,366.51,,,0
CDM,SUP42691,Noncdm Charge Record Medical Supplies - Rod Crv 5.5X50Mm,939.78,366.51,,,0
CDM,SUP42693,Noncdm Charge Record Medical Supplies - Rod Crv 5.5X70Mm,940.3,366.72,,,0
CDM,SUP4270,Noncdm Charge Record Medical Supplies - Strut Circ Fstfx Ext Fix Med,9959.8,3884.32,,,0
CDM,SUP42702,Noncdm Charge Record Medical Supplies,988.42,385.48,,,0
CDM,SUP42704,Noncdm Charge Record Medical Supplies - Screw Ps3 Set Lck Cap,268.58,104.75,,,0
CDM,SUP42784,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 12Mm St T8 Strdr Acc Va Lck,581.64,226.84,,,0
CDM,SUP42813_272,Noncdm Charge Record Medical Supplies - Collar Button Pacific,44.5,17.36,,,0
CDM,SUP42813_A4649_272,Noncdm Charge Record Medical Supplies - Collar Button Pacific,44.5,17.36,,,0
CDM,SUP42816,Noncdm Charge Record Medical Supplies - Suture Juggerknot 1.4 Sgl,2088.63,814.57,,,0
CDM,SUP42817_272,Noncdm Charge Record Medical Supplies - Suture Shuttle Accu Pass Cresent Smith And Nephew,738.99,288.21,,,0
CDM,SUP42817_A4649_272,Noncdm Charge Record Medical Supplies - Suture Shuttle Accu Pass Cresent Smith And Nephew,738.99,288.21,,,0
CDM,SUP42817_A9999_272,Noncdm Charge Record Medical Supplies - Suture Shuttle Accu Pass Cresent Smith And Nephew,738.99,288.21,,,0
CDM,SUP4282,Noncdm Charge Record Medical Supplies - Implant Breast 450Ml Gel Siltx Smth Sil Round,3504.51,1366.76,,,0
CDM,SUP42999,Noncdm Charge Record Medical Supplies - Dressing Vac Med Sprl Cut 1,230.8,90.01,,,0
CDM,SUP430,Noncdm Charge Record Medical Supplies - See 157616 Stocking Compression Large Regular Knee-Hi Antiem,11.38,4.44,,,0
CDM,SUP43000,Noncdm Charge Record Medical Supplies - Dressing Vac Sm Sprl Cut 1,203.9,79.52,,,0
CDM,SUP4308,Noncdm Charge Record Medical Supplies - Kit Tissue Closure Lq Powder Comp App Tip,5242.62,2044.62,,,0
CDM,SUP4309,Noncdm Charge Record Medical Supplies - Felt Cv 6X1In Thk1.65Mm Ptfe,443.66,173.03,,,0
CDM,SUP43098,Noncdm Charge Record Medical Supplies - Cement Bn Xpede Tap Sz 2 Kph Mix Pk,939.78,366.51,,,0
CDM,SUP43099,Noncdm Charge Record Medical Supplies - Cement Bn Xpede Tap Sz 3 Kph Mix Pk,856.98,334.22,,,0
CDM,SUP431,Noncdm Charge Record Medical Supplies - See 157629 Stocking Compression Xl Regular Knee-Hi Antiembol,10.87,4.24,,,0
CDM,SUP4310,Noncdm Charge Record Medical Supplies - Bandage Strchnt 10Yd Sz 8 Comp,70.9,27.65,,,0
CDM,SUP4311,Noncdm Charge Record Medical Supplies - Patch Cv Dbl 2Inx3In Vlr Hmshld,953.24,371.76,,,0
CDM,SUP4313,Noncdm Charge Record Medical Supplies - Introducer Cath 6Cm 6Fr .035In Ckfl Prfrmr Hi,113.85,44.4,,,0
CDM,SUP43140,Noncdm Charge Record Medical Supplies,78.14,30.47,,,0
CDM,SUP43141,Noncdm Charge Record Medical Supplies - Blade Mac Sz 4 Mcgrath,68.31,26.64,,,0
CDM,SUP432,Noncdm Charge Record Medical Supplies,18.63,7.27,,,0
CDM,SUP43204_272,Noncdm Charge Record Medical Supplies - Capsule Buffer Ph Bravo Deliv Sys,1435.26,559.75,,,0
CDM,SUP43204_A4649_272,Noncdm Charge Record Medical Supplies - Capsule Buffer Ph Bravo Deliv Sys,1436.58,560.27,,,0
CDM,SUP43204_A9999_272,Noncdm Charge Record Medical Supplies - Capsule Buffer Ph Bravo Deliv Sys,1432.44,558.65,,,0
CDM,SUP43206,Noncdm Charge Record Medical Supplies - Screw Bn 16Mm Thrd 7Mm 95Mm,2611.3,1018.41,,,0
CDM,SUP4328,Noncdm Charge Record Medical Supplies - Spacer Spnl 14X14X6Mm Cnrstn Psr Peek Strut,3866.76,1508.04,,,0
CDM,SUP433,Noncdm Charge Record Medical Supplies,22.77,8.88,,,0
CDM,SUP43379_270,Noncdm Charge Record Medical Supplies - Catheter 5Fr Powerline Dual Lumen,1419.92,553.77,,,0
CDM,SUP43379_A4649_270,Noncdm Charge Record Medical Supplies - Catheter 5Fr Powerline Dual Lumen,1420.02,553.81,,,0
CDM,SUP43380,Noncdm Charge Record Medical Supplies - Catheter 5 Fr Pushing,231.84,90.42,,,0
CDM,SUP43382,Noncdm Charge Record Medical Supplies - Catheter Ureth Bx 2-W 5Cc 20Fr Coude 16Fr Red,50.68,19.77,,,0
CDM,SUP43383,Noncdm Charge Record Medical Supplies - Catheter Ureth Bx Rf 5Cc 20Fr,42.44,16.55,,,0
CDM,SUP43384,Noncdm Charge Record Medical Supplies - Catheter Ureth Bx Rf 5Cc 22Fr,41.4,16.15,,,0
CDM,SUP43385,Noncdm Charge Record Medical Supplies - Catheter Urethral 18Fr 3Way Bard,42.44,16.55,,,0
CDM,SUP43386_272,Noncdm Charge Record Medical Supplies - Catheter Urethral 20Fr 3Way Bard,42.44,16.55,,,0
CDM,SUP43386_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Urethral 20Fr 3Way Bard,42.44,16.55,,,0
CDM,SUP43387_272,Noncdm Charge Record Medical Supplies - Catheter Urethral 22Fr 3Way Bard,42.44,16.55,,,0
CDM,SUP43387_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Urethral 22Fr 3Way Bard,42.44,16.55,,,0
CDM,SUP43387_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Urethral 22Fr 3Way Bard,42.44,16.55,,,0
CDM,SUP43388_272,Noncdm Charge Record Medical Supplies - Catheter Urethral 24Fr 3Way Bard,42.44,16.55,,,0
CDM,SUP43388_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Urethral 24Fr 3Way Bard,42.44,16.55,,,0
CDM,SUP43389,Noncdm Charge Record Medical Supplies - Catheter Urethral 26Fr 3Way Bard,41.4,16.15,,,0
CDM,SUP43390,Noncdm Charge Record Medical Supplies - Catheter Ureth Bx 2-W 5Cc 12Fr,41.4,16.15,,,0
CDM,SUP43391_272,Noncdm Charge Record Medical Supplies - Catheter Ureth Bx 2-W 5Cc 14Fr,41.4,16.15,,,0
CDM,SUP43391_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Ureth Bx 2-W 5Cc 14Fr,41.4,16.15,,,0
CDM,SUP43392_272,Noncdm Charge Record Medical Supplies - Catheter Ureth Bx 2-W 5Cc 16Fr,41.39,16.14,,,0
CDM,SUP43392_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Ureth Bx 2-W 5Cc 16Fr,41.4,16.15,,,0
CDM,SUP43393_272,Noncdm Charge Record Medical Supplies - Catheter Ureth Bx 2-W 5Cc 18Fr Coude Tip,41.4,16.15,,,0
CDM,SUP43393_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Ureth Bx 2-W 5Cc 18Fr Coude Tip,41.4,16.15,,,0
CDM,SUP43393_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Ureth Bx 2-W 5Cc 18Fr Coude Tip,41.4,16.15,,,0
CDM,SUP43394,Noncdm Charge Record Medical Supplies - Catheter Ureth Bx 2-W 5Cc 20Fr Coude Tip,41.4,16.15,,,0
CDM,SUP43395,Noncdm Charge Record Medical Supplies - Catheter Ureth Bx 2-W 5Cc 22Fr,41.4,16.15,,,0
CDM,SUP43396_272,Noncdm Charge Record Medical Supplies - Catheter Urethral 16Fr 5Cc 2Way Council Bard,59.0,23.01,,,0
CDM,SUP43397,Noncdm Charge Record Medical Supplies - Catheter Urethral 18Fr 5Cc 2Way Council Bard,59.0,23.01,,,0
CDM,SUP43398_272,Noncdm Charge Record Medical Supplies - Catheter Urethral 20Fr 5Cc 2Way Council Bard,59.0,23.01,,,0
CDM,SUP43398_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Urethral 20Fr 5Cc 2Way Council Bard,59.0,23.01,,,0
CDM,SUP43399,Noncdm Charge Record Medical Supplies - Catheter Urethral 22Fr 5Cc 2Way Council Bard,59.0,23.01,,,0
CDM,SUP43400,Noncdm Charge Record Medical Supplies - Kit Intro G-18 Mic Key Laparos,1214.06,473.48,,,0
CDM,SUP43402_272,Noncdm Charge Record Medical Supplies - Hexagonal Snare,85.47,33.33,,,0
CDM,SUP43402_A4649_272,Noncdm Charge Record Medical Supplies - Hexagonal Snare,92.12,35.93,,,0
CDM,SUP43402_A9999_272,Noncdm Charge Record Medical Supplies - Hexagonal Snare,67.9,26.48,,,0
CDM,SUP43404,Noncdm Charge Record Medical Supplies - Stent Bil 8.5Fr 3.2Mm 40Mm,9959.8,3884.32,,,0
CDM,SUP43405,Noncdm Charge Record Medical Supplies - Stent Biliary Duodenal 10Fx15Cm Bend Preloaded Advanix Bosto,1049.49,409.3,,,0
CDM,SUP43406,Noncdm Charge Record Medical Supplies - Forceps Surg Radial Jaw 1.8Mm,346.72,135.22,,,0
CDM,SUP43423,Noncdm Charge Record Medical Supplies - Dressing Mplx 4X5In 10X12.5Cm,64.17,25.03,,,0
CDM,SUP43424,Noncdm Charge Record Medical Supplies - Dressing Mplx 8X20In 20X50Cm Transf Ag,85.9,33.5,,,0
CDM,SUP43427,Noncdm Charge Record Medical Supplies - Tube Jjnstm 60Cm 12Fr .035In Feed Gwire Trngs,807.3,314.85,,,0
CDM,SUP43463,Noncdm Charge Record Medical Supplies - Guidewire Endo Jag .025In 260Cm Strt Tip,763.8,297.88,,,0
CDM,SUP43465,Noncdm Charge Record Medical Supplies - Screwdriver Hex 2.5Mm Cannula,2070.0,807.3,,,0
CDM,SUP43466,Noncdm Charge Record Medical Supplies - Device Msr Screw F- 3.5-4Mm Cannula,833.18,324.94,,,0
CDM,SUP43553,Noncdm Charge Record Medical Supplies - Screw Cort 2Mm St 24Mm,168.7,65.79,,,0
CDM,SUP43560,Noncdm Charge Record Medical Supplies - Screwdriver Hex 2.5Mm Shft,1449.0,565.11,,,0
CDM,SUP43628,Noncdm Charge Record Medical Supplies,1725.34,672.88,,,0
CDM,SUP43629,Noncdm Charge Record Medical Supplies,1881.28,733.7,,,0
CDM,SUP43681,Noncdm Charge Record Medical Supplies - Bit Drill 2.5Mm Cannula Dart Fire,656.19,255.91,,,0
CDM,SUP43687,Noncdm Charge Record Medical Supplies - Electrode Band Hf 24 Fr 12 Deg,2266.65,883.99,,,0
CDM,SUP43712_272,Noncdm Charge Record Medical Supplies - Pin Pss 2.4Mm Troc Tip Ns,507.15,197.79,,,0
CDM,SUP43712_A9999_272,Noncdm Charge Record Medical Supplies - Pin Pss 2.4Mm Troc Tip Ns,507.15,197.79,,,0
CDM,SUP43717,Noncdm Charge Record Medical Supplies,2255.26,879.55,,,0
CDM,SUP43769_272,Noncdm Charge Record Medical Supplies - Catheter Diag Rad 5Fr 110Mm Tig,154.67,60.32,,,0
CDM,SUP43769_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Diag Rad 5Fr 110Mm Tig,146.97,57.32,,,0
CDM,SUP43771,Noncdm Charge Record Medical Supplies - Catheter Diag 4.0 6Fr 110Mm Tig Rad,156.06,60.86,,,0
CDM,SUP43772,Noncdm Charge Record Medical Supplies - Catheter Diag 4.5 6Fr 110Mm Tig Rad,146.97,57.32,,,0
CDM,SUP43807_272,Noncdm Charge Record Medical Supplies - Wire Spnl 500Mm 1.6Mm Blnt,244.88,95.5,,,0
CDM,SUP43807_C1713_278,Noncdm Charge Record Medical Supplies - Wire Spnl 500Mm 1.6Mm Blnt,244.8,95.47,,,0
CDM,SUP43807_C1769_272,Noncdm Charge Record Medical Supplies - Wire Spnl 500Mm 1.6Mm Blnt,244.78,95.46,,,0
CDM,SUP43807_L8699_278,Noncdm Charge Record Medical Supplies - Wire Spnl 500Mm 1.6Mm Blnt,244.78,95.46,,,0
CDM,SUP43834,Noncdm Charge Record Medical Supplies,2948.72,1150.0,,,0
CDM,SUP43836,Noncdm Charge Record Medical Supplies - Stem Tib Inbone Mid 14Mm,2948.46,1149.9,,,0
CDM,SUP43860,Noncdm Charge Record Medical Supplies - Button Abs 12Mm 8Mm Tghtrp,767.97,299.51,,,0
CDM,SUP43861_272,Noncdm Charge Record Medical Supplies - Suture Fiberwire 0 38In Nonabs W-Tpr Needle 22 Braid Blue Ar,107.64,41.98,,,0
CDM,SUP43861_A4649_272,Noncdm Charge Record Medical Supplies - Suture Fiberwire 0 38In Nonabs W-Tpr Needle 22 Braid Blue Ar,107.64,41.98,,,0
CDM,SUP43862,Noncdm Charge Record Medical Supplies - Bit Drill 6Mm Cannula Colr Pin Strl,954.27,372.17,,,0
CDM,SUP43868,Noncdm Charge Record Medical Supplies - Kit Kntls Tghtrp Repr,5679.04,2214.83,,,0
CDM,SUP43869,Noncdm Charge Record Medical Supplies - Dressing Tape Reten 2In 11Yd Medfix,18.63,7.27,,,0
CDM,SUP43874,Noncdm Charge Record Medical Supplies - Controller Impella Purge,979.11,381.85,,,0
CDM,SUP43941_270,Noncdm Charge Record Medical Supplies - Holder Nasal Dressing Dale,19.18,7.48,,,0
CDM,SUP43941_A4649_270,Noncdm Charge Record Medical Supplies - Holder Nasal Dressing Dale,19.66,7.67,,,0
CDM,SUP43941_A9999_270,Noncdm Charge Record Medical Supplies - Holder Nasal Dressing Dale,18.11,7.06,,,0
CDM,SUP43943,Noncdm Charge Record Medical Supplies - Anchor Suture 2-O Mini Corkscrew Arthrex,1530.76,597.0,,,0
CDM,SUP43963,Noncdm Charge Record Medical Supplies - Screw Intertan 10Mm-24Cm 130D,17059.9,6653.36,,,0
CDM,SUP43973,Noncdm Charge Record Medical Supplies - Screw Trgn L-P 5-32.5Mm,2255.26,879.55,,,0
CDM,SUP43974,Noncdm Charge Record Medical Supplies - Screw Trgn L-P 5-45Mm,2255.26,879.55,,,0
CDM,SUP43975,Noncdm Charge Record Medical Supplies - Screw Trgn L-P 5-50Mm,2255.26,879.55,,,0
CDM,SUP440,Noncdm Charge Record Medical Supplies - Stocking Compression Medium Short Thigh-Hi Antiembolism Covi,23.8,9.28,,,0
CDM,SUP44037,Noncdm Charge Record Medical Supplies - Kit Rslv Tissue Gid 700,1336.18,521.11,,,0
CDM,SUP44040,Noncdm Charge Record Medical Supplies - Head Fem 12-14 36Mm -3,9038.66,3525.08,,,0
CDM,SUP44041,Noncdm Charge Record Medical Supplies - Screw Bn 4.3Mm 36Mm Chrlt Ss Sh Thrd Ft,1461.42,569.95,,,0
CDM,SUP44061,Noncdm Charge Record Medical Supplies - See 139259 Protector Heel Boot Std,166.64,64.99,,,0
CDM,SUP44063,Noncdm Charge Record Medical Supplies - Protector Heel Boot Wedge,32.6,12.71,,,0
CDM,SUP4406_272,Noncdm Charge Record Medical Supplies - Tube Ng 48In 16Fr 2 Lum Prv,25.61,9.99,,,0
CDM,SUP4406_A4649_272,Noncdm Charge Record Medical Supplies - Tube Ng 48In 16Fr 2 Lum Prv,23.8,9.28,,,0
CDM,SUP4406_A9999_272,Noncdm Charge Record Medical Supplies - Tube Ng 48In 16Fr 2 Lum Prv,27.94,10.9,,,0
CDM,SUP44093,Noncdm Charge Record Medical Supplies - Savary-Gilliard Wire Guide,792.81,309.2,,,0
CDM,SUP44104,Noncdm Charge Record Medical Supplies - Rod Spnl 70Mm,805.92,314.31,,,0
CDM,SUP44108,Noncdm Charge Record Medical Supplies,317.74,123.92,,,0
CDM,SUP4411,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil Lg 7Fr 18Mm 75Cm 4Cm Pta,1762.6,687.41,,,0
CDM,SUP4412_272,Noncdm Charge Record Medical Supplies - Set Adm 100In 20 Gtt 17Ml Iv Prim Infus M Ll,17.34,6.76,,,0
CDM,SUP4412_A9999_272,Noncdm Charge Record Medical Supplies - Set Adm 100In 20 Gtt 17Ml Iv Prim Infus M Ll,17.6,6.86,,,0
CDM,SUP44136,Noncdm Charge Record Medical Supplies - Stent Esoph 28-28Mm 12Cm 23Mm,12695.31,4951.17,,,0
CDM,SUP44162,Noncdm Charge Record Medical Supplies - System Retrival 180Cm 1.018Cm Provue Trevo,40550.26,15814.6,,,0
CDM,SUP44177,Noncdm Charge Record Medical Supplies - Plate 4.5Mm Recon 4 Hl-61Mm,1642.54,640.59,,,0
CDM,SUP4418,Noncdm Charge Record Medical Supplies - Needle Bscp 15Mm 19Ga Excelon,545.79,212.86,,,0
CDM,SUP4419,Noncdm Charge Record Medical Supplies - Pledget Suture Teflon Teleflex,67.24,26.22,,,0
CDM,SUP44190,Noncdm Charge Record Medical Supplies,2198.34,857.35,,,0
CDM,SUP441_270,Noncdm Charge Record Medical Supplies - See 157622 Stocking Compression Medium Regular Thigh-Hi Anti,18.63,7.27,,,0
CDM,SUP441_A9999_270,Noncdm Charge Record Medical Supplies - See 157622 Stocking Compression Medium Regular Thigh-Hi Anti,18.63,7.27,,,0
CDM,SUP442,Noncdm Charge Record Medical Supplies - Catheter Drain 16Fr Malecots Latex Bard,48.99,19.11,,,0
CDM,SUP44205,Noncdm Charge Record Medical Supplies - Countersink Cann F-4.5Mm Scrws Cannula Screws,1473.84,574.8,,,0
CDM,SUP4420_272,Noncdm Charge Record Medical Supplies - Kit Angio Cust,89.01,34.71,,,0
CDM,SUP4420_A4649_272,Noncdm Charge Record Medical Supplies - Kit Angio Cust,90.04,35.12,,,0
CDM,SUP4420_A9999_272,Noncdm Charge Record Medical Supplies - Kit Angio Cust,87.63,34.18,,,0
CDM,SUP4421,Noncdm Charge Record Medical Supplies,18.63,7.27,,,0
CDM,SUP44232,Noncdm Charge Record Medical Supplies - Trocar 3.5Mm-Short,753.48,293.86,,,0
CDM,SUP44249,Noncdm Charge Record Medical Supplies,4018.9,1567.37,,,0
CDM,SUP44260,Noncdm Charge Record Medical Supplies,2815.2,1097.93,,,0
CDM,SUP44264,Noncdm Charge Record Medical Supplies - Elevator Freer 195Mm,1030.86,402.04,,,0
CDM,SUP443,Noncdm Charge Record Medical Supplies - Stocking Compression Medium Long Thigh-Hi Antiembolism Covid,18.63,7.27,,,0
CDM,SUP44322,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 22Mm Ss Cort,188.37,73.46,,,0
CDM,SUP44323,Noncdm Charge Record Medical Supplies - Bit Drill 2.5Mm 3.5In Grad,416.07,162.27,,,0
CDM,SUP44324,Noncdm Charge Record Medical Supplies - Bit Drill 3.5Mm,387.09,150.97,,,0
CDM,SUP44325,Noncdm Charge Record Medical Supplies,10633.59,4147.1,,,0
CDM,SUP44327,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 45Mm Reflc Canc,188.37,73.46,,,0
CDM,SUP44341,Noncdm Charge Record Medical Supplies - Screw Bn Canc 18Mm 4Mm Sm,129.38,50.46,,,0
CDM,SUP44342,Noncdm Charge Record Medical Supplies,129.38,50.46,,,0
CDM,SUP44343,Noncdm Charge Record Medical Supplies,4108.95,1602.49,,,0
CDM,SUP44349,Noncdm Charge Record Medical Supplies - Plate Lrdtc Roic 14Mm 15.5Mm,5679.56,2215.03,,,0
CDM,SUP4436,Noncdm Charge Record Medical Supplies - Graft Vasc 6Mmx40Mm Artgrf,11758.69,4585.89,,,0
CDM,SUP4437_272,Noncdm Charge Record Medical Supplies - Tray Bx Wo Prc Ndl Sft Tis Lf,88.13,34.37,,,0
CDM,SUP4437_A4649_272,Noncdm Charge Record Medical Supplies - Tray Bx Wo Prc Ndl Sft Tis Lf,88.52,34.52,,,0
CDM,SUP4437_A9999_272,Noncdm Charge Record Medical Supplies - Tray Bx Wo Prc Ndl Sft Tis Lf,87.98,34.31,,,0
CDM,SUP44395,Noncdm Charge Record Medical Supplies - Guidewire Stingray Stiff Hpc,1652.9,644.63,,,0
CDM,SUP44398_272,Noncdm Charge Record Medical Supplies - Device Twstr + Rtrvl,268.16,104.58,,,0
CDM,SUP44398_A4649_272,Noncdm Charge Record Medical Supplies - Device Twstr + Rtrvl,268.27,104.63,,,0
CDM,SUP44398_A9999_272,Noncdm Charge Record Medical Supplies - Device Twstr + Rtrvl,268.41,104.68,,,0
CDM,SUP444,Noncdm Charge Record Medical Supplies - See 157618 Stocking Compression Large Regular Thigh-Hi Antie,18.63,7.27,,,0
CDM,SUP44453,Noncdm Charge Record Medical Supplies - Screw 4.5Mm Std Slf-Drill 12Mm,671.72,261.97,,,0
CDM,SUP4446,Noncdm Charge Record Medical Supplies - Valve Mitral 27Mm Msc Porc,24761.34,9656.92,,,0
CDM,SUP4447,Noncdm Charge Record Medical Supplies - Valve Mitral 29Mm Msc Porc,24761.34,9656.92,,,0
CDM,SUP4448,Noncdm Charge Record Medical Supplies - Valve Mitral 31Mm Msc Cnch,24761.34,9656.92,,,0
CDM,SUP445,Noncdm Charge Record Medical Supplies - Stocking Compression Large Long Thigh-Hi Antiembolism Covidi,18.63,7.27,,,0
CDM,SUP4450,Noncdm Charge Record Medical Supplies - Valve Mitral 33Mm Msc Porc,24761.34,9656.92,,,0
CDM,SUP4452,Noncdm Charge Record Medical Supplies - Catheter Angio .038In Vert Crv,245.3,95.67,,,0
CDM,SUP4453,Noncdm Charge Record Medical Supplies - Catheter Angio .038In Vtk Crv 5Fr 125Cm Crbrl 5-Bx,200.79,78.31,,,0
CDM,SUP4454,Noncdm Charge Record Medical Supplies - Catheter Intvn .021In 2.8-3Fr .027In 130Cm 17,1582.09,617.02,,,0
CDM,SUP44542,Noncdm Charge Record Medical Supplies,671.51,261.89,,,0
CDM,SUP4455,Noncdm Charge Record Medical Supplies - See 133764 Guidewire Vasc 45D .018In25Cm 180Cm Ang Std,842.49,328.57,,,0
CDM,SUP4457,Noncdm Charge Record Medical Supplies - See 133766 Guidewire Vasc 45D .018In 2Cm Ang Std 180Cm,842.49,328.57,,,0
CDM,SUP44644,Noncdm Charge Record Medical Supplies,5684.22,2216.85,,,0
CDM,SUP44698,Noncdm Charge Record Medical Supplies,10657.91,4156.58,,,0
CDM,SUP44704,Noncdm Charge Record Medical Supplies,10657.91,4156.58,,,0
CDM,SUP4480,Noncdm Charge Record Medical Supplies - Stent Bms Multi-Link Vision Rx 3.0 X 12,2148.66,837.98,,,0
CDM,SUP44855,Noncdm Charge Record Medical Supplies - Implant Breast 215Cc Cls,3504.51,1366.76,,,0
CDM,SUP448_272,Noncdm Charge Record Medical Supplies - Catheter Urethral 12Fr 2Way 30Cc Un Coated Silicone Bard,15.54,6.06,,,0
CDM,SUP448_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Urethral 12Fr 2Way 30Cc Un Coated Silicone Bard,15.52,6.05,,,0
CDM,SUP448_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Urethral 12Fr 2Way 30Cc Un Coated Silicone Bard,15.52,6.05,,,0
CDM,SUP44908,Noncdm Charge Record Medical Supplies - Head V40 Blx D 36Mm +0Mm,6390.09,2492.14,,,0
CDM,SUP44912,Noncdm Charge Record Medical Supplies - Rod Spnl 40Mm,806.26,314.44,,,0
CDM,SUP44913,Noncdm Charge Record Medical Supplies - Rod Spnl 50Mm,805.75,314.24,,,0
CDM,SUP44917,Noncdm Charge Record Medical Supplies - Balloon Occlusion 4Mmx11Mm,6746.13,2630.99,,,0
CDM,SUP44921,Noncdm Charge Record Medical Supplies,2876.26,1121.74,,,0
CDM,SUP44926,Noncdm Charge Record Medical Supplies - Bit Drill 2.8Mm 60Mm,480.24,187.29,,,0
CDM,SUP44927,Noncdm Charge Record Medical Supplies - 2.2Mm Drill Bit,656.19,255.91,,,0
CDM,SUP44928,Noncdm Charge Record Medical Supplies,1187.14,462.98,,,0
CDM,SUP44945,Noncdm Charge Record Medical Supplies - (128221)Aquasonic Ultrasound Gel,51.75,20.18,,,0
CDM,SUP44986_272,Noncdm Charge Record Medical Supplies - Syringe Inj Medrad 150Ml,39.38,15.36,,,0
CDM,SUP44986_A4649_272,Noncdm Charge Record Medical Supplies - Syringe Inj Medrad 150Ml,39.33,15.34,,,0
CDM,SUP44986_A9999_272,Noncdm Charge Record Medical Supplies - Syringe Inj Medrad 150Ml,39.33,15.34,,,0
CDM,SUP44992,Noncdm Charge Record Medical Supplies - Kit Biceptor 9Mm 15Mm Disp,1573.72,613.75,,,0
CDM,SUP450,Noncdm Charge Record Medical Supplies,17.6,6.86,,,0
CDM,SUP45003,Noncdm Charge Record Medical Supplies - Tube Gastric Lavage 36Fr,24.84,9.69,,,0
CDM,SUP45013_272,Noncdm Charge Record Medical Supplies - See 97197 Adhesive Dermabond Mini Skin Topical J And J Healt,39.33,15.34,,,0
CDM,SUP45013_A4649_272,Noncdm Charge Record Medical Supplies - See 97197 Adhesive Dermabond Mini Skin Topical J And J Healt,39.33,15.34,,,0
CDM,SUP45049,Noncdm Charge Record Medical Supplies - Mask Anes Laryng 1.0 Lma,24.84,9.69,,,0
CDM,SUP45052,Noncdm Charge Record Medical Supplies - Suture Monoderm 2-0 40X40Cm 24Mm Undyed Quill Surgical Speci,106.86,41.68,,,0
CDM,SUP45098,Noncdm Charge Record Medical Supplies - Kit Cath 45Cm 28Fr Tl Pldrm Ruby Hemodia Strl,1398.28,545.33,,,0
CDM,SUP45099,Noncdm Charge Record Medical Supplies - Solution Prep Bss + Set Admin Irr Strl,37.54,14.64,,,0
CDM,SUP45108,Noncdm Charge Record Medical Supplies - Augment Tib 5Mm Trthln Rn Ll5,4250.74,1657.79,,,0
CDM,SUP45134_272,Noncdm Charge Record Medical Supplies - Skin Closure System Dermabond Prineo Roll Ethicon Inc,575.36,224.39,,,0
CDM,SUP45134_A4649_272,Noncdm Charge Record Medical Supplies - Skin Closure System Dermabond Prineo Roll Ethicon Inc,575.29,224.36,,,0
CDM,SUP45174,Noncdm Charge Record Medical Supplies - Tube Nrvsn Et Emg 7Mm Disp,1267.88,494.47,,,0
CDM,SUP452,Noncdm Charge Record Medical Supplies - Tube Feeding Valve Lopez Enteral Bard Medical Division,13.33,5.2,,,0
CDM,SUP4521,Noncdm Charge Record Medical Supplies,5975.31,2330.37,,,0
CDM,SUP45256,Noncdm Charge Record Medical Supplies - Pin Steinman,295.32,115.17,,,0
CDM,SUP4526,Noncdm Charge Record Medical Supplies - Sling Pubovaginal Obtryx Halo Midurethral Trnstr,9259.91,3611.36,,,0
CDM,SUP4528_272,Noncdm Charge Record Medical Supplies - Micropuncture 4Fr Short Introducer Set,208.99,81.51,,,0
CDM,SUP4528_A4649_272,Noncdm Charge Record Medical Supplies - Micropuncture 4Fr Short Introducer Set,218.38,85.17,,,0
CDM,SUP4528_A9999_272,Noncdm Charge Record Medical Supplies - Micropuncture 4Fr Short Introducer Set,203.3,79.29,,,0
CDM,SUP4528_C1894_272,Noncdm Charge Record Medical Supplies - Micropuncture 4Fr Short Introducer Set,182.68,71.25,,,0
CDM,SUP4529,Noncdm Charge Record Medical Supplies - Cement Bn Kph Hvr Radiopq,486.45,189.72,,,0
CDM,SUP45348,Noncdm Charge Record Medical Supplies - Stent Biliary Duodenal 10Fx5Cm Double Pigtail Advanix Boston,383.47,149.55,,,0
CDM,SUP45366,Noncdm Charge Record Medical Supplies - Suture Polypropylene 0 48 In Boston Scientific,117.47,45.81,,,0
CDM,SUP45369_272,Noncdm Charge Record Medical Supplies - Reload Stapler Intnl 30Mm Med Artc Crv Tip,618.93,241.38,,,0
CDM,SUP45369_A4649_272,Noncdm Charge Record Medical Supplies - Reload Stapler Intnl 30Mm Med Artc Crv Tip,618.93,241.38,,,0
CDM,SUP45369_A9999_272,Noncdm Charge Record Medical Supplies - Reload Stapler Intnl 30Mm Med Artc Crv Tip,618.93,241.38,,,0
CDM,SUP45380,Noncdm Charge Record Medical Supplies - Cutter Surg 11Mm Flipcutter,1590.8,620.41,,,0
CDM,SUP45382,Noncdm Charge Record Medical Supplies - Reamer Surg 10.5Mm Low Prof,954.27,372.17,,,0
CDM,SUP45456,Noncdm Charge Record Medical Supplies - Guidewire Recon Cocr 3.2Mmx400,587.58,229.16,,,0
CDM,SUP45518_272,Noncdm Charge Record Medical Supplies - See 142311 Tray Spnl Anes 24Ga 90Mm,98.32,38.34,,,0
CDM,SUP45518_A9999_272,Noncdm Charge Record Medical Supplies - See 142311 Tray Spnl Anes 24Ga 90Mm,98.32,38.34,,,0
CDM,SUP45541,Noncdm Charge Record Medical Supplies - Screw Bn 4.2Mm 16Mm Var Ang,671.53,261.9,,,0
CDM,SUP45542,Noncdm Charge Record Medical Supplies - Screw Bn 4.2Mm 16Mm Fx Ang,671.72,261.97,,,0
CDM,SUP45544,Noncdm Charge Record Medical Supplies - Plate Cerv Anter Xtend,3383.42,1319.53,,,0
CDM,SUP45546,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 40Mm St,552.69,215.55,,,0
CDM,SUP45593,Noncdm Charge Record Medical Supplies - Implant Speed 15X12X12Mm,4785.15,1866.21,,,0
CDM,SUP45594,Noncdm Charge Record Medical Supplies - Implant System Mini Scorpion Micro Suture,5292.99,2064.27,,,0
CDM,SUP45599,Noncdm Charge Record Medical Supplies - Screw Bn Mtrx 4Mm,367.9,143.48,,,0
CDM,SUP45603,Noncdm Charge Record Medical Supplies - Coil Concerto Nyl 7Mm 30Cm,3625.32,1413.87,,,0
CDM,SUP45604,Noncdm Charge Record Medical Supplies - Coil Concerto Nyl 8Mm 30Cm,3625.22,1413.84,,,0
CDM,SUP45606,Noncdm Charge Record Medical Supplies - Coil Concerto Nyl 10Mm 30Cm,3625.09,1413.79,,,0
CDM,SUP45613,Noncdm Charge Record Medical Supplies - Rod 5.5Mm Ccm Lined 500Mm,2148.66,837.98,,,0
CDM,SUP45614,Noncdm Charge Record Medical Supplies - Drill Bit J-Latch 1.5Mm Mandible Synthes,982.22,383.07,,,0
CDM,SUP45618,Noncdm Charge Record Medical Supplies,10835.42,4225.81,,,0
CDM,SUP45619,Noncdm Charge Record Medical Supplies - Liner Acetab Poly 36Mm 52Mm,6946.92,2709.3,,,0
CDM,SUP45645,Noncdm Charge Record Medical Supplies - Catheter Fs-Pc Fus Push 5Fr,303.26,118.27,,,0
CDM,SUP45648,Noncdm Charge Record Medical Supplies - Insert Hum 36Mm 6Mm Poly,7192.22,2804.97,,,0
CDM,SUP45693,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 30Mm St,526.57,205.36,,,0
CDM,SUP45696,Noncdm Charge Record Medical Supplies - Plate 6 Hole Radius,4824.14,1881.41,,,0
CDM,SUP45728_272,Noncdm Charge Record Medical Supplies - See 155832 Tube Endotrach 7Mm,1996.72,778.72,,,0
CDM,SUP45728_A9999_272,Noncdm Charge Record Medical Supplies - See 155832 Tube Endotrach 7Mm,2090.7,815.37,,,0
CDM,SUP45729,Noncdm Charge Record Medical Supplies - See 155833 Tube Endotrach 8Mm,2090.7,815.37,,,0
CDM,SUP45732,Noncdm Charge Record Medical Supplies - Wire Intuition Sil 180 Cm Intuition Hdr-Trk,199.96,77.98,,,0
CDM,SUP45735,Noncdm Charge Record Medical Supplies - Trocar Vrsprt Cannula Bladeless 5Mm Optc,36.2,14.12,,,0
CDM,SUP45766,Noncdm Charge Record Medical Supplies - Catheter 10.2Frx26Cm Nphurstm,570.14,222.35,,,0
CDM,SUP45767,Noncdm Charge Record Medical Supplies - Drill Bit 4.5Mm-6.5Mm Stepped Quick Coupling 485Mm Synthes,2060.25,803.5,,,0
CDM,SUP45768,Noncdm Charge Record Medical Supplies - Pin Flexible Passing 13.50Inch X 2.4Mm Smith Nephew,691.38,269.64,,,0
CDM,SUP45769,Noncdm Charge Record Medical Supplies - Suture Shuttle Elite Pass Monofilament #1 Smith And Nephew,32.08,12.51,,,0
CDM,SUP45783,Noncdm Charge Record Medical Supplies - Guide Sut Crv 4-Pk,71.41,27.85,,,0
CDM,SUP45788,Noncdm Charge Record Medical Supplies - Wedge Tib 5Mm Legion 7-8 Dist,5800.14,2262.05,,,0
CDM,SUP45789,Noncdm Charge Record Medical Supplies - Insert Hum 36Mm 9Mm Poly,8158.9,3181.97,,,0
CDM,SUP45790,Noncdm Charge Record Medical Supplies - Catheter Closurefast 7F 100Cm,4629.56,1805.53,,,0
CDM,SUP45791,Noncdm Charge Record Medical Supplies - Set Introducer 21Gx2.75In 7F,98.13,38.27,,,0
CDM,SUP458,Noncdm Charge Record Medical Supplies,2008.94,783.49,,,0
CDM,SUP4581,Noncdm Charge Record Medical Supplies - Catheter Angio .035In Pgtl 5Fr,687.24,268.02,,,0
CDM,SUP45817,Noncdm Charge Record Medical Supplies - Cortrak Corfloultralite Entrl,114.88,44.8,,,0
CDM,SUP45826,Noncdm Charge Record Medical Supplies - Screw Bn 48Mm Mis Head,348.75,136.01,,,0
CDM,SUP45827,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 54Mm St T8 Strdr Acc Va Lck,574.42,224.02,,,0
CDM,SUP4582_272,Noncdm Charge Record Medical Supplies - Kit Inflation Device,309.39,120.66,,,0
CDM,SUP4582_A4649_272,Noncdm Charge Record Medical Supplies - Kit Inflation Device,309.35,120.65,,,0
CDM,SUP4582_A9999_272,Noncdm Charge Record Medical Supplies - Kit Inflation Device,309.46,120.69,,,0
CDM,SUP4584_272,Noncdm Charge Record Medical Supplies - Closure 6 Fr Perclose Proglide,1402.42,546.94,,,0
CDM,SUP4584_C1760_278,Noncdm Charge Record Medical Supplies - Closure 6 Fr Perclose Proglide,1499.84,584.94,,,0
CDM,SUP45856,Noncdm Charge Record Medical Supplies - See 132719 Unit Electrosurg Lgsr 5Mm Md,2430.18,947.77,,,0
CDM,SUP4588,Noncdm Charge Record Medical Supplies - Microsphere Embsph 500-700 2Ml,1305.33,509.08,,,0
CDM,SUP45905,Noncdm Charge Record Medical Supplies - Guidewire Ptfe .035In 150Cm,153.18,59.74,,,0
CDM,SUP45906,Noncdm Charge Record Medical Supplies - Dilator 8Fr 18Cm,59.0,23.01,,,0
CDM,SUP45907,Noncdm Charge Record Medical Supplies - Dilator 5Fr 18Cm,27.94,10.9,,,0
CDM,SUP45908,Noncdm Charge Record Medical Supplies - Dilator 6Fr 18Cm,48.64,18.97,,,0
CDM,SUP45911,Noncdm Charge Record Medical Supplies - Dilator 10Fr 18Cm,27.94,10.9,,,0
CDM,SUP45913,Noncdm Charge Record Medical Supplies - Dilator 12Fr 18Cm,27.94,10.9,,,0
CDM,SUP45916,Noncdm Charge Record Medical Supplies - Dilator 14Fr 18Cm,27.94,10.9,,,0
CDM,SUP45918,Noncdm Charge Record Medical Supplies - Dilator 16Fr 18Cm,27.94,10.9,,,0
CDM,SUP4591_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 2.5In 3-32In Edge Std,17.6,6.86,,,0
CDM,SUP4591_A4649_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 2.5In 3-32In Edge Std,17.6,6.86,,,0
CDM,SUP4591_A9999_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 2.5In 3-32In Edge Std,17.6,6.86,,,0
CDM,SUP4592,Noncdm Charge Record Medical Supplies - Screw Bn 2.0Mm 8Mm Imf Self,655.72,255.73,,,0
CDM,SUP45971,Noncdm Charge Record Medical Supplies - System Genesis Ii 7.5Mm Resurfacing Patella 32Mm Smith Nephe,3879.18,1512.88,,,0
CDM,SUP45974,Noncdm Charge Record Medical Supplies - Screw Bn Lck 10Mm 3.5Mm,1074.33,418.99,,,0
CDM,SUP45975,Noncdm Charge Record Medical Supplies - Screw Bn Cort 14Mm 3.5Mm Low Prof,547.52,213.53,,,0
CDM,SUP45976,Noncdm Charge Record Medical Supplies - Screw Bn Lck 10Mm 2.7Mm,1037.07,404.46,,,0
CDM,SUP4598,Noncdm Charge Record Medical Supplies - Needle Suture 6 Half Circle Anchor Products Company,32.61,12.72,,,0
CDM,SUP4599_272,Noncdm Charge Record Medical Supplies - Needle Suture 3 Half Circle Anchor Products Company,30.46,11.88,,,0
CDM,SUP4599_A4649_272,Noncdm Charge Record Medical Supplies - Needle Suture 3 Half Circle Anchor Products Company,30.02,11.71,,,0
CDM,SUP46018,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 100Mm 20Mm Asns,2032.74,792.77,,,0
CDM,SUP46050,Noncdm Charge Record Medical Supplies - Anchor Suture 4 Quicpr Smith And Nephew Orthopaedics,2113.47,824.25,,,0
CDM,SUP46051,Noncdm Charge Record Medical Supplies - Drill 4Mm For 4.5Mm Anchor Sl-Plus Smith And Nephew Orthopae,876.64,341.89,,,0
CDM,SUP46055,Noncdm Charge Record Medical Supplies,2605.09,1015.99,,,0
CDM,SUP46056,Noncdm Charge Record Medical Supplies - Suture Ultrabraid #2 38In White Smith And Nephew,1149.37,448.25,,,0
CDM,SUP46079,Noncdm Charge Record Medical Supplies - Drill Cannulated 3.5Mm,856.98,334.22,,,0
CDM,SUP46080,Noncdm Charge Record Medical Supplies - See 81126 Opticross Ivus Catheter 5F,2976.66,1160.9,,,0
CDM,SUP46100,Noncdm Charge Record Medical Supplies,2808.99,1095.51,,,0
CDM,SUP46101,Noncdm Charge Record Medical Supplies - Catheter Glide 5Fr Cobra,255.85,99.78,,,0
CDM,SUP46103,Noncdm Charge Record Medical Supplies - Guidewire Vasc Cfnz Pr12,611.94,238.66,,,0
CDM,SUP46134,Noncdm Charge Record Medical Supplies - Screw Bn Hdls 3X40Mm,1187.14,462.98,,,0
CDM,SUP46136_272,Noncdm Charge Record Medical Supplies - Bit Drill 2.0Mm 30Mm,480.24,187.29,,,0
CDM,SUP46136_A4649_272,Noncdm Charge Record Medical Supplies - Bit Drill 2.0Mm 30Mm,480.24,187.29,,,0
CDM,SUP46137,Noncdm Charge Record Medical Supplies - Screw Bn Cort 20Mm 3.5Mm Low Prof,622.77,242.88,,,0
CDM,SUP46141,Noncdm Charge Record Medical Supplies - Introducer Cath 30Cm 10Fr,355.1,138.49,,,0
CDM,SUP46199_272,Noncdm Charge Record Medical Supplies - Splint Intranasal 0.6Inx2In,734.66,286.52,,,0
CDM,SUP46199_A4649_272,Noncdm Charge Record Medical Supplies - Splint Intranasal 0.6Inx2In,734.5,286.46,,,0
CDM,SUP46199_A9999_272,Noncdm Charge Record Medical Supplies - Splint Intranasal 0.6Inx2In,734.85,286.59,,,0
CDM,SUP462,Noncdm Charge Record Medical Supplies - Catheter Drain 22Fr Malecots Latex Bard,292.9,114.23,,,0
CDM,SUP46201,Noncdm Charge Record Medical Supplies - Plate Bn Xtnd Ant Cerv 34Mm,3383.42,1319.53,,,0
CDM,SUP46203,Noncdm Charge Record Medical Supplies - Screw Bn Va4.2Mm 16Mm Xtnd,671.5,261.88,,,0
CDM,SUP46210,Noncdm Charge Record Medical Supplies - Component Fem 5N Rt Knee Nar,21049.83,8209.43,,,0
CDM,SUP4625,Noncdm Charge Record Medical Supplies - Sensor Neuro Bis Eeg Qt Polyest Slvr Cl Disp,89.64,34.96,,,0
CDM,SUP46268,Noncdm Charge Record Medical Supplies - Reamer Surg 8Mm Low Prof,954.27,372.17,,,0
CDM,SUP4626_272,Noncdm Charge Record Medical Supplies - Suture Ndl Mrtn 5 Ut Half Circ Revct Strl,40.62,15.84,,,0
CDM,SUP4626_A4649_272,Noncdm Charge Record Medical Supplies - Suture Ndl Mrtn 5 Ut Half Circ Revct Strl,46.06,17.96,,,0
CDM,SUP46277,Noncdm Charge Record Medical Supplies - Coil Cash 14 Plat 5Mmx7Cm,5800.14,2262.05,,,0
CDM,SUP46278,Noncdm Charge Record Medical Supplies - Coil Cash 14 Plat 5Mmx12Cm,5800.14,2262.05,,,0
CDM,SUP46279,Noncdm Charge Record Medical Supplies - Coil Cash 14 Plat 6Mmx9Cm,5800.14,2262.05,,,0
CDM,SUP4628,Noncdm Charge Record Medical Supplies - Graft Cv 15Cm 6Mm Thor Abd Wvn,2018.25,787.12,,,0
CDM,SUP46280,Noncdm Charge Record Medical Supplies - Coil Cash 14 Plat 6Mmx15Cm,5800.14,2262.05,,,0
CDM,SUP46281,Noncdm Charge Record Medical Supplies - Coil Cash 14 Plat 7Mmx11Cm,5800.14,2262.05,,,0
CDM,SUP4629,Noncdm Charge Record Medical Supplies - Graft Cv 15Cm 8Mm Thor Abd Wvn,1996.52,778.64,,,0
CDM,SUP4630,Noncdm Charge Record Medical Supplies - Graft Cv 30Cm 24Mm Thor Abd,2994.26,1167.76,,,0
CDM,SUP4631,Noncdm Charge Record Medical Supplies - Graft Cv 30Cm 26Mm Thor Abd Wvn Strt Glwv,2994.26,1167.76,,,0
CDM,SUP4632,Noncdm Charge Record Medical Supplies - Graft Cv 30Cm 28Mm Thor Abd,2994.26,1167.76,,,0
CDM,SUP4633,Noncdm Charge Record Medical Supplies - Graft Cv 30Cm 30Mm Thor Abd Wvn Strt Glwv,2994.26,1167.76,,,0
CDM,SUP4634,Noncdm Charge Record Medical Supplies - Graft Cv 30Cm 32Mm Thor Abd Wvn Strt Glwv,2994.26,1167.76,,,0
CDM,SUP4635,Noncdm Charge Record Medical Supplies - Graft Cv 40Cm 30Mm 8Mm Aort,8071.96,3148.06,,,0
CDM,SUP46350,Noncdm Charge Record Medical Supplies - Plate Mini Maxi Fac 4 Hl W Bar Lck 2-2.3Mm Strt,485.24,189.24,,,0
CDM,SUP46351,Noncdm Charge Record Medical Supplies - Screw St 2Mm 5Mm Mandib,244.78,95.46,,,0
CDM,SUP46352,Noncdm Charge Record Medical Supplies - Bit Drill 50Mm 1.6Mm Screw Strl,575.46,224.43,,,0
CDM,SUP46353,Noncdm Charge Record Medical Supplies - Plate 3D 2X2 Hl,1208.88,471.46,,,0
CDM,SUP46355,Noncdm Charge Record Medical Supplies - Bit Drill .9Mm 46Mm,592.02,230.89,,,0
CDM,SUP46358,Noncdm Charge Record Medical Supplies - Screw Ti Mandi 2Mm 10Mm Self Lck,544.41,212.32,,,0
CDM,SUP46359,Noncdm Charge Record Medical Supplies - Screw Ti Mandi 2Mm 8Mm Self Lck,398.48,155.41,,,0
CDM,SUP4636,Noncdm Charge Record Medical Supplies - Graft Cv 40Cm 28Mm 8Mm Aort,5650.06,2203.52,,,0
CDM,SUP46360,Noncdm Charge Record Medical Supplies - Bit Drill 1.6Mm 58Mm 20Mm,648.95,253.09,,,0
CDM,SUP46366,Noncdm Charge Record Medical Supplies - Surface Artic 12Mm 12Mm Most,8356.59,3259.07,,,0
CDM,SUP4637,Noncdm Charge Record Medical Supplies - Mesh Surg Parietex 14.5X11In,6327.99,2467.92,,,0
CDM,SUP46372,Noncdm Charge Record Medical Supplies - Filter Deliver Jugular,8095.77,3157.35,,,0
CDM,SUP46373,Noncdm Charge Record Medical Supplies - Cannula Nasal Hi Flow Adv Fit,10.35,4.04,,,0
CDM,SUP46374,Noncdm Charge Record Medical Supplies - Filter Deliver Femoral,8095.79,3157.36,,,0
CDM,SUP4639,Noncdm Charge Record Medical Supplies - Mesh Parietex 6X4In Rt Antm,566.14,220.79,,,0
CDM,SUP4640,Noncdm Charge Record Medical Supplies - Pump It 20Ml Snchr 2 Drg Del,55664.16,21709.02,,,0
CDM,SUP4641,Noncdm Charge Record Medical Supplies - System Pain Pump Ti Sil Rsrv Filter Mesh,52873.29,20620.58,,,0
CDM,SUP464_272,Noncdm Charge Record Medical Supplies - Tip Pulse Lavage Irrigation Pump Disposable Stryker Medical,54.77,21.36,,,0
CDM,SUP464_A4649_272,Noncdm Charge Record Medical Supplies - Tip Pulse Lavage Irrigation Pump Disposable Stryker Medical,53.82,20.99,,,0
CDM,SUP464_A9999_272,Noncdm Charge Record Medical Supplies - Tip Pulse Lavage Irrigation Pump Disposable Stryker Medical,53.82,20.99,,,0
CDM,SUP465,Noncdm Charge Record Medical Supplies - Anchor Suture With Two #2 Hi-Fi Sutures Depuy Mitek,3396.39,1324.59,,,0
CDM,SUP46540,Noncdm Charge Record Medical Supplies - Needle Biopsy 20Ga 5Cm Chiba,70.38,27.45,,,0
CDM,SUP46543,Noncdm Charge Record Medical Supplies - Needle Biopsy 19Ga 20Cm Chiba,52.78,20.58,,,0
CDM,SUP4656,Noncdm Charge Record Medical Supplies - Stent Uret 10.2Fr 24Cm .038In,547.52,213.53,,,0
CDM,SUP4657_272,Noncdm Charge Record Medical Supplies - Catheter Angio .035In Rim Crv 5Fr 65Cm Braid,104.91,40.91,,,0
CDM,SUP4657_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Angio .035In Rim Crv 5Fr 65Cm Braid,87.98,34.31,,,0
CDM,SUP46600,Noncdm Charge Record Medical Supplies - Wire K Thrd 1.6Mm 229Mm 9In,123.5,48.16,,,0
CDM,SUP46601_272,Noncdm Charge Record Medical Supplies - Wire K 1.1Mm 0.045 229Mm 9In,35.19,13.72,,,0
CDM,SUP46601_C1713_278,Noncdm Charge Record Medical Supplies - Wire K 1.1Mm 0.045 229Mm 9In,35.19,13.72,,,0
CDM,SUP46603,Noncdm Charge Record Medical Supplies - Catheter Support Trlblzr-150Cm,636.52,248.24,,,0
CDM,SUP4667,Noncdm Charge Record Medical Supplies - Catheter Embol 80Cm 4Fr Fgrty Lf,205.96,80.32,,,0
CDM,SUP46686,Noncdm Charge Record Medical Supplies - Nail 11.5Mm 24Cm 130D Troch Intertan Intramed,17059.9,6653.36,,,0
CDM,SUP4669,Noncdm Charge Record Medical Supplies - Set Proc Hta Procerva Strl,5511.38,2149.44,,,0
CDM,SUP46694,Noncdm Charge Record Medical Supplies - Screw Bn 20Mm Acutwist Ti Ft,1262.7,492.45,,,0
CDM,SUP46695,Noncdm Charge Record Medical Supplies - Screw Bn 24Mm Acutwist Ti Ft,1262.7,492.45,,,0
CDM,SUP46696,Noncdm Charge Record Medical Supplies - Screw Bn 30Mm Acutwist Ti Ft,1262.7,492.45,,,0
CDM,SUP46717,Noncdm Charge Record Medical Supplies - Drill Bit Cannulated,1429.34,557.44,,,0
CDM,SUP46730,Noncdm Charge Record Medical Supplies - Standard Prox. Vdr,4326.3,1687.26,,,0
CDM,SUP46731,Noncdm Charge Record Medical Supplies - Plate Bn Lt Nar Prox,4326.3,1687.26,,,0
CDM,SUP46733,Noncdm Charge Record Medical Supplies - Plate Standard Left,4326.3,1687.26,,,0
CDM,SUP46751,Noncdm Charge Record Medical Supplies,6060.96,2363.77,,,0
CDM,SUP46768,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 14Mm Nonlck Hexalobe,508.92,198.48,,,0
CDM,SUP46769,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 16Mm Nonlck Hexalobe,505.08,196.98,,,0
CDM,SUP46779,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 14Mm Hexalobe Lck,531.99,207.48,,,0
CDM,SUP4677_272,Noncdm Charge Record Medical Supplies - See 133739 Evacuator Smoke Laparos Grn,77.62,30.27,,,0
CDM,SUP4677_A4649_272,Noncdm Charge Record Medical Supplies - See 133739 Evacuator Smoke Laparos Grn,77.62,30.27,,,0
CDM,SUP46799,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 12Mm Nonlck Hexalobe,516.43,201.41,,,0
CDM,SUP46800,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 14Mm Nonlck Hexalobe,498.87,194.56,,,0
CDM,SUP46801,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 16Mm Nonlck Hexalobe,496.11,193.48,,,0
CDM,SUP46802,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 18Mm Nonlck Hexalobe,505.08,196.98,,,0
CDM,SUP46803,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 20Mm Nonlck Hexalobe,478.17,186.49,,,0
CDM,SUP46804,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 22Mm Nonlck Hexalobe,478.17,186.49,,,0
CDM,SUP46813,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 40Mm Nonlck Hexalobe,478.17,186.49,,,0
CDM,SUP46815,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 50Mm Nonlck Hexalobe,496.11,193.48,,,0
CDM,SUP46821,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 10Mm Hexalobe Lck,644.55,251.37,,,0
CDM,SUP46822,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 12Mm Hexalobe Lck,600.21,234.08,,,0
CDM,SUP46823,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 14Mm Hexalobe Lck,518.28,202.13,,,0
CDM,SUP46824,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 16Mm Hexalobe Lck,531.99,207.48,,,0
CDM,SUP46825,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 18Mm Hexalobe Lck,682.06,266.0,,,0
CDM,SUP46831,Noncdm Charge Record Medical Supplies - Tube Byron 13In Infltr,134.55,52.47,,,0
CDM,SUP46836,Noncdm Charge Record Medical Supplies - Kwire 2.0,166.64,64.99,,,0
CDM,SUP46843,Noncdm Charge Record Medical Supplies - Stem Rad 9Mmx2Mm Strl,11053.8,4310.98,,,0
CDM,SUP46845,Noncdm Charge Record Medical Supplies - Guide Wire .045,220.46,85.98,,,0
CDM,SUP46847,Noncdm Charge Record Medical Supplies - Kwire .059,220.46,85.98,,,0
CDM,SUP46848,Noncdm Charge Record Medical Supplies - Plate Tack,472.74,184.37,,,0
CDM,SUP46849,Noncdm Charge Record Medical Supplies - Suture Anchorure Fbr.Quicmm Piton Suture+ Southern Orthopaed,1503.86,586.51,,,0
CDM,SUP46850,Noncdm Charge Record Medical Supplies,2583.88,1007.71,,,0
CDM,SUP46851,Noncdm Charge Record Medical Supplies,9909.09,3864.55,,,0
CDM,SUP46854,Noncdm Charge Record Medical Supplies - Head Rad Lt 22Mm Total Strl,14476.54,5645.85,,,0
CDM,SUP46861,Noncdm Charge Record Medical Supplies - Bit Drill 3.5Mm Lng Qrlse Strl,455.4,177.61,,,0
CDM,SUP4692,Noncdm Charge Record Medical Supplies - Catheter Opticross Ivus 5F,2865.92,1117.71,,,0
CDM,SUP4693,Noncdm Charge Record Medical Supplies - Device Us Glxy Pullback Sled,195.62,76.29,,,0
CDM,SUP4694,Noncdm Charge Record Medical Supplies,34.16,13.32,,,0
CDM,SUP46967,Noncdm Charge Record Medical Supplies - Endokit Cust Comp Dbl 2Oz,30.02,11.71,,,0
CDM,SUP47021,Noncdm Charge Record Medical Supplies - Catheter Swan Ganz 7.5Fr Vip,1192.84,465.21,,,0
CDM,SUP47024,Noncdm Charge Record Medical Supplies - Dressing Picc Cvc Scr+ Tgdrm,5.18,2.02,,,0
CDM,SUP47084,Noncdm Charge Record Medical Supplies - System Bx Tray Ndl Set 152Mm,649.98,253.49,,,0
CDM,SUP47085_272,Noncdm Charge Record Medical Supplies - System Oncontrol Proc Tray Str,289.8,113.02,,,0
CDM,SUP47085_A4649_272,Noncdm Charge Record Medical Supplies - System Oncontrol Proc Tray Str,289.8,113.02,,,0
CDM,SUP47085_A9999_272,Noncdm Charge Record Medical Supplies - System Oncontrol Proc Tray Str,289.8,113.02,,,0
CDM,SUP47086_272,Noncdm Charge Record Medical Supplies - System Bx Tray Ndl Set 102Mm,649.98,253.49,,,0
CDM,SUP47086_A4649_272,Noncdm Charge Record Medical Supplies - System Bx Tray Ndl Set 102Mm,649.98,253.49,,,0
CDM,SUP47086_A9999_272,Noncdm Charge Record Medical Supplies - System Bx Tray Ndl Set 102Mm,649.98,253.49,,,0
CDM,SUP47087,Noncdm Charge Record Medical Supplies - System Oncontrol Bx Tray 102Mm,719.32,280.53,,,0
CDM,SUP47089_272,Noncdm Charge Record Medical Supplies - Trocar Optc Bladeless 11Mm Std W-Fx100Mm Cannula,22.77,8.88,,,0
CDM,SUP47089_A4649_272,Noncdm Charge Record Medical Supplies - Trocar Optc Bladeless 11Mm Std W-Fx100Mm Cannula,22.77,8.88,,,0
CDM,SUP47089_A9999_272,Noncdm Charge Record Medical Supplies - Trocar Optc Bladeless 11Mm Std W-Fx100Mm Cannula,22.77,8.88,,,0
CDM,SUP4712,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 45Mm Dcp Lc Dcp Ss P-T Canc Ns,146.3,57.06,,,0
CDM,SUP4713,Noncdm Charge Record Medical Supplies - Cable Orth Cocr 1.8Mm 635Mm,4060.3,1583.52,,,0
CDM,SUP47164,Noncdm Charge Record Medical Supplies - Stem Fem 100Mm 20Mm Prft Flute,5060.63,1973.65,,,0
CDM,SUP47165,Noncdm Charge Record Medical Supplies - Augment Fem 5Mm Trthln Dist Lt,4466.02,1741.75,,,0
CDM,SUP47168,Noncdm Charge Record Medical Supplies,59.0,23.01,,,0
CDM,SUP4722,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 14Mm Lcp Ss Ft Canc Ns Sm Frag,148.65,57.97,,,0
CDM,SUP4728,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 18Mm Lcp Ss Ft Canc Ns Sm Frag,143.07,55.8,,,0
CDM,SUP47290,Noncdm Charge Record Medical Supplies - Adaptor Urolok Ii,139.72,54.49,,,0
CDM,SUP47291_272,Noncdm Charge Record Medical Supplies - Basket Zerotip 2.4Fx120Cmx4Mm Boston Scientific,1125.61,438.99,,,0
CDM,SUP47291_A4649_272,Noncdm Charge Record Medical Supplies - Basket Zerotip 2.4Fx120Cmx4Mm Boston Scientific,1428.3,557.04,,,0
CDM,SUP47292,Noncdm Charge Record Medical Supplies - Basket Bagley 1.9F X 120Cm Helical Boston Scientific,753.48,293.86,,,0
CDM,SUP47294,Noncdm Charge Record Medical Supplies - Catheter Imager Ii 5 Fr 65 Cm,83.84,32.7,,,0
CDM,SUP47295,Noncdm Charge Record Medical Supplies - Catheter U2Q-5-10-5.8-75 Uroma,1312.38,511.83,,,0
CDM,SUP47296,Noncdm Charge Record Medical Supplies - Catheter U2Q-5-4-5.8-75 Uromax,1305.65,509.2,,,0
CDM,SUP47297,Noncdm Charge Record Medical Supplies - Catheter U2Q-6-10-5.8-75 Kit,1325.84,517.08,,,0
CDM,SUP47298,Noncdm Charge Record Medical Supplies - Catheter U2Q-6-4-5.8-75 Kit,1476.8,575.95,,,0
CDM,SUP47299_272,Noncdm Charge Record Medical Supplies - Catheter 5 French Open End Ureteral Boston Scientific,58.33,22.75,,,0
CDM,SUP47299_C1755_272,Noncdm Charge Record Medical Supplies - Catheter 5 French Open End Ureteral Boston Scientific,46.58,18.17,,,0
CDM,SUP47299_C1758_272,Noncdm Charge Record Medical Supplies - Catheter 5 French Open End Ureteral Boston Scientific,59.22,23.1,,,0
CDM,SUP47300,Noncdm Charge Record Medical Supplies - Catheter F-G 4Fr Open End Uret,65.92,25.71,,,0
CDM,SUP47302,Noncdm Charge Record Medical Supplies - Stent Uret 8Fr 24Cm Percuflex,412.96,161.05,,,0
CDM,SUP47303,Noncdm Charge Record Medical Supplies - Stent Uret 8Fr 28Cm Percuflex,408.31,159.24,,,0
CDM,SUP47304,Noncdm Charge Record Medical Supplies - Stent Uret 8Fr 22Cm Percuflex,415.04,161.87,,,0
CDM,SUP47307,Noncdm Charge Record Medical Supplies - Stent Uret Ascerta 7X28,416.07,162.27,,,0
CDM,SUP47308,Noncdm Charge Record Medical Supplies - Stent Uret Ascerta 7X26,508.18,198.19,,,0
CDM,SUP47309,Noncdm Charge Record Medical Supplies - Stent Uret Ascerta 7X24,462.58,180.41,,,0
CDM,SUP47310,Noncdm Charge Record Medical Supplies - Stent Uret Ascerta 7X22,403.13,157.22,,,0
CDM,SUP47313,Noncdm Charge Record Medical Supplies - Stent Uret Ascerta 6X28,644.66,251.42,,,0
CDM,SUP47316,Noncdm Charge Record Medical Supplies - Stent Ureteral 6X26 Ascerta Boston Scientific,545.11,212.59,,,0
CDM,SUP47317,Noncdm Charge Record Medical Supplies - Stent Ureteral 6X24 Ascerta Boston Scientific,554.16,216.12,,,0
CDM,SUP47318,Noncdm Charge Record Medical Supplies - Stent Uret Ascerta 6X22,532.79,207.79,,,0
CDM,SUP47319,Noncdm Charge Record Medical Supplies - Catheter 6Fr Angled Tip U.C.,269.1,104.95,,,0
CDM,SUP47321,Noncdm Charge Record Medical Supplies - Stent Uret Ascerta 4.8X28,849.74,331.4,,,0
CDM,SUP47322,Noncdm Charge Record Medical Supplies - Stent Ureteral Ascerta 4.8X26 Boston Scientific,845.85,329.88,,,0
CDM,SUP47323,Noncdm Charge Record Medical Supplies - Stent Ureteral Ascerta 4.8X24 Boston Scientific,630.68,245.97,,,0
CDM,SUP47324,Noncdm Charge Record Medical Supplies - Catheter F-G 7Fr Open End Uret,45.54,17.76,,,0
CDM,SUP47326_272,Noncdm Charge Record Medical Supplies - Catheter Udc-10-50 M Ac1050,510.26,199.0,,,0
CDM,SUP47326_C1758_272,Noncdm Charge Record Medical Supplies - Catheter Udc-10-50 M Ac1050,408.22,159.21,,,0
CDM,SUP47327,Noncdm Charge Record Medical Supplies - Stent Uret Percuflex + 4.8X20,594.09,231.7,,,0
CDM,SUP47328,Noncdm Charge Record Medical Supplies - Catheter F-G 6Fr Open End Uret,52.99,20.67,,,0
CDM,SUP47329,Noncdm Charge Record Medical Supplies - Sheath Acc 11-13Fr 46Cm Nav,872.71,340.36,,,0
CDM,SUP47330,Noncdm Charge Record Medical Supplies - Sheath Acc 11-13Fr 36Cm Nav,543.38,211.92,,,0
CDM,SUP47331,Noncdm Charge Record Medical Supplies - Forcep Grasping Tricep 3F 120Cm Boston Scientific,832.14,324.53,,,0
CDM,SUP47333,Noncdm Charge Record Medical Supplies - Dilator Amplatz Sheath Set,1344.92,524.52,,,0
CDM,SUP47334,Noncdm Charge Record Medical Supplies - Sheath Acc 13-15Fr 28Cm Nav,539.24,210.3,,,0
CDM,SUP47336,Noncdm Charge Record Medical Supplies - Set Dilator Sheath 8F-10F Boston Scientific,269.8,105.22,,,0
CDM,SUP47338,Noncdm Charge Record Medical Supplies - Balloon Kit Clear 10-12-7-55 Sheathnephromax Boston Scientif,1559.54,608.22,,,0
CDM,SUP47339,Noncdm Charge Record Medical Supplies - Balloon Kit 10-12-7-55 Boston Scientific,1411.87,550.63,,,0
CDM,SUP4734,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 28Mm Lcp Ss Ped Univ Cort T25,632.8,246.79,,,0
CDM,SUP47345_272,Noncdm Charge Record Medical Supplies - Basket Zerotip 1.9Fx120Cmx12Mm Boston Scientific,1207.3,470.85,,,0
CDM,SUP47345_A4649_272,Noncdm Charge Record Medical Supplies - Basket Zerotip 1.9Fx120Cmx12Mm Boston Scientific,1401.56,546.61,,,0
CDM,SUP47345_A9999_272,Noncdm Charge Record Medical Supplies - Basket Zerotip 1.9Fx120Cmx12Mm Boston Scientific,973.59,379.7,,,0
CDM,SUP47346,Noncdm Charge Record Medical Supplies - Sheath Access Nav 11-13Fx28Cm,543.38,211.92,,,0
CDM,SUP47347,Noncdm Charge Record Medical Supplies - Sheath Access Nav 11-13Fx36Cm,537.16,209.49,,,0
CDM,SUP47348,Noncdm Charge Record Medical Supplies - Forceps Talon 3 Prong 2.4-120,832.14,324.53,,,0
CDM,SUP4735,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 30Mm Lcp Ss Ped Univ Cort T25,572.36,223.22,,,0
CDM,SUP47350,Noncdm Charge Record Medical Supplies - Forceps Final Assy.,1824.62,711.6,,,0
CDM,SUP47352,Noncdm Charge Record Medical Supplies - Guidewire .035-150 Std Shft-,175.86,68.59,,,0
CDM,SUP47353,Noncdm Charge Record Medical Supplies - Guidewire Ptfe.035X15Cmflx Fix,91.76,35.79,,,0
CDM,SUP47354,Noncdm Charge Record Medical Supplies - Guidewire .035In150Cm Ang-Stif,255.64,99.7,,,0
CDM,SUP47355,Noncdm Charge Record Medical Supplies - Guidewire .035In150Cm Std-Strt,175.95,68.62,,,0
CDM,SUP47356,Noncdm Charge Record Medical Supplies - Guidewire Ptfe.038X15Cmflx Fix,92.85,36.21,,,0
CDM,SUP47357,Noncdm Charge Record Medical Supplies - Guidewire .038In150Cm Std-Strt,175.95,68.62,,,0
CDM,SUP4736,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 36Mm Lcp Ss Ped Univ Cort T25,597.54,233.04,,,0
CDM,SUP47369,Noncdm Charge Record Medical Supplies - Screw Trgn L-P 5-60Mm,2255.26,879.55,,,0
CDM,SUP4737,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 34Mm Lcp Ss Ped Univ Cort T25,572.36,223.22,,,0
CDM,SUP4739,Noncdm Charge Record Medical Supplies - Positioner Implant 4.5Mm Lcp Ss Thrd Crlge,771.5,300.88,,,0
CDM,SUP4741,Noncdm Charge Record Medical Supplies - Screw Bn 2.3Mm 22Mm Dist Radial Wr Hnd,478.17,186.49,,,0
CDM,SUP4746,Noncdm Charge Record Medical Supplies - Screw 2.3Mm 20Mm Dist Cort Radial Cort Wr Hnd,478.17,186.49,,,0
CDM,SUP4747,Noncdm Charge Record Medical Supplies - Screw 2.3Mm 18Mm Dist Cort Radial Cort Wr Hnd,478.17,186.49,,,0
CDM,SUP47499,Noncdm Charge Record Medical Supplies - See 6249 Needle Spnl 3.5Mm 25Ga Pncn Pncl Pt,5.18,2.02,,,0
CDM,SUP47500,Noncdm Charge Record Medical Supplies - Plate 110Mm Chest Wall Stabl,3866.76,1508.04,,,0
CDM,SUP47503,Noncdm Charge Record Medical Supplies - Needle Spnl 4-11 25Ga Bd Qnck 11-16,19.66,7.67,,,0
CDM,SUP4754,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 14Mm Dist,478.17,186.49,,,0
CDM,SUP4755,Noncdm Charge Record Medical Supplies - Screw 2.3Mm 24Mm Dist Cort Radial Cort Wr Hnd,580.12,226.25,,,0
CDM,SUP47554,Noncdm Charge Record Medical Supplies - Component Patell 32Mm Rsrfc,4290.08,1673.13,,,0
CDM,SUP47560_270,Noncdm Charge Record Medical Supplies - Tubing 02 Lng Smrt Capnoline +,64.17,25.03,,,0
CDM,SUP47560_A9999_270,Noncdm Charge Record Medical Supplies - Tubing 02 Lng Smrt Capnoline +,64.17,25.03,,,0
CDM,SUP47562_272,Noncdm Charge Record Medical Supplies - Kit Plrasl Progel Air Leak,4836.05,1886.06,,,0
CDM,SUP47562_C2615_272,Noncdm Charge Record Medical Supplies - Kit Plrasl Progel Air Leak,4202.1,1638.82,,,0
CDM,SUP47563,Noncdm Charge Record Medical Supplies - Applicator Ext Progel Spry Tip,544.15,212.22,,,0
CDM,SUP47564,Noncdm Charge Record Medical Supplies - Applicator Ext Spry Tip 29Cm,609.02,237.52,,,0
CDM,SUP4759,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 35Mm Lc Dcp Ss P-T Canc Prox Med,155.25,60.55,,,0
CDM,SUP47639,Noncdm Charge Record Medical Supplies - Bit Drill 50Mm 1.5Mm Mtrx 6Mm Stop J Latch,796.95,310.81,,,0
CDM,SUP47646,Noncdm Charge Record Medical Supplies - Coil Trgt 3D 3Mm 6Cm,8898.93,3470.58,,,0
CDM,SUP47647,Noncdm Charge Record Medical Supplies - Coil Trgt 3D 4Mm 8Cm,9084.2,3542.84,,,0
CDM,SUP47648,Noncdm Charge Record Medical Supplies - Coil Trgt 3D 5Mm 10Cm,8951.86,3491.23,,,0
CDM,SUP47649,Noncdm Charge Record Medical Supplies - Coil Trgt 3D 6Mm 15Cm,8973.04,3499.49,,,0
CDM,SUP47650,Noncdm Charge Record Medical Supplies - Coil Trgt 3D 7Mm 15Cm,8898.93,3470.58,,,0
CDM,SUP477,Noncdm Charge Record Medical Supplies - Canister Liner Suction 1500Ml Grams Medical,31.79,12.4,,,0
CDM,SUP47747,Noncdm Charge Record Medical Supplies - Stapler Intnl 55X3.5Mm Ti Reg,867.33,338.26,,,0
CDM,SUP47748,Noncdm Charge Record Medical Supplies - System Illum Mis,10829.2,4223.39,,,0
CDM,SUP47754_272,Noncdm Charge Record Medical Supplies - Diego Elite Shaver Smr Bipolar Type A 2Mm 0,785.56,306.37,,,0
CDM,SUP47754_A4649_272,Noncdm Charge Record Medical Supplies - Diego Elite Shaver Smr Bipolar Type A 2Mm 0,785.56,306.37,,,0
CDM,SUP47754_A9999_272,Noncdm Charge Record Medical Supplies - Diego Elite Shaver Smr Bipolar Type A 2Mm 0,837.32,326.55,,,0
CDM,SUP47757_272,Noncdm Charge Record Medical Supplies - Diego Elite Tubing Set,230.8,90.01,,,0
CDM,SUP47757_A4649_272,Noncdm Charge Record Medical Supplies - Diego Elite Tubing Set,230.8,90.01,,,0
CDM,SUP47757_A9999_272,Noncdm Charge Record Medical Supplies - Diego Elite Tubing Set,242.19,94.45,,,0
CDM,SUP47758,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 12Mmx4X135Cm,796.6,310.67,,,0
CDM,SUP47759,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 10Mmx4X135Cm,662.74,258.47,,,0
CDM,SUP4776,Noncdm Charge Record Medical Supplies - Baseplate Tib Gen2 5 Rt Knee,9014.85,3515.79,,,0
CDM,SUP47760,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 8Mmx80Mmx135Cm,609.2,237.59,,,0
CDM,SUP47761,Noncdm Charge Record Medical Supplies - Balloon Charger 8Mmx2X135Cm,601.9,234.74,,,0
CDM,SUP47763,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 7Mmx150X135,528.88,206.26,,,0
CDM,SUP47764,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 7Mmx8X135,528.88,206.26,,,0
CDM,SUP47765,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 7Mmx6X135,729.68,284.58,,,0
CDM,SUP47766,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 7Mmx2X135,729.68,284.58,,,0
CDM,SUP47767,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 6Mmx8X135,605.77,236.25,,,0
CDM,SUP47768,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 6Mmx6X135,528.88,206.26,,,0
CDM,SUP47769,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 5Mmx6X135,673.53,262.68,,,0
CDM,SUP4778_272,Noncdm Charge Record Medical Supplies - Needle Sclrtx 25Ga Inj Project Strl Disp Crlk,161.46,62.97,,,0
CDM,SUP4778_A4649_272,Noncdm Charge Record Medical Supplies - Needle Sclrtx 25Ga Inj Project Strl Disp Crlk,161.46,62.97,,,0
CDM,SUP4778_A9999_272,Noncdm Charge Record Medical Supplies - Needle Sclrtx 25Ga Inj Project Strl Disp Crlk,161.46,62.97,,,0
CDM,SUP47816,Noncdm Charge Record Medical Supplies - Screw Bn 4.2Mm 16Mm Xtnd Fx,671.6,261.92,,,0
CDM,SUP47817,Noncdm Charge Record Medical Supplies - Screw Bn 4.2Mm 14Mm Xtnd Fx,697.59,272.06,,,0
CDM,SUP4781_C1713_278,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 16Mm Lc Dcp Ss Ft Canc St Ns Sm,144.84,56.49,,,0
CDM,SUP4781_L8699_278,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 16Mm Lc Dcp Ss Ft Canc St Ns Sm,155.25,60.55,,,0
CDM,SUP4782,Noncdm Charge Record Medical Supplies - Sling Pubovaginal Lynx Spbc,8540.97,3330.98,,,0
CDM,SUP4783,Noncdm Charge Record Medical Supplies - See 35247 Bandage Comp 6In Wrap Breast,122.13,47.63,,,0
CDM,SUP4784_272,Noncdm Charge Record Medical Supplies - Tray Cath 5Fr 40Cm Hsg,435.24,169.74,,,0
CDM,SUP4784_A4649_272,Noncdm Charge Record Medical Supplies - Tray Cath 5Fr 40Cm Hsg,450.22,175.59,,,0
CDM,SUP4784_A9999_272,Noncdm Charge Record Medical Supplies - Tray Cath 5Fr 40Cm Hsg,412.96,161.05,,,0
CDM,SUP47877_272,Noncdm Charge Record Medical Supplies - Kwire .054,166.53,64.95,,,0
CDM,SUP47877_A4649_272,Noncdm Charge Record Medical Supplies - Kwire .054,166.64,64.99,,,0
CDM,SUP478_272,Noncdm Charge Record Medical Supplies - Valve Biopsy Suction Sterile Single Use,57.71,22.51,,,0
CDM,SUP478_A4649_272,Noncdm Charge Record Medical Supplies - Valve Biopsy Suction Sterile Single Use,57.82,22.55,,,0
CDM,SUP478_A9999_272,Noncdm Charge Record Medical Supplies - Valve Biopsy Suction Sterile Single Use,59.0,23.01,,,0
CDM,SUP4791,Noncdm Charge Record Medical Supplies - See 126216 Dressing 4X4In Gl Vrsv Xc Foam,16.56,6.46,,,0
CDM,SUP4792_272,Noncdm Charge Record Medical Supplies - Adhesive Closure Octyseal Medline Industries Inc,29.95,11.68,,,0
CDM,SUP4792_A4649_272,Noncdm Charge Record Medical Supplies - Adhesive Closure Octyseal Medline Industries Inc,30.02,11.71,,,0
CDM,SUP4792_A9999_272,Noncdm Charge Record Medical Supplies - Adhesive Closure Octyseal Medline Industries Inc,30.02,11.71,,,0
CDM,SUP4793,Noncdm Charge Record Medical Supplies - Sling Pubovaginal Obtryx Crv Midurethral Trnstr,9375.29,3656.36,,,0
CDM,SUP47935,Noncdm Charge Record Medical Supplies - Cap Deneli Set,362.25,141.28,,,0
CDM,SUP47936,Noncdm Charge Record Medical Supplies - Shell G7 Acetab 3H 50Mm Sz D,7242.93,2824.74,,,0
CDM,SUP47987,Noncdm Charge Record Medical Supplies - Catheter Diag 5Fr 3Drc,27.48,10.72,,,0
CDM,SUP4802,Noncdm Charge Record Medical Supplies - Probe Balloon 23Cm 5Fr Fgrty Bil .4Ml,305.84,119.28,,,0
CDM,SUP48027,Noncdm Charge Record Medical Supplies - Coil Trgt 3D 10Mm 30Cm,8973.97,3499.85,,,0
CDM,SUP4806,Noncdm Charge Record Medical Supplies - Kit Micro Introducer 5Fx0.018Inx40Cm 7Cm Tip Mandrel Gold So,146.13,56.99,,,0
CDM,SUP4807,Noncdm Charge Record Medical Supplies - Introducer Mic 10Cm 40Cm 4Fr,102.46,39.96,,,0
CDM,SUP48073,Noncdm Charge Record Medical Supplies - Plate Xtnd Ant Cerv,3383.42,1319.53,,,0
CDM,SUP48076,Noncdm Charge Record Medical Supplies - Screw Vip 4.6Mm Var Ang,671.59,261.92,,,0
CDM,SUP48077,Noncdm Charge Record Medical Supplies,671.72,261.97,,,0
CDM,SUP48078,Noncdm Charge Record Medical Supplies - Vest Bra Sleevless W Pouches,198.72,77.5,,,0
CDM,SUP4808,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 14Mm Lcp Dhhs Ss Prox Med Peri,572.36,223.22,,,0
CDM,SUP48080,Noncdm Charge Record Medical Supplies - Vest Bra Slvls W Pouches Lg,441.85,172.32,,,0
CDM,SUP48081,Noncdm Charge Record Medical Supplies - Vest Bra Slvls W Pouches Xlg,430.56,167.92,,,0
CDM,SUP48082_270,Noncdm Charge Record Medical Supplies - Vest Bra Slvls W Pouches 2Xl,430.56,167.92,,,0
CDM,SUP48082_A4649_270,Noncdm Charge Record Medical Supplies - Vest Bra Slvls W Pouches 2Xl,418.14,163.07,,,0
CDM,SUP48083,Noncdm Charge Record Medical Supplies - Vest Bra Slvls W Pouches 3Xl,440.5,171.8,,,0
CDM,SUP48086_272,Noncdm Charge Record Medical Supplies - Device Colpassist Vag Pstn,2464.38,961.11,,,0
CDM,SUP48086_A4649_272,Noncdm Charge Record Medical Supplies - Device Colpassist Vag Pstn,2512.98,980.06,,,0
CDM,SUP48086_A9999_272,Noncdm Charge Record Medical Supplies - Device Colpassist Vag Pstn,2393.96,933.64,,,0
CDM,SUP48087,Noncdm Charge Record Medical Supplies - Mesh Y Upsylon,6706.66,2615.6,,,0
CDM,SUP480_272,Noncdm Charge Record Medical Supplies - Ear Tube Ventilation Moretz H-C Flex .75Mm 1.27Mm Medtronic,183.73,71.65,,,0
CDM,SUP480_A4649_272,Noncdm Charge Record Medical Supplies - Ear Tube Ventilation Moretz H-C Flex .75Mm 1.27Mm Medtronic,183.71,71.65,,,0
CDM,SUP480_A9999_272,Noncdm Charge Record Medical Supplies - Ear Tube Ventilation Moretz H-C Flex .75Mm 1.27Mm Medtronic,183.71,71.65,,,0
CDM,SUP48129,Noncdm Charge Record Medical Supplies - Guidewire .018In 150Cm J Tip,53.82,20.99,,,0
CDM,SUP48130,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 18Mm Ss Cort,188.02,73.33,,,0
CDM,SUP4815,Noncdm Charge Record Medical Supplies - Stent Biliary 10 Mmx40Mmx10Mm Palmaz Cardinal Health,6805.47,2654.13,,,0
CDM,SUP4819,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 22Mm Lcp Ss Prox Med Tib Lck St,572.36,223.22,,,0
CDM,SUP4820,Noncdm Charge Record Medical Supplies,572.36,223.22,,,0
CDM,SUP48207,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 26Mm Ss Cort,188.37,73.46,,,0
CDM,SUP48243_272,Noncdm Charge Record Medical Supplies - Device W 30 Tack Fix Abs,1975.41,770.41,,,0
CDM,SUP48243_A4649_272,Noncdm Charge Record Medical Supplies - Device W 30 Tack Fix Abs,1985.06,774.17,,,0
CDM,SUP48243_A9999_272,Noncdm Charge Record Medical Supplies - Device W 30 Tack Fix Abs,1945.95,758.92,,,0
CDM,SUP4828,Noncdm Charge Record Medical Supplies - Screw 5-65Mm Lcp Ss Prox Peri Med Art,572.36,223.22,,,0
CDM,SUP4829,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 70Mm Lcp Ss Prox Fem Lck St T25,572.36,223.22,,,0
CDM,SUP4831,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 80Mm Lcp Dhhs Ss Prox Med Peri,572.36,223.22,,,0
CDM,SUP4832,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 85Mm Stardr Ss Prox Fem Lck St T,647.91,252.68,,,0
CDM,SUP48361,Noncdm Charge Record Medical Supplies - Plate Smrt Lck 2P Mmf Hybrid,1572.32,613.2,,,0
CDM,SUP48362,Noncdm Charge Record Medical Supplies - Screw Ti 6Mm 2Mm Mandib Self,672.82,262.4,,,0
CDM,SUP48365,Noncdm Charge Record Medical Supplies - Catheter Ep 2-2-2Mm Spc Super,4188.65,1633.57,,,0
CDM,SUP48367,Noncdm Charge Record Medical Supplies - Forcep Lng Bipolar 3V,3901.95,1521.76,,,0
CDM,SUP48370,Noncdm Charge Record Medical Supplies - Catheter Dia 19X25Cm Gldpath,1490.92,581.46,,,0
CDM,SUP48371,Noncdm Charge Record Medical Supplies - Catheter Dia 24X29Cm Gldpath,1632.2,636.56,,,0
CDM,SUP48372,Noncdm Charge Record Medical Supplies - Catheter Dia 28X33Cm Gldpath,1632.2,636.56,,,0
CDM,SUP4839,Noncdm Charge Record Medical Supplies - Plate Nar 152Mm Ss 4.5Mm Screw Lg Frag Set 8,2017.01,786.63,,,0
CDM,SUP4840,Noncdm Charge Record Medical Supplies - Plate Nar 170Mm Ss 4.5Mm Screw Lg Frag Set 9,2043.09,796.81,,,0
CDM,SUP4841,Noncdm Charge Record Medical Supplies - Plate Nar 188Mm Ss 4.5Mm Screw Lg Frag Set 10,2255.68,879.72,,,0
CDM,SUP48427,Noncdm Charge Record Medical Supplies - Cautery Da Vinci Hook Intuitive,294.98,115.04,,,0
CDM,SUP4846,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 16Mm Lcp Ss T25 Prox Med Peri,572.36,223.22,,,0
CDM,SUP48478,Noncdm Charge Record Medical Supplies - Augment Fem 5Mm Trthln 4 Post,4693.21,1830.35,,,0
CDM,SUP48485,Noncdm Charge Record Medical Supplies - Protector Nrv 3.5Mm X 40Mm,11743.32,4579.89,,,0
CDM,SUP48487_272,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connet 3.2Mm 145Mm Needle Point Synthes,893.41,348.43,,,0
CDM,SUP48487_A9999_272,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connet 3.2Mm 145Mm Needle Point Synthes,893.2,348.35,,,0
CDM,SUP48488_272,Noncdm Charge Record Medical Supplies - Drill Bit Quick Point 4.2Mm 145Mm Sterile Synthes,832.84,324.81,,,0
CDM,SUP48488_A4649_272,Noncdm Charge Record Medical Supplies - Drill Bit Quick Point 4.2Mm 145Mm Sterile Synthes,830.07,323.73,,,0
CDM,SUP48542,Noncdm Charge Record Medical Supplies - Knife Intrepid 2.4Sb Clrct Slt Mic Coax,240.12,93.65,,,0
CDM,SUP48543,Noncdm Charge Record Medical Supplies - Cannula Ez Glide 21Fr Aorta Edwards Lifescience,161.46,62.97,,,0
CDM,SUP48544,Noncdm Charge Record Medical Supplies - Cannula Ez Glide 24Fr Aorta Edwards Lifescience,161.46,62.97,,,0
CDM,SUP485_272,Noncdm Charge Record Medical Supplies - Tray Proc Arthgm Syr Extn Tub App Ndl Pad,46.72,18.22,,,0
CDM,SUP485_A4649_272,Noncdm Charge Record Medical Supplies - Tray Proc Arthgm Syr Extn Tub App Ndl Pad,46.58,18.17,,,0
CDM,SUP485_A9999_272,Noncdm Charge Record Medical Supplies - Tray Proc Arthgm Syr Extn Tub App Ndl Pad,46.58,18.17,,,0
CDM,SUP48602,Noncdm Charge Record Medical Supplies - Stent Bil 9Mm 37Mm 135Cm Ld,5634.54,2197.47,,,0
CDM,SUP48603,Noncdm Charge Record Medical Supplies - Stent Biliary 10Mmx37Mmx135Cm Preloaded Boston Scientific,5226.75,2038.43,,,0
CDM,SUP48605,Noncdm Charge Record Medical Supplies - Screw Ti 8Mm 2Mm Mandib Self,658.26,256.72,,,0
CDM,SUP48608,Noncdm Charge Record Medical Supplies - Head Fem 3Mm 12-14 28Mm Hip,9038.66,3525.08,,,0
CDM,SUP48643,Noncdm Charge Record Medical Supplies - Stem Fem 100Mm 13Mm Prft Flute,4936.95,1925.41,,,0
CDM,SUP48649,Noncdm Charge Record Medical Supplies - System Mpfl Bcmst Implant,7187.04,2802.95,,,0
CDM,SUP487,Noncdm Charge Record Medical Supplies - Reservoir Shunt Omya Csf 23Cm,2204.55,859.77,,,0
CDM,SUP48702,Noncdm Charge Record Medical Supplies - Bit Drill 3Mm 60Mm,480.24,187.29,,,0
CDM,SUP48705,Noncdm Charge Record Medical Supplies - Screw Bn Cannula 4Mm 30Mm Strl,1230.62,479.94,,,0
CDM,SUP48713_272,Noncdm Charge Record Medical Supplies - Needle Slimiline Eus Hndl,1593.9,621.62,,,0
CDM,SUP48713_A4649_272,Noncdm Charge Record Medical Supplies - Needle Slimiline Eus Hndl,1593.9,621.62,,,0
CDM,SUP48721,Noncdm Charge Record Medical Supplies - Guidewire Confida Brecker Curved Medtronic Inc,954.29,372.17,,,0
CDM,SUP48725,Noncdm Charge Record Medical Supplies - Augment Fem 5Mm #3 Trthln Lt,4466.02,1741.75,,,0
CDM,SUP48756,Noncdm Charge Record Medical Supplies - Stent Uret 8Fr 26Cm Percuflex,415.04,161.87,,,0
CDM,SUP48757,Noncdm Charge Record Medical Supplies - Catheter Dia 19X24Cm Strt,1487.3,580.05,,,0
CDM,SUP48758,Noncdm Charge Record Medical Supplies - Catheter Dia 23X28Cm Strt,1495.29,583.16,,,0
CDM,SUP48759,Noncdm Charge Record Medical Supplies - Catheter Dia 27X32Cm Strt,1632.2,636.56,,,0
CDM,SUP48760,Noncdm Charge Record Medical Supplies - Catheter Dia 31X36Cm Strt,1611.5,628.48,,,0
CDM,SUP48761,Noncdm Charge Record Medical Supplies - Catheter Dia 35X40Cm Strt,1632.2,636.56,,,0
CDM,SUP48762,Noncdm Charge Record Medical Supplies - Catheter Dia 42X47Cm Strt,1632.2,636.56,,,0
CDM,SUP48763,Noncdm Charge Record Medical Supplies - Catheter Dia 50X55Cm Strt,1487.3,580.05,,,0
CDM,SUP48773_272,Noncdm Charge Record Medical Supplies - Filter Pencil Plumepen Smoke Evacuatn,107.64,41.98,,,0
CDM,SUP48773_A4649_272,Noncdm Charge Record Medical Supplies - Filter Pencil Plumepen Smoke Evacuatn,107.64,41.98,,,0
CDM,SUP48773_A9999_272,Noncdm Charge Record Medical Supplies - Filter Pencil Plumepen Smoke Evacuatn,107.64,41.98,,,0
CDM,SUP488,Noncdm Charge Record Medical Supplies - Set Drain 29Cm 9Fr Pneumothorax Cook Medical,983.25,383.47,,,0
CDM,SUP48804,Noncdm Charge Record Medical Supplies - See 98101 Needle Slimiline Eus Hndl 25Ga,1423.12,555.02,,,0
CDM,SUP48805_272,Noncdm Charge Record Medical Supplies - Needle Slimiline Eus Hndl 19Ga,905.62,353.19,,,0
CDM,SUP48805_A4649_272,Noncdm Charge Record Medical Supplies - Needle Slimiline Eus Hndl 19Ga,905.62,353.19,,,0
CDM,SUP48806,Noncdm Charge Record Medical Supplies - Catheter Env Da 6F 95Cm Strt,2422.94,944.95,,,0
CDM,SUP48810,Noncdm Charge Record Medical Supplies - Catheter Ventri 35Cm,845.6,329.78,,,0
CDM,SUP48841,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 85Mm 20Mm Asns 3 Ti Fem Hip,2311.16,901.35,,,0
CDM,SUP48845,Noncdm Charge Record Medical Supplies - Guidewire Thrd 300Mm 3.2Mm,225.97,88.13,,,0
CDM,SUP48846_272,Noncdm Charge Record Medical Supplies - Sheath Acc Nav 11-13X36Cm Uret,851.29,332.0,,,0
CDM,SUP48846_C1894_272,Noncdm Charge Record Medical Supplies - Sheath Acc Nav 11-13X36Cm Uret,717.33,279.76,,,0
CDM,SUP48847_272,Noncdm Charge Record Medical Supplies - Sheath Acc Nav 11-13X28Cm Uret,948.75,370.01,,,0
CDM,SUP48847_C1894_272,Noncdm Charge Record Medical Supplies - Sheath Acc Nav 11-13X28Cm Uret,699.26,272.71,,,0
CDM,SUP48848,Noncdm Charge Record Medical Supplies - Sheath Acc Nav 11-13X46Cm Uret,695.48,271.24,,,0
CDM,SUP48849,Noncdm Charge Record Medical Supplies - See 108398 Mesh Surg Ptex 15X10Cm Vntrl,2349.45,916.29,,,0
CDM,SUP4886,Noncdm Charge Record Medical Supplies - Microsphere Embsph 700-900 2Ml,1305.28,509.06,,,0
CDM,SUP4888,Noncdm Charge Record Medical Supplies - Basket Trapezoid Wireguided 3Cmx0.035X3.2Mm Boston Scientifi,1800.9,702.35,,,0
CDM,SUP489,Noncdm Charge Record Medical Supplies - See 20727 Catheter Monitor Thermostat 3 Way Icu Medical Inc,60.02,23.41,,,0
CDM,SUP48955,Noncdm Charge Record Medical Supplies - Rod Xia 4.5 X 60 Vit Prebent,2148.66,837.98,,,0
CDM,SUP49004,Noncdm Charge Record Medical Supplies - Plate Xtend Ant Cerv 28Mm,4567.46,1781.31,,,0
CDM,SUP4905_272,Noncdm Charge Record Medical Supplies - See 142291 Tray Surg Proc Cust Angio,340.52,132.8,,,0
CDM,SUP4905_A4649_272,Noncdm Charge Record Medical Supplies - See 142291 Tray Surg Proc Cust Angio,340.52,132.8,,,0
CDM,SUP4906,Noncdm Charge Record Medical Supplies - Rod Spnl 480Mm 5.5Mm Xpdm Ti Precut Hex End,2842.11,1108.42,,,0
CDM,SUP4907,Noncdm Charge Record Medical Supplies - Set Screw Xpdm Pdcl Spnl Ti 1 Innie Inr 5.5,268.71,104.8,,,0
CDM,SUP49075,Noncdm Charge Record Medical Supplies,1434.51,559.46,,,0
CDM,SUP49082,Noncdm Charge Record Medical Supplies - Screw Trgn L-P 5-60Mm,2255.26,879.55,,,0
CDM,SUP4910,Noncdm Charge Record Medical Supplies,59813.68,23327.34,,,0
CDM,SUP49118_272,Noncdm Charge Record Medical Supplies - Basket Segura 3.0Fx120Cm Boston Scientific,1072.1,418.12,,,0
CDM,SUP49118_A4649_272,Noncdm Charge Record Medical Supplies - Basket Segura 3.0Fx120Cm Boston Scientific,897.34,349.96,,,0
CDM,SUP49119,Noncdm Charge Record Medical Supplies - Catheter 5Fr Angled Tip U.C.,133.51,52.07,,,0
CDM,SUP49120,Noncdm Charge Record Medical Supplies - Sheath Acc Nav 12-14X28Cm Uret,642.45,250.56,,,0
CDM,SUP49121,Noncdm Charge Record Medical Supplies - Sheath Acc Nav 12-14X36Cm Uret,733.81,286.19,,,0
CDM,SUP49122,Noncdm Charge Record Medical Supplies - Sheath Acc Nav 12-14X46Cm Uret,683.1,266.41,,,0
CDM,SUP49130,Noncdm Charge Record Medical Supplies - Wire Fx 1.3Mm 150Mm Krsh Troc Blnt Drtfire,96.62,37.68,,,0
CDM,SUP49132,Noncdm Charge Record Medical Supplies - Screw Bn Lck 20Mm 2.7Mm,1353.78,527.97,,,0
CDM,SUP49173,Noncdm Charge Record Medical Supplies,38.3,14.94,,,0
CDM,SUP49178,Noncdm Charge Record Medical Supplies - Plate Cerv Ant Xtnd 30Mm,3383.42,1319.53,,,0
CDM,SUP492,Noncdm Charge Record Medical Supplies - Wire Fx 1.2Mm 30Cm Luq Ss Cls,472.7,184.35,,,0
CDM,SUP49221,Noncdm Charge Record Medical Supplies - Catheter Angio .038In Cobra 2,48.64,18.97,,,0
CDM,SUP49222,Noncdm Charge Record Medical Supplies - Catheter Angio .038In Contra 2,63.14,24.62,,,0
CDM,SUP49223,Noncdm Charge Record Medical Supplies - Catheter Bern 2 65Cm .038In,69.34,27.04,,,0
CDM,SUP4924,Noncdm Charge Record Medical Supplies - Introducer Cath 13Cm 10Fr .038In Ckfl Prfrmr,248.4,96.88,,,0
CDM,SUP4925,Noncdm Charge Record Medical Supplies - Introducer Cath 13Cm 12Fr .038In Ckfl Prfrmr,248.4,96.88,,,0
CDM,SUP4926,Noncdm Charge Record Medical Supplies - Introducer Sheath 13Cm 14Fr .038In Ckflo Gwire,248.4,96.88,,,0
CDM,SUP49268,Noncdm Charge Record Medical Supplies - Catheter 6F X 115Cm .072In,3527.28,1375.64,,,0
CDM,SUP49318,Noncdm Charge Record Medical Supplies - Probe Neuromonitoring,3527.28,1375.64,,,0
CDM,SUP4932,Noncdm Charge Record Medical Supplies - Stent Vasc 6-8Mm 40Mm .014In,11041.59,4306.22,,,0
CDM,SUP49323_C1769_272,Noncdm Charge Record Medical Supplies - Guidewire Vasc.035In260Cm 15Cm Strt Bntsn,86.37,33.68,,,0
CDM,SUP49323_L8699_278,Noncdm Charge Record Medical Supplies - Guidewire Vasc.035In260Cm 15Cm Strt Bntsn,97.29,37.94,,,0
CDM,SUP4938,Noncdm Charge Record Medical Supplies - Substitute Bn Graft 25X100X4Mm Vitoss,7250.18,2827.57,,,0
CDM,SUP49383,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 10Mm Nonlck Hexalobe,510.36,199.04,,,0
CDM,SUP4941,Noncdm Charge Record Medical Supplies,44.5,17.36,,,0
CDM,SUP49428_272,Noncdm Charge Record Medical Supplies - Dressing Sgl Lyr 4X5In Intgr,43.47,16.95,,,0
CDM,SUP49430,Noncdm Charge Record Medical Supplies - S1 Cap Tornier Hemi Shoulder Or Hemi,21750.52,8482.7,,,0
CDM,SUP49431,Noncdm Charge Record Medical Supplies - Total Shoulder Or Total Arthroplasty Tornier,31417.42,12252.79,,,0
CDM,SUP49432,Noncdm Charge Record Medical Supplies - S3 Mplant Shoulder Total Reverse Tornier,41084.32,16022.88,,,0
CDM,SUP49435,Noncdm Charge Record Medical Supplies - See 38155 S3 Implant Shoulder Total Reverse Biomet,41918.19,16348.09,,,0
CDM,SUP49437,Noncdm Charge Record Medical Supplies - Implant Shoulder Total Or Total Arthroplasty Zimmer,32360.31,12620.52,,,0
CDM,SUP49438,Noncdm Charge Record Medical Supplies - S3 Implant Shoulder Total Reverse Zimmer,42683.14,16646.42,,,0
CDM,SUP49445,Noncdm Charge Record Medical Supplies - Monitor Cardiac Insert Linq,21859.2,8525.09,,,0
CDM,SUP49483,Noncdm Charge Record Medical Supplies - Guidewire .035In3.5Cm Amp Spst,148.33,57.85,,,0
CDM,SUP49485,Noncdm Charge Record Medical Supplies - Plate Bn Xtnd Ant Cerv 36Mm,3383.42,1319.53,,,0
CDM,SUP49486,Noncdm Charge Record Medical Supplies - Screw Bn Va4.2Mm 14Mm Xtnd,671.49,261.88,,,0
CDM,SUP4953,Noncdm Charge Record Medical Supplies - Dressing Hdrcld 4X4In Rstr Tpr Edge,8.45,3.3,,,0
CDM,SUP4957_272,Noncdm Charge Record Medical Supplies - Dressing Ace Bandage 5Ydx4In Medline,4.33,1.69,,,0
CDM,SUP4957_A4649_272,Noncdm Charge Record Medical Supplies - Dressing Ace Bandage 5Ydx4In Medline,4.22,1.65,,,0
CDM,SUP4957_A9999_272,Noncdm Charge Record Medical Supplies - Dressing Ace Bandage 5Ydx4In Medline,4.35,1.7,,,0
CDM,SUP4958_272,Noncdm Charge Record Medical Supplies - Dressing Ace Bandage 5Ydx6In Medline,5.2,2.03,,,0
CDM,SUP4958_A4649_272,Noncdm Charge Record Medical Supplies - Dressing Ace Bandage 5Ydx6In Medline,5.18,2.02,,,0
CDM,SUP4958_A9999_272,Noncdm Charge Record Medical Supplies - Dressing Ace Bandage 5Ydx6In Medline,5.18,2.02,,,0
CDM,SUP49590,Noncdm Charge Record Medical Supplies - Catheter Mpb2-5Fr,45.98,17.93,,,0
CDM,SUP49591,Noncdm Charge Record Medical Supplies - Catheter Angio Al Crv 5Fr,44.5,17.36,,,0
CDM,SUP49592,Noncdm Charge Record Medical Supplies - Probe Ablation 15Cm 17Ga,8827.52,3442.73,,,0
CDM,SUP49597,Noncdm Charge Record Medical Supplies - Cath Ablation Safire Tx 8Mm Xl,4188.65,1633.57,,,0
CDM,SUP49599,Noncdm Charge Record Medical Supplies,3625.26,1413.85,,,0
CDM,SUP49642,Noncdm Charge Record Medical Supplies - Holder Lens Iol Inserter D Cartridge Monarch,98.32,38.34,,,0
CDM,SUP49644,Noncdm Charge Record Medical Supplies - See 134060 Stapler Reload Endo 60Mm Tri Xtra Thck Blade 4Mm,2104.41,820.72,,,0
CDM,SUP49648,Noncdm Charge Record Medical Supplies - Protector Nrv 7Mm 40Mm,11933.55,4654.08,,,0
CDM,SUP49713_272,Noncdm Charge Record Medical Supplies - Dressing Cuitcerin 8X16In,6.21,2.42,,,0
CDM,SUP49713_A4649_272,Noncdm Charge Record Medical Supplies - Dressing Cuitcerin 8X16In,6.21,2.42,,,0
CDM,SUP49714,Noncdm Charge Record Medical Supplies - Echotip Procore 19Ga,2039.75,795.5,,,0
CDM,SUP4972_272,Noncdm Charge Record Medical Supplies - Needle Bx 18Ga 20Cm Mxcor Ul,128.34,50.05,,,0
CDM,SUP4972_A4649_272,Noncdm Charge Record Medical Supplies - Needle Bx 18Ga 20Cm Mxcor Ul,128.34,50.05,,,0
CDM,SUP4972_A9999_272,Noncdm Charge Record Medical Supplies - Needle Bx 18Ga 20Cm Mxcor Ul,128.34,50.05,,,0
CDM,SUP4973_272,Noncdm Charge Record Medical Supplies - Needle Bx 20Ga 20Cm Mxcor Ul,129.31,50.43,,,0
CDM,SUP4973_A4649_272,Noncdm Charge Record Medical Supplies - Needle Bx 20Ga 20Cm Mxcor Ul,129.38,50.46,,,0
CDM,SUP4974,Noncdm Charge Record Medical Supplies - Needle Bx 19Ga 7.8Cm Trgd Coax,48.64,18.97,,,0
CDM,SUP4975_272,Noncdm Charge Record Medical Supplies - Needle Bx 19Ga 17.8Cm Trgd,31.05,12.11,,,0
CDM,SUP4975_A4649_272,Noncdm Charge Record Medical Supplies - Needle Bx 19Ga 17.8Cm Trgd,31.05,12.11,,,0
CDM,SUP4977_272,Noncdm Charge Record Medical Supplies - Adapter Dialysis 4In Stay Safe Leur Lock Fresenius,98.04,38.24,,,0
CDM,SUP4977_A9999_272,Noncdm Charge Record Medical Supplies - Adapter Dialysis 4In Stay Safe Leur Lock Fresenius,97.29,37.94,,,0
CDM,SUP4978_270,Noncdm Charge Record Medical Supplies - Sleeve Scd Medium Knee-High Covidien,57.33,22.36,,,0
CDM,SUP4978_A4649_270,Noncdm Charge Record Medical Supplies - Sleeve Scd Medium Knee-High Covidien,58.88,22.96,,,0
CDM,SUP4978_A9999_270,Noncdm Charge Record Medical Supplies - Sleeve Scd Medium Knee-High Covidien,54.86,21.4,,,0
CDM,SUP4979_270,Noncdm Charge Record Medical Supplies - Sleeve Comp Lg Kn-Hi Scd Exp,78.66,30.68,,,0
CDM,SUP4979_A4649_270,Noncdm Charge Record Medical Supplies - Sleeve Comp Lg Kn-Hi Scd Exp,78.66,30.68,,,0
CDM,SUP4979_A9999_270,Noncdm Charge Record Medical Supplies - Sleeve Comp Lg Kn-Hi Scd Exp,78.66,30.68,,,0
CDM,SUP4980,Noncdm Charge Record Medical Supplies - Sleeve Comp Med Thg Hi Scd Exp Antiemb Adj Lf,113.85,44.4,,,0
CDM,SUP4981,Noncdm Charge Record Medical Supplies - Sleeve Comp Sm Thg Hi Scd Exp Antiemb Adj Lf,113.85,44.4,,,0
CDM,SUP4982,Noncdm Charge Record Medical Supplies - Sleeve Comp Lg Thg Hi Scd Exp Antiemb Adj Ns,150.07,58.53,,,0
CDM,SUP4983_270,Noncdm Charge Record Medical Supplies - Sleeve Comp Reg Ft Scd Exp Antiiemb Cuff,87.37,34.07,,,0
CDM,SUP4983_A4649_270,Noncdm Charge Record Medical Supplies - Sleeve Comp Reg Ft Scd Exp Antiiemb Cuff,87.28,34.04,,,0
CDM,SUP4983_A9999_270,Noncdm Charge Record Medical Supplies - Sleeve Comp Reg Ft Scd Exp Antiiemb Cuff,87.46,34.11,,,0
CDM,SUP4984,Noncdm Charge Record Medical Supplies - Sleeve Comp Lg Ft Scd Exp Antiemb Cuff,87.11,33.97,,,0
CDM,SUP4985,Noncdm Charge Record Medical Supplies - Guidepin Orth 3In 1-8In Gen2,123.35,48.11,,,0
CDM,SUP4987,Noncdm Charge Record Medical Supplies - Component Patell 35Mm Rsrfc,3806.58,1484.57,,,0
CDM,SUP49876,Noncdm Charge Record Medical Supplies - Blade Sinus Cvd Max 3.5Mm 120,1630.03,635.71,,,0
CDM,SUP4989,Noncdm Charge Record Medical Supplies,93.15,36.33,,,0
CDM,SUP4991,Noncdm Charge Record Medical Supplies - Needle Bx 20Ga 20Cm Chba Asp Strl Disp,59.0,23.01,,,0
CDM,SUP49916,Noncdm Charge Record Medical Supplies - Balloon Dil Xxl 14Mmx4Cm 75Cm,1195.04,466.07,,,0
CDM,SUP4995,Noncdm Charge Record Medical Supplies - Bandage Prfr 8In Strl Comp Lf,42.44,16.55,,,0
CDM,SUP50006,Noncdm Charge Record Medical Supplies - Excluder Endopros C3 23-14,52573.86,20503.81,,,0
CDM,SUP50010,Noncdm Charge Record Medical Supplies - Nail 10Mm 18Cm 10S 125D Intert,15017.85,5856.96,,,0
CDM,SUP50011_272,Noncdm Charge Record Medical Supplies - Guidewire Amplatz Supstf 260 J,203.9,79.52,,,0
CDM,SUP50011_C1769_272,Noncdm Charge Record Medical Supplies - Guidewire Amplatz Supstf 260 J,413.41,161.23,,,0
CDM,SUP50012,Noncdm Charge Record Medical Supplies - Guidewire Confianza Pro 300Cm,685.17,267.22,,,0
CDM,SUP50054,Noncdm Charge Record Medical Supplies - Pin 150Mm Spnl Disp,1348.6,525.95,,,0
CDM,SUP50059,Noncdm Charge Record Medical Supplies - Stem Fem 100Mm 19Mm Prft Flute,4504.32,1756.68,,,0
CDM,SUP50062,Noncdm Charge Record Medical Supplies - Microcath Str 167Cm 2.1Fr 16.5,4018.69,1567.29,,,0
CDM,SUP50067,Noncdm Charge Record Medical Supplies - Augment Fem 5Mm #5 Trthln,4693.21,1830.35,,,0
CDM,SUP50107,Noncdm Charge Record Medical Supplies - Stent Uret Contor 8X24,586.46,228.72,,,0
CDM,SUP50108,Noncdm Charge Record Medical Supplies - Stent Uret Contor 8X20,582.01,226.98,,,0
CDM,SUP50109,Noncdm Charge Record Medical Supplies - Stent Uret Contor 8X22,746.44,291.11,,,0
CDM,SUP50110,Noncdm Charge Record Medical Supplies - Stent Uret Contor 8X26,581.67,226.85,,,0
CDM,SUP50111,Noncdm Charge Record Medical Supplies - Stent Uret Contor 8X28,582.01,226.98,,,0
CDM,SUP50112,Noncdm Charge Record Medical Supplies - Stent Uret Contor 6X20,784.62,306.0,,,0
CDM,SUP50155_272,Noncdm Charge Record Medical Supplies - Catheter Simmons 2 100Cm,57.96,22.6,,,0
CDM,SUP50155_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Simmons 2 100Cm,57.96,22.6,,,0
CDM,SUP50160,Noncdm Charge Record Medical Supplies - Screw Spnl 7.5Mm 50Mm Mas,4108.43,1602.29,,,0
CDM,SUP50161,Noncdm Charge Record Medical Supplies - Blade 10Mm Osteot,695.52,271.25,,,0
CDM,SUP50163,Noncdm Charge Record Medical Supplies,2750.0,1072.5,,,0
CDM,SUP50169,Noncdm Charge Record Medical Supplies,9232.2,3600.56,,,0
CDM,SUP50264,Noncdm Charge Record Medical Supplies - Mesh Progrip 10X15Cm Fx Laparo,1637.14,638.48,,,0
CDM,SUP50324,Noncdm Charge Record Medical Supplies - Shears Electrosurg 36Cm 5Mm,3913.34,1526.2,,,0
CDM,SUP50326,Noncdm Charge Record Medical Supplies - System Nut Trulock,152.15,59.34,,,0
CDM,SUP50363,Noncdm Charge Record Medical Supplies - Tissue Flex Hd 16Cm 20Cm,40937.36,15965.57,,,0
CDM,SUP50426,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 16Mm Lck,695.0,271.05,,,0
CDM,SUP50428,Noncdm Charge Record Medical Supplies - Suture Prolene 6-0 Pc-3 18In Blue Ethicon,30.53,11.91,,,0
CDM,SUP5043,Noncdm Charge Record Medical Supplies - Rod Orth Interphlex Intphal,1196.3,466.56,,,0
CDM,SUP5047,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 14Mm Lcp Ti Cort Radial St,203.16,79.23,,,0
CDM,SUP50474,Noncdm Charge Record Medical Supplies - Mesh Lapro Progrip2 10Mm 15Mm,1354.45,528.24,,,0
CDM,SUP50475,Noncdm Charge Record Medical Supplies - Screw 2Mm 1Mm Snap Off,1128.15,439.98,,,0
CDM,SUP50476,Noncdm Charge Record Medical Supplies - Coil 2Mm 3Cm 185Cm 360 Nano,8898.81,3470.54,,,0
CDM,SUP50477,Noncdm Charge Record Medical Supplies - Coil 2Mm 4Cm 185Cm 360 Nano,8885.02,3465.16,,,0
CDM,SUP50478,Noncdm Charge Record Medical Supplies - Coil 2.5Mm 4Cm 185Cm 360 Nano,8898.7,3470.49,,,0
CDM,SUP50479,Noncdm Charge Record Medical Supplies - Coil 3.5Mm 8Cm 185Cm 360 Nano Detach,8936.45,3485.22,,,0
CDM,SUP5048,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 16Mm Lcp Ti Cort Radial St,194.84,75.99,,,0
CDM,SUP50480,Noncdm Charge Record Medical Supplies - Coil 3Mm 6Cm 185Cm 360 Nano Detach,8898.62,3470.46,,,0
CDM,SUP50481,Noncdm Charge Record Medical Supplies - Coil 3.5Mm 6Cm 185Cm 360 Nano Detach,9022.44,3518.75,,,0
CDM,SUP50482,Noncdm Charge Record Medical Supplies - Coil Tgrt 3.3Mm 8Cm 360 Sft Detach,8898.93,3470.58,,,0
CDM,SUP50483,Noncdm Charge Record Medical Supplies - Coil Tgrt 4.5Mm 10Cm 360 Sft,8898.93,3470.58,,,0
CDM,SUP5051,Noncdm Charge Record Medical Supplies - Nail 15.5Mm 11Mm 180Mm Troch Hip Gamma3,4355.28,1698.56,,,0
CDM,SUP5055,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 12Mm Dist,478.17,186.49,,,0
CDM,SUP50557,Noncdm Charge Record Medical Supplies - Rod Spnl 5.5Mm Ccm Ns,1128.15,439.98,,,0
CDM,SUP5058,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 35Mm Pncl Canc Strl,656.71,256.12,,,0
CDM,SUP506,Noncdm Charge Record Medical Supplies - Screw Bn 12.7Mm 36Mm Dhs-Dcs Ss Condy Hip Lag,188.37,73.46,,,0
CDM,SUP50601,Noncdm Charge Record Medical Supplies - Pouch Ostomy Cut To Fit Aqua Tack Std,47.61,18.57,,,0
CDM,SUP5065,Noncdm Charge Record Medical Supplies - Overtube Endo 25Cm 19.5Mm Egdscp Guardus Std,773.14,301.52,,,0
CDM,SUP5066,Noncdm Charge Record Medical Supplies - Stent Pancr 5Fr 5Cm Gwire Push Cath Zmn Strl,419.18,163.48,,,0
CDM,SUP50666,Noncdm Charge Record Medical Supplies - Suture Prolene 2-0 Ks 30In Ethicon,16.42,6.4,,,0
CDM,SUP50719_272,Noncdm Charge Record Medical Supplies - Set Tube Sgl Tri Lum Fltr Use W Airseal,471.96,184.06,,,0
CDM,SUP50719_A4649_272,Noncdm Charge Record Medical Supplies - Set Tube Sgl Tri Lum Fltr Use W Airseal,471.96,184.06,,,0
CDM,SUP50719_A9999_272,Noncdm Charge Record Medical Supplies - Set Tube Sgl Tri Lum Fltr Use W Airseal,471.96,184.06,,,0
CDM,SUP5072,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 20Mm Reflc Canc,188.37,73.46,,,0
CDM,SUP50720_272,Noncdm Charge Record Medical Supplies - Port 5Mm Acc Optc Tip 100Mm In Lgth Bladeless,439.88,171.55,,,0
CDM,SUP50720_A4649_272,Noncdm Charge Record Medical Supplies - Port 5Mm Acc Optc Tip 100Mm In Lgth Bladeless,439.88,171.55,,,0
CDM,SUP50720_A9999_272,Noncdm Charge Record Medical Supplies - Port 5Mm Acc Optc Tip 100Mm In Lgth Bladeless,439.88,171.55,,,0
CDM,SUP50762,Noncdm Charge Record Medical Supplies - Recharger Neurostim Scs W-,4616.1,1800.28,,,0
CDM,SUP50764,Noncdm Charge Record Medical Supplies - Plate 2Mm 6Hl Matrix Mndb Strt,3522.1,1373.62,,,0
CDM,SUP50767,Noncdm Charge Record Medical Supplies - Screw Bn 6Mm 2Mm,385.28,150.26,,,0
CDM,SUP50768,Noncdm Charge Record Medical Supplies - See 140772 Pack C-Section Douglas Wd100010,557.86,217.57,,,0
CDM,SUP5077,Noncdm Charge Record Medical Supplies - Barrier Ostomy 1.25In Coloplast,3.1,1.21,,,0
CDM,SUP5078,Noncdm Charge Record Medical Supplies - See 9621 Bag 9In 2.25In Uros 2 Pc 1 Sided Cmfwr Panel,1.03,0.4,,,0
CDM,SUP5079,Noncdm Charge Record Medical Supplies - Wafer Ost 2.25In N Img Rd 2 Pc Ctf Convex,3.1,1.21,,,0
CDM,SUP50798,Noncdm Charge Record Medical Supplies - Bit Drill 9Mm Cannula Colr Pin Strl,954.27,372.17,,,0
CDM,SUP5080,Noncdm Charge Record Medical Supplies - Kit Repr Lead Acc 6946,293.94,114.64,,,0
CDM,SUP50842_272,Noncdm Charge Record Medical Supplies - Reamer Pat Blade 51Mm,623.98,243.35,,,0
CDM,SUP50842_A4649_272,Noncdm Charge Record Medical Supplies - Reamer Pat Blade 51Mm,529.92,206.67,,,0
CDM,SUP50842_A9999_272,Noncdm Charge Record Medical Supplies - Reamer Pat Blade 51Mm,685.17,267.22,,,0
CDM,SUP50845,Noncdm Charge Record Medical Supplies - Stent-Graft 23Mm 14.5Mm12Cm C3,52573.86,20503.81,,,0
CDM,SUP50847,Noncdm Charge Record Medical Supplies - Stent-Graft 26X14.5Mmx14Cm C3,52573.86,20503.81,,,0
CDM,SUP50849,Noncdm Charge Record Medical Supplies - Stent-Graft 28X14.5Mm 14Cm C3,52573.86,20503.81,,,0
CDM,SUP50863,Noncdm Charge Record Medical Supplies,10.69,4.17,,,0
CDM,SUP50865_272,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil Us Bscp,144.23,56.25,,,0
CDM,SUP50865_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil Us Bscp,150.07,58.53,,,0
CDM,SUP50893_272,Noncdm Charge Record Medical Supplies - Suture Chromic 5-0 G-3 18In Ethicon,82.8,32.29,,,0
CDM,SUP50893_A4649_272,Noncdm Charge Record Medical Supplies - Suture Chromic 5-0 G-3 18In Ethicon,79.69,31.08,,,0
CDM,SUP5091_272,Noncdm Charge Record Medical Supplies - Cannula Opthmalmic 28Mm 25Ga Flextip Medone Surgical,44.32,17.28,,,0
CDM,SUP5091_A4649_272,Noncdm Charge Record Medical Supplies - Cannula Opthmalmic 28Mm 25Ga Flextip Medone Surgical,44.5,17.36,,,0
CDM,SUP5091_A9999_272,Noncdm Charge Record Medical Supplies - Cannula Opthmalmic 28Mm 25Ga Flextip Medone Surgical,44.33,17.29,,,0
CDM,SUP50931,Noncdm Charge Record Medical Supplies - Stent Endopros 24Mm 70Mm 75Cm,4592.3,1791.0,,,0
CDM,SUP50932,Noncdm Charge Record Medical Supplies - Introducer Cath 90Cm 6Fr .038In Flxr Sh-Sl,654.12,255.11,,,0
CDM,SUP50936,Noncdm Charge Record Medical Supplies,1880.6,733.43,,,0
CDM,SUP50963,Noncdm Charge Record Medical Supplies - Cannula Ez Glide 21Fr Aorta Edwards Lifescience,246.7,96.21,,,0
CDM,SUP50971,Noncdm Charge Record Medical Supplies - Head Cerm 36Mm Biolox Dlta Opt,9009.67,3513.77,,,0
CDM,SUP5100,Noncdm Charge Record Medical Supplies - See 139975 Pack Cust Egrft Surg Proc,649.98,253.49,,,0
CDM,SUP5105,Noncdm Charge Record Medical Supplies - Centralizer Stem 10Mm Invis,422.28,164.69,,,0
CDM,SUP51059,Noncdm Charge Record Medical Supplies - Plate Bn L 3+4Hl .7Mm Rt Ti,1753.29,683.78,,,0
CDM,SUP5106,Noncdm Charge Record Medical Supplies - Head +0Mm12-14 28Mm Hip Cocr,4096.53,1597.65,,,0
CDM,SUP5108,Noncdm Charge Record Medical Supplies - Stem Fem 125-12Mm Cmntprim Std,9592.38,3741.03,,,0
CDM,SUP5111,Noncdm Charge Record Medical Supplies - Baseplate Tibia Gen2 3 Rt Knee Smith And Nephew Orthopaedics,9014.85,3515.79,,,0
CDM,SUP5112,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 25Mm Reflc Canc,188.37,73.46,,,0
CDM,SUP51136_272,Noncdm Charge Record Medical Supplies - Electrode Bipolar Coagulation,886.79,345.85,,,0
CDM,SUP51136_A4649_272,Noncdm Charge Record Medical Supplies - Electrode Bipolar Coagulation,850.77,331.8,,,0
CDM,SUP51136_A9999_272,Noncdm Charge Record Medical Supplies - Electrode Bipolar Coagulation,850.77,331.8,,,0
CDM,SUP51140,Noncdm Charge Record Medical Supplies - Bit Drill 4.0Mm 152Mm Ao,1008.43,393.29,,,0
CDM,SUP5117,Noncdm Charge Record Medical Supplies - Pin Half 150Mm 6Mm Ha 70Mm Ext,1958.77,763.92,,,0
CDM,SUP51181,Noncdm Charge Record Medical Supplies - Guidewire Wholey .035In 300 J,524.74,204.65,,,0
CDM,SUP5125,Noncdm Charge Record Medical Supplies - Centralizer Stem 11Mm Invis,644.8,251.47,,,0
CDM,SUP5128_272,Noncdm Charge Record Medical Supplies - See 156825 Kit Press Monitor Transducer 6,84.87,33.1,,,0
CDM,SUP5128_A4649_272,Noncdm Charge Record Medical Supplies - See 156825 Kit Press Monitor Transducer 6,84.87,33.1,,,0
CDM,SUP5129_272,Noncdm Charge Record Medical Supplies - Needle Electrosurg 3Cm 2.8Mm Pt Micro Tung,105.57,41.17,,,0
CDM,SUP5129_A4649_272,Noncdm Charge Record Medical Supplies - Needle Electrosurg 3Cm 2.8Mm Pt Micro Tung,105.57,41.17,,,0
CDM,SUP5129_A9999_272,Noncdm Charge Record Medical Supplies - Needle Electrosurg 3Cm 2.8Mm Pt Micro Tung,105.57,41.17,,,0
CDM,SUP5136,Noncdm Charge Record Medical Supplies - Plate Std 90Mm Ss 3.5Mm Screw 3 Hl Lcp Bn,6582.48,2567.17,,,0
CDM,SUP5137,Noncdm Charge Record Medical Supplies - Plate Std 114Mm Ss 3.5Mm Screw 5 Hl Lcp Bn,6861.02,2675.8,,,0
CDM,SUP5138,Noncdm Charge Record Medical Supplies - Pack Acc Vns Ther Mod502,3376.17,1316.71,,,0
CDM,SUP51387,Noncdm Charge Record Medical Supplies - Set Tube Sgl Lum Use W Airseal Fltr,73.48,28.66,,,0
CDM,SUP51388_272,Noncdm Charge Record Medical Supplies - Set Tube Sgl Bi Lum Fltr Use W Airseal,377.78,147.33,,,0
CDM,SUP51388_A4649_272,Noncdm Charge Record Medical Supplies - Set Tube Sgl Bi Lum Fltr Use W Airseal,377.78,147.33,,,0
CDM,SUP51388_A9999_272,Noncdm Charge Record Medical Supplies - Set Tube Sgl Bi Lum Fltr Use W Airseal,377.78,147.33,,,0
CDM,SUP51392,Noncdm Charge Record Medical Supplies,91.08,35.52,,,0
CDM,SUP51396,Noncdm Charge Record Medical Supplies - Plate Cerv Ant 48Mm,3625.6,1413.98,,,0
CDM,SUP51397,Noncdm Charge Record Medical Supplies - Screw Spnl Vip 4.6Mm 16Mm Va,671.72,261.97,,,0
CDM,SUP5141_272,Noncdm Charge Record Medical Supplies - Tunneler Surg 2 Slv Disp,2397.21,934.91,,,0
CDM,SUP5141_A4649_272,Noncdm Charge Record Medical Supplies - Tunneler Surg 2 Slv Disp,2367.56,923.35,,,0
CDM,SUP51430_272,Noncdm Charge Record Medical Supplies - Port 5Mm Acc Optc Tip 120Mm In Lgth Bladeless,546.73,213.22,,,0
CDM,SUP51430_A4649_272,Noncdm Charge Record Medical Supplies - Port 5Mm Acc Optc Tip 120Mm In Lgth Bladeless,449.19,175.18,,,0
CDM,SUP51430_A9999_272,Noncdm Charge Record Medical Supplies - Port 5Mm Acc Optc Tip 120Mm In Lgth Bladeless,449.19,175.18,,,0
CDM,SUP51431_272,Noncdm Charge Record Medical Supplies - Port 8Mm Acc Optc Tip 100Mm In Lgth Bladeless Low Prof,443.65,173.02,,,0
CDM,SUP51431_A4649_272,Noncdm Charge Record Medical Supplies - Port 8Mm Acc Optc Tip 100Mm In Lgth Bladeless Low Prof,451.26,175.99,,,0
CDM,SUP51431_A9999_272,Noncdm Charge Record Medical Supplies - Port 8Mm Acc Optc Tip 100Mm In Lgth Bladeless Low Prof,429.52,167.51,,,0
CDM,SUP51432_272,Noncdm Charge Record Medical Supplies - See 108440 Port 8Mm Acc Optc Tip 120Mm In Lgth Bladeless Low,440.02,171.61,,,0
CDM,SUP51432_A4649_272,Noncdm Charge Record Medical Supplies - See 108440 Port 8Mm Acc Optc Tip 120Mm In Lgth Bladeless Low,438.01,170.82,,,0
CDM,SUP51432_A9999_272,Noncdm Charge Record Medical Supplies - See 108440 Port 8Mm Acc Optc Tip 120Mm In Lgth Bladeless Low,433.66,169.13,,,0
CDM,SUP51433_272,Noncdm Charge Record Medical Supplies - Port 12Mm Acc Blnt Tip 100Mm Lgth,452.6,176.51,,,0
CDM,SUP51433_A9999_272,Noncdm Charge Record Medical Supplies - Port 12Mm Acc Blnt Tip 100Mm Lgth,457.47,178.41,,,0
CDM,SUP51434_272,Noncdm Charge Record Medical Supplies - Port 12Mm Acc Optc Tip 120Mm Lgth Bladeless Palm Grip,471.96,184.06,,,0
CDM,SUP51434_A4649_272,Noncdm Charge Record Medical Supplies - Port 12Mm Acc Optc Tip 120Mm Lgth Bladeless Palm Grip,471.96,184.06,,,0
CDM,SUP51434_A9999_272,Noncdm Charge Record Medical Supplies - Port 12Mm Acc Optc Tip 120Mm Lgth Bladeless Palm Grip,471.96,184.06,,,0
CDM,SUP51435,Noncdm Charge Record Medical Supplies - Port 12Mm Acc Optc Tip 150Mm Lgth Bladeless,444.33,173.29,,,0
CDM,SUP51443,Noncdm Charge Record Medical Supplies - Steinmann Pin 9In Biomet,844.77,329.46,,,0
CDM,SUP5146,Noncdm Charge Record Medical Supplies - Guiderod Orth 1000Mm3Mm Ss Bal,1966.5,766.94,,,0
CDM,SUP51477,Noncdm Charge Record Medical Supplies - Hemoconcentrator W-Conn Dhfo,351.65,137.14,,,0
CDM,SUP51511,Noncdm Charge Record Medical Supplies - Screw Xtend 4.2Mm Var Ang,671.48,261.88,,,0
CDM,SUP51517,Noncdm Charge Record Medical Supplies,494.73,192.94,,,0
CDM,SUP51518,Noncdm Charge Record Medical Supplies - Saw Blade Narrow,670.68,261.57,,,0
CDM,SUP5156_272,Noncdm Charge Record Medical Supplies - Electrode Loop Resection 30In Olympus,2266.65,883.99,,,0
CDM,SUP5156_A4649_272,Noncdm Charge Record Medical Supplies - Electrode Loop Resection 30In Olympus,2266.65,883.99,,,0
CDM,SUP5156_A9999_272,Noncdm Charge Record Medical Supplies - Electrode Loop Resection 30In Olympus,2266.65,883.99,,,0
CDM,SUP51579_272,Noncdm Charge Record Medical Supplies,741.77,289.29,,,0
CDM,SUP51579_A4649_272,Noncdm Charge Record Medical Supplies,744.16,290.22,,,0
CDM,SUP51579_A9999_272,Noncdm Charge Record Medical Supplies,744.16,290.22,,,0
CDM,SUP5158,Noncdm Charge Record Medical Supplies - Stent Trachbr 5Mm 7Fr 16Mm,11648.92,4543.08,,,0
CDM,SUP51580_272,Noncdm Charge Record Medical Supplies - Probe Bipolar Stim Side-By-Sid,733.94,286.24,,,0
CDM,SUP51580_A4649_272,Noncdm Charge Record Medical Supplies - Probe Bipolar Stim Side-By-Sid,751.41,293.05,,,0
CDM,SUP51580_A9999_272,Noncdm Charge Record Medical Supplies - Probe Bipolar Stim Side-By-Sid,690.34,269.23,,,0
CDM,SUP51581,Noncdm Charge Record Medical Supplies - Catheter Bal Dil Cre 18-20Mm 180Cm 5.5F-G,1510.06,588.92,,,0
CDM,SUP516,Noncdm Charge Record Medical Supplies - Ear Tube Ventilation 1.14Mm 5Mm Touma T-Type Grommet Medtron,126.08,49.17,,,0
CDM,SUP5161,Noncdm Charge Record Medical Supplies - Stent Trachbr 6Mm 6Fr 38Mm,12943.71,5048.05,,,0
CDM,SUP5162,Noncdm Charge Record Medical Supplies - Stent Trachbr 7Mm 7Fr 38Mm,13242.62,5164.62,,,0
CDM,SUP5163,Noncdm Charge Record Medical Supplies - Stent Trachbr 7Mm 7Fr 59Mm,13412.98,5231.06,,,0
CDM,SUP51637_272,Noncdm Charge Record Medical Supplies - Forceps Radial Jaw 4 Jumbo,287.72,112.21,,,0
CDM,SUP51637_A4649_272,Noncdm Charge Record Medical Supplies - Forceps Radial Jaw 4 Jumbo,287.73,112.21,,,0
CDM,SUP51637_A9999_272,Noncdm Charge Record Medical Supplies - Forceps Radial Jaw 4 Jumbo,287.73,112.21,,,0
CDM,SUP5164,Noncdm Charge Record Medical Supplies - Stent Trachbr 9Mm 7Fr 38Mm,13441.66,5242.25,,,0
CDM,SUP5165,Noncdm Charge Record Medical Supplies - Stent Trachbr 9Mm 7Fr 59Mm,14485.86,5649.49,,,0
CDM,SUP5166_270,Noncdm Charge Record Medical Supplies - Positioner Demayo Foam Pad Crozier,168.7,65.79,,,0
CDM,SUP5166_A4649_270,Noncdm Charge Record Medical Supplies - Positioner Demayo Foam Pad Crozier,168.7,65.79,,,0
CDM,SUP5166_A9999_270,Noncdm Charge Record Medical Supplies - Positioner Demayo Foam Pad Crozier,168.7,65.79,,,0
CDM,SUP51675,Noncdm Charge Record Medical Supplies,1880.6,733.43,,,0
CDM,SUP5167_272,Noncdm Charge Record Medical Supplies - Left Heart Manifold,195.88,76.39,,,0
CDM,SUP5167_A4649_272,Noncdm Charge Record Medical Supplies - Left Heart Manifold,174.56,68.08,,,0
CDM,SUP5167_A9999_272,Noncdm Charge Record Medical Supplies - Left Heart Manifold,150.01,58.5,,,0
CDM,SUP5168,Noncdm Charge Record Medical Supplies - Set Endo Instr Hip Pac 3 Gwire,1451.07,565.92,,,0
CDM,SUP51718,Noncdm Charge Record Medical Supplies - Catheter U2Q-5-4-5.8-75 1010 Kit Uromax,1468.35,572.66,,,0
CDM,SUP51719,Noncdm Charge Record Medical Supplies - Catheter U2Q-6-4-5.8-75,1936.36,755.18,,,0
CDM,SUP5171_272,Noncdm Charge Record Medical Supplies - Wire Sut 18Ga Ss,1078.73,420.7,,,0
CDM,SUP5171_C1713_278,Noncdm Charge Record Medical Supplies - Wire Sut 18Ga Ss,1078.47,420.6,,,0
CDM,SUP51720,Noncdm Charge Record Medical Supplies - Catheter U2Q-6-10-5.8-75 Kit Uromax,1191.51,464.69,,,0
CDM,SUP5172_272,Noncdm Charge Record Medical Supplies - Strip 5X1In Strstrp Adh Hypoall Por Reinf,8.13,3.17,,,0
CDM,SUP5172_A4649_272,Noncdm Charge Record Medical Supplies - Strip 5X1In Strstrp Adh Hypoall Por Reinf,7.98,3.11,,,0
CDM,SUP5172_A9999_272,Noncdm Charge Record Medical Supplies - Strip 5X1In Strstrp Adh Hypoall Por Reinf,8.28,3.23,,,0
CDM,SUP5174,Noncdm Charge Record Medical Supplies - Screw Bn 10.5Mm 90Mm Gamma3 Ti Troch Hip Lag,3899.88,1520.95,,,0
CDM,SUP5175,Noncdm Charge Record Medical Supplies - Catheter Drain 36Fr 20In Argyle Thoracic Straight Covidien,21.74,8.48,,,0
CDM,SUP5180,Noncdm Charge Record Medical Supplies - Stem Fem Cement Std Prct 2 Hip Ofst Smt,2900.07,1131.03,,,0
CDM,SUP5181,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 15Mm Pncl Canc Strl,650.79,253.81,,,0
CDM,SUP5183,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 20Mm Pncl Canc Strl,652.14,254.33,,,0
CDM,SUP51847_272,Noncdm Charge Record Medical Supplies - Port 12Mm Acc Optc Tip 100Mm Lgth Bladeless Palm Grip,457.47,178.41,,,0
CDM,SUP51847_A4649_272,Noncdm Charge Record Medical Supplies - Port 12Mm Acc Optc Tip 100Mm Lgth Bladeless Palm Grip,457.47,178.41,,,0
CDM,SUP51847_A9999_272,Noncdm Charge Record Medical Supplies - Port 12Mm Acc Optc Tip 100Mm Lgth Bladeless Palm Grip,457.47,178.41,,,0
CDM,SUP51848,Noncdm Charge Record Medical Supplies - Drill Twist 1.1X50Mm 7Mm,597.2,232.91,,,0
CDM,SUP51888,Noncdm Charge Record Medical Supplies - Adapter Biolox Type 1 Taper,1289.61,502.95,,,0
CDM,SUP5190,Noncdm Charge Record Medical Supplies,1114.52,434.66,,,0
CDM,SUP5191,Noncdm Charge Record Medical Supplies - Set Hemodia 5L Prismaflex Bag Effluent M60,30.25,11.8,,,0
CDM,SUP51918_272,Noncdm Charge Record Medical Supplies - Wire K Troc Thr 9In .062In,59.25,23.11,,,0
CDM,SUP51918_A4649_272,Noncdm Charge Record Medical Supplies - Wire K Troc Thr 9In .062In,68.31,26.64,,,0
CDM,SUP51918_C1713_278,Noncdm Charge Record Medical Supplies - Wire K Troc Thr 9In .062In,57.96,22.6,,,0
CDM,SUP51919,Noncdm Charge Record Medical Supplies - Guidewire Glidewire 3Cm .35In Shapeable Tip 3Cm,220.46,85.98,,,0
CDM,SUP5192,Noncdm Charge Record Medical Supplies - Stem Fem 155Mm 17Mm Mod Strt,12539.54,4890.42,,,0
CDM,SUP51948,Noncdm Charge Record Medical Supplies - Bit Brill 5Mm 152Mm Ao Ellipse Technologies,1116.12,435.29,,,0
CDM,SUP5195,Noncdm Charge Record Medical Supplies - Screw Bn 2.3Mm 18Mm Dist Radial Wr Hnd,478.17,186.49,,,0
CDM,SUP51953,Noncdm Charge Record Medical Supplies - Anchor Suture Orthocord Helix Advance 4.5Mm Br Depuy Mitek,2229.39,869.46,,,0
CDM,SUP5196_272,Noncdm Charge Record Medical Supplies - Rod Reamer 950Mm 2.5Mm Ball Tip Strl Disp,519.29,202.52,,,0
CDM,SUP5196_A4649_272,Noncdm Charge Record Medical Supplies - Rod Reamer 950Mm 2.5Mm Ball Tip Strl Disp,529.92,206.67,,,0
CDM,SUP5196_A9999_272,Noncdm Charge Record Medical Supplies - Rod Reamer 950Mm 2.5Mm Ball Tip Strl Disp,476.1,185.68,,,0
CDM,SUP5197,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 28Mm Nail Ex Ti Hum Tib Lck,744.16,290.22,,,0
CDM,SUP5199,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 32Mm Nail Ex Ti Hum Tib Lck,776.25,302.74,,,0
CDM,SUP52014,Noncdm Charge Record Medical Supplies - Screw 5Mm 2Mm Cranmf Xdrive Lck Bn Slvr,478.17,186.49,,,0
CDM,SUP52017,Noncdm Charge Record Medical Supplies - Probe Vitrectomy Centurion 23G,1039.14,405.26,,,0
CDM,SUP52021,Noncdm Charge Record Medical Supplies - Fiber Laser,4607.82,1797.05,,,0
CDM,SUP5208,Noncdm Charge Record Medical Supplies - Kit 55Cm 5Fr 145Cm 2 Lum Gwire Intro Ndl Picc,499.42,194.77,,,0
CDM,SUP5210,Noncdm Charge Record Medical Supplies - Device Lead Lck .43-.66Mm Sls2,2550.24,994.59,,,0
CDM,SUP5212_272,Noncdm Charge Record Medical Supplies - Device Lead Lck Clears Cutter,464.72,181.24,,,0
CDM,SUP5212_A4649_272,Noncdm Charge Record Medical Supplies - Device Lead Lck Clears Cutter,464.72,181.24,,,0
CDM,SUP5213,Noncdm Charge Record Medical Supplies - Graft Bn Cnrstn Asr Canc Lrdtc,3625.43,1413.92,,,0
CDM,SUP5215,Noncdm Charge Record Medical Supplies - Catheter Angio .035In Slcth 5Fr 125Cm Sim2,268.06,104.54,,,0
CDM,SUP5216,Noncdm Charge Record Medical Supplies - Electrode Ekg Mdtrc Ppdg Hydro Gel Lg 24In Adh,4.21,1.64,,,0
CDM,SUP52175,Noncdm Charge Record Medical Supplies - Lead Inspire Stimulation Inspire Medical,9425.75,3676.04,,,0
CDM,SUP52177,Noncdm Charge Record Medical Supplies - Remote Sleep,6172.74,2407.37,,,0
CDM,SUP5217_272,Noncdm Charge Record Medical Supplies - Sleeve Mp Gma Fnd Strl,48.65,18.97,,,0
CDM,SUP5217_A4649_272,Noncdm Charge Record Medical Supplies - Sleeve Mp Gma Fnd Strl,48.64,18.97,,,0
CDM,SUP5217_A9999_272,Noncdm Charge Record Medical Supplies - Sleeve Mp Gma Fnd Strl,48.64,18.97,,,0
CDM,SUP522,Noncdm Charge Record Medical Supplies - Cautery Battery Dxstk Opth Hi,42.44,16.55,,,0
CDM,SUP52227_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 0 Green Ties Ethicon,10.06,3.92,,,0
CDM,SUP52227_A4649_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 0 Green Ties Ethicon,9.83,3.83,,,0
CDM,SUP5223,Noncdm Charge Record Medical Supplies - See 121084 Set Press Monitor 2.5In Qkstk,450.74,175.79,,,0
CDM,SUP5224,Noncdm Charge Record Medical Supplies - Drain Incs 15Fr Sil 4 Chan,66.24,25.83,,,0
CDM,SUP52270,Noncdm Charge Record Medical Supplies - Sphincterotome Rx 39 30Mmx5Mm,1493.46,582.45,,,0
CDM,SUP52271,Noncdm Charge Record Medical Supplies - Stent Bil 7Fr 5Cm Advanix Ctr Bend,1049.49,409.3,,,0
CDM,SUP52272,Noncdm Charge Record Medical Supplies - Stent Bil 7Fr 7Cm Advanix Ctr Bend,1049.49,409.3,,,0
CDM,SUP5230,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 36Mm Nail Ex Ti Ft Hum Tib St,744.16,290.22,,,0
CDM,SUP5234,Noncdm Charge Record Medical Supplies - Bone Canc 4-10 60Cc,2537.82,989.75,,,0
CDM,SUP52364,Noncdm Charge Record Medical Supplies - Catheter Ablt Halo60 Esoph Bipolar,7389.9,2882.06,,,0
CDM,SUP5237,Noncdm Charge Record Medical Supplies,33.12,12.92,,,0
CDM,SUP5238,Noncdm Charge Record Medical Supplies,21.22,8.28,,,0
CDM,SUP5245,Noncdm Charge Record Medical Supplies - Catheter Drain 10Fr 35Cm Flxm Lck Reg Duromtr,416.07,162.27,,,0
CDM,SUP52450,Noncdm Charge Record Medical Supplies - Extractor Pro Rx Retrieval Balloon 12-15 Prox Inj,1012.23,394.77,,,0
CDM,SUP5246,Noncdm Charge Record Medical Supplies - Catheter Drain 12Fr 35Cm Flxm,400.67,156.26,,,0
CDM,SUP5247,Noncdm Charge Record Medical Supplies - Catheter Drain 14Fr 35Cm Flxm Lck Reg Duromtr,411.15,160.35,,,0
CDM,SUP52486,Noncdm Charge Record Medical Supplies - Dressing Aquacel 3.2X3.2 Foam Adh Sq,18.63,7.27,,,0
CDM,SUP525,Noncdm Charge Record Medical Supplies - Plate 39Mm Ss 2Mm Screw 7 Hl Dcp Bn 2Mm Condy,1167.48,455.32,,,0
CDM,SUP5253,Noncdm Charge Record Medical Supplies - Protector Tth Thrmplst Rub,8.13,3.17,,,0
CDM,SUP52531,Noncdm Charge Record Medical Supplies - Tube Corflo Feed 43In 12Fr Non Wt W-Stylet Enternal,381.92,148.95,,,0
CDM,SUP5254,Noncdm Charge Record Medical Supplies - Felt Cv 4X4In Thk1.65Mm Ptfe,1162.3,453.3,,,0
CDM,SUP5256,Noncdm Charge Record Medical Supplies - Kit Drain 1 Wy Valve Connect,417.52,162.83,,,0
CDM,SUP526,Noncdm Charge Record Medical Supplies - Shunt Neuro Csf Std 90Cm Dist,976.95,381.01,,,0
CDM,SUP52618,Noncdm Charge Record Medical Supplies - Crt-P Allure Rf,23683.9,9236.72,,,0
CDM,SUP52620,Noncdm Charge Record Medical Supplies - Lead Optisure Df4 Sgl 58,12566.97,4901.12,,,0
CDM,SUP52621,Noncdm Charge Record Medical Supplies - Lead Optisure Df4 Sgl 65,12566.97,4901.12,,,0
CDM,SUP5268,Noncdm Charge Record Medical Supplies,243.22,94.86,,,0
CDM,SUP5269_272,Noncdm Charge Record Medical Supplies - Ring Retract G2 Noryl Rsn Wo,384.98,150.14,,,0
CDM,SUP5269_A4649_272,Noncdm Charge Record Medical Supplies - Ring Retract G2 Noryl Rsn Wo,385.02,150.16,,,0
CDM,SUP5269_A9999_272,Noncdm Charge Record Medical Supplies - Ring Retract G2 Noryl Rsn Wo,385.02,150.16,,,0
CDM,SUP52709,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 4Fr 4Mm-220 150Cm Otw Strlg,1790.55,698.31,,,0
CDM,SUP5270_272,Noncdm Charge Record Medical Supplies - Cellulose Oxd 4X2In Abs Hemost Agent Flx,437.76,170.73,,,0
CDM,SUP5270_A4649_272,Noncdm Charge Record Medical Supplies - Cellulose Oxd 4X2In Abs Hemost Agent Flx,435.04,169.67,,,0
CDM,SUP52710,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 5Mm-150Mm 150Cm Otw Hyb,1132.85,441.81,,,0
CDM,SUP52712,Noncdm Charge Record Medical Supplies - Introducer Sheath 6Fr 90Cm Guide Strt T-B,493.51,192.47,,,0
CDM,SUP52714,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 6Mm-150Mm 150Cm Otw Hyb,1109.86,432.85,,,0
CDM,SUP5275_270,Noncdm Charge Record Medical Supplies - Set Extn 5X2In Pen Label Perm Marker Clr,11.38,4.44,,,0
CDM,SUP5275_A4649_270,Noncdm Charge Record Medical Supplies - Set Extn 5X2In Pen Label Perm Marker Clr,11.38,4.44,,,0
CDM,SUP52773_272,Noncdm Charge Record Medical Supplies - See 140983 Suture Vicryl 5-0 Ps-2 18In Undyed Ethicon,19.66,7.67,,,0
CDM,SUP52773_A9999_272,Noncdm Charge Record Medical Supplies - See 140983 Suture Vicryl 5-0 Ps-2 18In Undyed Ethicon,19.66,7.67,,,0
CDM,SUP5289,Noncdm Charge Record Medical Supplies - Ring Retract 9-14Cm Lg Alexis,283.6,110.6,,,0
CDM,SUP52936,Noncdm Charge Record Medical Supplies - Plate Uplus 75Mm,8848.85,3451.05,,,0
CDM,SUP52937,Noncdm Charge Record Medical Supplies - Screw Bn 8X2.7Mm Ribloc Rb Grn,859.57,335.23,,,0
CDM,SUP52938,Noncdm Charge Record Medical Supplies - Drill Surg Rb 2Mm Strl Uplus Fx,1289.61,502.95,,,0
CDM,SUP5294,Noncdm Charge Record Medical Supplies - Patch Cv 8X.8Cm Tpr Vsgrd Bvn,1072.26,418.18,,,0
CDM,SUP5295,Noncdm Charge Record Medical Supplies - Screw Bn 2.3Mm 14Mm Dist Radial Cort Wr Hnd,478.17,186.49,,,0
CDM,SUP5296,Noncdm Charge Record Medical Supplies - Graft Vasc 80Cm 6Mm Dstfl Dist,22279.41,8688.97,,,0
CDM,SUP52974,Noncdm Charge Record Medical Supplies - Dome Dash Pre Load Guidewire Acrobat,2207.66,860.99,,,0
CDM,SUP52975,Noncdm Charge Record Medical Supplies - Plate Smrt Lck Mmf Hybrid,1571.13,612.74,,,0
CDM,SUP53014,Noncdm Charge Record Medical Supplies - Plate 4 Hl Crv,735.88,286.99,,,0
CDM,SUP53015,Noncdm Charge Record Medical Supplies - Bit Drill 5Mm,631.09,246.13,,,0
CDM,SUP53017,Noncdm Charge Record Medical Supplies - Screw Slf Tap 2Mm 10Mm,289.65,112.96,,,0
CDM,SUP5303,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 20Mm Nail Ex Ti Ft Hum Tib St,776.77,302.94,,,0
CDM,SUP5304,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 24Mm Nail Ex Ti Ft Hum Tib St,737.75,287.72,,,0
CDM,SUP5306,Noncdm Charge Record Medical Supplies - Sling Trnvg Adv Midurethral F,6645.74,2591.84,,,0
CDM,SUP5308,Noncdm Charge Record Medical Supplies - System Embol Protect Spiderfx 3Mm Filter Cptr 320Cm .014In W,4534.34,1768.39,,,0
CDM,SUP53084,Noncdm Charge Record Medical Supplies - System Leadhf Acuity Pro Delivery,3482.78,1358.28,,,0
CDM,SUP5309,Noncdm Charge Record Medical Supplies - System Embol Protect Spiderfx 4Mm Filter Cptr 320Cm .014In W,4299.39,1676.76,,,0
CDM,SUP5310,Noncdm Charge Record Medical Supplies - System Embol Protect Spiderfx 5Mm Filter Cptr 320Cm .014In W,4516.34,1761.37,,,0
CDM,SUP5311,Noncdm Charge Record Medical Supplies - System Embol Protect Spiderfx 6Mm Filter Cptr 320Cm .014In W,4487.41,1750.09,,,0
CDM,SUP53144,Noncdm Charge Record Medical Supplies - Clip Applier Med Lg 5Mm,34.67,13.52,,,0
CDM,SUP53148,Noncdm Charge Record Medical Supplies - Cast Shoe Canvas Cmr-L,24.84,9.69,,,0
CDM,SUP5315,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 48Mm Nail Ex Ti Ft Fem-Tib St,778.76,303.72,,,0
CDM,SUP5316,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 52Mm Nail Ex Ti Ft Fem-Tib St,763.42,297.73,,,0
CDM,SUP5317,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 30Mm Nail Ex Ti Ft Fem-Tib St,767.08,299.16,,,0
CDM,SUP5318,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 36Mm Nail Ex Ti Ft Fem-Tib St,763.5,297.76,,,0
CDM,SUP5319,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 38Mm Nail Ex Ti Ft Fem-Tib St,758.75,295.91,,,0
CDM,SUP53192,Noncdm Charge Record Medical Supplies - Tissue Flex Hd 13Cm 22Cm Perf Large,22498.83,8774.54,,,0
CDM,SUP532,Noncdm Charge Record Medical Supplies - Tape Dressing 5Ydx.5In On Spl Adh Hypoall Wtprf Htp,30.02,11.71,,,0
CDM,SUP5320,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 42Mm Nail Ex Ti Ft Fem-Tib St,747.73,291.61,,,0
CDM,SUP53216,Noncdm Charge Record Medical Supplies - Band Rad Comp Shrt 21Cm Vascband,97.39,37.98,,,0
CDM,SUP53217,Noncdm Charge Record Medical Supplies - Band Rad Comp Reg 24Cm Vascband,96.26,37.54,,,0
CDM,SUP5322,Noncdm Charge Record Medical Supplies - Drain 10Mm Flat Fluted With Trocar Ethicon,636.52,248.24,,,0
CDM,SUP53220_272,Noncdm Charge Record Medical Supplies - Catheter Ganz 5Fr Thermo Dilut Swan,871.47,339.87,,,0
CDM,SUP53220_C1751_272,Noncdm Charge Record Medical Supplies - Catheter Ganz 5Fr Thermo Dilut Swan,672.75,262.37,,,0
CDM,SUP5327,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 46Mm Nail Ex Ti Ft Fem-Tib St,737.75,287.72,,,0
CDM,SUP5328,Noncdm Charge Record Medical Supplies - Screw 5-50Mm Nail Ex Ti Ft St Fem-Tib,776.25,302.74,,,0
CDM,SUP5329,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 40Mm Nail Ex Ti Ft Fem-Tib St,747.08,291.36,,,0
CDM,SUP53317,Noncdm Charge Record Medical Supplies - Electrode Laparowire L Hook,169.74,66.2,,,0
CDM,SUP5332,Noncdm Charge Record Medical Supplies - Anchor Suture Orthocord 5Mm Fastin Depuy Mitek,1208.67,471.38,,,0
CDM,SUP53322,Noncdm Charge Record Medical Supplies - Lead Attain Performa 4298,6452.19,2516.35,,,0
CDM,SUP53323,Noncdm Charge Record Medical Supplies - Lead Attain Performa 4298 Df4,6452.19,2516.35,,,0
CDM,SUP53457,Noncdm Charge Record Medical Supplies - Tyrx Absorbable Anitbacterial Envelope Lge,4326.27,1687.25,,,0
CDM,SUP53458_272,Noncdm Charge Record Medical Supplies - Wire K 16Mm 229Mm 9In,35.19,13.72,,,0
CDM,SUP53458_A4649_272,Noncdm Charge Record Medical Supplies - Wire K 16Mm 229Mm 9In,35.19,13.72,,,0
CDM,SUP53458_C1713_278,Noncdm Charge Record Medical Supplies - Wire K 16Mm 229Mm 9In,35.19,13.72,,,0
CDM,SUP53459,Noncdm Charge Record Medical Supplies,111426.03,43456.15,,,0
CDM,SUP5345_272,Noncdm Charge Record Medical Supplies - Packing Wound 36X2In Vag Strl,12.87,5.02,,,0
CDM,SUP5345_A4649_272,Noncdm Charge Record Medical Supplies - Packing Wound 36X2In Vag Strl,16.56,6.46,,,0
CDM,SUP5346,Noncdm Charge Record Medical Supplies - Cable Electrosurg Monopolar Adler Instruments,46.58,18.17,,,0
CDM,SUP5348_272,Noncdm Charge Record Medical Supplies - Ring Retract 5-9Cm Med Alexis,181.12,70.64,,,0
CDM,SUP5348_A4649_272,Noncdm Charge Record Medical Supplies - Ring Retract 5-9Cm Med Alexis,181.12,70.64,,,0
CDM,SUP53498,Noncdm Charge Record Medical Supplies - Catheter Guide Envoy 7Fr 90Cm Mpd,1477.98,576.41,,,0
CDM,SUP5350,Noncdm Charge Record Medical Supplies - Dressing Thk3.3Cm Med,275.47,107.43,,,0
CDM,SUP53566,Noncdm Charge Record Medical Supplies - Catheter Infus .038 5Fr 30Cm 135Cm Peri Vlv,455.4,177.61,,,0
CDM,SUP53600,Noncdm Charge Record Medical Supplies - Boot Cast Walking Xlg,147.31,57.45,,,0
CDM,SUP53601,Noncdm Charge Record Medical Supplies - Device 40Mm 4Mm Strk Rtrvl Solitaire Revasc,24250.05,9457.52,,,0
CDM,SUP53730,Noncdm Charge Record Medical Supplies - Port 12Mm Acc Blnt Tip 120Mm Lgth,451.78,176.19,,,0
CDM,SUP53731_272,Noncdm Charge Record Medical Supplies - Sheath Acc Nav 13-15X46Cm Uret Hd,715.12,278.9,,,0
CDM,SUP53731_A4649_272,Noncdm Charge Record Medical Supplies - Sheath Acc Nav 13-15X46Cm Uret Hd,594.09,231.7,,,0
CDM,SUP53732,Noncdm Charge Record Medical Supplies - Anchor Suture 4.75Mmx19.1Mm Biocomposite Cls Arthrex,3093.6,1206.5,,,0
CDM,SUP5380,Noncdm Charge Record Medical Supplies - Hip Total Category H1 Biomet,18917.73,7377.91,,,0
CDM,SUP5382,Noncdm Charge Record Medical Supplies,34014.24,13265.55,,,0
CDM,SUP53864,Noncdm Charge Record Medical Supplies - Pin Guide 3.2Mm,269.1,104.95,,,0
CDM,SUP53865,Noncdm Charge Record Medical Supplies - Pin Blunt 2Mm,269.1,104.95,,,0
CDM,SUP53866,Noncdm Charge Record Medical Supplies - Pin Exchange 2Mm,269.1,104.95,,,0
CDM,SUP53867,Noncdm Charge Record Medical Supplies - Screw Lck 5X40Mm,1106.42,431.5,,,0
CDM,SUP53868,Noncdm Charge Record Medical Supplies - Screw Lck 5X50Mm,1106.42,431.5,,,0
CDM,SUP53869,Noncdm Charge Record Medical Supplies - Screw Lck 5X60Mm,1106.42,431.5,,,0
CDM,SUP53912,Noncdm Charge Record Medical Supplies - Protector Nrv 10Mm 40Mm,12052.92,4700.64,,,0
CDM,SUP5394,Noncdm Charge Record Medical Supplies - Needle 0-8Cm Us Ball Tip Syr,1527.66,595.79,,,0
CDM,SUP53985_272,Noncdm Charge Record Medical Supplies - Tip Suct Lg Std 20Cm Malleable,1433.13,558.92,,,0
CDM,SUP53985_A9999_272,Noncdm Charge Record Medical Supplies - Tip Suct Lg Std 20Cm Malleable,1351.71,527.17,,,0
CDM,SUP53988,Noncdm Charge Record Medical Supplies - Stent Uret Percuflex 48X22,588.22,229.41,,,0
CDM,SUP53989,Noncdm Charge Record Medical Supplies - Device Closure 67Fr Mynx Ace Vasc,912.87,356.02,,,0
CDM,SUP53993,Noncdm Charge Record Medical Supplies - Mesh Progrip Lapar Slf Fx Rt,1917.26,747.73,,,0
CDM,SUP53994,Noncdm Charge Record Medical Supplies - Mesh Progrip Lapar Slf Fx Lt,1918.32,748.14,,,0
CDM,SUP53996,Noncdm Charge Record Medical Supplies - Catheter Angio Jacky Radial 1.7 Crv 5Fr,153.96,60.04,,,0
CDM,SUP54035_272,Noncdm Charge Record Medical Supplies - Retractor Retentus Panniculus Csection,256.68,100.11,,,0
CDM,SUP54035_A4649_272,Noncdm Charge Record Medical Supplies - Retractor Retentus Panniculus Csection,256.68,100.11,,,0
CDM,SUP54036,Noncdm Charge Record Medical Supplies - Guidewire Vasc .035In 180X2Cm Ang Std,206.38,80.49,,,0
CDM,SUP54041,Noncdm Charge Record Medical Supplies - Waveguide Eigr W Flat Narrow Ilum Sgle Use,1387.24,541.02,,,0
CDM,SUP54042,Noncdm Charge Record Medical Supplies - Retractor Alexis Wound Small 2.5-6Cm,303.29,118.28,,,0
CDM,SUP54080,Noncdm Charge Record Medical Supplies - Retractor Alexis Wound Med 5-9Cm,303.27,118.28,,,0
CDM,SUP54087_272,Noncdm Charge Record Medical Supplies - Sheath Acc Nav 13-15X36Cm Uret Hd,696.97,271.82,,,0
CDM,SUP54087_A9999_272,Noncdm Charge Record Medical Supplies - Sheath Acc Nav 13-15X36Cm Uret Hd,576.5,224.84,,,0
CDM,SUP541,Noncdm Charge Record Medical Supplies - Graft Cv 15Cm 10Mm 2 Vlr Strt,1977.88,771.37,,,0
CDM,SUP54118_272,Noncdm Charge Record Medical Supplies - K Wire Dbl Tip,225.63,88.0,,,0
CDM,SUP54118_C1713_278,Noncdm Charge Record Medical Supplies - K Wire Dbl Tip,225.63,88.0,,,0
CDM,SUP5413,Noncdm Charge Record Medical Supplies,44.5,17.36,,,0
CDM,SUP54167,Noncdm Charge Record Medical Supplies - Port Implant Sgl Lumen Pwr 8F,1235.78,481.95,,,0
CDM,SUP5417_270,Noncdm Charge Record Medical Supplies - Tape Dressing 3M Mcfm 4In 5.5Yd Adh Hypoall,20.69,8.07,,,0
CDM,SUP5417_A9999_270,Noncdm Charge Record Medical Supplies - Tape Dressing 3M Mcfm 4In 5.5Yd Adh Hypoall,20.7,8.07,,,0
CDM,SUP54195,Noncdm Charge Record Medical Supplies,4342.86,1693.72,,,0
CDM,SUP54198,Noncdm Charge Record Medical Supplies - Trocar Laparos Sm 12Mm Cap,1420.02,553.81,,,0
CDM,SUP542,Noncdm Charge Record Medical Supplies - Graft Cv 15Cm 12Mm 2 Vlr Strt,1848.51,720.92,,,0
CDM,SUP54201,Noncdm Charge Record Medical Supplies - Cage 7Mm 14Mm 16Mm Coalition,11358.92,4429.98,,,0
CDM,SUP54202,Noncdm Charge Record Medical Supplies - Coalition 8Mm 15X 18,11359.12,4430.06,,,0
CDM,SUP54207,Noncdm Charge Record Medical Supplies - Pins Distraction 12Mm,244.79,95.47,,,0
CDM,SUP54215,Noncdm Charge Record Medical Supplies - Cage Spnl 11Mm 15D Med,21750.52,8482.7,,,0
CDM,SUP5421_C1887_272,Noncdm Charge Record Medical Supplies - Introducer Sheath 7Fr 65Cm Guide Strt Xcut,633.42,247.03,,,0
CDM,SUP5421_C1894_272,Noncdm Charge Record Medical Supplies - Introducer Sheath 7Fr 65Cm Guide Strt Xcut,440.91,171.95,,,0
CDM,SUP54239,Noncdm Charge Record Medical Supplies - Connector Lat 15Mm,2685.82,1047.47,,,0
CDM,SUP54241,Noncdm Charge Record Medical Supplies - Rod Spnl 55Mm Revolve Crv,940.3,366.72,,,0
CDM,SUP54251,Noncdm Charge Record Medical Supplies - Screw Bn 4.2Mm 16Mm Std Spnva,671.72,261.97,,,0
CDM,SUP54274,Noncdm Charge Record Medical Supplies,671.72,261.97,,,0
CDM,SUP54309,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria Rx 2X6Mm,391.23,152.58,,,0
CDM,SUP54310,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria Rx 2X8Mm,391.23,152.58,,,0
CDM,SUP54311,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria Rx 2X12Mm,391.33,152.62,,,0
CDM,SUP54312,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria Rx 2X15Mm,391.28,152.6,,,0
CDM,SUP54313,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria Rx 2X20Mm,391.23,152.58,,,0
CDM,SUP54315,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 2.25X8Mm Rx,391.23,152.58,,,0
CDM,SUP54316,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 2.25X12Mm Rx,391.34,152.62,,,0
CDM,SUP54317,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 2.25X15Mm Rx,391.44,152.66,,,0
CDM,SUP54318,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 2.25X20Mm Rx,391.23,152.58,,,0
CDM,SUP54319,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 2.5X6Mm Rx,391.23,152.58,,,0
CDM,SUP54320,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 2.5X8Mm Rx,391.23,152.58,,,0
CDM,SUP54321,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 2.5X12Mm Rx,391.31,152.61,,,0
CDM,SUP54322,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 2.5X15Mm Rx,391.32,152.61,,,0
CDM,SUP54323_272,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 2.5X20Mm Rx,391.75,152.78,,,0
CDM,SUP54323_C1725_272,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 2.5X20Mm Rx,391.3,152.61,,,0
CDM,SUP54324,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 2.5X27Mm Rx,391.23,152.58,,,0
CDM,SUP54326,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 2.75X8Mm Rx,391.23,152.58,,,0
CDM,SUP54327,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 2.75X12Mm Rx,391.23,152.58,,,0
CDM,SUP54328,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 2.75X15Mm Rx,391.23,152.58,,,0
CDM,SUP54329,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 2.75X20Mm Rx,391.23,152.58,,,0
CDM,SUP54330,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 2.75X27Mm Rx,391.23,152.58,,,0
CDM,SUP54331,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 3X6Mm Rx,391.23,152.58,,,0
CDM,SUP54332,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 3X8Mm Rx,391.26,152.59,,,0
CDM,SUP54333_272,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 3X12Mm Rx,391.23,152.58,,,0
CDM,SUP54333_C1725_272,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 3X12Mm Rx,391.3,152.61,,,0
CDM,SUP54334,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 3X15Mm Rx,391.3,152.61,,,0
CDM,SUP54335,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 3X20Mm Rx,391.25,152.59,,,0
CDM,SUP54336,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 3X27Mm Rx,391.25,152.59,,,0
CDM,SUP54337,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 3.25X6Mm Rx,391.23,152.58,,,0
CDM,SUP54338,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 3.25X8Mm Rx,391.23,152.58,,,0
CDM,SUP54339,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 3.25X12Mm Rx,391.27,152.6,,,0
CDM,SUP54340,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 3.25X15Mm Rx,391.23,152.58,,,0
CDM,SUP54341,Noncdm Charge Record Medical Supplies - Balloon Nc Euporia 3.25X20Mm Rx,391.27,152.6,,,0
CDM,SUP54342,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 3.25X27Mm Rx,391.23,152.58,,,0
CDM,SUP54343,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 3.5X6Mm Rx,391.23,152.58,,,0
CDM,SUP54344,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 3.5X8Mm Rx,391.26,152.59,,,0
CDM,SUP54345_272,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 3.5X12Mm Rx,391.23,152.58,,,0
CDM,SUP54345_C1725_272,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 3.5X12Mm Rx,391.29,152.6,,,0
CDM,SUP54346_272,Noncdm Charge Record Medical Supplies - Balloon Nc Rx 3.50 X 15Mm Euphora,391.23,152.58,,,0
CDM,SUP54346_C1725_272,Noncdm Charge Record Medical Supplies - Balloon Nc Rx 3.50 X 15Mm Euphora,391.27,152.6,,,0
CDM,SUP54347_272,Noncdm Charge Record Medical Supplies - Balloon Nc Rx 3.50 X 20Mm Euphora,391.75,152.78,,,0
CDM,SUP54347_C1725_272,Noncdm Charge Record Medical Supplies - Balloon Nc Rx 3.50 X 20Mm Euphora,391.3,152.61,,,0
CDM,SUP54348,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 3.5X27Mm Rx,391.32,152.61,,,0
CDM,SUP54349,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 3.75X6Mm Rx,391.23,152.58,,,0
CDM,SUP54350,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 3.75X8Mm Rx,391.23,152.58,,,0
CDM,SUP54351,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 3.75X12Mm Rx,391.28,152.6,,,0
CDM,SUP54352,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 3.75X15Mm Rx,391.23,152.58,,,0
CDM,SUP54353,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 3.75X20Mm Rx,391.23,152.58,,,0
CDM,SUP54354,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 3.75X27Mm Rx,391.23,152.58,,,0
CDM,SUP54355,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 4X6Mm Rx,391.23,152.58,,,0
CDM,SUP54356_272,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 4X8Mm Rx,391.23,152.58,,,0
CDM,SUP54356_C1725_272,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 4X8Mm Rx,391.23,152.58,,,0
CDM,SUP54357_272,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 4X12Mm Rx,391.75,152.78,,,0
CDM,SUP54357_C1725_272,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 4X12Mm Rx,391.25,152.59,,,0
CDM,SUP54358,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 4X15Mm Rx,391.24,152.58,,,0
CDM,SUP54359,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 4X20Mm Rx,391.3,152.61,,,0
CDM,SUP54360,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 4X27Mm Rx,391.23,152.58,,,0
CDM,SUP54361,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 5X8Mm Rx,391.23,152.58,,,0
CDM,SUP54362,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 5.0X12Mm Rx,391.3,152.61,,,0
CDM,SUP54363,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 5X15Mm Rx,391.23,152.58,,,0
CDM,SUP54391,Noncdm Charge Record Medical Supplies - See 123168 Needle Cysto Botox,171.81,67.01,,,0
CDM,SUP54392_272,Noncdm Charge Record Medical Supplies - Sheath Acc Nav 13-15X28Cm Uret Hd,712.8,277.99,,,0
CDM,SUP54392_A9999_272,Noncdm Charge Record Medical Supplies - Sheath Acc Nav 13-15X28Cm Uret Hd,594.09,231.7,,,0
CDM,SUP544,Noncdm Charge Record Medical Supplies - Graft Cv 40Cm 12X7Mm 2 Vlr,3521.59,1373.42,,,0
CDM,SUP54436,Noncdm Charge Record Medical Supplies - Twin Pass Dual Access 2 Lumen Catheter 3.5F,1098.61,428.46,,,0
CDM,SUP5446,Noncdm Charge Record Medical Supplies - Device Scr Picc Anchor Pad Sld Post Strl Lf,2.07,0.81,,,0
CDM,SUP5450,Noncdm Charge Record Medical Supplies - Screw Bn 2.3Mm 16Mm Dist Cort Radial Cort Wr Hnd,478.17,186.49,,,0
CDM,SUP54500,Noncdm Charge Record Medical Supplies - Kit Mi 5Fr 10Cm Stiffen Fluent Transitionless,139.02,54.22,,,0
CDM,SUP54501,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 4.5X8Mm Rx,391.28,152.6,,,0
CDM,SUP54502,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 4.5X12Mm Rx,391.23,152.58,,,0
CDM,SUP54503,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 4.5X15Mm Rx,391.25,152.59,,,0
CDM,SUP54504,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 4.5X20Mm Rx,391.23,152.58,,,0
CDM,SUP5453,Noncdm Charge Record Medical Supplies - Switch Electrosurg 10Ft Cord Ft To Hand 5In,62.1,24.22,,,0
CDM,SUP5455,Noncdm Charge Record Medical Supplies - Needle 7Cm 16Ga 4 Sdprt Hlw,95.22,37.14,,,0
CDM,SUP546,Noncdm Charge Record Medical Supplies - Tubing Blood Y Set 10 Gtt Pump Hospira,16.56,6.46,,,0
CDM,SUP54666_272,Noncdm Charge Record Medical Supplies - Tubing Cap Air H20 Olympus,66.01,25.74,,,0
CDM,SUP54666_A4649_272,Noncdm Charge Record Medical Supplies - Tubing Cap Air H20 Olympus,63.14,24.62,,,0
CDM,SUP54666_A9999_272,Noncdm Charge Record Medical Supplies - Tubing Cap Air H20 Olympus,67.96,26.5,,,0
CDM,SUP54697,Noncdm Charge Record Medical Supplies - Screw Cannulated 2.5 X 20Mm,1880.6,733.43,,,0
CDM,SUP54698,Noncdm Charge Record Medical Supplies - Cannister Smoke Suct,19.66,7.67,,,0
CDM,SUP54699,Noncdm Charge Record Medical Supplies - Block Bite 38Fr 12.6Mm Ped,16.56,6.46,,,0
CDM,SUP5469_272,Noncdm Charge Record Medical Supplies - Device Lck Gwire Fus 10-Bx,83.82,32.69,,,0
CDM,SUP5469_A4649_272,Noncdm Charge Record Medical Supplies - Device Lck Gwire Fus 10-Bx,83.84,32.7,,,0
CDM,SUP5469_A9999_272,Noncdm Charge Record Medical Supplies - Device Lck Gwire Fus 10-Bx,83.84,32.7,,,0
CDM,SUP54701,Noncdm Charge Record Medical Supplies - Guidewire .86Mm Troc Tip Laser Marked,107.64,41.98,,,0
CDM,SUP5473,Noncdm Charge Record Medical Supplies - Sphincterotome 25Mm 7Fr Fus,1194.39,465.81,,,0
CDM,SUP54752,Noncdm Charge Record Medical Supplies - Dressing Ag 2X3 Mepitel,27.94,10.9,,,0
CDM,SUP54753,Noncdm Charge Record Medical Supplies - Dressing Ag 3X4 Mepitel,46.06,17.96,,,0
CDM,SUP54754_272,Noncdm Charge Record Medical Supplies - Dressing Ag 4X5 Mepitel,63.14,24.62,,,0
CDM,SUP54754_A4649_272,Noncdm Charge Record Medical Supplies - Dressing Ag 4X5 Mepitel,62.1,24.22,,,0
CDM,SUP54755_272,Noncdm Charge Record Medical Supplies - Dressing Wound Cntct Lyr 8X16 Ag Slv Urgotul,99.18,38.68,,,0
CDM,SUP54755_A9999_272,Noncdm Charge Record Medical Supplies - Dressing Wound Cntct Lyr 8X16 Ag Slv Urgotul,99.36,38.75,,,0
CDM,SUP54756,Noncdm Charge Record Medical Supplies - Dressing Ag 8X12 Mepitel,275.45,107.43,,,0
CDM,SUP54757,Noncdm Charge Record Medical Supplies - Dressing Ag 8X20 Mepitel,497.11,193.87,,,0
CDM,SUP5478_272,Noncdm Charge Record Medical Supplies - Bag Drain 500Ml Uresil,138.78,54.12,,,0
CDM,SUP5478_A4649_272,Noncdm Charge Record Medical Supplies - Bag Drain 500Ml Uresil,138.69,54.09,,,0
CDM,SUP5479_272,Noncdm Charge Record Medical Supplies - See 136584 Kit Evicel 2Ml Ethicon,1037.07,404.46,,,0
CDM,SUP5479_A4649_272,Noncdm Charge Record Medical Supplies - See 136584 Kit Evicel 2Ml Ethicon,1037.07,404.46,,,0
CDM,SUP5479_A9999_272,Noncdm Charge Record Medical Supplies - See 136584 Kit Evicel 2Ml Ethicon,1037.07,404.46,,,0
CDM,SUP5484,Noncdm Charge Record Medical Supplies - Head Fem +5Mm 28Mm Hip Cementless M Spc Tpr,2367.04,923.15,,,0
CDM,SUP5485,Noncdm Charge Record Medical Supplies - Cable Orth Cocr W Clamp Accord,2130.03,830.71,,,0
CDM,SUP5486,Noncdm Charge Record Medical Supplies - Cable Ortho 2Mm F-Grips Smith And Nephew Orthopaedics,1426.23,556.23,,,0
CDM,SUP5489,Noncdm Charge Record Medical Supplies - Set 1In 20Ga Infus Sf Powerloc,30.41,11.86,,,0
CDM,SUP549,Noncdm Charge Record Medical Supplies - Sponge Surg .25X.25In Ptt,22.77,8.88,,,0
CDM,SUP54925_270,Noncdm Charge Record Medical Supplies - Dressing Sm Picc Cvc Chg+ Scr,41.4,16.15,,,0
CDM,SUP54925_A4649_270,Noncdm Charge Record Medical Supplies - Dressing Sm Picc Cvc Chg+ Scr,41.4,16.15,,,0
CDM,SUP54925_A9999_270,Noncdm Charge Record Medical Supplies - Dressing Sm Picc Cvc Chg+ Scr,41.4,16.15,,,0
CDM,SUP54926,Noncdm Charge Record Medical Supplies - Dressing Lg Picc Cvc Chg+ Scr,42.44,16.55,,,0
CDM,SUP5493_272,Noncdm Charge Record Medical Supplies - Probe Electrosurg 220Cm 2.3Mm,1135.58,442.88,,,0
CDM,SUP5493_A4649_272,Noncdm Charge Record Medical Supplies - Probe Electrosurg 220Cm 2.3Mm,1152.99,449.67,,,0
CDM,SUP5493_A9999_272,Noncdm Charge Record Medical Supplies - Probe Electrosurg 220Cm 2.3Mm,1112.62,433.92,,,0
CDM,SUP5493_C1889_272,Noncdm Charge Record Medical Supplies - Probe Electrosurg 220Cm 2.3Mm,1152.99,449.67,,,0
CDM,SUP54965,Noncdm Charge Record Medical Supplies - Plate 50Mm Ribloc Bn Rb Grn,6934.97,2704.64,,,0
CDM,SUP54966,Noncdm Charge Record Medical Supplies - Screw Bn Ribloc 8Mm,1080.04,421.22,,,0
CDM,SUP54967,Noncdm Charge Record Medical Supplies - Screw Bn Ribloc 10Mm,926.37,361.28,,,0
CDM,SUP5504,Noncdm Charge Record Medical Supplies - Filler Voice Prolaryn Plus 1.0 Implant Merz,3438.11,1340.86,,,0
CDM,SUP5505,Noncdm Charge Record Medical Supplies - Gel Filler Prolaryn Voice Implant Inj Gel 1Ml,3425.19,1335.82,,,0
CDM,SUP55067,Noncdm Charge Record Medical Supplies - Stabilizer Surg Suv Acrb S Vac Sys,3822.26,1490.68,,,0
CDM,SUP5509_270,Noncdm Charge Record Medical Supplies - Prep Chloraprep Orange 26Ml Carefusion Corp,29.31,11.43,,,0
CDM,SUP5509_272,Noncdm Charge Record Medical Supplies - Prep Chloraprep Orange 26Ml Carefusion Corp,29.32,11.43,,,0
CDM,SUP5509_A4649_270,Noncdm Charge Record Medical Supplies - Prep Chloraprep Orange 26Ml Carefusion Corp,29.26,11.41,,,0
CDM,SUP5509_A9999_270,Noncdm Charge Record Medical Supplies - Prep Chloraprep Orange 26Ml Carefusion Corp,29.25,11.41,,,0
CDM,SUP5509_L8699_270,Noncdm Charge Record Medical Supplies,28.98,11.3,,,0
CDM,SUP55142_272,Noncdm Charge Record Medical Supplies - Suture V-Loc 2-0 Gs-21 12In Covidien,119.14,46.46,,,0
CDM,SUP55142_A4649_272,Noncdm Charge Record Medical Supplies - Suture V-Loc 2-0 Gs-21 12In Covidien,119.02,46.42,,,0
CDM,SUP55143_272,Noncdm Charge Record Medical Supplies - Device 1 Infl 20Cc Encore,172.2,67.16,,,0
CDM,SUP55143_A4649_272,Noncdm Charge Record Medical Supplies - Device 1 Infl 20Cc Encore,151.85,59.22,,,0
CDM,SUP55143_A9999_272,Noncdm Charge Record Medical Supplies - Device 1 Infl 20Cc Encore,181.12,70.64,,,0
CDM,SUP5515,Noncdm Charge Record Medical Supplies - Unit Electrosurg 20Cm Slr Divider Laparos,2115.54,825.06,,,0
CDM,SUP55177,Noncdm Charge Record Medical Supplies - See 110085 Binder Abd 9In Lg,60.42,23.56,,,0
CDM,SUP55178,Noncdm Charge Record Medical Supplies - Binder Abd 9In Xl,62.88,24.52,,,0
CDM,SUP5524,Noncdm Charge Record Medical Supplies - Dressing Thk1Cm Lg 15X10X1Cm,58.91,22.97,,,0
CDM,SUP5525,Noncdm Charge Record Medical Supplies - Catheter Drain 8Fr 30Cm Total Abcession Mechanism Locking Ki,441.38,172.14,,,0
CDM,SUP5526,Noncdm Charge Record Medical Supplies - Catheter Drain 10Fr 30Cm Total Abcession Mechanism Locking K,440.08,171.63,,,0
CDM,SUP55266,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 24Mm 100Mm With Depth Mark Synthes,775.22,302.34,,,0
CDM,SUP5527,Noncdm Charge Record Medical Supplies - Catheter Drain 12Fr 30Cm Total Abcession Mechanism Locking K,437.8,170.74,,,0
CDM,SUP5528,Noncdm Charge Record Medical Supplies - Catheter Drain 14Fr 30Cm Total Abcession Mechanism Locking K,420.73,164.08,,,0
CDM,SUP5531,Noncdm Charge Record Medical Supplies,5811.52,2266.49,,,0
CDM,SUP5534_C1713_278,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 48Mm Lcp Dcp Ss Cort Dist,184.75,72.05,,,0
CDM,SUP5534_L8699_278,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 48Mm Lcp Dcp Ss Cort Dist,170.78,66.6,,,0
CDM,SUP5535_C1713_278,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 42Mm Lc Dcp Ss Cort Prox Med,128.42,50.08,,,0
CDM,SUP5535_L8699_278,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 42Mm Lc Dcp Ss Cort Prox Med,134.55,52.47,,,0
CDM,SUP55363,Noncdm Charge Record Medical Supplies - Screw Bn 10Mm 25Mm Biosure Intfr Ha,1687.05,657.95,,,0
CDM,SUP5536_C1713_278,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 44Mm Lc Dcp Ss Cort Prox Med,129.39,50.46,,,0
CDM,SUP5536_L8699_278,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 44Mm Lc Dcp Ss Cort Prox Med,134.55,52.47,,,0
CDM,SUP5537_C1713_278,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 46Mm Lc Dcp Ss Cort Prox Med,127.48,49.72,,,0
CDM,SUP5537_L8699_278,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 46Mm Lc Dcp Ss Cort Prox Med,134.55,52.47,,,0
CDM,SUP5538,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 48Mm Lc Dcp Ss Cort Prox Med,128.14,49.97,,,0
CDM,SUP55429,Noncdm Charge Record Medical Supplies,26583.98,10367.75,,,0
CDM,SUP55468,Noncdm Charge Record Medical Supplies - System Jsph Atr Lift Disp Lamelas,1970.64,768.55,,,0
CDM,SUP55470,Noncdm Charge Record Medical Supplies - Balloon Angio Cath 4Mm 8Mm Dual,2497.8,974.14,,,0
CDM,SUP55472,Noncdm Charge Record Medical Supplies - Catheter Pplus 6Fr 120Cm 014In,12565.94,4900.72,,,0
CDM,SUP555,Noncdm Charge Record Medical Supplies - Washer 13.5Mm 5.5Mm Spk Lc Dcp Orth Ss Lg,488.52,190.52,,,0
CDM,SUP55541,Noncdm Charge Record Medical Supplies - Connector Perf Rdc Wye 5X3-8In Strl,24.84,9.69,,,0
CDM,SUP55582,Noncdm Charge Record Medical Supplies - See 140997 Suture Vicryl 6-0 S-24 12In Violet Ethicon,70.38,27.45,,,0
CDM,SUP55583,Noncdm Charge Record Medical Supplies - Suture Vicryl 6-0 S-29 18In Violet Ethicon,71.5,27.88,,,0
CDM,SUP55584_272,Noncdm Charge Record Medical Supplies - Suture Vicryl 6-0 S-14 18In Undyed Ethicon,69.59,27.14,,,0
CDM,SUP55584_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl 6-0 S-14 18In Undyed Ethicon,71.42,27.85,,,0
CDM,SUP55586_272,Noncdm Charge Record Medical Supplies - Suture Permahand 6-0 Tg140-8 18In Black Ethicon,60.29,23.51,,,0
CDM,SUP55586_A4649_272,Noncdm Charge Record Medical Supplies - Suture Permahand 6-0 Tg140-8 18In Black Ethicon,57.96,22.6,,,0
CDM,SUP55587,Noncdm Charge Record Medical Supplies - Suture Permahand 4-0 G-13 18In Black Ethicon,29.6,11.54,,,0
CDM,SUP556,Noncdm Charge Record Medical Supplies - Washer 13.5Mm 4Mm Spk Lc Dcp Orth Ss 13.5Mm,494.73,192.94,,,0
CDM,SUP5561,Noncdm Charge Record Medical Supplies - Introducer Sheath 6Fr 40Cm 4Cm Spring Gwire,119.69,46.68,,,0
CDM,SUP55642,Noncdm Charge Record Medical Supplies - Set Tube Arthro In Out Flow Suct,280.48,109.39,,,0
CDM,SUP5565_272,Noncdm Charge Record Medical Supplies - Dressing Brn Fst Act 6X6Mm Vrstl Ncrstln Antibact,123.2,48.05,,,0
CDM,SUP5565_A4649_272,Noncdm Charge Record Medical Supplies - Dressing Brn Fst Act 6X6Mm Vrstl Ncrstln Antibact,123.16,48.03,,,0
CDM,SUP5565_A9999_272,Noncdm Charge Record Medical Supplies - Dressing Brn Fst Act 6X6Mm Vrstl Ncrstln Antibact,123.16,48.03,,,0
CDM,SUP55675,Noncdm Charge Record Medical Supplies - Suture Nurolon 1 Ct1 30In Black Ethicon,8.28,3.23,,,0
CDM,SUP5569_272,Noncdm Charge Record Medical Supplies - Dressing Petro 4Inx3Yd Nadh Bctrst Patch Xr,19.94,7.78,,,0
CDM,SUP5569_A4649_272,Noncdm Charge Record Medical Supplies - Dressing Petro 4Inx3Yd Nadh Bctrst Patch Xr,23.37,9.11,,,0
CDM,SUP5569_A6209_272,Noncdm Charge Record Medical Supplies - Dressing Petro 4Inx3Yd Nadh Bctrst Patch Xr,24.84,9.69,,,0
CDM,SUP5569_A9999_272,Noncdm Charge Record Medical Supplies - Dressing Petro 4Inx3Yd Nadh Bctrst Patch Xr,15.01,5.85,,,0
CDM,SUP557,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 24Mm Lc Dcp Ss P-T Canc Prox Med,155.25,60.55,,,0
CDM,SUP55706,Noncdm Charge Record Medical Supplies - Module Cut 125Mm Short Blade Morcellation,1517.31,591.75,,,0
CDM,SUP55708,Noncdm Charge Record Medical Supplies - Module Cut 20Mm Short Blade Morcellation,1517.31,591.75,,,0
CDM,SUP55709,Noncdm Charge Record Medical Supplies - Cage Peek Lumb Mdln 42X15Mm12D Ii,21750.52,8482.7,,,0
CDM,SUP55710_272,Noncdm Charge Record Medical Supplies - See 141007 Suture Vicryl 4-0 Rb-1 18In Cr Undyed Ethicon,65.2,25.43,,,0
CDM,SUP55710_A4649_272,Noncdm Charge Record Medical Supplies - See 141007 Suture Vicryl 4-0 Rb-1 18In Cr Undyed Ethicon,65.2,25.43,,,0
CDM,SUP5573,Noncdm Charge Record Medical Supplies - Screw Bn 10.5Mm 105Mm Gamma3,2397.32,934.95,,,0
CDM,SUP5577_272,Noncdm Charge Record Medical Supplies - Dressing Conform 2 2Ydx6In Smith And Nephew,26.77,10.44,,,0
CDM,SUP5577_A4649_272,Noncdm Charge Record Medical Supplies - Dressing Conform 2 2Ydx6In Smith And Nephew,26.91,10.49,,,0
CDM,SUP5578,Noncdm Charge Record Medical Supplies - Bandage Tube Elc Net Sz 3,40.36,15.74,,,0
CDM,SUP55830_272,Noncdm Charge Record Medical Supplies - Quadcut Blade 4.3 Mm,1324.55,516.57,,,0
CDM,SUP55830_A4649_272,Noncdm Charge Record Medical Supplies - Quadcut Blade 4.3 Mm,1373.44,535.64,,,0
CDM,SUP55830_A9999_272,Noncdm Charge Record Medical Supplies - Quadcut Blade 4.3 Mm,1275.46,497.43,,,0
CDM,SUP55832,Noncdm Charge Record Medical Supplies - Implant Coflex 10Mm Interlaminar,26100.63,10179.25,,,0
CDM,SUP55833,Noncdm Charge Record Medical Supplies - Implant Coflex 12Mm Interlaminar,26100.63,10179.25,,,0
CDM,SUP55834,Noncdm Charge Record Medical Supplies - Implant Coflex 14Mm Interlaminar,26100.63,10179.25,,,0
CDM,SUP55835,Noncdm Charge Record Medical Supplies - Implant Coflex 16Mm Interlaminar,26100.63,10179.25,,,0
CDM,SUP55862,Noncdm Charge Record Medical Supplies - Sheath Acc 13-15Fr 46Cm Nav,533.44,208.04,,,0
CDM,SUP55917,Noncdm Charge Record Medical Supplies - S3 Implant Shoulder Total Arthroplasty - Tornier,41084.32,16022.88,,,0
CDM,SUP55945,Noncdm Charge Record Medical Supplies - Tubing Berkeley Lg 1-2 Suct Dc,73.48,28.66,,,0
CDM,SUP55977,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 014In 35Mm 210Cm 150Mm,1340.07,522.63,,,0
CDM,SUP55980,Noncdm Charge Record Medical Supplies - Taper Femoral Head 32Mm Od,9038.66,3525.08,,,0
CDM,SUP55981,Noncdm Charge Record Medical Supplies - Shell Acetab 3Hl R3 50Odmm,8627.76,3364.83,,,0
CDM,SUP55982,Noncdm Charge Record Medical Supplies - Cover Hl Thrd R3 Reflc,528.88,206.26,,,0
CDM,SUP55984,Noncdm Charge Record Medical Supplies - Centralizer Stem 9Mm Invis Dist Fem Hip Pmma,644.8,251.47,,,0
CDM,SUP56024_C1713_278,Noncdm Charge Record Medical Supplies - Stimulan Rapid Cure Antibiotic Bead 10Cc,5872.59,2290.31,,,0
CDM,SUP56024_C1763_278,Noncdm Charge Record Medical Supplies - Stimulan Rapid Cure Antibiotic Bead 10Cc,5872.96,2290.45,,,0
CDM,SUP56024_L8699_278,Noncdm Charge Record Medical Supplies - Stimulan Rapid Cure Antibiotic Bead 10Cc,5872.59,2290.31,,,0
CDM,SUP56025,Noncdm Charge Record Medical Supplies - Organizer Sut Circumferential Suture Belt 18Cm 156Cm,728.64,284.17,,,0
CDM,SUP56027,Noncdm Charge Record Medical Supplies - Plate Bn Lck 10Hl 3Rd Tube,1503.86,586.51,,,0
CDM,SUP56061,Noncdm Charge Record Medical Supplies - Hook 12Mm Elastic Blnt Stay,47.76,18.63,,,0
CDM,SUP5608,Noncdm Charge Record Medical Supplies - Catheter Drain 20Fr Malecots Latex Bard,294.46,114.84,,,0
CDM,SUP56088,Noncdm Charge Record Medical Supplies - Occluder Cv 16Mm Spt Del Sys Amplatz,32684.26,12746.86,,,0
CDM,SUP56126,Noncdm Charge Record Medical Supplies - Stent Otw 23Mm 120Mm Espoph Fully Cover,10996.1,4288.48,,,0
CDM,SUP56127,Noncdm Charge Record Medical Supplies - Stent Otw 19Mm 100Mm Espoph Fully Cover,11177.35,4359.17,,,0
CDM,SUP56129,Noncdm Charge Record Medical Supplies - Stent Otw 23Mm 70Mm Espoph Fully Cover,10633.59,4147.1,,,0
CDM,SUP56130,Noncdm Charge Record Medical Supplies - Stent Otw 23Mm 100Mm Espoph Fully Cover,11358.61,4429.86,,,0
CDM,SUP56131,Noncdm Charge Record Medical Supplies - Stent Otw 23Mm 150Mm Espoph Fully Cover,11462.18,4470.25,,,0
CDM,SUP56132,Noncdm Charge Record Medical Supplies - Stent Otw 19Mm 70Mm Espoph Fully Cover,10633.59,4147.1,,,0
CDM,SUP56133,Noncdm Charge Record Medical Supplies - Stent Otw 19Mm 150Mm Espoph Fully Cover,12083.62,4712.61,,,0
CDM,SUP56134,Noncdm Charge Record Medical Supplies - Pin Fixation Threaded Disposable Bb-Tak,420.55,164.01,,,0
CDM,SUP56135,Noncdm Charge Record Medical Supplies - Guidewire W Trocar Tip 11Mm Thrd,127.3,49.65,,,0
CDM,SUP56136,Noncdm Charge Record Medical Supplies - Bit Drill 27Mm Cmp Ft Calib,954.27,372.17,,,0
CDM,SUP56139,Noncdm Charge Record Medical Supplies - Screw Bn Low Prof 35Mm 18Mm T Ti,337.52,131.63,,,0
CDM,SUP56140,Noncdm Charge Record Medical Supplies - Screw Bn Low Prof 3.5Mm 16Mm T Ti,545.04,212.57,,,0
CDM,SUP56142,Noncdm Charge Record Medical Supplies - Screw Bn Low Prof 4Mm 16Mm Ti Lt,370.53,144.51,,,0
CDM,SUP56181,Noncdm Charge Record Medical Supplies - Stent Uret Contor 6X26,590.98,230.48,,,0
CDM,SUP5619,Noncdm Charge Record Medical Supplies - Head Unplr 49Mm Ccrt Fem Hip Orthochrome Mod,2578.18,1005.49,,,0
CDM,SUP562,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 55Mm Lc Dcp Ss Ft Canc Ns Sm,155.25,60.55,,,0
CDM,SUP563,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 24Mm Lc Dcp Ss Ft Canc Cannula,155.25,60.55,,,0
CDM,SUP56361_272,Noncdm Charge Record Medical Supplies - Needle Colorado 3Cm Microdissection,245.35,95.69,,,0
CDM,SUP56361_A4649_272,Noncdm Charge Record Medical Supplies - Needle Colorado 3Cm Microdissection,240.81,93.92,,,0
CDM,SUP56361_A9999_272,Noncdm Charge Record Medical Supplies - Needle Colorado 3Cm Microdissection,257.71,100.51,,,0
CDM,SUP564,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 12Mm Lcp Ss Ft Canc Ns Sm Frag,148.78,58.02,,,0
CDM,SUP5643,Noncdm Charge Record Medical Supplies - Screw Bn 3Mm 34Mm Chrlt Ss Ft St Self Drill,1187.14,462.98,,,0
CDM,SUP5650,Noncdm Charge Record Medical Supplies - Prosthesis Penile 700Cx 18Cm,75063.38,29274.72,,,0
CDM,SUP56560,Noncdm Charge Record Medical Supplies - Canister Tubing Berkeley Set Coll 5 In,43.47,16.95,,,0
CDM,SUP56584,Noncdm Charge Record Medical Supplies - Needle 22Ga Skinny W Chiba Tip,85.9,33.5,,,0
CDM,SUP566,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 95Mm Lc Dcp Ss Cort Prox Med,124.87,48.7,,,0
CDM,SUP5661,Noncdm Charge Record Medical Supplies - Shoe Med M Pat Postop Smrg Mtrsl Shank Lplk,40.36,15.74,,,0
CDM,SUP5662,Noncdm Charge Record Medical Supplies,5689.4,2218.87,,,0
CDM,SUP56625,Noncdm Charge Record Medical Supplies - Immobilizer Orth Xl Univ 135X7In Shoulder,25.58,9.98,,,0
CDM,SUP56626_272,Noncdm Charge Record Medical Supplies - Kit Inflator Nuvent,1030.34,401.83,,,0
CDM,SUP56626_A9999_272,Noncdm Charge Record Medical Supplies - Kit Inflator Nuvent,1038.1,404.86,,,0
CDM,SUP56627,Noncdm Charge Record Medical Supplies - Balloon Seeker Em Sphn 6X17Mm,2195.75,856.34,,,0
CDM,SUP56628,Noncdm Charge Record Medical Supplies - Balloon Seeker Max Em 6X7Mm Maxl,2791.4,1088.65,,,0
CDM,SUP56629,Noncdm Charge Record Medical Supplies - Balloon Seeker Frnt Em 6X17Mm Maxl,5205.46,2030.13,,,0
CDM,SUP5663,Noncdm Charge Record Medical Supplies - Stem Fem 125Mm 25Mm Mod Strt,17928.27,6992.03,,,0
CDM,SUP5665,Noncdm Charge Record Medical Supplies - Body Fem 23Mm Rstr +0Mm Std,17928.27,6992.03,,,0
CDM,SUP56650,Noncdm Charge Record Medical Supplies - Probe Neurostim Incremt Std Monopol Prass Flsh,964.71,376.24,,,0
CDM,SUP5666_272,Noncdm Charge Record Medical Supplies - Drain Sil 4 Chan Full.25Inx7Mm Flute Flat Radiopq Incs,68.39,26.67,,,0
CDM,SUP5666_A4649_272,Noncdm Charge Record Medical Supplies - Drain Sil 4 Chan Full.25Inx7Mm Flute Flat Radiopq Incs,68.31,26.64,,,0
CDM,SUP5666_A9999_272,Noncdm Charge Record Medical Supplies - Drain Sil 4 Chan Full.25Inx7Mm Flute Flat Radiopq Incs,68.31,26.64,,,0
CDM,SUP56687,Noncdm Charge Record Medical Supplies - Catheter Drain 12Fr 25Cm Skater With Locking Pigtail Argon M,464.97,181.34,,,0
CDM,SUP56688,Noncdm Charge Record Medical Supplies - Catheter Drain 14Fr 25Cm Skater With Locking Pigtail Argon M,621.34,242.32,,,0
CDM,SUP56691,Noncdm Charge Record Medical Supplies - Pad Hydrogel Arcticgel Lg Arctic Sun,5229.85,2039.64,,,0
CDM,SUP56693,Noncdm Charge Record Medical Supplies - Pad Hydrogel Arcticgel Sm Arctic Sun,5443.06,2122.79,,,0
CDM,SUP5670_272,Noncdm Charge Record Medical Supplies - Drain Flat 10Mm 4 Channel Bard,66.25,25.84,,,0
CDM,SUP5670_A4649_272,Noncdm Charge Record Medical Supplies - Drain Flat 10Mm 4 Channel Bard,66.24,25.83,,,0
CDM,SUP5670_A9999_272,Noncdm Charge Record Medical Supplies - Drain Flat 10Mm 4 Channel Bard,66.24,25.83,,,0
CDM,SUP5675,Noncdm Charge Record Medical Supplies - Head Fem +4Mm 12-14 28Mm Hip,4096.53,1597.65,,,0
CDM,SUP5678,Noncdm Charge Record Medical Supplies - Pin Half 150Mm 6Mm Ha 50Mm Ext,1958.77,763.92,,,0
CDM,SUP56793_272,Noncdm Charge Record Medical Supplies - Stapler Intnl 30Mm Med Artc Crv Tip Reload,597.17,232.9,,,0
CDM,SUP56793_A4649_272,Noncdm Charge Record Medical Supplies - Stapler Intnl 30Mm Med Artc Crv Tip Reload,597.2,232.91,,,0
CDM,SUP56845,Noncdm Charge Record Medical Supplies - Anchor Suture 2.0 Micro Corkscrew K-Wire Arthrex,1761.57,687.01,,,0
CDM,SUP56877_270,Noncdm Charge Record Medical Supplies - Blanket Upper Body787X299In Stryker Medical,25.93,10.11,,,0
CDM,SUP56877_A4649_270,Noncdm Charge Record Medical Supplies - Blanket Upper Body787X299In Stryker Medical,25.88,10.09,,,0
CDM,SUP56878,Noncdm Charge Record Medical Supplies - Blanket Upper 559X402In Stryker Medical,25.88,10.09,,,0
CDM,SUP56879,Noncdm Charge Record Medical Supplies - See 110484 Blanket Upper 858X50In Stryker Medical,21.74,8.48,,,0
CDM,SUP5688,Noncdm Charge Record Medical Supplies - Stem Fem 155Mm 15Mm Mod Strt,12233.7,4771.14,,,0
CDM,SUP56881_272,Noncdm Charge Record Medical Supplies - Blanket Upper 85.8X502In Stryker Medical,26.91,10.49,,,0
CDM,SUP56881_A4649_272,Noncdm Charge Record Medical Supplies - Blanket Upper 85.8X502In Stryker Medical,26.91,10.49,,,0
CDM,SUP56881_A9999_272,Noncdm Charge Record Medical Supplies - Blanket Upper 85.8X502In Stryker Medical,26.91,10.49,,,0
CDM,SUP56883_272,Noncdm Charge Record Medical Supplies - Blanket Upper 847X402In Stryker Medical,91.03,35.5,,,0
CDM,SUP56883_A4649_272,Noncdm Charge Record Medical Supplies - Blanket Upper 847X402In Stryker Medical,91.08,35.52,,,0
CDM,SUP56883_A9999_272,Noncdm Charge Record Medical Supplies - Blanket Upper 847X402In Stryker Medical,91.08,35.52,,,0
CDM,SUP56884,Noncdm Charge Record Medical Supplies - Blanket Neonatal 64.2X40.2In Stryker Medical,69.34,27.04,,,0
CDM,SUP568_C1713_278,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 50Mm Lc Dcp Ss Cort Hex Recess,126.61,49.38,,,0
CDM,SUP568_L8699_278,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 50Mm Lc Dcp Ss Cort Hex Recess,134.55,52.47,,,0
CDM,SUP569,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 80Mm Lc Dcp Ss Cort Prox Med,125.92,49.11,,,0
CDM,SUP56961_272,Noncdm Charge Record Medical Supplies - Manifold Suct Nptn 2 2 Std 4 Port Disp,135.38,52.8,,,0
CDM,SUP56961_A4649_272,Noncdm Charge Record Medical Supplies - Manifold Suct Nptn 2 2 Std 4 Port Disp,127.6,49.76,,,0
CDM,SUP56961_A9999_272,Noncdm Charge Record Medical Supplies - Manifold Suct Nptn 2 2 Std 4 Port Disp,147.02,57.34,,,0
CDM,SUP57046_272,Noncdm Charge Record Medical Supplies - Blade Shaver 4Mm Strt Trct,1279.96,499.18,,,0
CDM,SUP57046_A4649_272,Noncdm Charge Record Medical Supplies - Blade Shaver 4Mm Strt Trct,1265.8,493.66,,,0
CDM,SUP57046_A9999_272,Noncdm Charge Record Medical Supplies - Blade Shaver 4Mm Strt Trct,1029.82,401.63,,,0
CDM,SUP5715,Noncdm Charge Record Medical Supplies - Astringyn 8Gm Vl Frr Sbslf,55.89,21.8,,,0
CDM,SUP57209,Noncdm Charge Record Medical Supplies - Elca Laser Catheter Otw 09Mm 014X130Cm 6Fr,9060.39,3533.55,,,0
CDM,SUP57211,Noncdm Charge Record Medical Supplies - Elca Laser Catheter 0.9Mm X80 Rx,10361.38,4040.94,,,0
CDM,SUP57262,Noncdm Charge Record Medical Supplies - Device Guiding 6140 3Cm Coagulation Epi-Sense,50704.65,19774.81,,,0
CDM,SUP5732,Noncdm Charge Record Medical Supplies - Stent Endopros 10Mm 8Cm 2Cm,26240.12,10233.65,,,0
CDM,SUP57332,Noncdm Charge Record Medical Supplies - Wedge Sz 20Mm Thk 6.5Mm Evans 14 Biofm Brnz,9632.75,3756.77,,,0
CDM,SUP5734,Noncdm Charge Record Medical Supplies,78168.38,30485.67,,,0
CDM,SUP5736,Noncdm Charge Record Medical Supplies,75063.38,29274.72,,,0
CDM,SUP5737,Noncdm Charge Record Medical Supplies,376.74,146.93,,,0
CDM,SUP5749,Noncdm Charge Record Medical Supplies - Nail 3Mm 44Cm Dphsl Mtphsl Epip Intramed Elc,1466.6,571.97,,,0
CDM,SUP5750,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 65Mm Lcp Ss Prox Med Tib Lck,552.95,215.65,,,0
CDM,SUP5751,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 32Mm Lcp Ss Prox Med Pelvic,554.76,216.36,,,0
CDM,SUP5756_272,Noncdm Charge Record Medical Supplies - Filter Vac Spec Strl Disp Lf,11.39,4.44,,,0
CDM,SUP5756_A4649_272,Noncdm Charge Record Medical Supplies - Filter Vac Spec Strl Disp Lf,11.38,4.44,,,0
CDM,SUP5756_A9999_272,Noncdm Charge Record Medical Supplies - Filter Vac Spec Strl Disp Lf,11.38,4.44,,,0
CDM,SUP5759,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 10Ft Xtd,147.06,57.35,,,0
CDM,SUP57610,Noncdm Charge Record Medical Supplies - Kit Dcp Cath Aql Lcd Lacrimal Inf Dev,2544.55,992.37,,,0
CDM,SUP57656,Noncdm Charge Record Medical Supplies - Balloon Dil Pta Otw 5Fr 7Mm 40Mm 75Cm,1028.17,400.99,,,0
CDM,SUP57657,Noncdm Charge Record Medical Supplies - Balloon Dil Mustang Pta Otw 6Fr 8Mm 40Mm 135Cm,767.28,299.24,,,0
CDM,SUP57658,Noncdm Charge Record Medical Supplies - Balloon Dil Pta Otw 5Fr 7Mm 40Mm 135Cm Mustabg,661.36,257.93,,,0
CDM,SUP57659,Noncdm Charge Record Medical Supplies - Balloon Dil Pta Otw 6Fr 8Mm 40Mm 75Cm Mustang,881.39,343.74,,,0
CDM,SUP57660,Noncdm Charge Record Medical Supplies - Balloon Dil Pta Otw 5Fr 7Mm 60Mm 75Cm Mustang,878.01,342.42,,,0
CDM,SUP57661,Noncdm Charge Record Medical Supplies - Balloon Dil Pta Otw 5Fr 6Mm 60Mm 75Cm Mustang,954.96,372.43,,,0
CDM,SUP57662,Noncdm Charge Record Medical Supplies - Balloon Dil Pta Otw 5Fr 6Mm 40Mm 75Cm Mustang,1060.88,413.74,,,0
CDM,SUP57663,Noncdm Charge Record Medical Supplies - Balloon Dil Pta Otw 5Fr 5Mm 60Mm 75Cm Mustang,842.93,328.74,,,0
CDM,SUP57710,Noncdm Charge Record Medical Supplies - Screw Bn Lck 30Mm 3.5Mm,1074.33,418.99,,,0
CDM,SUP57711,Noncdm Charge Record Medical Supplies - Screw Bn Lck 28Mm 3.5Mm,547.77,213.63,,,0
CDM,SUP57712,Noncdm Charge Record Medical Supplies - Bit Drill 3.5Mm 60Mm,480.24,187.29,,,0
CDM,SUP57713,Noncdm Charge Record Medical Supplies - Bit Drill 7Mm Cntr Sink Strl,803.16,313.23,,,0
CDM,SUP57714,Noncdm Charge Record Medical Supplies - Screw Bn Hdls 7Mm Darco 40Mm,3079.12,1200.86,,,0
CDM,SUP5774,Noncdm Charge Record Medical Supplies - Prosthesis Oss Sm 2X2X1Mm 1Mm,1757.43,685.4,,,0
CDM,SUP57748_272,Noncdm Charge Record Medical Supplies - Applicator Surgiflo Ethicon,227.0,88.53,,,0
CDM,SUP57748_A4649_272,Noncdm Charge Record Medical Supplies - Applicator Surgiflo Ethicon,226.32,88.26,,,0
CDM,SUP57748_A9999_272,Noncdm Charge Record Medical Supplies - Applicator Surgiflo Ethicon,228.74,89.21,,,0
CDM,SUP57749_272,Noncdm Charge Record Medical Supplies - Agent Surgicel Snow 4X4 Ethicon Inc,529.13,206.36,,,0
CDM,SUP57749_A4649_272,Noncdm Charge Record Medical Supplies - Agent Surgicel Snow 4X4 Ethicon Inc,528.19,205.99,,,0
CDM,SUP57749_A9999_272,Noncdm Charge Record Medical Supplies - Agent Surgicel Snow 4X4 Ethicon Inc,529.57,206.53,,,0
CDM,SUP57750_272,Noncdm Charge Record Medical Supplies - Agent Surgifoam 100 Ethicon Inc,96.39,37.59,,,0
CDM,SUP57750_A4649_272,Noncdm Charge Record Medical Supplies - Agent Surgifoam 100 Ethicon Inc,95.07,37.08,,,0
CDM,SUP57750_A9999_272,Noncdm Charge Record Medical Supplies - Agent Surgifoam 100 Ethicon Inc,97.48,38.02,,,0
CDM,SUP57751_272,Noncdm Charge Record Medical Supplies - See 129515 Agent Hemostat12-7 Surgifoam Ethicon Inc,18.65,7.27,,,0
CDM,SUP57751_A4649_272,Noncdm Charge Record Medical Supplies - See 129515 Agent Hemostat12-7 Surgifoam Ethicon Inc,18.63,7.27,,,0
CDM,SUP57788_272,Noncdm Charge Record Medical Supplies - Dissector 26Cm Sonicision Crdless Ultra,1590.8,620.41,,,0
CDM,SUP57788_A4649_272,Noncdm Charge Record Medical Supplies - Dissector 26Cm Sonicision Crdless Ultra,1590.8,620.41,,,0
CDM,SUP57788_A9999_272,Noncdm Charge Record Medical Supplies - Dissector 26Cm Sonicision Crdless Ultra,1590.8,620.41,,,0
CDM,SUP57789,Noncdm Charge Record Medical Supplies - Dissector 13Cm Sonicision Crdless Ultra,1590.8,620.41,,,0
CDM,SUP5779,Noncdm Charge Record Medical Supplies - Anchor Suture 6 Quic Rc Wo Wo Ndl Othcrd Rot Cuf Depuy Mitek,1208.74,471.41,,,0
CDM,SUP57790,Noncdm Charge Record Medical Supplies - See 134916 Dissector 48Cm Sonicision Crdless Ultra,1664.28,649.07,,,0
CDM,SUP577_272,Noncdm Charge Record Medical Supplies - Tray Gp Ekt Lf Strl Disp,10.31,4.02,,,0
CDM,SUP577_A4649_272,Noncdm Charge Record Medical Supplies - Tray Gp Ekt Lf Strl Disp,10.35,4.04,,,0
CDM,SUP577_A9999_272,Noncdm Charge Record Medical Supplies - Tray Gp Ekt Lf Strl Disp,10.35,4.04,,,0
CDM,SUP578,Noncdm Charge Record Medical Supplies - Catheter Drain 24Fr 16In Argyle Thoracic Trocar Tip Straight,58.65,22.87,,,0
CDM,SUP5780,Noncdm Charge Record Medical Supplies - Mesh Surg Parietex 3.6In,1295.89,505.4,,,0
CDM,SUP5786,Noncdm Charge Record Medical Supplies - Screw 2.7-18Mm Lcp Ti Rad St Cort Radial St,168.7,65.79,,,0
CDM,SUP57928,Noncdm Charge Record Medical Supplies - Bit Drill 10.5Mm Cannula Colr Pin Strl,954.27,372.17,,,0
CDM,SUP57929,Noncdm Charge Record Medical Supplies - Bit Drill 95Mm Cannula Colr Pin Strl,954.27,372.17,,,0
CDM,SUP5793,Noncdm Charge Record Medical Supplies - Spacer Fem Art-Eze Ccrt +0Mm 12-14 Hip,1097.51,428.03,,,0
CDM,SUP57931,Noncdm Charge Record Medical Supplies - Bit Drill 85Mm Cannula Colr Pin Strl,954.27,372.17,,,0
CDM,SUP57933,Noncdm Charge Record Medical Supplies - Screw Bn 3Mm 18Mm Bio Compression,2121.75,827.48,,,0
CDM,SUP57938,Noncdm Charge Record Medical Supplies - Cutter Surg 10 Mm Flipcutter,1590.8,620.41,,,0
CDM,SUP5794,Noncdm Charge Record Medical Supplies - Kit Chest Tube Disposable Pleuraguide Maquet,691.38,269.64,,,0
CDM,SUP57940,Noncdm Charge Record Medical Supplies - Suture 3Mm Tak Percutaneous Kit Arthrex,954.27,372.17,,,0
CDM,SUP57941,Noncdm Charge Record Medical Supplies - Kit Percutaneous Insertion Kit,1077.44,420.2,,,0
CDM,SUP5796,Noncdm Charge Record Medical Supplies,348.8,136.03,,,0
CDM,SUP57964_272,Noncdm Charge Record Medical Supplies - Guidewire 1.35Mm 150Mm Troc Tip,97.98,38.21,,,0
CDM,SUP57964_C1769_272,Noncdm Charge Record Medical Supplies - Guidewire 1.35Mm 150Mm Troc Tip,97.92,38.19,,,0
CDM,SUP5798,Noncdm Charge Record Medical Supplies - Stent Trachbr 6Mm 7Fr 59Mm,11911.82,4645.61,,,0
CDM,SUP5799,Noncdm Charge Record Medical Supplies - Stent Trachbr 8Mm 7Fr 38Mm,13441.85,5242.32,,,0
CDM,SUP5800,Noncdm Charge Record Medical Supplies - Stent Trachbr 8Mm 7Fr 59Mm,14447.15,5634.39,,,0
CDM,SUP5801,Noncdm Charge Record Medical Supplies - Stent Trachbr 10Mm 7Fr 38Mm 120Cm .035In,13441.66,5242.25,,,0
CDM,SUP5802,Noncdm Charge Record Medical Supplies - Stent Trachbr 5Mm 6Fr 22Mm,12156.08,4740.87,,,0
CDM,SUP5803,Noncdm Charge Record Medical Supplies - Stent Trachbr 6Mm 6Fr 16Mm,11648.92,4543.08,,,0
CDM,SUP58030,Noncdm Charge Record Medical Supplies - Valvulotome 1.5 98Cm Hyrdo,13062.74,5094.47,,,0
CDM,SUP5804,Noncdm Charge Record Medical Supplies - Stent Trachbr 6Mm 6Fr 22Mm,13132.08,5121.51,,,0
CDM,SUP5806,Noncdm Charge Record Medical Supplies - Stent Trachbr 7Mm 7Fr 22Mm,13132.42,5121.64,,,0
CDM,SUP58064,Noncdm Charge Record Medical Supplies - Guidewire Peri Viperwire 335Cm 017In,734.85,286.59,,,0
CDM,SUP5812,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 18Mm Lcp Ss T8 Dist Fib St Lck,511.59,199.52,,,0
CDM,SUP5813,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 20Mm Lcp Ss T8 Dist Fib St Lck,489.3,190.83,,,0
CDM,SUP5814,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 24Mm Lcp Ss T8 Dist Fib St Lck,524.74,204.65,,,0
CDM,SUP5815,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 32Mm Lcp Ss Dist Hum Elb St,477.14,186.08,,,0
CDM,SUP58162,Noncdm Charge Record Medical Supplies - Stent Uret Percuflex + 48X24 M0061752520,1099.86,428.95,,,0
CDM,SUP5819,Noncdm Charge Record Medical Supplies - Graft Vasc 80Cm 8Mm Gore Hep Propaten Eptfe Hep,13678.56,5334.64,,,0
CDM,SUP58192,Noncdm Charge Record Medical Supplies - Suture V-Loc 2-0 Gs-22 18In Covidien,125.24,48.84,,,0
CDM,SUP581_272,Noncdm Charge Record Medical Supplies - Drain Round Fluted 15 French Bard,72.38,28.23,,,0
CDM,SUP581_A9999_272,Noncdm Charge Record Medical Supplies - Drain Round Fluted 15 French Bard,72.45,28.26,,,0
CDM,SUP5821,Noncdm Charge Record Medical Supplies - Graft Vasc 40Cm 6Mm Gore Propaten Eptfe Hep,5894.55,2298.87,,,0
CDM,SUP5822,Noncdm Charge Record Medical Supplies - Graft Vasc 80Cm 6Mm Gore Propaten Eptfe Hep,11386.04,4440.56,,,0
CDM,SUP5823,Noncdm Charge Record Medical Supplies - Graft 40Cm8Mm Gore Eptfe Propaten Eptfe Hep Vasc,5901.57,2301.61,,,0
CDM,SUP5825,Noncdm Charge Record Medical Supplies - Graft Vasc 80Cm 6Mm Gore Hep,13190.25,5144.2,,,0
CDM,SUP5826,Noncdm Charge Record Medical Supplies - Marker Perm Gold 0.8Mmx3Mm,214.89,83.81,,,0
CDM,SUP58286_272,Noncdm Charge Record Medical Supplies - Fiber Greenlight Urology Xpeeda Laser,4850.01,1891.5,,,0
CDM,SUP58286_A4649_272,Noncdm Charge Record Medical Supplies - Fiber Greenlight Urology Xpeeda Laser,4850.01,1891.5,,,0
CDM,SUP58295,Noncdm Charge Record Medical Supplies,35.19,13.72,,,0
CDM,SUP583,Noncdm Charge Record Medical Supplies - Catheter Drain 23Cm 4Fr Std,948.06,369.74,,,0
CDM,SUP5830,Noncdm Charge Record Medical Supplies - Nail 11.5Mm 20Cm Lt Hindfoot,10512.5,4099.88,,,0
CDM,SUP58324,Noncdm Charge Record Medical Supplies - Patch Vntrl 46Cm Comp Sm 1-Bx,1642.54,640.59,,,0
CDM,SUP5836,Noncdm Charge Record Medical Supplies - Plate 106Mm Ss 3.5Mm 7Hl Rt Hl Lcp Bn Rt,5898.46,2300.4,,,0
CDM,SUP5837,Noncdm Charge Record Medical Supplies - Cable Orth Ss 1.7Mm 750Mm Hip Crmp Strl,2064.2,805.04,,,0
CDM,SUP5838_A4648_278,Noncdm Charge Record Medical Supplies - Marker Fdcl 5Mm .8Mm Gold,415.33,161.98,,,0
CDM,SUP5838_L8699_278,Noncdm Charge Record Medical Supplies - Marker Fdcl 5Mm .8Mm Gold,405.83,158.27,,,0
CDM,SUP58427,Noncdm Charge Record Medical Supplies - Tool Legend Lng 75Cm 3Mm Ball Dmd,1120.9,437.15,,,0
CDM,SUP58428,Noncdm Charge Record Medical Supplies - Tool Legend 75Cm 3Mm Ball Dmd L,837.32,326.55,,,0
CDM,SUP58430,Noncdm Charge Record Medical Supplies - Tool Legend 7.5Cm 2Mm Ball Dmd L,837.32,326.55,,,0
CDM,SUP58432_272,Noncdm Charge Record Medical Supplies - Midas Rex Irrigation Low Profile Tubing Set,461.61,180.03,,,0
CDM,SUP58432_A9999_272,Noncdm Charge Record Medical Supplies - Midas Rex Irrigation Low Profile Tubing Set,461.61,180.03,,,0
CDM,SUP58434_272,Noncdm Charge Record Medical Supplies - Tubing Extension 9In,131.47,51.27,,,0
CDM,SUP58434_A4649_272,Noncdm Charge Record Medical Supplies - Tubing Extension 9In,131.44,51.26,,,0
CDM,SUP58499,Noncdm Charge Record Medical Supplies - Dressing Aquacel 4X4In Foam Adh Sq,13.34,5.2,,,0
CDM,SUP5851,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 68Mm Nail Ex Ti Fem-Tib Lck,744.16,290.22,,,0
CDM,SUP5852,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 72Mm Nail Ex Ti Fem-Tib Lck,712.08,277.71,,,0
CDM,SUP5853,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 44Mm Nail Ex Ti Ft Fem-Tib St,765.55,298.56,,,0
CDM,SUP5854,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 32Mm Nail Ex Ti Ft Fem-Tib St,766.12,298.79,,,0
CDM,SUP58635_272,Noncdm Charge Record Medical Supplies - Suture V-Loc 2-0 180 Es9 6In Green Absorbable Reload Covidie,162.57,63.4,,,0
CDM,SUP58635_A4649_272,Noncdm Charge Record Medical Supplies - Suture V-Loc 2-0 180 Es9 6In Green Absorbable Reload Covidie,162.5,63.38,,,0
CDM,SUP58635_A9999_272,Noncdm Charge Record Medical Supplies - Suture V-Loc 2-0 180 Es9 6In Green Absorbable Reload Covidie,162.5,63.38,,,0
CDM,SUP5864_270,Noncdm Charge Record Medical Supplies - Set Connect Y Ll,50.46,19.68,,,0
CDM,SUP5864_272,Noncdm Charge Record Medical Supplies - Set Connect Y Ll,48.64,18.97,,,0
CDM,SUP58657,Noncdm Charge Record Medical Supplies - Patch Vntrl 86Cm Comp Lg 1-Bx,2534.72,988.54,,,0
CDM,SUP58658,Noncdm Charge Record Medical Supplies - Patch Vntrl 66Cm Comp Med 1-Bx,1983.87,773.71,,,0
CDM,SUP5874,Noncdm Charge Record Medical Supplies - Nail 10Mm 36Cm Tib Nail Ex Intramed Cannula,5755.64,2244.7,,,0
CDM,SUP5877,Noncdm Charge Record Medical Supplies - Applicator Endo Flsl Strl Disp,341.55,133.2,,,0
CDM,SUP5878,Noncdm Charge Record Medical Supplies - Stent Colon 25Mm 10Fr 9Cm,14439.28,5631.32,,,0
CDM,SUP58799_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 3-0 Rb-1 30In Green Ethicon,10.28,4.01,,,0
CDM,SUP58799_A9999_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 3-0 Rb-1 30In Green Ethicon,10.35,4.04,,,0
CDM,SUP5883,Noncdm Charge Record Medical Supplies - Stent Cor 8Mm 40Mm 135Cm .014In Rx Self,10066.41,3925.9,,,0
CDM,SUP58837_272,Noncdm Charge Record Medical Supplies - Wire Pilot Ht 200 190Cm,440.39,171.75,,,0
CDM,SUP58837_C1769_272,Noncdm Charge Record Medical Supplies - Wire Pilot Ht 200 190Cm,440.85,171.93,,,0
CDM,SUP5884,Noncdm Charge Record Medical Supplies - Head Bipolar 45Mm 28Mm Slfcntr Fem Hip,2474.68,965.13,,,0
CDM,SUP5885,Noncdm Charge Record Medical Supplies - Screw Bn 30Mm 6.5Mm Pncl Canc Strl,691.33,269.62,,,0
CDM,SUP5886,Noncdm Charge Record Medical Supplies - Anchor Suture Orthocord G2Qkan Fastin Depuy Mitek,3369.46,1314.09,,,0
CDM,SUP588_270,Noncdm Charge Record Medical Supplies - Ambu Bag Adult M Ambu,31.03,12.1,,,0
CDM,SUP588_272,Noncdm Charge Record Medical Supplies - Ambu Bag Adult M Ambu,30.02,11.71,,,0
CDM,SUP588_A4649_270,Noncdm Charge Record Medical Supplies - Ambu Bag Adult M Ambu,31.26,12.19,,,0
CDM,SUP588_A9999_270,Noncdm Charge Record Medical Supplies - Ambu Bag Adult M Ambu,30.02,11.71,,,0
CDM,SUP58917,Noncdm Charge Record Medical Supplies - Blade Incisior Plus 4.5Mm Elite,364.32,142.08,,,0
CDM,SUP58998_272,Noncdm Charge Record Medical Supplies - See 126196 Blade Glidescope Lopro S3 Sz 3 Ti Verathon,195.62,76.29,,,0
CDM,SUP58998_A4649_272,Noncdm Charge Record Medical Supplies - See 126196 Blade Glidescope Lopro S3 Sz 3 Ti Verathon,195.62,76.29,,,0
CDM,SUP58999_272,Noncdm Charge Record Medical Supplies - See 126197 Blade Glidescope Lo Pro S4 Sz 4 Ti Verathon,195.62,76.29,,,0
CDM,SUP58999_A4649_272,Noncdm Charge Record Medical Supplies - See 126197 Blade Glidescope Lo Pro S4 Sz 4 Ti Verathon,195.62,76.29,,,0
CDM,SUP589_270,Noncdm Charge Record Medical Supplies - Sensor Neo-Adlt Oxmx 18In Oxm Adh Strap,42.51,16.58,,,0
CDM,SUP589_A4649_270,Noncdm Charge Record Medical Supplies - Sensor Neo-Adlt Oxmx 18In Oxm Adh Strap,42.44,16.55,,,0
CDM,SUP589_A9999_270,Noncdm Charge Record Medical Supplies - Sensor Neo-Adlt Oxmx 18In Oxm Adh Strap,42.44,16.55,,,0
CDM,SUP59036,Noncdm Charge Record Medical Supplies - Protector Nrv 5Mm 40Mm,11987.37,4675.07,,,0
CDM,SUP59037,Noncdm Charge Record Medical Supplies - Connector Nrv 2Mmx15Mm Axoguard,7601.38,2964.54,,,0
CDM,SUP59038,Noncdm Charge Record Medical Supplies - Connector Nrv 3Mmx15Mm Axoguard,7651.24,2983.98,,,0
CDM,SUP5913,Noncdm Charge Record Medical Supplies - Tube Endotrach 5.0Mm Oral Cuff,19.54,7.62,,,0
CDM,SUP5915,Noncdm Charge Record Medical Supplies - Screw Bn 10.5Mm 100Mm Gamma3,1896.12,739.49,,,0
CDM,SUP59171,Noncdm Charge Record Medical Supplies - See 13542 Sensor Temp Skin Series 400,7.24,2.82,,,0
CDM,SUP59174,Noncdm Charge Record Medical Supplies - Probe Irr 220Cm 2.3Mm Fiapc Filter Intgr,1159.2,452.09,,,0
CDM,SUP59177,Noncdm Charge Record Medical Supplies - Wire K D Trocar Pt 4In 045In 11Mm,13.46,5.25,,,0
CDM,SUP592,Noncdm Charge Record Medical Supplies - Barrier Skin Wafer 4X4 Stmhsv Natura,11.38,4.44,,,0
CDM,SUP59231,Noncdm Charge Record Medical Supplies,194.58,75.89,,,0
CDM,SUP59273_272,Noncdm Charge Record Medical Supplies - Hook 5Mm Elastic Blnt Stay,47.61,18.57,,,0
CDM,SUP59273_A4649_272,Noncdm Charge Record Medical Supplies - Hook 5Mm Elastic Blnt Stay,47.61,18.57,,,0
CDM,SUP59273_A9999_272,Noncdm Charge Record Medical Supplies - Hook 5Mm Elastic Blnt Stay,47.61,18.57,,,0
CDM,SUP59274,Noncdm Charge Record Medical Supplies - Patch Xenosure 2X9 Vascular Bovine,1955.12,762.5,,,0
CDM,SUP593,Noncdm Charge Record Medical Supplies - Catheter Iv 24Ga .56In Radiopq Shld Dehp-Fr,11.38,4.44,,,0
CDM,SUP5930,Noncdm Charge Record Medical Supplies - Stem Fem 145Mm 11Mm Prim Std,14636.97,5708.42,,,0
CDM,SUP59305,Noncdm Charge Record Medical Supplies - Stent Biliary 10Mmx10Cmx40Cm Viabil Percutaneous Gore,14271.2,5565.77,,,0
CDM,SUP5932,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 42Mm Lcp Ss Prox Med Tib St,550.96,214.87,,,0
CDM,SUP59344,Noncdm Charge Record Medical Supplies - Patch Vascular Bovine,1222.15,476.64,,,0
CDM,SUP59382,Noncdm Charge Record Medical Supplies - Needle Echobright 20Gax100Mm Ss Non Stimulating 21Deg,59.0,23.01,,,0
CDM,SUP5940,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 14Mm Lcp Ti Cor Dist Dist Hum,278.42,108.58,,,0
CDM,SUP5941,Noncdm Charge Record Medical Supplies - Screw 2.7-12Mm Lcp Ti Rad St Cort Radial St,203.16,79.23,,,0
CDM,SUP59423,Noncdm Charge Record Medical Supplies - Kit Shunt Strata Lp,26950.36,10510.64,,,0
CDM,SUP59466,Noncdm Charge Record Medical Supplies - Ligasure Maryland Sht 5Mmx23Cm,2430.18,947.77,,,0
CDM,SUP5949,Noncdm Charge Record Medical Supplies - Cable Orth Cocr 1.7Mm 750Mm Ti Crmp Strl,2042.16,796.44,,,0
CDM,SUP59509,Noncdm Charge Record Medical Supplies - Fiber Laser Sureflex 273Um Single Use,979.11,381.85,,,0
CDM,SUP5951,Noncdm Charge Record Medical Supplies - Unit Electrosurg 12.6In,4950.83,1930.82,,,0
CDM,SUP5953,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 28Cm Argonplus Lap,186.3,72.66,,,0
CDM,SUP5957,Noncdm Charge Record Medical Supplies - Catheter Drain 10Fr 25Cm Adp,396.4,154.6,,,0
CDM,SUP5958,Noncdm Charge Record Medical Supplies,616.86,240.58,,,0
CDM,SUP5969,Noncdm Charge Record Medical Supplies - Fixator 240Mm Self Drill Schnz Screw Rod Mri,10179.22,3969.9,,,0
CDM,SUP5970,Noncdm Charge Record Medical Supplies - Dressing Afm Alvn Ag 6X6In Anmc Wound Slvr,67.28,26.24,,,0
CDM,SUP59716,Noncdm Charge Record Medical Supplies - Cable Blzr Dx Cath Duodcapl,1433.48,559.06,,,0
CDM,SUP59776,Noncdm Charge Record Medical Supplies - Screw Locking 3.5X36,1074.33,418.99,,,0
CDM,SUP5978,Noncdm Charge Record Medical Supplies - Kit Introducer Lead Neurostim,1370.34,534.43,,,0
CDM,SUP598,Noncdm Charge Record Medical Supplies - Tube Salem Sump Dual Lumen Silicone 14Fr 48In Covidien,53.82,20.99,,,0
CDM,SUP5980,Noncdm Charge Record Medical Supplies - Stent Uret 8Fr 28Cm Pigtail Crv Reg Duromtr,535.1,208.69,,,0
CDM,SUP59808_272,Noncdm Charge Record Medical Supplies - Tray Catheter Foley 18Fr Silicone With Drain Bag Bard Medica,53.82,20.99,,,0
CDM,SUP59808_A4649_272,Noncdm Charge Record Medical Supplies - Tray Catheter Foley 18Fr Silicone With Drain Bag Bard Medica,53.82,20.99,,,0
CDM,SUP59809,Noncdm Charge Record Medical Supplies - Tray Catheter Foley 16Fr Temperature Sensing Bard Medical,145.95,56.92,,,0
CDM,SUP5981,Noncdm Charge Record Medical Supplies - Stent Uret 8Fr 22Cm Pgtail Lck,644.8,251.47,,,0
CDM,SUP59810_272,Noncdm Charge Record Medical Supplies - Tray Catheter Foley 16Fr With Drain Bag Bard Medical,57.96,22.6,,,0
CDM,SUP59810_A4649_272,Noncdm Charge Record Medical Supplies - Tray Catheter Foley 16Fr With Drain Bag Bard Medical,57.95,22.6,,,0
CDM,SUP59810_A9999_272,Noncdm Charge Record Medical Supplies - Tray Catheter Foley 16Fr With Drain Bag Bard Medical,57.96,22.6,,,0
CDM,SUP59811,Noncdm Charge Record Medical Supplies - See 110811 Tray Cath Lbrcth 16Fr W Mtr Ribbed Balloon,56.92,22.2,,,0
CDM,SUP59812,Noncdm Charge Record Medical Supplies - Suture Fiberwire 20 18In Braid Arthrex,107.64,41.98,,,0
CDM,SUP5982,Noncdm Charge Record Medical Supplies - Stent Uret 8Fr 24Cm Pgtail Lck,644.8,251.47,,,0
CDM,SUP5983,Noncdm Charge Record Medical Supplies - Stent Uret 8Fr 26Cm Pigtail Us,644.8,251.47,,,0
CDM,SUP5984,Noncdm Charge Record Medical Supplies - Stent Uret 8Fr 28Cm Pgtail Lck,644.8,251.47,,,0
CDM,SUP59841_272,Noncdm Charge Record Medical Supplies - Tray Catheter Foley 16Fr Silicone With Drain Bag Bard Medica,53.82,20.99,,,0
CDM,SUP59841_A4649_272,Noncdm Charge Record Medical Supplies - Tray Catheter Foley 16Fr Silicone With Drain Bag Bard Medica,53.82,20.99,,,0
CDM,SUP59841_A9999_272,Noncdm Charge Record Medical Supplies - Tray Catheter Foley 16Fr Silicone With Drain Bag Bard Medica,53.82,20.99,,,0
CDM,SUP59842_272,Noncdm Charge Record Medical Supplies - Anchor Trocar 12Mm 100Mm Blunt Cannula Covidien N Surgical L,105.57,41.17,,,0
CDM,SUP59842_A4649_272,Noncdm Charge Record Medical Supplies - Anchor Trocar 12Mm 100Mm Blunt Cannula Covidien N Surgical L,105.57,41.17,,,0
CDM,SUP59842_A9999_272,Noncdm Charge Record Medical Supplies - Anchor Trocar 12Mm 100Mm Blunt Cannula Covidien N Surgical L,105.57,41.17,,,0
CDM,SUP5985,Noncdm Charge Record Medical Supplies - Catheter Ball Dil Sterling 3.8-3.4F 6Mm,1593.55,621.48,,,0
CDM,SUP5986,Noncdm Charge Record Medical Supplies - Introducer Orth Kphpk Xpr 1St Fx Tray 15 2,13382.55,5219.19,,,0
CDM,SUP5988,Noncdm Charge Record Medical Supplies,3780.86,1474.54,,,0
CDM,SUP59886,Noncdm Charge Record Medical Supplies - Guidewire Vasc .035In 260X2Cm Ang Std,231.3,90.21,,,0
CDM,SUP59888,Noncdm Charge Record Medical Supplies - System Intlbrace Knee Lig Aug Implant,5776.34,2252.77,,,0
CDM,SUP59889,Noncdm Charge Record Medical Supplies - System Mpfl Acl Tghtrp Bcmps Implant,8153.73,3179.95,,,0
CDM,SUP59890,Noncdm Charge Record Medical Supplies - Ligament Intnlbrace,5195.7,2026.32,,,0
CDM,SUP59895,Noncdm Charge Record Medical Supplies - Plate Dvr Ti Nar Rt 3H,3842.96,1498.75,,,0
CDM,SUP59900,Noncdm Charge Record Medical Supplies,1547.32,603.45,,,0
CDM,SUP59901,Noncdm Charge Record Medical Supplies - Screw Comp Ft 35 Mini 20Mm,1584.58,617.99,,,0
CDM,SUP59904,Noncdm Charge Record Medical Supplies - Screw Bn 24X18Mm Val Ti,856.25,333.94,,,0
CDM,SUP59906,Noncdm Charge Record Medical Supplies - Screw Bn Bicort 45Mmx30Mm Post Ti Strl,537.16,209.49,,,0
CDM,SUP5991,Noncdm Charge Record Medical Supplies - Cup Acetab Prostalac 32X42Mm,3049.63,1189.36,,,0
CDM,SUP59912,Noncdm Charge Record Medical Supplies - Screw Bn Comp Ft 25 Micr 22Mm,1880.6,733.43,,,0
CDM,SUP59918,Noncdm Charge Record Medical Supplies - Screw Bn Low Prof 4.0X50Mm Ss Cann Lng Thrd,886.3,345.66,,,0
CDM,SUP59919,Noncdm Charge Record Medical Supplies - Screw Bn Low Prof Lck 35X16Mm Ss,617.9,240.98,,,0
CDM,SUP59921,Noncdm Charge Record Medical Supplies - Screw Bn Low Prof Lck 35X14Mm Ti,731.51,285.29,,,0
CDM,SUP59922,Noncdm Charge Record Medical Supplies - Screw Bn Low Prof Cort 24X24M,1087.79,424.24,,,0
CDM,SUP59924,Noncdm Charge Record Medical Supplies - Screw Bn Low Prof 35X13Mm Ti,311.92,121.65,,,0
CDM,SUP59926,Noncdm Charge Record Medical Supplies - Forceps Bipolar Fenestrated Single Site,1258.56,490.84,,,0
CDM,SUP5994,Noncdm Charge Record Medical Supplies - Nail 7Mm 23Cm Hum Nail Ex Intramed Cannula Ti,7517.2,2931.71,,,0
CDM,SUP59957,Noncdm Charge Record Medical Supplies - Drill Bit Lag Screw 11Mm,4270.41,1665.46,,,0
CDM,SUP59958,Noncdm Charge Record Medical Supplies - Bit Drill Starter Intertan 7Mm Smith Nephew Ortho,1823.67,711.23,,,0
CDM,SUP5996,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 34Mm Nail Ex Ti Ft Fem-Tib St,768.55,299.73,,,0
CDM,SUP5997,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 60Mm Nail Ex Ti Ft Fem-Tib St,776.25,302.74,,,0
CDM,SUP6002,Noncdm Charge Record Medical Supplies - Kit Power Pulse Angiojet 3000,190.44,74.27,,,0
CDM,SUP60046,Noncdm Charge Record Medical Supplies - Tray Foley Lubricatheter 18Fr With Drainage Bag Latex Bard M,59.0,23.01,,,0
CDM,SUP60047,Noncdm Charge Record Medical Supplies - Tray Foley Lubricatheter 16Fr With Urine Meter Latex Bard Me,84.87,33.1,,,0
CDM,SUP60048,Noncdm Charge Record Medical Supplies - Fiber Optic 40 Fr Blunt Tip Tip Disposable,576.15,224.7,,,0
CDM,SUP60095,Noncdm Charge Record Medical Supplies - Screw Bn Low Prof 35X14Mm Ti,320.24,124.89,,,0
CDM,SUP60096,Noncdm Charge Record Medical Supplies,321.88,125.53,,,0
CDM,SUP60098,Noncdm Charge Record Medical Supplies - Screw Bn Low Prof Can 45X50Mm Ti,939.78,366.51,,,0
CDM,SUP60100,Noncdm Charge Record Medical Supplies,1343.43,523.94,,,0
CDM,SUP60103,Noncdm Charge Record Medical Supplies - Screw Bn Prox Tenodesis Impl,3262.35,1272.32,,,0
CDM,SUP6011,Noncdm Charge Record Medical Supplies - Screw 2.7-14Mm Lcp Ss Dist Lck Dist Fib St Lck T8,477.48,186.22,,,0
CDM,SUP60111,Noncdm Charge Record Medical Supplies - Screw Bn Lck 30X16Mm,590.98,230.48,,,0
CDM,SUP60115_272,Noncdm Charge Record Medical Supplies - Blade 9Mm Tendon Stripper,529.24,206.4,,,0
CDM,SUP60115_A4649_272,Noncdm Charge Record Medical Supplies - Blade 9Mm Tendon Stripper,171.81,67.01,,,0
CDM,SUP60117,Noncdm Charge Record Medical Supplies - Cannula Ntch Twstin 825Mmx7Cm W-No Squirt Cap,122.3,47.7,,,0
CDM,SUP6012,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 16Mm Lcp Ss Dist Fib Lck St T8,488.17,190.39,,,0
CDM,SUP60125,Noncdm Charge Record Medical Supplies - Implant Hip Construct H3 Zimmer,34013.2,13265.15,,,0
CDM,SUP60132,Noncdm Charge Record Medical Supplies,18917.73,7377.91,,,0
CDM,SUP60133,Noncdm Charge Record Medical Supplies - Implant Knee Construct K2C Zimmer,15467.04,6032.15,,,0
CDM,SUP60134,Noncdm Charge Record Medical Supplies - Implant Hip Construct H1 Stryker,19309.48,7530.7,,,0
CDM,SUP60135,Noncdm Charge Record Medical Supplies - Implant Hip Construct H2 Stryker,19720.48,7690.99,,,0
CDM,SUP60142,Noncdm Charge Record Medical Supplies - Implant Knee Construct K1 Stryker,17279.32,6738.93,,,0
CDM,SUP60146,Noncdm Charge Record Medical Supplies - Implant Knee Construct K2 Stryker,17762.67,6927.44,,,0
CDM,SUP60147,Noncdm Charge Record Medical Supplies - Implant Knee Construct K2A Stryker,17128.47,6680.1,,,0
CDM,SUP60148_272,Noncdm Charge Record Medical Supplies - Syringe Resistance Plastic Loss Of Perifix 8Ml,7.25,2.83,,,0
CDM,SUP60148_A4649_272,Noncdm Charge Record Medical Supplies - Syringe Resistance Plastic Loss Of Perifix 8Ml,7.24,2.82,,,0
CDM,SUP60148_A9999_272,Noncdm Charge Record Medical Supplies - Syringe Resistance Plastic Loss Of Perifix 8Ml,7.24,2.82,,,0
CDM,SUP60178,Noncdm Charge Record Medical Supplies,19817.14,7728.68,,,0
CDM,SUP60186,Noncdm Charge Record Medical Supplies - Implant Knee Construct K1 Smith-Nephew,13533.66,5278.13,,,0
CDM,SUP60193,Noncdm Charge Record Medical Supplies - Distractor Surg Ankle Arthro Strap,88.49,34.51,,,0
CDM,SUP60194,Noncdm Charge Record Medical Supplies - Drill 10Mm Cann,954.32,372.18,,,0
CDM,SUP60195,Noncdm Charge Record Medical Supplies - Bit Drill 17Mmm,387.09,150.97,,,0
CDM,SUP60196,Noncdm Charge Record Medical Supplies - Bit Drill 20Mm Cmp Ft Calib,954.27,372.17,,,0
CDM,SUP60197,Noncdm Charge Record Medical Supplies - Bit Drill 22Mm Cmp Ft Calib,954.27,372.17,,,0
CDM,SUP60198,Noncdm Charge Record Medical Supplies - Bit Drill 25Mm Calib,333.23,129.96,,,0
CDM,SUP60199,Noncdm Charge Record Medical Supplies - Bit Drill 30Mm Cann Mini Hds,856.98,334.22,,,0
CDM,SUP60200,Noncdm Charge Record Medical Supplies - Bit Drill 4Mm Cann,954.27,372.17,,,0
CDM,SUP60201,Noncdm Charge Record Medical Supplies,954.27,372.17,,,0
CDM,SUP60202,Noncdm Charge Record Medical Supplies - Bit Drill 24Mm Trimit,387.09,150.97,,,0
CDM,SUP60204,Noncdm Charge Record Medical Supplies - Drill Cann 24Mm Ac Repair,1547.32,603.45,,,0
CDM,SUP60207,Noncdm Charge Record Medical Supplies - Drill Prof Mini Cmp Ft,734.85,286.59,,,0
CDM,SUP60213,Noncdm Charge Record Medical Supplies - Scorpion Fastpass Slmf,17614.66,6869.72,,,0
CDM,SUP60215,Noncdm Charge Record Medical Supplies - Guidewire W-Trocar Tip 045In W-Laser Line,53.13,20.72,,,0
CDM,SUP60216,Noncdm Charge Record Medical Supplies - Guidewire W-Trocar Tip 2X150Mm Smooth,49.03,19.12,,,0
CDM,SUP60217,Noncdm Charge Record Medical Supplies - Guidewire W-Trocar Tip 24X200,73.48,28.66,,,0
CDM,SUP60218,Noncdm Charge Record Medical Supplies - Guidewire W-Trocar Tip 24Mm 8In Long Thrd,146.97,57.32,,,0
CDM,SUP60223,Noncdm Charge Record Medical Supplies - Guidewire W-Trocar Tip 062In Thrd,107.64,41.98,,,0
CDM,SUP60226,Noncdm Charge Record Medical Supplies - System Impl Acute Ac Repair,5437.89,2120.78,,,0
CDM,SUP60227,Noncdm Charge Record Medical Supplies - Kit Master Hip Ascp Disp,2203.52,859.37,,,0
CDM,SUP60229_270,Noncdm Charge Record Medical Supplies,216.96,84.61,,,0
CDM,SUP60229_A4649_270,Noncdm Charge Record Medical Supplies,367.42,143.29,,,0
CDM,SUP60229_A9999_270,Noncdm Charge Record Medical Supplies,61.06,23.81,,,0
CDM,SUP6023,Noncdm Charge Record Medical Supplies - Introducer Cath 90Cm 7Fr .038In Flxr Sh-Sl,654.12,255.11,,,0
CDM,SUP6024,Noncdm Charge Record Medical Supplies - Catheter Drain 12Fr 25Cm Mclc,439.78,171.51,,,0
CDM,SUP60265,Noncdm Charge Record Medical Supplies - Implant Propel Sinus Steroid Regular,4536.42,1769.2,,,0
CDM,SUP60266,Noncdm Charge Record Medical Supplies - Implant Mini Propel Sinus Steroid,4364.5,1702.16,,,0
CDM,SUP60267_272,Noncdm Charge Record Medical Supplies - Cutter Knt Pshr Sut Disp,901.48,351.58,,,0
CDM,SUP60267_A4649_272,Noncdm Charge Record Medical Supplies - Cutter Knt Pshr Sut Disp,917.01,357.63,,,0
CDM,SUP60267_A9999_272,Noncdm Charge Record Medical Supplies - Cutter Knt Pshr Sut Disp,917.01,357.63,,,0
CDM,SUP60299,Noncdm Charge Record Medical Supplies - Needle #2 Fiberloop W-Crv 20In Blu 1-2In Circ,245.04,95.57,,,0
CDM,SUP60311,Noncdm Charge Record Medical Supplies - Knife Banana 254Mm,489.56,190.93,,,0
CDM,SUP60319,Noncdm Charge Record Medical Supplies - Reamer Low Prof 75Mm Strl,954.27,372.17,,,0
CDM,SUP60320,Noncdm Charge Record Medical Supplies - Reamer Low Prof 95Mm Strl,954.27,372.17,,,0
CDM,SUP60330,Noncdm Charge Record Medical Supplies - Sleeve Star Vlcr,163.32,63.69,,,0
CDM,SUP60340,Noncdm Charge Record Medical Supplies - Labraltape Wht 15Mm 36In,342.58,133.61,,,0
CDM,SUP60341,Noncdm Charge Record Medical Supplies - Suture Fiberwire 38Inch No Needle 1 Blue 1 White-Black Arthr,171.81,67.01,,,0
CDM,SUP60350,Noncdm Charge Record Medical Supplies - Screw 35X16Mm Tc,762.8,297.49,,,0
CDM,SUP60407,Noncdm Charge Record Medical Supplies - See 110887 - Patch Xenosure 8X8 Vascular Bovine,806.23,314.43,,,0
CDM,SUP60408,Noncdm Charge Record Medical Supplies - Balloon Dil Pta Otw 6Fr 8Mm 60Mm 75Cm Mustang,979.11,381.85,,,0
CDM,SUP60409_272,Noncdm Charge Record Medical Supplies - Suture Tigerwire 2 50In Black-White Arthrex,245.25,95.65,,,0
CDM,SUP60409_A9999_272,Noncdm Charge Record Medical Supplies - Suture Tigerwire 2 50In Black-White Arthrex,245.3,95.67,,,0
CDM,SUP60410,Noncdm Charge Record Medical Supplies - Cutter Surg 95Mm Flipcutter,1590.8,620.41,,,0
CDM,SUP6043,Noncdm Charge Record Medical Supplies - Kit Hemodia 19Cm 14.5Fr Carbothane Hmsplt Xk,1375.52,536.45,,,0
CDM,SUP60440,Noncdm Charge Record Medical Supplies - Mesh Stex Round 12Cm 48In,1773.4,691.63,,,0
CDM,SUP60441,Noncdm Charge Record Medical Supplies - Mesh Stex Round 9Cm 36In,1297.02,505.84,,,0
CDM,SUP60442,Noncdm Charge Record Medical Supplies - Mesh Stex Round 15Cm 6In,2332.3,909.6,,,0
CDM,SUP60443,Noncdm Charge Record Medical Supplies - Mesh Stex 15X10Cm 6X4In,1784.26,695.86,,,0
CDM,SUP60444,Noncdm Charge Record Medical Supplies - Mesh Symbotex 15W X 20L Cm,2566.8,1001.05,,,0
CDM,SUP60445,Noncdm Charge Record Medical Supplies - Mesh Stex 252X0Cm 10X8In,3904.28,1522.67,,,0
CDM,SUP60446,Noncdm Charge Record Medical Supplies - Mesh Stex 30X20Cm 12X8In,5311.62,2071.53,,,0
CDM,SUP60447,Noncdm Charge Record Medical Supplies - Mesh Stex 37X28Cm 145X11In,6286.24,2451.63,,,0
CDM,SUP60449,Noncdm Charge Record Medical Supplies - Implant Hip Construct H2,19575.47,7634.43,,,0
CDM,SUP6045,Noncdm Charge Record Medical Supplies - Introducer Sheath 6.5Fr Plaprt Kt Peel-Apart,293.94,114.64,,,0
CDM,SUP60457,Noncdm Charge Record Medical Supplies,16917.08,6597.66,,,0
CDM,SUP60458,Noncdm Charge Record Medical Supplies - Implant Knee Construct K2A,20783.84,8105.7,,,0
CDM,SUP60477,Noncdm Charge Record Medical Supplies - Screw Bn Lck 24Mm 3.5Mm,1074.33,418.99,,,0
CDM,SUP60478,Noncdm Charge Record Medical Supplies - Screw Bn Cort 30Mm 3.5Mm Low Prof,547.52,213.53,,,0
CDM,SUP6049,Noncdm Charge Record Medical Supplies - Kit Arthro Fx Bsut Tk Clr,783.5,305.56,,,0
CDM,SUP6050,Noncdm Charge Record Medical Supplies - Head Bipolar 28Mm Cnv -3Mm 12-,4096.53,1597.65,,,0
CDM,SUP6051,Noncdm Charge Record Medical Supplies - Catheter Infus .038In 5Fr 100Cm 30Cm Peri Vlv,455.4,177.61,,,0
CDM,SUP60557_C1762_278,Noncdm Charge Record Medical Supplies - Pureskin Mesh 2:1 = 199,2295.63,895.3,,,0
CDM,SUP60557_Q4100_278,Noncdm Charge Record Medical Supplies - Pureskin Mesh 2:1 = 199,68.99,26.91,,,0
CDM,SUP60558_C1762_278,Noncdm Charge Record Medical Supplies - Pureskin Mesh 1:1 = 199,2419.83,943.73,,,0
CDM,SUP60558_Q4100_278,Noncdm Charge Record Medical Supplies - Pureskin Mesh 1:1 = 199,74.11,28.9,,,0
CDM,SUP60596,Noncdm Charge Record Medical Supplies - Tray Cath Adafl W Mtr,62.1,24.22,,,0
CDM,SUP60597_272,Noncdm Charge Record Medical Supplies - Retractor Alexis Wound Large 9-14Cm,421.24,164.28,,,0
CDM,SUP60597_A4649_272,Noncdm Charge Record Medical Supplies - Retractor Alexis Wound Large 9-14Cm,421.24,164.28,,,0
CDM,SUP60627_272,Noncdm Charge Record Medical Supplies - Tray Cath 16Fr Lbrcath W Drain Bag,58.95,22.99,,,0
CDM,SUP60627_A4649_272,Noncdm Charge Record Medical Supplies - Tray Cath 16Fr Lbrcath W Drain Bag,58.96,22.99,,,0
CDM,SUP60627_A9999_272,Noncdm Charge Record Medical Supplies - Tray Cath 16Fr Lbrcath W Drain Bag,58.96,22.99,,,0
CDM,SUP60630,Noncdm Charge Record Medical Supplies - Bar Arch Omnimax,2590.6,1010.33,,,0
CDM,SUP60631,Noncdm Charge Record Medical Supplies - Screw 2.0X7Mm Omnimax,945.42,368.71,,,0
CDM,SUP60663,Noncdm Charge Record Medical Supplies - Burr Surg 4Mm Rnd Med Carb,218.38,85.17,,,0
CDM,SUP60667,Noncdm Charge Record Medical Supplies - Wire Pass Drill Med,220.46,85.98,,,0
CDM,SUP60675,Noncdm Charge Record Medical Supplies - System Mnscl Rvrs Crv Repr Fst Fx 360,2457.09,958.27,,,0
CDM,SUP60717,Noncdm Charge Record Medical Supplies - Graft Acuseal 47Mm 45Cm Propaten Eptfe Hepar,7095.96,2767.42,,,0
CDM,SUP60718_272,Noncdm Charge Record Medical Supplies - Suture Lasso Crescent,685.17,267.22,,,0
CDM,SUP60718_A4649_272,Noncdm Charge Record Medical Supplies - Suture Lasso Crescent,685.17,267.22,,,0
CDM,SUP60718_A9999_272,Noncdm Charge Record Medical Supplies - Suture Lasso Crescent,685.17,267.22,,,0
CDM,SUP60720_272,Noncdm Charge Record Medical Supplies - Blade 10Mm Tendon Stripper,856.98,334.22,,,0
CDM,SUP60720_A9999_272,Noncdm Charge Record Medical Supplies - Blade 10Mm Tendon Stripper,856.98,334.22,,,0
CDM,SUP60721,Noncdm Charge Record Medical Supplies - Blade 11Mm Tendon Stripper,856.98,334.22,,,0
CDM,SUP60723_270,Noncdm Charge Record Medical Supplies - Sleeve Star,342.58,133.61,,,0
CDM,SUP60723_A9999_270,Noncdm Charge Record Medical Supplies - Sleeve Star,342.58,133.61,,,0
CDM,SUP60724,Noncdm Charge Record Medical Supplies - Kit Trimano Elbow,137.66,53.69,,,0
CDM,SUP60725,Noncdm Charge Record Medical Supplies - Tightrope Abs,988.42,385.48,,,0
CDM,SUP6077,Noncdm Charge Record Medical Supplies - Needle 15Cm 5Fr 4 Sdprt Hlw,95.22,37.14,,,0
CDM,SUP6078,Noncdm Charge Record Medical Supplies - Bone Tendon Tib 8Mmx260Mm Post,7153.92,2790.03,,,0
CDM,SUP6079,Noncdm Charge Record Medical Supplies - Tubing Irr Pump Endo Cap Set,63.14,24.62,,,0
CDM,SUP60799,Noncdm Charge Record Medical Supplies,1547.32,603.45,,,0
CDM,SUP6083,Noncdm Charge Record Medical Supplies - Kit Art Line 5In 20Ga .025In Indwl Cath,167.74,65.42,,,0
CDM,SUP60845,Noncdm Charge Record Medical Supplies,7.24,2.82,,,0
CDM,SUP60846,Noncdm Charge Record Medical Supplies,24.84,9.69,,,0
CDM,SUP60847_272,Noncdm Charge Record Medical Supplies,7.24,2.82,,,0
CDM,SUP60847_A9999_272,Noncdm Charge Record Medical Supplies,7.24,2.82,,,0
CDM,SUP6086,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 54Mm Ss Cort Ft St Ns,116.96,45.61,,,0
CDM,SUP609,Noncdm Charge Record Medical Supplies - Pad Therapy 22X16In Medium Adroit Medical,17.3,6.75,,,0
CDM,SUP60962_272,Noncdm Charge Record Medical Supplies - Tray Cath Adafl W Drain Bag,49.68,19.38,,,0
CDM,SUP60962_A9999_272,Noncdm Charge Record Medical Supplies - Tray Cath Adafl W Drain Bag,49.68,19.38,,,0
CDM,SUP60968,Noncdm Charge Record Medical Supplies - Generator Aspire Sr,142393.23,55533.36,,,0
CDM,SUP6099,Noncdm Charge Record Medical Supplies - Seprafilm Barrier Adh Procedure Pack Genzyme,3717.49,1449.82,,,0
CDM,SUP61037,Noncdm Charge Record Medical Supplies - Tube Gastrostomy Mic-Key 18F 2.3Cm,450.22,175.59,,,0
CDM,SUP6107,Noncdm Charge Record Medical Supplies - Wire Fx 2Mm 150Mm Krsh Ss,211.35,82.43,,,0
CDM,SUP61087,Noncdm Charge Record Medical Supplies - Blade Micro Sagittal 9X31.4X,124.2,48.44,,,0
CDM,SUP61120,Noncdm Charge Record Medical Supplies - Struts Hex Medium,4454.97,1737.44,,,0
CDM,SUP61121,Noncdm Charge Record Medical Supplies - Kit Number Clip,519.57,202.63,,,0
CDM,SUP61122,Noncdm Charge Record Medical Supplies - Kit Direction Clip,519.57,202.63,,,0
CDM,SUP61123,Noncdm Charge Record Medical Supplies - Ring Hex 200Mm 5-8,3639.65,1419.46,,,0
CDM,SUP61125,Noncdm Charge Record Medical Supplies - Ring Hex 1800Mm 5-8,3751.88,1463.23,,,0
CDM,SUP61126,Noncdm Charge Record Medical Supplies - Strut Long Hex,4454.99,1737.45,,,0
CDM,SUP61127,Noncdm Charge Record Medical Supplies - Ring Hex Full 160Mm,4690.62,1829.34,,,0
CDM,SUP61128,Noncdm Charge Record Medical Supplies - Plate Foot 160Mmhex Double Row,8226.18,3208.21,,,0
CDM,SUP61129,Noncdm Charge Record Medical Supplies - Ring Hex Full 180Mm,4690.62,1829.34,,,0
CDM,SUP61132,Noncdm Charge Record Medical Supplies - Ring Full 140Mm,4690.62,1829.34,,,0
CDM,SUP61135,Noncdm Charge Record Medical Supplies - Ring Hex 160Mm 5-8,3555.22,1386.54,,,0
CDM,SUP61262_272,Noncdm Charge Record Medical Supplies - Grommet Bvl 114Mm Flrplas Amstr,79.62,31.05,,,0
CDM,SUP61262_A4649_272,Noncdm Charge Record Medical Supplies - Grommet Bvl 114Mm Flrplas Amstr,77.15,30.09,,,0
CDM,SUP61265_272,Noncdm Charge Record Medical Supplies - Sorbx Shield Angio,129.38,50.46,,,0
CDM,SUP61265_A4649_272,Noncdm Charge Record Medical Supplies - Sorbx Shield Angio,129.38,50.46,,,0
CDM,SUP61265_A9999_272,Noncdm Charge Record Medical Supplies - Sorbx Shield Angio,129.38,50.46,,,0
CDM,SUP6127,Noncdm Charge Record Medical Supplies - Bone Semitendinosus 8Mmx260Mm,5249.52,2047.31,,,0
CDM,SUP61272,Noncdm Charge Record Medical Supplies - Graft Nerve Axogen 4Mm 3Cm,14679.4,5724.97,,,0
CDM,SUP61273,Noncdm Charge Record Medical Supplies - Wire K 07Mm 102Mm 4In,35.19,13.72,,,0
CDM,SUP61274_272,Noncdm Charge Record Medical Supplies - Wire K 09Mm 102Mm 4In,35.19,13.72,,,0
CDM,SUP61274_A4649_272,Noncdm Charge Record Medical Supplies - Wire K 09Mm 102Mm 4In,35.19,13.72,,,0
CDM,SUP61276,Noncdm Charge Record Medical Supplies - Suture Firberwire 5-7 Metric 38In Blue Arthrex,186.26,72.64,,,0
CDM,SUP61277,Noncdm Charge Record Medical Supplies - Suture Fiberloop 40 6In W-Tpr Needle Arthrex,245.3,95.67,,,0
CDM,SUP613,Noncdm Charge Record Medical Supplies - Tray Cath Lbrcth 16Fr 350Ml,60.03,23.41,,,0
CDM,SUP61311,Noncdm Charge Record Medical Supplies - Screw Bn 65X40Mm,2111.4,823.45,,,0
CDM,SUP61312,Noncdm Charge Record Medical Supplies - Tap 4.5Mm,1542.15,601.44,,,0
CDM,SUP61319,Noncdm Charge Record Medical Supplies - Screw Locking Set,268.59,104.75,,,0
CDM,SUP61320,Noncdm Charge Record Medical Supplies - Head Creo Polyaxial Tulip,2454.85,957.39,,,0
CDM,SUP61321,Noncdm Charge Record Medical Supplies - Crosslink 5.5Mm 48-60Mm,2685.82,1047.47,,,0
CDM,SUP6133,Noncdm Charge Record Medical Supplies,3390.66,1322.36,,,0
CDM,SUP6137,Noncdm Charge Record Medical Supplies - Substitute Bn Grft Sm 10Cc,4833.45,1885.05,,,0
CDM,SUP6138,Noncdm Charge Record Medical Supplies - Substitute Bn Graft Sm 5Cc,2685.82,1047.47,,,0
CDM,SUP6139,Noncdm Charge Record Medical Supplies - Sleeve Comp Nyl Xl Kn-Hi Scd Exp Antiemb Ns,111.78,43.59,,,0
CDM,SUP61407_272,Noncdm Charge Record Medical Supplies - Burr Surg 4Mm Oval Med Carb,116.96,45.61,,,0
CDM,SUP61407_A4649_272,Noncdm Charge Record Medical Supplies - Burr Surg 4Mm Oval Med Carb,116.96,45.61,,,0
CDM,SUP61407_A9999_272,Noncdm Charge Record Medical Supplies - Burr Surg 4Mm Oval Med Carb,116.96,45.61,,,0
CDM,SUP61410,Noncdm Charge Record Medical Supplies - Device Embol 4.25Mmx18Mm Pipeline Flx,62182.8,24251.29,,,0
CDM,SUP61413,Noncdm Charge Record Medical Supplies - Device Embol 475Mmx18Mm Pipeline Flx,56382.66,21989.24,,,0
CDM,SUP61416,Noncdm Charge Record Medical Supplies - Device Embol 500Mmx14Mm Pipeline Flx,56382.66,21989.24,,,0
CDM,SUP61419,Noncdm Charge Record Medical Supplies - Device Embol 500Mmx25Mm Pipeline Flx,60418.12,23563.07,,,0
CDM,SUP61422,Noncdm Charge Record Medical Supplies - Device Embol 350Mmx12Mm Pipeline Flx,56382.66,21989.24,,,0
CDM,SUP61424,Noncdm Charge Record Medical Supplies - Device Embol 400Mmx12Mm Pipeline Flx,56382.14,21989.03,,,0
CDM,SUP61464,Noncdm Charge Record Medical Supplies - See 140808 Pack Loop Recorder Kh Wk285008,194.58,75.89,,,0
CDM,SUP61465_272,Noncdm Charge Record Medical Supplies - Set Trkr Fus Ent Nvg Sys Ent Sticky,1123.57,438.19,,,0
CDM,SUP61465_A4649_272,Noncdm Charge Record Medical Supplies - Set Trkr Fus Ent Nvg Sys Ent Sticky,1131.3,441.21,,,0
CDM,SUP61465_A9999_272,Noncdm Charge Record Medical Supplies - Set Trkr Fus Ent Nvg Sys Ent Sticky,1098.43,428.39,,,0
CDM,SUP614_272,Noncdm Charge Record Medical Supplies - Tray Epdrl 18Ga 90 Ndl W Hust,89.02,34.72,,,0
CDM,SUP614_A4649_272,Noncdm Charge Record Medical Supplies - Tray Epdrl 18Ga 90 Ndl W Hust,89.01,34.71,,,0
CDM,SUP614_A9999_272,Noncdm Charge Record Medical Supplies - Tray Epdrl 18Ga 90 Ndl W Hust,89.01,34.71,,,0
CDM,SUP615,Noncdm Charge Record Medical Supplies - Catheter Centrl Venous 8Fr -4 Vitacuff 1 Lum Srcf Tissue,920.12,358.85,,,0
CDM,SUP61500,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 1.50X6Mm,391.23,152.58,,,0
CDM,SUP61501,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 1.50X10Mm,391.23,152.58,,,0
CDM,SUP61502,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 1.50X12Mm,391.23,152.58,,,0
CDM,SUP61503_272,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 1.50X15Mm,391.23,152.58,,,0
CDM,SUP61503_C1725_272,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 1.50X15Mm,391.23,152.58,,,0
CDM,SUP61509,Noncdm Charge Record Medical Supplies - Screw Lock,397.45,155.01,,,0
CDM,SUP61510_272,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 1.50X20Mm,391.23,152.58,,,0
CDM,SUP61510_C1725_272,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 1.50X20Mm,391.23,152.58,,,0
CDM,SUP61511,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.00X6Mm,391.23,152.58,,,0
CDM,SUP61512,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.00X10Mm,391.23,152.58,,,0
CDM,SUP61513,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.00X12Mm,391.26,152.59,,,0
CDM,SUP61514,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.00X15Mm,391.27,152.6,,,0
CDM,SUP61515_272,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.00X20Mm,391.23,152.58,,,0
CDM,SUP61515_C1725_272,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.00X20Mm,391.28,152.6,,,0
CDM,SUP61516,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.00X25Mm,391.23,152.58,,,0
CDM,SUP61517,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.00X30Mm,391.23,152.58,,,0
CDM,SUP61518,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.25X6Mmm,391.23,152.58,,,0
CDM,SUP61519,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.25X10Mm,391.23,152.58,,,0
CDM,SUP61520,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.25X12Mm,391.23,152.58,,,0
CDM,SUP61521,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.25X15Mm,391.23,152.58,,,0
CDM,SUP61522,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.25X20Mm,391.23,152.58,,,0
CDM,SUP61523,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.25X25Mm,391.23,152.58,,,0
CDM,SUP61524,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.50X6Mmm,391.23,152.58,,,0
CDM,SUP61525,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.50X10Mm,391.23,152.58,,,0
CDM,SUP61526,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.50X12Mm,391.27,152.6,,,0
CDM,SUP61527_272,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.50X15Mm,391.75,152.78,,,0
CDM,SUP61527_C1725_272,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.50X15Mm,391.27,152.6,,,0
CDM,SUP61528_272,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.50X20Mm,391.23,152.58,,,0
CDM,SUP61528_C1725_272,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.50X20Mm,391.28,152.6,,,0
CDM,SUP61529,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.50X25Mm,391.23,152.58,,,0
CDM,SUP61530,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.50X30Mm,391.28,152.6,,,0
CDM,SUP61532,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.75X10Mm,391.23,152.58,,,0
CDM,SUP61533,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.75X12Mm,391.23,152.58,,,0
CDM,SUP61534,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.75X15Mm,391.23,152.58,,,0
CDM,SUP61535,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.75X20Mm,391.23,152.58,,,0
CDM,SUP61536,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.75X25Mm,391.23,152.58,,,0
CDM,SUP61538,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 3.00X10Mm,391.23,152.58,,,0
CDM,SUP61539_272,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 3.00X12Mm,391.23,152.58,,,0
CDM,SUP61539_C1725_272,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 3.00X12Mm,391.24,152.58,,,0
CDM,SUP61540,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 3.00X15Mm,391.25,152.59,,,0
CDM,SUP61541,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 3.00X20Mm,391.27,152.6,,,0
CDM,SUP61542,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 3.00X25Mm,391.23,152.58,,,0
CDM,SUP61543_272,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 3.00X30Mm,391.23,152.58,,,0
CDM,SUP61543_C1725_272,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 3.00X30Mm,391.23,152.58,,,0
CDM,SUP61547,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 3.25X15Mm,391.23,152.58,,,0
CDM,SUP61549,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 3.25X25Mm,464.72,181.24,,,0
CDM,SUP61550,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 3.50X6Mm,391.23,152.58,,,0
CDM,SUP61551,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 3.50X10Mm,391.23,152.58,,,0
CDM,SUP61552,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 3.50X12Mm,391.27,152.6,,,0
CDM,SUP61553,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 3.50X15Mm,391.24,152.58,,,0
CDM,SUP61554,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 3.50X20Mm,399.34,155.74,,,0
CDM,SUP61555,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 3.50X25Mm,391.23,152.58,,,0
CDM,SUP61556,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 3.50X30Mm,391.23,152.58,,,0
CDM,SUP61558,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 3.75X10Mm,538.2,209.9,,,0
CDM,SUP61564,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 4.00X10Mm,391.23,152.58,,,0
CDM,SUP61565,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 4.00X12Mm,391.23,152.58,,,0
CDM,SUP61566_272,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 4.00X15Mm,391.23,152.58,,,0
CDM,SUP61566_C1725_272,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 4.00X15Mm,391.23,152.58,,,0
CDM,SUP61567,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 4.00X20Mm,407.66,158.99,,,0
CDM,SUP61568,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 4.00X25Mm,391.23,152.58,,,0
CDM,SUP61569,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 4.00X30Mm,391.23,152.58,,,0
CDM,SUP616,Noncdm Charge Record Medical Supplies - Drain Chest Dry Seal Maquet,252.82,98.6,,,0
CDM,SUP61608_272,Noncdm Charge Record Medical Supplies - Blade Micro 55X12X04Mm Oscillator,77.66,30.29,,,0
CDM,SUP61608_A4649_272,Noncdm Charge Record Medical Supplies - Blade Micro 55X12X04Mm Oscillator,77.62,30.27,,,0
CDM,SUP61608_A9999_272,Noncdm Charge Record Medical Supplies - Blade Micro 55X12X04Mm Oscillator,77.62,30.27,,,0
CDM,SUP61612_272,Noncdm Charge Record Medical Supplies - Blade Micro 55X185X04Mm Sagittal Fine,103.5,40.36,,,0
CDM,SUP61612_A9999_272,Noncdm Charge Record Medical Supplies - Blade Micro 55X185X04Mm Sagittal Fine,103.5,40.36,,,0
CDM,SUP61614_272,Noncdm Charge Record Medical Supplies - Blade Micro 10X185X04Mm Sagittal Fine,109.71,42.79,,,0
CDM,SUP61614_A9999_272,Noncdm Charge Record Medical Supplies - Blade Micro 10X185X04Mm Sagittal Fine,109.71,42.79,,,0
CDM,SUP61654_272,Noncdm Charge Record Medical Supplies - System Drmbnd Prineo 2 Octyl Cyncrlt W-Mesh Applicator,344.78,134.46,,,0
CDM,SUP61654_A4649_272,Noncdm Charge Record Medical Supplies - System Drmbnd Prineo 2 Octyl Cyncrlt W-Mesh Applicator,344.74,134.45,,,0
CDM,SUP61654_A9999_272,Noncdm Charge Record Medical Supplies - System Drmbnd Prineo 2 Octyl Cyncrlt W-Mesh Applicator,344.66,134.42,,,0
CDM,SUP61655,Noncdm Charge Record Medical Supplies - Catheter 035In 10X80Mm 75Cm Balloon Charger Dil,609.62,237.75,,,0
CDM,SUP61657,Noncdm Charge Record Medical Supplies - Suture V-Loc 2-0 180 Es9 8In Green Absorbable Reload Covidie,195.62,76.29,,,0
CDM,SUP61658,Noncdm Charge Record Medical Supplies - Tubing Clipvac Disposable,39.27,15.32,,,0
CDM,SUP6166,Noncdm Charge Record Medical Supplies - Screw 2.4-18Mm Lcp Ss Dist Rad Dist Cort Radial,254.24,99.15,,,0
CDM,SUP6167,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 26Mm Lcp Ss Dist Fib St Lck T8,486.86,189.88,,,0
CDM,SUP61696,Noncdm Charge Record Medical Supplies - Catheter 035In 12X80Mm 75Cm Balloon Charger Dil,685.51,267.35,,,0
CDM,SUP61697_272,Noncdm Charge Record Medical Supplies - Set Gastro Entuit Med Srt Ntl Plc,474.59,185.09,,,0
CDM,SUP61697_A4649_272,Noncdm Charge Record Medical Supplies - Set Gastro Entuit Med Srt Ntl Plc,469.89,183.26,,,0
CDM,SUP61697_C1769_272,Noncdm Charge Record Medical Supplies - Set Gastro Entuit Med Srt Ntl Plc,469.89,183.26,,,0
CDM,SUP61698,Noncdm Charge Record Medical Supplies - Set Gastro Entuit Lrg Srt Ntl Plc,469.89,183.26,,,0
CDM,SUP61699,Noncdm Charge Record Medical Supplies - Tube Gastro Feed 18Fr 10Cm Entuit Trhive Balloon Retent,312.52,121.88,,,0
CDM,SUP6170,Noncdm Charge Record Medical Supplies - Tube Ng 48In 18Fr 11 Eye 2 Lum Radiopq Strp D,27.95,10.9,,,0
CDM,SUP61700,Noncdm Charge Record Medical Supplies - Tube Gastro Feed 20Fr 10Cm Entuit Trhive Balloon Retent,312.48,121.87,,,0
CDM,SUP6178,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 34Mm Nail Ex Ti Ft Hum Tib St,776.25,302.74,,,0
CDM,SUP61780,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 2.50X8Mm Mr,452.81,176.6,,,0
CDM,SUP61781,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 2.75X8Mm Mr,416.07,162.27,,,0
CDM,SUP61782,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 3.00X8Mm Mr,444.65,173.41,,,0
CDM,SUP61783,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 3.25X8Mm Mr,489.56,190.93,,,0
CDM,SUP61784,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 3.50X8Mm Mr,450.36,175.64,,,0
CDM,SUP61786,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 4.00X8Mm Mr,450.77,175.8,,,0
CDM,SUP61787,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 4.50X8Mm Mr,439.03,171.22,,,0
CDM,SUP61788,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 5.00X8Mm Mr,448.22,174.81,,,0
CDM,SUP61789,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 5.50Mm X 8Mm Mr,440.56,171.82,,,0
CDM,SUP61790,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 6.00X8Mm Mr,453.89,177.02,,,0
CDM,SUP61791,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 2.00X12Mm Mr,440.56,171.82,,,0
CDM,SUP61792,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 2.25X12Mm Mr,489.56,190.93,,,0
CDM,SUP61793,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 2.50X12Mm Mr,465.06,181.37,,,0
CDM,SUP61794,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 2.75X12Mm Mr,416.07,162.27,,,0
CDM,SUP61795,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge Mr 3.00Mm X 12Mm Mr,450.88,175.84,,,0
CDM,SUP61796,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge Mr 3.25Mm X 12Mm Mr,457.41,178.39,,,0
CDM,SUP61797,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge Mr 3.50Mm X 12Mm,439.66,171.47,,,0
CDM,SUP61798,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge Mr 3.75Mm X 12Mm,434.44,169.43,,,0
CDM,SUP61799,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge Mr 4.00Mm X 12Mm,437.19,170.5,,,0
CDM,SUP6180,Noncdm Charge Record Medical Supplies - Bone Cort Shaft Lg 126Mm Fld Frzdr,3325.46,1296.93,,,0
CDM,SUP61800,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge Mr 4.50Mm X 12Mm Mr,442.79,172.69,,,0
CDM,SUP61801,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge Mr 5.00Mm X 12Mr,435.41,169.81,,,0
CDM,SUP61802,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 5.50X12Mm Mr,426.57,166.36,,,0
CDM,SUP61803,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 6.00X12Mm Mr,428.32,167.04,,,0
CDM,SUP61805,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 2.25X15Mm Mr,452.81,176.6,,,0
CDM,SUP61806,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 2.50X15Mm Mr,454.85,177.39,,,0
CDM,SUP61807,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 2.75X15Mm Mr,456.15,177.9,,,0
CDM,SUP61808,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 3.00X15Mm Mr,444.54,173.37,,,0
CDM,SUP61809,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 3.25X15Mm Mr,450.36,175.64,,,0
CDM,SUP6181,Noncdm Charge Record Medical Supplies - Holder Tube Ng,8.26,3.22,,,0
CDM,SUP61810,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 3.50X15Mm Mr,440.33,171.73,,,0
CDM,SUP61811,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 3.75X15Mm Mr,440.56,171.82,,,0
CDM,SUP61812,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 4.00X15Mm Mr,437.68,170.7,,,0
CDM,SUP61813,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 4.50X15Mm Mr,447.25,174.43,,,0
CDM,SUP61814,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 5.00X15Mm Mr,452.81,176.6,,,0
CDM,SUP61816,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 6.00X15Mm Mr,416.07,162.27,,,0
CDM,SUP61819,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 2.50X20Mm Mr,443.29,172.88,,,0
CDM,SUP61820,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 2.75X20Mm Mr,489.56,190.93,,,0
CDM,SUP61821,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 3.00X20Mm Mr,448.83,175.04,,,0
CDM,SUP61822,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 3.25X20Mm Mr,428.32,167.04,,,0
CDM,SUP61823,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 3.50X20Mm Mr,436.14,170.09,,,0
CDM,SUP61824,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 3.75X20Mm Mr,489.56,190.93,,,0
CDM,SUP61825,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 4.00X20Mm Mr,445.46,173.73,,,0
CDM,SUP61826,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 4.50X20Mm Mr,444.62,173.4,,,0
CDM,SUP61827,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 5.00X20Mm Mr,452.81,176.6,,,0
CDM,SUP61828,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 5.50X20Mm Mr,416.07,162.27,,,0
CDM,SUP61831,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 2.25X30Mm Mr,416.07,162.27,,,0
CDM,SUP61832,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 2.50X30Mm Mr,458.06,178.64,,,0
CDM,SUP61834,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 3.00X30Mm Mr,449.14,175.16,,,0
CDM,SUP61835,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 3.25X30Mm Mr,489.56,190.93,,,0
CDM,SUP61836,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 3.50X30Mm Mr,423.94,165.34,,,0
CDM,SUP61838,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 4.00X30Mm Mr,447.56,174.55,,,0
CDM,SUP6186,Noncdm Charge Record Medical Supplies - Device Safeguard Press 24Cm Assist,292.45,114.06,,,0
CDM,SUP6187,Noncdm Charge Record Medical Supplies - Device Scr 12Cm Pt Dressing Bulb Prs Deflate,274.27,106.97,,,0
CDM,SUP61900,Noncdm Charge Record Medical Supplies,538.2,209.9,,,0
CDM,SUP61911,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 1.20X8Mm,416.07,162.27,,,0
CDM,SUP61912,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 1.50X8Mm,434.44,169.43,,,0
CDM,SUP61913,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 2.00X8Mm,443.63,173.02,,,0
CDM,SUP61915,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 2.50X8Mm,440.56,171.82,,,0
CDM,SUP61917,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 3.00Mm X 8M,458.06,178.64,,,0
CDM,SUP61919,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 3.50Mm X 8M,452.81,176.6,,,0
CDM,SUP61923,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 1.50Mm X 12,465.06,181.37,,,0
CDM,SUP61924,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 2.00X12Mm,443.06,172.79,,,0
CDM,SUP61925,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 2.25X12Mm,468.56,182.74,,,0
CDM,SUP61926,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 2.50X12Mm,447.38,174.48,,,0
CDM,SUP61928,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 3.00Mm X 12,441.94,172.36,,,0
CDM,SUP61929,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 3.25Mm X 12,440.56,171.82,,,0
CDM,SUP61930,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 3.50Mm X 12,442.31,172.5,,,0
CDM,SUP61932,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 4.00Mm X 12,425.26,165.85,,,0
CDM,SUP61934,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 1.50Mm X 15,449.47,175.29,,,0
CDM,SUP61935,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 2.00X15Mm,439.9,171.56,,,0
CDM,SUP61936,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 2.25X15Mm,489.56,190.93,,,0
CDM,SUP61937,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 2.50X15Mm,450.95,175.87,,,0
CDM,SUP61938,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 2.75X15Mm,440.56,171.82,,,0
CDM,SUP61939,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 3.00X15Mm,447.08,174.36,,,0
CDM,SUP61941,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 3.50X15Mm,450.65,175.75,,,0
CDM,SUP61942,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 3.75X15Mm,416.07,162.27,,,0
CDM,SUP61943,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 4.00X15Mm,441.63,172.24,,,0
CDM,SUP61945,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 1.50X20Mm,445.46,173.73,,,0
CDM,SUP61946,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 2.00X20Mm,447.01,174.33,,,0
CDM,SUP61947,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 2.25X20Mm,471.18,183.76,,,0
CDM,SUP61948,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 2.50X20Mm,438.26,170.92,,,0
CDM,SUP61949,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 2.75X20Mm,434.44,169.43,,,0
CDM,SUP61950,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 3.00X20Mm,442.87,172.72,,,0
CDM,SUP61952,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 3.50X20Mm,435.85,169.98,,,0
CDM,SUP61954,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 4.00X20Mm,452.81,176.6,,,0
CDM,SUP61955,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 2.00X30Mm,444.33,173.29,,,0
CDM,SUP61956,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 2.25X30Mm,465.06,181.37,,,0
CDM,SUP61957,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 2.50X30Mm,440.54,171.81,,,0
CDM,SUP61959,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 3.00X30Mm,445.46,173.73,,,0
CDM,SUP61961,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 3.50X30Mm,452.81,176.6,,,0
CDM,SUP61964,Noncdm Charge Record Medical Supplies - Balloon Emerge 1.20X8Mm Push Mr,489.56,190.93,,,0
CDM,SUP61967,Noncdm Charge Record Medical Supplies - Balloon Emerge 1.50X12Mm Push Mr,416.07,162.27,,,0
CDM,SUP61968,Noncdm Charge Record Medical Supplies - Balloon Emerge 1.20X15Mm Push Mr,428.32,167.04,,,0
CDM,SUP61969,Noncdm Charge Record Medical Supplies - Balloon Emerge 1.50X15Mm Push Mr,416.07,162.27,,,0
CDM,SUP6197,Noncdm Charge Record Medical Supplies - Graft 40Cm6Mm Gore Propaten Propaten Eptfe Hep Vasc,5021.82,1958.51,,,0
CDM,SUP61971,Noncdm Charge Record Medical Supplies - Balloon Emerge 1.50X20Mm Push Mr,489.56,190.93,,,0
CDM,SUP6199,Noncdm Charge Record Medical Supplies - Cement Bn Hydroset 15Cc Bn Sub Void Filler Ca Phos,16604.5,6475.76,,,0
CDM,SUP62012,Noncdm Charge Record Medical Supplies - Balloon Emerge 3.25X20Mm Otw,538.2,209.9,,,0
CDM,SUP62033,Noncdm Charge Record Medical Supplies - Cage Peek Lumb Mdl 39X15Mm12D Ii,21750.52,8482.7,,,0
CDM,SUP62065,Noncdm Charge Record Medical Supplies - Graft Nerve Avance 2-3Mm 70Mm,29537.35,11519.57,,,0
CDM,SUP6208,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 25Mm Pncl Canc Strl,633.83,247.19,,,0
CDM,SUP62096,Noncdm Charge Record Medical Supplies - Needle Epdrl 20Ga 6In Tuohy Wing Plastic Hub,42.78,16.68,,,0
CDM,SUP6210,Noncdm Charge Record Medical Supplies - Screw Bn 95Mm 90Mm Intertan,6425.28,2505.86,,,0
CDM,SUP62146,Noncdm Charge Record Medical Supplies - Sys Edwards Thv Valve 26Mm Sapien 3,157087.12,61263.98,,,0
CDM,SUP62147,Noncdm Charge Record Medical Supplies - Kit Implant Valve - Sapien 3 Transcatheter Heart Valve 29Mm,159262.18,62112.25,,,0
CDM,SUP6215,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 30Mm Nail Ex Ti Hum Tib Lck,712.08,277.71,,,0
CDM,SUP6217,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 16Mm Lcp Ti Cor Dist Dist Hum,278.76,108.72,,,0
CDM,SUP621_272,Noncdm Charge Record Medical Supplies - Needle Biopsy 18Gax10Cm Chiba Cook Medical,58.91,22.97,,,0
CDM,SUP621_A4649_272,Noncdm Charge Record Medical Supplies - Needle Biopsy 18Gax10Cm Chiba Cook Medical,59.0,23.01,,,0
CDM,SUP62210_272,Noncdm Charge Record Medical Supplies - Kit Endogator W-Tubing,94.18,36.73,,,0
CDM,SUP62210_A4649_272,Noncdm Charge Record Medical Supplies - Kit Endogator W-Tubing,94.18,36.73,,,0
CDM,SUP62210_A9999_272,Noncdm Charge Record Medical Supplies - Kit Endogator W-Tubing,94.18,36.73,,,0
CDM,SUP62211_272,Noncdm Charge Record Medical Supplies - Tubing Endogator Hybrid Irr,94.18,36.73,,,0
CDM,SUP62211_A4649_272,Noncdm Charge Record Medical Supplies - Tubing Endogator Hybrid Irr,94.18,36.73,,,0
CDM,SUP62211_A9999_272,Noncdm Charge Record Medical Supplies - Tubing Endogator Hybrid Irr,94.18,36.73,,,0
CDM,SUP62212_272,Noncdm Charge Record Medical Supplies - Attachment Dist Sft Strt For Gifh180 Gscp,121.11,47.23,,,0
CDM,SUP62212_A9999_272,Noncdm Charge Record Medical Supplies - Attachment Dist Sft Strt For Gifh180 Gscp,121.1,47.23,,,0
CDM,SUP6222,Noncdm Charge Record Medical Supplies - Nail 2Mm 44Cm Dphsl Mtphsl Epip Intramed Elc,1460.38,569.55,,,0
CDM,SUP6228,Noncdm Charge Record Medical Supplies - Coupler Fem Legion 4Mm Knee,6343.52,2473.97,,,0
CDM,SUP6231,Noncdm Charge Record Medical Supplies - Stem Fem 135-14Mm Cement Prim,13642.34,5320.51,,,0
CDM,SUP6232,Noncdm Charge Record Medical Supplies - Insert Artic 5-6 18Mm Tib Knee,10633.59,4147.1,,,0
CDM,SUP6233,Noncdm Charge Record Medical Supplies - Component Fem 5 Lt Knee Cnstrn,33435.68,13039.92,,,0
CDM,SUP6235,Noncdm Charge Record Medical Supplies - Hinge Cmps Ext Fix Univ,74685.6,29127.38,,,0
CDM,SUP62384,Noncdm Charge Record Medical Supplies - Kit Biceptor 8Mm 15Mm Disp Tenodesis,2264.58,883.19,,,0
CDM,SUP62385,Noncdm Charge Record Medical Supplies - Kit Biceptor 9Mm 15Mm Disp Tenodesis,2264.58,883.19,,,0
CDM,SUP62387,Noncdm Charge Record Medical Supplies - System Mnscl Strt Repr Fst Fx 360,2457.09,958.27,,,0
CDM,SUP62388,Noncdm Charge Record Medical Supplies - Kit Biceptor 7Mm 15Mm Disp Tenodesis,2264.58,883.19,,,0
CDM,SUP623_272,Noncdm Charge Record Medical Supplies - Catheter Iv 14Ga 1.75In Bd Medical,7.25,2.83,,,0
CDM,SUP623_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Iv 14Ga 1.75In Bd Medical,7.24,2.82,,,0
CDM,SUP623_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Iv 14Ga 1.75In Bd Medical,7.24,2.82,,,0
CDM,SUP624,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 34Mm Ss P-T Radial Cannula Ns,835.24,325.74,,,0
CDM,SUP62419_270,Noncdm Charge Record Medical Supplies - Cable Bipolar 12Ft Disposable Neuro-Tec Company,32.02,12.49,,,0
CDM,SUP62419_A9999_270,Noncdm Charge Record Medical Supplies - Cable Bipolar 12Ft Disposable Neuro-Tec Company,32.08,12.51,,,0
CDM,SUP6242,Noncdm Charge Record Medical Supplies - Catheter Drain 14Fr 25Cm Mclc,439.8,171.52,,,0
CDM,SUP6246,Noncdm Charge Record Medical Supplies - Valve Aort 23Mm Msc Ul Biopros,24761.34,9656.92,,,0
CDM,SUP6247,Noncdm Charge Record Medical Supplies - Valve Aort 25Mm Msc Ul Biopros,24761.34,9656.92,,,0
CDM,SUP625,Noncdm Charge Record Medical Supplies - Valve Spk 15Mm Tracheo Tub Strl Phonate Wht,341.55,133.2,,,0
CDM,SUP6254,Noncdm Charge Record Medical Supplies,1034.22,403.35,,,0
CDM,SUP6255,Noncdm Charge Record Medical Supplies - Rod Spnl 400Mm 5.5Mm Revere Pdcl Ti Strt,940.3,366.72,,,0
CDM,SUP6256,Noncdm Charge Record Medical Supplies - Tube Feeding Mic J 18Fr Silicone Balloon,695.26,271.15,,,0
CDM,SUP62697,Noncdm Charge Record Medical Supplies - Psn Str Hyb St 14 X +30 M,1993.17,777.34,,,0
CDM,SUP62698,Noncdm Charge Record Medical Supplies - Kit Prtnl Dia Cath,402.62,157.02,,,0
CDM,SUP6269_272,Noncdm Charge Record Medical Supplies - Tubing Suct Extn Escp Lav,62.31,24.3,,,0
CDM,SUP6269_A4649_272,Noncdm Charge Record Medical Supplies - Tubing Suct Extn Escp Lav,23.8,9.28,,,0
CDM,SUP6269_A9999_272,Noncdm Charge Record Medical Supplies - Tubing Suct Extn Escp Lav,167.01,65.13,,,0
CDM,SUP627,Noncdm Charge Record Medical Supplies - See 82494 Adapter Dia Prtnl 2 Pc Lck Vlnk Ti Strl,1231.65,480.34,,,0
CDM,SUP6272,Noncdm Charge Record Medical Supplies - Lead Pacing 53Cm Ventri Unplr,2041.02,796.0,,,0
CDM,SUP6275,Noncdm Charge Record Medical Supplies - Stem Fem 150Mm 12Mm Prim Std,14636.97,5708.42,,,0
CDM,SUP6276,Noncdm Charge Record Medical Supplies - Liner Bipolar 42Mm 22Mm Tndm,4905.9,1913.3,,,0
CDM,SUP6283,Noncdm Charge Record Medical Supplies - See 108877 Kit Female 8Fr Urine Specimen Catheter Covidien,3.1,1.21,,,0
CDM,SUP6284,Noncdm Charge Record Medical Supplies - Retainer Srglst 7 25Ydx4In Elc Tube Net Strch,69.34,27.04,,,0
CDM,SUP6287,Noncdm Charge Record Medical Supplies,12543.85,4892.1,,,0
CDM,SUP628_272,Noncdm Charge Record Medical Supplies - Cap Adapt Dscnct Mncp,21.35,8.33,,,0
CDM,SUP628_A4649_272,Noncdm Charge Record Medical Supplies - Cap Adapt Dscnct Mncp,21.74,8.48,,,0
CDM,SUP629,Noncdm Charge Record Medical Supplies - Needle Biopsy 18Gax5Cm Chiba Cook Medical,44.5,17.36,,,0
CDM,SUP6295,Noncdm Charge Record Medical Supplies - Lead Pacing 58Cm Atr Ventri,2041.02,796.0,,,0
CDM,SUP6296_C1898_275,Noncdm Charge Record Medical Supplies - Lead Pacing 45Cm Atr Ventri,2041.02,796.0,,,0
CDM,SUP6296_L8699_278,Noncdm Charge Record Medical Supplies - Lead Pacing 45Cm Atr Ventri,2041.02,796.0,,,0
CDM,SUP6297_C1898_275,Noncdm Charge Record Medical Supplies - Lead Pacing 52Cm Atr Ventri,2041.02,796.0,,,0
CDM,SUP6297_C1898_278,Noncdm Charge Record Medical Supplies - Lead Pacing 52Cm Atr Ventri,2041.02,796.0,,,0
CDM,SUP6299,Noncdm Charge Record Medical Supplies - Retractor Lg Sft Tis Surg,1713.96,668.44,,,0
CDM,SUP6303,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 54Mm Nail Ex Ti Ft Fem-Tib St,712.08,277.71,,,0
CDM,SUP63061,Noncdm Charge Record Medical Supplies - Blade Helical Tfna 85Mm Sterile Synthes,2589.57,1009.93,,,0
CDM,SUP6307,Noncdm Charge Record Medical Supplies - Liner Bipolar 46Mm 28Mm Tndm,4905.9,1913.3,,,0
CDM,SUP63073,Noncdm Charge Record Medical Supplies - Screw Tfna 85Mm Sterile,2874.2,1120.94,,,0
CDM,SUP63074,Noncdm Charge Record Medical Supplies - Screw Tfna 90Mm Sterile,2874.2,1120.94,,,0
CDM,SUP63077,Noncdm Charge Record Medical Supplies,2874.2,1120.94,,,0
CDM,SUP6308,Noncdm Charge Record Medical Supplies,3450.69,1345.77,,,0
CDM,SUP63083,Noncdm Charge Record Medical Supplies - Nail Ti 10Mm-130 Deg 170Mm Cann Tfna Strl,5787.95,2257.3,,,0
CDM,SUP63084,Noncdm Charge Record Medical Supplies - Nail Ti 11Mm-130 Deg 170Mm Cann Tfna Strl,5818.47,2269.2,,,0
CDM,SUP63085,Noncdm Charge Record Medical Supplies - Nail Ti 12Mm-130 Deg 170Mm Cann Tfna Strl,6013.52,2345.27,,,0
CDM,SUP63086,Noncdm Charge Record Medical Supplies - Nail Ti 9Mm-130 Deg 170Mm Cann Tfna Strl,5519.66,2152.67,,,0
CDM,SUP63087,Noncdm Charge Record Medical Supplies - Shell Acetab 3Hl R3 56Odmm,8627.76,3364.83,,,0
CDM,SUP630_272,Noncdm Charge Record Medical Supplies - Needle Biopsy 20Gax10Cm Chiba Cook Medical,58.97,23.0,,,0
CDM,SUP630_A9999_272,Noncdm Charge Record Medical Supplies - Needle Biopsy 20Gax10Cm Chiba Cook Medical,59.0,23.01,,,0
CDM,SUP6311,Noncdm Charge Record Medical Supplies - Retainer Srglst 11 25Ydx4In Elc Tube Net,182.16,71.04,,,0
CDM,SUP632,Noncdm Charge Record Medical Supplies - Tray Thorcnts 4.75In 8Fr Arw-Clrk Plrasl Ndl,170.78,66.6,,,0
CDM,SUP6325,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 50Mm 15Mm Ss P-T,2227.84,868.86,,,0
CDM,SUP63252,Noncdm Charge Record Medical Supplies - Nail Ti 10Mm-130D 235Mm Rt Cann Tfna Strl,6345.58,2474.78,,,0
CDM,SUP63253,Noncdm Charge Record Medical Supplies - Nail Ti 10Mm-130D 400Mm Rt Cann Tfna Strl,8512.25,3319.78,,,0
CDM,SUP63254,Noncdm Charge Record Medical Supplies - Nail Ti 10Mm-130D 420Mm Rt Cann Tfna Strl,9011.95,3514.66,,,0
CDM,SUP63255,Noncdm Charge Record Medical Supplies - Nail Ti 10Mm-130D 440Mm Rt Cann Tfna Strl,8262.41,3222.34,,,0
CDM,SUP63258,Noncdm Charge Record Medical Supplies - Nail Ti 10Mm-130D 320Mm Rt Cann Tfna Strl,8262.41,3222.34,,,0
CDM,SUP63260,Noncdm Charge Record Medical Supplies - Nail Ti 10Mm-130D 360Mm Rt Cann Tfna Strl,8830.24,3443.79,,,0
CDM,SUP63261,Noncdm Charge Record Medical Supplies - Nail Ti 10Mm-130D 380Mm Rt Cann Tfna Strl,8591.15,3350.55,,,0
CDM,SUP63262,Noncdm Charge Record Medical Supplies - Nail Ti 10Mm-130D 235Mm Lt Cann Tfna Strl,6391.19,2492.56,,,0
CDM,SUP63263,Noncdm Charge Record Medical Supplies - Nail Ti 10Mm-130D 400Mm Lt Cann Tfna Strl,8540.01,3330.6,,,0
CDM,SUP63264,Noncdm Charge Record Medical Supplies - Nail Ti 10Mm-130D 420Mm Lt Cann Tfna Strl,9511.65,3709.54,,,0
CDM,SUP63267,Noncdm Charge Record Medical Supplies,9511.65,3709.54,,,0
CDM,SUP63268,Noncdm Charge Record Medical Supplies - Nail Ti 10Mm-130D 320Mm Lt Cann Tfna Strl,9511.65,3709.54,,,0
CDM,SUP63269,Noncdm Charge Record Medical Supplies - Nail Ti 10Mm-130D 340Mm Lt Cann Tfna Strl,8262.41,3222.34,,,0
CDM,SUP6327,Noncdm Charge Record Medical Supplies - Set Screw 85-80Mm Intertan Ti,6425.28,2505.86,,,0
CDM,SUP63270,Noncdm Charge Record Medical Supplies - Nail Ti 10Mm-130D 360Mm Lt Cann Tfna Strl,8574.72,3344.14,,,0
CDM,SUP63271,Noncdm Charge Record Medical Supplies - Nail Ti 10Mm-130D 380Mm Lt Cann Tfna Strl,8428.97,3287.3,,,0
CDM,SUP63272,Noncdm Charge Record Medical Supplies - Nail Ti 11Mm-130D 235Mm Rt Cann Tfna Strl,6478.25,2526.52,,,0
CDM,SUP63274,Noncdm Charge Record Medical Supplies - Nail Ti 11Mm-130D 320Mm Rt Cann Tfna Strl,8887.03,3465.94,,,0
CDM,SUP63276,Noncdm Charge Record Medical Supplies - Nail Ti 11Mm-130D 360Mm Rt Cann Tfna Strl,8678.82,3384.74,,,0
CDM,SUP63277,Noncdm Charge Record Medical Supplies - Nail Ti 11Mm-130D 380Mm Rt Cann Tfna Strl,8470.61,3303.54,,,0
CDM,SUP63278,Noncdm Charge Record Medical Supplies - Nail Ti 11Mm-130D 400Mm Rt Cann Tfna Strl,8512.25,3319.78,,,0
CDM,SUP63279,Noncdm Charge Record Medical Supplies - Nail Ti 11Mm-130D 420Mm Rt Cann Tfna Strl,8262.41,3222.34,,,0
CDM,SUP6328,Noncdm Charge Record Medical Supplies - Set Intub Crwfrd Lcrml Sut,547.52,213.53,,,0
CDM,SUP63280,Noncdm Charge Record Medical Supplies - Nail Ti 11Mm-130D 440Mm Rt Cann Tfna Strl,8262.41,3222.34,,,0
CDM,SUP63282,Noncdm Charge Record Medical Supplies - Nail Ti 11Mm-130D 235Mm Lt Cann Tfna Strl,6403.92,2497.53,,,0
CDM,SUP63283,Noncdm Charge Record Medical Supplies - Nail Ti 11Mm-130D 300Mm Lt Cann Tfna Strl,9511.65,3709.54,,,0
CDM,SUP63285,Noncdm Charge Record Medical Supplies - Nail Ti 11Mm-130D 340Mm Lt Cann Tfna Strl,8678.82,3384.74,,,0
CDM,SUP63286,Noncdm Charge Record Medical Supplies - Nail Ti 11Mm-130D 360Mm Lt Cann Tfna Strl,8512.25,3319.78,,,0
CDM,SUP63287,Noncdm Charge Record Medical Supplies - Nail Ti 11Mm-130D 380Mm Lt Cann Tfna Strl,8603.11,3355.21,,,0
CDM,SUP63288,Noncdm Charge Record Medical Supplies - Nail Ti 11Mm-130D 400Mm Lt Cann Tfna Strl,8418.56,3283.24,,,0
CDM,SUP63289,Noncdm Charge Record Medical Supplies - Nail Ti 11Mm-130D 420Mm Lt Cann Tfna Strl,8440.87,3291.94,,,0
CDM,SUP63293,Noncdm Charge Record Medical Supplies - Bone Tendon Ahls Ps Frzn,9203.22,3589.26,,,0
CDM,SUP63295,Noncdm Charge Record Medical Supplies - Strut Ultra Short Hex,4454.64,1737.31,,,0
CDM,SUP63296,Noncdm Charge Record Medical Supplies - Ring 160Mm 5-8,3751.88,1463.23,,,0
CDM,SUP6329_272,Noncdm Charge Record Medical Supplies - Remover Staple Prox Ss Sqz Handle Strl Disp,9.59,3.74,,,0
CDM,SUP6329_A4649_272,Noncdm Charge Record Medical Supplies - Remover Staple Prox Ss Sqz Handle Strl Disp,9.32,3.63,,,0
CDM,SUP6333,Noncdm Charge Record Medical Supplies - Screw 2.4-14Mm Lcp Ss Cort Rad Dist Cort Radial,252.46,98.46,,,0
CDM,SUP6334_C1713_278,Noncdm Charge Record Medical Supplies - Screw 2.4-16Mm Lcp Ss Dist Rad Dist Cort Radial,253.13,98.72,,,0
CDM,SUP6334_L8699_278,Noncdm Charge Record Medical Supplies - Screw 2.4-16Mm Lcp Ss Dist Rad Dist Cort Radial,253.58,98.9,,,0
CDM,SUP6335_C1713_278,Noncdm Charge Record Medical Supplies - Screw 2.4-24Mm Lcp Ss Cort Dist Cort Radial,252.87,98.62,,,0
CDM,SUP6335_L8699_278,Noncdm Charge Record Medical Supplies - Screw 2.4-24Mm Lcp Ss Cort Dist Cort Radial,253.58,98.9,,,0
CDM,SUP63362,Noncdm Charge Record Medical Supplies - Screw Bn Cannula 2.5X14Mm Strl,859.05,335.03,,,0
CDM,SUP63363,Noncdm Charge Record Medical Supplies - Plate Bn Mtp 5D Sm Rt Fus 1St,8337.96,3251.8,,,0
CDM,SUP6336_C1713_278,Noncdm Charge Record Medical Supplies - Screw 2.7-12Mm Lc Dcp Ss St T8 Cort St T8,182.33,71.11,,,0
CDM,SUP6336_L8699_278,Noncdm Charge Record Medical Supplies - Screw 2.7-12Mm Lc Dcp Ss St T8 Cort St T8,184.23,71.85,,,0
CDM,SUP6337_C1713_278,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 14Mm Lcp Dcp Ss Cort St T8,182.73,71.26,,,0
CDM,SUP6337_L8699_278,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 14Mm Lcp Dcp Ss Cort St T8,184.23,71.85,,,0
CDM,SUP6339_C1713_278,Noncdm Charge Record Medical Supplies - Screw 2.4-12Mm Lcp Ss Lck St Dist Radial Lck St,513.66,200.33,,,0
CDM,SUP6339_L8699_278,Noncdm Charge Record Medical Supplies - Screw 2.4-12Mm Lcp Ss Lck St Dist Radial Lck St,513.36,200.21,,,0
CDM,SUP6340,Noncdm Charge Record Medical Supplies - Screw 2.4-14Mm Lcp Ss Lck St Dist Radial Lck St,513.36,200.21,,,0
CDM,SUP6341,Noncdm Charge Record Medical Supplies - Screw 2.4-18Mm Lcp Ss Lck St Dist Radial Lck St,514.6,200.69,,,0
CDM,SUP6342,Noncdm Charge Record Medical Supplies - Screw 2.4-22Mm Lcp Ss Lck St Dist Radial Lck St,515.22,200.94,,,0
CDM,SUP63477,Noncdm Charge Record Medical Supplies - System Urolift Neotract,5195.99,2026.44,,,0
CDM,SUP6349,Noncdm Charge Record Medical Supplies - Head Bipolar 46Mm 28Mm Slfcntr Fem Hip,4463.96,1740.94,,,0
CDM,SUP6350,Noncdm Charge Record Medical Supplies - Cup Bipolar 47Mm 28Mm Slfcntr Acetab,3337.88,1301.77,,,0
CDM,SUP63526,Noncdm Charge Record Medical Supplies - Nail Ti 12Mm-130 Deg 235Mm Rt Cann Tfna Strl,6517.21,2541.71,,,0
CDM,SUP63529,Noncdm Charge Record Medical Supplies - Nail Ti 12Mm-130 Deg 340Mm Rt Cann Tfna Strl,8262.41,3222.34,,,0
CDM,SUP63530,Noncdm Charge Record Medical Supplies - Nail Ti 12Mm-130 Deg 360Mm Rt Cann Tfna Strl,8262.41,3222.34,,,0
CDM,SUP63531,Noncdm Charge Record Medical Supplies - Nail Ti 12Mm-130 Deg 380Mm Rt Cann Tfna Strl,8887.03,3465.94,,,0
CDM,SUP63532,Noncdm Charge Record Medical Supplies - Nail Ti 12Mm-130 Deg 400Mm Rt Cann Tfna Strl,8262.41,3222.34,,,0
CDM,SUP63533,Noncdm Charge Record Medical Supplies - Nail Ti 12Mm-130 Deg 420Mm Rt Cann Tfna Strl,8887.03,3465.94,,,0
CDM,SUP63534,Noncdm Charge Record Medical Supplies - Nail Ti 12Mm-130 Deg 440Mm Rt Cann Tfna Strl,8262.41,3222.34,,,0
CDM,SUP63536,Noncdm Charge Record Medical Supplies - Nail Ti 12Mm-130 Deg 235Mm Lt Cann Tfna Strl,6528.0,2545.92,,,0
CDM,SUP63540,Noncdm Charge Record Medical Supplies - Nail Ti 12Mm-130 Deg 360Mm Lt Cann Tfna Strl,8678.82,3384.74,,,0
CDM,SUP63541,Noncdm Charge Record Medical Supplies - Nail Ti 12Mm-130 Deg 380Mm Lt Cann Tfna Strl,8262.41,3222.34,,,0
CDM,SUP63542,Noncdm Charge Record Medical Supplies - Nail Ti 12Mm-130 Deg 400Mm Lt Cann Tfna Strl,8678.82,3384.74,,,0
CDM,SUP63543,Noncdm Charge Record Medical Supplies - Nail Ti 12Mm-130 Deg 420Mm Lt Cann Tfna Strl,8262.41,3222.34,,,0
CDM,SUP63544,Noncdm Charge Record Medical Supplies - Nail Ti 12Mm-130 Deg 440Mm Lt Cann Tfna Strl,8678.82,3384.74,,,0
CDM,SUP63549,Noncdm Charge Record Medical Supplies - Nail Ti 14Mm-130 Deg 400Mm Rt Cann Tfna Strl,8262.41,3222.34,,,0
CDM,SUP63552,Noncdm Charge Record Medical Supplies - Nail Ti 14Mm-130 Deg 460Mm Rt Cann Tfna Strl,9511.65,3709.54,,,0
CDM,SUP63554,Noncdm Charge Record Medical Supplies - Nail Ti 14Mm-130 Deg 360Mm Lt Cann Tfna Strl,8262.41,3222.34,,,0
CDM,SUP63555,Noncdm Charge Record Medical Supplies - Nail Ti 14Mm-130 Deg 380Mm Lt Cann Tfna Strl,8262.41,3222.34,,,0
CDM,SUP63558,Noncdm Charge Record Medical Supplies - Nail Ti 14Mm-130 Deg 440Mm Lt Cann Tfna Strl,9511.65,3709.54,,,0
CDM,SUP63560,Noncdm Charge Record Medical Supplies,7804.94,3043.93,,,0
CDM,SUP63561,Noncdm Charge Record Medical Supplies - Nail Ti 9Mm-130 Deg 235Mm Lt Cann Tfna Strl,7804.94,3043.93,,,0
CDM,SUP63562,Noncdm Charge Record Medical Supplies - Cannula Passport 8Mm Id 2Cm Arthrex,156.28,60.95,,,0
CDM,SUP63563,Noncdm Charge Record Medical Supplies - Cannula Passport 8Mm Id 3Cm Arthrex,156.37,60.98,,,0
CDM,SUP63577,Noncdm Charge Record Medical Supplies - Bit Drill 27Mm,705.87,275.29,,,0
CDM,SUP63578,Noncdm Charge Record Medical Supplies - Bit Drill 32Mm,705.87,275.29,,,0
CDM,SUP63579,Noncdm Charge Record Medical Supplies - Bit Drill 45Mm,705.87,275.29,,,0
CDM,SUP63583,Noncdm Charge Record Medical Supplies - Bit Drill 25Mm,732.89,285.83,,,0
CDM,SUP63584,Noncdm Charge Record Medical Supplies - Bit Drill 20Mm,480.24,187.29,,,0
CDM,SUP6362,Noncdm Charge Record Medical Supplies - Graft Vasc 45Cm 4-7Mm Gore,6046.64,2358.19,,,0
CDM,SUP6369,Noncdm Charge Record Medical Supplies - Implant Brow Fx 3Mm Bioabs,1477.98,576.41,,,0
CDM,SUP63773,Noncdm Charge Record Medical Supplies - Coupler Flow 3.5Mm W-20Mhz Doppler,4387.3,1711.05,,,0
CDM,SUP63774,Noncdm Charge Record Medical Supplies,4387.36,1711.07,,,0
CDM,SUP63812_272,Noncdm Charge Record Medical Supplies - Forceps Surg 4In Bipolar Crv Disp 04Mm Tip,102.46,39.96,,,0
CDM,SUP63812_A4649_272,Noncdm Charge Record Medical Supplies - Forceps Surg 4In Bipolar Crv Disp 04Mm Tip,102.46,39.96,,,0
CDM,SUP63812_A9999_272,Noncdm Charge Record Medical Supplies - Forceps Surg 4In Bipolar Crv Disp 04Mm Tip,102.46,39.96,,,0
CDM,SUP63813_272,Noncdm Charge Record Medical Supplies - Stockinet 3Inx36In Sgl Ply Str,8.28,3.23,,,0
CDM,SUP63813_A4649_272,Noncdm Charge Record Medical Supplies - Stockinet 3Inx36In Sgl Ply Str,8.28,3.23,,,0
CDM,SUP63814,Noncdm Charge Record Medical Supplies - Stockinet 4Inx36In Sgl Ply Str,8.28,3.23,,,0
CDM,SUP6391,Noncdm Charge Record Medical Supplies - Nail 15.5-11-180Mmtroch Gamma3,9919.44,3868.58,,,0
CDM,SUP6392,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 37.5Mm T2 Ti Alloy Ft Prox Fem,660.85,257.73,,,0
CDM,SUP6393,Noncdm Charge Record Medical Supplies - Screw Bn 10.5Mm 95Mm Gamma3 Ti Troch Hip Lag,7009.02,2733.52,,,0
CDM,SUP6398,Noncdm Charge Record Medical Supplies - Screw Bn 30Mm Acutwist Ti Ft Peri Art Wrst,1606.32,626.46,,,0
CDM,SUP64011_272,Noncdm Charge Record Medical Supplies - Rotatable Fusion Blade Quadcut 4.3Mmx13Cm,2185.06,852.17,,,0
CDM,SUP64011_A4649_272,Noncdm Charge Record Medical Supplies - Rotatable Fusion Blade Quadcut 4.3Mmx13Cm,2198.34,857.35,,,0
CDM,SUP64011_A9999_272,Noncdm Charge Record Medical Supplies - Rotatable Fusion Blade Quadcut 4.3Mmx13Cm,2144.52,836.36,,,0
CDM,SUP6408_C1713_278,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 12Mm Lcp Ss Dist Cort Radial,252.84,98.61,,,0
CDM,SUP6408_L8699_278,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 12Mm Lcp Ss Dist Cort Radial,253.58,98.9,,,0
CDM,SUP6409,Noncdm Charge Record Medical Supplies - Screw 2.4-22Mm Lcp Ss Dist Rad Dist Cort Radial,252.41,98.44,,,0
CDM,SUP6410,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 18Mm Lcp Ss Cort Dist St Strdr,182.44,71.15,,,0
CDM,SUP6411,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 80Mm Lcp Ss Prox Med Tib Lck,554.76,216.36,,,0
CDM,SUP64110,Noncdm Charge Record Medical Supplies - Rod 300Mm Titanium,1128.15,439.98,,,0
CDM,SUP64177,Noncdm Charge Record Medical Supplies - Dilator Balloon 3Mm 75Mm 10Mm Cre Pulm,2013.2,785.15,,,0
CDM,SUP64178,Noncdm Charge Record Medical Supplies - Dilator Balloon 3Mm 75Mm 12Mm Cre Pulm,2013.2,785.15,,,0
CDM,SUP642,Noncdm Charge Record Medical Supplies - See 6469 Tray Lumb Pnct 22Ga 1In Neonat,95.22,37.14,,,0
CDM,SUP6427_272,Noncdm Charge Record Medical Supplies - Tube Endotrach 5.5 Oral Shrd,19.66,7.67,,,0
CDM,SUP6427_A9999_272,Noncdm Charge Record Medical Supplies - Tube Endotrach 5.5 Oral Shrd,18.63,7.27,,,0
CDM,SUP64284,Noncdm Charge Record Medical Supplies - Adapter Univ Tubing Apsira Ii,72.1,28.12,,,0
CDM,SUP643,Noncdm Charge Record Medical Supplies - Lid Suction Cannister Olympus,14.49,5.65,,,0
CDM,SUP6431,Noncdm Charge Record Medical Supplies - Connector Rod 38-51Mm Revere,2685.82,1047.47,,,0
CDM,SUP64343,Noncdm Charge Record Medical Supplies,11358.61,4429.86,,,0
CDM,SUP64370,Noncdm Charge Record Medical Supplies - Cannula Passport 10Mm Id Arthrex,156.35,60.98,,,0
CDM,SUP64429_272,Noncdm Charge Record Medical Supplies - Shield Eye Univ 7.5Cmx6.5Cm,11.38,4.44,,,0
CDM,SUP64429_A4649_272,Noncdm Charge Record Medical Supplies - Shield Eye Univ 7.5Cmx6.5Cm,11.38,4.44,,,0
CDM,SUP64429_A9999_272,Noncdm Charge Record Medical Supplies - Shield Eye Univ 7.5Cmx6.5Cm,11.38,4.44,,,0
CDM,SUP6449,Noncdm Charge Record Medical Supplies - Screw Bn 3-2.5Mm 60Mm 20Mm,386.74,150.83,,,0
CDM,SUP645,Noncdm Charge Record Medical Supplies - Plate 39Mm Ss 2Mm Screw Mini Frag Set 7 Hl,2859.19,1115.08,,,0
CDM,SUP6451,Noncdm Charge Record Medical Supplies - Screw Bn 6Mm 5.6Mm 260Mm 50Mm Xclbr Ostt Ha,580.23,226.29,,,0
CDM,SUP6452,Noncdm Charge Record Medical Supplies - Surface Artc 12Mm 7-10 Gh Knee,5689.4,2218.87,,,0
CDM,SUP64520,Noncdm Charge Record Medical Supplies - Implant Hip Construct H3 Biomet,34013.2,13265.15,,,0
CDM,SUP64525,Noncdm Charge Record Medical Supplies - Implant Knee Construct K2 Biomet,19042.45,7426.56,,,0
CDM,SUP64528,Noncdm Charge Record Medical Supplies - See 132744 Ligasure Maryland Device 44Cm,2326.68,907.41,,,0
CDM,SUP64530,Noncdm Charge Record Medical Supplies - Screw Bn Cannula 2.5X16Mm Strl,859.57,335.23,,,0
CDM,SUP64567_272,Noncdm Charge Record Medical Supplies - Applier Clip Sm 9In Prm Sgclp,225.63,88.0,,,0
CDM,SUP64567_A4649_272,Noncdm Charge Record Medical Supplies - Applier Clip Sm 9In Prm Sgclp,225.63,88.0,,,0
CDM,SUP64567_A9999_272,Noncdm Charge Record Medical Supplies - Applier Clip Sm 9In Prm Sgclp,225.63,88.0,,,0
CDM,SUP64677_272,Noncdm Charge Record Medical Supplies - See 133370 Glidesheath 6Fr 10Cm Slender Akt,389.16,151.77,,,0
CDM,SUP64677_C1894_272,Noncdm Charge Record Medical Supplies - See 133370 Glidesheath 6Fr 10Cm Slender Akt,389.14,151.76,,,0
CDM,SUP64678,Noncdm Charge Record Medical Supplies - See 132887 Glidesheath 7Fr 10Cm Slender Akt,389.13,151.76,,,0
CDM,SUP64679,Noncdm Charge Record Medical Supplies - See 132890 Glidesheath 7Fr 10Cm Slender Ss Kit,234.94,91.63,,,0
CDM,SUP64680,Noncdm Charge Record Medical Supplies - Glidesheath 6Fr 10Cm Slender Ss Kit,234.94,91.63,,,0
CDM,SUP64681,Noncdm Charge Record Medical Supplies - Cage 75Mmx16Mm Tpr Stalif Cti,11359.12,4430.06,,,0
CDM,SUP64722,Noncdm Charge Record Medical Supplies - Set Extn 60In Dehp Free Iv,6.25,2.44,,,0
CDM,SUP64723_272,Noncdm Charge Record Medical Supplies - Set Adm 117In 20 Gtt Iv,14.77,5.76,,,0
CDM,SUP64723_A4649_272,Noncdm Charge Record Medical Supplies - Set Adm 117In 20 Gtt Iv,14.54,5.67,,,0
CDM,SUP64723_A9999_272,Noncdm Charge Record Medical Supplies - Set Adm 117In 20 Gtt Iv,14.49,5.65,,,0
CDM,SUP64724,Noncdm Charge Record Medical Supplies - See 118440 Set Adm Blood 47In 14Ml,26.13,10.19,,,0
CDM,SUP64725,Noncdm Charge Record Medical Supplies - Set Syr Press Sns Disc 60In Dehp Free Iv,9.32,3.63,,,0
CDM,SUP6472_272,Noncdm Charge Record Medical Supplies - Needle Endo Syr Disp 22Ga Strl,454.36,177.2,,,0
CDM,SUP6472_A4649_272,Noncdm Charge Record Medical Supplies - Needle Endo Syr Disp 22Ga Strl,454.36,177.2,,,0
CDM,SUP64826,Noncdm Charge Record Medical Supplies - Screw Bn 65Mm 40Mm Reflc Canc Acetab Sphrcl,188.37,73.46,,,0
CDM,SUP64828,Noncdm Charge Record Medical Supplies - Bit Drill 1.8X115Mm Biomet,665.76,259.65,,,0
CDM,SUP64850,Noncdm Charge Record Medical Supplies - Plate Bn Strt Biomet 7H 1.0Mm,1680.84,655.53,,,0
CDM,SUP64853,Noncdm Charge Record Medical Supplies - Component Uln Cnrd 3In Rt Elb Uhmw Polyeth,23683.9,9236.72,,,0
CDM,SUP64854,Noncdm Charge Record Medical Supplies - Plate Bn Mtp 0D Med Lt Fus 1St,8337.96,3251.8,,,0
CDM,SUP6491,Noncdm Charge Record Medical Supplies - Filter Smk Evc Stkhs,154.22,60.15,,,0
CDM,SUP64949_272,Noncdm Charge Record Medical Supplies - Cannula 10Mm 10Cm 22Ga,73.48,28.66,,,0
CDM,SUP64949_A4649_272,Noncdm Charge Record Medical Supplies - Cannula 10Mm 10Cm 22Ga,73.48,28.66,,,0
CDM,SUP64949_A9999_272,Noncdm Charge Record Medical Supplies - Cannula 10Mm 10Cm 22Ga,73.48,28.66,,,0
CDM,SUP6496,Noncdm Charge Record Medical Supplies,146.97,57.32,,,0
CDM,SUP6497,Noncdm Charge Record Medical Supplies - Catheter Icy Centrl Venous 9.3Fr,3711.51,1447.49,,,0
CDM,SUP6498,Noncdm Charge Record Medical Supplies,957.12,373.28,,,0
CDM,SUP649_272,Noncdm Charge Record Medical Supplies - See 699 Set Irrigation Cysto Baxter,33.12,12.92,,,0
CDM,SUP649_A4649_272,Noncdm Charge Record Medical Supplies - See 699 Set Irrigation Cysto Baxter,33.12,12.92,,,0
CDM,SUP6501,Noncdm Charge Record Medical Supplies - Stem Fem 30Mm Scrft Mx 8 Strl,17509.1,6828.55,,,0
CDM,SUP650_272,Noncdm Charge Record Medical Supplies - Catheter Iv 14Ga 5.25In Angiocath Bd Medical,64.45,25.14,,,0
CDM,SUP650_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Iv 14Ga 5.25In Angiocath Bd Medical,64.17,25.03,,,0
CDM,SUP65128_272,Noncdm Charge Record Medical Supplies - Blade Concave Crv 3.5Mm Full Radius,269.1,104.95,,,0
CDM,SUP65128_A4649_272,Noncdm Charge Record Medical Supplies - Blade Concave Crv 3.5Mm Full Radius,269.1,104.95,,,0
CDM,SUP65128_A9999_272,Noncdm Charge Record Medical Supplies - Blade Concave Crv 3.5Mm Full Radius,269.1,104.95,,,0
CDM,SUP6515,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 32Mm Aqls,1037.07,404.46,,,0
CDM,SUP6517,Noncdm Charge Record Medical Supplies - Stem Fem 105Mm Hi Ofst Prostalac 1 Hip,15345.25,5984.65,,,0
CDM,SUP652,Noncdm Charge Record Medical Supplies - Filter Trnsf Blood Micaggr 40Um Pall Cs-40,43.47,16.95,,,0
CDM,SUP6520,Noncdm Charge Record Medical Supplies - Head Unplr 46Mm Ccrt Fem Hip Orthochrome Mod,2578.18,1005.49,,,0
CDM,SUP6521,Noncdm Charge Record Medical Supplies - Head Fem +5Mm 32Mm Hip Cementless M Spc Tpr,3122.6,1217.81,,,0
CDM,SUP65278_270,Noncdm Charge Record Medical Supplies - See 125447 System Splnt 5Inx15Ft Orth Gls,331.2,129.17,,,0
CDM,SUP65278_A4649_270,Noncdm Charge Record Medical Supplies - See 125447 System Splnt 5Inx15Ft Orth Gls,331.2,129.17,,,0
CDM,SUP65281,Noncdm Charge Record Medical Supplies - Leep Electrode 1.5Cm W X 1.5Cm D 12Cm Shaft,63.14,24.62,,,0
CDM,SUP65283,Noncdm Charge Record Medical Supplies - Screw Bn 29Mm 10Mm Matrixmandible St Lck Ti,1020.85,398.13,,,0
CDM,SUP65284,Noncdm Charge Record Medical Supplies - Screw Bn 29Mm 14Mm Matrixmandible St Lck Ti,1056.73,412.12,,,0
CDM,SUP65288,Noncdm Charge Record Medical Supplies - Screw Bn 3Mm 16Mm Bio Compression,2121.75,827.48,,,0
CDM,SUP65290,Noncdm Charge Record Medical Supplies - Screw Bn 9Mm 25Mm Intfr 60 Rnd Head Composi Tcp,2564.38,1000.11,,,0
CDM,SUP65291,Noncdm Charge Record Medical Supplies - Device Fem Fx Toggleloc W-Ziploop Btb Graft,10440.04,4071.62,,,0
CDM,SUP65293,Noncdm Charge Record Medical Supplies - Set Screw,349.31,136.23,,,0
CDM,SUP65295,Noncdm Charge Record Medical Supplies - Rod Cocr 120Mm Crv,1128.15,439.98,,,0
CDM,SUP65299,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 24Mm Nail Ex Ti Ft Hum Tib Strl,961.0,374.79,,,0
CDM,SUP653,Noncdm Charge Record Medical Supplies - Ear Tube Ventilation 3.5Mm 1.14Mm Armstrong Beveled Grommet,128.82,50.24,,,0
CDM,SUP65301,Noncdm Charge Record Medical Supplies - Screw Bn Lck Va Cannula 5Mm 48Mm,829.55,323.52,,,0
CDM,SUP65302,Noncdm Charge Record Medical Supplies - Screw Bn Cort 18Mm 2.7Mm Low Prof,687.24,268.02,,,0
CDM,SUP65303,Noncdm Charge Record Medical Supplies - Bit Drill 2.5Mm 24Mm,439.62,171.45,,,0
CDM,SUP65304,Noncdm Charge Record Medical Supplies - Probe 8 Inch,2481.93,967.95,,,0
CDM,SUP65305,Noncdm Charge Record Medical Supplies - Kit Mais 3V Disposable,10934.78,4264.56,,,0
CDM,SUP65306,Noncdm Charge Record Medical Supplies - Plate 82Mm 2.7Mm 3.5Mm Va Lcp Med Dist Hum 2Hl Lt Med Strl,4854.15,1893.12,,,0
CDM,SUP65307,Noncdm Charge Record Medical Supplies - Kwire 1.1Mmm,96.58,37.67,,,0
CDM,SUP65308,Noncdm Charge Record Medical Supplies - Plate Bn 3.5Mm Lcp 7Hl 98Mm Ss,1342.95,523.75,,,0
CDM,SUP65310,Noncdm Charge Record Medical Supplies - Plate Nar 116Mm Ss 4.5Mm Screw Lg Frag Set 7,1591.83,620.81,,,0
CDM,SUP6541,Noncdm Charge Record Medical Supplies - Catheter Drain 1.9Mm Csf Ventri Anmc D Mrkng,2443.68,953.04,,,0
CDM,SUP65413,Noncdm Charge Record Medical Supplies - Snare Endova 6F 25Mmx120Cm System One Snare,1419.58,553.64,,,0
CDM,SUP65414,Noncdm Charge Record Medical Supplies - Snare Endovasc 4F 10Mmx120Cm System One Snare,1420.02,553.81,,,0
CDM,SUP65453,Noncdm Charge Record Medical Supplies - Screw 12Mm 2.3Mm Cranmf Xdr Nonlck Bn,515.43,201.02,,,0
CDM,SUP65454,Noncdm Charge Record Medical Supplies - Screw 6Mm 2.3Mm Cranmf Xdr Nonlck Bn,515.64,201.1,,,0
CDM,SUP65456,Noncdm Charge Record Medical Supplies - Bit Drill 50Mm 1.5Mm Lorenz 5Mm Stop Mndb,665.5,259.54,,,0
CDM,SUP65457,Noncdm Charge Record Medical Supplies - Electrode Elcrsg 2.3Mm Shrt Sd Vapr Shrt Side W-Handpiece,1659.1,647.05,,,0
CDM,SUP6549,Noncdm Charge Record Medical Supplies - Washer Slot Sheffield Ext Fix Ring Fixator,118.16,46.08,,,0
CDM,SUP6554,Noncdm Charge Record Medical Supplies - Head Fem +5Mm 12-14 36Mm M Spc Asphere,7499.61,2924.85,,,0
CDM,SUP65550,Noncdm Charge Record Medical Supplies - See 16797 Bandage Comprifore 4 Lyr,49.51,19.31,,,0
CDM,SUP65585_Q4196_278,Noncdm Charge Record Medical Supplies - Graft Puraply Am 2X2 (4Sqcm),3625.26,1413.85,,,0
CDM,SUP65589,Noncdm Charge Record Medical Supplies - Cannula Bio-Medicus 19Fr Venous,1631.16,636.15,,,0
CDM,SUP65593,Noncdm Charge Record Medical Supplies - Cannula Bio-Medicus 17 Fr Arterial,1534.9,598.61,,,0
CDM,SUP65612,Noncdm Charge Record Medical Supplies - Perfusion Beq-Hls 7050 Usa#Hls Advanced 7.0,44091.0,17195.49,,,0
CDM,SUP65615,Noncdm Charge Record Medical Supplies - Kit 12210 Avalonelite Vasc Access Perfusion,710.01,276.9,,,0
CDM,SUP65616,Noncdm Charge Record Medical Supplies - Blade Deep Accessrail,461.26,179.89,,,0
CDM,SUP6564,Noncdm Charge Record Medical Supplies - Nail 11.5Mm 18Cm Troch 130D,15017.85,5856.96,,,0
CDM,SUP6565,Noncdm Charge Record Medical Supplies - Set Screw Intertan 100Mmx95Mm,6425.28,2505.86,,,0
CDM,SUP65679,Noncdm Charge Record Medical Supplies - Casting Lite Blue 3In X 4Yds,9.83,3.83,,,0
CDM,SUP6571,Noncdm Charge Record Medical Supplies - Nail 2.5Mm 44Cm Dphsl Mtphsl Epip Intramed,1385.3,540.27,,,0
CDM,SUP6572,Noncdm Charge Record Medical Supplies - Nail 3.5Mm 44Cm Dphsl Mtphsl Epip Intramed,1531.54,597.3,,,0
CDM,SUP65839,Noncdm Charge Record Medical Supplies - Axis Dermis Coloplast 8X12 Rti,12314.08,4802.49,,,0
CDM,SUP65864,Noncdm Charge Record Medical Supplies - Tissue Decellularized Derm Matracell 4Cmx7Cm,13441.54,5242.2,,,0
CDM,SUP6611,Noncdm Charge Record Medical Supplies - Wire Fx 1.6Mm 150Mm Krsh Ss,46.69,18.21,,,0
CDM,SUP66124,Noncdm Charge Record Medical Supplies - Catheter Guide Mpb1 Crv 6Fr 07In 100Cm Ptfe,195.62,76.29,,,0
CDM,SUP66143,Noncdm Charge Record Medical Supplies - Electrode Loop Cutting Yel 24F,633.63,247.12,,,0
CDM,SUP66144,Noncdm Charge Record Medical Supplies - Electrode Coag Ball Yel 24Fx3M,644.8,251.47,,,0
CDM,SUP66147,Noncdm Charge Record Medical Supplies - Electrode Bipolar Coag 24Fr St,2008.94,783.49,,,0
CDM,SUP66148_272,Noncdm Charge Record Medical Supplies - Electrode Biplr Cttng Loop 24F,1972.82,769.4,,,0
CDM,SUP66148_A9999_272,Noncdm Charge Record Medical Supplies - Electrode Biplr Cttng Loop 24F,1909.58,744.74,,,0
CDM,SUP66150_270,Noncdm Charge Record Medical Supplies - Cable High Freq W-8Mm Plug,144.9,56.51,,,0
CDM,SUP66150_A4649_270,Noncdm Charge Record Medical Supplies - Cable High Freq W-8Mm Plug,144.9,56.51,,,0
CDM,SUP66150_A9999_270,Noncdm Charge Record Medical Supplies - Cable High Freq W-8Mm Plug,144.9,56.51,,,0
CDM,SUP66151,Noncdm Charge Record Medical Supplies - Cable High Freq W-8Mm Plug Str,149.56,58.33,,,0
CDM,SUP66181,Noncdm Charge Record Medical Supplies - Guide Pin 3.2 X 343,1301.44,507.56,,,0
CDM,SUP6620,Noncdm Charge Record Medical Supplies - Sealant Hemost Floseal Bvn Mtrx Hmn Thrmb Kt Lg,1841.25,718.09,,,0
CDM,SUP66203_270,Noncdm Charge Record Medical Supplies - Bag Urocatch Strl,76.59,29.87,,,0
CDM,SUP66203_A9999_270,Noncdm Charge Record Medical Supplies - Bag Urocatch Strl,76.59,29.87,,,0
CDM,SUP6626,Noncdm Charge Record Medical Supplies - Set Screw Intertan 105Mmx100Mm,6425.07,2505.78,,,0
CDM,SUP6627,Noncdm Charge Record Medical Supplies - Band Hemoband 17 In,95.48,37.24,,,0
CDM,SUP6628,Noncdm Charge Record Medical Supplies - Anchor Suture Lupine Shoulder Depuy Mitek,1611.5,628.48,,,0
CDM,SUP66325,Noncdm Charge Record Medical Supplies - Guidewire Ashai Gaia 300Cm Second Micro J,623.93,243.33,,,0
CDM,SUP66326,Noncdm Charge Record Medical Supplies - Guidewire Ashai Gaia 190Cm Third Micro J,685.17,267.22,,,0
CDM,SUP66327,Noncdm Charge Record Medical Supplies - Guidewire Ashai Gaia 300Cm Third Micro J,653.68,254.94,,,0
CDM,SUP6635,Noncdm Charge Record Medical Supplies - Plate 107Mm Ss 3.5Mm 6Hl Lt Hl Lcp Bn Lt,5690.43,2219.27,,,0
CDM,SUP6637,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 18Mm Lc Dcp Ti Ft Canc Prox Med,175.95,68.62,,,0
CDM,SUP6638,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 75Mm Lcp Ss Prox Med Tib Lck,554.14,216.11,,,0
CDM,SUP6639,Noncdm Charge Record Medical Supplies - Bone Cort 40-65Mm Sm Seg,2764.48,1078.15,,,0
CDM,SUP6641,Noncdm Charge Record Medical Supplies,24916.59,9717.47,,,0
CDM,SUP66418,Noncdm Charge Record Medical Supplies - Stem Psa Straight 14Mm Dia 30Mmstem Length,1611.5,628.48,,,0
CDM,SUP66419,Noncdm Charge Record Medical Supplies - Aspiration Pas Xtra Aal And Anticoagulation Line 1-4,63.14,24.62,,,0
CDM,SUP66422,Noncdm Charge Record Medical Supplies - Set Bowl Pas Xtra X-225,372.8,145.39,,,0
CDM,SUP66423,Noncdm Charge Record Medical Supplies - Reservior Xres B Blood Collect (Resevoir Only Bottom Outlet),196.65,76.69,,,0
CDM,SUP66424,Noncdm Charge Record Medical Supplies - Aspiration Xtra Aal And Anticoagulation Line 1-4,76.36,29.78,,,0
CDM,SUP66425,Noncdm Charge Record Medical Supplies - Reservior Xres B Gross Bottom Outlet,205.5,80.14,,,0
CDM,SUP66426,Noncdm Charge Record Medical Supplies - Connector Reducing 3-8X1-4 Straight,24.59,9.59,,,0
CDM,SUP66467,Noncdm Charge Record Medical Supplies - Viper Slide Lubricant,342.58,133.61,,,0
CDM,SUP66468,Noncdm Charge Record Medical Supplies - Cardiomems System,89418.82,34873.34,,,0
CDM,SUP66470,Noncdm Charge Record Medical Supplies - Stem 10 X 70Mm,1611.5,628.48,,,0
CDM,SUP66478,Noncdm Charge Record Medical Supplies - Screw Bn 65Mm 30Mm Reflc Canc Acetab Sphrcl,188.37,73.46,,,0
CDM,SUP66481,Noncdm Charge Record Medical Supplies - Bushings Sleves Bumper,6303.15,2458.23,,,0
CDM,SUP6650_272,Noncdm Charge Record Medical Supplies - Screw Temporary Globus,244.87,95.5,,,0
CDM,SUP6650_A4649_272,Noncdm Charge Record Medical Supplies - Screw Temporary Globus,244.95,95.53,,,0
CDM,SUP6650_A9999_272,Noncdm Charge Record Medical Supplies - Screw Temporary Globus,244.78,95.46,,,0
CDM,SUP6651,Noncdm Charge Record Medical Supplies,3383.42,1319.53,,,0
CDM,SUP6652,Noncdm Charge Record Medical Supplies - Head Fem +0Mm 12-14 28Mm Hip,9038.66,3525.08,,,0
CDM,SUP6659,Noncdm Charge Record Medical Supplies,124.2,48.44,,,0
CDM,SUP66616,Noncdm Charge Record Medical Supplies - Sling Arm Specialty Child,33.12,12.92,,,0
CDM,SUP66724,Noncdm Charge Record Medical Supplies - Catheter 7.5Fr Iabp Balloon 40Cc,3916.89,1527.59,,,0
CDM,SUP66776,Noncdm Charge Record Medical Supplies - Hip Hemi Arthroplasty Bipolar Cap,6371.22,2484.78,,,0
CDM,SUP66800,Noncdm Charge Record Medical Supplies - See 124609 Needle Bladder Wall Injection 1.7 X 3.5 Mm,186.3,72.66,,,0
CDM,SUP66944,Noncdm Charge Record Medical Supplies - Connector Straight 3-8 X 3-8 X 3-8,50.72,19.78,,,0
CDM,SUP66945,Noncdm Charge Record Medical Supplies - Device Cautery High-Temp Loop Tip With Extended 2In Shaft,50.72,19.78,,,0
CDM,SUP6695,Noncdm Charge Record Medical Supplies - Graft Cv 40Cm32-8Mm Aort Wvn,8071.96,3148.06,,,0
CDM,SUP6701,Noncdm Charge Record Medical Supplies - Screw Bn 2.5Mm 12Mm Peri Loc,357.63,139.48,,,0
CDM,SUP67029,Noncdm Charge Record Medical Supplies - Lacrimal Trephine 21G X 1 1-2 In,289.8,113.02,,,0
CDM,SUP67140_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 3-0 Rb-1 36In Green Double Armed Ethicon,20.4,7.96,,,0
CDM,SUP67140_A4649_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 3-0 Rb-1 36In Green Double Armed Ethicon,20.49,7.99,,,0
CDM,SUP67140_A9999_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 3-0 Rb-1 36In Green Double Armed Ethicon,20.7,8.07,,,0
CDM,SUP67219,Noncdm Charge Record Medical Supplies - Suture Poly Cv-6 24In Pt-9 120Ml,50.65,19.75,,,0
CDM,SUP67225,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 3Mmx5Cm,3818.12,1489.07,,,0
CDM,SUP67226,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 3Mmx12Cm,4785.1,1866.19,,,0
CDM,SUP67227,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 3Mmx20Cm,4784.93,1866.12,,,0
CDM,SUP67228,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 4Mmx10Cm,4785.01,1866.15,,,0
CDM,SUP67229,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 4Mmx15Cm,4784.8,1866.07,,,0
CDM,SUP67230,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 4Mmx20Cm,4784.8,1866.07,,,0
CDM,SUP67231,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 4Mmx30Cm,6234.84,2431.59,,,0
CDM,SUP67232,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 4Mmx35Cm,6234.84,2431.59,,,0
CDM,SUP67233,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 5Mmx12 Cm,4784.8,1866.07,,,0
CDM,SUP67234,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 5Mmx20Cm,4784.8,1866.07,,,0
CDM,SUP67235,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 5Mmx30Cm,6235.05,2431.67,,,0
CDM,SUP67236,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 6Mmx20Cm,4784.8,1866.07,,,0
CDM,SUP67237,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 6Mmx30Cm,6234.99,2431.65,,,0
CDM,SUP67238,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 7Mmx25Cm,4784.98,1866.14,,,0
CDM,SUP67239,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 8Mmx25Cm,4784.8,1866.07,,,0
CDM,SUP67240,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 8Mmx40Cm,6235.01,2431.65,,,0
CDM,SUP67241,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 9Mmx30Cm,6234.84,2431.59,,,0
CDM,SUP67242,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 10Mmx35Cm,6235.05,2431.67,,,0
CDM,SUP67243,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 12Mmx40Cm,6234.84,2431.59,,,0
CDM,SUP67244,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 12Mmx60Cm,6234.95,2431.63,,,0
CDM,SUP67245,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 14Mmx60Cm,6234.84,2431.59,,,0
CDM,SUP67246,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 16Mmx60Cm,6235.1,2431.69,,,0
CDM,SUP67247,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 18Mmx57Cm,6234.84,2431.59,,,0
CDM,SUP67248,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 20Mmx60Cm,6235.01,2431.65,,,0
CDM,SUP67249,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 24Mmx57Cm,6234.99,2431.65,,,0
CDM,SUP67250,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 28Mmx60Cm,6234.84,2431.59,,,0
CDM,SUP67251,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 32Mmx60Cm,6235.18,2431.72,,,0
CDM,SUP67253,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Sft 2Mmx2Cm,3818.12,1489.07,,,0
CDM,SUP67254,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Sft 2Mmx4Cm,3818.37,1489.16,,,0
CDM,SUP67255,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Sft 3Mmx5Cm,3818.12,1489.07,,,0
CDM,SUP67256,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Sft 3Mmx15Cm,4784.98,1866.14,,,0
CDM,SUP67257,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Sft 4Mmx6Cm,3818.12,1489.07,,,0
CDM,SUP67258,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Sft 4Mmx15Cm,4784.92,1866.12,,,0
CDM,SUP67259,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Sft 6Mmx20Cm,4784.8,1866.07,,,0
CDM,SUP6726,Noncdm Charge Record Medical Supplies - Stem Fem 30Mm Scrft Mx 7 Strl,17509.1,6828.55,,,0
CDM,SUP67260,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Sft 6Mmx30Cm,6234.84,2431.59,,,0
CDM,SUP67261,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Sft 8Mmx35Cm,6234.84,2431.59,,,0
CDM,SUP67262,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Sft 8Mmx60Cm,6235.14,2431.7,,,0
CDM,SUP67263,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Sft 16Mmx50Cm,6235.01,2431.65,,,0
CDM,SUP67264,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Sft 20Mmx60Cm,6234.84,2431.59,,,0
CDM,SUP67265_272,Noncdm Charge Record Medical Supplies - Ruby Coil Detchmnt Hndl,1165.34,454.48,,,0
CDM,SUP67265_A9999_272,Noncdm Charge Record Medical Supplies - Ruby Coil Detchmnt Hndl,1165.41,454.51,,,0
CDM,SUP67266,Noncdm Charge Record Medical Supplies - Lantern Mcr Cath 115 - Str,2865.92,1117.71,,,0
CDM,SUP67267,Noncdm Charge Record Medical Supplies - Lantern Mcr Cath 115 - 45,3306.82,1289.66,,,0
CDM,SUP67268,Noncdm Charge Record Medical Supplies - Lantern Mcr Cath 115 - 90,3306.82,1289.66,,,0
CDM,SUP67270,Noncdm Charge Record Medical Supplies - Lantern Mcr Cath 135 - 45,3279.27,1278.92,,,0
CDM,SUP67271,Noncdm Charge Record Medical Supplies - Lantern Mcr Cath 135 - 90,3306.82,1289.66,,,0
CDM,SUP67272,Noncdm Charge Record Medical Supplies,3306.82,1289.66,,,0
CDM,SUP67273,Noncdm Charge Record Medical Supplies - Lantern Mcr Cath 150 - 45,3306.82,1289.66,,,0
CDM,SUP67275,Noncdm Charge Record Medical Supplies - Ruby Pod 4 - 4Mmx30Cm,8651.56,3374.11,,,0
CDM,SUP67276,Noncdm Charge Record Medical Supplies - Ruby Pod 5 - 5Mmx30Cm,8651.56,3374.11,,,0
CDM,SUP67277,Noncdm Charge Record Medical Supplies - Ruby Pod 6 - 6Mmx50Cm,8651.56,3374.11,,,0
CDM,SUP67278,Noncdm Charge Record Medical Supplies - Ruby Pod 8 - 8Mmx60Cm,8651.56,3374.11,,,0
CDM,SUP67281,Noncdm Charge Record Medical Supplies - Pod Coil J Sft 15Cm,4784.8,1866.07,,,0
CDM,SUP67282,Noncdm Charge Record Medical Supplies - Pod Coil J Sft 30Cm,6235.18,2431.72,,,0
CDM,SUP67283,Noncdm Charge Record Medical Supplies - Pod Coil J Sft 45Cm,6234.99,2431.65,,,0
CDM,SUP67284,Noncdm Charge Record Medical Supplies - Pod Coil J Sft 60Cm,6235.11,2431.69,,,0
CDM,SUP67292,Noncdm Charge Record Medical Supplies - Indigo Cath 6 Str Tip 135Cm,8332.78,3249.78,,,0
CDM,SUP67295,Noncdm Charge Record Medical Supplies - Indigo Cath 8 Xtorq Tip 115Cm,12741.88,4969.33,,,0
CDM,SUP67296,Noncdm Charge Record Medical Supplies - Indigo Sprtr 6,4762.04,1857.2,,,0
CDM,SUP67297,Noncdm Charge Record Medical Supplies - Indigo Sprtr 8,8289.32,3232.83,,,0
CDM,SUP67299_272,Noncdm Charge Record Medical Supplies - Benchmark 95Cm Str With 5F Slc Cath 120Cm Ber,4112.01,1603.68,,,0
CDM,SUP67299_A4649_272,Noncdm Charge Record Medical Supplies - Benchmark 95Cm Str With 5F Slc Cath 120Cm Ber,4299.39,1676.76,,,0
CDM,SUP672_270,Noncdm Charge Record Medical Supplies - Pad Return Electrode 9Ft Infant Covidien Surgical,20.7,8.07,,,0
CDM,SUP672_A4649_270,Noncdm Charge Record Medical Supplies - Pad Return Electrode 9Ft Infant Covidien Surgical,20.7,8.07,,,0
CDM,SUP672_A9999_270,Noncdm Charge Record Medical Supplies - Pad Return Electrode 9Ft Infant Covidien Surgical,20.7,8.07,,,0
CDM,SUP673,Noncdm Charge Record Medical Supplies - Needle Loc 7.5Cmx20Ga Ghiatas Bard Peripheral,80.73,31.48,,,0
CDM,SUP6730,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 95Mm 20Mm Asns 3 Ti Fem Hip,1518.86,592.36,,,0
CDM,SUP67300,Noncdm Charge Record Medical Supplies - Benchmark 95Cm Mp With 5F Slct Cath 120Cm Ber,4443.6,1733.0,,,0
CDM,SUP67301,Noncdm Charge Record Medical Supplies - Benchmark 105Cm Str With 5F Sl T Cath 130Cm Ber,3946.46,1539.12,,,0
CDM,SUP67302,Noncdm Charge Record Medical Supplies - Benchmark 105Cm Mp With 5F Slc Cath 130Cm Ber,4042.71,1576.66,,,0
CDM,SUP67303,Noncdm Charge Record Medical Supplies - Benchmark 95Cm - Str,3946.46,1539.12,,,0
CDM,SUP67305,Noncdm Charge Record Medical Supplies,3946.46,1539.12,,,0
CDM,SUP67306,Noncdm Charge Record Medical Supplies - Benchmark 105Cm - Mp,3946.46,1539.12,,,0
CDM,SUP67394_272,Noncdm Charge Record Medical Supplies - Cath Angogrphc Impress Ka2 5F 0.38Inx65Cm,59.0,23.01,,,0
CDM,SUP67394_A4649_272,Noncdm Charge Record Medical Supplies - Cath Angogrphc Impress Ka2 5F 0.38Inx65Cm,59.0,23.01,,,0
CDM,SUP67395,Noncdm Charge Record Medical Supplies - Cath Impress Brd 0.5F 0.40Cm Ka 2 0.0 Side Ports 0.038In 0.,59.0,23.01,,,0
CDM,SUP67397,Noncdm Charge Record Medical Supplies - Catheter Angiograph 4Fr 0.381 Soft Selective Non Braided Kum,90.01,35.1,,,0
CDM,SUP67398,Noncdm Charge Record Medical Supplies - Catheter Accu-Vu 0.38In 70Cm 5Fr Omni Flush Angiodynamics In,142.07,55.41,,,0
CDM,SUP67399,Noncdm Charge Record Medical Supplies - Catheter Angiograph 5Fr Soft Vu Selective Non Braided Sos Om,88.95,34.69,,,0
CDM,SUP674,Noncdm Charge Record Medical Supplies - Needle Loc 9Cmx20Ga Ghiatas Bard Peripheral,80.73,31.48,,,0
CDM,SUP67400,Noncdm Charge Record Medical Supplies - Catheter Pigtail 11Cm 5Fr Angiodyamics,83.84,32.7,,,0
CDM,SUP67401,Noncdm Charge Record Medical Supplies - Catheter Angiograph 5Fr Mariner Selective Mpa Braided Ultra,473.0,184.47,,,0
CDM,SUP67402,Noncdm Charge Record Medical Supplies - Catheter Bernstein 0.038 5Fr Angiodyamics,87.98,34.31,,,0
CDM,SUP67432,Noncdm Charge Record Medical Supplies - Stent Vasc 10Mmx 40Mm 120Cm 6F Self Expand Epic,4044.0,1577.16,,,0
CDM,SUP67459,Noncdm Charge Record Medical Supplies - Catheter Support Crossing Rubicon 014Inx150Cm,743.02,289.78,,,0
CDM,SUP67484_272,Noncdm Charge Record Medical Supplies - Kit Tubing Laparoscopic-Endos Scp Smoke Evacuation,41.4,16.15,,,0
CDM,SUP67484_A4649_272,Noncdm Charge Record Medical Supplies - Kit Tubing Laparoscopic-Endos Scp Smoke Evacuation,41.4,16.15,,,0
CDM,SUP67486,Noncdm Charge Record Medical Supplies - Device Closure 24Mm Watchman,82168.65,32045.77,,,0
CDM,SUP675,Noncdm Charge Record Medical Supplies - Needle Loc 5Cmx20Ga Ghiatas Bard Peripheral,80.73,31.48,,,0
CDM,SUP67548,Noncdm Charge Record Medical Supplies - Mesh 15Cmx10Cm Polypropylene,200.75,78.29,,,0
CDM,SUP67549,Noncdm Charge Record Medical Supplies - Mesh 15Cmx15Cm Polypropylene,232.8,90.79,,,0
CDM,SUP6757,Noncdm Charge Record Medical Supplies - Stent Bil 6Mm 15Mm 150Cm,3595.59,1402.28,,,0
CDM,SUP6758,Noncdm Charge Record Medical Supplies - Stent Premounted Renal 5Mmx19Mmx6Fx150Cm Express Sd Monorail,3595.76,1402.35,,,0
CDM,SUP6759,Noncdm Charge Record Medical Supplies - Stent Bil 6Mm 14Mm 150Cm,5921.24,2309.28,,,0
CDM,SUP6760,Noncdm Charge Record Medical Supplies - Stent Bil 6Mm 18Mm 150Cm,4980.42,1942.36,,,0
CDM,SUP6762,Noncdm Charge Record Medical Supplies - Stent Bil 7Mm 19Mm 150Cm,5146.02,2006.95,,,0
CDM,SUP67627,Noncdm Charge Record Medical Supplies - Occlusion Catheter 65Cm,700.7,273.27,,,0
CDM,SUP6764,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 4F 4Mm 135Cm,991.53,386.7,,,0
CDM,SUP6765,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 4Fr-4Mm 135,1101.24,429.48,,,0
CDM,SUP67657,Noncdm Charge Record Medical Supplies - Mesh Versatex Mono W Marking 20X20Cm Square,691.38,269.64,,,0
CDM,SUP67658_272,Noncdm Charge Record Medical Supplies - Trocar Optical 15Mm,162.5,63.38,,,0
CDM,SUP67658_A4649_272,Noncdm Charge Record Medical Supplies - Trocar Optical 15Mm,162.5,63.38,,,0
CDM,SUP67658_A9999_272,Noncdm Charge Record Medical Supplies - Trocar Optical 15Mm,162.5,63.38,,,0
CDM,SUP6766,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 4F 5Mm-135Cm,1172.14,457.13,,,0
CDM,SUP6767,Noncdm Charge Record Medical Supplies - Catheter Ball Dil Sterling 4Fr-5Mm Otw,991.53,386.7,,,0
CDM,SUP67685_272,Noncdm Charge Record Medical Supplies - Dressing Prsm Matrix 4.34Sq In Wound,39.29,15.32,,,0
CDM,SUP67685_A4649_272,Noncdm Charge Record Medical Supplies - Dressing Prsm Matrix 4.34Sq In Wound,39.33,15.34,,,0
CDM,SUP67685_A9999_272,Noncdm Charge Record Medical Supplies - Dressing Prsm Matrix 4.34Sq In Wound,39.33,15.34,,,0
CDM,SUP6769,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 4F 6Mm 135Cm,1109.86,432.85,,,0
CDM,SUP676_272,Noncdm Charge Record Medical Supplies - Syringe Single Use Alliance 2 Boston Scientific,211.14,82.34,,,0
CDM,SUP676_A4649_272,Noncdm Charge Record Medical Supplies - Syringe Single Use Alliance 2 Boston Scientific,211.14,82.34,,,0
CDM,SUP676_A9999_272,Noncdm Charge Record Medical Supplies - Syringe Single Use Alliance 2 Boston Scientific,211.14,82.34,,,0
CDM,SUP677,Noncdm Charge Record Medical Supplies - See 157042 Tray Myelogram 22Gax3.5In Spinal Needle Carefusio,41.4,16.15,,,0
CDM,SUP6770,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 4Fr 6Mm-135,1101.24,429.48,,,0
CDM,SUP6771,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 5Fr 6Mm-60Mm,1101.24,429.48,,,0
CDM,SUP6772,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 5Fr 6Mm Otw,1169.03,455.92,,,0
CDM,SUP6773,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 4Fr 7Mm-135,991.53,386.7,,,0
CDM,SUP67735,Noncdm Charge Record Medical Supplies - Catheter Uromax Ultra Kit 12F X 10Cm,1339.65,522.46,,,0
CDM,SUP67755,Noncdm Charge Record Medical Supplies - Catheter Pleurx Access Kit,175.95,68.62,,,0
CDM,SUP6776,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 6Fr 7Mm 80Mm,991.53,386.7,,,0
CDM,SUP67791_272,Noncdm Charge Record Medical Supplies - Kit Carpal Tunnel Relief Conmed Linvatec Corp,707.14,275.78,,,0
CDM,SUP67791_A4649_272,Noncdm Charge Record Medical Supplies - Kit Carpal Tunnel Relief Conmed Linvatec Corp,704.84,274.89,,,0
CDM,SUP67807,Noncdm Charge Record Medical Supplies - Cannula 96670-121 Bio-Medicus 21Fr,1745.01,680.55,,,0
CDM,SUP67810,Noncdm Charge Record Medical Supplies - Cannula 96670-127 Bio-Medicus 27Fr,1745.01,680.55,,,0
CDM,SUP67811,Noncdm Charge Record Medical Supplies - Parallel Y-Extension Set,22.15,8.64,,,0
CDM,SUP67812,Noncdm Charge Record Medical Supplies - Set Meniscus Mender Ii Disposable Smith Nephew,797.98,311.21,,,0
CDM,SUP67872,Noncdm Charge Record Medical Supplies - Catheter Dil Balloon 1.2Mmx8Mm Mini Trek 5Fr,440.91,171.95,,,0
CDM,SUP67875_272,Noncdm Charge Record Medical Supplies - Pack Burn Cobb Wc115021,288.74,112.61,,,0
CDM,SUP67875_A4649_272,Noncdm Charge Record Medical Supplies - Pack Burn Cobb Wc115021,288.76,112.62,,,0
CDM,SUP67875_A9999_272,Noncdm Charge Record Medical Supplies - Pack Burn Cobb Wc115021,288.76,112.62,,,0
CDM,SUP67933,Noncdm Charge Record Medical Supplies - Micropuncture Transitionless Set,212.61,82.92,,,0
CDM,SUP6795,Noncdm Charge Record Medical Supplies - Catheter Balloon Occ .035In,1966.5,766.94,,,0
CDM,SUP67966,Noncdm Charge Record Medical Supplies - Sagital Blade 13.0 X 1.27 X90M,276.8,107.95,,,0
CDM,SUP67967,Noncdm Charge Record Medical Supplies - Stent Ureteral 6Fx24Cm Contour Boston Scientific,585.81,228.47,,,0
CDM,SUP680,Noncdm Charge Record Medical Supplies - See 129725 Brush Cytology 7Frx3Mmx240Cm Colon Cook Medical,75.56,29.47,,,0
CDM,SUP68005,Noncdm Charge Record Medical Supplies - Burr Rnd Dmd Otology 4.5Mm,203.9,79.52,,,0
CDM,SUP68012,Noncdm Charge Record Medical Supplies - Suture V-Loc 2-0 180 Absorbable Covidien,119.44,46.58,,,0
CDM,SUP68013_272,Noncdm Charge Record Medical Supplies - Suture V-Loc 180 Es-9 Reload 10Mm Covidien,195.49,76.24,,,0
CDM,SUP68013_A4649_272,Noncdm Charge Record Medical Supplies - Suture V-Loc 180 Es-9 Reload 10Mm Covidien,195.62,76.29,,,0
CDM,SUP68014,Noncdm Charge Record Medical Supplies - Tubing Smoke Rapidvac 1-4In 10Ft Covidien,92.12,35.93,,,0
CDM,SUP6802,Noncdm Charge Record Medical Supplies - Liner Bipolar 44Mm 28Mm Tndm,4905.9,1913.3,,,0
CDM,SUP68048,Noncdm Charge Record Medical Supplies - Pushlock 2.9 Kit,856.98,334.22,,,0
CDM,SUP6810,Noncdm Charge Record Medical Supplies - Body Fem 21Mm Rstr +0Mm Std,17074.4,6659.02,,,0
CDM,SUP68100,Noncdm Charge Record Medical Supplies - Brush Cytology Bronchoscope 5F 3Mm X 120Cm Cook Medical,87.98,34.31,,,0
CDM,SUP68128,Noncdm Charge Record Medical Supplies - Set Adm 90In 3Ml Iv Pca Prim Infus Y W Reuse Monoject Plung,19.66,7.67,,,0
CDM,SUP68129,Noncdm Charge Record Medical Supplies,321.88,125.53,,,0
CDM,SUP6813_272,Noncdm Charge Record Medical Supplies - Dressing 4X4In Abs Adh Wtprf Sil Strl Lf Mplx,34.3,13.38,,,0
CDM,SUP6813_A4649_272,Noncdm Charge Record Medical Supplies - Dressing 4X4In Abs Adh Wtprf Sil Strl Lf Mplx,34.16,13.32,,,0
CDM,SUP68217_270,Noncdm Charge Record Medical Supplies - Pack Ice Fc Sft Cloth Disp W Foam Felt Strap,17.57,6.85,,,0
CDM,SUP68217_A4649_270,Noncdm Charge Record Medical Supplies - Pack Ice Fc Sft Cloth Disp W Foam Felt Strap,17.6,6.86,,,0
CDM,SUP68217_A9999_270,Noncdm Charge Record Medical Supplies - Pack Ice Fc Sft Cloth Disp W Foam Felt Strap,17.6,6.86,,,0
CDM,SUP6823,Noncdm Charge Record Medical Supplies - Valve Aort 29Mm Frstl Aort,29638.37,11558.96,,,0
CDM,SUP6827,Noncdm Charge Record Medical Supplies - Head Fem +13Mm12-14 32Mm Hip M Cementless M,3122.6,1217.81,,,0
CDM,SUP68320,Noncdm Charge Record Medical Supplies - Burr Cut Hs 15Dx3.2Mm,2138.93,834.18,,,0
CDM,SUP6834_270,Noncdm Charge Record Medical Supplies - Clipper Surgical Blade Blue Disposable Carefusion,9.32,3.63,,,0
CDM,SUP6834_A4649_270,Noncdm Charge Record Medical Supplies - Clipper Surgical Blade Blue Disposable Carefusion,9.32,3.63,,,0
CDM,SUP6834_A9999_270,Noncdm Charge Record Medical Supplies - Clipper Surgical Blade Blue Disposable Carefusion,9.32,3.63,,,0
CDM,SUP6835_270,Noncdm Charge Record Medical Supplies - Blade Clipper Sensiclip Carefusion Corp,14.47,5.64,,,0
CDM,SUP6835_A4649_270,Noncdm Charge Record Medical Supplies - Blade Clipper Sensiclip Carefusion Corp,14.49,5.65,,,0
CDM,SUP6836_270,Noncdm Charge Record Medical Supplies - Blade Clipper Blue Carefusion,37.73,14.71,,,0
CDM,SUP6836_A4649_270,Noncdm Charge Record Medical Supplies - Blade Clipper Blue Carefusion,37.26,14.53,,,0
CDM,SUP6837,Noncdm Charge Record Medical Supplies - Cement Bn 40Gm Gnta Strl,966.69,377.01,,,0
CDM,SUP6838,Noncdm Charge Record Medical Supplies - Cement Bn Endrn Sst 40Gm Hvisc,966.71,377.02,,,0
CDM,SUP6839,Noncdm Charge Record Medical Supplies - Cement Bn Endrn Sst Gmv Eo Gnta 40Gm,545.82,212.87,,,0
CDM,SUP684,Noncdm Charge Record Medical Supplies - Dressing Ca Alg 4.75X4In Rstr Silv,23.8,9.28,,,0
CDM,SUP6840,Noncdm Charge Record Medical Supplies,268.58,104.75,,,0
CDM,SUP6841,Noncdm Charge Record Medical Supplies - Cement Bn Endrn Sst 40Gm Med Vsc,271.74,105.98,,,0
CDM,SUP6845,Noncdm Charge Record Medical Supplies - Pin Half 200Mm 6Mm Ha 50Mm Ext,1958.91,763.97,,,0
CDM,SUP6846,Noncdm Charge Record Medical Supplies - Set Screw Intertan 90Mmx85Mm,6425.45,2505.93,,,0
CDM,SUP68475,Noncdm Charge Record Medical Supplies - Burr Xcut Carb 6 Flut 2.1Mm,30.02,11.71,,,0
CDM,SUP68477,Noncdm Charge Record Medical Supplies - Cross Cut Fissure Carbide Burr,31.57,12.31,,,0
CDM,SUP68478,Noncdm Charge Record Medical Supplies - Oval Carbide Burr 4.0Mm,157.32,61.35,,,0
CDM,SUP6854,Noncdm Charge Record Medical Supplies - Stapler Skin 35R Multifire Premium Covidien,77.62,30.27,,,0
CDM,SUP68544_272,Noncdm Charge Record Medical Supplies - Suture Vloc 0 Gs-21 6In Green Covidien,113.8,44.38,,,0
CDM,SUP68544_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vloc 0 Gs-21 6In Green Covidien,113.85,44.4,,,0
CDM,SUP68545,Noncdm Charge Record Medical Supplies - Needle For Bladder Injection,440.91,171.95,,,0
CDM,SUP6858,Noncdm Charge Record Medical Supplies,3450.69,1345.77,,,0
CDM,SUP686,Noncdm Charge Record Medical Supplies - Fastener Tube Endotrach 5-10Mm Oral Adv Design,34.16,13.32,,,0
CDM,SUP6865,Noncdm Charge Record Medical Supplies - Needle 3 18Ga W 1 Marker,527.85,205.86,,,0
CDM,SUP68685,Noncdm Charge Record Medical Supplies - Plate Y Locking 1.3Mm 3Hole Head 5Hole Shaft Depuy Synthes,2150.73,838.78,,,0
CDM,SUP68694,Noncdm Charge Record Medical Supplies - Plate T Locking 1.5Mm 3Hole Head 7Hole Shaft Variable Angle,2041.54,796.2,,,0
CDM,SUP68709,Noncdm Charge Record Medical Supplies - Plate Straight Locking 2.0 Mm 6Hole Variable Angle Depuy Syn,2272.86,886.42,,,0
CDM,SUP68712,Noncdm Charge Record Medical Supplies - Plate Y Locking 2.0Mm 3Hole Head 7Hole Shaft Variable Angle,2434.32,949.38,,,0
CDM,SUP68713,Noncdm Charge Record Medical Supplies - Plate Phalangeal Base Locking 2.0Mm 2Hole Head 6Hole Shaft V,2461.23,959.88,,,0
CDM,SUP68714,Noncdm Charge Record Medical Supplies - Plate Condyalr Locking 2.0Mm 2Hole Head 6Hole Shaft Variable,2401.2,936.47,,,0
CDM,SUP6872,Noncdm Charge Record Medical Supplies - Graft Bn Cnrstn Asr Canc 14 Blck Lrdtc (X)Cort,3625.26,1413.85,,,0
CDM,SUP68726,Noncdm Charge Record Medical Supplies - Screw Cortex 1.3Mm 12Mm Self-Tapping Stardrive Depuy Synthes,192.16,74.94,,,0
CDM,SUP68728,Noncdm Charge Record Medical Supplies - Screw Cortex 1.3Mm 14Mm Self-Tapping Stardrive Depuy Synthes,192.51,75.08,,,0
CDM,SUP6873,Noncdm Charge Record Medical Supplies - Graft Bn Cnrstn Asr Canc 14 (X Blck Lrdtc Cort,3625.6,1413.98,,,0
CDM,SUP68730,Noncdm Charge Record Medical Supplies - Screw Cortex 1.3Mm 16Mm Self-Tapping Stardrive Depuy Synthes,192.51,75.08,,,0
CDM,SUP68749,Noncdm Charge Record Medical Supplies - Screw Locking 1.5Mm 7Mm Self-Tapping Stardrive Variable Angl,536.13,209.09,,,0
CDM,SUP6875,Noncdm Charge Record Medical Supplies - Plate 16Mm 1 Lvl Bn Occ Cerv Thor Spine,3383.42,1319.53,,,0
CDM,SUP68751,Noncdm Charge Record Medical Supplies - Screw Locking 1.5Mm 9Mm Self-Tapping Stardrive Variable Angl,536.3,209.16,,,0
CDM,SUP68752,Noncdm Charge Record Medical Supplies - Screw Locking 1.5Mm 10Mm Self-Tapping Stardrive Variable Ang,536.39,209.19,,,0
CDM,SUP68753,Noncdm Charge Record Medical Supplies - Screw Locking 1.5Mm 11Mm Self-Tapping Stardrive Variable Ang,536.13,209.09,,,0
CDM,SUP68754,Noncdm Charge Record Medical Supplies - Screw Locking 1.5Mm 12Mm Self-Tapping Stardrive Variable Ang,536.13,209.09,,,0
CDM,SUP68764,Noncdm Charge Record Medical Supplies - Screw Locking 2.Omm 7Mm Self-Tapping Stardrive Variable Angl,538.2,209.9,,,0
CDM,SUP68765,Noncdm Charge Record Medical Supplies - Screw Locking 2.Omm 8Mm Self-Tapping Stardrive Variable Angl,538.2,209.9,,,0
CDM,SUP68766,Noncdm Charge Record Medical Supplies - Screw Locking 2.Omm 9Mm Self-Tapping Stardrive Variable Angl,538.54,210.03,,,0
CDM,SUP68767,Noncdm Charge Record Medical Supplies - Screw Locking 2.Omm 10Mm Self-Tapping Stardrive Variable Ang,538.31,209.94,,,0
CDM,SUP68768,Noncdm Charge Record Medical Supplies - Screw Locking 2.Omm 11Mm Self-Tapping Stardrive Variable Ang,561.66,219.05,,,0
CDM,SUP68769,Noncdm Charge Record Medical Supplies - Screw Locking 2.Omm 12Mm Self-Tapping Stardrive Variable Ang,538.2,209.9,,,0
CDM,SUP68771,Noncdm Charge Record Medical Supplies - Screw Locking 2.Omm 14Mm Self-Tapping Stardrive Variable Ang,538.2,209.9,,,0
CDM,SUP68779,Noncdm Charge Record Medical Supplies - Drill Bit 1.0Mm 75Mm K-Wire Attachment For Threaded Hole Dep,366.39,142.89,,,0
CDM,SUP6878,Noncdm Charge Record Medical Supplies - Needle 10Cm 5Fr 4 Sdprt Hlw,95.22,37.14,,,0
CDM,SUP68783,Noncdm Charge Record Medical Supplies - Drill Bit 1.1Mm 70Mm K-Wire Attachment For Threaded Hole Dep,343.62,134.01,,,0
CDM,SUP68784,Noncdm Charge Record Medical Supplies - Dril Bit 1.1Mm 56Mm Mini Quick Coupling For Threaded Hole De,343.62,134.01,,,0
CDM,SUP68785,Noncdm Charge Record Medical Supplies - Drill Bit 1.5Mm 62Mm K-Wire Attachment For Gliding Hole Depu,343.62,134.01,,,0
CDM,SUP68787,Noncdm Charge Record Medical Supplies - Drill Bit 1.5Mm 88Mm K-Wire Attachment For Threaded Hole Dep,343.62,134.01,,,0
CDM,SUP68788,Noncdm Charge Record Medical Supplies - Dril Bit 1.5Mm 74Mm Mini Quick Coupling For Threaded Hole De,343.62,134.01,,,0
CDM,SUP68789,Noncdm Charge Record Medical Supplies - Drill Bit 2.0Mm 71Mm K-Wire Attachment For Gliding Hole Depu,343.62,134.01,,,0
CDM,SUP6884,Noncdm Charge Record Medical Supplies - Stem Fem 125Mm 21Mm Mod Strt,17074.4,6659.02,,,0
CDM,SUP68842,Noncdm Charge Record Medical Supplies - Acticoat Flex 3 4Inx48In Antimicrobial Barrier Dressing,350.86,136.84,,,0
CDM,SUP68843,Noncdm Charge Record Medical Supplies - Cannula Passport Button 12Mmx 3Cm Arthrex,59.0,23.01,,,0
CDM,SUP68844_272,Noncdm Charge Record Medical Supplies - Acticoat Flex 3 16Inx16In Antimicrobial Barrier Dressing,294.98,115.04,,,0
CDM,SUP68844_A4649_272,Noncdm Charge Record Medical Supplies - Acticoat Flex 3 16Inx16In Antimicrobial Barrier Dressing,294.98,115.04,,,0
CDM,SUP68894,Noncdm Charge Record Medical Supplies - Tube Nasal Bridle Rtn Sys 12Fr,1584.07,617.79,,,0
CDM,SUP6890,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 62Mm Nail Ex Ti Fem-Tib Lck,850.77,331.8,,,0
CDM,SUP6891,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 30Mm Lcp Dcp Ss Cort Hand St Ns,169.22,66.0,,,0
CDM,SUP6892,Noncdm Charge Record Medical Supplies - Screw 2.4-16Mm Lcp Ss St Lck Dist Radial St Lck,514.52,200.66,,,0
CDM,SUP6893,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 12Mm Lcp Ti Cor Dist Dist Hum,247.36,96.47,,,0
CDM,SUP6896,Noncdm Charge Record Medical Supplies,5906.74,2303.63,,,0
CDM,SUP690,Noncdm Charge Record Medical Supplies - Anchor Suture 18 2-0 Cp G2Quickanchor Ethibond Depuy Mitek,601.34,234.52,,,0
CDM,SUP69079,Noncdm Charge Record Medical Supplies - Generator Quadraassura Mp Icd U Us Hv,72501.75,28275.68,,,0
CDM,SUP69080,Noncdm Charge Record Medical Supplies,4951.44,1931.06,,,0
CDM,SUP69081,Noncdm Charge Record Medical Supplies - Catheter Angographic 0.038 100Cm 5Fr Mariner Selective Beren,270.14,105.35,,,0
CDM,SUP69084,Noncdm Charge Record Medical Supplies - Catheter Soft -Vu 0.38In 3Cm 65Cm 5Fr Selective Braided Bere,128.19,49.99,,,0
CDM,SUP69112_272,Noncdm Charge Record Medical Supplies - Device Vasc Prssr Monitoring,295.03,115.06,,,0
CDM,SUP69112_A9999_272,Noncdm Charge Record Medical Supplies - Device Vasc Prssr Monitoring,294.98,115.04,,,0
CDM,SUP69113,Noncdm Charge Record Medical Supplies - Trnsdcr Prssr Compass Lmbr Pun,330.16,128.76,,,0
CDM,SUP69115,Noncdm Charge Record Medical Supplies - Set Intro Flexor Check-Flo Performer 8F 038Inx90Cm,337.67,131.69,,,0
CDM,SUP69116,Noncdm Charge Record Medical Supplies - Introducer Flexor Check-Flo Rb 10F 035Inx45Cm,376.74,146.93,,,0
CDM,SUP69117,Noncdm Charge Record Medical Supplies - Kt Exch Cath Hemo Lng Trm W- Airgrd Vlvd Intro Glidepth 19C,1386.9,540.89,,,0
CDM,SUP69155,Noncdm Charge Record Medical Supplies - Catheter Angiographic Imager Ii Cerebral Bern 5F 035In 65Cm,48.82,19.04,,,0
CDM,SUP69159,Noncdm Charge Record Medical Supplies - See 124396 Catheter Support Rubicon 14 01 014In X 150Cm,758.66,295.88,,,0
CDM,SUP69160,Noncdm Charge Record Medical Supplies - Catheter Distal Acess Axs Catalyst-6 060In 132Cm,10095.39,3937.2,,,0
CDM,SUP69161,Noncdm Charge Record Medical Supplies - See 82449 Set Sheath Prctns Super Arrw- Flx W- Intgrl Hmsts,398.48,155.41,,,0
CDM,SUP69162,Noncdm Charge Record Medical Supplies - Set Sheath Prctns Super Arrw- Flx W- Intgrl Hmsts Vlv 10F 45,535.21,208.73,,,0
CDM,SUP69163,Noncdm Charge Record Medical Supplies - Set Sheath Introducer Super Arrow- Flex W- Intgrl Hmsts Vlv,529.92,206.67,,,0
CDM,SUP69164,Noncdm Charge Record Medical Supplies - Catheter Angiographic Progreat Microcatheter 018In 2.4F 150C,1578.69,615.69,,,0
CDM,SUP69165,Noncdm Charge Record Medical Supplies - Terumo Progreat Microcath 2.8Fr X 150Cm,1517.37,591.77,,,0
CDM,SUP69166,Noncdm Charge Record Medical Supplies - Catheter Angiographic Hydrophi Glidecath Sim1 5F 038Inx100Cm,254.88,99.4,,,0
CDM,SUP69167,Noncdm Charge Record Medical Supplies - Graft Endoprosthesis Aaa Trunk Ipsilateral Leg Excldr 16F 26,52573.86,20503.81,,,0
CDM,SUP6922,Noncdm Charge Record Medical Supplies - Nut 10Mm Hex Head Truelok Ext,10.35,4.04,,,0
CDM,SUP6923,Noncdm Charge Record Medical Supplies - Bolt 16Mm Sys Trulock Ext Fix,10.35,4.04,,,0
CDM,SUP69233,Noncdm Charge Record Medical Supplies - Microcatheter Prowler 14 1 Marker Tip Str 2.3F-1.9F 170Cm,4334.58,1690.49,,,0
CDM,SUP6924,Noncdm Charge Record Medical Supplies - Bolt Wire Ext Fix,304.9,118.91,,,0
CDM,SUP6925,Noncdm Charge Record Medical Supplies - Pin Half 4-6Mm Truelok Orthofix,412.56,160.9,,,0
CDM,SUP6930,Noncdm Charge Record Medical Supplies - Coaptite Injectable Implant 1 Ml Syringe Boston Scientific,2590.6,1010.33,,,0
CDM,SUP69333_272,Noncdm Charge Record Medical Supplies - Blade Saw Sgtl 25X100X1.27Mm,274.76,107.16,,,0
CDM,SUP69333_A4649_272,Noncdm Charge Record Medical Supplies - Blade Saw Sgtl 25X100X1.27Mm,286.7,111.81,,,0
CDM,SUP69333_A9999_272,Noncdm Charge Record Medical Supplies - Blade Saw Sgtl 25X100X1.27Mm,274.27,106.97,,,0
CDM,SUP69335,Noncdm Charge Record Medical Supplies - Cath Impress Brd 0.5F.100 Cm Newton 2 0.0 Side Ports 0.038I,59.0,23.01,,,0
CDM,SUP69336,Noncdm Charge Record Medical Supplies - Cath Impress Brd 0.5F 0.65Cm Shepherd Hk 1.0 0.2 Side Ports,59.0,23.01,,,0
CDM,SUP69341,Noncdm Charge Record Medical Supplies - Microcatheter Marksman 027In 2.8-3.2F 10Cm 160Cm,3086.37,1203.68,,,0
CDM,SUP69342,Noncdm Charge Record Medical Supplies - Catheter Angiographic Impress Cb2 5F 035Inx65Cm 2Sh,59.0,23.01,,,0
CDM,SUP69344,Noncdm Charge Record Medical Supplies - Catheter Angiographic Impress Sim1 5F 035Inx100Cm,59.0,23.01,,,0
CDM,SUP69345,Noncdm Charge Record Medical Supplies - Catheter Angiographic Impress Hh1 5F 035Inx125Cm,59.0,23.01,,,0
CDM,SUP69347,Noncdm Charge Record Medical Supplies - Catheter Neuron Select Sim-V 6F 125Cmx9Cm,611.68,238.56,,,0
CDM,SUP69348,Noncdm Charge Record Medical Supplies - Catheter Neuron Select Sim 6F 125Cmx9Cm,611.68,238.56,,,0
CDM,SUP69349_272,Noncdm Charge Record Medical Supplies - Wire K 1.6Mm (0.62) 102Mm 4In,112.82,44.0,,,0
CDM,SUP69349_C1713_272,Noncdm Charge Record Medical Supplies - Wire K 1.6Mm (0.62) 102Mm 4In,112.82,44.0,,,0
CDM,SUP69350,Noncdm Charge Record Medical Supplies - Catheter Neuron Select Ber 6F 125Cmx9Cm,611.68,238.56,,,0
CDM,SUP69382,Noncdm Charge Record Medical Supplies - Microsphere Embsph 100-300 2Ml Yellow Bx-5Ea,1305.31,509.07,,,0
CDM,SUP69384,Noncdm Charge Record Medical Supplies - Dressing Port Secureview W-Tape Strip,18.63,7.27,,,0
CDM,SUP69385,Noncdm Charge Record Medical Supplies - Blade Saw 19.5X80X0.9Mm Osclr,72.94,28.45,,,0
CDM,SUP69455_272,Noncdm Charge Record Medical Supplies - Suture Stratafix Pds 1 Os6 18In Violet Ethicon,99.82,38.93,,,0
CDM,SUP69455_A4649_272,Noncdm Charge Record Medical Supplies - Suture Stratafix Pds 1 Os6 18In Violet Ethicon,100.4,39.16,,,0
CDM,SUP69456,Noncdm Charge Record Medical Supplies - Suture Stratafix Pds 2-0 Ct2 18In Violet Ethicon,106.97,41.72,,,0
CDM,SUP69457,Noncdm Charge Record Medical Supplies - Suture Stratafix Pds 2-0 Ct1 18In Violet Ethicon,98.32,38.34,,,0
CDM,SUP69458_272,Noncdm Charge Record Medical Supplies - See 123544 Suture Stratafix Pds 1 Ct1 18In Violet Ethicon,118.83,46.34,,,0
CDM,SUP69458_A9999_272,Noncdm Charge Record Medical Supplies - See 123544 Suture Stratafix Pds 1 Ct1 18In Violet Ethicon,118.51,46.22,,,0
CDM,SUP69459,Noncdm Charge Record Medical Supplies - Suture Stratafix Pds 1 Ctx 18In Violet Ethicon,102.37,39.92,,,0
CDM,SUP69507,Noncdm Charge Record Medical Supplies - Chamber Accolade Dr El-Mri Dual,13533.66,5278.13,,,0
CDM,SUP69508_C1785_275,Noncdm Charge Record Medical Supplies - Chamber Accolade Dr-Mri Dual,13013.17,5075.14,,,0
CDM,SUP69508_L8699_278,Noncdm Charge Record Medical Supplies - Chamber Accolade Dr-Mri Dual,13533.66,5278.13,,,0
CDM,SUP69509,Noncdm Charge Record Medical Supplies - Chamber Accolade Sr-Mri Single,12566.97,4901.12,,,0
CDM,SUP69510,Noncdm Charge Record Medical Supplies - Lead Lv Acuity X4 Straight 4671-86Cm,5800.14,2262.05,,,0
CDM,SUP69511,Noncdm Charge Record Medical Supplies - Lead Lv Mri Dual Chmbr Strght 95 Cm Acuity X4 Boss?4671,5800.14,2262.05,,,0
CDM,SUP69512_272,Noncdm Charge Record Medical Supplies - Lead Lv Acuity X4 Spiral S 4674-86Cm,5800.14,2262.05,,,0
CDM,SUP69512_C1900_275,Noncdm Charge Record Medical Supplies - Lead Lv Acuity X4 Spiral S 4674-86Cm,5800.14,2262.05,,,0
CDM,SUP69513,Noncdm Charge Record Medical Supplies - Lead Lv Mri Dual Chmbr Spiral S 95 Cm Acuity X4 Boss?4671,5461.7,2130.06,,,0
CDM,SUP69514,Noncdm Charge Record Medical Supplies - Lead Lv Mri Dual Chmbr Spiral L 86 Cm Acuity X4 Boss 4677,5800.14,2262.05,,,0
CDM,SUP69516_272,Noncdm Charge Record Medical Supplies - Clip Controls And Stop Gi Bleeding Resolution 360,1404.7,547.83,,,0
CDM,SUP69516_A4649_272,Noncdm Charge Record Medical Supplies - Clip Controls And Stop Gi Bleeding Resolution 360,1404.77,547.86,,,0
CDM,SUP69516_A9999_272,Noncdm Charge Record Medical Supplies - Clip Controls And Stop Gi Bleeding Resolution 360,1404.75,547.85,,,0
CDM,SUP69521,Noncdm Charge Record Medical Supplies - Fighter Guidewire 300Cm Straight Tip,710.01,276.9,,,0
CDM,SUP69522,Noncdm Charge Record Medical Supplies - Hornet Guidewire 10 300Cm Straight Tip,710.01,276.9,,,0
CDM,SUP69523,Noncdm Charge Record Medical Supplies - Hornet Guidewire 14 300Cm Straight Tip,710.01,276.9,,,0
CDM,SUP69555,Noncdm Charge Record Medical Supplies - Quadra Assura Mp Crt-D,72501.75,28275.68,,,0
CDM,SUP69557,Noncdm Charge Record Medical Supplies - Quartet Small-S Lv Lead,7733.52,3016.07,,,0
CDM,SUP69595,Noncdm Charge Record Medical Supplies - Shealth Axs Infinity Ls 80Cm Long,2446.74,954.23,,,0
CDM,SUP6960,Noncdm Charge Record Medical Supplies - Wire Fx 1.5Mm 250Mm Krsh Ss,241.78,94.29,,,0
CDM,SUP69633,Noncdm Charge Record Medical Supplies - See 134704 Dressing Pico 10X10In With Pump Sterile,1088.82,424.64,,,0
CDM,SUP69693,Noncdm Charge Record Medical Supplies - Catheter Balloon Pcltxl 5X120X130,4850.01,1891.5,,,0
CDM,SUP69695,Noncdm Charge Record Medical Supplies - Balloon In.Pact Admiral Drug Coated 4 X 60,4850.01,1891.5,,,0
CDM,SUP69696,Noncdm Charge Record Medical Supplies - Balloon In.Pact Admiral Drug Coated 4 X 120,4850.01,1891.5,,,0
CDM,SUP69698,Noncdm Charge Record Medical Supplies - Balloon In.Pact Admiral Drug Coated 5 X 40,5533.63,2158.12,,,0
CDM,SUP69699,Noncdm Charge Record Medical Supplies - Balloon In.Pact Admiral Drug Coated 5 X 60,4850.01,1891.5,,,0
CDM,SUP696_C9363_278,Noncdm Charge Record Medical Supplies - Bilayer Wound Matrix Mshd 2 X 2 Integra,5978.54,2331.63,,,0
CDM,SUP69700,Noncdm Charge Record Medical Supplies - Balloon In.Pact Admiral Drug Coated 5 X 150,7539.98,2940.59,,,0
CDM,SUP69701,Noncdm Charge Record Medical Supplies - Balloon In.Pact Admiral Drug Coated 6 X 40,5362.72,2091.46,,,0
CDM,SUP69703,Noncdm Charge Record Medical Supplies - Balloon In.Pact Admiral Drug Coated 6 X 120,4850.01,1891.5,,,0
CDM,SUP6973,Noncdm Charge Record Medical Supplies - Screw Bn 4.2Mm 16Mm Occ Cerv,671.72,261.97,,,0
CDM,SUP6978,Noncdm Charge Record Medical Supplies - Prosthesis Tstclr Sal Fil,13693.05,5340.29,,,0
CDM,SUP69881,Noncdm Charge Record Medical Supplies - Stents Mini Minoka,285.66,111.41,,,0
CDM,SUP69882,Noncdm Charge Record Medical Supplies,375.19,146.32,,,0
CDM,SUP69883,Noncdm Charge Record Medical Supplies - Lacrimal Trephine,300.15,117.06,,,0
CDM,SUP69968,Noncdm Charge Record Medical Supplies - Dressing Wound Granuform X-La Rge 160 X 30 X 1.5Cm,525.83,205.07,,,0
CDM,SUP69997_272,Noncdm Charge Record Medical Supplies - Injetak Adjustable Tip Needle,332.59,129.71,,,0
CDM,SUP69997_A4649_272,Noncdm Charge Record Medical Supplies - Injetak Adjustable Tip Needle,340.52,132.8,,,0
CDM,SUP69999,Noncdm Charge Record Medical Supplies - Suture Nrln 4-0 Tf-Cr 18In Blk Sa,248.4,96.88,,,0
CDM,SUP70001,Noncdm Charge Record Medical Supplies - Tape Fiber 2Mm 30In Arthrex,342.58,133.61,,,0
CDM,SUP7003_272,Noncdm Charge Record Medical Supplies - Applier Int Clip 5Mm 11In Ti Endo Pstl Grip,586.8,228.85,,,0
CDM,SUP7003_A4649_272,Noncdm Charge Record Medical Supplies - Applier Int Clip 5Mm 11In Ti Endo Pstl Grip,586.82,228.86,,,0
CDM,SUP7003_A9999_272,Noncdm Charge Record Medical Supplies - Applier Int Clip 5Mm 11In Ti Endo Pstl Grip,586.84,228.87,,,0
CDM,SUP7012,Noncdm Charge Record Medical Supplies - Nail 11.5Mm 18Cm Troch,15017.85,5856.96,,,0
CDM,SUP7014,Noncdm Charge Record Medical Supplies - Set Screw Intertan 110Mmx105Mm,6425.28,2505.86,,,0
CDM,SUP7019,Noncdm Charge Record Medical Supplies - Marker Fdcl 20Cm 17Ga Sft Tis,381.16,148.65,,,0
CDM,SUP70191_272,Noncdm Charge Record Medical Supplies - Neurostimulator External 3531,2039.37,795.35,,,0
CDM,SUP70191_A4649_272,Noncdm Charge Record Medical Supplies - Neurostimulator External 3531,1958.22,763.71,,,0
CDM,SUP70212,Noncdm Charge Record Medical Supplies - Hook Elastic Stays 12Mm 2-Finger Blunt,78.66,30.68,,,0
CDM,SUP70260,Noncdm Charge Record Medical Supplies - Guidewire Neurovsclr Asahi Chikai Blck 014In 25Deg,2423.08,945.0,,,0
CDM,SUP70262,Noncdm Charge Record Medical Supplies - Pigtail Wire Protrack .025 X 230Cm,807.3,314.85,,,0
CDM,SUP70268,Noncdm Charge Record Medical Supplies - Cannula Bio-Medicus 19Fr Bio-Medicus 96530-119,1793.66,699.53,,,0
CDM,SUP70269,Noncdm Charge Record Medical Supplies - Cannula Bio-Medicus 21Fr Bio-Medicus 96530-121,1793.66,699.53,,,0
CDM,SUP70274,Noncdm Charge Record Medical Supplies - Blade Saw Gigli Ss 12L Sterile,71.42,27.85,,,0
CDM,SUP7030,Noncdm Charge Record Medical Supplies - Ear Tube Ventilation 1.14Mm 3.5Mm Armstrong Modified Beveled,149.04,58.13,,,0
CDM,SUP70304,Noncdm Charge Record Medical Supplies - Kit Total Bone Preparation Stryker Ortho,563.04,219.59,,,0
CDM,SUP7031,Noncdm Charge Record Medical Supplies - Cement Bn Ottomimix Ca Phos Strl,2009.45,783.69,,,0
CDM,SUP7033,Noncdm Charge Record Medical Supplies - Screw Ti 4Mm Midfa Bn,496.42,193.6,,,0
CDM,SUP7035,Noncdm Charge Record Medical Supplies - Ear Tube Ventilation 1.14Mm Armstrong Modified Beveled Medtr,145.47,56.73,,,0
CDM,SUP7036,Noncdm Charge Record Medical Supplies - Bolt 12Mm Sys Truelok Ext Fix Spnl,8.28,3.23,,,0
CDM,SUP7038,Noncdm Charge Record Medical Supplies - Rod 165Mm Thrd Trulock Ext Fix,197.17,76.9,,,0
CDM,SUP70382,Noncdm Charge Record Medical Supplies - Catheter Radial Sarah 4.0 5Fr 1.7Mmx110Cm 2Sh Terumo Medical,146.97,57.32,,,0
CDM,SUP7041,Noncdm Charge Record Medical Supplies - Agent Hemostat Avitene Collagen Davol Inc,754.52,294.26,,,0
CDM,SUP70437,Noncdm Charge Record Medical Supplies - Catheter Picc 4.5Fr 55Cm Single Lumen Arrow,1576.3,614.76,,,0
CDM,SUP7045,Noncdm Charge Record Medical Supplies - Mesh Surg Parietex 8In Vntrl,3036.69,1184.31,,,0
CDM,SUP7046,Noncdm Charge Record Medical Supplies - Mesh Surg Parietex 6In,2336.0,911.04,,,0
CDM,SUP70464,Noncdm Charge Record Medical Supplies - Tube Feeding Gastric-Jejunal 22Fr 2.7Cm 45Cm Low Profile Hal,1910.26,745.0,,,0
CDM,SUP7048,Noncdm Charge Record Medical Supplies - Introducer Sheath 11Fr 11Cm,96.26,37.54,,,0
CDM,SUP70487,Noncdm Charge Record Medical Supplies - Device Suct Oral Nasal Prmie Boogiebaby W-Cover,8.62,3.36,,,0
CDM,SUP70515,Noncdm Charge Record Medical Supplies - Guidewire Victory 14 0.014Inx300 Cm 12G Tip Load Boston Scie,832.14,324.53,,,0
CDM,SUP70516,Noncdm Charge Record Medical Supplies - Guidewire Victory 18 0.018Inx300Cm 12G Tip Load Bosotn Scien,3485.88,1359.49,,,0
CDM,SUP70519,Noncdm Charge Record Medical Supplies - Guidewire Victory 14 0.014Inx300 Cm 25G Tip Load Boston Scie,3895.74,1519.34,,,0
CDM,SUP70520,Noncdm Charge Record Medical Supplies - Guidewire Victory 18 0.018Inx300Cm 25G Tip Load Boston Scien,3485.6,1359.38,,,0
CDM,SUP7053,Noncdm Charge Record Medical Supplies - Catheter Iu Bakri 24Fr 54Cm,1189.21,463.79,,,0
CDM,SUP7055,Noncdm Charge Record Medical Supplies - Stent Bil 7Mm 120Mm 120Cm,3625.6,1413.98,,,0
CDM,SUP7058,Noncdm Charge Record Medical Supplies,5655.24,2205.54,,,0
CDM,SUP70634,Noncdm Charge Record Medical Supplies - Bandage Cover-Roll Stretch 8Inx2Yds Bsn Medical,33.46,13.05,,,0
CDM,SUP70658,Noncdm Charge Record Medical Supplies - Balloon Dilation Pta Sterling Breakthrough Sl Over The Wire,1228.2,479.0,,,0
CDM,SUP70659,Noncdm Charge Record Medical Supplies - Set Pca Mcbr 92In 2.1Ml Anti-Siphon M Ll Ndehp,12.42,4.84,,,0
CDM,SUP70660_272,Noncdm Charge Record Medical Supplies - Set Extn 41In 6Ml Ndehp,6.18,2.41,,,0
CDM,SUP70660_A4649_272,Noncdm Charge Record Medical Supplies - Set Extn 41In 6Ml Ndehp,6.16,2.4,,,0
CDM,SUP70660_A9999_272,Noncdm Charge Record Medical Supplies - Set Extn 41In 6Ml Ndehp,10.35,4.04,,,0
CDM,SUP70661_272,Noncdm Charge Record Medical Supplies,3.96,1.54,,,0
CDM,SUP70661_A4649_272,Noncdm Charge Record Medical Supplies,4.14,1.61,,,0
CDM,SUP70662_272,Noncdm Charge Record Medical Supplies - Set Adm Grvty 112In 27Ml 15 Gtt Ndehp,13.46,5.25,,,0
CDM,SUP70662_A4649_272,Noncdm Charge Record Medical Supplies - Set Adm Grvty 112In 27Ml 15 Gtt Ndehp,13.46,5.25,,,0
CDM,SUP70662_A9999_272,Noncdm Charge Record Medical Supplies - Set Adm Grvty 112In 27Ml 15 Gtt Ndehp,13.46,5.25,,,0
CDM,SUP70663_272,Noncdm Charge Record Medical Supplies - Set Adm Grvty 106In 60 Gtt,17.6,6.86,,,0
CDM,SUP70663_A4649_272,Noncdm Charge Record Medical Supplies - Set Adm Grvty 106In 60 Gtt,17.6,6.86,,,0
CDM,SUP70669,Noncdm Charge Record Medical Supplies - Catheter Dilation Soehendra Biliary 10 6Fr X 3Cc Cook,317.74,123.92,,,0
CDM,SUP70671,Noncdm Charge Record Medical Supplies - Balloon Dilation Pta Sterling Breakthrough Over The Wire (Ot,1169.03,455.92,,,0
CDM,SUP70672,Noncdm Charge Record Medical Supplies - Balloon Dilation Pta Sterling Breakthrough Over The Wire (Ot,1363.83,531.89,,,0
CDM,SUP70673,Noncdm Charge Record Medical Supplies - Balloon Dilation Pta Sterling Breakthrough Over The Wire (Ot,1554.48,606.25,,,0
CDM,SUP70674,Noncdm Charge Record Medical Supplies - Balloon Dilation Pta Sterling Breakthrough Over The Wire (Ot,1169.03,455.92,,,0
CDM,SUP70675,Noncdm Charge Record Medical Supplies - Balloon Dilation Pta Sterling Breakthrough Over The Wire (Ot,1169.03,455.92,,,0
CDM,SUP70703,Noncdm Charge Record Medical Supplies - Needle Epidural Tuohy 16Ga X 3.5In Halyard,13.53,5.28,,,0
CDM,SUP70734_272,Noncdm Charge Record Medical Supplies - Set Extn 8.5In Mnbr Press Rt,7.12,2.78,,,0
CDM,SUP70734_A4649_272,Noncdm Charge Record Medical Supplies - Set Extn 8.5In Mnbr Press Rt,7.22,2.82,,,0
CDM,SUP70734_A9999_272,Noncdm Charge Record Medical Supplies - Set Extn 8.5In Mnbr Press Rt,7.24,2.82,,,0
CDM,SUP70735_272,Noncdm Charge Record Medical Supplies - Set Extn 32In 4Ml Iv M Ll 4W Stopcock Ndehp,3.1,1.21,,,0
CDM,SUP70735_A4649_272,Noncdm Charge Record Medical Supplies - Set Extn 32In 4Ml Iv M Ll 4W Stopcock Ndehp,3.1,1.21,,,0
CDM,SUP70735_A9999_272,Noncdm Charge Record Medical Supplies - Set Extn 32In 4Ml Iv M Ll 4W Stopcock Ndehp,3.1,1.21,,,0
CDM,SUP70739,Noncdm Charge Record Medical Supplies - See 160446 Set Adm Grvty 101In 22Ml 15 Gtt Ndehp,10.35,4.04,,,0
CDM,SUP70740,Noncdm Charge Record Medical Supplies - Set Extn 1.2Um 18In 5Ml Ndehp,9.21,3.59,,,0
CDM,SUP70741,Noncdm Charge Record Medical Supplies - Set Adm 0.2Um 115In 27Ml Ndehp,30.02,11.71,,,0
CDM,SUP70746,Noncdm Charge Record Medical Supplies - Set Extn 23In Ndehp,16.56,6.46,,,0
CDM,SUP70747,Noncdm Charge Record Medical Supplies - Set Extn Mnbr Bifuse 8In 1.15M Ndehp,10.35,4.04,,,0
CDM,SUP70748,Noncdm Charge Record Medical Supplies - See 121419 Adaptor Vial Needle Free Access Carefusion Corp,6.21,2.42,,,0
CDM,SUP70749,Noncdm Charge Record Medical Supplies - Set Extn Mnbr 7In 0.4Ml Ndehp,7.29,2.84,,,0
CDM,SUP70750,Noncdm Charge Record Medical Supplies - Set Extn Mcbr Bifuse 6In 0.4Ml Ndehp,11.38,4.44,,,0
CDM,SUP70751,Noncdm Charge Record Medical Supplies - Set Extn Mcbr Trifuse 4In 0.6M Ndehp,20.18,7.87,,,0
CDM,SUP70752,Noncdm Charge Record Medical Supplies - See 157436 Catheter Foley 12Fr 5Ml Silicone Latex Covidien,63.14,24.62,,,0
CDM,SUP7076,Noncdm Charge Record Medical Supplies - Plate 9Mm 2 Hl Strt Cranmf Ti,260.13,101.45,,,0
CDM,SUP7077,Noncdm Charge Record Medical Supplies - Plate Strait Cranial 2 Hole,270.56,105.52,,,0
CDM,SUP7078,Noncdm Charge Record Medical Supplies - Plate 4 Hl Strt Cranmf Ti,472.65,184.33,,,0
CDM,SUP7079,Noncdm Charge Record Medical Supplies - Plate 16X16Mm X Cranmf Ti,983.25,383.47,,,0
CDM,SUP7080,Noncdm Charge Record Medical Supplies - Plate 14X14Mm Frame Cranmf Ti,1005.58,392.18,,,0
CDM,SUP70807,Noncdm Charge Record Medical Supplies - Tubing Irr Endogator H2O Btl Cap Buil In Back,53.82,20.99,,,0
CDM,SUP70813_272,Noncdm Charge Record Medical Supplies - Catheter Iv 22Ga 1In Radiopq Shld Dehp-Fr Wng,7.25,2.83,,,0
CDM,SUP70813_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Iv 22Ga 1In Radiopq Shld Dehp-Fr Wng,7.24,2.82,,,0
CDM,SUP70813_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Iv 22Ga 1In Radiopq Shld Dehp-Fr Wng,7.24,2.82,,,0
CDM,SUP70815,Noncdm Charge Record Medical Supplies - See 23533 Cautery Battery Opth Hi Temp Fn Tip Strl Disp,48.13,18.77,,,0
CDM,SUP7082,Noncdm Charge Record Medical Supplies - Plate 18Mm 6 Hl 2Y Cranmf Ti,983.25,383.47,,,0
CDM,SUP7083,Noncdm Charge Record Medical Supplies - Plate 6 Hl Adapt Cranmf Ti,983.25,383.47,,,0
CDM,SUP70838,Noncdm Charge Record Medical Supplies - Stockinette Imprv Lg 12Inx48In,25.98,10.13,,,0
CDM,SUP7084,Noncdm Charge Record Medical Supplies - Plate 5 Hl Adapt Cranmf Ti,1370.86,534.64,,,0
CDM,SUP70844,Noncdm Charge Record Medical Supplies - Stockinette Imprv Interm 9X44N,19.68,7.68,,,0
CDM,SUP70849_272,Noncdm Charge Record Medical Supplies - Pack Lwr Xtrm Drape 90X124In Univ Strl,26.91,10.49,,,0
CDM,SUP70849_A4649_272,Noncdm Charge Record Medical Supplies - Pack Lwr Xtrm Drape 90X124In Univ Strl,26.91,10.49,,,0
CDM,SUP70849_A9999_272,Noncdm Charge Record Medical Supplies - Pack Lwr Xtrm Drape 90X124In Univ Strl,26.91,10.49,,,0
CDM,SUP7085,Noncdm Charge Record Medical Supplies - Plate 7 Hl Adapt Cranmf Ti,1093.17,426.34,,,0
CDM,SUP70857_272,Noncdm Charge Record Medical Supplies - Stockinette Imprv Interm 9X36 In,12.28,4.79,,,0
CDM,SUP70857_A4649_272,Noncdm Charge Record Medical Supplies - Stockinette Imprv Interm 9X36 In,12.16,4.74,,,0
CDM,SUP7087,Noncdm Charge Record Medical Supplies - Plate 16X10Mm Frame Cranmf Ti,937.4,365.59,,,0
CDM,SUP70877,Noncdm Charge Record Medical Supplies - Foma Cast Elevr Std,131.69,51.36,,,0
CDM,SUP70879_270,Noncdm Charge Record Medical Supplies - Blanket Br Hgr Wrm 36X54In,21.74,8.48,,,0
CDM,SUP70879_A9999_270,Noncdm Charge Record Medical Supplies - Blanket Br Hgr Wrm 36X54In,21.74,8.48,,,0
CDM,SUP7088,Noncdm Charge Record Medical Supplies - Plate 9Mm 2X3 Hl Strut Cranmf,1705.63,665.2,,,0
CDM,SUP70880,Noncdm Charge Record Medical Supplies - Cover Warm Body Upr 78X21In,30.02,11.71,,,0
CDM,SUP70883,Noncdm Charge Record Medical Supplies - See 157518 Canister Suct Grdn Lvc 12L,102.46,39.96,,,0
CDM,SUP70886_270,Noncdm Charge Record Medical Supplies - See 157433 Canister Suct Lnr Thnwl 3Ltr,7.22,2.82,,,0
CDM,SUP70886_A4649_270,Noncdm Charge Record Medical Supplies - See 157433 Canister Suct Lnr Thnwl 3Ltr,7.24,2.82,,,0
CDM,SUP70886_A9999_270,Noncdm Charge Record Medical Supplies - See 157433 Canister Suct Lnr Thnwl 3Ltr,7.24,2.82,,,0
CDM,SUP70887,Noncdm Charge Record Medical Supplies - See 2301 Canister Smrg 1 Elb 3000Cc,6.21,2.42,,,0
CDM,SUP70888,Noncdm Charge Record Medical Supplies - Canister Npt Abthera 1000Ml,48.64,18.97,,,0
CDM,SUP70889,Noncdm Charge Record Medical Supplies - See 83062 Kit Anes Epidural 18G 3.5In 27G 5.5In,73.48,28.66,,,0
CDM,SUP7089,Noncdm Charge Record Medical Supplies - Plate 34X14Mm 2X4 Hl Strut,2422.55,944.79,,,0
CDM,SUP70891_272,Noncdm Charge Record Medical Supplies - Needle Spnl Sb 22G 3.5In,12.42,4.84,,,0
CDM,SUP70891_A4649_272,Noncdm Charge Record Medical Supplies - Needle Spnl Sb 22G 3.5In,12.42,4.84,,,0
CDM,SUP70891_A9999_272,Noncdm Charge Record Medical Supplies - Needle Spnl Sb 22G 3.5In,12.42,4.84,,,0
CDM,SUP7090,Noncdm Charge Record Medical Supplies - Cover Burr Hl 12Mm Matrixneuro,1549.49,604.3,,,0
CDM,SUP70905,Noncdm Charge Record Medical Supplies - Kit Port Acc 20G .75In Wo Y Site,57.96,22.6,,,0
CDM,SUP7091,Noncdm Charge Record Medical Supplies - Cover Burr Hl 15Mm Matrixneuro,1016.2,396.32,,,0
CDM,SUP7092,Noncdm Charge Record Medical Supplies - Burr Hole Cover 17Mm Synthes,1017.95,397.0,,,0
CDM,SUP70923,Noncdm Charge Record Medical Supplies - See 114101 Bag Urin Drain Anrflx 2000Cc,11.38,4.44,,,0
CDM,SUP70924_272,Noncdm Charge Record Medical Supplies - Bag Urin Drain Anrflx 2000Ml,23.83,9.29,,,0
CDM,SUP70924_A4649_272,Noncdm Charge Record Medical Supplies - Bag Urin Drain Anrflx 2000Ml,23.8,9.28,,,0
CDM,SUP70924_A9999_272,Noncdm Charge Record Medical Supplies - Bag Urin Drain Anrflx 2000Ml,23.8,9.28,,,0
CDM,SUP70925,Noncdm Charge Record Medical Supplies - See 278 Bag Urin Drain Anrflx 4L Lf,17.6,6.86,,,0
CDM,SUP70927,Noncdm Charge Record Medical Supplies - Extractor Stone Helical 3F 4Wr O Tip 90Cml,897.34,349.96,,,0
CDM,SUP70928,Noncdm Charge Record Medical Supplies - Extractor Stnbskt 3Fr 5Cm 4Wire O Tip 90Cm Helical,1806.08,704.37,,,0
CDM,SUP70929,Noncdm Charge Record Medical Supplies - Tray Catheter Foley 16Fr With Drain Bag Bard Medical,47.61,18.57,,,0
CDM,SUP7093,Noncdm Charge Record Medical Supplies - Cover Burr Hl 24Mm Matrixneuro,1016.89,396.59,,,0
CDM,SUP70931_272,Noncdm Charge Record Medical Supplies - See 83673 Dressing Nasopore 4Cm Firm,692.42,270.04,,,0
CDM,SUP70931_A4649_272,Noncdm Charge Record Medical Supplies - See 83673 Dressing Nasopore 4Cm Firm,692.42,270.04,,,0
CDM,SUP70931_A9999_272,Noncdm Charge Record Medical Supplies - See 83673 Dressing Nasopore 4Cm Firm,692.42,270.04,,,0
CDM,SUP70935_270,Noncdm Charge Record Medical Supplies - Sensor Spo2 Finger Adlt Lncsadtx,38.97,15.2,,,0
CDM,SUP70935_A4649_270,Noncdm Charge Record Medical Supplies - Sensor Spo2 Finger Adlt Lncsadtx,38.04,14.84,,,0
CDM,SUP70935_A9999_270,Noncdm Charge Record Medical Supplies - Sensor Spo2 Finger Adlt Lncsadtx,39.85,15.54,,,0
CDM,SUP7094,Noncdm Charge Record Medical Supplies - Plate 100X100X.4Mm Contourable,7832.88,3054.82,,,0
CDM,SUP70949_272,Noncdm Charge Record Medical Supplies - Catheter Iv Cls Sf 300Psi 65Ml 20G 1In,7.24,2.82,,,0
CDM,SUP70949_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Iv Cls Sf 300Psi 65Ml 20G 1In,7.24,2.82,,,0
CDM,SUP70949_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Iv Cls Sf 300Psi 65Ml 20G 1In,7.24,2.82,,,0
CDM,SUP70951,Noncdm Charge Record Medical Supplies - Catheter Iv Strt 1In 20G Incn Sf Fep,6.73,2.62,,,0
CDM,SUP70952,Noncdm Charge Record Medical Supplies - See 42859 Catheter Iv Wng 1In 22G Incn Sf Poly,6.21,2.42,,,0
CDM,SUP70953_272,Noncdm Charge Record Medical Supplies - See 1890 Catheter Iv Strl 2In 14G Incn Sf Tfln,6.21,2.42,,,0
CDM,SUP70953_A4649_272,Noncdm Charge Record Medical Supplies - See 1890 Catheter Iv Strl 2In 14G Incn Sf Tfln,6.21,2.42,,,0
CDM,SUP70953_A9999_272,Noncdm Charge Record Medical Supplies - See 1890 Catheter Iv Strl 2In 14G Incn Sf Tfln,6.21,2.42,,,0
CDM,SUP70955,Noncdm Charge Record Medical Supplies - See 42861 Catheter Iv Wng 1.25In 18G Incn Sf Poly,6.21,2.42,,,0
CDM,SUP70956,Noncdm Charge Record Medical Supplies - Catheter Iv Spec 12G 3In,64.27,25.07,,,0
CDM,SUP70959_272,Noncdm Charge Record Medical Supplies - See 124946 Set Admin Vent 15 Drop 112In,23.06,8.99,,,0
CDM,SUP70959_A4649_272,Noncdm Charge Record Medical Supplies - See 124946 Set Admin Vent 15 Drop 112In,24.84,9.69,,,0
CDM,SUP70959_A9999_272,Noncdm Charge Record Medical Supplies - See 124946 Set Admin Vent 15 Drop 112In,16.39,6.39,,,0
CDM,SUP7096,Noncdm Charge Record Medical Supplies - Screw Ti 1.5Mm Cranmf Slf Drll,319.64,124.66,,,0
CDM,SUP70961,Noncdm Charge Record Medical Supplies - See 124947 Set Prim Ck Ndls 13Ml 60 Drop Vent-Nvnt 116In,15.52,6.05,,,0
CDM,SUP70962,Noncdm Charge Record Medical Supplies - Stopcock 4W Rot Collar,6.27,2.45,,,0
CDM,SUP70968_272,Noncdm Charge Record Medical Supplies - See 112479 Tubing Iv Ndls 114In 20 Drop Vent-Nvnt,18.63,7.27,,,0
CDM,SUP70968_A4649_272,Noncdm Charge Record Medical Supplies - See 112479 Tubing Iv Ndls 114In 20 Drop Vent-Nvnt,18.63,7.27,,,0
CDM,SUP70969,Noncdm Charge Record Medical Supplies - See 7770 Device Aspt Dcntr Bg Strl Clr Plycrb,4.14,1.61,,,0
CDM,SUP70971,Noncdm Charge Record Medical Supplies - Tube Gastostomy Repl 15Cc 22Fr Balloon,312.57,121.9,,,0
CDM,SUP70975_270,Noncdm Charge Record Medical Supplies - See 31491 Splint Plstr Ready-Cut 4X15In,0.68,0.27,,,0
CDM,SUP70975_A4649_270,Noncdm Charge Record Medical Supplies - See 31491 Splint Plstr Ready-Cut 4X15In,1.03,0.4,,,0
CDM,SUP70977,Noncdm Charge Record Medical Supplies - Immobilizer Knee Tripanel 20In,60.03,23.41,,,0
CDM,SUP70978,Noncdm Charge Record Medical Supplies - Immobilizer Knee Tripanel 24In,63.06,24.59,,,0
CDM,SUP70979,Noncdm Charge Record Medical Supplies - Immobilizer Knee Tripanel 22In,83.32,32.49,,,0
CDM,SUP7098,Noncdm Charge Record Medical Supplies - See 35433 Screw Ti 1.5Mm Cranmf Slf Drll,883.25,344.47,,,0
CDM,SUP70980,Noncdm Charge Record Medical Supplies - See 340 Immobilizer Knee Tripanel 16In,67.28,26.24,,,0
CDM,SUP70981,Noncdm Charge Record Medical Supplies - Immobilizer Knee 20In,68.31,26.64,,,0
CDM,SUP70983,Noncdm Charge Record Medical Supplies - Immobilizer Knee Dlx 22In Lrg,66.24,25.83,,,0
CDM,SUP70984,Noncdm Charge Record Medical Supplies - Immobilizer Knee Univ 22In,63.14,24.62,,,0
CDM,SUP70985,Noncdm Charge Record Medical Supplies - See 467 Immobilizer Knee Trct Lg 20In,57.96,22.6,,,0
CDM,SUP70987,Noncdm Charge Record Medical Supplies - Pillow Abd Foam Med,71.42,27.85,,,0
CDM,SUP70988,Noncdm Charge Record Medical Supplies - Pillow Abd Foam 6X18X25In Lg,112.82,44.0,,,0
CDM,SUP7099,Noncdm Charge Record Medical Supplies - Screw Ti 3Mm Cranmf Er Bn,319.64,124.66,,,0
CDM,SUP70990,Noncdm Charge Record Medical Supplies - Shoe Ps Vlcr Clsr M Sm,17.6,6.86,,,0
CDM,SUP70991,Noncdm Charge Record Medical Supplies - See 8538 Shoe Ps Vlcr Clsr M Med,19.66,7.67,,,0
CDM,SUP70992,Noncdm Charge Record Medical Supplies - See 18603 Shoe Ps Vlcr Clsr M Lg,19.66,7.67,,,0
CDM,SUP70993,Noncdm Charge Record Medical Supplies - See 18600 Shoe Ps Vlcr Clos Foam Wom Med,16.56,6.46,,,0
CDM,SUP70994,Noncdm Charge Record Medical Supplies - See 18601 Shoe Ps Vlcr Clos Foam Wom Lg,16.56,6.46,,,0
CDM,SUP70995_270,Noncdm Charge Record Medical Supplies - See 474 Sling Arm Cmft Blu Lg,11.38,4.44,,,0
CDM,SUP70995_A4649_270,Noncdm Charge Record Medical Supplies - See 474 Sling Arm Cmft Blu Lg,11.38,4.44,,,0
CDM,SUP70995_A9999_270,Noncdm Charge Record Medical Supplies - See 474 Sling Arm Cmft Blu Lg,11.38,4.44,,,0
CDM,SUP70996,Noncdm Charge Record Medical Supplies - Sling Arm Cloth Buckle Clsr Sm,8.28,3.23,,,0
CDM,SUP70997,Noncdm Charge Record Medical Supplies - See 35266 Sling Arm Cloth Buckle Clsr Md,7.24,2.82,,,0
CDM,SUP70998_270,Noncdm Charge Record Medical Supplies - See 474 Sling Arm Cloth Buckle Clsr Lg,7.24,2.82,,,0
CDM,SUP70998_A4649_270,Noncdm Charge Record Medical Supplies - See 474 Sling Arm Cloth Buckle Clsr Lg,7.24,2.82,,,0
CDM,SUP710,Noncdm Charge Record Medical Supplies - Needle Percutaneous 18Ga 9Cmwo Baseplate Cook Medical,14.75,5.75,,,0
CDM,SUP7100,Noncdm Charge Record Medical Supplies - Screw Ti 4Mm Cranmf Er Bn,319.92,124.77,,,0
CDM,SUP71000,Noncdm Charge Record Medical Supplies,12.42,4.84,,,0
CDM,SUP71001_270,Noncdm Charge Record Medical Supplies - See 473 Sling Arm Strap Pad Vlfm Med 7 X 16In Blu,12.42,4.84,,,0
CDM,SUP71001_A4649_270,Noncdm Charge Record Medical Supplies - See 473 Sling Arm Strap Pad Vlfm Med 7 X 16In Blu,12.42,4.84,,,0
CDM,SUP71002_270,Noncdm Charge Record Medical Supplies - See 474 Sling Arm Strap Pad Vlfm Lg 8 X 19In Blu,12.42,4.84,,,0
CDM,SUP71002_A9999_270,Noncdm Charge Record Medical Supplies - See 474 Sling Arm Strap Pad Vlfm Lg 8 X 19In Blu,12.42,4.84,,,0
CDM,SUP71003,Noncdm Charge Record Medical Supplies - See 17489 Sling Arm Strap Pad Vlfm Xlg 9 X 22In Blu,12.42,4.84,,,0
CDM,SUP71005,Noncdm Charge Record Medical Supplies - Collar Cerv Phil 5.25In 16-19,47.61,18.57,,,0
CDM,SUP71007,Noncdm Charge Record Medical Supplies - Splint Wrist Supp Cont Lt Lg,25.88,10.09,,,0
CDM,SUP71010,Noncdm Charge Record Medical Supplies - See 4410 Immobilizer Shoulder Men Med,25.88,10.09,,,0
CDM,SUP71011,Noncdm Charge Record Medical Supplies - Immobilizer Shoulder Wom Med,27.94,10.9,,,0
CDM,SUP71015,Noncdm Charge Record Medical Supplies - Immobilizer Shoulder Sling Xl,18.63,7.27,,,0
CDM,SUP71016,Noncdm Charge Record Medical Supplies - See 476 Immobilizer Shoulder-Arm Med,24.84,9.69,,,0
CDM,SUP71017,Noncdm Charge Record Medical Supplies - See 477 Immobilizer Shoulder-Arm Lrg,24.84,9.69,,,0
CDM,SUP71018,Noncdm Charge Record Medical Supplies - Sling Arm Ul2 Pad Vlcr Sm-Sh Blk,199.76,77.91,,,0
CDM,SUP71019,Noncdm Charge Record Medical Supplies - Sling Arm Strap Ul2 Pad Lng-Lg Velcro,199.76,77.91,,,0
CDM,SUP71020_270,Noncdm Charge Record Medical Supplies - Sling Arm Strap Ul2 Pad Med Velcro Blk,199.76,77.91,,,0
CDM,SUP71020_A4649_270,Noncdm Charge Record Medical Supplies - Sling Arm Strap Ul2 Pad Med Velcro Blk,199.76,77.91,,,0
CDM,SUP71026_272,Noncdm Charge Record Medical Supplies - See 96363 Cannula Nasal Divr Adlt M 7Ft O2 Ln 7Ft Co2 Ln,10.36,4.04,,,0
CDM,SUP71026_A4649_272,Noncdm Charge Record Medical Supplies - See 96363 Cannula Nasal Divr Adlt M 7Ft O2 Ln 7Ft Co2 Ln,10.35,4.04,,,0
CDM,SUP71026_A9999_272,Noncdm Charge Record Medical Supplies - See 96363 Cannula Nasal Divr Adlt M 7Ft O2 Ln 7Ft Co2 Ln,10.35,4.04,,,0
CDM,SUP7103,Noncdm Charge Record Medical Supplies - Kit Neurostim Lead Paddle Scs,14500.35,5655.14,,,0
CDM,SUP71030,Noncdm Charge Record Medical Supplies - See 158088 Holder Tube Trach Hook Loop Medichoice,8.28,3.23,,,0
CDM,SUP71031,Noncdm Charge Record Medical Supplies - Stylet Intub Stn-Slip 6Fr Strl,16.21,6.32,,,0
CDM,SUP71034,Noncdm Charge Record Medical Supplies - Blade Bn Fine For Bnmilldisp,1869.09,728.95,,,0
CDM,SUP71036_272,Noncdm Charge Record Medical Supplies - Blade Myrngtm Nar Ez Chk Hndl,38.3,14.94,,,0
CDM,SUP71036_A4649_272,Noncdm Charge Record Medical Supplies - Blade Myrngtm Nar Ez Chk Hndl,38.3,14.94,,,0
CDM,SUP71036_A9999_272,Noncdm Charge Record Medical Supplies - Blade Myrngtm Nar Ez Chk Hndl,38.3,14.94,,,0
CDM,SUP71038,Noncdm Charge Record Medical Supplies - Blade Crv Rad 55 3.6Mm,1856.79,724.15,,,0
CDM,SUP7104,Noncdm Charge Record Medical Supplies - Kit Neurostim Lead Paddle,14500.35,5655.14,,,0
CDM,SUP71040,Noncdm Charge Record Medical Supplies - Burr Choanal Atresia Crv 3.6Mm,1996.86,778.78,,,0
CDM,SUP71041,Noncdm Charge Record Medical Supplies - Burr Cut Frntl Sin Hs 40D 2Mm,965.14,376.4,,,0
CDM,SUP71042,Noncdm Charge Record Medical Supplies - Burr Dmd Hs Tpr 70D 4Mm,2098.98,818.6,,,0
CDM,SUP71043,Noncdm Charge Record Medical Supplies - Burr Precision Round Ss 5Mm,2094.27,816.77,,,0
CDM,SUP71044,Noncdm Charge Record Medical Supplies - Burr Egg Flut Sftch 3Mm,701.04,273.41,,,0
CDM,SUP71045,Noncdm Charge Record Medical Supplies - Burr Egg Flut Sftch 5Mm,684.14,266.81,,,0
CDM,SUP71046,Noncdm Charge Record Medical Supplies - Burr Rnd Multi Flut 6Mm,764.66,298.22,,,0
CDM,SUP71047_272,Noncdm Charge Record Medical Supplies - Burr Rnd Fn Dmd 1Mm,788.89,307.67,,,0
CDM,SUP71047_A4649_272,Noncdm Charge Record Medical Supplies - Burr Rnd Fn Dmd 1Mm,817.65,318.88,,,0
CDM,SUP71047_A9999_272,Noncdm Charge Record Medical Supplies - Burr Rnd Fn Dmd 1Mm,751.41,293.05,,,0
CDM,SUP71048,Noncdm Charge Record Medical Supplies - Kit Cath Lumb Cls Tip 22G 80Cm,1530.76,597.0,,,0
CDM,SUP71052,Noncdm Charge Record Medical Supplies - See 54608 Blade Saw Osc Ss 5Mm X 12Mm,105.57,41.17,,,0
CDM,SUP71053_272,Noncdm Charge Record Medical Supplies - See 7350 Blade Saw Sgtl 9X0.38X31Mm Precision Thin,167.64,65.38,,,0
CDM,SUP71053_A4649_272,Noncdm Charge Record Medical Supplies - See 7350 Blade Saw Sgtl 9X0.38X31Mm Precision Thin,168.7,65.79,,,0
CDM,SUP71053_A9999_272,Noncdm Charge Record Medical Supplies - See 7350 Blade Saw Sgtl 9X0.38X31Mm Precision Thin,168.7,65.79,,,0
CDM,SUP71054,Noncdm Charge Record Medical Supplies - See 7688 Blade Saw Sgtl W Tk Lng 4.72Cm 24.82Mm 1.27Mm,172.84,67.41,,,0
CDM,SUP71055_272,Noncdm Charge Record Medical Supplies - Blade Saw Osc Ss 5.5Mm X 25Mm,168.7,65.79,,,0
CDM,SUP71055_A4649_272,Noncdm Charge Record Medical Supplies - Blade Saw Osc Ss 5.5Mm X 25Mm,168.7,65.79,,,0
CDM,SUP71057,Noncdm Charge Record Medical Supplies - Blade Saw Sgtl 25X90X1.27Mm,275.69,107.52,,,0
CDM,SUP71058_272,Noncdm Charge Record Medical Supplies - Blade Saw Sgtl Dp Ct Nar 90.47Mm 25.82Mm 0.89M,141.54,55.2,,,0
CDM,SUP71058_A4649_272,Noncdm Charge Record Medical Supplies - Blade Saw Sgtl Dp Ct Nar 90.47Mm 25.82Mm 0.89M,143.86,56.11,,,0
CDM,SUP71059,Noncdm Charge Record Medical Supplies - Blade Saw Sgtl Dp Ct Wd Tk 4.72Cm 25.40Mm 1.27Mm,141.41,55.15,,,0
CDM,SUP71060,Noncdm Charge Record Medical Supplies - Clip Sclp Raney Plastic Strl Ct-10,6.62,2.58,,,0
CDM,SUP71063,Noncdm Charge Record Medical Supplies - Battery Cranl Varspd Quikdrive,1177.31,459.15,,,0
CDM,SUP71068_272,Noncdm Charge Record Medical Supplies - Cannula Irr Ant Cham 27G 7-8In,75.38,29.4,,,0
CDM,SUP71068_A4649_272,Noncdm Charge Record Medical Supplies - Cannula Irr Ant Cham 27G 7-8In,72.84,28.41,,,0
CDM,SUP71068_A9999_272,Noncdm Charge Record Medical Supplies - Cannula Irr Ant Cham 27G 7-8In,75.81,29.57,,,0
CDM,SUP71070_272,Noncdm Charge Record Medical Supplies - Set Tur Y Type Irr Nvnt,61.52,23.99,,,0
CDM,SUP71070_A4649_272,Noncdm Charge Record Medical Supplies - Set Tur Y Type Irr Nvnt,62.1,24.22,,,0
CDM,SUP71070_A9999_272,Noncdm Charge Record Medical Supplies - Set Tur Y Type Irr Nvnt,62.1,24.22,,,0
CDM,SUP71071_272,Noncdm Charge Record Medical Supplies - See 699 Set Cysto Irr Dist Cnct 79In Rl Clamp,9.32,3.63,,,0
CDM,SUP71071_A4649_272,Noncdm Charge Record Medical Supplies - See 699 Set Cysto Irr Dist Cnct 79In Rl Clamp,9.32,3.63,,,0
CDM,SUP71074_272,Noncdm Charge Record Medical Supplies - Blade Surg Ss N67,37.15,14.49,,,0
CDM,SUP71074_A4649_272,Noncdm Charge Record Medical Supplies - Blade Surg Ss N67,37.26,14.53,,,0
CDM,SUP71074_A9999_272,Noncdm Charge Record Medical Supplies - Blade Surg Ss N67,37.26,14.53,,,0
CDM,SUP71075_270,Noncdm Charge Record Medical Supplies - Shield Eye Adh Optgrd Strl Blu,30.85,12.03,,,0
CDM,SUP71075_A4649_270,Noncdm Charge Record Medical Supplies - Shield Eye Adh Optgrd Strl Blu,31.05,12.11,,,0
CDM,SUP71075_A9999_270,Noncdm Charge Record Medical Supplies - Shield Eye Adh Optgrd Strl Blu,31.05,12.11,,,0
CDM,SUP7107_272,Noncdm Charge Record Medical Supplies - Rod Reamer 650Mm 2.5Mm Ball Tip Strl,552.78,215.58,,,0
CDM,SUP7107_A9999_272,Noncdm Charge Record Medical Supplies - Rod Reamer 650Mm 2.5Mm Ball Tip Strl,562.0,219.18,,,0
CDM,SUP71080_272,Noncdm Charge Record Medical Supplies - Tub Endoflator Fltr M Ll 10Ft Swvl Adptr,79.18,30.88,,,0
CDM,SUP71080_A4649_272,Noncdm Charge Record Medical Supplies - Tub Endoflator Fltr M Ll 10Ft Swvl Adptr,80.73,31.48,,,0
CDM,SUP71080_A9999_272,Noncdm Charge Record Medical Supplies - Tub Endoflator Fltr M Ll 10Ft Swvl Adptr,76.59,29.87,,,0
CDM,SUP71081_272,Noncdm Charge Record Medical Supplies - Tub Insfl Hdrphb Bctr Filter,44.5,17.36,,,0
CDM,SUP71081_A9999_272,Noncdm Charge Record Medical Supplies - Tub Insfl Hdrphb Bctr Filter,44.5,17.36,,,0
CDM,SUP71083_272,Noncdm Charge Record Medical Supplies - Forcep Radial Jaw4 W Ndl 240Cm,104.54,40.77,,,0
CDM,SUP71083_A4649_272,Noncdm Charge Record Medical Supplies - Forcep Radial Jaw4 W Ndl 240Cm,104.54,40.77,,,0
CDM,SUP71083_A9999_272,Noncdm Charge Record Medical Supplies - Forcep Radial Jaw4 W Ndl 240Cm,104.54,40.77,,,0
CDM,SUP71084_272,Noncdm Charge Record Medical Supplies - Forcep Bx Hot Radial Jw Iv,419.18,163.48,,,0
CDM,SUP71084_A4649_272,Noncdm Charge Record Medical Supplies - Forcep Bx Hot Radial Jw Iv,419.18,163.48,,,0
CDM,SUP71084_A9999_272,Noncdm Charge Record Medical Supplies - Forcep Bx Hot Radial Jw Iv,419.18,163.48,,,0
CDM,SUP71085,Noncdm Charge Record Medical Supplies - See 134072 Trocar Surg Bladed 11X100Mm,763.83,297.89,,,0
CDM,SUP71089_272,Noncdm Charge Record Medical Supplies - See 126032 Spec Rtrvl Sys Endo Disp 10Mm,367.42,143.29,,,0
CDM,SUP71089_A4649_272,Noncdm Charge Record Medical Supplies - See 126032 Spec Rtrvl Sys Endo Disp 10Mm,367.42,143.29,,,0
CDM,SUP71089_A9999_272,Noncdm Charge Record Medical Supplies - See 126032 Spec Rtrvl Sys Endo Disp 10Mm,367.42,143.29,,,0
CDM,SUP7108_272,Noncdm Charge Record Medical Supplies - Circuit Ninvsv 72In Ventilator,30.38,11.85,,,0
CDM,SUP7108_A9999_272,Noncdm Charge Record Medical Supplies - Circuit Ninvsv 72In Ventilator,31.05,12.11,,,0
CDM,SUP71090,Noncdm Charge Record Medical Supplies - See 108380 Blade Rdnd 120D Crv Ped 3.5Mm,1465.56,571.57,,,0
CDM,SUP71091,Noncdm Charge Record Medical Supplies - Knife Myrngtm Spr Edge Ang Shank,95.22,37.14,,,0
CDM,SUP71092_272,Noncdm Charge Record Medical Supplies - Blade Otlrng Trct 4Mm,1252.8,488.59,,,0
CDM,SUP71092_A4649_272,Noncdm Charge Record Medical Supplies - Blade Otlrng Trct 4Mm,1287.54,502.14,,,0
CDM,SUP71093_272,Noncdm Charge Record Medical Supplies - Blade Sin Rad Crv Strl 4Mm,1215.32,473.97,,,0
CDM,SUP71093_A4649_272,Noncdm Charge Record Medical Supplies - Blade Sin Rad Crv Strl 4Mm,1260.63,491.65,,,0
CDM,SUP71093_A9999_272,Noncdm Charge Record Medical Supplies - Blade Sin Rad Crv Strl 4Mm,1126.08,439.17,,,0
CDM,SUP71094,Noncdm Charge Record Medical Supplies - Blade Otlrng Xtrm 60D 4Mm,1299.34,506.74,,,0
CDM,SUP71095,Noncdm Charge Record Medical Supplies - Blade Rdnd Crv 40D 4Mm 4.5Mm,805.23,314.04,,,0
CDM,SUP71096_272,Noncdm Charge Record Medical Supplies - Blade Trbnt Infr Disp 2.9Mm,1460.76,569.7,,,0
CDM,SUP71096_A4649_272,Noncdm Charge Record Medical Supplies - Blade Trbnt Infr Disp 2.9Mm,1474.88,575.2,,,0
CDM,SUP71096_A9999_272,Noncdm Charge Record Medical Supplies - Blade Trbnt Infr Disp 2.9Mm,1422.09,554.62,,,0
CDM,SUP71098,Noncdm Charge Record Medical Supplies - See 83343 Blade Otlrng Xtrm Rot 60D 4Mm,1069.16,416.97,,,0
CDM,SUP71099,Noncdm Charge Record Medical Supplies - Blade Arthro Crv Resct 4.5Mm,328.1,127.96,,,0
CDM,SUP711,Noncdm Charge Record Medical Supplies - Set Tubing Y Type 40-150 Blood With Micron Filter Baxter,61.36,23.93,,,0
CDM,SUP71102_272,Noncdm Charge Record Medical Supplies - Cord Bipolar St 10Ft,17.6,6.86,,,0
CDM,SUP71102_A4649_272,Noncdm Charge Record Medical Supplies - Cord Bipolar St 10Ft,17.6,6.86,,,0
CDM,SUP71102_A9999_272,Noncdm Charge Record Medical Supplies - Cord Bipolar St 10Ft,17.6,6.86,,,0
CDM,SUP71104,Noncdm Charge Record Medical Supplies - Kit Pat Care Wlsn Frame Arm Crdl,119.02,46.42,,,0
CDM,SUP71105_272,Noncdm Charge Record Medical Supplies - Mnfld Drip Reduct 4Port Nptn,96.03,37.45,,,0
CDM,SUP71105_A4649_272,Noncdm Charge Record Medical Supplies - Mnfld Drip Reduct 4Port Nptn,96.07,37.47,,,0
CDM,SUP71105_A9999_272,Noncdm Charge Record Medical Supplies - Mnfld Drip Reduct 4Port Nptn,96.26,37.54,,,0
CDM,SUP71106,Noncdm Charge Record Medical Supplies - Set Tub Smoke Evac 1-4In 10Ft,302.22,117.87,,,0
CDM,SUP71108_272,Noncdm Charge Record Medical Supplies - See 6061 Coagulator Ftswitch Suct 6In 10F Cannla Brs Tip,130.41,50.86,,,0
CDM,SUP71108_A9999_272,Noncdm Charge Record Medical Supplies - See 6061 Coagulator Ftswitch Suct 6In 10F Cannla Brs Tip,130.41,50.86,,,0
CDM,SUP71109_272,Noncdm Charge Record Medical Supplies - Cautery Pncl Rckr Switch 10Ft Cord,15.52,6.05,,,0
CDM,SUP71109_A4649_272,Noncdm Charge Record Medical Supplies - Cautery Pncl Rckr Switch 10Ft Cord,15.52,6.05,,,0
CDM,SUP71110_272,Noncdm Charge Record Medical Supplies - See 93343 Cautery Pncl Pshbtn Sf Hlstr 10Ft Cord,15.59,6.08,,,0
CDM,SUP71110_A4649_272,Noncdm Charge Record Medical Supplies - See 93343 Cautery Pncl Pshbtn Sf Hlstr 10Ft Cord,15.52,6.05,,,0
CDM,SUP71110_A9999_272,Noncdm Charge Record Medical Supplies - See 93343 Cautery Pncl Pshbtn Sf Hlstr 10Ft Cord,15.52,6.05,,,0
CDM,SUP71111_272,Noncdm Charge Record Medical Supplies - Electrode Blade Flat Insul,7.24,2.82,,,0
CDM,SUP71111_A4649_272,Noncdm Charge Record Medical Supplies - Electrode Blade Flat Insul,7.24,2.82,,,0
CDM,SUP71111_A9999_272,Noncdm Charge Record Medical Supplies - Electrode Blade Flat Insul,7.24,2.82,,,0
CDM,SUP71114,Noncdm Charge Record Medical Supplies - Electrode Dspr Dual Foil 10Ft Cable Disp,13.46,5.25,,,0
CDM,SUP71117,Noncdm Charge Record Medical Supplies - See 37944 Device Smk Elmntr Pshbtn Pncl W Tbng,186.24,72.63,,,0
CDM,SUP71118_272,Noncdm Charge Record Medical Supplies - Electrode Blade Ez Cln 2.5In,16.55,6.45,,,0
CDM,SUP71118_A4649_272,Noncdm Charge Record Medical Supplies - Electrode Blade Ez Cln 2.5In,16.56,6.46,,,0
CDM,SUP71119_272,Noncdm Charge Record Medical Supplies - Electrode Blade Tfln Strl Disp,16.54,6.45,,,0
CDM,SUP71119_A4649_272,Noncdm Charge Record Medical Supplies - Electrode Blade Tfln Strl Disp,16.56,6.46,,,0
CDM,SUP71119_A9999_272,Noncdm Charge Record Medical Supplies - Electrode Blade Tfln Strl Disp,16.56,6.46,,,0
CDM,SUP71121_272,Noncdm Charge Record Medical Supplies - Electrode Ndl Tfln Ct 2.75In,17.6,6.86,,,0
CDM,SUP71121_A4649_272,Noncdm Charge Record Medical Supplies - Electrode Ndl Tfln Ct 2.75In,17.6,6.86,,,0
CDM,SUP71121_A9999_272,Noncdm Charge Record Medical Supplies - Electrode Ndl Tfln Ct 2.75In,17.6,6.86,,,0
CDM,SUP71122_272,Noncdm Charge Record Medical Supplies - Wand Ent Coblation Trbnt 2.9Mm Disp,1150.91,448.85,,,0
CDM,SUP71122_A4649_272,Noncdm Charge Record Medical Supplies - Wand Ent Coblation Trbnt 2.9Mm Disp,1150.92,448.86,,,0
CDM,SUP71122_A9999_272,Noncdm Charge Record Medical Supplies - Wand Ent Coblation Trbnt 2.9Mm Disp,1150.92,448.86,,,0
CDM,SUP71123_272,Noncdm Charge Record Medical Supplies - See 5499 Electrode Blade Coated 6In Strl Disp,20.67,8.06,,,0
CDM,SUP71123_A4649_272,Noncdm Charge Record Medical Supplies - See 5499 Electrode Blade Coated 6In Strl Disp,20.7,8.07,,,0
CDM,SUP71124,Noncdm Charge Record Medical Supplies - Electrode 6In Blade 3-32 Shaft Elect-Surg,13.46,5.25,,,0
CDM,SUP71126,Noncdm Charge Record Medical Supplies - Loop Vasc Sil Strl Mini Red,42.35,16.52,,,0
CDM,SUP71127,Noncdm Charge Record Medical Supplies - Loop Vasc Sil Strl Mini Blu,38.3,14.94,,,0
CDM,SUP71132_272,Noncdm Charge Record Medical Supplies - Sponge Neuro 1-2In X 1In,2.15,0.84,,,0
CDM,SUP71132_A4649_272,Noncdm Charge Record Medical Supplies - Sponge Neuro 1-2In X 1In,2.07,0.81,,,0
CDM,SUP71135_272,Noncdm Charge Record Medical Supplies - See 129516 Sponge Lap X-Ray Prm 18Inx18In Lf Disp,7.39,2.88,,,0
CDM,SUP71135_A4649_272,Noncdm Charge Record Medical Supplies - See 129516 Sponge Lap X-Ray Prm 18Inx18In Lf Disp,7.45,2.91,,,0
CDM,SUP71139,Noncdm Charge Record Medical Supplies - Wipe Srginst Eye Drain Shld 3In,47.61,18.57,,,0
CDM,SUP71140_272,Noncdm Charge Record Medical Supplies - Pack Lapscp,33.09,12.91,,,0
CDM,SUP71140_A4649_272,Noncdm Charge Record Medical Supplies - Pack Lapscp,32.91,12.83,,,0
CDM,SUP71140_A9999_272,Noncdm Charge Record Medical Supplies - Pack Lapscp,33.12,12.92,,,0
CDM,SUP71141,Noncdm Charge Record Medical Supplies - Pack Lap,48.37,18.86,,,0
CDM,SUP71142,Noncdm Charge Record Medical Supplies - Pack Lap3,38.22,14.91,,,0
CDM,SUP71143_272,Noncdm Charge Record Medical Supplies - Pack Lith5,24.83,9.68,,,0
CDM,SUP71143_A4649_272,Noncdm Charge Record Medical Supplies - Pack Lith5,24.84,9.69,,,0
CDM,SUP71143_A9999_272,Noncdm Charge Record Medical Supplies - Pack Lith5,24.84,9.69,,,0
CDM,SUP71145_272,Noncdm Charge Record Medical Supplies - Pack Ascp3 W Fld Collect Pouch,146.97,57.32,,,0
CDM,SUP71145_A4649_272,Noncdm Charge Record Medical Supplies - Pack Ascp3 W Fld Collect Pouch,146.97,57.32,,,0
CDM,SUP71146,Noncdm Charge Record Medical Supplies - Pack Lith2,22.77,8.88,,,0
CDM,SUP71147_272,Noncdm Charge Record Medical Supplies - Pack Lapscp-Plvscp W Sut Bg Armbrd,81.63,31.84,,,0
CDM,SUP71147_A4649_272,Noncdm Charge Record Medical Supplies - Pack Lapscp-Plvscp W Sut Bg Armbrd,81.76,31.89,,,0
CDM,SUP71147_A9999_272,Noncdm Charge Record Medical Supplies - Pack Lapscp-Plvscp W Sut Bg Armbrd,81.76,31.89,,,0
CDM,SUP71148_272,Noncdm Charge Record Medical Supplies - Pack Eent1,44.45,17.34,,,0
CDM,SUP71148_A9999_272,Noncdm Charge Record Medical Supplies - Pack Eent1,44.5,17.36,,,0
CDM,SUP71149,Noncdm Charge Record Medical Supplies - Pack Univ Prc Multi,75.9,29.6,,,0
CDM,SUP71150_272,Noncdm Charge Record Medical Supplies - See 139572 Pack Cscp4,26.91,10.49,,,0
CDM,SUP71150_A9999_272,Noncdm Charge Record Medical Supplies - See 139572 Pack Cscp4,26.91,10.49,,,0
CDM,SUP71151,Noncdm Charge Record Medical Supplies - Pack Basic Xv Surg,14.49,5.65,,,0
CDM,SUP71152,Noncdm Charge Record Medical Supplies - See 139268 Pack Cust Ant Cerv Diskectomy N Fulton,534.06,208.28,,,0
CDM,SUP71153,Noncdm Charge Record Medical Supplies - Pack Cust Ascp Amc,556.83,217.16,,,0
CDM,SUP71157,Noncdm Charge Record Medical Supplies - See 139614 Pack Cust Crntmy N Fulton,1044.32,407.28,,,0
CDM,SUP71164,Noncdm Charge Record Medical Supplies - See 139617 Pack Cust Gen Lapscp S Fulton,366.39,142.89,,,0
CDM,SUP71166,Noncdm Charge Record Medical Supplies - Pack Cust Gyn Min Trans-Maj Atl S Campus,153.18,59.74,,,0
CDM,SUP71170,Noncdm Charge Record Medical Supplies - Pack Cust Maj Gen Amc,629.28,245.42,,,0
CDM,SUP71171,Noncdm Charge Record Medical Supplies - Pack Cust Min Gen Amc,420.21,163.88,,,0
CDM,SUP71172_272,Noncdm Charge Record Medical Supplies - See 139268 Pack Cust Spine N Fulton Regional Hsp,708.98,276.5,,,0
CDM,SUP71172_A4649_272,Noncdm Charge Record Medical Supplies - See 139268 Pack Cust Spine N Fulton Regional Hsp,708.98,276.5,,,0
CDM,SUP71173,Noncdm Charge Record Medical Supplies - See 143797 Pack Cust T-H N Fulton Regional Hsp,837.32,326.55,,,0
CDM,SUP71175_272,Noncdm Charge Record Medical Supplies - Pack Cust T-K N Fulton Regional,608.58,237.35,,,0
CDM,SUP71175_A4649_272,Noncdm Charge Record Medical Supplies - Pack Cust T-K N Fulton Regional,608.58,237.35,,,0
CDM,SUP71179,Noncdm Charge Record Medical Supplies - Pack Cust Vasc Amc,442.98,172.76,,,0
CDM,SUP71180,Noncdm Charge Record Medical Supplies - See 139617 Pack Lapscp Amc,515.43,201.02,,,0
CDM,SUP71189_272,Noncdm Charge Record Medical Supplies - Cath Cholangiographic 4.5F18In Steel Tip,251.5,98.08,,,0
CDM,SUP71189_A4649_272,Noncdm Charge Record Medical Supplies - Cath Cholangiographic 4.5F18In Steel Tip,252.54,98.49,,,0
CDM,SUP7119,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 26Mm Nail Ex Ti Ft Hum Tib St,768.4,299.68,,,0
CDM,SUP71193_272,Noncdm Charge Record Medical Supplies - Tray Skin Scrub Premium Wet,25.87,10.09,,,0
CDM,SUP71193_A4649_272,Noncdm Charge Record Medical Supplies - Tray Skin Scrub Premium Wet,25.88,10.09,,,0
CDM,SUP71193_A9999_272,Noncdm Charge Record Medical Supplies - Tray Skin Scrub Premium Wet,25.88,10.09,,,0
CDM,SUP71194_272,Noncdm Charge Record Medical Supplies - See 924 Kit Skin Scrub Vag Prep Pvp1 5 Cmprt Bsin,17.6,6.86,,,0
CDM,SUP71194_A9999_272,Noncdm Charge Record Medical Supplies - See 924 Kit Skin Scrub Vag Prep Pvp1 5 Cmprt Bsin,17.6,6.86,,,0
CDM,SUP71197_270,Noncdm Charge Record Medical Supplies - See 89151 Blade Clipper Disposable Cardinal Health Medical,9.32,3.63,,,0
CDM,SUP71197_A4649_270,Noncdm Charge Record Medical Supplies - See 89151 Blade Clipper Disposable Cardinal Health Medical,9.32,3.63,,,0
CDM,SUP71197_A9999_270,Noncdm Charge Record Medical Supplies - See 89151 Blade Clipper Disposable Cardinal Health Medical,9.32,3.63,,,0
CDM,SUP71201_270,Noncdm Charge Record Medical Supplies - Tube Cnct M Cnct 1-4Inid 12 S Ncdtv,3.11,1.21,,,0
CDM,SUP71201_A4649_270,Noncdm Charge Record Medical Supplies - Tube Cnct M Cnct 1-4Inid 12 S Ncdtv,3.1,1.21,,,0
CDM,SUP71201_A9999_270,Noncdm Charge Record Medical Supplies - Tube Cnct M Cnct 1-4Inid 12 S Ncdtv,3.1,1.21,,,0
CDM,SUP71203_272,Noncdm Charge Record Medical Supplies - Tube Cnct Suct 9-32In Id 12Ft Strl,7.24,2.82,,,0
CDM,SUP71203_A4649_272,Noncdm Charge Record Medical Supplies - Tube Cnct Suct 9-32In Id 12Ft Strl,7.24,2.82,,,0
CDM,SUP71205,Noncdm Charge Record Medical Supplies - Retainer Vscr Med Sz 5.875Inx9.625In,169.74,66.2,,,0
CDM,SUP71206_272,Noncdm Charge Record Medical Supplies - Drain Sil Rnd Hbls 15Fr Troc 3-16In,72.35,28.22,,,0
CDM,SUP71206_A4649_272,Noncdm Charge Record Medical Supplies - Drain Sil Rnd Hbls 15Fr Troc 3-16In,72.45,28.26,,,0
CDM,SUP71206_A9999_272,Noncdm Charge Record Medical Supplies - Drain Sil Rnd Hbls 15Fr Troc 3-16In,72.45,28.26,,,0
CDM,SUP71207,Noncdm Charge Record Medical Supplies - See 129848 Drain Sil Rnd Hbls 19Fr Wo Troc,68.67,26.78,,,0
CDM,SUP71208_272,Noncdm Charge Record Medical Supplies - Drain Sil Flat Hbls 10Mm 20Cml Full Perf,43.59,17.0,,,0
CDM,SUP71208_A4649_272,Noncdm Charge Record Medical Supplies - Drain Sil Flat Hbls 10Mm 20Cml Full Perf,43.47,16.95,,,0
CDM,SUP71209_272,Noncdm Charge Record Medical Supplies - Drain Sil Flat Hbls 7Mm 20Cml Full Perf,42.37,16.52,,,0
CDM,SUP71209_A4649_272,Noncdm Charge Record Medical Supplies - Drain Sil Flat Hbls 7Mm 20Cml Full Perf,42.44,16.55,,,0
CDM,SUP71212,Noncdm Charge Record Medical Supplies - Implant Port Sgl Lum 8F Sil Fil Cath,1557.68,607.5,,,0
CDM,SUP71213,Noncdm Charge Record Medical Supplies - Implant Port 2Lum Cath 9.5F Interm Tray,2121.75,827.48,,,0
CDM,SUP71215,Noncdm Charge Record Medical Supplies - Shunt Crtd Pruitt 9Fr 31Cm,4184.5,1631.96,,,0
CDM,SUP71219,Noncdm Charge Record Medical Supplies - See 91365 Sys Drain Ventriclr Ext Vlv Antimcr Filtr,1058.8,412.93,,,0
CDM,SUP71222,Noncdm Charge Record Medical Supplies - Stent Uret Wo Gwire 6Fr 28Cm,918.64,358.27,,,0
CDM,SUP71224,Noncdm Charge Record Medical Supplies - See 116906 Bandage Cnfrm Strl 3P 2Inx75In Gauze,0.91,0.35,,,0
CDM,SUP71229_270,Noncdm Charge Record Medical Supplies - Bandage Lf Elc Vlcr Clsr Ns 4Inx10Yd,5.2,2.03,,,0
CDM,SUP71229_A4649_270,Noncdm Charge Record Medical Supplies - Bandage Lf Elc Vlcr Clsr Ns 4Inx10Yd,5.18,2.02,,,0
CDM,SUP71230_270,Noncdm Charge Record Medical Supplies - Bandage Press Esmrk Strl 4X9 Pf Lf,19.66,7.67,,,0
CDM,SUP71230_A4649_270,Noncdm Charge Record Medical Supplies - Bandage Press Esmrk Strl 4X9 Pf Lf,19.66,7.67,,,0
CDM,SUP71231,Noncdm Charge Record Medical Supplies - Bandage Press Esmrk Strl 6X9 Pf Lf,43.47,16.95,,,0
CDM,SUP71233,Noncdm Charge Record Medical Supplies - See 120 Bandage Elc Vlcr 3Inx5Yd,5.0,1.95,,,0
CDM,SUP71235,Noncdm Charge Record Medical Supplies - See 82391 Bandage Elc Clip Strl 6Inx5Yd,11.38,4.44,,,0
CDM,SUP71236_270,Noncdm Charge Record Medical Supplies - See 121 Bandage Elc Vlcr Ns Lf 4Inx5Yd,6.14,2.39,,,0
CDM,SUP71236_A4649_270,Noncdm Charge Record Medical Supplies - See 121 Bandage Elc Vlcr Ns Lf 4Inx5Yd,6.21,2.42,,,0
CDM,SUP71236_A9999_270,Noncdm Charge Record Medical Supplies - See 121 Bandage Elc Vlcr Ns Lf 4Inx5Yd,6.21,2.42,,,0
CDM,SUP71243,Noncdm Charge Record Medical Supplies - Dressing Pad Wound Nadh 2X10 Strl,109.45,42.69,,,0
CDM,SUP71246,Noncdm Charge Record Medical Supplies - Dressing Wound Mesh Flx 6X8 Comf Nadh,42.44,16.55,,,0
CDM,SUP71248,Noncdm Charge Record Medical Supplies - See 31505 Dressing Gauze Petro Xr 5X9In Lf,2.13,0.83,,,0
CDM,SUP71252_272,Noncdm Charge Record Medical Supplies - Dressing Graft Otology 10X15Cm Blue,82.8,32.29,,,0
CDM,SUP71252_A4649_272,Noncdm Charge Record Medical Supplies - Dressing Graft Otology 10X15Cm Blue,82.8,32.29,,,0
CDM,SUP71252_A9999_272,Noncdm Charge Record Medical Supplies - Dressing Graft Otology 10X15Cm Blue,82.8,32.29,,,0
CDM,SUP71253,Noncdm Charge Record Medical Supplies - Sponge Collagen 3In X 4In,431.6,168.32,,,0
CDM,SUP71254,Noncdm Charge Record Medical Supplies - Hmst Abs Gel Foam 3 1-8X2.5In Sz 50,64.01,24.96,,,0
CDM,SUP71255,Noncdm Charge Record Medical Supplies - Wax Bn Synth Strl 2.5Gm,15.55,6.06,,,0
CDM,SUP71256,Noncdm Charge Record Medical Supplies - Hmst Abs Strl 2X14In,294.7,114.93,,,0
CDM,SUP71257_272,Noncdm Charge Record Medical Supplies - Hmst Abs Powder 5Gm Arista 24-48Hr,1566.36,610.88,,,0
CDM,SUP71257_A4649_272,Noncdm Charge Record Medical Supplies - Hmst Abs Powder 5Gm Arista 24-48Hr,1664.28,649.07,,,0
CDM,SUP71257_A9999_272,Noncdm Charge Record Medical Supplies - Hmst Abs Powder 5Gm Arista 24-48Hr,1415.88,552.19,,,0
CDM,SUP71261,Noncdm Charge Record Medical Supplies - Applier Laparos Clip Univ 5Mmx34Cm,514.4,200.62,,,0
CDM,SUP71264,Noncdm Charge Record Medical Supplies - Stapler Skin Visistat 35Mm W,37.67,14.69,,,0
CDM,SUP71270,Noncdm Charge Record Medical Supplies - Suture Fiberwire 4-0 18In T-12 Blue Arthrex,107.64,41.98,,,0
CDM,SUP71271_272,Noncdm Charge Record Medical Supplies - Sut Smtr Blu Br 3-0 W-C-22 3-8 Cir 18,107.64,41.98,,,0
CDM,SUP71271_A4649_272,Noncdm Charge Record Medical Supplies - Sut Smtr Blu Br 3-0 W-C-22 3-8 Cir 18,107.64,41.98,,,0
CDM,SUP71272,Noncdm Charge Record Medical Supplies - Suture Chromic 1 Ct- 2 27In Clsr Ct-2 Ethicon,15.16,5.91,,,0
CDM,SUP71273,Noncdm Charge Record Medical Supplies - Suture Chromic 2-0 Ctx 27In Clsr Ethicon,14.55,5.67,,,0
CDM,SUP71276,Noncdm Charge Record Medical Supplies - Suture Ethilon 6-0 Pc-3 18In Black Ethicon,22.77,8.88,,,0
CDM,SUP71278,Noncdm Charge Record Medical Supplies - Suture Mono 6-0 30In C-1 Cardio Pro Bl,239.16,93.27,,,0
CDM,SUP71279_272,Noncdm Charge Record Medical Supplies - Suture Permahand 0 Fsl 18In Black Ethicon,8.28,3.23,,,0
CDM,SUP71279_A4649_272,Noncdm Charge Record Medical Supplies - Suture Permahand 0 Fsl 18In Black Ethicon,8.28,3.23,,,0
CDM,SUP71280_272,Noncdm Charge Record Medical Supplies - Suture Permahand 0 10-30In Tie Black Ethicon,12.13,4.73,,,0
CDM,SUP71280_A4649_272,Noncdm Charge Record Medical Supplies - Suture Permahand 0 10-30In Tie Black Ethicon,11.38,4.44,,,0
CDM,SUP71280_A9999_272,Noncdm Charge Record Medical Supplies - Suture Permahand 0 10-30In Tie Black Ethicon,12.42,4.84,,,0
CDM,SUP71281,Noncdm Charge Record Medical Supplies - Suture Permahand 0 13-24 In Tie Black Ethicon,12.42,4.84,,,0
CDM,SUP71282_272,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 Fsl 30In Black Ethicon,8.28,3.23,,,0
CDM,SUP71282_A4649_272,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 Fsl 30In Black Ethicon,8.28,3.23,,,0
CDM,SUP71282_A9999_272,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 Fsl 30In Black Ethicon,8.28,3.23,,,0
CDM,SUP71285,Noncdm Charge Record Medical Supplies - See 140915 Suture Vicryl 0 54In Reel Ethicon,10.35,4.04,,,0
CDM,SUP71286,Noncdm Charge Record Medical Supplies - See 140956 Suture Vicryl 0 Ct 36In Violet Ethicon,7.92,3.09,,,0
CDM,SUP71287,Noncdm Charge Record Medical Supplies - Suture Vicryl 0 18In Tie Violet Ethicon,38.97,15.2,,,0
CDM,SUP71289,Noncdm Charge Record Medical Supplies - See 140945 Suture Vicryl 2-0 Ct-2 27In Closure Ethicon,7.24,2.82,,,0
CDM,SUP71291_272,Noncdm Charge Record Medical Supplies - See 140959 Suture 2-0 Url 27In Ur-5,9.32,3.63,,,0
CDM,SUP71291_A9999_272,Noncdm Charge Record Medical Supplies - See 140959 Suture 2-0 Url 27In Ur-5,9.32,3.63,,,0
CDM,SUP71292,Noncdm Charge Record Medical Supplies - See 140948 Suture 3-0 Clsr 27In Ct-1,7.24,2.82,,,0
CDM,SUP71295,Noncdm Charge Record Medical Supplies - See 140988 Suture 3-0 Ob Gyn 18In Ps-2 Coated Vcl Uc Br,19.66,7.67,,,0
CDM,SUP71297,Noncdm Charge Record Medical Supplies - See 140928 Suture Vicryl 1 Cp1 27In Undyed Ethicon,8.28,3.23,,,0
CDM,SUP71298,Noncdm Charge Record Medical Supplies - Suture Ethilon 3-0 Pc-5 18In Black Ethicon,21.74,8.48,,,0
CDM,SUP71303_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 5 Ccs 30 In Cardio Green Cr Ethicon,95.4,37.21,,,0
CDM,SUP71303_A4649_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 5 Ccs 30 In Cardio Green Cr Ethicon,96.26,37.54,,,0
CDM,SUP71303_A9999_272,Noncdm Charge Record Medical Supplies - Suture Ethibond 5 Ccs 30 In Cardio Green Cr Ethicon,96.26,37.54,,,0
CDM,SUP71305_272,Noncdm Charge Record Medical Supplies - See 141005 Suture Vicryl 0 Mo4 8-18 Cr Violet Ethicon,73.5,28.66,,,0
CDM,SUP71305_A4649_272,Noncdm Charge Record Medical Supplies - See 141005 Suture Vicryl 0 Mo4 8-18 Cr Violet Ethicon,73.48,28.66,,,0
CDM,SUP71306,Noncdm Charge Record Medical Supplies - See 141058 Suture Monocr 4-0 Uro 27In Uc Rb-1,11.38,4.44,,,0
CDM,SUP71307,Noncdm Charge Record Medical Supplies - See 141024 Suture Vicryl 2-0 8-18 Vioet Ethicon,82.8,32.29,,,0
CDM,SUP71308,Noncdm Charge Record Medical Supplies - Suture Ethibond 2 Cp-2 30In Green-White Ethicon,612.72,238.96,,,0
CDM,SUP71309,Noncdm Charge Record Medical Supplies - Suture Ethilon 2-0 Pslx 30In Black Ethicon,19.66,7.67,,,0
CDM,SUP71311,Noncdm Charge Record Medical Supplies - See 141057 Suture Monocr 5-0 Uro 27In Uc Rb-1,11.47,4.47,,,0
CDM,SUP71314,Noncdm Charge Record Medical Supplies - Pack Stup Surg Sure Set,30.02,11.71,,,0
CDM,SUP71315,Noncdm Charge Record Medical Supplies - Irr Suct W Splsh Tp Tub 1.75In Spk Adp,732.78,285.78,,,0
CDM,SUP71318,Noncdm Charge Record Medical Supplies - Kit Splnt Frm Dnvr Ser 1500,292.68,114.15,,,0
CDM,SUP71319_272,Noncdm Charge Record Medical Supplies - See 225 Gauze Pk Xray Dtct 2Inx3Yd,17.56,6.85,,,0
CDM,SUP71319_A4649_272,Noncdm Charge Record Medical Supplies - See 225 Gauze Pk Xray Dtct 2Inx3Yd,17.6,6.86,,,0
CDM,SUP71319_A9999_272,Noncdm Charge Record Medical Supplies - See 225 Gauze Pk Xray Dtct 2Inx3Yd,17.6,6.86,,,0
CDM,SUP71320,Noncdm Charge Record Medical Supplies - Gauze Pk Ifrm Strl 1Inx5Yd,10.29,4.01,,,0
CDM,SUP71321,Noncdm Charge Record Medical Supplies - Gauze Pk Plain Strl 1-2Inx5Yd,8.18,3.19,,,0
CDM,SUP71322,Noncdm Charge Record Medical Supplies - Gauze Pk Plain Strl 1Inx5Yd,9.32,3.63,,,0
CDM,SUP71323,Noncdm Charge Record Medical Supplies - See 110085 Binder Abd Knit Elc 9In Sz 30-45,34.16,13.32,,,0
CDM,SUP71324_270,Noncdm Charge Record Medical Supplies - Support Abd Elc 10In W 45-62In Latex Safe,34.62,13.5,,,0
CDM,SUP71324_A4649_270,Noncdm Charge Record Medical Supplies - Support Abd Elc 10In W 45-62In Latex Safe,34.16,13.32,,,0
CDM,SUP71326,Noncdm Charge Record Medical Supplies - Screw Dstrct 12Mm,128.34,50.05,,,0
CDM,SUP71328,Noncdm Charge Record Medical Supplies - See 2725 Pillow Head Rcy Polnot Blend 18X24In,10.0,3.9,,,0
CDM,SUP71329,Noncdm Charge Record Medical Supplies - See 157683 Bra Breast Large 36-42In Cardinal Health,270.14,105.35,,,0
CDM,SUP71332,Noncdm Charge Record Medical Supplies - Bra Breast 2Xl 46-48In Cardinal Health,187.34,73.06,,,0
CDM,SUP71340,Noncdm Charge Record Medical Supplies - See 35153 Pad Ob Ex-Lg 11In Adh Strip Ns,5.18,2.02,,,0
CDM,SUP71342_272,Noncdm Charge Record Medical Supplies - See 112479 Set Prim Ck Ndls 21Ml 20 Drop Vent-Nvnt 116In,14.72,5.74,,,0
CDM,SUP71342_A4649_272,Noncdm Charge Record Medical Supplies - See 112479 Set Prim Ck Ndls 21Ml 20 Drop Vent-Nvnt 116In,14.59,5.69,,,0
CDM,SUP71342_A9999_272,Noncdm Charge Record Medical Supplies - See 112479 Set Prim Ck Ndls 21Ml 20 Drop Vent-Nvnt 116In,14.49,5.65,,,0
CDM,SUP71343,Noncdm Charge Record Medical Supplies - Electrode Lhk Sld Shaft Lg Strl Disp,152.15,59.34,,,0
CDM,SUP71345,Noncdm Charge Record Medical Supplies - Sheath Endo Srub 70D 4Mm,344.48,134.35,,,0
CDM,SUP71346_272,Noncdm Charge Record Medical Supplies - Electrode Loop Disp 20X15Mm Back 3-Pk,52.37,20.42,,,0
CDM,SUP71346_A9999_272,Noncdm Charge Record Medical Supplies - Electrode Loop Disp 20X15Mm Back 3-Pk,53.82,20.99,,,0
CDM,SUP71349,Noncdm Charge Record Medical Supplies - Awnd Artic Crtlg 15 Deg 2.3Mm Strl,930.46,362.88,,,0
CDM,SUP71351_272,Noncdm Charge Record Medical Supplies - Forcep Bipolar Bayonet 8.25In,582.67,227.24,,,0
CDM,SUP71351_A4649_272,Noncdm Charge Record Medical Supplies - Forcep Bipolar Bayonet 8.25In,578.57,225.64,,,0
CDM,SUP71354_272,Noncdm Charge Record Medical Supplies - Canister Suct Lnr 6X6 1500Cs W Tube,9.67,3.77,,,0
CDM,SUP71354_A4649_272,Noncdm Charge Record Medical Supplies - Canister Suct Lnr 6X6 1500Cs W Tube,10.06,3.92,,,0
CDM,SUP71354_A9999_272,Noncdm Charge Record Medical Supplies - Canister Suct Lnr 6X6 1500Cs W Tube,9.32,3.63,,,0
CDM,SUP71355,Noncdm Charge Record Medical Supplies - Set Ureth Dil W-Prep Comp,1060.69,413.67,,,0
CDM,SUP71356_272,Noncdm Charge Record Medical Supplies - Set Cysto Irr 75In 8 Drop-Ml,42.59,16.61,,,0
CDM,SUP71356_A4649_272,Noncdm Charge Record Medical Supplies - Set Cysto Irr 75In 8 Drop-Ml,43.47,16.95,,,0
CDM,SUP71356_A9999_272,Noncdm Charge Record Medical Supplies - Set Cysto Irr 75In 8 Drop-Ml,40.36,15.74,,,0
CDM,SUP71357,Noncdm Charge Record Medical Supplies - See 700 Tubing Arth 2 Btl .281In 93In,22.65,8.83,,,0
CDM,SUP71358,Noncdm Charge Record Medical Supplies - Kit Chst Drain H20 Seal Dry Suct,198.85,77.55,,,0
CDM,SUP71362,Noncdm Charge Record Medical Supplies - Tube S Smp Preatch 16F 48In Anrflx Vlv,15.96,6.22,,,0
CDM,SUP71364,Noncdm Charge Record Medical Supplies - Set Trach 8 Hydrophulic,2042.06,796.4,,,0
CDM,SUP71370_272,Noncdm Charge Record Medical Supplies - Dressing Wound Foam 10X7.5X3.3 Pad Cnct,174.83,68.18,,,0
CDM,SUP71370_A9999_272,Noncdm Charge Record Medical Supplies - Dressing Wound Foam 10X7.5X3.3 Pad Cnct,174.92,68.22,,,0
CDM,SUP71371,Noncdm Charge Record Medical Supplies - Dressing 18X12.5X3.3 Wound Foam Pad Cnct,215.31,83.97,,,0
CDM,SUP71372,Noncdm Charge Record Medical Supplies - Dressing Wound Foam 26X15X3.3 Pad Cnct,265.02,103.36,,,0
CDM,SUP71373,Noncdm Charge Record Medical Supplies - Dressing Wound Aqcl Ag 8X12In,126.27,49.25,,,0
CDM,SUP71374,Noncdm Charge Record Medical Supplies - Dressing Wound Hdrfb 4X5 Aqcl Extra,18.44,7.19,,,0
CDM,SUP71375,Noncdm Charge Record Medical Supplies - Kit Cannister Vac Gel 500Ml,161.62,63.03,,,0
CDM,SUP71376,Noncdm Charge Record Medical Supplies - Wire Krsh Style I .045In Dia 6In Strl,34.16,13.32,,,0
CDM,SUP71377,Noncdm Charge Record Medical Supplies - Wire Krsh Thrd Type E .062In 9In,491.62,191.73,,,0
CDM,SUP71378,Noncdm Charge Record Medical Supplies - Plug Cement Univ 24Mm,501.72,195.67,,,0
CDM,SUP71379_270,Noncdm Charge Record Medical Supplies - Protector Nerve Uln Foam Bei Vlcr Clsr,7.93,3.09,,,0
CDM,SUP71379_A4649_270,Noncdm Charge Record Medical Supplies - Protector Nerve Uln Foam Bei Vlcr Clsr,7.24,2.82,,,0
CDM,SUP71379_A9999_270,Noncdm Charge Record Medical Supplies - Protector Nerve Uln Foam Bei Vlcr Clsr,7.24,2.82,,,0
CDM,SUP71380,Noncdm Charge Record Medical Supplies - See 118875 Adaptor Spike Irrigation For Plastic Container B.,6.84,2.67,,,0
CDM,SUP71383,Noncdm Charge Record Medical Supplies - See 122 Bandage Elastic Lf W-Velcro C Clos N-S 6Inx5Ydmdchc,7.24,2.82,,,0
CDM,SUP71385_272,Noncdm Charge Record Medical Supplies - Blade Myringotomy Spear Tp Of Ffst 45D Nar Shft S-S,160.43,62.57,,,0
CDM,SUP71385_A4649_272,Noncdm Charge Record Medical Supplies - Blade Myringotomy Spear Tp Of Ffst 45D Nar Shft S-S,160.43,62.57,,,0
CDM,SUP71388_272,Noncdm Charge Record Medical Supplies - Blade Sinus Radical Rotate Cu Urved 40D 4Mm X 11Cm,1307.31,509.85,,,0
CDM,SUP71388_A9999_272,Noncdm Charge Record Medical Supplies - Blade Sinus Radical Rotate Cu Urved 40D 4Mm X 11Cm,1308.24,510.21,,,0
CDM,SUP71390,Noncdm Charge Record Medical Supplies - Blade Surgical Micro Sharp 15 5 Deg 5.0 Mm Green,79.71,31.09,,,0
CDM,SUP71391_272,Noncdm Charge Record Medical Supplies - Blade Surgical Rib-Back Carbo On Steel Sz 12,6.21,2.42,,,0
CDM,SUP71391_A9999_272,Noncdm Charge Record Medical Supplies - Blade Surgical Rib-Back Carbo On Steel Sz 12,6.21,2.42,,,0
CDM,SUP71395_272,Noncdm Charge Record Medical Supplies - Burr Round Multi Flute 5Mm,789.37,307.85,,,0
CDM,SUP71395_A4649_272,Noncdm Charge Record Medical Supplies - Burr Round Multi Flute 5Mm,869.4,339.07,,,0
CDM,SUP71396,Noncdm Charge Record Medical Supplies - Cable Endoscopic-T.U.R. For A Acmi 10 Sterile Disp,19.66,7.67,,,0
CDM,SUP71397,Noncdm Charge Record Medical Supplies - Catheter Angio Tempo 5 Select T Bentson I 5F 100Cm,87.98,34.31,,,0
CDM,SUP71398,Noncdm Charge Record Medical Supplies,144.9,56.51,,,0
CDM,SUP71399,Noncdm Charge Record Medical Supplies - See 30696 Catheter Coude Tieman Rd Ltx Coated 2-Wy 18Fr 5Cc,49.68,19.38,,,0
CDM,SUP71400,Noncdm Charge Record Medical Supplies - Catheter Drain Malecot 28Fr Ster,47.61,18.57,,,0
CDM,SUP71401,Noncdm Charge Record Medical Supplies - Catheter Foley 2-Way 24Fr 5Cc All Silicone Bard Medical,15.52,6.05,,,0
CDM,SUP71402,Noncdm Charge Record Medical Supplies - Catheter Foley Council 16Fr 5Cc Latex Red Bard Medical,77.62,30.27,,,0
CDM,SUP71403_272,Noncdm Charge Record Medical Supplies - Catheter Foley Ic 3-Way 22Fr 30Cc Latex Bard Medical,59.0,23.01,,,0
CDM,SUP71403_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Foley Ic 3-Way 22Fr 30Cc Latex Bard Medical,59.0,23.01,,,0
CDM,SUP71404,Noncdm Charge Record Medical Supplies - Catheter Foley Ic 2-Way 18Fr 5Cc Latex Bard Medical,44.5,17.36,,,0
CDM,SUP71405,Noncdm Charge Record Medical Supplies - Catheter Foley 3-Way 24Fr 30Cc Latex Bard Medical,39.33,15.34,,,0
CDM,SUP71406,Noncdm Charge Record Medical Supplies - Catheter Foley 3-Way 22Fr 30Cc Latex Bard Medical,39.33,15.34,,,0
CDM,SUP71408,Noncdm Charge Record Medical Supplies - Catheter Foley 3-Way 26Fr 30Cc Silicone Bard Medical,39.33,15.34,,,0
CDM,SUP71412,Noncdm Charge Record Medical Supplies - Catheter Iv Shielded Radiopq Vialon 16G X 1.16In,7.24,2.82,,,0
CDM,SUP71416,Noncdm Charge Record Medical Supplies - Catheter Thoracic Standard St Traight 24 Fr,31.56,12.31,,,0
CDM,SUP71417,Noncdm Charge Record Medical Supplies - Catheter Thoracic Standard St Traight 36 Fr,31.74,12.38,,,0
CDM,SUP71421,Noncdm Charge Record Medical Supplies - See 23533 Cautery High-Temp 1-2In Loop T Tip Medichoice,36.22,14.13,,,0
CDM,SUP71425,Noncdm Charge Record Medical Supplies - Cover Dressing Precut Pad 20C Cm X 28Cm,9.32,3.63,,,0
CDM,SUP71456_272,Noncdm Charge Record Medical Supplies - See 245 Dressing Transparent Wound W- -Absrb Pad 3 1-2Inx10I,8.25,3.22,,,0
CDM,SUP71456_A4649_272,Noncdm Charge Record Medical Supplies - See 245 Dressing Transparent Wound W- -Absrb Pad 3 1-2Inx10I,8.28,3.23,,,0
CDM,SUP71459,Noncdm Charge Record Medical Supplies - Dressing Wound Closure 2-3-8Inx1-7-8In 3M Health Care,15.52,6.05,,,0
CDM,SUP71464,Noncdm Charge Record Medical Supplies - Electrode Needle Coated Std L Length Ultraclean,24.84,9.69,,,0
CDM,SUP71467,Noncdm Charge Record Medical Supplies - Forcep Bipolar Irrigating Ins Sulated 1.0Mm X 7In,288.76,112.62,,,0
CDM,SUP71468_272,Noncdm Charge Record Medical Supplies - See 116471 Gauze X-Ray Detect Surgical L Lf Disp 4Inx 4In 16,6.21,2.42,,,0
CDM,SUP71468_A4649_272,Noncdm Charge Record Medical Supplies - See 116471 Gauze X-Ray Detect Surgical L Lf Disp 4Inx 4In 16,6.21,2.42,,,0
CDM,SUP71472,Noncdm Charge Record Medical Supplies,310.5,121.1,,,0
CDM,SUP71473_272,Noncdm Charge Record Medical Supplies - Hemostat Absorbable 3 Gm 45 S Sq. Cm Wound Coverage,1128.47,440.1,,,0
CDM,SUP71473_A4649_272,Noncdm Charge Record Medical Supplies - Hemostat Absorbable 3 Gm 45 S Sq. Cm Wound Coverage,1131.4,441.25,,,0
CDM,SUP71473_A9999_272,Noncdm Charge Record Medical Supplies - Hemostat Absorbable 3 Gm 45 S Sq. Cm Wound Coverage,1174.72,458.14,,,0
CDM,SUP71479,Noncdm Charge Record Medical Supplies - Kit Foley Catheter 16Fr 5Cc Latex With 350Cc Bag Bard Medica,48.64,18.97,,,0
CDM,SUP71488_272,Noncdm Charge Record Medical Supplies - Needle Blunt 18G X 1In Aluminu Um Hub Disposable,10.48,4.09,,,0
CDM,SUP71488_A4649_272,Noncdm Charge Record Medical Supplies - Needle Blunt 18G X 1In Aluminu Um Hub Disposable,10.35,4.04,,,0
CDM,SUP71488_A9999_272,Noncdm Charge Record Medical Supplies - Needle Blunt 18G X 1In Aluminu Um Hub Disposable,10.35,4.04,,,0
CDM,SUP71489_272,Noncdm Charge Record Medical Supplies - Needle Mayo Catgut 1-2 Circle E Taper #6 Disp Pk-72-Bx-2Pk,27.94,10.9,,,0
CDM,SUP71489_A4649_272,Noncdm Charge Record Medical Supplies - Needle Mayo Catgut 1-2 Circle E Taper #6 Disp Pk-72-Bx-2Pk,27.94,10.9,,,0
CDM,SUP7148_272,Noncdm Charge Record Medical Supplies - Catheter Swan Vip 7.5Fr110Cm 5 Lum,538.57,210.04,,,0
CDM,SUP7148_C1751_272,Noncdm Charge Record Medical Supplies - Catheter Swan Vip 7.5Fr110Cm 5 Lum,489.56,190.93,,,0
CDM,SUP71490_272,Noncdm Charge Record Medical Supplies - See 132790 Pack Basic 1,10.35,4.04,,,0
CDM,SUP71490_A4649_272,Noncdm Charge Record Medical Supplies - See 132790 Pack Basic 1,10.35,4.04,,,0
CDM,SUP71490_A9999_272,Noncdm Charge Record Medical Supplies - See 132790 Pack Basic 1,10.35,4.04,,,0
CDM,SUP71491_272,Noncdm Charge Record Medical Supplies - Pack Custom Arthroscopy North H Fulton Regional,447.12,174.38,,,0
CDM,SUP71491_A4649_272,Noncdm Charge Record Medical Supplies - Pack Custom Arthroscopy North H Fulton Regional,447.12,174.38,,,0
CDM,SUP71491_A9999_272,Noncdm Charge Record Medical Supplies - Pack Custom Arthroscopy North H Fulton Regional,447.12,174.38,,,0
CDM,SUP71492_272,Noncdm Charge Record Medical Supplies - Pack Cystoscopy I,23.82,9.29,,,0
CDM,SUP71492_A4649_272,Noncdm Charge Record Medical Supplies - Pack Cystoscopy I,23.8,9.28,,,0
CDM,SUP71492_A9999_272,Noncdm Charge Record Medical Supplies - Pack Cystoscopy I,23.8,9.28,,,0
CDM,SUP71493_272,Noncdm Charge Record Medical Supplies - Pack Orthopaedic I Major,84.86,33.1,,,0
CDM,SUP71493_A4649_272,Noncdm Charge Record Medical Supplies - Pack Orthopaedic I Major,84.87,33.1,,,0
CDM,SUP71495,Noncdm Charge Record Medical Supplies - Pad Grounding W-Adhsv Brdr,21.74,8.48,,,0
CDM,SUP71499,Noncdm Charge Record Medical Supplies - Retainer Viscera Large 6 1-3 X 10 3-16In,190.44,74.27,,,0
CDM,SUP71500,Noncdm Charge Record Medical Supplies - Retractor Wound System Large,421.24,164.28,,,0
CDM,SUP71501,Noncdm Charge Record Medical Supplies - Retractor Wound System Medium M 5-9Cm,303.26,118.27,,,0
CDM,SUP71504,Noncdm Charge Record Medical Supplies - Sealant Duraseal Surgical 5Ml L,5063.56,1974.79,,,0
CDM,SUP71505,Noncdm Charge Record Medical Supplies - Sealer Bipolar Tissue W-Salin Ne Aquamantys 6.0,2618.55,1021.23,,,0
CDM,SUP71506,Noncdm Charge Record Medical Supplies - Set Tonsil,1039.57,405.43,,,0
CDM,SUP71507,Noncdm Charge Record Medical Supplies - Set Y Disconnect For Ultra Se Et,73.23,28.56,,,0
CDM,SUP71516,Noncdm Charge Record Medical Supplies - Shunt Carotid Sundt 3Mm X 4Mm M Sterile,2316.74,903.53,,,0
CDM,SUP71518_272,Noncdm Charge Record Medical Supplies - Snare Polypectomy Short Throw W Std Oval 240Cml,162.49,63.37,,,0
CDM,SUP71518_A4649_272,Noncdm Charge Record Medical Supplies - Snare Polypectomy Short Throw W Std Oval 240Cml,162.5,63.38,,,0
CDM,SUP71518_A9999_272,Noncdm Charge Record Medical Supplies - Snare Polypectomy Short Throw W Std Oval 240Cml,162.5,63.38,,,0
CDM,SUP71521_270,Noncdm Charge Record Medical Supplies - See 1962 Splint Plaster Ready-Cut Fast T 5In X 30In,2.28,0.89,,,0
CDM,SUP71521_A4649_270,Noncdm Charge Record Medical Supplies - See 1962 Splint Plaster Ready-Cut Fast T 5In X 30In,1.38,0.54,,,0
CDM,SUP71521_A9999_270,Noncdm Charge Record Medical Supplies - See 1962 Splint Plaster Ready-Cut Fast T 5In X 30In,1.45,0.57,,,0
CDM,SUP71522,Noncdm Charge Record Medical Supplies - Splint Wrist Cockup Deluxe W- -Stays 11In Lg Right,27.94,10.9,,,0
CDM,SUP71523,Noncdm Charge Record Medical Supplies - Splint Wrist Cockup Deluxe W- -Stays 11In Med Left,27.94,10.9,,,0
CDM,SUP71532,Noncdm Charge Record Medical Supplies - Stockinette Tubular Precut 1- -Ply 6In X 6 Ster,13.46,5.25,,,0
CDM,SUP71535,Noncdm Charge Record Medical Supplies - See 140932 Suture Vicryl 0 54Inch Strand Undyed Ethicon,10.35,4.04,,,0
CDM,SUP71537_272,Noncdm Charge Record Medical Supplies - See 140927 Suture Vicryl 0 27Inch Cp-1 Cutting Undyed Ethico,8.26,3.22,,,0
CDM,SUP71537_A4649_272,Noncdm Charge Record Medical Supplies - See 140927 Suture Vicryl 0 27Inch Cp-1 Cutting Undyed Ethico,8.28,3.23,,,0
CDM,SUP71543,Noncdm Charge Record Medical Supplies - See 140986 Suture Vicryl 4-0 18Inch Ps-2 Cutting Undyed Ethi,19.66,7.67,,,0
CDM,SUP71545,Noncdm Charge Record Medical Supplies - Suture Vicryl 4-0 27Inch Tf Taper Undyed Ethicon,9.32,3.63,,,0
CDM,SUP71546,Noncdm Charge Record Medical Supplies - See 140950 Suture Vicryl 0 27Inch Ct-1 Taper Violet Ethicon,7.24,2.82,,,0
CDM,SUP71548,Noncdm Charge Record Medical Supplies - See 141001 Suture Vicryl 0 54Inch Strand Violet Ethicon,10.35,4.04,,,0
CDM,SUP71554_272,Noncdm Charge Record Medical Supplies - Suture Vicryl 3-0 12 X 18Inch Strand Violet Ethicon,38.31,14.94,,,0
CDM,SUP71554_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl 3-0 12 X 18Inch Strand Violet Ethicon,38.3,14.94,,,0
CDM,SUP71555_272,Noncdm Charge Record Medical Supplies - See 140906 Suture Vicryl 4-0 12 X 18Inch Strand Violet Ethic,42.44,16.55,,,0
CDM,SUP71555_A4649_272,Noncdm Charge Record Medical Supplies - See 140906 Suture Vicryl 4-0 12 X 18Inch Strand Violet Ethic,42.44,16.55,,,0
CDM,SUP71556,Noncdm Charge Record Medical Supplies - See 140933 Suture Vicryl 4-0 27Inch Rb-1 Taper Violet Ethico,7.42,2.89,,,0
CDM,SUP71561,Noncdm Charge Record Medical Supplies - Suture Ethibond 4-0 Rb-1 30In Cardio Green Ethibond,20.7,8.07,,,0
CDM,SUP71562,Noncdm Charge Record Medical Supplies - Suture Ethilon 1 Ctx 30In Black Ethicon,7.84,3.06,,,0
CDM,SUP71565,Noncdm Charge Record Medical Supplies - Suture Ethilon 4-0 Pc-5 18In Black Ethicon,20.7,8.07,,,0
CDM,SUP71566,Noncdm Charge Record Medical Supplies - Suture Ethilon 5-0 Ps-3 18In Black Ethicon,20.29,7.91,,,0
CDM,SUP71567,Noncdm Charge Record Medical Supplies - Suture Ethilon 8-0 Micro Bv130-5 5In Black Ethicon,76.07,29.67,,,0
CDM,SUP71568,Noncdm Charge Record Medical Supplies - Suture Ethilon 9-0 Micro Bv130-4 5In Black Ethicon,77.78,30.33,,,0
CDM,SUP71569,Noncdm Charge Record Medical Supplies - Suture Ethilon 9-0 Bv130-5 5In Black Ethicon,76.5,29.84,,,0
CDM,SUP71573,Noncdm Charge Record Medical Supplies - Suture Gut Chr 0 Ob-Gyn 27In M Mo-4,20.96,8.17,,,0
CDM,SUP71575,Noncdm Charge Record Medical Supplies - Suture Gut Chr 1 Urological 2 27In Bp,48.64,18.97,,,0
CDM,SUP71576,Noncdm Charge Record Medical Supplies - Suture Gut Chr 2-0 Ob-Gyn 36In In Ct-1,16.56,6.46,,,0
CDM,SUP71577,Noncdm Charge Record Medical Supplies - Suture Gut Chr 3-0 G.I. 36In S St-1Sh,30.02,11.71,,,0
CDM,SUP71579,Noncdm Charge Record Medical Supplies - Suture Gut Chr 4-0 Plastic 18 8In Ps-2,31.34,12.22,,,0
CDM,SUP71585,Noncdm Charge Record Medical Supplies - See 141061 Suture Monocryl Vil Mono 2-0 G.I. 27In Sh,10.35,4.04,,,0
CDM,SUP71587,Noncdm Charge Record Medical Supplies - Suture Monocryl Vio-Mono 2-0 Urological 27In Ur-5,12.42,4.84,,,0
CDM,SUP71594,Noncdm Charge Record Medical Supplies - Suture Prolene 2-0 Sg 48In Blue Ethicon,30.47,11.88,,,0
CDM,SUP71596,Noncdm Charge Record Medical Supplies - Suture Prolene 3-0 V-7 30In Blue Ethicon,28.97,11.3,,,0
CDM,SUP71597,Noncdm Charge Record Medical Supplies - Suture Prolene 3-0 V-7 36In Blue Ethicon,38.34,14.95,,,0
CDM,SUP71599,Noncdm Charge Record Medical Supplies - Suture Prolene 3-0 Fsl 30In Blue Ethicon,16.39,6.39,,,0
CDM,SUP71600_272,Noncdm Charge Record Medical Supplies - Suture Prolene 4-0 Rb-1 30In Blue Ethicon,18.26,7.12,,,0
CDM,SUP71600_A4649_272,Noncdm Charge Record Medical Supplies - Suture Prolene 4-0 Rb-1 30In Blue Ethicon,18.33,7.15,,,0
CDM,SUP71600_A9999_272,Noncdm Charge Record Medical Supplies - Suture Prolene 4-0 Rb-1 30In Blue Ethicon,18.63,7.27,,,0
CDM,SUP71602,Noncdm Charge Record Medical Supplies - Suture Prolene 5-0 C-1 24In Blue Ethicon,75.94,29.62,,,0
CDM,SUP71603,Noncdm Charge Record Medical Supplies - Suture Prolene 5-0 C-1 36In Blue Ethicon,76.57,29.86,,,0
CDM,SUP71604,Noncdm Charge Record Medical Supplies - Suture Prolene 6-0 Bv-1 24In Blue Ethicon,89.65,34.96,,,0
CDM,SUP71605,Noncdm Charge Record Medical Supplies - Suture Prolene 6-0 C-1 24In Blue Ethicon,78.77,30.72,,,0
CDM,SUP71606,Noncdm Charge Record Medical Supplies - Suture Prolene 7-0 C-1 30In Blue Ethicon,53.08,20.7,,,0
CDM,SUP71607,Noncdm Charge Record Medical Supplies - Suture Permahand 0 Ct-2 18In Cr Black Ethicon,44.87,17.5,,,0
CDM,SUP71608_272,Noncdm Charge Record Medical Supplies - Suture Permahand 0 18In Ties Black Ethicon,11.38,4.44,,,0
CDM,SUP71608_A4649_272,Noncdm Charge Record Medical Supplies - Suture Permahand 0 18In Ties Black Ethicon,11.38,4.44,,,0
CDM,SUP71609,Noncdm Charge Record Medical Supplies - Suture Permahand 0 60In Ties Black Ethicon,6.99,2.73,,,0
CDM,SUP71612_272,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 Ps 18In Black Ethicon,18.3,7.14,,,0
CDM,SUP71612_A9999_272,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 Ps 18In Black Ethicon,18.63,7.27,,,0
CDM,SUP71613_272,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 18In Ties Black Ethicon,11.38,4.44,,,0
CDM,SUP71613_A9999_272,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 18In Ties Black Ethicon,11.38,4.44,,,0
CDM,SUP71614_272,Noncdm Charge Record Medical Supplies - Suture Permahand 3-0 Rb-1 30In Black Ethicon,8.12,3.17,,,0
CDM,SUP71614_A4649_272,Noncdm Charge Record Medical Supplies - Suture Permahand 3-0 Rb-1 30In Black Ethicon,8.1,3.16,,,0
CDM,SUP71614_A9999_272,Noncdm Charge Record Medical Supplies - Suture Permahand 3-0 Rb-1 30In Black Ethicon,8.28,3.23,,,0
CDM,SUP71615_272,Noncdm Charge Record Medical Supplies - Suture Permahand 3-0 Ps-2 18In Black Ethicon,17.06,6.65,,,0
CDM,SUP71615_A4649_272,Noncdm Charge Record Medical Supplies - Suture Permahand 3-0 Ps-2 18In Black Ethicon,16.9,6.59,,,0
CDM,SUP71617,Noncdm Charge Record Medical Supplies - Suture Permahand 7-0 Tg140-8 Black Ethicon,61.06,23.81,,,0
CDM,SUP71620_272,Noncdm Charge Record Medical Supplies - See 126033 System Retrieval Specimen End Doscopic Lg 12-15Mm,807.37,314.87,,,0
CDM,SUP71620_A4649_272,Noncdm Charge Record Medical Supplies - See 126033 System Retrieval Specimen End Doscopic Lg 12-15Mm,807.3,314.85,,,0
CDM,SUP71620_A9999_272,Noncdm Charge Record Medical Supplies - See 126033 System Retrieval Specimen End Doscopic Lg 12-15Mm,807.64,314.98,,,0
CDM,SUP71623_272,Noncdm Charge Record Medical Supplies - Tray Catheter Foley 16 Fr Advance System Bag With Statlock,49.67,19.37,,,0
CDM,SUP71623_A4649_272,Noncdm Charge Record Medical Supplies - Tray Catheter Foley 16 Fr Advance System Bag With Statlock,49.68,19.38,,,0
CDM,SUP71623_A9999_272,Noncdm Charge Record Medical Supplies - Tray Catheter Foley 16 Fr Advance System Bag With Statlock,49.68,19.38,,,0
CDM,SUP71624_272,Noncdm Charge Record Medical Supplies - Tray Foley Lubricatheter 16Fr With Drainage Bag Latex Bard M,50.68,19.77,,,0
CDM,SUP71624_A4649_272,Noncdm Charge Record Medical Supplies - Tray Foley Lubricatheter 16Fr With Drainage Bag Latex Bard M,50.72,19.78,,,0
CDM,SUP71624_A9999_272,Noncdm Charge Record Medical Supplies - Tray Foley Lubricatheter 16Fr With Drainage Bag Latex Bard M,50.72,19.78,,,0
CDM,SUP71630,Noncdm Charge Record Medical Supplies - Tube Ventilation Paparella I Silc 1.1Mm Id Dbl Pk,82.8,32.29,,,0
CDM,SUP71632,Noncdm Charge Record Medical Supplies - Tubing Endoscopic Irrigation 4-Lead,81.76,31.89,,,0
CDM,SUP71634,Noncdm Charge Record Medical Supplies - Tubing Y-Set Microbore Anti-R Reflux,11.38,4.44,,,0
CDM,SUP71639_272,Noncdm Charge Record Medical Supplies - Wire Kirschner Style 1 .062In Dia 6In L Sterile,32.08,12.51,,,0
CDM,SUP71639_C1713_278,Noncdm Charge Record Medical Supplies - Wire Kirschner Style 1 .062In Dia 6In L Sterile,112.82,44.0,,,0
CDM,SUP71641,Noncdm Charge Record Medical Supplies - See 95263 Coagulator Handswitch Suction N 6In W-10 Cord 8Fr,54.86,21.4,,,0
CDM,SUP71642_272,Noncdm Charge Record Medical Supplies - Electrode Blade Coated 3In Ste Erile Disposable,17.6,6.86,,,0
CDM,SUP71642_A4649_272,Noncdm Charge Record Medical Supplies - Electrode Blade Coated 3In Ste Erile Disposable,17.6,6.86,,,0
CDM,SUP71642_A9999_272,Noncdm Charge Record Medical Supplies - Electrode Blade Coated 3In Ste Erile Disposable,17.6,6.86,,,0
CDM,SUP71644_272,Noncdm Charge Record Medical Supplies - System Irrisept Wound Debriedment Irrimax,685.19,267.22,,,0
CDM,SUP71644_A4649_272,Noncdm Charge Record Medical Supplies - System Irrisept Wound Debriedment Irrimax,685.21,267.23,,,0
CDM,SUP71644_A9999_272,Noncdm Charge Record Medical Supplies - System Irrisept Wound Debriedment Irrimax,685.29,267.26,,,0
CDM,SUP71645,Noncdm Charge Record Medical Supplies - Trap Finger Nylon Mesh Large Dbl Blue Strl Disp,122.13,47.63,,,0
CDM,SUP71646,Noncdm Charge Record Medical Supplies - Catheter Angio Berenstn N-Brd 5F .038Inch100Cm 3Cmtp,79.69,31.08,,,0
CDM,SUP71648,Noncdm Charge Record Medical Supplies - Mask Face Adult Foam W-Velcro Strp,143.86,56.11,,,0
CDM,SUP71649_272,Noncdm Charge Record Medical Supplies - See 90532 Stapler Skin 35W 6-Cs Disp,26.82,10.46,,,0
CDM,SUP71649_A4649_272,Noncdm Charge Record Medical Supplies - See 90532 Stapler Skin 35W 6-Cs Disp,26.91,10.49,,,0
CDM,SUP71650,Noncdm Charge Record Medical Supplies - Laborie Injetak Adjustable Tip Needle 70Cm,412.02,160.69,,,0
CDM,SUP71651,Noncdm Charge Record Medical Supplies - Pad Hypo-Hyperthermia 36 X 5 4 Disposable,36.22,14.13,,,0
CDM,SUP71652,Noncdm Charge Record Medical Supplies - Kit Foley Catheter 16Fr 5Cc Complete Care Latex Bard Medical,67.28,26.24,,,0
CDM,SUP71653_272,Noncdm Charge Record Medical Supplies - Dressing Adaptic 3X16In,5.09,1.99,,,0
CDM,SUP71653_A4649_272,Noncdm Charge Record Medical Supplies - Dressing Adaptic 3X16In,3.1,1.21,,,0
CDM,SUP71656,Noncdm Charge Record Medical Supplies - System Bn Mwr Asp 11Ga 15Cm W-Side Hl,429.37,167.45,,,0
CDM,SUP71660,Noncdm Charge Record Medical Supplies - Passer Sutlso Sd 25D Crv Rt Tight Sut Strl,685.17,267.22,,,0
CDM,SUP71661,Noncdm Charge Record Medical Supplies - See 135941 Aquacel Ag With Hydrofiber,38.3,14.94,,,0
CDM,SUP71664,Noncdm Charge Record Medical Supplies - Pattie Surg 1-4Inx1-4In Strl,1463.49,570.76,,,0
CDM,SUP71666,Noncdm Charge Record Medical Supplies - Catheter Esoph Pyl 6Fr 12-15Mm 180Cm 8Cm Fx Ea,1342.4,523.54,,,0
CDM,SUP71667,Noncdm Charge Record Medical Supplies - Catheter Esoph Pyl 6Fr 15-18Mm 180Cm 8Cm Fx Ea,1342.4,523.54,,,0
CDM,SUP71668,Noncdm Charge Record Medical Supplies - Catheter Esoph Pyl 8Fr 18-20Mm 180Cm 8Cm Fx Ea,1342.4,523.54,,,0
CDM,SUP71670_272,Noncdm Charge Record Medical Supplies - Dressing Merocel Stndrd Nasal,139.01,54.21,,,0
CDM,SUP71670_A4649_272,Noncdm Charge Record Medical Supplies - Dressing Merocel Stndrd Nasal,121.1,47.23,,,0
CDM,SUP71670_A9999_272,Noncdm Charge Record Medical Supplies - Dressing Merocel Stndrd Nasal,120.58,47.03,,,0
CDM,SUP71671,Noncdm Charge Record Medical Supplies - Ziploop Implant,3721.86,1451.53,,,0
CDM,SUP71672,Noncdm Charge Record Medical Supplies - Guidewire Peri Viperwire 335Cm .014In,734.71,286.54,,,0
CDM,SUP71674,Noncdm Charge Record Medical Supplies - Suture Prolene 4-0 36Inch V5 Mono Tapercut Double Armed Blue,38.49,15.01,,,0
CDM,SUP71681,Noncdm Charge Record Medical Supplies - Suture Prolene 5-0 Pc-1 18In Ethicon,30.7,11.97,,,0
CDM,SUP71721,Noncdm Charge Record Medical Supplies - Kit Probe 50Mmx4Mm Active Tip Coolief,3306.82,1289.66,,,0
CDM,SUP71747,Noncdm Charge Record Medical Supplies - See 173927 Catheter Vscr 5Fr .038 125Cm,82.8,32.29,,,0
CDM,SUP71749_272,Noncdm Charge Record Medical Supplies - Catheter Diag Coronary Jacky Radial,153.04,59.69,,,0
CDM,SUP71749_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Diag Coronary Jacky Radial,146.97,57.32,,,0
CDM,SUP71749_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Diag Coronary Jacky Radial,171.81,67.01,,,0
CDM,SUP7176,Noncdm Charge Record Medical Supplies - Device Lnthnr Minirail Ext Fix,3841.92,1498.35,,,0
CDM,SUP71783_272,Noncdm Charge Record Medical Supplies - Plasmablade Peak 3.0S Medtronic,1536.98,599.42,,,0
CDM,SUP71783_A4649_272,Noncdm Charge Record Medical Supplies - Plasmablade Peak 3.0S Medtronic,1536.98,599.42,,,0
CDM,SUP7181,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 85Mm Nail Ex Ti Ft Fem-Tib St,842.49,328.57,,,0
CDM,SUP71820,Noncdm Charge Record Medical Supplies - Anchor Suture 3Mmx14.5Mm Biocomposite Suture Tak #2 Tiger Ta,1746.04,680.96,,,0
CDM,SUP7183,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 56Mm Nail Ex Ti Ft Fem-Tib St,744.16,290.22,,,0
CDM,SUP7184,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 38Mm Lcp Ss Dist Hum Elb St,477.14,186.08,,,0
CDM,SUP71843_272,Noncdm Charge Record Medical Supplies - See 140951 Suture 1 Clsr 27In Ct-1,7.32,2.85,,,0
CDM,SUP71843_A4649_272,Noncdm Charge Record Medical Supplies - See 140951 Suture 1 Clsr 27In Ct-1,7.24,2.82,,,0
CDM,SUP71845_272,Noncdm Charge Record Medical Supplies - Dressing Vaseline 3 X 9In Ster Rile,1.99,0.78,,,0
CDM,SUP71845_A4649_272,Noncdm Charge Record Medical Supplies - Dressing Vaseline 3 X 9In Ster Rile,2.07,0.81,,,0
CDM,SUP71845_A9999_272,Noncdm Charge Record Medical Supplies - Dressing Vaseline 3 X 9In Ster Rile,2.07,0.81,,,0
CDM,SUP71846_272,Noncdm Charge Record Medical Supplies - Gauze Packing Iodoform 1-2Inx 5Yd Ster,8.28,3.23,,,0
CDM,SUP71846_A4649_272,Noncdm Charge Record Medical Supplies - Gauze Packing Iodoform 1-2Inx 5Yd Ster,8.28,3.23,,,0
CDM,SUP71847_272,Noncdm Charge Record Medical Supplies - Gauze Packing Plain 1-4In X 5 Yd Sterile,7.24,2.82,,,0
CDM,SUP71847_A4649_272,Noncdm Charge Record Medical Supplies - Gauze Packing Plain 1-4In X 5 Yd Sterile,7.24,2.82,,,0
CDM,SUP71852,Noncdm Charge Record Medical Supplies - Suture Vicryl 3-0 36Inch Ct Taper Violet Ethicon,8.28,3.23,,,0
CDM,SUP71859_272,Noncdm Charge Record Medical Supplies - See 19550 Device Endo Peanut 5Mm Covidien,94.18,36.73,,,0
CDM,SUP71859_A9999_272,Noncdm Charge Record Medical Supplies - See 19550 Device Endo Peanut 5Mm Covidien,94.18,36.73,,,0
CDM,SUP71869,Noncdm Charge Record Medical Supplies - Reload Endo Gia Radial Extra Thick 2.0 Covidien,1721.23,671.28,,,0
CDM,SUP71871,Noncdm Charge Record Medical Supplies - Surgisleeve Wound Protector Extra Small 2-4Cm Covidien,109.71,42.79,,,0
CDM,SUP7189,Noncdm Charge Record Medical Supplies - Plate Lng 232Mm Ss 3.5Mm Screw 10 Hl Lck Lcp,7853.58,3062.9,,,0
CDM,SUP71913_272,Noncdm Charge Record Medical Supplies - Catheter Iv 20Ga 1In Radiopq Shld Dehp-Fr Wng,7.24,2.82,,,0
CDM,SUP71913_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Iv 20Ga 1In Radiopq Shld Dehp-Fr Wng,7.24,2.82,,,0
CDM,SUP71913_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Iv 20Ga 1In Radiopq Shld Dehp-Fr Wng,7.24,2.82,,,0
CDM,SUP71914,Noncdm Charge Record Medical Supplies - Cannula C02 Inf Nasal Smpl 7In,31.05,12.11,,,0
CDM,SUP71925,Noncdm Charge Record Medical Supplies - Splint Unpd Primacast 4X15In,21.74,8.48,,,0
CDM,SUP71926_270,Noncdm Charge Record Medical Supplies - Splint Unpd Primacast 5X30In,42.44,16.55,,,0
CDM,SUP71926_A4649_270,Noncdm Charge Record Medical Supplies - Splint Unpd Primacast 5X30In,42.44,16.55,,,0
CDM,SUP71929_270,Noncdm Charge Record Medical Supplies - Tub Insuf Ll 1-4Ini.D. 10 Filtr .3 Mic,31.05,12.11,,,0
CDM,SUP71929_A4649_270,Noncdm Charge Record Medical Supplies - Tub Insuf Ll 1-4Ini.D. 10 Filtr .3 Mic,31.05,12.11,,,0
CDM,SUP71929_A9999_270,Noncdm Charge Record Medical Supplies - Tub Insuf Ll 1-4Ini.D. 10 Filtr .3 Mic,31.05,12.11,,,0
CDM,SUP71934_272,Noncdm Charge Record Medical Supplies - Trap Plyp Inline Endo 1Chamber Suct Disp,12.23,4.77,,,0
CDM,SUP71934_A4649_272,Noncdm Charge Record Medical Supplies - Trap Plyp Inline Endo 1Chamber Suct Disp,11.92,4.65,,,0
CDM,SUP71934_A9999_272,Noncdm Charge Record Medical Supplies - Trap Plyp Inline Endo 1Chamber Suct Disp,12.6,4.91,,,0
CDM,SUP71937_270,Noncdm Charge Record Medical Supplies - Bandage Esmark Lf Strl 6X12Ft,14.49,5.65,,,0
CDM,SUP71937_A4649_270,Noncdm Charge Record Medical Supplies - Bandage Esmark Lf Strl 6X12Ft,14.49,5.65,,,0
CDM,SUP71937_A9999_270,Noncdm Charge Record Medical Supplies - Bandage Esmark Lf Strl 6X12Ft,14.49,5.65,,,0
CDM,SUP71940,Noncdm Charge Record Medical Supplies - See 35247 Bandage Lf Elc Vlcr Clsr Ns 6Inx10Yd,10.35,4.04,,,0
CDM,SUP71941_272,Noncdm Charge Record Medical Supplies - Suture Permahand 3-0 18In Cr Black Ethicon,44.81,17.48,,,0
CDM,SUP71941_A9999_272,Noncdm Charge Record Medical Supplies - Suture Permahand 3-0 18In Cr Black Ethicon,45.54,17.76,,,0
CDM,SUP71942,Noncdm Charge Record Medical Supplies - Wire Lgt Sut Ss .02D 24Ga 4Oz,195.62,76.29,,,0
CDM,SUP71943,Noncdm Charge Record Medical Supplies - See 35317 Reservoir Suct 100Cc 12Cm Connect 5.5Cm,27.94,10.9,,,0
CDM,SUP71944,Noncdm Charge Record Medical Supplies - See 120 Bandage Elastic Compression S Self Closure N-S 3In,2.07,0.81,,,0
CDM,SUP71945,Noncdm Charge Record Medical Supplies - See 122 Bandage Elastic Compression S Self Closure N-S 6In,4.14,1.61,,,0
CDM,SUP71946,Noncdm Charge Record Medical Supplies - Burr Egg Diamond 4.0Mm Head,672.1,262.12,,,0
CDM,SUP71947,Noncdm Charge Record Medical Supplies - Catheter Foley Ic 3-Way 24Fr 30Cc Latex Bard Medical,59.0,23.01,,,0
CDM,SUP71948,Noncdm Charge Record Medical Supplies - Catheter Foley 3-Way 20Fr 30Cc Latex Bard Medical,39.33,15.34,,,0
CDM,SUP71949,Noncdm Charge Record Medical Supplies - Catheter Foley 2-Way 16Fr 5Cc Silver Hydrogel Latex Bard Med,35.19,13.72,,,0
CDM,SUP71961,Noncdm Charge Record Medical Supplies - Kit Foley Catheter 16Fr 5Cc Temperature Sensing With Urine M,127.3,49.65,,,0
CDM,SUP71964,Noncdm Charge Record Medical Supplies - Suture Monocryl Und Mono 5-0 Plastic 18In P-1,30.98,12.08,,,0
CDM,SUP71975,Noncdm Charge Record Medical Supplies - Brush Cytology Colonoscope 230Cm 3Mm Conmed Corp,59.0,23.01,,,0
CDM,SUP71978_272,Noncdm Charge Record Medical Supplies - Catheter 5 F Inf 0.038In 125 Cm Vertebral Cardinal Health,165.56,64.57,,,0
CDM,SUP71978_A4649_272,Noncdm Charge Record Medical Supplies - Catheter 5 F Inf 0.038In 125 Cm Vertebral Cardinal Health,165.6,64.58,,,0
CDM,SUP71979,Noncdm Charge Record Medical Supplies - Catheter Microdelivery Marathon 1.5Fr 0.013Inx 165Cmx25Cm Me,3086.37,1203.68,,,0
CDM,SUP71980,Noncdm Charge Record Medical Supplies - Wafer Ost 2In N Img Rd 2 Pc Ctf Flxtnd,1.03,0.4,,,0
CDM,SUP72011,Noncdm Charge Record Medical Supplies - Catheter Foley 2-Way 22Fr 30Cc Silver Hydrogel Latex Bard Me,36.22,14.13,,,0
CDM,SUP72018,Noncdm Charge Record Medical Supplies - Wrap Compression Silverstein 8Inx8Yd Vector Surgical,157.53,61.44,,,0
CDM,SUP7203,Noncdm Charge Record Medical Supplies - See 157627 Stocking Comp 3Xl Reg Kn-Hi Antiemb Ted Nyl,15.52,6.05,,,0
CDM,SUP7205,Noncdm Charge Record Medical Supplies - Device Closure 6-7Fr Mynx Vasc Peg Balloon,967.36,377.27,,,0
CDM,SUP72075_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Violet 5 5-0 8In S-24S24 Ethicon,72.45,28.26,,,0
CDM,SUP72075_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Violet 5 5-0 8In S-24S24 Ethicon,72.45,28.26,,,0
CDM,SUP7207_272,Noncdm Charge Record Medical Supplies - Seal Cannula Davinci 8.5-13Mm,195.68,76.32,,,0
CDM,SUP7207_A9999_272,Noncdm Charge Record Medical Supplies - Seal Cannula Davinci 8.5-13Mm,195.62,76.29,,,0
CDM,SUP721,Noncdm Charge Record Medical Supplies - Bandage Prfr 4In Comp 4 Lyr,42.44,16.55,,,0
CDM,SUP72105,Noncdm Charge Record Medical Supplies,456.44,178.01,,,0
CDM,SUP72146,Noncdm Charge Record Medical Supplies - Bone Celluler Matrix Vivigen 1Cc Lifenet,2148.66,837.98,,,0
CDM,SUP72147,Noncdm Charge Record Medical Supplies - Bone Matrix Celluler Vivigen 5Cc Lifenet,8603.96,3355.54,,,0
CDM,SUP72148,Noncdm Charge Record Medical Supplies - Bone Matrix Celluler Vivigen 10Cc Lifenet,16433.73,6409.15,,,0
CDM,SUP7215,Noncdm Charge Record Medical Supplies,131.44,51.26,,,0
CDM,SUP72195_272,Noncdm Charge Record Medical Supplies - Suture Stratafix Symmetric 18Cmx45Cm Violet Ethicon,101.12,39.44,,,0
CDM,SUP72195_A4649_272,Noncdm Charge Record Medical Supplies - Suture Stratafix Symmetric 18Cmx45Cm Violet Ethicon,101.43,39.56,,,0
CDM,SUP72195_A9999_272,Noncdm Charge Record Medical Supplies - Suture Stratafix Symmetric 18Cmx45Cm Violet Ethicon,101.43,39.56,,,0
CDM,SUP72196,Noncdm Charge Record Medical Supplies - Catheter Angiografic 5Fr 65Cm Berenstein Merit Medical,59.0,23.01,,,0
CDM,SUP72197_272,Noncdm Charge Record Medical Supplies - Suture Prolene 5-0 Tf 24In Blue Ethicon,51.04,19.91,,,0
CDM,SUP72197_A9999_272,Noncdm Charge Record Medical Supplies - Suture Prolene 5-0 Tf 24In Blue Ethicon,50.72,19.78,,,0
CDM,SUP72234,Noncdm Charge Record Medical Supplies - Catheter Embolectomy Fogarty Thru Lumen Otw 7Frx80Cm Edwards,433.66,169.13,,,0
CDM,SUP72235,Noncdm Charge Record Medical Supplies - Set Sheath Introducer Percutaneous 7Fr 35Cm Super Arrow-Flex,367.42,143.29,,,0
CDM,SUP7224,Noncdm Charge Record Medical Supplies - Dressing Iv 4.5X4In Sureview,9.32,3.63,,,0
CDM,SUP72288,Noncdm Charge Record Medical Supplies - Guidewire Neurovsclr Asahi Chikai Str 008In 200Cm,3523.14,1374.02,,,0
CDM,SUP72289,Noncdm Charge Record Medical Supplies - Catheter Micro 1.9F 63Mm .014Inx3.0Cmx30Mmx1.25Mm,7473.42,2914.63,,,0
CDM,SUP72294,Noncdm Charge Record Medical Supplies - Catheter Guide Xb4 Crv 6Fr .07In 100Cm Ptfe,211.05,82.31,,,0
CDM,SUP72310,Noncdm Charge Record Medical Supplies - Anchor Dx Swivelock Sl 3.5Mmx8.5Mm With Forked Tip Eyelet Ar,2283.21,890.45,,,0
CDM,SUP72311,Noncdm Charge Record Medical Supplies - Dx Swivelock Sl Disposable Kit For Use With 3.5Mmx8.5Mm Swiv,1346.54,525.15,,,0
CDM,SUP72393_270,Noncdm Charge Record Medical Supplies - Tube 8.5Mm Cuff Inr Loprs Cannula,205.62,80.19,,,0
CDM,SUP72393_272,Noncdm Charge Record Medical Supplies - Tube 8.5Mm Cuff Inr Loprs Cannula,205.96,80.32,,,0
CDM,SUP724,Noncdm Charge Record Medical Supplies - See 157438 Catheter Dover 14Fr 2Way 30Cc Silicone Coated Lat,23.8,9.28,,,0
CDM,SUP72401,Noncdm Charge Record Medical Supplies - Atriclip Gillinov-Cosgrove Left Atrial Appendage Exclusion 4,5050.8,1969.81,,,0
CDM,SUP72402,Noncdm Charge Record Medical Supplies - Atriclip Gillinov-Cosgrove Left Atrial Appendage Exclusion 4,5800.14,2262.05,,,0
CDM,SUP72403,Noncdm Charge Record Medical Supplies - Atriclip Gillinov-Cosgrove Left Atrial Appendage Exclusion 5,5050.8,1969.81,,,0
CDM,SUP7241,Noncdm Charge Record Medical Supplies - Punch Artho Disp 3.5Mm,367.42,143.29,,,0
CDM,SUP72430,Noncdm Charge Record Medical Supplies - Graft Amniofix 2Cmx3Cm Mimedx,3789.29,1477.82,,,0
CDM,SUP72431,Noncdm Charge Record Medical Supplies - Graft Amniofix 2Cmx12Cm Mimedx,5469.01,2132.91,,,0
CDM,SUP72432_C1762_278,Noncdm Charge Record Medical Supplies - Graft Amniofix 6Cmx16Cm Mimedx,18574.8,7244.17,,,0
CDM,SUP72434,Noncdm Charge Record Medical Supplies - Amniofix Injectable 160Mg Mimedx Group Inc,9643.09,3760.81,,,0
CDM,SUP72462,Noncdm Charge Record Medical Supplies - Graft Amniocord 3Cmx5Cm Mimedx,10188.65,3973.57,,,0
CDM,SUP72463,Noncdm Charge Record Medical Supplies - Dressing Nustat Flx Hemo 6X60,524.36,204.5,,,0
CDM,SUP72482,Noncdm Charge Record Medical Supplies,912.87,356.02,,,0
CDM,SUP7251,Noncdm Charge Record Medical Supplies - Graft Dura 2X2In Patch Resrb Suturable Drgn +,2600.54,1014.21,,,0
CDM,SUP72517,Noncdm Charge Record Medical Supplies - Tool Legend 12Cm 3.0Mm Match Head Midas Rex Am-8 Telescoping,738.99,288.21,,,0
CDM,SUP72518,Noncdm Charge Record Medical Supplies,791.78,308.79,,,0
CDM,SUP72519,Noncdm Charge Record Medical Supplies - Tool Legend 14Cm 3.0Mm Match Head Midas Rex Symmetri Telesco,940.82,366.92,,,0
CDM,SUP72545,Noncdm Charge Record Medical Supplies - Anchor Suture 4.75Mm Healicoil Regenesorb W-2 # 2 Ultrabraid,2113.47,824.25,,,0
CDM,SUP72548,Noncdm Charge Record Medical Supplies - Needle Biopsy And Liver Access Cook Medical,1977.88,771.37,,,0
CDM,SUP72549_272,Noncdm Charge Record Medical Supplies - Catheter Diagnostic 5Fr 65Cm Peripheral Ka2 Merit Medical,55.8,21.76,,,0
CDM,SUP72549_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Diagnostic 5Fr 65Cm Peripheral Ka2 Merit Medical,55.89,21.8,,,0
CDM,SUP72551,Noncdm Charge Record Medical Supplies - System Liquid Embolic 2 Gm Trufill N-Bca Cordis Corporation,28628.31,11165.04,,,0
CDM,SUP72552,Noncdm Charge Record Medical Supplies - System Liquid Embolic 1 Gm Trufill N-Bca Cordis Corporation,15018.87,5857.36,,,0
CDM,SUP72559,Noncdm Charge Record Medical Supplies - Anchor Suture 5.5Mm Healicoil Regenesorb W-2 # 2 Ultrabraid,2113.47,824.25,,,0
CDM,SUP72560,Noncdm Charge Record Medical Supplies - Anchor Suture 5.5Mm Healicoil Regenesorb W-3 # 2 Ultrabraid,2113.47,824.25,,,0
CDM,SUP72562,Noncdm Charge Record Medical Supplies - Passer Suture Hip Accu-Pass Direct Crescent Xl Smith Nephew,1752.26,683.38,,,0
CDM,SUP72563,Noncdm Charge Record Medical Supplies - Anchor Q-Fix 1.8Mm All Suture Smith Nephew,2052.92,800.64,,,0
CDM,SUP72564,Noncdm Charge Record Medical Supplies - Kit Disposable For 1.8Mm Q-Fix Implant Smith Nephew,1089.86,425.05,,,0
CDM,SUP72568,Noncdm Charge Record Medical Supplies - Amplatzer Patent Foramen Ovale Occluder 18Mm,43477.24,16956.12,,,0
CDM,SUP725_272,Noncdm Charge Record Medical Supplies - Catheter Urethral 16Fr Balloon 5Cc Silicone Foley Two Way Sh,15.52,6.05,,,0
CDM,SUP725_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Urethral 16Fr Balloon 5Cc Silicone Foley Two Way Sh,15.52,6.05,,,0
CDM,SUP725_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Urethral 16Fr Balloon 5Cc Silicone Foley Two Way Sh,15.52,6.05,,,0
CDM,SUP72606_272,Noncdm Charge Record Medical Supplies - Blade Dermatome For Zimmer Dermatomes Humeca,183.78,71.67,,,0
CDM,SUP72606_A9999_272,Noncdm Charge Record Medical Supplies - Blade Dermatome For Zimmer Dermatomes Humeca,146.97,57.32,,,0
CDM,SUP72607,Noncdm Charge Record Medical Supplies - Catheter Hematuria 3-Way 24Fr 30Ml Latex Bard Medical,96.26,37.54,,,0
CDM,SUP72628,Noncdm Charge Record Medical Supplies - Guidewire Hornet 300,710.01,276.9,,,0
CDM,SUP72649,Noncdm Charge Record Medical Supplies - Assembly Blade Ctrs Disp,1174.72,458.14,,,0
CDM,SUP72772,Noncdm Charge Record Medical Supplies - See 70026 Burr Matchstick Fluted 3.0Mm Long Depuy Synthes,704.84,274.89,,,0
CDM,SUP72798,Noncdm Charge Record Medical Supplies - Electrode Spatula Straight 36Cm Cleancoat Laparoscopic Covid,169.74,66.2,,,0
CDM,SUP72799_272,Noncdm Charge Record Medical Supplies - Electrode L-Hook 36Cm Cleancoat Laparoscopic Covidien Surgic,150.06,58.52,,,0
CDM,SUP72799_A4649_272,Noncdm Charge Record Medical Supplies - Electrode L-Hook 36Cm Cleancoat Laparoscopic Covidien Surgic,150.07,58.53,,,0
CDM,SUP728,Noncdm Charge Record Medical Supplies - Kit Surgiflo 8Ml Hemostatic Matrix Ethicon,577.73,225.31,,,0
CDM,SUP72800,Noncdm Charge Record Medical Supplies - Kit Bone Access For Osteocool 10Ga 090 Medtronic Inc,2215.94,864.22,,,0
CDM,SUP72832_272,Noncdm Charge Record Medical Supplies - Blade Saw Sagittal Acl 9.5Mmx25.5Mmx0.4Mm Fine Conmed Linvat,69.34,27.04,,,0
CDM,SUP72832_A4649_272,Noncdm Charge Record Medical Supplies - Blade Saw Sagittal Acl 9.5Mmx25.5Mmx0.4Mm Fine Conmed Linvat,69.34,27.04,,,0
CDM,SUP72832_A9999_272,Noncdm Charge Record Medical Supplies - Blade Saw Sagittal Acl 9.5Mmx25.5Mmx0.4Mm Fine Conmed Linvat,69.34,27.04,,,0
CDM,SUP72833,Noncdm Charge Record Medical Supplies - Rasp Reciprocating Micro Small Cross Cut Conmed Linvatec Cor,318.78,124.32,,,0
CDM,SUP72885,Noncdm Charge Record Medical Supplies - Canc Allograft Xl 15Cc Trinity Elite,20783.84,8105.7,,,0
CDM,SUP72886,Noncdm Charge Record Medical Supplies,2348.42,915.88,,,0
CDM,SUP72892,Noncdm Charge Record Medical Supplies,1128.15,439.98,,,0
CDM,SUP72893,Noncdm Charge Record Medical Supplies - Screw Lock Viper,402.96,157.15,,,0
CDM,SUP72894,Noncdm Charge Record Medical Supplies - Stockinette Delta-Net 6In Synthetic Black Bsn Medical Inc,87.98,34.31,,,0
CDM,SUP72917,Noncdm Charge Record Medical Supplies - Coil Embol 14Cm 0.018 Micron Plantinium,545.96,212.92,,,0
CDM,SUP72918,Noncdm Charge Record Medical Supplies - Embol Protect Device Spider Fx,4299.39,1676.76,,,0
CDM,SUP72935,Noncdm Charge Record Medical Supplies - Set Catheter Quikbloc Ecogenic 20G 100Mm-4In Halyard,185.95,72.52,,,0
CDM,SUP72937,Noncdm Charge Record Medical Supplies - Stockinette Synthetic Black 4In Bsn Medical,114.88,44.8,,,0
CDM,SUP72940,Noncdm Charge Record Medical Supplies - Coil Embol Ocl Plat .035 14Cm 4Mm,546.48,213.13,,,0
CDM,SUP7308,Noncdm Charge Record Medical Supplies,1120.9,437.15,,,0
CDM,SUP7309,Noncdm Charge Record Medical Supplies,1120.9,437.15,,,0
CDM,SUP73098,Noncdm Charge Record Medical Supplies - Background Surg Tbl Yellow Vsb,68.31,26.64,,,0
CDM,SUP7310,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 45Mm Lcp Ss Ft Condy Fem-Tib,1287.54,502.14,,,0
CDM,SUP73165,Noncdm Charge Record Medical Supplies - Catheter Distal Access Merci Dac 3.9F 038In 125Cm,6029.79,2351.62,,,0
CDM,SUP73166,Noncdm Charge Record Medical Supplies - Catheter Distal Access Merci Dac 3.9F 038In 136Cm,6031.36,2352.23,,,0
CDM,SUP73167,Noncdm Charge Record Medical Supplies - Dac Catheter Od 4.3F (0.056In - 1.45Mm) Id 0.044In (3.3F - 1,6030.35,2351.84,,,0
CDM,SUP73168,Noncdm Charge Record Medical Supplies - Catheter Distal Access Merci Dac 044 4.3F 044Inx130Cm,6027.84,2350.86,,,0
CDM,SUP73169,Noncdm Charge Record Medical Supplies - Dac Catheter Od 4.3F (0.056In - 1.45Mm) Id 0.044In (3.3F - 1,6027.84,2350.86,,,0
CDM,SUP73172_272,Noncdm Charge Record Medical Supplies - Myosure Reach,5235.4,2041.81,,,0
CDM,SUP73172_A4649_272,Noncdm Charge Record Medical Supplies - Myosure Reach,5221.58,2036.42,,,0
CDM,SUP73172_A9999_272,Noncdm Charge Record Medical Supplies - Myosure Reach,5221.58,2036.42,,,0
CDM,SUP73258_272,Noncdm Charge Record Medical Supplies - Valve Biopsy Air Water Suction Us Endoscopy,25.93,10.11,,,0
CDM,SUP73258_A4649_272,Noncdm Charge Record Medical Supplies - Valve Biopsy Air Water Suction Us Endoscopy,24.01,9.36,,,0
CDM,SUP73258_A9999_272,Noncdm Charge Record Medical Supplies - Valve Biopsy Air Water Suction Us Endoscopy,28.98,11.3,,,0
CDM,SUP7326_270,Noncdm Charge Record Medical Supplies - Tubing Insufflation Heated Stryker,210.1,81.94,,,0
CDM,SUP7326_A4649_270,Noncdm Charge Record Medical Supplies - Tubing Insufflation Heated Stryker,210.62,82.14,,,0
CDM,SUP7328,Noncdm Charge Record Medical Supplies - Suture Pdo 2-0 24X24Cm Violet Quill,83.14,32.42,,,0
CDM,SUP7329,Noncdm Charge Record Medical Supplies - Suture Pdo 2-0 24X24Cm Violet Quill,85.9,33.5,,,0
CDM,SUP73304,Noncdm Charge Record Medical Supplies - Generator Emblem S-Icd Mri Pulse,89418.82,34873.34,,,0
CDM,SUP73305,Noncdm Charge Record Medical Supplies - Cath Hgh Trqe Kmp 4F 038In65 Selective,305.32,119.07,,,0
CDM,SUP7336,Noncdm Charge Record Medical Supplies - Tubing Suction Infltr,31.79,12.4,,,0
CDM,SUP73364,Noncdm Charge Record Medical Supplies - Catheter Cardio Performa 6Fr 125Cm Mpa2,46.58,18.17,,,0
CDM,SUP73365,Noncdm Charge Record Medical Supplies - Catheter Cardio Performa 6Fr 125Cm Judkins Left 4.0,46.58,18.17,,,0
CDM,SUP734,Noncdm Charge Record Medical Supplies - See 31246 Brace Orth Std 10In Ankle,51.75,20.18,,,0
CDM,SUP7341,Noncdm Charge Record Medical Supplies - Plate 86Mm Ss 3.5Mm 2 Hl Lt Lcp Bn Lt,3473.46,1354.65,,,0
CDM,SUP7348,Noncdm Charge Record Medical Supplies,31.05,12.11,,,0
CDM,SUP73501,Noncdm Charge Record Medical Supplies - Coil Trgt L 360 Sft 2Mm X 3Cm Detach,12176.78,4748.94,,,0
CDM,SUP73502,Noncdm Charge Record Medical Supplies - Coil Trgt L 360 Sft 2Mm X 6Cm Detach,12683.92,4946.73,,,0
CDM,SUP73503,Noncdm Charge Record Medical Supplies - Coil Trgt L 360 Sft 3Mm X 6Cm Detach,12176.78,4748.94,,,0
CDM,SUP73504,Noncdm Charge Record Medical Supplies - Coil Trgt L 360 Sft 3Mm X 9Cm Detach,12345.82,4814.87,,,0
CDM,SUP73505,Noncdm Charge Record Medical Supplies - Coil Trgt L 360 Sft 4Mm X 8Cm Detach,12176.78,4748.94,,,0
CDM,SUP73506,Noncdm Charge Record Medical Supplies - Coil Trgt L 360 Sft 5Mm X 10Cm Detach,12176.78,4748.94,,,0
CDM,SUP73507,Noncdm Charge Record Medical Supplies - Coil Trgt L 360 Sft 5Mm X 15Cm Detach,12176.78,4748.94,,,0
CDM,SUP73508,Noncdm Charge Record Medical Supplies - Patch Gore Soft Tissue,10342.56,4033.6,,,0
CDM,SUP7351,Noncdm Charge Record Medical Supplies - Plate 230Mm Ss 3.5Mm Screw 10 Hl Lcp Bn Lt,6215.18,2423.92,,,0
CDM,SUP7352,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 16Mm 55Mm Ss Fem Cannula Thrd Ns,844.56,329.38,,,0
CDM,SUP7353,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 16Mm Ss Fem Cannula Thrd Ns,1142.64,445.63,,,0
CDM,SUP7358,Noncdm Charge Record Medical Supplies - Screw 6.5Mm 65Mm 32Mm Ss Ns Fem Cannula,943.92,368.13,,,0
CDM,SUP7359,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 70Mm 32Mm Ss Fem Self Drill Ns,1142.64,445.63,,,0
CDM,SUP735_272,Noncdm Charge Record Medical Supplies - Binder Abd 27-48X10In Sld,30.18,11.77,,,0
CDM,SUP735_A4649_272,Noncdm Charge Record Medical Supplies - Binder Abd 27-48X10In Sld,30.02,11.71,,,0
CDM,SUP735_A9999_272,Noncdm Charge Record Medical Supplies - Binder Abd 27-48X10In Sld,30.02,11.71,,,0
CDM,SUP7360,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 75Mm 32Mm Ss Fem Cannula Ns,943.92,368.13,,,0
CDM,SUP7361,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 80Mm 32Mm Ss Fem Cannula Ns,1068.12,416.57,,,0
CDM,SUP7362,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 85Mm 32Mm Ss Fem Cannula Thrd,993.34,387.4,,,0
CDM,SUP7364,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 95Mm 32Mm Ss Fem Cannula Thrd,943.92,368.13,,,0
CDM,SUP7365,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 100Mm 32Mm Ss Fem Cannula Thrd,844.56,329.38,,,0
CDM,SUP73653,Noncdm Charge Record Medical Supplies - Catheter Opticross 6 Edfu,2865.92,1117.71,,,0
CDM,SUP73654,Noncdm Charge Record Medical Supplies - Cath Angio 5Fr 35In 065Cm Mariner Ht Omni Fl,315.92,123.21,,,0
CDM,SUP7367,Noncdm Charge Record Medical Supplies - Plate 38Mm Ss 2Mm Screw Mini Frag Set 5 Hl,1055.85,411.78,,,0
CDM,SUP7368,Noncdm Charge Record Medical Supplies - Plate 45Mm Ss 2Mm Screw Mini Frag Set 6 Hl,1072.6,418.31,,,0
CDM,SUP7369,Noncdm Charge Record Medical Supplies - Plate 52Mm Ss 2Mm Screw Mini Frag Set 7 Hl,1043.28,406.88,,,0
CDM,SUP7370,Noncdm Charge Record Medical Supplies - Plate Ss 2Mm Screw Frag 7 Hl Set Mod Mini,2818.3,1099.14,,,0
CDM,SUP7373_C1713_278,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 8Mm Lcp Ss Cort St Stardr Recess,245.3,95.67,,,0
CDM,SUP7373_L8699_278,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 8Mm Lcp Ss Cort St Stardr Recess,245.3,95.67,,,0
CDM,SUP7374,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 9Mm Lcp Ss Cort St Stardr Recess,245.09,95.59,,,0
CDM,SUP7375,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 10Mm Lcp Ss Cort St Stardr,245.19,95.62,,,0
CDM,SUP7376,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 11Mm Lcp Ss Cort St Stardr,245.17,95.62,,,0
CDM,SUP73762,Noncdm Charge Record Medical Supplies - Catheter Dilat Blln Mini Trek 1.2Mm X 15Mm 145Cm,440.91,171.95,,,0
CDM,SUP7377,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 12Mm Lcp Ss Cort St Stardr,242.43,94.55,,,0
CDM,SUP7378,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 13Mm Lcp Ss Cort St Stardr,245.04,95.57,,,0
CDM,SUP7379,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 14Mm Lcp Ss Cort St Stardr,243.1,94.81,,,0
CDM,SUP7380,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 16Mm Lcp Ss Cort St T6 Stardr,234.36,91.4,,,0
CDM,SUP73802,Noncdm Charge Record Medical Supplies - Pacific Plus 2Mm X 40Mm Pta Balloon,832.14,324.53,,,0
CDM,SUP73804,Noncdm Charge Record Medical Supplies - Pacific Plus 2Mm X 150Mm Pta Balloon,856.98,334.22,,,0
CDM,SUP73819,Noncdm Charge Record Medical Supplies - Pacific Plus 6Mm X 40Mm Pta Balloon,832.14,324.53,,,0
CDM,SUP7381_C1713_278,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 18Mm Lcp Ss Cort St Stardr,238.15,92.88,,,0
CDM,SUP7381_L8699_278,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 18Mm Lcp Ss Cort St Stardr,245.3,95.67,,,0
CDM,SUP7382_C1713_278,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 20Mm Lcp Ss Cort St Stardr,245.3,95.67,,,0
CDM,SUP7382_L8699_278,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 20Mm Lcp Ss Cort St Stardr,245.3,95.67,,,0
CDM,SUP7383_C1713_278,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 22Mm Lcp Ss Cort St Stardr,245.3,95.67,,,0
CDM,SUP7383_L8699_278,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 22Mm Lcp Ss Cort St Stardr,245.3,95.67,,,0
CDM,SUP7384,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 24Mm Lcp Ss Cort St Stardr,245.3,95.67,,,0
CDM,SUP73847,Noncdm Charge Record Medical Supplies - Electrode E-Z Clean 6Inch,23.8,9.28,,,0
CDM,SUP73849,Noncdm Charge Record Medical Supplies - Cannula Trpl Am 6X7Mm,156.51,61.04,,,0
CDM,SUP7385,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 26Mm Lcp Ss Cort St Stardr,245.3,95.67,,,0
CDM,SUP73850,Noncdm Charge Record Medical Supplies - Cannula Trpl Am 7X7Mm,156.38,60.99,,,0
CDM,SUP7386,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 28Mm Lcp Ss Cort St Stardr,245.3,95.67,,,0
CDM,SUP7387,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 30Mm Lcp Ss Cort St Stardr,245.15,95.61,,,0
CDM,SUP7388,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 32Mm Lcp Ss Cort St Stardr,245.3,95.67,,,0
CDM,SUP7389,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 34Mm Lcp Ss Cort St Stardr,245.3,95.67,,,0
CDM,SUP73896,Noncdm Charge Record Medical Supplies - Cath Distal Access Axs Catalyst-5 058In 115Cm,7386.7,2880.81,,,0
CDM,SUP73897,Noncdm Charge Record Medical Supplies - Catheter Balloon Guide Flow Gate 8Fr 95Cm,5736.04,2237.06,,,0
CDM,SUP73898,Noncdm Charge Record Medical Supplies - See 124822 Catheter Distal Acess Axs Catalyst-5 058 115Cm,6184.06,2411.78,,,0
CDM,SUP739,Noncdm Charge Record Medical Supplies - See 1156 Catheter Foley 2-Way 18Fr 5Cc Latex Bard Medical,15.52,6.05,,,0
CDM,SUP7390,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 36Mm Lcp Ss Cort St Stardr,245.3,95.67,,,0
CDM,SUP7391,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 38Mm Lcp Ss Cort St Stardr,245.3,95.67,,,0
CDM,SUP7392,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 40Mm Lcp Ss Cort St Stardr,245.3,95.67,,,0
CDM,SUP73928,Noncdm Charge Record Medical Supplies - Catheter 20Mm Achieve Advance Mapping,3527.28,1375.64,,,0
CDM,SUP73929,Noncdm Charge Record Medical Supplies - Catheter 25Mm Achieve Advance Mapping,3747.74,1461.62,,,0
CDM,SUP7393,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 6Mm Dcp Ss Sm Bn St Lck T6,450.48,175.69,,,0
CDM,SUP73930_272,Noncdm Charge Record Medical Supplies - Catheter Connecting Cable 10 Pin Achieve Advance,856.98,334.22,,,0
CDM,SUP73930_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Connecting Cable 10 Pin Achieve Advance,856.98,334.22,,,0
CDM,SUP73930_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Connecting Cable 10 Pin Achieve Advance,856.98,334.22,,,0
CDM,SUP73931_272,Noncdm Charge Record Medical Supplies - Device Balloon Sinus Inflation,365.36,142.49,,,0
CDM,SUP73931_A4649_272,Noncdm Charge Record Medical Supplies - Device Balloon Sinus Inflation,365.36,142.49,,,0
CDM,SUP73932,Noncdm Charge Record Medical Supplies - Catheter Balloon Sinus 6X1Mm,8597.75,3353.12,,,0
CDM,SUP7395,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 8Mm Dcp Ss Sm Bn St Lck T6,450.22,175.59,,,0
CDM,SUP7396,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 9Mm Dcp Ss Sm Bn St Lck T6,450.22,175.59,,,0
CDM,SUP73975,Noncdm Charge Record Medical Supplies - Suture 3-0 Vloc 6In15Cm V20 Taper,131.44,51.26,,,0
CDM,SUP73978,Noncdm Charge Record Medical Supplies - Precision Reciprocating 27,366.0,142.74,,,0
CDM,SUP7399,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 12Mm Dcp Ss Sm Bn St Lck T6,450.22,175.59,,,0
CDM,SUP740,Noncdm Charge Record Medical Supplies - Collar Cerv Lg 4.25In Phil,50.72,19.78,,,0
CDM,SUP7400,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 13Mm Dcp Ss Sm Bn St Lck T6,450.22,175.59,,,0
CDM,SUP74005,Noncdm Charge Record Medical Supplies - Graft Bn Osteocel Pro 1Cc Smal,1933.45,754.05,,,0
CDM,SUP74006,Noncdm Charge Record Medical Supplies - Graft Bn Osteocel Pro 5Cc Med,8095.77,3157.35,,,0
CDM,SUP74007,Noncdm Charge Record Medical Supplies - Graft Bn Osteocel Pro 10Cc Lg,15709.23,6126.6,,,0
CDM,SUP7401,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 14Mm Dcp Ss Sm Bn St Lck T6,450.22,175.59,,,0
CDM,SUP7402,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 16Mm Dcp Ss Sm Bn St Lck T6,450.22,175.59,,,0
CDM,SUP7403,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 18Mm Dcp Ss Sm Bn St Lck T6,450.22,175.59,,,0
CDM,SUP74039_272,Noncdm Charge Record Medical Supplies - Probe Shock Plus 3.76Mm Single Use,3355.39,1308.6,,,0
CDM,SUP74039_A4649_272,Noncdm Charge Record Medical Supplies - Probe Shock Plus 3.76Mm Single Use,3371.0,1314.69,,,0
CDM,SUP74040,Noncdm Charge Record Medical Supplies - See 6270 Tube Endotrach Tapergrd 6.0Mm,171.81,67.01,,,0
CDM,SUP7405,Noncdm Charge Record Medical Supplies - Anchor Suture Orthocord Helix Advance 5.5 Mm Peek Depuy Mite,2019.28,787.52,,,0
CDM,SUP74058_272,Noncdm Charge Record Medical Supplies - Needle Guide,83.08,32.4,,,0
CDM,SUP74058_A4649_272,Noncdm Charge Record Medical Supplies - Needle Guide,84.87,33.1,,,0
CDM,SUP74058_A9999_272,Noncdm Charge Record Medical Supplies - Needle Guide,80.73,31.48,,,0
CDM,SUP74059_272,Noncdm Charge Record Medical Supplies - See 139894 Pack Stroke Kennestone,776.18,302.71,,,0
CDM,SUP74059_A4649_272,Noncdm Charge Record Medical Supplies - See 139894 Pack Stroke Kennestone,776.25,302.74,,,0
CDM,SUP74059_A9999_272,Noncdm Charge Record Medical Supplies - See 139894 Pack Stroke Kennestone,776.25,302.74,,,0
CDM,SUP74061_272,Noncdm Charge Record Medical Supplies - Tubing W-Sponge Guard 7-8Inch,42.44,16.55,,,0
CDM,SUP74061_A4649_272,Noncdm Charge Record Medical Supplies - Tubing W-Sponge Guard 7-8Inch,42.44,16.55,,,0
CDM,SUP74061_A9999_272,Noncdm Charge Record Medical Supplies - Tubing W-Sponge Guard 7-8Inch,42.44,16.55,,,0
CDM,SUP74062,Noncdm Charge Record Medical Supplies - Needle Scorpion,954.27,372.17,,,0
CDM,SUP7407_272,Noncdm Charge Record Medical Supplies - Dressing Algidex X-Small Patch Deroyal,18.01,7.02,,,0
CDM,SUP7407_A4649_272,Noncdm Charge Record Medical Supplies - Dressing Algidex X-Small Patch Deroyal,17.6,6.86,,,0
CDM,SUP7408,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 22Mm Dcp Ss Sm Bn St Lck T6,450.22,175.59,,,0
CDM,SUP74090,Noncdm Charge Record Medical Supplies - Catheter Thrombectomyangiojet Dvt Otw 035In X 8Fr,14102.05,5499.8,,,0
CDM,SUP7410,Noncdm Charge Record Medical Supplies,508.18,198.19,,,0
CDM,SUP7411,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 28Mm Dcp Ss Sm Bn St Lck T6,508.18,198.19,,,0
CDM,SUP7413,Noncdm Charge Record Medical Supplies - Plate 59Mm Ss 2Mm Screw Mini Frag Set 8 Hl,1131.26,441.19,,,0
CDM,SUP74131_272,Noncdm Charge Record Medical Supplies - See 160543 Set Extn 20In W-3 Way Stopcock,7.2,2.81,,,0
CDM,SUP74131_A4649_272,Noncdm Charge Record Medical Supplies - See 160543 Set Extn 20In W-3 Way Stopcock,7.24,2.82,,,0
CDM,SUP74131_A9999_272,Noncdm Charge Record Medical Supplies - See 160543 Set Extn 20In W-3 Way Stopcock,7.24,2.82,,,0
CDM,SUP7415,Noncdm Charge Record Medical Supplies - Plate 81Mm Ss 2Mm Screw Mini Frag Set 12 Hl,1823.67,711.23,,,0
CDM,SUP74150,Noncdm Charge Record Medical Supplies - Cup Cerv Ut Mnplt Vcar 40Mm Xl,376.28,146.75,,,0
CDM,SUP74151,Noncdm Charge Record Medical Supplies - Balloon Dialation Air Inspira 10X40,3064.64,1195.21,,,0
CDM,SUP74152,Noncdm Charge Record Medical Supplies - Balloon Dialation Air Inspira 12X40,3064.64,1195.21,,,0
CDM,SUP74153,Noncdm Charge Record Medical Supplies - Balloon Dialation Air Inspira 14X40,3064.64,1195.21,,,0
CDM,SUP74154,Noncdm Charge Record Medical Supplies - Cath Dist Acess Axs Catalyst 0.058X132Cm,10095.39,3937.2,,,0
CDM,SUP74155,Noncdm Charge Record Medical Supplies - Screw Bn Lock Va St 5Mm 34Mm,838.25,326.92,,,0
CDM,SUP7416,Noncdm Charge Record Medical Supplies - Plate 53Mm 2.0Mm Lcp T 3H Head 7H Shaft 2.0Mm,1759.5,686.2,,,0
CDM,SUP7417,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 6Mm Lcp Ss Dist Cort Radial St,253.58,98.9,,,0
CDM,SUP7419,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 8Mm Lcp Ss Dist Cort Radial St,252.42,98.44,,,0
CDM,SUP74198,Noncdm Charge Record Medical Supplies - Syringe Glass Lor 5Cc Luer Lck,35.19,13.72,,,0
CDM,SUP7420,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 9Mm Lcp Ss Dist Cort Radial St,253.58,98.9,,,0
CDM,SUP74200,Noncdm Charge Record Medical Supplies - Catheter Guide Xb3 Crv 6Fr .070In 100Cm Ptfe,202.33,78.91,,,0
CDM,SUP7422,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 11Mm Lcp Ss Dist Cort Radial,253.14,98.72,,,0
CDM,SUP7423,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 13Mm Lcp Ss Dist Cort Radial,252.1,98.32,,,0
CDM,SUP74238,Noncdm Charge Record Medical Supplies - Catheter Td Paceport Oximetry 7.5 Swan-Ganz,1077.44,420.2,,,0
CDM,SUP7425,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 26Mm Lcp Ss Dist Cort Radial,253.4,98.83,,,0
CDM,SUP7426,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 28Mm Lcp Ss Dist Cort Radial,252.85,98.61,,,0
CDM,SUP7428,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 32Mm Lcp Ss Dist Cort Radial,252.33,98.41,,,0
CDM,SUP74285_272,Noncdm Charge Record Medical Supplies - Set Extn 36In 5.5Ml 4 Way Stopcock,7.37,2.87,,,0
CDM,SUP74285_A4649_272,Noncdm Charge Record Medical Supplies - Set Extn 36In 5.5Ml 4 Way Stopcock,7.24,2.82,,,0
CDM,SUP74286_272,Noncdm Charge Record Medical Supplies - Suture Plain 5-0 P-3 18In Ethicon,76.74,29.93,,,0
CDM,SUP74286_A4649_272,Noncdm Charge Record Medical Supplies - Suture Plain 5-0 P-3 18In Ethicon,77.62,30.27,,,0
CDM,SUP7429,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 34Mm Lcp Ss Dist Cort Radial,252.84,98.61,,,0
CDM,SUP743,Noncdm Charge Record Medical Supplies - Dressing Trans 12X8In Polyureth Adh Hypoall,8.28,3.23,,,0
CDM,SUP7430,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 36Mm Lcp Ss Dist Cort Radial,253.58,98.9,,,0
CDM,SUP7431,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 38Mm Lcp Ss Dist Cort Radial,252.9,98.63,,,0
CDM,SUP7433,Noncdm Charge Record Medical Supplies - Screw2.4-6Mm Lcp Ss Dist Lck Radial Lck St,513.36,200.21,,,0
CDM,SUP7434,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 7Mm Lcp Ss Dist Radial St Lck,513.36,200.21,,,0
CDM,SUP7435,Noncdm Charge Record Medical Supplies - Screw 2.4-8Mm Ss Dist Lck St Radial Lcp,513.36,200.21,,,0
CDM,SUP7436,Noncdm Charge Record Medical Supplies - Screw 2.4-9Mm Lcp Ss Dist Lck Radial St Lck,513.36,200.21,,,0
CDM,SUP7437,Noncdm Charge Record Medical Supplies - Screw 2.4-11Mm Lcp Ss St Lck Dist Radial St Lck,513.36,200.21,,,0
CDM,SUP7438,Noncdm Charge Record Medical Supplies - Screw 2.4-13Mm Lcp Ss Lck St Dist Radial St Lck,513.36,200.21,,,0
CDM,SUP7439,Noncdm Charge Record Medical Supplies - Screw 2.4-24Mm Lcp Ss St Lck Dist Radial St Lck,515.69,201.12,,,0
CDM,SUP744,Noncdm Charge Record Medical Supplies - Waffle Ft Med,161.46,62.97,,,0
CDM,SUP7440_C1713_278,Noncdm Charge Record Medical Supplies - Screw 2.4Mm 26Mm Lcp Ss Lck Dist Radial Lck St,513.36,200.21,,,0
CDM,SUP7440_L8699_278,Noncdm Charge Record Medical Supplies - Screw 2.4Mm 26Mm Lcp Ss Lck Dist Radial Lck St,513.36,200.21,,,0
CDM,SUP7441,Noncdm Charge Record Medical Supplies - Screw 2.4Mm 28Mm Lcp Ss Lck Dist Radial St Lck,513.36,200.21,,,0
CDM,SUP74420_272,Noncdm Charge Record Medical Supplies - See 142638 Pack Ent Medline,169.74,66.2,,,0
CDM,SUP74420_A4649_272,Noncdm Charge Record Medical Supplies - See 142638 Pack Ent Medline,169.74,66.2,,,0
CDM,SUP74420_A9999_272,Noncdm Charge Record Medical Supplies - See 142638 Pack Ent Medline,169.74,66.2,,,0
CDM,SUP7443,Noncdm Charge Record Medical Supplies - Plate 84Mm Ss 2Mm Screw Mini Frag Set 10 Hl,1591.94,620.86,,,0
CDM,SUP7444,Noncdm Charge Record Medical Supplies - Plate 88Mm Ss 2.4Mm Screw Mini Frag Set 12 Hl,1894.57,738.88,,,0
CDM,SUP74448_272,Noncdm Charge Record Medical Supplies - Controller Detachment Azur,841.17,328.06,,,0
CDM,SUP74448_A4649_272,Noncdm Charge Record Medical Supplies - Controller Detachment Azur,819.72,319.69,,,0
CDM,SUP74448_A9999_272,Noncdm Charge Record Medical Supplies - Controller Detachment Azur,819.72,319.69,,,0
CDM,SUP74449,Noncdm Charge Record Medical Supplies - Hydrocoil Detach 2Mmx2Cm Azur 18D System,3876.7,1511.91,,,0
CDM,SUP7445,Noncdm Charge Record Medical Supplies - Plate 44Mm Ss 2.4Mm Screw Mini Frag Set 5 Hl,1600.24,624.09,,,0
CDM,SUP74451,Noncdm Charge Record Medical Supplies - Hydrocoil Detach 3Mmx2Cm Azur 18D System,3615.26,1409.95,,,0
CDM,SUP74452,Noncdm Charge Record Medical Supplies - Hydrocoil Detach 3Mmx5Cm Azur 18D System,3615.26,1409.95,,,0
CDM,SUP74453,Noncdm Charge Record Medical Supplies,3615.26,1409.95,,,0
CDM,SUP74456,Noncdm Charge Record Medical Supplies - Hydrocoil Detach 5Mmx15Cm Azur 18D System,3615.26,1409.95,,,0
CDM,SUP74458,Noncdm Charge Record Medical Supplies - Hydrocoil Detach 3Mmx10Cm Azur 18D System,3840.88,1497.94,,,0
CDM,SUP7446,Noncdm Charge Record Medical Supplies - Plate 60Mm Ss 2.4Mm Screw Mini Frag Set 7 Hl,1611.2,628.37,,,0
CDM,SUP74460,Noncdm Charge Record Medical Supplies - Hydrocoil Detach 4Mmx15Cm Azur 18D System,4112.57,1603.9,,,0
CDM,SUP74463,Noncdm Charge Record Medical Supplies - Hydrocoil Detach 4Mmx20Cm Azur 18D System,4338.72,1692.1,,,0
CDM,SUP74466,Noncdm Charge Record Medical Supplies - Hydrocoil Cx Occldr 4Mmx13Cm Azur Cx 18D System,3796.31,1480.56,,,0
CDM,SUP74467,Noncdm Charge Record Medical Supplies - Hydrocoil Cx Occldr 5Mmx16Cm Azur Cx 18D System,3625.32,1413.87,,,0
CDM,SUP74468,Noncdm Charge Record Medical Supplies - Hydrocoil Cx Occldr 6Mmx20Cm Azur Cx 18D System,4223.49,1647.16,,,0
CDM,SUP74469,Noncdm Charge Record Medical Supplies - Hydrocoil Cx Occldr 7Mmx24Cm Azur Cx 18D System,4821.37,1880.33,,,0
CDM,SUP7447,Noncdm Charge Record Medical Supplies - Plate Ss 2.4 Mm Screw 3X7 Hl Frag Set Hl T Mini,2651.13,1033.94,,,0
CDM,SUP74470,Noncdm Charge Record Medical Supplies - Hydrocoil Cx Occldr 8Mmx28Cm Azur Cx 18D System,3625.6,1413.98,,,0
CDM,SUP74472,Noncdm Charge Record Medical Supplies - Hydrocoil Cx Occldr 10Mmx32Cm Azur Cx 18D System,3625.09,1413.79,,,0
CDM,SUP74473,Noncdm Charge Record Medical Supplies - Hydrocoil Cx Occldr 12Mmx38Cm Azur Cx 18D System,3625.09,1413.79,,,0
CDM,SUP74474,Noncdm Charge Record Medical Supplies - Hydrocoil Cx Occldr 14Mmx34Cm Azur Cx 18D System,3625.09,1413.79,,,0
CDM,SUP74477,Noncdm Charge Record Medical Supplies - Hydrocoil Cx Occldr 20Mmx40Cm Azur Cx 18D System,3625.09,1413.79,,,0
CDM,SUP7448,Noncdm Charge Record Medical Supplies - Plate 36Mm Ss 2.4Mm Screw Mini Frag Set 4 Hl,1640.76,639.9,,,0
CDM,SUP74480,Noncdm Charge Record Medical Supplies - Hydrocoil Framing 14Mmx34Cm Azur 18D,3902.98,1522.16,,,0
CDM,SUP7449,Noncdm Charge Record Medical Supplies - Plate 52Mm Ss 2.4Mm Screw Mini Frag Set 6 Hl,1611.13,628.34,,,0
CDM,SUP7450,Noncdm Charge Record Medical Supplies - Plate Ss 2.4 Mm Screw 8 Hl Frag Set Lcp Mini,1614.25,629.56,,,0
CDM,SUP74509,Noncdm Charge Record Medical Supplies - Burr Rnd Multi Flut 4Mm,782.11,305.02,,,0
CDM,SUP7451,Noncdm Charge Record Medical Supplies - Plate 59Mm Ss 2.4Mm Screw Mini Frag Set 7 Hl,2412.58,940.91,,,0
CDM,SUP74510,Noncdm Charge Record Medical Supplies - Bit Drill Cranl Lo Spd 14X11Mm,1116.71,435.52,,,0
CDM,SUP74511_272,Noncdm Charge Record Medical Supplies - Blade Saw Sgtl Dp Ct Nar 6.30Cm 12.70Mm .64Mm,438.32,170.94,,,0
CDM,SUP74511_A4649_272,Noncdm Charge Record Medical Supplies - Blade Saw Sgtl Dp Ct Nar 6.30Cm 12.70Mm .64Mm,143.86,56.11,,,0
CDM,SUP74512,Noncdm Charge Record Medical Supplies - See 127794 Blade Saw Sgtl Nar Thn Sht 8.66Cm 9.40Mm 0.64Mm,132.48,51.67,,,0
CDM,SUP74514_272,Noncdm Charge Record Medical Supplies - Tip Intpls Suct Tub High Flow,189.53,73.92,,,0
CDM,SUP74514_A4649_272,Noncdm Charge Record Medical Supplies - Tip Intpls Suct Tub High Flow,186.3,72.66,,,0
CDM,SUP74515,Noncdm Charge Record Medical Supplies - Support Abd Elc 10In W 26-50In Latex Safe,25.91,10.1,,,0
CDM,SUP7452,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 12Mm Lcp Ss Dist Fib St Lck T8,482.31,188.1,,,0
CDM,SUP74520_272,Noncdm Charge Record Medical Supplies - See 62 Dressing Transparent Tegaderm M Chg 3.5 X 4-5In,26.92,10.5,,,0
CDM,SUP74520_A4649_272,Noncdm Charge Record Medical Supplies - See 62 Dressing Transparent Tegaderm M Chg 3.5 X 4-5In,26.56,10.36,,,0
CDM,SUP74520_A9999_272,Noncdm Charge Record Medical Supplies - See 62 Dressing Transparent Tegaderm M Chg 3.5 X 4-5In,27.21,10.61,,,0
CDM,SUP74525,Noncdm Charge Record Medical Supplies - Augment Bone Graft 3.0Cc Wright Medical Technology,16051.82,6260.21,,,0
CDM,SUP7453,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 22Mm Lcp Ss Dist Fib St Lck T8,509.22,198.6,,,0
CDM,SUP7454,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 28Mm Lcp Ss Dist Fib St Lck T8,513.1,200.11,,,0
CDM,SUP74553_272,Noncdm Charge Record Medical Supplies - K-Wire Threaded .045X6 Inches Microaire,112.82,44.0,,,0
CDM,SUP74553_C1713_278,Noncdm Charge Record Medical Supplies - K-Wire Threaded .045X6 Inches Microaire,112.82,44.0,,,0
CDM,SUP7459,Noncdm Charge Record Medical Supplies - Screw Bn 46Mm 2.7Mm Lcp Dist Hum Elb Ss St,477.48,186.22,,,0
CDM,SUP7460,Noncdm Charge Record Medical Supplies,477.14,186.08,,,0
CDM,SUP7462,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 55Mm Lcp Ss Dist Hum Elb St,524.74,204.65,,,0
CDM,SUP74632_270,Noncdm Charge Record Medical Supplies - Head Restraint Allen Universal,112.82,44.0,,,0
CDM,SUP74632_A4649_270,Noncdm Charge Record Medical Supplies - Head Restraint Allen Universal,112.82,44.0,,,0
CDM,SUP74637,Noncdm Charge Record Medical Supplies - Screw 1.5X4Mm Tf Sd Xdrive,546.0,212.94,,,0
CDM,SUP7464_C1713_278,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 16Mm Lcp Dcp Ss T8 Cort St,184.55,71.97,,,0
CDM,SUP7464_L8699_278,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 16Mm Lcp Dcp Ss T8 Cort St,184.23,71.85,,,0
CDM,SUP7466,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 22Mm Lcp Dcp Ss Cort Dist,182.08,71.01,,,0
CDM,SUP7467,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 24Mm Lcp Dcp Ss Cort Dist,182.3,71.1,,,0
CDM,SUP74680,Noncdm Charge Record Medical Supplies - Casting Tape Green 2X4 3M,8.93,3.48,,,0
CDM,SUP74681,Noncdm Charge Record Medical Supplies - Casting Tape Green 3X4 3M,10.44,4.07,,,0
CDM,SUP7468_C1713_278,Noncdm Charge Record Medical Supplies - Screw 2.7-26Mm Lcp Dcp Ss T8 T8 Cort Dist,182.6,71.21,,,0
CDM,SUP7468_L8699_278,Noncdm Charge Record Medical Supplies - Screw 2.7-26Mm Lcp Dcp Ss T8 T8 Cort Dist,177.5,69.22,,,0
CDM,SUP7469_C1713_278,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 28Mm Lcp Dcp Ss Cort Dist,180.43,70.37,,,0
CDM,SUP7469_L8699_278,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 28Mm Lcp Dcp Ss Cort Dist,184.23,71.85,,,0
CDM,SUP74702,Noncdm Charge Record Medical Supplies - Ligasure 44Cm Retract L-Hook,2665.12,1039.4,,,0
CDM,SUP74703_272,Noncdm Charge Record Medical Supplies - Ligasure 37Cm Retract L-Hook,2665.12,1039.4,,,0
CDM,SUP74703_A4649_272,Noncdm Charge Record Medical Supplies - Ligasure 37Cm Retract L-Hook,2665.12,1039.4,,,0
CDM,SUP74703_A9999_272,Noncdm Charge Record Medical Supplies - Ligasure 37Cm Retract L-Hook,2665.12,1039.4,,,0
CDM,SUP7471,Noncdm Charge Record Medical Supplies - Screw 2.7-32Mm Lcp Ss Cort St Cort St Stardr,181.54,70.8,,,0
CDM,SUP74711,Noncdm Charge Record Medical Supplies - G7 Acetabular Shell 48Mm Biomet Inc,9558.22,3727.71,,,0
CDM,SUP7472_C1713_278,Noncdm Charge Record Medical Supplies - Screw 2.7-34Mm Lcp Ss Cort Rad Cort Dist Radial,183.45,71.55,,,0
CDM,SUP7472_L8699_278,Noncdm Charge Record Medical Supplies - Screw 2.7-34Mm Lcp Ss Cort Rad Cort Dist Radial,184.23,71.85,,,0
CDM,SUP7473,Noncdm Charge Record Medical Supplies - Screw 2.7-36Mm Lcp Ss Cort St Cort St Stardr,182.59,71.21,,,0
CDM,SUP7474,Noncdm Charge Record Medical Supplies - Screw 2.7-38Mm Lcp Ss Cort St Cort St Stardr,182.31,71.1,,,0
CDM,SUP7476,Noncdm Charge Record Medical Supplies - Screw 2.7-42Mm Lcp Ss Cort St Cort St Stardr,183.48,71.56,,,0
CDM,SUP74761,Noncdm Charge Record Medical Supplies,15056.14,5871.89,,,0
CDM,SUP7477_C1713_278,Noncdm Charge Record Medical Supplies - Screw 2.7-44Mm Lcp Ss Cort St Cort St Stardr,182.08,71.01,,,0
CDM,SUP7477_L8699_278,Noncdm Charge Record Medical Supplies - Screw 2.7-44Mm Lcp Ss Cort St Cort St Stardr,184.23,71.85,,,0
CDM,SUP7478,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 46Mm Lcp Ss Cort St Stardr,181.84,70.92,,,0
CDM,SUP7479,Noncdm Charge Record Medical Supplies - Screw 2.7-48Mm Lcp Ss Cort Cort St Stardr,179.74,70.1,,,0
CDM,SUP7480,Noncdm Charge Record Medical Supplies - Screw 2.7-50Mm Lcp Ss Cort Cort St Stardr,182.47,71.16,,,0
CDM,SUP7481,Noncdm Charge Record Medical Supplies - Screw 2.7-55Mm Lcp Ss Cort Cort St Stardr,179.68,70.08,,,0
CDM,SUP7482,Noncdm Charge Record Medical Supplies - Screw 2.7-60Mm Lcp Ss Cort Cort St Stardr,182.47,71.16,,,0
CDM,SUP74821_272,Noncdm Charge Record Medical Supplies - Bag Catch Endo 10Mm,195.62,76.29,,,0
CDM,SUP74821_A4649_272,Noncdm Charge Record Medical Supplies - Bag Catch Endo 10Mm,195.62,76.29,,,0
CDM,SUP74830,Noncdm Charge Record Medical Supplies - Interstim Test Kit Medtronic,195.62,76.29,,,0
CDM,SUP74831,Noncdm Charge Record Medical Supplies - Casting Tape Orange 2In X4Yd 3M,8.28,3.23,,,0
CDM,SUP74833_270,Noncdm Charge Record Medical Supplies - Casting Tape Purple 2In X 4Yd 3M,8.97,3.5,,,0
CDM,SUP74833_A9999_270,Noncdm Charge Record Medical Supplies - Casting Tape Purple 2In X 4Yd 3M,9.32,3.63,,,0
CDM,SUP74834,Noncdm Charge Record Medical Supplies - Casting Tape Black 2In X4Yd 3M,9.02,3.52,,,0
CDM,SUP74835,Noncdm Charge Record Medical Supplies - Casting Tape Red 2Inx4Yd 3M,8.94,3.49,,,0
CDM,SUP74836,Noncdm Charge Record Medical Supplies - Casting Tape Bright Green 2Inx4Yd 3M,9.06,3.53,,,0
CDM,SUP74837,Noncdm Charge Record Medical Supplies - Casting Tape Orange 3In X4Yd 3M,10.35,4.04,,,0
CDM,SUP74839_270,Noncdm Charge Record Medical Supplies - Casting Tape Purple 3In X 4Yd 3M,10.78,4.2,,,0
CDM,SUP74839_A9999_270,Noncdm Charge Record Medical Supplies - Casting Tape Purple 3In X 4Yd 3M,10.35,4.04,,,0
CDM,SUP74840,Noncdm Charge Record Medical Supplies - Casting Tape Black 3In X4Yd 3M,10.66,4.16,,,0
CDM,SUP74841,Noncdm Charge Record Medical Supplies - Casting Tape Red 3Inx4Yd 3M,10.69,4.17,,,0
CDM,SUP7485,Noncdm Charge Record Medical Supplies - Plate 76Mm Ss 2.7Mm Screw Mini Frag Set 8 Hl,1681.94,655.96,,,0
CDM,SUP7486,Noncdm Charge Record Medical Supplies - Plate 94Mm Ss 2.7Mm Screw Mini Frag Set 10 Hl,1721.75,671.48,,,0
CDM,SUP74867,Noncdm Charge Record Medical Supplies - Signia Power Control Shell Covidien,503.01,196.17,,,0
CDM,SUP7488,Noncdm Charge Record Medical Supplies - Plate 49Mm Ss 2.7Mm Screw Mini Frag Set 5 Hl,1681.88,655.93,,,0
CDM,SUP7489,Noncdm Charge Record Medical Supplies - Plate 58Mm Ss 2.7Mm Screw Mini Frag Set 6 Hl,1721.8,671.5,,,0
CDM,SUP749,Noncdm Charge Record Medical Supplies - See 1159 Catheter Foley 2-Way 20Fr 5Cc Latex Bard Medical,15.52,6.05,,,0
CDM,SUP7490,Noncdm Charge Record Medical Supplies - Plate 67Mm Ss 2.7Mm Screw Mini Frag Set 7 Hl,1701.84,663.72,,,0
CDM,SUP7491,Noncdm Charge Record Medical Supplies - Plate 66Mm Ss 2.7Mm Screw Mini Frag Set 7 Hl,2597.98,1013.21,,,0
CDM,SUP7492,Noncdm Charge Record Medical Supplies - Plate 32Mm Ss 2.7Mm Mini 2X3 Frag Set 2X3,2632.0,1026.48,,,0
CDM,SUP7494,Noncdm Charge Record Medical Supplies,1596.49,622.63,,,0
CDM,SUP74942,Noncdm Charge Record Medical Supplies - Implant Delivery System Biocomposite Distal Beceps,5316.8,2073.55,,,0
CDM,SUP74964_272,Noncdm Charge Record Medical Supplies - Tubing Aspiration 12Ft Microaire,64.23,25.05,,,0
CDM,SUP74964_A4649_272,Noncdm Charge Record Medical Supplies - Tubing Aspiration 12Ft Microaire,64.17,25.03,,,0
CDM,SUP7498,Noncdm Charge Record Medical Supplies - Plate Ss 2 Mm Screw Mini Frag Set 2X7 Hl Mod,1759.5,686.2,,,0
CDM,SUP7500,Noncdm Charge Record Medical Supplies - Plate Ss2.7 Screw Frag Rt Obl Set 2X4 Rt L Mini,1613.56,629.29,,,0
CDM,SUP75018,Noncdm Charge Record Medical Supplies - Pacemaker Assurity Mri Dr Rf,16433.73,6409.15,,,0
CDM,SUP75019,Noncdm Charge Record Medical Supplies - Pacemaker Assurity Mri Sr Rf,14500.35,5655.14,,,0
CDM,SUP7502,Noncdm Charge Record Medical Supplies - Plate Ss2.7 Screw Mini Frag Rt Set 2X4 Rt L,1748.12,681.77,,,0
CDM,SUP75020,Noncdm Charge Record Medical Supplies - Lead Tendril Mri 46Cm,1987.2,775.01,,,0
CDM,SUP75021,Noncdm Charge Record Medical Supplies - Lead Tendril Mri 52Cm,1987.2,775.01,,,0
CDM,SUP75022,Noncdm Charge Record Medical Supplies - Lead Tendril Mri 58Cm,1987.2,775.01,,,0
CDM,SUP75029,Noncdm Charge Record Medical Supplies - Amplatz Extra Stiff Support Wire Guide,126.27,49.25,,,0
CDM,SUP7505,Noncdm Charge Record Medical Supplies - Plate Ss 2.4 Mm Screw 3X7 Hl Y Frag Set Hl Y Mini,2632.0,1026.48,,,0
CDM,SUP7509,Noncdm Charge Record Medical Supplies,16917.08,6597.66,,,0
CDM,SUP750_272,Noncdm Charge Record Medical Supplies - Retractor Lone Star 28.3Cmx18.3Cm Disposable Ring Coopersurg,384.99,150.15,,,0
CDM,SUP750_A4649_272,Noncdm Charge Record Medical Supplies - Retractor Lone Star 28.3Cmx18.3Cm Disposable Ring Coopersurg,385.02,150.16,,,0
CDM,SUP7511,Noncdm Charge Record Medical Supplies - Valve Aort On-X 19Mm W Cnfrm Sewing Ring,28759.54,11216.22,,,0
CDM,SUP7512,Noncdm Charge Record Medical Supplies - Valve Aort On-X 21Mm W Cnfrm Sewing Ring,28759.54,11216.22,,,0
CDM,SUP75126_272,Noncdm Charge Record Medical Supplies - Bag Pressure Infusion 500Ml Sunmed Healthcare,33.12,12.92,,,0
CDM,SUP75126_A4649_272,Noncdm Charge Record Medical Supplies - Bag Pressure Infusion 500Ml Sunmed Healthcare,33.12,12.92,,,0
CDM,SUP75126_A9999_272,Noncdm Charge Record Medical Supplies - Bag Pressure Infusion 500Ml Sunmed Healthcare,33.12,12.92,,,0
CDM,SUP75127,Noncdm Charge Record Medical Supplies - Bag Pressure Infusion 1000Ml Sunmed Healthcare,33.12,12.92,,,0
CDM,SUP7513,Noncdm Charge Record Medical Supplies - Valve Aort On-X 23Mm W Cnfrm Sewing Ring,28759.54,11216.22,,,0
CDM,SUP7514,Noncdm Charge Record Medical Supplies - Valve Aort On-X 25Mm W Cnfrm,28759.54,11216.22,,,0
CDM,SUP75154,Noncdm Charge Record Medical Supplies - Kit Smpl Blood Acc Spk 1 Wy Stopcock,87.64,34.18,,,0
CDM,SUP7516,Noncdm Charge Record Medical Supplies - Valve Mitral On-X 25-33Mm W Cnfrm Sewing Ring,28759.54,11216.22,,,0
CDM,SUP75200,Noncdm Charge Record Medical Supplies - Tube Cuff Laser Flex 5.0Mm,343.62,134.01,,,0
CDM,SUP7521_272,Noncdm Charge Record Medical Supplies - Trap Plpctm Etrap Spec Poly 15Cm Disp Strl,26.91,10.49,,,0
CDM,SUP7521_A4649_272,Noncdm Charge Record Medical Supplies - Trap Plpctm Etrap Spec Poly 15Cm Disp Strl,26.92,10.5,,,0
CDM,SUP7521_A9999_272,Noncdm Charge Record Medical Supplies - Trap Plpctm Etrap Spec Poly 15Cm Disp Strl,26.91,10.49,,,0
CDM,SUP7523,Noncdm Charge Record Medical Supplies - Pad Pstn Univ Peri Post,279.45,108.99,,,0
CDM,SUP7524,Noncdm Charge Record Medical Supplies - Catheter Bactiseal Ventricul,1615.64,630.1,,,0
CDM,SUP7525,Noncdm Charge Record Medical Supplies,60.03,23.41,,,0
CDM,SUP75254,Noncdm Charge Record Medical Supplies - See 11691 Catheter Foley 2-Way 12 Fr 5Cc Latex Silver Hydrog,34.16,13.32,,,0
CDM,SUP75255,Noncdm Charge Record Medical Supplies - Catheter Foley 2-Way 16Fr 30Cc Latex Bard Medical,66.24,25.83,,,0
CDM,SUP75257,Noncdm Charge Record Medical Supplies - Extractor Stnbskt 2.4Fr 90Cm Tpls,1353.78,527.97,,,0
CDM,SUP75259,Noncdm Charge Record Medical Supplies - See 110814 Kit Adafl Lf Vnyl Glove Strl,25.1,9.79,,,0
CDM,SUP7526,Noncdm Charge Record Medical Supplies - Needle Bx 14Ga 10Cm Mxcor Ul,128.34,50.05,,,0
CDM,SUP75263,Noncdm Charge Record Medical Supplies - See 1180 Stocking Antiemb Knee Xlg Reg Open Toe,10.35,4.04,,,0
CDM,SUP75268,Noncdm Charge Record Medical Supplies - Pkg Nasal Sgl Comp 8Cm Foil Pk,73.48,28.66,,,0
CDM,SUP75269_272,Noncdm Charge Record Medical Supplies - Sponge Ear Ambrus Pack 15X20Mm Rect,79.32,30.93,,,0
CDM,SUP75269_A4649_272,Noncdm Charge Record Medical Supplies - Sponge Ear Ambrus Pack 15X20Mm Rect,69.14,26.96,,,0
CDM,SUP75269_A9999_272,Noncdm Charge Record Medical Supplies - Sponge Ear Ambrus Pack 15X20Mm Rect,68.31,26.64,,,0
CDM,SUP7527,Noncdm Charge Record Medical Supplies - Graft Bn Infs Rhbmp-2 .7Ml 2Xs Kt Cerv Spine (X),5268.17,2054.59,,,0
CDM,SUP75273,Noncdm Charge Record Medical Supplies - Tub Art Press Mntr M-F Ll 2Ft Pvc,15.52,6.05,,,0
CDM,SUP75275,Noncdm Charge Record Medical Supplies - Kit Centrl Vn Cath Trpl Lum 7F 20Cm Press Inj,529.92,206.67,,,0
CDM,SUP75276,Noncdm Charge Record Medical Supplies - Stopcock 3W Rot Rt Ll,11.34,4.42,,,0
CDM,SUP7528,Noncdm Charge Record Medical Supplies - Graft Bn Infs Rhbmp-2 Xs Kt Cerv Spine Lumb (X),10488.69,4090.59,,,0
CDM,SUP75280_272,Noncdm Charge Record Medical Supplies - See 2666 Pad Undcst Crmpd Fnsh 4Inx4Yds Strl,7.02,2.74,,,0
CDM,SUP75280_A4649_272,Noncdm Charge Record Medical Supplies,7.24,2.82,,,0
CDM,SUP75280_A9999_272,Noncdm Charge Record Medical Supplies - See 2666 Pad Undcst Crmpd Fnsh 4Inx4Yds Strl,7.24,2.82,,,0
CDM,SUP75284,Noncdm Charge Record Medical Supplies - Stockinette Tube Precut 4X4In 2P Strl,15.52,6.05,,,0
CDM,SUP75285,Noncdm Charge Record Medical Supplies - Stockinette Tube Precut 6X4In 2P Strl,18.23,7.11,,,0
CDM,SUP75288,Noncdm Charge Record Medical Supplies - Splint Casting Cnfrm 2Ix10In Scotchcast,10.35,4.04,,,0
CDM,SUP75290_270,Noncdm Charge Record Medical Supplies - Splint Fbgls Pad 4Inx15In Roll,373.64,145.72,,,0
CDM,SUP75290_A4649_270,Noncdm Charge Record Medical Supplies - Splint Fbgls Pad 4Inx15In Roll,373.64,145.72,,,0
CDM,SUP75292,Noncdm Charge Record Medical Supplies - Fmwrp Knee Ps Ther Pockets,156.28,60.95,,,0
CDM,SUP75293,Noncdm Charge Record Medical Supplies - Pillow Abd Foam Sm,87.61,34.17,,,0
CDM,SUP75296,Noncdm Charge Record Medical Supplies - Splint Wrist-Frarm Univ Rt,40.36,15.74,,,0
CDM,SUP75297,Noncdm Charge Record Medical Supplies - Splint Wrist-Frarm Univ Lt,40.36,15.74,,,0
CDM,SUP75298_270,Noncdm Charge Record Medical Supplies - See 477 Immobilizer Shoulder Sling Lrg,19.66,7.67,,,0
CDM,SUP75298_A9999_270,Noncdm Charge Record Medical Supplies - See 477 Immobilizer Shoulder Sling Lrg,19.66,7.67,,,0
CDM,SUP7529_C1730_272,Noncdm Charge Record Medical Supplies - Catheter Art 7Fr 110Cm Pacing,1876.4,731.8,,,0
CDM,SUP7529_C1751_272,Noncdm Charge Record Medical Supplies - Catheter Art 7Fr 110Cm Pacing,1615.64,630.1,,,0
CDM,SUP7530,Noncdm Charge Record Medical Supplies - Drain Hemovac 3-32In Bard,38.26,14.92,,,0
CDM,SUP75302_272,Noncdm Charge Record Medical Supplies - Blade Repl Cutter Ss,80.73,31.48,,,0
CDM,SUP75302_A4649_272,Noncdm Charge Record Medical Supplies - Blade Repl Cutter Ss,80.73,31.48,,,0
CDM,SUP75302_A9999_272,Noncdm Charge Record Medical Supplies - Blade Repl Cutter Ss,80.73,31.48,,,0
CDM,SUP75303,Noncdm Charge Record Medical Supplies - Burr Egg Flut Sftch 4Mm,644.69,251.43,,,0
CDM,SUP75304,Noncdm Charge Record Medical Supplies - See 54632 Burr Rnd Carb Strl 4X48.3Mm,112.82,44.0,,,0
CDM,SUP75305,Noncdm Charge Record Medical Supplies - Burr Ent Flut Sftch Dmd 3Mm,517.5,201.82,,,0
CDM,SUP75306,Noncdm Charge Record Medical Supplies - Bit Drill Twst 6Mm Stp 1X50Mm,592.02,230.89,,,0
CDM,SUP75310,Noncdm Charge Record Medical Supplies - Blade Saw Sgtl 25X1.27X100Mm Dual Str,217.35,84.77,,,0
CDM,SUP75312_272,Noncdm Charge Record Medical Supplies - Kit Ligator Muti-Band 6Shtr Us,1385.85,540.48,,,0
CDM,SUP75312_A4649_272,Noncdm Charge Record Medical Supplies - Kit Ligator Muti-Band 6Shtr Us,1385.86,540.49,,,0
CDM,SUP75312_A9999_272,Noncdm Charge Record Medical Supplies - Kit Ligator Muti-Band 6Shtr Us,1385.86,540.49,,,0
CDM,SUP75315_272,Noncdm Charge Record Medical Supplies - Kit Retract P-Gyn Strl Disp,385.01,150.15,,,0
CDM,SUP75315_A4649_272,Noncdm Charge Record Medical Supplies - Kit Retract P-Gyn Strl Disp,385.02,150.16,,,0
CDM,SUP75315_A9999_272,Noncdm Charge Record Medical Supplies - Kit Retract P-Gyn Strl Disp,385.02,150.16,,,0
CDM,SUP75316_272,Noncdm Charge Record Medical Supplies - Mnplt Ut Disp 12Inx4.5Mm,192.63,75.13,,,0
CDM,SUP75316_A4649_272,Noncdm Charge Record Medical Supplies - Mnplt Ut Disp 12Inx4.5Mm,192.51,75.08,,,0
CDM,SUP75316_A9999_272,Noncdm Charge Record Medical Supplies - Mnplt Ut Disp 12Inx4.5Mm,192.51,75.08,,,0
CDM,SUP75318,Noncdm Charge Record Medical Supplies - Instr Poole Strl,7.61,2.97,,,0
CDM,SUP75320,Noncdm Charge Record Medical Supplies - Needle Localization Spring Hook 20G 9Cm A Tip Cook Medcial,121.1,47.23,,,0
CDM,SUP75322,Noncdm Charge Record Medical Supplies - See 93378 Sheath Endo Srub 30D 4Mm,299.12,116.66,,,0
CDM,SUP75323_272,Noncdm Charge Record Medical Supplies - Needle Inj Clr Sheath 25G 4Mm 2.3X240Cm,283.64,110.62,,,0
CDM,SUP75323_A4649_272,Noncdm Charge Record Medical Supplies - Needle Inj Clr Sheath 25G 4Mm 2.3X240Cm,283.59,110.6,,,0
CDM,SUP75323_A9999_272,Noncdm Charge Record Medical Supplies - Needle Inj Clr Sheath 25G 4Mm 2.3X240Cm,283.59,110.6,,,0
CDM,SUP75324,Noncdm Charge Record Medical Supplies - Manipulator Uterine Rumi 6.7X6Cm Cooper Surgical Inc,284.62,111.0,,,0
CDM,SUP75327_272,Noncdm Charge Record Medical Supplies - Electrode Nessy Omg Rtn 13.2 Cable,20.53,8.01,,,0
CDM,SUP75327_A4649_272,Noncdm Charge Record Medical Supplies - Electrode Nessy Omg Rtn 13.2 Cable,20.7,8.07,,,0
CDM,SUP75327_A9999_272,Noncdm Charge Record Medical Supplies - Electrode Nessy Omg Rtn 13.2 Cable,20.7,8.07,,,0
CDM,SUP75328,Noncdm Charge Record Medical Supplies - See 66401 Electrode Blade Ext 6.5In Strl,16.56,6.46,,,0
CDM,SUP75329_272,Noncdm Charge Record Medical Supplies - Sealer Bipolar Aquamantys 2.3,2618.55,1021.23,,,0
CDM,SUP75329_A4649_272,Noncdm Charge Record Medical Supplies - Sealer Bipolar Aquamantys 2.3,2618.55,1021.23,,,0
CDM,SUP75329_C1889_272,Noncdm Charge Record Medical Supplies,2618.55,1021.23,,,0
CDM,SUP75330_272,Noncdm Charge Record Medical Supplies - Sponge Neuro 1-2In X 3In,23.8,9.28,,,0
CDM,SUP75330_A4649_272,Noncdm Charge Record Medical Supplies - Sponge Neuro 1-2In X 3In,23.8,9.28,,,0
CDM,SUP75330_A9999_272,Noncdm Charge Record Medical Supplies - Sponge Neuro 1-2In X 3In,23.8,9.28,,,0
CDM,SUP75334,Noncdm Charge Record Medical Supplies - Kit Pat Positioner Schlein Pad W-O Immobilizer,66.24,25.83,,,0
CDM,SUP75340,Noncdm Charge Record Medical Supplies - Intro Cath Cholgm 4Frx60Mm,366.39,142.89,,,0
CDM,SUP75344_272,Noncdm Charge Record Medical Supplies - Drain Pnrs Xray Strl 18X1-2In,2.03,0.79,,,0
CDM,SUP75344_A9999_272,Noncdm Charge Record Medical Supplies - Drain Pnrs Xray Strl 18X1-2In,2.07,0.81,,,0
CDM,SUP75345,Noncdm Charge Record Medical Supplies - Tube Rb Flrplas Wht 1.02Id,71.42,27.85,,,0
CDM,SUP75347,Noncdm Charge Record Medical Supplies - Stent Uret Wo Gwire 6Fr 26Cm,931.21,363.17,,,0
CDM,SUP75349_272,Noncdm Charge Record Medical Supplies - See 116905 Bandage Cnfrm 3P 6Inx4.5Yd Gauze Strl,1.93,0.75,,,0
CDM,SUP75349_A4649_272,Noncdm Charge Record Medical Supplies - See 116905 Bandage Cnfrm 3P 6Inx4.5Yd Gauze Strl,1.72,0.67,,,0
CDM,SUP75352_272,Noncdm Charge Record Medical Supplies - See 9555 Bandage Chsv Flx Lf 4Inx5Yd Hand Tear,9.34,3.64,,,0
CDM,SUP75352_A4649_272,Noncdm Charge Record Medical Supplies - See 9555 Bandage Chsv Flx Lf 4Inx5Yd Hand Tear,9.32,3.63,,,0
CDM,SUP75353_270,Noncdm Charge Record Medical Supplies - See 33595 Bandage Chsv Flx Lf 6Inx5Yd Hand Tear,14.49,5.65,,,0
CDM,SUP75353_A4649_270,Noncdm Charge Record Medical Supplies - See 33595 Bandage Chsv Flx Lf 6Inx5Yd Hand Tear,14.49,5.65,,,0
CDM,SUP75356_270,Noncdm Charge Record Medical Supplies - Bandage Press Esmrk Tan 4X12Ft,10.35,4.04,,,0
CDM,SUP75356_A4649_270,Noncdm Charge Record Medical Supplies - Bandage Press Esmrk Tan 4X12Ft,10.35,4.04,,,0
CDM,SUP75356_A9999_270,Noncdm Charge Record Medical Supplies - Bandage Press Esmrk Tan 4X12Ft,10.35,4.04,,,0
CDM,SUP75357,Noncdm Charge Record Medical Supplies - See 135968 Bandage Elc Vlcr Strl 6Inx5Yd,8.28,3.23,,,0
CDM,SUP75358_270,Noncdm Charge Record Medical Supplies - Bandage Esmark Lf Strl 4X12,54.84,21.39,,,0
CDM,SUP75358_A4649_270,Noncdm Charge Record Medical Supplies - Bandage Esmark Lf Strl 4X12,54.86,21.4,,,0
CDM,SUP75359,Noncdm Charge Record Medical Supplies - Kit Dressing Ear Adlt Strl,71.42,27.85,,,0
CDM,SUP75363_272,Noncdm Charge Record Medical Supplies - Dressing Gauze 12Ply Ns 4X4In Bulk 200Pk,17.59,6.86,,,0
CDM,SUP75363_A4649_272,Noncdm Charge Record Medical Supplies - Dressing Gauze 12Ply Ns 4X4In Bulk 200Pk,17.6,6.86,,,0
CDM,SUP75363_A9999_272,Noncdm Charge Record Medical Supplies - Dressing Gauze 12Ply Ns 4X4In Bulk 200Pk,17.6,6.86,,,0
CDM,SUP75365,Noncdm Charge Record Medical Supplies - Dressing Anmc Adh 4Inx10In Silverlon,142.83,55.7,,,0
CDM,SUP75366,Noncdm Charge Record Medical Supplies - See 142657 Dressing Actct Slvr 4Inx8In,57.85,22.56,,,0
CDM,SUP75368,Noncdm Charge Record Medical Supplies - See 105 Tape Dpre Sgl Use Roll 1In,1.03,0.4,,,0
CDM,SUP75374,Noncdm Charge Record Medical Supplies - See 90531 Stapler Skin Visistat 35Mm,35.19,13.72,,,0
CDM,SUP75378,Noncdm Charge Record Medical Supplies - Handpeice Suct-Irrg Smpls+ Tub,389.12,151.76,,,0
CDM,SUP75379,Noncdm Charge Record Medical Supplies - Kit Lav Suct-Irr Splshld Shwr Head Tip,402.62,157.02,,,0
CDM,SUP7538,Noncdm Charge Record Medical Supplies - Kit Cath 40Cm 23Fr Tl Pldrm Ruby Hemodia Strl,1370.34,534.43,,,0
CDM,SUP75380_270,Noncdm Charge Record Medical Supplies - Splint Nasal Intnl Sil Spt,112.82,44.0,,,0
CDM,SUP75380_A4649_270,Noncdm Charge Record Medical Supplies - Splint Nasal Intnl Sil Spt,112.82,44.0,,,0
CDM,SUP75380_A9999_270,Noncdm Charge Record Medical Supplies - Splint Nasal Intnl Sil Spt,112.82,44.0,,,0
CDM,SUP75385,Noncdm Charge Record Medical Supplies - Screw Loc Crosspin 2X6Mm,508.87,198.46,,,0
CDM,SUP75387,Noncdm Charge Record Medical Supplies - Screw Self Drill Axs 1.5X4Mm,386.77,150.84,,,0
CDM,SUP7539,Noncdm Charge Record Medical Supplies - Catheter Iv 24Ga .75In Radiopq,7.24,2.82,,,0
CDM,SUP75410,Noncdm Charge Record Medical Supplies - Screw Cann Ti Strl 4X44Mm,1137.46,443.61,,,0
CDM,SUP75427_272,Noncdm Charge Record Medical Supplies - Kit Bprp Bn Acm Noz-Restrictor Press,688.9,268.67,,,0
CDM,SUP75427_A4649_272,Noncdm Charge Record Medical Supplies - Kit Bprp Bn Acm Noz-Restrictor Press,684.14,266.81,,,0
CDM,SUP75431,Noncdm Charge Record Medical Supplies - Kit Colo-Ileo Or Flange 2.75In,10.35,4.04,,,0
CDM,SUP75432,Noncdm Charge Record Medical Supplies - Kwr Thrd 1.25X150Mm,41.4,16.15,,,0
CDM,SUP75435,Noncdm Charge Record Medical Supplies - Bandage Conforming 1 Ply 1In X X 60In Sterile Cs-96,1.03,0.4,,,0
CDM,SUP75436,Noncdm Charge Record Medical Supplies - See 19471 Bandage Elastic 3In X 5Yd Self F Closure Sterile,10.35,4.04,,,0
CDM,SUP75438,Noncdm Charge Record Medical Supplies - See 134 Bandage Plaster Fast Drying 5 5In X 5 Yd,7.24,2.82,,,0
CDM,SUP75439,Noncdm Charge Record Medical Supplies - Bandage Plaster Fast Drying 6 6In X 5 Yd,7.24,2.82,,,0
CDM,SUP75441,Noncdm Charge Record Medical Supplies - Bit Drill T2 3.5 X 230Mm Ster Rile,552.69,215.55,,,0
CDM,SUP75444,Noncdm Charge Record Medical Supplies - See 83338 Blade Cutter Tri-Cut 3.5Mm Ro Otatblw-Irrigatn Tb,980.14,382.25,,,0
CDM,SUP75449,Noncdm Charge Record Medical Supplies - Brush Cytology Gastroscope 180Cm 5F 3Mm Wilson-Cook Medical,92.74,36.17,,,0
CDM,SUP75452,Noncdm Charge Record Medical Supplies - Catheter Foley 2-Way Coude Latex 18Fr 30Cc Bard Medical,66.24,25.83,,,0
CDM,SUP75453_272,Noncdm Charge Record Medical Supplies - See 1154 Catheter Foley 2-Way 10Fr 3Cc All Silicone Bard Med,15.52,6.05,,,0
CDM,SUP75453_A4649_272,Noncdm Charge Record Medical Supplies - See 1154 Catheter Foley 2-Way 10Fr 3Cc All Silicone Bard Med,15.52,6.05,,,0
CDM,SUP75453_A9999_272,Noncdm Charge Record Medical Supplies - See 1154 Catheter Foley 2-Way 10Fr 3Cc All Silicone Bard Med,15.52,6.05,,,0
CDM,SUP75454_272,Noncdm Charge Record Medical Supplies - See 172839 Catheter Foley 2-Way 14Fr 5Cc All Silicone Bard M,15.52,6.05,,,0
CDM,SUP75454_A4649_272,Noncdm Charge Record Medical Supplies - See 172839 Catheter Foley 2-Way 14Fr 5Cc All Silicone Bard M,15.52,6.05,,,0
CDM,SUP75454_A9999_272,Noncdm Charge Record Medical Supplies - See 172839 Catheter Foley 2-Way 14Fr 5Cc All Silicone Bard M,15.52,6.05,,,0
CDM,SUP75455_272,Noncdm Charge Record Medical Supplies - Catheter Foley Council 18Fr 5Cc Latex Red Bard Medical,77.62,30.27,,,0
CDM,SUP75455_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Foley Council 18Fr 5Cc Latex Red Bard Medical,77.62,30.27,,,0
CDM,SUP75455_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Foley Council 18Fr 5Cc Latex Red Bard Medical,77.62,30.27,,,0
CDM,SUP75456_272,Noncdm Charge Record Medical Supplies - Catheter Foley Council 20Fr 5Cc Latex Red Bard Medical,77.62,30.27,,,0
CDM,SUP75456_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Foley Council 20Fr 5Cc Latex Red Bard Medical,77.62,30.27,,,0
CDM,SUP75456_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Foley Council 20Fr 5Cc Latex Red Bard Medical,77.62,30.27,,,0
CDM,SUP75457,Noncdm Charge Record Medical Supplies - Catheter Foley Council 22Fr 5Cc Latex Red Bard Medical,77.62,30.27,,,0
CDM,SUP75458,Noncdm Charge Record Medical Supplies - Catheter Foley 3-Way 22Fr 75Cc Latex Bard Medical,59.0,23.01,,,0
CDM,SUP75461,Noncdm Charge Record Medical Supplies - Catheter Foley 3-Way 24Fr 75Cc Bard Medical,59.0,23.01,,,0
CDM,SUP75462,Noncdm Charge Record Medical Supplies - Catheter Iv Plastic Hub 16G X X 1 1-4In,8.28,3.23,,,0
CDM,SUP75463,Noncdm Charge Record Medical Supplies - See 14148 Catheter Rob-Nel Sterile 10Fr R,1.03,0.4,,,0
CDM,SUP75467,Noncdm Charge Record Medical Supplies - Catheter Ureteral Dual Lumen Tapered Segment 10Fr,180.09,70.24,,,0
CDM,SUP75471_270,Noncdm Charge Record Medical Supplies - Cleanser Wound 12 Oz,35.05,13.67,,,0
CDM,SUP75471_A4649_270,Noncdm Charge Record Medical Supplies - Cleanser Wound 12 Oz,35.19,13.72,,,0
CDM,SUP75475,Noncdm Charge Record Medical Supplies - Curette Rigid Curved W-Reg T Tip 7Mm Sterile,18.63,7.27,,,0
CDM,SUP75478,Noncdm Charge Record Medical Supplies - Drain Penrose X-Ray 18In X 1- -4In Sterile,2.07,0.81,,,0
CDM,SUP75480,Noncdm Charge Record Medical Supplies - Drain Silicone Round 10Fr,16.56,6.46,,,0
CDM,SUP75483,Noncdm Charge Record Medical Supplies - Dressing Non-Adherent Island Melolin 13In X 4In,7.45,2.91,,,0
CDM,SUP75484,Noncdm Charge Record Medical Supplies - Dressing Op-Site Post-Op 10In X 4In,8.28,3.23,,,0
CDM,SUP75486,Noncdm Charge Record Medical Supplies - Drill Twist Cannulated 2.7Mm,979.11,381.85,,,0
CDM,SUP75487_272,Noncdm Charge Record Medical Supplies - Electrode Loop 20Mm X 12Mm Di Isposable,50.51,19.7,,,0
CDM,SUP75487_A9999_272,Noncdm Charge Record Medical Supplies - Electrode Loop 20Mm X 12Mm Di Isposable,49.68,19.38,,,0
CDM,SUP75489_272,Noncdm Charge Record Medical Supplies - Gauze Packing Iodoform 1-4In X X 5 Yd Ster.,7.24,2.82,,,0
CDM,SUP75489_A4649_272,Noncdm Charge Record Medical Supplies - Gauze Packing Iodoform 1-4In X X 5 Yd Ster.,7.24,2.82,,,0
CDM,SUP75489_A9999_272,Noncdm Charge Record Medical Supplies - Gauze Packing Iodoform 1-4In X X 5 Yd Ster.,7.24,2.82,,,0
CDM,SUP75497,Noncdm Charge Record Medical Supplies - Implant Bone Screw Crosspin 2 2.0Mm X 8Mm,299.63,116.86,,,0
CDM,SUP75498,Noncdm Charge Record Medical Supplies - Implant Femoral Component Bea Aded Pa Sz 3 Left,17465.62,6811.59,,,0
CDM,SUP7550,Noncdm Charge Record Medical Supplies - Stem Fem 170Mm 16Mm Prim Std,24916.59,9717.47,,,0
CDM,SUP7552,Noncdm Charge Record Medical Supplies - Kit Crntmy 5.31Mm Acc Prep Bit Rzr 12Ml Nrx,1595.02,622.06,,,0
CDM,SUP7553,Noncdm Charge Record Medical Supplies - System Drain Csf Anrflx Valve Accudrain Strl,1097.23,427.92,,,0
CDM,SUP7554,Noncdm Charge Record Medical Supplies - Bag Drain 700Ml Hrmtc + Anrflx Valve Tube,194.58,75.89,,,0
CDM,SUP75544,Noncdm Charge Record Medical Supplies - Instrument Sigmoid 18Fr Eye7 7-32In Id72In Tubing,22.69,8.85,,,0
CDM,SUP75546,Noncdm Charge Record Medical Supplies - Kit Drain Flat 100Cc 3-4 Perf F 4Mm X 7Mm X 20Cm,66.93,26.1,,,0
CDM,SUP75547,Noncdm Charge Record Medical Supplies - Kit Foley Catheter Silicone 16F 5Cc With Bag Bard Medical,30.02,11.71,,,0
CDM,SUP75551,Noncdm Charge Record Medical Supplies - Kit Suct Wound Clsed 3-Spring G 400Ml Lg W-Ndl 1-4In,38.3,14.94,,,0
CDM,SUP75553_272,Noncdm Charge Record Medical Supplies - Kit Suction Wound 100Cc 10Mm Sil Flat Drn 3 Quad,42.3,16.5,,,0
CDM,SUP75553_A4649_272,Noncdm Charge Record Medical Supplies - Kit Suction Wound 100Cc 10Mm Sil Flat Drn 3 Quad,41.92,16.35,,,0
CDM,SUP75554,Noncdm Charge Record Medical Supplies - Kit Thoracentesis W-Catheter 7In 14G X 2In Ndl,168.87,65.86,,,0
CDM,SUP75555,Noncdm Charge Record Medical Supplies - Kit Tisseel Fibrin Sealant 10 0Ml Frozen Form,2930.08,1142.73,,,0
CDM,SUP75559,Noncdm Charge Record Medical Supplies - Loop Cutting Resectoscope One E-Stem 0.35Mm 27Fr,647.91,252.68,,,0
CDM,SUP75562,Noncdm Charge Record Medical Supplies - Needle Biopsy Cutting Tru-Cut T 14G X 4 1-2In,77.62,30.27,,,0
CDM,SUP75563,Noncdm Charge Record Medical Supplies - Needle Biopsy Jamshidi 11G X 4In Disp,99.43,38.78,,,0
CDM,SUP75564_272,Noncdm Charge Record Medical Supplies - Needle Keith Straight Abd Tri Iang #2.5 Disp,15.71,6.13,,,0
CDM,SUP75564_A4649_272,Noncdm Charge Record Medical Supplies - Needle Keith Straight Abd Tri Iang #2.5 Disp,15.52,6.05,,,0
CDM,SUP75564_A9999_272,Noncdm Charge Record Medical Supplies - Needle Keith Straight Abd Tri Iang #2.5 Disp,15.52,6.05,,,0
CDM,SUP75565,Noncdm Charge Record Medical Supplies - Needle Micro Dissection Insul Lated 4Cm Sterile,267.03,104.14,,,0
CDM,SUP75569_272,Noncdm Charge Record Medical Supplies - Net Foreign Body Retrieval 2. .5Mm X 350Cm L Disp,489.56,190.93,,,0
CDM,SUP75569_A4649_272,Noncdm Charge Record Medical Supplies - Net Foreign Body Retrieval 2. .5Mm X 350Cm L Disp,489.56,190.93,,,0
CDM,SUP7557,Noncdm Charge Record Medical Supplies - Graft Vasc 50Cm 6Mm Gore Propaten Eptfe Hep,8540.82,3330.92,,,0
CDM,SUP75573,Noncdm Charge Record Medical Supplies,481.28,187.7,,,0
CDM,SUP75577,Noncdm Charge Record Medical Supplies - Pillow Abduction Foam Large,134.55,52.47,,,0
CDM,SUP75578,Noncdm Charge Record Medical Supplies - Pillow Head Rest Prone Positi Ioning Foam 7In,32.08,12.51,,,0
CDM,SUP75589,Noncdm Charge Record Medical Supplies - Sheeting Silicone 2In X 2In X .020In,111.78,43.59,,,0
CDM,SUP7559,Noncdm Charge Record Medical Supplies - Graft Vasc 40Cm 8Mm Gore Hep Propaten Eptfe Hep,6889.3,2686.83,,,0
CDM,SUP75591,Noncdm Charge Record Medical Supplies - See 9663 Splint Nasal Bi-Valve Teflon Standard-Thick .5Mm,170.78,66.6,,,0
CDM,SUP75600,Noncdm Charge Record Medical Supplies - Stent Ureteral Polaris Ultra 5F 24Cml,749.86,292.45,,,0
CDM,SUP75609,Noncdm Charge Record Medical Supplies - See 141084 Suture Monocryl Und Mono 0 Ob B-Gyn 36In Ctb-1,14.49,5.65,,,0
CDM,SUP75611,Noncdm Charge Record Medical Supplies - Suture Monocryl Vil Mono 4-0 Plastic 18In P-3,30.02,11.71,,,0
CDM,SUP75612,Noncdm Charge Record Medical Supplies - See 141098 Suture Pds Vil Mono 1 Ob-Gyn 36In Ct-1,14.49,5.65,,,0
CDM,SUP75615,Noncdm Charge Record Medical Supplies - Tape Cotton Umbilical 1-8In X 36In,10.52,4.1,,,0
CDM,SUP7562,Noncdm Charge Record Medical Supplies - Graft Vasc 80Cm 6Mm Grtx Thnwl Remove Ring,6718.18,2620.09,,,0
CDM,SUP75620,Noncdm Charge Record Medical Supplies - Tube Trach Reinforced Oral-Na Asl Cuff Murphy 7.5Mm,134.55,52.47,,,0
CDM,SUP75621,Noncdm Charge Record Medical Supplies - See 12963 Tube Ventilation Touma T-Type E Grommt 1.14Id 2.4O,90.04,35.12,,,0
CDM,SUP75623,Noncdm Charge Record Medical Supplies - Wax Bone Beeswax Petroleum Je Elly Softening Agent,18.63,7.27,,,0
CDM,SUP75624_272,Noncdm Charge Record Medical Supplies - Wipe Instrument Surgical Ster Rile 3In X 3In,2.07,0.81,,,0
CDM,SUP75624_A4649_272,Noncdm Charge Record Medical Supplies - Wipe Instrument Surgical Ster Rile 3In X 3In,2.07,0.81,,,0
CDM,SUP75624_A9999_272,Noncdm Charge Record Medical Supplies - Wipe Instrument Surgical Ster Rile 3In X 3In,2.07,0.81,,,0
CDM,SUP75625_272,Noncdm Charge Record Medical Supplies - Electrode Ball Tip 0.3Cm Dia 13Cm L Disposable,56.92,22.2,,,0
CDM,SUP75625_A9999_272,Noncdm Charge Record Medical Supplies - Electrode Ball Tip 0.3Cm Dia 13Cm L Disposable,56.92,22.2,,,0
CDM,SUP75627,Noncdm Charge Record Medical Supplies - Splint Nasal Silver Thick Per Rforated 1-16In Large,50.72,19.78,,,0
CDM,SUP75628_272,Noncdm Charge Record Medical Supplies - System Smoke Evacuation Filte Er Laparoscopic Max,180.09,70.24,,,0
CDM,SUP75628_A4649_272,Noncdm Charge Record Medical Supplies - System Smoke Evacuation Filte Er Laparoscopic Max,180.09,70.24,,,0
CDM,SUP75632_272,Noncdm Charge Record Medical Supplies - Wire C Smooth Trocar Tip .062 Inch,38.3,14.94,,,0
CDM,SUP75632_C1713_278,Noncdm Charge Record Medical Supplies - Wire C Smooth Trocar Tip .062 Inch,29.63,11.56,,,0
CDM,SUP75636,Noncdm Charge Record Medical Supplies - Suture Prolene 5-0 Rb-1Rb-1 B,30.02,11.71,,,0
CDM,SUP75637,Noncdm Charge Record Medical Supplies - Suture Prolene 7-0 24 Bv-1Bv-,90.04,35.12,,,0
CDM,SUP75640,Noncdm Charge Record Medical Supplies - See 141042 Suture Vicryl 4-0 27Inch Ps-1 Cutting Undyed Ethi,783.5,305.56,,,0
CDM,SUP75642_272,Noncdm Charge Record Medical Supplies - Suture Ethibond Xtra 5 V-40 Gr,1049.49,409.3,,,0
CDM,SUP75643,Noncdm Charge Record Medical Supplies - Suture Silk 2-0 Blk Br Sutupak,241.5,94.18,,,0
CDM,SUP75645_272,Noncdm Charge Record Medical Supplies - Hook Stay Elastic 5Mm Individ Ually Wrapped Strl,43.55,16.98,,,0
CDM,SUP75645_A4649_272,Noncdm Charge Record Medical Supplies - Hook Stay Elastic 5Mm Individ Ually Wrapped Strl,43.47,16.95,,,0
CDM,SUP75645_A9999_272,Noncdm Charge Record Medical Supplies - Hook Stay Elastic 5Mm Individ Ually Wrapped Strl,43.47,16.95,,,0
CDM,SUP75648_272,Noncdm Charge Record Medical Supplies - See 157 Electrode Dual Return Adhesiv E Cnd Pediatric Cord,21.74,8.48,,,0
CDM,SUP75648_A4649_272,Noncdm Charge Record Medical Supplies - See 157 Electrode Dual Return Adhesiv E Cnd Pediatric Cord,21.74,8.48,,,0
CDM,SUP75648_A9999_272,Noncdm Charge Record Medical Supplies - See 157 Electrode Dual Return Adhesiv E Cnd Pediatric Cord,21.74,8.48,,,0
CDM,SUP75653,Noncdm Charge Record Medical Supplies - Pad Hypo-Hyperthermia Adult-O R Table 25X64 Disp,48.54,18.93,,,0
CDM,SUP75654,Noncdm Charge Record Medical Supplies - See 194 Catheter Suction Delee Tip 14 Fr 22 Loop Pk,1.03,0.4,,,0
CDM,SUP75655,Noncdm Charge Record Medical Supplies - See 107816 Tourniquet Rolled And Banded Latex-Free 1 X 18,0.52,0.2,,,0
CDM,SUP75663,Noncdm Charge Record Medical Supplies - Chord-X Chordal Sizer,245.3,95.67,,,0
CDM,SUP75671,Noncdm Charge Record Medical Supplies - Bit Drill 2.5Mm 110Mm,416.07,162.27,,,0
CDM,SUP75673,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 30Mm Nail Ex Ti Hum Tib Lck Strl,921.67,359.45,,,0
CDM,SUP75674,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 48Mm Nail Ex Ti Ft Fem-Tib Strl,922.18,359.65,,,0
CDM,SUP75681,Noncdm Charge Record Medical Supplies - Pin 2.4Mm,102.06,39.8,,,0
CDM,SUP7569_272,Noncdm Charge Record Medical Supplies - Kit Drain 12Cm 15.5Fr Sil,4166.88,1625.08,,,0
CDM,SUP7569_A4649_272,Noncdm Charge Record Medical Supplies - Kit Drain 12Cm 15.5Fr Sil,4166.91,1625.09,,,0
CDM,SUP7570,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 85Mm Lcp Ss Prox Med Tib Lck,550.62,214.74,,,0
CDM,SUP75736,Noncdm Charge Record Medical Supplies - Kit Start Pleurx 1 Liter,1542.15,601.44,,,0
CDM,SUP75738,Noncdm Charge Record Medical Supplies - Tube Cnct Sil 1-4X3-8X1-16In Wal 50Ft,565.63,220.6,,,0
CDM,SUP75749_272,Noncdm Charge Record Medical Supplies - Probe Laser Ent Shrt Ang 2.5,945.99,368.94,,,0
CDM,SUP75749_A4649_272,Noncdm Charge Record Medical Supplies - Probe Laser Ent Shrt Ang 2.5,945.99,368.94,,,0
CDM,SUP75749_A9999_272,Noncdm Charge Record Medical Supplies - Probe Laser Ent Shrt Ang 2.5,945.99,368.94,,,0
CDM,SUP75750_C1887_272,Noncdm Charge Record Medical Supplies - Intro Mpnch Set Nitinol 5Fr,159.39,62.16,,,0
CDM,SUP75750_C1894_272,Noncdm Charge Record Medical Supplies - Intro Mpnch Set Nitinol 5Fr,117.99,46.02,,,0
CDM,SUP75756,Noncdm Charge Record Medical Supplies - See 96363 Line Smpl Adlt O2 Tub 6.5Ft Bx-100,65.2,25.43,,,0
CDM,SUP75758,Noncdm Charge Record Medical Supplies - See 14103 Rsc Mth To Mask Ox Rsvr Bag,41.4,16.15,,,0
CDM,SUP75759,Noncdm Charge Record Medical Supplies - Knife Bayonetted Annulotomy Globus Medical,4629.56,1805.53,,,0
CDM,SUP75761_272,Noncdm Charge Record Medical Supplies - See 96227 Bit Drill Neuro 3X3.8Mm,1189.26,463.81,,,0
CDM,SUP75761_A4649_272,Noncdm Charge Record Medical Supplies - See 96227 Bit Drill Neuro 3X3.8Mm,1189.21,463.79,,,0
CDM,SUP75762_272,Noncdm Charge Record Medical Supplies - Burr Rnd Dmd Fn Ext 2Mm,779.21,303.89,,,0
CDM,SUP75762_A9999_272,Noncdm Charge Record Medical Supplies - Burr Rnd Dmd Fn Ext 2Mm,751.41,293.05,,,0
CDM,SUP75763_272,Noncdm Charge Record Medical Supplies - Burr Rnd Dmnd 3Mm,780.31,304.32,,,0
CDM,SUP75763_A4649_272,Noncdm Charge Record Medical Supplies - Burr Rnd Dmnd 3Mm,869.4,339.07,,,0
CDM,SUP75763_A9999_272,Noncdm Charge Record Medical Supplies - Burr Rnd Dmnd 3Mm,751.41,293.05,,,0
CDM,SUP75764,Noncdm Charge Record Medical Supplies - Burr Rnd Multi Flut 3Mm,782.79,305.29,,,0
CDM,SUP75766_272,Noncdm Charge Record Medical Supplies - Burr Rnd Dmnd 4Mm,748.82,292.04,,,0
CDM,SUP75766_A4649_272,Noncdm Charge Record Medical Supplies - Burr Rnd Dmnd 4Mm,817.65,318.88,,,0
CDM,SUP75767_272,Noncdm Charge Record Medical Supplies - Burr Rnd Fn Dmd 2Mm,795.02,310.06,,,0
CDM,SUP75767_A4649_272,Noncdm Charge Record Medical Supplies - Burr Rnd Fn Dmd 2Mm,817.65,318.88,,,0
CDM,SUP75768,Noncdm Charge Record Medical Supplies - Burr Rnd 2 Flut Dmd 4Mm,1221.3,476.31,,,0
CDM,SUP75771_272,Noncdm Charge Record Medical Supplies - Tub Suct-Irr Spk On-Off Clamp,208.95,81.49,,,0
CDM,SUP75771_A4649_272,Noncdm Charge Record Medical Supplies - Tub Suct-Irr Spk On-Off Clamp,204.41,79.72,,,0
CDM,SUP75771_A9999_272,Noncdm Charge Record Medical Supplies - Tub Suct-Irr Spk On-Off Clamp,217.35,84.77,,,0
CDM,SUP75773,Noncdm Charge Record Medical Supplies,2519.19,982.48,,,0
CDM,SUP75775,Noncdm Charge Record Medical Supplies,4823.1,1881.01,,,0
CDM,SUP75776,Noncdm Charge Record Medical Supplies,4823.27,1881.08,,,0
CDM,SUP75778,Noncdm Charge Record Medical Supplies - Electrode Electrosurg Blade 6.5In,16.56,6.46,,,0
CDM,SUP75780,Noncdm Charge Record Medical Supplies - Battery Driver Iq Biomet Orthopedics,607.45,236.91,,,0
CDM,SUP75781,Noncdm Charge Record Medical Supplies - See 129516 Sponge Lap X-Ray Prm 4Inx18In Lf Disp,13.46,5.25,,,0
CDM,SUP75782,Noncdm Charge Record Medical Supplies - Kit Bn Cranl Flp Strl,140.54,54.81,,,0
CDM,SUP75786,Noncdm Charge Record Medical Supplies - Prostheses Ear .6X4.25Mm S Ntnl Piston,1538.76,600.12,,,0
CDM,SUP75789,Noncdm Charge Record Medical Supplies - Lead Neurostim Trl Cntct Spc Mri 1X8X60,7166.34,2794.87,,,0
CDM,SUP75793,Noncdm Charge Record Medical Supplies - Suture Pds Viol 2 30X30Cm 36Mm Ndl,90.39,35.25,,,0
CDM,SUP75794_270,Noncdm Charge Record Medical Supplies - Splint Nasal Sil Spt Airway Xl,152.15,59.34,,,0
CDM,SUP75794_272,Noncdm Charge Record Medical Supplies - Splint Nasal Sil Spt Airway Xl,152.15,59.34,,,0
CDM,SUP75795,Noncdm Charge Record Medical Supplies - Implant Allograft Canc 30Cc Cube,2512.98,980.06,,,0
CDM,SUP75796,Noncdm Charge Record Medical Supplies - Plate Rigid 2Hl Ti 0.6Mm,578.97,225.8,,,0
CDM,SUP75810,Noncdm Charge Record Medical Supplies,1611.5,628.48,,,0
CDM,SUP75813,Noncdm Charge Record Medical Supplies,973.94,379.84,,,0
CDM,SUP75818,Noncdm Charge Record Medical Supplies - Spacer Rise 10X30Mm 8-15Mm Globus Medical,21750.52,8482.7,,,0
CDM,SUP75827,Noncdm Charge Record Medical Supplies - See 127147 Kit Nvsr Endmtrl Ablt Sure Snd,6480.14,2527.25,,,0
CDM,SUP75829,Noncdm Charge Record Medical Supplies - Graft Spnl Lumb Spacr 2.5X10Cm,15655.41,6105.61,,,0
CDM,SUP75834_272,Noncdm Charge Record Medical Supplies - Warmer Scope Dbl Sided Ltx-Dehp Free Disp,36.23,14.13,,,0
CDM,SUP75834_A4649_272,Noncdm Charge Record Medical Supplies - Warmer Scope Dbl Sided Ltx-Dehp Free Disp,36.22,14.13,,,0
CDM,SUP75834_A9999_272,Noncdm Charge Record Medical Supplies - Warmer Scope Dbl Sided Ltx-Dehp Free Disp,36.22,14.13,,,0
CDM,SUP75836,Noncdm Charge Record Medical Supplies - Cover Burr Hole Neuro Iii 10Mm,1238.9,483.17,,,0
CDM,SUP75837,Noncdm Charge Record Medical Supplies - Cover Burr Hole Neuro Iii 14Mm,1231.19,480.16,,,0
CDM,SUP75838,Noncdm Charge Record Medical Supplies - Kit Dressing 18X12.5X3.3Cm Wound Foam Drape,209.07,81.54,,,0
CDM,SUP75839,Noncdm Charge Record Medical Supplies - Kit Dressing Abd Open Npt Abtherademo,1756.4,685.0,,,0
CDM,SUP75840,Noncdm Charge Record Medical Supplies - Bag Urine Leg W-Sec+ Lf 1000Ml,19.92,7.77,,,0
CDM,SUP75841,Noncdm Charge Record Medical Supplies - Kit Incs Mgmt Un Dressing 45Ml,1909.31,744.63,,,0
CDM,SUP75843,Noncdm Charge Record Medical Supplies,81.76,31.89,,,0
CDM,SUP75844,Noncdm Charge Record Medical Supplies,159.39,62.16,,,0
CDM,SUP75846,Noncdm Charge Record Medical Supplies - Autoplex Mixer W Vhv Wo Ndl,5257.28,2050.34,,,0
CDM,SUP75850_272,Noncdm Charge Record Medical Supplies - Applicator Hemostatic Arista Flextip Plas Xl 38Cm,131.17,51.16,,,0
CDM,SUP75850_A4649_272,Noncdm Charge Record Medical Supplies - Applicator Hemostatic Arista Flextip Plas Xl 38Cm,145.94,56.92,,,0
CDM,SUP75850_A9999_272,Noncdm Charge Record Medical Supplies - Applicator Hemostatic Arista Flextip Plas Xl 38Cm,111.52,43.49,,,0
CDM,SUP75856_272,Noncdm Charge Record Medical Supplies - Cassette Irrigation Core Dril Ll Pneumatic,232.88,90.82,,,0
CDM,SUP75856_A4649_272,Noncdm Charge Record Medical Supplies - Cassette Irrigation Core Dril Ll Pneumatic,232.88,90.82,,,0
CDM,SUP75857_272,Noncdm Charge Record Medical Supplies - Catheter Foley 2-Way 14Fr 5Cc Silver Hydrogel Latex Bard Med,35.19,13.72,,,0
CDM,SUP75857_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Foley 2-Way 14Fr 5Cc Silver Hydrogel Latex Bard Med,35.19,13.72,,,0
CDM,SUP75858_272,Noncdm Charge Record Medical Supplies - See 59365 Catheter Foley 2-Way 20Fr 5Cc Silver Hydrogel Late,34.16,13.32,,,0
CDM,SUP75858_A9999_272,Noncdm Charge Record Medical Supplies - See 59365 Catheter Foley 2-Way 20Fr 5Cc Silver Hydrogel Late,34.16,13.32,,,0
CDM,SUP75863_272,Noncdm Charge Record Medical Supplies - Device Closure Wound Absorb V V-Loc 180 27Mmx6In Gr,113.79,44.38,,,0
CDM,SUP75863_A4649_272,Noncdm Charge Record Medical Supplies - Device Closure Wound Absorb V V-Loc 180 27Mmx6In Gr,113.85,44.4,,,0
CDM,SUP75863_A9999_272,Noncdm Charge Record Medical Supplies - Device Closure Wound Absorb V V-Loc 180 27Mmx6In Gr,113.85,44.4,,,0
CDM,SUP75867,Noncdm Charge Record Medical Supplies - See 127281 Electrode Electrosurg Modifie Ed Lade Flat S-S 4.,14.49,5.65,,,0
CDM,SUP75870,Noncdm Charge Record Medical Supplies,887.0,345.93,,,0
CDM,SUP75880,Noncdm Charge Record Medical Supplies - Implant Plate Fibula Lat-Dst 3Hole 245Mmx110Mm,3876.59,1511.87,,,0
CDM,SUP75881,Noncdm Charge Record Medical Supplies - Implant Plate Fibula Lat-Dst 4Hole 245Mmx110Mm,3876.59,1511.87,,,0
CDM,SUP75883,Noncdm Charge Record Medical Supplies,5247.45,2046.51,,,0
CDM,SUP75887,Noncdm Charge Record Medical Supplies - Implant Plate Volar Narrow Le Eft,6619.86,2581.75,,,0
CDM,SUP75888,Noncdm Charge Record Medical Supplies - Implant Port Power Slim W-Sut Ture Plugs Tit 6F,1557.68,607.5,,,0
CDM,SUP7590,Noncdm Charge Record Medical Supplies,807.3,314.85,,,0
CDM,SUP75911_272,Noncdm Charge Record Medical Supplies - See 14083 Kit Splint Form Denver Series S 1500 Small-Medium,233.91,91.22,,,0
CDM,SUP75911_A4649_272,Noncdm Charge Record Medical Supplies - See 14083 Kit Splint Form Denver Series S 1500 Small-Medium,233.91,91.22,,,0
CDM,SUP75911_A9999_272,Noncdm Charge Record Medical Supplies - See 14083 Kit Splint Form Denver Series S 1500 Small-Medium,233.91,91.22,,,0
CDM,SUP75913,Noncdm Charge Record Medical Supplies - Manipulator Uterine Graduated D Shaft Luer Channel,309.46,120.69,,,0
CDM,SUP75916,Noncdm Charge Record Medical Supplies - Scissors Direct Drive Disp St Trl 5Mmx45Cm-Jaw 20Mm,186.3,72.66,,,0
CDM,SUP75921,Noncdm Charge Record Medical Supplies - Suture Monoderm Clr 0 7 X 7Cm Ml De12 Ndl Absrb,54.86,21.4,,,0
CDM,SUP75930,Noncdm Charge Record Medical Supplies - See 135119 Cannula Nerve Block 21Ga X 110Mm W-Facet Tip Paju,62.1,24.22,,,0
CDM,SUP75931_272,Noncdm Charge Record Medical Supplies - See 5308 Coagulator Footswitch Suction N 10F 152Mm,35.18,13.72,,,0
CDM,SUP75931_A4649_272,Noncdm Charge Record Medical Supplies - See 5308 Coagulator Footswitch Suction N 10F 152Mm,35.19,13.72,,,0
CDM,SUP75931_A9999_272,Noncdm Charge Record Medical Supplies - See 5308 Coagulator Footswitch Suction N 10F 152Mm,35.19,13.72,,,0
CDM,SUP75932,Noncdm Charge Record Medical Supplies - Coagulator Suction 12Fr X 6In,44.5,17.36,,,0
CDM,SUP75946,Noncdm Charge Record Medical Supplies - Bit Drill Cannulated Tapered 10Mm,1863.83,726.89,,,0
CDM,SUP75947,Noncdm Charge Record Medical Supplies - Canister Suction W-Lids 18 Conn Tube,31.05,12.11,,,0
CDM,SUP75948,Noncdm Charge Record Medical Supplies,450.22,175.59,,,0
CDM,SUP75951,Noncdm Charge Record Medical Supplies - Plate 119Mm Ss 3.5Mm Screw 6 Hl Lcp Bn Rt Prox Ss Strl,7007.98,2733.11,,,0
CDM,SUP75959,Noncdm Charge Record Medical Supplies - Plate Bn 19Mm Atl Vsn Elt Cerv,3770.5,1470.5,,,0
CDM,SUP75965,Noncdm Charge Record Medical Supplies - System Implant Speedbridge W Bcmps Swivelock 4375X19.1Mm,8615.86,3360.19,,,0
CDM,SUP75971,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 35Mm Cocr,4108.58,1602.35,,,0
CDM,SUP75972,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 40Mm Cocr,4108.54,1602.33,,,0
CDM,SUP75973,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 45Mm Cocr,4108.67,1602.38,,,0
CDM,SUP75974,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 50Mm Cocr,4108.54,1602.33,,,0
CDM,SUP75975,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 40Mm Cocr,4108.43,1602.29,,,0
CDM,SUP75976,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 45Mm Cocr,4108.48,1602.31,,,0
CDM,SUP75977,Noncdm Charge Record Medical Supplies - Screw Bn 7.5Mm 45Mm Cocr,4108.49,1602.31,,,0
CDM,SUP75979,Noncdm Charge Record Medical Supplies - Snare Micor Hex 240Cm 2.4Mm 13Mm,159.39,62.16,,,0
CDM,SUP75983,Noncdm Charge Record Medical Supplies - Baseplate Tib Trthln 3 Univ Knee Total Stab,10106.78,3941.64,,,0
CDM,SUP75984,Noncdm Charge Record Medical Supplies - Plate Bn Lck 91Mm Dist Fib Ss Rt 5Hl,3085.68,1203.42,,,0
CDM,SUP75987,Noncdm Charge Record Medical Supplies - 6Mm Drill,934.6,364.49,,,0
CDM,SUP75988,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 44Mm St T8 Strdr Acc Va Lck,583.26,227.47,,,0
CDM,SUP75989,Noncdm Charge Record Medical Supplies - Plate 69Mm 2.7Mm 3.5Mm Va Lcp Med Dist Hum 1Hl Lt Shrt Strl,4854.15,1893.12,,,0
CDM,SUP75990,Noncdm Charge Record Medical Supplies - System Inbone2 Total Ankle Screw Rem,514.4,200.62,,,0
CDM,SUP75991,Noncdm Charge Record Medical Supplies - Plate Medial Proximal Tibia Lcp 3.5Mm 6 Hole Right Synthes U,5678.01,2214.42,,,0
CDM,SUP75993,Noncdm Charge Record Medical Supplies - Plate Extraarticualr 8Hl 194Mm 3.5Mm Dist Hum Rt Strl,6603.74,2575.46,,,0
CDM,SUP75994,Noncdm Charge Record Medical Supplies - Plate Olcrn 2Hl Rt 73Mm Prox Ss Strl,3928.65,1532.17,,,0
CDM,SUP75995,Noncdm Charge Record Medical Supplies - Plate 73Mm 2Hl Ss 3.5Mm 2.7Mm Va Lcp Lt Strl,3892.64,1518.13,,,0
CDM,SUP75996,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 16Mm Ankle Lck,617.9,240.98,,,0
CDM,SUP75997,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 20Mm Ss Cort Ankle Nonlck Low,188.27,73.43,,,0
CDM,SUP75998,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 45Mm Ss Cort Ankle Nonlck Low,206.31,80.46,,,0
CDM,SUP75999,Noncdm Charge Record Medical Supplies,188.37,73.46,,,0
CDM,SUP76001_272,Noncdm Charge Record Medical Supplies - Bit Drill 2.6Mm 130Mm Cannula 4Mm P-T,856.96,334.21,,,0
CDM,SUP76001_A4649_272,Noncdm Charge Record Medical Supplies - Bit Drill 2.6Mm 130Mm Cannula 4Mm P-T,856.98,334.22,,,0
CDM,SUP76002,Noncdm Charge Record Medical Supplies - Bit Drill 44.5Mm 1.1Mm Mtrx 6Mm Stop J Latch Synthes Usa,792.81,309.2,,,0
CDM,SUP76020,Noncdm Charge Record Medical Supplies - Anchor Surturetak 3Mmx14.5Mm W- 1.3Mm White-Blue Arthrex,1826.26,712.24,,,0
CDM,SUP7603,Noncdm Charge Record Medical Supplies - Graft Bn Dem Bn Mtrx 2.5Ml Putty Ns (X),2470.54,963.51,,,0
CDM,SUP76150_272,Noncdm Charge Record Medical Supplies - Basket Dakota 1.9Fx8Mmx120Cm Boston Scientific,1199.63,467.86,,,0
CDM,SUP76150_A4649_272,Noncdm Charge Record Medical Supplies - Basket Dakota 1.9Fx8Mmx120Cm Boston Scientific,1329.98,518.69,,,0
CDM,SUP76151,Noncdm Charge Record Medical Supplies - Basket Dakota 1.8Fx11Mmx120Cm Boston Scientific,1249.24,487.2,,,0
CDM,SUP7617,Noncdm Charge Record Medical Supplies,6026.8,2350.45,,,0
CDM,SUP76171,Noncdm Charge Record Medical Supplies - Catheter Angio Pigtail Flush 10Sh 5F .035In 110Cm,59.0,23.01,,,0
CDM,SUP76172,Noncdm Charge Record Medical Supplies - Cath Impress Brd 0.5F.125 Cm Vrtbrl 0.0 Side Ports 0.035In,59.0,23.01,,,0
CDM,SUP76174_272,Noncdm Charge Record Medical Supplies - See 127147 Novasure Uterine Suresound Device Hologic,6343.52,2473.97,,,0
CDM,SUP76174_A4649_272,Noncdm Charge Record Medical Supplies - See 127147 Novasure Uterine Suresound Device Hologic,6343.52,2473.97,,,0
CDM,SUP7625,Noncdm Charge Record Medical Supplies - Plate 158Mm Ss 3.5Mm Screw 11 Hl Lcp Bn Rt,6178.95,2409.79,,,0
CDM,SUP7627,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 125Mm 40Mm Schnz Ss Fem Self,683.1,266.41,,,0
CDM,SUP7628,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 150Mm 40Mm Schnz Ss Self Drill,694.01,270.66,,,0
CDM,SUP7629,Noncdm Charge Record Medical Supplies - Clamp Cmbn Self Hld Clpon Ext Fix Med Ns,2344.28,914.27,,,0
CDM,SUP7630_272,Noncdm Charge Record Medical Supplies - Tubing Hysterscopy Pump Fluid Safe Stryker,464.72,181.24,,,0
CDM,SUP7630_A4649_272,Noncdm Charge Record Medical Supplies - Tubing Hysterscopy Pump Fluid Safe Stryker,464.72,181.24,,,0
CDM,SUP7631,Noncdm Charge Record Medical Supplies - Kit Cath 8.5Fr 8In .032Cm Qd,695.52,271.25,,,0
CDM,SUP7632,Noncdm Charge Record Medical Supplies - Kit Cath 8Fr 6In 2 Lum Centrl,581.67,226.85,,,0
CDM,SUP7633,Noncdm Charge Record Medical Supplies - Kit 8In 7Fr Mtlum Press Inj,607.54,236.94,,,0
CDM,SUP7636,Noncdm Charge Record Medical Supplies - Post Otrgr 30D 11Mm,457.64,178.48,,,0
CDM,SUP7638,Noncdm Charge Record Medical Supplies - Plate 88Mm Radius 78Mm Ss 3.5M 3.5M Screw 6 Hl,2876.26,1121.74,,,0
CDM,SUP7639,Noncdm Charge Record Medical Supplies - Plate 88Mm Radius 104Mm Ss 3.5Mm Screw 8 Hl,3123.63,1218.22,,,0
CDM,SUP763_272,Noncdm Charge Record Medical Supplies - Clip Suture Lapara-Ty Absorbable Ethicon,1240.94,483.97,,,0
CDM,SUP763_A4649_272,Noncdm Charge Record Medical Supplies - Clip Suture Lapara-Ty Absorbable Ethicon,1240.86,483.94,,,0
CDM,SUP7642,Noncdm Charge Record Medical Supplies - Screw 4.2Mm 16Mm Occ Cerv Va Thor Spine St Va,671.72,261.97,,,0
CDM,SUP76456,Noncdm Charge Record Medical Supplies - Screw 2.3X16Mm Cross Drive,515.43,201.02,,,0
CDM,SUP76457,Noncdm Charge Record Medical Supplies - Screw 2.0X9Mm Omnimax Sd Xd,945.37,368.69,,,0
CDM,SUP76458,Noncdm Charge Record Medical Supplies - Plate 4 Hole W-Gap 2.0Mm,4461.37,1739.93,,,0
CDM,SUP76483_272,Noncdm Charge Record Medical Supplies - Hemostat Srgcl Fibrillar 1X2 Abs Manual,239.42,93.37,,,0
CDM,SUP76483_A4649_272,Noncdm Charge Record Medical Supplies - Hemostat Srgcl Fibrillar 1X2 Abs Manual,241.16,94.05,,,0
CDM,SUP76483_A9999_272,Noncdm Charge Record Medical Supplies - Hemostat Srgcl Fibrillar 1X2 Abs Manual,241.16,94.05,,,0
CDM,SUP76498,Noncdm Charge Record Medical Supplies - Suture Needle Hi-Fi Meniscal Double Armed Conmed,405.74,158.24,,,0
CDM,SUP76499,Noncdm Charge Record Medical Supplies - Introducer Sheath Flexor Ansel -1 W-Check-Flo Valve High Fle,376.67,146.9,,,0
CDM,SUP765,Noncdm Charge Record Medical Supplies - System Drain Suct Trcl 500Ml,111.78,43.59,,,0
CDM,SUP7650,Noncdm Charge Record Medical Supplies - Catheter Centrl Venous 9.5F-4 Vitacuff 2 Lum Srcf,1248.21,486.8,,,0
CDM,SUP76500,Noncdm Charge Record Medical Supplies - Set Sheath Check-Flo Xl W-O Guidewire 20F 035X40,1757.43,685.4,,,0
CDM,SUP76533_272,Noncdm Charge Record Medical Supplies - Punch Biopsy 3Mm Integra,8.54,3.33,,,0
CDM,SUP76533_A4649_272,Noncdm Charge Record Medical Supplies - Punch Biopsy 3Mm Integra,8.28,3.23,,,0
CDM,SUP76533_A9999_272,Noncdm Charge Record Medical Supplies - Punch Biopsy 3Mm Integra,8.28,3.23,,,0
CDM,SUP76534,Noncdm Charge Record Medical Supplies - Punch Biopsy 4Mm Integra,8.56,3.34,,,0
CDM,SUP7654,Noncdm Charge Record Medical Supplies - Axle Fem Dist Mrh Gmrs Std,3901.95,1521.76,,,0
CDM,SUP7655,Noncdm Charge Record Medical Supplies - Blocker Spnl Xia 3 Ti,268.58,104.75,,,0
CDM,SUP76554,Noncdm Charge Record Medical Supplies - Canister Suction Fat Transfer Kit Microaire,905.62,353.19,,,0
CDM,SUP76555,Noncdm Charge Record Medical Supplies - Suture Passer Revolution Siesta Medical,1174.72,458.14,,,0
CDM,SUP7658,Noncdm Charge Record Medical Supplies - Plate 108Mm Radius 78Mm Ss 3.5Mm Screw 6 Hl,2876.26,1121.74,,,0
CDM,SUP7659,Noncdm Charge Record Medical Supplies - Plate 108Mm Radius 104Mm Ss 3.5Mm Screw 8 Hl,2992.57,1167.1,,,0
CDM,SUP7661,Noncdm Charge Record Medical Supplies - Plate 108Mm Radius 156Mm Ss 3.5Mm Screw 12 Hl,3424.82,1335.68,,,0
CDM,SUP7662,Noncdm Charge Record Medical Supplies - Plate 108Mm Radius 208Mm Ss 3.5Mm Screw 16 Hl,4108.95,1602.49,,,0
CDM,SUP7664,Noncdm Charge Record Medical Supplies - Plate 52Mm Ss 3.5Mm Screw Low Prof Pelvic Sys,1654.96,645.43,,,0
CDM,SUP7665,Noncdm Charge Record Medical Supplies - Plate 65Mm Ss 3.5Mm 5Hl Recon Low Prof Recon,1902.33,741.91,,,0
CDM,SUP7666,Noncdm Charge Record Medical Supplies - Plate 78Mm Ss 3.5Mm 6 Hl Low Low Prof Recon,2018.71,787.3,,,0
CDM,SUP7667,Noncdm Charge Record Medical Supplies - Plate 91Mm Ss 3.5Mm 7 Hl Low Low Prof Recon,2137.96,833.8,,,0
CDM,SUP7668,Noncdm Charge Record Medical Supplies - Plate 104Mm Ss 3.5Mm Screw Low Prof Pelvic,2297.85,896.16,,,0
CDM,SUP7669,Noncdm Charge Record Medical Supplies - Plate 117Mm Ss 3.5Mm Screw Low Prof Pelvic,2074.31,808.98,,,0
CDM,SUP7675,Noncdm Charge Record Medical Supplies - Plate 78Mm Ss 3.5Mm 6 Hl Coax Coax Cmbn Lcp,3522.1,1373.62,,,0
CDM,SUP76750,Noncdm Charge Record Medical Supplies - Coil Complex Finish 10 1.5Mm X 3Cm,3359.61,1310.25,,,0
CDM,SUP7681,Noncdm Charge Record Medical Supplies - Plate 88Mm Radius 208Mm Ss 3.5Mm Screw 16 Hl,3050.14,1189.55,,,0
CDM,SUP769,Noncdm Charge Record Medical Supplies - See 160072 Tray Dover Uretheral Catheterization 14Fr Covidie,12.14,4.73,,,0
CDM,SUP76904,Noncdm Charge Record Medical Supplies - Catheter Dilation Balloon 55Mmx10Cm 15Fr Boston Scientific,1187.49,463.12,,,0
CDM,SUP76906_272,Noncdm Charge Record Medical Supplies - Dressing Wound Foam Sacrum St Ter 8 1-2In X 9In Large,41.42,16.15,,,0
CDM,SUP76906_A9999_272,Noncdm Charge Record Medical Supplies - Dressing Wound Foam Sacrum St Ter 8 1-2In X 9In Large,41.4,16.15,,,0
CDM,SUP76908,Noncdm Charge Record Medical Supplies - Bolt M 16Mm Sys Trulock Ext Fix Spnl,168.73,65.8,,,0
CDM,SUP76909,Noncdm Charge Record Medical Supplies - Screw Cortical Dcp Lcp 3.5Mmx34Mm Synthes,146.62,57.18,,,0
CDM,SUP7691,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 22Mm Dcp Ss Cort Hand-Ft St Ns,169.22,66.0,,,0
CDM,SUP76930,Noncdm Charge Record Medical Supplies - Bit Drill Cann Stp 6-9Mm,2106.4,821.5,,,0
CDM,SUP76931,Noncdm Charge Record Medical Supplies - Bit Drill Cannulated Taper 16Mm Synthes,2842.17,1108.45,,,0
CDM,SUP76932,Noncdm Charge Record Medical Supplies - Sling Male Virtue,36567.33,14261.26,,,0
CDM,SUP76934,Noncdm Charge Record Medical Supplies - Screw Cortical Dcp Lcp 3.5X45Mm Synthes,146.97,57.32,,,0
CDM,SUP7696,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 32Mm Lcp Dcp Ss Cort Hand-Ft St,168.7,65.79,,,0
CDM,SUP76968,Noncdm Charge Record Medical Supplies - Screw Bone 2.0X8Mm,290.23,113.19,,,0
CDM,SUP76971,Noncdm Charge Record Medical Supplies - Balloon Occl 90Cmx20Mmx80 Bridge,3747.74,1461.62,,,0
CDM,SUP76972,Noncdm Charge Record Medical Supplies - Kit Prep Accessory Bridge,1296.86,505.78,,,0
CDM,SUP76987_272,Noncdm Charge Record Medical Supplies - Fluid Management Symphion Boston Scientific,1463.52,570.77,,,0
CDM,SUP76987_A4649_272,Noncdm Charge Record Medical Supplies - Fluid Management Symphion Boston Scientific,1463.49,570.76,,,0
CDM,SUP76987_A9999_272,Noncdm Charge Record Medical Supplies - Fluid Management Symphion Boston Scientific,1463.49,570.76,,,0
CDM,SUP7702,Noncdm Charge Record Medical Supplies - Plate 78Mm Ss 3.5Mm Screw 6 Hl Lck Low Prof,2893.86,1128.61,,,0
CDM,SUP77038_272,Noncdm Charge Record Medical Supplies - Device Resection Symphion Boston Scientific,4404.91,1717.91,,,0
CDM,SUP77038_A4649_272,Noncdm Charge Record Medical Supplies - Device Resection Symphion Boston Scientific,4404.96,1717.93,,,0
CDM,SUP77038_A9999_272,Noncdm Charge Record Medical Supplies - Device Resection Symphion Boston Scientific,4404.96,1717.93,,,0
CDM,SUP7704,Noncdm Charge Record Medical Supplies - Plate 91Mm Ss 3.5Mm 7 Hl Lck Lck Low Prof,2465.37,961.49,,,0
CDM,SUP77040,Noncdm Charge Record Medical Supplies - Hydrocoil Detach 2Mmx4Cm Hlcl Azur 18 Embol Coil,3906.64,1523.59,,,0
CDM,SUP77041,Noncdm Charge Record Medical Supplies - Coil Detach 018In 3Mmx4Cm Embol Azur Cx,3864.69,1507.23,,,0
CDM,SUP77042,Noncdm Charge Record Medical Supplies - Coil Detach 018In 2Mmx2Cm Embol Azur Cx,3908.1,1524.16,,,0
CDM,SUP77043,Noncdm Charge Record Medical Supplies - Coil Detach 018In 3Mmx8Cm Embol Azur Cx,3766.06,1468.76,,,0
CDM,SUP77067,Noncdm Charge Record Medical Supplies,10.35,4.04,,,0
CDM,SUP77072,Noncdm Charge Record Medical Supplies - Kit Lead Anchor N300 Nervo,993.21,387.35,,,0
CDM,SUP77131,Noncdm Charge Record Medical Supplies - Blade Lo Pro S4 Sz 4 Ti,174.92,68.22,,,0
CDM,SUP77153,Noncdm Charge Record Medical Supplies - Needle Bone Biopsy 8Ga X 6 Jamishidi Carefusion,137.66,53.69,,,0
CDM,SUP77168_272,Noncdm Charge Record Medical Supplies - Blade Saw Sgtl 18X100X1.27Mm,266.38,103.89,,,0
CDM,SUP77168_A4649_272,Noncdm Charge Record Medical Supplies - Blade Saw Sgtl 18X100X1.27Mm,286.59,111.77,,,0
CDM,SUP77168_A9999_272,Noncdm Charge Record Medical Supplies - Blade Saw Sgtl 18X100X1.27Mm,249.44,97.28,,,0
CDM,SUP77196,Noncdm Charge Record Medical Supplies - See 35161 Stockinette Limb 4In,11.38,4.44,,,0
CDM,SUP77197,Noncdm Charge Record Medical Supplies - Graft Endovascular Zenith 12X28X106 Bifurcated Cook Medical,17922.06,6989.6,,,0
CDM,SUP77199,Noncdm Charge Record Medical Supplies - Graft Endovascular Zenith 12X28X76 Bifurcated Cook Medical,18065.58,7045.58,,,0
CDM,SUP772,Noncdm Charge Record Medical Supplies - Wire Fx .035In 5In Cwr Ss Spd,38.3,14.94,,,0
CDM,SUP77202,Noncdm Charge Record Medical Supplies - Graft Endovascular Zenith 12X28X91 Bifurcated Cook Medical,18209.1,7101.55,,,0
CDM,SUP7724,Noncdm Charge Record Medical Supplies - Device Suct Biovac Drct,464.72,181.24,,,0
CDM,SUP77277,Noncdm Charge Record Medical Supplies,53167.95,20735.5,,,0
CDM,SUP77282,Noncdm Charge Record Medical Supplies - Graft Endovascular Zenith 28X124 Proximal Cook Medical,53167.95,20735.5,,,0
CDM,SUP77283,Noncdm Charge Record Medical Supplies - Graft Endovascular Zenith 30X124 Proximal Cook Medical,53167.95,20735.5,,,0
CDM,SUP77284,Noncdm Charge Record Medical Supplies - Graft Endovascular Zenith 32X124 Proximal Cook Medical,53167.95,20735.5,,,0
CDM,SUP77289,Noncdm Charge Record Medical Supplies - Graft Endovascular Zenith 34X137 Proximal Cook Medical,53167.95,20735.5,,,0
CDM,SUP7729,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 52Mm Ss Cort Ft St Ns,116.96,45.61,,,0
CDM,SUP77291,Noncdm Charge Record Medical Supplies - Basket Gemini 3.0Fx120Cmx11Mm Boston Scientific,897.34,349.96,,,0
CDM,SUP77292,Noncdm Charge Record Medical Supplies - Bone Cement High Viscosity 40 Gram Antibiotic Smith And Neph,966.71,377.02,,,0
CDM,SUP773,Noncdm Charge Record Medical Supplies - Wire Fx .045In 5In Cwr Ss Spd,38.3,14.94,,,0
CDM,SUP77303_272,Noncdm Charge Record Medical Supplies - Suction Cannister 3000,149.04,58.13,,,0
CDM,SUP77303_A4649_270,Noncdm Charge Record Medical Supplies - Suction Cannister 3000,11.38,4.44,,,0
CDM,SUP7731,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 58Mm Ss Cort Ft St Ns,157.32,61.35,,,0
CDM,SUP77310,Noncdm Charge Record Medical Supplies - Tube Fd Jjn Sil 14Fr 28Cc Blln,653.27,254.78,,,0
CDM,SUP77317,Noncdm Charge Record Medical Supplies - Forceps Micro Bipolar,558.9,217.97,,,0
CDM,SUP77344_272,Noncdm Charge Record Medical Supplies - Dressing Foam 5X5In Adh Sq Pad Sz 3X3In,11.44,4.46,,,0
CDM,SUP77344_A4649_272,Noncdm Charge Record Medical Supplies - Dressing Foam 5X5In Adh Sq Pad Sz 3X3In,11.38,4.44,,,0
CDM,SUP77392_272,Noncdm Charge Record Medical Supplies - Wire Crlge Cut 0.5X175Mm,403.13,157.22,,,0
CDM,SUP77392_C1713_278,Noncdm Charge Record Medical Supplies - Wire Crlge Cut 0.5X175Mm,72.45,28.26,,,0
CDM,SUP77393,Noncdm Charge Record Medical Supplies - Plate Mandible Short 10 Hole Synthes,1630.64,635.95,,,0
CDM,SUP77394,Noncdm Charge Record Medical Supplies - Screw Matrix Mandible 1.85X10Mm Synthes,709.07,276.54,,,0
CDM,SUP77395,Noncdm Charge Record Medical Supplies - Blade Lo Pro S3 Sz 3 Ti,174.92,68.22,,,0
CDM,SUP7740,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 95Mm Ss Cort Ft St Ns,208.04,81.14,,,0
CDM,SUP77422,Noncdm Charge Record Medical Supplies - See 1928 Tape Cast White Soft Scotchcast 3M,9.79,3.82,,,0
CDM,SUP7743,Noncdm Charge Record Medical Supplies - Nail 10Mm 360Mm Fem Nail Ex Intramed Cannula,6572.25,2563.18,,,0
CDM,SUP7744,Noncdm Charge Record Medical Supplies - Nail 10Mm 380Mm Fem Nail Ex Intramed Cannula,5971.95,2329.06,,,0
CDM,SUP7747,Noncdm Charge Record Medical Supplies - Screw Bn 6Mm 5.6Mm 260Mm 70Mm,580.12,226.25,,,0
CDM,SUP7748,Noncdm Charge Record Medical Supplies - Screw Bn 6Mm 5.6Mm 260Mm 60Mm,580.29,226.31,,,0
CDM,SUP775,Noncdm Charge Record Medical Supplies - Wire Fx .062In 5In Cwr Ss Spd Tip Both Ends,39.65,15.46,,,0
CDM,SUP77518,Noncdm Charge Record Medical Supplies - Bone Cement 40 Gram Versabond Medium Viscosity Smith And Nep,966.73,377.02,,,0
CDM,SUP77553,Noncdm Charge Record Medical Supplies - Suture Anchor Short 2.9X12.5 Biocomp Pushlock Arthrex,2148.66,837.98,,,0
CDM,SUP77554_272,Noncdm Charge Record Medical Supplies - Tape Suture 1.3Mm 36In Wht-Blu W-Taper Ends And Needle 26.5M,171.42,66.85,,,0
CDM,SUP77554_A4649_272,Noncdm Charge Record Medical Supplies - Tape Suture 1.3Mm 36In Wht-Blu W-Taper Ends And Needle 26.5M,171.51,66.89,,,0
CDM,SUP77554_A9999_272,Noncdm Charge Record Medical Supplies - Tape Suture 1.3Mm 36In Wht-Blu W-Taper Ends And Needle 26.5M,171.29,66.8,,,0
CDM,SUP7760,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 50Mm Nail Ex Ti Ft Hum Tib St,776.25,302.74,,,0
CDM,SUP7762,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 56Mm Nail Ex Ti Ft Hum Tib St,712.08,277.71,,,0
CDM,SUP77642_272,Noncdm Charge Record Medical Supplies - Suture Prolene 6-0 Bv Two Armed 24 In Ethicon,89.7,34.98,,,0
CDM,SUP77642_A9999_272,Noncdm Charge Record Medical Supplies - Suture Prolene 6-0 Bv Two Armed 24 In Ethicon,91.08,35.52,,,0
CDM,SUP77651,Noncdm Charge Record Medical Supplies - Catheter 3.5Mmx120Mmx135Cm 0.014In Chocolate Otw Pta,3461.04,1349.81,,,0
CDM,SUP77656,Noncdm Charge Record Medical Supplies - Catheter 5Mmx80Mmx120Cm 0.018In Chocolate Otw Pta,3505.54,1367.16,,,0
CDM,SUP77657,Noncdm Charge Record Medical Supplies - Catheter 5Mmx120Mmx120Cm 0.018In Chocolate Otw Pta,3505.54,1367.16,,,0
CDM,SUP77660,Noncdm Charge Record Medical Supplies - Catheter 6Mmx120Mmx120Cm 0.018In Chocolate Otw Pta,3505.54,1367.16,,,0
CDM,SUP77685,Noncdm Charge Record Medical Supplies - Microcatheter Corsair Pro 135Cm Asahi Intecc,2814.04,1097.48,,,0
CDM,SUP77686,Noncdm Charge Record Medical Supplies - Microcatheter Corsair Pro 150Cm Asahi Intecc,3117.86,1215.97,,,0
CDM,SUP77687,Noncdm Charge Record Medical Supplies - Sheath Introducer 6Fr. Prelude 13Cm Merit Medical,159.39,62.16,,,0
CDM,SUP77688,Noncdm Charge Record Medical Supplies - Sheath Introducer 7Fr. Prelude 13Cm Merit Medical,154.47,60.24,,,0
CDM,SUP77689,Noncdm Charge Record Medical Supplies - Sheath Introducer 8Fr. Prelude 13Cm Merit Medical,159.39,62.16,,,0
CDM,SUP7769,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 58Mm Nail Ex Ti Ft Fem-Tib St,776.25,302.74,,,0
CDM,SUP77690,Noncdm Charge Record Medical Supplies - Sheath Introducer 8.5Fr. Prelude 13Cm Merit Medical,151.63,59.14,,,0
CDM,SUP77691,Noncdm Charge Record Medical Supplies - Sheath Introducer 9Fr. Prelude 13Cm Merit Medical,154.67,60.32,,,0
CDM,SUP77692,Noncdm Charge Record Medical Supplies - Sheath Introducer 9.5Fr. Prelude 13Cm Merit Medical,152.15,59.34,,,0
CDM,SUP77693,Noncdm Charge Record Medical Supplies - Sheath Introducer 10Fr. Prelude 13Cm Merit Medical,152.15,59.34,,,0
CDM,SUP77697,Noncdm Charge Record Medical Supplies - Sheath Introducer 7Fr. Prelude 25Cm Merit Medical,215.97,84.23,,,0
CDM,SUP77698,Noncdm Charge Record Medical Supplies - Sheath Introducer 8Fr. Prelude 25Cm Merit Medical,216.32,84.36,,,0
CDM,SUP777,Noncdm Charge Record Medical Supplies - Scissors Endo 5Mm Disp,225.63,88.0,,,0
CDM,SUP7770,Noncdm Charge Record Medical Supplies - Screw 5-64Mm Nail Ex Ti Lck Fem-Tib,712.08,277.71,,,0
CDM,SUP77700,Noncdm Charge Record Medical Supplies - Sheath Introducer 10Fr. Prelude 25Cm Merit Medical,216.32,84.36,,,0
CDM,SUP77702,Noncdm Charge Record Medical Supplies,205.96,80.32,,,0
CDM,SUP7771,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 74Mm Nail Ex Ti Fem-Tib Lck,776.25,302.74,,,0
CDM,SUP77758_270,Noncdm Charge Record Medical Supplies - Drain Bag For G2 Dornier Medical,74.21,28.94,,,0
CDM,SUP77758_A4649_270,Noncdm Charge Record Medical Supplies - Drain Bag For G2 Dornier Medical,75.56,29.47,,,0
CDM,SUP77758_A9999_270,Noncdm Charge Record Medical Supplies - Drain Bag For G2 Dornier Medical,72.45,28.26,,,0
CDM,SUP7776,Noncdm Charge Record Medical Supplies - Screw Bn 6Mm 40Mm Nail Ex Ti Ft Fem-Tib St,712.08,277.71,,,0
CDM,SUP77760_272,Noncdm Charge Record Medical Supplies - Orbit Plus Shaver 4.5Mm,297.04,115.85,,,0
CDM,SUP77760_A4649_272,Noncdm Charge Record Medical Supplies - Orbit Plus Shaver 4.5Mm,297.04,115.85,,,0
CDM,SUP77808,Noncdm Charge Record Medical Supplies - Drill Bit 2.2 Bioment,979.11,381.85,,,0
CDM,SUP77811,Noncdm Charge Record Medical Supplies - Screw Locking 2.7Mm 12Mm Bioment,1369.65,534.16,,,0
CDM,SUP77812,Noncdm Charge Record Medical Supplies - Screw Locking 2.7Mm 13Mm Bioment,1270.98,495.68,,,0
CDM,SUP77813,Noncdm Charge Record Medical Supplies - Screw Locking 2.7Mm 14Mm Bioment,1423.47,555.15,,,0
CDM,SUP77814,Noncdm Charge Record Medical Supplies - Screw Locking 2.7Mm 15Mm Bioment,1396.22,544.53,,,0
CDM,SUP77815,Noncdm Charge Record Medical Supplies - Screw Locking 2.7Mm 16Mm Bioment,1289.3,502.83,,,0
CDM,SUP77816,Noncdm Charge Record Medical Supplies - Screw Locking 2.7Mm 18Mm Bioment,1396.66,544.7,,,0
CDM,SUP77823_272,Noncdm Charge Record Medical Supplies - Scissors Monopolar Xi Curved Intuitive,662.4,258.34,,,0
CDM,SUP77823_A4649_272,Noncdm Charge Record Medical Supplies - Scissors Monopolar Xi Curved Intuitive,662.4,258.34,,,0
CDM,SUP77823_A9999_272,Noncdm Charge Record Medical Supplies - Scissors Monopolar Xi Curved Intuitive,662.4,258.34,,,0
CDM,SUP77824,Noncdm Charge Record Medical Supplies - Device Closure Wound Vloc 2-0 Bl 6 Gs-21 Us Surg Corp,113.85,44.4,,,0
CDM,SUP77825,Noncdm Charge Record Medical Supplies - Forceps Bipolar 10In 25.4Cm Bayonet Disposable Neuro-Tech,1003.95,391.54,,,0
CDM,SUP77826_272,Noncdm Charge Record Medical Supplies - Forceps Bipolar Maryland Xi Intuitive,558.9,217.97,,,0
CDM,SUP77826_A4649_272,Noncdm Charge Record Medical Supplies - Forceps Bipolar Maryland Xi Intuitive,558.9,217.97,,,0
CDM,SUP77826_A9999_272,Noncdm Charge Record Medical Supplies - Forceps Bipolar Maryland Xi Intuitive,558.9,217.97,,,0
CDM,SUP77827_272,Noncdm Charge Record Medical Supplies - Needle Driver Mega Suturecut Xi Intuitive,496.8,193.75,,,0
CDM,SUP77827_A4649_272,Noncdm Charge Record Medical Supplies - Needle Driver Mega Suturecut Xi Intuitive,496.8,193.75,,,0
CDM,SUP77849,Noncdm Charge Record Medical Supplies - Implant Tissue Expander Breast 475Cc High Proj Mentor,8941.88,3487.33,,,0
CDM,SUP77850,Noncdm Charge Record Medical Supplies - Blade Sagittal Dual Cut 25Mmx90Mmx1.27Mm Stryker,221.97,86.57,,,0
CDM,SUP77851_272,Noncdm Charge Record Medical Supplies - Needle Driver Suturecut Large Xi Intuitive,496.8,193.75,,,0
CDM,SUP77851_A4649_272,Noncdm Charge Record Medical Supplies - Needle Driver Suturecut Large Xi Intuitive,496.8,193.75,,,0
CDM,SUP77852_272,Noncdm Charge Record Medical Supplies - Forceps Bipolar Fenestrated Xi Intuitive,558.9,217.97,,,0
CDM,SUP77852_A4649_272,Noncdm Charge Record Medical Supplies - Forceps Bipolar Fenestrated Xi Intuitive,558.9,217.97,,,0
CDM,SUP77852_A9999_272,Noncdm Charge Record Medical Supplies - Forceps Bipolar Fenestrated Xi Intuitive,558.9,217.97,,,0
CDM,SUP77853_272,Noncdm Charge Record Medical Supplies - Retractor Small Graptor Grasping Xi Intuitive,496.8,193.75,,,0
CDM,SUP77853_A4649_272,Noncdm Charge Record Medical Supplies - Retractor Small Graptor Grasping Xi Intuitive,496.8,193.75,,,0
CDM,SUP77853_A9999_272,Noncdm Charge Record Medical Supplies - Retractor Small Graptor Grasping Xi Intuitive,496.8,193.75,,,0
CDM,SUP77854_272,Noncdm Charge Record Medical Supplies - Seal Universal 5Mm 8Mm Xi Intuitive,92.71,36.16,,,0
CDM,SUP77854_A4649_272,Noncdm Charge Record Medical Supplies - Seal Universal 5Mm 8Mm Xi Intuitive,92.52,36.08,,,0
CDM,SUP77854_A9999_272,Noncdm Charge Record Medical Supplies - Seal Universal 5Mm 8Mm Xi Intuitive,92.53,36.09,,,0
CDM,SUP77855_272,Noncdm Charge Record Medical Supplies - Driver Needle Mega Xi Intuitive,455.4,177.61,,,0
CDM,SUP77855_A4649_272,Noncdm Charge Record Medical Supplies - Driver Needle Mega Xi Intuitive,455.4,177.61,,,0
CDM,SUP77855_A9999_272,Noncdm Charge Record Medical Supplies - Driver Needle Mega Xi Intuitive,455.4,177.61,,,0
CDM,SUP778_270,Noncdm Charge Record Medical Supplies - Tray Surg Prep Pvp Gel Skin,12.42,4.84,,,0
CDM,SUP778_A4649_270,Noncdm Charge Record Medical Supplies - Tray Surg Prep Pvp Gel Skin,12.42,4.84,,,0
CDM,SUP77901_272,Noncdm Charge Record Medical Supplies - Forceps Prograsp Xi Intuitive,455.4,177.61,,,0
CDM,SUP77901_A4649_272,Noncdm Charge Record Medical Supplies - Forceps Prograsp Xi Intuitive,455.4,177.61,,,0
CDM,SUP77901_A9999_272,Noncdm Charge Record Medical Supplies - Forceps Prograsp Xi Intuitive,455.4,177.61,,,0
CDM,SUP77902_272,Noncdm Charge Record Medical Supplies - Driver Needle Large Xi Intuitive,455.4,177.61,,,0
CDM,SUP77902_A4649_272,Noncdm Charge Record Medical Supplies - Driver Needle Large Xi Intuitive,455.4,177.61,,,0
CDM,SUP77902_A9999_272,Noncdm Charge Record Medical Supplies - Driver Needle Large Xi Intuitive,455.4,177.61,,,0
CDM,SUP77903_272,Noncdm Charge Record Medical Supplies - Grasper Fenestrated Xi Tip-Up Intuitive,455.4,177.61,,,0
CDM,SUP77903_A4649_272,Noncdm Charge Record Medical Supplies - Grasper Fenestrated Xi Tip-Up Intuitive,455.4,177.61,,,0
CDM,SUP77903_A9999_272,Noncdm Charge Record Medical Supplies - Grasper Fenestrated Xi Tip-Up Intuitive,455.4,177.61,,,0
CDM,SUP77904_272,Noncdm Charge Record Medical Supplies - Forceps Cadiere 8Mm Xi Intuitive,434.7,169.53,,,0
CDM,SUP77904_A4649_272,Noncdm Charge Record Medical Supplies - Forceps Cadiere 8Mm Xi Intuitive,434.7,169.53,,,0
CDM,SUP77905_272,Noncdm Charge Record Medical Supplies - Hook Cautery Hook Permanent Xi Intuitive,414.0,161.46,,,0
CDM,SUP77905_A4649_272,Noncdm Charge Record Medical Supplies - Hook Cautery Hook Permanent Xi Intuitive,414.0,161.46,,,0
CDM,SUP77905_A9999_272,Noncdm Charge Record Medical Supplies - Hook Cautery Hook Permanent Xi Intuitive,414.0,161.46,,,0
CDM,SUP77907,Noncdm Charge Record Medical Supplies - Kit Introducer 8Fr Tearaway Surgpro,179.74,70.1,,,0
CDM,SUP77908,Noncdm Charge Record Medical Supplies - Sealer Vessel 8Mm Xi Intuitive,2623.72,1023.25,,,0
CDM,SUP77909_272,Noncdm Charge Record Medical Supplies - Stapler Reload White 45Mm Xi Intuitive,881.22,343.68,,,0
CDM,SUP77909_A4649_272,Noncdm Charge Record Medical Supplies - Stapler Reload White 45Mm Xi Intuitive,880.78,343.5,,,0
CDM,SUP77910_272,Noncdm Charge Record Medical Supplies - Stapler Reload Blue 45Mm Xi Intuitive,880.93,343.56,,,0
CDM,SUP77910_A4649_272,Noncdm Charge Record Medical Supplies - Stapler Reload Blue 45Mm Xi Intuitive,880.78,343.5,,,0
CDM,SUP77911_272,Noncdm Charge Record Medical Supplies - Stapler Reload Green 45Mm Xi Intuitive,880.78,343.5,,,0
CDM,SUP77911_A4649_272,Noncdm Charge Record Medical Supplies - Stapler Reload Green 45Mm Xi Intuitive,880.78,343.5,,,0
CDM,SUP77912_272,Noncdm Charge Record Medical Supplies - Stapler Cannuler Reducer Endo Wrist Xi Intuitive,129.3,50.43,,,0
CDM,SUP77912_A4649_272,Noncdm Charge Record Medical Supplies - Stapler Cannuler Reducer Endo Wrist Xi Intuitive,129.38,50.46,,,0
CDM,SUP77912_A9999_272,Noncdm Charge Record Medical Supplies - Stapler Cannuler Reducer Endo Wrist Xi Intuitive,129.38,50.46,,,0
CDM,SUP77913,Noncdm Charge Record Medical Supplies - Obturator Bladeless 8Mm Long Xi Intuitive,122.13,47.63,,,0
CDM,SUP77914_272,Noncdm Charge Record Medical Supplies - Obturator Bladeless 8Mm Xi Intuitive,163.51,63.77,,,0
CDM,SUP77914_A4649_272,Noncdm Charge Record Medical Supplies - Obturator Bladeless 8Mm Xi Intuitive,163.53,63.78,,,0
CDM,SUP77915,Noncdm Charge Record Medical Supplies - Instrument Cord Monopolar Xi Intuitive,27.94,10.9,,,0
CDM,SUP77916,Noncdm Charge Record Medical Supplies - Instrument Cord Bipolar Xi Intuitive,27.94,10.9,,,0
CDM,SUP77919,Noncdm Charge Record Medical Supplies - Neuroprotection System Enroute Transcarotid,15868.62,6188.76,,,0
CDM,SUP77927,Noncdm Charge Record Medical Supplies - Stent System 7 X 30 Enroute Transcarotid,12320.64,4805.05,,,0
CDM,SUP77928,Noncdm Charge Record Medical Supplies - Stent System 7 X 40 Enroute Transcarotid,12081.56,4711.81,,,0
CDM,SUP77930,Noncdm Charge Record Medical Supplies - Stent System 8 X 30 Enroute Transcarotid,12320.64,4805.05,,,0
CDM,SUP77931,Noncdm Charge Record Medical Supplies - Stent System 8 X 40 Enroute Transcarotid,12320.64,4805.05,,,0
CDM,SUP77933,Noncdm Charge Record Medical Supplies - Stent System 9 X 30 Enroute Transcarotid,12320.64,4805.05,,,0
CDM,SUP77934,Noncdm Charge Record Medical Supplies - Stent System 9 X 40 Enroute Transcarotid,12081.56,4711.81,,,0
CDM,SUP77936,Noncdm Charge Record Medical Supplies - Stent System 10 X 30 Enroute Transcarotid,12320.64,4805.05,,,0
CDM,SUP77937,Noncdm Charge Record Medical Supplies - Stent System 10 X 40 Enroute Transcarotid,12320.64,4805.05,,,0
CDM,SUP77976,Noncdm Charge Record Medical Supplies - Catheter Valvulplsty 4.5Cm 18 True Balloon,5290.92,2063.46,,,0
CDM,SUP77977,Noncdm Charge Record Medical Supplies - Catheter Valvulplsty 4.5Cm 20 True Balloon,5094.96,1987.03,,,0
CDM,SUP77979,Noncdm Charge Record Medical Supplies - Catheter Valvulplsty 4.5Cm 26 True Balloon,5290.92,2063.46,,,0
CDM,SUP77981_272,Noncdm Charge Record Medical Supplies - Lma Unique Evo Cuff Pilot Sz 4 Teleflex,37.26,14.53,,,0
CDM,SUP77981_A4649_272,Noncdm Charge Record Medical Supplies - Lma Unique Evo Cuff Pilot Sz 4 Teleflex,37.26,14.53,,,0
CDM,SUP77982,Noncdm Charge Record Medical Supplies - Lma Unique Evo Cuff Pilot Sz 5 Teleflex,37.26,14.53,,,0
CDM,SUP78001,Noncdm Charge Record Medical Supplies - Bone Cement 40 Gram Rally High Viscosity Smith And Nephew,268.63,104.77,,,0
CDM,SUP78003,Noncdm Charge Record Medical Supplies - Drill Bit Ao 2Mmx135Mm Scaled Stryker,494.73,192.94,,,0
CDM,SUP78006,Noncdm Charge Record Medical Supplies - See 125744 Kit Valve Suction Air-Water 3Pcs Bioguard Us Endo,428.49,167.11,,,0
CDM,SUP78007,Noncdm Charge Record Medical Supplies - Cast Tape White Soft 1In Scotchcase 3M,8.28,3.23,,,0
CDM,SUP78025,Noncdm Charge Record Medical Supplies - Cement Bone Simplex Full Individual Pack Stryker,402.95,157.15,,,0
CDM,SUP78028,Noncdm Charge Record Medical Supplies - Cement Bone Vertaplex Hv 20Gm Dual Pack Stryker,3651.14,1423.94,,,0
CDM,SUP78030,Noncdm Charge Record Medical Supplies - Stent Carotid Tapered 8Mmx40Mm Abbott Diagnostic,10912.62,4255.92,,,0
CDM,SUP78031,Noncdm Charge Record Medical Supplies - Bone Cancellous 1-4Mm 90Cc Lifelink,4229.03,1649.32,,,0
CDM,SUP78032,Noncdm Charge Record Medical Supplies - Stent Nephroureterostomy 8.5Fr Cope Cook Medical,623.53,243.18,,,0
CDM,SUP78034,Noncdm Charge Record Medical Supplies - Microcatheter Tapered 2.9Fr 150Cm Swan Neck Merit Medical,1403.46,547.35,,,0
CDM,SUP78035,Noncdm Charge Record Medical Supplies - Balloon Catheter Paclitaxel Coated 6Mmx80Mmx130Cm Medtronic,4850.01,1891.5,,,0
CDM,SUP78067,Noncdm Charge Record Medical Supplies - Suture Stratafix Pds 1 Ct 18In Violet J And J Health,102.19,39.85,,,0
CDM,SUP7807,Noncdm Charge Record Medical Supplies - Head Fem 4Mm 12-14 28Mm Hip,9674.32,3772.98,,,0
CDM,SUP78096,Noncdm Charge Record Medical Supplies - Anchor Healix With Orthocord And Needles 5.5Mm Depuy Mitek,2948.34,1149.85,,,0
CDM,SUP78098_272,Noncdm Charge Record Medical Supplies - Catheter Angio Jl5 100Cm 6Fr Tl Infnt,27.94,10.9,,,0
CDM,SUP78098_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Angio Jl5 100Cm 6Fr Tl Infnt,46.58,18.17,,,0
CDM,SUP78121,Noncdm Charge Record Medical Supplies - Graft Vascular Hemashield Gold 18Mmx30Cm Maquet Medical,2490.21,971.18,,,0
CDM,SUP7813,Noncdm Charge Record Medical Supplies - Nail 11Mm 38Cm Fem Nail Ex Intramed Cannula,5971.95,2329.06,,,0
CDM,SUP7814,Noncdm Charge Record Medical Supplies - Nail 11Mm 400Mm Fem Nail Ex Intramed Cannula,5371.65,2094.94,,,0
CDM,SUP7817,Noncdm Charge Record Medical Supplies - Component Fem 65Mm Rt Knee Std,26520.84,10343.13,,,0
CDM,SUP78178,Noncdm Charge Record Medical Supplies - Oxygenator 8F,2334.53,910.47,,,0
CDM,SUP78205,Noncdm Charge Record Medical Supplies - Set Hysteroscopy Outflow Tube Smith And Nephew,668.61,260.76,,,0
CDM,SUP78208,Noncdm Charge Record Medical Supplies - Generator Pulse Senza Spinal Cord Stimulation System Nervo,108752.62,42413.52,,,0
CDM,SUP7821,Noncdm Charge Record Medical Supplies - Nail 12Mm 36Cm Fem Nail Ex Intramed Cannula,5971.95,2329.06,,,0
CDM,SUP78286,Noncdm Charge Record Medical Supplies - Set Handpiece 45-14Mm Versajet Smith And Nephew Orthopaedics,2332.89,909.83,,,0
CDM,SUP78287,Noncdm Charge Record Medical Supplies,18801.81,7332.71,,,0
CDM,SUP78288,Noncdm Charge Record Medical Supplies - Implant Tibal 7 Rt Gen 2 Smith And Nephew Orthopaedics,9014.85,3515.79,,,0
CDM,SUP783,Noncdm Charge Record Medical Supplies - Catheter Iv 24Ga .75In Radiopq,12.42,4.84,,,0
CDM,SUP78310_272,Noncdm Charge Record Medical Supplies - Catheter Wedge Pressure 6F,264.44,103.13,,,0
CDM,SUP78310_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Wedge Pressure 6F,245.3,95.67,,,0
CDM,SUP78315,Noncdm Charge Record Medical Supplies - Tray Cath Trpl Lum 12F 20Cm,489.56,190.93,,,0
CDM,SUP78316_272,Noncdm Charge Record Medical Supplies - See 157494 Electrode Dfbr Radiotransparnt Pro-Padz,84.83,33.08,,,0
CDM,SUP78316_A4649_272,Noncdm Charge Record Medical Supplies - See 157494 Electrode Dfbr Radiotransparnt Pro-Padz,84.87,33.1,,,0
CDM,SUP78316_A9999_272,Noncdm Charge Record Medical Supplies - See 157494 Electrode Dfbr Radiotransparnt Pro-Padz,84.87,33.1,,,0
CDM,SUP78317,Noncdm Charge Record Medical Supplies - See 129752 Cuff Bp 2T Sft Disp Adlt Lng,7.24,2.82,,,0
CDM,SUP78318,Noncdm Charge Record Medical Supplies - See 129750 Cuff Bp Sft Adlt 1 Tb Disp Sm 17-2Cm,7.24,2.82,,,0
CDM,SUP78319_270,Noncdm Charge Record Medical Supplies - See 129751 Cuff Bp Sft Adlt Disp,7.24,2.82,,,0
CDM,SUP78319_A4649_270,Noncdm Charge Record Medical Supplies - See 129751 Cuff Bp Sft Adlt Disp,7.24,2.82,,,0
CDM,SUP78319_A9999_270,Noncdm Charge Record Medical Supplies - See 129751 Cuff Bp Sft Adlt Disp,7.24,2.82,,,0
CDM,SUP78320,Noncdm Charge Record Medical Supplies - Cath Cor Guide Rx 5.5F25X150Cm Flx,1689.12,658.76,,,0
CDM,SUP78321,Noncdm Charge Record Medical Supplies - Volcano Eagle Eye Us 5F .014X150Cm,3182.87,1241.32,,,0
CDM,SUP78322,Noncdm Charge Record Medical Supplies - Sheath Intro Cor .035In 6Fr,41.41,16.15,,,0
CDM,SUP78323,Noncdm Charge Record Medical Supplies - Wireg Adv Stiff .018 180Cm,1034.35,403.4,,,0
CDM,SUP78324,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 6F 7Mm 4Cm 75Cml,1296.86,505.78,,,0
CDM,SUP78325,Noncdm Charge Record Medical Supplies - Balloon Conquest 7F 10Mm 4Cm 75Cml,1296.86,505.78,,,0
CDM,SUP78326,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 6F 8Mm 4Cm 75Cml,1297.11,505.87,,,0
CDM,SUP78327,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil Pta 14Mm Atls Gold 4Cm 80Cm,1713.96,668.44,,,0
CDM,SUP78328,Noncdm Charge Record Medical Supplies - Catheter Pr Ctbln 8Mm 2Cm 90Cm,3101.9,1209.74,,,0
CDM,SUP78335,Noncdm Charge Record Medical Supplies - Catheter Balloon 12X40X80Cm Pta Fortrex .035In,935.64,364.9,,,0
CDM,SUP78336,Noncdm Charge Record Medical Supplies - Kit Cath Picc 2Lum 5F 70Cm Tray W-Micro,440.91,171.95,,,0
CDM,SUP78337,Noncdm Charge Record Medical Supplies - Catheter Peri Vasc 7Fr 113Cm Drct Arthrectomy,13205.56,5150.17,,,0
CDM,SUP78338,Noncdm Charge Record Medical Supplies - Catheter Xprt Asp .014In 140Cm,1468.66,572.78,,,0
CDM,SUP78339_272,Noncdm Charge Record Medical Supplies - Pack Cust Angio Spalding Regional,145.94,56.92,,,0
CDM,SUP78339_A9999_272,Noncdm Charge Record Medical Supplies - Pack Cust Angio Spalding Regional,145.94,56.92,,,0
CDM,SUP78340_272,Noncdm Charge Record Medical Supplies - Kit Infl Cust Hemost Vlv 10Ml 48In,292.9,114.23,,,0
CDM,SUP78340_A4649_272,Noncdm Charge Record Medical Supplies - Kit Infl Cust Hemost Vlv 10Ml 48In,292.9,114.23,,,0
CDM,SUP78343,Noncdm Charge Record Medical Supplies - Sys Acc Vasc Echgnc 6Fx10Cm Tpr Ndl Nit,158.87,61.96,,,0
CDM,SUP78344,Noncdm Charge Record Medical Supplies - Sheath Guide Strt Xcut 7F 45Cm,80.73,31.48,,,0
CDM,SUP78346_272,Noncdm Charge Record Medical Supplies - Bag Drainage Dstl Hub 600Ml W W-100Ml Jcksn Prt Blb,106.59,41.57,,,0
CDM,SUP78346_A9999_272,Noncdm Charge Record Medical Supplies - Bag Drainage Dstl Hub 600Ml W W-100Ml Jcksn Prt Blb,108.16,42.18,,,0
CDM,SUP78347,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil Conquest T 40 5Mm X 4Mm X 75Cm,1296.86,505.78,,,0
CDM,SUP78348,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil Conquest T 40 6 X 4Mm X 75Cm,1296.86,505.78,,,0
CDM,SUP78349,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil Conqust 40 8F 75Cml 12Mmx4Cm,1296.86,505.78,,,0
CDM,SUP78350,Noncdm Charge Record Medical Supplies - Catheter Dilat Blln Mini Trek K 5Fr 1.2X12Mmx145Cm,391.23,152.58,,,0
CDM,SUP78351,Noncdm Charge Record Medical Supplies - Catheter Dilatation Balloon P Ptca 10.00X40Mmx75Cm,852.01,332.28,,,0
CDM,SUP78352,Noncdm Charge Record Medical Supplies - Catheter Dilatation Balloon P Ptca 4.00X40Mmx75Cm,820.24,319.89,,,0
CDM,SUP78353,Noncdm Charge Record Medical Supplies - Catheter Dilatation Balloon P Ptca 9.00X40Mmx75Cm,873.19,340.54,,,0
CDM,SUP78354,Noncdm Charge Record Medical Supplies - Catheter Dilatatn Blln Pta At Tlas Gold 16Mmx4X80Cm,1713.79,668.38,,,0
CDM,SUP78355,Noncdm Charge Record Medical Supplies - Catheter Drainage Skater Sgl Step Neph 10Fx35Cml,2165.84,844.68,,,0
CDM,SUP78356,Noncdm Charge Record Medical Supplies - Catheter Guiding Launcher 6Fr R Ima Curve 100Cm L,186.3,72.66,,,0
CDM,SUP78357,Noncdm Charge Record Medical Supplies - Catheter Pigtail Flush 5F .03 38 X 65Cm,59.0,23.01,,,0
CDM,SUP78362_C1887_272,Noncdm Charge Record Medical Supplies - Sheath Introducer Pinnacle Cr Rsscut Str 7F 90Cm,695.52,271.25,,,0
CDM,SUP78362_C1894_272,Noncdm Charge Record Medical Supplies - Sheath Introducer Pinnacle Cr Rsscut Str 7F 90Cm,450.22,175.59,,,0
CDM,SUP78363,Noncdm Charge Record Medical Supplies - Sheath Introducer Slender Ss 0.021Inx6Frx10Cm 21Ga,240.82,93.92,,,0
CDM,SUP78365,Noncdm Charge Record Medical Supplies - Stent Nephrostmy Cam-Loc 10.2 2F 24Cm Nucl-B-Rh,625.14,243.8,,,0
CDM,SUP78368,Noncdm Charge Record Medical Supplies - Wire Guide Straight Bentson . .035Ind 180Cm L,51.49,20.08,,,0
CDM,SUP78371,Noncdm Charge Record Medical Supplies - Wire Astado Xs 20-300Cm,755.55,294.66,,,0
CDM,SUP78372,Noncdm Charge Record Medical Supplies - Wire Astato 30-300Cm,734.59,286.49,,,0
CDM,SUP78373,Noncdm Charge Record Medical Supplies - Catheter Mpa2 4F 125Cm,49.22,19.2,,,0
CDM,SUP78374,Noncdm Charge Record Medical Supplies - Catheter 5 Fr Lcb,44.16,17.22,,,0
CDM,SUP78379,Noncdm Charge Record Medical Supplies - Kit Snare Retrieval,2203.52,859.37,,,0
CDM,SUP78380,Noncdm Charge Record Medical Supplies - Guidewire Vasc .035In 260Cm 1.5Mm J Tip Rsn,137.77,53.73,,,0
CDM,SUP78386,Noncdm Charge Record Medical Supplies - Catheter Embol 200Cm 7Fr Xprt .014In Asp,1468.66,572.78,,,0
CDM,SUP78387,Noncdm Charge Record Medical Supplies - System Embol Protect Spiderfx 320Cm .014In Filter Cptr,4475.73,1745.53,,,0
CDM,SUP78388,Noncdm Charge Record Medical Supplies - Catheter Guide Ebu3.5 Crv 5Fr 100Cm Lt Cor,202.37,78.92,,,0
CDM,SUP78394,Noncdm Charge Record Medical Supplies - Guidewire Vasc 15D .018In 80Cm 5Cm Int Style,280.07,109.23,,,0
CDM,SUP78398,Noncdm Charge Record Medical Supplies - Introducer Sheath 6Fr 45Cm Guide Strt Xcut,423.35,165.11,,,0
CDM,SUP78403,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .014In 2Mm 150Cm 210Mm,1101.24,429.48,,,0
CDM,SUP78404,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .014In 3Mm 210Cm 150Mm,1101.24,429.48,,,0
CDM,SUP78407,Noncdm Charge Record Medical Supplies,3450.69,1345.77,,,0
CDM,SUP78412,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 6Mm 135Cm 150Mm,464.72,181.24,,,0
CDM,SUP78413,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 6Mm 135Cm 200Mm,464.72,181.24,,,0
CDM,SUP78416,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 7Mm 135Cm 40Mm,416.07,162.27,,,0
CDM,SUP78419,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 5Mm 135Cm 20Mm,542.68,211.65,,,0
CDM,SUP78420,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 7Mm 135Cm 100Mm,416.07,162.27,,,0
CDM,SUP78423,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 5Mm 135Cm 40Mm,416.07,162.27,,,0
CDM,SUP78425,Noncdm Charge Record Medical Supplies,464.72,181.24,,,0
CDM,SUP78426,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 6Mm 80Cm 40Mm,795.92,310.41,,,0
CDM,SUP78427,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 6Mm 135Cm 40Mm,605.99,236.34,,,0
CDM,SUP78428,Noncdm Charge Record Medical Supplies - Catheter Balloon Evercross .035In 6Mm 135Cm 100Mm,416.07,162.27,,,0
CDM,SUP78429,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 8Mm 80Cm 40Mm Pta,416.07,162.27,,,0
CDM,SUP78430,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 8Mm 135Cm 40Mm,644.18,251.23,,,0
CDM,SUP78431,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 9Mm 80Cm 40Mm Pta,795.92,310.41,,,0
CDM,SUP78465_272,Noncdm Charge Record Medical Supplies - Stapler Cannula 12Mm Seal Xi,102.55,39.99,,,0
CDM,SUP78465_A4649_272,Noncdm Charge Record Medical Supplies - Stapler Cannula 12Mm Seal Xi,102.46,39.96,,,0
CDM,SUP78465_A9999_272,Noncdm Charge Record Medical Supplies - Stapler Cannula 12Mm Seal Xi,102.64,40.03,,,0
CDM,SUP78471_272,Noncdm Charge Record Medical Supplies - Applier Hem-Olok 5Mm Xi Large Clip Single Site Intuitive Sur,41.4,16.15,,,0
CDM,SUP78471_A9999_272,Noncdm Charge Record Medical Supplies - Applier Hem-Olok 5Mm Xi Large Clip Single Site Intuitive Sur,41.4,16.15,,,0
CDM,SUP78472_272,Noncdm Charge Record Medical Supplies - Cautery Hook Xi Permanent Single Site Intuitive Surgical Inc,310.5,121.1,,,0
CDM,SUP78472_A9999_272,Noncdm Charge Record Medical Supplies - Cautery Hook Xi Permanent Single Site Intuitive Surgical Inc,310.5,121.1,,,0
CDM,SUP78473_272,Noncdm Charge Record Medical Supplies - Port Xi Single Site Intuitive Surgical Inc,771.08,300.72,,,0
CDM,SUP78473_A9999_272,Noncdm Charge Record Medical Supplies - Port Xi Single Site Intuitive Surgical Inc,771.08,300.72,,,0
CDM,SUP78474_272,Noncdm Charge Record Medical Supplies - Grasper Crocodile Xi Single Site Intuitive Surgical Inc,269.1,104.95,,,0
CDM,SUP78474_A9999_272,Noncdm Charge Record Medical Supplies - Grasper Crocodile Xi Single Site Intuitive Surgical Inc,269.1,104.95,,,0
CDM,SUP78475,Noncdm Charge Record Medical Supplies - Dissector Maryland Xi Single Site Intuitive Surgical Inc,269.1,104.95,,,0
CDM,SUP78478,Noncdm Charge Record Medical Supplies - Suction Irrigator Xi Single Site Intuitive Surgical Inc,62.1,24.22,,,0
CDM,SUP78479,Noncdm Charge Record Medical Supplies - Seal Universal Xi Single Site Intuitive Surgical Inc,77.38,30.18,,,0
CDM,SUP78480_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 Ct-1 8X27 In Cr Undyed Coated Ethicon I,67.59,26.36,,,0
CDM,SUP78480_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 Ct-1 8X27 In Cr Undyed Coated Ethicon I,68.31,26.64,,,0
CDM,SUP78480_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 Ct-1 8X27 In Cr Undyed Coated Ethicon I,68.31,26.64,,,0
CDM,SUP78481_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 Coated Undyed 1X36 In Ct-1 Braided Ethi,9.43,3.68,,,0
CDM,SUP78481_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 Coated Undyed 1X36 In Ct-1 Braided Ethi,9.5,3.7,,,0
CDM,SUP78481_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 Coated Undyed 1X36 In Ct-1 Braided Ethi,9.57,3.73,,,0
CDM,SUP78482_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 118 Coated Viloet Ethicon Inc,68.09,26.56,,,0
CDM,SUP78482_A4649_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 118 Coated Viloet Ethicon Inc,68.83,26.84,,,0
CDM,SUP78482_A9999_272,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 118 Coated Viloet Ethicon Inc,68.83,26.84,,,0
CDM,SUP78483,Noncdm Charge Record Medical Supplies - Sheath Dryseal 12Fr Introducer Sheath 33Cm,2246.98,876.32,,,0
CDM,SUP78484,Noncdm Charge Record Medical Supplies - Sheath Dryseal 14Fr Introducer Sheath 33Cm,2246.98,876.32,,,0
CDM,SUP78485,Noncdm Charge Record Medical Supplies - Sheath Dryseal 15Fr Introducer Sheath 33Cm,2246.98,876.32,,,0
CDM,SUP78486,Noncdm Charge Record Medical Supplies - Sheath Dryseal 16Fr Introducer Sheath 33Cm,2246.98,876.32,,,0
CDM,SUP78487,Noncdm Charge Record Medical Supplies - Sheath Dryseal 18Fr Introducer Sheath 33Cm,2288.39,892.47,,,0
CDM,SUP78488,Noncdm Charge Record Medical Supplies - Sheath Dryseal 20Fr Introducer Sheath 33Cm,2288.39,892.47,,,0
CDM,SUP78489,Noncdm Charge Record Medical Supplies - Sheath Dryseal 22Fr Introducer Sheath 33Cm,2288.39,892.47,,,0
CDM,SUP78490,Noncdm Charge Record Medical Supplies - Sheath Dryseal 24Fr Introducer Sheath 33Cm,2288.39,892.47,,,0
CDM,SUP78492,Noncdm Charge Record Medical Supplies - Sheath Dryseal 12Fr Introducer Sheath 45Cm,3170.2,1236.38,,,0
CDM,SUP785,Noncdm Charge Record Medical Supplies - Shoe Med F Pat Postop Smrg Mtrsl Shank Lplk,39.33,15.34,,,0
CDM,SUP78542,Noncdm Charge Record Medical Supplies - Needle Perc Thnwl 21Ga 4Cm,14.49,5.65,,,0
CDM,SUP78544_272,Noncdm Charge Record Medical Supplies - 6F Cordis Jl4,72.11,28.12,,,0
CDM,SUP78544_A4649_272,Noncdm Charge Record Medical Supplies - 6F Cordis Jl4,46.58,18.17,,,0
CDM,SUP78544_A9999_272,Noncdm Charge Record Medical Supplies - 6F Cordis Jl4,122.13,47.63,,,0
CDM,SUP78545_272,Noncdm Charge Record Medical Supplies - 6F Cordis Jr4,45.85,17.88,,,0
CDM,SUP78545_A4649_272,Noncdm Charge Record Medical Supplies - 6F Cordis Jr4,46.58,18.17,,,0
CDM,SUP78545_A9999_272,Noncdm Charge Record Medical Supplies - 6F Cordis Jr4,45.54,17.76,,,0
CDM,SUP78546,Noncdm Charge Record Medical Supplies - Catheter Cor Guide Rt 5F 100Cm,210.21,81.98,,,0
CDM,SUP78547,Noncdm Charge Record Medical Supplies - Wire Guide Htorq .014In 190Cm,440.91,171.95,,,0
CDM,SUP78553_272,Noncdm Charge Record Medical Supplies - Device Trq Seadragon .018-.038,21.22,8.28,,,0
CDM,SUP78553_A9999_272,Noncdm Charge Record Medical Supplies - Device Trq Seadragon .018-.038,21.74,8.48,,,0
CDM,SUP78554,Noncdm Charge Record Medical Supplies - Sheath Guide Kcfw-6-35-55-Rb-Hfanl0-Hc,376.74,146.93,,,0
CDM,SUP78557,Noncdm Charge Record Medical Supplies - Catheter Balloon Evercross Pt Ta Otw 7.0X60Mmx135Cm,416.07,162.27,,,0
CDM,SUP78559,Noncdm Charge Record Medical Supplies - Catheter Dilat Periph Xxl Bln N 5.8F 14Mmx4Cm 120Cm,1168.52,455.72,,,0
CDM,SUP78560,Noncdm Charge Record Medical Supplies - Catheter Dilat Periph Xxl Bln N 5.8F 16Mmx4Cm 120Cm,1013.26,395.17,,,0
CDM,SUP78564,Noncdm Charge Record Medical Supplies - Catheter Guiding Launcher 6Fr R Mp2 100Cm L,186.3,72.66,,,0
CDM,SUP78572,Noncdm Charge Record Medical Supplies - Catheter Guiding Launcher W-S Sh 8Fr Jr4.0 100Cm L,186.3,72.66,,,0
CDM,SUP78574,Noncdm Charge Record Medical Supplies - See 87165 Device Hemostatic Pressure As Ssistd W-Inf Bulb Ne,281.52,109.79,,,0
CDM,SUP78575,Noncdm Charge Record Medical Supplies - Device Vascular Closure Angio O Seal 6Fr,1441.33,562.12,,,0
CDM,SUP78576,Noncdm Charge Record Medical Supplies - Kit Introducer Percut Shth W- -Vessel Diltr 6Fx11Cm,132.48,51.67,,,0
CDM,SUP78577,Noncdm Charge Record Medical Supplies - Needle Percutaneous Entry Thi Inwall 21Ga 4Cm L,14.58,5.69,,,0
CDM,SUP78578,Noncdm Charge Record Medical Supplies - Set Introducer 4Fr Mpis-401-P Pedal-Nt-U-Sst,215.97,84.23,,,0
CDM,SUP78579,Noncdm Charge Record Medical Supplies - Sheath Guide Kcfw-6.0-35-70-R Rb-Hfanl0-Hc,428.49,167.11,,,0
CDM,SUP78580,Noncdm Charge Record Medical Supplies - See 109374 Sheath Introducer Pinnacle De Estinatn Str 6F 90C,440.91,171.95,,,0
CDM,SUP78585,Noncdm Charge Record Medical Supplies,391.23,152.58,,,0
CDM,SUP78586,Noncdm Charge Record Medical Supplies - Wire Guide Hi Trq Spartacore 5Cm Seg .014In 300Cm,468.51,182.72,,,0
CDM,SUP78587,Noncdm Charge Record Medical Supplies - Wire Guide Lubricated Straigh Ht .035Ind 150Cm L,152.49,59.47,,,0
CDM,SUP78588,Noncdm Charge Record Medical Supplies - Guidewire Tfln Fx Cr Ex 3Mm J Tp .025In 260Cm L,38.14,14.87,,,0
CDM,SUP78592,Noncdm Charge Record Medical Supplies - Catheter Return Outback Elite 120 Cm,8928.43,3482.09,,,0
CDM,SUP78593_272,Noncdm Charge Record Medical Supplies - Needle Percutaneous Entry Thi Nwall Echotp 18G 7Cm,16.56,6.46,,,0
CDM,SUP78593_A4649_272,Noncdm Charge Record Medical Supplies - Needle Percutaneous Entry Thi Nwall Echotp 18G 7Cm,16.56,6.46,,,0
CDM,SUP78596,Noncdm Charge Record Medical Supplies - System Medical Gas Delivery And Management Co2Mmander,464.72,181.24,,,0
CDM,SUP78597,Noncdm Charge Record Medical Supplies - Needle 9Cm 18Ga Angio Thnwl Proc Adv,11.38,4.44,,,0
CDM,SUP78598,Noncdm Charge Record Medical Supplies - Graft Superhero Outflow Component Merit Medical,19382.27,7559.09,,,0
CDM,SUP786,Noncdm Charge Record Medical Supplies - Shoe Lg F Pat Postop Smrg Mtrs L Shank Lplk Cl,39.85,15.54,,,0
CDM,SUP78603,Noncdm Charge Record Medical Supplies - Catheter Guide Xb3 Crv 6Fr .07In 100Cm Sh,195.62,76.29,,,0
CDM,SUP78604,Noncdm Charge Record Medical Supplies - Catheter Guide Xb3.5 Crv 6Fr .07In 100Cm Sh,202.51,78.98,,,0
CDM,SUP78610_272,Noncdm Charge Record Medical Supplies - Catheter Angio Jl3.5 100Cm 6Fr Tl Infnt,46.57,18.16,,,0
CDM,SUP78610_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Angio Jl3.5 100Cm 6Fr Tl Infnt,46.58,18.17,,,0
CDM,SUP78610_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Angio Jl3.5 100Cm 6Fr Tl Infnt,46.58,18.17,,,0
CDM,SUP78612_272,Noncdm Charge Record Medical Supplies - Catheter Angio Mp A2 100Cm 6Fr 2Sh Infnt,45.56,17.77,,,0
CDM,SUP78612_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Angio Mp A2 100Cm 6Fr 2Sh Infnt,46.58,18.17,,,0
CDM,SUP78613,Noncdm Charge Record Medical Supplies - Catheter Angio Al2 100Cm 6Fr Tl Infnt,44.5,17.36,,,0
CDM,SUP78624,Noncdm Charge Record Medical Supplies - Device Dermaclose External Continous Wound Care Technologies,4404.96,1717.93,,,0
CDM,SUP78626,Noncdm Charge Record Medical Supplies,175.95,68.62,,,0
CDM,SUP78659,Noncdm Charge Record Medical Supplies - Retractor Lighted 40Mmx20Mm Obp Medical Inc,342.58,133.61,,,0
CDM,SUP7869,Noncdm Charge Record Medical Supplies - Nail 8Mm34.5Cm Nail Ex Cannula Intramed Tib,5683.18,2216.44,,,0
CDM,SUP78714_272,Noncdm Charge Record Medical Supplies - Forceps Radial 240Cm 2.8Mm Jaw Boston Scientific,279.44,108.98,,,0
CDM,SUP78714_A4649_272,Noncdm Charge Record Medical Supplies - Forceps Radial 240Cm 2.8Mm Jaw Boston Scientific,279.45,108.99,,,0
CDM,SUP78714_A9999_272,Noncdm Charge Record Medical Supplies - Forceps Radial 240Cm 2.8Mm Jaw Boston Scientific,279.45,108.99,,,0
CDM,SUP78762,Noncdm Charge Record Medical Supplies - Applier Clip Xi Small Int Intuitive Surgical,57.96,22.6,,,0
CDM,SUP78764_272,Noncdm Charge Record Medical Supplies - Applier Clip Xi Large Int Intutive Surgical Inc,28.98,11.3,,,0
CDM,SUP78764_A4649_272,Noncdm Charge Record Medical Supplies - Applier Clip Xi Large Int Intutive Surgical Inc,28.98,11.3,,,0
CDM,SUP78764_A9999_272,Noncdm Charge Record Medical Supplies - Applier Clip Xi Large Int Intutive Surgical Inc,28.98,11.3,,,0
CDM,SUP78769,Noncdm Charge Record Medical Supplies - Detector Co2 Neo-Stat,33.12,12.92,,,0
CDM,SUP787_270,Noncdm Charge Record Medical Supplies - Shoe Sm M Pat Postop Smrg Mtrsl Shank Lplk Cl,40.36,15.74,,,0
CDM,SUP787_A4649_270,Noncdm Charge Record Medical Supplies - Shoe Sm M Pat Postop Smrg Mtrsl Shank Lplk Cl,45.54,17.76,,,0
CDM,SUP788,Noncdm Charge Record Medical Supplies - Shoe Lg M Pat Postop Smrg Mtrsl Shank Lplk Cl,40.36,15.74,,,0
CDM,SUP78820,Noncdm Charge Record Medical Supplies - Coil Microcoil Sys Cashmere S Strch Rstnt 4Mmx6Cm,9545.8,3722.86,,,0
CDM,SUP78898,Noncdm Charge Record Medical Supplies - Sut Nonabs Wht-Blk 1.5Mmx36 Labraltape,342.63,133.63,,,0
CDM,SUP78924_272,Noncdm Charge Record Medical Supplies - Set Bipolar Cord And Tubing Flying Leads Rotary Pump Integra,250.29,97.61,,,0
CDM,SUP78924_A4649_272,Noncdm Charge Record Medical Supplies - Set Bipolar Cord And Tubing Flying Leads Rotary Pump Integra,256.68,100.11,,,0
CDM,SUP78925,Noncdm Charge Record Medical Supplies - Stent Guidewire 7F X 24Cm Without Uretheral Boston Scientifi,755.55,294.66,,,0
CDM,SUP78926,Noncdm Charge Record Medical Supplies - Stent Ureteral W-O Guidewire 7F X 26Cm,755.55,294.66,,,0
CDM,SUP7895,Noncdm Charge Record Medical Supplies,50.72,19.78,,,0
CDM,SUP78963,Noncdm Charge Record Medical Supplies,26.91,10.49,,,0
CDM,SUP790,Noncdm Charge Record Medical Supplies - Boot Tract Lg Ankle Leg Buck,65.2,25.43,,,0
CDM,SUP79017,Noncdm Charge Record Medical Supplies - Catheter Drainage 038In 18F 25Cm 6Sh Ultrathane Leur Lock Co,542.22,211.47,,,0
CDM,SUP79018,Noncdm Charge Record Medical Supplies,543.38,211.92,,,0
CDM,SUP79046,Noncdm Charge Record Medical Supplies - See 138633 Applicator Prep Teal Chlrprp 2% Chg 70%,16.38,6.39,,,0
CDM,SUP79058,Noncdm Charge Record Medical Supplies - Needle Spnl Sb 22G 6In,16.59,6.47,,,0
CDM,SUP79059,Noncdm Charge Record Medical Supplies - Kit Pricrdcts Spcl Proc W-Ldcn,806.26,314.44,,,0
CDM,SUP79060,Noncdm Charge Record Medical Supplies - Set Infus Pwrlk Sfty 19G 1In Wo Y Site,30.02,11.71,,,0
CDM,SUP79061,Noncdm Charge Record Medical Supplies - Catheter Dia Hmsplt 16Fr 19Cm Strt,1509.03,588.52,,,0
CDM,SUP79062,Noncdm Charge Record Medical Supplies - Catheter Trpl Lum Pcrv 15Cm Pwr Trialysis,8505.63,3317.2,,,0
CDM,SUP79063,Noncdm Charge Record Medical Supplies - Catheter Trpl Lum Pcrv 20Cm Pwr Trialysis,920.8,359.11,,,0
CDM,SUP79065,Noncdm Charge Record Medical Supplies - Kit Cath Dia 12F 20Cm Crv Lg Ext,385.02,150.16,,,0
CDM,SUP79069,Noncdm Charge Record Medical Supplies - Catheter Angio Omni Flsh 10 Sh 5F .035In 65Cml,76.87,29.98,,,0
CDM,SUP79071,Noncdm Charge Record Medical Supplies - Catheter Angio Kmp 5F 40Cm .038In,223.56,87.19,,,0
CDM,SUP79072,Noncdm Charge Record Medical Supplies - Catheter Guiding 6Fr 100Cm Od Nyln 0.071In,197.68,77.1,,,0
CDM,SUP79073,Noncdm Charge Record Medical Supplies - Catheter Guiding 6Fr 100Cm Od Nyln 0.071In,197.68,77.1,,,0
CDM,SUP79075,Noncdm Charge Record Medical Supplies - Kit Acc Mic W-Tung Tip 5F Super Sharp Ndl,98.84,38.55,,,0
CDM,SUP79077,Noncdm Charge Record Medical Supplies - Intro Sheath .038 10Fx30Cm,299.12,116.66,,,0
CDM,SUP79078,Noncdm Charge Record Medical Supplies - Sheath Intro Cor .035In 7Fr,41.4,16.15,,,0
CDM,SUP79079,Noncdm Charge Record Medical Supplies - Sheath Intro Cor .035In 5Fr,41.4,16.15,,,0
CDM,SUP79081,Noncdm Charge Record Medical Supplies - Gwire Mov J Bntsn .035 150,48.64,18.97,,,0
CDM,SUP79082,Noncdm Charge Record Medical Supplies - Gwire Thruway Shrt Strt .014 300,596.85,232.77,,,0
CDM,SUP79085,Noncdm Charge Record Medical Supplies - Wireg Gldwire Ang .018Inx150Cm,276.95,108.01,,,0
CDM,SUP79086,Noncdm Charge Record Medical Supplies - Device Balloon Cut Plr Cath 6Mx2Cmx90Cm,3197.12,1246.88,,,0
CDM,SUP79087,Noncdm Charge Record Medical Supplies - Tub Fld Admin 20In L Rotat Ll 1200Psi,23.8,9.28,,,0
CDM,SUP79088_270,Noncdm Charge Record Medical Supplies - Tub Contrast Injctn Hiprs 72In Flx Rpt Adpt,31.98,12.47,,,0
CDM,SUP79088_A4649_270,Noncdm Charge Record Medical Supplies - Tub Contrast Injctn Hiprs 72In Flx Rpt Adpt,32.08,12.51,,,0
CDM,SUP79088_A9999_270,Noncdm Charge Record Medical Supplies - Tub Contrast Injctn Hiprs 72In Flx Rpt Adpt,32.08,12.51,,,0
CDM,SUP79093,Noncdm Charge Record Medical Supplies - Kit Cath Picc Sgl Lum 4F 70Cm Gw,411.93,160.65,,,0
CDM,SUP79094,Noncdm Charge Record Medical Supplies - Tray Picc Trpl Lum Pwr 70Cm 5F Nitinol,760.72,296.68,,,0
CDM,SUP79097,Noncdm Charge Record Medical Supplies - Set Ext Triport 3 Ndls Valve,14.49,5.65,,,0
CDM,SUP79101,Noncdm Charge Record Medical Supplies - Catheter Drain Bil Reg 8F 35Cm,393.3,153.39,,,0
CDM,SUP79104_272,Noncdm Charge Record Medical Supplies - Pack Cust Angio N Fulton Regional,284.15,110.82,,,0
CDM,SUP79104_A4649_272,Noncdm Charge Record Medical Supplies - Pack Cust Angio N Fulton Regional,286.7,111.81,,,0
CDM,SUP79104_A9999_272,Noncdm Charge Record Medical Supplies - Pack Cust Angio N Fulton Regional,281.52,109.79,,,0
CDM,SUP79105,Noncdm Charge Record Medical Supplies - See 139623 Pack Cust Cath Lab N Fulton Regional Hsp,245.3,95.67,,,0
CDM,SUP79106_272,Noncdm Charge Record Medical Supplies - Kit Infl Cust Nfrh,242.19,94.45,,,0
CDM,SUP79106_A4649_272,Noncdm Charge Record Medical Supplies - Kit Infl Cust Nfrh,242.19,94.45,,,0
CDM,SUP79107_272,Noncdm Charge Record Medical Supplies - Kit Mnfld Cust Cls Sys Flsh,154.08,60.09,,,0
CDM,SUP79107_A4649_272,Noncdm Charge Record Medical Supplies - Kit Mnfld Cust Cls Sys Flsh,154.22,60.15,,,0
CDM,SUP79107_A9999_272,Noncdm Charge Record Medical Supplies - Kit Mnfld Cust Cls Sys Flsh,154.22,60.15,,,0
CDM,SUP79110,Noncdm Charge Record Medical Supplies - Tape Trnspr 3In X 10Yd,8.28,3.23,,,0
CDM,SUP79112,Noncdm Charge Record Medical Supplies - Patch Cath Polysaccharide 3Cm,220.46,85.98,,,0
CDM,SUP79115,Noncdm Charge Record Medical Supplies - Intro Sheath Prelude 6Fr 7Cm,138.17,53.89,,,0
CDM,SUP79116,Noncdm Charge Record Medical Supplies - Intro Sheath Prelude 5Fr 7Cm,210.1,81.94,,,0
CDM,SUP79122,Noncdm Charge Record Medical Supplies - Assembly Adapter Check-Flo Ac Ccepts 9Fr,56.92,22.2,,,0
CDM,SUP79138,Noncdm Charge Record Medical Supplies - Catheter Angio Guide Imagr Ii I Bern 4F .035 100Cm,48.64,18.97,,,0
CDM,SUP79142,Noncdm Charge Record Medical Supplies - Catheter Angio Nobraid Sos Om Mni 1 5F.035In80Cm 2Sh,100.4,39.16,,,0
CDM,SUP79151,Noncdm Charge Record Medical Supplies - Catheter Coronary Guiding Ebu U3.75 5F 100Cm,205.96,80.32,,,0
CDM,SUP79153,Noncdm Charge Record Medical Supplies - Catheter Dilatation Balloon P Ptca 5.00X40Mmx135Cm,734.85,286.59,,,0
CDM,SUP79161,Noncdm Charge Record Medical Supplies,414.0,161.46,,,0
CDM,SUP79162,Noncdm Charge Record Medical Supplies - Catheter Guide Mach 1 Pv Mp C Curve 6Fr 55Cml,414.0,161.46,,,0
CDM,SUP79168,Noncdm Charge Record Medical Supplies - Catheter Guiding Judkins Left T Jl4.0 5F 100Cm,205.96,80.32,,,0
CDM,SUP79171,Noncdm Charge Record Medical Supplies - Catheter Guiding Launcher 5Fr R Al1.0 100Cm L,205.96,80.32,,,0
CDM,SUP79178,Noncdm Charge Record Medical Supplies - Catheter Guiding Launcher 6Fr R Jr4.5 100Cm L W-Sh,186.3,72.66,,,0
CDM,SUP79179,Noncdm Charge Record Medical Supplies - Catheter Guiding Launcher 6Fr R Jr4.5 100Cm W-O Sh,205.96,80.32,,,0
CDM,SUP79191_272,Noncdm Charge Record Medical Supplies - Catheter Multipurpose A-2 Spr R Trq 6Fr .038D 100Cm,45.83,17.87,,,0
CDM,SUP79191_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Multipurpose A-2 Spr R Trq 6Fr .038D 100Cm,44.5,17.36,,,0
CDM,SUP79192,Noncdm Charge Record Medical Supplies - Catheter Thermodilution S-Tip P 7Fr,364.32,142.08,,,0
CDM,SUP79193,Noncdm Charge Record Medical Supplies - Catheter Triple Lumn Pwr Tria Alysis Pre-Crv 12.5Cm,7758.36,3025.76,,,0
CDM,SUP79202,Noncdm Charge Record Medical Supplies - Device Vascular Closure Mynx 6F-7F W-Intro,1107.45,431.91,,,0
CDM,SUP79207_272,Noncdm Charge Record Medical Supplies - Kit Fluid Mgt Lrg Stopcock 3 Way Fixd Connect 2In,34.16,13.32,,,0
CDM,SUP79207_A4649_272,Noncdm Charge Record Medical Supplies - Kit Fluid Mgt Lrg Stopcock 3 Way Fixd Connect 2In,34.16,13.32,,,0
CDM,SUP79207_A9999_272,Noncdm Charge Record Medical Supplies - Kit Fluid Mgt Lrg Stopcock 3 Way Fixd Connect 2In,34.16,13.32,,,0
CDM,SUP79208_272,Noncdm Charge Record Medical Supplies - Kit Foley Catheter 16Fr 5Cc With Urimeter 2000Ml Bag Latex B,90.04,35.12,,,0
CDM,SUP79208_A4649_272,Noncdm Charge Record Medical Supplies - Kit Foley Catheter 16Fr 5Cc With Urimeter 2000Ml Bag Latex B,90.04,35.12,,,0
CDM,SUP79218,Noncdm Charge Record Medical Supplies - Sheath Intro Coronary Gw 2.5C Cm Dltr 4F .038In 10Cm,41.4,16.15,,,0
CDM,SUP79219,Noncdm Charge Record Medical Supplies - Sheath Intro Coronary Gw 2.5C Cm Dltr 8F .038In 10Cm,41.42,16.15,,,0
CDM,SUP79221,Noncdm Charge Record Medical Supplies - Sheath Intro Coronary N-Gw 2. .5Cm Dltr 6Fr 25Cm,83.84,32.7,,,0
CDM,SUP79222,Noncdm Charge Record Medical Supplies - Sheath Intro Coronary N-Gw 2. .5Cm Dltr 8Fr 25Cm,83.84,32.7,,,0
CDM,SUP79223,Noncdm Charge Record Medical Supplies - Sheath Introducer Peel Away 5 5Fr,78.66,30.68,,,0
CDM,SUP79224,Noncdm Charge Record Medical Supplies - Snare En Retriever 18-30Mm Di Ia 7Fr 100Cm L,2511.23,979.38,,,0
CDM,SUP79230,Noncdm Charge Record Medical Supplies - Wire Guide 1Cm 0.35 260Cm Amplatz Stiff Boston Scientific,218.21,85.1,,,0
CDM,SUP79231,Noncdm Charge Record Medical Supplies - Wire Guide Angio Hydro V 18 Control Str R .018In300Cm 12Cm T,401.58,156.62,,,0
CDM,SUP79233,Noncdm Charge Record Medical Supplies - Wire Guide J-Wire Mc .035In 15 50Cm 3Mmm Injintip Fs-H,61.58,24.02,,,0
CDM,SUP79234,Noncdm Charge Record Medical Supplies - Wire Guide Lubricated Angled .035Ind 180Cm L,3527.28,1375.64,,,0
CDM,SUP79235,Noncdm Charge Record Medical Supplies - Wire Guide Short Tapered Angl Led Tip V-14 300Cm,3485.36,1359.29,,,0
CDM,SUP79236,Noncdm Charge Record Medical Supplies - Wire Guide Stiff Shaft Angl 3 3Cm Tpr .035Ind 260Cm,228.74,89.21,,,0
CDM,SUP79239,Noncdm Charge Record Medical Supplies - Wire Guide Straight Tip Hydro Ophilc Ct .035In 260Cm,705.87,275.29,,,0
CDM,SUP7923_272,Noncdm Charge Record Medical Supplies - Kit Surg Parathyroidectomy,1052.6,410.51,,,0
CDM,SUP7923_A9999_272,Noncdm Charge Record Medical Supplies - Kit Surg Parathyroidectomy,1052.6,410.51,,,0
CDM,SUP79240,Noncdm Charge Record Medical Supplies - Wire Guide Tef Fx Cr Bentson Str Hep .035 260Cm,101.43,39.56,,,0
CDM,SUP79242,Noncdm Charge Record Medical Supplies - Device Vascular Closure 6-7Fr R Vascade,1101.24,429.48,,,0
CDM,SUP79243,Noncdm Charge Record Medical Supplies - Dilator Vessel .035 ** Jcd6.0 -35-20 **,39.33,15.34,,,0
CDM,SUP79244,Noncdm Charge Record Medical Supplies - Introducer Sheath Avanti+ Mid -Lngth W-O Gwr 5F,48.64,18.97,,,0
CDM,SUP79247,Noncdm Charge Record Medical Supplies - Sheath Introducer Peel Away 4 .5Fr,78.66,30.68,,,0
CDM,SUP7924_272,Noncdm Charge Record Medical Supplies - Kit Surg Parathyroidectomy 6Fr,1052.6,410.51,,,0
CDM,SUP7924_A4649_272,Noncdm Charge Record Medical Supplies - Kit Surg Parathyroidectomy 6Fr,1052.6,410.51,,,0
CDM,SUP7924_A9999_272,Noncdm Charge Record Medical Supplies - Kit Surg Parathyroidectomy 6Fr,1052.6,410.51,,,0
CDM,SUP79252_272,Noncdm Charge Record Medical Supplies - Needle 4Cm 21Ga Angio Thnwl Proc Adv,10.35,4.04,,,0
CDM,SUP79252_A4649_272,Noncdm Charge Record Medical Supplies - Needle 4Cm 21Ga Angio Thnwl Proc Adv,10.35,4.04,,,0
CDM,SUP79252_A9999_272,Noncdm Charge Record Medical Supplies - Needle 4Cm 21Ga Angio Thnwl Proc Adv,10.35,4.04,,,0
CDM,SUP79255,Noncdm Charge Record Medical Supplies - Balloon Brk Thr 4X100Mmx150Cm Dil Strlg Sl Otw 4F,991.53,386.7,,,0
CDM,SUP79256,Noncdm Charge Record Medical Supplies - Kit Introducer Mic J-Tj-18 18F,1103.31,430.29,,,0
CDM,SUP79258_270,Noncdm Charge Record Medical Supplies - See 14111 Sensor Neonat Lncs 36In Finger Oxm Adh Low,46.57,18.16,,,0
CDM,SUP79258_A4649_270,Noncdm Charge Record Medical Supplies - See 14111 Sensor Neonat Lncs 36In Finger Oxm Adh Low,46.58,18.17,,,0
CDM,SUP79258_A9999_270,Noncdm Charge Record Medical Supplies - See 14111 Sensor Neonat Lncs 36In Finger Oxm Adh Low,46.58,18.17,,,0
CDM,SUP79259,Noncdm Charge Record Medical Supplies - Introducer Cath 45Cm 6Fr .018-.038In Anl2 Crv,357.08,139.26,,,0
CDM,SUP7926,Noncdm Charge Record Medical Supplies - Plate Mini Maxi Fac 4 Hl Strt Lck 2-2.3Mm,467.82,182.45,,,0
CDM,SUP79261,Noncdm Charge Record Medical Supplies - Catheter Angio Ar2 Mod 100Cm 6Fr Tl Infnt,46.02,17.95,,,0
CDM,SUP79262,Noncdm Charge Record Medical Supplies - Catheter Angio Ar Mod 100Cm 6Fr Tl Infnt,44.5,17.36,,,0
CDM,SUP79267_272,Noncdm Charge Record Medical Supplies - Catheter Angio Lcb 100Cm 6Fr Tl Infnt,45.88,17.89,,,0
CDM,SUP79267_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Angio Lcb 100Cm 6Fr Tl Infnt,46.58,18.17,,,0
CDM,SUP79268,Noncdm Charge Record Medical Supplies - Catheter Angio Rcb 100Cm 6Fr Tl Infnt,9.32,3.63,,,0
CDM,SUP79269_272,Noncdm Charge Record Medical Supplies - Catheter Angio Al1 100Cm 6Fr Tl Infnt,22.62,8.82,,,0
CDM,SUP79269_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Angio Al1 100Cm 6Fr Tl Infnt,9.32,3.63,,,0
CDM,SUP7927,Noncdm Charge Record Medical Supplies - Plate Maxi Fac 4 Hl Bar Lck Bn Ti,1659.1,647.05,,,0
CDM,SUP79270_272,Noncdm Charge Record Medical Supplies - Catheter Angio Ar1 Mod 100Cm 6Fr Tl Infnt,44.82,17.48,,,0
CDM,SUP79270_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Angio Ar1 Mod 100Cm 6Fr Tl Infnt,46.58,18.17,,,0
CDM,SUP79271,Noncdm Charge Record Medical Supplies - Catheter Balloon 1.25X10Mm Otw Rx Spntr,391.23,152.58,,,0
CDM,SUP7928,Noncdm Charge Record Medical Supplies - Anchor Suture Orthocord 3 Fastin Depuy Mitek,2807.96,1095.1,,,0
CDM,SUP79315_272,Noncdm Charge Record Medical Supplies - Blade Saw Recip .032In Tk .44Inw 77.7Mm,162.53,63.39,,,0
CDM,SUP79315_A9999_272,Noncdm Charge Record Medical Supplies - Blade Saw Recip .032In Tk .44Inw 77.7Mm,162.5,63.38,,,0
CDM,SUP79318,Noncdm Charge Record Medical Supplies - Drill Twist 2.0Mm 1.6Mm X 58M M 26Mm,1185.08,462.18,,,0
CDM,SUP7932,Noncdm Charge Record Medical Supplies - Stent Biliary Self Expanding 5Mmx40Mmx120Cmx6F 0.035In Protg,3383.42,1319.53,,,0
CDM,SUP7936,Noncdm Charge Record Medical Supplies - Stent Biliary Self Expanding 5Mmx120Mmx120Cmx6F 0.035In Prot,3625.09,1413.79,,,0
CDM,SUP79378,Noncdm Charge Record Medical Supplies - Guidewire Safari2 275Cm Xsml Curve (Bxs),1713.96,668.44,,,0
CDM,SUP79380,Noncdm Charge Record Medical Supplies - Guidewire Safari2 275Cm Small Curve (Bxs),1713.96,668.44,,,0
CDM,SUP79381,Noncdm Charge Record Medical Supplies,1713.96,668.44,,,0
CDM,SUP79382,Noncdm Charge Record Medical Supplies - Guidewire Safari2 275Cm Xsml Curve (Sgl),1713.96,668.44,,,0
CDM,SUP79383,Noncdm Charge Record Medical Supplies - Guidewire Safari2 275Cm Small Curve (Sgl),1713.96,668.44,,,0
CDM,SUP79384,Noncdm Charge Record Medical Supplies - Catheter Guide Extension 6F Guidezilla Ii,2005.06,781.97,,,0
CDM,SUP79385,Noncdm Charge Record Medical Supplies - Catheter Guide Extension 6F Ln Guidezilla Ii,1958.22,763.71,,,0
CDM,SUP79386,Noncdm Charge Record Medical Supplies - Catheter Guide Extension 7F Guidezilla Ii,2007.31,782.85,,,0
CDM,SUP79387,Noncdm Charge Record Medical Supplies - Catheter Guide Extension 8F Guidezilla Ii,1958.22,763.71,,,0
CDM,SUP79388,Noncdm Charge Record Medical Supplies - Catheter Ballon Stingray Lp Us,6743.02,2629.78,,,0
CDM,SUP7940,Noncdm Charge Record Medical Supplies - Syringe 60Ml Filter Plunger,293.94,114.64,,,0
CDM,SUP7942,Noncdm Charge Record Medical Supplies - Anchor Suture Orthocord Mini Plus # 2-0 Quick Plus B162 Depu,3589.29,1399.82,,,0
CDM,SUP79426,Noncdm Charge Record Medical Supplies - Bone Cement 40 Gram Rally Medium Viscosity Smith And Nephew,268.66,104.78,,,0
CDM,SUP79461,Noncdm Charge Record Medical Supplies - Cast Bright Green 4Ydx3In Medline,11.03,4.3,,,0
CDM,SUP7949,Noncdm Charge Record Medical Supplies - Implant Uro Adv Continence,39440.75,15381.89,,,0
CDM,SUP7950,Noncdm Charge Record Medical Supplies - Anchor Suture Orthocord Minilock Quick Plus #2-0 Depuy Mitek,3062.05,1194.2,,,0
CDM,SUP7951,Noncdm Charge Record Medical Supplies - Starclose Se 6F Closure,1184.92,462.12,,,0
CDM,SUP7956,Noncdm Charge Record Medical Supplies - Handle Cath Rlv Sdkck Sin,269.1,104.95,,,0
CDM,SUP79601,Noncdm Charge Record Medical Supplies - Introducer Kit Mic Enroute 7Cm,883.1,344.41,,,0
CDM,SUP79602,Noncdm Charge Record Medical Supplies - Guidewire 95Cm Enroute,969.73,378.19,,,0
CDM,SUP79603_Q4121_278,Noncdm Charge Record Medical Supplies - Graft Theraskin 2Inx3In,471.66,183.95,,,0
CDM,SUP79604_Q4121_278,Noncdm Charge Record Medical Supplies - Dressing Theraskin 3In X 6In 116 Sq Cm Lifenet Health,535.34,208.78,,,0
CDM,SUP79605_272,Noncdm Charge Record Medical Supplies - Electrode Blade 4 Uninsulated Covidien Surgical Devices,21.74,8.48,,,0
CDM,SUP79605_A4649_272,Noncdm Charge Record Medical Supplies - Electrode Blade 4 Uninsulated Covidien Surgical Devices,21.74,8.48,,,0
CDM,SUP79633,Noncdm Charge Record Medical Supplies - Dressing Gntl Brdr 2Inx4In,6.38,2.49,,,0
CDM,SUP79635,Noncdm Charge Record Medical Supplies - Bag Blood Reinfusion,33.12,12.92,,,0
CDM,SUP79739_272,Noncdm Charge Record Medical Supplies - Catheter Introducer 16Fr Supra-Foley Utah Medical Products,10.35,4.04,,,0
CDM,SUP79739_C1894_272,Noncdm Charge Record Medical Supplies - Catheter Introducer 16Fr Supra-Foley Utah Medical Products,9.32,3.63,,,0
CDM,SUP79775,Noncdm Charge Record Medical Supplies - Component Femoral 7 Lt Knee Gen 2 Non Porous Smith And Nephe,14790.15,5768.16,,,0
CDM,SUP79777,Noncdm Charge Record Medical Supplies - Liner Acetabulum 54 Od 36 Id Xlpe R3 Smith And Nephew Orthop,6815.48,2658.04,,,0
CDM,SUP79778,Noncdm Charge Record Medical Supplies - Patella Genesis Resurface 38Mm Smith And Nephew Orthopaedics,3879.18,1512.88,,,0
CDM,SUP79785,Noncdm Charge Record Medical Supplies - Stent Viabahn Endoprosthesis 10X10X120 W.L. Gore And Associa,15617.12,6090.68,,,0
CDM,SUP79892,Noncdm Charge Record Medical Supplies - See 77267 Catheter Foley Anchor Securement Kit Centurion Med,24.84,9.69,,,0
CDM,SUP79893_272,Noncdm Charge Record Medical Supplies - See 173455 Scalpel Safety 10 Penblade,8.27,3.23,,,0
CDM,SUP79893_A4649_272,Noncdm Charge Record Medical Supplies - See 173455 Scalpel Safety 10 Penblade,8.28,3.23,,,0
CDM,SUP79894_272,Noncdm Charge Record Medical Supplies - See 172271 Scalpel Safety 11 Penblade,6.21,2.42,,,0
CDM,SUP79894_A4649_272,Noncdm Charge Record Medical Supplies - See 172271 Scalpel Safety 11 Penblade,6.21,2.42,,,0
CDM,SUP79894_A9999_272,Noncdm Charge Record Medical Supplies - See 172271 Scalpel Safety 11 Penblade,6.21,2.42,,,0
CDM,SUP79922,Noncdm Charge Record Medical Supplies - See 144256 Dressing Tray Lvad Driveline Daily Management Sys,56.92,22.2,,,0
CDM,SUP79973_272,Noncdm Charge Record Medical Supplies - Scalpel Safety 15 Penblade,7.55,2.94,,,0
CDM,SUP79973_A4649_272,Noncdm Charge Record Medical Supplies - Scalpel Safety 15 Penblade,8.28,3.23,,,0
CDM,SUP79973_A9999_272,Noncdm Charge Record Medical Supplies - Scalpel Safety 15 Penblade,6.21,2.42,,,0
CDM,SUP7998,Noncdm Charge Record Medical Supplies - Stent Biliary 10Mmx6Cmx40Cm Percutaneous Gore,14437.56,5630.65,,,0
CDM,SUP79995,Noncdm Charge Record Medical Supplies - Mri Quad Percepta Crt-P Device,28558.61,11137.86,,,0
CDM,SUP79998,Noncdm Charge Record Medical Supplies - Mri Percepta Crt-P Device,28864.3,11257.08,,,0
CDM,SUP80001,Noncdm Charge Record Medical Supplies - Axis Dermis Tutoplast 4X7 Allograft Coloplast Corp,9150.81,3568.82,,,0
CDM,SUP80002,Noncdm Charge Record Medical Supplies - Catheter Pvc Urethral,17.6,6.86,,,0
CDM,SUP80056,Noncdm Charge Record Medical Supplies - Grasper Alligator Minigrip Teleflex Medical,1151.17,448.96,,,0
CDM,SUP8006,Noncdm Charge Record Medical Supplies - Stent Biliary Percutaneous 10Mmx8Cmx40Cm Viabil Gore,14368.21,5603.6,,,0
CDM,SUP8007_272,Noncdm Charge Record Medical Supplies - See 116628 Kit Prep Betadine Deroyal,15.52,6.05,,,0
CDM,SUP8007_A4649_272,Noncdm Charge Record Medical Supplies - See 116628 Kit Prep Betadine Deroyal,15.52,6.05,,,0
CDM,SUP8007_A9999_272,Noncdm Charge Record Medical Supplies - See 116628 Kit Prep Betadine Deroyal,15.52,6.05,,,0
CDM,SUP80090,Noncdm Charge Record Medical Supplies - Kit Custom Perfusion For Atla Anta Medical Center,1603.22,625.26,,,0
CDM,SUP80091,Noncdm Charge Record Medical Supplies - Catheter Valvuloplasty 4.5Cm 25 True Balloon,4404.44,1717.73,,,0
CDM,SUP80092,Noncdm Charge Record Medical Supplies - Catheter Valvuloplasty 4.5Cm 28 True Balloon,5290.92,2063.46,,,0
CDM,SUP80102,Noncdm Charge Record Medical Supplies - Guidewire Comet Ffr Pw 185Cm Us Boston Scientific,2756.11,1074.88,,,0
CDM,SUP80107,Noncdm Charge Record Medical Supplies - System Loading Evolut Pro Aortic Valve 26-29 Medtronic,1909.58,744.74,,,0
CDM,SUP80108,Noncdm Charge Record Medical Supplies - Guidewire Fixed Core Cook Medical,77.64,30.28,,,0
CDM,SUP80109,Noncdm Charge Record Medical Supplies - Guidewire .025 X 260Cm Platinum Plus Boston Scientific,399.72,155.89,,,0
CDM,SUP80168,Noncdm Charge Record Medical Supplies - Pacemaker Leadless Micra Medtronic Inc,42293.2,16494.35,,,0
CDM,SUP80169,Noncdm Charge Record Medical Supplies - Sheath Introducer Micra Medtronic Inc,2645.46,1031.73,,,0
CDM,SUP80207,Noncdm Charge Record Medical Supplies - Stent Coronary Resolute Onyx Rx 3.5 X 12Mm Medtronic Inc,2417.76,942.93,,,0
CDM,SUP80235,Noncdm Charge Record Medical Supplies - Stent Coronary Resolute Onyx Rx 5.0 X 30Mm Medtronic Inc,3021.16,1178.25,,,0
CDM,SUP8025,Noncdm Charge Record Medical Supplies - Guidewire Orth150-1.25Mm 1 End,70.38,27.45,,,0
CDM,SUP80250,Noncdm Charge Record Medical Supplies - Needle Localization Spring Hook 20G 5Cm A Tip Cook Medical,121.1,47.23,,,0
CDM,SUP80251,Noncdm Charge Record Medical Supplies - Needle Localization Spring Hook 20G 7Cm A Tip Cook Medical,121.1,47.23,,,0
CDM,SUP80306_272,Noncdm Charge Record Medical Supplies - Obturator Bladeless Optc 8Mm Xi Intuitive Surgical,154.22,60.15,,,0
CDM,SUP80306_A4649_272,Noncdm Charge Record Medical Supplies - Obturator Bladeless Optc 8Mm Xi Intuitive Surgical,154.22,60.15,,,0
CDM,SUP80306_A9999_272,Noncdm Charge Record Medical Supplies - Obturator Bladeless Optc 8Mm Xi Intuitive Surgical,154.22,60.15,,,0
CDM,SUP80309,Noncdm Charge Record Medical Supplies - Guidewire Chikai Straight Tip 0.010In 3Cm 200Cm Asahi Intec,2422.94,944.95,,,0
CDM,SUP80310,Noncdm Charge Record Medical Supplies - Guidewire Chikai Straight Tip 0.014In 5Cm 200Cm Asahi Intec,2203.52,859.37,,,0
CDM,SUP80311,Noncdm Charge Record Medical Supplies - Sheath Guiding Ansel Tuohy-Borst Sidearm 6Fr 55Cm Cook Medic,357.08,139.26,,,0
CDM,SUP80312,Noncdm Charge Record Medical Supplies - Sheath Guiding Ansel Checkflo 7Fr 55Cm Cook Medical,376.53,146.85,,,0
CDM,SUP80314,Noncdm Charge Record Medical Supplies - Catheter Drainage Biliary Hydrophilic 18Fr 40Cm Cook Medical,540.48,210.79,,,0
CDM,SUP80315,Noncdm Charge Record Medical Supplies - Guidewire Roadrunner Uniglide Angled Tip 0.35In 260Cm Cook M,213.21,83.15,,,0
CDM,SUP80316,Noncdm Charge Record Medical Supplies - Sheath Guiding Ansel Checkflo 6Fr 70Cm Cook Medical,428.43,167.09,,,0
CDM,SUP80317,Noncdm Charge Record Medical Supplies - Sheath Guiding Ansel Checkflo 7Fr 70Cm Cook Medical,428.49,167.11,,,0
CDM,SUP80318,Noncdm Charge Record Medical Supplies - Sheath Guiding Ansel Checkflo 8Fr 70Cm Cook Medical,428.49,167.11,,,0
CDM,SUP80319,Noncdm Charge Record Medical Supplies - Tube Gastrostomy Mic-Key Low Profile 18Fr 5Ml 4Cm Halyard He,531.99,207.48,,,0
CDM,SUP80320,Noncdm Charge Record Medical Supplies - Device Measuring Stoma Mic-Key Over The Wire Halyard Health,24.84,9.69,,,0
CDM,SUP80321,Noncdm Charge Record Medical Supplies - Kit Transgastric-Jejunal Mic-Key 22Fr 7-10Ml 3.5Cm Halyard H,1772.96,691.45,,,0
CDM,SUP80322,Noncdm Charge Record Medical Supplies - Kit Transgastric-Jejunal Mic-Key 18Fr 7-10Ml 2.0Cm Halyard H,1772.96,691.45,,,0
CDM,SUP80347,Noncdm Charge Record Medical Supplies - Implant Allograft Cancellous Crusheed Freeze Dried Community,2309.91,900.86,,,0
CDM,SUP8036_272,Noncdm Charge Record Medical Supplies - See 92494 Pack Gyn Laparoscopy,218.38,85.17,,,0
CDM,SUP8036_A4649_272,Noncdm Charge Record Medical Supplies - See 92494 Pack Gyn Laparoscopy,218.38,85.17,,,0
CDM,SUP8036_A9999_272,Noncdm Charge Record Medical Supplies - See 92494 Pack Gyn Laparoscopy,218.38,85.17,,,0
CDM,SUP8037,Noncdm Charge Record Medical Supplies - See 140764 Pack Minor Lithotomy Deroyal Ws310001,172.84,67.41,,,0
CDM,SUP80377_272,Noncdm Charge Record Medical Supplies - Irrigator Suction Endo Wrist Xi Intuitive Surgical,1363.08,531.6,,,0
CDM,SUP80377_A4649_272,Noncdm Charge Record Medical Supplies - Irrigator Suction Endo Wrist Xi Intuitive Surgical,1363.1,531.61,,,0
CDM,SUP80377_A9999_272,Noncdm Charge Record Medical Supplies - Irrigator Suction Endo Wrist Xi Intuitive Surgical,1363.1,531.61,,,0
CDM,SUP8038_272,Noncdm Charge Record Medical Supplies - See 140798 Pack Arthroscopy Packroom Wk110016,137.66,53.69,,,0
CDM,SUP8038_A4649_272,Noncdm Charge Record Medical Supplies - See 140798 Pack Arthroscopy Packroom Wk110016,137.66,53.69,,,0
CDM,SUP8039_272,Noncdm Charge Record Medical Supplies - See 140768 Pack Lavh Wellstar Ws280001,263.92,102.93,,,0
CDM,SUP8039_A4649_272,Noncdm Charge Record Medical Supplies - See 140768 Pack Lavh Wellstar Ws280001,263.92,102.93,,,0
CDM,SUP8039_A9999_272,Noncdm Charge Record Medical Supplies - See 140768 Pack Lavh Wellstar Ws280001,263.92,102.93,,,0
CDM,SUP804,Noncdm Charge Record Medical Supplies - Kit Lta 4Ml Preatch,103.5,40.36,,,0
CDM,SUP8040,Noncdm Charge Record Medical Supplies - Pack Carotid Wk340018,274.27,106.97,,,0
CDM,SUP8041,Noncdm Charge Record Medical Supplies - Pack Port-A-Cath Deroyal,187.34,73.06,,,0
CDM,SUP80427,Noncdm Charge Record Medical Supplies - Nerve Protector Graft Axogen Corp,23567.98,9191.51,,,0
CDM,SUP8042_272,Noncdm Charge Record Medical Supplies - See 139611 Pack Av Fistula Deroyal,212.22,82.77,,,0
CDM,SUP8042_A9999_272,Noncdm Charge Record Medical Supplies - See 139611 Pack Av Fistula Deroyal,212.18,82.75,,,0
CDM,SUP8043_272,Noncdm Charge Record Medical Supplies - Electrode Defib Adlt 5.95X5.24In Conduct Gel,146.97,57.32,,,0
CDM,SUP8043_A9999_272,Noncdm Charge Record Medical Supplies - Electrode Defib Adlt 5.95X5.24In Conduct Gel,146.97,57.32,,,0
CDM,SUP80452,Noncdm Charge Record Medical Supplies - Headwrap Maxitherm Lite Cincinnati Sub Zero,427.46,166.71,,,0
CDM,SUP80477,Noncdm Charge Record Medical Supplies - Graft Avive 2X2Cm Axogen Corp,5558.98,2168.0,,,0
CDM,SUP80478,Noncdm Charge Record Medical Supplies - Graft Avive 2X4Cm Axogen Corp,8129.92,3170.67,,,0
CDM,SUP80525_272,Noncdm Charge Record Medical Supplies - Obturator Bladeless Optic Long 8Mm Intuitive Surgical,154.22,60.15,,,0
CDM,SUP80525_A9999_272,Noncdm Charge Record Medical Supplies - Obturator Bladeless Optic Long 8Mm Intuitive Surgical,154.22,60.15,,,0
CDM,SUP80526,Noncdm Charge Record Medical Supplies - Spatula Cautery Permanent Monopolar Intuitive Surgical,414.0,161.46,,,0
CDM,SUP80528,Noncdm Charge Record Medical Supplies,883.89,344.72,,,0
CDM,SUP8053,Noncdm Charge Record Medical Supplies - Baseplate Tib Gen2 3 Lt Knee,9014.85,3515.79,,,0
CDM,SUP8055,Noncdm Charge Record Medical Supplies,8922.74,3479.87,,,0
CDM,SUP8062,Noncdm Charge Record Medical Supplies - Pin Half Stpr,7.07,2.76,,,0
CDM,SUP80636,Noncdm Charge Record Medical Supplies - Screw Distraction Pin 14Mm Medline,214.24,83.55,,,0
CDM,SUP80651,Noncdm Charge Record Medical Supplies - Lengend Dissecting Tool 7.5Mm,1101.24,429.48,,,0
CDM,SUP8066,Noncdm Charge Record Medical Supplies - Set Extn Iv Mclv Cust,11.38,4.44,,,0
CDM,SUP8067,Noncdm Charge Record Medical Supplies - Catheter Arwyex 14Fr 100Cm 2,345.69,134.82,,,0
CDM,SUP807,Noncdm Charge Record Medical Supplies - Electrode 13Cm 20Mmx12Mm 3-32In Lletz Std Electrosurg,57.96,22.6,,,0
CDM,SUP80749_270,Noncdm Charge Record Medical Supplies - Blanket Full Body Stryker Medical,32.08,12.51,,,0
CDM,SUP80749_A4649_270,Noncdm Charge Record Medical Supplies - Blanket Full Body Stryker Medical,32.08,12.51,,,0
CDM,SUP80749_A9999_270,Noncdm Charge Record Medical Supplies - Blanket Full Body Stryker Medical,32.08,12.51,,,0
CDM,SUP8075,Noncdm Charge Record Medical Supplies - Bone Canc 4-10 5Cc,671.72,261.97,,,0
CDM,SUP8076,Noncdm Charge Record Medical Supplies - Screw Bn 3-2.5Mm 70Mm 25Mm,379.07,147.84,,,0
CDM,SUP8078,Noncdm Charge Record Medical Supplies - Stem Fem 35Mm Condy Stab Neck,11515.41,4491.01,,,0
CDM,SUP80791,Noncdm Charge Record Medical Supplies - Balloon Cath 5Mmx29Mmx135Cm Viabahn Bx,13644.4,5321.32,,,0
CDM,SUP80796,Noncdm Charge Record Medical Supplies - Balloon Cath 6Mmx19Mmx135Cm Viabahn Bx,12803.98,4993.55,,,0
CDM,SUP80797,Noncdm Charge Record Medical Supplies - Balloon Cath 6Mmx29Mmx135Cm Viabahn Bx,13619.82,5311.73,,,0
CDM,SUP80798,Noncdm Charge Record Medical Supplies - Balloon Cath 6Mmx39Mmx135Cm Viabahn Bx,14259.97,5561.39,,,0
CDM,SUP80802,Noncdm Charge Record Medical Supplies - Balloon Cath 7Mmx19Mmx135Cm Viabahn Bx,12245.81,4775.87,,,0
CDM,SUP80803,Noncdm Charge Record Medical Supplies - Balloon Cath 7Mmx29Mmx135Cm Viabahn Bx,14901.52,5811.59,,,0
CDM,SUP80804,Noncdm Charge Record Medical Supplies - Balloon Cath 7Mmx39Mmx135Cm Viabahn Bx,14657.35,5716.37,,,0
CDM,SUP80805,Noncdm Charge Record Medical Supplies - Balloon Cath 7Mmx59Mmx135Cm Viabahn Bx,14531.92,5667.45,,,0
CDM,SUP80807,Noncdm Charge Record Medical Supplies - Balloon Cath 8Mmx29Mmx135Cm Viabahn Bx,14779.09,5763.85,,,0
CDM,SUP80808,Noncdm Charge Record Medical Supplies - Balloon Cath 8Mmx39Mmx135Cm Viabahn Bx,14779.0,5763.81,,,0
CDM,SUP80809,Noncdm Charge Record Medical Supplies - Balloon Cath 8Mmx59Mmx135Cm Viabahn Bx,14749.47,5752.29,,,0
CDM,SUP80810,Noncdm Charge Record Medical Supplies - Balloon Cath 8Mmx79Mmx135Cm Viabahn Bx,16767.0,6539.13,,,0
CDM,SUP80811,Noncdm Charge Record Medical Supplies - Balloon Cath 9Mmx29Mmx135Cm Viabahn Bx,13752.04,5363.3,,,0
CDM,SUP80812,Noncdm Charge Record Medical Supplies - Balloon Cath 9Mmx39Mmx135Cm Viabahn Bx,13752.04,5363.3,,,0
CDM,SUP80815,Noncdm Charge Record Medical Supplies - Balloon Cath 10Mmx29Mmx135Cm Viabahn Bx,15075.81,5879.57,,,0
CDM,SUP80816,Noncdm Charge Record Medical Supplies - Balloon Cath 10Mmx39Mmx135Cm Viabahn Bx,14803.86,5773.51,,,0
CDM,SUP80817,Noncdm Charge Record Medical Supplies - Balloon Cath 10Mmx59Mmx135Cm Viabahn Bx,13988.02,5455.33,,,0
CDM,SUP80819,Noncdm Charge Record Medical Supplies - Balloon Cath 11Mmx29Mmx135Cm Viabahn Bx,14858.25,5794.72,,,0
CDM,SUP80820,Noncdm Charge Record Medical Supplies - Balloon Cath 11Mmx39Mmx135Cm Viabahn Bx,15075.6,5879.48,,,0
CDM,SUP80821,Noncdm Charge Record Medical Supplies - Balloon Cath 11Mmx59Mmx135Cm Viabahn Bx,14713.04,5738.09,,,0
CDM,SUP80822,Noncdm Charge Record Medical Supplies - Balloon Cath 11Mmx79Mmx135Cm Viabahn Bx,15663.17,6108.64,,,0
CDM,SUP80825,Noncdm Charge Record Medical Supplies - Balloon 8Mmx16Mmx59Mmx135Cm Cath Viabahn Bx,13421.19,5234.26,,,0
CDM,SUP80826,Noncdm Charge Record Medical Supplies - Balloon 8Mmx16Mmx79Mmx135Cm Cath Viabahn Bx,15295.23,5965.14,,,0
CDM,SUP8083,Noncdm Charge Record Medical Supplies - Wafer Ost 2.25In N Img Blu 2 Pc Ctf Flxtnd,1.03,0.4,,,0
CDM,SUP80858,Noncdm Charge Record Medical Supplies - Kit Transjugular Liver Access Rosch-Uchida Cook,2399.13,935.66,,,0
CDM,SUP80883_272,Noncdm Charge Record Medical Supplies - Gauze Packing Vaginal X-Ray D Detect 4X36In Strl 100,13.46,5.25,,,0
CDM,SUP80883_A4649_272,Noncdm Charge Record Medical Supplies - Gauze Packing Vaginal X-Ray D Detect 4X36In Strl 100,13.46,5.25,,,0
CDM,SUP809_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 13Cm 5Mm Std Ss Pncl,56.92,22.2,,,0
CDM,SUP809_A4649_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 13Cm 5Mm Std Ss Pncl,56.92,22.2,,,0
CDM,SUP81054,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 4Fr 4Mmx20Mm 80Cm,1473.15,574.53,,,0
CDM,SUP81055,Noncdm Charge Record Medical Supplies - Catheter Drain 14Fr 40Cm Mclc 038In 40Cm 32Sh,458.5,178.82,,,0
CDM,SUP81056,Noncdm Charge Record Medical Supplies - Catheter Angio A-2 125Cm 2 Side Holes,45.57,17.77,,,0
CDM,SUP81127_272,Noncdm Charge Record Medical Supplies - Kit Foley Catheter 16Fr 5Cc Bardex With Urimeter Bard Medica,67.28,26.24,,,0
CDM,SUP81127_A4649_272,Noncdm Charge Record Medical Supplies - Kit Foley Catheter 16Fr 5Cc Bardex With Urimeter Bard Medica,67.28,26.24,,,0
CDM,SUP81132,Noncdm Charge Record Medical Supplies - Adaptor Co2 Non-Intubated,45.54,17.76,,,0
CDM,SUP81140,Noncdm Charge Record Medical Supplies - Bandage Elastoplast 4 I,26.91,10.49,,,0
CDM,SUP81147_270,Noncdm Charge Record Medical Supplies - See 101877 Chloraprep Tint 10.5,36.22,14.13,,,0
CDM,SUP81147_A4649_270,Noncdm Charge Record Medical Supplies - See 101877 Chloraprep Tint 10.5,36.22,14.13,,,0
CDM,SUP81152,Noncdm Charge Record Medical Supplies,317.74,123.92,,,0
CDM,SUP81179,Noncdm Charge Record Medical Supplies - Primary Iv Baxter Gravity,19.59,7.64,,,0
CDM,SUP81194_272,Noncdm Charge Record Medical Supplies - Stopcock 50-Bx M3Rrc,7.24,2.82,,,0
CDM,SUP81194_A4649_272,Noncdm Charge Record Medical Supplies - Stopcock 50-Bx M3Rrc,7.24,2.82,,,0
CDM,SUP812,Noncdm Charge Record Medical Supplies - Trap Mcs Lukens 20Ml 6.25In 6. 25In Plastic,16.56,6.46,,,0
CDM,SUP81203,Noncdm Charge Record Medical Supplies - Baxter Secondary Iv 2C746,8.14,3.17,,,0
CDM,SUP81213_270,Noncdm Charge Record Medical Supplies,55.89,21.8,,,0
CDM,SUP81213_A4649_270,Noncdm Charge Record Medical Supplies,55.89,21.8,,,0
CDM,SUP81216,Noncdm Charge Record Medical Supplies - Ancor Sut Swivelock 8Mm 19.5Mm Bcmps Tenodesis,2685.82,1047.47,,,0
CDM,SUP81217,Noncdm Charge Record Medical Supplies - Anchor Suture 5.5Mmx14.7Mm Biocomposite Corkscrew Two #2Fibe,1799.72,701.89,,,0
CDM,SUP81222,Noncdm Charge Record Medical Supplies - See 120031 Dressing Aquacel 8X7In Sacral Foam Adh,35.19,13.72,,,0
CDM,SUP8123,Noncdm Charge Record Medical Supplies - Blade Shaver 2.9Mm 22Cm Skmr Ang Tip,3130.88,1221.04,,,0
CDM,SUP81231,Noncdm Charge Record Medical Supplies - Catheter Drain 16Fr 25Cm 6 Sdprt Mp Radiopq,398.6,155.45,,,0
CDM,SUP81232,Noncdm Charge Record Medical Supplies - Head Bipolar 44Mm 28Mm Slfcntr Fem Hip,4071.69,1587.96,,,0
CDM,SUP81236,Noncdm Charge Record Medical Supplies - See 126209 Punch Biopsy Disp,9.32,3.63,,,0
CDM,SUP81238,Noncdm Charge Record Medical Supplies - Device Cncptv Nexplanon,5280.57,2059.42,,,0
CDM,SUP81287_272,Noncdm Charge Record Medical Supplies - Pack Ortho Quackenbush Medline,586.81,228.86,,,0
CDM,SUP81287_A4649_272,Noncdm Charge Record Medical Supplies - Pack Ortho Quackenbush Medline,586.84,228.87,,,0
CDM,SUP81287_A9999_272,Noncdm Charge Record Medical Supplies - Pack Ortho Quackenbush Medline,586.84,228.87,,,0
CDM,SUP81305_272,Noncdm Charge Record Medical Supplies - Mepilex Border Post-Op Ag 4X6,106.23,41.43,,,0
CDM,SUP81305_A4649_272,Noncdm Charge Record Medical Supplies - Mepilex Border Post-Op Ag 4X6,106.6,41.57,,,0
CDM,SUP81305_A9999_272,Noncdm Charge Record Medical Supplies - Mepilex Border Post-Op Ag 4X6,106.6,41.57,,,0
CDM,SUP81306_272,Noncdm Charge Record Medical Supplies - Mepilex Border Post-Op Ag 4X8,125.38,48.9,,,0
CDM,SUP81306_A4649_272,Noncdm Charge Record Medical Supplies,122.13,47.63,,,0
CDM,SUP81306_A9999_272,Noncdm Charge Record Medical Supplies - Mepilex Border Post-Op Ag 4X8,122.13,47.63,,,0
CDM,SUP81307_272,Noncdm Charge Record Medical Supplies - Mepilex Border Post-Op Ag 4X10,131.28,51.2,,,0
CDM,SUP81307_A4649_272,Noncdm Charge Record Medical Supplies - Mepilex Border Post-Op Ag 4X10,129.89,50.66,,,0
CDM,SUP81308_272,Noncdm Charge Record Medical Supplies - Mepilex Border Post-Op Ag 4X12,150.95,58.87,,,0
CDM,SUP81308_A4649_272,Noncdm Charge Record Medical Supplies - Mepilex Border Post-Op Ag 4X12,151.11,58.93,,,0
CDM,SUP8131,Noncdm Charge Record Medical Supplies - Rod Spnl 50Mm 6Mm Xia 3 Ti,940.26,366.7,,,0
CDM,SUP81353,Noncdm Charge Record Medical Supplies - Crosslink Solera Ti 30Mm,2685.82,1047.47,,,0
CDM,SUP81354,Noncdm Charge Record Medical Supplies - Crosslink Solera Ti 32Mm,2685.82,1047.47,,,0
CDM,SUP8137,Noncdm Charge Record Medical Supplies - Screw Bn 4.6Mm 16Mm Occ Cerv,671.72,261.97,,,0
CDM,SUP8139,Noncdm Charge Record Medical Supplies - Cage Spnl 13Mm 15D Med,21750.52,8482.7,,,0
CDM,SUP814,Noncdm Charge Record Medical Supplies - Kit Peg 20Fr Push Meth Mic,467.82,182.45,,,0
CDM,SUP8141,Noncdm Charge Record Medical Supplies - Screw Bn 30Mm Independ Spnl Va,1552.5,605.48,,,0
CDM,SUP8143,Noncdm Charge Record Medical Supplies - Screw Bn 25Mm Independ Spnl,1552.41,605.44,,,0
CDM,SUP8144,Noncdm Charge Record Medical Supplies - Screw Bn 5.5Mm 25Mm Independ,1552.43,605.45,,,0
CDM,SUP81447,Noncdm Charge Record Medical Supplies - See 139618 Tray C Section Latex Free Dy,370.54,144.51,,,0
CDM,SUP81449_270,Noncdm Charge Record Medical Supplies - Stockinette 6 Sterile,17.6,6.86,,,0
CDM,SUP81449_A4649_270,Noncdm Charge Record Medical Supplies - Stockinette 6 Sterile,17.6,6.86,,,0
CDM,SUP81449_A9999_270,Noncdm Charge Record Medical Supplies - Stockinette 6 Sterile,17.6,6.86,,,0
CDM,SUP81460,Noncdm Charge Record Medical Supplies - Inst Suct Conmed Frazier Sof T,25.88,10.09,,,0
CDM,SUP81465,Noncdm Charge Record Medical Supplies - Graft Hemashield Gold Vascular,3866.76,1508.04,,,0
CDM,SUP81466_272,Noncdm Charge Record Medical Supplies - See 89151 Blade Surgical Clipper Blade,67.26,26.23,,,0
CDM,SUP81466_A4649_272,Noncdm Charge Record Medical Supplies - See 89151 Blade Surgical Clipper Blade,67.28,26.24,,,0
CDM,SUP81466_A9999_272,Noncdm Charge Record Medical Supplies - See 89151 Blade Surgical Clipper Blade,67.28,26.24,,,0
CDM,SUP81472,Noncdm Charge Record Medical Supplies - Tubing Arthroscopy Bx-8 C712,25.88,10.09,,,0
CDM,SUP81478,Noncdm Charge Record Medical Supplies - Cath 6Fr Whistle Tip 136406,31.05,12.11,,,0
CDM,SUP81484,Noncdm Charge Record Medical Supplies - Inahara Pruitt Corotid Shunt,5066.32,1975.86,,,0
CDM,SUP81487,Noncdm Charge Record Medical Supplies - Set Interpulse Hdpce W Tip-Suc,188.17,73.39,,,0
CDM,SUP81490,Noncdm Charge Record Medical Supplies,279.45,108.99,,,0
CDM,SUP81495,Noncdm Charge Record Medical Supplies - Basket Ngage 2.2Fx115Cmx8Mm Cook Medical,1187.44,463.1,,,0
CDM,SUP81496,Noncdm Charge Record Medical Supplies - Basket Captura 3.2Fx3Fx115Cm Cook Medical,773.14,301.52,,,0
CDM,SUP815,Noncdm Charge Record Medical Supplies - Tube Feeding Mic Gj Endoscopic-Radiologic 22Fr Silicone Ball,1171.62,456.93,,,0
CDM,SUP81502,Noncdm Charge Record Medical Supplies - Cath Groshong Dome Port Single,1424.16,555.42,,,0
CDM,SUP81506,Noncdm Charge Record Medical Supplies - Resection New Tuip Knife 24Fr,107.64,41.98,,,0
CDM,SUP81510_272,Noncdm Charge Record Medical Supplies - L Hooks Mega Tip 0620,228.7,89.19,,,0
CDM,SUP81510_A4649_272,Noncdm Charge Record Medical Supplies - L Hooks Mega Tip 0620,228.74,89.21,,,0
CDM,SUP81519,Noncdm Charge Record Medical Supplies - Dressing Arglaes 3.5 X 6,90.04,35.12,,,0
CDM,SUP81525_270,Noncdm Charge Record Medical Supplies - See 2905 Bandage Esmark 4 Inch,10.35,4.04,,,0
CDM,SUP81525_A4649_270,Noncdm Charge Record Medical Supplies - See 2905 Bandage Esmark 4 Inch,10.35,4.04,,,0
CDM,SUP81526_270,Noncdm Charge Record Medical Supplies - See 8831 Bandage Esmark 6 Inch,12.42,4.84,,,0
CDM,SUP81526_A9999_270,Noncdm Charge Record Medical Supplies - See 8831 Bandage Esmark 6 Inch,12.42,4.84,,,0
CDM,SUP81529,Noncdm Charge Record Medical Supplies - See 20066 Blade Dermatome,22.91,8.93,,,0
CDM,SUP81530_272,Noncdm Charge Record Medical Supplies - Pack Shoulder Arthroscopy D,158.35,61.76,,,0
CDM,SUP81530_A9999_272,Noncdm Charge Record Medical Supplies - Pack Shoulder Arthroscopy D,158.35,61.76,,,0
CDM,SUP81531_272,Noncdm Charge Record Medical Supplies - Evacuator Bladder Ellik Steril,10.35,4.04,,,0
CDM,SUP81531_A9999_272,Noncdm Charge Record Medical Supplies - Evacuator Bladder Ellik Steril,10.35,4.04,,,0
CDM,SUP81536_270,Noncdm Charge Record Medical Supplies - Splint Denver Large Series 15,301.3,117.51,,,0
CDM,SUP81536_A4649_270,Noncdm Charge Record Medical Supplies - Splint Denver Large Series 15,301.18,117.46,,,0
CDM,SUP81542,Noncdm Charge Record Medical Supplies - See 6980 Dermacarrier 1.5-1.0 00219501,6.21,2.42,,,0
CDM,SUP81555_272,Noncdm Charge Record Medical Supplies - Blade Long Medium Aggresive,162.65,63.43,,,0
CDM,SUP81555_A4649_272,Noncdm Charge Record Medical Supplies - Blade Long Medium Aggresive,168.7,65.79,,,0
CDM,SUP8156,Noncdm Charge Record Medical Supplies - Cage Spnl 15Mm 15D Lumb,21750.52,8482.7,,,0
CDM,SUP81570,Noncdm Charge Record Medical Supplies - Blade 3.5 M4 Rot Cur Rad 90,1866.45,727.92,,,0
CDM,SUP81578,Noncdm Charge Record Medical Supplies - Trocar 5.5Mm With Gas,17.6,6.86,,,0
CDM,SUP8158,Noncdm Charge Record Medical Supplies - Bone Semitendinosus 4Mmx260Mm,4572.63,1783.33,,,0
CDM,SUP81582,Noncdm Charge Record Medical Supplies - Needle Eye French Spring,17.6,6.86,,,0
CDM,SUP81593,Noncdm Charge Record Medical Supplies - Mesh Composite Parietex 25X20,3901.54,1521.6,,,0
CDM,SUP81597,Noncdm Charge Record Medical Supplies - Blade Long Narrow 29.5 X 7,153.18,59.74,,,0
CDM,SUP81608,Noncdm Charge Record Medical Supplies - Transpec,196.19,76.51,,,0
CDM,SUP81611,Noncdm Charge Record Medical Supplies - Knife 45 Ophthalmic Slit 2.65,16.56,6.46,,,0
CDM,SUP81612,Noncdm Charge Record Medical Supplies - Trocar Bladeless 15Mm Long,141.79,55.3,,,0
CDM,SUP81617,Noncdm Charge Record Medical Supplies,78.66,30.68,,,0
CDM,SUP81623,Noncdm Charge Record Medical Supplies - Optifoam Silver Antimicrobial,111.78,43.59,,,0
CDM,SUP81624,Noncdm Charge Record Medical Supplies - Set Fluid Transfer,18.63,7.27,,,0
CDM,SUP81625_270,Noncdm Charge Record Medical Supplies - Splint Nasal 3 X 3 Blush,30.02,11.71,,,0
CDM,SUP81625_A9999_270,Noncdm Charge Record Medical Supplies - Splint Nasal 3 X 3 Blush,30.02,11.71,,,0
CDM,SUP81627,Noncdm Charge Record Medical Supplies - L Hook Long 04-60Sxb,102.46,39.96,,,0
CDM,SUP81628,Noncdm Charge Record Medical Supplies - See 97188 Tri Stapler Rotic Black 60,244.78,95.46,,,0
CDM,SUP81630,Noncdm Charge Record Medical Supplies,1023.1,399.01,,,0
CDM,SUP81638_270,Noncdm Charge Record Medical Supplies - Abduction Shoulder Large,343.62,134.01,,,0
CDM,SUP81638_A9999_270,Noncdm Charge Record Medical Supplies - Abduction Shoulder Large,343.62,134.01,,,0
CDM,SUP81643,Noncdm Charge Record Medical Supplies,18.63,7.27,,,0
CDM,SUP81645,Noncdm Charge Record Medical Supplies - Cement Bone Full Dose,163.93,63.93,,,0
CDM,SUP81648,Noncdm Charge Record Medical Supplies - Suture Gortex Cv-5 36In,105.72,41.23,,,0
CDM,SUP81649,Noncdm Charge Record Medical Supplies - Suture Gortex Cv-6 36In,133.0,51.87,,,0
CDM,SUP81650_270,Noncdm Charge Record Medical Supplies - Tourniquet 34In Sterile Disp,154.65,60.31,,,0
CDM,SUP81650_A9999_270,Noncdm Charge Record Medical Supplies - Tourniquet 34In Sterile Disp,174.92,68.22,,,0
CDM,SUP81651,Noncdm Charge Record Medical Supplies - Tourniquet 42In Sterile Disp,159.39,62.16,,,0
CDM,SUP81653,Noncdm Charge Record Medical Supplies - Tourniquet 12In Sterile Disp,125.24,48.84,,,0
CDM,SUP81654_270,Noncdm Charge Record Medical Supplies - Tourniquet 18In Sterile Disp,118.53,46.23,,,0
CDM,SUP81654_A4649_270,Noncdm Charge Record Medical Supplies - Tourniquet 18In Sterile Disp,112.82,44.0,,,0
CDM,SUP81654_A9999_270,Noncdm Charge Record Medical Supplies - Tourniquet 18In Sterile Disp,112.82,44.0,,,0
CDM,SUP81655_270,Noncdm Charge Record Medical Supplies - Tourniquet 24In Sterile Disp,149.04,58.13,,,0
CDM,SUP81655_A4649_270,Noncdm Charge Record Medical Supplies - Tourniquet 24In Sterile Disp,149.04,58.13,,,0
CDM,SUP81655_A9999_270,Noncdm Charge Record Medical Supplies - Tourniquet 24In Sterile Disp,149.04,58.13,,,0
CDM,SUP81656,Noncdm Charge Record Medical Supplies - Tourniquet 24In Dbl Bladder,230.18,89.77,,,0
CDM,SUP81664,Noncdm Charge Record Medical Supplies - Visigi,1091.65,425.74,,,0
CDM,SUP81668,Noncdm Charge Record Medical Supplies - Capsure Fixation Permanent,3028.41,1181.08,,,0
CDM,SUP81671,Noncdm Charge Record Medical Supplies - Suture Vicryl 0 27Inch Ctb-1 Blunt Point Taper Violet Ethico,9.66,3.77,,,0
CDM,SUP81672,Noncdm Charge Record Medical Supplies - Suture Vicryl 0 27Inch Ur-4 Taper Violet Ethicon,9.32,3.63,,,0
CDM,SUP81675,Noncdm Charge Record Medical Supplies - Suture 3-0 Monocryl Y931H,100.6,39.23,,,0
CDM,SUP81676,Noncdm Charge Record Medical Supplies - Kit Kumar Cholangio,180.09,70.24,,,0
CDM,SUP81678,Noncdm Charge Record Medical Supplies - Tube Trach Fomecuf 8.0,62.1,24.22,,,0
CDM,SUP81684,Noncdm Charge Record Medical Supplies - Suture 4-0 18 Silk Blk Br G-3,57.96,22.6,,,0
CDM,SUP81686,Noncdm Charge Record Medical Supplies - Kit Abdominal Wound Vac,2342.15,913.44,,,0
CDM,SUP81688,Noncdm Charge Record Medical Supplies - Suture 2-0 Black Nurolon 8In,67.28,26.24,,,0
CDM,SUP81689_272,Noncdm Charge Record Medical Supplies - T A Wand Evac 70,1199.56,467.83,,,0
CDM,SUP81689_A4649_272,Noncdm Charge Record Medical Supplies - T A Wand Evac 70,1199.56,467.83,,,0
CDM,SUP81689_A9999_272,Noncdm Charge Record Medical Supplies - T A Wand Evac 70,1199.56,467.83,,,0
CDM,SUP81690,Noncdm Charge Record Medical Supplies - Cath Quinton Dialysis,2422.94,944.95,,,0
CDM,SUP817,Noncdm Charge Record Medical Supplies,44.5,17.36,,,0
CDM,SUP8174,Noncdm Charge Record Medical Supplies,4409.1,1719.55,,,0
CDM,SUP81746_272,Noncdm Charge Record Medical Supplies - Powder Surgicel 3.0 Gm Ethicon,799.04,311.63,,,0
CDM,SUP81746_A4649_272,Noncdm Charge Record Medical Supplies - Powder Surgicel 3.0 Gm Ethicon,786.6,306.77,,,0
CDM,SUP81746_A9999_272,Noncdm Charge Record Medical Supplies - Powder Surgicel 3.0 Gm Ethicon,806.61,314.58,,,0
CDM,SUP81879_272,Noncdm Charge Record Medical Supplies - Supramid Extra Ii 4-0 Looped Cable Hea-40,173.56,67.69,,,0
CDM,SUP81879_A4649_272,Noncdm Charge Record Medical Supplies - Supramid Extra Ii 4-0 Looped Cable Hea-40,173.88,67.81,,,0
CDM,SUP81879_A9999_272,Noncdm Charge Record Medical Supplies - Supramid Extra Ii 4-0 Looped Cable Hea-40,171.81,67.01,,,0
CDM,SUP81893,Noncdm Charge Record Medical Supplies,9515.79,3711.16,,,0
CDM,SUP81935_272,Noncdm Charge Record Medical Supplies - Kit Surgiflo With Thrombin 8Ml Ethicon,817.42,318.79,,,0
CDM,SUP81935_A4649_272,Noncdm Charge Record Medical Supplies - Kit Surgiflo With Thrombin 8Ml Ethicon,801.61,312.63,,,0
CDM,SUP81935_A9999_272,Noncdm Charge Record Medical Supplies - Kit Surgiflo With Thrombin 8Ml Ethicon,817.65,318.88,,,0
CDM,SUP81972,Noncdm Charge Record Medical Supplies - System Eustachian Dilation,4105.55,1601.16,,,0
CDM,SUP81974_272,Noncdm Charge Record Medical Supplies - Wire Zipwire 0.035Inx150Cm Straight Boston Scientific,255.64,99.7,,,0
CDM,SUP81974_C1769_272,Noncdm Charge Record Medical Supplies - Wire Zipwire 0.035Inx150Cm Straight Boston Scientific,255.64,99.7,,,0
CDM,SUP81975,Noncdm Charge Record Medical Supplies - Instrument Disposable 18Gax20Cm Monopty Core Biopsy Bard,108.68,42.39,,,0
CDM,SUP82025,Noncdm Charge Record Medical Supplies,171.81,67.01,,,0
CDM,SUP82054_272,Noncdm Charge Record Medical Supplies - See 10982 Kit Cannister Rgd 1000Cc Elb Tub Tonnect,7.26,2.83,,,0
CDM,SUP82054_A4649_272,Noncdm Charge Record Medical Supplies - See 10982 Kit Cannister Rgd 1000Cc Elb Tub Tonnect,7.24,2.82,,,0
CDM,SUP82054_A9999_272,Noncdm Charge Record Medical Supplies - See 10982 Kit Cannister Rgd 1000Cc Elb Tub Tonnect,7.24,2.82,,,0
CDM,SUP82055_270,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP82055_A4649_270,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP82055_A9999_270,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP82057,Noncdm Charge Record Medical Supplies,122.13,47.63,,,0
CDM,SUP82058,Noncdm Charge Record Medical Supplies - Needle Bx Temno Orng 18Gx15Cm,159.39,62.16,,,0
CDM,SUP82059,Noncdm Charge Record Medical Supplies - Needle Bx Bone Jamishidi 11Gx4,120.01,46.8,,,0
CDM,SUP82060,Noncdm Charge Record Medical Supplies,78.66,30.68,,,0
CDM,SUP82062,Noncdm Charge Record Medical Supplies - Needle Bx Chiba 18G 15Cm Echtp,73.48,28.66,,,0
CDM,SUP82063,Noncdm Charge Record Medical Supplies - Needle Bx Chiba 18G 20Cm Echtp,73.48,28.66,,,0
CDM,SUP82065,Noncdm Charge Record Medical Supplies - Intro Ndl Coax 17Gx6.8Cm,171.81,67.01,,,0
CDM,SUP82068,Noncdm Charge Record Medical Supplies - Needle Perc Thnwl 18Ga 5Cm,15.52,6.05,,,0
CDM,SUP82071,Noncdm Charge Record Medical Supplies - Catheter Drain Sktr 8F 25Cml Sgl Step,464.97,181.34,,,0
CDM,SUP82072_270,Noncdm Charge Record Medical Supplies,16.57,6.46,,,0
CDM,SUP82072_A4649_270,Noncdm Charge Record Medical Supplies,16.56,6.46,,,0
CDM,SUP82072_A9999_270,Noncdm Charge Record Medical Supplies,16.56,6.46,,,0
CDM,SUP82073,Noncdm Charge Record Medical Supplies - Holder Limb Qrkse Qltd Xl Reuse,47.61,18.57,,,0
CDM,SUP82081,Noncdm Charge Record Medical Supplies - Catheter Duo Splt 13F 24Cm Short Term,347.76,135.63,,,0
CDM,SUP82083_270,Noncdm Charge Record Medical Supplies - Leadwire Univ Din To Pinch Disp 5Lead 50In,61.06,23.81,,,0
CDM,SUP82083_A4649_270,Noncdm Charge Record Medical Supplies - Leadwire Univ Din To Pinch Disp 5Lead 50In,61.06,23.81,,,0
CDM,SUP82083_A9999_270,Noncdm Charge Record Medical Supplies - Leadwire Univ Din To Pinch Disp 5Lead 50In,61.06,23.81,,,0
CDM,SUP82089,Noncdm Charge Record Medical Supplies - Catheter Angio Nbrd Kmp 5F.038In 40Cml,75.11,29.29,,,0
CDM,SUP82097,Noncdm Charge Record Medical Supplies - Catheter Vscr 5F .035 65Cm Hnbr 503565 P Ns Rim,102.75,40.07,,,0
CDM,SUP82098,Noncdm Charge Record Medical Supplies - Catheter Crbrl Kmp Ns 5F 100Cm .038In,108.16,42.18,,,0
CDM,SUP821,Noncdm Charge Record Medical Supplies - Tubing Irr Lvl 1 Nrmth 2 Spk Post Srg Chamber,212.18,82.75,,,0
CDM,SUP82101,Noncdm Charge Record Medical Supplies - Catheter Vert 5F .038 125Cm,97.34,37.96,,,0
CDM,SUP82102,Noncdm Charge Record Medical Supplies - Catheter Vscr 5Fr .038 65Cm Hnbr 503865 P Ns Rlg,96.26,37.54,,,0
CDM,SUP82112,Noncdm Charge Record Medical Supplies - Catheter Mic Duo .016In 156Cm Hydrophil,3690.65,1439.35,,,0
CDM,SUP82115,Noncdm Charge Record Medical Supplies - Cath Angio Spr 4F .038 100Cm Trq Hydro Ct At,238.05,92.84,,,0
CDM,SUP82117,Noncdm Charge Record Medical Supplies - Kit Dil Vasc 6Fr 8Fr 10Fr 14Fr,188.37,73.46,,,0
CDM,SUP82118,Noncdm Charge Record Medical Supplies - Intro Sheath 7F .035In 5.5Cm,106.75,41.63,,,0
CDM,SUP82119,Noncdm Charge Record Medical Supplies - Dil Vsl Wire .035 15Cm 4Fr,49.68,19.38,,,0
CDM,SUP82121,Noncdm Charge Record Medical Supplies - Dil Radiopq Jcd 10F.038In 20Cm Hc,54.86,21.4,,,0
CDM,SUP82122,Noncdm Charge Record Medical Supplies - Dil Radiopq Jcd 12F.038In 20Cm Hc,54.86,21.4,,,0
CDM,SUP82123,Noncdm Charge Record Medical Supplies - Dil Radiopq Jcd 7.F.038In 20Cm,54.86,21.4,,,0
CDM,SUP82125,Noncdm Charge Record Medical Supplies - Intro Set Mpnch Sst 4Fr 10Cm,136.62,53.28,,,0
CDM,SUP82126_C1887_272,Noncdm Charge Record Medical Supplies - Intro Set Mpnch Sst 4Fr 10Cm,163.74,63.86,,,0
CDM,SUP82126_C1894_272,Noncdm Charge Record Medical Supplies - Intro Set Mpnch Sst 4Fr 10Cm,154.22,60.15,,,0
CDM,SUP82127_C1887_272,Noncdm Charge Record Medical Supplies - Intro Vasc Ndl 4Fr 10Cm 21Ga,243.32,94.89,,,0
CDM,SUP82127_C1894_272,Noncdm Charge Record Medical Supplies - Intro Vasc Ndl 4Fr 10Cm 21Ga,236.18,92.11,,,0
CDM,SUP8212_272,Noncdm Charge Record Medical Supplies - Drape Sale Mitchell Medline,211.24,82.38,,,0
CDM,SUP8212_A4649_272,Noncdm Charge Record Medical Supplies - Drape Sale Mitchell Medline,211.14,82.34,,,0
CDM,SUP8212_A9999_272,Noncdm Charge Record Medical Supplies - Drape Sale Mitchell Medline,211.14,82.34,,,0
CDM,SUP82131,Noncdm Charge Record Medical Supplies - Catheter Del Lng Sheath 80X4Cm Strt Tip 6Fr,2227.32,868.65,,,0
CDM,SUP82134,Noncdm Charge Record Medical Supplies - Intro Sheath W Hemo 7Fr 50Cm,43.99,17.16,,,0
CDM,SUP82135,Noncdm Charge Record Medical Supplies - Intro Sheath Pncl W Gw 6Fx10Cm,126.4,49.3,,,0
CDM,SUP82136,Noncdm Charge Record Medical Supplies - Whisper Wire 190Cm,440.8,171.91,,,0
CDM,SUP82142,Noncdm Charge Record Medical Supplies - Wireg Cope Mdrl 0.018In 60Cm,170.78,66.6,,,0
CDM,SUP82143,Noncdm Charge Record Medical Supplies - Wireg Fxcr Ptfe J .035In 50Cm,60.03,23.41,,,0
CDM,SUP82144,Noncdm Charge Record Medical Supplies - Wireg Aes Tfln Strt .035X260Cm,126.27,49.25,,,0
CDM,SUP82147,Noncdm Charge Record Medical Supplies - Wireg Cope Mdrl 0.018In 60Cm,184.23,71.85,,,0
CDM,SUP82150,Noncdm Charge Record Medical Supplies - Wireg Bntsn Fxcr .035In 260Cm,108.68,42.39,,,0
CDM,SUP82155,Noncdm Charge Record Medical Supplies - Guidewire Inqwire J 0.035Inx21Ocm,48.68,18.99,,,0
CDM,SUP82157,Noncdm Charge Record Medical Supplies - Advantage Wire .035-260Cm,919.92,358.77,,,0
CDM,SUP82158,Noncdm Charge Record Medical Supplies - Wireg Adv Stiff .035 180Cm,839.81,327.53,,,0
CDM,SUP82159,Noncdm Charge Record Medical Supplies - Wireg Adv Stiff .018 300Cm,1110.69,433.17,,,0
CDM,SUP82162,Noncdm Charge Record Medical Supplies - Catheter Angio 7F 16Mmx4Cm,3292.34,1284.01,,,0
CDM,SUP82168,Noncdm Charge Record Medical Supplies - Catheter Balloon .035In 7F 9Mm 4Mm 75Cm,1296.86,505.78,,,0
CDM,SUP82171,Noncdm Charge Record Medical Supplies,1713.96,668.44,,,0
CDM,SUP82174,Noncdm Charge Record Medical Supplies - Catheter Balloon 7X80Mmx135Cm Evercross Pta,416.07,162.27,,,0
CDM,SUP82183,Noncdm Charge Record Medical Supplies - Stent Viabahn Hep 8X5X120,14500.69,5655.27,,,0
CDM,SUP82188,Noncdm Charge Record Medical Supplies - Filter Vena Cava Uni Igtcfs 65-1-Jug-Celect-Pt,5980.23,2332.29,,,0
CDM,SUP82189,Noncdm Charge Record Medical Supplies - Filter Vena Cava Uni Igtcfs 65-1-Fem-Celect-Pt,5980.23,2332.29,,,0
CDM,SUP8219,Noncdm Charge Record Medical Supplies - Ring Annulop 32Mm Phys 2,11725.52,4572.95,,,0
CDM,SUP82197,Noncdm Charge Record Medical Supplies - Catheter Embol Thrlmn 4F 40Cm,476.1,185.68,,,0
CDM,SUP82198,Noncdm Charge Record Medical Supplies - Catheter Embol Thrlmn 5F 40Cm,433.66,169.13,,,0
CDM,SUP82202,Noncdm Charge Record Medical Supplies - See 82462 Cable Pacing For Temp Pacing 6,87.98,34.31,,,0
CDM,SUP82205,Noncdm Charge Record Medical Supplies - Kit Centrl Vn Cath Trpl Lum 7F 16Cm,529.92,206.67,,,0
CDM,SUP82210,Noncdm Charge Record Medical Supplies - Stopcock 3Way M Ll Plastic High Press Rt Arm,20.53,8.01,,,0
CDM,SUP82211,Noncdm Charge Record Medical Supplies - Stopcock Lg Bore Hf-Ptwsc-2Fll-Mll-R-Lp,25.88,10.09,,,0
CDM,SUP82219_270,Noncdm Charge Record Medical Supplies - See 914 Support Wrst Pstn Radial Acc Strl,33.12,12.92,,,0
CDM,SUP82219_A4649_270,Noncdm Charge Record Medical Supplies - See 914 Support Wrst Pstn Radial Acc Strl,33.12,12.92,,,0
CDM,SUP82219_A9999_270,Noncdm Charge Record Medical Supplies - See 914 Support Wrst Pstn Radial Acc Strl,33.12,12.92,,,0
CDM,SUP82227,Noncdm Charge Record Medical Supplies - See 159867 Kit Cath Ins Fo 8F 50Cc 2 Iab Devices,3935.07,1534.68,,,0
CDM,SUP82229,Noncdm Charge Record Medical Supplies - Syringe Infl Basix Compak 20Cc,238.57,93.04,,,0
CDM,SUP82231,Noncdm Charge Record Medical Supplies - Gwire Fix Sstf Strt 0.035In 80,100.56,39.22,,,0
CDM,SUP82233,Noncdm Charge Record Medical Supplies - Bag Wst Angio W Vent Spike-Dual Valve,36.22,14.13,,,0
CDM,SUP82236_272,Noncdm Charge Record Medical Supplies - See 95839 Pack Cust Pacemaker Amc,392.26,152.98,,,0
CDM,SUP82236_A9999_272,Noncdm Charge Record Medical Supplies - See 95839 Pack Cust Pacemaker Amc,392.26,152.98,,,0
CDM,SUP82238,Noncdm Charge Record Medical Supplies - Kit Indeflator Cust Amc,214.24,83.55,,,0
CDM,SUP82244,Noncdm Charge Record Medical Supplies,544.75,212.45,,,0
CDM,SUP82247,Noncdm Charge Record Medical Supplies - Implant Port Isp Sgl Lum 8F Sut Plug Chrnflx,1557.68,607.5,,,0
CDM,SUP82249,Noncdm Charge Record Medical Supplies - Stent Balloon Artium 7Mmx38Mmx80Cm Covered Icast Atrium Medi,11911.82,4645.61,,,0
CDM,SUP82251,Noncdm Charge Record Medical Supplies - Bandage Hemo Qck Clt .5X1.5X.5 Wo Slit,157.37,61.37,,,0
CDM,SUP82252,Noncdm Charge Record Medical Supplies - See 84924 Catheter Drn Lck Pgtl 10F 30Cm,353.97,138.05,,,0
CDM,SUP82254,Noncdm Charge Record Medical Supplies - Needle Cath Yueh Xt 4F 20G,95.22,37.14,,,0
CDM,SUP82260,Noncdm Charge Record Medical Supplies - Cath Electrophy Octa 6F 110Cm Crve,2535.23,988.74,,,0
CDM,SUP82265,Noncdm Charge Record Medical Supplies - Needle Cath Yueh 20Xt 4F 10Cm,95.22,37.14,,,0
CDM,SUP82266,Noncdm Charge Record Medical Supplies,5793.93,2259.63,,,0
CDM,SUP82281,Noncdm Charge Record Medical Supplies - Catheter Fx Rev 6-24F,71.26,27.79,,,0
CDM,SUP82299,Noncdm Charge Record Medical Supplies - Catheter Angio Multipurpose A A2 Soft Tp 6Fr 100Cm,41.4,16.15,,,0
CDM,SUP82300,Noncdm Charge Record Medical Supplies - Catheter Angio Nonbraided Kum Mpe 5F .035 25Cm,342.58,133.61,,,0
CDM,SUP82303,Noncdm Charge Record Medical Supplies - Catheter Angio Sos Omni 2 Non N Brd 5F .035 Oh 80Cm,83.84,32.7,,,0
CDM,SUP82305,Noncdm Charge Record Medical Supplies - Catheter Angiographic Hnbr4.0 0-35-100-P-Ns-Kmp,68.31,26.64,,,0
CDM,SUP8232,Noncdm Charge Record Medical Supplies - Baseplate Tib Trthln 5 Univ Knee Total Stab,10106.78,3941.64,,,0
CDM,SUP82343,Noncdm Charge Record Medical Supplies,1101.24,429.48,,,0
CDM,SUP82344,Noncdm Charge Record Medical Supplies - Catheter Balloon Dilatn 5.0-4 4.0F 4Mm 20Mm 80Cm,1260.89,491.75,,,0
CDM,SUP82349,Noncdm Charge Record Medical Supplies - Catheter Balloon Evercrss Pta A Otw 7.0X120Mmx135Cm,607.54,236.94,,,0
CDM,SUP82350,Noncdm Charge Record Medical Supplies - Catheter Balloon Inaort Fbrop Pt 7Fr 40Cc 15X258Mm,4316.98,1683.62,,,0
CDM,SUP82351,Noncdm Charge Record Medical Supplies - Catheter Balloon Occlusion Sc Cepter C 4 X 10Mm,5555.44,2166.62,,,0
CDM,SUP8236,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 3.8-3.4F 135,1169.03,455.92,,,0
CDM,SUP82364,Noncdm Charge Record Medical Supplies - Catheter Cerebral Sim2 Hnbr5. .0-38-125-P-Ns-Sim2,575.46,224.43,,,0
CDM,SUP82367_272,Noncdm Charge Record Medical Supplies - Catheter Coude Tieman Rd Ltx Coated 2-Wy 22Fr 5Cc,50.72,19.78,,,0
CDM,SUP82367_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Coude Tieman Rd Ltx Coated 2-Wy 22Fr 5Cc,50.72,19.78,,,0
CDM,SUP8238,Noncdm Charge Record Medical Supplies - Electrode Defib Adlt,123.07,48.0,,,0
CDM,SUP82382,Noncdm Charge Record Medical Supplies,1224.4,477.52,,,0
CDM,SUP82383,Noncdm Charge Record Medical Supplies - Catheter Dilatation Balloon P Ptca 12.00X40Mmx75Cm,795.92,310.41,,,0
CDM,SUP82384,Noncdm Charge Record Medical Supplies - Catheter Dilation Balloon Mustang Ptca 5.00X40Mmx75Cm,1014.15,395.52,,,0
CDM,SUP82397,Noncdm Charge Record Medical Supplies - Catheter Drainage Skater Sgl Step Neph 8Fx35Cml,63.87,24.91,,,0
CDM,SUP82398,Noncdm Charge Record Medical Supplies,699.66,272.87,,,0
CDM,SUP82399,Noncdm Charge Record Medical Supplies - Catheter Fem Slct Spr Trq Pls S 6F.038 100Cm Ar1Mod,44.99,17.55,,,0
CDM,SUP82404,Noncdm Charge Record Medical Supplies - Catheter Foley 2-Way Coude Latex 22Fr 30Cc Bard Medical,66.24,25.83,,,0
CDM,SUP82412,Noncdm Charge Record Medical Supplies - Catheter Infusion Valved 10Cm M Inf L 5F .038 135Cm,416.07,162.27,,,0
CDM,SUP82443,Noncdm Charge Record Medical Supplies,3866.76,1508.04,,,0
CDM,SUP82515,Noncdm Charge Record Medical Supplies - See 84582 Device Securement Statlock Pi Icc + W-Sliding Post,18.28,7.13,,,0
CDM,SUP82516,Noncdm Charge Record Medical Supplies - Device Securemnt Iv Catheter Ultra Statlock,14.49,5.65,,,0
CDM,SUP82517,Noncdm Charge Record Medical Supplies - Device Vascular Angioseal Vip P Closure 8Fr,1361.15,530.85,,,0
CDM,SUP82538,Noncdm Charge Record Medical Supplies - Introducer Cath Shth 12F .038 8 13Cm W-O Guide Wire,328.35,128.06,,,0
CDM,SUP82541,Noncdm Charge Record Medical Supplies - Introducer Guiding Transsepta Al Braided Sl1 63Cm,1169.55,456.12,,,0
CDM,SUP82542,Noncdm Charge Record Medical Supplies - See 126626 Introducer Hemostatic Tear-Aw Way 7F 13Cm L,136.62,53.28,,,0
CDM,SUP82543,Noncdm Charge Record Medical Supplies - Introducer Sheath W-Hemo 8Fr Act Diltr 50Cm Gdwre,44.27,17.27,,,0
CDM,SUP82545_272,Noncdm Charge Record Medical Supplies - See 157499 Kit Biopsy Basic W-O Needle,233.91,91.22,,,0
CDM,SUP82545_A4649_272,Noncdm Charge Record Medical Supplies - See 157499 Kit Biopsy Basic W-O Needle,233.91,91.22,,,0
CDM,SUP82545_A9999_272,Noncdm Charge Record Medical Supplies - See 157499 Kit Biopsy Basic W-O Needle,233.91,91.22,,,0
CDM,SUP82566,Noncdm Charge Record Medical Supplies - Stent Ureteral 8.5Fx24Cm Amplatz Cook Medical,752.44,293.45,,,0
CDM,SUP82569,Noncdm Charge Record Medical Supplies - Kit Transjugular Portography Liver Access Ring 9F,2358.76,919.92,,,0
CDM,SUP8258,Noncdm Charge Record Medical Supplies,6494.62,2532.9,,,0
CDM,SUP82599_272,Noncdm Charge Record Medical Supplies - Needle Transseptal Intro 18Ga A 98Cm Brk 1,921.07,359.22,,,0
CDM,SUP82599_A4649_272,Noncdm Charge Record Medical Supplies - Needle Transseptal Intro 18Ga A 98Cm Brk 1,921.15,359.25,,,0
CDM,SUP82599_A9999_272,Noncdm Charge Record Medical Supplies - Needle Transseptal Intro 18Ga A 98Cm Brk 1,921.15,359.25,,,0
CDM,SUP8260,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 46Mm Lcp Ss Prox Med Tib St,552.96,215.65,,,0
CDM,SUP82600,Noncdm Charge Record Medical Supplies - Needle Transseptal Introducr Brk-1 Crv Adult 71Cm,921.15,359.25,,,0
CDM,SUP82604,Noncdm Charge Record Medical Supplies - Sealant Hemostatic Gel W-Thro Ombin,1036.16,404.1,,,0
CDM,SUP82616,Noncdm Charge Record Medical Supplies - Sheath Introducer Nitinol Hyd Dro Coat 5Fr 21G 10Cm,293.94,114.64,,,0
CDM,SUP82627,Noncdm Charge Record Medical Supplies - Sheath Introducr Pinncle Guid Dng Renal Rdc 6F 45Cc,401.58,156.62,,,0
CDM,SUP82629,Noncdm Charge Record Medical Supplies - Snare Intravascular Amplatz 1 15Mm Loop D 120Cm L,1224.4,477.52,,,0
CDM,SUP82631,Noncdm Charge Record Medical Supplies - Stent Balloon Artium 6Mmx38Mmx80Cm Covered Icast Atrium Medi,12446.22,4854.03,,,0
CDM,SUP8274,Noncdm Charge Record Medical Supplies - Sling Intravaginal Solyx Midureth Polypro 1,11056.99,4312.23,,,0
CDM,SUP82743,Noncdm Charge Record Medical Supplies,8700.21,3393.08,,,0
CDM,SUP8280,Noncdm Charge Record Medical Supplies,11229.75,4379.6,,,0
CDM,SUP82806,Noncdm Charge Record Medical Supplies - System Embolic Protecton Nav6 6 .014In 5Mm X 190Cm,7473.74,2914.76,,,0
CDM,SUP82809_272,Noncdm Charge Record Medical Supplies - Tray Paracentesis W-5Fr 16G 1 10Cml One Step Safety,186.25,72.64,,,0
CDM,SUP82809_A9999_272,Noncdm Charge Record Medical Supplies - Tray Paracentesis W-5Fr 16G 1 10Cml One Step Safety,186.3,72.66,,,0
CDM,SUP8281,Noncdm Charge Record Medical Supplies - System Urin Control Pump Inhbzn,90772.6,35401.31,,,0
CDM,SUP82811_272,Noncdm Charge Record Medical Supplies - Tubing Contrast Injectn Hi Pr Res Fix Male Luer 20In,21.74,8.48,,,0
CDM,SUP82811_A4649_272,Noncdm Charge Record Medical Supplies - Tubing Contrast Injectn Hi Pr Res Fix Male Luer 20In,21.74,8.48,,,0
CDM,SUP82811_A9999_272,Noncdm Charge Record Medical Supplies - Tubing Contrast Injectn Hi Pr Res Fix Male Luer 20In,21.74,8.48,,,0
CDM,SUP82816,Noncdm Charge Record Medical Supplies - Wire Guide Bentson Fx Cr Exch Hng .035In 260Cmlstr,59.0,23.01,,,0
CDM,SUP82821,Noncdm Charge Record Medical Supplies - See 79508 Wire Guide Glidewre Gold 2Cm Straight .018In 180Cm,842.49,328.57,,,0
CDM,SUP82826,Noncdm Charge Record Medical Supplies - Wire Guide Stiff Shaft Angled D .035Ind 180Cm L,221.49,86.38,,,0
CDM,SUP82829,Noncdm Charge Record Medical Supplies - Wire Guide Tfl Fx Cr 3Mm J .0 035In 180Cml Hvy Duty,503.01,196.17,,,0
CDM,SUP82843,Noncdm Charge Record Medical Supplies,258.6,100.85,,,0
CDM,SUP82844,Noncdm Charge Record Medical Supplies - Stent Endoprosthesis Viabahn Hep 11Mmdx10Cmx120Cm,15617.12,6090.68,,,0
CDM,SUP82847,Noncdm Charge Record Medical Supplies - Guidewire Vascular Peripheral Angled 0.014Inx300Cm,1169.34,456.04,,,0
CDM,SUP82848,Noncdm Charge Record Medical Supplies - Kit Ureteral Stent Percuflex 8Frx .038Inx 26Cm Boston Scient,500.94,195.37,,,0
CDM,SUP82861,Noncdm Charge Record Medical Supplies - See 119393 Catheter Balloon Mustang 10X40 X75,734.85,286.59,,,0
CDM,SUP82862,Noncdm Charge Record Medical Supplies - See 119394 Catheter Balloon Mustang 12X40 X75,734.85,286.59,,,0
CDM,SUP82865,Noncdm Charge Record Medical Supplies - See 88949 Catheter Balloon Sterling 7-40,1622.88,632.92,,,0
CDM,SUP82868,Noncdm Charge Record Medical Supplies - Catheter 4Fr Pigtail 4A0029,117.99,46.02,,,0
CDM,SUP82870,Noncdm Charge Record Medical Supplies - 5Fr Micro Puncture,126.93,49.5,,,0
CDM,SUP82873,Noncdm Charge Record Medical Supplies - Catheter 6Fr Ali 006459,39.33,15.34,,,0
CDM,SUP82874,Noncdm Charge Record Medical Supplies - Catheter 6Fr Jl4 006452,39.33,15.34,,,0
CDM,SUP82875,Noncdm Charge Record Medical Supplies - Catheter 6Fr Jl5,39.33,15.34,,,0
CDM,SUP82876,Noncdm Charge Record Medical Supplies - Catheter 6Fr Multi 010321,39.33,15.34,,,0
CDM,SUP82881,Noncdm Charge Record Medical Supplies - See 173274 Catheter Kumpe,80.66,31.46,,,0
CDM,SUP82884,Noncdm Charge Record Medical Supplies - Catheter Pigtail Mark 5Fr 532- 5,363.28,141.68,,,0
CDM,SUP82890,Noncdm Charge Record Medical Supplies - Catheter Swan Ganz 6Fr,542.34,211.51,,,0
CDM,SUP82893,Noncdm Charge Record Medical Supplies - Catheter 5Fr 65Cm Rim,59.0,23.01,,,0
CDM,SUP82902,Noncdm Charge Record Medical Supplies - Catheter Quick Cross .014-1,905.62,353.19,,,0
CDM,SUP82905_270,Noncdm Charge Record Medical Supplies - Electrode Radiotranslucent,107.79,42.04,,,0
CDM,SUP82905_A4649_270,Noncdm Charge Record Medical Supplies - Electrode Radiotranslucent,107.64,41.98,,,0
CDM,SUP82905_A9999_270,Noncdm Charge Record Medical Supplies - Electrode Radiotranslucent,107.64,41.98,,,0
CDM,SUP82906,Noncdm Charge Record Medical Supplies - Glidecath 4Fr Mp 150Cm,254.38,99.21,,,0
CDM,SUP82907,Noncdm Charge Record Medical Supplies - Glidecath Straight 5Fr 100C,250.26,97.6,,,0
CDM,SUP82908,Noncdm Charge Record Medical Supplies - Glidesheath 5Fr,175.95,68.62,,,0
CDM,SUP82909,Noncdm Charge Record Medical Supplies - Glidesheath 6Fr W- 0.35,175.95,68.62,,,0
CDM,SUP82911,Noncdm Charge Record Medical Supplies - Guide Cath 6Fr Al1 110Cm,740.02,288.61,,,0
CDM,SUP82912,Noncdm Charge Record Medical Supplies - Guide Cath 6Fr Jr4 110Cm,878.72,342.7,,,0
CDM,SUP82914,Noncdm Charge Record Medical Supplies - Guide Launcher 6Fr 40,205.96,80.32,,,0
CDM,SUP82915,Noncdm Charge Record Medical Supplies - Guide Launcher Ebu 3.75 6Fr,186.3,72.66,,,0
CDM,SUP82916,Noncdm Charge Record Medical Supplies - Guide Launcher Jlr4 110,186.3,72.66,,,0
CDM,SUP82918,Noncdm Charge Record Medical Supplies - Guidecath 5Fr Hearttrail,342.58,133.61,,,0
CDM,SUP82919,Noncdm Charge Record Medical Supplies - Guidecath Jr4 6Fr 90Cm,195.62,76.29,,,0
CDM,SUP82922,Noncdm Charge Record Medical Supplies - Guidewire .014 Straight 3Cm,440.56,171.82,,,0
CDM,SUP82924,Noncdm Charge Record Medical Supplies - Guidewire 300 Bmw (Ord By E,440.91,171.95,,,0
CDM,SUP82925,Noncdm Charge Record Medical Supplies - See 64411 Guidewire Control V-18,391.31,152.61,,,0
CDM,SUP82926,Noncdm Charge Record Medical Supplies,318.26,124.12,,,0
CDM,SUP82927,Noncdm Charge Record Medical Supplies - Guidewire Viper .014 Tip 33,741.06,289.01,,,0
CDM,SUP82929,Noncdm Charge Record Medical Supplies - Kit Inflation,196.65,76.69,,,0
CDM,SUP82930,Noncdm Charge Record Medical Supplies - Kit Micropuncture 4Fr,163.57,63.79,,,0
CDM,SUP82931,Noncdm Charge Record Medical Supplies - Manifold 3 Port,111.78,43.59,,,0
CDM,SUP82932,Noncdm Charge Record Medical Supplies - Micropuncture 4Fr,168.7,65.79,,,0
CDM,SUP82935,Noncdm Charge Record Medical Supplies - Needle Percantaneous Entry,13.97,5.45,,,0
CDM,SUP82936,Noncdm Charge Record Medical Supplies - Pacing Wire Goetz 5Fr 5-Bx,964.62,376.2,,,0
CDM,SUP82937,Noncdm Charge Record Medical Supplies - Cath Angio Pig Van Tas Ang 6Fr,41.4,16.15,,,0
CDM,SUP82939,Noncdm Charge Record Medical Supplies - Quick Cross Select 018-150,905.62,353.19,,,0
CDM,SUP82940,Noncdm Charge Record Medical Supplies - Sheath 7Fr Brite Tip 401-7,146.97,57.32,,,0
CDM,SUP82941,Noncdm Charge Record Medical Supplies - Sheath 8Fr Brite Tip Int 4,146.97,57.32,,,0
CDM,SUP82942,Noncdm Charge Record Medical Supplies - Sheath Brite Tip 4 X 23,146.97,57.32,,,0
CDM,SUP82943,Noncdm Charge Record Medical Supplies - Sheath Brite Tip 6Fr 23Cm,138.45,54.0,,,0
CDM,SUP82944,Noncdm Charge Record Medical Supplies - Sheath Brite Tip 8-23,146.97,57.32,,,0
CDM,SUP82948,Noncdm Charge Record Medical Supplies - Sheath Prelude 6Fr,43.47,16.95,,,0
CDM,SUP82949,Noncdm Charge Record Medical Supplies - Sheath Prelude 7Fr,43.06,16.79,,,0
CDM,SUP82952,Noncdm Charge Record Medical Supplies - Transpac Iv Transducer,139.72,54.49,,,0
CDM,SUP82954,Noncdm Charge Record Medical Supplies - Tray Pericardiocentesis 6Fr,450.22,175.59,,,0
CDM,SUP82955,Noncdm Charge Record Medical Supplies - Tray Pericardiocentesis 8Fr,611.77,238.59,,,0
CDM,SUP82957_272,Noncdm Charge Record Medical Supplies - Valve Hemostasis Guardian N,170.04,66.32,,,0
CDM,SUP82957_A4649_272,Noncdm Charge Record Medical Supplies - Valve Hemostasis Guardian N,166.84,65.07,,,0
CDM,SUP82957_A9999_272,Noncdm Charge Record Medical Supplies - Valve Hemostasis Guardian N,178.02,69.43,,,0
CDM,SUP82958,Noncdm Charge Record Medical Supplies - Wire Command Es 300,805.68,314.22,,,0
CDM,SUP82959,Noncdm Charge Record Medical Supplies - Wire J Bmw 190,440.91,171.95,,,0
CDM,SUP82961,Noncdm Charge Record Medical Supplies - Wire Pilot 014-300,440.91,171.95,,,0
CDM,SUP82962,Noncdm Charge Record Medical Supplies - Wire Prowater 300Cm Pre-Sha,514.14,200.51,,,0
CDM,SUP82963,Noncdm Charge Record Medical Supplies - Wire Supracore 300Cm,382.06,149.0,,,0
CDM,SUP82965,Noncdm Charge Record Medical Supplies - See 122516 Wire V-14 Control Straight,781.42,304.75,,,0
CDM,SUP82967,Noncdm Charge Record Medical Supplies - Wire Whisper Ms,440.91,171.95,,,0
CDM,SUP82968_272,Noncdm Charge Record Medical Supplies - Obturator 6Fr,18.63,7.27,,,0
CDM,SUP82968_A4649_272,Noncdm Charge Record Medical Supplies - Obturator 6Fr,18.63,7.27,,,0
CDM,SUP82969,Noncdm Charge Record Medical Supplies - Sheath 6Fr Britetip,146.97,57.32,,,0
CDM,SUP82971,Noncdm Charge Record Medical Supplies - Sheath Ansell 6Fr 90Cm,657.19,256.3,,,0
CDM,SUP82972_272,Noncdm Charge Record Medical Supplies - Sponge Surgifoam 12-7 2Cmx6Cmx0.7Cm Ethicon,20.09,7.84,,,0
CDM,SUP82972_A4649_272,Noncdm Charge Record Medical Supplies - Sponge Surgifoam 12-7 2Cmx6Cmx0.7Cm Ethicon,19.83,7.73,,,0
CDM,SUP82972_A9999_272,Noncdm Charge Record Medical Supplies - Sponge Surgifoam 12-7 2Cmx6Cmx0.7Cm Ethicon,20.44,7.97,,,0
CDM,SUP82973,Noncdm Charge Record Medical Supplies - Derma+Flex Dermaflex Bx-6,71.35,27.83,,,0
CDM,SUP82974_270,Noncdm Charge Record Medical Supplies - Cuff Bp 1 Tube Adult Small Hp,8.28,3.23,,,0
CDM,SUP82974_A4649_270,Noncdm Charge Record Medical Supplies - Cuff Bp 1 Tube Adult Small Hp,8.28,3.23,,,0
CDM,SUP82975_270,Noncdm Charge Record Medical Supplies - Cuff Bp 1 Tube Adult Hp,8.28,3.23,,,0
CDM,SUP82975_A4649_270,Noncdm Charge Record Medical Supplies - Cuff Bp 1 Tube Adult Hp,8.28,3.23,,,0
CDM,SUP82975_A9999_270,Noncdm Charge Record Medical Supplies - Cuff Bp 1 Tube Adult Hp,8.28,3.23,,,0
CDM,SUP82976_270,Noncdm Charge Record Medical Supplies - Cuff Bp 1 Tube Adult Long Hp,8.3,3.24,,,0
CDM,SUP82976_A4649_270,Noncdm Charge Record Medical Supplies - Cuff Bp 1 Tube Adult Long Hp,8.28,3.23,,,0
CDM,SUP82977,Noncdm Charge Record Medical Supplies - Cuff Bp 1 Tube Adult Large Hp,9.32,3.63,,,0
CDM,SUP82978,Noncdm Charge Record Medical Supplies,10.35,4.04,,,0
CDM,SUP82984,Noncdm Charge Record Medical Supplies,4.35,1.7,,,0
CDM,SUP82986,Noncdm Charge Record Medical Supplies - Stealth Predator 2Mm 6Fr,14969.2,5837.99,,,0
CDM,SUP82987,Noncdm Charge Record Medical Supplies - Diamondback 360 Peripheral Orbital Atherectomy System 1.25Mm,14969.2,5837.99,,,0
CDM,SUP82990,Noncdm Charge Record Medical Supplies,4.42,1.72,,,0
CDM,SUP82998_272,Noncdm Charge Record Medical Supplies - Lead And Cable Sys Disp,75.56,29.47,,,0
CDM,SUP82998_A4649_272,Noncdm Charge Record Medical Supplies - Lead And Cable Sys Disp,75.56,29.47,,,0
CDM,SUP82998_A9999_272,Noncdm Charge Record Medical Supplies - Lead And Cable Sys Disp,75.56,29.47,,,0
CDM,SUP83005,Noncdm Charge Record Medical Supplies - Blanket Adult 64X25In Stryker Medical,60.03,23.41,,,0
CDM,SUP83010_272,Noncdm Charge Record Medical Supplies - Catheter Angio .038In Vert Crv 5Fr 100Cm Vscr 5-Bx,99.43,38.78,,,0
CDM,SUP83010_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Angio .038In Vert Crv 5Fr 100Cm Vscr 5-Bx,120.06,46.82,,,0
CDM,SUP83017,Noncdm Charge Record Medical Supplies - Catheter Guide Jl5 Crv 6Fr .07In 100Cm Ptfe,195.62,76.29,,,0
CDM,SUP83024,Noncdm Charge Record Medical Supplies - Stent Vasc 6-8Mm 30Mm .014In Rx Carotid Art,9947.38,3879.48,,,0
CDM,SUP83025_270,Noncdm Charge Record Medical Supplies - Catheter Powerline Dual-Lumen W-Surecuff 6F 50Cm,1228.89,479.27,,,0
CDM,SUP83025_C1751_272,Noncdm Charge Record Medical Supplies - Catheter Powerline Dual-Lumen W-Surecuff 6F 50Cm,1228.55,479.13,,,0
CDM,SUP83036,Noncdm Charge Record Medical Supplies - Tubing Angio 72In Inj,47.36,18.47,,,0
CDM,SUP83038,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .014In 4Mm 210Cm 150Mm,1101.24,429.48,,,0
CDM,SUP83039,Noncdm Charge Record Medical Supplies - Tray Cath 20Cm Pwr-Trialysis 3 Lum Pwr Strt,967.41,377.29,,,0
CDM,SUP83043,Noncdm Charge Record Medical Supplies - Filter Vasc Emboshield Nav6,7026.24,2740.23,,,0
CDM,SUP83062,Noncdm Charge Record Medical Supplies,6.21,2.42,,,0
CDM,SUP83063,Noncdm Charge Record Medical Supplies - Plug Hernia Large Clear,535.25,208.75,,,0
CDM,SUP83064,Noncdm Charge Record Medical Supplies - Plug Hernia Medium Clear,485.42,189.31,,,0
CDM,SUP83065,Noncdm Charge Record Medical Supplies - Mesh Hernia Rectangle 15X10Cm,428.08,166.95,,,0
CDM,SUP83066,Noncdm Charge Record Medical Supplies - Mesh Hernia Sym Comp 15X10Cm,2266.01,883.74,,,0
CDM,SUP83070,Noncdm Charge Record Medical Supplies - Implant System Mini 1.1Mm Tightrope Arthrex,4326.3,1687.26,,,0
CDM,SUP8312,Noncdm Charge Record Medical Supplies,940.3,366.72,,,0
CDM,SUP83149,Noncdm Charge Record Medical Supplies - See 98931 Balloon Coyote 2.0-150,1224.4,477.52,,,0
CDM,SUP83150,Noncdm Charge Record Medical Supplies - Balloon Coyote 2.0-80,1150.92,448.86,,,0
CDM,SUP83152,Noncdm Charge Record Medical Supplies - See 98933 Balloon Coyote 3.0-150,1224.4,477.52,,,0
CDM,SUP83163,Noncdm Charge Record Medical Supplies - Balloon Mustang 6.0-150,979.11,381.85,,,0
CDM,SUP83208,Noncdm Charge Record Medical Supplies - Balloon Saber 6.0-150,1850.58,721.73,,,0
CDM,SUP83220,Noncdm Charge Record Medical Supplies - Balloon Sterling 2-150,991.53,386.7,,,0
CDM,SUP83221,Noncdm Charge Record Medical Supplies - Balloon Sterling 3.0-20,1150.92,448.86,,,0
CDM,SUP83222,Noncdm Charge Record Medical Supplies - Balloon Sterling 4.0 X 20Mm,1150.92,448.86,,,0
CDM,SUP83223,Noncdm Charge Record Medical Supplies - See 86466 Balloon Sterling 6-20,1150.92,448.86,,,0
CDM,SUP83224,Noncdm Charge Record Medical Supplies - Balloon Sterling 6-80,1223.89,477.32,,,0
CDM,SUP83225,Noncdm Charge Record Medical Supplies - See 88947 Balloon Sterling 6X100,1150.92,448.86,,,0
CDM,SUP83227,Noncdm Charge Record Medical Supplies - Balloon Sterling Otw 6.0-220,991.53,386.7,,,0
CDM,SUP83228,Noncdm Charge Record Medical Supplies - Balloon Sterling Sl 2.5-80,1346.54,525.15,,,0
CDM,SUP83230,Noncdm Charge Record Medical Supplies - Balloon Sterling Sl 2-80,991.53,386.7,,,0
CDM,SUP8324,Noncdm Charge Record Medical Supplies - Rod Spnl 40Mm 6Mm Xia 3 Ti Radioluc,940.3,366.72,,,0
CDM,SUP8325,Noncdm Charge Record Medical Supplies,940.3,366.72,,,0
CDM,SUP83255,Noncdm Charge Record Medical Supplies,489.56,190.93,,,0
CDM,SUP83256,Noncdm Charge Record Medical Supplies - Catheter Guide 7F Ar1.0 W-Sh L,186.3,72.66,,,0
CDM,SUP83271,Noncdm Charge Record Medical Supplies - Guide Launcher 6Fr 35,196.06,76.46,,,0
CDM,SUP83288,Noncdm Charge Record Medical Supplies,6525.68,2545.02,,,0
CDM,SUP83294,Noncdm Charge Record Medical Supplies - See 121806 Stent Protege Eveflex 7-200,15133.77,5902.17,,,0
CDM,SUP8332,Noncdm Charge Record Medical Supplies - Bone Canc 4-10 15Cc,1181.97,460.97,,,0
CDM,SUP83324,Noncdm Charge Record Medical Supplies - Coil Embol 035In 20Cmx18Mm Nst Plantinium,709.64,276.76,,,0
CDM,SUP83325,Noncdm Charge Record Medical Supplies - Sheath Intro Flxr Ansel -0 W-Check Flo Valve 018,357.08,139.26,,,0
CDM,SUP8334_272,Noncdm Charge Record Medical Supplies - Set Trkr Fus Nvg Sys Ent,906.89,353.69,,,0
CDM,SUP8334_A4649_272,Noncdm Charge Record Medical Supplies - Set Trkr Fus Nvg Sys Ent,920.12,358.85,,,0
CDM,SUP8334_A9999_272,Noncdm Charge Record Medical Supplies - Set Trkr Fus Nvg Sys Ent,887.37,346.07,,,0
CDM,SUP83360,Noncdm Charge Record Medical Supplies - Stent Entrust 6-80-120,3383.42,1319.53,,,0
CDM,SUP83363_272,Noncdm Charge Record Medical Supplies - Applier Clip 8Mm Medium-Large Davinci Xi Intuitive,28.98,11.3,,,0
CDM,SUP83363_A4649_272,Noncdm Charge Record Medical Supplies - Applier Clip 8Mm Medium-Large Davinci Xi Intuitive,28.98,11.3,,,0
CDM,SUP83363_A9999_272,Noncdm Charge Record Medical Supplies - Applier Clip 8Mm Medium-Large Davinci Xi Intuitive,28.98,11.3,,,0
CDM,SUP83365,Noncdm Charge Record Medical Supplies - See 133400 Obturator Optical 12Mm Bladeless Davinci Xi Intui,171.81,67.01,,,0
CDM,SUP83366,Noncdm Charge Record Medical Supplies - Catheter Pigtrail Straight 6Fr,44.5,17.36,,,0
CDM,SUP83368,Noncdm Charge Record Medical Supplies - Catheter Turnpike 5638,2499.52,974.81,,,0
CDM,SUP83370,Noncdm Charge Record Medical Supplies - Catheter Jacky 6Fr,171.81,67.01,,,0
CDM,SUP8339_270,Noncdm Charge Record Medical Supplies - Blanket Adult Full Body 84X36In 3M Healthcare Division,110.75,43.19,,,0
CDM,SUP8339_272,Noncdm Charge Record Medical Supplies - Blanket Adult Full Body 84X36In 3M Healthcare Division,110.74,43.19,,,0
CDM,SUP8339_A4649_270,Noncdm Charge Record Medical Supplies - Blanket Adult Full Body 84X36In 3M Healthcare Division,110.74,43.19,,,0
CDM,SUP83402,Noncdm Charge Record Medical Supplies - See 5461 Stent Express 7X27X135,6202.76,2419.08,,,0
CDM,SUP8342,Noncdm Charge Record Medical Supplies - Ring Annulop 28Mm Phys 2,11725.52,4572.95,,,0
CDM,SUP83429,Noncdm Charge Record Medical Supplies - Suture Mersilene 0 Ct-1 8Ea 18In Green Medline,63.5,24.76,,,0
CDM,SUP8345,Noncdm Charge Record Medical Supplies,11725.52,4572.95,,,0
CDM,SUP8346,Noncdm Charge Record Medical Supplies,11725.52,4572.95,,,0
CDM,SUP8354,Noncdm Charge Record Medical Supplies - Sling Trnvg Adv Fit 2.7Mm Crv Midurethral Sys,9286.78,3621.84,,,0
CDM,SUP8355,Noncdm Charge Record Medical Supplies - See 132646 Cradle Pstn Dvn Arm Foam Lmi 30424 Lmi Lf,12.42,4.84,,,0
CDM,SUP83594,Noncdm Charge Record Medical Supplies - Bit Drill 1.6Mm 7Mm Stop,589.14,229.76,,,0
CDM,SUP83595,Noncdm Charge Record Medical Supplies - Implant 2.0X4Mm Xpin St Screw,289.54,112.92,,,0
CDM,SUP83596_272,Noncdm Charge Record Medical Supplies - Device Wound Closure 2-0 9In Gs-22 V-Loc Suture Green Taper,113.82,44.39,,,0
CDM,SUP83596_A9999_272,Noncdm Charge Record Medical Supplies - Device Wound Closure 2-0 9In Gs-22 V-Loc Suture Green Taper,113.85,44.4,,,0
CDM,SUP83597,Noncdm Charge Record Medical Supplies - Device Wound Closure 3-0 9In Cv-23 V-Loc Suture Green Taper,113.85,44.4,,,0
CDM,SUP83643,Noncdm Charge Record Medical Supplies - Stent Ureteral 5Fx22Cm Polaris Ultra Boston Scientific,852.84,332.61,,,0
CDM,SUP83666,Noncdm Charge Record Medical Supplies - Sling Continence Gynecare Exact Ethicon,5434.49,2119.45,,,0
CDM,SUP83667,Noncdm Charge Record Medical Supplies - Catheter Angio Vsl 5Fr 100Cm Sizing,442.98,172.76,,,0
CDM,SUP83669_272,Noncdm Charge Record Medical Supplies,9.41,3.67,,,0
CDM,SUP83669_A4649_272,Noncdm Charge Record Medical Supplies,8.28,3.23,,,0
CDM,SUP8367,Noncdm Charge Record Medical Supplies - Retainer 9 1-8Inx5 7-8In Med V,169.74,66.2,,,0
CDM,SUP8379,Noncdm Charge Record Medical Supplies - Kit Breastmilk Initiation Dbl Duet,137.66,53.69,,,0
CDM,SUP83803,Noncdm Charge Record Medical Supplies - Lithotriptor Sgl Use Mechanica Surg,1860.93,725.76,,,0
CDM,SUP83804_270,Noncdm Charge Record Medical Supplies - Stockinette Imprv Lg 12X48In,11.35,4.43,,,0
CDM,SUP83804_A4649_270,Noncdm Charge Record Medical Supplies - Stockinette Imprv Lg 12X48In,11.38,4.44,,,0
CDM,SUP83804_A9999_270,Noncdm Charge Record Medical Supplies - Stockinette Imprv Lg 12X48In,11.38,4.44,,,0
CDM,SUP83808_272,Noncdm Charge Record Medical Supplies - Tubing Pump Arthroscopy Ar-6400,296.37,115.58,,,0
CDM,SUP83808_A4649_272,Noncdm Charge Record Medical Supplies - Tubing Pump Arthroscopy Ar-6400,290.78,113.4,,,0
CDM,SUP83808_A9999_272,Noncdm Charge Record Medical Supplies - Tubing Pump Arthroscopy Ar-6400,299.03,116.62,,,0
CDM,SUP83809,Noncdm Charge Record Medical Supplies - Needle Sureline Scrpn Sut,685.17,267.22,,,0
CDM,SUP83813_272,Noncdm Charge Record Medical Supplies - Suture Eth Blk Mono 3-0 30In Cuticular Pslx,19.89,7.76,,,0
CDM,SUP83813_A9999_272,Noncdm Charge Record Medical Supplies - Suture Eth Blk Mono 3-0 30In Cuticular Pslx,20.7,8.07,,,0
CDM,SUP83814_270,Noncdm Charge Record Medical Supplies - Set Tur Irr W-Rl Clamp 2000Ml,77.83,30.35,,,0
CDM,SUP83814_A4649_270,Noncdm Charge Record Medical Supplies - Set Tur Irr W-Rl Clamp 2000Ml,78.66,30.68,,,0
CDM,SUP83818_272,Noncdm Charge Record Medical Supplies - Cannula Arthroscopic Twist-In N 6.00Mm X 7Cm Strl,122.45,47.76,,,0
CDM,SUP83818_A9999_272,Noncdm Charge Record Medical Supplies - Cannula Arthroscopic Twist-In N 6.00Mm X 7Cm Strl,122.13,47.63,,,0
CDM,SUP83820,Noncdm Charge Record Medical Supplies - Gauze Packing Plain 2In X 5 Yd D Sterile,13.71,5.35,,,0
CDM,SUP83823_272,Noncdm Charge Record Medical Supplies - See 108439 Port Access Bladeless Optical L Tip Airseal 5X120,408.82,159.44,,,0
CDM,SUP83823_A4649_272,Noncdm Charge Record Medical Supplies - See 108439 Port Access Bladeless Optical L Tip Airseal 5X120,408.82,159.44,,,0
CDM,SUP83823_A9999_272,Noncdm Charge Record Medical Supplies - See 108439 Port Access Bladeless Optical L Tip Airseal 5X120,408.82,159.44,,,0
CDM,SUP83826,Noncdm Charge Record Medical Supplies - Ear Tube Ventilation Short Silicone 1. .15Mm I.D. 6Mm Shaft,194.58,75.89,,,0
CDM,SUP83829,Noncdm Charge Record Medical Supplies - Catheter Embolectomy Thru Lmn Art Gdwr 3F 80Cm L,433.66,169.13,,,0
CDM,SUP83831_272,Noncdm Charge Record Medical Supplies - See 97220 System Laparoscopic Access Fi Os Advncd Fx 5X100Mm,78.31,30.54,,,0
CDM,SUP83831_A4649_272,Noncdm Charge Record Medical Supplies - See 97220 System Laparoscopic Access Fi Os Advncd Fx 5X100Mm,78.66,30.68,,,0
CDM,SUP83831_A9999_272,Noncdm Charge Record Medical Supplies - See 97220 System Laparoscopic Access Fi Os Advncd Fx 5X100Mm,78.66,30.68,,,0
CDM,SUP83832,Noncdm Charge Record Medical Supplies - See 53285 System Trocar Entry Fios Adva Nced Fix 12 X 100Mm,129.38,50.46,,,0
CDM,SUP83833_270,Noncdm Charge Record Medical Supplies - System Splnt 4Inx15Ft Orth Gls,673.78,262.77,,,0
CDM,SUP83833_A4649_270,Noncdm Charge Record Medical Supplies - System Splnt 4Inx15Ft Orth Gls,322.92,125.94,,,0
CDM,SUP83834,Noncdm Charge Record Medical Supplies - Cap Locking For Peritoneal Dialysis,31.05,12.11,,,0
CDM,SUP83836,Noncdm Charge Record Medical Supplies - Abduction Shoulder Medium,335.34,130.78,,,0
CDM,SUP83837_270,Noncdm Charge Record Medical Supplies - Pad Shoulder Xlarge Abduction S2S Global,403.0,157.17,,,0
CDM,SUP83837_A9999_270,Noncdm Charge Record Medical Supplies - Pad Shoulder Xlarge Abduction S2S Global,392.26,152.98,,,0
CDM,SUP83838,Noncdm Charge Record Medical Supplies - Abstack 20 Absorbable,1934.42,754.42,,,0
CDM,SUP83843,Noncdm Charge Record Medical Supplies - Assembly Bulb And Bladder,127.3,49.65,,,0
CDM,SUP83845_270,Noncdm Charge Record Medical Supplies - See 14103 Bag Cpr Ambu Adult W Mask,199.76,77.91,,,0
CDM,SUP83845_A9999_270,Noncdm Charge Record Medical Supplies - See 14103 Bag Cpr Ambu Adult W Mask,199.76,77.91,,,0
CDM,SUP83847,Noncdm Charge Record Medical Supplies - Bandage 2Inch W- Removable Cli,3.1,1.21,,,0
CDM,SUP83849,Noncdm Charge Record Medical Supplies - Bandage Cohesive 4 X 5 Tan,6.06,2.36,,,0
CDM,SUP83852,Noncdm Charge Record Medical Supplies - See 19671 Bandage Softwrap Elastic 3,3.1,1.21,,,0
CDM,SUP83853,Noncdm Charge Record Medical Supplies - See 82390 Bandage Softwrap Elastic 4,4.26,1.66,,,0
CDM,SUP83854,Noncdm Charge Record Medical Supplies - Bandage Softwrap Elastic 6,7.24,2.82,,,0
CDM,SUP83857,Noncdm Charge Record Medical Supplies - See 89237 Berkeley Safetouch System 0,62.1,24.22,,,0
CDM,SUP83859_272,Noncdm Charge Record Medical Supplies - Blade Dual Cut Sagittal,225.75,88.04,,,0
CDM,SUP83859_A4649_272,Noncdm Charge Record Medical Supplies - Blade Dual Cut Sagittal,227.7,88.8,,,0
CDM,SUP8385_272,Noncdm Charge Record Medical Supplies - Stimulator Btr-Pwr Hndhld Vrst,397.72,155.11,,,0
CDM,SUP8385_A4649_272,Noncdm Charge Record Medical Supplies - Stimulator Btr-Pwr Hndhld Vrst,403.65,157.42,,,0
CDM,SUP83860,Noncdm Charge Record Medical Supplies - See 10786 Blade Gigli Saw,103.5,40.36,,,0
CDM,SUP83861,Noncdm Charge Record Medical Supplies - See 115921 Blade Recip Ord By Each He,142.83,55.7,,,0
CDM,SUP83862_272,Noncdm Charge Record Medical Supplies - Blade Sagital Narrow Then,143.86,56.11,,,0
CDM,SUP83862_A9999_272,Noncdm Charge Record Medical Supplies - Blade Sagital Narrow Then,143.86,56.11,,,0
CDM,SUP83863,Noncdm Charge Record Medical Supplies - Blade Sagittal Narrow Thic,132.48,51.67,,,0
CDM,SUP83864,Noncdm Charge Record Medical Supplies - Blade Short Narrow 18 X 5.5,190.44,74.27,,,0
CDM,SUP83866_272,Noncdm Charge Record Medical Supplies - Ear Tube Ventilation Reuter Bobbin Without Holes Medtronic I,70.61,27.54,,,0
CDM,SUP83866_A4649_272,Noncdm Charge Record Medical Supplies - Ear Tube Ventilation Reuter Bobbin Without Holes Medtronic I,75.04,29.27,,,0
CDM,SUP83867,Noncdm Charge Record Medical Supplies - Brace Knee Post Op Regular,416.07,162.27,,,0
CDM,SUP83868,Noncdm Charge Record Medical Supplies - Brush Cyto 140Cm Ped 1600,88.69,34.59,,,0
CDM,SUP83875_272,Noncdm Charge Record Medical Supplies - See 132729 Burr Oval 8 Flute 4.0 X 13,240.12,93.65,,,0
CDM,SUP83875_A9999_272,Noncdm Charge Record Medical Supplies - See 132729 Burr Oval 8 Flute 4.0 X 13,240.12,93.65,,,0
CDM,SUP83878,Noncdm Charge Record Medical Supplies - Catheter Foley 2-Way 16Fr Silicone 5 Cc Bard Access,44.5,17.36,,,0
CDM,SUP83879,Noncdm Charge Record Medical Supplies - See 35399 Catheter Robinson 10Fr Red 056 1,13.46,5.25,,,0
CDM,SUP83880,Noncdm Charge Record Medical Supplies - See 2527 Catheter Robinson 14F Red,15.52,6.05,,,0
CDM,SUP83881,Noncdm Charge Record Medical Supplies - Catheter Robinson 16Fr Red,13.46,5.25,,,0
CDM,SUP83882,Noncdm Charge Record Medical Supplies - Catheter Robinson Red 12F Ster I,13.46,5.25,,,0
CDM,SUP83883,Noncdm Charge Record Medical Supplies - Catheter Schon Xl Temp Cathete R 15C,450.79,175.81,,,0
CDM,SUP83884,Noncdm Charge Record Medical Supplies - See 1104 Catheter Trocar Thor 28Fr 561 0,60.03,23.41,,,0
CDM,SUP83885,Noncdm Charge Record Medical Supplies - Clip Hemostasis,877.68,342.3,,,0
CDM,SUP83886_272,Noncdm Charge Record Medical Supplies - See 9555 Coban 4In Med Cs-18,6.28,2.45,,,0
CDM,SUP83886_A4649_272,Noncdm Charge Record Medical Supplies - See 9555 Coban 4In Med Cs-18,6.21,2.42,,,0
CDM,SUP83886_A9999_272,Noncdm Charge Record Medical Supplies - See 9555 Coban 4In Med Cs-18,6.55,2.55,,,0
CDM,SUP83887_270,Noncdm Charge Record Medical Supplies - Conmed Grounding Pad For Ou,13.24,5.16,,,0
CDM,SUP83887_A4649_270,Noncdm Charge Record Medical Supplies - Conmed Grounding Pad For Ou,13.46,5.25,,,0
CDM,SUP83887_A9999_270,Noncdm Charge Record Medical Supplies - Conmed Grounding Pad For Ou,12.42,4.84,,,0
CDM,SUP8389,Noncdm Charge Record Medical Supplies - Microsphere Embsph 300-500 2Ml Blu Bx-5Ea,1305.14,509.0,,,0
CDM,SUP83894_272,Noncdm Charge Record Medical Supplies - Cutter Bone 4.0 Mm X 13Cm Arthrex,322.92,125.94,,,0
CDM,SUP83894_A4649_272,Noncdm Charge Record Medical Supplies - Cutter Bone 4.0 Mm X 13Cm Arthrex,322.92,125.94,,,0
CDM,SUP83894_A9999_272,Noncdm Charge Record Medical Supplies - Cutter Bone 4.0 Mm X 13Cm Arthrex,322.92,125.94,,,0
CDM,SUP83898,Noncdm Charge Record Medical Supplies - Drain Jp 7Mm Dynjwe1360,44.5,17.36,,,0
CDM,SUP83908_272,Noncdm Charge Record Medical Supplies - Excalibur 4.0 Mm,288.76,112.62,,,0
CDM,SUP83908_A4649_272,Noncdm Charge Record Medical Supplies - Excalibur 4.0 Mm,288.76,112.62,,,0
CDM,SUP83908_A9999_272,Noncdm Charge Record Medical Supplies - Excalibur 4.0 Mm,288.76,112.62,,,0
CDM,SUP83911_272,Noncdm Charge Record Medical Supplies - Forcep Cold Biopsy,40.39,15.75,,,0
CDM,SUP83911_A4649_272,Noncdm Charge Record Medical Supplies - Forcep Cold Biopsy,40.38,15.75,,,0
CDM,SUP83911_A9999_272,Noncdm Charge Record Medical Supplies - Forcep Cold Biopsy,40.36,15.74,,,0
CDM,SUP83912,Noncdm Charge Record Medical Supplies - Forcep Ped Radial Jaw Box 3,117.99,46.02,,,0
CDM,SUP83913_272,Noncdm Charge Record Medical Supplies - Forceps Hot Biopsy,128.34,50.05,,,0
CDM,SUP83913_A4649_272,Noncdm Charge Record Medical Supplies - Forceps Hot Biopsy,128.34,50.05,,,0
CDM,SUP83924,Noncdm Charge Record Medical Supplies - Guidewire .035 Measur Strai,837.32,326.55,,,0
CDM,SUP83925,Noncdm Charge Record Medical Supplies - Guidewire Amplatz 145 Stiff,124.83,48.68,,,0
CDM,SUP83926,Noncdm Charge Record Medical Supplies - Guidewire Jagwire .035 Stif,813.77,317.37,,,0
CDM,SUP83927,Noncdm Charge Record Medical Supplies - Guidewire Savary Gillard,715.18,278.92,,,0
CDM,SUP83929,Noncdm Charge Record Medical Supplies - See 1190 Hose Ted Large Reg Latex Fr,20.7,8.07,,,0
CDM,SUP83930,Noncdm Charge Record Medical Supplies - See 1188 Hose Ted Med Reg Latex Free,20.7,8.07,,,0
CDM,SUP83931,Noncdm Charge Record Medical Supplies - See 1185 Hose Ted Sm Reg Latex Free,20.7,8.07,,,0
CDM,SUP83932,Noncdm Charge Record Medical Supplies - Hose Ted Xl Reg W Belt,44.5,17.36,,,0
CDM,SUP83934,Noncdm Charge Record Medical Supplies - Immobilizer Knee Large 19.2,464.74,181.25,,,0
CDM,SUP83935_270,Noncdm Charge Record Medical Supplies - Immobilizer Knee Medium 19.,489.56,190.93,,,0
CDM,SUP83935_A9999_270,Noncdm Charge Record Medical Supplies - Immobilizer Knee Medium 19.,489.56,190.93,,,0
CDM,SUP83936,Noncdm Charge Record Medical Supplies - Immobilizer Knee Small 19.2,170.78,66.6,,,0
CDM,SUP83937,Noncdm Charge Record Medical Supplies - Immobilizer Knee X-Lg 19.25,170.78,66.6,,,0
CDM,SUP83938,Noncdm Charge Record Medical Supplies - Immobilizer Knee Xxlg 19.25,170.52,66.5,,,0
CDM,SUP83939_272,Noncdm Charge Record Medical Supplies - See 157498 Inst Suction Frazier 10 Fr,9.32,3.63,,,0
CDM,SUP83939_A4649_272,Noncdm Charge Record Medical Supplies - See 157498 Inst Suction Frazier 10 Fr,9.32,3.63,,,0
CDM,SUP83940,Noncdm Charge Record Medical Supplies - See 54376 Kit Bone Prep Bio Prep 2067,693.45,270.45,,,0
CDM,SUP83941,Noncdm Charge Record Medical Supplies - Kit Introducer 10Fr,355.0,138.45,,,0
CDM,SUP83942,Noncdm Charge Record Medical Supplies - Kit Lap Cholangiogram B,487.9,190.28,,,0
CDM,SUP8396,Noncdm Charge Record Medical Supplies - Stent Ureteral 6Fx28Cm Black Cook Medical,677.92,264.39,,,0
CDM,SUP83961,Noncdm Charge Record Medical Supplies - Net 1.8Mm Roth Retrieval Di,522.82,203.9,,,0
CDM,SUP83963_272,Noncdm Charge Record Medical Supplies - Pack Eent Dynjp7030,38.59,15.05,,,0
CDM,SUP83963_A9999_272,Noncdm Charge Record Medical Supplies - Pack Eent Dynjp7030,38.3,14.94,,,0
CDM,SUP83964,Noncdm Charge Record Medical Supplies - See 139616 Pack Minor Dynj26263A,260.82,101.72,,,0
CDM,SUP83966_272,Noncdm Charge Record Medical Supplies - Pack Standard Knee Arthrosc,212.16,82.74,,,0
CDM,SUP83966_A4649_272,Noncdm Charge Record Medical Supplies - Pack Standard Knee Arthrosc,212.18,82.75,,,0
CDM,SUP83966_A9999_272,Noncdm Charge Record Medical Supplies - Pack Standard Knee Arthrosc,212.18,82.75,,,0
CDM,SUP83974,Noncdm Charge Record Medical Supplies - Peg Kit-Initial 20Fr Pull B,429.57,167.53,,,0
CDM,SUP83975,Noncdm Charge Record Medical Supplies - Permcath Ct 40Cm,537.16,209.49,,,0
CDM,SUP83976,Noncdm Charge Record Medical Supplies - See 132860 Pillow Abduction Medium,85.9,33.5,,,0
CDM,SUP83980,Noncdm Charge Record Medical Supplies - Reservoir Kit 10Mm No Troca,44.5,17.36,,,0
CDM,SUP83981,Noncdm Charge Record Medical Supplies - Retractor Alexis Wound Medium 5-9Cm,173.88,67.81,,,0
CDM,SUP83982,Noncdm Charge Record Medical Supplies - Retractor Wound X-Small,303.3,118.29,,,0
CDM,SUP83983,Noncdm Charge Record Medical Supplies - Set Infusion Miniloc 20 X .,18.63,7.27,,,0
CDM,SUP83984_272,Noncdm Charge Record Medical Supplies - Set Infusion Miniloc 22 X .,18.63,7.27,,,0
CDM,SUP83984_A4649_272,Noncdm Charge Record Medical Supplies - Set Infusion Miniloc 22 X .,18.63,7.27,,,0
CDM,SUP83985,Noncdm Charge Record Medical Supplies - Shooter Multi-Band,1345.2,524.63,,,0
CDM,SUP83987_272,Noncdm Charge Record Medical Supplies - Sleeve Dvt Sterile Reg,90.04,35.12,,,0
CDM,SUP83987_A9999_272,Noncdm Charge Record Medical Supplies - Sleeve Dvt Sterile Reg,90.04,35.12,,,0
CDM,SUP83988,Noncdm Charge Record Medical Supplies - Sling Arm Small Envelope,17.6,6.86,,,0
CDM,SUP83989_272,Noncdm Charge Record Medical Supplies - Snare 10,50.72,19.78,,,0
CDM,SUP83989_A4649_272,Noncdm Charge Record Medical Supplies - Snare 10,50.72,19.78,,,0
CDM,SUP83989_A9999_272,Noncdm Charge Record Medical Supplies - Snare 10,50.72,19.78,,,0
CDM,SUP83990_272,Noncdm Charge Record Medical Supplies - Snare 15,50.72,19.78,,,0
CDM,SUP83990_A9999_272,Noncdm Charge Record Medical Supplies - Snare 15,50.72,19.78,,,0
CDM,SUP83991,Noncdm Charge Record Medical Supplies - Snare 25,50.72,19.78,,,0
CDM,SUP83992_272,Noncdm Charge Record Medical Supplies - Snare Polypectomy Disposabl,107.64,41.98,,,0
CDM,SUP83992_A4649_272,Noncdm Charge Record Medical Supplies - Snare Polypectomy Disposabl,107.64,41.98,,,0
CDM,SUP83993_272,Noncdm Charge Record Medical Supplies - Snare Spiral,119.02,46.42,,,0
CDM,SUP83993_A4649_272,Noncdm Charge Record Medical Supplies - Snare Spiral,119.02,46.42,,,0
CDM,SUP83993_A9999_272,Noncdm Charge Record Medical Supplies - Snare Spiral,119.02,46.42,,,0
CDM,SUP83995,Noncdm Charge Record Medical Supplies - Spinctertome Fc Trip Lum .0,710.01,276.9,,,0
CDM,SUP83996,Noncdm Charge Record Medical Supplies - Spinctertome Flowcut .025,710.01,276.9,,,0
CDM,SUP83997,Noncdm Charge Record Medical Supplies - Sponge Tonsil Lg,62.1,24.22,,,0
CDM,SUP83998,Noncdm Charge Record Medical Supplies - See 90527 Stapler 45 Gia Universal,401.58,156.62,,,0
CDM,SUP840,Noncdm Charge Record Medical Supplies - Tube Ng 48In 12Fr 2 Lum Prv,27.94,10.9,,,0
CDM,SUP84000,Noncdm Charge Record Medical Supplies - Stapler Endo Roticulating,891.14,347.54,,,0
CDM,SUP84004,Noncdm Charge Record Medical Supplies - Stent Bilary 10Fr X 7Cm,263.92,102.93,,,0
CDM,SUP84005,Noncdm Charge Record Medical Supplies - Stent Biliary 10Fr X 12Cm,263.92,102.93,,,0
CDM,SUP84007,Noncdm Charge Record Medical Supplies,263.92,102.93,,,0
CDM,SUP84008,Noncdm Charge Record Medical Supplies - Stent Biliary 10Fr X 9Cm,263.92,102.93,,,0
CDM,SUP84009,Noncdm Charge Record Medical Supplies - Stent Biliary 7X7 Proximal,263.92,102.93,,,0
CDM,SUP84010,Noncdm Charge Record Medical Supplies,263.92,102.93,,,0
CDM,SUP84017,Noncdm Charge Record Medical Supplies - See 113467 Stockinette Imperv 8X38 Med,11.38,4.44,,,0
CDM,SUP84019_272,Noncdm Charge Record Medical Supplies - See 232 Surgicel 2X3 Ref 1953 Origi,290.83,113.42,,,0
CDM,SUP84019_A4649_272,Noncdm Charge Record Medical Supplies - See 232 Surgicel 2X3 Ref 1953 Origi,290.83,113.42,,,0
CDM,SUP84019_A9999_272,Noncdm Charge Record Medical Supplies - See 232 Surgicel 2X3 Ref 1953 Origi,290.83,113.42,,,0
CDM,SUP84020,Noncdm Charge Record Medical Supplies - Surgicel 6X9 Nu-Knit Ref 19,614.23,239.55,,,0
CDM,SUP84021,Noncdm Charge Record Medical Supplies - Suture Chromic 0 36Inch Ct Taper Ethicon,16.04,6.26,,,0
CDM,SUP84022,Noncdm Charge Record Medical Supplies - See 140955 Suture Vicryl 2-0 27Inch Ct Taper Violet Ethicon,7.5,2.92,,,0
CDM,SUP84023,Noncdm Charge Record Medical Supplies - Suture Ethicon 1 Nurolon C550,55.69,21.72,,,0
CDM,SUP84024_272,Noncdm Charge Record Medical Supplies - Suture Ethicon Prolene Bl Mono,38.06,14.84,,,0
CDM,SUP84024_A4649_272,Noncdm Charge Record Medical Supplies - Suture Ethicon Prolene Bl Mono,38.3,14.94,,,0
CDM,SUP84025,Noncdm Charge Record Medical Supplies - Suture Gut Pl2-0 2-0 54 L103G,17.94,7.0,,,0
CDM,SUP84027,Noncdm Charge Record Medical Supplies - Suture Vicryl 3-0 27Inch Ps-1 Cutting Rapide Undyed Ethicon,34.16,13.32,,,0
CDM,SUP84028,Noncdm Charge Record Medical Supplies - Suture 2Mm Cottony X5032,266.68,104.01,,,0
CDM,SUP84029,Noncdm Charge Record Medical Supplies - Suture 2-O Blk G.I. C0125,29.73,11.59,,,0
CDM,SUP84030,Noncdm Charge Record Medical Supplies - Suture Chromic 3-0 36Inch Gut Ct Taper Ethicon,16.37,6.38,,,0
CDM,SUP84031_272,Noncdm Charge Record Medical Supplies - Suture 4-0 Pc-3 Pds Plus,36.09,14.08,,,0
CDM,SUP84031_A4649_272,Noncdm Charge Record Medical Supplies - Suture 4-0 Pc-3 Pds Plus,36.67,14.3,,,0
CDM,SUP84031_A9999_272,Noncdm Charge Record Medical Supplies - Suture 4-0 Pc-3 Pds Plus,36.48,14.23,,,0
CDM,SUP84033,Noncdm Charge Record Medical Supplies - Suture Aid Booties 05-1-01,14.49,5.65,,,0
CDM,SUP84035,Noncdm Charge Record Medical Supplies - Suture Quill Monoderm 2-0,101.43,39.56,,,0
CDM,SUP84037,Noncdm Charge Record Medical Supplies - Suture Silk 3-0 Shcr-8 C0,29.2,11.39,,,0
CDM,SUP84045_272,Noncdm Charge Record Medical Supplies - Tip 5Fr Wedge Yellow Tip,50.72,19.78,,,0
CDM,SUP84045_A4649_272,Noncdm Charge Record Medical Supplies - Tip 5Fr Wedge Yellow Tip,50.72,19.78,,,0
CDM,SUP84046,Noncdm Charge Record Medical Supplies - Trap Mucus W-Vac Breaker,11.38,4.44,,,0
CDM,SUP84047_272,Noncdm Charge Record Medical Supplies - See 139617 Tray Lapchole Cds930030L,383.98,149.75,,,0
CDM,SUP84047_A9999_272,Noncdm Charge Record Medical Supplies - See 139617 Tray Lapchole Cds930030L,383.98,149.75,,,0
CDM,SUP84048_272,Noncdm Charge Record Medical Supplies - See 1822 Tray Skin Prep O.R - L D,20.68,8.07,,,0
CDM,SUP84048_A4649_272,Noncdm Charge Record Medical Supplies - See 1822 Tray Skin Prep O.R - L D,20.7,8.07,,,0
CDM,SUP84049,Noncdm Charge Record Medical Supplies - Tray Catheterization 16Fr,33.12,12.92,,,0
CDM,SUP84050,Noncdm Charge Record Medical Supplies - Tray Foley Catheter 16Fr With Safety-Flow Statlock Latex Bar,66.24,25.83,,,0
CDM,SUP84051_272,Noncdm Charge Record Medical Supplies - See Item 134868 Tray Shoulder Dynj22889 L,403.65,157.42,,,0
CDM,SUP84051_A9999_272,Noncdm Charge Record Medical Supplies - See Item 134868 Tray Shoulder Dynj22889 L,403.65,157.42,,,0
CDM,SUP84053,Noncdm Charge Record Medical Supplies - Ear Tube Ventilation 1.14Mm Pope Beveled Medtronic Inc,75.04,29.27,,,0
CDM,SUP84055,Noncdm Charge Record Medical Supplies - Tubing Co2 Latex Free Dynj0,24.84,9.69,,,0
CDM,SUP84057,Noncdm Charge Record Medical Supplies,106.6,41.57,,,0
CDM,SUP84061,Noncdm Charge Record Medical Supplies - See 10275 Colon Decompression Set Cds,1219.23,475.5,,,0
CDM,SUP84063_272,Noncdm Charge Record Medical Supplies - Needle Suture Cottony Ii 8,315.68,123.12,,,0
CDM,SUP84063_A9999_272,Noncdm Charge Record Medical Supplies - Needle Suture Cottony Ii 8,320.85,125.13,,,0
CDM,SUP84064,Noncdm Charge Record Medical Supplies - Catheter Balloon Multi 3 Extra Ction,602.37,234.92,,,0
CDM,SUP84067_270,Noncdm Charge Record Medical Supplies - See 700 Extension Set W-Side Clamp,17.56,6.85,,,0
CDM,SUP84067_A4649_270,Noncdm Charge Record Medical Supplies - See 700 Extension Set W-Side Clamp,17.6,6.86,,,0
CDM,SUP84071_270,Noncdm Charge Record Medical Supplies - Sleeve Dvt Reg Medium,78.63,30.67,,,0
CDM,SUP84071_A4649_270,Noncdm Charge Record Medical Supplies - Sleeve Dvt Reg Medium,78.66,30.68,,,0
CDM,SUP84071_A9999_270,Noncdm Charge Record Medical Supplies - Sleeve Dvt Reg Medium,78.66,30.68,,,0
CDM,SUP84073,Noncdm Charge Record Medical Supplies - See 112835 Mucous Specimen Trap Davol,14.49,5.65,,,0
CDM,SUP84074_272,Noncdm Charge Record Medical Supplies - See 102830 Insyte 22Ga 1.00In,8.21,3.2,,,0
CDM,SUP84074_A4649_272,Noncdm Charge Record Medical Supplies - See 102830 Insyte 22Ga 1.00In,7.76,3.03,,,0
CDM,SUP84079,Noncdm Charge Record Medical Supplies - Sleeve Dvt Thigh Regular,71.42,27.85,,,0
CDM,SUP8408,Noncdm Charge Record Medical Supplies - Screw 3.6-14Mm Spnl Slf Strl,671.64,261.94,,,0
CDM,SUP84080,Noncdm Charge Record Medical Supplies - See 37716 Gtube Mic 20Fr Peg Replace,165.6,64.58,,,0
CDM,SUP84081_270,Noncdm Charge Record Medical Supplies - See 8702 Mastisol Liquid Adhesive,35.34,13.78,,,0
CDM,SUP84081_A4649_270,Noncdm Charge Record Medical Supplies - See 8702 Mastisol Liquid Adhesive,35.21,13.73,,,0
CDM,SUP84081_A9999_270,Noncdm Charge Record Medical Supplies - See 8702 Mastisol Liquid Adhesive,35.19,13.72,,,0
CDM,SUP84082_272,Noncdm Charge Record Medical Supplies - See 47658 Surgicel Nu-Knit Hemo 3 X 4,240.13,93.65,,,0
CDM,SUP84082_A9999_272,Noncdm Charge Record Medical Supplies - See 47658 Surgicel Nu-Knit Hemo 3 X 4,240.12,93.65,,,0
CDM,SUP84083,Noncdm Charge Record Medical Supplies - Sleeve Dvt Bariatric,134.55,52.47,,,0
CDM,SUP84084_272,Noncdm Charge Record Medical Supplies - Snare Rotatable 13Mm,259.8,101.32,,,0
CDM,SUP84084_A4649_272,Noncdm Charge Record Medical Supplies - Snare Rotatable 13Mm,259.79,101.32,,,0
CDM,SUP84084_A9999_272,Noncdm Charge Record Medical Supplies - Snare Rotatable 13Mm,259.79,101.32,,,0
CDM,SUP84085_272,Noncdm Charge Record Medical Supplies - Snare Rotatable 20Mm,259.79,101.32,,,0
CDM,SUP84085_A4649_272,Noncdm Charge Record Medical Supplies - Snare Rotatable 20Mm,259.79,101.32,,,0
CDM,SUP84089,Noncdm Charge Record Medical Supplies - Stockinette 4 Sterile Latex Fr,10.35,4.04,,,0
CDM,SUP8409,Noncdm Charge Record Medical Supplies - Screw Bn 4.2Mm 14Mm St Spnl Va,762.8,297.49,,,0
CDM,SUP84090,Noncdm Charge Record Medical Supplies - Cath Coude 22Fr 30Cc 3Way 600,143.86,56.11,,,0
CDM,SUP84091,Noncdm Charge Record Medical Supplies,837.32,326.55,,,0
CDM,SUP84095,Noncdm Charge Record Medical Supplies - See 91766 Device Biovac Direct Suction,2756.2,1074.92,,,0
CDM,SUP84097,Noncdm Charge Record Medical Supplies - Brush Colonoscope Cytology,102.46,39.96,,,0
CDM,SUP84099,Noncdm Charge Record Medical Supplies - Forcep Grasper Caesar Cgf-1-2,749.34,292.24,,,0
CDM,SUP8412,Noncdm Charge Record Medical Supplies,21750.52,8482.7,,,0
CDM,SUP84144,Noncdm Charge Record Medical Supplies - See 9602 Curette Vac Crv Rgd Strl 8Mm,19.66,7.67,,,0
CDM,SUP84146_272,Noncdm Charge Record Medical Supplies - Brush Cyto Bscp 1.73X140Cm Lng,88.82,34.64,,,0
CDM,SUP84146_A4649_272,Noncdm Charge Record Medical Supplies - Brush Cyto Bscp 1.73X140Cm Lng,89.01,34.71,,,0
CDM,SUP84150_272,Noncdm Charge Record Medical Supplies - See 20017 Swab Proctosigmoidoscopic 16In,7.24,2.82,,,0
CDM,SUP84150_A4649_272,Noncdm Charge Record Medical Supplies - See 20017 Swab Proctosigmoidoscopic 16In,7.24,2.82,,,0
CDM,SUP84164,Noncdm Charge Record Medical Supplies - Mask Face Toddler Single Use,19.66,7.67,,,0
CDM,SUP84173,Noncdm Charge Record Medical Supplies - Wire Guide Stiff Shaft Long T Tpr Ang .035Ind 150Cm,228.74,89.21,,,0
CDM,SUP84184,Noncdm Charge Record Medical Supplies - Pack Lithotomy Viii,48.72,19.0,,,0
CDM,SUP84185,Noncdm Charge Record Medical Supplies - Suture Plain 5-0 Pre-2 Sg56,59.68,23.28,,,0
CDM,SUP84188,Noncdm Charge Record Medical Supplies - Sleeve Dvt Large,83.84,32.7,,,0
CDM,SUP84189,Noncdm Charge Record Medical Supplies - Needle Interject,283.59,110.6,,,0
CDM,SUP84190,Noncdm Charge Record Medical Supplies - See 110577 Catheter Balloon Mustang 6X40 X75,734.5,286.46,,,0
CDM,SUP84191,Noncdm Charge Record Medical Supplies - See 110574 Catheter Balloon Mustang 8X40 X75,856.98,334.22,,,0
CDM,SUP842,Noncdm Charge Record Medical Supplies - Tube 6Mm Uncuf Dist Xlt Trch,309.46,120.69,,,0
CDM,SUP8421,Noncdm Charge Record Medical Supplies - Spacer Spnl 16X14X8Mm,11359.12,4430.06,,,0
CDM,SUP84213,Noncdm Charge Record Medical Supplies - Balloon Repl Std G Tube 20Fr,365.36,142.49,,,0
CDM,SUP84217_272,Noncdm Charge Record Medical Supplies - Forcep Bx Endo Jaw 2.8Mm 230Cm,40.36,15.74,,,0
CDM,SUP84217_A4649_272,Noncdm Charge Record Medical Supplies - Forcep Bx Endo Jaw 2.8Mm 230Cm,40.36,15.74,,,0
CDM,SUP84218,Noncdm Charge Record Medical Supplies,110.74,43.19,,,0
CDM,SUP84219,Noncdm Charge Record Medical Supplies - Sys Drain Ext Csf Mntr 30Ml,1460.38,569.55,,,0
CDM,SUP84222_272,Noncdm Charge Record Medical Supplies - Forcep Bx Bscp 1.8Mm 110Cm,173.9,67.82,,,0
CDM,SUP84222_A4649_272,Noncdm Charge Record Medical Supplies - Forcep Bx Bscp 1.8Mm 110Cm,182.16,71.04,,,0
CDM,SUP84228,Noncdm Charge Record Medical Supplies,936.68,365.31,,,0
CDM,SUP8423,Noncdm Charge Record Medical Supplies - Spacer Spnl 16X14X7Mm 7D,11359.12,4430.06,,,0
CDM,SUP84230,Noncdm Charge Record Medical Supplies - See 139614 Pack Cust Crntmy Amc,1016.37,396.38,,,0
CDM,SUP84232_272,Noncdm Charge Record Medical Supplies - Pack Cust Orth Trm Amc,776.25,302.74,,,0
CDM,SUP84232_A4649_272,Noncdm Charge Record Medical Supplies - Pack Cust Orth Trm Amc,776.25,302.74,,,0
CDM,SUP84233_272,Noncdm Charge Record Medical Supplies - See 139268 Pack Cust Spine Amc,527.84,205.86,,,0
CDM,SUP84233_A9999_272,Noncdm Charge Record Medical Supplies - See 139268 Pack Cust Spine Amc,527.85,205.86,,,0
CDM,SUP84237,Noncdm Charge Record Medical Supplies - Disc Cerv Asmbly Pstg 6X16Mm,20300.49,7917.19,,,0
CDM,SUP8424,Noncdm Charge Record Medical Supplies - Spacer Spnl 16X14X6Mm 7D,11358.92,4429.98,,,0
CDM,SUP84240,Noncdm Charge Record Medical Supplies - Blade Osc Prcs Stryk 18.3X1.33X105Mm,1296.86,505.78,,,0
CDM,SUP8425,Noncdm Charge Record Medical Supplies - Screw Bn 4.2Mm 14Mm Std Spnl Va,671.72,261.97,,,0
CDM,SUP84256,Noncdm Charge Record Medical Supplies - Drill Perforator Surgical Sha Rp Diposable 11Mm,1240.96,483.97,,,0
CDM,SUP84259,Noncdm Charge Record Medical Supplies - Balloon Replacement Straight G Tube 22Fr,365.36,142.49,,,0
CDM,SUP84260,Noncdm Charge Record Medical Supplies - Pack Custom Ent Atlanta Medic Al Ctr South Campus,846.63,330.19,,,0
CDM,SUP843,Noncdm Charge Record Medical Supplies - Tube Endtrch 4.5 Nsl-Orl Cuff,7.24,2.82,,,0
CDM,SUP84302_272,Noncdm Charge Record Medical Supplies - Blade Photon,1697.87,662.17,,,0
CDM,SUP84302_A4649_272,Noncdm Charge Record Medical Supplies - Blade Photon,1492.12,581.93,,,0
CDM,SUP84302_A9999_272,Noncdm Charge Record Medical Supplies - Blade Photon,1590.8,620.41,,,0
CDM,SUP84304,Noncdm Charge Record Medical Supplies - Forceps Micro For Eus Prc,2447.78,954.63,,,0
CDM,SUP84339_270,Noncdm Charge Record Medical Supplies - Aspen Cervical Collar Adult Short,141.79,55.3,,,0
CDM,SUP84339_L0172_274,Noncdm Charge Record Medical Supplies - Aspen Cervical Collar Adult Short,141.79,55.3,,,0
CDM,SUP84341,Noncdm Charge Record Medical Supplies - Kit Sin Escp Pk 3.5Cm 1.2Cm 1.25Cm,146.97,57.32,,,0
CDM,SUP84342,Noncdm Charge Record Medical Supplies - See 101440 Pd Cast Synthetic 6Inx4Yd Strl,14.49,5.65,,,0
CDM,SUP84345,Noncdm Charge Record Medical Supplies - See 95576 Implant Screw Dstrct 14Mm,202.34,78.91,,,0
CDM,SUP84350,Noncdm Charge Record Medical Supplies - See 123146 Wire Krsh Style I .035In Dia 6In Strl,35.19,13.72,,,0
CDM,SUP84353,Noncdm Charge Record Medical Supplies - Catheter Thoracic Standard Ri Ight Angle 32 Fr,47.52,18.53,,,0
CDM,SUP84361,Noncdm Charge Record Medical Supplies - Tube Trach Inraein Preformed 3 3.5Mm Uncuffed,18.63,7.27,,,0
CDM,SUP84368,Noncdm Charge Record Medical Supplies - Gauze Packing Surgical X-Ray Detect 2Inch X 6 Ster,30.02,11.71,,,0
CDM,SUP84369,Noncdm Charge Record Medical Supplies - Shunt Carotid Sundt 3.5Mm X 5 Mm Sterile,1958.22,763.71,,,0
CDM,SUP84398,Noncdm Charge Record Medical Supplies - Fbr Laser Surg 200 Mh Sflx Ho,1713.96,668.44,,,0
CDM,SUP844,Noncdm Charge Record Medical Supplies - Dressing 8X3In Nadh Wound Gauze Strl Lf Disp,9.32,3.63,,,0
CDM,SUP84407,Noncdm Charge Record Medical Supplies - Blade Saw Sternal System 6 30 .5 X 1Mm Sterile,142.17,55.45,,,0
CDM,SUP84410_272,Noncdm Charge Record Medical Supplies - Device Delivery Rezum System,7495.47,2923.23,,,0
CDM,SUP84410_A4649_272,Noncdm Charge Record Medical Supplies - Device Delivery Rezum System,7495.47,2923.23,,,0
CDM,SUP84410_A9999_272,Noncdm Charge Record Medical Supplies - Device Delivery Rezum System,7495.47,2923.23,,,0
CDM,SUP84415,Noncdm Charge Record Medical Supplies - Microcatheter Phenom 27 W-15Cm Dist Flpy Seg 027In 150Cm,3968.19,1547.59,,,0
CDM,SUP84416_272,Noncdm Charge Record Medical Supplies,425.26,165.85,,,0
CDM,SUP84416_A4649_272,Noncdm Charge Record Medical Supplies,419.69,163.68,,,0
CDM,SUP84457,Noncdm Charge Record Medical Supplies,300.15,117.06,,,0
CDM,SUP8446,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 40Mm Spnl Rvlv,4108.43,1602.29,,,0
CDM,SUP8447,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 45Mm Spnl Rvlv,4108.43,1602.29,,,0
CDM,SUP8449,Noncdm Charge Record Medical Supplies - Cap Lck Lumb Spine Revolve,268.61,104.76,,,0
CDM,SUP84498,Noncdm Charge Record Medical Supplies - Cannula Nasal Divid Adult 7Ft 02 Ln 7Ft Co2 Ln F,23.8,9.28,,,0
CDM,SUP84501,Noncdm Charge Record Medical Supplies - Dissector Endopath 5Mm Blunt T,323.96,126.34,,,0
CDM,SUP84546,Noncdm Charge Record Medical Supplies - See 1132 Binder Abdominal L-Xl,32.08,12.51,,,0
CDM,SUP84547_272,Noncdm Charge Record Medical Supplies - Manipulator Advincula Delineator 3.,424.35,165.5,,,0
CDM,SUP84547_A4649_272,Noncdm Charge Record Medical Supplies - Manipulator Advincula Delineator 3.,424.35,165.5,,,0
CDM,SUP84547_A9999_272,Noncdm Charge Record Medical Supplies - Manipulator Advincula Delineator 3.,424.35,165.5,,,0
CDM,SUP84548_272,Noncdm Charge Record Medical Supplies - Manipulator Advincula Dlineator 3.0,424.35,165.5,,,0
CDM,SUP84548_A4649_272,Noncdm Charge Record Medical Supplies - Manipulator Advincula Dlineator 3.0,424.35,165.5,,,0
CDM,SUP84548_A9999_272,Noncdm Charge Record Medical Supplies - Manipulator Advincula Dlineator 3.0,424.35,165.5,,,0
CDM,SUP84551,Noncdm Charge Record Medical Supplies - V-Loc 3-0 6In Blue Wound,111.97,43.67,,,0
CDM,SUP84552,Noncdm Charge Record Medical Supplies - Probe Rf Ablation Osteocool 17Ga 15Mm,20660.67,8057.66,,,0
CDM,SUP84554,Noncdm Charge Record Medical Supplies - Insert Scissor 5Mm 36Cm,180.15,70.26,,,0
CDM,SUP84596,Noncdm Charge Record Medical Supplies - Stent-Graft Endopros 12Cm 14.5Mm Exclud Xtd,21542.49,8401.57,,,0
CDM,SUP84597,Noncdm Charge Record Medical Supplies - Stent-Graft Endopros 14Cm 14.5Mm Exclud Xtd,21542.49,8401.57,,,0
CDM,SUP8462,Noncdm Charge Record Medical Supplies - Plate 94Mm Ss 3.5Mm 4 Hl Rt Lcp Bn Rt Prox,6186.2,2412.62,,,0
CDM,SUP8463,Noncdm Charge Record Medical Supplies - Plate 70Mm Ss 2.4Mm Screw 6X4 Hl Va 2 Column,4338.72,1692.1,,,0
CDM,SUP84637,Noncdm Charge Record Medical Supplies - Pin Dstrct Strl Ylw 14Mm,111.26,43.39,,,0
CDM,SUP84638,Noncdm Charge Record Medical Supplies - Carrier Skin Graft Plas 8In,204.93,79.92,,,0
CDM,SUP8464,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 18Mm Lcp Ss Dist Radial Va Lck,618.46,241.2,,,0
CDM,SUP84642,Noncdm Charge Record Medical Supplies - Ball Pin For K-Wire Derlin 3- -8 Dia .045 Yel Disp,186.07,72.57,,,0
CDM,SUP84649,Noncdm Charge Record Medical Supplies - Anchor Suture Orthocord Helix Advance 4.75 Knotless Peek Dep,2066.9,806.09,,,0
CDM,SUP84656,Noncdm Charge Record Medical Supplies - Forcep Bx Endo Jaw 2.4Mm 230Cm,46.58,18.17,,,0
CDM,SUP8465_C1713_278,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 20Mm Lcp Ss Dist Radial Va Lck,619.98,241.79,,,0
CDM,SUP8465_L8699_278,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 20Mm Lcp Ss Dist Radial Va Lck,615.83,240.17,,,0
CDM,SUP8468,Noncdm Charge Record Medical Supplies - Plate 86Mm Ss 2.7-3.5Mm Rt 4 Hl Lcp Bn Rt,1923.03,749.98,,,0
CDM,SUP84694,Noncdm Charge Record Medical Supplies - See 142657 Dressing Anmc Ag Slvr 10In36In Cmplx,169.74,66.2,,,0
CDM,SUP84695,Noncdm Charge Record Medical Supplies - See 158008 Holder Trach Holder Adult #,11.38,4.44,,,0
CDM,SUP84699,Noncdm Charge Record Medical Supplies - Adapter Perf Dlp 1-4In W-Male Luer Barbed Conn 2In,19.66,7.67,,,0
CDM,SUP8470,Noncdm Charge Record Medical Supplies - Plate 9Mm Ss 2.7-3.5Mm Screw 5 Hl Lcp Bn Rt,1952.01,761.28,,,0
CDM,SUP84742,Noncdm Charge Record Medical Supplies - Probe Coolief Cooled Radio Frequency Crp-17-75,1860.41,725.56,,,0
CDM,SUP84743_C1763_278,Noncdm Charge Record Medical Supplies - Matrix Wound Cytal 5X5 2 Layer,3567.64,1391.38,,,0
CDM,SUP8477,Noncdm Charge Record Medical Supplies - Screw Bn 28Mm Acutwist Ti Ft Peri Art Wrst,1584.58,617.99,,,0
CDM,SUP84801,Noncdm Charge Record Medical Supplies,66.26,25.84,,,0
CDM,SUP8482,Noncdm Charge Record Medical Supplies - Screw 4.6Mm 16Mm Occ Cerv Va Thor Spine St,671.72,261.97,,,0
CDM,SUP84849,Noncdm Charge Record Medical Supplies - Tube 7.5Mm Cuff Loprs Cannula Shly Tracheo,205.96,80.32,,,0
CDM,SUP8485,Noncdm Charge Record Medical Supplies - Dissector Enseal Trio 35Cm 5Mm 3Mm Crv,3217.82,1254.95,,,0
CDM,SUP849,Noncdm Charge Record Medical Supplies - Tray Epdrl 17Ga 90Mm Ndl Epi,92.09,35.92,,,0
CDM,SUP84923,Noncdm Charge Record Medical Supplies - Bit Drill Neuro Sftch 2X3.8Mm,703.8,274.48,,,0
CDM,SUP84928,Noncdm Charge Record Medical Supplies - Kit Dil Multi Sin Lt Fbr 6Mm,9977.4,3891.19,,,0
CDM,SUP84929_272,Noncdm Charge Record Medical Supplies - Snare Plpctm Micro Ovl Blu 240,162.5,63.38,,,0
CDM,SUP84929_A4649_272,Noncdm Charge Record Medical Supplies - Snare Plpctm Micro Ovl Blu 240,162.5,63.38,,,0
CDM,SUP84930,Noncdm Charge Record Medical Supplies - Valve Strata Adj Sm,26376.71,10286.92,,,0
CDM,SUP84936,Noncdm Charge Record Medical Supplies - Burr Diamond Round 5Mm,751.41,293.05,,,0
CDM,SUP84939,Noncdm Charge Record Medical Supplies,307.52,119.93,,,0
CDM,SUP84943,Noncdm Charge Record Medical Supplies - Guidewire Amplatz Spr Stf Ptf Fe .035 145Cml 3Mm J,160.22,62.49,,,0
CDM,SUP84945,Noncdm Charge Record Medical Supplies,897.34,349.96,,,0
CDM,SUP84946,Noncdm Charge Record Medical Supplies,866.3,337.86,,,0
CDM,SUP84955,Noncdm Charge Record Medical Supplies - Wire Guide Amplatz Extra Stif Ff .035 145 5Cm Flex,153.18,59.74,,,0
CDM,SUP84996,Noncdm Charge Record Medical Supplies,131.44,51.26,,,0
CDM,SUP84997,Noncdm Charge Record Medical Supplies - See 77270 Cuff Tourniquet Dpsb 18X4 Qck Cnct,95.22,37.14,,,0
CDM,SUP84998,Noncdm Charge Record Medical Supplies,104.54,40.77,,,0
CDM,SUP84999,Noncdm Charge Record Medical Supplies - Nasal Implant System Latera Absorb,4809.3,1875.63,,,0
CDM,SUP85000,Noncdm Charge Record Medical Supplies - Catheter True Balloon Valvuloplasty 22Mm X 4.5Cm,4001.5,1560.58,,,0
CDM,SUP85001,Noncdm Charge Record Medical Supplies - Introducer Raabe 7Fr 45Cm Ckfl Flxr,330.16,128.76,,,0
CDM,SUP85003,Noncdm Charge Record Medical Supplies - Lead Dl Set 5 Disposable,73.48,28.66,,,0
CDM,SUP85030_272,Noncdm Charge Record Medical Supplies - Electrode Blade Ext 6.5In Strl,22.77,8.88,,,0
CDM,SUP85030_A4649_272,Noncdm Charge Record Medical Supplies - Electrode Blade Ext 6.5In Strl,22.77,8.88,,,0
CDM,SUP85031,Noncdm Charge Record Medical Supplies - Suture Monocr 0 36In Ctxb Uc Ob-Gyn,16.01,6.24,,,0
CDM,SUP85041,Noncdm Charge Record Medical Supplies - Balloon 24Fr X 12Cm W-Sheath,1755.36,684.59,,,0
CDM,SUP85042,Noncdm Charge Record Medical Supplies - Balloon 30Fr X 15Cm W-Sheath,1594.94,622.03,,,0
CDM,SUP85043_272,Noncdm Charge Record Medical Supplies - Probe Circ 2.3Mm Fiapc Len,1169.41,456.07,,,0
CDM,SUP85043_A4649_272,Noncdm Charge Record Medical Supplies - Probe Circ 2.3Mm Fiapc Len,1188.18,463.39,,,0
CDM,SUP85043_A9999_272,Noncdm Charge Record Medical Supplies - Probe Circ 2.3Mm Fiapc Len,1144.71,446.44,,,0
CDM,SUP851,Noncdm Charge Record Medical Supplies - Joint Toe Swnsn 4S Lat Mtp Sil Ti Grommet Flx,3832.6,1494.71,,,0
CDM,SUP8510,Noncdm Charge Record Medical Supplies - Lead Neurostim 60Cm Lmtrd 16,13267.66,5174.39,,,0
CDM,SUP8511,Noncdm Charge Record Medical Supplies - Sphincterotome 30Mm 260Cm Hdrt,2450.88,955.84,,,0
CDM,SUP85118,Noncdm Charge Record Medical Supplies - Syringe Kit For Traumacem V+ Injectable Bone Cement Synthes,513.91,200.42,,,0
CDM,SUP85119,Noncdm Charge Record Medical Supplies - Injection Cannula For Traumacem V+ Injectable Bone Cement Sy,1394.14,543.71,,,0
CDM,SUP85120,Noncdm Charge Record Medical Supplies - Injectable Bone Cement-Sterile,1691.36,659.63,,,0
CDM,SUP85122,Noncdm Charge Record Medical Supplies - Helical Blade 70Mm-Sterile,2589.57,1009.93,,,0
CDM,SUP85123,Noncdm Charge Record Medical Supplies - Helical Blade 75Mm,2589.57,1009.93,,,0
CDM,SUP85124,Noncdm Charge Record Medical Supplies - Helical Blade 75Mm-Sterile,2802.26,1092.88,,,0
CDM,SUP85125,Noncdm Charge Record Medical Supplies - Helical Blade 80Mm,2616.48,1020.43,,,0
CDM,SUP85126,Noncdm Charge Record Medical Supplies - Helical Blade 80Mm-Sterile,2617.93,1020.99,,,0
CDM,SUP85127,Noncdm Charge Record Medical Supplies - Helical Blade 85Mm,2648.15,1032.78,,,0
CDM,SUP85128,Noncdm Charge Record Medical Supplies - Helical Blade 85Mm-Sterile,2646.31,1032.06,,,0
CDM,SUP85129,Noncdm Charge Record Medical Supplies - Helical Blade 90Mm,2616.48,1020.43,,,0
CDM,SUP85130,Noncdm Charge Record Medical Supplies - Helical Blade 90Mm-Sterile,2669.73,1041.19,,,0
CDM,SUP85131,Noncdm Charge Record Medical Supplies - Helical Blade 95Mm,2630.73,1025.98,,,0
CDM,SUP85132,Noncdm Charge Record Medical Supplies - Helical Blade 95Mm-Sterile,2688.48,1048.51,,,0
CDM,SUP85133,Noncdm Charge Record Medical Supplies - Helical Blade 100Mm,2653.53,1034.88,,,0
CDM,SUP85134,Noncdm Charge Record Medical Supplies - Helical Blade 100Mm-Sterile,2650.7,1033.77,,,0
CDM,SUP85135,Noncdm Charge Record Medical Supplies - Helical Blade 105Mm,2616.48,1020.43,,,0
CDM,SUP85136,Noncdm Charge Record Medical Supplies - Helical Blade 105Mm-Sterile,2719.03,1060.42,,,0
CDM,SUP85137,Noncdm Charge Record Medical Supplies - Helical Blade 110Mm,2616.48,1020.43,,,0
CDM,SUP85138,Noncdm Charge Record Medical Supplies - Helical Blade 110Mm-Sterile,2622.29,1022.69,,,0
CDM,SUP85139,Noncdm Charge Record Medical Supplies - Helical Blade 115Mm,2616.48,1020.43,,,0
CDM,SUP85140,Noncdm Charge Record Medical Supplies - Helical Blade 115Mm-Sterile,2589.57,1009.93,,,0
CDM,SUP85144,Noncdm Charge Record Medical Supplies - Helical Blade 125Mm-Sterile,2589.57,1009.93,,,0
CDM,SUP85149,Noncdm Charge Record Medical Supplies,2660.98,1037.78,,,0
CDM,SUP85150,Noncdm Charge Record Medical Supplies - Fenestrated Screw 75Mm-Sterile,2460.2,959.48,,,0
CDM,SUP85151,Noncdm Charge Record Medical Supplies - Fenestrated Screw 80Mm,2480.38,967.35,,,0
CDM,SUP85152,Noncdm Charge Record Medical Supplies - Fenestrated Screw 80Mm-Sterile,2598.19,1013.29,,,0
CDM,SUP85153,Noncdm Charge Record Medical Supplies - Fenestrated Screw 85Mm,2498.41,974.38,,,0
CDM,SUP85154,Noncdm Charge Record Medical Supplies - Fenestrated Screw 85Mm-Sterile,2570.59,1002.53,,,0
CDM,SUP85155,Noncdm Charge Record Medical Supplies - Fenestrated Screw 90Mm,2485.76,969.45,,,0
CDM,SUP85156,Noncdm Charge Record Medical Supplies - Fenestrated Screw 90Mm-Sterile,2563.7,999.84,,,0
CDM,SUP85157,Noncdm Charge Record Medical Supplies - Fenestrated Screw 95Mm,2516.27,981.35,,,0
CDM,SUP85158,Noncdm Charge Record Medical Supplies - Fenestrated Screw 95Mm-Sterile,2604.61,1015.8,,,0
CDM,SUP85159,Noncdm Charge Record Medical Supplies - Fenestrated Screw 100Mm,2483.26,968.47,,,0
CDM,SUP85160,Noncdm Charge Record Medical Supplies - Fenestrated Screw 100Mm-Steril,2536.86,989.38,,,0
CDM,SUP85161,Noncdm Charge Record Medical Supplies - Fenestrated Screw 105Mm,2487.1,969.97,,,0
CDM,SUP85162,Noncdm Charge Record Medical Supplies - Fenestrated Screw 105Mm-Steril,2535.47,988.83,,,0
CDM,SUP85163,Noncdm Charge Record Medical Supplies - Fenestrated Screw 110Mm,2487.1,969.97,,,0
CDM,SUP85164,Noncdm Charge Record Medical Supplies - Fenestrated Screw 110Mm-Steril,2523.89,984.32,,,0
CDM,SUP85166,Noncdm Charge Record Medical Supplies - Fenestrated Screw 115Mm-Steril,2460.2,959.48,,,0
CDM,SUP85168,Noncdm Charge Record Medical Supplies - Fenestrated Screw 120Mm-Steril,2874.2,1120.94,,,0
CDM,SUP85196_272,Noncdm Charge Record Medical Supplies - See 42859 Catheter Iv 22Ga1In Insyte Shld Dehp-Fr Radiopq,7.24,2.82,,,0
CDM,SUP85196_A4649_272,Noncdm Charge Record Medical Supplies - See 42859 Catheter Iv 22Ga1In Insyte Shld Dehp-Fr Radiopq,7.24,2.82,,,0
CDM,SUP85201,Noncdm Charge Record Medical Supplies,23.8,9.28,,,0
CDM,SUP85213,Noncdm Charge Record Medical Supplies - Gwire Nitinol Prcs 2.1Mmx17In,1517.31,591.75,,,0
CDM,SUP85215,Noncdm Charge Record Medical Supplies - Graft Bn Allograft 4-10Mmx15Cc,1353.78,527.97,,,0
CDM,SUP85218,Noncdm Charge Record Medical Supplies - Screw Cort St Ti 3.5X30Mm,123.16,48.03,,,0
CDM,SUP85219,Noncdm Charge Record Medical Supplies - Screw Lck St Axsos Ti 4X70Mm,547.86,213.67,,,0
CDM,SUP85220,Noncdm Charge Record Medical Supplies - Screw Lck St Axsos Ti 4X80Mm,1296.86,505.78,,,0
CDM,SUP85222,Noncdm Charge Record Medical Supplies - Spacer Rise 10X26Mm 8-15Mm 10,21750.52,8482.7,,,0
CDM,SUP85225,Noncdm Charge Record Medical Supplies - Kit Ost Or Loop Wafer 6X6In Flange 4In,12.42,4.84,,,0
CDM,SUP85229,Noncdm Charge Record Medical Supplies,668.61,260.76,,,0
CDM,SUP85232,Noncdm Charge Record Medical Supplies - Bit Drill Locking Short Disp 2.5X216Mm Axsos 3,1398.28,545.33,,,0
CDM,SUP85263,Noncdm Charge Record Medical Supplies - Needle Spinal Disp 20Ga X 6In Plastic Hub,19.7,7.68,,,0
CDM,SUP85264,Noncdm Charge Record Medical Supplies - Putty Bone Demineralized Bone E Matrix 2.5Cc,1719.14,670.46,,,0
CDM,SUP85282,Noncdm Charge Record Medical Supplies - Putty Dbm Osteoselect 5.0Cc Lo,2803.3,1093.29,,,0
CDM,SUP85283,Noncdm Charge Record Medical Supplies - Implant Propel Sinus Steroid Contour,4587.09,1788.97,,,0
CDM,SUP85285_272,Noncdm Charge Record Medical Supplies - Needle Blunt Fill 18 Ga,34.16,13.32,,,0
CDM,SUP85285_A9999_272,Noncdm Charge Record Medical Supplies - Needle Blunt Fill 18 Ga,34.16,13.32,,,0
CDM,SUP85286_272,Noncdm Charge Record Medical Supplies - Attachment Disposable Distal,121.1,47.23,,,0
CDM,SUP85286_A4649_272,Noncdm Charge Record Medical Supplies - Attachment Disposable Distal,121.1,47.23,,,0
CDM,SUP85286_A9999_272,Noncdm Charge Record Medical Supplies - Attachment Disposable Distal,121.1,47.23,,,0
CDM,SUP85289,Noncdm Charge Record Medical Supplies - Screw Bn 10Mm 25Mm Ft Intfr 60 Rnd Head Composi Tcp,2546.36,993.08,,,0
CDM,SUP85290,Noncdm Charge Record Medical Supplies - Screw Bn Lck 16Mm 2.7Mm,1036.72,404.32,,,0
CDM,SUP85293,Noncdm Charge Record Medical Supplies - Tray Spnl 3.5In 18Ga Espcn Pncn Pncl Pt Ndl,69.34,27.04,,,0
CDM,SUP8530,Noncdm Charge Record Medical Supplies - Rod Spnl 120Mm 6Mm Xia Ti,940.3,366.72,,,0
CDM,SUP85317,Noncdm Charge Record Medical Supplies - See 139618 Pack Cust Csect N Fulton Regional Hsp,859.05,335.03,,,0
CDM,SUP85318,Noncdm Charge Record Medical Supplies - See 141313 Pack Cust Csect West Georgia,533.02,207.88,,,0
CDM,SUP8539,Noncdm Charge Record Medical Supplies - Graft Cv 40Cm 24Mm 8Mm 15Cm,13987.25,5455.03,,,0
CDM,SUP8540,Noncdm Charge Record Medical Supplies - Graft Cv 40Cm 26Mm 8Mm 15Cm Aort Arch 4 Brch,15877.94,6192.4,,,0
CDM,SUP85405,Noncdm Charge Record Medical Supplies,121.1,47.23,,,0
CDM,SUP85406,Noncdm Charge Record Medical Supplies - Neurostim Wrls Remote Intellis,1437.62,560.67,,,0
CDM,SUP85408,Noncdm Charge Record Medical Supplies,4607.82,1797.05,,,0
CDM,SUP8541,Noncdm Charge Record Medical Supplies - Graft Cv 40Cm 28Mm 8Mm 15Cm,12300.98,4797.38,,,0
CDM,SUP85410,Noncdm Charge Record Medical Supplies - Battery Intellis Neurostim,90270.51,35205.5,,,0
CDM,SUP85415,Noncdm Charge Record Medical Supplies - Kit Neurostim Surg Intellis Pack 1 Kit,73545.03,28682.56,,,0
CDM,SUP854_272,Noncdm Charge Record Medical Supplies - Dressing Ace Bandage 5Ydx3In Medline,4.14,1.61,,,0
CDM,SUP854_A4649_272,Noncdm Charge Record Medical Supplies - Dressing Ace Bandage 5Ydx3In Medline,4.14,1.61,,,0
CDM,SUP854_A9999_272,Noncdm Charge Record Medical Supplies - Dressing Ace Bandage 5Ydx3In Medline,4.14,1.61,,,0
CDM,SUP8550,Noncdm Charge Record Medical Supplies,4905.9,1913.3,,,0
CDM,SUP85511_272,Noncdm Charge Record Medical Supplies - Catheter Tempo 0.038X100Cm 5Fr Cerebral Vertebral Cardinal M,76.49,29.83,,,0
CDM,SUP85511_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Tempo 0.038X100Cm 5Fr Cerebral Vertebral Cardinal M,87.98,34.31,,,0
CDM,SUP85511_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Tempo 0.038X100Cm 5Fr Cerebral Vertebral Cardinal M,50.2,19.58,,,0
CDM,SUP8552,Noncdm Charge Record Medical Supplies - Centralizer Stem 8Mm Invis,422.28,164.69,,,0
CDM,SUP8553,Noncdm Charge Record Medical Supplies - Stem Fem 115Mm 10Mm Cement,13642.34,5320.51,,,0
CDM,SUP85597,Noncdm Charge Record Medical Supplies - Blade Sagittal Saw 1.27X12.5X73Mm Stryker,143.86,56.11,,,0
CDM,SUP8560,Noncdm Charge Record Medical Supplies - Screw Bn Independ Spnl Va,1552.5,605.48,,,0
CDM,SUP85641,Noncdm Charge Record Medical Supplies - Skirt Stex 25X20Cm (9.8Inx7.9In),5262.98,2052.56,,,0
CDM,SUP85642,Noncdm Charge Record Medical Supplies - Mesh Symbotex 20L X 15W Cm,3139.16,1224.27,,,0
CDM,SUP85649,Noncdm Charge Record Medical Supplies - Ring Transjugular Intrahepatic 10F Access Kit Cook,2358.76,919.92,,,0
CDM,SUP85685,Noncdm Charge Record Medical Supplies - Device Vascade Device Sys 5Fr,1101.24,429.48,,,0
CDM,SUP85797_272,Noncdm Charge Record Medical Supplies - Suture V-Loc 180 1-2 Circle 2-0 X 30Cm X 26Cm Absorbable Cov,119.37,46.55,,,0
CDM,SUP85797_A4649_272,Noncdm Charge Record Medical Supplies - Suture V-Loc 180 1-2 Circle 2-0 X 30Cm X 26Cm Absorbable Cov,119.37,46.55,,,0
CDM,SUP85797_A9999_272,Noncdm Charge Record Medical Supplies - Suture V-Loc 180 1-2 Circle 2-0 X 30Cm X 26Cm Absorbable Cov,119.02,46.42,,,0
CDM,SUP85798_272,Noncdm Charge Record Medical Supplies - Adhesive Abd Retention Sys,344.74,134.45,,,0
CDM,SUP85798_A9999_272,Noncdm Charge Record Medical Supplies - Adhesive Abd Retention Sys,344.66,134.42,,,0
CDM,SUP85971_272,Noncdm Charge Record Medical Supplies - See 114702 Kit Manifold Automated Bt-2,122.13,47.63,,,0
CDM,SUP85971_A4649_272,Noncdm Charge Record Medical Supplies - See 114702 Kit Manifold Automated Bt-2,122.13,47.63,,,0
CDM,SUP85972_272,Noncdm Charge Record Medical Supplies - Sheath Stab Device,91.26,35.59,,,0
CDM,SUP85972_A4649_272,Noncdm Charge Record Medical Supplies - Sheath Stab Device,92.12,35.93,,,0
CDM,SUP85973_272,Noncdm Charge Record Medical Supplies - Controller Angio Touch At-P54,303.29,118.28,,,0
CDM,SUP85973_A4649_272,Noncdm Charge Record Medical Supplies - Controller Angio Touch At-P54,303.26,118.27,,,0
CDM,SUP85992,Noncdm Charge Record Medical Supplies,3.1,1.21,,,0
CDM,SUP860,Noncdm Charge Record Medical Supplies - Tube Feeding Mic G 14Fr Silicone Balloon,191.48,74.68,,,0
CDM,SUP8600,Noncdm Charge Record Medical Supplies - Tray Cath 24Cm Pwr-Trialysis 3,847.08,330.36,,,0
CDM,SUP8603,Noncdm Charge Record Medical Supplies - See 137753 Tray Cath 30Cm Pwr-Trialysis 3,992.56,387.1,,,0
CDM,SUP8606,Noncdm Charge Record Medical Supplies - See 135154 Adaptor Electrosurgical Pencil 3-8 In X 4Ft With,72.37,28.22,,,0
CDM,SUP86116_272,Noncdm Charge Record Medical Supplies - 415021 Convatec Inc Aquacel,152.15,59.34,,,0
CDM,SUP86116_A9999_272,Noncdm Charge Record Medical Supplies - 415021 Convatec Inc Aquacel,152.15,59.34,,,0
CDM,SUP8612_272,Noncdm Charge Record Medical Supplies - Tubing Smoke Evacuator 10Ft,47.73,18.61,,,0
CDM,SUP8612_A4649_272,Noncdm Charge Record Medical Supplies - Tubing Smoke Evacuator 10Ft,48.64,18.97,,,0
CDM,SUP8612_A9999_272,Noncdm Charge Record Medical Supplies - Tubing Smoke Evacuator 10Ft,48.64,18.97,,,0
CDM,SUP8613_272,Noncdm Charge Record Medical Supplies - Needle Bx 16Ga 16-13.8Cm Mxcor,143.86,56.11,,,0
CDM,SUP8613_A4649_272,Noncdm Charge Record Medical Supplies - Needle Bx 16Ga 16-13.8Cm Mxcor,143.86,56.11,,,0
CDM,SUP8613_A9999_272,Noncdm Charge Record Medical Supplies - Needle Bx 16Ga 16-13.8Cm Mxcor,143.86,56.11,,,0
CDM,SUP8619,Noncdm Charge Record Medical Supplies - Retractor Med Sft Tis Surg,1530.25,596.8,,,0
CDM,SUP862,Noncdm Charge Record Medical Supplies - Catheter Iu Hsgsno 5Fr Intgr Stylet Std Ez To,136.62,53.28,,,0
CDM,SUP8620,Noncdm Charge Record Medical Supplies - Pad Press Protect Disp Set,292.9,114.23,,,0
CDM,SUP86218_272,Noncdm Charge Record Medical Supplies - Cannula Nasal Oral Capnoflex O2-Co2 Carefusion,98.29,38.33,,,0
CDM,SUP86218_A4649_272,Noncdm Charge Record Medical Supplies - Cannula Nasal Oral Capnoflex O2-Co2 Carefusion,98.21,38.3,,,0
CDM,SUP86218_A9999_272,Noncdm Charge Record Medical Supplies - Cannula Nasal Oral Capnoflex O2-Co2 Carefusion,98.32,38.34,,,0
CDM,SUP8623,Noncdm Charge Record Medical Supplies - Stent Bil 8Mm 6Fr 57Mm 135Cm .035In Balloon,3738.76,1458.12,,,0
CDM,SUP86233_272,Noncdm Charge Record Medical Supplies - Stapler Insorb Subcuticalar,248.73,97.0,,,0
CDM,SUP86233_A9999_272,Noncdm Charge Record Medical Supplies - Stapler Insorb Subcuticalar,303.26,118.27,,,0
CDM,SUP86234,Noncdm Charge Record Medical Supplies - Set Ureteral Dilatation,727.6,283.76,,,0
CDM,SUP86236,Noncdm Charge Record Medical Supplies - Stent 6F X 22Cm - 30Cm Ascerta Vl,411.93,160.65,,,0
CDM,SUP86244,Noncdm Charge Record Medical Supplies - Tegaderm Film,2.87,1.12,,,0
CDM,SUP8626_272,Noncdm Charge Record Medical Supplies - Glue Histoacryl Tissue Blu,88.02,34.33,,,0
CDM,SUP8626_A4649_272,Noncdm Charge Record Medical Supplies - Glue Histoacryl Tissue Blu,87.98,34.31,,,0
CDM,SUP8626_A9999_272,Noncdm Charge Record Medical Supplies - Glue Histoacryl Tissue Blu,87.98,34.31,,,0
CDM,SUP8628,Noncdm Charge Record Medical Supplies - Tube Naso 30Fr Thnwl Intrr Srr,19.66,7.67,,,0
CDM,SUP86311,Noncdm Charge Record Medical Supplies - Catheter Support Crossing Rubicon 35 0.035In X 135Cm,782.85,305.31,,,0
CDM,SUP86312,Noncdm Charge Record Medical Supplies - Graft Tissue Human Nerve Dece Ll-Xcell 3-4Mmx30Mm,14679.4,5724.97,,,0
CDM,SUP86313,Noncdm Charge Record Medical Supplies - Graft Tissue Human Nerve Dece Ll-Xcell 3-4Mmx70Mm,31755.87,12384.79,,,0
CDM,SUP86315,Noncdm Charge Record Medical Supplies - Catheter Lutonix Ball .035 5Mm 130Cmx100Mm,6613.65,2579.32,,,0
CDM,SUP86433_272,Noncdm Charge Record Medical Supplies - Suture Nurolon 0 Ni-6 C545D,62.69,24.45,,,0
CDM,SUP86433_A4649_272,Noncdm Charge Record Medical Supplies - Suture Nurolon 0 Ni-6 C545D,63.14,24.62,,,0
CDM,SUP86434_272,Noncdm Charge Record Medical Supplies - Dressing Bioclusive 4 X 4,4.53,1.77,,,0
CDM,SUP86434_A9999_272,Noncdm Charge Record Medical Supplies - Dressing Bioclusive 4 X 4,4.66,1.82,,,0
CDM,SUP86436,Noncdm Charge Record Medical Supplies - Stent Ult Nephroureterostomy Mac-Loc,625.14,243.8,,,0
CDM,SUP86437,Noncdm Charge Record Medical Supplies - Catheter Micro Delivery 1.5F-2.7Fx1.5Cm Onyx Apollo Cardinal,7473.46,2914.65,,,0
CDM,SUP86438,Noncdm Charge Record Medical Supplies - See 131727 Catheter Angiographic Cerebral Vert 5Fx0.38Inx100,63.2,24.65,,,0
CDM,SUP86439,Noncdm Charge Record Medical Supplies - Kit Micro Introducer 4Fx0.018Inx40Cm 7Cm Tip Mandrel Gold So,186.21,72.62,,,0
CDM,SUP8644,Noncdm Charge Record Medical Supplies - Guide Nerve 3Cm 3Mm Flx Abs,9309.83,3630.83,,,0
CDM,SUP86440,Noncdm Charge Record Medical Supplies - Kit Micro Introducer 5Fx0.018Inx40Cm 5.8Cm Tip Mandrel Gold,111.37,43.43,,,0
CDM,SUP86441,Noncdm Charge Record Medical Supplies - Kit Micro Introducer 4Fx0.018Inx40Cm 5.8Cm Tip Mandrel Gold,112.02,43.69,,,0
CDM,SUP86442,Noncdm Charge Record Medical Supplies - Kit Micro Tear Away 5Fx0.018Inx65Cm Mandrel Gold Soft Galt M,181.12,70.64,,,0
CDM,SUP86443,Noncdm Charge Record Medical Supplies - Set Micro Introducer Only 7Fx7Cm Tear Away Galt Medical,78.66,30.68,,,0
CDM,SUP86444,Noncdm Charge Record Medical Supplies - Guidewire Transitionless 0.018Inx300Cm Torx Soft Tip Galt Me,367.42,143.29,,,0
CDM,SUP86445,Noncdm Charge Record Medical Supplies - Microcatheter 2.4F-2.9Fx125Cm Steerable Merit Medial,10581.84,4126.92,,,0
CDM,SUP86530,Noncdm Charge Record Medical Supplies - Sys Cnct Entrlt Inf Spikert +,17.6,6.86,,,0
CDM,SUP86533,Noncdm Charge Record Medical Supplies - Connector Omega Pros 1.5X.8X.5Mm Kurz Medical,1235.79,481.96,,,0
CDM,SUP86538,Noncdm Charge Record Medical Supplies - Wire Wholey 260Cm Hi Torque 5,365.51,142.55,,,0
CDM,SUP86540,Noncdm Charge Record Medical Supplies - Cath Guide Coronary Advanced Worley,1670.49,651.49,,,0
CDM,SUP86541,Noncdm Charge Record Medical Supplies - Amnicord 2Cmx3Cm Mimedx,5776.34,2252.77,,,0
CDM,SUP8654_270,Noncdm Charge Record Medical Supplies - See 9437 Set Transf Xsh Ext Twst Clamp Mncp Prtnl Ped,353.97,138.05,,,0
CDM,SUP8654_A9999_270,Noncdm Charge Record Medical Supplies - See 9437 Set Transf Xsh Ext Twst Clamp Mncp Prtnl Ped,353.97,138.05,,,0
CDM,SUP8659,Noncdm Charge Record Medical Supplies - Wire Fx 1.2Mm Krsh Temp,316.71,123.52,,,0
CDM,SUP86651,Noncdm Charge Record Medical Supplies - Incision Management System Prevena Plus,2636.2,1028.12,,,0
CDM,SUP86652,Noncdm Charge Record Medical Supplies - Guidewire Vasc .035In 180Cm Ang Shrt R,165.6,64.58,,,0
CDM,SUP8688,Noncdm Charge Record Medical Supplies - Cup Acetab 52Mm Pncl 1 Pc Rev Gription,9997.58,3899.06,,,0
CDM,SUP8690,Noncdm Charge Record Medical Supplies - Screw 5Mm 2Mm Mndb Xdr Nonlck Bn Lorenz Slvr,294.98,115.04,,,0
CDM,SUP8691,Noncdm Charge Record Medical Supplies - Screw 6Mm 2Mm Mndb Xdr Nonlck Bn Lorenz Slvr,380.88,148.54,,,0
CDM,SUP86917,Noncdm Charge Record Medical Supplies - Gwire Bentson .035 150 15Cm,48.64,18.97,,,0
CDM,SUP86920,Noncdm Charge Record Medical Supplies - Stent Contour 6Fr X 22Cm,581.67,226.85,,,0
CDM,SUP86928,Noncdm Charge Record Medical Supplies - Stent Polaris Loop 5Fr X 26Cm,797.98,311.21,,,0
CDM,SUP8693,Noncdm Charge Record Medical Supplies - Screw 10Mm 2.3Mm Cranmf Xdr Nonlck Bn,515.43,201.02,,,0
CDM,SUP8697,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm Independ Spnl Fix,1552.5,605.48,,,0
CDM,SUP87047,Noncdm Charge Record Medical Supplies - Prostheses Ear Total 3-7Mm Ttp-Variac,2616.48,1020.43,,,0
CDM,SUP8711,Noncdm Charge Record Medical Supplies - Graft Cv 15Cm 30Mm Aort Root,17914.81,6986.78,,,0
CDM,SUP8712,Noncdm Charge Record Medical Supplies - Set Trkr Fus Ent Nvg Sys,1152.39,449.43,,,0
CDM,SUP8713,Noncdm Charge Record Medical Supplies - Passer Gab-Frat Guide Org Sut,147.1,57.37,,,0
CDM,SUP87190,Noncdm Charge Record Medical Supplies - Guidewire Hydrophilic 0.018Inx150Cm Angled Tip Merit Medical,226.66,88.4,,,0
CDM,SUP87301_272,Noncdm Charge Record Medical Supplies,7.24,2.82,,,0
CDM,SUP87301_A4649_272,Noncdm Charge Record Medical Supplies,7.24,2.82,,,0
CDM,SUP87301_A9999_272,Noncdm Charge Record Medical Supplies,7.24,2.82,,,0
CDM,SUP87303_272,Noncdm Charge Record Medical Supplies - Device Endoscopic Fine Needle Biopsy 22G Acquire Boston Scie,2384.71,930.04,,,0
CDM,SUP87303_A4649_272,Noncdm Charge Record Medical Supplies - Device Endoscopic Fine Needle Biopsy 22G Acquire Boston Scie,2384.64,930.01,,,0
CDM,SUP87303_A9999_272,Noncdm Charge Record Medical Supplies - Device Endoscopic Fine Needle Biopsy 22G Acquire Boston Scie,2384.64,930.01,,,0
CDM,SUP87304_272,Noncdm Charge Record Medical Supplies - Device Endoscopic Fine Needle Biopsy 25G Acquire Boston Scie,2384.7,930.03,,,0
CDM,SUP87304_A4649_272,Noncdm Charge Record Medical Supplies - Device Endoscopic Fine Needle Biopsy 25G Acquire Boston Scie,2384.64,930.01,,,0
CDM,SUP8732,Noncdm Charge Record Medical Supplies - Port Implant Powerport 8Fr Isp Mri Infus Atch,2537.82,989.75,,,0
CDM,SUP8734,Noncdm Charge Record Medical Supplies - Guidewire Orth 150-1.25Mm Thrd Thrd 4Mm Ti,91.08,35.52,,,0
CDM,SUP8735,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 18Mm Lcp Ti Dist Volr Radial,673.36,262.61,,,0
CDM,SUP8736,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 20Mm Lcp Ti Dist Volr Radial,681.03,265.6,,,0
CDM,SUP8737,Noncdm Charge Record Medical Supplies - Plate 45Mm Ss 2.4Mm 6X2 6Hl Hl Va 2 Column,2696.18,1051.51,,,0
CDM,SUP873_270,Noncdm Charge Record Medical Supplies - Bandage Coban 4 In Nonstrl 3M Health Care,6.22,2.43,,,0
CDM,SUP873_A4649_270,Noncdm Charge Record Medical Supplies - Bandage Coban 4 In Nonstrl 3M Health Care,6.21,2.42,,,0
CDM,SUP873_A9999_270,Noncdm Charge Record Medical Supplies - Bandage Coban 4 In Nonstrl 3M Health Care,6.21,2.42,,,0
CDM,SUP8740,Noncdm Charge Record Medical Supplies - Plug Cv 10Cm 8Fr 14Mm Amplatz,4263.16,1662.63,,,0
CDM,SUP8741,Noncdm Charge Record Medical Supplies - Plug Cv 100Cm 5Fr 6Mm Amplatz,3866.76,1508.04,,,0
CDM,SUP8742,Noncdm Charge Record Medical Supplies - Plug Cv 100Cm 5Fr 8Mm Amplatz,4263.16,1662.63,,,0
CDM,SUP8743,Noncdm Charge Record Medical Supplies - Plug Cv 100Cm 6Fr 10Mm Amplatz,5582.79,2177.29,,,0
CDM,SUP8744,Noncdm Charge Record Medical Supplies - Plug Cv 100Cm 8Fr 12Mm Amplatz,5075.64,1979.5,,,0
CDM,SUP8745_C1817_278,Noncdm Charge Record Medical Supplies - Plug Cv 100Cm 8Fr 16Mm Amplatz,5075.29,1979.36,,,0
CDM,SUP8745_L8699_278,Noncdm Charge Record Medical Supplies - Plug Cv 100Cm 8Fr 16Mm Amplatz,5075.64,1979.5,,,0
CDM,SUP8746,Noncdm Charge Record Medical Supplies - System Comp Ther Crcf Ic Lg Knee Intmt,479.2,186.89,,,0
CDM,SUP87464,Noncdm Charge Record Medical Supplies,70.9,27.65,,,0
CDM,SUP87467,Noncdm Charge Record Medical Supplies - Mesh Phasix St 20Cm X 25Cm,49470.72,19293.58,,,0
CDM,SUP87468,Noncdm Charge Record Medical Supplies - System Vessel Closure Medium Anastoclip Lemaitre Vascular,3376.28,1316.75,,,0
CDM,SUP87555,Noncdm Charge Record Medical Supplies - Set Blood Sst Dhp-Fr 126In Nvnt Mh 180,29.98,11.69,,,0
CDM,SUP8759,Noncdm Charge Record Medical Supplies - Cribiform Occluder 18Mm,32684.26,12746.86,,,0
CDM,SUP8762,Noncdm Charge Record Medical Supplies - Septal Occluder 14Mm,32684.26,12746.86,,,0
CDM,SUP87736,Noncdm Charge Record Medical Supplies - Stent Ureteral W-O Guidewire 5Frx26Cm,859.35,335.15,,,0
CDM,SUP87737_272,Noncdm Charge Record Medical Supplies - See 139623 Tray Heart Cath,280.51,109.4,,,0
CDM,SUP87737_A4649_272,Noncdm Charge Record Medical Supplies - See 139623 Tray Heart Cath,280.48,109.39,,,0
CDM,SUP87738,Noncdm Charge Record Medical Supplies - System Vessel Closure Extra Large Anastoclip Lemaitre Vascul,4404.96,1717.93,,,0
CDM,SUP8777,Noncdm Charge Record Medical Supplies - Spacer Spnl 13Mm Independ 15D,21750.52,8482.7,,,0
CDM,SUP878,Noncdm Charge Record Medical Supplies - Cuhsion Chair Pre-Infl Wfl Lf,63.15,24.63,,,0
CDM,SUP87812_270,Noncdm Charge Record Medical Supplies - System Pannus Retention Non-Sterile Tz Medical,229.81,89.63,,,0
CDM,SUP87812_A9999_270,Noncdm Charge Record Medical Supplies - System Pannus Retention Non-Sterile Tz Medical,229.77,89.61,,,0
CDM,SUP87813,Noncdm Charge Record Medical Supplies - Immobilizer Knee 20 In Corflex,144.9,56.51,,,0
CDM,SUP87814,Noncdm Charge Record Medical Supplies - Immobilizer Knee 22 In Corflex,175.95,68.62,,,0
CDM,SUP87820,Noncdm Charge Record Medical Supplies - Glidewire Stiff 0.035Inx260Cm Straight Terumo Medical,276.2,107.72,,,0
CDM,SUP87821,Noncdm Charge Record Medical Supplies - See 93977 Device Compression Regular Tracelet Medtronic,156.28,60.95,,,0
CDM,SUP87822,Noncdm Charge Record Medical Supplies - See 97690 Device Compression Large Tracelet Medtronic,783.5,305.56,,,0
CDM,SUP8785,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 50Mm Spnl Rvlv,4108.43,1602.29,,,0
CDM,SUP8786,Noncdm Charge Record Medical Supplies - Spacer Lg 15X17Mm Independ,21750.52,8482.7,,,0
CDM,SUP87899,Noncdm Charge Record Medical Supplies - See 95839 Tray Pacemaker Disposable,432.63,168.73,,,0
CDM,SUP8796,Noncdm Charge Record Medical Supplies - Forceps Bipolar Mac Laparos,357.08,139.26,,,0
CDM,SUP87972,Noncdm Charge Record Medical Supplies,681.03,265.6,,,0
CDM,SUP880,Noncdm Charge Record Medical Supplies - Head Fem 0Mm 26Mm Hip C,2934.22,1144.35,,,0
CDM,SUP88025,Noncdm Charge Record Medical Supplies - Blade Skin Graft 6.25In Braithwaite Interga Lifesciences,137.78,53.73,,,0
CDM,SUP8811,Noncdm Charge Record Medical Supplies - Plate Ss 6 Hl Lck Bn Rt Dist,3504.51,1366.76,,,0
CDM,SUP8812,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 16Mm Ss Cort,188.11,73.36,,,0
CDM,SUP8813,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 18Mm Ss Cort Ankle Nonlck Low,188.09,73.36,,,0
CDM,SUP8814,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 14Mm Ankle Lck,617.9,240.98,,,0
CDM,SUP8815,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 12Mm Ankle Low Prof Lck,617.9,240.98,,,0
CDM,SUP8816,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 14Mm Ss Cort Ankle Nonlck Low,187.97,73.31,,,0
CDM,SUP88160_272,Noncdm Charge Record Medical Supplies - Kit Hndcntl Acist Angiotouch At-65 Tub 65In,232.88,90.82,,,0
CDM,SUP88160_A4649_272,Noncdm Charge Record Medical Supplies - Kit Hndcntl Acist Angiotouch At-65 Tub 65In,232.88,90.82,,,0
CDM,SUP88161,Noncdm Charge Record Medical Supplies - Stent Uret Wo Gwire 6Fr 24Cm,925.43,360.92,,,0
CDM,SUP88164,Noncdm Charge Record Medical Supplies,944.01,368.16,,,0
CDM,SUP88165,Noncdm Charge Record Medical Supplies,1542.15,601.44,,,0
CDM,SUP88166,Noncdm Charge Record Medical Supplies - Graft Dura 7.5Cmx7.5Cm (3Inx3In) Lyoplant Onlay Aesculap,2839.63,1107.46,,,0
CDM,SUP88167,Noncdm Charge Record Medical Supplies - Graft Dura 10.0Cmx12.5Cm (4Inx5In) Lyoplant Onlay Aesculap,4999.57,1949.83,,,0
CDM,SUP88168,Noncdm Charge Record Medical Supplies - Tray General Purpose Sterile With Curved Forcep Medline,12.42,4.84,,,0
CDM,SUP8817,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 12Mm Ss Cort Ankle Nonlck Low,188.09,73.36,,,0
CDM,SUP8818,Noncdm Charge Record Medical Supplies - Screw 3.5Mm 12Mm Ss Cort Lck Ankle Lck Low,556.53,217.05,,,0
CDM,SUP8819,Noncdm Charge Record Medical Supplies - Head Fem +1.5Mm 12-14 28Mm Hip Cementless M Spc,2815.72,1098.13,,,0
CDM,SUP8823,Noncdm Charge Record Medical Supplies - Pin Fx 3.3Mm Cross Fem Rgdfx,2923.88,1140.31,,,0
CDM,SUP88304,Noncdm Charge Record Medical Supplies - Wire Guide Straight Short Tap Pered Tip V-14 300Cm,675.86,263.59,,,0
CDM,SUP88305,Noncdm Charge Record Medical Supplies - Catheter 6Fr Jr4 006455,39.33,15.34,,,0
CDM,SUP88309,Noncdm Charge Record Medical Supplies - Sheath Ansell 7Fr,357.08,139.26,,,0
CDM,SUP88315,Noncdm Charge Record Medical Supplies - See 35965 Guidewire 3Mm 035Inx16Cm 260Cm Amplatz Super Stiff,215.28,83.96,,,0
CDM,SUP88316,Noncdm Charge Record Medical Supplies - Catheter Angio Jr5 100Cm 6Fr Tl Infnt,45.72,17.83,,,0
CDM,SUP884,Noncdm Charge Record Medical Supplies - Graft Cv 15Cm 6Mm 2 Vlr Strt,1977.88,771.37,,,0
CDM,SUP88462_272,Noncdm Charge Record Medical Supplies - Kit Suture Passer 3 Rg Intuitek Medical,237.02,92.44,,,0
CDM,SUP88462_A4649_272,Noncdm Charge Record Medical Supplies - Kit Suture Passer 3 Rg Intuitek Medical,237.04,92.45,,,0
CDM,SUP88462_A9999_272,Noncdm Charge Record Medical Supplies - Kit Suture Passer 3 Rg Intuitek Medical,237.02,92.44,,,0
CDM,SUP88464,Noncdm Charge Record Medical Supplies - Stent Endopros 8-10Mm 6Cm Graft Ln,27284.07,10640.79,,,0
CDM,SUP885,Noncdm Charge Record Medical Supplies - Ear Tube Ventilation 9.5Mm 12Mm 1.14Mm Medtronic Inc,173.73,67.75,,,0
CDM,SUP8850,Noncdm Charge Record Medical Supplies - Plate 58Mm Ss 2.4Mm 6X3 Lt Hl Va 2 Column Lt,2963.52,1155.77,,,0
CDM,SUP8852,Noncdm Charge Record Medical Supplies - Electrode Emg Iom Sm Surf Endo,539.24,210.3,,,0
CDM,SUP8853,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 24Mm Lcp Ss Dist Radial Lck Va,619.47,241.59,,,0
CDM,SUP88534,Noncdm Charge Record Medical Supplies - Router Tapered 1.5Mm Red-Green Stryker Medical,646.1,251.98,,,0
CDM,SUP88535,Noncdm Charge Record Medical Supplies - Router Tapered 2.3Mm Blue-Red Stryker Medical,656.67,256.1,,,0
CDM,SUP8857_270,Noncdm Charge Record Medical Supplies - Set Transf 6In 6In Dia Ext,341.63,133.24,,,0
CDM,SUP8857_A4649_270,Noncdm Charge Record Medical Supplies - Set Transf 6In 6In Dia Ext,348.8,136.03,,,0
CDM,SUP886,Noncdm Charge Record Medical Supplies - Dilator Vasc 5Fr 20Cm .35In,33.12,12.92,,,0
CDM,SUP88619,Noncdm Charge Record Medical Supplies - Cath Ball 5.0X120X150-Hybrid Fg Sterling Otw,1245.1,485.59,,,0
CDM,SUP88620,Noncdm Charge Record Medical Supplies - Cath Ball 6.0X120X150-Hybrid Fg Sterling Otw,1169.03,455.92,,,0
CDM,SUP88622,Noncdm Charge Record Medical Supplies - Cath Ball 5.0X220X150-Hybrid Fg Sterling Otw,1426.92,556.5,,,0
CDM,SUP88623,Noncdm Charge Record Medical Supplies - See 130388 Cath Ball 6.0X220X150-Hybrid Fg Sterling Otw,1101.24,429.48,,,0
CDM,SUP88625,Noncdm Charge Record Medical Supplies - Cath Ball Coyote 1.5Mm X 40Mm X 150Cm Otw,1101.24,429.48,,,0
CDM,SUP88628,Noncdm Charge Record Medical Supplies,1346.54,525.15,,,0
CDM,SUP88631,Noncdm Charge Record Medical Supplies - Cath Ball Coyote 4.0Mm X 120M M X 150Cm Otw,1224.4,477.52,,,0
CDM,SUP88641,Noncdm Charge Record Medical Supplies - Cath Ball Xxl-14-6-5.8-75,1013.26,395.17,,,0
CDM,SUP88644_C1725_272,Noncdm Charge Record Medical Supplies - Cath Ball Xxl-16-4-5.8-75,1181.19,460.66,,,0
CDM,SUP88644_C1726_272,Noncdm Charge Record Medical Supplies - Cath Ball Xxl-16-4-5.8-75,1199.56,467.83,,,0
CDM,SUP88645,Noncdm Charge Record Medical Supplies - Cath Ball Xxl-16-6-5.8-75,1126.08,439.17,,,0
CDM,SUP88648,Noncdm Charge Record Medical Supplies - Cath Ball Xxl-18-4-5.8-75,1110.46,433.08,,,0
CDM,SUP88653,Noncdm Charge Record Medical Supplies - Cath Ball Mustang 6.0 X 120 1 35Cm,661.36,257.93,,,0
CDM,SUP88655,Noncdm Charge Record Medical Supplies - See 132142 Cath Ball Mustang 7.0 X 120 1 35Cm,661.36,257.93,,,0
CDM,SUP88658,Noncdm Charge Record Medical Supplies - Cath Ball Mustang 5.0 X 150 1 35Cm,661.36,257.93,,,0
CDM,SUP88659,Noncdm Charge Record Medical Supplies - See 130274 Cath Ball Mustang 6.0 X 150 1 35Cm,734.85,286.59,,,0
CDM,SUP88660,Noncdm Charge Record Medical Supplies - Cath Ball Mustang 7.0 X 150 1 35Cm,820.24,319.89,,,0
CDM,SUP88668,Noncdm Charge Record Medical Supplies - See 127635 Cath Ball Mustang 5.0 X 20 13 5Cm,734.85,286.59,,,0
CDM,SUP88669,Noncdm Charge Record Medical Supplies - Cath Ball Mustang 6.0 X 20 13 5Cm,788.26,307.42,,,0
CDM,SUP88671,Noncdm Charge Record Medical Supplies - Cath Ball Mustang 8.0 X 20 135Cm,852.01,332.28,,,0
CDM,SUP88672,Noncdm Charge Record Medical Supplies - Cath Ball Mustang 9.0 X 20 13 5Cm,820.24,319.89,,,0
CDM,SUP88673,Noncdm Charge Record Medical Supplies - Cath Ball Mustang 10.0 X 20 1 35Cm,661.36,257.93,,,0
CDM,SUP88674,Noncdm Charge Record Medical Supplies - Cath Ball Mustang 12.0 X 20 1 35Cm,1095.31,427.17,,,0
CDM,SUP88677,Noncdm Charge Record Medical Supplies - Cath Ball Mustang 4.0 X 40 135 Cm,734.85,286.59,,,0
CDM,SUP88678,Noncdm Charge Record Medical Supplies - Cath Ball Mustang 9.0 X 40 13 5Cm,661.36,257.93,,,0
CDM,SUP88681,Noncdm Charge Record Medical Supplies - Cath Ball Mustang 8.0 X 60 13 5Cm,820.24,319.89,,,0
CDM,SUP88683,Noncdm Charge Record Medical Supplies - Cath Ball Mustang 9.0 X 60 75 Cm,767.28,299.24,,,0
CDM,SUP88684,Noncdm Charge Record Medical Supplies - Cath Ball Mustang 10.0 X 60 1 35Cm,734.85,286.59,,,0
CDM,SUP88685,Noncdm Charge Record Medical Supplies - Cath Ball Mustang 10.0 X 60 7 5Cm,873.19,340.54,,,0
CDM,SUP88686,Noncdm Charge Record Medical Supplies - Cath Ball Mustang 12.0 X 60 1 35Cm,661.36,257.93,,,0
CDM,SUP88687,Noncdm Charge Record Medical Supplies - Cath Ball Mustang 12.0 X 60 7 5Cm,661.36,257.93,,,0
CDM,SUP88689,Noncdm Charge Record Medical Supplies - Cath Ball Mustang 4.0 X 80 13 5Cm,734.85,286.59,,,0
CDM,SUP88696,Noncdm Charge Record Medical Supplies - Cath Ball Mustang 8.0 X 80 13 5Cm,767.28,299.24,,,0
CDM,SUP88702,Noncdm Charge Record Medical Supplies - Cath Ball Mustang 12.0 X 80 1 35Cm,979.11,381.85,,,0
CDM,SUP88707,Noncdm Charge Record Medical Supplies - Cath Ball Mustang 7.0 X 100 7 5Cm,734.85,286.59,,,0
CDM,SUP8872,Noncdm Charge Record Medical Supplies - Tubing Irr Endogator Extn Aux,18.63,7.27,,,0
CDM,SUP88723,Noncdm Charge Record Medical Supplies,3821.22,1490.28,,,0
CDM,SUP88728,Noncdm Charge Record Medical Supplies - Stent Innova 5 X 40 X 130,3821.22,1490.28,,,0
CDM,SUP88729,Noncdm Charge Record Medical Supplies - Stent Innova 5 X 60 X 130,3821.22,1490.28,,,0
CDM,SUP88730,Noncdm Charge Record Medical Supplies - Stent Innova 5 X 80 X 130,3821.22,1490.28,,,0
CDM,SUP88732,Noncdm Charge Record Medical Supplies - Stent Innova 6 X 60 X 130,3821.22,1490.28,,,0
CDM,SUP88733,Noncdm Charge Record Medical Supplies - Stent Innova 6 X 80 X 130,3821.22,1490.28,,,0
CDM,SUP88739,Noncdm Charge Record Medical Supplies - Stent Innova 6 X 100 X 130,4400.47,1716.18,,,0
CDM,SUP88742,Noncdm Charge Record Medical Supplies - Stent Innova 5 X 120 X 130,3821.22,1490.28,,,0
CDM,SUP88743,Noncdm Charge Record Medical Supplies,3820.7,1490.07,,,0
CDM,SUP88745,Noncdm Charge Record Medical Supplies - Stent Innova 7 X 150 X 130,6117.54,2385.84,,,0
CDM,SUP88750,Noncdm Charge Record Medical Supplies,13205.56,5150.17,,,0
CDM,SUP88751,Noncdm Charge Record Medical Supplies - Catheter Jetstream Xc Catheter 2.1Mm Us,13205.56,5150.17,,,0
CDM,SUP887_272,Noncdm Charge Record Medical Supplies - Dilator Vasc 7Fr 20Cm .35In Gwire Strl Disp Radiopq,33.12,12.92,,,0
CDM,SUP887_A9999_272,Noncdm Charge Record Medical Supplies - Dilator Vasc 7Fr 20Cm .35In Gwire Strl Disp Radiopq,33.12,12.92,,,0
CDM,SUP88831,Noncdm Charge Record Medical Supplies,1313.42,512.23,,,0
CDM,SUP88837,Noncdm Charge Record Medical Supplies - Graft Vasc Collagen 7Mmx45Cm,12646.66,4932.2,,,0
CDM,SUP88839,Noncdm Charge Record Medical Supplies - Suture Prolene 3-0 Ks Bl Mono,588.73,229.6,,,0
CDM,SUP88840_272,Noncdm Charge Record Medical Supplies - Cannister Kci Wound Vac 500Ml,149.03,58.12,,,0
CDM,SUP88840_A4649_272,Noncdm Charge Record Medical Supplies - Cannister Kci Wound Vac 500Ml,149.04,58.13,,,0
CDM,SUP888_272,Noncdm Charge Record Medical Supplies - Bag Drain 600Ml Uresil,44.26,17.26,,,0
CDM,SUP888_A4649_272,Noncdm Charge Record Medical Supplies - Bag Drain 600Ml Uresil,44.5,17.36,,,0
CDM,SUP8891,Noncdm Charge Record Medical Supplies - Gown Warmer Bair Paws 3M Healthcare,61.06,23.81,,,0
CDM,SUP88965,Noncdm Charge Record Medical Supplies - Catheter Radiology Berenstein 5Fr .035 100Cm,59.0,23.01,,,0
CDM,SUP88966,Noncdm Charge Record Medical Supplies - Countersink 2.4Mm Screws Smith And Nephew,1308.24,510.21,,,0
CDM,SUP8899,Noncdm Charge Record Medical Supplies - Screw Bn 2.3Mm 12Mm Dist Cort Radial Cort Wr Hnd,478.17,186.49,,,0
CDM,SUP890,Noncdm Charge Record Medical Supplies - Needle Port .75In 22Ga Grpr +,20.35,7.94,,,0
CDM,SUP89038,Noncdm Charge Record Medical Supplies - Currette Endometrial Biopsy,23.8,9.28,,,0
CDM,SUP89039,Noncdm Charge Record Medical Supplies - Screw Polyaxial 6.5Mmx40Mm Serrato Stryker Spine,4108.46,1602.3,,,0
CDM,SUP8905,Noncdm Charge Record Medical Supplies - Port Infus Micro Kt Port 6Fr Powerport Intro,1557.68,607.5,,,0
CDM,SUP89105_272,Noncdm Charge Record Medical Supplies - Catheter Angiographic Beacon 5F Cook Medical,142.36,55.52,,,0
CDM,SUP89105_A9999_272,Noncdm Charge Record Medical Supplies - Catheter Angiographic Beacon 5F Cook Medical,138.69,54.09,,,0
CDM,SUP89150,Noncdm Charge Record Medical Supplies - Biopsy Bone 0306-116-000,482.31,188.1,,,0
CDM,SUP8918,Noncdm Charge Record Medical Supplies,762.8,297.49,,,0
CDM,SUP89199,Noncdm Charge Record Medical Supplies,915.98,357.23,,,0
CDM,SUP89204_272,Noncdm Charge Record Medical Supplies - Needle Biopsy 12Gx10Cm Marquee Bard,423.4,165.13,,,0
CDM,SUP89204_A4649_272,Noncdm Charge Record Medical Supplies - Needle Biopsy 12Gx10Cm Marquee Bard,423.57,165.19,,,0
CDM,SUP89204_A9999_272,Noncdm Charge Record Medical Supplies - Needle Biopsy 12Gx10Cm Marquee Bard,423.32,165.09,,,0
CDM,SUP89205,Noncdm Charge Record Medical Supplies - Forcep Tenaculum Davinci Xi Intuitive,341.55,133.2,,,0
CDM,SUP89207,Noncdm Charge Record Medical Supplies - Stent Ureteral Polaris 5X20 W-O Wire,744.16,290.22,,,0
CDM,SUP89208,Noncdm Charge Record Medical Supplies - Stent Ureteral Polaris 5X28 W-O Wire,755.55,294.66,,,0
CDM,SUP89211,Noncdm Charge Record Medical Supplies - Stent Ureteral Polaris 7X28 W-O Wire,755.55,294.66,,,0
CDM,SUP89216,Noncdm Charge Record Medical Supplies - Stent Ureteral 8Fx28Cm Polaris Ultra Boston Scientific,755.55,294.66,,,0
CDM,SUP89217,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Ctx 36In Undyed Ethicon,9.32,3.63,,,0
CDM,SUP8924,Noncdm Charge Record Medical Supplies - Cup Acetab 60Mm Pncl Multihl Gription,14110.16,5502.96,,,0
CDM,SUP89290,Noncdm Charge Record Medical Supplies - Tube Vent Ear T-Grommet 1.27Mm Beveled Green Medtronic,92.56,36.1,,,0
CDM,SUP89291_272,Noncdm Charge Record Medical Supplies - Device Breast Biopsy Needle 14Gx10Cm Bard,269.1,104.95,,,0
CDM,SUP89291_A4649_272,Noncdm Charge Record Medical Supplies - Device Breast Biopsy Needle 14Gx10Cm Bard,269.1,104.95,,,0
CDM,SUP89291_A9999_272,Noncdm Charge Record Medical Supplies - Device Breast Biopsy Needle 14Gx10Cm Bard,269.1,104.95,,,0
CDM,SUP892_272,Noncdm Charge Record Medical Supplies - Sheath 6Fr Terumo 10Cm Mini Gwire,42.64,16.63,,,0
CDM,SUP892_C1769_272,Noncdm Charge Record Medical Supplies - Sheath 6Fr Terumo 10Cm Mini Gwire,62.1,24.22,,,0
CDM,SUP892_C1894_272,Noncdm Charge Record Medical Supplies - Sheath 6Fr Terumo 10Cm Mini Gwire,46.45,18.12,,,0
CDM,SUP89358_272,Noncdm Charge Record Medical Supplies - See 127245 Scalpel Bp Ss Lck Rtrct Shld Prct Opth Surg,7.24,2.82,,,0
CDM,SUP89358_A9999_272,Noncdm Charge Record Medical Supplies - See 127245 Scalpel Bp Ss Lck Rtrct Shld Prct Opth Surg,7.24,2.82,,,0
CDM,SUP89362,Noncdm Charge Record Medical Supplies - Tap 5.5Mm Serato Screw Set Stryker Spine,3808.8,1485.43,,,0
CDM,SUP89363,Noncdm Charge Record Medical Supplies - Screw Polyaxial 6.5Mmx50Mm Serrato Stryker Spine,4108.48,1602.31,,,0
CDM,SUP893_272,Noncdm Charge Record Medical Supplies - Sheath 7Fr Terumo 10Cm Mini Gwire,42.44,16.55,,,0
CDM,SUP893_C1894_272,Noncdm Charge Record Medical Supplies - Sheath 7Fr Terumo 10Cm Mini Gwire,46.18,18.01,,,0
CDM,SUP894,Noncdm Charge Record Medical Supplies - Guidewire Vasc Std .035In 180Cm 3Cm Ang Flx,244.4,95.32,,,0
CDM,SUP8942,Noncdm Charge Record Medical Supplies - Lead Tendril Sts 2088Tc-46Cm,1987.2,775.01,,,0
CDM,SUP8943,Noncdm Charge Record Medical Supplies - Lead Tendril Sts 2088Tc-52Cm,1987.26,775.03,,,0
CDM,SUP8944,Noncdm Charge Record Medical Supplies - Lead Tendril Sts 58Cm,1987.2,775.01,,,0
CDM,SUP8945,Noncdm Charge Record Medical Supplies - Probe Stimulator 2.3Mm Bltp Monopol Tip Only,416.07,162.27,,,0
CDM,SUP89487_272,Noncdm Charge Record Medical Supplies - Ligasure Exact 20.6Mm-21Cm Dissector,2223.19,867.04,,,0
CDM,SUP89487_A4649_272,Noncdm Charge Record Medical Supplies - Ligasure Exact 20.6Mm-21Cm Dissector,2223.18,867.04,,,0
CDM,SUP89487_A9999_272,Noncdm Charge Record Medical Supplies - Ligasure Exact 20.6Mm-21Cm Dissector,2223.18,867.04,,,0
CDM,SUP89488,Noncdm Charge Record Medical Supplies - Implant Pacemaker Dual Chamber Azure Mri Surescan Medtronic,17679.01,6894.81,,,0
CDM,SUP89489,Noncdm Charge Record Medical Supplies - Implant Pacemaker Single Chamber Azure Mri Surescan Medtroni,14807.82,5775.05,,,0
CDM,SUP8949,Noncdm Charge Record Medical Supplies - Adapter Fem Trthln 4Mm Ofst,4789.63,1867.96,,,0
CDM,SUP89490,Noncdm Charge Record Medical Supplies,17347.63,6765.58,,,0
CDM,SUP8956,Noncdm Charge Record Medical Supplies - Plate Anchorure Roi-Quic Plate+ Ldr Spine Usa Inc,2685.82,1047.47,,,0
CDM,SUP89566,Noncdm Charge Record Medical Supplies - Resonate El Dr Df4,55101.33,21489.52,,,0
CDM,SUP89573,Noncdm Charge Record Medical Supplies - Resonate El Vr Df4,52684.6,20546.99,,,0
CDM,SUP89575,Noncdm Charge Record Medical Supplies - Momentum El Vr,52684.6,20546.99,,,0
CDM,SUP89576,Noncdm Charge Record Medical Supplies - Perciva Vr Df4,52684.6,20546.99,,,0
CDM,SUP896,Noncdm Charge Record Medical Supplies - System Drg Del Cost Cls Rm,101.26,39.49,,,0
CDM,SUP89660,Noncdm Charge Record Medical Supplies - Needle Williams 35Cm 3.7Fr 23Ga Cook,149.04,58.13,,,0
CDM,SUP89737,Noncdm Charge Record Medical Supplies - Implant Emblem Subcutaneous Defibrillator Boston Scientific,21750.52,8482.7,,,0
CDM,SUP8982,Noncdm Charge Record Medical Supplies - Screw Bn 2.3Mm 10Mm Dist Radial Cort Wr Hnd,478.17,186.49,,,0
CDM,SUP8983,Noncdm Charge Record Medical Supplies - Screw Bn 2.3Mm 12Mm Dist Radial Wr Hnd,478.17,186.49,,,0
CDM,SUP89866,Noncdm Charge Record Medical Supplies,12566.97,4901.12,,,0
CDM,SUP89867,Noncdm Charge Record Medical Supplies - Implant Universal Neuro Box Plate Large 2 X 2 Hole Stryker,1557.12,607.28,,,0
CDM,SUP89882,Noncdm Charge Record Medical Supplies - Resonate X4 Is4 Df4,75305.56,29369.17,,,0
CDM,SUP89885,Noncdm Charge Record Medical Supplies - Defibrillator Momentum X4 Crt-D Boston Scientific G138,75305.56,29369.17,,,0
CDM,SUP89886,Noncdm Charge Record Medical Supplies - Defibrillator Momentum Crt-D Boston Scientific G124,75305.56,29369.17,,,0
CDM,SUP89887,Noncdm Charge Record Medical Supplies,75305.56,29369.17,,,0
CDM,SUP898_272,Noncdm Charge Record Medical Supplies - Forceps Rad Jaw 4 240Cm 2.2Mm Pulm Surg,142.83,55.7,,,0
CDM,SUP898_A4649_272,Noncdm Charge Record Medical Supplies - Forceps Rad Jaw 4 240Cm 2.2Mm Pulm Surg,142.83,55.7,,,0
CDM,SUP898_A9999_272,Noncdm Charge Record Medical Supplies - Forceps Rad Jaw 4 240Cm 2.2Mm Pulm Surg,142.83,55.7,,,0
CDM,SUP899,Noncdm Charge Record Medical Supplies - Catheter Gldprb 7Fr 2.8X300Mm,1040.18,405.67,,,0
CDM,SUP89922,Noncdm Charge Record Medical Supplies - Basket Escape Stone Retrieval Basket 1.9F X 120Cm Boston Sci,1180.24,460.29,,,0
CDM,SUP89999,Noncdm Charge Record Medical Supplies - Treacheostomy Introducer Ciaglia Blue Rhino G12513,1566.99,611.13,,,0
CDM,SUP90071,Noncdm Charge Record Medical Supplies,424.35,165.5,,,0
CDM,SUP90075,Noncdm Charge Record Medical Supplies,8827.52,3442.73,,,0
CDM,SUP90076_272,Noncdm Charge Record Medical Supplies - Trocar Optical Versaone Clsr System,416.07,162.27,,,0
CDM,SUP90076_A9999_272,Noncdm Charge Record Medical Supplies - Trocar Optical Versaone Clsr System,416.07,162.27,,,0
CDM,SUP9012,Noncdm Charge Record Medical Supplies - Lead Neurostim 3Mm 5 Column 4,25133.94,9802.24,,,0
CDM,SUP9013,Noncdm Charge Record Medical Supplies - Substitute Bn Graft 10Cm Ms,6142.52,2395.58,,,0
CDM,SUP90137,Noncdm Charge Record Medical Supplies - Catheter 18Fr Council Tip Fole Y,104.54,40.77,,,0
CDM,SUP90174,Noncdm Charge Record Medical Supplies - Tip Bipolar Forcep Low Pro Di Sp 9.5Inx 4.5In X .5Mm,1922.0,749.58,,,0
CDM,SUP90179,Noncdm Charge Record Medical Supplies - Stent Peripheral L80Mm Dia6Mm,8676.41,3383.8,,,0
CDM,SUP9036_C1730_272,Noncdm Charge Record Medical Supplies - Catheter Art 7.5Fr 110Cm Td Sg Ped,430.56,167.92,,,0
CDM,SUP9036_C1751_272,Noncdm Charge Record Medical Supplies - Catheter Art 7.5Fr 110Cm Td Sg Ped,430.56,167.92,,,0
CDM,SUP90472,Noncdm Charge Record Medical Supplies - Syringe Hypoderm 3Ml 21Gx1In,1.03,0.4,,,0
CDM,SUP90474,Noncdm Charge Record Medical Supplies,435.74,169.94,,,0
CDM,SUP9059,Noncdm Charge Record Medical Supplies,2182.82,851.3,,,0
CDM,SUP9062,Noncdm Charge Record Medical Supplies - Catheter 24Cm 16Fr Hemostar Xk Alphacurve Std,2396.02,934.45,,,0
CDM,SUP90626,Noncdm Charge Record Medical Supplies - Bandage Elastic Cotton Adhesi Ive 4In X 5Yd White,26.91,10.49,,,0
CDM,SUP90697,Noncdm Charge Record Medical Supplies,2121.75,827.48,,,0
CDM,SUP9069_272,Noncdm Charge Record Medical Supplies - Dressing Afm Alvn Ag 5X4In Xtrmt Wrap Moist,37.27,14.54,,,0
CDM,SUP9069_A9999_272,Noncdm Charge Record Medical Supplies - Dressing Afm Alvn Ag 5X4In Xtrmt Wrap Moist,37.26,14.53,,,0
CDM,SUP9070,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 16Mm Lcp Ss Dist Radial Lck Va,618.63,241.27,,,0
CDM,SUP9071,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 22Mm Lcp Ss Dist Radial Va Lck,618.92,241.38,,,0
CDM,SUP9072_272,Noncdm Charge Record Medical Supplies - Needle Port .75In 20Ga Grpr +,28.36,11.06,,,0
CDM,SUP9072_A4649_272,Noncdm Charge Record Medical Supplies - Needle Port .75In 20Ga Grpr +,28.98,11.3,,,0
CDM,SUP90799,Noncdm Charge Record Medical Supplies - Prostheses Ear .6X4.5Mm S Ntnl Piston,1430.78,558.0,,,0
CDM,SUP90802,Noncdm Charge Record Medical Supplies - Suture Plain Gut 2-0Ct 27In Ethicon,14.56,5.68,,,0
CDM,SUP90805,Noncdm Charge Record Medical Supplies - Stent Innova 6F X 150Cm Vascular Self-Expanding Boston Scien,4270.41,1665.46,,,0
CDM,SUP90806,Noncdm Charge Record Medical Supplies - Stent Innova 6F X 150Cm Vascular Self-Expanding Boston Scien,7397.94,2885.2,,,0
CDM,SUP9089,Noncdm Charge Record Medical Supplies - Screw 48Mm Mqd Spr Knee Hdls,348.8,136.03,,,0
CDM,SUP90933,Noncdm Charge Record Medical Supplies - Bit Drill Rail Cutter 1.5Mm,489.56,190.93,,,0
CDM,SUP910,Noncdm Charge Record Medical Supplies - See 133945 Tray Dressing Centrl Line Lf,17.6,6.86,,,0
CDM,SUP9104,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 15Mm Atl Ti Ant Cerv Spine Self,725.25,282.85,,,0
CDM,SUP91105,Noncdm Charge Record Medical Supplies - Graft Soft Tissue W4Xl6Cm Natu,9546.64,3723.19,,,0
CDM,SUP91106,Noncdm Charge Record Medical Supplies - Battery Matrix Pro Synthes,1145.74,446.84,,,0
CDM,SUP91109,Noncdm Charge Record Medical Supplies - Balloon 6F 18Inch 5Mm X 20Mm 50Cm Cutting Device Boston Scie,3328.21,1298.0,,,0
CDM,SUP9111,Noncdm Charge Record Medical Supplies - Pureskin Non Mesh =199,1707.75,666.02,,,0
CDM,SUP91110,Noncdm Charge Record Medical Supplies - Catheter Triple Lumenpowerline Central Venous Microintroduce,1468.66,572.78,,,0
CDM,SUP91111,Noncdm Charge Record Medical Supplies - Tube Feeding 20F Gastrostomy Mic-Key Low Profile Halyard Hea,531.99,207.48,,,0
CDM,SUP91115,Noncdm Charge Record Medical Supplies,4850.01,1891.5,,,0
CDM,SUP91116,Noncdm Charge Record Medical Supplies - Balloon 7F 7.0Mm X 80Mm Admiral Inpact Paclitaxel Eluting Pt,5305.75,2069.24,,,0
CDM,SUP9112_Q4100_278,Noncdm Charge Record Medical Supplies - Pureskin Non Mesh =200,87.56,34.15,,,0
CDM,SUP91213,Noncdm Charge Record Medical Supplies,2148.66,837.98,,,0
CDM,SUP9130,Noncdm Charge Record Medical Supplies - Filter Embol 50Mm Vc Jug Del,5382.0,2098.98,,,0
CDM,SUP9132,Noncdm Charge Record Medical Supplies - Plate 49Mm Ss 2.4Mm Screw 6X2 Hl Va 2 Column,2723.23,1062.06,,,0
CDM,SUP9133,Noncdm Charge Record Medical Supplies - Screw 2.4Mm 14Mm Lcp Ss Va Dist Radial Va Lck,617.98,241.01,,,0
CDM,SUP91331,Noncdm Charge Record Medical Supplies - Screw 4.5Mm X 40Mm Cannulated Fully Threaded Low Profile Art,939.78,366.51,,,0
CDM,SUP9134,Noncdm Charge Record Medical Supplies,6123.06,2387.99,,,0
CDM,SUP9135_272,Noncdm Charge Record Medical Supplies - Cable Electrosurg 10Ft Bipolar,139.72,54.49,,,0
CDM,SUP9135_A4649_272,Noncdm Charge Record Medical Supplies - Cable Electrosurg 10Ft Bipolar,139.72,54.49,,,0
CDM,SUP9137,Noncdm Charge Record Medical Supplies - Plate Ss 3.5 Screw 3 Hl Hook Hook Lcp Bn Olcrn,2362.91,921.53,,,0
CDM,SUP9138,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 14Mm Lcp St Cort T15 Stardr Recess,136.21,53.12,,,0
CDM,SUP9139,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 16Mm Lcp St Cort T15 Stardr Recess,136.62,53.28,,,0
CDM,SUP91418,Noncdm Charge Record Medical Supplies - Countersink Cannulated 4.0Mm Ncr 11 X 8.5 Pk-100,563.04,219.59,,,0
CDM,SUP91419_270,Noncdm Charge Record Medical Supplies - See 157514 Cradle Pstn Dvn Arm Foam Lmi,12.39,4.83,,,0
CDM,SUP91419_A4649_270,Noncdm Charge Record Medical Supplies - See 157514 Cradle Pstn Dvn Arm Foam Lmi,12.38,4.83,,,0
CDM,SUP91419_A9999_270,Noncdm Charge Record Medical Supplies - See 157514 Cradle Pstn Dvn Arm Foam Lmi,12.42,4.84,,,0
CDM,SUP91420,Noncdm Charge Record Medical Supplies - 2.0Mm Drill Bit,656.19,255.91,,,0
CDM,SUP9144,Noncdm Charge Record Medical Supplies - Screw Bn 48Mm Mqd Spr Knee,349.8,136.42,,,0
CDM,SUP9155,Noncdm Charge Record Medical Supplies - Screw Bn 3.6Mm Spnl Self Drill,671.6,261.92,,,0
CDM,SUP9157,Noncdm Charge Record Medical Supplies - Spacer Spnl 16X14X6Mm 0D,11359.12,4430.06,,,0
CDM,SUP9158,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 35Mm Lcp Ss Dist Tib Pelvic St,550.79,214.81,,,0
CDM,SUP9168,Noncdm Charge Record Medical Supplies - Plate Orbit Rim 0.7Mm 12Hl Ti,2089.41,814.87,,,0
CDM,SUP917,Noncdm Charge Record Medical Supplies - Catheter 7Fr 25Ga 210Cm,1901.3,741.51,,,0
CDM,SUP9170,Noncdm Charge Record Medical Supplies - Clamp 6 Pstn Pin Mr Sf Ext Fix,2063.1,804.61,,,0
CDM,SUP9178,Noncdm Charge Record Medical Supplies - Screw Acetab Tiv Alloy 40Mm,604.44,235.73,,,0
CDM,SUP91782,Noncdm Charge Record Medical Supplies - Sets Rapid Prime 14In 35.6Cm Dlp W-Male Luer Lg Bore Spikes,42.44,16.55,,,0
CDM,SUP9180,Noncdm Charge Record Medical Supplies - Clamp Dia Ultraclamp Prtnl Otlt Port Rd,39.59,15.44,,,0
CDM,SUP9181,Noncdm Charge Record Medical Supplies - Dressing Afm Alvn Ag 24X1In Anmc Wound Slvr,34.16,13.32,,,0
CDM,SUP919_270,Noncdm Charge Record Medical Supplies - Pad Electrosurg Grnd 9Ft Rm Ph Sv2 Pat Rtn,11.4,4.45,,,0
CDM,SUP919_272,Noncdm Charge Record Medical Supplies - Pad Electrosurg Grnd 9Ft Rm Ph Sv2 Pat Rtn,11.38,4.44,,,0
CDM,SUP919_A4649_270,Noncdm Charge Record Medical Supplies - Pad Electrosurg Grnd 9Ft Rm Ph Sv2 Pat Rtn,11.42,4.45,,,0
CDM,SUP919_A9999_270,Noncdm Charge Record Medical Supplies - Pad Electrosurg Grnd 9Ft Rm Ph Sv2 Pat Rtn,11.38,4.44,,,0
CDM,SUP919_L8699_270,Noncdm Charge Record Medical Supplies - Pad Electrosurg Grnd 9Ft Rm Ph Sv2 Pat Rtn,11.38,4.44,,,0
CDM,SUP92005,Noncdm Charge Record Medical Supplies - Valve Certas Plus Inline Only,19929.96,7772.68,,,0
CDM,SUP92022_272,Noncdm Charge Record Medical Supplies - Unit Electrosurg Lgsr 5Mm Md,2307.03,899.74,,,0
CDM,SUP92022_A4649_272,Noncdm Charge Record Medical Supplies - Unit Electrosurg Lgsr 5Mm Md,2307.02,899.74,,,0
CDM,SUP92022_A9999_272,Noncdm Charge Record Medical Supplies - Unit Electrosurg Lgsr 5Mm Md,2307.02,899.74,,,0
CDM,SUP92023,Noncdm Charge Record Medical Supplies - Ligasure Maryland Sht 5Mmx23Cm,2307.02,899.74,,,0
CDM,SUP92024_272,Noncdm Charge Record Medical Supplies - Cord Bipolar 12Ft Ftswtch Strl Disp,13.46,5.25,,,0
CDM,SUP92024_A4649_272,Noncdm Charge Record Medical Supplies - Cord Bipolar 12Ft Ftswtch Strl Disp,13.46,5.25,,,0
CDM,SUP92024_A9999_272,Noncdm Charge Record Medical Supplies - Cord Bipolar 12Ft Ftswtch Strl Disp,13.46,5.25,,,0
CDM,SUP92026,Noncdm Charge Record Medical Supplies - Screw Bn Mtphsl 2.7Mm 60Mm St T8 Stardr Recess,303.51,118.37,,,0
CDM,SUP9208_272,Noncdm Charge Record Medical Supplies - See 139623 Pack Cath Lab Kennestone,259.8,101.32,,,0
CDM,SUP9208_A4649_272,Noncdm Charge Record Medical Supplies - See 139623 Pack Cath Lab Kennestone,259.82,101.33,,,0
CDM,SUP9208_A9999_272,Noncdm Charge Record Medical Supplies - See 139623 Pack Cath Lab Kennestone,259.79,101.32,,,0
CDM,SUP92101,Noncdm Charge Record Medical Supplies - Cannula Venom 150Mm 20G,321.88,125.53,,,0
CDM,SUP92102_272,Noncdm Charge Record Medical Supplies - Cannula Venom 100Mm 18G,321.52,125.39,,,0
CDM,SUP92102_A9999_272,Noncdm Charge Record Medical Supplies - Cannula Venom 100Mm 18G,160.17,62.47,,,0
CDM,SUP9213_272,Noncdm Charge Record Medical Supplies - See 139616 Pack Major Gen Abd Kennestone,129.38,50.46,,,0
CDM,SUP9213_A9999_272,Noncdm Charge Record Medical Supplies - See 139616 Pack Major Gen Abd Kennestone,129.38,50.46,,,0
CDM,SUP9214_272,Noncdm Charge Record Medical Supplies - See 140792 Pack Major Basin Cobb Wc120025,115.92,45.21,,,0
CDM,SUP9214_A4649_272,Noncdm Charge Record Medical Supplies - See 140792 Pack Major Basin Cobb Wc120025,115.92,45.21,,,0
CDM,SUP9214_A9999_272,Noncdm Charge Record Medical Supplies - See 140792 Pack Major Basin Cobb Wc120025,115.92,45.21,,,0
CDM,SUP92153,Noncdm Charge Record Medical Supplies - Needle Echo 21X7,15.52,6.05,,,0
CDM,SUP92154,Noncdm Charge Record Medical Supplies - Glidesheath 6Fr,175.95,68.62,,,0
CDM,SUP9215_272,Noncdm Charge Record Medical Supplies - See 155808 Pack Minor Proc Basin Kennestone,93.15,36.33,,,0
CDM,SUP9215_A4649_272,Noncdm Charge Record Medical Supplies - See 155808 Pack Minor Proc Basin Kennestone,93.15,36.33,,,0
CDM,SUP9215_A9999_272,Noncdm Charge Record Medical Supplies - See 155808 Pack Minor Proc Basin Kennestone,93.15,36.33,,,0
CDM,SUP9216_272,Noncdm Charge Record Medical Supplies - See 140821 Pack Basin Hand Windy Hill Ww120019,168.7,65.79,,,0
CDM,SUP9216_A4649_272,Noncdm Charge Record Medical Supplies - See 140821 Pack Basin Hand Windy Hill Ww120019,168.7,65.79,,,0
CDM,SUP9216_A9999_272,Noncdm Charge Record Medical Supplies - See 140821 Pack Basin Hand Windy Hill Ww120019,168.7,65.79,,,0
CDM,SUP9217_272,Noncdm Charge Record Medical Supplies - See 141318 Pack Arthroscopy Cobb Wc100014,243.22,94.86,,,0
CDM,SUP9217_A9999_272,Noncdm Charge Record Medical Supplies - See 141318 Pack Arthroscopy Cobb Wc100014,243.22,94.86,,,0
CDM,SUP921_270,Noncdm Charge Record Medical Supplies - Splint Scotchcast 30X5In Fiber Glass 3M,58.83,22.94,,,0
CDM,SUP921_A9999_270,Noncdm Charge Record Medical Supplies - Splint Scotchcast 30X5In Fiber Glass 3M,59.0,23.01,,,0
CDM,SUP9220_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 6In 8Fr Lctrvc2 Tnsl,32.08,12.51,,,0
CDM,SUP9220_A4649_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 6In 8Fr Lctrvc2 Tnsl,32.08,12.51,,,0
CDM,SUP9220_A9999_272,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 6In 8Fr Lctrvc2 Tnsl,32.08,12.51,,,0
CDM,SUP9221,Noncdm Charge Record Medical Supplies - Graft Cv 30Cm 8Mm Thor Abd Wvn,2639.25,1029.31,,,0
CDM,SUP9222_272,Noncdm Charge Record Medical Supplies - Probe Surg 2.3Mm Ball Tip,817.65,318.88,,,0
CDM,SUP9222_A4649_272,Noncdm Charge Record Medical Supplies - Probe Surg 2.3Mm Ball Tip,817.65,318.88,,,0
CDM,SUP9223,Noncdm Charge Record Medical Supplies - Cover Strl Ext Fix Pin-Screw,168.7,65.79,,,0
CDM,SUP9225,Noncdm Charge Record Medical Supplies - Washer Spc Trulock Ext Fix Thk,26.91,10.49,,,0
CDM,SUP9228,Noncdm Charge Record Medical Supplies - Post 1 Hl Trulock Ext Fix,610.65,238.15,,,0
CDM,SUP9229,Noncdm Charge Record Medical Supplies - Post 2 Hl Trulock Ext Fix,672.47,262.26,,,0
CDM,SUP9230,Noncdm Charge Record Medical Supplies - Post 3 Hl Truelok Ext Fix,693.12,270.32,,,0
CDM,SUP92304_272,Noncdm Charge Record Medical Supplies - Blade 4.0Mm X 13Cm Dissector Arthrex,273.03,106.48,,,0
CDM,SUP92304_A4649_272,Noncdm Charge Record Medical Supplies - Blade 4.0Mm X 13Cm Dissector Arthrex,288.76,112.62,,,0
CDM,SUP92305_272,Noncdm Charge Record Medical Supplies - Burr Fluted 4.0Mm X 13Cm 8 Arthrex,288.76,112.62,,,0
CDM,SUP92305_A4649_272,Noncdm Charge Record Medical Supplies - Burr Fluted 4.0Mm X 13Cm 8 Arthrex,288.76,112.62,,,0
CDM,SUP92305_A9999_272,Noncdm Charge Record Medical Supplies - Burr Fluted 4.0Mm X 13Cm 8 Arthrex,288.76,112.62,,,0
CDM,SUP92306,Noncdm Charge Record Medical Supplies - Burr Oval Flush Cut Fluted 5.0Mm X 13Cm Arthrex,205.96,80.32,,,0
CDM,SUP92307,Noncdm Charge Record Medical Supplies - Burr Round Fluted 5.5Mm X 13Cm 8 Arthex,288.76,112.62,,,0
CDM,SUP92308_272,Noncdm Charge Record Medical Supplies - Cutter Bone 3.8 Mm X 13Cm Arthrex,322.92,125.94,,,0
CDM,SUP92308_A9999_272,Noncdm Charge Record Medical Supplies - Cutter Bone 3.8 Mm X 13Cm Arthrex,322.92,125.94,,,0
CDM,SUP92309_272,Noncdm Charge Record Medical Supplies - Dissector 3.8 X 13Cm Arthrex,288.76,112.62,,,0
CDM,SUP92309_A4649_272,Noncdm Charge Record Medical Supplies - Dissector 3.8 X 13Cm Arthrex,288.76,112.62,,,0
CDM,SUP9231,Noncdm Charge Record Medical Supplies - Post 4 Hl Truelok Ext Fix,788.84,307.65,,,0
CDM,SUP9232,Noncdm Charge Record Medical Supplies - Post 5 Hl Truelok Ext Fix,734.06,286.28,,,0
CDM,SUP9233,Noncdm Charge Record Medical Supplies - See 114951 Set Anchor Gastrointestinal Safe T Pexy Halyard H,553.72,215.95,,,0
CDM,SUP923_272,Noncdm Charge Record Medical Supplies - Tray Epidural 20 Gauge 3.5In Needle Syringe Braun,64.17,25.03,,,0
CDM,SUP923_A4649_272,Noncdm Charge Record Medical Supplies - Tray Epidural 20 Gauge 3.5In Needle Syringe Braun,64.17,25.03,,,0
CDM,SUP923_A9999_272,Noncdm Charge Record Medical Supplies - Tray Epidural 20 Gauge 3.5In Needle Syringe Braun,64.17,25.03,,,0
CDM,SUP924,Noncdm Charge Record Medical Supplies - Catheter Ureth Bdx 22Fr 2W 2,15.52,6.05,,,0
CDM,SUP92406,Noncdm Charge Record Medical Supplies - Irrigator Bipolar Tubing And Cord Set Integrated Disposable,259.27,101.12,,,0
CDM,SUP92407_272,Noncdm Charge Record Medical Supplies - Ligasure Maryland Device 44Cm,2278.04,888.44,,,0
CDM,SUP92407_A4649_272,Noncdm Charge Record Medical Supplies - Ligasure Maryland Device 44Cm,2278.04,888.44,,,0
CDM,SUP92408,Noncdm Charge Record Medical Supplies - Mesh Versatex Mono 15X15Cmx1,589.95,230.08,,,0
CDM,SUP92409,Noncdm Charge Record Medical Supplies,1033.96,403.24,,,0
CDM,SUP9243,Noncdm Charge Record Medical Supplies - Kit Suct Ynkr Thumb Port,11.26,4.39,,,0
CDM,SUP92465_C1762_278,Noncdm Charge Record Medical Supplies - Nushield 1.6Cm,1746.04,680.96,,,0
CDM,SUP92465_Q4160_278,Noncdm Charge Record Medical Supplies - Nushield 1.6Cm,1643.34,640.9,,,0
CDM,SUP92466_Q4160_278,Noncdm Charge Record Medical Supplies - Nushield 2X3,3745.66,1460.81,,,0
CDM,SUP92467_C1762_278,Noncdm Charge Record Medical Supplies - Nushield 2X4,4373.91,1705.82,,,0
CDM,SUP92467_Q4160_278,Noncdm Charge Record Medical Supplies - Nushield 2X4,4373.91,1705.82,,,0
CDM,SUP92468_C1762_278,Noncdm Charge Record Medical Supplies - Nushield 3X4,6428.38,2507.07,,,0
CDM,SUP92468_Q4160_278,Noncdm Charge Record Medical Supplies - Nushield 3X4,4147.35,1617.47,,,0
CDM,SUP9248,Noncdm Charge Record Medical Supplies - Plate 30Mm Trulock Ext Fix,487.43,190.1,,,0
CDM,SUP9249,Noncdm Charge Record Medical Supplies - Plate 40Mm Trulock Ext Fix,556.83,217.16,,,0
CDM,SUP9251,Noncdm Charge Record Medical Supplies,216.83,84.56,,,0
CDM,SUP9257,Noncdm Charge Record Medical Supplies - Plate 5 Hl Extn Trulock Bn Ft,1134.36,442.4,,,0
CDM,SUP9258,Noncdm Charge Record Medical Supplies - Screw Bn 6Mm 5.6Mm 260Mm 80Mm,580.38,226.35,,,0
CDM,SUP926,Noncdm Charge Record Medical Supplies - See 120174 Packing 5Ydx.25In Gauze Ifrm Crty Strip Wound,7.24,2.82,,,0
CDM,SUP9260,Noncdm Charge Record Medical Supplies - Graft Cv 30Cm 36Mm Thor Abd,2994.26,1167.76,,,0
CDM,SUP9262_C9363_278,Noncdm Charge Record Medical Supplies - Bilayer Wound Matrix Mshd 8 X 10 Integra,494.77,192.96,,,0
CDM,SUP92634_272,Noncdm Charge Record Medical Supplies - See 116510 Pack Surg Cystoscopy Iv Halyard Health,25.88,10.09,,,0
CDM,SUP92634_A4649_272,Noncdm Charge Record Medical Supplies - See 116510 Pack Surg Cystoscopy Iv Halyard Health,25.88,10.09,,,0
CDM,SUP92634_A9999_272,Noncdm Charge Record Medical Supplies - See 116510 Pack Surg Cystoscopy Iv Halyard Health,25.88,10.09,,,0
CDM,SUP92637_272,Noncdm Charge Record Medical Supplies - Pack Surgical Lithotomy I Halyard Heath,25.88,10.09,,,0
CDM,SUP92637_A4649_272,Noncdm Charge Record Medical Supplies - Pack Surgical Lithotomy I Halyard Heath,25.88,10.09,,,0
CDM,SUP92639_272,Noncdm Charge Record Medical Supplies - Vessel Sealer Xi Extended,2893.86,1128.61,,,0
CDM,SUP92639_A4649_272,Noncdm Charge Record Medical Supplies - Vessel Sealer Xi Extended,2893.86,1128.61,,,0
CDM,SUP92639_A9999_272,Noncdm Charge Record Medical Supplies - Vessel Sealer Xi Extended,2893.86,1128.61,,,0
CDM,SUP9267,Noncdm Charge Record Medical Supplies - Screw 6Mm 2Mm Cranmf Xdrive Lck Bn Slvr,553.28,215.78,,,0
CDM,SUP92692_272,Noncdm Charge Record Medical Supplies - Needle Stimuplex Ultra 360 20Ga 4In B. Braun Medical,58.12,22.67,,,0
CDM,SUP92692_A4649_272,Noncdm Charge Record Medical Supplies - Needle Stimuplex Ultra 360 20Ga 4In B. Braun Medical,58.1,22.66,,,0
CDM,SUP92692_A9999_272,Noncdm Charge Record Medical Supplies - Needle Stimuplex Ultra 360 20Ga 4In B. Braun Medical,58.13,22.67,,,0
CDM,SUP92693_272,Noncdm Charge Record Medical Supplies - Needle Stimuplex Ultra 360 20Ga 2In B. Braun Medical,52.25,20.38,,,0
CDM,SUP92693_A9999_272,Noncdm Charge Record Medical Supplies - Needle Stimuplex Ultra 360 20Ga 2In B. Braun Medical,52.78,20.58,,,0
CDM,SUP92694,Noncdm Charge Record Medical Supplies - Needle Stimuplex Ultra 360 20Ga 6In B. Braun Medical,64.17,25.03,,,0
CDM,SUP92698,Noncdm Charge Record Medical Supplies - Grasper Cobra Open Angle 2Cm Xi Intuitive,455.4,177.61,,,0
CDM,SUP9274,Noncdm Charge Record Medical Supplies - Spacer 30Mm Support Truelok,487.27,190.04,,,0
CDM,SUP92793_272,Noncdm Charge Record Medical Supplies - Microdebrider Wand Topaz Ex Ifs,2190.06,854.12,,,0
CDM,SUP92793_A4649_272,Noncdm Charge Record Medical Supplies - Microdebrider Wand Topaz Ex Ifs,2190.06,854.12,,,0
CDM,SUP92793_A9999_272,Noncdm Charge Record Medical Supplies - Microdebrider Wand Topaz Ex Ifs,2190.06,854.12,,,0
CDM,SUP928_272,Noncdm Charge Record Medical Supplies - Cellulose Surgicel 8X4In Ethicon,310.8,121.21,,,0
CDM,SUP928_A4649_272,Noncdm Charge Record Medical Supplies - Cellulose Surgicel 8X4In Ethicon,311.47,121.47,,,0
CDM,SUP928_A9999_272,Noncdm Charge Record Medical Supplies - Cellulose Surgicel 8X4In Ethicon,310.27,121.01,,,0
CDM,SUP92929,Noncdm Charge Record Medical Supplies,406.76,158.64,,,0
CDM,SUP92932,Noncdm Charge Record Medical Supplies - Tube 14F 5Ml 4.0Cm Feeding Jjn Mcky Low Prof,1008.09,393.16,,,0
CDM,SUP92933,Noncdm Charge Record Medical Supplies - Intro Sheath 018-038In 5Fr Str 90Cm Flxr Ansel-0 W-Ckfl,657.22,256.32,,,0
CDM,SUP9296_272,Noncdm Charge Record Medical Supplies - See 139615 Pack Minor Basin Kennestone Wk300010,20.7,8.07,,,0
CDM,SUP9296_A4649_272,Noncdm Charge Record Medical Supplies - See 139615 Pack Minor Basin Kennestone Wk300010,20.7,8.07,,,0
CDM,SUP9296_A9999_272,Noncdm Charge Record Medical Supplies - See 139615 Pack Minor Basin Kennestone Wk300010,20.7,8.07,,,0
CDM,SUP9297_272,Noncdm Charge Record Medical Supplies - See 140750 Pack Podiatry Windy Hill Ww150021,185.26,72.25,,,0
CDM,SUP9297_A4649_272,Noncdm Charge Record Medical Supplies - See 140750 Pack Podiatry Windy Hill Ww150021,185.26,72.25,,,0
CDM,SUP9297_A9999_272,Noncdm Charge Record Medical Supplies - See 140750 Pack Podiatry Windy Hill Ww150021,185.26,72.25,,,0
CDM,SUP930,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 25Mm Trlg Tiv,531.34,207.22,,,0
CDM,SUP9301_270,Noncdm Charge Record Medical Supplies - Pad Mattress 39In Wide Disp,373.97,145.85,,,0
CDM,SUP9301_272,Noncdm Charge Record Medical Supplies - Pad Mattress 39In Wide Disp,367.42,143.29,,,0
CDM,SUP9301_A4649_270,Noncdm Charge Record Medical Supplies - Pad Mattress 39In Wide Disp,367.42,143.29,,,0
CDM,SUP93053,Noncdm Charge Record Medical Supplies - Saw Prcs Osc 25X1.27X105Mm,1384.48,539.95,,,0
CDM,SUP93054,Noncdm Charge Record Medical Supplies - Shunt Plate14Mmw-Tab Un3,1437.62,560.67,,,0
CDM,SUP9309,Noncdm Charge Record Medical Supplies - Cement Bn Endrn Sst 20Gm,214.76,83.76,,,0
CDM,SUP9313,Noncdm Charge Record Medical Supplies - Component Fem 3 Rt Knee Total,25052.18,9770.35,,,0
CDM,SUP9314,Noncdm Charge Record Medical Supplies - Component Fem 6 Rt Knee Total,26304.52,10258.76,,,0
CDM,SUP9315,Noncdm Charge Record Medical Supplies - Baseplate Tib Trthln 4 Univ,10106.78,3941.64,,,0
CDM,SUP9318,Noncdm Charge Record Medical Supplies - Graft Tendon Gracilis Frozen Lifelink Tissue Bank,4572.63,1783.33,,,0
CDM,SUP9323,Noncdm Charge Record Medical Supplies - Stem Fem 50Mm 15Mm Cement,3718.9,1450.37,,,0
CDM,SUP9324,Noncdm Charge Record Medical Supplies - Head Fem +8Mm 28Mm Hip Cocr,3080.16,1201.26,,,0
CDM,SUP93242,Noncdm Charge Record Medical Supplies,41.4,16.15,,,0
CDM,SUP93244,Noncdm Charge Record Medical Supplies - See 129473 Nerve Ulnar Convoluted W Strap,11.38,4.44,,,0
CDM,SUP93246,Noncdm Charge Record Medical Supplies - Pillow Abduction Medium,81.76,31.89,,,0
CDM,SUP9327,Noncdm Charge Record Medical Supplies - Screw Ti 8Mm 2Mm Mandib Self Drill Bn,353.86,138.01,,,0
CDM,SUP9329,Noncdm Charge Record Medical Supplies - Screw 12Mm 2.3Mm Maxi Fac Xpin Bn,67.28,26.24,,,0
CDM,SUP933,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 90Mm 16Mm Ss Cannula Cannula,893.39,348.42,,,0
CDM,SUP9330,Noncdm Charge Record Medical Supplies,353.97,138.05,,,0
CDM,SUP93306,Noncdm Charge Record Medical Supplies - Guide Wire Zipwire Hydrophilic Standard Angled Boston Scient,168.7,65.79,,,0
CDM,SUP9333_272,Noncdm Charge Record Medical Supplies - Set 21Ga Infus Ndl Ebus,584.77,228.06,,,0
CDM,SUP9333_A4649_272,Noncdm Charge Record Medical Supplies - Set 21Ga Infus Ndl Ebus,584.78,228.06,,,0
CDM,SUP9334,Noncdm Charge Record Medical Supplies - Kit Filter Vc Rtrvl,2203.52,859.37,,,0
CDM,SUP9336_272,Noncdm Charge Record Medical Supplies - See 140669 Pack Basin Minor Cobb,66.24,25.83,,,0
CDM,SUP9336_A4649_272,Noncdm Charge Record Medical Supplies - See 140669 Pack Basin Minor Cobb,66.24,25.83,,,0
CDM,SUP9336_A9999_272,Noncdm Charge Record Medical Supplies - See 140669 Pack Basin Minor Cobb,66.24,25.83,,,0
CDM,SUP93371,Noncdm Charge Record Medical Supplies - Suture Prolene 3X24 In Blue Ethicon Inc,45.54,17.76,,,0
CDM,SUP93374_272,Noncdm Charge Record Medical Supplies - Suture 2-0 Fiberwire Blue Fiberstick Arthrex,205.62,80.19,,,0
CDM,SUP93374_A4649_272,Noncdm Charge Record Medical Supplies - Suture 2-0 Fiberwire Blue Fiberstick Arthrex,205.96,80.32,,,0
CDM,SUP9340,Noncdm Charge Record Medical Supplies - Prosthesis Penile Ttn Otr Pump,82180.55,32050.41,,,0
CDM,SUP9345_272,Noncdm Charge Record Medical Supplies - Needle Bx 18Ga 25Cm Mxcor Ul,128.34,50.05,,,0
CDM,SUP9345_A4649_272,Noncdm Charge Record Medical Supplies - Needle Bx 18Ga 25Cm Mxcor Ul,128.34,50.05,,,0
CDM,SUP9345_A9999_272,Noncdm Charge Record Medical Supplies - Needle Bx 18Ga 25Cm Mxcor Ul,128.34,50.05,,,0
CDM,SUP9346_272,Noncdm Charge Record Medical Supplies - Kit Surg Mini Acc Intro Ndl,344.51,134.36,,,0
CDM,SUP9346_A4649_272,Noncdm Charge Record Medical Supplies - Kit Surg Mini Acc Intro Ndl,344.66,134.42,,,0
CDM,SUP9347_272,Noncdm Charge Record Medical Supplies - See 139268 Pack Spine Kennestone,260.82,101.72,,,0
CDM,SUP9347_A4649_272,Noncdm Charge Record Medical Supplies - See 139268 Pack Spine Kennestone,260.82,101.72,,,0
CDM,SUP9347_A9999_272,Noncdm Charge Record Medical Supplies - See 139268 Pack Spine Kennestone,260.82,101.72,,,0
CDM,SUP9352,Noncdm Charge Record Medical Supplies,469.89,183.26,,,0
CDM,SUP93520,Noncdm Charge Record Medical Supplies - Gelfilm 1X2 Abosorable Midwest Medical Equipment,1198.53,467.43,,,0
CDM,SUP93521,Noncdm Charge Record Medical Supplies - See 121660 Kit Glidesheath 6Fr 10Cm Ss Slender Terumo Medica,234.94,91.63,,,0
CDM,SUP93522,Noncdm Charge Record Medical Supplies - Kit Glidesheath 7Fr 10Cm Slender Terumo Medical Corp,413.93,161.43,,,0
CDM,SUP93523,Noncdm Charge Record Medical Supplies - Kit Glidesheath 5Fr 10Cm With 21Ga Needle Slender Terumo Cor,242.49,94.57,,,0
CDM,SUP93524,Noncdm Charge Record Medical Supplies - Kit Introducer 0.021X6Frx16Cm Sheath Terumo Medical Corp,241.16,94.05,,,0
CDM,SUP93525,Noncdm Charge Record Medical Supplies - Kit Glidesheath 7Fr 10Cm Ss Slender Terumo Medical Corp,243.56,94.99,,,0
CDM,SUP93527,Noncdm Charge Record Medical Supplies - Cannula Perf 5.5In 7Fr Aort Root Adlt Antgrd,66.24,25.83,,,0
CDM,SUP93528,Noncdm Charge Record Medical Supplies - Catheter Spiral Turnpike Teleflex Medical,2499.52,974.81,,,0
CDM,SUP93529,Noncdm Charge Record Medical Supplies - Catheter Twin 7Mm Torque Dual Teleflex Medical,2218.0,865.02,,,0
CDM,SUP9353,Noncdm Charge Record Medical Supplies,469.89,183.26,,,0
CDM,SUP93530,Noncdm Charge Record Medical Supplies - Asahi Caravel Micro Catheter,2080.35,811.34,,,0
CDM,SUP93531,Noncdm Charge Record Medical Supplies - Asahi Suoh Guidewire,611.68,238.56,,,0
CDM,SUP93533,Noncdm Charge Record Medical Supplies,953.24,371.76,,,0
CDM,SUP93534,Noncdm Charge Record Medical Supplies - Device Bulb Accessory Visigi Covidien Medical Supplies,174.98,68.24,,,0
CDM,SUP9355,Noncdm Charge Record Medical Supplies - Catheter Drain 6.5Fr 30Cm Total Lock Abession Kink Mechanism,353.97,138.05,,,0
CDM,SUP93602_272,Noncdm Charge Record Medical Supplies - Cannula Nasal Co2-O2 Adult Cap,84.87,33.1,,,0
CDM,SUP93602_A4649_272,Noncdm Charge Record Medical Supplies - Cannula Nasal Co2-O2 Adult Cap,84.87,33.1,,,0
CDM,SUP93602_A9999_272,Noncdm Charge Record Medical Supplies - Cannula Nasal Co2-O2 Adult Cap,84.87,33.1,,,0
CDM,SUP93605,Noncdm Charge Record Medical Supplies - Cannula Alpine Venous Femoral Boston Scientific,1937.2,755.51,,,0
CDM,SUP93677,Noncdm Charge Record Medical Supplies - Kit Impella 5.0 Insertion Axillary Abiomed Inc,1224.4,477.52,,,0
CDM,SUP93678,Noncdm Charge Record Medical Supplies - Clamp Ablation Isolator Synergy Long Jaw Atricure Left Crv,12345.48,4814.74,,,0
CDM,SUP9371,Noncdm Charge Record Medical Supplies - Insert Artic 5-6 9Mm Tib Knee,10633.59,4147.1,,,0
CDM,SUP9374,Noncdm Charge Record Medical Supplies - Dressing Foam Abthera Open Abd,2227.33,868.66,,,0
CDM,SUP9375,Noncdm Charge Record Medical Supplies - See 131855 Cannister Suct 1000Ml,63.14,24.62,,,0
CDM,SUP9376_C9363_278,Noncdm Charge Record Medical Supplies - Bilayer Wound Matrix Mshd 4 X 5 Integra,4498.58,1754.45,,,0
CDM,SUP9380,Noncdm Charge Record Medical Supplies - Baseplate Tib Legion 6 Rt Knee,13364.96,5212.33,,,0
CDM,SUP9381,Noncdm Charge Record Medical Supplies - Stem Fem 160Mm 13Mm Prft,6355.94,2478.82,,,0
CDM,SUP9382,Noncdm Charge Record Medical Supplies - Stem Fem 160Mm 15Mm Prft,6355.94,2478.82,,,0
CDM,SUP9389,Noncdm Charge Record Medical Supplies,8.28,3.23,,,0
CDM,SUP9402_270,Noncdm Charge Record Medical Supplies - Bandage Cbn 5Ydx4In Strl Tan Comp Lf Adh Elc,10.34,4.03,,,0
CDM,SUP9402_A4649_270,Noncdm Charge Record Medical Supplies - Bandage Cbn 5Ydx4In Strl Tan Comp Lf Adh Elc,10.35,4.04,,,0
CDM,SUP9402_A9999_270,Noncdm Charge Record Medical Supplies - Bandage Cbn 5Ydx4In Strl Tan Comp Lf Adh Elc,10.35,4.04,,,0
CDM,SUP941_272,Noncdm Charge Record Medical Supplies - Needle 7Cm 5Fr 4 Sdprt Hlw,95.22,37.14,,,0
CDM,SUP941_A9999_272,Noncdm Charge Record Medical Supplies - Needle 7Cm 5Fr 4 Sdprt Hlw,95.22,37.14,,,0
CDM,SUP94299,Noncdm Charge Record Medical Supplies - Screw Bi-Cortical 4.5Mmx27.5Mm Post Arthrex,537.16,209.49,,,0
CDM,SUP94301,Noncdm Charge Record Medical Supplies - Stapler Reload 30 Xi Blue Intuitive Surgical Inc,878.72,342.7,,,0
CDM,SUP94302,Noncdm Charge Record Medical Supplies - Stapler Reload 30 Xi Green Intuitive Surgical Inc,878.72,342.7,,,0
CDM,SUP94311,Noncdm Charge Record Medical Supplies - Putty Accell 1Cc Evo3 Isotis Orthobilogics,2298.74,896.51,,,0
CDM,SUP94312,Noncdm Charge Record Medical Supplies - Putty Accell 2.5Cc Evo3 Isotis Orthobilogics,3233.34,1261.0,,,0
CDM,SUP94313,Noncdm Charge Record Medical Supplies - Putty Accell 5Cc Evo3 Isotis Orthobilogics,5771.16,2250.75,,,0
CDM,SUP94314,Noncdm Charge Record Medical Supplies - Putty Accell 10Cc Evo3 Isotis Orthobilogics,10392.44,4053.05,,,0
CDM,SUP94380_272,Noncdm Charge Record Medical Supplies - See 133789 Bronchoscope 3.8Mm Disp Ascope Slim,1273.05,496.49,,,0
CDM,SUP94380_A4649_272,Noncdm Charge Record Medical Supplies - See 133789 Bronchoscope 3.8Mm Disp Ascope Slim,1273.05,496.49,,,0
CDM,SUP94382,Noncdm Charge Record Medical Supplies - Wolverine Cutting Balloon 6Mmx2.00 Boston Scientific,2976.66,1160.9,,,0
CDM,SUP94384,Noncdm Charge Record Medical Supplies - Suture Vloc Gs-21 Abs 0 Bl Covidien Surgical Devices,113.82,44.39,,,0
CDM,SUP9441,Noncdm Charge Record Medical Supplies - Screw Bn 5.5Mm 20Mm Independ,1552.5,605.48,,,0
CDM,SUP94510,Noncdm Charge Record Medical Supplies - Wolverine Cutting Balloon 6Mmx3.00 Boston Scientific,3216.55,1254.45,,,0
CDM,SUP94512,Noncdm Charge Record Medical Supplies - Wolverine Cutting Balloon 6Mmx3.50 Boston Scientific,3246.54,1266.15,,,0
CDM,SUP94514,Noncdm Charge Record Medical Supplies - Wolverine Cutting Balloon 6Mmx4.00 Boston Scientific,3192.56,1245.1,,,0
CDM,SUP94515,Noncdm Charge Record Medical Supplies - Wolverine Cutting Balloon 10Mmx2.00 Boston Scientific,2976.66,1160.9,,,0
CDM,SUP94516,Noncdm Charge Record Medical Supplies - Wolverine Cutting Balloon 10Mmx2.25Boston Scientific,4056.16,1581.9,,,0
CDM,SUP94517,Noncdm Charge Record Medical Supplies - Wolverine Cutting Balloon10Mmx2.50 Boston Scientific,3285.02,1281.16,,,0
CDM,SUP94518,Noncdm Charge Record Medical Supplies - Wolverine Cutting Balloon 10Mmx2.75Boston Scientific,2976.66,1160.9,,,0
CDM,SUP94519,Noncdm Charge Record Medical Supplies - Wolverine Cutting Balloon 10Mmx3.00 Boston Scientific,3336.49,1301.23,,,0
CDM,SUP94520,Noncdm Charge Record Medical Supplies - Wolverine Cutting Balloon 10Mmx3.25 Boston Scientific,3696.33,1441.57,,,0
CDM,SUP94521,Noncdm Charge Record Medical Supplies - Wolverine Cutting Balloon 10Mmx3.50 Boston Scientific,3456.44,1348.01,,,0
CDM,SUP94522,Noncdm Charge Record Medical Supplies - Wolverine Cutting Balloon 10Mmx3.75 Boston Scientific,3192.56,1245.1,,,0
CDM,SUP94523,Noncdm Charge Record Medical Supplies - Wolverine Cutting Balloon 10Mmx4.00 Boston Scientific,3246.54,1266.15,,,0
CDM,SUP94524,Noncdm Charge Record Medical Supplies,2976.66,1160.9,,,0
CDM,SUP94526,Noncdm Charge Record Medical Supplies - Wolverine Cutting Balloon 15Mmx2.50 Boston Scientific,3640.97,1419.98,,,0
CDM,SUP94527,Noncdm Charge Record Medical Supplies,3516.41,1371.4,,,0
CDM,SUP94528,Noncdm Charge Record Medical Supplies - Wolverine Cutting Balloon 15Mmx3.00 Boston Scientific,3633.75,1417.16,,,0
CDM,SUP94530,Noncdm Charge Record Medical Supplies - Wolverine Cutting Balloon 15Mmx3.50 Boston Scientific,3448.94,1345.09,,,0
CDM,SUP94532,Noncdm Charge Record Medical Supplies - Wolverine Cutting Balloon 15Mmx4.00 Boston Scientific,3516.41,1371.4,,,0
CDM,SUP94533,Noncdm Charge Record Medical Supplies - Asahi Sion Blue Hydrophilic 3Cm 014In 180Cc,685.17,267.22,,,0
CDM,SUP94534_272,Noncdm Charge Record Medical Supplies - Asahi Sion Blue Hydrophilic 3Cm 014In 300Cm,464.72,181.24,,,0
CDM,SUP94534_C1769_272,Noncdm Charge Record Medical Supplies - Asahi Sion Blue Hydrophilic 3Cm 014In 300Cm,505.56,197.17,,,0
CDM,SUP9458,Noncdm Charge Record Medical Supplies - Graft Bn Cnrstn Asr Canc Cort,3625.49,1413.94,,,0
CDM,SUP9459,Noncdm Charge Record Medical Supplies - Graft Cnrstn Asr Canc Blck (X),3625.35,1413.89,,,0
CDM,SUP94600,Noncdm Charge Record Medical Supplies - See 134705 Dressing Wound Pressure Therapy Pico 6X6 Smith An,1067.08,416.16,,,0
CDM,SUP94601,Noncdm Charge Record Medical Supplies - System Vasoview Hemopro 2 Endoscopic Vessel Harvesting Maque,4064.44,1585.13,,,0
CDM,SUP9462,Noncdm Charge Record Medical Supplies - Head Unplr 50Mm Ccrt Fem Hip Orthochrome Mod,2578.18,1005.49,,,0
CDM,SUP94648_272,Noncdm Charge Record Medical Supplies - Burr Excalibur 3.8Mm Arthrex,288.76,112.62,,,0
CDM,SUP94648_A4649_272,Noncdm Charge Record Medical Supplies - Burr Excalibur 3.8Mm Arthrex,288.76,112.62,,,0
CDM,SUP94649,Noncdm Charge Record Medical Supplies - Burr Oval 3.8Mm Arthrex,288.76,112.62,,,0
CDM,SUP94650_272,Noncdm Charge Record Medical Supplies - Burr Round 4.0Mm Arthrex,288.76,112.62,,,0
CDM,SUP94650_A4649_272,Noncdm Charge Record Medical Supplies - Burr Round 4.0Mm Arthrex,288.76,112.62,,,0
CDM,SUP9472,Noncdm Charge Record Medical Supplies - Surface Artic 17Mm 17Mm Most,10843.7,4229.04,,,0
CDM,SUP94733_272,Noncdm Charge Record Medical Supplies - See 122656 System Irrisept Wound Depridement Cleansing 0.05%,299.16,116.67,,,0
CDM,SUP94733_A4649_272,Noncdm Charge Record Medical Supplies - See 122656 System Irrisept Wound Depridement Cleansing 0.05%,299.12,116.66,,,0
CDM,SUP94733_A9999_272,Noncdm Charge Record Medical Supplies - See 122656 System Irrisept Wound Depridement Cleansing 0.05%,299.12,116.66,,,0
CDM,SUP94784,Noncdm Charge Record Medical Supplies - Hydrogel Spaceoar 10Ml Augmenix,15046.83,5868.26,,,0
CDM,SUP9478_270,Noncdm Charge Record Medical Supplies - Tip Suct Kamvac Mini 10In Crv,454.99,177.45,,,0
CDM,SUP9478_A4649_270,Noncdm Charge Record Medical Supplies - Tip Suct Kamvac Mini 10In Crv,489.56,190.93,,,0
CDM,SUP9478_A9999_270,Noncdm Charge Record Medical Supplies - Tip Suct Kamvac Mini 10In Crv,406.76,158.64,,,0
CDM,SUP9482,Noncdm Charge Record Medical Supplies - Graft Endovasc 95Mm 36Mm 22Fr,42069.64,16407.16,,,0
CDM,SUP94873,Noncdm Charge Record Medical Supplies - Catheter Alpine 22Fr Femoral Venous Med Alliance,1928.89,752.27,,,0
CDM,SUP94874,Noncdm Charge Record Medical Supplies - Catheter Alpine 24Fr Femoral Venous Med Alliance,1944.45,758.34,,,0
CDM,SUP94903,Noncdm Charge Record Medical Supplies - Graft Endopro 16Fr 24Mmx56Mm Aaa,15819.98,6169.79,,,0
CDM,SUP94904,Noncdm Charge Record Medical Supplies - Graft Endopro 16Fr 24Mmx74Mm Aaa W.L. Gore And Associates,17327.97,6757.91,,,0
CDM,SUP94920_270,Noncdm Charge Record Medical Supplies - System Fluid Administration Cardiovascular Merit Medical,46.44,18.11,,,0
CDM,SUP94920_A9999_270,Noncdm Charge Record Medical Supplies - System Fluid Administration Cardiovascular Merit Medical,46.58,18.17,,,0
CDM,SUP9501,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 8Mm Lcp Ss Dist Fib St Lck T8,477.14,186.08,,,0
CDM,SUP95047,Noncdm Charge Record Medical Supplies - Dissector 3.0 Small Joint Arthrex,322.92,125.94,,,0
CDM,SUP95048,Noncdm Charge Record Medical Supplies - Kit Cannula Bmdcs 3-8In 21F50Cm Non-Vented Connector Medtron,1281.33,499.72,,,0
CDM,SUP9509_272,Noncdm Charge Record Medical Supplies - Dressing Grmcdl 7Mm 1In Bptch,26.01,10.14,,,0
CDM,SUP9509_A9999_272,Noncdm Charge Record Medical Supplies - Dressing Grmcdl 7Mm 1In Bptch,25.88,10.09,,,0
CDM,SUP9510_272,Noncdm Charge Record Medical Supplies - Dressing Biopatch Disk With Chg 2.5Cm-4.0Mm Ethicon,26.19,10.21,,,0
CDM,SUP9510_A4649_272,Noncdm Charge Record Medical Supplies - Dressing Biopatch Disk With Chg 2.5Cm-4.0Mm Ethicon,26.13,10.19,,,0
CDM,SUP9510_A9999_272,Noncdm Charge Record Medical Supplies - Dressing Biopatch Disk With Chg 2.5Cm-4.0Mm Ethicon,26.22,10.23,,,0
CDM,SUP9517,Noncdm Charge Record Medical Supplies - Component Fem 4 Lt Post Stab,12677.72,4944.31,,,0
CDM,SUP9518,Noncdm Charge Record Medical Supplies - Baseplate Tib Gen2 4 Rt,9014.85,3515.79,,,0
CDM,SUP9519,Noncdm Charge Record Medical Supplies - Component Patell 32Mm Rsrfc,3806.73,1484.62,,,0
CDM,SUP95212,Noncdm Charge Record Medical Supplies - Implant Helical 10 1Mmx2Cm Supersoft Balt Usa Llc,5534.14,2158.31,,,0
CDM,SUP95213,Noncdm Charge Record Medical Supplies - Implant Helical 10 1Mmx3Cm Supersoft Balt Usa Llc,5534.14,2158.31,,,0
CDM,SUP95221,Noncdm Charge Record Medical Supplies - Implant Helical 10 2Mmx3Cm Supersoft Balt Usa Llc,5534.14,2158.31,,,0
CDM,SUP95222,Noncdm Charge Record Medical Supplies - Implant Helical 10 2Mmx4Cm Supersoft Balt Usa Llc,5534.14,2158.31,,,0
CDM,SUP95227,Noncdm Charge Record Medical Supplies - Implant Helical 10 2.5Mmx6Cm Supersoft Balt Usa Llc,5534.14,2158.31,,,0
CDM,SUP95229,Noncdm Charge Record Medical Supplies - Implant Helical 10 3Mmx6Cm Supersoft Balt Usa Llc,5534.14,2158.31,,,0
CDM,SUP95230,Noncdm Charge Record Medical Supplies - Implant Helical 10 3Mmx8Cm Supersoft Balt Usa Llc,5534.14,2158.31,,,0
CDM,SUP9524,Noncdm Charge Record Medical Supplies - Component Fem 6 Rt Knee Post,14790.15,5768.16,,,0
CDM,SUP95259,Noncdm Charge Record Medical Supplies - Implant Complex 10 1Mmx1Cm Supersoft Balt Usa Llc,7008.85,2733.45,,,0
CDM,SUP9525_C1763_278,Noncdm Charge Record Medical Supplies - Wound Matrix 3 Ml Flowable Integra,19682.6,7676.21,,,0
CDM,SUP9525_Q4114_278,Noncdm Charge Record Medical Supplies - Wound Matrix 3 Ml Flowable Integra,32828.65,12803.17,,,0
CDM,SUP95260,Noncdm Charge Record Medical Supplies - Implant Complex 10 1Mmx2Cm Supersoft Balt Usa Llc,7008.79,2733.43,,,0
CDM,SUP95261,Noncdm Charge Record Medical Supplies - Implant Complex 10 1Mmx3Cm Supersoft Balt Usa Llc,7009.02,2733.52,,,0
CDM,SUP95263,Noncdm Charge Record Medical Supplies - Implant Complex 10 1.5Mmx2Cm Supersoft Balt Usa Llc,7008.89,2733.47,,,0
CDM,SUP95264,Noncdm Charge Record Medical Supplies - Implant Complex 10 1.5Mmx3Cm Supersoft Balt Usa Llc,7009.02,2733.52,,,0
CDM,SUP95265,Noncdm Charge Record Medical Supplies - Implant Complex 10 1.5Mmx4Cm Supersoft Balt Usa Llc,7009.02,2733.52,,,0
CDM,SUP95267,Noncdm Charge Record Medical Supplies - Implant Complex 10 2Mmx3Cm Supersoft Balt Usa Llc,7008.81,2733.44,,,0
CDM,SUP95268,Noncdm Charge Record Medical Supplies - Implant Complex 10 2Mmx4Cm Supersoft Balt Usa Llc,7008.76,2733.42,,,0
CDM,SUP95269,Noncdm Charge Record Medical Supplies - Implant Complex 10 2Mmx6Cm Supersoft Balt Usa Llc,7009.02,2733.52,,,0
CDM,SUP9527,Noncdm Charge Record Medical Supplies - Catheter Centrl Venous 8Fr 1 Lum Srcf Tissue,920.12,358.85,,,0
CDM,SUP95271,Noncdm Charge Record Medical Supplies - Implant Complex 10 2.5Mmx2Cm Supersoft Balt Usa Llc,7009.02,2733.52,,,0
CDM,SUP95272,Noncdm Charge Record Medical Supplies - Implant Complex 10 2.5Mmx4Cm Supersoft Balt Usa Llc,7009.02,2733.52,,,0
CDM,SUP95273,Noncdm Charge Record Medical Supplies - Implant Complex 10 2.5Mmx6Cm Supersoft Balt Usa Llc,7009.02,2733.52,,,0
CDM,SUP95275,Noncdm Charge Record Medical Supplies - Implant Complex 10 3Mmx6Cm Supersoft Balt Usa Llc,7009.02,2733.52,,,0
CDM,SUP95276,Noncdm Charge Record Medical Supplies - Implant Complex 10 3Mmx8Cm Supersoft Balt Usa Llc,7009.02,2733.52,,,0
CDM,SUP95277,Noncdm Charge Record Medical Supplies - Implant Complex 10 3Mmx10Cm Supersoft Balt Usa Llc,7009.02,2733.52,,,0
CDM,SUP95279,Noncdm Charge Record Medical Supplies - Implant Complex 10 3.5Mmx8Cm Supersoft Balt Usa Llc,7009.02,2733.52,,,0
CDM,SUP95281,Noncdm Charge Record Medical Supplies - Implant Complex 10 4Mmx8Cm Supersoft Balt Usa Llc,7009.02,2733.52,,,0
CDM,SUP95282,Noncdm Charge Record Medical Supplies - Implant Complex 10 4Mmx10Cm Supersoft Balt Usa Llc,7009.02,2733.52,,,0
CDM,SUP95285,Noncdm Charge Record Medical Supplies - Implant Complex 10 5Mmx13Cm Supersoft Balt Usa Llc,7009.02,2733.52,,,0
CDM,SUP95291,Noncdm Charge Record Medical Supplies - Implant Complex 10 3Mmx6Cm Soft Balt Usa Llc,7009.02,2733.52,,,0
CDM,SUP953,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 105Mm 16Mm Ss Cannula Thrd Ns,938.4,365.98,,,0
CDM,SUP95326,Noncdm Charge Record Medical Supplies - Implant Complex 18 18Mmx60Cm Balt Usa Ll,7709.2,3006.59,,,0
CDM,SUP95327,Noncdm Charge Record Medical Supplies - Implant Complex 18 20Mmx65Cm Balt Usa Ll,7709.72,3006.79,,,0
CDM,SUP95330,Noncdm Charge Record Medical Supplies - Xcel Detacher,954.34,372.19,,,0
CDM,SUP9535_272,Noncdm Charge Record Medical Supplies - Dressing Prsm Mtrx 19.1Sq In,103.74,40.46,,,0
CDM,SUP9535_A4649_272,Noncdm Charge Record Medical Supplies - Dressing Prsm Mtrx 19.1Sq In,103.8,40.48,,,0
CDM,SUP954_272,Noncdm Charge Record Medical Supplies - Reamer Surg Hlw Cmplt 3.5 Mm Cort Cannula 4,1806.54,704.55,,,0
CDM,SUP954_A4649_272,Noncdm Charge Record Medical Supplies - Reamer Surg Hlw Cmplt 3.5 Mm Cort Cannula 4,1822.64,710.83,,,0
CDM,SUP955,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 30Mm Trlg Tiv,531.47,207.27,,,0
CDM,SUP95570,Noncdm Charge Record Medical Supplies - Stent Ureteral No Guidewire 6Fx22Cm Polaris Ultra Boston Sci,908.95,354.49,,,0
CDM,SUP95571,Noncdm Charge Record Medical Supplies - Introducer Splittable 9Fx13Cm Classic Sheath St Jude Medical,156.28,60.95,,,0
CDM,SUP95572,Noncdm Charge Record Medical Supplies - Bottle Suction Evacuated With Sterile Drain Line Uresil,117.83,45.95,,,0
CDM,SUP95597,Noncdm Charge Record Medical Supplies - Catheter Angiographic 5Fx80Cm Beacon Mpa Cook Medical,108.16,42.18,,,0
CDM,SUP956,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 100Mm 32Mm Ss Fem Cannula Ns,898.79,350.53,,,0
CDM,SUP9568,Noncdm Charge Record Medical Supplies - See 140816 Pack Upper Extremity Kennestone Wk420027,212.18,82.75,,,0
CDM,SUP9569,Noncdm Charge Record Medical Supplies - Bag Pressure Infusion 500Ml Disposable Merit,40.26,15.7,,,0
CDM,SUP95717,Noncdm Charge Record Medical Supplies - Coil Micro Galaxy 3Mmx4Cm G3 Xsft J And J Health Care,5800.14,2262.05,,,0
CDM,SUP9574,Noncdm Charge Record Medical Supplies - Anchor Suture 2.7Mmx8.5Mm Mini Biocomposite Arthrex,1746.04,680.96,,,0
CDM,SUP9575,Noncdm Charge Record Medical Supplies - Stent Uret 8.5Fr 26Cm .038In,625.14,243.8,,,0
CDM,SUP95765,Noncdm Charge Record Medical Supplies - Coil Micro Micrusframe 14 2Mmx2.5Cm J And J Health Care,5800.14,2262.05,,,0
CDM,SUP95766,Noncdm Charge Record Medical Supplies - Coil Micro Micrusframe 14 2.5Mmx3.3Cm J And J Health Care,5800.14,2262.05,,,0
CDM,SUP9580,Noncdm Charge Record Medical Supplies,4865.54,1897.56,,,0
CDM,SUP9581,Noncdm Charge Record Medical Supplies - Tube Feeding Mic J 20Fr Silicone Balloon,700.7,273.27,,,0
CDM,SUP95812,Noncdm Charge Record Medical Supplies - Catheter Infusion 5Fx135Cmx20Cm Unifuse Angiodynamics Inc,1240.96,483.97,,,0
CDM,SUP95830,Noncdm Charge Record Medical Supplies - Electrode 2-Channel Dragonfly 6.0-7.0 Et Tubes Neurovision,636.52,248.24,,,0
CDM,SUP95907,Noncdm Charge Record Medical Supplies - System Suturing Endoscopic Overstitch Apollo Endosurgery,4886.49,1905.73,,,0
CDM,SUP9592,Noncdm Charge Record Medical Supplies - Powder Bioseal Cvc Strl Art,102.58,40.01,,,0
CDM,SUP9593,Noncdm Charge Record Medical Supplies - Powder Bioseal Adv Strl,145.51,56.75,,,0
CDM,SUP95984,Noncdm Charge Record Medical Supplies - Kit Catheter 8F 50Ml Balloon Mega Getinge Usa Sales Llc,3904.85,1522.89,,,0
CDM,SUP96005,Noncdm Charge Record Medical Supplies - Retractor Alexis Wound Xxl 17Cm,844.56,329.38,,,0
CDM,SUP96007,Noncdm Charge Record Medical Supplies,2539.89,990.56,,,0
CDM,SUP96009_272,Noncdm Charge Record Medical Supplies - Kit Electrode Ensite Precision Surface St Jude Medical,4607.82,1797.05,,,0
CDM,SUP96009_A9999_272,Noncdm Charge Record Medical Supplies - Kit Electrode Ensite Precision Surface St Jude Medical,4607.82,1797.05,,,0
CDM,SUP96010,Noncdm Charge Record Medical Supplies - Catheter Grid Mapping 8F Sensor Enabled St Jude Medical,9259.11,3611.05,,,0
CDM,SUP96011_272,Noncdm Charge Record Medical Supplies - Catheter Diagnostic 22 Pin Sensor Enabled St Jude Medical,1713.96,668.44,,,0
CDM,SUP96011_A4649_272,Noncdm Charge Record Medical Supplies - Catheter Diagnostic 22 Pin Sensor Enabled St Jude Medical,1713.96,668.44,,,0
CDM,SUP96040,Noncdm Charge Record Medical Supplies - Microcatheter Mamba Flex 0.014Inx135Cm Boston Scientific,2734.13,1066.31,,,0
CDM,SUP96041,Noncdm Charge Record Medical Supplies - Microcatheter Mamba Flex 0.014Inx150Cm Boston Scientific,2877.3,1122.15,,,0
CDM,SUP96042,Noncdm Charge Record Medical Supplies - Microcatheter Supercross 0.014Inx150Cm 90 Degrees Otw Telefl,2299.25,896.71,,,0
CDM,SUP96043,Noncdm Charge Record Medical Supplies - Microcatheter Supercross 0.014Inx150Cm 120 Degrees Otw Telef,2315.98,903.23,,,0
CDM,SUP9605_272,Noncdm Charge Record Medical Supplies - See 97009 Tray Cath Bdx Ic 16Fr 5Ml,67.25,26.23,,,0
CDM,SUP9605_A4649_272,Noncdm Charge Record Medical Supplies - See 97009 Tray Cath Bdx Ic 16Fr 5Ml,67.28,26.24,,,0
CDM,SUP9605_A9999_272,Noncdm Charge Record Medical Supplies - See 97009 Tray Cath Bdx Ic 16Fr 5Ml,67.28,26.24,,,0
CDM,SUP9607_272,Noncdm Charge Record Medical Supplies - See 122319 Tray Catheter Foley 16 Fr Advance System Bag With,64.15,25.02,,,0
CDM,SUP9607_A4649_272,Noncdm Charge Record Medical Supplies - See 122319 Tray Catheter Foley 16 Fr Advance System Bag With,64.12,25.01,,,0
CDM,SUP9607_A9999_272,Noncdm Charge Record Medical Supplies - See 122319 Tray Catheter Foley 16 Fr Advance System Bag With,64.17,25.03,,,0
CDM,SUP9609,Noncdm Charge Record Medical Supplies - Catheter Foley 16Fr Temperature Sensing Bard,135.58,52.88,,,0
CDM,SUP961,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 65Mm 32Mm Ss Fem Cannula Ns,839.38,327.36,,,0
CDM,SUP96100,Noncdm Charge Record Medical Supplies - Catheter Infusion 0.035Inx106Cm 18Cm Treatment Zone Ekosonic,13822.32,5390.7,,,0
CDM,SUP9612,Noncdm Charge Record Medical Supplies - See 121043 Tray Cath Bdx Ic 16Fr 350Ml,90.04,35.12,,,0
CDM,SUP96124,Noncdm Charge Record Medical Supplies - Rotapro 1.5 Burr W- Advancer,10241.67,3994.25,,,0
CDM,SUP96125,Noncdm Charge Record Medical Supplies - Rotapro 1.75Mm Burr W- Advancer,10560.1,4118.44,,,0
CDM,SUP96127,Noncdm Charge Record Medical Supplies - Sheath Introducer 6Fx10Cm Glidesheath Slender Terumo Medical,402.96,157.15,,,0
CDM,SUP96128,Noncdm Charge Record Medical Supplies,389.16,151.77,,,0
CDM,SUP9614,Noncdm Charge Record Medical Supplies,1571.13,612.74,,,0
CDM,SUP96154_272,Noncdm Charge Record Medical Supplies - Drill Bit 2Mm F- Lck 3Mm Screw,416.07,162.27,,,0
CDM,SUP96154_A4649_272,Noncdm Charge Record Medical Supplies - Drill Bit 2Mm F- Lck 3Mm Screw,416.07,162.27,,,0
CDM,SUP9615_272,Noncdm Charge Record Medical Supplies - See 140776 Pack Pacemaker Wellstar Ws330002,647.92,252.69,,,0
CDM,SUP9615_A4649_272,Noncdm Charge Record Medical Supplies - See 140776 Pack Pacemaker Wellstar Ws330002,647.91,252.68,,,0
CDM,SUP9616,Noncdm Charge Record Medical Supplies - See 139621 Pack Ob Cobb,119.02,46.42,,,0
CDM,SUP9620,Noncdm Charge Record Medical Supplies - Stent Uret 8.5Fr 24Cm .038In Lck Loop Radiopq,625.14,243.8,,,0
CDM,SUP9636,Noncdm Charge Record Medical Supplies - Component Fem 4 Rt Knee Post,11605.46,4526.13,,,0
CDM,SUP9638,Noncdm Charge Record Medical Supplies - System Angio 48In 72In Depot Bag Fld Adm Set,36.22,14.13,,,0
CDM,SUP9647,Noncdm Charge Record Medical Supplies - Forceps Bx 110Cm 1.7Mm Super Trax,428.49,167.11,,,0
CDM,SUP9648_272,Noncdm Charge Record Medical Supplies - Brush Cytology 1.7Mm X 120Mm Superdime Nsion Inc,160.22,62.49,,,0
CDM,SUP9648_A9999_272,Noncdm Charge Record Medical Supplies - Brush Cytology 1.7Mm X 120Mm Superdime Nsion Inc,130.41,50.86,,,0
CDM,SUP9649_272,Noncdm Charge Record Medical Supplies - See 156173 Pack Head And Neck Kennestone,109.7,42.78,,,0
CDM,SUP9649_A4649_272,Noncdm Charge Record Medical Supplies - See 156173 Pack Head And Neck Kennestone,109.71,42.79,,,0
CDM,SUP9649_A9999_272,Noncdm Charge Record Medical Supplies - See 156173 Pack Head And Neck Kennestone,109.71,42.79,,,0
CDM,SUP96501,Noncdm Charge Record Medical Supplies,4871.74,1899.98,,,0
CDM,SUP96506,Noncdm Charge Record Medical Supplies - Kwire 1.2Mm X150Mm Wright Medical Technology,91.67,35.75,,,0
CDM,SUP9650_272,Noncdm Charge Record Medical Supplies - Sponge Lap 36X18In Xray Strl,13.46,5.25,,,0
CDM,SUP9650_A4649_272,Noncdm Charge Record Medical Supplies - Sponge Lap 36X18In Xray Strl,13.46,5.25,,,0
CDM,SUP9652,Noncdm Charge Record Medical Supplies - Anchor Suture 5.5Mm Footprint Ultra Pack Smith And Nephew En,1992.38,777.03,,,0
CDM,SUP9660,Noncdm Charge Record Medical Supplies - Screw Bn 1.5Mm 6Mm Lcp Ss Hand St Lck Stardr,491.62,191.73,,,0
CDM,SUP9662,Noncdm Charge Record Medical Supplies - Screw Bn 1.5Mm 8Mm Lcp Ss Hand St Lck Stardr,556.57,217.06,,,0
CDM,SUP96697,Noncdm Charge Record Medical Supplies - See 86884 Implant Bone Small 5Cc Blend Grafton Medtronic Inc,4297.32,1675.95,,,0
CDM,SUP96698,Noncdm Charge Record Medical Supplies,5197.77,2027.13,,,0
CDM,SUP96701,Noncdm Charge Record Medical Supplies - Catheter Tip 20Fr 30Cc Bard Medical Division,46.58,18.17,,,0
CDM,SUP96703,Noncdm Charge Record Medical Supplies - Screw Bone 6.5Mmx80Mm T25 Stardr Reconstruction Recess Synth,951.16,370.95,,,0
CDM,SUP96704,Noncdm Charge Record Medical Supplies - Bit Drill 4.8Mm Long Smith And Nephew Orthopaedics,2923.23,1140.06,,,0
CDM,SUP9672,Noncdm Charge Record Medical Supplies - Anchor Suture 5.5Mm Twinfix Ultra Pack With Two #2 Sutures S,1449.0,565.11,,,0
CDM,SUP96749_C1762_278,Noncdm Charge Record Medical Supplies,2907.32,1133.85,,,0
CDM,SUP96749_Q4100_278,Noncdm Charge Record Medical Supplies - Mesh Pureskin 1:1=200 Allsource,108.46,42.3,,,0
CDM,SUP9675,Noncdm Charge Record Medical Supplies - 6Fr 4.5 Tiger,152.7,59.55,,,0
CDM,SUP96750_Q4100_278,Noncdm Charge Record Medical Supplies - Mesh Pureskin 1:2=200 Allsource,63.78,24.87,,,0
CDM,SUP96751,Noncdm Charge Record Medical Supplies - Kit Valve Emergenc Pleurx Replacement Becton Dickinson,3858.48,1504.81,,,0
CDM,SUP96780,Noncdm Charge Record Medical Supplies - Implant Generator Pulse Inspire Medical Systems,88089.88,34355.05,,,0
CDM,SUP96897,Noncdm Charge Record Medical Supplies - Balloon Seeker 70 Em Frontal Medtronic Inc,5035.72,1963.93,,,0
CDM,SUP969,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 75Mm 16Mm Ss Canc Self Drill,839.38,327.36,,,0
CDM,SUP96942,Noncdm Charge Record Medical Supplies - Catheter Torqueable 5Fr Bern Boston Scientific,115.92,45.21,,,0
CDM,SUP970,Noncdm Charge Record Medical Supplies - Splint Orth Med 11In Rt Wr Frarm Plmr-Drsl,33.46,13.05,,,0
CDM,SUP9702,Noncdm Charge Record Medical Supplies - Cage Spnl 8Mm Xl Cln,4543.24,1771.86,,,0
CDM,SUP97044,Noncdm Charge Record Medical Supplies - Catheter Hd 6Fr Opticross,3086.37,1203.68,,,0
CDM,SUP97059,Noncdm Charge Record Medical Supplies - Grid For Fiducials,313.87,122.41,,,0
CDM,SUP9708,Noncdm Charge Record Medical Supplies - Port Implant Powerport Body Lg W Sil Sut Hl Infus,1557.68,607.5,,,0
CDM,SUP9710,Noncdm Charge Record Medical Supplies - Plate 20Mm 1 Lvl Bn Occ Cerv,4567.46,1781.31,,,0
CDM,SUP9711,Noncdm Charge Record Medical Supplies,671.72,261.97,,,0
CDM,SUP9712,Noncdm Charge Record Medical Supplies - Cage Spnl 7Mm Xl Cln,4642.06,1810.4,,,0
CDM,SUP97134_272,Noncdm Charge Record Medical Supplies - Endoscopic Spray 7Mm Hemospray,11022.75,4298.87,,,0
CDM,SUP97134_C1052_272,Noncdm Charge Record Medical Supplies - Endoscopic Spray 7Mm Hemospray,11022.75,4298.87,,,0
CDM,SUP97134_L8699_278,Noncdm Charge Record Medical Supplies - Endoscopic Spray 7Mm Hemospray,11022.75,4298.87,,,0
CDM,SUP9717,Noncdm Charge Record Medical Supplies - Tray Dressing Centrl Line Lf,43.47,16.95,,,0
CDM,SUP9721,Noncdm Charge Record Medical Supplies - Screw Bioabs Plla 23Mm 7Mm Acl,1262.7,492.45,,,0
CDM,SUP97227,Noncdm Charge Record Medical Supplies - Blade Knife Lancet Myringotomy,55.84,21.78,,,0
CDM,SUP9724,Noncdm Charge Record Medical Supplies - Cutter Surg Knt Pshr Sut Strl,611.68,238.56,,,0
CDM,SUP973,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 80Mm 16Mm Stainless Steel Canc,839.38,327.36,,,0
CDM,SUP9736,Noncdm Charge Record Medical Supplies - Band Lgtr Hmrhd Rem Wo Anoscp,317.74,123.92,,,0
CDM,SUP9737,Noncdm Charge Record Medical Supplies - Stent Uret 8.5Fr 22Cm 2,677.58,264.26,,,0
CDM,SUP974,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 115Mm 32Mm Ss Fem Cannula Ns,839.38,327.36,,,0
CDM,SUP97465_272,Noncdm Charge Record Medical Supplies - Suture 0 30Cm Stratafix Spiral Pds Pl,130.51,50.9,,,0
CDM,SUP97465_A4649_272,Noncdm Charge Record Medical Supplies - Suture 0 30Cm Stratafix Spiral Pds Pl,130.75,50.99,,,0
CDM,SUP9750,Noncdm Charge Record Medical Supplies - Bone Wedge 4Deg 7Mm Cerv Avs,4350.1,1696.54,,,0
CDM,SUP9751,Noncdm Charge Record Medical Supplies - Bone Wedge 4Deg 8Mm Cerv Avs (X),4350.1,1696.54,,,0
CDM,SUP9752,Noncdm Charge Record Medical Supplies - Bone Wedge 4Deg 9Mm Cerv Avs,4350.1,1696.54,,,0
CDM,SUP9754,Noncdm Charge Record Medical Supplies,426.42,166.3,,,0
CDM,SUP97561,Noncdm Charge Record Medical Supplies - Kit Kyphoplasty Prep Tray Lrg,2817.27,1098.74,,,0
CDM,SUP976,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 105Mm 32Mm Ss Fem Cannula Ns,839.38,327.36,,,0
CDM,SUP9765_272,Noncdm Charge Record Medical Supplies - Trap Specimen Berkley Olympus,45.04,17.57,,,0
CDM,SUP9765_A4649_272,Noncdm Charge Record Medical Supplies - Trap Specimen Berkley Olympus,45.37,17.69,,,0
CDM,SUP9765_A9999_272,Noncdm Charge Record Medical Supplies - Trap Specimen Berkley Olympus,45.02,17.56,,,0
CDM,SUP97678,Noncdm Charge Record Medical Supplies - Catheter Support Crossing Rub Bincon 0.035In X 90Cm,728.64,284.17,,,0
CDM,SUP97698,Noncdm Charge Record Medical Supplies - Stent Biliary Axios 20Mm,29154.92,11370.42,,,0
CDM,SUP97856,Noncdm Charge Record Medical Supplies - Lens Tecnis Itec 20.0D1Pc Mono Preloaded Abbott Medical Opti,806.26,314.44,,,0
CDM,SUP97860,Noncdm Charge Record Medical Supplies - Basket-Sto Spyglass Retrieval Boston Scientific,2863.84,1116.9,,,0
CDM,SUP97907,Noncdm Charge Record Medical Supplies - Wire Guide .035In 260Cm Dbl Cu Urved Stiff 4Cm Tip,609.96,237.88,,,0
CDM,SUP97935,Noncdm Charge Record Medical Supplies - Introducer Sheath 035In 10F 45Cm,376.74,146.93,,,0
CDM,SUP97936,Noncdm Charge Record Medical Supplies - Introducer Sheath 035In 12F 45Cm,376.74,146.93,,,0
CDM,SUP9794,Noncdm Charge Record Medical Supplies - Cage Spnl 15Mmx13Mm Independ Sm,21750.52,8482.7,,,0
CDM,SUP9796_272,Noncdm Charge Record Medical Supplies - See 140813 Pack T And A Kennestone,79.69,31.08,,,0
CDM,SUP9796_A4649_272,Noncdm Charge Record Medical Supplies - See 140813 Pack T And A Kennestone,79.69,31.08,,,0
CDM,SUP9796_A9999_272,Noncdm Charge Record Medical Supplies - See 140813 Pack T And A Kennestone,79.69,31.08,,,0
CDM,SUP9797,Noncdm Charge Record Medical Supplies - Bone Wedge 4Deg 6Mm Cerv Avs,4350.1,1696.54,,,0
CDM,SUP9800_272,Noncdm Charge Record Medical Supplies - See 138555 Pack Laparoscopic Kennestone,145.94,56.92,,,0
CDM,SUP9800_A4649_272,Noncdm Charge Record Medical Supplies - See 138555 Pack Laparoscopic Kennestone,145.94,56.92,,,0
CDM,SUP9800_A9999_272,Noncdm Charge Record Medical Supplies - See 138555 Pack Laparoscopic Kennestone,145.94,56.92,,,0
CDM,SUP9802_272,Noncdm Charge Record Medical Supplies - See 140815 Pack Tvt And Vag Hyst Kennestone Wk410019,85.91,33.5,,,0
CDM,SUP9802_A4649_272,Noncdm Charge Record Medical Supplies - See 140815 Pack Tvt And Vag Hyst Kennestone Wk410019,85.9,33.5,,,0
CDM,SUP9802_A9999_272,Noncdm Charge Record Medical Supplies - See 140815 Pack Tvt And Vag Hyst Kennestone Wk410019,85.9,33.5,,,0
CDM,SUP9809,Noncdm Charge Record Medical Supplies - Bone Wedge 4Deg 7Mm C-Plug Avs,4770.83,1860.62,,,0
CDM,SUP980_272,Noncdm Charge Record Medical Supplies - See 120173 Packing Iodoform 5Ydx0.5In Covidien,9.32,3.63,,,0
CDM,SUP980_A4649_272,Noncdm Charge Record Medical Supplies - See 120173 Packing Iodoform 5Ydx0.5In Covidien,9.32,3.63,,,0
CDM,SUP982,Noncdm Charge Record Medical Supplies - See 112478 Set Extn Syr Symbiq 83In 1.2,46.75,18.23,,,0
CDM,SUP98204,Noncdm Charge Record Medical Supplies - Safesheath Ii Introducer 7Fr,251.5,98.08,,,0
CDM,SUP9825,Noncdm Charge Record Medical Supplies - See 140800 Pack Breast Proc Kennestone,187.31,73.05,,,0
CDM,SUP98254,Noncdm Charge Record Medical Supplies - Guidewire Vasc.035In145Cm20Cm 20Cm Strt Fxcr Ss,89.01,34.71,,,0
CDM,SUP98255,Noncdm Charge Record Medical Supplies - Wire K 1.1Mm 102Mm,35.19,13.72,,,0
CDM,SUP98256_272,Noncdm Charge Record Medical Supplies - Wire K 1.4Mm 102Mm,35.19,13.72,,,0
CDM,SUP98256_A4649_272,Noncdm Charge Record Medical Supplies - Wire K 1.4Mm 102Mm,35.19,13.72,,,0
CDM,SUP98257_272,Noncdm Charge Record Medical Supplies - Wire K 1.6Mm 102Mm,35.19,13.72,,,0
CDM,SUP98257_C1713_278,Noncdm Charge Record Medical Supplies - Wire K 1.6Mm 102Mm,35.19,13.72,,,0
CDM,SUP98258,Noncdm Charge Record Medical Supplies - Wire K 1.4Mm 102Mm Threaded,123.16,48.03,,,0
CDM,SUP9828,Noncdm Charge Record Medical Supplies - Plate 79Mm Ss 3.5Mm Screw 2 Hl Set Wo Cs Lcp Strl,4499.15,1754.67,,,0
CDM,SUP9829,Noncdm Charge Record Medical Supplies - Plate 105Mm Ss 3.5Mm Screw 4 Hl Set Wo Cs Lcp Strl,4833.45,1885.05,,,0
CDM,SUP9830,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 54Mm Lcp Ss Cort Fib St Lck,550.62,214.74,,,0
CDM,SUP98346,Noncdm Charge Record Medical Supplies - Reload Tri-Staple 30Mm X Thin Vasc Signia 2.0 Crv Tip,848.04,330.74,,,0
CDM,SUP98347,Noncdm Charge Record Medical Supplies - Reload Tri-Staple 30Mm Med Vasc Signia 2.0 Crv Tip,722.2,281.66,,,0
CDM,SUP98348_272,Noncdm Charge Record Medical Supplies - Reload Tri-Staple 45Mm Med Thk Signia 2.0 Crv Tip,856.99,334.23,,,0
CDM,SUP98348_A9999_272,Noncdm Charge Record Medical Supplies - Reload Tri-Staple 45Mm Med Thk Signia 2.0 Crv Tip,856.98,334.22,,,0
CDM,SUP98349,Noncdm Charge Record Medical Supplies - Reload Tri-Staple 60Mm Med Vasc Signia 2.0 Crv Tip,1160.23,452.49,,,0
CDM,SUP98361,Noncdm Charge Record Medical Supplies - Blade Chisel 10X40,1728.45,674.1,,,0
CDM,SUP98362,Noncdm Charge Record Medical Supplies - Blade Chisel 10X60,1728.22,674.01,,,0
CDM,SUP98363,Noncdm Charge Record Medical Supplies - Blade Chisel 12X40,1727.93,673.89,,,0
CDM,SUP98366,Noncdm Charge Record Medical Supplies - Opticross 18 Edfu,4188.65,1633.57,,,0
CDM,SUP98439_272,Noncdm Charge Record Medical Supplies,342.58,133.61,,,0
CDM,SUP98439_A4649_272,Noncdm Charge Record Medical Supplies,342.58,133.61,,,0
CDM,SUP98442_272,Noncdm Charge Record Medical Supplies - Guide Screw Smooth 1.60Mm,167.67,65.39,,,0
CDM,SUP98442_A9999_272,Noncdm Charge Record Medical Supplies - Guide Screw Smooth 1.60Mm,167.67,65.39,,,0
CDM,SUP98496,Noncdm Charge Record Medical Supplies - Valve 40021 Model 400 Aor,24650.6,9613.73,,,0
CDM,SUP98497,Noncdm Charge Record Medical Supplies - Valve 40023 Model 400 Aor,24650.6,9613.73,,,0
CDM,SUP98498,Noncdm Charge Record Medical Supplies - Valve 40025 Model 400 Aor,24650.6,9613.73,,,0
CDM,SUP98499,Noncdm Charge Record Medical Supplies - Valve 40027 Model 400 Aor,24650.6,9613.73,,,0
CDM,SUP98505,Noncdm Charge Record Medical Supplies - Catheter Dilatation Balloon P Ptca 5.00X100Mmx135Cm,661.36,257.93,,,0
CDM,SUP9852_272,Noncdm Charge Record Medical Supplies - Syringe 10Ml M Ll Nar Barrel,20.7,8.07,,,0
CDM,SUP9852_A4649_272,Noncdm Charge Record Medical Supplies - Syringe 10Ml M Ll Nar Barrel,20.7,8.07,,,0
CDM,SUP9852_A9999_272,Noncdm Charge Record Medical Supplies - Syringe 10Ml M Ll Nar Barrel,20.7,8.07,,,0
CDM,SUP9853,Noncdm Charge Record Medical Supplies - Pouch 9In 2.5In Uros 2.25In 1 Pc Drainable,2.12,0.83,,,0
CDM,SUP9854,Noncdm Charge Record Medical Supplies - See 157092 Clipper Umb Cord Clamp Ns Lf,7.24,2.82,,,0
CDM,SUP98569,Noncdm Charge Record Medical Supplies - Stopcock 4-Way Lg Bore W-Rota Ating Male Luer Lock,10.35,4.04,,,0
CDM,SUP9857,Noncdm Charge Record Medical Supplies - Anchor Suture 3.5Mm Poplok Conmed Linvatec,2452.95,956.65,,,0
CDM,SUP9859,Noncdm Charge Record Medical Supplies - Ear Tube Ventilation 1.14 Armstrong Beveled Olympus America,81.82,31.91,,,0
CDM,SUP98735_272,Noncdm Charge Record Medical Supplies - See 160556 Injection Ampule Submucosal 10Ml Eleview,453.22,176.76,,,0
CDM,SUP98735_A4649_272,Noncdm Charge Record Medical Supplies - See 160556 Injection Ampule Submucosal 10Ml Eleview,453.12,176.72,,,0
CDM,SUP98735_A9999_272,Noncdm Charge Record Medical Supplies - See 160556 Injection Ampule Submucosal 10Ml Eleview,453.33,176.8,,,0
CDM,SUP98736,Noncdm Charge Record Medical Supplies - Guidewire Verrata Plus 185Cm,2865.92,1117.71,,,0
CDM,SUP98741,Noncdm Charge Record Medical Supplies - Flexability Bidir Irr Ablt Df Crv Sensor Enabled,9038.66,3525.08,,,0
CDM,SUP98742,Noncdm Charge Record Medical Supplies - Flexability Bidir Irr Ablt Fj Crv Sensor Enabled,9259.11,3611.05,,,0
CDM,SUP98744,Noncdm Charge Record Medical Supplies - Flexability Bidir Irr Ablt Ff Crv Sensor Enabled,9038.66,3525.08,,,0
CDM,SUP98745,Noncdm Charge Record Medical Supplies - Flexiability Cable Sensor Enabled,1346.54,525.15,,,0
CDM,SUP98759,Noncdm Charge Record Medical Supplies - Tray Foley W Urine Meter 16Fr,103.5,40.36,,,0
CDM,SUP9877_270,Noncdm Charge Record Medical Supplies - Bag Drain Lingeman Microtek Medical,42.49,16.57,,,0
CDM,SUP9877_A4649_270,Noncdm Charge Record Medical Supplies - Bag Drain Lingeman Microtek Medical,43.81,17.09,,,0
CDM,SUP9877_A9999_270,Noncdm Charge Record Medical Supplies - Bag Drain Lingeman Microtek Medical,41.4,16.15,,,0
CDM,SUP9883_272,Noncdm Charge Record Medical Supplies - Device Del Adv 2.5Mmx180Cm Cpsl Endo,856.98,334.22,,,0
CDM,SUP9883_A4649_272,Noncdm Charge Record Medical Supplies - Device Del Adv 2.5Mmx180Cm Cpsl Endo,856.98,334.22,,,0
CDM,SUP9884_272,Noncdm Charge Record Medical Supplies - Snare Exacto 2.4Mm 230Cm 9Mm C Cold,63.14,24.62,,,0
CDM,SUP9884_A9999_272,Noncdm Charge Record Medical Supplies - Snare Exacto 2.4Mm 230Cm 9Mm C Cold,63.14,24.62,,,0
CDM,SUP9886_272,Noncdm Charge Record Medical Supplies - Snare Hex 230Cm 25Ga 3Mm I,440.91,171.95,,,0
CDM,SUP9886_A4649_272,Noncdm Charge Record Medical Supplies - Snare Hex 230Cm 25Ga 3Mm I,440.91,171.95,,,0
CDM,SUP98895_272,Noncdm Charge Record Medical Supplies - Microcatheter Watchdog 20Pk,157.48,61.42,,,0
CDM,SUP98895_A4649_272,Noncdm Charge Record Medical Supplies - Microcatheter Watchdog 20Pk,317.74,123.92,,,0
CDM,SUP98895_A9999_272,Noncdm Charge Record Medical Supplies - Microcatheter Watchdog 20Pk,122.13,47.63,,,0
CDM,SUP98908,Noncdm Charge Record Medical Supplies - Graft Ent-Oto Biodesign,1528.05,595.94,,,0
CDM,SUP9890_272,Noncdm Charge Record Medical Supplies - Bag Ostomy Sensura .75-3In 3X3-8In Coloplast Corp,2.22,0.87,,,0
CDM,SUP9890_A9999_272,Noncdm Charge Record Medical Supplies - Bag Ostomy Sensura .75-3In 3X3-8In Coloplast Corp,2.07,0.81,,,0
CDM,SUP9892,Noncdm Charge Record Medical Supplies - Barrier Skin Powder Bottle Coloplast,5.18,2.02,,,0
CDM,SUP9894,Noncdm Charge Record Medical Supplies - See 140794 Pack Special Procedure Cobb,578.57,225.64,,,0
CDM,SUP9895_272,Noncdm Charge Record Medical Supplies - See 139617 Pack Lap Colon Kennestone,203.9,79.52,,,0
CDM,SUP9895_A4649_272,Noncdm Charge Record Medical Supplies - See 139617 Pack Lap Colon Kennestone,203.9,79.52,,,0
CDM,SUP9895_A9999_272,Noncdm Charge Record Medical Supplies - See 139617 Pack Lap Colon Kennestone,203.9,79.52,,,0
CDM,SUP9896,Noncdm Charge Record Medical Supplies - See 139614 Pack Craniotomy Kennestone,435.68,169.92,,,0
CDM,SUP9897,Noncdm Charge Record Medical Supplies - Immobilizer Orth Univ 26In 46In Knee 3,131.44,51.26,,,0
CDM,SUP99010,Noncdm Charge Record Medical Supplies - Generator Vns Neuromodulation Sentiva,181122.08,70637.61,,,0
CDM,SUP99011_272,Noncdm Charge Record Medical Supplies - Forceps Bipolar 8Mm Is4000,641.7,250.26,,,0
CDM,SUP99011_A9999_272,Noncdm Charge Record Medical Supplies - Forceps Bipolar 8Mm Is4000,641.7,250.26,,,0
CDM,SUP9903,Noncdm Charge Record Medical Supplies - Lead Vns Therapy 2.0Mm Bipolar,41515.4,16191.01,,,0
CDM,SUP99073,Noncdm Charge Record Medical Supplies - Probe Margin,4387.36,1711.07,,,0
CDM,SUP9913,Noncdm Charge Record Medical Supplies - Mesh Surg Parietex 8Cm Plug,518.19,202.09,,,0
CDM,SUP9914,Noncdm Charge Record Medical Supplies - Port Implant Infus Powerport Sm Body W Sil Sut Hl,1557.68,607.5,,,0
CDM,SUP9915,Noncdm Charge Record Medical Supplies - Bag Smpl 150Mm Effluent,58.05,22.64,,,0
CDM,SUP9916_A4648_278,Noncdm Charge Record Medical Supplies - See 142405 Marker 14Ga 5 Rgd Ndl Starhmark Tissue,303.43,118.34,,,0
CDM,SUP9916_C1819_272,Noncdm Charge Record Medical Supplies - See 142405 Marker 14Ga 5 Rgd Ndl Starhmark Tissue,303.26,118.27,,,0
CDM,SUP9920,Noncdm Charge Record Medical Supplies - System Drain Lumbar 20Ml,1540.82,600.92,,,0
CDM,SUP9921_272,Noncdm Charge Record Medical Supplies - Splint Orth 4Inx30In Precut Orth Gls,59.0,23.01,,,0
CDM,SUP9921_A4649_272,Noncdm Charge Record Medical Supplies - Splint Orth 4Inx30In Precut Orth Gls,59.0,23.01,,,0
CDM,SUP99224,Noncdm Charge Record Medical Supplies - Wire Guide Lubrctd Angled 3Cm M Flex Tp .035In 180Cm,164.05,63.98,,,0
CDM,SUP9923,Noncdm Charge Record Medical Supplies - Splint Orth 5Inx30In Precut Orth Gls,73.48,28.66,,,0
CDM,SUP99264,Noncdm Charge Record Medical Supplies - Wire Guide Straight V-14 30G Tip Load 300Cm,3895.74,1519.34,,,0
CDM,SUP9927,Noncdm Charge Record Medical Supplies - Splint Orth 5Inx45In Precut,98.32,38.34,,,0
CDM,SUP9929_270,Noncdm Charge Record Medical Supplies - Splint Orth 4Inx15In Precut Orth Gls,31.05,12.11,,,0
CDM,SUP9929_A4649_270,Noncdm Charge Record Medical Supplies - Splint Orth 4Inx15In Precut Orth Gls,31.05,12.11,,,0
CDM,SUP9930,Noncdm Charge Record Medical Supplies - Guidewire Vasc .035In 80Cm 8Cm Ang Std,152.33,59.41,,,0
CDM,SUP99335,Noncdm Charge Record Medical Supplies - Cannister Clarifix Del Device And Cryogen 10Ml,8355.56,3258.67,,,0
CDM,SUP9936,Noncdm Charge Record Medical Supplies - Plate 58Mm Ss 2.4Mm 6X3 Rt Hl Va 2 Column Rt,2982.97,1163.36,,,0
CDM,SUP99438,Noncdm Charge Record Medical Supplies - Device Revascularization 5Mmx33Mm Embotrap Ii,16754.58,6534.29,,,0
CDM,SUP99439,Noncdm Charge Record Medical Supplies - 4 Fr Micropuncture Sheath,108.68,42.39,,,0
CDM,SUP9943_272,Noncdm Charge Record Medical Supplies - Rasp Surg 12.7X7Mm Lg Ss Tear,580.64,226.45,,,0
CDM,SUP9943_A4649_272,Noncdm Charge Record Medical Supplies - Rasp Surg 12.7X7Mm Lg Ss Tear,580.64,226.45,,,0
CDM,SUP9944,Noncdm Charge Record Medical Supplies - Tray Thorcnts 16Cm 6Fr Sf-T-Cnts Rtrct,263.72,102.85,,,0
CDM,SUP99478,Noncdm Charge Record Medical Supplies - Catheter Rusch 30Cc 24Fr Couvelaire Tip,85.61,33.39,,,0
CDM,SUP9948,Noncdm Charge Record Medical Supplies,2697.21,1051.91,,,0
CDM,SUP99499_272,Noncdm Charge Record Medical Supplies - Suture Ethb Exc 1 Os-2 18In Grn Braid,33.74,13.16,,,0
CDM,SUP99499_A4649_272,Noncdm Charge Record Medical Supplies - Suture Ethb Exc 1 Os-2 18In Grn Braid,32.08,12.51,,,0
CDM,SUP9952_272,Noncdm Charge Record Medical Supplies - Cannula Nasal 255Cm Capnoline,52.76,20.58,,,0
CDM,SUP9952_A4649_272,Noncdm Charge Record Medical Supplies - Cannula Nasal 255Cm Capnoline,52.78,20.58,,,0
CDM,SUP9952_A9999_272,Noncdm Charge Record Medical Supplies - Cannula Nasal 255Cm Capnoline,52.78,20.58,,,0
CDM,SUP99558_272,Noncdm Charge Record Medical Supplies - Intro Ndl Coax 17Gx11.8Cm,163.21,63.65,,,0
CDM,SUP99558_A4649_272,Noncdm Charge Record Medical Supplies - Intro Ndl Coax 17Gx11.8Cm,171.81,67.01,,,0
CDM,SUP99559,Noncdm Charge Record Medical Supplies - Tray Urin Cath Criticore 16F Latex Free,190.4,74.26,,,0
CDM,SUP99560,Noncdm Charge Record Medical Supplies - Tray Urin Cath Coude 16F Mtr Silicone,108.68,42.39,,,0
CDM,SUP99561_272,Noncdm Charge Record Medical Supplies - Tray Lbrcth Foley 16F Mtr Sil,102.46,39.96,,,0
CDM,SUP99561_A4649_272,Noncdm Charge Record Medical Supplies - Tray Lbrcth Foley 16F Mtr Sil,102.46,39.96,,,0
CDM,SUP99561_A9999_272,Noncdm Charge Record Medical Supplies - Tray Lbrcth Foley 16F Mtr Sil,102.46,39.96,,,0
CDM,SUP99565,Noncdm Charge Record Medical Supplies - Kit Introducer Perc Sheath 7F Inf 7.5F Lf-Sp,244.26,95.26,,,0
CDM,SUP9957,Noncdm Charge Record Medical Supplies - Needle Spnl 4 3-4In 22Ga Pncn Pncl Pt,25.88,10.09,,,0
CDM,SUP996,Noncdm Charge Record Medical Supplies - Pad Electrosurg Grnd Caut,11.04,4.31,,,0
CDM,SUP998,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 38Mm Lc Dcp Dhs-Dcs Ss Cort St,137.98,53.81,,,0
CDM,SUP9980,Noncdm Charge Record Medical Supplies - Graft Sft Tis 8X2Cm Vrts Bvn Collagen Mtrx,2570.94,1002.67,,,0
CDM,SUP9984,Noncdm Charge Record Medical Supplies - Anchor Suture Orthocord Micro Quick Plus # 3-0 V-4 Tapercut,2711.7,1057.56,,,0
CDM,SUP9985,Noncdm Charge Record Medical Supplies - Mesh Restorelle Y 24X4Cm,7704.54,3004.77,,,0
CDM,SUP999,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 40Mm Dhs-Dcs Ss Cort St Ns Lg,147.89,57.68,,,0
CDM,SUP99948_272,Noncdm Charge Record Medical Supplies - See 138934 System Laparos Smk Evacuation,83.84,32.7,,,0
CDM,SUP99948_A4649_272,Noncdm Charge Record Medical Supplies - See 138934 System Laparos Smk Evacuation,83.84,32.7,,,0
CDM,SUP99948_A9999_272,Noncdm Charge Record Medical Supplies - See 138934 System Laparos Smk Evacuation,83.84,32.7,,,0
CDM,SUP99949,Noncdm Charge Record Medical Supplies - Tissue Reinforcement 7Cmx10Cm Bio-A,2564.99,1000.35,,,0
CDM,SUP9996,Noncdm Charge Record Medical Supplies - Spacer 15Mm Independ Med 15D,21750.52,8482.7,,,0
CDM,SUP99972,Noncdm Charge Record Medical Supplies - Kit Kyphoplasty Prep Tray Med,2085.52,813.35,,,0
HCPCS,0001M,Infectious dis hcv 6 assays,,,93.13,93.13,1
HCPCS,0001U,Rbc dna hea 35 ag 11 bld grp,,,720.0,2642.4,10
HCPCS,0002M,Liver dis 10 assays w/ash,,,503.4,1847.48,12
HCPCS,0002U,Onc clrct 3 ur metab alg plp,,,25.0,91.75,12
HCPCS,0003M,Liver dis 10 assays w/nash,,,503.4,1847.48,12
HCPCS,0003U,Onc ovar 5 prtn ser alg scor,,,950.0,3486.5,13
HCPCS,0004M,Scoliosis dna alys,,,79.0,289.93,9
HCPCS,0005U,Onco prst8 3 gene ur alg,,,760.0,2789.2,11
HCPCS,0006M,Onc hep gene risk classifier,,,150.0,550.5,11
HCPCS,0006U,Rx mntr 120+ drugs & sbsts,,,318.53,559.74,3
HCPCS,0007M,Onc gastro 51 gene nomogram,,,375.0,1376.25,11
HCPCS,0007U,Rx test prsmv ur w/def conf,,,114.43,419.96,13
HCPCS,0008U,Hpylori detcj abx rstnc dna,,,597.91,2194.33,13
HCPCS,0009M,Fetal aneuploidy trisom risk,,,301.53,301.53,2
HCPCS,0009U,Onc brst ca erbb2 amp/nonamp,,,107.0,392.69,10
HCPCS,0010U,Nfct ds strn typ whl gen seq,,,427.26,1568.04,12
HCPCS,0011M,Onc prst8 ca mrna 12 gen alg,,,760.0,2789.2,10
HCPCS,0011U,Rx mntr lc-ms/ms oral fluid,,,114.43,419.96,13
HCPCS,0012M,Onc mrna 5 gen rsk urthl ca,,,760.0,2789.2,10
HCPCS,0012U,Germln do gene reargmt detcj,,,3018.72,5703.64,3
HCPCS,0013M,Onc mrna 5 gen recr urthl ca,,,760.0,2789.2,10
HCPCS,0013U,Onc sld org neo gene reargmt,,,3018.72,5703.64,3
HCPCS,0014M,Liver ds alys 3 bmrk srm alg,,,211.43,211.43,1
HCPCS,0014U,Hem hmtlmf neo gene reargmt,,,3018.72,5703.64,3
HCPCS,0015M,Adrnl cortcl tum bchm asy 25,,,1305.37,4790.71,10
HCPCS,0016M,Onc bladder mrna 209 gen alg,,,3489.63,12806.94,10
HCPCS,0016U,Onc hmtlmf neo rna bcr/abl1,,,163.96,601.73,13
HCPCS,0017M,Onc dlbcl mrna 20 genes alg,,,2510.21,9212.47,10
HCPCS,0017U,Onc hmtlmf neo jak2 mut dna,,,91.66,336.39,13
HCPCS,0018M,Trnsplj rnl meas cd154+cll,,,640.73,2351.48,9
HCPCS,0018U,Onc thyr 10 microrna seq alg,,,3002.09,11017.67,10
HCPCS,0019M,Cv ds plasma alys prtn bmrk,,,712.4,2614.51,9
HCPCS,0019U,Onc rna tiss predict alg,,,3675.0,13487.25,10
HCPCS,0021U,Onc prst8 detcj 8 autoantb,,,760.0,2789.2,10
HCPCS,0022U,Trgt gen seq dna&rna 23 gene,,,1950.0,7156.5,10
HCPCS,0023U,Onc aml dna detcj/nondetcj,,,248.51,912.03,10
HCPCS,0024U,Glyca nuc mr spectrsc quan,,,34.19,125.48,12
HCPCS,0025U,Tenofovir liq chrom ur quan,,,114.36,419.96,12
HCPCS,0026U,Onc thyr dna&mrna 112 genes,,,3600.0,13212.0,10
HCPCS,0027U,Jak2 gene trgt seq alys,,,121.91,447.41,12
HCPCS,0029U,Rx metab advrs trgt seq alys,,,742.27,2724.13,10
HCPCS,0030U,Rx metab warf trgt seq alys,,,134.13,492.26,10
HCPCS,0031U,Cyp1a2 gene,,,174.81,641.55,10
HCPCS,0032U,Comt gene,,,174.81,641.55,10
HCPCS,0033U,Htr2a htr2c genes,,,419.54,419.54,1
HCPCS,0034U,Tpmt nudt15 genes,,,466.17,1710.84,12
HCPCS,0035U,Neuro csf prion prtn qual,,,540.99,1985.43,10
HCPCS,0036U,Xome tum & nml spec seq alys,,,4780.0,17542.6,10
HCPCS,0037U,Trgt gen seq dna 324 genes,,,3500.0,12845.0,12
HCPCS,0038U,Vitamin d srm microsamp quan,,,29.6,108.63,12
HCPCS,0039U,Dna antb 2strand hi avidity,,,13.74,50.43,12
HCPCS,0040U,Bcr/abl1 gene major bp quan,,,409.9,1504.33,12
HCPCS,0041U,B brgdrferi antb 5 prtn igm,,,17.21,63.16,10
HCPCS,0042T,Ct perfusion w/contrast cbf,,,774.0,774.0,1
HCPCS,0042T,Hc Ct Perfusion W/Contrast Cbf,3935.0,1534.65,,,0
HCPCS,0042U,B brgdrferi antb 12 prtn igg,,,17.21,63.16,10
HCPCS,0043U,Tbrf b grp antb 4 prtn igm,,,14.86,54.54,10
HCPCS,0044U,Tbrf b grp antb 4 prtn igg,,,14.86,54.54,10
HCPCS,0045U,Onc brst dux carc is 12 gene,,,3873.0,14213.91,12
HCPCS,0046U,Flt3 gene itd variants quan,,,198.61,1495.27,12
HCPCS,0047U,Onc prst8 mrna 17 gene alg,,,3873.0,14213.91,12
HCPCS,0048U,Onc sld org neo dna 468 gene,,,2919.6,10714.93,10
HCPCS,0049U,Npm1 gene analysis quan,,,295.82,1495.27,12
HCPCS,0050U,Trgt gen seq dna 194 genes,,,2916.6,10703.92,10
HCPCS,0051U,Rx mntr lc-ms/ms ur 31 pnl,,,246.76,906.2,12
HCPCS,0052U,Lpoprtn bld w/5 maj classes,,,33.86,124.27,10
HCPCS,0053U,Onc prst8 ca fish alys 4 gen,,,2436.0,2436.0,1
HCPCS,0054T,Bone srgry cmptr fluor image,,,2665.0,3391.0,2
HCPCS,0054U,Rx mntr 14+ drugs & sbsts,,,198.62,729.38,12
HCPCS,0055T,Bone srgry cmptr ct/mri imag,,,2665.0,3391.0,2
HCPCS,0055U,Card hrt trnspl 96 dna seq,,,3240.0,11890.8,10
HCPCS,0056U,Hem aml dna gene reargmt,,,3018.72,3018.72,1
HCPCS,0058U,Onc merkel cll carc srm quan,,,322.96,1185.26,12
HCPCS,0059U,Onc merkel cll carc srm +/-,,,322.96,1185.26,12
HCPCS,0060U,Twn zyg gen seq alys chrms2,,,759.05,2785.71,12
HCPCS,0061U,Tc meas 5 bmrk sfdi m-s alys,,,25.1,92.12,12
HCPCS,0062U,Ai sle igg&igm alys 80 bmrk,,,380.72,1397.24,10
HCPCS,0063U,Neuro autism 32 amines alg,,,750.0,2752.5,10
HCPCS,0064U,Antb tp total&rpr ia qual,,,31.33,114.98,10
HCPCS,0065U,Syfls tst nontreponemal antb,,,18.09,66.39,10
HCPCS,0066U,Pamg-1 ia cervico-vag fluid,,,18.35,18.35,1
HCPCS,0067U,Onc brst imhchem prfl 4 bmrk,,,1897.0,6961.99,10
HCPCS,0068U,Candida species pnl amp prb,,,142.63,523.45,10
HCPCS,0069U,Onc clrct microrna mir-31-3p,,,380.0,1394.6,10
HCPCS,0070U,Cyp2d6 gen com&slct rar vrnt,,,676.37,2482.28,10
HCPCS,0071T,Us leiomyomata ablate <200,,,3287.99,12342.95,11
HCPCS,0071U,Cyp2d6 full gene sequence,,,361.62,2202.0,10
HCPCS,0072T,Us leiomyomata ablate >200,,,3287.99,12342.95,11
HCPCS,0072U,Cyp2d6 gen cyp2d6-2d7 hybrid,,,450.91,1654.84,10
HCPCS,0073U,Cyp2d6 gen cyp2d7-2d6 hybrid,,,450.91,1654.84,10
HCPCS,0074U,Cyp2d6 nonduplicated gene,,,450.91,1654.84,10
HCPCS,0075T,Hc Ip Only - Extracranial Vert Artery Stent Initial Pta,43909.0,17124.51,,,0
HCPCS,0075T,Perq Stent/Chest Vert Art,,,6859.0,6859.0,1
HCPCS,0075U,Cyp2d6 5' gene dup/mlt,,,450.91,1654.84,10
HCPCS,0076T,Hc Fl Ip Only -S And I For Trans Cath Stent Plcmnt Extra Cranial Vert Art Ea Addl,22500.0,8775.0,,,0
HCPCS,0076T,S&I Stent/Chest Vert Art,,,6859.0,6859.0,1
HCPCS,0076U,Cyp2d6 3' gene dup/mlt,,,450.91,1654.84,10
HCPCS,0077U,Ig paraprotein qual bld/ur,,,43.43,159.39,10
HCPCS,0078U,Pain mgt opi use gnotyp pnl,,,541.09,541.09,1
HCPCS,0080U,Onc lng 5 clin rsk factr alg,,,3520.0,12918.4,10
HCPCS,0082U,Rx test def 90+ rx/sbsts ur,,,246.92,906.2,10
HCPCS,0083U,Onc rspse chemo cntrst tomog,,,167.35,614.17,10
HCPCS,0084U,Rbc dna gnotyp 10 bld groups,,,720.0,2642.4,10
HCPCS,0086U,Nfct ds bact&fng org id 6+,,,200.0,734.0,10
HCPCS,0087U,Crd hrt trnspl mrna 1283 gen,,,3159.42,11595.07,10
HCPCS,0088U,Trnsplj kdn algrft rej 1494,,,3159.42,11595.07,10
HCPCS,0089U,Onc mlnma prame & linc00518,,,760.0,2789.2,10
HCPCS,0090U,Onc cutan mlnma mrna 23 gene,,,1950.0,7156.5,10
HCPCS,0092U,Onc lng 3 prtn bmrk plsm alg,,,2488.0,9130.96,10
HCPCS,0093U,Rx mntr 65 com drugs urine,,,62.14,228.05,10
HCPCS,0094U,Genome rapid sequence alys,,,7582.2,27826.67,10
HCPCS,0095T,Rmvl artific disc addl crvcl,,,3391.0,3391.0,1
HCPCS,0095U,Inflm ee elisa alys alg,,,771.98,2833.17,10
HCPCS,0096U,Hpv hi risk types male urine,,,35.09,128.78,10
HCPCS,0098T,Rev Artific Disc Addl,,,3391.0,3391.0,1
HCPCS,0100T,Prosth Retina Receive&Gen,,,9000.0,70119.0,3
HCPCS,0101T,Extracorp shockwv tx hi enrg,,,250.54,9032.0,11
HCPCS,0101U,Hered colon ca do 15 genes,,,1403.76,6400.3,10
HCPCS,0102T,Extracorp shockwv tx anesth,,,3323.41,12475.93,11
HCPCS,0102U,Hered brst ca rltd do 17 gen,,,1303.95,4785.5,10
HCPCS,0103U,Hered ova ca pnl 24 genes,,,1341.58,6400.3,10
HCPCS,0105U,Neph ckd mult eclia tum nec,,,950.0,3486.5,10
HCPCS,0106T,Touch Quant Sensory Test,,,37.94,142.42,9
HCPCS,0106U,Gstr emptg 7 timed brth spec,,,874.49,3209.38,10
HCPCS,0107T,Vibrate Quant Sensory Test,,,37.94,142.42,9
HCPCS,0107U,C diff tox ag detcj ia stool,,,16.0,58.72,10
HCPCS,0108T,Cool Quant Sensory Test,,,59.92,224.93,9
HCPCS,0108U,Gi barrett esoph 9 prtn bmrk,,,3015.9,18166.5,10
HCPCS,0109T,Heat Quant Sensory Test,,,37.94,142.42,9
HCPCS,0109U,Id aspergillus dna 4 species,,,142.63,523.45,10
HCPCS,0110T,Nos Quant Sensory Test,,,135.14,507.3,9
HCPCS,0110U,Rx mntr 1+oral onc rx&sbsts,,,27.11,99.49,10
HCPCS,0111U,Onc colon ca kras&nras alys,,,682.29,2504.0,10
HCPCS,0112U,Iadi 16s&18s rrna genes,,,356.13,1307.0,10
HCPCS,0113U,Onc prst8 pca3&tmprss2-erg,,,760.0,2789.2,10
HCPCS,0114U,Gi barretts esoph vim&ccna1,,,1938.01,7112.5,10
HCPCS,0115U,Respir iadna 18 viral&2 bact,,,275.35,1010.53,10
HCPCS,0116U,Rx mntr nzm ia 35+oral flu,,,246.92,906.2,10
HCPCS,0117U,Pain mgmt 11 endogenous anal,,,840.65,3085.19,10
HCPCS,0118U,Trnsplj don-drv cll-fr dna,,,2753.25,10104.43,10
HCPCS,0119U,Crd ceramides liq chrom plsm,,,83.76,307.4,10
HCPCS,0120U,Onc b cll lymphm mrna 58 gen,,,2510.21,9212.47,10
HCPCS,0121U,Sc dis vcam-1 whole blood,,,509.2,1868.76,10
HCPCS,0122U,Sc dis p-selectin whl blood,,,526.23,1931.26,10
HCPCS,0123U,Mchnl fragility rbc prflg,,,357.63,1312.5,10
HCPCS,0129U,Hered brst ca rltd do panel,,,1303.95,4785.5,10
HCPCS,0130U,Hered colon ca do mrna pnl,,,584.9,2146.58,10
HCPCS,0131U,Hered brst ca rltd do pnl 13,,,852.0,852.0,1
HCPCS,0132U,Hered ova ca rltd do pnl 17,,,889.97,889.97,1
HCPCS,0133U,Hered prst8 ca rltd do 11,,,690.29,2533.36,10
HCPCS,0134A,Hc Immunization Admn Sarscov2 Bivalent 50 Mcg 0.5 Ml Addl,42.0,16.38,,,0
HCPCS,0134U,Hered pan ca mrna pnl 18 gen,,,748.39,2746.59,10
HCPCS,0135U,Hered gyn ca mrna pnl 12 gen,,,840.67,840.67,1
HCPCS,0136U,Atm mrna seq alys,,,407.43,1495.27,10
HCPCS,0137U,Palb2 mrna seq alys,,,282.88,1038.17,10
HCPCS,0138U,Brca1 brca2 mrna seq alys,,,468.33,1718.77,10
HCPCS,0140U,Nfct ds fungi dna 15 trgt,,,156.75,575.27,10
HCPCS,0141U,Nfct ds bact&fng gram pos,,,156.75,575.27,10
HCPCS,0142U,Nfct ds bact&fng gram neg,,,156.75,575.27,10
HCPCS,0143U,Drug assay 120+ rx/metablt,,,137.32,137.32,1
HCPCS,0144U,Drug assay 160+ rx/metablt,,,137.32,137.32,1
HCPCS,0145U,Drug assay 65+ rx/metablt,,,102.92,102.92,1
HCPCS,0146U,Drug assay 80+ rx/metablt,,,102.92,102.92,1
HCPCS,0147U,Drug assay 85+ rx/metablt,,,102.92,102.92,1
HCPCS,0148U,Drug assay 100+ rx/metablt,,,102.92,102.92,1
HCPCS,0149U,Drug assay 60+ rx/metablt,,,102.92,102.92,1
HCPCS,0150U,Drug assay 120+ rx/metablt,,,102.92,102.92,1
HCPCS,0152U,Nfct bct fng prst dna >1000,,,2126.2,7803.15,10
HCPCS,0153U,Onc breast mrna 101 genes,,,3159.42,11595.07,10
HCPCS,0154U,Fgfr3 gene analysis,,,248.77,1769.45,10
HCPCS,0155U,Pik3ca gene analysis,,,274.83,1008.63,10
HCPCS,0156U,Copy number sequence alys,,,1740.0,6385.8,10
HCPCS,0157U,Apc mrna seq alys,,,282.88,1038.17,10
HCPCS,0158U,Mlh1 mrna seq alys,,,282.88,1038.17,10
HCPCS,0159U,Msh2 mrna seq alys,,,282.88,1038.17,10
HCPCS,0160U,Msh6 mrna seq alys,,,282.88,1038.17,10
HCPCS,0161U,Pms2 mrna seq alys,,,282.88,1038.17,10
HCPCS,0162U,Hered colon ca trgt mrna pnl,,,486.54,1785.6,10
HCPCS,0163U,Onc clrct scr 3 prtn alg,,,468.9,468.9,1
HCPCS,0164A,Hc Immunization Admn Sarscov2 Bivalent 10 Mcg 0.2 Ml Addl,42.0,16.38,,,0
HCPCS,0164T,Remove Lumb Artif Disc Addl,,,2665.0,3391.0,2
HCPCS,0164U,Gi ibs ia anti-cdtb&vinculin,,,112.02,411.11,10
HCPCS,0165T,Revise Lumb Artif Disc Addl,,,2665.0,3391.0,2
HCPCS,0165U,Peanut allg spec asmt 64 epi,,,463.76,1702.0,10
HCPCS,0166U,Liver ds 10 biochem asy srm,,,503.4,1847.48,10
HCPCS,0167U,Chornc gonadotropin hcg ia,,,9.02,9.02,1
HCPCS,0169U,Nudt15&tpmt gene com vrnt,,,466.17,1710.84,10
HCPCS,0170U,Neuro asd rna next gen seq,,,1950.0,7156.5,10
HCPCS,0171U,Trgt gen seq alys pnl dna 23,,,1519.06,5574.95,10
HCPCS,0172U,Onc sld tum alys brca1 brca2,,,3030.0,11120.1,10
HCPCS,0173A,Hc Immunization Admn Sarscov2 Bivalent 3 Mcg 0.2 Ml 3Rd,42.0,16.38,,,0
HCPCS,0173U,Psyc gen alys panel 14 genes,,,466.17,1710.84,10
HCPCS,0174A,Hc Immunization Admn Sarscov2 Bivalent 3 Mcg 0.2 Ml Addl,42.0,16.38,,,0
HCPCS,0174U,Onc solid tumor 30 prtn trgt,,,1305.37,4790.71,10
HCPCS,0175U,Psyc gen alys panel 15 genes,,,1336.09,4903.45,10
HCPCS,0176T,Aqu canal dilat w/o retent,,,7487.0,7487.0,1
HCPCS,0176U,Cdtb&vinculin igg antb ia,,,64.19,235.58,10
HCPCS,0177T,Aqu canal dilat w retent,,,7487.0,7487.0,1
HCPCS,0177U,Onc brst ca dna pik3ca 11,,,274.83,1008.63,10
HCPCS,0178U,Peanut allg asmt epi clin rx,,,459.86,1687.69,10
HCPCS,0179U,Onc nonsm cll lng ca alys 23,,,1943.21,7131.58,10
HCPCS,0180U,Abo gnotyp abo 7 exons,,,274.83,1008.63,10
HCPCS,0181U,Co gnotyp aqp1 exon 1,,,185.2,679.68,10
HCPCS,0182U,Crom gnotyp cd55 exons 1-10,,,301.35,1105.95,10
HCPCS,0183U,Di gnotyp slc4a1 exon 19,,,185.2,679.68,10
HCPCS,0184T,Exc rectal tumor endoscopic,,,5809.0,23147.94,11
HCPCS,0184U,Do gnotyp art4 exon 2,,,185.2,679.68,10
HCPCS,0185U,Fut1 gnotyp fut1 exon 4,,,185.2,679.68,10
HCPCS,0186U,Fut2 gnotyp fut2 exon 2,,,185.2,679.68,10
HCPCS,0187U,Fy gnotyp ackr1 exons 1-2,,,274.83,1008.63,10
HCPCS,0188U,Ge gnotyp gypc exons 1-4,,,274.83,1008.63,10
HCPCS,0189U,Gypa gnotyp ntrns 1 5 exon 2,,,274.83,1008.63,10
HCPCS,0190U,Gypb gnotyp ntrns 1 5 seux 3,,,274.83,1008.63,10
HCPCS,0191T,Insert ant segment drain int,,,5063.0,9032.0,2
HCPCS,0191U,In gnotyp cd44 exons 2 3 6,,,274.83,1008.63,10
HCPCS,0192U,Jk gnotyp slc14a1 exon 9,,,274.83,1008.63,10
HCPCS,0193U,Jr gnotyp abcg2 exons 2-26,,,282.88,1038.17,10
HCPCS,0194U,Kel gnotyp kel exon 8,,,185.2,679.68,10
HCPCS,0195T,Prescrl fuse w/o instr l5/s1,,,5063.0,5063.0,1
HCPCS,0195U,Klf1 targeted sequencing,,,375.25,1377.17,10
HCPCS,0196U,Lu gnotyp bcam exon 3,,,185.2,679.68,10
HCPCS,0197U,Lw gnotyp icam4 exon 1,,,185.2,679.68,10
HCPCS,0198T,Ocular blood flow measure,,,135.14,507.3,9
HCPCS,0198U,Rhd&rhce gntyp rhd1-10&rhce5,,,282.88,1038.17,10
HCPCS,0199U,Sc gnotyp ermap exons 4 12,,,274.83,1008.63,10
HCPCS,0200T,Hc Sacroplasty Perc Uni,40229.0,15689.31,,,0
HCPCS,0200T,Perq sacral augmt unilat inj,,,7349.0,27667.48,11
HCPCS,0200U,Xk gnotyp xk exons 1-3,,,274.83,1008.63,10
HCPCS,0201T,Hc Sacroplasty Perc Bilat,44157.0,17221.23,,,0
HCPCS,0201T,Perq sacral augmt bilat inj,,,7370.23,27667.48,11
HCPCS,0201U,Yt gnotyp ache exon 2,,,185.2,679.68,10
HCPCS,0202T,Post vert arthrplst 1 lumbar,,,8245.0,48953.07,11
HCPCS,0202U,Hc Nfct Ds Bct/Vir Respir Dna/Rna 22 Trgt Sarscov2,909.5,354.705,,,0
HCPCS,0202U,Nfct ds 22 trgt sars-cov-2,,,416.78,1529.58,10
HCPCS,0203U,Ai ibd mrna xprsn prfl 17,,,760.0,2789.2,10
HCPCS,0203U,Hc Autoimmune Ibd Mrna Gene Expression Profiling 17 Genes Whole Blood,3463.0,1350.57,,,0
HCPCS,0204U,Hc Oncology Thyroid Mrna Gene Expression Alys 593 Genes Fna,13306.0,5189.34,,,0
HCPCS,0204U,Onc thyr mrna xprsn alys 593,,,3503.52,3503.52,1
HCPCS,0205U,Hc Ophthalmology Age-Related Macular Degeneration Alys 3 Gene Variants,480.0,187.2,,,0
HCPCS,0205U,Oph amd alys 3 gene variants,,,47.0,172.49,10
HCPCS,0206U,Hc Neurology Alzheimer Disease Cell Aggregation,2216.0,864.24,,,0
HCPCS,0206U,Neuro alzheimer cell aggregj,,,2215.4,8130.52,10
HCPCS,0207T,Clear eyelid gland w/heat,,,135.14,3391.0,11
HCPCS,0207U,Hc Neurology Alzheimer Disease Quantitative Imaging,512.0,199.68,,,0
HCPCS,0207U,Neuro alzheimer quan imaging,,,613.44,613.44,1
HCPCS,0208T,Audiometry air only,,,37.94,142.42,9
HCPCS,0209T,Audiometry air & bone,,,37.94,142.42,9
HCPCS,0209U,Cytog const alys interrog,,,787.15,2888.84,10
HCPCS,0209U,Hc Cytogenomic Constitutional Alys Interrogation Genomic Reg F/Copy Number,788.0,307.32,,,0
HCPCS,0210T,Speech audiometry threshold,,,37.94,142.42,9
HCPCS,0210U,Hc Syphilis Test Non-Treponemal Antibody Ia Quan Rpr,480.0,187.2,,,0
HCPCS,0210U,Syphilis tst antb ia quan,,,18.63,68.37,10
HCPCS,0211T,Speech audiom thresh & recog,,,37.94,142.42,9
HCPCS,0211U,Hc Oncology Pan-Tumor Dna And Rna Next-Generation Sequencing,38532.0,15027.48,,,0
HCPCS,0211U,Onc pan-tum dna&rna gnrj seq,,,4410.0,31029.85,10
HCPCS,0212T,Compre audiometry evaluation,,,130.69,490.62,9
HCPCS,0212U,Hc Rare Diseases Whole Genome And Mitochondrial Dna Seq Alys Proband,5476.0,2135.64,,,0
HCPCS,0212U,Rare ds gen dna alys proband,,,5475.2,20093.98,10
HCPCS,0213T,Njx paravert w/us cer/thor,,,898.37,4066.0,11
HCPCS,0213U,Hc Rare Ds Whole Genome And Mitochondrial Dna Seq Alys Each Comprtr,2710.0,1056.9,,,0
HCPCS,0213U,Rare ds gen dna alys ea comp,,,2709.95,9945.52,10
HCPCS,0214T,Njx paravert w/us cer/thor,,,2665.0,2665.0,1
HCPCS,0214U,Hc Rare Diseases Whole Exome And Mitochondrial Dna Seq Alys Proband,5225.0,2037.75,,,0
HCPCS,0214U,Rare ds xom dna alys proband,,,5224.6,19174.28,10
HCPCS,0215T,Njx paravert w/us cer/thor,,,2665.0,2665.0,1
HCPCS,0215U,Hc Rare Diseases Whole Eom And Mitochondrial Dna Seq Alys Ea Comparator,2575.0,1004.25,,,0
HCPCS,0215U,Rare ds xom dna alys ea comp,,,2574.65,9448.97,10
HCPCS,0216T,Hc Njx Dx/Ther Paraver Fct Jt W/Us Lumb/Sac Lvl 1,2774.0,1081.86,,,0
HCPCS,0216T,Njx paravert w/us lumb/sac,,,898.37,4066.0,12
HCPCS,0216U,Hc Neuro Inh Ataxia Genomic Dna Seq Alys 12 Blood/Salvia,1538.0,599.82,,,0
HCPCS,0216U,Neuro inh ataxia dna 12 com,,,1537.02,5640.86,10
HCPCS,0217T,Hc Njx Dx/Ther Paraver Fct Jt W/Us Lumb/Sac Lvl 2,2328.0,907.92,,,0
HCPCS,0217T,Njx paravert w/us lumb/sac,,,2665.0,3391.0,2
HCPCS,0217U,Hc Neuro Inh Ataxia Genomic Dna Seq Alys 51 Blood/Silva,2199.0,857.61,,,0
HCPCS,0217U,Neuro inh ataxia dna 51 gene,,,2198.35,8067.94,10
HCPCS,0218T,Hc Njx Paravertbrl Fct Jt W Us Lumb/Sac 3Rd And Any Addtl Lvl,1919.0,748.41,,,0
HCPCS,0218T,Njx paravert w/us lumb/sac,,,2665.0,3391.0,2
HCPCS,0218U,Hc Neuro Muscular Dystrophy Dmd Seq Alys Blood/Saliva,10386.0,4050.54,,,0
HCPCS,0218U,Neuro musc dys dmd seq alys,,,2279.0,8363.93,10
HCPCS,0219T,Plmt post facet implt cerv,,,6760.0,48953.07,11
HCPCS,0219U,Hc Infectious Agent Hiv Targeted Viral Next-Gnrj Seq Alys Algorithm,725.0,282.75,,,0
HCPCS,0219U,Nfct agt hiv gnrj seq alys,,,725.0,2660.75,10
HCPCS,0220T,Plmt post facet implt thor,,,6760.0,48953.07,11
HCPCS,0220U,Hc Oncology Breast Ca Image Alys W/Ai Assmt 12 Features,707.0,275.73,,,0
HCPCS,0220U,Onc brst ca ai assmt 12 feat,,,706.25,2591.94,10
HCPCS,0221T,Plmt post facet implt lumb,,,6760.0,27667.48,12
HCPCS,0221U,Abo gnotyp next gnrj seq abo,,,274.83,1008.63,10
HCPCS,0221U,Hc Abo Genotyping Gene Alys Next-Generation Seq Abo Gene,480.0,187.2,,,0
HCPCS,0222T,Plmt post facet implt addl,,,2665.0,3391.0,2
HCPCS,0222U,Hc Rhd And Rhce Genotyping Next-Generation Seq Rh Proximal Promoter,480.0,187.2,,,0
HCPCS,0222U,Rhd&rhce gntyp next gnrj seq,,,282.88,1038.17,10
HCPCS,0223U,Hc Infectious Disease Bacterial/Viral Respiratory Dna/Rna 22 Trgt Sarscov2,558.075,217.65,,,0
HCPCS,0223U,Nfct ds 22 trgt sars-cov-2,,,416.78,1529.58,10
HCPCS,0224U,Antibody sars-cov-2 titer(s),,,50.56,188.75,10
HCPCS,0225U,Hc Infectious Ds Dna&Rna 21 Targets Sars-Cov-2 Amp Probe,480.0,187.2,,,0
HCPCS,0225U,Nfct ds dna&rna 21 sarscov2,,,416.78,1529.58,10
HCPCS,0226U,Hc Surrogate Viral Neutralization Test Sarscov2 Elisa Plasma Serum,480.0,187.2,,,0
HCPCS,0226U,Svnt sarscov2 elisa plsm srm,,,42.28,155.17,10
HCPCS,0227U,Rx asy prsmv 30+rx/metablt,,,62.14,228.05,10
HCPCS,0228T,Njx tfrml eprl w/us cer/thor,,,3437.0,3437.0,1
HCPCS,0228U,Onc prst8 ma molec prfl alg,,,173.03,635.02,9
HCPCS,0229U,Bcat1 promoter mthyltn alys,,,230.4,1409.28,10
HCPCS,0230T,Njx tfrml eprl w/us lumb/sac,,,3437.0,3437.0,1
HCPCS,0230U,Ar full sequence analysis,,,301.35,1105.95,10
HCPCS,0231U,Cacna1a full gene analysis,,,846.27,3105.81,10
HCPCS,0232T,Hc Inj Platelet Rich Plasma Prp W Imaging,2831.0,1104.09,,,0
HCPCS,0232T,Njx platelet plasma,,,453.74,3391.0,11
HCPCS,0232U,Cstb full gene analysis,,,274.83,1008.63,10
HCPCS,0233U,Fxn gene analysis,,,274.83,1008.63,10
HCPCS,0234T,Trluml perip athrc renal art,,,5809.0,44017.26,11
HCPCS,0234U,Mecp2 full gene analysis,,,527.87,1937.28,10
HCPCS,0235T,Trluml perip athrc visceral,,,6859.0,6859.0,1
HCPCS,0235U,Pten full gene analysis,,,600.0,2202.0,10
HCPCS,0236T,Trluml perip athrc abd aorta,,,5809.0,44017.26,11
HCPCS,0236U,Smn1&smn2 full gene analysis,,,602.7,2211.91,10
HCPCS,0237T,Trluml perip athrc brchiocph,,,5809.0,44017.26,11
HCPCS,0237U,Car ion chnlpthy gen seq pnl,,,584.9,2146.58,10
HCPCS,0238T,Hc Iliac Atherectomy Each Vessel,29371.0,11454.69,,,0
HCPCS,0238T,Trluml perip athrc iliac art,,,9000.0,69897.36,11
HCPCS,0238U,Onc lnch syn gen dna seq aly,,,584.9,2146.58,10
HCPCS,0239U,Trgt gen seq alys pnl 311+,,,3500.0,12845.0,10
HCPCS,0240U,Hc Infectious Disease Rna 3 Targets Upper Respiratory Specimen,480.0,187.2,,,0
HCPCS,0240U,Nfct ds vir resp rna 3 trgt,,,171.12,171.12,1
HCPCS,0241U,Hc Infectious Disease Rna 4 Targets Upper Respiratory Specimen,507.43,197.89999999999998,,,0
HCPCS,0241U,Nfct ds vir resp rna 4 trgt,,,171.12,171.12,1
HCPCS,0242U,Trgt gen seq alys pnl 55-74,,,5000.0,18350.0,10
HCPCS,0243U,Ob pe biochem assay pgf alg,,,64.41,236.38,10
HCPCS,0244U,Onc solid orgn dna 257 genes,,,3500.0,12845.0,10
HCPCS,0245U,Onc thyr mut alys 10 gen&37,,,1266.07,4646.48,9
HCPCS,0246U,Rbc dna gnotyp 16 bld groups,,,720.0,2642.4,10
HCPCS,0247U,Ob prtrm brth ibp4 shbg meas,,,750.0,2752.5,10
HCPCS,0248U,Onc brn sphrd cll 12 rx pnl,,,3033.86,11134.27,9
HCPCS,0249U,Onc brst alys 32 phsprtn alg,,,2219.13,8144.21,9
HCPCS,0250U,Hc Onc Sld Org Neo Trgt Gen Seq Dna Alys 505 Genes,10219.0,3985.41,,,0
HCPCS,0250U,Onc sld org neo dna 505 gene,,,2919.6,10714.93,10
HCPCS,0251U,Hepcidin-25 elisa serum/plsm,,,17.27,63.38,10
HCPCS,0252U,Ftl aneuploidy str alys dna,,,759.05,2785.71,9
HCPCS,0253T,Insert aqueous drain device,,,4198.37,15760.48,11
HCPCS,0253U,Rprdtve med rna gen prfl 238,,,3159.42,11595.07,9
HCPCS,0254U,Reprdtve med alys 24 chrmsm,,,759.05,2785.71,9
HCPCS,0255U,Andrology infertility assmt,,,31.6,115.97,9
HCPCS,0256U,Tma/tmao prfl ms/ms ur alg,,,159.95,587.02,9
HCPCS,0257U,Vlcad leuk nzm actv whl bld,,,712.47,2614.76,9
HCPCS,0258U,Ai psor mrna 50-100 gen alg,,,3675.0,13487.25,10
HCPCS,0259U,Neph ckd nuc mrs meas gfr,,,52.71,193.45,10
HCPCS,0260U,Rare ds id opt genome mapg,,,1263.53,4637.16,9
HCPCS,0261U,Onc clrct ca img alys w/ai,,,2513.25,9223.63,10
HCPCS,0262U,Onc sld tum rt-pcr 7 gen,,,3200.0,11744.0,9
HCPCS,0263T,Im b1 mrw cel ther cmpl,,,4423.94,16607.25,10
HCPCS,0263U,Neuro asd meas 16 c metblt,,,750.0,2752.5,10
HCPCS,0264T,Im b1 mrw cel ther xcl hrvst,,,4423.94,16607.25,10
HCPCS,0264U,Rare ds id opt genome mapg,,,1263.53,4637.16,9
HCPCS,0265T,Im b1 mrw cel ther hrvst onl,,,4423.94,16607.25,10
HCPCS,0265U,Rar do whl gn&mtcdrl dna als,,,5475.8,20096.19,9
HCPCS,0266T,Implt/rpl crtd sns dev total,,,56095.0,56095.0,1
HCPCS,0266U,Unxpl cnst hrtbl do gn xprsn,,,3200.0,11744.0,9
HCPCS,0267T,Implt/rpl crtd sns dev lead,,,8448.0,8448.0,1
HCPCS,0267U,Rare do id opt gen mapg&seq,,,6739.33,24733.34,9
HCPCS,0268T,Implt/rpl crtd sns dev gen,,,56095.0,56095.0,1
HCPCS,0268U,Hem ahus gen seq alys 15 gen,,,608.17,2231.98,9
HCPCS,0269T,Rev/remvl crtd sns dev total,,,15026.0,15026.0,1
HCPCS,0269U,Hem aut dm cgen trmbctpna 14,,,608.17,2231.98,9
HCPCS,0270T,Rev/remvl crtd sns dev lead,,,8448.0,8448.0,1
HCPCS,0270U,Hem cgen coagj do 20 genes,,,608.17,2231.98,9
HCPCS,0271T,Rev/remvl crtd sns dev gen,,,8448.0,8448.0,1
HCPCS,0271U,Hem cgen neutropenia 23 gen,,,608.17,2231.98,9
HCPCS,0272T,Hc Interrogation Dev Eval Cartd Sins Barreflx W/I And R,571.0,222.69,,,0
HCPCS,0272U,Hem genetic bld do 51 genes,,,608.17,2231.98,9
HCPCS,0273T,Hc Introgation Dev Eval Cartd Sins Barreflx W/Prgrm,571.0,222.69,,,0
HCPCS,0273U,Hem gen hyprfibrnlysis 8 gen,,,608.17,2231.98,9
HCPCS,0274T,Perq lamot/lam crv/thrc,,,7370.23,27667.48,10
HCPCS,0274U,Hem gen pltlt do 43 genes,,,608.17,2231.98,9
HCPCS,0275T,Perq lamot/lam lumbar,,,15026.0,15026.0,1
HCPCS,0275U,Hem heprn nduc trmbctpna srm,,,18.37,67.42,10
HCPCS,0276U,Hem inh thrombocytopenia 23,,,2448.56,8986.22,9
HCPCS,0277U,Hem gen pltlt funcj do 31,,,608.17,2231.98,9
HCPCS,0278T,Tempr,,,130.69,2665.0,10
HCPCS,0278U,Hem gen thrombosis 12 genes,,,608.17,2231.98,9
HCPCS,0279U,Hem vw factor&clgn iii bndg,,,11.53,42.32,10
HCPCS,0280U,Hem vw factor&clgn iv bndg,,,17.27,63.38,10
HCPCS,0281U,Hem vwd propeptide ag lvl,,,17.27,63.38,10
HCPCS,0282U,Rbc dna gntyp 12 bld grp gen,,,720.0,2642.4,10
HCPCS,0283U,Vw factor type 2b eval plsm,,,18.4,67.53,10
HCPCS,0284U,Vw factor type 2n eval plsm,,,17.27,63.38,10
HCPCS,0285U,Onc rsps radj cll fr dna tox,,,443.31,1626.95,9
HCPCS,0286U,Cep72 nudt15&tpmt gene alys,,,134.13,492.26,9
HCPCS,0287U,Onc thyr dna&mrna 112 genes,,,3600.0,13212.0,9
HCPCS,0288U,Onc lung mrna quan pcr 11&3,,,3873.0,14213.91,9
HCPCS,0289U,Neuro alzheimer mrna 24 gen,,,760.0,2789.2,9
HCPCS,0290U,Pain mgmt mrna gen xprsn 36,,,760.0,2789.2,9
HCPCS,0291U,Psyc mood do mrna 144 genes,,,1755.0,6440.85,9
HCPCS,0292U,Psyc strs do mrna 72 genes,,,1755.0,6440.85,9
HCPCS,0293U,Psyc suicidal idea mrna 54,,,760.0,2789.2,9
HCPCS,0295U,Onc brst dux carc 7 proteins,,,5435.0,19946.45,9
HCPCS,0296U,Onc orl&/orop ca 20 mlc feat,,,1950.0,7156.5,9
HCPCS,0297U,Onc pan tum whl gen seq dna,,,2919.6,10714.93,9
HCPCS,0298U,Onc pan tum whl trns seq rna,,,2919.6,10714.93,9
HCPCS,0299U,Onc pan tum whl gen opt mapg,,,1863.22,6838.02,9
HCPCS,0300U,Onc pan tum whl gen seq&opt,,,4183.13,15352.09,9
HCPCS,0301U,Iadna bartonella ddpcr,,,262.72,964.18,9
HCPCS,0302U,Iadna brtnla ddpcr flwg liq,,,361.37,1326.23,9
HCPCS,0303U,Hem rbc ads whl bld hypoxic,,,2201.62,8079.95,9
HCPCS,0304U,Hem rbc ads whl bld normoxic,,,2075.8,7618.19,9
HCPCS,0305U,Hem rbc fnclty&dfrm shr strs,,,662.58,2431.67,9
HCPCS,0306U,Onc mrd nxt-gnrj alys 1st,,,3878.45,14233.91,9
HCPCS,0307U,Onc mrd nxt-gnrj alys sbsq,,,794.49,2915.78,9
HCPCS,0308T,Insj ocular telescope prosth,,,4714.0,62764.08,12
HCPCS,0308U,Crd cad alys 3 prtn plsm alg,,,390.75,1434.05,9
HCPCS,0309U,Crd cv ds aly 4 prtn plm alg,,,390.75,1434.05,9
HCPCS,0310U,Ped vsclts kd alys 3 bmrks,,,390.75,1434.05,9
HCPCS,0311U,Nfct ds bct quan antmcrb sc,,,8.08,29.65,9
HCPCS,0312T,Laps impltj nstim vagus,,,5063.0,5063.0,1
HCPCS,0312U,Ai ds sle alys 8 igg autoant,,,840.65,3085.19,9
HCPCS,0313T,Laps rmvl nstim array vagus,,,5063.0,9032.0,2
HCPCS,0313U,Onc pncrs dna&mrna seq 74,,,3600.0,13212.0,9
HCPCS,0314T,Laps rmvl vgl arry&pls gen,,,5063.0,9032.0,2
HCPCS,0314U,Onc cutan mlnma mrna 35 gene,,,1950.0,7156.5,9
HCPCS,0315T,Rmvl vagus nerve pls gen,,,5063.0,9032.0,2
HCPCS,0315U,Onc cutan sq cll ca mrna 40,,,8500.0,31195.0,9
HCPCS,0316T,Replc vagus nerve pls gen,,,5063.0,9032.0,2
HCPCS,0316U,B brgdrferi lyme ds ospa evl,,,18.66,68.48,9
HCPCS,0317U,Onc lung ca 4-prb fish assay,,,2030.0,7450.1,9
HCPCS,0318U,Ped whl gen mthyltn alys 50+,,,1770.48,6497.66,9
HCPCS,0319U,Neph rna pretrnspl perph bld,,,2650.0,9725.5,9
HCPCS,0320U,Neph rna psttrnspl perph bld,,,2650.0,9725.5,9
HCPCS,0321U,Iadna gu pthgn 20bct&fng org,,,634.84,2329.86,9
HCPCS,0322U,Neuro asd meas 14 acyl carn,,,750.0,2752.5,9
HCPCS,0323U,Iadna cns pthgn next gen seq,,,2126.2,7803.15,9
HCPCS,0326U,Trgt gen seq alys pnl 83+,,,5000.0,18350.0,9
HCPCS,0327U,Ftl aneuploidy trsmy dna seq,,,795.0,2917.65,9
HCPCS,0328U,Drug assay 120+ rx&metablt,,,114.43,419.96,9
HCPCS,0329U,Onc neo xome&trns seq alys,,,3437.98,12617.39,9
HCPCS,0330T,Tear film img uni/bi w/i&r,,,37.94,142.42,9
HCPCS,0330U,Iadna vag pthgn panel 27 org,,,416.78,1529.58,9
HCPCS,0331T,Heart symp image plnr,,,1314.99,4936.41,9
HCPCS,0331U,Onc hl neo opt gen mapping,,,1863.22,6838.02,9
HCPCS,0332T,Heart symp image plnr spect,,,1314.99,4936.41,9
HCPCS,0332U,Onc pan tum gen prflg 8 dna,,,1142.06,4191.36,9
HCPCS,0333U,Onc lvr surveilanc hcc cfdna,,,662.32,2430.71,9
HCPCS,0334U,Onc sld orgn tgsa dna 84/+,,,3500.0,12845.0,9
HCPCS,0335T,Extraosseous joint stblztion,,,5809.0,27667.48,12
HCPCS,0335U,Rare ds whl gen seq fetal,,,5224.6,19174.28,9
HCPCS,0336U,Rare ds whl gen seq bld/slv,,,2574.65,9448.97,9
HCPCS,0337U,Onc plsm cell do&myeloma id,,,2435.0,8936.45,9
HCPCS,0338T,Hc Transcatheter Renal Sympath Denervation Unilat,17187.0,6702.93,,,0
HCPCS,0338T,Trnscth renal symp denrv unl,,,5781.0,21701.57,12
HCPCS,0338U,Onc sld tum crcg tum cl slct,,,2435.0,8936.45,9
HCPCS,0339T,Hc Transcatheter Renal Sympath Denervation Bilat,20051.0,7819.89,,,0
HCPCS,0339T,Trnscth renal symp denrv bil,,,5781.0,21701.57,12
HCPCS,0339U,Onc prst8 mrna hoxc6 & dlx1,,,760.0,2789.2,9
HCPCS,0340U,Onc pan ca alys mrd plasma,,,3590.0,13175.3,9
HCPCS,0341U,Ftl aneup dna seq cmpr alys,,,1900.2,6973.73,9
HCPCS,0342T,Thxp apheresis w/hdl delip,,,4423.94,16607.25,10
HCPCS,0343U,Onc prst8 xom aly 442 sncrna,,,760.0,2789.2,9
HCPCS,0344U,Hep nafld semiq evl 28 lipid,,,792.17,2907.26,9
HCPCS,0345T,Transcath mtral vlve repair,,,6859.0,6859.0,1
HCPCS,0345U,Psyc genom alys pnl 15 gen,,,1336.09,4903.45,9
HCPCS,0347T,Ins bone device for rsa,,,59.92,4714.0,11
HCPCS,0347U,Rx metab/pcx dna 16 gen alys,,,1336.09,4903.45,9
HCPCS,0348T,RSA spine exam,,,106.19,398.63,11
HCPCS,0348U,Rx metab/pcx dna 25 gen alys,,,742.27,2724.13,9
HCPCS,0349T,RSA upper extr exam,,,106.19,398.63,11
HCPCS,0349U,Rx metab/pcx dna 27gen rx ia,,,742.27,2724.13,9
HCPCS,0350T,RSA lower extr exam,,,88.39,331.82,11
HCPCS,0350U,Rx metab/pcx dna 27 gen alys,,,1336.09,4903.45,9
HCPCS,0351U,Nfct ds bct/viral trail ip10,,,260.5,956.04,9
HCPCS,0352U,Hc Nfct Ds Bct Vaginosis And Vaginitis Mult Amp Probe,357.0,139.23,,,0
HCPCS,0355T,GI tract capsule endoscopy,,,2893.96,2893.96,2
HCPCS,0355U,Apol1 risk variants,,,137.0,502.79,9
HCPCS,0356U,Onc orop 17 dna ddpcr alg,,,1800.0,6606.0,9
HCPCS,0358T,BIA whole body,,,29.38,110.28,9
HCPCS,0358U,Neuro alys b-amyl 1-42&1-40,,,260.5,956.04,9
HCPCS,0359U,Onc prst8 ca alys all psa,,,760.0,2789.2,9
HCPCS,0360U,Onc lung elisa 7 autoant alg,,,840.65,3085.19,9
HCPCS,0361U,Hc Neurofilament Light Chain Digital Ia Plasma Quan,2988.0,1165.32,,,0
HCPCS,0362T,Expose behav assessment,,,38.06,142.86,9
HCPCS,0362U,Onc pap thyr ca rna 82&10,,,3600.0,13212.0,9
HCPCS,0363U,Onc urthl mrna 5 gen alg,,,760.0,2789.2,9
HCPCS,0364U,Onc hl neo gen seq alys alg,,,2007.25,7366.61,9
HCPCS,0365U,Onc bldr 10 prb bldr ca,,,897.0,3291.99,9
HCPCS,0366U,Onc bldr 10 prb recr bldr ca,,,897.0,3291.99,9
HCPCS,0367U,Onc bldr 10 flwg trurl rescj,,,902.18,3311.0,9
HCPCS,0371U,Iadna gu pthgn semiq dna16&1,,,416.78,1529.58,9
HCPCS,0372U,Nfct ds gu pthgn arg detcj,,,416.78,1529.58,9
HCPCS,0373T,Exposure behavior treatment,,,38.06,142.86,9
HCPCS,0375T,Total disc arthrp ant appr,,,5063.0,5063.0,1
HCPCS,0375U,Onc ovrn bchm asy 7 prtn alg,,,897.0,3291.99,9
HCPCS,0376T,Insert ant segment drain int,,,5063.0,5063.0,1
HCPCS,0376U,Onc prst8 ca img alys 128,,,706.25,2591.94,9
HCPCS,0377T,Anoscpy inj agent for incont,,,5063.0,5063.0,1
HCPCS,0377U,Cv ds quan advsrm/plsm lprtn,,,47.58,174.62,9
HCPCS,0378U,Rfc1 repeat xpnsj vrnt alys,,,137.0,502.79,9
HCPCS,0379T,Vis field assmnt tech suppt,,,37.94,142.42,9
HCPCS,0379U,Tgsap sl or neo dna523&rna55,,,3288.51,12068.83,9
HCPCS,0381U,Maple syrup ur ds mntr quan,,,44.12,161.92,9
HCPCS,0382U,Hyprphenylalninmia mntr quan,,,51.64,189.52,9
HCPCS,0383U,Tyrosinemia typ i mntr quan,,,52.05,191.02,9
HCPCS,0384U,Neph ckd rsk hi stg kdn ds,,,750.0,2752.5,9
HCPCS,0385U,Neph ckd alg rsk dbtc kdn ds,,,390.75,1434.05,9
HCPCS,0387U,Onc mlnma ambra1&amlo,,,948.5,3481.0,9
HCPCS,0388U,Onc nonsm cll lng ca 37 gen,,,3500.0,12845.0,9
HCPCS,0389U,Ped fbrl kd ifi27&mcemp1 rna,,,70.2,257.63,9
HCPCS,0390U,Ob pe kdr eng&rbp4 ia alg,,,64.41,236.38,9
HCPCS,0391U,Onc sld tum dna&rna 437 gen,,,3600.0,13212.0,9
HCPCS,0392U,Rx metab genrx ia 16 genes,,,1336.09,4903.45,9
HCPCS,0393U,Neu prksn msfl ?-syncln prtn,,,540.99,1985.43,9
HCPCS,0394T,Hc Hdr Electronic Brachytherapy Skin Surf,845.0,329.55,,,0
HCPCS,0394T,Hdr elctrnc skn surf brchytx,,,443.38,443.38,2
HCPCS,0394U,Pfas 16 pfas compnd lc ms/ms,,,198.74,729.38,9
HCPCS,0395T,Hc Hdr Electronic Brachytherapy Ntrstl/Intrcav,5020.0,1957.8,,,0
HCPCS,0395T,Hdr elctr ntrst/ntrcv brchtx,,,707.42,2655.61,11
HCPCS,0395U,Onc lng multiomics plsm alg,,,797.45,2926.64,9
HCPCS,0397T,Ercp w/optical endomicroscpy,,,2665.0,3437.0,3
HCPCS,0398U,Gi baret esph dna mthyln aly,,,1755.0,6440.85,9
HCPCS,0399U,Neuro cere folate defncy srm,,,300.0,1101.0,9
HCPCS,0401U,Crd c hrt ds 9 gen 12 vrnts,,,489.68,1797.13,9
HCPCS,0402T,Collagen crosslinking cornea,,,2414.84,9065.2,12
HCPCS,0402T,Hc Collagen Cross-Linking Cornea And Pachymtry,7226.0,2818.14,,,0
HCPCS,0402U,Nfct agt sti mult amp prb tq,,,142.63,523.45,9
HCPCS,0403U,Onc prst8 mrna 18 gen dre ur,,,760.0,2789.2,9
HCPCS,0404U,Onc brst semiq meas thym kn,,,322.96,1185.26,9
HCPCS,0405U,Onc pncrtc 59 mthltn blk mrk,,,1770.48,6497.66,9
HCPCS,0406U,Onc lung flow cytmtry 5 mrk,,,760.0,2789.2,9
HCPCS,0407U,Neph dbtc ckd mult eclia alg,,,950.0,3486.5,9
HCPCS,0408T,Hc Insertion/Replacement Cardiac Modulation System Pulse Gen Transvenous Electrodes,66436.0,25910.04,,,0
HCPCS,0408T,Insj/rplc cardiac modulj sys,,,9000.0,119683.73,11
HCPCS,0408U,Iaad blk ac wv bsnsr sarscv2,,,14.13,51.86,9
HCPCS,0409T,Hc Insertion/Replacement Cardiac Modulation System Pulse Generator Only,66436.0,25910.04,,,0
HCPCS,0409T,Insj/rplc car modulj pls gn,,,9000.0,84813.34,11
HCPCS,0409U,Onc sld tum dna 80 & rna 36,,,2919.6,10714.93,9
HCPCS,0410T,Hc Insertion/Replacement Cardiac Modulation System Atrial Electrode Only,23507.0,9167.73,,,0
HCPCS,0410T,Insj/rplc car modulj atr elt,,,6389.0,31553.53,11
HCPCS,0410U,Onc pncrtc dna whl gn seq 5-,,,1160.0,4257.2,9
HCPCS,0411T,Hc Insertion/Replacement Cardiac Modulation System Ventricular Electrode Only,23507.0,9167.73,,,0
HCPCS,0411T,Insj/rplc car modulj vnt elt,,,6389.0,31553.53,11
HCPCS,0411U,Psyc genom alys pnl 15 gen,,,1336.09,4903.45,9
HCPCS,0412T,Hc Removal Cardiac Modulation System Pulse Generator Only,13889.0,5416.71,,,0
HCPCS,0412T,Rmvl cardiac modulj pls gen,,,3795.68,14248.79,12
HCPCS,0412U,Beta amyloid a?42/40 imprcip,,,750.0,2752.5,9
HCPCS,0413T,Hc Removal Cardiac Modulation System Transvenous Electrode,13889.0,5416.71,,,0
HCPCS,0413T,Rmvl car modulj tranvns elt,,,3795.68,14248.79,12
HCPCS,0413U,Onc hl neo opt gen mapg dna,,,1263.53,4637.16,9
HCPCS,0414T,Hc Remove And Replace Cardiac Modulation Sys Pulse Gen Only,66436.0,25910.04,,,0
HCPCS,0414T,Rmvl & rpl car modulj pls gn,,,9000.0,84813.34,11
HCPCS,0414U,Onc lng aug alg aly whl sld8,,,706.25,2591.94,9
HCPCS,0415T,Hc Repositioning Cardiac Modulation Transvenous Electrode,2187.0,852.93,,,0
HCPCS,0415T,Repos car modulj tranvns elt,,,637.16,4923.0,12
HCPCS,0415U,Cv ds acs bld alg 5 yr score,,,390.75,1434.05,9
HCPCS,0416T,Hc Relocation Skin Pocket Cardiac Modulation Pulse Generator,6925.0,2700.75,,,0
HCPCS,0416T,Reloc skin pocket pls gen,,,2095.7,7867.16,12
HCPCS,0417T,Hc Programming Device Evaluation Cardiac Modulation System,213.0,83.07,,,0
HCPCS,0417U,Rare ds alys 335 nuc genes,,,2842.53,10432.09,9
HCPCS,0418T,Hc Interrogation Device Evaluation Cardiac Modulation System,213.0,83.07,,,0
HCPCS,0418U,Onc brst aug alg aly whl sl8,,,706.25,2591.94,9
HCPCS,0419T,Dstrj neurofibroma xtnsv,,,750.69,3391.0,12
HCPCS,0419U,Nrpsyc gen seq vrnt aly 13,,,1336.09,4903.45,9
HCPCS,0420T,Dstrj neurofibroma xtnsv,,,750.69,3391.0,12
HCPCS,0420U,Onc urthl mrna xprsn 6 snp,,,1328.32,4874.93,9
HCPCS,0421T,Waterjet prostate abltj cmpl,,,4714.0,11889.0,2
HCPCS,0422T,Tactile breast img uni/bi,,,88.39,331.82,9
HCPCS,0422U,Onc pan solid tum alys dna,,,1943.21,7131.58,9
HCPCS,0423U,Psyc genomic alys pnl 26 gen,,,416.78,1529.58,9
HCPCS,0424U,Onc prst8 xom alys 53 sncrna,,,760.0,2789.2,9
HCPCS,0425U,Genom rpd seq alys ea cmprtr,,,4094.39,15026.41,9
HCPCS,0426U,Genome ultra-rapid seq alys,,,7582.2,27826.67,9
HCPCS,0427U,Hc Monocyte Distribution Width Whole Blood,167.0,65.13,,,0
HCPCS,0427U,Monocyte dstrbj wdth whl bld,,,4.48,16.44,9
HCPCS,0429U,Hpv orop swab 14 hi-risk typ,,,35.09,128.78,9
HCPCS,0430U,Gi malabs aat calpro pncrtc,,,61.54,225.85,9
HCPCS,0431U,Gly rcptr alpha1 igg srm/csf,,,36.57,134.21,9
HCPCS,0432U,Klhl11 antb sr/csf asy qual,,,36.57,134.21,9
HCPCS,0433U,Onc prst8 5 dna reg mrk pcr,,,760.0,2789.2,9
HCPCS,0434U,Rx metab advrs vrnt alys 25,,,416.78,1529.58,9
HCPCS,0435U,Onc chemo rx cytox csc 14 rx,,,3033.86,11134.27,9
HCPCS,0436U,Onc lng plsm alys 388 prtn,,,1504.24,5520.56,9
HCPCS,0437T,Impltj synth rnfcmt abdl wal,,,2665.0,3391.0,2
HCPCS,0437U,Psyc anxiety do mrna 15 bmrk,,,760.0,2789.2,9
HCPCS,0438U,Rx metab advrs vrnt alys 33,,,416.78,1529.58,9
HCPCS,0439U,Crd chd dna alys 5 snp 3 dna,,,854.0,3134.18,9
HCPCS,0440T,Abltj perc uxtr/perph nrv,,,1983.41,11889.0,11
HCPCS,0440U,Crd chd dna alys 10 snp 6dna,,,854.0,3134.18,9
HCPCS,0441T,Abltj perc lxtr/perph nrv,,,1983.41,11889.0,11
HCPCS,0441U,Nfct ds bct fngl/viral semiq,,,444.08,1629.77,9
HCPCS,0442T,Abltj perc plex/trncl nrv,,,4714.0,33461.75,11
HCPCS,0442T,Hc Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv,18836.0,7346.04,,,0
HCPCS,0442U,Nfct ds respir nfctj mxa&crp,,,41.38,151.86,9
HCPCS,0443T,R-t spctrl alys prst8 tiss,,,2665.0,2665.0,1
HCPCS,0443U,Neurflmnt lt chn ultrsens ia,,,116.23,426.56,9
HCPCS,0444T,1st plmt drug elut oc ins,,,2665.0,5809.0,2
HCPCS,0444U,Onc sld orgn neo tgsap 361,,,2919.6,10714.93,9
HCPCS,0445T,Sbsqt plmt drug elut oc ins,,,2665.0,5809.0,2
HCPCS,0445U,Abeta42 & ptau181 eclia csf,,,260.5,956.04,9
HCPCS,0446T,Insj impltbl glucose sensor,,,2572.0,15863.29,12
HCPCS,0446U,Ai ds sle alys 10 cytokine,,,840.65,3085.19,9
HCPCS,0447T,Rmvl impltbl glucose sensor,,,203.79,3391.0,11
HCPCS,0447U,Ai ds sle alys 11 cytokine,,,840.65,3085.19,9
HCPCS,0448T,Remvl insj impltbl gluc sens,,,2572.0,15863.29,12
HCPCS,0449T,Insj aqueous drain dev 1st,,,5404.92,20289.79,11
HCPCS,0450T,Insj aqueous drain dev each,,,2665.0,3391.0,2
HCPCS,0452U,Onc bldr mthyl penk lte-qmsp,,,192.0,704.64,9
HCPCS,0453U,Onc clrct ca cfdna qpcr asy,,,192.0,704.64,9
HCPCS,0454U,U rare ds id opt genome mapg,,,1263.53,4637.16,9
HCPCS,0455U,Nfct agt sti mult amp prb ur,,,142.63,523.45,9
HCPCS,0457U,Pfas 9 cmpnd lcms/ms pls/sr,,,198.74,729.38,9
HCPCS,0458U,Onc brst ca s100 a8&a9 elisa,,,260.5,956.04,9
HCPCS,0459U,Abeta42 & ttau eclia csf,,,260.5,956.04,9
HCPCS,0460U,Onc whl bld/bucc rtpcr 24gen,,,917.08,3365.68,9
HCPCS,0461U,Onc rxgenom alys rtpcr 24gen,,,917.08,3365.68,9
HCPCS,0462U,Melatonin lvl tst slp std7/9,,,17.27,63.38,9
HCPCS,0463U,Onc crvx mrna genxprsn 14bmk,,,760.0,2789.2,9
HCPCS,0464T,Visual ep test for glaucoma,,,130.69,490.62,9
HCPCS,0464U,Onc clrct scr qrtsa dna mrk,,,591.92,2172.35,9
HCPCS,0465U,Onc urthl carc dna qmsp 2gen,,,1938.01,7112.5,9
HCPCS,0466U,Crd cad dna gwas 564856 snp,,,345.43,1267.73,9
HCPCS,0467U,Onc bldr dna ngs 60gen&aneup,,,1519.06,5574.95,9
HCPCS,0468U,Hep nash mir34a5p ?2m ykl40,,,251.7,923.74,9
HCPCS,0469U,Rare ds whl gen seq ftl samp,,,1197.94,4396.44,9
HCPCS,0470U,Onc orop detcj mrd 8 dna hpv,,,597.91,2194.33,9
HCPCS,0471U,Onc clrc ca 35 vrn kras&nras,,,760.0,2789.2,9
HCPCS,0472U,Ca vi psp&sp1 antb sj?gren,,,27.9,102.39,9
HCPCS,0473T,Reprgrmg io rta eltrd ra,,,96.56,362.5,9
HCPCS,0473U,Onc sld tum bld/slv 648 gene,,,4500.0,16515.0,9
HCPCS,0474T,Insj aqueous drg dev io rsvr,,,5809.0,11889.0,2
HCPCS,0474U,Hered pan ca gsap 88gene ngs,,,1303.95,4785.5,9
HCPCS,0475U,Hered prst8 ca gsap 23 genes,,,1303.95,4785.5,9
HCPCS,0476U,Rx metab psyc 14gen&cyp2d6,,,416.78,1529.58,9
HCPCS,0477U,Rx metab psy 14&cyp2d6 gn-rx,,,416.78,1529.58,9
HCPCS,0478U,Onc nsclc dna&rna dpcr 9 gen,,,552.99,2029.47,9
HCPCS,0479T,Fxjl abl lsr 1st 100 sq cm,,,750.69,4066.0,12
HCPCS,0479U,Tau phosphorylated ptau217,,,17.27,63.38,9
HCPCS,0480T,Fxjl abl lsr ea addl 100sqcm,,,2665.0,3391.0,2
HCPCS,0480U,Nfct ds csf metag ngs alys,,,2126.2,7803.15,9
HCPCS,0481T,Njx autol wbc concentrate,,,453.74,3391.0,12
HCPCS,0481U,Idh1 idh2&tert promoter ngs,,,674.24,2474.46,9
HCPCS,0482T,Absl quan myocrd bld flo pet,,,3741.0,3741.0,1
HCPCS,0482U,Ob pe biochem asy sfit1&pigf,,,128.82,472.77,9
HCPCS,0483T,Hc Ip Only-Tmvi Percutaneous Approach,36289.0,14152.71,,,0
HCPCS,0483T,Tmvi percutaneous approach,,,5063.0,6859.0,2
HCPCS,0483U,Nfct ds ng gyra s91f pt mut,,,35.09,128.78,9
HCPCS,0484T,Hc Ip Only-Tmvi W/Prosthetic Valve Transthoracic Exposure,36289.0,14152.71,,,0
HCPCS,0484T,Tmvi transthoracic exposure,,,5063.0,6859.0,2
HCPCS,0484U,Nfct ds mgen 23s rrna pt mut,,,35.09,128.78,9
HCPCS,0485T,Oct mid ear i&r unilateral,,,37.94,142.42,9
HCPCS,0485U,Onc sol tum cfdna&rna ngs gm,,,3649.48,13393.59,9
HCPCS,0486T,Oct mid ear i&r bilateral,,,37.94,142.42,9
HCPCS,0486U,Onc pan sol tum ngs cfctdna,,,1644.25,6034.4,9
HCPCS,0487U,Onc sol tum cfcdna tgsap 84,,,2919.6,10714.93,9
HCPCS,0489T,Regn cell tx scldr hands,,,3391.0,6859.0,2
HCPCS,0490T,Regn cell tx scldr h mlt inj,,,3391.0,6859.0,2
HCPCS,0490U,Onc cutan/uveal mlnma cd146,,,2435.0,8936.45,9
HCPCS,0491T,Abl lsr opn wnd 1st 20 sqcm,,,2572.0,5063.0,2
HCPCS,0491U,Onc sol tum ctc slct er prtn,,,2435.0,8936.45,9
HCPCS,0492T,Abl lsr opn wnd addl 20 sqcm,,,5063.0,5063.0,1
HCPCS,0492U,Onc sol tum ctc slctn pd-l1,,,2435.0,8936.45,9
HCPCS,0493U,Trnspl med quan dd-cfdna ngs,,,2753.25,10104.43,9
HCPCS,0494T,Prep & cannulj cdvr don lung,,,5063.0,6859.0,2
HCPCS,0494U,Rbc ag ftl rhd gene alys ngs,,,759.05,2785.71,9
HCPCS,0495T,Mntr cdvr don lng 1st 2 hrs,,,6859.0,6859.0,1
HCPCS,0495U,Onc prst8 alys crcg plsm prt,,,760.0,2789.2,9
HCPCS,0496T,Mntr cdvr don lng ea addl hr,,,6859.0,6859.0,1
HCPCS,0496U,Onc clrct cfdna 8/7 genes,,,485.86,1783.11,9
HCPCS,0497U,Onc prst8 mrna rt-pcr 6 gene,,,3873.0,14213.91,9
HCPCS,0498U,Onc clrct ngs mut detc 43gen,,,1345.31,4937.29,9
HCPCS,0499T,Cysto f/urtl strix/stenosis,,,3437.0,5063.0,2
HCPCS,0499U,Onc clrct&lng dna ngs 8gene,,,597.91,2194.33,9
HCPCS,0500U,Autoinflam ds vexas synd dna,,,175.4,643.72,9
HCPCS,0502U,Hpv e6/e7 mrk hi-rsk typ crv,,,35.09,128.78,9
HCPCS,0503U,Neuro alz ds ?amyl&tau prtn,,,750.0,2752.5,9
HCPCS,0504U,Nfct ds uti id 17 path orgs,,,416.78,1529.58,9
HCPCS,0505T,Ev fempop artl revsc,,,6389.0,44017.26,11
HCPCS,0505T,Hc Fl Ev Fempop Artl Revsc Tcat Plmt Iv St Grf And Clsr,36135.0,14092.65,,,0
HCPCS,0505U,Nfct ds vag infctj id 32orgs,,,679.77,2494.76,9
HCPCS,0506T,Mac pgmt opt dns meas hfp,,,59.92,224.93,9
HCPCS,0506U,Gi barretts esophgl cell 89,,,1938.01,7112.5,9
HCPCS,0507T,Near ifr 2img mibmn glnd i&r,,,59.92,224.93,9
HCPCS,0507U,Onc ovr dna whole gen w/5hmc,,,1160.0,4257.2,9
HCPCS,0508T,Pls echo us b1 dns meas tib,,,245.89,245.89,2
HCPCS,0509T,Pattern erg w/i&r,,,219.32,823.3,9
HCPCS,0510T,Rmvl sinus tarsi implant,,,3323.41,12475.93,11
HCPCS,0510U,Onc pncrtc ca alg alys 16gen,,,473.91,1739.25,9
HCPCS,0511T,Rmvl&rinsj sinus tarsi implt,,,5809.0,27667.48,11
HCPCS,0511U,Onc sol tum 3dmicroenvir 36+,,,3033.86,11134.27,9
HCPCS,0512T,Esw integ wnd hlg 1st wnd,,,203.79,5063.0,12
HCPCS,0512U,Onc prst8 alys dgtz img msi,,,706.25,2591.94,9
HCPCS,0513T,Esw integ wnd hlg ea addl,,,2665.0,5063.0,2
HCPCS,0513U,Onc prst8 alg alys msi&hrd,,,706.25,2591.94,9
HCPCS,0514T,Intraop vis axis id pt fixj,,,5063.0,5063.0,1
HCPCS,0514U,Gi ibd ia quan deter adl lvl,,,38.57,141.55,9
HCPCS,0515T,Hc Insertion Of Entire Wireless Cardiac Stimulation System,52394.0,20433.66,,,0
HCPCS,0515T,Insj wcs lv compl sys,,,6389.0,84813.34,11
HCPCS,0515U,Gi ibd ia quan deter ifx lvl,,,38.57,141.55,9
HCPCS,0516T,Hc Insertion Or Replacement Of Electrode,30848.0,12030.72,,,0
HCPCS,0516T,Insj wcs lv eltrd only,,,6389.0,39852.79,11
HCPCS,0516U,Rx metab rxgenomic gnotyp 40,,,416.78,1529.58,9
HCPCS,0517T,Hc Insert Wrlss Lv Card Plse Gen W Transmttr W Imag,30848.0,12030.72,,,0
HCPCS,0517T,Insj wcs lv pg compnt,,,6389.0,39852.79,11
HCPCS,0517U,Ther rx mntr 80+ psyactiv rx,,,246.92,906.2,9
HCPCS,0518T,Hc Remove Card Lv Wrls Plse Gen?,12045.0,4697.55,,,0
HCPCS,0518T,Rmvl pg compnt wcs,,,3795.68,14248.79,11
HCPCS,0518U,Ther rx mntr 90+ pn&mtl hlth,,,246.92,906.2,9
HCPCS,0519T,Hc Remove And Replace Card Lv Wrls Plse Gen? Inc Trnmit,12045.0,4697.55,,,0
HCPCS,0519T,Rmvl & rplcmt pg compnt wcs,,,6389.0,39852.79,11
HCPCS,0519U,Ther rx mntr meds p/d/a 110+,,,246.92,906.2,9
HCPCS,0520T,Hc Remove And Replace Card Lv Wrls Plse Gen,52394.0,20433.66,,,0
HCPCS,0520T,Rmvl&rplcmt pg wcs new eltrd,,,6389.0,70119.0,11
HCPCS,0520U,Ther rx mntr 200+ rx/sbsts,,,246.92,906.2,9
HCPCS,0521T,Interrog dev eval wcs ip,,,29.38,110.28,9
HCPCS,0521U,Rf iga&igm ccp antb sr-a ia,,,51.8,190.11,9
HCPCS,0522U,Ca vi psp&sp1 antb cl semiql,,,260.5,956.04,9
HCPCS,0523T,Hc Intraprocedural Coronary Ffp W/3D Funcjl Mapping Add-On,2595.0,1012.05,,,0
HCPCS,0523T,Ntrapx c ffr w/3d funcjl map,,,2665.0,2665.0,1
HCPCS,0523U,Onc soltum dna ngs snv 22gen,,,1352.09,4962.17,9
HCPCS,0524T,Ev cath dir chem abltj w/img,,,3207.1,12039.27,11
HCPCS,0524T,Hc Cath Ev Dir Chem Abl Incmptnt Extr Vein,9126.0,3559.14,,,0
HCPCS,0524U,Ob pe sflt-1/plgf ia srm/pls,,,128.82,472.77,9
HCPCS,0525T,Hc Insertion/Replacement Complete Iims,36240.0,14133.6,,,0
HCPCS,0525T,Insj/rplcmt compl iims,,,9842.0,73443.6,11
HCPCS,0525U,Onc sphrd cell cul 11-rx pnl,,,3033.86,11134.27,9
HCPCS,0526T,Hc Insertion/Replacement Iims Electrode Only,28435.0,11089.65,,,0
HCPCS,0526T,Insj/rplcmt iims eltrd only,,,6389.0,31553.53,11
HCPCS,0527T,Hc Insertion/Replacement Iims Implantable Monitor Only,28435.0,11089.65,,,0
HCPCS,0527T,Insj/rplcmt iims implt mntr,,,6389.0,31553.53,11
HCPCS,0527U,Hsv 1&2 vzv amp prb tq pthgn,,,142.63,523.45,9
HCPCS,0528T,Hc Prgrmg Device Eval Iims In Person,193.0,75.27,,,0
HCPCS,0528U,Lrt iad 18bct/8vir&7arg rna,,,634.84,2329.86,9
HCPCS,0529T,Hc Interrogation Device Eval Iims In Person,193.0,75.27,,,0
HCPCS,0530T,Hc Removal Complete Iims Incl Img S And I,16803.0,6553.17,,,0
HCPCS,0530T,Removal complete iims,,,3795.68,14248.79,11
HCPCS,0530U,Onc pan-sol tum ctdna 77 gen,,,2919.6,10714.93,9
HCPCS,0531T,Hc Removal Iims Electrode Only Incl Img S And I,16803.0,6553.17,,,0
HCPCS,0531T,Removal iims electrode only,,,3795.68,14248.79,11
HCPCS,0532T,Hc Removal Iims Implantable Mntr Only Incl Img S And I,16803.0,6553.17,,,0
HCPCS,0532T,Removal iims implt mntr only,,,3795.68,14248.79,11
HCPCS,0532U,Rare ds whlgen&mitochdrl dna,,,5031.2,18464.5,9
HCPCS,0533U,Rx metab advrs gnotyp 16gens,,,416.78,1529.58,9
HCPCS,0535U,Pfas lc-ms/ms plsm/srm quan,,,62.14,228.05,9
HCPCS,0536U,Rbcag ftl rhd pcr alys exon4,,,192.0,704.64,9
HCPCS,0537T,Harv Autologous Cart-T Cells,9636.0,3758.04,,,0
HCPCS,0537U,Onc clrct ca cfdna >2500 dmr,,,1495.0,5486.65,9
HCPCS,0538T,Preparation Car-T Cells,1020.0,397.8,,,0
HCPCS,0538U,Onc sol tum ngts ffpe 600gen,,,2989.55,10971.65,9
HCPCS,0539T,Receipt/Prepare Car-T Cells,1020.0,397.8,,,0
HCPCS,0539U,Onc sol tumor cfctdna 152gen,,,3288.51,12068.83,9
HCPCS,0540T,Blood Derived T Lymphcyte Admi,1083.0,422.37,,,0
HCPCS,0540T,Hc Car-T Therapy Autologous Cell Administration,1083.0,422.37,,,0
HCPCS,0540U,Trnsplj med quan dd-cfdna,,,2753.25,10104.43,9
HCPCS,0541T,Myocardial imaging mcg,,,379.02,1422.83,9
HCPCS,0543T,Ta mv rpr w/artif chord tend,,,6859.0,6859.0,1
HCPCS,0543U,Onc sol tum ngs dna 517 gens,,,2989.55,10971.65,9
HCPCS,0544T,Tcat mv annulus rcnstj,,,6859.0,6859.0,1
HCPCS,0545T,Tcat tv annulus rcnstj,,,6859.0,6859.0,1
HCPCS,0545U,Achr antb id imfluor livecll,,,37.73,138.47,9
HCPCS,0546U,Ldns lrp4 antb imflr livecll,,,37.73,138.47,9
HCPCS,0547T,B1 matrl qual tst mcrind tib,,,3391.0,3391.0,1
HCPCS,0547U,Neurflmnt lt chn cleia plsm,,,116.23,426.56,9
HCPCS,0548T,Tprnl balo cntnc dev bi,,,5063.0,9032.0,2
HCPCS,0548U,Gfap cleia plasma,,,116.23,426.56,9
HCPCS,0549T,Tprnl balo cntnc dev uni,,,5063.0,9032.0,2
HCPCS,0549U,Onc urthl dna mthyltd rt pcr,,,760.0,2789.2,9
HCPCS,0550T,Tprnl balo cntnc dev rmvl ea,,,5063.0,9032.0,2
HCPCS,0551T,Tprnl balo cntnc dev adjmt,,,5063.0,5063.0,1
HCPCS,0552T,Low-level laser therapy,,,2572.0,2572.0,1
HCPCS,0553U,Repr med pga embry te strux,,,759.05,2785.71,9
HCPCS,0554U,Repr med pga 24chrm te bx qc,,,759.05,2785.71,9
HCPCS,0555T,B1 str&fx rsk transmis data,,,29.38,110.28,9
HCPCS,0555U,Repr med pga embryonic te qc,,,759.05,2785.71,9
HCPCS,0556T,B1 str & fx rsk assessment,,,242.35,909.77,9
HCPCS,0556U,Nfct ds p-s dna&rna 12 trgts,,,142.63,523.45,9
HCPCS,0557U,Nfct ds bv dna mrk vag fluid,,,262.99,965.17,9
HCPCS,0558T,Ct scan f/biomchn ct alys,,,88.39,331.82,9
HCPCS,0558U,Onc clrct elisa bf7 ag serum,,,20.81,76.37,9
HCPCS,0559T,Antmc mdl 3d print 1st cmpnt,,,135.14,507.3,9
HCPCS,0559U,Onc brs quan elisa bf9ag srm,,,20.81,76.37,9
HCPCS,0560U,Onc mrd gsa cfdna baseline,,,3878.45,14233.91,9
HCPCS,0561T,Antmc guide 3d print 1st gd,,,135.14,507.3,9
HCPCS,0561U,Onc mrd gsa cfdna subsequent,,,794.49,2915.78,9
HCPCS,0562U,Onc sol tum tgsa 33gens snvs,,,597.91,2194.33,9
HCPCS,0563T,Evac meibomian glnd heat bi,,,59.92,3391.0,11
HCPCS,0563U,Nfct ds pthgn-sna 11vir&4bct,,,416.78,1529.58,9
HCPCS,0564T,Hc Onc Chemo Rx Cytotoxicity Assay Csc Min 14 Drugs,289.0,112.71,,,0
HCPCS,0564T,Onc chemo rx cytotox csc 14,,,59.35,59.35,1
HCPCS,0564U,Nfct ds pthgn-sna 10vir&4bct,,,416.78,1529.58,9
HCPCS,0565T,Autol cell implt adps hrvg,,,2665.0,5809.0,2
HCPCS,0565U,Onc hcc ngs detc 6626epigalt,,,1160.0,4257.2,9
HCPCS,0566T,Autol cell implt adps njx,,,2572.0,3391.0,3
HCPCS,0566U,Onc lng qpcr-bsd alys 13dmrs,,,416.78,1529.58,9
HCPCS,0567U,Rare ds whl gen seq srs&lrs,,,5031.2,18464.5,9
HCPCS,0568T,Intro mix saline&air f/ssg,,,2572.0,2572.0,1
HCPCS,0568U,Neurol dementia ?amyl ptau,,,897.0,3291.99,9
HCPCS,0569T,Hc Ip Only ? Ttvr Perc Initial,59672.0,23272.08,,,0
HCPCS,0569T,Ttvr perq appr 1st prosth,,,6859.0,6859.0,1
HCPCS,0570T,Hc Ip ?Only ? Ttvr Perc Addl?,14918.0,5818.02,,,0
HCPCS,0570T,Ttvr perq ea addl prosth,,,6859.0,6859.0,1
HCPCS,0570U,Neurol tbi alys gfap&uch-l1,,,260.5,956.04,9
HCPCS,0571T,Hc Insertion Or Rplcmt Icds With Substernal Electrode,104382.0,40708.98,,,0
HCPCS,0571T,Insj/rplcmt icds ss eltrd,,,9000.0,119683.73,11
HCPCS,0571U,Onc sol tum dna80&rna10g ngs,,,2919.6,10714.93,9
HCPCS,0572T,Hc Insertion Substernal Implantable Defibrillator Eltrd,26563.0,10359.57,,,0
HCPCS,0572T,Insertion ss dfb electrode,,,5809.0,31553.53,11
HCPCS,0573T,Hc Removal Substernal Implantable Defibrillator Eltrd,10905.0,4252.95,,,0
HCPCS,0573T,Removal ss dfb electrode,,,3795.68,14248.79,11
HCPCS,0574T,Hc Repos Prev Impl Substernal Impltbl Dfb Pacing Eltrd,10905.0,4252.95,,,0
HCPCS,0574T,Repos prev ss impl dfb eltrd,,,3795.68,14248.79,11
HCPCS,0575T,Hc Programming Dev Eval Icds With Ss Eltrd In Person,114.0,44.46,,,0
HCPCS,0575U,Trnsplj med lar rtpcr 4genes,,,380.0,1394.6,9
HCPCS,0576T,Hc Interrogation Dev Eval Icds With Ss Eltrd In Person,114.0,44.46,,,0
HCPCS,0576U,Trnsplj med lar quan ddcfdna,,,3240.0,11890.8,9
HCPCS,0577T,Hc Electrophysiologic Eval Icds With Ss Electrode,3635.0,1417.65,,,0
HCPCS,0577U,Onc ovr serum alys 39 gps,,,246.92,906.2,9
HCPCS,0578U,Onc cutan mln rna qpcr 10gen,,,3873.0,14213.91,9
HCPCS,0579T,Hc Remote Interrog Dev Eval Ss Ld Icds Up To 90Days Tech,114.0,44.46,,,0
HCPCS,0579U,Nfro dbtc ckd elisa apoa4,,,390.75,1434.05,9
HCPCS,0580T,Hc Rmvl Substernal Impltbl Dfb Pulse Generator Only,10905.0,4252.95,,,0
HCPCS,0580T,Rmvl ss impl dfb pg only,,,3795.68,14248.79,11
HCPCS,0580U,Bbrgdrferi antb detc 24rprtn,,,17.21,63.16,9
HCPCS,0581T,Abltj mal brst tum perq crtx,,,3976.96,14929.3,11
HCPCS,0581U,Trnspl med antb nohla 39trgt,,,325.8,1195.69,9
HCPCS,0582T,Trurl abltj mal prst8 tiss,,,4714.0,50305.81,11
HCPCS,0582U,Rare ds rpd whlgen dna vrnts,,,7582.2,27826.67,9
HCPCS,0583T,Tmpst auto tube dlvr sys,,,1575.96,5916.09,12
HCPCS,0583U,Rare ds rpd whlgen cmptr dna,,,3791.1,13913.34,9
HCPCS,0584T,Perq islet cell transplant,,,6859.0,6859.0,1
HCPCS,0584U,Neuro csf prion prtn qual,,,540.99,1985.43,9
HCPCS,0585T,Laps islet cell transplant,,,6859.0,6859.0,1
HCPCS,0585U,Tgsap so neo cfdna 521 genes,,,2919.6,10714.93,9
HCPCS,0586T,Open islet cell transplant,,,6859.0,6859.0,1
HCPCS,0586U,Onc mrna gen xprsn 216 genes,,,2919.6,10714.93,9
HCPCS,0587T,Hc Implant Or Replace Perc Tib Nrv Plse Gen Bldr Dysf W Imag,4754.0,1854.06,,,0
HCPCS,0587T,Perq impltj/rplcmt isdns ptn,,,2572.0,24299.82,12
HCPCS,0587U,Ther rx mntr 60-150rx&metabl,,,114.43,419.96,9
HCPCS,0588T,Hc Revise/Rem Perc Tib Nrv Plse Gen Or Array Bldr Dysf W Imag,3554.0,1386.06,,,0
HCPCS,0588T,Revision/removal isdns ptn,,,3391.0,13330.43,11
HCPCS,0588U,Nfct ds bct/vir 32genes mrna,,,760.0,2789.2,9
HCPCS,0589T,Elec alys smpl prgrmg iins,,,96.56,362.5,9
HCPCS,0589T,Hc Elec Alys Simple Prgrmg Iins Bldr Dysf 1-3 Parameters,860.0,335.4,,,0
HCPCS,0589U,Pfas24cmpnd hi-perf lc-ms/ms,,,198.74,729.38,9
HCPCS,0590T,Elec alys cplx prgrmg iins,,,96.56,362.5,9
HCPCS,0590T,Hc Elec Alys Complex Prgrmg Iins Bldr Dysf 1-3 Parameters,860.0,335.4,,,0
HCPCS,0591U,Onc prst8 ca 3prtns plsm srm,,,760.0,2789.2,9
HCPCS,0592U,Onc hl neo dna tgs 417 genes,,,2919.6,10714.93,9
HCPCS,0593U,Nfct ds gu pthgn dna 46trgt,,,634.84,2329.86,9
HCPCS,0594T,Osteot hum xtrnl lngth dev,,,6389.0,27667.48,11
HCPCS,0595U,Nfct ds tfp vctrbrn&zoonotic,,,262.99,965.17,9
HCPCS,0596T,Temp fml iu vlv-pmp 1st insj,,,708.25,4066.0,11
HCPCS,0597T,Temp fml iu valve-pmp rplcmt,,,708.25,4066.0,11
HCPCS,0598T,Ncntc r-t fluor wnd img 1st,,,219.32,823.3,9
HCPCS,0598U,Gi ibs igg antb 18food items,,,300.0,1101.0,9
HCPCS,0599U,Onc pncrtc ca mult ia serum,,,897.0,3291.99,9
HCPCS,0600T,Ire abltj 1+tum organ perq,,,6389.0,40530.88,11
HCPCS,0601T,Ire abltj 1+tumors open,,,6760.0,40530.88,11
HCPCS,0609T,Mrs disc pain acquisj data,,,242.35,909.77,9
HCPCS,0611T,Mrs disc pain alg alys data,,,242.35,909.77,9
HCPCS,0613T,Perq tcat intratrl septl sht,,,6859.0,6859.0,1
HCPCS,0614T,Hc Rmvl And Rplcmt Substernal Impltbl Defibrillator Pg,74255.0,28959.45,,,0
HCPCS,0614T,Rmvl&rplcmt ss impl dfb pg,,,8245.0,84813.34,11
HCPCS,0615T,Eye mvmt alys w/o calbrj i&r,,,135.14,507.3,9
HCPCS,0616T,Insertion of iris prosthesis,,,5063.0,5063.0,1
HCPCS,0617T,Insj iris prosth w/rmvl&insj,,,5063.0,5063.0,1
HCPCS,0618T,Insj iris prosth sec io lens,,,5063.0,5063.0,1
HCPCS,0619T,Cysto w/prst8 commissurotomy,,,5809.0,6179.0,2
HCPCS,0620T,Evasc ven artlz tibl/prnl vn,,,6389.0,167946.4,11
HCPCS,0620T,Hc Endovascular Venous Arterialization Tibl/Prnl Vn,64847.0,25290.33,,,0
HCPCS,0621T,Trabeculostomy interno laser,,,4198.37,15760.48,11
HCPCS,0622T,Trabeculostomy int lsr w/scp,,,6389.0,6859.0,2
HCPCS,0624T,Hc Auto Quan And Charac Coronary Plaq Data Prep And Trnsmis,3325.0,1296.75,,,0
HCPCS,0627T,Perq njx algc fluor lmbr 1st,,,3391.0,48953.07,11
HCPCS,0628T,Perq njx algc fluor lmbr ea,,,2665.0,3391.0,2
HCPCS,0629T,Perq njx algc ct lmbr 1st,,,3391.0,48953.07,11
HCPCS,0630T,Perq njx algc ct lmbr ea,,,2665.0,3391.0,2
HCPCS,0632T,Perq tcat us abltj nrv p-art,,,9000.0,69897.36,11
HCPCS,0633T,Ct breast w/3d uni c-,,,106.19,398.63,9
HCPCS,0634T,Ct breast w/3d uni c+,,,178.16,668.79,9
HCPCS,0635T,Ct breast w/3d uni c-/c+,,,178.16,668.79,9
HCPCS,0636T,Ct breast w/3d bi c-,,,242.35,909.77,9
HCPCS,0637T,Ct breast w/3d bi c+,,,354.36,1330.23,9
HCPCS,0638T,Ct breast w/3d bi c-/c+,,,354.36,1330.23,9
HCPCS,0639T,Wrls skn snr anisotropy meas,,,3391.0,3391.0,1
HCPCS,0640T,Ncntc nr ifr spctrsc wnd,,,37.94,142.42,9
HCPCS,0643T,Tcat l ventr rstrj dev implt,,,6859.0,6859.0,1
HCPCS,0644T,Hc Tcat Rmvl/Debulk Icar Mass Suction Device Perq,19461.0,7589.79,,,0
HCPCS,0644T,Tcat rmvl/dblk icar mas perq,,,5781.0,21701.57,11
HCPCS,0645T,Hc Tcat Implantation Coronary Sinus Reduction Dev,55855.0,21783.45,,,0
HCPCS,0645T,Tcat impltj c sins rdctj dev,,,9842.0,69897.36,11
HCPCS,0646T,Ttvi/rplcmt w/prstc vlv perq,,,6859.0,6859.0,1
HCPCS,0647T,Insj gtube perq mag gastrpxy,,,1949.06,7316.67,11
HCPCS,0648T,Quan mr alys tiss w/o mri,,,944.97,3547.36,9
HCPCS,0649T,Hc Mri Quan Tiss Composition W/Mri Singl Organ,2270.0,885.3,,,0
HCPCS,0649T,Quan mr alys tiss w/mri,,,944.97,3547.36,9
HCPCS,0651T,Mag ctrld capsule endoscopy,,,921.24,5272.0,11
HCPCS,0652T,Egd flx transnasal dx br/wa,,,1949.06,7316.67,11
HCPCS,0653T,Egd flx transnasal bx 1/ml,,,1949.06,7316.67,11
HCPCS,0654T,Egd flx transnasal tube/cath,,,3916.06,14700.67,11
HCPCS,0655T,Tprnl focal abltj mal prst8,,,4714.0,20444.19,11
HCPCS,0656T,Vrt bdy tethering ant,,,6859.0,66855.32,11
HCPCS,0657T,Vrt bdy tethering ant 8+ seg,,,6859.0,66855.32,11
HCPCS,0658T,Elec impd spectrsc 1+skn les,,,59.92,5063.0,10
HCPCS,0659T,Tcat intra-c nfs supersat o2,,,6859.0,6859.0,1
HCPCS,0660T,Implt ant sgm io nbio rx sys,,,4198.37,15760.48,11
HCPCS,0661T,Rmvl&Rimpltj ant sgm implt,,,4198.37,15760.48,11
HCPCS,0662T,Hc Scalp Cooling 1St Measurement And Cap Calibration,4976.0,1940.6399999999999,,,0
HCPCS,0662T,Scalp Cooling 1St Measure & Ca,4063.0,1584.57,,,0
HCPCS,0662T,Scalp cool 1st meas&calbrj,,,5063.0,5063.0,1
HCPCS,0663T,Hc Scalp Cooling Placement Mntr And Removal Of Device,1299.5,506.805,,,0
HCPCS,0663T,Scalp Cool Plmt Mntr Rmvl Sep,2032.0,792.48,,,0
HCPCS,0664T,Don hysterectomy open cdvr,,,6859.0,9000.0,2
HCPCS,0665T,Don hysterectomy open liv,,,6859.0,9000.0,2
HCPCS,0666T,Don hysterectomy laps liv,,,6760.0,6859.0,2
HCPCS,0667T,Don hysterectomy rcp uter,,,6859.0,6859.0,1
HCPCS,0668T,Bkbench prep don uter algrft,,,6859.0,6859.0,1
HCPCS,0669T,Bkbench rcnstj don uter ven,,,6859.0,6859.0,1
HCPCS,0670T,Bkbench rcnstj don uter artl,,,6859.0,6859.0,1
HCPCS,0671T,Insj ant sgm aq drg dev 1+,,,5404.92,20289.79,11
HCPCS,0672T,Ndovag cryg rf remdl tiss,,,5809.0,6859.0,2
HCPCS,0673T,Abltj b9 thyr ndul perq lasr,,,1677.55,6297.43,11
HCPCS,0674T,Laps insj nw/rpcmt prm isdss,,,5809.0,117658.44,11
HCPCS,0675T,Laps insj nw/rpcmt isdss 1ld,,,5809.0,42486.39,11
HCPCS,0676T,Laps insj nw/rpcmt isdss ea,,,3391.0,6859.0,2
HCPCS,0677T,Laps repos lead isdss 1st ld,,,4714.0,40530.88,11
HCPCS,0678T,Laps repos lead isdss ea add,,,3391.0,6859.0,2
HCPCS,0679T,Laps rmvl lead isdss,,,4714.0,40530.88,11
HCPCS,0680T,Insj/rplcmt pg only isdss,,,5809.0,73971.4,11
HCPCS,0681T,Rlcj pulse gen only isdss,,,3551.04,13330.43,11
HCPCS,0682T,Removal pulse gen only isdss,,,3551.04,13330.43,11
HCPCS,0686T,Histotripsy mal hepatcel tis,,,6389.0,130625.4,10
HCPCS,0689T,Quan us tis charac w/o dx us,,,88.39,331.82,9
HCPCS,0692T,Therapeutic ultrafiltration,,,1581.9,5938.37,9
HCPCS,0695T,Hc Bdy Surf Activation Mapg Pm/Cvdfb Leads Tm Implt,161.0,62.79,,,0
HCPCS,0696T,Hc Bdy Surf Activation Mapg Pm/Cvdfb Leads Tm F/Up,161.0,62.79,,,0
HCPCS,0697T,Hc Mri Quan Alys Tis Compj Wo Mri Same Sess Mlt Orgn,994.0,387.66,,,0
HCPCS,0697T,Quan mr tis wo mri mlt orgn,,,944.97,3547.36,9
HCPCS,0698T,Hc Mri Quan Alys Tiss Composition W/Mri Mlt Organs,2611.0,1018.29,,,0
HCPCS,0698T,Quan mr tiss w/mri mlt orgn,,,944.97,3547.36,9
HCPCS,0699T,Njx pst chmbr eye medication,,,2344.09,8799.58,11
HCPCS,0707T,Njx b1 sub mtrl sbchdrl dfct,,,3323.41,12475.93,11
HCPCS,0708T,Id ca immntx prep & 1st njx,,,6859.0,6859.0,1
HCPCS,0709T,Id ca immntx each addl njx,,,6859.0,6859.0,1
HCPCS,0712T,N-nvs artl plaq alys quan,,,219.32,823.3,9
HCPCS,0714T,Tprnl lsr ablt b9 prst8 hypr,,,4714.0,20444.19,11
HCPCS,0716T,Car acous wavfrm rec cad rsk,,,59.92,2665.0,10
HCPCS,0717T,Adrc ther prtl rc tear,,,3599.41,13512.0,11
HCPCS,0718T,Adrc ther prtl rc tear njx,,,3391.0,13512.0,11
HCPCS,0719T,Pst vrt jt rplcmt lmbr 1 sgm,,,6859.0,8245.0,2
HCPCS,0720T,Prq elc nrv stim cn wo implt,,,5272.0,5272.0,1
HCPCS,0721T,Hc Ct Quan Ct Tiss Charac I And R Without Cncrnt Ct Exam,2117.0,825.63,,,0
HCPCS,0722T,Hc Ct Quan Ct Tiss Charac I And R With Cncrnt Ct Exam,2117.0,825.63,,,0
HCPCS,0723T,Qmrcp w/o dx mri sm anat ses,,,944.97,3547.36,9
HCPCS,0724T,Qmrcp w/dx mri same anatomy,,,944.97,3547.36,9
HCPCS,0725T,Vestibular dev impltj uni,,,6859.0,9000.0,2
HCPCS,0726T,Rmvl implt vstibular dev uni,,,5809.0,6859.0,2
HCPCS,0727T,Rmvl&rplcmt implt vstblr dev,,,6859.0,9000.0,2
HCPCS,0730T,Trabeculotomy lsr w/oct gdn,,,6389.0,6859.0,2
HCPCS,0731T,Augmnt ai-based fcl phnt a/r,,,59.92,224.93,9
HCPCS,0732T,Immntx admn electroporatn im,,,6859.0,6859.0,1
HCPCS,0735T,Prep tum cav iort prim crnot,,,2665.0,3391.0,2
HCPCS,0736T,Colonic lavage 35+l water,,,130.69,3391.0,11
HCPCS,0737T,Xenograft impltj artclr surf,,,4714.0,48953.07,11
HCPCS,0739T,Abltj mal prst8 mag fld ndct,,,4714.0,6859.0,2
HCPCS,0740T,Rem auton alg nsln cal setup,,,59.92,224.93,9
HCPCS,0742T,Hc Nm Heart Spect Single Aqmbf At Rest And Stress Add-On,4796.0,1870.44,,,0
HCPCS,0743T,B1 str & fx rsk vrt fx assmt,,,242.35,909.77,9
HCPCS,0744T,Insj bioprostc vlv fem vn,,,5651.92,21217.03,11
HCPCS,0745T,Car ablt rad arr n-invas loc,,,6859.0,6859.0,1
HCPCS,0746T,Car ablt rad arr cnv loc map,,,6859.0,6859.0,1
HCPCS,0747T,Car ablt rad arrhyt dlvr rad,,,6859.0,6859.0,1
HCPCS,0748T,Njx stm cl prdct anl sft tis,,,3391.0,6859.0,2
HCPCS,0764T,Asstv alg ecg rsk asmt cncrt,,,135.14,507.3,9
HCPCS,0765T,Asstv alg ecg rsk asmt prev,,,135.14,507.3,9
HCPCS,0766T,Tc mag stimj pn 1st tx 1nrv,,,219.32,823.3,9
HCPCS,0775T,Arthrd si jt prq iartic impl,,,5063.0,5063.0,1
HCPCS,0777T,R-t prs sensing edrl gdn sys,,,3391.0,3391.0,1
HCPCS,0778T,Hc Surface Mechanomyogrphy Imu Snsor Meas Rom - Pt,673.0,262.47,,,0
HCPCS,0778T,Smmg cncrnt appl imu snr,,,130.69,490.62,9
HCPCS,0779T,Gi myoelectrical actv study,,,379.02,1422.83,9
HCPCS,0780T,Instlj fecal microbiota ssp,,,135.14,3391.0,11
HCPCS,0781T,Brnchsc rf dstrj pulm nrv bi,,,5809.0,6859.0,2
HCPCS,0782T,Brnchsc rf dstrj plm nrv uni,,,5809.0,6859.0,2
HCPCS,0783T,Tc auriculr neurostimulation,,,130.69,490.62,9
HCPCS,0784T,Ins/rplmt eltrd ra spi nstim,,,5809.0,42486.39,11
HCPCS,0785T,Revj/rmvl nea spi w/nstim,,,3391.0,13330.43,11
HCPCS,0786T,Insj/rplcmt prq ra sac nstim,,,5809.0,42486.39,11
HCPCS,0787T,Revj/rmvl nea sac w/nstim,,,3391.0,13330.43,11
HCPCS,0788T,Elec aly smp iins sp/sac nrv,,,96.56,362.5,9
HCPCS,0788T,Hc Elec Alys Smpl Prgrmg Iins Sp/Sac Nrv 1-3 Param,355.0,138.45,,,0
HCPCS,0789T,Elec aly cpx iins sp/sac nrv,,,96.56,362.5,9
HCPCS,0790T,Revj rplcmt/rmvl vrt tethrg,,,5063.0,66855.32,11
HCPCS,0793T,Prq tcat thrm ablt nrv p-art,,,9000.0,69897.36,11
HCPCS,0794T,Pt spec alg rx-onc tx option,,,59.92,2665.0,10
HCPCS,0795T,Tcat ins 2chmbr ldls pm cmpl,,,8245.0,73443.6,11
HCPCS,0796T,Tcat ins 2chmbr ldls pm ra,,,6389.0,73443.6,11
HCPCS,0797T,Tcat ins 2chmbr ldls pm rv,,,6389.0,73443.6,11
HCPCS,0798T,Tcat rmv 2chmbr ldls pm cmpl,,,3207.1,12039.27,11
HCPCS,0799T,Tcat rmvl 2chmbr ldls pm ra,,,3207.1,12039.27,11
HCPCS,0800T,Tcat rmvl 2chmbr ldls pm rv,,,3207.1,12039.27,11
HCPCS,0801T,Tcat rmv&rpl 2chmbr ldls pm,,,9000.0,73443.6,11
HCPCS,0802T,Tcat rmv&rpl2chmb ldls pm ra,,,6760.0,73443.6,11
HCPCS,0803T,Tcat rmv&rpl2chmb ldls pm rv,,,6760.0,73443.6,11
HCPCS,0805T,Tcat s&ivc prstc vl impl prq,,,6859.0,8245.0,2
HCPCS,0806T,Tcat s&ivc prstc vl impl opn,,,6859.0,8245.0,2
HCPCS,0807T,Pulm tiss vntj alys prev ct,,,219.32,823.3,9
HCPCS,0808T,Pulm tiss vntj alys w/ct,,,219.32,823.3,9
HCPCS,0809T,Arthrd si jt prq tfx&implt,,,5063.0,5063.0,1
HCPCS,0810T,Subrta njx rx agt w/vtrc,,,4225.76,15863.29,11
HCPCS,0811T,Rem mlt day uroflow setup,,,135.23,507.64,9
HCPCS,0812T,Rem mlt day uroflow dev sply,,,130.69,490.62,9
HCPCS,0813T,Egd vol adjmt bariatric balo,,,921.24,5272.0,11
HCPCS,0814T,Prq njx biod osteo matrl fem,,,3391.0,6859.0,2
HCPCS,0816T,Opn insj/rplcmt ins ptn subq,,,4714.0,73971.4,11
HCPCS,0817T,Opn insj/rplcmt ins ptn subf,,,4714.0,73971.4,11
HCPCS,0818T,Revj/rmvl ins ptn subq,,,3391.0,13330.43,11
HCPCS,0819T,Revj/rmvl ins ptn subf,,,3391.0,13330.43,11
HCPCS,0823T,Tcat ins 1chmbr ldls pm ra,,,8245.0,73443.6,11
HCPCS,0824T,Tcat rmv 1chmbr ldls pm ra,,,3207.1,12039.27,11
HCPCS,0825T,Tcat rmv&rpl1chmb ldls pm ra,,,8245.0,73443.6,11
HCPCS,0857T,Hc Opto Acoustic Img Breast Uni Augmnt Alys And Reprt,377.0,147.03,,,0
HCPCS,0857T,Opto-acoustic img breast uni,,,106.19,398.63,9
HCPCS,0861T,Hc Removal Pg Wcs Lv Pacing Both Components,12509.0,4878.51,,,0
HCPCS,0861T,Rmvl pg wcs lv both compnt,,,3795.68,14248.79,11
HCPCS,0862T,Rlcj pg wcs lv battery only,,,2095.7,7867.16,11
HCPCS,0863T,Rlcj pg wcs lv trnsmtr only,,,2095.7,7867.16,11
HCPCS,0864T,Low ntsty eswt corpus cvrnsm,,,253.77,3391.0,10
HCPCS,0865T,Quan mri alys brn w/o dx mri,,,242.35,909.77,9
HCPCS,0866T,Quan mri alys brn w/dx mri,,,242.35,909.77,9
HCPCS,0867T,Tpla b9 prst8 hyprplsa>=50ml,,,4714.0,20444.19,11
HCPCS,0868T,Hi-res gastric ep mapping,,,379.02,1422.83,9
HCPCS,0869T,Njx b1 sub mtrl hw fixj aug,,,3323.41,12475.93,11
HCPCS,0870T,Imp subq prtl ascts pmp sys,,,4714.0,6859.0,2
HCPCS,0871T,Rplcmt subq prtl ascites pmp,,,4714.0,6859.0,2
HCPCS,0872T,Rplcmt ndwllg bldr&prtl cath,,,4714.0,6859.0,2
HCPCS,0873T,Revj subq prtl asct pmp sys,,,4714.0,6859.0,2
HCPCS,0874T,Rmvl pertl ascites pmp sys,,,3391.0,6859.0,2
HCPCS,0881T,Cryotherapy oral cavity,,,453.74,1703.33,9
HCPCS,0882T,Intraop ther estim pn ue 1st,,,2665.0,3391.0,2
HCPCS,0883T,Intraop ther estim pn ue ea,,,2665.0,3391.0,2
HCPCS,0884T,Esphgsc flx 1st tndsc dilat,,,5809.0,23147.94,11
HCPCS,0885T,Colsc flx 1st tndsc dilat,,,5809.0,23147.94,11
HCPCS,0886T,Sgmdsc flx 1st tndsc dilat,,,4714.0,23147.94,11
HCPCS,0888T,Histotripsy mal renal tissue,,,6389.0,65313.63,10
HCPCS,0889T,Prsnlz trgt dvl arhfcmrigtbs,,,944.97,3547.36,9
HCPCS,0893T,N-invas assmt bld oxygnation,,,135.14,507.3,9
HCPCS,0894T,Cannulation liver allograft,,,6859.0,6859.0,1
HCPCS,0897T,N-invas augmnt arrhyt alys,,,872.23,3274.32,9
HCPCS,0898T,N-invas prst8 cancer est map,,,872.23,3274.32,9
HCPCS,0901T,Plmt bone marrow smplg port,,,3391.0,6859.0,2
HCPCS,0902T,Qtc ntrvl augmnt alg aly ecg,,,135.14,507.3,9
HCPCS,0904T,Ecg alg 12 ld rdcd trcg only,,,59.92,224.93,9
HCPCS,0906T,Coms ther 1st appl<=50 sq cm,,,203.79,765.01,9
HCPCS,0908T,Opn imp int nstm sys vgs nrv,,,4714.0,117658.44,11
HCPCS,0909T,Rplcmt int nstim sys vgs nrv,,,4714.0,117658.44,11
HCPCS,0910T,Rmvl int nstim sys vagus nrv,,,3391.0,13330.43,11
HCPCS,0911T,Elec aly nstm sys vgs nrv wo,,,59.92,224.93,9
HCPCS,0912T,Elec alys nstim sys vgs smpl,,,96.56,362.5,9
HCPCS,0913T,Prq tcat ther rx ntrac balo1,,,9000.0,44017.26,11
HCPCS,0914T,Prq tcat thr rx ntrc bal sep,,,2665.0,3391.0,2
HCPCS,0915T,Insj perm ccm-d sys pg&eltrd,,,9000.0,119683.73,11
HCPCS,0916T,Insj perm ccm-d sys pg only,,,5809.0,84813.34,11
HCPCS,0917T,Insj perm ccm-d sys 1 lead,,,6389.0,31553.53,11
HCPCS,0918T,Insj perm ccm-d sys dual ld,,,6389.0,31553.53,11
HCPCS,0919T,Rmvl perm ccm-d sys pg only,,,3795.68,14248.79,11
HCPCS,0920T,Rmvl perm ccm-d sys 1 pac ld,,,3795.68,14248.79,11
HCPCS,0921T,Rmvl perm ccm-d sys 1 dfb ld,,,3795.68,14248.79,11
HCPCS,0922T,Rmvl perm ccm-d sys dual ld,,,3795.68,14248.79,11
HCPCS,0923T,Rmvl&rplcmt perm ccm-d pg,,,5809.0,84813.34,11
HCPCS,0924T,Rpos prv ccm-d trnsvns eltrd,,,637.16,4714.0,11
HCPCS,0925T,Rlcj skin pocket ccm-d pg,,,2095.7,7867.16,11
HCPCS,0930T,Ephys eval ccm-d ld 1st impl,,,1236.67,5272.0,11
HCPCS,0931T,Ephys eval ccm-d ld separate,,,1236.67,5272.0,11
HCPCS,0933T,Tcat impl wrls l atr prs snr,,,3292.87,12361.28,11
HCPCS,0935T,Cysto w/rnl pel symp dnrvtj,,,5809.0,6859.0,2
HCPCS,0941T,Cysto flx ins&xpns urtl scaf,,,5809.0,6859.0,2
HCPCS,0942T,Cysto flx rmv&rplc urtl scaf,,,5809.0,6859.0,2
HCPCS,0943T,Cysto flx rmvl urtl scaffold,,,4714.0,6859.0,2
HCPCS,0944T,3d cntr simula trgt lvr les,,,242.35,909.77,9
HCPCS,0945T,Intraop assmt abnl tum tiss,,,3391.0,6859.0,2
HCPCS,0946T,Ortho impl mvmt alys pair ct,,,106.19,398.63,9
HCPCS,0947T,Mrgfus strtctc bl-br disrpj,,,5809.0,5809.0,1
HCPCS,0950T,Abltj b9 prst8 tissue hifu,,,9615.21,36095.01,9
HCPCS,0957T,Rev s-sclp eltr ra rcvr&tlmt,,,1633.26,6131.17,9
HCPCS,0958T,Rmv s-sclp eltr ra rcvr&tlmt,,,3323.41,12475.93,9
HCPCS,0959T,Rmv/rplc magnet coil assem,,,1677.55,6297.43,9
HCPCS,0962T,Asstv alg alys acous&ecg rec,,,135.14,507.3,9
HCPCS,0963T,Anosc sbmcsl njx bulking agt,,,1215.44,4562.72,9
HCPCS,0964T,I&cust prep jaw xpnsj 1arch,,,3367.56,12641.63,9
HCPCS,0965T,I&cst prp jw xpn dl arch non,,,3367.56,12641.63,9
HCPCS,0966T,I&cst prp jw xpn dl arch fxd,,,3367.56,12641.63,9
HCPCS,0967T,Tranal ins tmp clrc anst dev,,,1215.44,4562.72,9
HCPCS,0970T,Ablt b9 brst tum perq lsr ea,,,3976.96,14929.3,9
HCPCS,0971T,Ablt mal brst tum pq lsr uni,,,3976.96,14929.3,9
HCPCS,0973T,Slctv nzmtc dbrdmt t/a/l 1st,,,412.9,1550.02,9
HCPCS,0975T,Slctv nzmtc dbrdmt s/n/hf 1,,,412.9,1550.02,9
HCPCS,0977T,Upr gi bld detcj snr capsule,,,921.24,3458.28,9
HCPCS,0981T,Tcat impl wrls ivc snr,,,18619.69,69897.36,9
HCPCS,0982T,Rem mntr impl ivc snr set-up,,,135.23,507.64,9
HCPCS,0989T,Revj/rmvl ins ptn subq&subf,,,3551.04,13330.43,9
HCPCS,0991T,Cysto lo-nrg lithtrp&mcrsphr,,,9615.21,36095.01,9
HCPCS,0992T,N-invas assmt car rsk w/o ct,,,242.35,909.77,9
HCPCS,0993T,N-invas assmt car rsk w/ct,,,242.35,909.77,9
HCPCS,10004,Fna bx w/o img gdn ea addl,,,2665.0,3391.0,2
HCPCS,10005,Fna bx w/us gdn 1st les,,,719.26,4066.0,12
HCPCS,10005,Hc Us Fine Needle Asp/Bx 1St Lesion,4704.0,1834.56,,,0
HCPCS,10006,Fna bx w/us gdn ea addl,,,2665.0,3391.0,2
HCPCS,10006,Hc Fine Needle Bx W/Us Ea Addl Lesion,1570.0,612.3,,,0
HCPCS,10007,Fna bx w/fluor gdn 1st les,,,719.26,4066.0,12
HCPCS,10007,Hc Fl Fine Needle Bx/Asp Fl Guidance 1St Lesion,4704.0,1834.56,,,0
HCPCS,10008,Fna bx w/fluor gdn ea addl,,,2665.0,3391.0,2
HCPCS,10008,Hc Fl Fine Needle Bx/Asp Fl Guidance Ea Addl,1570.0,612.3,,,0
HCPCS,10009,Fna bx w/ct gdn 1st les,,,719.26,4066.0,12
HCPCS,10009,Hc Ct Fine Needle Bx/Asp Ct Guidance 1St Lesion,4704.0,1834.56,,,0
HCPCS,10010,Fna bx w/ct gdn ea addl,,,2665.0,3391.0,2
HCPCS,10010,Hc Ct Fine Needle Bx/Asp Ct Guidance Ea Addl,1570.0,612.3,,,0
HCPCS,10011,Fna bx w/mr gdn 1st les,,,719.26,4066.0,12
HCPCS,10011,Hc Mr Fine Needle Bx/Asp Mri Guidance 1St Lesion,4704.0,1834.56,,,0
HCPCS,10012,Fna bx w/mr gdn ea addl,,,2665.0,3391.0,2
HCPCS,10012,Hc Mr Fine Needle Bx/Asp Mri Guidance Ea Addl,1570.0,612.3,,,0
HCPCS,10021,Fna w/o image,,,412.9,3391.0,11
HCPCS,10021,Hc Fine Needle Aspiration Bx W/O Img Gdn 1St Lesion,2548.0,993.72,,,0
HCPCS,10022,Fna w/image,,,5063.0,5063.0,1
HCPCS,1002T,Air displacmnt plethysmograp,,,29.38,110.28,9
HCPCS,10030,Guide cathet fluid drainage,,,719.26,4714.0,11
HCPCS,10030,Hc Cath Fluid Drain Soft Tissue Perc,18206.0,7100.34,,,0
HCPCS,10035,Hc Soft Tissue Loc Device Perc 1St Lesion W Imag,5362.0,2091.18,,,0
HCPCS,10035,Perq dev soft tiss 1st imag,,,719.26,4714.0,12
HCPCS,10036,Hc Soft Tissue Loc Device Perc Ea Add Lesion W Imag,5362.0,2091.18,,,0
HCPCS,10036,Perq dev soft tiss add imag,,,2665.0,3391.0,2
HCPCS,1003T,Arthrp 1st crp/mtcrpl prostc,,,13040.42,48953.07,9
HCPCS,10040,Acne surgery,,,203.79,5063.0,11
HCPCS,1004T,Elec alys s-scl eeg wo prgrm,,,135.14,507.3,9
HCPCS,1005T,Elec alys s-scl eeg prgr 1st,,,96.56,362.5,9
HCPCS,10060,Drainage of skin abscess,,,203.79,3391.0,12
HCPCS,10060,Hc I And D Abscess-Simple Or Sing,2038.0,794.82,,,0
HCPCS,10061,Drainage of skin abscess,,,412.9,3391.0,13
HCPCS,10061,Hc Drainage Of Skin Abscess,2038.0,794.82,,,0
HCPCS,10061,Hc I And D Abscess Complx-Mult,2038.0,794.82,,,0
HCPCS,10080,Drainage of pilonidal cyst,,,719.26,4066.0,12
HCPCS,10080,Hc I And D Pilonidal Cyst Simple,2038.0,794.82,,,0
HCPCS,10081,Drainage of pilonidal cyst,,,719.26,4066.0,12
HCPCS,10081,Hc I And D Pilonidal Cyst Complicated,16172.0,6307.08,,,0
HCPCS,1008T,Rem mntr s-scl eeg sys setup,,,135.23,507.64,9
HCPCS,1010T,Cptr oph alys monoc eye mvmt,,,135.14,507.3,9
HCPCS,10120,Hc Fb Remove Skin Subq-Simple,3932.0,1533.48,,,0
HCPCS,10120,Remove foreign body,,,412.9,3391.0,12
HCPCS,10121,Hc Incision And Removal Foreign Body Subq Tiss Compl,20404.0,7957.56,,,0
HCPCS,10121,Remove foreign body,,,1677.55,6297.43,13
HCPCS,1013T,Lap srg imp/rpl eso nea&pg/r,,,19704.96,73971.4,9
HCPCS,10140,Drainage of hematoma/fluid,,,1308.0,6297.43,12
HCPCS,10140,Hc Incision/Drainage Of Hematoma/Fluid,18086.0,7053.54,,,0
HCPCS,1014T,Lap rv/rmv eso sph nstm eltr,,,11317.78,42486.39,9
HCPCS,1015T,Rev/rmv lw esoph sphnc npg/r,,,3551.04,13330.43,9
HCPCS,10160,Hc Puncture Aspiration Of Abscess/Hematoma/Bulla Or Cyst,2038.0,794.82,,,0
HCPCS,10160,Puncture drainage of lesion,,,412.9,3391.0,11
HCPCS,1017T,Elec aly npgs esoph sbsq w/o,,,59.92,224.93,9
HCPCS,10180,Complex drainage wound,,,1694.0,11075.49,13
HCPCS,10180,Hc I And D Complex Po Wound Infection,24881.0,9703.59,,,0
HCPCS,1019T,Lymphovenous bypass per xtr,,,6744.51,25318.53,9
HCPCS,1020T,Raman spectroscopy 1+skn les,,,59.92,224.93,9
HCPCS,1021T,Active thrc irrigation spx,,,637.16,2391.87,9
HCPCS,1025T,Alt elec fld dos&dlv sim mdl,,,136.52,512.49,9
HCPCS,11000,Debride infected skin,,,412.9,3391.0,12
HCPCS,11000,Hc Dbrdmt Extensv Eczema/Infect Skn Up 10 Pct Bdy Surf,2187.0,852.93,,,0
HCPCS,11001,Debride infected skin add-on,,,1694.0,3391.0,3
HCPCS,11001,Hc Dbrdmt Extnsve Eczmt/Infct Skn Ea Addl 10 Percent,274.0,106.86,,,0
HCPCS,11004,Debride genitalia & perineum,,,5063.0,6859.0,2
HCPCS,11005,Debride abdom wall,,,5063.0,6859.0,2
HCPCS,11006,Debride genit/per/abdom wall,,,5063.0,6859.0,2
HCPCS,11008,Remove mesh from abd wall,,,5063.0,8448.0,2
HCPCS,11010,Debride skin at fx site,,,719.26,4714.0,13
HCPCS,11010,Hc Dbrdmt W/Rmvl Fm Fx And /Dislc Skin And Subq Tissus,2112.0,823.68,,,0
HCPCS,11011,Debride skin musc at fx site,,,719.26,4714.0,13
HCPCS,11011,Hc Dbrdmt W/Rmvl Fm Fx And /Dislc Skn Subq T/M/F Musc,2112.0,823.68,,,0
HCPCS,11012,Deb skin bone at fx site,,,1694.0,11075.49,13
HCPCS,11012,Hc Dbrdmt Fx And /Dislc Subq T/M/F Bone,8406.0,3278.34,,,0
HCPCS,11040,"Debride skin, partial",,,5063.0,5063.0,1
HCPCS,11041,"Debride skin, full",,,5063.0,5063.0,1
HCPCS,11042,Deb subq tissue 20 sq cm/<,,,412.9,4714.0,13
HCPCS,11042,Hc Debride Subq Tissue 1St 20Sqcm Or Less,3932.0,1533.48,,,0
HCPCS,11043,Deb musc/fascia 20 sq cm/<,,,750.69,4714.0,13
HCPCS,11043,Hc Debride Inc Muscle/Fascia 1St 20Sqcm Or Less,3932.0,1533.48,,,0
HCPCS,11044,Deb bone 20 sq cm/<,,,1677.55,6297.43,13
HCPCS,11044,Hc Debride Inc Muscle/Bone/Fascia 1St 20Sqcm Or Less,9284.0,3620.76,,,0
HCPCS,11045,Deb subq tissue add-on,,,2665.0,3391.0,2
HCPCS,11045,Hc Hc Debride Subq Ea Add 20 Sqcm,2123.0,827.97,,,0
HCPCS,11046,Deb musc/fascia add-on,,,2665.0,3391.0,2
HCPCS,11046,Hc Debride Inc Muscle/Fascia Ea Add 20 Sqcm Or Less,2375.0,926.25,,,0
HCPCS,11047,Deb bone add-on,,,2665.0,3391.0,2
HCPCS,11047,Hc Debride Inc Muscle/Bone Ea Add 20 Sqcm Or Less,6345.0,2474.55,,,0
HCPCS,11050,Description Not Available,,,5063.0,5063.0,1
HCPCS,11051,Description Not Available,,,5063.0,5063.0,1
HCPCS,11052,Description Not Available,,,5063.0,5063.0,1
HCPCS,11055,Hc Paring/Cutting Benign Hyperkeratotic Lesion 1,1045.0,407.55,,,0
HCPCS,11055,Trim skin lesion,,,203.79,3391.0,11
HCPCS,11056,Hc Paring/Cutting Benign Hyperkeratotic Lesion 2-4,1364.0,531.96,,,0
HCPCS,11056,Trim skin lesions 2 to 4,,,203.79,3391.0,11
HCPCS,11057,Hc Paring/Cutting Benign Hyperkeratotic Lesions Over 4,1420.0,553.8,,,0
HCPCS,11057,Trim skin lesions over 4,,,203.79,3391.0,11
HCPCS,11100,Biopsy skin lesion,,,5063.0,5063.0,1
HCPCS,11101,Biopsy skin add-on,,,5063.0,5063.0,1
HCPCS,11102,Hc Tangntl Bx Skin Single Les,1436.0,560.04,,,0
HCPCS,11102,Tangntl bx skin single les,,,412.9,3391.0,11
HCPCS,11103,Hc Tangntl Bx Skin Les Ea Addl,514.0,200.46,,,0
HCPCS,11103,Tangntl bx skin ea sep/addl,,,2665.0,3391.0,2
HCPCS,11104,Hc Punch Bx Skin Single Les,1436.0,560.04,,,0
HCPCS,11104,Punch bx skin single lesion,,,412.9,3391.0,11
HCPCS,11105,Hc Punch Bx Skin Les Ea Addl,484.0,188.76,,,0
HCPCS,11105,Punch bx skin ea sep/addl,,,2665.0,3391.0,2
HCPCS,11106,Hc Incsl Bx Of Skin Singl Les,2552.0,995.28,,,0
HCPCS,11106,Incal bx skn single les,,,750.69,4066.0,12
HCPCS,11107,Hc Incisional Biopsy Skin Ea Sep/Additional Lesion,853.0,332.67,,,0
HCPCS,11107,Incal bx skn ea sep/addl,,,2665.0,3391.0,2
HCPCS,11200,Hc Removal Of Skin Tags 15 Or Less Any Area,1029.0,401.31,,,0
HCPCS,11200,Removal of skin tags <w/15,,,203.79,3391.0,12
HCPCS,11201,Hc Rmvl Skin Tags Mlt Fibrq Tags Any Ea Addl 10,430.0,167.7,,,0
HCPCS,11201,Remove skin tags add-on,,,2665.0,5063.0,2
HCPCS,11300,Hc Shave Skin Lesion Trunk/Arm/Leg 0.5 Cm Diam Or Less,408.0,159.12,,,0
HCPCS,11300,Shave skin lesion 0.5 cm/<,,,412.9,5063.0,11
HCPCS,11301,Hc Shave Lesion 1 Trunk Arm Leg 0.6 To 1.0 Cm,356.0,138.84,,,0
HCPCS,11301,Shave skin lesion 0.6-1.0 cm,,,203.79,5063.0,11
HCPCS,11302,Hc Shave Lesion 1 Trunk Arm Leg ?1.1 To 2.0 Cm,951.0,370.89,,,0
HCPCS,11302,Shave skin lesion 1.1-2.0 cm,,,203.79,5063.0,11
HCPCS,11303,Hc Shave Lesion 1 Trunk Arm Leg ?Over 2.0 Cm,1250.0,487.5,,,0
HCPCS,11303,Shave skin lesion >2.0 cm,,,412.9,5063.0,12
HCPCS,11305,Hc Shaving Skin Lesion 1 Scalp Neck Hands Feet Genitalia 0.5 Cm Or Less,356.0,138.84,,,0
HCPCS,11305,Shave skin lesion 0.5 cm/<,,,203.79,5063.0,11
HCPCS,11306,Hc Shaving Skin Lesion 1 Scalp Neck Hands Feet Genitalia 0.6 To 1.0 Cm,356.0,138.84,,,0
HCPCS,11306,Shave skin lesion 0.6-1.0 cm,,,203.79,5063.0,11
HCPCS,11307,Hc Shaving Skin Lesion 1 Scalp Neck Hands Feet Genitalia 1.1-2.0 Cm,400.0,156.0,,,0
HCPCS,11307,Shave skin lesion 1.1-2.0 cm,,,203.79,5063.0,11
HCPCS,11308,Hc Shaving Skin Lesion 1 Scalp Neck Hands Feet Genitalia?Over 2.0 Cm,5616.0,2190.24,,,0
HCPCS,11308,Shave skin lesion >2.0 cm,,,412.9,5063.0,11
HCPCS,11310,Hc Shave Les Face/Ears Eyelids/Nose/Lips 0.5 Cm,892.0,347.88,,,0
HCPCS,11310,Shave skin lesion 0.5 cm/<,,,203.79,5063.0,11
HCPCS,11311,Hc Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6 To 1.0 Cm,420.0,163.8,,,0
HCPCS,11311,Shave skin lesion 0.6-1.0 cm,,,203.79,5063.0,11
HCPCS,11312,Hc Shvg Skin Lesion 1 Face Ears Eyelids Nose Lips Muc Memb 1.1-2.0 Cm,520.0,202.8,,,0
HCPCS,11312,Shave skin lesion 1.1-2.0 cm,,,412.9,5063.0,11
HCPCS,11313,Hc Shaving Skin Lesion 1 Face Ears Eyelids Nose Lips Muc Memb Over 2.0 Cm,4883.0,1904.37,,,0
HCPCS,11313,Shave skin lesion >2.0 cm,,,412.9,5063.0,11
HCPCS,11400,Exc tr-ext b9+marg 0.5 cm<,,,719.26,4066.0,13
HCPCS,11400,Hc Exc Benign Lesion Mrgn Xcp Sk Tg Trunk Arms Legs 0.5 Cm Or Less,1602.0,624.78,,,0
HCPCS,11401,Exc tr-ext b9+marg 0.6-1 cm,,,412.9,3391.0,13
HCPCS,11401,Hc Exc Lesion Trunk/Arms/Legs Benign Marg 0.6-1 Cm,5014.0,1955.46,,,0
HCPCS,11402,Exc tr-ext b9+marg 1.1-2 cm,,,719.26,4066.0,13
HCPCS,11402,Hc Exc Benign Lesion Mrgn Xcp Sk Tg Trunk Arms Legs 1.1 To 2.0 Cm,3694.0,1440.66,,,0
HCPCS,11403,Exc tr-ext b9+marg 2.1-3cm/<,,,719.26,4066.0,13
HCPCS,11403,Hc Exc Benign Lesion Mrgn Xcp Sk Tg Trunk Arms Legs 2.1 To 3.0 Cm,3150.0,1228.5,,,0
HCPCS,11404,Exc tr-ext b9+marg 3.1-4 cm,,,1308.0,6297.43,13
HCPCS,11404,Hc Exc Benign Lesion Mrgn Xcp Sk Tg Trunk Arms Legs 3.1 To 4.0 Cm,5241.0,2043.99,,,0
HCPCS,11406,Exc tr-ext b9+marg >4.0 cm,,,1677.55,6297.43,13
HCPCS,11406,Hc Exc Lesion Trunk/Arms/Legs Benign Marg Over 4.0Cm,8670.0,3381.3,,,0
HCPCS,11420,Er Excision Lesion Benign Scal,2380.0,928.2,,,0
HCPCS,11420,Exc h-f-nk-sp b9+marg 0.5/<,,,1308.0,6297.43,13
HCPCS,11420,Hc Excision B9 Lesion Marg S/N/H/F/G 0.5Cm Or Less,5618.0,2191.02,,,0
HCPCS,11421,Exc h-f-nk-sp b9+marg 0.6-1,,,719.26,4714.0,13
HCPCS,11421,Hc Excision Benign Lesion 0.6 To 1.0 Cm,10273.0,4006.47,,,0
HCPCS,11422,Exc h-f-nk-sp b9+marg 1.1-2,,,1308.0,6297.43,13
HCPCS,11422,Hc Excision Benign Lesion 1.1 To 2.0 Cm,12725.0,4962.75,,,0
HCPCS,11423,Exc h-f-nk-sp b9+marg 2.1-3,,,1308.0,6297.43,13
HCPCS,11423,Hc Excision Benign Lesion 2.1 To 3.0 Cm,14585.0,5688.15,,,0
HCPCS,11424,Exc h-f-nk-sp b9+marg 3.1-4,,,1677.55,6297.43,13
HCPCS,11424,Hc Excision Begin Lesion Mrgn Xcp Sk Tg S/N/H/F/G 3.1-4.0Cm,5754.0,2244.06,,,0
HCPCS,11426,Exc h-f-nk-sp b9+marg >4 cm,,,1694.0,11075.49,13
HCPCS,11426,Hc Exc Benign Lesion Margn Except Sking Tag S/N/H/F/G Over 4.0 Cm,3694.0,1440.66,,,0
HCPCS,11426,Hc Exc Benign Lesion Mrgn Xcp Sk Tg Scalp Neck Hands Feet Genitalia Over 4.0 Cm,8553.0,3335.67,,,0
HCPCS,11440,Exc face-mm b9+marg 0.5 cm/<,,,719.26,4714.0,13
HCPCS,11440,Hc Exc Benign Lesion Mrgn Xcp Sk Tg Face Ears Eyelids Nose Lips Muc Memb 0.5Cm Or Less,1481.0,577.59,,,0
HCPCS,11441,Exc face-mm b9+marg 0.6-1 cm,,,719.26,4714.0,13
HCPCS,11441,Hc Excision Begin Les Mrgn Xcp Sk Tg F/E/E/N/L/M 0.6-1.0Cm,1450.0,565.5,,,0
HCPCS,11442,Exc face-mm b9+marg 1.1-2 cm,,,719.26,4066.0,13
HCPCS,11442,Hc Excision Begin Les Mrgn Xcp Sk Tg F/E/E/N/L/M 1.1-2.0Cm,2373.0,925.47,,,0
HCPCS,11443,Exc face-mm b9+marg 2.1-3 cm,,,1308.0,6297.43,13
HCPCS,11443,Hc Excsision Begin Les Mrgn Xcp Sk Tg F/E/E/N/L/M 2.1-3.0Cm,256.0,99.84,,,0
HCPCS,11444,Exc face-mm b9+marg 3.1-4 cm,,,1308.0,6297.43,13
HCPCS,11444,Hc Exc Benign Les Mrgn Xcp Sk Tg Face Ears Eyelids Nose Lips Muc Memb 3.1 To 4.0 Cm,520.0,202.8,,,0
HCPCS,11446,Exc face-mm b9+marg >4 cm,,,1694.0,11075.49,13
HCPCS,11446,Hc Exc Begin Lesion Mrgn Xcp Sk Tg F/E/E/N/L/M Over 4.0 Cm,6882.0,2683.98,,,0
HCPCS,11450,Hc Excision Hidradenitis Axillary Simple Or Interm Rpr,936.0,365.04,,,0
HCPCS,11450,Removal sweat gland lesion,,,1694.0,11075.49,13
HCPCS,11451,Removal sweat gland lesion,,,1694.0,11075.49,13
HCPCS,11462,Removal sweat gland lesion,,,1694.0,11075.49,13
HCPCS,11463,Removal sweat gland lesion,,,1694.0,11075.49,13
HCPCS,11470,Hc Excision Hidradenitis Perianal Perineal Umb Simple Or Interm Rpr,8716.0,3399.24,,,0
HCPCS,11470,Removal sweat gland lesion,,,1694.0,11075.49,13
HCPCS,11471,Removal sweat gland lesion,,,1694.0,11075.49,13
HCPCS,11600,Exc tr-ext mal+marg 0.5 cm/<,,,719.26,4066.0,12
HCPCS,11600,Hc Excision Mal Lesion Trunk Arm Leg 0.5 Cm Or Less,1623.0,632.97,,,0
HCPCS,11601,Exc tr-ext mal+marg 0.6-1 cm,,,719.26,4066.0,13
HCPCS,11601,Hc Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm,2112.0,823.68,,,0
HCPCS,11602,Exc tr-ext mal+marg 1.1-2 cm,,,412.9,3391.0,13
HCPCS,11602,Hc Excision Mal Lesion Trunk/Arm/Leg 1.1-2.0 Cm,2534.0,988.26,,,0
HCPCS,11603,Exc tr-ext mal+marg 2.1-3 cm,,,719.26,4066.0,13
HCPCS,11603,Hc Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm,3965.0,1546.35,,,0
HCPCS,11604,Exc tr-ext mal+marg 3.1-4 cm,,,719.26,4714.0,13
HCPCS,11604,Hc Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm,3390.0,1322.1,,,0
HCPCS,11606,Exc tr-ext mal+marg >4 cm,,,1677.55,6297.43,13
HCPCS,11606,Hc Exc Malignant Lesion Trunk/Arm/Leg Over 4.0 Cm,4883.0,1904.37,,,0
HCPCS,11620,Exc h-f-nk-sp mal+marg 0.5/<,,,1677.55,6297.43,12
HCPCS,11621,Exc s/n/h/f/g mal+mrg 0.6-1,,,719.26,4066.0,12
HCPCS,11621,Hc Excision Malig Lesion Scl/Nck/Hnd/Ft/Grn 0.6 To 1.0 Cm,2730.0,1064.7,,,0
HCPCS,11622,Exc s/n/h/f/g mal+mrg 1.1-2,,,719.26,4066.0,12
HCPCS,11622,Hc Excision Malignant Lesion S/N/H/F/G 1.1-2.0 Cm,2730.0,1064.7,,,0
HCPCS,11623,Exc s/n/h/f/g mal+mrg 2.1-3,,,1677.55,6297.43,11
HCPCS,11623,Hc Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm,4742.0,1849.38,,,0
HCPCS,11624,Exc s/n/h/f/g mal+mrg 3.1-4,,,1677.55,6297.43,13
HCPCS,11624,Hc Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm,5897.0,2299.83,,,0
HCPCS,11626,Exc s/n/h/f/g mal+mrg >4 cm,,,1694.0,11075.49,13
HCPCS,11626,Hc Excision Malig Lesion Scl Nck Hnd Ft Grn Greater Than 4.0 Cm,9502.0,3705.78,,,0
HCPCS,11640,Exc f/e/e/n/l mal+mrg 0.5cm<,,,719.26,4714.0,13
HCPCS,11640,Hc Excision Malig Lesion Fac/Ear/Eyl/Nos/Lip/Muc Memb 0.5 Cm Or Less,3390.0,1322.1,,,0
HCPCS,11641,Exc f/e/e/n/l mal+mrg 0.6-1,,,719.26,4714.0,13
HCPCS,11642,Exc f/e/e/n/l mal+mrg 1.1-2,,,719.26,4714.0,13
HCPCS,11642,Hc Excision Malignant Lesion F/E/E/N/L 1.1-2.0 Cm,3390.0,1322.1,,,0
HCPCS,11643,Exc f/e/e/n/l mal+mrg 2.1-3,,,1308.0,6297.43,13
HCPCS,11643,Hc Excision Malig Lesion Fac/Ear/Eyl/Nos/Lip/Muc Memb 2.1 To 3.0 Cm,2730.0,1064.7,,,0
HCPCS,11644,Exc f/e/e/n/l mal+mrg 3.1-4,,,1677.55,6297.43,13
HCPCS,11646,Exc f/e/e/n/l mal+mrg >4 cm,,,1694.0,11075.49,13
HCPCS,11700,Description Not Available,,,5063.0,5063.0,1
HCPCS,11701,Description Not Available,,,5063.0,5063.0,1
HCPCS,11710,Description Not Available,,,5063.0,5063.0,1
HCPCS,11711,Description Not Available,,,5063.0,5063.0,1
HCPCS,11719,Hc Trimming Nondystrophic Nails Any Number,1208.0,471.12,,,0
HCPCS,11719,Trim nail(s) any number,,,59.92,5063.0,11
HCPCS,11720,Debride nail 1-5,,,59.92,3391.0,11
HCPCS,11720,Hc Debridement Nail Any Method 1-5,1079.0,420.81,,,0
HCPCS,11721,Debride nail 6 or more,,,59.92,3391.0,11
HCPCS,11721,Hc Debridement Nail Any Method 6 Or More Nails,1208.0,471.12,,,0
HCPCS,11730,Hc Avulsion Nail Plate Partial/Complete Simple 1,2071.0,807.69,,,0
HCPCS,11730,Removal of nail plate,,,203.79,3391.0,12
HCPCS,11731,Description Not Available,,,5063.0,5063.0,1
HCPCS,11732,Hc Nail Plate Avulsion Addtl,1079.0,420.81,,,0
HCPCS,11732,Remove nail plate add-on,,,2665.0,3391.0,2
HCPCS,11740,Drain blood from under nail,,,135.14,3391.0,11
HCPCS,11740,Hc Drain Subugual Hematoma,612.0,238.68,,,0
HCPCS,11750,Hc Excision Nail/Nail Matrix Includes Ingrown,6437.0,2510.43,,,0
HCPCS,11750,Removal of nail bed,,,412.9,3391.0,13
HCPCS,11752,Remove nail bed/finger tip,,,5063.0,5063.0,1
HCPCS,11755,Biopsy nail unit,,,719.26,4066.0,12
HCPCS,11755,Hc Biopsy Nail Unit Separate Procedure,2157.0,841.23,,,0
HCPCS,11760,Hc Nail Bed Repair,4430.0,1727.7,,,0
HCPCS,11760,Repair of nail bed,,,750.69,3391.0,11
HCPCS,11762,Reconstruction of nail bed,,,1694.0,7867.16,12
HCPCS,11765,Excision of nail fold toe,,,412.9,3391.0,12
HCPCS,11765,Hc Toenail Wedge Resection,1208.0,471.12,,,0
HCPCS,11770,Remove pilonidal cyst simple,,,1937.0,11075.49,13
HCPCS,11771,Remove pilonidal cyst exten,,,1937.0,11075.49,13
HCPCS,11772,Remove pilonidal cyst compl,,,1937.0,11075.49,13
HCPCS,11900,Hc Injection Intralesional Up To And Includ 7 Lesions,351.0,136.89,,,0
HCPCS,11900,Inject skin lesions <=w 7,,,203.79,3391.0,11
HCPCS,11901,Hc Injection Intralesional More Than 7 Lesions,332.0,129.48,,,0
HCPCS,11901,Inject skin lesions >7,,,203.79,3391.0,11
HCPCS,11920,Correct skin color 6.0 cm/<,,,750.69,3391.0,11
HCPCS,11921,Correct skn color 6.1-20.0cm,,,750.69,3391.0,11
HCPCS,11922,Correct skin color ea 20.0cm,,,2665.0,3391.0,2
HCPCS,11950,Hc Subcutaneous Injection Filling Material 1 Cc Or Less,350.0,136.5,,,0
HCPCS,11950,Tx contour defects 1 cc/<,,,203.79,5063.0,11
HCPCS,11951,Tx contour defects 1.1-5.0cc,,,750.69,5063.0,12
HCPCS,11952,Tx contour defects 5.1-10cc,,,750.69,5063.0,11
HCPCS,11954,Tx contour defects >10.0 cc,,,750.69,5063.0,11
HCPCS,11960,Insert tissue expander(s),,,1694.0,13512.0,13
HCPCS,11970,Replace tissue expander,,,1937.0,27667.48,13
HCPCS,11971,Remove tissue expander(s),,,1308.0,11075.49,13
HCPCS,11975,Insert contraceptive cap,,,5063.0,5063.0,1
HCPCS,11976,Hc Removal Implantable Contraceptive Capsules,1266.0,493.74,,,0
HCPCS,11976,Remove contraceptive capsule,,,719.26,4066.0,13
HCPCS,11977,Removal/reinsert contra cap,,,5063.0,5063.0,1
HCPCS,11980,Hc Subcutaneous Hormone Pellet Implantation,626.0,244.14,,,0
HCPCS,11980,Implant hormone pellet(s),,,453.74,3391.0,11
HCPCS,11981,Hc Insertion Drug Delivery Implant,9988.0,3895.32,,,0
HCPCS,11981,Insert drug implant device,,,135.14,3391.0,11
HCPCS,11982,Hc Removal Of Non-Bio Drug Implant,13463.0,5250.57,,,0
HCPCS,11982,Remove drug implant device,,,453.74,3391.0,11
HCPCS,11983,Hc Rmvl W/Rinst Nonbiodegradable Drug Dlvr Implt,1236.0,482.04,,,0
HCPCS,11983,Remove/insert drug implant,,,453.74,3391.0,11
HCPCS,12001,Hc Repair Simple Scalp/Neck/Ax/Genit/Trunk 2.5Cm Or Less,1900.0,741.0,,,0
HCPCS,12001,Rpr s/n/ax/gen/trnk 2.5cm/<,,,203.79,3391.0,11
HCPCS,12002,Hc Wound Body Simp 2.6-7.5,1900.0,741.0,,,0
HCPCS,12002,Rpr s/n/ax/gen/trnk2.6-7.5cm,,,203.79,5063.0,11
HCPCS,12004,Hc Wound Body Simp 7.6-12.5,1900.0,741.0,,,0
HCPCS,12004,Rpr s/n/ax/gen/trk7.6-12.5cm,,,203.79,3391.0,11
HCPCS,12005,Hc Wound Body Simp 12.6-20.0,1900.0,741.0,,,0
HCPCS,12005,Rpr s/n/a/gen/trk12.6-20.0cm,,,412.9,4714.0,13
HCPCS,12006,Hc Wound Body Simp 20.1-30.0,1900.0,741.0,,,0
HCPCS,12006,Rpr s/n/a/gen/trk20.1-30.0cm,,,412.9,4714.0,13
HCPCS,12007,Hc Repair Simple Scalp/Neck/Ax/Genit/Trunk Over 30.0Cm,1900.0,741.0,,,0
HCPCS,12007,Rpr s/n/ax/gen/trnk >30.0 cm,,,203.79,4714.0,13
HCPCS,12011,Hc Repair Simple F/E/E/N/L/M 2.5Cm Or Less,1900.0,741.0,,,0
HCPCS,12011,Rpr f/e/e/n/l/m 2.5 cm/<,,,203.79,5063.0,11
HCPCS,12013,Hc Wound Head Simp 2.6-5.0,1900.0,741.0,,,0
HCPCS,12013,Rpr f/e/e/n/l/m 2.6-5.0 cm,,,203.79,5063.0,11
HCPCS,12014,Hc Wound Head Simp 5.1-7.5,1900.0,741.0,,,0
HCPCS,12014,Rpr f/e/e/n/l/m 5.1-7.5 cm,,,203.79,3391.0,11
HCPCS,12015,Hc Wound Head Simp 7.6-12.5,1900.0,741.0,,,0
HCPCS,12015,Rpr f/e/e/n/l/m 7.6-12.5 cm,,,203.79,3391.0,11
HCPCS,12016,Hc Wound Head Simp 12.6-20,1900.0,741.0,,,0
HCPCS,12016,Rpr fe/e/en/l/m 12.6-20.0 cm,,,412.9,4714.0,13
HCPCS,12017,Hc Wound Head Simp 20.1-30,1900.0,741.0,,,0
HCPCS,12017,Rpr fe/e/en/l/m 20.1-30.0 cm,,,412.9,4714.0,13
HCPCS,12018,Hc Repair Simple Face/Ear/Eye Lid/Nose/Lip/Mouth Over 30 Cm,1900.0,741.0,,,0
HCPCS,12018,Rpr f/e/e/n/l/m >30.0 cm,,,203.79,4714.0,13
HCPCS,12020,Closure of split wound,,,750.69,3391.0,13
HCPCS,12020,Hc Wound Dehiscence Simp,4051.0,1579.89,,,0
HCPCS,12021,Closure of split wound,,,412.9,3391.0,13
HCPCS,12021,Hc Wound Dehiscence W/Packing,3161.0,1232.79,,,0
HCPCS,12031,Hc Repair Intermediate S/A/T/E 2.5Cm Or Less,1900.0,741.0,,,0
HCPCS,12031,Intmd rpr s/a/t/ext 2.5 cm/<,,,412.9,3391.0,11
HCPCS,12032,Hc Wound Body Layer 2.6-7.5,2107.0,821.73,,,0
HCPCS,12032,Intmd rpr s/a/t/ext 2.6-7.5,,,412.9,3391.0,12
HCPCS,12034,Hc Wound Body Layer 7.6-12.5,2305.0,898.95,,,0
HCPCS,12034,Intmd rpr s/tr/ext 7.6-12.5,,,412.9,4714.0,13
HCPCS,12035,Hc Wound Body Layer 12.6-20,2479.0,966.81,,,0
HCPCS,12035,Intmd rpr s/a/t/ext 12.6-20,,,412.9,4714.0,13
HCPCS,12036,Hc Wound Body Layer 20.1-30,4048.0,1578.72,,,0
HCPCS,12036,Intmd rpr s/a/t/ext 20.1-30,,,750.69,4714.0,13
HCPCS,12037,Hc Repair Intermediate Layer Scalp/Underarms/Trunk/Extrem Over 30Cm,4430.0,1727.7,,,0
HCPCS,12037,Intmd rpr s/tr/ext >30.0 cm,,,1694.0,7867.16,13
HCPCS,12041,Hc Repair Intermediate N/H/F/Xtrnl Gent 2.5Cm Or Less,1900.0,741.0,,,0
HCPCS,12041,Intmd rpr n-hf/genit 2.5cm/<,,,412.9,3391.0,12
HCPCS,12042,Hc Wound Body/Ext Layer 2.6-7.5,1900.0,741.0,,,0
HCPCS,12042,Intmd rpr n-hf/genit2.6-7.5,,,412.9,3391.0,11
HCPCS,12044,Hc Wound Body/Ext Layer 7.6-12.5,1900.0,741.0,,,0
HCPCS,12044,Intmd rpr n-hf/genit7.6-12.5,,,750.69,4714.0,13
HCPCS,12045,Hc Wound Body/Ext Layer 12.6-20,4430.0,1727.7,,,0
HCPCS,12045,Intmd rpr n-hf/genit12.6-20,,,750.69,4714.0,13
HCPCS,12046,Hc Wound Body/Ext Layer 20.1-30,4430.0,1727.7,,,0
HCPCS,12046,Intmd rpr n-hf/genit20.1-30,,,750.69,4714.0,13
HCPCS,12047,Hc Repair Intermediate Layer Head/Neck/Feet/Genitals Over 30 Cm,4950.0,1930.5,,,0
HCPCS,12047,Intmd rpr n-hf/genit >30.0cm,,,1694.0,7867.16,13
HCPCS,12051,Hc Repair Intermediate F/E/E/N/L And /Muc 2.5Cm Or Less,1900.0,741.0,,,0
HCPCS,12051,Intmd rpr face/mm 2.5 cm/<,,,412.9,3391.0,11
HCPCS,12052,Hc Wound Head Layer 2.6-5,1900.0,741.0,,,0
HCPCS,12052,Intmd rpr face/mm 2.6-5.0 cm,,,412.9,3391.0,11
HCPCS,12053,Hc Wound Head Layer 5.1-7.5,1900.0,741.0,,,0
HCPCS,12053,Intmd rpr face/mm 5.1-7.5 cm,,,412.9,3391.0,11
HCPCS,12054,Hc Wound Head Layer 7.6-12.5,1900.0,741.0,,,0
HCPCS,12054,Intmd rpr face/mm 7.6-12.5cm,,,412.9,4714.0,13
HCPCS,12055,Hc Wound Head Layer 12.6-20,1900.0,741.0,,,0
HCPCS,12055,Intmd rpr face/mm 12.6-20 cm,,,412.9,4714.0,13
HCPCS,12056,Hc Wound Head Layer 20.1-30,4430.0,1727.7,,,0
HCPCS,12056,Intmd rpr face/mm 20.1-30.0,,,412.9,4714.0,13
HCPCS,12057,Hc Repair Intermediate Layer Face/Ear/Eye Lid/Nose/Lip/Mouth Over 30Cm,4950.0,1930.5,,,0
HCPCS,12057,Intmd rpr face/mm >30.0 cm,,,412.9,4714.0,13
HCPCS,13100,Cmplx rpr trunk 1.1-2.5 cm,,,750.69,4714.0,13
HCPCS,13100,Hc Wound Trunk Comp 1.1-2.5,5696.0,2221.44,,,0
HCPCS,13101,Cmplx rpr trunk 2.6-7.5 cm,,,750.69,5809.0,13
HCPCS,13101,Hc Wound Trunk Comp 2.6-7.5,5696.0,2221.44,,,0
HCPCS,13102,Cmplx rpr trunk addl 5cm/<,,,2323.0,3391.0,3
HCPCS,13102,Hc Repair Complex Trunk Each Addl 5Cm Or Less,965.0,376.35,,,0
HCPCS,13120,"Cmplx Lac 1.1-2.5Cm Sclp,Arm,L",1892.0,737.88,,,0
HCPCS,13120,Cmplx rpr s/a/l 1.1-2.5 cm,,,412.9,4714.0,13
HCPCS,13120,Hc Wound Comp Ext 1.1-2.5,4430.0,1727.7,,,0
HCPCS,13121,Cmplx rpr s/a/l 2.6-7.5 cm,,,412.9,5809.0,13
HCPCS,13121,Hc Wound Comp Ext 2.6-7.5,4430.0,1727.7,,,0
HCPCS,13122,Cmplx rpr s/a/l addl 5 cm/>,,,2323.0,3391.0,3
HCPCS,13122,Hc Repair Complex Scalp/Arm/Leg Ea Addl 5Cm Or Less,4430.0,1727.7,,,0
HCPCS,13131,Cmplx rpr f/c/c/m/n/ax/g/h/f,,,412.9,4714.0,13
HCPCS,13131,Hc Wound Body Comp 1.1-2.5,4430.0,1727.7,,,0
HCPCS,13132,Cmplx rpr f/c/c/m/n/ax/g/h/f,,,412.9,5809.0,13
HCPCS,13132,Hc Wound Body Comp 2.6-7.5,4950.0,1930.5,,,0
HCPCS,13133,Cmplx rpr f/c/c/m/n/ax/g/h/f,,,2323.0,3391.0,3
HCPCS,13133,Hc Repair Complex F/C/C/M/N/Ax/G/H/F Ea Addl 5Cm Or Less,4950.0,1930.5,,,0
HCPCS,13150,Repair of wound or lesion,,,1937.0,5063.0,2
HCPCS,13151,Cmplx rpr e/n/e/l 1.1-2.5 cm,,,750.69,5809.0,13
HCPCS,13151,Hc Wound Head Comp 1.1-2.5,5696.0,2221.44,,,0
HCPCS,13152,Cmplx rpr e/n/e/l 2.6-7.5 cm,,,750.69,5809.0,13
HCPCS,13152,Hc Wound Head Comp 2.6-7.5,5696.0,2221.44,,,0
HCPCS,13153,"Cmplx Lac N,E,E,L Add 5Cm Or <",968.0,377.52,,,0
HCPCS,13153,Cmplx rpr e/n/e/l addl 5cm/<,,,2323.0,5809.0,3
HCPCS,13153,Hc Repair Complx Eyelid/Nose/Ear/Lip Ea Addl 5Cm Or Less,4430.0,1727.7,,,0
HCPCS,13160,Hc Closure Secondary Surg Wound/Dehsn Extsv/Complex,6636.0,2588.04,,,0
HCPCS,13160,Late closure of wound,,,1694.0,13512.0,13
HCPCS,13300,Description Not Available,,,5063.0,5063.0,1
HCPCS,14000,Hc Adjacent Tissue Transfer Or Reargmt Trunk 10 Sq Cm Or Less,5616.0,2190.24,,,0
HCPCS,14000,Tis trnfr trunk 10 sq cm/<,,,1694.0,7867.16,13
HCPCS,14001,Hc Tissue Transfer Rearrange Trunk 10.1-30.0 Sqcm,5970.0,2328.3,,,0
HCPCS,14001,Tis trnfr trunk 10.1-30sqcm,,,1937.0,7867.16,13
HCPCS,14020,Hc Adjacent Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm Or Less,5616.0,2190.24,,,0
HCPCS,14020,Tis trnfr s/a/l 10 sq cm/<,,,1937.0,7867.16,13
HCPCS,14021,Hc Adjt Rearrgmt Scalp Arm Leg 10.1 /30.0 Sq Cm,7145.0,2786.55,,,0
HCPCS,14021,Tis trnfr s/a/l 10.1-30 sqcm,,,1937.0,7867.16,13
HCPCS,14040,Hc Adjacent Tis Trns/Reargmt F/C/C/M/N/A/G/H/F 10Sqcm Or Less,5532.0,2157.48,,,0
HCPCS,14040,Tis trnfr f/c/c/m/n/a/g/h/f,,,1694.0,7867.16,13
HCPCS,14041,Hc Adjacent/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm,7145.0,2786.55,,,0
HCPCS,14041,Tis trnfr f/c/c/m/n/a/g/h/f,,,1937.0,7867.16,13
HCPCS,14060,Hc Adjacent Tis Trnsfr/Rearrgmt E/N/E/L Dfct 10 Sq Cm Or Less,6293.0,2454.27,,,0
HCPCS,14060,Tis trnfr e/n/e/l 10 sq cm/<,,,1937.0,7867.16,13
HCPCS,14061,Hc Adjacent Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm,5261.0,2051.79,,,0
HCPCS,14061,Tis trnfr e/n/e/l10.1-30sqcm,,,1937.0,7867.16,13
HCPCS,14300,Skin tissue rearrangement,,,2323.0,5063.0,2
HCPCS,14301,Hc Adjacent Tis Trnsfr/Reargmt Any Area 30.1-60 Sq Cm,10587.0,4128.93,,,0
HCPCS,14301,Tis trnfr any 30.1-60 sq cm,,,3599.41,13512.0,12
HCPCS,14302,Hc Adjacent Tis Trnsfr/Reargmt Defec Ea Addl 30 Sqcm,7145.0,2786.55,,,0
HCPCS,14302,Tis trnfr addl 30 sq cm/<,,,2665.0,3391.0,2
HCPCS,14350,Filleted finger/toe flap,,,1937.0,7867.16,13
HCPCS,15000,Skin graft,,,1694.0,5063.0,2
HCPCS,15001,Skin graft add-on,,,1308.0,5063.0,2
HCPCS,15002,Hc Prep Site Trunk/Arm/Leg 1St 100 Sqcm Adult Or 1 Pct Body Area Child,4776.0,1862.64,,,0
HCPCS,15002,Wound prep trk/arm/leg,,,750.69,5272.0,12
HCPCS,15003,Hc Prep Site Trunk/Arm/Leg Each Additl 100 Sqcm Adult Or 1 Pct Body Area Child,1991.0,776.49,,,0
HCPCS,15003,Wound prep addl 100 cm,,,2665.0,3391.0,2
HCPCS,15004,Hc Prep Site F/S/N/H/F/G/M/D Gt 1St 100 Sqcm Adult Or 1 Pct Body Area Child,4776.0,1862.64,,,0
HCPCS,15004,Wound prep f/n/hf/g,,,412.9,4714.0,12
HCPCS,15005,Hc Prep Site F/S/N/H/F/G/M/D Gt Each Additl 100 Sqcm Adult Or 1 Pct Body Area Child,2220.0,865.8,,,0
HCPCS,15005,Wnd prep f/n/hf/g addl cm,,,2665.0,3391.0,2
HCPCS,15011,Hrv skn cll ssp agrft 1st 25,,,2095.7,7867.16,11
HCPCS,15012,Hrv skn cll ssp agrft ea add,,,2665.0,3391.0,2
HCPCS,15013,Prepj skn cll ssp agrft 1st,,,5063.0,27059.6,11
HCPCS,15014,Prepj skn cll ssp agrft ea,,,2665.0,5063.0,2
HCPCS,15015,App skn cl ssp agrft t/a/l 1,,,2095.7,7867.16,11
HCPCS,15016,App skn cl ssp agrf t/a/l ea,,,2665.0,3391.0,2
HCPCS,15017,App skn cll ssp f/n/g/hf 1st,,,2095.7,7867.16,11
HCPCS,15018,App skn cll ssp f/n/g/hf ea,,,2665.0,3391.0,2
HCPCS,15040,Harvest cultured skin graft,,,1694.0,7867.16,13
HCPCS,15050,Skin pinch graft,,,750.69,4714.0,13
HCPCS,15100,Skin splt grft trnk/arm/leg,,,1694.0,7867.16,13
HCPCS,15101,Skin splt grft t/a/l add-on,,,1937.0,5809.0,3
HCPCS,15110,Epidrm autogrft trnk/arm/leg,,,1694.0,7867.16,13
HCPCS,15111,Epidrm autogrft t/a/l add-on,,,1308.0,3391.0,3
HCPCS,15115,Epidrm a-grft face/nck/hf/g,,,1694.0,7867.16,13
HCPCS,15116,Epidrm a-grft f/n/hf/g addl,,,1308.0,3391.0,3
HCPCS,15116,Hc Autogrft Epidrm F/N/Hf/G Addl 100 Sq Cm/1 Pct Ba,5849.0,2281.11,,,0
HCPCS,15120,Hc Split Autogrft F/S/N/H/F/G/M/D Gt 1St 100Sqcm Or Less,11694.0,4560.66,,,0
HCPCS,15120,Skn splt a-grft fac/nck/hf/g,,,1694.0,13512.0,13
HCPCS,15121,Skn splt a-grft f/n/hf/g add,,,1937.0,5809.0,3
HCPCS,15130,Derm autograft trnk/arm/leg,,,1694.0,7867.16,13
HCPCS,15131,Derm autograft t/a/l add-on,,,1308.0,3391.0,3
HCPCS,15135,Derm autograft face/nck/hf/g,,,1694.0,13512.0,13
HCPCS,15136,Derm autograft f/n/hf/g add,,,1308.0,3391.0,3
HCPCS,15150,Cult skin grft t/arm/leg,,,1694.0,7867.16,13
HCPCS,15151,Cult skin grft t/a/l addl,,,1308.0,3391.0,3
HCPCS,15152,Cult skin graft t/a/l +%,,,1308.0,3391.0,3
HCPCS,15155,Cult skin graft f/n/hf/g,,,1694.0,13512.0,13
HCPCS,15156,Cult skin grft f/n/hfg add,,,1308.0,3391.0,3
HCPCS,15157,Cult epiderm grft f/n/hfg +%,,,1308.0,3391.0,3
HCPCS,15170,Acell graft trunk/arms/le,,,5063.0,5063.0,1
HCPCS,15171,Acell graft t/arm/leg add,,,5063.0,5063.0,1
HCPCS,15175,"Acellular graft, f/n/hf/g",,,5063.0,5063.0,1
HCPCS,15176,"Acell graft, f/n/hf/g add",,,5063.0,5063.0,1
HCPCS,15200,Hc Full Thickness Gft Free With Direct Closure Trunk 20 Sq Cmor Less,5616.0,2190.24,,,0
HCPCS,15200,Skin full graft trunk,,,1937.0,7867.16,13
HCPCS,15201,Skin full graft trunk add-on,,,1694.0,4714.0,3
HCPCS,15220,Skin full graft sclp/arm/leg,,,1694.0,7867.16,13
HCPCS,15221,Skin full graft add-on,,,1694.0,4714.0,3
HCPCS,15240,Hc Full Thickness Gft Free With Direct Clsr F/C/C/M/N/Ax/G/H/F 20Sqcm Or Less,5936.0,2315.04,,,0
HCPCS,15240,Skin full grft face/genit/hf,,,1937.0,7867.16,13
HCPCS,15241,Skin full graft add-on,,,1937.0,5809.0,3
HCPCS,15260,Hc Full Thickness Gft Free Wwith Direct Closure N/E/E/L 20 Sq Cm Or Less,5291.0,2063.49,,,0
HCPCS,15260,Skin full graft een & lips,,,1694.0,7867.16,13
HCPCS,15261,Skin full graft add-on,,,1694.0,4714.0,3
HCPCS,15271,Hc Apply Skin Sub T/A/L Area Under 100Sqcm 1St 25Sqcm Or Less,3000.0,1170.0,,,0
HCPCS,15271,Skin sub graft trnk/arm/leg,,,750.69,5272.0,12
HCPCS,15272,Hc Apply Skin Sub T/A/L Ea Addl 25Sqcm Or Less Area Under 100Sqcm,1279.0,498.81,,,0
HCPCS,15272,Skin sub graft t/a/l add-on,,,2665.0,3391.0,2
HCPCS,15273,Hc Apply Skin Sub T/A/L 1St 100Sqcm Or Less Adult/Child 1 Pct Tbsa,5167.0,2015.13,,,0
HCPCS,15273,Skin sub grft t/arm/lg child,,,2095.7,8448.0,12
HCPCS,15274,Hc Apply Skin Sub T/A/L Ea Addl 100Sqcm Or Less Adult/Child 1 Pct Tbsa,1279.0,498.81,,,0
HCPCS,15274,Skn sub grft t/a/l child add,,,2665.0,3391.0,2
HCPCS,15275,Hc Apply Skin Sub Face/Nk/Hf/G Area Under 100Sqcm 1St 25Sqcm Or Less,3000.0,1170.0,,,0
HCPCS,15275,Skin sub graft face/nk/hf/g,,,750.69,5272.0,12
HCPCS,15276,Hc Apply Skin Sub Face/Nk/Hf/G Ea Addl 25 Sqcm Or Less Or 100 Sqcm Or Less,1536.0,599.04,,,0
HCPCS,15276,Skin sub graft f/n/hf/g addl,,,2665.0,3391.0,2
HCPCS,15277,Hc Apply Skin Sub Face/Nk/Hf/G 1St 100Sqcm Or Less Adult/Child 1 Pct Tbsa,3000.0,1170.0,,,0
HCPCS,15277,Skn sub grft f/n/hf/g child,,,2095.7,7867.16,12
HCPCS,15278,Hc Apply Skin Sub Face/Nk/Hf/G Ea Addl 100 Sqcm Or Less Adult/Child 1 Pct Tbsa,1279.0,498.81,,,0
HCPCS,15278,Skn sub grft f/n/hf/g ch add,,,2665.0,3391.0,2
HCPCS,15300,"Apply skinallogrft, t/arm",,,1694.0,5063.0,2
HCPCS,15301,Apply sknallogrft t/a/l a,,,1308.0,5063.0,2
HCPCS,15320,Apply skin allogrft f/n/h,,,1694.0,5063.0,2
HCPCS,15321,Aply sknallogrft f/n/hfg,,,1308.0,5063.0,2
HCPCS,15330,Aply acell alogrft t/arm/,,,1694.0,5063.0,2
HCPCS,15331,Aply acell grft t/a/l add,,,1308.0,5063.0,2
HCPCS,15335,"Apply acell graft, f/n/hf",,,1694.0,5063.0,2
HCPCS,15336,Aply acell grft f/n/hf/g,,,1308.0,5063.0,2
HCPCS,15340,Apply cult skin substitut,,,5063.0,5063.0,1
HCPCS,15341,Apply cult skin sub add-o,,,5063.0,5063.0,1
HCPCS,15342,"Cultured Skin Graft, 25 Cm",,,5063.0,5063.0,1
HCPCS,15343,Culture Skn Graft Addl 25 Cm,,,5063.0,5063.0,1
HCPCS,15350,Skin homograft,,,1694.0,5063.0,2
HCPCS,15351,Skin homograft add-on,,,1694.0,5063.0,2
HCPCS,15360,"Apply cult derm sub, t/a/",,,5063.0,5063.0,1
HCPCS,15361,Aply cult derm sub t/a/l,,,5063.0,5063.0,1
HCPCS,15365,Apply cult derm sub f/n/h,,,5063.0,5063.0,1
HCPCS,15366,Apply cult derm f/hf/g ad,,,5063.0,5063.0,1
HCPCS,15400,Skin heterograft,,,1694.0,5063.0,2
HCPCS,15401,Skin heterograft add-on,,,1694.0,5063.0,2
HCPCS,15420,"Apply skin xgraft, f/n/hf",,,1694.0,5063.0,2
HCPCS,15421,Apply skn xgrft f/n/hf/g,,,1308.0,5063.0,2
HCPCS,15430,Apply acellular xenograft,,,1694.0,5063.0,2
HCPCS,15431,Apply acellular xgraft ad,,,1308.0,5063.0,2
HCPCS,15570,Skin pedicle flap trunk,,,1937.0,7867.16,13
HCPCS,15572,Skin pedicle flap arms/legs,,,1937.0,13512.0,13
HCPCS,15574,Pedcle fh/ch/ch/m/n/ax/g/h/f,,,1937.0,7867.16,13
HCPCS,15576,Hc Frmj Direct Tubed Pedicle W Wotr E/N/E/L/Ntroral,5784.0,2255.76,,,0
HCPCS,15576,Pedicle e/n/e/l/ntroral,,,1937.0,7867.16,13
HCPCS,15580,Description Not Available,,,5063.0,5063.0,1
HCPCS,15600,Delay flap trunk,,,1937.0,13512.0,13
HCPCS,15610,Delay flap arms/legs,,,1937.0,7867.16,13
HCPCS,15620,Delay flap f/c/c/n/ax/g/h/f,,,2095.7,7867.16,13
HCPCS,15625,Description Not Available,,,5063.0,5063.0,1
HCPCS,15630,Delay flap eye/nos/ear/lip,,,1937.0,7867.16,13
HCPCS,15630,Hc Delay Flap Or Sectioning Flap Eyelids Nose Ears/Lips,5616.0,2190.24,,,0
HCPCS,15650,Transfer skin pedicle flap,,,2095.7,7867.16,13
HCPCS,15730,Mdfc flap w/prsrv vasc pedcl,,,3599.41,13512.0,12
HCPCS,15731,Forehead Flap w/Vasc Pedicle,,,1937.0,13512.0,13
HCPCS,15732,Muscle-skin graft head/neck,,,1937.0,5063.0,2
HCPCS,15733,Hc Musc Myoq Fscq Flap Head And Neck With Named Vasc Pedcl,11107.0,4331.73,,,0
HCPCS,15733,Musc myoq/fscq flp h&n pedcl,,,3599.41,13512.0,12
HCPCS,15734,Muscle-skin graft trunk,,,1937.0,13512.0,13
HCPCS,15736,Muscle-skin graft arm,,,1937.0,7867.16,13
HCPCS,15738,Muscle-skin graft leg,,,1937.0,13512.0,13
HCPCS,15740,Island pedicle flap graft,,,1694.0,7867.16,13
HCPCS,15750,Neurovascular pedicle flap,,,1694.0,13512.0,13
HCPCS,15755,Description Not Available,,,5063.0,5063.0,1
HCPCS,15756,Free myo/skin flap microvasc,,,1937.0,6179.0,3
HCPCS,15757,Free skin flap microvasc,,,1937.0,6179.0,3
HCPCS,15758,Free fascial flap microvasc,,,1937.0,6179.0,3
HCPCS,15760,Composite skin graft,,,1694.0,7867.16,13
HCPCS,15769,Grfg autol soft tiss dir exc,,,3599.41,13512.0,12
HCPCS,15769,Hc Grafting Of Autologous Soft Tiss By Direct Exc,10587.0,4128.93,,,0
HCPCS,15770,Derma-fat-fascia graft,,,1937.0,13512.0,13
HCPCS,15771,Grfg autol fat lipo 50 cc/<,,,3599.41,13512.0,12
HCPCS,15772,Grfg autol fat lipo ea addl,,,2665.0,3391.0,2
HCPCS,15773,Grfg autol fat lipo 25 cc/<,,,2095.7,9032.0,12
HCPCS,15774,Gfrg autol fat lipo ea addl,,,2665.0,3391.0,2
HCPCS,15775,Hair trnspl 1-15 punch grfts,,,412.9,5809.0,13
HCPCS,15776,Hair trnspl >15 punch grafts,,,412.9,5809.0,13
HCPCS,15777,Acellular derm matrix implt,,,2665.0,3391.0,2
HCPCS,15778,Impl absrb msh/prsth dly cls,,,5809.0,6859.0,2
HCPCS,15780,Dermabrasion total face,,,2950.36,11075.49,11
HCPCS,15781,Dermabrasion segmental face,,,719.26,5063.0,12
HCPCS,15782,Dermabrasion other than face,,,2572.0,11075.49,12
HCPCS,15783,Dermabrasion suprfl any site,,,412.9,5063.0,12
HCPCS,15783,Hc Dermabrasion Superficial Any Site,6293.0,2454.27,,,0
HCPCS,15786,Abrasion lesion single,,,203.79,5063.0,11
HCPCS,15786,Hc Abrasion 1 Lesion,874.0,340.86,,,0
HCPCS,15787,Abrasion lesions add-on,,,2665.0,5063.0,2
HCPCS,15788,Chemical peel face epiderm,,,412.9,5063.0,11
HCPCS,15789,Chemical peel face dermal,,,750.69,5063.0,11
HCPCS,15789,Hc Chemical Peel Facial Dermal,6491.0,2531.49,,,0
HCPCS,15792,Chemical peel nonfacial,,,750.69,5063.0,11
HCPCS,15793,Chemical peel nonfacial,,,412.9,5063.0,11
HCPCS,15810,Salabrasion,,,5063.0,5063.0,1
HCPCS,15811,Salabrasion,,,5063.0,5063.0,1
HCPCS,15819,Plastic surgery neck,,,2572.0,5063.0,2
HCPCS,15820,Hc Blepharoplasty Lower Eyelid,5809.0,2265.51,,,0
HCPCS,15820,Revision of lower eyelid,,,1937.0,7867.16,13
HCPCS,15821,Revision of lower eyelid,,,1937.0,7867.16,13
HCPCS,15822,Hc Blepharoplasty Upper Eyelid,5809.0,2265.51,,,0
HCPCS,15822,Revision of upper eyelid,,,1937.0,7867.16,13
HCPCS,15823,Hc Blepharoplasty Upper Eyelid W/Excessive Skin,5900.0,2301.0,,,0
HCPCS,15823,Revision of upper eyelid,,,2095.7,7867.16,13
HCPCS,15824,Removal of forehead wrinkles,,,1937.0,7867.16,13
HCPCS,15825,Removal of neck wrinkles,,,1937.0,13512.0,13
HCPCS,15826,Removal of brow wrinkles,,,1937.0,13512.0,13
HCPCS,15828,Removal of face wrinkles,,,1937.0,13512.0,13
HCPCS,15829,Removal of skin wrinkles,,,2664.0,13512.0,13
HCPCS,15830,Exc Skin Abd,,,1937.0,25318.53,13
HCPCS,15831,Excise excessive skin tissue,,,1937.0,5063.0,2
HCPCS,15832,Excise excessive skin thigh,,,1937.0,11075.49,13
HCPCS,15833,Excise excessive skin leg,,,1937.0,11075.49,13
HCPCS,15834,Excise excessive skin hip,,,1937.0,11075.49,13
HCPCS,15835,Excise excessive skin buttck,,,1937.0,11075.49,13
HCPCS,15836,Excise excessive skin arm,,,1937.0,11075.49,13
HCPCS,15837,Excise excess skin arm/hand,,,2950.36,11075.49,11
HCPCS,15838,Excise excess skin fat pad,,,2950.36,11075.49,11
HCPCS,15839,Excise excess skin & tissue,,,1937.0,11075.49,13
HCPCS,15840,Nerve palsy fascial graft,,,2323.0,13512.0,13
HCPCS,15841,Nerve palsy muscle graft,,,2323.0,13512.0,13
HCPCS,15842,Nerve palsy microsurg graft,,,2095.7,7867.16,13
HCPCS,15845,Skin and muscle repair face,,,2323.0,13512.0,13
HCPCS,15847,Exc Skin Abd Add-on,,,1937.0,5809.0,3
HCPCS,15850,Remove sutures same surgeon,,,2572.0,5063.0,2
HCPCS,15851,Remove sutures diff surgeon,,,2095.7,7867.16,13
HCPCS,15852,Dressing change not for burn,,,750.69,3391.0,11
HCPCS,15852,Hc Dressing Change Under Anesthesia,3202.0,1248.78,,,0
HCPCS,15853,Hc Removal Sutures/Staples Not Requiring Anesthesia,230.0,89.7,,,0
HCPCS,15853,Removal sutr/stapl xreq anes,,,2665.0,3391.0,2
HCPCS,15854,Hc Removal Sutures And Staples Not Requiring Anesthesia,230.0,89.7,,,0
HCPCS,15854,Removal sutr&stapl xreq anes,,,2665.0,3391.0,2
HCPCS,15860,Test for blood flow in graft,,,453.74,3391.0,11
HCPCS,15876,Suction lipectomy head&neck,,,1937.0,13512.0,13
HCPCS,15877,Suction lipectomy trunk,,,1937.0,13512.0,13
HCPCS,15878,Suction lipectomy upr extrem,,,1937.0,7867.16,13
HCPCS,15879,Suction lipectomy lwr extrem,,,1937.0,13512.0,13
HCPCS,15920,Removal of tail bone ulcer,,,1937.0,11075.49,13
HCPCS,15922,Removal of tail bone ulcer,,,2323.0,13512.0,13
HCPCS,15931,Remove sacrum pressure sore,,,1937.0,11075.49,13
HCPCS,15933,Remove sacrum pressure sore,,,1937.0,11075.49,13
HCPCS,15934,Remove sacrum pressure sore,,,1937.0,13512.0,13
HCPCS,15935,Remove sacrum pressure sore,,,2323.0,13512.0,13
HCPCS,15936,Remove sacrum pressure sore,,,2095.7,7867.16,13
HCPCS,15937,Remove sacrum pressure sore,,,2095.7,7867.16,13
HCPCS,15940,Remove hip pressure sore,,,1937.0,11075.49,13
HCPCS,15941,Remove hip pressure sore,,,1937.0,11075.49,13
HCPCS,15944,Remove hip pressure sore,,,1937.0,13512.0,13
HCPCS,15945,Remove hip pressure sore,,,2095.7,7867.16,13
HCPCS,15946,Remove hip pressure sore,,,2095.7,7867.16,13
HCPCS,15950,Remove thigh pressure sore,,,1677.55,6297.43,13
HCPCS,15951,Remove thigh pressure sore,,,2323.0,11075.49,13
HCPCS,15952,Remove thigh pressure sore,,,1937.0,7867.16,13
HCPCS,15953,Remove thigh pressure sore,,,2323.0,13512.0,13
HCPCS,15956,Remove thigh pressure sore,,,1937.0,7867.16,13
HCPCS,15958,Remove thigh pressure sore,,,2323.0,13512.0,13
HCPCS,15999,Removal of pressure sore,,,719.26,5063.0,11
HCPCS,16000,Hc Burn 1St Degree Inital,1208.0,471.12,,,0
HCPCS,16000,Init Tx Burn 1 Dg Local Tx Onl,182.0,70.98,,,0
HCPCS,16000,Initial treatment of burn(s),,,203.79,5063.0,11
HCPCS,16010,Treatment of burn(s),,,5063.0,5063.0,1
HCPCS,16015,Treatment of burn(s),,,1694.0,5063.0,2
HCPCS,16020,Dress/debrid p-thick burn s,,,203.79,3391.0,12
HCPCS,16020,Hc Drsg/Dbrdmt Burns Partial-Thkns Small Under 5Pct Body Surface,2187.0,852.93,,,0
HCPCS,16025,Dress/debrid p-thick burn m,,,203.79,4714.0,13
HCPCS,16025,Hc Burn Partial Thick Med 5-10 Pct,2187.0,852.93,,,0
HCPCS,16030,Dress/debrid p-thick burn l,,,412.9,4714.0,13
HCPCS,16030,Hc Drsg/Dbrdmt Burns Partial-Thkns Large Over 10Pct Body Surface,2187.0,852.93,,,0
HCPCS,16035,Incision of burn scab initi,,,412.9,4714.0,12
HCPCS,16036,Escharotomy addl incision,,,5063.0,5272.0,2
HCPCS,16040,Description Not Available,,,5063.0,5063.0,1
HCPCS,16041,Description Not Available,,,5063.0,5063.0,1
HCPCS,16042,Description Not Available,,,5063.0,5063.0,1
HCPCS,17000,Destruct premalg lesion,,,203.79,3391.0,12
HCPCS,17000,Hc Destruction Premalignant Lesion 1St,230.0,89.7,,,0
HCPCS,17001,Description Not Available,,,5063.0,5063.0,1
HCPCS,17002,Description Not Available,,,5063.0,5063.0,1
HCPCS,17003,Destruct premalg les 2-14,,,2665.0,3391.0,2
HCPCS,17003,Hc Destruction Premalignant Lesion 2-14 Ea,2877.0,1122.03,,,0
HCPCS,17004,Destroy premal lesions 15/>,,,412.9,3391.0,12
HCPCS,17004,Hc Destruction Premalignant Lesions 15 Or More,951.0,370.89,,,0
HCPCS,17100,Description Not Available,,,5063.0,5063.0,1
HCPCS,17101,Description Not Available,,,5063.0,5063.0,1
HCPCS,17102,Description Not Available,,,5063.0,5063.0,1
HCPCS,17104,Description Not Available,,,5063.0,5063.0,1
HCPCS,17105,Description Not Available,,,5063.0,5063.0,1
HCPCS,17106,Destruction of skin lesions,,,412.9,3391.0,12
HCPCS,17106,Hc Destruction Cutaneous Vasc Proliferative Less Than 10Cm,911.0,355.29,,,0
HCPCS,17107,Destruction of skin lesions,,,750.69,3391.0,12
HCPCS,17107,Hc Dstrj Cutaneous Vascular Lesions 10 To 50 Sq Cm,2025.0,789.75,,,0
HCPCS,17108,Destruction of skin lesions,,,2095.7,7867.16,12
HCPCS,17108,Hc Dstrj Cutaneous Vascular Lesions Over 50 Sq Cm,1890.0,737.1,,,0
HCPCS,17110,Destruct b9 lesion 1-14,,,203.79,3391.0,11
HCPCS,17110,Hc Destruction Of Benign Lesions 1-14,6898.0,2690.22,,,0
HCPCS,17111,Destruct lesion 15 or more,,,203.79,3391.0,11
HCPCS,17111,Hc Destruction Benign Lesions 15 Or More,444.0,173.16,,,0
HCPCS,17200,Description Not Available,,,5063.0,5063.0,1
HCPCS,17201,Description Not Available,,,5063.0,5063.0,1
HCPCS,17250,Chemical cautery tissue,,,203.79,3391.0,11
HCPCS,17250,Hc Chemical Cautery Granulation Tissue,2187.0,852.93,,,0
HCPCS,17260,Destruction of skin lesions,,,203.79,3391.0,11
HCPCS,17260,Hc Destruction Malignant Lesion T/A/L 0.5 Cm Or Less,119.0,46.41,,,0
HCPCS,17261,Destruction of skin lesions,,,203.79,3391.0,11
HCPCS,17261,Hc Destruction Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm,570.0,222.3,,,0
HCPCS,17262,Destruction of skin lesions,,,203.79,3391.0,11
HCPCS,17262,Hc Destruction Mal Lesion Trunk/Arm/Leg 1.1-2.0Cm,440.0,171.6,,,0
HCPCS,17263,Destruction of skin lesions,,,203.79,3391.0,11
HCPCS,17263,Hc Destruction Mal Lesion Trunk/Arm/Leg 2.1-3.0Cm,570.0,222.3,,,0
HCPCS,17264,Destruction of skin lesions,,,412.9,3391.0,11
HCPCS,17264,Hc Destruction Mal Lesion Trunk Or Arm Or Leg 3.1 To 4.0 Cm,648.0,252.72,,,0
HCPCS,17266,Destruction of skin lesions,,,412.9,4714.0,12
HCPCS,17270,Destruction of skin lesions,,,203.79,3391.0,11
HCPCS,17270,Hc Destruction Malignant Lesion S/N/H/F/G 0.5 Cm Or Less,570.0,222.3,,,0
HCPCS,17271,Destruction of skin lesions,,,203.79,3391.0,11
HCPCS,17271,Hc Destruction Malignant Lesion S/N/H/F/G 0.6-1.0Cm,588.0,229.32,,,0
HCPCS,17272,Destruction of skin lesions,,,203.79,3391.0,11
HCPCS,17272,Hc Destruction Malignant Lesion S/N/H/F/G 1.1-2.0Cm,440.0,171.6,,,0
HCPCS,17273,Destruction of skin lesions,,,412.9,3391.0,11
HCPCS,17274,Destruction of skin lesions,,,412.9,3391.0,12
HCPCS,17276,Destruction of skin lesions,,,412.9,4714.0,12
HCPCS,17280,Destruction of skin lesions,,,203.79,3391.0,11
HCPCS,17281,Destruction of skin lesions,,,203.79,3391.0,11
HCPCS,17281,Hc Destruction Mal Lesion F/E/E/N/L/M 0.6-1.0Cm,4547.0,1773.33,,,0
HCPCS,17282,Destruction of skin lesions,,,203.79,3391.0,11
HCPCS,17282,Hc Destruction Mal Lesion F/E/E/N/L/M 1.1-2.0Cm,911.0,355.29,,,0
HCPCS,17283,Destruction of skin lesions,,,412.9,3391.0,11
HCPCS,17284,Destruction of skin lesions,,,750.69,3391.0,12
HCPCS,17286,Destruction of skin lesions,,,750.69,4714.0,11
HCPCS,17304,Chemosurgery of skin lesion,,,5063.0,5063.0,1
HCPCS,17305,2nd stage chemosurgery,,,5063.0,5063.0,1
HCPCS,17306,3rd stage chemosurgery,,,5063.0,5063.0,1
HCPCS,17307,Followup skin lesion therapy,,,5063.0,5063.0,1
HCPCS,17310,Extensive skin chemosurgery,,,5063.0,5063.0,1
HCPCS,17311,Hc Mohs Micrographic H/N/H/F/G 1St Stage 5 Blocks,1482.0,577.98,,,0
HCPCS,17311,Mohs 1 stage h/n/hf/g,,,750.69,4714.0,12
HCPCS,17312,Hc Mohs Micrographic H/N/H/F/G Each Addl Stage,1499.0,584.61,,,0
HCPCS,17312,Mohs Addl Stage,,,2665.0,3391.0,2
HCPCS,17313,Hc Mohs Trunk/Arm/Leg 1St Stage 5 Blocks,1872.0,730.08,,,0
HCPCS,17313,Mohs 1 stage t/a/l,,,750.69,4714.0,12
HCPCS,17314,Hc Mohs Trunk/Arm/Leg Ea Stage After 1St Stage,1584.0,617.76,,,0
HCPCS,17314,Mohs addl stage t/a/l,,,2665.0,3391.0,2
HCPCS,17315,Hc Mohs Trunk/Arm/Leg Ea Addl Block Any Stage,940.0,366.6,,,0
HCPCS,17315,Mohs surg addl block,,,2665.0,3391.0,2
HCPCS,17340,Cryotherapy of skin,,,59.92,5063.0,11
HCPCS,17340,Hc Cryotherapy Co2 Slush Liquid N2 Acne,261.0,101.79,,,0
HCPCS,17360,Skin peel therapy,,,203.79,5063.0,11
HCPCS,17380,Hair removal by electrolysis,,,750.69,5063.0,11
HCPCS,17999,Hc Unlisted Px Skin Muc Membrane And Subq Tissue,1319.0,514.41,,,0
HCPCS,17999,Skin tissue procedure,,,203.79,3391.0,11
HCPCS,19000,Drainage of breast lesion,,,719.26,4066.0,13
HCPCS,19000,Hc Puncture Drain Aspiration Of Cyst Of Breast,4345.0,1694.55,,,0
HCPCS,19001,Drain breast lesion add-on,,,2665.0,3391.0,2
HCPCS,19001,Hc Puncture Aspiratation Breast Cyst Ea Add On Uni,1387.0,540.93,,,0
HCPCS,19020,Hc Mastotomy W/Exploration/Drainage Abscess Deep,4881.0,1903.59,,,0
HCPCS,19020,Incision of breast lesion,,,1677.55,6297.43,13
HCPCS,19030,Hc Inj Mammary Ductogram Or Galactogram Uni,2891.0,1127.49,,,0
HCPCS,19030,Injection for breast x-ray,,,2665.0,3391.0,2
HCPCS,19081,Bx breast 1st lesion strtctc,,,1677.55,6297.43,12
HCPCS,19081,Hc Mammogram Bx Breast 1St Lesion Stereotactic,9577.0,3735.03,,,0
HCPCS,19082,Bx breast add lesion strtctc,,,2665.0,3391.0,2
HCPCS,19082,Hc Mammogram Bx Breast Additional Lesion Stereotactic,1283.0,500.37,,,0
HCPCS,19083,Bx breast 1st lesion us imag,,,1677.55,6297.43,12
HCPCS,19083,Hc Us Bx Breast 1St Lesion,9468.0,3692.52,,,0
HCPCS,19084,Bx breast add lesion us imag,,,2665.0,3391.0,2
HCPCS,19084,Hc Us Bx Breast Additional Lesion,2160.0,842.4,,,0
HCPCS,19085,Bx breast 1st lesion mr imag,,,1677.55,6297.43,12
HCPCS,19085,Hc Mr Bx Breast 1St Lesion,13269.0,5174.91,,,0
HCPCS,19086,Bx breast add lesion mr imag,,,2665.0,3391.0,2
HCPCS,19086,Hc Mr Bx Breast Additional Lesion,2160.0,842.4,,,0
HCPCS,19100,Bx breast percut w/o image,,,1308.0,6297.43,13
HCPCS,19101,Biopsy of breast open,,,1694.0,14929.3,13
HCPCS,19101,Hc Biopsy Open Or Incisional Of Breast,17746.0,6920.94,,,0
HCPCS,19102,Bx Breast Percut W/Image,,,1694.0,5063.0,2
HCPCS,19103,Bx Breast Percut W/Device,,,1694.0,5063.0,2
HCPCS,19105,Cryosurg ablate fa each,,,3976.96,14929.3,12
HCPCS,19110,Nipple exploration,,,1694.0,14929.3,13
HCPCS,19112,Excise breast duct fistula,,,1937.0,14929.3,13
HCPCS,19120,Removal of breast lesion,,,1937.0,14929.3,13
HCPCS,19125,Excision breast lesion,,,1937.0,14929.3,13
HCPCS,19126,Excision addl breast lesion,,,1937.0,5809.0,3
HCPCS,19140,Removal of breast tissue,,,2323.0,5063.0,2
HCPCS,19160,Removal of breast tissue,,,1937.0,5063.0,2
HCPCS,19162,"Remove breast tissue, nodes",,,3721.0,5063.0,2
HCPCS,19180,Removal of breast,,,2323.0,5063.0,2
HCPCS,19182,Removal of breast,,,2323.0,5063.0,2
HCPCS,19200,Removal of breast,,,5063.0,5063.0,1
HCPCS,19220,Removal of breast,,,5063.0,5063.0,1
HCPCS,19240,Removal of breast,,,3721.0,5063.0,2
HCPCS,19260,Removal of chest wall lesion,,,2664.0,5063.0,2
HCPCS,19271,Revision of chest wall,,,5063.0,5063.0,1
HCPCS,19272,Extensive chest wall surgery,,,5063.0,5063.0,1
HCPCS,19281,Hc Mammogram Perc Device Breast 1St Lesion,2754.0,1074.06,,,0
HCPCS,19281,Perq device breast 1st imag,,,1677.55,6297.43,12
HCPCS,19282,Hc Mammogram Perc Device Breast Additional,1586.0,618.54,,,0
HCPCS,19282,Perq device breast ea imag,,,2665.0,3391.0,2
HCPCS,19283,Hc Mammogram Perc Device Breast 1St Stereotactic,4670.0,1821.3,,,0
HCPCS,19283,Perq dev breast 1st strtctc,,,719.26,4714.0,12
HCPCS,19284,Hc Mammogram Perc Device Breast Additional Stereotactic,1707.0,665.73,,,0
HCPCS,19284,Perq dev breast add strtctc,,,2665.0,3391.0,2
HCPCS,19285,Hc Us Perc Device Breast 1St Lesion,4235.0,1651.65,,,0
HCPCS,19285,Perq dev breast 1st us imag,,,719.26,4714.0,12
HCPCS,19286,Hc Us Perc Device Breast Additional Lesion,1707.0,665.73,,,0
HCPCS,19286,Perq dev breast add us imag,,,2665.0,3391.0,2
HCPCS,19287,Hc Mr Perc Device Breast 1St Lesion,7777.0,3033.03,,,0
HCPCS,19287,Perq dev breast 1st mr guide,,,719.26,5809.0,12
HCPCS,19288,Hc Mr Perc Device Breast Add Lesion,3889.0,1516.71,,,0
HCPCS,19288,Perq dev breast add mr guide,,,2665.0,3391.0,2
HCPCS,19290,"Place needle wire, breast",,,1308.0,5063.0,2
HCPCS,19291,"Place needle wire, breast",,,1308.0,5063.0,2
HCPCS,19294,Prep tum cav iort prtl mast,,,2665.0,3391.0,2
HCPCS,19295,"Place Breast Clip, Percut",,,5063.0,5063.0,1
HCPCS,19296,Place po breast cath for rad,,,7487.0,31164.61,13
HCPCS,19297,Place breast cath for rad,,,7487.0,15026.0,3
HCPCS,19298,Place breast rad tube/caths,,,1308.0,52545.89,13
HCPCS,19300,Removal of Breast Tissue,,,2323.0,14929.3,13
HCPCS,19301,Partial Mastectomy,,,1937.0,14929.3,14
HCPCS,19302,P-Mastectomy w/LN Removal,,,3721.0,25318.53,13
HCPCS,19303,Mast simple complete,,,2323.0,25318.53,13
HCPCS,19304,Mast subq,,,2323.0,5063.0,2
HCPCS,19305,Mast radical,,,5063.0,6859.0,2
HCPCS,19306,Mast rad urban type,,,5063.0,6859.0,2
HCPCS,19307,Mast mod rad,,,6744.51,25318.53,12
HCPCS,19316,Suspension of breast,,,2323.0,25318.53,13
HCPCS,19318,Reduction of large breast,,,2323.0,25318.53,13
HCPCS,19324,Enlarge breast,,,2323.0,5063.0,3
HCPCS,19325,Enlarge breast with implant,,,7487.0,31164.61,13
HCPCS,19328,Removal of breast implant,,,1308.0,14929.3,13
HCPCS,19330,Removal of implant material,,,1308.0,14929.3,13
HCPCS,19340,Immediate breast prosthesis,,,1694.0,31164.61,13
HCPCS,19342,Delayed breast prosthesis,,,1937.0,31164.61,13
HCPCS,19350,Breast reconstruction,,,2323.0,14929.3,13
HCPCS,19355,Correct inverted nipple(s),,,2323.0,14929.3,13
HCPCS,19357,Breast reconstruction,,,2664.0,52545.89,13
HCPCS,19357,Hc Tissue Expander Placement Breast Reconstruction,53868.0,21008.52,,,0
HCPCS,19361,Breast reconstr w/lat flap,,,5063.0,6859.0,2
HCPCS,19364,Breast reconstruction,,,2664.0,11889.0,3
HCPCS,19366,Breast reconstruction,,,2664.0,5699.0,3
HCPCS,19367,Breast reconstruction,,,5063.0,11889.0,2
HCPCS,19368,Breast reconstruction,,,5063.0,11889.0,2
HCPCS,19369,Breast reconstruction,,,5063.0,11889.0,2
HCPCS,19370,Surgery of breast capsule,,,2323.0,14929.3,13
HCPCS,19371,Removal of breast capsule,,,2323.0,14929.3,13
HCPCS,19380,Revise breast reconstruction,,,2664.0,25318.53,13
HCPCS,19396,Design custom breast implant,,,3976.96,14929.3,11
HCPCS,19499,Breast surgery procedure,,,3391.0,14929.3,11
HCPCS,19499,Hc Breast Surgery Procedure Unlisted,17922.0,6989.58,,,0
HCPCS,20000,Incision of abscess,,,5063.0,5063.0,1
HCPCS,20005,I&d abscess subfascial,,,1694.0,5063.0,2
HCPCS,20100,Explore wound neck,,,547.8,5063.0,12
HCPCS,20101,Explore wound chest,,,2095.7,7867.16,11
HCPCS,20102,Explore Penetr Wound Abs Back,5530.0,2156.7,,,0
HCPCS,20102,Explore wound abdomen,,,2095.7,7867.16,11
HCPCS,20102,Hc Expl Penetrating Wound Spx Abdomen/Flank/Back,5530.0,2156.7,,,0
HCPCS,20103,Explore wound extremity,,,1308.0,6297.43,13
HCPCS,20103,Hc Wound Extremity Expl,20494.0,7992.66,,,0
HCPCS,20150,Excise epiphyseal bar,,,3323.41,12475.93,11
HCPCS,20200,Hc Biopsy Muscle Superficial,3404.0,1327.56,,,0
HCPCS,20200,Muscle biopsy,,,1677.55,6297.43,13
HCPCS,20205,Deep muscle biopsy,,,1937.0,11075.49,13
HCPCS,20206,Hc Biopsy Muscle Percutaneous Needle,8019.0,3127.41,,,0
HCPCS,20206,Needle biopsy muscle,,,1308.0,6297.43,13
HCPCS,20220,Bone biopsy trocar/needle,,,1308.0,6297.43,13
HCPCS,20220,Hc Biopsy Bone Superficial,8019.0,3127.41,,,0
HCPCS,20225,Bone biopsy trocar/needle,,,1677.55,6297.43,13
HCPCS,20225,Hc Biopsy Bone Deep,10509.0,4098.51,,,0
HCPCS,20240,Bone biopsy open superficial,,,1694.0,11075.49,13
HCPCS,20240,Hc Biopsy Bone Open Superficial,13278.0,5178.42,,,0
HCPCS,20245,Bone biopsy open deep,,,1937.0,11075.49,13
HCPCS,20245,Hc Biopsy Bone Open Deep,5621.0,2192.19,,,0
HCPCS,20250,Open bone biopsy,,,1937.0,12475.93,13
HCPCS,20251,Hc Biopsy Vertebral Body Open Lumbar Or Cervical,8080.0,3151.2,,,0
HCPCS,20251,Open bone biopsy,,,1937.0,27667.48,13
HCPCS,20500,Hc Inj Of Sinus Tract Therapeutic,6247.0,2436.33,,,0
HCPCS,20500,Injection of sinus tract,,,1575.96,5916.09,11
HCPCS,20501,Hc Inj Sinus Tract Diagnostic Sinogram,1789.0,697.71,,,0
HCPCS,20501,Inject sinus tract for x-ray,,,2665.0,3391.0,2
HCPCS,20520,Hc Fb Remove Muscle Simp,6437.0,2510.43,,,0
HCPCS,20520,Removal of foreign body,,,1308.0,6297.43,13
HCPCS,20525,Hc Fb Remove Muscle Deep,31341.0,12222.99,,,0
HCPCS,20525,Removal of foreign body,,,1937.0,11075.49,13
HCPCS,20526,Hc Inj Carpal Tunnel Theraputic,4699.0,1832.61,,,0
HCPCS,20526,Ther injection carp tunnel,,,311.77,3391.0,12
HCPCS,20527,Inj dupuytren cord w/enzyme,,,311.77,3391.0,11
HCPCS,20550,Hc Inj Tendon/Ligament Single,3580.0,1396.2,,,0
HCPCS,20550,Inj tendon sheath/ligament,,,311.77,3391.0,13
HCPCS,20551,Hc Inj Single Tendon Origin/Insertion,2279.0,888.81,,,0
HCPCS,20551,Inj tendon origin/insertion,,,311.77,3391.0,12
HCPCS,20552,Hc Inj Trigger Point 1 Or 2 Muscles,3104.0,1210.56,,,0
HCPCS,20552,Inj trigger point 1/2 muscl,,,311.77,3391.0,12
HCPCS,20553,Hc Inj Trigger Point 3 Or More Muscles,3200.0,1248.0,,,0
HCPCS,20553,Inject trigger points 3/>,,,311.77,3391.0,12
HCPCS,20555,Place ndl musc/tis for rt,,,3323.41,12475.93,12
HCPCS,20560,Hc Ot Needle Insertion W/O Injection 1 Or 2 Muscles,138.5,54.015,,,0
HCPCS,20560,Hc Pt Needle Insertion W/O Injection 1 Or 2 Muscles,138.5,54.015,,,0
HCPCS,20560,Ndl insj w/o njx 1 or 2 musc,,,29.38,3391.0,11
HCPCS,20561,Hc Ot Needle Insertion W/O Injection 3 Or More Muscles,199.0,77.61,,,0
HCPCS,20561,Hc Pt Needle Insertion W/O Injection 3 Or More Muscles,199.0,77.61,,,0
HCPCS,20561,Ndl insj w/o njx 3+ musc,,,29.38,3391.0,11
HCPCS,20600,Drain/inj joint/bursa w/o us,,,311.77,3391.0,13
HCPCS,20600,Hc Inj/Asp/Drn Bursa Small Joint Wo Us Guidance,1547.0,603.33,,,0
HCPCS,20604,Drain/inj joint/bursa w/us,,,311.77,3391.0,11
HCPCS,20604,Hc Inj/Drain/Asp Small Joint/Bursa W/Us,2192.0,854.88,,,0
HCPCS,20605,Drain/inj joint/bursa w/o us,,,311.77,3391.0,12
HCPCS,20605,Hc Inj/Asp/Drn Bursa Medium Joint Wo Us Guidance,1933.0,753.87,,,0
HCPCS,20606,Drain/inj joint/bursa w/us,,,716.97,4066.0,11
HCPCS,20606,Hc Inj/Drain-Asp Intermediate Joint/Bursa W/Us,2578.0,1005.42,,,0
HCPCS,20610,Drain/inj joint/bursa w/o us,,,311.77,3391.0,13
HCPCS,20610,Hc Inj/Asp/Drn Bursa Major Joint Wo Us Guidance,2321.0,905.19,,,0
HCPCS,20611,Drain/inj joint/bursa w/us,,,311.77,3391.0,11
HCPCS,20611,Hc Inj/Drain-Asp Major Joint/Bursa W/Us,2965.0,1156.35,,,0
HCPCS,20612,Aspirate/inj ganglion cyst,,,311.77,3391.0,12
HCPCS,20612,Hc Inj/Asp Ganglion Cyst,3200.0,1248.0,,,0
HCPCS,20615,Hc Inj/Asp Treatment Bone Cyst,4704.0,1834.56,,,0
HCPCS,20615,Treatment of bone cyst,,,719.26,4066.0,11
HCPCS,20650,Hc Insertion Wire/Pin W/Appl Skeletal Traction Spx,17640.0,6879.6,,,0
HCPCS,20650,Insert and remove bone pin,,,1937.0,12475.93,13
HCPCS,20660,Apply rem fixation device,,,1633.26,6131.17,12
HCPCS,20660,Hc Appl Cranial Tong/Strtctc Frame W/Removal Spx,9790.0,3818.1,,,0
HCPCS,20661,Application of head brace,,,1633.26,6131.17,12
HCPCS,20661,Hc Ip Only Application Halo Cranial Including Removal,8357.0,3259.23,,,0
HCPCS,20662,Application of pelvis brace,,,1633.26,6179.0,13
HCPCS,20663,Application of thigh brace,,,1937.0,12475.93,13
HCPCS,20664,Application of halo,,,1633.26,6131.17,11
HCPCS,20665,Hc Removal Tong/Halo Applied By Another Individual,2699.0,1052.61,,,0
HCPCS,20665,Removal of fixation device,,,453.74,3391.0,12
HCPCS,20670,Hc Removal Implant Superficial Separate Procedure,8050.0,3139.5,,,0
HCPCS,20670,Removal of support implant,,,1308.0,6297.43,13
HCPCS,20680,Hc Removal Implant Deep,3574.0,1393.86,,,0
HCPCS,20680,Removal of support implant,,,1937.0,11075.49,13
HCPCS,20690,Apply bone fixation device,,,1694.0,27667.48,13
HCPCS,20692,Apply bone fixation device,,,1937.0,48953.07,13
HCPCS,20693,Adjust bone fixation device,,,1937.0,27667.48,13
HCPCS,20694,Remove bone fixation device,,,1308.0,6131.17,13
HCPCS,20696,Comp multiplane ext fixation,,,5809.0,103460.29,12
HCPCS,20697,Comp ext fixate strut change,,,1633.26,7349.0,12
HCPCS,20697,Hc App Mltpln Uni Xtrnl Fix Strtctc Adjmt Exchange,4732.0,1845.48,,,0
HCPCS,20700,Mnl prep&insj dp rx dlvr dev,,,2665.0,3391.0,2
HCPCS,20701,Rmvl deep rx delivery device,,,2665.0,3391.0,2
HCPCS,20702,Mnl prep&insj imed rx dev,,,2665.0,3391.0,2
HCPCS,20703,Rmvl imed rx delivery device,,,2665.0,3391.0,2
HCPCS,20704,Mnl prep&insj i-artic rx dev,,,2665.0,3391.0,2
HCPCS,20705,Rmvl i-artic rx delivery dev,,,2665.0,3391.0,2
HCPCS,20802,Replantation arm complete,,,5063.0,66855.32,11
HCPCS,20805,Replant forearm complete,,,5063.0,66855.32,11
HCPCS,20808,Replantation hand complete,,,5063.0,66855.32,11
HCPCS,20816,Replantation digit complete,,,1633.26,15026.0,11
HCPCS,20822,Replantation digit complete,,,1633.26,6179.0,12
HCPCS,20824,Replantation thumb complete,,,1633.26,15026.0,11
HCPCS,20827,Replantation thumb complete,,,1633.26,15026.0,11
HCPCS,20838,Replantation foot complete,,,5063.0,66855.32,11
HCPCS,20900,Removal of bone for graft,,,1937.0,27667.48,13
HCPCS,20902,Removal of bone for graft,,,2323.0,27667.48,13
HCPCS,20910,Remove cartilage for graft,,,750.69,5809.0,13
HCPCS,20912,Remove cartilage for graft,,,1937.0,13512.0,13
HCPCS,20920,Removal of fascia for graft,,,2095.7,7867.16,13
HCPCS,20922,Removal of fascia for graft,,,1937.0,7867.16,13
HCPCS,20924,Removal of tendon for graft,,,2323.0,27667.48,13
HCPCS,20926,Removal of tissue for graft,,,2323.0,5063.0,2
HCPCS,20930,Hc Spine Morselized Bone Allograft Add On,2060.0,803.4,,,0
HCPCS,20930,Sp bone algrft morsel add-on,,,2665.0,3391.0,2
HCPCS,20931,Sp bone algrft struct add-on,,,2665.0,3391.0,2
HCPCS,20932,Osteoart algrft w/surf & b1,,,2665.0,3391.0,2
HCPCS,20933,Hemicrt intrclry algrft prtl,,,2665.0,3391.0,2
HCPCS,20934,Intercalary algrft compl,,,2665.0,3391.0,2
HCPCS,20936,Sp bone agrft local add-on,,,3391.0,8448.0,2
HCPCS,20937,Sp bone agrft morsel add-on,,,3391.0,8448.0,2
HCPCS,20938,Sp bone agrft struct add-on,,,3391.0,8448.0,2
HCPCS,20939,Bone marrow aspir bone grfg,,,2665.0,3391.0,2
HCPCS,20939,Hc Bone Marrow Asp Bone Grfg Spine Surg Only Plus Add On,5507.0,2147.73,,,0
HCPCS,20950,Fluid pressure muscle,,,719.26,4066.0,12
HCPCS,20955,Fibula bone graft microvasc,,,2323.0,27667.48,12
HCPCS,20956,Iliac bone graft microvasc,,,6389.0,27667.48,11
HCPCS,20957,Mt bone graft microvasc,,,6389.0,27667.48,11
HCPCS,20960,Description Not Available,,,5063.0,5063.0,1
HCPCS,20962,Other bone graft microvasc,,,2323.0,27667.48,12
HCPCS,20969,Bone/skin graft microvasc,,,2323.0,27667.48,12
HCPCS,20970,Bone/skin graft iliac crest,,,2323.0,27667.48,12
HCPCS,20971,Description Not Available,,,5063.0,5063.0,1
HCPCS,20972,Bone/skin graft metatarsal,,,2323.0,27667.48,13
HCPCS,20973,Bone/skin graft great toe,,,2323.0,27667.48,13
HCPCS,20974,Electrical bone stimulation,,,49.05,5063.0,9
HCPCS,20975,Electrical bone stimulation,,,1694.0,4714.0,3
HCPCS,20979,Us bone stimulation,,,29.38,5063.0,11
HCPCS,20982,Ablate bone tumor(s) perq,,,3391.0,66855.32,11
HCPCS,20982,Hc Ablation Thy Bone Tumor W Imaging Perc,25059.0,9773.01,,,0
HCPCS,20983,Ablate bone tumor(s) perq,,,4714.0,27667.48,11
HCPCS,20983,Hc Cryo Ablate Bone Tumors 1 Or More Perq W-Guid,16419.0,6403.41,,,0
HCPCS,20985,Cptr-asst dir ms px,,,2665.0,3391.0,2
HCPCS,20986,Cptr-asst dir ms px io img,,,5063.0,5063.0,1
HCPCS,20987,Cptr-asst dir ms px  pre img,,,5063.0,5063.0,1
HCPCS,20999,Hc Musculoskeletal System General Surgery Unlisted,5490.0,2141.1,,,0
HCPCS,20999,Musculoskeletal surgery,,,250.54,3391.0,11
HCPCS,21010,Incision of jaw joint,,,1694.0,12641.63,13
HCPCS,21011,Exc face les sc <2 cm,,,1677.55,6297.43,11
HCPCS,21011,Hc Excision Tumor Soft Tiss Face Scalp Subq Less Than 2Cm,5864.0,2286.96,,,0
HCPCS,21012,Exc face les sbq 2 cm/>,,,1677.55,6297.43,12
HCPCS,21012,Hc Excision Tumor Soft Tiss Face/Scalp Subq 2 Cm Or Greater,5172.0,2017.08,,,0
HCPCS,21013,Exc face tum deep < 2 cm,,,1677.55,6297.43,12
HCPCS,21013,Hc Exc Tumor Soft Tiss Face And Scalp Subfascial Less Than 2Cm,4067.0,1586.13,,,0
HCPCS,21014,Exc face tum deep 2 cm/>,,,2950.36,11075.49,12
HCPCS,21014,Hc Exc Tumor Soft Tiss Face And Scalp Subfascial 2 Cm Or Greater,1271.0,495.69,,,0
HCPCS,21015,Resect face/scalp tum < 2 cm,,,1937.0,11075.49,13
HCPCS,21016,Resect face/scalp tum 2 cm/>,,,2950.36,11075.49,12
HCPCS,21025,Excision of bone lower jaw,,,1694.0,22571.93,13
HCPCS,21026,Excision of facial bone(s),,,1694.0,22571.93,13
HCPCS,21029,Contour of face bone lesion,,,1694.0,12641.63,13
HCPCS,21030,Excise max/zygoma b9 tumor,,,4714.0,22571.93,11
HCPCS,21031,Remove exostosis mandible,,,3367.56,12641.63,11
HCPCS,21032,Remove exostosis maxilla,,,3367.56,12641.63,11
HCPCS,21034,Excise max/zygoma mal tumor,,,1937.0,22571.93,13
HCPCS,21040,Excise mandible lesion,,,1694.0,12641.63,13
HCPCS,21041,Removal of jaw bone lesion,,,1694.0,5063.0,2
HCPCS,21044,Removal of jaw bone lesion,,,1694.0,22571.93,13
HCPCS,21045,Extensive jaw surgery,,,6012.85,22571.93,11
HCPCS,21046,Remove mandible cyst complex,,,1694.0,22571.93,13
HCPCS,21047,Excise lwr jaw cyst w/repair,,,1694.0,22571.93,13
HCPCS,21048,Remove maxilla cyst complex,,,4220.0,22571.93,12
HCPCS,21049,Excis uppr jaw cyst w/repair,,,4220.0,22571.93,12
HCPCS,21050,Removal of jaw joint,,,1937.0,22571.93,13
HCPCS,21060,Remove jaw joint cartilage,,,1694.0,22571.93,13
HCPCS,21070,Remove coronoid process,,,1937.0,22571.93,13
HCPCS,21073,Mnpj of tmj w/anesth,,,1575.96,5916.09,11
HCPCS,21076,Prepare face/oral prosthesis,,,1575.96,5916.09,11
HCPCS,21077,Prepare face/oral prosthesis,,,5063.0,22571.93,11
HCPCS,21079,Prepare face/oral prosthesis,,,3367.56,12641.63,11
HCPCS,21080,Prepare face/oral prosthesis,,,3367.56,12641.63,11
HCPCS,21081,Prepare face/oral prosthesis,,,5063.0,22571.93,11
HCPCS,21082,Prepare face/oral prosthesis,,,3367.56,12641.63,11
HCPCS,21083,Prepare face/oral prosthesis,,,3367.56,12641.63,11
HCPCS,21084,Prepare face/oral prosthesis,,,3367.56,12641.63,11
HCPCS,21085,Prepare face/oral prosthesis,,,240.57,5063.0,11
HCPCS,21086,Prepare face/oral prosthesis,,,3367.56,12641.63,11
HCPCS,21087,Prepare face/oral prosthesis,,,5063.0,22571.93,11
HCPCS,21088,Prepare face/oral prosthesis,,,3367.56,12641.63,11
HCPCS,21089,Prepare face/oral prosthesis,,,240.57,5063.0,11
HCPCS,21100,Maxillofacial fixation,,,1694.0,22571.93,13
HCPCS,21110,Interdental fixation,,,1575.96,5916.09,12
HCPCS,21116,Hc Inj Tmj Arthrography,1157.0,451.23,,,0
HCPCS,21116,Injection jaw joint x-ray,,,2665.0,3391.0,2
HCPCS,21120,Reconstruction of chin,,,3721.0,22571.93,13
HCPCS,21121,Reconstruction of chin,,,3367.56,12641.63,13
HCPCS,21122,Reconstruction of chin,,,3721.0,22571.93,13
HCPCS,21123,Reconstruction of chin,,,3367.56,12641.63,13
HCPCS,21125,Augmentation lower jaw bone,,,3721.0,22571.93,13
HCPCS,21127,Augmentation lower jaw bone,,,6012.85,22571.93,13
HCPCS,21137,Reduction of forehead,,,3367.56,12641.63,11
HCPCS,21138,Reduction of forehead,,,5809.0,22571.93,11
HCPCS,21139,Reduction of forehead,,,5063.0,22571.93,11
HCPCS,21141,Lefort i-1 piece w/o graft,,,6012.85,22571.93,11
HCPCS,21142,Lefort i-2 piece w/o graft,,,6012.85,22571.93,11
HCPCS,21143,Lefort i-3/> piece w/o graft,,,6012.85,22571.93,11
HCPCS,21145,Lefort i-1 piece w/ graft,,,6012.85,22571.93,11
HCPCS,21146,Lefort i-2 piece w/ graft,,,6012.85,22571.93,11
HCPCS,21147,Lefort i-3/> piece w/ graft,,,6012.85,22571.93,11
HCPCS,21150,Lefort ii anterior intrusion,,,6012.85,22571.93,11
HCPCS,21151,Lefort ii w/bone grafts,,,6012.85,22571.93,11
HCPCS,21154,Lefort iii w/o lefort i,,,6012.85,22571.93,11
HCPCS,21155,Lefort iii w/ lefort i,,,6012.85,22571.93,11
HCPCS,21159,Lefort iii w/fhdw/o lefort i,,,6012.85,22571.93,11
HCPCS,21160,Lefort iii w/fhd w/ lefort i,,,6012.85,22571.93,11
HCPCS,21172,Reconstruct orbit/forehead,,,6012.85,22571.93,11
HCPCS,21175,Reconstruct orbit/forehead,,,6012.85,22571.93,11
HCPCS,21179,Reconstruct entire forehead,,,6012.85,22571.93,11
HCPCS,21180,Reconstruct entire forehead,,,6012.85,22571.93,11
HCPCS,21181,Contour cranial bone lesion,,,3721.0,22571.93,13
HCPCS,21182,Reconstruct cranial bone,,,6012.85,22571.93,11
HCPCS,21183,Reconstruct cranial bone,,,6012.85,22571.93,11
HCPCS,21184,Reconstruct cranial bone,,,6012.85,22571.93,11
HCPCS,21188,Reconstruction of midface,,,6012.85,22571.93,11
HCPCS,21193,Reconst lwr jaw w/o graft,,,6012.85,22571.93,11
HCPCS,21194,Reconst lwr jaw w/graft,,,6012.85,22571.93,11
HCPCS,21195,Reconst lwr jaw w/o fixation,,,6012.85,22571.93,11
HCPCS,21196,Reconst lwr jaw w/fixation,,,6012.85,22571.93,11
HCPCS,21198,Reconstr lwr jaw segment,,,5809.0,22571.93,11
HCPCS,21199,Reconstr Lwr Jaw W/Advance,,,6012.85,22571.93,11
HCPCS,21206,Reconstruct upper jaw bone,,,2664.0,22571.93,13
HCPCS,21208,Augmentation of facial bones,,,3721.0,22571.93,13
HCPCS,21209,Reduction of facial bones,,,2664.0,22571.93,13
HCPCS,21210,Face bone graft,,,3721.0,22571.93,13
HCPCS,21215,Lower jaw bone graft,,,3721.0,22571.93,13
HCPCS,21230,Rib cartilage graft,,,3721.0,22571.93,13
HCPCS,21235,Ear cartilage graft,,,3721.0,22571.93,13
HCPCS,21240,Reconstruction of jaw joint,,,2323.0,22571.93,13
HCPCS,21242,Reconstruction of jaw joint,,,2664.0,22571.93,13
HCPCS,21243,Reconstruction of jaw joint,,,2664.0,103460.29,13
HCPCS,21244,Reconstruction of lower jaw,,,3721.0,22571.93,13
HCPCS,21245,Reconstruction of jaw,,,3721.0,22571.93,13
HCPCS,21246,Reconstruction of jaw,,,3721.0,22571.93,13
HCPCS,21247,Reconstruct lower jaw bone,,,6012.85,22571.93,11
HCPCS,21248,Reconstruction of jaw,,,3721.0,22571.93,13
HCPCS,21249,Reconstruction of jaw,,,3721.0,22571.93,13
HCPCS,21255,Reconstruct lower jaw bone,,,6012.85,22571.93,11
HCPCS,21256,Reconstruction of orbit,,,5063.0,22571.93,11
HCPCS,21260,Revise eye sockets,,,5063.0,22571.93,11
HCPCS,21261,Revise eye sockets,,,5063.0,22571.93,11
HCPCS,21263,Revise eye sockets,,,5063.0,22571.93,11
HCPCS,21267,Revise eye sockets,,,3721.0,22571.93,13
HCPCS,21268,Revise eye sockets,,,6012.85,22571.93,11
HCPCS,21270,Augmentation cheek bone,,,2664.0,22571.93,13
HCPCS,21275,Revision orbitofacial bones,,,3721.0,22571.93,13
HCPCS,21280,Revision of eyelid,,,2664.0,12641.63,13
HCPCS,21282,Revision of eyelid,,,2664.0,12641.63,13
HCPCS,21295,Revision of jaw muscle/bone,,,1308.0,5916.09,13
HCPCS,21296,Revision of jaw muscle/bone,,,1308.0,12641.63,13
HCPCS,21299,Cranio/maxillofacial surgery,,,240.57,5063.0,11
HCPCS,21300,Treatment of skull fracture,,,1694.0,5063.0,2
HCPCS,21310,Closed tx nose fx w/o manj,,,1694.0,5063.0,3
HCPCS,21315,Closed tx nose fx w/o stablj,,,1575.96,5916.09,13
HCPCS,21315,Hc Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization,22129.0,8630.31,,,0
HCPCS,21320,Closed tx nose fx w/ stablj,,,1694.0,12641.63,13
HCPCS,21320,Hc Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization,22129.0,8630.31,,,0
HCPCS,21325,Open tx nose fx uncomplicatd,,,2323.0,12641.63,13
HCPCS,21330,Open tx nose fx w/skele fixj,,,2664.0,22571.93,13
HCPCS,21335,Open tx nose & septal fx,,,3367.56,12641.63,13
HCPCS,21336,Open tx septal fx w/wo stabj,,,2323.0,12475.93,13
HCPCS,21337,Closed tx septal&nose fx,,,1694.0,12641.63,13
HCPCS,21337,Hc Nasal Fx Closed,24746.0,9650.94,,,0
HCPCS,21338,Open nasoethmoid fx w/o fixj,,,2323.0,22571.93,13
HCPCS,21339,Open nasoethmoid fx w/ fixj,,,2664.0,22571.93,13
HCPCS,21340,Perq tx nasoethmoid fx,,,2323.0,12641.63,13
HCPCS,21343,Open tx dprsd front sinus fx,,,2664.0,22571.93,12
HCPCS,21344,Open tx compl front sinus fx,,,6012.85,22571.93,11
HCPCS,21345,Closed tx nose/jaw fx,,,1575.96,9000.0,13
HCPCS,21346,Opn tx nasomax fx w/fixj,,,6012.85,22571.93,11
HCPCS,21347,Opn tx nasomax fx multple,,,6012.85,22571.93,11
HCPCS,21348,Opn tx nasomax fx w/graft,,,6012.85,22571.93,11
HCPCS,21355,Perq tx malar fracture,,,1937.0,12641.63,13
HCPCS,21356,Opn tx dprsd zygomatic arch,,,1937.0,22571.93,13
HCPCS,21360,Opn tx dprsd malar fracture,,,2323.0,22571.93,13
HCPCS,21365,Opn tx complx malar fx,,,2664.0,22571.93,13
HCPCS,21366,Opn tx complx malar w/grft,,,6012.85,22571.93,11
HCPCS,21385,Opn tx orbit fx transantral,,,2664.0,22571.93,13
HCPCS,21386,Opn tx orbit fx periorbital,,,2664.0,22571.93,12
HCPCS,21387,Opn tx orbit fx combined,,,2664.0,22571.93,12
HCPCS,21390,Opn tx orbit periorbtl implt,,,3721.0,22571.93,13
HCPCS,21395,Opn tx orbit periorbt w/grft,,,3721.0,22571.93,12
HCPCS,21400,Closed tx orbit w/o manipulj,,,547.8,4714.0,13
HCPCS,21401,Closed tx orbit w/manipulj,,,1575.96,5916.09,13
HCPCS,21401,Hc Orbit Fx W Manip,12261.0,4781.79,,,0
HCPCS,21406,Opn tx orbit fx w/o implant,,,2323.0,22571.93,13
HCPCS,21407,Opn tx orbit fx w/implant,,,2664.0,22571.93,13
HCPCS,21408,Opn tx orbit fx w/bone grft,,,5063.0,22571.93,12
HCPCS,21421,Hc Closed Tx Palatal/Maxillary Fx W/Fixation/Splint,9258.0,3610.62,,,0
HCPCS,21421,Treat mouth roof fracture,,,2323.0,12641.63,13
HCPCS,21422,Treat mouth roof fracture,,,2664.0,22571.93,12
HCPCS,21423,Treat mouth roof fracture,,,6012.85,22571.93,11
HCPCS,21431,Treat craniofacial fracture,,,6012.85,22571.93,11
HCPCS,21432,Treat craniofacial fracture,,,6012.85,22571.93,11
HCPCS,21433,Treat craniofacial fracture,,,6012.85,22571.93,11
HCPCS,21435,Treat craniofacial fracture,,,6012.85,22571.93,11
HCPCS,21436,Treat craniofacial fracture,,,6012.85,22571.93,11
HCPCS,21440,Treat dental ridge fracture,,,1937.0,12641.63,13
HCPCS,21445,Treat dental ridge fracture,,,2323.0,22571.93,13
HCPCS,21450,Hc Mandible Fx Wo Manip,4261.0,1661.79,,,0
HCPCS,21450,Treat lower jaw fracture,,,547.8,5809.0,13
HCPCS,21451,Hc Mandible Fx W Manip,10816.0,4218.24,,,0
HCPCS,21451,Treat lower jaw fracture,,,1575.96,6389.0,13
HCPCS,21452,Treat lower jaw fracture,,,1694.0,22571.93,13
HCPCS,21453,Hc Closed Tx Mandibular Fx W/Interdental Fixation,17376.0,6776.64,,,0
HCPCS,21453,Treat lower jaw fracture,,,1937.0,22571.93,13
HCPCS,21454,Treat lower jaw fracture,,,2664.0,22571.93,13
HCPCS,21461,Treat lower jaw fracture,,,2323.0,22571.93,13
HCPCS,21462,Treat lower jaw fracture,,,2664.0,22571.93,13
HCPCS,21465,Treat lower jaw fracture,,,2323.0,22571.93,13
HCPCS,21470,Treat lower jaw fracture,,,2664.0,22571.93,13
HCPCS,21480,Hc Temporomandibular Disl,1435.0,559.65,,,0
HCPCS,21480,Reset dislocated jaw,,,250.54,3391.0,13
HCPCS,21485,Reset dislocated jaw,,,1575.96,5916.09,13
HCPCS,21490,Repair dislocated jaw,,,1937.0,12641.63,13
HCPCS,21493,Treat hyoid bone fracture,,,1937.0,5063.0,2
HCPCS,21494,Treat hyoid bone fracture,,,2323.0,5063.0,2
HCPCS,21495,Treat hyoid bone fracture,,,2323.0,5063.0,2
HCPCS,21497,Interdental wiring,,,1575.96,5916.09,13
HCPCS,21499,Head surgery procedure,,,240.57,5063.0,11
HCPCS,21501,Drain neck/chest lesion,,,1694.0,11075.49,13
HCPCS,21501,Hc Drain Soft Tissue Neck/Thorax,11260.0,4391.4,,,0
HCPCS,21502,Drain chest lesion,,,1694.0,12475.93,13
HCPCS,21510,Drainage of bone lesion,,,1937.0,12475.93,12
HCPCS,21550,Biopsy of neck/chest,,,1308.0,6297.43,13
HCPCS,21550,Hc Biopsy Soft Tissue Neck/Thorax,3368.0,1313.52,,,0
HCPCS,21552,Exc neck les sc 3 cm/>,,,2950.36,11075.49,12
HCPCS,21554,Exc neck tum deep 5 cm/>,,,2950.36,11075.49,12
HCPCS,21555,Exc neck les sc < 3 cm,,,1677.55,6297.43,13
HCPCS,21556,Exc neck tum deep < 5 cm,,,1694.0,11075.49,13
HCPCS,21556,Hc Exc Tumor Soft Tiss Neck Thorax Subfascial Less Than 5Cm,8979.0,3501.81,,,0
HCPCS,21557,Resect neck thorax tumor<5cm,,,2950.36,11075.49,11
HCPCS,21558,Resect neck tumor 5 cm/>,,,2950.36,11075.49,12
HCPCS,21600,Partial removal of rib,,,1694.0,27667.48,13
HCPCS,21601,Exc chest wall tumor w/ribs,,,2950.36,11075.49,11
HCPCS,21602,Exc ch wal tum w/o lymphadec,,,6760.0,27667.48,11
HCPCS,21603,Exc ch wal tum w/lymphadec,,,6760.0,27667.48,11
HCPCS,21610,Partial removal of rib,,,1694.0,12475.93,13
HCPCS,21615,Removal of rib,,,6760.0,27667.48,11
HCPCS,21616,Removal of rib and nerves,,,6760.0,27667.48,11
HCPCS,21620,Partial removal of sternum,,,1694.0,12475.93,12
HCPCS,21627,Sternal debridement,,,3323.41,15026.0,11
HCPCS,21630,Extensive sternum surgery,,,6760.0,27667.48,11
HCPCS,21632,Extensive sternum surgery,,,5063.0,5063.0,1
HCPCS,21685,Hyoid myotomy & suspension,,,2572.0,22571.93,12
HCPCS,21700,Revision of neck muscle,,,1694.0,27667.48,13
HCPCS,21705,Revision of neck muscle/rib,,,6760.0,27667.48,11
HCPCS,21720,Revision of neck muscle,,,1937.0,12475.93,13
HCPCS,21725,Revision of neck muscle,,,719.26,5809.0,13
HCPCS,21740,Reconstruction of sternum,,,6389.0,27667.48,11
HCPCS,21742,Repair stern/nuss w/o scope,,,3323.41,12475.93,12
HCPCS,21743,Repair sternum/nuss w/scope,,,3323.41,12475.93,12
HCPCS,21750,Repair of sternum separation,,,6389.0,27667.48,11
HCPCS,21800,Treatment of rib fracture,,,1308.0,5063.0,2
HCPCS,21805,Treatment of rib fracture,,,1694.0,5063.0,2
HCPCS,21810,Treatment of rib fracture(s),,,1694.0,5063.0,2
HCPCS,21811,Optx of rib fx w/fixj scope,,,5809.0,27667.48,12
HCPCS,21812,Treatment of rib fracture,,,5809.0,27667.48,12
HCPCS,21813,Treatment of rib fracture,,,1633.26,9032.0,12
HCPCS,21820,Treat sternum fracture,,,250.54,3391.0,13
HCPCS,21825,Treat sternum fracture,,,6389.0,27667.48,11
HCPCS,21899,Neck/chest surgery procedure,,,240.57,5063.0,11
HCPCS,21920,Biopsy soft tissue of back,,,1308.0,6297.43,13
HCPCS,21920,Hc Biopsy Soft Tissue Back/Flank,2529.0,986.31,,,0
HCPCS,21925,Biopsy soft tissue of back,,,1677.55,6297.43,13
HCPCS,21930,Exc back les sc < 3 cm,,,1677.55,6297.43,13
HCPCS,21931,Exc back les sc 3 cm/>,,,1677.55,9032.0,12
HCPCS,21932,Exc back tum deep < 5 cm,,,2950.36,11075.49,12
HCPCS,21933,Exc back tum deep 5 cm/>,,,2950.36,11075.49,12
HCPCS,21933,Hc Exc Tumor Soft Tiss Back/Flank Subfascial 5 Cm Or Greater,862.0,336.18,,,0
HCPCS,21935,Resect back tum < 5 cm,,,1937.0,11075.49,13
HCPCS,21936,Resect back tum 5 cm/>,,,2950.36,11075.49,12
HCPCS,22010,I&d p-spine c/t/cerv-thor,,,6760.0,27667.48,11
HCPCS,22015,I&d abscess p-spine l/s/ls,,,6760.0,27667.48,11
HCPCS,22100,Remove part of neck vertebra,,,1937.0,27667.48,12
HCPCS,22101,Remove part thorax vertebra,,,1937.0,27667.48,12
HCPCS,22102,Remove part lumbar vertebra,,,1937.0,27667.48,12
HCPCS,22103,Remove extra spine segment,,,1937.0,5809.0,3
HCPCS,22110,Remove part of neck vertebra,,,6760.0,27667.48,11
HCPCS,22112,Remove part thorax vertebra,,,6760.0,27667.48,11
HCPCS,22114,Remove part lumbar vertebra,,,6760.0,27667.48,11
HCPCS,22116,Remove extra spine segment,,,2665.0,3391.0,2
HCPCS,22206,Incis spine 3 column thorac,,,6760.0,27667.48,11
HCPCS,22207,Incis spine 3 column lumbar,,,6760.0,27667.48,11
HCPCS,22208,Incis spine 3 column adl seg,,,2665.0,3391.0,2
HCPCS,22210,Incis 1 vertebral seg cerv,,,6760.0,27667.48,11
HCPCS,22212,Incis 1 vertebral seg thorac,,,6760.0,27667.48,11
HCPCS,22214,Incis 1 vertebral seg lumbar,,,6760.0,27667.48,11
HCPCS,22216,Incis addl spine segment,,,2665.0,3391.0,2
HCPCS,22220,Incis w/discectomy cervical,,,6760.0,27667.48,11
HCPCS,22222,Incis w/discectomy thoracic,,,6760.0,27667.48,11
HCPCS,22224,Incis w/discectomy lumbar,,,6760.0,27667.48,11
HCPCS,22226,Revise extra spine segment,,,2665.0,3391.0,2
HCPCS,22305,Treat spine process fracture,,,1308.0,5063.0,2
HCPCS,22310,Closed tx vert fx w/o manj,,,250.54,3391.0,13
HCPCS,22310,Hc Cltx Vrt Bdy Fx Wo Manj Req And W/Csting/Bracing,1872.0,730.08,,,0
HCPCS,22315,Closed tx vert fx w/manj,,,1694.0,12475.93,13
HCPCS,22318,Treat odontoid fx w/o graft,,,8245.0,48953.07,11
HCPCS,22319,Treat odontoid fx w/graft,,,8245.0,48953.07,11
HCPCS,22325,Treat spine fracture,,,1937.0,48953.07,12
HCPCS,22326,Treat neck spine fracture,,,1937.0,48953.07,12
HCPCS,22327,Treat thorax spine fracture,,,1937.0,48953.07,12
HCPCS,22328,Treat each add spine fx,,,1937.0,3391.0,3
HCPCS,22505,Manipulation of spine,,,1633.26,6131.17,13
HCPCS,22510,Hc Vertebroplasty Cervicothoracic Inj Percutaneous,31191.0,12164.49,,,0
HCPCS,22510,Perq cervicothoracic inject,,,3323.41,12475.93,12
HCPCS,22511,Hc Vertebroplacty Lumbosacral Inj Percutaneous,28039.0,10935.21,,,0
HCPCS,22511,Perq lumbosacral injection,,,3323.41,12475.93,12
HCPCS,22512,Hc Vertebroplasty Inj Each Additional,8273.0,3226.47,,,0
HCPCS,22512,Vertebroplasty addl inject,,,2665.0,9032.0,3
HCPCS,22513,Hc Aug Kyhphoplasty Thoracic,27124.0,10578.36,,,0
HCPCS,22513,Perq vertebral augmentation,,,6760.0,27667.48,11
HCPCS,22514,Hc Aug Kyhphoplasty Lumbar,25381.0,9898.59,,,0
HCPCS,22514,Perq vertebral augmentation,,,6760.0,27667.48,11
HCPCS,22515,Hc Aug Kyphoplasty Ea Addl Level,4589.0,1789.71,,,0
HCPCS,22515,Perq vertebral augmentation,,,2665.0,3391.0,2
HCPCS,22520,Percut Vertebroplasty Thor,,,1308.0,5063.0,2
HCPCS,22521,Percut Vertebroplasty Lumb,,,5063.0,7487.0,2
HCPCS,22522,Percut Vertebroplasty Addl,,,5063.0,7487.0,2
HCPCS,22523,"Percut kyphoplasty, thor",,,5063.0,5063.0,1
HCPCS,22524,"Percut kyphoplasty, lumba",,,5063.0,5063.0,1
HCPCS,22525,"Percut kyphoplasty, add-o",,,5063.0,5063.0,1
HCPCS,22526,Hc Annuploplasty Intradiscal Electrothermal 1 Level,945.0,368.55,,,0
HCPCS,22526,Idet single level,,,5809.0,9032.0,3
HCPCS,22527,Idet 1 or more levels,,,5809.0,9032.0,3
HCPCS,22532,Lat thorax spine fusion,,,8245.0,48953.07,11
HCPCS,22533,Lat lumbar spine fusion,,,8245.0,66855.32,11
HCPCS,22534,Lat thor/lumb addl seg,,,2665.0,3391.0,2
HCPCS,22548,Neck spine fusion,,,8245.0,48953.07,11
HCPCS,22551,Neck spine fuse&remov bel c2,,,8245.0,48953.07,11
HCPCS,22552,Addl neck spine fusion,,,3391.0,11889.0,2
HCPCS,22554,Neck spine fusion,,,2323.0,48953.07,12
HCPCS,22556,Thorax spine fusion,,,8245.0,66855.32,11
HCPCS,22558,Lumbar spine fusion,,,8245.0,103460.29,11
HCPCS,22585,Additional spinal fusion,,,5063.0,15026.0,2
HCPCS,22586,Prescrl fuse w/ instr l5-s1,,,8245.0,66855.32,11
HCPCS,22590,Spine & skull spinal fusion,,,8245.0,48953.07,11
HCPCS,22595,Neck spinal fusion,,,8245.0,48953.07,11
HCPCS,22600,Neck spine fusion,,,8245.0,66855.32,11
HCPCS,22610,Thorax spine fusion,,,8245.0,66855.32,11
HCPCS,22612,Lumbar spine fusion,,,8245.0,66855.32,11
HCPCS,22614,Spine fusion extra segment,,,2665.0,3391.0,2
HCPCS,22630,Lumbar spine fusion,,,8245.0,103460.29,11
HCPCS,22632,Spine fusion extra segment,,,2665.0,3391.0,2
HCPCS,22633,Lumbar spine fusion combined,,,8245.0,103460.29,11
HCPCS,22634,Spine fusion extra segment,,,2665.0,3391.0,2
HCPCS,22800,Post fusion <=6 vert seg,,,8245.0,66855.32,11
HCPCS,22802,Post fusion 7-12 vert seg,,,8245.0,66855.32,11
HCPCS,22804,Post fusion 13/> vert seg,,,8245.0,66855.32,11
HCPCS,22808,Ant fusion 2-3 vert seg,,,8245.0,66855.32,11
HCPCS,22810,Ant fusion 4-7 vert seg,,,8245.0,66855.32,11
HCPCS,22812,Ant fusion 8/> vert seg,,,8245.0,66855.32,11
HCPCS,22818,Kyphectomy 1-2 segments,,,8245.0,66855.32,11
HCPCS,22819,Kyphectomy 3 or more,,,8245.0,66855.32,11
HCPCS,22830,Exploration of spinal fusion,,,6389.0,27667.48,11
HCPCS,22836,Ant thrc vrt body tethrg <7,,,6859.0,66855.32,11
HCPCS,22837,Ant thrc vrt body tethrg 8+,,,6859.0,66855.32,11
HCPCS,22838,Rev rplc/rmv thrc vrt tethrg,,,6859.0,66855.32,11
HCPCS,22840,Insert spine fixation device,,,2665.0,3391.0,2
HCPCS,22841,Insert spine fixation device,,,2665.0,3391.0,2
HCPCS,22842,Insert spine fixation device,,,2665.0,3391.0,2
HCPCS,22843,Insert spine fixation device,,,2665.0,3391.0,2
HCPCS,22844,Insert spine fixation device,,,2665.0,3391.0,2
HCPCS,22845,Insert spine fixation device,,,3391.0,15026.0,2
HCPCS,22846,Insert spine fixation device,,,3391.0,15026.0,2
HCPCS,22847,Insert spine fixation device,,,3391.0,15026.0,2
HCPCS,22848,Insert pelv fixation device,,,2665.0,3391.0,2
HCPCS,22849,Reinsert spinal fixation,,,8245.0,48953.07,11
HCPCS,22850,Remove spine fixation device,,,7370.23,27667.48,11
HCPCS,22851,Apply spine prosth device,,,5063.0,5063.0,1
HCPCS,22852,Remove spine fixation device,,,7370.23,27667.48,11
HCPCS,22853,Insj biomechanical device,,,2665.0,3391.0,2
HCPCS,22854,Insj biomechanical device,,,2665.0,3391.0,2
HCPCS,22855,Remove spine fixation device,,,7370.23,27667.48,11
HCPCS,22856,Cerv artific diskectomy,,,8245.0,66855.32,11
HCPCS,22857,Lumbar Artif Diskectomy,,,8245.0,66855.32,11
HCPCS,22858,Second level cer diskectomy,,,2665.0,3391.0,2
HCPCS,22859,Insj biomechanical device,,,2665.0,3391.0,2
HCPCS,22860,Tot disc arthrp 2ntrspc lmbr,,,3391.0,6859.0,2
HCPCS,22861,Revise cerv artific disc,,,8245.0,66855.32,11
HCPCS,22862,Revise Lumbar Artif Disc,,,8245.0,66855.32,11
HCPCS,22864,Remove cerv artif disc,,,7370.23,27667.48,11
HCPCS,22865,Remove Lumb Artif Disc,,,7370.23,27667.48,11
HCPCS,22867,Insj stablj dev w/dcmprn,,,6760.0,66855.32,11
HCPCS,22868,Insj stablj dev w/dcmprn,,,2665.0,3391.0,2
HCPCS,22869,Insj stablj dev w/o dcmprn,,,4714.0,48953.07,11
HCPCS,22870,Insj stablj dev w/o dcmprn,,,2665.0,3391.0,2
HCPCS,22899,Hc Spine Surgery Procedure Unlisted,790.0,308.1,,,0
HCPCS,22899,Spine surgery procedure,,,250.54,3391.0,11
HCPCS,22900,Exc abdl tum deep < 5 cm,,,2323.0,11075.49,13
HCPCS,22901,Exc abdl tum deep 5 cm/>,,,2950.36,11075.49,12
HCPCS,22902,Exc abd les sc < 3 cm,,,1677.55,7349.0,12
HCPCS,22902,Hc Exc Tumor Soft Tissue Abdominal Wall Subq Less Than 3Cm,5020.0,1957.8,,,0
HCPCS,22903,Exc abd les sc 3 cm/>,,,2950.36,11075.49,12
HCPCS,22904,Radical resect abd tumor<5cm,,,2950.36,11075.49,12
HCPCS,22905,Rad resect abd tumor 5 cm/>,,,2950.36,11075.49,12
HCPCS,22999,Abdomen surgery procedure,,,250.54,3391.0,11
HCPCS,22999,Hc Abdomen Musculoskeletal Procedure Unlisted,14105.0,5500.95,,,0
HCPCS,23000,Removal of calcium deposits,,,1694.0,11075.49,13
HCPCS,23020,Release shoulder joint,,,1694.0,12475.93,13
HCPCS,23030,Drain shoulder lesion,,,1308.0,11075.49,13
HCPCS,23031,Drain shoulder bursa,,,1937.0,11075.49,13
HCPCS,23035,Drain shoulder bone lesion,,,1633.26,6179.0,13
HCPCS,23040,Exploratory shoulder surgery,,,1937.0,12475.93,13
HCPCS,23044,Exploratory shoulder surgery,,,2323.0,12475.93,13
HCPCS,23065,Biopsy shoulder tissues,,,1308.0,6297.43,13
HCPCS,23066,Biopsy shoulder tissues,,,1694.0,11075.49,13
HCPCS,23071,Exc shoulder les sc 3 cm/>,,,1677.55,9032.0,12
HCPCS,23073,Exc shoulder tum deep 5 cm/>,,,2950.36,11075.49,12
HCPCS,23075,Exc shoulder les sc < 3 cm,,,1677.55,6297.43,13
HCPCS,23076,Exc shoulder tum deep < 5 cm,,,1694.0,11075.49,13
HCPCS,23077,Resect shoulder tumor < 5 cm,,,1937.0,11075.49,13
HCPCS,23078,Resect shoulder tumor 5 cm/>,,,2950.36,11075.49,12
HCPCS,23100,Biopsy of shoulder joint,,,1694.0,12475.93,13
HCPCS,23101,Shoulder joint surgery,,,3323.41,12475.93,13
HCPCS,23105,Remove shoulder joint lining,,,2323.0,27667.48,13
HCPCS,23106,Incision of collarbone joint,,,2323.0,12475.93,13
HCPCS,23107,Explore treat shoulder joint,,,2323.0,27667.48,13
HCPCS,23120,Partial removal collar bone,,,2664.0,12475.93,13
HCPCS,23125,Removal of collar bone,,,2664.0,12475.93,13
HCPCS,23130,Remove shoulder bone part,,,2664.0,12475.93,13
HCPCS,23140,Removal of bone lesion,,,2323.0,12475.93,13
HCPCS,23145,Removal of bone lesion,,,2664.0,12475.93,13
HCPCS,23146,Removal of bone lesion,,,2664.0,27667.48,13
HCPCS,23150,Removal of humerus lesion,,,2323.0,12475.93,13
HCPCS,23155,Removal of humerus lesion,,,2664.0,27667.48,13
HCPCS,23156,Removal of humerus lesion,,,2664.0,27667.48,13
HCPCS,23170,Remove collar bone lesion,,,1694.0,12475.93,13
HCPCS,23172,Remove shoulder blade lesion,,,1694.0,12475.93,13
HCPCS,23174,Remove humerus lesion,,,1694.0,27667.48,13
HCPCS,23180,Remove collar bone lesion,,,2323.0,27667.48,13
HCPCS,23182,Remove shoulder blade lesion,,,2323.0,27667.48,13
HCPCS,23184,Remove humerus lesion,,,2323.0,27667.48,13
HCPCS,23190,Partial removal of scapula,,,2323.0,12475.93,13
HCPCS,23195,Removal of head of humerus,,,2664.0,27667.48,13
HCPCS,23200,Resect clavicle tumor,,,6760.0,27667.48,11
HCPCS,23210,Resect scapula tumor,,,6760.0,27667.48,11
HCPCS,23220,Resect prox humerus tumor,,,6760.0,27667.48,11
HCPCS,23221,Partial removal of humerus,,,5063.0,5063.0,1
HCPCS,23222,Partial removal of humerus,,,5063.0,5063.0,1
HCPCS,23330,Hc Fb Remove Shoulder Simp,6195.0,2416.05,,,0
HCPCS,23330,Remove shoulder foreign body,,,1308.0,6297.43,13
HCPCS,23331,Remove shoulder foreign body,,,1308.0,5063.0,2
HCPCS,23332,Remove shoulder foreign body,,,5063.0,5063.0,1
HCPCS,23333,Hc Removal Shoulder Foreign Body Deep Subfascial/Im,8406.0,3278.34,,,0
HCPCS,23333,Remove shoulder fb deep,,,2950.36,11075.49,12
HCPCS,23334,Shoulder prosthesis removal,,,5809.0,27667.48,12
HCPCS,23335,Shoulder prosthesis removal,,,5809.0,27667.48,11
HCPCS,23350,Hc Inj Shoulder Arthrogram,1517.0,591.63,,,0
HCPCS,23350,Injection for shoulder x-ray,,,2665.0,3391.0,2
HCPCS,23395,Muscle transfer shoulder/arm,,,2664.0,27667.48,13
HCPCS,23397,Muscle transfers,,,3721.0,27667.48,13
HCPCS,23400,Fixation of shoulder blade,,,3721.0,27667.48,13
HCPCS,23405,Incision of tendon & muscle,,,1694.0,27667.48,13
HCPCS,23406,Incise tendon(s) & muscle(s),,,1694.0,27667.48,13
HCPCS,23410,Repair rotator cuff acute,,,2664.0,27667.48,13
HCPCS,23412,Repair rotator cuff chronic,,,3721.0,27667.48,13
HCPCS,23415,Release of shoulder ligament,,,2664.0,27667.48,13
HCPCS,23420,Repair of shoulder,,,3721.0,27667.48,13
HCPCS,23430,Repair biceps tendon,,,2323.0,27667.48,13
HCPCS,23440,Remove/transplant tendon,,,2323.0,27667.48,13
HCPCS,23450,Repair shoulder capsule,,,2664.0,27667.48,13
HCPCS,23455,Repair shoulder capsule,,,3721.0,27667.48,13
HCPCS,23460,Repair shoulder capsule,,,2664.0,27667.48,13
HCPCS,23462,Repair shoulder capsule,,,3721.0,27667.48,13
HCPCS,23465,Repair shoulder capsule,,,2664.0,27667.48,13
HCPCS,23466,Repair shoulder capsule,,,3721.0,27667.48,13
HCPCS,23470,Reconstruct shoulder joint,,,6760.0,48953.07,11
HCPCS,23472,Reconstruct shoulder joint,,,6760.0,66855.32,11
HCPCS,23473,Revis reconst shoulder joint,,,6760.0,48953.07,11
HCPCS,23474,Revis reconst shoulder joint,,,6760.0,48953.07,11
HCPCS,23480,Revision of collar bone,,,2323.0,27667.48,13
HCPCS,23485,Revision of collar bone,,,3721.0,48953.07,13
HCPCS,23490,Reinforce clavicle,,,1937.0,27667.48,13
HCPCS,23491,Reinforce shoulder bones,,,1937.0,48953.07,13
HCPCS,23500,Hc Clavicle Fx Wo Manip,2067.0,806.13,,,0
HCPCS,23500,Treat clavicle fracture,,,250.54,3391.0,13
HCPCS,23505,Hc Clavicle Fx W Manip,28517.0,11121.63,,,0
HCPCS,23505,Treat clavicle fracture,,,1308.0,6131.17,13
HCPCS,23515,Treat clavicle fracture,,,1937.0,27667.48,13
HCPCS,23520,Hc Sternoclavicle Disl,8838.0,3446.82,,,0
HCPCS,23520,Treat clavicle dislocation,,,1308.0,6131.17,13
HCPCS,23525,Hc Closed Tx Sternoclavicular Dislc W/Manipulation,674.0,262.86,,,0
HCPCS,23525,Treat clavicle dislocation,,,250.54,3391.0,13
HCPCS,23530,Treat clavicle dislocation,,,1937.0,27667.48,13
HCPCS,23532,Treat clavicle dislocation,,,2323.0,27667.48,13
HCPCS,23540,Hc Acromioclavicle Disl,2309.0,900.51,,,0
HCPCS,23540,Treat clavicle dislocation,,,250.54,3391.0,13
HCPCS,23545,Hc Acromioclav Disl W Manip,8838.0,3446.82,,,0
HCPCS,23545,Treat clavicle dislocation,,,250.54,3391.0,13
HCPCS,23550,Treat clavicle dislocation,,,1937.0,27667.48,13
HCPCS,23552,Treat clavicle dislocation,,,2323.0,27667.48,13
HCPCS,23570,Hc Closed Tx Scapular Fracture W/O Manipulation,710.0,276.9,,,0
HCPCS,23570,Treat shoulder blade fx,,,250.54,3391.0,13
HCPCS,23575,Hc Scapular Fx W Manip/Wo Ske,8838.0,3446.82,,,0
HCPCS,23575,Treat shoulder blade fx,,,1308.0,6131.17,13
HCPCS,23585,Treat scapula fracture,,,1937.0,27667.48,13
HCPCS,23600,Hc Humeral Wo Manip Prox,2309.0,900.51,,,0
HCPCS,23600,Treat humerus fracture,,,250.54,3391.0,13
HCPCS,23605,Hc Humeral Fx W Manip Wo Ske,25500.0,9945.0,,,0
HCPCS,23605,Treat humerus fracture,,,1633.26,6179.0,13
HCPCS,23615,Treat humerus fracture,,,2323.0,48953.07,13
HCPCS,23616,Treat humerus fracture,,,2323.0,66855.32,13
HCPCS,23620,Hc Humeral Fx Gr Tuber,986.0,384.54,,,0
HCPCS,23620,Treat humerus fracture,,,250.54,3391.0,13
HCPCS,23625,Hc Humeral Fx W Manip Gr Tuber,25500.0,9945.0,,,0
HCPCS,23625,Treat humerus fracture,,,1633.26,6131.17,13
HCPCS,23630,Treat humerus fracture,,,2664.0,27667.48,13
HCPCS,23650,Hc Shoulder Disl W Manip Wo Anes,2309.0,900.51,,,0
HCPCS,23650,Treat shoulder dislocation,,,250.54,3391.0,13
HCPCS,23655,Hc Shoulder Disl W Manip/Anes,19979.0,7791.81,,,0
HCPCS,23655,Treat shoulder dislocation,,,1308.0,6131.17,13
HCPCS,23660,Treat shoulder dislocation,,,1937.0,27667.48,13
HCPCS,23665,Hc Cl Tx Shoulder Disl W Fx Hum Tubrst W/Manj,8390.0,3272.1,,,0
HCPCS,23665,Treat dislocation/fracture,,,1633.26,6131.17,13
HCPCS,23670,Treat dislocation/fracture,,,1937.0,27667.48,13
HCPCS,23675,Hc Shoulder Disl W Surg,2496.0,973.44,,,0
HCPCS,23675,Treat dislocation/fracture,,,1633.26,6131.17,13
HCPCS,23680,Treat dislocation/fracture,,,1937.0,48953.07,13
HCPCS,23700,Fixation of shoulder,,,1308.0,6131.17,13
HCPCS,23800,Fusion of shoulder joint,,,2323.0,27667.48,13
HCPCS,23802,Fusion of shoulder joint,,,3721.0,48953.07,13
HCPCS,23900,Amputation of arm & girdle,,,5063.0,48953.07,11
HCPCS,23920,Amputation at shoulder joint,,,5063.0,48953.07,11
HCPCS,23921,Amputation follow-up surgery,,,1937.0,7867.16,13
HCPCS,23929,Hc Unlisted Procedure Shoulder,1131.0,441.09,,,0
HCPCS,23929,Shoulder surgery procedure,,,250.54,3391.0,11
HCPCS,23930,Drainage of arm lesion,,,1308.0,11075.49,13
HCPCS,23930,Hc I And D Upper Arm/Elbow Abscess Deep,17348.0,6765.72,,,0
HCPCS,23931,Drainage of arm bursa,,,1677.55,6297.43,13
HCPCS,23931,Hc Drainage Of Arm/Elbow Bursa,11479.0,4476.81,,,0
HCPCS,23935,Drain arm/elbow bone lesion,,,1694.0,12475.93,13
HCPCS,24000,Exploratory elbow surgery,,,2323.0,12475.93,13
HCPCS,24006,Release elbow joint,,,2323.0,12475.93,13
HCPCS,24065,Biopsy arm/elbow soft tissue,,,1308.0,6297.43,13
HCPCS,24066,Biopsy arm/elbow soft tissue,,,1694.0,11075.49,13
HCPCS,24071,Exc arm/elbow les sc 3 cm/>,,,2950.36,11075.49,12
HCPCS,24071,Hc Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3Cm Or More,6756.0,2634.84,,,0
HCPCS,24073,Ex arm/elbow tum deep 5 cm/>,,,2950.36,11075.49,12
HCPCS,24075,2Xc Tumor Sof Tis Arm/Elbow Sc,3778.0,1473.42,,,0
HCPCS,24075,Exc arm/elbow les sc < 3 cm,,,1677.55,6297.43,13
HCPCS,24075,Hc Exc Tumor Soft Tiss Upper Arm/Elbow Subq Less Than 3Cm,3778.0,1473.42,,,0
HCPCS,24076,Ex arm/elbow tum deep < 5 cm,,,1694.0,11075.49,13
HCPCS,24077,Resect arm/elbow tum < 5 cm,,,1937.0,11075.49,13
HCPCS,24079,Resect arm/elbow tum 5 cm/>,,,2950.36,11075.49,12
HCPCS,24100,Biopsy elbow joint lining,,,1308.0,12475.93,13
HCPCS,24101,Explore/treat elbow joint,,,2323.0,12475.93,13
HCPCS,24102,Remove elbow joint lining,,,2323.0,12475.93,13
HCPCS,24105,Removal of elbow bursa,,,1937.0,12475.93,13
HCPCS,24110,Remove humerus lesion,,,1694.0,12475.93,13
HCPCS,24115,Remove/graft bone lesion,,,1937.0,27667.48,13
HCPCS,24116,Remove/graft bone lesion,,,1937.0,27667.48,13
HCPCS,24120,Remove elbow lesion,,,1937.0,12475.93,13
HCPCS,24125,Remove/graft bone lesion,,,1937.0,12475.93,13
HCPCS,24126,Remove/graft bone lesion,,,1937.0,27667.48,13
HCPCS,24130,Removal of head of radius,,,1937.0,12475.93,13
HCPCS,24134,Removal of arm bone lesion,,,1694.0,27667.48,13
HCPCS,24136,Remove radius bone lesion,,,1694.0,12475.93,13
HCPCS,24138,Remove elbow bone lesion,,,1694.0,27667.48,13
HCPCS,24140,Partial removal of arm bone,,,1937.0,12475.93,13
HCPCS,24145,Partial removal of radius,,,1937.0,27667.48,13
HCPCS,24147,Partial removal of elbow,,,1694.0,12475.93,13
HCPCS,24149,Radical resection of elbow,,,6389.0,27667.48,11
HCPCS,24150,Resect distal humerus tumor,,,1937.0,27667.48,13
HCPCS,24151,Extensive humerus surgery,,,2323.0,5063.0,2
HCPCS,24152,Resect radius tumor,,,1937.0,27667.48,13
HCPCS,24153,Extensive radius surgery,,,2323.0,5063.0,2
HCPCS,24155,Removal of elbow joint,,,1937.0,12475.93,13
HCPCS,24160,Remove elbow joint implant,,,1694.0,12475.93,13
HCPCS,24164,Remove radius head implant,,,1937.0,12475.93,13
HCPCS,24200,Hc Fb Remove Elbow/Up Arm Subq,6437.0,2510.43,,,0
HCPCS,24200,Removal of arm foreign body,,,1677.55,6297.43,12
HCPCS,24201,Hc Fb Remove Elbow/Up Arm Deep,20404.0,7957.56,,,0
HCPCS,24201,Removal of arm foreign body,,,1694.0,11075.49,13
HCPCS,24220,Hc Inj Elbow Arthro,1656.0,645.84,,,0
HCPCS,24220,Injection for elbow x-ray,,,2665.0,3391.0,2
HCPCS,24300,Manipulate elbow w/anesth,,,1633.26,6131.17,12
HCPCS,24301,Muscle/tendon transfer,,,2323.0,27667.48,13
HCPCS,24305,Arm tendon lengthening,,,2323.0,12475.93,13
HCPCS,24310,Revision of arm tendon,,,1937.0,12475.93,13
HCPCS,24320,Repair of arm tendon,,,1937.0,27667.48,13
HCPCS,24330,Revision of arm muscles,,,1937.0,27667.48,13
HCPCS,24331,Revision of arm muscles,,,1937.0,27667.48,13
HCPCS,24332,Tenolysis triceps,,,3323.41,12475.93,12
HCPCS,24340,Repair of biceps tendon,,,1937.0,27667.48,13
HCPCS,24341,Repair arm tendon/muscle,,,1937.0,27667.48,13
HCPCS,24342,Repair of ruptured tendon,,,1937.0,27667.48,13
HCPCS,24343,Repr elbow lat ligmnt w/tiss,,,3323.41,12475.93,12
HCPCS,24344,Reconstruct elbow lat ligmnt,,,4220.0,27667.48,12
HCPCS,24345,Repr elbw med ligmnt w/tissu,,,1694.0,27667.48,13
HCPCS,24346,Reconstruct elbow med ligmnt,,,4220.0,48953.07,12
HCPCS,24350,Repair of tennis elbow,,,1937.0,5063.0,2
HCPCS,24351,Repair of tennis elbow,,,1937.0,5063.0,2
HCPCS,24352,Repair of tennis elbow,,,1937.0,5063.0,2
HCPCS,24354,Repair of tennis elbow,,,1937.0,5063.0,2
HCPCS,24356,Revision of tennis elbow,,,1937.0,5063.0,2
HCPCS,24357,Repair elbow perc,,,3323.41,12475.93,12
HCPCS,24358,Repair elbow w/deb open,,,3323.41,12475.93,12
HCPCS,24359,Repair elbow deb/attch open,,,3323.41,12475.93,12
HCPCS,24360,Reconstruct elbow joint,,,2664.0,27667.48,13
HCPCS,24361,Reconstruct elbow joint,,,2664.0,66855.32,12
HCPCS,24362,Reconstruct elbow joint,,,2664.0,48953.07,13
HCPCS,24363,Replace elbow joint,,,3721.0,66855.32,12
HCPCS,24365,Reconstruct head of radius,,,2664.0,48953.07,13
HCPCS,24366,Reconstruct head of radius,,,2664.0,48953.07,12
HCPCS,24370,Revise reconst elbow joint,,,6760.0,48953.07,11
HCPCS,24371,Revise reconst elbow joint,,,9000.0,66855.32,11
HCPCS,24400,Revision of humerus,,,2323.0,27667.48,13
HCPCS,24410,Revision of humerus,,,2323.0,48953.07,13
HCPCS,24420,Revision of humerus,,,1937.0,27667.48,13
HCPCS,24430,Repair of humerus,,,1937.0,48953.07,13
HCPCS,24435,Repair humerus with graft,,,2323.0,48953.07,13
HCPCS,24470,Revision of elbow joint,,,1937.0,12475.93,13
HCPCS,24495,Decompression of forearm,,,1694.0,27667.48,13
HCPCS,24498,Reinforce humerus,,,1937.0,48953.07,13
HCPCS,24500,Hc Humeral Fx Shaft Wo Manip,2067.0,806.13,,,0
HCPCS,24500,Treat humerus fracture,,,250.54,3391.0,13
HCPCS,24505,Hc Fx W Manip Wo Ske Shaft Hum,2496.0,973.44,,,0
HCPCS,24505,Treat humerus fracture,,,1308.0,6131.17,13
HCPCS,24515,Treat humerus fracture,,,2323.0,48953.07,13
HCPCS,24516,Treat humerus fracture,,,2323.0,48953.07,13
HCPCS,24530,Hc Humeral Fx Supra Trans,2067.0,806.13,,,0
HCPCS,24530,Treat humerus fracture,,,250.54,3391.0,13
HCPCS,24535,Hc Humeral Fx W Wo Ske,7903.0,3082.17,,,0
HCPCS,24535,Treat humerus fracture,,,1308.0,6131.17,13
HCPCS,24538,Treat humerus fracture,,,1694.0,27667.48,13
HCPCS,24545,Treat humerus fracture,,,2323.0,48953.07,13
HCPCS,24546,Treat humerus fracture,,,2664.0,48953.07,13
HCPCS,24560,Hc Humeral Fx Epicon Wo Manip,2067.0,806.13,,,0
HCPCS,24560,Treat humerus fracture,,,250.54,3391.0,13
HCPCS,24565,Hc Humeral Fx Epicon W Manip,2869.0,1118.91,,,0
HCPCS,24565,Treat humerus fracture,,,1633.26,6131.17,13
HCPCS,24566,Treat humerus fracture,,,1633.26,6179.0,13
HCPCS,24575,Er Tx Fx Humeral Epicondylar O,42461.0,16559.79,,,0
HCPCS,24575,Hc Open Tx Humeral Epicondylar Fracture,42461.0,16559.79,,,0
HCPCS,24575,Treat humerus fracture,,,1937.0,48953.07,13
HCPCS,24576,Hc Humeral Fx Condylar Wo Manip,2309.0,900.51,,,0
HCPCS,24576,Treat humerus fracture,,,250.54,3391.0,13
HCPCS,24577,Hc Humeral Fx Condylar W Manip,8838.0,3446.82,,,0
HCPCS,24577,Treat humerus fracture,,,1308.0,6131.17,13
HCPCS,24579,Treat humerus fracture,,,1937.0,48953.07,13
HCPCS,24582,Treat humerus fracture,,,1694.0,27667.48,13
HCPCS,24586,Treat elbow fracture,,,2323.0,48953.07,13
HCPCS,24587,Treat elbow fracture,,,2664.0,48953.07,13
HCPCS,24600,Hc Elbow Disl,2309.0,900.51,,,0
HCPCS,24600,Treat elbow dislocation,,,250.54,3391.0,13
HCPCS,24605,Hc Elbow Disl W Anes,39961.0,15584.79,,,0
HCPCS,24605,Treat elbow dislocation,,,1633.26,6131.17,13
HCPCS,24615,Treat elbow dislocation,,,1937.0,27667.48,13
HCPCS,24620,Hc Closed Tx Monteggia Fx Dislocation Elbow W/Manj,4487.0,1749.93,,,0
HCPCS,24620,Treat elbow fracture,,,1633.26,6131.17,13
HCPCS,24635,Treat elbow fracture,,,1937.0,27667.48,13
HCPCS,24640,Hc Elbow Nursmaid,2309.0,900.51,,,0
HCPCS,24640,Treat elbow dislocation,,,250.54,5063.0,13
HCPCS,24650,Hc Radial Fx Head/Neck Wo Manip,2067.0,806.13,,,0
HCPCS,24650,Treat radius fracture,,,250.54,3391.0,11
HCPCS,24655,Hc Radial Fx Head/Neck W Manip,8838.0,3446.82,,,0
HCPCS,24655,Treat radius fracture,,,1308.0,6131.17,13
HCPCS,24665,Treat radius fracture,,,2323.0,27667.48,13
HCPCS,24666,Treat radius fracture,,,2323.0,48953.07,13
HCPCS,24670,Hc Ulnar Fx Prox End Wo Manip,2067.0,806.13,,,0
HCPCS,24670,Treat ulnar fracture,,,250.54,3391.0,13
HCPCS,24675,Hc Ulnar Fx Prox End W Manip,2869.0,1118.91,,,0
HCPCS,24675,Treat ulnar fracture,,,1308.0,6131.17,13
HCPCS,24685,Treat ulnar fracture,,,1937.0,27667.48,13
HCPCS,24800,Fusion of elbow joint,,,2323.0,27667.48,13
HCPCS,24802,Fusion/graft of elbow joint,,,2664.0,48953.07,13
HCPCS,24900,Amputation of upper arm,,,5063.0,48953.07,11
HCPCS,24920,Amputation of upper arm,,,5063.0,48953.07,11
HCPCS,24925,Amputation follow-up surgery,,,1937.0,12475.93,13
HCPCS,24930,Amputation follow-up surgery,,,5063.0,27667.48,11
HCPCS,24931,Amputate upper arm & implant,,,5063.0,48953.07,11
HCPCS,24935,Revision of amputation,,,5063.0,27667.48,11
HCPCS,24940,Revision of upper arm,,,6389.0,48953.07,11
HCPCS,24999,Hc Unlisted Procedure Humerus/Elbow,674.0,262.86,,,0
HCPCS,24999,Upper arm/elbow surgery,,,250.54,3391.0,11
HCPCS,25000,Incision of tendon sheath,,,1633.26,6179.0,13
HCPCS,25001,Incise flexor carpi radialis,,,3323.41,12475.93,12
HCPCS,25010022,"ANTIHEMOPHILIC FVIII,REC B-DOMAIN DELETED 1,000 (+/-) UNIT IV SYRINGE",0.01,0.0039,,,0
HCPCS,25010022,"ANTIHEMOPHILIC FVIII,REC B-DOMAIN DELETED 500 (+/-) UNIT IV SYRINGE",0.01,0.0039,,,0
HCPCS,25010065,1/2 NAAC (0.45% SODIUM ACETATE) WITH 1 UNIT/ML HEPARIN UAC/PAL,35.9,14.0,,,0
HCPCS,25010065,1/2 NS (0.45% SODIUM CHLORIDE) (UAC),22.9,8.93,,,0
HCPCS,25010065,ACETIC ACID (BULK) 3 % LIQUID,4.8,1.87,,,0
HCPCS,25010065,ACETIC ACID 0.25 % IRRIGATION SOLUTION,42.6,16.61,,,0
HCPCS,25010065,ACETIC ACID 2% SOLUTION,32.6,12.71,,,0
HCPCS,25010065,ACETIC ACID 3% SOLUTION,32.6,12.71,,,0
HCPCS,25010065,ACETYLCHOLINE CHLORIDE 1 % (10 MG/ML) INTRAOCULAR KIT,1001.5,390.58,,,0
HCPCS,25010065,ACETYLCYSTEINE 100 MG/ML (10 %) SOLUTION,97.55000000000001,38.045,,,0
HCPCS,25010065,ACETYLCYSTEINE 200 MG/ML (20 %) ORAL SOLUTION,45.5,17.74,,,0
HCPCS,25010065,ACETYLCYSTEINE 200 MG/ML (20 %) RESPIRATORY SOLUTION,79.5,31.0,,,0
HCPCS,25010065,ACTIVATED CHARCOAL 25 GRAM/120 ML ORAL SUSPENSION,177.7,69.305,,,0
HCPCS,25010065,ACTIVATED CHARCOAL 50 GRAM/240 ML ORAL SUSPENSION,292.25,113.97999999999999,,,0
HCPCS,25010065,ACTIVATED CHARCOAL-SORBITOL 25 GRAM/120 ML ORAL SUSPENSION,419.29999999999995,163.525,,,0
HCPCS,25010065,ACTIVATED CHARCOAL-SORBITOL 50 GRAM/240 ML ORAL SUSPENSION,87.2,34.01,,,0
HCPCS,25010065,ALBUTEROL CONTINUOUS BRONCHODILATORY THERAPY,383.5,149.56,,,0
HCPCS,25010065,ALBUTEROL SULFATE 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,12.8,4.99,,,0
HCPCS,25010065,ALBUTEROL SULFATE 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,13.15,5.125,,,0
HCPCS,25010065,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,10.3,4.02,,,0
HCPCS,25010065,ALBUTEROL SULFATE CONCENTRATE 2.5 MG/0.5 ML SOLUTION FOR NEBULIZATION,20.8,8.11,,,0
HCPCS,25010065,ALBUTEROL SULFATE CONCENTRATE 5 MG/ML(0.5 %) SOLUTION FOR NEBULIZATION,237.8,92.74000000000001,,,0
HCPCS,25010065,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP,14.8,5.77,,,0
HCPCS,25010065,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 400 MG-400 MG-40 MG/5 ML ORAL SUSP,0.6,0.23,,,0
HCPCS,25010065,AMINOLEVULINIC ACID HCL 30 MG/ML ORAL SOLUTION,20101.0,7839.39,,,0
HCPCS,25010065,AMPICILLIN-SULBACTAM IVPB 3 G/100 ML NS (SIMPLE),62.7,24.45,,,0
HCPCS,25010065,ANGIOTENSIN II 2.5 MG/ML INTRAVENOUS SOLUTION,11291.4,4403.65,,,0
HCPCS,25010065,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,155.95,60.82,,,0
HCPCS,25010065,ARGININE 7 GRAM-GLUTAMINE 7 GRAM-CALCIUM HMB 1.5 GRAM ORAL POWDER PACK,0.01,0.0039,,,0
HCPCS,25010065,"ARTICAINE 4 %-EPINEPHRINE BITARTRATE 1:200,000 INJECTION CARTRIDGE",19.6,7.64,,,0
HCPCS,25010065,ARTIFICIAL SALIVA(CARBOXYMETHYLCELLULOSE-ELECTROLYTES) SPRAY PUMP,74.6,29.095,,,0
HCPCS,25010065,ASCORBIC ACID (VITAMIN C) 500 MG/ML INJECTION SOLUTION,138.7,54.09,,,0
HCPCS,25010065,ASPIRIN 325 MG TABLET,0.6,0.23,,,0
HCPCS,25010065,ASPIRIN 81 MG CHEWABLE TABLET,0.75,0.29,,,0
HCPCS,25010065,"ASPIRIN 81 MG TABLET,DELAYED RELEASE",0.6,0.23,,,0
HCPCS,25010065,ATROPINE 1 % EYE DROPS,444.95000000000005,173.52999999999997,,,0
HCPCS,25010065,"BACITRACIN 50,000 UNIT INTRAMUSCULAR SOLUTION",76.9,29.99,,,0
HCPCS,25010065,BALANCED SALT SOLUTION COMBINATION NO.1 INTRAOCULAR IRRIGATION,391.95000000000005,152.86,,,0
HCPCS,25010065,BALANCED SALT SOLUTION COMBINATION NO.2 INTRAOCULAR IRRIGATION,244.65,95.41499999999999,,,0
HCPCS,25010065,BALSAM PERU-CASTOR OIL TOPICAL OINTMENT,287.5,112.12,,,0
HCPCS,25010065,BELLADONNA ALKALOIDS-OPIUM 16.2 MG-30 MG RECTAL SUPPOSITORY,211.1,82.33,,,0
HCPCS,25010065,BLOOD CARDIOPLEGIA SYRINGE (KH),24.0,9.36,,,0
HCPCS,25010065,BRIVARACETAM 50 MG/5 ML INTRAVENOUS SOLUTION,1760.1,686.44,,,0
HCPCS,25010065,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,72.0,28.08,,,0
HCPCS,25010065,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,85.0,33.15,,,0
HCPCS,25010065,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,19.6,7.64,,,0
HCPCS,25010065,"BUPIVACAINE 0.5 %-EPINEPHRINE BITARTRATE 1:200,000 INJECTION,CARTRIDGE",42.1,16.42,,,0
HCPCS,25010065,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",45.7,17.82,,,0
HCPCS,25010065,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",64.3,25.08,,,0
HCPCS,25010065,"BUPIVACAINE-EPINEPHRINE (PF) 0.75 %-1:200,000 INJECTION SOLUTION",19.6,7.64,,,0
HCPCS,25010065,"BUPIVACAINE-EPINEPHRINE 0.25 %-1:200,000 INJECTION SOLUTION",87.2,34.01,,,0
HCPCS,25010065,"BUPIVACAINE-EPINEPHRINE 0.5 %-1:100,000 INJECTION",19.6,7.64,,,0
HCPCS,25010065,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) ORAL SYRINGE,12.100000000000001,4.72,,,0
HCPCS,25010065,CAFFEINE-SODIUM BENZOATE 250 MG/ML(125 MG/ML CAFFEINE) INJECTION SOLN,311.8,121.6,,,0
HCPCS,25010065,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,182.85,71.315,,,0
HCPCS,25010065,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE,102.5,39.98,,,0
HCPCS,25010065,CARBACHOL 0.01 % INTRAOCULAR SOLUTION,356.5,139.04,,,0
HCPCS,25010065,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,1599.6,623.845,,,0
HCPCS,25010065,CARDIOPLEGIC SOLUTION NO.25 29 MMOL/L (POTASSIUM) FOR PERFUSION,666.2,259.82,,,0
HCPCS,25010065,CEFOXITIN IVPB 2 G/100 ML NS (SIMPLE),170.8,66.61,,,0
HCPCS,25010065,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,12.35,4.82,,,0
HCPCS,25010065,CHONDROITIN-SOD HYALURON 3 %-4 %(0.5 ML)1 %(0.55 ML)INTRAOCULAR SYRING,1847.2,720.41,,,0
HCPCS,25010065,CHONDROITIN-SOD HYALURON 4 %-3 % (40 MG-30 MG/ML) INTRAOCULAR SYRINGE,5315.1,2072.89,,,0
HCPCS,25010065,CIPROFLOXACIN 0.3 % EYE DROPS,76.19999999999999,29.715,,,0
HCPCS,25010065,"CIPROFLOXACIN 0.3 %-DEXAMETHASONE 0.1 % EAR DROPS,SUSPENSION",2101.8500000000004,819.725,,,0
HCPCS,25010065,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,102.9,40.13,,,0
HCPCS,25010065,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,2073.95,808.845,,,0
HCPCS,25010065,CLINDAMYCIN 2 % VAGINAL CREAM,999.6,389.84,,,0
HCPCS,25010065,CLOPIDOGREL 300 MG TABLET,175.85000000000002,68.58,,,0
HCPCS,25010065,COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 250 UNIT/GRAM TOPICAL OINTMENT,2435.0,949.65,,,0
HCPCS,25010065,COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 250 UNITS/G OINTMENT (WC),28.8,11.23,,,0
HCPCS,25010065,COMPOUNDING VEHICLE SUSPENSION NO.19 ORAL,0.4,0.16,,,0
HCPCS,25010065,CONJUGATED ESTROGENS 0.625 MG/GRAM VAGINAL CREAM,3534.8,1378.57,,,0
HCPCS,25010065,CUPRIC CHLORIDE 0.4 MG/ML INTRAVENOUS SOLUTION,148.4,57.88,,,0
HCPCS,25010065,CYCLOPENTOLATE 0.5 % EYE DROPS,776.5,302.84,,,0
HCPCS,25010065,CYCLOPENTOLATE 1 % EYE DROPS,128.9,50.27,,,0
HCPCS,25010065,CYCLOPENTOLATE 2 % EYE DROPS,442.0,172.38,,,0
HCPCS,25010065,DANTROLENE 20 MG INTRAVENOUS SOLUTION,1379.85,538.14,,,0
HCPCS,25010065,DANTROLENE 250 MG INTRAVENOUS SUSPENSION,23101.1,9009.43,,,0
HCPCS,25010065,"DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION",529.3,206.43,,,0
HCPCS,25010065,DEXAMETHASONE SODIUM PHOSPHATE 0.1 % EYE DROPS,413.5,161.26,,,0
HCPCS,25010065,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,92.6,36.11,,,0
HCPCS,25010065,DEXMEDETOMIDINE 20 MCG/5 ML (4 MCG/ML) IN 0.9 % SODIUM CHLR IV SYRINGE,40.9,15.95,,,0
HCPCS,25010065,DEXMEDETOMIDINE 200 MCG/50 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,70.39999999999999,27.455,,,0
HCPCS,25010065,DEXMEDETOMIDINE 4 MCG/ML IV SYRINGE - 2ML,54.5,21.26,,,0
HCPCS,25010065,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,482.55,188.195,,,0
HCPCS,25010065,DEXMEDETOMIDINE 80 MCG/20 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,252.05,98.30000000000001,,,0
HCPCS,25010065,DEXTRAN 70-HYPROMELLOSE (PF) 0.1 %-0.3 % EYE DROPS IN A DROPPERETTE,4.8,1.87,,,0
HCPCS,25010065,DEXTROSE 2.45 GRAM-SOD CITRATE 2.2 GRAM-CITRIC AC 730 MG/100 ML SOLN,70.5,27.495,,,0
HCPCS,25010065,DEXTROSE 5 % FLUSH (FOR USE WITH MEDS INCOMPATIBLE WITH SALINE),24.8,9.67,,,0
HCPCS,25010065,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
HCPCS,25010065,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE,148.2,57.8,,,0
HCPCS,25010065,DICLOFENAC 0.1 % EYE DROPS,107.4,41.89,,,0
HCPCS,25010065,DICYCLOMINE 10 MG/5 ML ORAL SOLUTION,23.2,9.05,,,0
HCPCS,25010065,DILTIAZEM 100 MG INTRAVENOUS SOLUTION,97.5,38.02,,,0
HCPCS,25010065,DILTIAZEM 125 MG/125 ML (1 MG/ML) IN SODIUM CHLORIDE INFUSION (PREMIX),145.2,56.63,,,0
HCPCS,25010065,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,49.6,19.34,,,0
HCPCS,25010065,"DINOPROSTONE ER 10 MG VAGINAL INSERT,CONTROLLED RELEASE",4219.9,1645.76,,,0
HCPCS,25010065,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,258.0,100.62,,,0
HCPCS,25010065,ELTROMBOPAG OLAMINE 25 MG ORAL POWDER PACKET,3705.6,1445.18,,,0
HCPCS,25010065,ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION,32.25,12.58,,,0
HCPCS,25010065,EPHEDRINE (PF) 25 MG/5 ML (5 MG/ML) IN 0.9% SODIUM CHLORIDE IV SYRINGE,116.3,45.36,,,0
HCPCS,25010065,EPHEDRINE SULFATE 25 MG/5 ML (5 MG/ML) INTRAVENOUS SYRINGE,64.2,25.04,,,0
HCPCS,25010065,EPHEDRINE SULFATE 5 MG/ML INTRAVENOUS SOLUTION,136.25,53.135,,,0
HCPCS,25010065,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,230.85,90.03,,,0
HCPCS,25010065,"EPINEPHRINE (JR) 0.15 MG/0.3 ML INJECTION,AUTO-INJECTOR",1731.75,675.38,,,0
HCPCS,25010065,"EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR",1721.7,671.46,,,0
HCPCS,25010065,EPINEPHRINE 1 MG/ML NASAL SOLUTION,1687.4,658.09,,,0
HCPCS,25010065,EPINEPHRINE 5 MG/250 ML (20 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV SOLN (PREMIX),64.0,24.96,,,0
HCPCS,25010065,EPINEPHRINE HCL (PF) 1 MG/ML (1 ML) INJECTION SOLUTION,101.3,39.505,,,0
HCPCS,25010065,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT,105.1,40.99,,,0
HCPCS,25010065,ETHIODIZED OIL 480 MG IODINE/ML FOR INJECTION,8531.3,3327.21,,,0
HCPCS,25010065,ETHYL ALCOHOL 99 % INTRA-ARTERIAL SOLUTION,6966.6,2716.97,,,0
HCPCS,25010065,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,47.0,18.33,,,0
HCPCS,25010065,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
HCPCS,25010065,"FATTY ACID NO.6-FISH OIL-GLYCERIN-PHOSPHOLIPIDS, EGG 10 % IV EMULSION",642.3,250.5,,,0
HCPCS,25010065,FENTANYL (PF) 1000 MCG/100 ML NS (10 MCG/ML) PREMIX,246.0,95.94,,,0
HCPCS,25010065,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.0625 %-NACL INJECTION SOLUTION,291.5,113.685,,,0
HCPCS,25010065,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.125 %-NACL INJECTION SOLUTION,124.7,48.63,,,0
HCPCS,25010065,FENTANYL (PF) IN NS 10 MCG/ML INFUSION (PREMIX),330.95,129.075,,,0
HCPCS,25010065,FENTANYL-ROPIVACAINE-NACL (PF) 2 MCG/ML-0.2 % INJECTION SOLUTION,395.0,154.05,,,0
HCPCS,25010065,FERRIC SUBSULFATE 0.2 GRAM TO 0.22 GRAM/ML TOPICAL SOLN AND APPLICATOR,96.4,37.6,,,0
HCPCS,25010065,FLUCONAZOLE 100 MG/50 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,72.85,28.415,,,0
HCPCS,25010065,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION,24.85,9.695,,,0
HCPCS,25010065,FLUORESCEIN 0.3 %-BENOXINATE 0.4 % EYE DROPS,245.5,95.74,,,0
HCPCS,25010065,FLUORESCEIN 1 MG EYE STRIPS,4.8,1.87,,,0
HCPCS,25010065,FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION,141.4,55.145,,,0
HCPCS,25010065,"FLUOROMETHOLONE 0.1 % EYE DROPS,SUSPENSION",712.8,277.99,,,0
HCPCS,25010065,FLUTICASONE FUR. 100 MCG-UMECLID 62.5 MCG-VILANT 25 MCG INHALAT.POWDER,5195.7,2026.32,,,0
HCPCS,25010065,"GELATIN SPONGE,ABSORBABLE-PORCINE SKIN 100 TOPICAL SPONGE",354.1,138.1,,,0
HCPCS,25010065,GENTAMICIN 0.3 % EYE DROPS,273.9,106.82,,,0
HCPCS,25010065,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,85.7,33.42,,,0
HCPCS,25010065,HEPARIN 1000 UNITS/500 ML NS FOR WG CATH/EP (SIMPLE),85.4,33.31,,,0
HCPCS,25010065,HEPARIN LOCK FLUSH (PORCINE) 100 UNIT/ML INTRAVENOUS SOLUTION,44.2,17.235,,,0
HCPCS,25010065,"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE",19.6,7.64,,,0
HCPCS,25010065,"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE",24.9,9.709999999999999,,,0
HCPCS,25010065,HYDROCORTISONE IV SYRINGE 1 MG/ML (NEONATE/PEDS),19.6,7.64,,,0
HCPCS,25010065,HYDROMORPHONE (PF) 0.2 MG/ML IN 0.9% NACL PCA (PREMIXED),168.7,65.79,,,0
HCPCS,25010065,"HYDROMORPHONE (PF) 0.2 MG/ML IN NACL, ISO-OSMOTIC INJECTION SYRINGE",129.9,50.66,,,0
HCPCS,25010065,HYDROMORPHONE (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLN,226.15,88.2,,,0
HCPCS,25010065,HYDROMORPHONE (PF) 30 MG/30 ML (1 MG/ML) IN 0.9 % NACL IV PCA SYRINGE,182.2,71.06,,,0
HCPCS,25010065,HYDROMORPHONE 30 MG/30 ML (1 MG/ML) IN 0.9 % NACL IV PCA SYRINGE,167.6,65.365,,,0
HCPCS,25010065,IBUPROFEN LYSINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,3058.05,1192.6399999999999,,,0
HCPCS,25010065,IDARUCIZUMAB 2.5 GRAM/50 ML INTRAVENOUS SOLUTION,35563.8,13869.88,,,0
HCPCS,25010065,INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) INJECTION SOLUTION,61.5,23.98,,,0
HCPCS,25010065,INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) INTRAVENOUS SOLUTION,3345.6,1304.78,,,0
HCPCS,25010065,INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION,212.64999999999998,82.93,,,0
HCPCS,25010065,INDOMETHACIN 1 MG INTRAVENOUS SOLUTION,2285.05,891.17,,,0
HCPCS,25010065,INSULIN GLULISINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,0.01,0.0039,,,0
HCPCS,25010065,IODINE STRONG (LUGOL'S) 5 % ORAL SOLUTION,29.7,11.58,,,0
HCPCS,25010065,IODINE-POTASSIUM IODIDE 5 %-10 % TOPICAL SOLUTION,190.39999999999998,74.255,,,0
HCPCS,25010065,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,16.9,6.59,,,0
HCPCS,25010065,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,14.6,5.69,,,0
HCPCS,25010065,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,1184.9,462.11,,,0
HCPCS,25010065,ISOPROTERENOL 4 MCG/ML BOLUS,67.7,26.4,,,0
HCPCS,25010065,"KETAMINE 10 MG/ML IN SODIUM CHLORIDE, ISO-OSMOTIC INTRAVENOUS SOLUTION",274.2,106.94,,,0
HCPCS,25010065,KETAMINE 10 MG/ML INJECTION SOLUTION,35.6,13.885,,,0
HCPCS,25010065,KETAMINE 10 MG/ML INJECTION SOLUTION (WRAPPED),56.5,22.04,,,0
HCPCS,25010065,KETAMINE 100 MG/2 ML (50 MG/ML) INTRAVENOUS SYRINGE,19.6,7.64,,,0
HCPCS,25010065,KETAMINE 100 MG/ML INJECTION SOLUTION,20.5,7.994999999999999,,,0
HCPCS,25010065,"KETAMINE 30 MG/3 ML (10 MG/ML) IN SODIUM CHLOR,ISO-OSMOTIC INJ SYRINGE",36.05,14.06,,,0
HCPCS,25010065,"KETAMINE 50 MG/5 ML (10 MG/ML) IN SODIUM CHLOR,ISO-OSMOTIC INJ SYRINGE",34.0,13.26,,,0
HCPCS,25010065,KETAMINE 50 MG/ML (1 ML) INTRAVENOUS SYRINGE,48.849999999999994,19.05,,,0
HCPCS,25010065,KETAMINE 50 MG/ML IN STERILE WATER INJECTION SYRINGE,40.6,15.83,,,0
HCPCS,25010065,KETAMINE 50 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
HCPCS,25010065,KETOROLAC 0.5 % EYE DROPS,811.1500000000001,316.35,,,0
HCPCS,25010065,LETERMOVIR 240 MG/12 ML INTRAVENOUS SOLUTION,3967.0499999999997,1547.15,,,0
HCPCS,25010065,LEUCOVORIN CALCIUM 25 MG TABLET,85.8,33.46,,,0
HCPCS,25010065,LEUCOVORIN CALCIUM 5 MG TABLET,55.6,21.685000000000002,,,0
HCPCS,25010065,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,51.4,20.05,,,0
HCPCS,25010065,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,33.45,13.044999999999998,,,0
HCPCS,25010065,LEVALBUTEROL CONCENTRATE 1.25 MG/0.5 ML SOLUTION FOR NEBULIZATION,58.45,22.795,,,0
HCPCS,25010065,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,39.1,15.25,,,0
HCPCS,25010065,LIDOCAINE (PF) 100 MG/5 ML (2 %) INJECTION SYRINGE,66.1,25.78,,,0
HCPCS,25010065,LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE,56.5,22.04,,,0
HCPCS,25010065,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,27.4,10.69,,,0
HCPCS,25010065,LIDOCAINE (PF) 20 MG/ML (2 %) INTRAVENOUS SOLUTION,32.1,12.52,,,0
HCPCS,25010065,LIDOCAINE (PF) 200 MG/10 ML (2 %) INJECTION SYRINGE,323.2,126.05,,,0
HCPCS,25010065,LIDOCAINE (PF) 3.5 % EYE GEL,201.6,78.625,,,0
HCPCS,25010065,LIDOCAINE (PF) 40 MG/ML (4 %) INJECTION SOLUTION,19.6,7.64,,,0
HCPCS,25010065,LIDOCAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,36.8,14.35,,,0
HCPCS,25010065,LIDOCAINE (PF) 50 MG/5 ML (1 %) INJECTION SYRINGE,459.5,179.2,,,0
HCPCS,25010065,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",26.95,10.51,,,0
HCPCS,25010065,LIDOCAINE 10 MG/ML (1%) INJECTION (WC),19.6,7.64,,,0
HCPCS,25010065,LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR,48.5,18.92,,,0
HCPCS,25010065,"LIDOCAINE 2 %-EPINEPHRINE BITARTRATE 1:100,000 INJECTION CARTRIDGE",45.8,17.86,,,0
HCPCS,25010065,"LIDOCAINE 2%, BUPIVACAINE 0.75%, HYLENEX 150 UNITS IN 10 ML SYRINGE (FOR RETROBULBAR BLOCK)",2391.3,932.61,,,0
HCPCS,25010065,"LIDOCAINE 2%, BUPIVACAINE 0.75%, VITRASE 200 UNITS IN 10 ML SYRINGE (FOR RETROBULBAR BLOCK)",3661.0,1427.79,,,0
HCPCS,25010065,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION",24.3,9.48,,,0
HCPCS,25010065,LIDOCAINE 4 % MUCOSAL SOLN (WC),368.2,143.6,,,0
HCPCS,25010065,LIDOCAINE 4 %-EPINEPHRINE 0.18 %-TETRACAINE 0.5 % TOPICAL GEL,135.8,52.96,,,0
HCPCS,25010065,LIDOCAINE 5 % TOPICAL OINTMENT,2365.05,922.37,,,0
HCPCS,25010065,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,30.4,11.855,,,0
HCPCS,25010065,LIDOCAINE HCL 2 % MUCOSAL JELLY,114.3,44.58,,,0
HCPCS,25010065,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,30.4,11.86,,,0
HCPCS,25010065,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,21.6,8.42,,,0
HCPCS,25010065,LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION,253.2,98.75,,,0
HCPCS,25010065,LIDOCAINE HCL 4 % LARYNGOTRACHEAL SOLUTION,102.5,39.975,,,0
HCPCS,25010065,"LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJECTION SOLUTION",94.3,36.78,,,0
HCPCS,25010065,"LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200,000 INJECTION SOLUTION",23.049999999999997,8.99,,,0
HCPCS,25010065,"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION",75.15,29.31,,,0
HCPCS,25010065,"LIDOCAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION",26.25,10.235,,,0
HCPCS,25010065,LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM,93.15,36.33,,,0
HCPCS,25010065,LINEZOLID 2 MG/ML IV SYRINGE (NEONATE/PEDS),93.5,36.46,,,0
HCPCS,25010065,LOW DOSE EPINEPHRINE 10 MCG/ML INJECTION,19.6,7.64,,,0
HCPCS,25010065,LOW DOSE EPINEPHRINE 10 MCG/ML INJECTION (NEONATE/PEDS),19.6,7.64,,,0
HCPCS,25010065,MAALOX/LIDOCAINE ORAL SUSPENSION,78.3,30.54,,,0
HCPCS,25010065,MAGNESIUM SULFATE 6 GRAM/100 ML IN 0.9% SODIUM CHLORIDE IVPB (SIMPLE),67.5,26.32,,,0
HCPCS,25010065,MANNITOL 20 % INTRAVENOUS SOLUTION,320.3,124.92,,,0
HCPCS,25010065,MENTHOL 0.44 %-ZINC OXIDE 20.6 % TOPICAL OINTMENT,53.8,20.985,,,0
HCPCS,25010065,MEPERIDINE (PF) 25 MG/ML INJECTION SOLUTION,43.4,16.93,,,0
HCPCS,25010065,MEPIVACAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,19.6,7.64,,,0
HCPCS,25010065,MERCAPTOPURINE 50 MG TABLET,45.2,17.625,,,0
HCPCS,25010065,METHADONE 10 MG/ML ORAL SYRINGE  (FOR ORAL USE ONLY),613.6,239.3,,,0
HCPCS,25010065,METHADONE 5 MG/5 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SYRINGE,170.8,66.61,,,0
HCPCS,25010065,METHOHEXITAL 100 MG/10 ML (10 MG/ML) IN NACL 0.9%,242.3,94.5,,,0
HCPCS,25010065,METHYL SALICYLATE OIL,632.8,246.79,,,0
HCPCS,25010065,METHYL SALICYLATE TOPICAL LIQUID,61.3,23.91,,,0
HCPCS,25010065,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION,23.1,9.01,,,0
HCPCS,25010065,METRONIDAZOLE (BULK) POWDER,39.2,15.29,,,0
HCPCS,25010065,METRONIDAZOLE 0.75 % (37.5 MG/5 GRAM) VAGINAL GEL,1022.3,398.7,,,0
HCPCS,25010065,MICONAZOLE NITRATE 2 % TOPICAL POWDER,66.9,26.09,,,0
HCPCS,25010065,MICONAZOLE NITRATE 2 % VAGINAL CREAM,65.55,25.564999999999998,,,0
HCPCS,25010065,MICROFIBRILLAR COLLAGEN HEMOSTAT 70 MM X 35 MM SHEETS,1457.3,568.35,,,0
HCPCS,25010065,MIDAZOLAM (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,167.0,65.13,,,0
HCPCS,25010065,MINERAL OIL,13.1,5.11,,,0
HCPCS,25010065,"MINERAL OIL, LIGHT STERILE",174.8,68.17,,,0
HCPCS,25010065,MORPHINE (PF) 1 MG/2 ML INTRAVENOUS SYRINGE,69.0,26.91,,,0
HCPCS,25010065,MORPHINE (PF) 1 MG/ML IN 0.9% NACL PCA (PREMIXED),170.4,66.46,,,0
HCPCS,25010065,MORPHINE(PF) 150 MG/30 ML(5 MG/ML) IN 0.9% SOD CHLORIDE IV PCA SYRINGE,88.7,34.59,,,0
HCPCS,25010065,MOXIFLOXACIN 0.5 % EYE DROPS,1283.4,500.53,,,0
HCPCS,25010065,MUPIROCIN 2 % OINTMENT (WC),39.4,15.37,,,0
HCPCS,25010065,MUPIROCIN 2 % TOPICAL OINTMENT,130.39999999999998,50.855000000000004,,,0
HCPCS,25010065,MUPIROCIN CALCIUM 2 % TOPICAL CREAM,1880.4,733.36,,,0
HCPCS,25010065,"MVI,ADULT NO.4 WITH VIT K 3300 UNIT-150 MCG/10 ML INTRAVENOUS SOLUTION",131.4,51.25,,,0
HCPCS,25010065,NAFCILLIN 1 GRAM SOLUTION FOR INJECTION,19.6,7.64,,,0
HCPCS,25010065,"NEOMYCIN 3.5 MG-POLYMYXIN 10,000 UNIT-HYDROCORT 10 MG/ML EYE DROP,SUSP",1435.1,559.69,,,0
HCPCS,25010065,"NEOMYCIN 3.5 MG/G-POLYMYXIN B 10,000 UNIT/G-DEXAMETH 0.1 % EYE OINT",337.5,131.62,,,0
HCPCS,25010065,"NEOMYCIN 40 MG-POLYMYXIN B 200,000 UNIT/ML GU IRRIGATION SOLUTION",82.94999999999999,32.35,,,0
HCPCS,25010065,"NEOMYCIN-BACITRACIN-POLYMYXN 3.5 MG-400 UNIT-10,000 UNIT/GRAM EYE OINT",436.8,170.35,,,0
HCPCS,25010065,"NEOMYCIN-BACITRACN ZN-POLYMYX 3.5 MG-400 UNIT-5,000 UNIT/GRAM TOP OINT",50.35,19.64,,,0
HCPCS,25010065,"NEOMYCIN-POLYMYXIN B 40MG-200,000 UNIT IN NS 500ML (SIMPLE)",57.6,22.46,,,0
HCPCS,25010065,"NEOMYCIN-POLYMYXIN-DEXAMETH 3.5 MG/ML-10,000 UNIT/ML-0.1% EYE DROPS",244.95,95.53,,,0
HCPCS,25010065,NIRMATRELVIR 150 MG (10)-RITONAVIR 100 MG (10) TABLETS IN A DOSE PACK,1147.6,447.56,,,0
HCPCS,25010065,"NIRMATRELVIR 300 MG (150 MG X2)-RITONAVIR 100 MG TABLET,DOSE PACK",1147.6,447.56,,,0
HCPCS,25010065,NITROGLYCERIN 400 MCG/SPRAY TRANSLINGUAL,1932.0,753.48,,,0
HCPCS,25010065,NITROPRUSSIDE 100 MCG/ML IN 250 ML D5W (CATHLAB),22.5,8.78,,,0
HCPCS,25010065,NOREPINEPHRINE 0.16 MG/10 ML (16 MCG/ML) IN 0.9 % NACL SYRINGE,19.6,7.64,,,0
HCPCS,25010065,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,246.3,96.06,,,0
HCPCS,25010065,NOREPINEPHRINE BITARTRATE 32 MG/250 ML (128 MCG/ML) IN 0.9 % NACL IV,167.7,65.4,,,0
HCPCS,25010065,NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN 0.9 % NACL IV,189.3,73.83,,,0
HCPCS,25010065,NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN DEXTROSE 5 % IV,192.2,74.96,,,0
HCPCS,25010065,NOREPINEPHRINE BITARTRATE 8 MG/250 ML (32 MCG/ML) IN 0.9 % NACL IV,324.6,126.59,,,0
HCPCS,25010065,NOREPINEPHRINE BITARTRATE 8 MG/250 ML (32 MCG/ML) IN DEXTROSE 5 % IV,284.0,110.76,,,0
HCPCS,25010065,NORFLURANE-PENTAFLUOROPROPANE TOPICAL SPRAY,4.8,1.87,,,0
HCPCS,25010065,OFLOXACIN 0.3 % EAR DROPS,1206.8,470.65,,,0
HCPCS,25010065,OFLOXACIN 0.3 % EYE DROPS,348.20000000000005,135.795,,,0
HCPCS,25010065,ONE-STEP ONLY - PROPOFOL 10 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
HCPCS,25010065,ORA-PLUS- COMPOUNDING VEHICLE SUSPENSION SUGAR-FREE NO.20 ORAL,1.2,0.47,,,0
HCPCS,25010065,ORA-SWEET- COMPOUNDING VEHICLE SYRUP NO.23,0.4,0.16,,,0
HCPCS,25010065,PENICILLIN G IVPB 3 MU/100 ML NS (SIMPLE),69.5,27.1,,,0
HCPCS,25010065,PENICILLIN G POT 3 MILLION UNIT/50 ML-DEXTROSE INTRAVENOUS PIGGYBACK,91.9,35.84,,,0
HCPCS,25010065,"PENICILLIN G POTASSIUM 50,0000 UNITS/ML IV SYRINGE (SIMPLE)",0.3,0.12,,,0
HCPCS,25010065,PENICILLIN G SODIUM 5 MILLION UNIT SOLUTION FOR INJECTION,491.9,191.84,,,0
HCPCS,25010065,PENTAMIDINE 300 MG SOLUTION FOR INJECTION,349.205,136.19195,,,0
HCPCS,25010065,PHENOL 6 % INJECTION SOLUTION,552.6,215.51,,,0
HCPCS,25010065,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE,53.9,21.025,,,0
HCPCS,25010065,PHENYLEPHRINE 10 % EYE DROPS,375.85,146.57999999999998,,,0
HCPCS,25010065,PHENYLEPHRINE 2.5 % EYE DROPS,311.7,121.56,,,0
HCPCS,25010065,PILOCARPINE 1 % EYE DROPS,733.65,286.125,,,0
HCPCS,25010065,PILOCARPINE 2 % EYE DROPS,773.3,301.59,,,0
HCPCS,25010065,"POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION",177.75,69.32499999999999,,,0
HCPCS,25010065,POLYVINYL ALCOHOL-POVIDONE (PF) 1.4 %-0.6 % EYE DROPS IN A DROPPERETTE,1.25,0.49,,,0
HCPCS,25010065,PORACTANT ALFA 120 MG/1.5 ML INTRATRACHEAL SUSPENSION,5512.9,2150.03,,,0
HCPCS,25010065,PORACTANT ALFA 240 MG/3 ML INTRATRACHEAL SUSPENSION,10870.7,4239.57,,,0
HCPCS,25010065,POSACONAZOLE 300 MG/16.7 ML INTRAVENOUS SOLUTION,3604.8,1405.875,,,0
HCPCS,25010065,POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
HCPCS,25010065,POTASSIUM PHOSPHATE 15 MMOL/250 ML IN 0.9 % SODIUM CHLORIDE IV SOLN,531.7,207.36,,,0
HCPCS,25010065,POTASSIUM PHOSPHATE 3 MMOL/ML ORAL SOLUTION,97.5,38.02,,,0
HCPCS,25010065,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,148.05,57.739999999999995,,,0
HCPCS,25010065,POVIDONE-IODINE 10 % TOPICAL OINTMENT,11.6,4.52,,,0
HCPCS,25010065,POVIDONE-IODINE 10 % TOPICAL SOLUTION,10.0,3.9,,,0
HCPCS,25010065,POVIDONE-IODINE 5 % EYE SOLUTION,136.3,53.16,,,0
HCPCS,25010065,"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION",424.4,165.52,,,0
HCPCS,25010065,PROMETHAZINE IVPB 6.25 MG/25 ML NS (SIMPLE),30.8,12.01,,,0
HCPCS,25010065,PROPARACAINE 0.5 % EYE DROPS,336.6,131.27,,,0
HCPCS,25010065,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,15.8,6.16,,,0
HCPCS,25010065,PYRIDOSTIGMINE BROMIDE 5 MG/ML INJECTION SOLUTION,65.6,25.58,,,0
HCPCS,25010065,RACEPINEPHRINE 2.25 % SOLUTION FOR NEBULIZATION,28.799999999999997,11.235,,,0
HCPCS,25010065,REMIFENTANIL 1 MG INTRAVENOUS SOLUTION,626.1,244.18,,,0
HCPCS,25010065,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,54.5,21.255,,,0
HCPCS,25010065,ROPIV 2.46-EPI 0.005-CLONID 0.0008-KETOROL 0.3 MG/ML PERIARTICULR SYRG,527.0,205.53,,,0
HCPCS,25010065,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,163.4,63.73,,,0
HCPCS,25010065,SILVER NITRATE 0.5 % TOPICAL SOLUTION,1476.15,575.6999999999999,,,0
HCPCS,25010065,SILVER NITRATE APPLICATORS 75 %-25 % TOPICAL STICK,11.58,4.52,,,0
HCPCS,25010065,SILVER NITRATE APPLICATORS 75 %-25 % TOPICAL STICK (WC),4.8,1.87,,,0
HCPCS,25010065,SILVER SULFADIAZINE 1 % TOPICAL CREAM,115.06,44.875,,,0
HCPCS,25010065,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,27.4,10.69,,,0
HCPCS,25010065,SODIUM BICARBONATE 0.5 MEQ/ML ORAL SYRINGE,33.3,12.99,,,0
HCPCS,25010065,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,156.3,60.96,,,0
HCPCS,25010065,"SODIUM BICARBONATE 150 MEQ/1,000 ML IN DEXTROSE 5 % INTRAVENOUS",245.4,95.71,,,0
HCPCS,25010065,"SODIUM BICARBONATE 150 MEQ/1,150 ML IN DEXTROSE 5 % INTRAVENOUS",1612.3,628.8,,,0
HCPCS,25010065,SODIUM BICARBONATE 250 MEQ/250 ML (1 MEQ/ML) IV INFUSION (SIMPLE),373.7,145.74,,,0
HCPCS,25010065,SODIUM BICARBONATE 4.2 % (0.5 MEQ/ML) INTRAVENOUS SYRINGE,48.0,18.72,,,0
HCPCS,25010065,SODIUM BICARBONATE 4.2 % INTRAVENOUS SOLUTION,25.0,9.75,,,0
HCPCS,25010065,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INTRAVENOUS SYRINGE,514.45,200.635,,,0
HCPCS,25010065,SODIUM BORATE-BORIC ACID-SODIUM CHLORIDE-WATER EYE WASH SOLN,23.6,9.2,,,0
HCPCS,25010065,SODIUM CHLORIDE 0.45% WITH HEPARIN 1 UNIT/ML UAC/PAL,35.9,14.0,,,0
HCPCS,25010065,SODIUM CHLORIDE 0.9 % FOR NEBULIZATION,5.199999999999999,2.0250000000000004,,,0
HCPCS,25010065,SODIUM CHLORIDE 0.9 % IV SOLUTION FOR PRESSURIZED LINES,53.7,20.94,,,0
HCPCS,25010065,"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION",19.6,7.64,,,0
HCPCS,25010065,SODIUM CHLORIDE 3 % FOR NEBULIZATION,5.8,2.26,,,0
HCPCS,25010065,SODIUM CHLORIDE 3.5 % FOR NEBULIZATION,6.8,2.65,,,0
HCPCS,25010065,SODIUM CHLORIDE 4 MEQ/ML (23.4%) IV BOLUS (SIMPLE),57.4,22.39,,,0
HCPCS,25010065,SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION,41.9,16.34,,,0
HCPCS,25010065,SODIUM CHLORIDE 4 MEQ/ML ORAL SYRINGE,19.6,7.64,,,0
HCPCS,25010065,SODIUM CHLORIDE 7 % FOR NEBULIZATION,5.5,2.145,,,0
HCPCS,25010065,SODIUM HYALURONATE 10 MG/ML INTRAOCULAR SYRINGE,2128.9,830.27,,,0
HCPCS,25010065,SODIUM HYPOCHLORITE 0.125 % SOLUTION,83.5,32.56,,,0
HCPCS,25010065,SODIUM HYPOCHLORITE 0.25 % SOLUTION,83.5,32.56,,,0
HCPCS,25010065,SODIUM HYPOCHLORITE 0.5 % SOLUTION,112.5,43.870000000000005,,,0
HCPCS,25010065,SODIUM NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION,234.85,91.59,,,0
HCPCS,25010065,SODIUM PHOSPHATE 3 MMOL/ML FOR ORAL USE (PEDS),27.1,10.57,,,0
HCPCS,25010065,SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION,137.9,53.78,,,0
HCPCS,25010065,SODIUM TETRADECYL SULFATE 3 % (30 MG/ML) INTRAVENOUS SOLUTION,3267.3,1274.25,,,0
HCPCS,25010065,SORBITOL 2.7 GRAM-MANNITOL 0.54 GRAM/100 ML TRANSURETHRAL SOLUTION,128.1,49.96,,,0
HCPCS,25010065,STERILE TALC 4 GRAM INTRAPLEURAL AEROSOL POWDER,257.8,100.54,,,0
HCPCS,25010065,STERILE TALC 4 GRAM INTRAPLEURAL SUSPENSION,2607.8,1017.04,,,0
HCPCS,25010065,"STUDY ASTX727 CEDAZURIDINE-DECITABINE(MM1OA-S03)TAB, 100-35 MG",0.1,0.04,,,0
HCPCS,25010065,STUDY BHV1510 (BHV1510-101) IN NS 250 ML IVPB MIXTURE,0.1,0.04,,,0
HCPCS,25010065,STUDY CRIZANLIZUMAB-TMCA (CSEG101A22401B) IVPB,0.1,0.04,,,0
HCPCS,25010065,"STUDY DAZODALIBEP/PLACEBO (HZNP-DAZ-301, DB PHASE) IN NS 250 ML",0.1,0.04,,,0
HCPCS,25010065,STUDY DOSTARLIMAB/PLACEBO (4010-03-001 (GOG-3031) (RUBY)) INJECTION,0.1,0.04,,,0
HCPCS,25010065,STUDY DOXORUBICIN (PM1183-C-010-22) 50 MG/25 ML (2 MG/ML) INJECTION,0.1,0.04,,,0
HCPCS,25010065,STUDY LURBINECTEDIN (PM1183-C-010-22) 4 MG INJECTION,0.1,0.04,,,0
HCPCS,25010065,"STUDY LUVELTAMAB TAZEVIBULIN (STRO-002-GM3, GOG-3086) INFUSION (NEW)",0.1,0.04,,,0
HCPCS,25010065,"STUDY LUVELTAMAB TAZEVIBULIN (STRO-002-GM3,GOG-3086) 100 MG/10 ML INTRAVENOUS SOLUTION",0.1,0.04,,,0
HCPCS,25010065,STUDY MK-2870 (MK-2870-005 (GOG-3095)) 20 MG/ML INJECTION,0.1,0.04,,,0
HCPCS,25010065,STUDY MK-2870 20 MG/ML INTRAVENOUS SOLUTION,0.1,0.04,,,0
HCPCS,25010065,STUDY NIPOCALIMAB (80202135IIM2001 (SPIREA)) IN 250 ML IVPB,0.1,0.04,,,0
HCPCS,25010065,STUDY NIPOCALIMAB/PLACEBO (80202135IIM2001 (SPIREA)) IN 250 ML IVPB,0.1,0.04,,,0
HCPCS,25010065,STUDY NIVOLUMAB (NRG-GY025) 10 MG/ML INJECTION,0.1,0.04,,,0
HCPCS,25010065,STUDY OLANZAPINE BLINDED (FONDO-LOW) CAPSULE 2.5 MG OR 5 MG,0.1,0.04,,,0
HCPCS,25010065,STUDY PEMBROLIZUMAB 25 MG/ML INTRAVENOUS,0.1,0.04,,,0
HCPCS,25010065,STUDY POSACONAZOLE/PLACEBO (CD.101.IV.3.08 (RESPECT)) INJECTION,0.1,0.04,,,0
HCPCS,25010065,STUDY SAIL66 (SAL101JG) INFUSION IN 100 ML W/STABILIZER,0.1,0.04,,,0
HCPCS,25010065,"STUDY TECLISTAMAB (MAJESTEC-10,64007957MMY1008) POST-CHANGE (90 MG/ML) SUBCUTANEOUS INJECTION",0.1,0.04,,,0
HCPCS,25010065,STUDY TEGOPRUBART (AT-1501-K207) IN 100 ML IVPB,0.1,0.04,,,0
HCPCS,25010065,STUDY TSR-042 DOSTARLIMAB (4010-01-001 (GARNET)) 50 MG/ML INJECTION,0.1,0.04,,,0
HCPCS,25010065,SUCCINYLCHOLINE(PF)20 MG/10 ML INTRAVENOUS SYRINGE,58.35,22.755,,,0
HCPCS,25010065,SUFENTANIL CITRATE 50 MCG/ML INTRAVENOUS SOLUTION,32.3,12.6,,,0
HCPCS,25010065,SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION,1142.9,445.73,,,0
HCPCS,25010065,SULFACETAMIDE SODIUM 10 % EYE DROPS,468.0,182.52,,,0
HCPCS,25010065,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,244.3,95.28,,,0
HCPCS,25010065,TETRACAINE 0.5 % EYE DROPS,230.1,89.74,,,0
HCPCS,25010065,TETRACAINE HCL (PF) 0.5 % EYE DROPS,101.4,39.55,,,0
HCPCS,25010065,"THROMBIN (BOVINE) 20,000 UNIT TOPICAL SOLUTION",2181.9,850.94,,,0
HCPCS,25010065,"THROMBIN (BOVINE) 20,000 UNIT TOPICAL SPRAY SYRINGE",2559.6,998.24,,,0
HCPCS,25010065,"THROMBIN (BOVINE) 5,000 UNIT TOPICAL SOLUTION",567.1,221.17,,,0
HCPCS,25010065,"THROMBIN (BOVINE) 5,000 UNIT TOPICAL SPRAY SYRINGE",3783.4,1475.53,,,0
HCPCS,25010065,"THROMBIN (HUM PLAS)-FIBRINOGEN-CA 800-1,200 UNIT/ML(5 ML X 2) TOP SOLN",2966.8,1157.05,,,0
HCPCS,25010065,"THROMBIN (RECOMBINANT) 20,000 UNIT TOPICAL SOLUTION",2657.7,1036.505,,,0
HCPCS,25010065,"THROMBIN (RECOMBINANT) 5,000 UNIT TOPICAL SOLUTION",659.7,257.28,,,0
HCPCS,25010065,THROMBIN(HUMAN)-FIBRINOGEN-APROTININ SYN-CALCIUM 4 ML TOPICAL SYRINGE,2171.7,846.96,,,0
HCPCS,25010065,TIMOLOL 0.5 % EYE DROPS,15.1,5.89,,,0
HCPCS,25010065,TIMOLOL MALEATE 0.25 % EYE DROPS,71.3,27.805,,,0
HCPCS,25010065,TIMOLOL MALEATE 0.5 % EYE DROPS,90.4,35.26,,,0
HCPCS,25010065,TOBRAMYCIN 0.3 % EYE DROPS,260.7,101.67,,,0
HCPCS,25010065,TOBRAMYCIN 0.3 % EYE OINTMENT,1644.2,641.24,,,0
HCPCS,25010065,"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION",556.6,217.07,,,0
HCPCS,25010065,TOBRAMYCIN-DEXAMETHASONE 0.3 %-0.1 % EYE OINTMENT,2286.4,891.7,,,0
HCPCS,25010065,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",75.2,29.33,,,0
HCPCS,25010065,"TRANEXAMIC ACID 1,000 MG/100 ML(10 MG/ML)IN SOD CHLOR,ISO IV PIGGYBACK",177.25,69.13,,,0
HCPCS,25010065,TRETINOIN (ANTINEOPLASTIC) 10 MG CAPSULE,756.8,295.15,,,0
HCPCS,25010065,TROPICAMIDE 1 % EYE DROPS,190.35000000000002,74.24000000000001,,,0
HCPCS,25010065,TRYPAN BLUE 0.06 % INTRAOCULAR SYRINGE,820.9,320.15,,,0
HCPCS,25010065,TUBERCULIN PPD 5 TUB. UNIT/0.1 ML INTRADERMAL INJECTION SOLUTION,94.2,36.74,,,0
HCPCS,25010065,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION,56.45,22.015,,,0
HCPCS,25010065,VANCOMYCIN 1.5 GRAM/250 ML IN DEXTROSE 5% INTRAVENOUS SOLUTION,273.3,106.59,,,0
HCPCS,25010065,VANCOMYCIN 1.5 GRAM/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLN,183.7,71.64,,,0
HCPCS,25010065,VANCOMYCIN 2 GRAM/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,136.7,53.31,,,0
HCPCS,25010065,VARICELLA-ZOSTER IMMUNE GLOB-MALTOSE 125 UNIT/1.2 ML IM SOLUTION,15212.6,5932.91,,,0
HCPCS,25010065,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,48.7,18.99,,,0
HCPCS,25010065,VECURONIUM BROMIDE 20 MG INTRAVENOUS SOLUTION,158.0,61.620000000000005,,,0
HCPCS,25010065,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,106.8,41.65,,,0
HCPCS,25010065,"WATER FOR INJECTION, BACTERIOSTATIC INJECTION SOLUTION",19.6,7.64,,,0
HCPCS,25010065,ZINC SULFATE 1 MG/ML ORAL SYRINGE (NEONATE/PEDS),8.5,3.32,,,0
HCPCS,25010065,ZINC SULFATE 10 MG/ML ORAL SUSPENSION (NEONATE/PEDS),4.8,1.87,,,0
HCPCS,25010065,ZONISAMIDE 10 MG/ML ORAL SUSPENSION (NEONATE/PEDS),7.0,2.73,,,0
HCPCS,25010066,ABACAVIR 300 MG TABLET,133.0,51.87,,,0
HCPCS,25010066,"ACAMPROSATE 333 MG TABLET,DELAYED RELEASE",27.0,10.53,,,0
HCPCS,25010066,ACEBUTOLOL 200 MG CAPSULE,13.7,5.34,,,0
HCPCS,25010066,ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY,1.7,0.66,,,0
HCPCS,25010066,ACETAMINOPHEN 160 MG/5 ML (5 ML) ORAL SUSPENSION,24.1,9.4,,,0
HCPCS,25010066,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (DYE-FREE),0.9,0.35,,,0
HCPCS,25010066,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (WRAPPED),8.75,3.41,,,0
HCPCS,25010066,ACETAMINOPHEN 160 MG/5 ML ORAL SUSPENSION,0.6,0.23,,,0
HCPCS,25010066,ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET,7.9,3.08,,,0
HCPCS,25010066,ACETAMINOPHEN 325 MG RECTAL SUPPOSITORY,1.6,0.62,,,0
HCPCS,25010066,ACETAMINOPHEN 325 MG TABLET,0.8500000000000001,0.33,,,0
HCPCS,25010066,ACETAMINOPHEN 325 MG/10.15 ML ORAL SOLUTION,16.8,6.55,,,0
HCPCS,25010066,ACETAMINOPHEN 500 MG TABLET,0.6,0.23,,,0
HCPCS,25010066,ACETAMINOPHEN 650 MG RECTAL SUPPOSITORY,1.2,0.47,,,0
HCPCS,25010066,ACETAMINOPHEN 80 MG CHEWABLE TABLET,1.9,0.74,,,0
HCPCS,25010066,ACETAMINOPHEN 80 MG RECTAL SUPPOSITORY,6.0,2.34,,,0
HCPCS,25010066,ACETAZOLAMIDE 250 MG TABLET,42.5,16.58,,,0
HCPCS,25010066,"ACETAZOLAMIDE ER 500 MG CAPSULE,EXTENDED RELEASE",71.35,27.825,,,0
HCPCS,25010066,ACYCLOVIR 200 MG CAPSULE,12.450000000000001,4.855,,,0
HCPCS,25010066,ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION,28.9,11.27,,,0
HCPCS,25010066,ACYCLOVIR 400 MG TABLET,16.7,6.51,,,0
HCPCS,25010066,ACYCLOVIR 5 % TOPICAL OINTMENT,4444.95,1733.5300000000002,,,0
HCPCS,25010066,ACYCLOVIR 800 MG TABLET,28.2,11.0,,,0
HCPCS,25010066,ALBUTEROL SULFATE 2 MG TABLET,114.7,44.73,,,0
HCPCS,25010066,ALENDRONATE 70 MG TABLET,156.89999999999998,61.19,,,0
HCPCS,25010066,ALLOPURINOL 100 MG TABLET,5.1,1.99,,,0
HCPCS,25010066,ALLOPURINOL 300 MG TABLET,6.5,2.535,,,0
HCPCS,25010066,ALPRAZOLAM 0.25 MG TABLET,5.4,2.11,,,0
HCPCS,25010066,ALPRAZOLAM 0.5 MG TABLET,6.300000000000001,2.455,,,0
HCPCS,25010066,ALPRAZOLAM 1 MG TABLET,8.9,3.47,,,0
HCPCS,25010066,ALUMINUM HYDROX-MAGNESIUM CARB 95 MG-358 MG/15 ML ORAL SUSPENSION,0.8,0.31,,,0
HCPCS,25010066,ALVIMOPAN 12 MG CAPSULE,1397.55,545.0450000000001,,,0
HCPCS,25010066,AMANTADINE HCL 100 MG CAPSULE,15.2,5.925,,,0
HCPCS,25010066,AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION,32.6,12.71,,,0
HCPCS,25010066,AMBRISENTAN 1 MG/ML ORAL SUSPENSION (NEO/PEDS),1306.2,509.42,,,0
HCPCS,25010066,AMILORIDE 5 MG TABLET,4.8,1.87,,,0
HCPCS,25010066,AMINOCAPROIC ACID 500 MG TABLET,217.64999999999998,84.88,,,0
HCPCS,25010066,AMIODARONE 200 MG TABLET,28.5,11.12,,,0
HCPCS,25010066,AMITRIPTYLINE 10 MG TABLET,4.8,1.87,,,0
HCPCS,25010066,AMITRIPTYLINE 100 MG TABLET,17.9,6.98,,,0
HCPCS,25010066,AMITRIPTYLINE 25 MG TABLET,6.4,2.495,,,0
HCPCS,25010066,AMITRIPTYLINE 50 MG TABLET,5.45,2.125,,,0
HCPCS,25010066,AMITRIPTYLINE 75 MG TABLET,8.3,3.24,,,0
HCPCS,25010066,AMLODIPINE 10 MG TABLET,11.55,4.505,,,0
HCPCS,25010066,AMLODIPINE 2.5 MG TABLET,4.8,1.87,,,0
HCPCS,25010066,AMLODIPINE 5 MG TABLET,20.200000000000003,7.875,,,0
HCPCS,25010066,AMLODIPINE BENZOATE 1 MG/ML ORAL SUSPENSION,49.1,19.15,,,0
HCPCS,25010066,AMMONIUM LACTATE 12 % LOTION,152.79999999999998,59.595,,,0
HCPCS,25010066,AMOXICILLIN 200 MG-POTASSIUM CLAVULANATE 28.5 MG/5 ML ORAL SUSPENSION,53.400000000000006,20.825,,,0
HCPCS,25010066,AMOXICILLIN 250 MG CAPSULE,22.7,8.85,,,0
HCPCS,25010066,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 125 MG TABLET,59.55,23.225,,,0
HCPCS,25010066,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 62.5 MG/5 ML ORAL SUSPENSION,65.0,25.35,,,0
HCPCS,25010066,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,6.1,2.375,,,0
HCPCS,25010066,AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION,41.45,16.165,,,0
HCPCS,25010066,AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION,6.9,2.6950000000000003,,,0
HCPCS,25010066,AMOXICILLIN 500 MG CAPSULE,5.8,2.26,,,0
HCPCS,25010066,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET,40.5,15.794999999999998,,,0
HCPCS,25010066,AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION,22.9,8.93,,,0
HCPCS,25010066,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,38.8,15.13,,,0
HCPCS,25010066,AMPICILLIN 500 MG CAPSULE,10.0,3.9,,,0
HCPCS,25010066,ANASTROZOLE 1 MG TABLET,59.0,23.01,,,0
HCPCS,25010066,APIXABAN 2.5 MG TABLET,77.6,30.26,,,0
HCPCS,25010066,APIXABAN 5 MG TABLET,76.8,29.950000000000003,,,0
HCPCS,25010066,APREMILAST 30 MG TABLET,680.6,265.43,,,0
HCPCS,25010066,APREPITANT 20 MG/ML ORAL SUSPENSION (NEO/PEDS),1484.8,579.07,,,0
HCPCS,25010066,ARGININE 100 MG/ML ORAL SOLUTION NEO/PEDS,5.4,2.11,,,0
HCPCS,25010066,ARIPIPRAZOLE 10 MG TABLET,141.3,55.105000000000004,,,0
HCPCS,25010066,ARIPIPRAZOLE 15 MG TABLET,236.0,92.03999999999999,,,0
HCPCS,25010066,ARIPIPRAZOLE 2 MG TABLET,235.89999999999998,92.0,,,0
HCPCS,25010066,ARIPIPRAZOLE 20 MG TABLET,173.55,67.685,,,0
HCPCS,25010066,ARIPIPRAZOLE 5 MG TABLET,122.1,47.62,,,0
HCPCS,25010066,"ARIPIPRAZOLE ER 400 MG INTRAMUSCULAR SUSPENSION,EXTENDED RELEASE",19654.3,7665.18,,,0
HCPCS,25010066,ARTEMETHER-LUMEFANTRINE 20 MG-120 MG TABLET,172.3,67.2,,,0
HCPCS,25010066,"ARTICAINE 4 %-EPINEPHRINE BITARTRATE 1:100,000 INJECTION CARTRIDGE",19.6,7.64,,,0
HCPCS,25010066,ARTIFICIAL TEARS (HYPROMELLOSE) 0.5 % EYE DROPS,216.3,84.36,,,0
HCPCS,25010066,ARTIFICIAL TEARS(DEXTRAN-HYPROMEL-GLYCERN) 0.1 %-0.3 %-0.2 % EYE DROPS,50.8,19.81,,,0
HCPCS,25010066,"ASCORBIC ACID (VITAMIN C) 1,000 MG TABLET",4.8,1.87,,,0
HCPCS,25010066,ASCORBIC ACID (VITAMIN C) 250 MG TABLET,0.8999999999999999,0.35,,,0
HCPCS,25010066,ASCORBIC ACID (VITAMIN C) 500 MG TABLET,0.8500000000000001,0.33,,,0
HCPCS,25010066,ASPIRIN 20 MG RECTAL SUPPOSITORY,4.8,1.87,,,0
HCPCS,25010066,"ASPIRIN 25 MG-DIPYRIDAMOLE 200 MG CAPSULE,EXT.RELEASE 12 HR MULTIPHASE",72.69999999999999,28.354999999999997,,,0
HCPCS,25010066,ASPIRIN 300 MG RECTAL SUPPOSITORY,6.2,2.42,,,0
HCPCS,25010066,"ASPIRIN 325 MG TABLET,DELAYED RELEASE",0.6,0.23,,,0
HCPCS,25010066,ATENOLOL 25 MG TABLET,5.55,2.165,,,0
HCPCS,25010066,ATENOLOL 50 MG TABLET,6.1,2.38,,,0
HCPCS,25010066,ATOMOXETINE 40 MG CAPSULE,53.400000000000006,20.825,,,0
HCPCS,25010066,ATORVASTATIN 10 MG TABLET,17.85,6.96,,,0
HCPCS,25010066,ATORVASTATIN 20 MG TABLET,6.6,2.57,,,0
HCPCS,25010066,ATORVASTATIN 40 MG TABLET,8.1,3.16,,,0
HCPCS,25010066,ATORVASTATIN 80 MG TABLET,28.650000000000002,11.175,,,0
HCPCS,25010066,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,333.45000000000005,130.045,,,0
HCPCS,25010066,AZELASTINE 137 MCG (0.1 %) NASAL SPRAY,807.2,314.81,,,0
HCPCS,25010066,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,41.0,15.99,,,0
HCPCS,25010066,AZITHROMYCIN 250 MG TABLET,26.5,10.34,,,0
HCPCS,25010066,AZITHROMYCIN 500 MG TABLET,77.2,30.11,,,0
HCPCS,25010066,AZITHROMYCIN 600 MG TABLET,122.4,47.735,,,0
HCPCS,25010066,B COMPLEX-C 500 MG-FOLIC 400 MCG-ZINC 23.9 MG-CUPRIC 3 MG-VIT E TABLET,0.6,0.23,,,0
HCPCS,25010066,B-COMPLEX WITH VITAMIN C TABLET,0.6,0.23,,,0
HCPCS,25010066,BABY BERTRAM'S BUTT CREAM (CMPD),40.3,15.72,,,0
HCPCS,25010066,BACITRACIN 500 UNIT/GRAM TOPICAL OINTMENT,9.6,3.745,,,0
HCPCS,25010066,BACITRACIN TOPICAL OINTMENT (WRAPPED),4.5,1.76,,,0
HCPCS,25010066,"BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOP OINT PACKET",1.0,0.39,,,0
HCPCS,25010066,"BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOPICAL OINTMENT",18.4,7.18,,,0
HCPCS,25010066,BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINTMENT,20.5,8.0,,,0
HCPCS,25010066,"BACITRACIN-POLYMYXIN B 500 UNIT-10,000 UNIT/GRAM EYE OINTMENT",121.2,47.27,,,0
HCPCS,25010066,BACLOFEN 10 MG TABLET,9.5,3.7,,,0
HCPCS,25010066,BACLOFEN 20 MG TABLET,41.95,16.36,,,0
HCPCS,25010066,BACLOFEN 25 MG/5 ML (5 MG/ML) ORAL SUSPENSION,4.8,1.87,,,0
HCPCS,25010066,BACLOFEN 5 MG TABLET,36.8,14.350000000000001,,,0
HCPCS,25010066,BALSALAZIDE 750 MG CAPSULE,48.75,19.01,,,0
HCPCS,25010066,BALSAM PERU-ZINC OXIDE TOPICAL OINTMENT,88.5,34.52,,,0
HCPCS,25010066,BARICITINIB 1 MG TABLET,2802.1,1092.82,,,0
HCPCS,25010066,BENZOCAINE 15 MG-MENTHOL 3.6 MG LOZENGES,4.8,1.87,,,0
HCPCS,25010066,BENZOCAINE 20 % MUCOSAL AEROSOL SPRAY,199.4,77.77,,,0
HCPCS,25010066,BENZOCAINE 20 % MUCOSAL SPRAY (UD),62.5,24.38,,,0
HCPCS,25010066,BENZOCAINE 20 % TOPICAL OINTMENT,52.2,20.36,,,0
HCPCS,25010066,BENZOCAINE 20 %-MENTHOL 0.5 % TOPICAL AEROSOL,21.65,8.445,,,0
HCPCS,25010066,BENZONATATE 100 MG CAPSULE,7.699999999999999,3.0,,,0
HCPCS,25010066,BENZOYL PEROXIDE 5 % LOTION,15.4,6.01,,,0
HCPCS,25010066,BENZTROPINE 0.5 MG TABLET,9.1,3.55,,,0
HCPCS,25010066,BENZTROPINE 1 MG TABLET,6.05,2.3600000000000003,,,0
HCPCS,25010066,BETAMETHASONE VALERATE 0.1 % TOPICAL CREAM,214.6,83.69,,,0
HCPCS,25010066,BETAMETHASONE VALERATE 0.1 % TOPICAL OINTMENT,158.2,61.7,,,0
HCPCS,25010066,BETHANECHOL 5 MG/ML ORAL SUSPENSION (NEO/PEDS),4.8,1.87,,,0
HCPCS,25010066,BETHANECHOL CHLORIDE 10 MG TABLET,15.4,6.01,,,0
HCPCS,25010066,BETHANECHOL CHLORIDE 25 MG TABLET,20.5,8.0,,,0
HCPCS,25010066,BICALUTAMIDE 50 MG TABLET,141.5,55.185,,,0
HCPCS,25010066,BICTEGRAVIR 50 MG-EMTRICITABINE 200 MG-TENOFOVIR ALAFENAM 25 MG TABLET,1078.0,420.42,,,0
HCPCS,25010066,BISACODYL 10 MG RECTAL SUPPOSITORY,3.8000000000000003,1.4849999999999999,,,0
HCPCS,25010066,"BISACODYL 5 MG TABLET,DELAYED RELEASE",0.6,0.23,,,0
HCPCS,25010066,BISMUTH SUBGALLATE (BULK) POWDER,171.1,66.73,,,0
HCPCS,25010066,BISMUTH SUBSALICYLATE 262 MG CHEWABLE TABLET,0.7,0.27,,,0
HCPCS,25010066,BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSPENSION,13.1,5.11,,,0
HCPCS,25010066,BISMUTH SUBSALICYLATE 525 MG/15 ML ORAL SUSPENSION,4.8,1.87,,,0
HCPCS,25010066,BISOPROLOL 10 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET,27.5,10.72,,,0
HCPCS,25010066,BISOPROLOL 5 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET,33.6,13.1,,,0
HCPCS,25010066,BISOPROLOL FUMARATE 5 MG TABLET,8.15,3.175,,,0
HCPCS,25010066,BREXPIPRAZOLE 0.5 MG TABLET,387.6,151.16,,,0
HCPCS,25010066,BREXPIPRAZOLE 2 MG TABLET,387.6,151.16,,,0
HCPCS,25010066,BREXPIPRAZOLE 4 MG TABLET,193.8,75.58,,,0
HCPCS,25010066,BRIMONIDINE 0.2 % EYE DROPS,194.8,75.975,,,0
HCPCS,25010066,BRIVARACETAM 10 MG/ML ORAL SOLUTION,25.6,9.98,,,0
HCPCS,25010066,BRIVARACETAM 25 MG TABLET,376.6,146.87,,,0
HCPCS,25010066,BRIVARACETAM 50 MG TABLET,188.3,73.44,,,0
HCPCS,25010066,BROMOCRIPTINE 2.5 MG TABLET,96.2,37.52,,,0
HCPCS,25010066,BROMOCRIPTINE 5 MG CAPSULE,142.9,55.73,,,0
HCPCS,25010066,"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE",190.7,74.37,,,0
HCPCS,25010066,BUDESONIDE-FORMOTEROL HFA 80 MCG-4.5 MCG/ACTUATION AEROSOL INHALER,1061.6,414.02,,,0
HCPCS,25010066,BUMETANIDE 0.5 MG TABLET,32.6,12.715,,,0
HCPCS,25010066,BUMETANIDE 1 MG TABLET,14.0,5.46,,,0
HCPCS,25010066,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM,37.7,14.7,,,0
HCPCS,25010066,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL TABLET,58.800000000000004,22.93,,,0
HCPCS,25010066,BUPRENORPHINE 5 MCG/HOUR WEEKLY TRANSDERMAL PATCH,489.6,190.945,,,0
HCPCS,25010066,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM,68.9,26.87,,,0
HCPCS,25010066,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL TABLET,72.45,28.255,,,0
HCPCS,25010066,BUPRENORPHINE HCL 150 MCG BUCCAL FILM,138.6,54.05,,,0
HCPCS,25010066,BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET,18.8,7.33,,,0
HCPCS,25010066,BUPRENORPHINE HCL 75 MCG BUCCAL FILM,69.3,27.03,,,0
HCPCS,25010066,BUPROPION HCL 100 MG TABLET,12.6,4.91,,,0
HCPCS,25010066,BUPROPION HCL 75 MG TABLET,9.3,3.63,,,0
HCPCS,25010066,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE",13.850000000000001,5.4,,,0
HCPCS,25010066,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE",14.4,5.62,,,0
HCPCS,25010066,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",30.8,12.015,,,0
HCPCS,25010066,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",29.950000000000003,11.68,,,0
HCPCS,25010066,BUSPIRONE 10 MG TABLET,5.0,1.95,,,0
HCPCS,25010066,BUSPIRONE 5 MG TABLET,8.9,3.47,,,0
HCPCS,25010066,BUSPIRONE 7.5 MG TABLET,24.3,9.48,,,0
HCPCS,25010066,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,13.9,5.42,,,0
HCPCS,25010066,BUTALBITAL-ASPIRIN-CAFFEINE 50 MG-325 MG-40 MG CAPSULE,13.1,5.11,,,0
HCPCS,25010066,BUTAMBEN-TETRACAINE-BENZOCAINE 2 %-2 %-14 % (200 MG/SEC) TOPICAL SPRAY,1658.3,646.74,,,0
HCPCS,25010066,CALAMINE 8 %-ZINC OXIDE 8 % LOTION,6.0,2.34,,,0
HCPCS,25010066,CALCITONIN (SALMON) 200 UNIT/ACTUATION NASAL SPRAY,469.79999999999995,183.225,,,0
HCPCS,25010066,CALCITRIOL 0.25 MCG CAPSULE,11.75,4.58,,,0
HCPCS,25010066,CALCITRIOL 1 MCG/ML ORAL SOLUTION,73.1,28.51,,,0
HCPCS,25010066,CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET,0.7,0.27,,,0
HCPCS,25010066,CALCIUM 250 MG (AS CARBONATE)-VITAMIN D3 3.125 MCG (125 UNIT) TABLET,0.6,0.23,,,0
HCPCS,25010066,"CALCIUM 500 MG (AS CALCIUM CARBONATE 1,250 MG) CHEWABLE TABLET",1.2,0.47,,,0
HCPCS,25010066,"CALCIUM 500 MG (AS CALCIUM CARBONATE 1,250 MG) TABLET",0.6,0.23,,,0
HCPCS,25010066,CALCIUM 500 MG (AS CARBONATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET,0.6,0.23,,,0
HCPCS,25010066,"CALCIUM 500 MG/5 ML (AS CALCIUM CARB 1,250 MG/5 ML) ORAL SUSPENSION",6.85,2.6700000000000004,,,0
HCPCS,25010066,CALCIUM 600 MG (AS CARBONATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET,0.6,0.23,,,0
HCPCS,25010066,"CALCIUM ACETATE 952 MG-ALUMINUM SULFATE 1,347 MG TOPICAL POWDER PACKET",2.1,0.82,,,0
HCPCS,25010066,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,12.2,4.76,,,0
HCPCS,25010066,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG TABLET,9.9,3.86,,,0
HCPCS,25010066,CALCIUM POLYCARBOPHIL 625 MG TABLET,5.05,1.97,,,0
HCPCS,25010066,CAMPHOR-MENTHOL 0.5 %-0.5 % LOTION,30.55,11.91,,,0
HCPCS,25010066,CANNABIDIOL 100 MG/ML ORAL SOLUTION,360.75,140.695,,,0
HCPCS,25010066,CAPSAICIN 0.025 % TOPICAL CREAM,53.4,20.83,,,0
HCPCS,25010066,CAPSAICIN 0.075 % TOPICAL CREAM,35.9,14.0,,,0
HCPCS,25010066,CAPSAICIN 0.1 % TOPICAL CREAM,90.3,35.22,,,0
HCPCS,25010066,CAPTOPRIL 1 MG/ML ORAL SOLUTION (NEONATE/PEDS),4.8,1.87,,,0
HCPCS,25010066,CAPTOPRIL 12.5 MG TABLET,5.75,2.24,,,0
HCPCS,25010066,CAPTOPRIL 25 MG TABLET,10.65,4.15,,,0
HCPCS,25010066,CAPTOPRIL 50 MG TABLET,2.8,1.09,,,0
HCPCS,25010066,CARBAMAZEPINE 100 MG CHEWABLE TABLET,9.15,3.565,,,0
HCPCS,25010066,CARBAMAZEPINE 200 MG TABLET,9.600000000000001,3.745,,,0
HCPCS,25010066,"CARBAMAZEPINE ER 100 MG TABLET,EXTENDED RELEASE,12 HR",22.0,8.58,,,0
HCPCS,25010066,"CARBAMAZEPINE ER 200 MG TABLET,EXTENDED RELEASE,12 HR",31.0,12.09,,,0
HCPCS,25010066,CARBAMIDE PEROXIDE 6.5 % EAR DROPS,61.6,24.02,,,0
HCPCS,25010066,CARBIDOPA 10 MG-LEVODOPA 100 MG TABLET,6.0,2.34,,,0
HCPCS,25010066,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,7.9,3.08,,,0
HCPCS,25010066,CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET,7.3,2.85,,,0
HCPCS,25010066,CARBIDOPA 50 MG-LEVODOPA 200 MG-ENTACAPONE 200 MG TABLET,28.8,11.23,,,0
HCPCS,25010066,"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE",10.75,4.195,,,0
HCPCS,25010066,"CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE",13.4,5.23,,,0
HCPCS,25010066,CARBOXYMETHYLCELLULOSE SODIUM 0.5 % EYE DROPS,64.4,25.12,,,0
HCPCS,25010066,CARBOXYMETHYLCELLULOSE SODIUM 1 % EYE GEL IN A DROPPERETTE,4.8,1.87,,,0
HCPCS,25010066,CARIPRAZINE 1.5 MG CAPSULE,388.4,151.48,,,0
HCPCS,25010066,CARIPRAZINE 3 MG CAPSULE,388.4,151.48,,,0
HCPCS,25010066,CARISOPRODOL 350 MG TABLET,4.8,1.87,,,0
HCPCS,25010066,CARVEDILOL 1.25 MG/ML ORAL SUSPENSION (NEONATE/PEDS),11.9,4.64,,,0
HCPCS,25010066,CARVEDILOL 12.5 MG TABLET,16.4,6.4,,,0
HCPCS,25010066,CARVEDILOL 25 MG TABLET,16.2,6.32,,,0
HCPCS,25010066,CARVEDILOL 3.125 MG TABLET,16.0,6.24,,,0
HCPCS,25010066,CARVEDILOL 6.25 MG TABLET,15.0,5.85,,,0
HCPCS,25010066,CEFADROXIL 500 MG CAPSULE,57.1,22.27,,,0
HCPCS,25010066,CEFDINIR 125 MG/5 ML ORAL SUSPENSION,65.10000000000001,25.39,,,0
HCPCS,25010066,CEFDINIR 250 MG/5 ML ORAL SUSPENSION,35.7,13.92,,,0
HCPCS,25010066,CEFDINIR 300 MG CAPSULE,39.2,15.29,,,0
HCPCS,25010066,CEFPODOXIME 200 MG TABLET,64.9,25.31,,,0
HCPCS,25010066,CEFPROZIL 125 MG/5 ML ORAL SUSPENSION,4.8,1.87,,,0
HCPCS,25010066,CEFUROXIME AXETIL 250 MG TABLET,65.4,25.505000000000003,,,0
HCPCS,25010066,CEFUROXIME AXETIL 500 MG TABLET,61.45,23.965,,,0
HCPCS,25010066,CELECOXIB 100 MG CAPSULE,67.0,26.13,,,0
HCPCS,25010066,CELECOXIB 200 MG CAPSULE,28.0,10.92,,,0
HCPCS,25010066,CENOBAMATE 250 MG/DAY (150 MG X 1 AND 100 MG X 1) TABLETS,323.3,126.09,,,0
HCPCS,25010066,CEPHALEXIN 125 MG/5 ML ORAL SUSPENSION,7.0,2.73,,,0
HCPCS,25010066,CEPHALEXIN 250 MG CAPSULE,6.050000000000001,2.36,,,0
HCPCS,25010066,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION,18.35,7.155,,,0
HCPCS,25010066,CEPHALEXIN 500 MG CAPSULE,10.350000000000001,4.039999999999999,,,0
HCPCS,25010066,CETIRIZINE 1 MG/ML ORAL SOLUTION,4.8,1.87,,,0
HCPCS,25010066,CETIRIZINE 10 MG TABLET,5.6,2.18,,,0
HCPCS,25010066,CETIRIZINE 5 MG TABLET,10.6,4.13,,,0
HCPCS,25010066,CETIRIZINE 5 MG/5 ML ORAL SOLUTION,6.1,2.38,,,0
HCPCS,25010066,CHERRY SYRUP (BULK) ORAL LIQUID,4.05,1.58,,,0
HCPCS,25010066,CHLORDIAZEPOXIDE 10 MG CAPSULE,4.8,1.87,,,0
HCPCS,25010066,CHLORDIAZEPOXIDE 25 MG CAPSULE,6.1,2.38,,,0
HCPCS,25010066,CHLORDIAZEPOXIDE 5 MG CAPSULE,5.9,2.3,,,0
HCPCS,25010066,CHLOROTHIAZIDE 250 MG/5 ML ORAL SUSPENSION,4.8,1.87,,,0
HCPCS,25010066,CHLORPROMAZINE 10 MG TABLET,39.5,15.4,,,0
HCPCS,25010066,CHLORPROMAZINE 25 MG TABLET,229.7,89.58,,,0
HCPCS,25010066,CHLORPROMAZINE 50 MG TABLET,329.85,128.64,,,0
HCPCS,25010066,CHLORTHALIDONE 25 MG TABLET,17.7,6.9,,,0
HCPCS,25010066,CHLORZOXAZONE 500 MG TABLET,8.4,3.28,,,0
HCPCS,25010066,"CHOLECALCIFEROL (VITAMIN D3) 1,250 MCG (50,000 UNIT) CAPSULE",2.15,0.835,,,0
HCPCS,25010066,CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET,1.2,0.47,,,0
HCPCS,25010066,CHOLECALCIFEROL (VITAMIN D3) 10 MCG/ML (400 UNIT/ML) ORAL DROPS,0.8500000000000001,0.33,,,0
HCPCS,25010066,"CHOLECALCIFEROL (VITAMIN D3) 125 MCG (5,000 UNIT) CAPSULE",0.6,0.23,,,0
HCPCS,25010066,"CHOLECALCIFEROL (VITAMIN D3) 125 MCG (5,000 UNIT) TABLET",1.4,0.55,,,0
HCPCS,25010066,"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET",0.6,0.23,,,0
HCPCS,25010066,CHOLESTYRAMINE (WITH SUGAR) 4 GRAM POWDER FOR SUSP IN A PACKET,25.9,10.1,,,0
HCPCS,25010066,CHOLESTYRAMINE-ASPARTAME 4 GRAM ORAL POWDER FOR SUSP IN A PACKET,32.5,12.675,,,0
HCPCS,25010066,CILOSTAZOL 100 MG TABLET,15.65,6.105,,,0
HCPCS,25010066,CILOSTAZOL 50 MG TABLET,31.95,12.46,,,0
HCPCS,25010066,CINACALCET 30 MG TABLET,457.75,178.525,,,0
HCPCS,25010066,CIPROFLOXACIN 0.2 % EAR DROPS IN A DROPPERETTE,93.3,36.39,,,0
HCPCS,25010066,CIPROFLOXACIN 0.3 % EYE OINTMENT,119.2,46.49,,,0
HCPCS,25010066,CIPROFLOXACIN 250 MG TABLET,35.2,13.73,,,0
HCPCS,25010066,CIPROFLOXACIN 250 MG/5 ML ORAL SUSPENSION,150.1,58.54,,,0
HCPCS,25010066,CIPROFLOXACIN 500 MG TABLET,31.2,12.17,,,0
HCPCS,25010066,CIPROFLOXACIN 500 MG/5 ML ORAL SUSPENSION,58.5,22.82,,,0
HCPCS,25010066,CIPROFLOXACIN 750 MG TABLET,24.0,9.360000000000001,,,0
HCPCS,25010066,CITALOPRAM 10 MG TABLET,18.8,7.33,,,0
HCPCS,25010066,CITALOPRAM 10 MG/5 ML ORAL SOLUTION,75.2,29.33,,,0
HCPCS,25010066,CITALOPRAM 20 MG TABLET,9.8,3.82,,,0
HCPCS,25010066,CITALOPRAM 40 MG TABLET,26.0,10.14,,,0
HCPCS,25010066,CLARITHROMYCIN 500 MG TABLET,35.6,13.885,,,0
HCPCS,25010066,CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION,45.25,17.645,,,0
HCPCS,25010066,CLINDAMYCIN HCL 150 MG CAPSULE,5.1,1.99,,,0
HCPCS,25010066,CLINDAMYCIN PHOSPHATE 1 % TOPICAL SOLUTION,185.1,72.19,,,0
HCPCS,25010066,CLOBAZAM 10 MG TABLET,140.4,54.76,,,0
HCPCS,25010066,CLOBAZAM 2.5 MG/ML ORAL SUSPENSION,149.7,58.38,,,0
HCPCS,25010066,CLOBETASOL 0.05 % TOPICAL CREAM,511.0,199.29000000000002,,,0
HCPCS,25010066,CLOBETASOL 0.05 % TOPICAL OINTMENT,1168.5,455.71500000000003,,,0
HCPCS,25010066,CLOMIPRAMINE 25 MG CAPSULE,76.5,29.84,,,0
HCPCS,25010066,CLONAZEPAM 0.125 MG DISINTEGRATING TABLET,39.9,15.56,,,0
HCPCS,25010066,CLONAZEPAM 0.25 MG DISINTEGRATING TABLET,10.0,3.9,,,0
HCPCS,25010066,CLONAZEPAM 0.5 MG DISINTEGRATING TABLET,13.549999999999999,5.285,,,0
HCPCS,25010066,CLONAZEPAM 0.5 MG TABLET,6.2,2.42,,,0
HCPCS,25010066,CLONAZEPAM 1 MG DISINTEGRATING TABLET,11.4,4.45,,,0
HCPCS,25010066,CLONAZEPAM 1 MG TABLET,6.05,2.355,,,0
HCPCS,25010066,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,254.4,99.22,,,0
HCPCS,25010066,CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH,428.05,166.94,,,0
HCPCS,25010066,CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH,593.75,231.565,,,0
HCPCS,25010066,CLONIDINE HCL 0.1 MG TABLET,5.6,2.18,,,0
HCPCS,25010066,CLONIDINE HCL 0.2 MG TABLET,4.8,1.87,,,0
HCPCS,25010066,CLONIDINE HCL 0.3 MG TABLET,4.9,1.91,,,0
HCPCS,25010066,CLONIDINE ORAL SOLUTION 10 MCG/ML (NEONATE),4.8,1.87,,,0
HCPCS,25010066,CLONIDINE ORAL SOLUTION 20 MCG/ML SIMPLE SYRUP (NEONATE/PEDS),4.8,1.87,,,0
HCPCS,25010066,CLOPIDOGREL 75 MG TABLET,45.15,17.61,,,0
HCPCS,25010066,CLORAZEPATE DIPOTASSIUM 15 MG TABLET,41.8,16.3,,,0
HCPCS,25010066,CLORAZEPATE DIPOTASSIUM 3.75 MG TABLET,31.0,12.09,,,0
HCPCS,25010066,CLORAZEPATE DIPOTASSIUM 7.5 MG TABLET,19.3,7.53,,,0
HCPCS,25010066,CLOTRIMAZOLE 1 % TOPICAL CREAM,65.4,25.505000000000003,,,0
HCPCS,25010066,CLOTRIMAZOLE 1 % VAGINAL CREAM,20.8,8.11,,,0
HCPCS,25010066,CLOTRIMAZOLE 10 MG TROCHE,9.45,3.6849999999999996,,,0
HCPCS,25010066,CLOTRIMAZOLE-BETAMETHASONE 1 %-0.05 % TOPICAL CREAM,182.55,71.195,,,0
HCPCS,25010066,CLOZAPINE 100 MG TABLET,29.900000000000002,11.66,,,0
HCPCS,25010066,CLOZAPINE 25 MG TABLET,20.4,7.96,,,0
HCPCS,25010066,CLOZAPINE 50 MG TABLET,25.4,9.91,,,0
HCPCS,25010066,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,6.65,2.59,,,0
HCPCS,25010066,CODEINE SULFATE 30 MG TABLET,8.0,3.12,,,0
HCPCS,25010066,COENZYME Q10  50 MG CAPSULE,4.8,1.87,,,0
HCPCS,25010066,COENZYME Q10 100 MG CAPSULE,1.4,0.5449999999999999,,,0
HCPCS,25010066,COENZYME Q10 200 MG CAPSULE,0.9,0.35,,,0
HCPCS,25010066,COLCHICINE 0.6 MG CAPSULE,52.7,20.55,,,0
HCPCS,25010066,COLCHICINE 0.6 MG TABLET,55.7,21.72,,,0
HCPCS,25010066,COLESEVELAM 3.75 GRAM ORAL POWDER PACKET,172.5,67.28,,,0
HCPCS,25010066,COLESEVELAM 625 MG TABLET,60.6,23.63,,,0
HCPCS,25010066,COLESTIPOL 1 GRAM TABLET,9.7,3.78,,,0
HCPCS,25010066,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET",0.8,0.31,,,0
HCPCS,25010066,CYANOCOBALAMIN (VIT B-12) 100 MCG TABLET,3.55,1.385,,,0
HCPCS,25010066,"CYANOCOBALAMIN (VIT B-12) 2,500 MCG SUBLINGUAL TABLET",0.6,0.23,,,0
HCPCS,25010066,CYANOCOBALAMIN (VIT B-12) 500 MCG TABLET,1.2,0.465,,,0
HCPCS,25010066,CYCLOBENZAPRINE 10 MG TABLET,8.6,3.35,,,0
HCPCS,25010066,CYCLOBENZAPRINE 5 MG TABLET,12.8,4.99,,,0
HCPCS,25010066,CYCLOPENTOLATE-PHENYLEPHRINE 0.2 %-1 % EYE DROPS,391.45,152.665,,,0
HCPCS,25010066,CYCLOSPORINE 0.05 % EYE DROPS IN A DROPPERETTE,82.6,32.21,,,0
HCPCS,25010066,CYPROHEPTADINE 4 MG TABLET,6.2,2.42,,,0
HCPCS,25010066,DABIGATRAN ETEXILATE 150 MG CAPSULE,29.0,11.31,,,0
HCPCS,25010066,DABIGATRAN ETEXILATE 75 MG CAPSULE,39.9,15.559999999999999,,,0
HCPCS,25010066,DANAZOL 200 MG CAPSULE,79.0,30.81,,,0
HCPCS,25010066,DANTROLENE 25 MG CAPSULE,14.9,5.81,,,0
HCPCS,25010066,DAPAGLIFLOZIN PROPANEDIOL 10 MG TABLET,161.55,63.005,,,0
HCPCS,25010066,DAPAGLIFLOZIN PROPANEDIOL 5 MG TABLET,314.25,122.56,,,0
HCPCS,25010066,DAPSONE 100 MG TABLET,22.0,8.58,,,0
HCPCS,25010066,DAPSONE 25 MG TABLET,75.7,29.52,,,0
HCPCS,25010066,DARUNAVIR 800 MG TABLET,565.2,220.425,,,0
HCPCS,25010066,DARUNAVIR 800 MG-COB 150 MG-EMTRICIT 200 MG-TENOFO ALAFEN 10 MG TABLET,1206.0,470.34,,,0
HCPCS,25010066,DARUNAVIR 800 MG-COBICISTAT 150 MG TABLET,693.75,270.56,,,0
HCPCS,25010066,DEFERASIROX 360 MG TABLET,4372.4,1705.24,,,0
HCPCS,25010066,DESIPRAMINE 10 MG TABLET,24.5,9.555,,,0
HCPCS,25010066,DESMOPRESSIN 0.1 MG TABLET,26.9,10.49,,,0
HCPCS,25010066,DESMOPRESSIN 10 MCG/SPRAY (0.1 ML) NASAL SPRAY,1888.9,736.67,,,0
HCPCS,25010066,"DESVENLAFAXINE SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",112.0,43.68,,,0
HCPCS,25010066,"DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",101.85,39.72,,,0
HCPCS,25010066,DEXAMETHASONE 0.5 MG TABLET,5.6,2.185,,,0
HCPCS,25010066,DEXAMETHASONE 1 MG TABLET,5.25,2.045,,,0
HCPCS,25010066,DEXAMETHASONE 2 MG TABLET,5.25,2.045,,,0
HCPCS,25010066,DEXAMETHASONE 4 MG TABLET,9.25,3.61,,,0
HCPCS,25010066,DEXAMETHASONE 6 MG TABLET,27.4,10.69,,,0
HCPCS,25010066,DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABLET,26.3,10.26,,,0
HCPCS,25010066,DEXTROAMPHETAMINE-AMPHETAMINE 20 MG TABLET,13.4,5.23,,,0
HCPCS,25010066,DEXTROAMPHETAMINE-AMPHETAMINE 30 MG TABLET,13.2,5.15,,,0
HCPCS,25010066,DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET,39.45,15.385000000000002,,,0
HCPCS,25010066,"DEXTROAMPHETAMINE-AMPHETAMINE ER 5 MG 24HR CAPSULE,EXTEND RELEASE",125.8,49.065,,,0
HCPCS,25010066,DEXTROMETHORPHAN POLISTIREX ER 30 MG/5 ML ORAL SUSP EXT.RELEASE 12HR,13.95,5.445,,,0
HCPCS,25010066,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL LIQUID,13.8,5.38,,,0
HCPCS,25010066,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP,8.25,3.215,,,0
HCPCS,25010066,DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR,2.45,0.9550000000000001,,,0
HCPCS,25010066,DEXTROSE 1.2 GRAM/3 ML (40 %) ORAL GEL IN SYRINGE (ORAL USE ONLY),10.0,3.9,,,0
HCPCS,25010066,DEXTROSE 40 % ORAL GEL,30.3,11.82,,,0
HCPCS,25010066,DEXTROSE 40 % ORAL GEL SYRINGE (NEONATAL),4.8,1.87,,,0
HCPCS,25010066,DIAZEPAM 10 MG TABLET,4.8,1.87,,,0
HCPCS,25010066,DIAZEPAM 2 MG TABLET,4.8,1.87,,,0
HCPCS,25010066,DIAZEPAM 5 MG TABLET,4.7,1.835,,,0
HCPCS,25010066,DIAZEPAM 5 MG/5 ML (1 MG/ML) ORAL SOLUTION,4.8,1.87,,,0
HCPCS,25010066,"DIAZEPAM 5 MG/5 ML (1 MG/ML, 5 ML) ORAL SOLUTION",35.3,13.77,,,0
HCPCS,25010066,DIAZOXIDE 50 MG/ML ORAL SUSPENSION,118.8,46.33,,,0
HCPCS,25010066,DIBUCAINE 1 % TOPICAL OINTMENT,40.900000000000006,15.950000000000001,,,0
HCPCS,25010066,DICLOFENAC 1 % TOPICAL GEL,117.8,45.945,,,0
HCPCS,25010066,DICYCLOMINE 10 MG CAPSULE,5.1,1.99,,,0
HCPCS,25010066,DICYCLOMINE 20 MG TABLET,5.4,2.105,,,0
HCPCS,25010066,DIFLUPREDNATE 0.05 % EYE DROPS,17.2,6.71,,,0
HCPCS,25010066,DIGOXIN 125 MCG (0.125 MG) TABLET,17.95,7.0,,,0
HCPCS,25010066,DIGOXIN 50 MCG/ML (0.05 MG/ML) ORAL SOLUTION,6.5,2.54,,,0
HCPCS,25010066,"DILTIAZEM 120 MG CAPSULE, EXTENDED RELEASE (WRAPPED)",7.2,2.8049999999999997,,,0
HCPCS,25010066,"DILTIAZEM 180 MG CAPSULE, EXTENDED RELEASE (WRAPPED)",11.1,4.33,,,0
HCPCS,25010066,"DILTIAZEM 240 MG CAPSULE, EXTENDED RELEASE (WRAPPED)",8.2,3.2,,,0
HCPCS,25010066,DILTIAZEM 30 MG TABLET,6.25,2.435,,,0
HCPCS,25010066,DILTIAZEM 60 MG TABLET,8.1,3.16,,,0
HCPCS,25010066,DILTIAZEM 90 MG TABLET,16.5,6.44,,,0
HCPCS,25010066,"DILTIAZEM CD 300 MG CAPSULE,EXTENDED RELEASE 24 HR",20.6,8.03,,,0
HCPCS,25010066,DIMENHYDRINATE 50 MG TABLET,4.8,1.87,,,0
HCPCS,25010066,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL ELIXIR,25.299999999999997,9.864999999999998,,,0
HCPCS,25010066,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,4.7,1.83,,,0
HCPCS,25010066,DIPHENHYDRAMINE 25 MG CAPSULE,0.6,0.23,,,0
HCPCS,25010066,DIPHENHYDRAMINE 25 MG TABLET,1.4000000000000001,0.545,,,0
HCPCS,25010066,DIPHENHYDRAMINE 50 MG CAPSULE,0.6,0.23,,,0
HCPCS,25010066,DIPHENHYDRAMINE-ZINC ACETATE 2 %-0.1 % TOPICAL CREAM,9.2,3.59,,,0
HCPCS,25010066,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET,5.4,2.11,,,0
HCPCS,25010066,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG/5 ML ORAL LIQUID,53.7,20.94,,,0
HCPCS,25010066,"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE",21.25,8.285,,,0
HCPCS,25010066,"DIVALPROEX 125 MG TABLET,DELAYED RELEASE",5.85,2.2800000000000002,,,0
HCPCS,25010066,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",15.05,5.87,,,0
HCPCS,25010066,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE",25.0,9.75,,,0
HCPCS,25010066,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",18.8,7.33,,,0
HCPCS,25010066,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR",31.7,12.36,,,0
HCPCS,25010066,DOCUSATE SODIUM 100 MG CAPSULE,0.8,0.31,,,0
HCPCS,25010066,DOCUSATE SODIUM 283 MG/5 ML ENEMA,16.6,6.47,,,0
HCPCS,25010066,DOCUSATE SODIUM 50 MG/5 ML LIQUID (FOR OTIC USE ONLY),0.6,0.23,,,0
HCPCS,25010066,DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID,3.6,1.4000000000000001,,,0
HCPCS,25010066,DOFETILIDE 125 MCG CAPSULE,85.0,33.15,,,0
HCPCS,25010066,DOFETILIDE 250 MCG CAPSULE,74.8,29.17,,,0
HCPCS,25010066,DOFETILIDE 500 MCG CAPSULE,65.7,25.62,,,0
HCPCS,25010066,DOLUTEGRAVIR 50 MG TABLET,594.5,231.86,,,0
HCPCS,25010066,DONEPEZIL 10 MG TABLET,35.6,13.885,,,0
HCPCS,25010066,DONEPEZIL 5 MG TABLET,92.95,36.25,,,0
HCPCS,25010066,DORAVIRINE 100 MG TABLET,470.5,183.5,,,0
HCPCS,25010066,DORZOLAMIDE 2 % EYE DROPS,512.0,199.68,,,0
HCPCS,25010066,DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS,517.7,201.9,,,0
HCPCS,25010066,DORZOLAMIDE-TIMOLOL (PF) 2 %-0.5 % EYE DROPS IN A DROPPERETTE,5.5,2.14,,,0
HCPCS,25010066,DOXAZOSIN 1 MG TABLET,27.5,10.725,,,0
HCPCS,25010066,DOXAZOSIN 2 MG TABLET,17.65,6.885,,,0
HCPCS,25010066,DOXAZOSIN 4 MG TABLET,10.8,4.215,,,0
HCPCS,25010066,DOXAZOSIN 8 MG TABLET,11.4,4.45,,,0
HCPCS,25010066,DOXEPIN 10 MG CAPSULE,4.9,1.9100000000000001,,,0
HCPCS,25010066,DOXEPIN 25 MG CAPSULE,6.4,2.5,,,0
HCPCS,25010066,DOXEPIN 50 MG CAPSULE,13.3,5.185,,,0
HCPCS,25010066,DOXEPIN 75 MG CAPSULE,27.9,10.88,,,0
HCPCS,25010066,DOXYCYCLINE HYCLATE 100 MG CAPSULE,30.7,11.97,,,0
HCPCS,25010066,DOXYCYCLINE HYCLATE 100 MG TABLET,41.1,16.03,,,0
HCPCS,25010066,DOXYCYCLINE HYCLATE 50 MG CAPSULE,12.5,4.88,,,0
HCPCS,25010066,DOXYCYCLINE MONOHYDRATE 25 MG/5 ML ORAL SUSPENSION,58.3,22.74,,,0
HCPCS,25010066,"DOXYLAMINE 10 MG-PYRIDOXINE (VIT B6) 10 MG TABLET,DELAYED RELEASE",56.8,22.15,,,0
HCPCS,25010066,DRONABINOL 10 MG CAPSULE,190.9,74.45,,,0
HCPCS,25010066,DRONABINOL 2.5 MG CAPSULE,65.2,25.43,,,0
HCPCS,25010066,DRONABINOL 5 MG CAPSULE,159.95,62.379999999999995,,,0
HCPCS,25010066,DRONEDARONE 400 MG TABLET,103.6,40.4,,,0
HCPCS,25010066,DROXIDOPA 100 MG CAPSULE,279.0,108.81,,,0
HCPCS,25010066,DROXIDOPA 200 MG CAPSULE,1655.1,645.49,,,0
HCPCS,25010066,DROXIDOPA 300 MG CAPSULE,836.95,326.40999999999997,,,0
HCPCS,25010066,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",53.7,20.94,,,0
HCPCS,25010066,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",59.8,23.32,,,0
HCPCS,25010066,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",59.1,23.05,,,0
HCPCS,25010066,ELETRIPTAN 20 MG TABLET,619.5,241.6,,,0
HCPCS,25010066,ELETRIPTAN 40 MG TABLET,545.45,212.725,,,0
HCPCS,25010066,ELTROMBOPAG OLAMINE 25 MG TABLET,12005.7,4682.22,,,0
HCPCS,25010066,ELTROMBOPAG OLAMINE 75 MG TABLET,10863.3,4236.69,,,0
HCPCS,25010066,ELVITEG 150 MG-COB 150 MG-EMTRICIT 200 MG-TENOFO ALAFENAM 10 MG TABLET,1078.0,420.42,,,0
HCPCS,25010066,ELVITEG 150 MG-COB 150 MG-EMTRICIT 200 MG-TENOFO DISOPRO 300 MG TABLET,1130.8,441.01,,,0
HCPCS,25010066,EMOLLIENT COMBINATION NO.92 TOPICAL LOTION,49.05,19.130000000000003,,,0
HCPCS,25010066,EMPAGLIFLOZIN 10 MG TABLET,161.0,62.79,,,0
HCPCS,25010066,EMPAGLIFLOZIN 25 MG TABLET,161.0,62.79,,,0
HCPCS,25010066,EMTRICITABINE 200 MG-RILPIVIRINE 25 MG-TENOFOVIR ALAFENAM 25 MG TABLET,981.0,382.59,,,0
HCPCS,25010066,EMTRICITABINE 200 MG-TENOFOVIR ALAFENAMIDE FUMARATE 25 MG TABLET,563.1,219.61,,,0
HCPCS,25010066,EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,244.55,95.375,,,0
HCPCS,25010066,ENALAPRIL MALEATE 1 MG/ML ORAL SOLUTION,43.3,16.89,,,0
HCPCS,25010066,ENALAPRIL MALEATE 10 MG TABLET,9.15,3.5700000000000003,,,0
HCPCS,25010066,ENALAPRIL MALEATE 2.5 MG TABLET,9.1,3.55,,,0
HCPCS,25010066,ENALAPRIL MALEATE 20 MG TABLET,12.05,4.7,,,0
HCPCS,25010066,ENALAPRIL MALEATE 5 MG TABLET,20.049999999999997,7.82,,,0
HCPCS,25010066,ENTACAPONE 200 MG TABLET,35.599999999999994,13.885,,,0
HCPCS,25010066,EPLERENONE 25 MG TABLET,32.65,12.735,,,0
HCPCS,25010066,EPLERENONE 50 MG TABLET,32.65,12.735,,,0
HCPCS,25010066,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE",10.2,3.9749999999999996,,,0
HCPCS,25010066,"ERGOCALCIFEROL (VITAMIN D2) 200 MCG/ML (8,000 UNIT/ML) ORAL DROPS",12.8,4.99,,,0
HCPCS,25010066,ERYTHROMYCIN 250 MG TABLET,101.5,39.58,,,0
HCPCS,25010066,"ERYTHROMYCIN 250 MG TABLET,DELAYED RELEASE",64.4,25.12,,,0
HCPCS,25010066,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL POWDER FOR SUSPENSION,174.95,68.22999999999999,,,0
HCPCS,25010066,ERYTHROMYCIN ETHYLSUCCINATE 400 MG/5 ML ORAL POWDER FOR SUSPENSION,66.75,26.03,,,0
HCPCS,25010066,ESCITALOPRAM 10 MG TABLET,33.3,12.99,,,0
HCPCS,25010066,ESCITALOPRAM 20 MG TABLET,34.7,13.53,,,0
HCPCS,25010066,ESCITALOPRAM 5 MG TABLET,49.150000000000006,19.165,,,0
HCPCS,25010066,ESLICARBAZEPINE 600 MG TABLET,688.8,268.63,,,0
HCPCS,25010066,ESOMEPRAZOLE MAGNESIUM DR 40 MG GRANULES DELAYED RELEASE FOR SUSP,74.2,28.935000000000002,,,0
HCPCS,25010066,ESTRADIOL 0.01% (0.1 MG/GRAM) VAGINAL CREAM,1782.5,695.175,,,0
HCPCS,25010066,ESTRADIOL 0.05 MG/24 HR WEEKLY TRANSDERMAL PATCH,178.1,69.46,,,0
HCPCS,25010066,ESTRADIOL 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,178.1,69.46,,,0
HCPCS,25010066,ESTRADIOL 0.5 MG TABLET,4.8,1.87,,,0
HCPCS,25010066,ESTRADIOL 1 MG TABLET,5.05,1.97,,,0
HCPCS,25010066,ESTRADIOL 2 MG TABLET,7.3,2.85,,,0
HCPCS,25010066,ETHAMBUTOL 100 MG TABLET,18.2,7.1,,,0
HCPCS,25010066,ETHAMBUTOL 400 MG TABLET,33.85,13.205,,,0
HCPCS,25010066,ETHOSUXIMIDE 250 MG CAPSULE,16.5,6.44,,,0
HCPCS,25010066,ETRAVIRINE 200 MG TABLET,205.8,80.26,,,0
HCPCS,25010066,EXEMESTANE 25 MG TABLET,224.79999999999998,87.675,,,0
HCPCS,25010066,EZETIMIBE 10 MG TABLET,78.9,30.77,,,0
HCPCS,25010066,FAMOTIDINE 20 MG TABLET,1.1,0.43,,,0
HCPCS,25010066,FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION,7.6,2.965,,,0
HCPCS,25010066,FEBUXOSTAT 40 MG TABLET,95.0,37.05,,,0
HCPCS,25010066,FEBUXOSTAT 80 MG TABLET,77.2,30.11,,,0
HCPCS,25010066,FELBAMATE 600 MG TABLET,23.0,8.97,,,0
HCPCS,25010066,FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET,30.4,11.86,,,0
HCPCS,25010066,FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET,14.7,5.73,,,0
HCPCS,25010066,FENTANYL 100 MCG/HR TRANSDERMAL PATCH,603.8,235.48,,,0
HCPCS,25010066,FENTANYL 12 MCG/HR TRANSDERMAL PATCH,155.8,60.76,,,0
HCPCS,25010066,FENTANYL 25 MCG/HR TRANSDERMAL PATCH,136.95,53.41,,,0
HCPCS,25010066,FENTANYL 37.5 MCG/HOUR TRANSDERMAL PATCH,501.0,195.39,,,0
HCPCS,25010066,FENTANYL 50 MCG/HR TRANSDERMAL PATCH,250.25,97.6,,,0
HCPCS,25010066,FENTANYL 75 MCG/HR TRANSDERMAL PATCH,454.9,177.41,,,0
HCPCS,25010066,FERRIC CITRATE 210 MG IRON TABLET,140.55,54.815,,,0
HCPCS,25010066,FERROUS FUM-VIT C-VIT B12-FA 460 MG-60 MG-0.01 MG-1 MG CAPSULE,9.5,3.7,,,0
HCPCS,25010066,FERROUS GLUCONATE 324 MG (38 MG IRON) TABLET,0.6,0.23,,,0
HCPCS,25010066,FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS,0.6,0.23,,,0
HCPCS,25010066,FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS (MCG CAMPUS),0.6,0.23,,,0
HCPCS,25010066,FERROUS SULFATE 220 MG (44 MG IRON)/5 ML ORAL ELIXIR,4.8,1.87,,,0
HCPCS,25010066,FERROUS SULFATE 220 MG (44 MG IRON)/5 ML ORAL SOLUTION,0.6,0.23,,,0
HCPCS,25010066,FERROUS SULFATE 300 MG (60 MG IRON)/5 ML ORAL LIQUID,16.5,6.4350000000000005,,,0
HCPCS,25010066,FERROUS SULFATE 325 MG (65 MG IRON) TABLET,0.6,0.23,,,0
HCPCS,25010066,"FERROUS SULFATE 325 MG (65 MG IRON) TABLET,DELAYED RELEASE",1.9,0.74,,,0
HCPCS,25010066,"FERROUS SULFATE ER 137 MG (45 MG IRON) TABLET,EXTENDED RELEASE",4.8,1.87,,,0
HCPCS,25010066,"FERROUS SULFATE ER 142 MG (45 MG IRON) TABLET,EXTENDED RELEASE",4.8,1.87,,,0
HCPCS,25010066,"FERROUS SULFATE, DRIED ER 159 MG (45 MG IRON) TABLET,EXTENDED RELEASE",1.2,0.47,,,0
HCPCS,25010066,FIDAXOMICIN 200 MG TABLET,1996.2,778.52,,,0
HCPCS,25010066,FINASTERIDE 5 MG TABLET,16.1,6.28,,,0
HCPCS,25010066,FLAVOXATE 100 MG TABLET,16.8,6.55,,,0
HCPCS,25010066,FLECAINIDE 100 MG TABLET,25.25,9.845,,,0
HCPCS,25010066,FLECAINIDE 50 MG TABLET,31.0,12.09,,,0
HCPCS,25010066,FLUCONAZOLE 10 MG/ML ORAL SUSPENSION,159.9,62.36,,,0
HCPCS,25010066,FLUCONAZOLE 100 MG TABLET,86.80000000000001,33.855,,,0
HCPCS,25010066,FLUCONAZOLE 150 MG TABLET,106.9,41.69,,,0
HCPCS,25010066,FLUCONAZOLE 200 MG TABLET,118.0,46.02,,,0
HCPCS,25010066,FLUCONAZOLE 40 MG/ML ORAL SUSPENSION,106.7,41.61,,,0
HCPCS,25010066,FLUCONAZOLE 50 MG TABLET,150.25,58.595,,,0
HCPCS,25010066,FLUCYTOSINE 50 MG/ML ORAL SUSPENSION,6090.0,2375.1,,,0
HCPCS,25010066,FLUCYTOSINE 500 MG CAPSULE,6090.2,2375.18,,,0
HCPCS,25010066,FLUDROCORTISONE 0.1 MG TABLET,13.850000000000001,5.404999999999999,,,0
HCPCS,25010066,FLUOXETINE 10 MG CAPSULE,58.85,22.95,,,0
HCPCS,25010066,FLUOXETINE 20 MG CAPSULE,20.1,7.84,,,0
HCPCS,25010066,FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,37.650000000000006,14.68,,,0
HCPCS,25010066,FLUPHENAZINE 10 MG TABLET,89.0,34.71,,,0
HCPCS,25010066,"FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION",638.7,249.09,,,0
HCPCS,25010066,FLUVOXAMINE 100 MG TABLET,40.6,15.83,,,0
HCPCS,25010066,FLUVOXAMINE 50 MG TABLET,39.5,15.4,,,0
HCPCS,25010066,FOLIC ACID 1 MG TABLET,6.4,2.495,,,0
HCPCS,25010066,FOLIC ACID 400 MCG TABLET,1.5,0.585,,,0
HCPCS,25010066,"FOOD SUPPLEMENT, LACTOSE-REDUCED ORAL LIQUID",9.1,3.55,,,0
HCPCS,25010066,FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET,735.1,286.69,,,0
HCPCS,25010066,FUROSEMIDE 10 MG/ML ORAL SOLUTION,4.8,1.87,,,0
HCPCS,25010066,FUROSEMIDE 20 MG TABLET,4.4,1.715,,,0
HCPCS,25010066,FUROSEMIDE 40 MG TABLET,4.8,1.87,,,0
HCPCS,25010066,FUROSEMIDE 40 MG/4 ML ORAL SOLUTION,9.5,3.7,,,0
HCPCS,25010066,FUROSEMIDE 80 MG TABLET,9.55,3.7249999999999996,,,0
HCPCS,25010066,GABAPENTIN 100 MG CAPSULE,10.6,4.135,,,0
HCPCS,25010066,GABAPENTIN 250 MG/5 ML (5 ML) ORAL SOLUTION,38.3,14.94,,,0
HCPCS,25010066,GABAPENTIN 250 MG/5 ML ORAL SOLUTION,17.65,6.885,,,0
HCPCS,25010066,GABAPENTIN 300 MG CAPSULE,10.6,4.13,,,0
HCPCS,25010066,GABAPENTIN 300 MG/6 ML (6 ML) ORAL SOLUTION,166.0,64.74,,,0
HCPCS,25010066,GABAPENTIN 400 MG CAPSULE,15.600000000000001,6.085,,,0
HCPCS,25010066,GABAPENTIN 600 MG TABLET,9.7,3.78,,,0
HCPCS,25010066,GABAPENTIN 800 MG TABLET,22.3,8.7,,,0
HCPCS,25010066,GALANTAMINE 4 MG TABLET,56.7,22.115000000000002,,,0
HCPCS,25010066,GALANTAMINE 8 MG TABLET,12.3,4.8,,,0
HCPCS,25010066,GEMFIBROZIL 600 MG TABLET,13.4,5.225,,,0
HCPCS,25010066,GENTAMICIN 0.1 % TOPICAL CREAM,340.9,132.95,,,0
HCPCS,25010066,GENTAMICIN 0.1 % TOPICAL OINTMENT,340.9,132.95,,,0
HCPCS,25010066,GLIMEPIRIDE 1 MG TABLET,18.55,7.235,,,0
HCPCS,25010066,GLIMEPIRIDE 2 MG TABLET,10.0,3.9,,,0
HCPCS,25010066,GLIMEPIRIDE 4 MG TABLET,9.5,3.7,,,0
HCPCS,25010066,GLIPIZIDE 10 MG TABLET,5.0,1.95,,,0
HCPCS,25010066,GLIPIZIDE 5 MG TABLET,5.3,2.065,,,0
HCPCS,25010066,"GLIPIZIDE ER 10 MG TABLET, EXTENDED RELEASE 24 HR",7.199999999999999,2.81,,,0
HCPCS,25010066,"GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR",9.4,3.67,,,0
HCPCS,25010066,"GLIPIZIDE ER 5 MG TABLET, EXTENDED RELEASE 24 HR",11.1,4.33,,,0
HCPCS,25010066,GLUCOSE (TOLERANCE TEST) 100 GRAM/180 ML ORAL LIQUID,45.6,17.78,,,0
HCPCS,25010066,GLUCOSE 3.75 GRAM CHEWABLE TABLET,7.7,3.0,,,0
HCPCS,25010066,GLUCOSE 4 GRAM CHEWABLE TABLET,8.2,3.2,,,0
HCPCS,25010066,GLYBURIDE 2.5 MG TABLET,7.1,2.77,,,0
HCPCS,25010066,GLYCERIN (ADULT) RECTAL SUPPOSITORY,0.7,0.27,,,0
HCPCS,25010066,GLYCERIN (CHILD) RECTAL SUPPOSITORY,0.75,0.29,,,0
HCPCS,25010066,GLYCERIN 99.5 % TOPICAL SOLUTION,25.1,9.79,,,0
HCPCS,25010066,GLYCOPYRROLATE 1 MG TABLET,9.25,3.61,,,0
HCPCS,25010066,GLYCOPYRROLATE 1 MG/5 ML (0.2 MG/ML) ORAL SOLUTION,40.5,15.8,,,0
HCPCS,25010066,GUAIFENESIN 100 MG/5 ML ORAL LIQUID,11.75,4.585,,,0
HCPCS,25010066,GUAIFENESIN 200 MG TABLET,0.6,0.23,,,0
HCPCS,25010066,"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR",3.65,1.4249999999999998,,,0
HCPCS,25010066,GUANFACINE 1 MG TABLET,12.9,5.035,,,0
HCPCS,25010066,"GUANFACINE ER 1 MG TABLET,EXTENDED RELEASE 24 HR",241.4,94.15,,,0
HCPCS,25010066,HALOPERIDOL 0.5 MG TABLET,2.7,1.05,,,0
HCPCS,25010066,HALOPERIDOL 1 MG TABLET,7.7,3.0,,,0
HCPCS,25010066,HALOPERIDOL 10 MG TABLET,11.05,4.3100000000000005,,,0
HCPCS,25010066,HALOPERIDOL 2 MG TABLET,5.2,2.03,,,0
HCPCS,25010066,HALOPERIDOL 5 MG TABLET,8.4,3.28,,,0
HCPCS,25010066,HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE,17.4,6.79,,,0
HCPCS,25010066,HUMAN MILK FORTIFIER 30 ML (PROLACT +6 H2MF),1308.8,510.43,,,0
HCPCS,25010066,HUMAN MILK FORTIFIER 40 ML (PROLACT +8 H2MF),1745.0,680.55,,,0
HCPCS,25010066,HYDRALAZINE 10 MG TABLET,4.8,1.87,,,0
HCPCS,25010066,HYDRALAZINE 100 MG TABLET,6.3,2.455,,,0
HCPCS,25010066,HYDRALAZINE 25 MG TABLET,4.8,1.87,,,0
HCPCS,25010066,HYDRALAZINE 50 MG TABLET,4.8,1.87,,,0
HCPCS,25010066,HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE,4.8,1.87,,,0
HCPCS,25010066,HYDROCHLOROTHIAZIDE 25 MG TABLET,4.8,1.87,,,0
HCPCS,25010066,HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET,7.4,2.89,,,0
HCPCS,25010066,HYDROCODONE 10 MG-CHLORPHENIRAMINE 8 MG/5 ML ORAL SUSP EXTEND.REL 12HR,25.7,10.02,,,0
HCPCS,25010066,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,5.75,2.245,,,0
HCPCS,25010066,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET,6.8,2.65,,,0
HCPCS,25010066,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,38.2,14.9,,,0
HCPCS,25010066,HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML (5 ML) ORAL SOLUTION,98.8,38.53,,,0
HCPCS,25010066,HYDROCORTISONE 0.5 % TOPICAL CREAM,23.3,9.09,,,0
HCPCS,25010066,HYDROCORTISONE 1 % LOTION,57.9,22.58,,,0
HCPCS,25010066,HYDROCORTISONE 1 % TOPICAL CREAM,15.7,6.125,,,0
HCPCS,25010066,HYDROCORTISONE 1 % TOPICAL OINTMENT,34.5,13.46,,,0
HCPCS,25010066,HYDROCORTISONE 10 MG TABLET,11.0,4.29,,,0
HCPCS,25010066,HYDROCORTISONE 2 MG/ML ORAL SYRINGE (NEONATE/PEDS),4.8,1.87,,,0
HCPCS,25010066,HYDROCORTISONE 2.5 % TOPICAL CREAM,28.35,11.06,,,0
HCPCS,25010066,HYDROCORTISONE 2.5 % TOPICAL CREAM WITH PERINEAL APPLICATOR,568.2,221.6,,,0
HCPCS,25010066,HYDROCORTISONE 20 MG TABLET,17.8,6.94,,,0
HCPCS,25010066,HYDROCORTISONE 5 MG TABLET,3.75,1.46,,,0
HCPCS,25010066,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,84.25,32.86,,,0
HCPCS,25010066,HYDROCORTISONE ORAL SUSPENSION 2MG/ML,57.6,22.46,,,0
HCPCS,25010066,HYDROCORTISONE-PRAMOXINE 2.5 %-1 % (4G) RECTAL CREAM,64.5,25.16,,,0
HCPCS,25010066,HYDROMORPHONE 1 MG/ML ORAL LIQUID,4.8,1.87,,,0
HCPCS,25010066,HYDROMORPHONE 2 MG TABLET,7.9,3.08,,,0
HCPCS,25010066,HYDROMORPHONE 4 MG TABLET,5.85,2.2800000000000002,,,0
HCPCS,25010066,HYDROMORPHONE 8 MG TABLET,5.9,2.3,,,0
HCPCS,25010066,HYDROXYCHLOROQUINE 200 MG TABLET,31.4,12.25,,,0
HCPCS,25010066,HYDROXYUREA 100 MG/ML ORAL SUSPENSION,9.8,3.82,,,0
HCPCS,25010066,HYDROXYUREA 40 MG/ML ORAL SUSPENSION,9.6,3.74,,,0
HCPCS,25010066,HYDROXYUREA 500 MG CAPSULE,23.9,9.32,,,0
HCPCS,25010066,HYDROXYZINE HCL 10 MG TABLET,5.4,2.11,,,0
HCPCS,25010066,HYDROXYZINE HCL 10 MG/5 ML (5 ML) ORAL SOLUTION,12.8,4.99,,,0
HCPCS,25010066,HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION,16.3,6.36,,,0
HCPCS,25010066,HYDROXYZINE HCL 25 MG TABLET,6.25,2.44,,,0
HCPCS,25010066,HYDROXYZINE HCL 50 MG TABLET,6.699999999999999,2.6100000000000003,,,0
HCPCS,25010066,HYDROXYZINE PAMOATE 25 MG CAPSULE,4.8,1.87,,,0
HCPCS,25010066,HYDROXYZINE PAMOATE 50 MG CAPSULE,4.8,1.87,,,0
HCPCS,25010066,HYOSCYAMINE 0.125 MG DISINTEGRATING TABLET,6.6,2.57,,,0
HCPCS,25010066,HYOSCYAMINE 0.125 MG SUBLINGUAL TABLET,6.6,2.57,,,0
HCPCS,25010066,HYOSCYAMINE 0.125 MG/5 ML ORAL ELIXIR,8.6,3.35,,,0
HCPCS,25010066,HYOSCYAMINE 0.125 MG/ML ORAL DROPS,306.8,119.65,,,0
HCPCS,25010066,HYOSCYAMINE SULFATE 0.125 MG TABLET,13.1,5.11,,,0
HCPCS,25010066,HYPROMELLOSE 2.5 % EYE DROPS,172.7,67.355,,,0
HCPCS,25010066,HYZINY CREAM (CMPD),436.1,170.07999999999998,,,0
HCPCS,25010066,HYZINY CREAM WITH LIDOCAINE (CMPD),291.5,113.68,,,0
HCPCS,25010066,IBUPROFEN 100 MG CHEWABLE TABLET,1.3,0.51,,,0
HCPCS,25010066,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,5.0,1.9500000000000002,,,0
HCPCS,25010066,IBUPROFEN 200 MG TABLET,0.2,0.08,,,0
HCPCS,25010066,IBUPROFEN 400 MG TABLET,5.449999999999999,2.125,,,0
HCPCS,25010066,IBUPROFEN 600 MG TABLET,8.5,3.315,,,0
HCPCS,25010066,IBUPROFEN 800 MG TABLET,4.8,1.87,,,0
HCPCS,25010066,IMATINIB 100 MG TABLET,136.6,53.27,,,0
HCPCS,25010066,IMATINIB 400 MG TABLET,2795.1,1090.09,,,0
HCPCS,25010066,IMIPRAMINE 25 MG TABLET,11.1,4.33,,,0
HCPCS,25010066,IMIPRAMINE 50 MG TABLET,40.5,15.8,,,0
HCPCS,25010066,INDAPAMIDE 1.25 MG TABLET,5.3,2.07,,,0
HCPCS,25010066,INDAPAMIDE 2.5 MG TABLET,6.2,2.42,,,0
HCPCS,25010066,INDOMETHACIN 100 MG RECTAL SUPPOSITORY,2637.1,1028.47,,,0
HCPCS,25010066,INDOMETHACIN 25 MG CAPSULE,5.5,2.145,,,0
HCPCS,25010066,INDOMETHACIN 50 MG CAPSULE,5.0,1.95,,,0
HCPCS,25010066,INDOMETHACIN 50 MG RECTAL SUPPOSITORY,5551.7,2165.16,,,0
HCPCS,25010066,"INDOMETHACIN ER 75 MG CAPSULE,EXTENDED RELEASE",23.3,9.09,,,0
HCPCS,25010066,INSULIN ASPAR PRT-INSULIN ASPART 100 UNIT/ML (70-30) SUBCUTANEOUS SOLN,19.6,7.64,,,0
HCPCS,25010066,INSULIN GLARGINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,31.6,12.32,,,0
HCPCS,25010066,INSULIN HUMAN U-100 NPH-REGULR 70-30 MIX 100 UNIT/ML SUBCUTANEOUS SUSP,19.6,7.64,,,0
HCPCS,25010066,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,19.6,7.64,,,0
HCPCS,25010066,INSULIN LISPRO 100 UNIT/ML (PRANDIAL) SUBCUTANEOUS,19.6,7.64,,,0
HCPCS,25010066,INSULIN LISPRO PROTAMINE-LISPRO 100 UNIT/ML (75-25) SUBCUTANEOUS SUSP,39.4,15.37,,,0
HCPCS,25010066,INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML SUBCUTANEOUS SUSPENSION,200.3,78.115,,,0
HCPCS,25010066,INSULIN REGULAR (IV - DUAL NURSE SIGNOFF),19.6,7.64,,,0
HCPCS,25010066,INSULIN REGULAR 1 UNIT/ML INJECTION (NEONATE),19.6,7.64,,,0
HCPCS,25010066,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION,28.85,11.25,,,0
HCPCS,25010066,IPRATROPIUM BROMIDE 42 MCG (0.06 %) NASAL SPRAY,590.9,230.45,,,0
HCPCS,25010066,ISAVUCONAZONIUM SULFATE 186 MG CAPSULE,1597.8,623.14,,,0
HCPCS,25010066,ISONIAZID 300 MG TABLET,18.4,7.175,,,0
HCPCS,25010066,ISOPROPYL ALCOHOL 70 % SOLUTION,152.4,59.44,,,0
HCPCS,25010066,ISOSORBIDE DINITRATE 10 MG TABLET,9.6,3.74,,,0
HCPCS,25010066,ISOSORBIDE DINITRATE 20 MG TABLET,6.2,2.42,,,0
HCPCS,25010066,ISOSORBIDE DINITRATE 5 MG TABLET,15.1,5.89,,,0
HCPCS,25010066,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",8.6,3.35,,,0
HCPCS,25010066,"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",36.0,14.04,,,0
HCPCS,25010066,ITRACONAZOLE 100 MG CAPSULE,215.89999999999998,84.205,,,0
HCPCS,25010066,IVABRADINE 5 MG TABLET,84.4,32.92,,,0
HCPCS,25010066,IVABRADINE 7.5 MG TABLET,80.1,31.24,,,0
HCPCS,25010066,IVERMECTIN 3 MG TABLET,114.4,44.62,,,0
HCPCS,25010066,KETOCONAZOLE 2 % SHAMPOO,232.0,90.48,,,0
HCPCS,25010066,KETOCONAZOLE 2 % TOPICAL CREAM,482.1,188.02,,,0
HCPCS,25010066,KETOROLAC 0.4 % EYE DROPS,559.3,218.13,,,0
HCPCS,25010066,KETOROLAC 10 MG TABLET,17.4,6.79,,,0
HCPCS,25010066,KETOTIFEN 0.025 % (0.035 %) EYE DROPS,51.0,19.89,,,0
HCPCS,25010066,L.ACIDOPHILUS-L.PARACASEI-B.BIFIDUM-S.THERMOPHL 8 BILLION CELL CAPSULE,9.45,3.685,,,0
HCPCS,25010066,LABETALOL 100 MG TABLET,8.65,3.37,,,0
HCPCS,25010066,LABETALOL 200 MG TABLET,10.7,4.17,,,0
HCPCS,25010066,LABETALOL 300 MG TABLET,12.15,4.74,,,0
HCPCS,25010066,LACOSAMIDE 10 MG/ML ORAL SOLUTION,342.1,133.42,,,0
HCPCS,25010066,LACOSAMIDE 100 MG TABLET,144.8,56.47,,,0
HCPCS,25010066,LACOSAMIDE 150 MG TABLET,146.0,56.94,,,0
HCPCS,25010066,LACOSAMIDE 200 MG TABLET,93.85000000000001,36.6,,,0
HCPCS,25010066,LACOSAMIDE 50 MG TABLET,91.55,35.705,,,0
HCPCS,25010066,LACTOBACILLUS ACIDOPHILUS 1 BILLION CELL CAPSULE,4.8,1.87,,,0
HCPCS,25010066,"LACTOBACILLUS ACIDOPHILUS, BULGARICUS 100 MILLION CELL GRANULES PACKET",8.6,3.35,,,0
HCPCS,25010066,LACTOBACILLUS RHAMNOSUS GG 15 BILLION CELL SPRINKLE CAPSULE,8.4,3.28,,,0
HCPCS,25010066,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,20.15,7.855,,,0
HCPCS,25010066,LACTULOSE 20 GRAM/30 ML ORAL SOLUTION,13.8,5.380000000000001,,,0
HCPCS,25010066,LACTULOSE ENEMA WITH NS,184.1,71.8,,,0
HCPCS,25010066,LACTULOSE ENEMA WITH STERILE WATER,168.8,65.83,,,0
HCPCS,25010066,LAMIVUDINE 10 MG/ML ORAL SOLUTION,38.3,14.94,,,0
HCPCS,25010066,LAMIVUDINE 150 MG TABLET,109.9,42.86,,,0
HCPCS,25010066,LAMOTRIGINE 100 MG TABLET,36.8,14.355,,,0
HCPCS,25010066,LAMOTRIGINE 150 MG TABLET,82.4,32.14,,,0
HCPCS,25010066,LAMOTRIGINE 200 MG TABLET,45.0,17.55,,,0
HCPCS,25010066,LAMOTRIGINE 25 MG CHEWABLE DISPERSIBLE TABLET,24.6,9.59,,,0
HCPCS,25010066,LAMOTRIGINE 25 MG TABLET,21.700000000000003,8.465,,,0
HCPCS,25010066,LANOLIN (HPA) 100 % TOPICAL CREAM,38.4,14.98,,,0
HCPCS,25010066,LANOLIN ALCOHOLS-MINERAL OIL-W.PETROLATUM-CERESIN TOPICAL CREAM,48.3,18.84,,,0
HCPCS,25010066,LANOLIN-MINERAL OIL LOTION,8.0,3.12,,,0
HCPCS,25010066,LANSOPRAZOLE 3 MG/ML SUSPENSION IN ORA-BLEND,13.3,5.19,,,0
HCPCS,25010066,"LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET",14.3,5.575,,,0
HCPCS,25010066,LANTHANUM 500 MG CHEWABLE TABLET,248.55,96.935,,,0
HCPCS,25010066,LANTHANUM 750 MG CHEWABLE TABLET,210.0,81.9,,,0
HCPCS,25010066,LATANOPROST (PF) 0.005 % EYE DROPS IN A DROPPERETTE,20.3,7.92,,,0
HCPCS,25010066,LATANOPROST 0.005 % EYE DROPS,73.6,28.705,,,0
HCPCS,25010066,LEFLUNOMIDE 10 MG TABLET,92.1,35.92,,,0
HCPCS,25010066,LEFLUNOMIDE 20 MG TABLET,126.0,49.14,,,0
HCPCS,25010066,LETROZOLE 2.5 MG TABLET,138.5,54.02,,,0
HCPCS,25010066,LEVETIRACETAM 100 MG/ML ORAL SOLUTION,15.7,6.125,,,0
HCPCS,25010066,LEVETIRACETAM 250 MG TABLET,4.8,1.87,,,0
HCPCS,25010066,LEVETIRACETAM 500 MG TABLET,5.6,2.18,,,0
HCPCS,25010066,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,64.15,25.02,,,0
HCPCS,25010066,LEVETIRACETAM 750 MG TABLET,5.65,2.205,,,0
HCPCS,25010066,LEVOCARNITINE (WITH SUGAR) 100 MG/ML ORAL SOLUTION,30.2,11.78,,,0
HCPCS,25010066,LEVOFLOXACIN 250 MG TABLET,4.8,1.87,,,0
HCPCS,25010066,LEVOFLOXACIN 500 MG TABLET,76.4,29.794999999999998,,,0
HCPCS,25010066,LEVOFLOXACIN 750 MG TABLET,140.8,54.910000000000004,,,0
HCPCS,25010066,LEVONORGESTREL 1.5 MG TABLET,258.3,100.74,,,0
HCPCS,25010066,LEVOTHYROXINE 100 MCG TABLET,5.6,2.18,,,0
HCPCS,25010066,LEVOTHYROXINE 112 MCG TABLET,5.3,2.07,,,0
HCPCS,25010066,LEVOTHYROXINE 125 MCG TABLET,5.5,2.14,,,0
HCPCS,25010066,LEVOTHYROXINE 137 MCG TABLET,5.6,2.18,,,0
HCPCS,25010066,LEVOTHYROXINE 150 MCG TABLET,6.25,2.435,,,0
HCPCS,25010066,LEVOTHYROXINE 175 MCG TABLET,6.8,2.65,,,0
HCPCS,25010066,LEVOTHYROXINE 200 MCG TABLET,7.75,3.025,,,0
HCPCS,25010066,LEVOTHYROXINE 25 MCG TABLET,4.25,1.655,,,0
HCPCS,25010066,LEVOTHYROXINE 50 MCG TABLET,9.25,3.605,,,0
HCPCS,25010066,LEVOTHYROXINE 75 MCG TABLET,5.15,2.005,,,0
HCPCS,25010066,LEVOTHYROXINE 88 MCG TABLET,4.8,1.87,,,0
HCPCS,25010066,LEVOTHYROXINE SYRUP 25 MCG/ML,4.8,1.87,,,0
HCPCS,25010066,LIDOCAINE 4 % TOPICAL CREAM,37.45,14.605,,,0
HCPCS,25010066,LIDOCAINE 4 % TOPICAL PATCH,13.7,5.34,,,0
HCPCS,25010066,LIDOCAINE 4 %-RACEPINEPHRINE 0.05 %-TETRACAINE 0.5 % TOPICAL GEL,120.4,46.96,,,0
HCPCS,25010066,LIDOCAINE 5 % TOPICAL PATCH,78.9,30.77,,,0
HCPCS,25010066,LINACLOTIDE 145 MCG CAPSULE,145.3,56.67,,,0
HCPCS,25010066,LINACLOTIDE 290 MCG CAPSULE,145.3,56.67,,,0
HCPCS,25010066,LINACLOTIDE 72 MCG CAPSULE,290.5,113.3,,,0
HCPCS,25010066,LINAGLIPTIN 5 MG TABLET,134.3,52.38,,,0
HCPCS,25010066,LINEZOLID 600 MG TABLET,1188.85,463.65,,,0
HCPCS,25010066,LIOTHYRONINE 25 MCG TABLET,27.9,10.88,,,0
HCPCS,25010066,LIOTHYRONINE 5 MCG TABLET,11.1,4.33,,,0
HCPCS,25010066,"LIPASE-PROTEASE-AMYLASE 10,440-39,150-39,150 UNIT TABLET",64.9,25.31,,,0
HCPCS,25010066,"LIPASE-PROTEASE-AMYLASE 12,000-38,000-60,000 UNIT CAPSULE,DELAYED REL",33.0,12.87,,,0
HCPCS,25010066,"LIPASE-PROTEASE-AMYLASE 20,000-63,000-84,000 UNIT CAPSULE, DELAYED REL",61.5,23.98,,,0
HCPCS,25010066,"LIPASE-PROTEASE-AMYLASE 20,880-78,300-78,300 UNIT TABLET",64.0,24.96,,,0
HCPCS,25010066,"LIPASE-PROTEASE-AMYLASE 24,000-76,000-120,000 UNIT CAPSULE,DELAYED REL",261.0,101.79,,,0
HCPCS,25010066,"LIPASE-PROTEASE-AMYLASE 3,000-9,500-15,000 UNIT CAPSULE, DELAYED REL",27.9,10.88,,,0
HCPCS,25010066,"LIPASE-PROTEASE-AMYLASE 36,000-114,000-180,000 UNIT CAPSULE,DELAY REL",198.1,77.26,,,0
HCPCS,25010066,"LIPASE-PROTEASE-AMYLASE 40,000-126,000-168,000 UNIT CAPSULE, DELAY REL",624.7,243.63,,,0
HCPCS,25010066,"LIPASE-PROTEASE-AMYLASE 6,000-19,000-30,000 UNIT CAPSULE,DELAYED REL",33.0,12.87,,,0
HCPCS,25010066,LISINOPRIL 1 MG/ML ORAL SOLUTION,320.3,124.92,,,0
HCPCS,25010066,LISINOPRIL 10 MG TABLET,7.449999999999999,2.9050000000000002,,,0
HCPCS,25010066,LISINOPRIL 2.5 MG TABLET,5.3,2.07,,,0
HCPCS,25010066,LISINOPRIL 20 MG TABLET,7.8999999999999995,3.08,,,0
HCPCS,25010066,LISINOPRIL 40 MG TABLET,8.4,3.275,,,0
HCPCS,25010066,LISINOPRIL 5 MG TABLET,7.4,2.89,,,0
HCPCS,25010066,LITHIUM CARBONATE 150 MG CAPSULE,4.8,1.87,,,0
HCPCS,25010066,LITHIUM CARBONATE 300 MG CAPSULE,4.8,1.87,,,0
HCPCS,25010066,LITHIUM CARBONATE 300 MG TABLET,4.8,1.87,,,0
HCPCS,25010066,"LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE",7.300000000000001,2.85,,,0
HCPCS,25010066,"LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE",5.8,2.26,,,0
HCPCS,25010066,LITHIUM CITRATE 8 MEQ/5 ML ORAL SOLUTION,125.1,48.79,,,0
HCPCS,25010066,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID,32.35,12.620000000000001,,,0
HCPCS,25010066,LOPERAMIDE 2 MG CAPSULE,4.1,1.6,,,0
HCPCS,25010066,LORATADINE 10 MG TABLET,1.2000000000000002,0.47,,,0
HCPCS,25010066,LORATADINE 5 MG/5 ML ORAL SOLUTION,1.7000000000000002,0.6599999999999999,,,0
HCPCS,25010066,"LORATADINE-PSEUDOEPHEDRINE ER 10 MG-240 MG TABLET,EXTENDED RELEASE24HR",2.0,0.78,,,0
HCPCS,25010066,LORAZEPAM 0.5 MG TABLET,4.9,1.9100000000000001,,,0
HCPCS,25010066,LORAZEPAM 1 MG TABLET,6.8,2.65,,,0
HCPCS,25010066,LORAZEPAM 2 MG TABLET,4.9,1.9100000000000001,,,0
HCPCS,25010066,LORAZEPAM 2 MG/ML ORAL CONCENTRATE,7.050000000000001,2.75,,,0
HCPCS,25010066,LOSARTAN 100 MG TABLET,14.25,5.555,,,0
HCPCS,25010066,LOSARTAN 25 MG TABLET,13.4,5.23,,,0
HCPCS,25010066,LOSARTAN 50 MG TABLET,6.949999999999999,2.71,,,0
HCPCS,25010066,LUBIPROSTONE 24 MCG CAPSULE,52.7,20.555,,,0
HCPCS,25010066,LUBIPROSTONE 8 MCG CAPSULE,153.7,59.94,,,0
HCPCS,25010066,LURASIDONE 20 MG TABLET,362.8,141.49,,,0
HCPCS,25010066,LURASIDONE 40 MG TABLET,362.8,141.49,,,0
HCPCS,25010066,MAFENIDE 85 MG/G TOPICAL CREAM,666.7,260.01,,,0
HCPCS,25010066,MAGIC MOUTHWASH ORAL SUSPENSION (CMPD),41.5,16.185,,,0
HCPCS,25010066,MAGIC MOUTHWASH WITHOUT NYSTATIN OR LIDOCAINE ORAL SUSPENSION,4.8,1.87,,,0
HCPCS,25010066,"MAGNESIUM 64 MG (MAGNESIUM CHLORIDE) TABLET,DELAYED RELEASE",4.8,1.87,,,0
HCPCS,25010066,MAGNESIUM CARBONATE 54 MG/5 ML ORAL LIQUID,0.6,0.23,,,0
HCPCS,25010066,MAGNESIUM CITRATE ORAL SOLUTION,15.9,6.2,,,0
HCPCS,25010066,MAGNESIUM GLUCONATE 27 MG MAGNESIUM (500 MG) TABLET,4.8,1.87,,,0
HCPCS,25010066,MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION,11.2,4.37,,,0
HCPCS,25010066,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET,0.7,0.27,,,0
HCPCS,25010066,MAGNESIUM SULFATE 50 MG/ML ORAL SOLUTION (ELEMENTAL),0.6,0.23,,,0
HCPCS,25010066,MECLIZINE 12.5 MG TABLET,10.8,4.21,,,0
HCPCS,25010066,MECLIZINE 25 MG TABLET,6.6,2.57,,,0
HCPCS,25010066,MEDIUM CHAIN TRIGLYCERIDES (MCT) 7.7 KCAL/ML ORAL OIL,4.8,1.87,,,0
HCPCS,25010066,MEDROXYPROGESTERONE 10 MG TABLET,4.8,1.87,,,0
HCPCS,25010066,MEDROXYPROGESTERONE 2.5 MG TABLET,9.7,3.78,,,0
HCPCS,25010066,MEDROXYPROGESTERONE 5 MG TABLET,14.6,5.69,,,0
HCPCS,25010066,MEGESTROL 20 MG TABLET,66.0,25.74,,,0
HCPCS,25010066,MEGESTROL 40 MG TABLET,8.2,3.2,,,0
HCPCS,25010066,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION,40.8,15.91,,,0
HCPCS,25010066,MEGESTROL 400 MG/10 ML (40 MG/ML) ORAL SUSPENSION,23.1,9.01,,,0
HCPCS,25010066,MEGESTROL 800 MG/20 ML (20 ML) ORAL SUSPENSION,42.5,16.58,,,0
HCPCS,25010066,MELATONIN 3 MG TABLET,4.8,1.87,,,0
HCPCS,25010066,MELATONIN 5 MG TABLET,4.8,1.87,,,0
HCPCS,25010066,MEMANTINE 10 MG TABLET,6.4,2.5,,,0
HCPCS,25010066,MEMANTINE 2 MG/ML ORAL SOLUTION,39.3,15.33,,,0
HCPCS,25010066,MEMANTINE 5 MG TABLET,6.25,2.44,,,0
HCPCS,25010066,"MESALAMINE 1,000 MG RECTAL SUPPOSITORY",308.95000000000005,120.49000000000001,,,0
HCPCS,25010066,"MESALAMINE 1.2 GRAM TABLET,DELAYED RELEASE",263.25,102.67,,,0
HCPCS,25010066,MESALAMINE 4 GRAM/60 ML ENEMA,187.4,73.09,,,0
HCPCS,25010066,MESALAMINE 400 MG CAPSULE (WITH DELAYED RELEASE TABLETS INSIDE),34.0,13.26,,,0
HCPCS,25010066,"MESALAMINE ER 250 MG CAPSULE,EXTENDED RELEASE",93.2,36.35,,,0
HCPCS,25010066,METAXALONE 800 MG TABLET,45.2,17.63,,,0
HCPCS,25010066,METFORMIN 500 MG TABLET,5.4,2.11,,,0
HCPCS,25010066,METFORMIN 850 MG TABLET,7.050000000000001,2.75,,,0
HCPCS,25010066,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",9.9,3.86,,,0
HCPCS,25010066,METHADONE 10 MG TABLET,10.1,3.94,,,0
HCPCS,25010066,METHADONE 10 MG/5 ML ORAL SOLUTION,45.0,17.55,,,0
HCPCS,25010066,METHADONE 5 MG TABLET,4.8,1.87,,,0
HCPCS,25010066,METHADONE 5 MG/5 ML ORAL SOLUTION,29.6,11.54,,,0
HCPCS,25010066,METHAZOLAMIDE 50 MG TABLET,70.6,27.53,,,0
HCPCS,25010066,METHENAMINE 81 MG-M.BLUE 10.8 MG-SOD PHOS 40.8 MG-P.SALICY-HYOS TABLET,59.55,23.225,,,0
HCPCS,25010066,METHIMAZOLE 10 MG TABLET,5.35,2.085,,,0
HCPCS,25010066,METHIMAZOLE 5 MG TABLET,10.65,4.155,,,0
HCPCS,25010066,METHOCARBAMOL 500 MG TABLET,4.3,1.675,,,0
HCPCS,25010066,METHOCARBAMOL 750 MG TABLET,5.3,2.07,,,0
HCPCS,25010066,METHYLDOPA 250 MG TABLET,69.1,26.95,,,0
HCPCS,25010066,METHYLERGONOVINE 0.2 MG TABLET,515.7,201.12,,,0
HCPCS,25010066,METHYLPHENIDATE 5 MG TABLET,18.9,7.37,,,0
HCPCS,25010066,METOCLOPRAMIDE 10 MG TABLET,6.1,2.38,,,0
HCPCS,25010066,METOCLOPRAMIDE 5 MG TABLET,6.05,2.36,,,0
HCPCS,25010066,METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION,21.049999999999997,8.21,,,0
HCPCS,25010066,METOLAZONE 10 MG TABLET,21.7,8.46,,,0
HCPCS,25010066,METOLAZONE 2.5 MG TABLET,60.3,23.515,,,0
HCPCS,25010066,METOLAZONE 5 MG TABLET,18.1,7.06,,,0
HCPCS,25010066,METOPROLOL 10 MG/ML ORAL SUSPENSION,4.8,1.87,,,0
HCPCS,25010066,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",14.3,5.575,,,0
HCPCS,25010066,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",8.6,3.35,,,0
HCPCS,25010066,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",9.0,3.51,,,0
HCPCS,25010066,METOPROLOL TARTRATE 100 MG TABLET,5.5,2.145,,,0
HCPCS,25010066,METOPROLOL TARTRATE 12.5 MG SPLIT TABLET,4.8,1.87,,,0
HCPCS,25010066,METOPROLOL TARTRATE 25 MG TABLET,4.8,1.87,,,0
HCPCS,25010066,METOPROLOL TARTRATE 50 MG TABLET,6.800000000000001,2.6500000000000004,,,0
HCPCS,25010066,METRONIDAZOLE 1 % TOPICAL GEL,2126.6,829.37,,,0
HCPCS,25010066,METRONIDAZOLE 250 MG TABLET,7.050000000000001,2.75,,,0
HCPCS,25010066,METRONIDAZOLE 500 MG TABLET,6.0,2.34,,,0
HCPCS,25010066,METRONIDAZOLE ORAL SUSPENSION 50 MG/ML (CMPD),4.8,1.87,,,0
HCPCS,25010066,MEXILETINE 150 MG CAPSULE,19.5,7.6,,,0
HCPCS,25010066,MEXILETINE 200 MG CAPSULE,34.9,13.615,,,0
HCPCS,25010066,MICONAZOLE NITRATE 2 % TOPICAL CREAM,22.3,8.7,,,0
HCPCS,25010066,MICONAZOLE NITRATE 200 MG-2 % (9 GRAM) VAGINAL KIT,39.2,15.29,,,0
HCPCS,25010066,MICONAZOLE NITRATE 200 MG/5 GRAM (4 %) VAGINAL CREAM,30.0,11.7,,,0
HCPCS,25010066,MIDAZOLAM 10 MG/5 ML (2 MG/ML) ORAL SYRUP,77.7,30.3,,,0
HCPCS,25010066,MIDODRINE 10 MG TABLET,13.0,5.07,,,0
HCPCS,25010066,MIDODRINE 2.5 MG TABLET,8.15,3.1799999999999997,,,0
HCPCS,25010066,MIDODRINE 5 MG TABLET,18.65,7.27,,,0
HCPCS,25010066,MINERAL OIL ORAL,8.3,3.24,,,0
HCPCS,25010066,MINOCYCLINE 100 MG CAPSULE,10.2,3.98,,,0
HCPCS,25010066,MINOCYCLINE 50 MG CAPSULE,52.2,20.36,,,0
HCPCS,25010066,MINOXIDIL 10 MG TABLET,8.2,3.2,,,0
HCPCS,25010066,MINOXIDIL 2.5 MG TABLET,13.1,5.11,,,0
HCPCS,25010066,"MIRABEGRON ER 25 MG TABLET,EXTENDED RELEASE 24 HR",254.2,99.14,,,0
HCPCS,25010066,MIRTAZAPINE 15 MG DISINTEGRATING TABLET,18.1,7.06,,,0
HCPCS,25010066,MIRTAZAPINE 15 MG TABLET,10.5,4.1,,,0
HCPCS,25010066,MIRTAZAPINE 30 MG DISINTEGRATING TABLET,18.7,7.29,,,0
HCPCS,25010066,MIRTAZAPINE 30 MG TABLET,15.7,6.12,,,0
HCPCS,25010066,MIRTAZAPINE 7.5 MG TABLET,46.45,18.12,,,0
HCPCS,25010066,MISOPROSTOL 100 MCG TABLET,45.1,17.59,,,0
HCPCS,25010066,MISOPROSTOL 200 MCG TABLET,63.8,24.880000000000003,,,0
HCPCS,25010066,MISOPROSTOL 25 MCG QUARTERED TABLET,4.8,1.87,,,0
HCPCS,25010066,MODAFINIL 100 MG TABLET,202.6,79.01,,,0
HCPCS,25010066,MODAFINIL 200 MG TABLET,263.45,102.745,,,0
HCPCS,25010066,MONTELUKAST 10 MG TABLET,38.8,15.135,,,0
HCPCS,25010066,MONTELUKAST 5 MG CHEWABLE TABLET,37.45,14.605,,,0
HCPCS,25010066,MORPHINE 10 MG/5 ML ORAL SOLUTION,5.6,2.185,,,0
HCPCS,25010066,MORPHINE 15 MG IMMEDIATE RELEASE TABLET,8.0,3.12,,,0
HCPCS,25010066,MORPHINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,6.8,2.65,,,0
HCPCS,25010066,MORPHINE 30 MG IMMEDIATE RELEASE TABLET,6.5,2.54,,,0
HCPCS,25010066,MORPHINE CONCENTRATE 10 MG/0.5 ML ORAL SYRINGE (FOR ORAL USE ONLY),32.7,12.75,,,0
HCPCS,25010066,MORPHINE CONCENTRATE 20 MG/ML ORAL SOLUTION,16.2,6.32,,,0
HCPCS,25010066,MORPHINE CONCENTRATE 20 MG/ML ORAL SYRINGE  (FOR ORAL USE ONLY),72.6,28.31,,,0
HCPCS,25010066,"MORPHINE ER 100 MG TABLET,EXTENDED RELEASE",42.75,16.67,,,0
HCPCS,25010066,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE",14.4,5.62,,,0
HCPCS,25010066,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE",24.4,9.52,,,0
HCPCS,25010066,"MORPHINE ER 60 MG TABLET,EXTENDED RELEASE",31.299999999999997,12.205,,,0
HCPCS,25010066,MORPHINE ORAL SOLUTION 0.2 MG/0.5 ML DILUTION,4.8,1.87,,,0
HCPCS,25010066,MORPHINE ORAL SOLUTION 2 MG/ML (NEONATAL ABSTINENCE),4.8,1.87,,,0
HCPCS,25010066,MORPHINE ORAL SUSPENSION 0.2 MG/ML (NEONATAL ABSTINENCE),4.8,1.87,,,0
HCPCS,25010066,MULTIVIT-MINS-FERROUS GLUCONATE 9 MG IRON/15 ML (15 ML) ORAL LIQUID,8.850000000000001,3.455,,,0
HCPCS,25010066,MULTIVITAMIN ORAL LIQUID,22.0,8.58,,,0
HCPCS,25010066,MULTIVITAMIN WITH FOLIC ACID 400 MCG TABLET,0.6,0.23,,,0
HCPCS,25010066,MULTIVITAMIN-FERROUS FUMARATE-FOLIC ACID 18 MG-400 MCG TABLET,4.8,1.87,,,0
HCPCS,25010066,MULTIVITAMIN-IRON 9 MG-FOLIC ACID 400 MCG-CALCIUM AND MINERALS TABLET,0.8500000000000001,0.33,,,0
HCPCS,25010066,MULTIVITAMIN-IRON SULFATE 15 MG-FOLIC ACID 400 MCG TABLET,0.6,0.23,,,0
HCPCS,25010066,MULTIVITAMIN-MINERALS-IRON FUMARATE 7.5 MG-FOLIC ACID 400 MCG TABLET,0.6,0.23,,,0
HCPCS,25010066,MYLANTA-DIPHENHYDRAMINE 5 ML ORAL SUSPENSION,38.5,15.02,,,0
HCPCS,25010066,NADOLOL 20 MG TABLET,19.85,7.74,,,0
HCPCS,25010066,NADOLOL 40 MG TABLET,21.45,8.365,,,0
HCPCS,25010066,NALTREXONE 50 MG TABLET,27.05,10.55,,,0
HCPCS,25010066,NAPROXEN 250 MG TABLET,6.0,2.34,,,0
HCPCS,25010066,NAPROXEN 375 MG TABLET,7.6,2.96,,,0
HCPCS,25010066,"NAPROXEN 375 MG TABLET,DELAYED RELEASE",39.7,15.48,,,0
HCPCS,25010066,NAPROXEN 500 MG TABLET,4.8,1.87,,,0
HCPCS,25010066,"NAPROXEN 500 MG TABLET,DELAYED RELEASE",48.4,18.88,,,0
HCPCS,25010066,NEBIVOLOL 10 MG TABLET,60.5,23.595,,,0
HCPCS,25010066,NEBIVOLOL 2.5 MG TABLET,79.95,31.18,,,0
HCPCS,25010066,NEBIVOLOL 5 MG TABLET,43.6,17.0,,,0
HCPCS,25010066,"NEOMY-BACIT-POLYMYX-PRAMOXINE 3.5 MG-500 UNIT-10,000 UNIT/G TOP OINT",30.0,11.7,,,0
HCPCS,25010066,NEOMYCIN 500 MG TABLET,22.9,8.93,,,0
HCPCS,25010066,"NEOMYCIN-BACITRACIN-POLY-HC 3.5 MG-400-10,000 UNIT/G-1 % EYE OINTMENT",499.0,194.61,,,0
HCPCS,25010066,NEOMYCIN-BACITRACIN-POLYMYCIN TOPICAL OINTMENT (WRAPPED),0.8,0.31,,,0
HCPCS,25010066,"NEOMYCIN-BACITRACN ZN-POLYMYXN 3.5 MG-400 UNIT-5,000 UNIT TOP OINT PKT",0.7,0.27,,,0
HCPCS,25010066,"NEOMYCIN-POLYMYXIN-HYDROCORT 3.5 MG-10,000 UNIT/ML-1 % EAR DROPS,SUSP",643.6,251.0,,,0
HCPCS,25010066,"NEOMYCIN-POLYMYXIN-HYDROCORT 3.5 MG/ML-10,000 UNIT/ML-1 % EAR SOLUTION",643.6,251.0,,,0
HCPCS,25010066,"NEOMYCIN-POLYMYXIN-PRAMOXINE 3.5 MG-10,000 UNIT-10 MG/GRAM TOP CREAM",24.7,9.63,,,0
HCPCS,25010066,"NEPAFENAC 0.1 % EYE DROPS,SUSPENSION",2524.4,984.52,,,0
HCPCS,25010066,NETARSUDIL 0.02 % EYE DROPS,2563.1,999.61,,,0
HCPCS,25010066,NEVIRAPINE 50 MG/5 ML ORAL SUSPENSION,7.6,2.96,,,0
HCPCS,25010066,NIACIN 100 MG TABLET,0.6,0.23,,,0
HCPCS,25010066,NIACIN 250 MG TABLET,4.8,1.87,,,0
HCPCS,25010066,NIACIN 500 MG TABLET,0.6,0.23,,,0
HCPCS,25010066,"NIACIN ER 250 MG CAPSULE,EXTENDED RELEASE",0.6,0.23,,,0
HCPCS,25010066,"NIACIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",18.8,7.33,,,0
HCPCS,25010066,NICOTINE (POLACRILEX) 2 MG BUCCAL LOZENGE,1.7,0.66,,,0
HCPCS,25010066,NICOTINE (POLACRILEX) 2 MG GUM,1.7,0.665,,,0
HCPCS,25010066,NICOTINE (POLACRILEX) 4 MG GUM,1.05,0.41000000000000003,,,0
HCPCS,25010066,NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH,7.3,2.85,,,0
HCPCS,25010066,NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH,7.6,2.96,,,0
HCPCS,25010066,NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH,7.8999999999999995,3.08,,,0
HCPCS,25010066,NIFEDIPINE (BULK) POWDER,3.6,1.4,,,0
HCPCS,25010066,NIFEDIPINE 10 MG CAPSULE,8.25,3.22,,,0
HCPCS,25010066,NIFEDIPINE 10 MG CAPSULE (DRAW LIQUID FROM CAPSULE),16.4,6.4,,,0
HCPCS,25010066,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE",8.0,3.12,,,0
HCPCS,25010066,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",20.2,7.88,,,0
HCPCS,25010066,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE",11.950000000000001,4.66,,,0
HCPCS,25010066,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",20.200000000000003,7.875,,,0
HCPCS,25010066,"NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE",22.4,8.74,,,0
HCPCS,25010066,NIMODIPINE 30 MG CAPSULE,288.8,112.635,,,0
HCPCS,25010066,NIMODIPINE 30 MG/5 ML ORAL SYRINGE (FOR ORAL USE ONLY),597.65,233.08499999999998,,,0
HCPCS,25010066,NIMODIPINE 60 MG/10 ML ORAL SYRINGE (FOR ORAL USE ONLY),819.4,319.57,,,0
HCPCS,25010066,NITAZOXANIDE 500 MG TABLET,1267.2,494.21,,,0
HCPCS,25010066,NITROFURANTOIN 25 MG/5 ML ORAL SUSPENSION,536.9,209.39,,,0
HCPCS,25010066,NITROFURANTOIN MACROCRYSTAL 50 MG CAPSULE,33.9,13.22,,,0
HCPCS,25010066,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,27.1,10.57,,,0
HCPCS,25010066,NITROGLYCERIN 0.1 MG/HR TRANSDERMAL 24 HOUR PATCH,14.3,5.58,,,0
HCPCS,25010066,NITROGLYCERIN 0.2 MG/HR TRANSDERMAL 24 HOUR PATCH,14.6,5.69,,,0
HCPCS,25010066,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,10.2,3.98,,,0
HCPCS,25010066,NITROGLYCERIN 0.4 MG/HR TRANSDERMAL 24 HOUR PATCH,16.7,6.51,,,0
HCPCS,25010066,NITROGLYCERIN 2 % TRANSDERMAL OINTMENT,23.3,9.09,,,0
HCPCS,25010066,NORGESTREL 0.3 MG-ETHINYL ESTRADIOL 30 MCG TABLET,8.4,3.28,,,0
HCPCS,25010066,NORTRIPTYLINE 10 MG CAPSULE,10.9,4.25,,,0
HCPCS,25010066,NORTRIPTYLINE 25 MG CAPSULE,7.949999999999999,3.0999999999999996,,,0
HCPCS,25010066,"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM",201.8,78.705,,,0
HCPCS,25010066,"NYSTATIN 100,000 UNIT/GRAM TOPICAL OINTMENT",134.3,52.38,,,0
HCPCS,25010066,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER",214.8,83.77,,,0
HCPCS,25010066,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",7.7,3.0,,,0
HCPCS,25010066,"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/G-0.1 % TOPICAL CREAM",160.8,62.71,,,0
HCPCS,25010066,OLANZAPINE 10 MG DISINTEGRATING TABLET,159.1,62.05,,,0
HCPCS,25010066,OLANZAPINE 10 MG TABLET,152.8,59.59,,,0
HCPCS,25010066,OLANZAPINE 2.5 MG TABLET,80.0,31.2,,,0
HCPCS,25010066,OLANZAPINE 5 MG DISINTEGRATING TABLET,54.8,21.37,,,0
HCPCS,25010066,OLANZAPINE 5 MG TABLET,67.15,26.185000000000002,,,0
HCPCS,25010066,OLANZAPINE 7.5 MG TABLET,123.4,48.13,,,0
HCPCS,25010066,OLMESARTAN 20 MG TABLET,53.1,20.71,,,0
HCPCS,25010066,OLMESARTAN 40 MG TABLET,70.4,27.46,,,0
HCPCS,25010066,OLMESARTAN 5 MG TABLET,106.55,41.55,,,0
HCPCS,25010066,OMADACYCLINE 150 MG TABLET,6055.2,2361.53,,,0
HCPCS,25010066,"OMEGA 3-DHA-EPA-FISH OIL 1,000 MG (120 MG-180 MG) CAPSULE",1.1,0.43,,,0
HCPCS,25010066,"OMEGA 3-DHA-EPA-FISH OIL 300 MG-1,000 MG CAPSULE",0.75,0.29,,,0
HCPCS,25010066,"OMEGA-3 FATTY ACIDS-FISH OIL 300 MG-1,000 MG CAPSULE",0.6,0.23,,,0
HCPCS,25010066,ONDANSETRON 4 MG DISINTEGRATING TABLET,172.05,67.1,,,0
HCPCS,25010066,ONDANSETRON 8 MG DISINTEGRATING TABLET,294.7,114.93,,,0
HCPCS,25010066,ONDANSETRON HCL 4 MG TABLET,5.97,2.33,,,0
HCPCS,25010066,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION,58.8,22.93,,,0
HCPCS,25010066,ONDANSETRON HCL 8 MG TABLET,4.9,1.91,,,0
HCPCS,25010066,OPIUM TINCTURE 10 MG/ML (MORPHINE) ORAL,29.0,11.31,,,0
HCPCS,25010066,"ORPHENADRINE CITRATE ER 100 MG TABLET,EXTENDED RELEASE",17.8,6.94,,,0
HCPCS,25010066,OSELTAMIVIR 30 MG CAPSULE,107.85,42.06,,,0
HCPCS,25010066,OSELTAMIVIR 6 MG/ML ORAL SUSPENSION,179.64999999999998,70.065,,,0
HCPCS,25010066,OSELTAMIVIR 75 MG CAPSULE,116.5,45.44,,,0
HCPCS,25010066,OXCARBAZEPINE 150 MG TABLET,8.15,3.1799999999999997,,,0
HCPCS,25010066,OXCARBAZEPINE 300 MG TABLET,20.2,7.88,,,0
HCPCS,25010066,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION,50.3,19.62,,,0
HCPCS,25010066,OXCARBAZEPINE 600 MG TABLET,55.400000000000006,21.605,,,0
HCPCS,25010066,"OXCARBAZEPINE ER 300 MG TABLET,EXTENDED RELEASE 24 HR",219.4,85.57,,,0
HCPCS,25010066,OXYBUTYNIN CHLORIDE 5 MG TABLET,5.1,1.99,,,0
HCPCS,25010066,OXYBUTYNIN CHLORIDE 5 MG/5 ML ORAL SYRUP,4.8,1.87,,,0
HCPCS,25010066,OXYCHLOROSENE SODIUM TOPICAL POWDER FOR SOLUTION,43.0,16.77,,,0
HCPCS,25010066,OXYCODONE 15 MG TABLET,14.4,5.62,,,0
HCPCS,25010066,OXYCODONE 20 MG/ML ORAL CONCENTRATE,54.3,21.175,,,0
HCPCS,25010066,OXYCODONE 30 MG TABLET,62.0,24.18,,,0
HCPCS,25010066,OXYCODONE 5 MG TABLET,7.45,2.9050000000000002,,,0
HCPCS,25010066,OXYCODONE 5 MG/5 ML ORAL SOLUTION,76.55,29.854999999999997,,,0
HCPCS,25010066,"OXYCODONE ER 10 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",44.1,17.195,,,0
HCPCS,25010066,"OXYCODONE ER 20 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",122.65,47.835,,,0
HCPCS,25010066,"OXYCODONE ER 40 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",142.3,55.5,,,0
HCPCS,25010066,"OXYCODONE ER 80 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",248.5,96.92,,,0
HCPCS,25010066,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,25.85,10.08,,,0
HCPCS,25010066,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,10.55,4.115,,,0
HCPCS,25010066,OXYCODONE-ACETAMINOPHEN 7.5 MG-325 MG TABLET,13.6,5.305,,,0
HCPCS,25010066,OXYMETAZOLINE 0.025% NASAL DROPS,343.9,134.12,,,0
HCPCS,25010066,OXYMETAZOLINE 0.05 % NASAL MIST,19.4,7.57,,,0
HCPCS,25010066,OXYMETAZOLINE 0.05 % NASAL SPRAY,9.6,3.74,,,0
HCPCS,25010066,"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR",399.2,155.69,,,0
HCPCS,25010066,"PALIPERIDONE ER 6 MG TABLET,EXTENDED RELEASE 24 HR",183.89999999999998,71.72,,,0
HCPCS,25010066,"PALIPERIDONE ER 9 MG TABLET,EXTENDED RELEASE 24 HR",352.1,137.32,,,0
HCPCS,25010066,PANTOPRAZOLE 2 MG/ML ORAL SUSPENSION,4.8,1.87,,,0
HCPCS,25010066,PANTOPRAZOLE 2 MG/ML ORAL SUSPENSION (NEO/PEDS),4.8,1.87,,,0
HCPCS,25010066,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE",40.4,15.76,,,0
HCPCS,25010066,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",31.049999999999997,12.11,,,0
HCPCS,25010066,PAROXETINE 10 MG TABLET,37.75,14.725,,,0
HCPCS,25010066,PAROXETINE 20 MG TABLET,21.0,8.19,,,0
HCPCS,25010066,PAROXETINE 30 MG TABLET,21.6,8.42,,,0
HCPCS,25010066,PAROXETINE 40 MG TABLET,22.85,8.91,,,0
HCPCS,25010066,"PAROXETINE ER 12.5 MG TABLET,EXTENDED RELEASE 24 HR",42.8,16.69,,,0
HCPCS,25010066,"PAROXETINE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",44.7,17.43,,,0
HCPCS,25010066,"PAROXETINE ER 37.5 MG TABLET,EXTENDED RELEASE 24 HR",46.0,17.94,,,0
HCPCS,25010066,PASTEURIZED HUMAN MILK CREAM (PROLACT CR),136.6,53.27,,,0
HCPCS,25010066,PATIROMER CALCIUM SORBITEX 8.4 GRAM ORAL POWDER PACKET,272.4,106.24,,,0
HCPCS,25010066,PEDI MULTIVIT NO.77-VIT D3 750 UNIT-VIT K 500 MCG/0.5 ML ORAL DROPS,4.8,1.87,,,0
HCPCS,25010066,PEDIATRIC MULTIVITAMIN NO.189-FERROUS SULFATE 11 MG/ML ORAL DROPS,4.8,1.87,,,0
HCPCS,25010066,PEDIATRIC MULTIVITAMIN NO.192 250 MCG-50 MG-10 MCG/ML ORAL DROPS,6.3,2.46,,,0
HCPCS,25010066,PEDIATRIC MULTIVITAMIN NO.197 250 MCG-50 MG-10-MCG-5 MG/ML ORAL DROPS,4.8,1.87,,,0
HCPCS,25010066,PEDIATRIC MULTIVITAMIN NO.197-FERROUS SULFATE 11 MG/ML ORAL DROPS,4.8,1.87,,,0
HCPCS,25010066,"PEDIATRIC MULTIVITAMIN NO.61-VIT D3 1,500 UNIT-VIT K 800 MCG CAPSULE",5.1,1.99,,,0
HCPCS,25010066,PEG 3350-ELECTROLYTES (GOLYTELY) (WRAPPED),214.8,83.77,,,0
HCPCS,25010066,PENICILLIN V POTASSIUM 250 MG TABLET,12.7,4.95,,,0
HCPCS,25010066,PENICILLIN V POTASSIUM 250 MG/5 ML ORAL SOLUTION,4.8,1.87,,,0
HCPCS,25010066,PENICILLIN V POTASSIUM 500 MG TABLET,9.9,3.86,,,0
HCPCS,25010066,"PENTOXIFYLLINE ER 400 MG TABLET,EXTENDED RELEASE",8.8,3.43,,,0
HCPCS,25010066,PEPPERMINT OIL,196.3,76.56,,,0
HCPCS,25010066,PEPPERMINT SPIRIT ORAL,74.6,29.09,,,0
HCPCS,25010066,PERAMPANEL 0.5 MG/ML ORAL SUSPENSION,858.2,334.7,,,0
HCPCS,25010066,PERAMPANEL 2 MG TABLET,952.7,371.55,,,0
HCPCS,25010066,PERMETHRIN 1 % TOPICAL LIQUID,96.4,37.6,,,0
HCPCS,25010066,PERMETHRIN 5 % TOPICAL CREAM,920.45,358.975,,,0
HCPCS,25010066,PERPHENAZINE 2 MG TABLET,15.2,5.93,,,0
HCPCS,25010066,PERPHENAZINE 4 MG TABLET,110.0,42.9,,,0
HCPCS,25010066,PHENAZOPYRIDINE 100 MG TABLET,20.8,8.11,,,0
HCPCS,25010066,PHENAZOPYRIDINE 200 MG TABLET,30.7,11.97,,,0
HCPCS,25010066,PHENOBARBITAL 16.2 MG TABLET,8.2,3.2,,,0
HCPCS,25010066,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,32.9,12.83,,,0
HCPCS,25010066,PHENOBARBITAL 32.4 MG TABLET,9.55,3.7249999999999996,,,0
HCPCS,25010066,PHENOBARBITAL 64.8 MG TABLET,5.65,2.205,,,0
HCPCS,25010066,PHENOBARBITAL 97.2 MG TABLET,9.1,3.55,,,0
HCPCS,25010066,PHENOL 1.4 % MUCOSAL AEROSOL SPRAY,21.8,8.5,,,0
HCPCS,25010066,PHENYLEPHRINE 0.25 % NASAL SPRAY,14.7,5.73,,,0
HCPCS,25010066,PHENYLEPHRINE 0.25 %-PRAMOXINE 1 %-GLYCERIN-WH.PETROLATUM RECTAL CREAM,51.4,20.05,,,0
HCPCS,25010066,PHENYLEPHRINE 0.5 % NASAL SPRAY,14.7,5.73,,,0
HCPCS,25010066,PHENYLEPHRINE 1 % NASAL SPRAY,15.1,5.89,,,0
HCPCS,25010066,PHENYLEPHRINE NASAL DROPS 0.125 % (1/8 %),21.6,8.42,,,0
HCPCS,25010066,PHENYTOIN 100 MG/4 ML ORAL SUSPENSION,105.6,41.185,,,0
HCPCS,25010066,PHENYTOIN 125 MG/5 ML ORAL SUSPENSION,5.95,2.32,,,0
HCPCS,25010066,PHENYTOIN 50 MG CHEWABLE TABLET,27.7,10.8,,,0
HCPCS,25010066,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,14.4,5.62,,,0
HCPCS,25010066,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION SOLUTION,36.4,14.2,,,0
HCPCS,25010066,PHYTONADIONE (VITAMIN K1) 5 MG TABLET,474.25,184.95999999999998,,,0
HCPCS,25010066,PILOCARPINE 5 MG TABLET,14.0,5.46,,,0
HCPCS,25010066,PIMAVANSERIN 34 MG CAPSULE,1309.1,510.55,,,0
HCPCS,25010066,PIOGLITAZONE 15 MG TABLET,36.599999999999994,14.275,,,0
HCPCS,25010066,PIOGLITAZONE 30 MG TABLET,82.2,32.06,,,0
HCPCS,25010066,PIOGLITAZONE 45 MG TABLET,89.1,34.75,,,0
HCPCS,25010066,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,13.5,5.26,,,0
HCPCS,25010066,POLYETHYLENE GLYCOL 3350 17 GRAM/DOSE ORAL POWDER,40.2,15.68,,,0
HCPCS,25010066,"POLYMYXIN B SULFATE 10,000 UNIT-TRIMETHOPRIM 1 MG/ML EYE DROPS",118.39999999999999,46.175,,,0
HCPCS,25010066,POLYVINYL ALCOHOL 1.4 % EYE DROPS,22.7,8.85,,,0
HCPCS,25010066,"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE",1703.0,664.17,,,0
HCPCS,25010066,POTAS AND SOD CITRATE-CITRIC ACID 550 MG-500 MG-334 MG/5 ML ORAL SOLN,4.8,1.87,,,0
HCPCS,25010066,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,80.35,31.34,,,0
HCPCS,25010066,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,46.8,18.25,,,0
HCPCS,25010066,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",10.2,3.98,,,0
HCPCS,25010066,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",4.8,1.87,,,0
HCPCS,25010066,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",7.6,2.96,,,0
HCPCS,25010066,"POTASSIUM CITRATE ER 10 MEQ (1,080 MG) TABLET,EXTENDED RELEASE",18.9,7.37,,,0
HCPCS,25010066,"POTASSIUM CITRATE ER 5 MEQ (540 MG) TABLET,EXTENDED RELEASE",26.9,10.49,,,0
HCPCS,25010066,POTASSIUM IODIDE 1 GRAM/ML ORAL SOLUTION,78.6,30.65,,,0
HCPCS,25010066,"POTASSIUM PHOSPHATE, MONOBASIC 500 MG SOLUBLE TABLET",4.8,1.87,,,0
HCPCS,25010066,"POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET",5.25,2.045,,,0
HCPCS,25010066,PRAMIPEXOLE 0.125 MG TABLET,35.5,13.845,,,0
HCPCS,25010066,PRAMIPEXOLE 0.25 MG TABLET,12.15,4.74,,,0
HCPCS,25010066,PRAMIPEXOLE 0.5 MG TABLET,45.3,17.67,,,0
HCPCS,25010066,PRAMIPEXOLE 1 MG TABLET,30.6,11.93,,,0
HCPCS,25010066,PRAMIPEXOLE 1.5 MG TABLET,22.7,8.85,,,0
HCPCS,25010066,PRASUGREL HCL 10 MG TABLET,704.2,274.64,,,0
HCPCS,25010066,PRAVASTATIN 10 MG TABLET,25.25,9.85,,,0
HCPCS,25010066,PRAVASTATIN 20 MG TABLET,27.349999999999998,10.665000000000001,,,0
HCPCS,25010066,PRAVASTATIN 40 MG TABLET,5.5,2.14,,,0
HCPCS,25010066,PRAZOSIN 1 MG CAPSULE,27.4,10.69,,,0
HCPCS,25010066,PRAZOSIN 2 MG CAPSULE,9.8,3.82,,,0
HCPCS,25010066,PRAZOSIN 5 MG CAPSULE,25.4,9.905000000000001,,,0
HCPCS,25010066,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (5 ML) ORAL SOLUTION,104.6,40.795,,,0
HCPCS,25010066,PREDNISONE 1 MG TABLET,7.8,3.04,,,0
HCPCS,25010066,PREDNISONE 20 MG TABLET,6.5,2.54,,,0
HCPCS,25010066,PREDNISONE 5 MG TABLET,3.4,1.3250000000000002,,,0
HCPCS,25010066,PREGABALIN 100 MG CAPSULE,38.6,15.055,,,0
HCPCS,25010066,PREGABALIN 200 MG CAPSULE,12.8,4.99,,,0
HCPCS,25010066,PREGABALIN 25 MG CAPSULE,22.6,8.815000000000001,,,0
HCPCS,25010066,PREGABALIN 50 MG CAPSULE,43.0,16.77,,,0
HCPCS,25010066,PREGABALIN 75 MG CAPSULE,44.9,17.51,,,0
HCPCS,25010066,PRENATAL VIT NO.95-FERROUS FUMARATE 28 MG-FOLIC ACID 800 MCG TABLET,0.6,0.23,,,0
HCPCS,25010066,PRIMIDONE 250 MG TABLET,7.15,2.79,,,0
HCPCS,25010066,PRIMIDONE 50 MG TABLET,7.45,2.9050000000000002,,,0
HCPCS,25010066,PROBENECID 500 MG TABLET,18.15,7.074999999999999,,,0
HCPCS,25010066,PROCHLORPERAZINE 25 MG RECTAL SUPPOSITORY,96.6,37.67,,,0
HCPCS,25010066,PROCHLORPERAZINE MALEATE 10 MG TABLET,6.9,2.69,,,0
HCPCS,25010066,PROCHLORPERAZINE MALEATE 5 MG TABLET,8.6,3.355,,,0
HCPCS,25010066,PROGESTERONE MICRONIZED 100 MG CAPSULE,31.5,12.28,,,0
HCPCS,25010066,PROGESTERONE MICRONIZED 200 MG CAPSULE,75.4,29.41,,,0
HCPCS,25010066,PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY,105.30000000000001,41.065,,,0
HCPCS,25010066,PROMETHAZINE 12.5 MG TABLET,4.8,1.87,,,0
HCPCS,25010066,PROMETHAZINE 25 MG RECTAL SUPPOSITORY,74.8,29.17,,,0
HCPCS,25010066,PROMETHAZINE 25 MG TABLET,4.8,1.87,,,0
HCPCS,25010066,PROMETHAZINE 6.25 MG-CODEINE 10 MG/5 ML SYRUP,4.8,1.87,,,0
HCPCS,25010066,PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP,4.8,1.87,,,0
HCPCS,25010066,PROMETHAZINE-DM 6.25 MG-15 MG/5 ML ORAL SYRUP,6.949999999999999,2.71,,,0
HCPCS,25010066,PROPAFENONE 150 MG TABLET,12.45,4.855,,,0
HCPCS,25010066,PROPRANOLOL 10 MG TABLET,4.8,1.87,,,0
HCPCS,25010066,PROPRANOLOL 20 MG TABLET,6.6,2.57,,,0
HCPCS,25010066,PROPRANOLOL 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,4.8,1.87,,,0
HCPCS,25010066,PROPRANOLOL 40 MG TABLET,5.35,2.085,,,0
HCPCS,25010066,"PROPRANOLOL ER 120 MG CAPSULE,24 HR,EXTENDED RELEASE",22.9,8.93,,,0
HCPCS,25010066,"PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE",24.200000000000003,9.435,,,0
HCPCS,25010066,"PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE",27.75,10.825,,,0
HCPCS,25010066,PROPRANOLOL ORAL SUSPENSION 1 MG/ML,7.0,2.73,,,0
HCPCS,25010066,PROPYLTHIOURACIL 50 MG TABLET,25.8,10.06,,,0
HCPCS,25010066,PSEUDOEPHEDRINE 30 MG TABLET,0.6499999999999999,0.25,,,0
HCPCS,25010066,PSYLLIUM HUSK (WITH SUGAR) 3.4 GRAM ORAL POWDER PACKET,1.8,0.7,,,0
HCPCS,25010066,PSYLLIUM HUSK 3.4 GRAM ORAL POWDER PACKET,1.6,0.62,,,0
HCPCS,25010066,PSYLLIUM HUSK 3.4 GRAM/5.8 GRAM ORAL POWDER,4.8,1.87,,,0
HCPCS,25010066,PSYLLIUM ORAL PACKET,3.0,1.17,,,0
HCPCS,25010066,PYRIDOSTIGMINE BROMIDE 60 MG TABLET,12.8,4.99,,,0
HCPCS,25010066,PYRIDOSTIGMINE BROMIDE 60 MG/5 ML ORAL SYRUP,125.55000000000001,48.965,,,0
HCPCS,25010066,"PYRIDOSTIGMINE BROMIDE ER 180 MG TABLET,EXTENDED RELEASE",190.3,74.22,,,0
HCPCS,25010066,PYRIDOXINE (VITAMIN B6) 100 MG TABLET,4.8,1.87,,,0
HCPCS,25010066,PYRIDOXINE (VITAMIN B6) 25 MG TABLET,4.8,1.87,,,0
HCPCS,25010066,PYRIDOXINE (VITAMIN B6) 50 MG TABLET,4.8,1.87,,,0
HCPCS,25010066,QUETIAPINE 100 MG TABLET,37.95,14.8,,,0
HCPCS,25010066,QUETIAPINE 200 MG TABLET,102.35000000000001,39.919999999999995,,,0
HCPCS,25010066,QUETIAPINE 25 MG TABLET,21.75,8.485,,,0
HCPCS,25010066,QUETIAPINE 300 MG TABLET,42.45,16.555,,,0
HCPCS,25010066,QUETIAPINE 400 MG TABLET,77.55000000000001,30.245,,,0
HCPCS,25010066,QUETIAPINE 50 MG TABLET,25.1,9.79,,,0
HCPCS,25010066,"QUETIAPINE ER 200 MG TABLET,EXTENDED RELEASE 24 HR",134.5,52.46,,,0
HCPCS,25010066,"QUETIAPINE ER 400 MG TABLET,EXTENDED RELEASE 24 HR",112.1,43.72,,,0
HCPCS,25010066,"QUETIAPINE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",68.1,26.56,,,0
HCPCS,25010066,RALOXIFENE 60 MG TABLET,52.95,20.65,,,0
HCPCS,25010066,RALTEGRAVIR 400 MG TABLET,266.4,103.9,,,0
HCPCS,25010066,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",49.349999999999994,19.25,,,0
HCPCS,25010066,RASAGILINE 1 MG TABLET,191.8,74.8,,,0
HCPCS,25010066,RIFABUTIN 150 MG CAPSULE,230.85,90.035,,,0
HCPCS,25010066,RIFAMPIN 300 MG CAPSULE,35.3,13.77,,,0
HCPCS,25010066,RIFAXIMIN 20 MG/ML ORAL SUSPENSION,87.6,34.16,,,0
HCPCS,25010066,RIFAXIMIN 200 MG TABLET,215.3,83.97,,,0
HCPCS,25010066,RIFAXIMIN 550 MG TABLET,442.8,172.69,,,0
HCPCS,25010066,RILPIVIRINE HCL 25 MG TABLET,379.3,147.93,,,0
HCPCS,25010066,RISANKIZUMAB-RZAA 360 MG/2.4 ML (150 MG/ML) SUBCUT WEARABLE INJECTOR,0.01,0.0039,,,0
HCPCS,25010066,RISPERIDONE 0.25 MG TABLET,29.95,11.68,,,0
HCPCS,25010066,RISPERIDONE 0.5 MG DISINTEGRATING TABLET,37.8,14.74,,,0
HCPCS,25010066,RISPERIDONE 0.5 MG TABLET,32.9,12.83,,,0
HCPCS,25010066,RISPERIDONE 1 MG DISINTEGRATING TABLET,32.65,12.735,,,0
HCPCS,25010066,RISPERIDONE 1 MG TABLET,34.9,13.61,,,0
HCPCS,25010066,RISPERIDONE 1 MG/ML ORAL SOLUTION,46.7,18.21,,,0
HCPCS,25010066,RISPERIDONE 2 MG TABLET,4.8,1.87,,,0
HCPCS,25010066,RISPERIDONE 3 MG TABLET,36.6,14.275,,,0
HCPCS,25010066,RITONAVIR 100 MG TABLET,78.69999999999999,30.695,,,0
HCPCS,25010066,RIVAROXABAN 10 MG TABLET,153.0,59.67,,,0
HCPCS,25010066,RIVAROXABAN 15 MG TABLET,153.0,59.67,,,0
HCPCS,25010066,RIVAROXABAN 2.5 MG TABLET,76.5,29.84,,,0
HCPCS,25010066,RIVAROXABAN 20 MG TABLET,153.0,59.67,,,0
HCPCS,25010066,RIVASTIGMINE 1.5 MG CAPSULE,31.0,12.09,,,0
HCPCS,25010066,RIVASTIGMINE 13.3 MG/24 HOUR TRANSDERMAL PATCH,128.7,50.19,,,0
HCPCS,25010066,RIVASTIGMINE 3 MG CAPSULE,31.8,12.4,,,0
HCPCS,25010066,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH,129.6,50.54,,,0
HCPCS,25010066,RIVASTIGMINE 6 MG CAPSULE,31.0,12.09,,,0
HCPCS,25010066,RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH,128.7,50.19,,,0
HCPCS,25010066,ROFLUMILAST 250 MCG TABLET,238.3,92.935,,,0
HCPCS,25010066,ROFLUMILAST 500 MCG TABLET,113.5,44.26,,,0
HCPCS,25010066,ROPINIROLE 0.25 MG TABLET,15.1,5.89,,,0
HCPCS,25010066,ROPINIROLE 0.5 MG TABLET,39.3,15.33,,,0
HCPCS,25010066,ROPINIROLE 1 MG TABLET,19.3,7.53,,,0
HCPCS,25010066,ROPINIROLE 2 MG TABLET,19.3,7.53,,,0
HCPCS,25010066,ROSUVASTATIN 10 MG TABLET,54.8,21.37,,,0
HCPCS,25010066,ROTIGOTINE 2 MG/24 HOUR TRANSDERMAL 24 HOUR PATCH,220.9,86.15,,,0
HCPCS,25010066,SACCHAROMYCES BOULARDII 250 MG CAPSULE,7.1,2.77,,,0
HCPCS,25010066,SACCHAROMYCES BOULARDII 250 MG ORAL POWDER PACKET,8.9,3.47,,,0
HCPCS,25010066,SACUBITRIL 24 MG-VALSARTAN 26 MG TABLET,59.95,23.38,,,0
HCPCS,25010066,SACUBITRIL 49 MG-VALSARTAN 51 MG TABLET,74.75,29.155,,,0
HCPCS,25010066,SACUBITRIL 97 MG-VALSARTAN 103 MG TABLET,74.75,29.155,,,0
HCPCS,25010066,SALIVA STIMULANT COMBINATION NO.3 ORAL MUCOSAL SPRAY,75.5,29.44,,,0
HCPCS,25010066,SALIVA STIMULANT COMBINATION NO.7 ORAL MUCOSAL GEL,75.4,29.41,,,0
HCPCS,25010066,SALSALATE 500 MG TABLET,15.0,5.85,,,0
HCPCS,25010066,SELEGILINE 5 MG TABLET,16.2,6.32,,,0
HCPCS,25010066,SELENIUM SULFIDE 2.5 % LOTION,76.4,29.8,,,0
HCPCS,25010066,SEMAGLUTIDE 0.25 MG OR 0.5 MG (2 MG/3 ML) SUBCUTANEOUS PEN INJECTOR,1738.3,677.94,,,0
HCPCS,25010066,SEMAGLUTIDE 1 MG/DOSE (4 MG/3 ML) SUBCUTANEOUS PEN INJECTOR,1738.3,677.94,,,0
HCPCS,25010066,SEMAGLUTIDE 2 MG/DOSE (8 MG/3 ML) SUBCUTANEOUS PEN INJECTOR,1687.7,658.2,,,0
HCPCS,25010066,SENNOSIDES 8.6 MG TABLET,0.44999999999999996,0.175,,,0
HCPCS,25010066,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET,0.8,0.31,,,0
HCPCS,25010066,SENNOSIDES 8.8 MG/5 ML ORAL SYRUP,9.6,3.74,,,0
HCPCS,25010066,SERTRALINE 100 MG TABLET,9.600000000000001,3.745,,,0
HCPCS,25010066,SERTRALINE 25 MG TABLET,4.8,1.87,,,0
HCPCS,25010066,SERTRALINE 50 MG TABLET,21.8,8.5,,,0
HCPCS,25010066,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET,140.3,54.72,,,0
HCPCS,25010066,SEVELAMER CARBONATE 2.4 GRAM ORAL POWDER PACKET,140.3,54.72,,,0
HCPCS,25010066,SEVELAMER CARBONATE 800 MG TABLET,50.2,19.58,,,0
HCPCS,25010066,SILDENAFIL (PULMONARY HYPERTENSION) 10 MG/ML ORAL POWDR FOR SUSPENSION,938.4,365.98,,,0
HCPCS,25010066,SILDENAFIL (PULMONARY HYPERTENSION) 10 MG/ML ORAL SUSPENSION,100.1,39.04,,,0
HCPCS,25010066,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,139.95,54.58,,,0
HCPCS,25010066,"SILVER ER TOPICAL GEL,EXTENDED RELEASE",330.15,128.755,,,0
HCPCS,25010066,SIMETHICONE 125 MG CAPSULE,0.6,0.23,,,0
HCPCS,25010066,SIMETHICONE 125 MG CHEWABLE TABLET,1.0,0.39,,,0
HCPCS,25010066,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION",11.0,4.29,,,0
HCPCS,25010066,SIMETHICONE 40 MG/0.6 ML ORAL SYRINGE (ORAL USE),10.6,4.13,,,0
HCPCS,25010066,SIMETHICONE 80 MG CHEWABLE TABLET,0.8,0.31,,,0
HCPCS,25010066,SIMPLE SYRUP,1.0,0.39,,,0
HCPCS,25010066,SIMVASTATIN 20 MG TABLET,49.4,19.265,,,0
HCPCS,25010066,SIROLIMUS 0.5 MG TABLET,145.25,56.644999999999996,,,0
HCPCS,25010066,SITAGLIPTIN PHOSPHATE 50 MG TABLET,168.8,65.83,,,0
HCPCS,25010066,SODIUM BICARBONATE (BULK) POWDER,2.7,1.055,,,0
HCPCS,25010066,SODIUM BICARBONATE 650 MG TABLET,0.8,0.31,,,0
HCPCS,25010066,SODIUM CHLORIDE 0.65 % NASAL SPRAY AEROSOL,18.6,7.255,,,0
HCPCS,25010066,"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET",7.949999999999999,3.1,,,0
HCPCS,25010066,"SODIUM CHLORIDE, SODIUM BICARB-NASAL RINSE SQUEEZE BOTTLE WITH PACKET",21.549999999999997,8.405,,,0
HCPCS,25010066,SODIUM CHLORIDE-ALOE VERA NASAL GEL,31.75,12.385000000000002,,,0
HCPCS,25010066,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION,44.45,17.335,,,0
HCPCS,25010066,SODIUM DI- AND MONOPHOSPHATE-POTASSIUM PHOS MONOBASIC 250 MG TABLET,7.15,2.79,,,0
HCPCS,25010066,SODIUM PHOSPHATE 3 MMOL/ML ORAL SOLUTION,42.2,16.46,,,0
HCPCS,25010066,SODIUM PHOSPHATES 19 GRAM-7 GRAM/118 ML ENEMA,6.8,2.65,,,0
HCPCS,25010066,SODIUM PHOSPHATES 9.5 GRAM-3.5 GRAM/59 ML ENEMA,15.65,6.105,,,0
HCPCS,25010066,SODIUM POLYSTYRENE SULFONATE 15 GRAM/60 ML ORAL SUSPENSION,160.45,62.574999999999996,,,0
HCPCS,25010066,SODIUM POLYSTYRENE SULFONATE ORAL POWDER,37.2,14.51,,,0
HCPCS,25010066,SODIUM ZIRCONIUM CYCLOSILICATE 10 GRAM ORAL POWDER PACKET,220.3,85.92,,,0
HCPCS,25010066,SODIUM ZIRCONIUM CYCLOSILICATE 5 GRAM ORAL POWDER PACKET,220.3,85.92,,,0
HCPCS,25010066,SORBITOL 70 % SOLUTION,29.91,11.66,,,0
HCPCS,25010066,SORE THROAT LOZENGE (WRAPPED),20.15,7.855,,,0
HCPCS,25010066,SOTALOL 120 MG TABLET,26.450000000000003,10.315,,,0
HCPCS,25010066,SOTALOL 160 MG TABLET,32.8,12.79,,,0
HCPCS,25010066,SOTALOL 80 MG TABLET,18.1,7.06,,,0
HCPCS,25010066,SPIRONOLACTONE 100 MG TABLET,6.8,2.65,,,0
HCPCS,25010066,SPIRONOLACTONE 25 MG TABLET,7.1,2.77,,,0
HCPCS,25010066,SPIRONOLACTONE 25 MG/5 ML ORAL SUSPENSION,17.75,6.92,,,0
HCPCS,25010066,SPIRONOLACTONE 50 MG TABLET,4.8,1.87,,,0
HCPCS,25010066,STUDY LARTESERTIB M4076 (MS201924_0020) 50 MG TABLET,0.1,0.04,,,0
HCPCS,25010066,STUDY TUVUSERTIB M1774 (MS201924_0020) 30 MG CAPSULE,0.1,0.04,,,0
HCPCS,25010066,STUDY TUVUSERTIB M1774 (MS201924_0020) 50 MG CAPSULE,0.1,0.04,,,0
HCPCS,25010066,SUCRALFATE 1 GRAM TABLET,6.0,2.34,,,0
HCPCS,25010066,SUCRALFATE 100 MG/ML ORAL SUSPENSION,74.45,29.034999999999997,,,0
HCPCS,25010066,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION,129.60000000000002,50.545,,,0
HCPCS,25010066,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET,4.949999999999999,1.9300000000000002,,,0
HCPCS,25010066,SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET,11.3,4.405,,,0
HCPCS,25010066,SULFASALAZINE 500 MG TABLET,4.8,1.87,,,0
HCPCS,25010066,SUMATRIPTAN 100 MG TABLET,192.9,75.23,,,0
HCPCS,25010066,SUMATRIPTAN 25 MG TABLET,207.6,80.96,,,0
HCPCS,25010066,SUMATRIPTAN 50 MG TABLET,289.3,112.82499999999999,,,0
HCPCS,25010066,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION,107.65,41.985,,,0
HCPCS,25010066,"TACROLIMUS XR 1 MG TABLET,EXTENDED RELEASE 24 HR",586.6,228.77,,,0
HCPCS,25010066,TADALAFIL 20 MG TABLET,1139.5,444.4,,,0
HCPCS,25010066,TADALAFIL 20 MG TABLET (PULMONARY HYPERTENSION),876.1500000000001,341.70000000000005,,,0
HCPCS,25010066,TADALAFIL 20 MG/5 ML(4 MG/ML) ORAL SUSPENSION (PULMONARY HYPERTENSION),604.7,235.83,,,0
HCPCS,25010066,TADALAFIL 5 MG TABLET,98.25,38.32,,,0
HCPCS,25010066,TAMOXIFEN 10 MG TABLET,21.85,8.52,,,0
HCPCS,25010066,TAMOXIFEN 20 MG TABLET,29.1,11.35,,,0
HCPCS,25010066,TAMSULOSIN 0.4 MG CAPSULE,32.1,12.52,,,0
HCPCS,25010066,TAPENTADOL 50 MG TABLET,112.1,43.72,,,0
HCPCS,25010066,TEMAZEPAM 15 MG CAPSULE,9.6,3.7399999999999998,,,0
HCPCS,25010066,TEMAZEPAM 7.5 MG CAPSULE,70.19999999999999,27.380000000000003,,,0
HCPCS,25010066,TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,43.5,16.96,,,0
HCPCS,25010066,TERAZOSIN 1 MG CAPSULE,18.55,7.235,,,0
HCPCS,25010066,TERAZOSIN 2 MG CAPSULE,12.4,4.84,,,0
HCPCS,25010066,TERAZOSIN 5 MG CAPSULE,18.55,7.235,,,0
HCPCS,25010066,TERBINAFINE HCL 1 % TOPICAL CREAM,92.3,36.0,,,0
HCPCS,25010066,TERBINAFINE HCL 250 MG TABLET,99.95,38.98,,,0
HCPCS,25010066,TERBUTALINE 5 MG TABLET,102.0,39.78,,,0
HCPCS,25010066,TETRACYCLINE 250 MG CAPSULE,120.9,47.15,,,0
HCPCS,25010066,TETRAHYDROZOLINE 0.05 % EYE DROPS,12.1,4.72,,,0
HCPCS,25010066,THEOPHYLLINE 80 MG/15 ML ORAL ELIXIR,120.1,46.84,,,0
HCPCS,25010066,"THEOPHYLLINE ER 100 MG CAPSULE,EXTENDED RELEASE 24 HR",118.8,46.33,,,0
HCPCS,25010066,"THEOPHYLLINE ER 300 MG TABLET,EXTENDED RELEASE,12 HR",33.0,12.87,,,0
HCPCS,25010066,"THEOPHYLLINE ER 400 MG TABLET,EXTENDED RELEASE 24 HR",7.65,2.985,,,0
HCPCS,25010066,THERAPEUTIC MULTIVITAMIN TABLET,4.8,1.87,,,0
HCPCS,25010066,THIAMINE HCL (VITAMIN B1) 50 MG TABLET,4.8,1.87,,,0
HCPCS,25010066,THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET,4.8,1.87,,,0
HCPCS,25010066,THIOTHIXENE 5 MG CAPSULE,18.3,7.14,,,0
HCPCS,25010066,"THROMBIN (BOVINE) 20,000 UNIT TOPICAL SPRAY",2559.6,998.24,,,0
HCPCS,25010066,THYROID (PORK) 30 MG TABLET,8.1,3.16,,,0
HCPCS,25010066,THYROID (PORK) 60 MG TABLET,9.0,3.51,,,0
HCPCS,25010066,TIAGABINE 16 MG TABLET,75.35,29.384999999999998,,,0
HCPCS,25010066,TICAGRELOR 60 MG TABLET,59.5,23.2,,,0
HCPCS,25010066,TICAGRELOR 90 MG TABLET,118.9,46.37,,,0
HCPCS,25010066,TIZANIDINE 4 MG TABLET,8.600000000000001,3.355,,,0
HCPCS,25010066,TOLNAFTATE 1 % TOPICAL CREAM,66.8,26.05,,,0
HCPCS,25010066,TOLTERODINE 1 MG TABLET,38.099999999999994,14.86,,,0
HCPCS,25010066,TOLTERODINE 2 MG TABLET,19.6,7.645,,,0
HCPCS,25010066,TOLVAPTAN 15 MG SPLIT TABLET,2847.0,1110.33,,,0
HCPCS,25010066,TOLVAPTAN 15 MG TABLET,2154.5,840.26,,,0
HCPCS,25010066,TOLVAPTAN 30 MG TABLET,4188.3,1633.44,,,0
HCPCS,25010066,TOPIRAMATE 100 MG TABLET,47.6,18.56,,,0
HCPCS,25010066,TOPIRAMATE 200 MG TABLET,8.7,3.39,,,0
HCPCS,25010066,TOPIRAMATE 25 MG SPRINKLE CAPSULE,58.7,22.89,,,0
HCPCS,25010066,TOPIRAMATE 25 MG TABLET,128.9,50.27,,,0
HCPCS,25010066,TORSEMIDE 10 MG TABLET,16.35,6.375,,,0
HCPCS,25010066,TORSEMIDE 100 MG TABLET,22.2,8.66,,,0
HCPCS,25010066,TORSEMIDE 20 MG TABLET,6.4,2.5,,,0
HCPCS,25010066,TORSEMIDE 5 MG TABLET,9.7,3.78,,,0
HCPCS,25010066,TRAMADOL 50 MG TABLET,6.45,2.52,,,0
HCPCS,25010066,TRANEXAMIC ACID 650 MG TABLET,60.05,23.42,,,0
HCPCS,25010066,TRAZODONE 100 MG TABLET,3.3,1.2850000000000001,,,0
HCPCS,25010066,TRAZODONE 50 MG TABLET,6.5,2.54,,,0
HCPCS,25010066,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL CREAM,28.6,11.15,,,0
HCPCS,25010066,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL OINTMENT,77.4,30.19,,,0
HCPCS,25010066,TRIAMCINOLONE ACETONIDE 0.1 % DENTAL PASTE,618.2,241.1,,,0
HCPCS,25010066,TRIAMCINOLONE ACETONIDE 0.1 % LOTION,690.3,269.22,,,0
HCPCS,25010066,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,54.65,21.314999999999998,,,0
HCPCS,25010066,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT,39.2,15.285,,,0
HCPCS,25010066,TRIAMCINOLONE ACETONIDE 0.5 % TOPICAL CREAM,84.0,32.76,,,0
HCPCS,25010066,TRIAMTERENE 100 MG CAPSULE,91.55,35.7,,,0
HCPCS,25010066,TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG CAPSULE,4.8,1.87,,,0
HCPCS,25010066,TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG TABLET,7.6,2.96,,,0
HCPCS,25010066,TRIAMTERENE 75 MG-HYDROCHLOROTHIAZIDE 50 MG TABLET,7.1,2.77,,,0
HCPCS,25010066,TRIHEXYPHENIDYL 2 MG TABLET,5.949999999999999,2.3200000000000003,,,0
HCPCS,25010066,TROLAMINE SALICYLATE 10 % TOPICAL CREAM,57.099999999999994,22.265,,,0
HCPCS,25010066,ULIPRISTAL 30 MG TABLET,297.3,115.95,,,0
HCPCS,25010066,UREA 15 GRAM ORAL POWDER PACKET,27.9,10.88,,,0
HCPCS,25010066,URSODIOL 300 MG CAPSULE,53.7,20.94,,,0
HCPCS,25010066,URSODIOL ORAL SUSPENSION 60 MG/ML (CMPD),18.9,7.37,,,0
HCPCS,25010066,VALACYCLOVIR 1 GRAM TABLET,97.0,37.83,,,0
HCPCS,25010066,VALACYCLOVIR 500 MG TABLET,49.7,19.38,,,0
HCPCS,25010066,VALGANCICLOVIR 450 MG TABLET,527.6,205.76,,,0
HCPCS,25010066,VALGANCICLOVIR 50 MG/ML ORAL SOLUTION,959.1,374.05,,,0
HCPCS,25010066,VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLUTION,22.7,8.85,,,0
HCPCS,25010066,VALPROIC ACID 250 MG CAPSULE,12.7,4.955,,,0
HCPCS,25010066,VALSARTAN 160 MG TABLET,39.8,15.52,,,0
HCPCS,25010066,VALSARTAN 40 MG TABLET,30.7,11.97,,,0
HCPCS,25010066,VALSARTAN 80 MG TABLET,35.349999999999994,13.79,,,0
HCPCS,25010066,VANCOMYCIN 125 MG CAPSULE,240.2,93.68,,,0
HCPCS,25010066,VANCOMYCIN 25 MG/ML ORAL SOLUTION,24.2,9.44,,,0
HCPCS,25010066,VANCOMYCIN 50 MG/ML ORAL SOLUTION,36.55,14.254999999999999,,,0
HCPCS,25010066,VARENICLINE TARTRATE 0.5 MG TABLET,104.85000000000001,40.894999999999996,,,0
HCPCS,25010066,VARENICLINE TARTRATE 1 MG TABLET,76.80000000000001,29.95,,,0
HCPCS,25010066,VENETOCLAX 50 MG TABLET,499.3,194.73,,,0
HCPCS,25010066,VENLAFAXINE 100 MG TABLET,35.6,13.88,,,0
HCPCS,25010066,VENLAFAXINE 25 MG TABLET,29.9,11.66,,,0
HCPCS,25010066,VENLAFAXINE 37.5 MG TABLET,15.4,6.01,,,0
HCPCS,25010066,VENLAFAXINE 50 MG TABLET,15.9,6.2,,,0
HCPCS,25010066,VENLAFAXINE 75 MG TABLET,16.8,6.55,,,0
HCPCS,25010066,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR",35.1,13.69,,,0
HCPCS,25010066,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR",73.45,28.645000000000003,,,0
HCPCS,25010066,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR",74.85,29.19,,,0
HCPCS,25010066,"VENLAFAXINE ER 75 MG TABLET,EXTENDED RELEASE 24 HR",53.1,20.71,,,0
HCPCS,25010066,VERAPAMIL 120 MG TABLET,5.05,1.97,,,0
HCPCS,25010066,VERAPAMIL 80 MG TABLET,4.8,1.87,,,0
HCPCS,25010066,"VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE",8.3,3.24,,,0
HCPCS,25010066,"VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE",15.149999999999999,5.91,,,0
HCPCS,25010066,"VERAPAMIL ER (SR) 240 MG TABLET,EXTENDED RELEASE",12.6,4.91,,,0
HCPCS,25010066,"VERAPAMIL ER 120 MG 24 HR CAPSULE,EXTENDED RELEASE",82.3,32.1,,,0
HCPCS,25010066,VERICIGUAT 2.5 MG TABLET,354.6,138.29,,,0
HCPCS,25010066,VILAZODONE 20 MG TABLET,174.1,67.9,,,0
HCPCS,25010066,VIT A 300 MCG-C 200 MG-E 27 MG-LUTEIN 2 MG AND MINERALS TABLET,0.6,0.23,,,0
HCPCS,25010066,"VIT B COMPLEX AND VIT C NO.24-FERROUS FUM 66 MG-FOLIC 1,000 MCG TABLET",4.8,1.87,,,0
HCPCS,25010066,VIT E-GLYCERIN-DIMETHICONE LOTION,28.1,10.96,,,0
HCPCS,25010066,"VITAMIN A 3,000 MCG (10,000 UNIT) CAPSULE",0.6,0.23,,,0
HCPCS,25010066,VITAMIN B COMPLEX WITH C NO.10-FOLIC ACID 900 MCG/5 ML ORAL LIQUID,4.8,1.87,,,0
HCPCS,25010066,VITAMIN B COMPLEX-VITAMIN C-FOLIC ACID 0.8 MG TABLET,4.8,1.87,,,0
HCPCS,25010066,"VITAMIN E (DL, ACETATE) 180 MG (400 UNIT) CAPSULE",0.8500000000000001,0.33,,,0
HCPCS,25010066,"VITAMIN E (DL, ACETATE) 45 MG (100 UNIT) CAPSULE",0.6,0.23,,,0
HCPCS,25010066,"VITAMIN E (DL, ACETATE) 450 MG (1,000 UNIT) CAPSULE",0.6,0.23,,,0
HCPCS,25010066,VITAMIN E 268 MG (400 UNIT) CAPSULE,0.6,0.23,,,0
HCPCS,25010066,VITAMINS A AND D-WHITE PETROLATUM-LANOLIN TOPICAL OINTMENT,17.7,6.9,,,0
HCPCS,25010066,VORICONAZOLE 200 MG TABLET,181.8,70.9,,,0
HCPCS,25010066,VORICONAZOLE 200 MG/5 ML (40 MG/ML) ORAL SUSPENSION,619.9,241.76,,,0
HCPCS,25010066,VORICONAZOLE 50 MG TABLET,134.15,52.31999999999999,,,0
HCPCS,25010066,WARFARIN 0.5 MG SPLIT TABLET,8.0,3.12,,,0
HCPCS,25010066,WARFARIN 1 MG TABLET,18.9,7.37,,,0
HCPCS,25010066,WARFARIN 10 MG TABLET,4.8,1.87,,,0
HCPCS,25010066,WARFARIN 2 MG TABLET,7.35,2.865,,,0
HCPCS,25010066,WARFARIN 2.5 MG TABLET,6.95,2.71,,,0
HCPCS,25010066,WARFARIN 3 MG TABLET,7.6499999999999995,2.985,,,0
HCPCS,25010066,WARFARIN 4 MG TABLET,5.1,1.99,,,0
HCPCS,25010066,WARFARIN 5 MG TABLET,5.15,2.01,,,0
HCPCS,25010066,WARFARIN 6 MG TABLET,6.9,2.69,,,0
HCPCS,25010066,WARFARIN 7.5 MG TABLET,7.25,2.83,,,0
HCPCS,25010066,WHEAT DEXTRIN 3 GRAM/4 GRAM ORAL POWDER PACKET,5.8,2.26,,,0
HCPCS,25010066,WHITE PETROLATUM 41 % TOPICAL OINTMENT,95.5,37.24,,,0
HCPCS,25010066,WHITE PETROLATUM TOPICAL OINTMENT IN PACKET,1.0,0.39,,,0
HCPCS,25010066,WHITE PETROLATUM-MINERAL OIL 56.8 %-42.5 % EYE OINTMENT,75.0,29.25,,,0
HCPCS,25010066,WHITE PETROLATUM-MINERAL OIL 57.3 %-42.5 % EYE OINTMENT,36.3,14.16,,,0
HCPCS,25010066,WHITE PETROLATUM-MINERAL OIL 83 %-15 % EYE OINTMENT,22.8,8.89,,,0
HCPCS,25010066,WHITE PETROLATUM-MINERAL OIL 94 %-3 % EYE OINTMENT,54.9,21.41,,,0
HCPCS,25010066,WITCH HAZEL 50 % TOPICAL PADS,48.550000000000004,18.935000000000002,,,0
HCPCS,25010066,ZIDOVUDINE 10 MG/ML ORAL SYRUP,4.8,1.87,,,0
HCPCS,25010066,ZINC OXIDE 16 % TOPICAL OINTMENT,24.2,9.44,,,0
HCPCS,25010066,ZINC OXIDE 20 % OINTMENT (WC),4.8,1.87,,,0
HCPCS,25010066,ZINC OXIDE 20 % TOPICAL OINTMENT,9.9,3.8600000000000003,,,0
HCPCS,25010066,ZINC OXIDE-COD LIVER OIL 40 % TOPICAL PASTE,17.9,6.98,,,0
HCPCS,25010066,ZINC SULFATE 50 MG ZINC (220 MG) CAPSULE,0.8,0.31,,,0
HCPCS,25010066,ZINC SULFATE 50 MG ZINC (220 MG) TABLET,0.6,0.23,,,0
HCPCS,25010066,ZIPRASIDONE 20 MG CAPSULE,74.85,29.19,,,0
HCPCS,25010066,ZIPRASIDONE 40 MG CAPSULE,66.5,25.935000000000002,,,0
HCPCS,25010066,ZOLPIDEM 5 MG TABLET,13.5,5.26,,,0
HCPCS,25010066,ZONISAMIDE 100 MG CAPSULE,13.2,5.15,,,0
HCPCS,25010066,ZONISAMIDE 25 MG CAPSULE,4.3,1.68,,,0
HCPCS,25010066,ZONISAMIDE 50 MG CAPSULE,8.5,3.32,,,0
HCPCS,25010067,AAS 3 % NO.2 PEDI-D5W-CALCIUM 3.75 MEQ-HEPARIN 125 UNIT/250 ML IV SOLN,702.3,273.895,,,0
HCPCS,25010067,ADULT 2-IN-1 CPN,504.0,196.56,,,0
HCPCS,25010067,ADULT 2-IN-1 CPN USING CLINIMIX BASE,504.0,196.56,,,0
HCPCS,25010067,ADULT 2-IN-1 PPN,315.0,122.85,,,0
HCPCS,25010067,ADULT CYCLIC 2-IN-1 CPN,504.0,196.56,,,0
HCPCS,25010067,ADULT CYCLIC 2-IN-1 CPN USING CLINIMIX BASE,504.0,196.56,,,0
HCPCS,25010067,AMINO ACID 10 % INTRAVENOUS SOLUTION,57.1,22.27,,,0
HCPCS,25010067,AMINO ACID 3 % PEDI-D10W-CALC 3.75 MEQ-HEPARIN 125 UNIT/250 ML IV SOLN,358.7,139.89,,,0
HCPCS,25010067,AMINO ACID 4.25 % NO.1 IN DEXTROSE 5 % INTRAVENOUS SOLUTION,632.0,246.48,,,0
HCPCS,25010067,AMINO ACID 4.25 % NO.1-DEXTROSE 5 %-ELECTROLYTES NO.39 IV SOLUTION,683.2,266.45,,,0
HCPCS,25010067,ARGININE 25 MG-LYSINE 25MG/ML IN STERILE WATER INTRAVENOUS SOLUTION,2138.1,833.86,,,0
HCPCS,25010067,BICARBONATE HEMODIALYSIS SOLN WITHOUT CALCIUM 8 POT 2 MEQ-MAG 1 MEQ/L,981.4,382.75,,,0
HCPCS,25010067,BICARBONATE HEMODIALYSIS SOLUTION NO.2 K 2 MEQ-CA 3.5 MEQ-MG 1 MEQ/L,262.9,102.535,,,0
HCPCS,25010067,CITRATE DEXTROSE SOLUTION,7711.0,3007.29,,,0
HCPCS,25010067,DEXTROSE 10 % + SOD. CHLORIDE 0.225 % (D10W + 1/4 NS)(SIMPLE),53.7,20.94,,,0
HCPCS,25010067,DEXTROSE 10 % + SOD. CHLORIDE 0.45 % (D10W + 1/2 NS)(SIMPLE),56.1,21.88,,,0
HCPCS,25010067,DEXTROSE 10 % AND 0.2 % NACL WITH 1:1 HEPARIN INTRAVENOUS SOLUTION (NEONATE),53.7,20.94,,,0
HCPCS,25010067,DEXTROSE 10 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,63.1,24.61,,,0
HCPCS,25010067,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION,54.900000000000006,21.41,,,0
HCPCS,25010067,DEXTROSE 15 % (D15W) IV (SIMPLE),53.7,20.94,,,0
HCPCS,25010067,DEXTROSE 20 % IN WATER (D20W) INTRAVENOUS SOLUTION,101.7,39.66,,,0
HCPCS,25010067,DEXTROSE 5 % AND 0.225% SODIUM CHLORIDE INTRAVENOUS SOLUTION,53.7,20.94,,,0
HCPCS,25010067,DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,53.7,20.94,,,0
HCPCS,25010067,DEXTROSE 5 % AND 0.9 % NACL IV BOLUS,77.2,30.11,,,0
HCPCS,25010067,DEXTROSE 70 % IN WATER (D70W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
HCPCS,25010067,ELECTROLYTE-A INTRAVENOUS SOLUTION,53.7,20.94,,,0
HCPCS,25010067,ELECTROLYTE-R (PH 7.4) INTRAVENOUS SOLUTION,53.7,20.94,,,0
HCPCS,25010067,FAT EMULSION (SOYBEAN) 20% SYRINGE (NEONATE),20.3,7.92,,,0
HCPCS,25010067,FAT EMULSION -FISH & PLANT BASED 20% SYRINGE (SMOFLIPID) (NEONATE),19.6,7.64,,,0
HCPCS,25010067,FAT EMULSION 20 % IV RATE BASED,354.5,138.26,,,0
HCPCS,25010067,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS,188.1,73.36,,,0
HCPCS,25010067,GLYCINE 1.5 % UROLOGIC SOLUTION FOR IRRIGATION,147.3,57.45,,,0
HCPCS,25010067,NEONATAL 2-IN-1 CPN,315.0,122.85,,,0
HCPCS,25010067,NEONATAL 2-IN-1 CPN (WMCG),315.0,122.85,,,0
HCPCS,25010067,PERITON. DIALYSIS SOLN 13-2.5 % DEXTROSE CALC 3.5 MEQ/L-MAG 0.5 MEQ/L,550.85,214.82999999999998,,,0
HCPCS,25010067,PERITON. DIALYSIS SOLN 8-4.25 % DEXTROSE CALC 2.5 MEQ/L-MAG 0.5 MEQ/L (5L BAG FOR CCPD),469.7,183.185,,,0
HCPCS,25010067,PERITON.DIALYSIS SOLN 6-1.5 % DEXTROS LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,384.35,149.89499999999998,,,0
HCPCS,25010067,PERITON.DIALYSIS SOLN 6-1.5 % DEXTROS LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L (5L BAG FOR CCPD),239.15,93.27000000000001,,,0
HCPCS,25010067,PERITONEAL DIALYSIS SOLN 4-1.5 % DEXTR CA+ 3.5 MEQ/L-LOW MAG 0.5 MEQ/L,452.65,176.535,,,0
HCPCS,25010067,PERITONEAL DIALYSIS SOLN 7-2.5 % DEXT.LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,614.9,239.81,,,0
HCPCS,25010067,PERITONEAL DIALYSIS SOLN 7-2.5 % DEXT.LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L (5L BAG FOR CCPD),256.2,99.92,,,0
HCPCS,25010067,"PHOSPHATE DIALY SOLN W-OUT CALCIUM,DEX K 4 MEQ-MG 1.5 MEQ-PO4 1 MMOL/L",560.8,218.71,,,0
HCPCS,25010067,PHOSPHATE DIALYSIS SOLN WITHOUT DEXTR K 4 MEQ-CA 2.5 MEQ-PO4 1 MMOL/L,473.2,184.54500000000002,,,0
HCPCS,25010067,POTASSIUM CHLORIDE 10 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,68.4,26.68,,,0
HCPCS,25010067,POTASSIUM CHLORIDE 20 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS,65.45,25.525,,,0
HCPCS,25010067,POTASSIUM CHLORIDE 20 MEQ/L-LACTATED RINGERS-5 % DEXTROSE INTRAVENOUS,77.2,30.11,,,0
HCPCS,25010067,POTASSIUM CHLORIDE 40 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS,59.6,23.244999999999997,,,0
HCPCS,25010067,POTASSIUM CHLORIDE 40 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,63.1,24.61,,,0
HCPCS,25010067,PRISMASATE 4/2.5 (POTASSIUM/CALCIUM) DIALYSIS SOLUTION,220.85,86.135,,,0
HCPCS,25010067,SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
HCPCS,25010067,SODIUM CHLORIDE 0.9 % BOLUS,68.91,26.875,,,0
HCPCS,25010067,SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK,51.2,19.965,,,0
HCPCS,25010067,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,59.6,23.244999999999997,,,0
HCPCS,25010067,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,40.35,15.735000000000001,,,0
HCPCS,25010067,SODIUM CHLORIDE 0.9% FOR AMNIOINFUSION,53.7,20.94,,,0
HCPCS,25010067,SODIUM CHLORIDE 3 % HYPERTONIC INTRAVENOUS INJECTION SOLUTION,53.7,20.94,,,0
HCPCS,25010067,SODIUM CHLORIDE 3 % IV BOLUS,53.7,20.94,,,0
HCPCS,25010068,ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLUTION,31650.9,12343.85,,,0
HCPCS,25010068,ABOBOTULINUMTOXINA 300 UNIT INTRAMUSCULAR SOLUTION,7367.3,2873.25,,,0
HCPCS,25010068,ABOBOTULINUMTOXINA 500 UNIT INTRAMUSCULAR SOLUTION,18411.3,7180.41,,,0
HCPCS,25010068,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",102.5,39.98,,,0
HCPCS,25010068,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,438.5,171.02,,,0
HCPCS,25010068,ADALIMUMAB 80 MG/0.8 ML SUBCUTANEOUS PEN KIT,0.01,0.0039,,,0
HCPCS,25010068,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION,206.3,80.46,,,0
HCPCS,25010068,ADENOSINE 180 MG/90 ML NS FOR CATH LAB (SIMPLE),685.2,267.23,,,0
HCPCS,25010068,ADENOSINE 3 MG/ML IV SOLN (WRAPPED),63.6,24.8,,,0
HCPCS,25010068,ADENOSINE 90 MG/90 ML NS FOR CATH LAB (SIMPLE),194.4,75.82,,,0
HCPCS,25010068,ADO-TRASTUZUMAB EMTANSINE 100 MG INTRAVENOUS SOLUTION,1493.8,582.58,,,0
HCPCS,25010068,ADO-TRASTUZUMAB EMTANSINE 160 MG INTRAVENOUS SOLUTION,10953.92,4272.03,,,0
HCPCS,25010068,AFLIBERCEPT 2 MG/0.05 ML INTRAVITREAL SOLUTION FOR INJECTION,13216.9,5154.59,,,0
HCPCS,25010068,AFLIBERCEPT 2 MG/0.05 ML INTRAVITREAL SYRINGE,13216.9,5154.59,,,0
HCPCS,25010068,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",781.85,304.91999999999996,,,0
HCPCS,25010068,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",836.3,326.15999999999997,,,0
HCPCS,25010068,"ALPHA-1 PROTEINASE INHIBITOR (HUMAN) 1,000 MG (WRAPPED)",19107.6,7451.96,,,0
HCPCS,25010068,ALPROSTADIL 500 MCG/ML INJECTION SOLUTION,1070.6,417.53,,,0
HCPCS,25010068,ALTEPLASE 2 MG INTRA-CATHETER SOLUTION,790.7,308.37,,,0
HCPCS,25010068,ALTEPLASE BOLUS,30669.3,11961.03,,,0
HCPCS,25010068,ALTEPLASE BOLUS FOR PULMONARY EMBOLUS (PE),1226.8,478.45,,,0
HCPCS,25010068,AMINOLEVULINIC ACID HCL 20 % TOPICAL SOLUTION,3016.0,1176.24,,,0
HCPCS,25010068,AMIVANTAMAB-VMJW 50 MG/ML INTRAVENOUS SOLUTION,71261.0,27791.79,,,0
HCPCS,25010068,AMPHOTERICIN B LIPOSOME 50 MG INTRAVENOUS SUSPENSION,7798.3,3041.34,,,0
HCPCS,25010068,ANIFROLUMAB-FNIA 300 MG/2 ML (150 MG/ML) INTRAVENOUS SOLUTION,37177.8,14499.34,,,0
HCPCS,25010068,"ANTI-INHIBITOR COAGULANT COMPLEX 700 UNIT-1,300 UNIT INTRAVENOUS SOLN",0.01,0.0039,,,0
HCPCS,25010068,"ANTI-INHIBITOR COAGULANT COMPLX 1,750 UNIT-3,250 UNIT INTRAVENOUS SOLN",0.01,0.0039,,,0
HCPCS,25010068,ANTI-THYMOCYTE GLOBULIN (RABBIT) 25 MG INTRAVENOUS SOLUTION,29724.6,11592.59,,,0
HCPCS,25010068,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 500 (+/-) UNIT IV SOLUTION",12768.6,4979.75,,,0
HCPCS,25010068,"ANTIHEMOPHILIC FACTOR-VWF 1,000 UNIT-2,400 UNIT INTRAVENOUS SOLUTION",28025.8,10930.06,,,0
HCPCS,25010068,ANTIHEMOPHILIC FACTOR-VWF 250 UNIT-600 UNIT INTRAVENOUS SOLUTION,0.01,0.0039,,,0
HCPCS,25010068,"ANTIHEMOPHILIC FACTOR-VWF 500 UNIT-1,200 UNIT INTRAVENOUS SOLUTION",14393.9,5613.62,,,0
HCPCS,25010068,ANTITHROMBIN III (HUMAN) 500 (+/-) UNIT INTRAVENOUS SOLUTION,15428.0,6016.92,,,0
HCPCS,25010068,APREPITANT 125 MG CAPSULE,2442.1,952.42,,,0
HCPCS,25010068,APREPITANT 130 MG/18 ML (CINVANTI) INTRAVENOUS EMULSION,3106.3,1211.46,,,0
HCPCS,25010068,APREPITANT 32 MG/4.4 ML (7.2 MG/ML) INTRAVENOUS EMULSION,507.7,198.0,,,0
HCPCS,25010068,APREPITANT 40 MG CAPSULE,843.3,328.89,,,0
HCPCS,25010068,APREPITANT 80 MG CAPSULE,1563.0,609.5699999999999,,,0
HCPCS,25010068,ARGATROBAN 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,1097.8,428.14,,,0
HCPCS,25010068,ARGATROBAN 100 MG/ML INTRAVENOUS SOLUTION,3910.2,1524.975,,,0
HCPCS,25010068,"ARIPIPRAZOLE LAUROXIL ER 882 MG/3.2 ML SUSPENSION, EXT.REL. IM SYRINGE",0.01,0.0039,,,0
HCPCS,25010068,ARSENIC TRIOXIDE 2 MG/ML INTRAVENOUS SOLUTION,3109.9,1212.86,,,0
HCPCS,25010068,ARTESUNATE 110 MG INTRAVENOUS SOLUTION,58377.0,22767.03,,,0
HCPCS,25010068,ASPARAGINASE ERWINIA CHRYSANTHEMI-RYWN 10 MG/0.5 ML IM SOLUTION,333091.3,129905.61,,,0
HCPCS,25010068,"ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION",68166.4,26584.9,,,0
HCPCS,25010068,"ATEZOLIZUMAB 1,875 MG-HYALURONIDASE-TQJS 30,000 UNIT/15 ML SUBCUT SOLN",70211.4,27382.45,,,0
HCPCS,25010068,ATEZOLIZUMAB 840 MG/14 ML (60 MG/ML) INTRAVENOUS SOLUTION,21063.5,8214.76,,,0
HCPCS,25010068,AVELUMAB 20 MG/ML INTRAVENOUS SOLUTION,50256.5,19600.04,,,0
HCPCS,25010068,AZACITIDINE 100 MG SOLUTION FOR INJECTION,576.8,224.95,,,0
HCPCS,25010068,AZACITIDINE 100 MG VIAL DILUTED FOR INTRAVENOUS USE,820.3,319.92,,,0
HCPCS,25010068,AZACITIDINE FOR SUBCUTANEOUS USE (25 MG/ML),5781.0,2254.59,,,0
HCPCS,25010068,"BACLOFEN 40,000 MCG/20 ML (2,000 MCG/ML) INTRATHECAL SYRINGE",7085.6,2763.38,,,0
HCPCS,25010068,BASILIXIMAB 20 MG INTRAVENOUS SOLUTION,31777.5,12393.22,,,0
HCPCS,25010068,BELATACEPT 250 MG INTRAVENOUS SOLUTION,414.2,161.54,,,0
HCPCS,25010068,BELIMUMAB 120 MG INTRAVENOUS SOLUTION,884.9,345.11,,,0
HCPCS,25010068,BELIMUMAB 400 MG INTRAVENOUS SOLUTION,14746.5,5751.14,,,0
HCPCS,25010068,BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION,30371.4,11844.85,,,0
HCPCS,25010068,BENRALIZUMAB 30 MG/ML SUBCUTANEOUS SYRINGE,0.01,0.0039,,,0
HCPCS,25010068,BEVACIZUMAB 2.75 MG/0.11 ML INTRAVITREAL SYRINGE,400.7,156.27,,,0
HCPCS,25010068,BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION,39783.3,15515.49,,,0
HCPCS,25010068,BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION,5202.85,2029.1100000000001,,,0
HCPCS,25010068,BEVACIZUMAB-BVZR 25 MG/ML INTRAVENOUS SOLUTION,7215.1,2813.89,,,0
HCPCS,25010068,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,597.8,233.14,,,0
HCPCS,25010068,BLINATUMOMAB 35 MCG INTRAVENOUS KIT,194175.8,75728.56,,,0
HCPCS,25010068,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION,276.2,107.72,,,0
HCPCS,25010068,BORTEZOMIB 3.5 MG SOLUTION FOR SUBCUTANEOUS INJ,355.16999999999996,138.51999999999998,,,0
HCPCS,25010068,BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION,41870.4,16329.46,,,0
HCPCS,25010068,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,25.200000000000003,9.83,,,0
HCPCS,25010068,BUMETANIDE 0.25 MG/ML IV SYRINGE (IV ROOM),19.6,7.64,,,0
HCPCS,25010068,BUMETANIDE 20 MG/80 ML (0.25 MG/ML) INFUSION (SIMPLE),74.85,29.19,,,0
HCPCS,25010068,BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION,2230.3,869.815,,,0
HCPCS,25010068,BUPIVACAINE-MELOXICAM ER 200 MG-6 MG/7 ML SURGICAL SITE INSTILL SOLN,1067.2,416.21,,,0
HCPCS,25010068,BUSULFAN 60 MG/10 ML INTRAVENOUS SOLUTION,968.8,377.83,,,0
HCPCS,25010068,C1 ESTERASE INHIBITOR 500 UNIT (10 ML) INTRAVENOUS KIT,79964.6,31186.19,,,0
HCPCS,25010068,CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION,19910.8,7765.21,,,0
HCPCS,25010068,CALASPARGASE PEGOL-MKNL 750 UNIT/ML INTRAVENOUS SOLUTION,72474.2,28264.94,,,0
HCPCS,25010068,CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION,9758.0,3805.62,,,0
HCPCS,25010068,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,138.4,53.98,,,0
HCPCS,25010068,CANGRELOR 50 MG INTRAVENOUS SOLUTION,8374.1,3265.9,,,0
HCPCS,25010068,CAPECITABINE 500 MG TABLET,976.5,380.84,,,0
HCPCS,25010068,CARFILZOMIB 10 MG INTRAVENOUS SOLUTION,0.01,0.0039,,,0
HCPCS,25010068,CARFILZOMIB 30 MG INTRAVENOUS SOLUTION,11036.1,4304.08,,,0
HCPCS,25010068,CARFILZOMIB 60 MG INTRAVENOUS SOLUTION,22072.1,8608.12,,,0
HCPCS,25010068,CARMUSTINE 100 MG INTRAVENOUS SOLUTION,28080.0,10951.2,,,0
HCPCS,25010068,CEFAZOLIN 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK,100.9,39.349999999999994,,,0
HCPCS,25010068,CEFEPIME 2 GRAM/50 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,255.0,99.45,,,0
HCPCS,25010068,CEFIDEROCOL 1 GRAM INTRAVENOUS SOLUTION,3245.8,1265.86,,,0
HCPCS,25010068,CEFTAROLINE FOSAMIL 400 MG INTRAVENOUS SOLUTION,897.3,349.95,,,0
HCPCS,25010068,CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLUTION,1794.5,699.86,,,0
HCPCS,25010068,CEFTAZIDIME-AVIBACTAM 2.5 GRAM INTRAVENOUS SOLUTION,1720.6,671.03,,,0
HCPCS,25010068,CEFTOLOZANE-TAZOBACTAM 1.5 GRAM INTRAVENOUS SOLUTION,2430.6,947.93,,,0
HCPCS,25010068,CEFTRIAXONE 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOT) INTRAVENOUS PIGGYBACK,168.1,65.56,,,0
HCPCS,25010068,CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION,66186.2,25812.62,,,0
HCPCS,25010068,CERTOLIZUMAB PEGOL 400 MG (200 MG X 2 VIALS) SUBCUTANEOUS KIT,23311.8,9091.6,,,0
HCPCS,25010068,CERTOLIZUMAB PEGOL 400 MG/2 ML (200 MG/ML X2) SUBCUTANEOUS SYRINGE KIT,23311.8,9091.6,,,0
HCPCS,25010068,CETUXIMAB 200 MG/100 ML INTRAVENOUS SOLUTION,11250.6,4387.735000000001,,,0
HCPCS,25010068,CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJECTION SOLUTION,62.15,24.235,,,0
HCPCS,25010068,CIDOFOVIR 75 MG/ML INTRAVENOUS SOLUTION,8269.7,3225.18,,,0
HCPCS,25010068,CLEVIDIPINE 25 MG/50 ML INTRAVENOUS EMULSION,737.1,287.47,,,0
HCPCS,25010068,CLEVIDIPINE 50 MG/100 ML INTRAVENOUS EMULSION,1474.2,574.94,,,0
HCPCS,25010068,CLINDAMYCIN 900 MG/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK,111.5,43.48,,,0
HCPCS,25010068,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,154.6,60.29,,,0
HCPCS,25010068,"COAGULATION FACTOR IX (RECOMB) 1,000 UNIT INTRAVENOUS SOLUTION",54288.0,21172.32,,,0
HCPCS,25010068,COAGULATION FACTOR IX (RECOMB) 500 UNIT INTRAVENOUS SOLUTION,33550.0,13084.5,,,0
HCPCS,25010068,"COAGULATION FACTOR VIIA RECOMB 1 MG (1,000 MCG) INTRAVENOUS SOLUTION",87672.0,34192.08,,,0
HCPCS,25010068,"COAGULATION FACTOR VIIA RECOMB 2 MG (2,000 MCG) INTRAVENOUS SOLUTION",70137.6,27353.66,,,0
HCPCS,25010068,"COAGULATION FACTOR VIIA RECOMB 5 MG (5,000 MCG) INTRAVENOUS SOLUTION",35068.8,13676.83,,,0
HCPCS,25010068,COCAINE 4 % NASAL SOLUTION,2067.1,806.1700000000001,,,0
HCPCS,25010068,COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 0.9 MG SOLUTION FOR INJECTION,30729.2,11984.39,,,0
HCPCS,25010068,CONJUGATED ESTROGENS 25 MG SOLUTION FOR INJECTION,2626.9,1024.49,,,0
HCPCS,25010068,COPPER 380 SQUARE MM INTRAUTERINE DEVICE,10477.3,4086.15,,,0
HCPCS,25010068,COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION,742.9,289.73,,,0
HCPCS,25010068,COVID VACC 2024-25 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE,988.4,385.48,,,0
HCPCS,25010068,COVID VACCINE 2024-2025 (12Y UP)-ADJ(PF) 5 MCG/0.5 ML IM SYRINGE (EUA),987.7,385.2,,,0
HCPCS,25010068,CRIZANLIZUMAB-TMCA 10 MG/ML INTRAVENOUS SOLUTION,0.01,0.0039,,,0
HCPCS,25010068,CROTALIDAE POLYVAL IMMUNE FAB SOLUTION FOR INJECTION,89160.3,34772.52,,,0
HCPCS,25010068,CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION,1767.2,689.21,,,0
HCPCS,25010068,CYCLOPHOSPHAMIDE 2 GRAM INTRAVENOUS POWDER FOR SOLUTION,8296.1,3235.48,,,0
HCPCS,25010068,CYCLOPHOSPHAMIDE 25 MG CAPSULE,344.5,134.36,,,0
HCPCS,25010068,CYCLOPHOSPHAMIDE 50 MG CAPSULE,790.7,308.37,,,0
HCPCS,25010068,CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION,865.7,337.625,,,0
HCPCS,25010068,DACTINOMYCIN 0.5 MG INTRAVENOUS SOLUTION,5821.95,2270.56,,,0
HCPCS,25010068,DALBAVANCIN 500 MG INTRAVENOUS SOLUTION,37201.7,14508.66,,,0
HCPCS,25010068,DAPTOMYCIN 350 MG INTRAVENOUS SOLUTION,732.1,285.52,,,0
HCPCS,25010068,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,683.2,266.45,,,0
HCPCS,25010068,"DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN",65968.5,25727.72,,,0
HCPCS,25010068,DARATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION,532.405,207.63694999999998,,,0
HCPCS,25010068,DARBEPOETIN ALFA 100 MCG/0.5 ML IN POLYSORBATE INJECTION SYRINGE,5394.8,2103.97,,,0
HCPCS,25010068,DARBEPOETIN ALFA 100 MCG/ML IN POLYSORBATE INJECTION,5394.8,2103.97,,,0
HCPCS,25010068,DARBEPOETIN ALFA 200 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE,10789.6,4207.94,,,0
HCPCS,25010068,DARBEPOETIN ALFA 200 MCG/ML IN POLYSORBATE INJECTION,8092.2,3155.96,,,0
HCPCS,25010068,DARBEPOETIN ALFA 25 MCG/ML IN POLYSORBATE INJECTION,1348.7,525.99,,,0
HCPCS,25010068,DARBEPOETIN ALFA 300 MCG/0.6 ML IN POLYSORBATE INJECTION SYRINGE,13487.0,5259.93,,,0
HCPCS,25010068,DARBEPOETIN ALFA 40 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE,330.5,128.9,,,0
HCPCS,25010068,DARBEPOETIN ALFA 40 MCG/ML IN POLYSORBATE INJECTION,2157.91,841.58,,,0
HCPCS,25010068,DARBEPOETIN ALFA 500 MCG/ML IN POLYSORBATE INJECTION SYRINGE,26973.9,10519.82,,,0
HCPCS,25010068,DARBEPOETIN ALFA 60 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE,3236.87,1262.38,,,0
HCPCS,25010068,DARBEPOETIN ALFA 60 MCG/ML IN POLYSORBATE INJECTION,1327.2,517.61,,,0
HCPCS,25010068,DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLUTION,630.3,245.82,,,0
HCPCS,25010068,DECITABINE 50 MG VIAL DILUTED FOR INTRAVENOUS USE,153.85,60.0,,,0
HCPCS,25010068,DEGARELIX 120 MG SUBCUTANEOUS SOLUTION,9510.9,3709.25,,,0
HCPCS,25010068,DEGARELIX 80 MG SUBCUTANEOUS SOLUTION,3048.0,1188.72,,,0
HCPCS,25010068,DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION,24044.7,9377.43,,,0
HCPCS,25010068,DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE,13071.8,5098.0,,,0
HCPCS,25010068,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,346.5,135.14,,,0
HCPCS,25010068,DEXAMETHASONE 0.7 MG INTRAVITREAL IMPLANT,9569.9,3732.26,,,0
HCPCS,25010068,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
HCPCS,25010068,DEXRAZOXANE HCL 250 MG INTRAVENOUS SOLUTION,625.75,244.04500000000002,,,0
HCPCS,25010068,DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION,2861.2,1115.87,,,0
HCPCS,25010068,DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION,100012.6,39004.91,,,0
HCPCS,25010068,"DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE",233.5,91.06,,,0
HCPCS,25010068,"DIPH,PERTUS(ACELL),TET,POLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE",0.01,0.0039,,,0
HCPCS,25010068,"DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE",380.25,148.3,,,0
HCPCS,25010068,"DIPHTH,PERTUSSIS(ACELL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5 ML IM SUSP",363.4,141.73,,,0
HCPCS,25010068,DOCETAXEL 80 MG/8 ML (10 MG/ML) INTRAVENOUS SOLUTION,2593.45,1011.4449999999999,,,0
HCPCS,25010068,DOSTARLIMAB-GXLY 50 MG/ML INTRAVENOUS SOLUTION,147193.9,57405.62,,,0
HCPCS,25010068,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",5463.7,2130.845,,,0
HCPCS,25010068,DUPILUMAB 200 MG/1.14 ML SUBCUTANEOUS SYRINGE,0.01,0.0039,,,0
HCPCS,25010068,DUPILUMAB 300 MG/2 ML SUBCUTANEOUS PEN INJECTOR,0.01,0.0039,,,0
HCPCS,25010068,DUPILUMAB 300 MG/2 ML SUBCUTANEOUS SYRINGE,0.01,0.0039,,,0
HCPCS,25010068,DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION,39803.95,15523.54,,,0
HCPCS,25010068,ECULIZUMAB 300 MG/30 ML INTRAVENOUS SOLUTION,181861.0,70925.79,,,0
HCPCS,25010068,"EFGARTIGIMOD ALFA 1008 MG-HYALURON-QVFC 11,200 UNIT/5.6 ML SUBCUT SOLN",100392.0,39152.88,,,0
HCPCS,25010068,EFGARTIGIMOD ALFA-FCAB 20 MG/ML INTRAVENOUS SOLUTION,86293.9,33654.62,,,0
HCPCS,25010068,ELOTUZUMAB 300 MG INTRAVENOUS SOLUTION,9466.8,3692.05,,,0
HCPCS,25010068,ELOTUZUMAB 400 MG INTRAVENOUS SOLUTION,75733.2,29535.95,,,0
HCPCS,25010068,ELRANATAMAB-BCMM 40 MG/ML SUBCUTANEOUS SOLUTION,85881.8,33493.9,,,0
HCPCS,25010068,ENFORTUMAB VEDOTIN-EJFV 20 MG INTRAVENOUS SOLUTION,17528.2,6836.0,,,0
HCPCS,25010068,ENFORTUMAB VEDOTIN-EJFV 30 MG INTRAVENOUS SOLUTION,26292.3,10254.0,,,0
HCPCS,25010068,EPCORITAMAB-BYSP 48 MG/0.8 ML SUBCUTANEOUS SOLUTION,100820.7,39320.07,,,0
HCPCS,25010068,"EPOETIN ALFA 10,000 UNIT/ML INJECTION SOLUTION",1862.8,726.49,,,0
HCPCS,25010068,"EPOETIN ALFA 2,000 UNIT/ML INJECTION SOLUTION",179.65,70.06,,,0
HCPCS,25010068,"EPOETIN ALFA 20,000 UNIT/2 ML INJECTION SOLUTION",3725.5,1452.94,,,0
HCPCS,25010068,"EPOETIN ALFA 20,000 UNIT/ML INJECTION SOLUTION",4881.15,1903.6499999999999,,,0
HCPCS,25010068,"EPOETIN ALFA 3,000 UNIT/ML INJECTION SOLUTION",115.8,45.16,,,0
HCPCS,25010068,"EPOETIN ALFA 4,000 UNIT/ML INJECTION SOLUTION",392.40000000000003,153.035,,,0
HCPCS,25010068,"EPOETIN ALFA 40,000 UNIT/ML INJECTION SOLUTION",7451.0,2905.89,,,0
HCPCS,25010068,"EPOETIN ALFA-EPBX 10,000 UNIT/ML INJECTION SOLUTION",768.8,299.83,,,0
HCPCS,25010068,"EPOETIN ALFA-EPBX 2,000 UNIT/ML INJECTION SOLUTION",113.1,44.11,,,0
HCPCS,25010068,"EPOETIN ALFA-EPBX 20,000 UNIT/ML INJECTION SOLUTION",1537.6,599.66,,,0
HCPCS,25010068,"EPOETIN ALFA-EPBX 3,000 UNIT/ML INJECTION SOLUTION",188.5,73.52,,,0
HCPCS,25010068,"EPOETIN ALFA-EPBX 4,000 UNIT/ML INJECTION SOLUTION",376.8,146.95,,,0
HCPCS,25010068,"EPOETIN ALFA-EPBX 40,000 UNIT/ML INJECTION SOLUTION",1537.6,599.66,,,0
HCPCS,25010068,EPTIFIBATIDE 0.75 MG/ML INTRAVENOUS SOLUTION,3336.05,1301.06,,,0
HCPCS,25010068,EPTIFIBATIDE 2 MG/ML INTRAVENOUS SOLUTION,625.95,244.12,,,0
HCPCS,25010068,ERIBULIN 1 MG/2 ML (0.5 MG/ML) INTRAVENOUS SOLUTION,879.9,343.16,,,0
HCPCS,25010068,ESKETAMINE 56 MG (28 MG X 2) NASAL SPRAY,6398.4,2495.38,,,0
HCPCS,25010068,ESKETAMINE 84 MG (28 MG X 3) NASAL SPRAY,9597.6,3743.06,,,0
HCPCS,25010068,ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION,52.7,20.55,,,0
HCPCS,25010068,"ESMOLOL 2,000 MG/100 ML (20 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",1189.8,464.02,,,0
HCPCS,25010068,"ESMOLOL 2,500 MG/250 ML (10 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",44.1,17.2,,,0
HCPCS,25010068,ETONOGESTREL 68 MG SUBDERMAL IMPLANT,8610.7,3358.175,,,0
HCPCS,25010068,"FACTOR IX HUMAN RECOMBINANT, PEGYLATED 1,000 (+/-) UNIT IV SOLUTION",0.01,0.0039,,,0
HCPCS,25010068,"FACTOR IX HUMAN RECOMBINANT, PEGYLATED 500 (+/-) UNIT IV SOLUTION",0.01,0.0039,,,0
HCPCS,25010068,"FACTOR XA,INACTIVATED-ZHZO (RECOMBINANT) 200 MG INTRAVENOUS SOLUTION",22652.5,8834.475,,,0
HCPCS,25010068,FAM-TRASTUZUMAB DERUXTECAN-NXKI 100 MG INTRAVENOUS SOLUTION,11720.3,4570.92,,,0
HCPCS,25010068,FARICIMAB-SVOA 6 MG/0.05 ML INTRAVITREAL SOLUTION,15958.9,6223.97,,,0
HCPCS,25010068,FERRIC CARBOXYMALTOSE 100 MG IRON/2 ML INTRAVENOUS SOLUTION,13685.6,5337.38,,,0
HCPCS,25010068,FERRIC CARBOXYMALTOSE 50 MG IRON/ML INTRAVENOUS SOLUTION,10264.0,4002.96,,,0
HCPCS,25010068,FERRIC DERISOMALTOSE 100 MG IRON/ML INTRAVENOUS SOLUTION,2824.3,1101.48,,,0
HCPCS,25010068,FERUMOXYTOL 510 MG/17 ML (30 MG/ML) INTRAVENOUS SOLUTION,7946.0,3098.9399999999996,,,0
HCPCS,25010068,FILGRASTIM 300 MCG/0.5 ML INJECTION SYRINGE,2325.9,907.1,,,0
HCPCS,25010068,FILGRASTIM 480 MCG/0.8 ML INJECTION SYRINGE,3704.1,1444.6,,,0
HCPCS,25010068,FILGRASTIM 480 MCG/1.6 ML INJECTION SOLUTION,3494.3,1362.78,,,0
HCPCS,25010068,FILGRASTIM-AAFI 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,1526.5,595.34,,,0
HCPCS,25010068,FILGRASTIM-AAFI 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE,1526.5,595.34,,,0
HCPCS,25010068,FILGRASTIM-SNDZ 300 MCG/0.5 ML INJECTION SYRINGE,2868.5,1118.715,,,0
HCPCS,25010068,FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE,3059.7,1193.28,,,0
HCPCS,25010068,FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE,162.1,63.22,,,0
HCPCS,25010068,FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE,620.1,241.84,,,0
HCPCS,25010068,FLUDARABINE 50 MG/2 ML INTRAVENOUS SOLUTION,1995.15,778.11,,,0
HCPCS,25010068,FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION,6004.05,2341.58,,,0
HCPCS,25010068,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,684.05,266.78,,,0
HCPCS,25010068,FOSAPREPITANT IVPB 150 MG/150 ML NS(SIMPLE),2250.6,877.73,,,0
HCPCS,25010068,FOSCARNET INTRAVITREAL INJECTION 2.4 MG/0.1 ML,19.6,7.64,,,0
HCPCS,25010068,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION,188.5,73.515,,,0
HCPCS,25010068,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION,1027.9,400.88,,,0
HCPCS,25010068,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,3409.45,1329.685,,,0
HCPCS,25010068,FUROSEMIDE 500 MG/50 ML (10 MG/ML) INFUSION (SIMPLE),249.4,97.27,,,0
HCPCS,25010068,GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION,404.8,157.87,,,0
HCPCS,25010068,GLOFITAMAB-GXBM 1 MG/ML INTRAVENOUS SOLUTION,197038.3,76844.94,,,0
HCPCS,25010068,GLUCAGON 1 MG/ML SOLUTION FOR INJECTION,1196.1,466.48,,,0
HCPCS,25010068,GLUCAGON HCL 1 MG/ML SOLUTION FOR INJECTION,1855.75,723.745,,,0
HCPCS,25010068,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,57.9,22.58,,,0
HCPCS,25010068,GOLIMUMAB 12.5 MG/ML INTRAVENOUS SOLUTION,64655.5,25215.64,,,0
HCPCS,25010068,GOSERELIN 10.8 MG SUBCUTANEOUS IMPLANT,18221.0,7106.19,,,0
HCPCS,25010068,GOSERELIN 3.6 MG SUBCUTANEOUS IMPLANT,6195.2,2416.13,,,0
HCPCS,25010068,GUSELKUMAB 100 MG/ML SUBCUTANEOUS SYRINGE,0.01,0.0039,,,0
HCPCS,25010068,HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN,0.01,0.0039,,,0
HCPCS,25010068,HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN,107.15,41.790000000000006,,,0
HCPCS,25010068,HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION,754.55,294.275,,,0
HCPCS,25010068,HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE,804.7,313.83,,,0
HCPCS,25010068,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",22.05,8.6,,,0
HCPCS,25010068,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",24.200000000000003,9.435,,,0
HCPCS,25010068,HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE,912.6,355.91,,,0
HCPCS,25010068,"HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE",364.7,142.23,,,0
HCPCS,25010068,HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SYRINGE,325.4,126.91,,,0
HCPCS,25010068,HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML IM SYRINGE,0.01,0.0039,,,0
HCPCS,25010068,HEPATITIS B IMMUNE GLOBULIN 110 UNIT/0.5 ML INTRAMUSCULAR SYRINGE,755.4,294.61,,,0
HCPCS,25010068,HEPATITIS B IMMUNE GLOBULIN 220 UNIT/ML (5 ML) INTRAMUSCULAR SOLUTION,3257.4,1270.39,,,0
HCPCS,25010068,HEPATITIS B IMMUNE GLOBULIN GREATR THAN 312 UNIT/ML INTRAMUSCULAR SOLN,734.0,286.26,,,0
HCPCS,25010068,HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE,1085.6,423.38,,,0
HCPCS,25010068,HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML (WRAPPED),243.5,94.96,,,0
HCPCS,25010068,HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE,498.3,194.34,,,0
HCPCS,25010068,HUM PROTHROMBIN CPLX (PCC) 4FACTOR 500 UNIT (400-620 UNIT) IV SOLUTION,38826.8,15142.455,,,0
HCPCS,25010068,"HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE",2138.9,834.17,,,0
HCPCS,25010068,HYALURONIDASE (OVINE) 200 UNIT/ML INJECTION SOLUTION,1579.1,615.85,,,0
HCPCS,25010068,HYALURONIDASE 150 UNIT/ML INJECTION SOLUTION,476.6,185.87,,,0
HCPCS,25010068,"HYALURONIDASE, HUMAN RECOMBINANT 150 UNIT/ML INJECTION SOLUTION",476.6,185.87,,,0
HCPCS,25010068,HYDROMORPHONE (PF) 0.2 MG/ML INJECTION SYRINGE,70.5,27.494999999999997,,,0
HCPCS,25010068,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,837.35,326.565,,,0
HCPCS,25010068,HYDROMORPHONE 1 MG/ML INJECTION (WRAPPED),19.6,7.64,,,0
HCPCS,25010068,HYDROXOCOBALAMIN 5 GRAM INTRAVENOUS SOLUTION,6956.1,2712.88,,,0
HCPCS,25010068,HYLAN G-F 20  48 MG/6 ML INTRA-ARTICULAR SYRINGE,9546.3,3723.06,,,0
HCPCS,25010068,HYLAN G-F 20 16 MG/2 ML INTRA-ARTICULAR SYRINGE,3182.1,1241.02,,,0
HCPCS,25010068,ICATIBANT 30 MG/3 ML SUBCUTANEOUS SYRINGE,88575.8,34544.56,,,0
HCPCS,25010068,IFOSFAMIDE 1 GRAM INTRAVENOUS SOLUTION,1369.25,534.01,,,0
HCPCS,25010068,IFOSFAMIDE 1 GRAM/20 ML INTRAVENOUS SOLUTION,565.1,220.39,,,0
HCPCS,25010068,IFOSFAMIDE 3 GRAM INTRAVENOUS SOLUTION,671.1,261.73,,,0
HCPCS,25010068,IMETELSTAT 188 MG INTRAVENOUS SOLUTION,68972.1,26899.120000000003,,,0
HCPCS,25010068,IMMUN GLOB G 10 GRAM/50 ML(20 %)-PRO-IGA 0-50 MCG/ML SUBCUTANEOUS SOLN,0.01,0.0039,,,0
HCPCS,25010068,IMMUN GLOB G 2 GRAM/10 ML(20 %)-PROL-IGA 0-50 MCG/ML SUBCUTANEOUS SOLN,0.01,0.0039,,,0
HCPCS,25010068,IMMUNE GLOB G 10 GRAM/100 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,0.01,0.0039,,,0
HCPCS,25010068,IMMUNE GLOB G 20 GRAM/200 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,37159.95,14492.380000000001,,,0
HCPCS,25010068,IMMUNE GLOB G 40 GRAM/400 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,40704.8,15874.87,,,0
HCPCS,25010068,"IMMUNE GLOB,GAMM (IGG-PRIVIGEN) 10%-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",19684.75,7677.055,,,0
HCPCS,25010068,"IMMUNE GLOB,GAMM(IGG)10 %-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION",60926.549999999996,23761.355,,,0
HCPCS,25010068,"IMMUNE GLOB,GAMMA (IGG-GAMMAGARD) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",24340.63,9492.85,,,0
HCPCS,25010068,"IMMUNE GLOB,GAMMA(IGG) 10 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML IV SOLUTION",63460.5,24749.6,,,0
HCPCS,25010068,IMMUNE GLOBULIN (IGG-GAMUNEX-C) 1 GRAM/10 ML (10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,496.105,193.48194999999998,,,0
HCPCS,25010068,INCLISIRAN 284 MG/1.5 ML SUBCUTANEOUS SYRINGE,24044.7,9377.43,,,0
HCPCS,25010068,INCOBOTULINUMTOXINA 100 UNIT INTRAMUSCULAR SOLUTION,3561.7,1389.06,,,0
HCPCS,25010068,INCOBOTULINUMTOXINA 50 UNIT INTRAMUSCULAR SOLUTION,9339.8,3642.52,,,0
HCPCS,25010068,INEBILIZUMAB-CDON 10 MG/ML INTRAVENOUS SOLUTION,945301.1,368667.43000000005,,,0
HCPCS,25010068,INFLIXIMAB 100 MG INTRAVENOUS SOLUTION,16941.600000000002,6607.224999999999,,,0
HCPCS,25010068,INFLIXIMAB-ABDA 100 MG INTRAVENOUS SOLUTION,21004.6,8191.79,,,0
HCPCS,25010068,INFLIXIMAB-AXXQ 100 MG INTRAVENOUS SOLUTION,0.01,0.0039,,,0
HCPCS,25010068,INFLIXIMAB-DYYB 100 MG INTRAVENOUS SOLUTION,1978.7,771.69,,,0
HCPCS,25010068,IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION,221574.5,86414.06,,,0
HCPCS,25010068,IPILIMUMAB 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,77551.3,30245.01,,,0
HCPCS,25010068,IRINOTECAN LIPOSOMAL 4.3 MG/ML INTRAVENOUS,48960.29,19094.51,,,0
HCPCS,25010068,IRON DEXTRAN 50 MG/ML INJECTION SOLUTION,2533.8,988.18,,,0
HCPCS,25010068,ISATUXIMAB-IRFC 20 MG/ML INTRAVENOUS SOLUTION,15779.95,6154.179999999999,,,0
HCPCS,25010068,ISAVUCONAZONIUM SULFATE 372 MG INTRAVENOUS SOLUTION,2748.9,1072.07,,,0
HCPCS,25010068,ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLUTION,3385.2,1320.23,,,0
HCPCS,25010068,IXEKIZUMAB 80 MG/ML SUBCUTANEOUS AUTO-INJECTOR,0.01,0.0039,,,0
HCPCS,25010068,KETOROLAC 15 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
HCPCS,25010068,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,33.6,13.1,,,0
HCPCS,25010068,KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION,44.849999999999994,17.49,,,0
HCPCS,25010068,LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS SYRINGE,20.8,8.11,,,0
HCPCS,25010068,LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE,66647.2,25992.41,,,0
HCPCS,25010068,LANREOTIDE 60 MG/0.2 ML SUBCUTANEOUS SYRINGE,42433.4,16549.03,,,0
HCPCS,25010068,LECANEMAB-IRMB 100 MG/ML INTRAVENOUS SOLUTION,437.4,170.59,,,0
HCPCS,25010068,LEUPROLIDE 11.25 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT,33717.1,13149.67,,,0
HCPCS,25010068,LEUPROLIDE 11.25 MG (PEDIATRIC 3 MONTH) INTRAMUSCULAR SYRINGE KIT,73638.8,28719.13,,,0
HCPCS,25010068,LEUPROLIDE 22.5 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT,40178.7,15669.69,,,0
HCPCS,25010068,LEUPROLIDE 22.5 MG (3 MONTH) SUBCUTANEOUS SYRINGE,8455.7,3297.72,,,0
HCPCS,25010068,LEUPROLIDE 3.75 MG INTRAMUSCULAR SYRINGE KIT,11239.0,4383.21,,,0
HCPCS,25010068,LEUPROLIDE 30 MG (4 MONTH) SUBCUTANEOUS SYRINGE,11274.2,4396.94,,,0
HCPCS,25010068,LEUPROLIDE 30 MG (PEDIATRIC 3 MONTH) INTRAMUSCULAR SYRINGE KIT,81105.8,31631.26,,,0
HCPCS,25010068,LEUPROLIDE 45 MG (PEDIATRIC 6 MONTH) INTRAMUSCULAR SYRINGE KIT,162211.3,63262.41,,,0
HCPCS,25010068,LEUPROLIDE 7.5 MG (1 MONTH) SUBCUTANEOUS SYRINGE,2818.6,1099.25,,,0
HCPCS,25010068,LEUPROLIDE ACETATE (6 MONTH) 45 MG INTRAMUSCULAR SYRINGE KIT,80358.7,31339.89,,,0
HCPCS,25010068,LEUPROLIDE ACETATE 45 MG (6 MONTH) SUBCUTANEOUS SYRINGE,16911.3,6595.41,,,0
HCPCS,25010068,LEVONORGESTREL 17.5 MCG/24 HR (UP TO 5 YRS) 19.5MG INTRAUTERINE DEVICE,9316.3,3633.36,,,0
HCPCS,25010068,LEVONORGESTREL 21 MCG/24 HR (UP TO 8 YEARS) 52 MG INTRAUTERINE DEVICE,9316.3,3633.36,,,0
HCPCS,25010068,LEVOTHYROXINE 100 MCG/ML INTRAVENOUS SOLUTION,236.7,92.31,,,0
HCPCS,25010068,LEVOTHYROXINE 20 MCG/ML INTRAVENOUS SOLUTION,391.05,152.51,,,0
HCPCS,25010068,LIDOCAINE (PF) 4 MG/ML (0.4 %) IN 5 % DEXTROSE INTRAVENOUS SOLUTION,68.35,26.655,,,0
HCPCS,25010068,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,532.9,207.83,,,0
HCPCS,25010068,LONCASTUXIMAB TESIRINE-LPYL 10 MG INTRAVENOUS SOLUTION,310270.3,121005.42,,,0
HCPCS,25010068,LURBINECTEDIN 4 MG INTRAVENOUS SOLUTION,37954.8,14802.37,,,0
HCPCS,25010068,LUSPATERCEPT-AAMT 25 MG SUBCUTANEOUS SOLUTION,28106.5,10961.54,,,0
HCPCS,25010068,LUSPATERCEPT-AAMT 75 MG SUBCUTANEOUS SOLUTION,84319.1,32884.45,,,0
HCPCS,25010068,"MEASLES,MUMPS,RUBEL,VARICEL LIV(PF)10E3-4.3-3-3.99TCID50/0.5 ML SUBCUT",1917.9,747.98,,,0
HCPCS,25010068,"MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT",552.3,215.4,,,0
HCPCS,25010068,MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION,5990.4,2336.255,,,0
HCPCS,25010068,"MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS)",1157.1,451.27,,,0
HCPCS,25010068,"MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE",1647.6,642.56,,,0
HCPCS,25010068,"MENINGOCOCCAL VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION (MENVEO 1-VIAL FORMULATION)",1157.0,451.23,,,0
HCPCS,25010068,MEPOLIZUMAB 100 MG SUBCUTANEOUS SOLUTION VIAL,73857.9,28804.58,,,0
HCPCS,25010068,MEPOLIZUMAB 100 MG/ML SUBCUTANEOUS SYRINGE,26482.5,10328.18,,,0
HCPCS,25010068,MEROPENEM 2 GRAM INTRAVENOUS SOLUTION,337.2,131.51,,,0
HCPCS,25010068,METHYLENE BLUE (ANTIDOTE) 1 % (10 MG/ML) INTRAVENOUS SOLUTION,933.6,364.105,,,0
HCPCS,25010068,METHYLENE BLUE (ANTIDOTE) 5 MG/ML INTRAVENOUS SOLUTION,876.15,341.70000000000005,,,0
HCPCS,25010068,METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SYRINGE,789.7,307.98,,,0
HCPCS,25010068,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION,194.1,75.7,,,0
HCPCS,25010068,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION,168.5,65.72,,,0
HCPCS,25010068,"METHYLPREDNISOLONE SOD SUCC (PF) 1,000 MG/8 ML INTRAVENOUS SOLUTION",588.6,229.55,,,0
HCPCS,25010068,METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION,42.3,16.495,,,0
HCPCS,25010068,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION,56.55,22.055,,,0
HCPCS,25010068,METHYLPREDNISOLONE SOD SUCC (PF) 500 MG/4 ML INTRAVENOUS SOLUTION,32.4,12.64,,,0
HCPCS,25010068,"METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION",292.3,114.0,,,0
HCPCS,25010068,METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLUTION FOR INJECTION,64.35,25.095,,,0
HCPCS,25010068,METHYLPREDNISOLONE SODIUM SUCCINATE 40 MG SOLUTION FOR INJECTION,46.5,18.135,,,0
HCPCS,25010068,METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTION,197.65,77.08500000000001,,,0
HCPCS,25010068,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,27.4,10.69,,,0
HCPCS,25010068,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION,1042.8,406.69,,,0
HCPCS,25010068,MIRVETUXIMAB SORAVTANSINE-GYNX 5 MG/ML INTRAVENOUS SOLUTION,5794.7,2259.93,,,0
HCPCS,25010068,MITOMYCIN 20 MG INTRAVENOUS SOLUTION,3569.0,1391.9099999999999,,,0
HCPCS,25010068,MITOMYCIN 40 MG INTRAVENOUS SOLUTION,7887.0,3075.93,,,0
HCPCS,25010068,MITOMYCIN IRRIGATION SYRINGE 0.5 MG/ML,6625.4,2583.91,,,0
HCPCS,25010068,MOGAMULIZUMAB-KPKC 4 MG/ML INTRAVENOUS SOLUTION,23405.6,9128.18,,,0
HCPCS,25010068,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION,619.2,241.49,,,0
HCPCS,25010068,NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION,59507.9,23208.08,,,0
HCPCS,25010068,NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE,3622.7,1412.85,,,0
HCPCS,25010068,NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE,3536.45,1379.215,,,0
HCPCS,25010068,NIVOLUMAB 100 MG/10 ML INTRAVENOUS SOLUTION,40494.0,15792.66,,,0
HCPCS,25010068,NIVOLUMAB 120 MG/12 ML INTRAVENOUS SOLUTION,24296.5,9475.64,,,0
HCPCS,25010068,NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION,188692.4,73590.04,,,0
HCPCS,25010068,NIVOLUMAB 240 MG/24 ML INTRAVENOUS SOLUTION,48593.0,18951.27,,,0
HCPCS,25010068,NIVOLUMAB 40 MG/4 ML INTRAVENOUS SOLUTION,11763.6,4587.8,,,0
HCPCS,25010068,"NIVOLUMAB 600 MG-HYALURONIDASE-NVHY 10,000 UNIT/5 ML SUBCUT SOLUTION",97185.9,37902.5,,,0
HCPCS,25010068,"OBINUTUZUMAB 1,000 MG/40 ML INTRAVENOUS SOLUTION",48369.1,18863.95,,,0
HCPCS,25010068,OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION,257599.2,100463.69,,,0
HCPCS,25010068,"OCTREOTIDE,MICROSPHERES ER 20 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",32175.7,12548.52,,,0
HCPCS,25010068,"OCTREOTIDE,MICROSPHERES ER 30 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",48180.6,18790.43,,,0
HCPCS,25010068,OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION,268.1,104.56,,,0
HCPCS,25010068,OMALIZUMAB 150 MG SUBCUTANEOUS SOLUTION,0.01,0.0039,,,0
HCPCS,25010068,OMALIZUMAB 150 MG/ML SUBCUTANEOUS AUTO-INJECTOR,9870.4,3849.46,,,0
HCPCS,25010068,OMALIZUMAB 150 MG/ML SUBCUTANEOUS SYRINGE,14805.599999999999,5774.1849999999995,,,0
HCPCS,25010068,OMALIZUMAB 300 MG/2 ML SUBCUTANEOUS AUTO-INJECTOR,0.01,0.0039,,,0
HCPCS,25010068,OMALIZUMAB 300 MG/2 ML SUBCUTANEOUS SYRINGE,0.01,0.0039,,,0
HCPCS,25010068,OMALIZUMAB 75 MG/0.5 ML SUBCUTANEOUS SYRINGE,2467.605,962.36695,,,0
HCPCS,25010068,ONABOTULINUMTOXINA 100 UNIT SOLUTION FOR INJECTION,6979.1,2721.85,,,0
HCPCS,25010068,ONABOTULINUMTOXINA 200 UNIT SOLUTION FOR INJECTION,2026.2,790.22,,,0
HCPCS,25010068,ONE-STEP ONLY - BUPIVACAINE-MELOXICAM ER 28.571 MG-0.857 MG/ML SURGICAL SITE INSTILL SOLN,1862.85,726.51,,,0
HCPCS,25010068,ORITAVANCIN 400 MG INTRAVENOUS SOLUTION,0.01,0.0039,,,0
HCPCS,25010068,OXACILLIN 2 GRAM SOLUTION FOR INJECTION,299.3,116.73,,,0
HCPCS,25010068,PACLITAXEL PROTEIN-BOUND 100 MG INTRAVENOUS SUSPENSION,14197.8,5537.14,,,0
HCPCS,25010068,PALIPERIDONE PALMITATE 156 MG/ML INTRAMUSCULAR SYRINGE,16585.1,6468.19,,,0
HCPCS,25010068,PALIPERIDONE PALMITATE 234 MG/1.5 ML INTRAMUSCULAR SYRINGE,24877.0,9702.03,,,0
HCPCS,25010068,PANITUMUMAB 100 MG/5 ML (20 MG/ML) INTRAVENOUS SOLUTION,7348.1,2865.755,,,0
HCPCS,25010068,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,41.7,16.26,,,0
HCPCS,25010068,PEGFILGRASTIM 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUTANEOUS INJECTOR,44733.4,17446.03,,,0
HCPCS,25010068,PEGFILGRASTIM 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,44733.4,17446.03,,,0
HCPCS,25010068,PEGFILGRASTIM-APGF 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,27357.3,10669.35,,,0
HCPCS,25010068,PEGFILGRASTIM-CBQV 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUT INJECTOR,29099.8,11348.92,,,0
HCPCS,25010068,PEGFILGRASTIM-CBQV 6 MG/0.6 ML SUBCUTANEOUS AUTO-INJECTOR,29099.8,11348.92,,,0
HCPCS,25010068,PEGFILGRASTIM-CBQV 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,29099.8,11348.92,,,0
HCPCS,25010068,PEGFILGRASTIM-JMDB 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,14549.9,5674.46,,,0
HCPCS,25010068,PEGFILGRASTIM-PBBK 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,20910.0,8154.9,,,0
HCPCS,25010068,PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION,209256.5,81610.04,,,0
HCPCS,25010068,PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION,72160.4,28142.56,,,0
HCPCS,25010068,PEMETREXED DISODIUM 100 MG INTRAVENOUS POWDER FOR SOLUTION,588.4,229.47499999999997,,,0
HCPCS,25010068,PEMETREXED DISODIUM 25 MG/ML INTRAVENOUS SOLUTION,5054.4,1971.22,,,0
HCPCS,25010068,PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION,9896.7,3859.71,,,0
HCPCS,25010068,"PENICILLIN G BENZATHINE 1,200,000 UNIT/2 ML INTRAMUSCULAR SYRINGE",2338.4,911.98,,,0
HCPCS,25010068,"PERTUZUMAB 1,200 MG-TRASTUZUMAB 600 MG-HYALURON-ZZXF/15 ML SUBCUT SOLN",86839.2,33867.29,,,0
HCPCS,25010068,PERTUZUMAB 420 MG/14 ML (30 MG/ML) INTRAVENOUS SOLUTION,42559.9,16598.36,,,0
HCPCS,25010068,PERTUZUMAB 600 MG-TRASTUZUMAB 600 MG-HYALURONID-ZZXF/10 ML SUBCUT SOLN,57890.5,22577.3,,,0
HCPCS,25010068,PHENTOLAMINE 5 MG INJECTION SOLUTION,3463.2,1350.65,,,0
HCPCS,25010068,PLERIXAFOR 24 MG/1.2 ML (20 MG/ML) SUBCUTANEOUS SOLUTION,5276.6,2057.87,,,0
HCPCS,25010068,PNEUMOCOCCAL 13-VAL CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE,1573.0,613.47,,,0
HCPCS,25010068,PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE,1968.8,767.83,,,0
HCPCS,25010068,PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE,816.1,318.28,,,0
HCPCS,25010068,POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION,116135.2,45292.73,,,0
HCPCS,25010068,POLATUZUMAB VEDOTIN-PIIQ 30 MG INTRAVENOUS SOLUTION,15761.3,6146.91,,,0
HCPCS,25010068,POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION,0.01,0.0039,,,0
HCPCS,25010068,PRALIDOXIME 1 GRAM SOLUTION FOR INJECTION,1208.6,471.35,,,0
HCPCS,25010068,PROCAINAMIDE 100 MG/ML INJECTION SOLUTION,1860.9,725.75,,,0
HCPCS,25010068,RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION,22292.5,8694.08,,,0
HCPCS,25010068,"RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP",3462.0,1350.18,,,0
HCPCS,25010068,"RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION",3023.7,1179.24,,,0
HCPCS,25010068,RAMUCIRUMAB 10 MG/ML INTRAVENOUS SOLUTION,6427.0,2506.53,,,0
HCPCS,25010068,RASBURICASE 1.5 MG INTRAVENOUS SOLUTION,27222.2,10616.66,,,0
HCPCS,25010068,RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION,224181.005,87430.59195,,,0
HCPCS,25010068,REMDESIVIR 100 MG INJ (WRAPPED),4425.0,1725.75,,,0
HCPCS,25010068,"RESP SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION",2138.4,833.98,,,0
HCPCS,25010068,"RIMABOTULINUMTOXINB 10,000 UNIT/2 ML INTRAMUSCULAR SOLUTION",17706.1,6905.38,,,0
HCPCS,25010068,RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION,72297.8,28196.14,,,0
HCPCS,25010068,"RISPERIDONE MICROSPHERES ER 50 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEASE",4498.0,1754.22,,,0
HCPCS,25010068,"RITUXIMAB 1,400 MG/11.7 ML (120 MG/ML)-HYALURONIDASE SUBCUTANEOUS SOLN",41037.9,16004.78,,,0
HCPCS,25010068,"RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS",32244.399999999998,12575.315,,,0
HCPCS,25010068,RITUXIMAB-ABBS 10 MG/ML INTRAVENOUS SOLUTION,18994.45,7407.835,,,0
HCPCS,25010068,RITUXIMAB-ARRX 10 MG/ML INTRAVENOUS SOLUTION,15654.95,6105.43,,,0
HCPCS,25010068,RITUXIMAB-PVVR 10 MG/ML INTRAVENOUS SOLUTION,24600.65,9594.255000000001,,,0
HCPCS,25010068,ROMIPLOSTIM 125 MCG SUBCUTANEOUS SOLUTION,8443.09,3292.81,,,0
HCPCS,25010068,ROMIPLOSTIM 250 MCG SUBCUTANEOUS SOLUTION,2302.7,898.05,,,0
HCPCS,25010068,ROMIPLOSTIM 500 MCG SUBCUTANEOUS SOLUTION,0.01,0.0039,,,0
HCPCS,25010068,ROMOSOZUMAB-AQQG 105 MG/1.17 ML SUBCUTANEOUS SYRINGE,18323.6,7146.2,,,0
HCPCS,25010068,ROMOSOZUMAB-AQQG 210 MG/2.34 ML(105 MG/1.17 ML X2)SUBCUTANEOUS SYRINGE,18323.6,7146.2,,,0
HCPCS,25010068,"ROTAVIRUS VACCINE LIVE, PENTAVALENT 2 ML ORAL SOLUTION",752.2,293.36,,,0
HCPCS,25010068,SACITUZUMAB GOVITECAN-HZIY 180 MG INTRAVENOUS SOLUTION,8456.4,3298.0,,,0
HCPCS,25010068,SARGRAMOSTIM 250 MCG SOLUTION FOR INJECTION,860.0,335.4,,,0
HCPCS,25010068,SECUKINUMAB 25 MG/ML INTRAVENOUS SOLUTION,21654.5,8445.26,,,0
HCPCS,25010068,SILTUXIMAB 400 MG INTRAVENOUS SOLUTION,76974.7,30020.13,,,0
HCPCS,25010068,SODIUM HYALURONATE 10 MG/ML(MW 2.4-3.6 MILLION)INTRA-ARTICULAR SYRINGE,2513.6,980.3,,,0
HCPCS,25010068,"STUDY DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML (54767414MMY2095, GCC-23-050) SUBCUT SOLN",0.01,0.0039,,,0
HCPCS,25010068,STUDY SACITUZUMAB GOVITECAN-HZIY 180 MG INTRAVENOUS SOLUTION,0.01,0.0039,,,0
HCPCS,25010068,SULBACTAM 1 GRAM-DURLOBACTAM 1 GRAM (0.5 GRAM X2) INTRAVENOUS SOLUTION,3478.1,1356.46,,,0
HCPCS,25010068,TACROLIMUS 5 MG/ML INTRAVENOUS SOLUTION,479.2,186.89,,,0
HCPCS,25010068,TALQUETAMAB-TGVS 2 MG/ML SUBCUTANEOUS SOLUTION,3997.4,1558.99,,,0
HCPCS,25010068,TALQUETAMAB-TGVS 40 MG/ML SUBCUTANEOUS SOLUTION,36845.0,14369.55,,,0
HCPCS,25010068,TARLATAMAB-DLLE 1 MG INTRAVENOUS SOLUTION,51480.0,20077.2,,,0
HCPCS,25010068,TARLATAMAB-DLLE 10 MG INTRAVENOUS SOLUTION,93606.77,36506.64,,,0
HCPCS,25010068,TEBENTAFUSP-TEBN 100 MCG/0.5 ML INTRAVENOUS SOLUTION,40894.5,15948.86,,,0
HCPCS,25010068,TECLISTAMAB-CQYV 90 MG/ML SUBCUTANEOUS SOLUTION,11094.2,4326.74,,,0
HCPCS,25010068,TEMOZOLOMIDE 100 MG CAPSULE,6492.6,2532.11,,,0
HCPCS,25010068,TENECTEPLASE 50 MG INTRAVENOUS SOLUTION,52048.8,20299.03,,,0
HCPCS,25010068,TERLIPRESSIN 0.85 MG INTRAVENOUS POWDER FOR SOLUTION,6925.9,2701.1,,,0
HCPCS,25010068,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL,60.2,23.48,,,0
HCPCS,25010068,TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE,331.5,129.28,,,0
HCPCS,25010068,TETANUS IMMUNE GLOBULIN (PF) 250 UNIT/ML INTRAMUSCULAR SYRINGE,4524.8,1764.67,,,0
HCPCS,25010068,TEZEPELUMAB-EKKO 210 MG/1.91 ML (110 MG/ML) SUBCUTANEOUS SYRINGE,30451.7,11876.16,,,0
HCPCS,25010068,THIOTEPA 15 MG SOLUTION FOR INJECTION,24086.4,9393.7,,,0
HCPCS,25010068,THYROTROPIN ALFA 0.9 MG INTRAMUSCULAR SOLUTION,14094.3,5496.78,,,0
HCPCS,25010068,TOCILIZUMAB 200 MG/10 ML (20 MG/ML) INTRAVENOUS SOLUTION,9255.6,3609.68,,,0
HCPCS,25010068,TOCILIZUMAB 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION,6478.9,2526.77,,,0
HCPCS,25010068,TOCILIZUMAB 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION,0.01,0.0039,,,0
HCPCS,25010068,TOCILIZUMAB-AAZG 200 MG/10 ML (20 MG/ML) INTRAVENOUS SOLUTION,6825.1,2661.79,,,0
HCPCS,25010068,TORIPALIMAB-TPZI 240 MG/6 ML (40 MG/ML) INTRAVENOUS SOLUTION,57991.1,22616.53,,,0
HCPCS,25010068,TRABECTEDIN 1 MG INTRAVENOUS SOLUTION,51338.0,20021.82,,,0
HCPCS,25010068,TRASTUZUMAB 150 MG INTRAVENOUS SOLUTION,19449.1,7585.15,,,0
HCPCS,25010068,"TRASTUZUMAB 600 MG-HYALURONIDASE-OYSK 10,000 UNIT/5 ML SUBCUT SOLUTION",29173.5,11377.66,,,0
HCPCS,25010068,TRASTUZUMAB-ANNS 150 MG INTRAVENOUS SOLUTION,2546.1,992.98,,,0
HCPCS,25010068,TRASTUZUMAB-ANNS 420 MG INTRAVENOUS SOLUTION,29195.28,11386.16,,,0
HCPCS,25010068,TRASTUZUMAB-DKST 150 MG INTRAVENOUS SOLUTION,4538.6,1770.05,,,0
HCPCS,25010068,TRASTUZUMAB-DKST 420 MG INTRAVENOUS SOLUTION,12441.7,4852.26,,,0
HCPCS,25010068,TRASTUZUMAB-DTTB 150 MG INTRAVENOUS SOLUTION,24797.7,9671.1,,,0
HCPCS,25010068,TRASTUZUMAB-DTTB 420 MG INTRAVENOUS SOLUTION,38960.2,15194.48,,,0
HCPCS,25010068,TRASTUZUMAB-QYYP 420 MG INTRAVENOUS SOLUTION,32143.7,12536.04,,,0
HCPCS,25010068,TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION,158244.9,61715.51,,,0
HCPCS,25010068,TREPROSTINIL SODIUM 1 MG/ML INJECTION SOLUTION,568.25,221.615,,,0
HCPCS,25010068,TRILACICLIB 300 MG INTRAVENOUS SOLUTION,24854.5,9693.26,,,0
HCPCS,25010068,TRIPTORELIN PAMOATE 3.75 MG IM SUSPENSION,6008.4,2343.28,,,0
HCPCS,25010068,UBLITUXIMAB-XIIY 25 MG/ML INTRAVENOUS SOLUTION,232310.2,90600.98,,,0
HCPCS,25010068,USTEKINUMAB 130 MG/26 ML INTRAVENOUS SOLUTION,59095.9,23047.4,,,0
HCPCS,25010068,VANCOMYCIN 1.25 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,160.7,62.67,,,0
HCPCS,25010068,VANCOMYCIN 1.5 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,183.7,71.64,,,0
HCPCS,25010068,VANCOMYCIN 750 MG/150 ML IN DILUENT COMBINATION IV PIGGYBACK,102.5,39.98,,,0
HCPCS,25010068,"VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP",1270.3,495.42,,,0
HCPCS,25010068,"VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT",1502.1,585.82,,,0
HCPCS,25010068,VARICELLA-ZOSTER IMMUNE GLOB-MALTOSE 125 UNIT/1.2 ML IM SOLUTION,79484.5,30998.96,,,0
HCPCS,25010068,VASOPRESSIN 20 UNIT/100 ML (0.2 UNIT/ML) IN 0.9 % SODIUM CHLORIDE IV,1101.6,429.62,,,0
HCPCS,25010068,VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION,65238.6,25443.05,,,0
HCPCS,25010068,VORICONAZOLE 200 MG INTRAVENOUS SOLUTION,629.55,245.52499999999998,,,0
HCPCS,25010068,VUTRISIRAN 25 MG/0.5 ML SUBCUTANEOUS SYRINGE,831876.5,324431.84,,,0
HCPCS,25010068,ZANIDATAMAB-HRII 300 MG INTRAVENOUS SOLUTION,14374.8,5606.17,,,0
HCPCS,25010068,ZOLBETUXIMAB-CLZB 100 MG INTRAVENOUS SOLUTION,89856.0,35043.84,,,0
HCPCS,25010068,ZOLEDRONIC ACID 4 MG/100 ML-MANNITOL-0.9 % NACL INTRAVENOUS PIGGYBACK,883.5,344.565,,,0
HCPCS,25010070,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",93.1,36.31,,,0
HCPCS,25010070,ACETAMINOPHEN 10 MG/ML IV SYRINGE (PEDS),19.6,7.64,,,0
HCPCS,25010070,ACETAMINOPHEN 10 MG/ML IVPB,57.7,22.5,,,0
HCPCS,25010070,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION,205.0,79.95,,,0
HCPCS,25010070,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION,147.8,57.64,,,0
HCPCS,25010070,"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION",149.65,58.365,,,0
HCPCS,25010070,AMIKACIN 500 MG/2 ML INJECTION SOLUTION,78.2,30.5,,,0
HCPCS,25010070,AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION,197.35,76.965,,,0
HCPCS,25010070,AMINOPHYLLINE 500 MG/20 ML INTRAVENOUS SOLUTION,100.0,39.0,,,0
HCPCS,25010070,"AMIODARONE 150 MG/100 ML (1.5 MG/ML) IN DEXTROSE, ISO-OSMOTIC IV",296.4,115.6,,,0
HCPCS,25010070,"AMIODARONE 360 MG/200 ML (1.8 MG/ML) IN DEXTROSE, ISO-OSMOTIC IV",394.6,153.89,,,0
HCPCS,25010070,AMIODARONE 450 MG/250 ML (1.8 MG/ML) IN DEXTROSE 5 % INTRAVENOUS SOLN,249.8,97.42,,,0
HCPCS,25010070,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,48.349999999999994,18.855,,,0
HCPCS,25010070,AMPHOTERICIN B 50 MG SOLUTION FOR INJECTION,512.4,199.84,,,0
HCPCS,25010070,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,61.5,23.98,,,0
HCPCS,25010070,AMPICILLIN 2 GRAM INTRAVENOUS SOLUTION,296.8,115.75,,,0
HCPCS,25010070,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,124.4,48.515,,,0
HCPCS,25010070,AMPICILLIN 250 MG SOLUTION FOR INJECTION,19.85,7.74,,,0
HCPCS,25010070,AMPICILLIN 500 MG SOLUTION FOR INJECTION,19.7,7.68,,,0
HCPCS,25010070,AMPICILLIN-SULBACTAM 1.5 GRAM INTRAVENOUS SOLUTION,46.0,17.94,,,0
HCPCS,25010070,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,36.349999999999994,14.175,,,0
HCPCS,25010070,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,67.44999999999999,26.305,,,0
HCPCS,25010070,ATROPINE 0.1 MG/ML INJECTION SYRINGE,97.8,38.14,,,0
HCPCS,25010070,ATROPINE 0.4 MG/ML INJECTION SOLUTION,30.0,11.7,,,0
HCPCS,25010070,ATROPINE 0.4 MG/ML INTRAVENOUS SOLUTION,122.98,47.96,,,0
HCPCS,25010070,ATROPINE 1 MG/ML INJECTION SOLUTION,107.3,41.85,,,0
HCPCS,25010070,AZATHIOPRINE 50 MG TABLET,11.35,4.43,,,0
HCPCS,25010070,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,61.5,23.98,,,0
HCPCS,25010070,AZTREONAM 1 GRAM SOLUTION FOR INJECTION,253.9,99.02,,,0
HCPCS,25010070,AZTREONAM 2 GRAM SOLUTION FOR INJECTION,539.8,210.51999999999998,,,0
HCPCS,25010070,BACLOFEN 50 MCG/ML INTRATHECAL SOLUTION,337.9,131.78,,,0
HCPCS,25010070,BENZTROPINE 1 MG/ML INJECTION SOLUTION,507.1,197.76999999999998,,,0
HCPCS,25010070,BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION,168.6,65.755,,,0
HCPCS,25010070,BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION,388.1,151.36,,,0
HCPCS,25010070,BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION,538.02,209.825,,,0
HCPCS,25010070,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,39.35,15.345,,,0
HCPCS,25010070,BUMETANIDE 20 MG/80 ML (0.25 MG/ML) INFUSION (SIMPLE),224.1,87.4,,,0
HCPCS,25010070,BUPIVACAINE (PF) 0.125 % (1.25 MG/ML) INJECTION SOLUTION OR MIXTURE (CUSTOM),19.6,7.64,,,0
HCPCS,25010070,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,61.1,23.83,,,0
HCPCS,25010070,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,30.85,12.030000000000001,,,0
HCPCS,25010070,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION,19.6,7.64,,,0
HCPCS,25010070,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,52.3,20.4,,,0
HCPCS,25010070,BUPIVACAINE HCL 0.25 % (2.5 MG/ML) INJECTION SOLUTION,64.6,25.19,,,0
HCPCS,25010070,BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION,45.8,17.86,,,0
HCPCS,25010070,BUTORPHANOL 1 MG/ML INJECTION SOLUTION,69.7,27.18,,,0
HCPCS,25010070,BUTORPHANOL 2 MG/ML INJECTION SOLUTION,85.3,33.27,,,0
HCPCS,25010070,"CABOTEGRAVIR ER 600 MG/3 ML-RILPIVIRINE ER 900 MG/3ML IM SUSPENSION,ER",47321.2,18455.27,,,0
HCPCS,25010070,CAFFEINE CITRATED IV SYRINGE 20 MG/ML LD (PEDS 10 KG AND LESS),131.65,51.345,,,0
HCPCS,25010070,CAFFEINE CITRATED IV SYRINGE 20 MG/ML MD (PEDS 10 KG AND LESS),21.8,8.5,,,0
HCPCS,25010070,"CALCIUM GLUCONATE 1 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION",108.5,42.32,,,0
HCPCS,25010070,"CALCIUM GLUCONATE 1 GRAM/50 ML IN SODIUM CHLORIDE, ISO-OSM IV SOLUTION",185.55,72.36500000000001,,,0
HCPCS,25010070,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,126.4,49.3,,,0
HCPCS,25010070,"CALCIUM GLUCONATE 2 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION",172.6,67.31,,,0
HCPCS,25010070,CALCIUM GLUCONATE 3 GRAM/100 ML IN NS IVPB (SIMPLE),698.4,272.38,,,0
HCPCS,25010070,CAPLACIZUMAB-YHDP 11 MG SOLUTION FOR INJECTION,59744.7,23300.43,,,0
HCPCS,25010070,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,308.25,120.22,,,0
HCPCS,25010070,CEFAZOLIN 1 GRAM INTRAVENOUS SOLUTION,46.7,18.21,,,0
HCPCS,25010070,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,21.5,8.385,,,0
HCPCS,25010070,CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION,43.6,17.0,,,0
HCPCS,25010070,CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION,50.1,19.54,,,0
HCPCS,25010070,CEFAZOLIN 2 GRAM/100 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,205.9,80.3,,,0
HCPCS,25010070,CEFAZOLIN 2 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK,126.1,49.18,,,0
HCPCS,25010070,CEFAZOLIN 3 GRAM INTRAVENOUS SOLUTION,75.0,29.25,,,0
HCPCS,25010070,CEFAZOLIN 500 MG SOLUTION FOR INJECTION,83.2,32.45,,,0
HCPCS,25010070,CEFEPIME 1 GRAM SOLUTION FOR INJECTION,86.55,33.754999999999995,,,0
HCPCS,25010070,CEFEPIME 1 GRAM/50 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,168.1,65.56,,,0
HCPCS,25010070,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,200.9,78.35,,,0
HCPCS,25010070,CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION,95.9,37.4,,,0
HCPCS,25010070,"CEFOXITIN 1 GRAM/50 ML IN DEXTROSE, ISO-OSMOTIC INTRAVENOUS PIGGYBACK",322.2,125.66,,,0
HCPCS,25010070,CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION,119.3,46.53,,,0
HCPCS,25010070,CEFOXITIN 2 GRAM/50 ML IN DEXTROSE(ISO-OSMOTIC) INTRAVENOUS PIGGYBACK,286.5,111.74,,,0
HCPCS,25010070,CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION,41.35,16.13,,,0
HCPCS,25010070,CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION,92.05,35.9,,,0
HCPCS,25010070,CEFTRIAXONE 1 GRAM INTRAVENOUS SOLUTION,36.2,14.120000000000001,,,0
HCPCS,25010070,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,206.5,80.54,,,0
HCPCS,25010070,CEFTRIAXONE 2 GRAM INTRAVENOUS SOLUTION,68.1,26.56,,,0
HCPCS,25010070,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,38.05,14.84,,,0
HCPCS,25010070,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION,72.7,28.35,,,0
HCPCS,25010070,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION,129.35,50.445,,,0
HCPCS,25010070,CEFUROXIME SODIUM 1.5 GRAM INTRAVENOUS SOLUTION,47.65,18.585,,,0
HCPCS,25010070,CEFUROXIME SODIUM 750 MG SOLUTION FOR INJECTION,19.6,7.64,,,0
HCPCS,25010070,CHLOROPROCAINE 10 MG/ML (1 %) INJECTION SOLUTION,51.33,20.02,,,0
HCPCS,25010070,CHLOROPROCAINE 20 MG/ML (2 %) INJECTION SOLUTION,152.6,59.51,,,0
HCPCS,25010070,CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION,683.2,266.45,,,0
HCPCS,25010070,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION,296.1,115.48,,,0
HCPCS,25010070,CIPROFLOXACIN 200 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,26.549999999999997,10.355,,,0
HCPCS,25010070,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,29.950000000000003,11.68,,,0
HCPCS,25010070,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,191.7,74.765,,,0
HCPCS,25010070,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,37.8,14.74,,,0
HCPCS,25010070,CLINDAMYCIN 300 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,33.75,13.165,,,0
HCPCS,25010070,CLINDAMYCIN 600 MG/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK,45.7,17.82,,,0
HCPCS,25010070,CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,109.15,42.57,,,0
HCPCS,25010070,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,154.6,60.29,,,0
HCPCS,25010070,"CLONIDINE (PF) 1,000 MCG/10 ML (100 MCG/ML) EPIDURAL SOLUTION",19.6,7.64,,,0
HCPCS,25010070,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",48.8,19.035,,,0
HCPCS,25010070,CYCLOSPORINE MODIFIED 100 MG CAPSULE (GENERIC),56.4,22.0,,,0
HCPCS,25010070,CYCLOSPORINE MODIFIED 100 MG/ML ORAL SOLUTION (GENERIC),27.45,10.705,,,0
HCPCS,25010070,CYCLOSPORINE MODIFIED 25 MG CAPSULE (GENERIC),56.150000000000006,21.9,,,0
HCPCS,25010070,CYCLOSPORINE MODIFIED 25 MG PO CAPS (GENGRAF ONLY),28.3,11.04,,,0
HCPCS,25010070,CYTARABINE (PF) 100 MG/5 ML (20 MG/ML) INJECTION SOLUTION,66.0,25.74,,,0
HCPCS,25010070,CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) INJECTION SOLUTION,85.435,33.32,,,0
HCPCS,25010070,DACARBAZINE 100 MG INTRAVENOUS SOLUTION,381.2,148.67,,,0
HCPCS,25010070,DACARBAZINE 200 MG INTRAVENOUS SOLUTION,303.4,118.32499999999999,,,0
HCPCS,25010070,DAPTOMYCIN FOR IV PUSH,568.0,221.52,,,0
HCPCS,25010070,DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION,196.7,76.71000000000001,,,0
HCPCS,25010070,DEFEROXAMINE 500 MG SOLUTION FOR INJECTION,444.6,173.395,,,0
HCPCS,25010070,DEXAMETHASONE (PF) 10 MG/ML INJECTION (WRAPPED),49.36,19.25,,,0
HCPCS,25010070,DEXAMETHASONE 0.5 MG/5 ML ORAL SOLUTION,20.4,7.96,,,0
HCPCS,25010070,DEXAMETHASONE 0.75 MG TABLET,5.5,2.14,,,0
HCPCS,25010070,DEXAMETHASONE 1 MG/ML DROPS (CONCENTRATE),24.7,9.63,,,0
HCPCS,25010070,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION,58.9,22.97,,,0
HCPCS,25010070,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJ (WRAPPED),19.6,7.64,,,0
HCPCS,25010070,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,31.3,12.205,,,0
HCPCS,25010070,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE,51.07,19.92,,,0
HCPCS,25010070,DEXTROSE 5 % AND 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,53.7,20.94,,,0
HCPCS,25010070,DEXTROSE 5 % AND LACTATED RINGERS INTRAVENOUS SOLUTION,53.7,20.94,,,0
HCPCS,25010070,DEXTROSE 5 % IN LACTATED RINGERS IV BOLUS,77.2,30.11,,,0
HCPCS,25010070,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS PIGGYBACK,53.7,20.94,,,0
HCPCS,25010070,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,56.650000000000006,22.09,,,0
HCPCS,25010070,DEXTROSE 5 % IV BOLUS,53.7,20.94,,,0
HCPCS,25010070,DIAZEPAM 5 MG/ML INJECTION SOLUTION,30.7,11.97,,,0
HCPCS,25010070,DIAZEPAM 5 MG/ML INJECTION SYRINGE,135.0,52.65,,,0
HCPCS,25010070,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,292.65,114.13499999999999,,,0
HCPCS,25010070,DIGOXIN 100 MCG/ML (0.1 MG/ML) INJECTION SOLUTION,960.0,374.4,,,0
HCPCS,25010070,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION,39.5,15.405,,,0
HCPCS,25010070,DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION,790.5,308.29499999999996,,,0
HCPCS,25010070,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION,20.950000000000003,8.17,,,0
HCPCS,25010070,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION,354.3,138.18,,,0
HCPCS,25010070,"DOBUTAMINE 500 MG/250 ML (2,000 MCG/ML) IN 5 % DEXTROSE IV",260.5,101.595,,,0
HCPCS,25010070,DOCETAXEL 160 MG/8 ML (20 MG/ML) INTRAVENOUS SOLUTION,20506.9,7997.69,,,0
HCPCS,25010070,"DOPAMINE 160 MG/50 ML D5W (3,200 MCG/ML) INFUSION (SIMPLE)",34.45,13.434999999999999,,,0
HCPCS,25010070,DOPAMINE 200 MG/5 ML (40 MG/ML) INTRAVENOUS SOLUTION,19.6,7.64,,,0
HCPCS,25010070,"DOPAMINE 400 MG/250 ML (1,600 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN",128.15,49.975,,,0
HCPCS,25010070,"DOPAMINE 80 MG/50 ML D5W (1,600 MCG/ML) INFUSION (SIMPLE)",23.5,9.16,,,0
HCPCS,25010070,DORNASE ALFA 1 MG/ML SOLUTION FOR INHALATION,1026.1,400.18,,,0
HCPCS,25010070,DOXERCALCIFEROL 4 MCG/2 ML INTRAVENOUS SOLUTION,46.2,18.02,,,0
HCPCS,25010070,DOXORUBICIN 10 MG/5 ML INTRAVENOUS SOLUTION,79.14,30.865000000000002,,,0
HCPCS,25010070,DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION,220.4,85.96,,,0
HCPCS,25010070,DOXORUBICIN 20 MG/10 ML INTRAVENOUS SOLUTION,624.5,243.56,,,0
HCPCS,25010070,DOXORUBICIN 50 MG INTRAVENOUS SOLUTION,1733.5500000000002,676.085,,,0
HCPCS,25010070,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION,378.0,147.42,,,0
HCPCS,25010070,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,231.9,90.44,,,0
HCPCS,25010070,DOXYCYCLINE HYCLATE 100 MG/10ML INTRAVENOUS POWDER FOR SOLUTION (WET SOLR VIAL),214.4,83.62,,,0
HCPCS,25010070,DROPERIDOL 2.5 MG/ML INJ (ED USE ONLY),55.75,21.74,,,0
HCPCS,25010070,DROPERIDOL 2.5 MG/ML INJECTION SOLUTION,41.4,16.15,,,0
HCPCS,25010070,ENOXAPARIN (LOVENOX) 20 MG/ML SIMPLE COMPONENT WMCG ONLY,19.6,7.64,,,0
HCPCS,25010070,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,169.8,66.22,,,0
HCPCS,25010070,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,224.39999999999998,87.515,,,0
HCPCS,25010070,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,119.3,46.53,,,0
HCPCS,25010070,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,44.75,17.455,,,0
HCPCS,25010070,ENOXAPARIN 300 MG/3 ML SUBCUTANEOUS SOLUTION,22.8,8.89,,,0
HCPCS,25010070,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,67.9,26.48,,,0
HCPCS,25010070,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,76.6,29.875,,,0
HCPCS,25010070,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,131.8,51.400000000000006,,,0
HCPCS,25010070,EPINEPHRINE 0.1 MG/ML (IV/IO)(NICU CODE NARRATOR),19.6,7.64,,,0
HCPCS,25010070,EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE,88.35,34.455,,,0
HCPCS,25010070,EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION,73.7,28.740000000000002,,,0
HCPCS,25010070,EPINEPHRINE 1 MG/ML INJECTION SOLUTION,302.85,118.11500000000001,,,0
HCPCS,25010070,EPOPROSTENOL 0.5 MG INTRAVENOUS SOLUTION,380.1,148.24,,,0
HCPCS,25010070,EPOPROSTENOL 1.5 MG INTRAVENOUS SOLUTION,343.70000000000005,134.04500000000002,,,0
HCPCS,25010070,EPTIFIBATIDE 2 MG/ML BOLUS,410.2,159.975,,,0
HCPCS,25010070,ERAVACYCLINE 100 MG INTRAVENOUS SOLUTION,825.1,321.78999999999996,,,0
HCPCS,25010070,ERAVACYCLINE 50 MG INTRAVENOUS SOLUTION,1094.2,426.74,,,0
HCPCS,25010070,ERTAPENEM 1 GRAM INTRAVENOUS SOLUTION,888.9,346.67,,,0
HCPCS,25010070,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,649.05,253.13,,,0
HCPCS,25010070,ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION,683.2,266.45,,,0
HCPCS,25010070,ESTRADIOL VALERATE 20 MG/ML INTRAMUSCULAR OIL,344.8,134.47,,,0
HCPCS,25010070,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,164.6,64.19,,,0
HCPCS,25010070,ETOPOSIDE PHOSPHATE 100 MG INTRAVENOUS SOLUTION,759.8,296.32,,,0
HCPCS,25010070,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
HCPCS,25010070,FAMOTIDINE (PF) 20 MG/50 ML IN 0.9 % NACL (ISO) INTRAVENOUS PIGGYBACK,47.9,18.68,,,0
HCPCS,25010070,FAMOTIDINE 4 MG/ML IV SYRINGE (NEONATE/PEDS),19.6,7.64,,,0
HCPCS,25010070,FENTANYL (PF) 10 MCG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SYRINGE,44.1,17.2,,,0
HCPCS,25010070,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,33.2,12.95,,,0
HCPCS,25010070,FENTANYL 5000 MCG/100 ML (50 MCG/ML) INFUSION (SIMPLE),427.0,166.53,,,0
HCPCS,25010070,FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK,55.550000000000004,21.665,,,0
HCPCS,25010070,FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,119.6,46.64,,,0
HCPCS,25010070,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION,200.385,78.15,,,0
HCPCS,25010070,FLUOROURACIL 500 MG/10 ML INTRAVENOUS SOLUTION,171.7,66.96,,,0
HCPCS,25010070,FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLUTION,225.5,87.94500000000001,,,0
HCPCS,25010070,FOLIC ACID 5 MG/ML INJECTION SOLUTION,37.1,14.465,,,0
HCPCS,25010070,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE,946.6,369.17,,,0
HCPCS,25010070,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE,466.8,182.05,,,0
HCPCS,25010070,FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE,946.6,369.17,,,0
HCPCS,25010070,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE,946.6,369.17,,,0
HCPCS,25010070,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,36.2,14.12,,,0
HCPCS,25010070,FUROSEMIDE 2 MG/ML IN NS IV SYRINGE (NEONATE)SIMPLE,19.6,7.64,,,0
HCPCS,25010070,FUROSEMIDE 500 MG/50 ML (10 MG/ML) INFUSION (SIMPLE),85.4,33.31,,,0
HCPCS,25010070,GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION,1255.45,489.625,,,0
HCPCS,25010070,GEMCITABINE 1 GRAM/26.3 ML (38 MG/ML) INTRAVENOUS SOLUTION,348.3,135.84,,,0
HCPCS,25010070,GEMCITABINE 2 GRAM/52.6 ML (38 MG/ML) INTRAVENOUS SOLUTION,519.45,202.585,,,0
HCPCS,25010070,GEMCITABINE 200 MG/5.26 ML (38 MG/ML) INTRAVENOUS SOLUTION,143.6,56.0,,,0
HCPCS,25010070,GEMCITABINE 2000MG/52.6ML (GEMZAR) FOR BLADDER/INTRAVESICAL (SPLIT SY),415.5,162.04,,,0
HCPCS,25010070,GENTAMICIN 100 MG/100 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,36.8,14.35,,,0
HCPCS,25010070,GENTAMICIN 320 MCG/ML IN 4 % SODIUM CITRATE INTRA-CATHETER SOLUTION,19.6,7.64,,,0
HCPCS,25010070,GENTAMICIN 40 MG/ML INJECTION SOLUTION,46.6,18.17,,,0
HCPCS,25010070,GENTAMICIN 40 MG/ML INJECTION SOLUTION FOR ANTIBIOTIC LOCK,19.6,7.64,,,0
HCPCS,25010070,GENTAMICIN 80 MG/100 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,34.2,13.34,,,0
HCPCS,25010070,GENTAMICIN SULFATE (PEDIATRIC) (PF) 20 MG/2 ML INJECTION SOLUTION,19.6,7.64,,,0
HCPCS,25010070,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,22.3,8.7,,,0
HCPCS,25010070,HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION,284.75,111.05,,,0
HCPCS,25010070,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION,25.15,9.805,,,0
HCPCS,25010070,"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV",136.7,53.315,,,0
HCPCS,25010070,"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN NS",136.7,53.31,,,0
HCPCS,25010070,"HEPARIN (PORCINE) *LIFELINK ONLY* 1,000 UNITS/ML INJECTION SOLN",59.7,23.28,,,0
HCPCS,25010070,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOL FOR ANTIBIOTIC LOCK",19.6,7.64,,,0
HCPCS,25010070,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",50.8,19.81,,,0
HCPCS,25010070,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION",51.25,19.990000000000002,,,0
HCPCS,25010070,"HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV",94.0,36.66,,,0
HCPCS,25010070,"HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNITS/ML) IN 0.45% SODIUM CHLORIDE 1/2NS (SIMPLE)",130.3,50.82,,,0
HCPCS,25010070,"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN",101.45,39.565,,,0
HCPCS,25010070,"HEPARIN (PORCINE) 25,000 UNIT/500 ML (50 UNIT/ML) IN DEXTROSE 5 % IV",102.5,39.975,,,0
HCPCS,25010070,"HEPARIN (PORCINE) 25,000 UNIT/500 ML IN 0.45 % SODIUM CHLORIDE IV SOLN",68.35,26.655,,,0
HCPCS,25010070,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",24.5,9.555,,,0
HCPCS,25010070,"HEPARIN (PORCINE) INJECTION (BOLUS) 1,000 UNITS/ML",24.8,9.67,,,0
HCPCS,25010070,"HEPARIN (REBOLUS HIGH INTENSITY) 1,000 UNITS/ML",19.6,7.64,,,0
HCPCS,25010070,"HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJECTION SOLUTION",19.6,7.64,,,0
HCPCS,25010070,HEXAMINOLEVULINATE 100 MG INTRAVESICAL SOLUTION,9409.5,3669.7,,,0
HCPCS,25010070,HYDRALAZINE 1 MG/ML INJECTION (NEONATE/PEDS),53.9,21.02,,,0
HCPCS,25010070,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,125.19999999999999,48.83,,,0
HCPCS,25010070,HYDROCORTISONE SOD SUCCINATE (PF) 100 MG/2 ML SOLUTION FOR INJECTION,97.9,38.18,,,0
HCPCS,25010070,HYDROCORTISONE SOD SUCCINATE (PF) 250 MG/2 ML SOLUTION FOR INJECTION,72.5,28.28,,,0
HCPCS,25010070,HYDROCORTISONE SODIUM SUCCINATE 100 MG SOLUTION FOR INJECTION,72.5,28.275,,,0
HCPCS,25010070,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,76.75,29.935000000000002,,,0
HCPCS,25010070,HYDROMORPHONE 0.5 MG/0.5 ML INJECTION SYRINGE,28.35,11.055,,,0
HCPCS,25010070,HYDROMORPHONE 1 MG/ML INJECTION (WRAPPED),21.95,8.56,,,0
HCPCS,25010070,HYDROMORPHONE 1 MG/ML INJECTION SYRINGE,33.7,13.14,,,0
HCPCS,25010070,HYDROMORPHONE 2 MG/ML INJECTION (WRAPPED),36.400000000000006,14.195,,,0
HCPCS,25010070,HYDROMORPHONE 2 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
HCPCS,25010070,HYDROXYZINE HCL 50 MG/ML INTRAMUSCULAR SOLUTION,258.65,100.87,,,0
HCPCS,25010070,IBUPROFEN 800 MG/200 ML (4 MG/ML) INTRAVENOUS PIGGYBACK,212.95,83.05000000000001,,,0
HCPCS,25010070,IBUPROFEN 800 MG/8 ML (100 MG/ML) INTRAVENOUS SOLUTION,260.6,101.63,,,0
HCPCS,25010070,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION,942.8,367.69,,,0
HCPCS,25010070,INSULIN REGULAR 100 UNIT/100 ML (1 UNIT/ML) IN 0.9 % NACL IV SOLUTION,298.9,116.57,,,0
HCPCS,25010070,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,327.65,127.785,,,0
HCPCS,25010070,IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION,866.3,337.855,,,0
HCPCS,25010070,IRON SUCROSE 200 MG/100 ML NS IVPB (SIMPLE),819.9,319.76,,,0
HCPCS,25010070,KETOROLAC 15 MG/ML INJECTION SOLUTION,25.7,10.02,,,0
HCPCS,25010070,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,37.7,14.700000000000001,,,0
HCPCS,25010070,LABETALOL 10 MG/2 ML (5 MG/ML) INTRAVENOUS SYRINGE,77.0,30.03,,,0
HCPCS,25010070,LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS SYRINGE,37.8,14.74,,,0
HCPCS,25010070,LABETALOL 25 MG/5 ML (5 MG/ML) INTRAVENOUS SYRINGE,19.6,7.64,,,0
HCPCS,25010070,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,45.7,17.825000000000003,,,0
HCPCS,25010070,LABETALOL INFUSION 5 MG/ML (SIMPLE),128.1,49.96,,,0
HCPCS,25010070,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION,702.55,273.995,,,0
HCPCS,25010070,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION (FOR IV PUSH),402.9,157.13,,,0
HCPCS,25010070,LACTATED RINGERS BOLUS,53.7,20.94,,,0
HCPCS,25010070,LACTATED RINGERS INTRAVENOUS SOLUTION,53.7,20.94,,,0
HCPCS,25010070,LACTATED RINGERS IRRIGATION SOLUTION,42.1,16.42,,,0
HCPCS,25010070,LACTATED RINGERS IV SOLUTION,53.7,20.94,,,0
HCPCS,25010070,LEUCOVORIN CALCIUM 10 MG/ML INJECTION SOLUTION,737.9,287.78,,,0
HCPCS,25010070,LEUCOVORIN CALCIUM 100 MG SOLUTION FOR INJECTION,170.8,66.61,,,0
HCPCS,25010070,LEUCOVORIN CALCIUM 200 MG SOLUTION FOR INJECTION,369.2,143.99,,,0
HCPCS,25010070,LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION,532.9,207.83,,,0
HCPCS,25010070,LEUCOVORIN CALCIUM 50 MG SOLUTION FOR INJECTION,289.2,112.79,,,0
HCPCS,25010070,LEUCOVORIN CALCIUM 500 MG SOLUTION FOR INJECTION,736.1,287.08,,,0
HCPCS,25010070,"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",478.3,186.54,,,0
HCPCS,25010070,"LEVETIRACETAM 1,500 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",678.95,264.78999999999996,,,0
HCPCS,25010070,LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK,219.1,85.45,,,0
HCPCS,25010070,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,38.4,14.98,,,0
HCPCS,25010070,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION (FOR IV PUSH),33.3,12.99,,,0
HCPCS,25010070,LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,51.3,20.01,,,0
HCPCS,25010070,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,58.099999999999994,22.66,,,0
HCPCS,25010070,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,54.5,21.255,,,0
HCPCS,25010070,LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION,839.0,327.21,,,0
HCPCS,25010070,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,251.15,97.945,,,0
HCPCS,25010070,LORAZEPAM 2 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
HCPCS,25010070,LORAZEPAM 4 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
HCPCS,25010070,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,54.7,21.33,,,0
HCPCS,25010070,MAGNESIUM SULFATE 2 GRAM/100 ML IN 0.9 % SODIUM CHL INTRAVEN PIGGYBACK,47.9,18.68,,,0
HCPCS,25010070,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,89.25,34.81,,,0
HCPCS,25010070,MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) IN WATER INTRAVENOUS SOLUTION,51.3,20.01,,,0
HCPCS,25010070,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,64.1,25.0,,,0
HCPCS,25010070,MAGNESIUM SULFATE 4 GRAM/50 ML (8 %) IN WATER INTRAVENOUS PIGGYBACK,69.2,26.99,,,0
HCPCS,25010070,"MAGNESIUM SULFATE 40 GRAM/1,000 ML (4 %) IN WATER INTRAVENOUS SOLUTION",72.65,28.335,,,0
HCPCS,25010070,MAGNESIUM SULFATE 40 MG/ML IV SYRINGE,19.6,7.64,,,0
HCPCS,25010070,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,32.9,12.83,,,0
HCPCS,25010070,MANNITOL 0 MG-5 MG-10 MG-20 MG-40 MG INHALATION POWDER IN A CAPSULE,1150.6,448.73,,,0
HCPCS,25010070,MANNITOL 25 % INTRAVENOUS SOLUTION,64.3,25.08,,,0
HCPCS,25010070,"MEASLES,MUMPS,RUBELLA VACC LIVE(PF)10EXP3.4-4.2-3.3CCID50/0.5ML SUBCUT",0.01,0.0039,,,0
HCPCS,25010070,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION,449.5,175.3,,,0
HCPCS,25010070,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SYRINGE,469.3,183.03,,,0
HCPCS,25010070,MEPERIDINE (PF) 25 MG/ML INJECTION SYRINGE,51.6,20.12,,,0
HCPCS,25010070,MEPERIDINE (PF) 50 MG/ML INJECTION SOLUTION,22.6,8.81,,,0
HCPCS,25010070,MEPERIDINE (PF) 50 MG/ML INJECTION SYRINGE,32.3,12.6,,,0
HCPCS,25010070,MEPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,31.7,12.36,,,0
HCPCS,25010070,MEPIVACAINE (PF) 15 MG/ML (1.5 %) INJECTION SOLUTION,19.6,7.64,,,0
HCPCS,25010070,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,112.8,43.99,,,0
HCPCS,25010070,MEROPENEM 1 GRAM/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK,255.5,99.64,,,0
HCPCS,25010070,MEROPENEM 500 MG INTRAVENOUS SOLUTION,61.5,23.98,,,0
HCPCS,25010070,MESNA 100 MG/ML INTRAVENOUS SOLUTION,213.5,83.26,,,0
HCPCS,25010070,METHACHOLINE CHLORIDE 4 MG/ML NEBULIZATION (SOLUTION B),76.4,29.8,,,0
HCPCS,25010070,METHACHOLINE INHALATION CHALLENGE KIT,57.6,22.46,,,0
HCPCS,25010070,METHADONE 10 MG/ML INJECTION SOLUTION,125.44999999999999,48.925,,,0
HCPCS,25010070,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,85.4,33.31,,,0
HCPCS,25010070,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION,324.09999999999997,126.4,,,0
HCPCS,25010070,METHOTREXATE SODIUM 2.5 MG TABLET,218.7,85.29,,,0
HCPCS,25010070,METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION,234.89999999999998,91.61,,,0
HCPCS,25010070,METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SOLUTION,567.1,221.17,,,0
HCPCS,25010070,METHYLPREDNISOLONE 16 MG TABLET,35.8,13.96,,,0
HCPCS,25010070,METHYLPREDNISOLONE 4 MG TABLET,56.699999999999996,22.115,,,0
HCPCS,25010070,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION PEDIATRIC SYRINGE,77.0,30.03,,,0
HCPCS,25010070,"METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION",138.8,54.13,,,0
HCPCS,25010070,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION,27.8,10.84,,,0
HCPCS,25010070,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,21.0,8.19,,,0
HCPCS,25010070,MICAFUNGIN 100 MG/100 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK,676.4,263.8,,,0
HCPCS,25010070,MICAFUNGIN 50 MG INTRAVENOUS SOLUTION,1357.0,529.23,,,0
HCPCS,25010070,MIDAZOLAM (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,225.5,87.94,,,0
HCPCS,25010070,MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION,19.9,7.76,,,0
HCPCS,25010070,MIDAZOLAM (VERSED) 5 MG/ML NASAL ROUTE ONLY,33.85,13.200000000000001,,,0
HCPCS,25010070,MIDAZOLAM 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,187.9,73.28,,,0
HCPCS,25010070,MIDAZOLAM 1 MG/ML INJ (WRAPPED),18.700000000000003,7.29,,,0
HCPCS,25010070,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
HCPCS,25010070,MIDAZOLAM 5 MG/ML INJ (WRAPPED),64.3,25.08,,,0
HCPCS,25010070,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,49.2,19.19,,,0
HCPCS,25010070,MIDAZOLAM IN NS 50 MG/50 ML (1 MG/ML) INFUSION (SIMPLE),13.9,5.42,,,0
HCPCS,25010070,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,123.0,47.97,,,0
HCPCS,25010070,MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK,136.7,53.31,,,0
HCPCS,25010070,MORPHINE (PF) 0.5 MG/ML INJECTION SOLUTION,172.1,67.12,,,0
HCPCS,25010070,MORPHINE (PF) 1 MG/ML INJECTION SOLUTION,95.14999999999999,37.105,,,0
HCPCS,25010070,MORPHINE (PF) 10 MG/ML INJECTION SOLUTION,44.5,17.36,,,0
HCPCS,25010070,MORPHINE (PF) 25 MG/ML INJECTION SOLUTION,739.9000000000001,288.56,,,0
HCPCS,25010070,MORPHINE (PF) 30 MG/30 ML (1 MG/ML) PCA INTRAVENOUS SOLUTION,119.7,46.68,,,0
HCPCS,25010070,MORPHINE 10 MG/ML INJECTION (WRAPPED),44.25,17.259999999999998,,,0
HCPCS,25010070,MORPHINE 2 MG/ML INJECTION (WRAPPED),30.650000000000002,11.95,,,0
HCPCS,25010070,MORPHINE 4 MG/ ML INJECTION (WRAPPED),21.4,8.35,,,0
HCPCS,25010070,MYCOPHENOLATE MOFETIL 200 MG/ML ORAL POWDER FOR SUSPENSION,165.5,64.54,,,0
HCPCS,25010070,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,60.2,23.48,,,0
HCPCS,25010070,MYCOPHENOLATE MOFETIL 500 MG TABLET,24.0,9.36,,,0
HCPCS,25010070,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE",86.15,33.595,,,0
HCPCS,25010070,"MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE",76.7,29.91,,,0
HCPCS,25010070,NAFCILLIN 1 GRAM SOLUTION FOR INJECTION,19.6,7.64,,,0
HCPCS,25010070,NAFCILLIN 10 GRAM SOLUTION FOR INJECTION,1058.1,412.65999999999997,,,0
HCPCS,25010070,NAFCILLIN 2 GRAM SOLUTION FOR INJECTION,225.5,87.94,,,0
HCPCS,25010070,NALBUPHINE 10 MG/ML INJECTION SOLUTION,37.95,14.8,,,0
HCPCS,25010070,NALBUPHINE 20 MG/ML INJECTION SOLUTION,24.9,9.71,,,0
HCPCS,25010070,NALOXONE 0.4 MG/ML INJECTION SOLUTION,154.7,60.33,,,0
HCPCS,25010070,NALOXONE 1 MG/ML INJECTION SYRINGE,201.5,78.58500000000001,,,0
HCPCS,25010070,NALOXONE 20 MG/50 ML (400 MCG/ML) INFUSION SIMPLE (0.4 MG/ML INGREDIENT),4138.1,1613.86,,,0
HCPCS,25010070,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,24.0,9.36,,,0
HCPCS,25010070,NEOSTIGMINE METHYLSULFATE 4 MG/4 ML (1 MG/ML) INTRAVENOUS SYRINGE,51.3,20.01,,,0
HCPCS,25010070,NEOSTIGMINE METHYLSULFATE 5 MG/5 ML (1 MG/ML) INTRAVENOUS SYRINGE,126.1,49.18,,,0
HCPCS,25010070,NICARDIPINE 0.1 MG/ML IN SODIUM CHLORIDE (OR),48.7,18.99,,,0
HCPCS,25010070,NICARDIPINE 20 MG/200 ML(0.1 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN,695.2,271.13,,,0
HCPCS,25010070,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION,195.0,76.05,,,0
HCPCS,25010070,NICARDIPINE 40 MG/200 ML(0.2 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN,908.3000000000001,354.24,,,0
HCPCS,25010070,NITROGLYCERIN 2000 MCG/10 ML (200 MCG/ML) SYRINGE - CUPID,19.6,7.64,,,0
HCPCS,25010070,NITROGLYCERIN 25 MG/250 ML (100 MCG/ML) IN 5 % DEXTROSE  INTRAVENOUS,175.1,68.29,,,0
HCPCS,25010070,NITROGLYCERIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,132.8,51.79,,,0
HCPCS,25010070,NITROGLYCERIN 50 MG/250 ML (200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS,27.6,10.76,,,0
HCPCS,25010070,NITROGLYCERIN 500 MCG/10 ML (50 MCG/ML) INJECTION VIAL,19.6,7.64,,,0
HCPCS,25010070,"OCTREOTIDE ACETATE 1,000 MCG/ML INJECTION SOLUTION",451.0,175.89,,,0
HCPCS,25010070,OCTREOTIDE ACETATE 100 MCG/ML (1 ML) INJECTION SYRINGE,40.5,15.8,,,0
HCPCS,25010070,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION,56.35,21.975,,,0
HCPCS,25010070,OCTREOTIDE ACETATE 200 MCG/ML INJECTION SOLUTION,848.8,331.03,,,0
HCPCS,25010070,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION,31.65,12.344999999999999,,,0
HCPCS,25010070,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION,798.05,311.24,,,0
HCPCS,25010070,OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION,337.3,131.55,,,0
HCPCS,25010070,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,17.8,6.94,,,0
HCPCS,25010070,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SYRINGE,53.0,20.67,,,0
HCPCS,25010070,ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION,35.9,14.0,,,0
HCPCS,25010070,ONDANSETRON IVPB 12 MG/50 ML NS (SIMPLE)(NGOC),67.8,26.44,,,0
HCPCS,25010070,ONDANSETRON IVPB 16 MG/50 ML NS (SIMPLE)(NGOC),79.3,30.93,,,0
HCPCS,25010070,ONE-STEP ONLY - AMIODARONE IV PUSH,58.699999999999996,22.895000000000003,,,0
HCPCS,25010070,ONE-STEP ONLY - MILRINONE 200 MCG/ML INJECTION FROM BAG,129.9,50.66,,,0
HCPCS,25010070,OXACILLIN 1 GRAM SOLUTION FOR INJECTION,99.8,38.92,,,0
HCPCS,25010070,OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION,742.9,289.73,,,0
HCPCS,25010070,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,533.9000000000001,208.21999999999997,,,0
HCPCS,25010070,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,38.2,14.9,,,0
HCPCS,25010070,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,117.5,45.825,,,0
HCPCS,25010070,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",417.5,162.82,,,0
HCPCS,25010070,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,662.4,258.335,,,0
HCPCS,25010070,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SYRINGE,427.0,166.53,,,0
HCPCS,25010070,PAMIDRONATE 30 MG/10 ML (3 MG/ML) INTRAVENOUS SOLUTION,538.4,209.975,,,0
HCPCS,25010070,PAMIDRONATE 60 MG/10 ML (6 MG/ML) INTRAVENOUS SOLUTION,387.7,151.2,,,0
HCPCS,25010070,PAMIDRONATE 90 MG/10 ML (9 MG/ML) INTRAVENOUS SOLUTION,319.3,124.53,,,0
HCPCS,25010070,PANTOPRAZOLE 4 MG/ML FOR IV PUSH (PEDS) SIMPLE,19.6,7.64,,,0
HCPCS,25010070,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,41.8,16.3,,,0
HCPCS,25010070,PAPAVERINE 30 MG/ML INJECTION SOLUTION,215.3,83.965,,,0
HCPCS,25010070,"PENICILLIN G BENZATHINE 2,400,000 UNIT/4 ML INTRAMUSCULAR SYRINGE",4791.7,1868.76,,,0
HCPCS,25010070,PENICILLIN G POTASSIUM 20 MILLION UNIT SOLUTION FOR INJECTION,72.65,28.335,,,0
HCPCS,25010070,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION,65.2,25.43,,,0
HCPCS,25010070,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION,584.2,227.84,,,0
HCPCS,25010070,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION,326.05,127.16,,,0
HCPCS,25010070,PHENYLEPHRINE 0.5 MG/5 ML (100 MCG/ML)IN 0.9 % SOD.CHLORIDE IV SYRINGE,47.5,18.52,,,0
HCPCS,25010070,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE,15.8,6.16,,,0
HCPCS,25010070,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,169.75,66.19999999999999,,,0
HCPCS,25010070,PHENYLEPHRINE 20 MG/250 ML (80 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,123.0,47.97,,,0
HCPCS,25010070,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
HCPCS,25010070,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION SYRINGE,211.2,82.37,,,0
HCPCS,25010070,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION,365.3,142.47,,,0
HCPCS,25010070,PHYTONADIONE 1 MG/ML ORAL SUSPENSION (NEONATE/PEDS),36.7,14.31,,,0
HCPCS,25010070,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,157.7,61.5,,,0
HCPCS,25010070,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,85.80000000000001,33.465,,,0
HCPCS,25010070,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION (ADV),109.4,42.67,,,0
HCPCS,25010070,PIPERACILLIN-TAZOBACTAM IVPB 3.375 G/50 ML D5W (SIMPLE),141.0,54.99,,,0
HCPCS,25010070,POTASSIUM CHLORIDE 0.4 MEQ/ML IV SYRINGE *CENTRAL* PEDS (PRE-MIX),53.7,20.94,,,0
HCPCS,25010070,POTASSIUM CHLORIDE 10 MEQ + SODIUM BICARB 8.4 % (2.4 MEQ) IN 100 ML NS,53.7,20.94,,,0
HCPCS,25010070,POTASSIUM CHLORIDE 10 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,37.65,14.684999999999999,,,0
HCPCS,25010070,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,22.5,8.78,,,0
HCPCS,25010070,POTASSIUM CHLORIDE 2 MEQ/ML ORAL SYRINGE,22.4,8.735,,,0
HCPCS,25010070,POTASSIUM CHLORIDE 20 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,35.1,13.69,,,0
HCPCS,25010070,POTASSIUM CHLORIDE 20 MEQ/L IN 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLN,53.7,20.94,,,0
HCPCS,25010070,POTASSIUM CHLORIDE 20 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,65.45,25.525,,,0
HCPCS,25010070,POTASSIUM CHLORIDE 20 MEQ/L IN 5 % DEXTROSE INTRAVENOUS SOLUTION,59.8,23.32,,,0
HCPCS,25010070,POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,53.7,20.94,,,0
HCPCS,25010070,POTASSIUM CHLORIDE 40 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,70.15,27.36,,,0
HCPCS,25010070,POTASSIUM PHOSPHATE 30 MMOL IN 250 ML NS IVPB (SIMPLE),69.2,26.99,,,0
HCPCS,25010070,POTASSIUM PHOSPHATE 30 MMOL IN 500 ML NS IVPB (SIMPLE),69.2,26.99,,,0
HCPCS,25010070,POTASSIUM PHOSPHATE 45 MMOL IN 250 ML NS IVPB (SIMPLE),103.7,40.44,,,0
HCPCS,25010070,POTASSIUM PHOSPHATE 45 MMOL IN 500 ML NS IVPB (SIMPLE),103.7,40.44,,,0
HCPCS,25010070,PREDNISOLONE 15 MG/5 ML ORAL SOLUTION,71.5,27.88,,,0
HCPCS,25010070,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION,24.0,9.36,,,0
HCPCS,25010070,PREDNISONE 10 MG TABLET,2.0,0.78,,,0
HCPCS,25010070,PREDNISONE 5 MG/5 ML ORAL SOLUTION,29.65,11.56,,,0
HCPCS,25010070,PREDNISONE 50 MG TABLET,4.8,1.87,,,0
HCPCS,25010070,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,39.2,15.29,,,0
HCPCS,25010070,PROMETHAZINE 25 MG/ML INJ (WRAPPED),24.200000000000003,9.435,,,0
HCPCS,25010070,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
HCPCS,25010070,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,53.2,20.75,,,0
HCPCS,25010070,PROPOFOL INFUSION 10 MG/ML,102.5,39.98,,,0
HCPCS,25010070,PROPRANOLOL 1 MG/ML INTRAVENOUS SOLUTION,98.1,38.26,,,0
HCPCS,25010070,PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION,132.2,51.56,,,0
HCPCS,25010070,PYRIDOXINE (VITAMIN B6) 100 MG/ML INJECTION SOLUTION,92.8,36.19,,,0
HCPCS,25010070,REZAFUNGIN 200 MG INTRAVENOUS SOLUTION,28558.5,11137.82,,,0
HCPCS,25010070,RIFAMPIN 600 MG INTRAVENOUS SOLUTION,1155.55,450.66499999999996,,,0
HCPCS,25010070,ROPIVACAINE (PF) 0.2% ON-Q PAIN PUMP 600 ML,1614.3,629.58,,,0
HCPCS,25010070,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,60.300000000000004,23.52,,,0
HCPCS,25010070,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,141.1,55.03,,,0
HCPCS,25010070,"ROTAVIRUS VACCINE, LIVE, 89-12 STRAIN G1P(8) 10EXP6 CCID50/1.5 ML SUSP",1121.9,437.54,,,0
HCPCS,25010070,SIROLIMUS 1 MG TABLET,269.2,104.99,,,0
HCPCS,25010070,SIROLIMUS 1 MG/ML ORAL SOLUTION,728.6,284.15,,,0
HCPCS,25010070,SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS,543.2,211.85,,,0
HCPCS,25010070,SODIUM HYALURONATE 23 MG/ML INTRAOCULAR SYRINGE,825.6,321.98,,,0
HCPCS,25010070,SODIUM THIOSULFATE 12.5 GRAM/50 ML (250 MG/ML) INTRAVENOUS SOLUTION,836.4,326.2,,,0
HCPCS,25010070,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,52.75,20.575,,,0
HCPCS,25010070,SUCCINYLCHOLINE CHLORIDE 200 MG/10 ML (20 MG/ML) INTRAVENOUS SYRINGE,109.2,42.59,,,0
HCPCS,25010070,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,244.3,95.28,,,0
HCPCS,25010070,"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE",72.5,28.275,,,0
HCPCS,25010070,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE",104.7,40.83,,,0
HCPCS,25010070,TACROLIMUS 1 MG ORAL GRANULES IN PACKET,119.1,46.45,,,0
HCPCS,25010070,"TACROLIMUS 5 MG CAPSULE, IMMEDIATE-RELEASE",119.95,46.78,,,0
HCPCS,25010070,TACROLIMUS ORAL SUSPENSION 0.5 MG/ML,22.8,8.89,,,0
HCPCS,25010070,"TACROLIMUS XR 0.75 MG TABLET,EXTENDED RELEASE 24 HR",40.0,15.6,,,0
HCPCS,25010070,"TACROLIMUS XR 4 MG TABLET,EXTENDED RELEASE 24 HR",426.6,166.37,,,0
HCPCS,25010070,TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION,93.95,36.64,,,0
HCPCS,25010070,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,121.5,47.385000000000005,,,0
HCPCS,25010070,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION,1154.6,450.29,,,0
HCPCS,25010070,TIROFIBAN 12.5 MG/250 ML (50 MCG/ML)-0.9 % SODIUM CHLORIDE INTRAVENOUS,1665.9,649.7,,,0
HCPCS,25010070,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION,877.85,342.365,,,0
HCPCS,25010070,TOBRAMYCIN 40 MG/ML FOR NEBULIZATION,13.1,5.11,,,0
HCPCS,25010070,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,74.94999999999999,29.23,,,0
HCPCS,25010070,TOPOTECAN 4 MG INTRAVENOUS SOLUTION,1048.4,408.88,,,0
HCPCS,25010070,TOPOTECAN 4 MG/4 ML (1 MG/ML) INTRAVENOUS SOLUTION,864.7,337.23,,,0
HCPCS,25010070,TRIAMCINOLONE ACETONIDE 10 MG/ML SUSPENSION FOR INJECTION,20.7,8.07,,,0
HCPCS,25010070,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,81.6,31.825,,,0
HCPCS,25010070,TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE,1021.6,398.42,,,0
HCPCS,25010070,VANCOMYCIN 1 GRAM/200 ML IN DILUENT COMBINATION IV PIGGYBACK,136.7,53.31,,,0
HCPCS,25010070,VANCOMYCIN 1 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE IVPB (PREMIX),89.75,35.005,,,0
HCPCS,25010070,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",61.4,23.95,,,0
HCPCS,25010070,VANCOMYCIN 1.25 GRAM INTRAVENOUS SOLUTION,188.85,73.65,,,0
HCPCS,25010070,VANCOMYCIN 1.25 GRAM/250 ML IN DILUENT COMBINATION IV PIGGYBACK,162.3,63.3,,,0
HCPCS,25010070,VANCOMYCIN 1.5 GRAM INTRAVENOUS SOLUTION,207.0,80.73,,,0
HCPCS,25010070,VANCOMYCIN 1.5 GRAM/300 ML IN DILUENT COMBINATION IV PIGGYBACK,197.3,76.95,,,0
HCPCS,25010070,VANCOMYCIN 1.75 GRAM/350 ML IN DILUENT COMBINATION IV PIGGYBACK,221.2,86.27,,,0
HCPCS,25010070,VANCOMYCIN 1.75 GRAM/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,132.4,51.64,,,0
HCPCS,25010070,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,245.5,95.745,,,0
HCPCS,25010070,VANCOMYCIN 2 GRAM/400 ML IN DILUENT COMBINATION IV PIGGYBACK,239.2,93.29,,,0
HCPCS,25010070,VANCOMYCIN 500 MG (100 MG/ML) INTRAVENOUS SOLUTION - USE FOR ANTIBIOTIC LOCKS,19.6,7.64,,,0
HCPCS,25010070,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,58.05,22.64,,,0
HCPCS,25010070,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,82.0,31.98,,,0
HCPCS,25010070,VANCOMYCIN 750 MG/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,99.95,38.985,,,0
HCPCS,25010070,VANCOMYCIN IVPB 1000 MG/250 ML NS (SIMPLE),151.6,59.12,,,0
HCPCS,25010070,VANCOMYCIN IVPB 1500 MG/250 ML NS (SIMPLE),62.7,24.45,,,0
HCPCS,25010070,VANCOMYCIN IVPB 2500 MG/500 ML NS (SIMPLE),493.1,192.31,,,0
HCPCS,25010070,VANCOMYCIN IVPB 750 MG/250 ML NS (SIMPLE),52.0,20.28,,,0
HCPCS,25010070,VASOPRESSIN 0.2 UNIT/ML D5W INTRAVENOUS SOLUTION,1480.5,577.4,,,0
HCPCS,25010070,VASOPRESSIN 20 UNIT/ML INJECTION (WRAPPED),234.55,91.475,,,0
HCPCS,25010070,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION,357.0,139.23000000000002,,,0
HCPCS,25010070,VINBLASTINE 1 MG/ML INTRAVENOUS SOLUTION,578.8,225.73,,,0
HCPCS,25010070,VINCRISTINE 1 MG/ML INTRAVENOUS SOLUTION,127.5,49.730000000000004,,,0
HCPCS,25010070,VINORELBINE 10 MG/ML INTRAVENOUS SOLUTION,730.55,284.915,,,0
HCPCS,25010070,YELLOW FEVER VACCINE LIVE(PF) 10 EXP4.74 UNIT/0.5 ML SUBCUTANEOUS SUSP,1561.1,608.83,,,0
HCPCS,25010070,ZIDOVUDINE 10 MG/ML INTRAVENOUS SOLUTION,1017.7,396.9,,,0
HCPCS,25010070,ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION,280.1,109.24,,,0
HCPCS,25010070,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION,975.35,380.385,,,0
HCPCS,25010070,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK,2439.5,951.4,,,0
HCPCS,25010072,"BARIUM SULFATE 2.1 % (W/V), 2.0 % (W/W) ORAL SUSPENSION",23.8,9.28,,,0
HCPCS,25010072,CARBOXYDEXTRAN-COATED SUPERPARAMAGNETIC IRON OXIDE SUSPENSION,998.3,389.34,,,0
HCPCS,25010073,CHLORHEXIDINE GLUCONATE 4 % TOPICAL LIQUID,101.4,39.55,,,0
HCPCS,25010073,HYDROGEN PEROXIDE 3 % SOLUTION,11.1,4.33,,,0
HCPCS,25010074,SODIUM CHLORIDE (STERILE) 0.9 % INJECTION SYRINGE,19.6,7.64,,,0
HCPCS,25010074,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,32.05,12.5,,,0
HCPCS,25010074,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,77.2,30.11,,,0
HCPCS,25010074,SODIUM CHLORIDE 0.9% 3000 ML IRRIGATION SOLUTION,109.1,42.55,,,0
HCPCS,25010074,"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION",70.1,27.34,,,0
HCPCS,25010074,"WATER FOR IRRIGATION, STERILE SOLUTION",40.35,15.735000000000001,,,0
HCPCS,25010075,CANDIDA ALBICANS SKIN TEST FDA STANDARD INTRADERMAL,657.6,256.46,,,0
HCPCS,25010083,IDECABTAGENE VICLEUCEL 300 X 10EXP6 TO 510 X 10EXP6 CELL IV SUSPENSION,2641562.2,1030209.26,,,0
HCPCS,25020,Decompress forearm 1 space,,,1633.26,8448.0,13
HCPCS,25023,Decompress forearm 1 space,,,1937.0,12475.93,13
HCPCS,25024,Decompress forearm 2 spaces,,,1937.0,12475.93,13
HCPCS,25025,Decompress forearm 2 spaces,,,1633.26,6179.0,13
HCPCS,25028,Drainage of forearm lesion,,,1308.0,12475.93,13
HCPCS,25031,Drainage of forearm bursa,,,1633.26,6179.0,13
HCPCS,25035,Treat forearm bone lesion,,,1694.0,27667.48,13
HCPCS,25040,Explore/treat wrist joint,,,2664.0,12475.93,13
HCPCS,25065,Biopsy forearm soft tissues,,,1308.0,6297.43,13
HCPCS,25066,Biopsy forearm soft tissues,,,1694.0,11075.49,13
HCPCS,25071,Exc forearm les sc 3 cm/>,,,1677.55,9032.0,12
HCPCS,25071,Hc Exc Tumor Soft Tiss Forearm And/Wrist Subq 3Cm Or Greater,4067.0,1586.13,,,0
HCPCS,25073,Exc forearm tum deep 3 cm/>,,,2950.36,11075.49,12
HCPCS,25075,Exc forearm les sc < 3 cm,,,1677.55,6297.43,13
HCPCS,25076,Exc forearm tum deep < 3 cm,,,1677.55,6297.43,13
HCPCS,25077,Resect forearm/wrist tum<3cm,,,1937.0,11075.49,13
HCPCS,25078,Resect forarm/wrist tum 3cm>,,,2950.36,11075.49,12
HCPCS,25085,Incision of wrist capsule,,,1937.0,12475.93,13
HCPCS,25100,Biopsy of wrist joint,,,1694.0,12475.93,13
HCPCS,25101,Explore/treat wrist joint,,,1937.0,12475.93,13
HCPCS,25105,Remove wrist joint lining,,,2323.0,12475.93,13
HCPCS,25107,Remove wrist joint cartilage,,,1937.0,12475.93,13
HCPCS,25109,Excise tendon forearm/wrist,,,3323.41,12475.93,12
HCPCS,25110,Remove wrist tendon lesion,,,1633.26,6179.0,13
HCPCS,25111,Remove wrist tendon lesion,,,1633.26,6179.0,13
HCPCS,25112,Reremove wrist tendon lesion,,,1633.26,6389.0,13
HCPCS,25115,Remove wrist/forearm lesion,,,1633.26,6389.0,13
HCPCS,25116,Remove wrist/forearm lesion,,,2323.0,12475.93,13
HCPCS,25118,Excise wrist tendon sheath,,,1633.26,6179.0,13
HCPCS,25119,Partial removal of ulna,,,1937.0,12475.93,13
HCPCS,25120,Removal of forearm lesion,,,1937.0,12475.93,13
HCPCS,25125,Remove/graft forearm lesion,,,1633.26,6179.0,13
HCPCS,25126,Remove/graft forearm lesion,,,1937.0,12475.93,13
HCPCS,25130,Removal of wrist lesion,,,1937.0,12475.93,13
HCPCS,25135,Remove & graft wrist lesion,,,1937.0,27667.48,13
HCPCS,25136,Remove & graft wrist lesion,,,1937.0,27667.48,13
HCPCS,25145,Remove forearm bone lesion,,,1694.0,12475.93,13
HCPCS,25150,Partial removal of ulna,,,1694.0,12475.93,13
HCPCS,25151,Partial removal of radius,,,1694.0,12475.93,13
HCPCS,25170,Resect radius/ulnar tumor,,,1937.0,27667.48,13
HCPCS,25210,Removal of wrist bone,,,1937.0,12475.93,13
HCPCS,25215,Removal of wrist bones,,,2323.0,12475.93,13
HCPCS,25230,Partial removal of radius,,,2323.0,12475.93,13
HCPCS,25240,Partial removal of ulna,,,2323.0,12475.93,13
HCPCS,25246,Hc Inj Wrist Arthro,1508.0,588.12,,,0
HCPCS,25246,Injection for wrist x-ray,,,2665.0,3391.0,2
HCPCS,25248,Hc Fb Remove Forearm Comp,25853.0,10082.67,,,0
HCPCS,25248,Remove forearm foreign body,,,1633.26,6179.0,13
HCPCS,25250,Removal of wrist prosthesis,,,1308.0,6131.17,13
HCPCS,25251,Removal of wrist prosthesis,,,1308.0,12475.93,13
HCPCS,25259,Manipulate wrist w/anesthes,,,1633.26,6131.17,12
HCPCS,25260,Repair forearm tendon/muscle,,,2323.0,12475.93,13
HCPCS,25263,Repair forearm tendon/muscle,,,1694.0,27667.48,13
HCPCS,25265,Repair forearm tendon/muscle,,,1937.0,12475.93,13
HCPCS,25270,Repair forearm tendon/muscle,,,2323.0,12475.93,13
HCPCS,25272,Repair forearm tendon/muscle,,,1937.0,12475.93,13
HCPCS,25274,Repair forearm tendon/muscle,,,2323.0,12475.93,13
HCPCS,25275,Repair forearm tendon sheath,,,2323.0,12475.93,13
HCPCS,25280,Revise wrist/forearm tendon,,,2323.0,12475.93,13
HCPCS,25290,Incise wrist/forearm tendon,,,1937.0,12475.93,13
HCPCS,25295,Release wrist/forearm tendon,,,1937.0,12475.93,13
HCPCS,25300,Fusion of tendons at wrist,,,1937.0,12475.93,13
HCPCS,25301,Fusion of tendons at wrist,,,1937.0,12475.93,13
HCPCS,25310,Transplant forearm tendon,,,1937.0,12475.93,13
HCPCS,25312,Transplant forearm tendon,,,2323.0,12475.93,13
HCPCS,25315,Revise palsy hand tendon(s),,,1937.0,27667.48,13
HCPCS,25316,Revise palsy hand tendon(s),,,1937.0,27667.48,13
HCPCS,25320,Repair/revise wrist joint,,,1937.0,27667.48,13
HCPCS,25330,Description Not Available,,,5063.0,5063.0,1
HCPCS,25331,Description Not Available,,,5063.0,5063.0,1
HCPCS,25332,Revise wrist joint,,,2664.0,12475.93,13
HCPCS,25335,Realignment of hand,,,1937.0,12475.93,13
HCPCS,25337,Reconstruct ulna/radioulnar,,,2664.0,27667.48,13
HCPCS,25350,Revision of radius,,,1937.0,27667.48,13
HCPCS,25355,Revision of radius,,,1937.0,12475.93,13
HCPCS,25360,Revision of ulna,,,1937.0,27667.48,13
HCPCS,25365,Revise radius & ulna,,,1937.0,48953.07,13
HCPCS,25370,Revise radius or ulna,,,1937.0,12475.93,13
HCPCS,25375,Revise radius & ulna,,,2323.0,12475.93,13
HCPCS,25390,Shorten radius or ulna,,,1937.0,27667.48,13
HCPCS,25391,Lengthen radius or ulna,,,2323.0,48953.07,13
HCPCS,25392,Shorten radius & ulna,,,1937.0,27667.48,13
HCPCS,25393,Lengthen radius & ulna,,,2323.0,27667.48,13
HCPCS,25394,Repair carpal bone shorten,,,3323.41,12475.93,12
HCPCS,25400,Repair radius or ulna,,,1937.0,27667.48,13
HCPCS,25405,Repair/graft radius or ulna,,,2323.0,27667.48,13
HCPCS,25415,Repair radius & ulna,,,1937.0,27667.48,13
HCPCS,25420,Repair/graft radius & ulna,,,2323.0,27667.48,13
HCPCS,25425,Repair/graft radius or ulna,,,1937.0,27667.48,13
HCPCS,25426,Repair/graft radius & ulna,,,2323.0,12475.93,13
HCPCS,25430,Vasc graft into carpal bone,,,3323.41,12475.93,12
HCPCS,25431,Repair nonunion carpal bone,,,4220.0,27667.48,12
HCPCS,25440,Repair/graft wrist bone,,,2323.0,27667.48,13
HCPCS,25441,Reconstruct wrist joint,,,2664.0,48953.07,12
HCPCS,25442,Reconstruct wrist joint,,,2664.0,66855.32,12
HCPCS,25443,Reconstruct wrist joint,,,2664.0,27667.48,13
HCPCS,25444,Reconstruct wrist joint,,,2664.0,48953.07,13
HCPCS,25445,Reconstruct wrist joint,,,2664.0,27667.48,13
HCPCS,25446,Wrist replacement,,,3721.0,66855.32,12
HCPCS,25447,Repair wrist joints,,,2664.0,12475.93,13
HCPCS,25448,Arthrp ntrcrpl/crp/mtcrp ssp,,,3323.41,12475.93,11
HCPCS,25449,Remove wrist joint implant,,,2664.0,27667.48,13
HCPCS,25450,Revision of wrist joint,,,1937.0,12475.93,13
HCPCS,25455,Revision of wrist joint,,,1937.0,12475.93,13
HCPCS,25490,Reinforce radius,,,1937.0,27667.48,13
HCPCS,25491,Reinforce ulna,,,1937.0,48953.07,13
HCPCS,25492,Reinforce radius and ulna,,,1937.0,12475.93,13
HCPCS,25500,Hc Radial Shaft Fx Wo Manip,2309.0,900.51,,,0
HCPCS,25500,Treat fracture of radius,,,250.54,3391.0,11
HCPCS,25505,Hc Radial Shaft Fx W Manip,7903.0,3082.17,,,0
HCPCS,25505,Treat fracture of radius,,,1308.0,6131.17,13
HCPCS,25515,Treat fracture of radius,,,1937.0,27667.48,13
HCPCS,25520,Hc Cl Tx Rdl Shft Fx And Disl Dstl Rad/Uln Jt Galeazzi,7165.0,2794.35,,,0
HCPCS,25520,Treat fracture of radius,,,1308.0,6131.17,13
HCPCS,25525,Treat fracture of radius,,,2323.0,27667.48,13
HCPCS,25526,Treat fracture of radius,,,2664.0,27667.48,13
HCPCS,25530,Hc Ulnar Fx Shaft Wo Manip,2067.0,806.13,,,0
HCPCS,25530,Treat fracture of ulna,,,250.54,3391.0,11
HCPCS,25535,Hc Ulnar Fx Shaft W Manip,2067.0,806.13,,,0
HCPCS,25535,Treat fracture of ulna,,,250.54,3391.0,13
HCPCS,25545,Treat fracture of ulna,,,1937.0,27667.48,13
HCPCS,25560,Hc Radial/Ulnar Fx Shaft Wo Manip,2067.0,806.13,,,0
HCPCS,25560,Treat fracture radius & ulna,,,250.54,3391.0,12
HCPCS,25565,Hc Radial/Ulnar Fx Shaft W Manip,8838.0,3446.82,,,0
HCPCS,25565,Treat fracture radius & ulna,,,1633.26,6131.17,13
HCPCS,25574,Treat fracture radius & ulna,,,1937.0,27667.48,13
HCPCS,25575,Treat fracture radius/ulna,,,1937.0,27667.48,13
HCPCS,25600,Hc Radial Distal Fx Wo Manip,2067.0,806.13,,,0
HCPCS,25600,Treat fracture radius/ulna,,,250.54,3391.0,11
HCPCS,25605,Hc Radial Distal Fx W Manip,8838.0,3446.82,,,0
HCPCS,25605,Treat fracture radius/ulna,,,1633.26,6131.17,13
HCPCS,25606,Treat Fx Distal Radial,,,1937.0,12475.93,13
HCPCS,25607,Treat Fx Rad Extra-Articul,,,2664.0,27667.48,13
HCPCS,25608,Treat Fx Rad Intra-Articul,,,2664.0,27667.48,13
HCPCS,25609,Treat Fx Radial 3+ Frag,,,2664.0,27667.48,13
HCPCS,25611,Treat fracture radius/ulna,,,1937.0,5063.0,2
HCPCS,25620,Treat fracture radius/ulna,,,2664.0,5063.0,2
HCPCS,25622,Clsd Tx Navicular Fx W/O Manip,923.0,359.97,,,0
HCPCS,25622,Hc Carpal Scaphoid Fx Wo Manip,2309.0,900.51,,,0
HCPCS,25622,Treat wrist bone fracture,,,250.54,5063.0,11
HCPCS,25624,Clsd Tx Carpl S Caphoid Fx W/M,5159.0,2012.01,,,0
HCPCS,25624,Hc Carpal Scaphoid Fx W Manip,7903.0,3082.17,,,0
HCPCS,25624,Treat wrist bone fracture,,,1633.26,6131.17,13
HCPCS,25628,Treat wrist bone fracture,,,1937.0,27667.48,13
HCPCS,25630,Hc Carpal Fx Wo Manip,2309.0,900.51,,,0
HCPCS,25630,Treat wrist bone fracture,,,250.54,3391.0,11
HCPCS,25635,Hc Carpal Fx W Manip,7903.0,3082.17,,,0
HCPCS,25635,Treat wrist bone fracture,,,1308.0,6131.17,13
HCPCS,25645,Treat wrist bone fracture,,,1937.0,15026.0,13
HCPCS,25650,Hc Ulnar Styloid Fx Wo Manip,2309.0,900.51,,,0
HCPCS,25650,Treat wrist bone fracture,,,250.54,5063.0,11
HCPCS,25651,Hc Ulnar Styloid Fx W Ske,36511.0,14239.29,,,0
HCPCS,25651,Pin ulnar styloid fracture,,,3323.41,12475.93,12
HCPCS,25652,Treat fracture ulnar styloid,,,4220.0,27667.48,12
HCPCS,25660,Hc Intercarpal Disl W Manip,2067.0,806.13,,,0
HCPCS,25660,Treat wrist dislocation,,,250.54,3391.0,13
HCPCS,25670,Treat wrist dislocation,,,1937.0,27667.48,13
HCPCS,25671,Pin radioulnar dislocation,,,1308.0,12475.93,13
HCPCS,25675,Hc Radioulnar Disl W Manip,2067.0,806.13,,,0
HCPCS,25675,Treat wrist dislocation,,,250.54,3391.0,13
HCPCS,25676,Treat wrist dislocation,,,1694.0,27667.48,13
HCPCS,25680,Hc Scaphoperilunar Fx/Dis W Manip,2067.0,806.13,,,0
HCPCS,25680,Treat wrist fracture,,,250.54,4714.0,13
HCPCS,25685,Treat wrist fracture,,,1937.0,27667.48,13
HCPCS,25690,Hc Lunate Disl W Manip 50,25500.0,9945.0,,,0
HCPCS,25690,Treat wrist dislocation,,,1308.0,6131.17,13
HCPCS,25695,Treat wrist dislocation,,,1694.0,27667.48,13
HCPCS,25800,Fusion of wrist joint,,,2323.0,27667.48,13
HCPCS,25805,Fusion/graft of wrist joint,,,2664.0,27667.48,13
HCPCS,25810,Fusion/graft of wrist joint,,,2664.0,48953.07,13
HCPCS,25820,Fusion of hand bones,,,2323.0,27667.48,13
HCPCS,25825,Fuse hand bones with graft,,,2664.0,27667.48,13
HCPCS,25830,Fusion radioulnar jnt/ulna,,,2664.0,27667.48,13
HCPCS,25900,Amputation of forearm,,,5063.0,27667.48,11
HCPCS,25905,Amputation of forearm,,,5063.0,27667.48,11
HCPCS,25907,Amputation follow-up surgery,,,1937.0,12475.93,13
HCPCS,25909,Amputation follow-up surgery,,,5809.0,27667.48,11
HCPCS,25915,Amputation of forearm,,,5063.0,27667.48,11
HCPCS,25920,Amputate hand at wrist,,,3323.41,15026.0,11
HCPCS,25922,Amputate hand at wrist,,,1633.26,6179.0,13
HCPCS,25924,Amputation follow-up surgery,,,3323.41,15026.0,11
HCPCS,25927,Amputation of hand,,,3323.41,12475.93,11
HCPCS,25929,Amputation follow-up surgery,,,1937.0,7867.16,13
HCPCS,25931,Amputation follow-up surgery,,,3323.41,12475.93,11
HCPCS,25999,Forearm or wrist surgery,,,250.54,3391.0,11
HCPCS,26010,Drainage of finger abscess,,,203.79,5063.0,12
HCPCS,26010,Hc Drainage Abscess Finger Simp,2038.0,794.82,,,0
HCPCS,26011,Drainage of finger abscess,,,1308.0,6297.43,13
HCPCS,26011,Hc I And D Finger Comp,16172.0,6307.08,,,0
HCPCS,26020,Drain hand tendon sheath,,,1694.0,12475.93,13
HCPCS,26025,Drainage of palm bursa,,,1308.0,12475.93,13
HCPCS,26030,Drainage of palm bursas,,,1694.0,12475.93,13
HCPCS,26034,Treat hand bone lesion,,,1633.26,6131.17,13
HCPCS,26035,Decompress fingers/hand,,,2323.0,12475.93,13
HCPCS,26037,Decompress fingers/hand,,,2323.0,12475.93,13
HCPCS,26040,Release palm contracture,,,1633.26,6389.0,13
HCPCS,26045,Release palm contracture,,,1937.0,12475.93,13
HCPCS,26055,Incise finger tendon sheath,,,1633.26,6131.17,13
HCPCS,26060,Incision of finger tendon,,,1633.26,6131.17,13
HCPCS,26070,Explore/treat hand joint,,,1633.26,6131.17,13
HCPCS,26075,Explore/treat finger joint,,,2323.0,12475.93,13
HCPCS,26080,Explore/treat finger joint,,,1633.26,6389.0,13
HCPCS,26100,Biopsy hand joint lining,,,1694.0,12475.93,13
HCPCS,26105,Biopsy finger joint lining,,,1308.0,12475.93,13
HCPCS,26110,Biopsy finger joint lining,,,1308.0,6131.17,13
HCPCS,26111,Exc hand les sc 1.5 cm/>,,,1677.55,9032.0,12
HCPCS,26113,Exc hand tum deep 1.5 cm/>,,,1677.55,9032.0,12
HCPCS,26115,Exc hand les sc < 1.5 cm,,,1677.55,6297.43,13
HCPCS,26116,Exc hand tum deep < 1.5 cm,,,1677.55,6297.43,13
HCPCS,26117,Rad resect hand tumor < 3 cm,,,1937.0,11075.49,13
HCPCS,26118,Rad resect hand tumor 3 cm/>,,,2950.36,11075.49,12
HCPCS,26121,Release palm contracture,,,2323.0,12475.93,13
HCPCS,26123,Release palm contracture,,,2323.0,12475.93,13
HCPCS,26125,Release palm contracture,,,2323.0,6389.0,3
HCPCS,26130,Remove wrist joint lining,,,1937.0,12475.93,13
HCPCS,26135,Revise finger joint each,,,2323.0,12475.93,13
HCPCS,26140,Revise finger joint each,,,1633.26,6131.17,13
HCPCS,26145,Tendon excision palm/finger,,,1633.26,6131.17,13
HCPCS,26160,Remove tendon sheath lesion,,,1633.26,6131.17,13
HCPCS,26170,Removal of palm tendon each,,,1633.26,6131.17,13
HCPCS,26180,Removal of finger tendon,,,1633.26,6131.17,13
HCPCS,26185,Remove finger bone,,,1633.26,6389.0,13
HCPCS,26200,Remove hand bone lesion,,,1633.26,6131.17,13
HCPCS,26205,Remove/graft bone lesion,,,1937.0,27667.48,13
HCPCS,26210,Removal of finger lesion,,,1633.26,6131.17,13
HCPCS,26215,Remove/graft finger lesion,,,1937.0,12475.93,13
HCPCS,26230,Partial removal of hand bone,,,3323.41,12475.93,13
HCPCS,26235,Partial removal finger bone,,,1633.26,6131.17,13
HCPCS,26236,Er Excision Bone Phalanx Dista,4668.0,1820.52,,,0
HCPCS,26236,Hc Partial Excision Distal Phalanx Finger,4668.0,1820.52,,,0
HCPCS,26236,Partial removal finger bone,,,1633.26,6131.17,13
HCPCS,26250,Extensive hand surgery,,,1937.0,12475.93,13
HCPCS,26255,Extensive hand surgery,,,1937.0,5063.0,2
HCPCS,26260,Resect prox finger tumor,,,1937.0,12475.93,13
HCPCS,26261,Extensive finger surgery,,,1937.0,5063.0,2
HCPCS,26262,Resect distal finger tumor,,,1633.26,6131.17,13
HCPCS,26320,Removal of implant from hand,,,1677.55,6297.43,13
HCPCS,26340,Manipulate finger w/anesth,,,1633.26,6131.17,12
HCPCS,26341,Manipulat palm cord post inj,,,250.54,3391.0,12
HCPCS,26350,Repair finger/hand tendon,,,1308.0,12475.93,13
HCPCS,26352,Repair/graft hand tendon,,,2323.0,27667.48,13
HCPCS,26356,Repair finger/hand tendon,,,2323.0,12475.93,13
HCPCS,26357,Repair finger/hand tendon,,,2323.0,12475.93,13
HCPCS,26358,Repair/graft hand tendon,,,2323.0,27667.48,13
HCPCS,26370,Repair finger/hand tendon,,,2323.0,12475.93,13
HCPCS,26372,Repair/graft hand tendon,,,2323.0,27667.48,13
HCPCS,26373,Repair finger/hand tendon,,,1937.0,12475.93,13
HCPCS,26390,Revise hand/finger tendon,,,2323.0,27667.48,13
HCPCS,26392,Repair/graft hand tendon,,,1937.0,27667.48,13
HCPCS,26410,Hc Repair Extensor Tendon Hand W/O Graft Each,4613.0,1799.07,,,0
HCPCS,26410,Repair hand tendon,,,1633.26,6131.17,13
HCPCS,26412,Repair/graft hand tendon,,,1937.0,12475.93,13
HCPCS,26415,Excision hand/finger tendon,,,2323.0,12475.93,13
HCPCS,26416,Graft hand or finger tendon,,,1937.0,12475.93,13
HCPCS,26418,Hc Extensor Tendon Repair Each,29028.0,11320.92,,,0
HCPCS,26418,Repair finger tendon,,,1633.26,6389.0,13
HCPCS,26420,Repair/graft finger tendon,,,2323.0,12475.93,13
HCPCS,26426,Repair finger/hand tendon,,,1937.0,12475.93,13
HCPCS,26428,Repair/graft finger tendon,,,1937.0,12475.93,13
HCPCS,26432,Hc Cl Tx Dstl Xtnsr Tdn Insj W/Wo Perc Pin Mallet Finger,8390.0,3272.1,,,0
HCPCS,26432,Repair finger tendon,,,1633.26,6131.17,13
HCPCS,26433,Repair finger tendon,,,1937.0,12475.93,13
HCPCS,26434,Repair/graft finger tendon,,,1937.0,12475.93,13
HCPCS,26437,Realignment of tendons,,,1937.0,12475.93,13
HCPCS,26440,Release palm/finger tendon,,,1633.26,6131.17,13
HCPCS,26442,Release palm & finger tendon,,,1937.0,12475.93,13
HCPCS,26445,Release hand/finger tendon,,,1937.0,12475.93,13
HCPCS,26449,Release forearm/hand tendon,,,1937.0,12475.93,13
HCPCS,26450,Incision of palm tendon,,,1937.0,12475.93,13
HCPCS,26455,Incision of finger tendon,,,1633.26,6131.17,13
HCPCS,26460,Incise hand/finger tendon,,,1633.26,6131.17,13
HCPCS,26471,Fusion of finger tendons,,,1694.0,12475.93,13
HCPCS,26474,Fusion of finger tendons,,,1633.26,6131.17,13
HCPCS,26476,Tendon lengthening,,,1308.0,12475.93,13
HCPCS,26477,Tendon shortening,,,1308.0,12475.93,13
HCPCS,26478,Lengthening of hand tendon,,,1308.0,12475.93,13
HCPCS,26479,Shortening of hand tendon,,,1308.0,12475.93,13
HCPCS,26480,Transplant hand tendon,,,1937.0,12475.93,13
HCPCS,26483,Transplant/graft hand tendon,,,1937.0,12475.93,13
HCPCS,26485,Transplant palm tendon,,,1694.0,12475.93,13
HCPCS,26489,Transplant/graft palm tendon,,,1937.0,12475.93,13
HCPCS,26490,Revise thumb tendon,,,1937.0,12475.93,13
HCPCS,26492,Tendon transfer with graft,,,1937.0,12475.93,13
HCPCS,26494,Hand tendon/muscle transfer,,,1937.0,12475.93,13
HCPCS,26496,Revise thumb tendon,,,1937.0,12475.93,13
HCPCS,26497,Finger tendon transfer,,,1937.0,12475.93,13
HCPCS,26498,Finger tendon transfer,,,2323.0,12475.93,13
HCPCS,26499,Revision of finger,,,1937.0,12475.93,13
HCPCS,26500,Hand tendon reconstruction,,,2323.0,27667.48,13
HCPCS,26502,Hand tendon reconstruction,,,2323.0,12475.93,13
HCPCS,26504,Hand tendon reconstruction,,,2323.0,5063.0,2
HCPCS,26508,Release thumb contracture,,,1937.0,12475.93,13
HCPCS,26510,Thumb tendon transfer,,,1937.0,12475.93,13
HCPCS,26516,Fusion of knuckle joint,,,1308.0,12475.93,13
HCPCS,26517,Fusion of knuckle joints,,,1937.0,12475.93,13
HCPCS,26518,Fusion of knuckle joints,,,1937.0,27667.48,13
HCPCS,26520,Release knuckle contracture,,,1937.0,12475.93,13
HCPCS,26525,Release finger contracture,,,1633.26,6131.17,13
HCPCS,26530,Revise knuckle joint,,,1937.0,27667.48,13
HCPCS,26531,Revise knuckle with implant,,,3721.0,27667.48,13
HCPCS,26535,Revise finger joint,,,2664.0,12475.93,13
HCPCS,26536,Revise/implant finger joint,,,2664.0,27667.48,13
HCPCS,26540,Repair hand joint,,,2323.0,12475.93,13
HCPCS,26541,Repair hand joint with graft,,,3323.41,12475.93,13
HCPCS,26542,Repair hand joint with graft,,,2323.0,12475.93,13
HCPCS,26545,Reconstruct finger joint,,,2323.0,12475.93,13
HCPCS,26546,Repair nonunion hand,,,2323.0,27667.48,13
HCPCS,26548,Reconstruct finger joint,,,2323.0,12475.93,13
HCPCS,26550,Construct thumb replacement,,,1694.0,12475.93,13
HCPCS,26551,Great toe-hand transfer,,,2323.0,27667.48,12
HCPCS,26552,Description Not Available,,,5063.0,5063.0,1
HCPCS,26553,Single transfer toe-hand,,,1694.0,27667.48,12
HCPCS,26554,Double transfer toe-hand,,,1694.0,27667.48,12
HCPCS,26555,Positional change of finger,,,1937.0,27667.48,13
HCPCS,26556,Toe joint transfer,,,6389.0,27667.48,11
HCPCS,26557,Description Not Available,,,5063.0,5063.0,1
HCPCS,26558,Description Not Available,,,5063.0,5063.0,1
HCPCS,26559,Description Not Available,,,5063.0,5063.0,1
HCPCS,26560,Repair of web finger,,,1633.26,6131.17,13
HCPCS,26561,Repair of web finger,,,1937.0,12475.93,13
HCPCS,26562,Repair of web finger,,,2323.0,12475.93,13
HCPCS,26565,Correct metacarpal flaw,,,2664.0,12475.93,13
HCPCS,26567,Correct finger deformity,,,2664.0,12475.93,13
HCPCS,26568,Lengthen metacarpal/finger,,,1937.0,27667.48,13
HCPCS,26580,Repair hand deformity,,,2664.0,12475.93,13
HCPCS,26585,Description Not Available,,,5063.0,5063.0,1
HCPCS,26587,Hc Rcnst Polydactylous Digit Soft Tissue Bone,4546.0,1772.94,,,0
HCPCS,26587,Reconstruct extra finger,,,2664.0,12475.93,13
HCPCS,26590,Repair finger deformity,,,1633.26,6760.0,13
HCPCS,26591,Repair muscles of hand,,,1937.0,12475.93,13
HCPCS,26593,Release muscles of hand,,,1937.0,12475.93,13
HCPCS,26596,Excision constricting tissue,,,1694.0,12475.93,13
HCPCS,26597,Description Not Available,,,5063.0,5063.0,1
HCPCS,26600,Hc Metacarpal Fx Wo Manip Uni,2067.0,806.13,,,0
HCPCS,26600,Treat metacarpal fracture,,,250.54,5063.0,11
HCPCS,26605,Hc Metacarpal Fx W Manip Uni,2309.0,900.51,,,0
HCPCS,26605,Treat metacarpal fracture,,,250.54,4714.0,13
HCPCS,26607,Hc Cl Tx Metacarpal Fx W/Manj W/Xtrnl Fixj Ea Bone,16761.0,6536.79,,,0
HCPCS,26607,Treat metacarpal fracture,,,1694.0,12475.93,13
HCPCS,26608,Hc Metacarpal Fx W Ske Uni,15856.0,6183.84,,,0
HCPCS,26608,Treat metacarpal fracture,,,2323.0,12475.93,13
HCPCS,26615,Treat metacarpal fracture,,,2323.0,15026.0,13
HCPCS,26641,Hc Thumb Disl W Manip Uni,2067.0,806.13,,,0
HCPCS,26641,Treat thumb dislocation,,,250.54,5063.0,11
HCPCS,26645,Hc Thumb Fx/Dis W Manip Uni,7903.0,3082.17,,,0
HCPCS,26645,Treat thumb fracture,,,1308.0,6131.17,13
HCPCS,26650,Treat thumb fracture,,,1694.0,12475.93,13
HCPCS,26665,Treat thumb fracture,,,2323.0,15026.0,13
HCPCS,26670,Hc Carpometacarp Disl Uni Wo Anes,2309.0,900.51,,,0
HCPCS,26670,Treat hand dislocation,,,250.54,5063.0,11
HCPCS,26675,Hc Carpometacarp Disl W Manip And Anes Uni,7903.0,3082.17,,,0
HCPCS,26675,Treat hand dislocation,,,1633.26,6131.17,13
HCPCS,26676,Hc Carpometacarp Disl W Manip And Ske Uni,32651.0,12733.89,,,0
HCPCS,26676,Pin hand dislocation,,,1694.0,12475.93,13
HCPCS,26685,Treat hand dislocation,,,1937.0,12475.93,13
HCPCS,26686,Treat hand dislocation,,,1937.0,15026.0,13
HCPCS,26700,Hc Metacarpoppha Disl W Manip Uni Wo Anes,2067.0,806.13,,,0
HCPCS,26700,Treat knuckle dislocation,,,250.54,5063.0,11
HCPCS,26705,Hc Metacarpopphal Disl Wmanip And Anes Uni,2496.0,973.44,,,0
HCPCS,26705,Treat knuckle dislocation,,,1633.26,6131.17,13
HCPCS,26706,Pin knuckle dislocation,,,1694.0,12475.93,13
HCPCS,26715,Treat knuckle dislocation,,,2323.0,12475.93,13
HCPCS,26720,Hc Finger Fx Prox/Md Wo Manip,2067.0,806.13,,,0
HCPCS,26720,Treat finger fracture each,,,250.54,3391.0,11
HCPCS,26725,Hc Finger Fx Prox/Md W Manip,2067.0,806.13,,,0
HCPCS,26725,Treat finger fracture each,,,250.54,4714.0,11
HCPCS,26727,Hc Finger Fx Prox/Md W Ske,32651.0,12733.89,,,0
HCPCS,26727,Treat finger fracture each,,,3323.41,12475.93,13
HCPCS,26735,Treat finger fracture each,,,2323.0,12475.93,13
HCPCS,26740,Hc Articular Fx Wo Manip Uni,2067.0,806.13,,,0
HCPCS,26740,Treat finger fracture each,,,250.54,3391.0,11
HCPCS,26742,Hc Articular Fx W Manip Uni,2869.0,1118.91,,,0
HCPCS,26742,Treat finger fracture each,,,1633.26,6131.17,13
HCPCS,26746,Treat finger fracture each,,,2664.0,12475.93,13
HCPCS,26750,Hc Finger Fx Distal Wo Manip,2067.0,806.13,,,0
HCPCS,26750,Treat finger fracture each,,,250.54,5063.0,12
HCPCS,26755,Hc Finger Fx Distal W Manip,2309.0,900.51,,,0
HCPCS,26755,Treat finger fracture each,,,250.54,5063.0,11
HCPCS,26756,Hc Finger Fx Distal W Ske,32651.0,12733.89,,,0
HCPCS,26756,Pin finger fracture each,,,1694.0,12475.93,13
HCPCS,26765,Hc Open Tx Distal Phalangeal Fracture Each,9687.0,3777.93,,,0
HCPCS,26765,Treat finger fracture each,,,2323.0,12475.93,13
HCPCS,26770,Hc Finger Disl Wo Anes,2309.0,900.51,,,0
HCPCS,26770,Treat finger dislocation,,,250.54,5063.0,11
HCPCS,26775,Hc Finger Disl W Anes,22342.0,8713.38,,,0
HCPCS,26775,Treat finger dislocation,,,284.09,5063.0,12
HCPCS,26776,Hc Finger Disl W Manip W Ske,32651.0,12733.89,,,0
HCPCS,26776,Pin finger dislocation,,,1694.0,12475.93,13
HCPCS,26785,Treat finger dislocation,,,1694.0,12475.93,13
HCPCS,26820,Thumb fusion with graft,,,2664.0,27667.48,13
HCPCS,26841,Fusion of thumb,,,2323.0,27667.48,13
HCPCS,26842,Thumb fusion with graft,,,2323.0,27667.48,13
HCPCS,26843,Fusion of hand joint,,,1937.0,27667.48,13
HCPCS,26844,Fusion/graft of hand joint,,,1937.0,27667.48,13
HCPCS,26850,Fusion of knuckle,,,2323.0,27667.48,13
HCPCS,26852,Fusion of knuckle with graft,,,2323.0,27667.48,13
HCPCS,26860,Fusion of finger joint,,,1937.0,12475.93,13
HCPCS,26861,Fusion of finger jnt add-on,,,1694.0,4714.0,3
HCPCS,26862,Fusion/graft of finger joint,,,2323.0,12475.93,13
HCPCS,26863,Fuse/graft added joint,,,1937.0,5809.0,3
HCPCS,26910,Amputate metacarpal bone,,,1937.0,12475.93,13
HCPCS,26951,Amputation of finger/thumb,,,1694.0,12475.93,13
HCPCS,26951,Hc Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr,8414.0,3281.46,,,0
HCPCS,26952,Amputation of finger/thumb,,,2323.0,12475.93,13
HCPCS,26989,Hand/finger surgery,,,250.54,3391.0,11
HCPCS,26990,Drainage of pelvis lesion,,,1308.0,12475.93,13
HCPCS,26990,Hc Drain Pelvis Hip Joint Area Deep Abscess Or Hematoma,30554.0,11916.06,,,0
HCPCS,26991,Drainage of pelvis bursa,,,1308.0,6179.0,13
HCPCS,26992,Drainage of bone lesion,,,1694.0,12475.93,12
HCPCS,27000,Incision of hip tendon,,,1633.26,6179.0,13
HCPCS,27001,Incision of hip tendon,,,1937.0,12475.93,13
HCPCS,27003,Incision of hip tendon,,,1937.0,27667.48,13
HCPCS,27005,Incision of hip tendon,,,3323.41,15026.0,11
HCPCS,27006,Incision of hip tendons,,,3323.41,12475.93,11
HCPCS,27025,Incision of hip/thigh fascia,,,3323.41,15026.0,11
HCPCS,27027,Buttock fasciotomy,,,4714.0,27667.48,12
HCPCS,27030,Drainage of hip joint,,,1937.0,27667.48,12
HCPCS,27033,Exploration of hip joint,,,1937.0,27667.48,13
HCPCS,27035,Denervation of hip joint,,,2323.0,12475.93,13
HCPCS,27036,Excision of hip joint/muscle,,,6389.0,27667.48,11
HCPCS,27040,Biopsy of soft tissues,,,1308.0,6297.43,13
HCPCS,27040,Hc Biopsy Soft Tissue Pelvis/Hip,13061.0,5093.79,,,0
HCPCS,27041,Biopsy of soft tissues,,,1677.55,6297.43,13
HCPCS,27043,Exc hip pelvis les sc 3 cm/>,,,2950.36,11075.49,12
HCPCS,27045,Exc hip/pelv tum deep 5 cm/>,,,2950.36,11075.49,12
HCPCS,27047,Exc hip/pelvis les sc < 3 cm,,,1694.0,11075.49,13
HCPCS,27048,Exc hip/pelv tum deep < 5 cm,,,1937.0,11075.49,13
HCPCS,27049,Resect hip/pelv tum < 5 cm,,,1937.0,11075.49,13
HCPCS,27050,Biopsy of sacroiliac joint,,,1633.26,6179.0,13
HCPCS,27052,Biopsy of hip joint,,,1633.26,6179.0,13
HCPCS,27054,Removal of hip joint lining,,,3323.41,12475.93,11
HCPCS,27057,Buttock fasciotomy w/dbrdmt,,,1633.26,9032.0,12
HCPCS,27059,Resect hip/pelv tum 5 cm/>,,,2950.36,11075.49,12
HCPCS,27060,Removal of ischial bursa,,,2664.0,27667.48,13
HCPCS,27062,Remove femur lesion/bursa,,,2664.0,12475.93,13
HCPCS,27065,Remove hip bone les super,,,2664.0,27667.48,13
HCPCS,27066,Remove hip bone les deep,,,2664.0,12475.93,13
HCPCS,27067,Remove/graft hip bone lesion,,,2664.0,27667.48,13
HCPCS,27070,Part remove hip bone super,,,3323.41,15026.0,11
HCPCS,27071,Part removal hip bone deep,,,3323.41,15026.0,11
HCPCS,27075,Resect hip tumor,,,6760.0,27667.48,11
HCPCS,27076,Resect hip tum incl acetabul,,,6760.0,27667.48,11
HCPCS,27077,Resect hip tum w/innom bone,,,6760.0,27667.48,11
HCPCS,27078,Rsect hip tum incl femur,,,6760.0,27667.48,11
HCPCS,27079,Extensive hip surgery,,,5063.0,5063.0,1
HCPCS,27080,Removal of tail bone,,,1694.0,12475.93,13
HCPCS,27086,Remove hip foreign body,,,1308.0,11075.49,13
HCPCS,27087,Remove hip foreign body,,,1937.0,12475.93,13
HCPCS,27090,Removal of hip prosthesis,,,5809.0,27667.48,11
HCPCS,27091,Removal of hip prosthesis,,,5809.0,48953.07,11
HCPCS,27093,Hc Inj For Hip Xray Arthrogram,1960.0,764.4,,,0
HCPCS,27093,Injection for hip x-ray,,,2665.0,3391.0,2
HCPCS,27095,Hc Inj Hip Arthro W Anesth,3922.0,1529.58,,,0
HCPCS,27095,Injection for hip x-ray,,,2665.0,3391.0,2
HCPCS,27096,Inject sacroiliac joint,,,2665.0,3391.0,2
HCPCS,27097,Revision of hip tendon,,,1937.0,12475.93,13
HCPCS,27098,Transfer tendon to pelvis,,,1937.0,12475.93,13
HCPCS,27100,Transfer of abdominal muscle,,,2323.0,27667.48,13
HCPCS,27105,Transfer of spinal muscle,,,2323.0,12475.93,13
HCPCS,27110,Transfer of iliopsoas muscle,,,2323.0,27667.48,13
HCPCS,27111,Transfer of iliopsoas muscle,,,2323.0,12475.93,13
HCPCS,27120,Reconstruction of hip socket,,,6760.0,48953.07,11
HCPCS,27122,Reconstruction of hip socket,,,6760.0,27667.48,11
HCPCS,27125,Partial hip replacement,,,8245.0,48953.07,11
HCPCS,27130,Total hip arthroplasty,,,8245.0,48953.07,11
HCPCS,27132,Total hip arthroplasty,,,8245.0,48953.07,11
HCPCS,27134,Revise hip joint replacement,,,8245.0,48953.07,11
HCPCS,27137,Revise hip joint replacement,,,8245.0,48953.07,11
HCPCS,27138,Revise hip joint replacement,,,8245.0,48953.07,11
HCPCS,27140,Transplant femur ridge,,,6760.0,27667.48,11
HCPCS,27146,Incision of hip bone,,,6760.0,27667.48,11
HCPCS,27147,Revision of hip bone,,,6760.0,27667.48,11
HCPCS,27151,Incision of hip bones,,,6760.0,27667.48,11
HCPCS,27156,Revision of hip bones,,,6760.0,27667.48,11
HCPCS,27158,Revision of pelvis,,,6760.0,27667.48,11
HCPCS,27161,Incision of neck of femur,,,6760.0,27667.48,11
HCPCS,27165,Incision/fixation of femur,,,6760.0,27667.48,11
HCPCS,27170,Repair/graft femur head/neck,,,6389.0,27667.48,11
HCPCS,27175,Treat slipped epiphysis,,,3323.41,15026.0,11
HCPCS,27176,Treat slipped epiphysis,,,3323.41,15026.0,11
HCPCS,27177,Treat slipped epiphysis,,,3323.41,15026.0,11
HCPCS,27178,Treat slipped epiphysis,,,3323.41,15026.0,11
HCPCS,27179,Revise head/neck of femur,,,5063.0,27667.48,11
HCPCS,27181,Treat slipped epiphysis,,,6760.0,27667.48,11
HCPCS,27185,Revision of femur epiphysis,,,3323.41,15026.0,11
HCPCS,27187,Reinforce hip bones,,,6389.0,27667.48,11
HCPCS,27193,Treat pelvic ring fracture,,,1308.0,5063.0,2
HCPCS,27194,Treat pelvic ring fracture,,,1694.0,5063.0,2
HCPCS,27197,Clsd tx pelvic ring fx,,,250.54,3391.0,12
HCPCS,27197,Hc Closed Tx Pelvic Ring Fracture W/O Manipulation Uni/Bilat,1389.0,541.71,,,0
HCPCS,27198,Clsd tx pelvic ring fx,,,250.54,3391.0,12
HCPCS,27198,Hc Closed Tx Pelvic Ring Fracture W/Wout Manip Uni/Bilat W/Anesthesia,1389.0,541.71,,,0
HCPCS,27200,Hc Coccygeal Fx Wo Manip,2309.0,900.51,,,0
HCPCS,27200,Treat tail bone fracture,,,250.54,3391.0,11
HCPCS,27202,Treat tail bone fracture,,,1694.0,15026.0,13
HCPCS,27215,Treat pelvic fracture(s),,,4066.0,5063.0,2
HCPCS,27216,Treat pelvic ring fracture,,,5063.0,8448.0,2
HCPCS,27217,Treat pelvic ring fracture,,,5063.0,5272.0,2
HCPCS,27218,Treat pelvic ring fracture,,,5063.0,5272.0,2
HCPCS,27220,Hc Cl Tx Acetabulum Hip/Sockt Fx W/O Manj,1227.0,478.53,,,0
HCPCS,27220,Treat hip socket fracture,,,250.54,5063.0,11
HCPCS,27222,Treat hip socket fracture,,,250.54,3391.0,11
HCPCS,27226,Treat hip wall fracture,,,6760.0,27667.48,11
HCPCS,27227,Treat hip fracture(s),,,6760.0,27667.48,11
HCPCS,27228,Treat hip fracture(s),,,6760.0,27667.48,11
HCPCS,27230,Hc Cltx Fem Fx Prox End Nck W/O Manj,674.0,262.86,,,0
HCPCS,27230,Treat thigh fracture,,,250.54,3391.0,13
HCPCS,27232,Treat thigh fracture,,,1633.26,6131.17,12
HCPCS,27235,Treat thigh fracture,,,6389.0,27667.48,11
HCPCS,27236,Treat thigh fracture,,,6760.0,27667.48,11
HCPCS,27238,Hc Femoralfx Int/Per/Sub Wo Manip,8838.0,3446.82,,,0
HCPCS,27238,Treat thigh fracture,,,1308.0,6131.17,13
HCPCS,27240,Treat thigh fracture,,,1633.26,6131.17,11
HCPCS,27244,Treat thigh fracture,,,6760.0,27667.48,11
HCPCS,27245,Treat thigh fracture,,,6760.0,27667.48,11
HCPCS,27246,Hc Cl Tx Greater Trochanteric Fx W/O Manj,1438.0,560.82,,,0
HCPCS,27246,Treat thigh fracture,,,250.54,3391.0,13
HCPCS,27248,Treat thigh fracture,,,6760.0,27667.48,11
HCPCS,27250,Hc Hip Disl Trauma Wo Anes,2309.0,900.51,,,0
HCPCS,27250,Treat hip dislocation,,,250.54,3391.0,13
HCPCS,27252,Hc Hip Disl Trauma W Anes,21060.0,8213.4,,,0
HCPCS,27252,Treat hip dislocation,,,1633.26,6131.17,13
HCPCS,27253,Treat hip dislocation,,,3323.41,12475.93,11
HCPCS,27254,Treat hip dislocation,,,6389.0,27667.48,11
HCPCS,27256,Hc Hip Disl Spon Wo Manip/Anes,2067.0,806.13,,,0
HCPCS,27256,Treat hip dislocation,,,250.54,4714.0,11
HCPCS,27257,Hc Hip Disl Spon W Manip/Anes,19979.0,7791.81,,,0
HCPCS,27257,Treat hip dislocation,,,1633.26,6131.17,13
HCPCS,27258,Treat hip dislocation,,,3323.41,12475.93,11
HCPCS,27259,Treat hip dislocation,,,3323.41,12475.93,11
HCPCS,27265,Hc Hip Disl Post Arthro Wo Anes,1141.0,444.99,,,0
HCPCS,27265,Treat hip dislocation,,,250.54,3391.0,13
HCPCS,27266,Hc Hip Disl Post Arthro W Anes,10295.0,4015.05,,,0
HCPCS,27266,Treat hip dislocation,,,1633.26,6131.17,13
HCPCS,27267,Cltx thigh fx,,,2572.0,12475.93,12
HCPCS,27267,Hc Femoral Fx Prox End Wo Manip,4751.0,1852.89,,,0
HCPCS,27268,Cltx thigh fx w/mnpj,,,1633.26,8448.0,11
HCPCS,27269,Optx thigh fx,,,4714.0,27667.48,11
HCPCS,27275,Manipulation of hip joint,,,1633.26,6131.17,13
HCPCS,27278,Arthrd si jt prq wo tfxj dev,,,6760.0,66855.32,11
HCPCS,27279,Arthrodesis sacroiliac joint,,,6760.0,66855.32,11
HCPCS,27280,Fusion of sacroiliac joint,,,8245.0,66855.32,11
HCPCS,27282,Fusion of pubic bones,,,3323.41,15026.0,11
HCPCS,27284,Fusion of hip joint,,,8245.0,48953.07,11
HCPCS,27286,Fusion of hip joint,,,8245.0,48953.07,11
HCPCS,27290,Amputation of leg at hip,,,5063.0,66855.32,11
HCPCS,27295,Amputation of leg at hip,,,5063.0,66855.32,11
HCPCS,27299,Pelvis/hip joint surgery,,,250.54,3391.0,11
HCPCS,27301,Drain thigh/knee lesion,,,1937.0,11075.49,13
HCPCS,27301,Hc Id Deep Absc Bursa/Hematoma Thigh/Knee Region,14942.0,5827.38,,,0
HCPCS,27303,Drainage of bone lesion,,,1694.0,12475.93,12
HCPCS,27305,Incise thigh tendon & fascia,,,1694.0,12475.93,13
HCPCS,27306,Incision of thigh tendon,,,1937.0,12475.93,13
HCPCS,27307,Incision of thigh tendons,,,1937.0,12475.93,13
HCPCS,27310,Exploration of knee joint,,,2323.0,12475.93,13
HCPCS,27315,"Partial removal, thigh nerve",,,1694.0,5063.0,2
HCPCS,27320,"Partial removal, thigh nerve",,,1694.0,5063.0,2
HCPCS,27323,Biopsy thigh soft tissues,,,1308.0,6297.43,13
HCPCS,27324,Biopsy thigh soft tissues,,,1308.0,11075.49,13
HCPCS,27325,Neurectomy hamstring,,,1694.0,7445.62,13
HCPCS,27326,Neurectomy popliteal,,,1694.0,7445.62,13
HCPCS,27327,Exc thigh/knee les sc < 3 cm,,,1677.55,6297.43,13
HCPCS,27328,Exc thigh/knee tum deep <5cm,,,1937.0,11075.49,13
HCPCS,27329,Resect thigh/knee tum < 5 cm,,,2323.0,11075.49,13
HCPCS,27330,Biopsy knee joint lining,,,2323.0,12475.93,13
HCPCS,27331,Explore/treat knee joint,,,2323.0,12475.93,13
HCPCS,27332,Removal of knee cartilage,,,2323.0,12475.93,13
HCPCS,27333,Removal of knee cartilage,,,2323.0,12475.93,13
HCPCS,27334,Remove knee joint lining,,,2323.0,12475.93,13
HCPCS,27335,Remove knee joint lining,,,2323.0,27667.48,13
HCPCS,27337,Exc thigh/knee les sc 3 cm/>,,,2950.36,11075.49,12
HCPCS,27339,Exc thigh/knee tum dep 5cm/>,,,2950.36,11075.49,12
HCPCS,27340,Removal of kneecap bursa,,,1937.0,12475.93,13
HCPCS,27345,Removal of knee cyst,,,2323.0,12475.93,13
HCPCS,27347,Remove knee cyst,,,2323.0,12475.93,13
HCPCS,27350,Removal of kneecap,,,2323.0,27667.48,13
HCPCS,27355,Remove femur lesion,,,1937.0,12475.93,13
HCPCS,27356,Remove femur lesion/graft,,,2323.0,48953.07,13
HCPCS,27357,Remove femur lesion/graft,,,2664.0,27667.48,13
HCPCS,27358,Remove femur lesion/fixation,,,2664.0,6760.0,3
HCPCS,27360,Partial removal leg bone(s),,,2664.0,12475.93,13
HCPCS,27364,Resect thigh/knee tum 5 cm/>,,,2950.36,11075.49,12
HCPCS,27365,Resect femur/knee tumor,,,3323.41,15026.0,11
HCPCS,27369,Hc Inj Knee Arthro Ct/Mri W Contrast,1049.0,409.11,,,0
HCPCS,27369,Njx cntrst kne arthg/ct/mri,,,2665.0,3391.0,2
HCPCS,27370,Injection for knee x-ray,,,1308.0,5063.0,2
HCPCS,27372,Hc Fb Remove Thigh/Knee Deep,28026.0,10930.14,,,0
HCPCS,27372,Removal of foreign body,,,2950.36,11075.49,13
HCPCS,27380,Repair of kneecap tendon,,,1308.0,27667.48,13
HCPCS,27381,Repair/graft kneecap tendon,,,1937.0,27667.48,13
HCPCS,27385,Repair of thigh muscle,,,1937.0,27667.48,13
HCPCS,27386,Repair/graft of thigh muscle,,,1937.0,27667.48,13
HCPCS,27390,Incision of thigh tendon,,,1308.0,12475.93,13
HCPCS,27391,Incision of thigh tendons,,,1694.0,12475.93,13
HCPCS,27392,Incision of thigh tendons,,,1937.0,12475.93,13
HCPCS,27393,Lengthening of thigh tendon,,,1694.0,27667.48,13
HCPCS,27394,Lengthening of thigh tendons,,,1937.0,27667.48,13
HCPCS,27395,Lengthening of thigh tendons,,,1937.0,12475.93,13
HCPCS,27396,Transplant of thigh tendon,,,1937.0,27667.48,13
HCPCS,27397,Transplants of thigh tendons,,,1937.0,27667.48,13
HCPCS,27400,Revise thigh muscles/tendons,,,1937.0,27667.48,13
HCPCS,27403,Repair of knee cartilage,,,2323.0,27667.48,13
HCPCS,27405,Repair of knee ligament,,,2323.0,27667.48,13
HCPCS,27407,Repair of knee ligament,,,2323.0,27667.48,13
HCPCS,27409,Repair of knee ligaments,,,2323.0,27667.48,13
HCPCS,27412,Autochondrocyte implant knee,,,5809.0,27667.48,11
HCPCS,27415,Osteochondral knee allograft,,,5809.0,48953.07,11
HCPCS,27416,Osteochondral knee autograft,,,6389.0,27667.48,12
HCPCS,27418,Repair degenerated kneecap,,,1937.0,27667.48,13
HCPCS,27420,Revision of unstable kneecap,,,1937.0,27667.48,13
HCPCS,27422,Revision of unstable kneecap,,,3721.0,27667.48,13
HCPCS,27424,Revision/removal of kneecap,,,1937.0,27667.48,13
HCPCS,27425,Lat retinacular release open,,,3323.41,12475.93,13
HCPCS,27427,Reconstruction knee,,,1937.0,27667.48,13
HCPCS,27428,Reconstruction knee,,,2323.0,48953.07,13
HCPCS,27429,Reconstruction knee,,,2323.0,48953.07,13
HCPCS,27430,Revision of thigh muscles,,,2323.0,27667.48,13
HCPCS,27435,Incision of knee joint,,,2323.0,12475.93,13
HCPCS,27437,Revise kneecap,,,2323.0,27667.48,13
HCPCS,27438,Revise kneecap with implant,,,2664.0,48953.07,13
HCPCS,27440,Revision of knee joint,,,2664.0,48953.07,13
HCPCS,27441,Revision of knee joint,,,2664.0,48953.07,13
HCPCS,27442,Revision of knee joint,,,2664.0,48953.07,13
HCPCS,27443,Revision of knee joint,,,2664.0,48953.07,13
HCPCS,27445,Revision of knee joint,,,8245.0,15026.0,2
HCPCS,27446,Revision of knee joint,,,6760.0,48953.07,11
HCPCS,27447,Total knee arthroplasty,,,8245.0,48953.07,11
HCPCS,27448,Incision of thigh,,,6760.0,27667.48,11
HCPCS,27450,Incision of thigh,,,6760.0,27667.48,11
HCPCS,27454,Realignment of thigh bone,,,6760.0,27667.48,11
HCPCS,27455,Realignment of knee,,,6760.0,27667.48,11
HCPCS,27457,Realignment of knee,,,2664.0,27667.48,12
HCPCS,27458,Osteot femur imed lngth dev,,,7370.23,27667.48,9
HCPCS,27465,Shortening of thigh bone,,,6760.0,27667.48,11
HCPCS,27466,Lengthening of thigh bone,,,6760.0,27667.48,11
HCPCS,27468,Shorten/lengthen thighs,,,6760.0,15026.0,2
HCPCS,27470,Repair of thigh,,,6760.0,27667.48,11
HCPCS,27472,Repair/graft of thigh,,,6760.0,27667.48,11
HCPCS,27475,Surgery to stop leg growth,,,6389.0,27667.48,11
HCPCS,27477,Surgery to stop leg growth,,,6760.0,27667.48,11
HCPCS,27479,Surgery to stop leg growth,,,6389.0,27667.48,11
HCPCS,27485,Surgery to stop leg growth,,,6760.0,27667.48,11
HCPCS,27486,Revise/replace knee joint,,,8245.0,48953.07,11
HCPCS,27487,Revise/replace knee joint,,,8245.0,66855.32,11
HCPCS,27488,Removal of knee prosthesis,,,6760.0,48953.07,11
HCPCS,27495,Reinforce thigh,,,6760.0,27667.48,11
HCPCS,27496,Decompression of thigh/knee,,,2664.0,12475.93,13
HCPCS,27497,Decompression of thigh/knee,,,1937.0,12475.93,13
HCPCS,27498,Decompression of thigh/knee,,,1633.26,8448.0,13
HCPCS,27499,Decompression of thigh/knee,,,1937.0,27667.48,13
HCPCS,27500,Hc Femoral Fx Shaft Wo Manip,8838.0,3446.82,,,0
HCPCS,27500,Treatment of thigh fracture,,,250.54,3391.0,13
HCPCS,27501,Hc Femoral Fx Supra/Tran Wo Manip,1076.0,419.64,,,0
HCPCS,27501,Treatment of thigh fracture,,,250.54,4714.0,13
HCPCS,27502,Hc Femoral Fx Shaft W Manip,13316.0,5193.24,,,0
HCPCS,27502,Treatment of thigh fracture,,,1633.26,6131.17,13
HCPCS,27503,Hc Femoral Fx Supra/Trans W Manip,2352.0,917.28,,,0
HCPCS,27503,Treatment of thigh fracture,,,1633.26,6131.17,13
HCPCS,27506,Treatment of thigh fracture,,,6760.0,27667.48,11
HCPCS,27507,Treatment of thigh fracture,,,2323.0,27667.48,12
HCPCS,27508,Clsd Tx Fem Fx Distal End Wo M,742.0,289.38,,,0
HCPCS,27508,Hc Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj,742.0,289.38,,,0
HCPCS,27508,Treatment of thigh fracture,,,250.54,3391.0,13
HCPCS,27509,Hc Femoral Fx Distal-Cond W Ske,17055.0,6651.45,,,0
HCPCS,27509,Treatment of thigh fracture,,,1937.0,27667.48,13
HCPCS,27510,Hc Femoral Fx Distal-Cond W Manip,3834.0,1495.26,,,0
HCPCS,27510,Treatment of thigh fracture,,,1308.0,6131.17,13
HCPCS,27511,Treatment of thigh fracture,,,2323.0,48953.07,12
HCPCS,27513,Treatment of thigh fracture,,,2664.0,48953.07,12
HCPCS,27514,Treatment of thigh fracture,,,6760.0,48953.07,11
HCPCS,27516,Treat thigh fx growth plate,,,250.54,3391.0,13
HCPCS,27517,Hc Fem Sep Distal Epip W Manip,5253.0,2048.67,,,0
HCPCS,27517,Treat thigh fx growth plate,,,1308.0,6131.17,13
HCPCS,27519,Treat thigh fx growth plate,,,6760.0,27667.48,11
HCPCS,27520,Hc Closed Tx Patellar Fracture W/O Manipulation,674.0,262.86,,,0
HCPCS,27520,Treat kneecap fracture,,,250.54,3391.0,13
HCPCS,27524,Treat kneecap fracture,,,1937.0,27667.48,13
HCPCS,27530,Hc Tib Fx Prox/Plateau Wo Manip,2309.0,900.51,,,0
HCPCS,27530,Treat knee fracture,,,250.54,3391.0,13
HCPCS,27530,Tx Tibial Plateau Fx Wo Manip,807.0,314.73,,,0
HCPCS,27532,Hc Tibial Fx Prox/Plateau W Ske,25500.0,9945.0,,,0
HCPCS,27532,Treat knee fracture,,,1308.0,12475.93,13
HCPCS,27535,Treat knee fracture,,,1937.0,27667.48,12
HCPCS,27536,Treat knee fracture,,,6760.0,27667.48,11
HCPCS,27538,Hc Knee Fx Intercondylar Sp/Tuber,2067.0,806.13,,,0
HCPCS,27538,Treat knee fracture(s),,,250.54,3391.0,13
HCPCS,27540,Treat knee fracture,,,6760.0,27667.48,11
HCPCS,27550,Hc Knee Disl Wo Anes,2309.0,900.51,,,0
HCPCS,27550,Treat knee dislocation,,,250.54,3391.0,13
HCPCS,27552,Hc Knee Disl W Anes,19483.0,7598.37,,,0
HCPCS,27552,Treat knee dislocation,,,1308.0,6131.17,13
HCPCS,27556,Treat knee dislocation,,,6760.0,27667.48,11
HCPCS,27557,Treat knee dislocation,,,6760.0,27667.48,11
HCPCS,27558,Treat knee dislocation,,,6760.0,27667.48,11
HCPCS,27560,Hc Patellar Disl Wo Anes,2309.0,900.51,,,0
HCPCS,27560,Treat kneecap dislocation,,,250.54,3391.0,13
HCPCS,27562,Treat kneecap dislocation,,,250.54,3391.0,13
HCPCS,27566,Treat kneecap dislocation,,,1694.0,27667.48,13
HCPCS,27570,Fixation of knee joint,,,1308.0,6131.17,13
HCPCS,27580,Fusion of knee,,,6760.0,48953.07,11
HCPCS,27590,Amputate leg at thigh,,,3323.41,16710.0,11
HCPCS,27591,Amputate leg at thigh,,,3323.41,16710.0,11
HCPCS,27592,Amputate leg at thigh,,,3323.41,16710.0,11
HCPCS,27594,Amputation follow-up surgery,,,1937.0,12475.93,13
HCPCS,27596,Amputation follow-up surgery,,,3323.41,15026.0,11
HCPCS,27598,Amputate lower leg at knee,,,3323.41,15026.0,11
HCPCS,27599,Hc Unlisted Procedure Femur/Knee,674.0,262.86,,,0
HCPCS,27599,Leg surgery procedure,,,250.54,3391.0,11
HCPCS,27600,Decompression of lower leg,,,1937.0,12475.93,13
HCPCS,27601,Decompression of lower leg,,,1937.0,12475.93,13
HCPCS,27602,Decompression of lower leg,,,1937.0,12475.93,13
HCPCS,27603,Drain lower leg lesion,,,1694.0,11075.49,13
HCPCS,27603,Hc I And D Leg/Ankle Abscess/Hematoma,15689.0,6118.71,,,0
HCPCS,27604,Drain lower leg bursa,,,1694.0,12475.93,13
HCPCS,27605,Incision of achilles tendon,,,1308.0,6179.0,13
HCPCS,27606,Incision of achilles tendon,,,1308.0,12475.93,13
HCPCS,27607,Treat lower leg bone lesion,,,1694.0,12475.93,13
HCPCS,27610,Explore/treat ankle joint,,,1694.0,12475.93,13
HCPCS,27612,Exploration of ankle joint,,,1937.0,12475.93,13
HCPCS,27613,Biopsy lower leg soft tissue,,,1308.0,6297.43,13
HCPCS,27614,Biopsy lower leg soft tissue,,,1694.0,11075.49,13
HCPCS,27615,Resect leg/ankle tum < 5 cm,,,1937.0,11075.49,13
HCPCS,27616,Resect leg/ankle tum 5 cm/>,,,2950.36,11075.49,12
HCPCS,27618,Exc leg/ankle tum < 3 cm,,,1677.55,6297.43,13
HCPCS,27619,Exc leg/ankle tum deep <5 cm,,,1937.0,11075.49,13
HCPCS,27620,Explore/treat ankle joint,,,2323.0,12475.93,13
HCPCS,27625,Remove ankle joint lining,,,2323.0,12475.93,13
HCPCS,27626,Remove ankle joint lining,,,2323.0,12475.93,13
HCPCS,27630,Removal of tendon lesion,,,1937.0,12475.93,13
HCPCS,27632,Exc leg/ankle les sc 3 cm/>,,,2950.36,11075.49,12
HCPCS,27634,Exc leg/ankle tum dep 5 cm/>,,,2950.36,11075.49,12
HCPCS,27635,Remove lower leg bone lesion,,,1937.0,12475.93,13
HCPCS,27637,Remove/graft leg bone lesion,,,1937.0,27667.48,13
HCPCS,27638,Remove/graft leg bone lesion,,,1937.0,27667.48,13
HCPCS,27640,Partial removal of tibia,,,1694.0,12475.93,13
HCPCS,27641,Partial removal of fibula,,,1694.0,12475.93,13
HCPCS,27645,Resect tibia tumor,,,3323.41,15026.0,11
HCPCS,27646,Resect fibula tumor,,,3323.41,15026.0,11
HCPCS,27647,Resect talus/calcaneus tum,,,1937.0,12475.93,13
HCPCS,27648,Hc Inj Ankle Arthro,1455.0,567.45,,,0
HCPCS,27648,Injection for ankle x-ray,,,2665.0,3391.0,2
HCPCS,27650,Repair achilles tendon,,,1937.0,27667.48,13
HCPCS,27652,Repair/graft achilles tendon,,,1937.0,27667.48,13
HCPCS,27654,Repair of achilles tendon,,,1937.0,27667.48,13
HCPCS,27656,Repair leg fascia defect,,,1694.0,12475.93,13
HCPCS,27658,Repair of leg tendon each,,,1308.0,12475.93,13
HCPCS,27659,Repair of leg tendon each,,,1694.0,27667.48,13
HCPCS,27664,Repair of leg tendon each,,,1694.0,27667.48,13
HCPCS,27665,Repair of leg tendon each,,,1694.0,27667.48,13
HCPCS,27675,Repair lower leg tendons,,,1694.0,12475.93,13
HCPCS,27676,Repair lower leg tendons,,,1937.0,27667.48,13
HCPCS,27680,Release of lower leg tendon,,,1937.0,12475.93,13
HCPCS,27681,Release of lower leg tendons,,,1694.0,12475.93,13
HCPCS,27685,Revision of lower leg tendon,,,1937.0,12475.93,13
HCPCS,27686,Revise lower leg tendons,,,1937.0,12475.93,13
HCPCS,27687,Revision of calf tendon,,,1937.0,12475.93,13
HCPCS,27690,Revise lower leg tendon,,,2323.0,27667.48,13
HCPCS,27691,Revise lower leg tendon,,,2323.0,27667.48,13
HCPCS,27692,Revise additional leg tendon,,,1937.0,5809.0,3
HCPCS,27695,Repair of ankle ligament,,,1694.0,27667.48,13
HCPCS,27696,Repair of ankle ligaments,,,1694.0,27667.48,13
HCPCS,27698,Repair of ankle ligament,,,1694.0,27667.48,13
HCPCS,27700,Revision of ankle joint,,,2664.0,27667.48,13
HCPCS,27702,Reconstruct ankle joint,,,8245.0,103460.29,11
HCPCS,27703,Reconstruction ankle joint,,,8245.0,66855.32,11
HCPCS,27704,Removal of ankle implant,,,1694.0,12475.93,13
HCPCS,27705,Incision of tibia,,,1694.0,27667.48,13
HCPCS,27707,Incision of fibula,,,1694.0,12475.93,13
HCPCS,27709,Incision of tibia & fibula,,,1694.0,48953.07,13
HCPCS,27712,Realignment of lower leg,,,6760.0,48953.07,11
HCPCS,27713,Osteot tibia imed lngth dev,,,7370.23,27667.48,9
HCPCS,27715,Revision of lower leg,,,2323.0,48953.07,12
HCPCS,27720,Repair of tibia,,,2323.0,27667.48,13
HCPCS,27722,Repair/graft of tibia,,,6760.0,27667.48,12
HCPCS,27724,Repair/graft of tibia,,,6760.0,27667.48,11
HCPCS,27725,Repair of lower leg,,,6760.0,27667.48,11
HCPCS,27726,Repair fibula nonunion,,,5809.0,27667.48,12
HCPCS,27727,Repair of lower leg,,,3323.41,15026.0,11
HCPCS,27730,Repair of tibia epiphysis,,,1694.0,12475.93,13
HCPCS,27732,Repair of fibula epiphysis,,,1694.0,12475.93,13
HCPCS,27734,Repair lower leg epiphyses,,,1694.0,12475.93,13
HCPCS,27740,Repair of leg epiphyses,,,1694.0,12475.93,13
HCPCS,27742,Repair of leg epiphyses,,,1694.0,12475.93,13
HCPCS,27745,Reinforce tibia,,,1937.0,27667.48,13
HCPCS,27750,Hc Tib Fx Shaft W/Wo Fib Wo Manip,1061.0,413.79,,,0
HCPCS,27750,Treatment of tibia fracture,,,250.54,3391.0,13
HCPCS,27752,Hc Tib Fx Shaft W/Wo Fib W Manip,14127.0,5509.53,,,0
HCPCS,27752,Treatment of tibia fracture,,,1308.0,6131.17,13
HCPCS,27756,Hc Tibial Fx Shaft W/Wo Fib W Ske,15856.0,6183.84,,,0
HCPCS,27756,Treatment of tibia fracture,,,1937.0,27667.48,13
HCPCS,27758,Treatment of tibia fracture,,,2323.0,48953.07,13
HCPCS,27759,Treatment of tibia fracture,,,2323.0,48953.07,13
HCPCS,27760,Cltx medial ankle fx,,,250.54,3391.0,13
HCPCS,27760,Hc Malleous Fx Medial Wo Manip,2067.0,806.13,,,0
HCPCS,27762,Cltx med ankle fx w/mnpj,,,1308.0,6131.17,13
HCPCS,27762,Hc Malleous Fx Medial W Manip,14127.0,5509.53,,,0
HCPCS,27766,Optx medial ankle fx,,,1937.0,27667.48,13
HCPCS,27767,Cltx post ankle fx,,,250.54,3391.0,12
HCPCS,27767,Hc Malleous Fx Post Wo Manip,2067.0,806.13,,,0
HCPCS,27768,Cltx post ankle fx w/mnpj,,,1633.26,6131.17,12
HCPCS,27768,Hc Malleous Fx Post W Manip,2496.0,973.44,,,0
HCPCS,27769,Optx post ankle fx,,,5809.0,27667.48,12
HCPCS,27780,Hc Fibula Fx Shaft Prox Wo Manip,2067.0,806.13,,,0
HCPCS,27780,Treatment of fibula fracture,,,250.54,3391.0,13
HCPCS,27781,Hc Fibula Fx Shaft Prox W Manip,25500.0,9945.0,,,0
HCPCS,27781,Treatment of fibula fracture,,,1308.0,6131.17,13
HCPCS,27784,Treatment of fibula fracture,,,1937.0,27667.48,13
HCPCS,27786,Hc Fibula Distal Fx Wo Manip,1577.0,615.03,,,0
HCPCS,27786,Treatment of ankle fracture,,,250.54,3391.0,13
HCPCS,27788,Hc Fibula Distal Fx W Manip,1735.0,676.65,,,0
HCPCS,27788,Treatment of ankle fracture,,,250.54,3391.0,13
HCPCS,27792,Treatment of ankle fracture,,,1937.0,27667.48,13
HCPCS,27808,Hc Ankle Fx Bimalleolar Potts,2067.0,806.13,,,0
HCPCS,27808,Treatment of ankle fracture,,,250.54,3391.0,13
HCPCS,27810,Hc Ankle Fx Bimalleo Potts Wmanip,4378.0,1707.42,,,0
HCPCS,27810,Treatment of ankle fracture,,,1308.0,6131.17,13
HCPCS,27814,Treatment of ankle fracture,,,1937.0,27667.48,13
HCPCS,27816,Hc Ankle Fx Trimalleolar Wo Manip,2309.0,900.51,,,0
HCPCS,27816,Treatment of ankle fracture,,,250.54,3391.0,13
HCPCS,27818,Hc Ankle Fx Trimalleolar W Manip,4378.0,1707.42,,,0
HCPCS,27818,Treatment of ankle fracture,,,1308.0,6131.17,13
HCPCS,27822,Treatment of ankle fracture,,,1937.0,27667.48,13
HCPCS,27823,Treatment of ankle fracture,,,1937.0,27667.48,13
HCPCS,27824,Hc Tibia Distal W/Bearing,1141.0,444.99,,,0
HCPCS,27824,Treat lower leg fracture,,,250.54,3391.0,13
HCPCS,27825,Hc Tibia Distal W/Bear W Manip/Ske,14127.0,5509.53,,,0
HCPCS,27825,Treat lower leg fracture,,,1633.26,6131.17,13
HCPCS,27826,Treat lower leg fracture,,,1937.0,27667.48,13
HCPCS,27827,Treat lower leg fracture,,,1937.0,48953.07,13
HCPCS,27828,Treat lower leg fracture,,,2323.0,48953.07,13
HCPCS,27829,Treat lower leg joint,,,1694.0,27667.48,13
HCPCS,27830,Hc Tibfibular Disl Wo Anes,2067.0,806.13,,,0
HCPCS,27830,Treat lower leg dislocation,,,250.54,3391.0,13
HCPCS,27831,Hc Tibfibular Disl W Anes,28517.0,11121.63,,,0
HCPCS,27831,Treat lower leg dislocation,,,1308.0,12475.93,13
HCPCS,27832,Treat lower leg dislocation,,,1694.0,27667.48,13
HCPCS,27840,Hc Ankle Disl Wo Anes,8838.0,3446.82,,,0
HCPCS,27840,Treat ankle dislocation,,,250.54,3391.0,13
HCPCS,27842,Hc Ankle Disl W Anes,19979.0,7791.81,,,0
HCPCS,27842,Treat ankle dislocation,,,1308.0,6131.17,13
HCPCS,27846,Treat ankle dislocation,,,1937.0,27667.48,13
HCPCS,27848,Treat ankle dislocation,,,1937.0,27667.48,13
HCPCS,27860,Fixation of ankle joint,,,1308.0,12475.93,13
HCPCS,27870,Fusion of ankle joint open,,,2323.0,48953.07,13
HCPCS,27871,Fusion of tibiofibular joint,,,2323.0,48953.07,13
HCPCS,27880,Amputation of lower leg,,,5063.0,27667.48,11
HCPCS,27881,Amputation of lower leg,,,3323.41,15026.0,11
HCPCS,27882,Amputation of lower leg,,,3323.41,15026.0,11
HCPCS,27884,Amputation follow-up surgery,,,1937.0,12475.93,13
HCPCS,27886,Amputation follow-up surgery,,,3323.41,15026.0,11
HCPCS,27888,Amputation of foot at ankle,,,3323.41,15026.0,11
HCPCS,27889,Amputation of foot at ankle,,,1937.0,27667.48,13
HCPCS,27892,Decompression of leg,,,1937.0,12475.93,13
HCPCS,27893,Decompression of leg,,,1937.0,27667.48,13
HCPCS,27894,Decompression of leg,,,1937.0,12475.93,13
HCPCS,27899,Leg/ankle surgery procedure,,,250.54,3391.0,11
HCPCS,28001,Drainage of bursa of foot,,,1677.55,6297.43,11
HCPCS,28002,Treatment of foot infection,,,1633.26,6179.0,13
HCPCS,28003,Treatment of foot infection,,,1937.0,12475.93,13
HCPCS,28005,Treat foot bone lesion,,,1937.0,12475.93,13
HCPCS,28008,Hc Fasciotomy Foot/Toe,21291.0,8303.49,,,0
HCPCS,28008,Incision of foot fascia,,,1937.0,12475.93,13
HCPCS,28010,Hc Tenotomy Percutaneous Toe Single Tendon,5025.0,1959.75,,,0
HCPCS,28010,Incision of toe tendon,,,1633.26,6179.0,11
HCPCS,28011,Incision of toe tendons,,,1633.26,6179.0,13
HCPCS,28020,Exploration of foot joint,,,1694.0,12475.93,13
HCPCS,28022,Exploration of foot joint,,,1694.0,12475.93,13
HCPCS,28024,Exploration of toe joint,,,1633.26,6179.0,13
HCPCS,28030,Removal of foot nerve,,,2323.0,5063.0,2
HCPCS,28035,Decompression of tibia nerve,,,1983.41,7445.62,13
HCPCS,28039,Exc foot/toe tum sc 1.5 cm/>,,,2950.36,11075.49,12
HCPCS,28041,Exc foot/toe tum dep 1.5cm/>,,,2950.36,11075.49,12
HCPCS,28043,Exc foot/toe tum sc < 1.5 cm,,,1677.55,6297.43,13
HCPCS,28045,Exc foot/toe tum deep <1.5cm,,,1937.0,11075.49,13
HCPCS,28046,Resect foot/toe tumor < 3 cm,,,1937.0,11075.49,13
HCPCS,28047,Resect foot/toe tumor 3 cm/>,,,2950.36,11075.49,12
HCPCS,28050,Biopsy of foot joint lining,,,1694.0,12475.93,13
HCPCS,28052,Biopsy of foot joint lining,,,1694.0,12475.93,13
HCPCS,28054,Biopsy of toe joint lining,,,1694.0,12475.93,13
HCPCS,28055,Neurectomy foot,,,1983.41,7445.62,13
HCPCS,28060,Hc Fasciotomy Plantar Fascia Partial,21291.0,8303.49,,,0
HCPCS,28060,Partial removal foot fascia,,,1694.0,12475.93,13
HCPCS,28062,Removal of foot fascia,,,1937.0,12475.93,13
HCPCS,28070,Removal of foot joint lining,,,1937.0,27667.48,13
HCPCS,28072,Removal of foot joint lining,,,1937.0,12475.93,13
HCPCS,28080,Removal of foot lesion,,,1633.26,6179.0,13
HCPCS,28086,Excise foot tendon sheath,,,1694.0,12475.93,13
HCPCS,28088,Excise foot tendon sheath,,,1694.0,12475.93,13
HCPCS,28090,Removal of foot lesion,,,1633.26,6179.0,13
HCPCS,28092,Removal of toe lesions,,,1633.26,6179.0,13
HCPCS,28100,Removal of ankle/heel lesion,,,1694.0,12475.93,13
HCPCS,28102,Remove/graft foot lesion,,,1937.0,27667.48,13
HCPCS,28103,Remove/graft foot lesion,,,1937.0,27667.48,13
HCPCS,28104,Removal of foot lesion,,,1694.0,12475.93,13
HCPCS,28106,Remove/graft foot lesion,,,1937.0,27667.48,13
HCPCS,28107,Remove/graft foot lesion,,,1937.0,27667.48,13
HCPCS,28108,Removal of toe lesions,,,1633.26,6179.0,13
HCPCS,28110,Part removal of metatarsal,,,1937.0,12475.93,13
HCPCS,28111,Part removal of metatarsal,,,1937.0,12475.93,13
HCPCS,28112,Part removal of metatarsal,,,1937.0,12475.93,13
HCPCS,28113,Part removal of metatarsal,,,1937.0,12475.93,13
HCPCS,28114,Removal of metatarsal heads,,,1937.0,12475.93,13
HCPCS,28116,Revision of foot,,,1937.0,12475.93,13
HCPCS,28118,Removal of heel bone,,,2323.0,12475.93,13
HCPCS,28119,Removal of heel spur,,,2323.0,12475.93,13
HCPCS,28120,Part removal of ankle/heel,,,3323.41,12475.93,13
HCPCS,28122,Partial removal of foot bone,,,1937.0,12475.93,13
HCPCS,28124,Partial removal of toe,,,1937.0,12475.93,13
HCPCS,28126,Partial removal of toe,,,1937.0,12475.93,13
HCPCS,28130,Removal of ankle bone,,,1937.0,27667.48,13
HCPCS,28140,Removal of metatarsal,,,1937.0,12475.93,13
HCPCS,28150,Removal of toe,,,1937.0,12475.93,13
HCPCS,28153,Partial removal of toe,,,1937.0,12475.93,13
HCPCS,28160,Partial removal of toe,,,1937.0,12475.93,13
HCPCS,28171,Resect tarsal tumor,,,1937.0,12475.93,13
HCPCS,28173,Resect metatarsal tumor,,,1937.0,12475.93,13
HCPCS,28175,Resect phalanx of toe tumor,,,1633.26,6179.0,13
HCPCS,28190,Hc Fb Removal Foot Simp,11861.0,4625.79,,,0
HCPCS,28190,Removal of foot foreign body,,,719.26,4714.0,13
HCPCS,28192,Hc Fb Remove Foot Deep,20404.0,7957.56,,,0
HCPCS,28192,Removal of foot foreign body,,,1677.55,6297.43,13
HCPCS,28193,Hc Fb Remove Foot Comp,10603.0,4135.17,,,0
HCPCS,28193,Removal of foot foreign body,,,1677.55,6389.0,13
HCPCS,28200,Repair of foot tendon,,,1937.0,12475.93,13
HCPCS,28202,Repair/graft of foot tendon,,,1937.0,27667.48,13
HCPCS,28208,Hc Repair Tendon Extensor Foot 1/2 Each Tendon,7450.0,2905.5,,,0
HCPCS,28208,Repair of foot tendon,,,1937.0,12475.93,13
HCPCS,28210,Repair/graft of foot tendon,,,1937.0,27667.48,13
HCPCS,28220,Release of foot tendon,,,1308.0,6179.0,12
HCPCS,28222,Release of foot tendons,,,1308.0,12475.93,13
HCPCS,28225,Release of foot tendon,,,1308.0,12475.93,13
HCPCS,28226,Release of foot tendons,,,1308.0,12475.93,13
HCPCS,28230,Incision of foot tendon(s),,,1633.26,6179.0,11
HCPCS,28232,Incision of toe tendon,,,1633.26,6179.0,11
HCPCS,28234,Incision of foot tendon,,,1633.26,6179.0,13
HCPCS,28238,Revision of foot tendon,,,1937.0,27667.48,13
HCPCS,28240,Release of big toe,,,1694.0,12475.93,13
HCPCS,28250,Revision of foot fascia,,,1937.0,12475.93,13
HCPCS,28260,Release of midfoot joint,,,1937.0,12475.93,13
HCPCS,28261,Revision of foot tendon,,,1633.26,6179.0,13
HCPCS,28262,Revision of foot and ankle,,,2323.0,27667.48,13
HCPCS,28264,Release of midfoot joint,,,1308.0,11889.0,13
HCPCS,28270,Release of foot contracture,,,1937.0,12475.93,13
HCPCS,28272,Release of toe joint each,,,1633.26,6179.0,11
HCPCS,28280,Fusion of toes,,,1694.0,12475.93,13
HCPCS,28285,Repair of hammertoe,,,1937.0,12475.93,13
HCPCS,28286,Repair of hammertoe,,,2323.0,12475.93,13
HCPCS,28288,Partial removal of foot bone,,,1937.0,12475.93,13
HCPCS,28289,Corrj halux rigdus w/o implt,,,1937.0,12475.93,13
HCPCS,28290,Correction of bunion,,,1694.0,5063.0,2
HCPCS,28291,Corrj halux rigdus w/implt,,,5809.0,27667.48,11
HCPCS,28292,Correction hallux valgus,,,1694.0,12475.93,13
HCPCS,28293,Correction of bunion,,,1937.0,5063.0,2
HCPCS,28294,Correction of bunion,,,1937.0,5063.0,2
HCPCS,28295,Correction hallux valgus,,,3323.41,12475.93,12
HCPCS,28296,Correction hallux valgus,,,1937.0,12475.93,13
HCPCS,28297,Correction hallux valgus,,,1937.0,48953.07,13
HCPCS,28298,Correction hallux valgus,,,1937.0,27667.48,13
HCPCS,28299,Correction hallux valgus,,,2664.0,27667.48,13
HCPCS,28300,Incision of heel bone,,,1694.0,27667.48,13
HCPCS,28302,Incision of ankle bone,,,1694.0,27667.48,13
HCPCS,28304,Incision of midfoot bones,,,1694.0,27667.48,13
HCPCS,28305,Incise/graft midfoot bones,,,1937.0,27667.48,13
HCPCS,28306,Incision of metatarsal,,,2323.0,27667.48,13
HCPCS,28307,Incision of metatarsal,,,2323.0,27667.48,13
HCPCS,28308,Incision of metatarsal,,,1694.0,12475.93,13
HCPCS,28309,Incision of metatarsals,,,2323.0,27667.48,13
HCPCS,28310,Revision of big toe,,,1937.0,27667.48,13
HCPCS,28312,Revision of toe,,,1937.0,12475.93,13
HCPCS,28313,Repair deformity of toe,,,1694.0,12475.93,13
HCPCS,28315,Removal of sesamoid bone,,,2323.0,12475.93,13
HCPCS,28320,Repair of foot bones,,,2323.0,48953.07,13
HCPCS,28322,Repair of metatarsals,,,2323.0,27667.48,13
HCPCS,28340,Resect enlarged toe tissue,,,2323.0,12475.93,13
HCPCS,28341,Resect enlarged toe,,,2323.0,12475.93,13
HCPCS,28344,Repair extra toe(s),,,2323.0,12475.93,13
HCPCS,28345,Repair webbed toe(s),,,1633.26,6389.0,13
HCPCS,28360,Reconstruct cleft foot,,,5063.0,27667.48,11
HCPCS,28400,Hc Calcaneal Fx Wo Manip,2309.0,900.51,,,0
HCPCS,28400,Treatment of heel fracture,,,250.54,3391.0,13
HCPCS,28405,Hc Calcaneal Fx W Manip,25500.0,9945.0,,,0
HCPCS,28405,Treatment of heel fracture,,,250.54,4714.0,13
HCPCS,28406,Hc Calcaneal Fx W Manip/Ske,73007.0,28472.73,,,0
HCPCS,28406,Treatment of heel fracture,,,1694.0,27667.48,13
HCPCS,28415,Treat heel fracture,,,1937.0,27667.48,13
HCPCS,28420,Treat/graft heel fracture,,,2323.0,48953.07,13
HCPCS,28430,Hc Talus Fx Wo Manip,2067.0,806.13,,,0
HCPCS,28430,Treatment of ankle fracture,,,250.54,3391.0,11
HCPCS,28435,Hc Talus Fx W Manip,2869.0,1118.91,,,0
HCPCS,28435,Treatment of ankle fracture,,,1633.26,6131.17,13
HCPCS,28436,Hc Talus Fx W Manip/Ske,32651.0,12733.89,,,0
HCPCS,28436,Treatment of ankle fracture,,,1694.0,27667.48,13
HCPCS,28445,Treat ankle fracture,,,1937.0,27667.48,13
HCPCS,28446,Osteochondral talus autogrft,,,6389.0,27667.48,12
HCPCS,28450,Hc Tarsal Fx Wo Manip,2309.0,900.51,,,0
HCPCS,28450,Treat midfoot fracture each,,,250.54,3391.0,11
HCPCS,28455,Hc Tarsal Fx W Manip,2496.0,973.44,,,0
HCPCS,28455,Treat midfoot fracture each,,,1633.26,6131.17,11
HCPCS,28456,Treat midfoot fracture,,,1694.0,27667.48,13
HCPCS,28465,Treat midfoot fracture each,,,1937.0,27667.48,13
HCPCS,28470,Hc Metatarsal Fx Wo Manip,2067.0,806.13,,,0
HCPCS,28470,Treat metatarsal fracture,,,250.54,3391.0,11
HCPCS,28475,Hc Metatarsal Fx W Manip,2067.0,806.13,,,0
HCPCS,28475,Treat metatarsal fracture,,,250.54,3391.0,11
HCPCS,28476,Hc Metatarsal Fx W Manip/Ske,36511.0,14239.29,,,0
HCPCS,28476,Treat metatarsal fracture,,,1694.0,12475.93,13
HCPCS,28485,Treat metatarsal fracture,,,2323.0,27667.48,13
HCPCS,28490,Hc Toe Fx Great Phalanx/Phalanges,2309.0,900.51,,,0
HCPCS,28490,Treat big toe fracture,,,250.54,3391.0,11
HCPCS,28495,Hc Toe Fx Great Phalanx W Manip,2309.0,900.51,,,0
HCPCS,28495,Treat big toe fracture,,,250.54,3391.0,11
HCPCS,28496,Hc Toe Fx Great Percu W Manip,36511.0,14239.29,,,0
HCPCS,28496,Treat big toe fracture,,,1694.0,12475.93,13
HCPCS,28505,Treat big toe fracture,,,1937.0,12475.93,13
HCPCS,28510,Hc Toe Fx Wo Manip,2309.0,900.51,,,0
HCPCS,28510,Treatment of toe fracture,,,250.54,3391.0,11
HCPCS,28515,Hc Toe Fx W Manip,2309.0,900.51,,,0
HCPCS,28515,Treatment of toe fracture,,,250.54,3391.0,11
HCPCS,28525,Treat toe fracture,,,1937.0,12475.93,13
HCPCS,28530,Hc Sesamoid Fx,2309.0,900.51,,,0
HCPCS,28530,Treat sesamoid bone fracture,,,250.54,3391.0,11
HCPCS,28531,Treat sesamoid bone fracture,,,1937.0,27667.48,13
HCPCS,28540,Hc Dislocation Tarsal Wo Anes,2309.0,900.51,,,0
HCPCS,28540,Treat foot dislocation,,,250.54,3391.0,11
HCPCS,28545,Treat foot dislocation,,,1308.0,12475.93,13
HCPCS,28546,Hc Tarsal Dislocation Ske,36511.0,14239.29,,,0
HCPCS,28546,Treat foot dislocation,,,1633.26,6179.0,13
HCPCS,28555,Repair foot dislocation,,,1694.0,27667.48,13
HCPCS,28570,Hc Talo Joint Dislocation Wo Anes,8838.0,3446.82,,,0
HCPCS,28570,Treat foot dislocation,,,250.54,3391.0,11
HCPCS,28575,Hc Talo Joint Dislocation Anes,25500.0,9945.0,,,0
HCPCS,28575,Treat foot dislocation,,,1308.0,12475.93,13
HCPCS,28576,Hc Talo Joint Dislocation Ske,15856.0,6183.84,,,0
HCPCS,28576,Treat foot dislocation,,,1937.0,27667.48,13
HCPCS,28585,Repair foot dislocation,,,1937.0,27667.48,13
HCPCS,28600,Clsd Tx Tmt Jnt Disl W/0 Anest,947.0,369.33,,,0
HCPCS,28600,Hc Tarso Joint Dislocation Woanes,2067.0,806.13,,,0
HCPCS,28600,Treat foot dislocation,,,250.54,3391.0,11
HCPCS,28605,Treat foot dislocation,,,250.54,3391.0,13
HCPCS,28606,Treat foot dislocation,,,1694.0,12475.93,13
HCPCS,28615,Repair foot dislocation,,,1937.0,27667.48,13
HCPCS,28630,Hc Metata Joint Dislocation Wo Anes,2309.0,900.51,,,0
HCPCS,28630,Treat toe dislocation,,,250.54,3391.0,11
HCPCS,28635,Hc Metata Joint Dislocation Anes,22342.0,8713.38,,,0
HCPCS,28635,Treat toe dislocation,,,1308.0,6131.17,13
HCPCS,28636,Treat toe dislocation,,,1937.0,12475.93,13
HCPCS,28645,Repair toe dislocation,,,1937.0,12475.93,13
HCPCS,28660,Hc Toe Joint Dislocation Wo Anes,2067.0,806.13,,,0
HCPCS,28660,Treat toe dislocation,,,250.54,3391.0,11
HCPCS,28665,Treat toe dislocation,,,284.09,3391.0,13
HCPCS,28666,Treat toe dislocation,,,1937.0,12475.93,13
HCPCS,28675,Repair of toe dislocation,,,1937.0,12475.93,13
HCPCS,28705,Fusion of foot bones,,,2323.0,66855.32,13
HCPCS,28715,Fusion of foot bones,,,2323.0,48953.07,13
HCPCS,28725,Fusion of foot bones,,,2323.0,48953.07,13
HCPCS,28730,Fusion of foot bones,,,2323.0,48953.07,13
HCPCS,28735,Fusion of foot bones,,,2323.0,48953.07,13
HCPCS,28737,Revision of foot bones,,,2664.0,48953.07,13
HCPCS,28740,Fusion of foot bones,,,2323.0,27667.48,13
HCPCS,28750,Fusion of big toe joint,,,2323.0,27667.48,13
HCPCS,28755,Fusion of big toe joint,,,2323.0,27667.48,13
HCPCS,28760,Fusion of big toe joint,,,2323.0,27667.48,13
HCPCS,28800,Amputation of midfoot,,,3323.41,12475.93,11
HCPCS,28805,Amputation thru metatarsal,,,3323.41,12475.93,11
HCPCS,28810,Amputation toe & metatarsal,,,1694.0,12475.93,13
HCPCS,28820,Amputation of toe,,,1694.0,12475.93,13
HCPCS,28820,Er Amputate Toe Metatarsophala,9687.0,3777.93,,,0
HCPCS,28820,Hc Amputation Toe Metatarsophalangeal Joint,9687.0,3777.93,,,0
HCPCS,28825,Partial amputation of toe,,,1694.0,12475.93,13
HCPCS,28890,Hi enrgy eswt plantar fascia,,,1633.26,8448.0,11
HCPCS,28899,Foot/toes surgery procedure,,,250.54,3391.0,11
HCPCS,29000,Application of body cast,,,284.09,5063.0,12
HCPCS,29010,Application of body cast,,,284.09,5063.0,11
HCPCS,29015,Application of body cast,,,284.09,5063.0,11
HCPCS,29020,Application of body cast,,,5063.0,5063.0,1
HCPCS,29025,Application of body cast,,,5063.0,5063.0,1
HCPCS,29035,Application of body cast,,,284.09,5063.0,11
HCPCS,29040,Application of body cast,,,284.09,5063.0,11
HCPCS,29044,Application of body cast,,,165.05,5063.0,11
HCPCS,29046,Application of body cast,,,284.09,5063.0,11
HCPCS,29049,Application of figure eight,,,284.09,5063.0,11
HCPCS,29055,Application of shoulder cast,,,284.09,5063.0,11
HCPCS,29058,Application of shoulder cast,,,284.09,5063.0,11
HCPCS,29065,Application of long arm cast,,,284.09,5063.0,11
HCPCS,29065,Hc Cast Elbow Long Arm,3127.0,1219.53,,,0
HCPCS,29075,Application of forearm cast,,,284.09,5063.0,11
HCPCS,29075,Hc Cast Forearm/Wrist Short Arm,3127.0,1219.53,,,0
HCPCS,29085,Apply hand/wrist cast,,,165.05,5063.0,11
HCPCS,29085,Hc Application Cast Hand And Lower Forearm Gauntlet,551.0,214.89,,,0
HCPCS,29086,Apply finger cast,,,165.05,5063.0,11
HCPCS,29086,Hc Cast Finger,1576.0,614.64,,,0
HCPCS,29105,Apply long arm splint,,,165.05,5063.0,11
HCPCS,29105,Hc Splint Elbow Long Arm,1408.0,549.12,,,0
HCPCS,29125,Apply forearm splint,,,135.14,5063.0,11
HCPCS,29125,Hc Splint Arm Short,1576.0,614.64,,,0
HCPCS,29126,Apply forearm splint,,,135.14,5063.0,11
HCPCS,29126,Hc Application Of Short Arm Splint Forearm To Hand Section - Ot,838.0,326.82,,,0
HCPCS,29126,Hc Application Of Short Arm Splint Forearm To Hand Section - Pt,838.0,326.82,,,0
HCPCS,29130,Application of finger splint,,,135.14,5063.0,11
HCPCS,29130,Hc Splint Finger Custom,1576.0,614.64,,,0
HCPCS,29131,Application of finger splint,,,59.92,5063.0,11
HCPCS,29131,Hc Application Finger Splint Dynamic,188.0,73.32,,,0
HCPCS,29200,Hc Strapping Of Thorax Physical Therapy,937.0,365.43,,,0
HCPCS,29200,Strapping of chest,,,165.05,5063.0,11
HCPCS,29220,Strapping of low back,,,5063.0,5063.0,1
HCPCS,29240,Hc Strapping Of Shoulder,781.0,304.59,,,0
HCPCS,29240,Hc Strapping Of Shoulder - Ot,781.0,304.59,,,0
HCPCS,29240,Hc Strapping Of Shoulder - Pt,781.0,304.59,,,0
HCPCS,29240,Strapping of shoulder,,,135.14,5063.0,11
HCPCS,29260,Hc Strapping Of Elbow Or Wrist,374.0,145.86,,,0
HCPCS,29260,Hc Strapping Of Elbow Or Wrist - Ot,374.0,145.86,,,0
HCPCS,29260,Hc Strapping Of Elbow Or Wrist - Pt,374.0,145.86,,,0
HCPCS,29260,Strapping of elbow or wrist,,,59.92,5063.0,11
HCPCS,29280,Hc Strapping Of Hand Or Finger,749.0,292.11,,,0
HCPCS,29280,Hc Strapping Of Hand Or Finger Occupational Therapy,749.0,292.11,,,0
HCPCS,29280,Hc Strapping Of Hand Or Finger Physical Therapy,749.0,292.11,,,0
HCPCS,29280,Strapping of hand or finger,,,59.92,5063.0,11
HCPCS,29305,Application of hip cast,,,284.09,3391.0,12
HCPCS,29305,Hc Application Hip Spica Cast 1 Leg,864.0,336.96,,,0
HCPCS,29325,Application of hip casts,,,284.09,4714.0,12
HCPCS,29345,Application of long leg cast,,,284.09,3391.0,11
HCPCS,29345,Hc Cast Leg Long,3497.0,1363.83,,,0
HCPCS,29355,Application of long leg cast,,,284.09,5063.0,11
HCPCS,29355,Hc Application Long Leg Cast Walker/Ambulatory Type,782.0,304.98,,,0
HCPCS,29358,Apply long leg cast brace,,,284.09,5063.0,11
HCPCS,29358,Hc Application Long Leg Cast Brace,782.0,304.98,,,0
HCPCS,29365,Application of long leg cast,,,284.09,5063.0,11
HCPCS,29365,Hc Application Cylinder Cast Thigh Ankle,864.0,336.96,,,0
HCPCS,29405,Apply short leg cast,,,284.09,5063.0,11
HCPCS,29405,Hc Application Short Leg Cast-Below Knee To Toes Phy Ther,2290.0,893.1,,,0
HCPCS,29405,Hc Cast Leg Short,2290.0,893.1,,,0
HCPCS,29425,Apply short leg cast,,,284.09,5063.0,11
HCPCS,29425,Hc Application Short Leg Cast Walking/Ambulatory,774.0,301.86,,,0
HCPCS,29435,Apply short leg cast,,,284.09,5063.0,11
HCPCS,29440,Addition of walker to cast,,,165.05,5063.0,11
HCPCS,29440,Hc Adding Walker Previously Applied Cast,476.0,185.64,,,0
HCPCS,29445,Apply rigid leg cast,,,284.09,5063.0,11
HCPCS,29445,Hc Contact Cast,4899.0,1910.61,,,0
HCPCS,29450,Application of leg cast,,,165.05,5063.0,11
HCPCS,29450,Hc Appl Clubfoot Cast Molding Or Manj Long Or Short Leg,428.0,166.92,,,0
HCPCS,29505,Application long leg splint,,,165.05,5063.0,11
HCPCS,29505,Hc Splint Leg Long,1576.0,614.64,,,0
HCPCS,29515,Application lower leg splint,,,165.05,5063.0,11
HCPCS,29515,Hc Application Short Leg Splint Calf Foot - Ot,1386.0,540.54,,,0
HCPCS,29515,Hc Application Short Leg Splint Calf Foot - Pt,1386.0,540.54,,,0
HCPCS,29515,Hc Apply Short Leg Splint,1386.0,540.54,,,0
HCPCS,29520,Hc Strapping Of Hip - Pt,979.0,381.81,,,0
HCPCS,29520,Strapping of hip,,,135.14,5063.0,11
HCPCS,29530,Hc Strapping Of Knee,882.0,343.98,,,0
HCPCS,29530,Hc Strapping Of Knee - Pt,882.0,343.98,,,0
HCPCS,29530,Strapping of knee,,,135.14,5063.0,11
HCPCS,29540,Hc Strapping Of Ankle,1006.0,392.34,,,0
HCPCS,29540,Hc Strapping Of Ankle And/Or Ft - Ot,1006.0,392.34,,,0
HCPCS,29540,Hc Strapping Of Ankle And/Or Ft - Pt,1006.0,392.34,,,0
HCPCS,29540,Strapping of ankle and/or ft,,,165.05,5063.0,11
HCPCS,29550,Hc Strapping Of Toe,470.0,183.3,,,0
HCPCS,29550,Hc Strapping Of Toes Phyiscal Therapy,470.0,183.3,,,0
HCPCS,29550,Strapping of toes,,,59.92,5063.0,11
HCPCS,29580,Application of paste boot,,,165.05,5063.0,11
HCPCS,29580,Hc Strapping Unna Boot - Pt,1576.0,614.64,,,0
HCPCS,29580,Hc Unna Boot,1576.0,614.64,,,0
HCPCS,29581,Apply multlay comprs lwr leg,,,165.05,5063.0,11
HCPCS,29581,Hc Apply Multlay Compression Lower Leg,1182.0,460.98,,,0
HCPCS,29581,Hc Apply Multlay Compression Lower Leg - Pt,1182.0,460.98,,,0
HCPCS,29582,Apply multlay comprs upr leg,,,5063.0,5063.0,1
HCPCS,29583,Apply multlay comprs upr arm,,,5063.0,5063.0,1
HCPCS,29584,Appl multlay comprs arm/hand,,,165.05,5063.0,11
HCPCS,29584,Hc Appl Mltlayr Compres Sys Uparm Lwarm Hand And Fing,871.0,339.69,,,0
HCPCS,29584,Hc Apply Multilay Compress Arm/Hand Physical Therapy,871.0,339.69,,,0
HCPCS,29590,Application of foot splint,,,5063.0,5063.0,1
HCPCS,29700,Hc Cast Removal Or Revision Of Boot/Body/Gauntlet,1408.0,549.12,,,0
HCPCS,29700,Removal/revision of cast,,,284.09,5063.0,11
HCPCS,29705,Hc Cast Removal Or Revision Of Full Arm/Leg,1408.0,549.12,,,0
HCPCS,29705,"Remov/Bivalving A,L Cast",674.0,262.86,,,0
HCPCS,29705,Removal/revision of cast,,,284.09,5063.0,11
HCPCS,29710,Removal/revision of cast,,,284.09,5063.0,11
HCPCS,29715,Removal/revision of cast,,,5063.0,5063.0,1
HCPCS,29720,Hc Repair Spica Body Cast/Jacket,474.0,184.86,,,0
HCPCS,29720,Repair of body cast,,,165.05,5063.0,11
HCPCS,29730,Hc Windowing Cast,474.0,184.86,,,0
HCPCS,29730,Windowing of cast,,,165.05,5063.0,11
HCPCS,29740,Hc Cast Wedge,1576.0,614.64,,,0
HCPCS,29740,Wedging of cast,,,284.09,5063.0,11
HCPCS,29750,Hc Wedging Clubfoot Cast,782.0,304.98,,,0
HCPCS,29750,Wedging of clubfoot cast,,,284.09,5063.0,11
HCPCS,29799,Casting/strapping procedure,,,165.05,5063.0,11
HCPCS,29799,Er Casting/Strapping Unlisted,476.0,185.64,,,0
HCPCS,29799,Hc Cast/Strap Procedure Unlisted Physical Therapy,1504.0,586.56,,,0
HCPCS,29800,Jaw arthroscopy/surgery,,,1937.0,12475.93,13
HCPCS,29804,Jaw arthroscopy/surgery,,,1937.0,12475.93,13
HCPCS,29805,Shoulder arthroscopy dx,,,1937.0,12475.93,13
HCPCS,29806,Shoulder arthroscopy/surgery,,,1937.0,27667.48,13
HCPCS,29807,Shoulder arthroscopy/surgery,,,1937.0,27667.48,13
HCPCS,29815,Description Not Available,,,5063.0,5063.0,1
HCPCS,29819,Shoulder arthroscopy/surgery,,,1937.0,15026.0,13
HCPCS,29820,Shoulder arthroscopy/surgery,,,1937.0,27667.48,13
HCPCS,29821,Shoulder arthroscopy/surgery,,,1937.0,15026.0,13
HCPCS,29822,Shoulder arthroscopy/surgery,,,1937.0,12475.93,13
HCPCS,29823,Shoulder arthroscopy/surgery,,,1937.0,15026.0,13
HCPCS,29824,Shoulder arthroscopy/surgery,,,2664.0,15026.0,13
HCPCS,29825,Shoulder arthroscopy/surgery,,,1937.0,15026.0,13
HCPCS,29826,Shoulder arthroscopy/surgery,,,1937.0,5809.0,4
HCPCS,29827,Arthroscop rotator cuff repr,,,2664.0,27667.48,13
HCPCS,29828,Arthroscopy biceps tenodesis,,,5809.0,27667.48,12
HCPCS,29830,Elbow arthroscopy,,,1937.0,15026.0,13
HCPCS,29834,Elbow arthroscopy/surgery,,,1937.0,12475.93,13
HCPCS,29835,Elbow arthroscopy/surgery,,,1937.0,15026.0,13
HCPCS,29836,Elbow arthroscopy/surgery,,,1937.0,27667.48,13
HCPCS,29837,Elbow arthroscopy/surgery,,,1937.0,12475.93,13
HCPCS,29838,Elbow arthroscopy/surgery,,,1937.0,12475.93,13
HCPCS,29840,Wrist arthroscopy,,,1937.0,12475.93,13
HCPCS,29843,Wrist arthroscopy/surgery,,,1937.0,12475.93,13
HCPCS,29844,Wrist arthroscopy/surgery,,,1937.0,12475.93,13
HCPCS,29845,Wrist arthroscopy/surgery,,,1937.0,12475.93,13
HCPCS,29846,Wrist arthroscopy/surgery,,,1937.0,12475.93,13
HCPCS,29847,Wrist arthroscopy/surgery,,,1937.0,27667.48,13
HCPCS,29848,Wrist endoscopy/surgery,,,1633.26,9032.0,13
HCPCS,29850,Knee arthroscopy/surgery,,,1633.26,8448.0,13
HCPCS,29851,Knee arthroscopy/surgery,,,1633.26,11889.0,13
HCPCS,29855,Tibial arthroscopy/surgery,,,2323.0,27667.48,13
HCPCS,29856,Tibial arthroscopy/surgery,,,2323.0,48953.07,13
HCPCS,29860,Hip arthroscopy dx,,,2323.0,27667.48,13
HCPCS,29861,Hip arthro w/fb removal,,,2323.0,27667.48,13
HCPCS,29862,Hip arthr0 w/debridement,,,6389.0,27667.48,13
HCPCS,29863,Hip arthr0 w/synovectomy,,,2323.0,15026.0,13
HCPCS,29866,Autgrft implnt knee w/scope,,,5809.0,27667.48,11
HCPCS,29867,Allgrft implnt knee w/scope,,,5809.0,48953.07,11
HCPCS,29868,Meniscal trnspl knee w/scpe,,,5809.0,27667.48,11
HCPCS,29870,Knee arthroscopy dx,,,1937.0,12475.93,13
HCPCS,29871,Knee arthroscopy/drainage,,,1937.0,12475.93,13
HCPCS,29873,Knee arthroscopy/surgery,,,1937.0,12475.93,13
HCPCS,29874,Knee arthroscopy/surgery,,,1937.0,12475.93,13
HCPCS,29875,Knee arthroscopy/surgery,,,2323.0,12475.93,13
HCPCS,29876,Knee arthroscopy/surgery,,,2323.0,12475.93,13
HCPCS,29877,Knee arthroscopy/surgery,,,2323.0,12475.93,13
HCPCS,29879,Knee arthroscopy/surgery,,,1937.0,12475.93,13
HCPCS,29880,Knee arthroscopy/surgery,,,2323.0,12475.93,13
HCPCS,29881,Knee arthroscopy/surgery,,,2323.0,12475.93,13
HCPCS,29882,Knee arthroscopy/surgery,,,1937.0,12475.93,13
HCPCS,29883,Knee arthroscopy/surgery,,,1937.0,12475.93,13
HCPCS,29884,Knee arthroscopy/surgery,,,1937.0,12475.93,13
HCPCS,29885,Knee arthroscopy/surgery,,,1937.0,27667.48,13
HCPCS,29886,Knee arthroscopy/surgery,,,1937.0,12475.93,13
HCPCS,29887,Knee arthroscopy/surgery,,,1937.0,27667.48,13
HCPCS,29888,Knee arthroscopy/surgery,,,1937.0,27667.48,13
HCPCS,29889,Knee arthroscopy/surgery,,,1937.0,48953.07,13
HCPCS,29891,Ankle arthroscopy/surgery,,,1937.0,15026.0,13
HCPCS,29892,Ankle arthroscopy/surgery,,,1937.0,27667.48,13
HCPCS,29893,Scope plantar fasciotomy,,,3323.41,12475.93,13
HCPCS,29894,Ankle arthroscopy/surgery,,,1937.0,12475.93,13
HCPCS,29895,Ankle arthroscopy/surgery,,,1937.0,12475.93,13
HCPCS,29897,Ankle arthroscopy/surgery,,,1937.0,12475.93,13
HCPCS,29898,Ankle arthroscopy/surgery,,,1937.0,12475.93,13
HCPCS,29899,Ankle arthroscopy/surgery,,,1937.0,27667.48,13
HCPCS,29900,Mcp joint arthroscopy dx,,,1937.0,12475.93,13
HCPCS,29901,Mcp joint arthroscopy surg,,,1937.0,15026.0,13
HCPCS,29902,Mcp joint arthroscopy surg,,,1633.26,8448.0,13
HCPCS,29904,Subtalar arthro w/fb rmvl,,,3323.41,12475.93,12
HCPCS,29905,Subtalar arthro w/exc,,,5809.0,27667.48,12
HCPCS,29906,Subtalar arthro w/deb,,,3323.41,12475.93,12
HCPCS,29907,Subtalar arthro w/fusion,,,5809.0,48953.07,12
HCPCS,29909,Description Not Available,,,5063.0,5063.0,1
HCPCS,29914,Hip arthro w/femoroplasty,,,6389.0,27667.48,12
HCPCS,29915,Hip arthro acetabuloplasty,,,6389.0,27667.48,12
HCPCS,29916,Hip arthro w/labral repair,,,6389.0,27667.48,12
HCPCS,29999,Arthroscopy of joint,,,250.54,3391.0,11
HCPCS,30000,Drainage of nose lesion,,,240.57,3391.0,11
HCPCS,30000,Hc Drain Abscess/Hematoma Nasal,4763.0,1857.57,,,0
HCPCS,30020,Drainage of nose lesion,,,547.8,3391.0,11
HCPCS,30020,Hc Drainage Abscess/Hematoma Nasal Septum,1487.0,579.93,,,0
HCPCS,30100,Intranasal biopsy,,,1575.96,5916.09,12
HCPCS,30110,Removal of nose polyp(s),,,1308.0,5916.09,12
HCPCS,30115,Removal of nose polyp(s),,,1694.0,12641.63,13
HCPCS,30117,Hc Excision/Destruction Intranasal Lesion Int Appr,5678.0,2214.42,,,0
HCPCS,30117,Removal of intranasal lesion,,,1937.0,12641.63,13
HCPCS,30118,Removal of intranasal lesion,,,1937.0,12641.63,13
HCPCS,30120,Revision of nose,,,1308.0,12641.63,13
HCPCS,30124,Removal of nose lesion,,,1308.0,5916.09,13
HCPCS,30125,Removal of nose lesion,,,1694.0,22571.93,13
HCPCS,30130,Excise inferior turbinate,,,1937.0,12641.63,13
HCPCS,30140,Resect inferior turbinate,,,1694.0,12641.63,13
HCPCS,30150,Partial removal of nose,,,1937.0,22571.93,13
HCPCS,30160,Removal of nose,,,2323.0,22571.93,13
HCPCS,30200,Injection treatment of nose,,,547.8,5063.0,12
HCPCS,30210,Nasal sinus therapy,,,1308.0,5916.09,13
HCPCS,30220,Insert nasal septal button,,,1575.96,5916.09,13
HCPCS,30300,Hc Foreign Body Removal Nasal,945.0,368.55,,,0
HCPCS,30300,Remove nasal foreign body,,,135.14,5063.0,11
HCPCS,30310,Remove nasal foreign body,,,1308.0,12641.63,13
HCPCS,30320,Remove nasal foreign body,,,1575.96,5916.09,13
HCPCS,30400,Reconstruction of nose,,,2323.0,22571.93,13
HCPCS,30410,Reconstruction of nose,,,2664.0,22571.93,13
HCPCS,30420,Reconstruction of nose,,,2664.0,22571.93,13
HCPCS,30430,Revision of nose,,,1937.0,22571.93,13
HCPCS,30435,Revision of nose,,,2664.0,22571.93,13
HCPCS,30450,Revision of nose,,,3721.0,22571.93,13
HCPCS,30460,Revision of nose,,,3721.0,22571.93,13
HCPCS,30462,Revision of nose,,,6012.85,22571.93,13
HCPCS,30465,Repair Nasal Stenosis,,,6012.85,22571.93,13
HCPCS,30468,Rpr nsl vlv collapse w/implt,,,6012.85,22571.93,11
HCPCS,30469,Rpr nsl vlv collapse w/rmdlg,,,6012.85,22571.93,11
HCPCS,30520,Repair of nasal septum,,,2323.0,12641.63,13
HCPCS,30540,Repair nasal defect,,,2664.0,22571.93,13
HCPCS,30545,Repair nasal defect,,,2664.0,22571.93,13
HCPCS,30560,Release of nasal adhesions,,,547.8,4714.0,13
HCPCS,30580,Repair upper jaw fistula,,,2323.0,22571.93,13
HCPCS,30600,Repair mouth/nose fistula,,,2323.0,22571.93,13
HCPCS,30620,Intranasal reconstruction,,,3721.0,22571.93,13
HCPCS,30630,Repair nasal septum defect,,,3367.56,12641.63,13
HCPCS,30801,Ablate inf turbinate superf,,,1308.0,5916.09,13
HCPCS,30801,Hc Cautery Simple Inner Nose,16121.0,6287.19,,,0
HCPCS,30802,Ablate inf turbinate submuc,,,1308.0,5916.09,13
HCPCS,30802,Hc Abltj Sof Tiss Inf Turbs Uni/Bi Supfc Intramural,2888.0,1126.32,,,0
HCPCS,30901,Control of nosebleed,,,135.14,3391.0,12
HCPCS,30901,Hc Control Nasal Hemorrhage Anterior Simple,2866.0,1117.74,,,0
HCPCS,30903,Control of nosebleed,,,135.14,3391.0,13
HCPCS,30903,Hc Nose Pack Anterior Complex,2866.0,1117.74,,,0
HCPCS,30905,Control of nosebleed,,,135.14,3391.0,13
HCPCS,30905,Hc Nose Pack Posterior 1St,3205.0,1249.95,,,0
HCPCS,30906,Hc Control Nasal Hemorrhage Subsequent,2866.0,1117.74,,,0
HCPCS,30906,Repeat control of nosebleed,,,240.57,3391.0,13
HCPCS,30915,Ligation nasal sinus artery,,,1694.0,12039.27,13
HCPCS,30920,Ligation upper jaw artery,,,1937.0,12039.27,13
HCPCS,30930,Ther fx nasal inf turbinate,,,2323.0,12641.63,13
HCPCS,30999,Nasal surgery procedure,,,240.57,3391.0,11
HCPCS,31000,Irrigation maxillary sinus,,,240.57,3391.0,11
HCPCS,31002,Irrigation sphenoid sinus,,,1575.96,5916.09,12
HCPCS,31020,Exploration maxillary sinus,,,1694.0,12641.63,13
HCPCS,31030,Exploration maxillary sinus,,,1937.0,22571.93,13
HCPCS,31032,Explore sinus remove polyps,,,2323.0,22571.93,13
HCPCS,31040,Exploration behind upper jaw,,,5063.0,22571.93,11
HCPCS,31050,Exploration sphenoid sinus,,,1694.0,22571.93,13
HCPCS,31051,Sphenoid sinus surgery,,,2323.0,22571.93,13
HCPCS,31070,Exploration of frontal sinus,,,1694.0,22571.93,13
HCPCS,31075,Exploration of frontal sinus,,,2323.0,22571.93,13
HCPCS,31080,Removal of frontal sinus,,,2323.0,22571.93,13
HCPCS,31081,Removal of frontal sinus,,,2323.0,22571.93,13
HCPCS,31084,Removal of frontal sinus,,,2323.0,22571.93,13
HCPCS,31085,Removal of frontal sinus,,,2323.0,22571.93,13
HCPCS,31086,Removal of frontal sinus,,,2323.0,22571.93,13
HCPCS,31087,Removal of frontal sinus,,,2323.0,22571.93,13
HCPCS,31090,Exploration of sinuses,,,2664.0,22571.93,13
HCPCS,31200,Removal of ethmoid sinus,,,1694.0,22571.93,13
HCPCS,31201,Removal of ethmoid sinus,,,1575.96,6760.0,13
HCPCS,31205,Removal of ethmoid sinus,,,1937.0,12641.63,13
HCPCS,31225,Removal of upper jaw,,,5063.0,6859.0,2
HCPCS,31230,Removal of upper jaw,,,5063.0,6859.0,2
HCPCS,31231,Hc Nasal Endoscopy Diagnostic Uni/Bi Spx,585.0,228.15,,,0
HCPCS,31231,Nasal endoscopy dx,,,202.74,4714.0,12
HCPCS,31233,Nasal/sinus endoscopy dx,,,397.26,4714.0,13
HCPCS,31235,Nasal/sinus endoscopy dx,,,1308.0,6786.64,13
HCPCS,31237,Hc Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx,6002.0,2340.78,,,0
HCPCS,31237,Nasal/sinus endoscopy surg,,,1694.0,6786.64,13
HCPCS,31238,Hc Nasal/Sinus Endo Surg W/Control Nasal Hemrrg,7068.0,2756.52,,,0
HCPCS,31238,Nasal/sinus endoscopy surg,,,1308.0,6786.64,13
HCPCS,31239,Nasal/sinus endoscopy surg,,,2323.0,14215.95,13
HCPCS,31240,Nasal/sinus endoscopy surg,,,1694.0,6786.64,13
HCPCS,31241,Nsl/sins ndsc w/artery lig,,,1807.87,6786.64,11
HCPCS,31242,Nsl/sinus ndsc rf abltj pnn,,,5809.0,22571.93,11
HCPCS,31243,Nsl/sinus ndsc cryoabltj pnn,,,5809.0,22571.93,11
HCPCS,31253,Nsl/sins ndsc total,,,6760.0,26909.64,12
HCPCS,31254,Revision of ethmoid sinus,,,1937.0,26909.64,13
HCPCS,31255,Removal of ethmoid sinus,,,2664.0,26909.64,13
HCPCS,31256,Exploration maxillary sinus,,,1937.0,14215.95,13
HCPCS,31257,Nsl/sins ndsc tot w/sphendt,,,6760.0,26909.64,12
HCPCS,31259,Nsl/sins ndsc sphn tiss rmvl,,,6760.0,26909.64,12
HCPCS,31267,Endoscopy maxillary sinus,,,1937.0,26909.64,13
HCPCS,31276,Sinus endoscopy surgical,,,1937.0,26909.64,13
HCPCS,31287,Nasal/sinus endoscopy surg,,,1937.0,26909.64,13
HCPCS,31288,Nasal/sinus endoscopy surg,,,1937.0,26909.64,13
HCPCS,31290,Nasal/sinus endoscopy surg,,,5809.0,6859.0,2
HCPCS,31291,Nasal/sinus endoscopy surg,,,5809.0,6859.0,2
HCPCS,31292,Nasal/sinus endoscopy surg,,,5809.0,26909.64,11
HCPCS,31293,Nasal/sinus endoscopy surg,,,5809.0,26909.64,11
HCPCS,31294,Nasal/sinus endoscopy surg,,,5809.0,26909.64,11
HCPCS,31295,Sinus endo w/balloon dil,,,5809.0,26909.64,12
HCPCS,31296,Sinus endo w/balloon dil,,,5809.0,26909.64,12
HCPCS,31297,Sinus endo w/balloon dil,,,5809.0,26909.64,12
HCPCS,31298,Nsl/sins ndsc w/sins dilat,,,6389.0,26909.64,12
HCPCS,31299,Sinus surgery procedure,,,240.57,5063.0,11
HCPCS,31300,Removal of larynx lesion,,,2664.0,12641.63,13
HCPCS,31320,Diagnostic incision larynx,,,1694.0,5063.0,2
HCPCS,31360,Removal of larynx,,,5063.0,6859.0,2
HCPCS,31365,Removal of larynx,,,5063.0,6859.0,2
HCPCS,31367,Partial removal of larynx,,,5063.0,6859.0,2
HCPCS,31368,Partial removal of larynx,,,5063.0,6859.0,2
HCPCS,31370,Partial removal of larynx,,,5063.0,6859.0,2
HCPCS,31375,Partial removal of larynx,,,5063.0,6859.0,2
HCPCS,31380,Partial removal of larynx,,,5063.0,6859.0,2
HCPCS,31382,Partial removal of larynx,,,5063.0,6859.0,2
HCPCS,31390,Removal of larynx & pharynx,,,5063.0,6859.0,2
HCPCS,31395,Reconstruct larynx & pharynx,,,5063.0,6859.0,2
HCPCS,31400,Revision of larynx,,,1694.0,22571.93,13
HCPCS,31420,Removal of epiglottis,,,1694.0,22571.93,13
HCPCS,31500,Hc Intubation,1626.0,634.14,,,0
HCPCS,31500,Insert emergency airway,,,240.57,3391.0,12
HCPCS,31502,Change of windpipe airway,,,240.57,3391.0,12
HCPCS,31502,Hc Trach Tube Change,1601.0,624.39,,,0
HCPCS,31505,Diagnostic laryngoscopy,,,202.74,5063.0,12
HCPCS,31505,Hc Laryngoscopy Indirect Diagnostic,526.0,205.14,,,0
HCPCS,31510,Laryngoscopy with biopsy,,,1694.0,14215.95,13
HCPCS,31511,Hc Laryngoscopy Indirect W/Removal Foreign Body,582.0,226.98,,,0
HCPCS,31511,Remove foreign body larynx,,,202.74,4714.0,13
HCPCS,31512,Removal of larynx lesion,,,1694.0,14215.95,13
HCPCS,31513,Injection into vocal cord,,,397.26,4714.0,13
HCPCS,31515,Laryngoscopy for aspiration,,,397.26,3391.0,13
HCPCS,31520,Dx laryngoscopy newborn,,,397.26,3391.0,11
HCPCS,31525,Dx laryngoscopy excl nb,,,1308.0,6786.64,13
HCPCS,31525,Hc Laryngoscopy W/Wo Tracheoscopy Dx Except Newborn,9579.0,3735.81,,,0
HCPCS,31526,Dx laryngoscopy w/oper scope,,,1694.0,6786.64,13
HCPCS,31527,Laryngoscopy for treatment,,,1308.0,14215.95,13
HCPCS,31528,Laryngoscopy and dilation,,,1694.0,14215.95,13
HCPCS,31529,Laryngoscopy and dilation,,,1694.0,14215.95,13
HCPCS,31530,Hc Laryngoscopy Direct Foreign Body Removal,12314.0,4802.46,,,0
HCPCS,31530,Laryngoscopy w/fb removal,,,1694.0,6786.64,13
HCPCS,31531,Laryngoscopy w/fb & op scope,,,1937.0,14215.95,13
HCPCS,31535,Hc Laryngoscopy Direct Operative With Biopsy,10740.0,4188.6,,,0
HCPCS,31535,Laryngoscopy w/biopsy,,,1694.0,14215.95,13
HCPCS,31536,Laryngoscopy w/bx & op scope,,,1937.0,14215.95,13
HCPCS,31540,Laryngoscopy w/exc of tumor,,,1937.0,14215.95,13
HCPCS,31541,Larynscop w/tumr exc + scope,,,2323.0,14215.95,13
HCPCS,31545,Remove vc lesion w/scope,,,2323.0,14215.95,13
HCPCS,31546,Remove vc lesion scope/graft,,,2323.0,26909.64,13
HCPCS,31551,Laryngoplasty laryngeal sten,,,6012.85,22571.93,11
HCPCS,31552,Laryngoplasty laryngeal sten,,,6012.85,22571.93,11
HCPCS,31553,Laryngoplasty laryngeal sten,,,6012.85,22571.93,11
HCPCS,31554,Laryngoplasty laryngeal sten,,,6012.85,22571.93,11
HCPCS,31560,Laryngoscop w/arytenoidectom,,,2664.0,26909.64,13
HCPCS,31561,Larynscop remve cart + scop,,,2664.0,26909.64,13
HCPCS,31570,Hc Laryngoscope Injection Vocal Cord Therapeutic,2373.0,925.47,,,0
HCPCS,31570,Laryngoscope w/vc inj,,,1694.0,14215.95,13
HCPCS,31571,Laryngoscop w/vc inj + scope,,,1694.0,14215.95,13
HCPCS,31572,Hc Laryngoscopy Flexible Ablatj Destj Lesions Uni,10872.0,4240.08,,,0
HCPCS,31572,Largsc w/laser dstrj les,,,3786.93,14215.95,12
HCPCS,31573,Hc Laryngoscopy Flexible Therapeutic Injection Uni,2024.0,789.36,,,0
HCPCS,31573,Largsc w/ther injection,,,1807.87,7349.0,12
HCPCS,31574,Hc Laryngoscopy Flexible W/Injection Agmntj Uni,1482.0,577.98,,,0
HCPCS,31574,Largsc w/njx augmentation,,,1807.87,7349.0,12
HCPCS,31575,Diagnostic laryngoscopy,,,202.74,4714.0,11
HCPCS,31575,Hc Laryngoscopy Flexible Fiber-Di,5146.0,2006.94,,,0
HCPCS,31576,Hc Laryngoscopy Flexible W/Biopsyies,6002.0,2340.78,,,0
HCPCS,31576,Laryngoscopy with biopsy,,,1694.0,6786.64,13
HCPCS,31577,Hc Laryngoscopy Flex Fiber Foreign Body Removal,5146.0,2006.94,,,0
HCPCS,31577,Largsc w/rmvl foreign bdy(s),,,397.26,4714.0,13
HCPCS,31578,Largsc w/removal lesion,,,1694.0,14215.95,13
HCPCS,31579,Hc Videostroboscopy,4729.0,1844.31,,,0
HCPCS,31579,Laryngoscopy telescopic,,,397.26,4714.0,13
HCPCS,31580,Laryngoplasty laryngeal web,,,2664.0,22571.93,13
HCPCS,31582,Revision of larynx,,,2664.0,5063.0,2
HCPCS,31584,Laryngoplasty fx rdctj fixj,,,2323.0,22571.93,12
HCPCS,31585,Treat larynx fracture,,,1308.0,5063.0,2
HCPCS,31586,Treat larynx fracture,,,1694.0,5063.0,2
HCPCS,31587,Laryngoplasty cricoid split,,,6012.85,22571.93,11
HCPCS,31588,Revision of larynx,,,2664.0,5063.0,2
HCPCS,31590,Reinnervate larynx,,,2664.0,22571.93,13
HCPCS,31591,Laryngoplasty medialization,,,6012.85,22571.93,11
HCPCS,31592,Cricotracheal resection,,,6012.85,22571.93,11
HCPCS,31595,Larynx nerve surgery,,,1694.0,5063.0,2
HCPCS,31599,Hc Larynx Surgery Procedure,1312.0,511.68,,,0
HCPCS,31599,Larynx surgery procedure,,,240.57,3391.0,11
HCPCS,31600,Hc Tracheostomy Planned,15787.0,6156.93,,,0
HCPCS,31600,Incision of windpipe,,,1694.0,12641.63,13
HCPCS,31601,Incision of windpipe,,,5063.0,22571.93,11
HCPCS,31603,Hc Tracheostomy Emergency Procedure Transtracheal,8472.0,3304.08,,,0
HCPCS,31603,Incision of windpipe,,,1308.0,5916.09,13
HCPCS,31603,Transtrach Tracheostomy,3452.0,1346.28,,,0
HCPCS,31605,Hc Tracheostomy Emergency Cricothyroid Membrane,5050.0,1969.5,,,0
HCPCS,31605,Incision of windpipe,,,240.57,3391.0,12
HCPCS,31610,Incision of windpipe,,,5063.0,22571.93,11
HCPCS,31611,Surgery/speech prosthesis,,,1937.0,12641.63,13
HCPCS,31612,Puncture/clear windpipe,,,1308.0,12641.63,13
HCPCS,31613,Hc Tracheostoma Revision Smpl W/O Flap Rotation,16876.0,6581.64,,,0
HCPCS,31613,Repair windpipe opening,,,1694.0,12641.63,13
HCPCS,31614,Repair windpipe opening,,,1694.0,22571.93,13
HCPCS,31615,Hc Tracheobrnchsc Thru Est Trachs Inc,2815.0,1097.85,,,0
HCPCS,31615,Visualization of windpipe,,,547.8,3391.0,13
HCPCS,31620,Endobronchial ultrasound,,,1308.0,5063.0,2
HCPCS,31622,Dx bronchoscope/wash,,,1308.0,6786.64,13
HCPCS,31622,Hc Brnchsc Incl Fluor Gdnce Dx W/Cell Washg Spx,8246.0,3215.94,,,0
HCPCS,31623,Dx bronchoscope/brush,,,1694.0,6786.64,13
HCPCS,31623,Hc Brnchsc Brushing/Protected Brushings,8246.0,3215.94,,,0
HCPCS,31624,Dx bronchoscope/lavage,,,1694.0,6786.64,13
HCPCS,31624,Hc Brnchsc W/Brncl Alveolar Lavage,8246.0,3215.94,,,0
HCPCS,31625,Bronchoscopy w/biopsy(s),,,1694.0,6786.64,13
HCPCS,31625,Hc Bronchoscopy Bronchial/Endobrncl Bx 1 Plus Sites,8246.0,3215.94,,,0
HCPCS,31626,Bronchoscopy w/markers,,,4220.0,26909.64,12
HCPCS,31626,Hc Bronchoscopy W/Plmt Fiducial Markers Single/Mult,31359.0,12230.01,,,0
HCPCS,31627,Hc Bronchoscopy W/Cptr-Asst Image-Guided Navigation,727.0,283.53,,,0
HCPCS,31627,Navigational bronchoscopy,,,2665.0,3391.0,2
HCPCS,31628,Bronchoscopy/lung bx each,,,1694.0,14215.95,13
HCPCS,31628,Hc Bronchoscopy W/Transbronchial Lung Bx 1 Lobe,16929.0,6602.31,,,0
HCPCS,31629,Bronchoscopy/needle bx each,,,1694.0,14215.95,13
HCPCS,31629,Hc Bronchoscopy Needle Bx Trachea Main Stem And /Bron,16929.0,6602.31,,,0
HCPCS,31630,Bronchoscopy dilate/fx repr,,,1694.0,14215.95,13
HCPCS,31630,Hc Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx,16929.0,6602.31,,,0
HCPCS,31631,Bronchoscopy dilate w/stent,,,1694.0,26909.64,13
HCPCS,31631,Hc Bronchoscopy W/Placement Tracheal Stent,31359.0,12230.01,,,0
HCPCS,31632,Bronchoscopy/lung bx addl,,,2665.0,4714.0,3
HCPCS,31632,Hc Bronchoscopy W/Transbronchial Lung Bx Each Lobe,5736.0,2237.04,,,0
HCPCS,31633,Bronchoscopy/needle bx addl,,,2665.0,4714.0,3
HCPCS,31633,Hc Bronchoscopy W/Transbroncl Ndl Aspir Bx Ea Lobe,6304.0,2458.56,,,0
HCPCS,31634,Bronch w/balloon occlusion,,,4220.0,26909.64,12
HCPCS,31635,Bronchoscopy w/fb removal,,,1694.0,6786.64,13
HCPCS,31635,Hc Bronchoscopy W/Removal Foreign Body,8246.0,3215.94,,,0
HCPCS,31636,Bronchoscopy bronch stents,,,1694.0,26909.64,13
HCPCS,31636,Hc Brnchsc W/Placement Brncl Stent 1St Bronchus,33467.0,13052.13,,,0
HCPCS,31637,Bronchoscopy stent add-on,,,1308.0,3391.0,4
HCPCS,31637,Hc Bronchoscopy Each Major Bronchus Stented,6349.0,2476.11,,,0
HCPCS,31638,Bronchoscopy revise stent,,,1694.0,26909.64,13
HCPCS,31638,Hc Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess,33467.0,13052.13,,,0
HCPCS,31640,Bronchoscopy w/tumor excise,,,1694.0,14215.95,13
HCPCS,31640,Hc Bronchoscopy W/Excision Tumor,17807.0,6944.73,,,0
HCPCS,31641,Bronchoscopy treat blockage,,,1694.0,14215.95,13
HCPCS,31641,Hc Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc,16929.0,6602.31,,,0
HCPCS,31643,Diag bronchoscope/catheter,,,1694.0,6786.64,13
HCPCS,31645,Bronchoscopy clear airways,,,1308.0,6786.64,13
HCPCS,31645,Hc Bronchoscopy W/Ther Aspir Trachbrncl Tree 1St,8246.0,3215.94,,,0
HCPCS,31646,Bronchoscopy reclear airway,,,397.26,3391.0,13
HCPCS,31646,Hc Bronchoscopy W/Ther Aspir Trachbrncl Tree Sbsq,2233.0,870.87,,,0
HCPCS,31647,Bronchial valve init insert,,,4714.0,26909.64,12
HCPCS,31647,Hc Brnchsc Occlusion/Insert Bronch Valve Init Lobe,31273.0,12196.47,,,0
HCPCS,31648,Bronchial valve remov init,,,3786.93,14215.95,12
HCPCS,31648,Hc Brnchsc Removal Bronchial Valve Initial,16877.0,6582.03,,,0
HCPCS,31649,Bronchial valve remov addl,,,1807.87,6786.64,12
HCPCS,31649,Hc Brnchsc Removal Bronchial Valve Ea Addl,8219.0,3205.41,,,0
HCPCS,31651,Bronchial valve addl insert,,,2665.0,7349.0,3
HCPCS,31651,Hc Brnchsc Occlusion/Insert Bronch Valve Addl Lobe,9038.0,3524.82,,,0
HCPCS,31652,Bronch ebus samplng 1/2 node,,,3786.93,14215.95,12
HCPCS,31652,Hc Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux,16929.0,6602.31,,,0
HCPCS,31653,Bronch ebus samplng 3/> node,,,3786.93,14215.95,12
HCPCS,31653,Hc Brnchsc Ebus Guided Sampl 3 Or Over Node Station/Strux,16929.0,6602.31,,,0
HCPCS,31654,Bronch ebus ivntj perph les,,,2665.0,3437.0,3
HCPCS,31654,Hc Brnschsc Tndsc Ebus Dx/Tx Intervention Perph Les - Add On,6328.0,2467.92,,,0
HCPCS,31656,"Bronchoscopy, inj for xray",,,1308.0,5063.0,2
HCPCS,31660,Bronch thermoplsty 1 lobe,,,5809.0,26909.64,12
HCPCS,31661,Bronch thermoplsty 2/> lobes,,,5809.0,26909.64,12
HCPCS,31700,Insertion of airway catheter,,,1308.0,5063.0,2
HCPCS,31708,Instill airway contrast dye,,,5063.0,5063.0,1
HCPCS,31710,Insertion of airway catheter,,,1308.0,5063.0,2
HCPCS,31715,Injection for bronchus x-ray,,,1308.0,5063.0,2
HCPCS,31717,Bronchial brush biopsy,,,397.26,3391.0,13
HCPCS,31720,Clearance of airways,,,222.42,3391.0,13
HCPCS,31720,Hc Catheter Aspiration Nasotracheal Spx,420.0,163.8,,,0
HCPCS,31725,Clearance of airways,,,3391.0,6859.0,2
HCPCS,31730,Intro windpipe wire/tube,,,1308.0,6786.64,13
HCPCS,31750,Repair of windpipe,,,2664.0,22571.93,13
HCPCS,31755,Repair of windpipe,,,1694.0,22571.93,13
HCPCS,31760,Repair of windpipe,,,5063.0,6859.0,2
HCPCS,31766,Reconstruction of windpipe,,,5063.0,6859.0,2
HCPCS,31770,Repair/graft of bronchus,,,5063.0,6859.0,2
HCPCS,31775,Reconstruct bronchus,,,5063.0,6859.0,2
HCPCS,31780,Reconstruct windpipe,,,5063.0,6859.0,2
HCPCS,31781,Reconstruct windpipe,,,5063.0,6859.0,2
HCPCS,31785,Remove windpipe lesion,,,2323.0,22571.93,13
HCPCS,31786,Remove windpipe lesion,,,5063.0,6859.0,2
HCPCS,31800,Repair of windpipe injury,,,1694.0,5272.0,3
HCPCS,31805,Repair of windpipe injury,,,5063.0,6859.0,2
HCPCS,31820,Closure of windpipe lesion,,,1308.0,12641.63,13
HCPCS,31825,Repair of windpipe defect,,,1694.0,12641.63,13
HCPCS,31830,Revise windpipe scar,,,1694.0,12641.63,13
HCPCS,31899,Airways surgical procedure,,,202.74,3391.0,11
HCPCS,31899,Hc Unlisted Procedure Trachea Bronchi,613.0,239.07,,,0
HCPCS,32000,Drainage of chest,,,1308.0,5063.0,2
HCPCS,32001,Description Not Available,,,5063.0,5063.0,1
HCPCS,32002,Treatment of collapsed lung,,,1694.0,5063.0,2
HCPCS,32005,Treat lung lining chemically,,,1694.0,5063.0,2
HCPCS,32019,Insertion of indwelling tunneled pleural catheter with cuff,,,5063.0,5063.0,1
HCPCS,32020,Insertion of chest tube,,,1694.0,5063.0,2
HCPCS,32035,Thoracostomy w/rib resection,,,5063.0,6859.0,2
HCPCS,32036,Thoracostomy w/flap drainage,,,5063.0,6859.0,2
HCPCS,32095,Biopsy through chest wall,,,5063.0,5063.0,1
HCPCS,32096,Open wedge/bx lung infiltr,,,5063.0,6859.0,2
HCPCS,32097,Open wedge/bx lung nodule,,,5063.0,6859.0,2
HCPCS,32098,Open biopsy of lung pleura,,,5063.0,6859.0,2
HCPCS,32100,Exploration of chest,,,5063.0,6859.0,2
HCPCS,32110,Explore/repair chest,,,5063.0,6859.0,2
HCPCS,32120,Re-exploration of chest,,,5063.0,6859.0,2
HCPCS,32124,Explore chest free adhesions,,,5063.0,6859.0,2
HCPCS,32140,Removal of lung lesion(s),,,5063.0,6859.0,2
HCPCS,32141,Remove/treat lung lesions,,,5063.0,6859.0,2
HCPCS,32150,Removal of lung lesion(s),,,5063.0,6859.0,2
HCPCS,32151,Remove lung foreign body,,,5063.0,6859.0,2
HCPCS,32160,Hc Ip Only - Thoracotomy W/Cardiac Massage,5484.0,2138.76,,,0
HCPCS,32160,Open chest heart massage,,,5063.0,6859.0,2
HCPCS,32200,Drain open lung lesion,,,5063.0,6859.0,2
HCPCS,32201,"Drain, percut, lung lesion",,,5063.0,5063.0,1
HCPCS,32215,Treat chest lining,,,5063.0,6859.0,2
HCPCS,32220,Release of lung,,,5063.0,6859.0,2
HCPCS,32225,Partial release of lung,,,5063.0,6859.0,2
HCPCS,32310,Removal of chest lining,,,5063.0,6859.0,2
HCPCS,32320,Free/remove chest lining,,,5063.0,6859.0,2
HCPCS,32400,Hc Biopsy Pleura Ndl Percutaneous,9182.0,3580.98,,,0
HCPCS,32400,Needle biopsy chest lining,,,1308.0,6297.43,13
HCPCS,32402,Open biopsy chest lining,,,5063.0,5063.0,1
HCPCS,32405,Percut bx lung/mediastinum,,,1308.0,5063.0,3
HCPCS,32408,Core ndl bx lng/med perq,,,1677.55,6297.43,11
HCPCS,32408,Hc Bx Lung/Mediastinum Core Needle W/Img Perq,9065.0,3535.35,,,0
HCPCS,32420,Puncture/clear lung,,,1308.0,5063.0,2
HCPCS,32421,Thoracentesis for aspiration,,,5063.0,5063.0,1
HCPCS,32422,Thoracentesis w/tube insert,,,5063.0,5063.0,1
HCPCS,32440,Remove lung pneumonectomy,,,5063.0,6859.0,2
HCPCS,32442,Sleeve pneumonectomy,,,5063.0,6859.0,2
HCPCS,32445,Removal of lung extrapleural,,,5063.0,6859.0,2
HCPCS,32480,Partial removal of lung,,,5063.0,6859.0,2
HCPCS,32482,Bilobectomy,,,5063.0,6859.0,2
HCPCS,32484,Segmentectomy,,,5063.0,6859.0,2
HCPCS,32486,Sleeve lobectomy,,,5063.0,6859.0,2
HCPCS,32488,Completion pneumonectomy,,,5063.0,6859.0,2
HCPCS,32491,Lung volume reduction,,,5063.0,6859.0,2
HCPCS,32500,Partial removal of lung,,,5063.0,5063.0,1
HCPCS,32501,Repair bronchus add-on,,,5063.0,6859.0,2
HCPCS,32503,Resect apical lung tumor,,,5063.0,6859.0,2
HCPCS,32504,Resect apical lung tum/chest,,,5063.0,6859.0,2
HCPCS,32505,Wedge resect of lung initial,,,5063.0,6859.0,2
HCPCS,32506,Wedge resect of lung add-on,,,5063.0,6859.0,2
HCPCS,32507,Wedge resect of lung diag,,,5063.0,6859.0,2
HCPCS,32520,Remove lung & revise chest,,,5063.0,5063.0,1
HCPCS,32522,Remove lung & revise chest,,,5063.0,5063.0,1
HCPCS,32525,Remove lung & revise chest,,,5063.0,5063.0,1
HCPCS,32540,Removal of lung lesion,,,5063.0,6859.0,2
HCPCS,32550,Hc Insert Pleural Indwlng Tunnel Cath W-Cuff,18960.0,7394.4,,,0
HCPCS,32550,Insert pleural cath,,,3636.66,13651.84,12
HCPCS,32551,Hc Insert Chest Tube,8179.0,3189.81,,,0
HCPCS,32551,Insertion of chest tube,,,1598.89,6002.15,12
HCPCS,32552,Hc Rmvl Idwelg Tunneled Pleural Cath W/Cuff,4357.0,1699.23,,,0
HCPCS,32552,Remove lung catheter,,,637.16,4066.0,11
HCPCS,32553,Hc Fiducial Marker Placement Intra Thoracic,7449.0,2905.11,,,0
HCPCS,32553,Ins mark thor for rt perq,,,1405.88,5699.0,12
HCPCS,32554,Aspirate pleura w/o imaging,,,637.16,4066.0,12
HCPCS,32554,Hc Thoracentesis Ndl/Cath Asp Pleura Space W/O Imaging,6441.0,2511.99,,,0
HCPCS,32555,Aspirate pleura w/ imaging,,,637.16,4066.0,12
HCPCS,32555,Hc Thoracentesis Ndl/Cath Asp Pleura Space W/ Imaging,7536.0,2939.04,,,0
HCPCS,32556,Hc Pulm Pleural Drainage Percutaneous Ic W/O Imaging,8670.0,3381.3,,,0
HCPCS,32556,Insert cath pleura w/o image,,,1949.06,7316.67,12
HCPCS,32557,Hc Pleural Drainage Percutaneous Insert Cath With Imaging,9083.0,3542.37,,,0
HCPCS,32557,Insert cath pleura w/ image,,,1598.89,6002.15,12
HCPCS,32560,Hc Instlj Via Chest Tube/Cath Agent For Pleurodesis,5032.0,1962.48,,,0
HCPCS,32560,Treat pleurodesis w/agent,,,637.16,4714.0,12
HCPCS,32561,Hc Instlj Via Ch Tube/Cath Agent Fbrnlysis 1St Day,3805.0,1483.95,,,0
HCPCS,32561,Lyse chest fibrin init day,,,637.16,4066.0,12
HCPCS,32562,Hc Instlj Ch Tube/Cath Agent Fbrnlysis Sbsq Day,3805.0,1483.95,,,0
HCPCS,32562,Lyse chest fibrin subq day,,,637.16,4066.0,12
HCPCS,32601,Thoracoscopy diagnostic,,,5809.0,23051.21,11
HCPCS,32602,"Thoracoscopy, diagnostic",,,5063.0,5063.0,1
HCPCS,32603,"Thoracoscopy, diagnostic",,,5063.0,5063.0,1
HCPCS,32604,Thoracoscopy wbx sac,,,5809.0,40530.88,11
HCPCS,32605,"Thoracoscopy, diagnostic",,,5063.0,5063.0,1
HCPCS,32606,Thoracoscopy w/bx med space,,,5809.0,23051.21,11
HCPCS,32607,Thoracoscopy w/bx infiltrate,,,5809.0,40530.88,12
HCPCS,32608,Thoracoscopy w/bx nodule,,,5809.0,40530.88,12
HCPCS,32609,Hc Thoracoscopy With Biopsyies Of Pleura,22625.0,8823.75,,,0
HCPCS,32609,Thoracoscopy w/bx pleura,,,5809.0,23051.21,12
HCPCS,32650,Hc Thoracoscopy W/Pleurodesis Mechanical Or Chemical,1073.0,418.47,,,0
HCPCS,32650,Thoracoscopy w/pleurodesis,,,5063.0,16710.0,2
HCPCS,32651,Thoracoscopy remove cortex,,,5063.0,16710.0,2
HCPCS,32652,Thoracoscopy rem totl cortex,,,5063.0,16710.0,2
HCPCS,32653,Thoracoscopy remov fb/fibrin,,,5063.0,15026.0,2
HCPCS,32654,Thoracoscopy contrl bleeding,,,5063.0,6859.0,2
HCPCS,32655,Thoracoscopy resect bullae,,,1937.0,16710.0,3
HCPCS,32656,Thoracoscopy w/pleurectomy,,,5063.0,16710.0,2
HCPCS,32657,"Thoracoscopy, surgical",,,5063.0,5063.0,1
HCPCS,32658,Thoracoscopy w/sac fb remove,,,5063.0,6859.0,2
HCPCS,32659,Thoracoscopy w/sac drainage,,,5063.0,6859.0,2
HCPCS,32660,"Thoracoscopy, surgical",,,5063.0,5063.0,1
HCPCS,32661,Thoracoscopy w/pericard exc,,,2664.0,6859.0,3
HCPCS,32662,Thoracoscopy w/mediast exc,,,5063.0,6859.0,2
HCPCS,32663,Thoracoscopy w/lobectomy,,,5063.0,6859.0,2
HCPCS,32664,Thoracoscopy w/ th nrv exc,,,4714.0,8448.0,2
HCPCS,32665,Thoracoscop w/esoph musc exc,,,5063.0,6859.0,2
HCPCS,32666,Thoracoscopy w/wedge resect,,,5063.0,6859.0,2
HCPCS,32667,Thoracoscopy w/w resect addl,,,5063.0,6859.0,2
HCPCS,32668,Thoracoscopy w/w resect diag,,,5063.0,6859.0,2
HCPCS,32669,Thoracoscopy remove segment,,,5063.0,6859.0,2
HCPCS,32670,Thoracoscopy bilobectomy,,,5063.0,6859.0,2
HCPCS,32671,Thoracoscopy pneumonectomy,,,5063.0,6859.0,2
HCPCS,32672,Thoracoscopy for lvrs,,,5063.0,6859.0,2
HCPCS,32673,Thoracoscopy w/thymus resect,,,5063.0,6859.0,2
HCPCS,32674,Thoracoscopy lymph node exc,,,5063.0,6859.0,2
HCPCS,32701,Thorax stereo rad targetw/tx,,,5063.0,5063.0,1
HCPCS,32800,Repair lung hernia,,,5063.0,6859.0,2
HCPCS,32810,Close chest after drainage,,,5063.0,6859.0,2
HCPCS,32815,Close bronchial fistula,,,5063.0,6859.0,2
HCPCS,32820,Reconstruct injured chest,,,5063.0,6859.0,2
HCPCS,32850,Donor pneumonectomy,,,5063.0,6859.0,2
HCPCS,32851,Lung transplant single,,,5063.0,6859.0,2
HCPCS,32852,Lung transplant with bypass,,,5063.0,6859.0,2
HCPCS,32853,Lung transplant double,,,5063.0,6859.0,2
HCPCS,32854,Lung transplant with bypass,,,5063.0,6859.0,2
HCPCS,32855,Prepare donor lung single,,,5063.0,6859.0,2
HCPCS,32856,Prepare donor lung double,,,5063.0,6859.0,2
HCPCS,32900,Removal of rib(s),,,5063.0,6859.0,2
HCPCS,32905,Revise & repair chest wall,,,5063.0,6859.0,2
HCPCS,32906,Revise & repair chest wall,,,5063.0,6859.0,2
HCPCS,32940,Revision of lung,,,5063.0,6859.0,2
HCPCS,32960,Therapeutic pneumothorax,,,637.16,5063.0,12
HCPCS,32994,Ablate pulm tumor perq crybl,,,6389.0,40530.88,11
HCPCS,32994,Hc Ablation Thy 1 Plus Pulm Tumors Perc Cryo Uni,8388.0,3271.32,,,0
HCPCS,32997,Total lung lavage,,,5063.0,5272.0,2
HCPCS,32998,Hc Ablation Ther 1 Plus Pulm Tumors Perq Radiofrequency,27605.0,10765.95,,,0
HCPCS,32998,Perq rf ablate tx pul tumor,,,6140.52,23051.21,12
HCPCS,32999,Chest surgery procedure,,,637.16,5063.0,11
HCPCS,33010,Drainage of heart sac,,,1694.0,5063.0,2
HCPCS,33011,Repeat drainage of heart sac,,,1694.0,5063.0,2
HCPCS,33015,Incision of heart sac,,,5063.0,5063.0,1
HCPCS,33016,Hc Ip Only Pericardiocentesis W/Img Guidance When Performed,6893.0,2688.27,,,0
HCPCS,33016,Pericardiocentesis w/imaging,,,1598.89,7349.0,12
HCPCS,33017,Hc Ip Only Perq Prcrd Drg 6Yr Plus W/O Congenital Car Anomaly W Img,15577.0,6075.03,,,0
HCPCS,33017,Prcrd drg 6yr+ w/o cgen car,,,5063.0,6859.0,2
HCPCS,33018,Hc Ip Only Perq Prcrd Drg 0-5Yr/Any Age W/Cgen Car Anomaly,6893.0,2688.27,,,0
HCPCS,33018,Prcrd drg 0-5yr or w/anomly,,,5063.0,6859.0,2
HCPCS,33019,Hc Ip Only Perq Pericardial Drg W/Insj Ndwellg Cath W/Ct,6893.0,2688.27,,,0
HCPCS,33019,Perq prcrd drg insj cath ct,,,5063.0,6859.0,2
HCPCS,33020,Incision of heart sac,,,5063.0,6859.0,2
HCPCS,33025,Incision of heart sac,,,5063.0,6859.0,2
HCPCS,33030,Partial removal of heart sac,,,5063.0,6859.0,2
HCPCS,33031,Partial removal of heart sac,,,5063.0,6859.0,2
HCPCS,33050,Resect heart sac lesion,,,5063.0,6859.0,2
HCPCS,33120,Removal of heart lesion,,,5063.0,6859.0,2
HCPCS,33130,Removal of heart lesion,,,5063.0,6859.0,2
HCPCS,33140,Heart revascularize (tmr),,,5063.0,6859.0,2
HCPCS,33141,Heart Tmr W/Other Procedure,,,5063.0,6859.0,2
HCPCS,33200,Insertion of heart pacemaker,,,5063.0,5063.0,1
HCPCS,33201,Insertion of heart pacemaker,,,5063.0,5063.0,1
HCPCS,33202,Insert epicard eltrd open,,,5063.0,6859.0,2
HCPCS,33203,Insert epicard eltrd endo,,,5063.0,6859.0,2
HCPCS,33206,Hc Pcmkr Insert Generator And Atrial Lead,14631.0,5706.09,,,0
HCPCS,33206,Insert heart pm atrial,,,2323.0,39852.79,12
HCPCS,33207,Hc Pcmkr Insert Gen And Ventricular Lead,14631.0,5706.09,,,0
HCPCS,33207,Insert heart pm ventricular,,,2323.0,39852.79,12
HCPCS,33208,Hc Pacemaker Insertion-Dual,29427.0,11476.53,,,0
HCPCS,33208,Insrt heart pm atrial & vent,,,2664.0,39852.79,12
HCPCS,33210,Hc Inser/Repl Temporary Pacer,8932.0,3483.48,,,0
HCPCS,33210,Insert electrd/pm cath sngl,,,1937.0,31553.53,12
HCPCS,33211,Hc Insert/Replace Temp Pacer/Dual,8932.0,3483.48,,,0
HCPCS,33211,Insert card electrodes dual,,,6389.0,31553.53,11
HCPCS,33212,Hc Pcmkr Insert Single Generator Only,11138.0,4343.82,,,0
HCPCS,33212,Insert pulse gen sngl lead,,,1937.0,31553.53,13
HCPCS,33213,Hc Pcmkr Insert Dual Generator Only,13848.0,5400.72,,,0
HCPCS,33213,Insert pulse gen dual leads,,,1937.0,39852.79,13
HCPCS,33214,Hc Pcmkr Upgrade Sgl To Dual Leads And Gen,14976.0,5840.64,,,0
HCPCS,33214,Upgrade of pacemaker system,,,9000.0,39852.79,11
HCPCS,33215,Hc Reposition Pacing-Defib Lead,5988.0,2335.32,,,0
HCPCS,33215,Reposition pacing-defib lead,,,3207.1,12039.27,11
HCPCS,33216,Hc Insertion 1 Transvenous Electrode Perm Pcmkr/Implantable Dfb,8932.0,3483.48,,,0
HCPCS,33216,Insert 1 electrode pm-defib,,,6389.0,31553.53,11
HCPCS,33217,Hc Insertion 2 Transvenous Electrodes Perm Pcmkr/Implantable Dfb,9056.0,3531.84,,,0
HCPCS,33217,Insert 2 electrode pm-defib,,,6389.0,31553.53,11
HCPCS,33218,Hc Icd Repair Single Lead,11138.0,4343.82,,,0
HCPCS,33218,Hc Repair 1 Transvenous Electrode Perm Pcmkr/Pacing Implantable Dfb,11138.0,4343.82,,,0
HCPCS,33218,Repair lead pace-defib one,,,3795.68,14248.79,11
HCPCS,33220,Hc Icd Repair Dual Leads,11138.0,4343.82,,,0
HCPCS,33220,Hc Repair 2 Transvenous Electrodes Perm Pcmrk/Implantable Dfb,11138.0,4343.82,,,0
HCPCS,33220,Repair lead pace-defib dual,,,3795.68,14248.79,11
HCPCS,33221,Hc Pcmkr Insert Multi Lead Generator Only,21123.0,8237.97,,,0
HCPCS,33221,Insert pulse gen mult leads,,,5809.0,73443.6,11
HCPCS,33222,Hc Relocation Pocket Pacemaker,6464.0,2520.96,,,0
HCPCS,33222,Relocation pocket pacemaker,,,1694.0,7867.16,13
HCPCS,33223,Hc Relocate Pocket For Defib,8087.0,3153.93,,,0
HCPCS,33223,Relocate pocket for defib,,,1694.0,7867.16,13
HCPCS,33224,Hc Insertion Electrode Cardiac Venous Sys Attach Prev Pm/Dfb Pulse Gen,11825.0,4611.75,,,0
HCPCS,33224,Insert pacing lead & connect,,,5809.0,39852.79,11
HCPCS,33225,Hc Inserton Electrode Cardiac Venous Sys Tm Insj Dfb/Pm Pulse Gen,6972.0,2719.08,,,0
HCPCS,33225,L ventric pacing lead add-on,,,6389.0,34203.0,2
HCPCS,33226,Hc Reposition Prev Implanted Cardiac Venous Sys L Ventr Eltrd,6737.0,2627.43,,,0
HCPCS,33226,Reposition l ventric lead,,,3207.1,12039.27,11
HCPCS,33227,Hc Pcmkr Remove Or Replace Sng Generator,14203.0,5539.17,,,0
HCPCS,33227,Remove&replace pm gen singl,,,5809.0,31553.53,11
HCPCS,33228,Hc Remv And Replc Pm Gen Dual Lead,16914.0,6596.46,,,0
HCPCS,33228,Remv&replc pm gen dual lead,,,5809.0,39852.79,11
HCPCS,33229,Hc Pcmkr Remove/Replace Multi Lead Gen,21123.0,8237.97,,,0
HCPCS,33229,Remv&replc pm gen mult leads,,,5809.0,73443.6,11
HCPCS,33230,Hc Icd Insertion Of Dual Gen Only,26197.0,10216.83,,,0
HCPCS,33230,Insrt pulse gen w/dual leads,,,5809.0,84813.34,11
HCPCS,33231,Hc Icd Insertion Of Multi/Biv Gen Only,37235.0,14521.65,,,0
HCPCS,33231,Insrt pulse gen w/mult leads,,,5809.0,119683.73,11
HCPCS,33233,Hc Pcmkr Remove Generator Only,8932.0,3483.48,,,0
HCPCS,33233,Removal of pm generator,,,1694.0,31553.53,13
HCPCS,33234,Hc Pcmkr Remove Sng Lead Electrode Only,4377.0,1707.03,,,0
HCPCS,33234,Removal of pacemaker system,,,3795.68,14248.79,11
HCPCS,33235,Hc Pcmkr Remove Dual Lead Electrodes Only,4548.0,1773.72,,,0
HCPCS,33235,Removal pacemaker electrode,,,3795.68,14248.79,11
HCPCS,33236,Remove electrode/thoracotomy,,,5063.0,6859.0,2
HCPCS,33237,Remove electrode/thoracotomy,,,5063.0,6859.0,2
HCPCS,33238,Remove electrode/thoracotomy,,,5063.0,6859.0,2
HCPCS,33240,Hc Icd Insertion Single Generator Only,26197.0,10216.83,,,0
HCPCS,33240,Insrt pulse gen w/singl lead,,,2323.0,84813.34,12
HCPCS,33241,Hc Icd Generator Removal Only,3908.0,1524.12,,,0
HCPCS,33241,Remove pulse generator,,,1694.0,14248.79,12
HCPCS,33242,Description Not Available,,,5063.0,5063.0,1
HCPCS,33243,Remove eltrd/thoracotomy,,,5063.0,11889.0,2
HCPCS,33244,Hc Icd Removal Of Icd Lead Or Leads,12532.0,4887.48,,,0
HCPCS,33244,Remove elctrd transvenously,,,3795.68,14248.79,11
HCPCS,33245,Insert epic eltrd pace-defib,,,5063.0,5063.0,1
HCPCS,33246,Insert epic eltrd/generator,,,5063.0,5063.0,1
HCPCS,33247,Description Not Available,,,5063.0,5063.0,1
HCPCS,33249,Hc Icd Insertion Of Sng Or Dual System,74468.0,29042.52,,,0
HCPCS,33249,Insj/rplcmt defib w/lead(s),,,9000.0,119683.73,11
HCPCS,33250,Ablate heart dysrhythm focus,,,5063.0,6859.0,2
HCPCS,33251,Ablate heart dysrhythm focus,,,5063.0,6859.0,2
HCPCS,33253,Reconstruct atria,,,5063.0,5063.0,1
HCPCS,33254,Ablate atria lmtd,,,5063.0,6859.0,2
HCPCS,33255,Ablate atria w/o bypass ext,,,5063.0,6859.0,2
HCPCS,33256,Ablate atria w/bypass exten,,,5063.0,6859.0,2
HCPCS,33257,Ablate atria lmtd add-on,,,5063.0,6859.0,2
HCPCS,33258,Ablate atria x10sv add-on,,,5063.0,6859.0,2
HCPCS,33259,Ablate atria w/bypass add-on,,,5063.0,6859.0,2
HCPCS,33261,Ablate heart dysrhythm focus,,,5063.0,6859.0,2
HCPCS,33262,Hc Icd Remove Replace Single Gen Only,51050.0,19909.5,,,0
HCPCS,33262,Rmvl& replc pulse gen 1 lead,,,5809.0,84813.34,11
HCPCS,33263,Hc Remv And Replc Cvd Gen Dual Lead,66746.0,26030.94,,,0
HCPCS,33263,Rmvl & rplcmt dfb gen 2 lead,,,5809.0,84813.34,11
HCPCS,33264,Hc Rmvl And Rplcmt Dfb Gen Mlt Ld,92753.0,36173.67,,,0
HCPCS,33264,Rmvl & rplcmt dfb gen mlt ld,,,5809.0,119683.73,11
HCPCS,33265,Ablate atria lmtd endo,,,5063.0,6859.0,2
HCPCS,33266,Ablate atria x10sv endo,,,5063.0,6859.0,2
HCPCS,33267,Excl laa open any method,,,5063.0,6859.0,2
HCPCS,33268,Excl laa opn oth px any meth,,,5063.0,6859.0,2
HCPCS,33269,Excl laa thrscp any method,,,5063.0,6859.0,2
HCPCS,33270,Hc Insert Subq Defib W/Eltrd,74091.0,28895.49,,,0
HCPCS,33270,Ins/rep subq defibrillator,,,5809.0,119683.73,11
HCPCS,33271,Hc Insert Subq Defib Electrode,12395.0,4834.05,,,0
HCPCS,33271,Insj subq impltbl dfb elctrd,,,5809.0,31553.53,11
HCPCS,33272,Hc Remove Subq Defib Electrode,5540.0,2160.6,,,0
HCPCS,33272,Rmvl of subq defibrillator,,,3795.68,14248.79,11
HCPCS,33273,Hc Reposition Subq Defib Eltrd And/Icd Gen,5540.0,2160.6,,,0
HCPCS,33273,Repos prev impltbl subq dfb,,,3795.68,14248.79,12
HCPCS,33274,Hc Tcat Insj/Rpl Perm Leadless Pacemaker Rv W/Img,61886.0,24135.54,,,0
HCPCS,33274,Tcat insj/rpl perm ldls pm,,,6389.0,73443.6,11
HCPCS,33275,Hc Tcat Rem Perm Leadless Pm Rt Ventr Wimg Guidance,12244.0,4775.16,,,0
HCPCS,33275,Tcat rmvl perm ldls pm,,,3207.1,12039.27,12
HCPCS,33276,Hc Insertion Phrenic Nerve Stimulator System,151096.0,58927.44,,,0
HCPCS,33276,Insj phrnc nrv stim sys,,,5809.0,167946.4,11
HCPCS,33277,Hc Insj Phrenic Nrv Stimulator Transvns Sensing Ld,75548.0,29463.72,,,0
HCPCS,33277,Insj phrnc nrv stim transvns,,,2665.0,3391.0,2
HCPCS,33278,Hc Removal Phrenic Nerve Stimulator System,18329.0,7148.31,,,0
HCPCS,33278,Rmvl phrnc nrv stim sys,,,3551.04,13330.43,11
HCPCS,33279,Hc Rmvl Phrnc Nrv Stimulator Transvns Stimj/Snsg Ld,18329.0,7148.31,,,0
HCPCS,33279,Rmvl phrnc nrv stim transvns,,,3551.04,13330.43,11
HCPCS,33280,Hc Rmvl Phrenic Nrv Stimulator Pulse Generator Only,18329.0,7148.31,,,0
HCPCS,33280,Rmvl phrnc nrv stim pg only,,,3551.04,13330.43,11
HCPCS,33281,Hc Repositioning Phrenic Nrv Stimulator Transvns Ld,18329.0,7148.31,,,0
HCPCS,33281,Reposg phrnc nrv stim trnsvn,,,3551.04,13330.43,11
HCPCS,33282,Implant pat-active ht record,,,5063.0,5063.0,1
HCPCS,33284,Remove pat-active ht record,,,5063.0,5063.0,1
HCPCS,33285,Hc Insertion Subq Cardiac Rhythm Monitor W/Prgrmg,29841.0,11637.99,,,0
HCPCS,33285,Insj subq car rhythm mntr,,,3391.0,31553.53,11
HCPCS,33286,Hc Removal Subcutaneous Cardiac Rhythm Monitor,3836.0,1496.04,,,0
HCPCS,33286,Rmvl subq car rhythm mntr,,,719.26,4066.0,12
HCPCS,33287,Hc Rmvl And Rplcmt Phrenic Nrv Stimulator Pls Generator,113866.0,44407.74,,,0
HCPCS,33287,Rmv&rplcmt phrnc nrv stim pg,,,5809.0,117658.44,11
HCPCS,33288,Hc Rmvl And Rplcmt Phrnc Nrv Stim Trnsvns Stimj/Snsg Ld,85046.0,33167.94,,,0
HCPCS,33288,Rmv&rplcmt phrnc nrv stim ld,,,4714.0,42486.39,11
HCPCS,33289,Hc Impl Pressure Sensor W/Angio-Cardiomem,32897.0,12829.83,,,0
HCPCS,33289,Tcat impl wrls p-art prs snr,,,9000.0,109367.8,11
HCPCS,33300,Repair of heart wound,,,5063.0,6859.0,2
HCPCS,33305,Repair of heart wound,,,5063.0,6859.0,2
HCPCS,33310,Exploratory heart surgery,,,5063.0,6859.0,2
HCPCS,33315,Exploratory heart surgery,,,5063.0,6859.0,2
HCPCS,33320,Repair major blood vessel(s),,,5063.0,6859.0,2
HCPCS,33321,Repair major vessel,,,5063.0,6859.0,2
HCPCS,33322,Repair major blood vessel(s),,,5063.0,6859.0,2
HCPCS,33330,Insert major vessel graft,,,5063.0,6859.0,2
HCPCS,33332,Insert major vessel graft,,,5063.0,5063.0,1
HCPCS,33335,Insert major vessel graft,,,5063.0,6859.0,2
HCPCS,33340,Hc Ip Only- Perq Clsr Tcat L Atr Apndge,30853.0,12032.67,,,0
HCPCS,33340,Perq clsr tcat l atr apndge,,,6859.0,6859.0,1
HCPCS,33361,Hc Ip Only- Replace Aortic Valve Perq Tavr/Tavi,34124.0,13308.36,,,0
HCPCS,33361,Replace aortic valve perq,,,5063.0,6859.0,2
HCPCS,33362,Hc Ip Only - Replace Aortic Valve Openfemoral Artery Approach,34124.0,13308.36,,,0
HCPCS,33362,Replace aortic valve open,,,5063.0,6859.0,2
HCPCS,33363,Hc Ip Only - Replace Aortic Valve Open Axillry Artry Approach,34124.0,13308.36,,,0
HCPCS,33363,Replace aortic valve open,,,5063.0,6859.0,2
HCPCS,33364,Hc Ip Only - Replace Aortic Valve Open Iliac Artery Approach,34124.0,13308.36,,,0
HCPCS,33364,Replace aortic valve open,,,5063.0,6859.0,2
HCPCS,33365,Hc Ip Only - Replace Aortic Valve Open Transaortic Approach,34124.0,13308.36,,,0
HCPCS,33365,Replace aortic valve open,,,5063.0,6859.0,2
HCPCS,33366,Hc Ip Only - Transcatheter Transapical Replacemt Aortic Valve,34124.0,13308.36,,,0
HCPCS,33366,Trcath replace aortic valve,,,5063.0,6859.0,2
HCPCS,33367,Replace aortic valve w/byp,,,5063.0,6859.0,2
HCPCS,33368,Replace aortic valve w/byp,,,5063.0,6859.0,2
HCPCS,33369,Replace aortic valve w/byp,,,5063.0,6859.0,2
HCPCS,33370,Hc Transcatheter Placement And Sbsq Removal Cepd Perq,17063.0,6654.57,,,0
HCPCS,33370,Tcat plmt&rmvl cepd perq,,,2665.0,3391.0,2
HCPCS,33390,Valvuloplasty aortic valve,,,6859.0,6859.0,1
HCPCS,33391,Valvuloplasty aortic valve,,,6859.0,6859.0,1
HCPCS,33400,Repair of aortic valve,,,5063.0,5063.0,1
HCPCS,33401,"Valvuloplasty, open",,,5063.0,5063.0,1
HCPCS,33403,"Valvuloplasty, w/cp bypass",,,5063.0,5063.0,1
HCPCS,33404,Prepare heart-aorta conduit,,,5063.0,6859.0,2
HCPCS,33405,Replacement aortic valve opn,,,5063.0,6859.0,2
HCPCS,33406,Replacement aortic valve opn,,,5063.0,6859.0,2
HCPCS,33410,Replacement aortic valve opn,,,5063.0,6859.0,2
HCPCS,33411,Replacement of aortic valve,,,5063.0,6859.0,2
HCPCS,33412,Replacement of aortic valve,,,5063.0,6859.0,2
HCPCS,33413,Replacement of aortic valve,,,5063.0,6859.0,2
HCPCS,33414,Repair of aortic valve,,,5063.0,6859.0,2
HCPCS,33415,Revision subvalvular tissue,,,5063.0,6859.0,2
HCPCS,33416,Revise ventricle muscle,,,5063.0,6859.0,2
HCPCS,33417,Repair of aortic valve,,,5063.0,6859.0,2
HCPCS,33418,Hc Ip Only-Tmvr Initial,59672.0,23272.08,,,0
HCPCS,33418,Repair tcat mitral valve,,,5063.0,6859.0,2
HCPCS,33419,Hc Ip Only- Tmvr Addl,14918.0,5818.02,,,0
HCPCS,33419,Repair tcat mitral valve,,,2665.0,5063.0,2
HCPCS,33420,Revision of mitral valve,,,5063.0,6859.0,2
HCPCS,33422,Revision of mitral valve,,,5063.0,6859.0,2
HCPCS,33425,Repair of mitral valve,,,5063.0,6859.0,2
HCPCS,33426,Repair of mitral valve,,,5063.0,6859.0,2
HCPCS,33427,Repair of mitral valve,,,5063.0,6859.0,2
HCPCS,33430,Replacement of mitral valve,,,5063.0,6859.0,2
HCPCS,33440,Rplcmt a-valve tlcj autol pv,,,5063.0,6859.0,2
HCPCS,33460,Revision of tricuspid valve,,,5063.0,6859.0,2
HCPCS,33463,Valvuloplasty tricuspid,,,5063.0,6859.0,2
HCPCS,33464,Valvuloplasty tricuspid,,,5063.0,6859.0,2
HCPCS,33465,Replace tricuspid valve,,,5063.0,6859.0,2
HCPCS,33468,Revision of tricuspid valve,,,5063.0,6859.0,2
HCPCS,33470,Revision of pulmonary valve,,,5063.0,5063.0,1
HCPCS,33471,Valvotomy pulmonary valve,,,5063.0,5063.0,1
HCPCS,33472,Revision of pulmonary valve,,,5063.0,5063.0,1
HCPCS,33474,Revision of pulmonary valve,,,5063.0,6859.0,2
HCPCS,33475,Replacement pulmonary valve,,,5063.0,6859.0,2
HCPCS,33476,Revision of heart chamber,,,5063.0,6859.0,2
HCPCS,33477,Implant tcat pulm vlv perq,,,5063.0,6859.0,2
HCPCS,33478,Revision of heart chamber,,,5063.0,6859.0,2
HCPCS,33496,Repair prosth valve clot,,,5063.0,6859.0,2
HCPCS,33500,Repair heart vessel fistula,,,5063.0,6859.0,2
HCPCS,33501,Repair heart vessel fistula,,,5063.0,6859.0,2
HCPCS,33502,Coronary artery correction,,,5063.0,6859.0,2
HCPCS,33503,Coronary artery graft,,,5063.0,6859.0,2
HCPCS,33504,Coronary artery graft,,,5063.0,6859.0,2
HCPCS,33505,Repair artery w/tunnel,,,5063.0,6859.0,2
HCPCS,33506,Repair artery translocation,,,5063.0,6859.0,2
HCPCS,33507,Repair art intramural,,,5063.0,6859.0,2
HCPCS,33508,Endoscopic vein harvest,,,2665.0,5063.0,2
HCPCS,33509,Ndsc hrv uxtr art 1 sgm cab,,,5063.0,6859.0,2
HCPCS,33510,Cabg vein single,,,5063.0,6859.0,2
HCPCS,33511,Cabg vein two,,,5063.0,6859.0,2
HCPCS,33512,Cabg vein three,,,5063.0,6859.0,2
HCPCS,33513,Cabg vein four,,,5063.0,6859.0,2
HCPCS,33514,Cabg vein five,,,5063.0,6859.0,2
HCPCS,33516,Cabg vein six or more,,,5063.0,6859.0,2
HCPCS,33517,Cabg artery-vein single,,,5063.0,6859.0,2
HCPCS,33518,Cabg artery-vein two,,,5063.0,6859.0,2
HCPCS,33519,Cabg artery-vein three,,,5063.0,6859.0,2
HCPCS,33521,Cabg artery-vein four,,,5063.0,6859.0,2
HCPCS,33522,Cabg artery-vein five,,,5063.0,6859.0,2
HCPCS,33523,Cabg art-vein six or more,,,5063.0,6859.0,2
HCPCS,33530,Coronary artery bypass/reop,,,5063.0,6859.0,2
HCPCS,33533,Cabg arterial single,,,5063.0,6859.0,2
HCPCS,33534,Cabg arterial two,,,5063.0,6859.0,2
HCPCS,33535,Cabg arterial three,,,5063.0,6859.0,2
HCPCS,33536,Cabg arterial four or more,,,5063.0,6859.0,2
HCPCS,33542,Removal of heart lesion,,,5063.0,6859.0,2
HCPCS,33545,Repair of heart damage,,,5063.0,6859.0,2
HCPCS,33548,Restore/remodel ventricle,,,5063.0,6859.0,2
HCPCS,33572,Open coronary endarterectomy,,,5063.0,6859.0,2
HCPCS,33600,Closure of valve,,,5063.0,6859.0,2
HCPCS,33602,Closure of valve,,,5063.0,6859.0,2
HCPCS,33606,Anastomosis/artery-aorta,,,5063.0,6859.0,2
HCPCS,33608,Repair anomaly w/conduit,,,5063.0,6859.0,2
HCPCS,33610,Repair by enlargement,,,5063.0,6859.0,2
HCPCS,33611,Repair double ventricle,,,5063.0,6859.0,2
HCPCS,33612,Repair double ventricle,,,5063.0,6859.0,2
HCPCS,33615,Repair modified fontan,,,5063.0,6859.0,2
HCPCS,33617,Repair single ventricle,,,5063.0,6859.0,2
HCPCS,33619,Repair single ventricle,,,5063.0,6859.0,2
HCPCS,33620,Apply r&l pulm art bands,,,5063.0,6859.0,2
HCPCS,33621,Transthor cath for stent,,,5063.0,6859.0,2
HCPCS,33622,Redo compl cardiac anomaly,,,5063.0,6859.0,2
HCPCS,33641,Repair heart septum defect,,,5063.0,6859.0,2
HCPCS,33645,Revision of heart veins,,,5063.0,6859.0,2
HCPCS,33647,Repair heart septum defects,,,5063.0,6859.0,2
HCPCS,33660,Repair of heart defects,,,5063.0,6859.0,2
HCPCS,33665,Repair of heart defects,,,5063.0,6859.0,2
HCPCS,33670,Repair of heart chambers,,,5063.0,6859.0,2
HCPCS,33675,Close Mult Vsd,,,5063.0,6859.0,2
HCPCS,33676,Close mult vsd w/resection,,,5063.0,6859.0,2
HCPCS,33677,Cl mult vsd w/rem pul band,,,5063.0,6859.0,2
HCPCS,33681,Repair heart septum defect,,,5063.0,6859.0,2
HCPCS,33684,Repair heart septum defect,,,5063.0,6859.0,2
HCPCS,33688,Repair heart septum defect,,,5063.0,6859.0,2
HCPCS,33690,Reinforce pulmonary artery,,,5063.0,6859.0,2
HCPCS,33692,Repair of heart defects,,,5063.0,6859.0,2
HCPCS,33694,Repair of heart defects,,,5063.0,6859.0,2
HCPCS,33697,Repair of heart defects,,,5063.0,6859.0,2
HCPCS,33702,Repair of heart defects,,,5063.0,6859.0,2
HCPCS,33710,Repair of heart defects,,,5063.0,6859.0,2
HCPCS,33720,Repair of heart defect,,,5063.0,6859.0,2
HCPCS,33722,Repair of heart defect,,,5063.0,5063.0,1
HCPCS,33724,Repair Venous Anomaly,,,5063.0,6859.0,2
HCPCS,33726,Repair Pul Venous Stenosis,,,5063.0,6859.0,2
HCPCS,33730,Repair heart-vein defect(s),,,5063.0,6859.0,2
HCPCS,33732,Repair heart-vein defect,,,5063.0,6859.0,2
HCPCS,33735,Revision of heart chamber,,,5063.0,6859.0,2
HCPCS,33736,Revision of heart chamber,,,5063.0,6859.0,2
HCPCS,33737,Revision of heart chamber,,,5063.0,5063.0,1
HCPCS,33741,Hc Ip Only- Tas Congenital Cardiac Anomalies Any Method,15393.0,6003.27,,,0
HCPCS,33741,Tas congenital car anomal,,,6859.0,6859.0,1
HCPCS,33745,Hc Ip Only- Tis Crtj St Congenital Cardiac Anomal 1St Shunt,59672.0,23272.08,,,0
HCPCS,33745,Tis cgen car anomal 1st shnt,,,6859.0,6859.0,1
HCPCS,33746,Hc Ip Only- Tis Crtj St Congenital Cardiac Anomal Ea Addl,14918.0,5818.02,,,0
HCPCS,33746,Tis cgen car anomal ea addl,,,6859.0,6859.0,1
HCPCS,33750,Major vessel shunt,,,5063.0,6859.0,2
HCPCS,33755,Major vessel shunt,,,5063.0,6859.0,2
HCPCS,33762,Major vessel shunt,,,5063.0,6859.0,2
HCPCS,33764,Major vessel shunt & graft,,,5063.0,6859.0,2
HCPCS,33766,Major vessel shunt,,,5063.0,6859.0,2
HCPCS,33767,Major vessel shunt,,,5063.0,6859.0,2
HCPCS,33768,Cavopulmonary shunting,,,5063.0,6859.0,2
HCPCS,33770,Repair great vessels defect,,,5063.0,6859.0,2
HCPCS,33771,Repair great vessels defect,,,5063.0,6859.0,2
HCPCS,33774,Repair great vessels defect,,,5063.0,6859.0,2
HCPCS,33775,Repair great vessels defect,,,5063.0,6859.0,2
HCPCS,33776,Repair great vessels defect,,,5063.0,6859.0,2
HCPCS,33777,Repair great vessels defect,,,5063.0,6859.0,2
HCPCS,33778,Repair great vessels defect,,,5063.0,6859.0,2
HCPCS,33779,Repair great vessels defect,,,5063.0,6859.0,2
HCPCS,33780,Repair great vessels defect,,,5063.0,6859.0,2
HCPCS,33781,Repair great vessels defect,,,5063.0,6859.0,2
HCPCS,33782,Nikaidoh proc,,,5063.0,6859.0,2
HCPCS,33783,Nikaidoh proc w/ostia implt,,,5063.0,6859.0,2
HCPCS,33786,Repair arterial trunk,,,5063.0,6859.0,2
HCPCS,33788,Revision of pulmonary artery,,,5063.0,6859.0,2
HCPCS,33800,Aortic suspension,,,5063.0,6859.0,2
HCPCS,33802,Repair vessel defect,,,5063.0,6859.0,2
HCPCS,33803,Repair vessel defect,,,5063.0,6859.0,2
HCPCS,33813,Repair septal defect,,,5063.0,5063.0,1
HCPCS,33814,Repair septal defect,,,5063.0,6859.0,2
HCPCS,33820,Revise major vessel,,,5063.0,34203.0,2
HCPCS,33822,Revise major vessel,,,5063.0,16710.0,2
HCPCS,33824,Revise major vessel,,,5063.0,34203.0,2
HCPCS,33840,Remove aorta constriction,,,5063.0,6859.0,2
HCPCS,33845,Remove aorta constriction,,,5063.0,6859.0,2
HCPCS,33851,Remove aorta constriction,,,5063.0,6859.0,2
HCPCS,33852,Repair septal defect,,,5063.0,6859.0,2
HCPCS,33853,Repair septal defect,,,5063.0,6859.0,2
HCPCS,33858,As-aort grf f/aortic dsj,,,5063.0,6859.0,2
HCPCS,33859,As-aort grf f/ds oth/thn dsj,,,5063.0,6859.0,2
HCPCS,33860,Ascending aortic graft,,,5063.0,5063.0,1
HCPCS,33861,Ascending aortic graft,,,5063.0,5063.0,1
HCPCS,33863,Ascending aortic graft,,,5063.0,6859.0,2
HCPCS,33864,Ascending aortic graft,,,5063.0,6859.0,2
HCPCS,33866,Aortic hemiarch graft,,,2665.0,5063.0,2
HCPCS,33870,Transverse aortic arch graft,,,5063.0,5063.0,1
HCPCS,33871,Transvrs a-arch grf hypthrm,,,5063.0,6859.0,2
HCPCS,33875,Thoracic aortic graft,,,5063.0,6859.0,2
HCPCS,33877,Thoracoabdominal graft,,,5063.0,6859.0,2
HCPCS,33880,Endovasc taa repr incl subcl,,,5063.0,6859.0,2
HCPCS,33880,Hc Ip Only - Evasc Rpr Dta Coverage Art Origin 1St Endoprosth,9476.0,3695.64,,,0
HCPCS,33881,Endovasc taa repr w/o subcl,,,5063.0,6859.0,2
HCPCS,33881,Hc Ip Only Endovasc B2 B35Taa Rpr 2 Celiac Arty Wo Lft-Subclv Org,14612.0,5698.68,,,0
HCPCS,33883,Insert endovasc prosth taa,,,5063.0,6859.0,2
HCPCS,33884,Endovasc prosth taa add-on,,,5063.0,6859.0,2
HCPCS,33886,Endovasc prosth delayed,,,5063.0,6859.0,2
HCPCS,33889,Artery transpose/endovas taa,,,5063.0,6859.0,2
HCPCS,33891,Car-car bp grft/endovas taa,,,5063.0,6859.0,2
HCPCS,33894,Evasc st rpr thrc/aa acrs br,,,5063.0,6859.0,2
HCPCS,33894,Hc Ip Only - Evasc St Rpr Coarcj Thrc/Aa Acrs Maj Side Brnch,29549.0,11524.11,,,0
HCPCS,33895,Evasc st rpr thrc/aa x crsg,,,5063.0,6859.0,2
HCPCS,33895,Hc Ip Only - Evasc St Rpr Coarcj Thrc/Aa Xcrsg Maj Side Brnch,29549.0,11524.11,,,0
HCPCS,33897,Hc Ip Only - Perq Transluminal Angioplasty Native/Recr Coa,58034.0,22633.26,,,0
HCPCS,33897,Perq trluml angp nt/recr coa,,,5063.0,6859.0,2
HCPCS,33900,Hc Perq Pulm Art Revsc St 1St Nml Native Connj Uni,58034.0,22633.26,,,0
HCPCS,33900,Perq p-art revsc 1 nm nt uni,,,9000.0,44017.26,11
HCPCS,33901,Hc Perq Pulm Art Revsc St 1St Nml Native Connj Bil,40811.0,15916.29,,,0
HCPCS,33901,Perq p-art revsc 1 nm nt bi,,,9000.0,44017.26,11
HCPCS,33902,Hc Perq Pulm Art Revsc St 1St Abnormal Connj Uni,58034.0,22633.26,,,0
HCPCS,33902,Perq p-art revsc 1 abnor uni,,,9842.0,69897.36,11
HCPCS,33903,Hc Perq Pulm Art Revsc St 1St Abnormal Connj Bil,40811.0,15916.29,,,0
HCPCS,33903,Perq p-art revsc 1 abnor bi,,,9842.0,44017.26,11
HCPCS,33904,Hc Perq Pulm Art Revsc St Vsl/Sep Les Ea Addl,20406.0,7958.34,,,0
HCPCS,33904,Perq p-art revsc each addl,,,2665.0,3391.0,2
HCPCS,33910,Remove lung artery emboli,,,5063.0,6859.0,2
HCPCS,33915,Remove lung artery emboli,,,5063.0,6859.0,2
HCPCS,33916,Surgery of great vessel,,,5063.0,6859.0,2
HCPCS,33917,Repair pulmonary artery,,,5063.0,6859.0,2
HCPCS,33918,Repair pulmonary atresia,,,5063.0,5063.0,1
HCPCS,33919,Repair pulmonary atresia,,,5063.0,5063.0,1
HCPCS,33920,Repair pulmonary atresia,,,5063.0,6859.0,2
HCPCS,33922,Transect pulmonary artery,,,5063.0,6859.0,2
HCPCS,33924,Remove pulmonary shunt,,,5063.0,6859.0,2
HCPCS,33925,Rpr pul art unifocal w/o cpb,,,5063.0,6859.0,2
HCPCS,33926,Repr pul art unifocal w/cpb,,,5063.0,6859.0,2
HCPCS,33927,Impltj tot rplcmt hrt sys,,,5063.0,6859.0,2
HCPCS,33928,Rmvl & rplcmt tot hrt sys,,,5063.0,6859.0,2
HCPCS,33929,Rmvl rplcmt hrt sys f/trnspl,,,5063.0,6859.0,2
HCPCS,33930,Removal of donor heart/lung,,,5063.0,6859.0,2
HCPCS,33933,Prepare donor heart/lung,,,5063.0,6859.0,2
HCPCS,33935,Transplantation heart/lung,,,5063.0,6859.0,2
HCPCS,33940,Removal of donor heart,,,5063.0,6859.0,2
HCPCS,33944,Prepare donor heart,,,5063.0,6859.0,2
HCPCS,33945,Transplantation of heart,,,5063.0,6859.0,2
HCPCS,33946,Ecmo/ecls initiation venous,,,5063.0,6859.0,2
HCPCS,33946,Hc Ecmo Initial Day Veno Venous,29093.5,11346.465,,,0
HCPCS,33947,Ecmo/ecls initiation artery,,,5063.0,6859.0,2
HCPCS,33947,Hc Ecmo Initial Day Veno Arterial,29093.5,11346.465,,,0
HCPCS,33948,Ecmo/ecls daily mgmt-venous,,,5063.0,6859.0,2
HCPCS,33948,Hc Ecmo Veno Venous Mgmt Daily Maintenance,14123.0,5507.97,,,0
HCPCS,33949,Ecmo/ecls daily mgmt artery,,,5063.0,6859.0,2
HCPCS,33949,Hc Ecmo Veno Arterial Mgmt Daily Maintenance,14621.0,5702.19,,,0
HCPCS,33951,Ecmo/ecls insj prph cannula,,,5063.0,6859.0,2
HCPCS,33952,Ecmo/ecls insj prph cannula,,,5063.0,6859.0,2
HCPCS,33952,Hc Ecmo/Ecls Insert Perq Prph Cannula 6Yrs Or Over,20942.0,8167.38,,,0
HCPCS,33953,Ecmo/ecls insj prph cannula,,,5063.0,6859.0,2
HCPCS,33954,Ecmo/ecls insj prph cannula,,,5063.0,6859.0,2
HCPCS,33954,Hc Ecmo/Ecls Insert Open Prph Cannula 6Yrs Or Over,20942.0,8167.38,,,0
HCPCS,33955,Ecmo/ecls insj ctr cannula,,,5063.0,6859.0,2
HCPCS,33956,Ecmo/ecls insj ctr cannula,,,5063.0,6859.0,2
HCPCS,33956,Hc Ecmo/Ecls Insert Central Cannula 6Yrs Or Over,18836.0,7346.04,,,0
HCPCS,33957,Ecmo/ecls repos perph cnula,,,5063.0,6859.0,2
HCPCS,33958,Ecmo/ecls repos perph cnula,,,5063.0,6859.0,2
HCPCS,33958,Hc Ecmo/Ecls Repos Perq Perph Cannula 6Yrs Or Over,10471.0,4083.69,,,0
HCPCS,33959,Ecmo/ecls repos perph cnula,,,5063.0,6859.0,2
HCPCS,33960,External circulation assist,,,5063.0,5063.0,1
HCPCS,33961,External circulation assist,,,5063.0,5063.0,1
HCPCS,33962,Ecmo/ecls repos perph cnula,,,5063.0,6859.0,2
HCPCS,33962,Hc Ecmo/Ecls Repos Open Perph Cannula 6Yrs Or Over,9417.0,3672.63,,,0
HCPCS,33963,Ecmo/ecls repos perph cnula,,,5063.0,6859.0,2
HCPCS,33964,Ecmo/ecls repos perph cnula,,,5063.0,6859.0,2
HCPCS,33964,Hc Ecmo/Ecls Repos Central Cannula 6Yrs Or Over,9417.0,3672.63,,,0
HCPCS,33965,Ecmo/ecls rmvl perph cannula,,,5063.0,6859.0,2
HCPCS,33966,Ecmo/ecls rmvl prph cannula,,,5063.0,6859.0,2
HCPCS,33966,Hc Ecmo/Ecls Rmvl Of Prph Cannula Prq 6Yrs Or Over,10471.0,4083.69,,,0
HCPCS,33967,Hc Ip Only- Iabp Insertion,9836.0,3836.04,,,0
HCPCS,33967,Insert i-aort percut device,,,5063.0,56095.0,2
HCPCS,33968,Hc Ip Only - Rem Iabp Assist Device Percutaneous,23918.0,9328.02,,,0
HCPCS,33968,Remove aortic assist device,,,3391.0,56095.0,2
HCPCS,33969,Ecmo/ecls rmvl perph cannula,,,5063.0,6859.0,2
HCPCS,33970,Aortic circulation assist,,,5063.0,6859.0,2
HCPCS,33971,Aortic circulation assist,,,5063.0,6859.0,2
HCPCS,33973,Insert balloon device,,,5063.0,6859.0,2
HCPCS,33974,Remove intra-aortic balloon,,,5063.0,6859.0,2
HCPCS,33975,Hc Ip Only Insert Vlad Extracoporeal Single Ventricle Or Impella,12957.0,5053.23,,,0
HCPCS,33975,Implant ventricular device,,,5063.0,6859.0,2
HCPCS,33976,Hc Insj Ventric Assist Dev Xtrcorp Biventricular,12957.0,5053.23,,,0
HCPCS,33976,Implant ventricular device,,,5063.0,6859.0,2
HCPCS,33977,Remove ventricular device,,,5063.0,6859.0,2
HCPCS,33978,Hc Ip Only Removal Ventr Assist Device Xtrcorp Biventr,3238.0,1262.82,,,0
HCPCS,33978,Remove ventricular device,,,5063.0,6859.0,2
HCPCS,33979,Insert intracorporeal device,,,5063.0,6859.0,2
HCPCS,33980,Remove intracorporeal device,,,5063.0,6859.0,2
HCPCS,33981,Hc Rplcmt Xtrcorp Vad 1/Biventr Pump 1/Ea Pump,12957.0,5053.23,,,0
HCPCS,33981,Replace vad pump ext,,,5063.0,6859.0,2
HCPCS,33982,Replace vad intra w/o bp,,,5063.0,6859.0,2
HCPCS,33983,Replace vad intra w/bp,,,5063.0,6859.0,2
HCPCS,33984,Ecmo/ecls rmvl prph cannula,,,5063.0,6859.0,2
HCPCS,33984,Hc Ecmo/Ecls Rmvl Prph Cannula Open 6Yrs Or Over,9417.0,3672.63,,,0
HCPCS,33985,Ecmo/ecls rmvl ctr cannula,,,5063.0,6859.0,2
HCPCS,33986,Ecmo/ecls rmvl ctr cannula,,,5063.0,6859.0,2
HCPCS,33986,Hc Ecmo/Ecls Rmvl Of Central Cannula 6Yrs Or Over,9417.0,3672.63,,,0
HCPCS,33987,Artery expos/graft artery,,,5063.0,6859.0,2
HCPCS,33988,Insertion of left heart vent,,,5063.0,6859.0,2
HCPCS,33989,Removal of left heart vent,,,5063.0,6859.0,2
HCPCS,33990,Hc Ip Only-Insert/Replace Vad Left Hrt Artery Access Only Impella,24567.0,9581.13,,,0
HCPCS,33990,Insert vad artery access,,,5063.0,6859.0,2
HCPCS,33991,Hc Ip Only-Insert/Replace Vad Left Hrt Arterial And Venous,25775.0,10052.25,,,0
HCPCS,33991,Insert vad art&vein access,,,5063.0,6859.0,2
HCPCS,33992,Hc Ip Only-Remove Lt Hrt Vad Arterial And Venous Diff Session Impella,10549.0,4114.11,,,0
HCPCS,33992,Remove vad different session,,,5063.0,6859.0,2
HCPCS,33993,Hc Ip Only- Reposition Perq R/L Vad W/Img Gdn Sep Insj Impella,5988.0,2335.32,,,0
HCPCS,33993,Reposition vad diff session,,,5063.0,6859.0,2
HCPCS,33995,Hc Ip Only- Insert Perq Vad W/Rs And I R Heart Venous Access Only,24567.0,9581.13,,,0
HCPCS,33995,Insj perq vad r hrt venous,,,6859.0,6859.0,1
HCPCS,33997,Hc Ip Only- Removal Perq R Heart Vad Venous Cannula Sepatate Insertion,10549.0,4114.11,,,0
HCPCS,33997,Rmvl perq right heart vad,,,6859.0,6859.0,1
HCPCS,33999,Cardiac surgery procedure,,,637.16,5063.0,11
HCPCS,33999,Hc Cardiac Pocket Revision,3440.0,1341.6,,,0
HCPCS,33999,Hc Ip Only -Tavr Trancarotid,10388.0,4051.32,,,0
HCPCS,33999,Hc Ip Only Hud- Impella Rp,19803.0,7723.17,,,0
HCPCS,33999,Hc Ip Only Transcarotid Approach Closure Of Native Aortic Valve W Amplatz Occ,10388.0,4051.32,,,0
HCPCS,34001,Removal of artery clot,,,5063.0,6859.0,2
HCPCS,34010048,FLORBETAPIR F-18 10 MCI (370 MBQ) INTRAVENOUS SOLUTION,3088.9,1204.67,,,0
HCPCS,34051,Removal of artery clot,,,5063.0,6859.0,2
HCPCS,34101,Removal of artery clot,,,1937.0,21217.03,13
HCPCS,34111,Removal of arm artery clot,,,5063.0,21217.03,11
HCPCS,34151,Removal of artery clot,,,5063.0,6859.0,2
HCPCS,34201,Hc Embo Thrombectomy Fem-Pop,14073.0,5488.47,,,0
HCPCS,34201,Removal of artery clot,,,5063.0,21217.03,11
HCPCS,34203,Hc Embo Thrombectomy Pop-Tib-Per,12664.0,4938.96,,,0
HCPCS,34203,Removal of leg artery clot,,,5063.0,21217.03,11
HCPCS,34401,Removal of vein clot,,,5063.0,6859.0,2
HCPCS,34421,Removal of vein clot,,,3207.1,12039.27,11
HCPCS,34451,Removal of vein clot,,,5063.0,6859.0,2
HCPCS,34471,Removal of vein clot,,,637.16,5063.0,11
HCPCS,34490,Removal of vein clot,,,3207.1,12039.27,11
HCPCS,34501,Repair valve femoral vein,,,5063.0,21217.03,11
HCPCS,34502,Reconstruct vena cava,,,5063.0,6859.0,2
HCPCS,34510,Transposition of vein valve,,,5063.0,21217.03,11
HCPCS,34520,Cross-over vein graft,,,5063.0,21217.03,11
HCPCS,34530,Leg vein fusion,,,3207.1,12039.27,11
HCPCS,34701,Evasc rpr a-ao ndgft,,,6859.0,8245.0,2
HCPCS,34701,Hc Ip Only - Evasc Rpr Dplmnt Aorto-Aortic Ndgft,6392.0,2492.88,,,0
HCPCS,34702,Evasc rpr a-ao ndgft rpt,,,6859.0,8245.0,2
HCPCS,34703,Evasc rpr a-unilac ndgft,,,6859.0,8245.0,2
HCPCS,34703,Hc Ip Only - Evasc Rpr Dplmnt Aorto Iliac Ndgft Uni,6441.0,2511.99,,,0
HCPCS,34704,Evasc rpr a-unilac ndgft rpt,,,6859.0,8245.0,2
HCPCS,34705,Evac rpr a-biiliac ndgft,,,6859.0,8245.0,2
HCPCS,34705,Hc Ip Only - Evasc Rpr Dplmnt Aorto Iliac Ndgft Bilat,9476.0,3695.64,,,0
HCPCS,34706,Evasc rpr a-biiliac rpt,,,6859.0,8245.0,2
HCPCS,34707,Evasc rpr ilio-iliac ndgft,,,6859.0,9842.0,2
HCPCS,34708,Evasc rpr ilio-iliac rpt,,,6859.0,9842.0,2
HCPCS,34709,Hc Ip Only - Placement Xtn Prosth For Endovascular Rpr,5699.0,2222.61,,,0
HCPCS,34709,Plmt xtn prosth evasc rpr,,,3391.0,6859.0,2
HCPCS,34710,Dlyd plmt xtn prosth 1st vsl,,,6389.0,6859.0,2
HCPCS,34711,Dlyd plmt xtn prosth ea addl,,,3391.0,6859.0,2
HCPCS,34712,Tcat dlvr enhncd fixj dev,,,5809.0,6859.0,2
HCPCS,34713,Hc Perq Access And Closure Fem Art For Delivery Ndgft,7144.0,2786.16,,,0
HCPCS,34713,Perq access & clsr fem art,,,2665.0,3391.0,2
HCPCS,34714,Opn fem art expos cndt crtj,,,2665.0,3391.0,2
HCPCS,34715,Opn ax/subcla art expos,,,2665.0,3391.0,2
HCPCS,34716,Opn ax/subcla art expos cndt,,,2665.0,3391.0,2
HCPCS,34717,Evasc rpr a-iliac ndgft,,,5063.0,6859.0,2
HCPCS,34718,Evasc rpr n/a a-iliac ndgft,,,5063.0,6859.0,2
HCPCS,34800,Endovas aaa repr w/sm tube,,,5063.0,5063.0,1
HCPCS,34802,Endovas aaa repr w/2-p part,,,5063.0,5063.0,1
HCPCS,34803,Endovas aaa repr w/3-p part,,,5063.0,5063.0,1
HCPCS,34804,Endovas aaa repr w/1-p part,,,5063.0,5063.0,1
HCPCS,34805,Endovas aaa repr w/long tube,,,5063.0,5063.0,1
HCPCS,34806,Aneurysm press sensor add-on,,,5063.0,5063.0,1
HCPCS,34808,Endovas iliac a device addon,,,5063.0,6859.0,2
HCPCS,34808,Hc Ip Only - Endovasc Iliac Arty Occl Dev Plcmnt,4524.0,1764.36,,,0
HCPCS,34812,Hc Ip Only - Open Fem Art Xpose For Endoprsth Unilat,5995.0,2338.05,,,0
HCPCS,34812,Xpose for endoprosth femorl,,,5063.0,6859.0,2
HCPCS,34813,Femoral endovas graft add-on,,,5063.0,6859.0,2
HCPCS,34820,Xpose for endoprosth iliac,,,5063.0,6859.0,2
HCPCS,34825,Endovasc extend prosth init,,,5063.0,5063.0,1
HCPCS,34826,Endovasc exten prosth addl,,,5063.0,5063.0,1
HCPCS,34830,Open Aortic Tube Prosth Repr,,,5063.0,6859.0,2
HCPCS,34831,Open Aortoiliac Prosth Repr,,,5063.0,6859.0,2
HCPCS,34832,Open Aortofemor Prosth Repr,,,5063.0,6859.0,2
HCPCS,34833,Xpose for endoprosth iliac,,,6859.0,9842.0,2
HCPCS,34834,Xpose endoprosth brachial,,,6859.0,9842.0,2
HCPCS,34839,Plnning pt spec fenest graft,,,5063.0,5063.0,1
HCPCS,34841,Endovasc visc aorta 1 graft,,,5063.0,6859.0,2
HCPCS,34842,Endovasc visc aorta 2 graft,,,5063.0,6859.0,2
HCPCS,34843,Endovasc visc aorta 3 graft,,,5063.0,6859.0,2
HCPCS,34844,Endovasc visc aorta 4 graft,,,5063.0,6859.0,2
HCPCS,34845,Visc & infraren abd 1 prosth,,,5063.0,6859.0,2
HCPCS,34846,Visc & infraren abd 2 prosth,,,5063.0,6859.0,2
HCPCS,34847,Visc & infraren abd 3 prosth,,,5063.0,6859.0,2
HCPCS,34848,Visc & infraren abd 4+ prost,,,5063.0,6859.0,2
HCPCS,34900,Endovasc iliac repr w/graft,,,5063.0,5063.0,1
HCPCS,35001,Repair defect of artery,,,5063.0,6859.0,2
HCPCS,35002,Repair artery rupture neck,,,5063.0,6859.0,2
HCPCS,35005,Repair defect of artery,,,5063.0,6859.0,2
HCPCS,35011,Repair defect of artery,,,5063.0,21217.03,11
HCPCS,35013,Repair artery rupture arm,,,5063.0,6859.0,2
HCPCS,35021,Repair defect of artery,,,5063.0,6859.0,2
HCPCS,35022,Repair artery rupture chest,,,5063.0,6859.0,2
HCPCS,35045,Repair defect of arm artery,,,5063.0,21217.03,11
HCPCS,35081,Repair defect of artery,,,5063.0,6859.0,2
HCPCS,35082,Repair artery rupture aorta,,,5063.0,6859.0,2
HCPCS,35091,Repair defect of artery,,,5063.0,6859.0,2
HCPCS,35092,Repair artery rupture aorta,,,5063.0,6859.0,2
HCPCS,35102,Repair defect of artery,,,5063.0,6859.0,2
HCPCS,35103,Repair artery rupture aorta,,,5063.0,6859.0,2
HCPCS,35111,Repair defect of artery,,,5063.0,6859.0,2
HCPCS,35112,Repair artery rupture spleen,,,5063.0,6859.0,2
HCPCS,35121,Repair defect of artery,,,5063.0,6859.0,2
HCPCS,35122,Repair artery rupture belly,,,5063.0,6859.0,2
HCPCS,35131,Repair defect of artery,,,5063.0,6859.0,2
HCPCS,35132,Repair artery rupture groin,,,5063.0,6859.0,2
HCPCS,35141,Repair defect of artery,,,5063.0,6859.0,2
HCPCS,35142,Repair artery rupture thigh,,,5063.0,6859.0,2
HCPCS,35151,Repair defect of artery,,,5063.0,6859.0,2
HCPCS,35152,Repair ruptd popliteal art,,,5063.0,6859.0,2
HCPCS,35161,Repair defect of artery,,,5063.0,5063.0,1
HCPCS,35162,Repair artery rupture,,,5063.0,5063.0,1
HCPCS,35180,Repair blood vessel lesion,,,1598.89,6002.15,11
HCPCS,35182,Repair blood vessel lesion,,,5063.0,6859.0,2
HCPCS,35184,Repair blood vessel lesion,,,3207.1,12039.27,11
HCPCS,35188,Repair blood vessel lesion,,,2323.0,21217.03,13
HCPCS,35189,Repair blood vessel lesion,,,5063.0,6859.0,2
HCPCS,35190,Repair blood vessel lesion,,,5063.0,21217.03,11
HCPCS,35201,Repair blood vessel lesion,,,5651.92,21217.03,11
HCPCS,35206,Hc Repair Blood Vessel Direct Upper Extremity,9694.0,3780.66,,,0
HCPCS,35206,Repair blood vessel lesion,,,3207.1,12039.27,11
HCPCS,35207,Hc Repair Blood Vessel Direct Hand Finger,9694.0,3780.66,,,0
HCPCS,35207,Repair blood vessel lesion,,,2323.0,12039.27,13
HCPCS,35211,Repair blood vessel lesion,,,5063.0,6859.0,2
HCPCS,35216,Repair blood vessel lesion,,,5063.0,6859.0,2
HCPCS,35221,Repair blood vessel lesion,,,5063.0,6859.0,2
HCPCS,35226,Hc Direct Blood Vessel Repair Lower Extremity,12028.0,4690.92,,,0
HCPCS,35226,Repair blood vessel lesion,,,719.26,6389.0,11
HCPCS,35231,Repair blood vessel lesion,,,3207.1,12039.27,11
HCPCS,35236,Repair blood vessel lesion,,,5651.92,21217.03,11
HCPCS,35241,Repair blood vessel lesion,,,5063.0,6859.0,2
HCPCS,35246,Repair blood vessel lesion,,,5063.0,6859.0,2
HCPCS,35251,Repair blood vessel lesion,,,5063.0,6859.0,2
HCPCS,35256,Repair blood vessel lesion,,,5651.92,21217.03,11
HCPCS,35261,Repair blood vessel lesion,,,3207.1,12039.27,11
HCPCS,35266,Repair blood vessel lesion,,,5651.92,21217.03,11
HCPCS,35271,Repair blood vessel lesion,,,5063.0,6859.0,2
HCPCS,35276,Repair blood vessel lesion,,,5063.0,6859.0,2
HCPCS,35281,Repair blood vessel lesion,,,5063.0,6859.0,2
HCPCS,35286,Hc Non-Vein Graft Repair Lower Ext,16331.0,6369.09,,,0
HCPCS,35286,Repair blood vessel lesion,,,5651.92,21217.03,11
HCPCS,35301,Hc Ip Only - Thrombolys Carotid Vertebral Subclavian,16469.0,6422.91,,,0
HCPCS,35301,Rechanneling of artery,,,5063.0,6859.0,2
HCPCS,35302,Rechanneling of Artery,,,5063.0,6859.0,2
HCPCS,35303,Rechanneling of Artery,,,5063.0,6859.0,2
HCPCS,35304,Rechanneling of Artery,,,5063.0,6859.0,2
HCPCS,35305,Rechanneling of Artery,,,5063.0,6859.0,2
HCPCS,35306,Rechanneling of Artery,,,5063.0,6859.0,2
HCPCS,35311,Rechanneling of artery,,,5063.0,6859.0,2
HCPCS,35321,Rechanneling of artery,,,2323.0,21217.03,12
HCPCS,35331,Rechanneling of artery,,,5063.0,6859.0,2
HCPCS,35341,Rechanneling of artery,,,5063.0,6859.0,2
HCPCS,35351,Rechanneling of artery,,,5063.0,6859.0,2
HCPCS,35355,Rechanneling of artery,,,5063.0,6859.0,2
HCPCS,35361,Rechanneling of artery,,,5063.0,6859.0,2
HCPCS,35363,Rechanneling of artery,,,5063.0,6859.0,2
HCPCS,35371,Rechanneling of artery,,,5063.0,6859.0,2
HCPCS,35372,Rechanneling of artery,,,5651.92,21217.03,11
HCPCS,35381,Rechanneling of artery,,,5063.0,5063.0,1
HCPCS,35390,Reoperation carotid add-on,,,5063.0,6859.0,2
HCPCS,35400,Angioscopy,,,5063.0,6859.0,2
HCPCS,35450,Repair arterial blockage,,,5063.0,5063.0,1
HCPCS,35452,Repair arterial blockage,,,5063.0,5063.0,1
HCPCS,35454,Repair arterial blockage,,,5063.0,5063.0,1
HCPCS,35456,Repair arterial blockage,,,5063.0,5063.0,1
HCPCS,35458,Repair arterial blockage,,,5063.0,5063.0,1
HCPCS,35459,Repair arterial blockage,,,5063.0,5063.0,1
HCPCS,35460,Repair venous blockage,,,5063.0,5063.0,1
HCPCS,35470,Repair arterial blockage,,,5063.0,5063.0,1
HCPCS,35471,Repair arterial blockage,,,5063.0,5063.0,1
HCPCS,35472,Repair arterial blockage,,,1308.0,5063.0,2
HCPCS,35473,Repair arterial blockage,,,5063.0,5063.0,1
HCPCS,35474,Repair arterial blockage,,,5063.0,5063.0,1
HCPCS,35475,Repair arterial blockage,,,1308.0,5063.0,2
HCPCS,35476,Repair venous blockage,,,1308.0,5063.0,2
HCPCS,35480,"Atherectomy, open",,,5063.0,5063.0,1
HCPCS,35481,"Atherectomy, open",,,5063.0,5063.0,1
HCPCS,35482,"Atherectomy, open",,,5063.0,5063.0,1
HCPCS,35483,"Atherectomy, open",,,5063.0,5063.0,1
HCPCS,35484,"Atherectomy, open",,,5063.0,5063.0,1
HCPCS,35485,"Atherectomy, open",,,5063.0,5063.0,1
HCPCS,35490,"Atherectomy, percutaneous",,,5063.0,5063.0,1
HCPCS,35491,"Atherectomy, percutaneous",,,5063.0,5063.0,1
HCPCS,35492,"Atherectomy, percutaneous",,,5063.0,5063.0,1
HCPCS,35493,"Atherectomy, percutaneous",,,5063.0,5063.0,1
HCPCS,35494,"Atherectomy, percutaneous",,,5063.0,5063.0,1
HCPCS,35495,"Atherectomy, percutaneous",,,5063.0,5063.0,1
HCPCS,35500,Harvest vein for bypass,,,2665.0,5063.0,2
HCPCS,35501,Art byp grft ipsilat carotid,,,5063.0,6859.0,2
HCPCS,35506,Art byp grft subclav-carotid,,,5063.0,6859.0,2
HCPCS,35507,Artery bypass graft,,,5063.0,5063.0,1
HCPCS,35508,Art byp grft carotid-vertbrl,,,5063.0,6859.0,2
HCPCS,35509,Art byp grft contral carotid,,,5063.0,6859.0,2
HCPCS,35510,Art byp grft carotid-brchial,,,5063.0,6859.0,2
HCPCS,35511,Art byp grft subclav-subclav,,,5063.0,6859.0,2
HCPCS,35512,Art byp grft subclav-brchial,,,5063.0,6859.0,2
HCPCS,35515,Art byp grft subclav-vertbrl,,,5063.0,6859.0,2
HCPCS,35516,Art byp grft subclav-axilary,,,5063.0,6859.0,2
HCPCS,35518,Art byp grft axillary-axilry,,,5063.0,6859.0,2
HCPCS,35521,Art byp grft axill-femoral,,,5063.0,6859.0,2
HCPCS,35522,Art byp grft axill-brachial,,,5063.0,6859.0,2
HCPCS,35523,Art byp grft brchl-ulnr-rdl,,,5063.0,6859.0,2
HCPCS,35525,Art byp grft brachial-brchl,,,5063.0,6859.0,2
HCPCS,35526,Art byp grft aor/carot/innom,,,5063.0,6859.0,2
HCPCS,35531,Art byp grft aorcel/aormesen,,,5063.0,6859.0,2
HCPCS,35533,Art byp grft axill/fem/fem,,,5063.0,6859.0,2
HCPCS,35535,Art byp grft hepatorenal,,,5063.0,6859.0,2
HCPCS,35536,Art byp grft splenorenal,,,5063.0,6859.0,2
HCPCS,35537,Art byp grft aortoiliac,,,5063.0,6859.0,2
HCPCS,35538,Art byp grft aortobi-iliac,,,5063.0,6859.0,2
HCPCS,35539,Art byp grft aortofemoral,,,5063.0,6859.0,2
HCPCS,35540,Art byp grft aortbifemoral,,,5063.0,6859.0,2
HCPCS,35541,Artery bypass graft,,,5063.0,5063.0,1
HCPCS,35546,Artery bypass graft,,,5063.0,5063.0,1
HCPCS,35548,Artery bypass graft,,,5063.0,5063.0,1
HCPCS,35549,Artery bypass graft,,,5063.0,5063.0,1
HCPCS,35551,Artery bypass graft,,,5063.0,5063.0,1
HCPCS,35556,Art byp grft fem-popliteal,,,5063.0,6859.0,2
HCPCS,35558,Art byp grft fem-femoral,,,5063.0,6859.0,2
HCPCS,35560,Art byp grft aortorenal,,,5063.0,6859.0,2
HCPCS,35563,Art byp grft ilioiliac,,,5063.0,6859.0,2
HCPCS,35565,Art byp grft iliofemoral,,,5063.0,6859.0,2
HCPCS,35566,Art byp fem-ant-post tib/prl,,,5063.0,6859.0,2
HCPCS,35570,Art byp tibial-tib/peroneal,,,5063.0,6859.0,2
HCPCS,35571,Art byp pop-tibl-prl-other,,,5063.0,6859.0,2
HCPCS,35572,Harvest femoropopliteal vein,,,2665.0,5063.0,2
HCPCS,35582,Vein bypass graft,,,5063.0,5063.0,1
HCPCS,35583,Vein byp grft fem-popliteal,,,5063.0,6859.0,2
HCPCS,35585,Vein byp fem-tibial peroneal,,,5063.0,6859.0,2
HCPCS,35587,Vein byp pop-tibl peroneal,,,5063.0,6859.0,2
HCPCS,35600,Harvest art for cabg add-on,,,5063.0,6859.0,2
HCPCS,35601,Art byp common ipsi carotid,,,5063.0,6859.0,2
HCPCS,35606,Art byp carotid-subclavian,,,5063.0,6859.0,2
HCPCS,35612,Art byp subclav-subclavian,,,5063.0,6859.0,2
HCPCS,35616,Art byp subclav-axillary,,,5063.0,6859.0,2
HCPCS,35621,Art byp axillary-femoral,,,5063.0,6859.0,2
HCPCS,35623,Art byp axillary-pop-tibial,,,5063.0,6859.0,2
HCPCS,35626,Art byp aorsubcl/carot/innom,,,5063.0,6859.0,2
HCPCS,35631,Art byp aor-celiac-msn-renal,,,5063.0,6859.0,2
HCPCS,35632,Art byp ilio-celiac,,,5063.0,6859.0,2
HCPCS,35633,Art byp ilio-mesenteric,,,5063.0,6859.0,2
HCPCS,35634,Art byp iliorenal,,,5063.0,6859.0,2
HCPCS,35636,Art byp spenorenal,,,5063.0,6859.0,2
HCPCS,35637,Art byp aortoiliac,,,5063.0,6859.0,2
HCPCS,35638,Art byp aortobi-iliac,,,5063.0,6859.0,2
HCPCS,35641,Artery bypass graft,,,5063.0,5063.0,1
HCPCS,35642,Art byp carotid-vertebral,,,5063.0,6859.0,2
HCPCS,35645,Art byp subclav-vertebrl,,,5063.0,6859.0,2
HCPCS,35646,Art byp aortobifemoral,,,5063.0,6859.0,2
HCPCS,35647,Art byp aortofemoral,,,5063.0,6859.0,2
HCPCS,35650,Art byp axillary-axillary,,,5063.0,6859.0,2
HCPCS,35651,Artery bypass graft,,,5063.0,5063.0,1
HCPCS,35654,Art byp axill-fem-femoral,,,5063.0,6859.0,2
HCPCS,35656,Art byp femoral-popliteal,,,5063.0,6859.0,2
HCPCS,35661,Art byp femoral-femoral,,,5063.0,6859.0,2
HCPCS,35663,Art byp ilioiliac,,,5063.0,6859.0,2
HCPCS,35665,Art byp iliofemoral,,,5063.0,6859.0,2
HCPCS,35666,Art byp fem-ant-post tib/prl,,,5063.0,6859.0,2
HCPCS,35671,Art byp pop-tibl-prl-other,,,5063.0,6859.0,2
HCPCS,35681,Composite byp grft pros&vein,,,5063.0,6859.0,2
HCPCS,35681,Hc Ip Only - Bypass Compo-Prosth-Vein,3250.0,1267.5,,,0
HCPCS,35682,Composite byp grft 2 veins,,,5063.0,6859.0,2
HCPCS,35683,Composite byp grft 3/> segmt,,,5063.0,6859.0,2
HCPCS,35685,Bypass graft patency/patch,,,2665.0,5063.0,2
HCPCS,35686,Bypass graft/av fist patency,,,2665.0,5063.0,2
HCPCS,35691,Art trnsposj vertbrl carotid,,,5063.0,6859.0,2
HCPCS,35693,Art trnsposj subclavian,,,5063.0,6859.0,2
HCPCS,35694,Art trnsposj subclav carotid,,,5063.0,6859.0,2
HCPCS,35695,Art trnsposj carotid subclav,,,5063.0,6859.0,2
HCPCS,35697,Reimplant artery each,,,5063.0,6859.0,2
HCPCS,35700,Reoperation bypass graft,,,5063.0,6859.0,2
HCPCS,35701,Exploration carotid artery,,,5063.0,6859.0,2
HCPCS,35702,Expl n/flwd surg uxtr art,,,4714.0,6859.0,2
HCPCS,35703,Expl n/flwd surg lxtr art,,,4714.0,6859.0,2
HCPCS,35721,Exploration femoral artery,,,5063.0,5063.0,1
HCPCS,35741,Exploration popliteal artery,,,5063.0,5063.0,1
HCPCS,35761,Exploration of artery/vein,,,5063.0,5063.0,1
HCPCS,35800,Explore neck vessels,,,5651.92,21217.03,11
HCPCS,35820,Explore chest vessels,,,5063.0,6859.0,2
HCPCS,35840,Explore abdominal vessels,,,5063.0,6859.0,2
HCPCS,35860,Explore limb vessels,,,3207.1,12039.27,11
HCPCS,35870,Repair vessel graft defect,,,5063.0,6859.0,2
HCPCS,35875,Removal of clot in graft,,,5651.92,21217.03,13
HCPCS,35876,Removal of clot in graft,,,5651.92,21217.03,13
HCPCS,35879,Revise graft w/vein,,,5063.0,21217.03,11
HCPCS,35881,Revise graft w/vein,,,5063.0,21217.03,11
HCPCS,35883,Revise Graft w/Nonauto Graft,,,5651.92,21217.03,12
HCPCS,35884,Revise graft w/vein,,,5651.92,21217.03,12
HCPCS,35901,Excision graft neck,,,5063.0,6859.0,2
HCPCS,35903,Excision graft extremity,,,3207.1,12039.27,11
HCPCS,35905,Excision graft thorax,,,5063.0,6859.0,2
HCPCS,35907,Excision graft abdomen,,,5063.0,6859.0,2
HCPCS,36000,Place needle in vein,,,2665.0,5063.0,2
HCPCS,36002,Hc Inj Trreatment Pseudoaneurysm Extremity,1366.0,532.74,,,0
HCPCS,36002,Pseudoaneurysm injection trt,,,637.16,4066.0,12
HCPCS,36005,Hc Inj Venography Ext Contrast,1011.0,394.29,,,0
HCPCS,36005,Injection ext venography,,,2665.0,3391.0,2
HCPCS,36010,Hc Intro Cath Supperior/Inferior Vena Cava,3393.0,1323.27,,,0
HCPCS,36010,Place catheter in vein,,,2665.0,3391.0,2
HCPCS,36011,Hc Selective Cath Placement Venous 1St Order,2931.0,1143.09,,,0
HCPCS,36011,Place catheter in vein,,,2665.0,3391.0,2
HCPCS,36012,Hc Sel Cath Placement Venous 2Nd Order,3460.0,1349.4,,,0
HCPCS,36012,Place catheter in vein,,,2665.0,3391.0,2
HCPCS,36013,Hc Intro Cath R Heart/Main Pulmonary Artery,2643.0,1030.77,,,0
HCPCS,36013,Place catheter in artery,,,2665.0,3391.0,2
HCPCS,36014,Hc Selective Cath Placement Pulmonary Artery,3287.0,1281.93,,,0
HCPCS,36014,Place catheter in artery,,,2665.0,3391.0,2
HCPCS,36015,Hc Selective Cath Placement Seg/Sub Pulmonary Artery,3847.0,1500.33,,,0
HCPCS,36015,Place catheter in artery,,,2665.0,3391.0,2
HCPCS,36100,Establish access to artery,,,1308.0,3391.0,3
HCPCS,36100,Hc Carotid Or Vertebral Artery Intro Needle Or Cath,8143.0,3175.77,,,0
HCPCS,36120,Establish access to artery,,,1308.0,5063.0,2
HCPCS,36140,Establish access to artery,,,2665.0,3391.0,2
HCPCS,36140,Hc Extremity Artery Ndl Intro Direct/Retrograde,2060.0,803.4,,,0
HCPCS,36145,Artery to vein shunt,,,5063.0,5063.0,1
HCPCS,36147,Intro of needle/cath for dialysis,,,5063.0,5063.0,1
HCPCS,36148,additional access for therapeutic intervention,,,5063.0,5063.0,1
HCPCS,36160,Establish access to aorta,,,2665.0,4714.0,2
HCPCS,36160,Hc Plc Cath Aortc Trnslm,12131.0,4731.09,,,0
HCPCS,36200,Hc Intro Cath Aorta,3752.0,1463.28,,,0
HCPCS,36200,Place catheter in aorta,,,1308.0,4714.0,3
HCPCS,36215,Hc Selective Cath 1St Ord Thor/Brach Br,3318.0,1294.02,,,0
HCPCS,36215,Place catheter in artery,,,2665.0,4714.0,2
HCPCS,36216,Hc Selective Cath 2Nd Ord Thor/Brach Br,7053.0,2750.67,,,0
HCPCS,36216,Place catheter in artery,,,2665.0,4714.0,2
HCPCS,36217,Hc Selective Cath 3Rd Ord Thor/Brach Br,8450.0,3295.5,,,0
HCPCS,36217,Place catheter in artery,,,2665.0,4714.0,2
HCPCS,36218,Hc Selective Cath Ea Addl 2Nd/3Rd Th/Br,3465.0,1351.35,,,0
HCPCS,36218,Place catheter in artery,,,2665.0,4714.0,2
HCPCS,36221,Hc Nsc Thoracic Aorta Plcm Plus Angio,19689.0,7678.71,,,0
HCPCS,36221,Place cath thoracic aorta,,,3207.1,12039.27,11
HCPCS,36222,Hc Sc Com Carotid/Innom Plus Angio Uni,19200.0,7488.0,,,0
HCPCS,36222,Place cath carotid/inom art,,,3207.1,12039.27,11
HCPCS,36223,Hc Sc Com Carotid/Innom Plus Angio Plus Extracranial Uni,28443.0,11092.77,,,0
HCPCS,36223,Place cath carotid/inom art,,,4714.0,21217.03,11
HCPCS,36224,Hc Sc Internal Carotid Artery Plus Angio,24933.0,9723.87,,,0
HCPCS,36224,Place cath carotd art,,,5651.92,21217.03,11
HCPCS,36225,Hc Sc Subclav/Innom Plus Angio Uni,25509.0,9948.51,,,0
HCPCS,36225,Place cath subclavian art,,,3207.1,12039.27,11
HCPCS,36226,Hc Sc Vertebral Artery Plus Angio Uni,22412.0,8740.68,,,0
HCPCS,36226,Place cath vertebral art,,,5651.92,21217.03,11
HCPCS,36227,Hc Sc Ext Carotid Artery Plus Angio Uni,35515.0,13850.85,,,0
HCPCS,36227,Place cath xtrnl carotid,,,2665.0,3391.0,2
HCPCS,36228,Hc Sc Ea Intracranial Branch Plus Angio Uni,35052.0,13670.28,,,0
HCPCS,36228,Place cath intracranial art,,,2665.0,3391.0,2
HCPCS,36245,Hc Selective 1St Ord Abd/Pel/Lower Ext Artery Branch,3026.0,1180.14,,,0
HCPCS,36245,Ins cath abd/l-ext art 1st,,,1937.0,4714.0,3
HCPCS,36246,Hc Selective 2Nd Ord Abd/Pel/Lower Ext Artery Branch,6795.0,2650.05,,,0
HCPCS,36246,Ins cath abd/l-ext art 2nd,,,1937.0,4714.0,3
HCPCS,36247,Hc Selective 3Rd Ord Abd/Pel/Lower Ext Artery Branch,7822.0,3050.58,,,0
HCPCS,36247,Ins cath abd/l-ext art 3rd,,,2665.0,4714.0,2
HCPCS,36248,Hc Selective Ea Addl 2-3Rd Plus Ord Abd/Pel/Lower Ext Artery Branch,2990.0,1166.1,,,0
HCPCS,36248,Ins cath abd/l-ext art addl,,,2665.0,4714.0,2
HCPCS,36251,Hc Selective 1St Ord Renal Artery Uni,11605.0,4525.95,,,0
HCPCS,36251,Ins cath ren art 1st unilat,,,3207.1,12039.27,11
HCPCS,36252,Hc Selective 1St Ord Renal Artery Bilat,10302.0,4017.78,,,0
HCPCS,36252,Ins cath ren art 1st bilat,,,3207.1,12039.27,11
HCPCS,36253,Hc Selective 2Nd Plus Ord Renal Artery Uni,11605.0,4525.95,,,0
HCPCS,36253,Ins cath ren art 2nd+ unilat,,,4714.0,21217.03,11
HCPCS,36254,Hc Selective 2Nd Plus Ord Renal Artery Bilat,12253.0,4778.67,,,0
HCPCS,36254,Ins cath ren art 2nd+ bilat,,,3207.1,12039.27,11
HCPCS,36260,Insertion of infusion pump,,,1937.0,21217.03,13
HCPCS,36261,Revision of infusion pump,,,1694.0,14248.79,13
HCPCS,36262,Removal of infusion pump,,,1308.0,14248.79,13
HCPCS,36299,Hc Vessel Injection Procedure Unlisted???,2908.0,1134.12,,,0
HCPCS,36299,Vessel injection procedure,,,2665.0,5063.0,2
HCPCS,36400,Hc Venipuncture Under 3Yr Phy Or Qhp Femoral/Juglar Vein,323.0,125.97,,,0
HCPCS,36405,Hc Venipuncture Under 3 Years Phys/Qhp Skill Scalp Vein,59.0,23.01,,,0
HCPCS,36406,Hc Venipuncture Under 3Yr By Md Other,291.0,113.49,,,0
HCPCS,36410,Hc Venipuncture 3Yrs Or Over By Md Or Qhp,245.0,95.55,,,0
HCPCS,36410,Non-routine bl draw 3/> yrs,,,14.33,14.33,2
HCPCS,36410,Venipuncture > Age 3 Requiring,194.0,75.66,,,0
HCPCS,36415,Hc Bc Venipuncture,25.82,10.07,,,0
HCPCS,36415,Hc Collection Blood Venipuncture,25.82,10.07,,,0
HCPCS,36415,Hc Venipuncture,25.82,10.07,,,0
HCPCS,36415,Routine venipuncture,,,3.6,34.28,12
HCPCS,36416,Capillary blood draw,,,3.44,4.26,3
HCPCS,36416,Collect Capillary Blood Finger,45.0,17.55,,,0
HCPCS,36416,Hc Bc Collect Capillary Finger/Heel/Ear Stick,69.0,26.91,,,0
HCPCS,36416,Hc Collect Capillary Finger/Heel/Ear Stick,69.0,26.91,,,0
HCPCS,36420,Vein access cutdown < 1 yr,,,135.14,3391.0,11
HCPCS,36425,Vein access cutdown > 1 yr,,,453.74,3391.0,11
HCPCS,36430,Blood transfusion service,,,448.11,3391.0,12
HCPCS,36430,Hc Blood Transfusion,4570.0,1782.3,,,0
HCPCS,36430,Transfus Blood/Comp,1984.0,773.76,,,0
HCPCS,36440,Bl push transfuse 2 yr/<,,,448.11,3391.0,12
HCPCS,36440,Hc Push Transfusion Blood 2Yr Or Under,4570.0,1782.3,,,0
HCPCS,36450,Bl exchange/transfuse nb,,,448.11,3391.0,12
HCPCS,36455,Bl exchange/transfuse non-nb,,,448.11,3391.0,12
HCPCS,36456,Prtl exchange transfuse nb,,,448.11,3391.0,12
HCPCS,36460,Hc Transfusion Intrauterine Fetal,6601.0,2574.39,,,0
HCPCS,36460,Transfusion service fetal,,,448.11,3391.0,12
HCPCS,36465,Hc Inj Noncmpnd Sclerosant Single Incmptnt Vein W Us,2989.0,1165.71,,,0
HCPCS,36465,Njx noncmpnd sclrsnt 1 vein,,,2095.7,9032.0,12
HCPCS,36466,Hc Inj Noncmpnd Sclerosant Mult Incmptnt Vein Same Leg W Us,3445.0,1343.55,,,0
HCPCS,36466,Njx noncmpnd sclrsnt mlt vn,,,2095.7,9032.0,12
HCPCS,36468,Injection(s) spider veins,,,412.9,3391.0,11
HCPCS,36469,"Injection(s), spider veins",,,5063.0,5063.0,1
HCPCS,36470,Hc Sclerotherapy Leg Single Vein,1783.0,695.37,,,0
HCPCS,36470,Injection therapy of vein,,,412.9,3391.0,11
HCPCS,36471,Hc Sclerotherapy Leg Multiple Veins Same Leg,3445.0,1343.55,,,0
HCPCS,36471,Injection therapy of veins,,,412.9,3391.0,11
HCPCS,36473,Endovenous mchnchem 1st vein,,,3207.1,12039.27,11
HCPCS,36473,Hc Ablation Mchnchem Ext Plus Image 1St Vein,13165.0,5134.35,,,0
HCPCS,36474,Endovenous mchnchem add-on,,,2665.0,3391.0,2
HCPCS,36474,Hc Ablation Mchnchem Ext Plus Image Addtl Vein,9875.0,3851.25,,,0
HCPCS,36475,Endovenous rf 1st vein,,,1308.0,12039.27,13
HCPCS,36475,Hc Endovenous Rf 1St Vein,20034.0,7813.26,,,0
HCPCS,36476,Endovenous rf vein add-on,,,1937.0,3391.0,3
HCPCS,36476,Hc Endovenous Rf Vein Add-On,9576.0,3734.64,,,0
HCPCS,36478,Endovenous laser 1st vein,,,1308.0,12039.27,13
HCPCS,36479,Endovenous laser vein addon,,,1937.0,3391.0,3
HCPCS,36479,Hc Endoven Abltj Incmptnt Vein Xtr Laser Subsequent Veins,230.0,89.7,,,0
HCPCS,36481,Hc Portal Vein Cath Procedure Percutaneous,6832.0,2664.48,,,0
HCPCS,36481,Insertion of catheter vein,,,2665.0,3391.0,2
HCPCS,36482,Endoven ther chem adhes 1st,,,5651.92,21217.03,11
HCPCS,36482,Hc Ablation Endoven Thx Chem Adhesive 1St Vein??,16563.0,6459.57,,,0
HCPCS,36483,Endoven ther chem adhes sbsq,,,2665.0,3391.0,2
HCPCS,36488,"Insertion of catheter, vein",,,5063.0,5063.0,1
HCPCS,36489,"Insertion of catheter, vein",,,5063.0,5063.0,1
HCPCS,36490,"Insertion of catheter, vein",,,5063.0,5063.0,1
HCPCS,36491,"Insertion of catheter, vein",,,5063.0,5063.0,1
HCPCS,36493,Repositioning of cvc,,,5063.0,5063.0,1
HCPCS,36500,Hc Venous Cath Select Organ Blood Sample,3130.0,1220.7,,,0
HCPCS,36500,Insertion of catheter vein,,,2665.0,3391.0,2
HCPCS,36510,Hc Umbilical Cath Insertion/Uvc,923.0,359.97,,,0
HCPCS,36510,Insertion of catheter vein,,,2665.0,5063.0,2
HCPCS,36511,Apheresis wbc,,,1581.9,5938.37,11
HCPCS,36511,Hc Hemapheresis White,19154.0,7470.06,,,0
HCPCS,36512,Apheresis rbc,,,1581.9,5938.37,11
HCPCS,36512,Hc Hemaperesis Red,19154.0,7470.06,,,0
HCPCS,36513,Apheresis platelets,,,448.11,4714.0,11
HCPCS,36513,Hc Hemapheresis Platelets,19320.0,7534.8,,,0
HCPCS,36514,Apheresis plasma,,,1581.9,5938.37,11
HCPCS,36514,Hc Arc Therapeutic Plasma Pheresis,9000.0,3510.0,,,0
HCPCS,36514,Hc Hemapheresis Plasma,9000.0,3510.0,,,0
HCPCS,36515,Apheresis adsorp/reinfuse,,,5063.0,5063.0,1
HCPCS,36516,Apheresis selective,,,4423.94,16607.25,11
HCPCS,36520,Plasma and/or cell exchange,,,5063.0,5063.0,1
HCPCS,36521,Apheresis w/ adsorp/reinfuse,,,5063.0,5063.0,1
HCPCS,36522,Hc Photopheresis Extracorporeal,13538.0,5279.82,,,0
HCPCS,36522,Photopheresis,,,1694.0,16607.25,12
HCPCS,36530,Insertion of infusion pump,,,5063.0,5063.0,1
HCPCS,36531,Revision of infusion pump,,,5063.0,5063.0,1
HCPCS,36532,Removal of infusion pump,,,5063.0,5063.0,1
HCPCS,36533,Insertion of access device,,,5063.0,5063.0,1
HCPCS,36534,Revision of access device,,,5063.0,5063.0,1
HCPCS,36535,Removal of access device,,,5063.0,5063.0,1
HCPCS,36536,Mechanical removal of obs material,,,5063.0,5063.0,1
HCPCS,36537,Mechanical removal of obs material,,,5063.0,5063.0,1
HCPCS,36540,Collect Blood Venous Device,,,5063.0,5063.0,1
HCPCS,36550,Declot vascular device,,,5063.0,5063.0,1
HCPCS,36555,Hc Insertion Central Line Non Tunneled Under 5Yr,15887.0,6195.93,,,0
HCPCS,36555,Insert non-tunnel cv cath,,,1308.0,12039.27,13
HCPCS,36556,Hc Insert Central Venous Cath Non Tunneled 5Yrs Or Over,15887.0,6195.93,,,0
HCPCS,36556,Insert non-tunnel cv cath,,,1308.0,12039.27,13
HCPCS,36557,Hc Insert Tunneled Cvc W/O Subq Port/Pmp Age Younger Than 5 Yr,1293.0,504.27,,,0
HCPCS,36557,Insert tunneled cv cath,,,1694.0,21217.03,13
HCPCS,36558,Hc Insert Cvc Tunneled W/O Subq Port/Pmp 5Yrs Or Over,20818.0,8119.02,,,0
HCPCS,36558,Insert tunneled cv cath,,,1694.0,12039.27,13
HCPCS,36560,Hc Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr,249.0,97.11,,,0
HCPCS,36560,Insert tunneled cv cath,,,1937.0,12039.27,13
HCPCS,36561,Hc Insert Tunneled Ctr Vad W/Subq Port 5Yrs Or Over,24035.0,9373.65,,,0
HCPCS,36561,Insert tunneled cv cath,,,1937.0,12039.27,13
HCPCS,36563,Hc Tunneled Cvc W-Port,41721.0,16271.19,,,0
HCPCS,36563,Insert tunneled cv cath,,,1937.0,21217.03,13
HCPCS,36565,Hc Tunneled Cvc 2 Cath And 2 Site W/O Port,23465.0,9151.35,,,0
HCPCS,36565,Insert tunneled cv cath,,,1937.0,12039.27,13
HCPCS,36566,Hc Tunneled Cvc 2 Cath And 2 Site With Port,31283.0,12200.37,,,0
HCPCS,36566,Insert tunneled cv cath,,,1937.0,21217.03,13
HCPCS,36568,Hc Insertion Picc Without Imaging Guidance Under 5 Yrs,15887.0,6195.93,,,0
HCPCS,36568,Insert picc cath,,,1308.0,6002.15,13
HCPCS,36569,Hc Insert Picc Without Imaging 5Yrs Or Over,15887.0,6195.93,,,0
HCPCS,36569,Insert picc cath,,,1308.0,6002.15,13
HCPCS,36570,Insert picvad cath,,,1937.0,12039.27,13
HCPCS,36571,Hc Insert Prph Ctr Vad W/Subq Port 5Yrs Or Over,34125.0,13308.75,,,0
HCPCS,36571,Insert picvad cath,,,1937.0,12039.27,13
HCPCS,36572,Hc Insertion Picc With Imaging Under 5 Yrs,3805.0,1483.95,,,0
HCPCS,36572,Insj picc rs&i <5 yr,,,637.16,4220.0,12
HCPCS,36573,Hc Insert Picc With Imaging 5Yrs Or Over,8878.0,3462.42,,,0
HCPCS,36573,Insj picc rs&i 5 yr+,,,1598.89,6399.0,12
HCPCS,36575,Hc Repair Cv Cath W/O-Port,4087.0,1593.93,,,0
HCPCS,36575,Repair tunneled cv cath,,,637.16,4714.0,13
HCPCS,36576,Hc Repair Cv Cath With Port,12835.0,5005.65,,,0
HCPCS,36576,Repair tunneled cv cath,,,1598.89,6002.15,13
HCPCS,36578,Hc Replace Cv Cath With Port,15216.0,5934.24,,,0
HCPCS,36578,Replace tunneled cv cath,,,1694.0,12039.27,13
HCPCS,36580,Hc Replace Non-Tunneled Cvad Cath W/O Pump,10145.0,3956.55,,,0
HCPCS,36580,Replace cvad cath,,,1308.0,6002.15,13
HCPCS,36581,Hc Replace Tunneled Cv Cath W/O Pump,15740.0,6138.6,,,0
HCPCS,36581,Replace tunneled cv cath,,,1694.0,12039.27,13
HCPCS,36582,Hc Replace Tunneled Cv Cath With Port,12469.0,4862.91,,,0
HCPCS,36582,Replace tunneled cv cath,,,1937.0,12039.27,13
HCPCS,36583,Replace tunneled cv cath,,,1937.0,21217.03,13
HCPCS,36584,Hc Complete Replacement Picc With Imaging,15887.0,6195.93,,,0
HCPCS,36584,Replace picc cath,,,1308.0,6002.15,13
HCPCS,36585,Hc Replace Pic Vad With Port,9646.0,3761.94,,,0
HCPCS,36585,Replace picvad cath,,,1937.0,12039.27,13
HCPCS,36589,Hc Removal Tunneled Cath W/O Port/Pump,9646.0,3761.94,,,0
HCPCS,36589,Removal tunneled cv cath,,,637.16,4066.0,13
HCPCS,36590,Hc Removal Tunneled Cvad With Port/Pump,8670.0,3381.3,,,0
HCPCS,36590,Removal tunneled cv cath,,,1308.0,6002.15,13
HCPCS,36591,Draw blood off venous device,,,135.14,2665.0,10
HCPCS,36591,Hc Bc Collect Blood From Implant Venous Access Device Port,883.0,344.37,,,0
HCPCS,36591,Hc Collect Blood From Implant Venous Access Device Port,883.0,344.37,,,0
HCPCS,36592,Collect blood from picc,,,135.14,2665.0,10
HCPCS,36592,Hc Bc Collect Blood From Central Or Peripheral Venous Cath Or Picc,461.0,179.79,,,0
HCPCS,36592,Hc Collect Blood From Central Or Peripheral Venous Cath Or Picc,461.0,179.79,,,0
HCPCS,36593,Declot vascular device,,,335.5,3391.0,11
HCPCS,36593,Hc Declotting Thrombolytic Agent Implant Access Device,3327.0,1297.53,,,0
HCPCS,36595,Hc Mechanical Removal Tunneled Cv Cath,14689.0,5728.71,,,0
HCPCS,36595,Mech remov tunneled cv cath,,,2572.0,12039.27,12
HCPCS,36596,Hc Mechanical Removal Intralumenal Tunneled Cv Cath,11940.0,4656.6,,,0
HCPCS,36596,Mech remov tunneled cv cath,,,1598.89,6002.15,12
HCPCS,36597,Hc Reposition Venous Cath Previous Placed,6407.0,2498.73,,,0
HCPCS,36597,Reposition venous catheter,,,1598.89,6002.15,12
HCPCS,36598,Hc Inj Cvad Existing Contrast Evaluation,716.5,279.435,,,0
HCPCS,36598,Inj w/fluor eval cv device,,,216.05,4714.0,12
HCPCS,36600,Hc Arterial Puncture Withdrawal Blood Dx,202.0,78.78,,,0
HCPCS,36600,Hc Bc Arterial Puncture Withdrawal Blood Dx,202.0,78.78,,,0
HCPCS,36600,Withdrawal of arterial blood,,,135.14,2665.0,10
HCPCS,36620,Hc Artline Insertion,1153.0,449.67,,,0
HCPCS,36620,Insertion catheter artery,,,1308.0,3391.0,3
HCPCS,36625,Hc Artl Cathj/Cannulj Mntr/Transfusion Spx Cutdown,2855.0,1113.45,,,0
HCPCS,36625,Insertion catheter artery,,,2665.0,5063.0,2
HCPCS,36640,Hc Arterial Catheter-Prolonged Chemo Infusion,8931.0,3483.09,,,0
HCPCS,36640,Insertion catheter artery,,,1308.0,12039.27,13
HCPCS,36660,Hc Umbilical Art Line Nb,923.0,359.97,,,0
HCPCS,36660,Insertion catheter artery,,,5063.0,6859.0,2
HCPCS,36680,Hc Placement Needle Intraosseous Infusion,2068.0,806.52,,,0
HCPCS,36680,Insert needle bone cavity,,,453.74,3391.0,11
HCPCS,36800,Insertion of cannula,,,1937.0,21217.03,13
HCPCS,36810,Insertion of cannula,,,1937.0,12039.27,13
HCPCS,36815,Insertion of cannula,,,1937.0,21217.03,13
HCPCS,36818,Av fuse uppr arm cephalic,,,1937.0,21217.03,13
HCPCS,36819,Av fuse uppr arm basilic,,,1937.0,21217.03,13
HCPCS,36820,Av fusion/forearm vein,,,1937.0,21217.03,13
HCPCS,36821,Av fusion direct any site,,,1937.0,12039.27,13
HCPCS,36821,Hc Arteriovenous Anastomosis Open Direct,10371.0,4044.69,,,0
HCPCS,36822,Insertion of cannula(s),,,5063.0,5063.0,1
HCPCS,36823,Insertion of cannula(s),,,5063.0,6179.0,2
HCPCS,36825,Artery-vein autograft,,,2323.0,21217.03,13
HCPCS,36830,Artery-vein nonautograft,,,2323.0,21217.03,13
HCPCS,36830,Hc Artery-Vein Nonautograft,18554.0,7236.06,,,0
HCPCS,36831,Open thrombect av fistula,,,5651.92,21217.03,13
HCPCS,36832,Av fistula revision open,,,2323.0,21217.03,13
HCPCS,36833,Av fistula revision,,,2323.0,21217.03,13
HCPCS,36833,Hc Open Revision Av Graft With Thrombectomy,11480.0,4477.2,,,0
HCPCS,36834,Repair A-V aneurysm,,,1937.0,5063.0,2
HCPCS,36835,Artery to vein shunt,,,2323.0,12039.27,13
HCPCS,36836,Hc Perq Creation Av Fistula Arm Single Access,66041.0,25755.99,,,0
HCPCS,36836,Prq av fstl crtj uxtr 1 acs,,,9000.0,69897.36,11
HCPCS,36837,Hc Perq Creation Av Fistula Arm Sep Access Sites,66041.0,25755.99,,,0
HCPCS,36837,Prq av fstl crt uxtr sep acs,,,9000.0,69897.36,11
HCPCS,36838,Dist revas ligation hemo,,,5651.92,21217.03,11
HCPCS,36860,External cannula declotting,,,1598.89,6002.15,13
HCPCS,36861,Cannula declotting,,,1937.0,21217.03,13
HCPCS,36870,"Av Fistula Revision, Open",,,5063.0,7487.0,2
HCPCS,36901,Hc Intro Cath Dialysis Shuntogrm,4701.0,1833.39,,,0
HCPCS,36901,Intro cath dialysis circuit,,,1598.89,6002.15,11
HCPCS,36902,Hc Intro Cath Dialysis Shuntogrm W/Angioplasty,18785.0,7326.15,,,0
HCPCS,36902,Intro cath dialysis circuit,,,5781.0,21701.57,11
HCPCS,36903,Hc Intro Cath Dialysis Shuntogrm W/Stent,23608.0,9207.12,,,0
HCPCS,36903,Intro cath dialysis circuit,,,9000.0,44017.26,11
HCPCS,36904,Hc Thrmbctmy/Lysis Dialysis Plus Shuntogrm,14130.0,5510.7,,,0
HCPCS,36904,Thrmbc/nfs dialysis circuit,,,5781.0,21701.57,11
HCPCS,36905,Hc Thrmbctmy/Lysis Dialysis Plus Shunt W/Angioplsty,35357.0,13789.23,,,0
HCPCS,36905,Thrmbc/nfs dialysis circuit,,,9000.0,44017.26,11
HCPCS,36906,Hc Thrmbctmy/Lysis Dialysis Plus Shunt W/Angioplsty Plus Stent,39895.0,15559.05,,,0
HCPCS,36906,Thrmbc/nfs dialysis circuit,,,9000.0,69897.36,11
HCPCS,36907,Balo angiop ctr dialysis seg,,,2665.0,3391.0,2
HCPCS,36907,Hc Balloon Angio Ctr Dialysis Seg Add On,13697.0,5341.83,,,0
HCPCS,36908,Hc Stent Plmt Ctr Dialysis Seg Add On,14437.0,5630.43,,,0
HCPCS,36908,Stent plmt ctr dialysis seg,,,2665.0,3391.0,2
HCPCS,36909,Dialysis circuit embolj,,,2665.0,3391.0,2
HCPCS,36909,Hc Dialysis Circuit Embolj Add On,23794.0,9279.66,,,0
HCPCS,37140,Revision of circulation,,,5063.0,6859.0,2
HCPCS,37145,Revision of circulation,,,5063.0,6859.0,2
HCPCS,37160,Revision of circulation,,,5063.0,6859.0,2
HCPCS,37180,Revision of circulation,,,5063.0,6859.0,2
HCPCS,37181,Splice spleen/kidney veins,,,5063.0,6859.0,2
HCPCS,37182,Hc Ip Only - Insert Hepatic Shunt/Tips,78577.0,30645.03,,,0
HCPCS,37182,Insert hepatic shunt (tips),,,10437.0,69897.36,11
HCPCS,37183,Hc Revsn Trnsvens Intrahepatic Portosys Shunt Tips,49950.0,19480.5,,,0
HCPCS,37183,Remove hepatic shunt (tips),,,5781.0,21701.57,11
HCPCS,37184,Hc Primary Ptm Thrombectomy Initial,17194.0,6705.66,,,0
HCPCS,37184,Prim art m-thrmbc 1st vsl,,,9032.0,69897.36,12
HCPCS,37185,Hc Primary Ptm Thrombectomy Subsequent Vessels,5543.0,2161.77,,,0
HCPCS,37185,Prim art m-thrmbc sbsq vsl,,,2665.0,4714.0,2
HCPCS,37186,Hc Secondary Ptm Thrombectomy Add On,7152.0,2789.28,,,0
HCPCS,37186,Sec art thrombectomy add-on,,,2665.0,3391.0,2
HCPCS,37187,Hc Ptm Thrombectomy Veins,23229.0,9059.31,,,0
HCPCS,37187,Venous mech thrombectomy,,,9032.0,44017.26,12
HCPCS,37188,Venous m-thrombectomy add-on,,,3207.1,12039.27,12
HCPCS,37191,Hc Insert Endovascular Vena Cava Filter,24685.0,9627.15,,,0
HCPCS,37191,Ins endovas vena cava filtr,,,5651.92,21217.03,11
HCPCS,37192,Hc Redo Endovascular Vena Cava Filter,17366.0,6772.74,,,0
HCPCS,37192,Redo endovas vena cava filtr,,,3207.1,12039.27,11
HCPCS,37193,Hc Remove Endovas Vena Cava Filter,11313.0,4412.07,,,0
HCPCS,37193,Rem endovas vena cava filter,,,3207.1,12039.27,11
HCPCS,37195,Hc Cerebral Thrombolysis Cerebral By Iv Stroke Therapy,1700.0,663.0,,,0
HCPCS,37195,Thrombolytic therapy stroke,,,335.5,5063.0,12
HCPCS,37197,Hc Transcath Iv Retreive Fb Plus Guide Perc,14245.0,5555.55,,,0
HCPCS,37197,Remove intrvas foreign body,,,3207.1,12039.27,12
HCPCS,37200,Hc Transcath Biopsy Procedure,7976.0,3110.64,,,0
HCPCS,37200,Transcatheter biopsy,,,2572.0,21217.03,12
HCPCS,37201,Transcatheter therapy infuse,,,5063.0,5063.0,1
HCPCS,37202,Transcatheter therapy infuse,,,5063.0,5063.0,1
HCPCS,37203,Transcatheter retrieval,,,5063.0,5063.0,1
HCPCS,37204,Transcatheter occlusion,,,5063.0,5063.0,1
HCPCS,37205,Transcatheter stent,,,1937.0,5063.0,2
HCPCS,37206,Transcatheter stent add-on,,,5063.0,5063.0,1
HCPCS,37207,Transcatheter stent,,,5063.0,5063.0,1
HCPCS,37208,Transcatheter stent add-on,,,5063.0,5063.0,1
HCPCS,37209,Exchange arterial catheter,,,5063.0,5063.0,1
HCPCS,37210,Embolization Uterine Fibroid,,,5063.0,5063.0,1
HCPCS,37211,Hc Tc Arterial Inf Thrombolytic Therapy,16776.0,6542.64,,,0
HCPCS,37211,Thrombolytic art therapy,,,3391.0,21217.03,12
HCPCS,37212,Hc Tc Venous Inf Thrombolytic Therapy,20134.0,7852.26,,,0
HCPCS,37212,Thrombolytic venous therapy,,,3207.1,12039.27,12
HCPCS,37213,Hc Tc Art/Vein Therapy Continued Subsequent,20134.0,7852.26,,,0
HCPCS,37213,Thromblytic art/ven therapy,,,3207.1,12039.27,12
HCPCS,37214,Cessj therapy cath removal,,,3207.1,12039.27,12
HCPCS,37214,Hc Tc Vein Inf Thrombo Therapy 1St Including Cath Removal,20134.0,7852.26,,,0
HCPCS,37215,Hc Ip Only - Transcath Placemnt Iv Stent Crv Crtd Art Embolic Protecj,21760.0,8486.4,,,0
HCPCS,37215,Transcath stent cca w/eps,,,5809.0,6859.0,2
HCPCS,37216,Hc Pta Stent Carotid W/O-Distal,19989.0,7795.71,,,0
HCPCS,37216,Transcath stent cca w/o eps,,,5809.0,6859.0,2
HCPCS,37217,Stent placemt retro carotid,,,5809.0,6859.0,2
HCPCS,37218,Hc Perc Antegr Stent Car,15284.0,5960.76,,,0
HCPCS,37218,Stent placemt ante carotid,,,5809.0,6859.0,2
HCPCS,37220,Hc Pta Iliac 1St Vessel,29549.0,11524.11,,,0
HCPCS,37220,Iliac revasc,,,6389.0,15026.0,2
HCPCS,37221,Hc Pta Iliac 1St Vessell With Stent,31780.0,12394.2,,,0
HCPCS,37221,Iliac revasc w/stent,,,6389.0,16710.0,2
HCPCS,37222,Hc Iliac Add Vessell Plus,13771.0,5370.69,,,0
HCPCS,37222,Iliac revasc add-on,,,3391.0,15026.0,2
HCPCS,37223,Hc Pta Iliac Add Vesell With Stent,13987.0,5454.93,,,0
HCPCS,37223,Iliac revasc w/stent add-on,,,3391.0,15026.0,2
HCPCS,37224,Fem/popl revas w/tla,,,6389.0,15026.0,2
HCPCS,37224,Hc Pta Fem Pop Angio Only,20548.0,8013.72,,,0
HCPCS,37225,Fem/popl revas w/ather,,,6389.0,16710.0,2
HCPCS,37225,Hc Pta Fem Pop Atherectomy,32452.0,12656.28,,,0
HCPCS,37226,Fem/popl revasc w/stent,,,6389.0,16710.0,2
HCPCS,37226,Hc Pta Fem Pop Angio With Stent,32452.0,12656.28,,,0
HCPCS,37227,Fem/popl revasc stnt & ather,,,6389.0,56095.0,2
HCPCS,37227,Hc Pta Fem Pop With Stent Plus Atherectomy,45125.0,17598.75,,,0
HCPCS,37228,Hc Pta 1St Tib/Peroneal Vessell,26241.0,10233.99,,,0
HCPCS,37228,Tib/per revasc w/tla,,,6389.0,15026.0,2
HCPCS,37229,Hc Pta 1St Tib/Peroneal Plus Atherectomy/Angioplasty,31596.0,12322.44,,,0
HCPCS,37229,Tib/per revasc w/ather,,,6389.0,16710.0,2
HCPCS,37230,Hc Pta 1St Tib/Peroneal With Stent,28193.0,10995.27,,,0
HCPCS,37230,Tib/per revasc w/stent,,,6389.0,16710.0,2
HCPCS,37231,Hc Pta 1St Tib/Peroneal With Stent Plus Atherectomy,49758.0,19405.62,,,0
HCPCS,37231,Tib/per revasc stent & ather,,,6389.0,56095.0,2
HCPCS,37232,Hc Pta Tib/Peroneal Ea Add Addtl,13771.0,5370.69,,,0
HCPCS,37232,Tib/per revasc add-on,,,3391.0,15026.0,2
HCPCS,37233,Hc Pta Tib/Peroneal With Atherectomy Ea Add,16208.0,6321.12,,,0
HCPCS,37233,Tibper revasc w/ather add-on,,,3391.0,16710.0,2
HCPCS,37234,Hc Pta Tib/Peroneal With Stent Ea Addtl,16212.0,6322.68,,,0
HCPCS,37234,Revsc opn/prq tib/pero stent,,,3391.0,15026.0,2
HCPCS,37235,Hc Pta Tib/Peroneal With Stent Atherctomy Ea Addtl,28517.0,11121.63,,,0
HCPCS,37235,Tib/per revasc stnt & ather,,,3391.0,15026.0,2
HCPCS,37236,Hc Open/Perq Place Stent 1St Arterial Vessel,19931.0,7773.09,,,0
HCPCS,37236,Open/perq place stent 1st,,,5809.0,44017.26,11
HCPCS,37237,Hc Open/Perq Place Stent Ea Additional Vessel,14437.0,5630.43,,,0
HCPCS,37237,Open/perq place stent ea add,,,3391.0,15026.0,2
HCPCS,37238,Hc Open/Perq Place Stent Same Venous Vessel,19931.0,7773.09,,,0
HCPCS,37238,Open/perq place stent same,,,5809.0,44017.26,11
HCPCS,37239,Hc Open/Perq Place Stent Ea Additional Vessel,14437.0,5630.43,,,0
HCPCS,37239,Open/perq place stent ea add,,,3391.0,15026.0,2
HCPCS,37241,Hc Vasc Embolize/Occlude Venous,39146.0,15266.94,,,0
HCPCS,37241,Vasc embolize/occlude venous,,,5809.0,44017.26,11
HCPCS,37242,Hc Vasc Embolize/Occlude Arterial,41107.0,16031.73,,,0
HCPCS,37242,Vasc embolize/occlude artery,,,5809.0,69897.36,11
HCPCS,37243,Hc Vasc Embolize/Occlude Organ,41292.5,16104.075,,,0
HCPCS,37243,Vasc embolize/occlude organ,,,5809.0,44017.26,11
HCPCS,37244,Hc Vasc Embolize/Occlude Bleed,39146.0,15266.94,,,0
HCPCS,37244,Vasc embolize/occlude bleed,,,5809.0,44017.26,11
HCPCS,37246,Hc Trlum Angioplasty Initial Artery W/Imaging,13697.0,5341.83,,,0
HCPCS,37246,Trluml balo angiop 1st art,,,5781.0,21701.57,11
HCPCS,37247,Hc Trlum Angioplasty Addtl Artery W/Imaging,9374.0,3655.86,,,0
HCPCS,37247,Trluml balo angiop addl art,,,2665.0,3391.0,2
HCPCS,37248,Hc Trlum Venoplasty Initial Vein W/Imaging,13718.0,5350.02,,,0
HCPCS,37248,Trluml balo angiop 1st vein,,,5781.0,21701.57,11
HCPCS,37249,Hc Trlum Venoplasty Addtl Vein W/Imaging,9387.0,3660.93,,,0
HCPCS,37249,Trluml balo angiop addl vein,,,2665.0,3391.0,2
HCPCS,37250,Iv us first vessel add-on,,,5063.0,5063.0,1
HCPCS,37251,Iv us each add vessel add-on,,,5063.0,5063.0,1
HCPCS,37252,Hc Intrvasc Us Noncoronary 1St Add On,4586.0,1788.54,,,0
HCPCS,37252,Intrvasc us noncoronary 1st,,,2665.0,3391.0,2
HCPCS,37253,Hc Intrvasc Us Noncoronary Ea Addl,3873.0,1510.47,,,0
HCPCS,37253,Intrvasc us noncoronary addl,,,2665.0,3391.0,2
HCPCS,37254,Revsc evasc ivt angio sf 1st,,,5781.0,21701.57,9
HCPCS,37256,Revsc evasc ivt angio cplx 1,,,5781.0,21701.57,9
HCPCS,37258,Revsc evasc ivt stent sf 1st,,,11725.59,44017.26,9
HCPCS,37260,Revsc evasc ivt st cplx 1st,,,11725.59,44017.26,9
HCPCS,37263,Revsc evasc fpvt angio sf 1,,,5781.0,21701.57,9
HCPCS,37265,Revsc evsc fpvt angio cplx 1,,,5781.0,21701.57,9
HCPCS,37267,Revsc evsc fpvt stent sf 1st,,,11725.59,44017.26,9
HCPCS,37269,Revsc evasc fpvt st cplx 1st,,,11725.59,44017.26,9
HCPCS,37271,Revsc evsc fpvt athrc sf 1st,,,18619.69,69897.36,9
HCPCS,37273,Revsc evsc fpvt athrc cplx 1,,,18619.69,69897.36,9
HCPCS,37275,Rvsc evsc fpvt st athrc sf 1,,,18619.69,69897.36,9
HCPCS,37277,Rvsc evsc fpvt st athr cpx 1,,,18619.69,69897.36,9
HCPCS,37280,Revsc evsc tpvt angio sf 1st,,,11725.59,44017.26,9
HCPCS,37282,Rvsc evsc tpvt angio cplx 1,,,11725.59,44017.26,9
HCPCS,37284,Revsc evasc tpvt st sf 1st,,,18619.69,69897.36,9
HCPCS,37286,Revsc evasc tpvt st cplx 1st,,,18619.69,69897.36,9
HCPCS,37288,Revsc evsc tpvt athrc sf 1st,,,18619.69,69897.36,9
HCPCS,37290,Revsc evsc tpvt athrc cplx 1,,,18619.69,69897.36,9
HCPCS,37292,Rvsc evsc tpvt st athrc sf 1,,,18619.69,69897.36,9
HCPCS,37294,Rvsc evsc tpvt st athr cpx 1,,,18619.69,69897.36,9
HCPCS,37296,Revsc evasc imvt angio sf 1,,,11725.59,44017.26,9
HCPCS,37298,Revsc evsc imvt angio cplx 1,,,11725.59,44017.26,9
HCPCS,37500,Endoscopy ligate perf veins,,,1937.0,15026.0,4
HCPCS,37501,Vascular endoscopy procedure,,,637.16,5063.0,11
HCPCS,37565,Ligation of neck vein,,,3207.1,12039.27,11
HCPCS,37600,Ligation of neck artery,,,3207.1,12039.27,11
HCPCS,37605,Ligation of neck artery,,,3207.1,12039.27,11
HCPCS,37606,Ligation of neck artery,,,3207.1,12039.27,11
HCPCS,37607,Hc Ligation/Banding Av Fistula,5760.0,2246.4,,,0
HCPCS,37607,Ligation of a-v fistula,,,1937.0,12039.27,13
HCPCS,37609,Hc Ligate/Bx Artery Temporal,14631.0,5706.09,,,0
HCPCS,37609,Temporal artery procedure,,,1677.55,6297.43,13
HCPCS,37615,Ligation of neck artery,,,3207.1,12039.27,11
HCPCS,37616,Ligation of chest artery,,,5063.0,6859.0,2
HCPCS,37617,Ligation of abdomen artery,,,5063.0,21217.03,11
HCPCS,37618,Ligation of extremity artery,,,5063.0,6859.0,2
HCPCS,37619,Ligation of inf vena cava,,,5651.92,21217.03,11
HCPCS,37620,Revision of major vein,,,5063.0,5063.0,1
HCPCS,37650,Revision of major vein,,,1694.0,12039.27,13
HCPCS,37660,Revision of major vein,,,5063.0,6859.0,2
HCPCS,37700,Revise leg vein,,,1694.0,12039.27,13
HCPCS,37718,Ligate/strip short leg vein,,,1937.0,12039.27,13
HCPCS,37720,Removal of leg vein,,,1937.0,5063.0,2
HCPCS,37722,Ligate/strip long leg vein,,,1937.0,12039.27,13
HCPCS,37730,Removal of leg veins,,,1937.0,5063.0,2
HCPCS,37735,Removal of leg veins/lesion,,,1937.0,12039.27,13
HCPCS,37760,Ligate leg veins radical,,,1937.0,12039.27,13
HCPCS,37761,Ligate leg veins open,,,3207.1,12039.27,12
HCPCS,37765,Hc Stab Phlebt Varicose Veins 1 Xtr 10-20 Stab Incs,13409.0,5229.51,,,0
HCPCS,37765,Stab phleb veins xtr 10-20,,,3207.1,12039.27,12
HCPCS,37766,Hc Stab Phlebt Varicose Veins 1 Xtr More Than 20 Incs,10314.0,4022.46,,,0
HCPCS,37766,Phleb veins - extrem 20+,,,3207.1,12039.27,12
HCPCS,37780,Revision of leg vein,,,1937.0,12039.27,13
HCPCS,37785,Ligate/divide/excise vein,,,1937.0,12039.27,13
HCPCS,37788,Revascularization penis,,,5063.0,6859.0,2
HCPCS,37790,Penile venous occlusion,,,1937.0,13440.53,13
HCPCS,37799,Hc Assistance With Respiratory Filtration Continous,2186.0,852.54,,,0
HCPCS,37799,Vascular surgery procedure,,,637.16,4714.0,11
HCPCS,38100,Removal of spleen total,,,5063.0,6859.0,2
HCPCS,38101,Removal of spleen partial,,,5063.0,6859.0,2
HCPCS,38102,Removal of spleen total,,,5063.0,6859.0,2
HCPCS,38115,Repair of ruptured spleen,,,5063.0,6859.0,2
HCPCS,38120,Laparoscopy splenectomy,,,5699.0,40530.88,12
HCPCS,38129,Laparoscope proc spleen,,,5809.0,23051.21,11
HCPCS,38200,Injection for spleen x-ray,,,2665.0,3391.0,2
HCPCS,38204,Bl donor search management,,,5063.0,5063.0,1
HCPCS,38204,Hc Mgmt Pbsc Stem Cell Donor And Acquisj,11082.0,4321.98,,,0
HCPCS,38205,Harvest allogeneic stem cell,,,2665.0,5063.0,2
HCPCS,38206,Harvest auto stem cells,,,1581.9,5938.37,11
HCPCS,38206,Hc Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol,10800.0,4212.0,,,0
HCPCS,38207,Cryopreserve stem cells,,,448.11,5063.0,12
HCPCS,38207,Hc Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor,2589.0,1009.71,,,0
HCPCS,38208,Hc Trnspl Frozen Stem Cells Thaw W/O Wash Per Donor,1672.0,652.08,,,0
HCPCS,38208,Thaw preserved stem cells,,,448.11,5063.0,12
HCPCS,38209,Hc Trnsp Prep Hmatop Prog Thaw Prev Hrv Wsh Per Dnr,2061.0,803.79,,,0
HCPCS,38209,Wash harvest stem cells,,,448.11,5063.0,12
HCPCS,38210,T-cell depletion of harvest,,,448.11,5063.0,12
HCPCS,38211,Tumor cell deplete of harvst,,,448.11,5063.0,12
HCPCS,38212,Hc Trnspl Prepj Hematop Progen Red Bld Cell Rmvl,2223.0,866.97,,,0
HCPCS,38212,Rbc depletion of harvest,,,448.11,5063.0,12
HCPCS,38213,Hc Trnspl Prepj Hematop Progen Pltlt Deplj,2188.0,853.32,,,0
HCPCS,38213,Platelet deplete of harvest,,,448.11,5063.0,12
HCPCS,38214,Hc Trnspl Prepj Hematop Progen Plsm Vol Deplj,2178.0,849.42,,,0
HCPCS,38214,Volume deplete of harvest,,,448.11,5063.0,12
HCPCS,38215,Harvest stem cell concentrte,,,448.11,5063.0,12
HCPCS,38215,Hc Trnspl Prepj Hematop Progen Concentration Plsm,3302.0,1287.78,,,0
HCPCS,38220,Bone marrow aspiration,,,1677.55,6297.43,12
HCPCS,38220,Hc Bone Marrow Aspiration,2885.175,1125.22,,,0
HCPCS,38221,Bone marrow biopsy,,,1677.55,6297.43,12
HCPCS,38221,Hc Bone Marrow Biopsy,3435.675,1339.915,,,0
HCPCS,38221,Hc Bone Marrow Biopsy Needle Or Trocar,6608.0,2577.12,,,0
HCPCS,38222,Dx bone marrow bx & aspir,,,2572.0,11075.49,12
HCPCS,38222,Hc Bone Marrow Diagnostic Bx And Asp,8752.0,3413.28,,,0
HCPCS,38225,Car-t hrv bld-drv t lymphcyt,,,6859.0,6859.0,1
HCPCS,38226,Car-t prep t lymphcyt f/trns,,,6859.0,6859.0,1
HCPCS,38227,Car-t receipt&prepj admn,,,6859.0,6859.0,1
HCPCS,38228,Car-t admn autologous,,,335.5,2665.0,10
HCPCS,38230,Bone marrow harvest allogen,,,1581.9,6760.0,11
HCPCS,38231,Stem cell collection,,,5063.0,5063.0,1
HCPCS,38232,Bone marrow harvest autolog,,,4423.94,16607.25,12
HCPCS,38240,Hc Trnspl Allogeneic Hematopoietic Cells Per Donor,131976.0,51470.64,,,0
HCPCS,38240,Transplt allo hct/donor,,,6760.0,239837.94,11
HCPCS,38241,Hc Trnsplj Autologous Hematopoietic Cells Per Donor,15860.0,6185.4,,,0
HCPCS,38241,Transplt autol hct/donor,,,1581.9,6760.0,11
HCPCS,38242,Hc Allogeneic Lymphocyte Infusions,3148.0,1227.72,,,0
HCPCS,38242,Transplt allo lymphocytes,,,1581.9,5938.37,11
HCPCS,38243,Transplj hematopoietic boost,,,1581.9,5938.37,11
HCPCS,38300,Drainage lymph node lesion,,,1308.0,11075.49,13
HCPCS,38305,Drainage lymph node lesion,,,1694.0,11075.49,13
HCPCS,38308,Incision of lymph channels,,,1694.0,14929.3,13
HCPCS,38380,Thoracic duct procedure,,,5063.0,6859.0,2
HCPCS,38381,Thoracic duct procedure,,,5063.0,6859.0,2
HCPCS,38382,Thoracic duct procedure,,,5063.0,6859.0,2
HCPCS,38500,Biopsy/removal lymph nodes,,,1694.0,14929.3,13
HCPCS,38500,Hc Bx/Exc Lymph Node Open Superficial,418.0,163.02,,,0
HCPCS,38505,Hc Biopsy Lymph Node,5636.0,2198.04,,,0
HCPCS,38505,Needle biopsy lymph nodes,,,1308.0,6297.43,13
HCPCS,38510,Biopsy/removal lymph nodes,,,1694.0,14929.3,13
HCPCS,38520,Biopsy/removal lymph nodes,,,1694.0,14929.3,13
HCPCS,38525,Biopsy/removal lymph nodes,,,1694.0,14929.3,13
HCPCS,38530,Biopsy/removal lymph nodes,,,1694.0,14929.3,13
HCPCS,38531,Open bx/exc inguinofem nodes,,,3976.96,14929.3,11
HCPCS,38542,Explore deep node(s) neck,,,1694.0,23051.21,13
HCPCS,38550,Removal neck/armpit lesion,,,1937.0,14929.3,13
HCPCS,38555,Removal neck/armpit lesion,,,2323.0,25318.53,13
HCPCS,38562,Removal pelvic lymph nodes,,,5063.0,31164.61,11
HCPCS,38564,Removal abdomen lymph nodes,,,5063.0,6859.0,2
HCPCS,38570,Laparoscopy lymph node biop,,,6140.52,23051.21,13
HCPCS,38571,Laparoscopy lymphadenectomy,,,7487.0,40530.88,13
HCPCS,38572,Laparoscopy lymphadenectomy,,,7487.0,40530.88,13
HCPCS,38573,Laps pelvic lymphadec,,,8245.0,40530.88,11
HCPCS,38589,Laparoscope proc lymphatic,,,5809.0,23051.21,11
HCPCS,38700,Removal of lymph nodes neck,,,1694.0,25318.53,13
HCPCS,38720,Removal of lymph nodes neck,,,6179.0,25318.53,11
HCPCS,38724,Removal of lymph nodes neck,,,2323.0,6389.0,3
HCPCS,38740,Remove armpit lymph nodes,,,1694.0,23051.21,13
HCPCS,38745,Remove armpit lymph nodes,,,2323.0,23051.21,13
HCPCS,38746,Remove thoracic lymph nodes,,,5063.0,6859.0,2
HCPCS,38747,Remove abdominal lymph nodes,,,5063.0,6859.0,2
HCPCS,38760,Remove groin lymph nodes,,,1694.0,25318.53,13
HCPCS,38765,Remove groin lymph nodes,,,5063.0,6859.0,2
HCPCS,38770,Remove pelvis lymph nodes,,,5063.0,6859.0,2
HCPCS,38780,Remove abdomen lymph nodes,,,5063.0,6859.0,2
HCPCS,38790,Hc Inj Lymphangio,4407.0,1718.73,,,0
HCPCS,38790,Inject for lymphatic x-ray,,,1308.0,3391.0,3
HCPCS,38792,Hc Inj Sentinel Node Id Only,2987.0,1164.93,,,0
HCPCS,38792,Ra tracer id of sentinl node,,,406.05,3391.0,12
HCPCS,38794,Access thoracic lymph duct,,,2665.0,5063.0,2
HCPCS,38794,Hc Cannulation Thoracic Duct,2255.0,879.45,,,0
HCPCS,38900,Io map of sent lymph node,,,2665.0,3391.0,2
HCPCS,38999,Blood/lymph system procedure,,,448.11,3391.0,11
HCPCS,38999,Hc Blood/Lymph System Procedure Unlisted,4997.0,1948.83,,,0
HCPCS,39000,Exploration of chest,,,5063.0,6859.0,2
HCPCS,39010,Exploration of chest,,,5063.0,6859.0,2
HCPCS,39200,Resect mediastinal cyst,,,5063.0,6859.0,2
HCPCS,39220,Resect mediastinal tumor,,,5063.0,6859.0,2
HCPCS,39400,Visualization of chest,,,1694.0,5063.0,2
HCPCS,39401,Mediastinoscpy w/medstnl bx,,,5809.0,23051.21,11
HCPCS,39402,Mediastinoscpy w/lmph nod bx,,,5809.0,23051.21,11
HCPCS,39499,Chest procedure,,,5063.0,6859.0,2
HCPCS,39501,Repair diaphragm laceration,,,5063.0,6859.0,2
HCPCS,39502,Repair paraesophageal hernia,,,5063.0,5063.0,1
HCPCS,39503,Repair of diaphragm hernia,,,5063.0,6859.0,2
HCPCS,39520,Repair of diaphragm hernia,,,5063.0,5063.0,1
HCPCS,39530,Repair of diaphragm hernia,,,5063.0,5063.0,1
HCPCS,39531,Repair of diaphragm hernia,,,5063.0,5063.0,1
HCPCS,39540,Repair of diaphragm hernia,,,5063.0,6859.0,2
HCPCS,39541,Repair of diaphragm hernia,,,5063.0,6859.0,2
HCPCS,39545,Revision of diaphragm,,,5063.0,6859.0,2
HCPCS,39560,Resect diaphragm simple,,,5063.0,6859.0,2
HCPCS,39561,Resect diaphragm complex,,,5063.0,6859.0,2
HCPCS,39599,Diaphragm surgery procedure,,,5063.0,6859.0,2
HCPCS,40490,Biopsy of lip,,,240.57,5063.0,11
HCPCS,40500,Partial excision of lip,,,1694.0,12641.63,13
HCPCS,40510,Partial excision of lip,,,1694.0,12641.63,13
HCPCS,40520,Partial excision of lip,,,1694.0,12641.63,13
HCPCS,40525,Reconstruct lip with flap,,,1694.0,12641.63,13
HCPCS,40527,Reconstruct lip with flap,,,1694.0,22571.93,13
HCPCS,40530,Partial removal of lip,,,1694.0,12641.63,13
HCPCS,40650,Hc Repair Lip Full Thick,10816.0,4218.24,,,0
HCPCS,40650,Repair lip,,,547.8,5809.0,13
HCPCS,40652,Hc Repair Lip Ft Up To Half Vertical Hght,9209.0,3591.51,,,0
HCPCS,40652,Repair lip,,,547.8,5809.0,13
HCPCS,40654,Hc Repair Lip Full Thkns Over 1/2 Vert Height/Complex,8127.0,3169.53,,,0
HCPCS,40654,Repair lip,,,1575.96,5916.09,13
HCPCS,40700,Repair cleft lip/nasal,,,3721.0,22571.93,13
HCPCS,40701,Repair cleft lip/nasal,,,3721.0,22571.93,13
HCPCS,40702,Repair cleft lip/nasal,,,5809.0,22571.93,11
HCPCS,40720,Repair cleft lip/nasal,,,3367.56,12641.63,13
HCPCS,40761,Repair cleft lip/nasal,,,1937.0,22571.93,13
HCPCS,40799,Lip surgery procedure,,,240.57,5063.0,11
HCPCS,40800,Drainage of mouth lesion,,,719.26,5063.0,11
HCPCS,40800,Hc Drain Abscess Mouth Simple,2038.0,794.82,,,0
HCPCS,40801,Drainage of mouth lesion,,,547.8,4714.0,13
HCPCS,40801,Hc Drain Abscess Mouth Vestibule,9673.0,3772.47,,,0
HCPCS,40804,Hc Fb Remove Mouth Simp,1448.0,564.72,,,0
HCPCS,40804,Removal foreign body mouth,,,921.24,5272.0,11
HCPCS,40805,Hc Fb Remove Mouth Comp,10816.0,4218.24,,,0
HCPCS,40805,Removal foreign body mouth,,,547.8,4714.0,13
HCPCS,40806,Incision of lip fold,,,547.8,3391.0,12
HCPCS,40808,Biopsy of mouth lesion,,,547.8,3391.0,11
HCPCS,40808,Hc Biopsy Vestibule Mouth,1653.0,644.67,,,0
HCPCS,40810,Excision of mouth lesion,,,3367.56,12641.63,11
HCPCS,40812,Excise/repair mouth lesion,,,1308.0,5916.09,12
HCPCS,40814,Excise/repair mouth lesion,,,1694.0,12641.63,13
HCPCS,40816,Excision of mouth lesion,,,1694.0,12641.63,13
HCPCS,40818,Excise oral mucosa for graft,,,547.8,3391.0,13
HCPCS,40819,Excise lip or cheek fold,,,1308.0,5916.09,13
HCPCS,40820,Treatment of mouth lesion,,,1308.0,12641.63,13
HCPCS,40830,Hc Closure Laceration Vestibule Mouth 2.5 Cm Or Less,786.0,306.54,,,0
HCPCS,40830,Repair mouth laceration,,,240.57,5063.0,11
HCPCS,40831,Hc Closure Laceration Vestibule Mouth Over 2.5 Cm/Cpl,3035.0,1183.65,,,0
HCPCS,40831,Repair mouth laceration,,,547.8,3391.0,13
HCPCS,40840,Reconstruction of mouth,,,1694.0,22571.93,13
HCPCS,40842,Reconstruction of mouth,,,1937.0,22571.93,13
HCPCS,40843,Reconstruction of mouth,,,1937.0,22571.93,13
HCPCS,40844,Reconstruction of mouth,,,2664.0,22571.93,13
HCPCS,40845,Reconstruction of mouth,,,2664.0,22571.93,13
HCPCS,40899,Mouth surgery procedure,,,240.57,6760.0,11
HCPCS,41000,Drainage of mouth lesion,,,547.8,3391.0,13
HCPCS,41005,Drainage of mouth lesion,,,240.57,3391.0,13
HCPCS,41005,Hc Intraoral I And D Tongue/Floor Sublngl Supfc,730.0,284.7,,,0
HCPCS,41006,Drainage of mouth lesion,,,1308.0,5916.09,13
HCPCS,41007,Drainage of mouth lesion,,,1308.0,5916.09,13
HCPCS,41008,Drainage of mouth lesion,,,1308.0,12641.63,13
HCPCS,41008,Hc Intraoral I And D Tongue/Floor Submndblr Space,19410.0,7569.9,,,0
HCPCS,41009,Drainage of mouth lesion,,,547.8,3391.0,13
HCPCS,41009,Hc Intraoral I And D Tongue/Floor Masticator Space,3632.0,1416.48,,,0
HCPCS,41010,Hc Incision Lingual Frenum Frenotomy,10382.0,4048.98,,,0
HCPCS,41010,Incision of tongue fold,,,1308.0,5916.09,13
HCPCS,41015,Drainage of mouth lesion,,,547.8,3391.0,13
HCPCS,41016,Drainage of mouth lesion,,,1308.0,22571.93,13
HCPCS,41017,Drainage of mouth lesion,,,1308.0,12641.63,13
HCPCS,41018,Drainage of mouth lesion,,,1308.0,5916.09,13
HCPCS,41019,Hc Place Needles Into Head/Neck For Radioelement Appl,26701.0,10413.39,,,0
HCPCS,41019,Place needles h&n for rt,,,3391.0,22571.93,12
HCPCS,41100,Biopsy of tongue,,,547.8,3391.0,13
HCPCS,41100,Hc Biopsy Tongue Anterior Two-Thirds,1653.0,644.67,,,0
HCPCS,41105,Biopsy of tongue,,,1694.0,12641.63,13
HCPCS,41108,Biopsy of floor of mouth,,,1677.55,6297.43,12
HCPCS,41108,Hc Biopsy Floor Mouth,5231.0,2040.09,,,0
HCPCS,41110,Excision of tongue lesion,,,1308.0,12641.63,13
HCPCS,41112,Excision of tongue lesion,,,1694.0,12641.63,13
HCPCS,41113,Excision of tongue lesion,,,1694.0,12641.63,13
HCPCS,41114,Excision of tongue lesion,,,1694.0,12641.63,13
HCPCS,41115,Excision of tongue fold,,,1308.0,5916.09,13
HCPCS,41115,Hc Excision Lingual Frenum Frenectomy,4973.0,1939.47,,,0
HCPCS,41116,Excision of mouth lesion,,,1308.0,12641.63,13
HCPCS,41120,Partial removal of tongue,,,2664.0,22571.93,13
HCPCS,41130,Partial removal of tongue,,,5063.0,6859.0,2
HCPCS,41135,Tongue and neck surgery,,,5063.0,6179.0,2
HCPCS,41140,Removal of tongue,,,5063.0,6859.0,2
HCPCS,41145,Tongue removal neck surgery,,,5063.0,6859.0,2
HCPCS,41150,Tongue mouth jaw surgery,,,5063.0,6859.0,2
HCPCS,41153,Tongue mouth neck surgery,,,5063.0,6859.0,2
HCPCS,41155,Tongue jaw & neck surgery,,,5063.0,6859.0,2
HCPCS,41250,Hc Repair Lac Mouth And /Ant Two-Thirds Tongue 2.5Cm Or Less,1605.0,625.95,,,0
HCPCS,41250,Repair tongue laceration,,,453.74,4714.0,13
HCPCS,41251,Hc Repair Lac Past One-Third Tongue 2.5Cm Or Less,4261.0,1661.79,,,0
HCPCS,41251,Repair tongue laceration,,,240.57,4714.0,13
HCPCS,41252,Hc Repair Lac Tongue Floor Mouth 2.6Cm Or More Complex,5050.0,1969.5,,,0
HCPCS,41252,Repair tongue laceration,,,240.57,4714.0,13
HCPCS,41500,Fixation of tongue,,,1308.0,5063.0,2
HCPCS,41510,Tongue to lip surgery,,,1308.0,12641.63,13
HCPCS,41512,Tongue suspension,,,4220.0,22571.93,12
HCPCS,41520,Reconstruction tongue fold,,,1694.0,12641.63,13
HCPCS,41530,Tongue base vol reduction,,,3367.56,12641.63,12
HCPCS,41599,Hc Tongue/Mouth Surgery Unlisted,3984.0,1553.76,,,0
HCPCS,41599,Tongue and mouth surgery,,,240.57,5063.0,11
HCPCS,41800,Drainage of gum lesion,,,135.14,3391.0,13
HCPCS,41800,Hc I And D Dental,2038.0,794.82,,,0
HCPCS,41805,Removal foreign body gum,,,1308.0,5916.09,13
HCPCS,41806,Removal foreign body jawbone,,,1308.0,5916.09,13
HCPCS,41820,Excision gum each quadrant,,,2572.0,12641.63,12
HCPCS,41821,Excision of gum flap,,,1575.96,5916.09,12
HCPCS,41822,Excision of gum lesion,,,1575.96,5916.09,11
HCPCS,41823,Excision of gum lesion,,,4714.0,22571.93,11
HCPCS,41825,Excision of gum lesion,,,1308.0,12641.63,12
HCPCS,41826,Excision of gum lesion,,,1694.0,12641.63,12
HCPCS,41827,Excision of gum lesion,,,1694.0,22571.93,13
HCPCS,41828,Excision of gum lesion,,,1575.96,5916.09,11
HCPCS,41830,Removal of gum tissue,,,3367.56,12641.63,11
HCPCS,41850,Treatment of gum lesion,,,1575.96,5916.09,11
HCPCS,41870,Gum graft,,,1575.96,5916.09,11
HCPCS,41872,Repair gum,,,3367.56,12641.63,11
HCPCS,41874,Repair tooth socket,,,3367.56,12641.63,11
HCPCS,41899,Dental surgery procedure,,,240.57,3721.0,12
HCPCS,41899,Hc Dentoalveolar Structures Procedure Inc Tooth Ext,1457.0,568.23,,,0
HCPCS,42000,Drainage mouth roof lesion,,,240.57,4714.0,13
HCPCS,42000,Hc I And D Palate/Uvula,4261.0,1661.79,,,0
HCPCS,42100,Biopsy roof of mouth,,,1575.96,5916.09,12
HCPCS,42104,Excision lesion mouth roof,,,1694.0,12641.63,13
HCPCS,42106,Excision lesion mouth roof,,,1694.0,12641.63,13
HCPCS,42107,Excision lesion mouth roof,,,1694.0,22571.93,13
HCPCS,42120,Remove palate/lesion,,,2323.0,22571.93,13
HCPCS,42140,Excision of uvula,,,1694.0,12641.63,13
HCPCS,42145,Repair palate pharynx/uvula,,,2664.0,22571.93,13
HCPCS,42160,Treatment mouth roof lesion,,,1308.0,12641.63,13
HCPCS,42180,Repair palate,,,547.8,3391.0,13
HCPCS,42182,Repair palate,,,1694.0,22571.93,13
HCPCS,42200,Reconstruct cleft palate,,,2664.0,22571.93,13
HCPCS,42205,Reconstruct cleft palate,,,2664.0,12641.63,13
HCPCS,42210,Reconstruct cleft palate,,,2664.0,22571.93,13
HCPCS,42215,Reconstruct cleft palate,,,3721.0,22571.93,13
HCPCS,42220,Reconstruct cleft palate,,,2664.0,22571.93,13
HCPCS,42225,Reconstruct cleft palate,,,2664.0,22571.93,13
HCPCS,42226,Lengthening of palate,,,2664.0,22571.93,13
HCPCS,42227,Lengthening of palate,,,5063.0,22571.93,11
HCPCS,42235,Repair palate,,,2664.0,22571.93,13
HCPCS,42260,Repair nose to lip fistula,,,2323.0,22571.93,13
HCPCS,42280,Preparation palate mold,,,547.8,3391.0,11
HCPCS,42281,Insertion palate prosthesis,,,1937.0,22571.93,13
HCPCS,42299,Palate/uvula surgery,,,240.57,5063.0,11
HCPCS,42300,Drainage of salivary gland,,,1308.0,5916.09,13
HCPCS,42305,Drainage of salivary gland,,,1694.0,12641.63,13
HCPCS,42310,Drainage of salivary gland,,,547.8,3391.0,13
HCPCS,42320,Drainage of salivary gland,,,547.8,3391.0,13
HCPCS,42325,Create salivary cyst drain,,,1694.0,5063.0,2
HCPCS,42326,Create salivary cyst drain,,,5063.0,5063.0,1
HCPCS,42330,Hc Sialot Submndblr Sublngl/Prtd Uncomp Intraoral,5025.0,1959.75,,,0
HCPCS,42330,Removal of salivary stone,,,3367.56,12641.63,11
HCPCS,42335,Removal of salivary stone,,,1937.0,12641.63,13
HCPCS,42340,Removal of salivary stone,,,1694.0,12641.63,13
HCPCS,42400,Biopsy of salivary gland,,,719.26,4066.0,12
HCPCS,42400,Hc Biopsy Salivary Gland,7221.0,2816.19,,,0
HCPCS,42405,Biopsy of salivary gland,,,1575.96,5916.09,13
HCPCS,42405,Hc Biopsy Salivary Gland Incisional,8332.0,3249.48,,,0
HCPCS,42408,Excision of salivary cyst,,,1937.0,12641.63,13
HCPCS,42409,Drainage of salivary cyst,,,1937.0,12641.63,13
HCPCS,42410,Excise parotid gland/lesion,,,1937.0,22571.93,13
HCPCS,42415,Excise parotid gland/lesion,,,1937.0,22571.93,13
HCPCS,42420,Excise parotid gland/lesion,,,3721.0,22571.93,13
HCPCS,42425,Excise parotid gland/lesion,,,3721.0,22571.93,13
HCPCS,42426,Excise parotid gland/lesion,,,5063.0,6179.0,2
HCPCS,42440,Excise submaxillary gland,,,1937.0,22571.93,13
HCPCS,42450,Excise sublingual gland,,,1694.0,22571.93,13
HCPCS,42500,Repair salivary duct,,,1937.0,22571.93,13
HCPCS,42505,Repair salivary duct,,,2323.0,22571.93,13
HCPCS,42507,Parotid duct diversion,,,1937.0,22571.93,13
HCPCS,42508,Parotid duct diversion,,,2323.0,5063.0,2
HCPCS,42509,Parotid duct diversion,,,2323.0,22571.93,13
HCPCS,42510,Parotid duct diversion,,,2323.0,12641.63,13
HCPCS,42550,Hc Sialogram Inj,1078.0,420.42,,,0
HCPCS,42550,Injection for salivary x-ray,,,2665.0,3391.0,2
HCPCS,42600,Closure of salivary fistula,,,1308.0,12641.63,13
HCPCS,42650,Dilation of salivary duct,,,1575.96,5916.09,12
HCPCS,42660,Dilation of salivary duct,,,547.8,3391.0,11
HCPCS,42665,Ligation of salivary duct,,,3367.56,12641.63,13
HCPCS,42699,Salivary surgery procedure,,,240.57,3391.0,11
HCPCS,42700,Drainage of tonsil abscess,,,240.57,3391.0,13
HCPCS,42700,Hc I And D Peritonsilar,4763.0,1857.57,,,0
HCPCS,42720,Drainage of throat abscess,,,1308.0,12641.63,13
HCPCS,42725,Drainage of throat abscess,,,1694.0,22571.93,13
HCPCS,42800,Biopsy of throat,,,1308.0,5916.09,12
HCPCS,42800,Hc Biopsy Oropharynx,3362.0,1311.18,,,0
HCPCS,42802,Biopsy of throat,,,1308.0,5063.0,2
HCPCS,42804,Biopsy of upper nose/throat,,,1308.0,12641.63,13
HCPCS,42806,Biopsy of upper nose/throat,,,1694.0,12641.63,13
HCPCS,42808,Excise pharynx lesion,,,1694.0,12641.63,13
HCPCS,42809,Hc Fb Remove Pharynx,844.0,329.16,,,0
HCPCS,42809,Remove pharynx foreign body,,,453.74,3391.0,12
HCPCS,42810,Excision of neck cyst,,,1937.0,12641.63,13
HCPCS,42815,Excision of neck cyst,,,2664.0,22571.93,13
HCPCS,42820,Remove tonsils and adenoids,,,1937.0,22571.93,13
HCPCS,42821,Remove tonsils and adenoids,,,2664.0,12641.63,13
HCPCS,42825,Removal of tonsils,,,2323.0,22571.93,13
HCPCS,42826,Removal of tonsils,,,2323.0,12641.63,13
HCPCS,42830,Removal of adenoids,,,2323.0,12641.63,13
HCPCS,42831,Removal of adenoids,,,2323.0,12641.63,13
HCPCS,42835,Removal of adenoids,,,2323.0,12641.63,13
HCPCS,42836,Removal of adenoids,,,2323.0,12641.63,13
HCPCS,42842,Extensive surgery of throat,,,5063.0,22571.93,11
HCPCS,42844,Extensive surgery of throat,,,5063.0,22571.93,11
HCPCS,42845,Extensive surgery of throat,,,5063.0,6859.0,2
HCPCS,42860,Excision of tonsil tags,,,1937.0,12641.63,13
HCPCS,42870,Excision of lingual tonsil,,,1937.0,22571.93,13
HCPCS,42880,Description Not Available,,,5063.0,5063.0,1
HCPCS,42890,Partial removal of pharynx,,,3721.0,22571.93,13
HCPCS,42892,Revision of pharyngeal walls,,,3721.0,22571.93,13
HCPCS,42894,Revision of pharyngeal walls,,,5063.0,6859.0,2
HCPCS,42900,Repair throat wound,,,1308.0,5916.09,13
HCPCS,42950,Reconstruction of throat,,,1694.0,22571.93,13
HCPCS,42953,Repair throat esophagus,,,5063.0,6859.0,2
HCPCS,42955,Surgical opening of throat,,,1575.96,5916.09,13
HCPCS,42960,Control throat bleeding,,,547.8,3391.0,13
HCPCS,42960,Hc Control Oropharyngeal Hemorrhage Simple,1487.0,579.93,,,0
HCPCS,42961,Control throat bleeding,,,5063.0,6179.0,2
HCPCS,42962,Control throat bleeding,,,1694.0,12641.63,13
HCPCS,42970,Control nose/throat bleeding,,,240.57,3391.0,11
HCPCS,42970,Hc Simple Cntrl Nose Bleed,4796.0,1870.44,,,0
HCPCS,42971,Control nose/throat bleeding,,,5063.0,6859.0,2
HCPCS,42972,Control nose/throat bleeding,,,1937.0,12641.63,13
HCPCS,42975,Dise eval slp do brth flx dx,,,1807.87,6786.64,11
HCPCS,42999,Throat surgery procedure,,,240.57,3391.0,11
HCPCS,43020,Incision of esophagus,,,1575.96,5916.09,12
HCPCS,43030,Throat muscle surgery,,,5063.0,22571.93,11
HCPCS,43045,Incision of esophagus,,,5063.0,6859.0,2
HCPCS,43100,Excision of esophagus lesion,,,5063.0,6859.0,2
HCPCS,43101,Excision of esophagus lesion,,,5063.0,6859.0,2
HCPCS,43107,Removal of esophagus,,,5063.0,6859.0,2
HCPCS,43108,Removal of esophagus,,,5063.0,6859.0,2
HCPCS,43112,Removal of esophagus,,,5063.0,6859.0,2
HCPCS,43113,Removal of esophagus,,,5063.0,6859.0,2
HCPCS,43116,Partial removal of esophagus,,,5063.0,6859.0,2
HCPCS,43117,Partial removal of esophagus,,,5063.0,6859.0,2
HCPCS,43118,Partial removal of esophagus,,,5063.0,6859.0,2
HCPCS,43121,Partial removal of esophagus,,,5063.0,6859.0,2
HCPCS,43122,Partial removal of esophagus,,,5063.0,6859.0,2
HCPCS,43123,Partial removal of esophagus,,,5063.0,6859.0,2
HCPCS,43124,Removal of esophagus,,,5063.0,6859.0,2
HCPCS,43130,Removal of esophagus pouch,,,6012.85,22571.93,11
HCPCS,43135,Removal of esophagus pouch,,,5063.0,6859.0,2
HCPCS,43180,Esophagoscopy rigid trnso,,,4714.0,22571.93,12
HCPCS,43191,Esophagoscopy rigid trnso dx,,,1949.06,7316.67,12
HCPCS,43192,Esophagoscp rig trnso inject,,,1949.06,7316.67,12
HCPCS,43193,Esophagoscp rig trnso biopsy,,,1949.06,7316.67,12
HCPCS,43194,Esophagoscp rig trnso rem fb,,,1949.06,7316.67,12
HCPCS,43195,Esophagoscopy rigid balloon,,,3916.06,14700.67,12
HCPCS,43196,Esophagoscp guide wire dilat,,,1949.06,7316.67,12
HCPCS,43197,Esophagoscopy flex dx brush,,,921.24,5272.0,12
HCPCS,43197,Hc Esophagoscopy Flexible Transnasal Diagnostic,4242.0,1654.38,,,0
HCPCS,43198,Esophagosc flex trnsn biopsy,,,921.24,5272.0,12
HCPCS,43198,Hc Esophagoscopy Flexible Transnasal With Biopsy,4242.0,1654.38,,,0
HCPCS,43200,Esophagoscopy flexible brush,,,921.24,5272.0,13
HCPCS,43200,Hc Esophagoscopy Flexible Transoral Diagnostic,230.0,89.7,,,0
HCPCS,43201,Esoph scope w/submucous inj,,,1308.0,7316.67,13
HCPCS,43202,Esophagoscopy flex biopsy,,,1308.0,7316.67,13
HCPCS,43204,Esoph scope w/sclerosis inj,,,1308.0,7316.67,13
HCPCS,43205,Esophagus endoscopy/ligation,,,1308.0,7316.67,13
HCPCS,43206,Esoph optical endomicroscopy,,,1949.06,7316.67,12
HCPCS,43210,Egd esophagogastrc fndoplsty,,,5809.0,40530.88,12
HCPCS,43211,Esophagoscop mucosal resect,,,1949.06,7316.67,12
HCPCS,43212,Esophagoscop stent placement,,,4714.0,23147.94,12
HCPCS,43213,Esophagoscopy retro balloon,,,1949.06,7316.67,12
HCPCS,43214,Esophagosc dilate balloon 30,,,1949.06,7316.67,12
HCPCS,43215,Esophagoscopy flex remove fb,,,1308.0,7316.67,13
HCPCS,43216,Esophagoscopy lesion removal,,,1308.0,7316.67,13
HCPCS,43217,Esophagoscopy snare les remv,,,1308.0,7316.67,13
HCPCS,43219,Esophagus endoscopy,,,1308.0,5063.0,2
HCPCS,43220,Esophagoscopy balloon <30mm,,,1308.0,7316.67,13
HCPCS,43220,Hc Esophagoscopy Flex Balloon Dilat Less Than 30 Mm Diam,3712.0,1447.68,,,0
HCPCS,43226,Esoph endoscopy dilation,,,1308.0,7316.67,13
HCPCS,43226,Hc Esophagoscopy Flexible Guide Wire Dilation,5697.0,2221.83,,,0
HCPCS,43227,Esophagoscopy control bleed,,,1694.0,7316.67,13
HCPCS,43228,"Esoph endoscopy, ablation",,,1694.0,5063.0,2
HCPCS,43229,Esophagoscopy lesion ablate,,,3916.06,14700.67,12
HCPCS,43231,Esophagoscop ultrasound exam,,,1694.0,7316.67,13
HCPCS,43232,Esophagoscopy w/us needle bx,,,1694.0,7316.67,13
HCPCS,43233,Egd balloon dil esoph30 mm/>,,,1949.06,7316.67,12
HCPCS,43234,"Upper GI endoscopy, exam",,,1308.0,5063.0,2
HCPCS,43235,Egd diagnostic brush wash,,,921.24,5272.0,13
HCPCS,43236,Uppr gi scope w/submuc inj,,,921.24,5272.0,13
HCPCS,43237,Endoscopic us exam esoph,,,1694.0,7316.67,13
HCPCS,43238,Egd us fine needle bx/aspir,,,1694.0,7316.67,13
HCPCS,43239,Egd biopsy single/multiple,,,921.24,5272.0,13
HCPCS,43239,Hc Egd Transoral Biopsy Single/Multiple,3604.0,1405.56,,,0
HCPCS,43240,Egd w/transmural drain cyst,,,1694.0,23147.94,13
HCPCS,43241,Egd tube/cath insertion,,,1694.0,7316.67,13
HCPCS,43241,Hc Gastro/Feeding Tube Insertion,5398.0,2105.22,,,0
HCPCS,43242,Egd us fine needle bx/aspir,,,1694.0,7316.67,13
HCPCS,43243,Egd injection varices,,,1694.0,7316.67,13
HCPCS,43244,Egd varices ligation,,,1694.0,7316.67,13
HCPCS,43245,Egd dilate stricture,,,1694.0,7316.67,13
HCPCS,43246,Egd place gastrostomy tube,,,1694.0,7316.67,13
HCPCS,43246,Hc Egd Percutaneous Placement Gastrostomy Tube,10351.0,4036.89,,,0
HCPCS,43247,Egd remove foreign body,,,921.24,5272.0,13
HCPCS,43248,Egd guide wire insertion,,,921.24,5272.0,13
HCPCS,43249,Esoph egd dilation <30 mm,,,1694.0,7316.67,13
HCPCS,43250,Egd cautery tumor polyp,,,1694.0,7316.67,13
HCPCS,43251,Egd remove lesion snare,,,1694.0,7316.67,13
HCPCS,43252,Egd optical endomicroscopy,,,1949.06,7316.67,12
HCPCS,43253,Egd us transmural injxn/mark,,,1949.06,7316.67,12
HCPCS,43254,Egd endo mucosal resection,,,1949.06,7316.67,12
HCPCS,43255,Egd control bleeding any,,,1694.0,7316.67,13
HCPCS,43256,Uppr Gi Endoscopy W Stent,,,1937.0,5063.0,2
HCPCS,43257,Egd w/thrml txmnt gerd,,,1937.0,14700.67,13
HCPCS,43258,Operative upper GI endoscopy,,,1937.0,5063.0,2
HCPCS,43259,Egd us exam duodenum/jejunum,,,1937.0,7316.67,13
HCPCS,43260,Ercp w/specimen collection,,,1694.0,14700.67,13
HCPCS,43260,Hc Ercp Procedure,11386.0,4440.54,,,0
HCPCS,43261,Endo cholangiopancreatograph,,,1694.0,14700.67,13
HCPCS,43261,Hc Ercp W/Biopsy Single/Multiple,15400.0,6006.0,,,0
HCPCS,43262,Endo cholangiopancreatograph,,,1694.0,14700.67,13
HCPCS,43263,Ercp sphincter pressure meas,,,1694.0,7316.67,13
HCPCS,43264,Ercp remove duct calculi,,,1694.0,14700.67,13
HCPCS,43265,Ercp lithotripsy calculi,,,1694.0,23147.94,13
HCPCS,43266,Egd endoscopic stent place,,,5809.0,23147.94,12
HCPCS,43267,Endo cholangiopancreatograph,,,1694.0,5063.0,2
HCPCS,43268,Endo cholangiopancreatograph,,,1694.0,5063.0,2
HCPCS,43269,Endo cholangiopancreatograph,,,1694.0,5063.0,2
HCPCS,43270,Egd lesion ablation,,,1949.06,7316.67,12
HCPCS,43271,Endo cholangiopancreatograph,,,1694.0,5063.0,2
HCPCS,43272,Endo cholangiopancreatograph,,,1694.0,5063.0,2
HCPCS,43273,Endoscopic pancreatoscopy,,,2665.0,9032.0,3
HCPCS,43274,Ercp duct stent placement,,,5809.0,23147.94,12
HCPCS,43275,Ercp remove forgn body duct,,,1949.06,9032.0,12
HCPCS,43276,Ercp stent exchange w/dilate,,,5809.0,23147.94,12
HCPCS,43277,Ercp ea duct/ampulla dilate,,,3916.06,14700.67,12
HCPCS,43278,Ercp lesion ablate w/dilate,,,3916.06,14700.67,12
HCPCS,43279,Lap myotomy heller,,,5063.0,15026.0,2
HCPCS,43280,Laparoscopy fundoplasty,,,5699.0,40530.88,12
HCPCS,43281,Lap paraesophag hern repair,,,6760.0,40530.88,11
HCPCS,43282,Lap paraesoph her rpr w/mesh,,,6760.0,40530.88,11
HCPCS,43283,Lap esoph lengthening,,,5063.0,6859.0,2
HCPCS,43284,Laps esophgl sphnctr agmntj,,,6760.0,40530.88,11
HCPCS,43285,Rmvl esophgl sphnctr dev,,,6140.52,23051.21,11
HCPCS,43286,Esphg tot w/laps moblj,,,5063.0,6859.0,2
HCPCS,43287,Esphg dstl 2/3 w/laps moblj,,,5063.0,6859.0,2
HCPCS,43288,Esphg thrsc moblj,,,5063.0,6859.0,2
HCPCS,43289,Laparoscope proc esoph,,,5809.0,23051.21,11
HCPCS,43290,Egd flx trnsorl dplmnt balo,,,1949.06,7316.67,11
HCPCS,43291,Egd flx trnsorl rmvl balo,,,921.24,5272.0,11
HCPCS,43300,Repair of esophagus,,,5063.0,6859.0,2
HCPCS,43305,Repair esophagus and fistula,,,5063.0,6859.0,2
HCPCS,43310,Repair of esophagus,,,5063.0,6859.0,2
HCPCS,43312,Repair esophagus and fistula,,,5063.0,6859.0,2
HCPCS,43313,Esophagoplasty congenital,,,5063.0,6859.0,2
HCPCS,43314,Tracheo-esophagoplasty cong,,,5063.0,6859.0,2
HCPCS,43320,Fuse esophagus & stomach,,,3099.0,6859.0,3
HCPCS,43324,Revise esophagus & stomach,,,3721.0,5063.0,2
HCPCS,43325,Revise esophagus & stomach,,,5063.0,6859.0,2
HCPCS,43326,Revise esophagus & stomach,,,5063.0,5063.0,1
HCPCS,43327,Esoph fundoplasty lap,,,5063.0,6859.0,2
HCPCS,43328,Esoph fundoplasty thor,,,5063.0,6859.0,2
HCPCS,43330,Esophagomyotomy abdominal,,,5063.0,6859.0,2
HCPCS,43331,Esophagomyotomy thoracic,,,5063.0,6859.0,2
HCPCS,43332,Transab esoph hiat hern rpr,,,5063.0,6859.0,2
HCPCS,43333,Transab esoph hiat hern rpr,,,5063.0,6859.0,2
HCPCS,43334,Transthor diaphrag hern rpr,,,5063.0,6859.0,2
HCPCS,43335,Transthor diaphrag hern rpr,,,5063.0,6859.0,2
HCPCS,43336,Thorabd diaphr hern repair,,,5063.0,6859.0,2
HCPCS,43337,Thorabd diaphr hern repair,,,5063.0,6859.0,2
HCPCS,43338,Esoph lengthening,,,5063.0,6859.0,2
HCPCS,43340,Fuse esophagus & intestine,,,5063.0,6859.0,2
HCPCS,43341,Fuse esophagus & intestine,,,5063.0,6859.0,2
HCPCS,43350,"Surgical opening, esophagus",,,5063.0,5063.0,1
HCPCS,43351,Surgical opening esophagus,,,5063.0,6859.0,2
HCPCS,43352,Surgical opening esophagus,,,5063.0,6859.0,2
HCPCS,43360,Gastrointestinal repair,,,5063.0,6859.0,2
HCPCS,43361,Gastrointestinal repair,,,5063.0,6859.0,2
HCPCS,43400,Ligate esophagus veins,,,5063.0,15026.0,2
HCPCS,43401,Esophagus surgery for veins,,,5063.0,5063.0,1
HCPCS,43405,Ligate/staple esophagus,,,5063.0,6859.0,2
HCPCS,43410,Repair esophagus wound,,,5063.0,6859.0,2
HCPCS,43415,Repair esophagus wound,,,5063.0,6859.0,2
HCPCS,43420,Repair esophagus opening,,,3367.56,12641.63,11
HCPCS,43425,Repair esophagus opening,,,5063.0,6859.0,2
HCPCS,43450,Dilate esophagus 1/mult pass,,,921.24,5272.0,13
HCPCS,43453,Dilate esophagus,,,1308.0,7316.67,13
HCPCS,43453,Hc Dilation Esophagus Guide Wire,5136.0,2003.04,,,0
HCPCS,43456,Dilate esophagus,,,1694.0,5063.0,2
HCPCS,43458,Dilate esophagus,,,1694.0,5063.0,2
HCPCS,43460,Pressure treatment esophagus,,,5063.0,6859.0,2
HCPCS,43496,Free jejunum flap microvasc,,,5063.0,6859.0,2
HCPCS,43497,Transorl lwr esophgl myotomy,,,4714.0,23147.94,11
HCPCS,43499,Esophagus surgery procedure,,,921.24,5272.0,11
HCPCS,43500,Surgical opening of stomach,,,5063.0,6859.0,2
HCPCS,43501,Surgical repair of stomach,,,5063.0,6859.0,2
HCPCS,43502,Surgical repair of stomach,,,5063.0,6859.0,2
HCPCS,43510,Surgical opening of stomach,,,921.24,5272.0,11
HCPCS,43520,Incision of pyloric muscle,,,5063.0,6859.0,2
HCPCS,43600,Biopsy of stomach,,,1308.0,5063.0,2
HCPCS,43605,Biopsy of stomach,,,5063.0,6179.0,2
HCPCS,43610,Excision of stomach lesion,,,5063.0,6859.0,2
HCPCS,43611,Excision of stomach lesion,,,5063.0,6859.0,2
HCPCS,43620,Removal of stomach,,,5063.0,6859.0,2
HCPCS,43621,Removal of stomach,,,5063.0,6859.0,2
HCPCS,43622,Removal of stomach,,,5063.0,6859.0,2
HCPCS,43631,Removal of stomach partial,,,5063.0,6859.0,2
HCPCS,43632,Removal of stomach partial,,,5063.0,6859.0,2
HCPCS,43633,Removal of stomach partial,,,5063.0,6859.0,2
HCPCS,43634,Removal of stomach partial,,,5063.0,6859.0,2
HCPCS,43635,Removal of stomach partial,,,5063.0,6859.0,2
HCPCS,43638,"Removal of stomach, partial",,,5063.0,5063.0,1
HCPCS,43639,"Removal of stomach, partial",,,5063.0,5063.0,1
HCPCS,43640,Vagotomy & pylorus repair,,,5063.0,6859.0,2
HCPCS,43641,Vagotomy & pylorus repair,,,5063.0,6859.0,2
HCPCS,43644,Lap gastric bypass/roux-en-y,,,5063.0,15026.0,2
HCPCS,43645,Lap gastr bypass incl smll i,,,5063.0,15026.0,2
HCPCS,43647,Lap impl electrode antrum,,,5809.0,42486.39,12
HCPCS,43648,Lap revise/remv eltrd antrum,,,5809.0,40530.88,12
HCPCS,43651,Laparoscopy vagus nerve,,,5699.0,23051.21,12
HCPCS,43652,Laparoscopy vagus nerve,,,5699.0,23051.21,12
HCPCS,43653,Laparoscopy gastrostomy,,,6140.52,23051.21,13
HCPCS,43659,Laparoscope proc stom,,,5809.0,23051.21,11
HCPCS,43750,Place gastrostomy tube,,,1694.0,5063.0,2
HCPCS,43752,Hc Dr Naso/Oro Tube Placement Fl Guided,3031.0,1182.09,,,0
HCPCS,43752,Nasal/orogastric w/tube plmt,,,453.74,4714.0,11
HCPCS,43753,Hc Gastro Intubation With Aspiration,1954.0,762.06,,,0
HCPCS,43753,Tx gastro intub w/asp,,,219.32,3391.0,12
HCPCS,43754,Dx gastr intub w/asp spec,,,219.32,3391.0,12
HCPCS,43755,Dx gastr intub w/asp specs,,,130.69,3391.0,12
HCPCS,43756,Dx duod intub w/asp spec,,,921.24,5272.0,12
HCPCS,43757,Dx duod intub w/asp specs,,,921.24,5272.0,12
HCPCS,43760,Change gastrostomy tube,,,1308.0,5063.0,2
HCPCS,43761,Hc Repos Naso/Oro Gastric Feeding Tube Thru Duo,11115.0,4334.85,,,0
HCPCS,43761,Reposition gastrostomy tube,,,253.77,3391.0,13
HCPCS,43762,Hc Gtube Perq Replcmt Not Req Revj Gstrst Trc,1876.0,731.64,,,0
HCPCS,43762,Rplc gtube no revj trc,,,253.77,3391.0,12
HCPCS,43763,Er Replace Gastrostomy Tube W/,926.0,361.14,,,0
HCPCS,43763,Hc Gtube Perq Replcmt Req Revj Gstrst Trc,1631.0,636.09,,,0
HCPCS,43763,Rplc gtube  revj gstrst trc,,,253.77,3391.0,12
HCPCS,43770,Lap place gastr adj device,,,5809.0,40530.88,11
HCPCS,43771,Lap revise gastr adj device,,,5809.0,8448.0,2
HCPCS,43772,Lap rmvl gastr adj device,,,3916.06,14700.67,11
HCPCS,43773,Lap replace gastr adj device,,,5809.0,23051.21,11
HCPCS,43774,Lap rmvl gastr adj all parts,,,3916.06,16710.0,11
HCPCS,43775,Lap sleeve gastrectomy,,,5063.0,15026.0,2
HCPCS,43800,Reconstruction of pylorus,,,5063.0,6859.0,2
HCPCS,43810,Fusion of stomach and bowel,,,5063.0,6859.0,2
HCPCS,43820,Fusion of stomach and bowel,,,5063.0,6859.0,2
HCPCS,43825,Fusion of stomach and bowel,,,5063.0,6859.0,2
HCPCS,43830,Place gastrostomy tube,,,1949.06,7316.67,11
HCPCS,43831,Place gastrostomy tube,,,921.24,5272.0,11
HCPCS,43832,Place gastrostomy tube,,,5063.0,6859.0,2
HCPCS,43840,Repair of stomach lesion,,,3916.06,14700.67,11
HCPCS,43842,V-band gastroplasty,,,5063.0,6859.0,2
HCPCS,43843,Gastroplasty w/o v-band,,,5063.0,11889.0,2
HCPCS,43845,Gastroplasty duodenal switch,,,5063.0,6859.0,2
HCPCS,43846,Gastric bypass for obesity,,,5063.0,6859.0,2
HCPCS,43847,Gastric bypass incl small i,,,5063.0,6859.0,2
HCPCS,43848,Revision gastroplasty,,,5063.0,6859.0,2
HCPCS,43850,Revise stomach-bowel fusion,,,5063.0,5063.0,1
HCPCS,43855,Revise stomach-bowel fusion,,,5063.0,5063.0,1
HCPCS,43860,Revise stomach-bowel fusion,,,5063.0,6859.0,2
HCPCS,43865,Revise stomach-bowel fusion,,,5063.0,6859.0,2
HCPCS,43870,Hc Closure Gastrostomy Surg,11288.0,4402.32,,,0
HCPCS,43870,Repair stomach opening,,,1308.0,14700.67,13
HCPCS,43880,Repair stomach-bowel fistula,,,5063.0,6859.0,2
HCPCS,43881,Impl/redo electrd antrum,,,5063.0,6859.0,2
HCPCS,43882,Revise/remove electrd antrum,,,5063.0,6859.0,2
HCPCS,43886,Revise gastric port open,,,2572.0,13512.0,12
HCPCS,43887,Remove gastric port open,,,2095.7,7867.16,12
HCPCS,43888,Change gastric port open,,,3437.0,13512.0,12
HCPCS,43889,Gstr rstcv px trnsorl esg,,,10796.86,40530.88,9
HCPCS,43999,Hc Unlisted Procedure Stomach,4274.0,1666.86,,,0
HCPCS,43999,Stomach surgery procedure,,,921.24,5272.0,11
HCPCS,44005,Freeing of bowel adhesion,,,6859.0,9000.0,2
HCPCS,44010,Incision of small bowel,,,6859.0,8245.0,2
HCPCS,44015,Insert needle cath bowel,,,1308.0,6859.0,3
HCPCS,44020,Explore small intestine,,,6859.0,8245.0,2
HCPCS,44021,Decompress small bowel,,,5063.0,6859.0,2
HCPCS,44025,Incision of large bowel,,,6859.0,8245.0,2
HCPCS,44050,Reduce bowel obstruction,,,6859.0,8245.0,2
HCPCS,44055,Correct malrotation of bowel,,,6859.0,9000.0,2
HCPCS,44100,Biopsy of bowel,,,921.24,5272.0,13
HCPCS,44110,Excise intestine lesion(s),,,5063.0,6859.0,2
HCPCS,44111,Excision of bowel lesion(s),,,5063.0,6859.0,2
HCPCS,44120,Removal of small intestine,,,5063.0,6859.0,2
HCPCS,44121,Removal of small intestine,,,5063.0,6859.0,2
HCPCS,44125,Removal of small intestine,,,5063.0,6859.0,2
HCPCS,44126,Enterectomy w/o taper cong,,,5063.0,6859.0,2
HCPCS,44127,Enterectomy w/taper cong,,,5063.0,6859.0,2
HCPCS,44128,Enterectomy cong add-on,,,5063.0,6859.0,2
HCPCS,44130,Bowel to bowel fusion,,,5063.0,6859.0,2
HCPCS,44132,Enterectomy cadaver donor,,,5063.0,6859.0,2
HCPCS,44133,Enterectomy live donor,,,5063.0,6859.0,2
HCPCS,44135,Intestine transplnt cadaver,,,5063.0,6859.0,2
HCPCS,44136,Intestine transplant live,,,5063.0,6859.0,2
HCPCS,44137,Remove intestinal allograft,,,5063.0,6859.0,2
HCPCS,44139,Mobilization of colon,,,5063.0,6859.0,2
HCPCS,44140,Partial removal of colon,,,5063.0,6859.0,2
HCPCS,44141,Partial removal of colon,,,5063.0,6859.0,2
HCPCS,44143,Partial removal of colon,,,5063.0,6859.0,2
HCPCS,44144,Partial removal of colon,,,5063.0,6859.0,2
HCPCS,44145,Partial removal of colon,,,5063.0,6859.0,2
HCPCS,44146,Partial removal of colon,,,5063.0,6859.0,2
HCPCS,44147,Partial removal of colon,,,5063.0,6859.0,2
HCPCS,44150,Removal of colon,,,5063.0,6859.0,2
HCPCS,44151,Removal of colon/ileostomy,,,5063.0,6859.0,2
HCPCS,44152,Removal of colon/ileostomy,,,5063.0,5063.0,1
HCPCS,44153,Removal of colon/ileostomy,,,5063.0,5063.0,1
HCPCS,44155,Removal of colon/ileostomy,,,5063.0,6859.0,2
HCPCS,44156,Removal of colon/ileostomy,,,5063.0,6859.0,2
HCPCS,44157,Colectomy w/Ileoanal Anast,,,5063.0,6859.0,2
HCPCS,44158,Colectomy w/Neo-Rectum Pouch,,,5063.0,6859.0,2
HCPCS,44160,Removal of colon,,,5063.0,6859.0,2
HCPCS,44180,Lap enterolysis,,,5699.0,23051.21,12
HCPCS,44186,Lap jejunostomy,,,5699.0,23051.21,12
HCPCS,44187,Lap ileo/jejuno-stomy,,,5809.0,6859.0,2
HCPCS,44188,Lap colostomy,,,5809.0,6859.0,2
HCPCS,44200,"Laparoscopy, enterolysis",,,5063.0,5063.0,1
HCPCS,44201,"Laparoscopy, jejunostomy",,,5063.0,5063.0,1
HCPCS,44202,Lap enterectomy,,,6760.0,11889.0,2
HCPCS,44203,Lap resect s/intestine addl,,,5063.0,11889.0,2
HCPCS,44204,Laparo partial colectomy,,,5063.0,11889.0,2
HCPCS,44205,Lap colectomy part w/ileum,,,5063.0,6859.0,2
HCPCS,44206,Lap part colectomy w/stoma,,,5063.0,6859.0,2
HCPCS,44207,L colectomy/coloproctostomy,,,5063.0,6859.0,2
HCPCS,44208,L colectomy/coloproctostomy,,,5063.0,6859.0,2
HCPCS,44209,"Laparoscope proc, intestine",,,5063.0,5063.0,1
HCPCS,44210,Laparo total proctocolectomy,,,5063.0,6859.0,2
HCPCS,44211,Lap colectomy w/proctectomy,,,5063.0,6859.0,2
HCPCS,44212,Laparo total proctocolectomy,,,5063.0,6859.0,2
HCPCS,44213,Lap mobil splenic fl add-on,,,5809.0,6859.0,2
HCPCS,44227,Lap close enterostomy,,,5809.0,6859.0,2
HCPCS,44238,Laparoscope proc intestine,,,5063.0,23051.21,11
HCPCS,44239,"Unlisted laparoscopy proc, rectum",,,5063.0,5063.0,1
HCPCS,44300,Open bowel to skin,,,1949.06,7316.67,11
HCPCS,44310,Ileostomy/jejunostomy,,,5063.0,6859.0,2
HCPCS,44312,Revision of ileostomy,,,1308.0,13512.0,13
HCPCS,44314,Revision of ileostomy,,,3599.41,13512.0,11
HCPCS,44316,Devise bowel pouch,,,5063.0,6859.0,2
HCPCS,44320,Colostomy,,,5063.0,6859.0,2
HCPCS,44322,Colostomy with biopsies,,,5063.0,6859.0,2
HCPCS,44340,Revision of colostomy,,,1937.0,13512.0,13
HCPCS,44345,Revision of colostomy,,,2323.0,13512.0,12
HCPCS,44346,Revision of colostomy,,,2323.0,13512.0,12
HCPCS,44360,Small bowel endoscopy,,,1694.0,7316.67,13
HCPCS,44361,Small bowel endoscopy/biopsy,,,1694.0,7316.67,13
HCPCS,44363,Small bowel endoscopy,,,1694.0,7316.67,13
HCPCS,44364,Small bowel endoscopy,,,1694.0,7316.67,13
HCPCS,44365,Small bowel endoscopy,,,1694.0,7316.67,13
HCPCS,44366,Small bowel endoscopy,,,1694.0,7316.67,13
HCPCS,44369,Small bowel endoscopy,,,1694.0,7316.67,13
HCPCS,44370,Small Bowel Endoscopy/Stent,,,6166.29,23147.94,13
HCPCS,44372,Small bowel endoscopy,,,1694.0,7316.67,13
HCPCS,44373,Hc Enteroscopy Beyond 2Nd Prtn Conv Gstrst Tube,3836.0,1496.04,,,0
HCPCS,44373,Small bowel endoscopy,,,1694.0,7316.67,13
HCPCS,44376,Small bowel endoscopy,,,1694.0,7316.67,13
HCPCS,44377,Small bowel endoscopy/biopsy,,,1694.0,7316.67,13
HCPCS,44378,Small bowel endoscopy,,,1694.0,7316.67,13
HCPCS,44379,S Bowel Endoscope W/Stent,,,6166.29,23147.94,13
HCPCS,44380,Small bowel endoscopy br/wa,,,921.24,5272.0,13
HCPCS,44381,Small bowel endoscopy br/wa,,,1949.06,7316.67,12
HCPCS,44382,Small bowel endoscopy,,,921.24,5272.0,13
HCPCS,44383,Ileoscopy W/Stent,,,5063.0,7487.0,2
HCPCS,44384,Small bowel endoscopy,,,1949.06,7316.67,12
HCPCS,44385,Endoscopy of bowel pouch,,,944.57,5272.0,13
HCPCS,44386,Endoscopy bowel pouch/biop,,,944.57,5272.0,13
HCPCS,44388,Colonoscopy thru stoma spx,,,944.57,5272.0,13
HCPCS,44389,Colonoscopy with biopsy,,,1215.44,5272.0,13
HCPCS,44390,Colonoscopy for foreign body,,,944.57,5272.0,13
HCPCS,44391,Colonoscopy for bleeding,,,1215.44,5272.0,13
HCPCS,44392,Colonoscopy & polypectomy,,,1215.44,5272.0,13
HCPCS,44393,"Colonoscopy, lesion removal",,,1308.0,5063.0,2
HCPCS,44394,Colonoscopy w/snare,,,1215.44,5272.0,13
HCPCS,44397,Colonoscopy W Stent,,,1308.0,5063.0,2
HCPCS,44401,Colonoscopy with ablation,,,1215.44,5272.0,12
HCPCS,44402,Colonoscopy w/stent plcmt,,,3391.0,23147.94,12
HCPCS,44403,Colonoscopy w/resection,,,1215.44,5272.0,12
HCPCS,44404,Colonoscopy w/injection,,,1215.44,5272.0,12
HCPCS,44405,Colonoscopy w/dilation,,,1215.44,5272.0,12
HCPCS,44406,Colonoscopy w/ultrasound,,,1215.44,5272.0,12
HCPCS,44407,Colonoscopy w/ndl aspir/bx,,,1215.44,5272.0,12
HCPCS,44408,Colonoscopy w/decompression,,,944.57,5272.0,12
HCPCS,44500,Hc Introduction Long Gi Tube Separate Procedure,1176.0,458.64,,,0
HCPCS,44500,Intro gastrointestinal tube,,,921.24,5272.0,12
HCPCS,44602,Suture small intestine,,,3916.06,14700.67,11
HCPCS,44603,Suture small intestine,,,5063.0,6859.0,2
HCPCS,44604,Suture large intestine,,,5063.0,6859.0,2
HCPCS,44605,Repair of bowel lesion,,,5063.0,6859.0,2
HCPCS,44615,Intestinal stricturoplasty,,,5063.0,6859.0,2
HCPCS,44620,Repair bowel opening,,,5063.0,6859.0,2
HCPCS,44625,Repair bowel opening,,,5063.0,6859.0,2
HCPCS,44626,Repair bowel opening,,,5063.0,6859.0,2
HCPCS,44640,Repair bowel-skin fistula,,,5063.0,6859.0,2
HCPCS,44650,Repair bowel fistula,,,5063.0,6859.0,2
HCPCS,44660,Repair bowel-bladder fistula,,,5063.0,6859.0,2
HCPCS,44661,Repair bowel-bladder fistula,,,5063.0,6859.0,2
HCPCS,44680,Surgical revision intestine,,,5063.0,6859.0,2
HCPCS,44700,Suspend bowel w/prosthesis,,,5063.0,6859.0,2
HCPCS,44701,Intraop colon lavage add-on,,,2665.0,5063.0,2
HCPCS,44705,Prepare fecal microbiota,,,3391.0,3391.0,1
HCPCS,44715,Prepare donor intestine,,,5063.0,6859.0,2
HCPCS,44720,Prep donor intestine/venous,,,5063.0,6859.0,2
HCPCS,44721,Prep donor intestine/artery,,,5063.0,6859.0,2
HCPCS,44799,Unlisted px small intestine,,,921.24,5272.0,11
HCPCS,44800,Excision of bowel pouch,,,5063.0,6859.0,2
HCPCS,44820,Excision of mesentery lesion,,,5063.0,6859.0,2
HCPCS,44850,Repair of mesentery,,,5063.0,6859.0,2
HCPCS,44899,Bowel surgery procedure,,,5063.0,6859.0,2
HCPCS,44900,Drain appendix abscess open,,,5063.0,6859.0,2
HCPCS,44901,"Drain app abscess, percut",,,5063.0,5063.0,1
HCPCS,44950,Appendectomy,,,2664.0,24684.26,12
HCPCS,44955,Appendectomy add-on,,,2665.0,5063.0,2
HCPCS,44960,Appendectomy,,,5063.0,6859.0,2
HCPCS,44970,Laparoscopy appendectomy,,,1308.0,23051.21,13
HCPCS,44979,Laparoscope proc app,,,5809.0,23051.21,11
HCPCS,45000,Drainage of pelvic abscess,,,1215.44,5272.0,13
HCPCS,45005,Drainage of rectal abscess,,,1215.44,5272.0,13
HCPCS,45005,Hc I And D Rectum,17535.0,6838.65,,,0
HCPCS,45020,Drainage of rectal abscess,,,1694.0,10583.42,13
HCPCS,45100,Biopsy of rectum,,,1308.0,10583.42,13
HCPCS,45100,Hc Bx Anorectal Wall Anal Approach,5000.0,1950.0,,,0
HCPCS,45108,Removal of anorectal lesion,,,1694.0,10583.42,13
HCPCS,45110,Removal of rectum,,,5063.0,6859.0,2
HCPCS,45111,Partial removal of rectum,,,5063.0,6859.0,2
HCPCS,45112,Removal of rectum,,,5063.0,6859.0,2
HCPCS,45113,Partial proctectomy,,,5063.0,6859.0,2
HCPCS,45114,Partial removal of rectum,,,5063.0,6859.0,2
HCPCS,45116,Partial removal of rectum,,,5063.0,6859.0,2
HCPCS,45119,Remove rectum w/reservoir,,,5063.0,6859.0,2
HCPCS,45120,Removal of rectum,,,5063.0,6859.0,2
HCPCS,45121,Removal of rectum and colon,,,5063.0,6859.0,2
HCPCS,45123,Partial proctectomy,,,5063.0,15026.0,2
HCPCS,45126,Pelvic exenteration,,,5063.0,6859.0,2
HCPCS,45130,Excision of rectal prolapse,,,5063.0,6859.0,2
HCPCS,45135,Excision of rectal prolapse,,,5063.0,6859.0,2
HCPCS,45136,Excise ileoanal reservior,,,5063.0,6859.0,2
HCPCS,45150,Excision of rectal stricture,,,1215.44,5272.0,13
HCPCS,45160,Excision of rectal lesion,,,1694.0,10583.42,13
HCPCS,45170,Excision of rectal lesion,,,1694.0,5063.0,2
HCPCS,45171,Exc rect tum transanal part,,,2819.28,10583.42,12
HCPCS,45172,Exc rect tum transanal full,,,2819.28,10583.42,12
HCPCS,45190,Destruction rectal tumor,,,2819.28,10583.42,13
HCPCS,45300,Hc Proctosgmdsc Rgd Dx W/Wo Collj Spec Br/Wa Spx,1236.0,482.04,,,0
HCPCS,45300,Proctosigmoidoscopy dx,,,944.57,4066.0,12
HCPCS,45303,Proctosigmoidoscopy dilate,,,1215.44,5272.0,12
HCPCS,45305,Proctosigmoidoscopy w/bx,,,1215.44,5272.0,13
HCPCS,45307,Hc Sigmoid Fb Removal,9946.0,3878.94,,,0
HCPCS,45307,Proctosigmoidoscopy fb,,,1308.0,10583.42,13
HCPCS,45308,Proctosigmoidoscopy removal,,,1308.0,10583.42,13
HCPCS,45309,Proctosigmoidoscopy removal,,,1215.44,5272.0,13
HCPCS,45315,Proctosigmoidoscopy removal,,,1215.44,5272.0,13
HCPCS,45317,Proctosigmoidoscopy bleed,,,1215.44,5272.0,13
HCPCS,45320,Proctosigmoidoscopy ablate,,,1308.0,10583.42,13
HCPCS,45321,Proctosigmoidoscopy volvul,,,1308.0,10583.42,13
HCPCS,45327,Proctosigmoidoscopy W/Stent,,,1308.0,23147.94,13
HCPCS,45330,Diagnostic sigmoidoscopy,,,944.57,4066.0,12
HCPCS,45331,Sigmoidoscopy and biopsy,,,944.57,4066.0,13
HCPCS,45332,Hc Sigmoidoscopy Flx W/Rmvl Foreign Body,3525.0,1374.75,,,0
HCPCS,45332,Sigmoidoscopy w/fb removal,,,1215.44,5272.0,13
HCPCS,45333,Sigmoidoscopy & polypectomy,,,944.57,4066.0,13
HCPCS,45334,Sigmoidoscopy for bleeding,,,1215.44,5272.0,13
HCPCS,45335,Sigmoidoscopy w/submuc inj,,,944.57,4066.0,13
HCPCS,45337,Sigmoidoscopy & decompress,,,944.57,5272.0,13
HCPCS,45338,Sigmoidoscopy w/tumr remove,,,1215.44,5272.0,13
HCPCS,45339,Sigmoidoscopy,,,1308.0,5063.0,2
HCPCS,45340,Sig w/tndsc balloon dilation,,,1215.44,5272.0,13
HCPCS,45341,Hc Endoscopic Ultrasound Lower,4463.0,1740.57,,,0
HCPCS,45341,Sigmoidoscopy W/Ultrasound,,,944.57,5272.0,13
HCPCS,45342,Sigmoidoscopy W/Us Guide Bx,,,1215.44,5272.0,13
HCPCS,45345,Sigmodoscopy W/Stent,,,1308.0,5063.0,2
HCPCS,45346,Sigmoidoscopy w/ablation,,,1215.44,5272.0,12
HCPCS,45347,Sigmoidoscopy w/plcmt stent,,,3391.0,23147.94,12
HCPCS,45349,Sigmoidoscopy w/resection,,,2819.28,10583.42,12
HCPCS,45350,Sgmdsc w/band ligation,,,1215.44,5272.0,12
HCPCS,45355,Surgical colonoscopy,,,1308.0,5063.0,2
HCPCS,45378,Diagnostic colonoscopy,,,944.57,5272.0,13
HCPCS,45379,Colonoscopy w/fb removal,,,1215.44,5272.0,13
HCPCS,45380,Colonoscopy and biopsy,,,1215.44,5272.0,13
HCPCS,45381,Colonoscopy submucous njx,,,1215.44,5272.0,13
HCPCS,45382,Colonoscopy w/control bleed,,,1215.44,5272.0,13
HCPCS,45383,Lesion removal colonoscopy,,,1694.0,5063.0,2
HCPCS,45384,Colonoscopy w/lesion removal,,,1215.44,5272.0,13
HCPCS,45385,Colonoscopy w/lesion removal,,,1215.44,5272.0,13
HCPCS,45386,Colonoscopy w/balloon dilat,,,1215.44,5272.0,13
HCPCS,45387,Colonoscopy W/Stent,,,1308.0,5063.0,2
HCPCS,45388,Colonoscopy w/ablation,,,1215.44,5272.0,12
HCPCS,45389,Colonoscopy w/stent plcmt,,,4714.0,23147.94,12
HCPCS,45390,Colonoscopy w/resection,,,2819.28,10583.42,12
HCPCS,45391,Colonoscopy w/endoscope us,,,1215.44,5272.0,13
HCPCS,45392,Colonoscopy w/endoscopic fnb,,,1215.44,5272.0,13
HCPCS,45393,Colonoscopy w/decompression,,,1215.44,5272.0,12
HCPCS,45395,Lap removal of rectum,,,5809.0,6859.0,2
HCPCS,45397,Lap remove rectum w/pouch,,,5809.0,6859.0,2
HCPCS,45398,Colonoscopy w/band ligation,,,1215.44,5272.0,12
HCPCS,45399,Unlisted procedure colon,,,944.57,5699.0,12
HCPCS,45400,Laparoscopic proc,,,5809.0,6859.0,2
HCPCS,45402,Lap proctopexy w/sig resect,,,5809.0,6859.0,2
HCPCS,45499,Laparoscope proc rectum,,,5809.0,23051.21,11
HCPCS,45500,Repair of rectum,,,1694.0,10583.42,13
HCPCS,45505,Repair of rectum,,,1694.0,10583.42,13
HCPCS,45520,Treatment of rectal prolapse,,,944.57,4066.0,11
HCPCS,45540,Correct rectal prolapse,,,5063.0,6859.0,2
HCPCS,45541,Correct rectal prolapse,,,2819.28,10583.42,11
HCPCS,45550,Repair rectum/remove sigmoid,,,5063.0,6859.0,2
HCPCS,45560,Repair of rectocele,,,1694.0,10583.42,13
HCPCS,45562,Exploration/repair of rectum,,,5063.0,6859.0,2
HCPCS,45563,Exploration/repair of rectum,,,5063.0,6859.0,2
HCPCS,45800,Repair rect/bladder fistula,,,5063.0,6859.0,2
HCPCS,45805,Repair fistula w/colostomy,,,5063.0,6859.0,2
HCPCS,45820,Repair rectourethral fistula,,,5063.0,6859.0,2
HCPCS,45825,Repair fistula w/colostomy,,,5063.0,6859.0,2
HCPCS,45900,Reduction of rectal prolapse,,,944.57,4066.0,13
HCPCS,45905,Dilation of anal sphincter,,,1215.44,5272.0,13
HCPCS,45910,Dilation of rectal narrowing,,,1215.44,5272.0,13
HCPCS,45915,Remove rectal obstruction,,,1215.44,5272.0,13
HCPCS,45990,Surg dx exam anorectal,,,1694.0,10583.42,13
HCPCS,45999,Hc Rectum Surgery Procedure Unlisted,3583.0,1397.37,,,0
HCPCS,45999,Rectum surgery procedure,,,944.57,5063.0,11
HCPCS,46020,Placement of seton,,,1937.0,10583.42,13
HCPCS,46030,Removal of rectal marker,,,1215.44,5272.0,13
HCPCS,46040,Hc I And D Abscess Perirectal,29761.0,11606.79,,,0
HCPCS,46040,Incision of rectal abscess,,,1215.44,5809.0,13
HCPCS,46045,Incision of rectal abscess,,,1694.0,10583.42,13
HCPCS,46050,Hc I And D Abscess Perianal,17535.0,6838.65,,,0
HCPCS,46050,Incision of anal abscess,,,944.57,4066.0,13
HCPCS,46060,Incision of rectal abscess,,,1694.0,10583.42,13
HCPCS,46070,Incision of anal septum,,,2819.28,10583.42,11
HCPCS,46080,Incision of anal sphincter,,,1937.0,10583.42,13
HCPCS,46083,Hc I And D Hemorrhoid,2701.0,1053.39,,,0
HCPCS,46083,Incise external hemorrhoid,,,253.77,3391.0,13
HCPCS,46200,Removal of anal fissure,,,1694.0,10583.42,13
HCPCS,46210,Removal of anal crypt,,,1694.0,5063.0,2
HCPCS,46211,Removal of anal crypts,,,1694.0,5063.0,2
HCPCS,46220,Excise anal ext tag/papilla,,,1215.44,5272.0,13
HCPCS,46221,Hc Hemorrhoidectomy Internal Rubber Band Ligations,1361.0,530.79,,,0
HCPCS,46221,Ligation of hemorrhoid(s),,,944.57,4066.0,12
HCPCS,46230,Removal of anal tags,,,1308.0,10583.42,13
HCPCS,46250,Remove ext hem groups 2+,,,1937.0,10583.42,13
HCPCS,46255,Remove int/ext hem 1 group,,,1937.0,10583.42,13
HCPCS,46257,Remove in/ex hem grp & fiss,,,1937.0,10583.42,13
HCPCS,46258,Remove in/ex hem grp w/fistu,,,1937.0,10583.42,13
HCPCS,46260,Remove in/ex hem groups 2+,,,1937.0,10583.42,13
HCPCS,46261,Remove in/ex hem grps & fiss,,,2323.0,10583.42,13
HCPCS,46262,Remove in/ex hem grps w/fist,,,2323.0,10583.42,13
HCPCS,46270,Remove anal fist subq,,,1937.0,10583.42,13
HCPCS,46275,Remove anal fist inter,,,1937.0,10583.42,13
HCPCS,46280,Remove anal fist complex,,,2323.0,10583.42,13
HCPCS,46285,Remove anal fist 2 stage,,,1308.0,10583.42,13
HCPCS,46288,Repair anal fistula,,,2323.0,10583.42,13
HCPCS,46320,Hc Exc Thrombosed Hemorrhoid Xtrnl,3158.0,1231.62,,,0
HCPCS,46320,Removal of hemorrhoid clot,,,1215.44,5272.0,12
HCPCS,46500,Injection into hemorrhoid(s),,,944.57,5063.0,11
HCPCS,46505,Chemodenervation anal musc,,,1215.44,5272.0,12
HCPCS,46600,Diagnostic anoscopy spx,,,135.14,3391.0,11
HCPCS,46600,Hc Anoscopy Dx W/Collj Spec Br/Wa Spx When Prfrmd,3500.0,1365.0,,,0
HCPCS,46601,Diagnostic anoscopy,,,453.74,3391.0,12
HCPCS,46604,Anoscopy and dilation,,,1215.44,5272.0,11
HCPCS,46606,Anoscopy and biopsy,,,1215.44,5272.0,12
HCPCS,46607,Diagnostic anoscopy & biopsy,,,1215.44,5272.0,12
HCPCS,46608,Anoscopy remove for body,,,944.57,5272.0,13
HCPCS,46608,Hc Anoscopy W/Rmvl Foreign Body,2705.0,1054.95,,,0
HCPCS,46610,Anoscopy remove lesion,,,1308.0,10583.42,13
HCPCS,46611,Anoscopy,,,944.57,5272.0,13
HCPCS,46612,Anoscopy remove lesions,,,1308.0,10583.42,13
HCPCS,46614,Anoscopy control bleeding,,,1215.44,5272.0,11
HCPCS,46615,Anoscopy,,,1694.0,10583.42,13
HCPCS,46700,Repair of anal stricture,,,1937.0,10583.42,13
HCPCS,46705,Repair of anal stricture,,,5063.0,6859.0,2
HCPCS,46706,Repr of anal fistula w/glue,,,1308.0,10583.42,13
HCPCS,46707,Repair anorectal fist w/plug,,,2819.28,10583.42,12
HCPCS,46710,Repr per/vag pouch sngl proc,,,5809.0,6859.0,2
HCPCS,46712,Repr per/vag pouch dbl proc,,,5809.0,6859.0,2
HCPCS,46715,Rep perf anoper fistu,,,5063.0,6859.0,2
HCPCS,46716,Rep perf anoper/vestib fistu,,,5063.0,6859.0,2
HCPCS,46730,Construction of absent anus,,,5063.0,6859.0,2
HCPCS,46735,Construction of absent anus,,,5063.0,6859.0,2
HCPCS,46740,Construction of absent anus,,,5063.0,6859.0,2
HCPCS,46742,Repair of imperforated anus,,,5063.0,6859.0,2
HCPCS,46744,Repair of cloacal anomaly,,,5063.0,6859.0,2
HCPCS,46746,Repair of cloacal anomaly,,,5063.0,6859.0,2
HCPCS,46748,Repair of cloacal anomaly,,,5063.0,6859.0,2
HCPCS,46750,Repair of anal sphincter,,,1937.0,10583.42,13
HCPCS,46751,Repair of anal sphincter,,,5063.0,6859.0,2
HCPCS,46753,Reconstruction of anus,,,1937.0,10583.42,13
HCPCS,46754,Removal of suture from anus,,,1694.0,10583.42,13
HCPCS,46760,Repair of anal sphincter,,,1694.0,10583.42,13
HCPCS,46761,Repair of anal sphincter,,,1937.0,10583.42,13
HCPCS,46762,Implant artificial sphincter,,,3721.0,5063.0,2
HCPCS,46900,Destruction anal lesion(s),,,412.9,3391.0,12
HCPCS,46900,Hc Dstrj Lesion Anus Simple Chemical,874.0,340.86,,,0
HCPCS,46910,Destruction anal lesion(s),,,2095.7,7867.16,11
HCPCS,46916,Cryosurgery anal lesion(s),,,203.79,4714.0,11
HCPCS,46916,Hc Dstrj Lesion Anus Simple Cryosurgery,911.0,355.29,,,0
HCPCS,46917,Laser surgery anal lesions,,,1308.0,10583.42,13
HCPCS,46922,Excision of anal lesion(s),,,1308.0,10583.42,13
HCPCS,46924,Destruction anal lesion(s),,,1308.0,10583.42,13
HCPCS,46930,Destroy internal hemorrhoids,,,1215.44,5699.0,12
HCPCS,46934,Destruction of hemorrhoids,,,1308.0,5063.0,2
HCPCS,46935,Destruction of hemorrhoids,,,5063.0,5063.0,1
HCPCS,46936,Destruction of hemorrhoids,,,5063.0,5063.0,1
HCPCS,46937,Cryotherapy of rectal lesion,,,1694.0,5063.0,2
HCPCS,46938,Cryotherapy of rectal lesion,,,1694.0,5063.0,2
HCPCS,46940,Treatment of anal fissure,,,2819.28,10583.42,11
HCPCS,46942,Treatment of anal fissure,,,944.57,4066.0,12
HCPCS,46945,Remove by ligat int hem grp,,,2819.28,10583.42,11
HCPCS,46946,Hc Int Hrhc By Ligation 2 Or More Hemorrhoid Without Img Gdn,5730.0,2234.7,,,0
HCPCS,46946,Remove by ligat int hem grps,,,1308.0,10583.42,13
HCPCS,46947,Hemorrhoidopexy by stapling,,,1937.0,10583.42,13
HCPCS,46948,Int hrhc tranal dartlzj 2+,,,2819.28,10583.42,12
HCPCS,46999,Anus surgery procedure,,,944.57,4066.0,11
HCPCS,47000,Hc Liver Needle Biopsy Perc,9075.0,3539.25,,,0
HCPCS,47000,Needle biopsy of liver,,,1308.0,6297.43,13
HCPCS,47001,Needle biopsy liver add-on,,,2665.0,3391.0,2
HCPCS,47010,Open drainage liver lesion,,,5063.0,6859.0,2
HCPCS,47011,"Percut drain, liver lesion",,,5063.0,5063.0,1
HCPCS,47015,Inject/aspirate liver cyst,,,5063.0,5272.0,2
HCPCS,47100,Wedge biopsy of liver,,,5063.0,6179.0,2
HCPCS,47120,Partial removal of liver,,,2323.0,6859.0,3
HCPCS,47122,Extensive removal of liver,,,5063.0,6859.0,2
HCPCS,47125,Partial removal of liver,,,5063.0,6859.0,2
HCPCS,47130,Partial removal of liver,,,5063.0,6859.0,2
HCPCS,47133,Removal of donor liver,,,5063.0,6859.0,2
HCPCS,47134,"Partial removal, donor liver",,,5063.0,5063.0,1
HCPCS,47135,Transplantation of liver,,,5063.0,6859.0,2
HCPCS,47136,Transplantation of liver,,,5063.0,5063.0,1
HCPCS,47140,Partial removal donor liver,,,5063.0,6859.0,2
HCPCS,47141,Partial removal donor liver,,,5063.0,6859.0,2
HCPCS,47142,Partial removal donor liver,,,5063.0,6859.0,2
HCPCS,47143,Prep donor liver whole,,,5063.0,6859.0,2
HCPCS,47144,Prep donor liver 3-segment,,,5063.0,6859.0,2
HCPCS,47145,Prep donor liver lobe split,,,5063.0,6859.0,2
HCPCS,47146,Prep donor liver/venous,,,5063.0,6859.0,2
HCPCS,47147,Prep donor liver/arterial,,,5063.0,6859.0,2
HCPCS,47300,Surgery for liver lesion,,,5063.0,6859.0,2
HCPCS,47350,Repair liver wound,,,5063.0,6859.0,2
HCPCS,47360,Repair liver wound,,,5063.0,6859.0,2
HCPCS,47361,Repair liver wound,,,5063.0,6859.0,2
HCPCS,47362,Repair liver wound,,,5063.0,6859.0,2
HCPCS,47370,Laparo ablate liver tumor rf,,,6389.0,40530.88,11
HCPCS,47371,Laparo ablate liver cryosurg,,,6389.0,40530.88,11
HCPCS,47379,Laparoscope procedure liver,,,6140.52,23051.21,11
HCPCS,47380,Open ablate liver tumor rf,,,6760.0,6859.0,2
HCPCS,47381,Open ablate liver tumor cryo,,,6760.0,6859.0,2
HCPCS,47382,Hc Rf Liver Ablation Perc 1 Plus Tumors,8388.0,3271.32,,,0
HCPCS,47382,Percut ablate liver rf,,,6140.52,23051.21,11
HCPCS,47383,Hc Cryo Liver Ablation Perc 1 Or More Tumors,8388.0,3271.32,,,0
HCPCS,47383,Perq abltj lvr cryoablation,,,9032.0,40530.88,12
HCPCS,47384,Abltj ire liver 1+ tum perq,,,10796.86,40530.88,9
HCPCS,47399,Liver surgery procedure,,,719.26,5063.0,11
HCPCS,47400,Incision of liver duct,,,5063.0,6859.0,2
HCPCS,47420,Incision of bile duct,,,5063.0,6859.0,2
HCPCS,47425,Incision of bile duct,,,5063.0,6859.0,2
HCPCS,47460,Incise bile duct sphincter,,,2323.0,6859.0,3
HCPCS,47480,Incision of gallbladder,,,5063.0,6859.0,2
HCPCS,47490,Hc Percutaneous Cholecystostomy W S And I,10336.0,4031.04,,,0
HCPCS,47490,Incision of gallbladder,,,3636.66,13651.84,11
HCPCS,47500,Injection for liver x-rays,,,5063.0,5063.0,1
HCPCS,47505,Injection for liver x-rays,,,5063.0,5063.0,1
HCPCS,47510,"Insert catheter, bile duct",,,1694.0,5063.0,2
HCPCS,47511,Insert bile duct drain,,,5063.0,7487.0,2
HCPCS,47525,Change bile duct catheter,,,1308.0,5063.0,2
HCPCS,47530,Revise/reinsert bile tube,,,1308.0,5063.0,2
HCPCS,47531,Hc Cholangiogram Inj Perc Existing Access W Imag,5106.0,1991.34,,,0
HCPCS,47531,Injection for cholangiogram,,,2572.0,13651.84,12
HCPCS,47532,Hc Cholangiogram Inj Perc New Access W Imag,5528.0,2155.92,,,0
HCPCS,47532,Injection for cholangiogram,,,3636.66,13651.84,12
HCPCS,47533,Hc Biliary Drain Cath Plmt Ext W Imag,11299.0,4406.61,,,0
HCPCS,47533,Plmt biliary drainage cath,,,3636.66,13651.84,12
HCPCS,47534,Hc Biliary Drain Cath Plmt Int/Ext W Imag,12103.0,4720.17,,,0
HCPCS,47534,Plmt biliary drainage cath,,,3636.66,13651.84,12
HCPCS,47535,Conversion ext bil drg cath,,,3636.66,13651.84,12
HCPCS,47535,Hc Biliary Drain Cath Convsn Ext W Imag,8474.0,3304.86,,,0
HCPCS,47536,Exchange biliary drg cath,,,3636.66,13651.84,12
HCPCS,47536,Hc Biliary Drain Cath Exch W Imag,7478.0,2916.42,,,0
HCPCS,47537,Hc Biliary Drain Cath Remvl W Imag,3335.0,1300.65,,,0
HCPCS,47537,Removal biliary drg cath,,,921.24,5272.0,12
HCPCS,47538,Hc Bile Duct Stent Plmt Existing W Imag,10893.0,4248.27,,,0
HCPCS,47538,Perq plmt bile duct stent,,,5809.0,23051.21,12
HCPCS,47539,Hc Bile Duct Stent Plmt Wo Drn Cth New Access W Imag,12405.0,4837.95,,,0
HCPCS,47539,Perq plmt bile duct stent,,,5809.0,23051.21,12
HCPCS,47540,Hc Bile Duct Stent Plmt W Drn Cth New Access W Imag,13342.0,5203.38,,,0
HCPCS,47540,Perq plmt bile duct stent,,,5809.0,23051.21,12
HCPCS,47541,Hc Plmt Access Thru Biliary Tree Into Small Bwl New,10080.0,3931.2,,,0
HCPCS,47541,Plmt access bil tree sm bwl,,,4714.0,24684.26,12
HCPCS,47542,Dilate biliary duct/ampulla,,,2665.0,3391.0,2
HCPCS,47542,Hc Biliary Duct/Ampulla Dilate Perc W Imag,2966.0,1156.74,,,0
HCPCS,47543,Endoluminal bx biliary tree,,,2665.0,3391.0,2
HCPCS,47543,Hc Biliary Tree Endoluminal Bx Perc Sgl/Mult W Imag,2345.0,914.55,,,0
HCPCS,47544,Hc Removal Biliary Duct And /Glbldr Calculi Perq Rs And I,10344.0,4034.16,,,0
HCPCS,47544,Removal duct glbldr calculi,,,2665.0,3391.0,2
HCPCS,47550,Bile duct endoscopy add-on,,,2665.0,5063.0,2
HCPCS,47550,Hc Biliary Endoscopy Intraop Add On,2555.0,996.45,,,0
HCPCS,47552,Biliary endo perq dx w/speci,,,1694.0,24684.26,13
HCPCS,47552,Hc Biliary Endoscopy Wash Perc,10809.0,4215.51,,,0
HCPCS,47553,Biliary endoscopy thru skin,,,1937.0,24684.26,13
HCPCS,47553,Hc Biliary Endoscopy Biopsy Single/Multi,11007.0,4292.73,,,0
HCPCS,47554,Biliary endoscopy thru skin,,,1937.0,40530.88,13
HCPCS,47554,Hc Biliary Endoscopy Removal Calculus,32788.0,12787.32,,,0
HCPCS,47555,Biliary endoscopy thru skin,,,1937.0,24684.26,13
HCPCS,47555,Hc Biliary Endoscopy Dilitation W/O Stent,8658.0,3376.62,,,0
HCPCS,47556,Biliary endoscopy thru skin,,,5809.0,40530.88,13
HCPCS,47556,Hc Biliary Endoscopy Dilitation With Stent,9179.0,3579.81,,,0
HCPCS,47560,Laparoscopy w/cholangio,,,1937.0,5063.0,2
HCPCS,47561,Laparo w/cholangio/biopsy,,,1937.0,5063.0,2
HCPCS,47562,Laparoscopic cholecystectomy,,,1937.0,23051.21,12
HCPCS,47563,Laparo cholecystectomy/graph,,,1937.0,23051.21,12
HCPCS,47564,Laparo cholecystectomy/explr,,,2323.0,40530.88,12
HCPCS,47570,Laparo cholecystoenterostomy,,,6859.0,9000.0,2
HCPCS,47579,Laparoscope proc biliary,,,5809.0,23051.21,11
HCPCS,47600,Removal of gallbladder,,,6389.0,6859.0,2
HCPCS,47605,Removal of gallbladder,,,6760.0,6859.0,2
HCPCS,47610,Removal of gallbladder,,,6859.0,8245.0,2
HCPCS,47612,Removal of gallbladder,,,6859.0,8245.0,2
HCPCS,47620,Removal of gallbladder,,,6859.0,9000.0,2
HCPCS,47630,Remove bile duct stone,,,1937.0,5063.0,2
HCPCS,47700,Exploration of bile ducts,,,5063.0,6859.0,2
HCPCS,47701,Bile duct revision,,,5063.0,6859.0,2
HCPCS,47711,Excision of bile duct tumor,,,5063.0,6859.0,2
HCPCS,47712,Excision of bile duct tumor,,,5063.0,6859.0,2
HCPCS,47715,Excision of bile duct cyst,,,5063.0,6859.0,2
HCPCS,47716,Fusion of bile duct cyst,,,5063.0,5063.0,1
HCPCS,47719,Fusion of Bile Duct Cyst,,,5063.0,5063.0,1
HCPCS,47720,Fuse gallbladder & bowel,,,5063.0,6859.0,2
HCPCS,47721,Fuse upper gi structures,,,5063.0,6859.0,2
HCPCS,47740,Fuse gallbladder & bowel,,,5063.0,6859.0,2
HCPCS,47741,Fuse gallbladder & bowel,,,5063.0,6859.0,2
HCPCS,47760,Fuse bile ducts and bowel,,,5063.0,6859.0,2
HCPCS,47765,Fuse liver ducts & bowel,,,5063.0,6859.0,2
HCPCS,47780,Fuse bile ducts and bowel,,,5063.0,6859.0,2
HCPCS,47785,Fuse bile ducts and bowel,,,5063.0,6859.0,2
HCPCS,47800,Reconstruction of bile ducts,,,5063.0,6859.0,2
HCPCS,47801,Placement bile duct support,,,5063.0,6859.0,2
HCPCS,47802,Fuse liver duct & intestine,,,5063.0,5063.0,1
HCPCS,47900,Suture bile duct injury,,,5063.0,6859.0,2
HCPCS,47999,Bile tract surgery procedure,,,921.24,5272.0,11
HCPCS,48000,Drainage of abdomen,,,5063.0,6859.0,2
HCPCS,48000,Hc Ip Only - Pancreatitis Drain,15577.0,6075.03,,,0
HCPCS,48001,Placement of drain pancreas,,,5063.0,6859.0,2
HCPCS,48005,Resect/debride pancreas,,,5063.0,5063.0,1
HCPCS,48020,Removal of pancreatic stone,,,5063.0,6859.0,2
HCPCS,48100,Biopsy of pancreas open,,,5063.0,6859.0,2
HCPCS,48102,Hc Pancreas Needle Biopsy Perc,5420.0,2113.8,,,0
HCPCS,48102,Needle biopsy pancreas,,,1308.0,6297.43,13
HCPCS,48105,Resect/Debride Pancreas,,,5063.0,6859.0,2
HCPCS,48120,Removal of pancreas lesion,,,5063.0,6859.0,2
HCPCS,48140,Partial removal of pancreas,,,5063.0,6859.0,2
HCPCS,48145,Partial removal of pancreas,,,5063.0,6859.0,2
HCPCS,48146,Pancreatectomy,,,5063.0,6859.0,2
HCPCS,48148,Removal of pancreatic duct,,,5063.0,6859.0,2
HCPCS,48150,Partial removal of pancreas,,,5063.0,6859.0,2
HCPCS,48152,Pancreatectomy,,,5063.0,6859.0,2
HCPCS,48153,Pancreatectomy,,,5063.0,6859.0,2
HCPCS,48154,Pancreatectomy,,,5063.0,6859.0,2
HCPCS,48155,Removal of pancreas,,,5063.0,6859.0,2
HCPCS,48160,Pancreas removal/transplant,,,5063.0,6859.0,2
HCPCS,48180,Fuse pancreas and bowel,,,5063.0,5063.0,1
HCPCS,48400,Injection intraop add-on,,,5063.0,6859.0,2
HCPCS,48500,Surgery of pancreatic cyst,,,5063.0,6859.0,2
HCPCS,48510,Drain pancreatic pseudocyst,,,5063.0,6859.0,2
HCPCS,48511,Drain pancreatic pseudocyst,,,5063.0,5063.0,1
HCPCS,48520,Fuse pancreas cyst and bowel,,,5063.0,6859.0,2
HCPCS,48540,Fuse pancreas cyst and bowel,,,5063.0,6859.0,2
HCPCS,48545,Pancreatorrhaphy,,,5063.0,6859.0,2
HCPCS,48547,Duodenal exclusion,,,5063.0,6859.0,2
HCPCS,48548,Fuse Pancreas and Bowel,,,5063.0,6859.0,2
HCPCS,48550,Donor pancreatectomy,,,5063.0,5063.0,1
HCPCS,48551,Prep donor pancreas,,,5063.0,5063.0,1
HCPCS,48552,Prep donor pancreas/venous,,,5063.0,5063.0,1
HCPCS,48554,Transpl allograft pancreas,,,5063.0,5063.0,1
HCPCS,48556,Removal allograft pancreas,,,5063.0,5063.0,1
HCPCS,48999,Pancreas surgery procedure,,,719.26,5063.0,11
HCPCS,49000,Exploration of abdomen,,,2323.0,8448.0,3
HCPCS,49002,Reopening of abdomen,,,2323.0,6859.0,3
HCPCS,49010,Exploration behind abdomen,,,6389.0,24684.26,11
HCPCS,49010,Hc Ip Only -Expl Retroperitoneum W/Wo Bx Spx,3162.0,1233.18,,,0
HCPCS,49013,Prpertl pel pack hemrrg trma,,,5063.0,6859.0,2
HCPCS,49014,Reexploration pelvic wound,,,5063.0,6859.0,2
HCPCS,49020,Drainage abdom abscess open,,,5063.0,6859.0,2
HCPCS,49021,Drain abdominal abscess,,,5063.0,5063.0,1
HCPCS,49040,Drain open abdom abscess,,,5063.0,6859.0,2
HCPCS,49041,"Drain, percut, abdom abscess",,,5063.0,5063.0,1
HCPCS,49060,Drain open retroperi abscess,,,5063.0,6859.0,2
HCPCS,49061,"Drain, percut, retroper absc",,,5063.0,5063.0,1
HCPCS,49062,Drain to peritoneal cavity,,,5063.0,6859.0,2
HCPCS,49080,"Puncture, peritoneal cavity",,,1694.0,5063.0,2
HCPCS,49081,Removal of abdominal fluid,,,1694.0,5063.0,2
HCPCS,49082,Abd paracentesis,,,921.24,5272.0,12
HCPCS,49082,Hc Paracentesis Abdominal W/O Image Guidance,2934.0,1144.26,,,0
HCPCS,49083,Abd paracentesis w/imaging,,,921.24,5272.0,12
HCPCS,49083,Hc Paracentesis Abdominal With Image Guidance,6217.0,2424.63,,,0
HCPCS,49084,Peritoneal lavage,,,921.24,5272.0,12
HCPCS,49085,Remove abdomen foreign body,,,1694.0,5063.0,2
HCPCS,49180,Biopsy abdominal mass,,,1308.0,6297.43,13
HCPCS,49180,Hc Abdominal/Retroperitoneal Biopsy Perc,9155.0,3570.45,,,0
HCPCS,49185,Hc Sclerotx Fluid Collection Perc W Imag,10097.0,3937.83,,,0
HCPCS,49185,Sclerotx fluid collection,,,1677.55,7349.0,12
HCPCS,49186,Opn exc/dstr ntra-abd 5 cm/<,,,5063.0,6859.0,2
HCPCS,49187,Opn exc/dstr ntra-abd 5.1-10,,,5063.0,6859.0,2
HCPCS,49188,Opn exc/dst ntra-abd 10.1-20,,,5063.0,6859.0,2
HCPCS,49189,Opn exc/dst ntra-abd 20.1-30,,,5063.0,6859.0,2
HCPCS,49190,Opn exc/dstr ntra-abd >30 cm,,,5063.0,6859.0,2
HCPCS,49200,Removal of abdominal lesion,,,5063.0,5063.0,1
HCPCS,49201,Removal of abdominal lesion,,,2664.0,5063.0,2
HCPCS,49203,Exc abd tum 5 cm or less,,,5063.0,5063.0,1
HCPCS,49204,Exc abd tum over 5 cm,,,5063.0,5063.0,1
HCPCS,49205,Exc abd tum over 10 cm,,,5063.0,5063.0,1
HCPCS,49215,Excise sacral spine tumor,,,5063.0,6859.0,2
HCPCS,49220,Multiple surgery abdomen,,,5063.0,5063.0,1
HCPCS,49250,Excision of umbilicus,,,2323.0,13651.84,13
HCPCS,49255,Removal of omentum,,,6179.0,24684.26,11
HCPCS,49320,Diag laparo separate proc,,,1937.0,23051.21,13
HCPCS,49321,Laparoscopy biopsy,,,2323.0,23051.21,13
HCPCS,49322,Laparoscopy aspiration,,,2323.0,23051.21,13
HCPCS,49323,Laparo drain lymphocele,,,4923.0,23051.21,12
HCPCS,49324,Lap insert tunnel ip cath,,,6140.52,23051.21,12
HCPCS,49325,Lap Revision Perm IP Cath,,,6140.52,23051.21,12
HCPCS,49326,Lap w/Omentopexy Add-on,,,2665.0,9032.0,3
HCPCS,49327,Lap ins device for rt,,,2665.0,9032.0,3
HCPCS,49329,Laparo proc abdm/per/oment,,,3391.0,23051.21,11
HCPCS,49400,Air injection into abdomen,,,1308.0,3391.0,3
HCPCS,49400,Hc Inj Air/Cst Peritoneal Cavity,6294.0,2454.66,,,0
HCPCS,49402,Remove foreign body adbomen,,,1694.0,13651.84,13
HCPCS,49405,Hc Image Cath Fluid Visc Collection Perc,9655.0,3765.45,,,0
HCPCS,49405,Image cath fluid colxn visc,,,1677.55,9032.0,12
HCPCS,49406,Hc Image Cath Fluid Peri/Retro Perc,9425.0,3675.75,,,0
HCPCS,49406,Image cath fluid peri/retro,,,1677.55,9032.0,12
HCPCS,49407,Hc Image Cath Fluid Peri/Transvag-Rectal ?,8573.0,3343.47,,,0
HCPCS,49407,Image cath fluid trns/vgnl,,,1677.55,6297.43,12
HCPCS,49411,Hc Fiducial Mrkr Intra Abd/Pelvic And Or Retro Peritoneum,6717.0,2619.63,,,0
HCPCS,49411,Ins mark abd/pel for rt perq,,,1405.88,5277.6,12
HCPCS,49412,Ins device for rt guide open,,,5063.0,6859.0,2
HCPCS,49418,Hc Tunnel Ip Cath Insert Complete,39721.0,15491.19,,,0
HCPCS,49418,Insert tun ip cath perc,,,3636.66,13651.84,12
HCPCS,49419,Hc Tunnel Ip Cath Insert W/Port Implant,16650.0,6493.5,,,0
HCPCS,49419,Insert tun ip cath w/port,,,1308.0,21217.03,13
HCPCS,49420,Insert abdominal drain,,,1308.0,5063.0,2
HCPCS,49421,Hc Insertion Tunneled Intraperitoneal Catheter For Dialysis Open,6859.0,2675.01,,,0
HCPCS,49421,Ins tun ip cath for dial opn,,,1308.0,13651.84,13
HCPCS,49422,Hc Tunnel Ip Cath Removal,11010.0,4293.9,,,0
HCPCS,49422,Remove tunneled ip cath,,,1308.0,12039.27,13
HCPCS,49423,Exchange drainage catheter,,,1949.06,7316.67,11
HCPCS,49423,Hc Exchange Drainage Cath,3399.0,1325.61,,,0
HCPCS,49424,Assess cyst contrast inject,,,2665.0,3391.0,2
HCPCS,49424,Hc Assess Cyst Contrast Inj,1147.0,447.33,,,0
HCPCS,49425,Insert abdomen-venous drain,,,1694.0,5272.0,3
HCPCS,49426,Revise abdomen-venous shunt,,,1694.0,13651.84,13
HCPCS,49427,Hc Inj Abdominal Shunt,1389.0,541.71,,,0
HCPCS,49427,Injection abdominal shunt,,,2665.0,3391.0,2
HCPCS,49428,Ligation of shunt,,,5063.0,5272.0,2
HCPCS,49429,Removal of shunt,,,3207.1,12039.27,11
HCPCS,49435,Insert Subq Exten to IP Cath,,,3391.0,5272.0,2
HCPCS,49436,Embedded IP Cath Exit-Site,,,1949.06,7316.67,12
HCPCS,49440,Hc Gastric Tube Placement W Guidance Perc,29539.0,11520.21,,,0
HCPCS,49440,Place gastrostomy tube perc,,,1949.06,7316.67,12
HCPCS,49441,Hc Duoden/Jejun Tube Placement W Guidance Perc,29539.0,11520.21,,,0
HCPCS,49441,Place duod/jej tube perc,,,1949.06,7316.67,12
HCPCS,49442,Place cecostomy tube perc,,,1215.44,5699.0,12
HCPCS,49446,Change g-tube to g-j perc,,,1949.06,7316.67,12
HCPCS,49446,Hc Gastro Conversion To G-J Tube Perc,28841.0,11247.99,,,0
HCPCS,49450,Hc Gastro/Cecostomy Tube Replacement Perc,11737.0,4577.43,,,0
HCPCS,49450,Replace g/c tube perc,,,921.24,5272.0,12
HCPCS,49451,Hc Duodenos/Jejunos Tube Replacement,19759.0,7706.01,,,0
HCPCS,49451,Replace duod/jej tube perc,,,921.24,5272.0,12
HCPCS,49452,Hc Gastro/Jejunostomy Tube Replacement,27403.0,10687.17,,,0
HCPCS,49452,Replace g-j tube perc,,,921.24,5272.0,12
HCPCS,49460,Fix g/colon tube w/device,,,921.24,5272.0,12
HCPCS,49460,Hc G Colon Tube Fix W Device Fl Guide,4410.0,1719.9,,,0
HCPCS,49465,Fluoro exam of g/colon tube,,,242.35,3391.0,11
HCPCS,49465,Hc G Colon Tube Cst Inj Eval Perc,6195.0,2416.05,,,0
HCPCS,49491,Rpr hern preemie reduc,,,6140.52,23051.21,11
HCPCS,49492,Rpr ing hern premie blocked,,,3636.66,13651.84,11
HCPCS,49495,Rpr ing hernia baby reduc,,,2323.0,13651.84,13
HCPCS,49496,Rpr ing hernia baby blocked,,,2323.0,13651.84,13
HCPCS,49500,Rpr ing hernia init reduce,,,2323.0,24684.26,13
HCPCS,49501,Rpr ing hernia init blocked,,,3636.66,13651.84,13
HCPCS,49505,Prp i/hern init reduc >5 yr,,,2323.0,13651.84,13
HCPCS,49507,Prp i/hern init block >5 yr,,,3636.66,13651.84,13
HCPCS,49520,Rerepair ing hernia reduce,,,3636.66,13651.84,13
HCPCS,49521,Rerepair ing hernia blocked,,,6389.0,24684.26,13
HCPCS,49525,Repair ing hernia sliding,,,2323.0,13651.84,13
HCPCS,49540,Repair lumbar hernia,,,1694.0,23051.21,13
HCPCS,49550,Rpr rem hernia init reduce,,,2664.0,13651.84,13
HCPCS,49553,Rpr fem hernia init blocked,,,3636.66,13651.84,13
HCPCS,49555,Rerepair fem hernia reduce,,,2664.0,13651.84,13
HCPCS,49557,Rerepair fem hernia blocked,,,3636.66,13651.84,13
HCPCS,49560,Rpr ventral hern init reduc,,,2323.0,5063.0,3
HCPCS,49561,Rpr ventral hern init block,,,5063.0,9032.0,3
HCPCS,49565,Rerepair ventrl hern reduce,,,2323.0,5063.0,3
HCPCS,49566,Rerepair ventrl hern block,,,5063.0,9032.0,3
HCPCS,49568,Hernia repair w/mesh,,,3721.0,5063.0,2
HCPCS,49570,Rpr epigastric hern reduce,,,2323.0,5063.0,3
HCPCS,49572,Rpr epigastric hern blocked,,,5063.0,9032.0,3
HCPCS,49580,Rpr umbil hern reduc < 5 yr,,,2323.0,5063.0,3
HCPCS,49582,Rpr umbil hern block < 5 yr,,,5063.0,9032.0,3
HCPCS,49585,Rpr umbil hern reduc > 5 yr,,,2323.0,5063.0,3
HCPCS,49587,Rpr umbil hern block > 5 yr,,,5063.0,9032.0,3
HCPCS,49590,Repair spigelian hernia,,,1937.0,5063.0,3
HCPCS,49591,Rpr aa hrn 1st < 3 cm rdc,,,3636.66,13651.84,11
HCPCS,49592,Rpr aa hrn 1st < 3 ncr/strn,,,6140.52,23051.21,11
HCPCS,49593,Rpr aa hrn 1st 3-10 rdc,,,6389.0,24684.26,11
HCPCS,49594,Rpr aa hrn 1st 3-10 ncr/strn,,,6140.52,23051.21,11
HCPCS,49595,Rpr aa hrn 1st > 10 rdc,,,6389.0,24684.26,11
HCPCS,49596,Rpr aa hrn 1st > 10 ncr/strn,,,6389.0,15026.0,2
HCPCS,49600,Repair umbilical lesion,,,2323.0,13651.84,13
HCPCS,49605,Repair umbilical lesion,,,6389.0,6859.0,2
HCPCS,49606,Repair umbilical lesion,,,5063.0,6859.0,2
HCPCS,49610,Repair umbilical lesion,,,5063.0,6859.0,2
HCPCS,49611,Repair umbilical lesion,,,5063.0,6859.0,2
HCPCS,49613,Rpr aa hrn rcr < 3 rdc,,,3636.66,13651.84,11
HCPCS,49614,Rpr aa hrn rcr < 3 ncr/strn,,,6140.52,23051.21,11
HCPCS,49615,Rpr aa hrn rcr 3-10 rdc,,,6389.0,24684.26,11
HCPCS,49616,Rpr aa hrn rcr 3-10 ncr/strn,,,6760.0,15026.0,2
HCPCS,49617,Rpr aa hrn rcr > 10 rdc,,,6389.0,15026.0,2
HCPCS,49618,Rpr aa hrn rcr > 10 ncr/strn,,,6760.0,15026.0,2
HCPCS,49621,Rpr parastomal hernia rdc,,,6389.0,15026.0,2
HCPCS,49622,Rpr parastomal hrna ncr/strn,,,6760.0,15026.0,2
HCPCS,49623,Rmvl ninfct mesh hernia rpr,,,2665.0,3391.0,2
HCPCS,49650,Lap ing hernia repair init,,,2323.0,23051.21,13
HCPCS,49651,Lap ing hernia repair recur,,,3721.0,23051.21,13
HCPCS,49652,Lap vent/abd hernia repair,,,5063.0,9032.0,2
HCPCS,49653,Lap vent/abd hern proc comp,,,5063.0,9032.0,2
HCPCS,49654,Lap inc hernia repair,,,5063.0,9032.0,2
HCPCS,49655,Lap inc hern repair comp,,,5063.0,9032.0,2
HCPCS,49656,Lap inc hernia repair recur,,,5063.0,9032.0,2
HCPCS,49657,Lap inc hern recur comp,,,5063.0,9032.0,2
HCPCS,49659,Laparo proc hernia repair,,,6140.52,23051.21,11
HCPCS,49900,Repair of abdominal wall,,,5063.0,6859.0,2
HCPCS,49904,Omental flap extra-abdom,,,5063.0,6859.0,2
HCPCS,49905,Omental flap intra-abdom,,,5063.0,6859.0,2
HCPCS,49906,Free omental flap microvasc,,,5063.0,6859.0,2
HCPCS,49999,Abdomen surgery procedure,,,921.24,5272.0,11
HCPCS,49999,Hc Abdomen Peritoneum And Omentum Procedure Unlisted,4654.0,1815.06,,,0
HCPCS,50010,Exploration of kidney,,,5063.0,6859.0,2
HCPCS,50020,Renal abscess open drain,,,1694.0,7970.5,12
HCPCS,50021,"Renal abscess, percut drain",,,5063.0,5063.0,1
HCPCS,50040,Drainage of kidney,,,1937.0,6179.0,3
HCPCS,50045,Exploration of kidney,,,5063.0,6859.0,2
HCPCS,50060,Removal of kidney stone,,,2664.0,6859.0,3
HCPCS,50065,Incision of kidney,,,5063.0,6859.0,2
HCPCS,50070,Incision of kidney,,,5063.0,6859.0,2
HCPCS,50075,Removal of kidney stone,,,5063.0,6859.0,2
HCPCS,50080,Hc Nephrostolithotomy Up To 2Cm Perc,22432.0,8748.48,,,0
HCPCS,50080,Removal of kidney stone,,,2323.0,36095.01,12
HCPCS,50081,Removal of kidney stone,,,6760.0,36095.01,11
HCPCS,50100,Revise kidney blood vessels,,,5063.0,6859.0,2
HCPCS,50120,Exploration of kidney,,,2323.0,6859.0,3
HCPCS,50125,Explore and drain kidney,,,5063.0,6859.0,2
HCPCS,50130,Removal of kidney stone,,,5063.0,6859.0,2
HCPCS,50135,Exploration of kidney,,,5063.0,5063.0,1
HCPCS,50200,Hc Renal Needle Biopsy Perc,11023.0,4298.97,,,0
HCPCS,50200,Renal biopsy perq,,,1308.0,6297.43,13
HCPCS,50205,Renal biopsy open,,,1937.0,6859.0,3
HCPCS,50220,Remove kidney open,,,5063.0,6859.0,2
HCPCS,50225,Removal kidney open complex,,,5063.0,6859.0,2
HCPCS,50230,Removal kidney open radical,,,5063.0,6859.0,2
HCPCS,50234,Removal of kidney & ureter,,,5063.0,6859.0,2
HCPCS,50236,Removal of kidney & ureter,,,5063.0,6859.0,2
HCPCS,50240,Partial removal of kidney,,,5063.0,6859.0,2
HCPCS,50250,Cryoablate renal mass open,,,6859.0,9000.0,2
HCPCS,50280,Removal of kidney lesion,,,5063.0,6859.0,2
HCPCS,50290,Removal of kidney lesion,,,5063.0,6859.0,2
HCPCS,50300,Hc Donor Nephrectomy Cadaver Donor Uni/Bilateral,411851.0,160621.89,,,0
HCPCS,50300,Remove cadaver donor kidney,,,5063.0,6859.0,2
HCPCS,50320,Hc Donor Nephrectomy Open Living Donor,411851.0,160621.89,,,0
HCPCS,50320,Remove kidney living donor,,,5063.0,6859.0,2
HCPCS,50323,Prep cadaver renal allograft,,,5063.0,6859.0,2
HCPCS,50325,Prep donor renal graft,,,5063.0,6859.0,2
HCPCS,50327,Prep renal graft/venous,,,5063.0,6859.0,2
HCPCS,50328,Prep renal graft/arterial,,,5063.0,6859.0,2
HCPCS,50329,Prep renal graft/ureteral,,,5063.0,6859.0,2
HCPCS,50340,Removal of kidney,,,5063.0,6859.0,2
HCPCS,50360,Transplantation of kidney,,,5063.0,6859.0,2
HCPCS,50365,Transplantation of kidney,,,5063.0,6859.0,2
HCPCS,50370,Remove transplanted kidney,,,5063.0,6859.0,2
HCPCS,50380,Reimplantation of kidney,,,5063.0,6859.0,2
HCPCS,50382,Change ureter stent percut,,,2123.23,7970.5,12
HCPCS,50382,Hc Ureteral Stent Exchange Perc,44352.0,17297.28,,,0
HCPCS,50384,Hc Ureteral Stent Internal Removal Perc,47984.0,18713.76,,,0
HCPCS,50384,Remove ureter stent percut,,,2123.23,7970.5,12
HCPCS,50385,Change stent via transureth,,,2123.23,7970.5,12
HCPCS,50385,Hc Remove And Replace Indwell Ureteral Stent Trurthrl,2847.0,1110.33,,,0
HCPCS,50386,Hc Remove Int Dwell Ureteral Stent Transurethral,6470.0,2523.3,,,0
HCPCS,50386,Remove stent via transureth,,,2123.23,7970.5,12
HCPCS,50387,Change nephroureteral cath,,,2123.23,7970.5,12
HCPCS,50387,Hc Transnephric Ureteral Stent Int/Ext Change W Fl,24010.0,9363.9,,,0
HCPCS,50389,Hc Nephrostomy Tube Removal W Fl,8995.0,3508.05,,,0
HCPCS,50389,Remove renal tube w/fluoro,,,708.25,4066.0,12
HCPCS,50390,Drainage of kidney lesion,,,719.26,4066.0,13
HCPCS,50390,Hc Renal/Pelvis Cyst Needle Inj/Asp Perc,9958.0,3883.62,,,0
HCPCS,50391,Hc Instlj Ther Agent Renal Pelvis And/Or Ureter Via Tub,962.0,375.18,,,0
HCPCS,50391,Instll rx agnt into rnal tub,,,253.77,3391.0,12
HCPCS,50392,Insert kidney drain,,,1308.0,5063.0,2
HCPCS,50393,Insert ureteral tube,,,1308.0,5063.0,2
HCPCS,50394,Injection for kidney x-ray,,,1308.0,5063.0,2
HCPCS,50395,Create passage to kidney,,,1308.0,5063.0,2
HCPCS,50396,Measure kidney pressure,,,708.25,4066.0,13
HCPCS,50398,Change kidney tube,,,1308.0,5063.0,2
HCPCS,50400,Revision of kidney/ureter,,,5063.0,8448.0,2
HCPCS,50405,Revision of kidney/ureter,,,5063.0,8448.0,2
HCPCS,50430,Hc Ant Nfrostogrm And Urtrgrm Inj Px New Access W Imag,2899.0,1130.61,,,0
HCPCS,50430,Njx px nfrosgrm &/urtrgrm,,,708.25,4220.0,12
HCPCS,50431,Hc Ant Nfrostogrm And Urtrgrm Inj Px Existing Access W Imag,3904.0,1522.56,,,0
HCPCS,50431,Njx px nfrosgrm &/urtrgrm,,,708.25,4220.0,12
HCPCS,50432,Hc Nephrostomy Cath Plmt Prq New Access Rs And I,13839.0,5397.21,,,0
HCPCS,50432,Plmt nephrostomy catheter,,,2123.23,7970.5,12
HCPCS,50433,Hc Nephroureteral Cath Plmt Prq New Access Rs And I,15691.0,6119.49,,,0
HCPCS,50433,Plmt nephroureteral catheter,,,3580.37,13440.53,12
HCPCS,50434,Convert nephrostomy catheter,,,2123.23,7970.5,12
HCPCS,50434,Hc Nephrostomy Convert Cath Pre-Exist Trk W Imag,15691.0,6119.49,,,0
HCPCS,50435,Exchange nephrostomy cath,,,2123.23,7970.5,12
HCPCS,50435,Hc Nephrostomy Exchange Cath W Image,11249.0,4387.11,,,0
HCPCS,50436,Dilat xst trc ndurlgc px,,,3391.0,13440.53,12
HCPCS,50436,Hc Perq Dilation Xst Trc Endourologic Px W/Imaging,12360.0,4820.4,,,0
HCPCS,50437,Dilat xst trc new access rcs,,,3580.37,13440.53,11
HCPCS,50437,Hc Renal Dilitation Xst Trc New Access Coll Sys W/Imaging Perc,20797.0,8110.83,,,0
HCPCS,50500,Repair of kidney wound,,,5063.0,6859.0,2
HCPCS,50520,Close kidney-skin fistula,,,1308.0,4066.0,3
HCPCS,50525,Close nephrovisceral fistula,,,5063.0,6859.0,2
HCPCS,50526,Close nephrovisceral fistula,,,5063.0,6859.0,2
HCPCS,50540,Revision of horseshoe kidney,,,5063.0,6859.0,2
HCPCS,50541,Laparo ablate renal cyst,,,5699.0,40530.88,12
HCPCS,50542,Laparo ablate renal mass,,,9000.0,40530.88,11
HCPCS,50543,Laparo partial nephrectomy,,,9000.0,40530.88,11
HCPCS,50544,Laparoscopy pyeloplasty,,,5699.0,40530.88,12
HCPCS,50545,Laparo Radical Nephrectomy,,,5063.0,6859.0,2
HCPCS,50546,Laparoscopic nephrectomy,,,6760.0,6859.0,2
HCPCS,50547,Laparo removal donor kidney,,,6760.0,6859.0,2
HCPCS,50548,Laparo remove w/ureter,,,6760.0,6859.0,2
HCPCS,50549,Laparoscope proc renal,,,5809.0,23051.21,11
HCPCS,50551,Kidney endoscopy,,,1308.0,20444.19,13
HCPCS,50553,Kidney endoscopy,,,1308.0,20444.19,13
HCPCS,50555,Kidney endoscopy & biopsy,,,1308.0,36095.01,13
HCPCS,50557,Kidney endoscopy & treatment,,,1308.0,36095.01,13
HCPCS,50559,Renal endoscopy/radiotracer,,,1308.0,5063.0,2
HCPCS,50561,Kidney endoscopy & treatment,,,1308.0,20444.19,13
HCPCS,50562,Renal scope w/tumor resect,,,2572.0,36095.01,12
HCPCS,50570,Kidney endoscopy,,,1308.0,13440.53,13
HCPCS,50572,Kidney endoscopy,,,708.25,4066.0,13
HCPCS,50574,Kidney endoscopy & biopsy,,,1308.0,13440.53,13
HCPCS,50575,Kidney endoscopy,,,5063.0,20444.19,11
HCPCS,50576,Kidney endoscopy & treatment,,,1308.0,36095.01,12
HCPCS,50578,Renal endoscopy/radiotracer,,,1308.0,5063.0,2
HCPCS,50580,Kidney endoscopy & treatment,,,1308.0,20444.19,12
HCPCS,50590,Fragmenting of kidney stone,,,3580.37,15026.0,13
HCPCS,50590,Hc Lithotripsy Eswl Extracorp Shock Wave,38967.0,15197.130000000001,,,0
HCPCS,50592,Hc Renal Ablation Unilateral,15426.0,6016.14,,,0
HCPCS,50592,Perc rf ablate renal tumor,,,2572.0,23051.21,12
HCPCS,50593,Hc Ablation Renal Tumors Perc Cryothy Unilat,30953.0,12071.67,,,0
HCPCS,50593,Perc cryo ablate renal tum,,,9032.0,40530.88,12
HCPCS,50600,Exploration of ureter,,,6760.0,6859.0,2
HCPCS,50605,Insert ureteral support,,,6760.0,6859.0,2
HCPCS,50606,Endoluminal bx urtr rnl plvs,,,2665.0,3391.0,2
HCPCS,50606,Hc Ureter/Renal Pelvis Endoluminal Bx W Image Add On,1817.0,708.63,,,0
HCPCS,50610,Removal of ureter stone,,,6760.0,6859.0,2
HCPCS,50620,Removal of ureter stone,,,6760.0,6859.0,2
HCPCS,50630,Removal of ureter stone,,,6760.0,6859.0,2
HCPCS,50650,Removal of ureter,,,6859.0,8245.0,2
HCPCS,50660,Removal of ureter,,,6859.0,8245.0,2
HCPCS,50684,Hc Ureterography/Pyelography Inj,562.0,219.18,,,0
HCPCS,50684,Injection for ureter x-ray,,,1308.0,3391.0,3
HCPCS,50686,Measure ureter pressure,,,130.69,5063.0,11
HCPCS,50688,Change of ureter tube/stent,,,1308.0,7970.5,13
HCPCS,50688,Hc Ureterostomy Tube/Stent Change,3263.0,1272.57,,,0
HCPCS,50690,Hc Ureteropyelography/Ileal Conduit Inj,1903.0,742.17,,,0
HCPCS,50690,Injection for ureter x-ray,,,1308.0,3391.0,3
HCPCS,50693,Hc Ureteral Stent Plmt Perc Pre-Existing Trk W Imag,15477.0,6036.03,,,0
HCPCS,50693,Plmt ureteral stent prq,,,3580.37,13440.53,12
HCPCS,50694,Hc Ureteral Stent Plmt Perc Wo Neph Cath New Access W Imag,15477.0,6036.03,,,0
HCPCS,50694,Plmt ureteral stent prq,,,3580.37,13440.53,12
HCPCS,50695,Hc Ureteral Stent Plmt Perc W Neph Cath New Access W Imag,16228.0,6328.92,,,0
HCPCS,50695,Plmt ureteral stent prq,,,3580.37,13440.53,12
HCPCS,50700,Revision of ureter,,,5063.0,6859.0,2
HCPCS,50705,Hc Ureteral Embolization/Occlusion W/Img Gid Rs And I,7798.0,3041.22,,,0
HCPCS,50705,Ureteral embolization/occl,,,2665.0,3391.0,2
HCPCS,50706,Balloon dilate urtrl strix,,,2665.0,3391.0,2
HCPCS,50706,Hc Ureteral Strix Balloon Dilate W Imag Add On,1817.0,708.63,,,0
HCPCS,50715,Release of ureter,,,2664.0,6859.0,3
HCPCS,50722,Release of ureter,,,5063.0,6859.0,2
HCPCS,50725,Release/revise ureter,,,5063.0,6859.0,2
HCPCS,50727,Revise ureter,,,3580.37,13440.53,11
HCPCS,50728,Revise ureter,,,5063.0,6859.0,2
HCPCS,50740,Fusion of ureter & kidney,,,5063.0,6859.0,2
HCPCS,50750,Fusion of ureter & kidney,,,5063.0,6859.0,2
HCPCS,50760,Fusion of ureters,,,5063.0,6859.0,2
HCPCS,50770,Splicing of ureters,,,5063.0,6859.0,2
HCPCS,50780,Reimplant ureter in bladder,,,5063.0,6179.0,2
HCPCS,50782,Reimplant ureter in bladder,,,5063.0,6859.0,2
HCPCS,50783,Reimplant ureter in bladder,,,5063.0,6859.0,2
HCPCS,50785,Reimplant ureter in bladder,,,5063.0,6859.0,2
HCPCS,50800,Implant ureter in bowel,,,5063.0,6859.0,2
HCPCS,50810,Fusion of ureter & bowel,,,5063.0,6859.0,2
HCPCS,50815,Urine shunt to intestine,,,5063.0,6859.0,2
HCPCS,50820,Construct bowel bladder,,,5063.0,6859.0,2
HCPCS,50825,Construct bowel bladder,,,5063.0,6859.0,2
HCPCS,50830,Revise urine flow,,,5063.0,6859.0,2
HCPCS,50840,Replace ureter by bowel,,,5063.0,6859.0,2
HCPCS,50845,Appendico-vesicostomy,,,5063.0,6859.0,2
HCPCS,50860,Transplant ureter to skin,,,5063.0,6859.0,2
HCPCS,50900,Repair of ureter,,,5063.0,6859.0,2
HCPCS,50920,Closure ureter/skin fistula,,,5063.0,6859.0,2
HCPCS,50930,Closure ureter/bowel fistula,,,5063.0,6859.0,2
HCPCS,50940,Release of ureter,,,5063.0,6859.0,2
HCPCS,50945,Laparoscopy ureterolithotomy,,,5699.0,23051.21,12
HCPCS,50947,Laparo New Ureter/Bladder,,,7487.0,40530.88,13
HCPCS,50948,Laparo New Ureter/Bladder,,,7487.0,40530.88,13
HCPCS,50949,Laparoscope proc ureter,,,6140.52,23051.21,11
HCPCS,50951,Endoscopy of ureter,,,1308.0,13440.53,13
HCPCS,50953,Endoscopy of ureter,,,1308.0,13440.53,13
HCPCS,50955,Ureter endoscopy & biopsy,,,1308.0,20444.19,13
HCPCS,50957,Ureter endoscopy & treatment,,,1308.0,20444.19,13
HCPCS,50959,Ureter endoscopy & tracer,,,1308.0,5063.0,2
HCPCS,50961,Ureter endoscopy & treatment,,,1308.0,20444.19,13
HCPCS,50970,Ureter endoscopy,,,1308.0,13440.53,13
HCPCS,50972,Ureter endoscopy & catheter,,,1308.0,13440.53,13
HCPCS,50974,Ureter endoscopy & biopsy,,,1308.0,20444.19,13
HCPCS,50976,Ureter endoscopy & treatment,,,1308.0,20444.19,13
HCPCS,50978,Ureter endoscopy & tracer,,,1308.0,5063.0,2
HCPCS,50980,Ureter endoscopy & treatment,,,1308.0,20444.19,13
HCPCS,51000,Drainage of bladder,,,5063.0,5063.0,1
HCPCS,51005,Drainage of bladder,,,1308.0,5063.0,2
HCPCS,51010,Drainage of bladder,,,1308.0,5063.0,2
HCPCS,51020,Incise & treat bladder,,,2323.0,13440.53,13
HCPCS,51030,Incise & treat bladder,,,2323.0,5063.0,3
HCPCS,51040,Incise & drain bladder,,,2123.23,7970.5,13
HCPCS,51045,Incise bladder/drain ureter,,,2123.23,7970.5,13
HCPCS,51050,Removal of bladder stone,,,2323.0,20444.19,13
HCPCS,51060,Removal of ureter stone,,,2123.23,11889.0,11
HCPCS,51065,Remove ureter calculus,,,2323.0,13440.53,13
HCPCS,51080,Drainage of bladder abscess,,,1308.0,11075.49,13
HCPCS,51100,Drain bladder by needle,,,253.77,3391.0,11
HCPCS,51100,Hc Aspiration Bladder Needle,1515.0,590.85,,,0
HCPCS,51101,Drain bladder by trocar/cath,,,872.23,5272.0,11
HCPCS,51102,Drain bl w/cath insertion,,,2123.23,7970.5,12
HCPCS,51102,Hc Bladder Aspiration W-Supracath,8110.0,3162.9,,,0
HCPCS,51500,Removal of bladder cyst,,,2323.0,23051.21,13
HCPCS,51520,Removal of bladder lesion,,,2323.0,13440.53,13
HCPCS,51525,Removal of bladder lesion,,,5063.0,8448.0,2
HCPCS,51530,Removal of bladder lesion,,,5063.0,8448.0,2
HCPCS,51535,Repair of ureter lesion,,,3580.37,13440.53,11
HCPCS,51550,Partial removal of bladder,,,5063.0,6859.0,2
HCPCS,51555,Partial removal of bladder,,,5063.0,6859.0,2
HCPCS,51565,Revise bladder & ureter(s),,,5063.0,6859.0,2
HCPCS,51570,Removal of bladder,,,5063.0,6859.0,2
HCPCS,51575,Removal of bladder & nodes,,,5063.0,6859.0,2
HCPCS,51580,Remove bladder/revise tract,,,5063.0,6859.0,2
HCPCS,51585,Removal of bladder & nodes,,,5063.0,6859.0,2
HCPCS,51590,Remove bladder/revise tract,,,5063.0,6859.0,2
HCPCS,51595,Remove bladder/revise tract,,,5063.0,6859.0,2
HCPCS,51596,Remove bladder/create pouch,,,5063.0,6859.0,2
HCPCS,51597,Removal of pelvic structures,,,5063.0,6859.0,2
HCPCS,51600,Hc Cystogram Or Voiding Urethrocystgram Inj,2283.0,890.37,,,0
HCPCS,51600,Injection for bladder x-ray,,,1308.0,5063.0,3
HCPCS,51605,Preparation for bladder xray,,,1308.0,5063.0,3
HCPCS,51610,Hc Retrocysto/Urethro Graph Injection,1757.0,685.23,,,0
HCPCS,51610,Injection for bladder x-ray,,,1308.0,5063.0,3
HCPCS,51700,Hc Bladder Irrigation Simple,1764.5,688.155,,,0
HCPCS,51700,Irrigation of bladder,,,253.77,3391.0,11
HCPCS,51701,Hc Insertion Straight Cath Bladder,945.0,368.55,,,0
HCPCS,51701,Insert bladder catheter,,,135.14,3391.0,11
HCPCS,51702,Catheterization Foley Simple,347.0,135.33,,,0
HCPCS,51702,Hc Insertion Foley Cath Bladder,666.5,259.935,,,0
HCPCS,51702,Insert temp bladder cath,,,135.14,3391.0,11
HCPCS,51703,Hc Catheterization Urethra Complex,1507.0,587.73,,,0
HCPCS,51703,Insert bladder cath complex,,,130.69,3391.0,12
HCPCS,51705,Change of bladder tube,,,253.77,3391.0,12
HCPCS,51705,Hc Cystotomy Tube Change Simple,1906.5,743.5350000000001,,,0
HCPCS,51710,Change of bladder tube,,,708.25,4066.0,13
HCPCS,51710,Hc Cystotomy Tube Change Complex,10412.0,4060.68,,,0
HCPCS,51715,Endoscopic injection/implant,,,1937.0,13440.53,13
HCPCS,51720,Hc Bladder Instillation Of Chemo,1850.0,721.5,,,0
HCPCS,51720,Treatment of bladder lesion,,,139.75,3391.0,13
HCPCS,51721,Ins trurl ablt trnsdc thr us,,,4714.0,6859.0,2
HCPCS,51725,Hc Simple Cystometrogram,1017.0,396.63,,,0
HCPCS,51725,Simple cystometrogram,,,253.77,3391.0,13
HCPCS,51726,Complex cystometrogram,,,253.77,3391.0,13
HCPCS,51727,Cystometrogram w/up,,,708.25,4066.0,11
HCPCS,51728,Cystometrogram w/vp,,,708.25,4066.0,11
HCPCS,51728,Hc Cmg W Voiding Pressure,3170.5,1236.495,,,0
HCPCS,51729,Cystometrogram w/vp&up,,,708.25,4066.0,11
HCPCS,51729,Hc Cmg W Voiding Pressure/Urethral Studies,3170.5,1236.495,,,0
HCPCS,51736,Hc Uroflow Simple Stop Watch/Mech Meter,703.0,274.17,,,0
HCPCS,51736,Urine flow measurement,,,135.14,5063.0,11
HCPCS,51741,Electro-uroflowmetry first,,,219.32,5063.0,11
HCPCS,51741,Hc Uroflow Complex Calibrated Electronic Equip,600.0,234.0,,,0
HCPCS,51772,Urethra pressure profile,,,1308.0,5063.0,2
HCPCS,51784,Anal/urinary muscle study,,,130.69,5063.0,11
HCPCS,51784,Hc Emg Surface,987.0,384.93,,,0
HCPCS,51785,Anal/urinary muscle study,,,253.77,3391.0,13
HCPCS,51785,Hc Emg Anal Spincter,1723.0,671.97,,,0
HCPCS,51792,Urinary reflex study,,,59.92,5063.0,11
HCPCS,51795,Urine voiding pressure study,,,5063.0,5063.0,1
HCPCS,51797,Hc Intra Abdominal Voiding Pressure,1401.5,546.585,,,0
HCPCS,51797,Intraabdominal pressure test,,,2665.0,3391.0,2
HCPCS,51798,Hc Meas Post-Void Residual Urine/Bladder Cap Daily,945.0,368.55,,,0
HCPCS,51798,Us urine capacity measure,,,59.92,5063.0,11
HCPCS,51800,Revision of bladder/urethra,,,6859.0,9000.0,2
HCPCS,51820,Revision of urinary tract,,,6859.0,9000.0,2
HCPCS,51840,Attach bladder/urethra,,,1694.0,19074.02,12
HCPCS,51841,Attach bladder/urethra,,,6179.0,9000.0,2
HCPCS,51845,Repair bladder neck,,,2323.0,19074.02,12
HCPCS,51860,Repair of bladder wound,,,4714.0,36095.01,11
HCPCS,51865,Repair of bladder wound,,,2323.0,8448.0,3
HCPCS,51880,Repair of bladder opening,,,1308.0,13440.53,13
HCPCS,51900,Repair bladder/vagina lesion,,,2323.0,8448.0,3
HCPCS,51920,Close bladder-uterus fistula,,,1937.0,6179.0,3
HCPCS,51925,Hysterectomy/bladder repair,,,5063.0,6859.0,2
HCPCS,51940,Correction of bladder defect,,,5063.0,6859.0,2
HCPCS,51960,Revision of bladder & bowel,,,5063.0,6859.0,2
HCPCS,51980,Construct bladder opening,,,5063.0,6179.0,2
HCPCS,51990,Laparo urethral suspension,,,5699.0,23051.21,12
HCPCS,51992,Laparo sling operation,,,2664.0,23051.21,13
HCPCS,51999,Laparoscope proc bla,,,5809.0,23051.21,11
HCPCS,52000,Cystoscopy,,,708.25,4066.0,13
HCPCS,52000,Hc Cystourethroscopy,3673.5,1432.665,,,0
HCPCS,52001,Cystoscopy removal of clots,,,1694.0,13440.53,13
HCPCS,52001,Hc Cystourethroscopy W Evac Clots,10182.0,3970.98,,,0
HCPCS,52005,Cystoscopy & ureter catheter,,,1694.0,7970.5,13
HCPCS,52005,Hc Cystourethroscopy W Cath W/Wo Irrigation,7384.5,2879.955,,,0
HCPCS,52007,Cystoscopy and biopsy,,,1694.0,13440.53,13
HCPCS,52010,Cystoscopy & duct catheter,,,708.25,4714.0,13
HCPCS,52204,Cystoscopy w/biopsy(s),,,1694.0,7970.5,13
HCPCS,52204,Hc Cystourethroscopy W Bladder Bx,7086.5,2763.735,,,0
HCPCS,52214,Cystoscopy and treatment,,,1694.0,13440.53,13
HCPCS,52214,Hc Cystourethroscopy W Fulguration Bladder Neck,10182.0,3970.98,,,0
HCPCS,52224,Cystoscopy and treatment,,,1694.0,13440.53,13
HCPCS,52224,Hc Cysto W/Removal Of Lesions Small Under 0.5Cm,7384.5,2879.955,,,0
HCPCS,52234,Cystoscopy and treatment,,,1694.0,13440.53,13
HCPCS,52234,Hc Cystourethroscopy W Fulguration Tumor 0.5-2.0 Cm,10968.0,4277.5199999999995,,,0
HCPCS,52235,Cystoscopy and treatment,,,1937.0,13440.53,13
HCPCS,52235,Hc Cystourethroscopy W Fulguration Tumor 2.0-5.0 Cm,10968.0,4277.5199999999995,,,0
HCPCS,52240,Cystoscopy and treatment,,,1937.0,20444.19,13
HCPCS,52250,Cystoscopy and radiotracer,,,2323.0,13440.53,13
HCPCS,52250,Hc Cystourethroscopy Insj Radioact Sbst W/Wobx/Fulg,16925.0,6600.75,,,0
HCPCS,52260,Cystoscopy and treatment,,,1694.0,7970.5,13
HCPCS,52265,Cystoscopy and treatment,,,2123.23,7970.5,12
HCPCS,52265,Hc Cystourethroscopy W Hydrodistension,7384.5,2879.955,,,0
HCPCS,52270,Cystoscopy & revise urethra,,,1694.0,7970.5,13
HCPCS,52275,Cystoscopy & revise urethra,,,1694.0,7970.5,13
HCPCS,52276,Cystoscopy and treatment,,,1937.0,7970.5,13
HCPCS,52277,Cystoscopy and treatment,,,1694.0,13440.53,13
HCPCS,52281,Cystoscopy and treatment,,,1694.0,7970.5,13
HCPCS,52281,Hc Cystourethroscopy W Calibration Urethral Stricture,5275.5,2057.445,,,0
HCPCS,52282,Cystoscopy implant stent,,,3580.37,13440.53,13
HCPCS,52283,Cystoscopy and treatment,,,1694.0,7970.5,13
HCPCS,52284,Cysto rx balo cath urtl strx,,,5446.05,20444.19,11
HCPCS,52285,Cystoscopy and treatment,,,708.25,5272.0,13
HCPCS,52287,Cystoscopy chemodenervation,,,2123.23,7970.5,12
HCPCS,52287,Hc Cystourethroscopy W Inj Chemodenervation,7048.5,2748.915,,,0
HCPCS,52290,Cystoscopy and treatment,,,1694.0,7970.5,13
HCPCS,52300,Cystoscopy and treatment,,,1694.0,13440.53,13
HCPCS,52301,Cystoscopy and treatment,,,1937.0,13440.53,13
HCPCS,52305,Cystoscopy and treatment,,,1694.0,20444.19,13
HCPCS,52310,Cystoscopy and treatment,,,1694.0,7970.5,13
HCPCS,52310,Hc Cystourethroscopy W Removal Fb Simple,7268.0,2834.5199999999995,,,0
HCPCS,52315,Cystoscopy and treatment,,,1694.0,7970.5,13
HCPCS,52315,Hc Cystourethroscopy W Removal Fb Complex,9693.0,3780.27,,,0
HCPCS,52317,Remove bladder stone,,,1308.0,13440.53,13
HCPCS,52318,Remove bladder stone,,,1694.0,13440.53,13
HCPCS,52320,Cystoscopy and treatment,,,2664.0,13440.53,13
HCPCS,52320,Hc Cystourethroscopy W Removal Ureteral Calculus,10182.0,3970.98,,,0
HCPCS,52325,Cystoscopy stone removal,,,2323.0,20444.19,13
HCPCS,52327,Cystoscopy inject material,,,1694.0,20444.19,13
HCPCS,52330,Cystoscopy and treatment,,,1694.0,13440.53,13
HCPCS,52332,Cystoscopy and treatment,,,1694.0,13440.53,13
HCPCS,52332,Hc Cystourethroscopy W Insertion Ureteral Stent,12249.5,4777.305,,,0
HCPCS,52334,Create passage to kidney,,,1937.0,13440.53,13
HCPCS,52335,Description Not Available,,,5063.0,5063.0,1
HCPCS,52336,Description Not Available,,,5063.0,5063.0,1
HCPCS,52337,Description Not Available,,,5063.0,5063.0,1
HCPCS,52338,Description Not Available,,,5063.0,5063.0,1
HCPCS,52339,Description Not Available,,,5063.0,5063.0,1
HCPCS,52340,Description Not Available,,,5063.0,5063.0,1
HCPCS,52341,Cysto W/Ureter Stricture Tx,,,1937.0,13440.53,13
HCPCS,52342,Cysto W/Up Stricture Tx,,,1937.0,13440.53,13
HCPCS,52343,Cysto W/Renal Stricture Tx,,,1937.0,13440.53,13
HCPCS,52344,Cysto/uretero stricture tx,,,1937.0,13440.53,13
HCPCS,52345,Cysto/Uretero W/Up Stricture,,,1937.0,13440.53,13
HCPCS,52346,Cystouretero W/Renal Strict,,,1937.0,20444.19,13
HCPCS,52347,Cystourethroscopy with transurethral resection of ejaculatory ducts,,,5063.0,5063.0,1
HCPCS,52351,Cystouretero & or pyeloscope,,,1937.0,13440.53,13
HCPCS,52351,Hc Cystoscopy With Uretersocpy And/Or Pyeloscopy Diagnostic,11221.0,4376.19,,,0
HCPCS,52352,Cystouretero w/stone remove,,,2323.0,13440.53,13
HCPCS,52352,Hc Cystoscopy W Ureteroscopy And/Or Pyeloscopy W Removal Or Manup Of Calculus,12114.0,4724.46,,,0
HCPCS,52353,Cystouretero W/Lithotripsy,,,2323.0,20444.19,13
HCPCS,52353,Hc Cystoscopy W Ureterscopy/W Pyeloscopy/W Ureterscopy And/Or Pyeloscopy/ With Lithotripsy,20189.0,7873.71,,,0
HCPCS,52354,Cystouretero W/Biopsy,,,2323.0,20444.19,13
HCPCS,52355,Cystouretero W/Excise Tumor,,,2323.0,20444.19,13
HCPCS,52356,Cysto/uretero w/lithotripsy,,,5446.05,20444.19,12
HCPCS,52400,Cystouretero W/Congen Repr,,,1937.0,13440.53,13
HCPCS,52402,Cystourethro cut ejacul duct,,,1937.0,13440.53,13
HCPCS,52441,Cystourethro w/implant,,,2665.0,5809.0,2
HCPCS,52442,Cystourethro w/addl implant,,,2665.0,3391.0,2
HCPCS,52443,Cysto 1st trurl prst8 comis,,,9615.21,36095.01,9
HCPCS,52450,Incision of prostate,,,1937.0,13440.53,13
HCPCS,52500,Hc Cystourethroscopy W Tur Bladder Neck,19448.0,7584.72,,,0
HCPCS,52500,Revision of bladder neck,,,1937.0,13440.53,13
HCPCS,52510,Dilation prostatic urethra,,,1937.0,5063.0,2
HCPCS,52597,Trurl rbtc wtrjt rescj prst8,,,9615.21,36095.01,9
HCPCS,52601,Prostatectomy (TURP),,,2323.0,20444.19,13
HCPCS,52606,Control postop bleeding,,,1308.0,5063.0,2
HCPCS,52612,"Prostatectomy, first stage",,,1694.0,5063.0,2
HCPCS,52614,"Prostatectomy, second stage",,,1308.0,5063.0,2
HCPCS,52620,Remove residual prostate,,,1308.0,5063.0,2
HCPCS,52630,Remove prostate regrowth,,,1694.0,20444.19,13
HCPCS,52640,Relieve bladder contracture,,,1694.0,13440.53,13
HCPCS,52647,Laser surgery of prostate,,,6760.0,11889.0,4
HCPCS,52648,Laser surgery of prostate,,,5446.05,20444.19,13
HCPCS,52649,Prostate laser enucleation,,,5446.05,20444.19,12
HCPCS,52700,Drainage of prostate abscess,,,1694.0,13440.53,13
HCPCS,53000,Incision of urethra,,,1308.0,7970.5,13
HCPCS,53010,Incision of urethra,,,1308.0,20444.19,13
HCPCS,53020,Hc Meatotomy Urethral,10248.0,3996.72,,,0
HCPCS,53020,Incision of urethra,,,1308.0,7970.5,13
HCPCS,53025,Incision of urethra,,,2123.23,7970.5,11
HCPCS,53040,Drainage of urethra abscess,,,1694.0,13440.53,13
HCPCS,53060,Drainage of urethra abscess,,,2123.23,7970.5,11
HCPCS,53060,Hc Drg Of Skene's Gland Abscess Or Cyst,6306.0,2459.34,,,0
HCPCS,53080,Drainage of urinary leakage,,,708.25,6179.0,13
HCPCS,53085,Drainage of urinary leakage,,,2123.23,7970.5,11
HCPCS,53200,Biopsy of urethra,,,1308.0,7970.5,13
HCPCS,53200,Hc Bx Urethra,10248.0,3996.72,,,0
HCPCS,53210,Removal of urethra,,,2664.0,13440.53,13
HCPCS,53215,Removal of urethra,,,2664.0,20444.19,13
HCPCS,53220,Hc Urethra Excision/Fulguration Of Carcinoma,4256.0,1659.84,,,0
HCPCS,53220,Treatment of urethra lesion,,,1694.0,13440.53,13
HCPCS,53230,Removal of urethra lesion,,,1694.0,20444.19,13
HCPCS,53235,Removal of urethra lesion,,,1937.0,20444.19,13
HCPCS,53240,Surgery for urethra pouch,,,1694.0,13440.53,13
HCPCS,53250,Removal of urethra gland,,,1694.0,13440.53,13
HCPCS,53260,Hc Exc/Fulguration Distal Urethral Polyp,7056.0,2751.84,,,0
HCPCS,53260,Treatment of urethra lesion,,,1694.0,13440.53,13
HCPCS,53265,Hc Exc/Fulguration Urethral Caruncle,4256.0,1659.84,,,0
HCPCS,53265,Treatment of urethra lesion,,,1694.0,7970.5,13
HCPCS,53270,Removal of urethra gland,,,1694.0,13440.53,13
HCPCS,53275,Repair of urethra defect,,,1694.0,13440.53,13
HCPCS,53400,Revise urethra stage 1,,,1937.0,20444.19,13
HCPCS,53405,Revise urethra stage 2,,,1694.0,20444.19,13
HCPCS,53410,Reconstruction of urethra,,,1694.0,20444.19,13
HCPCS,53415,Reconstruction of urethra,,,5063.0,11889.0,2
HCPCS,53420,Reconstruct urethra stage 1,,,1937.0,20444.19,13
HCPCS,53425,Reconstruct urethra stage 2,,,1694.0,20444.19,13
HCPCS,53430,Reconstruction of urethra,,,1694.0,20444.19,13
HCPCS,53431,Reconstruct urethra/bladder,,,1694.0,20444.19,13
HCPCS,53440,Male sling procedure,,,1694.0,50305.81,13
HCPCS,53442,Remove/revise male sling,,,1308.0,20444.19,13
HCPCS,53443,Description Not Available,,,5063.0,5063.0,1
HCPCS,53444,Insert tandem cuff,,,1694.0,79027.38,13
HCPCS,53445,Insert uro/ves nck sphincter,,,1308.0,79027.38,13
HCPCS,53446,Remove uro sphincter,,,1308.0,20444.19,13
HCPCS,53447,Remove/replace ur sphincter,,,1308.0,79027.38,13
HCPCS,53448,Remov/replc ur sphinctr comp,,,4066.0,5063.0,2
HCPCS,53449,Repair uro sphincter,,,1308.0,36095.01,13
HCPCS,53450,Hc Urethromeatoplasty W/Mucosal Advancement,19448.0,7584.72,,,0
HCPCS,53450,Revision of urethra,,,1308.0,13440.53,13
HCPCS,53451,Tprnl balo cntnc dev bi,,,6389.0,50305.81,11
HCPCS,53452,Tprnl balo cntnc dev uni,,,5809.0,36095.01,11
HCPCS,53453,Tprnl balo cntnc dev rmvl ea,,,3580.37,13440.53,11
HCPCS,53454,Tprnl balo cntnc dev adjmt,,,253.77,3391.0,11
HCPCS,53460,Revision of urethra,,,1308.0,13440.53,13
HCPCS,53500,Urethrlys transvag w/ scope,,,3580.37,13440.53,11
HCPCS,53502,Repair of urethra injury,,,1694.0,13440.53,13
HCPCS,53505,Repair of urethra injury,,,1694.0,20444.19,13
HCPCS,53510,Repair of urethra injury,,,1694.0,20444.19,13
HCPCS,53515,Repair of urethra injury,,,1694.0,20444.19,13
HCPCS,53520,Repair of urethra defect,,,1694.0,20444.19,13
HCPCS,53600,Dilate urethra stricture,,,253.77,3391.0,12
HCPCS,53600,Hc Dilation Urethral Stricture W Sound Or Dilator Male Initial,3856.0,1503.84,,,0
HCPCS,53601,Dilate urethra stricture,,,135.14,3391.0,12
HCPCS,53605,Dilate urethra stricture,,,1694.0,13440.53,13
HCPCS,53605,Hc Dilation Urethral Stricture W Sound Male W Anes,3508.0,1368.12,,,0
HCPCS,53620,Dilate urethra stricture,,,708.25,4066.0,11
HCPCS,53620,Hc Dilation Urethral Stricture W Fil/Fol Initial,6429.0,2507.31,,,0
HCPCS,53621,Dilate urethra stricture,,,253.77,3391.0,13
HCPCS,53640,Description Not Available,,,5063.0,5063.0,1
HCPCS,53660,Dilation of urethra,,,130.69,3391.0,11
HCPCS,53660,Hc Dialtion Urethra Female Initial,1833.0,714.87,,,0
HCPCS,53661,Dilation of urethra,,,135.14,5063.0,11
HCPCS,53665,Dilation of urethra,,,1308.0,7970.5,13
HCPCS,53665,Hc Dilation Urethra Female W Anes,6429.0,2507.31,,,0
HCPCS,53670,Insert urinary catheter,,,5063.0,5063.0,1
HCPCS,53675,Insert urinary catheter,,,5063.0,5063.0,1
HCPCS,53850,Prostatic microwave thermotx,,,3580.37,13440.53,12
HCPCS,53852,Hc Trurl Distruction Prostate Tiss Rf Thermotherapy,18331.0,7149.09,,,0
HCPCS,53852,Prostatic rf thermotx,,,3580.37,13440.53,11
HCPCS,53853,Prostatic water-induced thermotherapy,,,5063.0,5063.0,1
HCPCS,53854,Hc Rf Prostate Tranurl Destruct Tissue Thermo,12597.0,4912.83,,,0
HCPCS,53854,Trurl dstrj prst8 tiss rf wv,,,3580.37,13440.53,12
HCPCS,53855,Insert prost urethral stent,,,2123.23,7970.5,11
HCPCS,53860,Transurethral rf treatment,,,2123.23,7970.5,12
HCPCS,53865,Cysto insj dev ischmc rmdlg,,,5809.0,36095.01,11
HCPCS,53866,Cathj rmvl dev ischmc rmdlg,,,253.77,3391.0,11
HCPCS,53899,Hc Urinary Procedure Unlisted,13657.0,5326.23,,,0
HCPCS,53899,Urology surgery procedure,,,253.77,3391.0,11
HCPCS,54000,Slitting of prepuce,,,1694.0,13440.53,13
HCPCS,54001,Hc Slitting Prepuce Dorsal/Lat Execpt Newborn,11413.0,4451.07,,,0
HCPCS,54001,Slitting of prepuce,,,1694.0,7970.5,13
HCPCS,54015,Drain penis lesion,,,1677.55,6389.0,13
HCPCS,54050,Destruction penis lesion(s),,,412.9,5063.0,11
HCPCS,54050,Hc Dstrj Lesion Penis Simple Chemical,339.0,132.21,,,0
HCPCS,54055,Destruction penis lesion(s),,,2095.7,7867.16,11
HCPCS,54055,Hc Destruction Penis Lesion Simple Electro,6429.0,2507.31,,,0
HCPCS,54056,Cryosurgery penis lesion(s),,,203.79,5063.0,11
HCPCS,54056,Hc Dstrj Lesion Penis Simple Cryosurgery,356.0,138.84,,,0
HCPCS,54057,Laser surg penis lesion(s),,,1308.0,7867.16,13
HCPCS,54060,Excision of penis lesion(s),,,1308.0,7867.16,13
HCPCS,54060,Hc Destruction Penis Lesion Simple Surgical,7391.0,2882.49,,,0
HCPCS,54065,Destruction penis lesion(s),,,1308.0,7867.16,13
HCPCS,54065,Hc Destruction Penis Lesion Extensive,6429.0,2507.31,,,0
HCPCS,54100,Biopsy of penis,,,1308.0,6297.43,13
HCPCS,54100,Hc Bx Penis,4116.0,1605.24,,,0
HCPCS,54105,Biopsy of penis,,,1308.0,11075.49,13
HCPCS,54110,Treatment of penis lesion,,,1694.0,13440.53,13
HCPCS,54111,Treat penis lesion graft,,,1694.0,20444.19,13
HCPCS,54112,Treat penis lesion graft,,,1694.0,36095.01,13
HCPCS,54115,Treatment of penis lesion,,,1308.0,11075.49,13
HCPCS,54120,Partial removal of penis,,,1694.0,13440.53,13
HCPCS,54125,Removal of penis,,,1694.0,5272.0,3
HCPCS,54130,Remove penis & nodes,,,5063.0,6859.0,2
HCPCS,54135,Remove penis & nodes,,,5063.0,6859.0,2
HCPCS,54150,Circumcision w/regionl block,,,1308.0,7970.5,13
HCPCS,54150,Hc Circumcision W/Clamp/Oth Dev W/Block,4492.0,1751.88,,,0
HCPCS,54152,Circumcision,,,1308.0,5063.0,2
HCPCS,54160,Circumcision neonate,,,708.25,6179.0,13
HCPCS,54160,Hc Circumcision Neonate 28 Days Old Or Less,6385.0,2490.15,,,0
HCPCS,54161,Circum 28 days or older,,,1694.0,7970.5,13
HCPCS,54161,Hc Circumcision Age Over 28 Days,13125.0,5118.75,,,0
HCPCS,54162,Hc Circumcision Post Adhesion Lysis,8464.0,3300.96,,,0
HCPCS,54162,Lysis penil circumic lesion,,,1694.0,7970.5,13
HCPCS,54163,Hc Circumcision Incomplete Repair,11413.0,4451.07,,,0
HCPCS,54163,Repair of circumcision,,,1694.0,7970.5,13
HCPCS,54164,Frenulotomy of penis,,,1694.0,7970.5,13
HCPCS,54164,Hc Penis Frenulotomy,11413.0,4451.07,,,0
HCPCS,54200,Hc Injection Peyronie Disease,1209.0,471.51,,,0
HCPCS,54200,Treatment of penis lesion,,,253.77,5063.0,12
HCPCS,54205,Treatment of penis lesion,,,2323.0,20444.19,13
HCPCS,54220,Hc Irrigation Corp Cavern Priapism,1692.0,659.88,,,0
HCPCS,54220,Treatment of penis lesion,,,253.77,3391.0,13
HCPCS,54230,Prepare penis study,,,2665.0,3391.0,2
HCPCS,54231,Dynamic cavernosometry,,,253.77,5272.0,11
HCPCS,54235,Hc Injection Corp Cavern Priapism,1889.0,736.71,,,0
HCPCS,54235,Penile injection,,,253.77,5063.0,11
HCPCS,54240,Penis study,,,219.32,3391.0,11
HCPCS,54250,Penis study,,,253.77,3391.0,11
HCPCS,54300,Revision of penis,,,1937.0,13440.53,13
HCPCS,54304,Revision of penis,,,1937.0,13440.53,13
HCPCS,54308,Reconstruction of urethra,,,1937.0,20444.19,13
HCPCS,54312,Reconstruction of urethra,,,1937.0,13440.53,13
HCPCS,54316,Reconstruction of urethra,,,1937.0,36095.01,13
HCPCS,54318,Reconstruction of urethra,,,1937.0,13440.53,13
HCPCS,54322,Reconstruction of urethra,,,1937.0,13440.53,13
HCPCS,54324,Reconstruction of urethra,,,1937.0,13440.53,13
HCPCS,54326,Reconstruction of urethra,,,1937.0,13440.53,13
HCPCS,54328,Revise penis/urethra,,,1937.0,13440.53,13
HCPCS,54332,Revise penis/urethra,,,3580.37,13440.53,11
HCPCS,54336,Revise penis/urethra,,,3580.37,13440.53,11
HCPCS,54340,Secondary urethral surgery,,,1937.0,13440.53,13
HCPCS,54344,Secondary urethral surgery,,,1937.0,36095.01,13
HCPCS,54348,Secondary urethral surgery,,,1937.0,20444.19,13
HCPCS,54352,Reconstruct urethra/penis,,,1937.0,20444.19,13
HCPCS,54360,Penis plastic surgery,,,1937.0,13440.53,13
HCPCS,54380,Repair penis,,,1937.0,8448.0,13
HCPCS,54385,Repair penis,,,1937.0,8448.0,13
HCPCS,54390,Repair penis and bladder,,,5063.0,11889.0,2
HCPCS,54400,Insert semi-rigid prosthesis,,,1937.0,50305.81,13
HCPCS,54401,Insert self-contd prosthesis,,,1937.0,79027.38,13
HCPCS,54402,Description Not Available,,,5063.0,5063.0,1
HCPCS,54405,Insert multi-comp penis pros,,,1937.0,79027.38,13
HCPCS,54406,Remove muti-comp penis pros,,,1937.0,13440.53,13
HCPCS,54407,Description Not Available,,,5063.0,5063.0,1
HCPCS,54408,Repair multi-comp penis pros,,,1937.0,20444.19,13
HCPCS,54409,Description Not Available,,,5063.0,5063.0,1
HCPCS,54410,Remove/replace penis prosth,,,1937.0,79027.38,13
HCPCS,54411,Remov/replc penis pros comp,,,2665.0,79027.38,11
HCPCS,54415,Remove self-contd penis pros,,,1937.0,13440.53,13
HCPCS,54416,Remv/repl penis contain pros,,,1937.0,79027.38,13
HCPCS,54417,Remv/replc penis pros compl,,,4066.0,79027.38,11
HCPCS,54420,Revision of penis,,,2323.0,13440.53,13
HCPCS,54430,Revision of penis,,,5063.0,6859.0,2
HCPCS,54435,Revision of penis,,,2323.0,13440.53,13
HCPCS,54437,Repair corporeal tear,,,3580.37,13440.53,12
HCPCS,54438,Replantation of penis,,,5063.0,5063.0,1
HCPCS,54440,Repair of penis,,,2323.0,13440.53,13
HCPCS,54450,Hc Foreskin Manipulation W/Lysis,1785.0,696.15,,,0
HCPCS,54450,Preputial stretching,,,253.77,3391.0,13
HCPCS,54500,Biopsy of testis,,,1308.0,11075.49,13
HCPCS,54500,Hc Biopsy Testis Needle Separate Procedure,13279.0,5178.81,,,0
HCPCS,54505,Biopsy of testis,,,1308.0,13440.53,13
HCPCS,54510,Description Not Available,,,5063.0,5063.0,1
HCPCS,54512,Excise Lesion Testis,,,1694.0,13440.53,13
HCPCS,54512,Hc Excision Testis Extraparenchymal Lesion,3508.0,1368.12,,,0
HCPCS,54520,Removal of testis,,,1937.0,13440.53,13
HCPCS,54522,Orchiectomy partial,,,1937.0,13440.53,13
HCPCS,54530,Removal of testis,,,2323.0,13651.84,13
HCPCS,54535,Extensive testis surgery,,,3580.37,13440.53,11
HCPCS,54550,Exploration for testis,,,2323.0,13651.84,13
HCPCS,54560,Exploration for testis,,,2123.23,7970.5,11
HCPCS,54600,Reduce testis torsion,,,2323.0,13440.53,13
HCPCS,54620,Suspension of testis,,,1937.0,13440.53,13
HCPCS,54640,Suspension of testis,,,2323.0,13651.84,13
HCPCS,54650,Orchiopexy (Fowler-Stephens),,,2323.0,13651.84,12
HCPCS,54660,Revision of testis,,,1694.0,20444.19,13
HCPCS,54670,Repair testis injury,,,1937.0,13440.53,13
HCPCS,54680,Relocation of testis(es),,,1937.0,13440.53,13
HCPCS,54690,Laparoscopy orchiectomy,,,6140.52,23051.21,13
HCPCS,54692,Laparoscopy orchiopexy,,,5699.0,23051.21,12
HCPCS,54699,Laparoscope proc testis,,,5809.0,23051.21,11
HCPCS,54700,Drainage of scrotum,,,1694.0,7970.5,13
HCPCS,54700,Hc I And D Epididymis Testis And Or Scrotal Space,6470.0,2523.3,,,0
HCPCS,54800,Biopsy of epididymis,,,1308.0,6297.43,13
HCPCS,54800,Hc Bx Epididymis Ndl,2013.0,785.07,,,0
HCPCS,54820,Exploration of epididymis,,,1308.0,5063.0,2
HCPCS,54830,Remove epididymis lesion,,,1937.0,13440.53,13
HCPCS,54840,Remove epididymis lesion,,,2123.23,7970.5,13
HCPCS,54860,Removal of epididymis,,,1937.0,13440.53,13
HCPCS,54861,Removal of epididymis,,,2323.0,13440.53,13
HCPCS,54865,Explore Epididymis,,,2572.0,13440.53,12
HCPCS,54900,Fusion of spermatic ducts,,,2123.23,7970.5,13
HCPCS,54901,Fusion of spermatic ducts,,,2323.0,13440.53,13
HCPCS,55000,Drainage of hydrocele,,,719.26,5063.0,11
HCPCS,55000,Hc Aspiration Hydrocele Tunica Vaginalis W/Wo Inj,3728.5,1454.115,,,0
HCPCS,55040,Hc Excision Hydrocele Unilateral,7234.0,2821.26,,,0
HCPCS,55040,Removal of hydrocele,,,1937.0,13651.84,13
HCPCS,55041,Removal of hydroceles,,,2664.0,13651.84,13
HCPCS,55060,Hc Repair Hydrocele Tunica Vaginalis,6429.0,2507.31,,,0
HCPCS,55060,Repair of hydrocele,,,2323.0,13440.53,13
HCPCS,55100,Drainage of scrotum abscess,,,1308.0,6297.43,13
HCPCS,55100,Hc I And D Scrotum,18086.0,7053.54,,,0
HCPCS,55110,Explore scrotum,,,1694.0,13440.53,13
HCPCS,55110,Hc Exploration Scrotum,5786.0,2256.54,,,0
HCPCS,55120,Hc Removal Fb Scrotum,6429.0,2507.31,,,0
HCPCS,55120,Removal of scrotum lesion,,,1694.0,7970.5,13
HCPCS,55150,Removal of scrotum,,,1308.0,13440.53,13
HCPCS,55175,Revision of scrotum,,,1308.0,13440.53,13
HCPCS,55180,Revision of scrotum,,,1694.0,20444.19,13
HCPCS,55200,Incision of sperm duct,,,1694.0,13440.53,13
HCPCS,55250,Hc Vasectomy Uni/Bilateral,4999.0,1949.6100000000001,,,0
HCPCS,55250,Removal of sperm duct(s),,,1694.0,7970.5,13
HCPCS,55300,Prepare sperm duct x-ray,,,2665.0,4714.0,2
HCPCS,55400,Hc Vasovasostomy Vasovasorrhaphy,7052.5,2750.475,,,0
HCPCS,55400,Repair of sperm duct,,,1308.0,13440.53,13
HCPCS,55450,Ligation of sperm duct,,,5063.0,5063.0,1
HCPCS,55500,Removal of hydrocele,,,1937.0,13440.53,13
HCPCS,55520,Removal of sperm cord lesion,,,2323.0,13440.53,13
HCPCS,55530,Revise spermatic cord veins,,,2323.0,13440.53,13
HCPCS,55535,Revise spermatic cord veins,,,2323.0,24684.26,13
HCPCS,55540,Revise hernia & sperm veins,,,2664.0,13651.84,13
HCPCS,55550,Laparo ligate spermatic vein,,,6140.52,23051.21,13
HCPCS,55559,Laparo proc spermatic cord,,,5809.0,23051.21,11
HCPCS,55600,Incise sperm duct pouch,,,1308.0,7970.5,13
HCPCS,55605,Incise sperm duct pouch,,,1308.0,4066.0,3
HCPCS,55650,Remove sperm duct pouch,,,1308.0,4066.0,3
HCPCS,55680,Remove sperm pouch lesion,,,1308.0,13440.53,13
HCPCS,55700,Biopsy of prostate,,,1694.0,5272.0,4
HCPCS,55700,Hc Prostate Needle Biopsy Any Approach,4825.0,1881.75,,,0
HCPCS,55705,Biopsy of prostate,,,1694.0,13440.53,13
HCPCS,55706,Prostate saturation sampling,,,3580.37,13440.53,12
HCPCS,55707,Bx prst8 trct us guided,,,3580.37,13440.53,9
HCPCS,55708,Bx prst8 trct us w/mri fus 1,,,3580.37,13440.53,9
HCPCS,55709,Bx prst8 tprnl us guided,,,3580.37,13440.53,9
HCPCS,55710,Bx prst8 tprn us w/mri fus 1,,,3580.37,13440.53,9
HCPCS,55711,Bx prst8 trct mri-us 1st,,,3580.37,13440.53,9
HCPCS,55712,Bx prst8 tprnl mri-us 1st,,,3580.37,13440.53,9
HCPCS,55713,Bx prst8 in-bore ct/mri bx 1,,,5446.05,20444.19,9
HCPCS,55714,Bx prst8 in-bore ct/mri 1,,,5446.05,20444.19,9
HCPCS,55720,Drainage of prostate abscess,,,1308.0,13440.53,13
HCPCS,55725,Drainage of prostate abscess,,,1694.0,13440.53,13
HCPCS,55801,Removal of prostate,,,5063.0,6859.0,2
HCPCS,55810,Extensive prostate surgery,,,5063.0,6859.0,2
HCPCS,55812,Extensive prostate surgery,,,5063.0,6859.0,2
HCPCS,55815,Extensive prostate surgery,,,5063.0,6859.0,2
HCPCS,55821,Removal of prostate,,,5063.0,6859.0,2
HCPCS,55831,Removal of prostate,,,5063.0,6859.0,2
HCPCS,55840,Extensive prostate surgery,,,5063.0,6859.0,2
HCPCS,55842,Extensive prostate surgery,,,5063.0,6859.0,2
HCPCS,55845,Extensive prostate surgery,,,6859.0,9000.0,2
HCPCS,55859,"Percut/needle insert, pros",,,5063.0,7487.0,2
HCPCS,55860,Surgical exposure prostate,,,1937.0,20444.19,12
HCPCS,55862,Extensive prostate surgery,,,5063.0,6859.0,2
HCPCS,55865,Extensive prostate surgery,,,5063.0,6859.0,2
HCPCS,55866,Laparo radical prostatectomy,,,6760.0,40530.88,11
HCPCS,55867,Laps surg prst8ect smpl stot,,,6760.0,40530.88,11
HCPCS,55868,Lap srg prst8ct lymph nod bx,,,10796.86,40530.88,9
HCPCS,55869,Lap srg prst8ct bi pl lmphad,,,10796.86,40530.88,9
HCPCS,55870,Electroejaculation,,,935.52,4066.0,12
HCPCS,55873,Cryoablate Prostate,,,7487.0,36095.01,13
HCPCS,55874,Hc Transperineal Placement Of Biodegradeable Material,30269.0,11804.91,,,0
HCPCS,55874,Tprnl plmt biodegrdabl matrl,,,3391.0,20444.19,12
HCPCS,55875,Hc Transperineal Needle-Catheter Plcmnt Prostate,28144.0,10976.16,,,0
HCPCS,55875,Transperi needle place pros,,,5446.05,20444.19,13
HCPCS,55876,Hc Fiducial Mrkr Placement Prostate,3344.0,1304.16,,,0
HCPCS,55876,Place rt device/marker pros,,,1405.88,5277.6,12
HCPCS,55877,Abltj ire prst8 1+ tum perq,,,10796.86,40530.88,9
HCPCS,55880,Abltj mal prst8 tiss hifu,,,4714.0,36095.01,11
HCPCS,55881,Ablt trurl prst8 tis thrm us,,,4714.0,6859.0,2
HCPCS,55882,Ablt trurl prst8 tis trnsdcr,,,5809.0,50305.81,11
HCPCS,55899,Genital surgery procedure,,,253.77,4714.0,11
HCPCS,55899,Hc Male Genital System Unlisted,4265.0,1663.35,,,0
HCPCS,55920,Hc Plcmnt Of Ndls Or Cath Pelvic Organs Excpt Prost Subseq Rad Elem Appl,21759.0,8486.01,,,0
HCPCS,55920,Place needles pelvic for rt,,,3391.0,19074.02,12
HCPCS,55970,Sex transformation m to f,,,5063.0,19074.02,10
HCPCS,55980,Sex transformation f to m,,,3580.37,13440.53,10
HCPCS,56300,Description Not Available,,,5063.0,5063.0,1
HCPCS,56301,Description Not Available,,,5063.0,5063.0,1
HCPCS,56302,Description Not Available,,,5063.0,5063.0,1
HCPCS,56303,Description Not Available,,,5063.0,5063.0,1
HCPCS,56304,Description Not Available,,,5063.0,5063.0,1
HCPCS,56305,Description Not Available,,,5063.0,5063.0,1
HCPCS,56306,Description Not Available,,,5063.0,5063.0,1
HCPCS,56307,Description Not Available,,,5063.0,5063.0,1
HCPCS,56308,Description Not Available,,,5063.0,5063.0,1
HCPCS,56309,Description Not Available,,,5063.0,5063.0,1
HCPCS,56310,Description Not Available,,,5063.0,5063.0,1
HCPCS,56311,Description Not Available,,,5063.0,5063.0,1
HCPCS,56312,Description Not Available,,,5063.0,5063.0,1
HCPCS,56313,Description Not Available,,,5063.0,5063.0,1
HCPCS,56314,Description Not Available,,,5063.0,5063.0,1
HCPCS,56315,Description Not Available,,,5063.0,5063.0,1
HCPCS,56316,Description Not Available,,,5063.0,5063.0,1
HCPCS,56317,Description Not Available,,,5063.0,5063.0,1
HCPCS,56318,Description Not Available,,,5063.0,5063.0,1
HCPCS,56320,Description Not Available,,,5063.0,5063.0,1
HCPCS,56322,Description Not Available,,,5063.0,5063.0,1
HCPCS,56323,Description Not Available,,,5063.0,5063.0,1
HCPCS,56324,Description Not Available,,,5063.0,5063.0,1
HCPCS,56340,Description Not Available,,,5063.0,5063.0,1
HCPCS,56341,Description Not Available,,,5063.0,5063.0,1
HCPCS,56342,Description Not Available,,,5063.0,5063.0,1
HCPCS,56343,Description Not Available,,,5063.0,5063.0,1
HCPCS,56344,Description Not Available,,,5063.0,5063.0,1
HCPCS,56345,Description Not Available,,,5063.0,5063.0,1
HCPCS,56346,Description Not Available,,,5063.0,5063.0,1
HCPCS,56347,Description Not Available,,,5063.0,5063.0,1
HCPCS,56348,Description Not Available,,,5063.0,5063.0,1
HCPCS,56349,Description Not Available,,,5063.0,5063.0,1
HCPCS,56350,Description Not Available,,,5063.0,5063.0,1
HCPCS,56351,Description Not Available,,,5063.0,5063.0,1
HCPCS,56352,Description Not Available,,,5063.0,5063.0,1
HCPCS,56353,Description Not Available,,,5063.0,5063.0,1
HCPCS,56354,Description Not Available,,,5063.0,5063.0,1
HCPCS,56355,Description Not Available,,,5063.0,5063.0,1
HCPCS,56356,Description Not Available,,,5063.0,5063.0,1
HCPCS,56360,Description Not Available,,,5063.0,5063.0,1
HCPCS,56361,Description Not Available,,,5063.0,5063.0,1
HCPCS,56362,Description Not Available,,,5063.0,5063.0,1
HCPCS,56363,Description Not Available,,,5063.0,5063.0,1
HCPCS,56399,Description Not Available,,,5063.0,5063.0,1
HCPCS,56405,Hc I And D Vulva/Perineal Abcess,3858.0,1504.62,,,0
HCPCS,56405,I & D of vulva/perineum,,,309.52,4714.0,13
HCPCS,56420,Drainage of gland abscess,,,205.35,3391.0,12
HCPCS,56420,Hc I And D Bartholin Cyst,2050.0,799.5,,,0
HCPCS,56440,Surgery for vulva lesion,,,1694.0,12342.95,13
HCPCS,56441,Hc Lysis Labial Adhesions,16094.0,6276.66,,,0
HCPCS,56441,Lysis of labial lesion(s),,,1308.0,12342.95,13
HCPCS,56442,Hymenotomy,,,1308.0,12342.95,13
HCPCS,56501,Destroy vulva lesions sim,,,1308.0,7867.16,12
HCPCS,56501,Hc Destruction Lesions Vulva Simple,10456.0,4077.84,,,0
HCPCS,56515,Destroy vulva lesion/s compl,,,1937.0,7867.16,13
HCPCS,56605,Biopsy of vulva/perineum,,,935.52,4066.0,13
HCPCS,56605,Hc Biopsy Vulva/Perineum 1 Lesion Spx,6072.0,2368.08,,,0
HCPCS,56606,Biopsy of vulva/perineum,,,2665.0,3391.0,2
HCPCS,56606,Hc Biopsy Vulva/Perineum Each Addl Lesion,5536.0,2159.04,,,0
HCPCS,56620,Partial removal of vulva,,,2664.0,12342.95,13
HCPCS,56625,Complete removal of vulva,,,3287.99,12342.95,13
HCPCS,56630,Extensive vulva surgery,,,5081.06,19074.02,11
HCPCS,56631,Extensive vulva surgery,,,5063.0,16710.0,2
HCPCS,56632,Extensive vulva surgery,,,5063.0,16710.0,2
HCPCS,56633,Extensive vulva surgery,,,5063.0,16710.0,2
HCPCS,56634,Extensive vulva surgery,,,5063.0,16710.0,2
HCPCS,56637,Extensive vulva surgery,,,5063.0,16710.0,2
HCPCS,56640,Extensive vulva surgery,,,5063.0,6859.0,2
HCPCS,56700,Partial removal of hymen,,,1308.0,12342.95,13
HCPCS,56720,Incision of hymen,,,1308.0,5063.0,2
HCPCS,56740,Remove vagina gland lesion,,,1937.0,12342.95,13
HCPCS,56800,Repair of vagina,,,1937.0,12342.95,13
HCPCS,56805,Repair clitoris,,,3287.99,12342.95,11
HCPCS,56810,Repair of perineum,,,2664.0,12342.95,13
HCPCS,56820,Exam of vulva w/scope,,,205.35,3391.0,11
HCPCS,56820,Hc Colposcopy Vulva,256.0,99.84,,,0
HCPCS,56821,Exam/biopsy of vulva w/scope,,,309.52,3391.0,12
HCPCS,57000,Exploration of vagina,,,1308.0,12342.95,13
HCPCS,57010,Drainage of pelvic abscess,,,1694.0,12342.95,13
HCPCS,57020,Drainage of pelvic fluid,,,1694.0,19074.02,13
HCPCS,57022,I & d vaginal hematoma pp,,,2950.36,11075.49,11
HCPCS,57023,I & d vag hematoma non-ob,,,1308.0,11075.49,13
HCPCS,57061,Destroy vag lesions simple,,,1308.0,12342.95,12
HCPCS,57061,Hc Destruction Vaginal Lesions Simple,16094.0,6276.66,,,0
HCPCS,57065,Destroy vag lesions complex,,,1308.0,12342.95,13
HCPCS,57100,Biopsy of vagina,,,935.52,4066.0,13
HCPCS,57100,Hc Biopsy Vaginal Mucosa Simple,700.0,273.0,,,0
HCPCS,57105,Biopsy of vagina,,,1694.0,12342.95,13
HCPCS,57106,Remove vagina wall partial,,,3287.99,12342.95,11
HCPCS,57107,Remove vagina tissue part,,,3287.99,12342.95,11
HCPCS,57108,Description Not Available,,,5063.0,5063.0,1
HCPCS,57109,Vaginectomy partial w/nodes,,,3287.99,12342.95,11
HCPCS,57110,Remove vagina wall complete,,,5809.0,6859.0,2
HCPCS,57111,Remove vagina tissue compl,,,5809.0,8448.0,2
HCPCS,57112,Vaginectomy w/nodes compl,,,5063.0,5063.0,1
HCPCS,57120,Closure of vagina,,,5081.06,19074.02,11
HCPCS,57130,Remove vagina lesion,,,1694.0,12342.95,13
HCPCS,57135,Remove vagina lesion,,,1694.0,12342.95,13
HCPCS,57150,Treat vagina infection,,,59.92,5063.0,11
HCPCS,57155,Insert uteri tandem/ovoids,,,1694.0,19074.02,13
HCPCS,57156,Hc Insert Vag Brachytx Device,1745.0,680.55,,,0
HCPCS,57156,Ins vag brachytx device,,,309.52,4714.0,12
HCPCS,57160,Hc Fit And Insj Pessary/Oth Intravaginal Support Devi,473.0,184.47,,,0
HCPCS,57160,Insert pessary/other device,,,205.35,5063.0,11
HCPCS,57170,Fitting of diaphragm/cap,,,205.35,5063.0,11
HCPCS,57180,Treat vaginal bleeding,,,205.35,5063.0,13
HCPCS,57200,Repair of vagina,,,1308.0,12342.95,13
HCPCS,57210,Repair vagina/perineum,,,1694.0,12342.95,13
HCPCS,57220,Revision of urethra,,,1937.0,19074.02,13
HCPCS,57230,Repair of urethral lesion,,,1937.0,12342.95,13
HCPCS,57240,Repair bladder & vagina,,,2664.0,19074.02,13
HCPCS,57250,Repair rectum & vagina,,,2664.0,19074.02,13
HCPCS,57260,Repair of vagina,,,2664.0,19074.02,13
HCPCS,57265,Extensive repair of vagina,,,3721.0,19074.02,13
HCPCS,57267,Insert mesh/pelvic flr addon,,,2665.0,9000.0,3
HCPCS,57268,Repair of bowel bulge,,,1937.0,19074.02,13
HCPCS,57270,Repair of bowel pouch,,,5063.0,6179.0,2
HCPCS,57280,Suspension of vagina,,,6179.0,6760.0,2
HCPCS,57282,Colpopexy extraperitoneal,,,6760.0,28274.58,11
HCPCS,57283,Colpopexy intraperitoneal,,,6760.0,28274.58,11
HCPCS,57284,Repair paravag defect open,,,5081.06,19074.02,11
HCPCS,57285,Repair paravag defect vag,,,6389.0,28274.58,12
HCPCS,57287,Revise/Remove Sling Repair,,,3287.99,12342.95,11
HCPCS,57288,Repair bladder defect,,,2664.0,19074.02,13
HCPCS,57289,Repair bladder & vagina,,,2664.0,28274.58,13
HCPCS,57291,Construction of vagina,,,2664.0,19074.02,13
HCPCS,57292,Construct vagina with graft,,,5081.06,19074.02,11
HCPCS,57295,Revise vag graft via vagina,,,3287.99,12342.95,12
HCPCS,57296,Revise vag graft open abd,,,5063.0,6859.0,2
HCPCS,57300,Repair rectum-vagina fistula,,,1937.0,12342.95,13
HCPCS,57305,Repair rectum-vagina fistula,,,6760.0,6859.0,2
HCPCS,57307,Fistula repair & colostomy,,,5063.0,6859.0,2
HCPCS,57308,Fistula repair transperine,,,5063.0,6179.0,2
HCPCS,57310,Repair urethrovaginal lesion,,,1937.0,28274.58,13
HCPCS,57311,Repair urethrovaginal lesion,,,2323.0,8448.0,3
HCPCS,57320,Repair bladder-vagina lesion,,,1937.0,19074.02,13
HCPCS,57330,Repair bladder-vagina lesion,,,5063.0,28274.58,11
HCPCS,57335,Repair vagina,,,5081.06,19074.02,11
HCPCS,57400,Dilation of vagina,,,1694.0,12342.95,13
HCPCS,57410,Pelvic examination,,,1694.0,12342.95,13
HCPCS,57415,Hc Removal Impacted Vag Fb Spx With Anes Oth Thn Local,9202.0,3588.78,,,0
HCPCS,57415,Remove vaginal foreign body,,,1694.0,12342.95,13
HCPCS,57420,Exam of vagina w/scope,,,309.52,3391.0,12
HCPCS,57420,Hc Colposcopy Entire Vagina W/Cervix If Present,951.0,370.89,,,0
HCPCS,57421,Exam/biopsy of vag w/scope,,,935.52,4066.0,12
HCPCS,57421,Hc Colposcopy Entire Vagina W/Vagina/Cervix Bx,2126.0,829.14,,,0
HCPCS,57423,Repair paravag defect lap,,,6760.0,40530.88,12
HCPCS,57425,Laparoscopy surg colpopexy,,,6760.0,40530.88,11
HCPCS,57426,Revise prosth vag graft lap,,,6760.0,28274.58,12
HCPCS,57452,Exam of cervix w/scope,,,205.35,4714.0,13
HCPCS,57452,Hc Colposcopy Cervix Upper/Adjacent Vagina,846.0,329.94,,,0
HCPCS,57454,Bx/curett of cervix w/scope,,,309.52,4714.0,13
HCPCS,57454,Hc Colposcopy Cervix Bx Cervix And Endocrv Curretage,418.0,163.02,,,0
HCPCS,57455,Biopsy of cervix w/scope,,,309.52,3391.0,12
HCPCS,57455,Hc Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx,1000.0,390.0,,,0
HCPCS,57456,Endocerv curettage w/scope,,,309.52,3391.0,12
HCPCS,57456,Hc Colposcopy Cervix Endocervical Curettage,294.0,114.66,,,0
HCPCS,57460,Bx of cervix w/scope leep,,,1694.0,12342.95,12
HCPCS,57460,Hc Colposcopy Cervix Vag Loop Eltrd Bx Cervix,1570.0,612.3,,,0
HCPCS,57461,Conz of cervix w/scope leep,,,3287.99,12342.95,12
HCPCS,57465,Cam cervix uteri drg colp,,,2665.0,2665.0,1
HCPCS,57500,Biopsy of cervix,,,935.52,4066.0,13
HCPCS,57500,Hc Biopsy Cervix Single/Mult/Excision Of Lesion Spx,1283.0,500.37,,,0
HCPCS,57505,Endocervical curettage,,,935.52,4066.0,12
HCPCS,57505,Hc Endocervical Curettage Not Done As Part Of D And C,312.0,121.68,,,0
HCPCS,57510,Cauterization of cervix,,,3287.99,12342.95,11
HCPCS,57511,Cryocautery of cervix,,,309.52,3391.0,12
HCPCS,57513,Laser surgery of cervix,,,1694.0,12342.95,13
HCPCS,57520,Conization of cervix,,,1694.0,12342.95,13
HCPCS,57522,Conization of cervix,,,1694.0,12342.95,13
HCPCS,57522,Hc Conization Cervix W/Wo D And C Rpr Eltrd Exc,2700.0,1053.0,,,0
HCPCS,57530,Removal of cervix,,,1937.0,19074.02,13
HCPCS,57531,Removal of cervix radical,,,5063.0,6859.0,2
HCPCS,57540,Removal of residual cervix,,,5063.0,6859.0,2
HCPCS,57545,Remove cervix/repair pelvis,,,5063.0,6859.0,2
HCPCS,57550,Removal of residual cervix,,,1937.0,19074.02,13
HCPCS,57555,Remove cervix/repair vagina,,,5063.0,19074.02,11
HCPCS,57556,Remove cervix repair bowel,,,2664.0,19074.02,13
HCPCS,57558,D&C oF Cervical Stump,,,1937.0,12342.95,13
HCPCS,57700,Revision of cervix,,,1308.0,12342.95,13
HCPCS,57720,Revision of cervix,,,1937.0,12342.95,13
HCPCS,57800,Dilation of cervical canal,,,1308.0,12342.95,13
HCPCS,57820,D & c of residual cervix,,,1937.0,5063.0,2
HCPCS,58100,Biopsy of uterus lining,,,205.35,3391.0,12
HCPCS,58100,Hc Biopsy Of Uterus Lining,1094.0,426.66,,,0
HCPCS,58110,Bx done w/colposcopy add-on,,,2665.0,3391.0,2
HCPCS,58110,Hc Endometrial Bx Conjunct W/Colposcopy,383.0,149.37,,,0
HCPCS,58120,Dilation and curettage,,,1694.0,12342.95,13
HCPCS,58120,Hc Dilation And Curettage Dx And Ther Nonobstetric,9679.0,3774.81,,,0
HCPCS,58140,Myomectomy abdom method,,,2664.0,9000.0,3
HCPCS,58145,Myomectomy vag method,,,2664.0,12342.95,13
HCPCS,58146,Myomectomy abdom complex,,,5063.0,8448.0,2
HCPCS,58150,Total hysterectomy,,,8448.0,9000.0,2
HCPCS,58152,Total hysterectomy,,,6859.0,9000.0,2
HCPCS,58180,Partial hysterectomy,,,3721.0,9000.0,3
HCPCS,58200,Extensive hysterectomy,,,6859.0,9000.0,2
HCPCS,58210,Extensive hysterectomy,,,6859.0,9000.0,2
HCPCS,58240,Removal of pelvis contents,,,5063.0,6859.0,2
HCPCS,58260,Vaginal hysterectomy,,,2664.0,19074.02,13
HCPCS,58262,Vag hyst including t/o,,,2664.0,19074.02,13
HCPCS,58263,Vag hyst w/t/o & vag repair,,,5081.06,19074.02,12
HCPCS,58267,Vag hyst w/urinary repair,,,5063.0,8448.0,2
HCPCS,58270,Vag hyst w/enterocele repair,,,5081.06,19074.02,12
HCPCS,58275,Hysterectomy/revise vagina,,,5063.0,8448.0,2
HCPCS,58280,Hysterectomy/revise vagina,,,5063.0,8448.0,2
HCPCS,58285,Extensive hysterectomy,,,5063.0,6859.0,2
HCPCS,58290,Vag hyst complex,,,6760.0,28274.58,11
HCPCS,58291,Vag hyst incl t/o complex,,,5081.06,19074.02,11
HCPCS,58292,Vag hyst t/o & repair compl,,,6760.0,28274.58,11
HCPCS,58293,Vag hyst w/uro repair compl,,,5063.0,5063.0,1
HCPCS,58294,Vag hyst w/enterocele compl,,,5081.06,19074.02,11
HCPCS,58300,Hc Insertion Intrauterine Device Iud,2181.0,850.59,,,0
HCPCS,58300,Insert intrauterine device,,,2665.0,3391.0,2
HCPCS,58301,Hc Intrauterine Device Removal,2144.0,836.16,,,0
HCPCS,58301,Remove intrauterine device,,,309.52,3391.0,12
HCPCS,58321,Artificial insemination,,,309.52,5063.0,12
HCPCS,58322,Artificial insemination,,,205.35,5063.0,12
HCPCS,58323,Sperm washing,,,205.35,5063.0,12
HCPCS,58340,Catheter for hysterography,,,2665.0,3391.0,2
HCPCS,58340,Hc Hysterosalpingogram Cath Intro W/Saline Or Cst,2119.0,826.41,,,0
HCPCS,58345,Hc Transcervical Intro Ft Cath W/Wo Hysterosalpingogram,14521.0,5663.19,,,0
HCPCS,58345,Reopen fallopian tube,,,3287.99,12342.95,11
HCPCS,58346,Insert heyman uteri capsule,,,1694.0,19074.02,13
HCPCS,58350,Reopen fallopian tube,,,1937.0,19074.02,13
HCPCS,58353,Endometr ablate thermal,,,2323.0,19074.02,13
HCPCS,58356,Endometrial cryoablation,,,5081.06,19074.02,11
HCPCS,58400,Suspension of uterus,,,6760.0,8448.0,2
HCPCS,58410,Suspension of uterus,,,5063.0,6859.0,2
HCPCS,58520,Repair of ruptured uterus,,,6760.0,6859.0,2
HCPCS,58540,Revision of uterus,,,6859.0,9000.0,2
HCPCS,58541,Lsh uterus 250 g or less,,,6760.0,40530.88,12
HCPCS,58542,Lsh w/t/o ut 250 g or less,,,6760.0,40530.88,12
HCPCS,58543,LSH Uterus Above 250 g,,,6760.0,40530.88,12
HCPCS,58544,LSH w/t/o Uterus Above 250 g,,,6760.0,40530.88,12
HCPCS,58545,Laparoscopic myomectomy,,,6140.52,23051.21,13
HCPCS,58546,Laparo-myomectomy complex,,,7487.0,40530.88,13
HCPCS,58548,Lap Radical Hyst,,,5063.0,11889.0,2
HCPCS,58550,Laparo-asst vag hysterectomy,,,6140.52,23051.21,13
HCPCS,58551,"Laparoscopy, remove myoma",,,2664.0,5063.0,2
HCPCS,58552,Laparo-vag hyst incl t/o,,,2664.0,40530.88,13
HCPCS,58553,Laparo-vag hyst complex,,,5699.0,40530.88,12
HCPCS,58554,Laparo-vag hyst w/t/o compl,,,2664.0,40530.88,13
HCPCS,58555,Hysteroscopy dx sep proc,,,1308.0,12342.95,13
HCPCS,58558,Hysteroscopy biopsy,,,1937.0,12342.95,13
HCPCS,58559,Hysteroscopy lysis,,,1694.0,19074.02,13
HCPCS,58560,Hysteroscopy resect septum,,,1937.0,19074.02,13
HCPCS,58561,Hysteroscopy remove myoma,,,1937.0,19074.02,13
HCPCS,58562,Hysteroscopy remove fb,,,1937.0,12342.95,13
HCPCS,58563,Hysteroscopy ablation,,,2323.0,19074.02,13
HCPCS,58565,Hysteroscopy sterilization,,,2323.0,19074.02,13
HCPCS,58570,Tlh uterus 250 g or less,,,8245.0,40530.88,12
HCPCS,58571,Tlh w/t/o 250 g or less,,,8245.0,40530.88,12
HCPCS,58572,Tlh uterus over 250 g,,,8245.0,40530.88,12
HCPCS,58573,Tlh w/t/o uterus over 250 g,,,8245.0,40530.88,12
HCPCS,58575,Laps tot hyst resj mal,,,5063.0,8448.0,2
HCPCS,58578,Laparo proc uterus,,,5809.0,23051.21,11
HCPCS,58579,Hysteroscope procedure,,,205.35,5809.0,11
HCPCS,58580,Transcrv abltj utrn fibrd rf,,,6760.0,28274.58,11
HCPCS,58600,Division of fallopian tube,,,1308.0,12342.95,13
HCPCS,58605,Division of fallopian tube,,,4714.0,5272.0,2
HCPCS,58611,Ligate oviduct(s) add-on,,,3391.0,6859.0,2
HCPCS,58615,Occlude fallopian tube(s),,,2664.0,12342.95,12
HCPCS,58660,Laparoscopy lysis,,,2664.0,23051.21,13
HCPCS,58661,Laparoscopy remove adnexa,,,2664.0,23051.21,13
HCPCS,58662,Laparoscopy excise lesions,,,2664.0,23051.21,13
HCPCS,58670,Laparoscopy tubal cautery,,,1937.0,23051.21,13
HCPCS,58671,Laparoscopy tubal block,,,1937.0,23051.21,13
HCPCS,58672,Laparoscopy fimbrioplasty,,,2664.0,23051.21,13
HCPCS,58673,Laparoscopy salpingostomy,,,2664.0,40530.88,13
HCPCS,58674,Laps abltj uterine fibroids,,,6760.0,40530.88,11
HCPCS,58679,Laparo proc oviduct-ovary,,,5809.0,23051.21,11
HCPCS,58700,Removal of fallopian tube,,,6760.0,8448.0,2
HCPCS,58720,Removal of ovary/tube(s),,,2664.0,11889.0,3
HCPCS,58740,Adhesiolysis tube ovary,,,6179.0,6760.0,2
HCPCS,58750,Repair oviduct,,,2664.0,8448.0,3
HCPCS,58752,Revise ovarian tube(s),,,6760.0,8448.0,2
HCPCS,58760,Fimbrioplasty,,,6760.0,8448.0,2
HCPCS,58770,Create new tubal opening,,,3287.99,12342.95,11
HCPCS,58800,Drainage of ovarian cyst(s),,,1937.0,12342.95,13
HCPCS,58805,Drainage of ovarian cyst(s),,,2323.0,12342.95,12
HCPCS,58820,Drain ovary abscess open,,,1937.0,12342.95,13
HCPCS,58822,Drain ovary abscess percut,,,5809.0,8448.0,2
HCPCS,58823,"Drain pelvic abscess, percut",,,5063.0,5063.0,1
HCPCS,58825,Transposition ovary(s),,,5809.0,8448.0,2
HCPCS,58900,Biopsy of ovary(s),,,1937.0,12342.95,13
HCPCS,58920,Partial removal of ovary(s),,,5809.0,28274.58,11
HCPCS,58925,Removal of ovarian cyst(s),,,2664.0,19074.02,12
HCPCS,58940,Removal of ovary(s),,,2664.0,8448.0,3
HCPCS,58943,Removal of ovary(s),,,5063.0,8448.0,2
HCPCS,58950,Resect ovarian malignancy,,,5063.0,8448.0,2
HCPCS,58951,Resect ovarian malignancy,,,5063.0,6859.0,2
HCPCS,58952,Resect ovarian malignancy,,,5063.0,6859.0,2
HCPCS,58953,Tah rad dissect for debulk,,,5063.0,6859.0,2
HCPCS,58954,Tah rad debulk/lymph remove,,,5063.0,6859.0,2
HCPCS,58956,Bso omentectomy w/tah,,,5063.0,6859.0,2
HCPCS,58957,Resect Recurrent Gyn Mal,,,5063.0,5063.0,1
HCPCS,58958,Resect Recur Gyn Mal w/Lym,,,5063.0,6859.0,2
HCPCS,58960,Exploration of abdomen,,,9000.0,15026.0,2
HCPCS,58970,Retrieval of oocyte,,,935.52,4066.0,13
HCPCS,58974,Hc Embryo Transfer Intrauterine,2561.0,998.79,,,0
HCPCS,58974,Transfer of embryo,,,935.52,4066.0,13
HCPCS,58976,Transfer of embryo,,,309.52,3391.0,13
HCPCS,58999,Genital surgery procedure,,,205.35,3391.0,11
HCPCS,58999,Hc Female Genital Procedure Non-Ob Unlisted,11354.0,4428.06,,,0
HCPCS,59000,Amniocentesis diagnostic,,,935.52,4066.0,12
HCPCS,59000,Hc Amniocentesis Diagnostic Any Method,4445.0,1733.55,,,0
HCPCS,59001,Amniocentesis therapeutic,,,309.52,3391.0,11
HCPCS,59001,Hc Amniocentesis Ther Amniotic Fluid Reduction Us Guid,1163.0,453.57,,,0
HCPCS,59012,Fetal cord puncture prenatal,,,309.52,5063.0,11
HCPCS,59012,Hc Cordocentesis,1606.0,626.34,,,0
HCPCS,59015,Chorion biopsy,,,935.52,5063.0,11
HCPCS,59015,Hc Chorionic Villus Sampling,2290.0,893.1,,,0
HCPCS,59020,Fetal contract stress test,,,205.35,5063.0,11
HCPCS,59020,Hc Ld Oxytocin Stress,2646.0,1031.94,,,0
HCPCS,59025,Fetal non-stress test,,,205.35,5063.0,11
HCPCS,59025,Hc Ld Non-Stress Test,3621.0,1412.19,,,0
HCPCS,59030,Fetal scalp blood sample,,,309.52,5063.0,11
HCPCS,59050,Fetal monitor w/report,,,2665.0,5063.0,2
HCPCS,59051,Fetal monitor/interpret only,,,5063.0,6859.0,2
HCPCS,59070,Transabdom amnioinfus w/us,,,309.52,3391.0,12
HCPCS,59072,Umbilical cord occlud w/us,,,309.52,3391.0,12
HCPCS,59074,Fetal fluid drainage w/us,,,309.52,3391.0,12
HCPCS,59074,Hc Fetal Fluid Drainage W/Ultrasound Guidance,1606.0,626.34,,,0
HCPCS,59076,Fetal shunt placement w/us,,,309.52,3391.0,12
HCPCS,59076,Hc Fetal Shunt Placement With Ultrasound Guidance,1606.0,626.34,,,0
HCPCS,59100,Remove uterus lesion,,,4220.0,19074.02,12
HCPCS,59120,Treat ectopic pregnancy,,,5809.0,8448.0,2
HCPCS,59121,Treat ectopic pregnancy,,,2664.0,8448.0,3
HCPCS,59130,Treat ectopic pregnancy,,,5063.0,6859.0,2
HCPCS,59135,Treat ectopic pregnancy,,,5063.0,5063.0,1
HCPCS,59136,Treat ectopic pregnancy,,,5063.0,6859.0,2
HCPCS,59140,Treat ectopic pregnancy,,,5063.0,6859.0,2
HCPCS,59150,Treat ectopic pregnancy,,,6140.52,23051.21,11
HCPCS,59151,Treat ectopic pregnancy,,,2323.0,23051.21,12
HCPCS,59160,D & c after delivery,,,1937.0,12342.95,13
HCPCS,59200,Hc Insertion Of Cervical Dilator,3240.0,1263.6,,,0
HCPCS,59200,Insert cervical dilator,,,309.52,3391.0,12
HCPCS,59300,Episiotomy or vaginal repair,,,3287.99,12342.95,11
HCPCS,59300,Er Episiotomy Vaginal Repair B,9202.0,3588.78,,,0
HCPCS,59300,Hc Episiotomy Vag Rpr Oth Thn Attending,9202.0,3588.78,,,0
HCPCS,59320,Revision of cervix,,,1308.0,12342.95,13
HCPCS,59325,Revision of cervix,,,1694.0,6859.0,3
HCPCS,59350,Repair of uterus,,,5063.0,5063.0,1
HCPCS,59400,Obstetrical care,,,5063.0,5063.0,1
HCPCS,59409,Hc Vaginal Delivery Er,13260.0,5171.4,,,0
HCPCS,59409,Obstetrical care,,,3287.99,12342.95,11
HCPCS,59410,Obstetrical care,,,3391.0,3391.0,1
HCPCS,59412,Antepartum manipulation,,,2572.0,12342.95,12
HCPCS,59412,Hc External Cephalic Version,6663.0,2598.57,,,0
HCPCS,59414,Deliver placenta,,,3287.99,12342.95,11
HCPCS,59414,Delivery Of Placenta,5210.0,2031.9,,,0
HCPCS,59414,Hc Delivery Of Placenta,17394.0,6783.66,,,0
HCPCS,59425,Antepartum care only,,,5063.0,5063.0,1
HCPCS,59426,Antepartum care only,,,5063.0,5063.0,1
HCPCS,59430,Care after delivery,,,3391.0,3391.0,1
HCPCS,59510,Cesarean delivery,,,5063.0,5063.0,1
HCPCS,59514,Cesarean delivery only,,,5063.0,5063.0,1
HCPCS,59515,Cesarean delivery,,,6760.0,6760.0,1
HCPCS,59525,Remove uterus after cesarean,,,5063.0,5063.0,1
HCPCS,59610,Vbac delivery,,,5063.0,5063.0,1
HCPCS,59612,Vbac delivery only,,,3287.99,12342.95,11
HCPCS,59614,Vbac care after delivery,,,5063.0,5063.0,1
HCPCS,59618,Attempted vbac delivery,,,5063.0,5063.0,1
HCPCS,59620,Attempted vbac delivery only,,,5063.0,5063.0,1
HCPCS,59622,Attempted vbac after care,,,5063.0,5063.0,1
HCPCS,59812,Hc Treatment Incomplete Abortion Any Trimester Surgical,9202.0,3588.78,,,0
HCPCS,59812,Treatment of miscarriage,,,2664.0,12342.95,13
HCPCS,59820,Care of miscarriage,,,2664.0,12342.95,13
HCPCS,59821,Treatment of miscarriage,,,2664.0,12342.95,13
HCPCS,59830,Treat uterus infection,,,4714.0,6859.0,2
HCPCS,59840,Abortion,,,2664.0,12342.95,13
HCPCS,59841,Abortion,,,2664.0,12342.95,13
HCPCS,59850,Abortion,,,3437.0,6859.0,3
HCPCS,59851,Abortion,,,3437.0,6859.0,3
HCPCS,59852,Abortion,,,4714.0,6859.0,2
HCPCS,59855,Abortion,,,5063.0,6859.0,2
HCPCS,59856,Abortion,,,4714.0,5272.0,2
HCPCS,59857,Abortion,,,4714.0,6859.0,2
HCPCS,59866,Abortion (mpr),,,309.52,5063.0,12
HCPCS,59866,Hc Multifetal Pregnancy Reduction,1606.0,626.34,,,0
HCPCS,59870,Evacuate mole of uterus,,,2664.0,12342.95,13
HCPCS,59871,Remove cerclage suture,,,2664.0,12342.95,13
HCPCS,59897,Fetal invas px w/us,,,205.35,3391.0,11
HCPCS,59898,Laparo proc ob care/deliver,,,5809.0,23051.21,11
HCPCS,59899,Maternity care procedure,,,205.35,4714.0,11
HCPCS,60000,Drain thyroid/tongue cyst,,,1308.0,5916.09,13
HCPCS,60001,Aspirate/inject thyriod cyst,,,1308.0,5063.0,2
HCPCS,60100,Biopsy of thyroid,,,719.26,4066.0,13
HCPCS,60100,Hc Thyroid Needle Biopsy Perc,4223.0,1646.97,,,0
HCPCS,60200,Remove thyroid lesion,,,1694.0,23051.21,13
HCPCS,60210,Partial thyroid excision,,,1694.0,23051.21,12
HCPCS,60212,Partial thyroid excision,,,6140.52,23051.21,11
HCPCS,60220,Partial removal of thyroid,,,1694.0,23051.21,13
HCPCS,60225,Partial removal of thyroid,,,1937.0,23051.21,13
HCPCS,60240,Removal of thyroid,,,6140.52,23051.21,11
HCPCS,60252,Removal of thyroid,,,6012.85,22571.93,11
HCPCS,60254,Extensive thyroid surgery,,,6179.0,9000.0,2
HCPCS,60260,Repeat thyroid surgery,,,6012.85,22571.93,11
HCPCS,60270,Removal of thyroid,,,5063.0,5272.0,2
HCPCS,60271,Removal of thyroid,,,6012.85,22571.93,11
HCPCS,60280,Remove thyroid duct lesion,,,2323.0,23051.21,13
HCPCS,60281,Remove thyroid duct lesion,,,2323.0,23051.21,13
HCPCS,60300,Aspir/inj thyroid cyst,,,719.26,4066.0,11
HCPCS,60300,Hc Thyroid Cyst Asp And/Or Inj,4737.0,1847.43,,,0
HCPCS,60500,Explore parathyroid glands,,,1937.0,22571.93,12
HCPCS,60502,Re-explore parathyroids,,,6012.85,22571.93,12
HCPCS,60505,Explore parathyroid glands,,,5063.0,6859.0,2
HCPCS,60512,Autotransplant parathyroid,,,2665.0,5809.0,2
HCPCS,60520,Removal of thymus gland,,,6012.85,22571.93,11
HCPCS,60521,Removal of thymus gland,,,5063.0,6859.0,2
HCPCS,60522,Removal of thymus gland,,,5063.0,6859.0,2
HCPCS,60540,Explore adrenal gland,,,2323.0,9000.0,3
HCPCS,60545,Explore adrenal gland,,,5063.0,6859.0,2
HCPCS,60600,Remove carotid body lesion,,,5063.0,6859.0,2
HCPCS,60605,Remove carotid body lesion,,,5063.0,6859.0,2
HCPCS,60650,Laparoscopy adrenalectomy,,,6389.0,11889.0,2
HCPCS,60659,Laparo proc endocrine,,,5809.0,23051.21,11
HCPCS,60660,Abltj 1/+thyr ndul 1lobe prq,,,1677.55,6297.43,11
HCPCS,60661,Abltj 1/+thyr ndul addl prq,,,2665.0,3391.0,2
HCPCS,60699,Endocrine surgery procedure,,,3391.0,23051.21,11
HCPCS,60699,Hc Endocrine System Procedure Unlisted,16120.0,6286.8,,,0
HCPCS,61000,Remove cranial cavity fluid,,,716.97,4066.0,12
HCPCS,61001,Remove cranial cavity fluid,,,716.97,4066.0,12
HCPCS,61020,Remove brain cavity fluid,,,898.37,4066.0,13
HCPCS,61026,Injection into brain canal,,,716.97,4066.0,13
HCPCS,61050,Remove brain canal fluid,,,311.77,3391.0,13
HCPCS,61055,Hc Cisternal/Lateral C1-C2 Puncture W/Injection,3248.0,1266.72,,,0
HCPCS,61055,Injection into brain canal,,,311.77,3391.0,13
HCPCS,61070,Brain canal shunt procedure,,,716.97,4066.0,13
HCPCS,61070,Hc Brain Canal Shunt Procedure Inj Or Asp,6429.0,2507.31,,,0
HCPCS,61105,Twist drill hole,,,5063.0,6859.0,2
HCPCS,61106,Description Not Available,,,5063.0,5063.0,1
HCPCS,61107,Drill skull for implantation,,,5063.0,6859.0,2
HCPCS,61107,Hc Drill Insert Cerebral Monitor Device,4454.0,1737.06,,,0
HCPCS,61108,Drill skull for drainage,,,5063.0,6859.0,2
HCPCS,61108,Hc Drill Twist Hole Skull For Drainage,16596.0,6472.44,,,0
HCPCS,61120,Burr hole for puncture,,,5063.0,6859.0,2
HCPCS,61130,Description Not Available,,,5063.0,5063.0,1
HCPCS,61140,Pierce skull for biopsy,,,5063.0,6859.0,2
HCPCS,61150,Pierce skull for drainage,,,5063.0,6859.0,2
HCPCS,61151,Pierce skull for drainage,,,5063.0,6859.0,2
HCPCS,61154,Pierce skull & remove clot,,,5063.0,6859.0,2
HCPCS,61156,Pierce skull for drainage,,,5063.0,6859.0,2
HCPCS,61210,Hc Ip Only - Burr Hole Implant Ventricular Cath/Othr Device,16707.0,6515.73,,,0
HCPCS,61210,Pierce skull implant device,,,5063.0,6859.0,2
HCPCS,61215,Insert brain-fluid device,,,1937.0,33461.75,13
HCPCS,61250,Pierce skull & explore,,,5063.0,6859.0,2
HCPCS,61253,Pierce skull & explore,,,5063.0,6859.0,2
HCPCS,61304,Open skull for exploration,,,5063.0,6859.0,2
HCPCS,61305,Open skull for exploration,,,5063.0,6859.0,2
HCPCS,61312,Open skull for drainage,,,5063.0,6859.0,2
HCPCS,61313,Open skull for drainage,,,5063.0,6859.0,2
HCPCS,61314,Open skull for drainage,,,5063.0,6859.0,2
HCPCS,61315,Open skull for drainage,,,5063.0,6859.0,2
HCPCS,61316,Implt cran bone flap to abdo,,,3391.0,6859.0,2
HCPCS,61320,Open skull for drainage,,,5063.0,6859.0,2
HCPCS,61321,Open skull for drainage,,,5063.0,6859.0,2
HCPCS,61322,Decompressive craniotomy,,,5063.0,6859.0,2
HCPCS,61323,Decompressive lobectomy,,,5063.0,6859.0,2
HCPCS,61330,Decompress eye socket,,,3367.56,12641.63,11
HCPCS,61332,Explore/biopsy eye socket,,,5063.0,5063.0,1
HCPCS,61333,Explore orbit/remove lesion,,,5063.0,6859.0,2
HCPCS,61334,Explore orbit/remove object,,,5063.0,5063.0,1
HCPCS,61340,Subtemporal decompression,,,5063.0,6859.0,2
HCPCS,61343,Incise skull (press relief),,,5063.0,6859.0,2
HCPCS,61345,Relieve cranial pressure,,,5063.0,6859.0,2
HCPCS,61440,Incise skull for surgery,,,5063.0,5063.0,1
HCPCS,61450,Incise skull for surgery,,,5063.0,6859.0,2
HCPCS,61458,Incise skull for brain wound,,,5063.0,6859.0,2
HCPCS,61460,Incise skull for surgery,,,5063.0,6859.0,2
HCPCS,61470,Incise skull for surgery,,,5063.0,5063.0,1
HCPCS,61480,Incise skull for surgery,,,5063.0,5063.0,1
HCPCS,61490,Incise skull for surgery,,,5063.0,5063.0,1
HCPCS,61500,Removal of skull lesion,,,9842.0,15026.0,2
HCPCS,61501,Remove infected skull bone,,,5063.0,6859.0,2
HCPCS,61510,Removal of brain lesion,,,5063.0,6859.0,2
HCPCS,61512,Remove brain lining lesion,,,5063.0,6859.0,2
HCPCS,61514,Removal of brain abscess,,,5063.0,6859.0,2
HCPCS,61516,Removal of brain lesion,,,5063.0,6859.0,2
HCPCS,61517,Implt brain chemotx add-on,,,5063.0,6859.0,2
HCPCS,61518,Removal of brain lesion,,,5063.0,6859.0,2
HCPCS,61519,Remove brain lining lesion,,,5063.0,6859.0,2
HCPCS,61520,Removal of brain lesion,,,5063.0,6859.0,2
HCPCS,61521,Removal of brain lesion,,,5063.0,6859.0,2
HCPCS,61522,Removal of brain abscess,,,5063.0,6859.0,2
HCPCS,61524,Removal of brain lesion,,,5063.0,6859.0,2
HCPCS,61526,Removal of brain lesion,,,5063.0,6859.0,2
HCPCS,61530,Removal of brain lesion,,,5063.0,6859.0,2
HCPCS,61531,Implant brain electrodes,,,5063.0,5272.0,2
HCPCS,61533,Implant brain electrodes,,,5063.0,6859.0,2
HCPCS,61534,Removal of brain lesion,,,5063.0,6859.0,2
HCPCS,61535,Remove brain electrodes,,,5063.0,6859.0,2
HCPCS,61536,Removal of brain lesion,,,5063.0,6859.0,2
HCPCS,61537,Removal of brain tissue,,,5063.0,6859.0,2
HCPCS,61538,Removal of brain tissue,,,5063.0,6859.0,2
HCPCS,61539,Removal of brain tissue,,,5063.0,6859.0,2
HCPCS,61540,Removal of brain tissue,,,5063.0,6859.0,2
HCPCS,61541,Incision of brain tissue,,,5063.0,6859.0,2
HCPCS,61542,Removal of brain tissue,,,5063.0,5063.0,1
HCPCS,61543,Removal of brain tissue,,,5063.0,6859.0,2
HCPCS,61544,Remove & treat brain lesion,,,5063.0,6859.0,2
HCPCS,61545,Excision of brain tumor,,,5063.0,6859.0,2
HCPCS,61546,Removal of pituitary gland,,,5063.0,6859.0,2
HCPCS,61548,Removal of pituitary gland,,,5063.0,6859.0,2
HCPCS,61550,Release of skull seams,,,5063.0,6859.0,2
HCPCS,61552,Release of skull seams,,,5063.0,6859.0,2
HCPCS,61556,Incise skull/sutures,,,5063.0,6859.0,2
HCPCS,61557,Incise skull/sutures,,,5063.0,6859.0,2
HCPCS,61558,Excision of skull/sutures,,,5063.0,6859.0,2
HCPCS,61559,Excision of skull/sutures,,,5063.0,6859.0,2
HCPCS,61563,Excision of skull tumor,,,2664.0,6859.0,3
HCPCS,61564,Excision of skull tumor,,,5063.0,6859.0,2
HCPCS,61566,Removal of brain tissue,,,5063.0,6859.0,2
HCPCS,61567,Incision of brain tissue,,,5063.0,6859.0,2
HCPCS,61570,Remove foreign body brain,,,5063.0,6859.0,2
HCPCS,61571,Incise skull for brain wound,,,5063.0,6859.0,2
HCPCS,61575,Skull base/brainstem surgery,,,5063.0,6859.0,2
HCPCS,61576,Skull base/brainstem surgery,,,5063.0,6859.0,2
HCPCS,61580,Craniofacial approach skull,,,5063.0,6859.0,2
HCPCS,61581,Craniofacial approach skull,,,5063.0,6859.0,2
HCPCS,61582,Craniofacial approach skull,,,5063.0,6859.0,2
HCPCS,61583,Craniofacial approach skull,,,5063.0,6859.0,2
HCPCS,61584,Orbitocranial approach/skull,,,5063.0,6859.0,2
HCPCS,61585,Orbitocranial approach/skull,,,5063.0,6859.0,2
HCPCS,61586,Resect nasopharynx skull,,,5063.0,6859.0,2
HCPCS,61590,Infratemporal approach/skull,,,5063.0,6859.0,2
HCPCS,61591,Infratemporal approach/skull,,,5063.0,6859.0,2
HCPCS,61592,Orbitocranial approach/skull,,,5063.0,6859.0,2
HCPCS,61595,Transtemporal approach/skull,,,5063.0,6859.0,2
HCPCS,61596,Transcochlear approach/skull,,,5063.0,6859.0,2
HCPCS,61597,Transcondylar approach/skull,,,5063.0,6859.0,2
HCPCS,61598,Transpetrosal approach/skull,,,5063.0,6859.0,2
HCPCS,61600,Resect/excise cranial lesion,,,5063.0,6859.0,2
HCPCS,61601,Resect/excise cranial lesion,,,5063.0,6859.0,2
HCPCS,61605,Resect/excise cranial lesion,,,5063.0,6859.0,2
HCPCS,61606,Resect/excise cranial lesion,,,5063.0,6859.0,2
HCPCS,61607,Resect/excise cranial lesion,,,5063.0,6859.0,2
HCPCS,61608,Resect/excise cranial lesion,,,5063.0,6859.0,2
HCPCS,61609,"Transect artery, sinus",,,5063.0,5063.0,1
HCPCS,61610,Transect artery sinus,,,5063.0,5063.0,1
HCPCS,61611,Transect artery sinus,,,5063.0,6859.0,2
HCPCS,61612,Transect artery sinus,,,5063.0,5063.0,1
HCPCS,61613,Remove aneurysm sinus,,,5063.0,6859.0,2
HCPCS,61615,Resect/excise lesion skull,,,5063.0,6859.0,2
HCPCS,61616,Resect/excise lesion skull,,,5063.0,6859.0,2
HCPCS,61618,Repair dura,,,5063.0,6859.0,2
HCPCS,61619,Repair dura,,,5063.0,6859.0,2
HCPCS,61623,Endovasc tempory vessel occl,,,8245.0,44017.26,11
HCPCS,61623,Hc Cranial Arterial Temp Balloon Occl Test,17194.0,6705.66,,,0
HCPCS,61624,Hc Ip Only - Transcath Occlusion Cns/Embo,35956.0,14022.84,,,0
HCPCS,61624,Transcath occlusion cns,,,9000.0,69897.36,11
HCPCS,61626,Hc Transcath Occlusion Head/Neck Non-Cns Embo,24999.0,9749.61,,,0
HCPCS,61626,Transcath occlusion non-cns,,,8245.0,44017.26,11
HCPCS,61630,Hc Ip Only - Intracranial Prct Trnlum Angioplsty,23529.0,9176.31,,,0
HCPCS,61630,Intracranial angioplasty,,,4220.0,6859.0,3
HCPCS,61635,Hc Ip Only - Intracranial Prct Trnlum Angioplsty W Stent Plcmnt,29905.0,11662.95,,,0
HCPCS,61635,Intracran angioplsty w/stent,,,4220.0,6859.0,3
HCPCS,61640,Dilate ic vasospasm init,,,4220.0,6859.0,3
HCPCS,61640,Hc Vl Intracranial Balloon Dilatation Vasospasm Percu Initial Vessel,16105.0,6280.95,,,0
HCPCS,61641,Dilate ic vasospasm add-on,,,3437.0,6859.0,3
HCPCS,61641,Hc Intracranial Balloon Dilatation Vasospasm Percu Plus Same Territory,9203.0,3589.17,,,0
HCPCS,61642,Dilate ic vasospasm add-on,,,3437.0,6859.0,3
HCPCS,61642,Hc Intracranial Balloon Dilatation Vasoispasm Percu Plus Diff Territory,13801.0,5382.39,,,0
HCPCS,61645,Hc Arterial M-Thrombect And /Nfs Perq W Fl Guide,80168.0,31265.52,,,0
HCPCS,61645,Perq art m-thrombect &/nfs,,,6859.0,8245.0,2
HCPCS,61650,Evasc prlng admn rx agnt 1st,,,5063.0,6859.0,2
HCPCS,61650,Hc Ip Only - Intracranial Art Prolonng Admn Non Thromblytic Rx Initial Vasc Lvl W Img Guide,79577.0,31035.03,,,0
HCPCS,61651,Evasc prlng admn rx agnt add,,,5063.0,6859.0,2
HCPCS,61651,Hc Ip Only - Intracranial Art Prolonng Admn Non Thromblytic Rx Ea Addtl Vasc Brnch W Img Guide,49189.0,19183.71,,,0
HCPCS,61680,Intracranial vessel surgery,,,5063.0,6859.0,2
HCPCS,61682,Intracranial vessel surgery,,,5063.0,6859.0,2
HCPCS,61684,Intracranial vessel surgery,,,5063.0,6859.0,2
HCPCS,61686,Intracranial vessel surgery,,,5063.0,6859.0,2
HCPCS,61690,Intracranial vessel surgery,,,5063.0,6859.0,2
HCPCS,61692,Intracranial vessel surgery,,,5063.0,6859.0,2
HCPCS,61697,Brain aneurysm repr complx,,,5063.0,6859.0,2
HCPCS,61698,Brain aneurysm repr complx,,,5063.0,6859.0,2
HCPCS,61700,Brain aneurysm repr simple,,,5063.0,6859.0,2
HCPCS,61702,Inner skull vessel surgery,,,5063.0,6859.0,2
HCPCS,61703,Clamp neck artery,,,5063.0,6859.0,2
HCPCS,61705,Revise circulation to head,,,5063.0,6859.0,2
HCPCS,61708,Revise circulation to head,,,5063.0,6859.0,2
HCPCS,61710,Revise circulation to head,,,5063.0,6859.0,2
HCPCS,61711,Fusion of skull arteries,,,5063.0,6859.0,2
HCPCS,61712,Description Not Available,,,5063.0,5063.0,1
HCPCS,61715,Mrgfus strtctc ablt trgt icr,,,5809.0,42486.39,11
HCPCS,61720,Incise skull/brain surgery,,,5063.0,33461.75,11
HCPCS,61735,Incise skull/brain surgery,,,5063.0,6859.0,2
HCPCS,61736,Litt icr 1 traj 1 smpl les,,,5063.0,6859.0,2
HCPCS,61737,Litt icr mlt trj mlt/cplx ls,,,5063.0,6859.0,2
HCPCS,61750,Incise skull/brain biopsy,,,5063.0,6859.0,2
HCPCS,61751,Brain biopsy w/ct/mr guide,,,5063.0,6859.0,2
HCPCS,61760,Implant brain electrodes,,,5063.0,5272.0,2
HCPCS,61770,Incise skull for treatment,,,3469.83,13025.55,12
HCPCS,61781,Scan proc cranial intra,,,2665.0,3391.0,2
HCPCS,61782,Scan proc cranial extra,,,2665.0,3391.0,2
HCPCS,61783,Scan proc spinal,,,2665.0,3391.0,2
HCPCS,61790,Treat trigeminal nerve,,,1937.0,7445.62,13
HCPCS,61791,Treat trigeminal tract,,,1937.0,7445.62,13
HCPCS,61793,Focus radiation beam,,,1937.0,5063.0,2
HCPCS,61795,Brain surgery using computer,,,5063.0,5063.0,1
HCPCS,61796,Srs cranial lesion simple,,,5063.0,15026.0,2
HCPCS,61797,Srs cran les simple addl,,,5063.0,5272.0,2
HCPCS,61798,Srs cranial lesion complex,,,5063.0,15026.0,2
HCPCS,61799,Srs cran les complex addl,,,5063.0,5272.0,2
HCPCS,61800,Apply srs headframe add-on,,,2665.0,3391.0,2
HCPCS,61850,Implant neuroelectrodes,,,5063.0,6859.0,2
HCPCS,61855,Description Not Available,,,5063.0,5063.0,1
HCPCS,61860,Implant neuroelectrodes,,,5063.0,6859.0,2
HCPCS,61862,"Implant neurostimul, subcort",,,5063.0,5063.0,1
HCPCS,61863,Implant neuroelectrode,,,5063.0,6859.0,2
HCPCS,61864,Implant neuroelectrde addl,,,5063.0,6859.0,2
HCPCS,61865,Description Not Available,,,5063.0,5063.0,1
HCPCS,61867,Implant neuroelectrode,,,5063.0,6859.0,2
HCPCS,61868,Implant neuroelectrde addl,,,5063.0,6859.0,2
HCPCS,61870,Implant neuroelectrodes,,,5063.0,5063.0,1
HCPCS,61875,Implant neuroelectrodes,,,5063.0,5063.0,1
HCPCS,61880,Revise/remove neuroelectrode,,,3551.04,13330.43,11
HCPCS,61885,Insrt/redo neurostim 1 array,,,1694.0,117658.44,13
HCPCS,61886,Implant neurostim arrays,,,1937.0,117658.44,13
HCPCS,61888,Revise/remove neuroreceiver,,,1308.0,42486.39,13
HCPCS,61889,Ins sk-mnt crnl nstm pg/rcvr,,,5063.0,6859.0,2
HCPCS,61891,Rev/rplcmt sk-mnt crnl nstm,,,5809.0,117658.44,11
HCPCS,61892,Rmv sk-mnt crnl nstm pg/rcvr,,,3323.41,12475.93,11
HCPCS,62000,Treat skull fracture,,,3367.56,12641.63,11
HCPCS,62005,Treat skull fracture,,,5063.0,6859.0,2
HCPCS,62010,Treatment of head injury,,,5063.0,6859.0,2
HCPCS,62100,Repair brain fluid leakage,,,5063.0,6859.0,2
HCPCS,62115,Reduction of skull defect,,,5063.0,6859.0,2
HCPCS,62116,Reduction of skull defect,,,5063.0,5063.0,1
HCPCS,62117,Reduction of skull defect,,,5063.0,6859.0,2
HCPCS,62120,Repair skull cavity lesion,,,5063.0,6859.0,2
HCPCS,62121,Incise skull repair,,,5063.0,6859.0,2
HCPCS,62140,Repair of skull defect,,,5063.0,6859.0,2
HCPCS,62141,Repair of skull defect,,,5063.0,6859.0,2
HCPCS,62142,Remove skull plate/flap,,,5063.0,6859.0,2
HCPCS,62143,Replace skull plate/flap,,,5063.0,6859.0,2
HCPCS,62145,Repair of skull & brain,,,5063.0,6859.0,2
HCPCS,62146,Repair of skull with graft,,,5063.0,6859.0,2
HCPCS,62147,Repair of skull with graft,,,5063.0,6859.0,2
HCPCS,62148,Retr bone flap to fix skull,,,5063.0,6859.0,2
HCPCS,62160,Neuroendoscopy add-on,,,2665.0,3391.0,2
HCPCS,62161,Dissect brain w/scope,,,5063.0,6859.0,2
HCPCS,62162,Remove colloid cyst w/scope,,,5063.0,6859.0,2
HCPCS,62163,Zneuroendoscopy w/fb removal,,,5063.0,5063.0,1
HCPCS,62164,Remove brain tumor w/scope,,,5063.0,6859.0,2
HCPCS,62165,Remove pituit tumor w/scope,,,5063.0,6859.0,2
HCPCS,62180,Establish brain cavity shunt,,,5063.0,6859.0,2
HCPCS,62190,Establish brain cavity shunt,,,5063.0,6859.0,2
HCPCS,62192,Establish brain cavity shunt,,,5063.0,6859.0,2
HCPCS,62194,Replace/irrigate catheter,,,1308.0,7445.62,13
HCPCS,62200,Establish brain cavity shunt,,,5063.0,6859.0,2
HCPCS,62201,Brain cavity shunt w/scope,,,5063.0,6859.0,2
HCPCS,62220,Establish brain cavity shunt,,,5063.0,6859.0,2
HCPCS,62223,Establish brain cavity shunt,,,5063.0,6859.0,2
HCPCS,62225,Replace/irrigate catheter,,,1308.0,13025.55,13
HCPCS,62230,Replace/revise brain shunt,,,1694.0,33461.75,13
HCPCS,62252,Csf Shunt Reprogram,,,311.96,5063.0,12
HCPCS,62252,Hc Reprgrmg Programmable Cerebrospinal Shunt,5978.0,2331.42,,,0
HCPCS,62256,Remove brain cavity shunt,,,1694.0,5272.0,3
HCPCS,62258,Replace brain cavity shunt,,,5063.0,6859.0,2
HCPCS,62263,Epidural lysis mult sessions,,,898.37,4066.0,13
HCPCS,62264,Epidural lysis on single day,,,898.37,4066.0,13
HCPCS,62264,Hc Inj Epidural Percutaneous Lysis Of Adhesions 1 Or More Sessions,6207.0,2420.73,,,0
HCPCS,62267,Hc Interdiscal Or Paravertebral Dx Asp Perc,3134.0,1222.26,,,0
HCPCS,62267,Interdiscal perq aspir dx,,,719.26,4066.0,12
HCPCS,62268,Drain spinal cord cyst,,,898.37,4066.0,13
HCPCS,62269,Hc Spinal Cord Needle Biopsy Perc,9563.0,3729.57,,,0
HCPCS,62269,Needle biopsy spinal cord,,,1308.0,6297.43,13
HCPCS,62270,Hc Spinal Puncture Lumbar Diagnostic,5254.0,2049.06,,,0
HCPCS,62270,Spinal fluid tap diagnostic,,,716.97,4066.0,13
HCPCS,62272,Drain cerebro spinal fluid,,,716.97,4066.0,13
HCPCS,62272,Hc Spinal Puncture Therapeutic By Ndl/Cath,2854.0,1113.06,,,0
HCPCS,62273,Er Inject Epidural Blood/Clot,2127.0,829.53,,,0
HCPCS,62273,Hc Inj Epidural Blood/Clot Patch,5096.0,1987.44,,,0
HCPCS,62273,Inject epidural patch,,,716.97,4066.0,13
HCPCS,62274,Description Not Available,,,5063.0,5063.0,1
HCPCS,62275,Description Not Available,,,5063.0,5063.0,1
HCPCS,62276,Description Not Available,,,5063.0,5063.0,1
HCPCS,62277,Description Not Available,,,5063.0,5063.0,1
HCPCS,62278,Description Not Available,,,5063.0,5063.0,1
HCPCS,62279,Description Not Available,,,5063.0,5063.0,1
HCPCS,62280,Treat spinal cord lesion,,,898.37,4066.0,13
HCPCS,62281,Hc Inj/Infus Neurolyt Subst Epidural Cerv/Thoracic,6207.0,2420.73,,,0
HCPCS,62281,Treat spinal cord lesion,,,898.37,4066.0,13
HCPCS,62282,Hc Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral,5201.0,2028.39,,,0
HCPCS,62282,Treat spinal canal lesion,,,898.37,4066.0,13
HCPCS,62284,Hc Myelogram Inj Spinal/Lumbar,6050.0,2359.5,,,0
HCPCS,62284,Injection for myelogram,,,2665.0,3391.0,2
HCPCS,62287,Hc Perc Dcmprn Nucleus Pulposus Lumbar 1 Level Or Over,10312.0,4021.68,,,0
HCPCS,62287,Percutaneous diskectomy,,,1983.41,9032.0,13
HCPCS,62288,Description Not Available,,,5063.0,5063.0,1
HCPCS,62289,Description Not Available,,,5063.0,5063.0,1
HCPCS,62290,Hc Inj Discogaphy Lumbar Ea Level,2293.0,894.27,,,0
HCPCS,62290,Inject for spine disk x-ray,,,2665.0,3391.0,2
HCPCS,62291,Inject for spine disk x-ray,,,2665.0,3391.0,2
HCPCS,62292,Injection into disk lesion,,,1983.41,7445.62,12
HCPCS,62294,Injection into spinal artery,,,898.37,5809.0,13
HCPCS,62298,Description Not Available,,,5063.0,5063.0,1
HCPCS,62302,Hc Myelography Injection Cervical,7981.0,3112.59,,,0
HCPCS,62302,Myelography lumbar injection,,,796.24,4923.0,12
HCPCS,62303,Hc Myelography Injection Thoracic,7981.0,3112.59,,,0
HCPCS,62303,Myelography lumbar injection,,,796.24,4923.0,12
HCPCS,62304,Hc Myelography Injection Lumbosacral,7981.0,3112.59,,,0
HCPCS,62304,Myelography lumbar injection,,,796.24,4923.0,12
HCPCS,62305,Hc Myelography Injection 2 Or More Regions,10251.0,3997.89,,,0
HCPCS,62305,Myelography lumbar injection,,,796.24,4923.0,12
HCPCS,62310,Inject spine c/t,,,1308.0,5063.0,2
HCPCS,62311,Inject spine l/s (cd),,,1308.0,5063.0,2
HCPCS,62318,"Inject spine w/cath, c/t",,,1308.0,5063.0,2
HCPCS,62319,Inject spine w/cath l/s (cd),,,1308.0,5063.0,2
HCPCS,62320,Hc Inj Interlaminar Cervical/Thoracic W/O Imaging,4859.0,1895.01,,,0
HCPCS,62320,Njx interlaminar crv/thrc,,,716.97,4066.0,12
HCPCS,62321,Hc Inj Epidural Cervical/Thoracic W Guidance,15438.0,6020.82,,,0
HCPCS,62321,Njx interlaminar crv/thrc,,,716.97,4066.0,12
HCPCS,62322,Hc Inj Interlaminar Or Caudal Lumbar/Sac W/O Imaging,4462.0,1740.18,,,0
HCPCS,62322,Njx interlaminar lmbr/sac,,,898.37,4066.0,12
HCPCS,62323,Hc Inj Esi Lumbar/Sac W Guidance,4508.0,1758.12,,,0
HCPCS,62323,Njx interlaminar lmbr/sac,,,716.97,4066.0,12
HCPCS,62324,Njx interlaminar crv/thrc,,,898.37,4066.0,12
HCPCS,62325,Hc Epidural Inj Cerv/Thrc Plus Cath Plcmt W/Fluoro,15083.0,5882.37,,,0
HCPCS,62325,Njx interlaminar crv/thrc,,,898.37,4066.0,12
HCPCS,62326,Njx interlaminar lmbr/sac,,,898.37,4066.0,12
HCPCS,62327,Hc Epidural Inj Lmbr/Sac Plus Cath Plcmt W/Fluoro,16868.0,6578.52,,,0
HCPCS,62327,Njx interlaminar lmbr/sac,,,898.37,4066.0,12
HCPCS,62328,Dx lmbr spi pnxr w/fluor/ct,,,716.97,4066.0,12
HCPCS,62328,Hc Diagnostic Lumbar Spinal Puncture W/Fluor Or Ct,5254.0,2049.06,,,0
HCPCS,62329,Hc Therapeutic Spinal Pnxr Drainage Csf W/Fluor/Ct,5113.0,1994.07,,,0
HCPCS,62329,Ther spi pnxr csf fluor/ct,,,716.97,4066.0,12
HCPCS,62330,Dcmprn prq rmv lig flv 1lmbr,,,7370.23,27667.48,9
HCPCS,62350,Implant spinal canal cath,,,1694.0,33461.75,13
HCPCS,62351,Implant spinal canal cath,,,1694.0,27667.48,13
HCPCS,62355,Remove spinal canal catheter,,,1694.0,7445.62,13
HCPCS,62360,Insert spine infusion device,,,1694.0,68723.8,13
HCPCS,62361,Implant spine infusion pump,,,1694.0,68723.8,13
HCPCS,62362,Implant spine infusion pump,,,1694.0,68723.8,13
HCPCS,62365,Remove spine infusion device,,,1694.0,15026.0,13
HCPCS,62367,Analyze spine infus pump,,,311.96,4714.0,13
HCPCS,62368,Analyze sp inf pump w/reprog,,,311.96,4714.0,13
HCPCS,62368,Hc Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg,1293.0,504.27,,,0
HCPCS,62369,Anal sp inf pmp w/reprg&fill,,,311.96,5063.0,11
HCPCS,62369,Hc Elect Anlys Implt Ithcl/Edrl Pmp W/Reprg And Refil,1479.0,576.81,,,0
HCPCS,62370,Anl sp inf pmp w/mdreprg&fil,,,311.96,4714.0,11
HCPCS,62370,Hc Conization Cervix W/Wo D And C Rpr Eltrd Exc,1516.0,591.24,,,0
HCPCS,62380,Ndsc dcmprn 1 ntrspc lumbar,,,6760.0,27667.48,11
HCPCS,63001,Remove spine lamina 1/2 crvl,,,7370.23,27667.48,11
HCPCS,63003,Remove spine lamina 1/2 thrc,,,7370.23,27667.48,11
HCPCS,63005,Remove spine lamina 1/2 lmbr,,,6760.0,27667.48,11
HCPCS,63011,Remove spine lamina 1/2 scrl,,,6760.0,27667.48,11
HCPCS,63012,Remove lamina/facets lumbar,,,6760.0,27667.48,11
HCPCS,63015,Remove spine lamina >2 crvcl,,,7370.23,27667.48,11
HCPCS,63016,Remove spine lamina >2 thrc,,,7370.23,27667.48,11
HCPCS,63017,Remove spine lamina >2 lmbr,,,6389.0,27667.48,11
HCPCS,63020,Neck spine disk surgery,,,5809.0,27667.48,11
HCPCS,63030,Low back disk surgery,,,3099.0,27667.48,12
HCPCS,63035,Spinal disk surgery add-on,,,2665.0,6760.0,2
HCPCS,63040,Laminotomy single cervical,,,6760.0,27667.48,11
HCPCS,63042,Laminotomy single lumbar,,,3680.0,27667.48,12
HCPCS,63043,Laminotomy addl cervical,,,3391.0,8448.0,2
HCPCS,63044,Laminotomy addl lumbar,,,3391.0,8448.0,2
HCPCS,63045,Remove spine lamina 1 crvl,,,6760.0,27667.48,11
HCPCS,63046,Remove spine lamina 1 thrc,,,6760.0,27667.48,11
HCPCS,63047,Remove spine lamina 1 lmbr,,,6760.0,27667.48,11
HCPCS,63048,Remove spinal lamina add-on,,,2665.0,6760.0,2
HCPCS,63050,Cervical laminoplsty 2/> seg,,,5063.0,6859.0,2
HCPCS,63051,C-laminoplasty w/graft/plate,,,5063.0,6859.0,2
HCPCS,63052,Lam facetc/frmt arthrd lum 1,,,2665.0,3391.0,2
HCPCS,63053,Lam factc/frmt arthrd lum ea,,,2665.0,3391.0,2
HCPCS,63055,Decompress spinal cord thrc,,,6760.0,27667.48,12
HCPCS,63056,Decompress spinal cord lmbr,,,7370.23,27667.48,12
HCPCS,63057,Decompress spine cord add-on,,,2665.0,3391.0,2
HCPCS,63064,Decompress spinal cord thrc,,,5063.0,27667.48,12
HCPCS,63066,Decompress spine cord add-on,,,2665.0,5063.0,2
HCPCS,63075,Neck spine disk surgery,,,2664.0,27667.48,12
HCPCS,63076,Neck spine disk surgery,,,2665.0,6389.0,2
HCPCS,63077,Spine disk surgery thorax,,,5063.0,6859.0,2
HCPCS,63078,Spine disk surgery thorax,,,5063.0,6859.0,2
HCPCS,63081,Remove vert body dcmprn crvl,,,5063.0,15026.0,2
HCPCS,63082,Remove vertebral body add-on,,,5063.0,6859.0,2
HCPCS,63085,Remove vert body dcmprn thrc,,,5063.0,6859.0,2
HCPCS,63086,Remove vertebral body add-on,,,5063.0,6859.0,2
HCPCS,63087,Remov vertbr dcmprn thrclmbr,,,5063.0,6859.0,2
HCPCS,63088,Remove vertebral body add-on,,,5063.0,6859.0,2
HCPCS,63090,Remove vert body dcmprn lmbr,,,5063.0,6859.0,2
HCPCS,63091,Remove vertebral body add-on,,,5063.0,6859.0,2
HCPCS,63101,Remove vert body dcmprn thrc,,,5063.0,6859.0,2
HCPCS,63102,Remove vert body dcmprn lmbr,,,5063.0,6859.0,2
HCPCS,63103,Remove vertebral body add-on,,,5063.0,6859.0,2
HCPCS,63170,Incise spinal cord tract(s),,,5063.0,6859.0,2
HCPCS,63172,Drainage of spinal cyst,,,5063.0,6859.0,2
HCPCS,63173,Drainage of spinal cyst,,,5063.0,6859.0,2
HCPCS,63180,Revise spinal cord ligaments,,,5063.0,5063.0,1
HCPCS,63182,Revise spinal cord ligaments,,,5063.0,5063.0,1
HCPCS,63185,Hc Laminectomy W/Rhizotomy 1 Or 2 Segments,22532.0,8787.48,,,0
HCPCS,63185,Incise spine nrv half segmnt,,,5063.0,16710.0,2
HCPCS,63190,Hc Laminectomy W/Rhizotomy More Than 2 Segments,30207.0,11780.73,,,0
HCPCS,63190,Incise spine nrv >2 segmnts,,,5063.0,16710.0,2
HCPCS,63191,Incise spine accessory nerve,,,5063.0,16710.0,2
HCPCS,63194,Incise spine & cord cervical,,,5063.0,5063.0,1
HCPCS,63195,Incise spine & cord thoracic,,,5063.0,5063.0,1
HCPCS,63196,Incise spine&cord 2 trx crvl,,,5063.0,5063.0,1
HCPCS,63197,Incise spine&cord 2 trx thrc,,,5063.0,6859.0,2
HCPCS,63198,Incise spin&cord 2 stgs crvl,,,5063.0,5063.0,1
HCPCS,63199,Incise spin&cord 2 stgs thrc,,,5063.0,5063.0,1
HCPCS,63200,Release spinal cord lumbar,,,5063.0,16710.0,2
HCPCS,63250,Revise spinal cord vsls crvl,,,5063.0,6859.0,2
HCPCS,63251,Revise spinal cord vsls thrc,,,5063.0,6859.0,2
HCPCS,63252,Revise spine cord vsl thrlmb,,,5063.0,16710.0,2
HCPCS,63265,Excise intraspinl lesion crv,,,6760.0,27667.48,11
HCPCS,63266,Excise intrspinl lesion thrc,,,6760.0,27667.48,11
HCPCS,63267,Excise intrspinl lesion lmbr,,,6179.0,27667.48,11
HCPCS,63268,Excise intrspinl lesion scrl,,,6760.0,27667.48,11
HCPCS,63270,Excise intrspinl lesion crvl,,,5063.0,6859.0,2
HCPCS,63271,Excise intrspinl lesion thrc,,,5063.0,6859.0,2
HCPCS,63272,Excise intrspinl lesion lmbr,,,5063.0,16710.0,2
HCPCS,63273,Excise intrspinl lesion scrl,,,5063.0,6859.0,2
HCPCS,63275,Bx/exc xdrl spine lesn crvl,,,5063.0,6859.0,2
HCPCS,63276,Bx/exc xdrl spine lesn thrc,,,5063.0,6859.0,2
HCPCS,63277,Bx/exc xdrl spine lesn lmbr,,,5063.0,16710.0,2
HCPCS,63278,Bx/exc xdrl spine lesn scrl,,,5063.0,6859.0,2
HCPCS,63280,Bx/exc idrl spine lesn crvl,,,5063.0,6859.0,2
HCPCS,63281,Bx/exc idrl spine lesn thrc,,,5063.0,6859.0,2
HCPCS,63282,Bx/exc idrl spine lesn lmbr,,,5063.0,16710.0,2
HCPCS,63283,Bx/exc idrl spine lesn scrl,,,5063.0,6859.0,2
HCPCS,63285,Bx/exc idrl imed lesn cervl,,,5063.0,6859.0,2
HCPCS,63286,Bx/exc idrl imed lesn thrc,,,5063.0,6859.0,2
HCPCS,63287,Bx/exc idrl imed lesn thrlmb,,,5063.0,16710.0,2
HCPCS,63290,Bx/exc xdrl/idrl lsn any lvl,,,5063.0,16710.0,2
HCPCS,63295,Repair laminectomy defect,,,5063.0,6859.0,2
HCPCS,63300,Remove vert xdrl body crvcl,,,5063.0,6859.0,2
HCPCS,63301,Remove vert xdrl body thrc,,,5063.0,6859.0,2
HCPCS,63302,Remove vert xdrl body thrlmb,,,5063.0,6859.0,2
HCPCS,63303,Remov vert xdrl bdy lmbr/sac,,,5063.0,6859.0,2
HCPCS,63304,Remove vert idrl body crvcl,,,5063.0,6859.0,2
HCPCS,63305,Remove vert idrl body thrc,,,5063.0,6859.0,2
HCPCS,63306,Remov vert idrl bdy thrclmbr,,,5063.0,6859.0,2
HCPCS,63307,Remov vert idrl bdy lmbr/sac,,,5063.0,6859.0,2
HCPCS,63308,Remove vertebral body add-on,,,5063.0,6859.0,2
HCPCS,63600,Remove spinal cord lesion,,,1694.0,7445.62,13
HCPCS,63610,Stimulation of spinal cord,,,1308.0,7445.62,13
HCPCS,63615,Remove lesion of spinal cord,,,5063.0,5063.0,1
HCPCS,63620,Srs spinal lesion,,,5063.0,15026.0,2
HCPCS,63621,Srs spinal lesion addl,,,5063.0,5272.0,2
HCPCS,63650,Hc Perc Implant Spinal Column Stim Electrode Array - Trial Or Perm,23232.0,9060.48,,,0
HCPCS,63650,Implant neuroelectrodes,,,1694.0,24299.82,13
HCPCS,63655,Implant neuroelectrodes,,,8245.0,73971.4,11
HCPCS,63660,Revise/remove neuroelectrode,,,1308.0,5063.0,2
HCPCS,63661,Remove spine eltrd perq aray,,,1983.41,7445.62,12
HCPCS,63662,Remove spine eltrd plate,,,3391.0,13330.43,12
HCPCS,63663,Revise spine eltrd perq aray,,,3391.0,24299.82,12
HCPCS,63664,Revise spine eltrd plate,,,3391.0,42486.39,12
HCPCS,63685,Insrt/redo spine n generator,,,1694.0,117658.44,13
HCPCS,63688,Revise/remove neuroreceiver,,,1308.0,13330.43,13
HCPCS,63690,Description Not Available,,,5063.0,5063.0,1
HCPCS,63691,Description Not Available,,,5063.0,5063.0,1
HCPCS,63700,Repair of spinal herniation,,,5063.0,6859.0,2
HCPCS,6370001,ATOMOXETINE 18 MG CAPSULE,101.1,39.43,,,0
HCPCS,6370001,DESOGESTREL 0.15 MG-ETHINYL ESTRADIOL 0.03 MG TABLET,17.950000000000003,7.0,,,0
HCPCS,6370001,DOXEPIN 10 MG/ML ORAL CONCENTRATE,11.4,4.45,,,0
HCPCS,6370001,METHADONE 10 MG/ML ORAL CONCENTRATE,21.599999999999998,8.425,,,0
HCPCS,6370001,PAROMOMYCIN 250 MG CAPSULE,3356.4,1309.0,,,0
HCPCS,6370001,PEDIATRIC MULTIVITAMIN CHEWABLE TABLET,4.8,1.87,,,0
HCPCS,6370001,SERTRALINE 20 MG/ML ORAL CONCENTRATE,10.8,4.21,,,0
HCPCS,6370001,THIOGUANINE 40 MG TABLET,17416.0,6792.24,,,0
HCPCS,63702,Repair of spinal herniation,,,5063.0,6859.0,2
HCPCS,63704,Repair of spinal herniation,,,5063.0,6859.0,2
HCPCS,63706,Repair of spinal herniation,,,5063.0,6859.0,2
HCPCS,63707,Repair spinal fluid leakage,,,5063.0,6859.0,2
HCPCS,63709,Repair spinal fluid leakage,,,5063.0,6859.0,2
HCPCS,63710,Graft repair of spine defect,,,5063.0,6859.0,2
HCPCS,63740,Install spinal shunt,,,5063.0,6859.0,2
HCPCS,63741,Install spinal shunt,,,4714.0,33461.75,11
HCPCS,63744,Revision of spinal shunt,,,1937.0,13025.55,13
HCPCS,63746,Removal of spinal shunt,,,1694.0,7445.62,13
HCPCS,64400,Hc Inj Block Nerve Trigeminal W/Wo Image Guidance Each Branch,3200.0,1248.0,,,0
HCPCS,64400,N block inj trigeminal,,,311.77,3391.0,12
HCPCS,64402,N block inj facial,,,5063.0,5063.0,1
HCPCS,64405,Hc Inj Block Nerve Occipita W/Image Guidance,2010.0,783.9,,,0
HCPCS,64405,N block inj occipital,,,311.77,3391.0,12
HCPCS,64408,Hc Injection Aa And/Or Strd Vagus Nerve,1037.0,404.43,,,0
HCPCS,64408,N block inj vagus,,,311.77,3391.0,12
HCPCS,64410,N block inj phrenic,,,1308.0,5063.0,2
HCPCS,64412,Injection for nerve block,,,5063.0,5063.0,1
HCPCS,64413,N block inj cervical plexus,,,5063.0,5063.0,1
HCPCS,64415,Hc Inj Block Nerve Brachial Plexas Single W/Imag,5703.0,2224.17,,,0
HCPCS,64415,N block inj brachial plexus,,,898.37,4066.0,13
HCPCS,64416,Hc Inj Block Nerve Brachial Plexus Cont Inf Cath W/Imag,6207.0,2420.73,,,0
HCPCS,64416,N block cont infuse b plex,,,898.37,4066.0,12
HCPCS,64417,Hc Inj Block Nerve Axillary W/Imag,8466.0,3301.74,,,0
HCPCS,64417,N block inj axillary,,,898.37,4066.0,13
HCPCS,64418,Hc Inj Block Nerve Suprascapular W/Image Guidance,6731.0,2625.09,,,0
HCPCS,64418,N block inj suprascapular,,,716.97,4066.0,12
HCPCS,64420,Hc Inj Block Nerve Intercostal Single Lvl Wo Imag 1St Level,5790.0,2258.1,,,0
HCPCS,64420,N block inj intercost sng,,,716.97,4066.0,13
HCPCS,64421,Hc Inj Block Nerve Intercostal Ea Addl Lvl,9075.0,3539.25,,,0
HCPCS,64421,N block inj intercost mlt,,,898.37,4066.0,13
HCPCS,64425,Hc Inj Block Nerve Ilionguinal/Iliohypogastric W/Image Guidance,4859.0,1895.01,,,0
HCPCS,64425,N block inj ilio-ing/hypogi,,,716.97,4066.0,13
HCPCS,64430,Hc Inj Block Nerve Pudendal,6207.0,2420.73,,,0
HCPCS,64430,N block inj pudendal,,,898.37,4066.0,13
HCPCS,64435,Hc Inj Block Nerve Paracervical,5931.0,2313.09,,,0
HCPCS,64435,N block inj paracervical,,,716.97,4066.0,12
HCPCS,64440,Description Not Available,,,5063.0,5063.0,1
HCPCS,64441,Description Not Available,,,5063.0,5063.0,1
HCPCS,64442,Description Not Available,,,5063.0,5063.0,1
HCPCS,64443,Description Not Available,,,5063.0,5063.0,1
HCPCS,64445,Hc Inj Block Nerve Sciatic W/Imag,7357.0,2869.23,,,0
HCPCS,64445,N block inj sciatic sng,,,716.97,4066.0,12
HCPCS,64446,Hc Inj Block Nerve Sciatic Cont Infusion W/Imag,8860.0,3455.4,,,0
HCPCS,64446,N blk inj sciatic cont inf,,,898.37,5063.0,12
HCPCS,64447,Hc Inj Block Nerve Femoral W/Imag,7353.0,2867.67,,,0
HCPCS,64447,N block inj fem single,,,716.97,5063.0,12
HCPCS,64448,Hc Inj Block Nerve Femoral Cont Infusion W/Imag,10376.0,4046.64,,,0
HCPCS,64448,N block inj fem cont inf,,,898.37,5063.0,12
HCPCS,64449,Hc Inj Block Nerve Lumbar Plexus Post Cont Inf Cath,6207.0,2420.73,,,0
HCPCS,64449,N block inj lumbar plexus,,,898.37,4066.0,12
HCPCS,64450,Hc Inj Block Other Periph Nerve/Branch,5254.0,2049.06,,,0
HCPCS,64450,N block other peripheral,,,716.97,4066.0,13
HCPCS,64451,Hc Inj Block Nerve Si Joint W/Image Guidance,4635.0,1807.65,,,0
HCPCS,64451,Njx aa&/strd nrv nrvtg si jt,,,716.97,4066.0,12
HCPCS,64454,Hc Inj Block Nerve Genicular Branches W/Image Guidance,4635.0,1807.65,,,0
HCPCS,64454,Njx aa&/strd gnclr nrv brnch,,,716.97,4066.0,12
HCPCS,64455,Hc Inj/Nerve Block Plantar Digit,2607.0,1016.73,,,0
HCPCS,64455,N block inj plantar digit,,,311.77,3391.0,11
HCPCS,64461,Hc Inj Block Nerve Paravetebral Thoracic W/Image 1St Site,6272.0,2446.08,,,0
HCPCS,64461,Pvb thoracic single inj site,,,716.97,4066.0,11
HCPCS,64462,Hc Paraverteral Blk Thoracic 2Nd Plus Inj Site W Imag,10406.0,4058.34,,,0
HCPCS,64462,Pvb thoracic 2nd+ inj site,,,2665.0,3391.0,2
HCPCS,64463,Hc Paravertebral Thoracic Cont Infus Cath W Imag,6939.0,2706.21,,,0
HCPCS,64463,Pvb thoracic cont infusion,,,716.97,4066.0,11
HCPCS,64466,Thrc fascial pln blk uni njx,,,2665.0,3391.0,2
HCPCS,64467,Thrc fascial pln blk uni nfs,,,2665.0,3391.0,2
HCPCS,64468,Thrc fascial pln blk bi njx,,,2665.0,3391.0,2
HCPCS,64469,Thrc fascial pln blk bi nfs,,,2665.0,3391.0,2
HCPCS,64470,Inj paravertebral c/t,,,1308.0,5063.0,2
HCPCS,64472,Inj paravertebral c/t add-on,,,1308.0,5063.0,2
HCPCS,64473,Lwr xtr fscl pln blk uni njx,,,2665.0,3391.0,2
HCPCS,64474,Lwr xtr fscl pln blk uni nfs,,,2665.0,3391.0,2
HCPCS,64475,Inj paravertebral l/s,,,1308.0,5063.0,2
HCPCS,64476,Inj paravertebral l/s add-on,,,1308.0,5063.0,2
HCPCS,64479,Hc Inj Epidural Transforaminal Cervical/Throacic W Imag 1St Level,6207.0,2420.73,,,0
HCPCS,64479,Inj foramen epidural c/t,,,898.37,4066.0,13
HCPCS,64480,Hc Njx Anes And Strd W Img Tfrml Edrl Crv Thrc Ea Addl Lv,2070.0,807.3,,,0
HCPCS,64480,Inj foramen epidural add-on,,,1308.0,3391.0,3
HCPCS,64483,Hc Inj Epidural Transforaminal Lumbar/Sac W Imag 1St Level,10707.0,4175.73,,,0
HCPCS,64483,Inj foramen epidural l/s,,,898.37,4066.0,13
HCPCS,64484,Hc Inj Epidural Foramen Lumbar/Sac Ea Addl,5195.0,2026.05,,,0
HCPCS,64484,Inj foramen epidural add-on,,,1308.0,3391.0,3
HCPCS,64486,Hc Inj Block Nerve Tap Proc Unilateral W/Image Guide,8601.0,3354.39,,,0
HCPCS,64486,Tap block unil by injection,,,2665.0,4714.0,2
HCPCS,64487,Tap block uni by infusion,,,2665.0,4714.0,2
HCPCS,64488,Hc Tap Block Bilateral By Injections,9086.0,3543.54,,,0
HCPCS,64488,Tap block bi injection,,,2665.0,4714.0,2
HCPCS,64489,Tap block bi by infusion,,,2665.0,4714.0,2
HCPCS,64490,Hc Inj Block Facet Joint Cervical/Thoracic W Imag 1St Level,6972.0,2719.08,,,0
HCPCS,64490,Inj paravert f jnt c/t 1 lev,,,898.37,4066.0,12
HCPCS,64491,Hc Inj Facet Joint Cervical/Thoracic W Guidance 2Nd Level,3452.0,1346.28,,,0
HCPCS,64491,Inj paravert f jnt c/t 2 lev,,,2665.0,3391.0,2
HCPCS,64492,Hc Inj Facet Joint Cervical/Thoracic W Guidance 3 Plus Level,1497.0,583.83,,,0
HCPCS,64492,Inj paravert f jnt c/t 3 lev,,,2665.0,3391.0,2
HCPCS,64493,Hc Inj Block Nerve Facet Joint Lumbar/Sac W/Image Guide 1St Level,7798.0,3041.22,,,0
HCPCS,64493,Inj paravert f jnt l/s 1 lev,,,898.37,4066.0,12
HCPCS,64494,Hc Inj Facet Joint Lumbar/Sac W Guidance 2Nd Level,3452.0,1346.28,,,0
HCPCS,64494,Inj paravert f jnt l/s 2 lev,,,2665.0,3391.0,2
HCPCS,64495,Hc Inj Facet Joint Lumbar/Sac W Guidance 3 Plus Level,3452.0,1346.28,,,0
HCPCS,64495,Inj paravert f jnt l/s 3 lev,,,2665.0,3391.0,2
HCPCS,64505,Hc Inj Block Nerve Sphenopalatine Ganglion,2010.0,783.9,,,0
HCPCS,64505,N block spenopalatine gangl,,,311.77,3391.0,12
HCPCS,64508,N block carotid sinus s/p,,,5063.0,5063.0,1
HCPCS,64510,Hc Inj Block Nerve Stellate Ganglion,5702.0,2223.78,,,0
HCPCS,64510,N block stellate ganglion,,,898.37,4066.0,13
HCPCS,64517,Hc Inj Block Nerve Superior Hypogastric Plexus,6207.0,2420.73,,,0
HCPCS,64517,N block inj hypogas plxs,,,898.37,4714.0,13
HCPCS,64520,Hc Inj Block Nerve Lumbar/Thoracic Sympathetic,6207.0,2420.73,,,0
HCPCS,64520,N block lumbar/thoracic,,,898.37,4066.0,13
HCPCS,64530,Hc Inj Block Nerve Celiac Plexus W/Wo Image Guidance,6462.0,2520.18,,,0
HCPCS,64530,N block inj celiac pelus,,,898.37,4066.0,13
HCPCS,64550,Apply neurostimulator,,,5063.0,5063.0,1
HCPCS,64553,Implant neuroelectrodes,,,1308.0,42486.39,13
HCPCS,64555,Hc Prq Impltj Neurostimulator Eltrd Peripheral Nrv,980.0,382.2,,,0
HCPCS,64555,Implant neuroelectrodes,,,3391.0,24299.82,11
HCPCS,64560,Implant neuroelectrodes,,,5063.0,5063.0,1
HCPCS,64561,Hc Implant Neurostim Electrode Sacral Nerve W Image,10010.5,3904.0950000000003,,,0
HCPCS,64561,Implant neuroelectrodes,,,1937.0,24299.82,13
HCPCS,64565,Implant neuroelectrodes,,,5063.0,5063.0,1
HCPCS,64566,Hc Post Tib Neurostimulation Prq Needle Electrode,1226.0,478.14,,,0
HCPCS,64566,Neuroeltrd stim post tibial,,,311.77,3391.0,12
HCPCS,64567,Perq elec nrv field stimj cn,,,921.24,3458.28,9
HCPCS,64568,Inc for vagus n elect impl,,,4714.0,167946.4,11
HCPCS,64569,Revise/repl vagus n eltrd,,,4714.0,42486.39,12
HCPCS,64570,Remove vagus n eltrd,,,3391.0,15026.0,12
HCPCS,64573,Implant neuroelectrodes,,,1308.0,5063.0,2
HCPCS,64575,Implant neuroelectrodes,,,1308.0,42486.39,13
HCPCS,64577,Implant neuroelectrodes,,,1308.0,5063.0,2
HCPCS,64580,Implant neuroelectrodes,,,1308.0,73971.4,13
HCPCS,64581,Implant neuroelectrodes,,,1308.0,24299.82,13
HCPCS,64582,Opn mpltj hpglsl nstm ary pg,,,4714.0,117658.44,11
HCPCS,64583,Rev/rplct hpglsl nstm ary pg,,,4714.0,42486.39,11
HCPCS,64584,Rmvl hpglsl nstim ary pg,,,3391.0,15026.0,11
HCPCS,64585,Hc Revj/Rmvl Perph Neurostimulator Electrode Array,10534.0,4108.26,,,0
HCPCS,64585,Revise/remove neuroelectrode,,,1308.0,13330.43,13
HCPCS,64590,Insrt/redo pn/gastr stimul,,,1694.0,73971.4,13
HCPCS,64595,Revise/rmv pn/gastr stimul,,,1308.0,13330.43,13
HCPCS,64596,Ins/rplcmt prq eltrd ra pn 1,,,4714.0,42486.39,11
HCPCS,64597,Ins/rplcm prq eltrd ra pn ea,,,2665.0,3391.0,2
HCPCS,64598,Revj/rmvl nea pn w/int nstim,,,3391.0,13330.43,11
HCPCS,64600,Hc Inj/Rf Trigeminal Facial,6207.0,2420.73,,,0
HCPCS,64600,Injection treatment of nerve,,,898.37,4066.0,13
HCPCS,64605,Hc Dstrj Neurolytic Trigem Nrv 2/3 Div Branch,11630.0,4535.7,,,0
HCPCS,64605,Injection treatment of nerve,,,1308.0,7445.62,13
HCPCS,64610,Hc Dstrj Neurlytic Trigem Nrv 2/3 Branch W Imag,11630.0,4535.7,,,0
HCPCS,64610,Injection treatment of nerve,,,1308.0,7445.62,13
HCPCS,64611,Chemodenerv saliv glands,,,311.77,3391.0,11
HCPCS,64611,Hc Chemodenerv Parotid And Submandibl Salivary Glnds,1103.0,430.17,,,0
HCPCS,64612,Destroy nerve face muscle,,,311.77,3391.0,12
HCPCS,64612,Hc Inj Nerve Facial Muscles - Botox Or Other Med,2010.0,783.9,,,0
HCPCS,64613,"Destroy nerve, spine muscle",,,5063.0,5063.0,1
HCPCS,64614,"Destroy Nerve, Extrem Musc",,,5063.0,5063.0,1
HCPCS,64615,Chemodenerv musc migraine,,,311.77,3391.0,11
HCPCS,64615,Hc Chemodervate Facial/Trigem/Cerv Musc Migraine,2004.0,781.56,,,0
HCPCS,64616,Chemodenerv musc neck dyston,,,311.77,3391.0,11
HCPCS,64616,Hc Inj Muscles Neck - Botox Or Other Med,2010.0,783.9,,,0
HCPCS,64617,Chemodener muscle larynx emg,,,716.97,4066.0,11
HCPCS,64617,Hc Chemodenervation Muscle Larynx Unilat W/Emg,980.0,382.2,,,0
HCPCS,64620,Hc Destruction Neurolytic Agent Intercostal Nerve,2822.0,1100.58,,,0
HCPCS,64620,Injection treatment of nerve,,,898.37,4066.0,13
HCPCS,64622,Destr paravertebrl nerve l/s,,,1308.0,5063.0,2
HCPCS,64623,Destr paravertebral n add-on,,,1308.0,5063.0,2
HCPCS,64624,Dstrj nulyt agt gnclr nrv,,,1983.41,7445.62,12
HCPCS,64624,Hc Inj Neuro Agt Destruct Genicular Nrv W/Img,12736.0,4967.04,,,0
HCPCS,64625,Hc Ablation Nerve Rf Si Jt W/Image Guidance,12736.0,4967.04,,,0
HCPCS,64625,Rf abltj nrv nrvtg si jt,,,1983.41,7445.62,12
HCPCS,64626,Destr paravertebrl nerve c/t,,,1308.0,5063.0,2
HCPCS,64627,Destr paravertebral n add-on,,,1308.0,5063.0,2
HCPCS,64628,Trml dstrj ios bvn 1st 2 l/s,,,6760.0,48953.07,11
HCPCS,64629,Trml dstrj ios bvn ea addl,,,2665.0,3391.0,2
HCPCS,64630,Hc Dstrj Neurolytic Agent Pudendal Nerve,5496.0,2143.44,,,0
HCPCS,64630,Injection treatment of nerve,,,898.37,4714.0,13
HCPCS,64632,Hc Dstry Neurolytic Planter Common Dig Nerve,1694.0,660.66,,,0
HCPCS,64632,N block inj common digit,,,311.77,3391.0,11
HCPCS,64633,Destroy cerv/thor facet jnt,,,1983.41,7445.62,12
HCPCS,64633,Hc Inj/Rf Facet Joint Cervical/Thoracic W Guidance Single,11093.0,4326.27,,,0
HCPCS,64634,Destroy c/th facet jnt addl,,,2665.0,3391.0,2
HCPCS,64634,Hc Inj/Rf Facet Joint Cervical/Thoracic W Guidance Ea Addl,3696.0,1441.44,,,0
HCPCS,64635,Destroy lumb/sac facet jnt,,,1983.41,7445.62,12
HCPCS,64635,Hc Inj/Rf Facet Lumbar/Sacral W Guidance Single,11093.0,4326.27,,,0
HCPCS,64636,Destroy l/s facet jnt addl,,,2665.0,3391.0,2
HCPCS,64636,Hc Inj/Rf Facet Lumbar/Sacral W Guidance Ea Addl,3696.0,1441.44,,,0
HCPCS,64640,Hc Inj/Rf Nerve Peripheral Other,6088.0,2374.32,,,0
HCPCS,64640,Injection treatment of nerve,,,898.37,4066.0,12
HCPCS,64642,Chemodenerv 1 extremity 1-4,,,716.97,4066.0,11
HCPCS,64642,Hc Chemodenervation One Extremity 1-4 Muscle,4859.0,1895.01,,,0
HCPCS,64643,Chemodenerv 1 extrem 1-4 ea,,,2665.0,3391.0,2
HCPCS,64643,Hc Chemodenervation 1 Extremity Ea Addl 1-4 Muscle,1620.0,631.8,,,0
HCPCS,64644,Chemodenerv 1 extrem 5/> mus,,,716.97,4066.0,11
HCPCS,64644,Hc Chemodenervation 1 Extremity 5 Or More Muscles,4859.0,1895.01,,,0
HCPCS,64645,Chemodenerv 1 extrem 5/> ea,,,2665.0,3391.0,2
HCPCS,64645,Hc Chemodenervation 1 Extremity Ea Addl Muscles 5 Or Over,1620.0,631.8,,,0
HCPCS,64646,Chemodenerv trunk musc 1-5,,,716.97,4066.0,11
HCPCS,64646,Hc Inj Nerve Trunk 1 - 5 Muscles - Botox Or Other Med,4859.0,1895.01,,,0
HCPCS,64647,Chemodenerv trunk musc 6/>,,,716.97,4066.0,11
HCPCS,64647,Hc Inj Muscles Trunk 6 Or More - Botox Or Other Med,5060.0,1973.4,,,0
HCPCS,64650,Chemodenerv eccrine glands,,,311.77,3391.0,12
HCPCS,64650,Hc Chemodenervation Eccrine Glands Both Axillae,1338.0,521.82,,,0
HCPCS,64653,Chemodenerv eccrine glands,,,311.77,3391.0,12
HCPCS,64653,Hc Chemodenervation Eccrine Glands Oth Area Per Day,1338.0,521.82,,,0
HCPCS,64654,1st opn implt bat modulj sys,,,44738.6,167946.4,9
HCPCS,64655,Revj/rplcmt bat mod sys lead,,,3551.04,13330.43,9
HCPCS,64656,Revj/rplcmt bat mod sys pg,,,31342.58,117658.44,9
HCPCS,64657,Rmvl bat modulj sys tot sys,,,3469.83,13025.55,9
HCPCS,64658,Rmvl bat modul sys lead only,,,3551.04,13330.43,9
HCPCS,64659,Rmvl bat modulj sys pg only,,,3551.04,13330.43,9
HCPCS,64680,Hc Celiac Plexus Destruct Neuro Agent Inj,10133.0,3951.87,,,0
HCPCS,64680,Injection treatment of nerve,,,898.37,4714.0,13
HCPCS,64681,Injection treatment of nerve,,,898.37,4714.0,13
HCPCS,64702,Revise finger/toe nerve,,,1308.0,7445.62,13
HCPCS,64704,Revise hand/foot nerve,,,1308.0,7445.62,13
HCPCS,64708,Revise arm/leg nerve,,,1694.0,7445.62,13
HCPCS,64712,Revision of sciatic nerve,,,1694.0,7445.62,13
HCPCS,64713,Revision of arm nerve(s),,,1694.0,7445.62,13
HCPCS,64714,Revise low back nerve(s),,,1694.0,7445.62,13
HCPCS,64716,Revision of cranial nerve,,,1937.0,7445.62,13
HCPCS,64718,Revise ulnar nerve at elbow,,,1694.0,7445.62,13
HCPCS,64719,Revise ulnar nerve at wrist,,,1694.0,7445.62,13
HCPCS,64721,Carpal tunnel surgery,,,1694.0,7445.62,13
HCPCS,64722,Relieve pressure on nerve(s),,,1308.0,7445.62,13
HCPCS,64726,Release foot/toe nerve,,,1308.0,7445.62,13
HCPCS,64727,Internal nerve revision,,,1308.0,3391.0,3
HCPCS,64728,Dcmprn median nrv carpl tunl,,,1983.41,7445.62,9
HCPCS,64732,Incision of brow nerve,,,1694.0,7445.62,13
HCPCS,64734,Incision of cheek nerve,,,1694.0,7445.62,13
HCPCS,64736,Incision of chin nerve,,,1694.0,7445.62,13
HCPCS,64738,Incision of jaw nerve,,,1694.0,7445.62,13
HCPCS,64740,Incision of tongue nerve,,,1694.0,7445.62,13
HCPCS,64742,Incision of facial nerve,,,1694.0,7445.62,13
HCPCS,64744,Incise nerve back of head,,,1694.0,7445.62,13
HCPCS,64746,Incise diaphragm nerve,,,1694.0,7445.62,13
HCPCS,64752,Incision of vagus nerve,,,5063.0,5063.0,1
HCPCS,64755,Incision of stomach nerves,,,5063.0,6859.0,2
HCPCS,64760,Incision of vagus nerve,,,5063.0,6859.0,2
HCPCS,64761,Incision of pelvis nerve,,,5063.0,5063.0,1
HCPCS,64763,Incise hip/thigh nerve,,,1983.41,7445.62,12
HCPCS,64766,Incise hip/thigh nerve,,,1983.41,8448.0,12
HCPCS,64771,Sever cranial nerve,,,1694.0,7445.62,13
HCPCS,64772,Incision of spinal nerve,,,1694.0,7445.62,13
HCPCS,64774,Remove skin nerve lesion,,,1694.0,7445.62,13
HCPCS,64776,Remove digit nerve lesion,,,1937.0,7445.62,13
HCPCS,64778,Digit nerve surgery add-on,,,1694.0,4714.0,3
HCPCS,64782,Remove limb nerve lesion,,,1937.0,7445.62,13
HCPCS,64783,Limb nerve surgery add-on,,,1694.0,4714.0,3
HCPCS,64784,Remove nerve lesion,,,1937.0,7445.62,13
HCPCS,64786,Remove sciatic nerve lesion,,,1937.0,13025.55,13
HCPCS,64787,Implant nerve end,,,1694.0,4714.0,3
HCPCS,64788,Remove skin nerve lesion,,,1937.0,7445.62,13
HCPCS,64790,Removal of nerve lesion,,,1937.0,7445.62,13
HCPCS,64792,Removal of nerve lesion,,,1937.0,13025.55,13
HCPCS,64795,Biopsy of nerve,,,1694.0,7445.62,13
HCPCS,64802,Sympathectomy cervical,,,1694.0,7445.62,13
HCPCS,64804,Remove sympathetic nerves,,,1983.41,7445.62,11
HCPCS,64809,Remove sympathetic nerves,,,5063.0,6859.0,2
HCPCS,64818,Remove sympathetic nerves,,,5063.0,6859.0,2
HCPCS,64820,Sympathectomy digital artery,,,1983.41,7445.62,11
HCPCS,64821,Remove sympathetic nerves,,,2323.0,12475.93,13
HCPCS,64822,Remove sympathetic nerves,,,3323.41,12475.93,12
HCPCS,64823,Sympathectomy supfc palmar,,,3323.41,12475.93,12
HCPCS,64830,Description Not Available,,,5063.0,5063.0,1
HCPCS,64831,Repair of digit nerve,,,1983.41,8448.0,13
HCPCS,64832,Repair nerve add-on,,,1308.0,3391.0,3
HCPCS,64834,Repair of hand or foot nerve,,,1694.0,13025.55,13
HCPCS,64835,Repair of hand or foot nerve,,,1937.0,13025.55,13
HCPCS,64836,Repair of hand or foot nerve,,,1937.0,13025.55,13
HCPCS,64837,Repair nerve add-on,,,1308.0,3391.0,3
HCPCS,64840,Repair of leg nerve,,,1694.0,33461.75,13
HCPCS,64856,Repair/transpose nerve,,,1694.0,33461.75,13
HCPCS,64857,Repair arm/leg nerve,,,1694.0,13025.55,13
HCPCS,64858,Repair sciatic nerve,,,1694.0,8448.0,13
HCPCS,64859,Nerve surgery,,,1308.0,3391.0,3
HCPCS,64861,Repair of arm nerves,,,1937.0,8448.0,13
HCPCS,64862,Repair of low back nerves,,,1937.0,13025.55,13
HCPCS,64864,Repair of facial nerve,,,1937.0,33461.75,13
HCPCS,64865,Repair of facial nerve,,,2323.0,13025.55,13
HCPCS,64866,Fusion of facial/other nerve,,,5063.0,6859.0,2
HCPCS,64868,Fusion of facial/other nerve,,,5063.0,6859.0,2
HCPCS,64870,Fusion of facial/other nerve,,,2323.0,5063.0,2
HCPCS,64872,Subsequent repair of nerve,,,1694.0,4714.0,3
HCPCS,64874,Repair & revise nerve add-on,,,1937.0,5809.0,3
HCPCS,64876,Repair nerve/shorten bone,,,1937.0,5809.0,3
HCPCS,64885,Nerve graft head/neck <=4 cm,,,1694.0,33461.75,13
HCPCS,64886,Nerve graft head/neck >4 cm,,,1694.0,33461.75,13
HCPCS,64890,Nerve graft hand/foot <=4 cm,,,1694.0,33461.75,13
HCPCS,64891,Nerve graft hand/foot >4 cm,,,1694.0,33461.75,13
HCPCS,64892,Nerve graft arm/leg <4 cm,,,1694.0,33461.75,13
HCPCS,64893,Nerve graft arm/leg >4 cm,,,1694.0,13025.55,13
HCPCS,64895,Nerve graft hand/foot <=4 cm,,,1937.0,33461.75,13
HCPCS,64896,Nerve graft hand/foot >4 cm,,,1937.0,33461.75,13
HCPCS,64897,Nerve graft arm/leg <=4 cm,,,1937.0,33461.75,13
HCPCS,64898,Nerve graft arm/leg >4 cm,,,1937.0,33461.75,13
HCPCS,64901,Nerve graft add-on,,,1694.0,4714.0,3
HCPCS,64902,Nerve graft add-on,,,1694.0,4714.0,3
HCPCS,64905,Nerve pedicle transfer,,,1694.0,33461.75,13
HCPCS,64907,Nerve pedicle transfer,,,1308.0,33461.75,13
HCPCS,64910,Nerve repair w/allograft,,,4714.0,33461.75,12
HCPCS,64911,Neurorraphy w/vein autograft,,,4714.0,33461.75,12
HCPCS,64912,Nrv rpr w/nrv algrft 1st,,,4714.0,33461.75,11
HCPCS,64913,Nrv rpr w/nrv algrft ea addl,,,2665.0,3391.0,2
HCPCS,64999,Er Nervous System Unlisted Pro,1114.0,434.46,,,0
HCPCS,64999,Hc Procedure Nervous System Unlisted,1577.0,615.03,,,0
HCPCS,64999,Nervous system surgery,,,311.77,3391.0,11
HCPCS,65091,Revise eye,,,1937.0,14990.17,13
HCPCS,65093,Revise eye with implant,,,1937.0,14990.17,13
HCPCS,65101,Removal of eye,,,1937.0,14990.17,13
HCPCS,65103,Remove eye/insert implant,,,1937.0,14990.17,13
HCPCS,65105,Remove eye/attach implant,,,2323.0,14990.17,13
HCPCS,65110,Removal of eye,,,2664.0,14990.17,13
HCPCS,65112,Remove eye/revise socket,,,3721.0,14990.17,13
HCPCS,65114,Remove eye/revise socket,,,3721.0,14990.17,13
HCPCS,65125,Revise ocular implant,,,1694.0,9065.2,13
HCPCS,65130,Insert ocular implant,,,1937.0,14990.17,13
HCPCS,65135,Insert ocular implant,,,1694.0,14990.17,13
HCPCS,65140,Attach ocular implant,,,1937.0,14990.17,13
HCPCS,65150,Revise ocular implant,,,1694.0,14990.17,13
HCPCS,65155,Reinsert ocular implant,,,1937.0,14990.17,13
HCPCS,65175,Removal of ocular implant,,,1308.0,14990.17,13
HCPCS,65205,Hc Fb Remove Eye Superficial,815.0,317.85,,,0
HCPCS,65205,Remove foreign body from eye,,,135.14,5063.0,12
HCPCS,65210,Hc Fb Remove Eye Embedded,937.0,365.43,,,0
HCPCS,65210,Remove foreign body from eye,,,453.74,5063.0,11
HCPCS,65220,Hc Fb Remove Cornea W/O Lamp,937.0,365.43,,,0
HCPCS,65220,Remove foreign body from eye,,,453.74,5063.0,11
HCPCS,65222,Hc Fb Remove Cornea W Lamp,937.0,365.43,,,0
HCPCS,65222,Remove foreign body from eye,,,135.14,5063.0,11
HCPCS,65235,Remove foreign body from eye,,,1694.0,8799.58,13
HCPCS,65260,Remove foreign body from eye,,,1937.0,8799.58,13
HCPCS,65265,Remove foreign body from eye,,,2323.0,8799.58,13
HCPCS,65270,Repair of eye wound,,,1694.0,9065.2,13
HCPCS,65272,Repair of eye wound,,,1694.0,9065.2,13
HCPCS,65273,Repair of eye wound,,,4714.0,6859.0,2
HCPCS,65275,Repair of eye wound,,,2323.0,14990.17,13
HCPCS,65280,Repair of eye wound,,,2323.0,20289.79,13
HCPCS,65285,Repair of eye wound,,,2323.0,20289.79,13
HCPCS,65286,Hc Rpr Lac Appl Tissue Glue Wound Cornea And Or Sclera,7547.0,2943.33,,,0
HCPCS,65286,Repair of eye wound,,,2344.09,8799.58,12
HCPCS,65290,Repair of eye socket wound,,,1937.0,14990.17,13
HCPCS,65400,Hc Excision Lesion Cornea Xcp Pterygium,7547.0,2943.33,,,0
HCPCS,65400,Removal of eye lesion,,,1012.54,5272.0,13
HCPCS,65410,Biopsy of cornea,,,1694.0,9065.2,13
HCPCS,65420,Removal of eye lesion,,,1694.0,9065.2,13
HCPCS,65426,Removal of eye lesion,,,2414.84,9065.2,13
HCPCS,65430,Corneal smear,,,453.74,5063.0,11
HCPCS,65435,Curette/treat cornea,,,1012.54,5272.0,12
HCPCS,65435,Hc Rmvl Corneal Epithelium With Or Withoout Chemocauterization,3015.0,1175.85,,,0
HCPCS,65436,Curette/treat cornea,,,2414.84,9065.2,11
HCPCS,65436,Hc Rmvl Corneal Epithelium With Appl Chelating Agent,7226.0,2818.14,,,0
HCPCS,65450,Treatment of corneal lesion,,,322.39,3391.0,11
HCPCS,65600,Hc Multiple Punctures Anterior Cornea,4721.0,1841.19,,,0
HCPCS,65600,Revision of cornea,,,2414.84,9065.2,11
HCPCS,65710,Corneal transplant,,,3721.0,20289.79,13
HCPCS,65730,Corneal transplant,,,3721.0,15760.48,13
HCPCS,65750,Corneal transplant,,,3721.0,20289.79,13
HCPCS,65755,Corneal transplant,,,3721.0,15760.48,13
HCPCS,65756,Corneal trnspl endothelial,,,4198.37,15760.48,12
HCPCS,65757,Prep corneal endo allograft,,,2665.0,5063.0,2
HCPCS,65760,Revision of cornea,,,6179.0,9000.0,2
HCPCS,65765,Revision of cornea,,,6179.0,9000.0,2
HCPCS,65767,Corneal tissue transplant,,,6179.0,9000.0,2
HCPCS,65770,Revise cornea with implant,,,3721.0,55310.85,12
HCPCS,65771,Radial keratotomy,,,6179.0,9000.0,2
HCPCS,65772,Correction of astigmatism,,,1012.54,6389.0,13
HCPCS,65775,Correction of astigmatism,,,2323.0,9065.2,13
HCPCS,65778,Cover eye w/membrane,,,1012.54,5272.0,12
HCPCS,65778,Hc Place Amniotic Membra Ocular Surface Without Sutures,1571.0,612.69,,,0
HCPCS,65779,Cover eye w/membrane suture,,,3391.0,14990.17,12
HCPCS,65780,Ocular reconst transplant,,,2664.0,14990.17,13
HCPCS,65781,Ocular reconst transplant,,,2664.0,20289.79,13
HCPCS,65782,Ocular reconst transplant,,,2664.0,14990.17,13
HCPCS,65785,Impltj ntrstrml crnl rng seg,,,4198.37,15760.48,11
HCPCS,65800,Drainage of eye,,,1308.0,8799.58,13
HCPCS,65800,Hc Paracentsis Ant Chamb Eye Aspir Aqueous Spx,4427.0,1726.53,,,0
HCPCS,65805,Drainage of eye,,,1308.0,5063.0,2
HCPCS,65810,Drainage of eye,,,1937.0,8799.58,13
HCPCS,65815,Drainage of eye,,,1694.0,8799.58,13
HCPCS,65820,Relieve inner eye pressure,,,1308.0,15760.48,13
HCPCS,65850,Incision of eye,,,2323.0,8799.58,13
HCPCS,65855,Hc Trabeculoplasty By Laser Surgery,1983.0,773.37,,,0
HCPCS,65855,Trabeculoplasty laser surg,,,558.64,4714.0,13
HCPCS,65860,Incise inner eye adhesions,,,558.64,6389.0,12
HCPCS,65865,Incise inner eye adhesions,,,1308.0,8799.58,13
HCPCS,65870,Incise inner eye adhesions,,,2323.0,8799.58,13
HCPCS,65875,Incise inner eye adhesions,,,2323.0,8799.58,13
HCPCS,65880,Incise inner eye adhesions,,,2323.0,15760.48,13
HCPCS,65900,Remove eye lesion,,,2344.09,8799.58,13
HCPCS,65920,Remove implant of eye,,,2344.09,9000.0,13
HCPCS,65930,Remove blood clot from eye,,,2344.09,8799.58,13
HCPCS,66020,Hc Injection Anterior Chamber Eye Air Or Liquid Spx,6671.0,2601.69,,,0
HCPCS,66020,Injection treatment of eye,,,1308.0,8799.58,13
HCPCS,66030,Hc Injx Anterior Chamber Eye Medication Spx,2621.0,1022.19,,,0
HCPCS,66030,Injection treatment of eye,,,1308.0,8799.58,13
HCPCS,66130,Remove eye lesion,,,2414.84,9065.2,13
HCPCS,66150,Glaucoma surgery,,,2323.0,15760.48,13
HCPCS,66155,Glaucoma surgery,,,2323.0,15760.48,13
HCPCS,66160,Glaucoma surgery,,,1694.0,8799.58,13
HCPCS,66165,Glaucoma surgery,,,2323.0,5063.0,2
HCPCS,66170,Glaucoma surgery,,,2323.0,8799.58,13
HCPCS,66172,Incision of eye,,,2323.0,8799.58,13
HCPCS,66174,Translum dil eye canal,,,4198.37,15760.48,12
HCPCS,66175,Trnslum dil eye canal w/stnt,,,5404.92,20289.79,12
HCPCS,66179,Aqueous shunt eye w/o graft,,,5404.92,20289.79,12
HCPCS,66180,Aqueous shunt eye w/graft,,,2664.0,20289.79,13
HCPCS,66183,Insert ant drainage device,,,4198.37,15760.48,12
HCPCS,66184,Revision of aqueous shunt,,,2344.09,9032.0,12
HCPCS,66185,Revise aqueous shunt eye,,,1694.0,8799.58,13
HCPCS,66220,Repair eye lesion,,,1937.0,5063.0,2
HCPCS,66225,Repair/graft eye lesion,,,2323.0,20289.79,13
HCPCS,66250,Follow-up surgery of eye,,,1694.0,9065.2,13
HCPCS,66500,Incision of iris,,,1308.0,8799.58,13
HCPCS,66505,Incision of iris,,,1308.0,8799.58,13
HCPCS,66600,Remove iris and lesion,,,1937.0,15760.48,13
HCPCS,66605,Removal of iris,,,1937.0,11889.0,13
HCPCS,66625,Removal of iris,,,1937.0,8799.58,13
HCPCS,66630,Removal of iris,,,1937.0,8799.58,13
HCPCS,66635,Removal of iris,,,1937.0,8799.58,13
HCPCS,66680,Repair iris & ciliary body,,,1937.0,8799.58,13
HCPCS,66682,Repair iris & ciliary body,,,1694.0,8799.58,13
HCPCS,66683,Implantation iris prosthesis,,,6760.0,62764.08,11
HCPCS,66700,Destruction ciliary body,,,1694.0,8799.58,13
HCPCS,66710,Ciliary transsleral therapy,,,1694.0,9065.2,13
HCPCS,66710,Hc Ciliary Body Dstruction Cyclophotocoag Transsceral,862.0,336.18,,,0
HCPCS,66711,Ciliary endoscopic ablation,,,1694.0,8799.58,13
HCPCS,66720,Destruction ciliary body,,,1694.0,9065.2,13
HCPCS,66740,Destruction ciliary body,,,1694.0,9065.2,13
HCPCS,66761,Hc Iridotomy/Irridectomy Laser Surg Per Session,1346.0,524.94,,,0
HCPCS,66761,Revision of iris,,,558.64,4066.0,13
HCPCS,66762,Hc Iridoplasty Photocoagulation 1 Or More Sessions,862.0,336.18,,,0
HCPCS,66762,Revision of iris,,,558.64,4066.0,13
HCPCS,66770,Removal of inner eye lesion,,,558.64,4066.0,12
HCPCS,66820,Incision secondary cataract,,,2344.09,8799.58,12
HCPCS,66821,After cataract laser surgery,,,558.64,4714.0,13
HCPCS,66821,Hc Post-Cataract Laser Surgery,1851.0,721.89,,,0
HCPCS,66825,Reposition intraocular lens,,,2323.0,8799.58,13
HCPCS,66830,Removal of lens lesion,,,2323.0,8799.58,13
HCPCS,66840,Removal of lens material,,,2323.0,8799.58,13
HCPCS,66850,Removal of lens material,,,2344.09,9000.0,13
HCPCS,66852,Removal of lens material,,,2323.0,15760.48,13
HCPCS,66920,Extraction of lens,,,2323.0,8799.58,13
HCPCS,66930,Extraction of lens,,,2664.0,15760.48,13
HCPCS,66940,Extraction of lens,,,2344.09,8799.58,13
HCPCS,66982,Cataract surgery complex,,,2344.09,8799.58,13
HCPCS,66983,Cataract surg w/iol 1 stage,,,2344.09,8799.58,13
HCPCS,66984,Cataract surg w/iol 1 stage,,,2344.09,8799.58,13
HCPCS,66985,Insert lens prosthesis,,,2344.09,8799.58,13
HCPCS,66986,Exchange lens prosthesis,,,2344.09,8799.58,13
HCPCS,66987,Xcapsl ctrc rmvl cplx w/ecp,,,4198.37,15760.48,12
HCPCS,66988,Xcapsl ctrc rmvl w/ecp,,,4198.37,15760.48,12
HCPCS,66989,Xcpsl ctrc rmvl cplx insj 1+,,,5404.92,20289.79,11
HCPCS,66990,Ophthalmic endoscope add-on,,,2665.0,3391.0,2
HCPCS,66991,Xcapsl ctrc rmvl insj 1+,,,5404.92,20289.79,11
HCPCS,66999,Eye surgery procedure,,,2344.09,8799.58,11
HCPCS,67005,Partial removal of eye fluid,,,2323.0,8799.58,13
HCPCS,67010,Partial removal of eye fluid,,,2323.0,8799.58,13
HCPCS,67015,Hc Aspiration/Release Vitreous Subretinal/Choroidal,7634.0,2977.26,,,0
HCPCS,67015,Release of eye fluid,,,1308.0,8799.58,13
HCPCS,67025,Replace eye fluid,,,1308.0,8799.58,13
HCPCS,67027,Implant eye drug system,,,2323.0,53201.73,13
HCPCS,67028,Hc Intravitreal Injection Pharmacologic Agt Spx,1820.0,709.8,,,0
HCPCS,67028,Injection eye drug,,,335.5,3391.0,12
HCPCS,67030,Incise inner eye strands,,,1308.0,8799.58,13
HCPCS,67031,Laser surgery eye strands,,,558.64,4714.0,13
HCPCS,67036,Removal of inner eye fluid,,,2323.0,15760.48,13
HCPCS,67038,Strip retinal membrane,,,2664.0,5063.0,2
HCPCS,67039,Laser treatment of retina,,,3721.0,15760.48,13
HCPCS,67040,Laser treatment of retina,,,3721.0,15760.48,13
HCPCS,67041,Vit for macular pucker,,,4198.37,15760.48,12
HCPCS,67042,Vit for macular hole,,,4198.37,15760.48,12
HCPCS,67043,Vit for membrane dissect,,,4198.37,15760.48,12
HCPCS,67101,Repair detached retina crtx,,,2323.0,8799.58,13
HCPCS,67105,Repair detached retina pc,,,558.64,6760.0,13
HCPCS,67107,Repair detached retina,,,2664.0,15760.48,13
HCPCS,67108,Repair detached retina,,,3721.0,15760.48,13
HCPCS,67110,Hc Rpr Retinal Dtchmnt Injection Air/Other Gas,7079.0,2760.81,,,0
HCPCS,67110,Repair detached retina,,,2344.09,8799.58,11
HCPCS,67112,Rerepair detached retina,,,3721.0,5063.0,2
HCPCS,67113,Repair retinal detach cplx,,,5404.92,20289.79,12
HCPCS,67115,Release encircling material,,,1694.0,15760.48,13
HCPCS,67120,Remove eye implant material,,,1694.0,8799.58,13
HCPCS,67121,Remove eye implant material,,,1694.0,8799.58,13
HCPCS,67141,Hc Proph Retinal Dtchmnt Withoout Drg Crtx Diathermy,543.0,211.77,,,0
HCPCS,67141,Treatment of retina,,,322.39,4714.0,13
HCPCS,67145,Hc Proph Retinal Dtchmnt W/O Drg Photocoagulation,1743.0,679.77,,,0
HCPCS,67145,Treatment of retina,,,558.64,4066.0,12
HCPCS,67208,Treatment of retinal lesion,,,322.39,6760.0,13
HCPCS,67210,Hc Dstruction Loclzd Lesion Retina 1 Or More Sess Pc,1727.0,673.53,,,0
HCPCS,67210,Treatment of retinal lesion,,,558.64,6760.0,13
HCPCS,67218,Treatment of retinal lesion,,,2664.0,14990.17,13
HCPCS,67220,Hc Destruction Lesion Choroid Pc 1 Or More Sessions,1852.0,722.28,,,0
HCPCS,67220,Treatment of choroid lesion,,,558.64,4066.0,12
HCPCS,67221,Ocular Photodynamic Ther,,,558.64,4066.0,12
HCPCS,67225,Eye photodynamic ther add-on,,,2665.0,3391.0,2
HCPCS,67227,Dstrj extensive retinopathy,,,1308.0,14990.17,13
HCPCS,67228,Hc Treatment Extensive Retinopathy Photocoagulation,3034.0,1183.26,,,0
HCPCS,67228,Treatment x10sv retinopathy,,,558.64,4066.0,13
HCPCS,67229,Tr retinal les preterm inf,,,558.64,4714.0,11
HCPCS,67250,Reinforce eye wall,,,1937.0,9065.2,13
HCPCS,67255,Reinforce/graft eye wall,,,1937.0,15760.48,13
HCPCS,67299,Eye surgery procedure,,,2344.09,8799.58,11
HCPCS,67311,Revise eye muscle,,,1937.0,9065.2,13
HCPCS,67312,Revise two eye muscles,,,2323.0,14990.17,13
HCPCS,67314,Revise eye muscle,,,2323.0,9065.2,13
HCPCS,67316,Revise two eye muscles,,,2323.0,9065.2,13
HCPCS,67318,Revise eye muscle(s),,,2323.0,9065.2,13
HCPCS,67320,Revise eye muscle(s) add-on,,,2323.0,6389.0,3
HCPCS,67331,Eye surgery follow-up add-on,,,2323.0,6389.0,3
HCPCS,67332,Rerevise eye muscles add-on,,,2323.0,6389.0,3
HCPCS,67334,Revise eye muscle w/suture,,,2323.0,6389.0,3
HCPCS,67335,Eye suture during surgery,,,2323.0,6389.0,3
HCPCS,67340,Revise eye muscle add-on,,,2323.0,6389.0,3
HCPCS,67343,Release eye tissue,,,2414.84,9065.2,13
HCPCS,67345,Destroy nerve of eye muscle,,,322.39,3391.0,12
HCPCS,67346,Biopsy eye muscle,,,2572.0,14990.17,12
HCPCS,67350,Biopsy eye muscle,,,1308.0,5063.0,2
HCPCS,67399,Unlisted px extraocular musc,,,322.39,5063.0,11
HCPCS,67400,Explore/biopsy eye socket,,,1937.0,14990.17,13
HCPCS,67405,Explore/drain eye socket,,,2323.0,9065.2,13
HCPCS,67412,Explore/treat eye socket,,,2414.84,9065.2,13
HCPCS,67413,Explore/treat eye socket,,,2414.84,9065.2,13
HCPCS,67414,Explr/decompress eye socket,,,3993.17,14990.17,11
HCPCS,67415,Aspiration orbital contents,,,1308.0,9065.2,13
HCPCS,67420,Explore/treat eye socket,,,2664.0,14990.17,13
HCPCS,67430,Explore/treat eye socket,,,2664.0,14990.17,13
HCPCS,67440,Explore/drain eye socket,,,2664.0,14990.17,13
HCPCS,67445,Explr/decompress eye socket,,,2664.0,14990.17,13
HCPCS,67450,Explore/biopsy eye socket,,,2664.0,14990.17,13
HCPCS,67500,Hc Retrobulbar Injection Medication Spx,724.0,282.36,,,0
HCPCS,67500,Inject/treat eye socket,,,322.39,5063.0,11
HCPCS,67505,Inject/treat eye socket,,,322.39,3391.0,12
HCPCS,67515,Hc Injection Medication Or Other Subst Tenon Capsule,1718.0,670.02,,,0
HCPCS,67515,Inject/treat eye socket,,,322.39,3391.0,12
HCPCS,67516,Hc Suprachoroidal Space Injection Pharmacologic Agent,1163.0,453.57,,,0
HCPCS,67516,Sprchoroidal spc njx rx agt,,,335.5,5063.0,11
HCPCS,67550,Insert eye socket implant,,,2323.0,14990.17,13
HCPCS,67560,Revise eye socket implant,,,1694.0,14990.17,13
HCPCS,67570,Decompress optic nerve,,,2323.0,14990.17,13
HCPCS,67599,Orbit surgery procedure,,,322.39,5063.0,11
HCPCS,67700,Drainage of eyelid abscess,,,322.39,3391.0,13
HCPCS,67700,Hc Drain Abscess Eyelid,4060.0,1583.4,,,0
HCPCS,67710,Incision of eyelid,,,1012.54,5272.0,12
HCPCS,67715,Hc Canthotomy Separate Procedure,9307.0,3629.73,,,0
HCPCS,67715,Incision of eyelid fold,,,1308.0,9065.2,13
HCPCS,67800,Hc Excision Chalazion Single,3574.0,1393.86,,,0
HCPCS,67800,Remove eyelid lesion,,,322.39,3391.0,12
HCPCS,67801,Hc Excision Chalazion Multiple Same Lid,4881.0,1903.59,,,0
HCPCS,67801,Remove eyelid lesions,,,1012.54,5272.0,13
HCPCS,67805,Hc Excision Chalazion Multiple Different Lids,2840.0,1107.6,,,0
HCPCS,67805,Remove eyelid lesions,,,322.39,3391.0,13
HCPCS,67808,Remove eyelid lesion(s),,,1694.0,9065.2,13
HCPCS,67810,Biopsy eyelid & lid margin,,,322.39,3391.0,12
HCPCS,67810,Hc Incisional Biopsy Eyelid Skin And Lid Margin,9172.0,3577.08,,,0
HCPCS,67820,Hc Correction Trichiasis Epilation Forceps Only,207.0,80.73,,,0
HCPCS,67820,Revise eyelashes,,,135.14,5063.0,11
HCPCS,67825,Hc Correction Trichiasis Epilation Oth Than Forceps,898.0,350.22,,,0
HCPCS,67825,Revise eyelashes,,,322.39,5063.0,12
HCPCS,67830,Hc Correction Trichiasis Inccision Lid Margin,2456.0,957.84,,,0
HCPCS,67830,Revise eyelashes,,,1012.54,5272.0,13
HCPCS,67835,Revise eyelashes,,,1694.0,9065.2,13
HCPCS,67840,Hc Temporary Closure Eyelids Suture,2840.0,1107.6,,,0
HCPCS,67840,Remove eyelid lesion,,,1012.54,5272.0,13
HCPCS,67850,Treat eyelid lesion,,,1012.54,5272.0,13
HCPCS,67875,Closure of eyelid by suture,,,1012.54,5272.0,12
HCPCS,67875,Hc Temporary Closure Eyelids Suture,2840.0,1107.6,,,0
HCPCS,67880,Hc Constion Intermargin Adhes Tarsorrh Canthorrhapy,4317.0,1683.63,,,0
HCPCS,67880,Revision of eyelid,,,1937.0,9065.2,13
HCPCS,67882,Hc Constion Intermargin Adhes Tarsor Canthor With Trpos,1727.0,673.53,,,0
HCPCS,67882,Revision of eyelid,,,1937.0,9065.2,13
HCPCS,67900,Hc Repair Brow Ptosis,6054.0,2361.06,,,0
HCPCS,67900,Repair brow defect,,,2323.0,9065.2,13
HCPCS,67901,Repair eyelid defect,,,2414.84,9065.2,13
HCPCS,67902,Repair eyelid defect,,,2664.0,14990.17,13
HCPCS,67903,Repair eyelid defect,,,2323.0,9065.2,13
HCPCS,67904,Hc Rpr Blepharoptosis Levator Rescection Advmnt External,7875.0,3071.25,,,0
HCPCS,67904,Repair eyelid defect,,,2323.0,9065.2,13
HCPCS,67906,Repair eyelid defect,,,2664.0,14990.17,13
HCPCS,67908,Hc Rpr Blpos Conjunctivo Tarso Musc Levator Resection,6878.0,2682.42,,,0
HCPCS,67908,Repair eyelid defect,,,2323.0,9065.2,13
HCPCS,67909,Revise eyelid defect,,,2323.0,9065.2,13
HCPCS,67911,Hc Correction Lid Retraction,4245.0,1655.55,,,0
HCPCS,67911,Revise eyelid defect,,,1937.0,9065.2,13
HCPCS,67912,Correction eyelid w/implant,,,1937.0,9065.2,13
HCPCS,67914,Hc Repair Ectropion Suture,7356.0,2868.84,,,0
HCPCS,67914,Repair eyelid defect,,,1937.0,9065.2,13
HCPCS,67915,Repair eyelid defect,,,2414.84,9065.2,12
HCPCS,67916,Repair eyelid defect,,,2323.0,9065.2,13
HCPCS,67917,Hc Repair Ectropion Extensive,6537.0,2549.43,,,0
HCPCS,67917,Repair eyelid defect,,,2323.0,9065.2,13
HCPCS,67921,Hc Repair Entropion Suture,6878.0,2682.42,,,0
HCPCS,67921,Repair eyelid defect,,,1937.0,9065.2,13
HCPCS,67922,Repair eyelid defect,,,2414.84,9065.2,11
HCPCS,67923,Repair eyelid defect,,,2323.0,9065.2,13
HCPCS,67924,Hc Repair Entropion Extensive,6813.0,2657.07,,,0
HCPCS,67924,Repair eyelid defect,,,2323.0,9065.2,13
HCPCS,67930,Hc Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick,7480.0,2917.2,,,0
HCPCS,67930,Repair eyelid wound,,,2414.84,9065.2,12
HCPCS,67935,Hc Suture Wound Eyelid/Margin/Tarsus/Conjunctiva Full Thick,10007.0,3902.73,,,0
HCPCS,67935,Repair eyelid wound,,,1694.0,9065.2,13
HCPCS,67938,Hc Fb Remove Eyelid Embedded,1871.0,729.69,,,0
HCPCS,67938,Remove eyelid foreign body,,,322.39,3391.0,11
HCPCS,67950,Revision of eyelid,,,1694.0,9065.2,13
HCPCS,67961,Hc Excision And Repair Eyelid Upto One-Fourth Lid Margin,6615.0,2579.85,,,0
HCPCS,67961,Revision of eyelid,,,1937.0,9065.2,13
HCPCS,67966,Revision of eyelid,,,1937.0,9065.2,13
HCPCS,67971,Reconstruction of eyelid,,,1937.0,9065.2,13
HCPCS,67973,Hc Rcnstruction Eyelid Full Thickness Lower Eyelid 1 Stg,7145.0,2786.55,,,0
HCPCS,67973,Reconstruction of eyelid,,,1937.0,9065.2,13
HCPCS,67974,Reconstruction of eyelid,,,1937.0,14990.17,13
HCPCS,67975,Hc Rcnstruction Eyelid Full Thickness Second Stage,6125.0,2388.75,,,0
HCPCS,67975,Reconstruction of eyelid,,,1937.0,9065.2,13
HCPCS,67999,Revision of eyelid,,,322.39,5063.0,11
HCPCS,68020,Incise/drain eyelid lining,,,1012.54,5272.0,11
HCPCS,68040,Treatment of eyelid lesions,,,322.39,5063.0,11
HCPCS,68100,Biopsy of eyelid lining,,,2414.84,9065.2,12
HCPCS,68100,Hc Biopsy Conjunctiva,1314.0,512.46,,,0
HCPCS,68110,Hc Excision Lesion Conjunctiva Less Than 1 Cm,2720.0,1060.8,,,0
HCPCS,68110,Remove eyelid lining lesion,,,1694.0,9065.2,13
HCPCS,68115,Hc Excision Lesion Conjunctiva Over 1 Cm,6878.0,2682.42,,,0
HCPCS,68115,Remove eyelid lining lesion,,,1694.0,9065.2,13
HCPCS,68130,Remove eyelid lining lesion,,,1694.0,9065.2,13
HCPCS,68135,Remove eyelid lining lesion,,,2414.84,9065.2,12
HCPCS,68200,Hc Subconjunctival Injection,1269.0,494.91,,,0
HCPCS,68200,Treat eyelid by injection,,,453.74,5063.0,11
HCPCS,68320,Revise/graft eyelid lining,,,2323.0,9065.2,13
HCPCS,68325,Revise/graft eyelid lining,,,2323.0,14990.17,13
HCPCS,68326,Revise/graft eyelid lining,,,2323.0,14990.17,13
HCPCS,68328,Revise/graft eyelid lining,,,2323.0,9065.2,13
HCPCS,68330,Revise eyelid lining,,,2323.0,8799.58,13
HCPCS,68335,Revise/graft eyelid lining,,,2323.0,14990.17,13
HCPCS,68340,Separate eyelid adhesions,,,2323.0,9065.2,13
HCPCS,68360,Revise eyelid lining,,,1694.0,14990.17,13
HCPCS,68362,Revise eyelid lining,,,1694.0,9065.2,13
HCPCS,68371,Harvest eye tissue alograft,,,1694.0,9065.2,13
HCPCS,68399,Eyelid lining surgery,,,322.39,5063.0,11
HCPCS,68400,Incise/drain tear gland,,,1012.54,5272.0,12
HCPCS,68420,Hc Incision Drainage Lacrimal Sac,6546.0,2552.94,,,0
HCPCS,68420,Incise/drain tear sac,,,1937.0,9065.2,13
HCPCS,68440,Hc Snip Incision Lacrimal Punctum,6293.0,2454.27,,,0
HCPCS,68440,Incise tear duct opening,,,322.39,3391.0,12
HCPCS,68500,Removal of tear gland,,,1937.0,14990.17,13
HCPCS,68505,Partial removal tear gland,,,1937.0,14990.17,13
HCPCS,68510,Biopsy of tear gland,,,1308.0,9065.2,13
HCPCS,68510,Hc Biopsy Lacrimal Gland,6878.0,2682.42,,,0
HCPCS,68520,Removal of tear sac,,,1937.0,14990.17,13
HCPCS,68525,Biopsy of tear sac,,,1308.0,9065.2,13
HCPCS,68530,Clearance of tear duct,,,322.39,3391.0,12
HCPCS,68540,Remove tear gland lesion,,,1937.0,9065.2,13
HCPCS,68550,Remove tear gland lesion,,,1937.0,14990.17,13
HCPCS,68700,Hc Plastic Repair Canaliculi,10007.0,3902.73,,,0
HCPCS,68700,Repair tear ducts,,,1694.0,9065.2,13
HCPCS,68705,Revise tear duct opening,,,322.39,3391.0,12
HCPCS,68720,Create tear sac drain,,,2323.0,14990.17,13
HCPCS,68745,Create tear duct drain,,,2323.0,14990.17,13
HCPCS,68750,Create tear duct drain,,,2323.0,14990.17,13
HCPCS,68760,Close tear duct opening,,,322.39,3391.0,11
HCPCS,68760,Hc Clsr Lacrimal Punctum Thermocaut Lig Or Laser,892.0,347.88,,,0
HCPCS,68761,Close tear duct opening,,,322.39,3391.0,11
HCPCS,68761,Hc Close Tear Duct Opening By Plug,810.0,315.9,,,0
HCPCS,68770,Close tear system fistula,,,2323.0,9065.2,13
HCPCS,68800,Description Not Available,,,5063.0,5063.0,1
HCPCS,68801,Dilate tear duct opening,,,453.74,5063.0,11
HCPCS,68801,Hc Dilation Lacrimal Punctum With Or Withouto Irrgation,207.0,80.73,,,0
HCPCS,68810,Hc Probe Nasolacrimal Duct W/Wo Irrigation,928.0,361.92,,,0
HCPCS,68810,Probe nasolacrimal duct,,,322.39,3391.0,13
HCPCS,68811,Probe nasolacrimal duct,,,1694.0,9065.2,13
HCPCS,68815,Hc Probe Nasolacrimal Duct W/Wo Irrg Insj Tube/Stnt,7443.0,2902.77,,,0
HCPCS,68815,Probe nasolacrimal duct,,,1694.0,9065.2,13
HCPCS,68816,Probe nl duct w/balloon,,,2414.84,9065.2,12
HCPCS,68820,Description Not Available,,,5063.0,5063.0,1
HCPCS,68825,Description Not Available,,,5063.0,5063.0,1
HCPCS,68830,Description Not Available,,,5063.0,5063.0,1
HCPCS,68840,Explore/irrigate tear ducts,,,322.39,3391.0,11
HCPCS,68840,Hc Probe Lacrimal Canaliculi W/Wo Irrigation,928.0,361.92,,,0
HCPCS,68841,Insj rx elut implt lac canal,,,2414.84,9065.2,11
HCPCS,68850,Hc Injection Contrast Medium Dacryocystograpy,1293.0,504.27,,,0
HCPCS,68850,Injection for tear sac x-ray,,,2665.0,3391.0,2
HCPCS,68899,Tear duct system surgery,,,322.39,5063.0,11
HCPCS,69000,Drain external ear lesion,,,719.26,4066.0,11
HCPCS,69000,Hc Drain Abscess Ear Simp,2038.0,794.82,,,0
HCPCS,69005,Drain external ear lesion,,,1677.55,6297.43,12
HCPCS,69005,Hc Drain Abscess Ear Comp,24881.0,9703.59,,,0
HCPCS,69020,Drain outer ear canal lesion,,,719.26,4066.0,11
HCPCS,69020,Hc I And D Auditory Canal External,1822.0,710.58,,,0
HCPCS,69090,Pierce earlobes,,,5063.0,6859.0,2
HCPCS,69100,Biopsy of external ear,,,240.57,5063.0,12
HCPCS,69100,Hc Biopsy External Ear,1068.0,416.52,,,0
HCPCS,69105,Biopsy of external ear canal,,,1575.96,5916.09,11
HCPCS,69110,Remove external ear partial,,,1308.0,11075.49,13
HCPCS,69120,Removal of external ear,,,1694.0,22571.93,13
HCPCS,69140,Remove ear canal lesion(s),,,1694.0,22571.93,13
HCPCS,69145,Hc Excision Soft Tis Lesion External Auditory Canal,4280.0,1669.2,,,0
HCPCS,69145,Remove ear canal lesion(s),,,1694.0,11075.49,13
HCPCS,69150,Extensive ear canal surgery,,,1937.0,22571.93,13
HCPCS,69155,Extensive ear/neck surgery,,,5063.0,6859.0,2
HCPCS,69200,Clear outer ear canal,,,135.14,5063.0,11
HCPCS,69200,Hc Fb Remove Ear,945.0,368.55,,,0
HCPCS,69205,Clear outer ear canal,,,1308.0,6297.43,13
HCPCS,69205,Hc Rmvl Fb Xtrnl Auditory Canal Anes,4067.0,1586.13,,,0
HCPCS,69209,Hc Removal Impacted Cerumen Irrigation/Lvg Unilat,384.0,149.76,,,0
HCPCS,69209,Remove impacted ear wax uni,,,59.92,3391.0,11
HCPCS,69210,Hc Removal Impacted Cerumen Instrumentation Unilat,945.0,368.55,,,0
HCPCS,69210,Remove impacted ear wax uni,,,59.92,3391.0,11
HCPCS,69220,Clean out mastoid cavity,,,203.79,5063.0,11
HCPCS,69220,Hc Debridement Mastoidectomy Cavity Simple,298.0,116.22,,,0
HCPCS,69222,Clean out mastoid cavity,,,547.8,4714.0,12
HCPCS,69222,Hc Debridement Mastoidectomy Cavity Cmplx,10058.0,3922.62,,,0
HCPCS,69300,Revise external ear,,,1937.0,12641.63,13
HCPCS,69310,Rebuild outer ear canal,,,1937.0,22571.93,13
HCPCS,69320,Rebuild outer ear canal,,,3721.0,22571.93,13
HCPCS,69399,Outer ear surgery procedure,,,240.57,5063.0,11
HCPCS,69400,Inflate middle ear canal,,,5063.0,5063.0,1
HCPCS,69401,Inflate middle ear canal,,,5063.0,5063.0,1
HCPCS,69405,Catheterize middle ear canal,,,5063.0,5063.0,1
HCPCS,69410,Inset middle ear (baffle),,,5063.0,5063.0,1
HCPCS,69420,Hc Myringotomy Aspir And/Or Eustachian Tube Nfltj,1578.0,615.42,,,0
HCPCS,69420,Incision of eardrum,,,240.57,5809.0,13
HCPCS,69421,Incision of eardrum,,,1937.0,12641.63,13
HCPCS,69424,Remove ventilating tube,,,1308.0,12641.63,13
HCPCS,69433,Create eardrum opening,,,547.8,5809.0,13
HCPCS,69433,Hc Tympanostomy Local/Topical Anesthesia,2337.0,911.43,,,0
HCPCS,69436,Create eardrum opening,,,1575.96,5916.09,13
HCPCS,69440,Exploration of middle ear,,,1937.0,12641.63,13
HCPCS,69450,Eardrum revision,,,1308.0,12641.63,13
HCPCS,69501,Mastoidectomy,,,3721.0,22571.93,13
HCPCS,69502,Mastoidectomy,,,3721.0,22571.93,13
HCPCS,69505,Remove mastoid structures,,,3721.0,22571.93,13
HCPCS,69511,Extensive mastoid surgery,,,3721.0,22571.93,13
HCPCS,69530,Extensive mastoid surgery,,,3721.0,22571.93,13
HCPCS,69535,Remove part of temporal bone,,,5063.0,6859.0,2
HCPCS,69540,Remove ear lesion,,,1575.96,5916.09,11
HCPCS,69550,Remove ear lesion,,,2664.0,22571.93,13
HCPCS,69552,Remove ear lesion,,,3721.0,22571.93,13
HCPCS,69554,Remove ear lesion,,,5063.0,6859.0,2
HCPCS,69601,Mastoid surgery revision,,,3721.0,22571.93,13
HCPCS,69602,Mastoid surgery revision,,,3721.0,22571.93,13
HCPCS,69603,Mastoid surgery revision,,,3721.0,22571.93,13
HCPCS,69604,Mastoid surgery revision,,,3721.0,22571.93,13
HCPCS,69605,Mastoid surgery revision,,,3721.0,7349.0,3
HCPCS,69610,Repair of eardrum,,,1575.96,6179.0,12
HCPCS,69620,Repair of eardrum,,,1694.0,12641.63,13
HCPCS,69631,Repair eardrum structures,,,2664.0,22571.93,13
HCPCS,69632,Rebuild eardrum structures,,,2664.0,22571.93,13
HCPCS,69633,Rebuild eardrum structures,,,2664.0,22571.93,13
HCPCS,69635,Repair eardrum structures,,,3721.0,22571.93,13
HCPCS,69636,Rebuild eardrum structures,,,3721.0,22571.93,13
HCPCS,69637,Rebuild eardrum structures,,,3721.0,22571.93,13
HCPCS,69641,Revise middle ear & mastoid,,,3721.0,22571.93,13
HCPCS,69642,Revise middle ear & mastoid,,,3721.0,22571.93,13
HCPCS,69643,Revise middle ear & mastoid,,,3721.0,22571.93,13
HCPCS,69644,Revise middle ear & mastoid,,,3721.0,22571.93,13
HCPCS,69645,Revise middle ear & mastoid,,,3721.0,22571.93,13
HCPCS,69646,Revise middle ear & mastoid,,,3721.0,22571.93,13
HCPCS,69650,Release middle ear bone,,,3367.56,12641.63,13
HCPCS,69660,Revise middle ear bone,,,2664.0,22571.93,13
HCPCS,69661,Revise middle ear bone,,,2664.0,22571.93,13
HCPCS,69662,Revise middle ear bone,,,2664.0,22571.93,13
HCPCS,69666,Repair middle ear structures,,,2323.0,12641.63,13
HCPCS,69667,Repair middle ear structures,,,2323.0,12641.63,13
HCPCS,69670,Remove mastoid air cells,,,1937.0,22571.93,13
HCPCS,69676,Remove middle ear nerve,,,1937.0,12641.63,13
HCPCS,69700,Close mastoid fistula,,,1575.96,5916.09,13
HCPCS,69705,Nps surg dilat eust tube uni,,,3391.0,22571.93,11
HCPCS,69706,Nps surg dilat eust tube bi,,,4714.0,22571.93,11
HCPCS,69710,Implant/replace hearing aid,,,1937.0,11889.0,4
HCPCS,69711,Remove/repair hearing aid,,,1308.0,12641.63,13
HCPCS,69714,Implant Temple Bone W/Stimul,,,7487.0,48953.07,12
HCPCS,69715,Temple Bne Implnt W/Stimulat,,,5063.0,7487.0,2
HCPCS,69716,Impltj oi implt skl tc esp,,,10437.0,48953.07,11
HCPCS,69717,Temple Bone Implant Revision,,,7370.23,27667.48,12
HCPCS,69718,Revise Temple Bone Implant,,,5063.0,7487.0,2
HCPCS,69719,Revj/rplcmt oi implt tc esp,,,10437.0,48953.07,11
HCPCS,69720,Release facial nerve,,,2664.0,22571.93,13
HCPCS,69725,Release facial nerve,,,2664.0,22571.93,12
HCPCS,69726,Rmvl oi implt skl perq esp,,,3323.41,12475.93,11
HCPCS,69727,Rmvl oi implt skl tc esp,,,3323.41,12475.93,11
HCPCS,69728,Rmv ntr oi imp sktc esp>=100,,,3323.41,12475.93,11
HCPCS,69729,Impl oi implt sk tc esp>=100,,,10437.0,48953.07,11
HCPCS,69730,Rplc oi implt sk tc esp>=100,,,10437.0,48953.07,11
HCPCS,69740,Repair facial nerve,,,2664.0,22571.93,13
HCPCS,69745,Repair facial nerve,,,2664.0,22571.93,13
HCPCS,69799,Middle ear surgery procedure,,,240.57,3391.0,11
HCPCS,69801,Hc Labyrinthotomy Transcanal,7703.0,3004.17,,,0
HCPCS,69801,Incise inner ear,,,1575.96,6760.0,13
HCPCS,69802,Incise inner ear,,,3721.0,5063.0,2
HCPCS,69805,Explore inner ear,,,3721.0,22571.93,13
HCPCS,69806,Explore inner ear,,,3721.0,22571.93,13
HCPCS,69820,Establish inner ear window,,,2664.0,5063.0,2
HCPCS,69840,Revise inner ear window,,,2664.0,5063.0,2
HCPCS,69905,Remove inner ear,,,3721.0,22571.93,13
HCPCS,69910,Remove inner ear & mastoid,,,3721.0,22571.93,13
HCPCS,69915,Incise inner ear nerve,,,3367.56,12641.63,13
HCPCS,69930,Implant cochlear device,,,3721.0,125720.59,13
HCPCS,69949,Inner ear surgery procedure,,,240.57,3391.0,11
HCPCS,69950,Incise inner ear nerve,,,5063.0,6859.0,2
HCPCS,69955,Release facial nerve,,,6012.85,22571.93,11
HCPCS,69960,Release inner ear canal,,,5063.0,22571.93,11
HCPCS,69970,Remove inner ear lesion,,,6012.85,22571.93,11
HCPCS,69979,Temporal bone surgery,,,240.57,3391.0,11
HCPCS,69990,Microsurgery add-on,,,2664.0,3391.0,3
HCPCS,70010,Contrast x-ray of brain,,,115.29,1330.23,13
HCPCS,70010,Hc Fl Myelogram Posterior Fossa,1887.0,735.93,,,0
HCPCS,70015,Contrast x-ray of brain,,,213.25,2989.04,13
HCPCS,70015,Hc Fl Cisternography Positive Contrast,1002.0,390.78,,,0
HCPCS,70030,Hc Xr Eye Foreign Body,338.0,131.82,,,0
HCPCS,70030,X-ray eye for foreign body,,,44.14,331.82,13
HCPCS,70100,Hc Xr Mandible Limited Under 4 Views,306.5,119.535,,,0
HCPCS,70100,X-ray exam of jaw <4views,,,54.76,331.82,13
HCPCS,70110,Hc Xr Mandible Complete 4 Plus Vw,526.0,205.14000000000001,,,0
HCPCS,70110,X-ray exam of jaw 4/> views,,,58.02,398.63,13
HCPCS,70120,Hc Xr Mastoids Limited Under 3 Views,162.5,63.375,,,0
HCPCS,70120,X-ray exam of mastoids,,,56.38,398.63,13
HCPCS,70130,Hc Xr Mastoid Complete 3 Plus Vw Ea Side,416.5,162.435,,,0
HCPCS,70130,X-ray exam of mastoids,,,85.8,398.63,13
HCPCS,70134,X-ray exam of middle ear,,,78.44,2083.45,13
HCPCS,70140,Hc Xr Facial Bones Under 3 Views,366.5,142.935,,,0
HCPCS,70140,X-ray exam of facial bones,,,44.14,331.82,13
HCPCS,70150,Hc Xr Facial Bones Complete 3 Plus Vw,518.0,202.02,,,0
HCPCS,70150,X-ray exam of facial bones,,,64.55,398.63,13
HCPCS,70160,Hc Xr Nasal Bones Complete 3 Plus Vw,366.5,142.935,,,0
HCPCS,70160,X-ray exam of nasal bones,,,54.76,331.82,13
HCPCS,70170,Hc Fl Tear Duct Dacryocstograpy Nasolacrimal Rs And I,1469.0,572.91,,,0
HCPCS,70170,X-ray exam of tear duct,,,85.85,1170.83,13
HCPCS,70190,Hc Xr Eye Socket Optic Foramina,345.0,134.55,,,0
HCPCS,70190,X-ray exam of eye sockets,,,55.57,331.82,13
HCPCS,70200,Hc Xr Orbits Complete 4 Plus Vw,480.0,187.20000000000002,,,0
HCPCS,70200,X-ray exam of eye sockets,,,64.55,398.63,13
HCPCS,70210,Hc Xr Sinuses Paranasal Limited Under 3 Views,312.5,121.875,,,0
HCPCS,70210,X-ray exam of sinuses,,,48.22,331.82,13
HCPCS,70220,Hc Xr Sinuses Paranasal Complete 3 Plus Vw,514.0,200.46,,,0
HCPCS,70220,X-ray exam of sinuses,,,57.2,331.82,13
HCPCS,70240,Hc Xr Sella Turcia,316.5,123.435,,,0
HCPCS,70240,X-ray exam pituitary saddle,,,46.58,331.82,13
HCPCS,70250,Hc Xr Skull Limited Under 4 Views,387.5,151.125,,,0
HCPCS,70250,X-ray exam of skull,,,53.93,398.63,13
HCPCS,70260,Hc Xr Skull Complete 4 Plus Vw,561.0,218.79000000000002,,,0
HCPCS,70260,X-ray exam of skull,,,64.55,398.63,13
HCPCS,70300,X-ray exam of teeth,,,20.44,331.82,13
HCPCS,70310,X-ray exam of teeth,,,64.55,909.77,13
HCPCS,70320,Full mouth x-ray of teeth,,,93.97,909.77,13
HCPCS,70328,Hc Xr Tmj Unilateral,341.0,132.99,,,0
HCPCS,70328,X-ray exam of jaw joint,,,49.03,331.82,13
HCPCS,70330,Hc Xr Tmj Bilateral,380.5,148.395,,,0
HCPCS,70330,X-ray exam of jaw joints,,,81.72,331.82,13
HCPCS,70332,Hc Fl Arthrogram Tm Joint,685.5,267.345,,,0
HCPCS,70332,X-ray exam of jaw joint,,,112.76,909.77,13
HCPCS,70336,Hc Mri Temporomandibular Joint,1896.0,739.4399999999999,,,0
HCPCS,70336,Magnetic image jaw joint,,,242.35,909.77,13
HCPCS,70350,X-ray head for orthodontia,,,22.07,331.82,13
HCPCS,70355,Hc Xr Orthopantogram,350.5,136.695,,,0
HCPCS,70355,Panoramic x-ray of jaws,,,22.07,331.82,13
HCPCS,70360,Hc Xr Neck Soft Tissue,291.5,113.685,,,0
HCPCS,70360,X-ray exam of neck,,,44.95,331.82,13
HCPCS,70370,Hc Fl Pharynx Larynx W/Wo Magnification,290.0,113.1,,,0
HCPCS,70370,Throat x-ray & fluoroscopy,,,88.39,331.82,13
HCPCS,70371,Hc Pharyngl Eval Cinevideo,1534.0,598.26,,,0
HCPCS,70371,Speech evaluation complex,,,110.3,909.77,13
HCPCS,70373,Contrast x-ray of larynx,,,277.45,277.45,1
HCPCS,70380,X-ray exam of salivary gland,,,61.29,331.82,13
HCPCS,70390,Hc Fl Sialogram,692.5,270.07500000000005,,,0
HCPCS,70390,X-ray exam of salivary duct,,,171.59,909.77,13
HCPCS,70450,Ct head/brain w/o dye,,,106.19,398.63,12
HCPCS,70450,Hc Ct Head Or Brain W/O Contrast,1956.5,763.035,,,0
HCPCS,70460,Ct head/brain w/dye,,,178.16,668.79,12
HCPCS,70460,Hc Ct Head Or Brain With Contrast,2210.5,862.095,,,0
HCPCS,70470,Ct head/brain w/o & w/dye,,,178.16,668.79,12
HCPCS,70470,Hc Ct Head Or Brain W Plus W/O Contrast,2724.5,1062.5549999999998,,,0
HCPCS,70471,Cta h&n c+ w/noncontrast img,,,354.36,1330.23,9
HCPCS,70473,Ct cere prfu aly c+wo ct/cta,,,178.16,668.79,9
HCPCS,70480,Ct orbit/ear/fossa w/o dye,,,106.19,459.69,12
HCPCS,70480,Hc Ct Orbit Sella Posterior Fossa Inner Or Mid Ear Wo Contrast,1913.5,746.265,,,0
HCPCS,70481,Ct orbit/ear/fossa w/dye,,,178.16,668.79,12
HCPCS,70481,Hc Ct Orbit Sella Posterior Fossa Inner Or Mid Ear W Contrast,2164.0,843.96,,,0
HCPCS,70482,Ct orbit/ear/fossa w/o&w/dye,,,178.16,668.79,12
HCPCS,70482,Hc Ct Orbit Sella Posterior Fossa Inner Mid Ear W Wo Contrast,2475.0,965.25,,,0
HCPCS,70486,Ct maxillofacial w/o dye,,,106.19,398.63,12
HCPCS,70486,Hc Ct Maxillofacial W/O Contrast,1829.0,713.31,,,0
HCPCS,70487,Ct maxillofacial w/dye,,,178.16,668.79,12
HCPCS,70487,Hc Ct Maxillofacial With Contrast,2063.5,804.765,,,0
HCPCS,70488,Ct maxillofacial w/o & w/dye,,,178.16,668.79,12
HCPCS,70488,Hc Ct Maxillofacial W Plus W/O Contrast,2377.5,927.225,,,0
HCPCS,70490,Ct soft tissue neck w/o dye,,,106.19,398.63,12
HCPCS,70490,Hc Ct Neck Soft Tissue W/O Contrast,2000.5,780.195,,,0
HCPCS,70491,Ct soft tissue neck w/dye,,,178.16,668.79,12
HCPCS,70491,Hc Ct Soft Tissue Neck W/Contrast Material,2325.5,906.945,,,0
HCPCS,70492,Ct sft tsue nck w/o & w/dye,,,178.16,668.79,12
HCPCS,70492,Hc Ct Neck Soft Tissue W Plus W/O Contrast,2825.0,1101.75,,,0
HCPCS,70496,Ct angiography head,,,178.16,888.06,12
HCPCS,70496,Hc Ct Angiography Head W/Contrast/Noncontrast,2964.0,1155.96,,,0
HCPCS,70498,Ct angiography neck,,,178.16,924.43,12
HCPCS,70498,Hc Ct Angiography Neck W/Contrast/Noncontrast,2493.5,972.465,,,0
HCPCS,70540,Hc Mri Face Neck Orbits W/O Contrast,2545.5,992.745,,,0
HCPCS,70540,Mri orbit/face/neck w/o dye,,,242.35,909.77,12
HCPCS,70542,Hc Mri Face Neck Orbits Face With Contrast,3271.0,1275.69,,,0
HCPCS,70542,Mri Orbit/Face/Neck W/Dye,,,354.36,1330.23,12
HCPCS,70543,Hc Mri Face Neck Orbits W Plus W/O Contrast,3337.5,1301.625,,,0
HCPCS,70543,Mri orbt/fac/nck w/o &w/dye,,,354.36,1330.23,12
HCPCS,70544,Hc Mr Angio Head W/O Contrast,2370.0,924.3,,,0
HCPCS,70544,Mr Angiography Head W/O Dye,,,242.35,962.99,12
HCPCS,70545,Hc Mr Angio Head With Contrast,2681.0,1045.5900000000001,,,0
HCPCS,70545,Mr Angiography Head W/Dye,,,354.36,1330.23,12
HCPCS,70546,Hc Mr Angio Head W Plus W/O Contrast,2992.0,1166.88,,,0
HCPCS,70546,Mr angiograph head w/o&w/dye,,,354.36,1456.13,12
HCPCS,70547,Hc Mr Angio Neck W/O Contrast,2300.0,897.0,,,0
HCPCS,70547,Mr Angiography Neck W/O Dye,,,242.35,963.8,12
HCPCS,70548,Hc Mr Angio Neck With Contrast,4460.0,1739.4,,,0
HCPCS,70548,Mr Angiography Neck W/Dye,,,354.36,1330.23,12
HCPCS,70549,Hc Mr Angio Neck W Plus W/O Contrast,2974.0,1159.8600000000001,,,0
HCPCS,70549,Mr angiograph neck w/o&w/dye,,,354.36,1459.33,12
HCPCS,70551,Hc Mri Brain W/O Contrast,2600.5,1014.1949999999999,,,0
HCPCS,70551,Mri brain stem w/o dye,,,242.35,909.77,12
HCPCS,70552,Hc Mri Brain With Contrast,3081.0,1201.5900000000001,,,0
HCPCS,70552,Mri brain stem w/dye,,,354.36,1330.23,12
HCPCS,70553,Hc Mri Brain W Plus W/O Contrast,3605.5,1406.145,,,0
HCPCS,70553,Mri brain stem w/o & w/dye,,,354.36,1330.23,12
HCPCS,70554,Fmri brain by tech,,,242.35,930.92,12
HCPCS,70554,Hc Mri Brain Mapping,2444.5,953.355,,,0
HCPCS,70555,Fmri brain by phys/psych,,,242.35,1447.44,12
HCPCS,70555,Hc Mri Brain Functional W/Physician Admnistration,1062.0,414.18,,,0
HCPCS,70557,Mri brain w/o dye,,,555.0,2772.61,12
HCPCS,70558,Mri brain w/dye,,,178.16,3023.62,12
HCPCS,70559,Mri brain w/o & w/dye,,,178.16,3062.87,12
HCPCS,71010,Chest x-ray 1 view frontal,,,29.36,31.06,3
HCPCS,71015,Chest x-ray stereo frontal,,,38.41,41.4,3
HCPCS,71020,Chest x-ray 2vw frontal&latl,,,39.23,40.05,3
HCPCS,71021,Chest x-ray frnt lat lordotc,,,46.58,49.41,3
HCPCS,71022,Chest x-ray frnt lat oblique,,,57.2,66.13,3
HCPCS,71023,Chest x-ray and fluoroscopy,,,96.85,102.14,3
HCPCS,71030,Chest x-ray 4/> views,,,59.65,63.43,3
HCPCS,71034,Chest x-ray&fluoro 4/> views,,,129.59,136.45,3
HCPCS,71035,Chest x-ray special views,,,53.93,55.42,3
HCPCS,71045,Hc Xr Chest 1Vw,356.5,139.035,,,0
HCPCS,71045,X-ray exam chest 1 view,,,24.56,331.82,13
HCPCS,71046,Hc Xr Chest 2Vw,409.5,159.705,,,0
HCPCS,71046,X-ray exam chest 2 views,,,44.96,331.82,13
HCPCS,71047,Hc Xr Chest 3Vw,438.5,171.01500000000001,,,0
HCPCS,71047,X-ray exam chest 3 views,,,57.21,331.82,13
HCPCS,71048,Hc Xr Chest 4 Plus Vw,527.0,205.53,,,0
HCPCS,71048,X-ray exam chest 4+ views,,,58.85,398.63,13
HCPCS,71100,Hc Xr Ribs Unilateral 2Vw,396.5,154.63500000000002,,,0
HCPCS,71100,X-ray exam ribs uni 2 views,,,49.85,331.82,13
HCPCS,71101,Hc Xr Ribs Unilateral Plus Pa Chest 3Vw Min,452.0,176.28,,,0
HCPCS,71101,X-ray exam unilat ribs/chest,,,52.31,398.63,13
HCPCS,71110,Hc Xr Ribs Bilateral 3Vw,458.0,178.62,,,0
HCPCS,71110,X-ray exam ribs bil 3 views,,,54.76,398.63,13
HCPCS,71111,Hc Xr Ribs Bilateral Plus Pa Chest 4 Plus Vw,470.5,183.495,,,0
HCPCS,71111,X-ray exam ribs/chest4/> vws,,,72.72,398.63,13
HCPCS,71120,Hc Xr Sternum 2 Plus Vw,429.0,167.31,,,0
HCPCS,71120,X-ray exam breastbone 2/>vws,,,44.14,331.82,13
HCPCS,71130,Hc Xr Sternoclavicular Jonts 3 Plus Vw,692.5,270.075,,,0
HCPCS,71130,Stern Clavic Joint Min 3 Views,650.0,253.5,,,0
HCPCS,71130,X-ray strenoclavic jt 3/>vws,,,56.38,331.82,13
HCPCS,71250,Ct thorax w/o dye,,,106.19,398.63,12
HCPCS,71250,Hc Ct Thorax W/O Contrast Diagnostic,2112.5,823.875,,,0
HCPCS,71260,Ct thorax w/dye,,,178.16,668.79,12
HCPCS,71260,Hc Ct Thorax W Contrast Diagnostic,2178.0,849.42,,,0
HCPCS,71270,Ct thorax w/o & w/dye,,,178.16,668.79,12
HCPCS,71270,Hc Ct Thorax W Plus Wo Contrast Diagnostic,2771.5,1080.885,,,0
HCPCS,71271,Ct thorax lung cancer scr c-,,,106.19,398.63,9
HCPCS,71271,Hc Ct Lung Screen Base Line,850.0,331.5,,,0
HCPCS,71271,Hc Ct Lung Screen Follow Up,750.0,292.5,,,0
HCPCS,71271,Hc Sp3 Ct Lung Screen Base Line,537.5,209.625,,,0
HCPCS,71271,Hc Sp3 Ct Lung Screen Follow Up,487.5,190.125,,,0
HCPCS,71275,Ct angiography chest,,,178.16,668.79,12
HCPCS,71275,Hc Ct Angiography Chest W/Contrast/Noncontrast,1953.0,761.67,,,0
HCPCS,71550,Hc Mri Chest W/O Contrast,2581.0,1006.59,,,0
HCPCS,71550,Mri chest w/o dye,,,242.35,960.59,12
HCPCS,71551,Mri Chest W/Dye,,,796.24,2989.04,12
HCPCS,71552,Hc Mri Chest W Plus W/O Contrast,3267.5,1274.325,,,0
HCPCS,71552,Mri chest w/o & w/dye,,,354.36,1335.06,12
HCPCS,71555,Mri angio chest w or w/o dye,,,710.02,904.44,3
HCPCS,72010,X-ray exam of spine,,,269.64,269.64,1
HCPCS,72020,Hc Xr Spine Specify Level 1Vw,266.0,103.74,,,0
HCPCS,72020,X-ray exam of spine 1 view,,,32.69,331.82,13
HCPCS,72040,Hc Xr Spine Cervical Ap Plus Lat 2-3Vw,450.5,175.69500000000002,,,0
HCPCS,72040,X-ray exam neck spine 2-3 vw,,,49.85,331.82,13
HCPCS,72050,Hc Xr Spine Cervical 4 Plus Vw,595.5,232.245,,,0
HCPCS,72050,X-ray exam neck spine 4/5vws,,,67.82,398.63,13
HCPCS,72052,Hc Xr Spine Cervical Complete 6 Or More Views,663.0,258.57,,,0
HCPCS,72052,X-ray exam neck spine 6/>vws,,,86.62,398.63,13
HCPCS,72069,X-ray exam of trunk spine,,,129.31,129.31,1
HCPCS,72070,Hc Xr Spine Thoracic 2Vw,448.5,174.91500000000002,,,0
HCPCS,72070,X-ray exam thorac spine 2vws,,,52.31,398.63,13
HCPCS,72072,Hc Xr Spine Thoracic 3Vw,526.0,205.14000000000001,,,0
HCPCS,72072,X-ray exam thorac spine 3vws,,,53.93,398.63,13
HCPCS,72074,Hc Xr Spine Thoracic Min 4 Plus Vws,564.0,219.96,,,0
HCPCS,72074,X-ray exam thorac spine4/>vw,,,64.55,398.63,13
HCPCS,72080,Hc Xr Spine Thoracolumbar 2Vw,422.5,164.775,,,0
HCPCS,72080,X-ray exam thoracolmb 2/> vw,,,44.95,331.82,13
HCPCS,72081,Hc Xr Entire Spine 1 Vw,410.0,159.9,,,0
HCPCS,72081,X-ray exam entire spi 1 vw,,,58.84,331.82,13
HCPCS,72082,Hc Xr Entire Spine 2-3 Vw,497.5,194.025,,,0
HCPCS,72082,X-ray exam entire spi 2/3 vw,,,106.19,398.63,13
HCPCS,72083,Hc Xr Entire Spine 4-5 Vw,626.0,244.14000000000001,,,0
HCPCS,72083,X-ray exam entire spi 4/5 vw,,,106.19,398.63,13
HCPCS,72084,Hc Xr Entire Spine 6 Vw Min,826.0,322.14,,,0
HCPCS,72084,X-ray exam entire spi 6/> vw,,,106.19,398.63,13
HCPCS,72090,X-ray exam of trunk spine,,,177.67,177.67,1
HCPCS,72100,Hc Xr Spine Lumbosacral 2-3Vw,470.5,183.495,,,0
HCPCS,72100,X-ray exam l-s spine 2/3 vws,,,38.82,398.63,13
HCPCS,72110,Hc Xr Spine Lumbosacral 4 Plus Vw,681.0,265.59,,,0
HCPCS,72110,X-ray exam l-2 spine 4/>vws,,,52.8,398.63,13
HCPCS,72114,Hc Xr Spine Lumbosacral Complete W/Bend 6 Plus Vw,691.0,269.49,,,0
HCPCS,72114,X-ray exam l-s spine bending,,,75.08,398.63,13
HCPCS,72120,Hc Xr Spine Lumbosacral/Bending Only 2-3Vw,471.5,183.88500000000002,,,0
HCPCS,72120,X-ray bend only l-s spine,,,48.66,398.63,13
HCPCS,72125,Ct neck spine w/o dye,,,106.19,398.63,12
HCPCS,72125,Hc Ct Cervical Spine W/O Contrast,2186.5,852.735,,,0
HCPCS,72126,Ct neck spine w/dye,,,354.36,1330.23,12
HCPCS,72126,Hc Ct Cervical Spine With Contrast,2336.0,911.04,,,0
HCPCS,72127,Ct neck spine w/o & w/dye,,,178.16,668.79,12
HCPCS,72127,Hc Ct Cervical Spine W Plus W/O Contrast,2528.5,986.115,,,0
HCPCS,72128,Ct chest spine w/o dye,,,106.19,398.63,12
HCPCS,72128,Hc Ct Thoracic Spine W/O Contrast,2159.5,842.205,,,0
HCPCS,72129,Ct chest spine w/dye,,,178.16,668.79,12
HCPCS,72129,Hc Ct Thoracic Spine With Contrast,2416.5,942.435,,,0
HCPCS,72130,Ct chest spine w/o & w/dye,,,178.16,668.79,12
HCPCS,72130,Hc Ct Thoracic Spine W Plus W/O Contrast,2919.5,1138.605,,,0
HCPCS,72131,Ct lumbar spine w/o dye,,,106.19,398.63,12
HCPCS,72131,Hc Ct Lumbar Spine W/O Contrast,2202.5,858.975,,,0
HCPCS,72132,Ct lumbar spine w/dye,,,354.36,1330.23,12
HCPCS,72132,Hc Ct Lumbar Spine With Contrast,2361.0,920.79,,,0
HCPCS,72133,Ct lumbar spine w/o & w/dye,,,178.16,668.79,12
HCPCS,72133,Hc Ct Lumbar Spine W Plus W/O Contrast,2823.0,1100.97,,,0
HCPCS,72141,Hc Mri Cervical Spine W/O Contrast,2517.0,981.63,,,0
HCPCS,72141,Mri neck spine w/o dye,,,242.35,909.77,12
HCPCS,72142,Hc Mri Cervical Spine With Contrast,2888.0,1126.3200000000002,,,0
HCPCS,72142,Mri neck spine w/dye,,,354.36,1330.23,12
HCPCS,72146,Hc Mri Thoracic Spine W/O Contrast,2519.5,982.605,,,0
HCPCS,72146,Mri chest spine w/o dye,,,242.35,909.77,12
HCPCS,72147,Hc Mri Thoracic Spine With Contrast,3104.0,1210.56,,,0
HCPCS,72147,Mri chest spine w/dye,,,354.36,1330.23,12
HCPCS,72148,Hc Mri Lumbar Spine W/O Contrast,2536.5,989.235,,,0
HCPCS,72148,Mri lumbar spine w/o dye,,,242.35,909.77,12
HCPCS,72149,Hc Mri Lumbar Spine With Contrast,3160.0,1232.4,,,0
HCPCS,72149,Mri lumbar spine w/dye,,,354.36,1330.23,12
HCPCS,72156,Hc Mri Cervical Spine W Plus W/O Contrast,3592.0,1400.88,,,0
HCPCS,72156,Mri neck spine w/o & w/dye,,,354.36,1330.23,12
HCPCS,72157,Hc Mri Thoracic Spine W Plus W/O Contrast,3652.0,1424.28,,,0
HCPCS,72157,Mri chest spine w/o & w/dye,,,354.36,1330.23,12
HCPCS,72158,Hc Mri Lumbar Spine W Plus W/O Contrast,3576.0,1394.64,,,0
HCPCS,72158,Mri lumbar spine w/o & w/dye,,,354.36,1330.23,12
HCPCS,72159,Mr angio spine w/o&w/dye,,,749.24,933.33,3
HCPCS,72170,Hc Xr Pelvis 1-2Vw,343.5,133.965,,,0
HCPCS,72170,X-ray exam of pelvis,,,53.12,398.63,13
HCPCS,72190,Hc Xr Pelvis Complete 3 Plus Vw,371.5,144.88500000000002,,,0
HCPCS,72190,X-ray exam of pelvis,,,62.1,398.63,13
HCPCS,72191,Ct angiograph pelv w/o&w/dye,,,178.16,669.25,12
HCPCS,72191,Hc Ct Angio Pelvis W Plus W/O Contrast,2501.0,975.39,,,0
HCPCS,72192,Ct pelvis w/o dye,,,106.19,398.63,12
HCPCS,72192,Hc Ct Pelvis W/O Contrast,1817.5,708.825,,,0
HCPCS,72193,Ct pelvis w/dye,,,178.16,668.79,12
HCPCS,72193,Hc Ct Pelvis With Contrast,2229.5,869.505,,,0
HCPCS,72194,Ct pelvis w/o & w/dye,,,178.16,668.79,12
HCPCS,72194,Hc Ct Pelvis W Plus W/O Contrast,2712.5,1057.875,,,0
HCPCS,72195,Hc Mri Pelvis W/O Contrast,2581.0,1006.59,,,0
HCPCS,72195,Mri Pelvis W/O Dye,,,242.35,909.77,12
HCPCS,72196,Hc Mri Pelvis With Contrast,2914.5,1136.655,,,0
HCPCS,72196,Mri pelvis w/dye,,,354.36,1330.23,12
HCPCS,72197,Hc Mri Pelvis W Plus W/O Contrast,3218.0,1255.02,,,0
HCPCS,72197,Mri pelvis w/o & w/dye,,,354.36,1330.23,12
HCPCS,72198,Mr angio pelvis w/o & w/dye,,,717.38,915.68,3
HCPCS,72200,Hc Xr Sacroiliac Joints Under 3 Views,435.0,169.65,,,0
HCPCS,72200,X-ray exam si joints,,,44.95,398.63,13
HCPCS,72202,Hc Xr Sacroiliac Joints 3 Plus Vw,387.5,151.125,,,0
HCPCS,72202,X-ray exam si joints 3/> vws,,,53.93,398.63,13
HCPCS,72220,Hc Xr Sacrum Plus Coccyx 2 Plus Vw,400.5,156.19500000000002,,,0
HCPCS,72220,X-ray exam sacrum tailbone,,,44.14,331.82,13
HCPCS,72240,Hc Fl Myelogram Cervical,2830.0,1103.7,,,0
HCPCS,72240,Myelography neck spine,,,121.75,2989.04,13
HCPCS,72255,Hc Fl Myelogram Thoracic,2830.0,1103.7,,,0
HCPCS,72255,Myelography thoracic spine,,,119.3,2989.04,13
HCPCS,72265,Hc Fl Myelogram Lumbar,2830.0,1103.7,,,0
HCPCS,72265,Myelography l-s spine,,,116.85,2989.04,13
HCPCS,72270,Hc Myelogram 2 Regions,2265.0,883.35,,,0
HCPCS,72270,Myelogphy 2/> spine regions,,,138.09,2989.04,13
HCPCS,72275,Epidurography,,,385.0,385.0,1
HCPCS,72285,Discography cerv/thor spine,,,120.11,7445.62,13
HCPCS,72285,Hc Fl Diskograpy Cervical/Thoracic Rs And I,4928.0,1921.92,,,0
HCPCS,72291,"Perq Vertebroplasty, Fluor",,,1087.9,1087.9,1
HCPCS,72292,"Perq Vertebroplasty, CT",,,1108.03,1108.03,1
HCPCS,72295,Hc Fl Discography Lumbar,1711.0,667.29,,,0
HCPCS,72295,X-ray of lower spine disk,,,125.02,7445.62,13
HCPCS,73000,Hc Xr Clavicle Complete,342.5,133.57500000000002,,,0
HCPCS,73000,X-ray exam of collar bone,,,44.14,331.82,13
HCPCS,73010,Hc Xr Scapula Complete,338.5,132.01500000000001,,,0
HCPCS,73010,X-ray exam of shoulder blade,,,48.22,398.63,13
HCPCS,73020,Hc Xr Shoulder 1Vw,291.0,113.49,,,0
HCPCS,73020,X-ray exam of shoulder,,,34.33,331.82,13
HCPCS,73030,Hc Xr Shoulder Complete 2 Plus Vw,387.5,151.125,,,0
HCPCS,73030,X-ray exam of shoulder,,,44.95,331.82,13
HCPCS,73040,Contrast x-ray of shoulder,,,166.69,1330.23,13
HCPCS,73040,Hc Fl Arthrography Shoulder,839.5,327.405,,,0
HCPCS,73050,Hc Xr Acromioclavicular Joints Bilateral W Or W/O Wt Distraction,380.5,148.395,,,0
HCPCS,73050,X-ray exam of shoulders,,,57.2,331.82,13
HCPCS,73060,Hc Xr Humerus 2 Plus Vw,334.0,130.26,,,0
HCPCS,73060,X-ray exam of humerus,,,47.4,331.82,13
HCPCS,73070,Hc Xr Elbow 2Vw,280.0,109.2,,,0
HCPCS,73070,X-ray exam of elbow,,,44.14,331.82,13
HCPCS,73080,Hc Xr Elbow Complete 3 Plus Vw,367.5,143.32500000000002,,,0
HCPCS,73080,X-ray exam of elbow,,,51.48,331.82,13
HCPCS,73085,Contrast x-ray of elbow,,,153.62,1330.23,13
HCPCS,73085,Hc Fl Arthrography Elbow,671.5,261.885,,,0
HCPCS,73090,Hc Xr Forearm 2 Plus Vw,338.5,132.01500000000001,,,0
HCPCS,73090,X-ray exam of forearm,,,40.05,331.82,13
HCPCS,73092,Hc Xr Upper Extremity Infant 2 Views Or Over,351.5,137.085,,,0
HCPCS,73092,X-ray exam of arm infant,,,44.95,398.63,13
HCPCS,73100,Hc Xr Wrist 2Vw,286.0,111.53999999999999,,,0
HCPCS,73100,X-ray exam of wrist,,,47.4,331.82,13
HCPCS,73110,Hc Xr Wrist Complete 3 Plus Vw,334.0,130.26,,,0
HCPCS,73110,X-ray exam of wrist,,,61.29,331.82,13
HCPCS,73115,Contrast x-ray of wrist,,,178.94,1330.23,13
HCPCS,73115,Hc Fl Arthrography Wrist Contrast,521.5,203.385,,,0
HCPCS,73120,Hc Xr Hand 2Vw,337.5,131.625,,,0
HCPCS,73120,X-ray exam of hand,,,40.86,398.63,13
HCPCS,73130,Hc Xr Hand 3 Plus Vw,371.5,144.88500000000002,,,0
HCPCS,73130,X-ray exam of hand,,,50.67,331.82,13
HCPCS,73140,Hc Xr Fingers 2 Vw Min,266.0,103.74,,,0
HCPCS,73140,X-ray exam of finger(s),,,56.38,331.82,13
HCPCS,73200,Ct upper extremity w/o dye,,,106.19,398.63,12
HCPCS,73200,Hc Ct Upper Extremity W/O Contrast,1612.0,628.68,,,0
HCPCS,73201,Ct upper extremity w/dye,,,354.36,1330.23,12
HCPCS,73201,Hc Ct Upper Extremity With Contrast,1801.0,702.39,,,0
HCPCS,73202,Ct uppr extremity w/o&w/dye,,,178.16,668.79,12
HCPCS,73202,Hc Ct Upper Extremity W Plus W/O Contrast,2084.5,812.955,,,0
HCPCS,73206,Ct angio upr extrm w/o&w/dye,,,178.16,668.79,12
HCPCS,73206,Hc Ct Angio Upper Extremity W Plus W/O Contrast,1995.0,778.05,,,0
HCPCS,73218,Hc Mri Upper Extremity Other Than Joint W/O Contrast,2493.0,972.27,,,0
HCPCS,73218,Mri Upper Extremity W/O Dye,,,242.35,909.77,12
HCPCS,73219,Hc Mri Upper Extremity Other Than Joint With Contrast,2980.0,1162.2,,,0
HCPCS,73219,Mri Upper Extremity W/Dye,,,354.36,1330.23,12
HCPCS,73220,Hc Mri Upper Extremity Other Than Joint W Plus W/O Contrast,3249.5,1267.305,,,0
HCPCS,73220,Mri uppr extremity w/o&w/dye,,,354.36,1330.23,12
HCPCS,73221,Hc Mri Joint Upper Extremity Any Joint W/O Contrast,2246.0,875.9399999999999,,,0
HCPCS,73221,Mri joint upr extrem w/o dye,,,242.35,909.77,12
HCPCS,73222,Hc Mri Joint Upper Extremity Any Joint With Contrast,2772.5,1081.275,,,0
HCPCS,73222,Mri joint upr extrem w/dye,,,682.25,2989.04,12
HCPCS,73223,Hc Mri Joint Upper Extremity Any Joint W/ Plus W/O Contrast,3180.5,1240.395,,,0
HCPCS,73223,Mri joint upr extr w/o&w/dye,,,354.36,1330.23,12
HCPCS,73225,Mr angio upr extr w/o&w/dye,,,742.7,943.75,3
HCPCS,73500,X-ray exam of hip,,,87.23,87.23,1
HCPCS,73501,Hc Xr Hip Uni 1 Vw,248.0,96.72,,,0
HCPCS,73501,X-ray exam hip uni 1 view,,,46.58,331.82,13
HCPCS,73502,Hc Xr Hip Uni 2-3 Vws,275.0,107.25,,,0
HCPCS,73502,X-ray exam hip uni 2-3 views,,,69.46,331.82,13
HCPCS,73503,Hc Xr Hip Uni 4 Vws Min,380.0,148.20000000000002,,,0
HCPCS,73503,X-ray exam hip uni 4/> views,,,85.8,398.63,13
HCPCS,73510,X-ray exam of hip,,,135.54,135.54,1
HCPCS,73520,X-ray exam of hips,,,132.43,132.43,1
HCPCS,73521,Hc Xr Hips Bil 2 Vws,380.0,148.20000000000002,,,0
HCPCS,73521,X-ray exam hips bi 2 views,,,64.55,398.63,13
HCPCS,73522,Hc Xr Hips Bil 3-4 Vws,423.5,165.16500000000002,,,0
HCPCS,73522,X-ray exam hips bi 3-4 views,,,77.63,398.63,13
HCPCS,73523,Hc Xr Hips Bil 5 Vws Min,423.5,165.16500000000002,,,0
HCPCS,73523,X-ray exam hips bi 5/> views,,,93.15,398.63,13
HCPCS,73525,Contrast x-ray of hip,,,167.5,1330.23,13
HCPCS,73525,Hc Fl Arthrography Hip,952.0,371.28,,,0
HCPCS,73530,X-ray exam of hip,,,87.01,87.01,1
HCPCS,73540,X-ray exam of pelvis & hips,,,163.62,163.62,1
HCPCS,73550,X-ray exam of thigh,,,93.46,93.46,1
HCPCS,73551,Hc Xr Femur 1Vw,248.0,96.72,,,0
HCPCS,73551,X-ray exam of femur 1,,,44.95,331.82,13
HCPCS,73552,Hc Xr Femur 2Vws Min,275.0,107.25,,,0
HCPCS,73552,X-ray exam of femur 2/>,,,53.12,331.82,13
HCPCS,73560,Hc Xr Knee 1-2Vw,255.0,99.45,,,0
HCPCS,73560,X-ray exam of knee 1 or 2,,,51.48,331.82,13
HCPCS,73562,Hc Xr Knee 3Vw,378.5,147.615,,,0
HCPCS,73562,X-ray exam of knee 3,,,60.48,331.82,13
HCPCS,73564,Hc Xr Knee Complete 4 Plus Vw,382.5,149.175,,,0
HCPCS,73564,X-ray exam knee 4 or more,,,65.38,398.63,13
HCPCS,73565,Hc Xr Knee Both Knees Standing Ap,323.5,126.16499999999999,,,0
HCPCS,73565,X-ray exam of knees,,,62.1,331.82,13
HCPCS,73580,Contrast x-ray of knee joint,,,196.91,1330.23,13
HCPCS,73580,Hc Fl Arthrography Knee,565.0,220.35,,,0
HCPCS,73590,Hc Xr Tib Plus Fib 2Vw,338.5,132.01500000000001,,,0
HCPCS,73590,X-ray exam of lower leg,,,46.58,331.82,13
HCPCS,73592,Hc Xr Lower Extremity Infant 2 Views Or Over,361.5,140.985,,,0
HCPCS,73592,X-ray exam of leg infant,,,44.95,331.82,13
HCPCS,73600,Hc Xr Ankle 2Vw,286.0,111.53999999999999,,,0
HCPCS,73600,X-ray exam of ankle,,,49.03,331.82,13
HCPCS,73610,Hc Xr Ankle Complete 3 Plus Vw,367.5,143.32500000000002,,,0
HCPCS,73610,X-ray exam of ankle,,,52.31,331.82,13
HCPCS,73615,Contrast x-ray of ankle,,,176.49,1330.23,13
HCPCS,73615,Hc Fl Arthrogram Ankle,547.5,213.525,,,0
HCPCS,73620,Hc Xr Foot 2Vw,270.5,105.49499999999999,,,0
HCPCS,73620,X-ray exam of foot,,,32.09,331.82,13
HCPCS,73630,Hc Xr Foot Complete 3 Plus Vw,367.5,143.32500000000002,,,0
HCPCS,73630,X-ray exam of foot,,,37.26,331.82,13
HCPCS,73650,Hc Xr Calcaneus 2 Plus Vw,327.5,127.725,,,0
HCPCS,73650,X-ray exam of heel,,,43.31,331.82,13
HCPCS,73660,Hc Xr Toes 2 Plus Vws,173.5,67.665,,,0
HCPCS,73660,X-ray exam of toe(s),,,49.03,331.82,13
HCPCS,73700,Ct lower extremity w/o dye,,,106.19,398.63,12
HCPCS,73700,Hc Ct Extremity Lower W/O Contrast,1634.0,637.26,,,0
HCPCS,73701,Ct lower extremity w/dye,,,178.16,668.79,12
HCPCS,73701,Hc Ct Extremity Lower With Contrast,1802.5,702.975,,,0
HCPCS,73702,Ct lwr extremity w/o&w/dye,,,178.16,668.79,12
HCPCS,73702,Hc Ct Extremity Lower W Plus W/O Contrast,2132.0,831.48,,,0
HCPCS,73706,Ct angio lwr extr w/o&w/dye,,,178.16,669.95,12
HCPCS,73706,Hc Ct Angio Extremity Lower W Plus W/O Contrast,2482.0,967.98,,,0
HCPCS,73718,Hc Mri Extremity Lower Other Than Joint W/O Contrast,2460.5,959.595,,,0
HCPCS,73718,Mri Lower Extremity W/O Dye,,,242.35,909.77,12
HCPCS,73719,Hc Mri Extremity Lower Other Than Joint With Contrast,2767.5,1079.325,,,0
HCPCS,73719,Mri Lower Extremity W/Dye,,,354.36,1330.23,12
HCPCS,73720,Hc Mri Extremity Lower Other Than Joint W Plus W/O Contrast,3217.5,1254.825,,,0
HCPCS,73720,Mri lwr extremity w/o&w/dye,,,354.36,1330.23,12
HCPCS,73721,Hc Mri Extremity Lower Any Joint W/O Contrast,2246.0,875.9399999999999,,,0
HCPCS,73721,Mri jnt of lwr extre w/o dye,,,242.35,909.77,12
HCPCS,73722,Hc Mri Extremity Lower Any Joint With Contrast,2974.5,1160.0549999999998,,,0
HCPCS,73722,Mri Joint Of Lwr Extr W/Dye,,,689.59,2989.04,12
HCPCS,73723,Hc Mri Extremity Lower Any Joint W Plus W/O Contrast,3194.5,1245.855,,,0
HCPCS,73723,Mri joint lwr extr w/o&w/dye,,,354.36,1330.23,12
HCPCS,73725,Mr ang lwr ext w or w/o dye,,,715.74,920.49,3
HCPCS,74000,X-ray exam of abdomen,,,33.52,73.19,3
HCPCS,74010,X-ray exam of abdomen,,,53.93,130.9,3
HCPCS,74018,Hc Xr Abdomen 1Vw,398.0,155.22,,,0
HCPCS,74018,X-ray exam abdomen 1 view,,,41.7,331.82,13
HCPCS,74019,Hc Xr Abdomen 2Vw,422.0,164.58,,,0
HCPCS,74019,X-ray exam abdomen 2 views,,,49.87,398.63,13
HCPCS,74020,X-ray exam of abdomen,,,54.76,130.9,3
HCPCS,74021,Hc Xr Abdomen 3 Plus Vw,455.0,177.45000000000002,,,0
HCPCS,74021,X-ray exam abdomen 3+ views,,,58.02,398.63,13
HCPCS,74022,Hc Xr Abdomen Complete Acute Supine Erect And /Or Decub 1Vw Chest,478.5,186.615,,,0
HCPCS,74022,X-ray exam series abdomen,,,65.38,398.63,13
HCPCS,74150,Ct abdomen w/o dye,,,106.19,398.63,12
HCPCS,74150,Hc Ct Abdomen W/O Contrast,1879.5,733.005,,,0
HCPCS,74160,Ct abdomen w/dye,,,178.16,668.79,12
HCPCS,74160,Hc Ct Abdomen With Contrast,2333.5,910.065,,,0
HCPCS,74170,Ct abdomen w/o & w/dye,,,178.16,668.79,12
HCPCS,74170,Hc Ct Abdomen W Plus Wo Contrast,2734.0,1066.26,,,0
HCPCS,74174,Ct angio abd&pelv w/o&w/dye,,,354.36,1330.23,12
HCPCS,74174,Hc Ct Angio Abd And Plvis Cntrst Mtrl W/Wo Cntrst Img,4021.0,1568.19,,,0
HCPCS,74175,Ct angio abdom w/o & w/dye,,,178.16,670.67,12
HCPCS,74175,Hc Ct Angio Abdomen W Plus W/O Contrast,2853.5,1112.865,,,0
HCPCS,74176,Ct abd & pelvis w/o contrast,,,242.35,909.77,12
HCPCS,74176,Hc Ct Abdomen And Pelvis Wo Contrast,3058.0,1192.6200000000001,,,0
HCPCS,74177,Ct abd & pelv w/contrast,,,354.36,1330.23,12
HCPCS,74177,Hc Ct Abdomen And Pelvis With Contrast,3772.5,1471.275,,,0
HCPCS,74178,Ct abd & pelv 1/> regns,,,354.36,1330.23,12
HCPCS,74178,Hc Ct Abdomen And Pelvis W Plus W/O Contrast,4486.5,1749.7350000000001,,,0
HCPCS,74181,Hc Mri Abdomen W/O Contrast,2675.0,1043.25,,,0
HCPCS,74181,Mri abdomen w/o dye,,,242.35,909.77,12
HCPCS,74182,Hc Mri Abdomen With Contrast,3200.5,1248.195,,,0
HCPCS,74182,Mri Abdomen W/Dye,,,354.36,1330.23,12
HCPCS,74183,Hc Mri Abdomen W Plus W/O Contrast,3459.5,1349.205,,,0
HCPCS,74183,Mri abdomen w/o & w/dye,,,354.36,1330.23,12
HCPCS,74185,Mri angio abdom w orw/o dye,,,721.45,914.87,3
HCPCS,74190,Hc Peritoneogram,573.0,223.47,,,0
HCPCS,74190,X-ray exam of peritoneum,,,82.58,2083.45,13
HCPCS,74210,Contrst x-ray exam of throat,,,136.45,668.79,13
HCPCS,74220,Contrast x-ray esophagus,,,149.53,668.79,13
HCPCS,74220,Hc Fl Contrast X-Ray Esophagus,712.5,277.875,,,0
HCPCS,74221,Hc Fl Esophagus Double Contrast Delay Inc Kub,1115.0,434.85,,,0
HCPCS,74221,X-ray xm esophagus 2cntrst,,,178.16,668.79,9
HCPCS,74230,Cine/vid x-ray throat/esoph,,,178.16,668.79,13
HCPCS,74230,Hc Fl Barium Swallow Modified W Speech Therapy,1880.0,733.2,,,0
HCPCS,74235,Hc Fl Remove Esophageal Obstr W/Use Balloon Cath Rs And I,7265.0,2833.35,,,0
HCPCS,74235,Remove esophagus obstruction,,,430.08,554.8,2
HCPCS,74240,Hc Fl Upper Gi Series Single Contrast Delay Inc Kub,757.0,295.23,,,0
HCPCS,74240,X-ray upper gi delay w/o kub,,,178.16,668.79,13
HCPCS,74241,X-ray upper gi delay w/kub,,,190.38,409.96,3
HCPCS,74245,X-ray upper gi&small intest,,,288.42,636.03,3
HCPCS,74246,Contrst x-ray uppr gi tract,,,178.16,668.79,13
HCPCS,74246,Hc Fl Gi Series Upper W Air And Hd Barium W Wo Glucgn Delay And Kub,1074.5,419.055,,,0
HCPCS,74247,Contrst x-ray uppr gi tract,,,245.12,520.67,3
HCPCS,74248,Hc Fl Img Exm Small Intestine Follow-Through Add-On,1158.5,451.815,,,0
HCPCS,74249,Contrst x-ray uppr gi tract,,,317.02,703.08,3
HCPCS,74250,Hc Xr Small Intestine Single Contrast Study,842.5,328.57500000000005,,,0
HCPCS,74250,X-ray exam of small bowel,,,178.16,668.79,13
HCPCS,74251,Hc Fl Sm Bowel Enteroclss Tube W Kub Double Contrast,1948.0,759.72,,,0
HCPCS,74251,X-ray exam of small bowel,,,178.16,1822.58,13
HCPCS,74260,X-ray exam of small bowel,,,730.44,1517.0,3
HCPCS,74261,Ct colonography dx,,,106.19,893.78,13
HCPCS,74262,Ct colonography dx w/dye,,,178.16,1001.39,13
HCPCS,74263,Ct colonography screening,,,242.35,1473.93,13
HCPCS,74270,Contrast x-ray exam of colon,,,178.16,668.79,13
HCPCS,74270,Hc Fl Colon Barium Enema Incl Scout And Delay Sgl Contrast,1115.0,434.85,,,0
HCPCS,74280,Contrast x-ray exam of colon,,,178.16,818.48,13
HCPCS,74280,Hc Fl Colon Barium Enema Double Contrast Air Incl Kub And Delay,1285.5,501.345,,,0
HCPCS,74283,Contrast x-ray exam of colon,,,178.16,668.79,13
HCPCS,74283,Hc Fl Xr Colon Thy Enema Reduction Intus/Obstr Contrast Or Air,2890.0,1127.1,,,0
HCPCS,74290,Contrast x-ray gallbladder,,,124.2,668.79,13
HCPCS,74290,Hc Fl Gb/Cholecystography Plus Oral Contrast,898.0,350.22,,,0
HCPCS,74291,"Contrast x-rays, gallbladder",,,277.45,277.45,1
HCPCS,74300,Hc Fl Cholangiography Operative C-Arm,1641.0,639.99,,,0
HCPCS,74300,X-ray bile ducts/pancreas,,,116.87,150.76,2
HCPCS,74301,Hc Fl Xr Cholangio And /Pancreatography Addl Set Intraop Rs,865.0,337.35,,,0
HCPCS,74301,X-rays at surgery add-on,,,69.86,90.12,2
HCPCS,74305,X-ray bile ducts/pancreas,,,1170.83,1170.83,1
HCPCS,74320,Contrast x-ray of bile ducts,,,342.92,342.92,1
HCPCS,74327,X-ray bile stone removal,,,492.59,492.59,1
HCPCS,74328,Hc Fl Xr Bile Duct Endoscopy,998.0,389.22,,,0
HCPCS,74328,X-ray bile duct endoscopy,,,289.14,372.99,2
HCPCS,74329,Hc Fl Xr Endoscopic Cathj Pancreatic Ductal Sys Rs And I,943.0,367.77,,,0
HCPCS,74329,X-ray for pancreas endoscopy,,,232.47,299.89,2
HCPCS,74330,Hc Fl Xr Ercp Bili Panc Duct Combined,3767.0,1469.13,,,0
HCPCS,74330,X-ray bile/panc endoscopy,,,430.08,554.8,2
HCPCS,74340,Hc Fl Intro Of Gi Tube,1447.0,564.33,,,0
HCPCS,74340,X-ray guide for GI tube,,,281.89,363.64,2
HCPCS,74355,Hc Fl Xr Percutaneous Placement Enteroclysis Tube Rs And I,1755.0,684.45,,,0
HCPCS,74355,X-ray guide intestinal tube,,,361.41,466.22,2
HCPCS,74360,Hc Fl Intraluminal Dilation Strictures And /Obstrcjs Rs And I,1174.0,457.86,,,0
HCPCS,74360,X-ray guide gi dilation,,,316.86,408.75,2
HCPCS,74363,Hc Transhepatic Dilation Of Biliary Duct Stricture W-W/O Stent Percu,2827.0,1102.53,,,0
HCPCS,74363,X-ray bile duct dilation,,,281.89,363.64,2
HCPCS,74400,Contrst x-ray urinary tract,,,178.16,668.79,13
HCPCS,74400,Hc Xr Ivp Limited/Urography Reduced 52,712.0,277.68,,,0
HCPCS,74400,Hc Xr Urography Iv W/Wo Kub W/Wo Tomography,955.5,372.64500000000004,,,0
HCPCS,74410,Contrst x-ray urinary tract,,,178.16,668.79,13
HCPCS,74410,Hc Ivp/Urography Infusion Contrast Xray,896.5,349.63500000000005,,,0
HCPCS,74415,Contrst x-ray urinary tract,,,178.16,668.79,13
HCPCS,74415,Hc Ivp/Urography Infusion W/Nephrotomography,1233.0,480.87,,,0
HCPCS,74420,Contrst x-ray urinary tract,,,231.38,1330.23,13
HCPCS,74420,Hc Fl Urinary Tract Exam W Contrast,1624.0,633.36,,,0
HCPCS,74425,Contrst x-ray urinary tract,,,110.38,1330.23,13
HCPCS,74425,Hc Fl Urography Antegrade Rs And I,1255.0,489.45,,,0
HCPCS,74430,Contrast x-ray bladder,,,49.85,1330.23,13
HCPCS,74430,Hc Fl Cystography 3 Plus Vw,539.0,210.21,,,0
HCPCS,74440,Hc Fl Vasography/Vesiculography Or Epididymography*,526.0,205.14,,,0
HCPCS,74440,X-ray male genital tract,,,143.81,909.77,13
HCPCS,74445,Hc Fl Corpora Cavernosograpy Penis Rs And I,441.0,171.99,,,0
HCPCS,74445,X-ray exam of penis,,,94.84,960.34,13
HCPCS,74450,Hc Fl Urethrocystography Retrograde Rs And I,650.0,253.5,,,0
HCPCS,74450,X-ray urethra/bladder,,,128.37,960.34,13
HCPCS,74455,Hc Fl Urethrocystography Voiding,710.5,277.095,,,0
HCPCS,74455,X-ray urethra/bladder,,,150.35,909.77,13
HCPCS,74470,Hc Radex Renal Cyst Study Translumbar Rs And I,660.0,257.4,,,0
HCPCS,74470,X-ray exam of kidney lesion,,,108.75,2083.45,13
HCPCS,74475,"X-ray control, cath insert",,,336.69,336.69,1
HCPCS,74480,"X-ray control, cath insert",,,336.69,336.69,1
HCPCS,74485,Hc Dilitation Of Ureters Or Urethra,2107.0,821.73,,,0
HCPCS,74485,X-ray guide gu dilation,,,151.16,7970.5,13
HCPCS,74710,X-ray measurement of pelvis,,,44.95,85.66,4
HCPCS,74712,Hc Mri Fetal W/Placntl Matrnl Plvc Img Single 1St Ges,339.0,132.21,,,0
HCPCS,74712,Mri fetal sngl/1st gestation,,,242.35,909.77,12
HCPCS,74713,Hc Mri Fetal W/Placntl Matrnl Plvc Img Each Addl Ges,598.0,233.22,,,0
HCPCS,74713,Mri fetal ea addl gestation,,,321.11,331.05,3
HCPCS,74740,Hc Fl Hysterosalpingography,622.0,242.58,,,0
HCPCS,74740,X-ray female genital tract,,,128.28,909.77,13
HCPCS,74742,Hc Transcervical Cath Fallopian Tube/ Recanalization,1563.0,609.57,,,0
HCPCS,74742,X-ray fallopian tube,,,198.8,256.45,2
HCPCS,74775,X-ray exam of perineum,,,129.18,960.34,13
HCPCS,75557,Cardiac mri for morph,,,242.35,909.77,12
HCPCS,75557,Hc Mri Cardiac Morphology And Function W/O Contrast,2157.0,841.23,,,0
HCPCS,75559,Cardiac mri w/stress img,,,555.0,2083.45,12
HCPCS,75559,Hc Mri Cardiac Morphology And Function W/O Contrast W/Stress,3782.0,1474.98,,,0
HCPCS,75561,Cardiac mri for morph w/dye,,,354.36,1330.23,12
HCPCS,75561,Hc Mri Cardiac Morphology And Function W Plus W/O Contrast,2594.5,1011.855,,,0
HCPCS,75563,Card mri w/stress img & dye,,,796.24,2989.04,12
HCPCS,75563,Hc Mri Cardiac Morphology And Function W Plus W/O Contrast W/Stress,4942.0,1927.38,,,0
HCPCS,75565,Card mri veloc flow mapping,,,98.04,122.63,3
HCPCS,75565,Hc Mri Cardiac Velocity Flow Mapping Add On,1062.0,414.18,,,0
HCPCS,75571,Ct hrt w/o dye w/ca test,,,88.39,331.82,12
HCPCS,75571,Hc Ct Heart Quantitative Coronary Calcium W/O Contrast,2184.5,851.9549999999999,,,0
HCPCS,75571,Hc Sp3 Ct Heart Screen Couple W/O Contrast,637.25,248.53,,,0
HCPCS,75571,Hc Sp3 Ct Heart Screen W/O Contrast,649.5,253.305,,,0
HCPCS,75572,Ct hrt w/3d image,,,354.36,1330.23,12
HCPCS,75572,Hc Ct Heart Structure And Morph 3D With Contrast,2973.5,1159.665,,,0
HCPCS,75573,Ct hrt w/3d image congen,,,354.36,1330.23,12
HCPCS,75573,Hc Ct Heart Structure And Morph Congenital Dz 3D With Contrast,2493.5,972.465,,,0
HCPCS,75574,Ct angio hrt w/3d image,,,354.36,1330.23,12
HCPCS,75574,Hc Ct Angio Heart Structure And Morph 3D With Contrast,2112.0,823.68,,,0
HCPCS,75577,Quan&char c athrosclrtc plaq,,,944.97,3547.36,9
HCPCS,75580,Hc Ct N-Invas Est C Ffr Augmnt Sw Alys Cta I And R Phy/Qhp,4462.0,1740.18,,,0
HCPCS,75580,N-invas est c ffr sw aly cta,,,872.23,3274.32,9
HCPCS,75600,Contrast exam thoracic aorta,,,399.53,12039.27,13
HCPCS,75600,Hc Thoracic Aortogram Wo Serial Ography,5494.0,2142.66,,,0
HCPCS,75605,Contrast exam thoracic aorta,,,188.75,21217.03,13
HCPCS,75605,Hc Aortagraphy Thoracic By Serialography Contrast,7549.0,2944.11,,,0
HCPCS,75625,Contrast exam abdominl aorta,,,187.11,12039.27,13
HCPCS,75625,Hc Aortography Abdominal By Serialography,6400.0,2496.0,,,0
HCPCS,75630,Hc Aortography Abdominal Plus Bilat Iliofemoral Lower Ext W-Run Off,6762.0,2637.18,,,0
HCPCS,75630,X-ray aorta leg arteries,,,188.75,12039.27,13
HCPCS,75635,Ct Angio Abdominal Arteries,,,178.16,713.34,12
HCPCS,75635,Hc Ct Angio Abdominal Aort Plus Iliofem Bil W Plus W/O-Cst,4885.5,1905.345,,,0
HCPCS,75658,Artery x-rays arm,,,239.41,570.57,3
HCPCS,75705,Artery x-rays spine,,,303.95,21217.03,13
HCPCS,75705,Hc Angiography Spinal Selective,7549.0,2944.11,,,0
HCPCS,75710,Artery x-rays arm/leg,,,243.5,12039.27,13
HCPCS,75710,Hc Angiography Extremity Unilateral,5054.0,1971.06,,,0
HCPCS,75716,Artery x-rays arms/legs,,,281.91,12039.27,13
HCPCS,75716,Hc Angiography Extremity Bilateral,6550.0,2554.5,,,0
HCPCS,75726,Artery x-rays abdomen,,,215.71,21217.03,13
HCPCS,75726,Hc Angiography Visceral Selective Or Supra W-W/O Flush Aortogram,7549.0,2944.11,,,0
HCPCS,75731,Artery x-rays adrenal gland,,,263.11,12039.27,13
HCPCS,75731,Hc Angiography Adrenal Unilatal Selective,6319.0,2464.41,,,0
HCPCS,75733,Artery x-rays adrenals,,,281.1,12039.27,13
HCPCS,75733,Hc Angiography Adrenal Bilatal Selective,6669.0,2600.91,,,0
HCPCS,75736,Artery x-rays pelvis,,,241.05,21217.03,13
HCPCS,75736,Hc Angiography Pelvic Selective-Supraselective,7549.0,2944.11,,,0
HCPCS,75741,Artery x-rays lung,,,200.18,12039.27,13
HCPCS,75741,Hc Angiography Pulmonary Unilatal Selective,7492.0,2921.88,,,0
HCPCS,75743,Artery x-rays lungs,,,202.63,12039.27,13
HCPCS,75743,Hc Angiography Pulmonary Bilatal Selective,8699.0,3392.61,,,0
HCPCS,75746,Artery x-rays lung,,,223.06,12039.27,13
HCPCS,75746,Hc Angiography Pulmonary Nonselective Cath Or Venous Inj,5483.0,2138.37,,,0
HCPCS,75756,Artery x-rays chest,,,259.84,12039.27,13
HCPCS,75756,Hc Angiography Internal Mammary,5481.0,2137.59,,,0
HCPCS,75774,Artery x-ray each vessel,,,303.31,391.27,2
HCPCS,75774,Hc Angiography Selective Ea Additional Vessel,5072.0,1978.08,,,0
HCPCS,75791,"Angiography, arteriovenous shunt",,,1197.34,1197.34,1
HCPCS,75801,Hc Lymphangiography Extremity Unilateral,1764.0,687.96,,,0
HCPCS,75801,Lymph vessel x-ray arm/leg,,,506.93,2391.87,13
HCPCS,75803,Hc Lymph Vessel X-Ray Arms Or Legs,588.0,229.32,,,0
HCPCS,75803,Hc Lymphangiography Extremity Only Bilateral Rs And I,5716.0,2229.24,,,0
HCPCS,75803,Lymph vessel x-ray arms/legs,,,501.21,6002.15,13
HCPCS,75805,Hc Fl Lymphangio Pelvic Abdominal Unilat W S And I,6519.0,2542.41,,,0
HCPCS,75805,Lymph vessel x-ray trunk,,,537.19,12039.27,13
HCPCS,75807,Hc Fl Lymphangio Pelvic Abdominal Bilat W S And I,4552.0,1775.28,,,0
HCPCS,75807,Lymph vessel x-ray trunk,,,549.45,12039.27,13
HCPCS,75809,Hc Xr Shuntogram Indw Nonvas Shunt Rs And I,1028.0,400.92,,,0
HCPCS,75809,Nonvascular shunt x-ray,,,106.19,398.63,13
HCPCS,75810,Hc Fl Splenoportograpy Rs And I,6779.0,2643.81,,,0
HCPCS,75810,Vein x-ray spleen/liver,,,1084.99,12039.27,13
HCPCS,75820,Hc Venography Extremity Unilateral,1838.5,717.015,,,0
HCPCS,75820,Vein x-ray arm/leg,,,185.48,6002.15,13
HCPCS,75822,Hc Fl Venography Extremity Bilateral,1550.5,604.6949999999999,,,0
HCPCS,75822,Vein x-ray arms/legs,,,194.46,6002.15,13
HCPCS,75825,Hc Venography Caval Inferior W Serialography,5115.0,1994.85,,,0
HCPCS,75825,Vein x-ray trunk,,,182.22,12039.27,13
HCPCS,75827,Hc Venography Caval Superior W Serialography,5537.0,2159.43,,,0
HCPCS,75827,Vein x-ray chest,,,188.75,6002.15,13
HCPCS,75831,Hc Venography Renal Unilateral,5146.0,2006.94,,,0
HCPCS,75831,Vein x-ray kidney,,,195.28,12039.27,13
HCPCS,75833,Hc Venography Renal Bilateral,6726.0,2623.14,,,0
HCPCS,75833,Vein x-ray kidneys,,,212.45,12039.27,13
HCPCS,75840,Hc Venography Adrenal Unilateral Selective,4552.0,1775.28,,,0
HCPCS,75840,Vein x-ray adrenal gland,,,210.8,12039.27,13
HCPCS,75842,Hc Venography Adrenal Bilateral Selective,7549.0,2944.11,,,0
HCPCS,75842,Vein x-ray adrenal glands,,,244.32,561.21,4
HCPCS,75860,Hc Venography Venous Sinus Or Jugular Catheter,5054.0,1971.06,,,0
HCPCS,75860,Vein x-ray neck,,,201.82,12039.27,13
HCPCS,75870,Hc Venography Skull Superior Sagittal Sinus,6258.0,2440.62,,,0
HCPCS,75870,Vein x-ray skull,,,210.8,12039.27,13
HCPCS,75872,Vein x-ray skull epidural,,,226.33,2391.87,13
HCPCS,75880,Hc Fl Venography Orbital Rs And I,3688.0,1438.32,,,0
HCPCS,75880,Vein x-ray eye socket,,,255.74,2391.87,13
HCPCS,75885,Hc Transhepatic Port W Hemodynamic Eval Percutaneous,6047.0,2358.33,,,0
HCPCS,75885,Vein x-ray liver w/hemodynam,,,202.63,12039.27,13
HCPCS,75887,Hc Transhepatic Port W/O Hemodynamic Eval Percutaneous,5169.0,2015.91,,,0
HCPCS,75887,Vein x-ray liver w/o hemodyn,,,205.08,12039.27,13
HCPCS,75889,Hc Hepatic Venography W Hemodynamic Eval,6263.0,2442.57,,,0
HCPCS,75889,Vein x-ray liver w/hemodynam,,,204.27,12039.27,13
HCPCS,75891,Hc Hepatic Venography W/O Hemodynamic Eval,6169.0,2405.91,,,0
HCPCS,75891,Vein x-ray liver,,,205.9,12039.27,13
HCPCS,75893,Hc Venous Sampling Through Cath W-W/O Angiography,7549.0,2944.11,,,0
HCPCS,75893,Venous sampling by catheter,,,211.63,21217.03,13
HCPCS,75894,Hc Transcath Therapy/Embolization Any Method,11584.0,4517.76,,,0
HCPCS,75894,X-rays transcath therapy,,,3073.25,3964.49,2
HCPCS,75896,"X-rays, transcath therapy",,,3414.38,3414.38,1
HCPCS,75898,Follow-up angiography,,,98.93,12039.27,13
HCPCS,75898,Hc Fl Angiograph Cath Follow Up Study Transcatheter Other Than Thrombylsis,6519.0,2542.41,,,0
HCPCS,75901,Hc Cvd Pericath Obstruction Mechanical Removal,13977.0,5451.03,,,0
HCPCS,75901,Remove cva device obstruct,,,551.08,710.89,2
HCPCS,75902,Hc Cvd Intracath Obstruction Mechanical Removal,14124.0,5508.36,,,0
HCPCS,75902,Remove cva lumen obstruct,,,206.61,266.53,2
HCPCS,75945,Intravascular us,,,709.31,709.31,1
HCPCS,75946,Intravascular us add-on,,,728.9,728.9,1
HCPCS,75956,Hc Ip Only - Evasc Rpr Descnd Thorcic Aorta Subclav Orig Rad Sup And Interp,13492.0,5261.88,,,0
HCPCS,75957,Hc Ip Only - Endovasc Thoracic Aorta/Not Lt Subclavian Repair,20488.0,7990.32,,,0
HCPCS,75960,"Transcatheter intro, stent",,,403.73,403.73,1
HCPCS,75962,Repair arterial blockage,,,584.6,584.6,1
HCPCS,75964,"Repair artery blockage, each",,,372.54,372.54,1
HCPCS,75966,Repair arterial blockage,,,540.95,540.95,1
HCPCS,75968,"Repair artery blockage, each",,,335.1,335.1,1
HCPCS,75970,Hc Transcather Biopsy,5059.0,1973.01,,,0
HCPCS,75970,Vascular biopsy,,,1437.24,1854.04,2
HCPCS,75978,Repair venous blockage,,,578.37,578.37,1
HCPCS,75980,Contrast xray exam bile duct,,,910.73,910.73,1
HCPCS,75982,Contrast xray exam bile duct,,,1073.85,1073.85,1
HCPCS,75984,Hc Fl Change Percutaneous Tube/Drainage Cath With Contrast Rs And I,1824.0,711.36,,,0
HCPCS,75984,Xray control catheter change,,,281.54,363.19,2
HCPCS,75989,Abscess drainage under x-ray,,,113.79,774.0,2
HCPCS,75989,Hc Rad Guidance Prq Drg W/Plmt Cath,2856.0,1113.84,,,0
HCPCS,76000,Fluoroscope examination,,,89.06,909.77,13
HCPCS,76000,Fluroscopy Up To 1 Hr,801.0,312.39,,,0
HCPCS,76000,Hc Fl Fluoroscopy Up To 1 Hour Physician/Qhp Time,1256.0,489.84,,,0
HCPCS,76001,Fluoroscope exam extensive,,,480.27,480.27,1
HCPCS,76010,Hc Xr From Nose Rectum Foreign Body 1 View 12Yr Or Less,365.5,142.54500000000002,,,0
HCPCS,76010,X-ray nose to rectum,,,39.23,331.82,13
HCPCS,76014,Mr sfty implt&/fb asmt stf 1,,,29.38,110.28,9
HCPCS,76016,Mr safety deter phys/qhp,,,88.39,331.82,9
HCPCS,76017,Mr sfty med physics xm cstmz,,,242.35,909.77,9
HCPCS,76018,Mr safety implant elec prepj,,,96.56,362.5,9
HCPCS,76019,Mr safety implt pos&/immoblj,,,59.92,224.93,9
HCPCS,76080,Hc Fl Abscess/Fistula/Sinus Tract Rs And I,1064.0,414.96,,,0
HCPCS,76080,X-ray exam of fistula,,,66.19,2083.45,13
HCPCS,76098,Hc Mam Breast Specimen,1173.0,457.47,,,0
HCPCS,76098,X-ray exam breast specimen,,,19.62,2083.45,13
HCPCS,76100,Hc Xr 1 Plane Body Section Other Than W/Urograpy,1587.0,618.93,,,0
HCPCS,76100,X-ray exam of body section,,,106.19,398.63,13
HCPCS,76101,Complex body section x-ray,,,222.25,556.52,3
HCPCS,76102,Complex body section x-rays,,,318.67,795.09,3
HCPCS,76120,Cine/video x-rays,,,106.19,398.63,13
HCPCS,76120,Hc Fl Cine Vidradiograpy Xcpt Where Spec,350.0,136.5,,,0
HCPCS,76125,Cine/video x-rays add-on,,,109.59,141.37,2
HCPCS,76145,Med physic dos eval rad exps,,,379.02,1422.83,9
HCPCS,76376,3d render w/intrp postproces,,,180.01,232.21,2
HCPCS,76376,Hc Ct 3D Rendering Not Requiring Independent Work Station,215.5,84.045,,,0
HCPCS,76376,Hc Echo 3D Rendering,258.0,100.62,,,0
HCPCS,76376,Hc Mri 3D Rendering,215.5,84.045,,,0
HCPCS,76377,3d render w/intrp postproces,,,158.27,204.17,2
HCPCS,76377,Hc Ct 3D Rendering Independent Workstation,873.0,340.47,,,0
HCPCS,76377,Hc Mri 3D Rendering Independent Workstation,873.0,340.47,,,0
HCPCS,76377,Hc Vl Us 3-D Rendering Independent Station,1573.0,613.47,,,0
HCPCS,76380,CAT scan follow-up study,,,88.39,331.82,13
HCPCS,76380,Hc Ct Limited Study,1204.0,469.56,,,0
HCPCS,76390,Hc Mri Spectroscopy,2234.0,871.26,,,0
HCPCS,76390,Mr spectroscopy,,,88.39,934.93,13
HCPCS,76391,Hc Mri Elastography Eg Vibration,1754.0,684.06,,,0
HCPCS,76391,Mr elastography,,,242.35,909.77,11
HCPCS,76496,Fluoroscopic procedure,,,88.39,523.79,13
HCPCS,76496,Hc Fl Fluoroscopic Procedure Unlisted,357.0,139.23,,,0
HCPCS,76497,Ct procedure,,,88.39,331.82,12
HCPCS,76498,Hc Mri Unlisted Procedure,1947.5,759.525,,,0
HCPCS,76498,Mri procedure,,,88.39,797.79,12
HCPCS,76499,Hc Unlisted Diagnostic Radiographic Procedure,375.0,146.25,,,0
HCPCS,76499,Radiographic procedure,,,88.39,331.82,13
HCPCS,76506,Echo exam of head,,,106.19,445.81,13
HCPCS,76506,Hc Us Cranial/Head-Echoencephalography,1013.5,395.265,,,0
HCPCS,76510,Ophth us b & quant a,,,135.14,507.3,13
HCPCS,76511,Ophth us quant a only,,,106.19,398.63,13
HCPCS,76512,Hc Us Ophthalmic Dx B-Scan W/Wo Non-Quan A-Scan,372.0,145.08,,,0
HCPCS,76512,Ophth us b w/non-quant a,,,91.51,398.63,13
HCPCS,76513,Echo exam of eye water bath,,,106.19,398.63,13
HCPCS,76513,Hc Dx Ophthalmic Us Ant Segment Immersion Uni Or Bi,646.0,251.94,,,0
HCPCS,76514,Echo exam of eye thickness,,,12.27,110.28,13
HCPCS,76514,Hc Echo Exam Of Eye Thickness,83.0,32.37,,,0
HCPCS,76516,Echo exam of eye,,,106.19,398.63,13
HCPCS,76516,Hc Ophthalmic Biometry Us Echograpy A-Scan,270.0,105.3,,,0
HCPCS,76519,Echo exam of eye,,,106.19,398.63,13
HCPCS,76519,Hc Oph Bmtry Us Echograpy A-Scan Io Lens Pwr Ca,414.0,161.46,,,0
HCPCS,76529,Echo exam of eye,,,88.39,331.82,13
HCPCS,76529,Hc Us Ophthalmic Foreign Body Localization,276.0,107.64,,,0
HCPCS,76536,Hc Us Soft Tissue Head And Neck/Thyroid Parathyroid,838.0,326.82,,,0
HCPCS,76536,Us exam of head and neck,,,106.19,447.4,13
HCPCS,76604,Hc Us Chest Real Time W/Image Documentation,609.5,237.705,,,0
HCPCS,76604,Us exam chest,,,106.19,398.63,13
HCPCS,76641,Hc Us Breast Unilateral Complete,557.5,217.42499999999998,,,0
HCPCS,76641,Ultrasound breast complete,,,106.19,398.63,13
HCPCS,76642,Hc Us Breast Ltd Unilateral,557.5,217.42499999999998,,,0
HCPCS,76642,Ultrasound breast limited,,,88.39,331.82,13
HCPCS,76645,Echo exam of breast(s),,,338.23,338.23,1
HCPCS,76700,Hc Us Abdominal Complete,1063.5,414.765,,,0
HCPCS,76700,Us exam abdom complete,,,106.19,398.63,13
HCPCS,76705,Echo exam of abdomen,,,106.19,398.63,13
HCPCS,76705,Hc Us Abdominal Real Time W/Image Limited,754.0,294.06,,,0
HCPCS,76705,Us Sgl Organ Bladder,1547.0,603.33,,,0
HCPCS,76706,Hc Us Aaa Screening,469.0,182.91,,,0
HCPCS,76706,Us abdl aorta screen aaa,,,100.77,398.63,13
HCPCS,76770,Hc Us Retroperitoneal Complete Renal/Aorta/Nodes,918.0,358.02,,,0
HCPCS,76770,Us exam abdo back wall comp,,,106.19,455.16,13
HCPCS,76775,Hc Us Retroperitoneal Limited Renal/Aorta/Nodes,497.0,193.83,,,0
HCPCS,76775,Us exam abdo back wall lim,,,68.65,398.63,13
HCPCS,76776,Hc Us Kidney Transplant With Duplex Doppler,519.0,202.41,,,0
HCPCS,76776,Us exam k transpl w/doppler,,,106.19,550.29,13
HCPCS,76800,Hc Us Spinal Canal,797.5,311.025,,,0
HCPCS,76800,Us exam spinal canal,,,106.19,398.63,13
HCPCS,76801,Hc Us Pregnant Uterus 14Wk Or Less Transabdl 1St Fetus,816.5,318.435,,,0
HCPCS,76801,Ob us < 14 wks single fetus,,,106.19,398.63,13
HCPCS,76802,Hc Us Pregnant Uterus 14Wk Or Less Transabdl Ea Additl Fetus,432.0,168.48000000000002,,,0
HCPCS,76802,Ob us < 14 wks addl fetus,,,40.37,52.08,2
HCPCS,76805,Hc Us Preg Uterus Transabd 14 Weeks Or Over 1St Fetus,858.5,334.815,,,0
HCPCS,76805,Ob us >/= 14 wks sngl fetus,,,106.19,398.63,13
HCPCS,76810,Hc Us Preg Uterus Transabd 14 Weeks Or Over Ea Addl Fetus,480.0,187.2,,,0
HCPCS,76810,Ob us >/= 14 wks addl fetus,,,77.15,99.52,2
HCPCS,76811,Hc Us Pregnant Uterus W/Detail Fetal Anatomic 1St Gestation,1383.0,539.37,,,0
HCPCS,76811,Ob us detailed sngl fetus,,,146.04,909.77,13
HCPCS,76812,Hc Us Pregnant Uterus Detail Fetal Anatomic Exam Ea Gestation,521.0,203.19,,,0
HCPCS,76812,Ob us detailed addl fetus,,,195.26,251.89,2
HCPCS,76813,Hc Us Fetal Nuchal Translucency 1St Gestation,382.0,148.98,,,0
HCPCS,76813,Ob us nuchal meas 1 gest,,,100.46,398.63,13
HCPCS,76814,Hc Us Fetal Nuchal Translucency Ea Addl Gestation,382.0,148.98,,,0
HCPCS,76814,Ob us nuchal meas add-on,,,48.14,62.1,2
HCPCS,76815,Hc Us Pregnant Uterus Limited 1 Or More Fetuses,553.5,215.865,,,0
HCPCS,76815,Ob us limited fetus(s),,,92.69,398.63,13
HCPCS,76815,Us Pregnancy 1 Or More Fetuses,382.0,148.98,,,0
HCPCS,76816,Hc Us Follow Up Per Fetus,830.0,323.7,,,0
HCPCS,76816,Ob us follow-up per fetus,,,106.19,398.63,13
HCPCS,76817,Hc Us Pregnant Uterus Real Time W/Image Documentation Transvaginal,487.5,190.125,,,0
HCPCS,76817,Transvaginal us obstetric,,,102.53,398.63,13
HCPCS,76818,Fetal biophys profile w/nst,,,106.19,398.63,13
HCPCS,76818,Hc Us Fetal Biophysical Profile Non-Stress Testing,798.5,311.415,,,0
HCPCS,76819,Fetal biophys profil w/o nst,,,106.19,398.63,13
HCPCS,76819,Hc Us Fetal Biophysical Profile W/O Non-Stress Testing,773.0,301.47,,,0
HCPCS,76820,Hc Us Doppler Velocimetry Fetal/Umbilical Artery,719.0,280.40999999999997,,,0
HCPCS,76820,Umbilical artery echo,,,52.31,398.63,13
HCPCS,76821,Hc Us Doppler Velocimetry Fetal/ Middle Cerebral Artery,659.0,257.01,,,0
HCPCS,76821,Middle cerebral artery echo,,,106.19,398.63,13
HCPCS,76825,Echo exam of fetal heart,,,451.84,2083.45,13
HCPCS,76825,Hc Echo 2D Fetal Complete,450.0,175.5,,,0
HCPCS,76826,Echo exam of fetal heart,,,242.35,909.77,13
HCPCS,76826,Hc Fetal Cardiovasc 2D Fu Us,555.5,216.64499999999998,,,0
HCPCS,76827,Echo exam of fetal heart,,,106.19,398.63,13
HCPCS,76827,Hc Echo Fetal Doppler Complete,450.0,175.5,,,0
HCPCS,76828,Echo exam of fetal heart,,,58.84,398.63,13
HCPCS,76828,Hc Fetal Doppler Echocardiogram Limited/Fu,763.0,297.57,,,0
HCPCS,76830,Hc Us Transvaginal Non-Pregnant Uterus,569.0,221.91,,,0
HCPCS,76830,Transvaginal us non-ob,,,64.71,398.63,13
HCPCS,76831,Echo exam uterus,,,192.82,909.77,13
HCPCS,76831,Hc Us Sonohysterography W/Saline Plus Color Flow Doppler If Performed,1150.0,448.5,,,0
HCPCS,76856,Hc Us Pelvic Nonobstetric Complete,913.0,356.07,,,0
HCPCS,76856,Us exam pelvic complete,,,106.19,398.63,13
HCPCS,76857,Hc Us Pelvic Nonobstetric Image Documentation Limited/Follow-Up,599.5,233.805,,,0
HCPCS,76857,Us exam pelvic limited,,,53.93,398.63,13
HCPCS,76870,Hc Us Scrotum,834.5,325.455,,,0
HCPCS,76870,Us exam scrotum,,,83.34,439.58,13
HCPCS,76872,Hc Us Transrectal,888.5,346.515,,,0
HCPCS,76872,Us transrectal,,,106.19,398.63,13
HCPCS,76873,Echograp trans r pros study,,,106.19,445.81,13
HCPCS,76873,Hc Us Prostate Volume Study/Brachytherapy Treatment Planning,674.0,262.86,,,0
HCPCS,76881,Hc Us Extremity Joint Space And Periarticular Soft Tissues Complete,838.0,326.82,,,0
HCPCS,76881,Us xtr non-vasc complete,,,106.19,428.65,13
HCPCS,76882,Hc Us Lmtd Joint/Oth Nonvasc Xtr Strux R-T W/Img,600.5,234.195,,,0
HCPCS,76882,Us xtr non-vasc lmtd,,,26.16,398.63,13
HCPCS,76883,Us nrv&acc strux 1xtr compre,,,106.19,398.63,9
HCPCS,76885,Hc Us Hips Infant Dynamic Imaging With Physician,838.0,326.82,,,0
HCPCS,76885,Us exam infant hips dynamic,,,88.39,533.13,13
HCPCS,76886,Hc Us Hips Infant Dynamic Limited Static No Physician,838.0,326.82,,,0
HCPCS,76886,Us exam infant hips static,,,88.39,358.49,13
HCPCS,76930,Echo guide cardiocentesis,,,249.37,249.37,1
HCPCS,76932,Echo guide for heart biopsy,,,195.16,251.76,2
HCPCS,76932,Hc Us Endomyocardial Biopsy Rs And I,2863.0,1116.57,,,0
HCPCS,76936,Echo guide for artery repair,,,219.32,871.49,13
HCPCS,76936,Hc Us Compression Repair Arterial Pseudoaneurysm/Arteriovenous Fistulae,4973.0,1939.47,,,0
HCPCS,76936,U/S Compression Repair Arty-An,911.0,355.29,,,0
HCPCS,76937,Hc Us Vasc Access Site Visual Patency Ndl Entry W/Image,744.0,290.16,,,0
HCPCS,76937,Us guide vascular access,,,77.28,99.69,2
HCPCS,76940,Hc Us And Monitoring Parenchymal Tissue Ablation,1515.0,590.85,,,0
HCPCS,76940,Us guide tissue ablation,,,222.88,287.52,2
HCPCS,76941,Echo guide for transfusion,,,207.2,267.29,2
HCPCS,76941,Hc Ultrasound Intrauterine Fetal Transfusion,1275.0,497.25,,,0
HCPCS,76942,Echo guide for biopsy,,,624.79,805.98,2
HCPCS,76942,Hc Ultrasound Guide Needle Placement/Bx Asp Inj Local,1663.0,648.5699999999999,,,0
HCPCS,76945,Echo guide villus sampling,,,214.45,276.64,2
HCPCS,76945,Hc Us Guidance Chorionic Villus Sampling Img S And I,358.0,139.62,,,0
HCPCS,76946,Echo guide for amniocentesis,,,49.49,63.84,2
HCPCS,76946,Hc Us Guidance Amniocentesis Imaging S And I,757.5,295.425,,,0
HCPCS,76948,Echo guide ova aspiration,,,50.68,65.38,2
HCPCS,76948,Hc Us Guidance Aspiration Ova Img S And I,1265.0,493.35,,,0
HCPCS,76950,Echo guidance radiotherapy,,,101.23,101.23,1
HCPCS,76965,Echo guidance radiotherapy,,,86.94,112.15,2
HCPCS,76965,Hc Us Guidance Interstitial Radioelment Application,3082.0,1201.98,,,0
HCPCS,76970,Ultrasound exam follow-up,,,169.14,378.77,3
HCPCS,76975,GI endoscopic ultrasound,,,141.46,909.77,13
HCPCS,76977,Us bone density measure,,,10.63,398.63,13
HCPCS,76978,Us trgt dyn mbubb 1st les,,,354.36,1330.23,11
HCPCS,76981,Hc Us Elastography Parenchyma Organ,299.5,116.805,,,0
HCPCS,76981,Use parenchyma,,,106.19,398.63,11
HCPCS,76982,Hc Us Elastography First Target Lesion,299.5,116.805,,,0
HCPCS,76982,Use 1st target lesion,,,106.19,398.63,11
HCPCS,76983,Hc Us Elastography Ea Add Target Lesion,299.5,116.805,,,0
HCPCS,76998,Hc Us Guidance Intraoperative,2100.0,819.0,,,0
HCPCS,76999,Echo examination procedure,,,88.39,331.82,11
HCPCS,76999,Hc Us Unlisted Procedures,747.0,291.33,,,0
HCPCS,77001,Fluoroguide for Vein Device,,,364.95,470.79,2
HCPCS,77001,Hc Fl Fluoro Central Venous Access Device Placement,1203.0,469.17,,,0
HCPCS,77002,Hc Fl Fluoroscopic Guidance Needle Placement Add On,1659.0,647.01,,,0
HCPCS,77002,Needle localization by xray,,,187.25,241.55,2
HCPCS,77003,Floroscop Guidance-Nerve Block,888.0,346.32,,,0
HCPCS,77003,Fluoroguide for Spine Inject,,,233.21,300.84,2
HCPCS,77003,Hc Fl Guide For Spine Inj,1300.0,507.0,,,0
HCPCS,77011,CT Scan for Localization,,,270.7,349.2,2
HCPCS,77011,Hc Ct Guide Stereotactic Localization,2460.0,959.4,,,0
HCPCS,77012,Ct scan for needle biopsy,,,119.86,154.62,2
HCPCS,77012,Hc Ct Guidance For Needle Placement Bx/Asp/Inj/Loc,4555.0,1776.45,,,0
HCPCS,77013,CT Guide for Tissue Ablation,,,561.74,724.64,2
HCPCS,77013,Hc Ct Guide Tissue Ablation,3150.0,1228.5,,,0
HCPCS,77014,CT Scan for Therapy Guide,,,134.22,173.14,2
HCPCS,77014,Hc Ct Guide Placement Radiation Therapy Fields,2154.0,840.06,,,0
HCPCS,77021,Hc Mri Guidance Needle Placement Rs And I,2896.0,1129.44,,,0
HCPCS,77021,MR Guidance for Needle Place,,,581.15,749.68,2
HCPCS,77022,Hc Mri Guidance For Parenchymal Tissue Ablation,858.0,334.62,,,0
HCPCS,77022,MRI for Tissue Ablation,,,1079.78,1079.78,1
HCPCS,77031,Stereotact Guide for Breast Biospy,,,238.44,238.44,1
HCPCS,77032,"Guidance for Needle, Breast",,,116.85,116.85,1
HCPCS,77046,Hc Mri Breast Unilateral W/O Contrast,2196.5,856.635,,,0
HCPCS,77046,Mri breast c- unilateral,,,242.35,909.77,11
HCPCS,77047,Hc Mri Breast Bilateral W/O Contrast,2874.5,1121.055,,,0
HCPCS,77047,Mri breast c- bilateral,,,242.35,909.77,11
HCPCS,77048,Mri breast c-+ w/cad uni,,,667.75,667.75,2
HCPCS,77049,Hc Sp3 Breastest Limited Mri,2883.5,1124.565,,,0
HCPCS,77049,Mri breast c-+ w/cad bi,,,664.48,664.48,2
HCPCS,77051,Computer Dx Mammogram Add-on,,,9.33,9.33,1
HCPCS,77052,Computer Screening Mammogram Add-on,,,9.33,9.33,1
HCPCS,77053,Hc Mam Ductogram/Galactogram Unilateral,1154.0,450.06,,,0
HCPCS,77053,X-Ray of Mammary Duct,,,93.15,909.77,13
HCPCS,77054,Hc Mam Ductogram/Galactogram Multiple,1293.0,504.27,,,0
HCPCS,77054,X-ray of mammary ducts,,,125.83,909.77,13
HCPCS,77055,"Mammogram, One Breast",,,72.59,72.59,1
HCPCS,77056,"Mammogram, Both Breasts",,,94.85,94.85,1
HCPCS,77057,"Mammogram, Screening",,,62.33,62.33,1
HCPCS,77058,Mri one breast,,,1058.9,1301.36,3
HCPCS,77059,Mri both breasts,,,1050.73,1290.15,3
HCPCS,77061,Breast tomosynthesis uni,,,216.52,543.39,4
HCPCS,77061,Hc Breast Tomosynthesis Diagnostic Digital Uni,87.0,33.93,,,0
HCPCS,77062,Breast tomosynthesis bi,,,276.98,426.58,4
HCPCS,77063,Breast tomosynthesis bi,,,23.75,116.72,11
HCPCS,77063,Hc Breast Tomosynthesis Screening Digital Bilat Add On,110.5,43.095,,,0
HCPCS,77065,Dx mammo incl cad uni,,,76.97,216.52,11
HCPCS,77065,Hc Mammo Diagnostic Digital Uni W/Cad,537.5,209.625,,,0
HCPCS,77066,Dx mammo incl cad bi,,,98.82,276.98,11
HCPCS,77066,Hc Mammo Diagnostic Digital Bilat W/Cad,587.5,229.125,,,0
HCPCS,77067,Hc Screening Mammography Bi 2-View Breast Inc Cad,500.0,195.0,,,0
HCPCS,77067,Scr mammo bi incl cad,,,92.71,228.78,11
HCPCS,77071,X-Ray Stress View,,,88.39,331.82,11
HCPCS,77072,Hc Xr Bone Age Studies,312.5,121.875,,,0
HCPCS,77072,X-Rays for Bone Age,,,31.06,398.63,13
HCPCS,77073,Hc Xr Bone Length Studies,341.0,132.99,,,0
HCPCS,77073,X-rays bone length studies,,,49.03,398.63,13
HCPCS,77074,Hc Xr Bone/Osseous Survey Limited,338.5,132.015,,,0
HCPCS,77074,X-rays bone survey limited,,,95.61,398.63,13
HCPCS,77074,Xr Bone Survey Limited Mets,390.0,152.1,,,0
HCPCS,77075,Hc Xr Bone/Osseous Survey Complete,1087.5,424.125,,,0
HCPCS,77075,X-rays bone survey complete,,,106.19,398.63,13
HCPCS,77076,Hc Xr Osseous Survey Infant Under 12Mo,777.0,303.03,,,0
HCPCS,77076,X-rays bone survey infant,,,106.19,398.63,13
HCPCS,77077,Hc Xr Joint Survey Single View 2 Or More Joints,480.0,187.2,,,0
HCPCS,77077,Joint survey single view,,,48.22,398.63,13
HCPCS,77078,Ct bone density axial,,,88.39,331.82,12
HCPCS,77080,Dxa bone density axial,,,71.1,398.63,13
HCPCS,77080,Hc Bd Dexa Axial Skeleton 2 Sites,598.0,233.22,,,0
HCPCS,77081,Dxa bone density/peripheral,,,39.23,331.82,13
HCPCS,77081,Hc Bd Dexa Forearm/Appendicular Skeleton,501.5,195.585,,,0
HCPCS,77082,"DXA Bone Density, Vert Fx",,,91.89,91.89,1
HCPCS,77084,Hc Mri Bone Marrow Blood Supply,854.0,333.06,,,0
HCPCS,77084,Magnetic image bone marrow,,,242.35,909.77,13
HCPCS,77085,Dxa bone density study,,,93.15,398.63,13
HCPCS,77085,Hc Bd Dxa Study Axial Skeleton,757.5,295.425,,,0
HCPCS,77086,Fracture assessment via dxa,,,61.29,331.82,13
HCPCS,77086,Hc Xr Vertebral Fracture Assessment Via Dxa,267.0,104.13,,,0
HCPCS,77090,Tbs techl prep&transmis data,,,88.39,331.82,9
HCPCS,77091,Tbs techl calculation only,,,88.39,331.82,9
HCPCS,77280,Hc Radiation Therapy Simulation Simple,1341.0,522.99,,,0
HCPCS,77280,Hc Radiation Therapy Simulation Simple 76,1341.0,522.99,,,0
HCPCS,77280,Set radiation therapy field,,,136.52,671.92,13
HCPCS,77285,Hc Radiation Therapy Simulation Intermediate,2169.0,845.91,,,0
HCPCS,77285,Set radiation therapy field,,,380.31,1427.68,13
HCPCS,77290,Hc Radiation Therapy Simulation Complex,2619.0,1021.41,,,0
HCPCS,77290,Hc Radiation Therapy Simulation Complex 76,2619.0,1021.41,,,0
HCPCS,77290,Set radiation therapy field,,,380.31,2082.95,13
HCPCS,77293,Hc Respiratory Motion Mgmt Sim,5684.0,2216.76,,,0
HCPCS,77293,Respirator motion mgmt simul,,,839.93,1497.9,4
HCPCS,77295,3-d radiotherapy plan,,,623.45,5277.6,13
HCPCS,77295,Hc Radiation Therapy Simulation 3 Dimensional,11981.0,4672.59,,,0
HCPCS,77299,Radiation therapy planning,,,136.52,512.49,11
HCPCS,77300,Hc Basic Radiation Dosimetry Calculation,1018.0,397.02,,,0
HCPCS,77300,Hc Basic Radiation Dosimetry Calculation 59,1018.0,397.02,,,0
HCPCS,77300,Radiation therapy dose plan,,,79.27,512.49,13
HCPCS,77301,Hc Intensity Modulated Radiotherapy Plan,13046.0,5087.94,,,0
HCPCS,77301,Radiotherapy dose plan imrt,,,1405.88,7304.1,13
HCPCS,77305,Radiation therapy dose plan,,,110.62,110.62,1
HCPCS,77306,Hc Teletherapy Isodose Plan Smpl,3509.0,1368.51,,,0
HCPCS,77306,Telethx isodose plan simple,,,178.14,1427.68,13
HCPCS,77307,Hc Teletherapy Isodose Plan Complex,3915.0,1526.85,,,0
HCPCS,77307,Telethx isodose plan cplx,,,321.94,1427.68,13
HCPCS,77310,Radiation therapy dose plan,,,149.59,149.59,1
HCPCS,77315,Radiation therapy dose plan,,,260.3,260.3,1
HCPCS,77316,Brachytx isodose plan simple,,,268.84,1427.68,13
HCPCS,77316,Hc Brachytherapy Isodose Plan Simple,3397.0,1324.83,,,0
HCPCS,77316,Hc Brachytx Isodose Plan Sim 76,3397.0,1324.83,,,0
HCPCS,77317,Brachytx isodose intermed,,,349.73,1427.68,13
HCPCS,77317,Hc Brachytx Isodose Pln Intermed W/Dosimetry Cal,2126.0,829.14,,,0
HCPCS,77318,Brachytx isodose complex,,,380.31,1427.68,13
HCPCS,77318,Hc Brachytherapy Isodose Plan Complx,4833.0,1884.87,,,0
HCPCS,77318,Hc Brachytx Isodose Plan Complex 76,4833.0,1884.87,,,0
HCPCS,77321,Hc Special Teletherapy Port Plan Total Body,1787.0,696.93,,,0
HCPCS,77321,Special teletx port plan,,,101.32,1427.68,13
HCPCS,77326,Radiation therapy dose plan,,,459.68,459.68,1
HCPCS,77327,Radiation therapy dose plan,,,618.7,618.7,1
HCPCS,77328,Radiation therapy dose plan,,,774.5,774.5,1
HCPCS,77331,Hc Microdosimetry,906.0,353.34,,,0
HCPCS,77331,Special radiation dosimetry,,,44.14,512.49,13
HCPCS,77332,Hc Treatment Device Simple,1028.0,400.92,,,0
HCPCS,77332,Radiation treatment aid(s),,,101.32,512.49,13
HCPCS,77333,Hc Treatment Device Intermediate,1060.0,413.4,,,0
HCPCS,77333,Radiation treatment aid(s),,,33.78,512.49,13
HCPCS,77334,Hc Treatment Device Complex,1991.0,776.49,,,0
HCPCS,77334,Hc Treatment Device Complex 76,1991.0,776.49,,,0
HCPCS,77334,Hc Treatment Devices Complex Blocks,1991.0,776.49,,,0
HCPCS,77334,Hc Treatment Devices Complex Blocks 76,1991.0,776.49,,,0
HCPCS,77334,Radiation treatment aid(s),,,165.05,1427.68,13
HCPCS,77336,Hc Continuing Medical Physics Consult,1256.0,489.84,,,0
HCPCS,77336,Radiation physics consult,,,136.52,512.49,11
HCPCS,77338,Design mlc device for imrt,,,380.31,1427.68,13
HCPCS,77338,Hc Radiation Therapy Mlc Device Design Imrt,11948.0,4659.72,,,0
HCPCS,77370,Hc Special Medical Radiation Physics Consult,1225.0,477.75,,,0
HCPCS,77370,Radiation physics consult,,,136.52,512.49,11
HCPCS,77371,Hc Radiation Delivery Stereotactic Cranial Cobalt,91303.5,35608.365,,,0
HCPCS,77371,Srs multisource,,,2827.0,28083.39,13
HCPCS,77372,Hc Srs-Complete Stereo Guided Cranial Only,46927.0,18301.53,,,0
HCPCS,77372,Hc Tb Srs-Complete Stero Guided Cranial Only,46927.0,18301.53,,,0
HCPCS,77372,Srs linear based,,,2488.03,28083.39,13
HCPCS,77373,Hc Sbrt 1St Fx/Trmt,37408.0,14589.12,,,0
HCPCS,77373,Hc Stereotactic Body Radiation Delivery 1 Or More Lesions,37408.0,14589.12,,,0
HCPCS,77373,Hc Tb Sbrt 1St Fx/Trmt,37408.0,14589.12,,,0
HCPCS,77373,Hc Tb Stereotactic Body Radiation Delivery 1 Or More Lesions,37408.0,14589.12,,,0
HCPCS,77373,SBRT Delivery,,,1816.15,6817.73,13
HCPCS,77385,Hc Intensity Modulated Rad Tx (Imrt) Simple,7368.0,2873.52,,,0
HCPCS,77385,Ntsty modul rad tx dlvr smpl,,,1072.38,1072.38,2
HCPCS,77386,Hc Intensity Modulated Rad Tx (Imrt) Complex,7866.0,3067.74,,,0
HCPCS,77386,Ntsty modul rad tx dlvr cplx,,,1072.38,1072.38,2
HCPCS,77387,Guidance for radiaj tx dlvr,,,89.89,173.38,4
HCPCS,77387,Hc Guidance For Loclzj Target Vol For Radj Tx Dlvr,2696.0,1051.44,,,0
HCPCS,77399,External radiation dosimetry,,,136.52,512.49,11
HCPCS,77401,Hc Radiation Tmt Delivery Special,659.0,257.01,,,0
HCPCS,77401,Radiation treatment delivery,,,57.2,95.0,4
HCPCS,77402,Hc Radiation Treatment Delivery 1 Mev Or More Simple,715.0,278.85,,,0
HCPCS,77402,Radiation treatment delivery,,,103.63,710.89,13
HCPCS,77403,Radiation treatment delivery,,,586.14,586.14,1
HCPCS,77404,Radiation treatment delivery,,,651.66,651.66,1
HCPCS,77406,Radiation treatment delivery,,,651.66,651.66,1
HCPCS,77407,Hc Radiation Tmt Delivery 1 Mev Or Over Intermediate,971.0,378.69,,,0
HCPCS,77407,Radiation treatment delivery,,,247.91,1470.63,13
HCPCS,77408,Radiation treatment delivery,,,807.55,807.55,1
HCPCS,77409,Radiation treatment delivery,,,899.53,899.53,1
HCPCS,77411,Radiation treatment delivery,,,904.23,904.23,1
HCPCS,77412,Hc Radiation Tmt Delivery 1 Mev Or Over Complex,1672.0,652.08,,,0
HCPCS,77412,Radiation treatment delivery,,,443.38,2106.81,13
HCPCS,77413,Radiation treatment delivery,,,1060.12,1060.12,1
HCPCS,77414,Radiation treatment delivery,,,1192.68,1192.68,1
HCPCS,77416,Radiation treatment delivery,,,1191.11,1191.11,1
HCPCS,77417,Hc Therapeutic Radiology Port Films,961.0,374.79,,,0
HCPCS,77417,Radiology port images(s),,,50.68,65.38,2
HCPCS,77418,Intensity modulated treatment deliver,,,1858.46,1858.46,1
HCPCS,77421,Stereoscopic x-ray guidan,,,254.07,254.07,1
HCPCS,77422,Neutron beam tx simple,,,148.71,1295.59,3
HCPCS,77423,Neutron beam tx complex,,,223.05,2106.81,13
HCPCS,77424,Hc Io Radiation Tx Delivery By Xray Sngl Tx,30480.0,11887.2,,,0
HCPCS,77424,Io rad tx delivery by x-ray,,,7481.03,28083.39,12
HCPCS,77425,Hc Io Radiation Tx Delivery By Electrons,23929.0,9332.31,,,0
HCPCS,77425,Io rad tx deliver by elctrns,,,7481.03,28083.39,11
HCPCS,77436,Surf radj ther tx planning,,,37.94,142.42,9
HCPCS,77470,Hc Radiation Thy Special Treatment Procedure,3887.0,1515.93,,,0
HCPCS,77470,Special radiation treatment,,,89.89,2106.81,13
HCPCS,77520,Proton trmt simple w/o comp,,,561.22,2106.81,11
HCPCS,77522,Proton trmt simple w/comp,,,1269.38,4765.18,11
HCPCS,77523,Proton trmt intermediate,,,1269.38,4765.18,11
HCPCS,77525,Proton treatment complex,,,1269.38,4765.18,11
HCPCS,77600,Hyperthermia treatment,,,391.76,1624.37,13
HCPCS,77605,Hyperthermia treatment,,,707.42,4806.67,13
HCPCS,77610,Hyperthermia treatment,,,561.22,4664.77,13
HCPCS,77615,Hyperthermia treatment,,,561.22,4195.07,13
HCPCS,77620,Hyperthermia treatment,,,561.22,2346.17,13
HCPCS,77750,Hc Instill/Infuse Radioactive Materials,3182.0,1240.98,,,0
HCPCS,77750,Infuse radioactive materials,,,263.13,1470.63,13
HCPCS,77761,Apply intrcav radiat simple,,,448.61,2106.81,13
HCPCS,77761,Hc Intracavitary Radiation Source Applic Simple,3432.0,1338.48,,,0
HCPCS,77762,Apply intrcav radiat interm,,,518.88,2106.81,13
HCPCS,77762,Hc Intracavitary Radiation Source Applic Intermed,3432.0,1338.48,,,0
HCPCS,77763,Apply intrcav radiat compl,,,665.98,2655.61,13
HCPCS,77763,Hc Intracavitary Radiation Source Applic Complex,4655.0,1815.45,,,0
HCPCS,77767,Hc Hdr Rdncl Skn Surf Brachytx 2Cm Or Less Or 1 Channel,3962.0,1545.18,,,0
HCPCS,77767,Hdr rdncl skn surf brachytx,,,391.76,1470.63,13
HCPCS,77768,Hc Hdr Rdncl Brachytx Lesion 2 Or Over Channels/Lesions Over 2 Cm,5806.0,2264.34,,,0
HCPCS,77768,Hdr rdncl skn surf brachytx,,,391.76,1470.63,13
HCPCS,77770,Hc Hdr Brachytx Interstital/Intracavitary 1 Channel,9697.0,3781.83,,,0
HCPCS,77770,Hc Hdr Brachytx Interstital/Intracavitary 1 Channel 76,9697.0,3781.83,,,0
HCPCS,77770,Hdr rdncl ntrstl/icav brchtx,,,509.88,2655.61,13
HCPCS,77771,Hc Hdr Brachytx Interstital/Intracavitary 2-12 Channels,10375.0,4046.25,,,0
HCPCS,77771,Hc Hdr Brachytx Interstital/Intracavitary 2-12 Channels 76,10375.0,4046.25,,,0
HCPCS,77771,Hdr rdncl ntrstl/icav brchtx,,,707.42,2655.61,13
HCPCS,77772,Hc Hdr Rdncl Brachytx Interstital/Intracav Over 12 Chnls,10730.0,4184.7,,,0
HCPCS,77772,Hc Hdr Rdncl Brachytx Interstital/Intracav Over 12 Chnls 76,10730.0,4184.7,,,0
HCPCS,77772,Hdr rdncl ntrstl/icav brchtx,,,707.42,2900.71,13
HCPCS,77776,Radioelement application,,,889.78,889.78,1
HCPCS,77777,Radioelement application,,,952.17,952.17,1
HCPCS,77778,Apply interstit radiat compl,,,707.42,2655.61,13
HCPCS,77778,Hc Interstitial Radiation Source App Complex,7451.0,2905.89,,,0
HCPCS,77778,Radiation Source Application,8536.0,3329.04,,,0
HCPCS,77785,"Hdr brachytx, 1 channel",,,826.06,826.06,1
HCPCS,77786,"Hdr brachytx, 2-12 channel",,,1814.4,1814.4,1
HCPCS,77787,Hdr brachytx over 12 chan,,,3265.66,3265.66,1
HCPCS,77789,Apply surf ldr radionuclide,,,103.63,389.03,13
HCPCS,77789,Hc Radiation Source Surface Application,645.0,251.55,,,0
HCPCS,77790,Hc Handling/Loading Radioelement,851.0,331.89,,,0
HCPCS,77790,Radiation handling,,,153.41,197.9,2
HCPCS,77799,Hc Radium Radioisotope Therapy Clinical Brchtx,4787.0,1866.93,,,0
HCPCS,77799,Radium/radioisotope therapy,,,103.63,389.03,11
HCPCS,78012,Hc Nm Thyroid Uptake Measurement Single/Multiple Quantitative,835.5,325.845,,,0
HCPCS,78012,Thyroid uptake measurement,,,169.97,1524.3,13
HCPCS,78013,Hc Nm Thyroid Imaging W/Blood Flow,820.5,319.995,,,0
HCPCS,78013,Thyroid imaging w/blood flow,,,406.05,1524.3,13
HCPCS,78014,Hc Nm Thyroid Uptake Measurement W/Blood Flow Single/Multiple,1010.5,394.095,,,0
HCPCS,78014,Thyroid imaging w/blood flow,,,406.05,1524.3,13
HCPCS,78015,Hc Nm Thyroid Carcinoma Mets Imaging Limited,1277.0,498.03,,,0
HCPCS,78015,Thyroid met imaging,,,406.05,1524.3,13
HCPCS,78016,Hc Nm Thyroid Metastatic Scan W Additional Study,1557.0,607.23,,,0
HCPCS,78016,Thyroid met imaging/studies,,,406.05,1524.3,13
HCPCS,78018,Hc Nm Thyroid Carcinoma Mets Imaging Whole Body,2626.0,1024.14,,,0
HCPCS,78018,Thyroid met imaging body,,,551.5,2070.31,13
HCPCS,78020,Hc Nm Thyroid Carcinoma Metastases Uptake Add On,815.0,317.85,,,0
HCPCS,78020,Thyroid met uptake,,,205.38,264.94,2
HCPCS,78070,Hc Nm Parathyroid Imaging,1155.0,450.45,,,0
HCPCS,78070,Parathyroid planar imaging,,,406.05,1524.3,13
HCPCS,78071,Hc Nm Parathyroid Imaging W/Wo Subtraction Spect,1505.5,587.145,,,0
HCPCS,78071,Parathyrd planar w/wo subtrj,,,406.05,1524.3,13
HCPCS,78072,Hc Nm Parathyroid Imaging W/Wo Subtraction Spect And Ct,1597.0,622.83,,,0
HCPCS,78072,Parathyrd planar w/spect&ct,,,523.22,2070.31,13
HCPCS,78075,Adrenal cortex & medulla img,,,975.59,4936.41,13
HCPCS,78075,Hc Nm Adrenal Scan Mibg,1821.0,710.19,,,0
HCPCS,78099,Endocrine nuclear procedure,,,406.05,1524.3,11
HCPCS,78099,Hc Nm Unlisted Endocrine Procedure Dx,889.0,346.71,,,0
HCPCS,78102,Bone marrow imaging ltd,,,344.83,1524.3,13
HCPCS,78102,Hc Nm Bone Marrow Imaging Limited Area,1517.0,591.63,,,0
HCPCS,78103,Bone marrow imaging mult,,,406.05,1524.3,13
HCPCS,78103,Hc Nm Bone Marrow Imaging Multiple Areas,1566.0,610.74,,,0
HCPCS,78104,Bone marrow imaging body,,,406.05,1524.3,13
HCPCS,78104,Hc Nm Bone Marrow Whole Body,1646.0,641.94,,,0
HCPCS,78110,Hc Nm Plasma Volume Single,4814.0,1877.46,,,0
HCPCS,78110,Plasma volume single,,,215.73,4936.41,13
HCPCS,78111,Hc Nm Plasma Volume Multiple,4814.0,1877.46,,,0
HCPCS,78111,Plasma volume multiple,,,201.84,4936.41,13
HCPCS,78120,Hc Nm Red Cell Mass Single,1399.0,545.61,,,0
HCPCS,78120,Red cell mass single,,,196.94,1524.3,13
HCPCS,78121,Hc Nm Red Cell Mass Multiple,1687.0,657.93,,,0
HCPCS,78121,Red cell mass multiple,,,211.64,2070.31,13
HCPCS,78122,Blood volume,,,180.6,2070.31,13
HCPCS,78130,Hc Nm Red Cell Survival Study,1399.0,545.61,,,0
HCPCS,78130,Red cell survival study,,,329.31,1524.3,13
HCPCS,78135,Red cell survival kinetics,,,767.23,1541.74,3
HCPCS,78140,Hc Nm Labeled Rbc Sequestration Differntl Organ/Tissue,2712.0,1057.68,,,0
HCPCS,78140,Red cell sequestration,,,259.03,1524.3,13
HCPCS,78185,Hc Nm Spleen Scan Only W/Wo Vascular Flow,1411.0,550.29,,,0
HCPCS,78185,Spleen Imaging,1984.0,773.76,,,0
HCPCS,78185,Spleen imaging,,,406.05,1524.3,13
HCPCS,78190,Platelet survival kinetics,,,813.81,1688.3,3
HCPCS,78191,Hc Nm Platelet Survival Study,1399.0,545.61,,,0
HCPCS,78191,Platelet survival,,,329.31,1524.3,13
HCPCS,78195,Hc Nm Lymphatic Imaging,2361.0,920.79,,,0
HCPCS,78195,Lymph system imaging,,,551.5,2070.31,13
HCPCS,78199,Blood/lymph nuclear exam,,,406.05,1524.3,11
HCPCS,78201,Hc Nm Liver Static,1164.0,453.96,,,0
HCPCS,78201,Liver imaging,,,402.01,2070.31,13
HCPCS,78202,Hc Nm Liver Imaging W/Vascular Flow,2319.0,904.41,,,0
HCPCS,78202,Liver imaging with flow,,,423.25,2070.31,13
HCPCS,78205,Liver imaging (3D),,,425.71,850.99,3
HCPCS,78206,Liver image (3d) with flow,,,709.23,1396.72,3
HCPCS,78215,Hc Nm Liver/Spleen Imaging Static Only,1043.5,406.965,,,0
HCPCS,78215,Liver and spleen imaging,,,406.05,1524.3,13
HCPCS,78216,Hc Nm Liver/Spleen Imaging W/Vascular Flow,1157.5,451.425,,,0
HCPCS,78216,Liver & spleen image/flow,,,238.61,1524.3,13
HCPCS,78226,Hc Nm Hepatobiliary System Imaging,1608.0,627.12,,,0
HCPCS,78226,Hepatobiliary system imaging,,,406.05,1616.55,13
HCPCS,78227,Hc Nm Hepatobiliary System Imaging W/Drug,1608.0,627.12,,,0
HCPCS,78227,Hepatobil syst image w/drug,,,551.5,2213.61,13
HCPCS,78230,Hc Nm Salivary Gland Imaging,1500.0,585.0,,,0
HCPCS,78230,Salivary gland imaging,,,364.43,1524.3,13
HCPCS,78231,Hc Nm Salivary Gland Serial Images,1500.0,585.0,,,0
HCPCS,78231,Serial salivary imaging,,,246.78,1524.3,13
HCPCS,78232,Hc Nm Salivary Gland Function Study,1844.0,719.16,,,0
HCPCS,78232,Salivary gland function exam,,,192.85,1524.3,13
HCPCS,78258,Esophageal motility study,,,406.05,1524.3,13
HCPCS,78258,Hc Nm Esophagus Motility,1328.0,517.92,,,0
HCPCS,78261,Gastric mucosa imaging,,,406.05,1524.3,13
HCPCS,78261,Hc Nm Gastric Mucosa Imaging,1275.0,497.25,,,0
HCPCS,78262,Gastroesophageal reflux exam,,,406.05,1524.3,13
HCPCS,78262,Hc Nm Gastroesophageal Reflux Study,1161.0,452.79,,,0
HCPCS,78264,Gastric emptying imag study,,,406.05,1524.3,13
HCPCS,78264,Hc Nm Gastric Emptying Study,1485.0,579.15,,,0
HCPCS,78265,Gastric emptying imag study,,,406.05,1662.6,13
HCPCS,78265,Hc Nm Gastric Emptying Imag Study,2538.0,989.82,,,0
HCPCS,78266,Gastric emptying imag study,,,551.5,2070.31,13
HCPCS,78267,Breath tst attain/anal c-14,,,11.06,49.9,13
HCPCS,78267,Hc Nm Breath Test Acquire Analyze C-14,659.0,257.01,,,0
HCPCS,78268,Breath test analysis c-14,,,94.41,424.1,13
HCPCS,78270,Vit B-12 absorption exam,,,217.37,358.49,3
HCPCS,78271,Vit b-12 absrp exam int fac,,,190.41,394.39,3
HCPCS,78272,Vit b-12 absorp combined,,,202.66,383.23,3
HCPCS,78278,Acute GI blood loss imaging,,,406.05,1524.3,13
HCPCS,78278,Hc Nm Gastrointestinal Blood Loss,2206.0,860.34,,,0
HCPCS,78282,GI protein loss exam,,,132.45,1524.3,13
HCPCS,78290,Hc Nm Intestine/Meckels Imaging,1911.0,745.29,,,0
HCPCS,78290,Meckels divert exam,,,406.05,1524.3,13
HCPCS,78291,Hc Nm Shunt Eval Peritoneal-Venous,1489.0,580.71,,,0
HCPCS,78291,Leveen/shunt patency exam,,,406.05,1524.3,13
HCPCS,78299,GI nuclear procedure,,,406.05,1524.3,11
HCPCS,78300,Bone imaging limited area,,,360.34,1524.3,13
HCPCS,78300,Hc Nm Bone/Joint Imaging Limited,1163.5,453.765,,,0
HCPCS,78305,Bone imaging multiple areas,,,406.05,1524.3,13
HCPCS,78305,Hc Nm Bone/Joint Imaging Multiple Areas,1391.0,542.49,,,0
HCPCS,78306,Bone imaging whole body,,,406.05,1524.3,13
HCPCS,78306,Hc Nm Bone/Joint Imaging Whole Body,1619.0,631.41,,,0
HCPCS,78315,Bone imaging 3 phase,,,406.05,1524.3,13
HCPCS,78315,Hc Nm Bone/Joint Imaging 3 Phase,1634.0,637.26,,,0
HCPCS,78320,Bone imaging (3D),,,427.35,846.34,3
HCPCS,78350,Bone mineral single photon,,,50.67,104.35,4
HCPCS,78350,Hc Nm Bone Density Single Site 1 Photon Absorptiometry,801.0,312.39,,,0
HCPCS,78351,Bone mineral dual photon,,,24.51,46.23,4
HCPCS,78399,Musculoskeletal nuclear exam,,,406.05,1524.3,11
HCPCS,78414,Non-imaging heart function,,,120.19,2070.31,13
HCPCS,78428,Cardiac shunt imaging,,,344.83,1524.3,13
HCPCS,78428,Hc Nm Cardiac Shunt Imaging Detection,1785.0,696.15,,,0
HCPCS,78429,Hc Pet Ct Myocardial Metab Eval Single Study,5476.0,2135.64,,,0
HCPCS,78429,Myocrd img pet 1 std w/ct,,,1452.42,5452.3,9
HCPCS,78430,Myocrd img pet rst/strs w/ct,,,1452.42,5452.3,9
HCPCS,78433,Hc Pet Ct Myocardial Perfusion Metab 2 Tracers,6521.0,2543.19,,,0
HCPCS,78445,Hc Nm Non-Cardiac Vascular Flow Imaging,985.0,384.15,,,0
HCPCS,78445,Vascular flow imaging,,,377.5,1524.3,13
HCPCS,78451,Hc Nm Heart Spect Single Study At Rest Or Stress,6675.0,2603.25,,,0
HCPCS,78451,Ht muscle image spect sing,,,654.49,4936.41,13
HCPCS,78452,Hc Nm Heart Spect Multiple Studies,7595.0,2962.05,,,0
HCPCS,78452,Ht muscle image spect mult,,,942.91,4936.41,13
HCPCS,78453,Ht muscle image planar sing,,,609.55,4936.41,13
HCPCS,78454,Hc Nm Ht Muscle Planar Multiple,9136.0,3563.04,,,0
HCPCS,78454,Ht musc image planar mult,,,887.36,4936.41,13
HCPCS,78456,Acute venous thrombus image,,,649.58,4936.41,13
HCPCS,78456,Hc Nm Acute Venous Thrombosis Imaging Peptide,1263.0,492.57,,,0
HCPCS,78457,Hc Nm Venous Thrombosis Venogram Unilateral,951.0,370.89,,,0
HCPCS,78457,Venous thrombosis imaging,,,332.57,2070.31,13
HCPCS,78458,Hc Nm Venous Thrombosis Imaging Venogram Bilateral,1175.0,458.25,,,0
HCPCS,78458,Ven thrombosis images bilat,,,383.22,1524.3,13
HCPCS,78459,Hc Pet Myocardial Imaging Metabolic Eval Single Study,6308.0,2460.12,,,0
HCPCS,78459,Heart muscle imaging (PET),,,802.1,4936.41,13
HCPCS,78466,Heart infarct image,,,384.86,1524.3,13
HCPCS,78468,Hc Nm Myocardial Infarction Avid Plnr W Ejec Fraction,1833.0,714.87,,,0
HCPCS,78468,Heart infarct image (ef),,,372.6,2070.31,13
HCPCS,78469,Hc Nm Myocard Infarct Avid Plnr Tomo Spect W/Wo Quant,2139.0,834.21,,,0
HCPCS,78469,Heart infarct image (3D),,,437.14,2070.31,13
HCPCS,78472,Gated heart planar single,,,406.05,1524.3,13
HCPCS,78472,Hc Nm Cardiac Gated Wall Motion Single Study,2580.0,1006.2,,,0
HCPCS,78473,Gated heart multiple,,,406.05,1524.3,13
HCPCS,78473,Hc Nm Gated Heart Multi Wall Motion Plus Ejection Fraction Rest And Stress,2969.0,1157.91,,,0
HCPCS,78481,Hc Nm Cardiac Blood Pool Planar 1 Stdy Wal Motn Eject Fract,1654.0,645.06,,,0
HCPCS,78481,Heart first pass single,,,304.78,2070.31,13
HCPCS,78483,Heart first pass multiple,,,410.99,2070.31,13
HCPCS,78491,Hc Pet Myocardial Single,3756.0,1464.84,,,0
HCPCS,78491,Heart image (pet) single,,,871.6,5452.3,13
HCPCS,78492,Hc Pet Myocardial Multiple,4177.0,1629.03,,,0
HCPCS,78492,Heart image (pet) multiple,,,1094.82,5452.3,13
HCPCS,78494,Hc Nm Cardiac Blood Pool Gated Spect Rest Wal Motn Ejct Frct,1275.0,497.25,,,0
HCPCS,78494,Heart image spect,,,399.56,1524.3,13
HCPCS,78496,Hc Nm Cardiac Blood Pool Gated Single Study At Rest Add On??,452.0,176.28,,,0
HCPCS,78496,Heart first pass add-on,,,77.28,99.69,2
HCPCS,78499,Cardiovascular nuclear exam,,,406.05,1524.3,11
HCPCS,78579,Hc Nm Lung Ventilation Imaging,3420.0,1333.8,,,0
HCPCS,78579,Lung ventilation imaging,,,388.93,1524.3,13
HCPCS,78580,Hc Nm Lung Perfusion Imaging,1668.0,650.52,,,0
HCPCS,78580,Lung perfusion imaging,,,406.05,1524.3,13
HCPCS,78582,Hc Nm Lung Vent And Perfusion Imaging,3854.0,1503.06,,,0
HCPCS,78582,Lung ventilat&perfus imaging,,,551.5,2070.31,13
HCPCS,78597,Hc Nm Lung Perfusion Q Diff W/Wo Imaging,3854.0,1503.06,,,0
HCPCS,78597,Lung perfusion differential,,,399.55,1524.3,13
HCPCS,78598,Hc Nm Quant Diff Pulm Perfusion And Ventilation W Or Wo Imagin,1642.0,640.38,,,0
HCPCS,78598,Lung perf&ventilat diferentl,,,551.5,2070.31,13
HCPCS,78599,Hc Nm Unlisted Respiratory Procedure Dx,1399.0,545.61,,,0
HCPCS,78599,Respiratory nuclear exam,,,406.05,1524.3,11
HCPCS,78600,Brain image < 4 views,,,390.58,1524.3,13
HCPCS,78600,Hc Nm Brain Imaging Under 4 Static Views,672.0,262.08,,,0
HCPCS,78601,Brain image w/flow < 4 views,,,406.05,1524.3,13
HCPCS,78601,Hc Nm Brain Imaging Under 4 Static Views W/Vascular Flow,1833.0,714.87,,,0
HCPCS,78605,Brain image 4+ views,,,416.72,2070.31,13
HCPCS,78605,Hc Nm Brain Imaging 4 Plus Vws Static,2721.0,1061.19,,,0
HCPCS,78606,Brain image w/flow 4 + views,,,551.5,2070.31,13
HCPCS,78606,Hc Nm Brain Imaging Min 4 Static Views W/Vascular Flow,3043.0,1186.77,,,0
HCPCS,78607,Brain imaging (3D),,,701.88,1401.42,3
HCPCS,78608,Brain imaging (PET),,,1223.19,5452.3,13
HCPCS,78608,Hc Pet Brain Metabolic Eval Initial,5351.5,2087.085,,,0
HCPCS,78608,Hc Pet Brain Metabolic Eval Subsequent,5351.5,2087.085,,,0
HCPCS,78609,Brain imaging (PET),,,3741.0,3741.0,1
HCPCS,78609,Hc Pet Brain Imaging Perfusion Evaluation,94.0,36.66,,,0
HCPCS,78610,Brain flow imaging only,,,383.22,2070.31,13
HCPCS,78610,Hc Nm Brain Vascular Flow Only,480.0,187.2,,,0
HCPCS,78630,Cerebrospinal fluid scan,,,551.5,2070.31,13
HCPCS,78630,Hc Nm Cisternography,1156.0,450.84,,,0
HCPCS,78635,CSF ventriculography,,,551.5,2070.31,13
HCPCS,78635,Hc Nm Csf Ventriculogram Wo Material,1833.0,714.87,,,0
HCPCS,78645,CSF shunt evaluation,,,551.5,2070.31,13
HCPCS,78645,Hc Nm Shunt Eval Cerebrospinal Fluid Flow,856.0,333.84,,,0
HCPCS,78647,Cerebrospinal fluid scan,,,740.27,1533.93,3
HCPCS,78650,CSF leakage imaging,,,722.3,4936.41,13
HCPCS,78650,Hc Nm Cfs Leak Detection And Localization W Inj,612.0,238.68,,,0
HCPCS,78660,Hc Nm Dacryocystogram,1206.0,470.34,,,0
HCPCS,78660,Nuclear exam of tear flow,,,367.7,1524.3,13
HCPCS,78699,Nervous system nuclear exam,,,406.05,1524.3,11
HCPCS,78700,Hc Nm Kidney Morphology Imaging,1420.0,553.8,,,0
HCPCS,78700,Kidney imaging morphol,,,357.9,1524.3,13
HCPCS,78701,Hc Nm Kidney Imaging With Flow,1937.0,755.43,,,0
HCPCS,78701,Kidney imaging with flow,,,406.05,1524.3,13
HCPCS,78707,Hc Nm Kidney Morph Flow Fx Image Single W/O Drug,2114.0,824.46,,,0
HCPCS,78707,K flow/funct image w/o drug,,,446.95,2070.31,13
HCPCS,78708,Hc Nm Kidney Morph Flow Fx Image Single With Drug,2232.0,870.48,,,0
HCPCS,78708,K flow/funct image w/drug,,,281.11,2070.31,13
HCPCS,78709,K flow/funct image multiple,,,551.5,2070.31,13
HCPCS,78710,Kidney imaging (3D),,,408.55,830.76,3
HCPCS,78725,Kidney function study,,,211.64,1524.3,13
HCPCS,78730,Urinary bladder retention,,,151.16,278.99,4
HCPCS,78740,Hc Nm Cystogram Voiding/Ureteral Reflux Study W Pharm,1780.0,694.2,,,0
HCPCS,78740,Ureteral reflux study,,,406.05,1524.3,13
HCPCS,78761,Hc Nm Testicular Imaging W Vascular Flow,760.0,296.4,,,0
HCPCS,78761,Testicular imaging w/flow,,,406.05,1524.3,13
HCPCS,78799,Genitourinary nuclear exam,,,406.05,1524.3,11
HCPCS,78800,Hc Nm Tumor Imaging Or Inflam 1 Area 1 Day,2000.0,780.0,,,0
HCPCS,78800,Tumor imaging limited area,,,381.58,1524.3,13
HCPCS,78801,Hc Nm Tumor Imaging Or Inflam 2 Plus Areas/1 Day Or 1 Area/2 Plus Days,2250.0,877.5,,,0
HCPCS,78801,Tumor imaging mult areas,,,406.05,1524.3,13
HCPCS,78802,Hc Nm Tumor Imaging Or Inflam Whole Body 1 Day,2500.0,975.0,,,0
HCPCS,78802,Tumor imaging whole body,,,551.5,2070.31,13
HCPCS,78803,Hc Nm Spec Tumor Imaging Or Inflam 1 Area 1 Day,3100.0,1209.0,,,0
HCPCS,78803,Tumor imaging (3D),,,551.5,2070.31,13
HCPCS,78804,Hc Nm Tumor Imaging Inflam Whole Body 2 Plus Days,3000.0,1170.0,,,0
HCPCS,78804,Tumor imaging whole body,,,551.5,2456.75,13
HCPCS,78805,Abscess imaging ltd area,,,353.81,701.32,3
HCPCS,78806,Abscess imaging whole body,,,699.42,1379.56,3
HCPCS,78807,Nuclear localization/abscess,,,696.97,1365.52,3
HCPCS,78808,Hc Nm Iv Inj Radiopharm Drug Dx Study,721.0,281.19,,,0
HCPCS,78808,Iv inj ra drug dx study,,,406.05,1524.3,11
HCPCS,78811,Pet image ltd area,,,1313.13,4936.41,12
HCPCS,78812,Pet image skull-thigh,,,1452.42,5452.3,12
HCPCS,78813,Pet image full body,,,1452.42,5452.3,12
HCPCS,78814,Hc Pet Ct Image Limited Area Initial,5430.5,2117.895,,,0
HCPCS,78814,Hc Pet Ct Image Limited Area Subsequent,5430.5,2117.895,,,0
HCPCS,78814,Hc Pet Imaging Ct For Attenuation Limited Area,5430.5,2117.895,,,0
HCPCS,78814,Pet image w/ct lmtd,,,1452.42,5452.3,12
HCPCS,78815,Hc Pet Ct Skull Base To Midthigh,5729.5,2234.505,,,0
HCPCS,78815,Hc Pet Ct Skull Base To Midthigh Initial,5729.5,2234.505,,,0
HCPCS,78815,Hc Pet Ct Skull Base To Midthigh Subsequent,5729.5,2234.505,,,0
HCPCS,78815,Pet image w/ct skull-thigh,,,1452.42,5452.3,12
HCPCS,78816,Hc Pet Ct Whole Body,5729.5,2234.505,,,0
HCPCS,78816,Hc Pet Ct Whole Body Initial,5729.5,2234.505,,,0
HCPCS,78816,Hc Pet Ct Whole Body Subsequent,5729.5,2234.505,,,0
HCPCS,78816,Pet image w/ct full body,,,1452.42,5452.3,12
HCPCS,78830,Hc Nm Spec Ct Tumor Imag Or Inflam 1 Area 1 Day,1825.0,711.75,,,0
HCPCS,78830,Rp loclzj tum spect w/ct 1,,,1314.99,4936.41,9
HCPCS,78831,Hc Nm Spec Tumor Imag Or Inflam 2 Or More Areas 1 Day Or 1 Area 2 Or More Days,2187.5,853.125,,,0
HCPCS,78831,Rp loclzj tum spect 2 areas,,,1314.99,4936.41,9
HCPCS,78832,Hc Nm Spec Ct Tumor Imag Or Inflam 2 Or More Areas 1 Day Or 1 Area 2 Or More Days,2237.5,872.625,,,0
HCPCS,78832,Rp loclzj tum spect w/ct 2,,,1452.42,5452.3,9
HCPCS,78835,Hc Nm Radiopharm Quantification Meas 1 Area Add-On,753.0,293.67,,,0
HCPCS,78999,Hc Nm Fusion Spect Ct Unlisted,615.0,239.85,,,0
HCPCS,78999,Nuclear diagnostic exam,,,406.05,1524.3,11
HCPCS,79005,Hc Nm Radiopharmaceutical Therapy Oral Administration,1801.0,702.39,,,0
HCPCS,79005,Nuclear rx oral admin,,,114.41,889.7,13
HCPCS,79101,Hc Nm Radiopharm Therapy By Iv,2289.0,892.71,,,0
HCPCS,79101,Nuclear rx iv admin,,,111.13,889.7,13
HCPCS,79200,Hc Nm Rp Therapy Intracavitary Admin,954.0,372.06,,,0
HCPCS,79200,Nuclear rx intracav admin,,,126.67,889.7,13
HCPCS,79300,Hc Nm Rp Therapy Interstitial Radiocolloid,954.0,372.06,,,0
HCPCS,79300,Nuclr rx interstit colloid,,,125.11,889.7,13
HCPCS,79403,Hc Nm Radiopharm Therapy Radiolabeled Monoclonal Antibody Iv,2382.0,928.98,,,0
HCPCS,79403,Hematopoietic nuclear tx,,,191.22,889.7,13
HCPCS,79440,Nuclear rx intra-articular,,,117.66,889.7,13
HCPCS,79445,Hc Nm Rp Therapy Intra-Arterial Particulate Admn,1653.0,644.67,,,0
HCPCS,79445,Nuclear rx intra-arterial,,,219.12,889.7,13
HCPCS,79999,Hc Nm Rp Therapy Unlisted Procedure,1322.0,515.58,,,0
HCPCS,79999,Nuclear medicine therapy,,,237.0,889.7,11
HCPCS,80047,Hc Basic Metabolic Panel Calcium Ionized,439.0,171.21,,,0
HCPCS,80047,Hc Rt- Basic Metabolic Panel,439.0,171.21,,,0
HCPCS,80047,Metabolic panel ionized ca,,,13.73,50.39,13
HCPCS,80048,Basic Metabolic Panel,210.0,81.9,,,0
HCPCS,80048,Hc Basic Metabolic Panel Calcium Total,45.0,17.55,,,0
HCPCS,80048,Metabolic panel total ca,,,8.46,31.05,13
HCPCS,80050,General health panel,,,48.47,107.03,4
HCPCS,80050,Hc Gen Health Panel For Op Uhc And Oscar Only,528.1,205.96,,,0
HCPCS,80051,Electrolyte panel,,,7.01,25.73,13
HCPCS,80051,Hc Cv- Electrolyte Panel,360.0,140.4,,,0
HCPCS,80051,Hc Electrolyte Panel,198.5,77.415,,,0
HCPCS,80051,Hc Rt- Electrolyte Panel,360.0,140.4,,,0
HCPCS,80053,Comprehen metabolic panel,,,10.56,38.76,13
HCPCS,80053,Comprehensive Metabolic Panel,270.0,105.3,,,0
HCPCS,80053,Hc Comprehensive Metabolic Panel,90.64,35.35,,,0
HCPCS,80055,Hc Obstetric Panel,221.675,86.455,,,0
HCPCS,80055,Obstetric panel,,,47.81,175.46,13
HCPCS,80061,Hc Lipid Panel,71.45,27.87,,,0
HCPCS,80061,Lipid panel,,,13.39,62.09,13
HCPCS,80069,Hc Renal Function Panel,213.0,83.07,,,0
HCPCS,80069,Renal function panel,,,8.68,31.86,13
HCPCS,80074,Acute hepatitis panel,,,47.63,175.66,13
HCPCS,80074,Hc Acute Hepatitis Panel,650.0,253.5,,,0
HCPCS,80076,Hc Hepatic Function Panel,43.0,16.77,,,0
HCPCS,80076,Hepatic Function Panel,236.0,92.04,,,0
HCPCS,80076,Hepatic function panel,,,8.17,29.98,13
HCPCS,80081,Obstetric panel,,,74.86,274.74,13
HCPCS,80100,Drug screen,,,44.11,44.11,1
HCPCS,80101,Drug screen,,,36.97,36.97,1
HCPCS,80102,Drug confirmation,,,23.61,23.61,1
HCPCS,80103,"Drug analysis, tissue prep",,,32.07,32.07,1
HCPCS,80104,Drug scrn 1+ class nonchromo,,,46.78,46.78,1
HCPCS,80143,Drug assay acetaminophen,,,18.64,68.41,10
HCPCS,80143,Hc Drug Assay Acetaminophen,79.0,30.81,,,0
HCPCS,80145,Drug assay adalimumab,,,38.57,141.55,10
HCPCS,80145,Hc Drug Assay Adalimumab,237.35,92.565,,,0
HCPCS,80150,Assay of amikacin,,,15.08,55.34,13
HCPCS,80150,Hc Assay Of Amikacin,219.0,85.41,,,0
HCPCS,80151,Drug assay amiodarone,,,18.64,68.41,10
HCPCS,80151,Hc Drug Assay Amiodarone,79.0,30.81,,,0
HCPCS,80152,Assay of amitriptyline,,,32.07,32.07,1
HCPCS,80154,Assay of benzodiazepines,,,33.41,33.41,1
HCPCS,80155,Drug assay caffeine,,,23.16,141.55,13
HCPCS,80155,Hc Caffeine Assay,271.825,106.01,,,0
HCPCS,80156,Assay carbamazepine total,,,14.57,53.47,13
HCPCS,80156,Hc Carbamazepine Assay,195.5,76.245,,,0
HCPCS,80157,Assay carbamazepine free,,,13.25,48.63,13
HCPCS,80158,Drug assay cyclosporine,,,18.05,66.24,13
HCPCS,80158,Hc Cyclosporin Assay,209.275,81.61500000000001,,,0
HCPCS,80159,Drug assay clozapine,,,20.15,73.95,13
HCPCS,80159,Hc Drug Screen Quant Clozapine,100.825,39.32,,,0
HCPCS,80160,Assay of desipramine,,,31.18,31.18,1
HCPCS,80161,"Asy carbamazepin 10,11-epxid",,,18.64,68.41,10
HCPCS,80162,Assay of digoxin total,,,13.28,48.74,13
HCPCS,80162,Hc Digoxin Assay,195.0,76.05,,,0
HCPCS,80163,Assay of digoxin free,,,13.28,48.74,13
HCPCS,80164,Assay dipropylacetic acd tot,,,13.54,49.69,13
HCPCS,80164,Hc Valproic Acid Assay,187.35,73.065,,,0
HCPCS,80165,Dipropylacetic acid free,,,13.54,49.69,13
HCPCS,80165,Hc Drug Screen Quant Dipropylacetic Acid Free,165.85,64.67999999999999,,,0
HCPCS,80166,Assay of doxepin,,,28.07,28.07,1
HCPCS,80167,Drug assay felbamate,,,18.64,68.41,10
HCPCS,80167,Hc Drug Assay Felbamate,125.0,48.75,,,0
HCPCS,80168,Assay of ethosuximide,,,16.34,59.97,13
HCPCS,80168,Hc Ethosuximide Assay,173.2,67.55,,,0
HCPCS,80169,Drug assay everolimus,,,13.73,50.39,13
HCPCS,80169,Hc Drug Screen Quant Everolimus,290.3,113.215,,,0
HCPCS,80170,Assay of gentamicin,,,16.38,60.11,13
HCPCS,80170,Hc Assay Of Gentamicin,249.0,97.11,,,0
HCPCS,80171,Drug screen quant gabapentin,,,21.67,79.53,13
HCPCS,80171,Hc Gabapentin Assay,244.5,95.355,,,0
HCPCS,80172,Assay of gold,,,29.4,29.4,1
HCPCS,80173,Assay Of Haloperidol,,,15.78,57.91,13
HCPCS,80173,Hc Haloperidol Assay,74.0,28.86,,,0
HCPCS,80174,Assay of imipramine,,,31.18,31.18,1
HCPCS,80175,Drug screen quan lamotrigine,,,13.25,48.63,13
HCPCS,80175,Hc Lamotrigine Assay,233.59,91.10000000000001,,,0
HCPCS,80176,Assay of lidocaine,,,14.69,53.91,13
HCPCS,80176,Hc Lidocaine Assay,183.0,71.37,,,0
HCPCS,80177,Drug scrn quan levetiracetam,,,13.25,48.63,13
HCPCS,80177,Hc Levetiracetam,233.325,90.995,,,0
HCPCS,80178,Assay of lithium,,,6.61,24.26,13
HCPCS,80178,Hc Lithium Assay,106.5,41.535000000000004,,,0
HCPCS,80179,Drug assay salicylate,,,18.64,68.41,10
HCPCS,80179,Hc Drug Assay Salicylate,79.0,30.81,,,0
HCPCS,80180,Drug scrn quan mycophenolate,,,10.47,66.24,13
HCPCS,80180,Hc Drug Scrn Quan Mycophenolate,254.0,99.06,,,0
HCPCS,80181,Drug assay flecainide,,,18.64,68.41,10
HCPCS,80182,Assay of nortriptyline,,,24.5,24.5,1
HCPCS,80183,Drug scrn quant oxcarbazepin,,,13.25,48.63,13
HCPCS,80183,Hc Drug Scrn Quant Oxcarbazepin,148.0,57.72,,,0
HCPCS,80184,Assay of phenobarbital,,,15.3,56.15,13
HCPCS,80184,Hc Phenobarbital Assay,176.89,68.985,,,0
HCPCS,80185,Assay of phenytoin total,,,13.25,48.63,13
HCPCS,80185,Hc Dilantin Assay,196.0,76.44,,,0
HCPCS,80186,Assay of phenytoin free,,,13.76,50.5,13
HCPCS,80186,Hc Phenytoin Free Assay,153.5,59.865,,,0
HCPCS,80187,Drug assay posaconazole,,,27.11,99.49,10
HCPCS,80187,Hc Drug Assay Posaconazole,101.0,39.39,,,0
HCPCS,80188,Assay of primidone,,,16.59,60.89,13
HCPCS,80188,Hc Primidone Assay,188.0,73.32,,,0
HCPCS,80189,Drug assay itraconzaole,,,27.11,99.49,10
HCPCS,80189,Hc Drug Assay Itraconazole,98.0,38.22,,,0
HCPCS,80190,Assay of procainamide,,,29.35,220.2,13
HCPCS,80190,Hc Drug Screen Quantitative Procainamide,94.0,36.66,,,0
HCPCS,80192,Assay of procainamide,,,16.75,61.47,13
HCPCS,80192,Hc Procainamide And Napa Assay,295.5,115.24499999999999,,,0
HCPCS,80193,Drug assay leflunomide,,,38.57,141.55,10
HCPCS,80193,Hc Drug Assay Leflunomide,276.0,107.64,,,0
HCPCS,80194,Assay of quinidine,,,14.6,53.58,13
HCPCS,80194,Hc Quinidine Assay,183.0,71.37,,,0
HCPCS,80195,Assay of sirolimus,,,13.73,50.39,13
HCPCS,80195,Hc Rapamycin Sirolimus,182.0,70.98,,,0
HCPCS,80196,Assay of salicylate,,,12.91,12.91,1
HCPCS,80197,Assay of tacrolimus,,,13.73,50.39,13
HCPCS,80197,Hc Drug Screen Quantitative Tacrolimus,355.455,138.625,,,0
HCPCS,80198,Assay of theophylline,,,14.14,51.89,13
HCPCS,80198,Hc Theophylline Aminophylline,195.0,76.05,,,0
HCPCS,80199,Drug screen quant tiagabine,,,10.57,99.49,13
HCPCS,80200,Assay of tobramycin,,,16.13,59.2,13
HCPCS,80200,Hc Assay Of Tobramycin,229.5,89.505,,,0
HCPCS,80201,Assay of topiramate,,,11.92,43.75,13
HCPCS,80201,Hc Topiramate Topamax,151.95,59.26,,,0
HCPCS,80202,Assay of vancomycin,,,13.54,49.69,13
HCPCS,80202,Hc Assay Of Vancomycin,347.85,135.66,,,0
HCPCS,80203,Drug screen quant zonisamide,,,13.25,48.63,13
HCPCS,80203,Hc Drug Screen Quant Zonisamide,216.5,84.43499999999999,,,0
HCPCS,80204,Drug assay methotrexate,,,38.57,141.55,10
HCPCS,80204,Hc Drug Assay Methotrexate,270.0,105.3,,,0
HCPCS,80210,Drug assay rufinamide,,,27.11,99.49,10
HCPCS,80220,Drug asy hydroxychloroquine,,,18.64,68.41,10
HCPCS,80230,Drug assay infliximab,,,38.57,141.55,10
HCPCS,80230,Hc Drug Assay Infliximab,231.5,90.285,,,0
HCPCS,80235,Drug assay lacosamide,,,27.11,99.49,10
HCPCS,80235,Hc Drug Assay Lacosamide,114.0,44.46,,,0
HCPCS,80280,Drug assay vedolizumab,,,38.57,141.55,10
HCPCS,80280,Hc Drug Assay Vedolizumab,163.0,63.57,,,0
HCPCS,80285,Drug assay voriconazole,,,27.11,99.49,10
HCPCS,80285,Hc Drug Assay Voriconazole,114.0,44.46,,,0
HCPCS,80299,Gabapentin,150.0,58.5,,,0
HCPCS,80299,Hc Quantitative Assay Drug,288.42,112.48500000000001,,,0
HCPCS,80299,Quantitative assay drug,,,18.64,68.41,13
HCPCS,80305,Drug test prsmv dir opt obs,,,12.6,46.24,13
HCPCS,80305,Hc Drug Test Prsmv Dir Opt Obs,413.125,161.12,,,0
HCPCS,80306,Drug test prsmv instrmnt,,,17.14,62.9,13
HCPCS,80307,Drug test prsmv chem anlyzr,,,62.14,228.05,13
HCPCS,80307,Hc Drug Test Prsmv Chem Anlyzr,215.24,83.94,,,0
HCPCS,80320,Drug screen quantalcohols,,,28.22,28.22,1
HCPCS,80321,Alcohols biomarkers 1or 2,,,17.64,17.64,1
HCPCS,80322,Alcohols biomarkers 3/more,,,17.64,17.64,1
HCPCS,80323,Alkaloids nos,,,49.02,49.02,1
HCPCS,80324,Drug screen amphetamines 1/2,,,25.38,25.38,1
HCPCS,80325,Amphetamines 3or 4,,,25.38,25.38,1
HCPCS,80326,Amphetamines 5 or more,,,25.38,25.38,1
HCPCS,80327,Anabolic steroid 1 or 2,,,42.16,42.16,1
HCPCS,80328,Anabolic steroid 3 or more,,,42.16,42.16,1
HCPCS,80329,Analgesics non-opioid 1 or 2,,,33.05,33.05,1
HCPCS,80330,Analgesics non-opioid 3-5,,,33.05,33.05,1
HCPCS,80331,Analgesics non-opioid 6/more,,,33.05,33.05,1
HCPCS,80332,Antidepressants class 1 or 2,,,29.32,29.32,1
HCPCS,80333,Antidepressants class 3-5,,,17.71,17.71,1
HCPCS,80334,Antidepressants class 6/more,,,11.66,11.66,1
HCPCS,80335,Antidepressant tricyclic 1/2,,,29.23,29.23,1
HCPCS,80336,Antidepressant tricyclic 3-5,,,29.23,29.23,1
HCPCS,80337,Tricyclic & cyclicals 6/more,,,29.23,29.23,1
HCPCS,80338,Antidepressant not specified,,,15.12,15.12,1
HCPCS,80339,Antiepileptics nos 1-3,,,24.19,24.19,1
HCPCS,80340,Antiepileptics nos 4-6,,,24.19,24.19,1
HCPCS,80341,Antiepileptics nos 7/more,,,24.19,24.19,1
HCPCS,80342,Antipsychotics nos 1-3,,,25.43,25.43,1
HCPCS,80343,Antipsychotics nos 4-6,,,25.43,25.43,1
HCPCS,80344,Antipsychotics nos 7/more,,,25.43,25.43,1
HCPCS,80345,Drug screening barbiturates,,,18.7,18.7,1
HCPCS,80346,Benzodiazepines1-12,,,32.33,32.33,1
HCPCS,80347,Benzodiazepines 13 or more,,,32.33,32.33,1
HCPCS,80348,Drug screening buprenorphine,,,19.44,19.44,1
HCPCS,80349,Cannabinoids natural,,,29.32,29.32,1
HCPCS,80350,Cannabinoids synthetic 1-3,,,29.32,29.32,1
HCPCS,80351,Cannabinoids synthetic 4-6,,,19.87,19.87,1
HCPCS,80352,Cannabinoid synthetic 7/more,,,19.44,19.44,1
HCPCS,80353,Drug screening cocaine,,,24.74,24.74,1
HCPCS,80354,Drug screening fentanyl,,,29.32,29.32,1
HCPCS,80355,Gabapentin non-blood,,,21.56,21.56,1
HCPCS,80356,Heroin metabolite,,,31.91,31.91,1
HCPCS,80357,Ketamine and norketamine,,,25.87,25.87,1
HCPCS,80358,Drug screening methadone,,,26.66,26.66,1
HCPCS,80359,Methylenedioxyamphetamines,,,25.44,25.44,1
HCPCS,80360,Methylphenidate,,,25.87,25.87,1
HCPCS,80361,Opiates 1 or more,,,41.98,41.98,1
HCPCS,80362,Opioids & opiate analogs 1/2,,,35.78,35.78,1
HCPCS,80363,Opioids & opiate analogs 3/4,,,25.49,25.49,1
HCPCS,80364,Opioid &opiate analog 5/more,,,19.01,19.01,1
HCPCS,80365,Drug screening oxycodone,,,31.91,31.91,1
HCPCS,80366,Drug screening pregabalin,,,25.87,25.87,1
HCPCS,80367,Drug screening propoxyphene,,,29.32,29.32,1
HCPCS,80368,Sedative hypnotics,,,28.03,28.03,1
HCPCS,80369,Skeletal muscle relaxant 1/2,,,28.78,28.78,1
HCPCS,80370,Skel musc relaxant 3 or more,,,28.78,28.78,1
HCPCS,80371,Stimulants synthetic,,,29.32,29.32,1
HCPCS,80372,Drug screening tapentadol,,,25.87,25.87,1
HCPCS,80373,Drug screening tramadol,,,25.87,25.87,1
HCPCS,80374,Stereoisomer analysis,,,25.44,25.44,1
HCPCS,80375,Drug/substance nos 1-3,,,26.59,26.59,1
HCPCS,80376,Drug/substance nos 4-6,,,29.66,29.66,1
HCPCS,80377,Drug/substance nos 7/more,,,29.66,29.66,1
HCPCS,80400,Acth stimulation panel,,,32.62,183.83,13
HCPCS,80402,Acth stimulation panel,,,86.96,319.14,13
HCPCS,80406,Acth stimulation panel,,,78.26,314.55,13
HCPCS,80408,Aldosterone suppression eval,,,125.5,460.58,13
HCPCS,80410,Calcitonin stimul panel,,,80.37,294.96,13
HCPCS,80412,CRH stimulation panel,,,439.25,2941.95,13
HCPCS,80414,Testosterone response,,,51.64,189.52,13
HCPCS,80415,Estradiol response panel,,,55.89,205.12,13
HCPCS,80416,Renin stimulation panel,,,209.32,768.2,13
HCPCS,80417,Renin stimulation panel,,,43.99,187.09,13
HCPCS,80418,Pituitary evaluation panel,,,579.48,2126.69,13
HCPCS,80420,Dexamethasone panel,,,122.06,594.1,13
HCPCS,80422,Glucagon tolerance panel,,,46.07,169.08,13
HCPCS,80424,Glucagon tolerance panel,,,50.5,185.34,13
HCPCS,80426,Gonadotropin hormone panel,,,148.41,544.66,13
HCPCS,80428,Growth hormone panel,,,66.7,254.1,13
HCPCS,80430,Growth hormone panel,,,126.96,474.64,13
HCPCS,80432,Insulin suppression panel,,,165.61,607.79,13
HCPCS,80434,Insulin tolerance panel,,,155.92,1046.06,13
HCPCS,80435,Insulin tolerance panel,,,103.0,378.01,13
HCPCS,80436,Metyrapone panel,,,91.16,334.56,13
HCPCS,80438,TRH stimulation panel,,,50.41,185.47,13
HCPCS,80439,TRH stimulation panel,,,67.21,246.66,13
HCPCS,80440,TRH stimulation panel,,,97.56,97.56,1
HCPCS,80500,Lab pathology consultation,,,23.31,30.25,3
HCPCS,80502,Lab pathology consultation,,,81.45,106.63,3
HCPCS,80503,Path clin consltj sf 5-20,,,52.93,198.7,10
HCPCS,80504,Path clin consltj mod 21-40,,,173.05,649.61,10
HCPCS,80505,Path clin consltj high 41-60,,,173.05,649.61,10
HCPCS,80506,Path clin consltj prolng svc,,,51.91,51.91,1
HCPCS,81000,Hc N-Autom Urine Dip W Micro,22.0,8.58,,,0
HCPCS,81000,Urinalysis nonauto w/scope,,,4.02,14.75,13
HCPCS,81001,Hc Urinalysis Auto W/Scope,21.8,8.5,,,0
HCPCS,81001,Urinalysis auto w/scope,,,3.17,11.63,13
HCPCS,81002,Hc Poct Urinalysis Dipstick,118.225,46.11,,,0
HCPCS,81002,Hc Urinalysis After Hours,81.5,31.785,,,0
HCPCS,81002,Urinalysis nonauto w/o scope,,,3.48,12.77,13
HCPCS,81003,Hc Poc Ua Dipstick 81003,192.0,74.88,,,0
HCPCS,81003,Hc Urinalysis Auto W/O Scope,11.82,4.61,,,0
HCPCS,81003,U/A Only,72.0,28.08,,,0
HCPCS,81003,Urinalysis auto w/o scope,,,2.25,8.26,13
HCPCS,81005,Hc Urinalysis Qual Not Ia,120.0,46.8,,,0
HCPCS,81005,Urinalysis,,,2.17,7.96,13
HCPCS,81007,Urine screen for bacteria,,,4.45,110.03,13
HCPCS,81015,Hc Urinalysis Microscopic,75.65,29.505,,,0
HCPCS,81015,Microscopic exam of urine,,,3.05,11.19,13
HCPCS,81020,Urinalysis glass test,,,4.7,17.25,13
HCPCS,81025,Hc Urine Pregnancy Test,33.0,12.87,,,0
HCPCS,81025,Urine Pregnancy Visual,201.0,78.39,,,0
HCPCS,81025,Urine pregnancy test,,,8.61,31.6,13
HCPCS,81050,Hc Timed Urine Vol Measure Ea,19.65,7.664999999999999,,,0
HCPCS,81050,Urinalysis volume measure,,,3.64,13.36,13
HCPCS,81099,Hc Unlisted Urinalysis Procedure,76.0,29.64,,,0
HCPCS,81099,Urinalysis test procedure,,,28.7,28.7,2
HCPCS,81105,Hpa-1 genotyping,,,122.22,448.55,13
HCPCS,81106,Hpa-2 genotyping,,,122.22,448.55,13
HCPCS,81107,Hpa-3 genotyping,,,122.22,448.55,13
HCPCS,81108,Hpa-4 genotyping,,,122.22,448.55,13
HCPCS,81109,Hc Hpa-5 Genotyping Gene Analysis Common Variant,637.0,248.43,,,0
HCPCS,81109,Hpa-5 genotyping,,,122.22,448.55,13
HCPCS,81110,Hpa-6 genotyping,,,122.22,448.55,13
HCPCS,81111,Hpa-9 genotyping,,,122.22,448.55,13
HCPCS,81112,Hpa-15 genotyping,,,122.22,448.55,13
HCPCS,81120,Hc Idh1 Common Variants,676.0,263.64,,,0
HCPCS,81120,Idh1 common variants,,,193.25,709.23,13
HCPCS,81121,Hc Idh2 Common Variants,1065.0,415.35,,,0
HCPCS,81121,Idh2 common variants,,,295.79,1085.55,13
HCPCS,81161,DMD dup/delet analysis,,,168.17,1023.93,12
HCPCS,81162,Brca1&2 seq & full dup/del,,,1824.88,6697.31,13
HCPCS,81162,Hc Brca1 And Brca2 Full Seq Analys/Full Dup/Del Analys,6081.84,2371.92,,,0
HCPCS,81163,Brca1&2 gene full seq alys,,,468.0,1717.56,12
HCPCS,81163,Hc Brca1 Brca2 Gene Analysis Full Sequence Analysis,1975.0,770.25,,,0
HCPCS,81164,Brca1&2 gen ful dup/del alys,,,584.23,2144.12,12
HCPCS,81164,Hc Brca1 Brca2 Gene Analysis Full Dup/Del Analysis,2464.0,960.96,,,0
HCPCS,81165,Brca1 gene full seq alys,,,282.88,1038.17,12
HCPCS,81165,Hc Brca1 Gene Analysis Full Sequence Analysis,1194.0,465.66,,,0
HCPCS,81166,Brca1 gene full dup/del alys,,,301.35,1105.95,12
HCPCS,81166,Hc Brca1 Gene Analysis Full Dup/Del Analysis,1271.0,495.69,,,0
HCPCS,81167,Brca2 gene full dup/del alys,,,282.88,1038.17,12
HCPCS,81167,Hc Brca2 Gene Analysis Full Dup/Del Analysis,1194.0,465.66,,,0
HCPCS,81168,Ccnd1/igh translocation alys,,,207.31,760.83,10
HCPCS,81168,Hc Ccnd1/Igh Translocation Alys Major Bp Qual And Quan,1314.0,512.46,,,0
HCPCS,81170,Abl1 gene,,,300.0,1101.0,13
HCPCS,81170,Hc Abl1 Gene Analysis Kinase Domain Variants,2377.1549999999997,927.0899999999999,,,0
HCPCS,81171,Aff2 gene detc abnor alleles,,,137.0,502.79,12
HCPCS,81171,Hc Aff2 Gene Analysis Eval Detect Abnormal Alleles,578.0,225.42,,,0
HCPCS,81172,Aff2 gene charac alleles,,,274.83,1008.63,12
HCPCS,81172,Hc Aff2 Gene Analysis Characterization Of Alleles,1160.0,452.4,,,0
HCPCS,81173,Ar gene full gene sequence,,,301.35,1105.95,12
HCPCS,81173,Hc Ar Gene Analysis Full Gene Sequence,1271.0,495.69,,,0
HCPCS,81174,Ar gene known famil variant,,,185.2,679.68,12
HCPCS,81174,Hc Ar Gene Analysis Known Familial Variant,781.0,304.59,,,0
HCPCS,81175,Asxl1 full gene sequence,,,676.5,2482.76,13
HCPCS,81176,Asxl1 gene target seq alys,,,241.9,887.77,13
HCPCS,81177,Atn1 gene detc abnor alleles,,,137.0,502.79,12
HCPCS,81177,Hc Atn1 Gene Analysis Eval Detect Abnormal Alleles,375.31,146.37,,,0
HCPCS,81178,Atxn1 gene detc abnor allele,,,137.0,502.79,12
HCPCS,81178,Hc Atxn1 Gene Analysis Eval Detect Abnormal Alleles,375.31,146.37,,,0
HCPCS,81179,Atxn2 gene detc abnor allele,,,137.0,502.79,12
HCPCS,81179,Hc Atxn2 Gene Analysis Eval Detect Abnormal Alleles,375.31,146.37,,,0
HCPCS,81180,Atxn3 gene detc abnor allele,,,137.0,502.79,12
HCPCS,81180,Hc Atxn3 Gene Analysis Eval Detect Abnormal Alleles,375.31,146.37,,,0
HCPCS,81181,Atxn7 gene detc abnor allele,,,137.0,502.79,12
HCPCS,81181,Hc Atxn7 Gene Analysis Eval Detect Abnormal Alleles,375.31,146.37,,,0
HCPCS,81182,Atxn8os gen detc abnor allel,,,137.0,502.79,12
HCPCS,81182,Hc Atxn8Os Gene Analysis Eval Detect Abnor Alleles,375.31,146.37,,,0
HCPCS,81183,Atxn10 gene detc abnor allel,,,137.0,502.79,12
HCPCS,81183,Hc Atxn10 Gene Analysis Eval Detc Abnormal Alleles,375.31,146.37,,,0
HCPCS,81184,Cacna1a gen detc abnor allel,,,137.0,502.79,12
HCPCS,81184,Hc Cacna1A Gene Analysis Eval Detect Abnor Alleles,375.31,146.37,,,0
HCPCS,81185,Cacna1a gene full gene seq,,,846.27,3105.81,12
HCPCS,81185,Hc Cacna1A Gene Analysis Full Gene Sequence,2984.0,1163.76,,,0
HCPCS,81186,Cacna1a gen known famil vrnt,,,185.2,679.68,12
HCPCS,81186,Hc Cacna1A Gene Analysis Known Familial Variant,781.0,304.59,,,0
HCPCS,81187,Cnbp gene detc abnor allele,,,137.0,502.79,12
HCPCS,81187,Hc Cnbp Gene Analysis Eval Detect Abnormal Alleles,1079.5,421.005,,,0
HCPCS,81188,Cstb gene detc abnor allele,,,137.0,502.79,12
HCPCS,81188,Hc Cstb Gene Analysis Eval Detect Abnormal Alleles,578.0,225.42,,,0
HCPCS,81189,Cstb gene full gene sequence,,,274.83,1008.63,12
HCPCS,81189,Hc Cstb Gene Analysis Full Gene Sequence,739.0,288.21,,,0
HCPCS,81190,Cstb gene known famil vrnt,,,185.2,679.68,12
HCPCS,81190,Hc Cstb Gene Analysis Known Familial Variants,781.0,304.59,,,0
HCPCS,81191,Ntrk1 translocation analysis,,,207.31,760.83,10
HCPCS,81192,Ntrk2 translocation analysis,,,207.31,760.83,10
HCPCS,81193,Ntrk3 translocation analysis,,,207.31,760.83,10
HCPCS,81194,Hc Ntrk Translocation Analysis,1866.0,727.74,,,0
HCPCS,81194,Ntrk translocation analysis,,,518.28,1902.09,10
HCPCS,81195,Cytog genom-wid alys hem mal,,,1863.22,6838.02,9
HCPCS,81200,Aspa gene,,,47.25,173.41,12
HCPCS,81201,Apc gene full sequence,,,571.04,2862.6,12
HCPCS,81202,Apc gene known fam variants,,,195.17,1027.6,12
HCPCS,81203,Apc gene dup/delet variants,,,200.0,734.0,12
HCPCS,81204,Ar gene charac alleles,,,137.0,502.79,12
HCPCS,81204,Hc Ar Gene Analysis Characterization Of Alleles,578.0,225.42,,,0
HCPCS,81205,Bckdhb gene,,,79.83,348.61,12
HCPCS,81206,Bcr/abl1 gene major bp,,,163.96,601.73,13
HCPCS,81206,Hc Bcr/Abl T9 22 Pcr Mjr Io,742.0,289.38,,,0
HCPCS,81206,Hc Bcr/Abl1 Major Breakpnt Qualitative/Quantitative,554.6949999999999,216.32999999999998,,,0
HCPCS,81207,Bcr/abl1 gene minor bp,,,144.84,531.56,13
HCPCS,81207,Hc Bcr/Abl T9 22 Pcr Mnr Io,3218.0,1255.02,,,0
HCPCS,81207,Hc Bcr/Abl1 Minor Breakpnt Qualitative/Quantitative,1793.27,699.375,,,0
HCPCS,81208,Bcr/abl1 gene other bp,,,214.62,787.66,13
HCPCS,81208,Hc Bcr/Abl1 Other Breakpnt Qualitative/Quantitative,1165.0,454.35,,,0
HCPCS,81209,Blm gene,,,39.31,144.27,12
HCPCS,81210,Braf gene,,,175.4,643.72,13
HCPCS,81210,Hc Braf Gene Analysis V600 Variants,1459.05,569.03,,,0
HCPCS,81211,Brca1&2 seq & com dup/del,,,1855.2,4997.74,3
HCPCS,81212,Brca1&2 185&5385&6174 var,,,212.04,1614.8,13
HCPCS,81212,Hc Brca1 And Brca2 Anal 185Delag5385Insc/6174Delt,1856.0,723.84,,,0
HCPCS,81213,Brca1&2 uncom dup/del var,,,751.71,1334.2,3
HCPCS,81214,Brca1 full seq & com dup/del,,,1855.2,3291.79,3
HCPCS,81215,Brca1 gene known fam variant,,,111.89,1377.17,13
HCPCS,81215,Hc Brca1 Gene Analysis Known Familial Variant,1582.0,616.98,,,0
HCPCS,81216,Brca2 gene full sequence,,,185.12,868.74,12
HCPCS,81216,Hc Brca2 Gene Analysis Full Sequence Analysis,781.0,304.59,,,0
HCPCS,81217,Brca2 gene known fam variant,,,111.89,1377.17,13
HCPCS,81217,Hc Brca2 Gene Analysis Known Familial Variant,1582.0,616.98,,,0
HCPCS,81218,Cebpa gene full sequence,,,241.9,887.77,13
HCPCS,81218,Hc Cepba Gene Analysis,1398.0,545.22,,,0
HCPCS,81219,Calr gene com variants,,,121.63,446.38,13
HCPCS,81219,Hc Calr Calreticulin,1405.0,547.95,,,0
HCPCS,81219,Hc Calr Gene Analysis Common Variants In Exon 9,955.9,372.8,,,0
HCPCS,81220,Cftr gene com variants,,,443.98,2042.72,12
HCPCS,81220,Hc Cftr Gene Analysis Common Variants,1315.3,512.965,,,0
HCPCS,81221,Cftr gene known fam variants,,,97.22,356.8,12
HCPCS,81222,Cftr gene dup/delet variants,,,238.09,1596.71,12
HCPCS,81223,Cftr gene full sequence,,,499.0,1831.33,12
HCPCS,81224,Cftr gene intron poly t,,,168.75,619.31,12
HCPCS,81225,Cyp2c19 gene com variants,,,291.36,1069.29,13
HCPCS,81225,Hc Cyp2C19 Gene Analysis Common Variants,744.0,290.16,,,0
HCPCS,81226,Cyp2d6 gene com variants,,,450.91,1654.84,13
HCPCS,81226,Hc Cyp2C19 Gene Analysis Common Variants,1653.0,644.67,,,0
HCPCS,81227,Cyp2c9 gene com variants,,,174.81,641.55,13
HCPCS,81227,Hc Cyp2C9 Common Variants,696.775,271.74,,,0
HCPCS,81228,Cytogen micrarray copy nmbr,,,900.0,3303.0,12
HCPCS,81228,Hc Cytog Alys Chrmoml Abnor Copy Number Vrnt Cgh,2910.05,1134.92,,,0
HCPCS,81229,Cytogen m array copy no&snp,,,1102.67,4257.2,12
HCPCS,81229,Hc Cytogen Variantchrom Anl,4000.315,1560.125,,,0
HCPCS,81230,Cyp3a4 gene common variants,,,174.81,641.55,13
HCPCS,81230,Hc Cyp3A4 Gene Analysis Common Variants,629.0,245.31,,,0
HCPCS,81231,Cyp3A5,629.0,245.31,,,0
HCPCS,81231,Cyp3a5 gene common variants,,,174.81,641.55,13
HCPCS,81231,Hc Cyp3A5 Gene Analysis Common Variants,629.0,245.31,,,0
HCPCS,81232,Dpyd gene common variants,,,174.81,641.55,13
HCPCS,81232,Hc Dpyd Gene Analysis Common Variants,821.095,320.225,,,0
HCPCS,81233,Btk gene common variants,,,175.4,643.72,12
HCPCS,81233,Hc Btk Gene Analysis Common Variants,743.0,289.77,,,0
HCPCS,81234,Dmpk gene detc abnor allele,,,137.0,502.79,12
HCPCS,81234,Hc Dmpk Gene Analysis Eval Detect Abnormal Alleles,697.65,272.085,,,0
HCPCS,81235,Egfr gene com variants,,,324.58,1191.21,13
HCPCS,81235,Hc Cms-Egfr Mutationio,7851.0,3061.89,,,0
HCPCS,81235,Hc Egfr Gene Analysis Common Variants,7851.0,3061.89,,,0
HCPCS,81235,Hc Egfr Mutationio,4615.3,1799.965,,,0
HCPCS,81236,Ezh2 gene full gene sequence,,,282.88,1038.17,12
HCPCS,81236,Hc Ezh2 Gene Analysis Full Gene Sequence,1194.0,465.66,,,0
HCPCS,81237,Ezh2 gene common variants,,,175.4,643.72,12
HCPCS,81237,Hc Ezh2 Gene Analysis Common Variants,739.0,288.21,,,0
HCPCS,81238,F9 full gene sequence,,,600.0,2202.0,13
HCPCS,81238,Hc F9 Full Gene Sequence,5433.0,2118.87,,,0
HCPCS,81239,Dmpk gene charac alleles,,,274.83,1008.63,12
HCPCS,81239,Hc Dmpk Gene Analysis Characterization Of Alleles,1160.0,452.4,,,0
HCPCS,81240,F2 gene,,,65.69,241.08,13
HCPCS,81240,Hc Prothrombin Gene Mutation Q,251.1,97.93,,,0
HCPCS,81241,F5 gene,,,73.37,269.27,13
HCPCS,81241,Hc Factor V Leiden Q,311.85,121.62,,,0
HCPCS,81242,Fancc gene,,,36.62,134.4,12
HCPCS,81242,Hc Fancc Gene Analysis Common Variant,1257.0,490.23,,,0
HCPCS,81243,Fmr1 gene detection,,,57.04,209.34,12
HCPCS,81243,Hc Fragile X E,1723.35,672.105,,,0
HCPCS,81244,Fmr1 gene characterization,,,44.89,164.75,12
HCPCS,81244,Hc Fmr1 Gene Analysis Characterization Of Alleles,191.0,74.49,,,0
HCPCS,81245,Flt3 gene,,,165.51,607.42,13
HCPCS,81245,Hc Flt3 Gene Analysis,1016.05,396.26,,,0
HCPCS,81246,Flt3 gene analysis,,,83.0,304.61,12
HCPCS,81246,Hc Flt3 Gene Analysis Tkd,685.0,267.15,,,0
HCPCS,81247,G6pd gene alys cmn variant,,,174.81,641.55,13
HCPCS,81247,Hc Fancc Gene Analysis Common Variant,4270.0,1665.3,,,0
HCPCS,81248,G6pd known familial variant,,,375.25,1377.17,13
HCPCS,81249,G6pd full gene sequence,,,600.0,2202.0,13
HCPCS,81250,G6pc gene,,,58.49,214.66,12
HCPCS,81251,Gba gene,,,47.25,173.41,12
HCPCS,81252,Gjb2 gene full sequence,,,101.12,371.11,12
HCPCS,81253,Gjb2 gene known fam variants,,,61.52,225.78,12
HCPCS,81254,Gjb6 gene com variants,,,35.0,144.28,12
HCPCS,81255,Hexa gene,,,51.45,188.82,12
HCPCS,81256,Hc Hemochromatosis Q,1320.285,514.91,,,0
HCPCS,81256,Hfe gene,,,65.36,239.87,13
HCPCS,81257,Hba1/hba2 gene,,,102.26,375.29,12
HCPCS,81257,Hc Hba1/Hba2 Gene Analysis For Common Deletions Or Variant,1026.025,400.15,,,0
HCPCS,81258,Hba1/hba2 gene fam vrnt,,,375.25,1377.17,13
HCPCS,81259,Hba1/hba2 full gene sequence,,,600.0,2202.0,13
HCPCS,81259,Hc Hba1/Hba2 Gene Analysis Full Gene Sequence,1520.635,593.05,,,0
HCPCS,81260,Ikbkap gene,,,39.31,144.27,12
HCPCS,81261,Hc Bcell Gene Rearrange Pcr Io,1826.685,712.405,,,0
HCPCS,81261,Igh gene rearrange amp meth,,,197.99,726.62,13
HCPCS,81262,Igh gene rearrang dir probe,,,68.55,251.58,13
HCPCS,81263,Hc Igh@ Variable Region Somatic Mutation Analysis,5278.485,2058.61,,,0
HCPCS,81263,Hc Igvh Mutation Analysisio,9054.0,3531.06,,,0
HCPCS,81263,Igh vari regional mutation,,,294.52,1080.89,13
HCPCS,81264,Hc Igk@ Gene Rearrange Detect Abnormal Clonal Pop,1024.0,399.36,,,0
HCPCS,81264,Igk rearrangeabn clonal pop,,,172.73,633.92,13
HCPCS,81265,Hc Comparative Anal Str Markers Patient And Comp Spec,3788.0,1477.32,,,0
HCPCS,81265,Str markers specimen anal,,,233.07,855.37,13
HCPCS,81266,Hc Comparative Anal Str Markers Ea Addl Specimen,2848.0,1110.72,,,0
HCPCS,81266,Str markers spec anal addl,,,304.81,1118.65,12
HCPCS,81267,Chimerism anal no cell selec,,,207.46,761.38,13
HCPCS,81267,Hc Chimerism W/Comp To Baseline W/O Cell Selection,539.0,210.21,,,0
HCPCS,81268,Chimerism anal w/cell select,,,260.79,957.1,13
HCPCS,81268,Hc Chimerism W/Comp To Baseline W/Cell Selection Ea,2848.0,1110.72,,,0
HCPCS,81269,Hba1/hba2 gene dup/del vrnts,,,202.4,742.81,13
HCPCS,81269,Hc Hba1/Hba2 Gene Analysis Dup/Del Variants,488.0,190.32,,,0
HCPCS,81270,Hc Jak2 Gene Analysis P.Val617Phe Variant,1027.905,400.885,,,0
HCPCS,81270,Hc Jak2 V617F Mutate Detectio,1096.0,427.44,,,0
HCPCS,81270,Jak2 gene,,,91.66,336.39,13
HCPCS,81271,Hc Htt Gene Analysis Detect Abnormal Alleles,545.875,212.89,,,0
HCPCS,81271,Htt gene detc abnor alleles,,,137.0,502.79,12
HCPCS,81272,Hc Kit Gene Targt Seq Anls,1399.1599999999999,545.67,,,0
HCPCS,81272,Kit gene targeted seq analys,,,329.51,1209.3,13
HCPCS,81273,Hc Kit Gene Analysis D816 Variants,437.0,170.43,,,0
HCPCS,81273,Kit gene analys d816 variant,,,124.87,458.27,13
HCPCS,81274,Hc Htt Gene Analysis Characterization Alleles,1160.0,452.4,,,0
HCPCS,81274,Htt gene charac alleles,,,274.83,1008.63,12
HCPCS,81275,Hc Kras Mutation Analysisio,1129.85,440.64,,,0
HCPCS,81275,Kras gene variants exon 2,,,193.25,709.23,13
HCPCS,81276,Hc Kras Gene Analysis Additional Variants,1387.35,541.065,,,0
HCPCS,81276,Kras gene addl variants,,,193.25,709.23,13
HCPCS,81277,Cytogenomic neo microra alys,,,1160.0,4257.2,10
HCPCS,81277,Hc Cytogenomic Neoplasia Mircroarray Analysis,4902.0,1911.78,,,0
HCPCS,81278,Hc Igh/Bcl2 Tlcj Alys Mbr And Mcr Bp Qual/Quan,900.0,351.0,,,0
HCPCS,81278,Igh@/bcl2 translocation alys,,,207.31,760.83,10
HCPCS,81279,Hc Jak2 Targeted Sequence Analysis,1543.0,601.77,,,0
HCPCS,81279,Jak2 gene trgt sequence alys,,,185.2,679.68,10
HCPCS,81280,Long qt synd gene full seq,,,536.74,536.74,1
HCPCS,81281,Long qt synd known fam var,,,367.65,367.65,1
HCPCS,81282,Long qt syn gene dup/dlt var,,,1612.5,1612.5,1
HCPCS,81283,Ifnl3 gene,,,73.37,269.27,13
HCPCS,81284,Fxn gene detc abnor alleles,,,137.0,502.79,12
HCPCS,81284,Hc Fxn Gene Analysis Eval Detect Abnormal Alleles,375.31,146.37,,,0
HCPCS,81285,Fxn gene charac alleles,,,274.83,1008.63,12
HCPCS,81285,Hc Fxn Gene Analysis Characterization Alleles,1160.0,452.4,,,0
HCPCS,81286,Fxn gene full gene sequence,,,274.83,1008.63,12
HCPCS,81286,Hc Fxn Gene Analysis Full Gene Sequence,753.15,293.73,,,0
HCPCS,81287,Hc Mgmt Gene Promoter Methylation Analysis,2171.0,846.69,,,0
HCPCS,81287,Mgmt gene methylation anal,,,99.61,457.43,10
HCPCS,81288,Hc Mlh1 Gene Analysis Promoter Methylation Analysis,1521.0,593.19,,,0
HCPCS,81288,Mlh1 gene,,,192.32,705.81,12
HCPCS,81289,Fxn gene known famil variant,,,185.2,679.68,12
HCPCS,81289,Hc Fxn Gene Analysis Known Familial Variants,781.0,304.59,,,0
HCPCS,81290,Mcoln1 gene,,,39.31,144.27,12
HCPCS,81291,Hc Mthfr Common Variants,275.0,107.25,,,0
HCPCS,81291,Mthfr gene,,,65.34,239.8,13
HCPCS,81292,Hc Mlh1 Gene Analysis Full Sequence Analysis,1445.0,563.55,,,0
HCPCS,81292,Mlh1 gene full seq,,,675.4,2478.72,13
HCPCS,81293,Mlh1 gene known variants,,,310.87,1214.77,13
HCPCS,81294,Mlh1 gene dup/delete variant,,,202.4,742.81,13
HCPCS,81295,Msh2 gene full seq,,,182.05,1400.84,13
HCPCS,81296,Msh2 gene known variants,,,155.44,1239.47,13
HCPCS,81297,Msh2 gene dup/delete variant,,,182.05,782.81,13
HCPCS,81298,Msh6 gene full seq,,,345.4,2355.59,13
HCPCS,81299,Msh6 gene known variants,,,193.49,1130.36,13
HCPCS,81300,Msh6 gene dup/delete variant,,,194.02,873.46,13
HCPCS,81301,Hc Microsatellite Instableio,1930.35,752.835,,,0
HCPCS,81301,Microsatellite instability,,,348.56,1279.22,13
HCPCS,81302,Mecp2 gene full seq,,,497.21,1937.28,12
HCPCS,81303,Mecp2 gene known variant,,,120.0,440.4,12
HCPCS,81304,Mecp2 gene dup/delet variant,,,150.0,550.5,12
HCPCS,81305,Hc Myd88 Gene Analysis P.Leu265 L265P Variant,700.375,273.145,,,0
HCPCS,81305,Myd88 gene p.leu265pro vrnt,,,175.4,643.72,12
HCPCS,81306,Hc Nudt15 Gene Analysis Common Variants,1228.0,478.92,,,0
HCPCS,81306,Nudt15 gene common variants,,,291.36,1069.29,12
HCPCS,81307,Hc Palb2 Gene Analysis Full Gene Sequence,1196.0,466.44,,,0
HCPCS,81307,Palb2 gene full gene seq,,,339.46,2482.76,10
HCPCS,81308,Hc Palb2 Gene Analysis Known Familial Variant,1274.0,496.86,,,0
HCPCS,81308,Palb2 gene known famil vrnt,,,301.35,1105.95,10
HCPCS,81309,Hc Pik3Ca Gene Analysis Targeted Sequence Analysis,1162.0,453.18,,,0
HCPCS,81309,Pik3ca gene trgt seq alys,,,274.83,1008.63,10
HCPCS,81310,Hc Npm1 Nucleophosmin Gene Anal Exon 12 Variants,1086.0,423.54,,,0
HCPCS,81310,Npm1 gene,,,246.52,904.73,13
HCPCS,81311,Hc Nras Vrnt Conds 12 13 61,1627.625,634.7750000000001,,,0
HCPCS,81311,Nras gene variants exon 2&3,,,295.79,1085.55,13
HCPCS,81312,Hc Pabpn1 Gene Analysis Eval Detc Abnormal Alleles,578.0,225.42,,,0
HCPCS,81312,Pabpn1 gene detc abnor allel,,,137.0,502.79,12
HCPCS,81313,Pca3/klk3 antigen,,,240.18,936.03,12
HCPCS,81314,Hc Pdgfra Gene Analys Targeted Sequence Analys,1906.0,743.34,,,0
HCPCS,81314,Pdgfra gene,,,329.51,1209.3,13
HCPCS,81315,Hc Pml/Rar Translocationio,2662.0,1038.18,,,0
HCPCS,81315,Hc Pml/Raralpha Common Breakpoints Qual/Quant,1811.45,706.465,,,0
HCPCS,81315,Pml/raralpha com breakpoints,,,207.31,760.83,13
HCPCS,81316,Pml/raralpha 1 breakpoint,,,207.31,987.79,13
HCPCS,81317,Pms2 gene full seq analysis,,,676.5,2482.76,13
HCPCS,81318,Pms2 known familial variants,,,221.53,1214.77,13
HCPCS,81319,Pms2 gene dup/delet variants,,,203.5,746.84,13
HCPCS,81320,Hc Plcg2 Gene Analysis Common Variants,1228.0,478.92,,,0
HCPCS,81320,Plcg2 gene common variants,,,291.36,1069.29,12
HCPCS,81321,Hc Pten Gene Analysis Full Sequence Analysis,5793.0,2259.27,,,0
HCPCS,81321,Pten gene full sequence,,,600.0,2202.0,13
HCPCS,81322,Pten gene known fam variant,,,46.6,171.02,13
HCPCS,81323,Hc Pten Dup/Del Variants,614.0,239.46,,,0
HCPCS,81323,Pten gene dup/delet variant,,,105.12,1101.0,13
HCPCS,81324,Pmp22 gene dup/delet,,,599.21,2783.18,12
HCPCS,81325,Pmp22 gene full sequence,,,742.09,2824.36,12
HCPCS,81326,Pmp22 gene known fam variant,,,46.6,560.14,12
HCPCS,81327,Hc Sept9 Gene Promoter Methylation Analysis,610.655,238.155,,,0
HCPCS,81327,Sept9 methylation analysis,,,100.4,704.64,13
HCPCS,81328,Hc Slco1B1 Gene Analysis Common Variants,1730.0,674.7,,,0
HCPCS,81328,Slco1b1 gene com variants,,,174.81,641.55,13
HCPCS,81329,Hc Smn1 Gene Analysis Dosage/Delet Alys W/Smn2 Alys,578.0,225.42,,,0
HCPCS,81329,Smn1 gene dos/deletion alys,,,137.0,502.79,12
HCPCS,81330,Smpd1 gene common variants,,,47.0,172.49,12
HCPCS,81331,Hc Snrpn/Ube3A Methylation Analysis,179.0,69.81,,,0
HCPCS,81331,Snrpn/ube3a gene,,,51.07,187.43,12
HCPCS,81332,Hc Serpina1 Gene Analysis Common Variants,938.95,366.19,,,0
HCPCS,81332,Serpina1 gene,,,43.65,160.2,13
HCPCS,81333,Hc Tgfbi Gene Analysis Common Variants,578.0,225.42,,,0
HCPCS,81333,Tgfbi gene common variants,,,137.0,502.79,12
HCPCS,81334,Hc Runx1 Gene Analysis Targeted Sequence Analysis,1393.0,543.27,,,0
HCPCS,81334,Runx1 gene targeted seq alys,,,329.51,1209.3,13
HCPCS,81335,Hc Tpmt Gene Analaysis Common Variants,800.0,312.0,,,0
HCPCS,81335,Tpmt gene com variants,,,174.81,641.55,13
HCPCS,81336,Hc Smn1 Gene Analysis Full Gene Sequence,1271.0,495.69,,,0
HCPCS,81336,Smn1 gene full gene sequence,,,301.35,1105.95,12
HCPCS,81337,Hc Smn1 Gene Analysis Known Familial Seq Variants,781.0,304.59,,,0
HCPCS,81337,Smn1 gen nown famil seq vrnt,,,185.2,679.68,12
HCPCS,81338,Hc Mpl Gene Analysis Common Variants,234.0,91.26,,,0
HCPCS,81338,Mpl gene common variants,,,150.33,551.71,10
HCPCS,81339,Hc Mpl Gene Analysis Sequence Analysis Exon 10,1639.0,639.21,,,0
HCPCS,81339,Mpl gene seq alys exon 10,,,185.2,679.68,10
HCPCS,81340,Hc Tcell Gene Rearrange Pcr Io,1381.4450000000002,538.765,,,0
HCPCS,81340,Hc Trb@ Rearrangement Anal Amplification Method,1725.0,672.75,,,0
HCPCS,81340,Trb@ gene rearrange amplify,,,208.92,766.74,13
HCPCS,81341,Hc Trb Rearrangement Anal Direct Probe Methodology,133.0,51.87,,,0
HCPCS,81341,Trb@ gene rearrange dirprobe,,,49.59,182.0,13
HCPCS,81342,Hc T Cell Ag Receptor Gamma,1282.925,500.34000000000003,,,0
HCPCS,81342,Hc Trg@ Gene Rearrangement Analysis,1633.0,636.87,,,0
HCPCS,81342,Trg gene rearrangement anal,,,201.5,739.5,13
HCPCS,81343,Hc Ppp2R2B Gene Analysis Eval Detc Abnormal Alleles,375.31,146.37,,,0
HCPCS,81343,Ppp2r2b gen detc abnor allel,,,137.0,502.79,12
HCPCS,81344,Hc Tbp Gene Analysis Eval Detect Abnormal Alleles,375.31,146.37,,,0
HCPCS,81344,Tbp gene detc abnor alleles,,,137.0,502.79,12
HCPCS,81345,Hc Tert Gene Analysis Targeted Sequence Analysis,781.0,304.59,,,0
HCPCS,81345,Tert gene targeted seq alys,,,185.2,679.68,12
HCPCS,81346,Tyms gene com variants,,,174.81,641.55,13
HCPCS,81347,Sf3b1 gene common variants,,,193.25,709.23,10
HCPCS,81348,Srsf2 gene common variants,,,175.4,643.72,10
HCPCS,81349,Cytog alys chrml abnr lw-ps,,,1197.94,4396.44,9
HCPCS,81350,Hc Ugt1A1 Gene Analysis Common Variants,959.75,374.3,,,0
HCPCS,81350,Ugt1a1 gene,,,234.0,858.78,12
HCPCS,81351,Tp53 gene full gene sequence,,,641.85,2355.59,10
HCPCS,81352,Hc Tp53 Gene Analysis Targeted Sequence Analysis,3424.0,1335.36,,,0
HCPCS,81352,Tp53 gene trgt sequence alys,,,329.51,1209.3,10
HCPCS,81353,Tp53 gene known famil vrnt,,,308.0,1130.36,10
HCPCS,81354,Cytog alys chrml abnor ogm,,,1263.53,4637.16,9
HCPCS,81355,Hc Vkorc1 Common Variant,738.0,287.82,,,0
HCPCS,81355,Vkorc1 gene,,,88.2,323.69,12
HCPCS,81357,U2af1 gene common variants,,,193.25,709.23,10
HCPCS,81360,Zrsr2 gene common variants,,,193.25,709.23,10
HCPCS,81361,Hbb gene com variants,,,174.81,641.55,13
HCPCS,81361,Hc Hbb Common Variants,586.0,228.54,,,0
HCPCS,81362,Hbb gene known fam variant,,,375.25,1377.17,13
HCPCS,81363,Hbb gene dup/del variants,,,202.4,742.81,13
HCPCS,81363,Hc Hbb Duplication/Deletion Variants,586.0,228.54,,,0
HCPCS,81364,Hbb full gene sequence,,,324.58,1191.21,13
HCPCS,81364,Hc Hbb Full Gene Sequience,1053.57,410.89,,,0
HCPCS,81370,Hc Hla Class I And Ii Low Hla-A -B -C -Drb1/3/4/5 And Dqb,3609.0,1407.51,,,0
HCPCS,81370,Hla i & ii typing lr,,,402.12,1475.78,13
HCPCS,81371,Hla i & ii type verify lr,,,394.03,1484.59,13
HCPCS,81372,Hc Hla Class I Typing Low Resolution Complete,1620.0,631.8,,,0
HCPCS,81372,Hla i typing complete lr,,,361.63,1481.18,13
HCPCS,81373,Hc Hla I One Locus Low,1028.0,400.92,,,0
HCPCS,81373,Hla i typing 1 locus lr,,,127.43,467.67,13
HCPCS,81374,Hc Hla I Ag Equiv Each Low,272.605,106.315,,,0
HCPCS,81374,Hla i typing 1 antigen lr,,,74.33,272.79,13
HCPCS,81375,Hc Hla Ii Low Resolution Hla-Drb1/3/4/5 And -Dqb1,954.0,372.06,,,0
HCPCS,81375,Hla ii typing ag equiv lr,,,220.74,810.12,13
HCPCS,81376,Hc Hocm 149 Mg/Ml Or Less Iodine 1Ml,1001.0,390.39,,,0
HCPCS,81376,Hla ii typing 1 locus lr,,,122.22,448.55,13
HCPCS,81377,Hc Hla Ii Ag Equiv Each Low,644.0,251.16,,,0
HCPCS,81377,Hla ii type 1 ag equiv lr,,,94.74,347.7,13
HCPCS,81378,Hc Hla I And Ii High Resolution Hla-A -B -C And -Drb1,2894.0,1128.66,,,0
HCPCS,81378,Hla i & ii typing hr,,,345.57,1268.24,13
HCPCS,81379,Hla i typing complete hr,,,335.38,1230.84,13
HCPCS,81380,Hla i typing 1 locus hr,,,177.25,650.51,13
HCPCS,81381,Hc Hla Class Typing High Resolution 1 Allele Or Allele Group Each,818.0899999999999,319.055,,,0
HCPCS,81381,Hla i typing 1 allele hr,,,154.84,623.53,13
HCPCS,81382,Hc Hla Class Ii Typing Hi Res 1 Locus Each,688.6,268.555,,,0
HCPCS,81382,Hla ii typing 1 loc hr,,,123.68,453.91,13
HCPCS,81383,Hc Hla Ii One Alele/Grp Hgh,644.0,251.16,,,0
HCPCS,81383,Hla ii typing 1 allele hr,,,109.13,400.51,13
HCPCS,81400,Hc Plasminogen Act Inhib-1 4G/5Gq,645.75,251.84,,,0
HCPCS,81400,Mopath procedure level 1,,,63.96,234.73,12
HCPCS,81401,Hc Molecular Pathology Procedure Level 2,513.75,200.36,,,0
HCPCS,81401,Mopath procedure level 2,,,137.0,502.79,12
HCPCS,81402,Hc Molecular Pathology Procedure Level 3,1057.5,412.425,,,0
HCPCS,81402,Hc Mpl Mutation Analysisio,1500.0,585.0,,,0
HCPCS,81402,Mopath procedure level 3,,,150.33,551.71,12
HCPCS,81403,Hc Molecular Pathology Procedure Level 4,2690.7,1049.375,,,0
HCPCS,81403,Mopath procedure level 4,,,185.2,679.68,12
HCPCS,81404,Hc Molecular Pathology Procedure Level 5,2702.505,1053.975,,,0
HCPCS,81404,Mopath procedure level 5,,,274.83,1008.63,12
HCPCS,81405,Hc Molecular Pathology Procedure Level 6,2394.41,933.82,,,0
HCPCS,81405,Mopath procedure level 6,,,301.35,1105.95,12
HCPCS,81406,Hc Revealsm Snp Cma-Oncolio,3681.5,1435.785,,,0
HCPCS,81406,Mopath procedure level 7,,,282.88,1038.17,12
HCPCS,81407,Mopath procedure level 8,,,846.27,3105.81,12
HCPCS,81408,Mopath procedure level 9,,,1068.15,7340.0,12
HCPCS,81410,Aortic dysfunction/dilation,,,504.0,1849.68,12
HCPCS,81411,Aortic dysfunction/dilation,,,1350.19,4955.2,12
HCPCS,81412,Ashkenazi jewish assoc dis,,,722.52,8986.22,12
HCPCS,81412,Hc Ashkenazi Jewish Assoc Dsrdrs Gen Seq Anal 9 Gen,6315.0,2462.8500000000004,,,0
HCPCS,81413,Car ion chnnlpath inc 10 gns,,,584.9,2146.58,13
HCPCS,81413,Hc Car Ion Chnnlpath Inc 10 Gns,2663.0,1038.57,,,0
HCPCS,81414,Car ion chnnlpath inc 2 gns,,,584.9,2146.58,13
HCPCS,81414,Hc Car Ion Chnnlpath Inc 2 Gns,2996.0,1168.44,,,0
HCPCS,81415,Exome sequence analysis,,,4780.0,17542.6,12
HCPCS,81415,Hc Exome Sequence Analysis,9402.0,3666.78,,,0
HCPCS,81416,Exome sequence analysis,,,12000.0,44040.0,12
HCPCS,81416,Hc Exome Sequence Analysis Each Comparator Exome,15486.0,6039.54,,,0
HCPCS,81417,Exome re-evaluation,,,320.0,1174.4,12
HCPCS,81418,Rx metab gen seq alys pnl 6,,,917.08,3365.68,9
HCPCS,81419,Epilepsy gen seq alys panel,,,2448.56,8986.22,10
HCPCS,81420,Fetal chrmoml aneuploidy,,,759.05,2785.71,12
HCPCS,81422,Fetal chrmoml microdeltj,,,759.05,2785.71,13
HCPCS,81422,Hc Fetal Chrmoml Microdeltj,3166.0,1234.74,,,0
HCPCS,81425,Genome sequence analysis,,,5031.2,18464.5,12
HCPCS,81425,Hc Genome Sequence Analysis,16422.0,6404.58,,,0
HCPCS,81426,Genome sequence analysis,,,2709.95,9945.52,12
HCPCS,81427,Genome re-evaluation,,,2337.65,8579.18,12
HCPCS,81430,Hearing loss sequence analys,,,1625.0,5963.75,12
HCPCS,81431,Hearing loss dup/del analys,,,679.57,2494.02,12
HCPCS,81432,Hrdtry brst ca-rlatd dsordrs,,,1117.78,4785.5,12
HCPCS,81433,Hrdtry brst ca-rlatd dsordrs,,,722.52,1370.97,3
HCPCS,81434,Hereditary retinal disorders,,,597.91,2194.33,12
HCPCS,81435,Hereditary colon ca dsordrs,,,955.12,4785.5,12
HCPCS,81436,Hereditary colon ca dsordrs,,,955.12,1826.86,3
HCPCS,81437,Heredtry nurondcrn tum dsrdr,,,722.52,4785.5,12
HCPCS,81438,Heredtry nurondcrn tum dsrdr,,,722.52,1370.97,3
HCPCS,81439,Hc Inherited Cardmypthy 5 Gns,3166.0,1234.74,,,0
HCPCS,81439,Inherited cardmypthy 5 gns,,,584.9,2146.58,13
HCPCS,81440,Mitochondrial gene,,,3324.0,12199.08,12
HCPCS,81441,Ibmfs seq alys pnl 30 genes,,,2448.56,8986.22,9
HCPCS,81442,Noonan spectrum disorders,,,722.52,7867.01,12
HCPCS,81443,Genetic tstg severe inh cond,,,2448.56,8986.22,12
HCPCS,81443,Hc Genetic Testing For Severe Inherited Conditions,10330.0,4028.7,,,0
HCPCS,81445,Hc Solid Organ Neoplasm Gsap 5-50 Dna/Dna And Rna Alys,8452.0,3296.28,,,0
HCPCS,81445,Targeted genomic seq analys,,,107.8,2194.33,12
HCPCS,81448,Hrdtry perph neurphy panel,,,584.9,2146.58,13
HCPCS,81449,Hc Solid Organ Neoplasm Gsap 5-50 Rna Analysis,2093.0,816.27,,,0
HCPCS,81449,Tgsap so neo 5-50 rna alys,,,597.91,2194.33,9
HCPCS,81450,Hc Genomic Sequence Analysis 5-50 Genes,5039.125,1965.2599999999998,,,0
HCPCS,81450,Targeted genomic seq analys,,,107.8,2787.48,12
HCPCS,81451,Tgsap hl neo 5-50 rna alys,,,759.53,2787.48,9
HCPCS,81455,Hc Gen Seq Analys Sol Org/Hemtolmphoid Neo 51 Genes And Over,5357.375,2089.375,,,0
HCPCS,81455,Targeted genomic seq analys,,,2919.6,10714.93,12
HCPCS,81456,Hc So/Hematolymphoid Neo/Do 51 Or More Rna Analysis,11700.0,4563.0,,,0
HCPCS,81456,Tgsap so/hl 51/< rna alys,,,2919.6,10714.93,9
HCPCS,81457,Hc So Neo Gsap Dna Alys Microsatellite Instability,11700.0,4563.0,,,0
HCPCS,81457,So neo gsap dna mcrstl ins,,,896.87,3291.51,9
HCPCS,81458,So gsap dna cpy nmbr&mcrstl,,,1046.35,3840.1,9
HCPCS,81459,So neo gsap dna/dna&rna,,,2989.55,10971.65,9
HCPCS,81460,Hc Whole Mitochondrial Genome,3552.0,1385.28,,,0
HCPCS,81460,Mitochondrial Sequencing,3552.0,1385.28,,,0
HCPCS,81460,Whole mitochondrial genome,,,1287.0,4723.29,12
HCPCS,81462,So gsap cll fr dna/dna&rna,,,1195.83,4388.7,9
HCPCS,81463,So gsap cl fr cpy nmbr&mcrst,,,1345.31,4937.29,9
HCPCS,81464,So gsap cll fr mcrstl ins,,,3288.51,12068.83,9
HCPCS,81465,Whole mitochondrial genome,,,936.0,3435.12,12
HCPCS,81470,X-linked intellectual dblt,,,914.0,3354.38,12
HCPCS,81471,X-linked intellectual dblt,,,914.0,3354.38,12
HCPCS,81479,Hc Alk-1 Scan Only,1365.0,532.35,,,0
HCPCS,81479,Hc Foundation Med - Solid Tumor Genomic Alterations Id,1436.5,560.24,,,0
HCPCS,81479,Hc Unlisted Molecular Pathologyp,596.0,232.44,,,0
HCPCS,81479,Quantitative Hemoglobin Id,900.0,351.0,,,0
HCPCS,81479,Unlisted molecular pathology,,,248.41,248.41,2
HCPCS,81490,Autoimmune rheumatoid arthr,,,708.73,3085.19,12
HCPCS,81493,Cor artery disease mrna,,,1050.0,3853.5,12
HCPCS,81500,Onco (ovar) two proteins,,,260.5,956.04,10
HCPCS,81503,Onco (ovar) five proteins,,,384.36,3291.99,12
HCPCS,81504,Oncology tissue of origin,,,520.0,1908.4,10
HCPCS,81506,Endo assay seven anal,,,68.92,252.94,10
HCPCS,81507,Fetal aneuploidy trisom risk,,,795.0,2917.65,10
HCPCS,81508,Ftl cgen abnor two proteins,,,54.3,199.28,12
HCPCS,81509,Ftl cgen abnor 3 proteins,,,97.89,5458.65,12
HCPCS,81510,Ftl cgen abnor three anal,,,55.54,203.83,12
HCPCS,81510,Hc Ftl Cgen Abnor Three Anal,685.0,267.15,,,0
HCPCS,81511,Ftl cgen abnor four anal,,,104.69,563.34,12
HCPCS,81511,Hc Ftl Cgen Abnor Four Anal,667.5,260.325,,,0
HCPCS,81512,Ftl cgen abnor five anal,,,69.52,255.14,12
HCPCS,81512,Hc Fetal Congenital Abnor Assay Five Anal,1061.35,413.92499999999995,,,0
HCPCS,81513,Hc Infectious Disease Bacteral Vaginosis Rna Vaginal-Fluid Algorithm,205.0,79.95,,,0
HCPCS,81513,Nfct ds bv rna vag flu alg,,,142.63,523.45,10
HCPCS,81514,Nfct ds bv&vaginitis dna alg,,,262.99,965.17,10
HCPCS,81515,Nfct ds bv&vaginitis dna alg,,,262.99,965.17,9
HCPCS,81517,Liver ds alys 3 bmrk srm alg,,,176.19,646.62,9
HCPCS,81518,Hc Oncology Breast Mrna Gene Expression 11 Genes,17749.0,6922.11,,,0
HCPCS,81518,Onc brst mrna 11 genes,,,3873.0,14213.91,12
HCPCS,81519,Oncology breast mrna,,,3873.0,14213.91,12
HCPCS,81520,Hc Onc Breast Mrna Gene Express Profil By Hybrid Capture Of 58 Genes,9364.0,3651.96,,,0
HCPCS,81520,Onc breast mrna 58 genes,,,2510.21,9212.47,13
HCPCS,81521,Hc Onc Breast Mrna Microra Gene Xprsn Prfl 70 Genes,10669.0,4160.91,,,0
HCPCS,81521,Onc breast mrna 70 genes,,,3873.0,14213.91,13
HCPCS,81522,Hc Oncology Breast Mrna Gene Xprsn Prfl 12 Genes,17719.0,6910.41,,,0
HCPCS,81522,Onc breast mrna 12 genes,,,3873.0,14213.91,10
HCPCS,81523,Onc brst mrna 70 cnt 31 gene,,,3873.0,14213.91,10
HCPCS,81525,Oncology colon mrna,,,3116.0,11435.72,12
HCPCS,81528,Oncology colorectal scr,,,508.87,1867.55,13
HCPCS,81529,Onc cutan mlnma mrna 31 gene,,,7193.0,26398.31,10
HCPCS,81535,Oncology gynecologic,,,579.46,2126.62,13
HCPCS,81536,Oncology gynecologic,,,177.56,651.65,13
HCPCS,81538,Oncology lung,,,2552.14,10536.57,12
HCPCS,81539,Hc Oncology Prostate Prob Score,1034.045,403.28,,,0
HCPCS,81539,Oncology prostate prob score,,,722.52,2789.2,13
HCPCS,81540,Oncology tum unknown origin,,,3504.36,13762.5,12
HCPCS,81541,Hc Onc Prst8 Mrna Gene Xprsn Prfl Realtm Pcr 46 Genes,9967.0,3887.13,,,0
HCPCS,81541,Onc prostate mrna 46 genes,,,3873.0,14213.91,13
HCPCS,81542,Onc prostate mrna 22 cnt gen,,,3873.0,14213.91,10
HCPCS,81545,Oncology thyroid,,,7336.07,7336.07,2
HCPCS,81546,"Onc thyr mrna 10,196 gen alg",,,3600.0,13212.0,10
HCPCS,81551,Hc Onc Prst8 Prmtr Methylation Prfl Realtm Pcr 3 Genes,9967.0,3887.13,,,0
HCPCS,81551,Onc prostate 3 genes,,,2030.0,7450.1,12
HCPCS,81552,Onc uveal mlnma mrna 15 gene,,,7776.0,28537.92,10
HCPCS,81554,Pulm ds ipf mrna 190 gen alg,,,5409.6,19853.23,10
HCPCS,81558,Trnspl rej kdn mrna qpcr 139,,,3240.0,11890.8,9
HCPCS,81560,Hc Trnsplj Ped Lvr And Bwl Mes Cd154 T-Cytotoxic Cell Whl Prph Bld,78.0,30.42,,,0
HCPCS,81560,Trnsplj pd lvr&bwl cd154+cll,,,640.73,2351.48,9
HCPCS,81595,Cardiology hrt trnspl mrna,,,3240.0,11890.8,12
HCPCS,81596,Hc Nfct Ds Chrnc Hcv 6 Biochem Assay Srm Alg Lvr,314.65,122.715,,,0
HCPCS,81596,Nfct ds chrnc hcv 6 assays,,,72.19,264.94,12
HCPCS,81599,Sflt-1/Pigf Ratio,1080.0,421.2,,,0
HCPCS,81599,Unlisted maaa,,,530.71,530.71,2
HCPCS,82000,Assay of blood acetaldehyde,,,22.28,22.28,1
HCPCS,82003,Assay of acetaminophen,,,36.53,36.53,1
HCPCS,82009,Hc Test For Acetone/Ketones,230.0,89.7,,,0
HCPCS,82009,Test for acetone/ketones,,,4.52,16.59,13
HCPCS,82010,Acetone assay,,,8.17,29.98,13
HCPCS,82010,Hc Beta-Hydroxybutyrate,263.25,102.67,,,0
HCPCS,82013,Acetylcholinesterase assay,,,12.29,45.1,13
HCPCS,82016,Acylcarnitines qual,,,16.49,60.52,13
HCPCS,82017,Acylcarnitines quant,,,16.87,61.91,13
HCPCS,82017,Hc Acylcarnitine Plasma,326.15,127.2,,,0
HCPCS,82024,Assay of acth,,,38.62,141.74,13
HCPCS,82024,Hc Acth Assay,594.55,231.875,,,0
HCPCS,82030,Assay of adp & amp,,,25.8,94.69,13
HCPCS,82030,Hc Cyclic Adp Or Amp,1058.0,412.62,,,0
HCPCS,82040,Assay of serum albumin,,,4.95,18.17,13
HCPCS,82040,Hc Albumin Serum Plasma/Whole Blood,80.455,31.375,,,0
HCPCS,82042,Assay of urine albumin,,,7.78,28.55,13
HCPCS,82042,Hc Other Source Albumin Quantitative Each Specimen,132.1,51.52,,,0
HCPCS,82043,Hc Urine Albumin Quantitative,194.0,75.66,,,0
HCPCS,82043,Microalbumin quantitative,,,5.78,21.21,13
HCPCS,82044,Microalbumin semiquant,,,6.23,22.86,13
HCPCS,82045,Albumin ischemia modified,,,33.94,124.56,13
HCPCS,82055,Assay of ethanol,,,19.6,19.6,1
HCPCS,82075,Assay of breath ethanol,,,21.12,110.1,13
HCPCS,82075,Hc Assay Of Breath Ethanol,213.0,83.07,,,0
HCPCS,82077,Assay spec xcp ur&breath ia,,,17.27,63.38,10
HCPCS,82077,Hc Assay Of Alcohol Ethanol Spec Xcp Urine And Breath Ia,93.0,36.27,,,0
HCPCS,82085,Assay of aldolase,,,9.71,35.64,13
HCPCS,82085,Hc Aldolase,166.775,65.04,,,0
HCPCS,82088,Assay of aldosterone,,,40.75,149.55,13
HCPCS,82088,Hc Assay Of Aldosterone,441.145,172.045,,,0
HCPCS,82101,Assay of urine alkaloids,,,53.91,53.91,1
HCPCS,82103,Alpha-1-antitrypsin total,,,13.44,49.32,13
HCPCS,82103,Hc Alpha-1-Antitrypsin Quant,286.305,111.66,,,0
HCPCS,82104,Alpha-1-antitrypsin pheno,,,14.46,53.07,13
HCPCS,82104,Hc Alpha 1 Antitrypsin Pheno,388.0,151.32,,,0
HCPCS,82105,Alpha-fetoprotein serum,,,16.77,61.55,13
HCPCS,82105,Hc Alpha-Fetoprotein Serum,298.81,116.535,,,0
HCPCS,82106,Alpha-fetoprotein amniotic,,,17.0,62.39,13
HCPCS,82107,Alpha-Fetoprotein L3,,,64.41,236.38,13
HCPCS,82108,Assay of aluminum,,,25.48,93.51,13
HCPCS,82108,Hc Aluminum Assay,351.0,136.89,,,0
HCPCS,82120,Amines vaginal fluid qual,,,5.99,21.98,13
HCPCS,82127,Amino acid single qual,,,14.18,52.04,13
HCPCS,82128,Amino acids mult qual,,,13.87,50.9,13
HCPCS,82128,Hc Amino Acids Multi Qual Ea,807.0,314.73,,,0
HCPCS,82131,Amino acids single quant,,,22.98,84.34,13
HCPCS,82131,Hc Amino Acids 1 Quantitative Each Specimen,634.0,247.26000000000002,,,0
HCPCS,82135,Assay aminolevulinic acid,,,16.45,60.37,13
HCPCS,82135,Hc Delta Aminolevulinic Acid 24Hr,289.9,113.06,,,0
HCPCS,82136,Amino acids quant 2-5,,,19.61,71.97,13
HCPCS,82139,Amino acids quan 6 or more,,,16.87,61.91,13
HCPCS,82139,Hc Amino Acids 6 And Over Amino Acids Quantitative Ea Spec,267.6,104.36500000000001,,,0
HCPCS,82140,Assay of ammonia,,,14.57,53.47,13
HCPCS,82140,Hc Ammonia Assay,353.25,137.76500000000001,,,0
HCPCS,82143,Amniotic fluid scan,,,9.35,34.31,13
HCPCS,82143,Hc Amniotic Fluid Spectroph,85.0,33.15,,,0
HCPCS,82145,Assay of amphetamines,,,28.07,28.07,1
HCPCS,82150,Assay of amylase,,,6.48,23.78,13
HCPCS,82150,Hc Assay Of Amylase,186.59,72.77,,,0
HCPCS,82154,Androstanediol glucuronide,,,28.83,105.81,13
HCPCS,82157,Assay of androstenedione,,,29.28,107.46,13
HCPCS,82157,Hc Androstenendione Assay,381.8,148.9,,,0
HCPCS,82160,Assay of androsterone,,,25.55,93.77,13
HCPCS,82163,Assay of angiotensin II,,,20.52,75.31,13
HCPCS,82164,Angiotensin I enzyme test,,,14.6,53.58,13
HCPCS,82164,Hc Angiotensin I-Converting Enzyme,281.26,109.69,,,0
HCPCS,82166,Antimullerian Hormone,312.0,121.68,,,0
HCPCS,82166,Assay anti-mullerian horm,,,38.62,141.74,9
HCPCS,82166,Hc Assay Of Anti-Mullerian Hormone,312.0,121.68,,,0
HCPCS,82172,Assay of apolipoprotein,,,21.09,77.4,13
HCPCS,82172,Hc Apolipoprotein Assay,79.15,30.87,,,0
HCPCS,82175,Assay of arsenic,,,18.97,69.62,13
HCPCS,82175,Hc Assay Of Arsenic,291.415,113.64999999999999,,,0
HCPCS,82180,Assay of ascorbic acid,,,9.89,36.3,13
HCPCS,82180,Hc Ascorbic Acid Blood,80.375,31.345,,,0
HCPCS,82190,Atomic absorption,,,15.9,58.35,13
HCPCS,82205,Assay of barbiturates,,,20.5,20.5,1
HCPCS,82232,Assay of beta-2 protein,,,16.18,59.38,13
HCPCS,82232,Hc Beta-2 Microglobulin,308.5,120.315,,,0
HCPCS,82233,Beta-amyloid 1-40 (abeta 40),,,128.92,473.14,9
HCPCS,82234,Beta-amyloid 1-42 (abeta 42),,,128.92,473.14,9
HCPCS,82239,Bile acids total,,,17.12,62.83,13
HCPCS,82239,Hc Bile Acids,494.7,192.935,,,0
HCPCS,82240,Bile acids cholylglycine,,,26.58,97.55,13
HCPCS,82240,Hc Bile Acids Cholylglycine,523.0,203.97,,,0
HCPCS,82247,Bilirubin total,,,5.02,18.42,13
HCPCS,82247,Hc Bilirubin Total,111.4,43.445,,,0
HCPCS,82248,Bilirubin direct,,,5.02,18.42,13
HCPCS,82248,Direct Bilirubin,94.0,36.66,,,0
HCPCS,82248,Hc Bilirubin Direct,27.0,10.53,,,0
HCPCS,82252,Fecal bilirubin test,,,4.56,16.74,13
HCPCS,82261,Assay of biotinidase,,,16.87,61.91,13
HCPCS,82261,Hc Biotinidase Ea Spec,231.2,90.17,,,0
HCPCS,82270,Hc Blood Occult Peroxidase Actv Qual Feces 1 Deter,56.0,21.84,,,0
HCPCS,82270,Occult blood feces,,,4.38,16.07,13
HCPCS,82271,Hc Occult Blood Other,77.475,30.215,,,0
HCPCS,82271,Occult blood other sources,,,5.32,19.52,13
HCPCS,82272,Hc Blood Occult Peroxidase Actv Qual Feces 1-3 Spec,70.5,27.495,,,0
HCPCS,82272,Occult bld feces 1-3 tests,,,4.23,15.52,13
HCPCS,82274,Assay test for blood fecal,,,15.92,58.43,13
HCPCS,82274,Hc Fecal Globin,200.675,78.265,,,0
HCPCS,82286,Assay of bradykinin,,,5.16,21.24,13
HCPCS,82300,Assay of cadmium,,,23.64,86.76,13
HCPCS,82300,Hc Cadmium,121.05,47.21,,,0
HCPCS,82306,Hc 25 Hydroxy Includes Fractions If Performed,162.21,63.26,,,0
HCPCS,82306,Vitamin d 25 hydroxy,,,29.6,108.63,13
HCPCS,82308,Assay of calcitonin,,,26.79,98.32,13
HCPCS,82308,Hc Calcitonin Assay,524.85,204.69,,,0
HCPCS,82310,Assay of calcium,,,5.16,18.94,13
HCPCS,82310,Hc Calcium Total,93.0,36.269999999999996,,,0
HCPCS,82330,Assay of calcium,,,13.68,50.21,13
HCPCS,82330,Hc Calcium Ionized,303.0,118.16999999999999,,,0
HCPCS,82330,Hc Proc Ionized Calcium,534.0,208.26,,,0
HCPCS,82331,Calcium infusion test,,,9.07,48.96,13
HCPCS,82340,Assay of calcium in urine,,,6.03,22.13,13
HCPCS,82340,Hc Calcium 24 Hr Urine,315.825,123.17,,,0
HCPCS,82355,Calculus analysis qual,,,11.58,42.5,13
HCPCS,82355,Hc Stone Qual,383.0,149.37,,,0
HCPCS,82360,Calculus assay quant,,,12.87,47.23,13
HCPCS,82360,Hc Stone Quan Chemical,926.0,361.14,,,0
HCPCS,82365,Calculus spectroscopy,,,12.9,47.34,13
HCPCS,82365,Hc Stone Analysis Other,286.0,111.54,,,0
HCPCS,82370,X-ray assay calculus,,,12.52,45.95,13
HCPCS,82373,Assay c-d transfer measure,,,18.06,66.28,13
HCPCS,82374,Assay blood carbon dioxide,,,4.88,17.91,13
HCPCS,82374,Hc Carbon Dioxide Bicarbonate,91.975,35.87,,,0
HCPCS,82375,Assay carboxyhb quant,,,12.32,45.21,13
HCPCS,82375,Hc Abgrt Cohb Only,518.0,202.02,,,0
HCPCS,82375,Hc Carboxyhemoglobin,287.525,112.135,,,0
HCPCS,82376,Assay carboxyhb qual,,,10.5,51.64,13
HCPCS,82378,Carcinoembryonic antigen,,,18.96,69.58,13
HCPCS,82378,Hc Carcinoembryonic Antigen Cea,443.5,172.965,,,0
HCPCS,82379,Assay of carnitine,,,16.87,61.91,13
HCPCS,82379,Hc Carnitine Quantitative Each Specimen,600.0,234.0,,,0
HCPCS,82380,Assay of carotene,,,9.22,33.84,13
HCPCS,82380,Hc Carotene,202.535,78.99000000000001,,,0
HCPCS,82382,Assay urine catecholamines,,,27.3,100.19,13
HCPCS,82383,Assay blood catecholamines,,,29.08,106.72,13
HCPCS,82384,Assay three catecholamines,,,25.25,92.67,13
HCPCS,82384,Hc Catecholamines Fractionated,510.98,199.28,,,0
HCPCS,82387,Assay of cathepsin-d,,,18.06,66.28,13
HCPCS,82390,Assay of ceruloplasmin,,,10.74,39.42,13
HCPCS,82390,Hc Ceruloplasmin,153.915,60.025,,,0
HCPCS,82397,Chemiluminescent assay,,,14.12,51.82,13
HCPCS,82397,Hc Chemiluminescent Assay,151.4,59.05,,,0
HCPCS,82415,Assay of chloramphenicol,,,12.67,46.5,13
HCPCS,82415,Hc Chloramphenicol,200.0,78.0,,,0
HCPCS,82435,Assay of blood chloride,,,4.6,16.88,13
HCPCS,82435,Hc Chloride Blood,92.0,35.879999999999995,,,0
HCPCS,82436,Assay of urine chloride,,,5.75,21.1,13
HCPCS,82436,Hc Chloride Urine,107.25,41.824999999999996,,,0
HCPCS,82438,Assay other fluid chlorides,,,5.0,18.35,13
HCPCS,82438,Hc Chloride Other Source,134.0,52.26,,,0
HCPCS,82441,Hc Chlorinated Hc Screen,2223.0,866.97,,,0
HCPCS,82441,Test for chlorohydrocarbons,,,6.01,22.06,13
HCPCS,82465,Assay bld/serum cholesterol,,,4.35,15.96,13
HCPCS,82465,Hc Cholesterol Serum/Whole Blood Total,109.5,42.705,,,0
HCPCS,82480,Assay serum cholinesterase,,,7.87,28.88,13
HCPCS,82480,Hc Cholinesterase Plasma,162.2,63.260000000000005,,,0
HCPCS,82482,Assay rbc cholinesterase,,,9.81,36.0,13
HCPCS,82482,Hc Cholinesterase Rbc,141.1,55.03,,,0
HCPCS,82485,Assay chondroitin sulfate,,,20.65,75.79,13
HCPCS,82486,Gas/liquid chromatography,,,32.52,32.52,1
HCPCS,82487,Paper chromatography,,,28.96,28.96,1
HCPCS,82488,Paper chromatography,,,38.31,38.31,1
HCPCS,82489,Thin layer chromatography,,,33.41,33.41,1
HCPCS,82491,"Chromotography, quant, sing",,,32.52,32.52,1
HCPCS,82492,"Chromotography, quant, mult",,,32.52,32.52,1
HCPCS,82495,Assay of chromium,,,20.28,74.43,13
HCPCS,82495,Hc Chromium Blood Q,222.0,86.58,,,0
HCPCS,82507,Assay of citrate,,,27.8,102.03,13
HCPCS,82507,Hc Citrate Urine,515.85,201.18,,,0
HCPCS,82520,Assay of cocaine,,,27.18,27.18,1
HCPCS,82523,Collagen crosslinks,,,18.68,68.56,13
HCPCS,82523,Hc Collagen Cross Links Any Method,484.195,188.83499999999998,,,0
HCPCS,82525,Assay of copper,,,12.41,45.54,13
HCPCS,82525,Hc Assay Of Copper,280.685,109.465,,,0
HCPCS,82528,Assay of corticosterone,,,22.52,82.65,13
HCPCS,82530,Cortisol free,,,16.71,61.33,13
HCPCS,82530,Hc Cortisol Free,272.35,106.215,,,0
HCPCS,82533,Hc Total Cortisol,399.82,155.93,,,0
HCPCS,82533,Total cortisol,,,16.3,59.82,13
HCPCS,82540,Assay of creatine,,,4.64,17.03,13
HCPCS,82540,Hc Creatine,62.5,24.375,,,0
HCPCS,82541,"Column chromotography, qual",,,32.52,32.52,1
HCPCS,82542,Col chromotography qual/quan,,,24.09,88.41,13
HCPCS,82542,Hc Col Chr Ms Nondrug Analyte Nes Qual Or Quan Ea Spec,225.0,87.75,,,0
HCPCS,82542,Hc Column Chrom Mass Spect Nondrug Analyte Nes Qual/Quan Ea Specmn,1396.0,544.44,,,0
HCPCS,82543,Column chromotograph/isotope,,,32.52,32.52,1
HCPCS,82544,Column chromotograph/isotope,,,32.52,32.52,1
HCPCS,82550,Assay of ck (cpk),,,6.51,23.89,13
HCPCS,82550,Hc Creatine Kinase Total,168.75,65.81,,,0
HCPCS,82552,Assay of cpk in blood,,,13.39,49.14,13
HCPCS,82552,Hc Ck Isoenzymes,270.69,105.57,,,0
HCPCS,82553,Creatine mb fraction,,,11.55,42.39,13
HCPCS,82553,Hc Creatine Kinase Mb Fraction Only,281.5,109.785,,,0
HCPCS,82554,Creatine isoforms,,,11.87,43.56,13
HCPCS,82565,Assay of creatinine,,,5.12,18.79,13
HCPCS,82565,Hc Creatinine Blood,27.0,10.53,,,0
HCPCS,82565,Hc Rt Creatinine Blood,101.0,39.39,,,0
HCPCS,82570,Assay of urine creatinine,,,5.18,19.01,13
HCPCS,82570,Hc Assay Of Urine Creatinine,116.0,45.24,,,0
HCPCS,82575,Creatinine clearance test,,,9.46,34.72,13
HCPCS,82575,Hc Creatinine Clearance Urine,249.75,97.4,,,0
HCPCS,82585,Assay of cryofibrinogen,,,14.14,51.89,13
HCPCS,82585,Hc Cryofibrinogen,46.525,18.145,,,0
HCPCS,82595,Assay of cryoglobulin,,,6.47,23.74,13
HCPCS,82595,Hc Cryoglobulin Qualitative/Semi-Quantitative,167.5,65.325,,,0
HCPCS,82600,Assay of cyanide,,,19.4,71.2,13
HCPCS,82600,Hc Cyanide Assay,286.0,111.53999999999999,,,0
HCPCS,82607,Hc Vitamin B12 Assay,79.0,30.81,,,0
HCPCS,82607,Vitamin B-12,,,15.08,55.34,13
HCPCS,82608,B-12 binding capacity,,,14.32,52.55,13
HCPCS,82608,Hc Vit B12 Unsaturated Bc,120.525,47.004999999999995,,,0
HCPCS,82610,Cystatin c,,,18.52,67.97,13
HCPCS,82610,Hc Cystatin C,199.5,77.80499999999999,,,0
HCPCS,82615,Hc Cystine Screen Urine,358.0,139.62,,,0
HCPCS,82615,Test for urine cystines,,,9.55,35.05,13
HCPCS,82626,Dehydroepiandrosterone,,,25.27,92.74,13
HCPCS,82626,Hc Dhea Dehydroepiandrosterone,422.485,164.77,,,0
HCPCS,82627,Dehydroepiandrosterone,,,22.23,81.58,13
HCPCS,82627,Hc Dhea Sulfate,437.24,170.525,,,0
HCPCS,82633,Desoxycorticosterone,,,30.98,113.7,13
HCPCS,82634,Deoxycortisol,,,29.28,107.46,13
HCPCS,82634,Hc Deoxycortisol 11,193.3,75.385,,,0
HCPCS,82638,Assay of dibucaine number,,,12.25,44.96,13
HCPCS,82638,Hc Assay Of Dibucaine Number,141.5,55.185,,,0
HCPCS,82642,Dihydrotestosterone,,,29.28,107.46,12
HCPCS,82642,Hc Dihydrotestosterone Dht,162.99,63.565,,,0
HCPCS,82646,Assay of dihydrocodeinone,,,36.97,36.97,1
HCPCS,82649,Assay of dihydromorphinone,,,46.32,46.32,1
HCPCS,82651,Assay of dihydrotestosterone,,,46.32,46.32,1
HCPCS,82652,Hc Vitamin D 1 25 Hydroxy Assay,569.25,222.01,,,0
HCPCS,82652,Vit d 1 25-dihydroxy,,,38.5,141.29,13
HCPCS,82653,El-1 fecal quantitative,,,22.97,84.3,10
HCPCS,82653,Hc Elastase Pancreatic Fecal Quantitative,137.0,53.43,,,0
HCPCS,82654,Assay of dimethadione,,,24.95,24.95,1
HCPCS,82656,Hc Pancreatic Elastase Fecal,961.0,374.78999999999996,,,0
HCPCS,82656,Pancreatic elastase fecal,,,11.53,42.32,13
HCPCS,82657,Enzyme cell activity,,,22.17,81.36,13
HCPCS,82657,Hc Nzym Activ Bld Cells/Tiss Nonradact Substrate Ea,426.25,166.235,,,0
HCPCS,82658,Enzyme cell activity ra,,,31.64,161.59,13
HCPCS,82664,Electrophoretic test,,,60.19,225.7,13
HCPCS,82664,Hc Protein Electrophoresis Bld,230.65,89.95,,,0
HCPCS,82666,Assay of epiandrosterone,,,38.75,38.75,1
HCPCS,82668,Assay of erythropoietin,,,18.79,68.96,13
HCPCS,82668,Hc Erythropoietin Assay,372.46500000000003,145.26,,,0
HCPCS,82670,Assay of estradiol,,,27.94,102.54,13
HCPCS,82670,Hc Assay Of Total Estradiol,428.735,167.205,,,0
HCPCS,82671,Assay of estrogens,,,32.3,118.54,13
HCPCS,82671,"Estrogens, Fractionated",117.0,45.63,,,0
HCPCS,82671,Hc Estrogens Fractionated,326.925,127.5,,,0
HCPCS,82672,Assay of estrogen,,,21.7,79.64,13
HCPCS,82672,Hc Estrogen Total Serum,276.725,107.925,,,0
HCPCS,82677,Assay of estriol,,,24.18,88.74,13
HCPCS,82677,Hc Estriol Serum,303.71,118.445,,,0
HCPCS,82679,Assay of estrone,,,24.95,91.57,13
HCPCS,82679,Hc Estrone,348.175,135.79,,,0
HCPCS,82681,Assay dir meas fr estradiol,,,27.94,102.54,10
HCPCS,82681,Hc Assay Of Direct Measurement Free Estradiol,150.0,58.5,,,0
HCPCS,82690,Assay of ethchlorvynol,,,31.18,31.18,1
HCPCS,82693,Assay of ethylene glycol,,,14.9,54.68,13
HCPCS,82693,Hc Ethylene Glycol Assay,290.9,113.45,,,0
HCPCS,82696,Assay of etiocholanolone,,,26.24,96.3,13
HCPCS,82705,Fats/lipids feces qual,,,5.1,18.72,13
HCPCS,82705,Hc Fat Lipids Feces Qual,260.0,101.4,,,0
HCPCS,82710,Fats/lipids feces quant,,,16.8,61.66,13
HCPCS,82710,Hc Fecal Fat Total Quant,495.5,193.245,,,0
HCPCS,82715,Assay of fecal fat,,,22.97,84.3,13
HCPCS,82725,Assay of blood fatty acids,,,18.77,68.89,13
HCPCS,82725,Hc Fatty Acids Nonesterfied,128.0,49.92,,,0
HCPCS,82726,Hc Very Long Fatty Acid Chains,378.075,147.45,,,0
HCPCS,82726,Long chain fatty acids,,,19.75,72.48,13
HCPCS,82728,Assay of ferritin,,,13.63,50.02,13
HCPCS,82728,Hc Ferritin Assay,308.0,120.12,,,0
HCPCS,82731,Assay of fetal fibronectin,,,64.41,236.38,13
HCPCS,82731,Hc Fetal Fibronectin,866.35,337.875,,,0
HCPCS,82735,Assay of fluoride,,,18.54,68.04,13
HCPCS,82742,Assay of flurazepam,,,35.64,35.64,1
HCPCS,82746,Assay of folic acid serum,,,14.7,53.95,13
HCPCS,82746,Hc Folate Assay,373.0,145.47000000000003,,,0
HCPCS,82747,Assay of folic acid rbc,,,17.65,64.78,13
HCPCS,82747,Hc Assay Of Folic Acid Rbc,90.0,35.1,,,0
HCPCS,82757,Assay of semen fructose,,,17.34,63.64,13
HCPCS,82759,Assay of rbc galactokinase,,,21.48,78.83,13
HCPCS,82760,Assay of galactose,,,11.2,41.1,13
HCPCS,82760,Hc Assay Of Galactose,1480.0,577.2,,,0
HCPCS,82775,Assay galactose transferase,,,21.07,77.33,13
HCPCS,82775,Hc Galactose-1-Phosphate Uridyl Transferase Quan,76.0,29.64,,,0
HCPCS,82776,Galactose transferase test,,,11.74,43.09,13
HCPCS,82777,Galectin-3,,,21.36,162.4,13
HCPCS,82784,Assay iga/igd/igg/igm each,,,9.3,34.13,13
HCPCS,82784,Hc Assay Of Gammaglobulin Iga Igd Igg Igm Each,249.725,97.395,,,0
HCPCS,82785,Assay of ige,,,16.46,60.41,13
HCPCS,82785,Hc Ige,257.90999999999997,100.585,,,0
HCPCS,82787,Hc Igg Subclasses Q,564.6,220.195,,,0
HCPCS,82787,Igg 1 2 3 or 4 each,,,8.02,29.43,13
HCPCS,82800,Blood pH,,,11.0,40.37,13
HCPCS,82800,Hc Gases Blood Ph Only,191.25,74.59,,,0
HCPCS,82803,Blood gases any combination,,,26.07,95.68,13
HCPCS,82803,Hc Blood Gases Any Combination Ph Pco2 Po2 Co2 Hco3,402.875,157.12,,,0
HCPCS,82803,Hc Proc Abg Arterial,679.0,264.81,,,0
HCPCS,82805,Blood gases w/o2 saturation,,,49.72,289.09,13
HCPCS,82805,Hc Blood Gases W/O2 Saturation,503.2,196.25,,,0
HCPCS,82805,Hc Gases Blood Ph Direct Meas Xcpt Pulse Oximitry,711.0,277.29,,,0
HCPCS,82810,Blood gases o2 sat only,,,9.77,35.86,13
HCPCS,82810,Hc Gases Blood O2 Saturation Only Direct Meas,168.25,65.61500000000001,,,0
HCPCS,82810,Hc Oxyhemoglobin Pct Card Cath,279.0,108.81,,,0
HCPCS,82820,Hc Hemoglobin-Oxygen Affinity,83.0,32.37,,,0
HCPCS,82820,Hemoglobin-oxygen affinity,,,13.34,48.96,13
HCPCS,82930,Gastric analy w/ph ea spec,,,6.71,24.63,13
HCPCS,82938,Gastrin test,,,17.69,64.92,13
HCPCS,82941,Assay of gastrin,,,17.63,64.7,13
HCPCS,82941,Hc Assay Of Gastrin,168.5,65.715,,,0
HCPCS,82943,Assay of glucagon,,,14.29,52.44,13
HCPCS,82943,Hc Glucagon,300.45,117.175,,,0
HCPCS,82945,Glucose Other Fluid,,,3.93,14.42,13
HCPCS,82945,Hc Glucose Body Fluid Other Than Blood,193.65,75.52499999999999,,,0
HCPCS,82946,Glucagon tolerance test,,,17.77,65.22,13
HCPCS,82947,Assay glucose blood quant,,,3.93,14.42,13
HCPCS,82947,Glucose Blood,94.0,36.66,,,0
HCPCS,82947,Hc Glucose Blood,215.0,83.85,,,0
HCPCS,82947,Hc Glucose Quantitative Blood Xcpt Reagent Strip,117.995,46.019999999999996,,,0
HCPCS,82947,Hc Rt Glucose Quantitative Blood,215.0,83.85,,,0
HCPCS,82948,Hc Glucose Blood Reagent Strip,106.0,41.34,,,0
HCPCS,82948,Reagent strip/blood glucose,,,5.04,18.5,13
HCPCS,82950,Glucose test,,,4.75,17.43,13
HCPCS,82950,Hc Glucose Post Glucose Dose,145.89,56.894999999999996,,,0
HCPCS,82951,Glucose tolerance test (GTT),,,12.87,47.23,13
HCPCS,82951,Hc Glucose Tolerance Test Gtt 3 Specimens,276.995,108.03,,,0
HCPCS,82952,GTT-added samples,,,3.92,14.39,13
HCPCS,82952,Hc Glucose Tolerance Ea Addl Beyond 3 Specimens,72.535,28.29,,,0
HCPCS,82953,Glucose-tolbutamide test,,,27.18,27.18,1
HCPCS,82955,Assay of g6pd enzyme,,,9.7,35.6,13
HCPCS,82955,Hc G6Pd Assay,276.95,108.00999999999999,,,0
HCPCS,82960,Test for G6PD enzyme,,,6.05,22.2,13
HCPCS,82962,Glucose blood test,,,3.28,12.04,13
HCPCS,82962,Hc Glucose Bld By Monit Dev,14.0,5.46,,,0
HCPCS,82963,Assay of glucosidase,,,21.48,78.83,13
HCPCS,82965,Assay of gdh enzyme,,,13.15,48.26,13
HCPCS,82975,Assay of glutamine,,,28.51,28.51,1
HCPCS,82977,Assay of GGT,,,7.2,26.42,13
HCPCS,82977,Hc Ggt,116.5,45.435,,,0
HCPCS,82978,Assay of glutathione,,,15.45,56.7,13
HCPCS,82978,Hc Assay Of Glutathione,62.0,24.18,,,0
HCPCS,82979,Assay rbc glutathione,,,9.44,34.64,13
HCPCS,82980,Assay of glutethimide,,,32.96,32.96,1
HCPCS,82985,Assay of glycated protein,,,16.76,61.51,13
HCPCS,82985,Hc Fructosamine,280.475,109.38499999999999,,,0
HCPCS,83001,Assay of gonadotropin (fsh),,,18.58,68.19,13
HCPCS,83001,Hc Fsh Assay,329.495,128.505,,,0
HCPCS,83002,Assay of gonadotropin (lh),,,18.52,67.97,13
HCPCS,83002,Hc Lh Assay,373.0,145.47,,,0
HCPCS,83003,Assay growth hormone (hgh),,,16.67,61.18,13
HCPCS,83003,Hc Growth Hormone Hgh,288.1,112.36000000000001,,,0
HCPCS,83006,Growth stimulation gene 2,,,35.92,277.45,13
HCPCS,83006,Hc Growth Stimulation Expressed Gene 2,399.0,155.61,,,0
HCPCS,83008,Assay of guanosine,,,30.29,30.29,1
HCPCS,83009,H pylori (c-13) blood,,,67.36,247.21,13
HCPCS,83010,Assay of haptoglobin quant,,,12.58,46.17,13
HCPCS,83010,Hc Haptoglobin Blood,330.58,128.92499999999998,,,0
HCPCS,83012,Assay of haptoglobins,,,26.89,98.69,13
HCPCS,83013,H pylori (c-13) breath,,,67.36,247.21,13
HCPCS,83013,Hc Urea Breath Test Infrared Ubit,564.375,220.105,,,0
HCPCS,83014,H pylori drug admin,,,7.86,28.85,13
HCPCS,83014,Hc Hpylori Drug Administration,29.0,11.31,,,0
HCPCS,83015,Hc Heavy Metal Qualitative Any Analytes,475.0,185.25,,,0
HCPCS,83015,Heavy metal qual any anal,,,20.94,76.85,13
HCPCS,83018,Hc Cobalt Q,284.55,110.975,,,0
HCPCS,83018,Heavy metal quant each nes,,,21.96,80.59,13
HCPCS,83020,Hc Hemoglobin A2 Quant,503.0,196.17,,,0
HCPCS,83020,Hemoglobin electrophoresis,,,12.87,47.23,13
HCPCS,83021,Hc Hemoglobin Chromotography,196.29500000000002,76.555,,,0
HCPCS,83021,Hemoglobin chromotography,,,18.06,66.28,13
HCPCS,83026,Hemoglobin copper sulfate,,,4.01,14.72,13
HCPCS,83030,Fetal hemoglobin chemical,,,10.74,39.42,13
HCPCS,83033,Fetal hemoglobin assay qual,,,8.0,29.36,13
HCPCS,83036,Glycosylated hemoglobin test,,,9.71,35.64,13
HCPCS,83036,Hc Hba1C With Eag,52.0,20.28,,,0
HCPCS,83037,Glycosylated hb home device,,,9.71,35.64,13
HCPCS,83045,Blood methemoglobin test,,,6.49,23.82,13
HCPCS,83045,Hc Hgb Methemoglobin Qual,194.0,75.66,,,0
HCPCS,83050,Blood methemoglobin assay,,,8.2,30.09,13
HCPCS,83050,Hc Methemoglobin,150.875,58.84,,,0
HCPCS,83050,Hc Rt Methemoglobin,253.0,98.67,,,0
HCPCS,83051,Assay of plasma hemoglobin,,,7.31,26.83,13
HCPCS,83051,Hc Hemoglobin Plasma,117.675,45.894999999999996,,,0
HCPCS,83055,Blood sulfhemoglobin test,,,8.91,8.91,1
HCPCS,83060,Blood sulfhemoglobin assay,,,8.8,32.3,13
HCPCS,83060,Hc Hemoglobin Sulfhemoglobin Quantitative,498.7,194.49499999999998,,,0
HCPCS,83065,Assay of hemoglobin heat,,,9.0,33.03,13
HCPCS,83068,Hc Hemoglobin Unstable Screen,408.0,159.12,,,0
HCPCS,83068,Hemoglobin stability screen,,,9.47,34.75,13
HCPCS,83069,Assay of urine hemoglobin,,,3.95,14.5,13
HCPCS,83069,Hc Hemoglobin Urine,103.875,40.51,,,0
HCPCS,83070,Assay of hemosiderin qual,,,4.75,17.43,13
HCPCS,83070,Hc Assay Of Hemosiderin Qual,322.0,125.58,,,0
HCPCS,83070,Hemosiderin (Urine) Qual,84.0,32.76,,,0
HCPCS,83071,"Assay of hemosiderin, quant",,,12.47,12.47,1
HCPCS,83080,Assay of b hexosaminidase,,,16.87,61.91,13
HCPCS,83088,Assay of histamine,,,29.53,108.38,13
HCPCS,83088,Hc Histamine,356.96,139.215,,,0
HCPCS,83090,Assay Of Homocystine,,,17.92,65.77,13
HCPCS,83090,Hc Assay Of Homocysteine,536.99,209.425,,,0
HCPCS,83150,Assay of homovanillic acid,,,22.41,82.24,13
HCPCS,83150,Hc Homovanillic Acid,81.375,31.735,,,0
HCPCS,83491,Assay of corticosteroids 17,,,17.9,65.69,13
HCPCS,83491,Hc Hydroxysteroids-17 Q,373.5,145.665,,,0
HCPCS,83497,Assay of 5-hiaa,,,12.9,47.34,13
HCPCS,83497,Hc Hiaa-5,218.765,85.32000000000001,,,0
HCPCS,83498,Assay of progesterone 17-d,,,27.17,99.71,13
HCPCS,83498,Hc Assay Of Hydroxyprogesterone 17-D,486.385,189.69,,,0
HCPCS,83499,Assay of progesterone 20-,,,45.43,78.44,3
HCPCS,83500,Assay free hydroxyproline,,,22.65,83.13,13
HCPCS,83505,Assay total hydroxyproline,,,24.3,89.18,13
HCPCS,83505,Hc Hydrxyproline Total,404.0,157.56,,,0
HCPCS,83516,Chitobioside Carb Ab,92.0,35.88,,,0
HCPCS,83516,Hc Immunoassay Analyte Qual/Semiqual Multiple Step,349.35,136.245,,,0
HCPCS,83516,Immunoassay nonantibody,,,11.53,42.32,13
HCPCS,83516,Laminaribiosde Carb Ab,92.0,35.88,,,0
HCPCS,83518,Immunoassay dipstick,,,9.64,35.38,13
HCPCS,83519,Hc Immunoassay Analyte Quant Radioimmunoassay,572.455,223.255,,,0
HCPCS,83519,Ria nonantibody,,,18.4,67.53,13
HCPCS,83520,Hc Immunoassay Analyte Quantitative Nos,405.0,157.95,,,0
HCPCS,83520,Immunoassay quant nos nonab,,,17.27,63.38,13
HCPCS,83521,Hc Immunoglobulin Light Chains Free Each,104.0,40.56,,,0
HCPCS,83521,Ig light chains free each,,,17.27,63.38,10
HCPCS,83525,Assay of insulin,,,11.43,41.95,13
HCPCS,83525,Hc Insulin,238.5,93.015,,,0
HCPCS,83527,Assay of insulin,,,12.95,47.53,13
HCPCS,83527,Hc Free Insulin,202.5,78.975,,,0
HCPCS,83528,Assay of intrinsic factor,,,19.82,72.74,13
HCPCS,83529,Asay of interleukin-6 (il-6),,,17.27,63.38,10
HCPCS,83529,Hc Assay Of Interleukin-6 Il-6,121.0,47.19,,,0
HCPCS,83540,Assay of iron,,,6.47,23.74,13
HCPCS,83540,Hc Assay Of Iron,184.5,71.955,,,0
HCPCS,83540,Hc Iron Liver Tissue - Histology,335.0,130.65,,,0
HCPCS,83550,Hc Tibc,207.0,80.73,,,0
HCPCS,83550,Iron binding test,,,8.74,32.08,13
HCPCS,83570,Assay of idh enzyme,,,8.85,32.48,13
HCPCS,83582,Assay of ketogenic steroids,,,15.47,56.77,13
HCPCS,83582,Hc Ketogenic Steroids 17,141.5,55.185,,,0
HCPCS,83586,Assay 17- ketosteroids,,,12.8,46.98,13
HCPCS,83586,Hc Ketosteroids-17,188.25,73.41499999999999,,,0
HCPCS,83593,Fractionation ketosteroids,,,28.5,104.6,13
HCPCS,83605,Assay of lactic acid,,,11.57,42.46,13
HCPCS,83605,Hc Assay Of Lactic Acid,219.5,85.605,,,0
HCPCS,83605,Hc Poc Lactate Cvor,383.0,149.37,,,0
HCPCS,83605,Hc Rt Lactate Arterial,383.0,149.37,,,0
HCPCS,83615,Hc Lactate Dehydrogenase Ldh,138.0,53.82,,,0
HCPCS,83615,Lactate (LD) (LDH) enzyme,,,6.04,22.17,13
HCPCS,83625,Assay of ldh enzymes,,,12.79,46.94,13
HCPCS,83625,Hc Ldh Isoenzymes,243.29,94.885,,,0
HCPCS,83630,Hc Lactoferrin Fecal Qualitative,196.995,76.83,,,0
HCPCS,83630,Lactoferrin fecal (qual),,,19.7,72.3,13
HCPCS,83631,Hc Lactoferrin Fecal Quant,328.0,127.91999999999999,,,0
HCPCS,83631,Lactoferrin fecal (quant),,,19.63,72.04,13
HCPCS,83632,Hc Lactogen Maternal Serum Hpl,480.0,187.2,,,0
HCPCS,83632,Placental lactogen,,,20.22,74.21,13
HCPCS,83633,Test urine for lactose,,,9.65,41.29,13
HCPCS,83634,Assay of urine for lactose,,,20.94,20.94,1
HCPCS,83655,Assay of lead,,,12.11,44.44,13
HCPCS,83655,Hc Assay Of Lead,171.585,66.92,,,0
HCPCS,83661,Hc L/S Ratio,668.0,260.52,,,0
HCPCS,83661,L/s ratio fetal lung,,,21.99,80.7,13
HCPCS,83662,Foam stability fetal lung,,,18.91,69.4,13
HCPCS,83663,Fluoro polarize fetal lung,,,18.91,69.4,13
HCPCS,83664,Hc Fetal Lung Maturity Lamellar Body Density,131.0,51.09,,,0
HCPCS,83664,Lamellar bdy fetal lung,,,19.32,70.9,13
HCPCS,83670,Assay of lap enzyme,,,9.81,36.0,13
HCPCS,83670,Hc Leucine Aminopeptidase,285.0,111.15,,,0
HCPCS,83690,Assay of lipase,,,6.89,25.29,13
HCPCS,83690,Hc Assay Of Lipase,201.5,78.585,,,0
HCPCS,83695,Assay of lipoprotein(a),,,14.32,52.55,13
HCPCS,83695,Hc Lipoprotein A,175.37,68.39,,,0
HCPCS,83698,Assay Lipoprotein Pla2,,,46.31,169.96,13
HCPCS,83698,Hc Assay Lipoprotein Pla2,261.85,102.12,,,0
HCPCS,83700,Hc Lipopro Bld Electrophoretic,332.0,129.48,,,0
HCPCS,83700,Lipopro bld electrophoretic,,,11.26,41.32,13
HCPCS,83701,Hc Lipoprotein Blood High Resoltj And Quantj Subclass,247.95,96.7,,,0
HCPCS,83701,Lipoprotein bld hr fraction,,,33.86,124.27,13
HCPCS,83704,Hc Blood Lipoprotein Nmr,335.0,130.65,,,0
HCPCS,83704,Lipoprotein bld quan part,,,34.19,125.48,13
HCPCS,83718,Assay of lipoprotein,,,8.19,30.06,13
HCPCS,83718,Hc Hdl Cholesterol,137.5,53.625,,,0
HCPCS,83719,Assay of blood lipoprotein,,,12.75,46.79,13
HCPCS,83719,Hc Assay Of Blood Lipoprotein Vldl,317.0,123.63,,,0
HCPCS,83721,Assay of blood lipoprotein,,,10.5,38.53,13
HCPCS,83721,Hc Direct Ldl,48.75,19.01,,,0
HCPCS,83722,Hc Dir Meas Lipoprotein Small Dense Ldl Cholesterol,215.0,83.85,,,0
HCPCS,83722,Lipoprtn dir meas sd ldl chl,,,34.19,125.48,12
HCPCS,83727,Assay of lrh hormone,,,17.19,63.09,13
HCPCS,83735,Assay of magnesium,,,6.7,24.59,13
HCPCS,83735,Hc Assay Of Magnesium,124.995,48.75,,,0
HCPCS,83775,Assay malate dehydrogenase,,,7.37,27.05,13
HCPCS,83785,Assay of manganese,,,26.65,97.81,13
HCPCS,83785,Hc Manganese,466.835,182.065,,,0
HCPCS,83788,Mass spectrometry qual,,,32.52,32.52,1
HCPCS,83789,Hc Mass Spect And Tandem Mass Spect Nondrg Anal Nes Ea,393.0,153.26999999999998,,,0
HCPCS,83789,Mass spectrometry qual/quan,,,24.11,88.48,13
HCPCS,83805,Assay of meprobamate,,,31.63,31.63,1
HCPCS,83825,Assay of mercury,,,16.26,59.67,13
HCPCS,83825,Hc Assay Of Mercury Quantitative,275.0,107.25,,,0
HCPCS,83835,Assay of metanephrines,,,16.94,62.17,13
HCPCS,83835,Hc Metanephrines,357.335,139.36,,,0
HCPCS,83840,Assay of methadone,,,29.4,29.4,1
HCPCS,83857,Assay of methemalbumin,,,10.74,39.42,13
HCPCS,83858,Assay of methsuximide,,,26.73,26.73,1
HCPCS,83861,Microfluid analy tears,,,22.48,82.5,13
HCPCS,83864,Hc Mucopolysaccharides,767.0,299.13,,,0
HCPCS,83864,Mucopolysaccharides,,,28.5,104.6,13
HCPCS,83866,Mucopolysaccharides screen,,,17.81,17.81,1
HCPCS,83872,Assay synovial fluid mucin,,,5.86,21.51,13
HCPCS,83872,Hc Mucin Synorvial Fluid,113.9,44.42,,,0
HCPCS,83873,Assay of csf protein,,,17.2,63.12,13
HCPCS,83873,Hc Myelin Basic Protein,317.0,123.63,,,0
HCPCS,83874,Assay of myoglobin,,,12.92,47.42,13
HCPCS,83874,Hc Myoglobin,299.81,116.925,,,0
HCPCS,83876,Assay myeloperoxidase,,,22.69,186.66,13
HCPCS,83876,Hc Assay Myeloperoxidase,134.375,52.405,,,0
HCPCS,83880,Assay of natriuretic peptide,,,39.26,144.08,13
HCPCS,83880,Hc Natriuretic Peptide,355.0,138.45,,,0
HCPCS,83883,Assay nephelometry not spec,,,13.6,49.91,13
HCPCS,83883,Hc Assay Of Nephelometry Each Analyte Nes,288.81,112.63499999999999,,,0
HCPCS,83884,Assay neurflmnt light chain,,,116.23,426.56,9
HCPCS,83885,Assay of nickel,,,24.51,89.95,13
HCPCS,83885,Hc Assay Of Nickel,232.775,90.78,,,0
HCPCS,83887,Assay of nicotine,,,42.76,42.76,1
HCPCS,83915,Assay of nucleotidase,,,11.15,40.92,13
HCPCS,83915,Hc Nucleotidase 5,196.61,76.68,,,0
HCPCS,83916,Hc Oligoclonal Bands Hi Res Csf,335.875,130.99,,,0
HCPCS,83916,Oligoclonal bands,,,27.39,100.52,13
HCPCS,83918,Hc Organic Acids Qualitative Each Specimen,455.6,177.685,,,0
HCPCS,83918,Organic acids total quant,,,23.6,86.61,13
HCPCS,83919,Hc Qual Organic Acids Ea Specim,204.0,79.56,,,0
HCPCS,83919,Organic acids qual each,,,16.45,60.37,13
HCPCS,83921,Hc Organic Acid Single Quant,696.985,271.825,,,0
HCPCS,83921,Organic acid single quant,,,21.21,77.84,13
HCPCS,83925,Assay of opiates,,,35.19,35.19,1
HCPCS,83930,Assay of blood osmolality,,,6.61,24.26,13
HCPCS,83930,Hc Osmolality Blood,164.0,63.96,,,0
HCPCS,83935,Assay of urine osmolality,,,6.82,25.03,13
HCPCS,83935,Hc Osmolality Urine,179.5,70.005,,,0
HCPCS,83937,Assay of osteocalcin,,,29.85,109.55,13
HCPCS,83937,Hc Assay Of Osteocalcin,240.0,93.6,,,0
HCPCS,83945,Assay of oxalate,,,14.45,53.03,13
HCPCS,83945,Hc Oxalate,218.5,85.215,,,0
HCPCS,83950,Oncoprotein her-2/neu,,,64.41,236.38,13
HCPCS,83951,Hc Oncoprotein Dcp,789.0,307.71,,,0
HCPCS,83951,Oncoprotein dcp,,,64.41,236.38,13
HCPCS,83970,Assay of parathormone,,,41.28,151.5,13
HCPCS,83970,Hc Assay Of Parathormone,564.325,220.08499999999998,,,0
HCPCS,83986,Assay ph body fluid nos,,,3.58,13.14,13
HCPCS,83986,Hc Ph Body Fluid Not Elsewhere Specified,146.25,57.035,,,0
HCPCS,83986,Hc Poc Ph Body Fluid,265.0,103.35,,,0
HCPCS,83987,Exhaled breath condensate,,,3.58,49.84,13
HCPCS,83992,Assay for phencyclidine,,,25.75,45.75,4
HCPCS,83992,Hc Assay Of Phencyclidine,90.0,35.1,,,0
HCPCS,83993,Assay for calprotectin fecal,,,19.63,72.04,13
HCPCS,83993,Hc Assay For Calprotectin Fecal,753.0,293.67,,,0
HCPCS,84022,Assay of phenothiazine,,,28.07,28.07,1
HCPCS,84030,Assay of blood pku,,,5.5,20.18,13
HCPCS,84030,Hc Phenylalanine,291.5,113.685,,,0
HCPCS,84035,Assay of phenylketones,,,3.98,14.61,13
HCPCS,84060,Assay acid phosphatase,,,7.64,28.04,13
HCPCS,84060,Hc Total Acid Phosphatase,98.0,38.22,,,0
HCPCS,84061,Phosphatase forensic exam,,,14.25,24.51,3
HCPCS,84066,Assay prostate phosphatase,,,9.66,35.45,13
HCPCS,84066,Hc Acid Phosphatase Prostatic,188.66,73.575,,,0
HCPCS,84075,Assay alkaline phosphatase,,,5.18,19.01,13
HCPCS,84075,Hc Alkaline Phosphatase,120.8,47.11,,,0
HCPCS,84078,Assay alkaline phosphatase,,,8.26,30.31,13
HCPCS,84078,Hc Assay Of Phosphatase Alkaline Heat Stable,148.0,57.72,,,0
HCPCS,84080,Assay alkaline phosphatases,,,14.78,54.24,13
HCPCS,84080,Hc Alk Phos Isoenzyme Pattern,159.0,62.01,,,0
HCPCS,84081,Assay phosphatidylglycerol,,,16.52,60.63,13
HCPCS,84081,Hc Phosphatidyl Glycerol,439.0,171.21,,,0
HCPCS,84085,Assay of rbc pg6d enzyme,,,9.44,34.64,13
HCPCS,84087,Assay phosphohexose enzymes,,,10.73,39.38,13
HCPCS,84100,Assay of phosphorus,,,4.74,17.4,13
HCPCS,84100,Hc Assay Of Phosphorus Inorganic,84.0,32.760000000000005,,,0
HCPCS,84105,Assay of urine phosphorus,,,5.78,21.21,13
HCPCS,84105,Hc Phosphorus Urine,113.075,44.1,,,0
HCPCS,84106,Hc Porphobilinogen Urine Qual,198.0,77.22,,,0
HCPCS,84106,Test for porphobilinogen,,,5.82,21.36,13
HCPCS,84110,Assay of porphobilinogen,,,8.44,30.97,13
HCPCS,84110,Hc Porphobilinogen Quant,164.65,64.215,,,0
HCPCS,84112,Eval amniotic fluid protein,,,98.11,360.06,13
HCPCS,84112,Hc Pamg1 Protein Marker,362.0,141.18,,,0
HCPCS,84119,Hc Qual Urine Porphyrins,170.0,66.3,,,0
HCPCS,84119,Test urine for porphyrins,,,13.36,49.03,13
HCPCS,84120,Assay of urine porphyrins,,,14.71,53.99,13
HCPCS,84120,Hc Porphyrins Urine Quantitation And Fractionation,304.5,118.755,,,0
HCPCS,84126,Assay of feces porphyrins,,,39.11,143.53,13
HCPCS,84126,Hc Assay Of Feces Porphyrins,519.65,202.66500000000002,,,0
HCPCS,84127,Assay of feces porphyrins,,,20.94,20.94,1
HCPCS,84132,Assay of serum potassium,,,4.76,17.47,13
HCPCS,84132,Hc Potassium Blood,193.0,75.27,,,0
HCPCS,84132,Hc Potassium Serum Plasma/Whole Blood,108.5,42.315,,,0
HCPCS,84133,Assay of urine potassium,,,4.73,17.36,13
HCPCS,84133,Hc Potassium Urine,108.97,42.5,,,0
HCPCS,84134,Assay of prealbumin,,,14.59,53.55,13
HCPCS,84134,Hc Prealbumin,222.0,86.58,,,0
HCPCS,84135,Assay of pregnanediol,,,21.27,78.06,13
HCPCS,84138,Assay of pregnanetriol,,,21.05,77.25,13
HCPCS,84138,Hc Pregnantriol,143.0,55.77,,,0
HCPCS,84140,Assay of pregnenolone,,,20.67,75.86,13
HCPCS,84140,Hc Pregnenolone Lc Ms Ms,269.0,104.91,,,0
HCPCS,84143,Assay of 17-hydroxypregneno,,,22.81,83.71,13
HCPCS,84143,Hc 17-Hydroxypregnenolone,238.5,93.015,,,0
HCPCS,84144,Assay of progesterone,,,20.86,76.56,13
HCPCS,84144,Hc Progesterone Assay,340.475,132.785,,,0
HCPCS,84145,Hc Procalcitonin Pct,427.3,166.64499999999998,,,0
HCPCS,84145,Procalcitonin (PCT),,,27.22,99.9,13
HCPCS,84146,Assay of prolactin,,,19.38,71.12,13
HCPCS,84146,Hc Prolactin Blood,356.92,139.2,,,0
HCPCS,84150,Assay of prostaglandin,,,41.77,153.3,13
HCPCS,84152,Assay of psa complexed,,,18.39,67.49,13
HCPCS,84152,Hc Psa - Complexed-Prostate Specific Antigen Psa,766.0,298.74,,,0
HCPCS,84153,Assay of psa total,,,18.39,67.49,13
HCPCS,84153,Hc Assay Of Prostate Specific Antigen Total,96.56,37.66,,,0
HCPCS,84154,Assay of psa free,,,18.39,67.49,13
HCPCS,84154,Hc Psa Free,299.0,116.60999999999999,,,0
HCPCS,84155,Assay of protein serum,,,3.67,13.47,13
HCPCS,84155,Hc Protein Except Refractometry Serum Plasma/Whole Blood,99.5,38.805,,,0
HCPCS,84156,Assay of protein urine,,,3.67,13.47,13
HCPCS,84156,Hc Protein Total Xcpt Refractometry Urine,106.5,41.535,,,0
HCPCS,84157,Assay of protein other,,,4.0,14.68,13
HCPCS,84157,Hc Protein Total Xcpt Refractometry Oth Src,130.0,50.699999999999996,,,0
HCPCS,84160,Assay of protein any source,,,5.61,20.59,13
HCPCS,84163,Pappa serum,,,15.05,55.23,13
HCPCS,84165,Hc Protein Electrophoresis,191.4,74.645,,,0
HCPCS,84165,Protein e-phoresis serum,,,10.74,39.42,13
HCPCS,84166,Hc Protein Electrop Fxj And Quan Oth Flus Concentrati,188.01,73.325,,,0
HCPCS,84166,Protein e-phoresis/urine/csf,,,17.83,65.44,13
HCPCS,84181,Hc Rflxd Western Blot Q,358.685,139.885,,,0
HCPCS,84181,Western blot test,,,17.03,62.5,13
HCPCS,84182,Hc Protein Wb Im Id For Bands,628.2,245.0,,,0
HCPCS,84182,Protein western blot test,,,29.21,107.2,13
HCPCS,84202,Assay RBC protoporphyrin,,,14.35,52.66,13
HCPCS,84202,Hc Protoporphyrin Rbc Quantitative,256.1,99.88000000000001,,,0
HCPCS,84203,Test RBC protoporphyrin,,,9.74,35.75,13
HCPCS,84206,Assay of proinsulin,,,26.69,97.95,13
HCPCS,84206,Hc Assay Of Proinsulin,311.55,121.505,,,0
HCPCS,84207,Assay of vitamin b-6,,,28.1,103.13,13
HCPCS,84207,Hc Vitamin B6 Assay,728.5,284.115,,,0
HCPCS,84210,Assay of pyruvate,,,14.48,53.14,13
HCPCS,84210,Hc Pyruvic Acid Blood,192.5,75.075,,,0
HCPCS,84220,Assay of pyruvate kinase,,,9.44,34.64,13
HCPCS,84220,Hc Pyruvate Kinase Screen,290.25,113.2,,,0
HCPCS,84228,Assay of quinine,,,11.63,42.68,13
HCPCS,84228,Hc Quinine,200.0,78.0,,,0
HCPCS,84233,Assay of estrogen,,,87.88,322.52,13
HCPCS,84234,Assay of progesterone,,,64.88,238.11,13
HCPCS,84234,Hc Pra-Receptor Assay Progesterone,1365.0,532.35,,,0
HCPCS,84235,Assay of endocrine hormone,,,71.23,261.41,13
HCPCS,84235,Hc Tbii Receptor Assay,537.075,209.46,,,0
HCPCS,84238,Assay nonendocrine receptor,,,36.57,134.21,13
HCPCS,84238,Hc Receptor Assay Non-Endocrine Specify Receptor,137.5,53.625,,,0
HCPCS,84244,Assay of renin,,,21.99,80.7,13
HCPCS,84244,Hc Renin Blood,628.0,244.92,,,0
HCPCS,84252,Assay of vitamin b-2,,,20.24,74.28,13
HCPCS,84252,Hc Vitamin B2 Plasma,534.0,208.26,,,0
HCPCS,84255,Assay of selenium,,,25.53,93.7,13
HCPCS,84255,Hc Selenium Bld,439.0,171.21,,,0
HCPCS,84260,Assay of serotonin,,,30.98,113.7,13
HCPCS,84260,Hc Assay Of Serotonin,907.0,353.73,,,0
HCPCS,84270,Assay of sex hormone globul,,,21.73,79.75,13
HCPCS,84270,Hc Assay Of Sex Hormone Binding Globulin,323.0,125.97,,,0
HCPCS,84275,Assay of sialic acid,,,13.44,49.32,13
HCPCS,84275,Hc Sialic Acid,128.0,49.92,,,0
HCPCS,84285,Assay of silica,,,25.21,92.52,13
HCPCS,84295,Assay of serum sodium,,,4.81,17.65,13
HCPCS,84295,Hc Sodium Serum Plasma Or Whole Blood,99.285,38.72,,,0
HCPCS,84300,Assay of urine sodium,,,5.06,18.57,13
HCPCS,84300,Hc Assay Of Urine Sodium,106.75,41.635,,,0
HCPCS,84302,Assay of sweat sodium,,,4.86,17.84,13
HCPCS,84302,Hc Assay Of Sodium Other Source,78.2,30.5,,,0
HCPCS,84305,Assay of somatomedin,,,21.26,78.02,13
HCPCS,84305,Hc Somatodedin C,425.75,166.045,,,0
HCPCS,84305,Insulin-Like Growth Factor 1,183.0,71.37,,,0
HCPCS,84307,Assay of somatostatin,,,18.28,67.09,13
HCPCS,84307,Hc Somatostatin,550.25,214.595,,,0
HCPCS,84311,Hc Spectrophotometry Analyt Not Elsewhere Specified,243.0,94.77,,,0
HCPCS,84311,Spectrophotometry,,,8.1,29.73,13
HCPCS,84315,Body fluid specific gravity,,,3.28,12.04,13
HCPCS,84315,Hc Specific Gravity Fluid,50.625,19.744999999999997,,,0
HCPCS,84375,Chromatogram assay sugars,,,34.34,143.13,13
HCPCS,84376,Hc Reducing Substance Feces,78.5,30.615000000000002,,,0
HCPCS,84376,Sugars single qual,,,5.5,20.18,13
HCPCS,84377,Hc Sugars Multi Qual Ea Specimen,194.0,75.66,,,0
HCPCS,84377,Sugars multiple qual,,,5.5,20.18,13
HCPCS,84378,Sugars single quant,,,11.53,42.32,13
HCPCS,84379,Sugars multiple quant,,,11.53,42.32,13
HCPCS,84392,Assay of urine sulfate,,,5.49,20.15,13
HCPCS,84392,Hc Urine Sulfate,74.2,28.939999999999998,,,0
HCPCS,84393,Tau phosphorylated ea,,,128.92,473.14,9
HCPCS,84394,Total tau,,,128.92,473.14,9
HCPCS,84402,Assay of free testosterone,,,25.47,93.47,13
HCPCS,84402,Hc Testosterone Free,424.475,165.54500000000002,,,0
HCPCS,84403,Assay of total testosterone,,,25.81,94.72,13
HCPCS,84403,Hc Assay Of Total Testosterone,382.0,148.98,,,0
HCPCS,84410,Hc Testosterone Bioavailable,783.0,305.37,,,0
HCPCS,84410,Testosterone bioavailable,,,51.28,188.2,13
HCPCS,84425,Assay of vitamin b-1,,,21.23,77.91,13
HCPCS,84425,Hc Vitamin B1 Thiamine Assay,515.43,201.02,,,0
HCPCS,84430,Assay of thiocyanate,,,11.63,42.68,13
HCPCS,84430,Hc Thiocyanate Assay,206.425,80.505,,,0
HCPCS,84431,Thromboxane urine,,,22.25,128.85,13
HCPCS,84432,Assay of thyroglobulin,,,16.06,58.94,13
HCPCS,84432,Hc Thyroglobulin,306.38,119.49000000000001,,,0
HCPCS,84433,Asy thiopurin s-mthyltrnsfrs,,,22.17,81.36,9
HCPCS,84433,Hc Assay Thiopurine S-Methyltransferase,1293.0,504.27,,,0
HCPCS,84436,Assay of total thyroxine,,,6.87,25.21,13
HCPCS,84436,Hc Assay Of Thyroxine Total,36.0,14.04,,,0
HCPCS,84437,Assay of neonatal thyroxine,,,6.47,23.74,13
HCPCS,84439,Assay of free thyroxine,,,9.02,33.1,13
HCPCS,84439,Hc Assay Of Free Thyroxine,57.42,22.39,,,0
HCPCS,84442,Assay of thyroid activity,,,14.78,54.24,13
HCPCS,84442,Hc Assay Of Thyroxine Binding Globulin,217.725,84.91499999999999,,,0
HCPCS,84443,Assay thyroid stim hormone,,,16.8,61.66,13
HCPCS,84443,Hc Assay Of Thyroid Stimulating Hormone Tsh,164.88,64.3,,,0
HCPCS,84445,Assay of tsi globulin,,,50.86,186.66,13
HCPCS,84445,Hc Thyroid Stim Immunoglob,792.225,308.97,,,0
HCPCS,84446,Assay of vitamin e,,,14.18,52.04,13
HCPCS,84446,Hc Vitamin E Q,244.5,95.35499999999999,,,0
HCPCS,84449,Assay of transcortin,,,18.0,66.06,13
HCPCS,84449,Hc Transcortin,238.3,92.935,,,0
HCPCS,84450,Hc Ast Sgot,93.0,36.269999999999996,,,0
HCPCS,84450,Transferase (AST) (SGOT),,,5.18,19.01,13
HCPCS,84460,Alanine amino (ALT) (SGPT),,,5.3,19.45,13
HCPCS,84460,Hc Alt Sgpt,93.025,36.28,,,0
HCPCS,84466,Assay of transferrin,,,12.76,46.83,13
HCPCS,84466,Hc Transferrin Blood,237.5,92.625,,,0
HCPCS,84478,Assay of triglycerides,,,5.74,21.07,13
HCPCS,84478,Hc Assay Of Triglycerides,113.0,44.07,,,0
HCPCS,84479,Assay of thyroid (t3 or t4),,,6.47,23.74,13
HCPCS,84479,Hc Thyroid Horm Uptk/Thyroid Hormone Binding Ratio,154.0,60.06,,,0
HCPCS,84480,Assay triiodothyronine (t3),,,14.18,52.04,13
HCPCS,84480,Hc T3 Total,66.6,25.97,,,0
HCPCS,84481,Free assay (FT-3),,,16.94,62.17,13
HCPCS,84481,Hc Assay Of Triiodothyronine T3 Free,89.38,34.86,,,0
HCPCS,84482,Hc T3 Reverse,225.6,87.985,,,0
HCPCS,84482,T3 reverse,,,15.76,57.84,13
HCPCS,84484,Assay of troponin quant,,,12.47,45.76,13
HCPCS,84484,Hc Assay Of Troponin Quantitative,289.0,112.71,,,0
HCPCS,84485,Assay duodenal fluid trypsin,,,7.2,26.42,13
HCPCS,84488,Hc Trypsin Feces Qual,56.0,21.84,,,0
HCPCS,84488,Test feces for trypsin,,,7.3,26.79,13
HCPCS,84490,Assay of feces for trypsin,,,9.93,36.44,13
HCPCS,84510,Assay of tyrosine,,,10.63,39.01,13
HCPCS,84510,Hc Tyrosine,497.5,194.025,,,0
HCPCS,84512,Assay of troponin qual,,,10.09,37.03,13
HCPCS,84520,Assay of urea nitrogen,,,3.95,14.5,13
HCPCS,84520,Hc Assay Of Urea Nitrogen Quantitative,85.5,33.345,,,0
HCPCS,84525,Urea nitrogen semi-quant,,,5.13,18.83,13
HCPCS,84540,Assay of urine/urea-n,,,5.56,20.41,13
HCPCS,84540,Hc Urea Nitrogen Random Urine,120.58500000000001,47.03,,,0
HCPCS,84545,Hc Urea Clearance Urine,235.0,91.65,,,0
HCPCS,84545,Urea-N clearance test,,,7.2,26.42,13
HCPCS,84550,Assay of blood/uric acid,,,4.52,16.59,13
HCPCS,84550,Hc Uric Acid Blood,108.0,42.12,,,0
HCPCS,84560,Assay of urine/uric acid,,,5.08,18.64,13
HCPCS,84560,Hc Assay Of Uric Acid Other Source,132.5,51.675,,,0
HCPCS,84577,Assay of feces/urobilinogen,,,16.8,61.66,13
HCPCS,84577,Hc Urobilinogen Feces Quan,53.0,20.67,,,0
HCPCS,84578,Hc Urobilinogen Urine Qual,25.0,9.75,,,0
HCPCS,84578,Test urine urobilinogen,,,4.47,16.4,13
HCPCS,84580,Assay of urine urobilinogen,,,9.55,35.05,13
HCPCS,84583,Assay of urine urobilinogen,,,6.05,22.2,13
HCPCS,84585,Assay of urine vma,,,15.5,56.88,13
HCPCS,84585,Hc Vma 24Hr Urine,225.5,87.94500000000001,,,0
HCPCS,84586,Assay of vip,,,35.33,129.66,13
HCPCS,84586,Hc Vasoactive Intestinal Polypep,612.5,238.875,,,0
HCPCS,84588,Assay of vasopressin,,,33.94,124.56,13
HCPCS,84588,Hc Antidiuretic Hormone,563.125,219.62,,,0
HCPCS,84590,Assay of vitamin a,,,11.61,42.61,13
HCPCS,84590,Hc Vitamin A Retinol Assay,274.5,107.05499999999999,,,0
HCPCS,84591,Assay Of Nos Vitamin,,,17.06,62.61,13
HCPCS,84591,Hc Vitamin Not Specified Q,170.6,66.53,,,0
HCPCS,84591,Vitamin K,342.0,133.38,,,0
HCPCS,84597,Assay of vitamin k,,,13.72,50.35,13
HCPCS,84597,Hc Vitamin K,125.0,48.75,,,0
HCPCS,84600,Assay of volatiles,,,17.11,62.79,13
HCPCS,84600,Hc Volatiles Q,385.5,150.345,,,0
HCPCS,84620,Xylose tolerance test,,,12.91,47.38,13
HCPCS,84630,Assay of zinc,,,11.39,41.8,13
HCPCS,84630,Hc Zinc Blood,259.0,101.01,,,0
HCPCS,84681,Assay of c-peptide,,,20.81,76.37,13
HCPCS,84681,Hc C-Peptide,357.2,139.31,,,0
HCPCS,84702,Chorionic gonadotropin test,,,15.05,55.23,13
HCPCS,84702,Hc Gonadotropin Chorionic Quantitative,69.76,27.21,,,0
HCPCS,84703,Chorionic gonadotropin assay,,,7.52,27.6,13
HCPCS,84703,Hc Gonadotropin Chorionic Qualitative,49.0,19.11,,,0
HCPCS,84704,Hcg free betachain test,,,15.29,56.11,13
HCPCS,84830,Ovulation tests,,,12.7,46.61,13
HCPCS,84999,Clinical chemistry test,,,28.7,28.7,2
HCPCS,84999,Hc Unlisted Chemistry Test,221.01999999999998,86.2,,,0
HCPCS,85002,Bleeding time test,,,4.82,17.69,13
HCPCS,85002,Hc Bleeding Time,107.75,42.02,,,0
HCPCS,85004,Automated diff wbc count,,,6.47,23.74,13
HCPCS,85007,Bl smear w/diff wbc count,,,3.8,13.95,13
HCPCS,85007,Hc Bl Smear W/Diff Wbc Count,17.94,7.0,,,0
HCPCS,85008,Bl smear w/o diff wbc count,,,3.43,12.59,13
HCPCS,85008,Hc Bl Smear W/O Diff Wbc Count,60.25,23.5,,,0
HCPCS,85009,Hc Blood Count Manual Difrntl Wbc Count Buffy Coat,66.0,25.74,,,0
HCPCS,85009,Manual diff wbc count b-coat,,,5.07,18.61,13
HCPCS,85013,Hc Spun Hematocrit,129.0,50.31,,,0
HCPCS,85013,Spun microhematocrit,,,4.15,25.69,13
HCPCS,85014,Hc Blood Count Hematocrit,50.0,19.5,,,0
HCPCS,85014,Hc Hematocrit,88.0,34.32,,,0
HCPCS,85014,Hematocrit,,,2.37,8.7,13
HCPCS,85018,Hc Blood Count Hemoglobin,54.155,21.12,,,0
HCPCS,85018,Hc Hemoglobin,89.0,34.71,,,0
HCPCS,85018,Hc Poc Hemoglobin Hemocue,89.0,34.71,,,0
HCPCS,85018,Hc Rt Or Hemoglob,89.0,34.71,,,0
HCPCS,85018,Hemoglobin,,,2.37,8.7,13
HCPCS,85025,Blood Count Cbc Auto W/Auto Di,167.0,65.13,,,0
HCPCS,85025,Complete cbc w/auto diff wbc,,,7.77,28.52,13
HCPCS,85025,Hc Cbc With Differential,42.33,16.51,,,0
HCPCS,85027,Blood Count Cbc Auto W/O Diff,122.0,47.58,,,0
HCPCS,85027,Complete cbc automated,,,6.47,23.74,13
HCPCS,85027,Hc Cbc W/O Differential,33.05,12.89,,,0
HCPCS,85032,Hc Manual Cell Count Each,196.0,76.44,,,0
HCPCS,85032,Manual cell count each,,,4.31,15.82,13
HCPCS,85041,Automated rbc count,,,3.02,11.08,13
HCPCS,85041,Hc Red Cell Sendout,59.5,23.205,,,0
HCPCS,85044,Hc Manual Reticulocyte Count,191.0,74.49,,,0
HCPCS,85044,Manual reticulocyte count,,,4.31,15.82,13
HCPCS,85045,Automated reticulocyte count,,,3.99,14.64,13
HCPCS,85045,Hc Retic Count,91.01,35.495,,,0
HCPCS,85046,Hc Blood Count Reticulocytes Auto Cell Meas 1 Or Over,41.675,16.255,,,0
HCPCS,85046,Reticyte/hgb concentrate,,,5.57,20.44,13
HCPCS,85048,Automated leukocyte count,,,2.54,9.32,13
HCPCS,85048,Hc Blood Count Leukocyte Wbc Automated,83.19,32.445,,,0
HCPCS,85049,Automated platelet count,,,4.48,16.44,13
HCPCS,85049,Hc Blood Count Platelet Automated,76.365,29.78,,,0
HCPCS,85049,Platelet Count Automated,40.0,15.6,,,0
HCPCS,85055,Hc Reticulated Platelet Assay,213.025,83.08,,,0
HCPCS,85055,Reticulated platelet assay,,,35.74,131.17,13
HCPCS,85060,Blood smear interpretation,,,26.83,37.66,4
HCPCS,85060,Hc Blood Smear Peripheral Interpretation Physician W/Written Report,222.0,86.58,,,0
HCPCS,85097,Bone marrow interpretation,,,41.46,3072.0,13
HCPCS,85097,Hc Bone Marrow Smear Interp,602.265,234.885,,,0
HCPCS,85130,Chromogenic substrate assay,,,11.89,43.64,13
HCPCS,85130,Hc Chromogenic Substrate Assay,578.0,225.42,,,0
HCPCS,85170,Blood clot retraction,,,6.34,59.82,13
HCPCS,85175,Blood clot lysis time,,,7.97,74.76,13
HCPCS,85210,Clot factor ii prothrom spec,,,12.98,47.64,13
HCPCS,85210,Hc Clotting Factor Ii Prothrombin Specific,254.0,99.06,,,0
HCPCS,85220,Blooc clot factor v test,,,17.65,64.78,13
HCPCS,85220,Hc Factor V Assay,409.875,159.85,,,0
HCPCS,85230,Clot factor vii proconvertin,,,17.9,65.69,13
HCPCS,85230,Hc Factor Vii Assay,327.5,127.725,,,0
HCPCS,85240,Clot factor viii ahg 1 stage,,,17.9,65.69,13
HCPCS,85240,Hc Clotting Factor Viii Ahg 1-Stage,406.645,158.59,,,0
HCPCS,85244,Clot factor viii reltd antgn,,,20.42,74.94,13
HCPCS,85244,Hc Clotting Factor Viii Related Antigen,785.0,306.15,,,0
HCPCS,85245,Clot factor viii vw ristoctn,,,22.94,84.19,13
HCPCS,85245,Hc Von Willebrand Cofactor,423.28,165.07999999999998,,,0
HCPCS,85246,Clot factor viii vw antigen,,,22.94,84.19,13
HCPCS,85246,Hc Von Willebrand Factor Ag,408.57,159.34,,,0
HCPCS,85247,Clot factor viii multimetric,,,22.94,84.19,13
HCPCS,85247,Hc Clotting Factor Viii Multimetric Analysis,388.5,151.515,,,0
HCPCS,85250,Clot factor ix ptc/chrstmas,,,19.04,69.88,13
HCPCS,85250,Hc Clotting Factor Ix Ptc/Christmas,410.0,159.9,,,0
HCPCS,85260,Clot factor x stuart-power,,,17.9,65.69,13
HCPCS,85260,Hc Factor X Assay,333.75,130.165,,,0
HCPCS,85270,Clot factor xi pta,,,17.9,65.69,13
HCPCS,85270,Hc Clotting Factor Xi Pta,327.5,127.725,,,0
HCPCS,85280,Clot factor xii hageman,,,19.35,71.01,13
HCPCS,85280,Hc Factor Xii Assay,330.5,128.89499999999998,,,0
HCPCS,85290,Clot factor xiii fibrin stab,,,16.34,59.97,13
HCPCS,85290,Hc Clotting Factor Xiii Fs,672.31,262.2,,,0
HCPCS,85291,Clot factor xiii fibrin scrn,,,9.11,33.43,13
HCPCS,85291,Hc Clotting Factor Xiii Screen Soluble,516.0,201.24,,,0
HCPCS,85292,Clot factor fletcher fact,,,18.93,69.47,13
HCPCS,85293,Clot factor wght kininogen,,,18.93,69.47,13
HCPCS,85300,Antithrombin iii activity,,,11.85,43.49,13
HCPCS,85300,Hc Antithrombin Iii,295.71,115.325,,,0
HCPCS,85301,Antithrombin iii antigen,,,10.81,39.67,13
HCPCS,85301,Hc Antithrombin Iii Antigen,330.085,128.73499999999999,,,0
HCPCS,85302,Clot inhibit prot c antigen,,,12.01,44.08,13
HCPCS,85302,Hc Protein C Antigenic,538.0,209.82,,,0
HCPCS,85303,Clot inhibit prot c activity,,,13.84,50.79,13
HCPCS,85303,Hc Protein C Activity,359.0,140.01,,,0
HCPCS,85305,Clot inhibit prot s total,,,11.61,42.61,13
HCPCS,85305,Hc Protein S Antigenic,509.5,198.70499999999998,,,0
HCPCS,85306,Clot inhibit prot s free,,,15.32,56.22,13
HCPCS,85306,Hc Protein S Activity,318.6,124.255,,,0
HCPCS,85307,Assay Activated Protein C,,,15.32,56.22,13
HCPCS,85307,Hc Apc Resistance Assay Q,281.0,109.59,,,0
HCPCS,85335,Factor inhibitor test,,,12.87,47.23,13
HCPCS,85335,Hc Factor Inhibitor Test,297.35,115.965,,,0
HCPCS,85337,Thrombomodulin,,,17.27,63.38,13
HCPCS,85345,Coagulation time lee & white,,,4.69,17.21,13
HCPCS,85347,Coagulation time activated,,,4.28,15.71,13
HCPCS,85347,Hc Anticoagulation Test,94.0,36.66,,,0
HCPCS,85347,Hc Rt Coagulation Time Activated,94.0,36.66,,,0
HCPCS,85348,Coagulation time otr method,,,4.49,16.48,13
HCPCS,85360,Euglobulin lysis,,,8.41,30.86,13
HCPCS,85362,Fibrin degradation products,,,6.89,25.29,13
HCPCS,85362,Hc Fibrin Monomer,170.5,66.495,,,0
HCPCS,85366,Fibrinogen test,,,15.08,295.29,13
HCPCS,85366,Hc Fibrinogen Test Paracoagulation,260.0,101.4,,,0
HCPCS,85370,Fibrinogen test,,,12.43,45.62,13
HCPCS,85378,Fibrin degrade semiquant,,,9.72,35.67,13
HCPCS,85378,Hc D-Dimer- Qual/Semiquan,522.0,203.58,,,0
HCPCS,85379,Fibrin degradation quant,,,10.18,37.36,13
HCPCS,85379,Hc D Dimer,229.7,89.58500000000001,,,0
HCPCS,85380,Fibrin degradj d-dimer,,,10.18,37.36,13
HCPCS,85380,Hc D-Dimer Ultrasensitive,473.0,184.47,,,0
HCPCS,85384,Fibrinogen activity,,,9.72,35.67,13
HCPCS,85384,Hc *Fibrinogen Activity,278.0,108.42,,,0
HCPCS,85384,Hc Fibrin Degradation Split Products Agglutination Slide Semiquan,179.75,70.1,,,0
HCPCS,85385,Fibrinogen antigen,,,14.46,53.07,13
HCPCS,85385,Hc Fibrinogen Antigen,219.05,85.43,,,0
HCPCS,85390,Fibrinolysins screen i&r,,,9.05,56.81,13
HCPCS,85390,Hc Fibrinolysins Or Coagulopathy Screen Interpret And Report,455.3,177.565,,,0
HCPCS,85396,Clotting assay whole blood,,,24.5,31.29,4
HCPCS,85396,Hc Coagj/Fbrnlys Assay Whole Blood Additive Per Day,684.0,266.76,,,0
HCPCS,85397,Clotting funct activity,,,30.86,113.26,13
HCPCS,85397,Hc Clotting Function Activity Nos Ea Analyt Adamts13 Activity,399.04,155.625,,,0
HCPCS,85400,Fibrinolytic plasmin,,,7.71,28.3,13
HCPCS,85410,Fibrinolytic antiplasmin,,,7.71,28.3,13
HCPCS,85415,Fibrinolytic plasminogen,,,17.19,63.09,13
HCPCS,85415,Hc Plasminogen Activator Inhib,256.95,100.21000000000001,,,0
HCPCS,85420,Fibrinolytic plasminogen,,,6.53,23.97,13
HCPCS,85420,Hc Functional Plasminogen,371.075,144.72,,,0
HCPCS,85421,Fibrinolytic plasminogen,,,10.18,37.36,13
HCPCS,85441,Hc Heinz Bodies Direct,276.0,107.64,,,0
HCPCS,85441,Heinz bodies direct,,,4.2,15.41,13
HCPCS,85445,Heinz bodies induced,,,6.82,25.03,13
HCPCS,85460,Hc Fetal Hemoglobin Stain,211.8,82.6,,,0
HCPCS,85460,Hemoglobin fetal,,,7.73,28.37,13
HCPCS,85461,Hc Fetal Screen,128.55,50.135,,,0
HCPCS,85461,Hemoglobin fetal,,,9.36,34.35,13
HCPCS,85475,Hc Hemolysin Acid,940.0,366.6,,,0
HCPCS,85475,Hemolysin acid,,,8.87,32.55,13
HCPCS,85520,Hc Heparin Assay,316.675,123.50500000000001,,,0
HCPCS,85520,Heparin assay,,,13.09,48.04,13
HCPCS,85525,Hc Heparin Neutralization,183.0,71.37,,,0
HCPCS,85525,Heparin neutralization,,,11.84,43.45,13
HCPCS,85530,Hc Heparin-Protamine Tolerance Tst,64.0,24.96,,,0
HCPCS,85530,Heparin-protamine tolerance,,,13.09,48.04,13
HCPCS,85536,Iron Stain Peripheral Blood,,,6.88,25.25,13
HCPCS,85540,Wbc alkaline phosphatase,,,8.6,31.56,13
HCPCS,85547,RBC mechanical fragility,,,8.6,31.56,13
HCPCS,85549,Hc Lysozyme,234.5,91.455,,,0
HCPCS,85549,Muramidase,,,18.75,68.81,13
HCPCS,85555,Hc Osmotic Fragility Rbc Unincubated,954.0,372.06,,,0
HCPCS,85555,RBC osmotic fragility,,,7.47,27.41,13
HCPCS,85557,Hc Osmotic Fragility Screen,739.0,288.21,,,0
HCPCS,85557,RBC osmotic fragility,,,13.36,49.03,13
HCPCS,85576,Blood platelet aggregation,,,24.91,91.42,13
HCPCS,85576,Hc Platelet Aggregation In Vitro Each Agent,241.65,94.24499999999999,,,0
HCPCS,85597,Hc Phospholipid Neutralization,161.875,63.13,,,0
HCPCS,85597,Phospholipid pltlt neutraliz,,,17.98,65.99,13
HCPCS,85598,Hc Hexagonal Phase Neutralization,288.335,112.44999999999999,,,0
HCPCS,85598,Hexagnal phosph pltlt neutrl,,,17.98,65.99,13
HCPCS,85610,Hc Poct Pt/Inr Poc 198,175.0,68.25,,,0
HCPCS,85610,Hc Prothrombin Time,24.0,9.36,,,0
HCPCS,85610,Prothrombin time,,,4.29,15.74,13
HCPCS,85611,Hc 1-1 Mix Pt,124.5,48.55499999999999,,,0
HCPCS,85611,Prothrombin test,,,3.94,14.46,13
HCPCS,85612,Hc Russell Viper Venom Time Undiluted,457.0,178.23,,,0
HCPCS,85612,Viper venom prothrombin time,,,16.76,64.19,13
HCPCS,85613,Hc Russell Viper Venom Time Diluted,185.485,72.34,,,0
HCPCS,85613,Russell viper venom diluted,,,9.58,35.16,13
HCPCS,85635,Hc Reptilase Test,326.7,127.415,,,0
HCPCS,85635,Reptilase test,,,9.85,36.15,13
HCPCS,85651,Hc Sedimentation Rate Rbc Non-Automated,173.0,67.47,,,0
HCPCS,85651,Rbc sed rate nonautomated,,,4.27,15.67,13
HCPCS,85652,Hc Sed Rate,76.5,29.835,,,0
HCPCS,85652,Rbc sed rate automated,,,2.7,9.91,13
HCPCS,85660,Hc Bb Sickle Cell Screen - Donor,99.0,38.61,,,0
HCPCS,85660,Hc Sickle Cell Screen,169.0,65.91,,,0
HCPCS,85660,RBC sickle cell test,,,5.51,20.22,13
HCPCS,85670,Hc Thrombin Time,115.0,44.85,,,0
HCPCS,85670,Thrombin time plasma,,,5.77,21.18,13
HCPCS,85675,Thrombin time titer,,,6.85,25.14,13
HCPCS,85705,Hc Thromboplastin Inhibition Tissue,643.0,250.77,,,0
HCPCS,85705,Thromboplastin inhibition,,,9.63,35.34,13
HCPCS,85730,Hc Thromboplastin Time Partial Plasma/Whole Blood,32.0,12.48,,,0
HCPCS,85730,Thromboplastin time partial,,,6.01,22.06,13
HCPCS,85732,Hc 1-1 Mix Ptt,163.0,63.56999999999999,,,0
HCPCS,85732,Thromboplastin time partial,,,6.47,23.74,13
HCPCS,85810,Blood viscosity examination,,,11.67,42.83,13
HCPCS,85810,Hc Viscosity,217.5,84.825,,,0
HCPCS,85999,Hc Unlisted Hematology And Coagulation Procedure,143.79,56.080000000000005,,,0
HCPCS,85999,Hematology procedure,,,28.7,28.7,2
HCPCS,86000,Agglutinins febrile antigen,,,6.98,25.62,13
HCPCS,86000,Hc Agglutinins Febrile,85.5,33.345,,,0
HCPCS,86001,Allergen Specific Igg,,,7.82,28.7,13
HCPCS,86001,Hc Igg Allergen Specific,85.64500000000001,33.4,,,0
HCPCS,86003,Allergen specific IgE,,,5.22,19.16,13
HCPCS,86003,Hc Allergen Spec Ige Crude Allergen Extract Each,61.5,23.985,,,0
HCPCS,86005,Allergen specific IgE,,,7.97,29.25,13
HCPCS,86005,Hc Allergen Spec Ige Qual Multiallergen Screen,138.0,53.82,,,0
HCPCS,86008,Allg spec ige recomb ea,,,17.93,65.8,13
HCPCS,86008,Hc Allergen Spec Ige Recombinant/Purified Compnt Ea,86.13499999999999,33.595,,,0
HCPCS,86015,Actin antibody each,,,12.05,44.22,10
HCPCS,86015,Hc Actin Smooth Muscle Antibody Each,69.0,26.91,,,0
HCPCS,86021,Hc Antibody Identification Leukocyte Antibodies,234.87,91.60000000000001,,,0
HCPCS,86021,WBC antibody identification,,,15.05,55.23,13
HCPCS,86022,Hc Antibody Identification Platelet Antibodies,363.8,141.88,,,0
HCPCS,86022,Hc Arc Crossmatch Platelets,641.0,249.99,,,0
HCPCS,86022,Platelet antibodies,,,18.37,67.42,13
HCPCS,86023,Hc Antiplatelet Antibody Direct,279.5,109.005,,,0
HCPCS,86023,Immunoglobulin assay,,,12.46,45.73,13
HCPCS,86036,Anca screen each antibody,,,12.05,44.22,10
HCPCS,86036,Hc Antineutrophil Cytoplasmic Antb Screen Ea Antb,57.0,22.23,,,0
HCPCS,86037,Anca titer each antibody,,,12.05,44.22,10
HCPCS,86037,Hc Antineutrophil Cytoplasmic Antb Titer Ea Antb,57.0,22.23,,,0
HCPCS,86038,Antinuclear antibodies,,,12.09,44.37,13
HCPCS,86038,Hc Antinuclear Antibodies Ana,254.595,99.28999999999999,,,0
HCPCS,86039,Antinuclear antibodies (ANA),,,11.16,40.96,13
HCPCS,86039,Hc Ana Abs Titer And Pattern,158.985,62.005,,,0
HCPCS,86041,Acetylcholn rcptr bndng antb,,,18.4,67.53,9
HCPCS,86041,Achr Binding Antibody By Ria,156.0,60.84,,,0
HCPCS,86041,Hc Acetylcholine Receptor Binding Antibody,156.0,60.84,,,0
HCPCS,86042,Acetylcholn rcptr blckg antb,,,18.4,67.53,9
HCPCS,86042,Hc Acetylcholine Receptor Blocking Antibody,82.0,31.98,,,0
HCPCS,86043,Acetylcholn rcptr modlg antb,,,12.05,44.22,9
HCPCS,86051,Aquaporin-4 antb elisa,,,11.53,42.32,10
HCPCS,86052,Aquaporin-4 antb cba each,,,12.05,44.22,10
HCPCS,86053,Aqaprn-4 antb flo cytmtry ea,,,14.46,138.47,10
HCPCS,86053,Hc Aquaporin-4 Antibody Flow Cytometry Each,594.0,231.66,,,0
HCPCS,86060,Antistreptolysin o titer,,,7.3,26.79,13
HCPCS,86060,Hc Aso Screen,131.5,51.285,,,0
HCPCS,86063,Antistreptolysin o screen,,,5.77,21.18,13
HCPCS,86063,Hc Aso Screen,187.0,72.93,,,0
HCPCS,86077,Phys blood bank serv xmatch,,,19.8,110.28,13
HCPCS,86078,Hc Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt,869.0,338.91,,,0
HCPCS,86078,Phys blood bank serv reactj,,,41.46,649.61,13
HCPCS,86079,Phys blood bank serv authrj,,,19.8,198.7,13
HCPCS,86140,C-reactive protein,,,5.18,19.01,13
HCPCS,86140,Hc C-Reactive Protein,27.0,10.53,,,0
HCPCS,86141,C-reactive protein hs,,,12.95,47.53,13
HCPCS,86141,Hc Crp High Sensitivity Cardio,151.475,59.075,,,0
HCPCS,86146,"Beta 2 Gp1 Ab Iga, S",219.0,85.41,,,0
HCPCS,86146,Beta-2 glycoprotein antibody,,,25.45,93.4,13
HCPCS,86146,Hc Beta 2 Glycoprotein I Antibody Each,191.23,74.58,,,0
HCPCS,86147,Cardiolipin antibody ea ig,,,25.45,93.4,13
HCPCS,86147,Hc Cardiolipin Antibody Each Ig Class,314.92,122.82,,,0
HCPCS,86148,Anti-phospholipid antibody,,,16.07,58.98,13
HCPCS,86148,Hc Phosphatidyl Iga Igm Igg,149.525,58.315,,,0
HCPCS,86152,Cell enumeration & id,,,15.25,920.36,12
HCPCS,86153,Cell enumeration phys interp,,,15.25,28.7,3
HCPCS,86155,Chemotaxis assay,,,15.99,58.68,13
HCPCS,86156,Cold agglutinin screen,,,8.07,29.62,13
HCPCS,86156,Hc Cold Agglutinin,113.0,44.07,,,0
HCPCS,86157,Cold agglutinin titer,,,8.06,29.58,13
HCPCS,86157,Hc Cold Agglutinin Titer,59.0,23.01,,,0
HCPCS,86160,Complement antigen,,,12.0,44.04,13
HCPCS,86160,Hc Complement Antigen Each Component,234.005,91.25999999999999,,,0
HCPCS,86161,Complement/function activity,,,12.0,44.04,13
HCPCS,86161,Hc C1 Esterase Inhib Functional,171.47,66.875,,,0
HCPCS,86162,Complement total (ch50),,,20.32,74.57,13
HCPCS,86162,Hc Complement Total Ch50,198.35,77.35499999999999,,,0
HCPCS,86171,Complement fixation each,,,10.01,36.74,13
HCPCS,86171,Hc Complemnt Fixation Ea Ag,254.0,99.06,,,0
HCPCS,86185,Counterimmunoelectrophoresis,,,16.03,27.77,3
HCPCS,86200,Ccp antibody,,,12.95,47.53,13
HCPCS,86200,Hc Cyclic Citrullinated Peptide Ccp,195.525,76.255,,,0
HCPCS,86215,Deoxyribonuclease antibody,,,13.25,48.63,13
HCPCS,86215,Hc Dnase B Antibody,184.0,71.76,,,0
HCPCS,86225,Dna antibody native,,,13.74,50.43,13
HCPCS,86225,Hc Dna Antibody Native/Double Stranded,249.015,97.11500000000001,,,0
HCPCS,86226,Dna antibody single strand,,,12.11,44.44,13
HCPCS,86226,Hc Dna Ab Ss,119.4,46.565,,,0
HCPCS,86231,Ema each ig class,,,12.09,44.37,10
HCPCS,86231,Hc Endomysial Antibody Each Immunoglobulin Class,108.0,42.12,,,0
HCPCS,86235,Hc Extractable Nuclear Antigen Antibody Any Method,219.05,85.43,,,0
HCPCS,86235,Nuclear antigen antibody,,,17.93,65.8,13
HCPCS,86243,Fc receptor,,,36.97,63.73,3
HCPCS,86255,Fluorescent antibody screen,,,12.05,44.22,13
HCPCS,86255,Hc Fluorescent Noninfectious Agent Antibody Screen Each Antibody,81.68,31.86,,,0
HCPCS,86255,Pcca Ab Igg,44.0,17.16,,,0
HCPCS,86256,Fluorescent antibody titer,,,12.05,44.22,13
HCPCS,86256,Hc Fluorescent Nonnfct Agt Antb Titer Ea Antibody,179.94,70.175,,,0
HCPCS,86258,Dgp antibody each ig class,,,12.05,44.22,10
HCPCS,86258,Hc Gliadin Antibody Each Immunoglobulin Class,69.0,26.91,,,0
HCPCS,86277,Growth hormone antibody,,,15.74,57.77,13
HCPCS,86280,Hemagglutination inhibition,,,8.19,30.06,13
HCPCS,86294,Immunoassay tumor qual,,,25.57,93.84,13
HCPCS,86300,Hc Ca 27 29 Truquant,234.5,91.455,,,0
HCPCS,86300,Immunoassay tumor ca 15-3,,,20.81,76.37,13
HCPCS,86301,Hc Ca 19-9,232.6,90.715,,,0
HCPCS,86301,Immunoassay tumor ca 19-9,,,20.81,76.37,13
HCPCS,86304,Hc Ca 125,233.6,91.10499999999999,,,0
HCPCS,86304,Immunoassay tumor ca 125,,,20.81,76.37,13
HCPCS,86305,Hc Human Epididymis Protein 4,455.0,177.45,,,0
HCPCS,86305,Human epididymis protein 4,,,20.81,76.37,13
HCPCS,86308,Hc Mono Test,128.5,50.115,,,0
HCPCS,86308,Heterophile antibody screen,,,5.18,19.01,13
HCPCS,86309,Heterophile antibody titer,,,6.47,23.74,13
HCPCS,86310,Heterophile antibody absrbj,,,7.37,27.05,13
HCPCS,86316,Hc Chromogranin A,278.55,108.63499999999999,,,0
HCPCS,86316,Immunoassay tumor other,,,20.81,76.37,13
HCPCS,86317,Hc Immunoassay Infectious Agent Antibody Quan Nos,170.865,66.635,,,0
HCPCS,86317,Immunoassay infectious agent,,,14.99,55.01,13
HCPCS,86318,Immunoassay infectious agent,,,18.09,66.39,13
HCPCS,86320,Hc Immunoelectrophoresis Bld,211.5,82.485,,,0
HCPCS,86320,Serum immunoelectrophoresis,,,29.92,109.81,13
HCPCS,86325,Hc Immunoelectrophoresis Other Fluids Concentration,113.0,44.07,,,0
HCPCS,86325,Other immunoelectrophoresis,,,23.13,84.89,13
HCPCS,86327,Immunoelectrophoresis assay,,,39.76,71.08,4
HCPCS,86328,Hc Ia Infectious Agt Antibody Sars-Cov-2 Covid-19,478.0,186.42,,,0
HCPCS,86328,Ia nfct ab sarscov2 covid19,,,45.28,166.18,10
HCPCS,86329,Hc Cryocrit Immunodiffusion,126.95,49.510000000000005,,,0
HCPCS,86329,Immunodiffusion nes,,,14.05,51.56,13
HCPCS,86331,Hc Immunodiffusion Gel Diffusion Qual Ea Ag/Antbdy,188.015,73.325,,,0
HCPCS,86331,Immunodiffusion ouchterlony,,,11.98,43.97,13
HCPCS,86332,Hc Immune Complex Assay,367.7,143.405,,,0
HCPCS,86332,Immune complex assay,,,24.37,89.44,13
HCPCS,86334,Hc Immunofixation Serum,231.22,90.175,,,0
HCPCS,86334,Immunofix e-phoresis serum,,,22.34,81.99,13
HCPCS,86335,Hc Immunofixation Electrophoresis Other Fluids,270.825,105.62,,,0
HCPCS,86335,Immunfix e-phorsis/urine/csf,,,29.35,107.71,13
HCPCS,86336,Hc Inhibin A,255.575,99.67500000000001,,,0
HCPCS,86336,Inhibin A,,,15.59,57.22,13
HCPCS,86337,Hc Insulin Ab Qual,217.14,84.685,,,0
HCPCS,86337,Insulin antibodies,,,21.41,78.57,13
HCPCS,86340,Hc Intrinsic Factor,267.5,104.325,,,0
HCPCS,86340,Intrinsic factor antibody,,,15.08,55.34,13
HCPCS,86341,Hc Islet Cell Antibody,208.195,81.19500000000001,,,0
HCPCS,86341,Islet cell antibody,,,23.57,86.5,13
HCPCS,86343,Hc Lhr Test-Leukocyte Histamine Release,243.0,94.77000000000001,,,0
HCPCS,86343,Leukocyte histamine release,,,12.46,45.73,13
HCPCS,86344,Hc Leukocyte Phagocytosis,560.0,218.4,,,0
HCPCS,86344,Leukocyte phagocytosis,,,10.39,38.13,13
HCPCS,86352,Cell function assay w/stim,,,116.76,498.61,13
HCPCS,86352,Hc Cellular Function Assay Stimul And Detect Biomarke,490.0,191.1,,,0
HCPCS,86353,Hc Lymphocyte Tr Mitogen/Ag Induced Blastogenesis,604.0,235.56,,,0
HCPCS,86353,Lymphocyte transformation,,,49.03,179.94,13
HCPCS,86355,B cells total count,,,37.73,138.47,13
HCPCS,86355,Hc B Cells Total Count,182.85,71.31,,,0
HCPCS,86356,Hc Mononuclear Cell Antigent,149.15,58.17,,,0
HCPCS,86356,Mononuclear cell antigen,,,26.78,98.28,13
HCPCS,86357,Hc Natural Killer Nk Cells Total Count,230.35,89.83500000000001,,,0
HCPCS,86357,Nk cells total count,,,37.73,138.47,13
HCPCS,86359,Hc T-Cells Total Count,274.35,106.995,,,0
HCPCS,86359,T cells total count,,,37.73,138.47,13
HCPCS,86360,Hc T-Helper/Suppressor,689.0350000000001,268.725,,,0
HCPCS,86360,T cell absolute count/ratio,,,46.98,172.42,13
HCPCS,86361,Hc Cd4,301.125,117.44,,,0
HCPCS,86361,T cell absolute count,,,26.78,98.28,13
HCPCS,86362,Hc Mog-Igg1 Antibody Cell-Based Imfluor Assay Each,42.0,16.38,,,0
HCPCS,86362,Mog-igg1 antb cba each,,,12.05,44.22,10
HCPCS,86363,Hc Mog-Igg1 Antibody Flow Cytometry Each,132.0,51.48,,,0
HCPCS,86363,Mog-igg1 antb flo cytmtry ea,,,14.46,138.47,10
HCPCS,86364,Hc Tissue Transglutaminase Ea Immunoglobulin Class,69.0,26.91,,,0
HCPCS,86364,Tiss trnsgltmnase ea ig clas,,,11.53,42.32,10
HCPCS,86366,Hc Muscle-Specific Kinase Antibody,576.0,224.64,,,0
HCPCS,86366,Muscle-specific kinase antb,,,18.4,67.53,9
HCPCS,86366,Musk Ab Immuno Qn Ria,576.0,224.64,,,0
HCPCS,86367,Hc Stem Cells Total Count,280.0,109.2,,,0
HCPCS,86367,Stem cells total count,,,66.1,285.45,13
HCPCS,86376,Hc Microsomal Antibodies Each,288.15,112.38,,,0
HCPCS,86376,Microsomal antibody each,,,14.55,53.4,13
HCPCS,86378,Migration inhibitory factor,,,35.64,61.28,3
HCPCS,86381,Hc Mitochondrial Antibody Each,152.0,59.28,,,0
HCPCS,86381,Mitochondrial antibody each,,,25.45,93.4,10
HCPCS,86382,Hc Viral Neutralization,170.0,66.3,,,0
HCPCS,86382,Neutralization test viral,,,16.91,62.06,13
HCPCS,86384,Nitroblue tetrazolium dye,,,13.61,49.95,13
HCPCS,86386,Nuclear matrix protein 22,,,21.78,79.93,13
HCPCS,86403,Hc Particle Agglutination Screen Ea Antibody,170.0,66.3,,,0
HCPCS,86403,Hc Particle Agglutination Screen Each Antibody,111.5,43.485,,,0
HCPCS,86403,Particle agglut antbdy scrn,,,11.54,42.35,13
HCPCS,86406,Hc Pa Titer Ea Ab,157.25,61.324999999999996,,,0
HCPCS,86406,Particle agglut antbdy titr,,,10.64,39.05,13
HCPCS,86408,Hc Neutralizing Antibody Sars-Cov-2 Screen,478.0,186.42,,,0
HCPCS,86408,Neutrlzg antb sarscov2 scr,,,42.13,154.62,10
HCPCS,86409,Hc Neutralizing Antibody Sars-Cov-2 Titer,478.0,186.42,,,0
HCPCS,86409,Neutrlzg antb sarscov2 titer,,,79.61,292.17,10
HCPCS,86413,Hc Severe Acute Respiratory Syndrome Coronavirus 2 Sarscov-2,478.0,186.42,,,0
HCPCS,86413,Sars-cov-2 antb quantitative,,,50.56,188.75,10
HCPCS,86430,Hc Rheumatoid Factor Qual,108.0,42.120000000000005,,,0
HCPCS,86430,Hc Rheumatoid Factor Synovial Fluid,186.0,72.54,,,0
HCPCS,86430,Rheumatoid factor test qual,,,6.14,22.53,13
HCPCS,86431,Hc Rheumatoid Factor,117.0,45.63,,,0
HCPCS,86431,Hc Rheumatoid Factor Quant,204.0,79.56,,,0
HCPCS,86431,Rheumatoid factor quant,,,5.67,20.81,13
HCPCS,86480,Hc Quantiferon Tb Gold Client Inc Q,304.125,118.61,,,0
HCPCS,86480,Tb test cell immun measure,,,61.98,227.47,13
HCPCS,86481,Hc Tb Ag Response T-Cell Susp,212.5,82.875,,,0
HCPCS,86481,Tb ag response t-cell susp,,,100.0,367.0,13
HCPCS,86485,Skin test candida,,,6.61,110.28,13
HCPCS,86486,Skin test nos antigen,,,6.61,110.28,13
HCPCS,86490,Coccidioidomycosis skin test,,,6.61,168.32,4
HCPCS,86510,Histoplasmosis skin test,,,6.61,142.42,13
HCPCS,86580,Hc Skin Test Tuberculosis Intradermal,96.0,37.44,,,0
HCPCS,86580,TB intradermal test,,,6.61,110.28,13
HCPCS,86580,Tb Skin Test,65.0,25.35,,,0
HCPCS,86581,Strptcs pneum antb serot ia,,,92.03,337.75,9
HCPCS,86590,Streptokinase antibody,,,12.66,46.46,13
HCPCS,86592,Hc Syphilis Test Non-Treponemal Antibody Qual,58.87,22.959999999999997,,,0
HCPCS,86592,Syphilis test non-trep qual,,,4.27,15.67,13
HCPCS,86593,Hc Rpr Titer,74.5,29.055,,,0
HCPCS,86593,Syphilis test non-trep quant,,,4.4,16.15,13
HCPCS,86596,Hc Voltage-Gated Calcium Channel Antibody Each,66.0,25.74,,,0
HCPCS,86596,Voltage-gtd ca chnl antb ea,,,12.05,44.22,10
HCPCS,86602,Antinomyces antibody,,,10.18,37.36,13
HCPCS,86603,Adenovirus antibody,,,12.87,47.23,13
HCPCS,86603,Hc Adenovirus Antibodies,166.835,65.065,,,0
HCPCS,86606,Aspergillus antibody,,,15.05,55.23,13
HCPCS,86606,Hc Aspergillus Antibody,267.925,104.49,,,0
HCPCS,86609,Bacterium antibody,,,12.88,47.27,13
HCPCS,86609,Hc Antibody Bacterium Not Elsewhere Specified,104.75,40.85,,,0
HCPCS,86611,Bartonella Antibody,,,10.18,37.36,13
HCPCS,86611,Hc Antibody Bartonella,189.965,74.08500000000001,,,0
HCPCS,86612,Blastomyces antibody,,,12.9,47.34,13
HCPCS,86612,Hc Blastomyces Antibody Id,115.925,45.209999999999994,,,0
HCPCS,86615,Bordetella antibody,,,13.19,48.41,13
HCPCS,86615,Hc Antibody Bordetella,149.9,58.46,,,0
HCPCS,86617,Hc Lyme Disease Ab Wb,161.525,62.995,,,0
HCPCS,86617,Lyme disease antibody,,,15.49,56.85,13
HCPCS,86618,Hc Lyme Disease Ab W Rflx W Blot,107.0,41.730000000000004,,,0
HCPCS,86618,Lyme disease antibody,,,17.03,62.5,13
HCPCS,86619,Borrelia antibody,,,13.38,49.1,13
HCPCS,86622,Brucella antibody,,,8.93,32.77,13
HCPCS,86622,Hc Brucella Antibody,164.0,63.96,,,0
HCPCS,86625,Campylobacter antibody,,,13.12,48.15,13
HCPCS,86628,Candida antibody,,,12.01,44.08,13
HCPCS,86628,Hc Ab Candida,89.85,35.04,,,0
HCPCS,86631,Chlamydia antibody,,,11.82,43.38,13
HCPCS,86631,Hc Antibody Chlamydia,190.3,74.215,,,0
HCPCS,86632,Chlamydia igm antibody,,,12.68,46.54,13
HCPCS,86632,Hc Chlamydia Ab Igm,171.445,66.865,,,0
HCPCS,86635,Coccidioides antibody,,,11.47,42.09,13
HCPCS,86635,Hc Ab Coccidioides,94.0,36.66,,,0
HCPCS,86638,Hc Antibody Coxiella Burnetii Q Fever,204.6,79.795,,,0
HCPCS,86638,Q fever antibody,,,12.12,44.48,13
HCPCS,86641,Cryptococcus antibody,,,14.41,52.88,13
HCPCS,86641,Hc Ab Cryptococcus,230.0,89.7,,,0
HCPCS,86644,CMV antibody,,,14.39,52.81,13
HCPCS,86644,Hc Antibody Cytomegalovirus Cmv,308.0,120.12,,,0
HCPCS,86644,Hc Arc Cmv Testing,187.325,73.055,,,0
HCPCS,86645,Cmv antibody igm,,,16.85,61.84,13
HCPCS,86645,Hc Cmv Antibodies Igm,240.0,93.6,,,0
HCPCS,86648,Diphtheria antibody,,,15.21,55.82,13
HCPCS,86648,Hc Diptheria Antibodies,309.795,120.82,,,0
HCPCS,86651,Encephalitis californ antbdy,,,13.19,48.41,13
HCPCS,86651,Hc Encephalitis California,203.0,79.17,,,0
HCPCS,86652,Encephaltis east eqne anbdy,,,13.19,48.41,13
HCPCS,86652,Hc Encephalitis Eastern Equine,203.0,79.17,,,0
HCPCS,86653,Encephaltis st louis antbody,,,13.19,48.41,13
HCPCS,86653,Hc Encephalitis St Louis,203.0,79.17,,,0
HCPCS,86654,Encephaltis west eqne antbdy,,,13.19,48.41,13
HCPCS,86654,Hc Encephalitis Western Equine,203.055,79.19,,,0
HCPCS,86658,Enterovirus antibody,,,13.03,47.82,13
HCPCS,86658,Hc Antibody Enterovirus,253.5,98.865,,,0
HCPCS,86663,Epstein-barr antibody,,,13.12,48.15,13
HCPCS,86663,Hc Antibody Epstein-Barr Eb Virus Early Antigen Ea,189.5,73.905,,,0
HCPCS,86664,Epstein-barr nuclear antigen,,,15.29,56.11,13
HCPCS,86664,Hc Eb Nuclear Antigen,161.49,62.98,,,0
HCPCS,86665,Epstein-barr capsid vca,,,18.14,66.57,13
HCPCS,86665,Hc Eb Viral Capsid,212.3,82.79499999999999,,,0
HCPCS,86666,Ehrlichia Antibody,,,10.18,37.36,13
HCPCS,86666,Hc Antibody Ehrlichia,183.0,71.37,,,0
HCPCS,86668,Francisella tularensis,,,14.16,51.97,13
HCPCS,86671,Fungus nes antibody,,,12.25,44.96,13
HCPCS,86671,Hc Fungus Non-Specific,112.055,43.7,,,0
HCPCS,86674,Giardia lamblia antibody,,,14.72,54.02,13
HCPCS,86674,Hc Ab Giardia Lamblia,722.0,281.58,,,0
HCPCS,86677,Hc Antibody Helicobacter Pylori,219.3,85.52499999999999,,,0
HCPCS,86677,Helicobacter pylori antibody,,,16.85,61.84,13
HCPCS,86682,Hc Cysticercosis Antibodies,337.57,131.65,,,0
HCPCS,86682,Helminth antibody,,,13.01,47.75,13
HCPCS,86684,Hc H.Flu Type B Antibody Igg,180.5,70.395,,,0
HCPCS,86684,Hemophilus influenza antibdy,,,15.84,58.13,13
HCPCS,86687,Hc Ab Htlv I,127.0,49.53,,,0
HCPCS,86687,Htlv-i antibody,,,9.09,33.36,13
HCPCS,86688,Hc Ab Htlv Ii,127.0,49.53,,,0
HCPCS,86688,Htlv-ii antibody,,,14.0,51.38,13
HCPCS,86689,Hc Antibody Htlv/Hiv Antibody Confirmatory Test,98.78,38.52,,,0
HCPCS,86689,Htlv/hiv confirmj antibody,,,19.35,71.01,13
HCPCS,86692,Hc Ab Hepatitis D,539.95,210.57999999999998,,,0
HCPCS,86692,Hepatitis delta agent antbdy,,,17.16,62.98,13
HCPCS,86694,Hc Antibody Herpes Simplex Non-Specific Type Test,160.95,62.769999999999996,,,0
HCPCS,86694,Herpes simplex nes antbdy,,,14.39,52.81,13
HCPCS,86695,Hc Antibody Herpes Simplex Type 1,156.115,60.885,,,0
HCPCS,86695,Herpes simplex type 1 test,,,13.19,48.41,13
HCPCS,86696,Hc Antibody Herpes Simplex Type 2,169.79,66.22,,,0
HCPCS,86696,Herpes simplex type 2 test,,,19.35,71.01,13
HCPCS,86698,Hc Histoplasma Antibody,167.0,65.13,,,0
HCPCS,86698,Histoplasma antibody,,,13.79,50.61,13
HCPCS,86701,Hc Antibody Hiv-1,245.44,95.72,,,0
HCPCS,86701,Hiv-1antibody,,,8.89,32.63,13
HCPCS,86702,Hc Hiv-2,249.485,97.3,,,0
HCPCS,86702,Hiv-2 antibody,,,13.52,49.62,13
HCPCS,86703,Hc Hiv1/Hiv2 Antibody,398.45,155.39499999999998,,,0
HCPCS,86703,Hiv-1/hiv-2 1 result antbdy,,,13.71,50.32,13
HCPCS,86704,Hc Hepatitis B Core Total,175.9,68.6,,,0
HCPCS,86704,Hep b core antibody total,,,12.05,44.22,13
HCPCS,86705,Hc Hepatitis B Core Antibody Hbcab Igm Antibody,172.5,67.275,,,0
HCPCS,86705,Hep b core antibody igm,,,11.77,43.2,13
HCPCS,86706,Hc Hepatitis B Coreigmab,162.9,63.53,,,0
HCPCS,86706,Hep b surface antibody,,,10.74,39.42,13
HCPCS,86707,Hc Hepatitis Be Antibody,164.5,64.155,,,0
HCPCS,86707,Hepatitis be antibody,,,11.57,42.46,13
HCPCS,86708,Hc Hepatitis A Antibody Total,156.0,60.84,,,0
HCPCS,86708,Hepatitis a antibody,,,12.39,45.47,13
HCPCS,86709,Hc Hepatitis Antibody Haab Igm Antibody,193.0,75.27,,,0
HCPCS,86709,Hepatitis a igm antibody,,,11.26,41.32,13
HCPCS,86710,Hc Influenza Virus Antibody,192.25,74.98,,,0
HCPCS,86710,Influenza virus antibody,,,13.55,49.73,13
HCPCS,86711,Hc Antibody John Cunningham Virus,2881.275,1123.6950000000002,,,0
HCPCS,86711,John cunningham antibody,,,16.89,61.99,13
HCPCS,86713,Hc Legionella Pneumo Abs,265.1,103.38999999999999,,,0
HCPCS,86713,Legionella antibody,,,15.3,56.15,13
HCPCS,86717,Hc Leishmania Antibody Igg,112.25,43.78,,,0
HCPCS,86717,Leishmania antibody,,,12.25,44.96,13
HCPCS,86720,Hc Leptospira Antibodies,268.0,104.52,,,0
HCPCS,86720,Leptospira antibody,,,16.2,59.45,13
HCPCS,86723,Hc Antibody Listeria Monocytogenes,156.0,60.84,,,0
HCPCS,86723,Listeria monocytogenes,,,13.19,48.41,13
HCPCS,86727,Hc Ab Lcm-Antibody Lymphocytic Choriomeningitis,188.75,73.615,,,0
HCPCS,86727,Lymph choriomeningitis ab,,,12.87,47.23,13
HCPCS,86729,Lympho venereum antibody,,,21.39,37.58,3
HCPCS,86732,Mucormycosis antibody,,,15.0,55.05,13
HCPCS,86735,Hc Mumps Antibody,168.05,65.53999999999999,,,0
HCPCS,86735,Mumps antibody,,,13.05,47.89,13
HCPCS,86738,Hc Mycoplasma Antibody,151.09,58.925,,,0
HCPCS,86738,Mycoplasma antibody,,,13.24,48.59,13
HCPCS,86741,Hc Ab Neisseria Meningitidis,319.0,124.41,,,0
HCPCS,86741,Neisseria meningitidis,,,13.19,48.41,13
HCPCS,86744,Nocardia antibody,,,15.99,58.68,13
HCPCS,86747,Hc Parvovirus Antibody,197.5,77.02499999999999,,,0
HCPCS,86747,Parvovirus antibody,,,15.03,55.16,13
HCPCS,86750,Malaria antibody,,,13.19,48.41,13
HCPCS,86753,Hc E.Histolytica Ab Igg,290.705,113.375,,,0
HCPCS,86753,Protozoa antibody nos,,,12.39,45.47,13
HCPCS,86756,Hc Ab Rsv Antibody Respiratory Syncytial Virus,507.0,197.73,,,0
HCPCS,86756,Respiratory virus antibody,,,15.89,58.32,13
HCPCS,86757,Hc Rickettsia Antibody,206.465,80.52,,,0
HCPCS,86757,Rickettsia Antibody,,,19.35,71.01,13
HCPCS,86759,Hc Ab Rotavirus,335.0,130.65,,,0
HCPCS,86759,Rotavirus antibody,,,18.23,66.9,13
HCPCS,86762,Hc Rubella Antibody,125.9,49.1,,,0
HCPCS,86762,Rubella antibody,,,14.39,52.81,13
HCPCS,86765,Hc Rubeola Antibody,196.485,76.63,,,0
HCPCS,86765,Rubeola antibody,,,12.88,47.27,13
HCPCS,86768,Hc Ab Salmonella,142.675,55.644999999999996,,,0
HCPCS,86768,Salmonella antibody,,,13.19,48.41,13
HCPCS,86769,Hc Antb Severe Aqt Respir Synd Sars-Cov-2 Covid19,335.43,130.82,,,0
HCPCS,86769,Sars-cov-2 covid-19 antibody,,,42.13,154.62,10
HCPCS,86771,Shigella antibody,,,23.1,89.84,13
HCPCS,86774,Hc Ab Tetanus,178.775,69.72,,,0
HCPCS,86774,Tetanus antibody,,,14.8,54.32,13
HCPCS,86777,Hc Toxoplasma Antibody,171.825,67.01,,,0
HCPCS,86777,Toxoplasma antibody,,,14.39,52.81,13
HCPCS,86778,Hc Toxoplasma Ab Igm,195.5,76.245,,,0
HCPCS,86778,Toxoplasma antibody igm,,,14.41,52.88,13
HCPCS,86780,Hc Antibody Treponema Pallidum,61.59,24.02,,,0
HCPCS,86780,Treponema pallidum,,,13.24,48.59,13
HCPCS,86784,Hc Ab Trichinella,416.5,162.435,,,0
HCPCS,86784,Trichinella antibody,,,12.56,46.1,13
HCPCS,86787,Hc Varicella-Zoster Antibody,195.75,76.33999999999999,,,0
HCPCS,86787,Varicella-zoster antibody,,,12.88,47.27,13
HCPCS,86788,Hc West Nile Virus Igm,237.5,92.625,,,0
HCPCS,86788,West nile virus ab igm,,,16.85,61.84,13
HCPCS,86789,Hc West Nile Virus,228.5,89.11500000000001,,,0
HCPCS,86789,West Nile Virus Antibody,,,14.39,52.81,13
HCPCS,86790,Hc Antibody Virus Not Elsewhere Specififed,245.77,95.85000000000001,,,0
HCPCS,86790,Virus antibody nos,,,12.88,47.27,13
HCPCS,86793,Hc Yersinia Entero Ab Profile,313.125,122.12,,,0
HCPCS,86793,Yersinia antibody,,,13.19,48.41,13
HCPCS,86794,Hc Zika Virus Igm Antibody,59.0,23.01,,,0
HCPCS,86794,Zika virus igm antibody,,,16.85,61.84,13
HCPCS,86800,Hc Thyroglobulin Antibody,140.16,54.66,,,0
HCPCS,86800,Thyroglobulin antibody,,,15.91,58.39,13
HCPCS,86803,Hc Hepatitis C Ab Test,218.625,85.265,,,0
HCPCS,86803,Hepatitis c ab test,,,14.27,52.37,13
HCPCS,86804,Hep c ab test confirm,,,15.49,56.85,13
HCPCS,86805,Lymphocytotoxicity assay,,,91.61,695.5,13
HCPCS,86806,Lymphocytotoxicity assay,,,47.59,174.66,13
HCPCS,86807,Cytotoxic antibody screening,,,69.32,288.65,13
HCPCS,86808,Cytotoxic antibody screening,,,29.68,108.93,13
HCPCS,86812,Hc Hla-B27,212.35,82.815,,,0
HCPCS,86812,Hla typing a b or c,,,25.81,94.72,13
HCPCS,86813,Hc Hla Tissue Type A B C,797.915,311.185,,,0
HCPCS,86813,Hla typing a b or c,,,58.0,212.86,13
HCPCS,86816,Hla typing dr/dq,,,30.17,110.72,13
HCPCS,86817,Hc Dr/Dq,1133.25,441.96500000000003,,,0
HCPCS,86817,Hla typing dr/dq,,,106.14,389.53,13
HCPCS,86821,Lymphocyte culture mixed,,,36.56,176.47,13
HCPCS,86822,Lymphocyte culture primed,,,65.93,114.38,3
HCPCS,86825,Hc Hla Crossmatch Noncytotoxic 1St Serum/Dilution,675.0,263.25,,,0
HCPCS,86825,Hla x-math non-cytotoxic,,,109.49,401.83,13
HCPCS,86826,Hc Hla Crossmatch Noncytotoxic Addl Serum/Dilution,249.0,97.11,,,0
HCPCS,86826,Hla x-match noncytotoxc addl,,,36.53,134.07,13
HCPCS,86828,Hc Antibody Hla Class I And Class Ii Antigens Qual,827.5,322.725,,,0
HCPCS,86828,Hla class i&ii antibody qual,,,64.19,235.58,13
HCPCS,86829,Hla class i/ii antibody qual,,,48.96,235.58,13
HCPCS,86830,Hc Antibody Hla Class I Phenotype Panel Qualitative,876.0,341.64,,,0
HCPCS,86830,Hla class i phenotype qual,,,95.52,350.56,13
HCPCS,86831,Hc Antibody Hla Class Ii Phenotype Panel Qual,876.0,341.64,,,0
HCPCS,86831,Hla class ii phenotype qual,,,81.88,300.5,13
HCPCS,86832,Hc Antibody Hla Class I High Definition Panel Qual,1474.0,574.86,,,0
HCPCS,86832,Hla class i high defin qual,,,209.28,1188.16,13
HCPCS,86833,Hc Antibody Hla Class Ii High Definition Panel Qual,1483.0,578.37,,,0
HCPCS,86833,Hla class ii high defin qual,,,190.26,1195.69,13
HCPCS,86834,Hla class i semiquant panel,,,357.56,1312.25,13
HCPCS,86835,Hla class ii semiquant panel,,,322.96,1185.26,13
HCPCS,86849,Immunology procedure,,,28.7,28.7,2
HCPCS,86850,Hc Antibody Screen,345.075,134.58,,,0
HCPCS,86850,Hc Antibody Screen Rbc Each Serum Technique,633.0,246.87,,,0
HCPCS,86850,RBC antibody screen,,,12.26,198.7,13
HCPCS,86860,Hc Rbc Ab Elution Each,593.0,231.27,,,0
HCPCS,86860,RBC antibody elution,,,28.51,649.61,13
HCPCS,86870,Hc Antibody Id Rbc Antibodies Ea Panel Ea Serum Tq,1181.0,460.59,,,0
HCPCS,86870,Hc Antibody Id Rbc Antibodies Each Panel Each Serum Tq,628.765,245.22,,,0
HCPCS,86870,RBC antibody identification,,,30.18,1366.73,13
HCPCS,86880,Coombs test direct,,,9.41,224.93,13
HCPCS,86880,Hc Antihuman Globulin Direct Each Antiserum,239.5,93.40499999999999,,,0
HCPCS,86885,Coombs test indirect qual,,,10.02,649.61,13
HCPCS,86885,Hc Arc Antibody Id Ea Selected Cell,384.0,149.76,,,0
HCPCS,86886,Coombs test indirect titer,,,9.07,649.61,13
HCPCS,86886,Hc Coombs Indirect Titer Each,367.975,143.51,,,0
HCPCS,86890,Autologous blood process,,,58.16,649.61,13
HCPCS,86890,Hc Autologous Packed Red Cells,2875.0,1121.25,,,0
HCPCS,86891,Autologous blood op salvage,,,17.39,3072.0,13
HCPCS,86891,Hc Cell Saver Procedure,3995.0,1558.05,,,0
HCPCS,86900,Blood typing serologic abo,,,5.22,507.3,13
HCPCS,86900,Hc Abo Group Quest,253.0,98.67,,,0
HCPCS,86900,Hc Blood Group,181.22,70.675,,,0
HCPCS,86901,Blood typing serologic rh(d),,,5.22,142.42,13
HCPCS,86901,Hc Rh Type,116.895,45.59,,,0
HCPCS,86902,Blood type antigen donor ea,,,6.46,1366.73,13
HCPCS,86902,Hc Donor- Ag Typing Ea Ag Ea Unit,527.855,205.86499999999998,,,0
HCPCS,86904,Blood typing patient serum,,,16.66,224.93,13
HCPCS,86904,Hc Arc Rbc Ag Compat Scr Pt Serum,443.0,172.77,,,0
HCPCS,86905,Blood typing rbc antigens,,,6.68,1366.73,13
HCPCS,86905,Hc Arc Rbc Ag Not Abo Or D Ea,331.9,129.44,,,0
HCPCS,86906,Bld typing serologic rh phnt,,,13.57,142.42,13
HCPCS,86906,Hc Rh Phenotype,557.0,217.23000000000002,,,0
HCPCS,86910,Blood typing paternity test,,,19.91,58.01,4
HCPCS,86910,Hc Bld Type Paternity Abo Rh Mn,222.0,86.58,,,0
HCPCS,86911,Blood typing antigen system,,,17.32,49.84,4
HCPCS,86920,Compatibility test spin,,,17.39,649.61,13
HCPCS,86920,Hc Compatibility Each Unit Immediate Spin Technique,309.37,120.655,,,0
HCPCS,86921,Compatibility test incubate,,,17.39,649.61,13
HCPCS,86921,Hc Compatibility Incubation,440.0,171.6,,,0
HCPCS,86922,Compatibility test antiglob,,,30.18,649.61,13
HCPCS,86922,Hc Compatibility Each Unit Antiglobulin,792.0,308.88,,,0
HCPCS,86923,Compatibility test electric,,,17.39,649.61,13
HCPCS,86923,Hc Compatibility Test Each Unitelectronic,491.0,191.49,,,0
HCPCS,86927,Hc Thawing Fee,424.0,165.36,,,0
HCPCS,86927,Plasma fresh frozen,,,17.39,649.61,13
HCPCS,86930,Frozen blood prep,,,58.16,649.61,13
HCPCS,86930,Hc Frozen Blood Prep,1313.0,512.07,,,0
HCPCS,86931,Frozen blood thaw,,,58.16,649.61,13
HCPCS,86931,Hc Frozen Blood Thaw Unit,650.0,253.5,,,0
HCPCS,86932,Cryopreserv. Of Blood Lymphocy,459.0,179.01,,,0
HCPCS,86932,Frozen blood freeze/thaw,,,37.94,223.05,13
HCPCS,86932,Hc Frozen Blood Each Unit Freezing And Thawing,459.0,179.01,,,0
HCPCS,86940,Hc Hemolysins And Agglutinins Auto Screen Each,536.0,209.04,,,0
HCPCS,86940,Hemolysins/agglutinins auto,,,8.77,32.19,13
HCPCS,86941,Hc Sugar Water Test,537.0,209.43,,,0
HCPCS,86941,Hemolysins/agglutinins,,,12.11,44.44,13
HCPCS,86945,Blood product/irradiation,,,17.39,142.42,13
HCPCS,86945,Hc Irradiation Charge,618.0,241.02,,,0
HCPCS,86950,Leukacyte transfusion,,,17.39,649.61,13
HCPCS,86960,Vol reduction of blood/prod,,,17.39,649.61,13
HCPCS,86965,Hc Pooling Fee,695.0,271.05,,,0
HCPCS,86965,Pooling blood platelets,,,29.85,649.61,13
HCPCS,86970,Hc Rbc Pretreat W Chemical Each,426.0,166.14,,,0
HCPCS,86970,Rbc pretx incubatj w/chemicl,,,17.39,224.93,13
HCPCS,86971,Hc Rbc Pretreat W Enzyme Each,466.0,181.74,,,0
HCPCS,86971,Rbc pretx incubatj w/enzymes,,,17.39,649.61,13
HCPCS,86972,Hc Rbc Pretreat W Density Gradient,653.0,254.67,,,0
HCPCS,86972,Rbc pretx incubatj w/density,,,17.39,649.61,13
HCPCS,86975,Hc Serum Pretreat W/Drugs Each,572.0,223.08,,,0
HCPCS,86975,Rbc serum pretx incubj drugs,,,28.51,1703.33,13
HCPCS,86976,Hc Serum Pretreat By Dilution,285.0,111.15,,,0
HCPCS,86976,Rbc serum pretx id dilution,,,17.39,110.28,13
HCPCS,86977,Hc Serum Pretreat W Inhibitors Each,485.0,189.15,,,0
HCPCS,86977,Rbc serum pretx incubj/inhib,,,31.63,649.61,13
HCPCS,86978,Alloadsorption Ref Lab,318.0,124.02,,,0
HCPCS,86978,Hc Serum Pretreat By Adsorbtion Each,687.0,267.93,,,0
HCPCS,86978,Rbc pretreatment serum,,,30.18,224.93,13
HCPCS,86985,Hc Splittng Blood Or Blood Products Each Units,405.0,157.95,,,0
HCPCS,86985,Split blood or products,,,17.39,649.61,13
HCPCS,86999,Hc Unlisted Transfusion Medicine Procedure,1790.0,698.1,,,0
HCPCS,86999,Transfusion procedure,,,17.39,110.28,12
HCPCS,87001,Small animal inoculation,,,23.61,23.61,1
HCPCS,87003,Small animal inoculation,,,16.84,61.8,13
HCPCS,87015,Hc Concentration Any Type,206.0,80.34,,,0
HCPCS,87015,Hc Concentration In House,120.5,46.995000000000005,,,0
HCPCS,87015,Specimen infect agnt concntj,,,6.68,24.52,13
HCPCS,87040,Blood culture for bacteria,,,10.32,37.87,13
HCPCS,87040,Hc Culture Bacterial Blood Aerobic W/Id Presumptive Isolates,247.81,96.64500000000001,,,0
HCPCS,87045,Feces culture aerobic bact,,,9.44,34.64,13
HCPCS,87045,Hc Culture Salmonella/Shigella,196.1,76.48,,,0
HCPCS,87046,Hc Culture Bacterial Stool Aerobic Addl Pathogens And Id Each,143.6,56.004999999999995,,,0
HCPCS,87046,Stool cultr aerobic bact ea,,,9.44,34.64,13
HCPCS,87070,Culture othr specimn aerobic,,,8.62,31.64,13
HCPCS,87070,Hc Culture Bacterial Except Urine Blood/Stool Aerobic Isolates,227.5,88.72500000000001,,,0
HCPCS,87071,Culture aerobic quant other,,,9.89,36.3,13
HCPCS,87071,Hc Culture Bacterial Quan Aerobic Isolation Except Urine Blood/Stool,229.1,89.35000000000001,,,0
HCPCS,87071,Hc Culture Bronchial Brushing,410.0,159.9,,,0
HCPCS,87073,Culture Bacteria Anaerobic,,,9.66,35.45,13
HCPCS,87073,Hc Cul Bact Quan Anaerc Isol Xcpt Ur Blood/Stool,341.0,132.99,,,0
HCPCS,87075,Cultr bacteria except blood,,,9.47,34.75,13
HCPCS,87075,Hc Culture Anaerobe,230.0,89.7,,,0
HCPCS,87076,Culture anaerobe ident each,,,8.08,29.65,13
HCPCS,87076,Hc Anaerobic Isolate,154.765,60.36,,,0
HCPCS,87077,Culture Aerobic Identify,,,8.08,29.65,13
HCPCS,87077,Hc Cul Bact Aerobic Addl Meths Dfintve Ea Isol,145.17000000000002,56.615,,,0
HCPCS,87081,Culture screen only,,,6.63,24.33,13
HCPCS,87081,Hc Culture Presumptive Pathogen Organism Screening W/Colony Estimated,226.42000000000002,88.305,,,0
HCPCS,87084,Culture of specimen by kit,,,15.08,99.35,13
HCPCS,87086,Hc Culture Bacterial Quanttative Colony Count Urine,282.825,110.30000000000001,,,0
HCPCS,87086,Hc Culture Urine Cath,520.0,202.8,,,0
HCPCS,87086,"Hc Culture,Urine,Clean Catch",174.0,67.86,,,0
HCPCS,87086,Hc Hiv 1 Antigw Hiv1 And Hiv2 Antibodies,520.0,202.8,,,0
HCPCS,87086,Urine culture/colony count,,,8.07,29.62,13
HCPCS,87088,Hc Cul Bct Isol Prsmptv Id Isol Ea Urine,113.705,44.345,,,0
HCPCS,87088,Urine bacteria culture,,,8.09,29.69,13
HCPCS,87101,Hc Cul Fngi Mold/Yeast Prsmptv Id Skn Hair/Nail,414.0,161.46,,,0
HCPCS,87101,Skin fungi culture,,,7.71,28.3,13
HCPCS,87102,Fungus isolation culture,,,8.41,30.86,13
HCPCS,87102,Hc Cul Fungi Mold Yeast Prsmptv Other Except Blood,370.0,144.3,,,0
HCPCS,87103,Blood fungus culture,,,15.8,75.09,13
HCPCS,87103,Hc Culture Fungus Blood,383.875,149.71,,,0
HCPCS,87106,Fungi identification yeast,,,10.32,37.87,13
HCPCS,87106,Hc Cul Fungi Dfntiv Id Ea Organism Yeast,155.35,60.585,,,0
HCPCS,87107,Fungi identification mold,,,10.32,37.87,13
HCPCS,87107,Hc Cul Fungi Dfintv Id Ea Organism Mold,155.35,60.585,,,0
HCPCS,87109,Hc Culture M Hominis Ureaplasma,321.695,125.46,,,0
HCPCS,87109,Mycoplasma,,,15.39,56.48,13
HCPCS,87110,Chlamydia culture,,,19.6,71.93,13
HCPCS,87110,Hc Culture Chlamydia,327.5,127.725,,,0
HCPCS,87116,Hc Culture Afb,212.025,82.69000000000001,,,0
HCPCS,87116,Hc Culture Afb Blood,374.0,145.86,,,0
HCPCS,87116,Mycobacteria culture,,,10.8,39.64,13
HCPCS,87118,Hc Cul Mycobacterial Dfntiv Id Ea Isol,141.67000000000002,55.25,,,0
HCPCS,87118,Mycobacteric identification,,,14.61,53.62,13
HCPCS,87140,Culture type immunofluoresc,,,5.57,20.44,13
HCPCS,87140,Hc Culture Typing Immunofluor,325.9,127.1,,,0
HCPCS,87143,Culture typing glc/hplc,,,12.52,45.95,13
HCPCS,87147,Culture type immunologic,,,5.18,19.01,13
HCPCS,87147,Hc Culture Typing Immunologic Other Than Immunofluorescence,69.0,26.91,,,0
HCPCS,87149,Dna/rna direct probe,,,20.05,73.58,13
HCPCS,87149,Hc Culture Typing Nucleic Acid Probe Dir Ea Organsm,97.0,37.83,,,0
HCPCS,87149,Hc Dna/Rna Direct Probe,98.0,38.22,,,0
HCPCS,87150,Dna/rna amplified probe,,,35.09,128.78,13
HCPCS,87150,Hc Dna/Rna Amplified Probe,280.835,109.525,,,0
HCPCS,87152,Culture Type Pulse Field Gel,,,7.74,28.41,13
HCPCS,87153,Dna/rna sequencing,,,115.36,423.37,13
HCPCS,87153,Hc Dna/Rna Sequencing,971.0,378.69,,,0
HCPCS,87154,Cul typ id bld pthgn 6+ trgt,,,218.06,800.28,10
HCPCS,87154,Hc Culture Typing Id Bld Pthgn And Resist Typing 6 Or More Trgt,785.0,306.15,,,0
HCPCS,87158,Culture typing added method,,,7.74,28.41,13
HCPCS,87158,Hc Culture Typing Other Methods,28.0,10.92,,,0
HCPCS,87164,Dark field examination,,,10.74,39.42,13
HCPCS,87166,Dark field examination,,,11.3,41.47,13
HCPCS,87166,Hc Dark Field Wo Spec Collect,368.0,143.52,,,0
HCPCS,87168,Hc Macroscopic Exam Arthropod,179.8,70.12,,,0
HCPCS,87168,Macroscopic Exam Arthropod,,,4.27,15.67,13
HCPCS,87169,Hc Macroscopic Exam Parasite,81.6,31.825,,,0
HCPCS,87169,Macroscopic exam parasite,,,4.31,15.82,13
HCPCS,87172,Hc Pinworm Prep,102.1,39.82,,,0
HCPCS,87172,Pinworm Exam,,,4.27,15.67,13
HCPCS,87176,Hc Tissue Grinding,119.5,46.605000000000004,,,0
HCPCS,87176,Tissue homogenization cultr,,,5.88,21.58,13
HCPCS,87177,Hc O And P Body Fluid,392.0,152.88,,,0
HCPCS,87177,Hc O And P Smear Conc Id,219.5,85.60499999999999,,,0
HCPCS,87177,Ova and parasites smears,,,8.9,32.66,13
HCPCS,87181,Hc Susceptibility- Etest Method,63.115,24.615000000000002,,,0
HCPCS,87181,Microbe susceptible diffuse,,,4.75,17.43,13
HCPCS,87183,Sc std carbapenem resist gen,,,35.09,128.78,9
HCPCS,87184,Hc Susceptible Stdy Antimicrobe Disk Methd,124.625,48.605,,,0
HCPCS,87184,Microbe susceptible disk,,,7.48,27.45,13
HCPCS,87185,Hc Susceptibility Study Antimicrobial Enzyme Detection,77.95,30.400000000000002,,,0
HCPCS,87185,Microbe susceptible enzyme,,,4.75,17.43,13
HCPCS,87186,Hc Sensitivity,143.67000000000002,56.03,,,0
HCPCS,87186,Microbe susceptible mic,,,8.65,31.75,13
HCPCS,87187,Hc Minimum Bacteriocidal Conc Mbc,296.325,115.565,,,0
HCPCS,87187,Microbe susceptible mlc,,,18.16,147.42,13
HCPCS,87188,Hc Sensitivity - Macrobroth Ea Agnt,887.5,346.125,,,0
HCPCS,87188,Microbe suscept macrobroth,,,6.64,24.37,13
HCPCS,87190,Hc Sensitivity - Mycobact Ea Agnt,146.25,57.035,,,0
HCPCS,87190,Microbe suscept mycobacteri,,,7.31,26.83,13
HCPCS,87197,Bactericidal level serum,,,15.02,55.12,13
HCPCS,87205,Hc Smear Primary Source Gram/Giemsa Stain Bacteria Fungi/Cell,112.9,44.03,,,0
HCPCS,87205,Smear gram stain,,,4.27,15.67,13
HCPCS,87206,Hc Smear Fluores Afb Or Fungus,309.0,120.51,,,0
HCPCS,87206,Hc Smear Primary Source Fluorescent And/Or Acid Fast Stain Bacteria Fungi Parasites,168.495,65.715,,,0
HCPCS,87206,Smear fluorescent/acid stai,,,5.39,19.78,13
HCPCS,87207,Hc Malaria Smear,147.07,57.355,,,0
HCPCS,87207,Smear special stain,,,5.99,21.98,13
HCPCS,87209,Hc O And P Special Stain,165.5,64.545,,,0
HCPCS,87209,Smear complex stain,,,17.98,65.99,13
HCPCS,87210,Hc Poc Koh Prep,181.0,70.59,,,0
HCPCS,87210,Hc Poc Wet Prep,181.0,70.59,,,0
HCPCS,87210,Hc Smear Primary Source Wet Mount Infectious Agent,102.0,39.78,,,0
HCPCS,87210,Smear wet mount saline/ink,,,5.82,21.36,13
HCPCS,87220,Hc Koh Prep,115.175,44.92,,,0
HCPCS,87220,Hc Koh Smear,208.0,81.12,,,0
HCPCS,87220,Tissue exam for fungi,,,4.27,15.67,13
HCPCS,87230,Assay toxin or antitoxin,,,19.74,72.45,13
HCPCS,87230,Hc Toxin Assay Tissue Culture,458.69,178.89000000000001,,,0
HCPCS,87250,Hc Virus Isolate Embryo Egg Inj,425.0,165.75,,,0
HCPCS,87250,Virus inoculate eggs/animal,,,19.56,71.79,13
HCPCS,87252,Hc Virus Tissue Culture Inoculation Cytopathic Effect,399.85,155.94,,,0
HCPCS,87252,Virus inoculation tissue,,,26.07,95.68,13
HCPCS,87253,Hc Virus Inoculate Tissue Addl,261.0,101.79,,,0
HCPCS,87253,Virus inoculate tissue addl,,,20.2,74.13,13
HCPCS,87254,Hc Virus Centrifuge Enhanced Id Im Stain Ea,168.175,65.59,,,0
HCPCS,87254,Virus inoculation shell via,,,19.56,71.79,13
HCPCS,87255,Genet virus isolate hsv,,,33.86,124.27,13
HCPCS,87255,Hc Virus Id Non-Immunologic Other/Than Cytopathic,480.4,187.355,,,0
HCPCS,87260,Adenovirus ag if,,,14.43,52.96,13
HCPCS,87265,Hc Pertussis Direct Fa,322.875,125.92,,,0
HCPCS,87265,Pertussis ag if,,,11.98,43.97,13
HCPCS,87267,Enterovirus antibody dfa,,,13.42,49.25,13
HCPCS,87269,Giardia ag if,,,13.61,49.95,13
HCPCS,87270,Chlamydia trachomatis ag if,,,11.98,43.97,13
HCPCS,87270,Hc Chlamydia Trachomatis Ag Dfa,133.6,52.105000000000004,,,0
HCPCS,87271,Cytomegalovirus dfa,,,13.42,49.25,13
HCPCS,87272,Cryptosporidium ag if,,,11.98,43.97,13
HCPCS,87272,Hc Cryptosporidium W/Immunofluor Q,161.1,62.830000000000005,,,0
HCPCS,87273,Hc Iaadi Herpes Smplx Virus Type 2,718.0,280.02,,,0
HCPCS,87273,Herpes simplex 2 ag if,,,11.98,43.97,13
HCPCS,87274,Hc Iaadi Herpes Smplx Virus Type 1,718.0,280.02,,,0
HCPCS,87274,Herpes simplex 1 ag if,,,11.98,43.97,13
HCPCS,87275,Hc Influenza Virus B Ag,116.9,45.59,,,0
HCPCS,87275,Influenza b ag if,,,12.25,44.96,13
HCPCS,87276,Hc Influenza Virus A Ag,111.1,43.33,,,0
HCPCS,87276,Influenza a ag if,,,16.07,58.98,13
HCPCS,87277,Legionella micdadei ag if,,,21.39,37.58,3
HCPCS,87278,Hc Legionella Direct Fa,197.0,76.83,,,0
HCPCS,87278,Legion pneumophilia ag if,,,15.6,57.25,13
HCPCS,87279,Parainfluenza ag if,,,16.43,60.3,13
HCPCS,87280,Hc Respiratory Syncytial Ag If,118.0,46.02,,,0
HCPCS,87280,Respiratory syncytial ag if,,,13.42,49.25,13
HCPCS,87281,Hc Pneumocystis Carinii Ag If,91.14,35.545,,,0
HCPCS,87281,Pneumocystis carinii ag if,,,11.98,43.97,13
HCPCS,87283,Rubeola ag if,,,21.02,223.14,13
HCPCS,87285,Treponema pallidum ag if,,,12.18,44.7,13
HCPCS,87290,Hc Varicella Direct Fa,383.05,149.39,,,0
HCPCS,87290,Varicella zoster ag if,,,13.42,49.25,13
HCPCS,87299,Antibody detection nos if,,,16.1,59.09,13
HCPCS,87299,Hc Iaadi Not Otherwise Specified Each Organism,130.6,50.935,,,0
HCPCS,87300,Ag detection polyval if,,,11.98,43.97,13
HCPCS,87301,Adenovirus ag ia,,,11.98,43.97,13
HCPCS,87301,Hc Adenovirus Ag Ia,58.0,22.62,,,0
HCPCS,87305,Aspergillus ag ia,,,11.98,43.97,13
HCPCS,87305,Hc Aspergillus Ag Eia,244.1,95.2,,,0
HCPCS,87320,Chylmd trach ag ia,,,15.0,55.05,13
HCPCS,87324,Clostridium ag ia,,,11.98,43.97,13
HCPCS,87324,Hc Iaad Ia Clostridium Difficile Toxin,206.775,80.64,,,0
HCPCS,87327,Cryptococcus neoform ag ia,,,13.42,49.25,13
HCPCS,87327,Hc Cryptococcus Ag Quant,622.0,242.58,,,0
HCPCS,87328,Cryptosporidium ag ia,,,13.82,50.72,13
HCPCS,87328,Hc Cryptosporidium Ag Ia,272.6,106.315,,,0
HCPCS,87329,Giardia ag ia,,,11.98,43.97,13
HCPCS,87329,Hc Giardia Antigen Q,471.0,183.69,,,0
HCPCS,87332,Cytomegalovirus ag ia,,,11.98,43.97,13
HCPCS,87335,E coli 0157 ag ia,,,12.66,46.46,13
HCPCS,87336,Entamoeb hist dispr ag ia,,,16.0,58.72,13
HCPCS,87337,Entamoeb hist group ag ia,,,11.98,43.97,13
HCPCS,87337,Hc Entamoeb Hist Group Ag Ia,189.0,73.71,,,0
HCPCS,87338,Hc Helicobacter Pylori Ag Stool,585.0,228.15,,,0
HCPCS,87338,Hpylori stool ia,,,14.38,52.77,13
HCPCS,87339,H pylori ag ia,,,16.0,58.72,13
HCPCS,87339,Hc H Pylori Ag Ia,246.0,95.94,,,0
HCPCS,87340,Hc Iaad Ia Hepatitis B Surface Antigen,155.4,60.605,,,0
HCPCS,87340,Hepatitis b surface ag ia,,,10.33,37.91,13
HCPCS,87341,Hepatitis b surface ag ia,,,10.33,37.91,13
HCPCS,87350,Hc Hepatitis Be Antigen,143.5,55.965,,,0
HCPCS,87350,Hepatitis be ag ia,,,11.53,42.32,13
HCPCS,87380,Hc Hepatitis Delta Ag Ia,323.0,125.97,,,0
HCPCS,87380,Hepatitis delta ag ia,,,18.36,67.38,13
HCPCS,87385,Hc Histoplasma Antigen Urine,528.0,205.92,,,0
HCPCS,87385,Histoplasma capsul ag ia,,,13.25,48.63,13
HCPCS,87389,Hc Hiv1 Antigens With Hiv1 And Hiv2 Antibodies Single Result,114.74,44.75,,,0
HCPCS,87389,Hiv-1 ag w/hiv-1 & hiv-2 ab,,,24.08,88.37,13
HCPCS,87390,Hc Hiv-1 Ag Ia,572.0,223.08,,,0
HCPCS,87390,Hiv-1 ag ia,,,24.06,88.3,13
HCPCS,87391,Hiv-2 ag ia,,,21.9,80.37,13
HCPCS,87400,Hc Influenza A And B Ag,167.1,65.17,,,0
HCPCS,87400,Influenza a/b ag ia,,,14.13,51.86,13
HCPCS,87420,Hc Poc Rsv Antigen Eia,446.0,173.94,,,0
HCPCS,87420,Hc Rsv Antigen Eia,253.825,98.99,,,0
HCPCS,87420,Resp syncytial ag ia,,,13.91,51.05,13
HCPCS,87425,Hc Rotavirus Antigen Feces,206.275,80.44500000000001,,,0
HCPCS,87425,Rotavirus ag ia,,,11.98,43.97,13
HCPCS,87426,Coronavirus ag ia,,,35.33,129.66,10
HCPCS,87426,Hc Iaad Ia Severe Acute Respir Synd Coronavirus,441.0,171.99,,,0
HCPCS,87427,Hc Iaad Ia Shiga-Like Toxin,246.0,95.94,,,0
HCPCS,87427,Shiga-like toxin ag ia,,,11.98,43.97,13
HCPCS,87428,Hc Iaad Ia Sarscov And Influenza Virus Types A And B,441.0,171.99,,,0
HCPCS,87428,Sarscov & inf vir a&b ag ia,,,70.29,257.96,10
HCPCS,87430,Hc Poc Strep Test,209.0,81.51,,,0
HCPCS,87430,Hc Strep Screen Rapid Throat,136.025,53.050000000000004,,,0
HCPCS,87430,Strep a ag ia,,,16.81,61.69,13
HCPCS,87449,Ag detect nos ia mult,,,11.98,43.97,13
HCPCS,87449,Hc Iaad Ia Not Otherwise Specified Each Organism,230.685,89.965,,,0
HCPCS,87449,Hc Legionella Antigen Urine,340.0,132.6,,,0
HCPCS,87450,Ag detect nos ia single,,,17.38,30.23,3
HCPCS,87451,Ag detect polyval ia mult,,,10.51,38.57,13
HCPCS,87467,Hepatitis b surface ag quan,,,25.32,92.92,9
HCPCS,87468,Anaplsma phgcytophlm amp prb,,,35.09,128.78,9
HCPCS,87468,Hc Iadna Anaplasma Phagocytophilum Amplifed Prb Tq,123.0,47.97,,,0
HCPCS,87469,Babesia microti amp prb,,,35.09,128.78,9
HCPCS,87470,Bartonella dna dir probe,,,36.08,62.92,3
HCPCS,87471,Bartonella dna amp probe,,,35.09,128.78,13
HCPCS,87471,Hc Bartonella Dna Amp Probe,500.0,195.0,,,0
HCPCS,87472,Bartonella dna quant,,,42.84,157.22,13
HCPCS,87475,Lyme dis dna dir probe,,,20.05,73.58,13
HCPCS,87476,Hc Lyme Dis Dna Amp Probe,631.5,246.285,,,0
HCPCS,87476,Lyme dis dna amp probe,,,35.09,128.78,13
HCPCS,87477,Lyme dis dna quant,,,77.06,133.99,3
HCPCS,87478,Borrelia miyamotoi amp prb,,,35.09,128.78,9
HCPCS,87480,Candida dna dir probe,,,20.05,73.58,13
HCPCS,87480,Hc Candida Sp Direct Probe Tech,171.825,67.00999999999999,,,0
HCPCS,87481,Candida dna amp probe,,,35.09,128.78,13
HCPCS,87481,Hc Candida Species Amplified Probe Technique,265.315,103.475,,,0
HCPCS,87482,Candida dna quant,,,55.74,204.57,13
HCPCS,87483,Cns dna amp probe type 12-25,,,312.03,1529.58,13
HCPCS,87483,Hc Cns Dna Amp Probe Type 12-25,897.0,349.83,,,0
HCPCS,87484,Ehrlicha chaffeensis amp prb,,,35.09,128.78,9
HCPCS,87485,Chylmd pneum dna dir probe,,,20.05,73.58,13
HCPCS,87486,Chylmd pneum dna amp probe,,,35.09,128.78,13
HCPCS,87486,Hc Chylmd Pneum Dna Amp Probe,379.245,147.905,,,0
HCPCS,87487,Chylmd pneum dna quant,,,42.84,157.22,13
HCPCS,87490,Chylmd trach dna dir probe,,,22.75,83.49,13
HCPCS,87490,Hc Iadna Chlamydia Trachomatis Direct Probe Tq,695.0,271.05,,,0
HCPCS,87491,Chylmd trach dna amp probe,,,35.09,128.78,13
HCPCS,87491,Hc Chlamydia Trachomatis Amplified Probe Technique,256.4,99.99499999999999,,,0
HCPCS,87491,Hc Iadna Chlamydia Trachomatis Amplified Probe Tq,196.5,76.63499999999999,,,0
HCPCS,87492,Chylmd trach dna quant,,,53.47,196.23,13
HCPCS,87493,C diff amplified probe,,,37.27,136.78,13
HCPCS,87493,Hc C Diff Toxin Detect Amp Probe,592.0,230.88,,,0
HCPCS,87493,Hc Cdiff Pcr Qual,369.115,143.95499999999998,,,0
HCPCS,87494,Chlmy trch&neisra gonor mult,,,70.18,257.56,9
HCPCS,87495,Cytomeg dna dir probe,,,30.03,110.21,13
HCPCS,87496,Cytomeg dna amp probe,,,35.09,128.78,13
HCPCS,87496,Hc Cmv Dna Pcr,1022.25,398.68,,,0
HCPCS,87497,Cytomeg dna quant,,,42.84,157.22,13
HCPCS,87497,Hc Cytomegalovirus Dna Qn,618.34,241.155,,,0
HCPCS,87498,Enterovirus probe&revrs trns,,,35.09,128.78,13
HCPCS,87498,Hc Enterovirus Probe And Revrs Trns,417.7,162.905,,,0
HCPCS,87500,Vanomycin dna amp probe,,,35.09,128.78,13
HCPCS,87501,Influenza dna amp prob 1+,,,51.31,188.31,13
HCPCS,87502,Hc Infectious Agent Dna/Rna Influenza 1St 2 Types,560.5,218.59499999999997,,,0
HCPCS,87502,Influenza dna amp probe,,,95.8,351.59,13
HCPCS,87503,Hc Influenza Dna Amp Prob Addl,579.0,225.81,,,0
HCPCS,87503,Influenza dna amp prob addl,,,29.22,107.24,13
HCPCS,87505,Nfct agent detection gi,,,118.41,470.82,13
HCPCS,87506,Iadna-dna/rna probe tq 6-11,,,173.01,965.17,13
HCPCS,87507,Hc Iadna-Dna/Rna Gi Pthgn Multiplex Probe Tq 12-25,1517.0,591.63,,,0
HCPCS,87507,Iadna-dna/rna probe tq 12-25,,,309.55,1529.58,13
HCPCS,87510,Gardner vag dna dir probe,,,20.05,73.58,13
HCPCS,87510,Hc Gard Vag Direct Probe Tech,161.325,62.915,,,0
HCPCS,87511,Gardner vag dna amp probe,,,35.09,128.78,13
HCPCS,87512,Gardner vag dna quant,,,41.76,153.26,13
HCPCS,87512,Hc Gardnerella Vaginalis Quantification,260.6,101.63499999999999,,,0
HCPCS,87513,H pylri clrthmcn rst amp prb,,,35.09,128.78,9
HCPCS,87515,Hepatitis b dna dir probe,,,36.08,62.92,3
HCPCS,87516,Hc Hepatitis B Dna Amp Probe,366.25,142.84,,,0
HCPCS,87516,Hepatitis b dna amp probe,,,35.09,128.78,13
HCPCS,87517,Hc Hepatitis B Dna Pcr Quant,225.0,87.75,,,0
HCPCS,87517,Hepatitis b dna quant,,,42.84,157.22,13
HCPCS,87520,Hepatitis c rna dir probe,,,31.22,114.58,13
HCPCS,87521,Hc Hepatitis C Rna Pcr Qual,952.25,371.38,,,0
HCPCS,87521,Hepatitis c probe&rvrs trnsc,,,35.09,128.78,13
HCPCS,87522,Hc Iadna Hepatitis C Quant And Reverse Transcription,921.47,359.375,,,0
HCPCS,87522,Hepatitis c revrs trnscrpj,,,42.84,157.22,13
HCPCS,87523,Hepatitis d quantification,,,42.84,157.22,9
HCPCS,87525,Hc Hepatitis G Dna Dir Probe,103.0,40.17,,,0
HCPCS,87525,Hepatitis g dna dir probe,,,29.8,109.37,13
HCPCS,87526,Hepatitis g dna amp probe,,,39.26,144.08,13
HCPCS,87527,Hepatitis g dna quant,,,41.76,153.26,13
HCPCS,87528,Hsv dna dir probe,,,20.05,73.58,13
HCPCS,87529,Hc Hsv 1/2 By Pcr,594.25,231.76,,,0
HCPCS,87529,Hsv dna amp probe,,,35.09,128.78,13
HCPCS,87530,Hc Herpes Simplex Virus Direct Probe Technique,446.8,174.25,,,0
HCPCS,87530,Hsv dna quant,,,42.84,157.22,13
HCPCS,87531,Hhv-6 dna dir probe,,,35.12,212.86,13
HCPCS,87532,Hc Hhv-6 Dna Amp Probe,355.25,138.55,,,0
HCPCS,87532,Hhv-6 dna amp probe,,,35.09,128.78,13
HCPCS,87533,Hc Hhv-6 Dna Quant,575.0,224.25,,,0
HCPCS,87533,Hhv-6 dna quant,,,41.76,153.26,13
HCPCS,87534,Hiv-1 dna dir probe,,,21.92,80.45,13
HCPCS,87535,Hc Hiv1 Amplified Probe Technique Includes Rev Transcrip Performed,523.11,204.01500000000001,,,0
HCPCS,87535,Hiv-1 probe&reverse trnscrpj,,,35.09,128.78,13
HCPCS,87536,Hc Iadna Hiv-1 Quant And Reverse Transcription,394.0,153.66,,,0
HCPCS,87536,Hiv-1 quant&revrse trnscrpj,,,85.1,312.32,13
HCPCS,87537,Hiv-2 dna dir probe,,,21.92,80.45,13
HCPCS,87538,Hc Hiv-2 Probe And Revrse Trnscripj,532.5,207.67499999999998,,,0
HCPCS,87538,Hiv-2 probe&revrse trnscripj,,,35.09,128.78,13
HCPCS,87539,Hiv-2 quant&revrse trnscripj,,,58.62,215.14,13
HCPCS,87540,Legion pneumo dna dir prob,,,20.05,73.58,13
HCPCS,87541,Hc Legion Pneumo Dna Amp Prob,393.75,153.565,,,0
HCPCS,87541,Legion pneumo dna amp prob,,,35.09,128.78,13
HCPCS,87542,Legion pneumo dna quant,,,41.76,153.26,13
HCPCS,87550,Mycobacteria dna dir probe,,,20.05,73.58,13
HCPCS,87551,Hc Iadna Mycobacteria Species Amplified Probe Tq,174.0,67.86,,,0
HCPCS,87551,Mycobacteria dna amp probe,,,48.24,177.04,13
HCPCS,87552,Mycobacteria dna quant,,,42.84,157.22,13
HCPCS,87555,M.tuberculo dna dir probe,,,26.88,98.65,13
HCPCS,87556,Hc Iadna Mycobacteria Tuberculosis Amp Probe,613.65,239.325,,,0
HCPCS,87556,M.tuberculo dna amp probe,,,41.68,152.97,13
HCPCS,87557,M.tuberculo dna quant,,,42.84,157.22,13
HCPCS,87560,M.avium-intra dna dir prob,,,27.29,100.15,13
HCPCS,87561,M.avium-intra dna amp prob,,,35.09,128.78,13
HCPCS,87562,M.avium-intra dna quant,,,42.84,157.22,13
HCPCS,87563,Hc Iadna Mycoplasma Genitalium Amplified Probe Tech,147.0,57.33,,,0
HCPCS,87563,M. genitalium amp probe,,,35.09,128.78,10
HCPCS,87564,Mtb rifampin rst amp prb tq,,,76.77,281.75,9
HCPCS,87580,Hc M.Pneumon Dna Dir Probe,103.0,40.17,,,0
HCPCS,87580,M.pneumon dna dir probe,,,20.05,73.58,13
HCPCS,87581,Hc M.Pneumon Dna Amp Probe,232.25,90.58,,,0
HCPCS,87581,M.pneumon dna amp probe,,,35.09,128.78,13
HCPCS,87582,M.pneumon dna quant,,,73.14,1110.62,13
HCPCS,87590,N.gonorrhoeae dna dir prob,,,26.88,98.65,13
HCPCS,87591,Hc Iadna Neisseria Gonorrhoeae Amplified Probe Tq,353.0,137.67,,,0
HCPCS,87591,Hc Neisseria Gonorrhoeae Amplified Probe Technique,256.03,99.85,,,0
HCPCS,87591,N.gonorrhoeae dna amp prob,,,35.09,128.78,13
HCPCS,87592,N.gonorrhoeae dna quant,,,42.84,157.22,13
HCPCS,87593,Hc Iadna Orthopoxvirus Amplified Probe Technique Ea,537.5,209.625,,,0
HCPCS,87593,Orthopoxvirus amp prb each,,,51.31,188.31,9
HCPCS,87594,Pneumcysts jirovecii amp prb,,,35.09,128.78,9
HCPCS,87620,"Hpv, dna, dir probe",,,36.08,36.08,1
HCPCS,87621,"Hpv, dna, amp probe",,,63.26,63.26,1
HCPCS,87622,"Hpv, dna, quant",,,75.28,75.28,1
HCPCS,87623,Hc Hpv Low-Risk Types,303.75,118.46,,,0
HCPCS,87623,Hpv low-risk types,,,34.44,128.78,13
HCPCS,87624,Hc Hpv High-Risk Types,482.0,187.98,,,0
HCPCS,87624,Hc Hpv Screening,482.0,187.98,,,0
HCPCS,87624,Hc Human Papillomavirus Hpv High-Risk Types,322.25,125.67999999999999,,,0
HCPCS,87624,Hpv high-risk types,,,34.44,128.78,13
HCPCS,87625,Hc Iadna Human Papillomavirus Types 16 And 18 Only,260.75,101.695,,,0
HCPCS,87625,Hpv types 16 & 18 only,,,34.44,148.82,13
HCPCS,87626,Hpv sep hi-rsk typ&pool rslt,,,70.2,257.63,9
HCPCS,87627,Jt spc pthgn&rx rsist gen26+,,,679.77,2494.76,9
HCPCS,87631,Hc Iadna Respiratry Probe And Rev Trnscr 3-5 Targets,683.0,266.37,,,0
HCPCS,87631,Resp virus 3-5 targets,,,142.63,523.45,13
HCPCS,87632,Resp virus 6-11 targets,,,218.06,800.28,13
HCPCS,87633,Hc Resp Virus 12-25 Targets,2139.35,834.345,,,0
HCPCS,87633,Resp virus 12-25 targets,,,416.78,1529.58,13
HCPCS,87634,Hc Iadna Dna/Rna Rsv Amplified Probe Technique,332.0,129.48,,,0
HCPCS,87634,Rsv dna/rna amp probe,,,70.2,257.63,13
HCPCS,87635,Hc Iadna Sars-Cov-2 Covid-19 Amp Prb,248.125,96.77,,,0
HCPCS,87635,Hc Iadna Sars-Cov-2 Covid-19 Amplified Prb Tq,215.0,83.85,,,0
HCPCS,87635,Hc Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq,215.0,83.85,,,0
HCPCS,87635,Sars-cov-2 covid-19 amp prb,,,51.31,188.31,10
HCPCS,87636,Hc Iadna Sarscov2 And Influenza A And B Mult Amp Probe Tq,441.0,171.99,,,0
HCPCS,87636,Sarscov2 & inf a&b amp prb,,,142.63,523.45,10
HCPCS,87637,Hc Iadna Sarscov2 And Influenza A And B And Rsv Mult Amp Probe Tq,441.0,171.99,,,0
HCPCS,87637,Sarscov2&inf a&b&rsv amp prb,,,142.63,523.45,10
HCPCS,87640,Hc Staph A Dna Amp Probe,296.05,115.46000000000001,,,0
HCPCS,87640,Staph a dna amp probe,,,35.09,128.78,13
HCPCS,87641,Hc Mr-Staph Dna Amp Probe,298.1,116.25999999999999,,,0
HCPCS,87641,Mr-staph dna amp probe,,,35.09,128.78,13
HCPCS,87650,Hc Group A Strep Dna Probe,174.325,67.985,,,0
HCPCS,87650,Strep a dna dir probe,,,20.05,73.58,13
HCPCS,87651,Hc Strep A Dna Amp Probe,386.05,150.56,,,0
HCPCS,87651,Strep a dna amp probe,,,35.09,128.78,13
HCPCS,87652,Strep a dna quant,,,41.76,153.26,13
HCPCS,87653,Hc Iadna Streptococcus Group B Amplified Probe Tq,98.795,38.53,,,0
HCPCS,87653,Strep b dna amp probe,,,35.09,128.78,13
HCPCS,87660,Hc Trich Vag Direct Probe Tech,148.325,57.845,,,0
HCPCS,87660,Trichomonas vagin dir probe,,,20.05,73.58,13
HCPCS,87661,Hc Iadna Trichomonas Vaginalis Amplified Probe Tech,381.98,148.97,,,0
HCPCS,87661,Trichomonas vaginalis amplif,,,34.53,128.78,13
HCPCS,87662,Hc Iadna Dna/Rna Zika Virus Amplified Probe Tq,345.0,134.55,,,0
HCPCS,87662,Zika virus dna/rna amp probe,,,51.31,188.31,13
HCPCS,87797,Detect agent nos dna dir,,,30.03,110.21,13
HCPCS,87798,Detect agent nos dna amp,,,35.09,128.78,13
HCPCS,87798,Hc Iadna Nos Amplified Probe Technique Each Organism,600.22,234.085,,,0
HCPCS,87799,Detect agent nos dna quant,,,42.84,157.22,13
HCPCS,87799,Hc Infects Agent Detection By Nucleic Acid Not Specified Quant Ea Org,646.035,251.95499999999998,,,0
HCPCS,87799,Hhv-7 Quant Pcr,1353.0,527.67,,,0
HCPCS,87800,Detect agnt mult dna direc,,,43.67,160.27,13
HCPCS,87801,Detect agnt mult dna ampli,,,70.2,257.63,13
HCPCS,87801,Hc Iadna Multiple Organisms Amplified Probe Tq,1153.0,449.67,,,0
HCPCS,87801,Hc Infect Agent Detect By Nucleic Acid Dna Or Rnamult Org,747.25,291.425,,,0
HCPCS,87802,Hc Strep B Assay W/Optic,119.0,46.41,,,0
HCPCS,87802,Strep b assay w/optic,,,12.73,46.72,13
HCPCS,87803,Clostridium toxin a w/optic,,,16.0,58.72,13
HCPCS,87804,Hc Influenza,187.0,72.93,,,0
HCPCS,87804,Hc Poc Flu A And B,187.0,72.93,,,0
HCPCS,87804,Influenza assay w/optic,,,16.55,60.74,13
HCPCS,87806,Hc Hiv Antigen W/Hiv Antibodies,183.95,71.74,,,0
HCPCS,87806,Hiv antigen w/hiv antibodies,,,32.77,120.27,13
HCPCS,87807,Hc Respiratory Syncytial Virus,157.5,61.425,,,0
HCPCS,87807,Rsv assay w/optic,,,13.1,48.08,13
HCPCS,87808,Trichomonas assay w/optic,,,15.29,56.11,13
HCPCS,87809,Adenovirus assay w/optic,,,21.02,79.86,13
HCPCS,87810,Chylmd trach assay w/optic,,,21.02,129.51,13
HCPCS,87810,Hc Chylmd Trach Assay W/Optic,280.0,109.2,,,0
HCPCS,87811,Hc Iaadiadoo Severe Acute Respiratory Syndrome Coronavirus,441.0,171.99,,,0
HCPCS,87811,Sars-cov-2 covid19 w/optic,,,41.38,151.86,10
HCPCS,87812,Sarscov2&inf typ a&b w/optic,,,74.48,273.34,9
HCPCS,87850,Hc N. Gonorrhoeae Assay W/Optic,62.0,24.18,,,0
HCPCS,87850,N. gonorrhoeae assay w/optic,,,21.02,90.14,13
HCPCS,87880,Hc Poc Dipstick Strep A,187.55,73.145,,,0
HCPCS,87880,Strep a assay w/optic,,,16.53,60.67,13
HCPCS,87899,Agent nos assay w/optic,,,16.07,58.98,13
HCPCS,87899,Hc Infectious Agent Ag Detect By Ia W Direct Optical Obs Not Specified,168.2,65.6,,,0
HCPCS,87900,Hc Infectious Agent Drug Susceptibility Phenotype Prediction By Updated Genotypic Bioinformatics,719.625,280.65500000000003,,,0
HCPCS,87900,Phenotype infect agent drug,,,130.35,478.38,13
HCPCS,87901,Genotype dna hiv reverse t,,,257.45,944.84,13
HCPCS,87901,Hc Hiv1 Genotyping Drug Resistance,1361.205,530.87,,,0
HCPCS,87902,Genotype dna/rna hep c,,,257.45,944.84,13
HCPCS,87902,Hc Hepatitis C Genotype,1195.525,466.255,,,0
HCPCS,87903,Hc Phenotype Dna Hiv W/Culture,1352.74,527.5699999999999,,,0
HCPCS,87903,Phenotype dna hiv w/culture,,,488.66,1793.38,13
HCPCS,87904,Hc Phenotype Dna Hiv W/Clt Add,76.84,29.97,,,0
HCPCS,87904,Phenotype dna hiv w/clt add,,,26.07,95.68,13
HCPCS,87905,Sialidase enzyme assay,,,12.22,44.85,13
HCPCS,87906,Genotype dna/rna hiv,,,128.73,472.44,13
HCPCS,87906,Hc Genotype Dna/Rna Hiv,1337.0,521.43,,,0
HCPCS,87906,Hc Hiv 1 Genotype Dna/Rna,966.5,376.93499999999995,,,0
HCPCS,87910,Genotype cytomegalovirus,,,257.45,944.84,13
HCPCS,87912,Genotype dna hepatitis b,,,257.45,944.84,13
HCPCS,87912,Hc Nfct Agent Genotype Hepatitis B Virus,1280.45,499.375,,,0
HCPCS,87913,Nfct agt gntyp alys sarscov2,,,257.45,944.84,9
HCPCS,87999,Microbiology procedure,,,28.7,28.7,2
HCPCS,88000,Autopsy (necropsy) gross,,,236.3,330.51,4
HCPCS,88000,Hc Autop Gross Only Wo Cnsl,3863.0,1506.57,,,0
HCPCS,88005,Autopsy (necropsy) gross,,,271.8,385.69,4
HCPCS,88007,Autopsy (necropsy) gross,,,295.6,403.71,4
HCPCS,88012,Autopsy (necropsy) gross,,,212.51,330.51,4
HCPCS,88014,Autopsy (necropsy) gross,,,212.51,302.93,4
HCPCS,88016,Autopsy (necropsy) gross,,,271.8,422.3,4
HCPCS,88020,Autopsy (necropsy) complete,,,366.14,569.25,4
HCPCS,88025,Autopsy (necropsy) complete,,,401.64,550.67,4
HCPCS,88025,Hc Autop Gross And Micro W/Brn,6542.0,2551.38,,,0
HCPCS,88027,Autopsy (necropsy) complete,,,437.12,587.29,4
HCPCS,88028,Autopsy (necropsy) complete,,,212.51,330.51,4
HCPCS,88029,Autopsy (necropsy) complete,,,212.51,330.51,4
HCPCS,88036,Limited autopsy,,,118.15,164.99,4
HCPCS,88037,Limited autopsy,,,94.36,146.96,4
HCPCS,88040,Forensic autopsy (necropsy),,,590.77,917.8,4
HCPCS,88045,Coroners autopsy (necropsy),,,59.29,91.78,4
HCPCS,88099,Necropsy (autopsy) procedure,,,28.7,28.7,2
HCPCS,88104,Cytopath fl nongyn smears,,,19.8,142.42,13
HCPCS,88104,Hc Cytology Smears,373.575,145.695,,,0
HCPCS,88106,Cytopath fl nongyn filter,,,19.8,110.28,13
HCPCS,88108,Cytopath concentrate tech,,,19.8,142.42,13
HCPCS,88108,Hc Cytology Concentration,226.025,88.15,,,0
HCPCS,88112,Cytopath cell enhance tech,,,41.46,198.7,13
HCPCS,88112,Hc Cytology Thin Prep,290.375,113.245,,,0
HCPCS,88120,Cytp urne 3-5 probes ea spec,,,67.7,1321.15,13
HCPCS,88120,Hc Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl,1039.87,405.55,,,0
HCPCS,88121,Cytp urine 3-5 probes cmptr,,,67.7,1142.22,13
HCPCS,88121,Hc Cytopathology Insitu Hybrid Urine Spec 3-5 Probes Computer-Assisted Ea,2205.0,859.95,,,0
HCPCS,88125,Forensic cytopathology,,,12.45,198.7,13
HCPCS,88130,Sex chromatin identification,,,17.98,65.99,13
HCPCS,88140,Sex chromatin identification,,,7.99,29.32,13
HCPCS,88141,Cytopath c/v interpret,,,38.26,48.8,4
HCPCS,88141,Hc Cytology Gyn Path Review,220.45,85.975,,,0
HCPCS,88142,Cytopath c/v thin layer,,,20.26,74.35,13
HCPCS,88142,Hc Cytopath Cervical/Vaginal Auto Thin Layer Prep Manual Screen,269.505,105.105,,,0
HCPCS,88143,Cytopath c/v thin layer redo,,,23.04,84.56,13
HCPCS,88147,Cytopath c/v automated,,,19.94,185.56,13
HCPCS,88148,Cytopath c/v auto rescreen,,,18.54,68.04,13
HCPCS,88150,Cytopath c/v manual,,,18.5,68.04,13
HCPCS,88150,Hc Cytopath Cerv/Vag M/Scrn,23.0,8.97,,,0
HCPCS,88152,Cytopath c/v auto redo,,,18.5,101.44,13
HCPCS,88153,Cytopath c/v redo,,,18.5,88.19,13
HCPCS,88154,Cytopath c/v select,,,19.16,32.68,3
HCPCS,88155,Cytopath c/v index add-on,,,10.5,53.77,13
HCPCS,88160,Cytopath smear other source,,,19.8,110.28,13
HCPCS,88160,Hc Cytopathology Other Source,179.525,70.015,,,0
HCPCS,88161,Cytopath smear other source,,,19.8,110.28,13
HCPCS,88162,Cytopath smear other source,,,19.8,198.7,13
HCPCS,88162,Hc Cytp Smrs Any Oth Src Extnd Std Over 5 Slides,2031.0,792.09,,,0
HCPCS,88164,Cytopath tbs c/v manual,,,18.5,68.04,13
HCPCS,88165,Cytopath tbs c/v redo,,,18.5,154.95,13
HCPCS,88166,Cytopath tbs c/v auto redo,,,18.5,68.04,13
HCPCS,88167,Cytopath tbs c/v select,,,18.5,68.04,13
HCPCS,88172,Cytp dx eval fna 1st ea site,,,25.36,649.61,13
HCPCS,88172,Hc Cytology Fna Immed Eval,433.0,168.87,,,0
HCPCS,88173,Cytopath eval fna report,,,41.46,198.7,13
HCPCS,88173,Hc Cytology Fna Interp/Report,734.42,286.425,,,0
HCPCS,88174,Cytopath c/v auto in fluid,,,25.37,93.11,13
HCPCS,88174,Hc Surepath-Focal Point,191.025,74.5,,,0
HCPCS,88175,Cytopath c/v auto fluid redo,,,26.61,97.66,13
HCPCS,88175,Hc Automated Pap Smear Screening,217.54000000000002,84.84,,,0
HCPCS,88177,Cytp fna eval ea addl,,,10.22,17.15,4
HCPCS,88177,Hc Cytp Fna Eval Ea Addl,112.0,43.68,,,0
HCPCS,88182,Cell marker study,,,41.46,198.7,13
HCPCS,88182,Hc Dna Histogram,602.025,234.79,,,0
HCPCS,88182,Hc Dna Paternity Testing,889.0,346.71,,,0
HCPCS,88184,Flowcytometry/ tc 1 marker,,,19.8,1366.73,13
HCPCS,88184,Hc Flow Cytometry Cell Surf Marker Techl Only 1St,309.0,120.51,,,0
HCPCS,88184,Hc Flowcytometry/ Tc 1 Marker,269.425,105.075,,,0
HCPCS,88185,Flowcytometry/tc add-on,,,19.8,85.78,4
HCPCS,88185,Hc Flowcytometry/Tc Add-On,190.3,74.215,,,0
HCPCS,88187,Flowcytometry/read 2-8,,,12.07,88.98,4
HCPCS,88188,Flowcytometry/read 9-15,,,41.46,113.67,4
HCPCS,88189,Flowcytometry/read 16 & >,,,41.46,137.81,4
HCPCS,88199,Cytopathology procedure,,,12.07,198.7,12
HCPCS,88199,Hc Cytopath Unlisted,502.0,195.78,,,0
HCPCS,88230,Hc Chrom Anal Lymph Culture,1060.8600000000001,413.735,,,0
HCPCS,88230,Tissue culture lymphocyte,,,116.49,427.52,13
HCPCS,88233,Hc Chrom Anal Tissue Biopsy,1433.0,558.87,,,0
HCPCS,88233,Hc Chrom Anal Tissue Biopsy Ap,1066.5,415.935,,,0
HCPCS,88233,Tissue culture skin/biopsy,,,140.73,516.48,13
HCPCS,88235,Hc Chrom Anal Amniotic Fluid,1064.25,415.05499999999995,,,0
HCPCS,88235,Tissue culture placenta,,,150.3,551.6,13
HCPCS,88237,Hc Tissue Culture,858.0,334.62,,,0
HCPCS,88237,Hc Tissue Culture Neoplastic Disorders Bone Marrow Blood Cells,715.65,279.105,,,0
HCPCS,88237,Tissue culture bone marrow,,,143.75,527.56,13
HCPCS,88239,Hc Tiss Cul Neo Disorders Solid Tumor,1357.0,529.23,,,0
HCPCS,88239,Hc Tissue Culture Tumor,1357.0,529.23,,,0
HCPCS,88239,Tissue culture tumor,,,147.52,541.4,13
HCPCS,88240,Cell cryopreserve/storage,,,13.07,47.97,13
HCPCS,88240,Hc Cryoprsrv Frzing And Storage Cells Ea Cell Line,46.0,17.94,,,0
HCPCS,88241,Frozen cell preparation,,,12.09,44.37,13
HCPCS,88245,Chromosome analysis 20-25,,,173.17,635.53,13
HCPCS,88248,Chromosome analysis 50-100,,,173.17,635.53,13
HCPCS,88249,Chromosome analysis 100,,,173.17,635.53,13
HCPCS,88261,Chromosome analysis 5,,,264.34,970.13,13
HCPCS,88261,Hc Chrom Anal Count 5 Cells,1622.15,632.64,,,0
HCPCS,88262,Chromosome analysis 15-20,,,125.49,460.55,13
HCPCS,88262,Hc Chromosome Count 15-20 Cell 2 Karyotypes Banding,1685.05,657.17,,,0
HCPCS,88263,Chromosome analysis 45,,,150.29,551.56,13
HCPCS,88263,Hc Chrmsm Count 45 Cell Mosaicism 2Karyotype,3248.0,1266.72,,,0
HCPCS,88264,Chromosome analysis 20-25,,,144.61,530.72,13
HCPCS,88264,Hc Chrom Analy 20 To 25 Cells,1369.0,533.91,,,0
HCPCS,88264,Hc Chromosome Analysis 20 To 25 Cells,978.375,381.565,,,0
HCPCS,88267,Chromosome analys placenta,,,188.57,692.05,13
HCPCS,88269,Chromosome analys amniotic,,,173.66,637.33,13
HCPCS,88269,Hc Chrom Anal 6 To 12 Colonies,1350.8899999999999,526.845,,,0
HCPCS,88271,Cytogenetics dna probe,,,21.42,78.61,13
HCPCS,88271,Hc Molecular Cytogenetics Dna Probe Each,480.25,187.29500000000002,,,0
HCPCS,88272,Cytogenetics 3-5,,,40.7,149.37,13
HCPCS,88273,Cytogenetics 10-30,,,34.81,127.75,13
HCPCS,88273,Hc Mcg Situ Hybrid 10 To 30 Cells,1187.0,462.93,,,0
HCPCS,88274,Cytogenetics 25-99,,,42.38,155.53,13
HCPCS,88274,Hc Molecular Cytogenetics Interphase Ish 25-99 Cell,368.9,143.87,,,0
HCPCS,88275,Cytogenetics 100-300,,,51.19,187.87,13
HCPCS,88275,Hc Analyze 100-300 Cell,820.0,319.8,,,0
HCPCS,88275,Hc Molec Cytg Interphase Ish Analyze 100-300 Cll,524.365,204.5,,,0
HCPCS,88275,Hc Molecular Cytogenetics Interphase Ish Analyze 100-300 Cll,820.0,319.8,,,0
HCPCS,88280,Chromosome karyotype study,,,33.47,122.83,13
HCPCS,88280,Hc Chrom Anal Add Karyotypes,636.25,248.135,,,0
HCPCS,88283,Chromosome banding study,,,68.6,251.76,13
HCPCS,88283,Hc Chrmsm Addl Spec Banding,605.0,235.95,,,0
HCPCS,88285,Chromosome count additional,,,26.91,98.76,13
HCPCS,88285,Hc Chrom Anal Add Cells Counted,632.15,246.54,,,0
HCPCS,88289,Chromosome study additional,,,34.43,126.36,13
HCPCS,88289,Hc Chrmsm Analysis Addl High Resolution Study,377.0,147.03,,,0
HCPCS,88291,Cyto/molecular report,,,35.48,48.8,4
HCPCS,88291,Hc Cytogenetics Interp And Report,235.0,91.65,,,0
HCPCS,88299,Cytogenetic study,,,12.07,198.7,12
HCPCS,88300,Hc Surg Path Gross Tech Adm,201.2,78.47,,,0
HCPCS,88300,Surgical path gross,,,13.34,110.28,13
HCPCS,88302,Hc Surg Path Ltd Tech Adm,284.5,110.95500000000001,,,0
HCPCS,88302,Tissue exam by pathologist,,,19.8,142.42,13
HCPCS,88304,Hc Surg Path Inter Tech Adm,693.0,270.27,,,0
HCPCS,88304,Hc Surg Path Inter Tech/Adm,423.125,165.01999999999998,,,0
HCPCS,88304,Tissue exam by pathologist,,,41.46,198.7,13
HCPCS,88305,Hc Level Iv Surgical Pathology Gross And Microscopic Exam,524.375,204.505,,,0
HCPCS,88305,Tissue exam by pathologist,,,41.46,198.7,13
HCPCS,88307,Hc Surg Path Complex Tech Adm,706.2950000000001,275.45500000000004,,,0
HCPCS,88307,Tissue exam by pathologist,,,65.18,1366.73,13
HCPCS,88309,Hc Surg Path Compre Tech Adm,880.775,343.5,,,0
HCPCS,88309,Tissue exam by pathologist,,,65.18,3072.0,13
HCPCS,88311,Decalcify tissue,,,10.67,21.26,4
HCPCS,88311,Hc Bone Decal Tech Adm,123.4,48.125,,,0
HCPCS,88312,Hc Special Stain Group 1 Microorganisms I And R,327.275,127.635,,,0
HCPCS,88312,Hc Special Stain Organism Interp,414.0,161.46,,,0
HCPCS,88312,Special stains group 1,,,19.8,198.7,13
HCPCS,88313,Hc Special Stain 2 I/R Excpt Microorg/Enzyme/Imcyt,355.75,138.745,,,0
HCPCS,88313,Special stains group 2,,,19.8,507.3,13
HCPCS,88314,Hc Histochemistry Frozen Tissue,420.375,163.945,,,0
HCPCS,88314,Histochemical stains add-on,,,19.8,127.47,4
HCPCS,88319,Enzyme histochemistry,,,65.18,3072.0,13
HCPCS,88319,Hc Special Stain I And R Group Iii Enzyme Consituents,710.8,277.21000000000004,,,0
HCPCS,88321,Hc Consult Slides Tech Adm,317.225,123.72,,,0
HCPCS,88321,Microslide consultation,,,19.8,142.42,13
HCPCS,88323,Hc Consult Sendout Tech Adm,237.695,92.7,,,0
HCPCS,88323,Microslide consultation,,,41.46,198.7,13
HCPCS,88325,Comprehensive review of data,,,65.18,649.61,13
HCPCS,88325,Hc Surgical Pathology Consult,1480.755,577.495,,,0
HCPCS,88329,Hc Intra-Op Examination,567.5,221.325,,,0
HCPCS,88329,Path consult introp,,,19.8,224.93,13
HCPCS,88331,Hc First Tissue Block Fs,574.0,223.86,,,0
HCPCS,88331,Hc Path Consultation Surgery 1St Block Frozen Section 1 Spec,354.5,138.255,,,0
HCPCS,88331,Path consult intraop 1 bloc,,,41.46,649.61,13
HCPCS,88332,Hc Frozen Section Addl Tech Adm,271.5,105.885,,,0
HCPCS,88332,Path consult intraop addl,,,17.35,47.4,4
HCPCS,88333,Hc Prof Interp Intra-Op Cyto Prep,668.0,260.52,,,0
HCPCS,88333,Intraop cyto path consult 1,,,19.8,3072.0,13
HCPCS,88334,Hc Prof Interp Each Add Site,606.0,236.34,,,0
HCPCS,88334,Intraop cyto path consult 2,,,19.8,44.95,4
HCPCS,88341,Hc Immunohisto Antibody Slide,392.225,152.97,,,0
HCPCS,88341,Immunohisto antb addl slide,,,54.56,142.16,4
HCPCS,88342,Hc Immunohistochem Each Antibody,1235.0,481.65,,,0
HCPCS,88342,Hc Immunohistochemistry/Immunocytochemistry 1St Antibody Stain Procedure,742.625,289.625,,,0
HCPCS,88342,Immunohisto Antibody Stain,407.0,158.73,,,0
HCPCS,88342,Immunohisto antb 1st stain,,,41.46,649.61,13
HCPCS,88344,Hc Immunohistochem/Immunocytochem Per Specimen Ea Multiplex Ab,530.425,206.865,,,0
HCPCS,88344,Immunohisto antibody slide,,,92.36,1366.73,13
HCPCS,88346,Hc Immunofluoescent Study Each Antibody Direct Method,824.0,321.36,,,0
HCPCS,88346,Hc Immunofluorescence Per Specimen 1St Single Antibody Stain,509.825,198.83,,,0
HCPCS,88346,Immunofluor antb 1st stain,,,41.46,649.61,13
HCPCS,88347,Immunofluorescent study,,,53.87,53.87,1
HCPCS,88348,Electron microscopy,,,191.39,3072.0,13
HCPCS,88348,Hc Electron Microscopy Diagnostic,2581.0,1006.59,,,0
HCPCS,88349,Scanning electron microscopy,,,520.21,520.21,1
HCPCS,88350,Hc Immunofluorescence Per Spec Each Add'l,395.0,154.05,,,0
HCPCS,88350,Hc Immunofluorescence Pr Spec Ea Add Singl Antb Stn,395.0,154.05,,,0
HCPCS,88350,Immunofluor antb addl stain,,,52.45,100.5,4
HCPCS,88355,Analysis skeletal muscle,,,41.46,649.61,13
HCPCS,88356,Analysis nerve,,,52.93,198.7,13
HCPCS,88358,Analysis tumor,,,41.46,649.61,13
HCPCS,88360,Hc Estrogen Receptor,1196.0,466.44,,,0
HCPCS,88360,Hc Morphometric Analysis Tumor Immunohistochemistry Ea Antibody Manual,808.0,315.12,,,0
HCPCS,88360,Tumor immunohistochem/manual,,,41.46,649.61,13
HCPCS,88361,Hc Morphometric Analysis Tumor Immunohistochemistry Ea Antibody Computer Asst,565.4,220.505,,,0
HCPCS,88361,Tumor immunohistochem/comput,,,41.46,1366.73,13
HCPCS,88362,Hc Nerve Teasing Preparations,1791.0,698.49,,,0
HCPCS,88362,Nerve teasing preparations,,,65.18,3072.0,13
HCPCS,88363,Hc Exam And Select Archive Tissue Molecular Analysi,52.0,20.28,,,0
HCPCS,88363,Xm archive tissue molec anal,,,13.25,110.28,13
HCPCS,88364,Hc In Situ Hybridization Per Specimen Each Additl 1St Probe Stain,1878.0,732.42,,,0
HCPCS,88364,Insitu hybridization (fish),,,84.2,219.8,4
HCPCS,88365,Hc In Situ Hybridization 1St Probe Stain,1170.325,456.42499999999995,,,0
HCPCS,88365,Insitu hybridization (fish),,,65.18,649.61,13
HCPCS,88366,Hc In Situ Hybridization Eg Fish Per Specimen Each Multiplex Probe Stain Procedure,544.0,212.16,,,0
HCPCS,88366,Insitu hybridization (fish),,,103.54,649.61,13
HCPCS,88367,Hc Morphometric Analys Ish Cmptr Assist Tech 1St Probe Stain,1878.0,732.42,,,0
HCPCS,88367,Insitu hybridization auto,,,65.18,1366.73,13
HCPCS,88368,Hc Morphometric Analysis In Situ Hybridization Ea Probe Mnl,1129.825,440.63,,,0
HCPCS,88368,Insitu hybridization manual,,,41.46,1366.73,13
HCPCS,88369,Hc Morphometric Analys Ish Quant Or Semiq Manl Per Spec Ea,1565.0,610.35,,,0
HCPCS,88369,M/phmtrc alysishquant/semiq,,,58.43,170.77,4
HCPCS,88371,Protein western blot tissue,,,38.93,69.45,4
HCPCS,88372,Protein analysis w/probe,,,39.86,71.08,4
HCPCS,88373,Hc Morphometric Analys Ish Quant Or Semiq Cmptr Spec Ea,1878.0,732.42,,,0
HCPCS,88373,M/phmtrc alys ishquant/semiq,,,46.82,116.84,4
HCPCS,88374,Hc Morphometric Analys Ish Quant Or Semiq Cmptr Ea Multprb,1453.725,566.9549999999999,,,0
HCPCS,88374,M/phmtrc alys ishquant/semiq,,,173.05,676.5,13
HCPCS,88375,Optical endomicroscpy interp,,,15.25,69.5,3
HCPCS,88377,Hc Morphometric Analys Ish Quant Or Semiq Manl Ea Multprb,1391.8,542.8,,,0
HCPCS,88377,M/phmtrc alys ishquant/semiq,,,173.05,781.92,13
HCPCS,88380,Hc Microdissection Prep Identified Target Laser,3067.0,1196.13,,,0
HCPCS,88380,Microdissection laser,,,112.68,184.67,4
HCPCS,88381,Hc Microdissection Prep Identified Target Manual,918.02,358.03,,,0
HCPCS,88381,Microdissection manual,,,126.82,220.62,4
HCPCS,88387,Tiss exam molecular study,,,7.74,17.16,4
HCPCS,88388,Tiss ex molecul study add-on,,,10.75,22.89,4
HCPCS,88399,Hc Unlisted Surgical Path,1128.0,439.92,,,0
HCPCS,88399,Surgical pathology procedure,,,12.07,198.7,12
HCPCS,88720,Bilirubin total transcut,,,5.02,18.42,13
HCPCS,88720,Hc Bilirubin Total Transcutaneous,76.0,29.64,,,0
HCPCS,88738,Hc Hgb Qnt Trnsctns-Hemoglobin Quantitative Transcutaneous,89.0,34.71,,,0
HCPCS,88738,Hgb quant transcutaneous,,,5.02,18.42,13
HCPCS,88740,Transcutaneous carboxyhb,,,8.8,34.39,13
HCPCS,88741,Transcutaneous methb,,,8.8,34.39,13
HCPCS,88749,In vivo lab service,,,28.7,28.7,2
HCPCS,89049,Chct for mal hyperthermia,,,12.07,649.61,13
HCPCS,89050,Body fluid cell count,,,4.72,17.32,13
HCPCS,89050,Hc Cell Count Miscellaneous Body Fluids,161.06,62.815,,,0
HCPCS,89051,Body fluid cell count,,,5.6,20.55,13
HCPCS,89051,Hc Cell Count Misc Body Fluids W/Differential Count,168.75,65.81,,,0
HCPCS,89055,Hc Leukocyte Feces,121.9,47.54,,,0
HCPCS,89055,Leukocyte assessment fecal,,,4.27,15.67,13
HCPCS,89060,Exam synovial fluid crystals,,,7.33,26.9,13
HCPCS,89060,Hc Crystal Id Light Microscopy Analysis Tissue/Any Fluid,162.45,63.355,,,0
HCPCS,89060,Hc Crystals Exam Fluid,272.0,106.08,,,0
HCPCS,89125,Hc Fat Stain Feces Urine/Respiratory Secretions,143.5,55.964999999999996,,,0
HCPCS,89125,Specimen fat stain,,,5.88,21.58,13
HCPCS,89160,Exam feces for meat fibers,,,4.85,17.8,13
HCPCS,89190,Hc Eosinophil Smear Nasal,133.615,52.11,,,0
HCPCS,89190,Nasal smear for eosinophils,,,5.79,21.25,13
HCPCS,89220,Sputum specimen collection,,,19.8,649.61,13
HCPCS,89230,Collect sweat for test,,,3.08,198.7,13
HCPCS,89230,Hc Sweat Chloride,403.0,157.17,,,0
HCPCS,89240,Hc Pathology Lab Procedures,306.0,119.34,,,0
HCPCS,89240,Pathology lab procedure,,,12.07,198.7,12
HCPCS,89250,Cultr oocyte/embryo <4 days,,,65.18,2375.09,13
HCPCS,89251,Cultr oocyte/embryo <4 days,,,65.18,2470.68,13
HCPCS,89253,Embryo hatching,,,65.18,649.61,12
HCPCS,89254,Oocyte identification,,,65.18,649.61,12
HCPCS,89255,Prepare embryo for transfer,,,52.93,236.25,12
HCPCS,89257,Hc Sperm Id From Aspiration Other Than Seminal Fluid,226.0,88.14,,,0
HCPCS,89257,Sperm identification,,,52.93,198.7,12
HCPCS,89258,Cryopreservation embryo(s),,,65.18,3072.0,12
HCPCS,89259,Cryopreservation sperm,,,65.18,649.61,12
HCPCS,89260,Sperm isolation simple,,,52.93,198.7,12
HCPCS,89261,Sperm isolation complex,,,52.93,198.7,12
HCPCS,89264,Identify sperm tissue,,,52.93,236.25,12
HCPCS,89268,Insemination of oocytes,,,65.18,649.61,12
HCPCS,89272,Extended culture of oocytes,,,65.18,3072.0,12
HCPCS,89280,Assist oocyte fertilization,,,65.18,3072.0,12
HCPCS,89281,Assist oocyte fertilization,,,65.18,649.61,12
HCPCS,89290,Biopsy oocyte polar body,,,65.18,649.61,12
HCPCS,89291,Biopsy oocyte polar body,,,65.18,649.61,12
HCPCS,89300,Hc Semen Alys Presence /Motility Sprm Huhner,83.0,32.37,,,0
HCPCS,89300,Semen analysis w/huhner,,,9.84,36.11,13
HCPCS,89310,Semen analysis w/count,,,8.61,31.6,13
HCPCS,89320,Hc Semen Anal Vol/Count/Mot,798.0,311.22,,,0
HCPCS,89320,Semen anal vol/count/mot,,,12.31,45.18,13
HCPCS,89321,Hc Wet Prep For Sperm,86.0,33.54,,,0
HCPCS,89321,Semen anal sperm detection,,,12.05,44.22,13
HCPCS,89322,Hc Seminal Fluid Analysis,369.0,143.91,,,0
HCPCS,89322,Semen anal strict criteria,,,15.5,56.88,13
HCPCS,89325,Sperm antibody test,,,10.67,39.16,13
HCPCS,89329,Sperm evaluation test,,,19.59,71.9,13
HCPCS,89330,Evaluation cervical mucus,,,10.38,38.09,13
HCPCS,89331,Retrograde ejaculation anal,,,19.59,71.9,13
HCPCS,89335,Cryopreserve testicular tiss,,,52.93,198.7,12
HCPCS,89337,Cryopreservation oocyte(s),,,173.05,649.61,12
HCPCS,89342,Storage/year embryo(s),,,65.18,649.61,12
HCPCS,89343,Storage/year sperm/semen,,,65.18,649.61,12
HCPCS,89344,Storage/year reprod tissue,,,65.18,649.61,12
HCPCS,89346,Storage/year oocyte(s),,,65.18,649.61,12
HCPCS,89352,Thawing cryopresrved embryo,,,65.18,649.61,12
HCPCS,89353,Thawing cryopresrved sperm,,,52.93,198.7,12
HCPCS,89354,Thaw cryoprsvrd reprod tiss,,,65.18,649.61,12
HCPCS,89356,Thawing cryopresrved oocyte,,,65.18,649.61,12
HCPCS,89398,Unlisted reprod med lab proc,,,12.5,198.7,10
HCPCS,90281,Human ig im,,,202.97,202.97,2
HCPCS,90283,Human ig iv,,,113.01,113.01,2
HCPCS,90284,Human ig sc,,,31.16,31.16,2
HCPCS,90288,Botulism ig iv,,,92831.73,92831.73,2
HCPCS,90291,Cmv ig iv,,,3750.38,3750.38,2
HCPCS,90371,Hep b ig im,,,134.19,506.06,13
HCPCS,90375,Rabies ig im/sc,,,279.85,1064.23,13
HCPCS,90376,Rabies ig heat treated,,,352.44,1760.57,15
HCPCS,90377,Rabies ig ht&sol human im/sc,,,222.25,940.66,13
HCPCS,90378,Rsv mab im 50mg,,,436.75,3886.6,15
HCPCS,90380,Rsv monoc antb seasn .5ml im,,,1109.52,1109.52,2
HCPCS,90381,Rsv monoc antb seasnl 1ml im,,,1109.52,1109.52,2
HCPCS,90384,Rh ig full-dose im,,,176.82,176.82,2
HCPCS,90385,Rh ig minidose im,,,63.7,401.24,12
HCPCS,90386,Rh ig iv,,,21.37,21.37,2
HCPCS,90389,Tetanus ig im,,,1385.8,1385.8,2
HCPCS,90396,Varicella-zoster ig im,,,2361.82,8866.16,15
HCPCS,90471,Hc Vaccine Admin - Initial Injection Sngl Or Combo,92.9,36.23,,,0
HCPCS,90471,Hc Vfc Admin Any Route Initial Under 18 Yrs,24.8,9.67,,,0
HCPCS,90471,Hepatitis B Vacc Admin,102.0,39.78,,,0
HCPCS,90471,Immunization Admin,102.0,39.78,,,0
HCPCS,90471,Immunization Administration In,102.0,39.78,,,0
HCPCS,90471,Immunization admin,,,73.13,274.53,9
HCPCS,90471,Influenza Vaccine Admin,102.0,39.78,,,0
HCPCS,90471,Influenza Vaccine Administrati,102.0,39.78,,,0
HCPCS,90471,Pneumococcal Vaccine Admin,102.0,39.78,,,0
HCPCS,90471,Pneumococcal Vaccine Administr,102.0,39.78,,,0
HCPCS,90472,Hc Vaccine Admin - Ea Addl Injection Sngl Or Combo,92.9,36.23,,,0
HCPCS,90472,Hc Vfc Admin Any Route Ea Addl Under 18 Yrs,24.8,9.67,,,0
HCPCS,90472,Immunization Admin Ea Addtl,52.0,20.28,,,0
HCPCS,90472,Immunization Admin Each Addtl,52.0,20.28,,,0
HCPCS,90473,Hc Admin Vacc Nasal Or Oral Wo Counsel Sgl Or Combo 1St,92.9,36.23,,,0
HCPCS,90473,Immune admin oral/nasal,,,73.13,274.53,9
HCPCS,90474,Hc Admin Vacc Nasal Or Oral Wo Counsel Sgl Or Combo Ea Add,92.9,36.23,,,0
HCPCS,90476,Adenovirus vaccine type 4,,,159.16,168.82,3
HCPCS,90480,Covid Vaccine Admin,151.42,59.05,,,0
HCPCS,90480,Hc Imm Admn Sarscov2 Vaccine Single Dose,42.0,16.38,,,0
HCPCS,90581,Anthrax vaccine sc or im,,,211.34,211.34,2
HCPCS,90585,Bcg vaccine percut,,,362.65,362.65,2
HCPCS,90586,Bcg vaccine intravesical,,,362.65,362.65,2
HCPCS,90587,Dengue vacc quad 3 dose subq,,,140.89,140.89,2
HCPCS,90589,Chikungunya vaccine live im,,,587.05,587.05,2
HCPCS,90611,Smallpox&monkeypox vac 0.5ml,,,0.01,576.37,14
HCPCS,90619,Menacwy-tt vaccine im,,,367.11,367.11,2
HCPCS,90620,Menb rp w/omv vaccine im,,,477.64,477.64,2
HCPCS,90621,Menb rlp vaccine im,,,406.15,406.15,2
HCPCS,90622,Vaccinia vrs vac 0.3 ml perq,,,0.01,0.04,14
HCPCS,90623,Menacwy-tt menb-fhbp vacc im,,,492.59,492.59,2
HCPCS,90625,Cholera vaccine live oral,,,587.05,587.05,2
HCPCS,90626,Tic-brn enceph vac 0.25ml im,,,617.85,617.85,2
HCPCS,90627,Tic-brn enceph vac 0.5ml im,,,617.85,617.85,2
HCPCS,90632,Hepa vaccine adult im,,,173.6,173.6,2
HCPCS,90633,Hepa vacc ped/adol 2 dose im,,,81.14,81.14,2
HCPCS,90636,Hep a/hep b vacc adult im,,,269.39,269.39,2
HCPCS,90644,Hib-mency vacc 6wk-18m0 im,,,52.76,52.76,2
HCPCS,90647,Hib prp-omp vacc 3 dose im,,,65.28,65.28,2
HCPCS,90648,Hib prp-t vaccine 4 dose im,,,25.73,25.73,2
HCPCS,90649,4vhpv vaccine 3 dose im,,,341.92,341.92,2
HCPCS,90650,2vhpv vaccine 3 dose im,,,283.04,283.04,2
HCPCS,90651,9vhpv vaccine 3 dose im,,,656.66,656.66,2
HCPCS,90653,Iiv adjuvant vaccine im,,,156.6,192.09,5
HCPCS,90655,Iiv3 vacc no prsv 0.25 ml im,,,26.66,32.09,3
HCPCS,90656,Iiv3 vacc no prsv 0.5 ml im,,,32.09,42.12,3
HCPCS,90657,Iiv3 vaccine splt 0.25 ml im,,,20.6,33.02,3
HCPCS,90658,Iiv3 vaccine splt 0.5 ml im,,,41.21,41.21,2
HCPCS,90660,Laiv3 vaccine intranasal,,,42.19,54.32,3
HCPCS,90661,Cciiv3 vac no prsv 0.5 ml im,,,69.26,69.26,2
HCPCS,90662,Iiv no prsv increased ag im,,,156.6,269.38,6
HCPCS,90670,Pcv13 vaccine im,,,483.36,946.82,6
HCPCS,90671,Pcv15 vaccine im,,,489.27,930.57,6
HCPCS,90672,Laiv4 vaccine intranasal,,,52.3,101.99,6
HCPCS,90673,Riv3 vaccine no preserv im,,,156.6,156.6,2
HCPCS,90674,Cciiv4 vac no prsv 0.5 ml im,,,64.25,125.4,6
HCPCS,90675,Rabies vaccine im,,,313.68,1191.8,13
HCPCS,90676,Rabies vaccine id,,,236.86,1024.48,13
HCPCS,90677,Pcv20 vaccine im,,,558.36,1059.38,6
HCPCS,90678,Rsv vacc pref bivalent im,,,629.74,629.74,2
HCPCS,90679,Rsv vacc pref recomb adjt im,,,627.61,627.61,2
HCPCS,90680,Rv5 vacc 3 dose live oral,,,210.96,210.96,2
HCPCS,90681,Rv1 vacc 2 dose live oral,,,296.17,296.17,2
HCPCS,90682,Riv4 vacc recombinant dna im,,,137.71,269.38,6
HCPCS,90683,Rsv vacc mrna lipid nano im,,,619.07,619.07,2
HCPCS,90684,Pcv21 vaccine im,,,614.27,614.27,2
HCPCS,90685,Iiv4 vacc no prsv 0.25 ml im,,,40.79,70.13,6
HCPCS,90686,Iiv4 vacc no prsv 0.5 ml im,,,42.12,82.02,6
HCPCS,90687,Iiv4 vaccine splt 0.25 ml im,,,19.69,38.31,6
HCPCS,90688,Iiv4 vaccine splt 0.5 ml im,,,39.36,76.63,6
HCPCS,90690,Typhoid vaccine oral,,,227.71,227.71,2
HCPCS,90691,Typhoid vaccine im,,,312.89,312.89,2
HCPCS,90694,Vacc aiiv4 no prsrv 0.5ml im,,,145.12,283.91,6
HCPCS,90696,Dtap-ipv vaccine 4-6 yrs im,,,130.39,130.39,2
HCPCS,90697,Dtap-ipv-hib-hepb vaccine im,,,334.33,334.33,2
HCPCS,90698,Dtap-ipv/hib vaccine im,,,256.3,256.3,2
HCPCS,90700,Dtap vaccine < 7 yrs im,,,61.49,61.49,2
HCPCS,90702,Dt vaccine under 7 yrs im,,,141.08,141.08,2
HCPCS,90707,Mmr vaccine sc,,,197.44,197.44,2
HCPCS,90710,Mmrv vaccine sc,,,459.11,593.8,5
HCPCS,90713,Poliovirus ipv sc/im,,,95.49,95.49,2
HCPCS,90714,Td vacc no presv 7 yrs+ im,,,86.06,86.06,2
HCPCS,90715,Tdap vaccine 7 yrs/> im,,,101.17,101.17,2
HCPCS,90716,Var vaccine live subq,,,390.65,390.65,2
HCPCS,90717,Yellow fever vaccine subq,,,478.12,478.12,2
HCPCS,90723,Dtap-hep b-ipv vaccine im,,,209.15,209.15,2
HCPCS,90732,Ppsv23 vacc 2 yrs+ subq/im,,,249.93,489.83,6
HCPCS,90733,Mpsv4 vaccine subq,,,262.93,262.93,2
HCPCS,90734,Mcv4 menacwy vaccine im,,,335.89,335.89,2
HCPCS,90736,Hzv vaccine live subq,,,453.99,453.99,2
HCPCS,90738,Inactivated je vacc im,,,613.94,613.94,2
HCPCS,90739,Hepb vacc 2 dose adult im,,,315.16,588.23,6
HCPCS,90740,Hepb vacc 3 dose immunsup im,,,387.77,558.28,6
HCPCS,90743,Hepb vacc 2 dose adolesc im,,,146.9,275.8,6
HCPCS,90744,Hepb vacc 3 dose ped/adol im,,,59.58,112.93,6
HCPCS,90746,Hepb vaccine 3 dose adult im,,,146.9,258.29,6
HCPCS,90747,Hepb vacc 4 dose immunsup im,,,296.69,516.55,6
HCPCS,90748,Hib-hepb vaccine im,,,89.79,89.79,2
HCPCS,90750,Hzv vacc recombinant im njx,,,422.46,422.46,2
HCPCS,90756,Cciiv4 vacc abx free im,,,60.88,118.8,6
HCPCS,90759,Hep b vac 3ag 10mcg 3 dos im,,,138.22,270.92,6
HCPCS,90785,Hc Eval Add-On Psych Diag Complex,959.0,374.01,,,0
HCPCS,90791,Hc Psychiatric Diagnostic Evaluation,1375.0,536.25,,,0
HCPCS,90791,Hc Re-Eval Psych Diag Without E/M,1375.0,536.25,,,0
HCPCS,90791,Psych diagnostic evaluation,,,180.28,676.78,9
HCPCS,90792,Hc Psychiatric Diagnostic Eval With Medical Services,508.0,198.12,,,0
HCPCS,90792,Psych diag eval w/med srvcs,,,180.28,676.78,9
HCPCS,90832,Hc Therapy Ind And Family 30 Mins,790.0,308.1,,,0
HCPCS,90832,Psytx w pt 30 minutes,,,180.28,676.78,9
HCPCS,90833,Hc Psychotherapy W/Patient W/E And M Srvcs 30 Min,142.0,55.38,,,0
HCPCS,90834,Hc Therapy Ind And Family 45 Mins,998.0,389.22,,,0
HCPCS,90834,Psytx w pt 45 minutes,,,180.28,676.78,9
HCPCS,90836,Hc Psychotherapy W/Patient W/E And M Srvcs 45 Min,142.0,55.38,,,0
HCPCS,90837,Hc Therapy Ind And Family 60 Mins,1947.0,759.33,,,0
HCPCS,90837,Psytx w pt 60 minutes,,,180.28,676.78,9
HCPCS,90838,Hc Psychotherapy W/Patient W/E And M Srvcs 60 Min,142.0,55.38,,,0
HCPCS,90839,Hc Therapy Crisis Intervention 60 Mins,1375.0,536.25,,,0
HCPCS,90839,Psytx crisis initial 60 min,,,180.28,676.78,9
HCPCS,90840,Hc Therapy Add-On Crisis Intervention Ea 30 Min,499.0,194.61,,,0
HCPCS,90845,Psychoanalysis,,,180.28,676.78,9
HCPCS,90846,Family psytx w/o pt 50 min,,,180.28,676.78,9
HCPCS,90846,Hc Family Psychotherapy W/O Patient Present 50 Mins,474.0,184.86,,,0
HCPCS,90847,Family psytx w/pt 50 min,,,180.28,676.78,9
HCPCS,90847,Hc Family Psychotherapy W/Patient Present 50 Mins,525.0,204.75,,,0
HCPCS,90849,Multiple family group psytx,,,180.28,676.78,9
HCPCS,90853,Hc Group Therapy,941.0,366.99,,,0
HCPCS,90865,Narcosynthesis,,,180.28,676.78,9
HCPCS,90867,Hc Repet Tms Tx Initial W/Map/Motr Threshld/Del And M,992.0,386.88,,,0
HCPCS,90867,Tcranial magn stim tx plan,,,219.32,823.3,9
HCPCS,90868,Hc Therap Repetitive Tms Tx Subseq Delivery And Mng,998.0,389.22,,,0
HCPCS,90868,Tcranial magn stim tx deli,,,219.32,823.3,9
HCPCS,90869,Hc Repet Tms Tx Subseq Motr Threshld W/Deliv And Mn,992.0,386.88,,,0
HCPCS,90869,Tcran magn stim redetemine,,,219.32,823.3,9
HCPCS,90870,Electroconvulsive therapy,,,872.23,3274.32,10
HCPCS,90870,Hc Electroconvulsive Therapy,11583.0,4517.37,,,0
HCPCS,90899,Hc Psy Services Grp Activity Thy,1072.0,418.08,,,0
HCPCS,90899,Psychiatric service/therapy,,,38.06,142.86,9
HCPCS,90901,Biofeedback train any meth,,,16.51,32.36,7
HCPCS,90901,Hc Biofeedback Occupational Therapy,187.0,72.93,,,0
HCPCS,90901,Hc Biofeedback Physical Therapy,187.0,72.93,,,0
HCPCS,90912,Bfb training 1st 15 min,,,37.93,74.34,7
HCPCS,90912,Hc Bfb Traing W/Emg And/Or Manometry 1St 15 Min Cntct,333.0,129.87,,,0
HCPCS,90913,Bfb training ea addl 15 min,,,20.87,40.91,7
HCPCS,90913,Hc Bfb Traing W/Emg And/Or Manometry Ea Addl 15 Min Cntct,238.0,92.82,,,0
HCPCS,90935,Hemodialysis one evaluation,,,697.1,2616.87,9
HCPCS,90945,Dialysis one evaluation,,,423.82,1590.99,9
HCPCS,90945,Hc Dialysis Other Daily Crrt Capd Ccpd,2123.0,827.97,,,0
HCPCS,91010,Esophagus motility study,,,379.02,3391.0,11
HCPCS,91010,Hc Esophageal Motility Study W/Interp And Rpt,6234.0,2431.26,,,0
HCPCS,91013,Esophgl motil w/stim/perfus,,,2665.0,2665.0,1
HCPCS,91020,Gastric motility studies,,,379.02,3391.0,11
HCPCS,91022,Duodenal motility study,,,379.02,3391.0,11
HCPCS,91030,Acid perfusion of esophagus,,,379.02,2665.0,10
HCPCS,91034,Gastroesophageal reflux test,,,379.02,2665.0,10
HCPCS,91034,Hc Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt,10859.0,4235.01,,,0
HCPCS,91035,G-esoph reflx tst w/electrod,,,872.23,3274.32,10
HCPCS,91035,Hc Gastroesophag Reflux Test W/Telemtry Ph Eltrd,1574.0,613.86,,,0
HCPCS,91037,Esoph imped function test,,,219.32,2665.0,10
HCPCS,91037,Hc Gastroesophag Reflx Test W/Intrluml Imped Eltrd,1880.0,733.2,,,0
HCPCS,91038,Esoph imped funct test > 1hr,,,379.02,2665.0,10
HCPCS,91038,Hc Esophgl Funcj G-Esop Rflx Impd Eltrd Prolng,1548.0,603.72,,,0
HCPCS,91040,Esoph balloon distension tst,,,379.02,2665.0,10
HCPCS,91040,Hc Esophgl Balo Distension Dx Std W/Provocation,1574.0,613.86,,,0
HCPCS,91065,Breath hydrogen/methane test,,,219.32,2665.0,10
HCPCS,91065,Hc Breath Hydrogen Or Methane Test,1179.0,459.81,,,0
HCPCS,91110,Gi tract capsule endoscopy,,,921.24,5272.0,10
HCPCS,91110,Hc Gi Imag Intraluminal Esophagus-Ileum W/I And R,8269.0,3224.91,,,0
HCPCS,91111,Esophageal Capsule Endoscopy,,,921.24,5272.0,10
HCPCS,91111,Hc Gi Tract Imaging Intraluminal Esophagus Wi And R,3963.0,1545.57,,,0
HCPCS,91112,Gi wireless capsule measure,,,921.24,5272.0,10
HCPCS,91112,Hc Gi Transit And Pres Meas Wireless Capsule W/Interp,2691.0,1049.49,,,0
HCPCS,91113,Gi trc img intral colon i&r,,,944.57,3545.87,9
HCPCS,91117,Colon motility 6 hr study,,,219.32,2665.0,10
HCPCS,91120,Hc Rectal Sesation Tone And Compliance Test,827.0,322.53,,,0
HCPCS,91120,Rectal sensation test,,,2665.0,2665.0,1
HCPCS,91122,Anal pressure record,,,2665.0,2665.0,1
HCPCS,91122,Hc Manometry Anorectal Pressure Record,2299.5,896.8050000000001,,,0
HCPCS,91124,Rct snsatn tone&cmplianc std,,,219.32,823.3,9
HCPCS,91125,Anrct mano rct snsatn&balo,,,379.02,1422.83,9
HCPCS,91132,Electrogastrography,,,219.32,2665.0,10
HCPCS,91133,Electrogastrography W/Test,,,135.14,2665.0,10
HCPCS,91200,Hc Us Elastography W/O Imag W/I And R,662.0,258.18,,,0
HCPCS,91200,Liver elastography,,,130.69,490.62,9
HCPCS,91299,Gastroenterology procedure,,,130.69,2665.0,10
HCPCS,91300,Sarscov2 vac 30mcg/0.3ml im,,,0.03,0.03,1
HCPCS,91301,Sarscov2 vac 100mcg/0.5ml im,,,0.03,0.03,1
HCPCS,91303,Coronavirus vaccine 4,,,0.03,0.03,1
HCPCS,91304,Coronavirus vaccine 5,,,302.48,543.89,5
HCPCS,91305,Coronavirus vaccine 6,,,0.03,0.03,1
HCPCS,91306,Coronavirus vaccine 7,,,0.03,0.03,1
HCPCS,91307,Coronavirus vaccine 8,,,0.03,0.03,1
HCPCS,91309,Coronavirus vaccine 10,,,0.03,0.03,1
HCPCS,91318,Sarscov2 vac 3mcg trs-suc im,,,122.75,240.57,5
HCPCS,91319,Sarscv2 vac 10mcg trs-suc im,,,164.37,322.15,5
HCPCS,91320,Sarscv2 vac 30mcg trs-suc im,,,291.92,481.14,5
HCPCS,91321,Sarscov2 vac 25 mcg/.25ml im,,,275.38,535.53,5
HCPCS,91322,Sarscov2 vac 50 mcg/0.5ml im,,,302.71,535.53,5
HCPCS,92002,Eye exam new patient,,,135.23,507.64,9
HCPCS,92002,Hc Oph Svcs Medical Exam And Eval Intermediate New Pt,416.0,162.24,,,0
HCPCS,92004,Eye exam new patient,,,135.23,507.64,9
HCPCS,92004,Hc Eye Exam New Pt 1 Or More Visits,376.0,146.64,,,0
HCPCS,92012,Eye exam establish patient,,,135.23,507.64,9
HCPCS,92012,Hc Oph Svcs Medical Exam And Eval Intermediate Est Pt,414.0,161.46,,,0
HCPCS,92014,Eye exam&tx estab pt 1/>vst,,,135.23,507.64,9
HCPCS,92014,Hc Oph Svcs Medical Exam And Eval Compre Est Pt 1 Or More,290.0,113.1,,,0
HCPCS,92018,New eye exam & treatment,,,1308.0,9065.2,11
HCPCS,92019,Eye exam & treatment,,,1308.0,9065.2,11
HCPCS,92020,Hc Gonioscopy Separate Procedure,374.0,145.86,,,0
HCPCS,92020,Special eye evaluation,,,135.14,507.3,9
HCPCS,92025,Corneal Topography,,,59.92,224.93,9
HCPCS,92025,Hc Computerized Corneal Topography Uni/Bi,287.0,111.93,,,0
HCPCS,92060,Hc Sensormotor Exam Mult Meas Ocular Deviation,165.0,64.35,,,0
HCPCS,92060,Special eye evaluation,,,59.92,224.93,9
HCPCS,92066,Orthop traing supvj phys/qhp,,,59.92,224.93,9
HCPCS,92071,Hc Fit Contact Lens Tx Ocular Surface Disease,575.0,224.25,,,0
HCPCS,92072,Hc Fitting Contact Lens For Mgmt Of Keratoconus 1St,320.0,124.8,,,0
HCPCS,92081,Hc Visual Field Exam Limited,188.0,73.32,,,0
HCPCS,92081,Visual field examination(s),,,59.92,224.93,9
HCPCS,92082,Hc Visual Field Exam Intermed,188.0,73.32,,,0
HCPCS,92082,Visual field examination(s),,,59.92,224.93,9
HCPCS,92083,Hc Visual Field Exam Extended,200.0,78.0,,,0
HCPCS,92083,Visual field examination(s),,,135.14,507.3,9
HCPCS,92132,Cmptr ophth dx img ant segmt,,,59.92,224.93,9
HCPCS,92132,Hc Cmptr Opth Dx Img Ant Segmt W I And R Uni/Bi,203.0,79.17,,,0
HCPCS,92133,Cmptr ophth img optic nerve,,,59.92,224.93,9
HCPCS,92133,Hc Cmptr Opth Imaging Optic Nerve Uni/Bi,204.0,79.56,,,0
HCPCS,92134,Cptr ophth dx img post segmt,,,59.92,224.93,9
HCPCS,92134,Hc Cmptr Opth Imaging Retina Uni/Bi,204.0,79.56,,,0
HCPCS,92136,Hc Opth Biometry Prtl Coher Intrfrmtry Io Lens Pwr Cal,227.0,88.53,,,0
HCPCS,92136,Ophthalmic biometry,,,135.14,507.3,9
HCPCS,92137,Cptrz oph img pst sg rta oct,,,219.32,823.3,9
HCPCS,92145,Corneal hysteresis deter,,,59.92,224.93,9
HCPCS,92201,Opscpy extnd rta draw uni/bi,,,59.92,224.93,9
HCPCS,92202,Opscpy extnd on/mac draw,,,59.92,224.93,9
HCPCS,92227,Hc Img Retina Detcj/Mntr Ds Rem Clin Staff Uni/Bi,195.0,76.05,,,0
HCPCS,92227,Remote dx retinal imaging,,,59.92,224.93,9
HCPCS,92228,Remote retinal imaging mgmt,,,37.94,142.42,9
HCPCS,92229,Img rta detc/mntr ds poc aly,,,59.92,224.93,9
HCPCS,92230,Eye exam with photos,,,379.02,1422.83,9
HCPCS,92235,Fluorescein angrph uni/bi,,,219.32,823.3,9
HCPCS,92235,Hc Fluorescein Angioraphy Img I And R Uni/Bi,498.0,194.22,,,0
HCPCS,92240,Icg angiography uni/bi,,,219.32,823.3,9
HCPCS,92242,Fluorescein icg angiography,,,219.32,823.3,9
HCPCS,92242,Hc Fluorescein Icg Angiography,2262.0,882.18,,,0
HCPCS,92250,Eye exam with photos,,,135.14,507.3,9
HCPCS,92250,Hc Fundus Photography,550.0,214.5,,,0
HCPCS,92260,Ophthalmoscopy/dynamometry,,,37.94,142.42,9
HCPCS,92265,Eye muscle evaluation,,,59.92,224.93,9
HCPCS,92270,Electro-oculography,,,135.14,507.3,9
HCPCS,92273,Electroretinography W/Interp &,1008.0,393.12,,,0
HCPCS,92273,Full field erg w/i&r,,,219.32,823.3,9
HCPCS,92274,Multifocal erg w/i&r,,,130.69,490.62,9
HCPCS,92283,Color vision examination,,,59.92,224.93,9
HCPCS,92284,Dark adaptation eye exam,,,453.74,1703.33,9
HCPCS,92285,Eye photography,,,37.94,142.42,9
HCPCS,92285,Hc Photography External W/I And R Docmt Med Prog,160.0,62.4,,,0
HCPCS,92286,Internal eye photography,,,135.14,507.3,9
HCPCS,92287,Internal eye photography,,,135.14,507.3,9
HCPCS,92311,Contact lens fitting,,,453.74,1703.33,9
HCPCS,92312,Contact lens fitting,,,135.14,507.3,9
HCPCS,92313,Contact lens fitting,,,135.14,507.3,9
HCPCS,92315,Rx cntact lens aphakia 1 eye,,,135.14,507.3,9
HCPCS,92316,Rx cntact lens aphakia 2 eye,,,135.14,507.3,9
HCPCS,92317,Rx corneoscleral cntact lens,,,37.94,142.42,9
HCPCS,92325,Modification of contact lens,,,135.14,507.3,9
HCPCS,92326,Replacement of contact lens,,,59.92,224.93,9
HCPCS,92352,Fit aphakia spectcl monofocl,,,59.92,224.93,9
HCPCS,92353,Fit aphakia spectcl multifoc,,,59.92,224.93,9
HCPCS,92354,Fit spectacles single system,,,37.94,142.42,9
HCPCS,92355,Fit spectacles compound lens,,,37.94,142.42,9
HCPCS,92358,Aphakia prosth service temp,,,59.92,224.93,9
HCPCS,92371,Repair & adjust spectacles,,,59.92,224.93,9
HCPCS,92499,Eye service or procedure,,,29.38,110.28,9
HCPCS,92502,Ear and throat examination,,,547.8,2665.0,11
HCPCS,92504,Hc Binocular Microscopy Separate Dx Procedure,119.0,46.41,,,0
HCPCS,92507,Hc Treatment Of Speech,443.0,172.77,,,0
HCPCS,92507,Speech/hearing therapy,,,76.87,150.67,7
HCPCS,92508,Hc Tx Speech Language Voice Comm Auditry 2 Or Over Indiv-St,279.0,108.81,,,0
HCPCS,92508,Speech/hearing therapy,,,22.74,44.57,7
HCPCS,92511,Hc Nasopharyngoscopy W Endoscope,1526.0,595.14,,,0
HCPCS,92511,Nasopharyngoscopy,,,202.74,3391.0,10
HCPCS,92512,Nasal function studies,,,219.32,823.3,9
HCPCS,92516,Facial nerve function test,,,219.32,823.3,9
HCPCS,92517,Vemp test i&r cervical,,,130.69,490.62,9
HCPCS,92518,Vemp test i&r ocular,,,130.69,490.62,9
HCPCS,92519,Vemp tst i&r cervical&ocular,,,219.32,823.3,9
HCPCS,92520,Hc Laryngeal Function Studies - St,1817.0,708.63,,,0
HCPCS,92520,Laryngeal function studies,,,135.14,507.3,9
HCPCS,92521,Evaluation of speech fluency,,,134.49,263.6,7
HCPCS,92521,Hc Evaluation Of Speech Fluency,626.0,244.14,,,0
HCPCS,92522,Evaluate speech production,,,107.14,209.99,7
HCPCS,92522,Hc Evaluate Speech Production,626.0,244.14,,,0
HCPCS,92523,Hc Eval Speech Sound Lang Compreh,626.0,244.14,,,0
HCPCS,92523,Speech sound lang comprehen,,,228.48,447.82,7
HCPCS,92524,Behavral qualit analys voice,,,110.66,216.89,7
HCPCS,92524,Hc Eval Behavral Qualit Analys Voice,626.0,244.14,,,0
HCPCS,92524,Hc Ip Only - Eval Behavral Qualit Analys Voice-45 Min,626.0,244.14,,,0
HCPCS,92526,Hc Treatment Of Swallowing,333.0,129.87,,,0
HCPCS,92526,Oral function therapy,,,80.01,156.82,7
HCPCS,92537,Caloric vstblr test w/rec,,,130.69,490.62,9
HCPCS,92538,Caloric vstblr test w/rec,,,219.32,823.3,9
HCPCS,92540,Basic vestibular evaluation,,,219.32,823.3,9
HCPCS,92540,Hc Vstblr Funcj Nystag Fovl And Perph Stimj Oscil Trk,480.0,187.2,,,0
HCPCS,92541,Spontaneous nystagmus test,,,135.14,507.3,9
HCPCS,92542,Positional nystagmus test,,,135.14,507.3,9
HCPCS,92544,Optokinetic nystagmus test,,,130.69,490.62,9
HCPCS,92545,Oscillating tracking test,,,219.32,823.3,9
HCPCS,92546,Sinusoidal rotational test,,,130.69,490.62,9
HCPCS,92548,Posturography,,,135.14,507.3,9
HCPCS,92549,Cdp-sot 6 cond w/i&r mct&adt,,,135.14,507.3,9
HCPCS,92550,Hc Tympanometrty And Acoustic Test,474.0,184.86,,,0
HCPCS,92550,Tympanometry & reflex thresh,,,219.32,823.3,9
HCPCS,92551,"Screening Test, Pure Tone, Air",180.0,70.2,,,0
HCPCS,92552,Hc Audio Pure Tone Air Onl,208.0,81.12,,,0
HCPCS,92552,Pure tone audiometry air,,,135.14,507.3,9
HCPCS,92553,Audiometry air & bone,,,130.69,490.62,9
HCPCS,92553,Hc Audio Pure Tone Air And Bone,344.0,134.16,,,0
HCPCS,92555,Hc Speech Threshold,334.0,130.26,,,0
HCPCS,92555,Speech threshold audiometry,,,59.92,224.93,9
HCPCS,92556,Hc Audio Sp Thres And Discrim,443.0,172.77,,,0
HCPCS,92556,Speech audiometry complete,,,59.92,224.93,9
HCPCS,92557,Comprehensive hearing test,,,130.69,490.62,9
HCPCS,92557,Hc Comprehensive Audio,1011.0,394.29,,,0
HCPCS,92558,Hc Evoked Auditory Screen,1243.0,484.77,,,0
HCPCS,92562,Loudness balance test,,,219.32,823.3,9
HCPCS,92563,Hc Tone Decay Test,391.0,152.49,,,0
HCPCS,92563,Tone decay hearing test,,,37.94,142.42,9
HCPCS,92565,Stenger test pure tone,,,59.92,224.93,9
HCPCS,92567,Hc Tympanometry,405.0,157.95,,,0
HCPCS,92567,Tympanometry,,,37.94,142.42,9
HCPCS,92568,Acoustic refl threshold tst,,,37.94,142.42,9
HCPCS,92568,Hc Acoustic Reflex Testing,434.0,169.26,,,0
HCPCS,92570,Acoustic immitance testing,,,130.69,490.62,9
HCPCS,92570,Hc Acoustic Immittance Testing,802.0,312.78,,,0
HCPCS,92571,Filtered speech hearing test,,,37.94,142.42,9
HCPCS,92572,Staggered spondaic word test,,,130.69,490.62,9
HCPCS,92575,Sensorineural acuity test,,,37.94,142.42,9
HCPCS,92576,Synthetic sentence test,,,37.94,142.42,9
HCPCS,92577,Stenger test speech,,,379.02,1422.83,9
HCPCS,92579,Hc Audio Visual Reinforce,485.0,189.15,,,0
HCPCS,92579,Visual audiometry (vra),,,219.32,823.3,9
HCPCS,92582,Conditioning play audiometry,,,130.69,490.62,9
HCPCS,92582,Hc Audio Condtn Play,485.0,189.15,,,0
HCPCS,92583,Select picture audiometry,,,59.92,224.93,9
HCPCS,92584,Electrocochleography,,,130.69,490.62,9
HCPCS,92584,Hc Electrocochleography,1096.0,427.44,,,0
HCPCS,92587,Evoked auditory test limited,,,219.32,823.3,9
HCPCS,92587,Hc Audiometry Testing Distortion Ltd,873.0,340.47,,,0
HCPCS,92588,Evoked auditory tst complete,,,379.02,1422.83,9
HCPCS,92588,Hc Evoked Auditory Test Complete,1320.0,514.8,,,0
HCPCS,92590,Hc Hearing Aid Exam One Ear,124.0,48.36,,,0
HCPCS,92591,Hc Hearing Aid Exam Both Ears,253.0,98.67,,,0
HCPCS,92592,Hc Hearing Aid Chck Monarl,90.0,35.1,,,0
HCPCS,92593,Hc Hearing Aid Chck Binaurl,143.0,55.77,,,0
HCPCS,92594,Hc Ea Ha Check Monaural,90.0,35.1,,,0
HCPCS,92595,Hc Ea Ha Check Binaural,143.0,55.77,,,0
HCPCS,92596,Ear protector evaluation,,,37.94,142.42,9
HCPCS,92597,Hc Oral Speech Device Eval,496.0,193.44,,,0
HCPCS,92597,Oral speech device eval,,,68.1,133.48,7
HCPCS,92601,Cochlear implt f/up exam <7,,,130.69,490.62,9
HCPCS,92602,Reprogram cochlear implt 7/>,,,130.69,490.62,9
HCPCS,92603,Cochlear implt f/up exam 7/>,,,130.69,490.62,9
HCPCS,92604,Reprogram cochlear implt 7/>,,,130.69,490.62,9
HCPCS,92605,Hc Eval For Rx Of Non-Speech Prosthetic Device First Hour - St,731.0,285.09,,,0
HCPCS,92606,Hc Therapeutic Services Non Speech Generating Device,272.0,106.08,,,0
HCPCS,92607,Ex for speech device rx 1hr,,,123.46,241.98,7
HCPCS,92607,Hc Eval Augumentative/Communication Device 1 Hr,629.0,245.31,,,0
HCPCS,92608,Ex for speech device rx addl,,,48.22,94.51,7
HCPCS,92608,Hc Rx Sp-Genratj Augmnt And Comunicaj Dev Ea 30 Min,294.0,114.66,,,0
HCPCS,92609,Hc Therapeutic Services Speech Generating Device,295.0,115.05,,,0
HCPCS,92609,Use of speech device service,,,103.59,203.04,7
HCPCS,92610,Evaluate swallowing function,,,58.21,114.09,7
HCPCS,92610,Hc Evaluation Of Swallowing,626.0,244.14,,,0
HCPCS,92611,Hc Motion Fluoro Eval Swallow Function C/V Rec - St,857.0,334.23,,,0
HCPCS,92611,Motion fluoroscopy/swallow,,,86.86,170.25,7
HCPCS,92612,Endoscopy swallow (fees) vid,,,53.24,104.35,7
HCPCS,92612,Hc Flexible Endoscopic Eval Swallow C/V Rec -St,847.0,330.33,,,0
HCPCS,92614,Laryngoscopic sensory vid,,,54.81,107.43,7
HCPCS,92616,Fees w/laryngeal sense test,,,80.74,158.25,7
HCPCS,92618,Hc Eval For Rx Of Non-Speech Prosthetic Device Ea Add'l 30 Min,365.0,142.35,,,0
HCPCS,92620,Auditory function 60 min,,,130.69,490.62,9
HCPCS,92622,Dx aly aud oi snd prcsr 1st,,,130.69,490.62,9
HCPCS,92625,Hc Tinnitus Assessment,466.0,181.74,,,0
HCPCS,92625,Tinnitus assessment,,,130.69,490.62,9
HCPCS,92626,Eval aud rehab status,,,130.69,490.62,9
HCPCS,92640,Aud brainstem implt programg,,,130.69,490.62,9
HCPCS,92650,Aud Evoked Potential Screening,600.0,234.0,,,0
HCPCS,92651,Aep hearing status deter i&r,,,219.32,823.3,9
HCPCS,92651,Hc Aep Threshold Status Broadband Stimuli I And R,619.0,241.41,,,0
HCPCS,92652,Aep thrshld est mlt freq i&r,,,219.32,823.3,9
HCPCS,92652,Hc Aep Threshold Estimation Mlt Frequencies I And R,972.0,379.08,,,0
HCPCS,92653,Aep neurodiagnostic i&r,,,219.32,823.3,9
HCPCS,92653,Hc Aep Neurodiagnostic Interpretation And Report,972.0,379.08,,,0
HCPCS,92700,Ent procedure/service,,,29.38,110.28,9
HCPCS,92920,Hc Pci Ramus,11909.0,4644.51,,,0
HCPCS,92920,Hc Ptca Lc/Lcx Artery Or Branch,11909.0,4644.51,,,0
HCPCS,92920,Hc Ptca Ld/Lad Artery Or Branch,11909.0,4644.51,,,0
HCPCS,92920,Hc Ptca Lm,11909.0,4644.51,,,0
HCPCS,92920,Hc Ptca Rc/Rca,11909.0,4644.51,,,0
HCPCS,92920,Hc Robotic Assist Ptca Lc/Lcx Artery Or Branch,11909.0,4644.51,,,0
HCPCS,92920,Hc Robotic Assist Ptca Ld/Lad Artery Or Branch,11909.0,4644.51,,,0
HCPCS,92920,Hc Robotic Assist Ptca Lm,11909.0,4644.51,,,0
HCPCS,92920,Hc Robotic Assist Ptca Rc/Rca,11909.0,4644.51,,,0
HCPCS,92920,Hc Robotic Assist Ri Pcta Ramus,11909.0,4644.51,,,0
HCPCS,92920,Prq cardiac angioplast 1 art,,,5781.0,21701.57,11
HCPCS,92921,Hc Ptca Addl Branch Ri,6245.0,2435.55,,,0
HCPCS,92921,Hc Ptca Lc/Lcx Additional Branch,6245.0,2435.55,,,0
HCPCS,92921,Hc Ptca Ld/Lad Additional Branch,6245.0,2435.55,,,0
HCPCS,92921,Hc Ptca Rc/Rca Additional Branch,6245.0,2435.55,,,0
HCPCS,92921,Hc Robotic Assist Ptca Addl Branch Ri,6245.0,2435.55,,,0
HCPCS,92921,Hc Robotic Assist Ptca Lc/Lcx Additional Branch,6245.0,2435.55,,,0
HCPCS,92921,Hc Robotic Assist Ptca Ld/Lad Additional Branch,6245.0,2435.55,,,0
HCPCS,92921,Hc Robotic Assist Ptca Rc/Rca Additional Branch,6245.0,2435.55,,,0
HCPCS,92921,Prq cardiac angio addl art,,,3391.0,15026.0,2
HCPCS,92924,Hc Atherect Rc/Rca,20024.0,7809.36,,,0
HCPCS,92924,Hc Atherectomy Lc/Lcx,20024.0,7809.36,,,0
HCPCS,92924,Hc Atherectomy Ld/Lad,20024.0,7809.36,,,0
HCPCS,92924,Hc Atherectomy Lm,20024.0,7809.36,,,0
HCPCS,92924,Hc Atherectomy Ri,20024.0,7809.36,,,0
HCPCS,92924,Hc Robotic Assist Atherect Rc/Rca,20024.0,7809.36,,,0
HCPCS,92924,Hc Robotic Assist Atherectomy Lc/Lcx,20024.0,7809.36,,,0
HCPCS,92924,Hc Robotic Assist Atherectomy Ld/Lad,20024.0,7809.36,,,0
HCPCS,92924,Hc Robotic Assist Atherectomy Lm,20024.0,7809.36,,,0
HCPCS,92924,Hc Robotic Assist Atherectomy Ri,20024.0,7809.36,,,0
HCPCS,92924,Prq card angio/athrect 1 art,,,9000.0,44017.26,11
HCPCS,92925,Hc Atherectomy Lc/Lcx Additional Branch,5720.0,2230.8,,,0
HCPCS,92925,Hc Atherectomy Ld/Lad Additional Branch,5720.0,2230.8,,,0
HCPCS,92925,Hc Atherectomy Rc/Rca Additional Branch,5720.0,2230.8,,,0
HCPCS,92925,Hc Robotic Assist Atherectomy Lc/Lcx Additional Branch,5720.0,2230.8,,,0
HCPCS,92925,Hc Robotic Assist Atherectomy Ld/Lad Additional Branch,5720.0,2230.8,,,0
HCPCS,92925,Hc Robotic Asssit Atherectomy Rc/Rca Additional Branch,5720.0,2230.8,,,0
HCPCS,92925,Prq card angio/athrect addl,,,3391.0,16710.0,2
HCPCS,92928,Hc Robotic Asst Stent Bms Lc/Lcx Artery Or Branch,25030.0,9761.7,,,0
HCPCS,92928,Hc Robotic Asst Stent Bms Ld/Lad Artery Or Branch,25030.0,9761.7,,,0
HCPCS,92928,Hc Robotic Asst Stent Bms Lm Artery,25030.0,9761.7,,,0
HCPCS,92928,Hc Robotic Asst Stent Bms Ramus Artery,25030.0,9761.7,,,0
HCPCS,92928,Hc Robotic Asst Stent Bms Rc/Rca Artery Or Branch,25030.0,9761.7,,,0
HCPCS,92928,Hc Stent Bms Lc/Lcx Artery Or Branch,25030.0,9761.7,,,0
HCPCS,92928,Hc Stent Bms Ld/Lad Artery Or Branch,25030.0,9761.7,,,0
HCPCS,92928,Hc Stent Bms Lm Artery,25030.0,9761.7,,,0
HCPCS,92928,Hc Stent Bms Ramus Artery,25030.0,9761.7,,,0
HCPCS,92928,Hc Stent Bms Rc/Rca Artery Or Branch,25030.0,9761.7,,,0
HCPCS,92928,Prq card stent w/angio 1 vsl,,,9842.0,44017.26,11
HCPCS,92929,Hc Robitic Asst Stent Bms Rc/Rca Additional Branch,6696.0,2611.44,,,0
HCPCS,92929,Hc Robotic Asst Stent Bms Lc/Lcx Additional Branch,6696.0,2611.44,,,0
HCPCS,92929,Hc Robotic Asst Stent Bms Ld/Lad Additional Branch,6696.0,2611.44,,,0
HCPCS,92929,Hc Stent Bms Lc/Lcx Additional Branch,6696.0,2611.44,,,0
HCPCS,92929,Hc Stent Bms Ld/Lad Additional Branch,6696.0,2611.44,,,0
HCPCS,92929,Hc Stent Bms Rc/Rca Additional Branch,6696.0,2611.44,,,0
HCPCS,92929,Prq card stent w/angio addl,,,3391.0,15026.0,2
HCPCS,92930,Prq tcat plmt ntrac st 2+les,,,18619.69,69897.36,9
HCPCS,92933,Hc Atherectomy And Bms Stent Lc/Lcx,28502.0,11115.78,,,0
HCPCS,92933,Hc Atherectomy And Bms Stent Ld/Lad,28502.0,11115.78,,,0
HCPCS,92933,Hc Atherectomy And Bms Stent Lm Artery,28502.0,11115.78,,,0
HCPCS,92933,Hc Atherectomy And Bms Stent Ramus Artery,28502.0,11115.78,,,0
HCPCS,92933,Hc Atherectomy And Bms Stent Rc/Rca,28502.0,11115.78,,,0
HCPCS,92933,Hc Robotic Asst Roto/Laser Bms Initial Lc/Lcx,28502.0,11115.78,,,0
HCPCS,92933,Hc Robotic Asst Roto/Laser Bms Initial Ld/Lad,28502.0,11115.78,,,0
HCPCS,92933,Hc Robotic Asst Roto/Laser Bms Initial Lm,28502.0,11115.78,,,0
HCPCS,92933,Hc Robotic Asst Roto/Laser Bms Initial Rc/Rcx,28502.0,11115.78,,,0
HCPCS,92933,Hc Robotic Asst Roto/Laser Bms Initial Ri,28502.0,11115.78,,,0
HCPCS,92933,Prq card stent/ath/angio,,,9842.0,69897.36,11
HCPCS,92934,Hc Atherectomy Bms Stent Additional Lc/Lcx,19223.0,7496.97,,,0
HCPCS,92934,Hc Atherectomy Bms Stent Additional Ld/Lad,19223.0,7496.97,,,0
HCPCS,92934,Hc Atherectomy Bms Stent Additional Rc/Rca,19223.0,7496.97,,,0
HCPCS,92934,Hc Robotic Asst Atherectomy Bms Stent Additional Lc/Lcx,19223.0,7496.97,,,0
HCPCS,92934,Hc Robotic Asst Atherectomy Bms Stent Additional Ld/Lad,19223.0,7496.97,,,0
HCPCS,92934,Hc Robotic Asst Atherectomy Bms Stent Additional Rc/Rca,19223.0,7496.97,,,0
HCPCS,92934,Prq card stent/ath/angio,,,3391.0,15026.0,2
HCPCS,92937,Hc Graft Ptca And/Or Bms Stent Ramus Artery,26913.0,10496.07,,,0
HCPCS,92937,Hc Graft Ptca And/Or Bms Stent To Lc/Lcx,26913.0,10496.07,,,0
HCPCS,92937,Hc Graft Ptca And/Or Bms Stent To Ld/Lad,26913.0,10496.07,,,0
HCPCS,92937,Hc Graft Ptca And/Or Bms Stent To Rc/Rca,26913.0,10496.07,,,0
HCPCS,92937,Hc Robotic Asst Graft Ptca And/Or Bms Stent Ramus Artery,26913.0,10496.07,,,0
HCPCS,92937,Hc Robotic Asst Graft Ptca And/Or Bms Stent To Lc/Lcx,26913.0,10496.07,,,0
HCPCS,92937,Hc Robotic Asst Graft Ptca And/Or Bms Stent To Ld/Lad,26913.0,10496.07,,,0
HCPCS,92937,Hc Robotic Asst Graft Ptca And/Or Bms Stent To Rc/Rca,26913.0,10496.07,,,0
HCPCS,92937,Prq revasc byp graft 1 vsl,,,9842.0,44017.26,11
HCPCS,92938,Hc Graft Ptca And/Or Bms Stent Addtl Lc/Lcx,20226.0,7888.14,,,0
HCPCS,92938,Hc Graft Ptca And/Or Bms Stent Addtl Ld/Lad,20226.0,7888.14,,,0
HCPCS,92938,Hc Graft Ptca And/Or Bms Stent Addtl Rc/Rca,20226.0,7888.14,,,0
HCPCS,92938,Hc Robotic Asst Graft Ptca And/Or Bms Stent Addtl Lc/Lcx,20226.0,7888.14,,,0
HCPCS,92938,Hc Robotic Asst Graft Ptca And/Or Bms Stent Addtl Ld/Lad,20226.0,7888.14,,,0
HCPCS,92938,Hc Robotic Asst Graft Ptca And/Or Bms Stent Addtl Rc/Rca,20226.0,7888.14,,,0
HCPCS,92938,Prq revasc byp graft addl,,,3391.0,15026.0,2
HCPCS,92941,Hc Ip Only- Prq Card Revasc Mi 1 Vsl Rc,37819.0,14749.41,,,0
HCPCS,92941,Hc Ip Only-Prq Card Revasc Mi 1 Vsl Lc,37819.0,14749.41,,,0
HCPCS,92941,Hc Ip Only-Prq Card Revasc Mi 1 Vsl Lm,37819.0,14749.41,,,0
HCPCS,92941,Hc Ip Only-Prq Card Revasc Mi 1 Vsl Ri,37819.0,14749.41,,,0
HCPCS,92941,Hc Ip Only-Prq Card Revasc Mi 1Vsl Ld,37819.0,14749.41,,,0
HCPCS,92941,Hc Ip Only-Robotic Asst Prq Card Bms Revasc Mi 1 Vsl Lc,37819.0,14749.41,,,0
HCPCS,92941,Hc Ip Only-Robotic Asst Prq Card Bms Revasc Mi 1 Vsl Lm,37819.0,14749.41,,,0
HCPCS,92941,Hc Ip Only-Robotic Asst Prq Card Bms Revasc Mi 1 Vsl Rc,37819.0,14749.41,,,0
HCPCS,92941,Hc Ip Only-Robotic Asst Prq Card Bms Revasc Mi 1 Vsl Ri,37819.0,14749.41,,,0
HCPCS,92941,Hc Ip Only-Robotic Asst Prq Card Bms Revasc Mi 1Vsl Ld,37819.0,14749.41,,,0
HCPCS,92941,Prq card revasc mi 1 vsl,,,15026.0,15026.0,1
HCPCS,92943,Hc Cto Stent Lc/Lcx,37819.0,14749.41,,,0
HCPCS,92943,Hc Cto Stent Ld/Lad,37819.0,14749.41,,,0
HCPCS,92943,Hc Cto Stent Lm Artery,37819.0,14749.41,,,0
HCPCS,92943,Hc Cto Stent Ramus Artery,37819.0,14749.41,,,0
HCPCS,92943,Hc Cto Stent Rc/Rca,37819.0,14749.41,,,0
HCPCS,92943,Hc Robotic Asst Cto Bms Stent Lc/Lcx,37819.0,14749.41,,,0
HCPCS,92943,Hc Robotic Asst Cto Bms Stent Ld/Lad,37819.0,14749.41,,,0
HCPCS,92943,Hc Robotic Asst Cto Bms Stent Lm Artery,37819.0,14749.41,,,0
HCPCS,92943,Hc Robotic Asst Cto Bms Stent Ramus Artery,37819.0,14749.41,,,0
HCPCS,92943,Hc Robotic Asst Cto Bms Stent Rc/Rca,37819.0,14749.41,,,0
HCPCS,92943,Prq card revasc chronic 1vsl,,,9842.0,44017.26,11
HCPCS,92944,Hc Cto Stent Addl Brch Lc/Lcx,31131.0,12141.09,,,0
HCPCS,92944,Hc Cto Stent Addl Brch Ld/Lad,31131.0,12141.09,,,0
HCPCS,92944,Hc Cto Stent Addl Brch Rc/Rca,31131.0,12141.09,,,0
HCPCS,92944,Hc Robotic Asst Cto Bms Stent Addl Brch Lc/Lcx,31131.0,12141.09,,,0
HCPCS,92944,Hc Robotic Asst Cto Bms Stent Addl Brch Ld/Lad,31131.0,12141.09,,,0
HCPCS,92944,Hc Robotic Asst Cto Bms Stent Addl Brch Rc/Rca,31131.0,12141.09,,,0
HCPCS,92944,Prq card revasc chronic addl,,,3391.0,15026.0,2
HCPCS,92945,Prq trl rvs ch occ ant&rtrgr,,,11725.59,44017.26,9
HCPCS,92950,Hc Cardiopulmonary Resuscitation Cpr,2320.0,904.8,,,0
HCPCS,92950,Heart/lung resuscitation cpr,,,219.32,2665.0,10
HCPCS,92953,Hc Temp Transcutan Pacing,5469.0,2132.91,,,0
HCPCS,92953,Temporary external pacing,,,671.33,4066.0,10
HCPCS,92960,Cardioversion electric ext,,,671.33,4066.0,10
HCPCS,92960,Hc Cardioversion Conversion Arrythmia External Elective,6351.0,2476.89,,,0
HCPCS,92961,Cardioversion electric int,,,671.33,4066.0,10
HCPCS,92961,Hc Cardioversion Internal,3849.0,1501.11,,,0
HCPCS,92970,Cardioassist internal,,,6859.0,6859.0,1
HCPCS,92971,Cardioassist external,,,6859.0,6859.0,1
HCPCS,92972,Hc Percutaneous Transluminal Coronary Lithotripsy,11208.0,4371.12,,,0
HCPCS,92972,Perq trluml coronry lithotrp,,,3391.0,3391.0,1
HCPCS,92973,Hc Coronary Thrombectomy Angiojet,7766.0,3028.74,,,0
HCPCS,92973,Prq coronary mech thrombect,,,2665.0,2665.0,1
HCPCS,92974,Cath place cardio brachytx,,,2665.0,2665.0,1
HCPCS,92974,Hc Tcat Placement Radj Dlvr Dev Sbsq C Iv Brachytx,4048.0,1578.72,,,0
HCPCS,92975,Dissolve clot heart vessel,,,6859.0,6859.0,1
HCPCS,92975,Hc Ip Only - Thrombolys/Intracoronry Infusion Selective,8351.0,3256.89,,,0
HCPCS,92977,Dissolve clot heart vessel,,,2665.0,2665.0,1
HCPCS,92977,Hc Thrombolysis Coronary Iv Infusion,3613.0,1409.07,,,0
HCPCS,92978,Endoluminl ivus oct c 1st,,,2665.0,2665.0,1
HCPCS,92978,Hc Ivus Initial Vessel,6969.0,2717.91,,,0
HCPCS,92979,Endoluminl ivus oct c ea,,,2665.0,2665.0,1
HCPCS,92979,Hc Ivus Additional Vessel,2990.0,1166.1,,,0
HCPCS,92982,Coronary artery dilation,,,2664.0,2664.0,1
HCPCS,92984,Coronary artery dilation,,,1308.0,1308.0,1
HCPCS,92986,Hc Valvuloplasty Aortic,10404.0,4057.56,,,0
HCPCS,92986,Revision of aortic valve,,,5781.0,21701.57,11
HCPCS,92987,Hc Valvuloplasty Mitral,14290.0,5573.1,,,0
HCPCS,92987,Revision of mitral valve,,,9000.0,44017.26,11
HCPCS,92990,Hc Valvuloplasty Pulmonary,20024.0,7809.36,,,0
HCPCS,92990,Revision of pulmonary valve,,,9000.0,44017.26,11
HCPCS,92997,Hc Pulm Art Balloon Angioplas Lc,12889.0,5026.71,,,0
HCPCS,92997,Hc Pulm Arterial Balloon Angioplasty Single Vessel Ld,12889.0,5026.71,,,0
HCPCS,92997,Pul art balloon repr percut,,,9000.0,44017.26,11
HCPCS,92998,Hc Pulm Art Balloon Angio Add Ld,9022.0,3518.58,,,0
HCPCS,92998,Hc Pulm Art Balloon Angio Add Rc,9022.0,3518.58,,,0
HCPCS,92998,Hc Pulm Art Balloon Angioplas Lc,9022.0,3518.58,,,0
HCPCS,92998,Hc Pulm Arterial Balloon Angio Ea Add On Lc,9022.0,3518.58,,,0
HCPCS,92998,Hc Pulm Arterial Balloon Angio Ea Add On Rc,9022.0,3518.58,,,0
HCPCS,92998,Pul art balloon repr percut,,,15026.0,15026.0,1
HCPCS,93005,Electrocardiogram tracing,,,59.92,224.93,9
HCPCS,93005,Hc Electrocardiogram 12Lead Tracing Only,784.0,305.76,,,0
HCPCS,93005,Hc Electrocardiogram Tracing W/Wo Magnet,784.0,305.76,,,0
HCPCS,93017,Cardiovascular stress test,,,219.32,823.3,9
HCPCS,93017,Hc Cardiovascular Stress Test,1325.0,516.75,,,0
HCPCS,93017,Hc Nm Cv Stress Test,2297.5,896.025,,,0
HCPCS,93017,Hc Pet Cv Stress Test,2297.5,896.025,,,0
HCPCS,93024,Cardiac drug stress test,,,453.74,1703.33,9
HCPCS,93025,Hc Microvolt T-Wave Alternans Assessment Ventricular Arrythmias,2014.0,785.46,,,0
HCPCS,93025,Microvolt t-wave assess,,,130.69,490.62,9
HCPCS,93041,Hc Rhythm Strip Ecg 1-3 Leads Tracing,304.0,118.56,,,0
HCPCS,93041,Rhythm ecg tracing,,,59.92,224.93,9
HCPCS,93050,Art pressure waveform analys,,,29.38,110.28,9
HCPCS,93145,Interrog crtd sins bat ip wo,,,130.69,490.62,9
HCPCS,93146,Interrog crtd sins bat ip w/,,,130.69,490.62,9
HCPCS,93150,Therapy activation ipnss,,,96.56,362.5,9
HCPCS,93151,Interrog&prgrmg ipnss,,,96.56,362.5,9
HCPCS,93153,Interrog w/o prgrmg ipnss,,,96.56,362.5,9
HCPCS,93225,Ecg monit/reprt up to 48 hrs,,,135.14,507.3,9
HCPCS,93225,Hc Holter Xtrnl Ecg And 48 Hr Recording,937.5,365.625,,,0
HCPCS,93226,Ecg monit/reprt up to 48 hrs,,,59.92,224.93,9
HCPCS,93226,Hc Holter External Ecg Scanning Analysis Report,1022.0,398.58000000000004,,,0
HCPCS,93229,Hc Ecg Remote W Technical Support 30 Days,1000.0,390.0,,,0
HCPCS,93229,Remote 30 day ecg tech supp,,,379.02,1422.83,9
HCPCS,93242,Ext ecg>48hr<7d recording,,,37.94,142.42,9
HCPCS,93242,Hc Ext Ecg Over 48Hr To 7 Days Rcrd W/Conect Intl Recording,150.0,58.5,,,0
HCPCS,93243,Ext ecg>48hr<7d scan a/r,,,135.14,507.3,9
HCPCS,93246,Ext ecg>7d<15d recording,,,37.94,142.42,9
HCPCS,93246,Hc Ext Ecg Over 7-14 Days Rcrd W/Conect Intl Rcrd,248.0,96.72,,,0
HCPCS,93247,Ext ecg>7d<15d scan a/r,,,135.14,507.3,9
HCPCS,93247,Hc External Ecg Recmore Than 7Days Up To 15Days Scanning Alys With Report,163.0,63.57,,,0
HCPCS,93260,Hc Programming Subq Icd System,114.0,44.46,,,0
HCPCS,93261,Hc Interrogation Subq Icd System,114.0,44.46,,,0
HCPCS,93270,Hc Ecg Hookup/Recording/Disconnect 24Hrs Up To 30Days,143.0,55.769999999999996,,,0
HCPCS,93271,Ecg/monitoring and analysis,,,96.56,362.5,9
HCPCS,93271,Hc Ecg Monitoring Pt Activated W Analysis 30 Days,308.0,120.12,,,0
HCPCS,93278,ECG/signal-averaged,,,59.92,224.93,9
HCPCS,93278,Hc Ekg Signal Averaging,2087.0,813.93,,,0
HCPCS,93279,Hc Prgrmg Dev Eval 1 Lead Pm/Ldls Pm 1 Car Chmbr Ip,264.0,102.96,,,0
HCPCS,93280,Hc Prgrmg Dev Eval 1 Lead Pm/Ldls Pm 1 Car Chmbr Ip,280.0,109.2,,,0
HCPCS,93281,Hc Program Eval Implantable In Prsn Multi Ld Pacer,173.0,67.47,,,0
HCPCS,93282,Hc Prgrmng Dev Eval Implantable In Persn 1 Ld Dfb,172.0,67.08,,,0
HCPCS,93283,Hc Prgrmg Eval Implantable In Prsn Dual Lead Dfb,215.0,83.85,,,0
HCPCS,93284,Hc Prgrmg Eval Implantable In Person Multi Lead Dfb,232.0,90.48,,,0
HCPCS,93285,Hc Prgrmg Dev Eval Scrms Phys/Qhp In Person,160.0,62.4,,,0
HCPCS,93288,Hc Ide In-Person Any Pcmkr Leaded Or Leadless,320.0,124.8,,,0
HCPCS,93289,Hc Ide In-Person Any Defib,275.0,107.25,,,0
HCPCS,93290,Hc Interrog Dev Eval Icpms Phys/Qhp In Person,191.0,74.49,,,0
HCPCS,93291,Hc Interrog Dev Eval Scrms Phys/Qhp In Person,320.0,124.8,,,0
HCPCS,93291,Ilr device interrogate,,,29.38,110.28,9
HCPCS,93296,Hc Rem Interrog Pm/Ldls Pm/Ids Up To 90 D Tech Review,191.0,74.49,,,0
HCPCS,93297,Hc Rem Interrog Icpms Less Than 30 Days Phys/Qhp,117.0,45.63,,,0
HCPCS,93297,Hc Rem Interrog Icpms Up To 30 Days Phys/Qhp,117.0,45.63,,,0
HCPCS,93298,Hc Rem Interrog Scrms Up To 30 Days Phys Qhp,117.0,45.63,,,0
HCPCS,93303,Echo transthoracic,,,480.97,2083.45,11
HCPCS,93303,Hc Transthoracic Echo Congenital Anomalies Complete Without Cst,777.0,303.03,,,0
HCPCS,93304,Echo transthoracic,,,338.35,2083.45,11
HCPCS,93304,Hc Transthoracic Echo Congenital Anomalies Ltd Without Cst,518.0,202.02,,,0
HCPCS,93306,Hc Echo Tthrc R-T 2D W/Wom-Mode Compl Spec And Colr D,1699.5,662.805,,,0
HCPCS,93306,Tte w/doppler complete,,,555.0,2083.45,9
HCPCS,93307,Hc Echo Tte 2D Complete W/O Contrast,1068.5,416.71500000000003,,,0
HCPCS,93307,Tte w/o doppler complete,,,242.35,909.77,11
HCPCS,93308,Hc Echo Tte 2D F-Up/Lmtd W/O Contrast,825.5,321.945,,,0
HCPCS,93308,Tte f-up or lmtd,,,242.35,909.77,11
HCPCS,93312,Echo transesophageal,,,555.0,2083.45,11
HCPCS,93312,Hc Echo 2D Tee W/O Contrast,3600.0,1404.0,,,0
HCPCS,93313,Echo transesophageal,,,555.0,2083.45,9
HCPCS,93313,Hc Echo 2D Tee Probe Placement Only No Image,1040.0,405.6,,,0
HCPCS,93314,Echo transesophageal,,,804.72,1038.09,2
HCPCS,93315,Echo transesophageal,,,555.0,2083.45,11
HCPCS,93315,Hc Echo Transesophag Congen Probe Plcmt Imgng I And R,2367.0,923.13,,,0
HCPCS,93316,Echo transesophageal,,,555.0,2083.45,9
HCPCS,93317,Hc Echo Transesophag Image Acquisj Interp And Report,1215.0,473.85,,,0
HCPCS,93318,Echo Transesophageal Intraop,,,555.0,2560.1,11
HCPCS,93318,Hc Transesophageal Echo Tee Monitor Tlc 2D Only W/O Cst,2803.0,1093.17,,,0
HCPCS,93319,Hc 3D Echo Img And Pst-Pxessing Tee/Tte Cgen Car Anomal,216.5,84.435,,,0
HCPCS,93320,Doppler echo exam heart,,,95.41,123.08,2
HCPCS,93320,Hc Echo Doppler Complete,622.0,242.58,,,0
HCPCS,93321,Doppler echo exam heart,,,59.15,76.3,2
HCPCS,93321,Hc Echo Doppler F/U Or Ltd,385.5,150.345,,,0
HCPCS,93325,Doppler color flow add-on,,,57.93,74.73,2
HCPCS,93325,Hc Echo Doppler Colorflow,598.5,233.415,,,0
HCPCS,93350,Hc Echo 2D Stress Tte Only W/O Contrast,2346.0,914.94,,,0
HCPCS,93350,Stress tte only,,,555.0,2083.45,10
HCPCS,93351,Hc Echo 2D Stress Tte Complete Continuous Monitor W/O Cst,2542.0,991.38,,,0
HCPCS,93351,Stress tte complete,,,555.0,2083.45,9
HCPCS,93352,Hc Admin Ecg Contrast Agent,481.0,187.59,,,0
HCPCS,93355,Hc Interventional Tee,4496.0,1753.44,,,0
HCPCS,93356,Hc Myocrd Strain Img Speckle Trck Assmt Myocrd Mech,1140.0,444.6,,,0
HCPCS,93451,Hc Heart Cath Rt,12274.0,4786.86,,,0
HCPCS,93451,Right heart cath,,,3079.1,12361.28,12
HCPCS,93452,Hc Lhc With Or Without Lv Gram,19819.0,7729.41,,,0
HCPCS,93452,Left hrt cath w/ventrclgrphy,,,2976.16,12361.28,12
HCPCS,93453,Hc Heart Cath Lt Plus Rt W/Wo Lt Ventriculography,22648.0,8832.72,,,0
HCPCS,93453,R&l hrt cath w/ventriclgrphy,,,3292.87,12361.28,12
HCPCS,93454,Coronary artery angio s&i,,,3068.17,12361.28,12
HCPCS,93454,Hc Coronary Angiograms Only,15338.0,5981.82,,,0
HCPCS,93455,Coronary art/grft angio s&i,,,3292.87,12361.28,12
HCPCS,93455,Hc Coronary Angio W/Grafts And S And I,16899.0,6590.61,,,0
HCPCS,93456,Hc Heart Rt Coronary Artery Angio,21958.0,8563.62,,,0
HCPCS,93456,R hrt coronary artery angio,,,3292.87,12361.28,12
HCPCS,93457,Hc Rhc Coronary Angiograms And Grafts,23518.0,9172.02,,,0
HCPCS,93457,R hrt art/grft angio,,,3292.87,12361.28,12
HCPCS,93458,Hc Heart Lt Coronary Artery Angio W/Wo Lt Ventriculography,25470.0,9933.3,,,0
HCPCS,93458,L hrt artery/ventricle angio,,,3292.87,12361.28,12
HCPCS,93459,Hc Heart Lt Coronary Artery Angio W/Grafts,27028.0,10540.92,,,0
HCPCS,93459,L hrt art/grft angio,,,3292.87,12361.28,12
HCPCS,93460,Hc Heart Lt Plus Rt Coronary Angio W/Wo Lt Ventriculography,28299.0,11036.61,,,0
HCPCS,93460,R&l hrt art/ventricle angio,,,3292.87,12361.28,12
HCPCS,93461,Hc Rlhc Coronary Angio Grafts W/Wo Lv Gram,29860.0,11645.4,,,0
HCPCS,93461,R&l hrt art/ventricle angio,,,3292.87,12361.28,12
HCPCS,93462,Hc Lhrt Cath Trnsptl Puncture,12916.0,5037.24,,,0
HCPCS,93462,L hrt cath trnsptl puncture,,,2665.0,3391.0,2
HCPCS,93463,Drug admin & hemodynmic meas,,,2665.0,2665.0,1
HCPCS,93463,Hc Pharmacologic Admin W/Measure Plus,773.0,301.47,,,0
HCPCS,93464,Exercise w/hemodynamic meas,,,2665.0,2665.0,1
HCPCS,93464,Hc Physiologic Exercise Study/Hemodynamic Measurement,911.0,355.29,,,0
HCPCS,93501,Right heart catheterization,,,5063.0,5063.0,1
HCPCS,93503,Hc Cath Insertion Flo Directed Swan Ganz,5012.0,1954.68,,,0
HCPCS,93503,Insert/place heart catheter,,,1598.89,6002.15,11
HCPCS,93505,Biopsy of heart lining,,,3207.1,12039.27,11
HCPCS,93505,Hc Endomyocardial Biopsy,11453.0,4466.67,,,0
HCPCS,93508,"Cath placement, angiography",,,5063.0,5063.0,1
HCPCS,93510,Left heart catheterization,,,5063.0,5063.0,1
HCPCS,93511,Left heart catheterization,,,5063.0,5063.0,1
HCPCS,93514,Left heart catheterization,,,5063.0,5063.0,1
HCPCS,93524,Left heart catheterization,,,5063.0,5063.0,1
HCPCS,93526,Rt & Lt heart catheters,,,1937.0,5063.0,2
HCPCS,93527,Rt & Lt heart catheters,,,5063.0,5063.0,1
HCPCS,93528,Rt & Lt heart catheters,,,5063.0,5063.0,1
HCPCS,93529,"Rt, Lt heart catheterization",,,5063.0,5063.0,1
HCPCS,93530,Rt heart cath congenital,,,5063.0,5063.0,1
HCPCS,93531,R & l heart cath congenital,,,5063.0,5063.0,1
HCPCS,93532,R & l heart cath congenital,,,5063.0,5063.0,1
HCPCS,93533,R & l heart cath congenital,,,5063.0,5063.0,1
HCPCS,93563,Hc Inject Congntl Card Cath,7488.0,2920.32,,,0
HCPCS,93563,Inject congenital card cath,,,2665.0,2665.0,1
HCPCS,93564,Hc Inject Hrt Congntl Art/Grft,5927.0,2311.53,,,0
HCPCS,93564,Inject hrt congntl art/grft,,,2665.0,2665.0,1
HCPCS,93565,Hc Injection Lv/La Gram Congenital Study,3206.0,1250.34,,,0
HCPCS,93565,Inject l ventr/atrial angio,,,2665.0,2665.0,1
HCPCS,93566,Hc Injection Rv/Ra Gram Congenital Study,3533.0,1377.87,,,0
HCPCS,93566,Inject r ventr/atrial angio,,,2665.0,2665.0,1
HCPCS,93567,Hc Injection Supravalvular Aortagram,4572.0,1783.08,,,0
HCPCS,93567,Inject suprvlv aortography,,,2665.0,2665.0,1
HCPCS,93568,Hc Inj Pulm Angio W Card Cath Nonsel Artery Add-On,4223.0,1646.97,,,0
HCPCS,93568,Inject pulm art hrt cath,,,2665.0,2665.0,1
HCPCS,93569,Hc Inj Pulm Art W Card Cath Selective Angio Uni Add-On,4223.0,1646.97,,,0
HCPCS,93569,Njx cth slct p-art angrp uni,,,2665.0,2665.0,1
HCPCS,93571,Hc Ffr Iv Dop Vel And /Or Press C/Flo Rsrv Meas 1St Vsl,3176.0,1238.64,,,0
HCPCS,93571,Heart flow reserve measure,,,2665.0,2665.0,1
HCPCS,93572,Hc Ffr Add Iv Dop Vel And /Or Press C/Flo Rsrv Meas Addl Vsl,2919.0,1138.41,,,0
HCPCS,93572,Heart flow reserve measure,,,2665.0,2665.0,1
HCPCS,93573,Hc Inj Pulm Art W Card Cath Selective Angio Bil Add-On,4223.0,1646.97,,,0
HCPCS,93573,Njx cath slct p-art angrp bi,,,2665.0,2665.0,1
HCPCS,93574,Hc Inj Pulm Vein W Card Cath Selective Angio Ea Vein Add-On,4223.0,1646.97,,,0
HCPCS,93574,Njx cath slct pulm vn angrph,,,2665.0,2665.0,1
HCPCS,93575,Hc Inj Pulm Angio W Cc Select Mapca For Chd Ea Vessel Add-On,4223.0,1646.97,,,0
HCPCS,93575,Njx cath slct p angrph mapca,,,2665.0,2665.0,1
HCPCS,93580,Hc Asd Closure,33617.0,13110.63,,,0
HCPCS,93580,Transcath closure of asd,,,9842.0,69897.36,11
HCPCS,93581,Hc Vsd Closure,33617.0,13110.63,,,0
HCPCS,93581,Transcath closure of vsd,,,9842.0,69897.36,11
HCPCS,93582,Hc Closure Transcath Pda Congential,33617.0,13110.63,,,0
HCPCS,93582,Perq transcath closure pda,,,9842.0,69897.36,11
HCPCS,93583,Hc Ip Only-Perq Transcath Septal Reduxn,15393.0,6003.27,,,0
HCPCS,93583,Perq transcath septal reduxn,,,6859.0,9842.0,2
HCPCS,93584,Hc Venography Chd Anomalous Or Persistent Svc Nt Drg,195.0,76.05,,,0
HCPCS,93584,Vngrph chd anom/persist svc,,,3391.0,3391.0,1
HCPCS,93585,Hc Venography Chd Azygos Hemiazygos Venous System,184.0,71.76,,,0
HCPCS,93585,Vngrph chd azygs/hemiazygs,,,3391.0,3391.0,1
HCPCS,93586,Hc Venography Chd Coronary Sinus,232.0,90.48,,,0
HCPCS,93586,Vngrph chd coronary sinus,,,3391.0,3391.0,1
HCPCS,93587,Hc Venography Chd Venovenous Coltrl At Or Above Hrt,343.0,133.77,,,0
HCPCS,93587,Vngrph chd vnvn cltrl at/abv,,,3391.0,3391.0,1
HCPCS,93588,Hc Venography Chd Venovenous Collateral Below Heart,346.0,134.94,,,0
HCPCS,93588,Vngrph chd vnvn cltrl below,,,3391.0,3391.0,1
HCPCS,93590,Hc Perq Transcath Closure Mitral Initial,58034.0,22633.26,,,0
HCPCS,93590,Perq transcath cls mitral,,,9842.0,69897.36,11
HCPCS,93591,Hc Perq Transcath Closure Aortic Initial,58034.0,22633.26,,,0
HCPCS,93591,Perq transcath cls aortic,,,9842.0,69897.36,11
HCPCS,93592,Hc Perq Transcath Closure Each Add,19344.0,7544.16,,,0
HCPCS,93592,Perq transcath closure each,,,2665.0,3391.0,2
HCPCS,93593,Hc R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj,12515.0,4880.85,,,0
HCPCS,93593,R hrt cath chd nml nt cnj,,,3292.87,12361.28,11
HCPCS,93594,Hc R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj,12515.0,4880.85,,,0
HCPCS,93594,R hrt cath chd abnl nt cnj,,,3292.87,12361.28,11
HCPCS,93595,Hc L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj,10380.0,4048.2,,,0
HCPCS,93595,L hrt cath chd nm/abn nt cnj,,,3292.87,12361.28,11
HCPCS,93596,Hc R And L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj,12515.0,4880.85,,,0
HCPCS,93596,R&l hrt cath chd nml nt cnj,,,3292.87,12361.28,11
HCPCS,93597,Hc R And L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj,12515.0,4880.85,,,0
HCPCS,93597,R&l hrt cath chd abnl nt cnj,,,3292.87,12361.28,11
HCPCS,93598,Car outp meas drg cath chd,,,2665.0,2665.0,1
HCPCS,93600,Bundle of His recording,,,5272.0,29739.62,11
HCPCS,93600,Hc His Bundle Recording,7367.0,2873.13,,,0
HCPCS,93602,Hc Ntra-Atrial Recording,7367.0,2873.13,,,0
HCPCS,93602,Intra-atrial recording,,,5272.0,29739.62,10
HCPCS,93603,Hc Right Ventricle Recording,1604.0,625.56,,,0
HCPCS,93603,Right ventricular recording,,,1236.67,5272.0,10
HCPCS,93609,Hc Catheter Mapping Tachycardia Add On,7066.0,2755.74,,,0
HCPCS,93609,Map tachycardia add-on,,,2665.0,9000.0,2
HCPCS,93610,Hc Intra-Atrial Pacing,7367.0,2873.13,,,0
HCPCS,93610,Intra-atrial pacing,,,5272.0,29739.62,10
HCPCS,93612,Hc Intraventricular Pacing,7367.0,2873.13,,,0
HCPCS,93612,Intraventricular pacing,,,5272.0,29739.62,10
HCPCS,93613,Electrophys map 3d add-on,,,2665.0,2665.0,1
HCPCS,93613,Hc 3D Mapping Electrophysiologic Add On,7066.0,2755.74,,,0
HCPCS,93615,Esophageal recording,,,1236.67,5272.0,10
HCPCS,93616,Esophageal recording,,,1236.67,5272.0,10
HCPCS,93618,Hc Arrhythmia Induction Pacing,7060.0,2753.4,,,0
HCPCS,93618,Heart rhythm pacing,,,1236.67,9000.0,11
HCPCS,93619,Electrophysiology evaluation,,,7922.22,29739.62,11
HCPCS,93619,Hc Eps Eval Complete W/O Induction,11989.0,4675.71,,,0
HCPCS,93620,Electrophysiology evaluation,,,7922.22,29739.62,11
HCPCS,93620,Hc Eps Eval Complete With Induction,19702.0,7683.78,,,0
HCPCS,93621,Electrophysiology evaluation,,,2665.0,9000.0,2
HCPCS,93621,Hc Eps Eval W/Lt Atrial Pace Plus Record Add On,5608.0,2187.12,,,0
HCPCS,93622,Electrophysiology evaluation,,,2665.0,9000.0,2
HCPCS,93622,Hc Eps Eval W/Lt Ventricle Pace Plus Record Add On,7031.0,2742.09,,,0
HCPCS,93623,Hc Drug Stimulation Heart Pacing,7060.0,2753.4,,,0
HCPCS,93623,Stimulation pacing heart,,,2665.0,2665.0,1
HCPCS,93624,Electrophysiologic study,,,7922.22,29739.62,10
HCPCS,93624,Hc Eps F/U With Attempted Induction,8679.0,3384.81,,,0
HCPCS,93631,Hc Intraop Epicar And Endocar Pacg And Mapg,2546.0,992.94,,,0
HCPCS,93631,Heart pacing mapping,,,2665.0,2665.0,1
HCPCS,93640,Evaluation heart device,,,2665.0,9000.0,2
HCPCS,93640,Hc Eps Eval Icd Leads Initial Implant/Replacement,16339.0,6372.21,,,0
HCPCS,93641,Electrophysiology evaluation,,,2665.0,9000.0,2
HCPCS,93641,Hc Eps Eval Icd Pulse Gen/Leads Initial Implant/Replacement,8799.0,3431.61,,,0
HCPCS,93642,Electrophysiology evaluation,,,1236.67,9000.0,11
HCPCS,93642,Hc Eps Eval Icd Gen/Leads Not At Implant,10030.0,3911.7,,,0
HCPCS,93644,Electrophysiology evaluation,,,2665.0,2665.0,1
HCPCS,93644,Hc Ephys Eval Subq Implant Icd Defib Gen And Lead,8799.0,3431.61,,,0
HCPCS,93650,Ablate heart dysrhythm focus,,,7922.22,29739.62,11
HCPCS,93650,Hc Ablation Atrioventricular Node,17580.0,6856.2,,,0
HCPCS,93653,Ep & ablate supravent arrhyt,,,9000.0,99661.98,11
HCPCS,93653,Hc Ablation Supraventricular Tachycardia,51383.0,20039.37,,,0
HCPCS,93654,Ep & ablate ventric tachy,,,9000.0,99661.98,11
HCPCS,93654,Hc Ablation Ventricular Tachycardia,51383.0,20039.37,,,0
HCPCS,93655,Ablate arrhythmia add on,,,2665.0,3391.0,2
HCPCS,93655,Hc Ablate Arrhythmia Add On Plus,17509.0,6828.51,,,0
HCPCS,93655,Hc Svt/Vt Ablation Additional,17509.0,6828.51,,,0
HCPCS,93656,Hc Comp Eps Tras W/Afib Ablat,38155.0,14880.45,,,0
HCPCS,93656,Tx atrial fib pulm vein isol,,,9000.0,99661.98,11
HCPCS,93657,Hc Addl Ablation Following Afib Plus,17915.0,6986.85,,,0
HCPCS,93657,Tx l/r atrial fib addl,,,2665.0,3391.0,2
HCPCS,93660,Hc Cardiovascular Eval Tilt Table,3816.0,1488.24,,,0
HCPCS,93660,Tilt table evaluation,,,379.02,2665.0,10
HCPCS,93662,Hc Intracardiac Echo During Intervention W/Imaging Add On,16677.0,6504.03,,,0
HCPCS,93662,Intracardiac Ecg (Ice),,,2665.0,2665.0,1
HCPCS,93668,Hc Pad Rehab Per Session,470.0,183.3,,,0
HCPCS,93668,Peripheral Vascular Rehab,,,59.92,224.93,9
HCPCS,93701,Bioimpedance cv analysis,,,135.14,507.3,9
HCPCS,93702,Bis xtracell fluid analysis,,,130.69,490.62,9
HCPCS,93702,Hc Bis Extracellular Fluid Alys Lymphedema Assmnt,545.0,212.55,,,0
HCPCS,93724,Hc Electronic Analysis Antitachy Pacemaker System,925.0,360.75,,,0
HCPCS,93740,Temperature gradient studies,,,130.69,490.62,9
HCPCS,93745,Set-up cardiovert-defibrill,,,311.96,2665.0,10
HCPCS,93750,Hc Interrogation Vad In Person,833.0,324.87,,,0
HCPCS,93750,Interrogation vad in person,,,96.56,2665.0,10
HCPCS,93786,Ambulatory BP recording,,,135.14,507.3,9
HCPCS,93786,Hc Ambulatory Bp Mntr With Sw 24 Hrs Or Longer Recording Only,447.0,174.33,,,0
HCPCS,93788,Ambulatory BP analysis,,,135.14,507.3,9
HCPCS,93788,Hc Ambulatory Bp Mntr With Sw 24 Hrs Or Longer Scanning Analysis With Rpt,414.0,161.46,,,0
HCPCS,93797,Cardiac rehab,,,130.93,491.52,9
HCPCS,93797,Hc Phase Ii Exercise W/O Ecg,355.0,138.45,,,0
HCPCS,93797,Hc Phase Ii Exercise W/O Ecg Kx,355.0,138.45,,,0
HCPCS,93797,Hc Phase Ii Exercise W/O Ecg Telemed,355.0,138.45,,,0
HCPCS,93797,Hc Phase Iii New Assessment,203.5,79.365,,,0
HCPCS,93798,Cardiac rehab/monitor,,,130.93,491.52,9
HCPCS,93798,Hc Phase Ii Exercise W/Ecg,485.0,189.15,,,0
HCPCS,93798,Hc Phase Ii Exercise W/Ecg Kx,485.0,189.15,,,0
HCPCS,93798,Hc Sp3 Cardiac Rehab Pkg 2/9V,1005.0,391.95,,,0
HCPCS,93799,Cardiovascular procedure,,,130.69,2665.0,10
HCPCS,93799,Hc Distal Protection,1195.0,466.05,,,0
HCPCS,93799,Hc Sp3 Cardiac Rehab Pkg 1/6V,696.5,271.635,,,0
HCPCS,93799,Hc Sp3 Cardiac Rehab Pkg 3/12V,1312.5,511.875,,,0
HCPCS,93880,Extracranial bilat study,,,242.35,986.85,12
HCPCS,93880,Hc Us Duplex Extracranial Arteries Compl Bilat Study,2431.0,948.09,,,0
HCPCS,93882,Extracranial uni/ltd study,,,106.19,715.59,12
HCPCS,93882,Hc Us Duplex Extracranial Arteries Unilateral,1628.0,634.92,,,0
HCPCS,93886,Hc Us Doppler Transcranial/Extracranial Arteries Complete,2243.5,874.965,,,0
HCPCS,93886,Intracranial complete study,,,242.35,1527.88,12
HCPCS,93888,Hc Us Doppler Transcranial/Extracranial Arteries Ltd,1496.5,583.635,,,0
HCPCS,93888,Intracranial limited study,,,106.19,871.49,12
HCPCS,93890,Tcd vasoreactivity study,,,1145.91,1145.91,1
HCPCS,93892,Tcd emboli detect w/o inj,,,106.19,1287.77,10
HCPCS,93893,Tcd emboli detect w/inj,,,106.19,1389.14,10
HCPCS,93895,Hc Us Common Carotid Intima Media Thickness Study,1776.0,692.64,,,0
HCPCS,93922,Hc Us Arterial Upper/Lower Ext 1-2 Levels Ltd Bilat,802.0,312.78,,,0
HCPCS,93922,Upr/l xtremity art 2 levels,,,135.14,507.3,12
HCPCS,93923,Hc Us Arterial Lower Ext 3 Plus Levels Complete Bilat,873.0,340.47,,,0
HCPCS,93923,Upr/lxtr art stdy 3+ lvls,,,219.32,823.3,12
HCPCS,93924,Hc Us Arterial Lower N-Invas Phy Stress/Rest Compl Bilat,1540.5,600.795,,,0
HCPCS,93924,Lwr xtr vasc stdy bilat,,,219.32,823.3,12
HCPCS,93925,Hc Us Duplex Arteries/Graft Lower Ext Complete Bilat,633.0,246.87,,,0
HCPCS,93925,Lower extremity study,,,242.35,999.13,12
HCPCS,93926,Hc Us Duplex Arteries/Graft Lower Ext Ltd/Uni,482.0,187.98,,,0
HCPCS,93926,Lower extremity study,,,106.19,564.34,12
HCPCS,93930,Hc Duplex Upper Extremity Arteries Complete Bilateral,1008.0,393.12,,,0
HCPCS,93930,Upper extremity study,,,242.35,1021.16,12
HCPCS,93931,Hc Duplex Upper Extremity Arteries Unilateral Or Limited,726.5,283.33500000000004,,,0
HCPCS,93931,Upper extremity study,,,106.19,684.38,12
HCPCS,93965,Extremity study,,,498.82,498.82,1
HCPCS,93970,Extremity study,,,242.35,909.77,12
HCPCS,93970,Hc Us Duplex Venous Lower Extremity Complete Bilateral,1696.0,661.44,,,0
HCPCS,93970,Hc Us Duplex Venous Upper Extremity Complete Bilateral,1387.5,541.125,,,0
HCPCS,93971,Extremity study,,,106.19,436.47,12
HCPCS,93971,Hc Us Duplex Veins Uni One Extremity Or Limited Study,1089.0,424.71,,,0
HCPCS,93975,Hc Us Duplex Abd/Pelvis/Scrotum In-Outflow Complete,1336.0,521.04,,,0
HCPCS,93975,Vascular study,,,242.35,1292.24,12
HCPCS,93976,Hc Us Duplex Abd/Pelvis/Scrotum In-Outflow Ltd,481.5,187.785,,,0
HCPCS,93976,Vascular study,,,106.19,714.0,12
HCPCS,93978,Hc Us Duplex Aorta/Vessels Complete,1107.0,431.73,,,0
HCPCS,93978,Vascular study,,,242.35,940.07,12
HCPCS,93979,Hc Us Duplex Aorta/Vessels Ltd,543.0,211.77,,,0
HCPCS,93979,Vascular study,,,106.19,654.77,12
HCPCS,93980,Hc Us Duplex Penile Vessels In-Outflow Complete,544.0,212.16,,,0
HCPCS,93980,Penile vascular study,,,106.19,477.02,12
HCPCS,93981,Hc Us Duplex Penile Vessels In-Outflow F/U Ltd,372.0,145.07999999999998,,,0
HCPCS,93981,Penile vascular study,,,106.19,419.31,12
HCPCS,93985,Dup-scan hemo compl bi std,,,242.35,909.77,9
HCPCS,93985,Hc Vessel Mapping Hemo Access Bilateral,2652.0,1034.28,,,0
HCPCS,93986,Dup-scan hemo compl uni std,,,106.19,398.63,9
HCPCS,93986,Hc Vessel Mapping Hemo Access Unilateral,1769.0,689.91,,,0
HCPCS,93990,Doppler flow testing,,,106.19,905.8,13
HCPCS,93990,Hc Us Duplex Scan Hemodialysis Access,1930.0,752.7,,,0
HCPCS,93998,Hc Noninvas Vasc Dx Study Proc,1559.0,608.01,,,0
HCPCS,93998,Noninvas vasc dx study proc,,,29.38,110.28,9
HCPCS,94002,Hc Vent Initial Day,5847.0,2280.33,,,0
HCPCS,94002,Hc Vent-Hifreqoscill/Initial,6322.0,2465.58,,,0
HCPCS,94003,Hc Vent-Hifreqoscill/Day Subsq,5909.0,2304.51,,,0
HCPCS,94003,Hc Vent-Hifreqoscill/Day Subsq 12 Hours Or Less,2813.0,1097.07,,,0
HCPCS,94003,Hc Ventilator Day/Sub Sq,5626.0,2194.14,,,0
HCPCS,94003,Hc Ventilator Day/Sub Sq 12 Hours Or Less,2813.0,1097.07,,,0
HCPCS,94010,Breathing capacity test,,,219.32,823.3,9
HCPCS,94010,Hc Spirometry,1065.0,415.35,,,0
HCPCS,94011,Spirometry up to 2 yrs old,,,130.69,490.62,9
HCPCS,94012,Spirmtry w/brnchdil inf-2 yr,,,219.32,823.3,9
HCPCS,94013,Meas lung vol thru 2 yrs,,,379.02,1422.83,9
HCPCS,94014,Patient recorded spirometry,,,453.74,1703.33,9
HCPCS,94015,Hc Patient-Initiated Spirometric Recording,868.0,338.52,,,0
HCPCS,94015,Patient recorded spirometry,,,219.32,823.3,9
HCPCS,94016,Review patient spirometry,,,24.09,47.22,7
HCPCS,94060,Evaluation of wheezing,,,379.02,1422.83,9
HCPCS,94060,Hc Pft Disability Screening B And A,1876.0,731.64,,,0
HCPCS,94060,Hc Spirometry-B And A Bronchodilator,1876.0,731.64,,,0
HCPCS,94070,Evaluation of wheezing,,,379.02,1422.83,9
HCPCS,94070,Hc Bronchial Provacation Challenge,2246.0,875.94,,,0
HCPCS,94150,Hc Vital Capacity Test,572.0,223.08,,,0
HCPCS,94150,Hc Vital Capacity W/Out Spirometry,572.0,223.08,,,0
HCPCS,94150,Vital capacity test,,,130.69,490.62,9
HCPCS,94200,Hc Maximum Voluntary Ventilation,469.0,182.91,,,0
HCPCS,94200,Lung function test (MBC/MVV),,,59.92,224.93,9
HCPCS,94375,Hc Respiratory Flow Volume Loop,1199.0,467.61,,,0
HCPCS,94375,Respiratory flow volume loop,,,219.32,823.3,9
HCPCS,94450,Hypoxia response curve,,,130.69,490.62,9
HCPCS,94452,Hast w/report,,,135.14,507.3,9
HCPCS,94453,Hast w/oxygen titrate,,,135.14,507.3,9
HCPCS,94453,Hc High Altitude Simulatj W/Phys I And R W/O2 Titration,395.0,154.05,,,0
HCPCS,94610,Hc Np Survanta Procedure,920.0,358.8,,,0
HCPCS,94610,Surfactant Admin Thru Tube,,,222.42,834.95,9
HCPCS,94617,Exercise tst brncspsm,,,135.14,507.3,9
HCPCS,94617,Hc Exercise Test For Bronchospasm W Ecg,1088.0,424.32,,,0
HCPCS,94618,Hc Pulmonary Stress Testing 6Mwt,773.5,301.66499999999996,,,0
HCPCS,94618,Pulmonary stress testing,,,135.14,507.3,9
HCPCS,94619,Exercise tst brncspsm wo ecg,,,59.92,224.93,9
HCPCS,94619,Hc Exercise Tst Bronchospasm Pre And Post Spmtry And Pulse Ox Wo/Ecg,1088.0,424.32,,,0
HCPCS,94621,Hc Cardiopulmonary Exercise Testing,2070.0,807.3,,,0
HCPCS,94621,Hc Pulmonary Stress Test - Complex,2070.0,807.3,,,0
HCPCS,94621,Pulm stress test/complex,,,379.02,1422.83,9
HCPCS,94625,Hc Phys/Qhp Svcs Op Pulm Rehab Wo Cont Oximtry Mntr,343.0,133.77,,,0
HCPCS,94625,Hc Phys/Qhp Svcs Op Pulm Rehab Wo Cont Oximtry Mntr Kx,343.0,133.77,,,0
HCPCS,94625,Phy/qhp op pulm rhb w/o mntr,,,59.92,224.93,9
HCPCS,94626,Hc Phys/Qhp Svcs Op Pulm Rehab W/Cont Oximtry Mntr,343.0,133.77,,,0
HCPCS,94626,Hc Phys/Qhp Svcs Op Pulm Rehab W/Cont Oximtry Mntr Kx,343.0,133.77,,,0
HCPCS,94626,Phy/qhp op pulm rhb w/mntr,,,59.92,224.93,9
HCPCS,94640,Airway inhalation treatment,,,222.42,834.95,9
HCPCS,94640,Hc Intrapul Percussive Ventilation Ipv,972.0,379.08,,,0
HCPCS,94640,Hc Multi Dose Inhaler,972.0,379.08,,,0
HCPCS,94640,Hc Neb W/I-Pap,972.0,379.08,,,0
HCPCS,94640,Hc Nebulizer Rx,972.0,379.08,,,0
HCPCS,94640,Hc Pap Therapy,972.0,379.08,,,0
HCPCS,94640,Hc Sputum Induction W/Tx,972.0,379.08,,,0
HCPCS,94640,Inhalation Treatment,484.0,188.76,,,0
HCPCS,94642,Aerosol inhalation treatment,,,222.42,834.95,9
HCPCS,94642,Hc Pft Pentam 300 Rx,1788.0,697.32,,,0
HCPCS,94644,Cbt 1st hour,,,135.14,507.3,9
HCPCS,94644,Hc Inhaled Epoprostenol Neb Cont Therapy Initial,2502.0,975.78,,,0
HCPCS,94644,Hc Initial Cont Nebulizer Rx,2502.0,975.78,,,0
HCPCS,94645,Hc Continuous Nebulizer Rx,1084.0,422.76,,,0
HCPCS,94645,Hc Inhaled Epoprostenol Neb Cont Therapy Subsq,1084.0,422.76,,,0
HCPCS,94660,Hc Adult Cpap/Per Day,4240.0,1653.6,,,0
HCPCS,94660,Hc Bipap/Day,4240.0,1653.6,,,0
HCPCS,94660,Hc Infant Cpap/Day,4240.0,1653.6,,,0
HCPCS,94660,Pos airway pressure cpap,,,222.42,834.95,9
HCPCS,94664,Evaluate pt use of inhaler,,,222.42,834.95,9
HCPCS,94664,Hc Mdi/Neb Instruct/Demo,588.0,229.32,,,0
HCPCS,94667,Chest wall manipulation,,,135.14,507.3,9
HCPCS,94667,Hc Chest Percussion/Vibration Initial,1319.0,514.41,,,0
HCPCS,94667,Hc Oscillating Pep Therapy Initial,1319.0,514.41,,,0
HCPCS,94668,Chest wall manipulation,,,135.14,507.3,9
HCPCS,94668,Hc Chest Percussion Vibration Subsq,1029.0,401.31,,,0
HCPCS,94668,Hc Oscillating Pep Therapy Subsq,1029.0,401.31,,,0
HCPCS,94669,Hc Chest Wall Osc/Vest Tx Per Session,1452.0,566.28,,,0
HCPCS,94669,Mechanical chest wall oscill,,,222.42,834.95,9
HCPCS,94680,Exhaled air analysis o2,,,130.69,490.62,9
HCPCS,94681,Exhaled air analysis o2/co2,,,379.02,1422.83,9
HCPCS,94681,Hc Exhaled Air Analysis O2/Co2,1372.0,535.08,,,0
HCPCS,94690,Exhaled air analysis,,,59.92,224.93,9
HCPCS,94690,Hc Indirect Calorimetry,1336.0,521.04,,,0
HCPCS,94726,Hc Plethysmography,1365.0,532.35,,,0
HCPCS,94726,Pulm funct tst plethysmograp,,,379.02,1422.83,9
HCPCS,94727,Hc Gas Dilutions,1474.0,574.86,,,0
HCPCS,94727,Pulm function test by gas,,,219.32,823.3,9
HCPCS,94728,Hc Pulm Funct Test Oscillometry,1242.0,484.38,,,0
HCPCS,94728,Pulm funct test oscillometry,,,130.69,490.62,9
HCPCS,94729,Hc Diffusing Capacity,1389.0,541.71,,,0
HCPCS,94760,Hc Pulse Ox Single,79.0,30.81,,,0
HCPCS,94761,Hc Home Oxygen Assessment,670.0,261.3,,,0
HCPCS,94761,Hc Pulse Ox Multiple,670.0,261.3,,,0
HCPCS,94762,Hc Nocturnal Pulse Oximetry,1011.0,394.29,,,0
HCPCS,94762,Hc Pulse-Ox Continuous/Day,1011.0,394.29,,,0
HCPCS,94762,Measure blood oxygen level,,,130.69,490.62,9
HCPCS,94772,Breath recording infant,,,379.02,1422.83,9
HCPCS,94772,Hc Pneumogram,3729.0,1454.31,,,0
HCPCS,94775,Ped home apnea rec hk-up,,,130.69,490.62,9
HCPCS,94776,Ped home apnea rec downld,,,130.69,490.62,9
HCPCS,94780,Car seat/bed test 60 min,,,37.94,142.42,9
HCPCS,94780,Hc Car Seat/Bed Test Inft Thru 12 Mo 60 Min,595.0,232.05,,,0
HCPCS,94781,Hc Car Seat/Bed Test Inft Thru 12 Mo Ea Addl 30 Min,214.0,83.46,,,0
HCPCS,94799,Pulmonary service/procedure,,,130.69,490.62,9
HCPCS,95004,Hc Percutaneous Tests W/Allergenic Extracts,137.0,53.43,,,0
HCPCS,95004,Percut allergy skin tests,,,872.23,3274.32,9
HCPCS,95012,Exhaled Nitric Oxide Meas,,,37.94,142.42,9
HCPCS,95017,Hc Allg Tstg Perq And Ic Venoms Immed React W/I And R,106.0,41.34,,,0
HCPCS,95017,Perq & icut allg test venoms,,,29.38,110.28,9
HCPCS,95018,Hc Allg Test Perq And Ic Drug/Biol Immed React W/I And R,106.0,41.34,,,0
HCPCS,95018,Perq&ic allg test drugs/biol,,,37.94,142.42,9
HCPCS,95024,Hc Intracutaneous Tests With Allergenic Extracts,225.0,87.75,,,0
HCPCS,95024,Icut allergy test drug/bug,,,59.92,224.93,9
HCPCS,95027,Icut allergy titrate-airborn,,,29.38,110.28,9
HCPCS,95028,Icut allergy test-delayed,,,37.94,142.42,9
HCPCS,95044,Allergy patch tests,,,872.23,3274.32,9
HCPCS,95044,Hc Patch/Application Test Specify Number Tests,100.0,39.0,,,0
HCPCS,95052,Photo patch test,,,59.92,224.93,9
HCPCS,95056,Photosensitivity tests,,,135.14,507.3,9
HCPCS,95060,Eye allergy tests,,,135.14,507.3,9
HCPCS,95065,Nose allergy test,,,37.94,142.42,9
HCPCS,95070,Bronchial allergy tests,,,379.02,1422.83,9
HCPCS,95070,Hc Inhalation Bronch Challenge Test,1914.0,746.46,,,0
HCPCS,95076,Hc Ingestion Challenge Test Initial 120 Minutes,2192.0,854.88,,,0
HCPCS,95076,Ingest challenge ini 120 min,,,379.02,1422.83,9
HCPCS,95079,Hc Ingestion Challenge Test Each Addl 60 Minutes,486.0,189.54,,,0
HCPCS,95115,Hc Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx,132.0,51.48,,,0
HCPCS,95115,Immunotherapy one injection,,,47.56,178.54,9
HCPCS,95117,Hc Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs,96.0,37.44,,,0
HCPCS,95117,Immunotherapy injections,,,47.56,178.54,9
HCPCS,95144,Antigen therapy services,,,47.56,178.54,9
HCPCS,95145,Antigen therapy services,,,47.56,178.54,9
HCPCS,95146,Antigen therapy services,,,47.56,178.54,9
HCPCS,95147,Antigen therapy services,,,73.13,274.53,9
HCPCS,95148,Antigen therapy services,,,73.13,274.53,9
HCPCS,95149,Antigen therapy services,,,73.13,274.53,9
HCPCS,95165,Antigen therapy services,,,47.56,178.54,9
HCPCS,95170,Antigen therapy services,,,47.56,178.54,9
HCPCS,95180,Hc Rapid Desensitization Procedure Each Hour,1553.0,605.67,,,0
HCPCS,95180,Rapid desensitization,,,453.74,1703.33,9
HCPCS,95199,Allergy immunology services,,,29.38,110.28,9
HCPCS,95249,Cont gluc mntr pt prov eqp,,,59.92,224.93,9
HCPCS,95249,Hc Cont Gluc Monitoring Patient Provided Equipment,188.0,73.32,,,0
HCPCS,95250,Glucose monitoring cont,,,135.23,507.64,9
HCPCS,95250,Hc Cont Glucose Monitor 30M/4 Units,144.0,56.16,,,0
HCPCS,95700,Eeg cont rec w/vid eeg tech,,,219.32,823.3,9
HCPCS,95700,Hc Eeg Cont Rec W/Video By Tech Min 8 Channels,1131.0,441.09,,,0
HCPCS,95705,Eeg w/o vid 2-12 hr unmntr,,,219.32,823.3,9
HCPCS,95705,Hc Eeg W/O Video By Tech 2-12 Hr Unmonitored,1131.0,441.09,,,0
HCPCS,95706,Eeg wo vid 2-12hr intmt mntr,,,219.32,823.3,9
HCPCS,95706,Hc Eeg W/O Vid By Tech Ea Incr 12-26Hr Unmonitored,3164.0,1233.96,,,0
HCPCS,95707,Eeg w/o vid 2-12hr cont mntr,,,219.32,823.3,9
HCPCS,95707,Hc Eeg W/O Video By Tech 2-12Hr Continuous R-T Mntr,3164.0,1233.96,,,0
HCPCS,95708,Eeg wo vid ea 12-26hr unmntr,,,379.02,1422.83,9
HCPCS,95708,Hc Eeg W/O Vid By Tech Ea Incr 12-26Hr Unmonitored,9053.0,3530.67,,,0
HCPCS,95709,Eeg w/o vid ea 12-26hr intmt,,,379.02,1422.83,9
HCPCS,95709,Hc Eeg W/O Vid By Tech Ea Incr 12-26 Hr Intmt Mntr,9053.0,3530.67,,,0
HCPCS,95710,Eeg w/o vid ea 12-26hr cont,,,379.02,1422.83,9
HCPCS,95710,Hc Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr,9053.0,3530.67,,,0
HCPCS,95711,Hc Veeg By Tech 2-12 Hours Unmonitored,1131.0,441.09,,,0
HCPCS,95711,Veeg 2-12 hr unmonitored,,,219.32,823.3,9
HCPCS,95712,Hc Veeg By Tech 2-12 Hr Intermittent Monitoring,1654.0,645.06,,,0
HCPCS,95712,Veeg 2-12 hr intmt mntr,,,379.02,1422.83,9
HCPCS,95713,Hc Veeg By Tech 2-12 Hr Continuous R-T Monitoring,2157.0,841.23,,,0
HCPCS,95713,Veeg 2-12 hr cont mntr,,,379.02,1422.83,9
HCPCS,95714,Hc Veeg By Tech Ea Increment 12-26 Hr Unmonitored,2110.0,822.9,,,0
HCPCS,95714,Veeg ea 12-26 hr unmntr,,,379.02,1422.83,9
HCPCS,95715,Hc Veeg By Tech Ea Incr 12-26 Hr Intermittent Mntr,5581.0,2176.59,,,0
HCPCS,95715,Veeg ea 12-26hr intmt mntr,,,379.02,1422.83,9
HCPCS,95716,Hc Veeg By Tech Ea Incr 12-26 Hr Cont R-T Mntr,9053.0,3530.67,,,0
HCPCS,95716,Veeg ea 12-26hr cont mntr,,,872.23,3274.32,9
HCPCS,95782,Hc Polysomnography Under 6Yrs,9122.0,3557.58,,,0
HCPCS,95782,Polysom <6 yrs 4/> paramtrs,,,872.23,3274.32,9
HCPCS,95783,Hc Polysom Under 6Yrs Sleep W/Cpap/Bilvl Vent Param 4 Or Over,9122.0,3557.58,,,0
HCPCS,95783,Polysom <6 yrs cpap/bilvl,,,872.23,3274.32,9
HCPCS,95800,Hc Home Sleep Test-Pat,677.5,264.225,,,0
HCPCS,95800,Slp stdy unattended,,,219.32,823.3,9
HCPCS,95801,Slp stdy unatnd w/anal,,,59.92,224.93,9
HCPCS,95803,Actigraphy testing,,,59.92,224.93,9
HCPCS,95803,Hc Actigraphy Testing Recording Analysis I And R,230.0,89.7,,,0
HCPCS,95805,Hc Mslt/Mwt,2563.0,999.57,,,0
HCPCS,95805,Multiple sleep latency test,,,872.23,3274.32,9
HCPCS,95806,Hc Infant Sleep Study 4 Channel,1105.0,430.95,,,0
HCPCS,95806,Hc Sleep Study Unattended,1105.0,430.95,,,0
HCPCS,95806,Sleep study unatt&resp efft,,,219.32,823.3,9
HCPCS,95807,Hc Pap Nap Full 2 Or More Hours,3172.0,1237.08,,,0
HCPCS,95807,Sleep study attended,,,379.02,1422.83,9
HCPCS,95808,Hc Polysom Any Age Sleep Stage 1-3 Addl Param Attnd,3087.0,1203.93,,,0
HCPCS,95808,Polysom any age 1-3> param,,,872.23,3274.32,9
HCPCS,95810,Hc Polysom 6Yrs Or Over Sleep 4 Or Over Addl Param Attnd,4533.5,1768.065,,,0
HCPCS,95810,Polysom 6/> yrs 4/> param,,,872.23,3274.32,9
HCPCS,95811,Hc Polysomnography W/Cpap,4887.0,1905.93,,,0
HCPCS,95811,Hc Sp3 Polysomnography W/Cpap,4683.0,1826.37,,,0
HCPCS,95811,Polysom 6/>yrs cpap 4/> parm,,,872.23,3274.32,9
HCPCS,95812,Eeg 41-60 minutes,,,219.32,823.3,9
HCPCS,95812,Hc Eeg 41 - 60 Minutes,2395.0,934.05,,,0
HCPCS,95813,Eeg over 1 hour,,,219.32,823.3,9
HCPCS,95813,Hc Eeg 61-119 Minutes,3280.0,1279.2,,,0
HCPCS,95816,Eeg awake and drowsy,,,219.32,823.3,9
HCPCS,95816,Hc Eeg Awake And Drowsy Recording,2208.0,861.12,,,0
HCPCS,95819,Eeg awake and asleep,,,219.32,823.3,9
HCPCS,95819,Hc Eeg Awake And Asleep Recording,2405.0,937.95,,,0
HCPCS,95822,Eeg coma or sleep only,,,219.32,823.3,9
HCPCS,95822,Hc Eeg Coma Or Sleep Only,3117.0,1215.63,,,0
HCPCS,95824,Eeg cerebral death only,,,379.02,1422.83,9
HCPCS,95824,Hc Eeg Cerebral Death Evaluation Only,3085.0,1203.15,,,0
HCPCS,95829,Hc Electrocorticogram Surgery Spx,1107.0,431.73,,,0
HCPCS,95851,Hc Rom Measurements And Report Ea Extremity Ex Hand/Ea Trunk Section Spine - Pt,477.0,186.03,,,0
HCPCS,95851,Hc Rom Test Occupational Therapy,477.0,186.03,,,0
HCPCS,95851,Range of motion measurements,,,6.64,13.01,7
HCPCS,95852,Hc Rom Test Hand Occupational Therapy,424.0,165.36,,,0
HCPCS,95852,Hc Rom Test Hand Physical Therapy,424.0,165.36,,,0
HCPCS,95852,Range of motion measurements,,,4.97,9.74,7
HCPCS,95857,Cholinesterase challenge,,,219.32,823.3,9
HCPCS,95860,Hc Emg 1 W/Wo Related Paraspinal Areas,1118.0,436.02,,,0
HCPCS,95860,Muscle test one limb,,,135.14,507.3,9
HCPCS,95861,Hc Emg Ndl 2 Xtr W/Wo Related Paraspinal Areas,1597.0,622.83,,,0
HCPCS,95861,Muscle test 2 limbs,,,135.14,507.3,9
HCPCS,95863,Hc Emg Ndl 3 Xtr W/Wo Related Paraspinal Areas,2279.0,888.81,,,0
HCPCS,95863,Muscle test 3 limbs,,,130.69,490.62,9
HCPCS,95864,Hc Emg Ndl 4 Xtr W/Wo Related Paraspinal Areas,3151.0,1228.89,,,0
HCPCS,95864,Muscle test 4 limbs,,,130.69,490.62,9
HCPCS,95865,Hc Emg Larynx,813.0,317.07,,,0
HCPCS,95865,Muscle test larynx,,,135.14,507.3,9
HCPCS,95866,Hc Needle Electromyography Hemidiaphragm,312.0,121.68,,,0
HCPCS,95866,Muscle test hemidiaphragm,,,130.69,490.62,9
HCPCS,95867,Hc Ndl Electromyography Cranial Nrv Muscle Uni,968.0,377.52,,,0
HCPCS,95867,Muscle test cran nerv unilat,,,219.32,823.3,9
HCPCS,95868,Hc Ndl Electromyography Cranial Nrv Muscle Bi,1451.0,565.89,,,0
HCPCS,95868,Muscle test cran nerve bilat,,,219.32,823.3,9
HCPCS,95869,Hc Needle Emg Thrc Paraspi Musc Excluding T1/T12,474.0,184.86,,,0
HCPCS,95869,Muscle test thor paraspinal,,,219.32,823.3,9
HCPCS,95870,Hc Emg Needle Lmtd Stdy Musc 1 Extremity Or Non-Limb Uni/Bi,419.0,163.41,,,0
HCPCS,95870,Muscle test nonparaspinal,,,135.14,507.3,9
HCPCS,95872,Hc Needle Emg W/1 Fiber Electrode Quan Meas Jitter,700.0,273.0,,,0
HCPCS,95872,Muscle test one fiber,,,219.32,823.3,9
HCPCS,95874,Hc Needle Emg Guid With Chemodenervation,299.0,116.61,,,0
HCPCS,95875,Limb exercise test,,,130.69,490.62,9
HCPCS,95885,Hc Emg Ndl Ea Extremity W/Paraspinl Area Ltd,969.0,377.91,,,0
HCPCS,95886,Hc Needle Emg Ea Extremty W/Paraspinl Area Complete,1227.0,478.53,,,0
HCPCS,95887,Hc Needle Emg Nonextremty Mscles W/Nerve Conduction,969.0,377.91,,,0
HCPCS,95905,Hc Motor/Sens Nrve Conduct Test,866.0,337.74,,,0
HCPCS,95905,Motor &/ sens nrve cndj test,,,453.74,1703.33,9
HCPCS,95907,Hc Nerve Conduction Studies 1-2 Studies,2252.0,878.28,,,0
HCPCS,95907,Nvr cndj tst 1-2 studies,,,219.32,823.3,9
HCPCS,95908,Hc Nerve Conduction Studies 3-4 Studies,4503.0,1756.17,,,0
HCPCS,95908,Nrv cndj tst 3-4 studies,,,219.32,823.3,9
HCPCS,95909,Hc Nerve Conduction Studies 5-6 Studies,6753.0,2633.67,,,0
HCPCS,95909,Nrv cndj tst 5-6 studies,,,219.32,823.3,9
HCPCS,95910,Hc Nerve Conduction Studies 7-8 Studies,9002.0,3510.78,,,0
HCPCS,95910,Nrv cndj test 7-8 studies,,,379.02,1422.83,9
HCPCS,95911,Hc Nerve Conduction Studies 9-10 Studies,11250.0,4387.5,,,0
HCPCS,95911,Nrv cndj test 9-10 studies,,,379.02,1422.83,9
HCPCS,95912,Hc Nerve Conduction Studies 11-12 Studies,7976.0,3110.64,,,0
HCPCS,95912,Nrv cndj test 11-12 studies,,,379.02,1422.83,9
HCPCS,95913,Hc Nerve Conduction Studies 13 Or More Studies,9159.0,3572.01,,,0
HCPCS,95913,Nrv cndj test 13/> studies,,,379.02,1422.83,9
HCPCS,95919,Quan puplmtry phy/qhp uni/bi,,,135.14,507.3,9
HCPCS,95921,Autonomic nrv parasym inervj,,,130.69,490.62,9
HCPCS,95921,Hc Tstg Ans Funcj Cardiovagal Innervaj Parasymp,1245.0,485.55,,,0
HCPCS,95922,Autonomic nrv adrenrg inervj,,,135.14,507.3,9
HCPCS,95923,Autonomic nrv syst funj test,,,135.14,507.3,9
HCPCS,95923,Hc Testing Autonomic Nervous System Function,936.0,365.04,,,0
HCPCS,95924,Ans parasymp & symp w/tilt,,,219.32,823.3,9
HCPCS,95925,Hc Ep-Somatosensory Upper,6348.0,2475.72,,,0
HCPCS,95925,Somatosensory testing,,,219.32,823.3,9
HCPCS,95926,Hc Short-Latency Somatosens Ep Std Lwr Limbs,5918.0,2308.02,,,0
HCPCS,95926,Somatosensory testing,,,219.32,823.3,9
HCPCS,95927,Hc Short-Latency Somatosens Ep Std Trnk/Head,3375.0,1316.25,,,0
HCPCS,95927,Somatosensory testing,,,219.32,823.3,9
HCPCS,95928,C motor evoked uppr limbs,,,872.23,3274.32,9
HCPCS,95928,Hc Ctr Motor Ep Std Transcrnl Motor Stimj Upr Limbs,1718.0,670.02,,,0
HCPCS,95929,C motor evoked lwr limbs,,,379.02,1422.83,9
HCPCS,95929,Hc Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs,1466.0,571.74,,,0
HCPCS,95930,Hc Visual Ep Testing Cns Except Glaucoma W I R,4063.0,1584.57,,,0
HCPCS,95930,Visual evoked potential test,,,219.32,823.3,9
HCPCS,95933,Blink reflex test,,,59.92,224.93,9
HCPCS,95933,Hc Orbicularis Oculi Reflx Electrodiagnostic Test,326.0,127.14,,,0
HCPCS,95937,Hc Neuromuscular Junct Tstg Ea Nrv Any 1 Meth,1243.0,484.77,,,0
HCPCS,95937,Neuromuscular junction test,,,130.69,490.62,9
HCPCS,95938,Hc Short-Latency Somatosens Ep Std Upr And Low Limb,10219.0,3985.41,,,0
HCPCS,95938,Somatosensory testing,,,872.23,3274.32,9
HCPCS,95939,C motor evoked upr&lwr limbs,,,872.23,3274.32,9
HCPCS,95939,Hc Ctr Motr Ep Std Transcrnl Motr Stim Upr And Lwr Limbs,1718.0,670.02,,,0
HCPCS,95940,Hc Eeg Bedside W/O Video 24Hr,734.0,286.26,,,0
HCPCS,95940,Hc Intraop Neuro Mon 15 Min,734.0,286.26,,,0
HCPCS,95941,Hc Ionm Remote Or Nearby More 1 Patient In Or Per Hour,1149.0,448.11,,,0
HCPCS,95954,EEG monitoring/giving drugs,,,379.02,1422.83,9
HCPCS,95955,Hc Eeg Nonintracranial Surgery,669.0,260.91,,,0
HCPCS,95958,EEG monitoring/function test,,,872.23,3274.32,9
HCPCS,95958,Hc Eeg Wada Activation Test Hemispheric Function,4105.0,1600.95,,,0
HCPCS,95961,Electrode stimulation brain,,,872.23,3274.32,9
HCPCS,95961,Hc Funcjal Cort And Subcort Mapg Phys/Qhp Attnd Init Hr,5810.0,2265.9,,,0
HCPCS,95962,Hc Funcjal Cort And Subcort Mapg Phys/Qhp Attnd Addl Hr,1454.0,567.06,,,0
HCPCS,95965,Meg spontaneous,,,872.23,3274.32,9
HCPCS,95966,Meg evoked single,,,872.23,3274.32,9
HCPCS,95970,Analyze neurostim no prog,,,135.14,507.3,9
HCPCS,95970,Hc Elec Alys Implt Npgt Phys/Qhp W/O Programming,1454.0,567.06,,,0
HCPCS,95971,Analyze neurostim simple,,,96.56,362.5,9
HCPCS,95971,Hc Elec Alys Implt Npgt Smpl Sp/Pn Npgt Prgrmg,4339.0,1692.21,,,0
HCPCS,95972,Analyze neurostim complex,,,96.56,362.5,9
HCPCS,95972,Hc Analyze Neurostim Complex,4470.0,1743.3,,,0
HCPCS,95976,Hc Analysis Cranial Neurostim Simple,276.0,107.64,,,0
HCPCS,95977,Alys cplx cn npgt prgrmg,,,96.56,362.5,9
HCPCS,95977,Hc Analysis Cranial Neurostim Complex,873.0,340.47,,,0
HCPCS,95981,Hc Elec Alys Nstim Gen Gastric Sbsq Without Reprgrmg,480.0,187.2,,,0
HCPCS,95981,Io anal gast n-stim subsq,,,59.92,224.93,9
HCPCS,95982,Hc Elec Alys Nstim Pls Gen Gastric Sbsq With Reprgrmg,784.0,305.76,,,0
HCPCS,95983,Alys brn npgt prgrmg 15 min,,,96.56,362.5,9
HCPCS,95983,Hc Elec Alys Implt Brn Npgt Prgrmg 1St 15 Min,189.0,73.71,,,0
HCPCS,95984,Hc Elec Alys Implt Brn Npgt Prgrmg Ea Addl 15 Min,142.0,55.38,,,0
HCPCS,95990,Hc Refill And Maintenance Pump Drug Dlvr Spinalor Brain,1083.0,422.37,,,0
HCPCS,95990,Spin/brain pump refil & main,,,335.5,2665.0,10
HCPCS,95991,Hc Refill And Main Implt Pmp Or Rsvr Dlvr Spi Or Brn Phy Or Qhp,940.0,366.6,,,0
HCPCS,95991,Spin/brain pump refil & main,,,311.77,2665.0,10
HCPCS,95992,Canalith repositioning proc,,,30.01,58.82,7
HCPCS,95992,Hc Canalith Repositioning Procedure - Pt,618.0,241.02,,,0
HCPCS,95999,Neurological procedure,,,130.69,490.62,9
HCPCS,96000,Motion analysis video/3d,,,379.02,1422.83,9
HCPCS,96001,Motion test w/ft press meas,,,872.23,3274.32,9
HCPCS,96002,Dynamic surface emg,,,219.32,823.3,9
HCPCS,96002,Hc Dyn Surf Emg Walkg Or Functional Actv 1 Thru 12 Musc,689.0,268.71,,,0
HCPCS,96020,Hc Test Select And Admn Functl Brain Map Phys Or Qhp,671.0,261.69,,,0
HCPCS,96040,Hc Genetic Counseling,858.0,334.62,,,0
HCPCS,96105,Assessment of aphasia,,,93.51,183.28,7
HCPCS,96105,Hc Aphasia Assmt W/Intrp And Rpt,500.0,195.0,,,0
HCPCS,96112,Devel tst phys/qhp 1st hr,,,130.69,490.62,9
HCPCS,96112,Hc Developmental Tst Admin Phys Or Qhp 1St Hour,1008.0,393.12,,,0
HCPCS,96113,Hc Developmental Tst Admin Phys/Qhp Ea Addl 30 Min,870.0,339.3,,,0
HCPCS,96116,Hc Neurobehv Status Exam/Hr,1426.0,556.14,,,0
HCPCS,96116,Neurobehavioral status exam,,,219.32,823.3,9
HCPCS,96121,Hc Neurobehavioral Status Xm Phys/Qhp Ea Addl Hour,614.0,239.46,,,0
HCPCS,96125,Cognitive test by hc pro,,,98.3,192.67,7
HCPCS,96125,Hc Cognitive Perf Test Ot Per Hr,359.0,140.01,,,0
HCPCS,96125,Hc Standardized Cognitive Performance Testing - St,359.0,140.01,,,0
HCPCS,96127,Brief emotional/behav assmt,,,37.94,142.42,9
HCPCS,96127,Hc Behav Assmt W/Score And Docd/Stand Instrument,111.0,43.29,,,0
HCPCS,96130,Hc Psychological Tst Eval Svc Phys/Qhp First Hour,587.0,228.93,,,0
HCPCS,96130,Psycl tst eval phys/qhp 1st,,,219.32,823.3,9
HCPCS,96131,Hc Psychological Tst Eval Svc Phys/Qhp Ea Addl Hour,346.0,134.94,,,0
HCPCS,96132,Hc Neuropsychological Tst Eval Phys/Qhp 1St Hour,976.0,380.64,,,0
HCPCS,96132,Nrpsyc tst eval phys/qhp 1st,,,379.02,1422.83,9
HCPCS,96133,Hc Neuropsychological Tst Eval Phys/Qhp Ea Addl Hr,575.0,224.25,,,0
HCPCS,96136,Hc Psyl/Nrpsycl Tst Phys/Qhp 2 Or More Tst 1St 30 Min,734.0,286.26,,,0
HCPCS,96136,Psycl/nrpsyc tst phy/qhp 1st,,,135.14,507.3,9
HCPCS,96137,Hc Psycl/Nrpsycl Tst Phys/Qhp 2 Or More Tst Ea Addl 30 Min,614.0,239.46,,,0
HCPCS,96138,Hc Psycl/Nrpsycl Tst Tech 2 Or More Tst 1St 30 Min,953.0,371.67,,,0
HCPCS,96138,Psycl/nrpsyc tech 1st,,,453.74,1703.33,9
HCPCS,96139,Hc Psycl/Nrpsycl Tst Tech 2 Or More Tst Ea Addl 30 Min,317.0,123.63,,,0
HCPCS,96146,Psycl/nrpsyc tst auto result,,,29.38,110.28,9
HCPCS,96156,Hc Health Behavior Assessment/Re-Assessment,898.0,350.22,,,0
HCPCS,96158,Hc Health Behavior Ivntj Indiv F2F 1St 30 Min,898.0,350.22,,,0
HCPCS,96158,Hlth bhv ivntj indiv 1st 30,,,180.28,676.78,9
HCPCS,96159,Hc Health Behavior Ivntj Indiv F2F Ea Addl 15 Min,153.0,59.67,,,0
HCPCS,96160,Pt-focused hlth risk assmt,,,38.06,142.86,9
HCPCS,96161,Caregiver health risk assmt,,,38.06,142.86,9
HCPCS,96164,Hc Behavior Intervention Group 2 Or More Patients Face To Face Initial 30 Mins,898.0,350.22,,,0
HCPCS,96164,Hlth bhv ivntj grp 1st 30,,,38.06,142.86,9
HCPCS,96165,Hc Behavior Intervention Group 2 Or More Patients Face To Face Ea Add 15 Mins,53.0,20.67,,,0
HCPCS,96167,Hc Behabior Intervention Family With Patient Present Face To Face Initial 30 Mins,898.0,350.22,,,0
HCPCS,96167,Hlth bhv ivntj fam 1st 30,,,38.06,142.86,9
HCPCS,96168,Hc Behabior Intervention Family With Patient Present Face To Face Ea Add 15 Mins,66.0,25.74,,,0
HCPCS,96202,Mlt fam grp bhv train 1st 60,,,17.52,34.34,7
HCPCS,96203,Mlt fam grp bhv train ea add,,,5.0,9.8,7
HCPCS,96360,Hc Iv Inf Hydration,1095.0,427.05,,,0
HCPCS,96360,Hydration iv infusion init,,,216.05,811.02,9
HCPCS,96360,Iv Inf Hydrat Init 31Min-1Hr,744.0,290.16,,,0
HCPCS,96361,Hc Iv Inf Hydration Ea Addl Hr,133.0,51.87,,,0
HCPCS,96361,Hydrate iv infusion add-on,,,47.56,178.54,9
HCPCS,96361,Iv Hydrat Ea Addtl Hr,284.0,110.76,,,0
HCPCS,96365,Hc Iv Inf Tx/Dx 1St Hr,1095.0,427.05,,,0
HCPCS,96365,Iv Inf Initial Up To 1Hr,748.0,291.72,,,0
HCPCS,96365,Iv Infusion For Ther/Proph/Dia,748.0,291.72,,,0
HCPCS,96365,Ther/proph/diag iv inf init,,,216.05,811.02,9
HCPCS,96366,Hc Iv Inf Tx/Dx Ea Addl Hr,133.0,51.87,,,0
HCPCS,96366,Iv Inf Ea Addl Hour,272.99,106.47,,,0
HCPCS,96366,Ther/proph/diag iv inf addon,,,47.56,178.54,9
HCPCS,96367,Hc Iv Inf Sequential 1St Hr Not An Initial,1095.0,427.05,,,0
HCPCS,96367,Iv Inf Sequential Up To 1 Hr,310.0,120.9,,,0
HCPCS,96367,Tx/proph/dg addl seq iv inf,,,73.13,274.53,9
HCPCS,96368,Hc Iv Inf Tx/Dx Concurrent,1095.0,427.05,,,0
HCPCS,96368,Iv Inf Concurrent,362.0,141.18,,,0
HCPCS,96369,Hc Subq Inf W/Pump Set-Up Initial 1 Hr,683.0,266.37,,,0
HCPCS,96369,Sc ther infusion up to 1 hr,,,216.05,811.02,9
HCPCS,96370,Hc Subq Inf Ea Additional Hour,151.0,58.89,,,0
HCPCS,96370,Sc ther infusion addl hr,,,47.56,178.54,9
HCPCS,96371,Sc ther infusion reset pump,,,73.13,274.53,9
HCPCS,96372,Hc Inj Im/Subq,202.0,78.78,,,0
HCPCS,96372,Injection Subq Or Im,310.995,121.29,,,0
HCPCS,96372,Ther/proph/diag inj sc/im,,,73.13,274.53,9
HCPCS,96373,Hc Inj Tx/Proph/Dx Intra-Arterial,1716.0,669.24,,,0
HCPCS,96373,Ther/proph/diag inj ia,,,216.05,811.02,9
HCPCS,96374,Hc Iv Inj Initial,786.0,306.54,,,0
HCPCS,96374,"Injection, Iv Push, Initial",682.58,266.21,,,0
HCPCS,96374,Ther/proph/diag inj iv push,,,216.05,811.02,9
HCPCS,96375,Hc Iv Inj Ea New Med,322.0,125.58,,,0
HCPCS,96375,Inj Iv Push Seq New Drug,492.0,191.88,,,0
HCPCS,96375,Tx/pro/dx inj new drug addon,,,47.56,178.54,9
HCPCS,96376,Hc Iv Inj Ea Add Seq Same Drug,322.0,125.58,,,0
HCPCS,96376,Inj Iv Push Sq Same Drug,422.98,164.96,,,0
HCPCS,96377,Applicaton on-body injector,,,47.56,3391.0,10
HCPCS,96377,Hc Application Of On-Body Injector For Timed Sq Inj,202.0,78.78,,,0
HCPCS,96379,Ther/prop/diag inj/inf proc,,,47.56,178.54,9
HCPCS,96401,Chemo anti-neopl sq/im,,,73.13,274.53,10
HCPCS,96401,Hc Chemotherapy Sq Im Non-Hormonal,1271.0,495.69,,,0
HCPCS,96402,Chemo hormon antineopl sq/im,,,73.13,274.53,10
HCPCS,96402,Hc Chemotherapy Sq Im Hormonal,1134.0,442.26,,,0
HCPCS,96405,Chemo intralesional up to 7,,,73.13,274.53,10
HCPCS,96405,Hc Chemotherapy Admin Intralesional 7 Or Less Lesions,1587.0,618.93,,,0
HCPCS,96406,Chemo intralesional over 7,,,122.01,811.02,10
HCPCS,96406,Hc Chemotherapy Administration Intralesional Over 7 Lesions,1942.0,757.38,,,0
HCPCS,96409,Chemo iv push sngl drug,,,285.49,1259.43,10
HCPCS,96409,Hc Chemo Iv Push Initial Drug,1121.0,437.19,,,0
HCPCS,96411,Chemo iv push addl drug,,,73.13,274.53,10
HCPCS,96411,Hc Chemo Iv Push Each Addition Drug,1014.0,395.46,,,0
HCPCS,96413,Chemo iv infusion 1 hr,,,335.5,1259.43,10
HCPCS,96413,Hc Chemo Inf 1St Hr Initial Drug,1783.0,695.37,,,0
HCPCS,96415,Chemo iv infusion addl hr,,,73.13,274.53,10
HCPCS,96415,Hc Chemo Inf Each Additional Hr,509.0,198.51,,,0
HCPCS,96416,Chemo prolong infuse w/pump,,,335.5,1259.43,10
HCPCS,96416,Hc Chemo Inf Over 8 Hrs W/Pump Initial,1833.0,714.87,,,0
HCPCS,96417,Chemo iv infus each addl seq,,,73.13,274.53,10
HCPCS,96417,Hc Chemo Iv Inf Ea Add Seq,1170.0,456.3,,,0
HCPCS,96420,Chemo ia push tecnique,,,276.38,1259.43,10
HCPCS,96420,Hc Chemo Ia Push,1587.0,618.93,,,0
HCPCS,96422,Chemo ia infusion up to 1 hr,,,335.5,1259.43,10
HCPCS,96422,Hc Inf Chemotherapy Intra-Arteria 1 Hr Or Less,1551.0,604.89,,,0
HCPCS,96423,Chemo ia infuse each addl hr,,,47.56,219.24,10
HCPCS,96423,Hc Chemo Ia Inf Ea Addl Hour,509.0,198.51,,,0
HCPCS,96425,Chemotherapy infusion method,,,335.5,1259.43,10
HCPCS,96425,Hc Chemo Inf Intrarterial Over 8Hrs W/Pump,1463.0,570.57,,,0
HCPCS,96440,Chemotherapy intracavitary,,,334.64,1259.43,10
HCPCS,96440,Hc Chemo Intracavity W/Thoracentesis,1121.0,437.19,,,0
HCPCS,96446,Chemotx admn prtl cavity,,,77.62,1259.43,10
HCPCS,96446,Hc Chemo Intrac. W/Peritoneocentesis,1121.0,437.19,,,0
HCPCS,96450,Chemotherapy into cns,,,211.84,1259.43,10
HCPCS,96450,Hc Chemo Into Cns W/Spinal Puncture,1121.0,437.19,,,0
HCPCS,96521,Hc Refill Maintain Portable Pump,1826.0,712.14,,,0
HCPCS,96521,Refill/maint portable pump,,,216.05,811.02,10
HCPCS,96522,Hc Maintain Implanted Pump,1182.0,460.98,,,0
HCPCS,96522,Refill/maint pump/resvr syst,,,216.05,811.02,10
HCPCS,96523,Hc Irrig Venous Access Picc Port Or Cl,844.0,329.16,,,0
HCPCS,96523,Irrig drug delivery device,,,59.92,224.93,10
HCPCS,96523,Irrigate Implanted Venous Acce,273.0,106.47,,,0
HCPCS,96542,Chemotherapy injection,,,111.05,1259.43,10
HCPCS,96542,Hc Chemo Inj/Sub-Intraventricular,1236.0,482.04,,,0
HCPCS,96547,Intraop hipec px 1st 60 min,,,2665.0,2665.0,1
HCPCS,96548,Ntraop hipec px ea add 30min,,,2665.0,2665.0,1
HCPCS,96549,Chemotherapy unspecified,,,47.56,178.54,9
HCPCS,96567,Hc Photodynamic Thy Distruction Premalignant Les Skin Illum Activation Of Drugs Per Day,724.0,282.36,,,0
HCPCS,96567,Photodynamic tx skin,,,203.79,2665.0,10
HCPCS,96570,Photodynmc tx 30 min add-on,,,2665.0,2665.0,1
HCPCS,96571,Photodynamic tx addl 15 min,,,2665.0,2665.0,1
HCPCS,96573,Hc Pdt Dstr Prmlg Les Skn Illum/Activj By Phys/Qhp,620.0,241.8,,,0
HCPCS,96573,Pdt dstr prmlg les phys/qhp,,,203.79,2665.0,10
HCPCS,96574,Dbrdmt prmlg les w/pdt,,,203.79,3391.0,11
HCPCS,96574,Hc Debridement Prmlg Hyperkeratotic Les With Pdt,620.0,241.8,,,0
HCPCS,96900,Hc Actinotherapy Ultraviolet Light,164.0,63.96,,,0
HCPCS,96900,Ultraviolet light therapy,,,37.94,142.42,9
HCPCS,96910,Hc Photochemo Thy Using Tar And Uvb Petrolatum And Uvb,149.0,58.11,,,0
HCPCS,96910,Photochemotherapy with UV-B,,,59.92,224.93,9
HCPCS,96912,Hc Photochemotx Psoralens & Ultraviolet Puva,146.0,56.94,,,0
HCPCS,96912,Photochemotherapy with UV-A,,,59.92,224.93,9
HCPCS,96913,Hc Photochemotherapy Dermatoses 4 To 8 Hrs Supervision,1270.0,495.3,,,0
HCPCS,96913,Photochemotherapy uv-a or b,,,412.9,1550.02,9
HCPCS,96920,Laser tx skin < 250 sq cm,,,203.79,3391.0,10
HCPCS,96921,Laser tx skin 250-500 sq cm,,,203.79,3391.0,10
HCPCS,96922,Laser tx skin >500 sq cm,,,412.9,3391.0,10
HCPCS,96932,Hc Rcm Celulr & Subcelulr Skn Imgng Img Acquisition,194.0,75.66,,,0
HCPCS,96999,Dermatological procedure,,,203.79,765.01,9
HCPCS,96999,Hc Phototherapy Bilirubin Light Daily,445.0,173.55,,,0
HCPCS,97010,Hc Appl Modality Hot/Cold Packs 1 Or Over Areas-Ot,60.0,23.4,,,0
HCPCS,97010,Hc Appl Modality Hot/Cold Packs 1 Or Over Areas-Pt,60.0,23.4,,,0
HCPCS,97012,Hc Traction Mechanical Occupational Therapy,201.0,78.39,,,0
HCPCS,97012,Hc Traction Mechanical Physical Therapy,201.0,78.39,,,0
HCPCS,97012,Mechanical traction therapy,,,14.55,28.52,7
HCPCS,97016,Hc Appl Modality Vasopneumatic Devices 1 Or Over Areas -Pt,174.0,67.86,,,0
HCPCS,97016,Hc Vasopneumatic Devices Occupational Therapy,174.0,67.86,,,0
HCPCS,97016,Vasopneumatic device therapy,,,11.48,22.5,7
HCPCS,97018,Hc Paraffin Bath Occupational Therapy,159.0,62.01,,,0
HCPCS,97018,Hc Paraffin Bath Physical Therapy,159.0,62.01,,,0
HCPCS,97018,Paraffin bath therapy,,,5.68,11.13,7
HCPCS,97022,Hc Appl Modality Whirlpool 1 Or Over Areas -Ot,217.0,84.63,,,0
HCPCS,97022,Hc Appl Modality Whirlpool 1 Or Over Areas -Pt,217.0,84.63,,,0
HCPCS,97022,Whirlpool therapy,,,15.94,31.24,7
HCPCS,97024,Diathermy eg microwave,,,6.87,13.47,7
HCPCS,97024,Hc Diathermy Physical Therapy,129.0,50.31,,,0
HCPCS,97026,Infrared therapy,,,6.82,13.37,7
HCPCS,97028,Ultraviolet therapy,,,8.51,16.68,7
HCPCS,97032,Electrical stimulation,,,14.11,27.66,7
HCPCS,97032,Hc Appl Modality Elec Stim Ea 15 Min 1 Or Over Areas -Ot,237.0,92.43,,,0
HCPCS,97032,Hc Appl Modality Elec Stim Ea 15 Min 1 Or Over Areas -Pt,237.0,92.43,,,0
HCPCS,97033,Electric current therapy,,,19.29,37.81,7
HCPCS,97033,Hc Iontophoresis Ea 15 Min Occupational Therapy,201.0,78.39,,,0
HCPCS,97033,Hc Iontophoresis Ea 15 Min Physical Therapy,201.0,78.39,,,0
HCPCS,97034,Contrast bath therapy,,,13.37,26.21,7
HCPCS,97035,Hc Appl Modality 1 Or More Areas Ultrasound Ea 15 Min -Ot,149.0,58.11,,,0
HCPCS,97035,Hc Appl Modality 1 Or More Areas Ultrasound Ea 15 Min -Pt,149.0,58.11,,,0
HCPCS,97035,Ultrasound therapy,,,14.56,28.54,7
HCPCS,97036,Hydrotherapy,,,32.1,62.92,7
HCPCS,97037,Appl modality 1+lllt po pain,,,37.94,142.42,9
HCPCS,97037,Hc Pt Appl Modality 1 Or More Areas Low Level Laser Thy Post Op Pain Reduction,128.0,49.92,,,0
HCPCS,97039,Hc Ot Unlisted Modality Constant Attendance Ea 15 Min,467.0,182.13,,,0
HCPCS,97039,Hc Pt Unlisted Modality Constant Attendance Ea 15 Min,467.0,182.13,,,0
HCPCS,97110,Hc Therapeutic Exercise Ea 15 Min Occupational Therapy,226.0,88.14,,,0
HCPCS,97110,Hc Therapeutic Exercise Ea 15 Min Physical Therapy,226.0,88.14,,,0
HCPCS,97110,Therapeutic exercises,,,27.64,54.17,7
HCPCS,97112,Hc Neuromuscular Reeducation Ea 15 Min Occupational Therapy,226.0,88.14,,,0
HCPCS,97112,Hc Neuromuscular Reeducation Ea 15 Min Physical Therapy,226.0,88.14,,,0
HCPCS,97112,Neuromuscular reeducation,,,33.1,64.88,7
HCPCS,97113,Aquatic therapy/exercises,,,34.9,68.4,7
HCPCS,97113,Hc Aquatic Therapy Ea 15 Min Occupational Therapy,196.0,76.44,,,0
HCPCS,97113,Hc Aquatic Therapy Ea 15 Min Physical Therapy,196.0,76.44,,,0
HCPCS,97116,Gait training therapy,,,27.64,54.17,7
HCPCS,97116,Hc Gait Training Ea 15 Min Physical Therapy,213.0,83.07,,,0
HCPCS,97116,Hc Gait Training/Bilat Asst Ea 15 Min Occupational Therapy,213.0,83.07,,,0
HCPCS,97116,Hc Gait Training/Bilat Asst Ea 15 Min Physical Therapy,213.0,83.07,,,0
HCPCS,97124,Hc Massage Ea 15 Min Occupational Therapy,213.0,83.07,,,0
HCPCS,97124,Hc Massage Ea 15 Min Physical Therapy,213.0,83.07,,,0
HCPCS,97124,Massage therapy,,,30.11,59.02,7
HCPCS,97129,Hc Ot Ther Ivnt Cognitive Func 1St 15 Minutes,186.0,72.54,,,0
HCPCS,97129,Hc Speech Ther Ivnt Cognitive Func 1St 15 Minutes,186.0,72.54,,,0
HCPCS,97129,Ther ivntj 1st 15 min,,,19.48,38.18,7
HCPCS,97130,Hc Ot Ther Ivnt Cognitive Func Ea Addl 15 Minutes,148.0,57.72,,,0
HCPCS,97130,Hc Speech Ther Ivnt Cognitive Func Ea Addl 15 Minutes,148.0,57.72,,,0
HCPCS,97130,Ther ivntj ea addl 15 min,,,18.12,35.52,7
HCPCS,97139,Hc Unlisted Therapeutic Rehab-Physical Therapy,201.0,78.39,,,0
HCPCS,97140,Hc Manual Therapy Ea 15 Min Occupational Therapy,250.0,97.5,,,0
HCPCS,97140,Hc Manual Therapy Ea 15 Min Physical Therapy,250.0,97.5,,,0
HCPCS,97140,Manual therapy 1/> regions,,,28.04,54.96,7
HCPCS,97150,Group therapeutic procedures,,,17.23,33.77,7
HCPCS,97150,Hc Therapeutic Procedures Group 2 Or More Individuals -Ot,163.0,63.57,,,0
HCPCS,97150,Hc Therapeutic Procedures Group 2 Or More Individuals -Pt,163.0,63.57,,,0
HCPCS,97154,Grp adapt bhv tx by tech,,,38.06,142.86,9
HCPCS,97155,Adapt behavior tx phys/qhp,,,180.28,676.78,9
HCPCS,97156,Fam adapt bhv tx gdn phy/qhp,,,38.06,142.86,9
HCPCS,97157,Mult fam adapt bhv tx gdn,,,38.06,142.86,9
HCPCS,97158,Grp adapt bhv tx by phy/qhp,,,38.06,142.86,9
HCPCS,97161,Hc Pt Eval Low Complex 20 Min,325.0,126.75,,,0
HCPCS,97161,Pt eval low complex 20 min,,,92.95,182.18,7
HCPCS,97162,Hc Pt Eval Mod Complex 30 Min,350.0,136.5,,,0
HCPCS,97162,Pt eval mod complex 30 min,,,92.95,182.18,7
HCPCS,97163,Hc Pt Eval High Complex 45 Min,375.0,146.25,,,0
HCPCS,97163,Pt eval high complex 45 min,,,92.95,182.18,7
HCPCS,97164,Hc Physical Therapy Re-Eval Est Plan Care 20 Mins - Pt,275.0,107.25,,,0
HCPCS,97164,Pt re-eval est plan care,,,63.75,124.95,7
HCPCS,97165,Hc Ot Eval Low Complex 30 Min,383.0,149.37,,,0
HCPCS,97165,Ot eval low complex 30 min,,,95.33,186.85,7
HCPCS,97166,Hc Ot Eval Mod Complex 45 Min,386.0,150.54,,,0
HCPCS,97166,Ot eval mod complex 45 min,,,101.54,199.02,7
HCPCS,97167,Hc Ot Eval High Complex 60 Min,391.0,152.49,,,0
HCPCS,97167,Ot eval high complex 60 min,,,95.33,186.85,7
HCPCS,97168,Hc Ot Re-Eval Est Plan Care,247.0,96.33,,,0
HCPCS,97168,Ot re-eval est plan care,,,69.21,135.65,7
HCPCS,97530,Hc Therapeutic Activities Ea 15 Min Occupational Therapy,201.0,78.39,,,0
HCPCS,97530,Hc Therapeutic Activities Ea 15 Min Physical Therapy,201.0,78.39,,,0
HCPCS,97530,Therapeutic activities,,,35.5,69.58,7
HCPCS,97533,Hc Sensory Integration Ea 15 Min Occupational Therapy,125.0,48.75,,,0
HCPCS,97533,Hc Sensory Integration Ea 15 Min Physical Therapy,125.0,48.75,,,0
HCPCS,97533,Sensory Integration,,,61.62,120.78,7
HCPCS,97535,Hc Selfcare/Home Mgmt Trng Ea 15 Min Occupational Therapy,214.0,83.46,,,0
HCPCS,97535,Hc Selfcare/Home Mgmt Trng Ea 15 Min Physical Therapy,214.0,83.46,,,0
HCPCS,97535,Self care mngment training,,,32.78,64.25,7
HCPCS,97537,Community/work reintegration,,,32.43,63.56,7
HCPCS,97537,Hc Community Reintegration Ea 15 Min Occupational Therapy,152.0,59.28,,,0
HCPCS,97537,Hc Community Reintegration Ea 15 Min Physical Therapy,152.0,59.28,,,0
HCPCS,97542,Hc Wheelchair Mgmt Training Ea 15 Min Occupational Therapy,302.0,117.78,,,0
HCPCS,97542,Hc Wheelchair Mgmt Training Ea 15 Min Physical Therapy,302.0,117.78,,,0
HCPCS,97542,Wheelchair mngment training,,,31.41,61.56,7
HCPCS,97545,Hc Work Hardening/Conditioning 1St 2 Hours - Ot,299.0,116.61,,,0
HCPCS,97545,Hc Work Hardening/Cont Pt 1St 2 Hours,299.0,116.61,,,0
HCPCS,97546,Hc Add-On For Extra Work Hardening/Conditioning Occupational Therapy,126.0,49.14,,,0
HCPCS,97546,Hc Add-On Work Hardening/Cond Pt Each Add'l Hour,126.0,49.14,,,0
HCPCS,97550,Caregiver traing 1st 30 min,,,40.01,78.42,7
HCPCS,97550,Hc Caregiver Training Strategies Techniques 1St 30 Min,182.0,70.98,,,0
HCPCS,97551,Caregiver traing ea addl 15,,,21.14,41.43,7
HCPCS,97551,Hc Caregiver Training Strategies And Techniques Ea Addl 15 Min,84.0,32.76,,,0
HCPCS,97552,Group caregiver training,,,9.27,18.17,7
HCPCS,97552,Hc Group Caregiver Training Strategies And Technique,77.0,30.03,,,0
HCPCS,97597,Hc Debride Open Wound 1St 20Sqcm Or Less,2187.0,852.93,,,0
HCPCS,97597,Hc Debride Open Wound 1St 20Sqcm Or Less - Ot,2187.0,852.93,,,0
HCPCS,97597,Hc Debride Open Wound 1St 20Sqcm Or Less - Pt,2187.0,852.93,,,0
HCPCS,97597,Rmvl devital tis 20 cm/<,,,203.79,3391.0,11
HCPCS,97598,Hc Debride Open Wound Ea Add 20Sqcm Or Less,2654.0,1035.06,,,0
HCPCS,97598,Hc Debridement Open Wound Each Additional 20 Sq Cm - Pt,2654.0,1035.06,,,0
HCPCS,97598,Hc Selective Debride/Dressing Ea Add 20Sqcm -Ot,2654.0,1035.06,,,0
HCPCS,97598,Rmvl devital tis addl 20cm/<,,,2665.0,3391.0,2
HCPCS,97602,Hc Wound Care Non Selective Occupational Therapy,512.0,199.68,,,0
HCPCS,97602,Hc Wound Care Non Selective Physical Therapy,512.0,199.68,,,0
HCPCS,97602,Hc Wound Care Non-Selective,512.0,199.68,,,0
HCPCS,97602,Wound(s) care non-selective,,,203.79,765.01,9
HCPCS,97605,Hc Neg Press Wound Tx 50Sqcm Or Less,542.0,211.38,,,0
HCPCS,97605,Neg press wound tx <=50 cm,,,203.79,765.01,9
HCPCS,97606,Hc Neg Press Wound Tx Over 50 Sqcm,904.0,352.56,,,0
HCPCS,97606,Neg press wound tx >50 cm,,,412.9,1550.02,9
HCPCS,97607,Hc Neg Press Wound Tx Disp Equipment 50Sqcm Or Less,1783.0,695.37,,,0
HCPCS,97607,Neg Press Wound Tx Disposabl N,1215.0,473.85,,,0
HCPCS,97607,Neg press wnd tx <=50 sq cm,,,412.9,1550.02,9
HCPCS,97608,Hc Neg Press Wound Tx Using Disp Equip Over 50 Sqcm,1769.0,689.91,,,0
HCPCS,97608,Neg press wound tx >50 cm,,,412.9,1550.02,9
HCPCS,97610,Hc Low Frequency Non-Thermal Ultrasound,698.0,272.22,,,0
HCPCS,97610,Hc Pr Low Frequency Non-Thermal Ultrasound,698.0,272.22,,,0
HCPCS,97610,Low frequency non-thermal us,,,203.79,765.01,9
HCPCS,97750,Hc Physical Performance Testing Ea 15 Min Occupational Therapy,128.0,49.92,,,0
HCPCS,97750,Hc Physical Performance Testing Ea 15 Min Physical Therapy,128.0,49.92,,,0
HCPCS,97750,Physical performance test,,,34.14,66.91,7
HCPCS,97755,Assistive technology assess,,,36.0,70.56,7
HCPCS,97760,Hc Ortho Fitting/Training Ea 15 Min Occupational Therapy,154.0,60.06,,,0
HCPCS,97760,Hc Ortho Fitting/Training Ea 15 Min Physical Therapy,154.0,60.06,,,0
HCPCS,97760,Orthotic mgmt and training,,,46.68,91.49,7
HCPCS,97761,Hc Prosthetic Training/ Ea 15 Min Occupational Therapy,255.0,99.45,,,0
HCPCS,97761,Hc Prosthetic Training/ Ea 15 Min Physical Therapy,255.0,99.45,,,0
HCPCS,97761,Prosthetic training,,,37.95,74.38,7
HCPCS,97763,Hc Orth/Prostc Mgmt Sbsq Enc Each 15 Min Ot,175.0,68.25,,,0
HCPCS,97763,Hc Orth/Prostc Mgmt Sbsq Enc Each 15 Min Pt,175.0,68.25,,,0
HCPCS,97763,Orthc/prostc mgmt sbsq enc,,,50.76,99.49,7
HCPCS,97799,Hc Job Placement Assessment Occupational Therapy,293.0,114.27,,,0
HCPCS,97799,Hc Job Placement Assessment/Physical Therapy,293.0,114.27,,,0
HCPCS,97802,Hc Medical Nutrition Assmt And Ivntj Indiv Ea 15 Min,93.0,36.27,,,0
HCPCS,97802,Medical nutrition indiv in,,,26.64,52.21,7
HCPCS,97803,Hc Mnt Ind Re-Assessment Ea 15Mins??,93.0,36.27,,,0
HCPCS,97803,Med nutrition indiv subseq,,,21.39,41.92,7
HCPCS,97804,Hc Medical Nutrition Therapy Group 2 Or More Individual Ea 30 Mins,86.0,33.54,,,0
HCPCS,97804,Medical nutrition group,,,12.51,24.52,7
HCPCS,97810,Acupunct w/o stimul 15 min,,,29.38,110.28,9
HCPCS,97810,Hc Acupuncture 1 Or More Needles Without Elect Stim One To One Init 15 Mins,110.0,42.9,,,0
HCPCS,97811,Hc Acupuncture 1 Or More Needles Without Elect Stim One To One Ea Add 15 Mins,395.0,154.05,,,0
HCPCS,97813,Acupunct w/stimul 15 min,,,29.38,110.28,9
HCPCS,97813,Hc Acupuncture 1 Or More Needles With Elect Stim One To One Init 15 Mins,144.0,56.16,,,0
HCPCS,97814,Hc Acupuncture 1 Or More Needles With Elect Stim One To One Ea Add 15 Mins,395.0,154.05,,,0
HCPCS,98925,Hc Osteopathic Manipulative Tx 1-2 Body Regions,143.0,55.77,,,0
HCPCS,98926,Hc Osteopathic Manipulative Tx 3-4 Body Regions,120.0,46.8,,,0
HCPCS,98927,Hc Osteopathic Manipulative Tx 5-6 Body Regions,120.0,46.8,,,0
HCPCS,98928,Hc Osteopathic Manipulative Tx 7-8 Body Regions,260.0,101.4,,,0
HCPCS,98929,Hc Osteopathic Manipulative Tx 9-10 Body Regions,244.0,95.16,,,0
HCPCS,98960,Hc Education And Training Self-Mgmt Nonphys 1 Pt,397.0,154.83,,,0
HCPCS,98961,Hc Self Mgmt Educ 2-4 Clients 30 Mins,423.0,164.97,,,0
HCPCS,98962,Hc Self Mgmt Educ 5-8 Clients 30 Mins,426.0,166.14,,,0
HCPCS,98966,Hc pro phone call 5-10 min,,,10.24,20.07,7
HCPCS,98967,Hc pro phone call 11-20 min,,,20.27,39.73,7
HCPCS,98968,Hc pro phone call 21-30 min,,,28.83,56.51,7
HCPCS,98970,Hc Qnhp Ol Digital Assmt&Mgmt Est Pt Under 7Days 5-10M Total Time,78.0,30.42,,,0
HCPCS,98970,Qnhp ol dig e/m svc 5-10min,,,10.47,20.52,7
HCPCS,98971,Hc Qnhp Ol Digital Assmt&Mgmt Est Pt Under 7Days 11-20M Total Time,138.0,53.82,,,0
HCPCS,98971,Qnhp ol dig em svc 11-20min,,,19.28,37.79,7
HCPCS,98972,Hc Qnhp Ol Digital Assmt&Mgmt Est Pt Under 7Days 21 Or More Min,212.0,82.68,,,0
HCPCS,98972,Qnhp ol dig e/m svc 21+ min,,,28.71,56.27,7
HCPCS,98975,Rem ther mntr 1st setup&edu,,,135.23,507.64,9
HCPCS,98979,Rtm tx mgmt 1st 10 min,,,11.47,22.48,7
HCPCS,98980,Rem ther mntr 1st 20 min,,,26.05,51.06,7
HCPCS,98981,Rem ther mntr ea addl 20 min,,,25.14,49.27,7
HCPCS,99000,Specimen handling office-lab,,,7.36,7.36,1
HCPCS,99001,Hc Specimen Handling,22.0,8.58,,,0
HCPCS,99001,Hc Specimen Handling Pt-Lab,22.0,8.58,,,0
HCPCS,99001,Specimen handling pt-lab,,,8.65,8.65,1
HCPCS,99151,Hc Mod Sed Same Phys/Qhp Initial 15 Mins Under 5 Yrs,1453.0,566.67,,,0
HCPCS,99152,Hc Mod Sed Same Phys/Qhp 5Yrs Or Over 1St 15Min,1453.0,566.67,,,0
HCPCS,99153,Hc Mod Sed Same Phys/Qhp Ea Add 15Min,646.0,251.94,,,0
HCPCS,99155,Hc Mod Sed Other Phys/Qhp Initial 15 Mins Under 5 Yrs,1271.0,495.69,,,0
HCPCS,99156,Hc Mod Sed Oth Phys/Qhp 5Yrs Or Over 1St 15Min,1453.0,566.67,,,0
HCPCS,99157,Hc Mod Sed Other Phys/Qhp Ea Add 15Min,646.0,251.94,,,0
HCPCS,99170,Anogenital exam child w imag,,,205.35,770.87,9
HCPCS,99170,Hc Anogenital Exam Child W Imag,274.0,106.86,,,0
HCPCS,99173,Visual Acuity Screen Bilat,74.0,28.86,,,0
HCPCS,99175,Hc Ipecac Administration,437.0,170.43,,,0
HCPCS,99195,Hc Phlebotomy Therapeutic,1020.0,397.8,,,0
HCPCS,99195,Phlebotomy,,,135.14,507.3,9
HCPCS,99204,Cl Visit New Pt Level 4,474.0,184.86,,,0
HCPCS,99205,Cl Visit New Pt Level 5,616.0,240.24,,,0
HCPCS,99212,Cl Visit Estab Pt Level 4,327.0,127.53,,,0
HCPCS,99214,Cl Visit Estab Level 4,431.0,168.09,,,0
HCPCS,99215,Cl Visit Estab Level 5,497.0,193.83,,,0
HCPCS,99281,Emergency dept visit,,,85.65,321.52,9
HCPCS,99281,Hc Er Service Level I,575.0,224.25,,,0
HCPCS,99282,Emergency dept visit,,,155.96,585.45,9
HCPCS,99282,Hc Er Service Level Ii,875.0,341.25,,,0
HCPCS,99283,Emergency dept visit,,,277.27,1040.85,9
HCPCS,99283,Hc Er Service Level Iii,1650.0,643.5,,,0
HCPCS,99284,Emergency dept visit,,,423.82,1590.99,9
HCPCS,99284,Hc Er Service Level Iv,2244.0,875.16,,,0
HCPCS,99285,Emergency dept visit,,,604.89,2270.72,9
HCPCS,99285,Hc Ed Level 5 Critical Care Less Than 30 Minutes,4500.0,1755.0,,,0
HCPCS,99285,Hc Er Lvl5 Inhouse Act Trauma Team Full Team,10920.0,4258.8,,,0
HCPCS,99285,Hc Er Lvl5 Inhouse Act Trauma Team Partial Team,9450.0,3685.5,,,0
HCPCS,99285,Hc Er Lvl5 Inhouse Act Trauma Team Small Team,7984.0,3113.76,,,0
HCPCS,99285,Hc Er Service Level V,3089.0,1204.71,,,0
HCPCS,99291,Critical care first hour,,,839.01,3149.59,9
HCPCS,99291,Hc Critical Care Inhouse Trauma Act Full Team,13466.0,5251.74,,,0
HCPCS,99291,Hc Critical Care Inhouse Trauma Act Partial Team,13466.0,5251.74,,,0
HCPCS,99291,Hc Critical Care Inhouse Trauma Act Small Team,12429.0,4847.31,,,0
HCPCS,99291,Hc Er Critical Care 30-74Min,5918.0,2308.02,,,0
HCPCS,99292,Hc Er Critical Care Ea Addtl 30 Min,2962.0,1155.18,,,0
HCPCS,99406,Behav chng smoking 3-10 min,,,38.06,142.86,9
HCPCS,99406,Hc Cessation Smoking/Tobacco Counsel 3-10 Min,133.0,51.87,,,0
HCPCS,99407,Behav chng smoking > 10 min,,,38.06,142.86,9
HCPCS,99407,Hc Tobacco Use Cessation Intensive Over 10 Minutes,112.0,43.68,,,0
HCPCS,99407,Smok/Tob Cessation Counsel Int,112.0,43.68,,,0
HCPCS,99439,Hc Chronic Care Mgmt Svc Staf Ea Addl 20 Min Cal Mo,119.0,46.41,,,0
HCPCS,99453,Hc Rem Mntr Physiol Param 1St Set Up Pt Educaj Eqp,393.0,153.27,,,0
HCPCS,99453,Rem mntr physiol param setup,,,135.23,507.64,9
HCPCS,99454,Hc Rem Mntr Physiol Param 1St Dev Supply Ea 30 D,130.0,50.7,,,0
HCPCS,99459,Hc Pelvic Examination,71.0,27.69,,,0
HCPCS,99460,Init nb em per day hosp,,,135.23,507.64,9
HCPCS,99463,Same day nb discharge,,,135.23,507.64,9
HCPCS,99464,Hc Attn At Delivery 1St Stabilization Of Newborn,2343.0,913.77,,,0
HCPCS,99465,Hc Newborn Cpr/Resuscitation,4666.0,1819.74,,,0
HCPCS,99465,Nb resuscitation,,,671.33,2520.14,9
HCPCS,99473,Self-meas bp pt educaj/train,,,29.38,110.28,9
HCPCS,99483,Assmt Care Pln Pt Cog Imp,254.0,99.06,,,0
HCPCS,99484,Care mgmt svc bhvl hlth cond,,,38.06,142.86,9
HCPCS,99487,Cmplx chron care w/o pt vsit,,,180.28,676.78,9
HCPCS,99489,Hc Cmplex Chron Care Addl 30 Min,166.0,64.74,,,0
HCPCS,99490,Hc Chronic Care Mgmt Svcs Staff First 20 Mins Ea Cal Month,374.0,145.86,,,0
HCPCS,99495,Hc Transitional Care Mgmt Mod Mdm F2F 14 Cal D Discharge,402.0,156.78,,,0
HCPCS,99495,Trans care mgmt 14 day disch,,,135.23,507.64,9
HCPCS,99496,Hc Transitional Care Mgmt High Mdm F2F 7 Cal D Discharge,401.0,156.39,,,0
HCPCS,99496,Trans care mgmt 7 day disch,,,135.23,507.64,9
HCPCS,99497,Hc Advance Care Planning First 30 Mins,316.0,123.24,,,0
HCPCS,99498,Hc Advance Care Planning Ea Addl 30 Mins,312.0,121.68,,,0
HCPCS,A0425,Ground mileage,,,9.33,33.1,10
HCPCS,A0425,Hc Ambulance Ground Mileage Per Statute Mile,45.0,17.55,,,0
HCPCS,A0426,Als 1,,,352.2,1612.12,12
HCPCS,A0426,Hc Ambulance Adv Life Spt Level I,2288.0,892.32,,,0
HCPCS,A0427,ALS1-emergency,,,557.65,2552.52,12
HCPCS,A0427,Hc Ambulance Adv Life Spt Emergent,3304.0,1288.56,,,0
HCPCS,A0428,Hc Ambulance Basic Life Spt Non-Emergent,1700.0,663.0,,,0
HCPCS,A0428,bls,,,293.5,1343.44,12
HCPCS,A0429,BLS-emergency,,,469.6,2149.52,12
HCPCS,A0429,Hc Ambulance Basic Life Spt Emergent,2288.0,892.32,,,0
HCPCS,A0433,Hc Ambulance Adv Life Spt Level Ii,3304.0,1288.56,,,0
HCPCS,A0433,als 2,,,807.13,3694.44,12
HCPCS,A0434,Hc Ambulance Specialty Care Transport,3148.0,1227.72,,,0
HCPCS,A0434,Specialty care transport,,,953.88,4366.16,12
HCPCS,A0998,Hc Ambulance Response/Treatment,288.0,112.32,,,0
HCPCS,A2001,Miscellaneous M >=66.50,,,126.4,2430.15,11
HCPCS,A2004,Miscellaneous M <46.50 and A >=77.50,,,25.27,25.27,2
HCPCS,A2006,Noncdm Charge Record Medical Supplies,7936.38,3095.19,,,0
HCPCS,A2006,Sup Novosorb Synpath Per Sq Cm,8357.62,3259.47,,,0
HCPCS,A2007,"Restrata, per sq cm",,,126.4,474.5,11
HCPCS,A2008,"Theragenesis, per sq cm",,,126.4,474.5,11
HCPCS,A2009,"Symphony, per sq cm",,,126.4,474.5,11
HCPCS,A2012,Noncdm Charge Record Medical Supplies - Graft Synthetic 18X10Cm Pla Microporous Alloplastic Skin,5.73,2.23,,,0
HCPCS,A2012,Noncdm Charge Record Medical Supplies - Graft Synthetic 18X23Cm Pla Microporous Alloplastic Skin,4.3,1.68,,,0
HCPCS,A2012,Noncdm Charge Record Medical Supplies - Graft Synthetic 9X10Cm Pla Microporous Alloplastic Skin,773.4,301.63,,,0
HCPCS,A2013,"Innovamatrix fs, per sq cm",,,126.4,2624.56,11
HCPCS,A2014,Omeza collag per 100 mg,,,115.43,115.43,2
HCPCS,A2019,Kerecis marigen shld sq cm,,,126.4,1100.72,11
HCPCS,A2021,Neomatrix per sq cm,,,126.4,3352.1,11
HCPCS,A2022,Innovabrn/innovamatx xl sqcm,,,126.4,2770.37,11
HCPCS,A2023,"Innovamatrix pd, 1 mg",,,31.6,31.6,2
HCPCS,A2025,Miro3d per cubic cm,,,405.03,405.03,2
HCPCS,A2028,Micromatrix flex per mg,,,1478.31,1478.31,2
HCPCS,A2029,Mirotract matrix sheet,,,810.05,810.05,2
HCPCS,A4216,"Bacteriostatic Sodium Chloride: 25 Vial, Multi-Dose In 1 Tray (0409-1966-12)  / 10 Ml In 1 Vial, Multi-Dose (0409-1966-06)",18.11,7.06,,,0
HCPCS,A4216,NDC Description Not Available,20.7,8.07,,,0
HCPCS,A4217,"Sodium Chloride: 12 Bottle, Plastic In 1 Case (0990-7138-09)  / 1000 Ml In 1 Bottle, Plastic",31.2,12.17,,,0
HCPCS,A4223,Noncdm Charge Record Medical Supplies - Hh Saline Flush Sterile 0.9% 10Ml (12Ml Syringe),20.7,8.07,,,0
HCPCS,A4248,Chlorhexidine antisept,,,0.06,0.06,2
HCPCS,A4467,Binder Abdominal Panel,48.64,18.97,,,0
HCPCS,A4563,Vag inser rectal control sys,,,1689.73,3311.87,7
HCPCS,A4593,Neuromod sti sys adj rehab,,,52.81,103.51,7
HCPCS,A4614,Peak Flow Meter Supply,84.87,33.1,,,0
HCPCS,A4618,Vent Accessories Disp,109.06,42.535,,,0
HCPCS,A4618,Vent Initiation Supply,183.2,71.45,,,0
HCPCS,A4641,Hc Radiopharm Dx Agent Noc,582.0,226.98,,,0
HCPCS,A4642,Hc In-111 Satumomab Pendetide Dx Sudy Dose To 6 Mci,14968.0,5837.52,,,0
HCPCS,A4642,In111 satumomab,,,2630.47,2630.47,2
HCPCS,A4648,Hc Marker Strand Gold 3Mm 18Ga 20Cm,1078.68,420.685,,,0
HCPCS,A4648,Marker Ct Fiducial Gold 1.0X5.,260.82,101.72,,,0
HCPCS,A4648,Marker Gold Soft Tissue,1276.93,498.0,,,0
HCPCS,A4648,Noncdm Charge Record Medical Supplies,442.98,172.76,,,0
HCPCS,A4648,Noncdm Charge Record Medical Supplies - Clip Marker Ultra Tissue,333.27,129.98,,,0
HCPCS,A4648,Noncdm Charge Record Medical Supplies - Hydromark Breast Biopsy Site Marker 14G Titanium Shape 3,513.86,200.41,,,0
HCPCS,A4648,Noncdm Charge Record Medical Supplies - Kit Fiducial Marker 1.0Mm X 3.0Mm,776.59,302.87,,,0
HCPCS,A4648,Noncdm Charge Record Medical Supplies - Marker 10Ga Glmrk Encor Breast,274.16,106.92,,,0
HCPCS,A4648,Noncdm Charge Record Medical Supplies - Marker 14Ga 10Cm Ndl Ti S,274.27,106.97,,,0
HCPCS,A4648,Noncdm Charge Record Medical Supplies - Marker 14Ga 4 Pla Pelt,274.27,106.97,,,0
HCPCS,A4648,Noncdm Charge Record Medical Supplies - Marker Breast 17Ga Needle L10Cm,274.25,106.96,,,0
HCPCS,A4648,Noncdm Charge Record Medical Supplies - Marker Breast Biopsy 15Ga Coil 1 Titanium,422.28,164.69,,,0
HCPCS,A4648,Noncdm Charge Record Medical Supplies - Marker Breast Biopsy 9Ga Open Coil Rigid Titanium Hydromark,434.7,169.53,,,0
HCPCS,A4648,Noncdm Charge Record Medical Supplies - Marker Breast Tissue 12G,274.27,106.97,,,0
HCPCS,A4648,Noncdm Charge Record Medical Supplies - Marker Breast Tissue 17Ga L10Cm Needle,274.27,106.97,,,0
HCPCS,A4648,Noncdm Charge Record Medical Supplies - Marker Bx Tissue 17G 10Cm Ndl 3Mm,274.27,106.97,,,0
HCPCS,A4648,Noncdm Charge Record Medical Supplies - Marker Fdcl 20Cm 17Ga Sft Tis,381.16,148.65,,,0
HCPCS,A4648,Noncdm Charge Record Medical Supplies - Marker Fdcl 5Mm .8Mm Gold,415.33,161.98,,,0
HCPCS,A4648,Noncdm Charge Record Medical Supplies - Marker Fiducial L5Mm D 0.018In Platinum Straight Lumicoil,1097.44,428.0,,,0
HCPCS,A4648,Noncdm Charge Record Medical Supplies - Marker Perm Gold 0.8Mmx3Mm,214.89,83.81,,,0
HCPCS,A4648,Noncdm Charge Record Medical Supplies - Marker Radiographic Lumicoil L10Mm D .018In Figure 8,1097.1,427.87,,,0
HCPCS,A4648,Noncdm Charge Record Medical Supplies - Marker Radiology L7Mm Dia4Mm Nitinol Coil Superlock,1081.83,421.91,,,0
HCPCS,A4648,Noncdm Charge Record Medical Supplies - Marker Strand Gold 3Mm Long 18Ga 20Cm,1235.65,481.9,,,0
HCPCS,A4648,Noncdm Charge Record Medical Supplies - Marker Tissue 10G M Clip,274.13,106.91,,,0
HCPCS,A4648,Noncdm Charge Record Medical Supplies - Marker Ultra Breast Tissue 10G Senomark,274.27,106.97,,,0
HCPCS,A4648,Noncdm Charge Record Medical Supplies - Probe Breast Biopsy 18Ga Titanirigid Mammotome Hydromar,434.71,169.54,,,0
HCPCS,A4648,Noncdm Charge Record Medical Supplies - See 142405 Marker 14Ga 5 Rgd Ndl Starhmark Tissue,303.43,118.34,,,0
HCPCS,A4648,Noncdm Charge Record Medical Supplies - Ultracor Twirl 17G X 10Cm,348.82,136.04,,,0
HCPCS,A4648,Preop Localizer Breast,1304.1,508.6,,,0
HCPCS,A4648,Sup Tissue Marker (Implantable),863.68,336.84,,,0
HCPCS,A4649,"9 BOTTLE, PLASTIC in 1 CARTON (0338-0048-05)  / 1500 mL in 1 BOTTLE, PLASTIC",53.71,20.95,,,0
HCPCS,A4649,Betasept: 118 Ml In 1 Bottle (67618-200-04),51.55,20.1,,,0
HCPCS,A4649,Clip Aneurysm T2 Mini Temp,2125.89,829.1,,,0
HCPCS,A4649,Gnp Hydrogen Peroxide 3 Percent: 473 Ml In 1 Bottle (46122-334-43),25.88,10.09,,,0
HCPCS,A4649,Handle Uterine Manip (Umh750),824.9,321.71,,,0
HCPCS,A4649,Handpiece Electrosurg Cable,6034.05,2353.28,,,0
HCPCS,A4649,Kit Cooled Rf,4158.63,1621.87,,,0
HCPCS,A4649,Kit Template Anterior,671.72,261.97,,,0
HCPCS,A4649,NDC Description Not Available,20.7,8.07,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies,416.07,162.27,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - 2.0Mm Drill Bit Qc 110Mm 30Mm Calibration,524.74,204.65,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - 2.5Mm Drill Bit Qc 135Mm 45Mm Calibration,471.96,184.06,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - 2.5Mm Drill Bit Qc 170Mm 80Mm Calibration,557.86,217.57,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - 3.5Mm Drill Bit Qc 150Mm Calibration,275.31,107.37,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - 5Fr Al1 Catheter,44.5,17.36,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - 5Fr Angled Pigtail Catheter,49.24,19.2,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - 5Fr Jl 3.5 Catheter,46.58,18.17,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - 5Fr Jr4 Catheter,46.58,18.17,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - 6F Cordis Jl4,46.58,18.17,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - 6F Cordis Jr4,46.58,18.17,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - 6Fr 3Drc Catheter,46.58,18.17,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - 6Fr 4.0 Tiger,146.97,57.32,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - 6Fr Al2 Catheter,44.5,17.36,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - 6Fr Im Catheter,46.58,18.17,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - 6Fr Jl 3.5 Catheter,46.44,18.11,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - 6Fr Jl 5 Catheter,44.5,17.36,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - 6Fr Jr 5 Catheter,46.58,18.17,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - 6Fr Mpa2 Catheter,46.58,18.17,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - 6Fr Mpb2 Catheter,46.58,18.17,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Ablator Asp 50D Apollo Rf Mp50,973.94,379.84,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Access Needle 18G 7Cm Merit Medical,10.48,4.09,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Accessory Fluid Management For Intrauterine Tissue Removal,636.52,248.24,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Acticoat Flex 3 16Inx16In Antimicrobial Barrier Dressing,294.98,115.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Adapter Suction For Vision Probe Endoluminal System,245.3,95.67,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Adapter T-B 6Fr,79.69,31.08,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Adaptor Foley Catheter Female Luer Lock Cook Medical Inc,31.05,12.11,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Adaptor Vacurette 14Mm Plastic Canula Olympus America Inc,32.08,12.51,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Adhesive Catheter Securement 0.15Ml Box 50,39.33,15.34,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Adhesive Closure Octyseal Medline Industries Inc,30.02,11.71,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Adhesive Histoacryl Top Clr,80.73,31.48,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Adhesive Lq Lf Nirr Ocl Wtprf Amp Mstsl Strl,6.66,2.6,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Agent Hemost 3G Flexitip Xl,829.04,323.33,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Agent Hemost 5G Flexitip Xl,1090.89,425.45,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Agent Surgicel Snow 4X4 Ethicon Inc,528.19,205.99,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Agent Surgifoam 100 Ethicon Inc,95.07,37.08,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Airseal 12 Mm Access Port And Palm Grip Obturator 150 Mm L,485.42,189.31,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Alexis Ces 14Cm W Kii Balloon 3400Ml Rng D14Cm- L100Mm D12Mm,1909.58,744.74,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Alexis Ces W 12X100 Kii Bal Blnt 6500Ml Rng D17Cm,1836.09,716.08,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Ambu Bag Adult M Ambu,31.26,12.19,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Anchor Suture 45 Degree Shuttle Gryphon Depuy Mitek,1307.2,509.81,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Anchor Suture 45 Degree Shuttle Left Depuy Mitek,710.01,276.9,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Anchor Trocar 12Mm 100Mm Blunt Cannula Covidien N Surgical L,105.57,41.17,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Anes Circ 120In Exp Lf Version G,51.39,20.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Applicator Hemostatic Arista Flextip Plas Xl 38Cm,145.94,56.92,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Applicator Laparoscopic 35Cm Rigid Vistaseal Ethicon,297.04,115.85,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Applicator Laparoscopic 45Cm Rigid Vistaseal Ethicon,292.25,113.98,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Applicator Skin Prep Alcohol 10.5Ml,16.56,6.46,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Applicator Surgiflo Ethicon,226.32,88.26,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Applicator Tip Surgicel Endoscopic For Surgicel Power Ethico,92.63,36.13,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Applier Clip 10Mm Titanium Covidien,347.76,135.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Applier Clip 8Mm Medium-Large Davinci Xi Intuitive,28.98,11.3,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Applier Clip Med Titanium Endo Titanium Covidien,601.63,234.64,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Applier Clip Sm 9In Prm Sgclp,225.63,88.0,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Applier Clip Xi Large Int Intutive Surgical Inc,28.98,11.3,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Applier Int Clip 5Mm 11In Ti Endo Pstl Grip,586.82,228.86,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Armboard Iv 10.5X3In Foam Aline Art Support,13.46,5.25,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Armboard Iv Adult 9X3In Wrist Halyard Health,21.74,8.48,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Armstrong Beveled Grommet Type Vent Tub W-Tab 1.14Mm,77.11,30.07,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Artiss 10Ml Kitted With Easyspray Spraysets,3452.76,1346.58,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Artiss 2Ml Kitted With Easyspray Spraysets,1082.17,422.05,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Artiss 4Ml Kitted With Easyspray Spraysets,1804.0,703.56,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Ascope 4 Broncho Slim Disposab L23.6In Od0.15In Id0.047In,1273.05,496.49,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Attachment Disposable Distal,121.1,47.23,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Attachment Smoke Evacuator 10Ft 3-8In Pencil Disposable,69.34,27.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Attachment Smoke Evacuator 15F 15Ft 3-8In Pencil Valleylab,82.8,32.29,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Aveta Waste Bag. 6L For Use With Aveta System,48.77,19.02,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Aveta Waste Management Accessory,245.3,95.67,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Awl Indpd Bent,2046.2,798.02,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Awl Surg 27Cm 5.5Cm Rtrtc,1757.43,685.4,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bag Catch Endo 10Mm,195.62,76.29,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bag Drain 1000Ml Leg Lg Strp Pvc,21.74,8.48,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bag Drain 500Ml Uresil,138.69,54.09,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bag Drain 600Ml Uresil,44.5,17.36,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bag Drain Cysto Dornier Medical,63.55,24.78,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bag Drain Lingeman Microtek Medical,43.81,17.09,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bag Drain Urine 4L Bard Medical,11.38,4.44,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bag Isolation 49X49Cm 3M Healthcare Division,3.89,1.52,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bag Pressure Infusion 500Ml Sunmed Healthcare,33.12,12.92,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bag Urin Drain Anrflx 2000Ml,23.8,9.28,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bag Urinary Drain Leg 550 Ml Latex Free Valve,6.21,2.42,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bag Urinry Drain 2000Ml No Ltx No Latex,12.42,4.84,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Band Tr Lge J Port Trans 24Cm Lng 3 Balloo,158.49,61.81,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Band Tr Reg 2 Balloon Air In J Port Trans 24Cm 2 Balloon A,151.09,58.93,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Band Vascular Compression 30Cm Regular Zephyr,122.13,47.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bandage Cbn 5Ydx4In Strl Tan Comp Lf Adh Elc,10.35,4.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bandage Cbn 5Ydx6In Strl Tan Comp Lf Adh Elc,15.52,6.05,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bandage Coban 4 In Nonstrl 3M Health Care,6.21,2.42,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bandage Coban St Non Latex 3In X 5Yd,8.28,3.23,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bandage Esmark 4In Deroyal,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bandage Esmark 6In Deroyal,10.35,4.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bandage Esmark Lf Strl 4X12,54.86,21.4,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bandage Esmark Lf Strl 6X12Ft,14.49,5.65,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bandage Lf Elc Vlcr Clsr Ns 4Inx10Yd,5.18,2.02,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bandage Mtrx 10Ydx6In Ns Comp Lf Elc Vlcr,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bandage Press Esmrk Strl 4X9 Pf Lf,19.66,7.67,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bandage Press Esmrk Tan 4X12Ft,10.35,4.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Barrier Adhesion Xl Interceed J And J Health,1539.04,600.23,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Basket Dakota 1.9Fx8Mmx120Cm Boston Scientific,1329.98,518.69,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Basket Ngage 1.7Fx115Cmx8Mm Cook Medical,1294.79,504.97,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Basket Segura 3.0Fx120Cm Boston Scientific,897.34,349.96,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Basket Trapezoid Wireguided 2.5Cmx0.035X3.2Mm Boston Scienti,1800.9,702.35,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Basket Zerotip 1.9Fx120Cmx12Mm Boston Scientific,1401.56,546.61,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Basket Zerotip 2.4Fx120Cmx4Mm Boston Scientific,1428.3,557.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Benchmark 95Cm Str With 5F Slc Cath 120Cm Ber,4299.39,1676.76,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bifurcated Filtered Tube Set Airseal,2961.14,1154.84,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Binder 38-40In Lg Postop Front,73.48,28.66,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Binder Abd 27-48X10In Sld,30.02,11.71,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Binder Abdominal 27-48X12In Deroyal,62.79,24.49,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Binder Abdominal Medium Large Deroyal,33.29,12.98,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bit Drill 12Mm,245.3,95.67,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bit Drill 2.0Mm 30Mm,480.24,187.29,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bit Drill 2.5Mm 60Mm,480.24,187.29,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bit Drill 2.6Mm 130Mm Cannula 4Mm P-T,856.98,334.22,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bit Drill Calibrate,416.07,162.27,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bit Drill Dia2.6Mm Hip Knotless Microraptor,1224.4,477.52,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bit Drill Evos Small 2.5Mm Drill W-Ao Qc,820.76,320.1,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bit Drill Gold 110Mm 2.5Mm Ss Qc Ns,275.31,107.37,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bit Drill L125Mm 2.7Mm Sterile Quick Coupling,452.3,176.4,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bit Drill L135Mm Dia2.6Mm Scaled For Variax Plate System,494.73,192.94,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bit Drill L140Mm Dia2Mm 60Mm Cal Qc Small Fragment System,641.7,250.26,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bit Drill L145Mm Dia2.7Mm Sterile Cannulated For Qc,1954.08,762.09,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bit Drill L170Mm 2.5Mm Calibration 80Mm Sterile Qc,614.79,239.77,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bit Drill L170Mm 2.8Mm Calibration 80Mm Quick Couplin,607.54,236.94,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade 4.0Mm X 13Cm Dissector Arthrex,288.76,112.62,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade 9Mm Tendon Stripper,171.81,67.01,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Angled Shart All Around Bevel 60D 2.5Mm Beaver Visitec,224.6,87.59,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Beaver 6400 Ophthalmic 1.102X4.134X1.417In Beaver-Visi,10.35,4.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Clipper Blue Carefusion,37.26,14.53,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Clipper Sensiclip Carefusion Corp,14.49,5.65,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Concave Crv 3.5Mm Full Radius,269.1,104.95,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Dermatome 1.25-4.25In Zimmer Orthopaedics,309.98,120.89,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Dual Cut Sagittal,227.7,88.8,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Endo Crpl Tnl Strl,1215.87,474.19,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Endotrac Endoscopic Triangular Hook Disposable For Pla,2408.45,939.3,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Excalibur 4.0Mm Curved Arthrex,322.92,125.94,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Laryngoscope Briteblade Sz 1 Pro Fiber Optic Miller,16.52,6.44,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Long Medium Aggresive,168.7,65.79,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Mac Sz 4 Mcgrath,68.31,26.64,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Micro 55X12X04Mm Oscillator,77.62,30.27,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Micro Ang Spr Myrngtm Ss Surg Strl Disp,95.22,37.14,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Myringotomy Spear Tp Of Ffst 45D Nar Shft S-S,160.43,62.57,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Myrngtm Nar Ez Chk Hndl,38.3,14.94,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Otlrng Trct 4Mm,1287.54,502.14,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Photon,1492.12,581.93,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Repl Cutter Ss,80.73,31.48,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Saw 11.5X5.5X.38Mm Prcs Micro Thin Ss,162.75,63.47,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Saw 15X7X.38Mm Prcs Shrt Nar Thin Ss,168.7,65.79,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Saw 18.5X7X.38Mm Prcs Med Nar Thin Ss,168.7,65.79,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Saw 18.5X9X.38Mm Prcs Med Micro Thin Ss,168.7,65.79,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Saw 18X5.5X.38Mm Prcs Med Nar Ss Osc,153.18,59.74,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Saw 25X9X.38Mm Prcs Med Nar Thin Ss,166.64,64.99,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Saw 31X9X.38Mm Sag Med Lng Ss Osc Prcs,168.7,65.79,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Saw 70Mmx12.5Mmx.9Mm Ss Recip 2 Sided,184.23,71.85,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Saw 70X25.4X.6Mm W Ss Sag Dual Cut Strl,135.07,52.68,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Saw 81.5X12.5X1.19Mm Nar Thk Ss Sag,101.43,39.56,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Saw 82X12.7X1.2Mm Nar Ss Sag Dual Cut,138.17,53.89,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Saw 89.5X25X.96Mm Xlng Ss Sag Dual Cut,143.86,56.11,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Saw 90X25X1.19Mm Ss 2 Cut Sag Strl,230.8,90.01,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Saw Osc Ss 5.5Mm X 25Mm,168.7,65.79,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Saw Ptfe Cartilage Microtome,73.48,28.66,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Saw Sagittal Acl 9.5Mmx25.5Mmx0.4Mm Fine Conmed Linvat,69.34,27.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Saw Sgtl 18X100X1.27Mm,286.59,111.77,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Saw Sgtl 25X100X1.27Mm,286.7,111.81,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Saw Sgtl Dp Ct Nar 6.30Cm 12.70Mm .64Mm,143.86,56.11,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Saw Sgtl Dp Ct Nar 90.47Mm 25.82Mm 0.89M,143.86,56.11,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Saw Thk1.04Mm Cut Edge 74Mm Material Thk0.77Mm,249.44,97.28,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Shaver 2.9Mm 22Cm Skmr Ang Tip,3130.88,1221.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Shaver 4Mm Strt Trct,1265.8,493.66,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Shaver 4Mm Trct Strt Trk,2046.2,798.02,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Shaver Dync Full Radius Powermini 2.9Mm Rd,415.04,161.87,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Shaver L13Cm Dia4Mm Curved Torpedo,494.73,192.94,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Shaver Orng 5.5Mm Dync Strt Full Radius,219.42,85.57,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Shaver Pink 4.5Mm Rzrct Dync Arthro,219.42,85.57,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Shaver Radenoid Small 11Cm X 4Mm Medtronic Inc,1107.45,431.91,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Shaver Ylw 4.5Mm Orbit Crv Full Radius,297.04,115.85,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Shaver Ylw 4.5Mm Strt Dync Full Radius,219.42,85.57,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Sin Rad Crv Strl 4Mm,1260.63,491.65,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Straight 4.0Mm 13Cm Torpedo Arthrex,494.73,192.94,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Straight Sharp 180D All Around 2 Bevel Beaver Visitec,52.32,20.4,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Surg Ss N67,37.26,14.53,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Surgical Saw Sagittal 90Mml 90Mmcd 13Mmw 1.7Mmthick,286.7,111.81,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Surgical Sz 12 Disposable Aspen Surgical,6.21,2.42,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blade Trbnt Infr Disp 2.9Mm,1474.88,575.2,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blanket Adult 74X36In 3M Health Care Division,73.48,28.66,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blanket Adult Full Body 84X36In 3M Healthcare Division,110.74,43.19,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blanket Full Body Stryker Medical,32.08,12.51,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blanket Upper 847X402In Stryker Medical,91.08,35.52,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blanket Upper 85.8X502In Stryker Medical,26.91,10.49,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blanket Upper Body787X299In Stryker Medical,25.88,10.09,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Blanket Warming Pediatric Body Full Body Reflective Premium,83.84,32.7,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Boot Cast Cnvs Lg Rckr Sole Op,22.77,8.88,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bra Breast 2Xl 46-48In Cardinal Health,187.34,73.06,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Brace Walk Med 8.25In Ankl-Ft Pneum Low Rckr,202.86,79.12,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Brush Cyto Bscp 1.73X140Cm Lng,89.01,34.71,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Brush Cytology 8Fr 200Cm 2.1Mm Boston Scientific,665.5,259.54,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Brush Cytology Dia2Mm Endo Sheath 5Fr L120Cm Up Low Gi,94.18,36.73,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Brush Micro 1Mm 1.8Mm 110Cm Strl Disp,100.4,39.16,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bulb Irr 10In Pthfnd + Uro Tub,19.66,7.67,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bur Multi-Flute 4.00Mm Round Surgical,762.8,297.49,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bur Multi-Flute 6.00Mm Round Surgical,762.8,297.49,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bur Round Diamond Head 3Mm Surgical,745.2,290.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bur Surgical Dia2Mm Round Diam,751.06,292.91,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bur Surgical Dia3Mm 2 Flute Round,1275.12,497.3,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bur Surgical Dia3Mm Coarse Dia Diamond Rim Glide,817.65,318.88,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bur Surgical Dia4Mm Round Diamond Cutting Elite,692.42,270.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bur Surgical Dia5Mm 2 Flute Round,1300.65,507.25,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bur Surgical Head Dia3Mm Carbide Match Neuro Precision,1392.28,542.99,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Burr 4.0 Coarse Diamond,356.04,138.86,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Burr 6.0 Coarse Diamond,644.8,251.47,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Burr Excalibur 3.8Mm Arthrex,288.76,112.62,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Burr Fluted 4.0Mm X 13Cm 8 Arthrex,288.76,112.62,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Burr Rnd Dmnd 3Mm,869.4,339.07,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Burr Rnd Dmnd 4Mm,817.65,318.88,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Burr Rnd Fn Dmd 1Mm,817.65,318.88,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Burr Rnd Fn Dmd 2Mm,817.65,318.88,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Burr Round 4.0Mm Arthrex,288.76,112.62,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Burr Round Multi Flute 5Mm,869.4,339.07,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Burr Surg 3.0Mm Neuro Elt Prcs,1533.87,598.21,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Burr Surg 44.8Mm 1.6Mm Carb Sdct Tpr Strl,49.68,19.38,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Burr Surg 45Mm 2.1Mm Carb Tpr Sdct Strl,54.86,21.4,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Burr Surg 45Mm 4Mm Carb Oval Strl,162.5,63.38,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Burr Surg 4Mm Oval Med Carb,116.96,45.61,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Burr Surg 54Mm 2Mm Round Plsh Strl,224.6,87.59,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Burr Surg 54Mm 3.2Mm Carb 6 Flute Round Fst,240.12,93.65,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Burr Surg 54Mm 4Mm Ss Egg Strl,274.27,106.97,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Burr Surg 55Mm 4Mm Round Fst Cut Strl,240.12,93.65,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Burr Surg 9.5Mm 4Mm Micro Egg Strl,274.27,106.97,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Burr Surg Lilac 5.5Mm Ntchbls,204.93,79.92,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Burr Surg Slt 4.5Mm Helicut Dync Strt Arthro,523.71,204.25,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Button Oval Esg Plasma,2529.54,986.52,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Bx 18Ga 25Cm Mag,66.24,25.83,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - C Wire Fix L5In Dia0.045In Smooth Trocar Tip,41.4,16.15,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - C1544 - 3Mhc - Steri Strips2-3Ml,2.07,0.81,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cable Bipolar 12Ft Disposable 10-Pkg Codman And Shurtleff,71.16,27.75,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cable Bipolar 12Ft Sterile Disposable Conmed Linvatec,20.7,8.07,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cable Coaxial Umb,426.42,166.3,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cable Elec Umb,874.58,341.09,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cable Electrosurg 10Ft Bipolar,139.72,54.49,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cable Electrosurg 10Ft Elt Uro,126.27,49.25,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cable Electrosurgical Bipolar Adler Instruments,123.16,48.03,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cable Ep System 22 Pin Advisor Catheter Connector Hd Vl Se,2203.52,859.37,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cable Ep System 4 Pin Catheter Connector Ensite X Supreme,1468.66,572.78,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cable High Freq W-8Mm Plug,144.9,56.51,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cable Pacing 12Ft Algtr Clip,51.75,20.18,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cable Pacing Ventri Sm,81.07,31.62,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Canister Suct Btl Seal Cap Tissue Trap Brkly,67.28,26.24,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Canister Suct Lnr 6X6 1500Cs W Tube,10.06,3.92,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Canister Suction 1500Cc,10.91,4.25,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Canister Suction 2500Cc,14.28,5.57,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cannister Kci Wound Vac 500Ml,149.04,58.13,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cannister Suction Omni Jug 16L Deroyal,106.6,41.57,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cannister Vac Pkt Encr,114.88,44.8,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cannual Nerve Block Facet S Tip Sonoplex Ii,19.25,7.51,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cannual Nerve Block Facet S Tip Sonoplex Ii 21Ga L4In,74.52,29.06,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cannual Nerve Block Facet T Tip Sonotap Ii 21Ga L110Mm,62.07,24.21,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cannula 10Mm 10Cm 22Ga,73.48,28.66,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cannula 70Mm Grey Arthroscopic Conmed Linvatec,389.68,151.98,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cannula Arthroscopic 7Mm X 75Mm Clear Depuy Mitek,136.62,53.28,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cannula Arthroscopic 8.5Mm 75Mm Clear Depuy Mitek,137.03,53.44,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cannula Arthroscopic 9Cm Translucent Arthrex,122.13,47.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cannula Arthroscopic L75Mm Dia8.5Mm Clear Threaded,54.86,21.4,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cannula Cap And Obturator Airs Airseal 8 Mm W- Bladeless Tip,547.52,213.53,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cannula Endoscopic 5Mm L75Mm Non - Threaded Dri,468.65,182.77,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cannula Fx 5Mm + Seal W Vrsprt + Bladeless Trocar,32.45,12.66,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cannula Irr Ant Cham 27G 7-8In,72.84,28.41,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cannula Nasal 255Cm Capnoline,52.78,20.58,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cannula Nasal Co2-O2 Adult Cap,84.87,33.1,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cannula Nasal Dual Adult Co2-O2 Female Luer 7Ft,32.08,12.51,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cannula Nasal Oral Capnoflex O2-Co2 Carefusion,98.21,38.3,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cannula Opthmalmic 28Mm 25Ga Flextip Medone Surgical,44.5,17.36,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cannula Radio 22 X 100 Rf,90.56,35.32,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cannula Sr8 Gemini Arthrex,156.28,60.95,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cannula Suction 4Mm 10Mm 30Cm Microaire Surgical Instruments,367.42,143.29,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cannula Suction 5Mm 10Mm 30Cm Microaire Surgical Instruments,376.74,146.93,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cannula Troc 5.5Mm Lck W Wdfrd Spk Troc,178.54,69.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cannula Twistin 7Mm 7Cm Thrd W No Squirt Cap Strl Trnlu,122.13,47.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cannula Venom 20 Ga 100Mm Curved Stryker Ortho,444.02,173.17,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cap Adapt Dscnct Mncp,21.74,8.48,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cap Endoscopic L4Mm Dia15Mm Soft Straight Type Disposable,121.1,47.23,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cap Endoscp Seal 8Mm 8Mm Monopol Tip Cvr Hot,102.48,39.97,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cap Protector 0.062In Steinmen Pin Green Triad Group,10.35,4.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cap Protector 0.28-0.62Mm Steinmen Pin Aspen Surgical,3.1,1.21,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Capsule Buffer Ph Bravo Deliv Sys,1436.58,560.27,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Captivator Single-Use Snares- Largeoval 30Mm Loop 240Cm Flex,159.39,62.16,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cartridge Grasper D Dr 45Cm,440.91,171.95,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cassette Irrigation Core Dril Ll Pneumatic,232.88,90.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cast Fiberglass 4Ydx2In 3M Healthcare,8.59,3.35,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cast Fiberglass 4Ydx3In 3M Healthcare,10.35,4.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cast Fiberglass 4Ydx4In 3M Healthcare,13.46,5.25,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cath 14Fr 10Ml Foley Silcone 100 Silicone Lf,16.56,6.46,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cath Angogrphc Impress Ka2 5F 0.38Inx65Cm,59.0,23.01,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cath Cholangiographic 4.5F18In Steel Tip,252.54,98.49,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cath Ep 8Fr L180Cm Bipolar Rf Disp Endohpb Habib,13802.76,5383.08,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter .038In Sft Vu Nbrd Mklsn 5Fr 80Cm,78.66,30.68,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter 16Fr Council Tip Fole Y,104.54,40.77,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter 5 F Inf 0.038In 125 Cm Vertebral Cardinal Health,165.6,64.58,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter 5Fr Powerline Dual Lumen,1420.02,553.81,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter 6250V-Eh Attain Command,1649.79,643.42,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter 6Fr Angled Pigtail,46.58,18.17,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter 6Fr Jl4,46.58,18.17,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter 6Fr Jr 4,46.45,18.12,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter 6Fr Jr4 125Cm,46.58,18.17,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter 7Fr Edwards Thermo,636.52,248.24,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter 7Fr L230Cm Gi Applier Clip Endoscopic W16Mm,1235.49,481.84,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Angio .035In C2 Crv 5Fr 65Cm Vscr 5-Bx,96.26,37.54,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Angio .035In Rim Crv 5Fr 65Cm Braid,87.98,34.31,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Angio .038In Vert Crv 5Fr 100Cm Vscr 5-Bx,120.06,46.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Angio .038In Vs1 Crv 5Fr 80Cm Vscr 5-Bx,96.26,37.54,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Angio 3Drc Crv 4Fr,51.75,20.18,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Angio Ar1 Mod 100Cm 6Fr Tl Infnt,46.58,18.17,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Angio Jl3.5 100Cm 6Fr Tl Infnt,46.58,18.17,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Angio Jl5 100Cm 6Fr Tl Infnt,46.58,18.17,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Angio Lcb 100Cm 6Fr Tl Infnt,46.58,18.17,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Angio Mp A2 100Cm 6Fr 2Sh Infnt,46.58,18.17,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Angio Pigtail 145D 6Fr 2 Lum,719.32,280.53,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Angiographic Torcon Cerebral 038In 5F Sim1 65Cm,96.26,37.54,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Angiography 4F L65Cm X .035In Soft Vu Omni Flush,198.72,77.5,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Angiography 5Fr L125Cm Sim 2 Performa,117.99,46.02,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil Us Bscp,150.07,58.53,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Balloon Wedge Predd 5Fr 110Cm,426.42,166.3,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Beacon Tip Advantage 5Fr L90Cm Guidewire 0.035In,310.84,121.23,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Bil .035In 6-7Fr 9-12,1012.23,394.77,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Bil.035In 7-6Fr 12-15,1012.23,394.77,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Connecting Cable 10 Pin Achieve Advance,856.98,334.22,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Coude Tieman Rd Ltx Coated 2-Wy 22Fr 5Cc,50.72,19.78,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Diag Coronary Jacky Radial,146.97,57.32,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Diag Rad 5Fr 110Mm Tig,146.97,57.32,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Diagnostic 22 Pin Sensor Enabled St Jude Medical,1713.96,668.44,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Diagnostic 5Fr 4.0 Ultra 100Cm,79.9,31.16,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Diagnostic 5Fr 65Cm Peripheral Ka2 Merit Medical,55.89,21.8,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Diagnostic 6Fr 4.0 Ultra 100Cm,151.75,59.18,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Diagnostic Impress 5F 100Cm,59.0,23.01,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Digital Spyglas Discover,16345.76,6374.85,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Ext Female Purewick 30-Cs Latex Free Bard Medical,39.33,15.34,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Extl Urinary Female Purewick,38.3,14.94,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Foley 18Fr 3Way 30Cc Urethral Silicone Bard,48.64,18.97,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Foley All Silicone 2 2-Way 8Fr 3Cc,15.52,6.05,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Foley Council 18Fr 5Cc Latex Red Bard Medical,77.62,30.27,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Foley Council 20Fr 5Cc Latex Red Bard Medical,77.62,30.27,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Foley Ic 3-Way 22Fr 30Cc Latex Bard Medical,59.0,23.01,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Glidecath Sim2 .038In 5Fr 100Cm,252.75,98.57,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Iv 14Ga 1.75In Bd Medical,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Iv 14Ga 5.25In Angiocath Bd Medical,64.17,25.03,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Iv 18Ga 1.16In,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Iv 18Ga L1.88In Angiocath Straight Fep,9.32,3.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Iv 20Ga 1In Radiopq,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Iv 20Ga 1In Radiopq Sfshld Prn Adapt,12.42,4.84,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Iv 20Ga 1In Radiopq Shld Dehp-Fr Wng,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Iv 22 Gauge 1In Radiopaque Bd Medical,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Iv 22Ga 1In Radiopq Shld Dehp-Fr Wng,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Iv Cls Sf 300Psi 65Ml 20G 1In,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Multipurpose A-2 Spr R Trq 6Fr .038D 100Cm,44.5,17.36,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Nasal Measurement 8Cm Endoflip Covidien,2195.24,856.14,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Red Robinson 10Fr Bard,14.36,5.6,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Red Robinson 12Fr Bard,14.14,5.51,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Red Robinson 16Fr Bard,14.45,5.64,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Simmons 2 100Cm,57.96,22.6,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Surg 6Fr Pnmprtn,481.28,187.7,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Tempo 0.038X100Cm 5Fr Cerebral Vertebral Cardinal M,87.98,34.31,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Ureth Bdx 18Fr 30Cc 2,22.77,8.88,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Ureth Bdx 18Fr-2W 5Cc,16.33,6.37,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Ureth Bdx Ic 14Fr,16.56,6.46,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Ureth Bdx Ic 20Fr-2W,16.56,6.46,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Ureth Bdx Ic 22F Cncl,81.76,31.89,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Ureth Bdx Ic 8Fr,31.05,12.11,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Ureth Bdx Rbnsn 8Fr 2,14.49,5.65,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Ureth Bx 2-W 5Cc 16Fr,41.4,16.15,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Ureth Bx 2-W 5Cc 18Fr Coude Tip,41.4,16.15,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Ureth Ic 16Fr 5Cc,16.56,6.46,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Ureth Ic 18Fr 2W 30Cc,18.63,7.27,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Ureth Rbnsn 14Fr Hlw,14.49,5.65,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Urethral 12Fr 2Way 30Cc Un Coated Silicone Bard,15.52,6.05,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Urethral 16Fr 30Cc 3Way Bard,42.44,16.55,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Urethral 16Fr Balloon 5Cc Silicone Foley Two Way Sh,15.52,6.05,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Urethral 16Fr Red Rubber Smooth Tip,4.14,1.61,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Urethral 20Fr 3Way Bard,42.44,16.55,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Urethral 20Fr 5Cc 2Way Council Bard,59.0,23.01,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Urethral 22Fr 3Way Bard,42.44,16.55,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Urinay 16Fr Intmt Ltx,4.14,1.61,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Catheter Wedge Pressure 6F,245.3,95.67,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cautery Hi Temp Fn Tip Disp,62.1,24.22,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cautery Needle Tip .75In .75Ga Teleflex Medical,21.57,8.41,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cautery Pncl Rckr Switch 10Ft Cord,15.52,6.05,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cautery Tip Electrosurgical Megadyne,85.9,33.5,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cellulose Oxd 3X2In Abs Hemost Agent Flx,172.84,67.41,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cellulose Oxd 4X2In Abs Hemost Agent Flx,435.04,169.67,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cellulose Surgicel 8X4In Ethicon,311.47,121.47,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Circuit Adaptor 15Mm Dual Axis Smiths Medical,20.7,8.07,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Circuit Anes Ped Cust Lf,22.77,8.88,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Clamp Clpon Self Hld Ext Fix Ns,1898.19,740.29,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Clamp Cmbn Clpon Self Hld Ext Fix Ns,2291.36,893.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cleanser Wound 12 Oz,35.19,13.72,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Clip Applier 10Mm Titanium Covidien,347.76,135.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Clip Applier Da Vinci 8Mm Intuitive,28.98,11.3,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Clip Applier Long 30 Auto Titanium Covidien,225.63,88.0,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Clip Applier Med-Lg Dia6Mm Da Vinci System Endowrist Sp,82.8,32.29,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Clip Applier Medium 11.5In 30 Ethicon,872.5,340.28,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Clip Applier Medium 9 3-8In Ethicon,766.94,299.11,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Clip Controls And Stop Gi Bleeding Resolution 360,1404.77,547.86,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Clip Internal L235Cm Opening 17Mm 360 Ultra Clip,1514.41,590.62,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Clip Med Lg Intnl Hem-O-Lok Po Polymer Endo Lgt,163.74,63.86,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Clip Med Lg Xl Intnl Hem-O-Lok Polymer Endo,163.67,63.83,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Clip Medium Large Green Horizon Teleflex Medical,20.9,8.15,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Clip Sm Intnl Hrzn Ti Endo Lgt Strl Disp Lf,47.72,18.61,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Clip Suture Lapara-Ty Absorbable Ethicon,1240.86,483.94,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Clipper Surgical Blade Blue Disposable Carefusion,9.32,3.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Collar Button Pacific,44.5,17.36,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Collar Cerv Med 22.5Inx2In,35.19,13.72,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Conmed Grounding Pad For Ou,13.46,5.25,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Connector Non Sterile Zoll Radiotransparent Tz Medical Inc.,108.83,42.44,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Connector Swivel Ion,636.52,248.24,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Controller Angio Touch At-P54,303.26,118.27,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Controller Detachment Azur,819.72,319.69,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Copilot Bck Control,122.13,47.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cord Bipolar 12Ft Ftswtch Strl Disp,13.46,5.25,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cord Bipolar St 10Ft,17.6,6.86,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cord Electrosurg 10Ft 4Mm Monopol Ftswtch Act,12.42,4.84,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Coronary Sinus Balloon,426.42,166.3,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cover Pin Blu .078-.125In Med Thrmplst,6.21,2.42,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cradle Arm 3X5X24In Noncomprss Purple Foam,33.13,12.92,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cream Glucanpro 3000 3.5Oz,136.62,53.28,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cuff Blood Press Adlt 26-33Cm,10.35,4.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cuff Bp 1 Tube Adult Hp,8.28,3.23,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cuff Bp 1 Tube Adult Long Hp,8.28,3.23,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cuff Bp 1 Tube Adult Small Hp,8.28,3.23,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cuff Bp 1 Tube Child Hp,8.28,3.23,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cuff Bp 1 Tube Infant Hp,7.37,2.87,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cuff Bp Adult Single Tube Disposable Medline,8.28,3.23,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cuff Bp Child Single Tube Disposable Medline,10.35,4.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cuff Bp Large Adult Single Tube Disposable Medline,9.32,3.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cuff Bp Small Adult Long Single Tube Disposable Medline,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cuff Tourniquet 12In 2 Port 1,91.08,35.52,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cuff Tourniquet 24In 2 Port 1,112.82,44.0,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cuff Tourniquet 30In 1 Port 1,109.71,42.79,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cuff Tourniquet 34In 1 Port 1,132.48,51.67,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cuff Tourniquet 34In 2 Port 1,129.38,50.46,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cuff Tourniquet 34In 2 Port 1 Bladr Pump Line,52.78,20.58,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cuff Tourniquet 42In 2 Port 1 Bladr Pump Line,138.69,54.09,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cuff Tourniquet Sterile 18In Zimmer,100.4,39.16,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cuff Tourniquet Sterile 30In Zimmer,239.08,93.24,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Curet Pipet 3Mm - Coopersurgical,34.16,13.32,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Curette 8Mm Rigid Curved,17.6,6.86,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Curette Surgical Od12Mm Rigid Vac Sterile Curved Disp,18.63,7.27,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Curette Vac 11Mm Plastic,21.74,8.48,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Curette Vac 12Mm Plastic,35.19,13.72,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Curette Vac 6Mm Plastic Cannula Crv Round Tip,21.74,8.48,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Curette Vac 7Mm Plastic,21.74,8.48,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Curette Vac 9Mm Plastic Rnd Cannula Strt Round,35.19,13.72,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Curette Vac Disp 10M,6.21,2.42,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Curette Vacuum 10Mm Rigid Curved Cannula Disposable,22.77,8.88,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Curette Vacuum 7Mm Flexible Cannula With Dual Port Disp,22.77,8.88,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Curette Vacuum 7Mm Rigid Curved Cannula Disposable,22.77,8.88,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Curette Vacuum 9Mm Rigid Curved Cannula Disposable,22.77,8.88,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Curette Vacuum Aspiration 11Mm Curette Vacuum Aspiration,20.7,8.07,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cutter Bone 4.0 Mm X 13Cm Arthrex,322.92,125.94,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cutter Bone 5.5Mm 13Cm Arthrex,322.92,125.94,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cutter Knt Pshr Sut Disp,917.01,357.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Cystotome Opth 25Ga Frm Ang Revct Irr Strl,10.14,3.95,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Debrider Skin Norsen Bel-Med,146.97,57.32,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dermabond Advanced Pen Skin Adhesive Ethicon,78.77,30.72,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Device 1 Infl 20Cc Encore,151.85,59.22,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Device Balloon Infl Acclarent Nasal Sin Dil,365.36,142.49,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Device Balloon Sinus Inflation,365.36,142.49,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Device Breast Biopsy Needle 14Gx10Cm Bard,269.1,104.95,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Device Closure Carter-Thomasan Sut Passer,414.26,161.56,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Device Closure Wound Absorb V V-Loc 180 27Mmx6In Gr,113.85,44.4,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Device Colpassist Vag Pstn,2512.98,980.06,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Device Del Adv 2.5Mmx180Cm Cpsl Endo,856.98,334.22,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Device Delivery Rezum System,7495.47,2923.23,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Device Digit Trap Finger Grasping Small Conmed,73.48,28.66,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Device Endoscopic Fine Needle Biopsy 22G Acquire Boston Scie,2384.64,930.01,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Device Endoscopic Fine Needle Biopsy 25G Acquire Boston Scie,2384.64,930.01,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Device Fx Absorbatack 5Mm 30,1958.22,763.71,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Device Infl Encore 26,430.56,167.92,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Device Lck Bx Cap Olmps Strl,67.28,26.24,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Device Lck Gwire Fus 10-Bx,83.84,32.7,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Device Lead Lck Clears Cutter,464.72,181.24,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Device Manipulator Dia30Mm Cup Vaginal Fornices Sterile,900.45,351.18,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Device Manipulator Dia35Mm Distal Cup Vaginal Fornices,783.5,305.56,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Device Protect Adlt,11.38,4.44,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Device Pstn 19X3.5In Strup Strap Prsnl Slip,12.16,4.74,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Device Pstn Prnvw Lg Foam Cushion Insert,122.13,47.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Device Pstn Prnvw Sm Foam Cushion Insert,122.13,47.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Device Resection Symphion Boston Scientific,4404.96,1717.93,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Device Securestrap Fx Abs 5Mm,3938.18,1535.89,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Device Slitter Universal Cps St Jude Medical,245.3,95.67,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Device Spec Ret Rtht 2.5Mm-160 160Cm 5.5X4Cm,464.72,181.24,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Device Stopcock 3 Way 1050 Psi,12.35,4.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Device Sut Sngl Expressbraid,548.29,213.83,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Device Tissue Rem Myosure Hysc,5221.58,2036.42,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Device Tissue Rem Myosure Lite Hyscp,3009.78,1173.81,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Device Tissue Removal Myosure 30-401Lite,3009.78,1173.81,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Device Trq Gldcath,30.83,12.02,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Device Twstr + Rtrvl,268.27,104.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Device W 30 Tack Fix Abs,1985.06,774.17,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Diego Elite Shaver Smr Bipolar Type A 2Mm 0,785.56,306.37,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Diego Elite Tubing Set,230.8,90.01,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dilator 5Fr 19Cm,21.74,8.48,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dilator 6Fr 19Cm,21.74,8.48,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dilator Endoscopic Skid Portal Disposable,220.46,85.98,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dilator Ureth 37Cm 8-24Fr,1221.3,476.31,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dilator Vasc 6Fr 20Cm Ss Gwire Strl Disp Vsl,33.12,12.92,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dilator Vasc 8Fr 20Cm Radiopq Gwire Strl Disp,33.12,12.92,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Disposable Bipolar Forceps,1591.05,620.51,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Disposable Bipolar Forceps 1.0,1590.8,620.41,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Disposable Core Biopsy Instrument Kit 18G X 10Cm,187.13,72.98,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Disposible Bipolar Forceps 8In 1.5Mm,1811.25,706.39,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dissector 26Cm Sonicision Crdless Ultra,1590.8,620.41,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dissector 3.8 X 13Cm Arthrex,288.76,112.62,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dissector 39Cm Sonicision Crdless Ultra Revsd Handpiece,1933.38,754.02,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dissector 5Mm-26Cm 7 Curved Ultrasonic,1909.58,744.74,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Distractor 12Mm Cerv Screw Cspr Surg Strl,242.97,94.76,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Distractor 14Mm Cerv Screw Cspr Surg Strl,328.78,128.22,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dl Disposable Lead Set Leadwire Ekg 72In Radiolucent,110.73,43.18,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Drain 10 French Round Bard,72.45,28.26,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Drain Bag For G2 Dornier Medical,75.56,29.47,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Drain Flat 10Mm 4 Channel Bard,66.24,25.83,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Drain Flat 10Mm Bard,21.74,8.48,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Drain Flat 7Mm Bard,21.74,8.48,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Drain Full Round Fluted 19Fr Bard,66.24,25.83,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Drain Incs 1-8In 49In Sil End Perf Round Troc,33.12,12.92,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Drain Incs 19Fr Sil 4 Chan .75 Flute Round,72.45,28.26,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Drain Penrose .25In 18In Latex Free Medline,10.35,4.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Drain Sil 4 Chan Full.25Inx7Mm Flute Flat Radiopq Incs,68.31,26.64,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Drain Sil Flat Hbls 10Mm 20Cml Full Perf,43.47,16.95,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Drain Sil Flat Hbls 7Mm 20Cml Full Perf,42.44,16.55,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Drain Sil Rnd Hbls 15Fr Troc 3-16In,72.45,28.26,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Drain Surgical 15Fr Silicone Round Channel,68.83,26.84,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Drain Surgical 19Fr Dia0.25In Silicone Round,68.31,26.64,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Drape Laparoscopy Medline,36.22,14.13,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Drape Sale Mitchell Medline,211.14,82.34,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dressing 4X4In Abs Adh Wtprf Sil Strl Lf Mplx,34.16,13.32,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dressing 4X5In Silver Exsalt Oxysalt,26.91,10.49,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dressing Ace Bandage 5Ydx3In Medline,4.14,1.61,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dressing Ace Bandage 5Ydx4In Medline,4.22,1.65,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dressing Ace Bandage 5Ydx6In Medline,5.18,2.02,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dressing Adaptic 3X16In,3.1,1.21,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dressing Ag 4X5 Mepitel,62.1,24.22,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dressing Algidex X-Small Patch Deroyal,17.6,6.86,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dressing Anmc Acticoat 4X8In,56.92,22.2,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dressing Aqua Adv Ag 9Cmx10Cm,102.46,39.96,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dressing Aqua Adv Ag 9Cmx15Cm,124.2,48.44,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dressing Aqua Adv Ag 9Cmx25Cm,156.04,60.86,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dressing Aqua Adv Ag 9Cmx30Cm,172.84,67.41,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dressing Aqua Adv Ag 9Cmx35Cm,172.84,67.41,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dressing Aquacel Ag Adv 10 X 12Cm,38.17,14.89,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dressing Aquacel Ag Adv 2 X 45Cm,45.54,17.76,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dressing Aquacel Ag Adv 20 X 30Cm,124.2,48.44,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dressing Biopatch Disk With Chg 2.5Cm-4.0Mm Ethicon,26.13,10.19,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dressing Brn Fst Act 16X16 Vrstl Ncrstln Antibact,306.15,119.4,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dressing Brn Fst Act 6X6Mm Vrstl Ncrstln Antibact,123.16,48.03,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dressing Collagen Bovine 2 X 2In Puracol Plus,32.08,12.51,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dressing Conform 2 2Ydx6In Smith And Nephew,26.91,10.49,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dressing Cuitcerin 8X16In,6.21,2.42,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dressing Foam 4X4In Adh Sq Pad Sz 2X2In,9.32,3.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dressing Foam 5X5In Adh Sq Pad Sz 3X3In,11.38,4.44,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dressing Gauze 12Ply Ns 4X4In Bulk 200Pk,17.6,6.86,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dressing Graft Otology 10X15Cm Blue,82.8,32.29,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dressing Hemostatic 12X12In 3 Ply Quikclot Control Plus Z-Me,1302.03,507.79,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dressing Merocel Stndrd Nasal,121.1,47.23,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dressing Nasopore 4Cm Firm,692.42,270.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dressing Nasopore 8Cm Stryker,1051.04,409.91,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dressing Petro 4Inx3Yd Nadh Bctrst Patch Xr,23.37,9.11,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dressing Pico 6X6,1077.44,420.2,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dressing Prsm Matrix 4.34Sq In Wound,39.33,15.34,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dressing Prsm Mtrx 19.1Sq In,103.8,40.48,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dressing Sm Picc Cvc Chg+ Scr,41.4,16.15,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dressing Trans 6X3.5In Polyureth Abs Nadh,5.18,2.02,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dressing Trans Tgdrm 2.75X2In Polyureth Abs Adh,1.3,0.51,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dressing Transparent W6Xl8In Film Suresite 123,5.18,2.02,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dressing Two Pico 7 10Cmx30Cm,1077.44,420.2,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dressing Vaseline 3 X 9In Ster Rile,2.07,0.81,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dressing Webril 4In Sterile Deroyal,10.0,3.9,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dressingcollagenpuracolstrl,28.98,11.3,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Drill Bit - Flexible - 12Mm Long,4019.94,1567.78,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Drill Bit 10Mm Humeral Nail System Synthes,1261.66,492.05,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Drill Bit 2Mm F- Lck 3Mm Screw,416.07,162.27,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Drill Bit L110Mm 2Mm Calibration 30Mm Quick Couplin,576.5,224.84,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Drill Bit L135Mm 2.5Mm Calibration 45Mm Quick Couplin,519.57,202.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 1.8Mm 110Mm Synthes,565.11,220.39,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 2.7Mm 125Mm Synthes,438.84,171.15,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 2Mm 125Mm Synthes,311.54,121.5,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 4.2Mm 145Mm Needle Point Synthes,643.25,250.87,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Drill Bit Quick Point 4.2Mm 145Mm Sterile Synthes,830.07,323.73,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Drill Bit- Calibrated- 4.2 Extra-Long,1077.44,420.2,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Drill Bit- Flexible- 12 Long - Sterile,4421.52,1724.39,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Drill Flipcutter Iii,2031.7,792.36,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Drill Surg 75Mm Hex Troc Tip Pin Nxgn 3.2Mm,1510.06,588.92,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Drill Surgical Dia1.8Mm Carbide Round S2 Mini,1149.88,448.45,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Driver Needle Dia8Mm Mega Suture Cut Xi Endowrist,362.25,141.28,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Driver Needle L Dia8Mm Suture Cut Xi Endowrist,351.9,137.24,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Driver Needle L Dia8Mm Xi Endowrist,351.9,137.24,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Driver Needle Large Xi Intuitive,455.4,177.61,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Driver Needle Mega Xi Intuitive,455.4,177.61,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dsg Nsl L3.15In 100% Syn Proprietary Polymer,1157.13,451.28,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Duraclip Hemoclip 235Cm 11Mm,685.17,267.22,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 5Fr. Angld Pigtail,12.42,4.84,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Al 1.0,12.42,4.84,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Al 3.0,63.14,24.62,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Angled Pigtail,12.42,4.84,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Jl 3.5,22.51,8.78,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Jl 4.0,12.42,4.84,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Jr 4.0,19.15,7.47,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Strght Ht Pigtail,12.42,4.84,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr. 4.0 Ultra With Sideholes,35.19,13.72,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Dyonics 4.0Mm Acromioblaster Burr,328.1,127.96,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Ear Tube Ventilation 1.5Mm 1.27Mm Collar Button Olympus Amer,54.34,21.19,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Ear Tube Ventilation 4.5Mm 1.27Mm Goode Medtronic Inc,167.67,65.39,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Ear Tube Ventilation 9.5Mm 4.5Mm 1.27Mm Goode T-Tube Modifie,187.34,73.06,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Ear Tube Ventilation Moretz H-C Flex .75Mm 1.27Mm Medtronic,183.71,71.65,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Ear Tube Ventilation Reuter Bobbin Without Holes Medtronic I,75.04,29.27,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Edge Insulated Blade Electrode L4In Ptfe,33.12,12.92,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Electrode 2.84In Coated 3-32In Edge Std Electrosurg,18.63,7.27,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Electrode 2.84In Insulated 3-32In Edge Std Electrosurg,19.66,7.67,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Electrode Adhesive Neutral Patient Plate Multigen Stryker Or,273.24,106.56,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Electrode Bipolar Coagulation,850.77,331.8,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Electrode Blade 4 Uninsulated Covidien Surgical Devices,21.74,8.48,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Electrode Blade Coated 3In Ste Erile Disposable,17.6,6.86,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Electrode Blade Ext 6.5In Strl,22.77,8.88,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Electrode Blade Ez Cln 2.5In,16.56,6.46,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Electrode Blade Flat Insul,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Electrode Blade Tfln Strl Disp,16.56,6.46,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Electrode Elctrsrg 10Ft Acvc 3-32In Ss,39.5,15.4,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Electrode Elctrsrg 2.75In Std 3-32In Edge Std,18.59,7.25,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Electrode Elctrsurg 10Ft Swbld Acvc Ss Rckr,12.42,4.84,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Electrode Elctsg 6In 10Fr Suct Coag Strl,44.5,17.36,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Electrode Elctsrg 2.75In Ez Cl 4Mm Ez Cln Std,17.6,6.86,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 1.5Cm 3-,57.96,22.6,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 12Cm 5Mm,63.14,24.62,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 13Cm 5Mm Std Ss Pncl,56.92,22.2,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 2.5In 3-32In Edge Std,17.6,6.86,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 24Fr Mx- Mx-Bld Uro,629.28,245.42,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 3.3Mm Cvc 2O 20D Rot,930.46,362.88,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 3Mr Frc Triverse Device,143.86,56.11,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 4In 3-32In Edge Std,25.88,10.09,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 5In 4Mm Ez Cln Std Ptfe,41.4,16.15,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 6In 10Fr Lectrovac Pncl,31.32,12.21,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 6In 8Fr Lctrvc2 Tnsl,32.08,12.51,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Electrode Electrosurg Blk 11Cm,78.66,30.68,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Electrode Electrosurg Grn 11Cm,8.28,3.23,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Electrode Electrosurg Wht 11Cm Sf-T-Ga Round,8.28,3.23,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Electrode Electrosurg6.5-.24Cm 3-32In Edge Std,19.66,7.67,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Electrode Electrosurg6.5In Ptf 3-32In Edge Std,21.74,8.48,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Electrode Electrosurgical L10.2Cm Blade L4In,22.77,8.88,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Electrode Electrosurgical L6.5In Dia2.4Mm Tip L0.2In,21.74,8.48,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Electrode Electrsrg Blk Rl,621.0,242.19,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Electrode Electrsurg 10Ft 3-32 3-32In Edge Std,26.91,10.49,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Electrode Emg Chan Pr Sbdrm,613.1,239.11,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Electrode Insulated Needle Tip 4In Lower Power Setting Edge,25.81,10.07,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Electrode L-Hook 36Cm Cleancoat Laparoscopic Covidien Surgic,150.07,58.53,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Electrode Loop Resection 30In Olympus,2266.65,883.99,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Electrode Monopol Laryng,2430.18,947.77,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Electrode Ndl Tfln Ct 2.75In,17.6,6.86,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Electrode Nessy Omg Rtn 13.2 Cable,20.7,8.07,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Electrode Radiotranslucent,107.64,41.98,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Elevator Endo Vcare Lg 37Mm Cerv Retract Cup,380.36,148.34,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Elevator Endo Vcare Med 34Mm Cerv Retract Cup,381.92,148.95,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Elevator Endo Vcare Sm 32Mm Cerv Retract Cup,367.42,143.29,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Endokit Custom Endochoice,32.08,12.51,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Endopouch Retriever Specimen Bag 10Mm,1017.4,396.79,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Envelope Nuero Absorbable W2.7Xl2.5In,4809.65,1875.76,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Esg Plasma Band - 12 Degree,2427.07,946.56,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Esophageal Stethocope 9 Fr,8.28,3.23,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Evacuator Urovac Boston Scientific,96.26,37.54,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Excalibur 4.0 Mm,288.76,112.62,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Extractor Stone 115Cm 3.2Fr 3Fr 4Wire Basket,1043.28,406.88,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Fast-Fix Flex Curved Inserter Needle,2844.18,1109.23,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Fiber Greenlight Urology Xpeeda Laser,4850.01,1891.5,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Fiber Laser Dia200Um 50W Flexiva Pulse 242,2348.21,915.8,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Fiber Laser Dia365Um 100W Flexiva Pulse 365,1550.43,604.67,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Fiber Laser Dia550Um 100W Flexiva Pulse 550,2406.38,938.49,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Fiber Moses Laser 200Um 2J 80Hz 60W D-F-L,3370.26,1314.4,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Fiber Moses Laser 365Um 6J 80Hz 120W D-F-L,2088.37,814.46,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Fiber Moses Laser 550Um 6J 80Hz 120W D-F-L,2358.76,919.92,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Fiber Surgical Laser 272 Um Single Use,734.85,286.59,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Filter Bctr-Vir 7-8In Vrsf 6 1,638.6,249.05,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Filter Pencil Plumepen Smoke Evacuatn,107.64,41.98,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Filter Vac Asp Disp,31.05,12.11,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Filter Vac Spec Strl Disp Lf,11.38,4.44,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Flowstasis Suture Retention Device,979.11,381.85,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Fluid Management Symphion Boston Scientific,1463.49,570.76,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Foley Stabilization Statlock Device 2-Way Anchor Bard Medica,14.49,5.65,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Forcep Bipolar Bayonet 8.25In,578.57,225.64,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Forcep Bx Bscp 1.8Mm 110Cm,182.16,71.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Forcep Bx Endo Jaw 2.8Mm 230Cm,40.36,15.74,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Forcep Bx Hot Radial Jw Iv,419.18,163.48,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Forcep Bx L100Cm Dia2.2Mm 2.8Mm Wkg Chnl Std Cpc Pulm,358.11,139.66,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Forcep Cold Biopsy,40.38,15.75,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Forcep Endo Alligator Disp.,132.48,51.67,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Forcep Radial Jaw4 W Ndl 240Cm,104.54,40.77,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Forceps Biopsy L230Cm 2.8Mm Standard Captura Pro,59.0,23.01,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Forceps Bipolar 1Mm Neuro-Tec,846.63,330.19,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Forceps Bipolar 2Mm Neuro-Tec,846.7,330.21,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Forceps Bipolar Fenestrated 6Mm Da Vinci Sys Endowrist Sp,848.7,330.99,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Forceps Bipolar Fenestrated Xi Intuitive,558.9,217.97,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Forceps Bipolar Maryland 6Mm Da Vinci System Endowrist Sp,848.7,330.99,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Forceps Bipolar Maryland Xi Intuitive,558.9,217.97,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Forceps Bx 2Mm Algtr Jaw W Ndl,132.48,51.67,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Forceps Cadiere 8Mm Xi Intuitive,434.7,169.53,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Forceps Endoscopic Mini L130Cm Dia1.2Mm Coredx,2863.84,1116.9,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Forceps Hot Biopsy,128.34,50.05,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Forceps Prograsp Xi Intuitive,455.4,177.61,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Forceps Rad Jaw 4 100Cm 2.0Mm,358.11,139.66,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Forceps Rad Jaw 4 240Cm 2.2Mm Pulm Surg,142.83,55.7,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Forceps Rad Jaw 4 240Cm 2.4Mm,142.83,55.7,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Forceps Radial 240Cm 2.8Mm Jaw Boston Scientific,279.45,108.99,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Forceps Radial Jaw 4 Jumbo,287.73,112.21,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Forceps Robotic Dia8Mm Bipolar Fenestrated Xi Endowrist,414.0,161.46,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Forceps Robotic Dia8Mm Bipolar Maryland Xi Endowrist,486.45,189.72,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Forceps Robotic Dia8Mm Bipolar Xi Endowrist,486.45,189.72,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Forceps Robotic Dia8Mm Cadiere Xi Endowrist,310.5,121.1,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Forceps Robotic Dia8Mm Prograsp Xi Endowrist,310.5,121.1,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Forceps Surg 4In Bipolar Crv Disp 04Mm Tip,102.46,39.96,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Forceps Surg Radial Jaw 4,238.05,92.84,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Forceps Surg Radial Jaw 4 Lc,104.54,40.77,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Forceps Surg Raptor Graspg 24Mm 230Mm,611.68,238.56,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Forceps Surg Tln Graspg,636.52,248.24,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Funnel Keller,712.86,278.02,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Gauze Packing Iodoform 1-2Inx 5Yd Ster,8.28,3.23,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Gauze Packing Iodoform 1-4In X X 5 Yd Ster.,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Gauze Packing Plain 1-4In X 5 Yd Sterile,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Gauze Packing Vaginal X-Ray D Detect 4X36In Strl 100,13.46,5.25,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Glove Biogel Pi Micro Sz5.5,29.19,11.38,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Glue Histoacryl Tissue Blu,87.98,34.31,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Graft Delivery Device,550.62,214.74,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Grasper Fenestrated Xi Tip-Up Intuitive,455.4,177.61,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Grasper Laparoscopic Atraumatic Applied,429.98,167.69,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Grommet Amstr Flrplas 1.14Mm,131.44,51.26,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Grommet Bvl 114Mm Flrplas Amstr,77.15,30.09,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Guide Wire- Drill Tip 3.2- 400- -S,603.06,235.19,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Guide Wire- W- Drill Tip 3.2- 400,430.56,167.92,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Guidewire Bmw 190 Cm,440.91,171.95,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Guidewire Bmw 300 Cm,440.91,171.95,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Guidewire Vasc Std .035In 180Cm 3Cm Ang Tip,217.66,84.89,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Handpiece 2 45D 14Mm Versajet,2936.3,1145.16,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Handpiece 2 45D8Mm Vrsajet Set,2936.3,1145.16,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Handpiece 45D 14Mm Versajet,2019.28,787.52,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Handpiece Argon Electrode,200.79,78.31,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Handpiece Device For Bpsy-Dia Ag Exsn Vac Asstd 12G,1163.34,453.7,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Handpiece Intpls Coax Bn Cln Tip Set Pls Lav,186.26,72.64,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Handpiece Suct Hydrodebrider,1427.26,556.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Harvester Bone With Filter Avitus,6944.85,2708.49,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Hc Zz Electrode Ecg Defib Pacing - Use 27100209,57.96,22.6,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Hc Zz Net Elastic Sz9- Use 27100199,129.38,50.46,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Hc Zz Tray Sterotactic Biopsy - Use 27203198,53.82,20.99,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Head Beach Chair Padding,97.29,37.94,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Head Restraint Allen Universal,112.82,44.0,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Hemostat Absorbable 3 Gm 45 S Sq. Cm Wound Coverage,1131.4,441.25,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Hemostat Srgcl Fibrillar 1X2 Abs Manual,241.16,94.05,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Hemostat Surgcl Orgnl 2X3In,168.7,65.79,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Hemostat Surgcl Orgnl 4X8In,300.81,117.32,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Hemostat Surgicel 2Inx4In Snow Ethicon,431.6,168.32,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Hexagonal Snare,92.12,35.93,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Hmst Abs Powder 5Gm Arista 24-48Hr,1664.28,649.07,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Hndl Laryngsco Britepro Solo Disp,21.77,8.49,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Holder Nasal Dressing Dale,19.66,7.67,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Hook 12Mm Retract Blnt Elc Stay Disp Strl Lf,43.68,17.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Hook 5Mm Elastic Blnt Stay,47.61,18.57,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Hook Cautery Hook Permanent Xi Intuitive,414.0,161.46,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Hook Rake 16Mm 6.5Mm Sld Blade,78.66,30.68,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Hook Stay Elastic 5Mm Individ Ually Wrapped Strl,43.47,16.95,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Hooks Retractor 5Mm Lone Star Coopersurgical,385.02,150.16,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Hysteroscope Dia4.6Mm Aveta 3Mm Coral Disposable,1224.4,477.52,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Hysteroscope Dia5.7Mm Aveta 4Mm Pearl Disposable,1224.4,477.52,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Immobilizer Knee Dlx Xl 22In,57.96,22.6,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Immobilizer Knee Universal Deroyal,57.44,22.4,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Immobilizer Orth Lg Univ,25.88,10.09,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Immobilizer Orth Xl 16In,68.31,26.64,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Inferior Turbinate Blade 11Cmx2.9Mm,1589.93,620.07,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Inferior Turbinate Blade 11Cmx2Mm,1589.76,620.01,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Injectable Lifting Agent 10Ml Submucosal Aries Eleview,409.05,159.53,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Injetak Adjustable Tip Needle,340.52,132.8,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Instrument Strl Thrd Pins Head,1265.8,493.66,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Intro Ndl Coax 17Gx11.8Cm,171.81,67.01,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Introducer Coolief 17G 75X2Mm,436.77,170.34,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Introducer Encor 10Ga Troc Obt Cannula Blck,636.52,248.24,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Ioban 23X17In Anmc Imprg Adh Trans Strl,23.8,9.28,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Irrigator Suction Endo Wrist Xi Intuitive Surgical,1363.1,531.61,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Jl4 125Cm,63.14,24.62,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Kit Angio Cust,90.04,35.12,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Kit Arthro Fx Acl Acc Knee Strl Disp,1224.4,477.52,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Kit Arthro Fx Shoulder Suspen Cbn Wrap Arm,377.78,147.33,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Kit Bone Harvesting 520Mm Ria 2 Synthes Usa,10568.38,4121.67,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Kit Bprp Bn Acm Noz-Restrictor Press,684.14,266.81,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Kit Carpal Tunnel Relief Conmed Linvatec Corp,704.84,274.89,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Kit Centurion Intrepid Ultra Fms Alcon Vision,1779.16,693.87,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Kit Cup Shell Stem Navitracker,1008.09,393.16,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Kit Drain 1-8In Pvc Round,38.3,14.94,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Kit Drain 12Cm 15.5Fr Sil,4166.91,1625.09,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Kit Drain 3-16In Pvc 3 Spring,38.3,14.94,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Kit Endogator W-Tubing,94.18,36.73,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Kit Endoscopic Instrument Syn Desmosis Implant Sys Tightr,7226.37,2818.28,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Kit Field Transfer 48In Ll Connect Spk Ck Valve,85.9,33.5,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Kit Fluid Mgt Lrg Stopcock 3 Way Fixd Connect 2In,34.16,13.32,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Kit Foley Catheter 16Fr 5Cc Bardex With Urimeter Bard Medica,67.28,26.24,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Kit Foley Catheter 16Fr 5Cc With Urimeter 2000Ml Bag Latex B,90.04,35.12,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Kit Glsck Adlt Dressing Ear Hrdshl Gauze Flf,75.56,29.47,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Kit Glsck Ped Dressing Hrdshl Gauze Flf Strap,91.08,35.52,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Kit Hndcntl Acist Angiotouch At-65 Tub 65In,232.88,90.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Kit Infl Cust Hemost Vlv 10Ml 48In,292.9,114.23,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Kit Infl Cust Nfrh,242.19,94.45,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Kit Inflation Device,309.35,120.65,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Kit Iv Start Cust,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Kit Ligator Muti-Band 6Shtr Us,1385.86,540.49,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Kit Marker Mrgn Ink,850.77,331.8,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Kit Mnfld Cust Cls Sys Flsh,154.22,60.15,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Kit Pad Positioner Schlein Beach Chair,163.53,63.78,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Kit Pedicle Spinal Revere Globus Medical,4986.63,1944.79,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Kit Pstn 7In Jcksn Pat Care Spnl W-Prnview,193.54,75.48,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Kit Pstn 7In Jcksn Pat Tbl Spnl Care,128.34,50.05,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Kit Retract P-Gyn Strl Disp,385.02,150.16,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Kit Suction Wound 100Cc 10Mm Sil Flat Drn 3 Quad,41.92,16.35,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Kit Surface Electrode Ep Sys Navx Array Ensite X Patch,5048.73,1969.0,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Kit Surg Mini Acc Intro Ndl,344.66,134.42,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Kit Surg Parathyroidectomy 6Fr,1052.6,410.51,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Kit Surgiflo With Thrombin 8Ml Ethicon,801.61,312.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Kit Sut Tk Mini Disp,856.98,334.22,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Kit Suture Passer 3 Rg Intuitek Medical,237.04,92.45,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Kit Trnsdcr Sngl Vamp 84In,216.32,84.36,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Kit Tubing Laparoscopic-Endos Scp Smoke Evacuation,41.4,16.15,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Kit Valves Defendo 5 Piece Single Use Medivators,57.96,22.6,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Kittner Endoscopic 5Mm Deroyal,39.33,15.34,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Knife Myrngtm Spr Intgr Handle Strl Disp,46.58,18.17,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Knife Opth 15 Degree Std,19.87,7.75,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Knife Opth 2.4Mm Clrct Hp2 2.4Mm Ang Dual Bvl,74.73,29.14,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Knife Sataloff Micro Sickle Disposable Integra,333.27,129.98,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Knife Surg Myrngtm,49.68,19.38,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Kwire .054,166.64,64.99,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - L Hooks Mega Tip 0620,228.74,89.21,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Laparoscope Rigid Warmer Blue Endo,98.37,38.36,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Laparoscopic Flat L-Hook Elect 36Cm,150.07,58.53,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Laparoscopic Smoke Tubing Covidien- Medtronic,83.84,32.7,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Lead Acc. Kit 6056M Global 17L,152.15,59.34,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Lead And Cable Sys Disp,75.56,29.47,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Leadwire Univ Din To Pinch Disp 5Lead 50In,61.06,23.81,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Left Heart Manifold,174.56,68.08,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Left Heart Manifold - Wellstar Spalding,93.15,36.33,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Ligasure 37Cm Blunt Lf1637 Covidien,2255.26,879.55,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Ligasure 37Cm Retract L-Hook,2665.12,1039.4,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Ligasure Exact 20.6Mm-21Cm Dissector,2223.18,867.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Ligasure Maryland Device 44Cm,2278.04,888.44,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Ligator S7 7 Band Rear Mnt Erg,1188.18,463.39,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Ligator Speedband Superview Super 7 Boston Scientific,2818.9,1099.37,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Line Filter Nasal 02 Adlt Lng,83.84,32.7,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Lma Unique Evo Cuff Pilot Sz 4 Teleflex,37.26,14.53,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Loop Esg Medium 12Inch Plasma Electrode,2427.07,946.56,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Loop Esg Medium 30Inch Plasma Electrode,2427.07,946.56,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Lubricant Jly Srglb,99.36,38.75,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Manifold Neptune Stryker,107.64,41.98,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Manifold Suct Nptn 2 2 Std 4 Port Disp,127.6,49.76,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Manifold Ultra Evac,53.82,20.99,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Manipulator Advincula Delineator 3.,424.35,165.5,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Manipulator Advincula Dlineator 3.0,424.35,165.5,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Manipulator Injector Laparos Balloon Seal Adj,100.4,39.16,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Manipulator Uterine Kronner,183.34,71.5,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Mantis Closure Clip,2085.52,813.35,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Marker Rad India Ink Spot Syr Prefill C Prtcl,186.24,72.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Marker Surg Spherz Pass Reflc Pat Rgd Antm,29.32,11.43,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Mask Anes Sm Adlt Ulthn Csh Inf Valve Hook Ring,12.42,4.84,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Mask Oxygen Procedural,64.17,25.03,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Mask Oxygen Procedural Pom Elite 7 Oxygen Tubing,45.54,17.76,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Mattress Hovermat Sgl Pt Use,342.58,133.61,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Mepilex Border Post-Op Ag 4X10,129.89,50.66,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Mepilex Border Post-Op Ag 4X12,151.11,58.93,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Mepilex Border Post-Op Ag 4X6,106.6,41.57,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Microcatheter Watchdog 20Pk,317.74,123.92,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Microdebrider Wand Topaz Ex Ifs,2190.06,854.12,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Micropuncture 4Fr Short Introducer Set,218.38,85.17,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Mnfld Drip Reduct 4Port Nptn,96.07,37.47,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Mnplt Ut Disp 12Inx4.5Mm,192.51,75.08,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Myosure Reach,5221.58,2036.42,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Myosure Reach 1Ea-Bx,5221.58,2036.42,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Nasal Packing Cs3600-10 Novapak 10Pk Std,1385.86,540.49,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Nasal Sensor Disposable,112.82,44.0,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle 4Cm 21Ga Angio Thnwl Proc Adv,10.35,4.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle 5Cm 18Ga Gwire Proc Rnl,198.72,77.5,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Anesthesia 27Ga L3.5In Reinforced,505.08,196.98,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Biopsy 11Ga Bone Access Bevel Tip Globus Medical,381.92,148.95,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Biopsy 12Gx10Cm Marquee Bard,423.57,165.19,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Biopsy 18Gax10Cm Chiba Cook Medical,59.0,23.01,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Biopsy 19Ga Working 2.8Mm Sheath Dia1.73Mm,2963.2,1155.65,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Biopsy 21Ga For Robotic Assisted Nav System Flex,1224.26,477.46,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Blunt 18G X 1In Aluminu Um Hub Disposable,10.35,4.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Brk 98Cm Transeptal,921.15,359.25,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Bx 16Ga 16-13.8Cm Mxcor,143.86,56.11,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Bx 17Ga 13.8Cm Trgd,48.64,18.97,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Bx 17Ga 7.8Cm Trgd Coax,48.64,18.97,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Bx 18Ga 10Cm Mxcor Ul,129.38,50.46,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Bx 18Ga 15Cm Chba Asp,59.0,23.01,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Bx 18Ga 16Cm Mxcor Ul,128.34,50.05,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Bx 18Ga 20Cm Mxcor Ul,128.34,50.05,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Bx 18Ga 25Cm Mxcor Ul,128.34,50.05,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Bx 19Ga 13.8Cm Trgd,31.05,12.11,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Bx 19Ga 17.8Cm Trgd,31.05,12.11,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Bx 20Ga 15Cm Chba Asp Strl Disp,58.74,22.91,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Bx 20Ga 16-13.8Cm Mxcor,129.38,50.46,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Bx 20Ga 20Cm Mxcor Ul,129.38,50.46,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Bx 22Ga 10Cm Chba Asp Strl Disp,63.14,24.62,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Bx 22Ga 15Cm Chba Asp,63.31,24.69,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Centeze Cnts,78.66,30.68,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Centeze Cnts 5Fr 7Cm,89.01,34.71,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Chiba 21Ga-20Cm Dchn21-20,59.0,23.01,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Colorado 3Cm Microdissection,240.81,93.92,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Driver L Dia6Mm Da Vinci System Endowrist Sp,694.48,270.85,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Driver Mega Suturecut Xi Intuitive,496.8,193.75,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Driver Suturecut Large Xi Intuitive,496.8,193.75,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Electrosurg 3.5In 2.8Mm Pt Tung Strt 1,105.57,41.17,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Electrosurg 3Cm 2.8Mm Pt Micro Tung,105.57,41.17,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Endo Syr Disp 22Ga Strl,454.36,177.2,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Epdrl 18Ga 6In Prfx Touhy Wing,31.05,12.11,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Epdrl 20Ga 3.5In Tuo,24.84,9.69,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Epdrl 20Ga 4.5In Tuo Wing Plastic Hub,34.16,13.32,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Epidural 18Ga 3.5In Perisaf Tuohy Modified Point Bd M,16.56,6.46,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Guide,84.87,33.1,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Guide Endocavity,79.69,31.08,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Guide Insert 10G Encor,19.66,7.67,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Inj Clr Sheath 25G 4Mm 2.3X240Cm,283.59,110.6,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Insfl 100Mm 14Ga Step Vrrs Pnmprtn,44.63,17.41,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Insfl 120Mm 14Ga Pnmprtn,62.1,24.22,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Insfl 150Mm 14Ga Pnmprtn Lng,62.1,24.22,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Keith Straight Abd Tri Iang #2.5 Disp,15.52,6.05,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Mayo Catgut 1-2 Circle E Taper #6 Disp Pk-72-Bx-2Pk,27.94,10.9,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Ortrch Injector Laryng,138.69,54.09,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Percutaneous Entry Thi Nwall Echotp 18G 7Cm,16.56,6.46,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Port .75In 20Ga Grpr +,28.98,11.3,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Rgd 14.6In 21Ga Sdkck Inj Coaptite,324.99,126.75,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Sclrtx 25Ga Inj Project Strl Disp Crlk,161.46,62.97,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Scorpion Multifire Arthrex,832.14,324.53,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Slimiline Eus Hndl,1593.9,621.62,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Slimiline Eus Hndl 19Ga,905.62,353.19,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Spnl 3.5In 18Ga Bd Qnck Anes Strl Lv,6.21,2.42,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Spnl 3.5In 20Ga Bd Qnck Anes Strl Lf,6.21,2.42,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Spnl 3.5In 22Ga Bd Qnck Anes Strl Lf,6.21,2.42,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Spnl 3.5In 25Ga Bd Qnck Anes Strl Lf,6.21,2.42,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Spnl 5In 22Ga Bd Qnck Anes Lng Strl Lf,17.25,6.73,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Spnl 7In 22Ga Bd Qnck Anes Strl Lf,18.63,7.27,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Spnl 8In 22Ga Qnck,23.8,9.28,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Spnl Sb 22G 3.5In,12.42,4.84,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Stimuplex Ultra 360 20Ga 4In B. Braun Medical,58.1,22.66,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Suture 3 Half Circle Anchor Products Company,30.02,11.71,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Suture 5 Half Circle Anchor Products Company,22.77,8.88,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Suture C-13 L36.6Mm 1-2 Circle Reverse Cutting,117.99,46.02,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Needle Transseptal Intro 18Ga A 98Cm Brk 1,921.15,359.25,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Net Foreign Body Retrieval 2. .5Mm X 350Cm L Disp,489.56,190.93,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Net Spec Ret 230Cm 2.5Mm Rthnt Std Strng,464.72,181.24,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Neurostimulator External 3531,1958.22,763.71,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Novasure Endometrial Thermoablation Kit 6Mm,5103.58,1990.4,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Nozzle Bn Cement Rev Fem Brkwy Prs Strl,632.38,246.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Obturator 6Fr,18.63,7.27,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Obturator Bladeless 8Mm Xi Intuitive,163.53,63.78,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Obturator Bladeless Optc 8Mm Xi Intuitive Surgical,154.22,60.15,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Omniclose Suture Passer W-Guide Cond 14 Guage,83.32,32.49,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Orbit Plus Shaver 4.5Mm,297.04,115.85,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Orthopedic Felt 3Inx3Inx1-4In,17.6,6.86,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Orthopedic Felt 4Inx4Inx1-8In,5.18,2.02,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Acc+ Angio Lg Bore Hemosta Valve Metal,77.52,30.23,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Angio Kennestone Wk100C,320.85,125.13,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Arthro Kennestone Wk110017,137.66,53.69,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Arthro Windy Hill Ww110A,270.14,105.35,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Arthroscopy Cobb Wc100017,214.24,83.55,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Ascp3 W Fld Collect Pouch,146.97,57.32,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Basic Hand Windy Hill Ww120020,139.72,54.49,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Breast Proc Kennestone Wk130.025,245.3,95.67,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Burn Cobb Wc115021,288.76,112.62,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Cath Lab Wellstar Pb Ws190A,271.17,105.76,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Cust Angio N Fulton Regional,286.7,111.81,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Cust Angio Spalding Regional,222.73,86.86,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Cust Orth Trm Amc,776.25,302.74,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Cust T-K N Fulton Regional,608.58,237.35,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Custom Arthroscopy North H Fulton Regional,447.12,174.38,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Custom Tirino Medline,836.28,326.15,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Cysto Tur Lf Dynj0381858G,12.42,4.84,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Cysto Wellstar Pb Ws170A,167.67,65.39,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Cystoscopy I,23.8,9.28,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Ent,186.56,72.76,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Fluent Disposable,1257.53,490.44,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Gen Maj Abdominl Wellstar Ws290A,228.74,89.21,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Head And Neck Kennestone Wk250.023,164.56,64.18,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Ice Fc Sft Cloth Disp W Foam Felt Strap,17.6,6.86,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Jaw Bra Ice,104.54,40.77,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Kop Hand Kennestone Wk140.017,117.99,46.02,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Kop Hand Kennestone Wk140A,171.81,67.01,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Laparoscopy Wellstar Ws270A,291.87,113.83,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Lapscp,32.91,12.83,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Lapscp-Plvscp W Sut Bg Armbrd,81.76,31.89,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Lavh Wellstar Ws280A,323.96,126.34,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Lith5,24.84,9.69,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Lithotomy Wellstar Ws310A,158.23,61.71,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Loop Recorder Kennestone Wk285A,232.88,90.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Lwr Xtrm Drape 90X124In Univ Strl,26.91,10.49,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Major Abdominal Wellstar Ws290002,214.24,83.55,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Major Basin Cobb Wc120.029,151.11,58.93,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Major Basin Cobb Wc120A,159.39,62.16,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Minor Basin Wellstar Ws300A,86.94,33.91,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Minor Lithotomy,172.84,67.41,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Minor Proc Basin Kennestn Wk320D,199.45,77.79,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Ortho Quackenbush,672.75,262.37,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Ortho Quackenbush Medline,586.84,228.87,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Orthopaedic I Major,84.87,33.1,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Podiatry Kennestone Wk335A,272.72,106.36,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Podiatry Windy Hill Ww150A,271.51,105.89,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Robotic Wellstar Ws205A,398.48,155.41,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Shldr Arthro Windy Hill Ww160A,423.32,165.09,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Special Procedure Cobb Wc150A,603.4,235.33,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Standard Knee Arthrosc,212.18,82.75,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Surgical Lithotomy I Halyard Heath,25.88,10.09,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack T And A Kennestone Wk380B,163.15,63.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Total Joint Wellstar Ws400A,454.36,177.2,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pack Upper Extremity Kenneston Wk420.030,262.89,102.53,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Packing Nasal Nasopore 4Cm Standard Stryker,581.67,226.85,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Packing Nasal Stammerger Sinu- Foam Smith And Nephew,436.77,170.34,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Packing Plain 5Ydx1In Covidien,9.32,3.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Packing Wound 36X2In Vag Strl,16.56,6.46,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pad Defib Adlt Radiotrans Zoll,77.57,30.25,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pad Defibrillator Adult L60In Radiolucent For Physio Control,79.69,31.08,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pad Electrosurg Grnd 9Ft Rm Ph Sv2 Pat Rtn,11.42,4.45,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pad Grnd Cord Disp,36.22,14.13,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pad Mattress 39In Wide Disp,367.42,143.29,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pad Pstn Hana Tbl,167.67,65.39,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pad Return Electrode 9Ft Infant Covidien Surgical,20.7,8.07,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Padding 4Ydx3In Strl Wbrl Reg,8.28,3.23,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Padding Cast W4In X L4Yd Nonadhesive Sof-Rol,8.28,3.23,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Padding Cast W6In X L4Yd Nonadhesive Sof-Rol,11.38,4.44,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Passer Surg 38Cm Ss Polypro Cath Remove,607.34,236.86,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Passer Suture Hip Accu-Pass Direct Crescent Xl Smith Nephew,1752.26,683.38,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Penumbra Engine Canister For Indigo System,1786.41,696.7,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pillow Med 20X18In Foam Pstn,192.51,75.08,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pilot Hole Creator- Sterile 11Mmx20Mm Avitus,2183.85,851.7,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pin Fx Temp 1.4Mm Lg,288.76,112.62,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Plasmablade Lighted 3.0S,1531.8,597.4,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Plasmablade Peak 3.0S Medtronic,1536.98,599.42,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Platform Gelpoint Adv Acc,3306.82,1289.66,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Platform Gelpoint Mini Acc,3306.82,1289.66,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Port 12Mm Acc Optc Tip 100Mm Lgth Bladeless Palm Grip,457.47,178.41,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Port 12Mm Acc Optc Tip 120Mm Lgth Bladeless Palm Grip,471.96,184.06,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Port 5Mm Acc Optc Tip 100Mm In Lgth Bladeless,439.88,171.55,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Port 5Mm Acc Optc Tip 120Mm In Lgth Bladeless,449.19,175.18,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Port 8Mm Acc Optc Tip 100Mm In Lgth Bladeless Low Prof,451.26,175.99,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Positioner Demayo Foam Pad Crozier,168.7,65.79,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Positioner Head Craddle Foam Deroyal Industries,13.46,5.25,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Positioner Pigazzi Pink Pad Xodus,354.61,138.3,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pouch 34.5Cm 10Mm E-Ctch Gld Spec Ret Disp,195.62,76.29,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pouch 34.5Cm 15Mm E-Ctch 2 Fin Ger Control,418.14,163.07,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Pouch 6X3In Endobag Dispensing Slv Rub Ring,72.45,28.26,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Powder Surgicel 3.0 Gm Ethicon,786.6,306.77,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Powder Surgifoam Ethicon,265.26,103.45,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Prep Chloraprep Orange 26Ml Carefusion Corp,29.26,11.41,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Probe 10G Affirm Upright,856.98,334.22,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Probe Bipolar Stim Side-By-Sid,751.41,293.05,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Probe Breast Biopsy 14Ga Triconcave Tip Single,1101.24,429.48,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Probe Circ 2.3Mm Fiapc Len,1188.18,463.39,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Probe Electrosurg 220Cm 2.3Mm,1152.99,449.67,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Probe Laser Ent Shrt Ang 2.5,945.99,368.94,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Probe Mri 10Ga Encor Blnt Tip Breast Bio,758.66,295.88,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Probe Mri 10Ga Encor Troc Tip Breast Bio,758.66,295.88,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Probe Neurostim Nm Rspn Prass,661.62,258.03,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Probe Shock Plus 3.76Mm Single Use,3371.0,1314.69,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Probe Sp02 Oximeter Instep Neonate 3Kg Finger Adult 4,52.78,20.58,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Probe Sp02 Oximeter Pediatric 10-50Kg,54.86,21.4,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Probe Stimulator Prass Monopolar Medtronic,707.94,276.1,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Probe Surg 2.3Mm Ball Tip,817.65,318.88,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Protector Foam Pad Extermity Deroyal,10.62,4.14,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Protector Nerve Uln Foam Bei Vlcr Clsr,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Punch Biopsy 3Mm Integra,8.28,3.23,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Punch Biopsy 5Mm,45.54,17.76,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Punch Surgical Dia5Mm Biopsy Disposable Baha 4,12.42,4.84,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Quadcut Blade 4.3 Mm,1373.44,535.64,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Rad 60 Blade 60,1314.45,512.64,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Rasp Surg 11X5Mm Lg Ss Tear,580.64,226.45,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Rasp Surg 11X5Mm Sm Ss Tear,580.64,226.45,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Rasp Surg 12.7X7Mm Lg Ss Tear,580.64,226.45,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Reamer Head 11.0Mm Ria 2 Synthes Usa,2585.43,1008.32,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Reamer Pat Blade 51Mm,529.92,206.67,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Reamer Surg Hlw Cmplt 3.5 Mm Cort Cannula 4,1822.64,710.83,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Reducer Tub Smoke Evacuator 24In 7-8-.25In Rdcr,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Reload Stapler 12X4Mm Ti Univ,446.08,173.97,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Reload Stapler 45Mm Egiz Vasc Endo Gry,713.12,278.12,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Reload Stapler 60X3.8Mm Gia Ti Lin Cutter,204.93,79.92,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Reload Stapler Intnl 30Mm Med Artc Crv Tip,618.93,241.38,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Reload Stapler Med 45Mm Egia Vasc Artc,712.96,278.05,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Reload Stplr Med 60 Egia Vasc Vasc Artc,888.03,346.33,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Reload Stplr Med 60Mm Egia Crv Thktis Artc Crv,888.03,346.33,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Remover Staple Appose Disp,8.28,3.23,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Remover Staple Prox Ss Sqz Handle Strl Disp,9.32,3.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Resector Endoscopic 2.9Mm Flexible Disposable,3527.28,1375.64,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Resector Endoscopic 2.9Mm Soft Tissue Polyp Aveta Smol,2645.46,1031.73,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Resector Endoscopic 3.9Mm Hard Dense Fibroid Aveta Wave,4364.6,1702.19,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Reservoir Drain Bulb Evacuator Bard Medical,19.66,7.67,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Resolution 360 Ultra Clip 235C 235Cm Bx20,1398.24,545.31,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Restraint Xtrmt 39.5Mm 50Pair,12.42,4.84,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Retractor Alexis Wound Large 9-14Cm,421.24,164.28,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Retractor Alexis Wound Lrg 9-14Cm,421.24,164.28,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Retractor Alexis Wound Sm 2.5-6Cm,303.26,118.27,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Retractor Lone Star 28.3Cmx18.3Cm Disposable Ring Coopersurg,385.02,150.16,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Retractor Onetrac Lx 90Mm X 20Mm,1101.24,429.48,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Retractor Retentus Panniculus Csection,256.68,100.11,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Retractor Ring Long Star Disposable Coopersurgical,385.02,150.16,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Retractor Small Alexis Lap Sys Surgical Wound Protector,1150.92,448.86,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Retractor Small Graptor Grasping Xi Intuitive,496.8,193.75,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Retractor Surgical 135X30Mm Sngle Use Cordless W Light Src,1101.24,429.48,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Retriever Hewson Suture Smith And Nephew,751.41,293.05,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Rhinolaryngoscope L11.8In D3Mm 130Deg Flexible Cystoscope,734.85,286.59,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Ring Retract 5-9Cm Med Alexis,181.12,70.64,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Ring Retract G2 Noryl Rsn Wo,385.02,150.16,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Rod 150Mm 11Mm Self Drill Mr Conditional Set,787.64,307.18,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Rod 350Mm 11Mm Self Drill Mr Conditional Set,844.56,329.38,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Rod 400Mm 11Mm Carb Fib Ext Fix Ns,925.81,361.07,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Rod Guide 2.5-230Mm Wstop Strl Troc Tip Strl,479.2,186.89,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Rod Reamer 950Mm 2.5Mm Ball Tip Strl Disp,529.92,206.67,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Roll Hemostatic Xray Detectab Ble 3In X 4 Yd,189.4,73.87,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Rosi Tubing,977.04,381.05,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Rotatable Fusion Blade Quadcut 4.3Mmx13Cm,2198.34,857.35,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Rotatable Fusion Blade Rad 40,2046.2,798.02,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Saline Container Scrwtp 250Ml Usp Normal,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Saline Container Scrwtp 500Ml Usp Normal,14.37,5.6,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Scalpel Safety 15 Penblade,8.28,3.23,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Scissor Insert 5Mm Curved Metzenbaum Care Fusion,341.49,133.18,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Scissors Curved Monopolar 6Mm Da Vinci System Endowrist Sp,910.8,355.21,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Scissors Endo 5Mm Monopol Caut,225.63,88.0,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Scissors Monopol 55.9Cm 8Mm Davvinci S Hot,662.4,258.34,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Scissors Monopolar Xi Curved Intuitive,662.4,258.34,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Scissors Robotic L31.5Cm D8Mm Jaw L1.1Cm 38Deg Round Tip,310.5,121.1,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Scotchcast Quick Step Pre-Cut Splint 4In X 15In 10 Each-Case,20.7,8.07,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Screw Temporary Globus,244.95,95.53,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Seal Myosure Hologic,48.64,18.97,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Seal Universal 5Mm 8Mm Xi Intuitive,92.52,36.08,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Sealant Human Fibrin 10Ml Vistaseal Ethicon,2364.41,922.12,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Sealant Human Fibrin 4Ml Vistaseal Ethicon,1022.23,398.67,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Sealer Bipolar Aquamantys 2.3,2618.55,1021.23,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Sealer-Divider Ligasure Blunt Tip 5Mm-37Cm Covidien.,2097.95,818.2,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 101877 Chloraprep Tint 10.5,36.22,14.13,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 102830 Insyte 22Ga 1.00In,7.76,3.03,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 108439 Port Access Bladeless Optical L Tip Airseal 5X120,408.82,159.44,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 108440 Port 8Mm Acc Optc Tip 120Mm In Lgth Bladeless Low,438.01,170.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 10982 Kit Cannister Rgd 1000Cc Elb Tub Tonnect,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 110816 - Tray Cath 16Fr Lbrcath W Drain Bag,52.78,20.58,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 110971 System Laparoscopic 100X12Mm Balloon Trocar Kii A,153.18,59.74,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 112471 Applier Clip 20 Sm Endo Automatic Titanium Covidi,239.08,93.24,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 112471 Applier Clip 30D Small 9 3-8In Endo Titanium Ethi,838.35,326.96,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 112479 Set Prim Ck Ndls 21Ml 20 Drop Vent-Nvnt 116In,14.59,5.69,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 112479 Tubing Iv Ndls 114In 20 Drop Vent-Nvnt,18.63,7.27,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 114101 Bag Collection Urine 2000Ml Bard Medical,16.56,6.46,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 114702 Kit Manifold Automated Bt-2,122.13,47.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 1154 Catheter Foley 2-Way 10Fr 3Cc All Silicone Bard Med,15.52,6.05,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 115909 Blade Saw 31X9X.38Mm Osc Med Lng Thin Ss Prcs,144.9,56.51,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 115910 Blade Saw 98.5Mmx25.4Mmx.98In Xlng W Ss Sag,101.43,39.56,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 116204 Shield Eye Optiguard Clr Plastic,32.08,12.51,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 116471 Gauze X-Ray Detect Surgical L Lf Disp 4Inx 4In 16,6.21,2.42,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 116499 Pack Surgical Setup Medline,13.46,5.25,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 116510 Pack Surg Cystoscopy Iv Halyard Health,25.88,10.09,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 116628 Kit Prep Betadine Deroyal,15.52,6.05,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 116905 Bandage Cnfrm 3P 6Inx4.5Yd Gauze Strl,1.72,0.67,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 116908 Sponge 6.75X6In Abs Flf Gauze Dry Super 20-Tr Wvn,24.84,9.69,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 117154 Packing Wound 5Ydx1In Gauze Ifrm Crty Strip,9.32,3.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 117155 Packing Plain 5Ydx0.5In Covidien,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 120003 Sponge 4X4 Covidien 2 Per Pack,6.21,2.42,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 120173 Packing Iodoform 5Ydx0.5In Covidien,9.32,3.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 121 Bandage Elc Vlcr Ns Lf 4Inx5Yd,6.21,2.42,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 122319 Tray Catheter Foley 16 Fr Advance System Bag With,64.12,25.01,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 122656 System Irrisept Wound Depridement Cleansing 0.05%,299.12,116.66,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 124946 Set Admin Vent 15 Drop 112In,24.84,9.69,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 124947 Set Admin Nvnt 60 Drop 106In,10.35,4.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 125445 System Splnt 3Inx15Ft Orth Gls,232.88,90.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 125447 System Splnt 5Inx15Ft Orth Gls,331.2,129.17,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 125875 Tubing Smk Evac 6Ft Cnct Vac,13.46,5.25,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 126032 Spec Rtrvl Sys Endo Disp 10Mm,367.42,143.29,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 126033 System Retrieval Specimen End Doscopic Lg 12-15Mm,807.3,314.85,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 126196 Blade Glidescope Lopro S3 Sz 3 Ti Verathon,195.62,76.29,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 126197 Blade Glidescope Lo Pro S4 Sz 4 Ti Verathon,195.62,76.29,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 127147 Device Novasure Endometrial Ablation Hologic,4828.27,1883.03,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 127147 Novasure Uterine Suresound Device Hologic,6343.52,2473.97,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 127216 Suture Vicryl 1 Undyed Ct-1X36 In Ct-1 Ethicon,8.28,3.23,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 127217 Suture Vicryl 1 Ct-1 18In Cr Violet Ethicon,57.96,22.6,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 127307 Kit Plus Prevena 4001 System Neg Pressure Customi,2663.06,1038.59,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 129515 Agent Hemostat12-7 Surgifoam Ethicon Inc,18.63,7.27,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 129515 Gelfoam Small 12-7Mm Pharamacia And Upjohn,19.66,7.67,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 129516 Sponge Lap X-Ray Prm 18Inx18In Lf Disp,7.45,2.91,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 129751 Cuff Bp Sft Adlt Disp,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 131494 Needle Stplx A Bvl Insul Extn,45.54,17.76,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 132336 Unit Electrosurg 18.8Cm Sm Jaw Lgsr Strl,1867.14,728.18,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 132594 Drape Lithotomy Medline,32.08,12.51,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 132721 Cord Bipolar 12Ft Ftswtch Strl Disp,13.46,5.25,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 132790 Pack Basic 1,10.35,4.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 132790 Pack Setup 1 Medline,10.35,4.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 133739 Evacuator Smoke Laparos Grn,77.62,30.27,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 133789 Bronchoscope 3.8Mm Disp Ascope Slim,1273.05,496.49,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 134099 Manipulator Uterine Injector Marina Medical,90.04,35.12,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 134877 Wipe Prep 7.5X7.5In 2% Chg Sage,26.91,10.49,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 135156 Suture Vicryl 2-0 Ct1 36In Violet Ethicon,8.02,3.13,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 136241 Airway Esoph 5 Adlt Laryng,57.96,22.6,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 136584 Kit Evicel 2Ml Ethicon,1037.07,404.46,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 137006 Prep Chloraprep Orange 10.5Ml Carefusion Corp,15.52,6.05,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 138026 Pack Basic Cysto 1,120.06,46.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 138555 Pack Laparoscopic Kennestone,145.94,56.92,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 138934 System Laparos Smk Evacuation,83.84,32.7,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 139268 Pack Cust Spine N Fulton Regional Hsp,708.98,276.5,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 139268 Pack Spine Kennestone,260.82,101.72,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 139583 Pack Total Joint Cobb,357.08,139.26,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 139615 Pack Minor Basin Kennestone Wk300010,20.7,8.07,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 139616 Pack Major Gen Abd Kennestone Wk290020,133.51,52.07,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 139617 Pack Lap Colon Kennestone,203.9,79.52,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 139623 Pack Cath Lab Kennestone,259.82,101.33,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 139623 Tray Heart Cath,280.48,109.39,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 139834 Pack Shoulder Arthr Windy Hill Ww160026,381.92,148.95,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 139892 Pack Laparoscopy Ws270001,281.52,109.79,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 139894 Pack Stroke Kennestone,776.25,302.74,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140186 Pack Major General Abdominal Ws290001,278.42,108.58,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140219 Tray Surg Proc Cust Picc Wk430015,162.5,63.38,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140669 Pack Basin Minor Cobb,66.24,25.83,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140669 Pack Minor Basin Ws300001,182.16,71.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140750 Pack Podiatry Windy Hill Ww150021,185.26,72.25,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140767 Pack Cath Lab Wellstar Ws190006,261.86,102.13,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140768 Pack Lavh Wellstar Ws280001,263.92,102.93,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140769 Pack Lavh Wellstar Ws280002,320.85,125.13,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140774 Pack Minor Basin Wellstar Ws300003,93.15,36.33,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140776 Pack Pacemaker Wellstar Ws330002,647.91,252.68,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140792 Pack Major Basin Cobb Wc120025,115.92,45.21,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140793 Pack Major Basin Cobb Wc120027,113.85,44.4,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140795 Pack Angio Kennestone,247.36,96.47,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140798 Pack Arthroscopy Packroom Wk110016,137.66,53.69,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140801 Pack Hand Kop,123.16,48.03,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140813 Pack T And A Kennestone,79.69,31.08,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140815 Pack Tvt And Vag Hyst Kennestone Wk410019,85.9,33.5,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140818 Tray Picc Kennestone Wk430017,162.5,63.38,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140820 Pack Arthroscopy Windy Hill Ww110023,428.49,167.11,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140821 Pack Basin Hand Windy Hill Ww120019,168.7,65.79,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140822 Pack Podiatry Windy Hill Ww150022,182.16,71.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 14083 Kit Splint Form Denver Series S 1500 Small-Medium,233.91,91.22,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140906 Suture Vicryl 4-0 12 X 18Inch Strand Violet Ethic,42.44,16.55,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140907 Suture Vicryl 3-0 18In Strand Violet Ethicon,41.4,16.15,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140910 Suture Vicryl 4-0 12 X 18In Strand Undyed Ethicon,37.95,14.8,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140913 Suture Vicryl 0 18In Tie Undyed Ethicon,24.32,9.48,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140913 Suture Vicryl 0 18In Tie Undyed Violet Ethicon,38.3,14.94,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140916 Suture Vicryl 5-0 Rb1 27In Undyed Ethicon,9.32,3.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140917 Suture Vicryl 4-0 Rb-1 27In Undyed Ethicon,7.42,2.89,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140918 Suture Vicryl 3-0 Rb1 27In Undyed Ethicon,8.28,3.23,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140920 Suture Vicryl 3-0 Sh-1 27In Undyed Ethicon,8.28,3.23,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140924 Suture Vicryl 0 Ct-1 27In Undyed Ethicon,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140926 Suture Vicryl 2-0 Ct1 27In Undyed Ethicon,8.28,3.23,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140927 Suture Vicryl 0 27Inch Cp-1 Cutting Undyed Ethico,8.28,3.23,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140929 Suture Vicryl 0 Ct-2 27In Undyed Ethicon,7.37,2.87,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140930 Suture Vicryl 2-0 Ct 27In Undyed Ethicon,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140935 Suture Vicryl 2-0 Rb-1 27In Violet Ethicon,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140938 Suture Vicryl 3-0 Sh 27In Violet Ethicon,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140939 Suture Vicryl 2-0 Sh 27In Violet Ethicon,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140949 Suture Vicryl 2-0 Ct1 27In Violet Ethicon,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140951 Suture 1 Clsr 27In Ct-1,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140962 Suture Vicryl 4-0 Sh 27In Undyed Ethicon,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140964 Suture Vicryl 4-0 Fs-2 27In Undyed Ethicon,10.35,4.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140965 Suture Vicryl 3-0 Fs-2 27In Undyed Ethicon,10.35,4.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140966 Suture Vicryl 4-0 Ps-2 27In Undyed Ethicon,19.66,7.67,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140967 Suture Vicryl 3-0 Ps-2 27In Undyed Ethicon,19.66,7.67,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140970 Suture Vicryl 4-0 Fs-1 27In Undyed Ethicon,10.35,4.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140972 Suture Vicryl 2-0 Fs-1 27In Undyed Ethicon,10.35,4.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140982 Suture Vicryl 4-0 P-3 18In Undyed Ethicon,21.74,8.48,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140996 Suture Vicryl 2-0 Ur-6 27In Violet Ethicon,9.32,3.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140997 Suture Vicryl 0 Ur-6 27In Violet Ethicon,9.17,3.58,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 140999 Suture Vicryl 0 54In Tie Undyed Ethicon,10.46,4.08,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 141005 Suture Vicryl 0 Mo4 8-18 Cr Violet Ethicon,73.48,28.66,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 141006 Suture Vicryl 3-0 Rb-1 18In Cr Violet Ethicon,56.92,22.2,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 141007 Suture Vicryl 4-0 Rb-1 18In Cr Undyed Ethicon,65.2,25.43,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 141008 Suture Vicryl 2-0 Ct-2 18In Cr Violet Ethicon,54.71,21.34,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 141009 Suture Vicryl 0 Ct-2 18In Cr Violet Ethicon,55.89,21.8,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 141013 Suture Vicryl 0 Ct-1 18In Cr Violet Ethicon,55.89,21.8,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 141016 Suture Vicryl 2-0 Cp-2 18In Cr Undyed Ethicon,68.31,26.64,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 141020 Suture Vicryl 4-0 Sh 18In Cr Violet Ethicon,55.89,21.8,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 141023 Suture Vicryl 3-0 Sh 27In Cr Violet Ethicon,55.89,21.8,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 141031 Suture Vicryl 0 Ct-1 18In Undyed Ethicon,56.06,21.86,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 141033 Suture Vicryl 5-0 Pc-3 18In Undyed Ethicon,21.74,8.48,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 141037 Suture Vicryl 3-0 Sh 18In Cr Undyed Ethicon,55.89,21.8,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 141044 Suture Vicryl 3-0 Ct1 36In Undyed Ethicon,8.28,3.23,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 141045 Suture Vicryl 2-0 Ct-1 36In Undyed Ethicon,7.93,3.09,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 141070 Suture Monocryl 4-0 Ps-2 18In Undyed Ethicon,27.94,10.9,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 141071 Suture Monocryl 3-0 Ps-2 18In Undyed Ethicon,27.94,10.9,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 141072 Suture Monocryl 3-0 Ks 27In Undyed Ethicon,16.56,6.46,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 141078 Suture Monocryl 5-0 Pc-3 18In Undyed Ethicon,30.02,11.71,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 141081 Suture Monocryl 3-0 Ps-1 27In Undyed Ethicon,30.53,11.91,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 141083 Suture Monocryl 2-0 Ct-1 36In Undyed Ethicon,11.68,4.56,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 141086 Suture Pds2 5-0 Rb-1 27In Violet Ethicon,13.46,5.25,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 141090 Suture Pds2 3-0 Sh 27In Violet Ethicon,13.02,5.08,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 141092 Suture Pds2 2-0 Ct-2 27In Violet Ethicon,13.46,5.25,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 141095 Suture Pds2 0 Ct1 27In Violet Ethicon,12.42,4.84,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 141096 Suture Pds2 1 Ct1 27In Violet Ethicon,12.94,5.05,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 14111 Sensor Neo-Adlt Oxmx 18In Oxm Adh Strap Reprocesse,31.05,12.11,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 14111 Sensor Neonat Lncs 36In Finger Oxm Adh Low,46.58,18.17,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 141113 Suture Pds2 3-0 Ps-2 18In Cutting Clear Ethicon,26.91,10.49,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 141119 Suture Pds2 1 Tp-1 48In Violet Loop Ethicon,24.84,9.69,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 141125 Pack Lap Colon Wellstar,216.32,84.36,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 141320 Circuit Anesthesia Westmed Inc,27.94,10.9,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 142291 Tray Surg Proc Cust Angio,340.52,132.8,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 142471 Wellstar Total Joint Pack Ws400004,439.88,171.55,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 142638 Pack Ent Medline,169.74,66.2,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 143140 Curette Vac 8Mm Plastic Rnd,21.74,8.48,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 143811 Canister Suction 1.5L Rigid Deroyal,12.37,4.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 143812 Cannister Suction Rigid 2.5L Deroyal,7.56,2.95,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 144223 Dressing Aquacel Ag 9Cm 10Cm,102.46,39.96,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 144224 Dressing Aquacel Ag 9Cm 15Cm,124.2,48.44,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 144225 Dressing Aquacel 9Cm 25Cm Convatec,155.25,60.55,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 144226 Dressing Aquacel 9X30Cm Convatec,172.84,67.41,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 144227 Dressing Aquacel Ag 9Cm 35Cm,172.84,67.41,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 1510 Suture Vicryl 0 Ct-1 36In Undyed Ethicon,7.85,3.06,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 154 Blade 15C Bp Ss Surg Strl Disp,5.18,2.02,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 155772 Anesthesia Circuit 120In Exp-Lf,46.58,18.17,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 155808 Pack Minor Proc Basin Kennestone,93.15,36.33,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 155809 Pack Angio Kennestone Wk100019,250.47,97.68,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 155810 Pack Cysto Wellstar Ws170004,176.98,69.02,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 155812 Pack Wellstar Laparoscopy Ws270002,281.52,109.79,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 155814 Pack Major Abdominal Wellstar Ws290005,217.35,84.77,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 155883 Cannula Nasal 7Ft 02-Co2 Connect Covidien,9.32,3.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 155913 Tubing Line Filter Nasal 02 Philips,84.87,33.1,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 156026 Pack Lithomtomy Wellstar Ws310003,171.81,67.01,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 156058 Pack Cysto Wellstar Ws170.005 Ws170.005,193.54,75.48,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 156084 Pack Breast Proc Kennestone Wk130024,187.34,73.06,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 156085 Pack Kop Hand Kennestone Wk140016,123.16,48.03,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 156091 Pack Minor Proc Basin Kennestone Wk320033,106.6,41.57,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 156091 Pack Minor Proc Basin Wk320.03 Wk320.034,106.6,41.57,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 156166 Wellstar Minor Basin Pack Ws300004,82.8,32.29,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 156173 Pack Head And Neck Kennestone,109.71,42.79,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 156192 Quick Combo Defib Adlt 24In Pad,33.12,12.92,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 156326 Tray Spnl 3.5In 20Ga Adlt,47.61,18.57,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 156651 Pack Robotics Wellstar Ws205001,387.09,150.97,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 156716 Pack Podiatry Windy Hill Ww150023,182.16,71.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 156724 Pack T A Kennestone Wk380013,96.26,37.54,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 156825 Kit Press Monitor Transducer 6,84.87,33.1,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 157 Electrode Dual Return Adhesiv E Cnd Pediatric Cord,21.74,8.48,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 157011 Pack Laprspy Wellstr Ws270.003 Ws270.003,291.87,113.83,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 157012 Pack Gen Maj Abdmnl Ws290.006 Ws290.006,228.74,89.21,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 157014 Pack Cysto Wellstar Ws170.006 Ws170.006,167.67,65.39,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 157016 Pack Lithomtomy Wellstar Ws310004,150.07,58.53,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 157067 Pad Table Patient Trendelenburg Symmetry,240.12,93.65,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 157089 Quick Combo Defib Pads,89.01,34.71,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 157242 Tape Umbilical Cotton 1-8In X 30In Ethicon,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 157433 Canister Suct Lnr Thnwl 3Ltr,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 157493 Dressing Telfa 14X4In Abs Nonwvn Ilnd Adh,5.18,2.02,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 157494 Electrode Dfbr Radiotransparnt Pro-Padz,84.87,33.1,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 157498 Inst Suction Frazier 10 Fr,9.32,3.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 157499 Kit Biopsy Basic W-O Needle,233.91,91.22,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 157511 Padding 4Ydx6In Cttn Strl Wbrl Undcst Reg,9.32,3.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 157514 Cradle Pstn Dvn Arm Foam Lmi,12.38,4.83,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 157685 Tubing Suction L10Ft Dia0.25In Nonconductive,7.79,3.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 157701 Tip Suct Frzr 12Fr Cntl W Vent,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 157717 Pack Minor Proc Basin Kennest Wk320.035,161.46,62.97,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 160543 Set Extn 20In W-3 Way Stopcock,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 160556 Injection Ampule Submucosal 10Ml Eleview,453.12,176.72,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 172271 Scalpel Safety 11 Penblade,6.21,2.42,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 172839 Catheter Foley 2-Way 14Fr 5Cc All Silicone Bard M,15.52,6.05,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 173455 Scalpel Safety 10 Penblade,8.28,3.23,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 174166 Strip 5X1In Strstrp Iphr Polyest Adh Por,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 17489 Sling Orth Xl Arm Dp Pckt Shoulder Pad Hook,14.49,5.65,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 1822 Tray Skin Prep O.R - L D,20.7,8.07,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 1890 Catheter Iv Strl 2In 14G Incn Sf Tfln,6.21,2.42,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 1962 Splint Plaster Ready-Cut Fast T 5In X 30In,1.38,0.54,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 20017 Swab Proctosigmoidoscopic 16In,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 225 Gauze Pk Xray Dtct 2Inx3Yd,17.6,6.86,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 22681 Binder 36-38In Med Postop,73.48,28.66,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 232 Surgicel 2X3 Ref 1953 Origi,290.83,113.42,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 245 Dressing Transparent Wound W- -Absrb Pad 3 1-2Inx10I,8.28,3.23,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 2905 Bandage Esmark 4 Inch,10.35,4.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 30095 Suture Vicryl 5-0 Fs-2 27In Undyed Ethicon,10.35,4.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 3043 Sensor Adlt Oxmx 18In Oxm Adh Strap Compat Reproces,31.05,12.11,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 31491 Splint Plstr Ready-Cut 4X15In,1.03,0.4,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 33595 Bandage Chsv Flx Lf 6Inx5Yd Hand Tear,14.49,5.65,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 388 Tape Dressing 3M Mdpr 6In 10Yd Adh Hypoall,47.61,18.57,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 42859 Catheter Iv 22Ga1In Insyte Shld Dehp-Fr Radiopq,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 473 Sling Arm Strap Pad Vlfm Med 7 X 16In Blu,12.42,4.84,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 474 Sling Arm Cloth Buckle Clsr Lg,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 474 Sling Arm Cmft Blu Lg,11.38,4.44,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 47600 Adaptor Fiberoptic Bronchoscope Swivelsmiths Medic,19.66,7.67,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 5308 Coagulator Footswitch Suction N 10F 152Mm,35.19,13.72,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 53285 Trocar Optc Bladeless 12Mm Std W-Fx Cannula,49.68,19.38,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 54632 Burr Rnd Carb Strl 4X48.3Mm,112.82,44.0,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 5499 Electrode Blade Coated 6In Strl Disp,20.7,8.07,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 60732 Blanket 60X36In Adlt Polymer Br Hgr Air Sys,127.3,49.65,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 61494 Clip Xl Gold Hem-O-Lok Teleflex Medical,148.52,57.92,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 62 Dressing Transparent Tegaderm M Chg 3.5 X 4-5In,26.56,10.36,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 699 Set Cysto Irr Dist Cnct 79In Rl Clamp,9.32,3.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 699 Set Irrigation Cysto Baxter,33.12,12.92,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 700 Extension Set W-Side Clamp,17.6,6.86,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 7350 Blade Saw Sgtl 9X0.38X31Mm Precision Thin,168.7,65.79,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 74603 Suture Vicryl 2-0 Sh 27In Undyed Ethicon,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 76893 Suture Vicryl 3-0 Sh 27In Undyed Ethicon,7.29,2.84,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 77267 Foley Stabilization Statlock Device 3-Way Anchor B,14.83,5.78,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 83463 Suture Vicryl 2-0 Ct-2 27In Undyed Ethicon,8.28,3.23,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 83673 Dressing Nasopore 4Cm Firm,692.42,270.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 83749 Suture Vicryl 3-0 Ks 27In Undyed Ethicon,10.35,4.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 83900 Suture Monocryl 3-0 Ps-2 27In Undyed Ethicon,28.01,10.92,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 83902 Suture Monocryl 4-0 Ps-2 27In Undyed Ethicon,28.98,11.3,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 83903 Suture Monocryl 5-0 Ps-2 18In Undyed Ethicon,27.94,10.9,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 84052 Suture Monocryl 4-0 P-3 18In Undyed Ethicon,30.02,11.71,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 86672 Unit Electrosurg 36X3.3-4.7Mm 18Cm Instr Disp,1418.98,553.4,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 8702 Mastisol Liquid Adhesive,35.21,13.73,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 89151 Blade Clipper Disposable Cardinal Health Medical,9.32,3.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 89151 Blade Surgical Clipper Blade,67.28,26.24,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 90532 Stapler Skin 35 Wide Ethicon,164.56,64.18,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 90532 Stapler Skin 35W 6-Cs Disp,26.91,10.49,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 914 Support Wrst Pstn Radial Acc Strl,33.12,12.92,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 92494 Pack Gyn Laparoscopy,218.38,85.17,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 93343 Cautery Pncl Pshbtn Sf Hlstr 10Ft Cord,15.52,6.05,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 9555 Bandage Chsv Flx Lf 4Inx5Yd Hand Tear,9.32,3.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 9555 Coban 4In Med Cs-18,6.21,2.42,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 96227 Bit Drill Neuro 3X3.8Mm,1189.21,463.79,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 96363 Cannula Nasal Divr Adlt M 7Ft O2 Ln 7Ft Co2 Ln,10.35,4.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 97009 Tray Cath Bdx Ic 16Fr 5Ml,67.28,26.24,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 97105 Trocar Laparos 100 5Mm Zthrd,78.66,30.68,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 97116 Cannula Fx 5Mm + Seal W Vrsprt + Bladeless Trocar,49.68,19.38,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 97197 Adhesive Dermabond Mini Skin Topical J And J Healt,39.33,15.34,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 97197 Adhesive Histoacryl Aesculap,84.87,33.1,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 97220 System Laparoscopic Access Fi Os Advncd Fx 5X100Mm,78.66,30.68,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 97220 Trocar Vrsprt Bladelss 5Mm Optc,49.68,19.38,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - See 97854 Drain Penrose 0.25In 18In Latex Sterile,8.45,3.3,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Sensor Adlt Oxmx 18In Oxm Adh Strap Compat,36.23,14.13,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Sensor Finger Lng Low Nse Cable Neonat,47.25,18.43,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Sensor Neo-Adlt Oxmx 18In Oxm Adh Strap,42.44,16.55,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Sensor Pulse Oximeter Adult L Foresight Elite,734.85,286.59,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Sensor Spo2 Finger Adlt Lncsadtx,38.04,14.84,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Set .330In 102In Set Y Grvty,153.18,59.74,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Set 21Ga Infus Ndl Ebus,584.78,228.06,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Set Adm 100In 15 Gtt 17Ml Iv,26.36,10.28,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Set Adm 108In Iv Prim Infus Sm,12.42,4.84,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Set Adm 117In 20 Gtt Iv,14.54,5.67,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Set Adm Grvty 106In 60 Gtt,17.6,6.86,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Set Adm Grvty 112In 27Ml 15 Gtt Ndehp,13.46,5.25,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Set Bipolar Cord And Tubing Flying Leads Rotary Pump Integra,256.68,100.11,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Set Cysto Irr 75In 8 Drop-Ml,43.47,16.95,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Set Dil Ureth 37Cm 8-20Fr,1095.03,427.06,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Set Extension 7In Max Plus Carefusion,8.28,3.23,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Set Extn 2.4Ml 60In Iv M Ll,5.18,2.02,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Set Extn 20In 3Ml Way Stopcock,17.6,6.86,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Set Extn 32In 4Ml Iv M Ll 4W Stopcock Ndehp,3.1,1.21,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Set Extn 36In 5.5Ml 4 Way Stopcock,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Set Extn 41In 6Ml Ndehp,6.16,2.4,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Set Extn 5X2In Pen Label Perm Marker Clr,11.38,4.44,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Set Extn 8.5In Mnbr Press Rt,7.22,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Set Gastro Entuit Med Srt Ntl Plc,469.89,183.26,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Set Infusion Miniloc 22 X .,18.63,7.27,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Set Introducer Localization 1 12G,95.22,37.14,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Set Iv Admin L92In 15Gtt With 1 Needle Free Port,9.32,3.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Set Iv Sol 69In,23.49,9.16,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Set Proc Genesys Hta Procerva,7645.54,2981.76,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Set Transf 6In 6In Dia Ext,348.8,136.03,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Set Trkr Fus Ent Nvg Sys Ent Sticky,1131.3,441.21,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Set Trkr Fus Nvg Sys Ent,920.12,358.85,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Set Tube Sgl Bi Lum Fltr Use W Airseal,377.78,147.33,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Set Tube Sgl Tri Lum Fltr Use W Airseal,471.96,184.06,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Set Tur Irr W-Rl Clamp 2000Ml,78.66,30.68,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Set Tur Y Type Irr Nvnt,62.1,24.22,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Shaver 4.0Mm Flyer Blade,428.49,167.11,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Shaver Small 2Mmx7Cm Sabre Small Hub Coolcut,322.92,125.94,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Shaver Small 3Mmx7Cm Sabre Disposable Coolcut,322.92,125.94,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Sheath 0D 4Mm Escrb2 Sin,435.74,169.94,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Sheath 30D 4Mm Escrb2 Sin,390.2,152.18,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Sheath Acc Nav 13-15X46Cm Uret Hd,594.09,231.7,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Sheath Camera Instrument Da Vinci Sp,308.43,120.29,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Sheath Instrument Disposable Davinci Sp,154.22,60.15,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Sheath Stab Device,92.12,35.93,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Shield Eye Adh Optgrd Strl Blu,31.05,12.11,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Shield Eye Univ 7.5Cmx6.5Cm,11.38,4.44,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Shoe Lg M Pat Postop Wdn Sole,18.63,7.27,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Shoe Med F Pat Postop Wdn Sole,18.63,7.27,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Shoe Sm M Pat Postop Smrg Mtrsl Shank Lplk Cl,45.54,17.76,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Sizer System Disposable Ac Partial Sterile Pp,153.18,59.74,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Skimmer Angle-Tip Blade 22.5Cmx3.5Mm 15,2695.14,1051.1,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Skin Closure System Dermabond Prineo Roll Ethicon Inc,575.29,224.36,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Sleeve 100Mm 5Mm Kii Zthrd Laparos,220.46,85.98,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Sleeve 12Mm Outr Strl Protect F-Suprapaellar,433.66,169.13,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Sleeve Comp Lg Kn-Hi Scd Exp,78.66,30.68,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Sleeve Comp Reg Ft Scd Exp Antiiemb Cuff,87.28,34.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Sleeve Dvt Reg Medium,78.66,30.68,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Sleeve Laparos 100Mm Radial,191.48,74.68,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Sleeve Mp Gma Fnd Strl,48.64,18.97,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Sleeve Optc Bladeless V2 Shrt 5Mm Fx Can Vrstp,32.08,12.51,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Sleeve Scd Medium Knee-High Covidien,58.88,22.96,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Sling Arm Strap Ul2 Pad Med Velcro Blk,199.76,77.91,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Sling Orth Lg Arm Dp Pckt Shoulder Pad Hook,15.52,6.05,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Sling Orth Med Arm Dp Pckt Shoulder Pad Hook,15.52,6.05,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Sling Orth Sm Arm Dp Pckt,15.52,6.05,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Slitter 6232Adj Adjustable,132.48,51.67,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Snare 10,50.72,19.78,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Snare Cptvtr 240Cm 2.4Mm 27Mm,159.39,62.16,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Snare Endoscopic 10Mm Diamond Thin Wire,32.08,12.51,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Snare Endoscopic 10Mm Thin Wire Oval Cold,32.92,12.84,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Snare Endoscopic Adult L240Cm Captivator Ii Stiff 10Mm Round,159.39,62.16,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Snare Endoscopic Adult L240Cm Captivator Ii Stiff 15Mm Round,159.39,62.16,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Snare Endoscopic L240Cm Dia2.4Mm Loop W20Mm Round,159.39,62.16,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Snare Endoscopic L240Cm Sheath Dia2.4Mm Loop W10Mm,109.71,42.79,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Snare Endoscopic Xl L240Cm Sheath D2.4Mm Loop W33Mm 2.8Mm,159.39,62.16,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Snare Hex 230Cm 25Ga 3Mm I,440.91,171.95,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Snare Mic Oval 13Mm 2.4Mm,191.48,74.68,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Snare Plpctm Micro Ovl Blu 240,162.5,63.38,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Snare Plpctm Stnd Ovl 7Fr 2.5,71.93,28.05,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Snare Polyp Mini Ovl 7Fr 1.5,92.12,35.93,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Snare Polypectomy Captivator Round,2384.64,930.01,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Snare Polypectomy Disposabl,107.64,41.98,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Snare Polypectomy Short Throw W Std Oval 240Cml,162.5,63.38,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Snare Rotatable 13Mm,259.79,101.32,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Snare Rotatable 20Mm,259.79,101.32,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Snare Sns 240Cm 27Mm Polyp Std,114.88,44.8,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Snare Spiral,119.02,46.42,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Snare Std 240Cm 2.4Mm 27Mm,159.39,62.16,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Snare Vascular L240Cm Loop W10Mm Sheath Dia2.4Mm,121.1,47.23,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Solution Prep Bdine Opth 5% Pvp Iod 30Ml 00065-0411-30,21.56,8.41,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Solution Wound Cleansing Therapy 1000Ml Prontosa Kci Inc,533.85,208.2,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Sorbx Shield Angio,129.38,50.46,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Sp Access Port Kit Small Incision 2.7-4Cm,2441.56,952.21,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Specboard Macbrud Corporation,115.92,45.21,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Spirometer Incnt 2.5L Sm Volume Low Flow,9.32,3.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Splint Conformable W3Xl35In Scotchcast Ds White Felt,40.36,15.74,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Splint Denver Large Series 15,301.18,117.46,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Splint Fbgls Pad 4Inx15In Roll,373.64,145.72,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Splint Intranasal 0.6Inx2In,734.5,286.46,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Splint Nasal 2.38X1.53In Med,186.3,72.66,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Splint Nasal Doyle Medtronic,223.84,87.3,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Splint Nasal Intnl Sil Spt,112.82,44.0,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Splint Nasal Sil Dyle 2 Sept 5,336.38,131.19,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Splint Nasal Thrmplst Sept Elc Strl Lf Disp,41.4,16.15,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Splint Orth 15X4In Precut Flt Pad Fbgls,19.66,7.67,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Splint Orth 30X5In Precut Cnfr M Fbgls,50.72,19.78,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Splint Orth 4Inx15In Precut Orth Gls,31.05,12.11,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Splint Orth 4Inx30In Precut Orth Gls,59.0,23.01,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Splint Pre-Cut 4X30 Quick Step Scotchcast Quick Step 4X30,41.4,16.15,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Splint Pre-Cut 5X30 Quick Step Scotchcast Quick Step 5X30,51.75,20.18,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Splint Scotchcast 15X4In Fiber Glass 3M,23.8,9.28,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Splint Unpd Primacast 5X30In,42.44,16.55,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Sponge 4X4In Nonwvn Av Gz Dressing Strl Lf 2-Pk,0.52,0.2,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Sponge Abs Hemost Powder Kt,571.32,222.81,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Sponge Ear Ambrus Pack 15X20Mm Rect,69.14,26.96,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Sponge Lap 36X18In Xray Strl,13.46,5.25,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Sponge Neuro 1-2In X 1In,2.07,0.81,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Sponge Neuro 1-2In X 3In,23.8,9.28,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Sponge Neuro Patty .5X.5In Deroyal,17.6,6.86,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Sponge Neuro Patty 3X1In Deroyal,17.6,6.86,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Sponge Pattie .5X3In Deroyal,17.6,6.86,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Sponge Surg 1X1In Ptt 1 Stng,17.6,6.86,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Sponge Surgifoam 12-7 2Cmx6Cmx0.7Cm Ethicon,19.83,7.73,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Sponge Tonsil Medium Deroyal Industries,12.36,4.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Stapler 60 3.5 Blue Reload Sureform,1182.41,461.14,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Stapler Cannula 12Mm Seal Xi,102.46,39.96,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Stapler Cannuler Reducer Endo Wrist Xi Intuitive,129.38,50.46,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Stapler Egia Shrt Ult Univ,380.88,148.54,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Stapler Intnl 12Mm Handle 3-Staple Egia,450.37,175.64,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Stapler Intnl 3.5Mm Hmrhd Set Disp Prolps Eea,1589.76,620.01,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Stapler Intnl 30Mm Med Artc Crv Tip Reload,597.2,232.91,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Stapler Intnl 45Mm Med Artc Crv Tip Reload,743.24,289.86,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Stapler Intnl Xl Univ Ult Next Gnrtn Erg Prcs,699.66,272.87,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Stapler Reload Blue 45Mm Xi Intuitive,880.78,343.5,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Stapler Reload Green 45Mm Xi Intuitive,880.78,343.5,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Stapler Reload White 45Mm Xi Intuitive,880.78,343.5,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Stapler Sheath Da Vinci Intuitive,102.46,39.96,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Stapler Skin 35 Regular Covidien,22.77,8.88,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Stapler Skin 35 Wide Covidien,22.76,8.88,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Stapler Skin 35 Wide Pistol Grip Ethicon,33.01,12.87,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Stapler Skin 35W Cnt Rot Hd,306.36,119.48,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Stapler Skin 35W Mf Skin Prm,66.24,25.83,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Stapler Spu 400 Reload Sureform,2453.98,957.05,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Sterile Water For Irrigation 500Ml,18.63,7.27,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Stethoscope Airway Esophageal 18 French Temperature Sensor S,10.35,4.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Stimulator Btr-Pwr Hndhld Vrst,403.65,157.42,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Stimulator Surgical Handheld Disposable Checkpoint Guardian,2914.56,1136.68,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Stockinet 3Inx36In Sgl Ply Str,8.28,3.23,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Stockinet 48X4In Orth Cttn 2,12.42,4.84,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Stockinet 54X6In Deroyal,21.74,8.48,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Stockinette 6 Sterile,17.6,6.86,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Stockinette Impervious Xl Deroyal,23.8,9.28,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Stockinette Imprv Interm 9X36 In,12.16,4.74,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Stockinette Imprv Lg 12X48In,11.38,4.44,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Stopcock 50-Bx M3Rrc,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Stopcock Angio 2W Flowswitch Flswtch,20.76,8.1,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Stopcock Angio 3W Hiprs Fx M,10.63,4.15,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Straightshot To Xps Irrigator Tubing,103.5,40.36,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Strap Ankl-Ft Surg Guhl Dstrct,179.06,69.83,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Strip 1X5In Episeal Flx Cnfrm Nirr Por Skin,6.21,2.42,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Strip 5X1In Strstrp Adh Hypoall Por Reinf,7.98,3.11,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Strl Water For Irr Srb 500Ml,26.91,10.49,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Stylet 14 French Aluminum Plastic Covidien,15.52,6.05,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Stylet Rdg Glidescope,153.18,59.74,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suction Bovie Pencil 15Ft,117.99,46.02,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suction Cannister 3000,11.38,4.44,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Support Abd Elc 10In W 45-62In Latex Safe,34.16,13.32,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Supramid Extra Ii 4-0 Looped Cable Hea-40,173.88,67.81,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Surgypad 36Inch W- Integrated Arm Protectors Lft Sheet Bdy S,270.14,105.35,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suspensory Support Med W Leg Strap,68.31,26.64,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Sut Smtr Blu Br 3-0 W-C-22 3-8 Cir 18,107.64,41.98,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture 0 22Cm Stratafix Spiral 9In,122.13,47.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture 0 30Cm Stratafix Spiral Pds Pl,130.75,50.99,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture 2-0 Coated Vicryl Plus Violet 1X36In Ct-1,8.95,3.49,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture 2-0 Fiberwire Blue Fiberstick Arthrex,205.96,80.32,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture 3-0 45Cm Stratafix Spiral Mono,154.22,60.15,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture 3-0 V-Loc 180 Green 9In V-20 Taper,113.71,44.35,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture 4-0 Pc-3 Pds Plus,36.67,14.3,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture 9-0 Ethilon Black 6.5Mm Tg140-8 3-8 Double Armed,65.2,25.43,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Absorbable V Loc L12In 30Cm 4-0 V Green,119.17,46.48,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Boot Yellow Deroyal,1.03,0.4,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Capio Size 0 L36In Tapercut L26Mm 1-2 Circle,247.88,96.67,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Chromic 1 36In Ct Abs Ethicon,15.87,6.19,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Chromic 2-0 27In Ct1 Abs Ethicon,14.49,5.65,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Chromic 2-0 Sh 27In Abs Ethicon,14.56,5.68,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Chromic 3-0 54In Reel Abs Ethicon,16.56,6.46,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Chromic 3-0 Fs-2 27In Ethicon,14.49,5.65,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Chromic 3-0 Ps-2 27In Ethicon,30.02,11.71,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Chromic 3-0 Rb-1 27In Ethicon,15.52,6.05,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Chromic 3-0 Sh 27In Ethicon,14.91,5.81,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Chromic 4-0 Fs-2 27In Ethicon,14.49,5.65,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Chromic 4-0 P-3 18In Ethicon,30.02,11.71,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Chromic 4-0 Ps-4 18In Ethicon,30.02,11.71,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Chromic 4-0 Rb-1 27In Ethicon,15.6,6.08,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Chromic 4-0 Sh 27In Ethicon,15.52,6.05,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Chromic 5-0 G-3 18In Ethicon,79.69,31.08,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Chromic 5-0 P-3 18In Ethicon,30.96,12.07,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Chromic 5-0 Rb-1 27In Ethicon,15.42,6.01,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Cp 0 36In Circle 2 Boston Scientific,247.88,96.67,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Cutter Knot Pusher Arthrex,1077.44,420.2,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Endostitch 10Mm 15In Covidien,495.76,193.35,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Endostitch Reload 48In Violet Covidien,90.23,35.19,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Eth 2-0 Fslx 30In Monofil Blk Nonabs,10.35,4.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Ethb Exc 1 Os-2 18In Grn Braid,32.08,12.51,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Ethibond 0 Ct-1 30In Green Ethicon,8.28,3.23,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Ethibond 0 Ct-2 30In Green Ethicon,8.1,3.16,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Ethibond 0 Green Ties Ethicon,9.83,3.83,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Ethibond 0 Mo-6 18In Cr Ethicon,66.24,25.83,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Ethibond 0 Mo-7 18In Cr Ethicon,68.31,26.64,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Ethibond 0 Sh 60In Ethicon,152.15,59.34,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Ethibond 1 Ct-1 30In Green Ethicon,8.31,3.24,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Ethibond 1 Os-6 30In Green Ethicon,12.42,4.84,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Ethibond 2 Os-4 30In Green Ethicon,11.8,4.6,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Ethibond 2 V-37 30In Cr Ethicon,77.76,30.33,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Ethibond 2-0 Ct-2 30In Green Ethicon,8.28,3.23,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Ethibond 2-0 Sh 30In Ethicon,9.77,3.81,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Ethibond 3-0 30In Green Ties Ethicon,10.35,4.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Ethibond 3-0 Rb-1 36In Green Double Armed Ethicon,20.49,7.99,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Ethibond 5 Ccs 30 In Cardio Green Cr Ethicon,96.26,37.54,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Ethibond 5 Lr 30In Double Arm Green Ethicon,19.25,7.51,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Ethibond 5 V-37 30In Green Ethicon,78.31,30.54,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Ethicon Prolene Bl Mono,38.3,14.94,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Ethilon 2 Lr 30In Double Arm Black Ethicon,17.6,6.86,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Ethilon 2-0 Fs 18In Black Ethicon,9.754999999999999,3.8049999999999997,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Ethilon 2-0 Ps-2 18In Ethicon,18.89,7.37,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Ethilon 3-0 Fs-1 18In Black Ethicon,10.155000000000001,3.96,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Ethilon 3-0 Fs-1 30In Black Ethicon,9.46,3.69,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Ethilon 3-0 Fsl 30In Black Ethicon,10.35,4.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Ethilon 3-0 Ps-1 18In Black Ethicon,21.32,8.31,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Ethilon 3-0 Ps-1 18In Ethicon,21.14,8.24,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Ethilon 3-0 Ps-2 18In Ethicon,19.48,7.6,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Ethilon 4-0 Fs-1 18In Ethicon,9.32,3.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Ethilon 4-0 Fs-2 18In Black G Ethicon,9.32,3.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Ethilon 4-0 Fs-2 18In Black H Ethicon,9.66,3.77,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Ethilon 4-0 P-3 18In Black G Ethicon,16.95,6.61,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Ethilon 4-0 P-3 18In Black H Ethicon,20.7,8.07,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Ethilon 4-0 Ps-2 18In Black G Ethicon,19.35,7.55,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Ethilon 4-0 Ps-2 18In Black H Ethicon,19.92,7.77,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Ethilon 5-0 Fs-2 18In Black H Ethicon,10.35,4.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Ethilon 5-0 P-3 18In Black G Ethicon,18.31,7.14,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Ethilon 5-0 P-3 18In Black H Ethicon,18.63,7.27,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Ethilon 5-0 Ps-2 18In Ethicon,17.6,6.86,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Ethilon 8-0 Tg175-8 12Indouble Arm Black Ethicon,65.2,25.43,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Fiberloop Fibertape 2In Swaged Straight Needle,611.68,238.56,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Fiberwire 0 38In Nonabs W-Tpr Needle 22 Braid Blue Ar,107.64,41.98,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Fiberwire 2 50In Tie Blue Arthrex,245.3,95.67,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Fiberwire 2 54In Braid Arthrex,244.95,95.53,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Fiberwire 2-5 Taper Needle 38In,107.64,41.98,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Firberwire 38In T-5 Taper Blue Arthrex,107.64,41.98,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Goretex Cv-0 Thx-26 36In Wl Gore And Assoicates,173.88,67.81,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Goretex Cv-2 Ph-24 48In Wl Gore And Assoicates,172.84,67.41,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Lasso Crescent,685.17,267.22,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Mersilene 5-0Mm Mo-4 12In White Ethicon,172.84,67.41,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Monocryl 3-0 Ps-2 27In Undyed Ethicon,33.12,12.92,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Monocryl 4-0 Ps-2 27In Undyed Ethicon,33.26,12.97,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 2-0 Undyed 1X27In Sh,12.42,4.84,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 2-0 Undyed 1X36In Ct-1,13.66,5.33,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 3-0 Undyed 1X18In Ps-2,32.29,12.59,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 3-0 Undyed 1X27In Ks,18.63,7.27,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 3-0 Undyed 1X27In Ps-1,35.84,13.98,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 3-0 Undyed 1X27In Sh,12.07,4.71,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 4-0 P-3 18In Undyed Antibacterial Ethic,34.89,13.61,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 4-0 Undyed 1X18In Pc-1,34.95,13.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 4-0 Undyed 1X18In Pc-3,35.19,13.72,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 4-0 Undyed 1X18In Pc-5,34.38,13.41,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 4-0 Undyed 1X18In Ps-2,32.12,12.53,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 4-0 Undyed 1X27In Ps-1,35.71,13.93,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 4-0 Undyed 1X27In Rb-1,12.42,4.84,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 4-0 Undyed 1X27In Sh,11.38,4.44,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 5-0 Ps-2 18In Undyed Antibacterial Ethi,32.08,12.51,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 5-0 Undyed 1X18In P-3,35.27,13.76,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 5-0 Undyed 1X18In Pc-3,35.88,13.99,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 5-0 Undyed 1X27In Rb-1,13.97,5.45,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Monoderm 2-0 30X30Cm Undyed Quill Surgical Speciialti,117.47,45.81,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Monoderm 3-0 30X30Cm 24Mm Undyed Quill Surgical Speci,101.95,39.76,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Ndl Mrtn 5 Ut Half Circ Revct Strl,46.06,17.96,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Nurolon 0 Ni-6 C545D,63.14,24.62,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Orthocord Size 2 Mo-6 36In Violet Depuy Mitek,191.48,74.68,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Pdo 2 36X36Cm 48Mm Violet Quill,101.43,39.56,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Pds Plus 0 Violet 1X27In Ct-1,14.41,5.62,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Pds Plus 0 Violet 1X27In Ct-2,15.48,6.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Pds Plus 0 Violet 1X36In Ctx,15.52,6.05,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Pds Plus 0 Violet 1X60In Looped 30In Ctx,33.12,12.92,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Pds Plus 1 Violet 1X27In Ct-1,14.71,5.74,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Pds Plus 1 Violet 1X36In Ct,16.56,6.46,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Pds Plus 1 Violet 1X36In Ctx,16.56,6.46,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Pds Plus 2-0 Violet 1X27In Ct-1,14.49,5.65,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Pds Plus 2-0 Violet 1X27In Ct-2,15.9,6.2,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Pds Plus 2-0 Violet 1X27In Sh,15.01,5.85,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Pds Plus 3-0 Undyed 1X18In Ps-2,31.14,12.14,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Pds Plus 3-0 Violet 1X27In Rb-1,16.56,6.46,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Pds Plus 3-0 Violet 1X27In Sh,15.21,5.93,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Pds Plus 4-0 Undyed 1X18In P-3,30.79,12.01,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Pds Plus 4-0 Undyed 1X18In Ps-2,17.25,6.73,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Pds Plus 4-0 Undyed 1X27In Fs-2,22.08,8.61,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Pds Plus 4-0 Violet 1X27In Rb-1,14.49,5.65,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Pds Plus 4-0 Violet 1X27In Sh,16.15,6.3,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Pds Plus 5-0 L18In Violet Antibacterial L13Mm,35.19,13.72,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Pds Plus 5-0 Undyed 1X18In P-3,33.64,13.12,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Pds Plus 5-0 Violet 1X27In Rb-1,16.15,6.3,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Pds Symmetric Absr Sz# 1 36Mm 1-2Cir Tpr Pt,105.83,41.27,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Pds2 0 Ct1 18In Violet Ethicon,95.22,37.14,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Pds2 18In Violet Endoloop Ethicon,693.45,270.45,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Pds2 2-0 Stp-10 27In Violet Double Arm Ethicon,89.01,34.71,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Pds2 6-0 P-1 18In Clear Ethicon,32.08,12.51,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Permahand 0 10-30In Tie Black Ethicon,11.38,4.44,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Permahand 0 18In Tie Black Ethicon,5.18,2.02,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Permahand 0 18In Ties Black Ethicon,11.38,4.44,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Permahand 0 30In Tie Black Ethicon,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Permahand 0 Fsl 18In Black Ethicon,8.28,3.23,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Permahand 0 Sh 30In Black Ethicon,6.21,2.42,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 18In Tie Black Ethicon,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 30In Lambrinth Black Ethicon,12.16,4.74,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 30In Tie Black Ethicon,11.38,4.44,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 Fs 18In G Black Ethicon,7.92,3.09,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 Fs 18In H Black Ethicon,8.01,3.12,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 Fsl 30In Black Ethicon,8.28,3.23,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 Sh 30In Black Ethicon,6.21,2.42,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Permahand 3-0 18In Tie Black Ethicon,8.74,3.41,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Permahand 3-0 30In Tie Black Ethicon,15.52,6.05,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Permahand 3-0 Fs-1 18In Black Ethicon,9.32,3.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Permahand 3-0 Ps-2 18In Black Ethicon,16.9,6.59,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Permahand 3-0 Rb-1 30In Black Ethicon,8.1,3.16,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Permahand 3-0 Sh 18In Black Ethicon,44.09,17.2,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Permahand 3-0 Sh 30In Black Ethicon,6.21,2.42,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Permahand 4-0 18In Tie Black Ethicon,10.35,4.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Permahand 4-0 Sh 18In Cr Ethicon,41.4,16.15,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Permahand 4-0 Sh 30In Black Ethicon,6.21,2.42,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Permahand 6-0 Tg140-8 18In Black Ethicon,57.96,22.6,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Plain 3-0 Xlh 27In Ethicon,34.16,13.32,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Plain 4-0 Fs-2 27In Ethicon,15.52,6.05,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Plain 4-0 P-3 18In Ethicon,30.02,11.71,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Plain 4-0 Ps-2 18In Ethicon,31.16,12.15,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Plain 4-0 Sc-1 18In Double Arm Ethicon,29.61,11.55,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Plain 4-0 Sc-1 18In Ethicon,15.16,5.91,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Plain 5-0 P-3 18In Ethicon,53.82,20.990000000000002,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Plain 5-0 Pc-1 18In Ethicon,32.62,12.72,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Plain 6-0 G-1 18In Double Arm Ethicon,77.97,30.41,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Plain Gut 2-0 Gs-23 30In Covidien,40.16,15.66,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Pro 0 Sh 30In Ethicon,18.28,7.13,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Prolene 0 Ct-1 18In Ethicon,73.48,28.66,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Prolene 0 Ct-1 30In Ethicon,12.34,4.81,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Prolene 0 Ct-2 30In Ethicon,12.42,4.84,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Prolene 1 Ct-1 30In Ethicon,12.76,4.98,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Prolene 1 Ctx 30In Ethicon,12.42,4.84,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Prolene 2-0 Ct-2 30In Ethicon,12.67,4.94,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Prolene 2-0 Fs 18In Ethicon,13.46,5.25,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Prolene 2-0 Sh 30In Ethicon,16.65,6.49,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Prolene 3-0 Fs-1 18In Ethicon,16.1,6.28,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Prolene 3-0 Fs-2 18In Ethicon,14.12,5.51,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Prolene 3-0 Sh 30In Ethicon,16.56,6.46,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Prolene 4-0 Ps-2 G 18In Ethicon,27.94,10.9,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Prolene 4-0 Ps-2 H 18In Ethicon,28.98,11.3,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Prolene 4-0 Rb-1 30In Blue Ethicon,18.33,7.15,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Prolene 4-0 Rb-1 36In Double Arm Ethicon,29.67,11.57,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Prolene 5-0 Bv-1 24In Double Arm Ethicon,117.64,45.88,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Prolene 5-0 P-3 18In Ethicon,24.38,9.51,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Prolene 5-0 Ps-3 18In Blue Ethicon,24.32,9.48,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Prolene 5-0 Rb-1 36In Double Arm Blue Ethicon,31.05,12.11,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Prolene 5-0 Rb-2 30In Double Arm Blue Ethicon,28.98,11.3,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Prolene 6-0 Bv-1 30In Double Arm Blue Ethicon,87.13,33.98,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Prolene 6-0 P-3 18In Blue Ethicon,31.05,12.11,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Prolene 7-0 Bv-1 18In Double Arm Blue Ethicon,86.94,33.91,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Prolene 7-0 Bv-1 30In Double Arm Blue Ethicon,89.53,34.92,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Prolene Size 6-0,81.07,31.62,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Shuttle Accu Pass Cresent Smith And Nephew,738.99,288.21,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Shuttle Ideal Straight Cresent Depuy Mitek,934.6,364.49,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Stratafix Pds 1 Os6 18In Violet Ethicon,100.4,39.16,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Stratafix Pds Plus Ct-1 L36Mm,126.27,49.25,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Stratafix Size 0 L9In Symmetric Pds Plus,128.68,50.19,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Stratafix Symmetric 18Cmx45Cm Violet Ethicon,101.43,39.56,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Stratafix Synnetric Pds 0 Ct-1 36Mm Taper,126.71,49.42,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Surgilon 0 Gs-21 18In Black Covidien,134.55,52.47,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Surgiwip 0 Esk Ski 48In Green Covidien,69.34,27.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Tensioner-Cutter 2-0 And 0 Fiberwire Arthrex,856.98,334.22,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Tigerloop #2 20In White-Green Arthrex,244.95,95.53,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Ulbrd 2 38In Blu,101.43,39.56,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture V-Loc 0 Gs-21 12In Covidien,119.19,46.48,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture V-Loc 0 Gs-21 9In Covidien,113.85,44.4,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture V-Loc 0 Gs-25 24In Covidien,146.97,57.32,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture V-Loc 1 Gs-21 18In Covidien,131.44,51.26,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture V-Loc 180 1-2 Circle 2-0 X 30Cm X 26Cm Absorbable Cov,119.37,46.55,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture V-Loc 180 Es-9 Reload 10Mm Covidien,195.62,76.29,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture V-Loc 180 Sz 2-0 L15Cm Absorbable Wound Closure,113.85,44.4,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture V-Loc 180 Sz 3-0 L12In Grn V-20 Needle L26Mm 1-2 Dia,119.02,46.42,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture V-Loc 2-0 180 Es9 6In Green Absorbable Reload Covidie,162.5,63.38,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture V-Loc 2-0 Gs-21 12In Covidien,119.02,46.42,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture V-Loc 2-0 Gs-21 18In Covidien,131.44,51.26,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture V-Loc 3-0 Cv-23 6In Covidien,113.72,44.349999999999994,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture V-Loc 3-0 P-14 18In Covidien,131.44,51.26,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture V-Loc 3-0 V-20 6In Covidien,113.73,44.35,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture V-Loc 3-0 V-20 9In Covidien,102.81,40.1,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl + 0 Ct-1 36In Undyed Ethicon,9.09,3.55,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl + 2-0 Ct-2 27In Antibacterial Undyed Ethicon,9.32,3.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl + 2-0 Sh 27In Antibacterial Undyed Ethicon,8.54,3.33,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl + 3-0 Sh 27In Antibacterial Undyed Ethicon,8.41,3.28,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl 0 18In Endoloop Violet Ethicon,727.86,283.87,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl 2-0 18In Tie Braided Violet Ethicon,38.3,14.94,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl 2-0 18In Tie Undyed Violet Ethicon,38.3,14.94,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl 3-0 12 X 18Inch Strand Violet Ethicon,38.3,14.94,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl 3-0 18In Ties Undyed Ethicon,37.26,14.53,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl 6-0 S-14 18In Undyed Ethicon,71.42,27.85,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl 7-0 P-1 18In Undyed Ethicon,22.77,8.88,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl 7-0 Tg140-8 18In Undyed Ethicon,67.53,26.34,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Undyed 1X27In Ct-1,8.41,3.28,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Undyed 1X27In Ct-2,8.95,3.49,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Undyed 1X36In Ct,8.97,3.5,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Undyed 1X36In Ctx,9.66,3.77,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Undyed 1X54In Tie,12.42,4.84,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Undyed 6X18In Tie,28.29,11.03,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Undyed 8X18In Ct-1 Cr,65.6,25.58,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Undyed 8X27In Ct-1 Cr,66.76,26.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 1X27In Ct-1,9.32,3.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 1X27In Ur-6,10.5,4.1,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 1X36In Ct,9.32,3.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 1X36In Ct-1,9.02,3.52,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 1X36In Ctx,9.83,3.83,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 54In Ligapak Reel 0,12.42,4.84,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 8X18In Ct-1 Cr,64.56,25.18,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 8X18In Ct-2 Cr,65.15,25.41,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 8X18In Mo-4 Cr,83.06,32.39,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 8X27In Ct-1 Cr,65.46,25.53,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 118 Coated Viloet Ethicon Inc,68.83,26.84,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 Coated Undyed 1X27In Ct-1,8.9,3.47,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 Coated Undyed 1X36 In Ct-1 Braided Ethi,9.5,3.7,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 Coated Undyed 1X36In Ct,9.32,3.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 Coated Undyed 8X18In Ct-1 Cr,63.65,24.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 Coated Violet 1X27In Ct-2,9.32,3.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 Coated Violet 1X36In Ct-1,9.32,3.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 Coated Violet 1X54In Tie,13.25,5.17,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 Ct-1 8X27 In Cr Undyed Coated Ethicon I,68.31,26.64,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 12X18In Tie,48.53,18.93,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 1X27 Cp-2,9.32,3.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 1X27In Ct-1,8.49,3.31,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 1X27In Fs-1,12.42,4.84,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 1X27In Os-6,13.8,5.38,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 1X27In X-1,12.07,4.71,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 1X36In Ct-1,9.24,3.6,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 1X54In Tie,12.42,4.84,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 3X18 Tie,13.97,5.45,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 8X18In Cp-2 Cr,79.92,31.17,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 8X18In Ct-1 Cr,63.42,24.73,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 8X27In Ct-1 Cr,62.2,24.26,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Violet 1X27In Ct-1,8.47,3.3,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Violet 1X27In Sh,8.41,3.28,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Violet 1X27In Ur-6,11.18,4.36,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Violet 1X54 Tie,12.42,4.84,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Violet 8X18In Ct-1 Cr,63.65,24.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Violet 8X18In Ct-2 Cr,63.65,24.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Violet 8X18In Sh Cr,61.84,24.12,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 12X18In Tie,48.41,18.88,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 1X18In Ps-2,22.63,8.825,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 1X27In Ct-1,8.8,3.43,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 1X27In Ct-2,8.54,3.33,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 1X27In Fs-1,12.07,4.71,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 1X27In Ps-1,25.36,9.89,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 1X27In Ps-2,22.77,8.88,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 1X27In Rb-1,9.66,3.77,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 1X27In Sh-1,9.94,3.88,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 1X36In Ct-1,9.08,3.54,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 8X18In Sh Cr,65.67,25.61,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Violet 12X18In Tie,47.61,18.57,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Violet 1X27In Ct-2,8.28,3.23,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Violet 1X27In Sh,8.42,3.28,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Violet 1X36In Ct-1,9.32,3.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Violet 8X18In Sh Cr,63.34,24.7,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Violet 8X18In Sh-1 Cr,66.24,25.83,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Violet 8X27 Sh Cr,65.72,25.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 12X18In Tie,48.64,18.97,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 1X18In P-3,25.41,9.91,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 1X18In Pc-3,25.62,9.99,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 1X27In Fs-2,11.94,4.66,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 1X27In Ks,12.42,4.84,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 1X27In Ps-2,23.32,9.09,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 1X27In Rb-1,8.8,3.43,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 1X27In Sh,8.97,3.5,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 8X18In Rb-1 Cr,77.62,30.27,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Violet 1X27In Sh,8.28,3.23,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Violet 8X18In Sh Cr,65.2,25.43,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 5-0 Coated Undyed 1X18In P-1,12.42,4.84,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 5-0 Coated Undyed 1X18In P-3,25.88,10.09,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 5-0 Coated Undyed 1X27In Rb-1,11.38,4.44,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus Sz 1 L27In Absorbe Undyed Os-6 L36Mm 1-2,13.2,5.15,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Suture Vloc 0 Gs-21 6In Green Covidien,113.85,44.4,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Syringe 10Ml M Ll Nar Barrel,20.7,8.07,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Syringe 5Ml Ll Tip Med Gls,28.98,11.3,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Syringe Angio 150Ml Qkfl Tube Mrk5 Prvs,21.74,8.48,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Syringe Angio Wht 1Ml Plycrb,9.57,3.73,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Syringe Angio Wht 3Ml Plycrb,9.42,3.67,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Syringe Angiography 10Ml Coronary Control Thumb,22.77,8.88,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Syringe Angiography 10Ml Male Rotating Luer Adapter Control,22.77,8.88,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Syringe Angiography 10Ml Red Polycarbonate High Pressure,10.35,4.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Syringe Epidural Luer Slip Pla,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Syringe Hypoderm Ll Tip 10Ml,9.36,3.65,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Syringe Inj Medrad 150Ml,39.33,15.34,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Syringe Inj Mrk5 Quickfill Tube 200Ml,21.74,8.48,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Syringe Irrigation 70Ml W- Cath Adapter Disposable Toomey,8.28,3.23,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Syringe Mdln Ylw Plunger 10Ml Plycrb Sword Handle,9.66,3.77,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Syringe Resistance Plastic Loss Of Perifix 8Ml,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Syringe Single Use Alliance 2 Boston Scientific,211.14,82.34,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - System Adipose Processing Autologous Advanced,2231.46,870.27,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - System Bn Cement Hi Vac Kt Bowl Spat Paddle,249.44,97.28,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - System Bx Tray Ndl Set 102Mm,649.98,253.49,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - System Comp Ther Crcf Med Knee Coolr,300.15,117.06,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - System Contrast Delivery Tubing L72In Burette 30Ml,55.89,21.8,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - System Drmbnd Prineo 2 Octyl Cyncrlt W-Mesh Applicator,344.74,134.45,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - System Inj Syr Medrad,39.33,15.34,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - System Irrisept Wound Debriedment Irrimax,685.21,267.23,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - System Meniscal Repair 2-0 Novostitch Pro Smith And Nephew,3361.68,1311.06,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - System Oncontrol Proc Tray Str,289.8,113.02,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - System Port Site Closure Sterile Disposable Bariatric,514.4,200.62,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - System Prvena Peel And Place,2229.39,869.46,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - System Retrival 5Mm Inzii Applied,342.58,133.61,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - System Smoke Evacuation Filte Er Laparoscopic Max,180.09,70.24,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - System Splnt 4Inx15Ft Orth Gls,322.92,125.94,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - System Tissue Retrieval 125Ml Mouth Dia2In Bag L5.5In,440.91,171.95,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - System Weck Endo Fc Clsr,544.28,212.27,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - T A Wand Evac 70,1199.56,467.83,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tactoset 11Ga Delivery Cannula,1748.12,681.77,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tactoset Delivery Cannula 15Ga,1748.12,681.77,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tape Dressing 3M Mcfm 3In 5.5Yd Adh Hypoall,15.52,6.05,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tape Dressing 3M Mdpr H 4In 10Yd Adh Hypoall,34.16,13.32,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tape Durapore 3In 3M Healthcare,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tape Measuring L30Cm Identify Vessel Lesion Length,141.79,55.3,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tape Suture 1.3Mm 36In Wht-Blu W-Taper Ends And Needle 26.5M,171.51,66.89,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Telescoping Smoke Evacuation R,118.0,46.02,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tip 5Fr Wedge Yellow Tip,50.72,19.78,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tip Intpls Suct Tub High Flow,186.3,72.66,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tip Monopolar Scissors Curved Da Vinci System,616.86,240.58,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tip Pulse Lavage Irrigation Pump Disposable Stryker Medical,53.82,20.99,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tip Suct Frzr 10Fr Control,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tip Suct Kamvac Mini 10In Crv,489.56,190.93,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tip Suct Ynkr Std 10 3-8In Cr,229.77,89.61,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tip Suction Frazier 12 French Covidien,9.32,3.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tool Dissect Mr8 10Cm 4Mm Dia Fluted,794.88,310.0,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tool Dissect Mr8 10Cm 5Mm Dia Fluted,888.72,346.6,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tool Dissect Mr8 12Cm 3Mm Dia Matchead Telescoping,1150.92,448.86,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tool Dissect Mr8 14Cm 3Mm Dia Matchead Fluted,789.11,307.75,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tool Dissect Mr8 7Cm 1.7Mm Dia Matchead,637.56,248.65,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tool Pacemaker 2 Kt Wrench,171.81,67.01,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tourni Cuff 18Inx4In 2-Ln Red 2-Line Sterile Disposable,84.87,33.1,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tourni Cuff 30Inx4In 2-Ln Wht 2-Line Sterile Disposable,101.43,39.56,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tourni Cuff 34Inx4In 2-Ln Blu 2-Line Sterile Disposable,109.71,42.79,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tourniquet 18In Sterile Disp,112.82,44.0,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tourniquet 24In Sterile Disp,149.04,58.13,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tourniquet 30In W- Sleeve Di,135.58,52.88,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tracepak Breast Procedure Ksoc Wdc,509.22,198.6,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tracepak Gyn Lap Ksoc Wdc,463.68,180.84,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tracepak Head And Neck Ksoc,155.25,60.55,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tracepak Laparoscopic Ksoc,350.86,136.84,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tracepak Minor Lithotomy Ksoc Wdc,188.31,73.44,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tracepak Minor Procedure Ksoc Wdc,192.53,75.09,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tracepak Nasal Head And Neck Wdc,219.42,85.57,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tracepak Suction D And C Kosc,344.66,134.42,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tracepak T And A Ksoc Wdc,103.5,40.36,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Trap Plpctm Etrap Spec Poly 15Cm Disp Strl,26.92,10.5,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Trap Plyp Inline Endo 1Chamber Suct Disp,11.92,4.65,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Trap Specimen Berkley Olympus,45.37,17.69,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Trapeziectomy Tool W Handle Sterile,1224.4,477.52,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tray Biopsy Soft Tissue,59.48,23.2,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tray Bx Wo Prc Ndl Sft Tis Lf,88.52,34.52,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tray Cath 16Fr Lbrcath W Drain Bag,58.96,22.99,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tray Cath 5Fr 40Cm Hsg,450.22,175.59,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tray Catheter Foley 16 Fr Advance System Bag With Statlock,49.68,19.38,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tray Catheter Foley 16Fr Silicone Bard Medical,48.64,18.97,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tray Catheter Foley 16Fr Silicone With Drain Bag Bard Medica,53.82,20.99,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tray Catheter Foley 16Fr With Drain Bag Bard Medical,57.95,22.6,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tray Catheter Foley 18Fr Silicone With Drain Bag Bard Medica,53.82,20.99,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tray Epdrl 18Ga 90 Ndl W Hust,89.01,34.71,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tray Epidural 20 Gauge 3.5In Needle Syringe Braun,64.17,25.03,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tray Foley Lubricatheter 16Fr With Drainage Bag Latex Bard M,50.72,19.78,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tray Gp Ekt Lf Strl Disp,10.35,4.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tray Lbrcth Foley 16F Mtr Sil,102.46,39.96,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tray Lumbar Adult 20 Ga L3.5In Puncture Needle Luerlock Syr,71.42,27.85,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tray Nerve Blck Univ,93.15,36.33,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tray Picc Kennestone Wk430C,263.41,102.73,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tray Prctns Thorcnts Custom,97.29,37.94,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tray Proc Arthgm Syr Extn Tub App Ndl Pad,46.58,18.17,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tray Skin Scrub Premium Wet,25.88,10.09,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tray Spnl 3.5In 22Ga Adlt,35.19,13.72,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tray Spnl 3.5In 22Ga Adlt Lumbar Puncture Ph,117.47,45.81,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tray Surg Prep Pvp Gel Skin,12.42,4.84,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tray Sut Cust Lac,33.12,12.92,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Trocar 12Mm Blunt Tip Latex Free,202.86,79.12,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Trocar Bladless 11Mm Optical L,112.82,44.0,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Trocar Bladless 8Mm,99.36,38.75,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Trocar Bldeless 5Mm Shrt W Fx,78.66,30.68,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Trocar Endo 100Mm Dil Expand,237.02,92.44,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Trocar Laparos 100 5Mm 1St Ent Thrd Kii,440.91,171.95,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Trocar Laparos 100Mm 5Mm Vrstp,189.4,73.87,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Trocar Laparos 12Mm Spcmkr Blnt Tip Balloon,202.86,79.12,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Trocar Laparoscopic 10X12Mm Blade Applied Medical Resources,160.43,62.57,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Trocar Laparoscopic 10X12Mm No Threaded Applied Medical Reso,245.3,95.67,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Trocar Optc Bladeless 11Mm Std W-Fx100Mm Cannula,22.77,8.88,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Trocar Optc Bladeless 12Mm Std W-Fx Cannula,119.02,46.42,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Trocar Optc Std 12Mm Fx Cannula,63.14,24.62,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Trocar Optical 15Mm,162.5,63.38,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Trocar Vrsprt + Bladeless 8Mm Std W Fx Cannula,102.46,39.96,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Trocar Vrsprt Bladelss 5Mm Optc,80.73,31.48,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Trocar Vrsprt Bldeless 5Mm Std W Fx Cannula,87.98,34.31,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Trocar Vrsprt Bldelss 5Mm Shrt Optc,80.73,31.48,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Trocar Vrsprt V2 5Mm W Fx Cannula,76.59,29.87,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Trocar Vrsprt V2T Bladeless 5Mm Optc,80.73,31.48,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tub Contrast Injctn Hiprs 72In Flx Rpt Adpt,32.08,12.51,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tub Endoflator Fltr M Ll 10Ft Swvl Adptr,80.73,31.48,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tub Insuf Ll 1-4Ini.D. 10 Filtr .3 Mic,31.05,12.11,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tub Rns Set,46.58,18.17,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tub Suct-Irr Spk On-Off Clamp,204.41,79.72,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tube Airway Esophageal 4 Adult Lma North America Inc,28.98,11.3,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tube Cnct M Cnct 1-4Inid 12 S Ncdtv,3.1,1.21,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tube Cnct Suct 9-32In Id 12Ft Strl,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tube Drain 30Cm 14Fr Uret Vnyl,62.1,24.22,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tube Endotrach 6.5Mm Nsl-Orl,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tube Endotrach 6.5Mm Oral Cuff,20.7,8.07,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tube Endotrach 6Mm Nasal Cuff,20.7,8.07,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tube Endotrach 6Mm Oral Cuff,20.7,8.07,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tube Endotrachal 7.5Mm Teleflex,7.14,2.78,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tube Endotrachal 8.0Mm Teleflex,7.24,2.82,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tube Endtrch 4.5Mm Oral Shrd,20.7,8.07,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tube Gastrostomy Feeding L10Cm Od18Fr 5-10Ml M Balloon,312.57,121.9,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tube Ng 48In 14Fr 2 Lum Prv,27.94,10.9,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tube Ng 48In 14Fr 2 Lum Salem,10.35,4.04,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tube Ng 48In 16Fr 2 Lum Prv,23.8,9.28,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tube Suct 12Fr Frazier Ctrl Vt Venter Universal Sterile,9.32,3.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tube Vent Coated Silicone T L12Mm Lumen Id1.14Mm,108.68,42.39,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tube Ventilation L12Mm Flange L9.8Mm Lumen 1.14Mm,128.34,50.05,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tubing 48Inch 1200 Psi,26.85,10.47,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tubing Angio 1200 Psi 10In,19.66,7.67,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tubing Arthroscopy Flow Steady Stryker,290.83,113.42,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tubing Aspiration 12Ft Microaire,64.17,25.03,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tubing Cap Air H20 Olympus,63.14,24.62,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tubing Clevercap Hybrid Co2 Set,127.3,49.65,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tubing Contrast Injectn Hi Pr Res Fix Male Luer 20In,21.74,8.48,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tubing Endogator Hybrid Irr,94.18,36.73,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tubing Endotrachal 7Mm Teleflex,7.12,2.78,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tubing Ext 20In Flexcil High Pressure Injection,37.26,14.53,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tubing Extension 9In,131.44,51.26,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tubing Fluid Admin 72In High P Ress M-F Ll 1200Psi,28.98,11.3,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tubing Fluid Management Y Double Spike Dualwavea,102.46,39.96,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tubing Hysterscopy Pump Fluid Safe Stryker,464.72,181.24,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tubing Inflow Myosure Hologic,538.2,209.9,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tubing Infltr 9Ft Infus Pump,146.97,57.32,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tubing Insufflation Deroyal,17.6,6.86,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tubing Insufflation Heated Stryker,210.62,82.14,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tubing Insufflation Iso Connector Disposable,166.64,64.99,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tubing Irr Cassette Arthro,652.05,254.3,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tubing Irrigation Cysto Hospira,32.75,12.77,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tubing Irrigation Tur Hospira,51.19,19.96,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tubing Outflow Myosure Hologic,98.32,38.34,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tubing Pump Arthroscopy Ar-6400,290.78,113.4,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tubing Set Cool Point,367.42,143.29,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tubing Smoke Evacuation 6Ft Bufalo,53.82,20.99,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tubing Smoke Evacuator 10Ft,48.64,18.97,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tubing Suct 10Ft 5Mm Strkfl Tub Handpiece,274.15,106.92,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tubing Suct 18In Brkly,9.32,3.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tubing Suct Clr 10Ft 3-8In,36.22,14.13,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tubing Suct Extn Escp Lav,23.8,9.28,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tubing Suct Intljt Infl Set Fld Mgmt Sys Strl,225.63,88.0,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tubing Suct Irr Wo Tip,173.92,67.83,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tubing Suction Dc Berkley Olympus,39.33,15.34,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tubing W-Sponge Guard 7-8Inch,42.44,16.55,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Tunneler Surg 2 Slv Disp,2367.56,923.35,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Unit Electrosurg 37Cm Hnd Swch Disp Lg Atls,1826.78,712.44,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Unit Electrosurg Lgsr 5Mm Md,2307.02,899.74,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Unit Ligasure Impact Curved Large Law 36Mm-18Cm Covidien,2585.43,1008.32,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Unit Suction Collection Sock Deroyal,11.38,4.44,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Unit Suction Puddle Guppy Deroyal,35.19,13.72,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Ureteroscope Dgt Disp Lithovue,6613.65,2579.32,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Valve Biopsy Air Water Suction Us Endoscopy,24.01,9.36,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Valve Biopsy Suction Sterile Single Use,57.82,22.55,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Valve Bx Brnchl Ventri Bscp,24.69,9.63,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Valve Hemosta Lg Bore,67.28,26.24,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Valve Hemostasis Guardian N,166.84,65.07,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Vessel Sealer Xi Extended,2893.86,1128.61,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Vest Bra Slvls W Pouches 2Xl,418.14,163.07,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Vloc Non Abs Dvc Bl Size 0 L18In L37Mm Gs-21,131.65,51.34,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Wand Ablation 50Deg With Flow 50 Coblation Werewolf,1314.45,512.64,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Wand Ablation 90Deg With Flow-Iq Technology Werewolf,1440.72,561.88,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Wand Ambient 90 Ifs Super Trbv Trbvc,930.46,362.88,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Wand Apollo Rf Xxl Asp Ablator 90 Degree,930.46,362.88,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Wand Coblation Halo,1296.86,505.78,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Wand Ent Coblation Trbnt 2.9Mm Disp,1150.92,448.86,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Wand Hemostasis Fastseal 6.0 Werewolf,2047.51,798.53,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Wand Plasma Evac 70 Smith And Nephew,1077.44,420.2,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Wand Plsm Rflx Ul 45D,1027.76,400.83,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Warmer Scope Dbl Sided Ltx-Dehp Free Disp,36.22,14.13,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Waveguide Eigr W Flat Sgl Use Ilum,1529.73,596.59,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Wax Bone 2.5Gm Ethicon,25.44,9.92,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Wellstar Total Joint Pack Ws400006,428.49,167.11,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Wipe Instrument Surgical Ster Rile 3In X 3In,2.07,0.81,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Wire Asahi Prowater 180 Cm,391.23,152.58,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Wire K 09Mm 102Mm 4In,35.19,13.72,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Wire K 1.4Mm 102Mm,35.19,13.72,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Wire K 16Mm 229Mm 9In,35.19,13.72,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Wire K Troc Thr 9In .062In,68.31,26.64,,,0
HCPCS,A4649,Noncdm Charge Record Medical Supplies - Wrench Hex Disposable St Jude Medical,132.48,51.67,,,0
HCPCS,A4649,Osteotome Surgical 6Mm 1.5 In,1141.6,445.22,,,0
HCPCS,A4649,Sodium Chloride For Irrigation: 4 Container In 1 Case (0264-7388-60)  / 3000 Ml In 1 Container,111.38,43.44,,,0
HCPCS,A4649,Sodium Chloride: 12 Bag In 1 Case (0990-7972-05)  / 1000 Ml In 1 Bag,31.33,12.22,,,0
HCPCS,A4649,"Sodium Chloride: 12 Bottle, Plastic In 1 Carton (0338-0048-04)  / 1000 Ml In 1 Bottle, Plastic",34.39,13.41,,,0
HCPCS,A4649,"Sodium Chloride: 12 Bottle, Plastic In 1 Case (0990-7138-09)  / 1000 Ml In 1 Bottle, Plastic",34.67,13.52,,,0
HCPCS,A4649,Sodium Chloride: 16 Container In 1 Case (0264-2201-00)  / 1000 Ml In 1 Container,31.72,12.37,,,0
HCPCS,A4649,Sodium Chloride: 16 Container In 1 Case (0264-2201-10)  / 500 Ml In 1 Container,29.71,11.59,,,0
HCPCS,A4649,"Sodium Chloride: 18 Bottle, Plastic In 1 Carton (0338-0048-03)  / 500 Ml In 1 Bottle, Plastic",31.83,12.41,,,0
HCPCS,A4649,"Sodium Chloride: 24 Bottle, Plastic In 1 Case (0990-6138-03)  / 500 Ml In 1 Bottle, Plastic",40.23,15.69,,,0
HCPCS,A4649,Sodium Chloride: 4 POUCH in 1 CASE (0409-7972-08)  / 1 BAG in 1 POUCH / 3000 mL in 1 BAG,61.73,24.07,,,0
HCPCS,A4649,Sodium Chloride: 4 Pouch In 1 Case (0990-7972-08)  / 1 Bag In 1 Pouch / 3000 Ml In 1 Bag,64.8,25.27,,,0
HCPCS,A4649,Splnt Intranasal Posisep,956.34,372.97,,,0
HCPCS,A4649,"Sterile Water: 12 BOTTLE, PLASTIC in 1 CASE (0409-7139-09)  / 1000 mL in 1 BOTTLE, PLASTIC",35.61,13.89,,,0
HCPCS,A4649,"Sterile Water: 12 Bottle, Plastic In 1 Carton (0338-0004-04)  / 1000 Ml In 1 Bottle, Plastic",29.83,11.63,,,0
HCPCS,A4649,"Sterile Water: 12 Bottle, Plastic In 1 Case (0990-7139-09)  / 1000 Ml In 1 Bottle, Plastic",36.22,14.13,,,0
HCPCS,A4649,Sterile Water: 12 Pouch In 1 Case (0990-7990-09)  / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,55.89,21.8,,,0
HCPCS,A4649,Sterile Water: 16 Container In 1 Case (0264-2101-10)  / 500 Ml In 1 Container,34.16,13.32,,,0
HCPCS,A4649,"Sterile Water: 24 Bottle, Plastic In 1 Case (0990-6139-03)  / 500 Ml In 1 Bottle, Plastic",40.36,15.74,,,0
HCPCS,A4649,Sterile Water: 4 Container In 1 Case (0264-7386-60)  / 3000 Ml In 1 Container,130.41,50.86,,,0
HCPCS,A4649,Sterile Water: 4 Pouch In 1 Case (0990-7973-08)  / 1 Bag In 1 Pouch / 3000 Ml In 1 Bag,86.94,33.91,,,0
HCPCS,A4649,Sterile Water: 6 POUCH in 1 CASE (0409-7973-07)  / 1 BAG in 1 POUCH / 2000 mL in 1 BAG,72.45,28.26,,,0
HCPCS,A4649,Sterile Water: 6 Pouch In 1 Case (0990-7973-07)  / 1 Bag In 1 Pouch / 2000 Ml In 1 Bag,36.22,14.13,,,0
HCPCS,A4649,Surgifoam Gelatin Powder 1Gm,456.44,178.01,,,0
HCPCS,A4649,Tip Sonopet 360 X 12Cm Apex Iq,4059.27,1583.12,,,0
HCPCS,A4649,Tip Uterine Sacro Hoyte,824.9,321.71,,,0
HCPCS,A4802,Protamine sulfate per 50 mg,,,25.88,25.88,2
HCPCS,A6021,Hc Collagen Dressing Pad Size 16 Sq In Or Less Each,60.905,23.75,,,0
HCPCS,A6021,Hc Collagen Dressing Sterile Pad Size 16Sq In Or Less Each,8299.25,3236.71,,,0
HCPCS,A6209,Noncdm Charge Record Medical Supplies - Dressing Brn Fst Act 16X16 Vrstl Ncrstln Antibact,306.36,119.48,,,0
HCPCS,A6209,Noncdm Charge Record Medical Supplies - Dressing Petro 4Inx3Yd Nadh Bctrst Patch Xr,24.84,9.69,,,0
HCPCS,A6209,Noncdm Charge Record Medical Supplies - Roll Hemostatic Xray Detectab Ble 3In X 4 Yd,189.4,73.87,,,0
HCPCS,A6520,G com garmnt glove nghttime,,,126.45,247.84,7
HCPCS,A6521,G com garmnt glove nght cust,,,501.75,983.43,7
HCPCS,A6522,G com garment arm nighttime,,,307.26,602.23,7
HCPCS,A6523,G com garment arm nght custm,,,729.02,1428.88,7
HCPCS,A6524,G com garmnt lwr leg/ft nght,,,383.34,751.35,7
HCPCS,A6525,G com garm lwrleg/ft ngt cus,,,773.9,1516.84,7
HCPCS,A6526,G com garmt full leg/ft nght,,,693.06,1358.4,7
HCPCS,A6527,G garmt full leg/ft nght cus,,,1274.45,2497.92,7
HCPCS,A6528,G com garment bra nighttime,,,666.42,1306.18,7
HCPCS,A6529,G com garmt bra night custm,,,1053.04,2063.96,7
HCPCS,A6530,Compression stocking bk18-30,,,39.07,76.58,7
HCPCS,A6531,Compression stocking bk30-40,,,61.66,120.85,7
HCPCS,A6532,Compression stocking bk40-50,,,86.88,170.28,7
HCPCS,A6533,Gc stocking thighlngth 18-30,,,54.86,107.53,7
HCPCS,A6534,Gc stocking thighlngth 30-40,,,62.65,122.79,7
HCPCS,A6535,Gc stocking thighlngth 40-50,,,72.13,141.37,7
HCPCS,A6536,Gc stocking full lngth 18-30,,,73.95,144.94,7
HCPCS,A6537,Gc stocking full lngth 30-40,,,87.67,171.83,7
HCPCS,A6538,Gc stocking full lngth 40-50,,,102.65,201.19,7
HCPCS,A6539,Gc stocking waistlngth 18-30,,,97.86,191.81,7
HCPCS,A6540,Gc stocking waistlngth 30-40,,,116.68,228.69,7
HCPCS,A6541,Gc stocking waistlngth 40-50,,,138.21,270.89,7
HCPCS,A6545,Grad comp non-elastic BK,,,121.41,237.96,7
HCPCS,A6552,Grad com stocking bk 30-40,,,57.97,113.62,7
HCPCS,A6553,G com stcking bk 30-40 custm,,,226.38,443.7,7
HCPCS,A6554,Grad com stocking bk 40+,,,79.72,156.25,7
HCPCS,A6555,G com stcking bk 40+ custm,,,226.38,443.7,7
HCPCS,A6556,G com stcking thgh18-30 cust,,,310.25,608.09,7
HCPCS,A6557,G com stcking thgh30-40 cust,,,310.25,608.09,7
HCPCS,A6558,G com stcking thgh 40+ cust,,,320.17,627.53,7
HCPCS,A6562,G com stckng waist18-30 cust,,,1015.37,1990.13,7
HCPCS,A6563,G com stckng waist30-40 cust,,,1015.37,1990.13,7
HCPCS,A6564,G com stckng waist 40+ cust,,,1093.78,2143.81,7
HCPCS,A6565,Grad comp gauntlet custom,,,175.45,343.88,7
HCPCS,A6566,Grad com garment neck/head,,,254.75,499.31,7
HCPCS,A6567,G com garment neck/head cust,,,800.42,1568.82,7
HCPCS,A6568,G com garment torso/shldr,,,166.26,325.87,7
HCPCS,A6569,G com garmnt torso/shdr cust,,,946.74,1855.61,7
HCPCS,A6570,Grad com garment genital,,,113.28,222.03,7
HCPCS,A6571,G com garment genital custm,,,680.84,1334.45,7
HCPCS,A6572,Grad com garment toe caps,,,105.11,206.02,7
HCPCS,A6573,Grad com garmnt toe cap cust,,,249.43,488.88,7
HCPCS,A6574,Custom gradient sleev/glov,,,317.99,623.26,7
HCPCS,A6575,Gradient comp sleev/glov,,,103.05,201.98,7
HCPCS,A6576,Custom grad com sleeve med,,,195.16,382.51,7
HCPCS,A6577,Custom grad cm sleeve heavy,,,161.53,316.6,7
HCPCS,A6578,Gradient comp sleeve,,,79.55,155.92,7
HCPCS,A6579,Custom grad com glove med,,,313.26,613.99,7
HCPCS,A6580,Custom grad com glove heavy,,,310.96,609.48,7
HCPCS,A6581,Gradient comp glove,,,72.99,143.06,7
HCPCS,A6582,Gradient comp gauntlet,,,48.68,95.41,7
HCPCS,A6583,Grad com wrap w straps bk,,,160.13,313.85,7
HCPCS,A6585,Grad com wrap w straps ak,,,189.6,371.62,7
HCPCS,A6586,Grad com wrap w straps leg,,,558.59,1094.84,7
HCPCS,A6587,Grad com wrap w straps foot,,,73.17,143.41,7
HCPCS,A6588,Grad com wrap w straps arm,,,243.87,477.99,7
HCPCS,A6589,Grad com wrap w straps bra,,,96.27,188.69,7
HCPCS,A6594,G comp bandge liner lwr extr,,,35.05,68.7,7
HCPCS,A6595,G comp bandge liner upr extr,,,34.48,67.58,7
HCPCS,A6596,G comp bandge conform gauze,,,0.18,0.35,7
HCPCS,A6597,G comp bandage long stretch,,,1.55,3.04,7
HCPCS,A6598,G comp bandage med stretch,,,0.75,1.47,7
HCPCS,A6599,G comp bandage short stretch,,,1.7,3.33,7
HCPCS,A6600,G com bandge hgh dn foam sht,,,3.07,6.02,7
HCPCS,A6601,G com bandge hgh dn foam pad,,,3.45,6.76,7
HCPCS,A6602,G com bandge hgh dn foamroll,,,5.03,9.86,7
HCPCS,A6603,G com bandge low dn foamchnl,,,2.36,4.63,7
HCPCS,A6604,G com bandge low dn foam flt,,,1.38,2.7,7
HCPCS,A6605,G com bandage padded foam,,,1.57,3.08,7
HCPCS,A6606,G com bandage padded textile,,,4.67,9.15,7
HCPCS,A6607,G com bandage tub protct lyr,,,1.25,2.45,7
HCPCS,A6608,G com bandage tub protct pad,,,5.21,10.21,7
HCPCS,A6610,G com stcking bk 18-30 custm,,,226.38,443.7,7
HCPCS,A7000,Canister Penumbra Engine,1587.69,619.2,,,0
HCPCS,A7041,Hc Water Seal Drain Container And Tubing For Use W Chest Tube,219.42,85.57,,,0
HCPCS,A7520,Tube Trach Uncuff 4.0,339.48,132.4,,,0
HCPCS,A7521,Tube Trach Cuffed,790.04,308.12,,,0
HCPCS,A7521,Tube Trach Cuffed Ped/Neo,786.6,306.77,,,0
HCPCS,A7521,Tube Tracheostomy Bivona Tts N,1365.16,532.41,,,0
HCPCS,A7521,Tube Tracheostomy Cuffed,195.62,76.29,,,0
HCPCS,A7521,"Tube, Tracheostomy Cuffed",183.2,71.45,,,0
HCPCS,A9155,Artificial saliva,,,14.98,14.98,2
HCPCS,A9156,Oral mucoadhesive per 1 ml,,,4.71,4.71,2
HCPCS,A9180,"Lice treatment, topical",,,1.73,1.73,2
HCPCS,A9272,Dressing Wound Pressure,956.34,372.97,,,0
HCPCS,A9272,System Prevena 125 Thrpy Unit,1386.9,540.89,,,0
HCPCS,A9500,Hc Tc 99M Sestamibi Dx Study Dose,994.0,387.66,,,0
HCPCS,A9500,Noncdm Charge Record Radiopharmaceuticals - Hc Tc 99M Sestamibi Dx Study Dose,253.0,98.67,,,0
HCPCS,A9500,Tc99m sestamibi,,,178.73,178.73,2
HCPCS,A9502,Hc Tc 99M Tetrofosmin Dx Study Dose,546.0,212.94,,,0
HCPCS,A9502,NDC Description Not Available,157.99,61.614999999999995,,,0
HCPCS,A9502,Tc99m tetrofosmin,,,165.78,165.78,2
HCPCS,A9503,Hc Tc 99M Medronate Dx Study Dose Up To 30Mci,314.0,122.46,,,0
HCPCS,A9503,Noncdm Charge Record Radiopharmaceuticals - Hc Tc 99M Medronate Dx Study Dose (Mdp),104.95,40.93,,,0
HCPCS,A9503,Tc99m medronate,,,25.27,25.27,2
HCPCS,A9504,Hc Tc 99M Apcitide Dx Study Dose To 20 Mci,5336.0,2081.04,,,0
HCPCS,A9504,Tc99m apcitide,,,784.05,784.05,2
HCPCS,A9505,Hc Tl 201 Thallos Chloride Dx Per Mci,198.0,77.22,,,0
HCPCS,A9505,NDC Description Not Available,123.0,47.97,,,0
HCPCS,A9505,Tl201 thallium,,,63.49,63.49,2
HCPCS,A9507,Hc In-111 Capromab Pendetied Dx Study Dose Up To 10 Mci,10106.0,3941.34,,,0
HCPCS,A9507,In111 capromab,,,1730.29,8546.37,11
HCPCS,A9508,Hc I-131 Iobenquane Sulfate Dx Per 0.5 Mci,6317.0,2463.63,,,0
HCPCS,A9508,"I131 iodobenguate, dx",,,953.01,3577.55,11
HCPCS,A9509,Iodine I-123 sod iodide mil,,,290.36,290.36,2
HCPCS,A9510,Hc Tc 99M Disofenin Dx Study Dose To 15 Mci,388.0,151.32,,,0
HCPCS,A9510,Tc99m disofenin,,,136.09,136.09,2
HCPCS,A9512,Hc Tc 99M Pertechnetate Dx Per Mci,158.0,61.62,,,0
HCPCS,A9512,Noncdm Charge Record Radiopharmaceuticals - Hc Tc 99M Pertechnetate Dx Per Mci,220.44,85.97,,,0
HCPCS,A9512,Tc99m pertechnetate,,,3.3,3.3,2
HCPCS,A9513,LUTETIUM LU 177 DOTATATE 10 MCI/ML (370 MBQ/ML) INTRAVENOUS SOLUTION,67747.2,26421.41,,,0
HCPCS,A9513,Lutetium lu 177 dotatat ther,,,316.99,1189.95,15
HCPCS,A9515,Choline c-11,,,2516.43,9720.6,11
HCPCS,A9516,Hc I-123 Sodium Iodide Dx Per 100 To 999Uci,316.0,123.24,,,0
HCPCS,A9516,Iodine I-123 sod iodide mic,,,186.31,186.31,2
HCPCS,A9516,Noncdm Charge Record Radiopharmaceuticals - Hc I-123 Sodium Iodide Dx Per 100 To 999 Uci,123.0,47.97,,,0
HCPCS,A9517,Hc I-131 Sodium Iodide Capsules Thx Per Mci,215.0,83.85,,,0
HCPCS,A9517,"I131 iodide cap, rx",,,24.07,127.36,15
HCPCS,A9517,Noncdm Charge Record Radiopharmaceuticals - Hc I-131 Sodium Iodide Capsule(S) Thx Per Mci,993.89,387.62,,,0
HCPCS,A9520,Hc Tc 99M Tilmanocept Dx Up To .5 Mci,2386.0,930.54,,,0
HCPCS,A9520,Noncdm Charge Record Radiopharmaceuticals - Hc Tc 99M Tilmanocept Dx Up To 0.5 Mci (Lymphoseek),2277.55,888.24,,,0
HCPCS,A9520,Tc99 tilmanocept diag 0.5mci,,,1286.19,1286.19,2
HCPCS,A9521,Hc Tc 99M Exametazine Dx Study Dose To 25 Mci,5554.5,2166.26,,,0
HCPCS,A9521,Noncdm Charge Record Radiopharmaceuticals - Hc Tc 99M Exametazime Dx Study Dose To 25 Mci,3033.7,1183.14,,,0
HCPCS,A9521,Tc99m exametazime,,,927.71,3482.58,11
HCPCS,A9524,Hc I-131 Serum Albumin Dx Per 5 Uci Dose,1779.0,693.81,,,0
HCPCS,A9524,"I131 serum albumin, dx",,,153.91,153.91,2
HCPCS,A9524,Noncdm Charge Record Radiopharmaceuticals - Megatope 0.5 Mci-Ml To 1 Mci-Ml Intravenous Solution,7616.34,2970.37,,,0
HCPCS,A9526,Nitrogen n-13 ammonia,,,1281.18,1281.18,2
HCPCS,A9527,Iodine I-125 sodium iodide,,,106.98,1487.76,12
HCPCS,A9528,Hc I-131 Sodium Iodide Cap Dx Per Mci,225.0,87.75,,,0
HCPCS,A9528,"Iodine i-131 iodide cap, dx",,,153.03,153.03,2
HCPCS,A9528,Noncdm Charge Record Radiopharmaceuticals - Hc I-131 Sodium Iodide Cap Dx Per Mci,1177.5,459.22,,,0
HCPCS,A9530,"I131 iodide sol, rx",,,17.82,77.97,15
HCPCS,A9531,Hc I-131 Sodium Iodide Dx Per Mci Up To 100,148.0,57.72,,,0
HCPCS,A9531,I131 max 100uci,,,6.8,6.8,2
HCPCS,A9532,"I125 serum albumin, dx",,,332.27,1760.83,11
HCPCS,A9536,Tc99m depreotide,,,1256.28,1256.28,2
HCPCS,A9537,Hc Tc 99M Mebrofenin Dx Per Dose To 15 Mci,656.0,255.84,,,0
HCPCS,A9537,Noncdm Charge Record Radiopharmaceuticals - Hc Tc 99M Mebrofenin Dx Per Dose To 15 Mci,184.92,72.12,,,0
HCPCS,A9537,Tc99m mebrofenin,,,107.54,107.54,2
HCPCS,A9538,Hc Tc 99M Pyrophosphate Dx Study Dose To 25 Mci,329.0,128.31,,,0
HCPCS,A9538,Noncdm Charge Record Radiopharmaceuticals - Hc Tc 99M Pyrophosphate Dx Study Dose To 29 Mci,329.0,128.31,,,0
HCPCS,A9538,Tc99m pyrophosphate,,,124.52,124.52,2
HCPCS,A9539,Hc Tc 99M Pentetrate Dx Study Dose To 25 Mci,246.0,95.94,,,0
HCPCS,A9539,Noncdm Charge Record Radiopharmaceuticals - Hc Tc 99M Pentetate Injection Dx Study Dose To 25 Mci (D,164.56,64.18,,,0
HCPCS,A9539,Tc99m pentetate,,,60.92,60.92,2
HCPCS,A9540,Hc Tc 99M Albumin Mag Dx Study Dose To 10 Mci,1017.0,396.63,,,0
HCPCS,A9540,Noncdm Charge Record Radiopharmaceuticals - Hc Tc 99M Albumin Mag Dx Study Dose To 10 Mci (Maa),321.62,125.43,,,0
HCPCS,A9540,Tc99m maa,,,58.32,58.32,2
HCPCS,A9541,Hc Tc 99M Sulffur Colloid Dx Study Dose To 20 Mci,434.0,169.26,,,0
HCPCS,A9541,NDC Description Not Available,276.0,107.64,,,0
HCPCS,A9541,Noncdm Charge Record Radiopharmaceuticals - Hc Tc 99M Filtered Sulfur Colloid Dx Study Dose To 20 Mc,263.0,102.57,,,0
HCPCS,A9541,Noncdm Charge Record Radiopharmaceuticals - Hc Tc 99M Sulfur Colloid Dx Study Dose To 20 Mci (Not Or,276.0,107.64,,,0
HCPCS,A9541,Tc99m sulfur colloid,,,519.79,519.79,2
HCPCS,A9542,"In111 ibritumomab, dx",,,6450.13,6450.13,2
HCPCS,A9543,"Y90 ibritumomab, rx",,,56824.55,240299.05,15
HCPCS,A9546,Co57/58,,,2.1,2.1,2
HCPCS,A9547,"In-111 Oxyquinoline, Per 0.5 M",4286.0,1671.54,,,0
HCPCS,A9547,In111 oxyquinoline,,,831.46,4092.33,11
HCPCS,A9548,Hc In-111 Pentetate Dx Per 0.5 Mci,4644.0,1811.16,,,0
HCPCS,A9548,In111 pentetate,,,745.62,2799.02,11
HCPCS,A9548,Noncdm Charge Record Radiopharmaceuticals - Hc In-111 Pentetate Dx Per 0.5 Mci (Dtpa),1137.0,443.43,,,0
HCPCS,A9550,Hc Tc 99M Sodium Gluceptate Dx Study Dose To 25 Mci,3433.0,1338.87,,,0
HCPCS,A9551,Hc Tc 99M Succimer Dx Study Dose To 10 Mci,4047.0,1578.33,,,0
HCPCS,A9551,Tc99m succimer,,,659.93,2477.34,11
HCPCS,A9552,Hc F-18 Fluorodeoxyglucose Fdg Dx Study Dose To 45 Mci,2224.0,867.36,,,0
HCPCS,A9552,Noncdm Charge Record Radiopharmaceuticals - F-18 Fluorodeoxyglucose Fdg Dx Study Dose To 45 Mci,579.78,226.11,,,0
HCPCS,A9553,Cr51 chromate,,,676.61,7199.92,11
HCPCS,A9554,"I125 iothalamate, dx",,,72.9,2438.72,11
HCPCS,A9555,Hc Pet Rb-82 Rubidium Per Dose,1134.5,442.45500000000004,,,0
HCPCS,A9555,Noncdm Charge Record Radiopharmaceuticals - Hc Pet Rb-82 Rubidium Per Dose,1162.0,453.18,,,0
HCPCS,A9555,Rb82 rubidium,,,732.7,732.7,2
HCPCS,A9556,Ga67 gallium,,,262.49,262.49,2
HCPCS,A9556,Hc Ga-67 Gallium Citrate Dx Per Mci,304.0,118.56,,,0
HCPCS,A9557,Hc Tc 99M Bicisate Dx Study Dose To 25 Mci,3481.0,1357.59,,,0
HCPCS,A9557,Tc99m bicisate,,,775.52,7127.77,11
HCPCS,A9558,Hc Xe-133 Xenon Gas Dx Per 10 Mci,165.0,64.35,,,0
HCPCS,A9558,Xe133 xenon 10mci,,,495.94,495.94,2
HCPCS,A9559,Co57 cyano,,,348.53,348.53,2
HCPCS,A9560,Hc Tc 99M Labeled Red Blood Cells Per Study Dose To 30 Mci,478.0,186.42,,,0
HCPCS,A9560,Noncdm Charge Record Radiopharmaceuticals - Hc Tc 99M Labeled Red Blood Cells Per Study Dose To 30 M,393.79,153.58,,,0
HCPCS,A9560,Tc99m labeled rbc,,,181.58,181.58,2
HCPCS,A9561,Hc Tc 99M Oxidronate Dx Study Dose To 30 Mci,207.0,80.73,,,0
HCPCS,A9561,Tc99m oxidronate,,,85.54,85.54,2
HCPCS,A9562,Hc Tc 99M Mertiatide Dx Study Dose To 15 Mci,994.0,387.66,,,0
HCPCS,A9562,Noncdm Charge Record Radiopharmaceuticals - Hc Tc 99M Mertiatide Dx Study Dose To 15 Mci (Mag3),929.0,362.31,,,0
HCPCS,A9563,P32 na phosphate,,,278.24,1214.6,12
HCPCS,A9564,P32 chromic phosphate,,,245.28,245.28,2
HCPCS,A9566,Hc Tc 99M Fanolesomab Dx Study Dose To 25 Mci,7335.0,2860.65,,,0
HCPCS,A9567,Hc Tc 99M Penetetate Aerosol Dx Study Dose,316.0,123.24,,,0
HCPCS,A9567,Noncdm Charge Record Radiopharmaceuticals - Hc Tc 99M Pentetate Aerosol Dx Study Dose (Dtpa),315.49,123.04,,,0
HCPCS,A9567,Technetium tc-99m aerosol,,,33.01,33.01,2
HCPCS,A9568,Technetium tc99m arcitumomab,,,1883.62,1883.62,2
HCPCS,A9569,Hc Tc 99M Exametazime Auto Wbc Study Dose,3344.0,1304.16,,,0
HCPCS,A9569,Noncdm Charge Record Radiopharmaceuticals - Hc Tc 99M Exametazime Auto Wbc Study Dose,3185.0,1242.15,,,0
HCPCS,A9569,Technetium TC-99m auto WBC,,,934.13,3506.68,11
HCPCS,A9570,Hc In-111 Oxyquinoline Auto Wbc Dx Study Dose,9706.0,3785.34,,,0
HCPCS,A9570,Indium In-111 auto WBC,,,1103.19,8184.67,11
HCPCS,A9570,Noncdm Charge Record Radiopharmaceuticals - Hc In-111 Oxyquinoline Auto Wbc Study Dose,9706.0,3785.34,,,0
HCPCS,A9571,Indium IN-111 auto platelet,,,8184.67,8184.67,2
HCPCS,A9572,Hc In-111 Pentetreotide Study Dose To 6 Mci,10756.0,4194.84,,,0
HCPCS,A9572,Noncdm Charge Record Radiopharmaceuticals - Hc In-111 Pentetreotide Study Dose To 6.6 Mci,10756.0,4194.84,,,0
HCPCS,A9573,GADOPICLENOL 0.5 MMOL/ML INTRAVENOUS SOLUTION,153.0,59.67,,,0
HCPCS,A9573,"Inj, gadopiclenol, 1 ml",,,6.82,6.82,2
HCPCS,A9575,Inj gadoterate meglumi 0.1ml,,,0.23,0.23,2
HCPCS,A9576,GADOTERIDOL 279.3 MG/ML INTRAVENOUS SOLUTION,99.0,38.61,,,0
HCPCS,A9576,Inj prohance multipack,,,2.78,2.78,2
HCPCS,A9577,GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION,99.0,38.61,,,0
HCPCS,A9577,Inj multihance,,,3.47,3.47,2
HCPCS,A9578,Inj multihance multipack,,,3.41,3.41,2
HCPCS,A9579,"Gad-base MR contrast NOS,1ml",,,2.82,2.82,2
HCPCS,A9580,Hc F-18 Sodium Fluoride Study Dose To 30 Mci,580.0,226.2,,,0
HCPCS,A9580,Sodium fluoride F-18,,,424.52,424.52,2
HCPCS,A9581,GADOXETATE 0.25 MMOL/ML (181.43 MG/ML) INTRAVENOUS SOLUTION,533.75,208.16500000000002,,,0
HCPCS,A9581,Gadoxetate disodium inj,,,28.02,28.02,2
HCPCS,A9582,Hc I-123 Iobenquane/Andreview Dx Study Dose To 15 Mci,8779.0,3423.81,,,0
HCPCS,A9582,Iodine I-123 iobenguane,,,2317.5,9931.37,11
HCPCS,A9582,Noncdm Charge Record Radiopharmaceuticals - Hc I-123 Iobenguane-Adreview Dx Study Dose To 15 Mci,8779.0,3423.81,,,0
HCPCS,A9584,Hc I-123 Ioflupan Dx Study Dose To 5 Mci,6841.0,2667.99,,,0
HCPCS,A9584,Iodine i-123 ioflupane,,,1387.74,5209.5,11
HCPCS,A9584,Noncdm Charge Record Radiopharmaceuticals - Hc I-123 Ioflupane Dx Study Dose To 5.5 Mci,6841.0,2667.99,,,0
HCPCS,A9585,GADOBUTROL 10 MMOL/10 ML (1 MMOL/ML) INTRAVENOUS SOLUTION,630.0,245.7,,,0
HCPCS,A9585,GADOBUTROL 2 MMOL/2 ML (1 MMOL/ML) INTRAVENOUS SOLUTION,80.43,31.37,,,0
HCPCS,A9585,Gadobutrol injection,,,0.53,0.53,2
HCPCS,A9586,Florbetapir F18,,,1825.64,6853.36,11
HCPCS,A9586,Hc F-18 Florbetapir Dx Study Dose To 10 Mci?,13397.0,5224.83,,,0
HCPCS,A9586,Noncdm Charge Record Radiopharmaceuticals - Amyvid 10 Mci (370 Mbq) Intravenous Solution,2719.83,1060.73,,,0
HCPCS,A9587,Gallium ga-68,,,49.63,186.31,11
HCPCS,A9587,Hc Gallium Ga-68 Dx 0.1 Mci,319.3,124.53,,,0
HCPCS,A9587,Noncdm Charge Record Radiopharmaceuticals - Hc Ga-68 Gallium Dotatate Dx Per 0.1 Mci,13248.38,5166.87,,,0
HCPCS,A9588,Fluciclovine f-18,,,322.27,1209.79,11
HCPCS,A9588,Hc F-18 Fluciclovine Per 1 Mci,2313.0,902.07,,,0
HCPCS,A9588,Noncdm Charge Record Radiopharmaceuticals - Axumin 10 Mci (370 Mbq) Intravenous Solution,1374.3,535.98,,,0
HCPCS,A9589,Insti hexaminolevulinate hcl,,,2627.82,2627.82,2
HCPCS,A9590,Iodine i-131 iobenguane 1mci,,,622.88,1246.37,6
HCPCS,A9591,Fluoroestradiol f 18,,,460.42,1794.26,12
HCPCS,A9591,Hc F-18 Fluoroestradiol Dx Per 1 Mci,2554.0,996.06,,,0
HCPCS,A9592,COPPER CU-64 DOTATATE 148 MBQ/4 ML (4 MCI/4 ML) INTRAVENOUS SOLUTION,15932.4,6213.64,,,0
HCPCS,A9592,Copper cu 64 dotatate diag,,,594.28,2433.65,12
HCPCS,A9592,Hc Copper Cu 64 Dotatate Dx Per 1 Mci,4031.55,1572.305,,,0
HCPCS,A9593,Gallium ga-68 psma-11 ucsf,,,550.13,2958.53,15
HCPCS,A9594,"Gallium ga-68 psma-11, ucla",,,363.5,2896.73,15
HCPCS,A9595,Hc F-18 Piflufolastat Dx Per 1 Mci,2245.65,875.8050000000001,,,0
HCPCS,A9595,Noncdm Charge Record Radiopharmaceuticals -,2163.26,843.67,,,0
HCPCS,A9595,"PIFLUFOLASTAT F 18 37 MBQ/ML TO 2,960 MBQ/ML (1-80 MCI/ML) IV SOLUTION",21773.0,8491.47,,,0
HCPCS,A9595,"Piflu f-18, dia 1 millicurie",,,346.49,2129.88,15
HCPCS,A9596,Gallium illuccix 1 millicure,,,478.52,3639.47,14
HCPCS,A9596,Hc Gallium Ga-68 Gozetotide Dx Per 1 Mci,3487.4,1360.09,,,0
HCPCS,A9596,Noncdm Charge Record Radiopharmaceuticals - Gallium Ga-68 Gozetotide 18.5 Mbq To 185 Mbq-Ml (0.5-5 M,3454.22,1347.15,,,0
HCPCS,A9596,Noncdm Charge Record Radiopharmaceuticals - Illuccix 25 Mcg Intravenous Solution,3577.61,1395.27,,,0
HCPCS,A9597,Hc Pet Dx For Tumor Id Noc,20575.0,8024.25,,,0
HCPCS,A9600,Hc Strontium Sr-89 Chloride Therapeutic Per Millicurie,8673.0,3382.47,,,0
HCPCS,A9600,Sr89 strontium,,,4146.34,15565.13,15
HCPCS,A9601,Flortaucipir inj 1 millicuri,,,680.44,13927.15,14
HCPCS,A9601,Hc F-18 Flortaucipir Dx Per 1 Mci,787.5,307.125,,,0
HCPCS,A9601,Noncdm Charge Record Radiopharmaceuticals - Hc F-18 Flortaucipir Dx Per Mci,1514.0,590.46,,,0
HCPCS,A9602,Fluorodopa f-18 diag per mci,,,855.55,3211.69,14
HCPCS,A9603,"Inj, pafolacianine, 0.1 mg",,,258.21,258.21,2
HCPCS,A9604,Sm 153 lexidronam,,,3159.8,63343.65,15
HCPCS,A9606,Hc Nm Ra 223 Dichloride Xofigo Thx Per Uci,540.0,210.6,,,0
HCPCS,A9606,Noncdm Charge Record Radiopharmaceuticals - Hc Ra 223 Dichloride Xofigo Thx Per Uci,13943.0,5437.77,,,0
HCPCS,A9606,Radium ra223 dichloride ther,,,172.22,591.46,13
HCPCS,A9607,"LUTETIUM LU-177 VIPIVOTIDE TETRAXETAN 27 MCI/ML (1,000 MBQ/ML) IV SOLN",7020.0,2737.8,,,0
HCPCS,A9607,Lutetium lu 177 vipivotide,,,255.84,960.41,14
HCPCS,A9608,Flotufolastat f18 diag 1 mci,,,671.22,2519.72,14
HCPCS,A9608,Hc F-18 Flotufolastat Dx Per 1 Mci,2213.0,863.07,,,0
HCPCS,A9615,"Inj, pegulicianine, 1 mg",,,37.51,140.8,11
HCPCS,A9699,Hc Radiopharmaceutical Therapeutic Not Otherwise Classified,106250.0,41437.5,,,0
HCPCS,A9800,Gallium locametz 1 millicuri,,,362.5,3205.52,14
HCPCS,A9999,NDC Description Not Available,26.54,10.350000000000001,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies,479.725,187.08999999999997,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - 2.0Mm Drill Bit Qc 110Mm 30Mm Calibration,699.66,272.87,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - 2.0Mm Drill Bit Qc 140Mm 60Mm Calibration,779.36,303.95,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - 415021 Convatec Inc Aquacel,152.15,59.34,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - 4Fr Jr4 Catheter,48.64,18.97,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - 5Fr Angled Pigtail Catheter,44.5,17.36,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - 6F Cordis Jl4,122.13,47.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - 6F Cordis Jr4,45.54,17.76,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - 6Fr 4.0 Tiger,163.53,63.78,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - 6Fr Al1 Catheter,44.5,17.36,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - 6Fr Jl 3.5 Catheter,44.38,17.31,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - 6Fr Jl 5 Catheter,44.5,17.36,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - 6Fr Mpa2 Catheter,46.58,18.17,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Abduction Shoulder Large,343.62,134.01,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Access Needle 18G 7Cm Merit Medical,10.35,4.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Accessory Fluid Management For Intrauterine Tissue Removal,636.52,248.24,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Adapter Dialysis 4In Stay Safe Leur Lock Fresenius,97.29,37.94,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Adapter Suction For Vision Probe Endoluminal System,245.3,95.67,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Adaptor Vacurette 14Mm Plastic Canula Olympus America Inc,32.08,12.51,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Adhesive Abd Retention Sys,344.66,134.42,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Adhesive Closure Octyseal Medline Industries Inc,30.02,11.71,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Adhesive Lq Lf Nirr Ocl Wtprf Amp Mstsl Strl,7.24,2.82,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Agent Hemost 3G Flexitip Xl,829.14,323.36,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Agent Surgicel Snow 4X4 Ethicon Inc,529.57,206.53,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Agent Surgifoam 100 Ethicon Inc,97.48,38.02,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Airseal 12 Mm Access Port And Palm Grip Obturator 150 Mm L,485.42,189.31,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Ambu Bag Adult M Ambu,30.02,11.71,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Anchor Suture 45 Degree Shuttle Gryphon Depuy Mitek,1307.2,509.81,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Anchor Trocar 12Mm 100Mm Blunt Cannula Covidien N Surgical L,105.57,41.17,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Anes Circ 120In Exp Lf Version G,47.61,18.57,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Angiocath Iv Catheter Orange 14G X 1.88,18.63,7.27,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Applicator Hemostatic Arista Flextip Plas Xl 38Cm,111.52,43.49,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Applicator Laparoscopic 45Cm Rigid Vistaseal Ethicon,294.98,115.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Applicator Surgiflo Ethicon,228.74,89.21,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Applicator Tip Surgicel Endoscopic For Surgicel Power Ethico,94.18,36.73,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Applicator Xl Flextip Surg,71.42,27.85,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Applier Clip 8Mm Medium-Large Davinci Xi Intuitive,28.98,11.3,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Applier Clip Med Titanium Endo Titanium Covidien,225.63,88.0,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Applier Clip Sm 9In Prm Sgclp,225.63,88.0,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Applier Clip Xi Large Int Intutive Surgical Inc,28.98,11.3,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Applier Hem-Olok 5Mm Xi Large Clip Single Site Intuitive Sur,41.4,16.15,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Applier Int Clip 5Mm 11In Ti Endo Pstl Grip,586.84,228.87,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Armboard Iv 10.5X3In Foam Aline Art Support,13.92,5.43,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Armboard Iv Adult 9X3In Wrist Halyard Health,21.74,8.48,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Arthroscope 125Mm Disposable Nanoneedle Scope,2315.3,902.97,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Ascope 4 Broncho Slim Disposab L23.6In Od0.15In Id0.047In,1273.05,496.49,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Attachment Disposable Distal,121.1,47.23,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Attachment Dist Sft Strt For Gifh180 Gscp,121.1,47.23,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Attachment Smoke Evacuator 10Ft 3-8In Pencil Disposable,69.34,27.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Attachment Smoke Evacuator 15F 15Ft 3-8In Pencil Valleylab,82.8,32.29,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Aveta Waste Bag. 6L For Use With Aveta System,48.64,18.97,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Aveta Waste Management Accessory,293.94,114.64,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Bag Drain 1000Ml Leg Lg Strp Pvc,21.74,8.48,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Bag Drain Cysto Dornier Medical,61.06,23.81,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Bag Drain Lingeman Microtek Medical,41.4,16.15,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Bag Drain Urine 4L Bard Medical,11.38,4.44,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Bag Drainage Dstl Hub 600Ml W W-100Ml Jcksn Prt Blb,108.16,42.18,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Bag Isolation 49X49Cm 3M Healthcare Division,3.84,1.5,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Bag Ostomy Sensura .75-3In 3X3-8In Coloplast Corp,2.07,0.81,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Bag Pressure Infusion 500Ml Sunmed Healthcare,33.12,12.92,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Bag Retreival Anchor Tissue 5 5.51In Dia 10Mm 235Ml,956.34,372.97,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Bag Urin Drain Anrflx 2000Ml,23.8,9.28,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Bag Urinary Drain Leg 550 Ml Latex Free Valve,6.21,2.42,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Bag Urocatch Strl,76.59,29.87,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Ball Cttn Sm 2 Strng Radiopq .,7.24,2.82,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Band Tr Lge J Port Trans 24Cm Lng 3 Balloo,127.3,49.65,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Band Tr Reg 2 Balloon Air In J Port Trans 24Cm 2 Balloon A,127.3,49.65,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Band Vascular Compression 30Cm Regular Zephyr,122.13,47.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Bandage Cbn 5Ydx4In Strl Tan Comp Lf Adh Elc,10.35,4.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Bandage Cbn 5Ydx6In Strl Tan Comp Lf Adh Elc,15.52,6.05,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Bandage Coban 4 In Nonstrl 3M Health Care,6.21,2.42,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Bandage Coban St Non Latex 3In X 5Yd,7.76,3.03,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Bandage Compression W6Inxl15Yd Closure Matrix Wrap,30.02,11.71,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Bandage Esmark 4In Deroyal,7.24,2.82,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Bandage Esmark 6In Deroyal,10.4,4.06,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Bandage Esmark Lf Strl 6X12Ft,14.49,5.65,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Bandage Mtrx 10Ydx6In Ns Comp Lf Elc Vlcr,7.24,2.82,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Bandage Press Esmrk Tan 4X12Ft,10.35,4.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Barrier Adhesion Xl Interceed J And J Health,1449.69,565.38,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Basket Ngage 1.7Fx115Cmx8Mm Cook Medical,1294.79,504.97,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Basket Stone Retrieval 2.4Fr L90Cm Dia16Mm Polyimide 4,869.4,339.07,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Basket Zerotip 1.9Fx120Cmx12Mm Boston Scientific,973.59,379.7,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Bifurcated Filtered Tube Set Airseal,2961.14,1154.84,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Binder Abd 27-48X10In Sld,30.02,11.71,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Binder Abdominal 27-48X12In Deroyal,58.48,22.81,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Binder Abdominal Medium Large Deroyal,33.12,12.92,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Bit Drill 12Mm,245.3,95.67,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Bit Drill 3.8Mm Conic W Stop Strl,1057.77,412.53,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Bit Drill 330M-3.2M-100Mm Strl Calib Qc 3 Flute Strl,1172.66,457.34,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Bit Drill 3Mm Chrlt Ss Cannula Strl,656.19,255.91,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Bit Drill Anchor Curved Disposable Kit Fibertak,954.27,372.17,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Bit Drill Gold 110Mm 2.5Mm Ss Qc Ns,275.31,107.37,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Bit Drill L125Mm 2.7Mm Sterile Quick Coupling,452.3,176.4,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Bit Drill L140Mm Dia2Mm 60Mm Cal Qc Small Fragment System,641.7,250.26,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Bit Drill L170Mm 2.8Mm Calibration 80Mm Quick Couplin,607.54,236.94,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade 10Mm Tendon Stripper,856.98,334.22,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade Angled Shart All Around Bevel 60D 2.5Mm Beaver Visitec,224.6,87.59,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade Beaver 6400 Ophthalmic 1.102X4.134X1.417In Beaver-Visi,9.32,3.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade Concave Crv 3.5Mm Full Radius,269.1,104.95,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade Dermatome For Zimmer Dermatomes Humeca,146.97,57.32,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade Endo Crpl Tnl Strl,1216.12,474.29,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade Laryngoscope Briteblade Sz 1 Pro Fiber Optic Miller,16.53,6.45,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade Micro 10X185X04Mm Sagittal Fine,109.71,42.79,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade Micro 55X12X04Mm Oscillator,77.62,30.27,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade Micro 55X185X04Mm Sagittal Fine,103.5,40.36,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade Myrngtm Nar Ez Chk Hndl,38.3,14.94,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade Photon,1590.8,620.41,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade Reamer 51Mm Pilt Hl,489.56,190.93,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade Repl Cutter Ss,80.73,31.48,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade Sagital Narrow Then,143.86,56.11,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade Saw 15X7X.38Mm Prcs Shrt Nar Thin Ss,168.7,65.79,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade Saw 18.5X7X.38Mm Prcs Med Nar Thin Ss,168.7,65.79,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade Saw 18.5X9X.38Mm Prcs Med Micro Thin Ss,156.8,61.15,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade Saw 25X5.5X.38Mm Prcs Micro Thin Ss Osc,168.7,65.79,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade Saw 25X9X.38Mm Prcs Med Nar Thin Ss,166.64,64.99,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade Saw 31X9X.38Mm Sag Med Lng Ss Osc Prcs,168.7,65.79,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade Saw 77.5X11X.6.3Mm Ss Recip 2 Sided Strl,148.0,57.72,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade Saw 81.5X12.5X1.19Mm Nar Thk Ss Sag,101.43,39.56,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade Saw 82X12.7X1.2Mm Nar Ss Sag Dual Cut,132.48,51.67,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade Saw 90X25X1.19Mm Ss 2 Cut Sag Strl,222.52,86.78,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade Saw Recip .032In Tk .44Inw 77.7Mm,162.5,63.38,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade Saw Sagittal Acl 9.5Mmx25.5Mmx0.4Mm Fine Conmed Linvat,69.34,27.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade Saw Sgtl 18X100X1.27Mm,249.44,97.28,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade Saw Sgtl 25X100X1.27Mm,274.27,106.97,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade Saw Thk1.04Mm Cut Edge 74Mm Material Thk0.77Mm,249.44,97.28,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade Shaver 4Mm Strt Trct,1029.82,401.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade Shaver 4Mm Trct Strt Trk,2022.04,788.6,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade Shaver L13Cm Dia4Mm Curved Torpedo,494.73,192.94,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade Shaver Lime Grn 17Mm 4 4.5Mm Incsr Dync,297.04,115.85,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade Shaver Pink 4.5Mm Rzrct Dync Arthro,219.42,85.57,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade Shaver Radenoid Small 11Cm X 4Mm Medtronic Inc,1068.12,416.57,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade Shaver Ylw 4.5Mm Orbit Crv Full Radius,297.04,115.85,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade Shaver Ylw 4.5Mm Strt Dync Full Radius,219.42,85.57,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade Sin Rad Crv Strl 4Mm,1126.08,439.17,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade Sinus Radical Rotate Cu Urved 40D 4Mm X 11Cm,1308.24,510.21,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade Straight Sharp 180D All Around 2 Bevel Beaver Visitec,115.92,45.21,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade Surg Ss N67,37.26,14.53,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade Surgical Rib-Back Carbo On Steel Sz 12,6.21,2.42,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade Surgical Saw Sagittal 90Mml 90Mmcd 13Mmw 1.7Mmthick,286.7,111.81,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade Surgical Sz 12 Disposable Aspen Surgical,6.21,2.42,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blade Trbnt Infr Disp 2.9Mm,1422.09,554.62,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blanket Adult 74X36In 3M Health Care Division,73.48,28.66,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blanket Br Hgr Wrm 36X54In,21.74,8.48,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blanket Full Body Stryker Medical,32.08,12.51,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blanket Upper 847X402In Stryker Medical,91.08,35.52,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blanket Upper 85.8X502In Stryker Medical,26.91,10.49,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Blanket Warming Pediatric Body Full Body Reflective Premium,153.18,59.74,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Boot Postoperative Medium Shoe Size 5-8 Women Darco Internat,66.24,25.83,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Brush Cytology 1.7Mm X 120Mm Superdime Nsion Inc,130.41,50.86,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Brush Cytology 150Cm 2.0Mm X 1.9Mm Boston Scientific,89.01,34.71,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Brush Micro 1Mm 1.8Mm 110Cm Strl Disp,100.4,39.16,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Bur Coarse Surgical Diamond Dia3Mm Round Coarse 5,644.8,251.47,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Bur Multi-Flute 3.00Mm Round Surgical,692.42,270.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Bur Multi-Flute 6.00Mm Round Surgical,692.42,270.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Bur Round Diamond Head 3Mm Surgical,692.42,270.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Bur Surgical Dia2Mm Round Diam,692.42,270.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Bur Surgical Dia5Mm 2 Flute Round,1167.48,455.32,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Bur Surgical Head Dia3Mm Carbide Match Neuro Precision,1348.6,525.95,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Burr 4.0 Coarse Diamond,356.04,138.86,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Burr 6.0 Coarse Diamond,644.8,251.47,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Burr Fluted 4.0Mm X 13Cm 8 Arthrex,288.76,112.62,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Burr Rnd Dmd Fn Ext 2Mm,751.41,293.05,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Burr Rnd Dmnd 3Mm,751.41,293.05,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Burr Rnd Fn Dmd 1Mm,751.41,293.05,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Burr Surg 3.0Mm Neuro Elt Prcs,1299.96,506.98,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Burr Surg 45Mm 4Mm Carb Oval Strl,162.5,63.38,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Burr Surg 4Mm Oval Med Carb,116.96,45.61,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Burr Surg 54Mm 3.2Mm Carb 6 Flute Round Fst,240.12,93.65,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Burr Surg 54Mm 4Mm Ss Egg Strl,274.27,106.97,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Burr Surg 55Mm 4Mm Round Fst Cut Strl,127.3,49.65,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Burr Surg 9.5Mm 4Mm Micro Egg Strl,274.27,106.97,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Burr Surg Lilac 5.5Mm Ntchbls,204.93,79.92,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Bx 18Ga 25Cm Mag,66.24,25.83,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - C Wire Fix L5In Dia0.035In Smooth Trocar Tip,3.1,1.21,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - C Wire Fix L5In Dia0.045In Smooth Trocar Tip,41.74,16.28,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cable Bipolar 12Ft Disposable 10-Pkg Codman And Shurtleff,67.28,26.24,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cable Bipolar 12Ft Disposable Neuro-Tec Company,32.08,12.51,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cable Bipolar 12Ft Sterile Disposable Conmed Linvatec,18.63,7.27,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cable Cath Connect 150Cm Bipolar Qpolar Gry,221.49,86.38,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cable Cath Connect 150Cm Hexploctpl Dcapl Rd,277.38,108.18,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cable Cath Rd 150Cm Sprm Ep Bipolar Trplr,221.49,86.38,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cable Coaxial Umb,426.42,166.3,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cable Elec Umb,874.58,341.09,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cable Electrosurg 10Ft Elt Uro,126.27,49.25,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cable Electrosurgical Bipolar Adler Instruments,123.16,48.03,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cable High Freq W-8Mm Plug,144.9,56.51,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cable Pacing 12Ft Algtr Clip,51.75,20.18,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Canister Suct Btl Seal Cap Tissue Trap Brkly,67.28,26.24,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Canister Suct Lnr 6X6 1500Cs W Tube,9.32,3.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Canister Suction 1500Cc,10.92,4.26,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Canister Suction 2500Cc,14.21,5.54,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cannister Suction Omni Jug 16L Deroyal,106.6,41.57,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cannister Vac Pkt Encr,114.88,44.8,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cannual Nerve Block Facet S Tip Sonoplex Ii,67.28,26.24,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cannual Nerve Block Facet S Tip Sonoplex Ii 21Ga L4In,74.52,29.06,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cannual Nerve Block Facet T Tip Sonotap Ii 21Ga L110Mm,62.1,24.22,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cannula 10Mm 10Cm 22Ga,73.48,28.66,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cannula 70Mm Grey Arthroscopic Conmed Linvatec,75.56,29.47,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cannula Arthroscopic 8.5Mm 75Mm Clear Depuy Mitek,137.14,53.48,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cannula Arthroscopic L75Mm Dia8.5Mm Clear Threaded,54.34,21.19,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cannula Arthroscopic Twist-In N 6.00Mm X 7Cm Strl,122.13,47.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cannula Cap And Obturator Airs Airseal 8 Mm W- Bladeless Tip,547.52,213.53,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cannula Endoscopic 5Mm L75Mm Non - Threaded Dri,689.31,268.83,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cannula Fx 5Mm + Seal W Vrsprt + Bladeless Trocar,32.43,12.65,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cannula Irr Ant Cham 27G 7-8In,75.81,29.57,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cannula Nasal 255Cm Capnoline,52.78,20.58,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cannula Nasal Co2-O2 Adult Cap,84.87,33.1,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cannula Nasal Oral Capnoflex O2-Co2 Carefusion,98.32,38.34,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cannula Nasl 7Ft 15Lpm Ote Adt Termstar Lumen Soft Grn Disp,2.07,0.81,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cannula Opthmalmic 28Mm 25Ga Flextip Medone Surgical,44.33,17.29,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cannula Radio 22 X 100 Rf,90.56,35.32,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cannula Sr8 Gemini Arthrex,156.28,60.95,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cannula Troc 5.5Mm Lck W Wdfrd Spk Troc,178.54,69.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cannula Twistin 7Mm 7Cm Thrd W No Squirt Cap Strl Trnlu,122.39,47.73,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cannula Venom 100Mm 18G,160.17,62.47,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cannula Venom 20 Ga 100Mm Curved Stryker Ortho,160.08,62.43,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cap Endoscp Seal 8Mm 8Mm Monopol Tip Cvr Hot,102.48,39.97,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cap Protector 0.062In Steinmen Pin Green Triad Group,10.0,3.9,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Capsule Buffer Ph Bravo Deliv Sys,1432.44,558.65,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Carrier Graft 16In Skin Carrier Strl Lf,271.17,105.76,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cartridge Grasper D Dr 45Cm,342.58,133.61,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cast Fiberglass 4Ydx2In 3M Healthcare,8.62,3.36,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cast Fiberglass 4Ydx3In 3M Healthcare,10.35,4.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cast Fiberglass 4Ydx4In 3M Healthcare,13.46,5.25,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Casting Tape Purple 2In X 4Yd 3M,9.32,3.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Casting Tape Purple 3In X 4Yd 3M,10.35,4.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter .038In Sft Vu Nbrd Mklsn 5Fr 80Cm,71.42,27.85,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter 6Fr Angled Pigtail,46.58,18.17,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter 6Fr Jl4,9.32,3.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter 6Fr Jr 4,44.5,17.36,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Angio .038In Mpa Crv 5Fr 65Cm Ang Mp 5-Bx,96.26,37.54,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Angio Al1 100Cm 6Fr Tl Infnt,9.32,3.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Angio Jl3.5 100Cm 6Fr Tl Infnt,46.58,18.17,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Angio Jl3.5 Crv 4Fr,46.58,18.17,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Angiographic Beacon 5F Cook Medical,138.69,54.09,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Balloon Wedge Predd 5Fr 110Cm,376.74,146.93,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Beacon Tip Advantage 5Fr L90Cm Guidewire 0.035In,303.26,118.27,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Bil .035In 6-7Fr 9-12,1012.23,394.77,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Cholangiogram 13 In 5Mm Ranfac,326.02,127.15,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Connecting Cable 10 Pin Achieve Advance,856.98,334.22,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Diag Coronary Jacky Radial,171.81,67.01,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Diagnostic 5Fr 4.0 Ultra 100Cm,146.97,57.32,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Diagnostic 6Fr 4.0 Ultra 100Cm,146.97,57.32,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Foley 2-Way 14Fr 5Cc Silver Hydrogel Latex Bard Med,35.19,13.72,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Foley All Silicone 2 2-Way 8Fr 3Cc,15.52,6.05,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Foley Council 18Fr 5Cc Latex Red Bard Medical,77.62,30.27,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Foley Council 20Fr 5Cc Latex Red Bard Medical,77.62,30.27,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Guide Xblad3 Crv 6Fr,195.62,76.29,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Iv 14Ga 1.75In Bd Medical,7.24,2.82,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Iv 18Ga 1.16In,7.24,2.82,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Iv 18Ga L1.88In Angiocath Straight Fep,9.32,3.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Iv 20Ga 1In Radiopq,7.24,2.82,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Iv 20Ga 1In Radiopq Sfshld Prn Adapt,12.42,4.84,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Iv 20Ga 1In Radiopq Shld Dehp-Fr Wng,7.24,2.82,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Iv 22 Gauge 1In Radiopaque Bd Medical,7.24,2.82,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Iv 22Ga 1In Radiopq Shld Dehp-Fr Wng,7.24,2.82,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Iv Cls Sf 300Psi 65Ml 20G 1In,7.24,2.82,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Measurement L16Cm Esophageal,9413.33,3671.2,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Red Robinson 10Fr Bard,14.49,5.65,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Red Robinson 12Fr Bard,14.49,5.65,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Red Robinson 16Fr Bard,14.49,5.65,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Tempo 0.038X100Cm 5Fr Cerebral Vertebral Cardinal M,50.2,19.58,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Torcon Nb Beacon Tip .038 Kmp Crv Cook,96.26,37.54,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Ureth Bdx 18Fr-2W 5Cc,16.41,6.4,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Ureth Bdx Ic 20Fr-2W,16.56,6.46,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Ureth Bdx Rbnsn 8Fr 2,14.49,5.65,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Ureth Bx 2-W 5Cc 14Fr,41.4,16.15,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Ureth Bx 2-W 5Cc 18Fr Coude Tip,41.4,16.15,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Ureth Ic 16Fr 5Cc,16.56,6.46,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Ureth Ic 18Fr 2W 30Cc,18.63,7.27,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Ureth Rbnsn 14Fr Hlw,14.49,5.65,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Urethral 12Fr 2Way 30Cc Un Coated Silicone Bard,15.52,6.05,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Urethral 16Fr Balloon 5Cc Silicone Foley Two Way Sh,15.52,6.05,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Urethral 16Fr Red Rubber Smooth Tip,4.14,1.61,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Urethral 22Fr 3Way Bard,42.44,16.55,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Catheter Urethral 24Fr 3Way Bard,42.44,16.55,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cautery Hook Xi Permanent Single Site Intuitive Surgical Inc,310.5,121.1,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cautery Needle Tip .75In .75Ga Teleflex Medical,18.63,7.27,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cellulose Surgicel 8X4In Ethicon,310.27,121.01,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Circuit Anes Ped Cust Lf,22.77,8.88,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Circuit Ninvsv 72In Ventilator,31.05,12.11,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Clip Applier Da Vinci 8Mm Intuitive,28.98,11.3,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Clip Applier Med-Lg Dia6Mm Da Vinci System Endowrist Sp,82.8,32.29,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Clip Applier Medium 9 3-8In Ethicon,766.94,299.11,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Clip Controls And Stop Gi Bleeding Resolution 360,1404.75,547.85,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Clip Internal L235Cm Opening 17Mm 360 Ultra Clip,1514.5,590.66,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Clip Med Lg Intnl Hem-O-Lok Po Polymer Endo Lgt,157.66,61.49,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Clip Med Lg Xl Intnl Hem-O-Lok Polymer Endo,157.65,61.48,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Clip Medium Large Green Horizon Teleflex Medical,20.44,7.97,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Clip Sm Intnl Hrzn Ti Endo Lgt Strl Disp Lf,47.35,18.47,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Clipper Surgical Blade Blue Disposable Carefusion,9.32,3.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Conmed Grounding Pad For Ou,12.42,4.84,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Connector Non Sterile Zoll Radiotransparent Tz Medical Inc.,107.64,41.98,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Connector Swivel Ion,636.52,248.24,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Controller Detachment Azur,819.72,319.69,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Copilot Bck Control,122.21,47.66,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cord Bipolar 12Ft Ftswtch Strl Disp,13.46,5.25,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cord Bipolar St 10Ft,17.6,6.86,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cord Electrosurg 10Ft 4Mm Monopol Ftswtch Act,12.42,4.84,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cord Electrosurg 10Ft Monopol Act Adapt Turp,13.46,5.25,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cradle Arm 3X5X24In Noncomprss Purple Foam,33.12,12.92,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cradle Xtrmt Foam Lmi Trgh Lf,53.82,20.99,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cuff Blood Press Adlt 26-33Cm,10.35,4.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cuff Bp 1 Tube Adult Hp,8.28,3.23,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cuff Bp 1 Tube Child Hp,8.28,3.23,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cuff Bp 1 Tube Infant Hp,8.28,3.23,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cuff Bp Adult Single Tube Disposable Medline,8.28,3.23,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cuff Bp Child Single Tube Disposable Medline,10.35,4.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cuff Bp Large Adult Single Tube Disposable Medline,9.32,3.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cuff Tourniquet 18In 2 Port 2,171.81,67.01,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cuff Tourniquet 24In 2 Port 1,108.68,42.39,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cuff Tourniquet 34In 2 Port 1,128.04,49.94,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cuff Tourniquet 34In 2 Port 1 Bladr Pump Line,52.78,20.58,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cuff Tourniquet 42In 2 Port 1 Bladr Pump Line,135.58,52.88,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cuff Tourniquet Sterile 18In Zimmer,98.75,38.51,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cuff Tourniquet Sterile 30In Zimmer,236.29,92.15,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Curette Rigid Straight 8Mm,18.63,7.27,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Curette Surgical Od12Mm Rigid Vac Sterile Curved Disp,18.63,7.27,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Curette Vac 11Mm Plastic,21.74,8.48,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Curette Vac 12Mm Plastic,35.19,13.72,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Curette Vac 6Mm Plastic Cannula Crv Round Tip,21.74,8.48,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Curette Vac 7Mm Plastic,21.74,8.48,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Curette Vac 7Mm Plastic Flx Tp,21.74,8.48,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Curette Vac 9Mm Plastic Rnd Cannula Strt Round,35.19,13.72,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Curette Vacuum 10Mm Rigid Curved Cannula Disposable,22.77,8.88,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Curette Vacuum 7Mm Rigid Curved Cannula Disposable,21.74,8.48,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Curette Vacuum 8Mm Curved Cannula Disposable,22.77,8.88,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Curette Vacuum 9Mm Rigid Curved Cannula Disposable,22.77,8.88,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Curette Vacuum Aspiration 10Mm Curette Vacuum Aspiration,20.7,8.07,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Curette Vacuum Aspiration 6Mm Curette Vacuum Aspiration,20.7,8.07,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Curette Vacuum Aspiration 7Mm Curette Vacuum Aspiration,20.7,8.07,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cutter Bone 3.8 Mm X 13Cm Arthrex,322.92,125.94,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cutter Bone 4.0 Mm X 13Cm Arthrex,322.92,125.94,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cutter Bone 5.5Mm 13Cm Arthrex,322.92,125.94,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cutter Knt Pshr Sut Disp,917.01,357.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Cystotome Opth 25Ga Frm Ang Revct Irr Strl,21.04,8.21,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Debrider Skin Norsen Bel-Med,146.97,57.32,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Defib Pads Adlt Gel Conduct,122.13,47.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dermabond Advanced Pen Skin Adhesive Ethicon,78.72,30.7,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Device 1 Infl 20Cc Encore,181.12,70.64,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Device 5-18Fr Tube Feed Attached Holder Hollister,9.32,3.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Device Breast Biopsy Needle 14Gx10Cm Bard,269.1,104.95,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Device Closure Carter-Thomasan Sut Passer,393.3,153.39,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Device Closure Wound Absorb V V-Loc 180 27Mmx6In Gr,113.85,44.4,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Device Colpassist Vag Pstn,2393.96,933.64,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Device Compression 10Ml Band L24Cm Left Radial Hemostasis,154.22,60.15,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Device Delivery Rezum System,7495.47,2923.23,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Device Endoscopic Fine Needle Biopsy 22G Acquire Boston Scie,2384.64,930.01,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Device Fx Absorbatack 5Mm 30,1958.22,763.71,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Device Inflation 60Ml 15Atm Pressure Cook Sphere,254.61,99.3,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Device Lck Bx Cap Olmps Strl,67.28,26.24,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Device Lck Gwire Fus 10-Bx,83.84,32.7,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Device Manipulator Dia35Mm Distal Cup Vaginal Fornices,783.5,305.56,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Device Protect Adlt,11.38,4.44,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Device Pstn 19X3.5In Strup Strap Prsnl Slip,12.42,4.84,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Device Pstn Prnvw Lg Foam Cushion Insert,122.13,47.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Device Resection Symphion Boston Scientific,4404.96,1717.93,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Device Self Retracting Gripper,336.38,131.19,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Device Tissue Rem Myosure Lite Hyscp,3009.78,1173.81,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Device Tissue Removal Myosure 30-401Lite,3009.78,1173.81,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Device Trq Gldcath,28.98,11.3,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Device Trq Seadragon .018-.038,21.74,8.48,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Device Twstr + Rtrvl,268.41,104.68,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Device Vasc Prssr Monitoring,294.98,115.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Device W 30 Tack Fix Abs,1945.95,758.92,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Device Wound Closure 2-0 9In Gs-22 V-Loc Suture Green Taper,113.85,44.4,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Diego Elite Shaver Smr Bipolar Type A 2Mm 0,837.32,326.55,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Diego Elite Tubing Set,242.19,94.45,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dilator 5Fr 19Cm,21.74,8.48,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dilator Vasc 7Fr 20Cm .35In Gwire Strl Disp Radiopq,33.12,12.92,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Disposable Core Biopsy Instrument Kit 18G X 16Cm,187.34,73.06,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Disposible Bipolar Forceps 8In 1.5Mm,1811.25,706.39,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dissector 26Cm Sonicision Crdless Ultra,1590.8,620.41,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dissector 39Cm Sonicision Crdless Ultra Revsd Handpiece,1933.38,754.02,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dissector 5Mm-26Cm 7 Curved Ultrasonic,1909.58,744.74,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Distractor 14Mm Cerv Screw Cspr Surg Strl,322.92,125.94,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dl Disposable Lead Set Leadwire Ekg 72In Radiolucent,85.67,33.41,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Drain 10 French Round Bard,72.45,28.26,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Drain 15Fr Hubless Round Blake With Trocar Ethicon,478.17,186.49,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Drain Bag For G2 Dornier Medical,72.45,28.26,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Drain Flat 10Mm 4 Channel Bard,66.24,25.83,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Drain Full Round Fluted 19Fr Bard,66.24,25.83,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Drain Incs 1-8In 49In Sil End Perf Round Troc,33.12,12.92,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Drain Incs 19Fr Sil 4 Chan .75 Flute Round,72.45,28.26,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Drain Penrose .25In 18In Latex Free Medline,10.35,4.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Drain Pnrs Xray Strl 18X1-2In,2.07,0.81,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Drain Round Fluted 15 French Bard,72.45,28.26,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Drain Sil 4 Chan Full.25Inx7Mm Flute Flat Radiopq Incs,68.31,26.64,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Drain Sil Rnd Hbls 15Fr Troc 3-16In,72.45,28.26,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Drape Sale Mitchell Medline,211.14,82.34,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dressing Ace Bandage 5Ydx3In Medline,4.14,1.61,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dressing Ace Bandage 5Ydx4In Medline,4.35,1.7,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dressing Ace Bandage 5Ydx6In Medline,5.18,2.02,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dressing Afm Alvn Ag 5X4In Xtrmt Wrap Moist,37.26,14.53,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dressing Aqua Adv Ag 9Cmx15Cm,124.2,48.44,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dressing Aqua Adv Ag 9Cmx25Cm,155.25,60.55,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dressing Aqua Adv Ag 9Cmx30Cm,172.84,67.41,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dressing Aquacel Ag Adv 2 X 45Cm,45.54,17.76,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dressing Aquacel Ag Adv 20 X 30Cm,124.2,48.44,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dressing Bioclusive 4 X 4,4.66,1.82,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dressing Biopatch Disk With Chg 2.5Cm-4.0Mm Ethicon,26.22,10.23,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dressing Brn Fst Act 16X16 Vrstl Ncrstln Antibact,306.15,119.4,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dressing Brn Fst Act 6X6Mm Vrstl Ncrstln Antibact,123.16,48.03,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dressing Cnfrm 2 24X36In Trans Nadh Sheet Wound,22.77,8.88,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dressing Collagen Bovine 2 X 2In Puracol Plus,32.08,12.51,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dressing Compression Knee Medium Dj Ortho Llc,479.2,186.89,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dressing Dry Veil Contact Layer 36Inx36,39.33,15.34,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dressing Foam Mepilex 8Inchx8Inch,44.39,17.31,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dressing Gauze 12Ply Ns 4X4In Bulk 200Pk,17.6,6.86,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dressing Graft Otology 10X15Cm Blue,82.8,32.29,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dressing Grmcdl 7Mm 1In Bptch,25.88,10.09,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dressing Merocel Stndrd Nasal,120.58,47.03,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dressing Nasopore 4Cm Firm,634.11,247.3,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dressing Nasopore 8Cm Stryker,948.58,369.95,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dressing Petro 4Inx3Yd Nadh Bctrst Patch Xr,15.01,5.85,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dressing Prsm Matrix 4.34Sq In Wound,39.33,15.34,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dressing Sm Picc Cvc Chg+ Scr,41.4,16.15,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dressing Trans 6X3.5In Polyureth Abs Nadh,5.18,2.02,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dressing Trans Tgdrm 2.75X2In Polyureth Abs Adh,1.3,0.51,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dressing Vaseline 3 X 9In Ster Rile,2.07,0.81,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dressing Webril 4In Sterile Deroyal,10.18,3.97,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dressing Wound Cntct Lyr 8X16 Ag Slv Urgotul,99.36,38.75,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dressing Wound Foam 10X7.5X3.3 Pad Cnct,174.92,68.22,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dressing Wound Foam Sacrum St Ter 8 1-2In X 9In Large,41.4,16.15,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Drill Bit - Flexible - 12Mm Long,4750.65,1852.75,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Drill Bit 10Mm Humeral Nail System Synthes,1261.66,492.05,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Drill Bit Dia 1.7Mm Stainless Steel Cannulated For Qf System,856.98,334.22,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Drill Bit L110Mm 2Mm Calibration 30Mm Quick Couplin,576.5,224.84,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Drill Bit L135Mm 2.5Mm Calibration 45Mm Quick Couplin,519.57,202.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 1.8Mm 110Mm Synthes,565.11,220.39,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 2.7Mm 160Mm Synthes,1268.91,494.87,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 2.8Mm 200Mm Lcp 1 100Mm Calibrated S,658.26,256.72,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 2Mm 100Mm Sterile Synthes,517.5,201.82,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connect 4.2Mm 145Mm Needle Point Synthes,700.18,273.07,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Drill Bit Quick Connet 3.2Mm 145Mm Needle Point Synthes,893.2,348.35,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Drill Bit- Calibrated- 4.2 Extra-Long,1273.05,496.49,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Drill Surg 75Mm Hex Troc Tip Pin Nxgn 3.2Mm,1590.8,620.41,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Driver Needle Dia8Mm Mega Suture Cut Xi Endowrist,362.25,141.28,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Driver Needle L Dia8Mm Suture Cut Xi Endowrist,351.9,137.24,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Driver Needle L Dia8Mm Xi Endowrist,351.9,137.24,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Driver Needle Large Xi Intuitive,455.4,177.61,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Driver Needle Mega Xi Intuitive,455.4,177.61,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 5Fr. 3.5 Jl,39.33,15.34,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 5Fr. 3Drc,39.33,15.34,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 5Fr. 4.0 Jr,39.33,15.34,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 5Fr. Angld Pigtail,39.33,15.34,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr 3Drc,39.33,15.34,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Al 1.0,39.33,15.34,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Al 2.0,39.33,15.34,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Angled Pigtail,39.33,15.34,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Ima,39.33,15.34,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Jl 3.5,39.33,15.34,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Jl 4.0,39.33,15.34,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Jl 6.0,39.33,15.34,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Jr 4.0,39.33,15.34,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr Mpb With Sideholes,195.62,76.29,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Dxterity Catheter Diagnostic 6Fr. 4.0 Ultra With Sideholes,146.97,57.32,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Ear Tube Ventilation Moretz H-C Flex .75Mm 1.27Mm Medtronic,183.71,71.65,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Edge Insulated Blade Electrode L4In Ptfe,33.12,12.92,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Electrode 2.84In Coated 3-32In Edge Std Electrosurg,18.63,7.27,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Electrode 2.84In Insulated 3-32In Edge Std Electrosurg,19.66,7.67,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Electrode Adhesive Neutral Patient Plate Multigen Stryker Or,107.64,41.98,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Electrode Ball Tip 0.3Cm Dia 13Cm L Disposable,56.92,22.2,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Electrode Biplr Cttng Loop 24F,1909.58,744.74,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Electrode Bipolar Coagulation,850.77,331.8,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Electrode Blade Coated 3In Ste Erile Disposable,17.6,6.86,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Electrode Blade Flat Insul,7.24,2.82,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Electrode Blade Tfln Strl Disp,16.56,6.46,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Electrode Defib Adlt 5.95X5.24In Conduct Gel,146.97,57.32,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Electrode Elctrsrg 10Ft Acvc 3-32In Ss,39.33,15.34,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Electrode Elctrsrg 2.75In Std 3-32In Edge Std,18.6,7.25,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Electrode Elctrsurg 10Ft Swbld Acvc Ss Rckr,12.42,4.84,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Electrode Elctsg 6In 10Fr Suct Coag Strl,44.5,17.36,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Electrode Elctsrg 2.75In Ez Cl 4Mm Ez Cln Std,17.6,6.86,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 2.5In 3-32In Edge Std,17.6,6.86,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 24Fr Mx- Mx-Bld Uro,624.1,243.4,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 3Mr Frc Triverse Device,143.86,56.11,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 4In 3-32In Edge Std,25.88,10.09,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 5In 4Mm Ez Cln Std Ptfe,41.4,16.15,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 6In 10Fr Lectrovac Pncl,34.16,13.32,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Electrode Electrosurg 6In 8Fr Lctrvc2 Tnsl,32.08,12.51,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Electrode Electrosurg Blk 11Cm,76.59,29.87,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Electrode Electrosurg Orng,76.59,29.87,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Electrode Electrosurg Wht 11Cm Sf-T-Ga Round,76.59,29.87,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Electrode Electrosurg Ylw 11Cm,76.59,29.87,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Electrode Electrosurg6.5-.24Cm 3-32In Edge Std,19.66,7.67,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Electrode Electrosurg6.5In Ptf 3-32In Edge Std,21.74,8.48,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Electrode Electrsrg Blk Rl,621.0,242.19,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Electrode Electrsurg 10Ft 3-32 3-32In Edge Std,26.91,10.49,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Electrode Emg Chan Pr Sbdrm,566.14,220.79,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Electrode Insulated Needle Tip 4In Lower Power Setting Edge,25.88,10.09,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Electrode Loop 20Mm X 12Mm Di Isposable,49.68,19.38,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Electrode Loop Disp 20X15Mm Back 3-Pk,53.82,20.99,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Electrode Loop Resection 30In Olympus,2266.65,883.99,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Electrode Ndl Tfln Ct 2.75In,17.6,6.86,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Electrode Nessy Omg Rtn 13.2 Cable,20.7,8.07,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Electrode Radiotranslucent,107.64,41.98,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Elevator Endo Vcare Lg 37Mm Cerv Retract Cup,367.42,143.29,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Elevator Endo Vcare Med 34Mm Cerv Retract Cup,369.5,144.1,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Endokit Custom Endochoice,32.08,12.51,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Esg Plasma Needle-Angled,2427.07,946.56,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Esg Plasmaloop - Large 12,2427.07,946.56,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Evacuator Bladder Ellik Steril,10.35,4.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Evacuator Urovac Boston Scientific,93.15,36.33,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Excalibur 4.0 Mm,288.76,112.62,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Extractor Surg Bolt 3.5 Mm Cort 3.5 Mm,488.52,190.52,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Fast-Fix Flex Curved Inserter Needle,2844.44,1109.33,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Fiber Laser Dia200Um 50W Flexiva Pulse 242,1834.02,715.27,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Fiber Laser Dia365Um 100W Flexiva Pulse 365,1534.56,598.48,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Fiber Laser Dia550Um 100W Flexiva Pulse 550,1964.43,766.13,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Fiber Laser Slmln 550Um Del,2222.14,866.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Fiber Moses Laser 200Um 2J 80Hz 60W D-F-L,2404.82,937.88,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Fiber Moses Laser 365Um 6J 80Hz 120W D-F-L,1889.91,737.06,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Filter Bctr-Vir 7-8In Vrsf 6 1,638.6,249.05,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Filter Pencil Plumepen Smoke Evacuatn,107.64,41.98,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Filter Vac Asp Disp,31.05,12.11,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Filter Vac Spec Strl Disp Lf,11.38,4.44,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Fluid Management Symphion Boston Scientific,1463.49,570.76,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Foley Stabilization Statlock Device 2-Way Anchor Bard Medica,14.4,5.62,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Forcep Bx Hot Radial Jw Iv,419.18,163.48,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Forcep Cold Biopsy,40.36,15.74,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Forcep Radial Jaw4 W Ndl 240Cm,104.54,40.77,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Forceps Biopsy L230Cm 2.8Mm Standard Captura Pro,59.0,23.01,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Forceps Bipolar 1Mm Neuro-Tec,846.63,330.19,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Forceps Bipolar 2Mm Neuro-Tec,846.8,330.25,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Forceps Bipolar 8Mm Is4000,641.7,250.26,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Forceps Bipolar Fenestrated 6Mm Da Vinci Sys Endowrist Sp,848.7,330.99,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Forceps Bipolar Fenestrated Xi Intuitive,558.9,217.97,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Forceps Bipolar L8In Tip 1.0Mm Straight Disposable,1811.25,706.39,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Forceps Bipolar Maryland 6Mm Da Vinci System Endowrist Sp,848.7,330.99,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Forceps Bipolar Maryland Xi Intuitive,558.9,217.97,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Forceps Prograsp Xi Intuitive,455.4,177.61,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Forceps Rad Jaw 4 100Cm 2.0Mm,358.11,139.66,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Forceps Rad Jaw 4 240Cm 2.2Mm Pulm Surg,142.83,55.7,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Forceps Rad Jaw 4 240Cm 2.4Mm,142.83,55.7,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Forceps Rad Jaw Ped Bx,346.72,135.22,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Forceps Radial 240Cm 2.8Mm Jaw Boston Scientific,279.45,108.99,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Forceps Radial Jaw 4 Jumbo,287.73,112.21,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Forceps Robotic Dia8Mm Bipolar Fenestrated Xi Endowrist,414.0,161.46,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Forceps Robotic Dia8Mm Bipolar Maryland Xi Endowrist,486.45,189.72,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Forceps Robotic Dia8Mm Bipolar Xi Endowrist,486.45,189.72,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Forceps Robotic Dia8Mm Cadiere Xi Endowrist,310.5,121.1,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Forceps Robotic Dia8Mm Prograsp Xi Endowrist,310.5,121.1,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Forceps Surg 4In Bipolar Crv Disp 04Mm Tip,102.46,39.96,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Forceps Surg Radial Jaw 4,238.05,92.84,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Forceps Surg Radial Jaw 4 Lc,104.54,40.77,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Forceps Surg Raptor Graspg 24Mm 230Mm,611.68,238.56,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Forceps Surg Tln Graspg,636.52,248.24,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Gastroscope Distal L103Cm Dia 9.9Mm Disposable Ascope,2442.6,952.61,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Gauze Packing Iodoform 1-4In X X 5 Yd Ster.,7.24,2.82,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Gelfoam Large 100Mm Pharmacia And Upjohn,114.88,44.8,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Glue Histoacryl Tissue Blu,87.98,34.31,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Graft Delivery Device,636.52,248.24,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Grasper Crocodile Xi Single Site Intuitive Surgical Inc,269.1,104.95,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Grasper Fenestrated Xi Tip-Up Intuitive,455.4,177.61,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Grasper Laparoscopic Atraumatic Applied,342.58,133.61,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Gravity Set 10Dp Ckv 2Sms Dehp,12.42,4.84,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Guide 55Cm Glwntl Surg,380.88,148.54,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Guide Screw Smooth 1.60Mm,167.67,65.39,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Guidewire Orth 150Mm 1.25Mm Nonthrd 4Mm,84.87,33.1,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Guidewire Vasc Std .035In 180Cm 3Cm Ang Tip,194.58,75.89,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Handpiece 2 45D 14Mm Versajet,3964.05,1545.98,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Handpiece 45D 14Mm Versajet,2019.28,787.52,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Handpiece Device For Bpsy-Dia Ag Exsn Vac Asstd 12G,1163.34,453.7,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Handpiece Intpls Coax Bn Cln Tip Set Pls Lav,195.89,76.4,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Harvester Bone With Filter Avitus,5727.69,2233.8,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Hc Zz Cover Air Warm Adult 85.8X502In Upr Frc - Use 27129781,27.94,10.9,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Hc Zz Electrode Ecg Defib Pacing - Use 27100209,57.96,22.6,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Hc Zz Ndl Spinal 20X3.5 - Use 27201583,12.42,4.84,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Hc Zz Ndl Spinal Lf 22X3-1-2 - Use 27201583,9.32,3.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Hc Zz Needle Echo Sgl Stim 20Gax150Mm - Use 27222568,56.92,22.2,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Hc Zz Needle Spnl 3.5In 22Ga Sb - Use 27201583,155.25,60.55,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Hc Zz Needle Stplx Ultra 20Ga 2In - Use 27222568,65.2,25.43,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Hc Zz Tray Sterotactic Biopsy - Use 27203198,53.82,20.99,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Hemostat Absorbable 3 Gm 45 S Sq. Cm Wound Coverage,1174.72,458.14,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Hemostat Srgcl Fibrillar 1X2 Abs Manual,241.16,94.05,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Hemostat Surgcl Orgnl 2X3In,172.84,67.41,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Hemostat Surgcl Orgnl 4X8In,309.64,120.76,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Hemostat Surgicel 2Inx4In Snow Ethicon,416.07,162.27,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Hexagonal Snare,67.9,26.48,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Hmst Abs Powder 5Gm Arista 24-48Hr,1415.88,552.19,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Hndl Laryngsco Britepro Solo Disp,21.77,8.49,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Holder Nasal Dressing Dale,18.11,7.06,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Hook 12Mm Retract Blnt Elc Stay Disp Strl Lf,43.73,17.05,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Hook 5Mm Elastic Blnt Stay,47.61,18.57,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Hook Cautery Hook Permanent Xi Intuitive,414.0,161.46,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Hook Rake 16Mm 6.5Mm Sld Blade,78.66,30.68,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Hook Stay Elastic 5Mm Individ Ually Wrapped Strl,43.47,16.95,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Hooks Retractor 5Mm Lone Star Coopersurgical,385.02,150.16,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Hysteroscope Dia4.6Mm Aveta 3Mm Coral Disposable,1224.4,477.52,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Immobilizer Knee Medium 19.,489.56,190.93,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Immobilizer Knee Universal Deroyal,55.89,21.8,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Immobilizer Orth Lg Univ,25.88,10.09,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Immobilizer Orth Sm 20In,55.89,21.8,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Immobilizer Orth Univ 22In 12-24In Knee 3,122.13,47.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Inferior Turbinate Blade 11Cmx2.9Mm,1475.91,575.6,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Inferior Turbinate Blade 11Cmx2Mm,1583.43,617.54,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Injectable Lifting Agent 10Ml Submucosal Aries Eleview,409.34,159.64,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Ioban 23X17In Anmc Imprg Adh Trans Strl,23.8,9.28,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Irrigator Suction Endo Wrist Xi Intuitive Surgical,1363.1,531.61,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Kit Angio Cust,87.63,34.18,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Kit Bone Mill Medium Blade And Prep Plus Mill Plus,8019.18,3127.48,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Kit Centurion Intrepid Ultra Fms Alcon Vision,1779.16,693.87,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Kit Drain 3-16In Pvc 3 Spring,38.3,14.94,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Kit Electrode Ensite Precision Surface St Jude Medical,4607.82,1797.05,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Kit Endogator W-Tubing,94.18,36.73,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Kit Field Transfer 48In Ll Connect Spk Ck Valve,85.9,33.5,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Kit Fluid Mgt Lrg Stopcock 3 Way Fixd Connect 2In,34.16,13.32,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Kit Glsck Adlt Dressing Ear Hrdshl Gauze Flf,75.56,29.47,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Kit Inflation Device,309.46,120.69,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Kit Inflator Nuvent,1038.1,404.86,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Kit Iv Start Cust,7.24,2.82,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Kit Lac Dlct Instr Ndl Syr,25.88,10.09,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Kit Ligator Muti-Band 6Shtr Us,1385.86,540.49,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Kit Marker Mrgn Ink,813.51,317.27,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Kit Mnfld Cust Cls Sys Flsh,154.22,60.15,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Kit Pstn 7In Jcksn Pat Care Spnl W-Prnview,193.54,75.48,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Kit Pstn 7In Jcksn Pat Tbl Spnl Care,128.34,50.05,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Kit Retract P-Gyn Strl Disp,385.02,150.16,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Kit Surface Electrode Ep Sys Navx Array Ensite X Patch,5048.73,1969.0,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Kit Surg Parathyroidectomy,1052.6,410.51,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Kit Surg Parathyroidectomy 6Fr,1052.6,410.51,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Kit Surgiflo With Thrombin 8Ml Ethicon,817.65,318.88,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Kit Suture Passer 3 Rg Intuitek Medical,237.02,92.44,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Kit Trnsdcr Sngl Vamp 84In,127.3,49.65,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Kit Valves Defendo 5 Piece Single Use Medivators,57.97,22.61,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Kittner Endoscopic 5Mm Deroyal,39.33,15.34,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Knife Myrngtm Spr Intgr Handle Strl Disp,46.58,18.17,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Knife Opth 15 Degree Std,34.84,13.59,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Knife Opth 2.4Mm Clrct Hp2 2.4Mm Ang Dual Bvl,134.2,52.34,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Knife Surg Myrngtm,49.68,19.38,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Lacrimal Trephine,300.15,117.06,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Laparoscope Rigid Warmer Blue Endo,103.52,40.37,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Laparoscopic Flat L-Hook Elect 36Cm,150.07,58.53,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Laparoscopic Smoke Tubing Covidien- Medtronic,83.84,32.7,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Lead And Cable Sys Disp,75.56,29.47,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Leadwire Univ Din To Pinch Disp 5Lead 50In,61.06,23.81,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Left Heart Manifold,150.01,58.5,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Left Heart Manifold - Wellstar Spalding,89.01,34.71,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Ligasure 37Cm Blunt Lf1637 Covidien,2255.26,879.55,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Ligasure 37Cm Retract L-Hook,2665.12,1039.4,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Ligasure Exact 20.6Mm-21Cm Dissector,2223.18,867.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Ligator Multiband 6 Bands 2.8,2119.68,826.68,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Ligator Speedband Superview Super 7 Boston Scientific,1997.55,779.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Locator Nerve Pulse Vristm,319.82,124.73,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Loop Electrosurgicsl Dia0.3Mm,1909.58,744.74,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Loop Esg Medium 30Inch Plasma Electrode,2427.07,946.56,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Manifold Neptune Stryker,107.64,41.98,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Manifold Suct Nptn 2 2 Std 4,87.98,34.31,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Manifold Suct Nptn 2 2 Std 4 Port Disp,147.02,57.34,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Manifold Ultra Evac,53.82,20.99,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Manipulator Advincula Delineator 3.,424.35,165.5,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Manipulator Advincula Dlineator 3.0,424.35,165.5,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Manipulator Injector Laparos Balloon Seal Adj,100.4,39.16,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Manipulator Surg Clrvw Ut,681.03,265.6,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Manipulator Surgical 40Mm Distal Cup Mccarus-Volker Forn,469.89,183.26,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Manipulator Uterine Kronner,183.2,71.45,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Mantis Closure Clip,2085.52,813.35,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Marker Rad India Ink Spot Syr Prefill C Prtcl,186.3,72.66,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Mask Anes Sm Adlt Ulthn Csh Inf Valve Hook Ring,12.42,4.84,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Mask Oxygen Procedural,64.17,25.03,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Mask Oxygen Procedural Pom Elite 7 Oxygen Tubing,45.54,17.76,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Mattress Hovermat Sgl Pt Use,350.86,136.84,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Mepilex Border Post-Op Ag 4X6,106.6,41.57,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Mepilex Border Post-Op Ag 4X8,122.13,47.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Microcatheter Watchdog 20Pk,122.13,47.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Microdebrider Wand Topaz Ex Ifs,2190.06,854.12,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Micropuncture 4Fr Short Introducer Set,203.3,79.29,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Midas Rex Irrigation Low Profile Tubing Set,461.61,180.03,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Mnfld Drip Reduct 4Port Nptn,96.26,37.54,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Mnplt Ut Disp 12Inx4.5Mm,192.51,75.08,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Myosure Reach,5221.58,2036.42,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Myosure Reach 1Ea-Bx,5221.58,2036.42,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Nasal Packing Cs3900-10 Novapak 10Pk Ext,1272.7,496.35,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle 4Cm 21Ga Angio Thnwl Proc Adv,10.35,4.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle 7Cm 5Fr 4 Sdprt Hlw,95.22,37.14,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Anesthesia 27Ga L3.5In Reinforced,168.7,65.79,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Biopsy 11Ga Bone Access Bevel Tip Globus Medical,381.92,148.95,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Biopsy 12Gx10Cm Marquee Bard,423.32,165.09,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Biopsy 19Ga Working 2.8Mm Sheath Dia1.73Mm,2963.2,1155.65,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Biopsy 20Gax10Cm Chiba Cook Medical,59.0,23.01,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Biopsy 21Ga For Robotic Assisted Nav System Flex,1224.4,477.52,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Blunt 18G X 1In Aluminu Um Hub Disposable,10.35,4.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Blunt Fill 18 Ga,34.16,13.32,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Brk 98Cm Transeptal,1248.21,486.8,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Bx 16Ga 16-13.8Cm Mxcor,143.86,56.11,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Bx 17Ga 13.8Cm Trgd,48.64,18.97,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Bx 17Ga 7.8Cm Trgd Coax,48.64,18.97,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Bx 18Ga 10Cm Mxcor Ul,129.38,50.46,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Bx 18Ga 16Cm Mxcor Ul,128.34,50.05,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Bx 18Ga 20Cm Mxcor Ul,128.34,50.05,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Bx 18Ga 25Cm Mxcor Ul,128.34,50.05,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Bx 19Ga 13.8Cm Trgd,31.05,12.11,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Bx 20Ga 15Cm Chba Asp Strl Disp,59.0,23.01,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Bx 20Ga 16-13.8Cm Mxcor,129.38,50.46,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Centeze Cnts,78.66,30.68,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Centeze Cnts 5Fr 7Cm,89.01,34.71,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Colorado 3Cm Microdissection,257.71,100.51,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Driver L Dia6Mm Da Vinci System Endowrist Sp,694.48,270.85,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Electrosurg 3Cm 2.8Mm Pt Micro Tung,105.57,41.17,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Epdrl 20Ga 3.5In Tuo,24.58,9.59,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Epdrl 20Ga 4.5In Tuo Wing Plastic Hub,34.16,13.32,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Guide,80.73,31.48,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Guide Disposable Endocavity Use W. Samsung Med,72.45,28.26,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Guide Insert 10G Encor,19.66,7.67,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Inj Clr Sheath 25G 4Mm 2.3X240Cm,283.59,110.6,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Insfl 100Mm 14Ga Step Vrrs Pnmprtn,44.5,17.36,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Insfl 120Mm 14Ga Pnmprtn,62.1,24.22,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Insfl 150Mm 14Ga Pnmprtn Lng,62.1,24.22,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Keith Straight Abd Tri Iang #2.5 Disp,15.52,6.05,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Port .75In 20Ga 90D,21.74,8.48,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Sclrtx 25Ga Inj Project Strl Disp Crlk,161.46,62.97,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Spnl 3.5In 18Ga Bd Qnck Anes Strl Lv,6.21,2.42,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Spnl 3.5In 20Ga Bd Qnck Anes Strl Lf,6.21,2.42,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Spnl 3.5In 22Ga Bd Qnck Anes Strl Lf,6.21,2.42,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Spnl 3.5In 25Ga Bd Qnck Anes Strl Lf,6.21,2.42,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Spnl 5In 22Ga Bd Qnck Anes Lng Strl Lf,17.25,6.73,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Spnl 8In 22Ga Qnck,23.8,9.28,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Spnl Sb 22G 3.5In,12.42,4.84,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Stimuplex Ultra 360 20Ga 2In B. Braun Medical,52.78,20.58,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Stimuplex Ultra 360 20Ga 4In B. Braun Medical,58.13,22.67,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Sut Half Circ R Pt,34.16,13.32,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Suture 4 Half Circle Anchor Products Company,31.57,12.31,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Suture 5 Half Circle Anchor Products Company,22.77,8.88,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Suture Cottony Ii 8,320.85,125.13,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Needle Transseptal Intro 18Ga A 98Cm Brk 1,921.15,359.25,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Net Spec Ret 230Cm 2.5Mm Rthnt Std Strng,464.72,181.24,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Novasure Endometrial Thermoablation Kit 6Mm,5273.32,2056.59,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Nozzle Bn Cement Rev Fem Brkwy Prs Strl,625.48,243.94,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Obturator Bladeless Optc 8Mm Xi Intuitive Surgical,154.22,60.15,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Obturator Bladeless Optic Long 8Mm Intuitive Surgical,154.22,60.15,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Obturator Da Vinci Intuitive,128.34,50.05,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Omniclose Suture Passer W-Guide Cond 14 Guage,81.76,31.89,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Orthopedic Felt 4Inx4Inx1-8In,5.18,2.02,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pack Angio Kennestone Wk100.021,281.52,109.79,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pack Angio Kennestone Wk100C,430.56,167.92,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pack Arthro Kennestone Wk110017,137.66,53.69,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pack Arthroscopy Cobb Wc100017,214.24,83.55,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pack Av Fistula Kennestone Wk120A,277.38,108.18,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pack Burn Cobb Wc115021,288.76,112.62,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pack Cath Lab Wellstar Pb Ws190A,271.17,105.76,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pack Cust Angio N Fulton Regional,281.52,109.79,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pack Cust Angio Spalding Regional,182.68,71.245,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pack Custom Arthroscopy North H Fulton Regional,447.12,174.38,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pack Custom Tirino Medline,836.28,326.15,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pack Cysto Wellstar Pb Ws170A,167.67,65.39,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pack Cystoscopy I,23.8,9.28,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pack Eent Dynjp7030,38.3,14.94,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pack Eent1,44.5,17.36,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pack Ent,185.26,72.25,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pack Fluent Disposable,1224.4,477.52,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pack Gen Maj Abdominl Wellstar Ws290A,228.74,89.21,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pack Head And Neck Kennestone Wk250.023,164.56,64.18,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pack Ice Fc Sft Cloth Disp W Foam Felt Strap,17.6,6.86,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pack Kop Hand Kennestone Wk140.017,117.99,46.02,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pack Kop Hand Kennestone Wk140A,171.81,67.01,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pack Laparoscopy Wellstar Ws270A,291.87,113.83,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pack Lapscp,33.12,12.92,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pack Lapscp-Plvscp W Sut Bg Armbrd,81.76,31.89,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pack Lavh Wellstar Ws280A,323.96,126.34,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pack Lith5,24.84,9.69,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pack Lithotomy Wellstar Ws310A,171.81,67.01,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pack Loop Recorder Kennestone Wk285.012,225.63,88.0,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pack Lwr Xtrm Drape 90X124In Univ Strl,26.91,10.49,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pack Major Abdominal Wellstar Ws290002,214.24,83.55,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pack Major Basin Cobb Wc120.029,151.11,58.93,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pack Minor Basin Wellstar Ws300A,86.94,33.91,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pack Minor Lithotomy,172.84,67.41,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pack Minor Proc Basin Kennestn Wk320D,179.06,69.83,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pack Ortho Quackenbush Medline,586.84,228.87,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pack Podiatry Kennestone Wk335A,263.92,102.93,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pack Podiatry Windy Hill Ww150A,247.36,96.47,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pack Robotic Wellstar Ws205A,398.48,155.41,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pack Shoulder Arthroscopy D,158.35,61.76,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pack Special Procedure Cobb Wc150A,603.4,235.33,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pack Standard Knee Arthrosc,212.18,82.75,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pack T And A Kennestone Wk380B,155.25,60.55,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pack Total Joint Wellstar Ws400A,431.6,168.32,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pack Upper Extremity Kenneston Wk420.030,262.89,102.53,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Packing Nasal Nasopore 4Cm Standard Stryker,503.53,196.38,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Packing Nasal Stammerger Sinu- Foam Smith And Nephew,856.98,334.22,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pad Defib Adlt Radiotrans Zoll,77.62,30.27,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pad Defibrillator Adult L60In Radiolucent For Physio Control,79.69,31.08,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pad Electrosurg Grnd 9Ft Rm Ph Sv2 Pat Rtn,11.38,4.44,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pad Grnd Cord Disp,36.22,14.13,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pad Pstn Hana Tbl,167.67,65.39,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pad Return Electrode 9Ft Infant Covidien Surgical,20.7,8.07,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pad Shoulder Xlarge Abduction S2S Global,392.26,152.98,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Padding 4Ydx3In Strl Wbrl Reg,8.28,3.23,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Padding Cast W4In X L4Yd Nonadhesive Sof-Rol,8.54,3.33,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Passer Lasso Right Tight Curve Quickpass,783.5,305.56,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Passer Surg 38Cm Ss Polypro Cath Remove,504.04,196.58,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pencil Electrosurg 10Ft,23.8,9.28,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pillow Med 20X18In Foam Pstn,192.51,75.08,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pin Drill Cutter Ii Surg Short 9.5Mm Flipcutter,1590.8,620.41,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pin Pss 2.4Mm Troc Tip Ns,507.15,197.79,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Plasmabutton Esg Electrode,2286.32,891.66,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Platform Gelpoint Mini Acc,3306.82,1289.66,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pointer Tracer Stereotactic Surgery System Probe,2504.7,976.83,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Port 12Mm Acc Blnt Tip 100Mm Lgth,457.47,178.41,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Port 12Mm Acc Optc Tip 100Mm Lgth Bladeless Palm Grip,457.47,178.41,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Port 12Mm Acc Optc Tip 120Mm Lgth Bladeless Palm Grip,471.96,184.06,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Port 5Mm Acc Optc Tip 100Mm In Lgth Bladeless,439.88,171.55,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Port 5Mm Acc Optc Tip 120Mm In Lgth Bladeless,449.19,175.18,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Port 8Mm Acc Optc Tip 100Mm In Lgth Bladeless Low Prof,429.52,167.51,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Port Xi Single Site Intuitive Surgical Inc,771.08,300.72,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Positioner Demayo Foam Pad Crozier,168.7,65.79,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Positioner Head Craddle Foam Deroyal Industries,13.46,5.25,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Positioner Pigazzi Pink Pad Xodus,313.54,122.28,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Positioner Well Leg Foam Arthroscopic Deroyal Medical,48.64,18.97,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pouch 34.5Cm 10Mm E-Ctch Gld Spec Ret Disp,195.62,76.29,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pouch 34.5Cm 15Mm E-Ctch 2 Fin Ger Control,418.14,163.07,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Pouch 6X3In Endobag Dispensing Slv Rub Ring,72.45,28.26,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Powder Surgicel 3.0 Gm Ethicon,806.61,314.58,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Powder Surgifoam Ethicon,273.65,106.72,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Prep Chloraprep Orange 26Ml Carefusion Corp,29.25,11.41,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Probe 10G Affirm Upright,856.98,334.22,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Probe Bipolar Stim Side-By-Sid,690.34,269.23,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Probe Breast Biopsy 14Ga Triconcave Tip Single,1101.24,429.48,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Probe Circ 2.3Mm Fiapc Len,1144.71,446.44,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Probe Doppler 20Mhz Straight Disposable,1466.6,571.97,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Probe Electrosurg 220Cm 2.3Mm,1112.62,433.92,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Probe Laser Ent Shrt Ang 2.5,945.99,368.94,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Probe Mri 10Ga Encor Troc Tip Breast Bio,758.66,295.88,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Probe Neurostim Nm Rspn Prass,643.77,251.07,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Probe Sp02 Oximeter Instep Neonate 3Kg Finger Adult 4,52.78,20.58,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Probe Stimulator Prass Monopolar Medtronic,649.98,253.49,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Probe Surg Swartz 20 Mhz,2337.03,911.44,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Protector Foam Pad Extermity Deroyal,10.58,4.13,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Protector Nerve Uln Foam Bei Vlcr Clsr,7.24,2.82,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Punch Biopsy 3Mm Integra,8.28,3.23,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Punch Surg 2Mm Ss Derm Bx Rzr,10.35,4.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Quadcut Blade 4.3 Mm,1275.46,497.43,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Rasp Surg 11X5Mm Sm Ss Tear,580.64,226.45,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Reamer Pat Blade 51Mm,685.17,267.22,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Reload Stapler 3.5Mm Blue 6 Sureform 45,2056.54,802.05,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Reload Stapler 45Mm Egiz Vasc Endo Gry,713.12,278.12,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Reload Stapler Intnl 30Mm Med Artc Crv Tip,618.93,241.38,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Reload Stapler Med 45Mm Egia Vasc Artc,713.12,278.12,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Reload Stapler Med 60Mm Purp Thktis Artc Crv Ct Egia,1160.23,452.49,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Reload Stplr Med 60 Egia Vasc Vasc Artc,888.03,346.33,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Reload Tri-Staple 45Mm Med Thk Signia 2.0 Crv Tip,856.98,334.22,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Resector Endoscopic 2.9Mm Flexible Disposable,3527.28,1375.64,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Resector Endoscopic 2.9Mm Soft Tissue Polyp Aveta Smol,2645.46,1031.73,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Reservoir Drain Bulb Evacuator Bard Medical,19.66,7.67,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Resolution 360 Ultra Clip 235C 235Cm Bx20,1398.28,545.33,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Restraint Xtrmt 39.5Mm 50Pair,12.42,4.84,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Retractor 10Mm Spat Sys Sil,64.17,25.03,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Retractor Ring Long Star Disposable Coopersurgical,385.02,150.16,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Retractor Small Alexis Lap Sys Surgical Wound Protector,1420.02,553.81,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Retractor Small Graptor Grasping Xi Intuitive,496.8,193.75,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Retractor Surgical 135X30Mm Sngle Use Cordless W Light Src,1101.24,429.48,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Retriever Hewson Suture Smith And Nephew,751.06,292.91,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Rhinolaryngoscope L11.8In D3Mm 130Deg Flexible Cystoscope,734.85,286.59,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Right Heart Manifold Kit,96.26,37.54,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Ring Retract G2 Noryl Rsn Wo,385.02,150.16,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Rod Reamer 650Mm 2.5Mm Ball Tip Strl,562.0,219.18,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Rod Reamer 950Mm 2.5Mm Ball Tip Strl Disp,476.1,185.68,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Rosi Tubing,977.04,381.05,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Rotatable Fusion Blade Quadcut 4.3Mmx13Cm,2144.52,836.36,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Rotatable Fusion Blade Rad 40,2009.97,783.89,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Ruby Coil Detchmnt Hndl,1165.41,454.51,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Scalpel Rchrd Sckl Blade Flat Handle Myrngtm,62.1,24.22,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Scalpel Safety 15 Penblade,6.21,2.42,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Scissor Insert 5Mm Curved Metzenbaum Care Fusion,294.98,115.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Scissors Curved Monopolar 6Mm Da Vinci System Endowrist Sp,910.8,355.21,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Scissors Endo 5Mm Monopol Caut,225.63,88.0,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Scissors Monopolar Xi Curved Intuitive,662.4,258.34,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Scissors Robotic L31.5Cm D8Mm Jaw L1.1Cm 38Deg Round Tip,310.5,121.1,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Screw Temporary Globus,244.78,95.46,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Seal Cannula Davinci 8.5-13Mm,195.62,76.29,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Seal Myosure Hologic,48.64,18.97,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Seal Universal 5Mm 8Mm Xi Intuitive,92.53,36.09,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Sealant Human Fibrin 10Ml Vistaseal Ethicon,2364.98,922.34,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Sealant Human Fibrin 4Ml Vistaseal Ethicon,1179.64,460.06,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Sealer Vsl Endo Wrst 1 Da Vinci,2623.72,1023.25,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Sealer-Divider Ligasure Blunt Tip 5Mm-37Cm Covidien.,2097.95,818.2,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 108439 Port Access Bladeless Optical L Tip Airseal 5X120,408.82,159.44,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 108440 Port 8Mm Acc Optc Tip 120Mm In Lgth Bladeless Low,433.66,169.13,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 10982 Kit Cannister Rgd 1000Cc Elb Tub Tonnect,7.24,2.82,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 110971 System Laparoscopic 100X12Mm Balloon Trocar Kii A,153.18,59.74,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 112471 Applier Clip 30D Small 9 3-8In Endo Titanium Ethi,838.87,327.16,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 112479 Set Prim Ck Ndls 21Ml 20 Drop Vent-Nvnt 116In,14.49,5.65,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 114101 Bag Collection Urine 2000Ml Bard Medical,16.56,6.46,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 1154 Catheter Foley 2-Way 10Fr 3Cc All Silicone Bard Med,15.52,6.05,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 115909 Blade Saw 31X9X.38Mm Osc Med Lng Thin Ss Prcs,144.9,56.51,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 116204 Shield Eye Optiguard Clr Plastic,32.08,12.51,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 116499 Pack Surgical Setup Medline,13.46,5.25,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 116510 Pack Surg Cystoscopy Iv Halyard Health,25.88,10.09,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 116628 Kit Prep Betadine Deroyal,15.52,6.05,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 116908 Sponge 6.75X6In Abs Flf Gauze Dry Super 20-Tr Wvn,24.84,9.69,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 116913 Sponge Gauze Dermacea 4X4In,9.32,3.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 118786 Suture Ethilon 5-0 Fs-2 18In Black G Ethicon,9.32,3.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 120003 Sponge 4X4 Covidien 2 Per Pack,6.21,2.42,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 121 Bandage Elc Vlcr Ns Lf 4Inx5Yd,6.21,2.42,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 122319 Tray Catheter Foley 16 Fr Advance System Bag With,64.17,25.03,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 122656 System Irrisept Wound Depridement Cleansing 0.05%,299.12,116.66,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 123544 Suture Stratafix Pds 1 Ct1 18In Violet Ethicon,118.51,46.22,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 124934 Set Iv Admin Gravity 104In,10.35,4.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 124946 Set Admin Vent 15 Drop 112In,16.39,6.39,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 125445 System Splnt 3Inx15Ft Orth Gls,232.88,90.82,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 125875 Tubing Smk Evac 6Ft Cnct Vac,13.46,5.25,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 126032 Spec Rtrvl Sys Endo Disp 10Mm,367.42,143.29,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 126033 System Retrieval Specimen End Doscopic Lg 12-15Mm,807.64,314.98,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 127147 Device Novasure Endometrial Ablation Hologic,4828.27,1883.03,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 127147 Kit Nvsr Endmtrl Ablt Sure Snd,6480.14,2527.25,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 127217 Suture Vicryl 1 Ct-1 18In Cr Violet Ethicon,57.96,22.6,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 127245 Scalpel Bp Ss Lck Rtrct Shld Prct Opth Surg,7.24,2.82,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 129515 Gelfoam Small 12-7Mm Pharamacia And Upjohn,19.66,7.67,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 129751 Cuff Bp Sft Adlt Disp,7.24,2.82,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 131494 Needle Stplx A Bvl Insul Extn,45.54,17.76,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 132721 Cord Bipolar 12Ft Ftswtch Strl Disp,13.46,5.25,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 132729 Burr Oval 8 Flute 4.0 X 13,240.12,93.65,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 132790 Pack Basic 1,10.35,4.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 134099 Manipulator Uterine Injector Marina Medical,90.04,35.12,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 134877 Wipe Prep 7.5X7.5In 2% Chg Sage,26.91,10.49,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 135156 Suture Vicryl 2-0 Ct1 36In Violet Ethicon,7.76,3.03,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 136241 Airway Esoph 5 Adlt Laryng,57.96,22.6,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 136584 Kit Evicel 2Ml Ethicon,1037.07,404.46,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 137006 Prep Chloraprep Orange 10.5Ml Carefusion Corp,15.52,6.05,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 138026 Pack Basic Cysto 1,120.06,46.82,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 138026 Pack Custom Cysto Medline,165.6,64.58,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 138555 Pack Laparoscopic Kennestone,145.94,56.92,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 138566 Syringe Toomey Bard,8.28,3.23,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 138934 System Laparos Smk Evacuation,83.84,32.7,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 139268 Pack Cust Spine Amc,527.85,205.86,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 139268 Pack Spine Kennestone,260.82,101.72,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 139572 Pack Cscp4,26.91,10.49,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 139583 Pack Total Joint Cobb,357.08,139.26,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 139611 Pack Av Fistula Deroyal,212.18,82.75,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 139615 Pack Minor Basin Kennestone Wk300010,20.7,8.07,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 139616 Pack Major Gen Abd Kennestone,129.38,50.46,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 139616 Pack Major Gen Abd Kennestone Wk290020,133.51,52.07,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 139617 Pack Lap Colon Kennestone,203.9,79.52,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 139617 Tray Lapchole Cds930030L,383.98,149.75,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 139623 Pack Cath Lab Kennestone,259.79,101.32,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 139834 Pack Shoulder Arthr Windy Hill Ww160026,381.92,148.95,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 139892 Pack Laparoscopy Ws270001,281.52,109.79,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 139894 Pack Stroke Kennestone,776.25,302.74,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 140186 Pack Major General Abdominal Ws290001,278.42,108.58,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 140219 Tray Surg Proc Cust Picc Wk430015,162.5,63.38,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 140669 Pack Basin Minor Cobb,66.24,25.83,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 140750 Pack Podiatry Windy Hill Ww150021,185.26,72.25,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 140768 Pack Lavh Wellstar Ws280001,263.92,102.93,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 140774 Pack Minor Basin Wellstar Ws300003,93.15,36.33,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 140792 Pack Major Basin Cobb Wc120025,115.92,45.21,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 140801 Pack Hand Kop,123.16,48.03,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 140813 Pack T And A Kennestone,79.69,31.08,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 140815 Pack Tvt And Vag Hyst Kennestone Wk410019,85.9,33.5,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 140820 Pack Arthroscopy Windy Hill Ww110023,428.49,167.11,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 140821 Pack Basin Hand Windy Hill Ww120019,168.7,65.79,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 140822 Pack Podiatry Windy Hill Ww150022,182.16,71.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 14083 Kit Splint Form Denver Series S 1500 Small-Medium,233.91,91.22,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 140907 Suture Vicryl 3-0 18In Strand Violet Ethicon,41.4,16.15,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 140910 Suture Vicryl 4-0 12 X 18In Strand Undyed Ethicon,28.98,11.3,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 140916 Suture Vicryl 5-0 Rb1 27In Undyed Ethicon,9.32,3.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 140917 Suture Vicryl 4-0 Rb-1 27In Undyed Ethicon,7.24,2.82,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 140918 Suture Vicryl 3-0 Rb1 27In Undyed Ethicon,8.28,3.23,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 140923 Suture Vicryl 2-0 Ct1 27In Undyed Ethicon,7.24,2.82,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 140924 Suture Vicryl 0 Ct-1 27In Undyed Ethicon,7.35,2.87,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 140929 Suture Vicryl 0 Ct-2 27In Undyed Ethicon,7.5,2.92,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 140938 Suture Vicryl 3-0 Sh 27In Violet Ethicon,7.24,2.82,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 140939 Suture Vicryl 2-0 Sh 27In Violet Ethicon,7.24,2.82,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 140947 Suture Vicryl 1 Ct-2 27In Violet Ethicon,7.24,2.82,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 140959 Suture 2-0 Url 27In Ur-5,9.32,3.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 140962 Suture Vicryl 4-0 Sh 27In Undyed Ethicon,7.24,2.82,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 140964 Suture Vicryl 4-0 Fs-2 27In Undyed Ethicon,10.35,4.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 140966 Suture Vicryl 4-0 Ps-2 27In Undyed Ethicon,19.66,7.67,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 140967 Suture Vicryl 3-0 Ps-2 27In Undyed Ethicon,19.66,7.67,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 140970 Suture Vicryl 4-0 Fs-1 27In Undyed Ethicon,10.35,4.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 140983 Suture Vicryl 5-0 Ps-2 18In Undyed Ethicon,19.66,7.67,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 140987 Suture Vicryl 3-0 Ps-2 18In Undyed Ethicon,19.66,7.67,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 140997 Suture Vicryl 0 Ur-6 27In Violet Ethicon,9.17,3.58,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 140999 Suture Vicryl 0 54In Tie Undyed Ethicon,11.38,4.44,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 141008 Suture Vicryl 2-0 Ct-2 18In Cr Violet Ethicon,54.65,21.31,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 141009 Suture Vicryl 0 Ct-2 18In Cr Violet Ethicon,55.89,21.8,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 141013 Suture Vicryl 0 Ct-1 18In Cr Violet Ethicon,55.89,21.8,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 141016 Suture Vicryl 2-0 Cp-2 18In Cr Undyed Ethicon,68.31,26.64,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 141020 Suture Vicryl 4-0 Sh 18In Cr Violet Ethicon,55.89,21.8,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 141022 Suture Vicryl 2-0 Sh 18In Cr Violet Ethicon,53.82,20.99,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 14103 Bag Cpr Ambu Adult W Mask,199.76,77.91,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 141030 Suture Vicryl 2-0 Ct-1 18In Crundyed Ethicon,54.86,21.4,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 141031 Suture Vicryl 0 Ct-1 18In Undyed Ethicon,55.89,21.8,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 141037 Suture Vicryl 3-0 Sh 18In Cr Undyed Ethicon,55.89,21.8,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 141044 Suture Vicryl 3-0 Ct1 36In Undyed Ethicon,8.28,3.23,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 141045 Suture Vicryl 2-0 Ct-1 36In Undyed Ethicon,7.76,3.03,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 141063 Suture Monocryl 3-0 Ct-1 36In Violet Ethicon,12.42,4.84,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 141069 Suture Monocryl 5-0 P-3 18In Undyed Ethicon,30.02,11.71,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 141070 Suture Monocryl 4-0 Ps-2 18In Undyed Ethicon,27.94,10.9,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 141071 Suture Monocryl 3-0 Ps-2 18In Undyed Ethicon,27.94,10.9,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 141072 Suture Monocryl 3-0 Ks 27In Undyed Ethicon,16.56,6.46,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 141078 Suture Monocryl 5-0 Pc-3 18In Undyed Ethicon,30.02,11.71,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 141079 Suture Monocryl 4-0 Pc-3 18In Undyed Ethicon,30.02,11.71,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 141086 Suture Pds2 5-0 Rb-1 27In Violet Ethicon,13.46,5.25,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 141090 Suture Pds2 3-0 Sh 27In Violet Ethicon,13.11,5.11,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 141093 Suture Pds2 0 Ct2 27In Violet Ethicon,13.46,5.25,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 141096 Suture Pds2 1 Ct1 27In Violet Ethicon,12.42,4.84,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 141104 Suture Pds2 4-0 Fs-2 27In Clear Ethicon,19.66,7.67,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 14111 Sensor Neo-Adlt Oxmx 18In Oxm Adh Strap Reprocesse,31.05,12.11,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 14111 Sensor Neonat Lncs 36In Finger Oxm Adh Low,46.58,18.17,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 141113 Suture Pds2 3-0 Ps-2 18In Cutting Clear Ethicon,26.91,10.49,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 141119 Suture Pds2 1 Tp-1 48In Violet Loop Ethicon,24.84,9.69,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 141125 Pack Lap Colon Wellstar,216.32,84.36,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 141214 Pack Custom Robotic Medline,2904.21,1132.64,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 141318 Pack Arthroscopy Cobb Wc100014,243.22,94.86,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 141320 Circuit Anesthesia Westmed Inc,27.94,10.9,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 142311 Tray Spnl Anes 24Ga 90Mm,98.32,38.34,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 142573 Curette Vacuum Aspiration 12Mm Curette Vacuum Asp,17.6,6.86,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 142638 Pack Ent Medline,169.74,66.2,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 143140 Curette Vac 8Mm Plastic Rnd,21.74,8.48,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 143525 Kit Fld Transf 48In Ll Connect Spk Ck Valve,54.86,21.4,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 143811 Canister Suction 1.5L Rigid Deroyal,12.38,4.83,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 143812 Cannister Suction Rigid 2.5L Deroyal,7.57,2.95,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 144224 Dressing Aquacel Ag 9Cm 15Cm,124.2,48.44,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 144225 Dressing Aquacel 9Cm 25Cm Convatec,155.25,60.55,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 144226 Dressing Aquacel 9X30Cm Convatec,172.84,67.41,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 144227 Dressing Aquacel Ag 9Cm 35Cm,172.84,67.41,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 1510 Suture Vicryl 0 Ct-1 36In Undyed Ethicon,7.88,3.07,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 154 Blade 15C Bp Ss Surg Strl Disp,5.18,2.02,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 155772 Anesthesia Circuit 120In Exp-Lf,46.58,18.17,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 155808 Pack Minor Proc Basin Kennestone,93.15,36.33,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 155808 Pack Minor Proc Basin Kennestone Wk320032,100.4,39.16,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 155810 Pack Cysto Wellstar Ws170004,176.98,69.02,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 155812 Pack Wellstar Laparoscopy Ws270002,281.52,109.79,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 155832 Tube Endotrach 7Mm,2090.7,815.37,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 155913 Tubing Line Filter Nasal 02 Philips,84.87,33.1,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 156026 Pack Lithomtomy Wellstar Ws310003,171.81,67.01,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 156058 Pack Cysto Wellstar Ws170.005 Ws170.005,193.54,75.48,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 156084 Pack Breast Proc Kennestone Wk130024,187.34,73.06,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 156085 Pack Kop Hand Kennestone Wk140016,123.16,48.03,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 156091 Pack Minor Proc Basin Kennestone Wk320033,106.6,41.57,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 156173 Pack Head And Neck Kennestone,109.71,42.79,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 156192 Quick Combo Defib Adlt 24In Pad,33.12,12.92,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 156651 Pack Robotics Wellstar Ws205001,387.09,150.97,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 157 Electrode Dual Return Adhesiv E Cnd Pediatric Cord,21.74,8.48,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 157006 Pack Cath Lab Wellstar Ws190.008,271.17,105.76,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 157014 Pack Cysto Wellstar Ws170.006 Ws170.006,167.67,65.39,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 157067 Pad Table Patient Trendelenburg Symmetry,240.12,93.65,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 157089 Quick Combo Defib Pads,89.01,34.71,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 157242 Tape Umbilical Cotton 1-8In X 30In Ethicon,7.24,2.82,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 157433 Canister Suct Lnr Thnwl 3Ltr,7.24,2.82,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 157494 Electrode Dfbr Radiotransparnt Pro-Padz,84.87,33.1,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 157499 Kit Biopsy Basic W-O Needle,233.91,91.22,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 157511 Padding 4Ydx6In Cttn Strl Wbrl Undcst Reg,9.32,3.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 157514 Cradle Pstn Dvn Arm Foam Lmi,12.42,4.84,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 157622 Stocking Compression Medium Regular Thigh-Hi Anti,18.63,7.27,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 157685 Tubing Suction L10Ft Dia0.25In Nonconductive,7.76,3.03,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 157701 Tip Suct Frzr 12Fr Cntl W Vent,7.24,2.82,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 157702 Sponge Gauze Vrsln 4X4In 4 Ply Abs Nonwvn 10-Tr,8.28,3.23,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 157717 Pack Minor Proc Basin Kennest Wk320.035,161.46,62.97,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 157720 Pack Av Fistula Kennestone Wk120.020,266.0,103.74,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 160543 Set Extn 20In W-3 Way Stopcock,7.24,2.82,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 160556 Injection Ampule Submucosal 10Ml Eleview,453.33,176.8,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 172271 Scalpel Safety 11 Penblade,6.21,2.42,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 172839 Catheter Foley 2-Way 14Fr 5Cc All Silicone Bard M,15.52,6.05,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 17489 Sling Orth Xl Arm Dp Pckt Shoulder Pad Hook,14.49,5.65,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 1890 Catheter Iv Strl 2In 14G Incn Sf Tfln,6.21,2.42,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 19550 Device Endo Peanut 5Mm Covidien,94.18,36.73,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 1962 Splint Plaster Ready-Cut Fast T 5In X 30In,1.45,0.57,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 225 Gauze Pk Xray Dtct 2Inx3Yd,17.6,6.86,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 232 Surgicel 2X3 Ref 1953 Origi,290.83,113.42,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 2666 Pad Undcst Crmpd Fnsh 4Inx4Yds Strl,7.24,2.82,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 3043 Sensor Adlt Oxmx 18In Oxm Adh Strap Compat Reproces,31.05,12.11,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 37456 Trocar Optc Bladeless 11Mm Std W-Fx100Mm Cannula,49.68,19.38,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 388 Tape Dressing 3M Mdpr 6In 10Yd Adh Hypoall,47.61,18.57,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 474 Sling Arm Cmft Blu Lg,11.38,4.44,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 474 Sling Arm Strap Pad Vlfm Lg 8 X 19In Blu,12.42,4.84,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 47658 Surgicel Nu-Knit Hemo 3 X 4,240.12,93.65,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 477 Immobilizer Shoulder Sling Lrg,19.66,7.67,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 5308 Coagulator Footswitch Suction N 10F 152Mm,35.19,13.72,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 53285 System Laparoscopic 10X12Mm Trocar Access Z--Threa,342.58,133.61,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 59365 Catheter Foley 2-Way 20Fr 5Cc Silver Hydrogel Late,34.16,13.32,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 6061 Coagulator Ftswitch Suct 6In 10F Cannla Brs Tip,130.41,50.86,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 60732 Blanket 60X36In Adlt Polymer Br Hgr Air Sys,127.3,49.65,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 61250 Clip Sm 2.6Mm Intnl Lgclp Ex,35.19,13.72,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 61250 Clip Sm Ti Endo Lgt Wide Slot Strl Disp Lf Intnl H,11.38,4.44,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 62 Dressing Transparent Tegaderm M Chg 3.5 X 4-5In,27.21,10.61,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 64419 Cannula Nasal 7Ft Gas F O2,10.35,4.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 7350 Blade Saw Sgtl 9X0.38X31Mm Precision Thin,168.7,65.79,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 74603 Suture Vicryl 2-0 Sh 27In Undyed Ethicon,7.24,2.82,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 76893 Suture Vicryl 3-0 Sh 27In Undyed Ethicon,7.3,2.85,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 77267 Foley Stabilization Statlock Device 3-Way Anchor B,14.49,5.65,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 83463 Suture Vicryl 2-0 Ct-2 27In Undyed Ethicon,7.89,3.08,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 83673 Dressing Nasopore 4Cm Firm,692.42,270.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 83900 Suture Monocryl 3-0 Ps-2 27In Undyed Ethicon,28.2,11.0,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 83902 Suture Monocryl 4-0 Ps-2 27In Undyed Ethicon,28.98,11.3,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 83903 Suture Monocryl 5-0 Ps-2 18In Undyed Ethicon,27.94,10.9,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 84052 Suture Monocryl 4-0 P-3 18In Undyed Ethicon,30.02,11.71,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 8702 Mastisol Liquid Adhesive,35.19,13.72,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 8831 Bandage Esmark 6 Inch,12.42,4.84,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 89151 Blade Clipper Disposable Cardinal Health Medical,9.32,3.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 89151 Blade Surgical Clipper Blade,67.28,26.24,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 90532 Stapler Skin 35 Wide Ethicon,164.56,64.18,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 914 Support Wrst Pstn Radial Acc Strl,33.12,12.92,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 924 Kit Skin Scrub Vag Prep Pvp1 5 Cmprt Bsin,17.6,6.86,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 92494 Pack Gyn Laparoscopy,218.38,85.17,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 93343 Cautery Pncl Pshbtn Sf Hlstr 10Ft Cord,15.52,6.05,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 9437 Set Transf Xsh Ext Twst Clamp Mncp Prtnl Ped,353.97,138.05,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 9555 Coban 4In Med Cs-18,6.55,2.55,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 95839 Pack Cust Pacemaker Amc,392.26,152.98,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 96363 Cannula Nasal Divr Adlt M 7Ft O2 Ln 7Ft Co2 Ln,10.35,4.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 97009 Tray Cath Bdx Ic 16Fr 5Ml,67.28,26.24,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 97197 Adhesive Histoacryl Aesculap,84.87,33.1,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 97220 System Laparoscopic Access Fi Os Advncd Fx 5X100Mm,78.66,30.68,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 97220 Trocar Vrsprt Bladelss 5Mm Optc,49.68,19.38,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 97854 Drain Penrose 0.25In 18In Latex Sterile,8.28,3.23,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See 98974 Trocar Vrsprt V2T Bladeless 5Mm Optc,49.68,19.38,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - See Item 134868 Tray Shoulder Dynj22889 L,403.65,157.42,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Sensor Adlt Oxmx 18In Oxm Adh Strap Compat,36.22,14.13,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Sensor Finger Lng Low Nse Cable Neonat,50.2,19.58,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Sensor Neo-Adlt Oxmx 18In Oxm Adh Strap,42.44,16.55,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Sensor Spo2 Finger Adlt Lncsadtx,39.85,15.54,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Set Adm 100In 15 Gtt 17Ml Iv,18.63,7.27,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Set Adm 100In 20 Gtt 17Ml Iv Prim Infus M Ll,17.6,6.86,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Set Adm 117In 20 Gtt Iv,14.49,5.65,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Set Adm Grvty 112In 27Ml 15 Gtt Ndehp,13.46,5.25,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Set Adm Grvty Chk Valve Slide,16.56,6.46,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Set Cysto Irr 75In 8 Drop-Ml,40.36,15.74,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Set Extension 7In Max Plus Carefusion,8.28,3.23,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Set Extn 2.4Ml 60In Iv M Ll,5.18,2.02,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Set Extn 32In 4Ml Iv M Ll 4W Stopcock Ndehp,3.1,1.21,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Set Extn 41In 6Ml Ndehp,10.35,4.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Set Extn 8.5In Mnbr Press Rt,7.24,2.82,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Set Extn Iv Prim Clv 4Gangstop,48.64,18.97,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Set Introducer Localization 1 12G,95.22,37.14,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Set Intub Crwfrd Lcrml W-O Sut,460.58,179.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Set Iv Admin L92In 15Gtt With 1 Needle Free Port,9.32,3.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Set Iv Sol 69In,22.77,8.88,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Set Proc Genesys Hta Procerva,7645.54,2981.76,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Set Transf 48In 48In Spk Conne,80.73,31.48,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Set Trkr Fus Ent Nvg Sys Ent Sticky,1098.43,428.39,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Set Trkr Fus Nvg Sys Ent,887.37,346.07,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Set Tube Sgl Bi Lum Fltr Use W Airseal,377.78,147.33,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Set Tube Sgl Tri Lum Fltr Use W Airseal,471.96,184.06,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Set Tur Y Type Irr Nvnt,62.1,24.22,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Shaver 4.0Mm Flyer Blade,428.49,167.11,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Shaver Small 2Mmx7Cm Sabre Small Hub Coolcut,322.92,125.94,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Sheath 0D 4Mm Escrb2 Sin,420.21,163.88,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Sheath 0D 4Mm Escrb2 Stryk Irr,372.6,145.31,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Sheath Acc Nav 13-15X28Cm Uret Hd,594.09,231.7,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Sheath Acc Nav 13-15X36Cm Uret Hd,576.5,224.84,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Sheath Camera Instrument Da Vinci Sp,308.43,120.29,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Sheath Instrument Disposable Davinci Sp,154.22,60.15,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Shield Corneal Small Protector,113.33,44.2,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Shield Eye Adh Optgrd Strl Blu,31.05,12.11,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Shield Eye Univ 7.5Cmx6.5Cm,11.38,4.44,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Sizer System Disposable Ac Partial Sterile Pp,153.18,59.74,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Sjm Cable Extension Ablation Safire 300Cc,1047.42,408.49,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Skimmer Angle-Tip Blade 22.5Cmx3.5Mm 15,2436.39,950.19,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Sleeve 100Mm 5Mm Kii Zthrd Laparos,220.46,85.98,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Sleeve 12Mm Outr Strl Protect F-Suprapaellar,407.79,159.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Sleeve Comp Lg Kn-Hi Scd Exp,78.66,30.68,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Sleeve Comp Reg Ft Scd Exp Antiiemb Cuff,87.46,34.11,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Sleeve Dvt Reg Medium,78.66,30.68,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Sleeve Dvt Sterile Reg,90.04,35.12,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Sleeve Mp Gma Fnd Strl,48.64,18.97,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Sleeve Optc Bladeless V2 Shrt 5Mm Fx Can Vrstp,32.5,12.68,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Sleeve Scd Medium Knee-High Covidien,54.86,21.4,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Sleeve Star,342.58,133.61,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Sling Orth Lg Arm Dp Pckt Shoulder Pad Hook,14.83,5.78,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Sling Orth Med Arm Dp Pckt Shoulder Pad Hook,14.49,5.65,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Snare 10,50.72,19.78,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Snare 15,50.72,19.78,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Snare Cptvtr 240Cm 2.4Mm 27Mm,159.39,62.16,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Snare Endoscopic 10Mm Diamond Thin Wire,32.08,12.51,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Snare Endoscopic 10Mm Thin Wire Oval Cold,34.16,13.32,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Snare Endoscopic Adult L240Cm Captivator Ii Stiff 10Mm Round,159.39,62.16,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Snare Endoscopic Adult L240Cm Captivator Ii Stiff 15Mm Round,159.39,62.16,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Snare Endoscopic L240Cm Dia2.4Mm Loop W20Mm Round,159.39,62.16,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Snare Endoscopic L240Cm Sheath Dia2.4Mm Loop W10Mm,109.71,42.79,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Snare Exacto 2.4Mm 230Cm 9Mm C Cold,63.14,24.62,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Snare Mic Oval 13Mm 2.4Mm,191.48,74.68,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Snare Plpctm Stnd Ovl 7Fr 2.5,51.75,20.18,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Snare Polyp Mini Ovl 7Fr 1.5,92.12,35.93,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Snare Polypectomy Short Throw W Std Oval 240Cml,162.5,63.38,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Snare Rotatable 13Mm,259.79,101.32,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Snare Sns 240Cm 27Mm Polyp Std,114.88,44.8,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Snare Sns Shrthrw Jmb Oval,191.48,74.68,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Snare Spiral,119.02,46.42,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Snare Std 240Cm 2.4Mm 27Mm,159.39,62.16,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Snare Vasc 120Cm 10Mm 4Fr Agn,1224.4,477.52,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Snare Vascular L240Cm Loop W10Mm Sheath Dia2.4Mm,121.1,47.23,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Snare W Std 240Cm 1.9Mm 27Mm,195.62,76.29,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Solution Prep Bdine Opth 5% Pvp Iod 30Ml 00065-0411-30,39.18,15.28,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Sorbx Shield Angio,129.38,50.46,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Sound Surg Dil,13.46,5.25,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Sp Access Port Kit Small Incision 2.7-4Cm,2441.77,952.29,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Specboard Macbrud Corporation,115.92,45.21,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Spirometer Incnt 2.5L Sm Volume Low Flow,9.32,3.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Splint 8Cm Thk1.5Cm Std Stng,95.22,37.14,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Splint Intranasal 0.6Inx2In,734.85,286.59,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Splint Nasal 3 X 3 Blush,30.02,11.71,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Splint Nasal Doyle Medtronic,186.3,72.66,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Splint Nasal Intnl Sil Spt,112.82,44.0,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Splint Nasal Sil Neiman 1.67In,134.03,52.27,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Splint Scotchcast 30X5In Fiber Glass 3M,59.0,23.01,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Sponge Abs Hemost Powder Kt,565.11,220.39,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Sponge Ear Ambrus Pack 15X20Mm Rect,68.31,26.64,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Sponge Neuro 1-2In X 3In,23.8,9.28,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Sponge Neuro Patty .5X.5In Deroyal,17.6,6.86,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Sponge Neuro Patty 3X1In Deroyal,17.6,6.86,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Sponge Pattie .5X3In Deroyal,17.6,6.86,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Sponge Surg 1X1In Ptt 1 Stng,17.67,6.89,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Sponge Surgifoam 12-7 2Cmx6Cmx0.7Cm Ethicon,20.44,7.97,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Sponge Surgifoam 8Cm 12.5Cm Absorbable Ethicon,98.32,38.34,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Sponge Tonsil Medium Deroyal Industries,12.34,4.81,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Stapler 100X3.8Mm Ti Reload Endo Lin Cutter Intnl,469.89,183.26,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Stapler Cannula 12Mm Seal Xi,102.64,40.03,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Stapler Cannuler Reducer Endo Wrist Xi Intuitive,129.38,50.46,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Stapler Insorb Subcuticalar,303.26,118.27,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Stapler Intnl 100X3.8Mm Ti,900.45,351.18,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Stapler Intnl 12Mm Handle 3-Staple Egia,451.92,176.25,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Stapler Intnl 45Mm Med Artc Crv Tip Reload,743.36,289.91,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Stapler Intnl Xl Univ Ult Next Gnrtn Erg Prcs,699.66,272.87,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Stapler Robotic Dia14Mm Staple Line 45Mm Sureform 45,2364.98,922.34,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Stapler Skin 35 Regular Covidien,22.77,8.88,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Stapler Skin 35 Wide Covidien,22.75,8.87,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Stapler Skin 35 Wide Pistol Grip Ethicon,30.02,11.71,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Stapler Skin 35W Cnt Rot Hd,306.36,119.48,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Stapler Skin 35W Mf Skin Prm,66.24,25.83,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Statlock Iabp Cath Stabilizer,89.01,34.71,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Sterile Water For Irrigation 500Ml,18.63,7.27,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Stethoscope Airway Esophageal 18 French Temperature Sensor S,10.35,4.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Stimulator Surgical Handheld Disposable Checkpoint Guardian,2914.56,1136.68,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Stockinet 48X4In Orth Cttn 2,12.42,4.84,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Stockinet 54X6In Deroyal,21.74,8.48,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Stockinette 6 Sterile,17.6,6.86,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Stockinette Impervious Xl Deroyal,23.8,9.28,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Stockinette Imprv Lg 12X48In,11.38,4.44,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Stopcock Angio 2W Flowswitch Flswtch,20.7,8.07,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Stopcock Angio 3W Hiprs Fx M,10.35,4.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Straightshot To Xps Irrigator Tubing,100.4,39.16,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Strip 1X5In Episeal Flx Cnfrm Nirr Por Skin,6.21,2.42,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Strip 5X1In Strstrp Adh Hypoall Por Reinf,8.28,3.23,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Strl Water For Irr Srb 500Ml,26.91,10.49,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Stylet 14 French Aluminum Plastic Covidien,15.52,6.05,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Stylet 6057-52 Ball Tip Sty Kt,152.15,59.34,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suction Bovie Pencil 15Ft,117.99,46.02,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suction Irrigation 5Mmx45Mm Strykeflow Vented Stryker,1175.76,458.55,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Supramid Extra Ii 4-0 Looped Cable Hea-40,171.81,67.01,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Surgypad 36Inch W- Integrated Arm Protectors Lft Sheet Bdy S,229.77,89.61,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suspensory Support Xlg W Leg Strap,73.48,28.66,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture 0 22Cm Stratafix Spiral 9In,125.24,48.84,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture 2-0 30Cm Stratafix Spiral Pds,97.81,38.15,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture 2-0 Coated Vicryl Plus Violet 1X36In Ct-1,9.32,3.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture 3-0 45Cm Stratafix Spiral Mono,154.22,60.15,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture 3-0 Ud 6 Cv-23 V-Loc 180,113.85,44.4,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture 3-0 V-Loc 180 Green 9In V-20 Taper,113.85,44.4,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture 4-0 Pc-3 Pds Plus,36.48,14.23,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Absorbable V Loc L12In 30Cm 4-0 V Green,119.02,46.42,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Barbed 0 Vloc 180 Non-Absorbable Wound Closure,118.51,46.22,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Barbed Non-Absorbable V-Loc 180 Grn Sz 0L 12In Gs-22,125.24,48.84,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Bondek 0 48In Tc43 Double Armed Boston Scientific,257.71,100.51,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Boot Yellow Deroyal,1.03,0.4,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Chromic 2-0 27In Ct1 Abs Ethicon,14.49,5.65,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Chromic 2-0 54In Reel Abs Ethicon,17.6,6.86,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Chromic 2-0 Sh 27In Abs Ethicon,14.49,5.65,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Chromic 3-0 Fs-2 27In Ethicon,14.49,5.65,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Chromic 3-0 Ps-2 27In Ethicon,30.02,11.71,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Chromic 3-0 Rb-1 27In Ethicon,15.52,6.05,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Chromic 3-0 Sh 27In Ethicon,15.35,5.99,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Chromic 4-0 Fs-2 27In Ethicon,14.49,5.65,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Chromic 4-0 P-3 18In Ethicon,30.02,11.71,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Chromic 4-0 Ps-4 18In Ethicon,30.02,11.71,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Chromic 4-0 Rb-1 27In Ethicon,15.75,6.14,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Chromic 4-0 Sh 27In Ethicon,15.52,6.05,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Chromic 5-0 G-3 18In Ethicon,77.97,30.41,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Chromic 5-0 P-3 18In Ethicon,31.05,12.11,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Chromic 5-0 Rb-1 27In Ethicon,15.52,6.05,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Cutter Knot Pusher Arthrex,1077.44,420.2,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Endostitch 10Mm 15In Covidien,495.94,193.42,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Endostitch Reload 48In Violet Covidien,90.22,35.19,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Eth 2-0 Fslx 30In Monofil Blk Nonabs,10.35,4.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Eth Blk Mono 3-0 30In Cuticular Pslx,20.7,8.07,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Ethibond 0 Ct-2 30In Green Ethicon,8.28,3.23,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Ethibond 0 Mo-6 18In Cr Ethicon,68.31,26.64,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Ethibond 0 Sh 36In Double Arm Green Ethicon,20.7,8.07,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Ethibond 0 Sh 60In Ethicon,144.03,56.17,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Ethibond 1 Ct-1 30In Green Ethicon,8.41,3.28,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Ethibond 1 Ctx 30In Green Ethicon,8.49,3.31,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Ethibond 2 V-37 30In Cr Ethicon,78.66,30.68,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Ethibond 2-0 Ct-2 30In Green Ethicon,8.28,3.23,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Ethibond 2-0 Sh 30In Ethicon,10.35,4.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Ethibond 3-0 30In Green Ties Ethicon,10.35,4.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Ethibond 3-0 Rb-1 30In Green Ethicon,10.35,4.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Ethibond 3-0 Rb-1 36In Green Double Armed Ethicon,20.7,8.07,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Ethibond 5 Ccs 30 In Cardio Green Cr Ethicon,96.26,37.54,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Ethibond 5 V-37 30In Green Ethicon,79.69,31.08,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Ethilon 2-0 Fs 18In Black Ethicon,10.09,3.94,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Ethilon 2-0 Ps-2 18In Ethicon,19.66,7.67,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Ethilon 3-0 Fs-1 18In Black Ethicon,10.21,3.9850000000000003,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Ethilon 3-0 Fs-1 30In Black Ethicon,9.32,3.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Ethilon 3-0 Fsl 30In Black Ethicon,10.35,4.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Ethilon 3-0 Ps-1 18In Black Ethicon,21.74,8.48,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Ethilon 3-0 Ps-1 18In Ethicon,21.74,8.48,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Ethilon 3-0 Ps-2 18In Ethicon,19.75,7.7,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Ethilon 4-0 Fs-2 18In Black G Ethicon,9.32,3.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Ethilon 4-0 Fs-2 18In Black H Ethicon,9.32,3.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Ethilon 4-0 P-3 18In Black G Ethicon,16.56,6.46,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Ethilon 4-0 P-3 18In Black H Ethicon,20.7,8.07,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Ethilon 4-0 Ps-2 18In Black G Ethicon,19.92,7.77,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Ethilon 5-0 P-3 18In Black G Ethicon,18.63,7.27,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Ethilon 5-0 P-3 18In Black H Ethicon,18.63,7.27,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Ethilon 5-0 Ps-2 18In Ethicon,17.6,6.86,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Ethilon 6-0 P-3 18In Ethicon,17.6,6.86,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Ethilon 8-0 Tg175-8 12Indouble Arm Black Ethicon,65.2,25.43,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Fiberwire 2 50In Tie Blue Arthrex,245.3,95.67,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Fiberwire 2-0 18In Ndl Tpr3-8 Circle Blue Arthrex,107.64,41.98,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Firberwire 38In T-5 Taper Blue Arthrex,107.64,41.98,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Goretex Cv-2 Ph-24 48In Wl Gore And Assoicates,172.84,67.41,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Goretex Cv-2 Thx-25 36In Wl Gore And Associates,118.51,46.22,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Lasso Crescent,685.17,267.22,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Minitape Blue For Knotless Anchor And Guide Sys,366.39,142.89,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Minitape Cobraid Blue Anchor And Guide System,366.91,143.09,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Monocryl 3-0 Ps-2 27In Undyed Ethicon,33.9,13.22,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Monocryl 3-0 Sh 27In Violet Ethicon,19.66,7.67,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Monocryl 4-0 Ps-2 27In Undyed Ethicon,34.16,13.32,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 2-0 Undyed 1X27In Sh,12.42,4.84,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 2-0 Undyed 1X36In Ct-1,13.46,5.25,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 3-0 Undyed 1X18In Ps-2,33.12,12.92,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 3-0 Undyed 1X27In Ps-1,36.22,14.13,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 3-0 Undyed 1X27In Sh,12.42,4.84,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 3-0 Undyed 1X36 Ct-1In,13.46,5.25,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 4-0 P-3 18In Undyed Antibacterial Ethic,35.19,13.72,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 4-0 Undyed 1X18In Pc-1,35.19,13.72,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 4-0 Undyed 1X18In Pc-5,35.19,13.72,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 4-0 Undyed 1X18In Ps-2,33.12,12.92,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 5-0 Undyed 1X18In P-3,36.22,14.13,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Monocryl Plus 5-0 Undyed 1X18In Pc-3,36.22,14.13,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Monoderm 2-0 30X30Cm Undyed Quill Surgical Speciialti,116.96,45.61,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Monoderm 3-0 30X30Cm 24Mm Undyed Quill Surgical Speci,101.95,39.76,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Pdo 2 36X36Cm 48Mm Violet Quill,101.43,39.56,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Pds Plus 0 Violet 1X27In Ct-1,14.94,5.83,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Pds Plus 0 Violet 1X27In Ct-2,15.52,6.05,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Pds Plus 0 Violet 1X36In Ct-1,15.52,6.05,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Pds Plus 1 Violet 1X27In Ct-1,15.1,5.89,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Pds Plus 1 Violet 1X36In Ct-1,17.08,6.66,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Pds Plus 2-0 Violet 1X27In Ct-1,14.83,5.78,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Pds Plus 3-0 Undyed 1X18In Ps-2,31.57,12.31,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Pds Plus 3-0 Violet 1X27In Sh,15.52,6.05,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Pds Plus 4-0 Violet 1X27In Rb-1,14.49,5.65,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Pds Plus 4-0 Violet 1X27In Sh,16.56,6.46,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Pds Plus 5-0 L18In Violet Antibacterial L13Mm,37.26,14.53,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Pds Plus 5-0 Undyed 1X18In P-3,34.16,13.32,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Pds Plus 5-0 Violet 1X27In Rb-1,16.35,6.38,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Pds Symmetric Absr Sz# 1 36Mm 1-2Cir Tpr Pt,106.6,41.57,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Pds2 0-Ur6 2In D7185,193.2,75.35,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Pds2 18In Violet Endoloop Ethicon,693.45,270.45,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Pds2 2-0 Stp-10 27In Violet Double Arm Ethicon,91.08,35.52,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Pds2 6-0 P-1 18In Clear Ethicon,32.08,12.51,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Permahand 0 10-30In Tie Black Ethicon,12.42,4.84,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Permahand 0 18In Tie Black Ethicon,5.18,2.02,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Permahand 0 30In Tie Black Ethicon,7.24,2.82,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Permahand 0 Sh 30In Black Ethicon,6.42,2.5,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 18In Tie Black Ethicon,7.37,2.87,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 18In Ties Black Ethicon,11.38,4.44,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 30In Lambrinth Black Ethicon,12.42,4.84,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 Ct-1 18In Cr Ethicon,45.54,17.76,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 Fs 18In G Black Ethicon,8.28,3.23,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 Fs 18In H Black Ethicon,8.19,3.19,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 Fsl 30In Black Ethicon,8.28,3.23,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 Ps 18In Black Ethicon,18.63,7.27,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 Sh 18In Cr Ethicon,44.5,17.36,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Permahand 2-0 Sh 30In Black Ethicon,6.26,2.44,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Permahand 3-0 18In Cr Black Ethicon,45.54,17.76,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Permahand 3-0 18In Tie Black Ethicon,9.19,3.58,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Permahand 3-0 24In Tie Black Ethicon,12.42,4.84,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Permahand 3-0 Fs-1 18In Black Ethicon,9.32,3.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Permahand 3-0 Rb-1 30In Black Ethicon,8.28,3.23,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Permahand 3-0 Sh 18In Black Ethicon,44.5,17.36,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Permahand 3-0 Sh 30In Black Ethicon,6.4,2.5,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Permahand 4-0 18In Tie Black Ethicon,10.35,4.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Permahand 4-0 Sh 18In Cr Ethicon,41.4,16.15,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Permahand 4-0 Sh 30In Black Ethicon,6.21,2.42,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Plain 3-0 Ctx 27In Ethicon,15.52,6.05,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Plain 4-0 Fs-2 27In Ethicon,15.52,6.05,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Plain 4-0 Ps-2 18In Ethicon,31.21,12.17,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Plain 4-0 Sc-1 18In Double Arm Ethicon,30.02,11.71,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Plain 4-0 Sc-1 18In Ethicon,15.52,6.05,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Plain 5-0 Pc-1 18In Ethicon,33.12,12.92,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Plain 6-0 G-1 18In Double Arm Ethicon,78.92,30.78,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Pro 0 Sh 30In Ethicon,18.63,7.27,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Prolene 0 Ct-1 30In Ethicon,12.65,4.93,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Prolene 0 Ct-2 30In Ethicon,12.42,4.84,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Prolene 1 Ct-1 30In Ethicon,13.46,5.25,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Prolene 2-0 Ct-2 30In Ethicon,12.81,5.0,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Prolene 2-0 Fs 18In Ethicon,13.46,5.25,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Prolene 2-0 Sh 30In Ethicon,16.56,6.46,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Prolene 3-0 Fs-1 18In Ethicon,16.56,6.46,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Prolene 3-0 Fs-2 18In Ethicon,14.49,5.65,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Prolene 3-0 Sh 30In Ethicon,17.6,6.86,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Prolene 3-0 Sh 36In Double Arm Ethicon,30.02,11.71,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Prolene 4-0 Fs-2 18In Ethicon,14.49,5.65,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Prolene 4-0 P-3 18In Ethicon,28.98,11.3,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Prolene 4-0 Ps-2 G 18In Ethicon,28.98,11.3,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Prolene 4-0 Ps-2 H 18In Ethicon,28.98,11.3,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Prolene 4-0 Rb-1 30In Blue Ethicon,18.63,7.27,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Prolene 4-0 Rb-1 36In Double Arm Ethicon,30.02,11.71,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Prolene 5-0 Fs-2 18In Ethicon,14.49,5.65,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Prolene 5-0 P-3 18In Ethicon,25.05,9.77,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Prolene 5-0 Ps-3 18In Blue Ethicon,24.84,9.69,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Prolene 5-0 Rb-1 36In Double Arm Blue Ethicon,31.05,12.11,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Prolene 5-0 Rb-2 30In Double Arm Blue Ethicon,30.02,11.71,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Prolene 5-0 Tf 24In Blue Ethicon,50.72,19.78,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Prolene 6-0 Bv Two Armed 24 In Ethicon,91.08,35.52,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Prolene 6-0 Bv-1 30In Double Arm Blue Ethicon,91.08,35.52,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Prolene 6-0 Rb-2 30In Double Arm Blue Ethicon,31.05,12.11,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Prolene 7-0 Bv-1 30In Double Arm Blue Ethicon,94.18,36.73,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Shuttle Accu Pass Cresent Smith And Nephew,738.99,288.21,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Shuttle Ideal Straight Cresent Depuy Mitek,934.6,364.49,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Stratafix Size 0 L9In Symmetric Pds Plus,130.62,50.94,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Stratafix Symmetric 18Cmx45Cm Violet Ethicon,101.43,39.56,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Stratafix Symmetric Pds Pluse Unidirectiona Pds 1 Ct,149.56,58.33,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Tigerwire 2 50In Black-White Arthrex,245.3,95.67,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture V-Loc 0 Gs-21 12In Covidien,119.17,46.48,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture V-Loc 0 Gs-21 9In Covidien,113.85,44.4,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture V-Loc 1 Gs-21 18In Covidien,131.44,51.26,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture V-Loc 180 1-2 Circle 2-0 X 30Cm X 26Cm Absorbable Cov,119.02,46.42,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture V-Loc 180 Sz 2-0 L15Cm Absorbable Wound Closure,113.85,44.4,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture V-Loc 2-0 180 Es9 6In Green Absorbable Reload Covidie,162.5,63.38,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture V-Loc 3-0 Cv-23 6In Covidien,113.69,44.34,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture V-Loc 3-0 V-20 6In Covidien,113.73,44.35,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture V-Loc 90 3-0 V-20 9In Taper Covidien,113.5,44.26,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture V-Loc 90 Size 3-0 L15Cm L17Mm Cv23,113.85,44.4,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vcl 1-0 Ctx 1X36In Braid Anti Bacterial,9.32,3.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl + 0 Ct-1 36In Undyed Ethicon,9.28,3.62,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl + 2-0 Ct-2 27In Antibacterial Undyed Ethicon,9.32,3.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl + 2-0 Sh 27In Antibacterial Undyed Ethicon,8.62,3.36,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl + 3-0 Sh 27In Antibacterial Undyed Ethicon,8.56,3.34,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl 2-0 18In Tie Braided Violet Ethicon,38.3,14.94,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl 3-0 18In Ties Undyed Ethicon,37.26,14.53,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl 6-0 P-3 18In Undyed Ethicon,22.77,8.88,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl 6-0 S-29 12In Violet Ethicon,70.38,27.45,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl 7-0 P-1 18In Undyed Ethicon,22.77,8.88,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl 7-0 Tg140-8 18In Undyed Ethicon,68.31,26.64,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Undyed 1X27In Ct-1,8.62,3.36,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Undyed 1X27In Ct-2,9.11,3.55,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Undyed 1X54In Tie,12.42,4.84,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Undyed 6X18In Tie,28.98,11.3,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Undyed 8X18In Ct-1 Cr,66.5,25.94,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Undyed 8X27In Ct-1 Cr,68.31,26.64,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 1X27In Ct-3,9.32,3.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 1X27In Ur-6,10.64,4.15,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 1X36In Ct,9.32,3.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 54In Ligapak Reel 0,12.42,4.84,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 8X18In Ct-2 Cr,66.24,25.83,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 0 Coated Violet 8X18In Mo-4 Cr,86.94,33.91,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 118 Coated Viloet Ethicon Inc,68.83,26.84,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 Coated Undyed 1X27In Ct-1,9.32,3.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 Coated Undyed 1X36 In Ct-1 Braided Ethi,9.57,3.73,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 Coated Undyed 1X36In Ct,9.83,3.83,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 Coated Undyed 8X18In Ct-1 Cr,66.24,25.83,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 Coated Violet 1X36In Ct-1,9.32,3.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 Coated Violet 1X54In Tie,13.46,5.25,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 Coated Violet 8X18In Ct Cr,66.24,25.83,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 1 Ct-1 8X27 In Cr Undyed Coated Ethicon I,68.31,26.64,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 12X18In Tie,49.68,19.38,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 1X27 Cp-2,9.32,3.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 1X27In Cp-1,9.32,3.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 1X27In Ct-1,8.69,3.39,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 1X27In Os-6,13.8,5.38,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 1X27In X-1,12.42,4.84,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 1X36In Ct-1,9.32,3.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 8X18In Cp-2 Cr,80.73,31.48,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 8X18In Ct-1 Cr,65.02,25.36,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Undyed 8X27In Ct-1 Cr,63.14,24.62,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Violet 1X27In Ct-1,8.68,3.39,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Violet 1X27In Sh,8.28,3.23,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Violet 1X27In Ur-6,11.04,4.31,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Violet 1X54 Tie,12.42,4.84,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Violet 8X18In Ct-1 Cr,66.24,25.83,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Violet 8X18In Ct-2 Cr,64.56,25.18,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 2-0 Coated Violet 8X18In Sh Cr,64.17,25.03,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 12X18In Tie,48.64,18.97,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 1X18In Ps-2,22.77,8.88,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 1X27In Fs-1,12.42,4.84,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 1X27In Ps-1,25.88,10.09,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 1X27In Sh-1,10.35,4.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 1X36In Ct-1,9.32,3.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Undyed 8X18In Sh Cr,67.06,26.15,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Violet 12X18In Tie,48.99,19.11,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Violet 1X27In Ct-2,9.32,3.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Violet 1X27In Sh,8.41,3.28,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 3-0 Coated Violet 8X18In Sh Cr,65.2,25.43,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 1X18In P-3,25.88,10.09,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 1X18In Pc-3,25.88,10.09,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 1X27In Fs-1,12.42,4.84,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 1X27In Fs-2,12.42,4.84,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 1X27In Ps-2,23.69,9.24,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 1X27In Rb-1,9.32,3.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Undyed 1X27In Sh,9.32,3.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 4-0 Coated Violet 8X18In Sh Cr,66.24,25.83,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 5-0 Coated Undyed 1X18In P-3,25.619999999999997,9.99,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus 5-0 Coated Undyed 1X18In Ps-2,23.8,9.28,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus Size 2-0 L2,66.24,25.83,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Plus Sz 1 L27In Absorbe Undyed Os-6 L36Mm 1-2,13.97,5.45,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suture Vicryl Violet 5 5-0 8In S-24S24 Ethicon,72.45,28.26,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Suturetape White-Blue 1.7Mm L38In Circle Conv Cut Needle,245.04,95.57,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Syringe 10Ml M Ll Nar Barrel,20.7,8.07,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Syringe Angio 150Ml Qkfl Tube Mrk5 Prvs,21.74,8.48,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Syringe Angio Wht 1Ml Plycrb,9.57,3.73,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Syringe Angio Wht 3Ml Plycrb,9.54,3.72,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Syringe Angiography 10Ml Coronary Control Thumb,22.77,8.88,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Syringe Hypoderm Ll Tip 10Ml,9.32,3.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Syringe Inj Medrad 150Ml,39.33,15.34,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Syringe Inj Mrk5 Quickfill Tube 200Ml,21.74,8.48,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Syringe Irrigation 70Ml W- Cath Adapter Disposable Toomey,8.28,3.23,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Syringe Mdln Ylw Plunger 10Ml Plycrb Sword Handle,9.66,3.77,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Syringe Resistance Plastic Loss Of Perifix 8Ml,7.24,2.82,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Syringe Single Use Alliance 2 Boston Scientific,211.14,82.34,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - System Bn Cement Hi Vac Kt Bowl Spat Paddle,249.44,97.28,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - System Bx Tray Ndl Set 102Mm,649.98,253.49,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - System Comp Ther Crcf Med Knee Coolr,300.15,117.06,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - System Contrast Delivery Tubing L72In Burette 30Ml,55.89,21.8,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - System Drmbnd Prineo 2 Octyl Cyncrlt W-Mesh Applicator,344.66,134.42,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - System Fluid Administration Cardiovascular Merit Medical,46.58,18.17,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - System Inj Syr Medrad,39.33,15.34,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - System Irrisept Wound Debriedment Irrimax,685.29,267.26,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - System Oncontrol Proc Tray Str,289.8,113.02,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - System Pannus Retention Non-Sterile Tz Medical,229.77,89.61,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - System Prvena Peel And Place,2229.39,869.46,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - System Retrival 5Mm Inzii Applied,342.58,133.61,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - System Tissue Retrieval 125Ml Mouth Dia2In Bag L5.5In,440.91,171.95,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - System Weck Endo Fc Clsr,514.4,200.62,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - T A Wand Evac 70,1199.56,467.83,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tape Dressing 3M Mcfm 2In 5.5Yd Adh Hypoall,10.35,4.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tape Dressing 3M Mcfm 3In 5.5Yd Adh Hypoall,15.52,6.05,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tape Dressing 3M Mcfm 4In 5.5Yd Adh Hypoall,20.7,8.07,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tape Dressing 3M Mdpr H 4In 10Yd Adh Hypoall,34.16,13.32,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tape Durapore 3In 3M Healthcare,7.24,2.82,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tape Fiber Suture Tapered End D 2Mm,513.88,200.41,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tape Fiber Tapered 2Mm 17In,371.91,145.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tape Suture 1.3Mm 36In Wht-Blu W-Taper Ends And Needle 26.5M,171.29,66.8,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Telescoping Smoke Evacuation R,118.03,46.03,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tip Monopolar Scissors Curved Da Vinci System,616.86,240.58,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tip Pulse Lavage Irrigation Pump Disposable Stryker Medical,53.82,20.99,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tip Suct Kamvac Mini 10In Crv,406.76,158.64,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tip Suct Lg Std 20Cm Malleable,1351.71,527.17,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tip Suct Ynkr Std 10 3-8In Cr,230.29,89.81,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tip Suction Frazier 10 French Covidien,9.32,3.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tip Suction Frazier 12 French Covidien,9.32,3.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tissue Retrieval System 12Mm L14Cm Introducer L7.6 Mouth Di,341.55,133.2,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tool Dissect Mr8 10Cm 5Mm Dia Fluted,757.62,295.47,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tool Dissect Mr8 14Cm 3Mm Dia Matchead Fluted,773.14,301.52,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tool Dissect Mr8 14Cm 3Mm Dia Matchead Fluted Symm,963.58,375.8,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tourni Cuff 18Inx4In 2-Ln Red 2-Line Sterile Disposable,84.87,33.1,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tourni Cuff 24Inx4In 2-Ln Yel 2-Line Sterile Disposable,97.29,37.94,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tourniquet 18In Sterile Disp,112.82,44.0,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tourniquet 24In Sterile Disp,149.04,58.13,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tourniquet 30In W- Sleeve Di,161.46,62.97,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tourniquet 34In Sterile Disp,174.92,68.22,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tourniquet Cuff Double Bladder Quick Connect 18In,160.43,62.57,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tracepak Breast Procedure Ksoc Wdc,509.22,198.6,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tracepak Gyn Lap Ksoc Wdc,463.68,180.84,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tracepak Head And Neck Ksoc,155.25,60.55,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tracepak Laparoscopic Ksoc,350.86,136.84,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tracepak Minor Lithotomy Ksoc Wdc,188.31,73.44,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tracepak Minor Procedure Ksoc Wdc,192.51,75.08,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tracepak Nasal Head And Neck Wdc,219.42,85.57,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tracepak Suction D And C Kosc,344.66,134.42,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tracepak T And A Ksoc Wdc,103.5,40.36,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Trap Plpctm Etrap Spec Poly 15Cm Disp Strl,26.91,10.49,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Trap Plyp Inline Endo 1Chamber Suct Disp,12.6,4.91,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Trap Specimen Berkley Olympus,45.02,17.56,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tray Biopsy Soft Tissue,57.75,22.52,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tray Bx Wo Prc Ndl Sft Tis Lf,87.98,34.31,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tray Cath 16Fr Lbrcath W Drain Bag,58.96,22.99,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tray Cath 5Fr 40Cm Hsg,412.96,161.05,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tray Cath Adafl W Drain Bag,49.68,19.38,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tray Catheter Foley 16 Fr Advance System Bag With Statlock,49.68,19.38,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tray Catheter Foley 16Fr Silicone Bard Medical,48.64,18.97,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tray Catheter Foley 16Fr Silicone With Drain Bag Bard Medica,53.82,20.99,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tray Catheter Foley 16Fr With Drain Bag Bard Medical,57.96,22.6,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tray Epdrl 18Ga 90 Ndl W Hust,89.01,34.71,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tray Epidural 20 Gauge 3.5In Needle Syringe Braun,64.17,25.03,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tray Foley Lubricatheter 16Fr With Drainage Bag Latex Bard M,50.72,19.78,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tray Gp Ekt Lf Strl Disp,10.35,4.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tray Lbrcth Foley 16F Mtr Sil,102.46,39.96,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tray Lumbar Adult 20 Ga L3.5In Puncture Needle Luerlock Syr,71.42,27.85,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tray Nerve Blck Univ,93.15,36.33,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tray Paracentesis W-5Fr 16G 1 10Cml One Step Safety,186.3,72.66,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tray Picc Kennestone Wk430C,203.9,79.52,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tray Prctns Thorcnts Custom,94.76,36.96,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tray Proc Arthgm Syr Extn Tub App Ndl Pad,46.58,18.17,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tray Shoulder - Dynj22889K,478.17,186.49,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tray Skin Scrub Premium Wet,25.88,10.09,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tray Sut Cust Lac,33.12,12.92,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tricut Blade 11Cmx4Mm,1267.88,494.47,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Trocar 12Mm Blunt Tip Latex Free,202.86,79.12,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Trocar Bladless 11Mm Optical L,102.46,39.96,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Trocar Bladless 8Mm,99.36,38.75,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Trocar Laparos 100 5Mm 1St Ent Thrd Kii,440.91,171.95,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Trocar Laparos 12Mm Spcmkr Blnt Tip Balloon,202.86,79.12,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Trocar Optc Bladeless 11Mm Std W-Fx100Mm Cannula,22.77,8.88,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Trocar Optc Bladeless 12Mm Lng Cannula,119.02,46.42,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Trocar Optc Bladeless 12Mm Std W-Fx Cannula,119.02,46.42,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Trocar Optical 15Mm,162.5,63.38,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Trocar Optical Versaone Clsr System,416.07,162.27,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Trocar Versaport 5-12Mm Covidien,126.27,49.25,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Trocar Vrsprt + Bladeless 8Mm Std W Fx Cannula,102.46,39.96,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Trocar Vrsprt Bladelss 5Mm Optc,80.73,31.48,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Trocar Vrsprt Bldelss 5Mm Shrt Optc,80.73,31.48,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Trocar Vrsprt V2 5Mm W Fx Cannula,76.59,29.87,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Trocar Vrsprt V2T Bladeless 5Mm Optc,80.73,31.48,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tub Contrast Injctn Hiprs 72In Flx Rpt Adpt,32.08,12.51,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tub Endoflator Fltr M Ll 10Ft Swvl Adptr,76.59,29.87,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tub Insfl Hdrphb Bctr Filter,44.5,17.36,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tub Insuf Ll 1-4Ini.D. 10 Filtr .3 Mic,31.05,12.11,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tub Rns Set,46.58,18.17,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tub Suct-Irr Spk On-Off Clamp,217.35,84.77,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tube Airway Esophageal 4 Adult Lma North America Inc,28.98,11.3,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tube Cnct M Cnct 1-4Inid 12 S Ncdtv,3.1,1.21,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tube Endotrach 5.5 Oral Shrd,18.63,7.27,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tube Endotrach 6 Nsl-Orl Hi,6.21,2.42,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tube Endotrachal 7.5Mm Teleflex,6.21,2.42,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tube Endotrachal 8.0Mm Teleflex,6.21,2.42,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tube Endtrch 5.5 Nsl-Orl Hi Cuff Mrph Eye,6.21,2.42,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tube Feeding Adult 12Fr L43In Nasogstrc Wo Stylet And Y Port,36.22,14.13,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tube Ng 48In 14Fr 2 Lum Prv,27.94,10.9,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tube Ng 48In 14Fr 2 Lum Salem,10.35,4.04,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tube Ng 48In 16Fr 2 Lum Prv,27.94,10.9,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tube Suct 10Fr Fraizer Ctrl Vent Strl,16.56,6.46,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tube Suct 12Fr Frazier Ctrl Vt Venter Universal Sterile,9.32,3.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tube Vent Coated Silicone T L12Mm Lumen Id1.14Mm,103.5,40.36,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tube Ventilation L12Mm Flange L9.8Mm Lumen 1.14Mm,176.98,69.02,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tubing 02 Lng Smrt Capnoline +,64.17,25.03,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tubing 48Inch 1200 Psi,26.88,10.48,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tubing Angio 1200 Psi 10In,19.49,7.6,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tubing Cap Air H20 Olympus,67.96,26.5,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tubing Clevercap Hybrid Co2 Set,928.15,361.98,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tubing Contrast Injectn Hi Pr Res Fix Male Luer 20In,21.74,8.48,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tubing Endogator Hybrid Irr,94.18,36.73,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tubing Endotrachal 7Mm Teleflex,6.21,2.42,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tubing Ext 20In Flexcil High Pressure Injection,37.26,14.53,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tubing Fluid Management Y Double Spike Dualwavea,102.46,39.96,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tubing Inflow Myosure Hologic,538.2,209.9,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tubing Insufflation Deroyal,17.6,6.86,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tubing Insufflation Iso Connector Disposable,8.28,3.23,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tubing Irr Cassette Arthro,974.97,380.24,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tubing Irrigation Cysto Hospira,31.14,12.14,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tubing Irrigation Tur Hospira,48.7,18.99,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tubing Outflow Myosure Hologic,98.32,38.34,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tubing Pump Arthroscopy Ar-6400,299.03,116.62,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tubing Set Cool Point,367.42,143.29,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tubing Smoke Evacuation 6Ft Bufalo,46.58,18.17,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tubing Smoke Evacuator 10Ft,48.64,18.97,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tubing Suct 10Ft 5Mm Strkfl Tub Handpiece,266.0,103.74,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tubing Suct 18In Brkly,9.32,3.63,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tubing Suct Extn Escp Lav,167.01,65.13,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tubing Suct Intljt Infl Set Fld Mgmt Sys Strl,225.63,88.0,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tubing Suct Irr Wo Tip,168.72,65.8,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Tubing W-Sponge Guard 7-8Inch,42.44,16.55,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Unit Electrosurg 37Cm Hnd Swch Disp Lg Atls,1826.78,712.44,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Unit Electrosurg Lgsr 5Mm Md,2307.02,899.74,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Unit Ligasure Impact Curved Large Law 36Mm-18Cm Covidien,2585.43,1008.32,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Unit Suction Collection Sock Deroyal,9.57,3.73,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Unit Suction Puddle Guppy Deroyal,35.19,13.72,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Ureteroscope Dgt Disp Lithovue,6613.65,2579.32,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Valve Biopsy Air Water Suction Us Endoscopy,28.98,11.3,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Valve Biopsy Suction Sterile Single Use,59.0,23.01,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Valve Bx Brnchl Ventri Bscp,25.01,9.75,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Valve Hemosta Lg Bore,67.28,26.24,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Valve Hemostasis Guardian N,178.02,69.43,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Valve Module Univ,1150.92,448.86,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Vessel Sealer Xi Extended,2893.86,1128.61,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Vloc Non Abs Dvc Bl Size 0 L18In L37Mm Gs-21,131.7,51.36,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Wand Ablation 50Deg With Flow 50 Coblation Werewolf,1314.45,512.64,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Wand Ablation 90Deg With Flow-Iq Technology Werewolf,1440.72,561.88,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Wand Ambient 50 Ifs Super Trbv Trbvc,930.46,362.88,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Wand Ambient 90 Ifs Super Trbv Trbvc,930.46,362.88,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Wand Apollo Rf Xxl Asp Ablator 90 Degree,930.46,362.88,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Wand Coblation Halo,1296.86,505.78,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Wand Ent Coblation Trbnt 2.9Mm Disp,1150.92,448.86,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Wand Hemostasis Fastseal 6.0 Werewolf,1713.96,668.44,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Wand Plasma Evac 70 Smith And Nephew,1077.44,420.2,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Wand Plsm Procise Max,1199.56,467.83,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Warmer Scope Dbl Sided Ltx-Dehp Free Disp,36.22,14.13,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Waveguide Eigr W Flat Sgl Use Ilum,1346.54,525.15,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Wax Bone 2.5Gm Ethicon,25.88,10.09,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Weck Sys Efx Classic Fc Clsr Efxct1,367.42,143.29,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Wellstar Total Joint Pack Ws400006,428.49,167.11,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Wipe Instrument Surgical Ster Rile 3In X 3In,2.07,0.81,,,0
HCPCS,A9999,Noncdm Charge Record Medical Supplies - Wrap Tract Mcconnell Lg Hand A,171.81,67.01,,,0
HCPCS,A9999,Sodium Chloride For Irrigation: 4 Container In 1 Case (0264-7388-60)  / 3000 Ml In 1 Container,130.41,50.86,,,0
HCPCS,A9999,Sodium Chloride: 12 Bag In 1 Case (0990-7972-05)  / 1000 Ml In 1 Bag,50.72,19.78,,,0
HCPCS,A9999,"Sodium Chloride: 12 Bottle, Plastic In 1 Carton (0338-0048-04)  / 1000 Ml In 1 Bottle, Plastic",30.27,11.81,,,0
HCPCS,A9999,"Sodium Chloride: 12 Bottle, Plastic In 1 Case (0990-7138-09)  / 1000 Ml In 1 Bottle, Plastic",35.81,13.97,,,0
HCPCS,A9999,Sodium Chloride: 16 Container In 1 Case (0264-2201-00)  / 1000 Ml In 1 Container,34.16,13.32,,,0
HCPCS,A9999,"Sodium Chloride: 24 BOTTLE, PLASTIC in 1 CASE (0409-6138-03)  / 500 mL in 1 BOTTLE, PLASTIC",40.36,15.74,,,0
HCPCS,A9999,Sodium Chloride: 4 POUCH in 1 CASE (0409-7972-08)  / 1 BAG in 1 POUCH / 3000 mL in 1 BAG,61.84,24.12,,,0
HCPCS,A9999,"Sterile Water: 12 BOTTLE, PLASTIC in 1 CASE (0409-7139-09)  / 1000 mL in 1 BOTTLE, PLASTIC",36.22,14.13,,,0
HCPCS,A9999,"Sterile Water: 12 Bottle, Plastic In 1 Carton (0338-0004-04)  / 1000 Ml In 1 Bottle, Plastic",34.16,13.32,,,0
HCPCS,A9999,"Sterile Water: 12 Bottle, Plastic In 1 Case (0990-7139-09)  / 1000 Ml In 1 Bottle, Plastic",36.22,14.13,,,0
HCPCS,A9999,"Sterile Water: 24 Bottle, Plastic In 1 Case (0990-6139-03)  / 500 Ml In 1 Bottle, Plastic",40.36,15.74,,,0
HCPCS,C1052,Hemospray Endo 7Fr 220Cm 2.8Mm,6369.39,2484.06,,,0
HCPCS,C1052,Hemospray Endo Hemostat,6369.39,2484.06,,,0
HCPCS,C1052,Hemospray Endoscopic,5796.0,2260.44,,,0
HCPCS,C1052,Noncdm Charge Record Medical Supplies - Endo Spray 10Mm Hemospray,11022.75,4298.87,,,0
HCPCS,C1052,Noncdm Charge Record Medical Supplies - Endoscopic Spray 7Mm Hemospray,11022.75,4298.87,,,0
HCPCS,C1062,Noncdm Charge Record Medical Supplies,7224.855,2817.6949999999997,,,0
HCPCS,C1062,Noncdm Charge Record Medical Supplies - Kit Case 5Mm Spinejack,19874.72,7751.14,,,0
HCPCS,C1062,Sup Intravertebral Fx Augment Implant,6605.73,2576.23,,,0
HCPCS,C1713,100Mm Mesh,4390.47,1712.28,,,0
HCPCS,C1713,5.0 Pin Thread Ex Fix Syn,1586.66,618.8,,,0
HCPCS,C1713,5.0X45 Screw,3090.51,1205.3,,,0
HCPCS,C1713,5.0X47.5 Screw,3090.51,1205.3,,,0
HCPCS,C1713,Acl Tightrobe Ii Implt,1282.36,500.12,,,0
HCPCS,C1713,Allograft Allosync Bone,6737.85,2627.76,,,0
HCPCS,C1713,Anchor Bolt Modified Cap Smith,356.04,138.86,,,0
HCPCS,C1713,Anchor Corkscrew Ar-1920Snf,912.87,356.02,,,0
HCPCS,C1713,Anchor Fibertak Double Load,2282.18,890.05,,,0
HCPCS,C1713,Anchor Screw Bn/Bn Tis/Bn,2127.445,829.7049999999999,,,0
HCPCS,C1713,Anchor Suture,704.84,274.89,,,0
HCPCS,C1713,Anchor Suture Rapidloc Ethibon,2007.9,783.08,,,0
HCPCS,C1713,Anchor Suture Twinfix Ultra Pk,825.93,322.11,,,0
HCPCS,C1713,Anchor/Screw Bn/Bn Tis/Bn,1408.64,549.37,,,0
HCPCS,C1713,"Anchor/Screw Bn/Bn, Tis/Bn",4419.45,1723.585,,,0
HCPCS,C1713,"Anchor/Screw Bn/Bn,Tis/Bn",5491.1900000000005,2141.565,,,0
HCPCS,C1713,Anchor/Screw Bn/Bn/ Tis/Bn,3694.95,1441.03,,,0
HCPCS,C1713,Anchr/Screw Oppos Bn-Bn/Sft T,4668.88,1820.86,,,0
HCPCS,C1713,Bar Locking Modular Tibial,1687.05,657.95,,,0
HCPCS,C1713,Bar Transconnector,869.4,339.07,,,0
HCPCS,C1713,Base Plate Assembly,24887.61,9706.17,,,0
HCPCS,C1713,Bg Matrix Fibergraft 12.5Cc,13041.0,5085.99,,,0
HCPCS,C1713,Biocomposite Implant System,3064.64,1195.21,,,0
HCPCS,C1713,Blade Fixation Humeral,2841.08,1108.02,,,0
HCPCS,C1713,Blade Helical Fixation,3472.42,1354.24,,,0
HCPCS,C1713,Blue Cap Number 5,263.92,102.93,,,0
HCPCS,C1713,Bolt Adolescent Nail,3326.49,1297.33,,,0
HCPCS,C1713,Bolt Anchor Femoral,2912.49,1135.87,,,0
HCPCS,C1713,Bone Cement Fast Cemex,1630.12,635.75,,,0
HCPCS,C1713,Bone Graft Ifactor,10246.5,3996.14,,,0
HCPCS,C1713,Bone Graft Ifactor Peptide,5216.4,2034.4,,,0
HCPCS,C1713,Bone Putty 5.0 Cc,4761.0,1856.79,,,0
HCPCS,C1713,Bone Void Filler (Wedge),2151.76,839.19,,,0
HCPCS,C1713,Bone Void Filler Drill 10Cc,9947.38,3879.48,,,0
HCPCS,C1713,Bonesync (Filler Bone),3647.34,1422.46,,,0
HCPCS,C1713,Bonesync Bioactive Matrix 5Cc,3647.34,1422.46,,,0
HCPCS,C1713,Bur Hole Cover,2403.27,937.28,,,0
HCPCS,C1713,Burr Hole Acc Kit Ring & Cap,467.82,182.45,,,0
HCPCS,C1713,Burr Hole Plate Cover,2173.5,847.66,,,0
HCPCS,C1713,Button Fixation Clavicle,3568.68,1391.79,,,0
HCPCS,C1713,Cable Plate Spine Crimp,1850.58,721.73,,,0
HCPCS,C1713,Cage 7Mm (Astura),8694.0,3390.66,,,0
HCPCS,C1713,Cage Alif Cougar,13041.0,5085.99,,,0
HCPCS,C1713,Cage Extender Spinal,979.11,381.85,,,0
HCPCS,C1713,Cage Lordotic,30429.0,11867.31,,,0
HCPCS,C1713,Cage Mesh,12742.92,4969.74,,,0
HCPCS,C1713,Cage Peek,13041.0,5085.99,,,0
HCPCS,C1713,Cage Peek Spinal,12780.18,4984.27,,,0
HCPCS,C1713,Cage Spinal Interbody,21904.74,8542.85,,,0
HCPCS,C1713,Cage Stemless Humeral,17822.7,6950.85,,,0
HCPCS,C1713,Cage V-Lift,25622.46,9992.76,,,0
HCPCS,C1713,Cage V-Lift 18Mmx25Mm,17862.03,6966.19,,,0
HCPCS,C1713,Cancellous Chips 30Cc,1922.0,749.58,,,0
HCPCS,C1713,Cancellous Chips 90Cc,5920.2,2308.88,,,0
HCPCS,C1713,Cancellous Plug 10,2002.72,781.06,,,0
HCPCS,C1713,Cap Blocker,582.71,227.26,,,0
HCPCS,C1713,Cap Locking,686.2,267.62,,,0
HCPCS,C1713,Cement Bone,1957.185,763.3,,,0
HCPCS,C1713,Cement Bone Kyphx Hv-R C01A,370.53,144.51,,,0
HCPCS,C1713,Cement Bone Osteobond,730.71,284.98,,,0
HCPCS,C1713,Cement Bone Radiopaque,370.53,144.51,,,0
HCPCS,C1713,Cement Bone W/ Injection,688.28,268.43,,,0
HCPCS,C1713,Cement Surgical,1083.64,422.62,,,0
HCPCS,C1713,Cement W Mixer Kyphx Kit,701.73,273.67,,,0
HCPCS,C1713,Cemented Augument,4013.73,1565.35,,,0
HCPCS,C1713,Centralizer Stem,686.2,267.62,,,0
HCPCS,C1713,Cervical Peek Interbody,3477.6,1356.26,,,0
HCPCS,C1713,Clamp Carbon Ring 180Mm,2314.26,902.56,,,0
HCPCS,C1713,Clamp Neutral Offset,3345.12,1304.6,,,0
HCPCS,C1713,Clamp Open Adjustable 4.0Mm,2748.96,1072.09,,,0
HCPCS,C1713,Clamp Rod Attachment,1374.48,536.05,,,0
HCPCS,C1713,Clamp Wire Fixation,686.2,267.62,,,0
HCPCS,C1713,Clip Aneurysm Ti 4.0-6.0,1326.87,517.48,,,0
HCPCS,C1713,Clip Ligator Filshie,847.66,330.59,,,0
HCPCS,C1713,Clip/Aneurysm,1326.87,517.48,,,0
HCPCS,C1713,Component Femoral Cement Knee,7981.92,3112.95,,,0
HCPCS,C1713,Compression Wire Ext Fixation,156.28,60.95,,,0
HCPCS,C1713,Connector End To End Tandem,4347.0,1695.33,,,0
HCPCS,C1713,Connector Lateral Vertex,2962.17,1155.25,,,0
HCPCS,C1713,Connector Rod Parallel,4347.0,1695.33,,,0
HCPCS,C1713,Cornerstone Psr Peek Spacer,4468.1,1742.56,,,0
HCPCS,C1713,Cover Bur Hole (Neuropace),1412.78,550.98,,,0
HCPCS,C1713,Cover Burr Hole,765.9,298.7,,,0
HCPCS,C1713,Cross Over Cross-Link,4347.0,1695.33,,,0
HCPCS,C1713,Custom Temporal Bone,45969.52,17928.11,,,0
HCPCS,C1713,Dbx Mix 5Cc,4999.05,1949.63,,,0
HCPCS,C1713,Dbx Putty 0.5Cc,635.49,247.84,,,0
HCPCS,C1713,Dbx Putty 10Cc,6986.25,2724.64,,,0
HCPCS,C1713,Dbx Putty 5Cc,4543.65,1772.02,,,0
HCPCS,C1713,Device Ankle Invisiknot,3815.01,1487.85,,,0
HCPCS,C1713,Device Closure Atriclip,16301.25,6357.49,,,0
HCPCS,C1713,Distal Biceps Implant System,5629.36,2195.45,,,0
HCPCS,C1713,Dynanite Super Mx Staple,9108.0,3552.12,,,0
HCPCS,C1713,Dynanite Super Mx Staple 1815,10846.8,4230.25,,,0
HCPCS,C1713,Easyclip Compression Staple,4781.7,1864.86,,,0
HCPCS,C1713,Ex Fix Connecting Rod,1166.96,455.115,,,0
HCPCS,C1713,Ex Fix Wire Compression,156.28,60.95,,,0
HCPCS,C1713,Ext Fx Multi Par Pin Mt Post,1027.76,400.83,,,0
HCPCS,C1713,Extender Ahmed Tube/Shunt,686.2,267.62,,,0
HCPCS,C1713,Fdl Implant Systems,6498.76,2534.52,,,0
HCPCS,C1713,Femoral Head,5603.49,2185.36,,,0
HCPCS,C1713,Femoral Nail (Depuy Syn),7434.4,2899.42,,,0
HCPCS,C1713,Femoral Nail Cann  Titanium,11151.09,4348.93,,,0
HCPCS,C1713,"Femoral Nail Gt, Left",6034.05,2353.28,,,0
HCPCS,C1713,Femoral Stem Reclaim Mon,32890.23,12827.19,,,0
HCPCS,C1713,Fibergraft Bg Matrix,6411.82,2500.61,,,0
HCPCS,C1713,Fiberstich Implant Curved,2390.85,932.43,,,0
HCPCS,C1713,Fibertag Tighrope Ii W/Int,6303.15,2458.23,,,0
HCPCS,C1713,Filler Bone Drillable 10Cc,9946.35,3879.08,,,0
HCPCS,C1713,Filler Bone Void Mimix 25G,11971.84,4669.02,,,0
HCPCS,C1713,Filler Cerament Bone Void 18Ml,16482.38,6428.13,,,0
HCPCS,C1713,Filler Cerament G 10Ml,32333.4,12610.03,,,0
HCPCS,C1713,Filler Osteoset Bone Void,1718.1,670.06,,,0
HCPCS,C1713,Fillr Fibergraft Matrix 20Cc,21300.3,8307.12,,,0
HCPCS,C1713,Graft Bone Ifactor,3042.9,1186.73,,,0
HCPCS,C1713,Graft Bone Influx 2.5Cc,1695.33,661.18,,,0
HCPCS,C1713,Graft Bone Infuse Large Ii,28559.79,11138.32,,,0
HCPCS,C1713,Graft Bone Matrix Bioactive 5C,7607.25,2966.83,,,0
HCPCS,C1713,Graft Bone Novabone Putty,12171.6,4746.92,,,0
HCPCS,C1713,Graft Bone Putty I-Factor 5.0C,11954.25,4662.16,,,0
HCPCS,C1713,Graft Bone Sub Magnetos,2213.86,863.41,,,0
HCPCS,C1713,Graft Infuse Bone,18996.39,7408.59,,,0
HCPCS,C1713,Graft Infuse Bone Small,18735.57,7306.87,,,0
HCPCS,C1713,Graft Pro Osteon Bone 30Cc,3821.22,1490.28,,,0
HCPCS,C1713,Gravity Synchfix Suture,4973.18,1939.54,,,0
HCPCS,C1713,Hc Cement Bn Cds Kyp Balloon,450.85,175.83,,,0
HCPCS,C1713,Hc Cement Khphx Radiopaque,441.32,172.11,,,0
HCPCS,C1713,Hc Cement Kyphon Xpede Bone Cement And Mixer,739.9200000000001,288.57,,,0
HCPCS,C1713,Head Screw Matrix,1804.0,703.56,,,0
HCPCS,C1713,Hemostat Putty Bone,652.05,254.3,,,0
HCPCS,C1713,Hex Cannulated Driver,2282.18,890.05,,,0
HCPCS,C1713,Hook Offset Lt/Rt 828,2381.54,928.8,,,0
HCPCS,C1713,Humeral Prosthesis Mid Seg,38635.52,15067.85,,,0
HCPCS,C1713,Humerus Plate 15H,8177.54,3189.24,,,0
HCPCS,C1713,Iliac Crest Wedge 24-26Mm,4408.06,1719.14,,,0
HCPCS,C1713,Ilium Tricort Strip,7443.72,2903.05,,,0
HCPCS,C1713,Impl Speedbridge Sys,11954.25,4662.16,,,0
HCPCS,C1713,Implant Anchor Fiberstich,1793.66,699.53,,,0
HCPCS,C1713,Implant Block Sheet Medpor,1809.18,705.58,,,0
HCPCS,C1713,Implant Bone Tendon Pat Btb Re,2803.82,1093.49,,,0
HCPCS,C1713,Implant Compression Drilling,283.59,110.6,,,0
HCPCS,C1713,Implant Fiberstitch,2390.85,932.43,,,0
HCPCS,C1713,Implant Fibertak Bicep,2717.91,1059.98,,,0
HCPCS,C1713,Implant Hammertoe With Pip,6498.76,2534.52,,,0
HCPCS,C1713,Implant Medpor Sm Rt,8864.78,3457.26,,,0
HCPCS,C1713,Implant Nail,2722.05,1061.6,,,0
HCPCS,C1713,Implant Nail Innate,5433.75,2119.16,,,0
HCPCS,C1713,Implant Regeneten Med Bioinduc,10954.44,4272.23,,,0
HCPCS,C1713,Implant Tightrope Syndemosis,5416.16,2112.3,,,0
HCPCS,C1713,Influx Cortical Bone 5Cc,3390.66,1322.36,,,0
HCPCS,C1713,Infuse Bone Graft Large,28559.79,11138.32,,,0
HCPCS,C1713,Interlocking Screw Osteobridge,1956.15,762.9,,,0
HCPCS,C1713,K Wire,455.4,177.61,,,0
HCPCS,C1713,K-Wire,142.82999999999998,55.705,,,0
HCPCS,C1713,K-Wire Threaded,365.36,142.49,,,0
HCPCS,C1713,K-Wire/Steinman Pin,59.0,23.01,,,0
HCPCS,C1713,Kit Arthro Tightrope Btb Ar-15,2370.15,924.36,,,0
HCPCS,C1713,Kit Humeral Condyle Biomet,6520.5,2543.0,,,0
HCPCS,C1713,Kit Repose Tongue Stablizer,10432.8,4068.79,,,0
HCPCS,C1713,Kit Shoulder Q-Fix 1.8Mm,804.2,313.64,,,0
HCPCS,C1713,Kwire Fixation,122.13,47.63,,,0
HCPCS,C1713,Lag Screw Tap,3286.12,1281.59,,,0
HCPCS,C1713,Lapiplasty System 4,27360.22,10670.49,,,0
HCPCS,C1713,Lcp Proximal Humerus 12H Shft,7757.32,3025.35,,,0
HCPCS,C1713,Locking Screws (Bolt) 3.5X30Mm,3236.44,1262.2150000000001,,,0
HCPCS,C1713,Magnetos 5Cc,7824.6,3051.59,,,0
HCPCS,C1713,Mandibular Recon Plate W/Tem,13489.16,5260.77,,,0
HCPCS,C1713,Maverick Half Pin,831.1,324.13,,,0
HCPCS,C1713,Mesh Cmf Preformb 1.7 12X120X6,70015.68,27306.12,,,0
HCPCS,C1713,Mesh Dynamic 17.Mm X 90 X 90 X,16701.79,6513.7,,,0
HCPCS,C1713,Midface Straight Plate,1499.72,584.89,,,0
HCPCS,C1713,Nail Antegrade Tibia 335Mm,78819.39,30739.56,,,0
HCPCS,C1713,Nail Elastic,1912.68,745.95,,,0
HCPCS,C1713,Nail Elastic Titanium 2.5-3.5,1160.23,452.49,,,0
HCPCS,C1713,Nail Fem Troch Antegrade,5805.32,2264.07,,,0
HCPCS,C1713,Nail Femoral,13935.24,5434.745,,,0
HCPCS,C1713,Nail Fibula Intramedullary,13020.3,5077.92,,,0
HCPCS,C1713,Nail Fusion Hindfoot,22731.7,8865.36,,,0
HCPCS,C1713,Nail Fusion Posterior Bow,10993.77,4287.57,,,0
HCPCS,C1713,Nail Hindfoot Fusion (Smith,10992.74,4287.17,,,0
HCPCS,C1713,Nail Humeral Sterlie Tornier,21569.4,8412.07,,,0
HCPCS,C1713,Nail Im Versanail Tibial,7339.18,2862.28,,,0
HCPCS,C1713,Nail Im Versanail Trochanteric,5704.92,2224.92,,,0
HCPCS,C1713,Nail Intertan 11.5X36,18041.08,7036.02,,,0
HCPCS,C1713,Nail Intramed Hindfoot,10101.6,3939.62,,,0
HCPCS,C1713,Nail Knee,6128.24,2390.01,,,0
HCPCS,C1713,Nail Meta Trigen,15243.48,5944.96,,,0
HCPCS,C1713,Nail Tibial Intramedullary,4235.22,1651.74,,,0
HCPCS,C1713,Nail Tibial M/Dn 10Mm 36Cm,724.5,282.56,,,0
HCPCS,C1713,Nail Trigen Intertan,13505.72,5267.23,,,0
HCPCS,C1713,Nail Trigen Meta-Tan,14297.49,5576.02,,,0
HCPCS,C1713,Nail Troch Trigen Meta,7227.4,2818.69,,,0
HCPCS,C1713,Nail Trochanteric Cannulated,6485.31,2529.27,,,0
HCPCS,C1713,Nail Ulna  Ftu-521-S,13475.7,5255.52,,,0
HCPCS,C1713,Nail-Femoral/Tibi-Antegrade,8797.5,3431.02,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies,1715.5149999999999,672.08,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - 10Mm - Ti Cann Frn - Gt 360Mm - Right - Sterile,8266.54,3223.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - 10Mm - Ti Cann Frn - Gt 380Mm - Left - Sterile,8495.28,3313.16,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - 10Mm - Ti Cann Frn - Gt 380Mm - Right - Sterile,8266.54,3223.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - 10Mm - Ti Cann Frn - Gt 400Mm - Left - Sterile,8266.54,3223.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - 10Mm - Ti Cann Frn - Gt 440Mm - Right - Sterile,8495.28,3313.16,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - 10Mm - Ti Cann Frn - Pf 380Mm - Right - Sterile,8266.54,3223.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - 10Mm - Ti Cann Frn - Pf 440Mm - Left - Sterile,8266.54,3223.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - 11Mm - Ti Cann Frn - Gt 360Mm - Left - Sterile,8495.28,3313.16,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - 11Mm - Ti Cann Frn - Pf 360Mm - Right - Sterile,8495.28,3313.16,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - 11Mm - Ti Cann Frn - Pf 400Mm - Left - Sterile,8266.54,3223.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - 12Mm - Ti Cann Frn - Gt 420Mm - Left - Sterile,8266.54,3223.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - 2.3Mm X 10Mm Hex Multiscrew,593.57,231.49,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - 2.4 Mm Cortex Screw 14Mm Lengt,313.6,122.3,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - 9 Mm - Ti Cann Frn - Gt 360Mm - Left - Sterile,8266.54,3223.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Acp Temp Fix Pin,225.63,88.0,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Allograft Agx Coalit 10X16Mm 7 Deg 6Mm,7975.59,3110.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Allograft Agx Coalit 10X16Mm 7 Deg 7Mm,7975.47,3110.43,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Allograft Agx Coalit 10X16Mm 7 Deg 8Mm,7975.71,3110.53,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Allograft Agx Coalition 8X14M 7 Deg 6Mm,7975.71,3110.53,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Allograft Putty 2.5Cc,3504.51,1366.76,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Dx Swivelock Sl 3.5Mmx8.5Mm With Forked Tip Eyelet Ar,2283.21,890.45,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Healix With Orthocord And Needles 5.5Mm Depuy Mitek,2948.34,1149.85,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Knotless Soft 1.8 Fibertak Arthrex,2363.5,921.76,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Q-Fix 1.8Mm All Suture Smith Nephew,2052.92,800.64,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Surturetak 3Mmx14.5Mm W- 1.3Mm White-Blue Arthrex,1826.26,712.24,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture 1.7 Mm Fibertape Loop 1.3 Mm Suturetape,2524.4,984.52,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture 18 2-0 Cp G2Quickanchor Ethibond Depuy Mitek,601.34,234.52,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture 2-O Mini Corkscrew Arthrex,1530.76,597.0,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture 2.0 Micro Corkscrew K-Wire Arthrex,1761.57,687.01,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture 2.7Mmx8.5Mm Mini Biocomposite Arthrex,1746.04,680.96,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture 2Cp - Quickanchor 2 G2 Green Depuy Mitek,2822.44,1100.75,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture 3.5Mm Poplok Conmed Linvatec,2452.95,956.65,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture 3.5X19.5Mm Biocomposite Pushlock,2417.27,942.74,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture 3Mmx12.2Mm Sut -Tak Two #2Fiberwire Arthrex,1574.24,613.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture 3Mmx14.5Mm Biocomposite Suture Tak #2 Tiger Ta,1746.04,680.96,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture 4 Quicpr Smith And Nephew Orthopaedics,2113.47,824.25,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture 4.75Mm Healicoil Regenesorb W-2 # 2 Ultrabraid,2113.47,824.25,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture 4.75Mmx19.1Mm Biocomposite Cls Arthrex,2636.02,1028.045,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture 4.75X19.1Mm Swivelock Arthex,2014.42,785.62,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture 4.75X19.1Mm Swivelock Tigertape Blue Arthrex,2524.54,984.57,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture 4.75X19.2Mm Biocomposite Arthrex,2524.36,984.5,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture 4.Quicint Smith And Nephew Endoscopy,1992.38,777.03,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture 5.5Mm Footprint Ultra Pack Smith And Nephew En,1992.38,777.03,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture 5.5Mm Healicoil Regenesorb W-2 # 2 Ultrabraid,2113.47,824.25,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture 5.5Mm Healicoil Regenesorb W-3 # 2 Ultrabraid,2113.47,824.25,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture 5.5Mm Regenesorb Knotless Healicoil,2576.7,1004.91,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture 5.5Mm Twinfix Ultra Pack With Two #2 Sutures S,1449.0,565.11,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture 5.5Mmx14.7Mm Biocomposite Corkscrew Two #2Fibe,1799.72,701.89,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture 5.5Mmx14.7Mm Three#2 Fiberwire Arthrex,1611.5,628.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture 5.5Mmx14Mm Corkscrew Arthrex,1530.76,597.0,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture 5.5Mmx19.1Mm Biocomposite Swivelock Arthex,2148.66,837.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture 5.5Mmx19.1Mm Swivelock Closed Eyelet Arthrex,2014.32,785.58,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture 5Mm Pk Knotless Healicoil,2580.51,1006.4,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture 5Mmx15.5Mm Corkscrew Arthrex,461.87,180.13,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture 6 Quic Rc Wo Wo Ndl Othcrd Rot Cuf Depuy Mitek,1208.74,471.41,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture Healicoil # 2 5.5Mm With 3 Ultrabraid Smith An,2538.08,989.85,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture Healicoil 5.5Mm Smith And Nephew Endoscopy,2113.47,824.25,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture Knotless Rg Microraptor,2582.55,1007.19,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture L15.8Mm Dia3.5Mm Peek Vented Swivelock,403.13,157.22,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture L8Mm Dia2.5Mm 2-0 Peek Knotless Mini Pushloc,1933.68,754.14,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture Lupine Shoulder Depuy Mitek,1611.5,628.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture Orthocord 3 Fastin Depuy Mitek,2807.96,1095.1,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture Orthocord 5Mm Fastin Depuy Mitek,1208.67,471.38,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture Orthocord G2Qkan Fastin Depuy Mitek,3369.46,1314.09,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture Orthocord Helix Advance 4.5Mm Br Depuy Mitek,2229.39,869.46,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture Orthocord Helix Advance 4.75 Knotless Peek Dep,2066.9,806.09,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture Orthocord Helix Advance 4.75Mm Knotless Peek D,2148.66,837.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture Orthocord Helix Advance 5.5 Mm Peek Depuy Mite,2019.28,787.52,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture Orthocord Micro Quick Plus # 3-0 V-4 Tapercut,2711.7,1057.56,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture Orthocord Mini Plus # 2-0 Quick Plus B162 Depu,3589.29,1399.82,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture Orthocord Minilock Quick Plus #2-0 Depuy Mitek,3062.05,1194.2,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture Osteoraptor 2.3 With One Ultrabraid #2 Smith A,1977.88,771.37,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture With Slotted Uide 1.9Mm Drill Fibertak,3021.12,1178.24,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchor Suture With Two #2 Hi-Fi Sutures Depuy Mitek,3396.39,1324.59,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchors Bone Regeneten With Advanced Delivery System Smith A,4767.61,1859.37,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Anchors Tendon Bioinductive 8Ea Regeneten Smith And Nephew,3184.98,1242.14,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Ancor Sut Swivelock 8Mm 19.5Mm Bcmps Tenodesis,2685.82,1047.47,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Axs Self-Drilling Screw 1.5X5M,424.2,165.44,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Bar Arch Omnimax,2590.6,1010.33,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Bit Drill L115Mm Dia1.6Mm Stop 26Mm For Plating System,1101.24,429.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Blade Helical Tfna 85Mm Sterile Synthes,2589.57,1009.93,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Blade Spiral Titanium 44Mm Sterile Synthes,2340.14,912.65,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Blocker Spnl Xia 3 Ti,268.58,104.75,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Bolt 100Mm Femoral Neck System Synthes Usa,1678.14,654.47,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Bolt 105Mm Femoral Neck System Synthes Usa,1668.42,650.68,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Bolt 110Mm Femoral Neck System Synthes Usa,1738.39,677.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Bolt 20Mm,241.67,94.25,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Bolt 75Mm Femoral Neck System Synthes Usa,1701.74,663.68,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Bolt 80Mm Femoral Neck System Synthes Usa,1683.85,656.7,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Bolt 95Mm Femoral Neck System Synthes Usa,1694.66,660.92,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Bolt Connect Mri Safe Ext Fix Lng,86.49,33.73,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Bolt Femoral Neck System 115Mm,1668.42,650.68,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Bolt Femoral Neck System 85Mm,1703.4,664.33,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Bolt Femoral Neck System 90Mm,1763.17,687.635,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Bolt Screw Cannula Post Mount Mri Safe Schnz,1253.64,488.92,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Bone Anchors(3) Smith,1798.83,701.54,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Bone Bicortical 22X20X8Mm Ev Evans Wedge Allopure Wright Me,8874.09,3460.9,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Bone Canc 4-10 30Cc,1584.58,617.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Bone Graft Substitute 4Cc Spindle Drive Syringe Bg Putty,4446.36,1734.08,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Bone Matrix Trinity 1.2Cc Trinity Elite,2148.66,837.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Bone Matrix Trinity 10.6Cc Trinity Elite,16433.73,6409.15,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Bone Matrix Trinity 5.3Cc Trinity Elite,8458.94,3298.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Bone Peg L20Mm Dia2.3Mm Locking Screw Titanium Geminus,440.91,171.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Bone Peg L22Mm Dia2.3Mm Locking Screw Titanium Geminus,440.39,171.75,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Bone Plate 3 Hole Narrow Geminus Left Distal Titanium,3629.74,1415.6,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Bone Plate Tib 20Mmx150Mm Frzn,2923.88,1140.31,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Burr Hole Cover 17Mm Synthes,1017.95,397.0,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Button Abs 12Mm 8Mm Tghtrp,767.97,299.51,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Button Fx Ebtn 12Mm 4Mm Arthro Strl,814.54,317.67,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Button Round Concave 14Mm Tightrope Arthrex,1203.7,469.44,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Button Round Concave 20Mm Tightrope Arthrex,1533.35,598.01,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - C Wire Fix L5In Dia0.045In Smooth Trocar Tip,41.66,16.25,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Cable 1.7Mm W Crmp 750Mm 10- Pk Strl,2085.52,813.35,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Cable 1Mm W Crmp 750Mm Strl,2021.65,788.44,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Cable Accord Ss 2.0 W Clamp,2167.29,845.24,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Cable Dbl W Intgr Crimp,979.11,381.85,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Cable Orth Cocr 1.7Mm 750Mm Ti Crmp Strl,2042.16,796.44,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Cable Orth Cocr 1.8Mm 635Mm,4060.3,1583.52,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Cable Orth Cocr W Clamp Accord,2130.03,830.71,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Cable Orth Ss 1.7Mm 750Mm Hip Crmp Strl,2064.2,805.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Cable Orth Vit 2Mm Hmg Dlmls 2,1426.19,556.21,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Cable Ortho 2Mm F-Grips Smith And Nephew Orthopaedics,1426.23,556.23,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Cable Rdy Assy 1.8-914Mm Sst,3971.71,1548.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Cable Sleeve Vit Beaded Dall-Miles Sm 2Mm Dia,1528.7,596.19,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Cage 75Mmx16Mm Tpr Stalif Cti,11359.12,4430.06,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Cage 7Mm 14Mm 16Mm Coalition,11358.92,4429.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Cage Leva 12Mm-25(L) X1 Lordotic,21750.52,8482.7,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Cage Peek Lumb Mdl 39X15Mm12D Ii,21750.52,8482.7,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Cage Peek Lumb Mdln 42X15Mm12D Ii,21750.52,8482.7,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Cage Spinal W9Xh7Xl25Mm Self Expanding Convex Low Prof,21750.52,8482.7,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Cage Spnl 11Mm 15D Med,21750.52,8482.7,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Cage Spnl 13Mm 15D Med,21750.52,8482.7,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Cage Spnl 14X12X5Mm Roi-C,2417.76,942.93,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Cage Spnl 15Mm 15D Lumb,21750.52,8482.7,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Cage Spnl 15Mmx13Mm Independ Sm,21750.52,8482.7,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Cage Spnl 5.5X4.1X14Mm 3H,11359.12,4430.06,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Cage Spnl 6.5X5.1X14Mm 3H Tpr,11359.12,4430.06,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Cage Spnl 7Mm Xl Cln,4642.06,1810.4,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Cage Spnl 8Mm Xl Cln,4543.24,1771.86,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Cap Deneli Set,362.25,141.28,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Cap End Ti Mllk 0Mm Extn Strl F- Mllk Nail,918.49,358.21,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Cap Facet Reduction Spinal Posterior Creo Globus Medical,268.61,104.76,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Cap Lck 8.2Mm 70Mm Cannula,146.97,57.32,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Cap Lck End 0Mm,954.27,372.17,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Cap Lck Lumb Spine Revolve,268.61,104.76,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Cap Screw Locking,268.63,104.77,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Cap Ti End T25 0Mm Ext Strl Strdrv Hum Nail Ex Sprl Bld,754.52,294.26,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Capsure Fixation Permanent,3028.41,1181.08,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Cement Bn 40Gm Gnta Strl,966.69,377.01,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Cement Bn Hydroset 15Cc Bn Sub Void Filler Ca Phos,16604.5,6475.76,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Cement Bone 40Gm High Viscosity Radiopaque Rev Surg,307.85,120.06,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Coalition 8Mm 15X 18,11359.12,4430.06,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Coil 1.25Mm Wire 10M Crlge,312.57,121.9,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Connector Lat 15Mm,2685.82,1047.47,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Connector Rod 38-51Mm Revere,2685.82,1047.47,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Connector Spinal L31-37Mm Cross Offset Adjustable Rod,2685.82,1047.47,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Connector Spinal L37-40Mm Cross Adjustable Connex,2685.82,1047.47,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Connector Spnl L40-50Mm Crss Lp Adj For 5.5Mm Rod Reline-O,2793.46,1089.45,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Cover Burr Hl 12Mm Matrixneuro,1549.49,604.3,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Cover Burr Hl 15Mm Matrixneuro,1016.2,396.32,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Cover Burr Hl 24Mm Matrixneuro,1016.89,396.59,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Cover Burr Hole Neuro Iii 10Mm,1238.9,483.17,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Cover Burr Hole Neuro Iii 14Mm,1231.19,480.16,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Creo 5.5 Cross Connector 38-5,2685.82,1047.47,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Crosslink 5.5Mm 48-60Mm,2685.82,1047.47,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Crosslink Multispand 41Mm 48Mm,2685.82,1047.47,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Crosslink Multispand 47Mm 53Mm,2685.82,1047.47,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Crosslink Solera Ti 30Mm,2685.82,1047.47,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Crosslink Solera Ti 32Mm,2685.82,1047.47,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Crosslink Solera Ti 38Mm,2685.82,1047.47,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Crosslink Spinal M Rod To Rod Infinity,2739.64,1068.46,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Device Fem Fx Toggleloc W-Ziploop Btb Graft,10440.04,4071.62,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Device Ti Troch Reatt W Cable -Long-Strl,10369.67,4044.17,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Device Ti Troch Reatt W Std Cable-Strl,7195.32,2806.17,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Dx Swivelock Sl Disposable Kit For Use With 3.5Mmx8.5Mm Swiv,1346.54,525.15,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Elbow Implant With Ziploop System Cannulated Biomet,9473.36,3694.61,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Extension Reduction Reline Nuvasive,2417.24,942.72,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Fast-Fix Flex Curved Inserter Needle,2834.86,1105.6,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Fenestrated Screw 100Mm,2483.26,968.47,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Fenestrated Screw 100Mm-Steril,2536.86,989.38,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Fenestrated Screw 105Mm,2487.1,969.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Fenestrated Screw 105Mm-Steril,2535.47,988.83,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Fenestrated Screw 110Mm,2487.1,969.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Fenestrated Screw 110Mm-Steril,2523.89,984.32,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Fenestrated Screw 115Mm-Steril,2460.2,959.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Fenestrated Screw 120Mm-Steril,2874.2,1120.94,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Fenestrated Screw 75Mm-Sterile,2460.2,959.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Fenestrated Screw 80Mm,2480.38,967.35,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Fenestrated Screw 80Mm-Sterile,2598.19,1013.29,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Fenestrated Screw 85Mm,2498.41,974.38,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Fenestrated Screw 85Mm-Sterile,2570.59,1002.53,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Fenestrated Screw 90Mm,2485.76,969.45,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Fenestrated Screw 90Mm-Sterile,2563.7,999.84,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Fenestrated Screw 95Mm,2516.27,981.35,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Fenestrated Screw 95Mm-Sterile,2604.61,1015.8,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Fiberstitch Implant Curved 2-0 Fiberwire,2658.12,1036.67,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Fibulink Syndesmosis Repair Kit,5511.7,2149.56,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Filler 30Cc 1-4Mm Chips Fine Osteosponge,9860.44,3845.57,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Fixator 240Mm Self Drill Schnz Screw Rod Mri,10179.22,3969.9,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Footplate Bone Long L150Mm Minum Maxframe,6449.77,2515.41,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Graft Bn 10Ml Dmnr Bn Mtrx,10392.18,4052.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Graft Bn Almtr Dem Bn Mtrx 1Ml Putty Inj (X),1149.88,448.45,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Graft Bn Almx D Dem Bn Mtrx 3Ml Putty Chp (X),3189.87,1244.05,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Graft Bn Dem Bn Mtrx 10Ml Tissue Putty (X),5896.4,2299.6,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Graft Bn Dem Bn Mtrx 2.5Ml Inj,2632.0,1026.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Graft Bn Dem Bn Mtrx 2.5Ml Mx,2803.47,1093.35,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Graft Bn Dem Bn Mtrx 2.5Ml Putty Ns (X),2470.54,963.51,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Graft Bn Dem Bn Mtrx 5Ml Mx Ns (X),4978.35,1941.56,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Graft Bn Dem Bn Mtrx 5Ml Tissue Putty (X),4156.56,1621.06,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Graft Bone 15Cc Thk1-4Mm Fine Filler Chips Osteosponge,5220.47,2035.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Graft Bone Substitute 100X25Mm Boat 3Demin,20433.23,7968.96,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Graft Bone Substitute 10Cc Dbm Putty Syringe Osteoselect Plu,6819.78,2659.71,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Graft Bone Substitute 1Cc Dbm Plus Putty Syringe Osteoselect,688.84,268.65,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Graft Bone Substitute 2.5Cc Dbm Plus Putty Syringe,2307.22,899.82,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Graft Bone Substitute 50X25Mm Boat 3Demin,11251.76,4388.19,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Graft Bone Substitute 5Cc Dbm Putty Syringe Osteoselect Plus,4290.51,1673.3,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Graft Bone Substitute Inserter Diverted Filler Tube 3-4 Fill,1595.45,622.23,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Graft Bone Substitute L 11Cc 45S5 Bioactive Glass,10875.78,4241.55,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Graft Bone Substitute L 12.5Cc 45S5 Bioactive Glass,14500.35,5655.14,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Graft Bone Substitute M 6.25Cc 45S5 Bioactive Glass,7129.08,2780.34,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Graft Bone Substitute M 6Cc 45S5 Bioactive Glass,5800.075000000001,2262.0299999999997,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Graft Bone Substitute Sm 4Cc 45S5 Bioactive Glass,4446.88,1734.28,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Graft Bone Substitute Synthetic Injectable Tactoset,10633.59,4147.1,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Graft Bone Substitute Xsm 2Cc 45S5 Bioactive Glass,2148.66,837.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Guidepin 1.6X100Mm K Wire Fixation Orthopediatric,245.3,95.67,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Guidewire Orth 6In .035In Krsh,116.26,45.34,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Head Creo Polyaxial Tulip,2454.85,957.39,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Helical Blade 100Mm,2653.53,1034.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Helical Blade 100Mm-Sterile,2650.7,1033.77,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Helical Blade 105Mm,2616.48,1020.43,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Helical Blade 105Mm-Sterile,2719.03,1060.42,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Helical Blade 110Mm,2616.48,1020.43,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Helical Blade 110Mm-Sterile,2622.29,1022.69,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Helical Blade 115Mm,2616.48,1020.43,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Helical Blade 115Mm-Sterile,2589.57,1009.93,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Helical Blade 125Mm-Sterile,2589.57,1009.93,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Helical Blade 70Mm-Sterile,2589.57,1009.93,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Helical Blade 75Mm,2589.57,1009.93,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Helical Blade 75Mm-Sterile,2802.26,1092.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Helical Blade 80Mm,2616.48,1020.43,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Helical Blade 80Mm-Sterile,2617.93,1020.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Helical Blade 85Mm,2648.15,1032.78,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Helical Blade 85Mm-Sterile,2646.31,1032.06,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Helical Blade 90Mm,2616.48,1020.43,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Helical Blade 90Mm-Sterile,2669.73,1041.19,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Helical Blade 95Mm,2630.73,1025.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Helical Blade 95Mm-Sterile,2688.48,1048.51,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Implant 2.0X4Mm Xpin St Screw,289.54,112.92,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Implant Abs Tight Rope,1799.77,701.91,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Implant Bone Screw Crosspin 2 2.0Mm X 8Mm,299.63,116.86,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Implant Brow Fx 3Mm Bioabs,1477.98,576.41,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Implant Delivery System Biocomposite Distal Beceps,5316.8,2073.55,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Implant Distal Biceps Repair Arthrex,4108.95,1602.49,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Implant Firber Tag Acl,2537.8,989.74,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Implant Hip Construct Dual Vendor-Shell-Liner H1 Zimm 19,7250.18,2827.57,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Implant Innate 4.5Mm X 50Mm,2658.92,1036.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Implant Plate Fibula Lat-Dst 3Hole 245Mmx110Mm,3876.59,1511.87,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Implant Plate Fibula Lat-Dst 4Hole 245Mmx110Mm,3876.59,1511.87,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Implant Plate Neuro 2 Hole 1. .5Mm Long,354.49,138.25,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Implant Plate Straight Regula Ar 6 Hole 1.5,671.72,261.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Implant Plate Volar Narrow Le Eft,6619.86,2581.75,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Implant Screw Hi-Trq 1.65 Dia A X 5Mm L Self-Drill,499.54,194.82,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Implant Screw Htorq 1.5X4Mm,513.84,200.4,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Implant Screw Nonlck 2.7X14Mm,859.31,335.13,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Implant Screw Set Spinal 4.75 Mm Solera,349.09,136.15,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Implant Screw Spinal Cann Tit 6.5X50Mm Voyager,4108.43,1602.29,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Implant Speed 15X12X12Mm,4785.15,1866.21,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Implant System Hand-Wrist Internalbrace Ligament Augment,7226.24,2818.23,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Implant System Internalbrace Ligament Augument Repair,7151.55,2789.1,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Implant System Mini 1.1Mm Tightrope Arthrex,4326.3,1687.26,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Implant System Mini Scorpion Micro Suture,5292.99,2064.27,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Implant System Secondary Fixa Fixation W- Swivelock Acl-Pcl,3141.85,1225.32,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Implant Systm Speedbrdge Scorp Multifire Ndl 4.74-5.5X19.1Mm,9232.2,3600.56,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Implant Toe Sm L13Mm Proximal Distal L5.5Mm Dia4Mm Thk1.9Mm,5606.6,2186.57,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Implant Universal Neuro Box Plate Large 2 X 2 Hole Stryker,1557.12,607.28,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Introducer Orth Kphpk Xpr 1St Fx Tray 15 2,13382.55,5219.19,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - K Wire Dbl Tip,225.63,88.0,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - K-Wire Threaded .045X6 Inches Microaire,112.82,44.0,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - K-Wires,411.13,160.34,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Kit Artho Fx 2.9Mm Juggerknot,1953.04,761.69,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Kit Arthro Fx Toggleloc Ziploop Tech Sys Fem,7999.31,3119.73,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Kit Arthro Fx Trmit 100Mm 2Mm,1880.45,733.38,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Kit Biceptor 7Mm 15Mm Disp Tenodesis,2264.58,883.19,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Kit Biceptor 8Mm 15Mm Disp Tenodesis,2264.58,883.19,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Kit Biceptor 9Mm 15Mm Disp,1573.72,613.75,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Kit Biceptor 9Mm 15Mm Disp Tenodesis,2264.58,883.19,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Kit Endoscopic Instrument Syn Desmosis Implant Sys Tightr,7226.37,2818.28,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Kit Kntls Tghtrp Repr,5679.04,2214.83,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Kit Mpfl Fast Thread Screw And Biocomposite Swivl Lock,9643.09,3760.81,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Kit Repair 3 Lrg Pec Button Fibertape Sutures W- 5Fibrwire,7975.71,3110.53,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Kit Spnl Cage 10X38X28Mm 4Deg Med Lat Lum If Ti Lord Self,29788.34,11617.45,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Kit Spnl Cage 8X34X24Mm 4Deg Med Lat Lum If Ti Lord Self,29788.34,11617.45,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Kit Spnl Cage 8X34X24Mm 8Deg Med Lat Lum If Ti Lord Self,29788.34,11617.45,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Kit Spnl Cage 8X38X28Mm 8Deg Med Lat Lum If Ti Lord Self,29788.34,11617.45,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Kwire 1.1Mmm,96.58,37.67,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Kwire 1.2Mm X150Mm Wright Medical Technology,91.67,35.75,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Kwire 1.4Mm,98.96,38.59,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Kwire 2.0,166.64,64.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Kwire Fixation 2.5Mm Threaded Wright Medical,96.67,37.7,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Kyphon Activos 10 Mixer Bone Cement Full Dose,355.0,138.45,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Lckng Attach Washer Rfna - 5 Deg- Lt- S,4339.76,1692.51,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Lckng Attach Washer Rfna - 5 Deg- Rt- S,4356.87,1699.18,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Ligament Intnlbrace,5195.7,2026.32,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Locking Screw For Im Nail 5- 26- Xl25,924.77,360.66,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Locking Screw For Im Nail 5- 28- Xl25,960.4,374.56,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Locking Screw For Im Nail 5- 95- Xl25,925.7,361.02,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Low Prof Lckng Scr 5.0 - L 28 - Xl25,1290.64,503.35,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Low Prof Lckng Scr 5.0 - L 30 - Xl25,1091.92,425.85,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Low Prof Lckng Scr 5.0 - L 32 - Xl25,1091.92,425.85,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Low Prof Lckng Scr 5.0 - L 34 - Xl25,1290.64,503.35,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Low Prof Lckng Scr 5.0 - L 36 - Xl25,1091.92,425.85,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Low Prof Lckng Scr 5.0 - L 38 - Xl25,1191.29,464.6,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Low Prof Lckng Scr 5.0 - L 40 - Xl25,1191.29,464.6,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Low Prof Lckng Scr 5.0 - L 42 - Xl25,1091.92,425.85,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Low Prof Lckng Scr 5.0 - L 44 - Xl25,1191.29,464.6,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Low Prof Lckng Scr 5.0 - L 46 - Xl25,1191.29,464.6,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Low Prof Lckng Scr 5.0 - L 50 - Xl25,1125.04,438.77,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Low Prof Lckng Scr 5.0 - L 52 - Xl25,1091.92,425.85,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Low Prof Lckng Scr 5.0 - L 58 - Xl25,1091.92,425.85,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Low Prof Lckng Scr 5.0 - L 60 - Xl25,1091.92,425.85,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Low Prof Lckng Scr 5.0 - L 74 - Xl25,1091.92,425.85,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Mount Schanz Screw Bolt Post,1156.1,450.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 10Mm 18Cm 10S 125D Intert,15017.85,5856.96,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 10Mm 24Cm Troch Intertan Intramed 125D,17059.9,6653.36,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 10Mm 360Mm Fem Nail Ex Intramed Cannula,6572.25,2563.18,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 10Mm 36Cm Tib Nail Ex Intramed Cannula,5755.64,2244.7,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 10Mm 380Mm Fem Nail Ex Intramed Cannula,5971.95,2329.06,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 10Mm Fem Ex 240Mm Strl Ti Cannula Rtrgd,6572.25,2563.18,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 11.5Mm 18Cm Troch,15017.85,5856.96,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 11.5Mm 18Cm Troch 130D,15017.85,5856.96,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 11.5Mm 20Cm Lt Hindfoot,10512.5,4099.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 11.5Mm 24Cm 130D Troch Intertan Intramed,17059.9,6653.36,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 11.5Mm 24Cm Troch,17059.9,6653.36,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 11Mm 38Cm Fem Nail Ex Intramed Cannula,5971.95,2329.06,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 11Mm 400Mm Fem Nail Ex Intramed Cannula,5371.65,2094.94,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 12Mm 36Cm Fem Nail Ex Intramed Cannula,5971.95,2329.06,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 12Mm Arthds 180Mm-Rt Strl Ti Hindfoot Cannula Ex,6974.86,2720.2,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 12Mm Ti Cann Frn 400Mm Left St Sterile,8266.54,3223.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 12Mm Ti Cann Frn 440Mm Right,8266.54,3223.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 12Mm Ti Cann Frn Pf 420Mm Right,8266.54,3223.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 15.5-11-180Mmtroch Gamma3,9919.44,3868.58,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 15.5Mm 11Mm 180Mm Troch Hip Gamma3,4355.28,1698.56,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 2.5Mm 44Cm Dphsl Mtphsl Epip Intramed,1385.3,540.27,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 2Mm 44Cm Dphsl Mtphsl Epip Intramed Elc,1460.38,569.55,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 2Mm Ti Elastic 440Mm,1184.73,462.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 3.5Mm 44Cm Dphsl Mtphsl Epip Intramed,1531.54,597.3,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 3Mm 44Cm Dphsl Mtphsl Epip Intramed Elc,1466.6,571.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 3Mm Ti Elc 440Mm,1407.6,548.96,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 4Mm Ti Elc 440Mm,1598.04,623.24,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 7Mm 23Cm Hum Nail Ex Intramed Cannula Ti,7517.2,2931.71,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 7Mm Mllk Lt 225Mm Strl Ti Hum Cannula,7572.06,2953.1,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 7Mm Mllk Lt 240Mm Strl Ti Hum Cannula,7572.06,2953.1,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 7Mm Mllk Lt 255Mm Strl Ti Hum Cannula,7572.06,2953.1,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 7Mm Mllk Lt 270Mm Strl Ti Hum Cannula,7572.06,2953.1,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 7Mm Mllk Rt 210Mm Strl Ti Hum Cannula,8216.86,3204.58,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 7Mm Mllk Rt 255Mm Strl Ti Hum Cannula,7572.06,2953.1,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 7Mm Prox Hum Ex 150Mmstrl Cannula,6059.92,2363.37,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 8.5Mm Mllk Lt 210Mm Strl Ti Hum Cannula,7572.06,2953.1,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 8.5Mm Mllk Lt 225Mm Strl Ti Hum Cannula,8216.86,3204.58,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 8.5Mm Mllk Lt 255Mm Strl Ti Hum Cannula,7572.06,2953.1,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 8.5Mm Mllk Lt 270Mm Strl Ti Hum Cannula,7572.06,2953.1,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 8.5Mm Mllk Lt 285Mm Strl Ti Hum Cannula,8216.86,3204.58,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 8.5Mm Mllk Rt 225Mm Strl Ti Hum Cannula,7572.06,2953.1,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 8.5Mm Mllk Rt 255Mm Strl Ti Hum Cannula,7572.06,2953.1,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 8.5Mm Mllk Rt 270Mm Strl Ti Hum Cannula,8216.86,3204.58,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 8Mm34.5Cm Nail Ex Cannula Intramed Tib,5683.18,2216.44,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 9.5Mm Mllk Lt 160Mm Strl Ti Prox Hum Cannula,7577.24,2955.12,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail 9.5Mm Mllk Rt 160Mm Strl,7266.74,2834.03,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ankle Comp Ti 10Mm L150Mm Cannula,9647.24,3762.42,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ankle Comp Ti 10Mm L200Mm Cannula,9646.89,3762.29,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ankle Comp Ti 11Mm L300Mm Cannula,9647.24,3762.42,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Comp Ankle Ti 11Cmx200Cm,10015.0,3905.85,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Intramedullary 360Mm 10Mm Synthes Usa,8266.54,3223.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Intramedullary L380Mm Dia11Mm,8380.91,3268.55,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Intramedullary L420Mm Dia10Mm Right Femoral,8380.91,3268.55,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Multiloc Prox Hum 7Mm 240Mm Rt Ti,7958.94,3103.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Multiloc Prox Hum 8Mm 160Mm Lt Blu Rnd Ti,7335.73,2860.93,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Prox Hum Shrt 8Mm Rt Strl,7266.74,2834.03,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 10Mm-130 Deg 170Mm Cann Tfna Strl,5787.95,2257.3,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 10Mm-130D 235Mm Lt Cann Tfna Strl,6391.19,2492.56,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 10Mm-130D 235Mm Rt Cann Tfna Strl,6345.58,2474.78,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 10Mm-130D 320Mm Lt Cann Tfna Strl,9511.65,3709.54,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 10Mm-130D 320Mm Rt Cann Tfna Strl,8262.41,3222.34,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 10Mm-130D 340Mm Lt Cann Tfna Strl,8262.41,3222.34,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 10Mm-130D 360Mm Lt Cann Tfna Strl,8574.72,3344.14,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 10Mm-130D 360Mm Rt Cann Tfna Strl,8830.24,3443.79,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 10Mm-130D 380Mm Lt Cann Tfna Strl,8428.97,3287.3,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 10Mm-130D 380Mm Rt Cann Tfna Strl,8591.15,3350.55,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 10Mm-130D 400Mm Lt Cann Tfna Strl,8540.01,3330.6,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 10Mm-130D 400Mm Rt Cann Tfna Strl,8512.25,3319.78,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 10Mm-130D 420Mm Lt Cann Tfna Strl,9511.65,3709.54,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 10Mm-130D 420Mm Rt Cann Tfna Strl,9011.95,3514.66,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 10Mm-130D 440Mm Rt Cann Tfna Strl,8262.41,3222.34,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 11Mm-130 Deg 170Mm Cann Tfna Strl,5818.47,2269.2,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 11Mm-130D 235Mm Lt Cann Tfna Strl,6403.92,2497.53,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 11Mm-130D 235Mm Rt Cann Tfna Strl,6478.25,2526.52,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 11Mm-130D 300Mm Lt Cann Tfna Strl,9511.65,3709.54,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 11Mm-130D 320Mm Rt Cann Tfna Strl,8887.03,3465.94,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 11Mm-130D 340Mm Lt Cann Tfna Strl,8678.82,3384.74,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 11Mm-130D 360Mm Lt Cann Tfna Strl,8512.25,3319.78,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 11Mm-130D 360Mm Rt Cann Tfna Strl,8678.82,3384.74,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 11Mm-130D 380Mm Lt Cann Tfna Strl,8603.11,3355.21,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 11Mm-130D 380Mm Rt Cann Tfna Strl,8470.61,3303.54,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 11Mm-130D 400Mm Lt Cann Tfna Strl,8418.56,3283.24,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 11Mm-130D 400Mm Rt Cann Tfna Strl,8512.25,3319.78,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 11Mm-130D 420Mm Lt Cann Tfna Strl,8440.87,3291.94,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 11Mm-130D 420Mm Rt Cann Tfna Strl,8262.41,3222.34,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 11Mm-130D 440Mm Rt Cann Tfna Strl,8262.41,3222.34,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 12Mm-130 Deg 170Mm Cann Tfna Strl,6013.52,2345.27,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 12Mm-130 Deg 235Mm Lt Cann Tfna Strl,6528.0,2545.92,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 12Mm-130 Deg 235Mm Rt Cann Tfna Strl,6517.21,2541.71,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 12Mm-130 Deg 340Mm Rt Cann Tfna Strl,8262.41,3222.34,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 12Mm-130 Deg 360Mm Lt Cann Tfna Strl,8678.82,3384.74,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 12Mm-130 Deg 360Mm Rt Cann Tfna Strl,8262.41,3222.34,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 12Mm-130 Deg 380Mm Lt Cann Tfna Strl,8262.41,3222.34,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 12Mm-130 Deg 380Mm Rt Cann Tfna Strl,8887.03,3465.94,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 12Mm-130 Deg 400Mm Lt Cann Tfna Strl,8678.82,3384.74,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 12Mm-130 Deg 400Mm Rt Cann Tfna Strl,8262.41,3222.34,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 12Mm-130 Deg 420Mm Lt Cann Tfna Strl,8262.41,3222.34,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 12Mm-130 Deg 420Mm Rt Cann Tfna Strl,8887.03,3465.94,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 12Mm-130 Deg 440Mm Lt Cann Tfna Strl,8678.82,3384.74,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 12Mm-130 Deg 440Mm Rt Cann Tfna Strl,8262.41,3222.34,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 14Mm-130 Deg 360Mm Lt Cann Tfna Strl,8262.41,3222.34,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 14Mm-130 Deg 380Mm Lt Cann Tfna Strl,8262.41,3222.34,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 14Mm-130 Deg 400Mm Rt Cann Tfna Strl,8262.41,3222.34,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 14Mm-130 Deg 440Mm Lt Cann Tfna Strl,9511.65,3709.54,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 14Mm-130 Deg 460Mm Rt Cann Tfna Strl,9511.65,3709.54,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 9Mm-130 Deg 170Mm Cann Tfna Strl,5519.66,2152.67,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail Ti 9Mm-130 Deg 235Mm Lt Cann Tfna Strl,7804.94,3043.93,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail1.5Mm Ti Elc 300Mm-Strl,1388.45,541.5,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nail4Mm Ti Elc 440Mm-Strl,1575.27,614.36,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Nut 14Mm Sterile,1280.98,499.58,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Osteo Factor Allergeneic Proteins Lg,10754.55,4194.27,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Osteo Factor Allergeneic Proteins Xl,19213.07,7493.1,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Patch Pericardial 8X14Cm Xenosure,3069.81,1197.23,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Peg Bone Locking Titanium L24Mm Dia2.3Mm Distal Radial,440.39,171.75,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Pin 2.4Mm,102.06,39.8,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Pin 2.5Mm 200Mm Algn L Strl,773.14,301.52,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Pin 80Mm 3.2D Cas Flute,150.4,58.66,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Pin Distraction 10Mm Secure-C Cervical Globus Medical,268.63,104.77,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Pin Dstrct Strl Ylw 14Mm,111.26,43.39,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Pin Fixation L100Mm Spinal Percutaneous Disposable O Arm,1521.4,593.35,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Pin Fixation Threaded Disposable Bb-Tak,420.55,164.01,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Pin Fx 3.3Mm Cross Fem Rgdfx,2923.88,1140.31,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Pin Fx 5Mm Centrl Thrd 300Mm,691.38,269.64,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Pin Fx Tnsnbnd Kt 50Mm,1291.68,503.76,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Pin Half 150Mm 6Mm Ha 50Mm Ext,1958.77,763.92,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Pin Half 150Mm 6Mm Ha 70Mm Ext,1958.77,763.92,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Pin Half 200Mm 6Mm Ha 50Mm Ext,1958.91,763.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Pin Half 200Mm 6Mm Ha 70Mm,1958.91,763.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Pin Half 4-6Mm Truelok Orthofix,412.56,160.9,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Pin Spinal Distraction 12Mm Maxcess Nuvasive,730.71,284.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Pin Steinman,295.32,115.17,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Pin Steinmann 3.2Mm 9Mm,770.04,300.32,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Pin Stnm 5Mm 150Mm,274.79,107.17,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Pin Stnm 5Mm W Thrd 250Mm Centrl,634.46,247.44,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Pin Stnm 5Mm W Thrd 275Mm Centrl,634.46,247.44,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Pin Stnm 5Mm W Thrd 300Mm Centrl,499.46,194.79,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Pin Trnfx 6Mm 225Mm,507.86,198.07,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Pins Distraction 12Mm,244.79,95.47,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate -O 12Mm Center Hole Orthopediatrics,1872.32,730.2,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate -O 16Mm Center Hole Orthopediatrics,1872.32,730.2,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate -O 20Mm Center Hole Orthopediatrics,2726.19,1063.21,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate -O 24Mm Center Hole Orthopediatrics,2726.19,1063.21,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate .5Mm 12H Orbit Rim Ti,2089.66,814.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate .8Mm Oblq 3X4Hl Lt Gold,1753.29,683.78,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 1.5Mm 2X2Hl Dcp Matrix,3232.3,1260.6,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 100X100X.4Mm Contourable,7832.88,3054.82,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 102Mm Ss 3.5Mm 6Hl Lcp Hl Low Bend Lcp,5768.83,2249.84,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 102Mm Ss 3.5Mm 6Hl Low Hl Low Bend Lcp,5690.43,2219.27,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 102Mm Ss 3.5Mm Screw 6 H L Low Bend Lcp Strl,6067.43,2366.3,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 102Mm Ss 3.5Mm Screw 6 Hl Low Bend Lcp Strl,6100.06,2379.02,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 104Mm Ss 3.5Mm Screw Low Prof Pelvic,2297.85,896.16,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 105Mm Ss 3.5Mm Screw 4 Hl Set Wo Cs Lcp Strl,4833.45,1885.05,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 106-3.5Mm 7Hl Ss Rt Strl Hl Lcp Bn Rt Strl,6059.92,2363.37,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 106-3.5Mm Ss 7Hl Lt Strl Hl Lcp Bn Lt Strl,6059.92,2363.37,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 106Mm Ss 3.5Mm 7Hl Rt Hl Lcp Bn Rt,5898.46,2300.4,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 107Mm Ss 3.5Mm 6Hl Lt Hl Lcp Bn Lt,5690.43,2219.27,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 108Mm Radius 104Mm Ss 3.5Mm Screw 8 Hl,2992.57,1167.1,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 108Mm Radius 156Mm Ss 3.5Mm Screw 12 Hl,3424.82,1335.68,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 108Mm Radius 208Mm Ss 3.5Mm Screw 16 Hl,4108.95,1602.49,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 108Mm Radius 78Mm Ss 3.5Mm Screw 6 Hl,2876.26,1121.74,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 110Mm Chest Wall Stabl,3866.76,1508.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 111Mm 2.7Mm 3.5Mm Va Lcp Dist Hum 4Hl Rt Med,5135.67,2002.91,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 111Mm Ss 3.5Mm Screw Sm Frag Set 8 Hl,1415.61,552.09,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 112Mm Ss 3.5Mm Screw Sm Frag Set 8 Hl,2221.11,866.23,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 117Mm Ss 3.5Mm Screw Low Prof Pelvic,2074.31,808.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 117Mm Ss Sm Frag Set 10 Hl 1-3 Tube,774.75,302.15,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 119Mm Ss 3.5Mm Screw 6 Hl Lcp Bn Rt Prox Ss Strl,7007.98,2733.11,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 120Mm Ss 3.5Mm Screw 7Hl Lcp Rt Sup,3674.25,1432.96,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 124Mm Ss 3.5Mm Screw Sm Frag Set 9 Hl,1498.83,584.54,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 128Mm Ss 3.5Mm 8Hl Strl L Low Bend Lcp Strl,6386.98,2490.92,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 128Mm Ss 3.5Mm Screw 8 H L Lt Low Bend Lcp Strl,6386.98,2490.92,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 130D-Shrt Barrel 2Hl- -46Mm Dhs-Strl,2420.86,944.14,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 130D-Shrt Barrel 3Hl- -62Mm Dhs-Strl,2645.46,1031.73,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 131Mm Univlck Troch Stab,3551.08,1384.92,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 135D-Std Barrel 3Hl- -62Mm Dhs-Strl,2420.86,944.14,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 137Mm Ss 3.5Mm Screw Sm Frag Set 10 Hl,1516.28,591.35,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 140D-Std Barrel 4Hl- -78Mm Dhs-Strl,2420.86,944.14,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 141Mm Ss Sm Frag Set 12 Hl 1-3 Tube,791.92,308.85,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 14Mm Ti 1 Lvl Asr Bn Ant Cerv Spine,3383.42,1319.53,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 14X14Mm Frame Cranmf Ti,1005.58,392.18,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 154Mm Ss 3.5Mm Screw 10 Hl Low Bend Lcp Strl,6545.34,2552.68,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 154Mm Ss 3.5Mm Screw 10H L Low Bend Lcp Rt Strl,6281.42,2449.75,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 158Mm Ss 3.5Mm Screw 11 Hl Lcp Bn Rt,6178.95,2409.79,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 158Mm Ss 3.5Mm Screw 6 H L Lcp Bn Lt Strl,5732.86,2235.82,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 163Mm Ss 3.5Mm Screw Sm Frag Set 12 Hl,1677.74,654.32,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 16Mm 1 Lvl Bn Occ Cerv Thor Spine,3383.42,1319.53,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 16Mm Ti 1 Lvl Asr Bn Ant Cerv Spine,1756.29,684.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 16X10Mm Frame Cranmf Ti,937.4,365.59,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 16X16Mm X Cranmf Ti,983.25,383.47,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 184Mm Ss 3.5Mm 13Hl Strl Hl Lcp Bn Lt Strl,6256.32,2439.96,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 189Mm Ss 3.5Mm Screw Sm Frag Set 14 Hl,2524.36,984.5,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 18Mm 6 Hl 2Y Cranmf Ti,983.25,383.47,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 194Mm Ss 3.5Mm Screw 8 H L Lcp Bn Lt Strl,6692.31,2610.0,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.4 2-Clmn-6Hl Hd-5H Lt Ti Va Lcp Volr Dist Rad,3386.52,1320.74,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.4 6Hhd 3H Shft Rt Va Lcp 2Clmn Vlr Dstl Rad,3000.55,1170.21,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.4 6Hhd 4H Shft Lt Va Lcp 2Clmn Vlr Dstl Rad,4338.72,1692.1,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.4 6Hhd 4H Shft Rt Strl Va Lcp 2Clmn Vlr Dstl Rad,3769.99,1470.3,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.4 6Hhd 5H Shft Lt Strl Va Lcp 2Clmn Vlr Dstl Rad,3333.0,1299.87,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.4 6Hhd 5H Shft Lt Va Lcp 2Clmn Vlr Dstl Rad,4500.18,1755.07,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.4 6Hhd 5H Shft Rt Strl Va Lcp 2Clmn Vlr Dstl Rad,3102.93,1210.14,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.4 6Hhd 5H Shft Rt Va Lcp 2Clmn Vlr Dstl Rad,4713.39,1838.22,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.4 6Hhd3Hshftlt Nrwstrl Va Lcp 2Col Dstl Rad Nrw,2836.94,1106.41,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.4 6Hhd3Hshftrt Nrwstrl Va Lcp 2Col Dstl Rad Nrw,2836.94,1106.41,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.4 7Hhd 2H Shft Lt Strl Va Lcp 2Clmn Vlr Dstl Rad,2773.8,1081.78,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.4 7Hhd 2H Shft Rt Strl Va Lcp 2Clmn Vlr Dstl Rad,2773.8,1081.78,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.4 7Hhd 2H Shft Rt Va Lcp 2Clmn Vlr Dstl Rad,2520.22,982.89,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.4 7Hhd 4H Shft Lt Va Lcp 2Clmn Vlr Dstl Rad,2719.98,1060.79,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.4 7Hhd 4H Shft Rt Strl Va Lcp 2Clmn Vlr Dstl Rad,2992.18,1166.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.4 7Hhd 4H Shft Rt Va Lcp 2Clmn Vlr Dstl Rad,2719.98,1060.79,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.4 7Hhd 5H Shft Lt Strl Va Lcp 2Clmn Vlr Dstl Rad,3105.0,1210.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.4 7Hhd 5H Shft Rt Va Lcp 2Clmn Vlr Dstl Rad,4500.18,1755.07,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.4 Volr6Hhd5Hshft Rt Va-Lcp Volr Rim Dist Rad,4013.73,1565.35,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.4-2.7 Mtpfus Sm10Dlt-S Va Lcp 1St Mtp Fus Strl,4354.24,1698.15,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.4-2.7 Mtpfus Sm10Drt Va Lcp 1St Mtp Fus,4142.07,1615.41,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.4-2.7 Mtpfus Sm5Dlt Va Lcp 1St Mtp Fus,4142.07,1615.41,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.4-2.7 Mtpfusmed10Drt Va Lcp 1St Mtp Fus,4142.07,1615.41,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.4-2.7 Mtpfusmed10Drt-S Va Lcp 1St Mtp Fus Strl,4354.24,1698.15,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.4-2.7 T-Fus 2Hhd Lng-S Va Lcp T-Fus Strl,4050.99,1579.89,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.4-2.7 T-Fus 2Hhd Std-S Va Lcp T-Fus Strl,3954.74,1542.35,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.4-2.7 T-Fus 3Hhd Xlg-S Va Lcp T-Fus Strl,5070.46,1977.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.4-2.7Clvrlf Fus Lng-S Va Lcp Clvrlf Fus Strl,4050.99,1579.89,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.4-2.7Clvrlf Fus Std-S Va Lcp Clvrlf Fus Strl,3889.53,1516.92,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.4-2.7Va Lck Navicular- Va Lck Navicular Strl,4923.5,1920.16,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.4Mm 6Hhd 2H Shft Rt Nr Va Lcp 2Col Dstl Rad Nrw,4022.01,1568.58,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.4Mm 6Hhd 2Hshftlt Nrw Va Lcp 2Col Dstl Rad Nrw,4022.01,1568.58,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.4Mm 6Hhd 3Hshftlt Nrw Va Lcp 2Col Dstl Rad Nrw,4181.4,1630.75,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.4Mm Column 5H Shftstrl Va-Lcp Drsl Dist Rad,2784.15,1085.82,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.4Mm Column 6H Shftstrl Va-Lcp Drsl Dist Rad,2931.12,1143.14,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7 Va Lckng Ant Patella Pl 3 Hole,8058.51,3142.82,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 13Hrt205Mmstrl Va-Lcp Postlat Dhp-Lat Supt,4984.56,1943.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 153Xlgstrl Lat Va-Lcp Postlat Dhp-Lat Supt,5135.67,2002.91,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 1Hlt69Mmshrtstrl Va-Lcp Lat Dist Hum,4854.15,1893.12,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 1Hlt72Mmshrt Va-Lcp Ext Medl Dist Hum,4940.06,1926.62,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 1Hrt72Mmshrt Va-Lcp Ext Medl Dist Hum,4675.78,1823.55,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 2Hlt82Mm Med Va-Lcp Lat Dist Hum,4771.35,1860.83,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 2Hlt85Mm Med Va-Lcp Ext Medl Dist Hum,4951.09,1930.93,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 2Hrt82Mm Med Lat Va-Lcp Lat Dist Hum,4771.35,1860.83,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 2Hrt82Mm Medstrl Va-Lcp Medl Dist Hum,4854.15,1893.12,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 3Hlt75Mmshrt Va-Lcp Postlat Dhp-Lat Supt,4771.35,1860.83,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 4Hlt108Mmlng Va-Lcp Medl Dist Hum,4411.17,1720.36,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 4Hlt108Mmlngstrl Va-Lcp Medl Dist Hum,4984.56,1943.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 4Hlt111Mm Lng Va-Lcp Ext Medl Dist Hum,4923.5,1920.16,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 4Hlt111Mmlngstrl Va-Lcp Ext Medl Dist Hum,5006.3,1952.46,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 4Hlt88Mm Med Va-Lcp Postlat Dhp-Lat Supt,4812.75,1876.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 4Hlt88Mm Medstrl Va-Lcp Postlat Dhp-Lat Supt,4984.56,1943.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 4Hrt108Mmlngstrl Va-Lcp Medl Dist Hum,4984.56,1943.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 4Hrt88Mm Med Va-Lcp Postlat Dhp-Lat Supt,4771.35,1860.83,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 4Hrt88Mmmed Va-Lcp Postlat Dhp-Lat Supt,4923.5,1920.16,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 5Hlt121Mmlngstrl Va-Lcp Lat Dist Hum,4854.15,1893.12,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 7Hlt127Mmlngstrl Va-Lcp Postlat Dhp-Lat Supt,4854.15,1893.12,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 8Hlt160Mmstrl Va-Lcp Medl Dist Hum,4984.56,1943.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 9Hlt153Mmxlg Lat Va-Lcp Postlat Dhp-Lat Supt,4923.5,1920.16,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 9Hlt153Mmxlg Va-Lcp Postlat Dhp-Lat Supt,4771.35,1860.83,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 Ant 4H Rtstrl Va Va Lcp Ant Dist Tib,7405.42,2888.11,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 Lt127Lngstrl Lat Va-Lcp Postlat Dhp-Lat Supt,5006.3,1952.46,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 Lt179Strl Lat Va-Lcp Postlat Dhp-Lat Supt,5135.67,2002.91,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5 Rt69Shrtstrl Lat Va-Lcp Lat Dist Hum,4854.15,1893.12,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm 10H 101Mm Va Lcp Lat Ant Clavicle,3770.5,1470.5,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm 11H 113Mm Strl Va Lcp Lat Ant Clavicle,3971.3,1548.81,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm 11H 113Mm Va Lcp Lat Ant Clavicle,3770.5,1470.5,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm 3Hrt 73Mm Strl Lcp Lat Dist Fib Strl,2195.24,856.14,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm 3Hrt 75Mmshrt Va-Lcp Postlat Dhp-Lat Supt,4923.5,1920.16,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm 4Hlt 86Mm Strl Lcp Lat Dist Fib Strl,2211.8,862.6,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm 4Hlt 88Mm Med Va-Lcp Postlat Dhp-Lat Supt,4923.5,1920.16,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm 4Hrt 86Mm Strl Lcp Lat Dist Fib Strl,2211.8,862.6,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm 5Hrt 99Mm Strl Lcp Lat Dist Fib Strl,2244.92,875.52,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm 6Hlt131Mm Va Lcp X Articlr Prox Uln,4992.84,1947.21,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm 6Hrt 112Mmstrl Lcp Lat Dist Fib Strl,2294.59,894.89,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm 9H 89Mm Strl Va Lcp Lat Ant Clavicle,4484.66,1749.02,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm 9H 89Mm Va Lcp Lat Ant Clavicle,3770.5,1470.5,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm 9Hlt 151Mmstrl Lcp Lat Dist Fib,2455.02,957.46,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Ant 10H Rt Va Lcp Ant Dist Tib,6776.14,2642.69,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Ant 4H Ltstrl Va Lcp Ant Dist Tib,6779.25,2643.91,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Ant 4H Rtstrl Va Lcp Ant Dist Tib,6779.25,2643.91,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Ant 6H Ltstrl Va Lcp Ant Dist Tib,7581.38,2956.74,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Ant 8H Lt Va Lcp Ant Dist Tib,6715.08,2618.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Ant 8H Ltstrl Va Lcp Ant Dist Tib,7662.1,2988.22,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Ant 8H Rt Va Lcp Ant Dist Tib,6967.62,2717.37,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Med 10H Lt Va Lcp Med Dist Tib,6605.37,2576.09,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Med 10H Ltstrl Va Lcp Med Dist Tib,6754.67,2634.32,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Med 10H Rt Va Lcp Med Dist Tib,6605.37,2576.09,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Med 10H Rtstrl Va Lcp Med Dist Tib,6926.74,2701.43,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Med 12H Lt Va Lcp Med Dist Tib,7711.78,3007.59,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Med 12H Rtstrl Va Lcp Med Dist Tib,8483.9,3308.72,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Med 14H Rt Va Lcp Med Dist Tib,8289.32,3232.83,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Med 16H Ltstrl Va Lcp Med Dist Tib,8708.49,3396.31,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Med 16H Rtstrl Va Lcp Med Dist Tib,9697.95,3782.2,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Med 4H Lt Va Lcp Med Dist Tib,6403.54,2497.38,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Med 6H Rt Va Lcp Med Dist Tib,6242.08,2434.41,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Med 6H Rtstrl Va Lcp Med Dist Tib,7122.87,2777.92,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Med 8H Ltstrl Va Lcp Med Dist Tib,7199.46,2807.79,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Med 8H Rt Va Lcp Med Dist Tib,6544.3,2552.28,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Med 8H Rtstrl Va Lcp Med Dist Tib,7199.46,2807.79,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Va 2H Rt 73Mm Lcp Prox Olcrn,3667.83,1430.45,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm Va 6H Rt 142Mm Lcp Prox Olcrn,4340.79,1692.91,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm4Hlt88Mmmedstrl Va-Lcp Postlat Dhp-Lat Supt,5006.3,1952.46,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7-3.5Mm7Hlt127Mmlng Va-Lcp Postlat Dhp-Lat Supt,4923.5,1920.16,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Osteot 6Hl Strl Lcp Ulna,4780.66,1864.46,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Fib 3H Lt Va Lcp Lat Dist Fib,2577.15,1005.09,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Fib 3H Ltstrl Va Lcp Lat Dist Fib,2827.62,1102.77,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Fib 3H Rt Va Lcp Lat Dist Fib,2639.77,1029.51,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Fib 3H Rtstrl Va Lcp Lat Dist Fib,3017.8,1176.94,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Fib 4H Lt Va Lcp Lat Dist Fib,2671.34,1041.82,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Fib 4H Ltstrl Va Lcp Lat Dist Fib,2933.19,1143.94,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Fib 4H Rt Va Lcp Lat Dist Fib,2885.32,1125.27,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Fib 4H Rtstrl Va Lcp Lat Dist Fib,2933.19,1143.94,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Fib 5H Lt Va Lcp Lat Dist Fib,3036.95,1184.41,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Fib 5H Ltstrl Va Lcp Lat Dist Fib,3179.75,1240.1,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Fib 5H Rt Va Lcp Lat Dist Fib,2814.16,1097.52,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Fib 5H Rtstrl Va Lcp Lat Dist Fib,3087.4,1204.09,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Fib 6H Lt Va Lcp Lat Dist Fib,3891.6,1517.72,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Fib 6H Ltstrl Va Lcp Lat Dist Fib,3264.39,1273.11,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Fib 6H Rt Va Lcp Lat Dist Fib,2974.59,1160.09,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Fib 6H Rtstrl Va Lcp Lat Dist Fib,3264.39,1273.11,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Fib 7H Lt Va Lcp Lat Dist Fib,4075.83,1589.57,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Fib 7H Ltstrl Va Lcp Lat Dist Fib,3428.96,1337.29,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Fib 7H Rt Va Lcp Lat Dist Fib,4075.83,1589.57,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Fib 7H Rtstrl Va Lcp Lat Dist Fib,3858.48,1504.81,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Fib 9H Lt Va Lcp Lat Dist Fib,4261.1,1661.83,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Fib 9H Rt Va Lcp Lat Dist Fib,4261.1,1661.83,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2.7Mm Va Tib 4H Rt Va Lcp Dist Tib,3847.1,1500.37,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 20Mm 1 Lvl Bn Occ Cerv,4567.46,1781.31,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 230Mm Ss 3.5Mm Screw 10 Hl Lcp Bn Lt,6215.18,2423.92,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 266Mm 4.5Mm Condy 12Hl V A Lcp Crv Lt,8524.26,3324.46,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 266Mm Ss 4.5Mm Condy 12H L Va Lcp Crv Rt Strl,8986.65,3504.79,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 28Mm Ti 1 Lvl Fx Hl Ctk Bn Ant Cerv,8033.41,3133.03,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2Mm 3X3Hl Ang Brd Centre,5189.49,2023.9,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2Mm 6Hl Matrix Mndb Strt,3522.1,1373.62,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 2Mm Y 3Hl Hd 7Hl Shft 7Hl Shaft Lcp,1759.5,686.2,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Proxhum 2H 91Mm Lt-S Lcp Peri Art Prox Hum Strl,7363.2,2871.65,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Proxhum 2H 91Mm Rt Lcp Peri Art Prox Hum,6026.8,2350.45,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Proxhum 2H 91Mm Rt-S Lcp Peri Art Prox Hum Strl,6701.37,2613.53,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Proxhum 4H127Mm Lt-S Lcp Peri Art Prox Hum Strl,6408.72,2499.4,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Proxhum 4H127Mm Rt-S Lcp Peri Art Prox Hum Strl,6408.72,2499.4,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Proxhum10H235Mm Lt-S Lcp Peri Art Prox Hum Strl,7251.21,2827.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Proxhum10H235Mm Rt-S Lcp Peri Art Prox Hum Strl,7251.21,2827.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Proxhum13H109Mm Lt-S Lcp Peri Art Prox Hum Strl,8423.86,3285.31,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Proxhum13H109Mm Rt Lcp Peri Art Prox Hum,7269.32,2835.03,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Sup 7H Lt 100Mm Lcp Sup Clavicle,3973.36,1549.61,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Sup 7H Rt 110Mm Lcp Sup Ant Clavicle,3973.36,1549.61,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Sup 8H Rt 135Mm Lcp Ant Clav W- Lat Extn,3770.5,1470.5,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Lg 10H177Mm Lt Va Lcp Prox Tib Lg Bend,7457.18,2908.3,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Lg 10H177Mm Lt-S Va Lcp Prox Tib Lg Bend Strl,7669.35,2991.05,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Lg 10H177Mm Rt Va Lcp Prox Tib Lg Bend,8632.42,3366.64,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Lg 10H177Mm Rt-S Va Lcp Prox Tib Lg Bend Strl,8262.41,3222.34,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Lg 12H207Mm Lt-S Va Lcp Prox Tib Lg Bend Strl,8530.47,3326.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Lg 4H87Mm Lt Va Lcp Prox Tib Lg Bend,6409.76,2499.81,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Lg 4H87Mm Lt-S Va Lcp Prox Tib Lg Bend Strl,6860.32,2675.52,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Lg 4H87Mm Rt-S Va Lcp Prox Tib Lg Bend Strl,6764.97,2638.34,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Lg 6H117Mm Lt-S Va Lcp Prox Tib Lg Bend Strl,6691.28,2609.6,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Lg 6H117Mm Rt Va Lcp Prox Tib Lg Bend,6478.06,2526.44,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Lg 6H117Mm Rt-S Va Lcp Prox Tib Lg Bend Strl,6691.28,2609.6,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Lg 8H147Mm Lt-S Va Lcp Prox Tib Lg Bend Strl,7584.48,2957.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Lg 8H147Mm Rt-S Va Lcp Prox Tib Lg Bend Strl,7584.48,2957.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Lo 12H 180Mm Rt Lcp Prox Tib Lo Bend,6092.01,2375.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Lo 8H 128Mm Lt Lcp Prox Tib Lo Bend,5804.28,2263.67,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Sm 10H177Mm Lt Va Lcp Prox Tib Sm Bend,7816.32,3048.36,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Sm 10H177Mm Lt-S Va Lcp Prox Tib Sm Bend Strl,7669.35,2991.05,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Sm 10H177Mm Rt Va Lcp Prox Tib Sm Bend,8175.46,3188.43,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Sm 10H177Mm Rt-S Va Lcp Prox Tib Sm Bend Strl,7669.35,2991.05,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Sm 12H207Mm Lt Va Lcp Prox Tib Sm Bend,8601.54,3354.6,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Sm 12H207Mm Lt-S Va Lcp Prox Tib Sm Bend Strl,10087.11,3933.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Sm 12H207Mm Rt Va Lcp Prox Tib Sm Bend,9168.03,3575.53,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Sm 12H207Mm Rt-S Va Lcp Prox Tib Sm Bend Strl,10087.11,3933.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Sm 14H237Mm Lt-S Va Lcp Prox Tib Sm Bend Strl,10548.72,4114.0,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Sm 14H237Mm Rt Va Lcp Prox Tib Sm Bend,9589.28,3739.82,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Sm 14H237Mm Rt-S Va Lcp Prox Tib Sm Bend Strl,10548.72,4114.0,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Sm 4H87Mm Lt Va Lcp Prox Tib Sm Bend,6581.56,2566.81,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Sm 4H87Mm Lt-S Va Lcp Prox Tib Sm Bend Strl,7337.12,2861.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Sm 4H87Mm Rt Va Lcp Prox Tib Sm Bend,6804.78,2653.86,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Sm 4H87Mm Rt-S Va Lcp Prox Tib Sm Bend Strl,7337.12,2861.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Sm 6H117Mm Lt Va Lcp Prox Tib Sm Bend,6863.08,2676.6,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Sm 6H117Mm Lt-S Va Lcp Prox Tib Sm Bend Strl,6691.28,2609.6,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Sm 6H117Mm Rt Va Lcp Prox Tib Sm Bend,6863.08,2676.6,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Sm 6H117Mm Rt-S Va Lcp Prox Tib Sm Bend Strl,7552.4,2945.44,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Sm 8H147Mm Lt Va Lcp Prox Tib Sm Bend,7591.03,2960.5,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Sm 8H147Mm Lt-S Va Lcp Prox Tib Sm Bend Strl,8834.76,3445.56,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5 Tib Sm 8H147Mm Rt-S Va Lcp Prox Tib Sm Bend Strl,8418.0,3283.02,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5Mm Dist Tib 17 H Rt Alat Lcp-Strl,6633.32,2586.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5Mm Med 6Hlt 135Mm Lcp Lo Bend Medi Dstl Tib,5544.5,2162.36,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5Mm Med 8Hrt 161Mmstrl Lcp Lo Bend Medi Dstl Tib,5553.81,2165.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5Mm Symphysis 4H Dcp2H Public,3547.98,1383.71,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5Mm Symphysis 4H Public,3255.08,1269.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5Mm Symphysis 6H Dcp2H Public,3760.16,1466.46,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5Mm X 10H Lt 230Mm Str Lcp Articlr Dist Hum,6752.86,2633.62,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5Mm X 10H Rt 230Mm Lng Lcp Articlr Dist Hum,6215.18,2423.92,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5Mm X 10H Rt230Mm Strl Lcp Articlr Dist Hum,7088.72,2764.6,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5Mm X 8H Rt 194Mm Lng Lcp Articlr Dist Hum,5871.56,2289.91,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5Tib Lo 14H 206Mm Lt-S Lcp Prox Tib Lo Bend Strl,7030.76,2742.0,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5Tib Lo 14H 206Mm Rt-S Lcp Prox Tib Lo Bend Strl,7030.76,2742.0,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3.5Tib Lo 16H 232Mm Rt-S Lcp Prox Tib Lo Bend Strl,7280.19,2839.27,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 301Mm 4.5Mm Condy 14Hl V A Lcp Crv Lt Strl,9649.82,3763.43,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 301Mm Ss 4.5Mm Condy 14H L Va Lcp Crv Rt Strl,10089.18,3934.78,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 30Mm Ti 2 Lvl Asr Bn Ant Cerv Spine,3383.42,1319.53,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 30Mm Trulock Ext Fix,487.43,190.1,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 32Mm Ss 2.7Mm Mini 2X3 Frag Set 2X3,2632.0,1026.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 32Mm Ti 2 Lvl Asr Bn Ant Cerv Spine,3383.42,1319.53,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 336Mm 4.5Mm Condy 16Hl V A Lcp Crv Lt Strl,10136.79,3953.35,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 34-36Mm Ti 5.5Mm Screw Low Prof X10,2685.82,1047.47,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 34Mm Ti 2 Lvl Asr Bn Ant,3383.42,1319.53,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 34X14Mm 2X4 Hl Strut,2422.55,944.79,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 36Mm Ss 2.4Mm Screw Mini Frag Set 4 Hl,1640.76,639.9,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 36Mm Ti 2 Lvl Asr Bn Ant,3383.42,1319.53,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 370Mm 4.5Mm Condy 18Hl V A Lcp Crv Rt,11569.23,4512.0,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 370Mm Ss 4.5Mm Condy 18H L Va Lcp Crv Lt Strl,11569.23,4512.0,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 38Mm Ss 2Mm Screw Mini Frag Set 5 Hl,1055.85,411.78,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 39Mm Ss 2Mm Screw 7 Hl Dcp Bn 2Mm Condy,1167.48,455.32,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 39Mm Ss 2Mm Screw Mini Frag Set 7 Hl,2859.19,1115.08,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3D 2X2 Hl,1208.88,471.46,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 3Hl Head 4Hl Shaft 57Mm Rt Ang T 3.5Mm,1480.05,577.22,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 4 Hl 28Mm Ncmpr 1.5Mm,2620.27,1021.91,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 4 Hl Crv,735.88,286.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 4 Hl Strt Cranmf Ti,472.65,184.33,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 4 Hole W-Gap 2.0Mm,4461.37,1739.93,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 4.5Mm Broad 9Hl 177Mm,752.44,293.45,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 4.5Mm Condy 8H Va Crv Crv Lt Strl Lcp,8913.42,3476.23,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 4.5Mm Condy 8H Va Lcp Crv Lt Strl,7334.53,2860.47,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 4.5Mm Crv 10H 230Mm Lt Va Lcp Crv Condy,8804.75,3433.85,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 4.5Mm Crv 12H 266Mm Rt Va Lcp Crv Condy,8524.26,3324.46,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 4.5Mm Crv 14H 301Mm Lt Va Lcp Crv Condy,9172.17,3577.15,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 4.5Mm Crv 14H 301Mm Rt Va Lcp Crv Condy,9172.17,3577.15,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 4.5Mm Crv 16H 336Mm Lt Va Lcp Crv Condy,9205.55,3590.16,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 4.5Mm Crv 16H 336Mm Rt Va Lcp Crv Condy,8277.93,3228.39,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 4.5Mm Crv 16H 336Mm Rt-S Va Lcp Crv Condy Strl,10465.92,4081.71,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 4.5Mm Crv 18H 370Mm Rt-S Va Lcp Crv Condy Strl,11061.04,4313.81,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 4.5Mm Crv 6H 159Mm Lt Va Lcp Crv Condy,8877.2,3462.11,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 4.5Mm Crv 8H 195Mm Rt Va Lcp Crv Condy,7121.84,2777.52,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 4.5Mm Cur Broad 18 H-336 Lcp-Strl,4566.42,1780.9,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 4.5Mm Cur Broad 20 H-372 Lcp-Strl,4741.34,1849.12,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 4.5Mm Prox 4H-175Mm Lt Fem Lcp-Strl,5826.02,2272.15,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 4.5Mm Recon 4 Hl-61Mm,1642.54,640.59,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 405 Ss4.5Mm Condy 20H Rt L Va Lcp Crv Rt Strl,12242.32,4774.5,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 40Mm Trulock Ext Fix,556.83,217.16,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 44Mm Ss 2.4Mm Screw Mini Frag Set 5 Hl,1600.24,624.09,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 45-58Mm Ti 5.5Mm Screw Mlspn Low Prof,2685.82,1047.47,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 45Mm Ss 2.4Mm 6X2 6Hl Hl Va 2 Column,2696.18,1051.51,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 45Mm Ss 2Mm Screw Mini Frag Set 6 Hl,1072.6,418.31,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 45Mm Ti 2.4Mm 6X2 Va Hl 2 Column Va,4022.01,1568.58,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 46Mm Lcp Dist Uln W Hk 7 Hl Strl,3243.86,1265.11,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 49Mm Ss 2.4Mm Screw 6X2 Hl Va 2 Column,2723.23,1062.06,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 49Mm Ss 2.7Mm Screw Mini Frag Set 5 Hl,1681.88,655.93,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 5 Hl Adapt Cranmf Ti,1370.86,534.64,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 5 Hl Extn Trulock Bn Ft,1134.36,442.4,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 50Mm Ribloc Bn Rb Grn,6934.97,2704.64,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 50Mm Ss 3.5Mm Screw Sm Frag Set 3X3 Hl T Rt Ang,1300.48,507.19,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 51Mm Ti 3 Lvl Asr Bn Ant,3625.6,1413.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 52Mm Ss 2.4Mm Screw Mini Frag Set 6 Hl,1611.13,628.34,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 52Mm Ss 2Mm Screw Mini Frag Set 7 Hl,1043.28,406.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 52Mm Ss 3.5Mm Screw Low Prof Pelvic Sys,1654.96,645.43,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 53Mm 2.0Mm Lcp T 3H Head 7H Shaft 2.0Mm,1759.5,686.2,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 54Mm Ti 2.4Mm Screw 6X3 Hl 2 Column Va,4181.4,1630.75,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 54Mm Ti 3 Lvl Asr Bn Ant,3625.6,1413.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 55Mm Ss 2.4Mm Screw 7X3 Hl Va 2 Column Rt,3744.97,1460.54,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 55Mm Ss2.4Mm 7X3 Rt Strl Hl Va 2 Column Rt Strl,3125.87,1219.09,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 56Mm Ss 3.5Mm Screw Sm Frag Set 3X3 Hl T Rt Ang,1325.84,517.08,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 57Mm Ss Sm Frag Set 5 Hl 1-3 Tube,702.57,274.0,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 58Mm Ss 2.4Mm 6X3 Lt Hl Va 2 Column Lt,2963.52,1155.77,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 58Mm Ss 2.4Mm 6X3 Rt Hl Va 2 Column Rt,2982.97,1163.36,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 58Mm Ss 2.4Mm 7X3 Strl Hl 2 Column V Strl,3340.58,1302.83,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 58Mm Ss 2.4Mm Screw 6X3 Hl Va 2 Column Lt Strl,2884.14,1124.81,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 58Mm Ss 2.4Mm Screw 7X3 Hl 2 Column V,2654.78,1035.36,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 58Mm Ss 2.7Mm Screw Mini Frag Set 6 Hl,1721.8,671.5,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 59Mm Ss 2.4Mm Screw Mini Frag Set 7 Hl,2412.58,940.91,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 59Mm Ss 2Mm Screw Mini Frag Set 8 Hl,1131.26,441.19,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 6 Hl Adapt Cranmf Ti,983.25,383.47,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 6 Hole Radius,4824.14,1881.41,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 60Mm Ss 2.4Mm Screw Mini Frag Set 7 Hl,1611.2,628.37,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 63Mm Ss 3.5Mm Screw 3X3 Hl T Rt Oblq,1503.86,586.51,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 65Mm Ss 3.5Mm 5Hl Recon Low Prof Recon,1902.33,741.91,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 66Mm Ss 2.7Mm Screw Mini Frag Set 7 Hl,2597.98,1013.21,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 67Mm Ss 2.7Mm Screw Mini Frag Set 7 Hl,1701.84,663.72,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 67Mm Ss 3.5Mm Screw Sm Frag Set 8 Hl T,1454.18,567.13,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 69Mm 2.7Mm 3.5Mm Va Lcp Med Dist Hum 1Hl Lt Shrt Strl,4854.15,1893.12,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 69Mm Ss Sm Frag Set 6 Hl 1-3 Tube,708.91,276.47,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 7 Hl Adapt Cranmf Ti,1093.17,426.34,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 70Mm Ss 2.4Mm Screw 6X4 Hl Va 2 Column,4338.72,1692.1,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 70Mm Ss 3.5Mm Screw Sm Frag Set 5 Hl,1792.1,698.92,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 72Mm Ss 3.5Mm Screw Sm Frag Set 5 Hl,1223.37,477.11,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 73Mm 2Hl Ss 3.5Mm 2.7Mm Va Lcp Lt,3705.13,1445.0,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 73Mm 2Hl Ss 3.5Mm 2.7Mm Va Lcp Lt Strl,3892.64,1518.13,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 76Mm Ss 2.7Mm Screw Mini Frag Set 8 Hl,1681.94,655.96,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 76Mm Ss 3.5Mm 4Hl Bend Low Bend Lcp,5620.05,2191.82,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 76Mm Ss 3.5Mm 4Hl Low Low Bend Lcp,5620.05,2191.82,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 76Mm Ss 3.5Mm Screw 4 Hl Low Bend Lcp Strl,6102.01,2379.78,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 78Mm Ss 3.5Mm 6 Hl Coax Coax Cmbn Lcp,3522.1,1373.62,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 78Mm Ss 3.5Mm 6 Hl Low Low Prof Recon,2018.71,787.3,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 78Mm Ss 3.5Mm Screw 6 Hl Lck Low Prof,2893.86,1128.61,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 78Mm Ss 3.5Mm Screw Sm Frag Set 6X4 Hl,1699.47,662.79,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 79Mm Ss 3.5Mm Screw 2 Hl Set Wo Cs Lcp Strl,4499.15,1754.67,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 81Mm Ss 2Mm Screw Mini Frag Set 12 Hl,1823.67,711.23,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 81Mm Ss Sm Frag 7Hl 1-3 1-3 Tube,704.4,274.72,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 82Mm 2.7Mm 3.5Mm Va Lcp Med Dist Hum 2Hl Lt Med Strl,4854.15,1893.12,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 84Mm Ss 2Mm Screw Mini Frag Set 10 Hl,1591.94,620.86,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 84Mm Ss 3.5Mm Screw Sm Frag Set 6 Hl,2070.26,807.4,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 85Mm Ss 3.5Mm Screw 8Hl Lcp Bn Rt Sup Strl,4262.13,1662.23,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 85Mm Ss 3.5Mm Screw Sm F Frag Set 6 Hl,1295.47,505.23,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 86Mm Ss 2.7-3.5Mm Rt 4 Hl Lcp Bn Rt,1923.03,749.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 86Mm Ss 3.5Mm 2 Hl Lt Lcp Bn Lt,3473.46,1354.65,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 88Mm 2.7Mm 3.5Mm Va Lcp Dist Hum 4Hl Med,4919.35,1918.55,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 88Mm Radius 104Mm Ss 3.5Mm Screw 8 Hl,3123.63,1218.22,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 88Mm Radius 208Mm Ss 3.5Mm Screw 16 Hl,3050.14,1189.55,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 88Mm Radius 78Mm Ss 3.5M 3.5M Screw 6 Hl,2876.26,1121.74,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 88Mm Ss 2.4Mm Screw Mini Frag Set 12 Hl,1894.57,738.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 90Mm Olcrn 3.5Mm 2.7Mm 2 Hl Va Lcp Rt Strl,4374.22,1705.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 91Mm Ss 3.5Mm 7 Hl Lck Lck Low Prof,2465.37,961.49,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 91Mm Ss 3.5Mm 7 Hl Low Low Prof Recon,2137.96,833.8,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 93Mm Ss Sm Frag Set 8Hl 1-3 Tube,756.53,295.05,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 94Mm Ss 2.7Mm Screw Mini Frag Set 10 Hl,1721.75,671.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 94Mm Ss 3.5Mm 4 Hl Lt Lcp Bn Lt Prox,5894.32,2298.78,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 94Mm Ss 3.5Mm 4 Hl Rt Lcp Bn Rt Prox,6186.2,2412.62,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 94Mm Ss3.5Mm 4Hl Rt Strl Lcp Bn Rt Prox Strl,6471.16,2523.75,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 98Mm Ss 3.5Mm Screw Sm Frag Set 7 Hl,2125.89,829.1,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 9Mm 2 Hl Strt Cranmf Ti,260.13,101.45,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 9Mm 2X3 Hl Strut Cranmf,1705.63,665.2,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate 9Mm Ss 2.7-3.5Mm Screw 5 Hl Lcp Bn Rt,1952.01,761.28,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Acculok 2 Rt Nar,4326.3,1687.26,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Adapt 0.7Mm 20 Hl Ti,3411.36,1330.43,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Anchorure Roi-Quic Plate+ Ldr Spine Usa Inc,2685.82,1047.47,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bn 135D 4Hl 78Mm Barrell Std Dhs,2444.67,953.42,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bn 19Mm Atl Vsn Elt Cerv,3770.5,1470.5,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bn 2.4Mm 2Hl Head Lcp T 7Hl Head,2632.0,1026.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bn 2.4Mm 2Hl Neck Rad Head Lcp,2563.7,999.84,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bn 2.4Mm 2Hl Rt Lcp Rad Head Rim,2417.76,942.93,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bn 2.7Mm 40Mm 4Hl Lcp,1681.88,655.93,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bn 2.7Mm Adapt 12Hl Lcp 97Mm,1877.93,732.39,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bn 21Mm Atl Vsn Elt Cerv,3625.6,1413.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bn 23Mm Atl Vsn Elt Cerv,3625.6,1413.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bn 27.5Mm Atl Vsn Elt Cerv,3625.6,1413.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bn 2Mm 10Hl 73Mm Lcp,996.7,388.71,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bn 3.5Mm 108Mm Rad 10Hl Low Prof Crv Recon,3268.53,1274.73,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bn 3.5Mm 108Mm Rad 14Hl,3532.46,1377.66,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bn 3.5Mm 88Mm Rad 10Hl,3268.53,1274.73,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bn 3.5Mm 88Mm Rad 14Hl,2597.85,1013.16,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bn 3.5Mm 8Hl Rt 145Mm Prox Tib Med Lcp,5745.28,2240.66,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bn 3.5Mm Lcp 7Hl 98Mm Ss,1342.95,523.75,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bn 3.5Mm Spring 1Hl Strl,1765.71,688.63,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bn 35Mm Atl Vsn Elt Cerv,3625.6,1413.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bn 37Mm Atl Vsn Elt Cerv,3625.6,1413.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bn 4.5Mm 3.5Mm Lcp 10Hl Mtphsl,3774.64,1472.11,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bn 4.5Mm 6Hl 118Mm Lt Prox Tib Lcp,6056.82,2362.16,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bn 40Mm Atl Vsn Elt Cerv,3625.6,1413.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bn 55Mm Atl Vsn Elt Cerv,3625.6,1413.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bn 55Mm L1 Atl Vsn Elt Cerv,3808.8,1485.43,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bn 62Mm Atl Vsn Elt Cerv,3625.6,1413.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bn 6Hl Shaft 160Mm Hum Prox Lcp Lng 3.5Mm,7403.36,2887.31,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bn Alat 11Hl Lt 3.5Mm Alat Dist Tib Lcp,6014.38,2345.61,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bn Arthds 6Hl 100Mm Strl Lcp Ant Ankl,4099.64,1598.86,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bn Brd 16Hl 296Mm 4.5Mm Lcp,3527.28,1375.64,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bn L 3+4Hl .7Mm Rt Ti,1753.29,683.78,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bn Lck 10Hl 3Rd Tube,1503.86,586.51,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bn Lck 91Mm Dist Fib Ss Rt 5Hl,3085.68,1203.42,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bn Lcp 1-3 3Hl 33Mm W Collar Tube,699.66,272.87,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bn Lcp 1-3 9Hl 105Mm W Collar Tube,766.94,299.11,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bn Lcp Ti 5 Hl 57Mm 0.33 Tube W Collar,758.66,295.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bn Lcp Ti 7 Hl 81Mm 0.33 Tube W Collar,773.14,301.52,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bn Lt Nar Prox,4326.3,1687.26,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bn Mtp 0D Med Lt Fus 1St,8337.96,3251.8,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bn Mtp 5D Sm Rt Fus 1St,8337.96,3251.8,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bn Nar 4.5Mm 11Hl 206Mm Lcp,2387.74,931.22,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bn Recon 3.5Mm 10Hl Low Prof,2347.38,915.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bn Strt Biomet 7H 1.0Mm,1680.84,655.53,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bn Xtnd Ant Cerv 34Mm,3383.42,1319.53,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bn Xtnd Ant Cerv 36Mm,3383.42,1319.53,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bone 76Mm 4 Hole Left Tibial Low Bend Sterile,6102.36,2379.92,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bone L115Mm Rib Ribloc U,7158.32,2791.74,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bone L195Mm 4.5Mm 8 Hole Va-Lcp Crvd Condylar Left-St,8913.42,3476.23,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bone L195Mm 4.5Mm 8 Hole Va-Lcp Crvd Condylar Right-St,8913.42,3476.23,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bone L266Mm 4.5Mm 12Hole Va-Lcp Crvd Condylar Left-St,9737.28,3797.54,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bone L266Mm 4.5Mm 12Hole Va-Lcp Crvd Condylar Right-St,9556.16,3726.9,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bone L301Mm 4.5Mm 14Hole Va-Lcp Crvd Condylar Left-St,10163.96,3963.94,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bone L336Mm 4.5Mm 16Hole Va-Lcp Crvd Condylar Left-St,10465.92,4081.71,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bone L370Mm 4.5Mm 18Hole Va-Lcp Crvd Condylar Left-St,11569.23,4512.0,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bone L370Mm 4.5Mm 18Hole Va-Lcp Crvd Condylar Right-St,11497.56,4484.05,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bone Left Volar Distal Narrow 3 Hole Comprehensive,3842.96,1498.75,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bone Thk1.6Mm 7 Hole Mandibular Titanium Straight,3586.28,1398.65,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bone Thk2.6Mm 16 Hole Mandibular Magenta Titanium,10735.02,4186.66,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bone Thoracic 16 Hole Sterile Ladder Peek,3620.43,1411.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bone Thoracic 16 Hole Sterile Straight Peek,5311.93,2071.65,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bone Thoracic 4 Hole Sterile Box Peek,2653.74,1034.96,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Bone Thoracic 8 Hole Sterile X-Plate Peek,2894.94,1129.03,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Cerv Ant 48Mm,3625.6,1413.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Cerv Ant Xtnd 30Mm,3383.42,1319.53,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Cerv Anter Xtend,3383.42,1319.53,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Clavicle 2.7Mm Va Lcp Lateral- Cs1- Left- Sterile,4796.19,1870.51,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Clavicle 2.7Mm Va Lcp Lateral- Cs2- Left- Sterile,5005.6,1952.18,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Clavicle 2.7Mm Va Lcp Lateral- Cs3- Right- Sterile,4725.81,1843.07,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Clavicle 2.7Mm Va Lcp Shaft- Cs1- Left,4216.42,1644.4,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Clavicle 2.7Mm Va Lcp Shaft- Cs1- Left- Sterile,4623.06,1802.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Clavicle 2.7Mm Va Lcp Shaft- Cs1- Right,4147.24,1617.42,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Clavicle 2.7Mm Va Lcp Shaft- Cs1- Right- Sterile,4562.28,1779.29,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Clavicle 2.7Mm Va Lcp Shaft- Cs2- Left,4157.94,1621.6,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Clavicle 2.7Mm Va Lcp Shaft- Cs2- Left- Sterile,4425.66,1726.01,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Clavicle 2.7Mm Va Lcp Shaft- Cs2- Right,4024.08,1569.39,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Clavicle 2.7Mm Va Lcp Shaft- Cs2- Right- Sterile,4425.66,1726.01,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Clavicle 2.7Mm Va Lcp Shaft- Cs3- Right- Sterile,4668.06,1820.54,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Clavicle 2.7Mm Va Lcp Shaft- Xl- Left- Sterile,4580.91,1786.55,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Condyalr Locking 2.0Mm 2Hole Head 6Hole Shaft Variable,2401.2,936.47,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Dia Meta 5H Shft Rt Strl Lcp Volar Dist Radius,6796.84,2650.77,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Dia Meta 7H Shft Lt Lcp Volar Dist Radius,6313.5,2462.26,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Dia Meta 9H Shft Lt Lcp Volar Dist Radius,6464.61,2521.2,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Dvr Ti Nar Rt 3H,3842.96,1498.75,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate External Fixation 160Mm Ankle Foot Double Row Tl-Hex O,12083.62,4712.61,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Extraarticualr 8Hl 194Mm 3.5Mm Dist Hum Rt Strl,6603.74,2575.46,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Femoral Neck System 1-Hole Synthes Usa,3077.9,1200.38,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Femoral Neck System 2-Hole Synthes Usa,3196.08,1246.47,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Foot 160Mmhex Double Row,8226.18,3208.21,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Hk Clav 3.5Mm 4H-Rt-12Mm Hk Depth-44Mm Lcp-Strl,4569.52,1782.11,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Lck 4Hl 1.0Mm Long Cp Ti,1880.6,733.43,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Lck 4Hl 1.0Mm Reg Cp Ti,1941.66,757.25,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Lg 1.6Mm Mandib Strt 4 Hl Mtrx Sys Bn,3015.99,1176.24,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Lng 196Mm Ss 3.5Mm Screw 8 Hl Lcp Strl,7200.5,2808.2,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Lng 200Mm Ss 3.5Mm Screw 8 Hl Lcp Strl,7700.4,3003.16,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Lng 232 Ss 3.5 Scrw Strl 10 Hl Lck Lcp Strl,7235.68,2821.92,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Lng 232Mm Ss 3.5Mm Screw 10 Hl Lck Lcp,7853.58,3062.9,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Long 160Mm Ss 3.5Mm Screw 6Hl Strl,7179.8,2800.12,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Lrdtc Roic 14Mm 15.5Mm,5679.56,2215.03,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Mandible Short 10 Hole Synthes,1630.64,635.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Maxi Fac 4 Hl Bar Lck Bn Ti,1659.1,647.05,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Mdfc 4Hl .8Mm Strt,668.61,260.76,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Mdfc 7Hl .8Mm L-Shape,1265.8,493.66,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Med .7Mm 2X3 Hl L Oblq,1710.86,667.24,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Medial Proximal Tibia Lcp 3.5Mm 6 Hole Right Synthes U,5678.01,2214.42,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Mini 4Hl Reg Cp Ti,590.98,230.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Mini 90X90X.6Mm 1.7Mm Screw Cranmf Ti,7534.63,2938.51,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Mini Maxi Fac 4 Hl Strt Lck 2-2.3Mm,467.82,182.45,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Mini Maxi Fac 4 Hl W Bar Lck 2-2.3Mm Strt,485.24,189.24,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Nar 116Mm Ss 4.5Mm Screw Lg Frag Set 7,1591.83,620.81,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Nar 152Mm Ss 4.5Mm Screw Lg Frag Set 8,2017.01,786.63,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Nar 170Mm Ss 4.5Mm Screw Lg Frag Set 9,2043.09,796.81,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Nar 188Mm Ss 4.5Mm Screw Lg Frag Set 10,2255.68,879.72,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Nar 29Mm Ss 4.5Mm Screw Lg Frag Set 16,3279.92,1279.17,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Olcrn 2Hl Rt 73Mm Prox Ss Strl,3928.65,1532.17,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Olcrn 3.5Mm 2.7Mm 2Hl Va Lcp Lt Ns,4340.79,1692.91,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Olcrn 3.5Mm 2.7Mm 4Hl Va Lcp Lt,4490.35,1751.24,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Olcrn3.5-2.7Mm 4Hl Va Ns Lcp Lt Ns,4062.38,1584.33,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Olcrn3.5-2.7Mm2Hlva Strl Lcp Lt Strl,4379.21,1707.89,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Orbit Rim 0.7Mm 12Hl Ti,2089.41,814.87,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Patella 2.7 Va Locking Ant Ss-Core-Small-Sterile,8668.64,3380.77,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Patella 2.7 Va Locking Ss-3-Hole-Small-Sterile,8790.77,3428.4,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Patella 2.7 Va Locking Ss-6-Hole-Small-Sterile,8863.74,3456.86,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Patella 2.7 Va Locking Ss-Core-Sterile,8058.51,3142.82,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Phalangeal Base Locking 2.0Mm 2Hole Head 6Hole Shaft V,2461.23,959.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Rigid 2Hl Ti 0.6Mm,578.97,225.8,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Sm .3Mm Antm Orbit Flr,6494.62,2532.9,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Smrt Lck 2P Mmf Hybrid,1572.32,613.2,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Smrt Lck Mmf Hybrid,1571.13,612.74,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Spinal 10Mm Anterior Cervical Titanium Globus Medical,3383.42,1319.53,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Spinal Zevo L57Mm 3 Level Cervical,4350.1,1696.54,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Spnl Cage Xlif Ams 2 Side 8Mm,13171.41,5136.85,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Spnl L18Mm 1.6V Ant Cerv Ti Ally Lev 1 Acp,4567.46,1781.31,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Spnl L20Mm 1.6V Ant Cerv Ti Ally Lev 1 Acp,4567.46,1781.31,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Spnl L32Mm 1.9H Ant Cerv Ti Ally Lev 2 Acp,4567.46,1781.31,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Spnl L34Mm 1.6V Ant Cerv Ti Ally Lev 2 Acp,4567.46,1781.31,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Spnl L34Mm 1.9H Ant Cerv Ti Ally Lev 2 Acp,4567.46,1781.31,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Spnl L36Mm 1.6V Ant Cerv Ti Ally Lev 2 Acp,4567.46,1781.31,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Spnl L36Mm 1.9H Ant Cerv Ti Ally Lev 2 Acp,4567.46,1781.31,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Spnl L38Mm 1.9H Ant Cerv Ti Ally Lev 2 Acp,4567.46,1781.31,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Spnl L40Mm 1.6V Ant Cerv Ti Ally Lev 2 Acp,4567.46,1781.31,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Spnl L40Mm 1.9H Ant Cerv Ti Ally Lev 2 Acp,4567.46,1781.31,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Ss 2 Mm Screw Mini Frag Set 2X7 Hl Mod,1759.5,686.2,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Ss 2.4 Mm Screw 3X7 Hl Frag Set Hl T Mini,2651.13,1033.94,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Ss 2.4 Mm Screw 3X7 Hl Y Frag Set Hl Y Mini,2632.0,1026.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Ss 2.4 Mm Screw 8 Hl Frag Set Lcp Mini,1614.25,629.56,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Ss 2Mm Screw Frag 7 Hl Set Mod Mini,2818.3,1099.14,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Ss 3.5 Mm Screw 2 Hl Spring Lcp Bn,1605.08,625.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Ss 3.5 Screw 3 Hl Hook Hook Lcp Bn Olcrn,2362.91,921.53,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Ss 3.5 Screw 3 Hl Strl Spring Lcp Bn Strl,1912.47,745.86,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Ss 5 Hl Lcp Bn Rt Dist Volr Radial Ns Strl,6796.84,2650.77,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Ss 6 Hl Lck Bn Rt Dist,3504.51,1366.76,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Ss 7Hl Lcp Bn Rt Dist Volr Radial Strl,7028.68,2741.19,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Ss2.7 Screw Frag Rt Obl Set 2X4 Rt L Mini,1613.56,629.29,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Ss2.7 Screw Mini Frag Rt Set 2X4 Rt L,1748.12,681.77,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Standard Left,4326.3,1687.26,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Std 114Mm Ss 3.5Mm Screw 5 Hl Lcp Bn,6861.02,2675.8,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Std 90Mm Ss 3.5Mm Screw 3 Hl Lcp Bn,6582.48,2567.17,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Straight Locking 2.0 Mm 6Hole Variable Angle Depuy Syn,2272.86,886.42,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Strait Cranial 2 Hole,270.56,105.52,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate T 2.4Mmva3Hhd 3Hshftstrl Va-Lcp Drsl Dist Rad,2581.29,1006.7,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate T 2.7Mm Va Tib 4H Strl Va Lcp Dist Tib,4102.74,1600.07,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate T 2.7Mm Va Tib 4H Va Lcp Dist Tib,3728.07,1453.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate T 2.7Mm Va Tib 6H Strl Va Lcp Dist Tib,3926.79,1531.45,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate T 2.7Mm Va Tib 6H Va Lcp Dist Tib,3879.18,1512.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate T Locking 1.5Mm 3Hole Head 7Hole Shaft Variable Angle,2041.54,796.2,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Tack,472.74,184.37,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Tib 3.5Mm 10H-159Mm-Lt Prox Lcp-Strl,7428.2,2897.0,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Tib 3.5Mm 10H-159Mm-Rt Prox Lcp-Strl,7428.2,2897.0,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Tib 3.5Mm 16H-249Mm-Lt Med Prox Lcp-Strl,7376.96,2877.01,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Tib 3.5Mm 20H-301Mm-Lt Med Prox Lcp-Strl,7004.88,2731.9,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Tib 3.5Mm 4H-93Mm-Lt Med Prox Lcp-Strl,6805.12,2654.0,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Tib 3.5Mm 6H-119Mm-Lt Med Prox Lcp-Strl,6685.36,2607.29,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Tib 3.5Mm 8H-133Mm-Rt Prox Lcp-Strl,7288.47,2842.5,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Tib 3.5Mm 8H-145Mm-Lt Med Prox Lcp-Strl,7230.51,2819.9,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Tib 3.5Mm 8H-145Mm-Rt Med Prox Lcp-Strl,7230.51,2819.9,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Tib 4.5Mm 12H-226Mm-Rt Prox Lcp-Strl,6887.92,2686.29,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Tib 4.5Mm 16H-298Mm-Lt Prox Lcp-Strl,6381.81,2488.91,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Un3 Rectangular,1579.41,615.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Uplus 75Mm,8848.85,3451.05,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate W23Xl54Mm Dist Rad 2.5 13 Hole Left Adaptive Trilock,4108.95,1602.49,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Wrst Fus Shrt Bend Lcp,6447.02,2514.34,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Wrst Fus Shrt Bend Strl Lcp,7089.75,2765.0,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Xtend Ant Cerv 28Mm,4567.46,1781.31,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Xtnd Ant Cerv,3383.42,1319.53,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Y Locking 1.3Mm 3Hole Head 5Hole Shaft Depuy Synthes,2150.73,838.78,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Plate Y Locking 2.0Mm 3Hole Head 7Hole Shaft Variable Angle,2434.32,949.38,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Positioner Implant 4.5Mm Lcp Ss Thrd Crlge,771.5,300.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Post Wire-1 Hl,1065.07,415.38,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Post Wire-2 Hl,1088.13,424.37,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Post Wire-3 Hl,1141.36,445.13,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Post Wire-4 Hl,1196.92,466.8,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Post Wire-5 Hl,1243.04,484.79,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Putty Accell 10Cc Evo3 Isotis Orthobilogics,10392.44,4053.05,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Putty Accell 1Cc Evo3 Isotis Orthobilogics,2298.74,896.51,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Putty Accell 2.5Cc Evo3 Isotis Orthobilogics,3233.34,1261.0,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Putty Accell 5Cc Evo3 Isotis Orthobilogics,5771.16,2250.75,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Putty Dbm Osteoselect 5.0Cc Lo,2803.3,1093.29,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rfna - 10 - 240 5 Deg Bend - Sterile,7998.48,3119.41,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rfna - 10 - 320 5 Deg Bend - Sterile,7669.35,2991.05,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rfna - 10 - 340 5 Deg Bend - Sterile,8067.68,3146.4,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rfna - 10 - 360 10 Deg Bend - Sterile,8512.88,3320.02,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rfna - 10 - 360 5 Deg Bend - Sterile,8429.79,3287.62,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rfna - 10 - 380 5 Deg Bend - Sterile,7948.18,3099.79,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rfna - 10 - 400 5 Deg Bend - Sterile,8087.59,3154.16,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rfna - 10 - 420 5 Deg Bend - Sterile,7948.18,3099.79,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rfna - 10 - 440 5 Deg Bend - Sterile,8366.42,3262.9,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rfna - 11 - 320 5 Deg Bend - Sterile,7669.35,2991.05,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rfna - 11 - 340 5 Deg Bend - Sterile,7979.16,3111.87,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rfna - 11 - 360 5 Deg Bend - Sterile,7669.35,2991.05,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rfna - 11 - 380 5 Deg Bend - Sterile,7968.02,3107.53,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rfna - 11 - 400 5 Deg Bend - Sterile,7795.9,3040.4,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rfna - 11 - 420 5 Deg Bend - Sterile,7669.35,2991.05,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rfna - 12 - 160 5 Deg Bend - Sterile,8725.57,3402.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rfna - 12 - 200 5 Deg Bend - Sterile,7998.48,3119.41,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rfna - 12 - 300 5 Deg Bend - Sterile,9063.5,3534.76,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rfna - 12 - 320 5 Deg Bend - Sterile,7669.35,2991.05,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rfna - 12 - 340 5 Deg Bend - Sterile,7669.35,2991.05,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rfna - 12 - 360 5 Deg Bend - Sterile,7868.51,3068.72,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rfna - 12 - 380 5 Deg Bend - Sterile,7768.86,3029.86,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rfna - 12 - 400 10 Deg Bend - Sterile,8512.88,3320.02,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rfna - 12 - 400 5 Deg Bend - Sterile,8227.01,3208.53,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rfna - 12 - 420 5 Deg Bend - Sterile,7669.35,2991.05,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rfna - 12 - 440 5 Deg Bend - Sterile,8366.42,3262.9,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rfna - 14 - 340 5 Deg Bend - Sterile,8330.72,3248.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rfna - 14 - 360 5 Deg Bend - Sterile,9087.82,3544.25,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rfna - 14 - 380 5 Deg Bend - Sterile,8330.72,3248.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rfna - 14 - 400 5 Deg Bend - Sterile,9844.92,3839.52,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rfna - 9 - 300 5 Deg Bend - Sterile,7669.35,2991.05,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rfna - 9 - 340 5 Deg Bend - Sterile,7669.35,2991.05,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod 300Mm Titanium,1128.15,439.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod 4.75 Ccm Ns Curv 110Mm Cd Horizon Solera,1128.15,439.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod 5.5 Ccm Ns Curv 30Mm Cd Horizon Solera,1256.49,490.03,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod 5.5 Ccm Ns Strt 500Mm Cd Horizon Solera,2148.66,837.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod 5.5 Ti Cp4 Ns Curv 110Mm Cd Horizon Solera,1128.15,439.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod 5.5Mm Ccm Lined 500Mm,2148.66,837.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Cocr 100Mm Crv,1128.15,439.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Cocr 120Mm Crv,1128.15,439.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Cocr 30Mm Crv,1128.15,439.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Cocr 35Mm Crv,1128.15,439.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Cocr 40Mm Crv,1128.15,439.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Cocr 45Mm Crv,1128.15,439.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Cocr 500Mm Solera Strt,4108.95,1602.49,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Cocr 50Mm Crv,1128.15,439.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Cocr 55Mm Crv,1128.15,439.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Cocr 60Mm Crv,1128.15,439.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Cocr 70Mm Crv,1128.15,439.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Cocr 80Mm Crv,1128.15,439.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Cocr 90Mm Crv,1128.15,439.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Crv 5.5X35Mm,939.78,366.51,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Crv 5.5X40Mm,939.78,366.51,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Crv 5.5X50Mm,939.78,366.51,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Crv 5.5X70Mm,940.3,366.72,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Curved 3.5Mmx30Mm Ti,805.75,314.24,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Curved Solera Cocr 5.5X35Mm,1128.15,439.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Orth Interphlex Intphal,1196.3,466.56,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spinal 40Mm 3.5Mm Thoracic Precut Infinity Medtronic,1128.15,439.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spinal 40Mm 5.5Mm Posterior Thoracolumbosacral Nuvasive,988.42,385.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spinal 5.5X80Mm Curved Titanium Globus Medical,940.12,366.65,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spinal Capitol 35Mmx3.5Mm Curved Globus Medical,806.26,314.44,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spinal Curved 5.5Mm 55Mm Creo Titanium Globus,940.3,366.72,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spinal L220Mm Dia40Mm Short Lordotic Fortress,939.78,366.51,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spinal L220X35Mm Dia2.2Mm Short Curved Lumbar,939.93,366.57,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spinal L220X50Mm Dia2.2Mm Short Curved Lumbar,940.04,366.62,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spinal L220X55Mm Dia2.2Mm Short Curved Lumbar,940.08,366.63,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spinal L220X70Mm Dia2.2Mm Short Curved Lumbar,939.78,366.51,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spinal L25Mm Short Lordotic Fortress,940.12,366.65,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spinal L30Mm Short Lordotic Fortress,939.78,366.51,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spinal L45Mm Short Lordotic Fortress,940.12,366.65,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spinal L55Mm Dia5.5Mm Titanium Curved Creo Mis,940.17,366.67,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spinal L60Mm Short Lordotic Fortress,940.12,366.65,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spinal L65Mm Od3.5Mm Curved Capitol,805.92,314.31,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spinal L65Mm Short Lordotic Fortress,940.3,366.72,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spinal L70Mm Dia3.5Mm,1128.15,439.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spinal L75Mm Short Lordotic Fortress,940.3,366.72,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spinal L80Mm Dia3.5Mm,1128.15,439.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spinal L80Mm Short Lordotic Fortress,940.3,366.72,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spinal L85Mm Dia5.5Mm Titanium Curved Creo Mis,939.99,366.6,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spinal M L100Mm Short Lordotic Fortress,940.3,366.72,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spinal M L90Mm Lordotic Fortress,940.3,366.72,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spinal Percutaneous Cd Horizon 4.7Mm 140Mm Straight Coba,1396.73,544.72,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spine Straight 4.75Mm 130 Mm Cobalt Cd Horizon Longitude,1396.73,544.72,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spnl 100Mm 6Mm Xia Ti,940.12,366.65,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spnl 120Mm 6Mm Xia Ti,940.3,366.72,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spnl 30Mm 5.5Mm Cd Hzn Lgc Ti Prebnt,988.42,385.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spnl 400Mm 5.5Mm Revere Pdcl Ti Strt,940.3,366.72,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spnl 40Mm,806.26,314.44,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spnl 40Mm 6Mm Xia 3 Ti Radioluc,940.3,366.72,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spnl 480Mm 5.5Mm Xpdm Ti Precut Hex End,2842.11,1108.42,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spnl 5.5Mm Ccm Ns,1128.15,439.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spnl 50Mm,805.75,314.24,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spnl 50Mm 6Mm Xia 3 Ti,940.26,366.7,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spnl 50Mm Revolve Crv,940.3,366.72,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spnl 55Mm Revolve Crv,940.3,366.72,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spnl 70Mm,805.92,314.31,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spnl 80Mm 6Mm Xia 3 Ti,940.3,366.72,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spnl L40Mm Dia5.5Mm Post Thoracolumbosacral Ti Lord,988.42,385.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spnl L45Mm Dia5.5Mm Post Thoracolumbosacral Ti Lord,988.42,385.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spnl L50Mm Dia5.5Mm Post Thoracolumbosacral Ti Lord,988.42,385.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spnl L55Mm Dia5.5Mm Post Thoracolumbosacral Ti Lord,988.42,385.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spnl L65Mm Dia5.5Mm Post Thoracolumbosacral Ti Lord,988.42,385.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spnl L70Mm Dia5.5Mm Post Thoracolumbosacral Ti Lord,988.42,385.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spnl L75Mm Dia5.5Mm Post Thoracolumbosacral Ti Lord,988.42,385.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Spnl L90Mm Dia5.5Mm Post Thoracolumbosacral Ti Lord,988.42,385.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Rod Xia 4.5 X 60 Vit Prebent,2148.66,837.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 1.5Mm Cort St W-T4 14Mm Cort W- T4 Strdrv Recess,249.44,97.28,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 1.5Mm Cort St W-T4 18Mm Cort W- T4 Strdrv Recess,239.08,93.24,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 1.5Mm Cort St W-T4 20Mm Cort W- T4 Strdrv Recess,249.44,97.28,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 1.5X4Mm Tf Sd Xdrive,546.0,212.94,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 10Mm 2.3Mm Cranmf Xdr Nonlck Bn,515.43,201.02,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 12Mm 2.3Mm Cranmf Xdr Nonlck Bn,515.43,201.02,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 12Mm 2.3Mm Maxi Fac Xpin Bn,67.28,26.24,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 14Mm 4Mm Cannula Hdls Bn,1880.25,733.3,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2-10Mm Dcp Ss Sm Bn Lck St Lck T6,450.33,175.63,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2-12Mm Dcp Ss Cort St Ns St Ns Mini Frag,168.7,65.79,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.0X7Mm Omnimax,945.42,368.71,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.0X9Mm Omnimax Sd Xd,945.37,368.69,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.3Mm 18Mm Dist Cort Radial Cort Wr Hnd,478.17,186.49,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.3Mm 20Mm Dist Cort Radial Cort Wr Hnd,478.17,186.49,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.3Mm 22Mm Dist Rad Wr Radial Cort Wr Hnd,518.95,202.39,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.3Mm 24Mm Dist Cort Radial Cort Wr Hnd,580.12,226.25,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.3X16Mm Cross Drive,515.43,201.02,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4 Cort St W-Strdrv42Mm W-T8 Strdrv Recess,261.86,102.13,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4 Cort St W-Strdrv44Mm Cort St W- T8 Strdrv Recess,253.58,98.9,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4 Cort St W-Strdrv46Mm Cort St W- T8 Strdrv Recess,253.58,98.9,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4 Cort St W-Strdrv50Mm Cort St W- T8 Strdrv Recess,257.71,100.51,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4 Cort St W-Strdrv52Mm Cort St W- T8 Strdrv Recess,261.86,102.13,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4 Cort St W-Strdrv54Mm Cort St W- T8 Strdrv Recess,261.86,102.13,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4 Cort St W-Strdrv56Mm Cort St W- T8 Strdrv Recess,261.86,102.13,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4 Cort Stw-Strdrv48Mm Cort St W- T8 Strdrv Recess,253.58,98.9,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4 Cortex Slf-Tpng T8 Sd 10 Sile,312.57,121.9,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4 Cortex Slf-Tpng T8 Sd 12 Sile,319.82,124.73,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4 Cortex Slf-Tpng T8 Sd 16 Sile,312.22,121.77,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4 Cortex Slf-Tpng T8 Sd 18 Sile,314.79,122.77,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4 Cortex Slf-Tpng T8 Sd 20 Sile,299.46,116.79,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4 Cortex Slf-Tpng T8 Sd 22 Sile,312.36,121.82,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4 Cortex Slf-Tpng T8 Sd 24 Sile,312.57,121.9,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4 Cortex Slf-Tpng T8 Sd 26 Sile,312.57,121.9,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4 Cortex Slf-Tpng T8 Sd 30 Sile,253.58,98.9,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4 Cortex Slf-Tpng T8 Sd 8 Sile,253.58,98.9,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4 Va Lck W-Strdrv 30Mm Va Lck St W-Strdr Recess,615.83,240.17,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4 Va Lck W-Strdrv 7Mm Va Lck St W-Strdr Recess,638.25,248.92,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4 Va Locking Sddrive 12 Sterile,683.38,266.52,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4 Va Locking Sddrive 14 Sterile,652.05,254.3,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4 Va Locking Sddrive 16 Sterile,661.24,257.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4 Va Locking Sddrive 18 Sterile,662.96,258.55,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4 Va Locking Sddrive 20 Sterile,656.52,256.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4 Va Locking Sddrive 22 Sterile,664.26,259.06,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4 Va Locking Sddrive 28 Sterile,734.16,286.32,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4-11Mm Lcp Ss St Lck Dist Radial St Lck,513.36,200.21,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4-12Mm Lcp Ss Lck St Dist Radial Lck St,513.66,200.33,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4-12Mm Lcp Ss Va Lck Dist Radial Va Lck,618.71,241.3,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4-13Mm Lcp Ss Lck St Dist Radial St Lck,513.36,200.21,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4-14Mm Lcp Ss Cort Rad Dist Cort Radial,252.46,98.46,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4-14Mm Lcp Ss Lck St Dist Radial Lck St,513.36,200.21,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4-14Mm Lcp Ti Volr Dist Volr Radial,681.03,265.6,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4-16Mm Lcp Ss Dist Rad Dist Cort Radial,253.13,98.72,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4-16Mm Lcp Ss St Lck Dist Radial St Lck,514.52,200.66,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4-16Mm Lcp Ti Volr Dist Volr Radial,672.44,262.25,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4-18Mm Lcp Ss Dist Rad Dist Cort Radial,254.24,99.15,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4-18Mm Lcp Ss Lck St Dist Radial Lck St,514.6,200.69,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4-22Mm Lcp Ss Dist Rad Dist Cort Radial,252.41,98.44,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4-22Mm Lcp Ss Lck St Dist Radial Lck St,515.22,200.94,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4-24Mm Lcp Ss Cort Dist Cort Radial,252.87,98.62,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4-24Mm Lcp Ss St Lck Dist Radial St Lck,515.69,201.12,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4-8Mm Ss Dist Lck St Radial Lcp,513.36,200.21,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4-9Mm Lcp Ss Dist Lck Radial St Lck,513.36,200.21,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4Mm 14Mm Lcp Ss Va Dist Radial Va Lck,617.98,241.01,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4Mm 26Mm Lcp Ss Lck Dist Radial Lck St,513.36,200.21,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4Mm 28Mm Lcp Ss Lck Dist Radial St Lck,513.36,200.21,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4Mm Cort St 20Mm T8 W T8 Stardr Recess,252.24,98.37,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4Mm Cort St 30Mm T8 W T8 Stardr Recess,252.96,98.65,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.4Mm Cortex Self Tapping 32Mm Synthes,216.32,84.36,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.5 Cortical 12Mm Hd7,424.35,165.5,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.5 Cortical 14Mm Hd7,424.35,165.5,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.5 Cortical 18Mm Hd7,424.35,165.5,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.5 Cortical 26Mm Hd7,424.35,165.5,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.5 Trilock 12Mm Hd7,531.73,207.37,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.5 Trilock 14Mm Hd7,531.99,207.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.5 Trilock 16Mm Hd7,531.99,207.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.5 Trilock 18Mm Hd7,531.69,207.36,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.5 Trilock 20Mm Hd7,531.99,207.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.7 Ti St Recess 10 Cort Cort W T8 Strdr,202.86,79.12,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.7 Ti St Recess 26 Cort Cort W T8 Strdr,202.86,79.12,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.7 Va Lck Slf-Tpng-16Mm Ti W T8 Stardr Recess,632.73,246.76,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.7 Va Lck Slf-Tpng-18Mm Ti W T8 Stardr Recess,664.81,259.28,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.7 Va Lck Slf-Tpng-24Mm Ti W T8 Stardr Recess,632.38,246.63,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.7 Va Lck Slf-Tpng-60Mm Ti W T8 Stardr Recess,632.38,246.63,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.7 Va Lck St W-T8 36Mm Va W- T8 Strdrv Recess,584.9,228.11,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.7 Va Lck St W-T8 40Mm Va W- T8 Strdrv Recess,591.7,230.76,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.7 Va Lck St W-T8 52Mm Va W- T8 Strdrv Recess,574.42,224.02,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.7 Va Lck St W-T8 56Mm Va W- T8 Strdrv Recess,598.79,233.53,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.7 Va Lck St W-T8 58Mm Va W- T8 Strdrv Recess,574.42,224.02,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.7-12Mm Lc Dcp Ss St T8 Cort St T8,182.33,71.11,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.7-12Mm Lcp Ti Rad St Cort Radial St,203.16,79.23,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.7-14Mm Lcp Ss Dist Lck Dist Fib St Lck T8,477.48,186.22,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.7-14Mm Lcp Ti Cort Dis Cort Dist Radial,215.28,83.96,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.7-16Mm Lcp Ti Dist Rad Cort Dist Radial,215.62,84.09,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.7-18Mm Lcp Ti Rad St Cort Radial St,168.7,65.79,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.7-22Mm Dcp Ss Cort St Cort St Ns Lcp,194.8,75.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.7-24Mm Dcp Ss St Hex Cort St Hex Lcp,192.35,75.02,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.7-26Mm Lcp Dcp Ss T8 T8 Cort Dist,182.6,71.21,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.7-28Mm Lcp Ss Cort St Cort St Ns Mini-Sm,184.75,72.05,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.7-30Mm Lcp Ss Cort Hex Cort Hex Dcp,198.72,77.5,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.7-32Mm Lcp Ss Cort St Cort St Stardr,181.54,70.8,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.7-34Mm Lcp Ss Cort Rad Cort Dist Radial,183.45,71.55,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.7-36Mm Lcp Ss Cort St Cort St Stardr,182.59,71.21,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.7-38Mm Lcp Ss Cort St Cort St Stardr,182.31,71.1,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.7-42Mm Lcp Ss Cort St Cort St Stardr,183.48,71.56,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.7-44Mm Lcp Ss Cort St Cort St Stardr,182.08,71.01,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.7-48Mm Lcp Ss Cort Cort St Stardr,179.74,70.1,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.7-50Mm Lcp Ss Cort Cort St Stardr,182.47,71.16,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.7-55Mm Lcp Ss Cort Cort St Stardr,179.68,70.08,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.7-60Mm Lcp Ss Cort Cort St Stardr,182.47,71.16,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.7Mm 18Mm Dcp Ss St Ns Cort St Ns Sm Frag,193.27,75.38,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.7Mm Mtphsl Stw-T8 14Mm W-T8 Strdrv Recess,333.27,129.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.7Mm Mtphsl Stw-T8 36Mm W-T8 Strdrv Recess,333.27,129.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.7Mm Mtphsl Stw-T8 48Mm W-T8 Strdrv Recess,333.27,129.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.7Mm Mtphsl Stw-T8 52Mm W-T8 Strdrv Recess,333.27,129.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.7Mm Mtphsl Stw-T8 54Mm W-T8 Strdrv Recess,333.27,129.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.7Mm Mtphsl Stw-T8 56Mm W-T8 Strdrv Recess,293.59,114.5,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.7Mm Mtphsl Stw-T8 62Mm W-T8 Strdrv Recess,333.27,129.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.7Mm Mtphsl Stw-T8 64Mm W-T8 Strdrv Recess,333.27,129.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.7Mm Mtphsl Stw-T8 66Mm W-T8 Strdrv Recess,333.27,129.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2.7Mm Mtphsl Stw-T8 70Mm W-T8 Strdrv Recess,333.27,129.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 2Mm 1Mm Snap Off,1128.15,439.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5 Crtx W-Hexdrv14Mm W- Lo Prof Hd St Hexdrv,167.15,65.19,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5 Crtx W-Hexdrv16Mm W- Lo Prof Hd St Hexdrv,190.44,74.27,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5 Crtx W-Hexdrv52Mm W- Lo Prof Hd St Hexdrv,174.64,68.11,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5 Crtx W-Hexdrv54Mm W- Lo Prof Hd St Hexdrv,171.46,66.87,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5 Crtx W-Hexdrv56Mm W- Lo Prof Hd St Hexdrv,170.96,66.67,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5 Crtx W-Hexdrv56Mm-S W- Lo Prof Hd St Hexdrv Strl,403.65,157.42,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5 Crtx W-Hexdrv58Mm W- Lo Prof Hd St Hexdrv,166.64,64.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5 Crtx W-Hexdrv58Mm-S W- Lo Prof Hd St Hexdrv Strl,403.65,157.42,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5-10Mm Lcp Ss Tib Lck Prox Med Tib Lck,550.83,214.82,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5-14Mm Lcp Ss Cort St Cort St Ns Sm Frag,128.38,50.07,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5-18Mm Lcp Ss Cort St Cort St Ns Sm Frag,130.2,50.78,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5-26Mm Lcp Ss Cort St Cort St Ns Sm Frag,124.87,48.7,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5-32Mm Lcp Ss Tib Lck Prox Med Tib Lck,554.53,216.27,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5-38Mm Lcp Ss Cort St Cort St Ns Sm Frag,128.93,50.28,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5-40Mm Lcp Ss Cort St Cort St Ns Sm Frag,126.35,49.28,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5-45Mm Lcp Ss Cort St Cort St Ns Sm Frag,128.68,50.19,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5-55Mm Lc Dcp Ss Cort Pelvic St,163.53,63.78,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5-60Mm Lc Dcp Ss Cort St Ns Sm,127.92,49.89,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm 12Mm Ss Cort Lck Ankle Lck Low,556.53,217.05,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Stardr St 12Mm Stardr Cort St,112.82,44.0,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Stardr St 18Mm Stardr Cort St,136.36,53.18,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Stardr St 22Mm Stardr Cort St,112.82,44.0,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Stardr St 55Mm Stardr Cort St,112.82,44.0,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Ti Cort St 12Mm,146.97,57.32,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Ti Cort St 30Mm,146.97,57.32,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Ti Cort St 38Mm,146.97,57.32,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Ti Cort St 40Mm,146.62,57.18,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Ti Cort St 50Mm,146.62,57.18,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Ti Cort St 55Mm,146.97,57.32,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Ti St Recess 34Mm Lck W Strdr,558.9,217.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Ti St Recess 36Mm Lck W Strdr,558.9,217.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Ti St Recess 40Mm Lck W Strdr,611.68,238.56,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Ti St Recess 50Mm Lck W Strdr,611.68,238.56,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Ti St Recess 60Mm Lck W Strdr,611.68,238.56,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Ti St Recess 80Mm Lck W Strdr,558.9,217.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 10Mm Va Lck W-St Strdr,715.53,279.06,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 12Mm Va Lck W-St Strdr,716.9,279.59,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 14Mm Va Lck W-St Strdr,717.37,279.77,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 16Mm Va Lck W-St Strdr,716.76,279.54,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 18Mm Va Lck W-St Strdr,710.1,276.94,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 20Mm Va Lck W-St Strdr,716.3,279.36,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 22Mm Va Lck W-St Strdr,716.9,279.59,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 24Mm Va Lck W-St Strdr,716.44,279.41,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 26Mm Va Lck W-St Strdr,714.75,278.75,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 28Mm Va Lck W-St Strdr,717.07,279.66,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 30Mm Va Lck W-St Strdr,715.59,279.08,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 32Mm Va Lck W-St Strdr,716.7,279.51,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 34Mm Va Lck W-St Strdr,715.63,279.1,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 36Mm Va Lck W-St Strdr,716.31,279.36,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 38Mm Va Lck W-St Strdr,715.12,278.9,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 40Mm Va Lck W-St Strdr,711.36,277.43,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 42Mm Va Lck W-St Strdr,716.62,279.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 44Mm Va Lck W-St Strdr,715.96,279.22,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 46Mm Va Lck W-St Strdr,717.1,279.67,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 48Mm Va Lck W-St Strdr,713.8,278.38,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 50Mm Va Lck W-St Strdr,714.57,278.68,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 52Mm Va Lck W-St Strdr,715.24,278.94,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 54Mm Va Lck W-St Strdr,715.68,279.12,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 56Mm Va Lck W-St Strdr,715.13,278.9,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 58Mm Va Lck W-St Strdr,710.18,276.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 60Mm Va Lck W-St Strdr,715.82,279.17,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 65Mm Va Lck W-St Strdr,716.95,279.61,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 70Mm Va Lck W-St Strdr,715.84,279.18,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 75Mm Va Lck W-St Strdr,715.86,279.19,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 80Mm Va Lck W-St Strdr,715.0,278.85,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 85Mm Va Lck W-St Strdr,715.31,278.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 90Mm Va Lck W-St Strdr,715.81,279.17,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Va Lck W-St 95Mm Va Lck W-St Strdr,718.63,280.27,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.6-14Mm Spnl Slf Strl,671.64,261.94,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 3.7Mm Cannula Lck 95Mm Cannula Lck,843.52,328.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 35X16Mm Tc,762.8,297.49,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 4- 14Mm Asr Ti Std Cerv,671.51,261.89,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 4-28Mm Nail Ex Ti Strl Hum Tib Lck,921.77,359.49,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 4-32Mm Nail Ex Ti Strl Hum Tib Lck,922.18,359.65,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 4.0 14Mm Ti Cancellous Bone,175.95,68.62,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 4.0X14 Self Drill Fix,725.28,282.86,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 4.2Mm 16Mm Occ Cerv Va Thor Spine St Va,671.72,261.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 4.5 Hdls Comp Lng65Mm-S Hdls Comp Thrd Strl,1545.26,602.65,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 4.5-34Mm Lc Dcp Ss St Dhs-Dcs Ss Cort St,143.46,55.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 4.5Mm 36Mm Lc Dcp Ss St Dhs-Dcs Ss Cort Ns,139.81,54.53,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 4.5Mm Std Slf-Drill 12Mm,671.72,261.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 4.5Mm Ti 20Mm 30Mm Strl Mllk,1244.07,485.19,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 4.5Mm Ti 20Mm 48Mm Strl Mllk,1244.33,485.29,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 4.5Mm Ti 20Mm 50Mm Strl Mllk,1294.09,504.7,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 4.5Mm Ti Cort St 28Mm,95.22,37.14,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 4.5Mm Ti Cort St 30Mm,167.67,65.39,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 4.5Mm Ti Cort St 32Mm,113.33,44.2,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 4.5Mm Ti Cort St 34Mm,131.44,51.26,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 4.5Mm Ti Cort St 36Mm,95.22,37.14,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 4.5Mm Ti Cort St 38Mm,136.62,53.28,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 4.5Mm Ti Cort St 40Mm,95.22,37.14,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 4.5Mm Ti Cort St 42Mm,95.22,37.14,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 4.5Mm Ti Cort St 44Mm,95.22,37.14,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 4.5Mm Ti Cort St 46Mm,95.22,37.14,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 4.5Mm Ti Cort St 48Mm,107.64,41.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 4.5Mm Ti Cort St 50Mm,167.67,65.39,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 4.5Mm Ti Cort St 60Mm,95.22,37.14,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 4.5Mm Ti Cort St 70Mm,95.22,37.14,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 4.5Mm Ti Lgth 20Mm 30Mm Mllk,1158.16,451.68,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 4.5Mm Ti Lgth 20Mm 38Mm Mllk,1158.16,451.68,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 4.5Mm X 40Mm Cannulated Fully Threaded Low Profile Art,939.78,366.51,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 4.6Mm 16Mm Occ Cerv Va Thor Spine St,671.72,261.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 48Mm Mqd Spr Knee Hdls,348.8,136.03,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 4Mm Lck W T25 22Mm Strl Ti Stardr F- Im Nails,921.93,359.55,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 4Mm Lck W T25 22Mm Ti Stardr F- Im Nails,803.5,313.36,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 4Mm Lck W T25 52Mm Strl Ti Stardr F- Im Nails,922.18,359.65,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 4Mm Lck W T25 60Mm Strl Ti Stardr F- Im Nails,922.18,359.65,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 4Mm Self Drill 150Mm- Schnz Ha Coat- Strl,1029.0,401.31,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 4Mm-3Mm Self Drill 80Mm- Schnz Ha Coat- Strl,1183.69,461.64,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 4X12Mm Asr Ti Std Ant Cerv Spine,671.51,261.89,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 5 Cannula Va Lck60Mm Cannula Va Lck,1117.8,435.94,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 5 Pprsthtic Strdrv14Mm-S Pprsthtic Lck St Strdrv Strl,1080.54,421.41,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 5 Pprsthtic Strdrv18Mm-S Pprsthtic Lck St Strdrv Strl,1159.2,452.09,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 5 Va Lck St Strdrv 32Mm Va Lck W- St Strdr,830.07,323.73,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 5 Va Peripr Strdrv14Mm-S Va Peripr Lck St Strdrv Strl,1420.02,553.81,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 5-30Mm Nail Ex Ti Strl Ft Fem-Tib,922.18,359.65,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 5-32Mm Nail Ex Ti Strl Ft Fem-Tib St,931.89,363.44,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 5-34Mm Nail Ex Ti Strl Ft Fem-Tib St,922.12,359.63,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 5-36Mm Nail Ex Ti Strl Ft Fem-Tib,941.59,367.22,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 5-38Mm Nail Ex Ti Strl Ft Fem-Tib St,934.13,364.31,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 5-40Mm Nail Ex Ti Strl Ft Fem-Tib,931.89,363.44,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 5-42Mm Nail Ex Ti Strl Ft Fem-Tib,930.81,363.02,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 5-44Mm Nail Ex Ti Strl Ft Fem-Tib St,922.18,359.65,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 5-45Mm Nail Ex Lck Strl Ft Tib St Ti 2,808.34,315.25,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 5-50Mm Nail Ex Ti Ft St Fem-Tib,776.25,302.74,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 5-50Mm Nail Ex Ti Strl Ft Fem-Tib,1756.4,685.0,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 5-60Mm Nail Ex Ti Strl Ft Fem-Tib St,922.18,359.65,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 5-64Mm Nail Ex Lck Strl Fem-Tib Ti,922.18,359.65,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 5-64Mm Nail Ex Ti Lck Fem-Tib,712.08,277.71,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 5-65Mm Lcp Ss Prox Lck Fem Cannula,830.07,323.73,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 5-65Mm Lcp Ss Prox Peri Med Art,572.36,223.22,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 5.5 Mas 5.5X40 Cc Cd Horizon Solera,4108.5,1602.32,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 5.5 Mas 5.5X45 Cc,4108.53,1602.33,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 5.5 Mas 6.5X40 Cc Cd Horizon Solera,4108.53,1602.33,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 5.5 Mas 6.5X45 Cc Cd Horizon Solera,4108.48,1602.31,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 5.5 Mas 6.5X50 Cc Cd Horizon Solera,4108.47,1602.3,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 5.5 Mas 6.5X55 Cc Cd Horizon Solera,4108.5,1602.32,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 5.5 Mas 7.5X35 Cc Cd Horizon Solera,4108.95,1602.49,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 5.5 Mas 7.5X55 Cc Cd Horizon Solera,4108.65,1602.37,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 5.5Mm 25Mm,1552.5,605.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 5.5Mm 30Mm,1552.5,605.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 5Mm 2Mm Cranmf Xdrive Lck Bn Slvr,478.17,186.49,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 5Mm 2Mm Mndb Xdr Nonlck Bn Lorenz Slvr,294.98,115.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 5Mm Blnt Pt 170Mm Schnz Ha Coat- Strl,673.27,262.58,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 5Mm Blnt Pt 200Mm Schnz Ha Coat- Strl,593.83,231.59,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 5Mm Blnt Pt 250Mm Schnz Ha Coat- Strl,867.33,338.26,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 5Mm Lck W T25 28Mm Ti Stardr F- Im Nails,776.25,302.74,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 5Mm Lck W T25 68Mm Strl Ti Stardr F- Im Nails,999.81,389.93,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 5Mm Self Drill 125Mm- Schnz Ha Coat- Strl,1014.3,395.58,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 5Mm Self Drill 150Mm- Schnz Ha Coat- Strl,1208.02,471.13,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 5Mm Self Drill 175Mm- Schnz Ha Coat- Strl,1080.49,421.39,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 5Mm Self Drill 200Mm- Schnz Ha Coat- Strl,1206.0,470.34,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 5Mm Ti Recon 55Mm Strl W W-T25 Stardr,1002.92,391.14,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 6 60Mm Nail Ex Ti Strl Ft Fem-Tib,922.18,359.65,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 6.5M Serrato Polyaxial,4108.44,1602.29,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 6.5Mm 30Mm,1074.33,418.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 6.5Mm 65Mm 32Mm Ss Ns Fem Cannula,943.92,368.13,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 6.5Mm Recon 105Mm Strl Ti W T25 Stardr,1030.86,402.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 6.5Mm Recon 70Mm Strl Ti W T25 Stardr,951.16,370.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 6.5Mm Recon 75Mm Strl Ti W T25 Stardr,951.16,370.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 6.5Mm Recon 85Mm Strl Ti W T25 Stardr,1030.86,402.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 6.5Mm Recon 90Mm Strl Ti W T25 Stardr,998.98,389.6,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 6.5Mm Recon 90Mm Ti W T25 Stardr,951.16,370.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 6.5Mm Recon 95Mm Ti W T25 Stardr,807.3,314.85,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 6Mm 2.3Mm Cranmf Xdr Nonlck Bn,515.64,201.1,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 6Mm 2Mm Cranmf Xdrive Lck Bn Slvr,553.28,215.78,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 6Mm 2Mm Mndb Xdr Nonlck Bn Lorenz Slvr,380.88,148.54,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 6Mm Lck W T25 72Mm Strl Ti Stardr F- Im Nails,922.18,359.65,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 6Mm Spd Pt 190Mm Schnz Ha Coat- Strl,625.83,244.07,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 7.3Mm 32Mm Ss Fem 135Mm Cannula Thrd Ns,839.38,327.36,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 7.3Mm 32Mm Ss Fem 85Mm Cannula Thrd Ns,938.4,365.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 7.3Mm Cannula 135Mm Fully Thrd-Strl,1022.58,398.81,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 7.3Mm Cannula 145Mm Fully Thrd-Strl,1399.32,545.73,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 7.3Mm Cannula 150Mm Fully Thrd-Strl,1399.32,545.73,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 7.3Mm Cannula 155Mm Fully Thrd-Strl,1399.32,545.73,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 7.3Mm Cannula 160Mm Fully Thrd-Strl,1399.32,545.73,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw 8.5X80Mm Ballast,6829.62,2663.55,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Acetab Tiv Alloy 40Mm,604.44,235.73,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Antirotation 100Mm Femoral Neck System Synthes Usa,1143.68,446.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Antirotation 105Mm Femoral Neck System Synthes Usa,1125.04,438.77,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Antirotation 110Mm Femoral Neck System Synthes Usa,1139.79,444.52,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Antirotation 115Mm Femoral Neck System Synthes Usa,1125.04,438.77,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Antirotation 75Mm Femoral Neck System Synthes Usa,1151.26,448.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Antirotation 80Mm Femoral Neck System Synthes Usa,1139.2,444.29,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Antirotation 85Mm Femoral Neck System Synthes Usa,1133.47,442.05,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Antirotation 90Mm Femoral Neck System Synthes Usa,1150.33,448.63,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bi-Cortical 4.5Mmx27.5Mm Post Arthrex,537.16,209.49,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bioabs 20Mm 2.7Mm,2121.75,827.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bioabs 23Mm 7Mm Bcmps Tenodesis Tendon,1853.68,722.94,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bioabs Plla 23Mm 7Mm Acl,1262.7,492.45,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 1.5Mm 10Mm Lcp Ss Han D St Lck Stardr,450.22,175.59,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 1.5Mm 16Mm Lcp Ss Han D St Lck Stardr,491.62,191.73,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 1.5Mm 6Mm Lcp Ss Hand St Lck Stardr,491.62,191.73,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 1.5Mm 8Mm Lcp Ss Hand St Lck Stardr,556.57,217.06,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 10.5Mm 100Mm Gamma3,1896.12,739.49,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 10.5Mm 105Mm Gamma3,2397.32,934.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 10.5Mm 90Mm Gamma3 Ti Troch Hip Lag,3899.88,1520.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 10.5Mm 95Mm Gamma3 Ti Troch Hip Lag,7009.02,2733.52,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 10Mm 25Mm Biosure Intfr Ha,1687.05,657.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 10Mm 25Mm Ft Intfr 60 Rnd Head Composi Tcp,2546.36,993.08,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 12.7Mm 36Mm Dhs-Dcs Ss Condy Hip Lag,188.37,73.46,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 12.7Mm Thrd Lag 95Mm Dhs Dcs 1Stp,1454.18,567.13,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 16Mm Thrd 7Mm 95Mm,2611.3,1018.41,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.0Mm 8Mm Imf Self,655.72,255.73,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.0Mm Lck St 20Mm W T8 Stardr Recess,450.43,175.67,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.0Mm Lck St 30Mm W T8 Stardr Recess,450.22,175.59,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.3Mm 10Mm Dist Radial Cort Wr Hnd,478.17,186.49,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.3Mm 12Mm Dist Cort Radial Cort Wr Hnd,478.17,186.49,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.3Mm 12Mm Dist Radial Wr Hnd,478.17,186.49,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.3Mm 14Mm Dist Radial Cort Wr Hnd,478.17,186.49,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.3Mm 16Mm Dist Cort Radial Cort Wr Hnd,478.17,186.49,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.3Mm 18Mm Dist Radial Wr Hnd,478.17,186.49,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.3Mm 22Mm Dist Radial Wr Hnd,478.17,186.49,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 10Mm Lcp Ss Dis T Radial Va Lck,620.16,241.86,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 11Mm Lcp Ss Dist Cort Radial,253.14,98.72,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 12Mm Lcp Ss Dist Cort Radial,252.84,98.61,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 12Mm Lcp Ti Cor Dist Dist Hum,247.36,96.47,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 12Mm Lcp Ti Dist Volr Radial,652.39,254.43,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 13Mm Lcp Ss Dist Cort Radial,252.1,98.32,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 14Mm Lcp Ti Cor Dist Dist Hum,278.42,108.58,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 16Mm Lcp Ss Dist Radial Lck Va,618.63,241.27,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 16Mm Lcp Ti Cor Dist Dist Hum,278.76,108.72,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 18Mm Lcp Ss Dist Radial Va Lck,618.46,241.2,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 18Mm Lcp Ti Dist Volr Radial,673.36,262.61,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 20Mm Lcp Ss Dist Radial Va Lck,619.98,241.79,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 20Mm Lcp Ti Dist Volr Radial,681.03,265.6,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 22Mm Lcp Ss Dist Radial Va Lck,618.92,241.38,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 24Mm Lcp Ss Dist Radial Lck Va,619.47,241.59,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 26Mm Lcp Ss Dis T Radial Va Lck,622.55,242.79,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 26Mm Lcp Ss Dist Cort Radial,253.4,98.83,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 28Mm Lcp Ss Dist Cort Radial,252.85,98.61,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 32Mm Lcp Ss Dist Cort Radial,252.33,98.41,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 34Mm Lcp Ss Dist Cort Radial,252.84,98.61,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 36Mm Lcp Ss Dist Cort Radial,253.58,98.9,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 38Mm Lcp Ss Dist Cort Radial,252.9,98.63,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 6Mm Lcp Ss Dist Cort Radial St,253.58,98.9,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 7Mm Lcp Ss Dist Radial St Lck,513.36,200.21,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 8Mm Lcp Ss Dist Cort Radial St,252.42,98.44,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 9Mm Lcp Ss Dist Cort Radial St,253.58,98.9,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm Cort St 10Mm W T8 Stardr Recess,252.28,98.39,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm Cort St 40Mm W T8 Stardr Recess,252.72,98.56,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm L-T 20Mm Cannula,664.47,259.14,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm Sh Thrd 24Mm Cannula,664.47,259.14,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm St P-T 10Mm Stardr Recess St,513.36,200.21,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm St P-T 20Mm Stardr Recess St,513.36,200.21,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm St P-T 30Mm Stardr Recess St,514.69,200.73,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.5Mm 12Mm Peri Loc,357.63,139.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 10Mm St T8 Strd R Acc Va Lck,577.69,225.3,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 10Mm Wr Hnd,548.03,213.73,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 12Mm Ankle Low Prof Lck,617.9,240.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 12Mm Lc Dcp Ss Cort St Ns Sm,170.78,66.6,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 12Mm Lcp Ss Dist Fib St Lck T8,482.31,188.1,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 12Mm St T8 Strdr Acc Va Lck,581.64,226.84,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 12Mm Wr Hnd,547.52,213.53,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 14Mm Ankle Lck,617.9,240.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 14Mm Hexalobe Lck,531.99,207.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 14Mm Lcp Dcp Ss Cort St T8,182.73,71.26,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 14Mm Lcp Ss Cort St Ns Sm Frag,191.73,74.77,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 14Mm Lcp Ti Cort Radial St,203.16,79.23,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 14Mm Nonlck Hexalobe,508.92,198.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 14Mm Ss Cort Ankle Nonlck Low,187.97,73.31,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 14Mm St T8 Strdr Acc Va Lck,586.35,228.68,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 16Mm Ankle Lck,617.9,240.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 16Mm Lc Dcp Ss Cort St Ns Sm,191.91,74.84,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 16Mm Lcp Dcp Ss T8 Cort St,184.55,71.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 16Mm Lcp Ss Dist Fib Lck St T8,488.17,190.39,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 16Mm Lcp Ti Cort Radial St,194.84,75.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 16Mm Nonlck Hexalobe,505.08,196.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 16Mm St T8 Strdr Acc Va Lck,587.85,229.26,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 18Mm Lcp Ss Cort Dist St Strdr,182.44,71.15,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 18Mm Lcp Ss T8 Dist Fib St Lck,511.59,199.52,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 18Mm St T8 Strdr Acc Va Lck,588.14,229.37,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 20Mm Lc Dcp Ss Cort Lck St Ns,190.34,74.23,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 20Mm Lcp Ss T8 Dist Fib St Lck,489.3,190.83,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 20Mm St T8 Strd R Acc Va Lck,588.38,229.47,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 22Mm Lcp Dcp Ss Cort Dist,182.08,71.01,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 22Mm Lcp Ss Dist Fib St Lck T8,509.22,198.6,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 22Mm St T8 Strd R Acc Va Lck,585.02,228.16,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 24Mm Lcp Dcp Ss Cort Dist,182.3,71.1,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 24Mm Lcp Ss T8 Dist Fib St Lck,524.74,204.65,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 24Mm St T8 Strd R Acc Va Lck,589.26,229.81,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 26Mm Lcp Dcp Ss Cort St Ns,198.72,77.5,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 26Mm Lcp Ss Dist Fib St Lck T8,486.86,189.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 26Mm St T8 Strd R Acc Va Lck,586.95,228.91,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 28Mm Lcp Dcp Ss Cort Dist,180.43,70.37,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 28Mm Lcp Ss Dist Fib St Lck T8,513.1,200.11,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 28Mm St T8 Strd R Acc Va Lck,581.61,226.83,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 30Mm St T8 Strdr Acc Va Lck,583.65,227.62,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 32Mm Lcp Dcp Ss Cort St Ns,198.72,77.5,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 32Mm Lcp Ss Dist Hum Elb St,477.14,186.08,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 32Mm St T8 Strdr Acc Va Lck,574.21,223.94,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 34Mm Lcp Dcp Ss Cort St Ns,198.72,77.5,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 34Mm St T8 Strdr Acc Va Lck,584.31,227.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 36Mm Dcp Ss Cort St Ns Mini,198.98,77.6,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 38Mm Lcp Ss Dist Hum Elb St,477.14,186.08,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 38Mm St T8 Strdr Acc Va Lck,580.38,226.35,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 42Mm St T8 Strd R Acc Va Lck,589.3,229.83,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 44Mm St T8 Strdr Acc Va Lck,583.26,227.47,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 45Mm Dcp Ss Cort St Ns Mini,195.36,76.19,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 46Mm Lcp Ss Cort St Stardr,181.84,70.92,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 46Mm St T8 Strdr Acc Va Lck,599.2,233.69,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 48Mm Lcp Dcp Ss Cort Dist,184.75,72.05,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 48Mm St T8 Strd R Acc Va Lck,585.59,228.38,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 50Mm St T8 Strd R Acc Va Lck,592.68,231.15,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 54Mm St T8 Strdr Acc Va Lck,574.42,224.02,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 55Mm Lcp Dcp Ss Cort St Ns,226.18,88.21,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 55Mm Lcp Ss Dist Hum Elb St,524.74,204.65,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 60Mm Lcp Ss Med Prox Tib T15,553.72,215.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 60Mm St T8 Strdr Acc Va Lck,585.02,228.16,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 65Mm Lcp Ss Prox Med Tib Lck,552.95,215.65,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 8Mm Lcp Ss Dist Fib St Lck T8,477.14,186.08,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm Cort 10Mm W Stardr Recess St,184.23,71.85,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm Cort 20Mm W Stardr Recess St,182.74,71.27,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm Cort 30Mm W Stardr Recess St,180.83,70.52,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm Cort 40Mm W Stardr Recess St,184.23,71.85,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm St Cort 40Mm,199.24,77.7,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm St Cort 44Mm,170.78,66.6,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm St Cort 50Mm,192.31,75.0,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm St Lck 10Mm W T8 Stardr Recess,509.22,198.6,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm St Lck 30Mm W T8 Stardr Recess,524.74,204.65,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 20Mm Acutwist Ti Ft,1262.7,492.45,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 24Mm Acutwist Ti Ft,1262.7,492.45,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 24X18Mm Val Ti,856.25,333.94,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 25Mm Independ Spnl,1552.41,605.44,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 28Mm Acutwist Ti Ft Peri Art Wrst,1584.58,617.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 29Mm 10Mm Matrixmandible St Lck Ti,1020.85,398.13,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 29Mm 14Mm Matrixmandible St Lck Ti,1056.73,412.12,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 10Mm Lcp Ss Cort St Stardr,245.19,95.62,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 11Mm Lcp Ss Cort St Stardr,245.17,95.62,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 12Mm Dcp Ss Sm Bn St Lck T6,450.22,175.59,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 12Mm Lcp Ss Cort St Stardr,242.43,94.55,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 13Mm Dcp Ss Sm Bn St Lck T6,450.22,175.59,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 13Mm Lcp Ss Cort St Stardr,245.04,95.57,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 14Mm Dcp Ss Sm Bn St Lck T6,450.22,175.59,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 14Mm Lcp Ss Cort St Stardr,243.1,94.81,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 16Mm Dcp Ss Sm Bn St Lck T6,450.22,175.59,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 16Mm Lck,695.0,271.05,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 16Mm Lcp Ss Cort St T6 Stardr,234.36,91.4,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 18Mm Dcp Ss Cort St Ns Mini Frag,168.7,65.79,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 18Mm Dcp Ss Sm Bn St Lck T6,450.22,175.59,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 18Mm Lcp Ss Cort St Stardr,238.15,92.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 20Mm Dcp Ss Cort,162.5,63.38,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 20Mm Lcp Ss Cort St Stardr,245.3,95.67,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 22Mm Actrk2 Ti Mini Hand Full,2449.84,955.44,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 22Mm Dcp Ss Cort Hand-Ft St Ns,169.22,66.0,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 22Mm Dcp Ss Sm Bn St Lck T6,450.22,175.59,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 22Mm Lcp Ss Cort St Stardr,245.3,95.67,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 24Mm Lcp Ss Cort St Stardr,245.3,95.67,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 26Mm Lcp Ss Cort St Stardr,245.3,95.67,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 28Mm Dcp Ss Sm Bn St Lck T6,508.18,198.19,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 28Mm Lcp Ss Cort St Stardr,245.3,95.67,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 30Mm Lcp Dcp Ss Cort Hand St Ns,169.22,66.0,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 30Mm Lcp Ss Cort St Stardr,245.15,95.61,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 32Mm Lcp Dcp Ss Cort Hand-Ft St,168.7,65.79,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 32Mm Lcp Ss Cort St Stardr,245.3,95.67,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 34Mm Lcp Ss Cort St Stardr,245.3,95.67,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 36Mm Lcp Ss Cort St Stardr,245.3,95.67,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 38Mm Lcp Ss Cort St Stardr,245.3,95.67,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 40Mm Lcp Ss Cort St Stardr,245.3,95.67,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 6Mm Dcp Ss Sm Bn St Lck T6,450.48,175.69,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 8Mm Dcp Ss Sm Bn St Lck T6,450.22,175.59,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 8Mm Lcp Ss Cort St Stardr Recess,245.3,95.67,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 9Mm Dcp Ss Sm Bn St Lck T6,450.22,175.59,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 9Mm Lcp Ss Cort St Stardr Recess,245.09,95.59,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3-2.5Mm 60Mm 20Mm,386.74,150.83,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3-2.5Mm 70Mm 25Mm,379.07,147.84,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 100Mm Pelvic St Cort,150.76,58.8,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 105Mm Pelvic St Cort,163.53,63.78,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 10Mm Hexalobe Lck,644.55,251.37,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 10Mm Nonlck Hexalobe,510.36,199.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 110Mm Pelvic St Cort,163.53,63.78,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 120Mm Pelvic St Cort,159.27,62.12,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 125Mm Pelvic St Cort,163.53,63.78,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 12Mm Dist,478.17,186.49,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 12Mm Hexalobe Lck,600.21,234.08,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 12Mm Lc Dcp Ss Cort St Ns Sm,130.42,50.86,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 12Mm Lcp Ss Prox Med Tib Lck,550.96,214.87,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 12Mm Nonlck Hexalobe,516.43,201.41,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 12Mm Ss Cort Ankle Nonlck Low,188.09,73.36,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 135Mm Pelvic St Cort,402.62,157.02,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 14Mm Dist,478.17,186.49,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 14Mm Hexalobe Lck,518.28,202.13,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 14Mm Lcp Ss Prox Med Tib Lck,550.79,214.81,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 14Mm Lcp St Cort T15 Stardr Recess,136.21,53.12,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 14Mm Nonlck Hexalobe,498.87,194.56,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 150Mm Pelvic St Cort,488.65,190.57,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 16Mm Hexalobe Lck,531.99,207.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 16Mm Lc Dcp Lcp Ti Cort Prox,146.97,57.32,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 16Mm Lc Dcp Ss Cort St Ns Sm,128.04,49.94,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 16Mm Lcp Ss Troch St Lck,550.85,214.83,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 16Mm Lcp St Cort T15 Stardr Recess,136.62,53.28,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 16Mm Nonlck Hexalobe,496.11,193.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 16Mm Ss Cort,188.11,73.36,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 18Mm Hexalobe Lck,682.06,266.0,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 18Mm Lc Dcp Lcp Ti Cort Prox,146.97,57.32,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 18Mm Lcp Ss Prox Med Tib Lck,551.49,215.08,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 18Mm Nonlck Hexalobe,505.08,196.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 18Mm Ss Cort Ankle Nonlck Low,188.09,73.36,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 20Mm Lc Dcp Ss Cort St Ns Sm,128.21,50.0,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 20Mm Lcp Ss Prox Med Tib T15,551.66,215.15,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 20Mm Nonlck Hexalobe,478.17,186.49,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 20Mm Ss Cort Ankle Nonlck Low,188.27,73.43,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 22Mm Lcp Ss Cort St Ns Sm Frag,129.38,50.46,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 22Mm Lcp Ss Ped Univ Med Prox,552.95,215.65,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 22Mm Nonlck Hexalobe,478.17,186.49,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 22Mm Ss Cort,188.37,73.46,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 24Mm Lcp Ss Cort St Ns Sm Frag,126.18,49.21,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 24Mm Lcp Ss Med Prox Tib T15,551.25,214.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 26Mm Lcp Ss Prox Med Tib T15,551.84,215.22,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 26Mm Ss Cort,188.37,73.46,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 28Mm Lc Dcp Ss Cort St Ns Sm,125.63,49.0,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 30Mm Lcp Ss Prox Med Tib Lck,553.1,215.71,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 32Mm Lc Dcp Ss Cort St Ns Sm,124.2,48.44,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 32Mm Lcp Ss Prox Med Pelvic,554.76,216.36,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 34Mm Ft Cannula,623.07,243.0,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 34Mm Lc Dcp Ss Cort Prox Med,124.98,48.74,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 34Mm Lcp Ss Cort T15 Stardr,552.17,215.35,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 34Mm Ss P-T Radial Cannula Ns,835.24,325.74,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 35Mm Lcp Ss Dist Tib Pelvic St,550.79,214.81,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 36Mm Lc Dcp Ss Cort St Ns Sm,127.68,49.8,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 36Mm Lcp Ss Prox Med Tib Lck,551.66,215.15,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 38Mm Lcp Ss Prox Med Tib Lck,552.69,215.55,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 40Mm Lcp Ss Prox Med Tib Lck,553.29,215.78,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 40Mm Nonlck Hexalobe,478.17,186.49,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 42Mm Lc Dcp Ss Cort Prox Med,128.42,50.08,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 42Mm Lcp Ss Prox Med Tib St,550.96,214.87,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 42Mm Ss P-T Radial Cannula Ns,601.34,234.52,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 44Mm Lc Dcp Ss Cort Prox Med,129.39,50.46,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 44Mm Lcp Ss Prox Med Tib St,553.13,215.72,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 45Mm Lcp Ss Prox Med Tib Lck,551.86,215.23,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 45Mm Ss Cort Ankle Nonlck Low,206.31,80.46,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 46Mm Lc Dcp Ss Cort Prox Med,127.48,49.72,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 46Mm Lcp Ss Prox Med Tib St,552.96,215.65,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 48Mm Lc Dcp Ss Cort Prox Med,128.14,49.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 50Mm Ft Cannula,623.07,243.0,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 50Mm Lc Dcp Ss Cort Hex Recess,126.61,49.38,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 50Mm Lcp Ss Prox Med Tib Lck,553.38,215.82,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 50Mm Nonlck Hexalobe,496.11,193.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 54Mm Lcp Ss Cort Fib St Lck,550.62,214.74,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 55Mm Lc Dcp Ss Cort Prox Med,125.73,49.03,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 55Mm Lcp Ss Prox Med Tib Lck,552.17,215.35,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 65Mm Lc Dcp Dcp Ss Cort Ft St,124.42,48.52,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 65Mm Pelvic St Cort,163.53,63.78,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 70Mm Lc Dcp Ss Cort Prox Med,124.77,48.66,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 70Mm Pelvic St Cort,163.53,63.78,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 75Mm Lc Dcp Ss Cort Prox Med,126.63,49.39,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 75Mm Lcp Ss Prox Med Tib Lck,554.14,216.11,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 75Mm Pelvic St Cort,163.53,63.78,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 80Mm Lc Dcp Ss Cort Prox Med,125.92,49.11,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 80Mm Lcp Ss Prox Med Tib Lck,554.76,216.36,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 80Mm Pelvic St Cort,163.53,63.78,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 85Mm Lc Dcp Ss Cort Prox Med,128.61,50.16,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 85Mm Lcp Ss Prox Med Tib Lck,550.62,214.74,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 85Mm Pelvic St Cort,163.53,63.78,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 90Mm Pelvic St Cort,163.53,63.78,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 95Mm Lc Dcp Ss Cort Prox Med,124.87,48.7,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm Cort St 100Mm,127.82,49.85,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm Cort St 10Mm,126.8,49.45,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm Cort St 110Mm,94.18,36.73,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm Cort St 90Mm,125.75,49.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.6Mm 18Mm Self Drill Var,671.72,261.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3.6Mm Spnl Self Drill,671.6,261.92,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 30Mm 6.5Mm Pncl Canc Strl,691.33,269.62,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 30Mm Acutwist Ti Ft,1262.7,492.45,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 30Mm Acutwist Ti Ft Peri Art Wrst,1606.32,626.46,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 30Mm Independ Spnl Va,1552.5,605.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3Mm 16Mm Bio Compression,2121.75,827.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3Mm 18Mm Bio Compression,2121.75,827.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3Mm 30Mm Lc Dcp Ss Cort St Ns Sm,124.62,48.6,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 3Mm 34Mm Chrlt Ss Ft St Self Drill,1187.14,462.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.2Mm 14Mm St Spnl Va,762.8,297.49,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.2Mm 14Mm Std Spnl Va,671.72,261.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.2Mm 14Mm Xtnd Fx,697.59,272.06,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.2Mm 16Mm Fx Ang,671.72,261.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.2Mm 16Mm Occ Cerv,671.72,261.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.2Mm 16Mm Std Spnva,671.72,261.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.2Mm 16Mm Var Ang,671.53,261.9,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.2Mm 16Mm Xtnd Fx,671.6,261.92,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.3Mm 36Mm Chrlt Ss Sh Thrd Ft,1461.42,569.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 14Mm Asr Ti Ant,671.72,261.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 14Mm Asr Ti Std,671.72,261.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 15Mm Var Self Drill,725.19,282.82,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 16Mm Lc Dcp Dhs-Dcs Ss Cort St,153.18,59.74,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 20Mm Aqls,1037.07,404.46,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 22Mm Lc Dcp Dhs-Dcs Ss Cort,153.18,59.74,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 24Mm Lc Dcp Dhs-Dcs Ss Cort St,153.03,59.68,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 26Mm Aqls,1037.07,404.46,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 26Mm Lc Dcp Dhs-Dcs Ss Cort St,151.04,58.91,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 28Mm Lcp Ss Chld Adol Cort St,138.91,54.17,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 30Mm Cocr,4108.6,1602.35,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 32Mm Aqls,1037.07,404.46,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 32Mm Lcp Ss Cort St Ns Lg Frag,143.4,55.93,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 35Mm Cocr,4108.58,1602.35,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 38Mm Lc Dcp Dhs-Dcs Ss Cort St,137.98,53.81,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 38Mm Ss P-T Cannula Ns,669.64,261.16,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 40Mm Cocr,4108.54,1602.33,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 40Mm Dhs-Dcs Ss Cort St Ns Lg,147.89,57.68,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 40Mm Ss P-T Canc Cannula Ns,669.64,261.16,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 42Mm Lcp Ss Cort St Ns Lg Frag,138.01,53.82,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 44Mm Lc Dcp Dhs-Dcs Ss Cort St,141.59,55.22,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 44Mm Ss Ft Cannula Ns,687.24,268.02,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 45Mm Cocr,4108.67,1602.38,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 46Mm Lc Dcp Dhs-Dcs Ss Cort St,142.95,55.75,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 46Mm Ss P-T Cannula Ns,669.64,261.16,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 48Mm Lc Dcp Dhs-Dcs Ss Cort St,132.48,51.67,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 50Mm Cocr,4108.54,1602.33,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 50Mm Dcp Ss Cort St Ns Mini-Sm,198.72,77.5,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 52Mm Lc Dcp Dhs-Dcs Ss Cort St,153.18,59.74,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 54Mm Lc Dcp Dhs-Dcs Ss Cort St,128.34,50.05,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 56Mm Lc Dcp Dhs-Dcs Ss Cort,133.86,52.21,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 58Mm Lc Dcp Dhs-Dcs Ss Cort St,133.86,52.21,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 64Mm Lcp Ss Cort St Ns Lg Frag,153.18,59.74,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 66Mm Lc Dcp Dhs-Dcs Ss Cort St,95.22,37.14,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 68Mm Lcp Ss Cort Pelvic St Ns,153.18,59.74,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 85Mm Lc Dcp Dhs -Dcs Ss Cort St,270.14,105.35,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm 95Mm Lc Dcp Dhs-Dcs Ss Cort St,232.18,90.55,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm Ft 30Mm Cannula,687.24,268.02,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm Ft 40Mm Cannula,687.24,268.02,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm Ft 72Mm Cannula,687.24,268.02,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm Pt 44Mm Cannula,669.64,261.16,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.5Mm Troc Pt 175Mm Schnz Blnt,438.32,170.94,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4.6Mm 16Mm Occ Cerv,671.72,261.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 40Mm Thrd 175Mm Schnz 4Mm,691.1,269.53,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 46Mm 2.7Mm Lcp Dist Hum Elb Ss St,477.48,186.22,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 48Mm Mis Hdls,348.69,135.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 48Mm Mis Head,348.75,136.01,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 48Mm Mqd Spr Knee,349.8,136.42,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 10Mm Canc Ft,155.25,60.55,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 125Mm 40Mm Schnz Ss Fem Self,683.1,266.41,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 12Mm Lcp Ss Ft Canc Ns Sm Frag,148.78,58.02,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 14Mm Asr Ti Ant,671.53,261.9,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 14Mm Atl Ti Ant Cerv Spine Self,725.28,282.86,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 14Mm Lcp Ss Ft Canc Ns Sm Frag,148.65,57.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 150Mm 40Mm Schnz Ss Self Drill,694.01,270.66,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 15Mm Atl Ti Ant Cerv Spine Self,725.25,282.85,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 16Mm Asr Ti Ant,671.52,261.89,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 16Mm Lc Dcp Ss Ft Canc St Ns Sm,144.84,56.49,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 17Mm Atl Ti Ant,725.23,282.84,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 17Mm Fx Self Drill,725.54,282.96,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 18Mm Lc Dcp Ti Ft Canc Prox Med,175.95,68.62,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 18Mm Lcp Ss Ft Canc Ns Sm Frag,143.07,55.8,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 18Mm Ss Cort,188.02,73.33,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 20Mm Canc Ft,127.02,49.54,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 20Mm Nail Ex Ti Ft Hum Tib St,776.77,302.94,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 22Mm Lcp Ss Ft Canc Ns Sm Frag,155.25,60.55,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 24Mm Lc Dcp Ss Ft Canc Cannula,155.25,60.55,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 24Mm Lc Dcp Ss P-T Canc Prox Med,155.25,60.55,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 24Mm Nail Ex Ti Ft Hum Tib St,737.75,287.72,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 24Mm Nail Ex Ti Ft Hum Tib Strl,961.0,374.79,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 26Mm Lc Dcp Ss P-T Canc Ns Sm,155.25,60.55,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 26Mm Lcp Ss Ft Canc Prox Med Tib,116.44,45.41,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 26Mm Nail Ex Ti Ft Hum Tib St,768.4,299.68,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 28Mm Lc Dcp Ss Ft Canc Prox Med,155.25,60.55,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 28Mm Nail Ex Ti Hum Tib Lck,744.16,290.22,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 30Mm Canc Ft,116.44,45.41,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 30Mm Lcp Ss L-T Fem Cannula Ns,636.52,248.24,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 30Mm Nail Ex Ti Hum Tib Lck,712.08,277.71,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 30Mm Nail Ex Ti Hum Tib Lck Strl,921.67,359.45,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 32Mm Lcp Ss L-T Fem Cannula Ns,636.01,248.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 32Mm Lcp Ss Sh Thrd Canc Cannula,751.41,293.05,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 32Mm Nail Ex Ti Hum Tib Lck,776.25,302.74,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 34Mm 11Mm Lcp Ss Sh Thrd Fem,693.71,270.55,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 34Mm Lcp Ss L-T Fem Cannula Ns,751.41,293.05,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 34Mm Nail Ex Strl Ft Hum Tib St Ti,922.18,359.65,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 34Mm Nail Ex Ti Ft Hum Tib St,776.25,302.74,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 35Mm Lc Dcp Ss Ft Canc Ns Sm,145.55,56.76,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 35Mm Lc Dcp Ss P-T Canc Prox Med,155.25,60.55,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 36Mm Lcp Ss L-T Fem Cannula Ns,636.52,248.24,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 36Mm Lcp Ss Sh Thrd Fem Cannula,636.52,248.24,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 36Mm Nail Ex Ti Ft Hum Tib St,744.16,290.22,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 38Mm Lcp Ss L-T Fem Cannula Ns,636.18,248.11,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 38Mm Lcp Ss Sh Thrd Canc Cannula,682.27,266.09,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 40Mm Canc Ft,145.55,56.76,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 40Mm Lcp Ss L-T Fem Cannula Ns,679.9,265.16,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 42Mm Lcp Ss Sh Thrd Sm Bn,636.52,248.24,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 44Mm Lcp Ss L-T Fem Cannula Ns,636.18,248.11,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 44Mm Lcp Ss Sh Thrd Fem Cannula,636.52,248.24,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 45Mm Dcp Lc Dcp Ss P-T Canc Ns,146.3,57.06,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 45Mm Lc Dcp Ss Ft Canc Ns Sm,149.28,58.22,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 46Mm Lcp Ss L-T Fem Cannula Ns,636.18,248.11,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 48Mm Lcp Ss Sh Thrd Fem Cannula,636.52,248.24,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 50Mm 15Mm Ss P-T,2227.84,868.86,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 50Mm Asns 3 Ti,676.89,263.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 50Mm Canc Ft,149.71,58.39,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 50Mm Nail Ex Ti Ft Hum Tib St,776.25,302.74,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 52Mm Ss Cort Ft St Ns,116.96,45.61,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 54Mm Ss Cort Ft St Ns,116.96,45.61,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 55Mm Lc Dcp Ss Ft Canc Ns Sm,155.25,60.55,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 55Mm Ss P-T Canc Ns,127.99,49.92,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 56Mm Nail Ex Ti Ft Hum Tib St,712.08,277.71,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 58Mm Ss Cort Ft St Ns,157.32,61.35,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 60Mm Canc Ft,155.25,60.55,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 80Mm 20Mm Schnz S S Fem Self,683.1,266.41,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 95Mm Ss Cort Ft St Ns,208.04,81.14,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5.5Mm 20Mm Independ,1552.5,605.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5.5Mm 25Mm Cocr,4108.43,1602.29,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5.5Mm 25Mm Independ,1552.43,605.45,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5.5Mm 30Mm Cocr,4108.54,1602.33,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5.5Mm 35Mm Cocr,4108.54,1602.33,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5.5Mm 35Mm Independ Spine Va,1552.5,605.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5.5Mm 40Mm Cocr,4108.48,1602.31,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5.5Mm 40Mm Va,1552.5,605.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5.5Mm 45Mm Cocr,4108.48,1602.31,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5.5Mm 45Mm Va,1552.5,605.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5.5Mm 50Mm Cocr,4108.51,1602.32,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5.5Mm 50Mm Va,1552.5,605.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5.5Mm 55Mm Cocr,4108.495,1602.315,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5.5Mm Cd Hzn Lgc Ti Pdcl Brkof Strl,397.44,155.0,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 14Mm Lcp Dhhs Ss Prox Med Peri,572.36,223.22,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 150Mm Schnz Ss Condy Hip Self,654.86,255.4,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 16Mm Lcp Ss T25 Prox Med Peri,572.36,223.22,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 175Mm Schnz Ss Condy Hip Self,646.76,252.24,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 200Mm 80Mm Schnz Ss Self Drill,639.25,249.31,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 22Mm Lcp Ss Prox Med Tib Lck St,572.36,223.22,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 250Mm 80Mm Schnz Ss Self Drill,667.75,260.42,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 28Mm Lcp Ss Ped Univ Cort T25,632.8,246.79,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 30Mm Cocr,4108.43,1602.29,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 30Mm Lcp Ss Ped Univ Cort T25,572.36,223.22,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 30Mm Nail Ex Ti Ft Fem-Tib St,767.08,299.16,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 30Mm Trgn Lp,2255.35,879.59,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 32Mm Nail Ex Ti Ft Fem-Tib St,766.12,298.79,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 34Mm Lcp Ss Ped Univ Cort T25,572.36,223.22,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 34Mm Nail Ex Ti Ft Fem-Tib St,768.55,299.73,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 35Mm Cocr,4108.43,1602.29,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 35Mm T2 Ti Alloy Ft Prox Fem Lck,1073.42,418.63,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 35Mm Trgn Lp,2255.26,879.55,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 36Mm Lcp Ss Ped Univ Cort T25,597.54,233.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 36Mm Nail Ex Ti Ft Fem-Tib St,763.5,297.76,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 37.5Mm T2 Ti Alloy Ft Prox Fem,660.85,257.73,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 38Mm Nail Ex Ti Ft Fem-Tib St,758.75,295.91,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 40Mm Cocr,4108.43,1602.29,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 40Mm Nail Ex Ti Ft Fem-Tib St,747.08,291.36,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 40Mm T2 Ti Alloy Ft Prox Fem Lck,1073.3,418.59,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 40Mm Thrd 125Mm Self Drill Schnz 5Mm,611.17,238.36,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 42.5Mm Trgn Lp,2255.26,879.55,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 42Mm Nail Ex Ti Ft Fem-Tib St,747.73,291.61,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 44Mm Nail Ex Ti Ft Fem-Tib St,765.55,298.56,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 45Mm Cocr,4108.48,1602.31,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 45Mm T2 Ti Alloy Ft Prox Fem Lck,1486.78,579.84,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 46Mm Nail Ex Ti F T Fem-Tib Strl,922.18,359.65,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 46Mm Nail Ex Ti Ft Fem-Tib St,737.75,287.72,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 48Mm Nail Ex Ti Ft Fem-Tib St,778.76,303.72,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 48Mm Nail Ex Ti Ft Fem-Tib Strl,922.18,359.65,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 50Mm Nail Ex Ti F T Tib St Lck 2 Strl,1018.44,397.19,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 50Mm T2 Ti Alloy Ft Prox Fem Lck,660.33,257.53,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 52Mm Nail Ex Ti Ft Fem-Tib St,763.42,297.73,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 54Mm Nail Ex Ti Ft Fem-Tib St,712.08,277.71,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 55Mm Cocr,4316.36,1683.38,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 55Mm T2 Ti Alloy Ft Prox Fem Lck,1486.26,579.64,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 56Mm Nail Ex Ti F T Fem-Tib Strl,922.18,359.65,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 56Mm Nail Ex Ti Ft Fem-Tib St,744.16,290.22,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 58Mm Nail Ex Ti Ft Fem-Tib St,776.25,302.74,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 60Mm Nail Ex Ti Ft Fem-Tib St,776.25,302.74,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 62Mm Nail Ex Ti Fem-Tib Lck,850.77,331.8,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 65Mm Lcp Ss Prox Fem Cannula,1024.65,399.61,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 68Mm Nail Ex Ti Fem-Tib Lck,744.16,290.22,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 70Mm Lcp Ss Peri Art Fem-Tib,1024.65,399.61,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 70Mm Lcp Ss Prox Fem Lck St T25,572.36,223.22,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 70Mm T2 Ti Alloy,1486.26,579.64,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 72Mm Nail Ex Ti Fem-Tib Lck,712.08,277.71,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 74Mm Nail Ex Ti Fem-Tib Lck,776.25,302.74,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 75Mm Lcp Ss Peri Art Fem-Tib,764.86,298.3,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 75Mm T2 Ti Alloy Ft Prox Fem Lck,660.85,257.73,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 80Mm Lcp Dhhs Ss Prox Med Peri,572.36,223.22,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 80Mm Lcp Ss Peri Art Fem-Tib,894.76,348.96,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 80Mm T2 Ti Alloy,660.33,257.53,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 85Mm Lcp Ss Peri Art Fem-Tib,1024.65,399.61,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 85Mm Nail Ex Ti Ft Fem-Tib St,842.49,328.57,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 85Mm Stardr Ss Prox Fem Lck St T,647.91,252.68,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 85Mm T2 T1 Alloy Ft Prox Fem Lck,1073.3,418.59,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm 90Mm T2 Ti Alloy,1486.26,579.64,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm Independ Spnl Fix,1552.5,605.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm Low Prof Trgn,2255.26,879.55,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm Schnz 150Mm Blnt Troc Pt Spd Pt,342.17,133.45,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm Schnz 170Mm Blnt Troc Pt Spd Pt,465.34,181.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm Schnz 200Mm Blnt Troc Pt Spd Pt,388.05,151.34,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 5Mm Schnz 250Mm Blnt Troc Pt Spd Pt,488.96,190.69,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 100Mm 20Mm Asns,2032.74,792.77,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 100Mm 32Mm Ss Fem Cannula Thrd,844.56,329.38,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 15Mm Pncl Canc Strl,650.79,253.81,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 15Mm Trlg Tiv,770.04,300.32,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 16Mm 105Mm Thrd Cannula,844.56,329.38,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 16Mm 110Mm Thrd Cannula,844.56,329.38,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 16Mm 120Mm Thrd Cannula,1142.64,445.63,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 16Mm 130Mm Thrd Cannula,844.56,329.38,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 16Mm 55Mm Ss Fem Cannula Thrd Ns,844.56,329.38,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 16Mm Ss Fem Cannula Thrd Ns,1142.64,445.63,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 16Mm Thrd 75Mm Cannula,943.92,368.13,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 16Mm Thrd 80Mm Cannula,965.14,376.4,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 16Mm Thrd 85Mm Cannula,844.04,329.18,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 16Mm Thrd 90Mm Cannula,844.56,329.38,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 16Mm Thrd 95Mm Cannula,844.56,329.38,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 20Mm Pncl Canc Strl,652.14,254.33,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 20Mm Reflc Canc,188.37,73.46,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 25Mm Pncl Canc Strl,633.83,247.19,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 25Mm Reflc Canc,188.37,73.46,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 25Mm Trlg Tiv,531.34,207.22,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 30Mm St,526.57,205.36,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 30Mm Trlg Tiv,531.47,207.27,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 32Mm 105Mm Cannula,844.56,329.38,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 32Mm 110Mm Cannula,844.3,329.28,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 32Mm 115Mm Cannula,943.92,368.13,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 32Mm 120Mm Cannula,919.08,358.44,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 32Mm 130Mm Cannula,943.92,368.13,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 32Mm 135Mm Cannula,1142.64,445.63,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 32Mm 140Mm Cannula,1142.64,445.63,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 32Mm 55Mm Cannula,993.6,387.5,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 32Mm 70Mm Canc Thrd,294.98,115.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 32Mm 90Mm Cannula,844.56,329.38,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 35Mm Cocr,4108.57,1602.34,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 35Mm Pncl Canc Strl,656.71,256.12,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 35Mm Reflc Canc,188.37,73.46,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 35Mm Trlg Tiv,531.47,207.27,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 40Mm Cocr,4108.5,1602.32,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 40Mm Spnl Rvlv,4108.43,1602.29,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 40Mm St,552.69,215.55,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 45Mm Cocr,4108.52,1602.32,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 45Mm Reflc Canc,188.37,73.46,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 45Mm Spnl Rvlv,4108.43,1602.29,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 50Mm Cocr,4108.5,1602.32,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 50Mm Spnl Rvlv,4108.43,1602.29,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 55Mm 32Mm Lcp Ss Canc Thrd Ns,294.98,115.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 55Mm Cocr,4108.5,1602.32,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 60Mm Cocr,4108.58,1602.35,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 70Mm 32Mm Ss Fem Self Drill Ns,1142.64,445.63,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 75Mm 32Mm Ss Fem Cannula Ns,943.92,368.13,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 80Mm 32Mm Ss Fem Cannula Ns,1068.12,416.57,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 85Mm 20Mm Asns 3 Ti Fem Hip,2311.16,901.35,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 85Mm 32Mm Ss Fem Cannula Thrd,993.34,387.4,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 95Mm 20Mm Asns 3 Ti Fem Hip,1518.86,592.36,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6.5Mm 95Mm 32Mm Ss Fem Cannula Thrd,943.92,368.13,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 65Mm 30Mm Reflc Canc Acetab Sphrcl,188.37,73.46,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 65Mm 40Mm Reflc Canc Acetab Sphrcl,188.37,73.46,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 65X40Mm,2111.4,823.45,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6Mm 190Mm Schnz Ss Fem Spd Pt Ns Lg,438.84,171.15,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6Mm 2Mm,385.28,150.26,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6Mm 40Mm Nail Ex Ti Ft Fem-Tib St,712.08,277.71,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6Mm 5.6Mm 260Mm 50Mm Xclbr Ostt Ha,580.23,226.29,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6Mm 5.6Mm 260Mm 60Mm,580.29,226.31,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6Mm 5.6Mm 260Mm 70Mm,580.12,226.25,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 6Mm 5.6Mm 260Mm 80Mm,580.38,226.35,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 100Mm 32Mm Ss Fem Cannula Ns,898.79,350.53,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 100Mm Ss Cannul A Ft Ns,881.82,343.91,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 105Mm 16Mm Ss Cannula Thrd Ns,938.4,365.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 105Mm 32Mm Ss Fem Cannula Ns,839.38,327.36,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 115Mm 32Mm Ss Fem Cannula Ns,839.38,327.36,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 16Mm Thrd 100Mm Cannula,1037.76,404.73,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 32Mm Thrd 110Mm Cannula,839.38,327.36,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 32Mm Thrd 130Mm Cannula,839.38,327.36,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 32Mm Thrd 140Mm Cannula,1136.43,443.21,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 32Mm Thrd 150Mm Cannula,839.38,327.36,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 32Mm Thrd 60Mm Cannula,987.91,385.28,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 32Mm Thrd 70Mm Cannula,839.38,327.36,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 32Mm Thrd 80Mm Cannula,987.91,385.28,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 45Mm Lcp Ss Ft Condy Fem-Tib,1287.54,502.14,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 65Mm 32Mm Ss Fem Cannula Ns,839.38,327.36,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 75Mm 16Mm Ss Canc Self Drill,839.38,327.36,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 75Mm 32Mm Ss Fem Cannula Ns,938.4,365.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 80Mm 16Mm Stainless Steel Canc,839.38,327.36,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 85Mm 16Mm Ss Fem Self Drill,839.38,327.36,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 90Mm 16Mm Ss Cannula Cannula,893.39,348.42,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 90Mm 32Mm Ss Fem Cannula Ns,971.52,378.89,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 90Mm Lcp Ss Ft Condy Fem-Tib,1120.9,437.15,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 95Mm 16Mm Ss Fem Self Drill,1004.64,391.81,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 95Mm 32Mm Ss Fem Cannula Thrd,839.38,327.36,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 7.3Mm 95Mm Ss Cannula Ft Ns,1136.43,443.21,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 7.5Mm 40Mm Cocr,4108.51,1602.32,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 7.5Mm 40Mm Solera,4316.47,1683.42,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 7.5Mm 45Mm Cocr,4108.49,1602.31,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 7.5Mm 50Mm Cocr,4108.57,1602.34,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 7.5Mm 55Mm Cocr,4108.54,1602.33,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 8X2.7Mm Ribloc Rb Grn,859.57,335.23,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 95Mm 90Mm Intertan,6425.28,2505.86,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn 9Mm 25Mm Intfr 60 Rnd Head Composi Tcp,2564.38,1000.11,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Bicort 45Mmx30Mm Post Ti Strl,537.16,209.49,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Canc 18Mm 4Mm Sm,129.38,50.46,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Canc 4Mm Pt 40Mm,152.11,59.32,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Canc 4Mm Pt 50Mm,155.25,60.55,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Canc 6.5Mm 30Mm 16Mm Thrd,144.9,56.51,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Cannula 2.5X14Mm Strl,859.05,335.03,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Cannula 2.5X16Mm Strl,859.57,335.23,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Cannula 3.5Mm 46Mm P-T,835.24,325.74,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Cannula 4-50Mm L-T,712.94,278.05,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Cannula 4Mm 30Mm Strl,1230.62,479.94,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Cannula 4Mm 40Mm,1060.88,413.74,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Cannula 4Mm 60Mm L-T,636.01,248.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Cannula 80Mm 5Mm,1119.56,436.63,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Cannula 85Mm 5Mm,1117.8,435.94,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Cannula Lck Va 5Mm 65 Mm,1121.59,437.42,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Comp Ft 25 Micr 22Mm,1880.6,733.43,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Cort 1.5Mm 10Mm St Strdr,249.32,97.23,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Cort 1.5Mm 11Mm St St Rdr,249.44,97.28,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Cort 1.5Mm 12Mm St St Rdr,249.44,97.28,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Cort 1.5Mm 6Mm St Str Dr,249.44,97.28,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Cort 1.5Mm 7Mm St Str Dr,249.44,97.28,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Cort 1.5Mm 8Mm St Strdr,249.44,97.28,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Cort 1.5Mm 9Mm St Str Dr,249.44,97.28,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Cort 12Mm 2.7Mm Low,687.24,268.02,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Cort 14Mm 2.7Mm Low Prof,687.24,268.02,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Cort 14Mm 3.5Mm Low Prof,547.52,213.53,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Cort 16Mm 2.7Mm Low,687.24,268.02,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Cort 16Mm 3.5Mm Low Prof,547.52,213.53,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Cort 18Mm 2.7Mm Low Prof,687.24,268.02,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Cort 18Mm 3.5Mm Low Prof,547.66,213.59,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Cort 20Mm 3.5Mm Low Prof,622.77,242.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Cort 30Mm 3.5Mm Low Prof,547.52,213.53,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Cort 4.5Mm 115Mm St,156.28,60.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Cort 4.5Mm 20Mm St,153.18,59.74,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Cort 4.5Mm 50Mm St,129.25,50.41,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Cort 4.5Mm 60Mm St,141.59,55.22,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Cort 4.5Mm 70Mm St,141.59,55.22,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Cort 4.5Mm 72Mm St,124.2,48.44,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Cort 4.5Mm 80Mm St,270.14,105.35,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Cort 4.5Mm 90Mm St,241.67,94.25,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Cort 4Mm 26Mm St,116.96,45.61,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Cort 4Mm 40Mm St,157.32,61.35,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Cort 4Mm 50Mm St,157.32,61.35,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Ft 6.5Mm 100Mm Cannula,1142.64,445.63,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Ft 6.5Mm 105Mm Cannula,1142.64,445.63,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Ft 6.5Mm 110Mm Cannula,844.56,329.38,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Ft 6.5Mm 115Mm Cannula,1142.64,445.63,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Ft 6.5Mm 120Mm Cannula,894.24,348.75,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Ft 6.5Mm 125Mm Cannula,844.56,329.38,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Ft 6.5Mm 130Mm Cannula,993.6,387.5,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Ft 6.5Mm 140Mm Cannula,939.3,366.33,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Ft 6.5Mm 150Mm Cannula,1054.25,411.16,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Ft 6.5Mm 160Mm Cannula,1045.35,407.69,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Ft 6.5Mm 60Mm Cannula,844.56,329.38,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Ft 6.5Mm 70Mm Cannula,844.56,329.38,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Ft 6.5Mm 75Mm Cannula,844.56,329.38,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Ft 6.5Mm 80Mm Cannula,894.24,348.75,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Ft 6.5Mm 85Mm Cannula,844.21,329.24,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Ft 6.5Mm 90Mm Cannula,993.6,387.5,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Ft 6.5Mm 95Mm Cannula,844.56,329.38,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Ft 7.3Mm 105Mm Cannula,839.38,327.36,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Ft 7.3Mm 110Mm Cannula,839.38,327.36,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Ft 7.3Mm 130Mm Cannula,913.65,356.32,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Ft 7.3Mm 140Mm Cannula,1175.76,458.55,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Ft 7.3Mm 75Mm Cannula,839.38,327.36,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Ft 7.3Mm 80Mm Cannula,1136.43,443.21,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Ft 7.3Mm 90Mm Cannula,938.4,365.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Hdls 3X40Mm,1187.14,462.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Hdls 7Mm Darco 40Mm,3079.12,1200.86,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Independ Spnl Va,1552.5,605.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn L25Mm Dia5Mm Trigen Cort Tib Gl Ti St Sd Noncannu,2255.61,879.69,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Lck 10Mm 2.7Mm,1037.07,404.46,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Lck 10Mm 3.5Mm,1074.33,418.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Lck 12Mm 3.5Mm,1074.33,418.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Lck 14Mm 2.7Mm,1036.79,404.35,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Lck 14Mm 3.5Mm,1074.33,418.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Lck 16Mm 2.7Mm,1036.72,404.32,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Lck 16Mm 3.5Mm,1074.33,418.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Lck 18Mm 3.5Mm,1074.33,418.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Lck 20Mm 2.7Mm,1353.78,527.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Lck 24Mm 3.5Mm,1074.33,418.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Lck 28Mm 3.5Mm,547.77,213.63,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Lck 3.5Mm 28Mm Stardr Recess St,550.85,214.83,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Lck 3.5Mm 48Mm Stardr Recess St,550.88,214.84,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Lck 3.5Mm 90Mm Stardr Recess St,564.59,220.19,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Lck 30Mm 3.5Mm,1074.33,418.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Lck 30X16Mm,590.98,230.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Lck 5Mm 32Mm T25 Stardr St,590.98,230.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Lck 5Mm 55Mm T25 Stardr St,647.91,252.68,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Lck Va Cannula 5Mm 48Mm,829.55,323.52,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Lck Va St 5Mm 12Mm,1193.36,465.41,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Lck Va St 5Mm 14Mm,1191.29,464.6,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Lck Va St 5Mm 18Mm,1191.29,464.6,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Lck Va St 5Mm 30Mm,830.07,323.73,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Lck Va St 5Mm 40Mm,829.72,323.59,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Lck Va St 5Mm 42Mm,830.07,323.73,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Lck Va St 5Mm 60Mm,830.07,323.73,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Lck Va St 5Mm 65Mm,843.87,329.11,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Lck Va St 5Mm 70Mm,845.6,329.78,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Lck Va St 5Mm 75Mm,829.72,323.59,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Lock Lck Va St 5X80Mm,829.68,323.58,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Lock Lck Va St 5X85Mm,829.86,323.65,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Lock Va St 5Mm 34Mm,838.25,326.92,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Lock Va St 5Mm 36Mm,834.32,325.38,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Lock Va St 5Mm 38Mm,830.07,323.73,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Lock Va St 5X44Mm,830.07,323.73,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Lock Variable Angle St 5X46Mm,830.07,323.73,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Low Prof 3.5Mm 16Mm T Ti,545.04,212.57,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Low Prof 35Mm 18Mm T Ti,337.52,131.63,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Low Prof 35X13Mm Ti,311.92,121.65,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Low Prof 35X14Mm Ti,320.24,124.89,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Low Prof 4.0X50Mm Ss Cann Lng Thrd,886.3,345.66,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Low Prof 4Mm 16Mm Ti Lt,370.53,144.51,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Low Prof Can 45X50Mm Ti,939.78,366.51,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Low Prof Cort 24X24M,1087.79,424.24,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Low Prof Lck 35X14Mm Ti,731.51,285.29,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Low Prof Lck 35X16Mm Ss,617.9,240.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Mini 2.3Mmx7Mm,320.85,125.13,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Mtphsl 2.7Mm 22Mm St T8 Stardr Recess,333.27,129.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Mtphsl 2.7Mm 60Mm St T8 Stardr Recess,303.51,118.37,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Mtrx 4Mm,367.9,143.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Multiloc 4.5Mm 34Mm Ti,1254.28,489.17,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Multiloc 4.5Mm 36Mm Ti Strl,1274.22,496.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Multiloc 4.5Mm 40Mm Ti Strl,1244.29,485.27,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Multiloc 4.5Mm 42Mm Ti Strl,1270.8,495.61,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Multiloc 4.5Mm 44Mm Ti Strl,1244.07,485.19,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Mutiloc 4.5Mm 32Mm Ti Strl,1260.86,491.74,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Mutiloc 4.5Mm 38Mm Ti,1264.46,493.14,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Prox Tenodesis Impl,3262.35,1272.32,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Ribloc 10Mm,926.37,361.28,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Ribloc 8Mm,1080.04,421.22,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Schnz Canc Spnl Ns Bolt,1088.86,424.66,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Spd Pt 4Mm 100Mm Schnz,382.95,149.35,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Va4.2Mm 14Mm Xtnd,671.49,261.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bn Va4.2Mm 16Mm Xtnd,671.5,261.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone 1.8X4Mm Tij Matrix Neuro Screw,1592.86,621.22,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone 2.0X8Mm,290.23,113.19,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone 3.5X10Mm T10 Drive Fully Threaded Locking,526.82,205.46,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone 3.5X16Mm T10 Drive Nonlocking Titanium Variax,284.62,111.0,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone 3.5X22Mm Foot Threaded Nonlocking,547.52,213.53,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone 3X10 Mm Sterile Double Lead Thread,848.7,330.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone 3X10Mm Sterile Double Lead Thread,1697.4,661.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone 3X13Mm Sterile Double Lead Thread,1273.0500000000002,496.49,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone 3X8Mm Sterile Double Lead Thread,1697.4,661.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone 4 Mm Diameter 40 Mm Pt,886.17,345.61,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone 4.5X46Mm Thread Self Cut Blunt Tip Sterile,1244.33,485.29,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone 40Mm 5Mm Locking Self Tapping Synthes Usa,830.69,323.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone 4X38Mm Cancellous Cannulated Short Thread,886.48,345.73,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone 5.5X25Mm Spinal Variable Angle Globus Medical,1552.46,605.46,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone 5X22.5Mm Titanium Threaded Low Profile Sterile,1107.45,431.91,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone 5X34Mm Sterile Xl25,1281.02,499.6,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone 5X38Mm Sterile Xl25,1093.71,426.55,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone 5X40Mm Sterile Xl25 Recess Locking Titanium Tn Ad,1086.62,423.78,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone 5X42Mm Sterile Xl25,1185.3049999999998,462.27,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone 5X54Mm Sterile Xl25,1082.61,422.22,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone 5X56Mm Sterile Xl25 Recess Locking Titanium Tn Ad,1082.61,422.22,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone 5X76Mm Sterile Xl25 Recess Locking Titanium Tn Ad,1082.61,422.22,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone 6.5Mmx80Mm T25 Stardr Reconstruction Recess Synth,951.16,370.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone 7.0X90Mm Cann Sc Ss 32Thd,2611.3,1018.41,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone 95Mm 6.4Mm Femoral Neck System Synthes Usa,1141.9,445.34,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L10Mm D 5Mm Cann Peripr Val Scr -Slf-Tpng-Strd,1224.4,477.52,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L10Mm Dia2.3Mm Gold,811.44,316.46,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L10Mm Dia3.5Mm Locking Low Profile,806.26,314.44,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L12Mm D 2Mm Quick Insertion Screw,1725.34,672.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L12Mm D 2Mm Quick Insertion Screw -Ster,1938.56,756.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L12Mm D 5Mm Cann Peripr Val Scr- -Slf-Tpng-Str,1256.23,489.93,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L12Mm Dia2.3Mm Gold,811.44,316.46,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L12Mm Dia2.7Mm Elbow Titanium Locking,531.99,207.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L12Mm Dia3.5Mm Titanium Locking Geminus,440.91,171.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L12Mm Dia3.5Mm Titanium Nonlocking Geminus,440.39,171.75,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L140Mm D 7.5Mm Cann Comp Headless Screw-Lt,2615.45,1020.03,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L14Mm D 5Mm Cann Peripr Val Scr- -Slf-Tpng-Str,1238.55,483.03,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L14Mm Dia2.3Mm Gold,663.38,258.72,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L16Mm D 2.5Mm Cann Comp Headless Screw- St,1934.42,754.42,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L16Mm D 2.5Mm Cann Comp Headless Screw- St- Ster,2114.5,824.66,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L16Mm D 2Mm Cann Comp Headless Screw- St- Ster,1938.56,756.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L16Mm D 5Mm Cann Peripr Val Scr -Slf-Tpng-Strd,1242.59,484.61,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L18Mm D 5Mm Cann Peripr Val Scr-Slf-Tpng-Strdr,1224.4,477.52,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L20Mm D 2.5Mm Cann Comp Headless Screw- Lt- Ster,1938.04,755.84,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L20Mm D 2Mm Cann Comp Headless Screw- Lt,1803.75,703.46,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L20Mm D 2Mm Cann Comp Headless Screw- St,1725.34,672.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L20Mm D 3.5Mm Cann Comp Headless Screw- St,1725.34,672.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L20Mm D 3Mm Cann Comp Headless Screw- Lt- Ster,1938.56,756.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L20Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,880.27,343.31,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L22Mm D 2.5Mm Cann Comp Headless Screw- Lt,1829.88,713.65,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L22Mm D 2.5Mm Cann Comp Headless Screw- St- Ster,1938.21,755.9,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L22Mm D 2Mm Cann Comp Headless Screw- St,1725.34,672.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L22Mm D 3Mm Cann Comp Headless Screw- Lt,1725.34,672.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L22Mm D 3Mm Cann Comp Headless Screw- St- Ster,1938.56,756.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L22Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,880.27,343.31,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L22Mm Dia3.5Mm Cortical Foot Ankle Locking,1074.33,418.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L24Mm D 2.5Mm Cann Comp Headless Screw- Lt- Ster,2202.48,858.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L24Mm D 2.5Mm Cann Comp Headless Screw- St- Ster,2290.46,893.28,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L24Mm D 2Mm Cann Comp Headless Screw- Lt,1725.34,672.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L24Mm D 3Mm Cann Comp Headless Screw- Lt- Ster,1938.56,756.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L24Mm D 3Mm Cann Comp Headless Screw- St- Ster,1938.04,755.84,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L24Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,875.82,341.57,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L26Mm D 2.5Mm Cann Comp Headless Screw- Lt,1725.34,672.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L26Mm D 2Mm Cann Comp Headless Screw- Lt- Ster,1938.56,756.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L26Mm D 3.5Mm Cann Comp Headless Screw- Lt,1725.34,672.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L26Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,858.02,334.63,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L26Mm Dia2.4M Wrist Titanium Angl Lck Low Prof,1307.2,509.81,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L28Mm D 2.5Mm Cann Comp Headless Screw- Lt- Ster,1938.56,756.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L28Mm D 3Mm Cann Comp Headless Screw- Lt,1725.34,672.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L28Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,877.79,342.34,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L30Mm D 2.5Mm Cann Comp Headless Screw- Lt- Ster,1938.56,756.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L30Mm D 2Mm Cann Comp Headless Screw- St- Ster,1938.56,756.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L30Mm D 3Mm Cann Comp Headless Screw- Lt,1725.34,672.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L30Mm D 3Mm Cann Comp Headless Screw- Lt- Ster,1938.56,756.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L30Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,872.85,340.41,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L32Mm D 3.5Mm Cann Comp Headless Screw- St- Ster,2290.46,893.28,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L32Mm D 3Mm Cann Comp Headless Screw- Lt,1725.34,672.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L32Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,896.16,349.5,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L34Mm D 2.5Mm Cann Comp Headless Screw- St- Ster,1938.56,756.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L34Mm D 4.5Mm Cann Comp Headless Screw-Lt,2038.95,795.19,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L34Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,881.75,343.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L34Mm Dia4Mm Cannulated Blunt Tip,886.48,345.73,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L36Mm D 3Mm Cann Comp Headless Screw- Lt,1725.34,672.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L36Mm D 3Mm Cann Comp Headless Screw- Lt- Ster,1938.04,755.84,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L36Mm D 4Mm Cann Comp Headless Screw- St,1725.34,672.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L36Mm D 4Mm Cann Comp Headless Screw-Lt,1725.34,672.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L36Mm D 4Mm Cann Comp Headless Screw-Lt- Ster,1938.04,755.84,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L36Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,870.04,339.32,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L38Mm D 2.5Mm Cann Comp Headless Screw- Lt,1725.34,672.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L38Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,871.2,339.77,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L38Mm Dia3.5Mm Titanium Forefoot Midfoot,1074.33,418.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L40Mm D 2.5Mm Cann Comp Headless Screw- Lt- Ster,2290.46,893.28,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L40Mm D 3Mm Cann Comp Headless Screw- Lt,1725.34,672.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L40Mm D 4.5Mm Cann Comp Headless Screw- Lt,1725.34,672.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L40Mm D 4Mm Cann Comp Headless Screw- Lt,2038.95,795.19,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L40Mm D 4Mm Cann Comp Headless Screw- Lt- Ster,1938.56,756.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L40Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,879.5,343.0,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L40Mm Dia4Mm Steel Cannulated,846.11,329.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L42Mm D 3.5Mm Cann Comp Headless Screw- St,1938.56,756.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L42Mm D 4Mm Cann Comp Headless Screw- Lt,1725.34,672.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L42Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,868.49,338.71,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L44Mm D 4.5Mm Cann Comp Headless Screw- Lt,1725.34,672.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L44Mm D 4.5Mm Cann Comp Headless Screw-St,1725.34,672.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L44Mm D 4Mm Cann Comp Headless Screw- Lt,1725.34,672.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L44Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,880.27,343.31,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L45Mm Dia4Mm Ankle Stnless Stl Lng Thrd Low Prof,885.96,345.52,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L46Mm D 3.5Mm Cann Comp Headless Screw- St,1725.34,672.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L46Mm D 4.5Mm Cann Comp Headless Screw- Lt- Ster,1938.56,756.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L46Mm D 4Mm Cann Comp Headless Screw- Lt- Ster,2290.46,893.28,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L46Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,893.62,348.51,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L48Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,867.9,338.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L48Mm Dia3.5Mm Standard Head 5Mm Cortical,1432.61,558.72,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L50Mm D 3.5Mm Cann Comp Headless Screw- St,1725.34,672.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L50Mm D 4.5Mm Cann Comp Headless Screw- Lt,1882.15,734.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L50Mm D 4.5Mm Cann Comp Headless Screw-St,1725.34,672.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L50Mm D 5Mm Cann Val Screw,1160.23,452.49,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L50Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,878.96,342.79,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L50Mm D 6.5Mm Cann Comp Headless Screw-Lt,3091.54,1205.7,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L50Mm Dia3.5Mm Thread L20Mm Headless,1938.04,755.84,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L50Mm Dia4Mm Thread L20Mm Headless,2290.46,893.28,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L52Mm D 4Mm Cann Comp Headless Screw- Lt- Ster,1938.56,756.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L55Mm D 4.5Mm Cann Comp Headless Screw- Lt,1725.34,672.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L55Mm D 5.5Mm Cann Comp Headless Screw- Lt,2734.47,1066.44,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L55Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,867.9,338.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L55Mm D 6.5Mm Cann Comp Headless Screw-Lt,2615.45,1020.03,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L60Mm D 4.5Mm Cann Comp Headless Screw- Lt,1725.34,672.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L60Mm D 5.5Mm Cann Comp Headless Screw- St,2615.96,1020.22,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L60Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,860.49,335.59,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L60Mm D 6.5Mm Cann Comp Headless Screw-Lt,2615.96,1020.22,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L60Mm D 7.5Mm Cann Comp Headless Screw- Lt,2615.45,1020.03,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L65Mm D 4.5Mm Cann Comp Headless Screw- Lt,1725.34,672.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L65Mm D 5Mm Cann Val Screw,1160.23,452.49,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L65Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,867.55,338.34,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L65Mm D 6.5Mm Cann Comp Headless Screw-Lt,2734.73,1066.54,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L70Mm D 4.5Mm Cann Comp Headless Screw- Lt,1926.65,751.39,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L70Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,870.0,339.3,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L70Mm D 6.5Mm Cann Comp Headless Screw- St,2615.45,1020.03,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L70Mm D 6.5Mm Cann Comp Headless Screw-Lt,2615.79,1020.16,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L70Mm D 7.5Mm Cann Comp Headless Screw- Lt,2615.45,1020.03,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L70Mm D 7.5Mm Cann Comp Headless Screw- St,2615.45,1020.03,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L70Mm Dia5Mm 3.5Mm,1200.94,468.37,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L75Mm D 4.5Mm Cann Comp Headless Screw- Lt,1926.65,751.39,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L75Mm D 5Mm Cann Val Screw,1160.23,452.49,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L75Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,865.99,337.74,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L75Mm D 6.5Mm Cann Comp Headless Screw- St,3091.54,1205.7,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L75Mm D 7.5Mm Cann Comp Headless Screw- St,2615.45,1020.03,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L80Mm D 5Mm Cann Val Screw,1160.23,452.49,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L80Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,868.97,338.9,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L80Mm D 6.5Mm Cann Comp Headless Screw- St,2615.45,1020.03,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L80Mm D 7.5Mm Cann Comp Headless Screw- St,2615.45,1020.03,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L85Mm D 5Mm Cann Val Screw,1160.23,452.49,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L85Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,873.91,340.82,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L85Mm D 6.5Mm Cann Comp Headless Screw-Lt,2615.96,1020.22,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L85Mm D 7.5Mm Cann Comp Headless Screw- St,2615.45,1020.03,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L90Mm D 5Mm Cann Val Screw- Slf-Tpng-Strdrv,887.68,346.2,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone L90Mm D 7.5Mm Cann Comp Headless Screw- Lt,2615.45,1020.03,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone Max 3.4Mm X 34Mm Vpc Zimmer,215.28,83.96,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone Pediatric L12Mm Dia3.5Mm,191.76,74.79,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone Pediatric L14Mm Dia3.5Mm,202.51,78.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Bone Pediatric L18Mm Dia3.5Mm,191.48,74.68,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Calcaneous Thrd 5Mmx25Mm,1107.66,431.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Calcaneous Thrd 5Mmx40Mm,1029.95,401.68,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Calcaneous Thrd 5Mmx45Mm Head,1107.45,431.91,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Calcaneous Thrd 5X70Mm,1017.34,396.76,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Can Bone,607.54,236.94,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Can Bone 6.5Mmx45Mm,607.54,236.94,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Cann Ti Strl 4X44Mm,1137.46,443.61,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Cannula Lck Va 5Mm 70Mm Bn,1120.24,436.89,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Cannula Lck Va 5Mm 75Mm Bn,1129.28,440.42,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Cannula Mas 6.5X45Cc Solera 4.75,4108.43,1602.29,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Cannulated 2.5 X 20Mm,1880.6,733.43,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Comp Ft 35 Mini 20Mm,1584.58,617.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Connect Lck Attach Plt S Tardr Strl,968.41,377.68,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Cort 2Mm St 24Mm,168.7,65.79,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Cort St Ti 3.5X30Mm,123.16,48.03,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Cort Synth St 4.5Mm 105M,270.14,105.35,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Cortex 1.3Mm 12Mm Self-Tapping Stardrive Depuy Synthes,192.16,74.94,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Cortex 1.3Mm 14Mm Self-Tapping Stardrive Depuy Synthes,192.51,75.08,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Cortex 1.3Mm 16Mm Self-Tapping Stardrive Depuy Synthes,192.51,75.08,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Cortex 1.5Mm 14Mm Titanium Self-Tapping Stardrive Depu,680.68,265.47,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Cortex 1.5Mm 22Mm Titanium Self-Tapping Stardrive Depu,208.04,81.14,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Cortical 2.7Mm 16Mm Orthopediatrics,1074.33,418.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Cortical 2.7Mmx12Mm Orthopedarics,215.0,83.85,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Cortical 2.7Mmx14Mm Orthopedarics,214.84,83.79,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Cortical Dcp Lcp 3.5Mmx34Mm Synthes,146.62,57.18,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Cortical Dcp Lcp 3.5X45Mm Synthes,146.97,57.32,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Crosspin Miniplate 2X6Mm,347.32,135.45,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Dia 5Mm Len 75Mm Ti,1065.02,415.36,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Distraction Pin 14Mm Medline,214.24,83.55,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Dstrct 12Mm,128.34,50.05,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Dstrctr 14Mm Maxcess-C Maxcess-C,730.71,284.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Ext Fix 4Mm 175Mm Schnz Ss Ha Self,919.08,358.44,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Ext Fix 5Mm 250Mm Schnz Ss Ha Self,1305.14,509.0,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Extended Tab 5.5Mmx50Mm Solera Voyager Medtronic,4108.43,1602.29,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Ha 30 X 10Mm 4-Pack Qty 4,6109.53,2382.72,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Ha 30 X 13Mm 2-Pack Qty 2,1697.4,661.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Ha 30 X 13Mm 4-Pack Qty 4,6109.6,2382.74,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Hex Prsnl Knee 25Mm 2.5M,368.84,143.85,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Hex Prsnl Knee 48Mm 2.5M,671.72,261.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Infinity 3.5X12Mm,3504.29,1366.67,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Infinity 3.5X14Mm,3504.27,1366.67,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Infinity 4.00X22Mm,3504.51,1366.76,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Infinity 4.00X24Mm,3504.51,1366.76,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Interference 7X20Mm Peek Fastthread,1584.58,617.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Interference 9Mmx20Mm Fast Thread Biocomposite Arthrex,1584.58,617.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Interference 9Mmx30Mm Fast Thread Biocomposite Arthrex,1584.58,617.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Interference 9X20Mm Peek Fastthread,1584.58,617.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Interference L10Mm D4Mm Sz 2 Fiberwire Suture And Disp,2175.57,848.47,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Interference L20Mm D10Mm Vented Biocomposite Fastthrea,1584.58,617.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Interference L20Mm Dia8Mm Peek Nonvented,1584.58,617.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Intertan 10Mm-24Cm 130D,17059.9,6653.36,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Lag 12.7Mm 1Stp -90Mm Thrd Dhs- Dcs-Strl,1661.18,647.86,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Lag 12.7Mm 1Stp-80Mm Thrd Dhs- Dcs-Strl,1661.18,647.86,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Lck 2Mmx13Mm Maxdrive,687.24,268.02,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Lck 2Mmx15Mm Maxdrive,687.76,268.23,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Lck 2Mmx7Mm Maxdrive,687.24,268.02,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Lck 2Mmx9Mm Maxdrive,687.55,268.14,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Lck 5X40Mm,1106.42,431.5,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Lck 5X50Mm,1106.42,431.5,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Lck 5X60Mm,1106.42,431.5,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Lck St Axsos Ti 4X70Mm,547.86,213.67,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Lck St Axsos Ti 4X80Mm,1296.86,505.78,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Loc Crosspin 2X6Mm,508.87,198.46,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Lock,397.45,155.01,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Lock D4.5X24Mm,2663.06,1038.59,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Lock D4.5X36Mm,2663.06,1038.59,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Lock Viper,402.96,157.15,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking 1.5Mm 10Mm Self-Tapping Stardrive Variable Ang,536.39,209.19,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking 1.5Mm 11Mm Self-Tapping Stardrive Variable Ang,536.13,209.09,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking 1.5Mm 12Mm Self-Tapping Stardrive Variable Ang,536.13,209.09,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking 1.5Mm 7Mm Self-Tapping Stardrive Variable Angl,536.13,209.09,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking 1.5Mm 9Mm Self-Tapping Stardrive Variable Angl,536.3,209.16,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking 2.7Mm 12Mm Bioment,1369.65,534.16,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking 2.7Mm 13Mm Bioment,1270.98,495.68,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking 2.7Mm 14Mm Bioment,1423.47,555.15,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking 2.7Mm 15Mm Bioment,1396.22,544.53,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking 2.7Mm 16Mm Bioment,1289.3,502.83,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking 2.7Mm 18Mm Bioment,1396.66,544.7,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking 2.Omm 10Mm Self-Tapping Stardrive Variable Ang,538.31,209.94,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking 2.Omm 11Mm Self-Tapping Stardrive Variable Ang,561.66,219.05,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking 2.Omm 12Mm Self-Tapping Stardrive Variable Ang,538.2,209.9,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking 2.Omm 14Mm Self-Tapping Stardrive Variable Ang,538.2,209.9,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking 2.Omm 7Mm Self-Tapping Stardrive Variable Angl,538.2,209.9,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking 2.Omm 8Mm Self-Tapping Stardrive Variable Angl,538.2,209.9,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking 2.Omm 9Mm Self-Tapping Stardrive Variable Angl,538.54,210.03,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking 3.5X36,1074.33,418.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking 5.0Mm 30Mm T25 Star Drive Synthes Usa,1002.92,391.14,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking 5.0Mm 32Mm T25 Star Drive Synthes Usa,883.68,344.64,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking 5.0Mm 34Mm T25 Star Drive Synthes Usa,804.2,313.64,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking 5.0Mm 36Mm T25 Star Drive Synthes Usa,850.05,331.52,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking 5.0Mm 38Mm T25 Star Drive Synthes Usa,822.26,320.68,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking 5.0Mm 42Mm T25 Star Drive Synthes Usa,840.33,327.73,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking 5.0Mm 44Mm T25 Star Drive Synthes Usa,834.0,325.26,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking 5.0Mm 46Mm T25 Star Drive Synthes Usa,804.2,313.64,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking 5.0Mm 48Mm T25 Star Drive Synthes Usa,804.2,313.64,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking Bone 5X32Mm Xl25 Sterile Recess Titanium,1092.05,425.9,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 30- Xl25,941.35,367.13,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 32- Xl25,938.0,365.82,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 34- Xl25,971.32,378.81,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 36- Xl25,942.53,367.59,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 38- Xl25,945.18,368.62,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 40- Xl25,954.41,372.22,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 42- Xl25,964.42,376.12,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 44- Xl25,931.44,363.26,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 46- Xl25,950.5,370.7,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 48- Xl25,916.42,357.4,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 50- Xl25,936.82,365.36,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 52- Xl25,916.42,357.4,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 54- Xl25,957.77,373.53,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 56- Xl25,953.24,371.76,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 58- Xl25,907.98,354.11,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 60- Xl25,922.07,359.61,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 62- Xl25,995.32,388.17,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 64- Xl25,927.48,361.72,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 66- Xl25,918.27,358.13,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 68- Xl25,929.7,362.58,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 70- Xl25,941.75,367.28,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 72- Xl25,957.89,373.58,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 74- Xl25,937.38,365.58,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 76- Xl25,925.7,361.02,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 78- Xl25,934.84,364.59,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 80- Xl25,950.07,370.53,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 82- Xl25,945.73,368.83,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 84- Xl25,942.58,367.61,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 86- Xl25,940.96,366.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 88- Xl25,990.7,386.37,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking For Im Nail 5- 90- Xl25,968.2,377.6,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Locking Set,268.59,104.75,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Lp 4.5Mmx16Mm Orthopediatrics,1482.64,578.23,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Lp 4.5Mmx20Mm Orthopediatrics,1074.33,418.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Lp 4.5Mmx24Mm Orthopediatrics,1074.33,418.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Lp 4.5Mmx28Mm Orthopediatrics,1482.46,578.16,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Lp 4.5Mmx36Mm Orthopediatrics,1482.12,578.03,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Mas 7.5X35Cc 4.75Rod Dia Cd Horizon Solera,4108.43,1602.29,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Matrix Mandible 1.85X10Mm Synthes,709.07,276.54,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Maxlck 4.0X14Mm S-T,4929.7,1922.58,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Mdln Abo Rev 6Mm X 30Mm,1149.06,448.13,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Mdln Abo Rev 6Mm X 35Mm,1134.07,442.29,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Micro 1.5Mmx5Mm Drlfr,289.8,113.02,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Mini 2Mmx11Mm Maxdrive Ti 6Al-4V,286.31,111.66,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Mini 2Mmx15Mm Maxdrive Ti 6Al-4V,286.44,111.71,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Mini 2Mmx5Mm Drlfr Maxdrive,309.29,120.62,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Mini 2Mmx7Mm Drlfr Maxdrive,309.21,120.59,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Multi Axial 4.0Mmx14Mm Infinity Occipitocervical Medtr,3504.51,1366.76,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw No Lock D4.5X18Mm,2663.06,1038.59,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Non Locking Low-Pro Cort 3.5 X 36Mm,547.52,213.53,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Poly Dbl Lead 6.5X45Mm,2900.07,1131.03,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Poly Dbl Lead 6.5X50Mm,2900.07,1131.03,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Polyaxial 5.5X40.0Mm Xia System 3 Stryker Spine,4108.43,1602.29,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Polyaxial 5.5X45Mm Xia System 3 Stryker Spine,4108.43,1602.29,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Polyaxial 6.5Mmx40Mm Serrato Stryker Spine,4108.46,1602.3,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Polyaxial 6.5Mmx50Mm Serrato Stryker Spine,4108.48,1602.31,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Proximal Tibial 3.5Mmx52Mm Lcp Synthes,554.76,216.36,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Ps3 Set Lck Cap,268.58,104.75,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Rigid Set Globus,266.91,104.09,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Self Drill 1.5X3Mm,428.2,167.0,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Self Drill Axs 1.5X4Mm,386.77,150.84,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Set 5.5 Breakoff Medtronic,348.81,136.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Set Non Brkof Ti,349.15,136.17,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Slf Tap 2Mm 10Mm,289.65,112.96,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Solera 4.5X45Mm For 5.5Mm Rod Cd Horizon,4108.95,1602.49,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Solera 4.5X50Mm For 5.5Mm Rod Cd Horizon,4108.95,1602.49,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Solera 7.5X45Mm For 4.75Mm Rod Cd Horizon,4108.56,1602.34,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spinal 14Mm 3.5Mm Polyaxial Quartex Globus Medical,3141.77,1225.29,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spinal 25Mm 5.5Mm 5.5-6Mm Rod Medtronic,4108.43,1602.29,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spinal 50Mm 6.5Mm Modular Shank 2C Reline Nuvasive,2379.59,928.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spinal 6.5 Mm Dia 45 Mm,2111.04,823.31,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spinal L L12Mm Dia3.5Mm Posterior Occipitocervicothora,3262.84,1272.51,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spinal L18Mm Dia3.5Mm Polyaxial Quartex,3141.74,1225.28,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spinal L26Mm Dia4Mm Occipitocervical Thoracic,3504.51,1366.76,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spinal L28Mm Dia4.5Mm Occipitocervical Upper Thoraci,3407.84,1329.06,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spinal L30Mm Dia4.5Mm Pedicle Noncannulated Fortress,4108.43,1602.29,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spinal L30Mm Dia4Mm Occipitocervical,3366.12,1312.79,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spinal L30Mm Dia5.5Mm Pedicle Noncannulated Fortress,4108.43,1602.29,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spinal L30Mm Dia5Mm For 5.5Mm Rod Cd Horizon,4316.47,1683.42,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spinal L35Mm Dia5.5Mm For 5.5-6Mm Rod,4108.95,1602.49,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spinal L35Mm Dia5.5Mm Pedicle Noncannulated Fortress,4108.56,1602.34,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spinal L35Mm Od4.5Mm Pedicle Fortress,4108.43,1602.29,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spinal L35Mm Od6.5Mm Pedicle Fortress,4108.49,1602.31,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spinal L40Mm Dia5.5Mm Pedicle Fortress,4108.5,1602.32,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spinal L40Mm Dia6.5Mm Fenestrated Set Cd Horizon,5075.23,1979.34,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spinal L40Mm Od4.5Mm Pedicle Fortress,4108.51,1602.32,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spinal L40Mm Od6.5Mm Pedicle Fortress,4108.47,1602.3,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spinal L45Mm Dia5.5Mm Anterior Lumbar Variable,1552.5,605.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spinal L45Mm Dia6.5Mm,2111.05,823.31,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spinal L45Mm Dia6.5Mm Fenestrated Set Cd Horizon,5075.16,1979.31,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spinal L45Mm Dia7.5Mm Po,4108.54,1602.33,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spinal L45Mm Od5.5Mm Pedicle Fortress,4108.52,1602.32,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spinal L45Mm Od6.5Mm Pedicle Fortress,4108.48,1602.31,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spinal L50Mm Dia6.5Mm Pedicle Noncannulated Fortress,4108.54,1602.33,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spinal Multi Axial 4.5Mmx26Mm Infinity Occipitocervica,3443.96,1343.14,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spinal Reduction 10Mm Po Polyaxial Tulip Modular Mis,2455.43,957.62,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spinal Reduction 30Mm 5.5Mm Medtronic Inc,4108.43,1602.29,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spinal Zevo L15Mm Dia3.5Mm,725.18,282.82,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spinal Zevo L17Mm Dia3.5Mm,725.33,282.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spnl 4Mm 15Mm Stalif Cti,671.46,261.87,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spnl 4Mm 16Mm Stalif Cti,671.72,261.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spnl 4Mm 17Mm Stalif Cti,671.46,261.87,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spnl 7.5Mm 50Mm Mas,4108.43,1602.29,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spnl Dia12Mm Ti Mini Lok For Mini Vbr Sys X-Cor,397.44,155.0,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spnl L13Mm Dia3.5Mm Ant Cerv Ti Ally Slf Drl Va Acp,913.21,356.15,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spnl L14Mm Dia3.5Mm Oct Multiaxial St Vuepoint Ii,3262.63,1272.43,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spnl L15Mm Dia3.5Mm Ant Cerv Ti Ally Slf Drl Va Acp,913.17,356.14,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spnl L15Mm Dia4Mm Ant Cerv Ti Ally St Va Acp,913.01,356.07,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spnl L16Mm Dia3.5Mm Oct Multiaxial St Vuepoint Ii,3262.62,1272.42,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spnl L17Mm Dia3.5Mm Ant Cerv Ti Ally Slf Drl Va Acp,913.15,356.13,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spnl L19Mm Dia3.5Mm Ant Cerv Ti Ally Slf Drl Va Acp,913.18,356.14,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spnl L26Mm 0D5.1Mm Va,671.72,261.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spnl L40Mm Od4.5Mm 4S Polyax Reline-O,4316.29,1683.35,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spnl L40Mm Od6.5Mm 2C Reduc Reline,4316.21,1683.32,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spnl L40Mm Od6.5Mm 4S Polyax Reline-O,4316.21,1683.32,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spnl L45Mm Dia6.5Mm Poly Trac Reline-O,4316.32,1683.36,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spnl L45Mm Dia6.5Mm Post Thoracolumbosacral Mod Shnk 2,2379.46,927.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spnl L45Mm Dia7.5Mm Post Thoracolumbosacral Mod Shnk 2,2379.46,927.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spnl L50Mm Dia6.5Mm Poly Trac Reline-O,4316.33,1683.37,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spnl L50Mm Dia7.5Mm Post Thoracolumbosacral Mod Shnk 2,2379.61,928.05,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spnl L50Mm Dia8.5Mm Post Thoracolumbosacral Mod Shnk 2,2379.46,927.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spnl L50Mm Od6.5Mm 2C Reduc Reline,4316.47,1683.42,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spnl L50Mm Od7.5Mm 2C Reduc Reline,4316.47,1683.42,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spnl L50Mm Od7.5Mm 4S Polyax Reline-O,4316.25,1683.34,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spnl L55Mm Dia6.5Mm Post Thoracolumbosacral Mod Shnk 2,2379.59,928.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spnl L55Mm Dia7.5Mm Post Thoracolumbosacral Mod Shnk 2,2379.65,928.06,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spnl L55Mm Od6.5Mm 4S Polyax Reline-O,4316.33,1683.37,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spnl L60Mm Od6.5Mm 4S Polyax Reline-O,4316.19,1683.31,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Spnl Vip 4.6Mm 16Mm Va,671.72,261.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw St 2Mm 5Mm Mandib,244.78,95.46,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Tfna 85Mm Sterile,2874.2,1120.94,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Tfna 90Mm Sterile,2874.2,1120.94,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Thoracolumbar 45Mm 6.5Mm Cannulated Globus Medical,2111.09,823.33,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Thrd Hd Ti 5Mm L 65Mm,1017.4,396.79,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Ti 1.5Mm Cranmf Slf Drll,319.64,124.66,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Ti 10Mm 2Mm Midfa St Bn,76.93,30.0,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Ti 3Mm Cranmf Er Bn,319.64,124.66,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Ti 3Mm Cranmf Self Drill,318.6,124.25,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Ti 4Mm Cranmf Er Bn,319.92,124.77,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Ti 4Mm Cranmf Self Drill Bn Matrixneuro,419.12,163.46,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Ti 4Mm Midfa Bn,496.42,193.6,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Ti 5Mm Midfa Bn,501.07,195.42,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Ti 6Mm 2Mm Mandib Self,672.82,262.4,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Ti 6Mm Midfa Bn,496.33,193.57,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Ti 8Mm 2Mm Mandib Self,658.26,256.72,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Ti 8Mm 2Mm Mandib Self Drill Bn,353.86,138.01,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Ti 8Mm Midfa Bn,496.28,193.55,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Ti Mandi 2Mm 10Mm Self Lck,544.41,212.32,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Ti Mandi 2Mm 8Mm Self Lck,398.48,155.41,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Trgn L-P 5-32.5Mm,2255.26,879.55,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Trgn L-P 5-45Mm,2255.26,879.55,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Trgn L-P 5-50Mm,2255.26,879.55,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Trgn L-P 5-60Mm,2255.26,879.55,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Trigen Low Profile 5.0M X 77Mm,2255.26,879.55,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Trigen Low Profile 5.0Mm X 70Mm,2255.61,879.69,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Vip 4.6Mm Var Ang,671.59,261.92,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Vlp Ti 2.4Mm X 13Mm Ctx,442.98,172.76,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Vlp Ti 2.4Mm X 14Mm Ctx,443.32,172.89,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw Xtend 4.2Mm Var Ang,671.48,261.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw2.4-6Mm Lcp Ss Dist Lck Radial Lck St,513.36,200.21,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screw2.4-8Mm Ss Dist Va Lck Radial Va Lck Lcp,615.83,240.17,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Screwdriver L55Mm Short T8 Self Holding Qc Stardrive,1455.21,567.53,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - See 113997 Screw Bn Cort 4.5Mm 30Mm St,148.81,58.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - See 142250 Screw Bone L22Mm Dia2.4Mm Locking Fully Threaded,1036.46,404.22,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - See 18271 Pin Fx 6Mm Trnfx 225Mm Stein,683.1,266.41,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - See 35433 Screw Ti 1.5Mm Cranmf Slf Drll,883.25,344.47,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - See 95576 Implant Screw Dstrct 14Mm,202.34,78.91,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Set Bone Screw With Plantar Plate Gravity,7153.92,2790.03,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Set Scr Spnl Mini Univ Endcap For Mini Vbr Sys X-Cor,397.44,155.0,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Set Screw,349.31,136.23,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Set Screw 85-80Mm Intertan Ti,6425.28,2505.86,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Set Screw Intertan 100Mmx95Mm,6425.28,2505.86,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Set Screw Intertan 105Mmx100Mm,6425.07,2505.78,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Set Screw Intertan 110Mmx105Mm,6425.28,2505.86,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Set Screw Intertan 90Mmx85Mm,6425.45,2505.93,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Set Screw Spinal 5.5-6Mm Cannulated Fenestrated Multiaxial,349.14,136.16,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Set Screw Spinal Fortress,268.82,104.84,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Set Screw Spinal Occipital Threaded With Tulip Screw,397.44,155.0,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Set Screw Spinal Pedicle Fortress,268.61,104.76,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Set Screw Xpdm Pdcl Spnl Ti 1 Innie Inr 5.5,268.71,104.8,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Sheet Medpor 38Mmx50Mmx.085Mm,2422.94,944.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Shim Disc Stainless Steel,2369.11,923.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Shunt Plate14Mmw-Tab Un3,1437.62,560.67,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Sleeve Tulip Modular 30Mm Polyaxial Globus Medical,2454.81,957.38,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Sp Soft Anchor 1.7Mm Tigertape White-Black,2524.46,984.54,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Spacer 15Mm Independ Med 15D,21750.52,8482.7,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Spacer 30Mm Support Truelok,487.27,190.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Spacer Cln Acdf Lrdtc 5Mm Xl,4712.35,1837.82,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Spacer Cln Acdf Lrdtc 6Mm Xl,4599.75,1793.9,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Spacer Cln Acdf Lrdtc 6Mm Xxl,4712.35,1837.82,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Spacer Cln Acdf Lrdtc 7Mm Xxl,4712.7,1837.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Spacer Cln Acdf Lrdtc 8Mm Xxl,4712.56,1837.9,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Spacer Coal 7Deg 15Mm 18Mm 6Mm,11359.12,4430.06,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Spacer Coal 7Deg 15Mm 18Mm 9Mm,11359.12,4430.06,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Spacer Independ 15Deg 11Mm Sm,21750.52,8482.7,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Spacer Lg 15X17Mm Independ,21750.52,8482.7,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Spacer Rise 10X26Mm 8-15Mm 10,21750.52,8482.7,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Spacer Rise 10X30Mm 8-15Mm Globus Medical,21750.52,8482.7,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Spacer Rise 12X30Mm 10 17Mm 15Deg Spine,21750.52,8482.7,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Spacer Spinal 10Mm 7Mm 28Mm Lumbar Sacral Peek Medtronic,21750.52,8482.7,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Spacer Spinal 15 Degree 13Mm Monument Globus Medical,32988.56,12865.54,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Spacer Spinal 22Mm 50Mm 6 Degree Lateral Lumbar Globus,29788.34,11617.45,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Spacer Spnl 13Mm Independ 15D,21750.52,8482.7,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Spacer Spnl 14X14X6Mm Cnrstn Psr Peek Strut,3866.76,1508.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Spacer Spnl 14X14X9Mm Cnrstn Psr Peek Strut,3866.76,1508.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Spacer Spnl 16X14X6Mm 0D,11359.12,4430.06,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Spacer Spnl 16X14X6Mm 7D,11358.92,4429.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Spacer Spnl 16X14X7Mm 7D,11359.12,4430.06,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Spacer Spnl 16X14X8Mm,11359.12,4430.06,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Spacer Spnl 18 X 50Mm 8-15M,29788.34,11617.45,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Standard Prox. Vdr,4326.3,1687.26,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Standard Rt Aculoc 2 Distal Plate,5297.65,2066.08,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Staple Bone Fixation Leg L20Mm Bridge W20Mm Hand Fuseforce,6384.92,2490.12,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Staple Bone W10Xl10Mm Nitinol Disposable Fuseforce,4592.2,1790.96,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Staple Bridge Kit 15Mm 2 Leg 15Mm Max Closure 9.1Mm Bme,5711.13,2227.34,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Staple Bridge Kt 18Mm Leg 18Mm Max Closure 10.4Mm Bme Elite,6157.01,2401.23,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Staple Kit W20Xl30Mm Bone Fixation Bridge 2 Leg Cont,5869.48,2289.1,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Steinmann Pin 9In Biomet,844.77,329.46,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Stimulan Rapid Cure Antibiotic Bead 10Cc,5872.59,2290.31,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Substitute Bn Graft 10Cm Ms,6142.52,2395.58,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Substitute Bn Graft 25X100X4Mm Vitoss,7250.18,2827.57,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Substitute Bn Graft 25X50X4Mm,5844.13,2279.21,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Suture 2-0 Fiberwire Fbrstitch Implant Crv W 2 Poly Implants,2658.92,1036.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Suture Anchor Q-Fix 1.8Mm Mini All Suture Smith And Nephew W,2155.27,840.56,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Suture Anchor Qfix 1.8 Mini Smith And Nephew Wound,1321.7,515.46,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Suture Anchor Secondary Peek 4.75X19.1Mm Fixation Swivelock,3504.47,1366.74,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Suture Anchor Short 2.9X12.5 Biocomp Pushlock Arthrex,2148.66,837.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Suture Double Sternal Wire Ccs#1 A And E Medical Corp,520.5,202.995,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Suture Firberwire 38In T-5 Taper Blue Arthrex,107.64,41.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Suture Juggerknot 1.4 Sgl,2088.63,814.57,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Suture Knotless Swivel 4.75Mm Swivellock Biocomp Arthrex,2502.14,975.83,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Suture Knotless Swivel 5.5Mm Swivellock Biocomp Arthrex,2506.33,977.47,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Suture Tape Anchor 1.3Mm With Two Needles Arthrex,2007.27,782.84,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Sutures Bc Swiveloc,10392.26,4052.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Sutures Bc Swiveloc C Implant System Scorpion Multifire Nedl,10392.44,4053.05,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - System Bn Cement Kt Acrylic Rsn Spnl Vrtbpl (X),1052.6,410.51,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - System Bn Mwr Asp 11Ga 15Cm W-Side Hl,429.37,167.45,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - System Impl Acute Ac Repair,5437.89,2120.78,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - System Implant 2.9Mm Short Biocomposite Pushlock Anchor,3407.29,1328.84,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - System Implant 4.75Mm Swivelok C Anchor With Scorpion Needle,9232.2,3600.56,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - System Implant 4.75X19.1 Secondary Fixation Swivelock,3504.51,1366.76,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - System Implant Bcmps Ahls,8718.58,3400.25,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - System Implant Speedbridge W Bcmps Swivelock 4375X19.1Mm,8615.86,3360.19,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - System Intlbrace Knee Lig Aug Implant,5776.34,2252.77,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - System Mnscl Crv Repr Fst Fx 360,2456.7,958.11,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - System Mnscl Rvrs Crv Repr Fst Fx 360,2457.09,958.27,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - System Mnscl Strt Repr Fst Fx 360,2457.09,958.27,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - System Mpfl Acl Tghtrp Bcmps Implant,8153.73,3179.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - System Mpfl Bcmst Implant,7187.04,2802.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - System Root Repair Meniscal Implant,4387.11,1710.97,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - System Tightrope Bone Tendon Bone Arthrex,2283.21,890.45,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Tap 5.5Mm Serato Screw Set Stryker Spine,3808.8,1485.43,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Threaded Tip,910.8,355.21,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 10 300 - Sterile,6709.9,2616.86,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 10 315 - Sterile,6729.43,2624.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 10 330 - Sterile,6563.97,2559.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 10 345 - Sterile,6692.74,2610.17,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 10 360 - Sterile,6462.94,2520.55,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 10 375 - Sterile,6830.15,2663.76,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 10 390 - Sterile,6709.9,2616.86,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 10 405 - Sterile,6709.9,2616.86,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 11 300 - Sterile,6709.9,2616.86,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 11 315 - Sterile,6418.29,2503.13,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 11 330 - Sterile,6677.59,2604.26,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 11 345 - Sterile,6418.04,2503.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 11 360 - Sterile,6491.13,2531.54,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 11 375 - Sterile,6807.2,2654.81,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 11 390 - Sterile,6418.04,2503.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 11 405 - Sterile,6418.04,2503.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 12 345 - Sterile,7293.64,2844.52,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 12 360 - Sterile,6418.04,2503.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 8 300 - Sterile,7077.33,2760.16,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 9 285 - Sterile,7585.52,2958.35,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 9 300 - Sterile,6418.04,2503.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 9 315 - Sterile,6547.87,2553.67,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 9 330 - Sterile,6651.53,2594.1,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 9 345 - Sterile,6651.63,2594.14,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Tibial Nail-Advanced - 9 360 - Sterile,6651.53,2594.1,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Tightrope Abs,988.42,385.48,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Tightrope Xp Buttress Plate Implant Sys,19739.17,7698.28,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Tightrope Xp Titm Syndesmosis,7432.82,2898.8,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Tube Suction Curved One Piece Yankauer 6Ft No Vent Bulb Tip,10.35,4.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Washer 13.5Mm 4Mm Spk Lc Dcp Orth Ss 13.5Mm,494.73,192.94,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Washer 13.5Mm 5.5Mm Spk Lc Dcp Orth Ss Lg,488.52,190.52,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Washer 13Mm Orth Ss 7.3Mm Cannula Screw Ns,117.77,45.93,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Washer 7Mm Orth Ss 4Mm Cannula Screw Ns,104.1,40.6,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Washer Cannula Screw 10.0Mm 4.5Mm,90.04,35.12,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Washer For Screw 14-7Mm Sterile,335.86,130.99,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wedge Sz 20Mm Thk 6.5Mm Evans 14 Biofm Brnz,9632.75,3756.77,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire 1.25Mm Krsh 100Mm W Thrd Tip,1912.68,745.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire 1.25Mm Plt 150Mm Lrg Reduct Thrd W-Lrg Stop,552.69,215.55,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire 1.6Mm Pt 285Mm Krsh W Troc,46.58,18.17,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire 1.6Mm W 15 Thrd 150Mm Krsh Troc Pt,69.34,27.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire 1.8Mm Krsh W Troc Pt150Mm,33.12,12.92,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire 1Mm Pt 150Mm Krsh W Troc,372.77,145.38,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire 1Mm Pt 285Mm Krsh W Troc,50.72,19.78,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire 2.5Mm Pt 150Mm Krsh W Troc,40.36,15.74,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire 2.5Mm Ti Krsh 150Mm,46.58,18.17,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire 2Mm Krsh W Drill 150Mm,173.88,67.81,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire 2Mm Pt 150Mm Krsh W Troc,75.08,29.28,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire 2Mm W 15 Thrd 150Mm Krsh Troc Pt,77.62,30.27,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire C Smooth Trocar Tip .062 Inch,29.63,11.56,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire Crlge Cut 0.5X175Mm,72.45,28.26,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire Fx .035In 5In Cwr Ss Spd,38.3,14.94,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire Fx .045 9In Krsh Ss 2,34.16,13.32,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire Fx .045In 4In Krsh Ss,8.28,3.23,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire Fx .045In 5In Cwr Ss Spd,38.3,14.94,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire Fx .054In 4In Krsh Ss 2,12.76,4.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire Fx .062 9In Krsh 2 End Bay Pt,76.8,29.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire Fx .062In 4In Krsh Ss 2,12.63,4.93,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire Fx .062In 5In Cwr Ss Spd Tip Both Ends,39.65,15.46,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire Fx .062In 9In Krsh Ss Smth Troc Strl,31.05,12.11,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire Fx .8Mm 70Mm Krsh Ss Troc Pt 1 End Ns,322.92,125.94,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire Fx .9Mm 150Mm Krsh Troc,96.475,37.625,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire Fx 1.25Mm 150Mm Krsh Ti Troc Pt 1 End Ns,43.47,16.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire Fx 1.25Mm150Mm Troc Pt Ns Krsh Ss,76.97,30.02,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire Fx 1.2Mm 30Cm Luq Ss Cls,472.7,184.35,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire Fx 1.2Mm Krsh Temp,316.71,123.52,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire Fx 1.4Mm 100Mm Krsh Smth,137.66,53.69,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire Fx 1.5Mm 250Mm Krsh Ss,241.78,94.29,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire Fx 1.6Mm 100Mm Krsh Ss Thrd Ns,191.48,74.68,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire Fx 1.6Mm 150Mm Krsh Ss,46.69,18.21,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire Fx 1.6Mm 150Mm Krsh Ti Troc Pt Ns,43.47,16.95,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire Fx 1.6Mm 15Cm Krsh Ss Troc Pt 1 End 5Mm,69.34,27.04,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire Fx 1.6Mm Krsh Ss Troc Pt 1 End,96.66,37.7,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire Fx 1.6Mm150Mm Troc Pt Bt On Both Ss Krsh,222.78,86.88,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire Fx 1.6Mm150Mm Troc Pt Ns Ss Krsh,92.89,36.23,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire Fx 1.8Mm 400Mm Trulock Stpr,600.47,234.18,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire Fx 1.8Mm Trulock Bay,257.71,100.51,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire Fx 1Mm 100M Ss Crlge Coil,302.74,118.07,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire Fx 2Mm 150Mm Krsh Ss,211.35,82.43,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire Fx 2Mm 285Mm Krsh Ss Troc Pt Ns,46.92,18.3,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire Fx 2Mm150Mm Ss Troc Pt Ns,72.92,28.44,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire Fx 3Mm 285Mm Krsh Anzd Ti Alloy Rtrgd,1009.12,393.56,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire K 1.1Mm 0.045 229Mm 9In,35.19,13.72,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire K 1.6Mm (0.62) 102Mm 4In,112.82,44.0,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire K 1.6Mm 102Mm,35.19,13.72,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire K 16Mm 229Mm 9In,35.19,13.72,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire K Bvl Tip Precept Nitenol,252.54,98.49,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire K Smooth 0.45Mmx9In,87.98,34.31,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire K Thrd 1.6Mm 229Mm 9In,123.5,48.16,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire K Troc Thr 9In .062In,57.96,22.6,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire Kirschner Smooth 4In 0.062In Double End Trocar Orthomed,15.18,5.92,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire Kirschner Style 1 .062In Dia 6In L Sterile,112.82,44.0,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire Krsh Thrd Type E .062In 9In,491.62,191.73,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire Reduct 2.0Mm Dia Tip Half Pt,1108.31,432.24,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire Reduct 2.0Mm Mri Safe,1117.9,435.98,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire Salvation Olive 2Mm,1418.08,553.05,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire Salvation Smooth 2Mm,1068.96,416.89,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire Spnl 500Mm 1.6Mm Blnt,244.8,95.47,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Wire Sut 18Ga Ss,1078.47,420.6,,,0
HCPCS,C1713,Noncdm Charge Record Medical Supplies - Ziploop Implant,3721.86,1451.53,,,0
HCPCS,C1713,Noncdm Legacy Charge,8161.49,3182.985,,,0
HCPCS,C1713,Nova Bone Putty 10 Ml,12171.6,4746.92,,,0
HCPCS,C1713,Novo Bone Putty 2.5 Cc,10650.15,4153.56,,,0
HCPCS,C1713,Orbital Model Classic (Kls),12588.7,4909.59,,,0
HCPCS,C1713,Palte Venture Cervical 32-50Mm,4060.3,1583.52,,,0
HCPCS,C1713,Paste Inqu Mix 5Cc/10Cc,4781.7,1864.86,,,0
HCPCS,C1713,Paste Rapid Cure Resorb Beads,8585.325,3348.275,,,0
HCPCS,C1713,Pectus Bar,4999.05,1949.63,,,0
HCPCS,C1713,Peek Pezo-T,10867.5,4238.32,,,0
HCPCS,C1713,Peg Bone Locking,725.54,282.96,,,0
HCPCS,C1713,Peg Fixation,730.71,284.98,,,0
HCPCS,C1713,Peg Locking  2.7Mmx 6Mm,456.44,178.01,,,0
HCPCS,C1713,Peg Locking 2.7Mmx20Mm,296.01,115.44,,,0
HCPCS,C1713,Peg Multidirectional,706.9,275.69,,,0
HCPCS,C1713,Pin,211.14,82.34,,,0
HCPCS,C1713,Pin 6-10Mm,755.55,294.66,,,0
HCPCS,C1713,Pin Apex Transfixing Self Dril,686.2,267.62,,,0
HCPCS,C1713,Pin External Fixation,428.49,167.11,,,0
HCPCS,C1713,Pin Fixation Temp 1.4Mm,351.9,137.24,,,0
HCPCS,C1713,Pin Fixation Univers,1738.8,678.13,,,0
HCPCS,C1713,Pin Guide,511.80500000000006,199.60500000000002,,,0
HCPCS,C1713,Pin Half Blunt,535.1,208.69,,,0
HCPCS,C1713,Pin Hinge Replacement S-Rom,2072.07,808.11,,,0
HCPCS,C1713,Pin Locking,1412.78,550.98,,,0
HCPCS,C1713,Pin Schanz,363.28,141.68,,,0
HCPCS,C1713,Pin Screw Schanz,1307.2,509.81,,,0
HCPCS,C1713,Pin Steinman,113.85,44.4,,,0
HCPCS,C1713,Pin Temp Fixation,765.9,298.7,,,0
HCPCS,C1713,Pin Ti Self Drilling,841.46,328.17,,,0
HCPCS,C1713,Plate  Lcp Tubular,869.4,339.07,,,0
HCPCS,C1713,Plate 1.5 Cranial 2--4 Hole,197.68,77.1,,,0
HCPCS,C1713,Plate 2 Hole,183.2,71.45,,,0
HCPCS,C1713,Plate 3-12 Hole,623.07,243.0,,,0
HCPCS,C1713,Plate 3-6 Hole,1430.37,557.84,,,0
HCPCS,C1713,Plate 3-D,569.25,222.01,,,0
HCPCS,C1713,Plate 4  Hole,1627.02,634.54,,,0
HCPCS,C1713,Plate 45 Degree Angle 6 Hole,2996.32,1168.56,,,0
HCPCS,C1713,Plate 6-8 Hole,2555.42,996.61,,,0
HCPCS,C1713,Plate 7 Hole,2321.5,905.38,,,0
HCPCS,C1713,Plate 8 Hole,3059.46,1193.19,,,0
HCPCS,C1713,Plate 8-12 Hole,930.46,362.88,,,0
HCPCS,C1713,Plate 8H Clavicle,4781.7,1864.86,,,0
HCPCS,C1713,Plate Adaptation,1147.82,447.65,,,0
HCPCS,C1713,Plate Angle,2786.22,1086.63,,,0
HCPCS,C1713,Plate Angled Mandible,4288.0,1672.32,,,0
HCPCS,C1713,Plate Atlantis,5892.26,2297.98,,,0
HCPCS,C1713,Plate Atlantis Vision,4412.2,1720.76,,,0
HCPCS,C1713,Plate Bone,4464.99,1741.35,,,0
HCPCS,C1713,Plate Bone 14 Hole Comp Lock,1107.45,431.91,,,0
HCPCS,C1713,Plate Bone 6H,3228.16,1258.98,,,0
HCPCS,C1713,Plate Bone 8 Hole Compr Evos,552.69,215.55,,,0
HCPCS,C1713,Plate Bone 98Mm 8H Radius,3315.1,1292.89,,,0
HCPCS,C1713,Plate Bone Ankle Lateral,3920.58,1529.03,,,0
HCPCS,C1713,Plate Bone Chin,570.28,222.41,,,0
HCPCS,C1713,Plate Bone Craniofacial,5969.88,2328.25,,,0
HCPCS,C1713,Plate Bone Dvr 3 Hole,3898.84,1520.55,,,0
HCPCS,C1713,Plate Bone Rib 18 Hole,7344.36,2864.3,,,0
HCPCS,C1713,Plate Bone Rib Lock 50Mm,8816.13,3438.29,,,0
HCPCS,C1713,Plate Bone Rib Lock 75Mm,9549.94,3724.48,,,0
HCPCS,C1713,Plate Bone Tibia Lcp 93325,5200.88,2028.34,,,0
HCPCS,C1713,Plate Box Sternum Core Jace 4,1735.7,676.92,,,0
HCPCS,C1713,Plate Broad Bone,4924.53,1920.57,,,0
HCPCS,C1713,Plate Burr Hole Curved W/ Tab,1686.02,657.55,,,0
HCPCS,C1713,Plate Calcaneal,3718.76,1450.32,,,0
HCPCS,C1713,Plate Cervical Locking,4023.04,1568.99,,,0
HCPCS,C1713,Plate Cervical Variable Angle,6723.36,2622.11,,,0
HCPCS,C1713,Plate Clavcle Variax 9H,3720.82,1451.12,,,0
HCPCS,C1713,Plate Clavicle Midshaft,3558.33,1387.75,,,0
HCPCS,C1713,Plate Clavicle Superior Medial,2785.18,1086.22,,,0
HCPCS,C1713,Plate Clavicle Va-Lcp,4048.92,1579.08,,,0
HCPCS,C1713,Plate Clavicle/Elbow Acumed,4464.99,1741.35,,,0
HCPCS,C1713,Plate Cmf,544.41,212.32,,,0
HCPCS,C1713,Plate Cmf 1.5Mm,638.6,249.05,,,0
HCPCS,C1713,Plate Cmf 2.4 Straight,1792.62,699.12,,,0
HCPCS,C1713,Plate Cmrp Recon Mandible Kit,37828.21,14753.0,,,0
HCPCS,C1713,Plate Compression 5 H,3062.56,1194.4,,,0
HCPCS,C1713,Plate Compresson Ortho,6126.16,2389.2,,,0
HCPCS,C1713,Plate Comression Dhs,2449.84,955.44,,,0
HCPCS,C1713,Plate Condylar,5892.26,2297.98,,,0
HCPCS,C1713,Plate Condylar 6H Va,7980.88,3112.54,,,0
HCPCS,C1713,Plate Contour Lock,7182.9,2801.33,,,0
HCPCS,C1713,Plate Cover Burr Hole,809.37,315.65,,,0
HCPCS,C1713,Plate Craniofacial,850.77,331.8,,,0
HCPCS,C1713,Plate Curved Reconstruction 14,3765.33,1468.48,,,0
HCPCS,C1713,Plate Dcp/4-10 Hole,2427.07,946.56,,,0
HCPCS,C1713,Plate Dhs-Dcp 130-150 Degree,2449.84,955.44,,,0
HCPCS,C1713,Plate Distal Humerus Lcp,13914.54,5426.67,,,0
HCPCS,C1713,Plate Distal Periprosthetic,25522.06,9953.6,,,0
HCPCS,C1713,Plate Distal Radius,1358.96,529.99,,,0
HCPCS,C1713,Plate Distal Radius Locking,3557.3,1387.35,,,0
HCPCS,C1713,Plate Distal Volar Wide Lt/Rt,3426.88,1336.48,,,0
HCPCS,C1713,Plate Distal Volar/Lt/Rt (Hi),3234.38,1261.41,,,0
HCPCS,C1713,Plate Distal/Lateral Humeral,3797.42,1480.99,,,0
HCPCS,C1713,Plate Distal/Medial Humerus,3113.28,1214.18,,,0
HCPCS,C1713,Plate Double Y,950.13,370.55,,,0
HCPCS,C1713,Plate Double Y/L,686.2,267.62,,,0
HCPCS,C1713,Plate Facial Id Recon,37586.02,14658.55,,,0
HCPCS,C1713,Plate Fem Neck Sys 1H,3772.58,1471.31,,,0
HCPCS,C1713,Plate Femoral Compress 3.5Mm,11347.74,4425.62,,,0
HCPCS,C1713,Plate Femur Prox 95573,11985.3,4674.27,,,0
HCPCS,C1713,Plate Footplate,666.54,259.95,,,0
HCPCS,C1713,Plate Fracture Dcp,1455.21,567.53,,,0
HCPCS,C1713,Plate Fracture Mandible,1599.08,623.64,,,0
HCPCS,C1713,Plate Fracture Rigid Comminute,3059.46,1193.19,,,0
HCPCS,C1713,Plate Haid 2-3 Hole,1324.8,516.67,,,0
HCPCS,C1713,Plate Humerus Lcp Postlat,4503.28,1756.28,,,0
HCPCS,C1713,Plate Intrapelvic Acetab Strd,8299.67,3236.87,,,0
HCPCS,C1713,Plate Lactosorb Straight 4-6 H,534.06,208.28,,,0
HCPCS,C1713,Plate Lateral Tibial/Fibula,2787.26,1087.03,,,0
HCPCS,C1713,Plate Lc-Dcp,1184.04,461.78,,,0
HCPCS,C1713,Plate Lc-Dcp 3.5Mm,686.2,267.62,,,0
HCPCS,C1713,Plate Lcd Tibial,5467.9,2132.48,,,0
HCPCS,C1713,Plate Lcp,2390.85,932.43,,,0
HCPCS,C1713,Plate Lcp Condylar 4.5 Mm,12646.66,4932.2,,,0
HCPCS,C1713,Plate Lcp Curved Broad,4586.08,1788.57,,,0
HCPCS,C1713,Plate Lcp Hum Dist 7H,13323.56,5196.19,,,0
HCPCS,C1713,Plate Lcp Olecranon,3653.55,1424.88,,,0
HCPCS,C1713,Plate Lcp Postlat Distal Fib,1632.2,636.56,,,0
HCPCS,C1713,Plate Lcp Tib A/L Tibia,6741.99,2629.38,,,0
HCPCS,C1713,Plate Lcp Tibial,6299.01,2456.61,,,0
HCPCS,C1713,Plate Lcp-Va Curved Condylar,7166.34,2794.87,,,0
HCPCS,C1713,Plate Liss Tibia/Femur 4-9 Hol,6270.03,2445.31,,,0
HCPCS,C1713,Plate Locking,8887.025000000001,3465.94,,,0
HCPCS,C1713,Plate Low Profile,935.64,364.9,,,0
HCPCS,C1713,Plate Lp Medial Sm,6498.76,2534.52,,,0
HCPCS,C1713,Plate Mandible C Shape,1841.26,718.09,,,0
HCPCS,C1713,Plate Mandible Fracture,5460.66,2129.66,,,0
HCPCS,C1713,Plate Mandible Large Locking,1978.92,771.78,,,0
HCPCS,C1713,Plate Mandible Locking,2321.5,905.38,,,0
HCPCS,C1713,Plate Mandible Pre-Bent,24913.48,9716.26,,,0
HCPCS,C1713,Plate Mandible Recon,866.3,337.86,,,0
HCPCS,C1713,Plate Mandibul Angled Locking,7214.98,2813.84,,,0
HCPCS,C1713,Plate Mandibular Ostemed,2434.32,949.38,,,0
HCPCS,C1713,Plate Mandibular Recon,13217.98,5155.01,,,0
HCPCS,C1713,Plate Mandibular/St/Cr 6696,1026.72,400.42,,,0
HCPCS,C1713,Plate Maxifacial Snyth St/Cr,2344.28,914.27,,,0
HCPCS,C1713,Plate Maxifacial Synth Angled,1194.39,465.81,,,0
HCPCS,C1713,Plate Maxillofacial,1953.04,761.69,,,0
HCPCS,C1713,Plate Micro Square/Curved(Kls,866.3,337.86,,,0
HCPCS,C1713,Plate Micro/Min/L/Y/T/St/Cr,765.9,298.7,,,0
HCPCS,C1713,Plate Micro/Mini/6-24 Hole Syn,1344.46,524.34,,,0
HCPCS,C1713,Plate Micro/Notch/2-7 Hole,753.48,293.86,,,0
HCPCS,C1713,Plate Midface Straight,2608.2,1017.2,,,0
HCPCS,C1713,Plate Mtp,8020.22,3127.89,,,0
HCPCS,C1713,Plate Narrow Dcp,5879.84,2293.14,,,0
HCPCS,C1713,Plate Narrow Distal Radius,3768.44,1469.69,,,0
HCPCS,C1713,Plate Narrow Locking,3592.48,1401.07,,,0
HCPCS,C1713,Plate Narrow Locking Dcp,1586.66,618.8,,,0
HCPCS,C1713,Plate Oblique L-Shaped,979.11,381.85,,,0
HCPCS,C1713,Plate Oc Sm,10867.5,4238.32,,,0
HCPCS,C1713,Plate Orbital 3D Lt Sm,8680.54,3385.41,,,0
HCPCS,C1713,Plate Orbital Floor Sm,7946.73,3099.22,,,0
HCPCS,C1713,Plate Ortho,7389.9,2882.0600000000004,,,0
HCPCS,C1713,Plate Osteotomy,6278.83,2448.745,,,0
HCPCS,C1713,Plate Ostomy Angled,1955.12,762.5,,,0
HCPCS,C1713,Plate Pectus Bar Stabilizer,1991.34,776.62,,,0
HCPCS,C1713,Plate Peri Articular,3694.95,1441.03,,,0
HCPCS,C1713,Plate Periarticlar Femur/Tibia,2915.6,1137.08,,,0
HCPCS,C1713,Plate Primary Mandibular,8538.75,3330.11,,,0
HCPCS,C1713,Plate Prosth Distal Fem Span,18318.46,7144.2,,,0
HCPCS,C1713,Plate Prox Hum Smith&Nep,8831.66,3444.35,,,0
HCPCS,C1713,Plate Proximal Humeral,3569.72,1392.19,,,0
HCPCS,C1713,Plate Proximal Humerus,7222.23,2816.67,,,0
HCPCS,C1713,Plate Qtr Tubular 3-8 Holes,691.38,269.64,,,0
HCPCS,C1713,Plate Recon 10-14 Hole,2871.09,1119.73,,,0
HCPCS,C1713,Plate Recon 16 Hole,4320.09,1684.84,,,0
HCPCS,C1713,Plate Recon 17 Hole,11072.43,4318.25,,,0
HCPCS,C1713,Plate Recon 3.5Mm 5-13 Hole,1675.66,653.51,,,0
HCPCS,C1713,Plate Recon Full,6051.64,2360.14,,,0
HCPCS,C1713,Plate Recon Straight/Curved,2066.9,806.09,,,0
HCPCS,C1713,Plate Recon Template,580.64,226.45,,,0
HCPCS,C1713,Plate Reconstruction,2316.33,903.37,,,0
HCPCS,C1713,Plate Resorb Strut 2X10,1134.36,442.4,,,0
HCPCS,C1713,Plate Shelf,2934.22,1144.35,,,0
HCPCS,C1713,Plate Small/Mini Fragment,1583.55,617.58,,,0
HCPCS,C1713,Plate Smartlock Hmmf,1412.78,550.98,,,0
HCPCS,C1713,Plate Square,686.2,267.62,,,0
HCPCS,C1713,Plate Standard Mtp,8672.26,3382.18,,,0
HCPCS,C1713,Plate Sternal Locking,5444.1,2123.2,,,0
HCPCS,C1713,Plate Straight 4 Hole,482.31,188.1,,,0
HCPCS,C1713,Plate Straight 4 Hole(Kls Mart,353.97,138.05,,,0
HCPCS,C1713,Plate Straight 8H,3603.87,1405.51,,,0
HCPCS,C1713,Plate Straight Fusion,6668.5,2600.72,,,0
HCPCS,C1713,Plate Strut 0.5Mm,10016.73,3906.52,,,0
HCPCS,C1713,Plate Strut 1.4Mm,27190.48,10604.29,,,0
HCPCS,C1713,Plate Suboccipital Malleable S,2856.6,1114.07,,,0
HCPCS,C1713,Plate Supracondylar,1355.85,528.78,,,0
HCPCS,C1713,Plate Suprapectineal,7670.38,2991.45,,,0
HCPCS,C1713,Plate Symphysis Pubis,4613.0,1799.07,,,0
HCPCS,C1713,Plate T Oblique,1291.68,503.76,,,0
HCPCS,C1713,Plate T Va-Lock 3H,4894.52,1908.86,,,0
HCPCS,C1713,Plate Tib Prox Va Lcp,6599.16,2573.67,,,0
HCPCS,C1713,Plate Tibal,4315.95,1683.22,,,0
HCPCS,C1713,Plate Tibia Lat Prox,7476.84,2915.97,,,0
HCPCS,C1713,Plate Tibia Medial Distal Lcp,8721.94,3401.56,,,0
HCPCS,C1713,Plate Tibia Prox Distal S&N,9346.05,3644.96,,,0
HCPCS,C1713,Plate Tibia Prox Va-Lcp,8133.03,3171.88,,,0
HCPCS,C1713,Plate Tibia Va Dis (93629),3689.78,1439.01,,,0
HCPCS,C1713,Plate Trochanteric Ring,18365.04,7162.37,,,0
HCPCS,C1713,Plate Tubular,686.2,267.62,,,0
HCPCS,C1713,Plate Tubular Evos,1759.5,686.2,,,0
HCPCS,C1713,Plate Tubular Locking 3.5Mm,1394.14,543.71,,,0
HCPCS,C1713,Plate Ulna Proximal/Distal,5084.96,1983.13,,,0
HCPCS,C1713,Plate Utility 12H,14953.68,5831.94,,,0
HCPCS,C1713,Plate Utlity,18707.62,7295.97,,,0
HCPCS,C1713,Plate Va Locking 28Mm,1451.07,565.92,,,0
HCPCS,C1713,Plate Va-Lcp Fibula 2.7,3619.4,1411.57,,,0
HCPCS,C1713,Plate Vectra Level-1,5216.4,2034.4,,,0
HCPCS,C1713,Plate Vectra Level-2,5651.1,2203.93,,,0
HCPCS,C1713,Plate Vectra Level-3,5651.1,2203.93,,,0
HCPCS,C1713,Plate Venture Cervical 52-70Mm,5924.34,2310.49,,,0
HCPCS,C1713,Plate Wrist Spanning,20300.49,7917.19,,,0
HCPCS,C1713,Plate Y/L/T Shaped,809.37,315.65,,,0
HCPCS,C1713,Plate/8-12 Hole,979.11,381.85,,,0
HCPCS,C1713,Plate/L,2369.11,923.95,,,0
HCPCS,C1713,Plate/Mandibular/St/Cr,897.34,349.96,,,0
HCPCS,C1713,Plt Thinflap Craniomaxill,652.05,254.3,,,0
HCPCS,C1713,Plt Troch Periprosth Femoral,7628.98,2975.3,,,0
HCPCS,C1713,Provisional Fixation Pin,942.88,367.72,,,0
HCPCS,C1713,Prox Hum Plate,9158.72,3571.9,,,0
HCPCS,C1713,Putty Allomatrix Bone/Inj 10Cc,13475.7,5255.52,,,0
HCPCS,C1713,Putty Dbm Allomatrix Injectabl,5210.19,2031.97,,,0
HCPCS,C1713,Putty Fast Set,6590.88,2570.44,,,0
HCPCS,C1713,Quadlink Implant System,9454.72,3687.34,,,0
HCPCS,C1713,Radius Distal,40641.34,15850.12,,,0
HCPCS,C1713,Recon Plate Evos 3.5Mm 8 Hole,3433.1,1338.91,,,0
HCPCS,C1713,Restrictor Cement,921.15,359.25,,,0
HCPCS,C1713,Rod,1956.15,762.9,,,0
HCPCS,C1713,Rod 30Mm-500Mm,1029.82,401.63,,,0
HCPCS,C1713,Rod Carbon 8Mm,544.41,212.32,,,0
HCPCS,C1713,Rod Carbon Fiber 11Mm 400-500,887.0,345.93,,,0
HCPCS,C1713,Rod Ortho,1956.15,762.9,,,0
HCPCS,C1713,Rod Pre-Bent Synthes,1850.58,721.73,,,0
HCPCS,C1713,Rod Reaming Ball Tip 2.5Mm,495.76,193.35,,,0
HCPCS,C1713,Rod Spinal,1264.77,493.26,,,0
HCPCS,C1713,Rod Spine,1521.45,593.37,,,0
HCPCS,C1713,Rod Template Mesa,1160.23,452.49,,,0
HCPCS,C1713,Rod Threaded Cannulated,2326.68,907.41,,,0
HCPCS,C1713,Rod Titanium,912.87,356.02,,,0
HCPCS,C1713,Rod Titanium Vertex Summit,2921.8,1139.5,,,0
HCPCS,C1713,Rod Xia 270Mm-400Mm,1247.18,486.4,,,0
HCPCS,C1713,Rod/Spi,1304.1,508.6,,,0
HCPCS,C1713,Screw 2.4Mm,226.66,88.4,,,0
HCPCS,C1713,Screw 4.0X35,2164.18,844.03,,,0
HCPCS,C1713,Screw 4.0X37.5,3090.51,1205.3,,,0
HCPCS,C1713,Screw Atlantis,1172.66,457.34,,,0
HCPCS,C1713,Screw Atlantis/Transfix,1474.88,575.2,,,0
HCPCS,C1713,Screw Axon,3109.14,1212.56,,,0
HCPCS,C1713,Screw Bio Interference,978.08,381.45,,,0
HCPCS,C1713,Screw Bio-Compression,1239.93,483.57,,,0
HCPCS,C1713,Screw Biphase Titanium,705.87,275.29,,,0
HCPCS,C1713,Screw Bone,686.2,267.62,,,0
HCPCS,C1713,Screw Bone Sq Torque,869.4,339.07,,,0
HCPCS,C1713,Screw Bone Ti,8936.19,3485.11,,,0
HCPCS,C1713,Screw Build-Up Block,1889.91,737.06,,,0
HCPCS,C1713,Screw Cancellous,421.24,164.28,,,0
HCPCS,C1713,Screw Cancellous 4.0Mm,130.41,50.86,,,0
HCPCS,C1713,Screw Cancellous 6.5Mm,157.32,61.35,,,0
HCPCS,C1713,Screw Cancellous/Cortex,285.66,111.41,,,0
HCPCS,C1713,Screw Cannulated,2715.84,1059.1799999999998,,,0
HCPCS,C1713,Screw Cannulated 2X18Mm,2973.56,1159.69,,,0
HCPCS,C1713,Screw Cannulated 4.5Mm,714.15,278.52,,,0
HCPCS,C1713,Screw Cannulated 4/5Mm,735.88,286.99,,,0
HCPCS,C1713,Screw Cannulated 6.5-7.3,1326.87,517.48,,,0
HCPCS,C1713,Screw Cannulated Threaded,1019.47,397.59000000000003,,,0
HCPCS,C1713,Screw Cannulated/Cancellous,695.52,271.25,,,0
HCPCS,C1713,Screw Captured 4.5 Mm Internal,869.4,339.07,,,0
HCPCS,C1713,Screw Captured 5.0Mm Internal,928.4,362.08,,,0
HCPCS,C1713,Screw Cmf Self Drilling Plus D,333.27,129.98,,,0
HCPCS,C1713,Screw Compression,1098.135,428.275,,,0
HCPCS,C1713,Screw Coretex 3.5Mm 10-55Mm,157.32,61.35,,,0
HCPCS,C1713,Screw Cortex,455.91999999999996,177.81,,,0
HCPCS,C1713,Screw Cortex 4.5Mm,103.5,40.36,,,0
HCPCS,C1713,Screw Cortex Self Tapping,257.72,100.51,,,0
HCPCS,C1713,Screw Cortex Self Tapping 4.5M,147.49,57.52,,,0
HCPCS,C1713,Screw Cortex Selftapping 3.5Mm,102.46,39.96,,,0
HCPCS,C1713,Screw Cortex Titanium,76.59,29.87,,,0
HCPCS,C1713,Screw Cortical,488.0,190.32,,,0
HCPCS,C1713,Screw Cortical 130/30,848.7,330.99,,,0
HCPCS,C1713,Screw Cortical 3.5Mm,432.63,168.73,,,0
HCPCS,C1713,Screw Cortical Locking,716.22,279.33,,,0
HCPCS,C1713,Screw Cortical Self Tapping,233.91,91.22,,,0
HCPCS,C1713,Screw Cortical Smith Nephew,625.14,243.8,,,0
HCPCS,C1713,Screw Cortical Taper,693.45,270.45,,,0
HCPCS,C1713,Screw Cortical/Cortex,686.2,267.62,,,0
HCPCS,C1713,Screw Coupling,1022.58,398.81,,,0
HCPCS,C1713,Screw Dartfire Edge D1020000,6941.74,2707.28,,,0
HCPCS,C1713,Screw Emerg,686.2,267.62,,,0
HCPCS,C1713,Screw Emergency,334.3,130.38,,,0
HCPCS,C1713,Screw Exp,4239.36,1653.35,,,0
HCPCS,C1713,Screw Femoral,179.06,69.83,,,0
HCPCS,C1713,Screw Headless Acutrak Mini,6066.14,2365.79,,,0
HCPCS,C1713,Screw Hex Socket,360.18,140.47,,,0
HCPCS,C1713,Screw Hex/Buttress Thread,1072.26,418.18,,,0
HCPCS,C1713,Screw Iliac Fixation,3817.08,1488.66,,,0
HCPCS,C1713,Screw Infast Bone,1474.88,575.2,,,0
HCPCS,C1713,Screw Legacy,4538.48,1770.01,,,0
HCPCS,C1713,Screw Locking,558.9,217.97,,,0
HCPCS,C1713,Screw Locking 4.0-6.5Mm,655.16,255.51,,,0
HCPCS,C1713,Screw Locking 5.0Mm,965.66,376.61,,,0
HCPCS,C1713,Screw Locking Aequalis Reverse,686.2,267.62,,,0
HCPCS,C1713,Screw Locking Axon,686.2,267.62,,,0
HCPCS,C1713,Screw Locking Star Drive,735.88,286.99,,,0
HCPCS,C1713,Screw Locking Synapse,621.0,242.19,,,0
HCPCS,C1713,Screw Lumbar Cancellous,1842.3,718.5,,,0
HCPCS,C1713,Screw M8 Set Titanium,1020.51,398.0,,,0
HCPCS,C1713,Screw Mandibular Emer/Saftey,284.62,111.0,,,0
HCPCS,C1713,Screw Mmf 2.0X11Mm,670.68,261.57,,,0
HCPCS,C1713,Screw Mmf Maxillofacial,545.45,212.73,,,0
HCPCS,C1713,Screw Monarch Polyaxial,3912.3,1525.8,,,0
HCPCS,C1713,Screw Non-Locking,196.65,76.69,,,0
HCPCS,C1713,Screw Osteotomy,1341.36,523.13,,,0
HCPCS,C1713,Screw Pedicle Protex,2755.17,1074.52,,,0
HCPCS,C1713,Screw Peek Multiaxial,6132.38,2391.63,,,0
HCPCS,C1713,Screw Peek Set,1521.45,593.37,,,0
HCPCS,C1713,Screw Periarticular,192.51,75.08,,,0
HCPCS,C1713,Screw Pk Fix Lapiplasty Lesser,8897.9,3470.18,,,0
HCPCS,C1713,Screw Polyaxial,3116.385,1215.3899999999999,,,0
HCPCS,C1713,Screw Polyaxial/Multiaxial,3912.3,1525.8,,,0
HCPCS,C1713,Screw Recon 4.5,1071.22,417.78,,,0
HCPCS,C1713,Screw Recon/Proximal,675.86,263.59,,,0
HCPCS,C1713,Screw Resorbable Bio-Pushlock,1564.92,610.32,,,0
HCPCS,C1713,Screw Schanz,1519.38,592.56,,,0
HCPCS,C1713,Screw Schanz Self Drilling,670.68,261.57,,,0
HCPCS,C1713,Screw Self Tapping,8294.49,3234.85,,,0
HCPCS,C1713,Screw Self Tapping 1.5Mm 400.7,183.2,71.45,,,0
HCPCS,C1713,Screw Self Tapping Bone 4.5Mm,83.84,32.7,,,0
HCPCS,C1713,Screw Self Tapping Mandibular,391.23,152.58,,,0
HCPCS,C1713,Screw Self Tapping Stryker,241.16,94.05,,,0
HCPCS,C1713,Screw Self-Tapping,389.16,151.77,,,0
HCPCS,C1713,Screw Set,686.2,267.62,,,0
HCPCS,C1713,Screw Side Opening Spine,2260.44,881.57,,,0
HCPCS,C1713,Screw Small Fragment,113.85,44.4,,,0
HCPCS,C1713,Screw Smooth Threaded,811.44,316.46,,,0
HCPCS,C1713,Screw Spinal 3.5Mm,3912.3,1525.8,,,0
HCPCS,C1713,Screw Spinal Uniplanar,5477.22,2136.12,,,0
HCPCS,C1713,Screw Spinal Uniplanar 4.5,5477.22,2136.12,,,0
HCPCS,C1713,Screw Spine Cancellous/Cortica,1119.87,436.75,,,0
HCPCS,C1713,Screw Synapse,3912.3,1525.8,,,0
HCPCS,C1713,Screw System 4Mm,1855.76,723.75,,,0
HCPCS,C1713,Screw Tap 3Mm&4Mm,1318.59,514.25,,,0
HCPCS,C1713,Screw Tap Resorbable,1264.77,493.26,,,0
HCPCS,C1713,Screw Tendon/Acufex,1220.27,475.91,,,0
HCPCS,C1713,Screw Ti,3226.1,1258.18,,,0
HCPCS,C1713,Screw Ti Cmf,825.93,322.11,,,0
HCPCS,C1713,Screw Ti Cortex Self Tapping,356.04,138.86,,,0
HCPCS,C1713,Screw Ti Locking,1105.895,431.29999999999995,,,0
HCPCS,C1713,Screw Ti Machine,351.9,137.24,,,0
HCPCS,C1713,Screw Tibial,607.54,236.94,,,0
HCPCS,C1713,Screw Titanium,4239.36,1653.35,,,0
HCPCS,C1713,Screw Titanium Locking,829.04,323.33,,,0
HCPCS,C1713,Screw Titanium Pedicle Click,2260.44,881.57,,,0
HCPCS,C1713,Screw Venture Fixed/Var Angle,1589.76,620.01,,,0
HCPCS,C1713,Screw Voyager 4.5X35,6085.8,2373.46,,,0
HCPCS,C1713,Screw W Thorp Lock,668.61,260.76,,,0
HCPCS,C1713,Screw W/Interference,735.88,286.99,,,0
HCPCS,C1713,Screw/1.5Mm/1.6Mm/2.0Mm/4.0,234.94,91.63,,,0
HCPCS,C1713,Screw/Anchor Bn/Bn Tis/Bn,1738.8,678.13,,,0
HCPCS,C1713,Screw/Cannulated 6.5Mm/7.3Mm,948.06,369.74,,,0
HCPCS,C1713,Screw/Cortical,397.44,155.0,,,0
HCPCS,C1713,Screw/Emergency,256.68,100.11,,,0
HCPCS,C1713,Screw/Lag/Locking,1119.87,436.75,,,0
HCPCS,C1713,Screw/Locking,519.57,202.63,,,0
HCPCS,C1713,Screw/Pedi/Hip,796.95,310.81,,,0
HCPCS,C1713,Screw/Pin Schanz,651.02,253.9,,,0
HCPCS,C1713,Screw/Self Tapping,519.57,202.63,,,0
HCPCS,C1713,Screw/Shaft Cortex,99.36,38.75,,,0
HCPCS,C1713,Screw4.0X32.5,3090.51,1205.3,,,0
HCPCS,C1713,Screwbone,234.94,91.63,,,0
HCPCS,C1713,Screwdriver Compression,822.82,320.9,,,0
HCPCS,C1713,Sec Fixation W/ Swivelock,3152.61,1229.52,,,0
HCPCS,C1713,Self-Punching Anchor,1956.15,762.9,,,0
HCPCS,C1713,Sonicpins,1124.01,438.36,,,0
HCPCS,C1713,Spacer Interspace Knee/Hip,4477.41,1746.19,,,0
HCPCS,C1713,Spacer Knee Osteobridge,46575.0,18164.25,,,0
HCPCS,C1713,Spacer Peck,13041.0,5085.99,,,0
HCPCS,C1713,Spacer Spinal,7607.25,2966.83,,,0
HCPCS,C1713,Spacer Spinal Peek,31631.67,12336.35,,,0
HCPCS,C1713,Spacer Spinal Trabecular Meta,5020.78,1958.1,,,0
HCPCS,C1713,Sphere Glenoid Aequalis Revers,5864.31,2287.08,,,0
HCPCS,C1713,Staple Bone Fixation,7551.36,2945.0299999999997,,,0
HCPCS,C1713,Staple Compression (Ortho),3326.49,1297.33,,,0
HCPCS,C1713,Staple Dynanite,9977.4,3891.19,,,0
HCPCS,C1713,Staple Sys Nitino,6916.9,2697.59,,,0
HCPCS,C1713,Staple Sys Nitinol,4974.21,1939.94,,,0
HCPCS,C1713,Staple Sys Nitinol Dynanite,9976.36,3890.78,,,0
HCPCS,C1713,Suboccipital Malleable Lg,7438.54,2901.03,,,0
HCPCS,C1713,Substitute Bone Graft 2.5Cc,5606.6,2186.57,,,0
HCPCS,C1713,Substitute Bone Graft 5Cc,8542.89,3331.73,,,0
HCPCS,C1713,Substitute Bone Inject 10Cc,11780.37,4594.34,,,0
HCPCS,C1713,Substitute Bone Moldable 2.5C,6135.48,2392.84,,,0
HCPCS,C1713,Sup Anchor/Screw For Bone-To-Bone Or Soft Tissue-To-Bone (Implanted),2940.37,1146.74,,,0
HCPCS,C1713,Suture Anchor,1368.79,533.83,,,0
HCPCS,C1713,Suture Anchor 5.0Mm,2318.4,904.18,,,0
HCPCS,C1713,Suture Eclipse Speedscap,10867.5,4238.32,,,0
HCPCS,C1713,Suture Knotless #2,1825.74,712.04,,,0
HCPCS,C1713,Suture Ulatratape,6503.94,2536.54,,,0
HCPCS,C1713,Swivelock Anchor,3477.6,1356.26,,,0
HCPCS,C1713,Swivelock Arthrex Knotless,2151.76,839.19,,,0
HCPCS,C1713,Syndesmosis Fibulink Kit,4896.58,1909.67,,,0
HCPCS,C1713,Syndesmosis Repair Kit,7172.55,2797.29,,,0
HCPCS,C1713,Syndesmosis Tightrope Xp,12158.14,4741.67,,,0
HCPCS,C1713,Sys Kit Proximal Tenodesis,2934.22,1144.35,,,0
HCPCS,C1713,System Implant Fdl,6499.8,2534.92,,,0
HCPCS,C1713,System Meniscal Fast-Fix,1666.35,649.88,,,0
HCPCS,C1713,Tap Screw,2410.52,940.1,,,0
HCPCS,C1713,Ti Flexable Im Nail,2722.05,1061.6,,,0
HCPCS,C1713,Tibial Nail,4675.095,1823.29,,,0
HCPCS,C1713,Tightrope Abs Button,973.94,379.84,,,0
HCPCS,C1713,Tightrope Anchor Abs,1717.06,669.65,,,0
HCPCS,C1713,Tightrope Ii Mbtb,2337.03,911.44,,,0
HCPCS,C1713,Tightrope Open Abs Ii,1062.94,414.545,,,0
HCPCS,C1713,Tornado Bio Bone Graft 10Cc,15214.5,5933.66,,,0
HCPCS,C1713,Tornado Bio Bone Graft 20Cc,30429.0,11867.31,,,0
HCPCS,C1713,Tornado Bone Graft 5Cc,7607.25,2966.83,,,0
HCPCS,C1713,Tornado Bone Grfat 40Cc,52164.0,20343.96,,,0
HCPCS,C1713,Transconnector Ti 31.5-83Mm,4347.0,1695.33,,,0
HCPCS,C1713,Trigen Hindfoot Fusion Nail,25412.36,9910.82,,,0
HCPCS,C1713,Trochanteric Nail 11.5,16402.68,6397.05,,,0
HCPCS,C1713,Tubular Plate Bone 6H,331.2,129.17,,,0
HCPCS,C1713,Universal Spacer,2130.03,830.71,,,0
HCPCS,C1713,Ventana C Lordotic Interbody,10867.5,4238.32,,,0
HCPCS,C1713,Washer Spike,568.22,221.61,,,0
HCPCS,C1713,Washer Titanium,271.17,105.76,,,0
HCPCS,C1713,Wire Compression Olive 15Mm,3833.64,1495.12,,,0
HCPCS,C1713,Wire Fixation,1365.16,532.41,,,0
HCPCS,C1713,Wire K,241.16,94.05,,,0
HCPCS,C1713,Wire K Threaded Trocar Point,105.57,41.17,,,0
HCPCS,C1713,Wire Kirschner For Ext Fixator,1290.64,503.35,,,0
HCPCS,C1713,Wire Kirschner Trocar,309.46,120.69,,,0
HCPCS,C1713,Y-Plate Lcp 3 Hole Head 8,1690.16,659.16,,,0
HCPCS,C1714,Noncdm Charge Record Medical Supplies,14197.61,5537.07,,,0
HCPCS,C1714,Noncdm Charge Record Medical Supplies - Catheter 035In 10X20Mm 135Cm,774.56,302.08,,,0
HCPCS,C1714,Noncdm Charge Record Medical Supplies - Catheter 035In 10X60Mm 75Cm Balloon Charger Dil,593.47,231.45,,,0
HCPCS,C1714,Noncdm Charge Record Medical Supplies - Catheter 035In 4X100Mm 75Cm,930.46,362.88,,,0
HCPCS,C1714,Noncdm Charge Record Medical Supplies - Catheter 035In 4X60Mm 75Cm,729.68,284.58,,,0
HCPCS,C1714,Noncdm Charge Record Medical Supplies - Catheter 035In 5X100Mm 75Cm,600.64,234.25,,,0
HCPCS,C1714,Noncdm Charge Record Medical Supplies - Catheter 035In 5X80Mm 75Cm,636.52,248.24,,,0
HCPCS,C1714,Noncdm Charge Record Medical Supplies - Catheter 035In 6X80Mm 75Cm,528.88,206.26,,,0
HCPCS,C1714,Noncdm Charge Record Medical Supplies - Catheter 035In 7X80Mm 75Cm,673.78,262.77,,,0
HCPCS,C1714,Noncdm Charge Record Medical Supplies - Catheter 035In 8X100Mm 135Cm,587.88,229.27,,,0
HCPCS,C1714,Noncdm Charge Record Medical Supplies - Catheter 035In 8X100Mm 75Cm,873.1,340.51,,,0
HCPCS,C1714,Noncdm Charge Record Medical Supplies - Catheter 035In 8X200Mm 135Cm,587.88,229.27,,,0
HCPCS,C1714,Noncdm Charge Record Medical Supplies - Catheter 035In 8X80Mm 75Cm,579.08,225.84,,,0
HCPCS,C1714,Noncdm Charge Record Medical Supplies - Catheter Cyte 2.5X220Mm 150Cm,1656.0,645.84,,,0
HCPCS,C1714,Noncdm Charge Record Medical Supplies - Catheter Cyte 2.5X60Mm 150Cm,1101.24,429.48,,,0
HCPCS,C1714,Noncdm Charge Record Medical Supplies - Catheter Cyte 2X150Mm 150Cm,1683.94,656.74,,,0
HCPCS,C1714,Noncdm Charge Record Medical Supplies - Catheter Cyte 2X220Mm 150Cm,1465.43,571.52,,,0
HCPCS,C1714,Noncdm Charge Record Medical Supplies - Catheter Cyte 2X60Mm 150Cm,1346.54,525.15,,,0
HCPCS,C1714,Noncdm Charge Record Medical Supplies - Catheter Cyte 3X100Mm 150Cm,1273.26,496.57,,,0
HCPCS,C1714,Noncdm Charge Record Medical Supplies - Catheter Cyte 3X150Mm 150Cm,1683.94,656.74,,,0
HCPCS,C1714,Noncdm Charge Record Medical Supplies - Catheter Cyte 3X220Mm 150Cm,1683.94,656.74,,,0
HCPCS,C1714,Noncdm Charge Record Medical Supplies - Catheter Cyte 3X60Mm 150Cm,1101.24,429.48,,,0
HCPCS,C1714,Noncdm Charge Record Medical Supplies - Catheter Cyte 4X100Mm 150Cm,1346.54,525.15,,,0
HCPCS,C1714,Noncdm Charge Record Medical Supplies - Catheter Cyte 4X220Mm 150Cm,1755.88,684.79,,,0
HCPCS,C1714,Noncdm Charge Record Medical Supplies - Catheter Peri Vasc 7Fr 113Cm Drct Arthrectomy,13205.56,5150.17,,,0
HCPCS,C1714,Noncdm Charge Record Medical Supplies - Catheter Peripheral 6F 5.9Cm3 3.0-7.0Mm 135Cm,13536.25,5279.14,,,0
HCPCS,C1715,"Brachytherapy Needle, Each",228.74,89.21,,,0
HCPCS,C1715,Hc Ndl Cannula Brachytherapy Any,24.535,9.57,,,0
HCPCS,C1715,Noncdm Charge Record Medical Supplies - Needle Brchtx 18Ga Prost,19.61,7.65,,,0
HCPCS,C1717,"Brachytx, non-str,hdr ir-192",,,357.49,1342.0,9
HCPCS,C1717,"Bracytx, Non-Str, Hdr Ir 192",751.41,293.05,,,0
HCPCS,C1717,Hc Brachythy Source N-High Iridium 192,335.87,130.99,,,0
HCPCS,C1721,Defib Cardiac Dual Blue 80Gm,52402.05,20436.8,,,0
HCPCS,C1721,Icd Defib Dual Chamber,53665.78,20929.65,,,0
HCPCS,C1721,Icd Defib Momentum El Dr,52272.68,20386.35,,,0
HCPCS,C1721,Noncdm Charge Record Medical Supplies,57078.04,22260.434999999998,,,0
HCPCS,C1721,Noncdm Charge Record Medical Supplies - Defibrillator Cardiac 31Cc W51Xh12Xl69Mm Gallant Dr,62085.51,24213.35,,,0
HCPCS,C1721,Noncdm Charge Record Medical Supplies - Defibrillator Cardiac Cobalt W51Xh66In D13Mm,59282.38,23120.13,,,0
HCPCS,C1721,Noncdm Charge Record Medical Supplies - Defibrillator Cobalt Surescan Xt Dr Mri Cardiac 80Gm 51X68Mm,59031.97,23022.47,,,0
HCPCS,C1721,Noncdm Charge Record Medical Supplies - Icd Ellipse 36Df4 Nxgn Next Generation Connector Dr,53167.95,20735.5,,,0
HCPCS,C1721,Noncdm Charge Record Medical Supplies - Icd Fortify Assura Dr 40,53167.95,20735.5,,,0
HCPCS,C1721,Noncdm Charge Record Medical Supplies - Icd Fortify Assura Dr 40 Df4 Next Generation Connector,53167.95,20735.5,,,0
HCPCS,C1721,Noncdm Charge Record Medical Supplies - Resonate El Dr Df4,55101.33,21489.52,,,0
HCPCS,C1722,Generator Pulse Sq Rx,80766.23,31498.83,,,0
HCPCS,C1722,Icd Defib Surescan Single Mri,42420.51,16544.0,,,0
HCPCS,C1722,Icd Device Aurora Ev,77314.5,30152.66,,,0
HCPCS,C1722,Icd Dvpa2D4 Cobalt Mri,40670.32,15861.42,,,0
HCPCS,C1722,Noncdm Charge Record Medical Supplies,53849.015,21001.115,,,0
HCPCS,C1722,Noncdm Charge Record Medical Supplies - Defibrillator Cardiac 30Cc W51Xh12Xl63Mm Gallant Vr,57107.16,22271.79,,,0
HCPCS,C1722,Noncdm Charge Record Medical Supplies - Defibrillator Cobalt Vr Df4 Mri Icd W51Xh64In D13Mm Connec,52119.84,20326.74,,,0
HCPCS,C1722,Noncdm Charge Record Medical Supplies - Generator Emblem S-Icd Mri Pulse,89418.82,34873.34,,,0
HCPCS,C1722,Noncdm Charge Record Medical Supplies - Icd Ellipse Vr36 Nxgn Next Generation,52273.71,20386.75,,,0
HCPCS,C1722,Noncdm Charge Record Medical Supplies - Icd Fortify Assura Vr 40,45917.78,17907.93,,,0
HCPCS,C1722,Noncdm Charge Record Medical Supplies - Momentum El Vr,52684.6,20546.99,,,0
HCPCS,C1722,Noncdm Charge Record Medical Supplies - Perciva Vr Df4,52684.6,20546.99,,,0
HCPCS,C1722,Noncdm Charge Record Medical Supplies - Resonate El Vr Df4,52684.6,20546.99,,,0
HCPCS,C1724,Balloon Xxl Dilatation,1130.22,440.79,,,0
HCPCS,C1724,Cath Atherectomy Rotational,5974.02,2329.87,,,0
HCPCS,C1724,Cath Coronary Orbital Atherect,15214.5,5933.66,,,0
HCPCS,C1724,Noncdm Charge Record Medical Supplies,6339.375,2472.355,,,0
HCPCS,C1724,Noncdm Charge Record Medical Supplies - Catheter Jetstream Xc Catheter 2.1Mm Us,13205.56,5150.17,,,0
HCPCS,C1724,Noncdm Charge Record Medical Supplies - Device 1.5Mm 145Cm Arthectomy Pta Stlth Sld Crwn,14998.6,5849.45,,,0
HCPCS,C1724,Noncdm Charge Record Medical Supplies - Diamond Back Csi Catheter Atherectomy L135Cm Cr Crown 1.25Mm,16732.84,6525.81,,,0
HCPCS,C1724,Noncdm Charge Record Medical Supplies - Diamondback 360 Peripheral Orbital Atherectomy System 1.25Mm,14969.2,5837.99,,,0
HCPCS,C1724,Noncdm Charge Record Medical Supplies - Rotapro Os 2.0 1.25Mm,11419.16,4453.47,,,0
HCPCS,C1724,Noncdm Charge Record Medical Supplies - Rotapro Os 2.0 1.50Mm,10374.44,4046.03,,,0
HCPCS,C1724,Noncdm Charge Record Medical Supplies - Rotapro Os 2.0 1.75Mm,8521.84,3323.52,,,0
HCPCS,C1724,Noncdm Charge Record Medical Supplies - Rotolink 1.5 Mm Burr,3946.46,1539.12,,,0
HCPCS,C1724,Noncdm Charge Record Medical Supplies - Stealth Predator 2Mm 6Fr,14969.2,5837.99,,,0
HCPCS,C1724,Noncdm Charge Record Medical Supplies - System Atherectomy 200Cm 1.25Mm Solid Crown Cv Systems Inc,15851.02,6181.9,,,0
HCPCS,C1724,Noncdm Charge Record Medical Supplies - System Atherectomy 200Cm 1.25Mm Solid Crown Peripheral Cv Sy,15851.02,6181.9,,,0
HCPCS,C1725,Balloon Cath Chocolate Ptca,3260.25,1271.5,,,0
HCPCS,C1725,Balloon Cath Coyote Es Otw,1304.1,508.6,,,0
HCPCS,C1725,Balloon Cath Coyote Otw,1430.37,557.84,,,0
HCPCS,C1725,Balloon Cath Coyote Otw Long,1799.86,701.95,,,0
HCPCS,C1725,Balloon Catheter Cutting,3477.6,1356.26,,,0
HCPCS,C1725,Balloon Catheter Nonlaser,899.42,350.77,,,0
HCPCS,C1725,Balloon Catheter Scoring,2935.26,1144.75,,,0
HCPCS,C1725,Balloon Non Laser,956.34,372.97,,,0
HCPCS,C1725,Balloon Periph Mustang,1047.42,408.49,,,0
HCPCS,C1725,Balloon Periph Mustang Short,941.85,367.32,,,0
HCPCS,C1725,Balloon Periph Sterling Mr Sh,1363.1,531.61,,,0
HCPCS,C1725,Balloon Periph Sterling Otw L,1499.72,584.89,,,0
HCPCS,C1725,Balloon Peripheral,1967.54,767.34,,,0
HCPCS,C1725,Balloon Polar Dilatation,3477.6,1356.26,,,0
HCPCS,C1725,Balloon Sterling Otw Short,1304.1,508.6,,,0
HCPCS,C1725,Balloon Ultrathn Diamond,970.83,378.62,,,0
HCPCS,C1725,Basic Angioplasty Balloos,1326.87,517.48,,,0
HCPCS,C1725,Cath Angio Balloon Coda,412.96,161.05,,,0
HCPCS,C1725,Cath Angio Berman,318.78,124.32,,,0
HCPCS,C1725,Cath Angio Sterling Otw,804.2,313.64,,,0
HCPCS,C1725,Cath Angioplasty Balloon,2495.39,973.2,,,0
HCPCS,C1725,Cath Angplast,703.8,274.48,,,0
HCPCS,C1725,Cath Ball Gateway,5197.77,2027.13,,,0
HCPCS,C1725,Cath Ballon Dilation,391.23,152.58,,,0
HCPCS,C1725,Cath Balloon Cr Brad,1412.78,550.98,,,0
HCPCS,C1725,Cath Balloon Dil Pta Rapid,1043.28,406.88,,,0
HCPCS,C1725,Cath Balloon Dila 11Mmx3Cm,2789.32,1087.83,,,0
HCPCS,C1725,Cath Balloon Dilat 5X10X135,499.9,194.96,,,0
HCPCS,C1725,Cath Balloon Dilat Pta Viatrac,935.64,364.9,,,0
HCPCS,C1725,Cath Balloon Monorail,848.7,330.99,,,0
HCPCS,C1725,Cath Balloon Mustang,695.52,271.25,,,0
HCPCS,C1725,Cath Balloon Trek Nc,499.9,194.96,,,0
HCPCS,C1725,Cath Dilatation Balloon Mustan,608.58,237.35,,,0
HCPCS,C1725,Cath Dilation Balloon,3891.6,1517.72,,,0
HCPCS,C1725,Cath Dilation Conquest,869.4,339.07,,,0
HCPCS,C1725,Cath Dilation Pta Atlas,1217.16,474.69,,,0
HCPCS,C1725,Cath Litho Shockwave L6 8X30M,14997.15,5848.89,,,0
HCPCS,C1725,Cath Lito Shockwave S4,11954.25,4662.16,,,0
HCPCS,C1725,Cath Nanocross Ball,782.46,305.16,,,0
HCPCS,C1725,Cath Perip Cutting Ball,3586.28,1398.65,,,0
HCPCS,C1725,Cath Pta Dilation Atlas,1304.1,508.6,,,0
HCPCS,C1725,Cath Ptv Tyshak Ii,2379.46,927.99,,,0
HCPCS,C1725,Cath Sterling Balloon,956.34,372.97,,,0
HCPCS,C1725,Cath Z-Med Ii 26Mmx100Cm,3605.94,1406.32,,,0
HCPCS,C1725,Catheter Angiographic Imager,92.12,35.93,,,0
HCPCS,C1725,Catheter Balloon Dilatation,935.64,364.9,,,0
HCPCS,C1725,Catheter Balloon Evercross,478.17,186.49,,,0
HCPCS,C1725,Catheter Balloon Nanocross,695.52,271.25,,,0
HCPCS,C1725,Catheter Intraaortic Balloon P,2461.23,959.88,,,0
HCPCS,C1725,Hc Cath Balloon Talon 4Mmx2,1104.55,430.775,,,0
HCPCS,C1725,Hc Catheter Ball Dil .014In/4/135,1253.07,488.7,,,0
HCPCS,C1725,Maverick Post 30 Degree,1272.02,496.09,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies,661.36,257.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Apex Rx 2.5 X 12,416.07,162.27,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Apex Rx 2.5 X 8,416.07,162.27,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Apex Rx 3.0 X 12,416.07,162.27,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Apex Rx 3.0 X 8,416.07,162.27,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Apex Rx 3.5 X 12,471.18,183.76,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Bag Atf 1000Ml Brt 2 Blood Collect,51.75,20.18,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Bag Wst Angio W Vent Spike-Dual Valve,36.22,14.13,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon 3X40Mm 135Cm,1177.48,459.22,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon 3X60Mm 135Cm,1287.37,502.07,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon 4X60Mm 135Cm,991.53,386.7,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon 5.0Mmx30Mmx80Cm Fr Sterling,1272.24,496.17,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon 6.5X20Mm 135Cm,991.53,386.7,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon 6F 18Inch 5Mm X 20Mm 50Cm Cutting Device Boston Scie,3328.21,1298.0,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon 6X40Mm 135Cm,1169.03,455.92,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon 6X60Mm 135Cm,991.53,386.7,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon 7F 7.0Mm X 80Mm Admiral Inpact Paclitaxel Eluting Pt,5305.75,2069.24,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon 7X30Mm 135Cm,1101.24,429.48,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Angio Cath 4Mm 8Mm Dual,2497.8,974.14,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Angiosculpt 3.0 Mm X 15 Mm,3747.74,1461.62,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Apex Rx 2.0X12 Ptca Rx,416.07,162.27,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Apex Rx 2.0X8 Ptca Rx Nonlaser,447.56,174.55,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Apex Rx 3.0X20 Ptca Rx,471.18,183.76,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Athletis 10 X 40,1884.74,735.05,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Athletis 12 X 40,1884.74,735.05,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Athletis 8 X 60,1884.74,735.05,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Brk Thr 4X100Mmx150Cm Dil Strlg Sl Otw 4F,991.53,386.7,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Brk Thr 4X150Mmx150Cm Dil Strlg Sl Otw 4F,991.53,386.7,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Cath 100Cm 10F,3523.14,1374.02,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Charger 8Mmx20Mmx,845.78,329.85,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Charger 8Mmx2X135Cm,601.9,234.74,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Coda 9F 32Mm,2168.5,845.72,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Conquest 7F 10Mm 4Cm 75Cml,1296.86,505.78,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Coyote 2.0-80,1150.92,448.86,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Dil Bil 5.8Fr 10Mm 4Cm,1733.62,676.11,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Dil Bil 5.8Fr 4Mm 4Cm,1733.62,676.11,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Dil Bil 5.8Fr 6Mm 4Cm,1733.62,676.11,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Dil Bil 5.8Fr 8Mm 4Cm,1733.62,676.11,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Dil Mustang Pta Otw 6Fr 8Mm 40Mm 135Cm,767.28,299.24,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Dil Pta Otw 5Fr 5Mm 60Mm 75Cm Mustang,842.93,328.74,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Dil Pta Otw 5Fr 6Mm 40Mm 75Cm Mustang,1060.88,413.74,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Dil Pta Otw 5Fr 6Mm 60Mm 75Cm Mustang,954.96,372.43,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Dil Pta Otw 5Fr 7Mm 40Mm 135Cm Mustabg,661.36,257.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Dil Pta Otw 5Fr 7Mm 40Mm 75Cm,1028.17,400.99,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Dil Pta Otw 5Fr 7Mm 60Mm 75Cm Mustang,878.01,342.42,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Dil Pta Otw 6Fr 8Mm 40Mm 75Cm Mustang,881.39,343.74,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Dil Pta Otw 6Fr 8Mm 60Mm 75Cm Mustang,979.11,381.85,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Dil Xxl 14Mmx4Cm 75Cm,1195.04,466.07,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Dilation Pta Sterling Breakthrough Over The Wire (Ot,1363.83,531.89,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Dilation Pta Sterling Breakthrough Sl Over The Wire,1228.2,479.0,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Emerge 1.20X15Mm Push Mr,428.32,167.04,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Emerge 1.20X8Mm Push Mr,489.56,190.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Emerge 1.50X12Mm Push Mr,416.07,162.27,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Emerge 1.50X15Mm Push Mr,416.07,162.27,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Emerge 1.50X20Mm Push Mr,489.56,190.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Emerge 3.25X20Mm Otw,538.2,209.9,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 1.20X8Mm,416.07,162.27,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 1.50Mm X 12,465.06,181.37,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 1.50Mm X 15,449.47,175.29,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 1.50X20Mm,445.46,173.73,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 1.50X8Mm,434.44,169.43,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 2.00X12Mm,443.06,172.79,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 2.00X15Mm,439.9,171.56,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 2.00X20Mm,447.01,174.33,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 2.00X30Mm,444.33,173.29,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 2.00X8Mm,443.63,173.02,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 2.25X12Mm,468.56,182.74,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 2.25X15Mm,489.56,190.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 2.25X20Mm,471.18,183.76,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 2.25X30Mm,465.06,181.37,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 2.50X12Mm,447.38,174.48,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 2.50X15Mm,450.95,175.87,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 2.50X20Mm,438.26,170.92,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 2.50X30Mm,440.54,171.81,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 2.50X8Mm,440.56,171.82,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 2.75X15Mm,440.56,171.82,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 2.75X20Mm,434.44,169.43,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 3.00Mm X 12,441.94,172.36,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 3.00Mm X 8M,458.06,178.64,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 3.00X15Mm,447.08,174.36,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 3.00X20Mm,442.87,172.72,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 3.00X30Mm,445.46,173.73,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 3.25Mm X 12,440.56,171.82,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 3.50Mm X 12,442.31,172.5,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 3.50Mm X 8M,452.81,176.6,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 3.50X15Mm,450.65,175.75,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 3.50X20Mm,435.85,169.98,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 3.50X30Mm,452.81,176.6,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 3.75X15Mm,416.07,162.27,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 4.00Mm X 12,425.26,165.85,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 4.00X15Mm,441.63,172.24,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Emerge Mr 4.00X20Mm,452.81,176.6,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Mini Trek 1.50Mm X 12Mm 145Cm Otw,426.01,166.14,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Mustang 6.0-150,979.11,381.85,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 2.00X12Mm Mr,440.56,171.82,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 2.25X12Mm Mr,489.56,190.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 2.25X15Mm Mr,452.81,176.6,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 2.25X30Mm Mr,416.07,162.27,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 2.50X12Mm Mr,465.06,181.37,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 2.50X15Mm Mr,454.85,177.39,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 2.50X20Mm Mr,443.29,172.88,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 2.50X30Mm Mr,458.06,178.64,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 2.50X8Mm Mr,452.81,176.6,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 2.75X12Mm Mr,416.07,162.27,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 2.75X15Mm Mr,456.15,177.9,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 2.75X20Mm Mr,489.56,190.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 2.75X8Mm Mr,416.07,162.27,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 3.00X15Mm Mr,444.54,173.37,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 3.00X20Mm Mr,448.83,175.04,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 3.00X30Mm Mr,449.14,175.16,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 3.00X8Mm Mr,444.65,173.41,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 3.25X15Mm Mr,450.36,175.64,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 3.25X20Mm Mr,428.32,167.04,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 3.25X30Mm Mr,489.56,190.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 3.25X8Mm Mr,489.56,190.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 3.50X15Mm Mr,440.33,171.73,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 3.50X20Mm Mr,436.14,170.09,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 3.50X30Mm Mr,423.94,165.34,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 3.50X8Mm Mr,450.36,175.64,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 3.75X15Mm Mr,440.56,171.82,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 3.75X20Mm Mr,489.56,190.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 4.00X15Mm Mr,437.68,170.7,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 4.00X20Mm Mr,445.46,173.73,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 4.00X30Mm Mr,447.56,174.55,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 4.00X8Mm Mr,450.77,175.8,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 4.50X15Mm Mr,447.25,174.43,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 4.50X20Mm Mr,444.62,173.4,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 4.50X8Mm Mr,439.03,171.22,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 5.00X15Mm Mr,452.81,176.6,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 5.00X20Mm Mr,452.81,176.6,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 5.00X8Mm Mr,448.22,174.81,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 5.50Mm X 8Mm Mr,440.56,171.82,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 5.50X12Mm Mr,426.57,166.36,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 5.50X20Mm Mr,416.07,162.27,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 6.00X12Mm Mr,428.32,167.04,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 6.00X15Mm Mr,416.07,162.27,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge 6.00X8Mm Mr,453.89,177.02,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge Mr 3.00Mm X 12Mm Mr,450.88,175.84,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge Mr 3.25Mm X 12Mm Mr,457.41,178.39,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge Mr 3.50Mm X 12Mm,439.66,171.47,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge Mr 3.75Mm X 12Mm,434.44,169.43,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge Mr 4.00Mm X 12Mm,437.19,170.5,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge Mr 4.50Mm X 12Mm Mr,442.79,172.69,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Emerge Mr 5.00Mm X 12Mr,435.41,169.81,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 2.25X12Mm Rx,391.34,152.62,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 2.25X15Mm Rx,391.44,152.66,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 2.25X20Mm Rx,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 2.25X8Mm Rx,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 2.5X12Mm Rx,391.31,152.61,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 2.5X15Mm Rx,391.32,152.61,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 2.5X20Mm Rx,391.3,152.61,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 2.5X27Mm Rx,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 2.5X6Mm Rx,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 2.5X8Mm Rx,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 2.75X12Mm Rx,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 2.75X15Mm Rx,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 2.75X20Mm Rx,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 2.75X27Mm Rx,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 2.75X8Mm Rx,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 3.25X12Mm Rx,391.27,152.6,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 3.25X15Mm Rx,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 3.25X27Mm Rx,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 3.25X6Mm Rx,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 3.25X8Mm Rx,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 3.5X12Mm Rx,391.29,152.6,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 3.5X27Mm Rx,391.32,152.61,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 3.5X6Mm Rx,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 3.5X8Mm Rx,391.26,152.59,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 3.75X12Mm Rx,391.28,152.6,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 3.75X15Mm Rx,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 3.75X20Mm Rx,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 3.75X27Mm Rx,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 3.75X6Mm Rx,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 3.75X8Mm Rx,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 3X12Mm Rx,391.3,152.61,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 3X15Mm Rx,391.3,152.61,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 3X20Mm Rx,391.25,152.59,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 3X27Mm Rx,391.25,152.59,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 3X6Mm Rx,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 3X8Mm Rx,391.26,152.59,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 4.5X12Mm Rx,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 4.5X15Mm Rx,391.25,152.59,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 4.5X20Mm Rx,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 4.5X8Mm Rx,391.28,152.6,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 4X12Mm Rx,391.25,152.59,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 4X15Mm Rx,391.24,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 4X20Mm Rx,391.3,152.61,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 4X27Mm Rx,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 4X6Mm Rx,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 4X8Mm Rx,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 5.0X12Mm Rx,391.3,152.61,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 5X15Mm Rx,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria 5X8Mm Rx,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria Rx 2X12Mm,391.33,152.62,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria Rx 2X15Mm,391.28,152.6,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria Rx 2X20Mm,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria Rx 2X6Mm,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euphoria Rx 2X8Mm,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Euporia 3.25X20Mm Rx,391.27,152.6,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Rx 3.50 X 15Mm Euphora,391.27,152.6,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Rx 3.50 X 20Mm Euphora,391.3,152.61,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Trek Rx 1.5X6,489.56,190.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Trek Rx 2.0X15,489.56,190.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Trek Rx 2.25X15,489.56,190.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Trek Rx 2.25X6,489.56,190.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Trek Rx 2.5X15,489.56,190.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Trek Rx 3.0X15,489.56,190.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Trek Rx 3.25X12,489.56,190.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Trek Rx 3.25X20 20Mm,489.56,190.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Trek Rx 3.5X15,489.56,190.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Trek Rx 3.5X20 20Mm,489.56,190.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Trek Rx 3.5X8,489.56,190.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Trek Rx 3.75X8,489.56,190.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Trek Rx 4.0X15,489.56,190.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Trek Rx 4.0X8,489.56,190.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Trek Rx 5.0X12,489.56,190.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Nc Trek Rx 5.0X8,489.56,190.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Pta Dil Rx 4F 4.0Mmx40 Sterling Breakthrough,1169.03,455.92,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Pulmonary Dialation,3292.34,1284.01,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Rx 4F 2.5X40Mm 146Cm,1285.47,501.33,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Rx 4F 2X20Mm 143Cm,1162.56,453.4,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Rx 4F 3X20Mm 144Cm,1101.24,429.48,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Rx 4F 4X20Mm 144Cm,1101.58,429.62,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Saber 6.0-150,1850.58,721.73,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sapphire Ii Pro Semi Compliant 1.5 X 15,431.12,168.14,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sapphire Ii Pro Semi Compliant 2.0 X 15,440.91,171.95,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sapphire Ii Pro Semi Compliant 2.5 X 15,424.35,165.5,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sapphire Non Compliant Plus 3.0 X 18,440.91,171.95,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 1.50X10Mm,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 1.50X12Mm,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 1.50X15Mm,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 1.50X20Mm,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 1.50X6Mm,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.00X10Mm,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.00X12Mm,391.26,152.59,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.00X15Mm,391.27,152.6,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.00X20Mm,391.28,152.6,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.00X25Mm,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.00X30Mm,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.00X6Mm,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.25X10Mm,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.25X12Mm,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.25X15Mm,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.25X20Mm,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.25X25Mm,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.25X6Mmm,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.50X10Mm,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.50X12Mm,391.27,152.6,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.50X15Mm,391.27,152.6,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.50X20Mm,391.28,152.6,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.50X25Mm,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.50X30Mm,391.28,152.6,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.50X6Mmm,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.75X10Mm,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.75X12Mm,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.75X15Mm,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.75X20Mm,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 2.75X25Mm,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 3.00X10Mm,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 3.00X12Mm,391.24,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 3.00X15Mm,391.25,152.59,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 3.00X20Mm,391.27,152.6,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 3.00X25Mm,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 3.00X30Mm,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 3.25X15Mm,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 3.25X25Mm,464.72,181.24,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 3.50X10Mm,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 3.50X12Mm,391.27,152.6,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 3.50X15Mm,391.24,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 3.50X20Mm,399.34,155.74,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 3.50X25Mm,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 3.50X30Mm,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 3.50X6Mm,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 3.75X10Mm,538.2,209.9,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 4.00X10Mm,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 4.00X12Mm,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 4.00X15Mm,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 4.00X20Mm,407.66,158.99,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 4.00X25Mm,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sc Euphora Rx 4.00X30Mm,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sprinter Legend 1.25X6Mm Otw,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sprinter Otw 1.5X15,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sprinter Otw 1.5X6,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sterling 2-150,991.53,386.7,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sterling 3.0-20,1150.92,448.86,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sterling 4.0 X 20Mm,1150.92,448.86,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sterling 6-80,1223.89,477.32,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sterling Otw 6.0-220,991.53,386.7,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sterling Sl 2-80,991.53,386.7,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Sterling Sl 2.5-80,1346.54,525.15,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Trek Otw 1.2X12 12Mm,489.56,190.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Trek Otw 2.0X20 20Mm,440.91,171.95,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Trek Otw 2.5X12 12Mm,440.91,171.95,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Trek Rx 1.5X8,416.07,162.27,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Trek Rx 2.0 X 12,414.89,161.81,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Trek Rx 2.5 X 12,427.59,166.76,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Trek Rx 3.0X12,489.56,190.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Trek Rx 3.0X15,489.56,190.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Trek Rx 3.0X20,489.56,190.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Trek Rx 3.0X8,489.56,190.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Trek Rx 3.5X12Mm,489.56,190.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Trek Rx 3.5X15,489.56,190.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Trek Rx 3.5X20Mm,489.56,190.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Trek Rx 3.5X8Mm,489.56,190.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Trek Rx 4.0X12Mm,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Trek Rx 4.0X15Mm,424.35,165.5,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Trek Rx 4.0X20Mm,416.07,162.27,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Trek Rx 5.0X15,489.56,190.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Z-Med 18X4X100,3292.34,1284.01,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Z-Med 22X4X100,3291.99,1283.88,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Balloon Z-Med 23X4X100,3292.34,1284.01,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Cath 0.018 2Mmx120Mmx150Cm Pacific Plus Otw Pta Balloon,832.14,324.53,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Cath Ball 5.0X120X150-Hybrid Fg Sterling Otw,1245.1,485.59,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Cath Ball 5.0X220X150-Hybrid Fg Sterling Otw,1426.92,556.5,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Cath Ball 6.0X120X150-Hybrid Fg Sterling Otw,1169.03,455.92,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Cath Ball Coyote 1.5Mm X 40Mm X 150Cm Otw,1101.24,429.48,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Cath Ball Coyote 4.0Mm X 120M M X 150Cm Otw,1224.4,477.52,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Cath Ball Mustang 10.0 X 20 1 35Cm,661.36,257.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Cath Ball Mustang 10.0 X 60 1 35Cm,734.85,286.59,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Cath Ball Mustang 10.0 X 60 7 5Cm,873.19,340.54,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Cath Ball Mustang 12.0 X 20 1 35Cm,1095.31,427.17,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Cath Ball Mustang 12.0 X 60 1 35Cm,661.36,257.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Cath Ball Mustang 12.0 X 60 7 5Cm,661.36,257.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Cath Ball Mustang 12.0 X 80 1 35Cm,979.11,381.85,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Cath Ball Mustang 4.0 X 40 135 Cm,734.85,286.59,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Cath Ball Mustang 4.0 X 80 13 5Cm,734.85,286.59,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Cath Ball Mustang 5.0 X 150 1 35Cm,661.36,257.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Cath Ball Mustang 6.0 X 120 1 35Cm,661.36,257.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Cath Ball Mustang 6.0 X 20 13 5Cm,788.26,307.42,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Cath Ball Mustang 7.0 X 100 7 5Cm,734.85,286.59,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Cath Ball Mustang 7.0 X 150 1 35Cm,820.24,319.89,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Cath Ball Mustang 8.0 X 20 135Cm,852.01,332.28,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Cath Ball Mustang 8.0 X 60 13 5Cm,820.24,319.89,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Cath Ball Mustang 8.0 X 80 13 5Cm,767.28,299.24,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Cath Ball Mustang 9.0 X 20 13 5Cm,820.24,319.89,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Cath Ball Mustang 9.0 X 40 13 5Cm,661.36,257.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Cath Ball Mustang 9.0 X 60 75 Cm,767.28,299.24,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Cath Ball Xxl-14-6-5.8-75,1013.26,395.17,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Cath Ball Xxl-16-4-5.8-75,1181.19,460.66,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Cath Ball Xxl-16-6-5.8-75,1126.08,439.17,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Cath Ball Xxl-18-4-5.8-75,1110.46,433.08,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Cath Ptca L135Cm Blln L250Mm Dia4Mm Shth 5Fr 18Atm Periph,807.3,314.85,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter .014In 5.5Mm 135Cm 120Mm Balloon Dialator Abbott Va,1070.37,417.44,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter .014In 5.5Mm 135Cm 20Mm Balloon Dialator Abbott Vas,1082.59,422.21,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter 0.014 Otw Pta Blln Cath 2Mmx100Mmx150Cm,1611.5,628.48,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter 0.014 Otw Pta Blln Cath 2Mmx60Mmx150Cm,1053.63,410.92,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter 0.014 Otw Pta Blln Cath 3.5Mmx150Mmx150Cm,1101.24,429.48,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter 0.014 Otw Pta Blln Cath 3Mmx100Mmx150Cm,1053.63,410.92,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter 0.014 Otw Pta Blln Cath 3Mmx60Mmx150Cm,1053.63,410.92,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter 0.014 Otw Pta Blln Cath 4.0Mmx 60Mmx150Cm,1053.63,410.92,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter 0.014 Otw Pta Blln Cath 4.0Mmx100Mmx150Cm,1053.63,410.92,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter 0.014 Otw Pta Blln Cath 5.0Mmx80Mmx150Cm,1053.63,410.92,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter 0.014 Otw Pta Blln Cath 6.0Mmx100Mmx150Cm,1611.5,628.48,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter 0.014 Otw Pta Blln Cath 6.0Mmx120Mmx150Cm,1053.63,410.92,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter 0.014 Otw Pta Blln Cath 6.0Mmx150Mmx150Cm,1101.24,429.48,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter 0.014 Otw Pta Blln Cath 6.0Mmx200Mmx150Cm,1101.24,429.48,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter 0.014 Otw Pta Blln Cath 6.0Mmx40Mmx150Cm,1053.63,410.92,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter 035In 10X80Mm 75Cm Balloon Charger Dil,609.62,237.75,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter 035In 12X60Mm 75Cm,640.66,249.86,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter 035In 12X80Mm 75Cm Balloon Charger Dil,685.51,267.35,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter 3.5Mmx120Mmx135Cm 0.014In Chocolate Otw Pta,3461.04,1349.81,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter 5Mmx120Mmx120Cm 0.018In Chocolate Otw Pta,3505.54,1367.16,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter 5Mmx80Mmx120Cm 0.018In Chocolate Otw Pta,3505.54,1367.16,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter 6Mmx120Mmx120Cm 0.018In Chocolate Otw Pta,3505.54,1367.16,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Angio .035In Vtk Crv 6.5Fr 125Cm,268.06,104.54,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Angio 7F 16Mmx4Cm,3292.34,1284.01,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Angioplasty 1.5Fr L145Cm L38Cm Guidewire .014In,2130.03,830.71,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Angioplasty 6Fr 2.0X220X150 Fg Sterling Otw,1862.48,726.37,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Angioplasty 7Fr L75Cm L6Cm Dia16Mm 0.035In 16Atm,1762.6,687.41,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Angioplasty L130Cm Balloon L60Mm Dia7Mm,6216.73,2424.52,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Angioplasty L135Cm Balloon L100Mm Dia3Mm,705.18,275.02,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Angioplasty L135Cm Balloon L150Mm Dia3Mm,528.88,206.26,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Angioplasty L135Cm Balloon L20Mm Dia3Mm,636.52,248.24,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Angioplasty L135Cm Sheath 6Fr 7Atm 0.035In,605.99,236.34,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Angioplasty L150Cm Balloon L20Mm Dia2Mm Gd Wire,1204.53,469.77,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Angioplasty L150Cm L60Mm D 2Mm Gw .018In Shth 4Fr,1194.39,465.81,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Angioplasty L50Cm Balloon L40Mm Dia7Mm,1439.68,561.48,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Angioplasty L60Mm Dia12Mm 7Fr L75Cm Atlas,1615.64,630.1,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Angioplasty L75Cm Balloon L40Mm Dia12Mm,1588.03,619.33,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Angioplasty L75Cm Balloon L40Mm Dia6Mm,1884.74,735.05,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Angioplasty L75Cm Balloon L40Mm Dia7Mm,1439.17,561.28,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Angioplasty L75Cm L6C Dia18Mm Balloon 0.035In 6Atm,1762.6,687.41,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil .014In-4-135,1057.64,412.48,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil .018-7Fr-6Mm,3101.9,1209.74,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil .018In-15,1321.7,515.46,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil .035 75Cm 4 5.5Fr 6Mm 75Cm 4,1296.86,505.78,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil .035-5.8Fr 4 5.8Fr 9Mm 75Cm 4,1296.86,505.78,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil .035-6F-8Mm 6Fr 8Mm 75Cm 2Cm,1296.86,505.78,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil .035-7Fr 4Cm,1733.56,676.09,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil .035In 200Mm,1053.63,410.92,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil .035In 75Cm 5.5Fr 6Mm 75Cm 2,1296.86,505.78,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil .035In-5.5Fr 5.5Fr 7Mm 75Cm 2,1296.86,505.78,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil .035In-8F-12 8Fr 12Mm 75Cm 4Cm,1297.03,505.84,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 10Mmx4X135Cm,662.74,258.47,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 12Mmx4X135Cm,796.6,310.67,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 2.5Mm-100Mm,1101.24,429.48,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 2.5Mm-220Mm,1101.24,429.48,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 2.5Mm-40M,1101.24,429.48,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 2.5Mm-80M,1101.24,429.48,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 3.8-3.4F 135,1169.03,455.92,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 4F 4Mm 135Cm,991.53,386.7,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 4F 5Mm-135Cm,1172.14,457.13,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 4F 6Mm 135Cm,1109.86,432.85,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 4Fr 4Mm-220 150Cm Otw Strlg,1790.55,698.31,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 4Fr 4Mmx20Mm 80Cm,1473.15,574.53,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 4Fr 6Mm-135,1101.24,429.48,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 4Fr 7Mm-135,991.53,386.7,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 4Fr-4Mm 135,1101.24,429.48,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 4Fr-4Mm-Otw,1169.03,455.92,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 4Mmx20X75Cm,790.59,308.33,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 4Mmx40X135Cm,617.07,240.66,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 4Mmx40X75Cm,677.55,264.24,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 5Fr 6Mm Otw,1169.03,455.92,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 5Fr 6Mm-60Mm,1101.24,429.48,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 5Mmx20X135Cm,586.25,228.64,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 5Mmx20X75Cm,582.71,227.26,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 5Mmx40X135Cm,618.58,241.25,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 5Mmx40X75Cm,746.41,291.1,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 5Mmx6X135,673.53,262.68,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 6Fr 7Mm 80Mm,991.53,386.7,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 6Mmx20X75Cm,729.68,284.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 6Mmx40X135,820.94,320.17,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 6Mmx40X75Cm,734.5,286.46,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 6Mmx6X135,528.88,206.26,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 6Mmx8X135,605.77,236.25,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 7Mmx150X135,528.88,206.26,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 7Mmx2X135,729.68,284.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 7Mmx40X135Cm,787.04,306.95,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 7Mmx40X75Cm,636.52,248.24,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 7Mmx6X135,729.68,284.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 7Mmx8X135,528.88,206.26,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 8Mmx40X135Cm,636.52,248.24,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 8Mmx40X75Cm,721.95,281.56,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil 8Mmx80Mmx135Cm,609.2,237.59,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil Coyote 2.5Mm-150Mm,1861.4,725.95,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil Lg 6.5F-14Mm 75Cm 4Cm,1652.35,644.42,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil Lg 6.5F-16Mm 75Cm 4Cm,1762.6,687.41,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil Rx 4Fr 4Mm,1352.74,527.57,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil Sterling 3.8-3.4F 6Mm,1593.55,621.48,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil Sterling 3.8F 5Mm Otw,991.53,386.7,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil Sterling 4Fr-5Mm Otw,991.53,386.7,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil.014-150-210,1101.24,429.48,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil.014-3.5-150,1053.63,410.92,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil.014In-150-40,1053.63,410.92,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil.018In 7-Fr-5,3527.28,1375.64,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ball Dil.035In-6F-8Mm 6Fr 8Mm 75Cm 4Cm,1296.89,505.79,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ballon Mob 10-37Mm X 4.0Cm X 90Cm,2407.41,938.89,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Ballon Stingray Lp Us,6743.02,2629.78,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon .035In 7F 9Mm 4Mm 75Cm,1296.86,505.78,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon 1.25X10Mm Otw Rx Spntr,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon 10-46Mm 100Cm,1960.29,764.51,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon 12X40X80Cm Pta Fortrex .035In,935.64,364.9,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon 2Mm 100Mm,1305.65,509.2,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon 7X80Mmx135Cm Evercross Pta,416.07,162.27,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Angiosculpt 2.5X10Mm Evo,3747.74,1461.62,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Angiosculpt 3.5X15Mm Evo,3747.74,1461.62,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Angiosculpt 3.5X15Mm Rx,3747.74,1461.62,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .014In 2Mm 150Cm 210Mm,1101.24,429.48,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .014In 3Mm 150Cm 150Mm,1101.24,429.48,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .014In 3Mm 210Cm 150Mm,1101.24,429.48,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .014In 4Mm 210Cm 150Mm,1101.24,429.48,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .018In 4Mm 200Mm 150Mm,1395.18,544.12,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035 6Fr 6Fr 10Mm 50Cm 4Cm,1296.94,505.81,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 10Mm 135Cm 60Mm,605.99,236.34,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 12Mm 80Cm 40Mm,416.07,162.27,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 2Mm 200Mm 80Mm,1239.58,483.44,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 3Mm 135Cm 40Mm,511.03,199.3,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 3Mm 150Mm 80Mm,1053.63,410.92,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 4Mm 135Cm 100Mm,416.07,162.27,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 4Mm 135Cm 150Mm,464.72,181.24,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 4Mm 200Mm 80Mm,1053.63,410.92,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 4Mm 60Mm 135Mm,416.07,162.27,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 5Mm 135Cm 20Mm,542.68,211.65,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 5Mm 135Cm 40Mm,416.07,162.27,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 5Mm 80Mm 135Mm,416.07,162.27,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 6Mm 135Cm 150Mm,464.72,181.24,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 6Mm 135Cm 200Mm,464.72,181.24,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 6Mm 135Cm 20Mm,542.68,211.65,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 6Mm 135Cm 40Mm,605.99,236.34,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 6Mm 80Cm 40Mm,795.92,310.41,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 6Mm 80Mm 135Mm,416.07,162.27,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 7Mm 135Cm 100Mm,416.07,162.27,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 7Mm 135Cm 40Mm,416.07,162.27,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 8Mm 135Cm 20Mm,416.07,162.27,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 8Mm 135Cm 40Mm,644.18,251.23,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 8Mm 135Cm 80Mm,479.38,186.96,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 8Mm 80Cm 40Mm Pta,416.07,162.27,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 9Mm 135Cm 20Mm,416.07,162.27,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 9Mm 135Cm 80Mm,416.07,162.27,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil .035In 9Mm 80Cm 40Mm Pta,795.92,310.41,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 014In 35Mm 210Cm 150Mm,1340.07,522.63,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 10Mmx20Mm,772.64,301.33,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 10Mmx40Mm,668.4,260.68,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 12Mmx20Mm,636.52,248.24,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 12Mmx40Mm X75Cm Charger,857.36,334.37,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 2Mm 100Mm,1101.24,429.48,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 2Mm 40Mm,1101.24,429.48,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 2Mm 80Mm,1224.4,477.52,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 2Mm 8Mm,489.56,190.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 3.8Fr 4Mm,1109.86,432.85,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 3Mm 20Mm,1101.24,429.48,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 3Mm 220Mm,1683.94,656.74,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 3Mm 25Mm,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 4.5Mm 15Mm Cor Smth,440.91,171.95,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 4Mm 20Mm,1101.24,429.48,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 4Mm-135,1014.71,395.74,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 4Mmx100Mm,528.88,206.26,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 4Mmx150Mm,652.44,254.45,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 4Mmx200Mm,829.04,323.33,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 4Mmx80Mmx,528.88,206.26,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 5Mm-150Mm 150Cm Otw Hyb,1132.85,441.81,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 5Mmx1000M,783.5,305.56,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 5Mmx150Mm,764.86,298.3,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 5Mmx200Mm,866.55,337.95,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 5Mmx60Mmx,689.52,268.91,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 5Mmx80Mmx,615.0,239.85,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 6F 7Mm 4Cm 75Cml,1296.86,505.78,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 6F 8Mm 4Cm 75Cml,1297.11,505.87,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 6Mm-150Mm 150Cm Otw Hyb,1109.86,432.85,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 6Mmx100Mm,662.74,258.47,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 6Mmx150Mm,652.44,254.45,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 6Mmx200Mm,771.49,300.88,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 6Mmx60Mmx,633.63,247.12,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 7Mmx100Mm,571.94,223.06,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 7Mmx20Mmx,758.21,295.7,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 7Mmx60Mmx,823.42,321.13,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 8Mmx60Mmx 75Cm Charger,729.57,284.53,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 9Mmx20Mmx,612.2,238.76,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil 9Mmx40Mmx,707.36,275.87,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil Conquest T 40 5Mm X 4Mm X 75Cm,1296.86,505.78,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil Conquest T 40 6 X 4Mm X 75Cm,1296.86,505.78,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil Conqust 40 8F 75Cml 12Mmx4Cm,1296.86,505.78,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil Coyote 2Mm 150Mm,1392.59,543.11,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil Coyote 2Mm 220Mm,1101.24,429.48,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil Coyote 2Mm 60Mm,1101.24,429.48,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil Coyote 3Mm 100Mm,1264.77,493.26,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil Lg,2879.37,1122.95,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil Lg 7Fr 18Mm 75Cm 4Cm Pta,1762.6,687.41,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil Pta 14Mm Atls Gold 4Cm 80Cm,1713.96,668.44,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil Sm,2879.37,1122.95,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil.014In 135,1066.74,416.03,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dil.014In-5Mm,1085.34,423.28,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dilation .014In 4Mm 20Mm Nano Cross Otw Med,1611.5,628.48,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Dilatn 5.0-4 4.0F 4Mm 20Mm 80Cm,1260.89,491.75,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Evercross .035In 6Mm 135Cm 100Mm,416.07,162.27,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Evercross Pt Ta Otw 7.0X60Mmx135Cm,416.07,162.27,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Evercrss Pta A Otw 7.0X120Mmx135Cm,607.54,236.94,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon L150Cm L220Mm Dia2.5Mm Guidewire 0.018In,1454.18,567.13,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Mustang 5.0-2 0,979.11,381.85,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Pta 10Mm 135Cm Evercross Medtronic,479.38,186.96,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Pta 7Mm 135Cm Evercross Medtronic,464.72,181.24,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Balloon Sterling Sl 2 .5-150,991.53,386.7,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Baloo Dil.014-150-150,1101.24,429.48,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Baloon Dil .014In-135,1875.12,731.3,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Baloon Dil .035In 7Fr 7Fr 10Mm 75Cm 2Cm,1296.86,505.78,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Baloon Dil 4F 5Mm Otw,1204.53,469.77,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Blloon Dil .014In-3Mm,1053.63,410.92,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Blloon Dil 6Mm .014,1075.71,419.53,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Blloon Dil.014In-150M,1101.24,429.48,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Catheter Balloon Dil 3Mm 60Mm,1101.24,429.48,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Dil Balloon 1.2Mmx8Mm Mini Trek 5Fr,440.91,171.95,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Dil Minitrek 1.50Mm 8 8Mm Cor Otw,416.07,162.27,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Dil Minitrek 2.0Mm 15 15Mm Cor Otw,416.07,162.27,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Dil Nc Trek 1.5Mm 20 20M Cor Rx,440.91,171.95,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Dilat Blln Mini Trek 1.2Mm X 15Mm 145Cm,440.91,171.95,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Dilat Blln Mini Trek K 5Fr 1.2X12Mmx145Cm,391.23,152.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Dilat Periph Xxl Bln N 5.8F 14Mmx4Cm 120Cm,1168.52,455.72,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Dilat Periph Xxl Bln N 5.8F 16Mmx4Cm 120Cm,1013.26,395.17,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Dilatation Balloon P Ptca 10.00X40Mmx75Cm,852.01,332.28,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Dilatation Balloon P Ptca 12.00X40Mmx75Cm,795.92,310.41,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Dilatation Balloon P Ptca 4.00X40Mmx75Cm,820.24,319.89,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Dilatation Balloon P Ptca 5.00X100Mmx135Cm,661.36,257.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Dilatation Balloon P Ptca 5.00X40Mmx135Cm,734.85,286.59,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Dilatation Balloon P Ptca 6.00X40Mmx135Cm,820.24,319.89,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Dilatation Balloon P Ptca 9.00X40Mmx75Cm,873.19,340.54,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Dilatatn Blln Pta At Tlas Gold 16Mmx4X80Cm,1713.79,668.38,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Dilation Balloon Mustang Ptca 5.00X40Mmx75Cm,1014.15,395.52,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Lithotripter L135Cm Balloon L60Mm Dia4Mm Sheath,15211.4,5932.45,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Lithotripter L135Cm Balloon L60Mm Dia5Mm Sheath,15211.4,5932.45,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Lithotripter L135Cm Balloon L60Mm Dia6Mm Sheath,15211.4,5932.45,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Lithotripter L135Cm Balloon L60Mm Dia7Mm Sheath,15211.4,5932.45,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Lithotripter L135Cm Balloon L60Mm Dia8Mm Sheath,15211.4,5932.45,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Pr Ctbln 8Mm 2Cm 90Cm,3101.9,1209.74,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter True Balloon Valvuloplasty 22Mm X 4.5Cm,4001.5,1560.58,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Valvuloplasty 4.5Cm 25 True Balloon,4404.44,1717.73,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Valvuloplasty 4.5Cm 28 True Balloon,5290.92,2063.46,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Valvuloplasty L110Cm Angioplasty Balloon,5290.92,2063.46,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Valvulplsty 4.5Cm 18 True Balloon,5290.92,2063.46,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Valvulplsty 4.5Cm 20 True Balloon,5094.96,1987.03,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Catheter Valvulplsty 4.5Cm 26 True Balloon,5290.92,2063.46,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Charger Balloon 6Mmx20X135Cm,593.47,231.45,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Conquest Pta Balloon 7Mm X 4Cm X 75Cm,1296.86,505.78,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Coyote Otw 3.0 X 80,1101.24,429.48,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Coyote Otw 4.0X80,1101.24,429.48,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Device Balloon Cut Plr Cath 6Mx2Cmx90Cm,3197.12,1246.88,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Evercross Ball Dil.035 4X120X135,795.92,310.41,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Evercross Otw Blln 6Fr 10Mmx20Mmx135Cm,416.07,162.27,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Evercross Otw Blln 8Mmx60Mmx135Cm 6F,605.99,236.34,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Evercross Otw Pta Blln Catheter 12Mmx20Mmx135Cm 7F,568.01,221.52,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Evercross Otw Pta Blln Catheter 12Mmx40Mmx135Cm 7F,795.92,310.41,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Evercross Otw Pta Blln Catheter 9Mmx60Mmx135Cm 6F,416.07,162.27,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Kit Catheter 8F 50Ml Balloon Mega Getinge Usa Sales Llc,3904.85,1522.89,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Nc Trek Rx 3.0 X 12,489.56,190.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Nc Trek Rx 4.5 X 8,489.56,190.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Pacific Plus 2Mm X 150Mm Pta Balloon,856.98,334.22,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Pacific Plus 2Mm X 40Mm Pta Balloon,832.14,324.53,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Pacific Plus 6Mm X 40Mm Pta Balloon,832.14,324.53,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Sapphire Ii Pro Angioplasty Balloon L15Mm Dia1Mm,758.66,295.88,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Sapphire Ii Pro Balloon Dilation Catheter 1.0 X 10Mm,758.66,295.88,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - See 110574 Catheter Balloon Mustang 8X40 X75,856.98,334.22,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - See 110577 Catheter Balloon Mustang 6X40 X75,734.5,286.46,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - See 119393 Catheter Balloon Mustang 10X40 X75,734.85,286.59,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - See 119394 Catheter Balloon Mustang 12X40 X75,734.85,286.59,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - See 127635 Cath Ball Mustang 5.0 X 20 13 5Cm,734.85,286.59,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - See 130274 Cath Ball Mustang 6.0 X 150 1 35Cm,734.85,286.59,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - See 130332 Catheter Balloon Dil 4Fr 3Mm,991.53,386.7,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - See 130388 Cath Ball 6.0X220X150-Hybrid Fg Sterling Otw,1101.24,429.48,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - See 132142 Cath Ball Mustang 7.0 X 120 1 35Cm,661.36,257.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - See 159285 Catheter Shockwave M5 Ivl 6.0X60,12125.02,4728.76,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - See 159287 Catheter Shockwave M5 Ivl 7.0X60,12125.02,4728.76,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - See 86466 Balloon Sterling 6-20,1150.92,448.86,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - See 88947 Balloon Sterling 6X100,1150.92,448.86,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - See 88949 Catheter Balloon Sterling 7-40,1622.88,632.92,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - See 98931 Balloon Coyote 2.0-150,1224.4,477.52,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - See 98933 Balloon Coyote 3.0-150,1224.4,477.52,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Shockwave Coronary Ivl C2 Balloon 2.5X12Mm,20722.77,8081.88,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Shockwave Coronary Ivl C2 Balloon 3.0X12Mm,20722.77,8081.88,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Shockwave Coronary Ivl C2 Balloon 3.5X12Mm,20722.77,8081.88,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Shockwave Coronary Ivl C2 Balloon 4.0X12Mm,20722.77,8081.88,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Stent Graft Cath 10-50Mm 65Cm+,2130.03,830.71,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Takeru 1.5Mm X 12 Mm Ptca Balloon Diilatation Catheter,563.04,219.59,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Takeru 1.5Mm X 15 Mm Ptca Balloon Dilation Catheter,563.04,219.59,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Trek 4.00 X 8Mm X 145 Cm Balloon,416.07,162.27,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Trek Rx 1.5 X 12,428.4,167.08,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Trek Rx 2.0 X 15,425.54,165.96,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Trek Rx 2.0 X 20,421.04,164.21,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Trek Rx 2.5 X 15,427.84,166.86,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Trek Rx 2.5 X 20,416.15,162.3,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Trek Rx 2.5 X 30,489.56,190.93,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Trek Rx 2.75 X 15,440.56,171.82,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Wolverine Cutting Balloon 10Mmx2.00 Boston Scientific,2976.66,1160.9,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Wolverine Cutting Balloon 10Mmx2.25Boston Scientific,4056.16,1581.9,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Wolverine Cutting Balloon 10Mmx2.75Boston Scientific,2976.66,1160.9,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Wolverine Cutting Balloon 10Mmx3.00 Boston Scientific,3336.49,1301.23,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Wolverine Cutting Balloon 10Mmx3.25 Boston Scientific,3696.33,1441.57,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Wolverine Cutting Balloon 10Mmx3.50 Boston Scientific,3456.44,1348.01,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Wolverine Cutting Balloon 10Mmx3.75 Boston Scientific,3192.56,1245.1,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Wolverine Cutting Balloon 10Mmx4.00 Boston Scientific,3246.54,1266.15,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Wolverine Cutting Balloon 15Mmx2.50 Boston Scientific,3640.97,1419.98,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Wolverine Cutting Balloon 15Mmx3.00 Boston Scientific,3633.75,1417.16,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Wolverine Cutting Balloon 15Mmx3.50 Boston Scientific,3448.94,1345.09,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Wolverine Cutting Balloon 15Mmx4.00 Boston Scientific,3516.41,1371.4,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Wolverine Cutting Balloon 6Mmx2.00 Boston Scientific,2976.66,1160.9,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Wolverine Cutting Balloon 6Mmx3.00 Boston Scientific,3216.55,1254.45,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Wolverine Cutting Balloon 6Mmx3.50 Boston Scientific,3246.54,1266.15,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Wolverine Cutting Balloon 6Mmx4.00 Boston Scientific,3192.56,1245.1,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Wolverine Cutting Balloon10Mmx2.50 Boston Scientific,3285.02,1281.16,,,0
HCPCS,C1725,Noncdm Charge Record Medical Supplies - Z-Med 20 X 4 X 100,3292.25,1283.98,,,0
HCPCS,C1725,Sup Cath Translum Angioplsty Nonlaser Incls Guide Inf Or Perfuse,6018.27,2347.13,,,0
HCPCS,C1725,Wedge Pressure Catheter,260.82,101.72,,,0
HCPCS,C1725,Xxl/Angioplasty Ballons,1760.54,686.61,,,0
HCPCS,C1726,Balloon Achalasia,3227.13,1258.58,,,0
HCPCS,C1726,Balloon Bridge Occlusion,3295.44,1285.22,,,0
HCPCS,C1726,Balloon Catheter Tyshak Ii,2712.74,1057.97,,,0
HCPCS,C1726,Balloon Dil Quantum,486.45,189.72,,,0
HCPCS,C1726,Balloon Dilatation Non Vascula,4022.01,1568.58,,,0
HCPCS,C1726,Balloon Dilation Catheter,869.4,339.07,,,0
HCPCS,C1726,Balloon Dilation Non-Vasc,2176.6,848.87,,,0
HCPCS,C1726,Balloon Dilation/Ablation Cath,8642.25,3370.48,,,0
HCPCS,C1726,Balloon Dilator Catheter,1126.08,439.17,,,0
HCPCS,C1726,Balloon Dilator Hercules,682.06,266.0,,,0
HCPCS,C1726,Balloon Dilator Pyloric,434.7,169.53,,,0
HCPCS,C1726,Balloon Eclipse Ttc Esophageal,892.17,347.95,,,0
HCPCS,C1726,Balloon Esophageal,1430.37,557.84,,,0
HCPCS,C1726,Balloon Non-Vasc Dilatn,1190.25,464.2,,,0
HCPCS,C1726,Balloon Quantum Ttc Colonic,478.17,186.49,,,0
HCPCS,C1726,Balloon Relieva Sinus,343.62,134.01,,,0
HCPCS,C1726,Balloon Sizing Amplatzer,1500.75,585.29,,,0
HCPCS,C1726,Balloon Sys Inflation Inspira,2283.21,890.45,,,0
HCPCS,C1726,Boston Sci M00558460 Bal Dil,3096.72,1207.72,,,0
HCPCS,C1726,Boston Sci M00558470 Bal Dil,3096.72,1207.72,,,0
HCPCS,C1726,Boston Sci M00558480 Bal Dil,3096.72,1207.72,,,0
HCPCS,C1726,Cath Ball Dil Quantum,339.48,132.4,,,0
HCPCS,C1726,Cath Balloon 12 X 40 Inspira,11410.88,4450.24,,,0
HCPCS,C1726,Cath Dil Balloon Hercules 3,162.5,63.38,,,0
HCPCS,C1726,Cath Dilation Ball (Laborie),9106.96,3551.71,,,0
HCPCS,C1726,Catheter Ballon Extractor 6.6F,504.04,196.58,,,0
HCPCS,C1726,Catheter Balloon Dilatation,659.2950000000001,257.125,,,0
HCPCS,C1726,Catheter Balloon Dilitation,1076.4,419.8,,,0
HCPCS,C1726,Catheter Pta Balloon Dilation,817.65,318.88,,,0
HCPCS,C1726,Device Sinus Baloon Inflation,374.67,146.12,,,0
HCPCS,C1726,Endo Sp/Cath/Balloon,543.38,211.92,,,0
HCPCS,C1726,Hc Balloon Cervical Ripening Any,275.025,107.25999999999999,,,0
HCPCS,C1726,Hc Catheter Balloon Retrieval 5Fr,581.825,226.91,,,0
HCPCS,C1726,Hc Dilator Ball 3Mm 75Mm 8Mm Cre Pulm,1172.66,457.34,,,0
HCPCS,C1726,Hc Dilator Renal Dk10.0 105,286.8,111.85,,,0
HCPCS,C1726,Hc Set Dilator Amplantz Ren,890.2,347.18,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies,1972.71,769.36,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Balloon 24Fr X 12Cm W-Sheath,1755.36,684.59,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Balloon 30Fr X 15Cm W-Sheath,1594.94,622.03,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Balloon Amplatz Sizing 18Mm,1624.95,633.73,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Balloon Amplatz Sizing 24Mm,1624.95,633.73,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Balloon Amplatz Sizing 34Mm,1624.95,633.73,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Balloon Dialation Air Inspira 10X40,3064.64,1195.21,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Balloon Dialation Air Inspira 12X40,3064.64,1195.21,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Balloon Dialation Air Inspira 14X40,3064.64,1195.21,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Balloon Kit 10-12-7-55 Boston Scientific,1411.87,550.63,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Balloon Kit Clear 10-12-7-55 Sheathnephromax Boston Scientif,1559.54,608.22,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Balloon Seeker 70 Em Frontal Medtronic Inc,5035.72,1963.93,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Balloon Seeker Em Sphn 6X17Mm,2195.75,856.34,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Balloon Seeker Frnt Em 6X17Mm Maxl,5205.46,2030.13,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Balloon Seeker Max Em 6X7Mm Maxl,2791.4,1088.65,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Cath Ball Xxl-16-4-5.8-75,1199.56,467.83,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Catheter Angioplasty 200Cm 6F X 5Mm X 80Mm,1851.62,722.13,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Catheter Angioplasty 200Cm 6F X 8Mm X 60Mm,1851.62,722.13,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Catheter Bal Dil 6-8Mm 8Cm Cre F-G,1342.4,523.54,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Catheter Bal Dil Cre 18-20Mm 180Cm 5.5F-G,1510.06,588.92,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Catheter Bal Dil Cre 6-8Mm 240Cm 5.5F-G,1510.06,588.92,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Catheter Bal Dil Cre W-G 10-12 Esop10-12,1510.06,588.92,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Catheter Bal Dil Cre W-G 12-15 Esop12-15,1510.06,588.92,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Catheter Balloon Dilatation 7.5Fr L180Cm Balloon,1699.47,662.79,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Catheter Balloon Dilation 6X40Mm Dual Lumen Encore 26,1395.18,544.12,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Catheter Balloon Dilation 8X40Mm Dual Lumen Encore 26,1395.18,544.12,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Catheter Balloon Sinus 6X1Mm,8597.75,3353.12,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Catheter Dilation Balloon 55Mmx10Cm 15Fr Boston Scientific,1187.49,463.12,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Catheter Esoph 7.5F 8-10M 240 Pyl 240Cm 5.5Cm,1510.06,588.92,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Catheter Esoph 7.5Fr 8-10M 180 Pyl 180Cm 5.5Cm,1510.06,588.92,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Catheter Esoph Pyl 6Fr 10-12Mm 180Cm 8Cm Fx,1342.4,523.54,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Catheter Esoph Pyl 6Fr 12-15Mm,1151.96,449.26,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Catheter Esoph Pyl 6Fr 12-15Mm 180Cm 8Cm Fx Ea,1342.4,523.54,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Catheter Esoph Pyl 6Fr 15-18Mm,1151.96,449.26,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Catheter Esoph Pyl 6Fr 15-18Mm 180Cm 8Cm Fx Ea,1342.4,523.54,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Catheter Esoph Pyl 6Fr 8-10Mm,1342.4,523.54,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Catheter Esoph Pyl 7.5Fr 10-12 10-12Mm 240Cm 5.5Cm,1510.06,588.92,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Catheter Esoph Pyl 7.5Fr 12-15 12-15Mm 240Cm 5.5Cm,1510.06,588.92,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Catheter Esoph Pyl 7.5Fr 15-18 15-18Mm 240Cm 5.5Cm,1510.06,588.92,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Catheter Esoph Pyl 7.5Fr 240Cm 18-20Mm 5.5Cm,1510.06,588.92,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Catheter Esoph Pyl 8Fr 18-20Mm,1151.96,449.26,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Catheter Esoph Pyl 8Fr 18-20Mm 180Cm 8Cm Fx Ea,1342.4,523.54,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Catheter Intraoperative Spyglass Discover Imager Ii,213.21,83.15,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Catheter Measurement L16Cm Esophageal,9861.69,3846.06,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Catheter Nasal Measurement 8Cm Endoflip Covidien,2019.28,787.52,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Catheter Nephromax Balloon 30F X 15Cm 20Cm Ptfe,1457.45,568.41,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Catheter Nephrostomy 30 Fr L17,1303.97,508.55,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Catheter U2Q-5-10-5.8-75 Uroma,1312.38,511.83,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Catheter U2Q-5-4-5.8-75 1010 Kit Uromax,1468.35,572.66,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Catheter U2Q-5-4-5.8-75 Uromax,1305.65,509.2,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Catheter U2Q-6-10-5.8-75 Kit,1325.84,517.08,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Catheter U2Q-6-10-5.8-75 Kit Uromax,1191.51,464.69,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Catheter U2Q-6-4-5.8-75,1936.36,755.18,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Catheter U2Q-6-4-5.8-75 Kit,1476.8,575.95,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Catheter Uromax Ultra Kit 12F X 10Cm,1339.65,522.46,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Dil Balloon Hercules 3 Stg 10-11-12Mmx8Cml,1071.22,417.78,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Dil Balloon Hercules 3 Stg 12-13.5-15Mmx8Cm,1011.71,394.57,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Dil Balloon Hercules 3 Stg 15-16.5-18Mmx8Cm,1039.3,405.33,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Dil Balloon Hercules 3 Stg 8-9-10Mm X 8Cml,1097.1,427.87,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Dilator Amplatz Sheath Set,1344.92,524.52,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Dilator Balloon 3Mm 75Mm 10Mm Cre Pulm,2013.2,785.15,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Dilator Balloon 3Mm 75Mm 12Mm Cre Pulm,2013.2,785.15,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Dilator Balloon 3Mm 75Mm 8Mm,2013.08,785.1,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Follower Ureth 13.35In 24Fr Heyman Plastic,51.75,20.18,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - Kit Dil Multi Sin Lt Fbr 6Mm,9977.4,3891.19,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - See 157479 Dilator Ureth 30Cm 6-30Fr Amplatz Rnl Tfe Set,1078.47,420.6,,,0
HCPCS,C1726,Noncdm Charge Record Medical Supplies - System Eustachian Dilation,4105.55,1601.16,,,0
HCPCS,C1726,Set  Nasal Biliary Drain,351.9,137.24,,,0
HCPCS,C1726,Sup Catheter Balloon Dilatation Non-Vascular,9858.72,3844.9,,,0
HCPCS,C1726,Sys Blln Dil Eustachian Tube,7864.96,3067.33,,,0
HCPCS,C1726,Tube Aera Eustachian Balloon,5433.75,2119.16,,,0
HCPCS,C1727,Balloon Preperitoneal Distensi,1815.39,708.0,,,0
HCPCS,C1727,Balloon Trocar/Bulb Autosuture,750.38,292.65,,,0
HCPCS,C1727,Noncdm Charge Record Medical Supplies,13668.21,5330.6,,,0
HCPCS,C1727,Noncdm Charge Record Medical Supplies - Balloon Dstc Kndy Endo Pdp Spcmkr Prperitn Dstn,1148.09,447.76,,,0
HCPCS,C1727,Noncdm Charge Record Medical Supplies - See 116249 Balloon Dissection Round Endo Covidien Surgical D,1137.46,443.61,,,0
HCPCS,C1728,Catheter Beta Rail Delivery,14997.15,5848.89,,,0
HCPCS,C1728,Sup Catheter Brachytherapy Seed Administration,4229.01,1649.31,,,0
HCPCS,C1729,Abscess Drainage Catheters,412.96,161.05,,,0
HCPCS,C1729,Biliary Drainage Catheters,439.88,171.55,,,0
HCPCS,C1729,Cath All Purp Nephro Skater 12,377.78,147.33,,,0
HCPCS,C1729,Cath Drain Incr 24Fr 16In,73.48,28.66,,,0
HCPCS,C1729,Cath Drainage 51-100,409.86,159.85,,,0
HCPCS,C1729,Cath Drainage Closed Tip,770.04,300.32,,,0
HCPCS,C1729,Cath Drainage Cook Medical,302.22,117.87,,,0
HCPCS,C1729,Cath Drainage Flexima Apd Loop,921.15,359.25,,,0
HCPCS,C1729,Cath Drainage Ultrathane,294.98,115.04,,,0
HCPCS,C1729,Cath Mal 18Fr Silicone,334.3,130.38,,,0
HCPCS,C1729,Cath Nephr Tube,312.57,121.9,,,0
HCPCS,C1729,Cath Peritoneal 91Cm,326.02,127.15,,,0
HCPCS,C1729,Cath Pneum Kit Drainage,1068.12,416.57,,,0
HCPCS,C1729,Catheter Drainage,334.3,130.38,,,0
HCPCS,C1729,Catheter Drainage (Trocar),51.75,20.18,,,0
HCPCS,C1729,Catheter Drainage Assembly,660.33,257.53,,,0
HCPCS,C1729,Catheter Drainage Chest,89.6,34.94,,,0
HCPCS,C1729,Catheter Drainage Extrnl Venti,1529.73,596.59,,,0
HCPCS,C1729,Catheter Drainage Peritoneal,3052.22,1190.37,,,0
HCPCS,C1729,Catheter Drainage Thoracic,40.36,15.74,,,0
HCPCS,C1729,Catheter Drainage Ventricular,1239.93,483.575,,,0
HCPCS,C1729,Catheter Ext Drainage Bactisea,4204.17,1639.63,,,0
HCPCS,C1729,Catheter External Ventricular,505.08,196.98,,,0
HCPCS,C1729,Catheter Icp,1258.56,490.84,,,0
HCPCS,C1729,Catheter Lumbar Drain,660.33,257.53,,,0
HCPCS,C1729,Catheter Needle,64.17,25.03,,,0
HCPCS,C1729,Catheter Neph Loop,340.52,132.8,,,0
HCPCS,C1729,Catheter Shunt Lp,600.3,234.12,,,0
HCPCS,C1729,Catheter Venticular Shunt,600.3,234.12,,,0
HCPCS,C1729,"Catheter, Drainage",359.14,140.06,,,0
HCPCS,C1729,Drain Becker External,683.1,266.41,,,0
HCPCS,C1729,Drain Blake Jp T-Tube,99.36,38.75,,,0
HCPCS,C1729,Drain Chest Dry Suction,282.56,110.2,,,0
HCPCS,C1729,Drain J P Reservoir,149.04,58.13,,,0
HCPCS,C1729,Drain Jackson Prat,123.16,48.03,,,0
HCPCS,C1729,Drain Jp Reservoir,154.22,60.15,,,0
HCPCS,C1729,Drain Sys Vent Cath W/O Trocar,683.1,266.41,,,0
HCPCS,C1729,Drain System Neuro Ext/Evd,660.33,257.53,,,0
HCPCS,C1729,Fixed Core Bentson Sta,84.87,33.1,,,0
HCPCS,C1729,Hc Cath Drain Any,554.655,216.315,,,0
HCPCS,C1729,Hc Cath Sinus Irr Vortex 22Cm,812.425,316.845,,,0
HCPCS,C1729,Hc Drain Round 49X3/16,49.885000000000005,19.46,,,0
HCPCS,C1729,Hc Drain Ventricular External,1509.495,588.7,,,0
HCPCS,C1729,Hc Hemovac Medium,117.27,45.74,,,0
HCPCS,C1729,Hc Kit Cath Pneumothor Wayne Any,749.85,292.445,,,0
HCPCS,C1729,Hc Kit Drain 25G Ldcn 28F 41Cm,776.405,302.8,,,0
HCPCS,C1729,Hc Kit Drain Chest Percu Str 14Fr,413.12,161.115,,,0
HCPCS,C1729,Hc Kit Drain Pneumpricrd 8.5F,514.91,200.81,,,0
HCPCS,C1729,Hc Kit Drainage Chest Any,229.79000000000002,89.62,,,0
HCPCS,C1729,Hc Kit Hemodrain Any,55.48,21.64,,,0
HCPCS,C1729,Hc Kit Pleurex Peritoneal Comb,774.285,301.97,,,0
HCPCS,C1729,Hc Kit Pleurx Drainage,336.38,131.19,,,0
HCPCS,C1729,Hc Kit Pneumothorax,405.72,158.23,,,0
HCPCS,C1729,Hc Kit Pricrdcts Spcl Proc W/Ldcn,636.42,248.2,,,0
HCPCS,C1729,Hc Ndl Cath Yueh Cent 5Fr15Cm,129.39999999999998,50.465,,,0
HCPCS,C1729,Hc Peg Tube Kit 20Fr,888.805,346.63,,,0
HCPCS,C1729,Hc Syst Urine Meter Tray Ic Silv 16F,184.44,71.93,,,0
HCPCS,C1729,Hc System Drainage External Csf,553.515,215.87,,,0
HCPCS,C1729,Hc Tray Cysto Cath,22.564999999999998,8.8,,,0
HCPCS,C1729,Hc Tray Incision And Drange Disp Lf,26.755000000000003,10.43,,,0
HCPCS,C1729,Hc Tube Chest Right Angle 28Fr,44.66,17.42,,,0
HCPCS,C1729,Hc Tube Chest Straight 28Fr,28.795,11.23,,,0
HCPCS,C1729,Hc Tube Ng Salem Sump Suction Any,26.71,10.42,,,0
HCPCS,C1729,Hc Tubing Drainage Lf Chest Atriu,60.905,23.75,,,0
HCPCS,C1729,Kit Cath Drainage Aspira Perit,158.35,61.76,,,0
HCPCS,C1729,Kit Drainage 14Fr 29Cm,889.06,346.73,,,0
HCPCS,C1729,Kit Pleurx Drainage,476.1,185.68,,,0
HCPCS,C1729,Kit Pleurx Pleural Catheter 15,2738.61,1068.06,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies,469.89,183.26,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - 5Fr 4.0 Tiger Catheter,153.84,60.0,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Biliary Drainage 1,540.48,210.79,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Centesis 4Fr 20Ga 7Cm Slip Fit Merit Medical,98.23,38.31,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Dawson Mueller 12,396.4,154.6,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Drain 10.2Fr 25Cm,437.86,170.77,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Drain 10.2Fr 25Cm 5 Sdprt Bil Ulthne Cust 5-Bx,807.3,314.85,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Drain 10.2Fr 25Cm Dws,396.4,154.6,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Drain 10.2Fr 40Cm Mcl,468.72,182.8,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Drain 10Fr 25Cm Adp,396.4,154.6,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Drain 10Fr 25Cm Reg,393.3,153.39,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Drain 10Fr 30Cm,373.09,145.51,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Drain 10Fr 30Cm Total Abcession Mechanism Locking K,440.08,171.63,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Drain 10Fr 35Cm Flxm Lck Reg Duromtr,416.07,162.27,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Drain 12Fr 25Cm Flxm,393.3,153.39,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Drain 12Fr 25Cm Mclc,439.78,171.51,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Drain 12Fr 25Cm Skater With Locking Pigtail Argon M,464.97,181.34,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Drain 12Fr 30Cm Total Abcession Mechanism Locking K,437.8,170.74,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Drain 12Fr 40Cm Mclc,458.53,178.83,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Drain 14Fr 25Cm Loop,393.3,153.39,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Drain 14Fr 25Cm Mclc,439.8,171.52,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Drain 14Fr 25Cm Reg,393.3,153.39,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Drain 14Fr 25Cm Skater With Locking Pigtail Argon M,621.34,242.32,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Drain 14Fr 30Cm Total Abcession Mechanism Locking K,420.73,164.08,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Drain 14Fr 40Cm Mclc 038In 40Cm 32Sh,458.5,178.82,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Drain 16Fr 25Cm 6 Sdprt Mp Radiopq,398.6,155.45,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Drain 16Fr 40Cm Grdn,409.86,159.85,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Drain 24Fr Thoracic Straight Silicone Maquet,108.68,42.39,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Drain 28Fr Thoracic Straight Silicone Maquet,55.73,21.73,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Drain 6.5Fr 30Cm Total Lock Abession Kink Mechanism,353.97,138.05,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Drain 7Fr 25Cm,396.4,154.6,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Drain 8.5Fr 25Cm,396.4,154.6,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Drain 8.5Fr 25Cm Mclc,437.45,170.61,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Drain 8.5Fr 40Cm Mclc,458.5,178.82,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Drain 8Fr 25Cm Reg,396.4,154.6,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Drain 8Fr 30Cm,396.4,154.6,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Drain 8Fr 30Cm Total Abcession Mechanism Locking Ki,441.38,172.14,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Drain Bil Reg 8F 35Cm,393.3,153.39,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Drainage 038In 18F 25Cm 6Sh Ultrathane Leur Lock Co,542.22,211.47,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Drainage 15Cm 8Fr Straight Fixed Luer Lock One-Step,91.01,35.49,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Drainage 6.3Fr L25Cm,396.4,154.6,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Drainage Biliary Hydrophilic 18Fr 40Cm Cook Medical,540.48,210.79,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Drainage Lumbar L80Cm Od1.5Mm Id0.7Mm Hermetic,1086.23,423.63,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Drainage Skater Sgl Step Neph 10Fx35Cml,2165.84,844.68,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Nephrostomy 14 Fr,396.4,154.6,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Resolve Drainage 8Fr,320.95,125.17,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Thoracic Standard Ri Ight Angle 32 Fr,47.52,18.53,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Thoracic Standard St Traight 20 Fr,32.08,12.51,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Catheter Ventri 35Cm,845.6,329.78,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Connector Shunt Acfl 5Cm Csf,446.08,173.97,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Drain Chest Dry Seal Maquet,252.82,98.6,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Drain Full Round Fluted 19Fr Bard,60.03,23.41,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Drain Incs 19Fr Sil 4 Chan .75 Flute Round,68.31,26.64,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Drain Wound 10Fr 1.8Th In Silicone Channel Round Full,61.06,23.81,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Guiding Catheter 175Cm 14 Fr .035In Kit Decompression Cook M,954.27,372.17,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Hc Zz Cath Drain Abcession 10Fr - Use Sup,408.82,159.44,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Hc Zz Cath Drain Clm Rh 14Fr 25Cm - Use Sup,529.92,206.67,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Hc Zz Ndl Cath Dtvn Std (218418) - Use Sup,123.68,48.24,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Hc Zz Ndl Cath Yueh Cent 5Fr 19Ga 10 - Use Sup,123.16,48.03,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Kit Chst Drain H20 Seal Dry Suct,198.85,77.55,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Kit Drain 1 Wy Valve Connect,417.52,162.83,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Kit Drain 14Fr 9In Polyurethral Catheter Extension Line Arro,565.11,220.39,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Kit Drainage Chest Tube W-25G G Ndl Lidocn 20F 41Cm,832.14,324.53,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Kit Essential Catheter Periton,4397.78,1715.13,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Kit Pneumothorax 14F 29 Cm Wayne Wire Guided Cook,936.99,365.43,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Kit Pnmthrx 10.2F 29Cm 18G Troc Ndl,880.61,343.44,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Kit Pricrdcts Spcl Proc W-Ldcn,806.26,314.44,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Kit Thoracentesis W-Catheter 7In 14G X 2In Ndl,168.87,65.86,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Needle 7Cm 16Ga 4 Sdprt Hlw,95.22,37.14,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - See 10275 Colon Decompression Set Cds,1219.23,475.5,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - See 1104 Catheter Trocar Thor 28Fr 561 0,60.03,23.41,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - See 84924 Catheter Drn Lck Pgtl 10F 30Cm,353.97,138.05,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - System Drain Csf Anrflx Valve Accudrain Strl,1097.23,427.92,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Tray Pericardiocentesis 6Fr,450.22,175.59,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Tray Pericardiocentesis 8Fr,611.77,238.59,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Tray Thoracentesis And Paracentesis Set Taps,199.06,77.63,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Tube Ng 8In 20Fr Esoph 3 Lum 2,718.29,280.13,,,0
HCPCS,C1729,Noncdm Charge Record Medical Supplies - Tube Ventilation L12Mm Flange L9.8Mm Lumen 1.14Mm,193.54,75.48,,,0
HCPCS,C1729,Set Nasal Bill Drain 6Fr 7Fr,421.24,164.28,,,0
HCPCS,C1729,Sup Catheter Drainage,14643.18,5710.84,,,0
HCPCS,C1729,Tray 10.5(Pigtail)Fuhrman Pl,661.36,257.93,,,0
HCPCS,C1729,Tube Chest 10Fr Argyle,127.3,49.65,,,0
HCPCS,C1729,Tube Chest Atrium,54.86,21.4,,,0
HCPCS,C1730,Cath Ep Fixed 110Cm,436.77,170.34,,,0
HCPCS,C1730,Cath Intro Kit W Pacing,656.19,255.91,,,0
HCPCS,C1730,Catheter Bard Viking Deca,1433.48,559.06,,,0
HCPCS,C1730,Catheter Ep  19 Or Less Elec,1738.2849999999999,677.935,,,0
HCPCS,C1730,Catheter Ep Achieve 15Mm Lasso,4495.0,1753.05,,,0
HCPCS,C1730,Catheter Ep Achieve 20Mm Lasso,4527.09,1765.57,,,0
HCPCS,C1730,Catheter F Curve Penta Ray,7656.93,2986.2,,,0
HCPCS,C1730,"Catheter, Ep",2664.09,1039.0,,,0
HCPCS,C1730,"Catheter, Ibi 4F Inquiry Steer",2469.51,963.11,,,0
HCPCS,C1730,Noncdm Charge Record Medical Supplies,2277.15,888.09,,,0
HCPCS,C1730,Noncdm Charge Record Medical Supplies - Cath Electrophy Octa 6F 110Cm Crve,2535.23,988.74,,,0
HCPCS,C1730,Noncdm Charge Record Medical Supplies - Cath Ep 5Mm Spc Crd2 Crv 5Fr 120Cm Qpolar,218.38,85.17,,,0
HCPCS,C1730,Noncdm Charge Record Medical Supplies - Cath Ep 5Mm Spc Jsn Crv 5Fr 120Cm Qpolar,220.46,85.98,,,0
HCPCS,C1730,Noncdm Charge Record Medical Supplies - Cath Supreme Electrophysiology Decapolar Csl,1713.96,668.44,,,0
HCPCS,C1730,Noncdm Charge Record Medical Supplies - Catheter 20Mm Achieve Advance Mapping,3527.28,1375.64,,,0
HCPCS,C1730,Noncdm Charge Record Medical Supplies - Catheter 25Mm Achieve Advance Mapping,3747.74,1461.62,,,0
HCPCS,C1730,Noncdm Charge Record Medical Supplies - Catheter 5Fr Temp Pacemaker,759.79,296.32,,,0
HCPCS,C1730,Noncdm Charge Record Medical Supplies - Catheter 6Fr L120Cm 5Mm Electrode Spacing Band,514.4,200.62,,,0
HCPCS,C1730,Noncdm Charge Record Medical Supplies - Catheter Art 7.5Fr 110Cm Td Sg Ped,430.56,167.92,,,0
HCPCS,C1730,Noncdm Charge Record Medical Supplies - Catheter Art 7Fr 110Cm Pacing,1876.4,731.8,,,0
HCPCS,C1730,Noncdm Charge Record Medical Supplies - Catheter Ep 5 Fr Crd,514.28,200.57,,,0
HCPCS,C1730,Noncdm Charge Record Medical Supplies - Catheter Ep 5 Fr Crd2,615.15,239.91,,,0
HCPCS,C1730,Noncdm Charge Record Medical Supplies - Catheter Ep 5Fr Dao,636.52,248.24,,,0
HCPCS,C1730,Noncdm Charge Record Medical Supplies - Catheter Ep 5Fr Jsn,514.28,200.57,,,0
HCPCS,C1730,Noncdm Charge Record Medical Supplies - Catheter Ep 5Fr Livewire Deca,2425.0,945.75,,,0
HCPCS,C1730,Noncdm Charge Record Medical Supplies - Catheter Ep 5Mm Spc Crd Crv 5Fr 120Cm Qpolar,197.68,77.1,,,0
HCPCS,C1730,Noncdm Charge Record Medical Supplies - Catheter Ep Cs Torqr 5Fr,1126.08,439.17,,,0
HCPCS,C1730,Noncdm Charge Record Medical Supplies - Catheter Eps 6Fr L120Cm 5Mm Jsn Curve,514.4,200.62,,,0
HCPCS,C1730,Noncdm Charge Record Medical Supplies - See 139127 Cath Ep 5Mm Spc Jsn Crv 5Fr 120Cm Qpolar,801.09,312.43,,,0
HCPCS,C1731,Electrode Strip Subdural Wyler,2973.56,1159.69,,,0
HCPCS,C1731,Electrode Subdural,1294.79,504.97,,,0
HCPCS,C1731,Hc Livewire Duodec Spr Lrg,5448.55,2124.93,,,0
HCPCS,C1731,Noncdm Charge Record Medical Supplies - Catheter Ep 2-2-2Mm Spc Super,4188.65,1633.57,,,0
HCPCS,C1731,Noncdm Charge Record Medical Supplies - Catheter Ep 7Fr Blazer Dx-20,7210.59,2812.13,,,0
HCPCS,C1731,Noncdm Charge Record Medical Supplies - Duo - Deca 7Fr Ep Catheter,4188.65,1633.57,,,0
HCPCS,C1732,Bw Rmt 4Mm Ablation Catheter,11206.98,4370.72,,,0
HCPCS,C1732,Bw Rmt Ablation Tc Catheter,13361.85,5211.12,,,0
HCPCS,C1732,Cath Diagnostic Optrell Adv Fj,7973.64,3109.72,,,0
HCPCS,C1732,Cath Electrophysiology Decanav,1993.41,777.43,,,0
HCPCS,C1732,Catheter Lasso Nav Eco Fixed,5668.7,2210.79,,,0
HCPCS,C1732,Catheter Smart Touch Df T-C00,12219.21,4765.49,,,0
HCPCS,C1732,Catheter Smart Touch Fj T-C00,12072.24,4708.17,,,0
HCPCS,C1732,Noncdm Charge Record Medical Supplies,42988.72,16765.6,,,0
HCPCS,C1732,Noncdm Charge Record Medical Supplies - Catheter Grid Mapping 8F Sensor Enabled St Jude Medical,9259.11,3611.05,,,0
HCPCS,C1733,Cath Cryoblator,18257.4,7120.39,,,0
HCPCS,C1733,Catheter 5F Jsn Quad,788.67,307.58,,,0
HCPCS,C1733,Catheter Bw 6F Octa D608Fr252R,2803.82,1093.49,,,0
HCPCS,C1733,Catheter Ep Bw 5F Octa D508D00,4444.29,1733.27,,,0
HCPCS,C1733,Catheter Ep Bw 6F Deca Dtype D,2730.33,1064.83,,,0
HCPCS,C1733,Catheter Ep Bw 6F Quad D-Type,2103.12,820.22,,,0
HCPCS,C1733,Catheter Ep Bw Bd Cs Fj Curve,2782.08,1085.01,,,0
HCPCS,C1733,Catheter Ep Cryocath Freezor X,6648.84,2593.05,,,0
HCPCS,C1733,Catheter Ep Ibi 4F L-Curve 815,3479.67,1357.07,,,0
HCPCS,C1733,Catheter Ep Ibi 5F L-Curve 811,3337.88,1301.77,,,0
HCPCS,C1733,Catheter Ep Ibi 5F M-Curve 811,3229.2,1259.39,,,0
HCPCS,C1733,Catheter Ep Other Than Cool Ti,455.4,177.61,,,0
HCPCS,C1733,"Catheter Ep, Ez Steer Nav D-F",12171.6,4746.92,,,0
HCPCS,C1733,Noncdm Charge Record Medical Supplies,19620.495000000003,7651.99,,,0
HCPCS,C1733,Noncdm Charge Record Medical Supplies - Arctic Front 28Mm Catheter,19400.04,7566.02,,,0
HCPCS,C1733,Noncdm Charge Record Medical Supplies - Blazer Xp Lg Crv 8Mm Catheter,7428.2,2897.0,,,0
HCPCS,C1733,Noncdm Charge Record Medical Supplies - Cath Ablation Safire Tx 8Mm Xl,4188.65,1633.57,,,0
HCPCS,C1733,Noncdm Charge Record Medical Supplies - Catheter Ablation Safire 4Mm,3197.08,1246.86,,,0
HCPCS,C1733,Noncdm Charge Record Medical Supplies - Catheter Arctic Front Pro Advance 28Mm,19400.04,7566.02,,,0
HCPCS,C1733,Noncdm Charge Record Medical Supplies - Catheter Blazer Htd Lg Crv 7 Fr 4Mm,5181.21,2020.67,,,0
HCPCS,C1733,Noncdm Charge Record Medical Supplies - Catheter Blazer Ii Htd Lg Crv 5Mm,5070.81,1977.62,,,0
HCPCS,C1733,Noncdm Charge Record Medical Supplies - Catheter Blazer Xp Stnd Crv 8Mm,7395.42,2884.21,,,0
HCPCS,C1733,Noncdm Charge Record Medical Supplies - Safire Tx 8Mm Ablation Catheter,4188.65,1633.57,,,0
HCPCS,C1734,Noncdm Charge Record Medical Supplies,2494.21,972.74,,,0
HCPCS,C1734,Noncdm Charge Record Medical Supplies - Augment Bone Graft 3.0Cc Wright Medical Technology,16051.82,6260.21,,,0
HCPCS,C1734,Noncdm Charge Record Medical Supplies - Graft Bone Substitute 1.5Cc Rhpdgf-Bb Solution Carrier,8700.21,3393.08,,,0
HCPCS,C1734,Sup Device/Drug Matrix Orthopedic For Bone-To-Bone Or Soft Tissue-To Bone (Implanted),15107.65,5891.98,,,0
HCPCS,C1747,Noncdm Charge Record Medical Supplies,6613.65,2579.32,,,0
HCPCS,C1748,Noncdm Charge Record Medical Supplies,1713.96,668.44,,,0
HCPCS,C1750,Cath Dialysis 27 Cm,1109.52,432.71,,,0
HCPCS,C1750,Cath Dialysis 28Cm,1370.34,534.43,,,0
HCPCS,C1750,Cath Hemo Dual Lumen Bard,1442.79,562.69,,,0
HCPCS,C1750,Cath Hemo Dual Lumen Bard Lng,1657.04,646.25,,,0
HCPCS,C1750,Cath Hemo-Flow Dual Lumen 28Cm,500.94,195.37,,,0
HCPCS,C1750,Cath Hemodialysis Long Term,978.075,381.45,,,0
HCPCS,C1750,Cath Hemodialysis Venous Outfl,13019.26,5077.51,,,0
HCPCS,C1750,Cath Peritoneal Merit Flex-Nec,604.44,235.73,,,0
HCPCS,C1750,Catheter Hemo Split,1170.58,456.53,,,0
HCPCS,C1750,Catheter Peritoneal Dialysis,226.66,88.4,,,0
HCPCS,C1750,Catheter Permacath Double Lume,772.11,301.12,,,0
HCPCS,C1750,Dialysis Cath. Permanent,2469.51,963.11,,,0
HCPCS,C1750,Dialysis Cath. Temporary,538.2,209.9,,,0
HCPCS,C1750,Hc Cath Dialysis Longterm Any,1179.64,460.06,,,0
HCPCS,C1750,Kit Pelit Dialysis Swan,1160.23,452.49,,,0
HCPCS,C1750,Noncdm Charge Record Medical Supplies,806.26,314.44,,,0
HCPCS,C1750,Noncdm Charge Record Medical Supplies - Catheter 24Cm 16Fr Hemostar Xk Alphacurve Std,2396.02,934.45,,,0
HCPCS,C1750,Noncdm Charge Record Medical Supplies - Catheter Dia 112.8Cm 2 Cuff Prtnl Crl,2685.82,1047.47,,,0
HCPCS,C1750,Noncdm Charge Record Medical Supplies - Catheter Dia 14Fr 62Cm 2 Cuff Prtnl Qn Crlcth,391.32,152.61,,,0
HCPCS,C1750,Noncdm Charge Record Medical Supplies - Catheter Dia 19X24Cm Strt,1487.3,580.05,,,0
HCPCS,C1750,Noncdm Charge Record Medical Supplies - Catheter Dia 19X25Cm Gldpath,1490.92,581.46,,,0
HCPCS,C1750,Noncdm Charge Record Medical Supplies - Catheter Dia 23X28Cm Strt,1495.29,583.16,,,0
HCPCS,C1750,Noncdm Charge Record Medical Supplies - Catheter Dia 24X29Cm Gldpath,1632.2,636.56,,,0
HCPCS,C1750,Noncdm Charge Record Medical Supplies - Catheter Dia 27X32Cm Strt,1632.2,636.56,,,0
HCPCS,C1750,Noncdm Charge Record Medical Supplies - Catheter Dia 28X33Cm Gldpath,1632.2,636.56,,,0
HCPCS,C1750,Noncdm Charge Record Medical Supplies - Catheter Dia 31X36Cm Strt,1611.5,628.48,,,0
HCPCS,C1750,Noncdm Charge Record Medical Supplies - Catheter Dia 35X40Cm Strt,1632.2,636.56,,,0
HCPCS,C1750,Noncdm Charge Record Medical Supplies - Catheter Dia 42X47Cm Strt,1632.2,636.56,,,0
HCPCS,C1750,Noncdm Charge Record Medical Supplies - Catheter Dia 50X55Cm Strt,1487.3,580.05,,,0
HCPCS,C1750,Noncdm Charge Record Medical Supplies - Catheter Dialysis L62.5Cm Swan Neck Curl Peritoneal Missouri,806.26,314.44,,,0
HCPCS,C1750,Noncdm Charge Record Medical Supplies - Component Venous Oflw,11600.28,4524.11,,,0
HCPCS,C1750,Noncdm Charge Record Medical Supplies - Kit Cath 40Cm 23Fr Tl Pldrm Ruby Hemodia Strl,1370.34,534.43,,,0
HCPCS,C1750,Noncdm Charge Record Medical Supplies - Kit Cath 45Cm 28Fr Tl Pldrm Ruby Hemodia Strl,1398.28,545.33,,,0
HCPCS,C1750,Noncdm Charge Record Medical Supplies - Kit Hemodia 19Cm 14.5Fr Carbothane Hmsplt Xk,1375.52,536.45,,,0
HCPCS,C1750,Noncdm Charge Record Medical Supplies - Kit Prtnl Dia Cath,402.62,157.02,,,0
HCPCS,C1750,Noncdm Charge Record Medical Supplies - Kt Exch Cath Hemo Lng Trm W- Airgrd Vlvd Intro Glidepth 19C,1386.9,540.89,,,0
HCPCS,C1750,Noncdm Charge Record Medical Supplies - Permcath Ct 40Cm,537.16,209.49,,,0
HCPCS,C1750,Sup Catheter Hemodialysis Or Peritoneal Long-Term,711.56,277.51,,,0
HCPCS,C1751,3.5 Fr. Cath. Umbilical Artery,130.98,51.08,,,0
HCPCS,C1751,5 Fr. Cath. Umbilical Artery,177.41,69.19,,,0
HCPCS,C1751,Arterial Line Kit With G Wire,105.57,41.17,,,0
HCPCS,C1751,Cannulae Arterial Chest,831.1,324.13,,,0
HCPCS,C1751,Cath 4.5Fr Antimicrobial Picc,1290.64,503.35,,,0
HCPCS,C1751,Cath 5.5Fr Antimicrobial Picc,2145.71,836.83,,,0
HCPCS,C1751,Cath 6.0Fr Antimicrobial Picc,1483.16,578.43,,,0
HCPCS,C1751,Cath Cen Venous Ped,294.98,115.04,,,0
HCPCS,C1751,Cath Central Venous Cook,310.5,121.1,,,0
HCPCS,C1751,Cath Central Venous Set,148.0,57.72,,,0
HCPCS,C1751,Cath Hemodialysis Long Term,1045.35,407.69,,,0
HCPCS,C1751,Cath Hickman Triple-Lumen 12.5,1725.34,672.88,,,0
HCPCS,C1751,"Cath Set, Radial Artery",176.98,69.02,,,0
HCPCS,C1751,Cath/Cvp Kit,240.12,93.65,,,0
HCPCS,C1751,Cath/Ven/Multi Lumen,544.41,212.32,,,0
HCPCS,C1751,Catheter 5Fr Dual Lumen Umbili,564.08,219.99,,,0
HCPCS,C1751,Catheter Broviac Single Lumen,555.79,216.76,,,0
HCPCS,C1751,Catheter Cco&Sv02 Combination,1369.3,534.03,,,0
HCPCS,C1751,Catheter Central Venous,848.7,330.99,,,0
HCPCS,C1751,Catheter Central Venous 3 Lume,302.22,117.87,,,0
HCPCS,C1751,Catheter Cvp,204.93,79.92,,,0
HCPCS,C1751,Catheter Dual Lumen Cv,660.33,257.53,,,0
HCPCS,C1751,Catheter Dual Lumen Mahurkar,928.4,362.08,,,0
HCPCS,C1751,Catheter Hickman,688.28,268.43,,,0
HCPCS,C1751,Catheter Hickman 12F,617.9,240.98,,,0
HCPCS,C1751,Catheter Infusion,1312.38,511.83,,,0
HCPCS,C1751,Catheter Infusion 7Hr Triple L,381.92,148.95,,,0
HCPCS,C1751,Catheter Pigtail Endovascular,608.58,237.35,,,0
HCPCS,C1751,Catheter Set Lumen Guide,204.93,79.92,,,0
HCPCS,C1751,Catheter Soft Vu Berenstein,113.85,44.4,,,0
HCPCS,C1751,Catheter Swan Ganz,580.64,226.45,,,0
HCPCS,C1751,Catheter Swan Ganz Latex Free,2295.63,895.3,,,0
HCPCS,C1751,Catheter Swan Ganz Vip,414.0,161.46,,,0
HCPCS,C1751,Catheter Umbilical 3.5 Dual Lu,320.85,125.13,,,0
HCPCS,C1751,Catheter Venous,227.7,88.8,,,0
HCPCS,C1751,Dual Lumen Cath Cardiopulm,10325.16,4026.81,,,0
HCPCS,C1751,Dual Lumen Cath Microintro,1208.88,471.46,,,0
HCPCS,C1751,Groshong/Lumin Picc Lines,766.94,299.11,,,0
HCPCS,C1751,Hc Cath Inf-Other Than Hemodialysis,17.08,6.66,,,0
HCPCS,C1751,Hc Cath Infusion Sng Lumen 7X16Cm,70.38,27.45,,,0
HCPCS,C1751,Hc Cath Swan Ganz Any,365.53499999999997,142.56,,,0
HCPCS,C1751,Hc Catheter Central Venous Any,219.39,85.56,,,0
HCPCS,C1751,Hc Catheter Picc Or Midline Any,775.015,302.255,,,0
HCPCS,C1751,Hc Catheter Rapid Infus Ex Arrow,53.614999999999995,20.909999999999997,,,0
HCPCS,C1751,Hc Kit Intro Jugular 16Gax6In,88.75,34.61,,,0
HCPCS,C1751,Hc Tray Catheter Central Venous Any,915.145,356.90999999999997,,,0
HCPCS,C1751,Kit 7Fr 20Cm Multi Lumen Pres,1027.76,400.83,,,0
HCPCS,C1751,Kit Catheter 28 Ga 25Cm,878.49,342.61,,,0
HCPCS,C1751,Kit Dual Lumen 4Fr 5Cm Centra,602.37,234.92,,,0
HCPCS,C1751,Kit Dual Lumen 7Fr Cent Ven,931.5,363.28,,,0
HCPCS,C1751,Kit Mac 9Fr Two Lumen Cenrt Ve,928.4,362.08,,,0
HCPCS,C1751,Noncdm Charge Record Medical Supplies,677.405,264.185,,,0
HCPCS,C1751,Noncdm Charge Record Medical Supplies - Catheter 5Fr Temp Pacemaker,538.21,209.9,,,0
HCPCS,C1751,Noncdm Charge Record Medical Supplies - Catheter 7Fr 110Cm Td,1420.02,553.81,,,0
HCPCS,C1751,Noncdm Charge Record Medical Supplies - Catheter 7Fr Edwards Thermo,283.6,110.6,,,0
HCPCS,C1751,Noncdm Charge Record Medical Supplies - Catheter Art 7.5Fr 110Cm Td Sg Ped,430.56,167.92,,,0
HCPCS,C1751,Noncdm Charge Record Medical Supplies - Catheter Art 7Fr 110Cm 2 Lum Monitoring Sg,352.94,137.65,,,0
HCPCS,C1751,Noncdm Charge Record Medical Supplies - Catheter Art 7Fr 110Cm Pacing,1615.64,630.1,,,0
HCPCS,C1751,Noncdm Charge Record Medical Supplies - Catheter Central Venous L6In Od7Fr Polyurethane Dual Lumen,22.77,8.88,,,0
HCPCS,C1751,Noncdm Charge Record Medical Supplies - Catheter Centrl Venous 7Fr 8In,154.22,60.15,,,0
HCPCS,C1751,Noncdm Charge Record Medical Supplies - Catheter Centrl Venous 8Fr -4 Vitacuff 1 Lum Srcf Tissue,920.12,358.85,,,0
HCPCS,C1751,Noncdm Charge Record Medical Supplies - Catheter Centrl Venous 8Fr 1 Lum Srcf Tissue,920.12,358.85,,,0
HCPCS,C1751,Noncdm Charge Record Medical Supplies - Catheter Centrl Venous 9.5F-4 Vitacuff 2 Lum Srcf,1248.21,486.8,,,0
HCPCS,C1751,Noncdm Charge Record Medical Supplies - Catheter Ganz 5Fr Thermo Dilut Swan,672.75,262.37,,,0
HCPCS,C1751,Noncdm Charge Record Medical Supplies - Catheter Infus .038 5Fr 135Cm,695.52,271.25,,,0
HCPCS,C1751,Noncdm Charge Record Medical Supplies - Catheter Infus .038In 5Fr 100Cm 30Cm Peri Vlv,455.4,177.61,,,0
HCPCS,C1751,Noncdm Charge Record Medical Supplies - Catheter Infus .038In 5Fr 10Cm,416.07,162.27,,,0
HCPCS,C1751,Noncdm Charge Record Medical Supplies - Catheter Ivus 90Cm .035In 8Fr,4188.65,1633.57,,,0
HCPCS,C1751,Noncdm Charge Record Medical Supplies - Catheter Pacing 7.0 French 110Cm Heparin Coated Edwards,1437.62,560.67,,,0
HCPCS,C1751,Noncdm Charge Record Medical Supplies - Catheter Picc 4.5Fr 55Cm Single Lumen Arrow,1576.3,614.76,,,0
HCPCS,C1751,Noncdm Charge Record Medical Supplies - Catheter Picc Dual Tunneled,1561.82,609.11,,,0
HCPCS,C1751,Noncdm Charge Record Medical Supplies - Catheter Powerline Dual-Lumen W-Surecuff 6F 50Cm,1228.55,479.13,,,0
HCPCS,C1751,Noncdm Charge Record Medical Supplies - Catheter Swan Vip 7.5Fr110Cm 5 Lum,489.56,190.93,,,0
HCPCS,C1751,Noncdm Charge Record Medical Supplies - Catheter Thermodilution S-Tip P 7Fr,364.32,142.08,,,0
HCPCS,C1751,Noncdm Charge Record Medical Supplies - Catheter Triple Lumenpowerline Central Venous Microintroduce,1468.66,572.78,,,0
HCPCS,C1751,Noncdm Charge Record Medical Supplies - Kit 55Cm 5Fr 145Cm 2 Lum Gwire Intro Ndl Picc,499.42,194.77,,,0
HCPCS,C1751,Noncdm Charge Record Medical Supplies - Kit 6In 16Ga .032In Indwl Intgr Sut Wing,90.04,35.12,,,0
HCPCS,C1751,Noncdm Charge Record Medical Supplies - Kit 8In 7Fr Mtlum Press Inj,607.54,236.94,,,0
HCPCS,C1751,Noncdm Charge Record Medical Supplies - Kit Art Line 6In 18Ga .025In Radiopq Spring,164.56,64.18,,,0
HCPCS,C1751,Noncdm Charge Record Medical Supplies - Kit Cath 16Cm 4 Lum Cntrl,695.42,271.21,,,0
HCPCS,C1751,Noncdm Charge Record Medical Supplies - Kit Cath 8.5Fr 8In .032Cm Qd,695.52,271.25,,,0
HCPCS,C1751,Noncdm Charge Record Medical Supplies - Kit Cath 8Fr 6In 2 Lum Centrl,581.67,226.85,,,0
HCPCS,C1751,Noncdm Charge Record Medical Supplies - Kit Cath Picc 2Lum 5F 70Cm Tray W-Micro,440.91,171.95,,,0
HCPCS,C1751,Noncdm Charge Record Medical Supplies - Kit Cath Picc Sgl Lum 4F 70Cm Gw,411.93,160.65,,,0
HCPCS,C1751,Noncdm Charge Record Medical Supplies - Kit Centrl Vn Cath Trpl Lum 7F 16Cm,529.92,206.67,,,0
HCPCS,C1751,Noncdm Charge Record Medical Supplies - Kit Centrl Vn Cath Trpl Lum 7F 20Cm Press Inj,529.92,206.67,,,0
HCPCS,C1751,Noncdm Charge Record Medical Supplies - Kit Cvc W-Abg 3Lum 7Fr 16Cm,415.04,161.87,,,0
HCPCS,C1751,Noncdm Charge Record Medical Supplies - Power Picc Catheter Single Lumen 4 Fr. Max Barrier Tray,1244.07,485.19,,,0
HCPCS,C1751,Noncdm Charge Record Medical Supplies - S4153108Bdp - Ethicon - Biopatch,822.82,320.9,,,0
HCPCS,C1751,Noncdm Charge Record Medical Supplies - See 114574 Catheter Ivus Volcano Eagle,3197.12,1246.88,,,0
HCPCS,C1751,Noncdm Charge Record Medical Supplies - Shockwave Coronary Ivl C2 Balloon 4.0X12Mm,20722.77,8081.88,,,0
HCPCS,C1751,Noncdm Charge Record Medical Supplies - Tray Picc Trpl Lum Pwr 70Cm 5F Nitinol,760.72,296.68,,,0
HCPCS,C1751,Stat Loc Picc Lines,23.8,9.28,,,0
HCPCS,C1751,Stent Biliary Sd,6785.46,2646.33,,,0
HCPCS,C1751,Sup Cath Infusion Insert Peripheral Central Or Midline Not Hemodialysis,1400.1,546.04,,,0
HCPCS,C1751,Tray 3 Fr Single Lumen 272,139.72,54.49,,,0
HCPCS,C1751,Tray Dbl Lumen 11.5X15Cm Sil,761.76,297.09,,,0
HCPCS,C1751,Tray Dbl Lumen 11.5X20Cm Sil,761.76,297.09,,,0
HCPCS,C1751,Tray Dbl Lumen 11.5X24Cm Sil,761.76,297.09,,,0
HCPCS,C1751,Tray Poly Perqcath 3Fr Sgl L,1200.64,468.25,,,0
HCPCS,C1751,Tray Poly Perqcath 4Fr Dbl L,1514.2,590.54,,,0
HCPCS,C1751,Vascular/Cath/Broviac,806.26,314.44,,,0
HCPCS,C1752,Catheter Dialysis Peritoneal,614.79,239.77,,,0
HCPCS,C1752,Catheter Peritoneal,495.76,193.35,,,0
HCPCS,C1752,Catheter Swan Neck Peritoneal,2307.02,899.74,,,0
HCPCS,C1752,Catheter Tray Power-Trialysis,711.04,277.31,,,0
HCPCS,C1752,Hc Cath Hemodial/Peritoneal Short Term Any,720.0,280.79999999999995,,,0
HCPCS,C1752,Noncdm Charge Record Medical Supplies,633.42,247.03,,,0
HCPCS,C1752,Noncdm Charge Record Medical Supplies - Cath Quinton Dialysis,2422.94,944.95,,,0
HCPCS,C1752,Noncdm Charge Record Medical Supplies - Catheter Duo Splt 13F 24Cm Short Term,347.76,135.63,,,0
HCPCS,C1752,Noncdm Charge Record Medical Supplies - Catheter Triple Lumn Pwr Tria Alysis Pre-Crv 12.5Cm,7758.36,3025.76,,,0
HCPCS,C1752,Noncdm Charge Record Medical Supplies - Catheter Trpl Lum Pcrv 15Cm Pwr Trialysis,8505.63,3317.2,,,0
HCPCS,C1752,Noncdm Charge Record Medical Supplies - Catheter Trpl Lum Pcrv 20Cm Pwr Trialysis,920.8,359.11,,,0
HCPCS,C1752,Noncdm Charge Record Medical Supplies - Kit Cath Dia 12F 20Cm Crv Lg Ext,385.02,150.16,,,0
HCPCS,C1752,Noncdm Charge Record Medical Supplies - Kit Drain Pleurx Vac Bl Valve Cap Thor 500Ml,291.35,113.63,,,0
HCPCS,C1752,Noncdm Charge Record Medical Supplies - Kit Hemodia 27Cm 14.5Fr,1509.03,588.52,,,0
HCPCS,C1752,Noncdm Charge Record Medical Supplies - See 137753 Tray Cath 30Cm Pwr-Trialysis 3,992.56,387.1,,,0
HCPCS,C1752,Noncdm Charge Record Medical Supplies - Tray Cath 15Cm Pwr Crv,970.27,378.41,,,0
HCPCS,C1752,Noncdm Charge Record Medical Supplies - Tray Cath 15Cm Pwr Strt,774.8,302.17,,,0
HCPCS,C1752,Noncdm Charge Record Medical Supplies - Tray Cath 20Cm Pwr Trialysis 3,835.15,325.71,,,0
HCPCS,C1752,Noncdm Charge Record Medical Supplies - Tray Cath 20Cm Pwr-Trialysis 3 Lum Pwr Strt,967.41,377.29,,,0
HCPCS,C1752,Noncdm Charge Record Medical Supplies - Tray Cath 24Cm Pwr-Trialysis 3,847.08,330.36,,,0
HCPCS,C1752,Noncdm Charge Record Medical Supplies - Tray Cath Trpl Lum 12F 20Cm,489.56,190.93,,,0
HCPCS,C1753,Cath Ivus Eagle Eye Platinum,3152.61,1229.52,,,0
HCPCS,C1753,Cath Ultrasound Visions Pv,4238.32,1652.94,,,0
HCPCS,C1753,Noncdm Charge Record Medical Supplies,3353.99,1308.06,,,0
HCPCS,C1753,Noncdm Charge Record Medical Supplies - Cath Intvasc Us 5F .014X150Cm Shtip,3201.46,1248.57,,,0
HCPCS,C1753,Noncdm Charge Record Medical Supplies - Cath Periph Vascular Imaging Ivus Pv 20 Mhz 014In 5F 150Cm,3197.12,1246.88,,,0
HCPCS,C1753,Noncdm Charge Record Medical Supplies - Catheter Hd 6Fr Opticross,3086.37,1203.68,,,0
HCPCS,C1753,Noncdm Charge Record Medical Supplies - Catheter Ivus 90Cm .035In 8Fr,4251.63,1658.14,,,0
HCPCS,C1753,Noncdm Charge Record Medical Supplies - Catheter Ivus 90Cm .035In 8Fr Hydrophil,3086.37,1203.68,,,0
HCPCS,C1753,Noncdm Charge Record Medical Supplies - Catheter Opticross 6 Edfu,2865.92,1117.71,,,0
HCPCS,C1753,Noncdm Charge Record Medical Supplies - Catheter Opticross Ivus 5F,2865.92,1117.71,,,0
HCPCS,C1753,Noncdm Charge Record Medical Supplies - Catheter Pplus 6Fr 120Cm 014In,12565.94,4900.72,,,0
HCPCS,C1753,Noncdm Charge Record Medical Supplies - Catheter Shockwave S4 Ivl 4.0 X 40,12125.02,4728.76,,,0
HCPCS,C1753,Noncdm Charge Record Medical Supplies - Catheter Visions Pv 0.014P Rx Digital I,3207.65,1250.98,,,0
HCPCS,C1753,Noncdm Charge Record Medical Supplies - Catheter Visions Pv 0.018 Digital Ivus,3747.74,1461.62,,,0
HCPCS,C1753,Noncdm Charge Record Medical Supplies - Opticross 15Mhz 70 Mm Proximal 25 Cm 8Fr,6050.58,2359.73,,,0
HCPCS,C1753,Noncdm Charge Record Medical Supplies - Opticross 18 Edfu,4188.65,1633.57,,,0
HCPCS,C1753,Noncdm Charge Record Medical Supplies - See 81126 Opticross Ivus Catheter 5F,2976.66,1160.9,,,0
HCPCS,C1753,Noncdm Charge Record Medical Supplies - Volcano Eagle Eye Us 5F .014X150Cm,3182.87,1241.32,,,0
HCPCS,C1754,Noncdm Charge Record Medical Supplies,21212.32,8272.8,,,0
HCPCS,C1755,Catheter Intrathecal,4564.35,1780.1,,,0
HCPCS,C1755,Hc Set Cath Epidural,110.85,43.230000000000004,,,0
HCPCS,C1755,Hc Tray Epidural Any,145.99,56.94,,,0
HCPCS,C1755,Noncdm Charge Record Medical Supplies - Catheter 5 French Open End Ureteral Boston Scientific,46.58,18.17,,,0
HCPCS,C1755,Noncdm Charge Record Medical Supplies - Catheter Ascenda It Shrt,4721.19,1841.26,,,0
HCPCS,C1755,Noncdm Charge Record Medical Supplies - Catheter It 2 Pc Sutured Pump,2270.79,885.61,,,0
HCPCS,C1755,Noncdm Charge Record Medical Supplies - Shunt Neuro Csf Std 90Cm Dist,976.95,381.01,,,0
HCPCS,C1755,Sup Catheter Intraspinal,2474.68,965.13,,,0
HCPCS,C1756,Cath. Termodilution (Vip),519.57,202.63,,,0
HCPCS,C1756,Kit Temporary Pacing Catheter,911.84,355.62,,,0
HCPCS,C1757,Av-60/Etrain Angio Jet Cath.,2782.08,1085.01,,,0
HCPCS,C1757,Cath  Sys Thrombectomy,42470.19,16563.37,,,0
HCPCS,C1757,Cath Asp Flowtriever Kit,44712.0,17437.68,,,0
HCPCS,C1757,Cath Aspiration Zoom 137 Cm,10584.94,4128.13,,,0
HCPCS,C1757,Cath Aspiration Zoom 35 160Cm,7150.82,2788.82,,,0
HCPCS,C1757,Cath Aspiration Zoom Platform,13019.26,5077.51,,,0
HCPCS,C1757,Cath Ekosonic Endo Anigo Lf140,13020.3,5077.92,,,0
HCPCS,C1757,Cath Embolectomy Fogarty 3Fr 5,208.04,81.14,,,0
HCPCS,C1757,Cath Emboli Flowtriever,44712.0,17437.68,,,0
HCPCS,C1757,Cath Thromb/ Embolectomy,1956.15,762.9,,,0
HCPCS,C1757,Cath Thrombectomy,171.81,67.01,,,0
HCPCS,C1757,Cath Thrombectomy Litng,35391.82,13802.81,,,0
HCPCS,C1757,Cath Thrombectomy W/ Lighting,24386.67,9510.8,,,0
HCPCS,C1757,Cath Thrombo Clottriever,20865.6,8137.58,,,0
HCPCS,C1757,Catheter Aspiration Lighting,29603.07,11545.2,,,0
HCPCS,C1757,Catheter Embolectomy,705.87,275.29,,,0
HCPCS,C1757,Catheter Fogerty Embolism,637.56,248.65,,,0
HCPCS,C1757,Catheter Thrombec Avx Ultra,3955.77,1542.75,,,0
HCPCS,C1757,Catheter Thrombec Spiroflex,8021.25,3128.29,,,0
HCPCS,C1757,Catheter Thrombectomy Fogarty,756.58,295.07,,,0
HCPCS,C1757,"Catheter, Angiojet, Xgv",7042.14,2746.43,,,0
HCPCS,C1757,Device Revasc Solitaire,40072.1,15628.12,,,0
HCPCS,C1757,Dvc Revasc Embotrap Iii 5X37,26951.4,10511.05,,,0
HCPCS,C1757,Dvc Revasc Embotrap Iii 6.5X45,37940.0,14796.6,,,0
HCPCS,C1757,Dvc Revascularization Solitair,40072.1,15628.12,,,0
HCPCS,C1757,Flowtr Thromb Device,44712.0,17437.68,,,0
HCPCS,C1757,Kit Thrombectomy W/Revo Nxt,39978.94,15591.79,,,0
HCPCS,C1757,Lf140 Angio Jet Cath.,5952.28,2321.39,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies,6705.76,2615.25,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Angiojet Spiroflex Ultra 4Fr Boston Scientific,8569.8,3342.22,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Angiojet Spiroflex Ultra 5Fr Boston Scientific,7627.95,2974.9,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Cath Thrmb Om Angiojet Solent,7820.36,3049.94,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Catheter Aspiration Kit Xtorq Indigo System 7F 50Cm,11860.06,4625.42,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Catheter Aspiration Sys Htorq 12Plus Lightning Tub Indigo,30026.38,11710.29,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Catheter Embol 200Cm 7Fr Xprt .014In Asp,1468.66,572.78,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Catheter Embol 40Cm 3Fr 8Mm,234.94,91.63,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Catheter Embol 40Cm 3Fr Art Ba Art Balloon Fgrty,192.51,75.08,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Catheter Embol 40Cm 4Fr Fgrty Art Balloon,192.51,75.08,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Catheter Embol 40Cm 6Fr Fgrty .035In Thrlmn,433.66,169.13,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Catheter Embol 60Cm 2Fr Fgrty Art Balloon,407.82,159.05,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Catheter Embol 80Cm 3Fr Fgrty Art Balloon,193.89,75.62,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Catheter Embol 80Cm 4Fr .025In Fgrty Thrlmn,433.66,169.13,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Catheter Embol 80Cm 4Fr 6Mm Fgrty Adh Clt,1076.4,419.8,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Catheter Embol 80Cm 4Fr Art Ba Art Balloon Fgrty,194.11,75.7,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Catheter Embol 80Cm 4Fr Fgrty Lf,205.96,80.32,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Catheter Embol 80Cm 5.5Fr Fgrty .035In Thrlmn,433.66,169.13,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Catheter Embol 80Cm 5Fr Fgrty Art Balloon,407.79,159.04,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Catheter Embol 80Cm 6Fr Fgrty,183.32,71.49,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Catheter Embol 80Cm 6Fr Fgrty Art Balloon,192.51,75.08,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Catheter Embol Thrlmn 4F 40Cm,476.1,185.68,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Catheter Embol Thrlmn 5F 40Cm,433.66,169.13,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Catheter Embolectomy Fogarty Thru Lumen Otw 7Frx80Cm Edwards,433.66,169.13,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Catheter Embolectomy Thru Lmn Art Gdwr 3F 80Cm L,433.66,169.13,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Catheter Flortriever 2 Medium 12Fr 120 Cm,9112.29,3553.79,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Catheter Guiding 6Fr L100Cm Id Id0.071In 3D Right Curve,203.38,79.32,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Catheter Infusion 5Fx135Cmx20Cm Unifuse Angiodynamics Inc,1240.96,483.97,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Catheter Lightning Flash 100C,43076.7,16799.91,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Catheter Pronto 145Cm 6Fr,1562.19,609.25,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Catheter Pronto Lp 6 Fr,1539.58,600.44,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Catheter Reperfusion Kit 43 Red,12323.74,4806.26,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Catheter Solent Proxi 3Mm 90Cm,7015.23,2735.94,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Catheter Thrmb Avx Cus Fg Pkg 5-3-2012,4436.06,1730.06,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Catheter Thrombectomy 105Cm 16Mm Suction Clottriever Inari M,20546.41,8013.1,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Catheter Thrombectomy 15Cm 4.6Mm Sheath Clottriever Symmetry,6613.65,2579.32,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Catheter Thrombectomy 4-10Mmx65Cm Inthrill,9700.02,3783.01,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Catheter Thrombectomy Dia16Mm Suction Clottriever Bold,17902.81,6982.1,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Catheter Thrombectomy L130Cm Lightning Aspiration Tubing,24735.46,9646.83,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Catheter Thrombectomy L16Cm Dia4.6Mm Sheath Clottriever,7073.02,2758.48,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Catheter Thrombectomyangiojet Dvt Otw 035In X 8Fr,14102.05,5499.8,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Catheter Triever 20 Fr 105 Cm,19593.99,7641.66,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Catheter Xprt Asp .014In 140Cm,1468.66,572.78,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Device 40Mm 4Mm Strk Rtrvl Solitaire Revasc,24250.05,9457.52,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Device Closure Watchman Flx Laa 20Mm Us,82168.65,32045.77,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Device Closure Watchman Flx Laa 27Mm Us,82168.65,32045.77,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Device Closure Watchman Flx Laa 31Mm Us,82168.65,32045.77,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Device Closure Watchman Flx Laa 35Mm Us,82168.65,32045.77,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Device Infus Ekosnic Mach 40Cm 4 5Fr 035In 40Cmx135Cm,13558.09,5287.66,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Device Infus Eksnic Mach 135X 4 5Fr 035In 30Cmx135Cm,12764.31,4978.08,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Device Revascularization 5Mmx33Mm Embotrap Ii,16754.58,6534.29,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Device Revascularization Embotrap Iii 5 Mm X 22 Mm,17429.81,6797.63,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Device Revascularization Embotrap Iii 5 Mm X 37 Mm,17539.85,6840.54,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Device Revascularization Solitaire 3X10,20943.22,8167.86,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Device Revascularization Solitaire X 4X40,20943.22,8167.86,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Device Revascularization Solitaire X 6X40,20943.22,8167.86,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Embotrap Iii 6.5 X 45,17615.89,6870.2,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Flowtriever Aspiration Cath L95Cm Od6.7Mm 20Fr Insertion,11624.6,4533.59,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Flowtriever Aspiration Catheter 16Fr L113Cm,14193.99,5535.66,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Flowtriever Aspiration Catheter L95Cm Od6.7Mm 24Fr Single In,14271.27,5565.8,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Indigo Catheter 7 130Cm Torq Lightning Bolt Aspiration Tube,35360.78,13790.7,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Indigo Sprtr 7,7407.5,2888.92,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Indigo Sprtr 7D,7407.5,2888.92,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Kit Indigo Cat Rx Thrombectomy Catheter L140Cm Coronary Peri,8553.32,3335.79,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Pulmonary Embolism Flowtriever Price Per Procedure,33803.1,13183.21,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - See 115500 Catheter Export Aspiration 140Cm 6Fr,1590.84,620.43,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - See 140720 Catheter Embol 60Cm 2Fr Fgrty Art Balloon,388.28,151.43,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - See 140722 Catheter Embol 80Cm 3Fr Fgrty Art Balloon,36.37,14.18,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - See 140725 Catheter Embol 80Cm 5Fr Fgrty Art Balloon,183.35,71.51,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Snare Retriever Clot 0.016Inx20.5Mm,31723.78,12372.27,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Stent Nitinol Neva Vs Retriev For Cerebral Vasospasm,29761.42,11606.95,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - Syringe Medical 11 N-Bca Trufill Dcs Ii,1527.66,595.79,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - System Retrival 180Cm 1.018Cm Provue Trevo,40550.26,15814.6,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - System Thrombectomy Catheter 115Cm Htorq Tip 6Fr 135Cm,43076.7,16799.91,,,0
HCPCS,C1757,Noncdm Charge Record Medical Supplies - System Thrombectomy Catheter 80Cm Htorq Tip 6Fr 105Cm,43076.7,16799.91,,,0
HCPCS,C1757,Separator Indigo 12 Ce,8454.92,3297.42,,,0
HCPCS,C1757,Stent Revascular Solitaire,33037.2,12884.51,,,0
HCPCS,C1757,Sup Catheter Thrombectomy Or Embolectomy,20575.8,8024.56,,,0
HCPCS,C1757,Thrombectomy Catheter,28255.5,11019.64,,,0
HCPCS,C1758,Cath/Ureteral,178.02,69.43,,,0
HCPCS,C1758,Catheter Ureteral,108.64,42.37,,,0
HCPCS,C1758,Catheter Urology,70.38,27.45,,,0
HCPCS,C1758,Hc Cath Mushroom Bard 26F,48.02,18.73,,,0
HCPCS,C1758,Hc Cath Uret Open End 5Fr 70Cm,58.89,22.97,,,0
HCPCS,C1758,Hc Cath Ureteral Open End 7Fr 70C,58.68,22.89,,,0
HCPCS,C1758,Noncdm Charge Record Medical Supplies,131.965,51.464999999999996,,,0
HCPCS,C1758,Noncdm Charge Record Medical Supplies - Catheter 5 French Open End Ureteral Boston Scientific,59.22,23.1,,,0
HCPCS,C1758,Noncdm Charge Record Medical Supplies - Catheter 5 French Open End Ureteral Cook Medical,59.0,23.009999999999998,,,0
HCPCS,C1758,Noncdm Charge Record Medical Supplies - Catheter 5Fr Angled Tip U.C.,133.51,52.07,,,0
HCPCS,C1758,Noncdm Charge Record Medical Supplies - Catheter 6Fr Angled Tip U.C.,269.1,104.95,,,0
HCPCS,C1758,Noncdm Charge Record Medical Supplies - Catheter F-G 4Fr Open End Uret,65.92,25.71,,,0
HCPCS,C1758,Noncdm Charge Record Medical Supplies - Catheter F-G 6Fr Open End Uret,52.99,20.67,,,0
HCPCS,C1758,Noncdm Charge Record Medical Supplies - Catheter F-G 7Fr Open End Uret,45.54,17.76,,,0
HCPCS,C1758,Noncdm Charge Record Medical Supplies - Catheter Imager Ii 5 Fr 65 Cm,83.84,32.7,,,0
HCPCS,C1758,Noncdm Charge Record Medical Supplies - Catheter Lumen 10Fr Dual,251.82,98.21,,,0
HCPCS,C1758,Noncdm Charge Record Medical Supplies - Catheter Torqueable 5Fr Bern Boston Scientific,115.92,45.21,,,0
HCPCS,C1758,Noncdm Charge Record Medical Supplies - Catheter Torqueable Urology 5Fr L65Cm C1 Polymer Ss Wire,83.84,32.7,,,0
HCPCS,C1758,Noncdm Charge Record Medical Supplies - Catheter Udc-10-50 M Ac1050,408.22,159.21,,,0
HCPCS,C1758,Noncdm Charge Record Medical Supplies - Catheter Uret 3Fr 70Cm .018In,55.89,21.8,,,0
HCPCS,C1758,Noncdm Charge Record Medical Supplies - Catheter Uret 4Fr 70Cm .025In Opend Strl Disp,53.83,20.99,,,0
HCPCS,C1758,Noncdm Charge Record Medical Supplies - Catheter Uret 5Fr Flxm Cone,65.46,25.53,,,0
HCPCS,C1758,Noncdm Charge Record Medical Supplies - Catheter Uret 6Fr 70Cm .038In Opend,53.82,20.99,,,0
HCPCS,C1758,Noncdm Charge Record Medical Supplies - Catheter Uret 6Fr Ang Tip,175.95,68.62,,,0
HCPCS,C1758,Noncdm Charge Record Medical Supplies - Catheter Uret Flxtp 10Fr 24Cm,203.91,79.52,,,0
HCPCS,C1758,Noncdm Charge Record Medical Supplies - Catheter Uret Flxtp 6-10Fr Aq 50Cm .038In Acc 2,251.49,98.08,,,0
HCPCS,C1758,Noncdm Charge Record Medical Supplies - Catheter Ureteral Dual Lumen Tapered Segment 10Fr,180.09,70.24,,,0
HCPCS,C1758,Noncdm Charge Record Medical Supplies - Surstp Tempsens Coude Cath16Fr,142.82,55.7,,,0
HCPCS,C1758,Sheath Ureteral,461.61,180.03,,,0
HCPCS,C1758,Sheath Ureteral Access,463.68,180.84,,,0
HCPCS,C1758,Sup Catheter Ureteral,167.15,65.19,,,0
HCPCS,C1759,Catheter Ice Soundstar 3D,12429.32,4847.43,,,0
HCPCS,C1759,Catheter Intra Cardiac Echo,9128.7,3560.19,,,0
HCPCS,C1759,"Catheter, Ablation Acuson Acun",14409.27,5619.62,,,0
HCPCS,C1759,Noncdm Charge Record Medical Supplies - Catheter Ice Intracardiac Echo,4840.7,1887.87,,,0
HCPCS,C1759,Noncdm Charge Record Medical Supplies - Catheter Viewflex Xtra Ice,8818.2,3439.1,,,0
HCPCS,C1760,Cath 5F Vascade,840.42,327.76,,,0
HCPCS,C1760,"Closure Device, Vascular",1057.77,412.53,,,0
HCPCS,C1760,Device Closure,1599.08,623.64,,,0
HCPCS,C1760,Device Closure Vascular,1291.68,503.76,,,0
HCPCS,C1760,Device Vascular Closure,840.42,327.76,,,0
HCPCS,C1760,Device Vascular Compression,89.01,34.71,,,0
HCPCS,C1760,Dvc Closure Vascular Mynxace,1004.98,391.94,,,0
HCPCS,C1760,Hc Device Closure Angioseal Sts 8Fr,875.33,341.38,,,0
HCPCS,C1760,Noncdm Charge Record Medical Supplies,2364.98,922.34,,,0
HCPCS,C1760,Noncdm Charge Record Medical Supplies - Angioseal Vip 6F Closure St Jude Medical,993.6,387.5,,,0
HCPCS,C1760,Noncdm Charge Record Medical Supplies - Angioseal Vip 8F Closure St Jude Medical,993.6,387.5,,,0
HCPCS,C1760,Noncdm Charge Record Medical Supplies - Closure 6 Fr Perclose At,954.42,372.22,,,0
HCPCS,C1760,Noncdm Charge Record Medical Supplies - Closure 6 Fr Perclose Proglide,1499.84,584.94,,,0
HCPCS,C1760,Noncdm Charge Record Medical Supplies - Device Ck Cor-Knot Lf,3697.92,1442.19,,,0
HCPCS,C1760,Noncdm Charge Record Medical Supplies - Device Closure 5Fr Mynx Vasc,1023.62,399.21,,,0
HCPCS,C1760,Noncdm Charge Record Medical Supplies - Device Closure 6-7Fr Mynx Vasc Peg Balloon,967.36,377.27,,,0
HCPCS,C1760,Noncdm Charge Record Medical Supplies - Device Closure 67Fr Mynx Ace Vasc,912.87,356.02,,,0
HCPCS,C1760,Noncdm Charge Record Medical Supplies - Device Closure Vascular Mynx Control 5Fr,1189.23,463.8,,,0
HCPCS,C1760,Noncdm Charge Record Medical Supplies - Device Closure Vascular Mynx Control 6-7Fr,1182.83,461.3,,,0
HCPCS,C1760,Noncdm Charge Record Medical Supplies - Device Closure Watchman Flx Laa 24Mm Us,82168.65,32045.77,,,0
HCPCS,C1760,Noncdm Charge Record Medical Supplies - Device Clsr Mynxgrip Vascular 5F Gry,968.86,377.86,,,0
HCPCS,C1760,Noncdm Charge Record Medical Supplies - Device Vascade Device Sys 5Fr,1101.24,429.48,,,0
HCPCS,C1760,Noncdm Charge Record Medical Supplies - Device Vascular Angioseal Vip P Closure 8Fr,1361.15,530.85,,,0
HCPCS,C1760,Noncdm Charge Record Medical Supplies - Device Vascular Closure 6-7Fr R Vascade,1101.24,429.48,,,0
HCPCS,C1760,Noncdm Charge Record Medical Supplies - Device Vascular Closure Angio O Seal 6Fr,1441.33,562.12,,,0
HCPCS,C1760,Noncdm Charge Record Medical Supplies - Device Vascular Closure Mynx 6F-7F W-Intro,1107.45,431.91,,,0
HCPCS,C1760,Noncdm Charge Record Medical Supplies - Starclose Se 6F Closure,1184.92,462.12,,,0
HCPCS,C1760,Noncdm Charge Record Medical Supplies - Suture-Mediated Closure Perclose Prostyle,1608.24,627.21,,,0
HCPCS,C1760,Set Tissuer Otsc System,2486.07,969.57,,,0
HCPCS,C1760,Sup Closure Device Vascular Implantable Or Insertable,17497.66,6824.09,,,0
HCPCS,C1761,Catheter Coronary Lithotripsy,20430.9,7968.05,,,0
HCPCS,C1761,Noncdm Charge Record Medical Supplies,10361.9,4041.14,,,0
HCPCS,C1761,Noncdm Charge Record Medical Supplies - Shockwave Coronary Ivl C2 Balloon 2.5X12Mm,20722.77,8081.88,,,0
HCPCS,C1761,Noncdm Charge Record Medical Supplies - Shockwave Coronary Ivl C2 Balloon 3.0X12Mm,20722.77,8081.88,,,0
HCPCS,C1761,Noncdm Charge Record Medical Supplies - Shockwave Coronary Ivl C2 Balloon 3.5X12Mm,20722.77,8081.88,,,0
HCPCS,C1761,Noncdm Charge Record Medical Supplies - Shockwave Coronary Ivl C2 Balloon 4.0X12Mm,20722.77,8081.88,,,0
HCPCS,C1761,Shockwave Ivl Catheter,11954.25,4662.16,,,0
HCPCS,C1761,Sup Catheter Transluminal Intravascular Lithotripsy Coronary,3021.16,1178.25,,,0
HCPCS,C1762,Allograft Graftlink Tendon10Mm,9546.84,3723.27,,,0
HCPCS,C1762,"Allosync Pure, 5Cc",2028.6,791.15,,,0
HCPCS,C1762,Femoral Condyle,42569.55,16602.12,,,0
HCPCS,C1762,Graft Nerve 50 Mm,13254.21,5169.14,,,0
HCPCS,C1762,Graft Nerve 70 Mm,26069.58,10167.14,,,0
HCPCS,C1762,Hc Alloderm Sqcm Or Sheet,251.5,98.08,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies,8216.86,3204.58,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Alloderm Medium Perforated 16Cm X 20Cm,53370.81,20814.62,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Alloderm Select 2X4 Thin 0.8-1.2,2445.7,953.82,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Allograft Dermal Tissue 2Cm X 3Cm,3915.4,1527.01,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Allograft Dermal Tissue 3Cm X 4Cm,5558.98,2168.0,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Allograft Dermal Tissue 4Cm X 6Cm,10609.78,4137.81,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Allograft Dermal Tissue 7Cm X 10Cm,11504.02,4486.57,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Allograft Dermis 2Cm X 4Cm Cortiva Human Tissue Acellular,1216.12,474.29,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Amnicord 2Cmx3Cm Mimedx,5776.34,2252.77,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Amnioburn 7Cm X 15Cm,19309.74,7530.8,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Amnioburn 7Cm X 15Cm - 10Pk,15467.04,6032.15,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Amnioburn 9Cm X 7Cm,10609.58,4137.74,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Amnioeffect 2 Cm X 3 Cm,4503.05,1756.19,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Amnioeffect 4 Cm X 6 Cm,11227.23,4378.62,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Amniofix Injectable 160Mg Mimedx Group Inc,9643.09,3760.81,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Axis Dermis Coloplast 8X12 Rti,12314.08,4802.49,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Axis Dermis Tutoplast 4X7 Allograft Coloplast Corp,9150.81,3568.82,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Bone Canc 1-4 30Cc,1584.58,617.99,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Bone Canc 15Cc,1181.96,460.96,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Bone Canc 4-10 15Cc,1181.97,460.97,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Bone Canc 4-10 30Cc,1584.58,617.99,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Bone Canc 4-10 5Cc,671.72,261.97,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Bone Canc 4-10 60Cc,2537.82,989.75,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Bone Canc Cort 15Cc 1-4Mm,902.52,351.98,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Bone Cancellous 1-4Mm 90Cc Lifelink,4229.03,1649.32,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Bone Cancellous Chip 4-10Mm 15Cc,1643.58,641.0,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Bone Celluler Matrix Vivigen 1Cc Lifenet,2148.66,837.98,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Bone Cort 40-65Mm Sm Seg,2764.48,1078.15,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Bone Cort Canc 1-4 30Cc,1805.04,703.97,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Bone Cort Shaft Lg 126Mm Fld Frzdr,3325.46,1296.93,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Bone Fem Plate 20Mmx150Mm,3233.34,1261.0,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Bone Femur Head 40Mm Frzdr,5602.46,2184.96,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Bone Graft Biocartilage 1Cc Extracell Matrix Injectable,4737.2,1847.51,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Bone Graft Matrix Osteosurge 300 5Cc,5771.16,2250.75,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Bone Ilc Crst Wedge Lg 1.5Mmx10Mmx25Mm Frzdr,3837.78,1496.73,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Bone Ilc Crst Wedge Sm 9Mmx9Mmx18Mm Frzdr,3528.32,1376.04,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Bone Matrix Celluler Vivigen 10Cc Lifenet,16433.73,6409.15,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Bone Matrix Celluler Vivigen 5Cc Lifenet,8603.96,3355.54,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Bone Matrix Osteosurge 300 2.5Ml Seaspine Sales,3233.34,1261.0,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Bone Mtrx Osteosurge 300 1Cc Lot # 15792,2298.78,896.52,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Bone Plug 12Mm 18-25Mm Artc,2498.49,974.41,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Bone Semitendinosus 4Mmx260Mm,4572.63,1783.33,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Bone Semitendinosus 8Mmx260Mm,5249.52,2047.31,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Bone Tendon Ahls Ps Frzn,9203.22,3589.26,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Bone Tendon Ahls W Strut Frzn,6592.95,2571.25,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Bone Tendon Patella Pshp 10Mm,13770.68,5370.57,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Bone Tendon Tib 8Mmx260Mm Ant,7153.88,2790.01,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Bone Tendon Tib 8Mmx260Mm Post,7153.92,2790.03,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Bone Wedge 4Deg 6Mm Cerv Avs,4350.1,1696.54,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Bone Wedge 4Deg 7Mm C-Plug Avs,4770.83,1860.62,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Bone Wedge 4Deg 7Mm Cerv Avs,4350.1,1696.54,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Bone Wedge 4Deg 8Mm Cerv Avs (X),4350.1,1696.54,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Bone Wedge 4Deg 9Mm Cerv Avs,4350.1,1696.54,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Canc Allograft Xl 15Cc Trinity Elite,20783.84,8105.7,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Device Closure 5Fr Mynx Vasc,1023.62,399.21,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Amnio Membr 5Cmx6Cm Allograft Epifix (X),30092.62,11736.12,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Amniocord 3Cmx5Cm Mimedx,10188.65,3973.57,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Amniofix 2Cmx12Cm Mimedx,5469.01,2132.91,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Amniofix 2Cmx3Cm Mimedx,3789.29,1477.82,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Amniofix 4Cm X 4Cm,6990.8,2726.41,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Amniofix 6Cmx16Cm Mimedx,18574.8,7244.17,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Avive 2X2Cm Axogen Corp,5558.98,2168.0,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Avive 2X4Cm Axogen Corp,8129.92,3170.67,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Bn Allograft 4-10Mmx15Cc,1353.78,527.97,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Bn Cnrstn Asr Canc 14 (X Blck Lrdtc Cort,3625.6,1413.98,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Bn Cnrstn Asr Canc 14 Blck Lrdtc (X)Cort,3625.26,1413.85,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Bn Cnrstn Asr Canc Blck,3625.29,1413.86,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Bn Cnrstn Asr Canc Cort,3625.49,1413.94,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Bn Cnrstn Asr Canc Lrdtc,3625.43,1413.92,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Bn Grftn Dem Bn Mtrx 1Ml Putty Strl (X),1128.15,439.98,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Bn Infs Rhbmp-2 .7Ml 2Xs Kt Cerv Spine (X),5268.17,2054.59,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Bn Infs Rhbmp-2 2.8Ml Sm Kt Cerv Spine (X),21075.7,8219.52,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Bn Infs Rhbmp-2 5.6Ml Med Kt Cerv Spine (X),28517.36,11121.77,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Bn Infs Rhbmp-2 8Ml Reg Lg Kt Cerv (X),31755.87,12384.79,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Bn Infs Rhbmp-2 Xs Kt Cerv Spine Lumb (X),10488.69,4090.59,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Bn Osteocel Pro 10Cc Lg,15709.23,6126.6,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Bn Osteocel Pro 1Cc Smal,1933.45,754.05,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Bn Osteocel Pro 5Cc Med,8095.77,3157.35,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Bone Chips Crushed Cancellous 4Mm-10Mm Range 30Cc,2583.7,1007.64,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Bone Chips Filler Tube Cortical Cancellous,1084.68,423.03,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Bone Cortical Shaft - Small 100-125,3097.76,1208.13,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Bone Progenix Plus 5Ml,2487.1,969.97,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Bone Substitute 10Cc Dem Demineralized Cellular Matrix,18958.1,7393.66,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Bone Substitute 10Ml Demineralized Bone Matrix,3816.04,1488.26,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Bone Substitute 15Cc Cellular Dbm Vivigen,23200.56,9048.22,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Bone Substitute 5Cc Dbm Putty Syringe Osteoselect Plus,4639.9,1809.56,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Bone Substitute Inserter Diverted Filler Tube 3-4 Fill,1595.35,622.19,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Bone Substitute L Demineralized Bone Fiber,12610.44,4918.07,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Bone Substitute M 5Ml Cellular Vivigen,10383.08,4049.4,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Bone Substitute Sm 1Ml Cryopreserved Viable Cortical,2578.18,1005.49,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Cnrstn Asr Canc Blck (X),3625.35,1413.89,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Glycerol Cornea Whole,1584.58,617.99,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Human Tissue 1000Mg Amniofill,10875.78,4241.55,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Human Tissue Sheet Amnioburn 9X20Cm,28034.01,10933.26,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Human Tissue W16Xl20Cm Thk0.4-2.4Mm Regenerative Tiss,53370.81,20814.62,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Human Tissue W40Xl70Mm Thk2.5-3.5Mm Acellular Dermal,18797.67,7331.09,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Human Tissue W8Xl16Cm Thk2-2.79Mm Rtu Alloderm,20725.88,8083.09,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Jacket Now Stnd 4X4Cm,11629.26,4535.41,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Jacket Now Stnd 4X8Cm,12896.1,5029.48,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Jacket Now Thin 4X8Cm,10798.16,4211.28,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Nerve Avance 1-2Mm 30Mm,14776.87,5762.98,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Nerve Avance 2-3Mm 30Mm,14679.4,5724.97,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Nerve Avance 2-3Mm 70Mm,29537.35,11519.57,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Nerve Avance 4-5Mm 50Mm,24249.02,9457.12,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Nerve Axogen 4Mm 3Cm,14679.4,5724.97,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Soft Tissue W4Xl6Cm Natu,9546.64,3723.19,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Spnl Lumb Spacr 2.5X10Cm,15655.41,6105.61,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Tendon Gracilis Frozen Lifelink Tissue Bank,4572.63,1783.33,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Tissue Human Nerve Dece Ll-Xcell 3-4Mmx30Mm,14679.4,5724.97,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Graft Tissue Human Nerve Dece Ll-Xcell 3-4Mmx70Mm,31755.87,12384.79,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Implant Allograft Canc 30Cc Cube,2512.98,980.06,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Implant Allograft Cancellous Crusheed Freeze Dried Community,2309.91,900.86,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Implant Allograft Plcnt 2X4Cm Stravix Human Tissue,8265.51,3223.55,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Implant Graft 5X5Cm Grafix Human Tissue,13050.32,5089.62,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Implant Graft 7.5 X15 Grafix Human Tissue,43501.05,16965.41,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Membrane Allograft 4X4Cm Lyophilized Dehydrated,6752.34,2633.41,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Membrane Allograft 4X6Cm Lyophilized Dehydrated Comp,8618.44,3361.19,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Membrane Allograft 4X6Cm Translucent Dehydrated Comp,7733.52,3016.07,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Membrane Allograft 6X8Cm Translucent Dehydrated Comp,14500.35,5655.14,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Nerve Protector Graft Axogen Corp,23567.98,9191.51,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Nushield 1.6Cm,1746.04,680.96,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Nushield 2X4,4373.91,1705.82,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Nushield 3X4,6428.38,2507.07,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Osteofactor Allogeneic Proteins Medium,7008.65,2733.37,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Placental Tissue Membr 2Cmx4Cm,5075.64,1979.5,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Placental Tissue Membr 4Cmx4Cm,7226.16,2818.2,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Pureskin Mesh 1:1 = 199,2419.83,943.73,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Pureskin Mesh 2:1 = 199,2295.63,895.3,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Putty Bone Demineralized Bone E Matrix 2.5Cc,1719.14,670.46,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - See 86884 Implant Bone Small 5Cc Blend Grafton Medtronic Inc,4297.32,1675.95,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Skin Cts 2:1 Meshed 232 Cryo,2390.85,932.43,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1000Cm C,11938.72,4656.1,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1025Cm C,12237.84,4772.76,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 950Cm Ct,9599.62,3743.85,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Substitute Bn 2.5X5Cm T42210,7236.55,2822.25,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Substitute Bn Graft 1.75X10Cm,13398.08,5225.25,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Substitute Bn Graft 1.75X5Cm Magnifuse Sd Grftn,8640.09,3369.64,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Substitute Bn Graft 1Cmx10Cm,8168.22,3185.61,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Substitute Bn Graft 1Cmx20Cm Magnifuse Sd Grftn,13658.9,5326.97,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Substitute Bn Graft 1Cmx5Cm Magnifuse Pc Grftn,4948.34,1929.85,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Substitute Bn Graft 5X2.5Cm,7221.2,2816.27,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Substitute Bn Graft Sm 5Cc,2685.82,1047.47,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Substitute Bn Grft Dem Putty 1 Bn Mtrx (X) Grftn,537.16,209.49,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Substitute Bn Grft Sm 10Cc,4833.45,1885.05,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Tissue 6X12 Axis Dermis Allograft,15597.45,6083.01,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Tissue Decellularized Derm Matracell 10X70Mm,9795.24,3820.14,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Tissue Decellularized Derm Matracell 4Cmx7Cm,13441.54,5242.2,,,0
HCPCS,C1762,Noncdm Charge Record Medical Supplies - Tissue Thin 2X3Cm Pro3-P Amniotic Placental Membrane,4108.95,1602.49,,,0
HCPCS,C1762,Sup Alloderm Sqcm Or Sheet,2290.46,893.28,,,0
HCPCS,C1762,Sup Connective Tissue Human Includes Fascia Lata,7585.36,2958.29,,,0
HCPCS,C1762,Sup Flexhd Or Allopatch Hd Sqcm Or Sheet,27372.87,10675.42,,,0
HCPCS,C1762,Sup Graftjacket Per Sq Cm,15300.4,5967.16,,,0
HCPCS,C1762,Tendon Gracillis,5216.4,2034.4,,,0
HCPCS,C1762,Tissue Connective Human,63195.03,24646.06,,,0
HCPCS,C1763,Axogen Ha+ Nerve Pro 1Cmx2Cm,9089.37,3544.85,,,0
HCPCS,C1763,Axogen Ha+ Nerve Pro 2Cmx2Cm,9711.41,3787.45,,,0
HCPCS,C1763,Axogen Ha+ Nerve Pro 4Cmx8Cm,19830.6,7733.93,,,0
HCPCS,C1763,Biodesign Otologic Graft 2.5Cm,1130.22,440.79,,,0
HCPCS,C1763,Biodesign Sinonasal 2X3Cm,1109.52,432.71,,,0
HCPCS,C1763,Nerve Connector Axogen 3X15Mm,6747.16,2631.39,,,0
HCPCS,C1763,Nerve Protector Axogen 40Mm,9460.94,3689.77,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies,5739.075,2238.24,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Adhesive Skin Closure Bioglue Crolife Inc,3797.54,1481.04,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Amnioeffect 4 Cm X 6 Cm,12436.56,4850.26,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Bone Graft Biocartilage 1Cc Extracell Matrix Injectable,4737.2,1847.51,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Connector Nrv 2Mmx15Mm Axoguard,7601.38,2964.54,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Connector Nrv 3Mmx15Mm Axoguard,7651.24,2983.98,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Genex Bone Graft Substitute 10Cc,10150.25,3958.6,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Genex Bone Graft Substitute 5Cc,5316.8,2073.55,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Genex Kit 10Cc,16215.41,6324.01,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Genex Kit 5Cc,8075.93,3149.61,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Graft Biological Tissue W16Xl2 Strattice Reconstructive,43892.28,17117.99,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Graft Biological W4Xl5Cm Duraflex Suturable,1893.02,738.28,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Graft Bn Infs Rgbmp Lg Kt Cerv Spine Lumb Tpr (X),31755.87,12384.79,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Graft Bone Substitute 3Cc Sulfate Stimulan Rapid Cure,2876.17,1121.71,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Graft Bovine W6Xl8Cm,2447.26,954.43,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Graft Dura 10.0Cmx12.5Cm (4Inx5In) Lyoplant Onlay Aesculap,4999.57,1949.83,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Graft Dura 1X1In Patch Resrb Suturable Drgn +,1601.26,624.49,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Graft Dura 1X3 Inch Patch,2718.43,1060.19,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Graft Dura 2X2In Patch Resrb Suturable Drgn +,2600.54,1014.21,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Graft Dura 3X3In Patch Resrb Suturable Drgn +,4255.14,1659.5,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Graft Dura 5X4In Patch Resrb Suturable Drgn +,7176.93,2799.0,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Graft Dura 7.5Cmx7.5Cm (3Inx3In) Lyoplant Onlay Aesculap,2839.63,1107.46,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Graft Dural Adult W2Xl2In Cellulose Water Synthecel,3470.36,1353.44,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Graft Dural Adult W3Xl3In Biosynthesized Interconnected,5014.92,1955.82,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Graft Dural Suturable Bovine Pericardium 8X12Cm,3557.3,1387.35,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Graft Ent-Oto Biodesign,1528.05,595.94,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Graft Human Tissue 10X20Cm Thin Myriad,8525.18,3324.82,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Graft Tissue Biodesign 4 Lyr 4X7Cm,4475.34,1745.38,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Implant Bear Acl Cylindrical Shape 45 Mm Length X 22 Mm Dia,24288.34,9472.45,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Implant Bioinductive Large Arthroscopic Delivery Smith And N,13298.29,5186.33,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Implant Bioinductive Medium Arthroscopic Delivery Smith And,13116.81,5115.56,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Mastergraft Matrix Ext 20Cc Medtronic Inc,5220.54,2036.01,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Matrix Wound Cytal 5X5 2 Layer,3567.64,1391.38,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Membrane Allograft 4X6Cm Lyophilized Dehydrated Comp,8618.44,3361.19,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Mesh Biologic W10Xl6Cm Ovine Extracellular,4775.295,1862.365,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Mesh Y Upsylon,6706.66,2615.6,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Myriad Morcells 1000Mg,7866.15,3067.8,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Myriad Morcells 500Mg,4307.67,1679.99,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Myriad Thick 10X10Cm,5896.4,2299.6,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Myriad Thick 10X20Cm,11792.79,4599.19,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Myriad Thick 5X5Cm,1638.4,638.98,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Myriad Thin 10X10Cm,4262.2,1662.26,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Myriad Thin 5X5Cm,1184.04,461.78,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Onlay Duramatrix W2Xl2In Thk 6.0Mm Absorbable Graft,2865.92,1117.71,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Onlay Duramatrix W3Xl3In Thk 6.0Mm Absorbable Graft,4010.62,1564.14,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Patch Oto Epdc Ear Lmn Precut,1012.23,394.77,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Patch Pericardial 8X14Cm Xenosure,3069.81,1197.23,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Protector Nrv 10Mm 40Mm,12052.92,4700.64,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Protector Nrv 3.5Mm X 40Mm,11743.32,4579.89,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Protector Nrv 5Mm 40Mm,11987.37,4675.07,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Protector Nrv 7Mm 40Mm,11933.55,4654.08,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Puraply Mz 100 Mg,1369.72,534.19,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Skin Fish 19Cm2 Omega3 Micro Surgiclose Kerecis,5358.2,2089.7,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Stimulan Rapid Cure Antibiotic Bead 10Cc,5872.96,2290.45,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Substitute Skin 20X25Cm Strattice Porc Derm (X),66595.35,25972.19,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Tissue Flex Hd 13Cm 22Cm Perf Large,22498.83,8774.54,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Tissue Flex Hd 16Cm 20Cm,40937.36,15965.57,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Treatment Wound Skin Fish 7X10Cm Omega 3 Wound Kercecis,18609.3,7257.63,,,0
HCPCS,C1763,Noncdm Charge Record Medical Supplies - Wound Matrix 3 Ml Flowable Integra,19682.6,7676.21,,,0
HCPCS,C1763,Sling Intravaginal Apogee,6630.21,2585.78,,,0
HCPCS,C1763,Sup Connective Tissue Non-Human Includes Synthetic,10132.62,3951.72,,,0
HCPCS,C1764,Cardiac Monitor Lnq22,21062.25,8214.28,,,0
HCPCS,C1764,Loop Recorder,22680.475,8845.384999999998,,,0
HCPCS,C1764,Monitor Cardiac Jot Dx 1.7,19996.2,7798.52,,,0
HCPCS,C1764,Noncdm Charge Record Medical Supplies,22451.22,8755.98,,,0
HCPCS,C1764,Noncdm Charge Record Medical Supplies - Monitor Cardiac 3.4Gm W8Xh45. 1Mm D4.2Mm Linq Ii,21267.18,8294.2,,,0
HCPCS,C1764,Noncdm Charge Record Medical Supplies - Monitor Cardiac Insert Linq,21859.2,8525.09,,,0
HCPCS,C1764,Noncdm Charge Record Medical Supplies - Monitor Cardiac Linq Ii,21618.26,8431.12,,,0
HCPCS,C1764,Noncdm Charge Record Medical Supplies - Monitor Cardiac Lux-Dx 3Gm W7.2Xh44.8Mm D4Mm,20300.49,7917.19,,,0
HCPCS,C1765,Adhension Barrier Membrane,1562.85,609.51,,,0
HCPCS,C1765,Adhesion Barrier Dura Sealant,4231.08,1650.12,,,0
HCPCS,C1765,Adhesive Barrier Seprafilm,1679.8,655.12,,,0
HCPCS,C1765,Barrier Adhesion Seprafilm,1840.23,717.69,,,0
HCPCS,C1765,Hc Seprafilm Bioresrb Any,1964.12,766.01,,,0
HCPCS,C1765,Noncdm Charge Record Medical Supplies - Barrier Adhesion Interceed J And J Health,1551.89,605.24,,,0
HCPCS,C1766,Hc Introducer Steer Agilis,4732.23,1845.57,,,0
HCPCS,C1766,Introducer Transseptal,7389.9,2882.06,,,0
HCPCS,C1766,Noncdm Charge Record Medical Supplies,5290.92,2063.46,,,0
HCPCS,C1766,Noncdm Charge Record Medical Supplies - Agilis Large Curl Sheath,4177.33,1629.16,,,0
HCPCS,C1766,Noncdm Charge Record Medical Supplies - Agilis Small Curl Sheath,3989.98,1556.09,,,0
HCPCS,C1766,Noncdm Charge Record Medical Supplies - Flexcath 12Fr Strbl Adv Sheath,4850.01,1891.5,,,0
HCPCS,C1766,Noncdm Charge Record Medical Supplies - Introducer Delivery System Trevisio 10F 80Cm,3205.4,1250.11,,,0
HCPCS,C1766,Noncdm Charge Record Medical Supplies - Introducer Delivery System Trevisio 12F 80Cm,3205.4,1250.11,,,0
HCPCS,C1766,Noncdm Charge Record Medical Supplies - Introducer Delivery System Trevisio 9F 80Cm,3205.4,1250.11,,,0
HCPCS,C1766,Noncdm Charge Record Medical Supplies - Introducer Sheath 8.5Fr L71Cm Dilator 8.5Fr Med Curl 22.4Mm,3989.92,1556.07,,,0
HCPCS,C1766,Noncdm Charge Record Medical Supplies - Shealth Axs Infinity Ls 80Cm Long,2446.74,954.23,,,0
HCPCS,C1766,Noncdm Charge Record Medical Supplies - Sheath Agilis Sm Curl 8.5Fr 71Cm,2671.34,1041.82,,,0
HCPCS,C1766,Noncdm Charge Record Medical Supplies - Sheath Catheter L80Cm Od4.8Mm Id4.0Mm 45X45Deg,3205.4,1250.11,,,0
HCPCS,C1766,Noncdm Charge Record Medical Supplies - Sheath Catheter L80Cm Od5.5Mm Id4.7Mm 45X45Deg,3205.4,1250.11,,,0
HCPCS,C1766,Sheath Flexcath Steerable 12F,5226.75,2038.43,,,0
HCPCS,C1766,Sheath Steerable Agil/Mobicat,4060.3,1583.52,,,0
HCPCS,C1766,Tunneler Sheath & Bullet Tip,238.05,92.84,,,0
HCPCS,C1767,Gen Activa Sc 37602,40209.75,15681.8,,,0
HCPCS,C1767,Generator Neurostim Dbs,40209.75,15681.8,,,0
HCPCS,C1767,Generator Neurostim Deep Brain,66010.23,25743.99,,,0
HCPCS,C1767,Generator Neurostim Enterra,40054.5,15621.26,,,0
HCPCS,C1767,Generator Neurostim Interstim,38377.8,14967.34,,,0
HCPCS,C1767,Generator Neurostim Restore,68931.0,26883.09,,,0
HCPCS,C1767,Generator Neurostim Restore Pr,45736.65,17837.29,,,0
HCPCS,C1767,Generator Neurostimulator,97997.94,38219.2,,,0
HCPCS,C1767,Generator Neurostimulator Vant,67679.68,26395.08,,,0
HCPCS,C1767,Generator Pulse Implantable In,67906.35,26483.48,,,0
HCPCS,C1767,Noncdm Charge Record Medical Supplies,74954.7,29232.33,,,0
HCPCS,C1767,Noncdm Charge Record Medical Supplies - Generator Aspire Sr,142393.23,55533.36,,,0
HCPCS,C1767,Noncdm Charge Record Medical Supplies - Generator Vns Neuromodulation Sentiva,181122.08,70637.61,,,0
HCPCS,C1767,Noncdm Charge Record Medical Supplies - Generator Vns Therapy Symmetry,139585.28,54438.26,,,0
HCPCS,C1767,Noncdm Charge Record Medical Supplies - Implant Generator Pulse Inspire Medical Systems,88089.88,34355.05,,,0
HCPCS,C1767,Noncdm Charge Record Medical Supplies - Interstim X Ins,60692.67,23670.14,,,0
HCPCS,C1767,Rns Neurostimulator Kit,119045.7,46427.82,,,0
HCPCS,C1767,Snm Neurostimulator,43412.04,16930.7,,,0
HCPCS,C1767,Sup Generator Neurostimulator Implantable Non-Rechargeable,110559.64,43118.26,,,0
HCPCS,C1767,Vns Therapy-Symmetry,141494.85,55182.99,,,0
HCPCS,C1768,Artegraft 8Mm X 15Cm,13284.22,5180.85,,,0
HCPCS,C1768,Excluder Aaa Endoprosthesis,31936.475,12455.224999999999,,,0
HCPCS,C1768,Excluder Endoprosth 23X12X14,59150.25,23068.6,,,0
HCPCS,C1768,Excluder Limb,15769.26,6150.01,,,0
HCPCS,C1768,Excluder Repositional Aaa,43449.3,16945.23,,,0
HCPCS,C1768,Graft Bypass Distaflo 6Mmx80,10041.57,3916.21,,,0
HCPCS,C1768,Graft Cardiovascular,1756.4,685.0,,,0
HCPCS,C1768,Graft Component Arterial,4781.7,1864.86,,,0
HCPCS,C1768,Graft Gortex Soft Tissue,8742.64,3409.63,,,0
HCPCS,C1768,Graft Hemashield Platinum,2481.93,967.95,,,0
HCPCS,C1768,Graft Vasc Artegraft 6.0Mmx30C,7256.38,2829.99,,,0
HCPCS,C1768,Graft Vasc Artegraft 7.0Mmx30C,7386.8,2880.85,,,0
HCPCS,C1768,Graft Vascular,3004.605,1171.795,,,0
HCPCS,C1768,Graft Vascular Aortic,14127.75,5509.82,,,0
HCPCS,C1768,Graft Vascular Flixine,5561.06,2168.81,,,0
HCPCS,C1768,Graft Vascular Gortex,1934.42,754.42,,,0
HCPCS,C1768,Graft Vascular Gortex Patch,6729.57,2624.53,,,0
HCPCS,C1768,Graft Vascular Impregnated,4475.34,1745.38,,,0
HCPCS,C1768,Graft Vascular Propaten,6729.57,2624.53,,,0
HCPCS,C1768,Graft Vascular Ringed,4277.66,1668.29,,,0
HCPCS,C1768,Graft Vascular Std Wall,2481.93,967.95,,,0
HCPCS,C1768,Graft Vascular Straight,4008.56,1563.34,,,0
HCPCS,C1768,Graft Vascular Thin Ringed,5614.88,2189.8,,,0
HCPCS,C1768,Graft Vascular Thin Wall,3065.67,1195.61,,,0
HCPCS,C1768,Graft Wittmann Patch,8307.94,3240.1,,,0
HCPCS,C1768,Graft/Goretex/St/12Mm,2443.64,953.02,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies,21542.49,8401.57,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Catheter L156Mm Dia16X13Mm 16Fr Limb Distal Design,27840.46,10857.78,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Component Art Graft,5316.8,2073.55,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Excluder Cntrlt 18Mm 13.5Cm Aaa Endo,21542.49,8401.57,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Excluder Cntrlt 20Mm 11.5Cm Aaa Endo,21542.49,8401.57,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Excluder Cntrlt 20Mm 9.5Cm,21542.49,8401.57,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Excluder Cntrlt 23Mm 12Cm Aaa Endo,21542.49,8401.57,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Excluder Cntrlt 23Mm 14Cm Aaa Endo,21542.49,8401.57,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Excluder Cntrlt 27Mm 12Cm Aaa Endo,21542.49,8401.57,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Excluder Cntrlt 32Mm 4.5Cm,14998.18,5849.29,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Excluder Cntrlt Endo 18Mm 12Cm,21542.49,8401.57,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Excluder Endopros C3 13Cm,52573.86,20503.81,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Excluder Endopros C3 23-14,52573.86,20503.81,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Excluder Endopros C3 35-14 35Mmx14.5Mmx14Cm,52573.86,20503.81,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Felt Cv 1-4X1-4In Thk 6Mm Ptfe,19.41,7.57,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Felt Cv 2.5Cmx2.5Cm Thk Ptfe,2537.82,989.75,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Felt Cv 4X4In Thk1.65Mm Ptfe,1162.3,453.3,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Felt Cv 6X1In Thk1.65Mm Ptfe,443.66,173.03,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Felt Cv 6X6In Thk1.65Mm Ptfe Patch,1368.18,533.59,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft 40Cm6Mm Gore Propaten Propaten Eptfe Hep Vasc,5021.82,1958.51,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft 40Cm8Mm Gore Eptfe Propaten Eptfe Hep Vasc,5901.57,2301.61,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Acuseal 47Mm 45Cm Propaten Eptfe Hepar,7095.96,2767.42,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Art Bvn 6Mmx30Mm,10422.26,4064.68,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Cv 15Cm 10Mm 2 Vlr Strt,1977.88,771.37,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Cv 15Cm 12Mm 2 Vlr Strt,1848.51,720.92,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Cv 15Cm 20Mm 2 Vlr Strt,2102.08,819.81,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Cv 15Cm 26Mm Aort Root Wvn Glwv Vslv,12445.88,4853.89,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Cv 15Cm 30Mm Aort Root,17914.81,6986.78,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Cv 15Cm 32Mm Aort Root Wvn Glwv Vslv,12724.29,4962.47,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Cv 15Cm 60Mm Aort Root,17199.28,6707.72,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Cv 15Cm 6Mm 2 Vlr Strt,1977.88,771.37,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Cv 15Cm 6Mm Thor Abd Wvn,2018.25,787.12,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Cv 15Cm 8Mm Thor Abd Wvn,1996.52,778.64,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Cv 30Cm 10Mm Thor Abd,2639.25,1029.31,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Cv 30Cm 24Mm 2 Vlr Strt,2490.21,971.18,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Cv 30Cm 24Mm Thor Abd,2994.26,1167.76,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Cv 30Cm 26Mm Thor Abd Wvn Strt Glwv,2994.26,1167.76,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Cv 30Cm 28Mm Thor Abd,2994.26,1167.76,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Cv 30Cm 30Mm Thor Abd Wvn Strt Glwv,2994.26,1167.76,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Cv 30Cm 32Mm Thor Abd Wvn Strt Glwv,2994.26,1167.76,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Cv 30Cm 36Mm Thor Abd,2994.26,1167.76,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Cv 30Cm 6Mm 2 Vlr Strt,2625.73,1024.03,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Cv 30Cm 8Mm 2 Vlr Strt,2672.37,1042.22,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Cv 30Cm 8Mm Thor Abd Wvn,2639.25,1029.31,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Cv 40Cm 12X7Mm 2 Vlr,3521.59,1373.42,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Cv 40Cm 14X7Mm Bfur Hmshg Mcvl,3467.25,1352.23,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Cv 40Cm 16X8Mm 2 Vlr,3502.18,1365.85,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Cv 40Cm 18X9Mm 2 Vlr,3560.4,1388.56,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Cv 40Cm 24Mm 8Mm 15Cm,13987.25,5455.03,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Cv 40Cm 26Mm 8Mm 15Cm Aort Arch 4 Brch,15877.94,6192.4,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Cv 40Cm 28Mm 8Mm 15Cm,12300.98,4797.38,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Cv 40Cm 28Mm 8Mm Aort,5650.06,2203.52,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Cv 40Cm 30Mm 8Mm Aort,8071.96,3148.06,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Cv 40Cm32-8Mm Aort Wvn,8071.96,3148.06,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Endopros Aaa 23Mm 10Cm,21542.49,8401.57,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Endopros Aaa 27Mm 10Cm Cntrlt,21542.49,8401.57,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Endoprosthesis Aaa Trunk Ipsilateral Leg Excldr 16F 26,52573.86,20503.81,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Endovasc 95Mm 36Mm 22Fr,42069.64,16407.16,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Endovascular L90X40Cm Di,21165.75,8254.64,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Hemashield Gold Vascular,3866.76,1508.04,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Sft Tis 67Cm 4-5Mm Cryovein Saph Vn (X),48835.7,19045.92,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Superhero Outflow Component Merit Medical,19382.27,7559.09,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Vasc 10Cm 6Mm Grtx Thnwl,735.88,286.99,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Vasc 12.5Cm 11Mm,113537.43,44279.6,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Vasc 40Cm 6Mm Gore Propaten Eptfe Hep,5894.55,2298.87,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Vasc 40Cm 7Mm Grtx Std Wall Strch Tpr,2561.62,999.03,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Vasc 40Cm 8Mm Gore Hep Propaten Eptfe Hep,6889.3,2686.83,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Vasc 45Cm 4-7Mm Gore,6046.64,2358.19,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Vasc 45Cm 4-7Mm Grtx Std Wall Remove,3156.75,1231.13,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Vasc 50Cm 6Mm Gore Propaten Eptfe Hep,8540.82,3330.92,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Vasc 6Mmx40Mm Artgrf,11758.69,4585.89,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Vasc 7Mmx40Mm Artgrf,9990.18,3896.17,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Vasc 80Cm 4-7Mm Gore Propaten Eptfe Hep,10353.1,4037.71,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Vasc 80Cm 6Mm Dstfl Dist,22279.41,8688.97,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Vasc 80Cm 6Mm Gore Hep,13190.25,5144.2,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Vasc 80Cm 6Mm Gore Propaten Eptfe Hep,11386.04,4440.56,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Vasc 80Cm 6Mm Grtx Thnwl Remove Ring,6718.18,2620.09,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Vasc 80Cm 8Mm Gore Hep Propaten Eptfe Hep,13678.56,5334.64,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Vasc 8Mmx40Mm Artgrf,9464.32,3691.08,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Vasc Collagen 7Mmx45Cm,12646.66,4932.2,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Vascular 4Mm By 40Cm Bovine Carotid Collagen,14962.65,5835.43,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Vascular 50Cm 6Mm Gore,14088.21,5494.4,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Vascular 50Cm 8Mm Gore,8540.82,3330.92,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Vascular 5Mm By 45Cm Bovine Carotid Collagen,17770.17,6930.37,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Vascular 60-69Cm Saphenous Vein,45188.1,17623.36,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Vascular 7Mm By 45Cm Bovine Carotid Collagen,10870.4,4239.46,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Vascular 80-100Cm Saphenous Vein,55167.75,21515.42,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Vascular Hemashield Gold 18Mmx30Cm Maquet Medical,2490.21,971.18,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Vascular L30Cm Dia8Mm Bovine Carotid Collagen,17443.89,6803.12,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Vascular L40Cm Bore 28Mm Side Branch Dia10Mm,13292.5,5184.08,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Graft Vascular L45Cm Dia4-6Mm Universal Ptfe Straight Stand,5935.72,2314.93,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Patch Cv 8X.8Cm Tpr Vsgrd Bvn,1072.26,418.18,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Patch Cv Dbl 2Inx3In Vlr Hmshld,953.24,371.76,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Patch Duraguard W10X16Cm Bovine Pericardium,3925.83,1531.07,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Patch Duraguard W2Xl9Cm Repair Bovine Pericardium Radial,1712.67,667.94,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Patch Duraguard W4Xl4Cm Repair Pericardium Glutaraldehyde No,1901.71,741.67,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Patch Duraguard W6Xl8Cm Repair Bovine Pericardium Glutaralde,2673.4,1042.63,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Patch Pericardial 8X14Cm Xenosure,3077.53,1200.24,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Patch Vascular Bovine,1222.15,476.64,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Patch Xenosure 2X9 Vascular Bovine,1955.12,762.5,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Restoreflow Fa Greater Than 30Cm,35376.3,13796.76,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - See 110887 - Patch Xenosure 8X8 Vascular Bovine,806.23,314.43,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Stent Graft Aaa Endurant Ii Contralateral Limb 16X13X124Mm,21641.85,8440.32,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Stent Graft Aaa Endurant Ii Contralateral Limb 16X16X124Mm,21424.5,8355.56,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Stent Graft Aaa Endurant Ii Short Bifurcat 25Mmx14Mmx103Mm,43392.38,16923.03,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Stent-Gft Endopros 11.5Cm Low Prof 16Mm Exclud Xtd,21542.49,8401.57,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Stent-Gft Endopros 13.5Cm Low Prof16Mm Exclud Xtd,21542.49,8401.57,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Stent-Graft 23Mm 14.5Mm12Cm C3,52573.86,20503.81,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Stent-Graft 26X14.5Mmx14Cm C3,52573.86,20503.81,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Stent-Graft 28X14.5Mm 14Cm C3,52573.86,20503.81,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Stent-Graft 9.5Cm 16Mm Low,21542.49,8401.57,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Stent-Graft Endopros 10Cm 12Mm,21542.49,8401.57,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Stent-Graft Endopros 10Cm 14.5Mm Exclud Xtd,21542.49,8401.57,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Stent-Graft Endopros 12Cm 12Mm,21542.49,8401.57,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Stent-Graft Endopros 12Cm 14.5Mm Exclud Xtd,21542.49,8401.57,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Stent-Graft Endopros 14Cm 12Mm,21542.49,8401.57,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Stent-Graft Endopros 14Cm 14.5Mm Exclud Xtd,21542.49,8401.57,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Stent-Graft Endopros 7Cm,14998.18,5849.29,,,0
HCPCS,C1768,Noncdm Charge Record Medical Supplies - Stent-Graft Endopros 7Cm 12Mm,14998.18,5849.29,,,0
HCPCS,C1768,Patch Cardiovascular,2481.93,967.95,,,0
HCPCS,C1768,Patch Soft Tissue,2481.93,967.95,,,0
HCPCS,C1768,Patch Tympanic Membrane,3891.6,1517.72,,,0
HCPCS,C1768,Patch Vascu-Guard 8Cm X 8Cm,989.46,385.89,,,0
HCPCS,C1768,Patch Vascuguard 2X9Cm,1332.04,519.5,,,0
HCPCS,C1768,Peri-Guard Pericardium 10X16,3631.82,1416.41,,,0
HCPCS,C1768,Peri-Guard Pericardium 4 X 4,1564.92,610.32,,,0
HCPCS,C1768,Peri-Guard Pericardium 6X8Cm,2524.36,984.5,,,0
HCPCS,C1768,Pericardium Peri-Guard 8X14Cm,3480.7,1357.47,,,0
HCPCS,C1768,Pericardium Tutoplast 1.5Cm,1375.52,536.45,,,0
HCPCS,C1768,Shunt Graft,3830.54,1493.91,,,0
HCPCS,C1768,Stent Graft Aortic Ext,33875.55,13211.46,,,0
HCPCS,C1768,Sup Graft Vascular,45750.18,17842.57,,,0
HCPCS,C1768,Sup Thoraflex Hybrid Device,9082.12,3542.03,,,0
HCPCS,C1769,Basic Diag Guidewires,114.88,44.8,,,0
HCPCS,C1769,Cannulatome Cotton 6Fr,605.48,236.14,,,0
HCPCS,C1769,Cath Pushing Fusion Guide,430.56,167.92,,,0
HCPCS,C1769,Catheter Glide,166.55,64.95,,,0
HCPCS,C1769,Clevercut3V Dist Wg,819.72,319.69,,,0
HCPCS,C1769,G Wire,254.61,99.3,,,0
HCPCS,C1769,G Wire 3.0Mm W/ Ball Tip,457.47,178.41,,,0
HCPCS,C1769,G Wire Amplatz Extra Stiff,247.36,96.47,,,0
HCPCS,C1769,G Wire Amplatz Super Stiff,155.25,60.55,,,0
HCPCS,C1769,G Wire Angled Terumo 1,229.77,89.61,,,0
HCPCS,C1769,G Wire Angles Terumo 2,257.71,100.51,,,0
HCPCS,C1769,G Wire Arthrex,62.1,24.22,,,0
HCPCS,C1769,G Wire Bead Tip,422.28,164.69,,,0
HCPCS,C1769,G Wire Control Wire,447.12,174.38,,,0
HCPCS,C1769,G Wire Cook Exch 220 Cm,157.32,61.35,,,0
HCPCS,C1769,G Wire Diagnostic,288.76,112.62,,,0
HCPCS,C1769,G Wire Endo Sp,192.51,75.08,,,0
HCPCS,C1769,G Wire Endoscopic,876.13,341.69,,,0
HCPCS,C1769,G Wire Endovasc,195.62,76.29,,,0
HCPCS,C1769,G Wire Ffr Prestige Plus,2717.91,1059.98,,,0
HCPCS,C1769,G Wire Glide Wire,289.8,113.02,,,0
HCPCS,C1769,G Wire Interventional,331.2,129.17,,,0
HCPCS,C1769,G Wire Kit Biotenodesis,2086.56,813.76,,,0
HCPCS,C1769,G Wire Omni-Tome,745.2,290.63,,,0
HCPCS,C1769,G Wire Ortho Synthes,459.54,179.22,,,0
HCPCS,C1769,G Wire Peripheral Intervention,536.13,209.09,,,0
HCPCS,C1769,G Wire Road Runner,505.08,196.98,,,0
HCPCS,C1769,G Wire Rotablator,343.62,134.01,,,0
HCPCS,C1769,G Wire Smooth W/ Bullet,310.5,121.1,,,0
HCPCS,C1769,G Wire Start Endovasc,247.36,96.47,,,0
HCPCS,C1769,G Wire Teflon Coated,86.94,33.91,,,0
HCPCS,C1769,G Wire Threaded,425.38,165.9,,,0
HCPCS,C1769,G Wire Thruway,984.28,383.87,,,0
HCPCS,C1769,G Wire Tracer Hybrid,493.7,192.54,,,0
HCPCS,C1769,G Wire Triwire,173.88,67.81,,,0
HCPCS,C1769,G Wire Ultra Short,418.89,163.37,,,0
HCPCS,C1769,Gdc Cable/Barrty/Torque Vise,163.49,63.76,,,0
HCPCS,C1769,Gdc Guidewires,1816.42,708.4,,,0
HCPCS,C1769,Gdwire Gold Coil,1497.64,584.08,,,0
HCPCS,C1769,Gdwire Splashwire,144.9,56.51,,,0
HCPCS,C1769,Gdwire Synchro,3407.22,1328.82,,,0
HCPCS,C1769,Gdwire Synchro Sel Sft,2745.86,1070.89,,,0
HCPCS,C1769,Gdwire Vascular Torque,900.45,351.18,,,0
HCPCS,C1769,Gdwre Vas Roadrunner,746.24,291.03,,,0
HCPCS,C1769,Glidewire Catheter Gw 260Cm,252.54,98.49,,,0
HCPCS,C1769,Glidewire Guidewire,391.23,152.58,,,0
HCPCS,C1769,Glidewire Shapeable,216.32,84.36,,,0
HCPCS,C1769,Gu/Guidewire,128.34,50.05,,,0
HCPCS,C1769,Guide Wire,717.735,279.91999999999996,,,0
HCPCS,C1769,Guide Wire 1.6 K,1586.66,618.8,,,0
HCPCS,C1769,Guide Wire Cook,67.28,26.24,,,0
HCPCS,C1769,Guide Wire Interventional-1,285.66,111.41,,,0
HCPCS,C1769,Guide Wire Interventional-2,587.88,229.27,,,0
HCPCS,C1769,Guide Wire Viper,825.93,322.11,,,0
HCPCS,C1769,Guidewire,176.985,69.025,,,0
HCPCS,C1769,Guidewire 35 X 260 3J,77.62,30.27,,,0
HCPCS,C1769,Guidewire Amplatz,208.04,81.14,,,0
HCPCS,C1769,Guidewire Amplatz Stiff Str .0,65.2,25.43,,,0
HCPCS,C1769,Guidewire Angiographic Ss 0104,134.55,52.47,,,0
HCPCS,C1769,Guidewire Aristotle,2152.8,839.59,,,0
HCPCS,C1769,Guidewire Aristotle 14 Soft 20,2065.86,805.69,,,0
HCPCS,C1769,Guidewire Aristotle Standard,3407.22,1328.82,,,0
HCPCS,C1769,Guidewire Ball Tip,1578.38,615.57,,,0
HCPCS,C1769,Guidewire Bentson,97.29,37.94,,,0
HCPCS,C1769,Guidewire Bentson Cerebral,77.62,30.27,,,0
HCPCS,C1769,Guidewire Bentson Fixed Core 0,73.48,28.66,,,0
HCPCS,C1769,Guidewire Cardiac Cath Traxces,2230.43,869.87,,,0
HCPCS,C1769,Guidewire Coated,149.04,58.13,,,0
HCPCS,C1769,Guidewire Coronary Runthrough,383.98,149.75,,,0
HCPCS,C1769,Guidewire Enroute 0.014In,8672.26,3382.18,,,0
HCPCS,C1769,Guidewire Exchange Micro,550.62,214.74,,,0
HCPCS,C1769,Guidewire Glidewire-Hc Stiff 2,282.56,110.2,,,0
HCPCS,C1769,Guidewire Heparin Coating,245.3,95.67,,,0
HCPCS,C1769,Guidewire Marked Spring Tip,444.02,173.17,,,0
HCPCS,C1769,Guidewire Nitrex Nit,1886.8,735.85,,,0
HCPCS,C1769,Guidewire Plat Plus,361.22,140.88,,,0
HCPCS,C1769,Guidewire Rf Powerwire,9056.25,3531.94,,,0
HCPCS,C1769,Guidewire Smooth,1097.1,427.87,,,0
HCPCS,C1769,Guidewire Splashwire Stnd,144.9,56.51,,,0
HCPCS,C1769,Guidewire Starter,138.69,54.09,,,0
HCPCS,C1769,Guidewire Straight Exchange,629.28,245.42,,,0
HCPCS,C1769,Guidewire Strokewire,2500.56,975.22,,,0
HCPCS,C1769,Guidewire Support,410.55,160.11,,,0
HCPCS,C1769,Guidewire T-Coated Amplatz,127.3,49.65,,,0
HCPCS,C1769,Guidewire Teflon Coated,54.86,21.4,,,0
HCPCS,C1769,Guidewire Teflon Tsf-25-145,41.4,16.15,,,0
HCPCS,C1769,Guidewire Tip Threaded,430.56,167.92,,,0
HCPCS,C1769,Guidewire Vas .021In 145Cm,95.22,37.14,,,0
HCPCS,C1769,Guidewire Vas Bentson,93.15,36.33,,,0
HCPCS,C1769,Guidewire Vas Soft Coil Tip,1313.42,512.23,,,0
HCPCS,C1769,Guidewire Vas Str Amplatz 0-50,204.93,79.92,,,0
HCPCS,C1769,Guidewire Vas Thruway Long,543.38,211.92,,,0
HCPCS,C1769,Guidewire Vas Transend Ex,2390.85,932.43,,,0
HCPCS,C1769,Guidewire Vasc Cont Wire Ice,422.28,164.69,,,0
HCPCS,C1769,Guidewire Vasc Gt Dbl Ang,782.46,305.16,,,0
HCPCS,C1769,Guidewire Vasc Nitinol Ck 0-51,148.0,57.72,,,0
HCPCS,C1769,Guidewire Vasc Splash (Trumo),225.63,88.0,,,0
HCPCS,C1769,Guidewire Vasc Style Nitrex,352.94,137.65,,,0
HCPCS,C1769,Guidewire Vasc Super Stiff,113.85,44.4,,,0
HCPCS,C1769,Guidewire Vascular,274.9,107.21,,,0
HCPCS,C1769,Guidewire Vascular  Angled,900.45,351.18,,,0
HCPCS,C1769,Guidewire Vascular  Short,327.06,127.55,,,0
HCPCS,C1769,Guidewire Vascular Splashwire,144.9,56.51,,,0
HCPCS,C1769,Guidewire Vascular Straight,1549.4,604.27,,,0
HCPCS,C1769,Guidewire Vascular Stryker,2746.89,1071.29,,,0
HCPCS,C1769,Guidewire Vascular Torque,347.76,135.63,,,0
HCPCS,C1769,Guidewire Visiglide,743.13,289.82,,,0
HCPCS,C1769,Guidewire Visiglide Straight,743.13,289.82,,,0
HCPCS,C1769,Guidewire/Teflon Coated,90.04,35.12,,,0
HCPCS,C1769,Gwire Amplatz X Stiff,274.27,106.97,,,0
HCPCS,C1769,Gwire Inqwire J Fixed,426.42,166.3,,,0
HCPCS,C1769,Gwire Specialty,676.89,263.99,,,0
HCPCS,C1769,Gwire Traxcess,652.05,254.3,,,0
HCPCS,C1769,Hc Guidewire Any,71.275,27.799999999999997,,,0
HCPCS,C1769,Hc Guidewire Specialty Any,277.08,108.065,,,0
HCPCS,C1769,Hc Gwire Sphincterotome Dash 21,1649.17,643.18,,,0
HCPCS,C1769,Hc Kit Crico,930.67,362.96,,,0
HCPCS,C1769,Hc Kit Trach Perc Any,1946.6100000000001,759.18,,,0
HCPCS,C1769,Hc Set Urethral Dilator,1194.29,465.77,,,0
HCPCS,C1769,Kit Decom Cath Guidewire,521.64,203.44,,,0
HCPCS,C1769,Kit Hip Disposable G Wire/Need,1289.61,502.95,,,0
HCPCS,C1769,Kit Peg,369.5,144.1,,,0
HCPCS,C1769,Microcuidewires,832.14,324.53,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies,475.07,185.28,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - 4 Fr Micropuncture Sheath,108.68,42.39,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Access Solution Versacross Fixed Curve Dilator Pigtail,3946.42,1539.1,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Acuity Whisper Wire,411.08,160.32,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Adapter Lght Cable 100Cm Rlv,2100.02,819.01,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Advantage Wire .035-260Cm,919.92,358.77,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Amplatz Extra Stiff Support Wire Guide,126.27,49.25,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Amplatz Super Stiff.035In 260Cm,203.86,79.51,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Asahi Gladius Mongo 14 300Cm,685.17,267.22,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Asahi Sion 300Cm,622.18,242.65,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Asahi Sion Blue Hydrophilic 3Cm 014In 180Cc,685.17,267.22,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Asahi Sion Blue Hydrophilic 3Cm 014In 300Cm,505.56,197.17,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Asahi Suoh Guidewire,611.68,238.56,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Ashai Fielder Fc 300Cm .014,367.42,143.29,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Catheter Angio .18In Ang Crv .018In 180Cm 3Cm,274.03,106.87,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Catheter Cnts 5Fr 7Cm 1Stp Slip Fit W Valve,95.82,37.37,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Dome Dash Pre Load Guidewire Acrobat,2207.66,860.99,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Fighter Guidewire 300Cm Straight Tip,710.01,276.9,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Glidewire Catheter Exchange Angled .018X260Cm,379.43,147.98,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Glidewire Stiff 0.035Inx260Cm Straight Terumo Medical,276.2,107.72,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guide Wire .045,220.46,85.98,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guide Wire Zipwire Hydrophilic Standard Angled Boston Scient,168.7,65.79,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire -10 200Cm 55Cm Snchr,2353.22,917.76,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire .014 Straight 3Cm,440.56,171.82,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire .014In E 205Cm Flpy Trnsd Flpy,2262.54,882.39,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire .014In E 205Cm Trnsd Plat,2262.58,882.41,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire .018 60Cm Ss Mndrl Sftp,81.62,31.83,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire .018In 150Cm J Tip,53.82,20.99,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire .025 X 260Cm Platinum Plus Boston Scientific,399.72,155.89,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire .035 Measur Strai,837.32,326.55,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire .035-150 Std Shft-,175.86,68.59,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire .035In 150Cm Wholey,302.22,117.87,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire .035In 150Cm3Mm Fxcr,33.02,12.88,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire .035In 180Cm 1.5Mm J Tip Rsn Vasc,66.3,25.86,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire .035In 260Cm Wholey,374.0,145.86,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire .035In150Cm 3Cm Strt 3Cm Flx Tip Vasc,189.4,73.87,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire .035In150Cm Ang-Stif,255.64,99.7,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire .035In150Cm Std-Strt,175.95,68.62,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire .035In180-15Cm Strt,84.67,33.02,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire .035In3.5Cm Amp Spst,148.33,57.85,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire .038In150Cm Std-Strt,175.95,68.62,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire .86Mm Troc Tip Laser Marked,107.64,41.98,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire 0.038 Fixed Core Safe-T-J Curved 80 Cm,59.86,23.35,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire 014In 180Cm Gldwire Adv Std 1Cm Flexible Ang Tip,979.11,381.85,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire 1.35Mm 150Mm Troc Tip,97.92,38.19,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire 190Cm .014 J Tip,440.77,171.9,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire 200Cm Disp,616.46,240.42,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire 260 J Wire .035 Str,84.68,33.03,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire 2X2.5Mm .09Mm 100Mm,78.66,30.68,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire 300 Bmw (Ord By E,440.91,171.95,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire 3Mm J 0.035Inx150Cm Fc S,43.47,16.95,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire 95Cm Enroute,969.73,378.19,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Access Length Soft Pre Shape .014In X 215,2363.59,921.8,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Access Length Soft Standard .014In X 215,2355.5,918.64,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Access Length Soft Standard Ps .014In X 215,2361.87,921.13,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Access Length Soft Straight .014In X 215,2352.37,917.42,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Access Length Soft Support.014In X 215,2301.32,897.51,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Amplatz 0.035In 145Cm Ultra Stiff Cook Medical,153.17,59.74,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Amplatz 145 Stiff,124.83,48.68,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Amplatz Spr Stf Ptf Fe .035 145Cml 3Mm J,160.22,62.49,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Amplatz Spr Stf.038 8In Str 3.5 Flx 145Cm,170.35,66.44,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Amplatz Super Stiff 180Cm,194.61,75.9,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Amplatz Supstf 180 J,197.38,76.98,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Amplatz Supstf 260 J,413.41,161.23,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Angled .035In150Cm Boston Scientific,241.96,94.36,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Aristotle 18 Soft 200,2659.42,1037.17,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Aristotle 18 Standard 200,2661.35,1037.93,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Aristotle 18 Support 200,2618.96,1021.39,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Aristotle 24 Soft 200,3285.09,1281.19,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Aristotle 24 Standard 200,3285.02,1281.16,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Aristotle 24 Support 200,3285.09,1281.19,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Arthroscopic D1.35Mm For Patellar Fracture System,200.79,78.31,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Ashai Gaia 190Cm Third Micro J,685.17,267.22,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Ashai Gaia 300Cm Second Micro J,623.93,243.33,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Ashai Gaia 300Cm Third Micro J,653.68,254.94,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Chikai Straight Tip 0.010In 3Cm 200Cm Asahi Intec,2422.94,944.95,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Chikai Straight Tip 0.014In 5Cm 200Cm Asahi Intec,2203.52,859.37,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Coaxial 4F Standard 45Cm Ss-Ss,78.66,30.68,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Coaxial 4F Stiff 45Cm Ni-Tu 7C,102.8,40.09,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Comet Ffr Pw 185Cm Us Boston Scientific,2756.11,1074.88,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Confianza Pro 300Cm,685.17,267.22,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Confida Brecker Curved Medtronic Inc,954.29,372.17,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Cordis .035 260Cm J,48.64,18.97,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Dreamwire 0.35 Stiff Wire Straight,1134.13,442.31,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Dreamwire Hiperf,1171.62,456.93,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Drmwire .035 Stnd,1171.62,456.93,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Endo .035In 260Cm Strt Tip Hiperf,1171.62,456.93,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Endo .035In 450Cm,1171.62,456.93,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Endo .035In150Cm Flx Strt Tip Flx Tip,244.36,95.3,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Endo .038In 260Cm,557.86,217.57,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Endo Jag .025In,836.28,326.15,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Endo Jag .025In 260Cm Strt Tip,763.8,297.88,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Endo Jag .035In260Cm,763.62,297.81,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Endo Jag .035In450Cm,836.28,326.15,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Endoscopic 0.025Fr L260Cm Tip L5Cm,1171.62,456.93,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Endoscopic 250Cm Savary-Gilliard Cook Medical,677.31,264.15,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Endoscopic L260Cm Dia0.018In Tip L6Cm,1286.51,501.74,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Endoscopic L260Cm Dia0.025In,1171.62,456.93,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Endoscopic L480Cm Dia0.018In Tip L6Cm,1286.51,501.74,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Entry 3.2Mm,486.8,189.85,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Fixed Core Cook Medical,77.64,30.28,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Flpy 300Cm Trnsd,2377.4,927.19,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Glidewire 3Cm .35In Shapeable Tip 3Cm,220.46,85.98,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Hi Trq St Core 0.018 300Cm,470.6,183.53,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Hornet 300,710.01,276.9,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Hybrid .007Inch Double Angle Tip,2865.92,1117.71,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Hybrid .007Inch Straigh,2733.44,1066.04,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Hybrid .008Inch Double Angle Tip,2865.92,1117.71,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Hybrid .008Inch Straigh,2733.57,1066.09,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Hybrid .012-.014Inch Double Angle Tip,2325.63,907.0,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Hybrid .012-.014Inch Straight Tip,2203.52,859.37,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Hydrophilic 0.018Inx150Cm Angled Tip Merit Medical,226.66,88.4,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Hydrophilic Coat 30 0Gr Tip .018In 300Cm,3485.88,1359.49,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Inqwire J 0.035Inx21Ocm,48.68,18.99,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Jagwire .035 Stif,813.77,317.37,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire L190Cm Straight Blue Asahi Sion,505.04,196.97,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Lndq Estf Dc Vasc,605.06,235.97,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Mrk Spring Tip 210Cm,367.42,143.29,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Mrk Spring Tip 210Cm Safeguide Disp,245.3,95.67,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Neurovsclr Asahi Chikai Blck 014In 25Deg,2423.08,945.0,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Neurovsclr Asahi Chikai Str 008In 200Cm,3523.14,1374.02,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Nitinol .018In 60Cm,127.3,49.65,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Orth .062In 2 Troc,218.38,85.17,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Orth 150-1.25Mm Thrd Thrd 4Mm Ti,91.08,35.52,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Orth 150Mm 1.4Mm,249.61,97.35,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Orth 200Mm 2.5Mm Lcp Ss Drill Tip,249.8,97.42,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Orth 230Mm 2Mm Ss Nthrd Cannula,128.21,50.0,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Orth 240Mm 2Mm Troc Tip Cannula Hum,131.44,51.26,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Orth 300-2.8Mm Thrd Thrd Troc Pt Ss,158.33,61.75,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Orth 300Mm 2.5Mm Drill Tip Nonthrd,263.52,102.77,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Orth 300Mm 2.8Mm Pt Nonthrd Troc Ss,124.46,48.54,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Orth 300Mm 2.8Mm Ss Nonthrd,332.59,129.71,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Orth 400Mm 3.2Mm Tib Thrd 6Mm Dist,395.86,154.39,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Orth 6In .035In Actrk Mini Ss 1,182.68,71.25,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Orth 6In .045 Dbl,146.97,57.32,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Orth 6In .045Mm Std Hand Wrst,166.49,64.93,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Orth 6In .062 Dbl,146.97,57.32,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Orth 9In 2In Shoulder Elb Ss,166.64,64.99,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Orth150-1.25Mm 1 End,70.38,27.45,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Orthopedic Dia0.86Mm Stainless Steel Laser Line Q-,73.48,28.66,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Peri Viperwire 335Cm .014In,734.71,286.54,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Peri Viperwire 335Cm 017In,734.85,286.59,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Pressure L185Cm Dia0.014In Comet Ii,3077.25,1200.13,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Ptfe .035In 150Cm,153.18,59.74,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Ptfe 0.035In 150Cm Straight Boston Scientific,77.55,30.24,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Ptfe 350Cm Ss,872.65,340.33,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Ptfe Fixed-Core Ptfe Ss 035In 3Mm Safe-T-J-Tip 145,67.28,26.24,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Ptfe.035X15Cmflx Fix,91.76,35.79,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Ptfe.038X15Cmflx Fix,92.85,36.21,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Recon Cocr 3.2Mmx400,587.58,229.16,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Roadrunner Uniglide Angled Tip 0.35In 260Cm Cook M,213.21,83.15,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Rosen .035 J,82.97,32.36,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Rosen Tfe-Ctd 145,66.24,25.83,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Rosen-Bh 053393,75.56,29.47,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Runthrough Ns 180Cm,372.9,145.43,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Runthrough Ns 300Cm,374.21,145.94,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Safari2 275Cm Small Curve (Bxs),1713.96,668.44,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Safari2 275Cm Small Curve (Sgl),1713.96,668.44,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Safari2 275Cm Xsml Curve (Bxs),1713.96,668.44,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Safari2 275Cm Xsml Curve (Sgl),1713.96,668.44,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Savary Gillard,715.18,278.92,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Sensor .035In 150Cm Dualflex Nitinol Hydrophil Tip,256.78,100.14,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Sion Black Ptca .014X300X12 Strt Tip,611.87,238.63,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Snchr2 200Cm Std,2361.87,921.13,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Snchr2 200Cmsft Pshp,2361.87,921.13,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Snchr2 300Cm Std,2939.4,1146.37,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Stingray Stiff Hpc,1652.9,644.63,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Straight Nitinol 0.035In 150Cm Boston Scientific,256.94,100.21,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Surg .018In 80Cm Tip,201.82,78.71,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Surgical L150Mm Dia1.4Mm Sterile Trocar Tip,600.3,234.12,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Tfln Fx Cr Ex 3Mm J Tp .025In 260Cm L,38.14,14.87,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Thrd 300Mm 3.2Mm,225.97,88.13,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Transitionless 0.018Inx300Cm Torx Soft Tip Galt Me,367.42,143.29,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Trascend 300Cm .014Mm 150Mm,2377.6,927.26,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Trocar Tip L220Mm Dia1.6Mm Sterile Surgical,327.4,127.69,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Ucss Nonthrd,367.17,143.2,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc .014In 190Cm,440.91,171.95,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc .014In 300Cm 3Cm Strt Strbl,359.66,140.27,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc .014In300Cm10Cm,472.41,184.24,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc .018In 100Cm,170.78,66.6,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc .018In 125Cm,170.78,66.6,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc .018In 150Cm,396.06,154.46,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc .018In 200Cm 8Cm Shp Tip Strbl,441.41,172.15,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc .018In 300Cm 8Cm Shp Tip Strbl,440.57,171.82,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc .018In 60Cm 7Cm,207.01,80.73,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc .025In 150Cm J,32.73,12.76,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc .032In 180Cm 3Mm Crv Amplatz,109.8,42.82,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc .032In 260Cm 3Mm Crv Exch,109.77,42.81,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc .035In 180Cm Ang Shrt R,165.6,64.58,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc .035In 180X2Cm Ang Std,206.38,80.49,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc .035In 260Cm 1.5Mm J Tip Rsn,137.77,53.73,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc .035In 260Cm Ang Std R,225.63,88.0,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc .035In 260Cm Pc Exch Rdrr Pc Nmb,225.63,88.0,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc .035In 260Cm7Cm,198.72,77.5,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc .035In 260X2Cm Ang Std,231.3,90.21,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc .035In 80Cm,67.2,26.21,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc .035In 80Cm 8Cm Ang Std,152.33,59.41,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc .035In260Cm Crv,549.79,214.42,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc 0.014 300Cm Img Straight Tip,661.36,257.93,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc 0.018 300Cm Gld Gladius,783.5,305.56,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc 0.035 145Cm Why Wholey,199.24,77.7,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc 0.035 300Cm Why Wholey,213.05,83.09,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc 0D .018In 60Cm,278.55,108.63,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc 0D .018In 80Cm,280.36,109.34,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc 15D .018In 80Cm 5Cm Int Style,280.07,109.23,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc 300Cm Bros12,660.67,257.66,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc 3Cm .035In,63.14,24.62,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc 3Cm .035In150Cm,96.26,37.54,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc 7Cm Tip .035In,25.88,10.09,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc Cfnz Pr12,611.94,238.66,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc J .035In 150Mm,71.33,27.82,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc Std .025In,30.02,11.71,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc Std .035In 180Cm 3Cm Ang Flx,244.4,95.32,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc Std .035In 180Cm 3Cm Ang Tip,194.495,75.85499999999999,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc Std .035In 260Cm 3Cm Strt Tip,261.51,101.99,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc Std .035In180Cm 3Cm Ang Tip,177.76,69.33,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc Std .038In 260Cm 3Cm Ang Tip,217.35,84.77,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc Std.035In 145Cm Ang Std R,165.6,64.58,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc Std.035In150Cm 3Cm Ang Tip,147.74,57.62,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc Stiff Ang Gs3509 .035In 260Cm,259.88,101.35,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc. .035In 260Cm Crv Amplatz,109.82,42.83,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc.014In190Cm 10Cm,438.84,171.15,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc.014In190Cm Strt,381.92,148.95,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc.035In145Cm20Cm 20Cm Strt Fxcr Ss,89.01,34.71,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc.035In180Cm 15Cm Strt Bntsn,75.47,29.43,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc.035In180Cm Amplatz Extra Stiff,158.35,61.76,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc.035In260Cm 15Cm Strt Bntsn,86.37,33.68,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc.035In80-8Cmstrt,115.86,45.19,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc3Cm.035In150Cm 3,48.64,18.97,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vasc45D.018In2Cm Std 180Cm Ang Std,842.49,328.57,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vascular .012-.014 Straigth,3064.64,1195.21,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vascular .035 Sti,152.97,59.66,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vascular 0.014Inx300Cm Hydrophilic Std,2939.4,1146.37,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vascular 0.035Inx260Cm Straight Tip,228.1,88.96,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vascular 190Cm Straight Sion Ptca Gw,631.42,246.25,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vascular 475Cm 0.014In Viperwire Advance Cv System,734.73,286.54,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vascular 475Cm 0.018In Viperwire Advance Cv System,734.85,286.59,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vascular L180Cm D.035In Taper 3Cm,591.19,230.56,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vascular L190Cm Stra Mongo14,685.17,267.22,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vascular L260Cm D.035In J Curved Smooth,50.64,19.75,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vascular L260Cm Dia0.035In,43.47,16.95,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vascular L260Cm Dia0.035In Fixed Core,53.27,20.78,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vascular L300Cm Dia0 Microwire Hydrophilic Approac,833.18,324.94,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vascular L300Cm Dia0.035In Taper L11Cm,546.13,212.99,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vascular L315Cm Dia0.014In Workhorse Filter,861.12,335.84,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vascular Peripheral Angled 0.014Inx300Cm,1169.34,456.04,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vascular Soft L200Cm Dia0.014In,2203.45,859.35,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vascular Soft L300Cm Dia0.014In,2422.94,944.95,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vascular Standard L200Cm Dia0.014In,2203.37,859.31,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vascular Standard L300Cm Dia0.014In,2422.94,944.95,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vascular Viperwire 0.012Inx325Cm Flex Tip,954.27,372.17,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vascular Zoom Wire 0.014Inx300Cm,2535.75,988.94,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Vascular Zoom Wire 0.014Inx300Cm Soft Tip,2535.68,988.92,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Verrata Plus 185Cm,2865.92,1117.71,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Victory 14 0.014Inx300 Cm 12G Tip Load Boston Scie,832.14,324.53,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Victory 14 0.014Inx300 Cm 25G Tip Load Boston Scie,3895.74,1519.34,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Victory 18 0.018Inx300Cm 12G Tip Load Bosotn Scien,3485.88,1359.49,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Victory 18 0.018Inx300Cm 25G Tip Load Boston Scien,3485.6,1359.38,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Viper .014 Tip 33,741.06,289.01,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire W Trocar Tip 11Mm Thrd,127.3,49.65,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire W-Troc Tip .062,73.48,28.66,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire W-Trocar Tip 045In W-Laser Line,53.13,20.72,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire W-Trocar Tip 062In Thrd,107.64,41.98,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire W-Trocar Tip 24Mm 8In Long Thrd,146.97,57.32,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire W-Trocar Tip 24X200,73.48,28.66,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire W-Trocar Tip 2X150Mm Smooth,49.03,19.12,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Whisper Es 190 Cm,440.78,171.9,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Wholey .035In 300 J,524.74,204.65,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Zoom Wire 14 Extra- Support 200,2315.3,902.97,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewire Zoom Wire 14 Support 200,2315.25,902.95,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewirevasc.035In150Cm3Cmtip 3Cm Strt Tip,190.44,74.27,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Guidewre Amplatz 75Cm .035,123.32,48.09,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Gw Gt 45 Degree Angle 0.018Inch 180 Cm 25Cm Taper,855.59,333.68,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Gw Gt 90 Degree Angle 0.018Inch 180 Cm 25 Cm Taper,842.38,328.53,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Gw Gt Dbl Angle 0.018Inch 180Cm 25 Cm Taper,861.83,336.11,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Gw Gt Shapeable 0.018Inch 180Cm 25 Cm Taper,876.64,341.89,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Gwire Bentson .035 150 15Cm,48.64,18.97,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Gwire Fix Sstf Strt 0.035In 80,100.56,39.22,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Gwire Mov J Bntsn .035 150,48.64,18.97,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Gwire Nitinol Prcs 2.1Mmx17In,1517.31,591.75,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Gwire Thruway Shrt Strt .014 300,596.85,232.77,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Hc Zz Guidewire Nitrex Intermediate 5Cm Str Tip 018Inx60Cm-,281.52,109.79,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Hc Zz Guidewire Thscf-35-801.5 Rosen- Use Sup,73.14,28.52,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Hornet Guidewire 10 300Cm Straight Tip,710.01,276.9,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Hornet Guidewire 14 300Cm Straight Tip,710.01,276.9,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Introducer Sets And Trays Blue Rhino G2-Multi Percutaneous,1649.09,643.15,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - J-Tip Fixed Curve Kit Rf Wire Versacross,3946.46,1539.12,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Kit Marker Delivery Catheter 5Fr L125Cm Guidewire L150Cm,555.45,216.63,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Kit Watchdog Accessory 20 Pk,171.81,67.01,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Kwire .059,220.46,85.98,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Lunderquist,543.46,211.95,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Micropuncture Transitionless Set,212.61,82.92,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Omniwire Pressure Guidewire Vascular L185Cm Straight Tip,2865.92,1117.71,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Phantom - 16 Guidewire Vasc .016In 180Cm,1594.52,621.86,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Pigtail Wire Protrack .025 X 230Cm,807.3,314.85,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - R2P Glidewire 400Cm,389.16,151.77,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Rotawire Drive Extra Support 5,954.36,372.2,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Rotawire Drive Floppy,954.36,372.2,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Rotawire Exta Support 325Cm,710.01,276.9,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Rotowire Floppy 325Cm 2.2Cm Wrclp Trq,709.86,276.85,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Runthrough Izanai Blue 180Cm,391.34,152.62,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Safesept Trnspt Guidewire,1258.54,490.83,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Savary-Gilliard Wire Guide,792.81,309.2,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - See 122516 Wire V-14 Control Straight,781.42,304.75,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - See 133573 Guidewire Vasc.035In145Cm20Cm,72.49,28.27,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - See 133764 Guidewire Vasc 45D .018In25Cm 180Cm Ang Std,842.49,328.57,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - See 133766 Guidewire Vasc 45D .018In 2Cm Ang Std 180Cm,842.49,328.57,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - See 156206 Transseptal Solution Versacross Fixed Curve Pigta,3946.46,1539.12,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - See 35965 Guidewire 3Mm 035Inx16Cm 260Cm Amplatz Super Stiff,215.28,83.96,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - See 64411 Guidewire Control V-18,391.31,152.61,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - See 79508 Wire Guide Glidewre Gold 2Cm Straight .018In 180Cm,842.49,328.57,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Set Gastro Entuit Lrg Srt Ntl Plc,469.89,183.26,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Set Gastro Entuit Med Srt Ntl Plc,469.89,183.26,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Set Tube Introducer 8-14Fr 18Fr Foley Catheter,511.29,199.4,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Sheath 6Fr Terumo 10Cm Mini Gwire,62.1,24.22,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Sheath Radial Access Rist 25Cm Hydrophilic Coating 7F 95Cm,5158.44,2011.79,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Sphincterotome 20Mm 260Cm,2450.87,955.84,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Sphincterotome 260Cm 5Fr,2266.65,883.99,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Sphincterotome 260Cm 7 5.5Fr,2266.65,883.99,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Sphincterotome 30Mm 260Cm,2450.88,955.84,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Sphincterotome 30Mm 260Cm Hdrt,2450.88,955.84,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Sphincterotome 450Cm 5Fr,2266.65,883.99,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Sphincterotome Rx 20Mmx5Mm,1493.5,582.46,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Sphincterotome Rx 39 30Mmx5Mm,1493.46,582.45,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Spyglass Discover Jagwire .035 X 180Cm Box Of 2,1027.8,400.84,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Synchro 2 Support Pre-Shape Access Length 215Cm,2361.87,921.13,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Synchro 2 Support Pre-Shape Exchange Length 014In 300Cm,2935.78,1144.95,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - System Introducer Transseptal Sheath Steerable 72Cm,7165.3,2794.47,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Terumo Glidewire Vasc Std .035In 260Cm 3Cm Ang Tip,229.88,89.65,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Transseptal Solution Versacros Steerable J Tip,7165.29,2794.46,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Transseptal Solution Versacros Steerable Pigtail,7165.3,2794.47,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Transseptal Solution Versacross Steerable J Tip,7165.3,2794.47,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Transseptal Solution Versacross Steerable Pigtail,7165.3,2794.47,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Treacheostomy Introducer Ciaglia Blue Rhino G12513,1566.99,611.13,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Visiglide .025 Ercp Measuri,837.32,326.55,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Whisper Wire 190Cm,440.8,171.91,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire 2.8Mm Guide W-Flut 450Mm,375.01,146.25,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire All Star 190 Cm 3Cm Strt Hitorq,440.85,171.93,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire All Star 300 Cm,440.85,171.93,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Asahi Fielder Xt 300 Cm,623.7,243.24,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Asahi Miraclebros 3 300Cm,611.68,238.56,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Asahi Miraclebros 6 300Cm,611.68,238.56,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Asahi Prowater Flex 300Cm,367.42,143.29,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Astado Xs 20-300Cm,755.55,294.66,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Astato 30-300Cm,734.59,286.49,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Bentson Iq35F150B,50.84,19.83,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Command Es 300,805.68,314.22,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Cougar Xt 190 Cm Strt Cgr Xt,272.58,106.31,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Cougar Xt 300 Cm Strt Tip Cgr Xt,293.94,114.64,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Dbl End 1.6Mm 150Mm Trocar Tip,83.44,32.54,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Guide .035In 260Cm Dbl Cu Urved Stiff 4Cm Tip,609.96,237.88,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Guide .8Mm 100Mm,45.54,17.76,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Guide 1.8Mm X 350Mm,465.75,181.64,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Guide 150Mm Non Thrd Spd Pt On 1 End 1.6Mm,88.18,34.39,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Guide 1Cm 0.35 260Cm Amplatz Stiff Boston Scientific,218.21,85.1,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Guide Amplatz Extra Stif Ff .035 145 5Cm Flex,153.18,59.74,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Guide Angio Hydro V 18 Control Str R .018In300Cm 12Cm T,401.58,156.62,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Guide Bentson Fx Cr Exch Hng .035In 260Cmlstr,59.0,23.01,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Guide Hi Trq Spartacore 5Cm Seg .014In 300Cm,468.51,182.72,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Guide Htorq .014In 190Cm,440.91,171.95,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Guide J-Wire Mc .035In 15 50Cm 3Mmm Injintip Fs-H,61.58,24.02,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Guide Lubrctd Angled 3Cm M Flex Tp .035In 180Cm,164.05,63.98,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Guide Lubricated Angled .035Ind 180Cm L,3527.28,1375.64,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Guide Lubricated Straigh Ht .035Ind 150Cm L,152.49,59.47,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Guide Short Tapered Angl Led Tip V-14 300Cm,3485.36,1359.29,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Guide Stiff Shaft Angl 3 3Cm Tpr .035Ind 260Cm,228.74,89.21,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Guide Stiff Shaft Angled D .035Ind 180Cm L,221.49,86.38,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Guide Stiff Shaft Long T Tpr Ang .035Ind 150Cm,228.74,89.21,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Guide Straight Bentson . .035Ind 180Cm L,51.49,20.08,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Guide Straight Short Tap Pered Tip V-14 300Cm,675.86,263.59,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Guide Straight Tip Hydro Ophilc Ct .035In 260Cm,705.87,275.29,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Guide Straight V-14 30G Tip Load 300Cm,3895.74,1519.34,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Guide Tef Fx Cr Bentson Str Hep .035 260Cm,101.43,39.56,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Guide Tfl Fx Cr 3Mm J .0 035In 180Cml Hvy Duty,503.01,196.17,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Guide Thrd 1.6Mm 410Mm,208.04,81.14,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Impella Cath 2.5,2447.78,954.63,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Intuition 180 Cm Intuition Hdr-Trk,208.33,81.25,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Intuition 300 Cm Intuition Hdr-Trk,249.89,97.46,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Intuition Sil 180 Cm Intuition Hdr-Trk,199.96,77.98,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire J Bmw 190,440.91,171.95,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Pilot 014-300,440.91,171.95,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Pilot Ht 200 190Cm,440.85,171.93,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Platinum Plus 260Cm,404.32,157.68,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Prowater 300Cm Pre-Sha,514.14,200.51,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Prowater 6W 180 St,367.42,143.29,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Spnl 500Mm 1.6Mm Blnt,244.78,95.46,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire St Jude 260 J 035,98.28,38.33,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Supracore 300Cm,382.06,149.0,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Whisper Es 300 Cm 3Cm Strt X,440.76,171.9,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Whisper Ms,440.91,171.95,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Whisper Ms 190 Cm,440.79,171.91,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Whisper Ms 300 Cm,440.77,171.9,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Wholey 260Cm Hi Torque 5,365.51,142.55,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wire Zipwire 0.035Inx150Cm Straight Boston Scientific,255.64,99.7,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wireg Adv Stiff .018 180Cm,1034.35,403.4,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wireg Adv Stiff .018 300Cm,1110.69,433.17,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wireg Adv Stiff .035 180Cm,839.81,327.53,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wireg Aes Tfln Strt .035X260Cm,126.27,49.25,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wireg Bntsn Fxcr .035In 260Cm,108.68,42.39,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wireg Cope Mdrl 0.018In 60Cm,177.505,69.225,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wireg Fxcr Ptfe J .035In 50Cm,60.03,23.41,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Wireg Gldwire Ang .018Inx150Cm,276.95,108.01,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Zipwire .025In Straight Tip,181.12,70.64,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Zipwire .035In Angled Tip,238.16,92.88,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Zipwire .035In Straight Bentson Tip,204.93,79.92,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Zipwire .035In Straight Tip,242.94,94.75,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Zipwire .038In Straight Tip,317.74,123.92,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Zipwire 0.038X150Cm Straight,255.64,99.7,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Zipwire Stiff .035In Angled Angled Tip,255.64,99.7,,,0
HCPCS,C1769,Noncdm Charge Record Medical Supplies - Zipwire Stiff .035In St Tip,315.55,123.06,,,0
HCPCS,C1769,Orth/Guide/Drill Tip Wires,1189.21,463.79,,,0
HCPCS,C1769,Orth/Guidewire,935.64,364.9,,,0
HCPCS,C1769,Rod/Guide/Reamer,459.54,179.22,,,0
HCPCS,C1769,Set Introducer Cath Transi,145.94,56.92,,,0
HCPCS,C1769,Shorty/Tad/Loc/Wholey Guidewir,412.96,161.05,,,0
HCPCS,C1769,Sphincter Biliary Prel,1151.96,449.26,,,0
HCPCS,C1769,Sphincterotome Jagtome Rx 39X2,2436.39,950.19,,,0
HCPCS,C1769,Sphincterotome Omni Biliary,1382.76,539.28,,,0
HCPCS,C1769,Spincterotome Ercp W/ G Wire,945.99,368.94,,,0
HCPCS,C1769,Sup Guide Wire,697.48,272.02,,,0
HCPCS,C1769,Versacross Rf Wire,4216.59,1644.47,,,0
HCPCS,C1769,Wire Aristotle 24 Soft 200Cm,3238.52,1263.02,,,0
HCPCS,C1769,Wire Guide,83.84,32.7,,,0
HCPCS,C1769,Wire Guide 25,131.79,51.4,,,0
HCPCS,C1769,Wire Guide Hybrid,457.47,178.41,,,0
HCPCS,C1769,Wire Threaded Guide,176.98,69.02,,,0
HCPCS,C1771,Device Urinary Tegress Implant,6259.68,2441.28,,,0
HCPCS,C1771,Device Urinary W/ Sling,18758.34,7315.75,,,0
HCPCS,C1771,Introducer Male Sling,33754.46,13164.24,,,0
HCPCS,C1771,Male Urethral Sling,21735.0,8476.65,,,0
HCPCS,C1771,Noncdm Charge Record Medical Supplies,5975.31,2330.37,,,0
HCPCS,C1771,Noncdm Charge Record Medical Supplies - Implant Uro Adv Continence,39440.75,15381.89,,,0
HCPCS,C1771,Noncdm Charge Record Medical Supplies - Sling Altis Single Incision,12032.08,4692.51,,,0
HCPCS,C1771,Noncdm Charge Record Medical Supplies - Sling Continence Gynecare Exact Ethicon,5434.49,2119.45,,,0
HCPCS,C1771,Noncdm Charge Record Medical Supplies - Sling Intravaginal Solyx Midureth Polypro 1,11056.99,4312.23,,,0
HCPCS,C1771,Noncdm Charge Record Medical Supplies - Sling Male Virtue,36567.33,14261.26,,,0
HCPCS,C1771,Noncdm Charge Record Medical Supplies - Sling Pubovaginal Lynx Spbc,8540.97,3330.98,,,0
HCPCS,C1771,Noncdm Charge Record Medical Supplies - Sling Pubovaginal Obtryx Crv Midurethral Trnstr,9375.29,3656.36,,,0
HCPCS,C1771,Noncdm Charge Record Medical Supplies - Sling Pubovaginal Obtryx Halo Midurethral Trnstr,9259.91,3611.36,,,0
HCPCS,C1771,Noncdm Charge Record Medical Supplies - Sling Sys Advantage Fit Blue Urethral Transvag Mesh Assy,9362.22,3651.27,,,0
HCPCS,C1771,Noncdm Charge Record Medical Supplies - Sling Trnvg Adv Fit 2.7Mm Crv Midurethral Sys,9286.78,3621.84,,,0
HCPCS,C1771,Noncdm Charge Record Medical Supplies - Sling Trnvg Adv Midurethral F,6645.74,2591.84,,,0
HCPCS,C1771,Sling Suburethral Gynecare Tvt,6578.46,2565.6,,,0
HCPCS,C1771,Sup Repair Device Urinary Incontinence W Sling Graft,28816.08,11238.27,,,0
HCPCS,C1772,Infusion Pump Syncromed,37767.15,14729.19,,,0
HCPCS,C1772,Noncdm Charge Record Medical Supplies,51993.744999999995,20277.56,,,0
HCPCS,C1772,Noncdm Charge Record Medical Supplies - Pump It 20Ml Snchr 2 Drg Del,55664.16,21709.02,,,0
HCPCS,C1772,Noncdm Charge Record Medical Supplies - System Pain Pump Ti Sil Rsrv Filter Mesh,52873.29,20620.58,,,0
HCPCS,C1772,Sup Infusion Pump Programmable Implantable,60543.77,23612.07,,,0
HCPCS,C1772,Synchromed Pump Baclofen,38493.72,15012.55,,,0
HCPCS,C1773,Cath 11F/13F Tightrail Dilator,10368.63,4043.77,,,0
HCPCS,C1773,Cath Retrieval,1692.22,659.97,,,0
HCPCS,C1773,Cath Retrieval W Loop,1192.32,465.0,,,0
HCPCS,C1773,Catheter Clover Snare G53008,2943.54,1147.98,,,0
HCPCS,C1773,Cook N/Eye Snare Short/Femora,5564.16,2170.02,,,0
HCPCS,C1773,Dilator Tightrail 13F,9871.83,3850.01,,,0
HCPCS,C1773,Hc Ensnare 12-20,1586.24,618.63,,,0
HCPCS,C1773,Hc Ensnare 18-30,1591.62,620.73,,,0
HCPCS,C1773,Hc Ensnare 9-15,1634.26,637.36,,,0
HCPCS,C1773,Hc Kit Snare Amplatz Goose Neck 6F 25Mmx120Cm,1317.6100000000001,513.87,,,0
HCPCS,C1773,Hc System Ensnare Mini,4157.6,1621.46,,,0
HCPCS,C1773,Kit Snare Sgl Halo,1232.68,480.75,,,0
HCPCS,C1773,Noncdm Charge Record Medical Supplies,2246.98,876.32,,,0
HCPCS,C1773,Noncdm Charge Record Medical Supplies - Cook Vcf Retrieval Kit,1637.31,638.55,,,0
HCPCS,C1773,Noncdm Charge Record Medical Supplies - Device Lead Lck .43-.66Mm Sls2,2550.24,994.59,,,0
HCPCS,C1773,Noncdm Charge Record Medical Supplies - Device Lead Lck Lld Ez,2550.24,994.59,,,0
HCPCS,C1773,Noncdm Charge Record Medical Supplies - Extractor Pro Rx Retrieval Balloon 12-15 Prox Inj,1012.23,394.77,,,0
HCPCS,C1773,Noncdm Charge Record Medical Supplies - Kit Snare Retrieval,2203.52,859.37,,,0
HCPCS,C1773,Noncdm Charge Record Medical Supplies - Retriever Vasc Cloversnare 6Fr L90Cm Sheath L85Cm 4 Loop,2955.96,1152.82,,,0
HCPCS,C1773,Noncdm Charge Record Medical Supplies - Snare Endova 6F 25Mmx120Cm System One Snare,1419.58,553.64,,,0
HCPCS,C1773,Noncdm Charge Record Medical Supplies - Snare Endovasc 4F 10Mmx120Cm System One Snare,1420.02,553.81,,,0
HCPCS,C1773,Noncdm Charge Record Medical Supplies - Snare Intravascular Amplatz 1 15Mm Loop D 120Cm L,1224.4,477.52,,,0
HCPCS,C1773,Noncdm Charge Record Medical Supplies - Snare Micor Hex 240Cm 2.4Mm 13Mm,159.39,62.16,,,0
HCPCS,C1773,Noncdm Charge Record Medical Supplies - Snare Retriever Clot 0.016Inx20.5Mm,31723.78,12372.27,,,0
HCPCS,C1773,Noncdm Charge Record Medical Supplies - Snare Vasc 120Cm 12-20Mm 6Fr,1620.6,632.03,,,0
HCPCS,C1773,Noncdm Charge Record Medical Supplies - Snare Vasc 120Cm 25Mm 6Fr Agn,1253.3,488.79,,,0
HCPCS,C1773,Noncdm Charge Record Medical Supplies - Snare Vasc 120Cm 8-30Mm 7Fr,1620.76,632.1,,,0
HCPCS,C1773,Noncdm Charge Record Medical Supplies - Snare Vasc 120Cm 9-15Mm 6Fr,1620.69,632.07,,,0
HCPCS,C1773,Noncdm Charge Record Medical Supplies - Snare Vasc 175Cm 27-45Mm 120Cm Ensnr Mini Cath,1620.81,632.12,,,0
HCPCS,C1773,Noncdm Charge Record Medical Supplies - Snare Vasc 7Mm 200Cm,2614.41,1019.62,,,0
HCPCS,C1773,Remover Filter Vena Cava Cook,1529.73,596.59,,,0
HCPCS,C1773,Retreival Device Lead Locking,2610.27,1018.01,,,0
HCPCS,C1773,Retrieval Device Vc Filter,1822.64,710.83,,,0
HCPCS,C1773,"Retrieval Device, Lead Locking",2502.63,976.03,,,0
HCPCS,C1773,Snare Gooseneck,1192.32,465.0,,,0
HCPCS,C1773,Snare Guidewires,324.99,126.75,,,0
HCPCS,C1773,Sup Retrieval Device To Insert & Retrieve Fractured Medical Devices,1637.37,638.57,,,0
HCPCS,C1776,(Stem Cemented Distal),22052.74,8600.57,,,0
HCPCS,C1776,36 Mm Humeral Liner,4694.76,1830.96,,,0
HCPCS,C1776,Acet Shell 100 Gription 50Mm,8550.14,3334.55,,,0
HCPCS,C1776,Acetabular Pinnacle Shell,12689.1,4948.75,,,0
HCPCS,C1776,Acetabular Shell Cementless,10883.02,4244.38,,,0
HCPCS,C1776,Acetabular Shell Multi-Hole,14601.78,5694.69,,,0
HCPCS,C1776,Adapter Joint Std,968.76,377.82,,,0
HCPCS,C1776,Articular Component,24552.27,9575.39,,,0
HCPCS,C1776,Articular Surface,15670.94,6111.67,,,0
HCPCS,C1776,Articulating Surface,5251.59,2048.12,,,0
HCPCS,C1776,Baseplate Reversed Standard,8201.34,3198.52,,,0
HCPCS,C1776,Bearing Standard,9998.1,3899.26,,,0
HCPCS,C1776,Body Femoral,16070.44,6267.47,,,0
HCPCS,C1776,Body Femoral Replacement,27635.54,10777.86,,,0
HCPCS,C1776,Body Humeral,23021.5,8978.38,,,0
HCPCS,C1776,Bundle Pr Prmst/Tm Cp,18357.79,7159.54,,,0
HCPCS,C1776,Bushing Sleeve Bumper Neutral,6789.6,2647.94,,,0
HCPCS,C1776,Cable Device Hip Long,13562.64,5289.43,,,0
HCPCS,C1776,Cement Spacer Mold Large,12867.12,5018.18,,,0
HCPCS,C1776,Cement Spacer Mold Small,6152.04,2399.3,,,0
HCPCS,C1776,Cemented Femur Attune Ps,12809.16,4995.57,,,0
HCPCS,C1776,Cemented Femur Standard,15894.5,6198.86,,,0
HCPCS,C1776,Cemented Patella,2231.46,870.27,,,0
HCPCS,C1776,Component Femoral Distal Lps,31606.83,12326.66,,,0
HCPCS,C1776,Component Femoral Standard,8694.0,3390.66,,,0
HCPCS,C1776,Component Femoral Taper,7665.21,2989.43,,,0
HCPCS,C1776,Component Modular Head,5585.9,2178.5,,,0
HCPCS,C1776,Component Patellar,1631.16,636.15,,,0
HCPCS,C1776,Cone Femoral Arcos,24012.0,9364.68,,,0
HCPCS,C1776,Construct Bi-Mentum Stem,31385.34,12240.28,,,0
HCPCS,C1776,Construct Bipolar Liner Head,2608.2,1017.2,,,0
HCPCS,C1776,Cross-Linked Poly Insert,20982.56,8183.2,,,0
HCPCS,C1776,Cup Acetabular Prostalac,4781.7,1864.86,,,0
HCPCS,C1776,Curved Stem,11715.16,4568.91,,,0
HCPCS,C1776,Distal Stem Collar Fix,7081.47,2761.77,,,0
HCPCS,C1776,Dynamic Locking Ring 70Mm,1294.79,504.97,,,0
HCPCS,C1776,Femoral Cemented Revison Crs,24647.49,9612.52,,,0
HCPCS,C1776,Femoral Component Standard,8694.0,3390.66,,,0
HCPCS,C1776,Femoral Componenttotal Knee,36696.96,14311.81,,,0
HCPCS,C1776,Femoral Cortical Strut Quarte,2053.44,800.84,,,0
HCPCS,C1776,Femoral Head Ceramic 36Mm,11058.98,4313.0,,,0
HCPCS,C1776,Femoral Head W/Torch,5159.48,2012.2,,,0
HCPCS,C1776,Femoral Tc3 Cemented,20803.5,8113.36,,,0
HCPCS,C1776,Femur Cemented Persona,8694.0,3390.66,,,0
HCPCS,C1776,Fibula Shaft 10 Cm,3101.9,1209.74,,,0
HCPCS,C1776,Flange Small,3964.05,1545.98,,,0
HCPCS,C1776,Formal Steam Taper Cement,17591.9,6860.84,,,0
HCPCS,C1776,Glenoid Baseplate Sm Augment,8476.65,3305.89,,,0
HCPCS,C1776,Glenoid Modular Systems,9998.1,3899.26,,,0
HCPCS,C1776,Glenosphere Shoulder Reverse,18348.48,7155.91,,,0
HCPCS,C1776,Head Femoral,4802.4,1872.94,,,0
HCPCS,C1776,Head Femoral Ceramic,4347.0,1695.33,,,0
HCPCS,C1776,Head Femoral Conserve,9346.05,3644.96,,,0
HCPCS,C1776,Head Femoral Metal M-Spec,3490.02,1361.11,,,0
HCPCS,C1776,Head Femoral Metal On Metal S-,6520.5,2543.0,,,0
HCPCS,C1776,Head Hemi Femoral,1754.32,684.18,,,0
HCPCS,C1776,Head Hum Delta Cta Xtend 48X21,12297.87,4796.17,,,0
HCPCS,C1776,Head Humeral,22982.18,8963.05,,,0
HCPCS,C1776,Head Humeral Modular Offset Zi,9681.39,3775.74,,,0
HCPCS,C1776,Head Modular Component +3 Neck,3082.23,1202.07,,,0
HCPCS,C1776,Head Trail V40,599.26,233.71,,,0
HCPCS,C1776,Hinge Insert,12757.41,4975.39,,,0
HCPCS,C1776,Hinge Universal Tibial Xsm,14498.28,5654.33,,,0
HCPCS,C1776,Hip Liner Constrct C-Stem,17822.7,6950.85,,,0
HCPCS,C1776,Humeral Head 44X18,11929.41,4652.47,,,0
HCPCS,C1776,Humeral Head H21Mm,7998.48,3119.41,,,0
HCPCS,C1776,Humeral Stem Pressfit 14Mm,7824.6,3051.59,,,0
HCPCS,C1776,Imp Knee Fem Distal,75798.23,29561.31,,,0
HCPCS,C1776,Imp Knee Patella Oval Dome,3373.06,1315.49,,,0
HCPCS,C1776,Impl Hip Femoral Stem,30416.58,11862.47,,,0
HCPCS,C1776,Impl Hum Equinoxe Liner,9476.46,3695.82,,,0
HCPCS,C1776,Impl Tibial Bearing Component,12439.66,4851.47,,,0
HCPCS,C1776,Impl Tibial Platform Rotating,28116.81,10965.56,,,0
HCPCS,C1776,Implant Knee Femoral Comp,36695.93,14311.41,,,0
HCPCS,C1776,Implant Knee Rotating Hinge,7799.76,3041.91,,,0
HCPCS,C1776,Implant Sacroliliac Joint,12678.75,4944.71,,,0
HCPCS,C1776,Insert Femoral,9136.98,3563.42,,,0
HCPCS,C1776,Insert Femur Attune Rp Cement,15214.5,5933.66,,,0
HCPCS,C1776,Insert Tibial Duramer,2999.43,1169.78,,,0
HCPCS,C1776,Insrt Tibial Attune Platform,2738.61,1068.06,,,0
HCPCS,C1776,Inst Tib Attune Rotating,3920.58,1529.03,,,0
HCPCS,C1776,Inst Tib Attune Rp Post Stab,9512.68,3709.95,,,0
HCPCS,C1776,Interloc Stem,5100.48,1989.19,,,0
HCPCS,C1776,Joint Body Femoral Device,9426.78,3676.44,,,0
HCPCS,C1776,Joint Component Femoral Device,19030.54,7421.91,,,0
HCPCS,C1776,Joint Component Glenoid Biglia,5543.46,2161.95,,,0
HCPCS,C1776,Joint Component Tibial Stem,4190.72,1634.38,,,0
HCPCS,C1776,Joint Device ( Implantable),20031.39,7812.24,,,0
HCPCS,C1776,Joint Device (Implantable),7298.3,2846.34,,,0
HCPCS,C1776,Joint Device Centralizer Dista,825.93,322.11,,,0
HCPCS,C1776,Joint Device Radial Head Evolv,14926.77,5821.44,,,0
HCPCS,C1776,Knee Rotating Hinge 11Mm,6368.36,2483.66,,,0
HCPCS,C1776,Lead Vectris Surescan 977A275,11098.3,4328.34,,,0
HCPCS,C1776,Linear Bipolar,1304.1,508.6,,,0
HCPCS,C1776,Liner,3477.6,1356.26,,,0
HCPCS,C1776,Liner Acetab Longevity,4433.94,1729.24,,,0
HCPCS,C1776,Liner Acetabular,5455.48,2127.64,,,0
HCPCS,C1776,Liner Acetabular S-Rom,3699.09,1442.65,,,0
HCPCS,C1776,Liner Hip Reflection Xlpe,16101.5,6279.58,,,0
HCPCS,C1776,M.B.T Revision Sleeve,10922.36,4259.72,,,0
HCPCS,C1776,Mold Kn Fem Spacer Surespace,5343.7,2084.04,,,0
HCPCS,C1776,Mold Spacer Lg Tibial,5246.42,2046.1,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies,9909.09,3864.55,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Adapter Biolox Type 1 Taper,1289.61,502.95,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Adapter Fem Trthln 4Mm Ofst,4789.63,1867.96,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Augment Fem 10Mm #3 Trthln,4693.21,1830.35,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Augment Fem 5Mm #3 Trthln Lt,4466.02,1741.75,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Augment Fem 5Mm #5 Trthln,4693.21,1830.35,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Augment Fem 5Mm Trthln 4 Post,4693.21,1830.35,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Augment Fem 5Mm Trthln Dist Lt,4466.02,1741.75,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Augment Tib 5Mm Trthln Rn Ll5,4250.74,1657.79,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Axle Fem Dist Mrh Gmrs Std,3901.95,1521.76,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Baseplate Tib Gen2 2 Rt Knee,10318.95,4024.39,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Baseplate Tib Gen2 3 Lt Knee,9014.85,3515.79,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Baseplate Tib Gen2 4 Rt,9014.85,3515.79,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Baseplate Tib Gen2 5 Rt Knee,9014.85,3515.79,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Baseplate Tib Legion 4Lt Knee,13364.96,5212.33,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Baseplate Tib Legion 4Rt Knee,13364.96,5212.33,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Baseplate Tib Legion 5 Rt Knee,13364.96,5212.33,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Baseplate Tib Legion 6 Rt Knee,13364.96,5212.33,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Baseplate Tib Tri Ts 6,10611.86,4138.63,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Baseplate Tib Trthln 3 Univ Knee Total Stab,10106.78,3941.64,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Baseplate Tib Trthln 4 Univ,10106.78,3941.64,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Baseplate Tib Trthln 5 Univ Knee Total Stab,10106.78,3941.64,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Baseplate Tib Trthln 7 Univ,10106.78,3941.64,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Baseplate Tibia Gen2 3 Rt Knee Smith And Nephew Orthopaedics,9014.85,3515.79,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Baseplate Tibial Size 6 Ap54Mm Ml77Mm Thk2.3Mm Left Knee,9014.85,3515.79,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Body Fem 21Mm Rstr +0Mm Std,17074.4,6659.02,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Body Fem 23Mm Rstr +0Mm Std,17928.27,6992.03,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Bushings Sleves Bumper,6303.15,2458.23,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Cap Knee K1 Zimmer,16428.56,6407.14,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Cementralizer 10.5,486.45,189.72,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Cementralizer 8.5Mm,477.14,186.08,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Centralizer Stem 10Mm Invis,422.28,164.69,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Centralizer Stem 11Mm Invis,644.8,251.47,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Centralizer Stem 8Mm Invis,422.28,164.69,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Centralizer Stem 9Mm Invis Dist Fem Hip Pmma,644.8,251.47,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Component + Patell 10Mm Sza35 Asym Trthln X3,3839.85,1497.54,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Component Fem 3 Rt Knee Total,25052.18,9770.35,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Component Fem 4 Lt Post Stab,12677.72,4944.31,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Component Fem 4 Rt Knee Post,11605.46,4526.13,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Component Fem 5 Knee Cnstrn,33435.68,13039.92,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Component Fem 5 Lt Knee Cnstrn,33435.68,13039.92,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Component Fem 5 Rt Ts Femur,25052.18,9770.35,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Component Fem 5N Rt Knee Nar,21049.83,8209.43,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Component Fem 6 Rt Knee Post,14790.15,5768.16,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Component Fem 6 Rt Knee Total,26304.52,10258.76,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Component Fem 65Mm Rt Knee Std,26520.84,10343.13,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Component Femoral 6-7 Tib Cd-Cr 12Mm Vivacit-E Zimmer,7105.28,2771.06,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Component Femoral 7 Lt Knee Gen 2 Non Porous Smith And Nephe,14790.15,5768.16,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Component Femoral Size 6 Left Knee Oxinium,17150.98,6688.88,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Component Femoral Size 7 Left Knee Oxinium Posterior,18801.81,7332.71,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Component Knee Left 12Mm 8-11 Articular Femoral Persona Zimm,6008.95,2343.49,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Component Patell 32Mm Rsrfc,4048.4049999999997,1578.875,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Component Patell 35Mm Rsrfc,3806.58,1484.57,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Component Patell 9Mm 29Mm Asym Trthln X3 T-K,4161.73,1623.07,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Component Patellar Dia38Mm Thk9.5Mm Knee Oval Resurfacing,4290.08,1673.13,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Component Tib All Sz Gmrs Rot,11515.93,4491.21,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Component Tibplt Sz 1 Stem,22965.62,8956.59,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Component Uln Cnrd 3In Rt Elb Uhmw Polyeth,23683.9,9236.72,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Componet Ps Fem 3 Lt Cement,11605.46,4526.13,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Componet Ps Fem 4 Lt Cement,11605.46,4526.13,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Componet Ps Fem 5 Lt Cement,11605.46,4526.13,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Componet Ps Fem 5 Rt Cement,11605.46,4526.13,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Cone Prx Bdy 24X75,17794.76,6939.96,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Coupler Fem 6Mm Knee Offset Smith Nephew Orthopaedics,6343.52,2473.97,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Coupler Fem Legion 2Mm Knee,6343.52,2473.97,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Coupler Fem Legion 4Mm Knee,6343.52,2473.97,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Cup 300 Acet 54Mm,14110.16,5502.96,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Cup Acetab 52Mm Pncl 1 Pc Rev Gription,9997.58,3899.06,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Cup Acetab 56Mm Pncl Lpc Rev Gription,9126.63,3559.39,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Cup Acetab 60Mm Pncl Multihl Gription,14110.16,5502.96,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Cup Acetab Prostalac 32X42Mm,3049.63,1189.36,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Cup Bipolar 47Mm 28Mm Slfcntr Acetab,3337.88,1301.77,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Cup Humeral Dia36Mm Shoulder Neutral Suture Univers Revers,8627.76,3364.83,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Cup Multihole W-Gription 52Mm,14110.16,5502.96,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Cup Multihole W-Gription 56Mm,14111.71,5503.57,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Cup Sector W-Gription 50Mm,10868.54,4238.73,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Cup Stand Pe D38 +3Mm,15539.49,6060.4,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Cup Stand Pe D38 +9Mm,6731.64,2625.34,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Dome Acetabular Hole Plug Hex Trident Ii,537.16,209.49,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Epiphyses Mod Cent 1 Ha,15313.86,5972.41,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Extension Fem 30Mm Knee Gmrs,11225.61,4377.99,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - G7 Acetabular Shell 48Mm Biomet Inc,9558.22,3727.71,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head +0Mm12-14 28Mm Hip Cocr,4096.53,1597.65,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Bipolar 28Mm Cnv -3Mm 12-,4096.53,1597.65,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Bipolar 43Mm 26Mm Uhr,4161.73,1623.07,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Bipolar 44Mm 28Mm Slfcntr Fem Hip,4071.69,1587.96,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Bipolar 45Mm 26Mm Uhr,3963.02,1545.58,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Bipolar 45Mm 28Mm Slfcntr Fem Hip,2474.68,965.13,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Bipolar 46Mm 28Mm Slfcntr Fem Hip,4463.96,1740.94,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Bipolar 47Mm 26Mm Uhr,4161.73,1623.07,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Bipolar 50Mm 26Mm Uhr,3963.02,1545.58,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Cathcart Ball 42Mm Od,2578.18,1005.49,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Cathcart Ball 54Mm Od,2519.19,982.48,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Cer 41622 28Mm 1.5,7746.98,3021.32,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Cer 41622 28Mm 5,6900.34,2691.13,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Cer 41622 36Mm 1.5,7859.17,3065.08,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Cer 41622 36Mm 8.5,8098.88,3158.56,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Cerm 36Mm Biolox Dlta Opt,9009.67,3513.77,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Fem +0Mm 12-14 28Mm Hip,9038.66,3525.08,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Fem +1.5Mm 12-14 28Mm Hip Cementless M Spc,2815.72,1098.13,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Fem +1.5Mm Dlt Rev 12-14,8794.4,3429.82,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Fem +13Mm 12-14 32Mm Hip Cementless M,3451.72,1346.17,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Fem +13Mm12-14 32Mm Hip M Cementless M,3122.6,1217.81,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Fem +4Mm 12-14 28Mm Hip,4096.53,1597.65,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Fem +5Mm 12-14 36Mm M Spc Asphere,7499.61,2924.85,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Fem +5Mm 28Mm Hip Cementless M Spc Tpr,2367.04,923.15,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Fem +5Mm 32Mm Hip Cementless M Spc Tpr,3122.6,1217.81,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Fem +8Mm 28Mm Hip Cocr,3080.16,1201.26,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Fem 0Mm 26Mm Hip C,2934.22,1144.35,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Fem 12-14 36Mm -3,9038.66,3525.08,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Fem 32Mm-3 12-14 Taper Oxnm,9038.66,3525.08,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Fem 36Mm +4Mm Ofst 12-14 Tpr Oxnm Prim Rev Sng,9038.66,3525.08,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Fem 3Mm 12-14 28Mm Hip,9038.66,3525.08,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Fem 4Mm 12-14 28Mm Hip,9674.32,3772.98,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Fem Biolox 28Mm +0Mm,6606.4,2576.5,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Fem Biolox 28Mm +3.5Mm,6606.4,2576.5,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Fem Biolox 28Mm -3.5Mm,6606.4,2576.5,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Fem Biolox 36Mm +7Mm,7743.87,3020.11,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Fem Cerm V40,6390.09,2492.14,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Femoral Cocr 28+6,2746.89,1071.29,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Femoral Cocr 28+9,3330.63,1298.95,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Femoral Dia36Mm +0Mm Offs Offset 12-14 Tapered Oxinium,9038.66,3525.08,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Femoral Dia36Mm 5Mm Offset C Taper Biolox,7040.07,2745.63,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Okinium 22Mm Od 12-14 Taper Ball,9038.66,3525.08,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Rad Lt 22Mm Total Strl,14476.54,5645.85,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Ts Cer 41622 28Mm 8.5,8255.16,3219.51,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Ts Cer 41622 36Mm 1.5,11334.8,4420.57,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Ts Cer Hd 41622 32Mm 5,8692.96,3390.25,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Ts Cer Hd 41622 36Mm 5,9108.0,3552.12,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Unplr 46Mm Ccrt Fem Hip Orthochrome Mod,2578.18,1005.49,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Unplr 46Mm Untrx Fem Hip,3006.68,1172.61,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Unplr 49Mm Ccrt Fem Hip Orthochrome Mod,2578.18,1005.49,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head Unplr 50Mm Ccrt Fem Hip Orthochrome Mod,2578.18,1005.49,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Head V40 Blx D 36Mm +0Mm,6390.09,2492.14,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Hip Dep Total Cap Noncement H2,19939.96,7776.58,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Hip Hemi Arthroplasty Bipolar Cap,6371.22,2484.78,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Hip Hemi Unipolar Dps Cap,9516.31,3711.36,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Hip Total Category H1 Biomet,18917.73,7377.91,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Hole Elim Positive Stop,761.76,297.09,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Femoral Component Bea Aded Pa Sz 3 Left,17465.62,6811.59,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Hip Construct - Hip Resurfacing H3 Smith 19,26583.98,10367.75,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Hip Construct Dual Vendor-Shell-Liner H1 Smith 19,7250.18,2827.57,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Hip Construct Dual Vendor-Stem-Head H1A Depuy 19,11116.94,4335.61,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Hip Construct Dual Vendor-Stem-Head H1A Zimm 19,19096.12,7447.49,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Hip Construct H1 Stryk 19,18878.23,7362.51,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Hip Construct H1 Stryker,19309.48,7530.7,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Hip Construct H1 United 19,18367.11,7163.17,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Hip Construct H1 Zimm 19,18973.65,7399.72,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Hip Construct H2,19575.47,7634.43,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Hip Construct H2 Depuy 19,19817.14,7728.68,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Hip Construct H2 Smith 19,19817.14,7728.68,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Hip Construct H2 Stryk 19,20448.53,7974.93,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Hip Construct H2 Stryker,19720.48,7690.99,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Hip Construct H2 Zimm 19,19994.28,7797.77,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Hip Construct H3 Biomet,34013.2,13265.15,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Hip Construct H3 Zimmer,34013.2,13265.15,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Hip Partial Bipolar- Unipolar-Non-Porous H1 Depuy19,6009.73,2343.79,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Hip Partial Bipolar- Unipolar-Non-Porous H1 Exact19,5800.14,2262.05,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Hip Partial Bipolar- Unipolar-Non-Porous H1 Smith19,5841.57,2278.21,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Hip Partial Bipolar- Unipolar-Non-Porous H1 Stryk19,6902.01,2691.78,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Hip Partial Bipolar- Unipolar-Non-Porous H1 Zimm19,5916.06,2307.26,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Hip Partial Bipolar- Unipolar-Porous H2 Depuy 19,10513.27,4100.18,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Hip Partial Bipolar- Unipolar-Porous H2 Smith 19,7250.18,2827.57,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Hip Partial Bipolar- Unipolar-Porous H2 Stryk 19,7431.3,2898.21,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Hip Partial Bipolar- Unipolar-Porous H2 Zimm 19,7250.18,2827.57,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Knee Construct - Any Total-Uni K1 Smith 19,14500.35,5655.14,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Knee Construct - Any Total-Uni K1 Stryk 19,15639.74,6099.5,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Knee Construct - Any Total-Uni K1 Zimm 19,14647.7,5712.6,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Knee Construct K1 Smith-Nephew,13533.66,5278.13,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Knee Construct K1 Stryker,17279.32,6738.93,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Knee Construct K1A United 19,14539.02,5670.22,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Knee Construct K2 Biomet,19042.45,7426.56,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Knee Construct K2 Depuy 19,15950.38,6220.65,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Knee Construct K2 Smith 19,15950.38,6220.65,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Knee Construct K2 Stryk 19,16430.62,6407.94,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Knee Construct K2 Stryker,17762.67,6927.44,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Knee Construct K2 United 19,15628.15,6094.98,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Knee Construct K2 Zimm 19,17869.38,6969.06,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Knee Construct K2A,20783.84,8105.7,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Knee Construct K2A Depuy 19,16929.79,6602.62,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Knee Construct K2A Smith 19,16917.08,6597.66,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Knee Construct K2A Stryk 19,17113.68,6674.34,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Knee Construct K2A Stryker,17128.47,6680.1,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Knee Construct K2B Zimm 19,21826.13,8512.19,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Knee Construct K2C Zimmer,15467.04,6032.15,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Shoulder Total Or Total Arthroplasty Zimmer,32360.31,12620.52,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Implant Tibal 7 Rt Gen 2 Smith And Nephew Orthopaedics,9014.85,3515.79,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Insert Artic 3-4 15Mm Uhmw,10633.59,4147.1,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Insert Artic 5-6 18Mm Tib Knee,10633.59,4147.1,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Insert Artic 5-6 9Mm Tib Knee,10633.59,4147.1,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Insert Comp Rp Std+ 15Mm,6288.66,2452.58,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Insert Cr Tib X3 3 9Mm Trthln,8393.85,3273.6,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Insert Cr Tib X3 7 9Mm Trthln,8393.85,3273.6,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Insert Cs X3 Triathlon Sz4 9Mm Tibial Bearing,8851.32,3452.01,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Insert Gnss 2 Cnstrn Art,10633.59,4147.1,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Insert Hum 36Mm 6Mm Poly,7192.22,2804.97,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Insert Hum 36Mm 9Mm Poly,8158.9,3181.97,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Insert Legion Ps Slpe Hi Flx,8845.11,3449.59,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Insert Ps Tib X3 3 19Mm Trthln,8393.85,3273.6,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Insert Ps Tib X3 5 19Mm Trthln,3383.42,1319.53,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Insert Ps Tib X3 5 9Mm Trthln,3383.42,1319.53,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Insert Ps Tib X3 6 16Mm Trthln,8393.85,3273.6,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Insert Tib 5 11Mm Knee X3 Post Stab Trthln,3383.42,1319.53,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Insert Tib 7 9Mm Knee X3 Post Stab Trthln,8393.85,3273.6,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Insert Tibial Size 3-4 Thk9Mm Knee Xlpe Posterior Legion,8905.14,3473.0,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Insert Tibial Size 3-4 Thk9Mm Knee Xlpe Posterior Stabilized,9400.91,3666.35,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Insert Tibial Size 5 Thk9Mm Knee Poly X3,8429.04,3287.33,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Joint Toe Swnsn 2S Lat Mtp Sil Ti Grommet Flx,3832.6,1494.71,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Joint Toe Swnsn 3 Mtp Sil Reg Stem Flx Hinge,3832.6,1494.71,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Joint Toe Swnsn 3S Lat Mtp Sil Ti Grommet Flx,3832.6,1494.71,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Joint Toe Swnsn 4S Lat Mtp Sil Ti Grommet Flx,3832.6,1494.71,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Kit Catheter Access Port Neurological,127.3,49.65,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Legion Tib Cone Id 22 Short,22959.4,8954.17,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Legion Xlpe Posterior Stablize Size 5-6 9Mm Articular Insert,8905.14,3473.0,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Liner 4 10D 32Idx48Od,6486.34,2529.67,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Liner 4 10D 36Idx52Od,6100.29,2379.11,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Liner 4 10D 36Idx54Od,6730.26,2624.8,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Liner 4 10D 36Idx56Od,7990.2,3116.18,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Liner Acetab Cup 36Mm F,6390.09,2492.14,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Liner Acetab Poly 36Mm 52Mm,6946.92,2709.3,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Liner Acetabular Size D D 40Mm Hip Cobalt Chrome G7,8909.9,3474.86,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Liner Acetabular Size F D 44Mm Hip Cobalt G7,8609.13,3357.56,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Liner Acetabulum 54 Od 36 Id Xlpe R3 Smith And Nephew Orthop,6815.48,2658.04,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Liner Actrx Pinacl +4 10D 54Mm,7204.64,2809.81,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Liner Bipolar 42Mm 22Mm Tndm,4905.9,1913.3,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Liner Bipolar 44Mm 28Mm Tndm,4905.9,1913.3,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Liner Bipolar 46Mm 28Mm Tndm,4905.9,1913.3,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Liner Mod Dual 42Mm Cementless,7745.94,3020.92,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Liner Neut 32Idx48Od,6394.23,2493.75,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Liner Neut 32Idx50Od,5616.94,2190.61,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Liner Neut 36Idx52Od,6935.54,2704.86,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Liner Neut 36Idx54Od,6935.54,2704.86,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Liner Neut 36Idx58Od,6100.29,2379.11,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Oval Resurfacing Genesis Ii Dia35Mm Thk9Mm Knee,4290.08,1673.13,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Oxinium 12-14 Taper Femoral Head +4 22Mm,9038.66,3525.08,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Pack Pip Fusion Id2.7X4Mm Prox Mid Phalanx Implant Peek,6865.16,2677.41,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Patella Asmym X3 A32Mm 10Mm Trthln,3839.85,1497.54,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Patella Genesis Resurface 38Mm Smith And Nephew Orthopaedics,3879.18,1512.88,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Patella Medial Dome 35Mm,3417.05,1332.65,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Patella Medial Dome 38Mm,3625.6,1413.98,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Plate Activ L Inf S1 Size M 5In Spikes,22556.44,8797.01,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Plate Activ L Sup Size M 6In Spikes,22354.96,8718.43,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Plate Inlay Activ L 8.5Mm,3079.47,1200.99,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Plug Cement Univ 24Mm,501.72,195.67,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Psn Str Hyb St 14 X +30 M,1993.17,777.34,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - S1 Cap Tornier Hemi Shoulder Or Hemi,21750.52,8482.7,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - S3 Implant Shoulder Total Arthroplasty - Tornier,41084.32,16022.88,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - S3 Implant Shoulder Total Reverse Zimmer,42683.14,16646.42,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - S3 Mplant Shoulder Total Reverse Tornier,41084.32,16022.88,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Screw 3.5-60Mm Lc Dcp Ss Cort St Ns Sm,134.55,52.47,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - See 38155 S3 Implant Shoulder Total Reverse Biomet,41918.19,16348.09,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Shell Acetab 3Hl R3 50Odmm,8627.76,3364.83,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Shell Acetab 3Hl R3 56Odmm,8627.76,3364.83,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Shell Acetabular Size F D 54Mm Hip Titanium Pps Limtd Hole G,7460.28,2909.51,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Shell G7 Acetab 3H 50Mm Sz D,7242.93,2824.74,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Shell G7 Osseoti Multihl 48Mm Acetabular,13080.85,5101.53,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Sleeve Adjustment Unitrax +5Mm Femoral Hip Stryker Orthopedi,719.32,280.53,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Sleeve Fem Tndm +0Mm 12-14 Hip,616.86,240.58,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Spacer Fem Art-Eze Ccrt +0Mm 12-14 Hip,1097.51,428.03,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Stem 10 X 70Mm,1611.5,628.48,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Stem 100Mm 14Mm Gen2 Lng Knee,4120.34,1606.93,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Stem 36+8Lnk 20X15X325R,27367.47,10673.31,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Stem Distal Tapered 20X140,13773.78,5371.77,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Stem Fem 100Mm 13Mm Prft Flute,4936.95,1925.41,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Stem Fem 100Mm 14Mm Prft Flute,4936.95,1925.41,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Stem Fem 100Mm 19Mm Prft Flute,4504.32,1756.68,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Stem Fem 100Mm 20Mm Prft Flute,5060.63,1973.65,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Stem Fem 105Mm Hi Ofst Prostalac 1 Hip,15345.25,5984.65,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Stem Fem 115Mm 10Mm Cement,13642.34,5320.51,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Stem Fem 125-12Mm Cmntprim Std,9592.38,3741.03,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Stem Fem 125Mm 21Mm Mod Strt,17074.4,6659.02,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Stem Fem 125Mm 25Mm Mod Strt,17928.27,6992.03,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Stem Fem 135-14Mm Cement Prim,13642.34,5320.51,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Stem Fem 145Mm 11Mm Prim Std,14636.97,5708.42,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Stem Fem 150Mm 12Mm Prim Std,14636.97,5708.42,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Stem Fem 155Mm 15Mm Mod Strt,12233.7,4771.14,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Stem Fem 155Mm 17Mm Mod Strt,12539.54,4890.42,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Stem Fem 160Mm 13Mm Prft,6355.94,2478.82,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Stem Fem 160Mm 14Mm Prft Legion Knee,6355.94,2478.82,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Stem Fem 160Mm 15Mm Prft,6355.94,2478.82,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Stem Fem 160Mm 16Mm Prft,6355.94,2478.82,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Stem Fem 160Mm 18Mm Prft,6355.94,2478.82,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Stem Fem 170Mm 16Mm Prim Std,24916.59,9717.47,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Stem Fem 25Mm Cement 132D 6,5657.31,2206.35,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Stem Fem 30Mm Cement 132D 7,5657.31,2206.35,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Stem Fem 30Mm Cement 132D 8,5940.9,2316.95,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Stem Fem 30Mm Scrft Mx 7 Strl,17509.1,6828.55,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Stem Fem 30Mm Scrft Mx 8 Strl,17509.1,6828.55,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Stem Fem 35Mm Condy Stab Neck,11515.41,4491.01,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Stem Fem 50Mm 12Mm Cement,4516.74,1761.53,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Stem Fem 50Mm 15Mm Cement,3718.9,1450.37,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Stem Fem Cement Std Prct 2 Hip Ofst Smt,2900.07,1131.03,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Stem Modular Hum D12 Ha,7990.2,3116.18,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Stem Por Taper Sz4 Std Off,17039.21,6645.29,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Stem Por Taper Sz5 Std Off,18204.62,7099.8,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Stem Psa Straight 14Mm Dia 30Mmstem Length,1611.5,628.48,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Stem Rad 9Mmx2Mm Strl,11053.8,4310.98,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Stem Tib Inbone Mid 14Mm,2948.46,1149.9,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Surface Artc 12Mm 7-10 Gh Knee,5689.4,2218.87,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Surface Artic 12Mm 12Mm Most,8356.59,3259.07,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Surface Artic 17Mm 17Mm Most,10843.7,4229.04,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Surface Articular Femoral Size 8-11 Right Knee System Person,7793.55,3039.48,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - System Genesis Ii 7.5Mm Resurfacing Patella 32Mm Smith Nephe,3879.18,1512.88,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - System Knee 10Mm Heightright Vepoly Zimmer Biomet,5427.19,2116.6,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - System Knee Vepoly Lef 12Mm Height Zimmer Biomet,1382.76,539.28,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - System Personalized Knee 11Mm Height Left,4588.16,1789.38,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Taper Femoral Head 32Mm Od,9038.66,3525.08,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Total Shoulder Or Total Arthroplasty Tornier,31417.42,12252.79,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Tray Ecntrc Rvrs 3.5Mm 0Mm,9063.5,3534.76,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Tray Ecntrc Rvrs 3.5Mm 6Mm,12724.29,4962.47,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Tray Humeral Standard For Comprehensive Rev Shoulder Sys,8818.2,3439.1,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Triathlon X3 Tibial Bearing Insert Sz6 Cs 9Mm,8851.32,3452.01,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Wedge Tib 5Mm Legion 4 Dist,6283.48,2450.56,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Wedge Tib 5Mm Legion 5 Dist,6283.48,2450.56,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Wedge Tib 5Mm Legion 5-6 Dist,5800.14,2262.05,,,0
HCPCS,C1776,Noncdm Charge Record Medical Supplies - Wedge Tib 5Mm Legion 7-8 Dist,5800.14,2262.05,,,0
HCPCS,C1776,Noncdm Legacy Charge,13266.63,5173.99,,,0
HCPCS,C1776,Patella All Poly,1647.72,642.61,,,0
HCPCS,C1776,Patella Dome,2390.85,932.43,,,0
HCPCS,C1776,Patella Medialized Dome,3920.58,1529.03,,,0
HCPCS,C1776,Patella Poly,2457.09,958.27,,,0
HCPCS,C1776,Plate Bone Skull Base Lg,7050.42,2749.66,,,0
HCPCS,C1776,Plate Distal Humerus,4064.44,1585.13,,,0
HCPCS,C1776,Porous Femoral,55.89,21.8,,,0
HCPCS,C1776,Porous Femoral Component,17385.415,6780.3099999999995,,,0
HCPCS,C1776,Prosthesis Temporomandibular,71613.72,27929.35,,,0
HCPCS,C1776,Remedy Modular Long Stem,10867.5,4238.32,,,0
HCPCS,C1776,Rotating Hinge Cemented,24453.94,9537.04,,,0
HCPCS,C1776,Rotating Platform Crs,11083.82,4322.69,,,0
HCPCS,C1776,Shell,5543.46,2161.95,,,0
HCPCS,C1776,Shell Acetabb 20123606,13749.98,5362.49,,,0
HCPCS,C1776,Shell Bipolar,2340.14,912.65,,,0
HCPCS,C1776,Shell Hip Prosthesis,6955.2,2712.53,,,0
HCPCS,C1776,Shell Multipolar Cup Size 48Mm,1956.15,762.9,,,0
HCPCS,C1776,Shell Nasal Medpor,2700.32,1053.12,,,0
HCPCS,C1776,Shoulder System Revtray,7295.72,2845.33,,,0
HCPCS,C1776,Sleeve Porus,9909.09,3864.55,,,0
HCPCS,C1776,Stem Cemented,6069.24,2367.0,,,0
HCPCS,C1776,Stem Cemented Aequalis Reverse,11084.85,4323.09,,,0
HCPCS,C1776,Stem Cemented Construct,2608.2,1017.2,,,0
HCPCS,C1776,Stem Cemented Straight,15373.89,5995.82,,,0
HCPCS,C1776,Stem Component,7824.6,3051.59,,,0
HCPCS,C1776,Stem Extension,10102.64,3940.03,,,0
HCPCS,C1776,Stem Femoral,13910.4,5425.06,,,0
HCPCS,C1776,Stem Femoral Pressfit Arcos,12375.5,4826.44,,,0
HCPCS,C1776,Stem Femoral Revision,16403.72,6397.45,,,0
HCPCS,C1776,Stem Femoral Revision/Zimmer,6500.84,2535.33,,,0
HCPCS,C1776,Stem Hip Offset,14796.36,5770.58,,,0
HCPCS,C1776,Stem Hum Pres Equinoxe 8Mm,9056.25,3531.94,,,0
HCPCS,C1776,Stem Humeral Bigliani/Flatow,16403.72,6397.45,,,0
HCPCS,C1776,Stem Humeral Collar Pressfit,7081.47,2761.77,,,0
HCPCS,C1776,Stem Humeral Modular,12622.86,4922.92,,,0
HCPCS,C1776,Stem Humeral Right/Left Biomet,15996.96,6238.81,,,0
HCPCS,C1776,Stem Humeral Zimmer,12966.48,5056.93,,,0
HCPCS,C1776,Stem Modular Shoulder Polaris,8864.78,3457.26,,,0
HCPCS,C1776,Stem Offset,3129.84,1220.64,,,0
HCPCS,C1776,Stem Pressfit,5464.8,2131.27,,,0
HCPCS,C1776,Stem Profemur Cementless,8607.06,3356.75,,,0
HCPCS,C1776,Stem Radial,9629.64,3755.56,,,0
HCPCS,C1776,Stem Taper,11950.11,4660.54,,,0
HCPCS,C1776,Stemfemoral Zimmer,13527.45,5275.71,,,0
HCPCS,C1776,Strut Psr Cornerstone,7607.25,2966.83,,,0
HCPCS,C1776,Sup Joint Device (Implantable),10667.33,4160.26,,,0
HCPCS,C1776,Surface Articular Knee Stabili,3694.95,1441.03,,,0
HCPCS,C1776,Symmetric Patella,3357.54,1309.44,,,0
HCPCS,C1776,Talar Dome Flatcut Infinity,50025.69,19510.02,,,0
HCPCS,C1776,Taper Post Fixation Component,3485.88,1359.49,,,0
HCPCS,C1776,Tibial Base Rotating Platform,17888.94,6976.69,,,0
HCPCS,C1776,Tibial Baseplate Revison,22501.94,8775.76,,,0
HCPCS,C1776,Tibial Bearing,4781.7,1864.86,,,0
HCPCS,C1776,Tibial Bushing,1538.01,599.82,,,0
HCPCS,C1776,Tibial Component,15441.16,6022.05,,,0
HCPCS,C1776,Tibial Insert Hinge Universal,10854.04,4233.08,,,0
HCPCS,C1776,Tibial Surepace,5445.14,2123.6,,,0
HCPCS,C1776,Tibial Tray Infinity,47148.39,18387.87,,,0
HCPCS,C1776,Total Hip Prosthesis,17822.7,6950.85,,,0
HCPCS,C1776,Total Hop Prosthesis Simple,27386.1,10680.58,,,0
HCPCS,C1776,Vanguard Plus Tibial Bearing,7268.8,2834.83,,,0
HCPCS,C1776,Vivacet - E Articular Surface,5868.45,2288.7,,,0
HCPCS,C1777,Lead Defibrillator Endotak S 5,14676.3,5723.76,,,0
HCPCS,C1777,Noncdm Charge Record Medical Supplies - Lead 693565 Quattro Defib,12958.2,5053.7,,,0
HCPCS,C1777,Noncdm Charge Record Medical Supplies - Lead 693575 Quattro Defib,12958.2,5053.7,,,0
HCPCS,C1777,Noncdm Charge Record Medical Supplies - Lead 6935M72 Df4 Active Sc,12958.2,5053.7,,,0
HCPCS,C1777,Noncdm Charge Record Medical Supplies - Lead D4 Act,12888.16,5026.38,,,0
HCPCS,C1777,Noncdm Charge Record Medical Supplies - Lead Durata Df4 65Cm,12566.97,4901.12,,,0
HCPCS,C1777,Noncdm Charge Record Medical Supplies - Lead Optisure Df4 Sgl 58,12566.97,4901.12,,,0
HCPCS,C1777,Noncdm Charge Record Medical Supplies - Lead Optisure Df4 Sgl 65,12566.97,4901.12,,,0
HCPCS,C1777,Noncdm Charge Record Medical Supplies - Lead Pacing Df4 Active,12958.2,5053.7,,,0
HCPCS,C1777,Noncdm Charge Record Medical Supplies - Lead Tachy Endotak Reliance 4 Front Active Fixation Coil 6,12083.62,4712.61,,,0
HCPCS,C1777,Noncdm Charge Record Medical Supplies - Lead Tachy Reliance 4 Front Active Fixation Coil 59Cm,12083.62,4712.61,,,0
HCPCS,C1778,Electrode Cortical Strip,17822.7,6950.85,,,0
HCPCS,C1778,Hc Lead Tined 28Cm Kit,15110.064999999999,5892.925,,,0
HCPCS,C1778,Kit Lead 45Cm,12823.65,5001.22,,,0
HCPCS,C1778,Lead Dbs Kit,15214.5,5933.66,,,0
HCPCS,C1778,Lead Neurostim Interstim,14846.04,5789.96,,,0
HCPCS,C1778,Lead Neurostim Interstim Sures,695.52,271.25,,,0
HCPCS,C1778,Lead Neurostim Octad,11410.88,4450.24,,,0
HCPCS,C1778,Lead Neurostim Resume,9325.35,3636.89,,,0
HCPCS,C1778,Lead Neurostim Vagal Sgl Pin,34051.5,13280.08,,,0
HCPCS,C1778,Lead Neurostimulator,24574.52,9584.065,,,0
HCPCS,C1778,Lead Neurostimulator Triople,21735.0,8476.65,,,0
HCPCS,C1778,Lead Pacing Steroid Eluting,2608.2,1017.2,,,0
HCPCS,C1778,Lead Sensing Resp Inspire,14671.12,5721.74,,,0
HCPCS,C1778,Lead Specify Surescan Mri,27895.32,10879.17,,,0
HCPCS,C1778,Lead Surgical Kit Surpass,4347.0,1695.33,,,0
HCPCS,C1778,Lead Trial Infinion Kit,12171.6,4746.92,,,0
HCPCS,C1778,Noncdm Charge Record Medical Supplies,17195.49,6706.24,,,0
HCPCS,C1778,Noncdm Charge Record Medical Supplies - Kit Neurostim Lead Paddle,14500.35,5655.14,,,0
HCPCS,C1778,Noncdm Charge Record Medical Supplies - Kit Neurostim Lead Paddle Scs,14500.35,5655.14,,,0
HCPCS,C1778,Noncdm Charge Record Medical Supplies - Kit Tind Lead 28Cm,17183.07,6701.4,,,0
HCPCS,C1778,Noncdm Charge Record Medical Supplies - Lead Inspire Stimulation Inspire Medical,9425.75,3676.04,,,0
HCPCS,C1778,Noncdm Charge Record Medical Supplies - Lead Neurostim 60Cm Lmtrd 16,13267.66,5174.39,,,0
HCPCS,C1778,Noncdm Charge Record Medical Supplies - Lead Penta 3Mm-60Cm,25133.94,9802.24,,,0
HCPCS,C1778,Noncdm Charge Record Medical Supplies - Lead Respiratory Sensing L45Cm Standard Connector,16312.67,6361.94,,,0
HCPCS,C1778,Noncdm Charge Record Medical Supplies - Lead Vns Therapy 2.0Mm Bipolar,41515.4,16191.01,,,0
HCPCS,C1778,Noncdm Charge Record Medical Supplies - Respistim R Stimulation Lead- Right 60Cm 25X24Mm,43501.05,16965.41,,,0
HCPCS,C1778,Noncdm Charge Record Medical Supplies - Surescan Micro Mri Lead Kit,18729.36,7304.45,,,0
HCPCS,C1778,Noncdm Charge Record Medical Supplies - Surescan Mri Lead Kit,20694.23,8070.75,,,0
HCPCS,C1778,Sup Lead Neurostimulator Implantable,17128.7,6680.19,,,0
HCPCS,C1779,Lead Ppm Transvenous Vdd,3912.3,1525.8,,,0
HCPCS,C1779,Noncdm Charge Record Medical Supplies - Lead 58Cm Quadsgl-P A-Va-V 10L,2041.02,796.0,,,0
HCPCS,C1781,Mesh (Implantable),2256.815,880.16,,,0
HCPCS,C1781,Mesh D&G,1111.59,433.52,,,0
HCPCS,C1781,Mesh Dual 10Cmx15Cmx1,7280.19,2839.27,,,0
HCPCS,C1781,Mesh Implantable,4781.7,1864.86,,,0
HCPCS,C1781,Mesh Implantable (Surgimesh),1420.02,553.81,,,0
HCPCS,C1781,Mesh Low Profile Malleable,4706.15,1835.4,,,0
HCPCS,C1781,Mesh Marlex,1132.29,441.59,,,0
HCPCS,C1781,Mesh Novasilk/Polypropylene,1268.91,494.87,,,0
HCPCS,C1781,Mesh Prolene,6939.68,2706.48,,,0
HCPCS,C1781,Mesh Prolene Hernia System,1712.92,668.04,,,0
HCPCS,C1781,Mesh Vicryl Knitted 12X12,4263.53,1662.78,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies,15660.58,6107.63,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Allograft Moldable Cortical Bone Physio 10Cc,19575.84,7634.58,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Allograft Moldable Cortical Bone Physio 5Cc,10392.44,4053.05,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Cath Groshong Dome Port Single,1424.16,555.42,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Durasorb Mesh 20X25Cm,20300.49,7917.19,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Gentrix Hiatal Mesh 6X7.5Cm,4339.76,1692.51,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Graft Dural W5Xl7In Ultrapure Regeneration Collagen,12240.6,4773.83,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Graft Sft Tis 8X2Cm Vrts Bvn Collagen Mtrx,2570.94,1002.67,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Graft Sft Tis 8X6Cm Vrts Bvn Collagen Mtrx,8097.84,3158.16,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Membrane Collagen 20Mmx30Mm Biomnd Abs,631.35,246.23,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh 15Cmx10Cm Polypropylene,200.75,78.29,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh 15Cmx15Cm Polypropylene,232.8,90.79,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh 16X12 Flat Sheet,1806.08,704.37,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Biologic W10Xl6Cm Ovine Extracellular,4697.86,1832.17,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Biological W 6Xl10Cm Ovine Rumen Permanent Ovitex,2610.27,1018.01,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Composite Parietex 25X20,3901.54,1521.6,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Gynecological M W10Xl15Cm Restorelle,5016.65,1956.49,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Hernia 10X15Cm Sepra Technology Sepra Phasix,18462.67,7200.44,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Hernia 20X35Cm Phasix St Sepra Technology Rectangle,83220.21,32455.88,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Hernia 30X35Cm Phasix St Sepra Technology Rectangle,142809.3,55695.63,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Hernia 4.6In Phasix L10Cm Synthetic Absorb Hydroxybuty,13319.42,5194.57,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Hernia Parietex 15Cm X 15Cm Progrip Covidien,1179.9,460.16,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Hernia Parietex 20Cm X 15Cm Progrip Covidien,1229.58,479.54,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Hernia Rectangle 15X10Cm,428.08,166.95,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Hernia Sym Comp 15X10Cm,2266.01,883.74,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Hernia W10Xl10Cm Square Hydrogel Barrier Phasix,11809.35,4605.65,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Lapro Progrip2 10Mm 15Mm,1354.45,528.24,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Parietene 11X6Cm Macro Keyhole Pp,344.66,134.42,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Parietene 15X7.5Cm Macro Keyhole Pp,400.54,156.21,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Parietene 15X8Cm Macroporous Mesh Polypropylene,173.88,67.81,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Parietex 6X4In Rt Antm,566.14,220.79,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Parietex 6X4In Vntrl Comp,1780.76,694.5,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Permanent 4 Layer 15X15Cm Circle Biologic Ovitex Lpr,14606.96,5696.71,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Permanent 4 Layer 9X9Cm Circle Biologic Ovitex Lpr,5258.84,2050.95,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Phasix St 20Cm X 25Cm,49470.72,19293.58,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Pp Macro 30X30Cm,511.5,199.48,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Pro 5-32Inx.5In 3 15-1 4 15-16Inx2 Surg,1590.8,620.41,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Progrip 10X15Cm Fx Laparo,1637.14,638.48,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Progrip 15 X 9,1135.52,442.85,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Progrip Lapar Slf Fx Lt,1918.32,748.14,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Progrip Lapar Slf Fx Rt,1917.26,747.73,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Resorbabl 2 Layer 11.5X22 Contour Biologic Ovitex Prs,21001.18,8190.46,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Resorbable 6 Layer 10X12 Biologic Tissue Ovitex Is,9395.73,3664.33,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Restorelle Y 24X4Cm,7704.54,3004.77,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Self-Fixating Progrip Flt Flat Sheet 15X9Cm,1121.94,437.56,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Self-Fixating Progrip Lft 12X8Cm W-Flap Left,1191.29,464.6,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Self-Fixating Progrip Rt 12X8Cm W-Flap Right,1191.29,464.6,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Stex 15X10Cm 6X4In,1784.26,695.86,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Stex 252X0Cm 10X8In,3904.28,1522.67,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Stex 30X20Cm 12X8In,5311.62,2071.53,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Stex 37X28Cm 145X11In,6286.24,2451.63,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Stex Round 12Cm 48In,1773.4,691.63,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Stex Round 15Cm 6In,2332.3,909.6,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Stex Round 9Cm 36In,1297.02,505.84,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Surg Parietex 10X8In Comp,3923.68,1530.24,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Surg Parietex 12X8In Vntrl Hernia Comp,5364.4,2092.12,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Surg Parietex 14.5X11In,6327.99,2467.92,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Surg Parietex 3.6In,1295.89,505.4,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Surg Parietex 3.6X3.1In,1889.3,736.83,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Surg Parietex 4.8In Vntrl Hernia Comp,1778.31,693.54,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Surg Parietex 6.5Cm Plug,493.04,192.29,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Surg Parietex 6In,2336.0,911.04,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Surg Parietex 8Cm Plug,518.19,202.09,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Surg Parietex 8In Vntrl,3036.69,1184.31,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Surg Parietex 8X6In Vntrl,2569.12,1001.96,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Surg Pro 12X12In Hernia Nonabs Sft Knit,1778.06,693.44,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Surg Pro 6X3In Hernia Nonabs Sft Knit,679.14,264.86,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Surg Pro 6X6In Hernia Nonabs Sft Knit,658.45,256.8,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Surg Vcl 12X12In Abs Knit Wvn Strl Plgc,7326.59,2857.37,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Surgical 6X8In Phasix Soft Tissue Reconstruction,25820.14,10069.85,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Surgical W7Xl10Cm Sepra Technology Rectangle Phasix,9390.56,3662.32,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Symbotex 15W X 20L Cm,2566.8,1001.05,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Symbotex 20Cm Circle,3097.76,1208.13,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Symbotex 20L X 15W Cm,3139.16,1224.27,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Symbotex Skirt 30 X 20 C Composite,6397.34,2494.96,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Versatex Mono 15X15Cmx1,589.95,230.08,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Mesh Versatex Mono W Marking 20X20Cm Square,691.38,269.64,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Parietene Macroporus Mesh 20X20Cm,270.65,105.55,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Parietene Macroporus Mesh 45Cm X30Cm,1129.7,440.58,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Patch Gore Soft Tissue,10342.56,4033.6,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Patch Pericardial 8X14Cm Xenosure,3068.78,1196.82,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Patch Vntrl 46Cm Comp Sm 1-Bx,1642.54,640.59,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Patch Vntrl 66Cm Comp Med 1-Bx,1983.87,773.71,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Patch Vntrl 86Cm Comp Lg 1-Bx,2534.72,988.54,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Plug Hernia Large Clear,535.25,208.75,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Plug Hernia Medium Clear,485.42,189.31,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - See 108398 Mesh Surg Ptex 15X10Cm Vntrl,2349.45,916.29,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Skirt Stex 25X20Cm (9.8Inx7.9In),5262.98,2052.56,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Tissue Reinforcement 7Cmx10Cm Bio-A,2564.99,1000.35,,,0
HCPCS,C1781,Noncdm Charge Record Medical Supplies - Versatex Mono 15X10Cm X3,421.24,164.28,,,0
HCPCS,C1781,Patch Hemacarotid Heparin Ultr,514.4,200.62,,,0
HCPCS,C1781,Small Grid Mesh Resorb,19858.54,7744.83,,,0
HCPCS,C1781,Sup Mesh (Implantable),12762.78,4977.48,,,0
HCPCS,C1782,Noncdm Charge Record Medical Supplies - Module Cut 125Mm Short Blade Morcellation,1517.31,591.75,,,0
HCPCS,C1782,Noncdm Charge Record Medical Supplies - Module Cut 20Mm Short Blade Morcellation,1517.31,591.75,,,0
HCPCS,C1783,Impl Glaucoma Istent System,7499.61,2924.85,,,0
HCPCS,C1783,Impl Trbclr Mcrstnt Hydrus,7824.6,3051.59,,,0
HCPCS,C1783,Noncdm Charge Record Medical Supplies,8797.54,3431.04,,,0
HCPCS,C1783,Noncdm Charge Record Medical Supplies - I-Stent Inject W,8459.06,3299.03,,,0
HCPCS,C1783,Noncdm Charge Record Medical Supplies - Set Intub Crwfrd Lcrml Sut,547.52,213.53,,,0
HCPCS,C1783,Noncdm Charge Record Medical Supplies - Valve Glaucoma Ahmed Flexible Plate,4833.45,1885.05,,,0
HCPCS,C1783,Ocular Imp Aqueous Drain,3955.77,1542.75,,,0
HCPCS,C1783,Sup Ocular Implant Aqueous Drainage Assist Device,9183.56,3581.59,,,0
HCPCS,C1784,Device Ocular Perfluoron 7Ml,2309.08,900.54,,,0
HCPCS,C1784,Noncdm Charge Record Medical Supplies - Solution Opth Visionblue Trypan Vial 1Ml,388.04,151.34,,,0
HCPCS,C1784,Sup Ocular Device Intraoperative Detached Retina,74348.19,28995.79,,,0
HCPCS,C1785,Noncdm Charge Record Medical Supplies,16917.08,6597.66,,,0
HCPCS,C1785,Noncdm Charge Record Medical Supplies - Chamber Accolade Dr El-Mri Dual,13533.66,5278.13,,,0
HCPCS,C1785,Noncdm Charge Record Medical Supplies - Chamber Accolade Dr-Mri Dual,13013.17,5075.14,,,0
HCPCS,C1785,Noncdm Charge Record Medical Supplies - Implant Pacemaker Dual Chamber Azure Mri Surescan Medtronic,17679.01,6894.81,,,0
HCPCS,C1785,Noncdm Charge Record Medical Supplies - Pacemaker Assurity Mri Dr Rf,16433.73,6409.15,,,0
HCPCS,C1785,Pacemaker Azure Xt Dr Mri,10067.445,3926.305,,,0
HCPCS,C1785,Pacemaker Dr Mri 2 Lead Accola,15267.28,5954.24,,,0
HCPCS,C1785,Pacer Dual Chamber Rr,14385.46,5610.33,,,0
HCPCS,C1785,"Ppm, Dual Chamber, Rate-Respon",31265.28,12193.46,,,0
HCPCS,C1786,Noncdm Charge Record Medical Supplies,61143.66,23846.03,,,0
HCPCS,C1786,Noncdm Charge Record Medical Supplies - Chamber Accolade Sr-Mri Single,12566.97,4901.12,,,0
HCPCS,C1786,Noncdm Charge Record Medical Supplies - Implant Pacemaker Single Chamber Azure Mri Surescan Medtroni,14807.82,5775.05,,,0
HCPCS,C1786,Noncdm Charge Record Medical Supplies - Ipg Sesr01 Sensia Usa Is-1 Sr,9183.56,3581.59,,,0
HCPCS,C1786,Noncdm Charge Record Medical Supplies - Pacemaker Assurity Mri Sr Rf,14500.35,5655.14,,,0
HCPCS,C1786,Noncdm Charge Record Medical Supplies - Pacemaker Cardiac 8 Dr-T Mr Conditional Model Edora,15104.79,5890.87,,,0
HCPCS,C1786,Noncdm Charge Record Medical Supplies - Pacemaker Leadless Micra Av Sy System Kit,59210.28,23092.01,,,0
HCPCS,C1786,Noncdm Charge Record Medical Supplies - Pacemaker Leadless Micra Medtronic Inc,42293.2,16494.35,,,0
HCPCS,C1786,Ppm Micra Pacing System,40748.98,15892.1,,,0
HCPCS,C1786,"Ppm, Sngl Chamber, Rate Rsp",20942.19,8167.45,,,0
HCPCS,C1786,Sup Pacemaker Leadless,63911.25,24925.39,,,0
HCPCS,C1786,Sup Pacemaker Single Chamber Rate Responsive Implantable,45483.08,17738.4,,,0
HCPCS,C1787,Hc Programmer Neuro Interstim,5638.37,2198.96,,,0
HCPCS,C1787,Neuro Stim Programmer,4603.16,1795.23,,,0
HCPCS,C1787,Neuro Stim Programmer Ctrl Dbs,4008.56,1563.34,,,0
HCPCS,C1787,Noncdm Charge Record Medical Supplies,4215.04,1643.865,,,0
HCPCS,C1787,Noncdm Charge Record Medical Supplies - Freelink Remote Cntl Kit Stim Ipg Wavewriter Alpha,3866.76,1508.04,,,0
HCPCS,C1787,Noncdm Charge Record Medical Supplies - Interstim Smart Programerkit,8947.19,3489.4,,,0
HCPCS,C1787,Noncdm Charge Record Medical Supplies - Kit Communication Handset Smart Programer,8597.75,3353.12,,,0
HCPCS,C1787,Noncdm Charge Record Medical Supplies - Programmer Neurostim Activa,391.23,152.58,,,0
HCPCS,C1787,Noncdm Charge Record Medical Supplies - Programmer Neurostim Intstm,8597.75,3353.12,,,0
HCPCS,C1787,Noncdm Charge Record Medical Supplies - Remote Monitor Handheld Inspir Inspire Sleep Bluetooth Enabl,6172.74,2407.37,,,0
HCPCS,C1787,Noncdm Charge Record Medical Supplies - Remote Sleep,6172.74,2407.37,,,0
HCPCS,C1787,Remote Contr Pulse Gen Inspire,6085.8,2373.46,,,0
HCPCS,C1787,Remote Monitor Neuro,5725.62,2232.99,,,0
HCPCS,C1787,Sup Patient Programmer Neurostimulator,142183.81,55451.69,,,0
HCPCS,C1787,Vercise Dbs Remote Control Kit,3390.66,1322.36,,,0
HCPCS,C1788,Cath Powerport Slim Clearvue,1196.46,466.62,,,0
HCPCS,C1788,Hc Port W/Introducer Kit 9.6Fr,1493.5,582.46,,,0
HCPCS,C1788,Noncdm Charge Record Medical Supplies,1707.235,665.8199999999999,,,0
HCPCS,C1788,Noncdm Charge Record Medical Supplies - Implant Port 2Lum Cath 9.5F Interm Tray,2121.75,827.48,,,0
HCPCS,C1788,Noncdm Charge Record Medical Supplies - Implant Port Isp Sgl Lum 8F Sut Plug Chrnflx,1557.68,607.5,,,0
HCPCS,C1788,Noncdm Charge Record Medical Supplies - Implant Port Power Slim W-Sut Ture Plugs Tit 6F,1557.68,607.5,,,0
HCPCS,C1788,Noncdm Charge Record Medical Supplies - Implant Port Sgl Lum 8F Sil Fil Cath,1557.68,607.5,,,0
HCPCS,C1788,Noncdm Charge Record Medical Supplies - Port Implant Infus Powerport Sm Body W Sil Sut Hl,1557.68,607.5,,,0
HCPCS,C1788,Noncdm Charge Record Medical Supplies - Port Implant Infus Slmprt Ti 6Fr 1 Lum Atch,1025.68,400.02,,,0
HCPCS,C1788,Noncdm Charge Record Medical Supplies - Port Implant Powerport 8Fr Isp Mri Infus Atch,2537.82,989.75,,,0
HCPCS,C1788,Noncdm Charge Record Medical Supplies - Port Implant Powerport Body Lg W Sil Sut Hl Infus,1557.68,607.5,,,0
HCPCS,C1788,Noncdm Charge Record Medical Supplies - Port Implant Sgl Lumen Pwr 8F,1235.78,481.95,,,0
HCPCS,C1788,Noncdm Charge Record Medical Supplies - Port Infus Micro Kt Port 6Fr Powerport Intro,1557.68,607.5,,,0
HCPCS,C1788,Port Indwelling Vascular,2278.04,888.44,,,0
HCPCS,C1788,Port Lateral Psr 11Mm,3477.6,1356.26,,,0
HCPCS,C1788,Port Life,1407.6,548.96,,,0
HCPCS,C1788,Port Port-A-Cath,1196.46,466.62,,,0
HCPCS,C1788,Port Poweport Std Ti 8,10819.89,4219.76,,,0
HCPCS,C1788,Port Power Device Mri,1513.17,590.14,,,0
HCPCS,C1788,Port Powerport Kit,1513.17,590.14,,,0
HCPCS,C1788,Port Vascular Access,1712.92,668.04,,,0
HCPCS,C1788,Sup Port Indwelling Implantable,1235.79,481.96,,,0
HCPCS,C1789,Breast Implant Sm 545Cc,4224.87,1647.7,,,0
HCPCS,C1789,Expander Tissue Mentor,3738.42,1457.98,,,0
HCPCS,C1789,Expander Tissue/Breast,5499.99,2145.0,,,0
HCPCS,C1789,Impl Mamm Exp Artoura Hp,8694.0,3390.66,,,0
HCPCS,C1789,Impl Tiss Expand Artoura 650Ml,9128.7,3560.19,,,0
HCPCS,C1789,Noncdm Charge Record Medical Supplies,4350.1,1696.54,,,0
HCPCS,C1789,Noncdm Charge Record Medical Supplies - Expander Naturelle Te Smooth 500Cc,7491.9,2921.84,,,0
HCPCS,C1789,Noncdm Charge Record Medical Supplies - Expander Naturelle Te Smooth 600Cc,7492.0,2921.88,,,0
HCPCS,C1789,Noncdm Charge Record Medical Supplies - Expander Naturelle Te Smooth 700Cc,7492.08,2921.91,,,0
HCPCS,C1789,Noncdm Charge Record Medical Supplies - Implant Breast 200Ml Gel P4 Smth Siltx Round,3504.51,1366.76,,,0
HCPCS,C1789,Noncdm Charge Record Medical Supplies - Implant Breast 215Cc Cls,3504.51,1366.76,,,0
HCPCS,C1789,Noncdm Charge Record Medical Supplies - Implant Breast 325Ml Gel Smth,3504.51,1366.76,,,0
HCPCS,C1789,Noncdm Charge Record Medical Supplies - Implant Breast 450Ml Gel Siltx Smth Sil Round,3504.51,1366.76,,,0
HCPCS,C1789,Noncdm Charge Record Medical Supplies - Implant Breast 450Ml Gel Smth,3504.51,1366.76,,,0
HCPCS,C1789,Noncdm Charge Record Medical Supplies - Implant Breast 485Cc P4.6Cm Dia14Cm Silicone Smooth Round,6404.58,2497.79,,,0
HCPCS,C1789,Noncdm Charge Record Medical Supplies - Implant Breast 650Cc P5.9Cm Dia14.5Cm Silicone Smooth Rd,6404.58,2497.79,,,0
HCPCS,C1789,Noncdm Charge Record Medical Supplies - Implant Breast 700Ml Gel Smth,3504.51,1366.76,,,0
HCPCS,C1789,Noncdm Charge Record Medical Supplies - Implant Tissue Expander Breast 475Cc High Proj Mentor,8941.88,3487.33,,,0
HCPCS,C1789,Noncdm Charge Record Medical Supplies - Inspira Natrelle Smooth Soft 580Cc Ssx,6404.58,2497.79,,,0
HCPCS,C1789,Noncdm Charge Record Medical Supplies - Inspira Natrelle Smooth Soft 615Cc Ssx,6404.58,2497.79,,,0
HCPCS,C1789,Noncdm Charge Record Medical Supplies - Inspira Natrelle Smooth Soft 750Cc Ssx,6404.58,2497.79,,,0
HCPCS,C1789,Noncdm Charge Record Medical Supplies - Inspira Natrelle Smooth Soft 800Cc Ssx,6404.58,2497.79,,,0
HCPCS,C1789,Noncdm Charge Record Medical Supplies - Inspira Natrelle Ssf Smooth Soft Touch 520Cc,6404.58,2497.79,,,0
HCPCS,C1789,Noncdm Charge Record Medical Supplies - Inspira Natrelle Ssf Smooth Soft Touch 560Cc,6404.58,2497.79,,,0
HCPCS,C1789,Noncdm Charge Record Medical Supplies - Inspira Natrelle Ssf Smooth Soft Touch 605Cc,6404.58,2497.79,,,0
HCPCS,C1789,Noncdm Charge Record Medical Supplies - Inspira Natrelle Ssf Smooth Soft Touch 695Cc,6404.58,2497.79,,,0
HCPCS,C1789,Noncdm Charge Record Medical Supplies - Inspira Natrelle Ssm Smooth Moderate 445Cc,6404.58,2497.79,,,0
HCPCS,C1789,Noncdm Charge Record Medical Supplies - Natrelle Inspira Scl 170Cc Bi - Us,6404.58,2497.79,,,0
HCPCS,C1789,Prosthesis Breast,3521.07,1373.22,,,0
HCPCS,C1789,Prosthesis Breast Contour Spec,4891.41,1907.65,,,0
HCPCS,C1789,Prosthesis Breast Mentor 2714/,3521.07,1373.22,,,0
HCPCS,C1789,Sup Prosthesis Breast Implantable,13439.73,5241.49,,,0
HCPCS,C1813,Noncdm Charge Record Medical Supplies,76615.88,29880.195,,,0
HCPCS,C1813,Noncdm Charge Record Medical Supplies - Prosthesis Penile 700Cx 15Cm Precnct Pump,60732.76,23685.78,,,0
HCPCS,C1813,Noncdm Charge Record Medical Supplies - Prosthesis Penile 700Cx 18Cm,75063.38,29274.72,,,0
HCPCS,C1813,Noncdm Charge Record Medical Supplies - Prosthesis Penile Ams 700 Acc Kt,4688.55,1828.53,,,0
HCPCS,C1813,Noncdm Charge Record Medical Supplies - Prosthesis Penile Asmbly Nar,61568.79,24011.83,,,0
HCPCS,C1813,Noncdm Charge Record Medical Supplies - Prosthesis Penile Ttn Otr Pump,82180.55,32050.41,,,0
HCPCS,C1813,Noncdm Charge Record Medical Supplies - Set Cylinder-Pump Infrapubic 11Cm Narrow Base Zero Degree Co,85118.4,33196.18,,,0
HCPCS,C1813,Penile Cylinder Set,27278.46,10638.6,,,0
HCPCS,C1813,Penile Touch Pump,27278.46,10638.6,,,0
HCPCS,C1813,Prostheis Penile Assemb Kit,2673.4,1042.63,,,0
HCPCS,C1813,Prosthesis Penile,37625.36,14673.89,,,0
HCPCS,C1813,Prosthesis Penile Ams 700 Pump,47525.13,18534.8,,,0
HCPCS,C1813,Prosthesis Penile Dura-Ii,32689.44,12748.88,,,0
HCPCS,C1813,Prosthesis Penile Inflatable,31321.17,12215.26,,,0
HCPCS,C1813,Prosthesis Penile Titan,39123.0,15257.97,,,0
HCPCS,C1813,Sup Prosthesis Penile Inflatable,77866.17,30367.81,,,0
HCPCS,C1814,Device Retinal Tamponade,1645.65,641.8,,,0
HCPCS,C1815,Noncdm Charge Record Medical Supplies,90772.6,35401.31,,,0
HCPCS,C1815,Noncdm Charge Record Medical Supplies - Implant Uro A800 Continence Urin Control Sys,90772.6,35401.31,,,0
HCPCS,C1815,Noncdm Charge Record Medical Supplies - System Urin Control Pump Inhbzn,90772.6,35401.31,,,0
HCPCS,C1815,Prosethesis Urinary Sphincter,31495.05,12283.07,,,0
HCPCS,C1815,Prothesis Prs Reg Urinary Sphn,7205.67,2810.21,,,0
HCPCS,C1815,Sup Prosthesis Urinary Sphincter Implantable,90772.6,35401.31,,,0
HCPCS,C1817,Cadioform Occulder,40914.58,15956.69,,,0
HCPCS,C1817,Cath Exchange System Sheath,3421.71,1334.47,,,0
HCPCS,C1817,Device Occluder Cardioform,35432.19,13818.55,,,0
HCPCS,C1817,Noncdm Charge Record Medical Supplies - Amplatzer Patent Foramen Ovale Occluder 18Mm,43477.24,16956.12,,,0
HCPCS,C1817,Noncdm Charge Record Medical Supplies - Amplatzer Pfo Occluder 25-18Mm Talisman,43477.24,16956.12,,,0
HCPCS,C1817,Noncdm Charge Record Medical Supplies - Amplatzer Pfo Occluder 30-25Mm Talisman,43477.24,16956.12,,,0
HCPCS,C1817,Noncdm Charge Record Medical Supplies - Device Closure Laa Amplatzer Amulet 22Mm,93768.93,36569.88,,,0
HCPCS,C1817,Noncdm Charge Record Medical Supplies - Device Closure Laa Amplatzer Amulet 25Mm,93768.93,36569.88,,,0
HCPCS,C1817,Noncdm Charge Record Medical Supplies - Device Closure Laa Amplatzer Amulet 28Mm,93768.93,36569.88,,,0
HCPCS,C1817,Noncdm Charge Record Medical Supplies - Device Closure Laa Amplatzer Amulet 31Mm,93768.93,36569.88,,,0
HCPCS,C1817,Noncdm Charge Record Medical Supplies - Occluder Cv 10Mm Spt Del Sys,32684.26,12746.86,,,0
HCPCS,C1817,Noncdm Charge Record Medical Supplies - Occluder Cv 16Mm Spt Del Sys Amplatz,32684.26,12746.86,,,0
HCPCS,C1817,Noncdm Charge Record Medical Supplies - Occluder Cv 28Mm Spt Del Sys,32684.26,12746.86,,,0
HCPCS,C1817,Noncdm Charge Record Medical Supplies - Occluder Cv 30Mm Spt Del Sys,32684.26,12746.86,,,0
HCPCS,C1817,Noncdm Charge Record Medical Supplies - Occluder Septal Cardioform 25Mm 10Fr,41864.71,16327.24,,,0
HCPCS,C1817,Noncdm Charge Record Medical Supplies - Occluder Septal Cardioform 30Mm 10Fr,45492.39,17742.03,,,0
HCPCS,C1817,Noncdm Charge Record Medical Supplies - Plug Cv 100Cm 5Fr 6Mm Amplatz,3866.76,1508.04,,,0
HCPCS,C1817,Noncdm Charge Record Medical Supplies - Plug Cv 100Cm 5Fr 8Mm Amplatz,4263.16,1662.63,,,0
HCPCS,C1817,Noncdm Charge Record Medical Supplies - Plug Cv 100Cm 6Fr 10Mm Amplatz,5582.79,2177.29,,,0
HCPCS,C1817,Noncdm Charge Record Medical Supplies - Plug Cv 100Cm 6Mm 11Mm,5892.26,2297.98,,,0
HCPCS,C1817,Noncdm Charge Record Medical Supplies - Plug Cv 100Cm 8Fr 12Mm Amplatz,5075.64,1979.5,,,0
HCPCS,C1817,Noncdm Charge Record Medical Supplies - Plug Cv 100Cm 8Fr 16Mm Amplatz,5075.29,1979.36,,,0
HCPCS,C1817,Noncdm Charge Record Medical Supplies - Plug Cv 100Cm 8Mm 13Mm,5712.85,2228.01,,,0
HCPCS,C1817,Noncdm Charge Record Medical Supplies - Plug Cv 10Cm 8Fr 14Mm Amplatz,4263.16,1662.63,,,0
HCPCS,C1817,Noncdm Charge Record Medical Supplies - Septal Occluder 14Mm,32684.26,12746.86,,,0
HCPCS,C1817,Noncdm Charge Record Medical Supplies - Septal Occluder 20Mm,32684.26,12746.86,,,0
HCPCS,C1817,Occluder Asd,10578.74,4125.71,,,0
HCPCS,C1817,Occluder Asd Cardioform,30371.04,11844.71,,,0
HCPCS,C1817,Occluder Cribriform,30559.41,11918.17,,,0
HCPCS,C1817,Occluder Duct Ii 4Mm X 10Mm,21027.06,8200.55,,,0
HCPCS,C1817,Occluder Ductal,8790.25,3428.2,,,0
HCPCS,C1817,Pfo Occluder,41296.5,16105.64,,,0
HCPCS,C1817,Plug Cardiovascular,4022.01,1568.58,,,0
HCPCS,C1817,Plug Vascular Amplatzer,5178.1,2019.46,,,0
HCPCS,C1817,Septal Cardioform Occlud,40914.58,15956.69,,,0
HCPCS,C1817,Septal Occluder,30559.41,11918.17,,,0
HCPCS,C1817,Sup Septal Defect Implant System Intracardiac,36040.77,14055.9,,,0
HCPCS,C1817,Vascular Plug,3105.0,1210.95,,,0
HCPCS,C1819,Hc Ndl Loc W Wire Any,145.99,56.94,,,0
HCPCS,C1819,Noncdm Charge Record Medical Supplies,82.8,32.29,,,0
HCPCS,C1819,Noncdm Charge Record Medical Supplies - Device Endoskeleton 7Mm Med,5195.7,2026.32,,,0
HCPCS,C1819,Noncdm Charge Record Medical Supplies - Needle Loc 10Cm 20Ga Hwk3,242.08,94.41,,,0
HCPCS,C1819,Noncdm Charge Record Medical Supplies - Needle Loc 14Cm 20Ga Ghiatas Beaded Wire,190.44,74.27,,,0
HCPCS,C1819,Noncdm Charge Record Medical Supplies - Needle Loc 57Mm 20Ga Dualok,75.56,29.47,,,0
HCPCS,C1819,Noncdm Charge Record Medical Supplies - Needle Loc 5Cm 20Ga Hwk3,227.7,88.8,,,0
HCPCS,C1819,Noncdm Charge Record Medical Supplies - Needle Loc 5Cmx20Ga Ghiatas Bard Peripheral,80.73,31.48,,,0
HCPCS,C1819,Noncdm Charge Record Medical Supplies - Needle Loc 7.5Cm 20Ga Hwk3,227.7,88.8,,,0
HCPCS,C1819,Noncdm Charge Record Medical Supplies - Needle Loc 7.5Cmx20Ga Ghiatas Bard Peripheral,80.73,31.48,,,0
HCPCS,C1819,Noncdm Charge Record Medical Supplies - Needle Loc 9Cmx20Ga Ghiatas Bard Peripheral,80.73,31.48,,,0
HCPCS,C1819,Noncdm Charge Record Medical Supplies - Needle Localization Spring Hook 20G 5Cm A Tip Cook Medical,121.1,47.23,,,0
HCPCS,C1819,Noncdm Charge Record Medical Supplies - Needle Localization Spring Hook 20G 7Cm A Tip Cook Medical,121.1,47.23,,,0
HCPCS,C1819,Noncdm Charge Record Medical Supplies - Needle Localization Spring Hook 20G 9Cm A Tip Cook Medcial,121.1,47.23,,,0
HCPCS,C1819,Noncdm Charge Record Medical Supplies - See 142405 Marker 14Ga 5 Rgd Ndl Starhmark Tissue,303.26,118.27,,,0
HCPCS,C1819,Preop Wire Placement,738.99,288.21,,,0
HCPCS,C1820,Generator Neuro Rechg Bat Sys,64273.5,25066.66,,,0
HCPCS,C1820,Generator Neurostimulator,97997.94,38219.2,,,0
HCPCS,C1820,Kit Generator Recharg Pulse,81599.4,31823.77,,,0
HCPCS,C1820,Noncdm Charge Record Medical Supplies,62357.19499999999,24319.305,,,0
HCPCS,C1820,Noncdm Charge Record Medical Supplies - Battery Intellis Neurostim,90270.51,35205.5,,,0
HCPCS,C1820,Noncdm Charge Record Medical Supplies - Kit Neurostim Surg Intellis Pack 1 Kit,73545.03,28682.56,,,0
HCPCS,C1820,Noncdm Charge Record Medical Supplies - Wavewriter Alpha 16 Pulse Generator,83429.99,32537.7,,,0
HCPCS,C1820,Noncdm Charge Record Medical Supplies - Wavewriter Implantable Pulse Generator (Ipg),84585.38,32988.3,,,0
HCPCS,C1820,Percept Rc Dbs,109917.0,42867.63,,,0
HCPCS,C1820,Recharge Sys Rs6230 Percept,8450.78,3295.8,,,0
HCPCS,C1820,Sup Generator Neurostimulator W Battery W Recharging System,105116.67,40995.5,,,0
HCPCS,C1821,Noncdm Charge Record Medical Supplies,1037.07,404.46,,,0
HCPCS,C1821,Noncdm Charge Record Medical Supplies - End Cap For Rfna - 0Mm Sterile,1010.09,393.94,,,0
HCPCS,C1821,Noncdm Charge Record Medical Supplies - End Cap- 0Mm- Sterile,1059.84,413.34,,,0
HCPCS,C1821,Noncdm Charge Record Medical Supplies - End Cap- 10Mm- Sterile,1007.06,392.75,,,0
HCPCS,C1821,Noncdm Charge Record Medical Supplies - End Cap- 15Mm- Sterile,1147.82,447.65,,,0
HCPCS,C1821,Noncdm Charge Record Medical Supplies - End Cap- 5Mm- Sterile,1147.82,447.65,,,0
HCPCS,C1821,Noncdm Charge Record Medical Supplies - Endcap Lck Screw,397.44,155.0,,,0
HCPCS,C1821,Noncdm Charge Record Medical Supplies - Endcap Spnl Ti Lok Scr Mini X-Cor,397.44,155.0,,,0
HCPCS,C1821,Noncdm Charge Record Medical Supplies - Endcap Spnl W15Xl12Mm Cor Dia12Mm 7Deg Btm Lord For Mini,4833.45,1885.05,,,0
HCPCS,C1821,Noncdm Charge Record Medical Supplies - Endcap Spnl W15Xl12Mm Cor Dia12Mm 7Deg Top Lord For Mini,4833.45,1885.05,,,0
HCPCS,C1821,Noncdm Charge Record Medical Supplies - Endcap Spnl W15Xl12Mm Cor Dia12Mm Para For Mini Vbr Sys,4833.45,1885.05,,,0
HCPCS,C1821,Noncdm Charge Record Medical Supplies - Endcap Spnl W17Xl14Mm Cor Dia14Mm 4Deg Ang Top Kyphotic,4833.45,1885.05,,,0
HCPCS,C1821,Noncdm Charge Record Medical Supplies - Endcap Spnl W17Xl14Mm Cor Dia14Mm Ang Btm Para For Mini,4833.45,1885.05,,,0
HCPCS,C1821,Noncdm Charge Record Medical Supplies - Endcap Spnl W19Xl16Mm Cor Dia14Mm Para For Mini Vbr Sys,4833.45,1885.05,,,0
HCPCS,C1821,Noncdm Charge Record Medical Supplies - Implant Coflex 10Mm Interlaminar,26100.63,10179.25,,,0
HCPCS,C1821,Noncdm Charge Record Medical Supplies - Implant Coflex 12Mm Interlaminar,26100.63,10179.25,,,0
HCPCS,C1821,Noncdm Charge Record Medical Supplies - Implant Coflex 14Mm Interlaminar,26100.63,10179.25,,,0
HCPCS,C1821,Noncdm Charge Record Medical Supplies - Implant Coflex 16Mm Interlaminar,26100.63,10179.25,,,0
HCPCS,C1821,Noncdm Charge Record Medical Supplies - Kit Spnl Cage 8X38X28Mm 4Deg Med Lat Lum If Ti Lord Self,29788.34,11617.45,,,0
HCPCS,C1821,Sup Interspinous Process Distraction Device (Implantable),26100.63,10179.25,,,0
HCPCS,C1822,Nervo Ipg Kit 2500 Senza,88708.82,34596.44,,,0
HCPCS,C1822,Noncdm Charge Record Medical Supplies,4409.1,1719.55,,,0
HCPCS,C1822,Noncdm Charge Record Medical Supplies - Generator Pulse Senza Spinal Cord Stimulation System Nervo,108752.62,42413.52,,,0
HCPCS,C1822,Sup Generator Neurostimulator High Freq Rechg Bat,108772.69,42421.35,,,0
HCPCS,C1822,System Recharger Dbs,6717.15,2619.69,,,0
HCPCS,C1823,Noncdm Charge Record Medical Supplies,154670.4,60321.46,,,0
HCPCS,C1823,Noncdm Charge Record Medical Supplies - Remede Implantable Pulse Generator (Ipg),166754.02,65034.07,,,0
HCPCS,C1823,Sup Generator Neurostimulator Implantable Nonrechg Trans Sen/Stim,169170.75,65976.59,,,0
HCPCS,C1824,Noncdm Charge Record Medical Supplies - Optimizer Smart Mini Pulse Gen Implantable Heart Fail System,125669.7,49011.18,,,0
HCPCS,C1825,Generator Barostim Neuostim,167670.0,65391.3,,,0
HCPCS,C1825,Noncdm Charge Record Medical Supplies,169170.75,65976.59,,,0
HCPCS,C1825,Sup Generator Neuro Nonrech Carotid Sinus Baro,170862.46,66636.36,,,0
HCPCS,C1826,Inceptiv Generator Recharge,76383.0,29789.37,,,0
HCPCS,C1830,Noncdm Charge Record Medical Supplies,1706.2,665.4200000000001,,,0
HCPCS,C1830,Oncontrol Coaxial Tray,1834.02,715.27,,,0
HCPCS,C1830,Tray Oncontrol Coaxia,1835.06,715.67,,,0
HCPCS,C1874,Aero Bronch Stent,10215.45,3984.03,,,0
HCPCS,C1874,Balloon Expandable Endopros,16158.42,6301.78,,,0
HCPCS,C1874,Endopros Viabahn Vbx Blln Exp,15324.21,5976.4400000000005,,,0
HCPCS,C1874,Endoprosthesis Entender,14145.34,5516.68,,,0
HCPCS,C1874,Endoprosthesis Stent Iliac,41198.18,16067.29,,,0
HCPCS,C1874,Graft Endo Excl Aa Trnk,47092.5,18366.08,,,0
HCPCS,C1874,Graft Endopros (Vbjr070502A),13896.94,5419.81,,,0
HCPCS,C1874,Graft Endopros Sheath,24634.04,9607.28,,,0
HCPCS,C1874,Graft Endoprost Vbhr091502A,20678.26,8064.52,,,0
HCPCS,C1874,Graft Endoprosthesis Stent Aaa,18764.55,7318.17,,,0
HCPCS,C1874,Graft Excluder Aaa Gore C3,40527.5,15805.72,,,0
HCPCS,C1874,Graft Excluder Iliac,13536.76,5279.34,,,0
HCPCS,C1874,Graft Tag Thoracic Tgm262610,65714.22,25628.55,,,0
HCPCS,C1874,Grf Leg Excludeer Ext,19374.16,7555.92,,,0
HCPCS,C1874,Grft Stent Endurant Ii Limb,23376.51,9116.84,,,0
HCPCS,C1874,Grft Stent Enudurant Ii,31242.51,12184.58,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies,5236.24,2042.1350000000002,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Balloon 8Mmx16Mmx59Mmx135Cm Cath Viabahn Bx,13421.19,5234.26,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Balloon 8Mmx16Mmx79Mmx135Cm Cath Viabahn Bx,15295.23,5965.14,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Balloon Cath 10Mmx29Mmx135Cm Viabahn Bx,15075.81,5879.57,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Balloon Cath 10Mmx39Mmx135Cm Viabahn Bx,14803.86,5773.51,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Balloon Cath 10Mmx59Mmx135Cm Viabahn Bx,13988.02,5455.33,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Balloon Cath 11Mmx29Mmx135Cm Viabahn Bx,14858.25,5794.72,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Balloon Cath 11Mmx39Mmx135Cm Viabahn Bx,15075.6,5879.48,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Balloon Cath 11Mmx59Mmx135Cm Viabahn Bx,14713.04,5738.09,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Balloon Cath 11Mmx79Mmx135Cm Viabahn Bx,15663.17,6108.64,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Balloon Cath 5Mmx29Mmx135Cm Viabahn Bx,13644.4,5321.32,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Balloon Cath 6Mmx19Mmx135Cm Viabahn Bx,12803.98,4993.55,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Balloon Cath 6Mmx29Mmx135Cm Viabahn Bx,13619.82,5311.73,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Balloon Cath 6Mmx39Mmx135Cm Viabahn Bx,14259.97,5561.39,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Balloon Cath 7Mmx19Mmx135Cm Viabahn Bx,12245.81,4775.87,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Balloon Cath 7Mmx29Mmx135Cm Viabahn Bx,14901.52,5811.59,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Balloon Cath 7Mmx39Mmx135Cm Viabahn Bx,14657.35,5716.37,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Balloon Cath 7Mmx59Mmx135Cm Viabahn Bx,14531.92,5667.45,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Balloon Cath 8Mmx29Mmx135Cm Viabahn Bx,14779.09,5763.85,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Balloon Cath 8Mmx39Mmx135Cm Viabahn Bx,14779.0,5763.81,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Balloon Cath 8Mmx59Mmx135Cm Viabahn Bx,14749.47,5752.29,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Balloon Cath 8Mmx79Mmx135Cm Viabahn Bx,16767.0,6539.13,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Balloon Cath 9Mmx29Mmx135Cm Viabahn Bx,13752.04,5363.3,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Balloon Cath 9Mmx39Mmx135Cm Viabahn Bx,13752.04,5363.3,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.00 X 08Rx,3021.16,1178.25,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.00 X 12Rx,2903.69,1132.44,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.00 X 15Rx,2903.69,1132.44,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.00 X 18Rx,2668.75,1040.81,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.00 X 22Rx,2786.22,1086.63,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.00 X 26Rx,2864.53,1117.17,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.00 X 30Rx,2707.9,1056.08,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.25 X 08Rx,2934.96,1144.63,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.25 X 12Rx,2798.86,1091.56,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.25 X 15Rx,2779.8,1084.12,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.25 X 18Rx,2832.6,1104.71,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.25 X 26Rx,2820.03,1099.81,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.25 X 30Rx,2719.46,1060.59,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.25 X 34Rx,2762.56,1077.4,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.25 X 38Rx,2809.97,1095.89,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.50 X 08Rx,2762.56,1077.4,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.50 X 12Rx,2794.86,1090.0,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.50 X 15Rx,2771.46,1080.87,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.50 X 18Rx,2809.44,1095.68,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.50 X 22Rx,2796.17,1090.51,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.50 X 26Rx,2879.94,1123.18,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.50 X 30Rx,2800.41,1092.16,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.50 X 34Rx,2860.26,1115.5,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.50 X 38Rx,2823.87,1101.31,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.75 X 08Rx,2417.76,942.93,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.75 X 12Rx,2685.94,1047.52,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.75 X 15Rx,2870.31,1119.42,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.75 X 18Rx,2911.46,1135.47,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.75 X 22Rx,2772.7,1081.35,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.75 X 26Rx,2950.18,1150.57,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.75 X 30Rx,2848.76,1111.02,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.75 X 34Rx,2920.6,1139.03,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 2.75 X 38Rx,2750.67,1072.76,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 3.00 X 08Rx,2879.19,1122.88,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 3.00 X 12Rx,2799.51,1091.81,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 3.00 X 15Rx,2797.99,1091.22,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 3.00 X 18Rx,2762.56,1077.4,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 3.00 X 22Rx,2807.54,1094.94,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 3.00 X 26Rx,2799.89,1091.96,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 3.00 X 30Rx,2825.47,1101.93,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 3.00 X 34Rx,2870.31,1119.42,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 3.00 X 38Rx,2782.05,1085.0,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 3.50 X 08Rx,2737.15,1067.49,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 3.50 X 12Rx,2884.91,1125.11,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 3.50 X 15Rx,2783.19,1085.44,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 3.50 X 18Rx,2772.14,1081.13,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 3.50 X 22Rx,2795.8,1090.36,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 3.50 X 26Rx,2784.39,1085.91,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 3.50 X 30Rx,2826.22,1102.23,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 3.50 X 34Rx,2828.08,1102.95,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 3.50 X 38Rx,2801.36,1092.53,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 4.00 X 08Rx,2820.03,1099.81,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 4.00 X 12Rx,2708.29,1056.23,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 4.00 X 15Rx,2754.27,1074.17,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 4.00 X 18Rx,2810.67,1096.16,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 4.00 X 22Rx,2784.11,1085.8,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 4.00 X 26Rx,2845.98,1109.93,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 4.00 X 30Rx,2776.03,1082.65,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 4.00 X 34Rx,2848.76,1111.02,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 4.00 X 38Rx,2856.55,1114.05,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 4.50 X 12Rx,2820.03,1099.81,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 4.50 X 15Rx,2794.89,1090.01,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 4.50 X 18Rx,3021.16,1178.25,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 4.50 X 22Rx,2769.75,1080.2,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 4.50 X 26Rx,2835.5,1105.84,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 4.50 X 30Rx,2659.12,1037.06,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 5.00 X 12Rx,2794.89,1090.01,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 5.00 X 15Rx,2779.8,1084.12,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 5.00 X 18Rx,3021.16,1178.25,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 5.00 X 22Rx,2820.03,1099.81,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 5.00 X 26Rx,2719.46,1060.59,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 5.00 X 30Rx,2934.96,1144.63,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 5Mm X 18Mm,62182.8,24251.29,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Endoprosthesis Cnfrm Thor40-15 Tag 40Mmx15Cm,73077.21,28500.11,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Graft Endopro 16Fr 24Mmx56Mm Aaa,15819.98,6169.79,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Graft Endopro 16Fr 24Mmx74Mm Aaa W.L. Gore And Associates,17327.97,6757.91,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Graft Endoprosthesis L5Cm D 11Mm L 120Cm Sheath 10Fr,14756.77,5755.14,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Graft Endoprosthesis L5Cm D 13Mm L 120Cm Sheath 10Fr,14757.03,5755.24,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Graft Endovasc 18F 32Mmx155Mm Aaa Thoracic Proximal Componen,77166.5,30094.94,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Graft Endovasc 18F 34Mmx209Mm Aaa Thoracic Proximal Componen,77033.5,30043.06,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Graft Endovasc 18F 38Mmx217Mm Aaa Thoracic Proximal Componen,77166.5,30094.94,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Graft Endovasc 18F 40Mmx167Mm Aaa Thoracic Proximal Componen,77166.5,30094.94,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Graft Endovasc Aa Thora Prox Comp Zenith Alpha 18F 36Mmx113,77166.5,30094.94,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Graft Endovasc G38191 Proximal Tapered Alpha Thorac,76767.5,29939.32,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Graft Endovasc G38208 Proximal Tapered Alpha Thorac,77166.5,30094.94,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Graft Endovascular 30Mmx34Mm Straight Zenith Cook Medical,74348.19,28995.79,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Graft Endovascular L74Mm D16Mm Mmsheath Od5.4Mm Id4.7Mm,19537.41,7619.59,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Graft Endovascular Zenith 12X28X106 Bifurcated Cook Medical,17922.06,6989.6,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Graft Endovascular Zenith 12X28X76 Bifurcated Cook Medical,18065.58,7045.58,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Graft Endovascular Zenith 12X28X91 Bifurcated Cook Medical,18209.1,7101.55,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Graft Endovascular Zenith 28X124 Proximal Cook Medical,53167.95,20735.5,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Graft Endovascular Zenith 30X124 Proximal Cook Medical,53167.95,20735.5,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Graft Endovascular Zenith 32X124 Proximal Cook Medical,53167.95,20735.5,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Graft Endovascular Zenith 34X137 Proximal Cook Medical,53167.95,20735.5,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Graft Limb 2Sle-13-74-2T,18346.67,7155.2,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Shockwave Coronary Ivl C2 Balloon 4.0X12Mm,20722.77,8081.88,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Balloon Artium 6Mmx38Mmx80Cm Covered Icast Atrium Medi,12446.22,4854.03,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Balloon Artium 7Mmx38Mmx80Cm Covered Icast Atrium Medi,11911.82,4645.61,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Bil 8.5Fr 3.2 80Mm Flly,9959.8,3884.32,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Biliary 10Mmx10Cmx40Cm Viabil Percutaneous Gore,14271.2,5565.77,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Biliary 10Mmx6Cmx40Cm Percutaneous Gore,14437.56,5630.65,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Biliary Axios 20Mm,29154.92,11370.42,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Biliary Percutaneous 10Mmx8Cmx40Cm Viabil Gore,14368.21,5603.6,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Coronary 3.50 X 12Mm Synergy Megatron,4833.45,1885.05,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Coronary 3.50 X 16Mm Synergy Megatron,4833.45,1885.05,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Coronary 3.50 X 20Mm Synergy Megatron,4833.45,1885.05,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Coronary 3.50 X 24Mm Synergy Megatron,5155.68,2010.72,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Coronary 3.50 X 32Mm Synergy Megatron,5316.8,2073.55,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Coronary 4.00 X 12Mm Synergy Megatron,5800.14,2262.05,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Coronary 4.00 X 24Mm Synergy Megatron,4833.45,1885.05,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Coronary 5.00 X 12Mm Synergy Megatron,4833.45,1885.05,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Coronary 5.00 X 16Mm Synergy Megatron,5316.8,2073.55,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Coronary Rapid Exhange 5.00 Mm X 15 Mm,1880.6,733.43,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Coronary Resolute Onyx Rx 3.5 X 12Mm Medtronic Inc,2417.76,942.93,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Coronary Resolute Onyx Rx 5.0 X 30Mm Medtronic Inc,3021.16,1178.25,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 2.25X16Mm,4350.1,1696.54,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 2.25X24Mm,3866.76,1508.04,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 2.25X28Mm,3383.42,1319.53,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 2.25X38Mm,4188.99,1633.71,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 2.50X12Mm,3705.64,1445.2,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 2.50X16Mm,3637.81,1418.75,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 2.50X20Mm,3716.86,1449.58,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 2.50X24Mm,3606.5,1406.54,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 2.50X28Mm,3866.76,1508.04,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 2.50X32Mm,3786.2,1476.62,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 2.50X38Mm,3718.04,1450.04,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 2.50X48Mm,5270.02,2055.31,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 2.75X20Mm,4350.1,1696.54,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 2.75X28Mm,3705.64,1445.2,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 2.75X48Mm,4833.45,1885.05,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 3.00X12Mm,3813.05,1487.09,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 3.00X16Mm,3603.12,1405.22,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 3.00X20Mm,3755.22,1464.54,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 3.00X24Mm,3698.64,1442.47,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 3.00X28Mm,3626.18,1414.21,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 3.00X32Mm,3886.09,1515.58,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 3.00X38Mm,3842.99,1498.77,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 3.00X48Mm,5223.52,2037.17,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 3.00X8Mm,3383.42,1319.53,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 3.50X12Mm,3480.08,1357.23,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 3.50X16Mm,3848.86,1501.06,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 3.50X20Mm,3714.85,1448.79,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 3.50X24Mm,3650.09,1423.54,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 3.50X28Mm,3608.98,1407.5,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 3.50X32Mm,3673.42,1432.63,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 3.50X38Mm,3802.31,1482.9,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 3.50X48Mm,5118.5,1996.22,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 3.50X8Mm,3866.76,1508.04,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 4.00X12Mm,3647.06,1422.35,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 4.00X16Mm,3562.43,1389.35,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 4.00X20Mm,3737.87,1457.77,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 4.00X24Mm,3866.76,1508.04,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 4.00X28Mm,3728.66,1454.18,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 4.00X32Mm,3625.09,1413.79,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 4.00X38Mm,3866.76,1508.04,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 4.00X48Mm,5195.96,2026.42,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 4.00X8Mm,4350.1,1696.54,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 4.50X12Mm,3383.42,1319.53,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 4.50X20Mm,3866.76,1508.04,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 4.50X24Mm,4350.1,1696.54,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 4.50X32Mm,4027.87,1570.87,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 5.00X16Mm,4350.1,1696.54,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 2.25 Mm X 12 Mm,3383.42,1319.53,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 2.25 Mm X 15 Mm,3383.42,1319.53,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 2.25 Mm X 18 Mm,2632.0,1026.48,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 2.25 Mm X 23 Mm,2949.58,1150.34,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 2.25 Mm X 33 Mm,3383.42,1319.53,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 2.25 Mm X 38 Mm,2849.7,1111.38,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 2.50 Mm X 12 Mm,2149.0,838.11,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 2.50 Mm X 15 Mm,3168.73,1235.8,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 2.50 Mm X 18 Mm,2916.03,1137.25,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 2.50 Mm X 23 Mm,2943.33,1147.9,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 2.50 Mm X 28 Mm,2949.58,1150.34,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 2.50 Mm X 33 Mm,2949.58,1150.34,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 2.50 Mm X 38 Mm,3109.54,1212.72,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 2.50 Mm X 8 Mm,3383.42,1319.53,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 2.75 Mm X 15 Mm,3383.42,1319.53,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 2.75 Mm X 18 Mm,2882.48,1124.17,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 2.75 Mm X 23 Mm,2632.0,1026.48,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 2.75 Mm X 38 Mm,2954.04,1152.08,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 3.00 Mm X 12 Mm,2882.48,1124.17,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 3.00 Mm X 15 Mm,3011.55,1174.5,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 3.00 Mm X 18 Mm,2807.8,1095.04,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 3.00 Mm X 23 Mm,3083.07,1202.4,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 3.00 Mm X 28 Mm,3054.95,1191.43,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 3.00 Mm X 33 Mm,3132.94,1221.85,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 3.00 Mm X 38 Mm,2862.99,1116.57,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 3.25 Mm X 12 Mm,3383.42,1319.53,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 3.25 Mm X 18 Mm,3383.42,1319.53,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 3.25 Mm X 23 Mm,3016.68,1176.51,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 3.50 Mm X 12 Mm,3163.37,1233.71,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 3.50 Mm X 15 Mm,2973.56,1159.69,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 3.50 Mm X 18 Mm,2904.21,1132.64,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 3.50 Mm X 23 Mm,2865.37,1117.49,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 3.50 Mm X 28 Mm,3215.09,1253.89,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 3.50 Mm X 33 Mm,3061.38,1193.94,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Xience Skyp 3.50 Mm X 8 Mm,2833.31,1104.99,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Eluvia 6Mmx100Mmx130 Cm,15549.43,6064.28,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Eluvia 6Mmx120 Mmx130 Cm,12473.97,4864.85,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Eluvia 6Mmx150 Mmx130Cm,18542.57,7231.6,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Eluvia 6Mmx40Mmx130Cm,9643.09,3760.81,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Eluvia 6Mmx60Mmx130Cm,11093.13,4326.32,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Eluvia 6Mmx80Mmx130Cm,11044.48,4307.35,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Eluvia 7Mmx100Mmx130Cm,12543.16,4891.83,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Eluvia 7Mmx120Mmx130Cm,15351.33,5987.02,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Eluvia 7Mmx15 Mmx130Cm,20284.53,7910.97,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Eluvia 7Mmx80Mmx130Cm,12543.16,4891.83,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Endopros 10Mm 8Cm 2Cm,26240.12,10233.65,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Endopros 8-10Mm 6Cm Graft Ln,27284.07,10640.79,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Endoprosthesis Viabahn Hep 11Mmdx10Cmx120Cm,15617.12,6090.68,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Endoprosthesis W-Heparin 0.035 8Fr 120Cml,14372.53,5605.29,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Endoprosthesis W-Heparin 0.035In Av Access Superficial,16564.14,6460.01,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Endoprosthesis W-Heparin 035In 8F 9Mmx10Cm 120Cm,15853.87,6183.01,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Endoprosthesis W-Heparin 035In 8F 9Mmx5Cm 120Cm,14468.65,5642.77,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Endovascular L29Mm Dia8- 16Mm Catheter L80Cm,14350.62,5596.74,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Esoph 28-28Mm 12Cm 23Mm,12695.31,4951.17,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Gi Cath 10.8Fr L138Cm Total L146Cm Flange Dia24Mm,26504.28,10336.67,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Graft 20F 31Mmx31Mmx15Cm Conformable Thoracic W-Active,97438.0,38000.82,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Graft 22F 37Mmx37Mmx15Cm Conformable Thoracic W-Active,97438.0,38000.82,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Icast 5Mmx38Mm 120Cm,12445.88,4853.89,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Intercranial 4.0Mm D 30Mm L Codman And Shurtleff,5624.19,2193.43,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Intercranial 4.0Mm D 39Mm L Codman And Shurtleff,15944.18,6218.23,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Intercranial 4.5Mm D 22Mm L Codman And Shurtleff,5624.19,2193.43,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Onyxng22522Ux Onyx 2.25X22Rx,2769.75,1080.2,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Otw 19Mm 100Mm Espoph Fully Cover,11177.35,4359.17,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Otw 19Mm 150Mm Espoph Fully Cover,12083.62,4712.61,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Otw 19Mm 70Mm Espoph Fully Cover,10633.59,4147.1,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Otw 23Mm 100Mm Espoph Fully Cover,11358.61,4429.86,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Otw 23Mm 120Mm Espoph Fully Cover,10996.1,4288.48,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Otw 23Mm 150Mm Espoph Fully Cover,11462.18,4470.25,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Otw 23Mm 70Mm Espoph Fully Cover,10633.59,4147.1,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Peripheral L140Mm Dia6Mm Catheter L125Cm Sheath 6Fr,11576.48,4514.83,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Peripheral L140Mm Dia7Mm Catheter L125Cm Sheath 6Fr,11576.48,4514.83,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Peripheral L80Mm Dia6Mm,8676.41,3383.8,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Trachbr 10Mm 7Fr 38Mm 120Cm .035In,13441.66,5242.25,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Trachbr 5Mm 6Fr 22Mm,12156.08,4740.87,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Trachbr 5Mm 7Fr 16Mm,11648.92,4543.08,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Trachbr 6Mm 6Fr 16Mm,11648.92,4543.08,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Trachbr 6Mm 6Fr 22Mm,13132.08,5121.51,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Trachbr 6Mm 6Fr 38Mm,12943.71,5048.05,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Trachbr 6Mm 7Fr 59Mm,11911.82,4645.61,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Trachbr 7Mm 7Fr 22Mm,13132.42,5121.64,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Trachbr 7Mm 7Fr 38Mm,13242.62,5164.62,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Trachbr 7Mm 7Fr 59Mm,13412.98,5231.06,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Trachbr 8Mm 7Fr 38Mm,13441.85,5242.32,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Trachbr 8Mm 7Fr 59Mm,14447.15,5634.39,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Trachbr 9Mm 7Fr 38Mm,13441.66,5242.25,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Trachbr 9Mm 7Fr 59Mm,14485.86,5649.49,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Vasc 035In 6F 7Mmx40Mm 130Cm,13993.1,5457.31,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Vasc 035In 6F 7Mmx60Mm 130Cm,11093.13,4326.32,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Vasc 5Mm 5Cm 120Cm .018In Endopros Del,15452.55,6026.49,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Vasc 6Mm 10Cm 120Cm,17105.44,6671.12,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Vasc 6Mm 15Cm 120Cm .018In Endopros Del,19108.17,7452.19,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Vasc 6Mm 2.5Cm 120Cm .018In Endopros Del,15452.55,6026.49,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Vasc 6Mm 25Cm 120Cm .018In Endopros Del,31630.12,12335.75,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Vasc 7Mm 10Cm 120Cm .018In Endopros Del,16938.64,6606.07,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Vasc 7Mm 15Cm 120Cm .018In Endopros Del,19108.17,7452.19,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Vasc 7Mm 2.5Cm 120Cm .018In Endopros Del,14971.79,5839.0,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Vasc 7Mm 5Cm 120Cm,15345.71,5984.83,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Vasc 7Mm 5Cm 120Cm .035In Endopros,12387.92,4831.29,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Vasc 8Mm 15Cm 120Cm .018In Endopros Del,19377.27,7557.14,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Vasc 8Mm 5Cm 120Cm .018In Endopros Del,15292.3,5964.0,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Vascular 6Mm 5Cm 120Cm .018 Endoprosthesis,15356.4,5989.0,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Vascular 8Mm 10Cm 120Cm .018 Endoprosthesis W.L. Gore,16819.49,6559.6,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Viabahn Endoprosthesis 10X10X120 W.L. Gore And Associa,15617.12,6090.68,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Stent Viabahn Hep 8X5X120,14500.69,5655.27,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - System Stent Bil Wallflex,9959.8,3884.32,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Tag Conform Thoracic Sg Ac 18Mmx28Mmx10Cm 20F,97438.0,38000.82,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Tag Conform Thoracic Sg Ac 31M 31Mmx31Mmx10Cm 20F,97437.49,38000.62,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Tag Conform Thoracic Sg Ac 40Mmx40Mmx15Cm 22F,97437.75,38000.72,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Tag Conform Thoracic Sg Ac 45M 45Mmx45Mmx15Cm 24F,97438.0,38000.82,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Wallflex Fully Covered 10X40,15343.88,5984.11,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Wallflex Fully Covered 10X60,15343.88,5984.11,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Wallstent Fully Covered 10X80,15343.88,5984.11,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Xience Skypoint Coronary Stent 3.50 Mm X 38 Mm,2656.53,1036.05,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Xience Skypoint Coronary Stent 4.00 Mm X 12 Mm,3383.42,1319.53,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Xience Skypoint Coronary Stent 4.00 Mm X 15 Mm,3168.73,1235.8,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Xience Skypoint Coronary Stent 4.00 Mm X 18 Mm,2910.14,1134.95,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Xience Skypoint Coronary Stent 4.00 Mm X 23 Mm,2947.74,1149.62,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Xience Skypoint Coronary Stent 4.00 Mm X 28 Mm,3036.34,1184.17,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Xience Skypoint Coronary Stent 4.00 Mm X 33 Mm,3094.19,1206.73,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Xience Skypoint Coronary Stent 4.00 Mm X 38 Mm,3383.42,1319.53,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Xience Skypoint Coronary Stent 4.50 Mm X 18 Mm,3383.42,1319.53,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Xience Skypoint Coronary Stent 4.50 Mm X 23 Mm,2283.21,890.45,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Xience Skypoint Coronary Stent 4.50 Mm X 33 Mm,1880.6,733.43,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Xience Skypoint Coronary Stent 5.00 Mm X 23 Mm,1880.6,733.43,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Xience Skypoint Coronary Stent 5.00 Mm X 28 Mm,3383.42,1319.53,,,0
HCPCS,C1874,Noncdm Charge Record Medical Supplies - Xience Skypoint Coronary Stent 5.00 Mm X 33 Mm,3383.42,1319.53,,,0
HCPCS,C1874,Sten Esop 20Mmx8Cm F Cov,10215.45,3984.03,,,0
HCPCS,C1874,Stent Airway,10629.45,4145.49,,,0
HCPCS,C1874,Stent Axios 138Cm 20X10Mm,28876.5,11261.84,,,0
HCPCS,C1874,Stent Biliary Shortwire Conmed,10650.15,4153.56,,,0
HCPCS,C1874,Stent Catheter Resl 651-700,3013.92,1175.43,,,0
HCPCS,C1874,Stent Catheter Resl 701-750,3152.61,1229.52,,,0
HCPCS,C1874,Stent Catheter Resolute Onyx,3013.92,1175.43,,,0
HCPCS,C1874,Stent Coated/Cov W/Del Sys,12673.58,4942.7,,,0
HCPCS,C1874,Stent Drug Eluting,4361.49,1700.98,,,0
HCPCS,C1874,Stent Esoph Tts Taewoong,10125.84,3949.08,,,0
HCPCS,C1874,Stent Esophageal,10215.45,3984.03,,,0
HCPCS,C1874,Stent Esophageal 20Mmx10Cm,10215.45,3984.03,,,0
HCPCS,C1874,Stent Esophogeal Endomaxx,10867.5,4238.32,,,0
HCPCS,C1874,Stent Frontier Onyx 4.0X12,1956.15,762.9,,,0
HCPCS,C1874,Stent Graft System Limb,20989.8,8186.02,,,0
HCPCS,C1874,Stent Graftmaster (Jomed),13041.0,5085.99,,,0
HCPCS,C1874,Stent Neurovas Atlas,28889.96,11267.08,,,0
HCPCS,C1874,Stent Periph I-Cast Covered,11194.56,4365.88,,,0
HCPCS,C1874,Stent Resolute Onyx,3013.92,1175.43,,,0
HCPCS,C1874,Stent Tracheobronchial,11117.97,4336.01,,,0
HCPCS,C1874,Stent Vascular (C R Bard),21713.26,8468.17,,,0
HCPCS,C1874,Stent Vascular Covered,20843.87,8129.11,,,0
HCPCS,C1874,Stent Viabil Endo,10650.15,4153.56,,,0
HCPCS,C1874,"Stent, Coated/Cov W/Del Sys",13797.585000000001,5381.06,,,0
HCPCS,C1874,Sup Gore Tag Thor Branch Endoprosthesis,49335.4,19240.81,,,0
HCPCS,C1874,Sup Stent Coated And Covered W Delivery System,38023.68,14829.24,,,0
HCPCS,C1874,Thoracic Branch Endopros,119232.0,46500.48,,,0
HCPCS,C1874,Thoracic Stent Graft Conformab,76562.05,29859.2,,,0
HCPCS,C1876,#1 Wallstents,7628.98,2975.3,,,0
HCPCS,C1876,#2 Wallstents,9871.83,3850.01,,,0
HCPCS,C1876,Balloon Airway Trachealator,5216.4,2034.4,,,0
HCPCS,C1876,Coil Embolization,551.66,215.15,,,0
HCPCS,C1876,Neuroform Atlas No Tip,34440.66,13431.86,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies,5655.24,2205.54,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 4.5Mm X 12Mm,62182.8,24251.29,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 4.5Mm X 14Mm,62182.8,24251.29,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 4.5Mm X 16Mm,62182.8,24251.29,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 4Mm X 12Mm,62182.8,24251.29,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 4Mm X 14Mm,62182.8,24251.29,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Graft Endovascular 36Mmx180Mm Straight Zenith Cook Medical,67863.22,26466.66,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Precise Carotid Stent 5F 6Mmx 40Mmx135Cm,9929.79,3872.62,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Precise Pro Rx Nitinol Stent 5Mmx 40Mm,9468.7,3692.79,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - See 114712 Stent Bil 6Mm 150Mm 200Cm,8818.2,3439.1,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - See 121806 Stent Protege Eveflex 7-200,15133.77,5902.17,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - See 5461 Stent Express 7X27X135,6202.76,2419.08,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Bil 6Mm 14Mm 150Cm,5921.24,2309.28,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Bil 6Mm 15Mm 150Cm,3595.59,1402.28,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Bil 6Mm 18Mm 150Cm,4980.42,1942.36,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Bil 6Mm 29Mm 120Cm Self,3048.76,1189.02,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Bil 6Mm 41Mm 120Cm Self,4807.78,1875.03,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Bil 6Mm 80Mm 120Cm 6F,3383.42,1319.53,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Bil 6Mm 80Mm 120Cm Self,3999.45,1559.79,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Bil 7Mm 118Mm 120Cm Self,4225.13,1647.8,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Bil 7Mm 120Mm 120Cm,3625.6,1413.98,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Bil 7Mm 17Mm 135Cm,4229.35,1649.45,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Bil 7Mm 19Mm 150Cm,5146.02,2006.95,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Bil 7Mm 29Mm 120Cm Self,3821.22,1490.28,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Bil 7Mm 41Mm 120Cm Self,4712.35,1837.82,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Bil 7Mm 57Mm 135Cm,3866.76,1508.04,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Bil 7Mm 60Mm 120Cm 6F,3383.42,1319.53,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Bil 7Mm 60Mm 120Cm Self,3434.99,1339.65,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Bil 7Mm 79Mm 120Cm Self,4415.31,1721.97,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Bil 7Mm 99Mm 120Cm Self,3821.05,1490.21,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Bil 8.5Fr 3.2Mm 40Mm,9959.8,3884.32,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Bil 8Mm 17Mm 135Cm,3866.76,1508.04,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Bil 8Mm 27Mm 135Cm,5130.5,2000.9,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Bil 8Mm 37Mm 135Cm,5226.75,2038.43,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Bil 8Mm 40Mm 120Cm Gwire,3383.42,1319.53,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Bil 8Mm 41Mm 120Cm Self,4427.47,1726.71,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Bil 8Mm 60Mm 120Cm Self,4144.55,1616.37,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Bil 8Mm 6Fr 27Mm 75Cm,3595.59,1402.28,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Bil 8Mm 6Fr 37Mm 75Cm,5442.2,2122.46,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Bil 8Mm 6Fr 57Mm 135Cm .035In Balloon,3738.76,1458.12,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Bil 8Mm 80Mm 120Cm Self,3821.22,1490.28,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Bil 9Mm 37Mm 135Cm Ld,5634.54,2197.47,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Bil 9Mm 40Mm 120Cm Self,4501.01,1755.39,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Bil 9Mm 40Mm 80Cm .035In,4422.56,1724.8,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Bil 9Mm 60Mm 120Cm Self,4266.79,1664.05,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Bil 9Mm 6Fr 37Mm 75Cm,4334.37,1690.4,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Bil 9Mm 81Mm 120Cm Self,3821.22,1490.28,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Bil Express Ld 7-30Mm 15Mm 150Cm,3595.59,1402.28,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Bilary 10Fr X 7Cm,263.92,102.93,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Biliary 10Fr X 12Cm,263.92,102.93,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Biliary 10Fr X 9Cm,263.92,102.93,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Biliary 10Mmx37Mmx135Cm Preloaded Boston Scientific,5226.75,2038.43,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Biliary 7X7 Proximal,263.92,102.93,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Biliary Self Expanding 10Mmx80Mmx6F 75Cm Epic Boston S,3821.22,1490.28,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Biliary Self Expanding 12Mmx40Mmx6F Epic Boston Scient,3821.22,1490.28,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Biliary Self Expanding 12Mmx60Mmx6F 75Cm Epic Boston S,4108.95,1602.49,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Biliary Self Expanding 5Mmx120Mmx120Cmx6F 0.035In Prot,3625.09,1413.79,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Biliary Self Expanding 5Mmx40Mmx120Cmx6F 0.035In Protg,3383.42,1319.53,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Biliary Self Expanding 6Mmx100Mmx120Cm Epic Boston Sci,3241.88,1264.33,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Biliary Self Expanding 6Mmx120Mmx120Cm Epic Boston Sci,4899.0,1910.61,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Bms Multi-Link Vision Rx 3.0 X 12,2148.66,837.98,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Carotid Balloon Tapered 10-8Mm X 40Mm,10445.22,4073.64,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Carotid Tapered 8Mmx40Mm Abbott Diagnostic,10912.62,4255.92,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Colon 25Mm 10Fr 12Cm,14439.28,5631.32,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Colon 25Mm 10Fr 9Cm,14439.28,5631.32,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Contour 6Fr X 22Cm,581.67,226.85,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Cor 8Mm 40Mm 135Cm .014In Rx Self,10066.41,3925.9,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Ddnl 27Mm 10Fr 12Cm,14439.28,5631.32,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Ddnl 27Mm 10Fr 9Cm,14439.28,5631.32,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Endopros 22Mm 45Mm 75Cm,6438.22,2510.91,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Endopros 24Mm 70Mm 75Cm,4592.3,1791.0,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Entrust 6-60-120,3383.42,1319.53,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Entrust 6-80-120,3383.42,1319.53,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Iliac 10-40 6Fx110Cm Epic Self Expanding Boston Scient,5033.72,1963.15,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Iliac 10-60 6Fx112Cm Epic Self Expanding Boston Scient,3821.22,1490.28,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Innova 5 X 120 X 130,3821.22,1490.28,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Innova 5 X 40 X 130,3821.22,1490.28,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Innova 5 X 60 X 130,3821.22,1490.28,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Innova 5 X 80 X 130,3821.22,1490.28,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Innova 6 X 100 X 130,4400.47,1716.18,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Innova 6 X 60 X 130,3821.22,1490.28,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Innova 6 X 80 X 130,3821.22,1490.28,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Innova 6F X 150Cm Vascular Self-Expanding Boston Scien,5834.174999999999,2275.33,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Innova 7 X 150 X 130,6117.54,2385.84,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Periph L100Mm D5Mm Cath 6Fr L120Cm Nit Self Exp Otw,6887.92,2686.29,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Periph L120Mm D5Mm Cath 6Fr L120Cm Nit Self Exp Otw,6887.92,2686.29,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Periph L120Mm D6Mm Cath 6Fr L120Cm Nit Self Exp Otw,6887.92,2686.29,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Periph L150Mm D6Mm Cath 6Fr L120Cm Nit Self Exp Otw,6887.92,2686.29,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Periph L15Mm Dia6Mm Cath L135Cm Renal Cocr Rx Strength,5437.89,2120.78,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Premounted Renal 5Mmx19Mmx6Fx150Cm Express Sd Monorail,3595.76,1402.35,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Self Expand 18X100 Abre Gwire System 9Fr .035Inx90Cm,8193.06,3195.29,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Sys 3.5X9Mm Wingpan,36906.03,14393.35,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent System 10 X 30 Enroute Transcarotid,12320.64,4805.05,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent System 10 X 40 Enroute Transcarotid,12320.64,4805.05,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent System 7 X 30 Enroute Transcarotid,12320.64,4805.05,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent System 7 X 40 Enroute Transcarotid,12081.56,4711.81,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent System 8 X 30 Enroute Transcarotid,12320.64,4805.05,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent System 8 X 40 Enroute Transcarotid,12320.64,4805.05,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent System 9 X 30 Enroute Transcarotid,12320.64,4805.05,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent System 9 X 40 Enroute Transcarotid,12081.56,4711.81,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Vasc 10Mmx 40Mm 120Cm 6F Self Expand Epic,4044.0,1577.16,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Vasc 6-8Mm 30Mm .014In Rx Carotid Art,9947.38,3879.48,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Vasc 6-8Mm 40Mm .014In,11041.59,4306.22,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Vasc 7-10Mm 30Mm .014In,10044.58,3917.39,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Vasc 7-10Mm 40Mm .014In Rx Carotid Art,11002.05,4290.8,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Vasc Epic 8Mm 31Mm 120Cm,4108.95,1602.49,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Venous 14Mm 80Mm 120Cm Venovo Bard Peripheral Vascular,15431.85,6018.42,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Stent Wall Venous 20 Mm 80 Mm 11 Fr 75Cm,10228.91,3989.27,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Venous Wallstent 12X60X75Cm,6736.69,2627.31,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Venous Wallstent 14X40X75Cm,13292.5,5184.08,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Venous Wallstent 14X60X75Cm,6645.99,2591.94,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Venous Wallstent 14X90X75Cm,10207.64,3980.98,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Venous Wallstent 16X40X75Cm,7129.08,2780.34,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Venous Wallstent 16X60X75Cm,6777.56,2643.25,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Venous Wallstent 16X90X75Cm,10066.71,3926.02,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Venous Wallstent 18X40X75Cm,7311.98,2851.67,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Venous Wallstent 18X60X75Cm,7397.14,2884.88,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Venous Wallstent 18X90X75Cm,9427.37,3676.67,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Venous Wallstent 20X40X75Cm,7539.98,2940.59,,,0
HCPCS,C1876,Noncdm Charge Record Medical Supplies - Venous Wallstent 20X55X75Cm,7644.85,2981.49,,,0
HCPCS,C1876,Stent Balloon Biliary,5504.13,2146.61,,,0
HCPCS,C1876,Stent Biliary 10Mm X 6Cm 8.5Fr,11302.2,4407.86,,,0
HCPCS,C1876,Stent Biliary 10Mm X 8Cm 8.5Fr,11302.2,4407.86,,,0
HCPCS,C1876,Stent Biliary Balloon Ex,2825.55,1101.96,,,0
HCPCS,C1876,Stent Biliary Cath Exp,3151.58,1229.12,,,0
HCPCS,C1876,Stent Biliary Ld Expr 6Mm,3536.6,1379.27,,,0
HCPCS,C1876,Stent Carotid Tapered,7499.61,2924.85,,,0
HCPCS,C1876,Stent Cath Biliary Absolute P,4129.65,1610.56,,,0
HCPCS,C1876,Stent Cath Visi-Pro Balloon,2825.55,1101.96,,,0
HCPCS,C1876,Stent Colonic Duodenal Wallfle,14767.38,5759.28,,,0
HCPCS,C1876,Stent Double Pigtail,396.4,154.6,,,0
HCPCS,C1876,Stent Endoprosthesis Biliary R,11302.2,4407.86,,,0
HCPCS,C1876,Stent Enterprise,33878.66,13212.68,,,0
HCPCS,C1876,Stent Palmaz Genesis Trans,7023.51,2739.17,,,0
HCPCS,C1876,Stent Pancreatic,9053.14,3530.72,,,0
HCPCS,C1876,Stent Peripheral Cath Sheath,9259.11,3611.05,,,0
HCPCS,C1876,Stent Peripheral Everflex,2608.2,1017.2,,,0
HCPCS,C1876,Stent Peripheral Non Coated W/,5387.18,2101.0,,,0
HCPCS,C1876,Stent Protege Cath Self,2608.2,1017.2,,,0
HCPCS,C1876,Stent Self-Expanding Biliary,4912.11,1915.72,,,0
HCPCS,C1876,Stent System Transcarotid Enro,11736.9,4577.39,,,0
HCPCS,C1876,Stent Tracheobronchial,12308.22,4800.21,,,0
HCPCS,C1876,Stent Uterine,157.25,61.33,,,0
HCPCS,C1876,Stent Vascular  Self Ex,9207.36,3590.87,,,0
HCPCS,C1876,Stent Vascular Mounted,7023.51,2739.17,,,0
HCPCS,C1876,Stent Venous Sys Abre 16X80Mm,6520.5,2543.0,,,0
HCPCS,C1876,Stent Visipro Periph,3823.29,1491.08,,,0
HCPCS,C1876,"Stent, Non-Coa/Non-Cov W/Del",3200.2200000000003,1248.085,,,0
HCPCS,C1876,Stnt Colonic Evolution 25X10,8733.33,3406.0,,,0
HCPCS,C1876,Stnt Wall Cath Tracheobronchia,7417.84,2892.96,,,0
HCPCS,C1876,Sup Stent Non Coated And Non-Covered W Delivery System,31385.02,12240.16,,,0
HCPCS,C1877,Cath Sheathless Eaucath Guide,565.11,220.39,,,0
HCPCS,C1877,Noncdm Charge Record Medical Supplies - Stent Biliary 10 Mmx40Mmx10Mm Palmaz Cardinal Health,6805.47,2654.13,,,0
HCPCS,C1877,Noncdm Charge Record Medical Supplies - Stent Vasc 5Mm 30Mm .014In Rx,9449.55,3685.32,,,0
HCPCS,C1877,Noncdm Charge Record Medical Supplies - Stent Vasc 5Mm 40Mm .014In Rx,9734.17,3796.33,,,0
HCPCS,C1877,Stent Biliary Ld Intra,4347.0,1695.33,,,0
HCPCS,C1877,Stent Suprastomal Rutter,616.86,240.58,,,0
HCPCS,C1877,Sup Stent Non Coated And Non-Covered Wo Delivery System,85430.97,33318.08,,,0
HCPCS,C1878,Implant Inj Vocal Cord Radiess,1434.51,559.46,,,0
HCPCS,C1878,Implant Injectable Filler,1544.22,602.25,,,0
HCPCS,C1878,Implant Laryngeal,3108.1,1212.16,,,0
HCPCS,C1878,Noncdm Charge Record Medical Supplies - Filler Voice Prolaryn Plus 1.0 Implant Merz,3438.11,1340.86,,,0
HCPCS,C1878,Noncdm Charge Record Medical Supplies - Gel Filler Prolaryn Voice Implant Inj Gel 1Ml,3425.19,1335.82,,,0
HCPCS,C1880,Filter Dvt Femoral Or Jug,5474.12,2134.91,,,0
HCPCS,C1880,Filter Vena Cava,6744.575000000001,2630.385,,,0
HCPCS,C1880,Filter Vena Cava Delivery Kit,5216.4,2034.4,,,0
HCPCS,C1880,Filter Vena Cava Fem 30X49,6125.13,2388.8,,,0
HCPCS,C1880,Filter/Greenfield Vena Cava,4408.06,1719.14,,,0
HCPCS,C1880,Ivc/Jugular-Ivc Filters,5364.4,2092.12,,,0
HCPCS,C1880,Noncdm Charge Record Medical Supplies - Catheter 7Fr L71-79Cm Sheath L65Cm Vena Cava Filter 7Fr,5980.23,2332.29,,,0
HCPCS,C1880,Noncdm Charge Record Medical Supplies - Femoral Gunther Tulip,5363.98,2091.95,,,0
HCPCS,C1880,Noncdm Charge Record Medical Supplies - Filter Deliver Femoral,8095.79,3157.36,,,0
HCPCS,C1880,Noncdm Charge Record Medical Supplies - Filter Deliver Jugular,8095.77,3157.35,,,0
HCPCS,C1880,Noncdm Charge Record Medical Supplies - Filter Embol 50Mm Vc Jug Del,5382.0,2098.98,,,0
HCPCS,C1880,Noncdm Charge Record Medical Supplies - Filter Ivc 75Cm 11Fr Del Lgth Jug,6585.7,2568.42,,,0
HCPCS,C1880,Noncdm Charge Record Medical Supplies - Filter Vc 6.5Fr Infr E,4639.9,1809.56,,,0
HCPCS,C1880,Noncdm Charge Record Medical Supplies - Filter Vc 6.5Fr Infr Option,12771.98,4981.07,,,0
HCPCS,C1880,Noncdm Charge Record Medical Supplies - Filter Vena Cava Uni Igtcfs 65-1-Fem-Celect-Pt,5980.23,2332.29,,,0
HCPCS,C1880,Noncdm Charge Record Medical Supplies - Filter Vena Cava Uni Igtcfs 65-1-Jug-Celect-Pt,5980.23,2332.29,,,0
HCPCS,C1880,Noncdm Charge Record Medical Supplies - Kit Filter Vc Rtrvl,2203.52,859.37,,,0
HCPCS,C1880,Sup Vena Cava Filter,8095.77,3157.35,,,0
HCPCS,C1882,Cobalt Xt Hf Mr Is1 Df1,63303.7,24688.44,,,0
HCPCS,C1882,Icd Cobalt Hf Quad Mri Is4 Fd4,70421.4,27464.35,,,0
HCPCS,C1882,Icd Defib Compia Mri Quad Crt,73104.12,28510.61,,,0
HCPCS,C1882,Icd Defib Viva Quad Xt Crt-D D,48076.78,18749.94,,,0
HCPCS,C1882,"Icd, Bi-V Generator",111965.26,43666.45,,,0
HCPCS,C1882,Noncdm Charge Record Medical Supplies,82659.24,32237.1,,,0
HCPCS,C1882,Noncdm Charge Record Medical Supplies - Defibrillator Cardiac 34Cc W51Xh12Xl74Mm Gallant Crt-D,88718.13,34600.07,,,0
HCPCS,C1882,Noncdm Charge Record Medical Supplies - Defibrillator Cobalt Df1-Is1 Crt-D Hf Mri 82Gm 51X71In 13Mm,82524.34,32184.49,,,0
HCPCS,C1882,Noncdm Charge Record Medical Supplies - Defibrillator Cobalt Mri Df4 Crt-D Hf 82.1Gm 51X73In D13Mm,81825.03,31911.76,,,0
HCPCS,C1882,Noncdm Charge Record Medical Supplies - Defibrillator Cobalt Quad Df1 Crt-D Hf Mri 83Gm 51X74In 13Mm,81125.71,31639.03,,,0
HCPCS,C1882,Noncdm Charge Record Medical Supplies - Defibrillator Cobalt Quad Df4 Crt-D Hf Mri 83Gm 51X74In 13Mm,81825.03,31911.76,,,0
HCPCS,C1882,Noncdm Charge Record Medical Supplies - Defibrillator Momentum Crt-D Boston Scientific G124,75305.56,29369.17,,,0
HCPCS,C1882,Noncdm Charge Record Medical Supplies - Defibrillator Momentum X4 Crt-D Boston Scientific G138,75305.56,29369.17,,,0
HCPCS,C1882,Noncdm Charge Record Medical Supplies - Generator Quadraassura Mp Icd U Us Hv,72501.75,28275.68,,,0
HCPCS,C1882,Noncdm Charge Record Medical Supplies - Icd Unify Assura Crt-D 40,72501.75,28275.68,,,0
HCPCS,C1882,Noncdm Charge Record Medical Supplies - Icd Unify Assura Crt-D 40 Df4,72501.75,28275.68,,,0
HCPCS,C1882,Noncdm Charge Record Medical Supplies - Quadra Assura Mp Crt-D,72501.75,28275.68,,,0
HCPCS,C1882,Noncdm Charge Record Medical Supplies - Resonate X4 Is4 Df4,75305.56,29369.17,,,0
HCPCS,C1883,Adaptor Pocket 2 X 4,4326.3,1687.26,,,0
HCPCS,C1883,Adaptor/Ext Kit Dbs,2564.73,1000.24,,,0
HCPCS,C1883,Adaptor/Ext Neurostim Lead,4347.0,1695.33,,,0
HCPCS,C1883,Lead Contact Ext 55Cm Kit,8041.95,3136.36,,,0
HCPCS,C1883,Lead Pacing  Fixation Ext,1738.8,678.13,,,0
HCPCS,C1883,Noncdm Charge Record Medical Supplies,2407.925,939.095,,,0
HCPCS,C1883,Noncdm Charge Record Medical Supplies - Clik X Anchor (Set Of 2),1651.86,644.23,,,0
HCPCS,C1883,Noncdm Charge Record Medical Supplies - Extension Neurostim 40Cm Rstr Spnl Cord Kt,3093.62,1206.51,,,0
HCPCS,C1883,Noncdm Charge Record Medical Supplies - Extension Pc-Ld 30Cm,4325.78,1687.05,,,0
HCPCS,C1883,Noncdm Charge Record Medical Supplies - Extension Percuatenous Lead,1410.5,550.1,,,0
HCPCS,C1883,Noncdm Charge Record Medical Supplies - Kit Lead Anchor N300 Nervo,993.21,387.35,,,0
HCPCS,C1883,Noncdm Charge Record Medical Supplies - Lead Phrase Iii Ext 55Cm,1074.33,418.99,,,0
HCPCS,C1883,Noncdm Charge Record Medical Supplies - Plug Adapt Art Pin Plug Is-1,419.18,163.48,,,0
HCPCS,C1883,Noncdm Charge Record Medical Supplies - Plugs Spctr Port Plugs,48.64,18.97,,,0
HCPCS,C1883,Percutaneous Extension,417.1,162.67,,,0
HCPCS,C1883,Sup Adaptor Or Extension Pacing Or Neurostimulator Lead Implanted,50051.56,19520.11,,,0
HCPCS,C1883,Vercise M8 Adapter Kit,5216.4,2034.4,,,0
HCPCS,C1884,Catheter Fogarty Occlusion,252.54,98.49,,,0
HCPCS,C1884,Catheter Occlusion Balloon,757.62,295.47,,,0
HCPCS,C1884,Coil Embolization,545.45,212.73,,,0
HCPCS,C1884,Coil Flipper System,520.6,203.03,,,0
HCPCS,C1884,Coils,598.23,233.31,,,0
HCPCS,C1884,Embolization Angio Guidewire,7824.6,3051.59,,,0
HCPCS,C1884,Hc Device Embolic Protect 5,7129.7,2780.58,,,0
HCPCS,C1884,Noncdm Charge Record Medical Supplies - Embol Protect Device Spider Fx,4299.39,1676.76,,,0
HCPCS,C1884,Noncdm Charge Record Medical Supplies - Filter Vasc Emboshield Nav6,7026.24,2740.23,,,0
HCPCS,C1884,Noncdm Charge Record Medical Supplies - System Embol Protect Spiderfx 320Cm .014In Filter Cptr,4475.73,1745.53,,,0
HCPCS,C1884,Noncdm Charge Record Medical Supplies - System Embol Protect Spiderfx 3Mm Filter Cptr 320Cm .014In W,4534.34,1768.39,,,0
HCPCS,C1884,Noncdm Charge Record Medical Supplies - System Embol Protect Spiderfx 4Mm Filter Cptr 320Cm .014In W,4299.39,1676.76,,,0
HCPCS,C1884,Noncdm Charge Record Medical Supplies - System Embol Protect Spiderfx 5Mm Filter Cptr 320Cm .014In W,4516.34,1761.37,,,0
HCPCS,C1884,Noncdm Charge Record Medical Supplies - System Embol Protect Spiderfx 6Mm Filter Cptr 320Cm .014In W,4487.41,1750.09,,,0
HCPCS,C1884,Noncdm Charge Record Medical Supplies - System Embolic Protecton Nav6 6 .014In 5Mm X 190Cm,7473.74,2914.76,,,0
HCPCS,C1884,Noncdm Charge Record Medical Supplies - System Sntnl Cerebral Protect,17636.4,6878.2,,,0
HCPCS,C1884,Noncdm Charge Record Medical Supplies - Wire Ez Fltr 2.25-3.5Mm 190Cm .014In Filter,7651.34,2984.02,,,0
HCPCS,C1884,Noncdm Charge Record Medical Supplies - Wire Ez Fltr 3.5-5.5Mm 190Cm .014In Filter,7679.05,2994.83,,,0
HCPCS,C1884,Noncdm Charge Record Medical Supplies - Wire Ez Fltr 3.5-5.5Mm 300Cm .014In Filter Svg,7725.24,3012.84,,,0
HCPCS,C1885,Cath Atherectomy Peripheral,14323.36,5586.11,,,0
HCPCS,C1885,Cath Coronary Laser 1.7Mm,10846.8,4230.25,,,0
HCPCS,C1885,Noncdm Charge Record Medical Supplies - Elca Laser Catheter 0.9Mm X80 Rx,10361.38,4040.94,,,0
HCPCS,C1885,Noncdm Charge Record Medical Supplies - Elca Laser Catheter Otw 09Mm 014X130Cm 6Fr,9060.39,3533.55,,,0
HCPCS,C1886,Cath Endo Rfa Barrx,10707.08,4175.76,,,0
HCPCS,C1886,Noncdm Charge Record Medical Supplies,8134.585,3172.49,,,0
HCPCS,C1886,Noncdm Charge Record Medical Supplies - Catheter Ablt 160Cm 4Mm Halo90,8315.19,3242.92,,,0
HCPCS,C1886,Noncdm Charge Record Medical Supplies - Catheter Ablt Halo60 Esoph Bipolar,7389.9,2882.06,,,0
HCPCS,C1886,Noncdm Charge Record Medical Supplies - Catheter Cryotherapy 7Fr Passive Venting Straight,8796.46,3430.62,,,0
HCPCS,C1886,Noncdm Charge Record Medical Supplies - Probe Ablation 15-17Ga L15Cm Tapered Open Surgical Pr,8523.11,3324.01,,,0
HCPCS,C1886,Noncdm Charge Record Medical Supplies - Probe Ablation 15Cm 17Ga,8827.52,3442.73,,,0
HCPCS,C1886,Noncdm Charge Record Medical Supplies - Stylus Vivear Arc,8156.84,3181.17,,,0
HCPCS,C1886,Probe Rf Ablation Sys Osteocoo,19561.5,7628.98,,,0
HCPCS,C1886,Sup Catheter Extravascular Tissue Ablation Any Modality (Insertable),8827.0,3442.53,,,0
HCPCS,C1887,Balloon Catheter,2380.5,928.4,,,0
HCPCS,C1887,Cath Angio Adv Torcon,107.64,41.98,,,0
HCPCS,C1887,Cath Angiographic 5Fr X 50Cm,344.66,134.42,,,0
HCPCS,C1887,Cath Balloon Dil,2380.5,928.4,,,0
HCPCS,C1887,Cath Balloon Dilation,1834.02,715.27,,,0
HCPCS,C1887,Cath Coronary Diagnostic,35.19,13.72,,,0
HCPCS,C1887,Cath Delivery Syst Amplatzer,1048.46,408.9,,,0
HCPCS,C1887,Cath Diagnostic,251.5,98.08,,,0
HCPCS,C1887,Cath Dxterity Daign,56.92,22.2,,,0
HCPCS,C1887,Cath Guid Heartrail Iii,447.12,174.38,,,0
HCPCS,C1887,Cath Guid Radial Acs,13019.26,5077.51,,,0
HCPCS,C1887,Cath Guide,277.16,108.09,,,0
HCPCS,C1887,Cath Guide Launcher,173.88,67.81,,,0
HCPCS,C1887,Cath Guideing Jr4 Curve,238.05,92.84,,,0
HCPCS,C1887,Cath Guiding,235.46,91.83,,,0
HCPCS,C1887,Cath Guiding Accu-Vu .038In 5F,165.6,64.58,,,0
HCPCS,C1887,Cath Guiding Acuity Cut-Away 8,2151.76,839.19,,,0
HCPCS,C1887,Cath Guiding Launcher 7F 100Cm,173.88,67.81,,,0
HCPCS,C1887,Cath Guiding Peripheral,432.63,168.73,,,0
HCPCS,C1887,Cath Guiding Railway Sheathles,391.23,152.58,,,0
HCPCS,C1887,Cath Guiding Vista Brite Tip 6,237.02,92.44,,,0
HCPCS,C1887,Cath Guiding Vista Brite Tip A,237.02,92.44,,,0
HCPCS,C1887,Cath Intracar Nitinol Srt,5799.1,2261.65,,,0
HCPCS,C1887,Cath Intracranial Bnchmk,4239.36,1653.35,,,0
HCPCS,C1887,Cath Intracranial Sofia,6650.91,2593.85,,,0
HCPCS,C1887,Cath Micro Del Lantern,2825.55,1101.96,,,0
HCPCS,C1887,Cath Micro Headway 1001-1150,4955.58,1932.68,,,0
HCPCS,C1887,Cath Micro Headway 1051-1100,4694.76,1830.96,,,0
HCPCS,C1887,Cath Micro Phenom 1351-1500,6085.8,2373.46,,,0
HCPCS,C1887,Cath Micro Swiftninja,10432.8,4068.79,,,0
HCPCS,C1887,Cath Micro Truselect 175Cm,3042.9,1186.73,,,0
HCPCS,C1887,Cath Performa Vertebral Angio,51.75,20.18,,,0
HCPCS,C1887,Cath Select Benchmark Bmx96,4238.32,1652.94,,,0
HCPCS,C1887,Cath Sv Levin,882.86,344.32,,,0
HCPCS,C1887,Cathete Diagnostic Pigtail,35.19,13.72,,,0
HCPCS,C1887,Catheter Balloon,652.05,254.3,,,0
HCPCS,C1887,Catheter Balloon Inque,9056.25,3531.94,,,0
HCPCS,C1887,Catheter Diag Angio 6Fr (5540),638.6,249.05,,,0
HCPCS,C1887,Catheter Diagnostic Pigtail,173.88,67.81,,,0
HCPCS,C1887,Catheter Dilation,2314.26,902.56,,,0
HCPCS,C1887,Catheter Dilation Balloon,2380.5,928.4,,,0
HCPCS,C1887,Catheter Distal Access,5679.04,2214.83,,,0
HCPCS,C1887,Catheter Dxterity,35.19,13.72,,,0
HCPCS,C1887,Catheter Fully Articulating,21735.0,8476.65,,,0
HCPCS,C1887,Catheter Glide,543.38,211.92,,,0
HCPCS,C1887,Catheter Guide Liner,1848.51,720.92,,,0
HCPCS,C1887,Catheter Guiding,799.02,311.62,,,0
HCPCS,C1887,Catheter Guiding 5Fr Sofia,6240.02,2433.61,,,0
HCPCS,C1887,Catheter Guiding Ansel,334.3,130.38,,,0
HCPCS,C1887,Catheter Guiding Axs Infinity,2189.02,853.72,,,0
HCPCS,C1887,Catheter Guiding Distal,9761.08,3806.82,,,0
HCPCS,C1887,Catheter Guiding Mpa,302.22,117.87,,,0
HCPCS,C1887,Catheter Guiding Radial,49.68,19.38,,,0
HCPCS,C1887,Catheter Guiding Sofia,5947.11,2319.37,,,0
HCPCS,C1887,Catheter Hydrophilic,277.38,108.18,,,0
HCPCS,C1887,Catheter Infusion Micro,4077.9,1590.38,,,0
HCPCS,C1887,Catheter Intracranial,7995.38,3118.2,,,0
HCPCS,C1887,Catheter Micro Progreat,1642.54,640.59,,,0
HCPCS,C1887,Catheter Penumbra,336.895,131.39,,,0
HCPCS,C1887,Catheter Phenom Plus,10345.86,4034.89,,,0
HCPCS,C1887,Catheter Reperfusion 3Mx,7085.61,2763.39,,,0
HCPCS,C1887,Dilation Catheter,3303.72,1288.45,,,0
HCPCS,C1887,Guide Cath Launcher,187.34,73.06,,,0
HCPCS,C1887,Guiding Sheath Pinnacle,507.15,197.79,,,0
HCPCS,C1887,Hc Cath Art Line W Kit Any,165.485,64.53999999999999,,,0
HCPCS,C1887,Hc Cath Glide 5 Straight/65/.038,333.68,130.14,,,0
HCPCS,C1887,Hc Cath Guide B-Max Cvd 8F 4.0Sh,406.13,158.39,,,0
HCPCS,C1887,Hc Cath Guide Medtr 6216A-Mb2,1158.79,451.93,,,0
HCPCS,C1887,Hc Cath Guiding Brite Tp 9F Al2,346.52,135.14,,,0
HCPCS,C1887,Hc Cath Quick Cross .018X150Cm,1080.23,421.29,,,0
HCPCS,C1887,Hc Cath Sherpa Nx Ch15 7Fr 100Cm,334.72,130.54,,,0
HCPCS,C1887,Hc Catheter Dsc 5F X 115Cm Us,6248.09,2436.76,,,0
HCPCS,C1887,Hc Glidecath Strt Terum 4Fr 120Cm,323.7,126.24000000000001,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies,1439.68,561.48,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - 0.18 Quickcross,783.5,305.56,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - 2F Selective Mc Straight 130Cm 1Ro,3260.25,1271.5,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Asahi Caravel Micro Catheter,2080.35,811.34,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Cath Angio 5Fr 35In 065Cm Mariner Ht Omni Fl,315.92,123.21,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Cath Cor Guide Rx 5.5F25X150Cm Flx,1689.12,658.76,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Cath Dist Acess Axs Catalyst 0.058X132Cm,10095.39,3937.2,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Cath Hgh Trqe Kmp 4F 038In65 Selective,305.32,119.07,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Cath Phenom 120Cm Dist Acc +,5136.7,2003.31,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter 15Mm Guidewire 0.014In 135Cm Tailblazer,636.52,248.24,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter 4Fr 150Cm Strt Glide,238.05,92.84,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter 6218A-50S Attain,832.14,324.53,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter 6248V-130 Attain,1439.68,561.48,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter 6248V-130P Attain,1439.65,561.46,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter 6248V-90 Attain,1439.68,561.48,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter 6248V-90P Attain,1439.6,561.44,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter 6248V-90Sp Attain,1439.68,561.48,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter 625045S01 Attain,832.14,324.53,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter 6250Mb202 Attain Mb2,832.14,324.53,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter 6250V-Mb2 Attain,1649.79,643.42,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter 6250V-Mb2X Attain,1649.79,643.42,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter 6250V-Mpr Attain,1649.79,643.42,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter 6250Vc Attain,3999.24,1559.7,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter 6F X 115Cm .072In,3527.28,1375.64,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter 6Fr Angled Pigtail,46.58,18.17,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter 6Fr Jr4 125Cm,44.5,17.36,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter 8Fr Al.75 90Cm Guide Launch,209.07,81.54,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter 8Fr Al.75 Side Hl 90C Guide Launch,220.46,85.98,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Accu-Vu 0.38In 70Cm 5Fr Omni Flush Angiodynamics In,142.07,55.41,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Angio .035In Om Flsh Crv 5Fr 70Cm 20 Bx-10,489.79,191.02,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Angio .038In 4Fr 120C 120Cm Hydrophil,238.05,92.84,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Angio .038In 4Fr 65Cm 65Cm Ang Tip,240.97,93.98,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Angio .038In 5Fr 100C 100Cm Tpr Ang Tip,247.29,96.44,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Angio .038In C2 Crv 4Fr 65Cm,248.19,96.79,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Angio .038In Crv 4Fr 4Fr 65Cm C2 Drct,249.3,97.23,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Angio .038In Crv 5Fr 5Fr 40Cm 3Cm Bern,68.31,26.64,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Angio .038In Om Flsh Crv 5Fr 65Cm,73.48,28.66,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Angio .038In Sos Omni 1 Crv 4Fr 80Cm,87.98,34.31,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Angio .038In Strt Tip Tpr 5Fr 65Cm,238.05,92.84,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Angio .038In Vtk Crv 5Fr 125Cm Crbrl 5-Bx,200.79,78.31,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Angio 100Cm Pgtl Flsh .035In 20Cm 5 Box,494.07,192.69,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Angio Ar Mod Crv 4Fr,48.85,19.05,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Angio Berenstn N-Brd 5F .038Inch100Cm 3Cmtp,79.69,31.08,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Angio Jacky Radial 1.7 Crv 5Fr,153.96,60.04,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Angio L65Cm Od4Fr Berenstein 0.038In Peripheral,59.0,23.01,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Angio Nbrd Kmp 5F.038In 40Cml,75.11,29.29,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Angio Omni Flsh 10 Sh 5F .035In 65Cml,76.87,29.98,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Angio Sos Omni 2 Non N Brd 5F .035 Oh 80Cm,83.84,32.7,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Angio Tig4.0 Crv 6Fr Gldcath 100Cm,342.58,133.61,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Angio Tiger Radial Tig Crv 5Fr 4.5Mm 100Cm,146.97,57.32,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Angio.035In Pgtl Flsh 5Fr 70Cm 5F 20 Cm,494.64,192.91,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Angiograph 4Fr 0.381 Soft Selective Non Braided Kum,90.01,35.1,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Angiograph 5Fr Mariner Selective Mpa Braided Ultra,473.0,184.47,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Angiograph 5Fr Soft Vu Selective Non Braided Sos Om,88.95,34.69,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Angiographic Hydrophi Glidecath Sim1 5F 038Inx100Cm,254.88,99.4,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Angiographic L135Cm Od2.6Fr Id0.018In Guide Sheath,636.52,248.24,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Angiographic Progreat Microcatheter 018In 2.4F 150C,1578.69,615.69,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Angiography 4Fr L40Cm 0.035In Kumpe High Torque,76.71,29.92,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Angiography 5Fr 150Mm Rubicon Straight Boston Scien,1705.8,665.26,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Angiography 5Fr L100Cm Id1.17Mm 0.038In,59.0,23.01,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Angiography 5Fr L65Cm 0.035In Soft Radiopaque Tip,79.57,31.03,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Angographic 0.038 100Cm 5Fr Mariner Selective Beren,270.14,105.35,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Aspiration L132Cm Dia0.068Cm Reperfusion Red 68,10596.39,4132.59,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Aspiration L132Cm Dia0.072Cm Reperfusion Red 72,10606.59,4136.57,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Aspiration L138Cm Dia0.062Cm Reperfusion Red 62,10586.54,4128.75,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Balloon Guide Flow Gate 8Fr 95Cm,5736.04,2237.06,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Bernstein 0.038 5Fr Angiodyamics,87.98,34.31,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter C315His01,1375.52,536.45,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter C315His02,1375.52,536.45,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter C315S10,1420.02,553.81,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Cor Guide Rt 5F 100Cm,210.21,81.98,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Coronary Guiding Ebu U3.75 5F 100Cm,205.96,80.32,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Del Lng Sheath 80X4Cm Strt Tip 6Fr,2227.32,868.65,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Diagnostic 5Fr L125Cm Guidewire 0.038In,122.65,47.83,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Diagnostic L65Cm 0.035In Straight Tip,837.32,326.55,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Diagnostic L90Cm L40Cm Steel Straight Tip,886.83,345.86,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Dist .038In 125Cm Access Dac,4103.77,1600.47,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Dist .044In 115Cm Access Dac,4586.08,1788.57,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Distal Access Merci Dac 044 4.3F 044Inx130Cm,6027.84,2350.86,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Distal Access Merci Dac 3.9F 038In 125Cm,6029.79,2351.62,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Distal Access Merci Dac 3.9F 038In 136Cm,6031.36,2352.23,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Dsc 5F X 115Cm Us,4850.01,1891.5,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Dsc 5F X 125Cm Us,4850.01,1891.5,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Ebu 3.5 90Cm Guide,202.03,78.79,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Env 5F Mpc 90Cm,1695.33,661.18,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Env 6F Xb Mpc 100Cm,1814.36,707.6,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Env 6F Xb Mpc 90Cm,1412.78,550.98,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Env 6F Xb Str 90Cm,1412.78,550.98,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Env Da 6F 95Cm Strt,2422.94,944.95,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Finecross Mg,2080.37,811.34,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Glide 5Fr Cobra,255.85,99.78,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Glidecath .038In Ang Tip Tpr 5Fr 65Cm,252.71,98.56,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guid.021In 3-2.4F Ang,2127.81,829.85,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide .035In 4.8-3.7Fr 90Cm Low Cx,783.5,305.56,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide .056In 90Cm,1412.78,550.98,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide 130Cm 20Cm 1,2129.86,830.65,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide 3Drc Crv 6Fr,197.69,77.1,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide 5F Convey,245.19,95.62,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide 7F Ar1.0 W-Sh L,186.3,72.66,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Al.75 Crv 6Fr,199.29000000000002,77.72,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Al1 Crv 6Fr,199.28,77.72,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Al2 Crv 6Fr,195.62,76.29,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Al2 Crv 7Fr,195.62,76.29,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Ar1 Crv 6Fr,204.24,79.65,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Ar2 Crv 6Fr,195.62,76.29,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Bmx96 90 Cm Straight Tip 125 Cm Sim-V 6 F,4005.28,1562.06,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Ebu3.5 Crv 5Fr 100Cm Lt Cor,202.37,78.92,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Ebu3.75 90Cm 8Fr Lt Cor Crv,186.3,72.66,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Envoy 7Fr 90Cm Mpd,1477.98,576.41,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Extension 6F Guidezilla Ii,2005.06,781.97,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Extension 6F Ln Guidezilla Ii,1958.22,763.71,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Extension 6Fr L L150Cm Od0.067In Id0.056In,1899.53,740.82,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Extension 7F Guidezilla Ii,2007.31,782.85,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Extension 7Fr L L150Cm Od0.075In Id0.062In,1890.94,737.47,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Extension 8F Guidezilla Ii,1958.22,763.71,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Im Crv 6Fr,202.51,78.98,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Jl3 Crv 6Fr,198.57,77.44,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Jl3.5 Crv 6Fr,195.62,76.29,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Jl5 Crv 6Fr .07In 100Cm Ptfe,195.62,76.29,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Jr4 Crv 6Fr,195.62,76.29,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Jr4 Crv 6Fr Sh,201.9,78.74,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide L150Cm Flexible Tube Delivery Assist Axs Offs,4756.86,1855.18,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Launch 6Fr Al,205.96,80.32,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Launch 6Fr Al .75 Sh,200.89,78.35,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Launch 6Fr Al 1.0 Sh,200.79,78.31,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Launch 6Fr Ima Sh,203.38,79.32,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Launch 6Fr Rcb,186.3,72.66,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Launch 7Fr Al,220.46,85.98,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Launch 8Fr Mp-1,220.46,85.98,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Launch 8Fr Rt Sr30,191.99,74.88,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Launcher 6Fr 10 Medtronic,186.3,72.66,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Launcher 6Fr Al Medtronic,197.68,77.1,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Launcher 6Fr Ar Medtronic,206.79,80.65,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Launcher 6Fr Jcl Medtronic,203.38,79.32,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Launcher 6Fr Jl 3.0 Medtronic,189.98,74.09,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Launcher 6Fr Jl 4.5 Medtronic,220.46,85.98,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Launcher 6Fr No Medtronic,186.3,72.66,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Launcher 7Fr Al 20 Medtronic,220.46,85.98,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Launcher 7Fr Hs Medtronic,186.3,72.66,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Launcher 7Fr Ima Medtronic,220.46,85.98,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Launcher 8Fr Jr Medtronics,220.46,85.98,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Launcher 8Fr Mp-1 Medtronic,186.3,72.66,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Lnch 6Fr Jr 3.5 Rt Cor,186.3,72.66,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Lnch 7F Jr 4-Sh 4.0 Sht Tip,186.3,72.66,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Lnch 8Fr Jr 3,203.38,79.32,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Mach 1 Pv Mp C Curve 6Fr 55Cml,414.0,161.46,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Mach1 6F Pv,450.8,175.81,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Mach1 6F Pv Rdc,418.46,163.2,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Mp Crv 6Fr,401.58,156.62,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Mp2 Crv 6Fr,395.37,154.19,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Mpa1 Crv 6Fr,195.62,76.29,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Mpb1 Crv 6Fr 07In 100Cm Ptfe,195.62,76.29,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Quick Cross.014In 6F-5Mm 150,783.5,305.56,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Xb 6Fr .070In 100Cm,1412.78,550.98,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Xb3 Crv 6Fr .070In 100Cm Ptfe,202.33,78.91,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Xb3 Crv 6Fr .07In 100Cm Sh,195.62,76.29,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Xb3.5 Crv 6Fr,207.09,80.77,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Xb3.5 Crv 6Fr .07In 100Cm Sh,202.51,78.98,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Xb4 Crv 6Fr .07In 100Cm Ptfe,211.05,82.31,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Xblad3.5 Crv,198.60000000000002,77.45500000000001,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Xblad4 Crv 6Fr,200.79,78.31,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guide Xblad4.5 Crv,195.62,76.29,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guidewire 8Fr L80Cm Id0.096In 0.038In,4032.59,1572.71,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guiding 5Fr L115Cm Straight Tip Soft,6031.95,2352.46,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guiding 5Fr L125Cm Straight Tip Soft,6031.93,2352.45,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guiding 5Fr L200Cm Straight Peripheral,979.11,381.85,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guiding 6Fr 100Cm Od Nyln 0.071In,197.68,77.1,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guiding 6Fr L100Cm Cl Cls3.5 Curve Convey,269.1,104.95,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guiding 6Fr L100Cm Cls3 Curve Convey,269.1,104.95,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guiding Judkins Left T Jl4.0 5F 100Cm,205.96,80.32,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guiding Launcher 5Fr R Al1.0 100Cm L,205.96,80.32,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guiding Launcher 6Fr R Ima Curve 100Cm L,186.3,72.66,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guiding Launcher 6Fr R Jr4.5 100Cm L W-Sh,186.3,72.66,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guiding Launcher 6Fr R Jr4.5 100Cm W-O Sh,205.96,80.32,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guiding Launcher 6Fr R Mp2 100Cm L,186.3,72.66,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guiding Launcher W-S Sh 8Fr Jr4.0 100Cm L,186.3,72.66,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guiding Od5Fr Xb 3.5 Curve Brite Tip,199.06,77.63,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guiding Sheath 7Fr 55Cm 9Mm Steerable Oscor Inc,3968.19,1547.59,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Guiding Spiral Turnpk L135Cm D2.9X2.9X1.6Fr 0.014In,2469.51,963.11,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Infus .018In 3-2.8Fr,1778.82,693.74,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Infus .018In 3-2.8Fr .027In 150Cm 10,1821.19,710.26,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Infus .038 5Fr 30Cm 135Cm Peri Vlv,455.4,177.61,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Infusion 0.035Inx106Cm 18Cm Treatment Zone Ekosonic,13822.32,5390.7,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Infusion Valved 10Cm M Inf L 5F .038 135Cm,416.07,162.27,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Interventional Adult 4Fr L40Cm Diagnostic Ka 2,59.0,23.01,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Intvn .021In 2.8-3Fr .027In 130Cm 17,1582.09,617.02,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Lum .088In 90Cm 8Fr,2227.32,868.65,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Marksman Mc .027In 150Cm,3086.37,1203.68,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Mic .021In 150Cm,3494.16,1362.72,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Mic Duo .016In 156Cm Hydrophil,3690.65,1439.35,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Micr 90150Cm 6Cm Strt Sl-10 2 Tip Marker Pshp,3879.18,1512.88,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Micr C 150Cm 6Cm Sl10 2 Tip Marker Pshp,3879.18,1512.88,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Micr J 150Cm 6Cm Sl10 2 Tip Marker Pshp,3879.18,1512.88,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Micro 1.9F 63Mm .014Inx3.0Cmx30Mmx1.25Mm,7473.42,2914.63,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Micro 150Cm 6Cm Sl10 2 Tip Marker Pshp,3879.18,1512.88,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Micro 150Cm 6Cm Strt,3685.98,1437.53,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Micro 2.0F-2.4F 157Cm Concentric Trevo Stryker Neur,4407.03,1718.74,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Micro Px 45D 2.95F,3897.81,1520.15,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Microdelivery Marathon 1.5Fr 0.013Inx 165Cmx25Cm Me,3086.37,1203.68,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Neuron Select Ber 6F 125Cmx9Cm,611.68,238.56,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Neuron Select Sim 6F 125Cmx9Cm,611.68,238.56,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Neuron Select Sim-V 6F 125Cmx9Cm,611.68,238.56,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Neurovasc 5Fr L115Cm Intracranial Support Sofia,7120.8,2777.11,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Neurovascular 8Fr L90Cm Balloon Straight,7275.02,2837.26,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Neurovascular 8Fr L95Cm Balloon Straight,7275.02,2837.26,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Peripheral Guide,543.38,211.92,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Picc L90Cm 0.035In 30Deg Angle Tip Stainless Stee,868.26,338.62,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Pigtail 11Cm 5Fr Angiodyamics,83.84,32.7,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Quick Cross .014-1,905.62,353.19,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Quick Cross .035 X 135,783.5,305.56,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Radial Access Rist Selective 5.5F Sim2 130Cm,528.88,206.26,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Reperfusion 43 Red,10659.86,4157.35,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Reperfusion Kit 43 Red,12235.42,4771.81,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Reperfusionv 3.8Fr,6569.14,2561.96,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Return Outback Elite 120 Cm,8928.43,3482.09,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Selectsite Steer Ab,3527.28,1375.64,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Soft -Vu 0.38In 3Cm 65Cm 5Fr Selective Braided Bere,128.19,49.99,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Spiral Turnpike Teleflex Medical,2499.52,974.81,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Support 0.035In 65Cm Quick Cross Spectranetics,783.5,305.56,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Support Crossing Rub Bincon 0.018In X 135Cm,774.18,301.93,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Support Crossing Rub Bincon 0.035In X 90Cm,728.64,284.17,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Support Crossing Rubicon 014Inx150Cm,743.02,289.78,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Support Crossing Rubicon 35 0.035In X 135Cm,782.85,305.31,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Support L150Cm Dia0.018In Straight Tip,1014.15,395.52,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Support L90Cm Dia0.018In Straight Tip,837.32,326.55,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Support Trlblzr .,636.52,248.24,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Support Trlblzr .014,683.1,266.41,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Support Trlblzr .035,646.43,252.11,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Support Trlblzr-150Cm,636.52,248.24,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Support Trlblzr-90Cm,636.52,248.24,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Triever 20 Fr 105 Cm,6613.65,2579.32,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Turnpike 5638,2499.52,974.81,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Catheter Vascular L160Cm Phenom 21,3968.19,1547.59,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Cxi Support Catheter 2.3 Fr X .014In X 135 Cm Straight,894.24,348.75,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Cxi Support Catheter 2.3Fr X .014 In X 150 Cm Angle,894.24,348.75,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Cxi Support Catheter 2.3Fr X 0.014In X 150Cm Straight,894.24,348.75,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Cxi Support Catheter 2.6 Fr X 0.018 In X 135 Cm Straight,993.6,387.5,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Cxi Support Catheter 2.6Fr X 0.018 In X 135 Cm Angle,993.6,387.5,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Cxi Support Catheter 2.6Fr X 0.018 In X 150 Cm Angle,993.6,387.5,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Cxi Support Catheter 2.6Fr X 0.018 In X 150 Cm Straight,993.6,387.5,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Cxi Support Catheter 4Fr X .035 In X 135 Cm Straight,894.24,348.75,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Cxi Support Catheter 4Fr X .035 In X 150Cm Angle,894.24,348.75,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Cxi Support Catheter 4Fr X .035 In X 150Cm Straight,894.24,348.75,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Cxi Support Catheter 4Fr X.035 In X 135 Cm Angle,894.24,348.75,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Echelon-10 Ev3,2923.36,1140.11,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Finecross M3 Microguide 2.5Fr 130Cm,2291.46,893.67,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Flowtriever Aspiration Catheter 16Fr L113Cm,36595.53,14272.26,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Flowtriever Aspiration Catheter L95Cm Od6.7Mm 24Fr Single In,36637.57,14288.65,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Glidecath 4Fr Mp 150Cm,254.38,99.21,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Glidecath Straight 5Fr 100C,250.26,97.6,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 6 Fr 3Drc Launcher Drc,197.65,77.08,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 6 Fr 3Drc Sh Launcher Drc Sh,203.38,79.32,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 6 Fr Al 2.0 Launcher 2.0,193.49,75.46,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 6 Fr Al 7.5 Launcher 0.75,198.65,77.47,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 6 Fr Al1 Launcher 1.0,198.63,77.47,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 6 Fr Ar 1 Launcher 1.0,202.29,78.89,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 6 Fr Ar 2 Sh Launcher 2 Sh,205.96,80.32,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 6 Fr Ebu 3 Sh Launcher,205.96,80.32,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 6 Fr Hs I Launcher,203.38,79.32,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 6 Fr Ima Launcher,199.04,77.63,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 6 Fr Jcl 4 Launcher 4,220.46,85.98,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 6 Fr Jl 3.5 Launcher 3.5,198.88,77.56,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 6 Fr Jl 3.5 Sh Launcher .5 Sh,197.68,77.1,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 6 Fr Jl 4 Launcher 4,197.17,76.9,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 6 Fr Jl 4 Sh Launcher 4.0 Sh,186.3,72.66,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 6 Fr Jl 5 Launcher 5.0,220.46,85.98,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 6 Fr Jl4 Launcher,195.62,76.29,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 6 Fr Jr 4 Launcher 4,197.66,77.09,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 6 Fr Jr 4 Sh Launcher 4.0Sh,199.92,77.97,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 6 Fr Launcher Ebu 3 100Cm Lt Cor,198.67,77.48,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 6 Fr Launcher Ebu 3.5 100Cm Lt Cor,200.54,78.21,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 6 Fr Launcher Ebu 3.75 100Cm,186.29,72.65,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 6 Fr Launcher Ebu 4 100Cm Lt Cor,200.09,78.04,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 6 Fr Launcher Ebu 4.5 100Cm Lt Cor,199.96,77.98,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 6 Fr Launcher Ebu3.5 Sh 100Cm Lt Cor Sh,195.62,76.29,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 6 Fr Lcb Launcher,209.07,81.54,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 6 Fr Mach 1 Kr 4H .070In 90Cm Peri,269.1,104.95,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 6 Fr Mach 1 Kr4H Sh .070In 90Cm Peri,269.1,104.95,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 6 Fr Mach 1 Kr4S .070In 90Cm Peri,269.1,104.95,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 6 Fr Mb1 Launcher,209.07,81.54,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 6 Fr Mp1 Launcher,198.01,77.22,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 7 Fr 3Drc Launcher,186.3,72.66,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 7 Fr 4 Launcher 4,194.2,75.74,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 7 Fr Al .75 Launcher 0.75,199.17,77.68,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 7 Fr Al 1 Launcher 1,198.35,77.36,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 7 Fr Al..75,200.79,78.31,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 7 Fr Ar 1 Launcher 1,186.3,72.66,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 7 Fr Jl 4 Launcher 4,186.3,72.66,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 7 Fr Jr 4 Sh Launcher 4.0 Sh,186.3,72.66,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 7 Fr Launcher Ebu 3 100Cm Lt Cor,199.96,77.98,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 7 Fr Launcher Ebu 3 Sh 100Cm Lt Cor Sh,186.3,72.66,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 7 Fr Launcher Ebu 3.5 100Cm Lt Cor,199.24,77.7,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 7 Fr Launcher Ebu 3.5 Sh 100Cm Lt Cor Sh,199.89,77.96,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 7 Fr Launcher Ebu 3.75 Lt 100Cm Lt Cor,197.45,77.01,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 7 Fr Launcher Ebu 4 .081In 100Cm Lt,203.31,79.29,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 7 Fr Launcher Ebu 4.5 100Cm Lt Cor,186.3,72.66,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 7 Fr Mach 1 Kr4H,269.1,104.95,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 7 Fr Mp1 Launcher,191.18,74.56,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 8 Fr Launcher Ebu 3.5 100Cm Lt Cor,191.99,74.88,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide 8 Fr Launcher Ebu 3.75 100Cm Lt Cor,186.3,72.66,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide Cath 6Fr Al1 110Cm,740.02,288.61,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide Cath 6Fr Jr4 110Cm,878.72,342.7,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide Convey 5 Fr Al 2,269.1,104.95,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide Launcher 6Fr 35,196.06,76.46,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide Launcher 6Fr 40,205.96,80.32,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide Launcher 6Fr Ar 1 Sh Medtronic,186.3,72.66,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide Launcher Ebu 3.75 6Fr,186.3,72.66,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guide Launcher Jlr4 110,186.3,72.66,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guidecath 5Fr Hearttrail,342.58,133.61,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guidecath Jr4 6Fr 90Cm,195.62,76.29,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Guideliner Catheter 6 Fr,1689.12,658.76,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Intro Mpnch Set Nitinol 5Fr,159.39,62.16,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Intro Set Mpnch Sst 4Fr 10Cm,163.74,63.86,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Intro Vasc Ndl 4Fr 10Cm 21Ga,243.32,94.89,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Introducer Sheath 4Fr .018In 7Cm Gwire Cath,218.38,85.17,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Introducer Sheath 7Fr 65Cm Guide Strt Xcut,633.42,247.03,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Kit Art Line 5In 20Ga .025In Indwl Cath,167.74,65.42,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Kit Neurovascular Catheter 105Cm Benchmark Bmx81,4017.04,1566.65,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Kit Neurovascular Catheter 105Cm Mp Benchmark Bmx81,4064.1,1585.0,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Kit Neurovascular Catheter 95C Mp Benchmark Bmx81,4042.69,1576.65,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Kit Neurovascular Catheter 95Cm Benchmark Bmx81,3985.55,1554.36,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Kit Reperfusion Catheter 132Cm,12174.395,4748.014999999999,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Kit Reperfusion Catheter 138Cm,12210.19,4761.97,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Kit Transjugular Liver Access Rosch-Uchida Cook,2399.13,935.66,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Kit Transjugular Portography Liver Access Ring 9F,2358.76,919.92,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Lantern Mcr Cath 115 - 45,3306.82,1289.66,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Lantern Mcr Cath 115 - 90,3306.82,1289.66,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Lantern Mcr Cath 115 - Str,2865.92,1117.71,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Lantern Mcr Cath 135 - 45,3279.27,1278.92,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Lantern Mcr Cath 135 - 90,3306.82,1289.66,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Lantern Mcr Cath 150 - 45,3306.82,1289.66,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Microcath Str 167Cm 2.1Fr 16.5,4018.69,1567.29,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Microcatheter 150-5Cm 45Tip Prwlr Sl +,2976.66,1160.9,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Microcatheter 2.4F-2.9Fx125Cm Steerable Merit Medial,10581.84,4126.92,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Microcatheter 2.9F 130Cm Maestro No-Taper Straight,1403.46,547.35,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Microcatheter Corsair Pro 135Cm Asahi Intecc,2814.04,1097.48,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Microcatheter Corsair Pro 150Cm Asahi Intecc,3117.86,1215.97,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Microcatheter Diagnostic 2.4Fr L130Cm 750Psi,1629.85,635.64,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Microcatheter Diagnostic 3.1-2.6Fr L156Cm Id0.027In,5290.92,2063.46,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Microcatheter Interventional 2X2.5Fr L156Cm Tip Id0.021In,4585.09,1788.19,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Microcatheter Mamba Flex 0.014Inx135Cm Boston Scientific,2734.13,1066.31,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Microcatheter Mamba Flex 0.014Inx150Cm Boston Scientific,2877.3,1122.15,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Microcatheter Marksman 027In 2.8-3.2F 10Cm 160Cm,3086.37,1203.68,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Microcatheter Merit Pursue 2.9F2.0F130 Cm (51)Straight,2218.26,865.12,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Microcatheter Phenom 1.8-2.2Fr L150Cm Id0.017In Straight Tip,3306.82,1289.66,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Microcatheter Phenom 27 W-15Cm Dist Flpy Seg 027In 150Cm,3968.19,1547.59,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Microcatheter Plus 150-5Cm Prwlr Sl,2907.32,1133.85,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Microcatheter Prowler 14 1 Marker Tip Str 2.3F-1.9F 170Cm,4334.58,1690.49,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Microcatheter Prowler-14 150Cm,2907.32,1133.85,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Microcatheter Sl10 150Cm 2.4Fr,3867.95,1508.5,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Microcatheter Supercross 0.014Inx150Cm 120 Degrees Otw Telef,2315.98,903.23,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Microcatheter Supercross 0.014Inx150Cm 90 Degrees Otw Telefl,2299.25,896.71,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Microcatheter Supercross 120 Degree 130Cm Angled Tip Telefle,2307.62,899.97,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Microcatheter Supercross 90 Degree 130Cm Angled Tip Teleflex,2349.45,916.29,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Microcatheter Surmc135 Telemark 135Cm,1884.74,735.05,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Microcatheter Surmc150 Telemark 150Cm,1884.74,735.05,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Microcatheter Tapered 2.9Fr 150Cm Swan Neck Merit Medical,1403.46,547.35,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Quick Cross .014 135 Cm Catheter Guide,783.5,305.56,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Quick Cross Select 018-150,905.62,353.19,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Quickcross .018,783.5,305.56,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Renegade Embolectomy Catheter Guid.021In 3-2.4F Str,2129.91,830.66,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Respiguide Stimulation Lead Catheter Delivery System 5Pk,11022.75,4298.87,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Ring Transjugular Intrahepatic 10F Access Kit Cook,2358.76,919.92,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Rubicon .018 150Cm Support Catheter,737.75,287.72,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Rubicon .018 90Cm Support Catheter,774.18,301.93,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - See 124396 Catheter Support Rubicon 14 01 014In X 150Cm,758.66,295.88,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - See 96573 Catheter Guide Launch 7Fr Al 1.0 Sh,205.96,80.32,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Set Biopsy Needle 19Ga L60Cm Throw L20Mm Sheath 7Fr,1983.06,773.39,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Set Intro 10Cm 4Fr 21Ga Mpnch Slht .018In Ss,136.62,53.28,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Sheath 6Fr Terumo 45Cm Strt Xcut,542.22,211.47,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Sheath 7Fr Terumo 45Cm Strt Xcut,570.37,222.44,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Sheath Guiding L90Cm Id0.09In Flexible Dexterous Tip,2203.5,859.36,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Sheath Guiding L95Cm Id0.09In Flexible Dexterous Tip,2203.52,859.37,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Sheath Introducer 10Fr L10Cm Dilator L2.5Cm Pinnacle,55.91,21.8,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Sheath Introducer 7Fr L25Cm Radiopaque Marker,127.3,49.65,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Sheath Introducer 9Fr L10Cm Pinnacle,42.44,16.55,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Sheath Introducer L25Cm Id6Fr Dilator L2.5Cm,136.45,53.22,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Sheath Introducer Pinnacle Cr Rsscut Str 7F 90Cm,695.52,271.25,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Sheath Radial Access Rist 25Cm Hydrophilic Coating 7F 105Cm,5158.44,2011.79,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Straight Glide Cath 4Fr,238.05,92.84,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - System Access Catheter Bnchmrk Bmx96 90Cm Mp Tip 125Cm Sim 6,3946.46,1539.12,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - System Leadhf Acuity Pro Delivery,3482.78,1358.28,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Terumo Finecross Coronary Micro-Guide Catheter,391.23,152.58,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Terumo Progreat Microcath 2.8Fr X 150Cm,1517.37,591.77,,,0
HCPCS,C1887,Noncdm Charge Record Medical Supplies - Twin Pass Dual Access 2 Lumen Catheter 3.5F,1098.61,428.46,,,0
HCPCS,C1887,Set Ring Transju,1792.62,699.12,,,0
HCPCS,C1887,Sheath Guid R2P Destn Slen 75,1459.35,569.15,,,0
HCPCS,C1887,Sheath Guiding Destination,1459.35,569.15,,,0
HCPCS,C1887,Stent Pipeline 10-20Mm,127683.81,49796.69,,,0
HCPCS,C1887,Stent Pipeline 30-35Mm,93835.17,36595.72,,,0
HCPCS,C1887,Sup Catheter Guiding May Include Infusion/Perfusion Capability,16209.14,6321.56,,,0
HCPCS,C1888,Hc Catheter Closurefast 7F 100Cm 7Cm,4974.21,1939.94,,,0
HCPCS,C1888,Noncdm Charge Record Medical Supplies - Catheter Closurefast 7F 100Cm,4629.56,1805.53,,,0
HCPCS,C1889,Ant/Post Tibialis Tendon,7389.9,2882.06,,,0
HCPCS,C1889,Augmnx Hydrogel Inj C61,13225.37,5157.89,,,0
HCPCS,C1889,Balloon Drug Coded Stent,9108.0,3552.12,,,0
HCPCS,C1889,Basket Retrieval Trapezoid,1176.8,458.95,,,0
HCPCS,C1889,Cath Access Spyscope Ds,18554.44,7236.23,,,0
HCPCS,C1889,Cervical Dis Mobic-C,18909.45,7374.69,,,0
HCPCS,C1889,Coil Detachable Azur 035 5Mm,6262.78,2442.48,,,0
HCPCS,C1889,Graft Bone Sm,19482.84,7598.31,,,0
HCPCS,C1889,Jagtome Sphinct Endo Biliary,2361.87,921.13,,,0
HCPCS,C1889,Mild Kit,11954.25,4662.16,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies,7698.33,3002.35,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Balloon Repl Std G Tube 20Fr,365.36,142.49,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Balloon Replacement Straight G Tube 22Fr,365.36,142.49,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Breast Tissue Expander Suture Integral Injection Dome 300Cc,8458.54,3298.83,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Breast Tissue Expander Suture Integral Injection Dome 475Cc,8458.67,3298.88,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Breast Tissue Expander Suture Integral Injection Dome 500Cc,8458.61,3298.86,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Breast Tissue Expander Suture Integral Injection Dome 750Cc,8458.91,3298.97,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Clip Medical L40Mm Small Footprint Atriclip Flex V,8942.4,3487.54,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Coil Cx Detachable 035 6Mmx9Cm Azur,5278.5,2058.62,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Coil Cx Detachable 035In 8Mmx 12Cm Azur,5278.15,2058.48,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Coil Helical Detachable 6X10 18D System Azur,3840.88,1497.94,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Coil Interlock .035 2D 10 Mm X 20 Cm,3721.86,1451.53,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Coil Interlock .035 2D 4 Mm X 10 Cm,2556.97,997.22,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Coil Interlock .035 2D 6 Mm X 10 Cm,2024.46,789.54,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Coil Interlock .035 2D 6 Mm X 20 Cm,3528.32,1376.04,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Coil Interlock .035 2D 8 Mm X 20 Cm,3576.7,1394.91,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Coil Orbit Galaxy Complex Xtrasoft 3X3,4591.95,1790.86,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Coil Orbit Galaxy Complex Xtrasoft 3X4,4592.3,1791.0,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Coil Orbit Galaxy Complex Xtrasoft 3X6,4591.78,1790.79,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Device Closure 24Mm Watchman,82168.65,32045.77,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Device Closure Watchman Flx Laa 20Mm Us,82168.65,32045.77,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Device Closure Watchman Flx Laa 24Mm Us,82168.65,32045.77,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Device Closure Watchman Flx Laa 27Mm Us,82168.65,32045.77,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Device Closure Watchman Flx Laa 31Mm Us,82168.65,32045.77,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Device Closure Watchman Flx Laa 35Mm Us,82168.65,32045.77,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Device Embolization Pipeline Flex 4.50Mmx18Mm,56382.66,21989.24,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Device Fastener Delivery Esoph Serosafuse Esophyx Z,22389.12,8731.76,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 4.25Mm X 14Mm,62182.8,24251.29,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 4.75Mm X 20Mm,62182.8,24251.29,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 4Mm X 18Mm,62182.8,24251.29,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 5Mm X 20Mm,62182.8,24251.29,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 5Mm X 25Mm,66218.26,25825.12,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Electrode Elctrsurg 10Ft Swbld Acvc Ss Rckr,12.42,4.84,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Expander Breast Tissue 455Cc Suture Tab Artoura Plus,8458.54,3298.83,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Expander Breast Tissue 535Cc Suture Tab Artoura Plus,8458.71,3298.9,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Expander Tissue 550Cc W13X H13.5Cm Fourte Natrelle 133S,7491.85,2921.82,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Expander Tissue 650Cc W14X H14.5Cm Fourte Natrelle 133S,7491.9,2921.84,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Hydrogel Spaceoar 10Ml Augmenix,15046.83,5868.26,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Impella Cp 3.5L Catheter,120836.25,47126.14,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Kit Implant Valve - Sapien S3 Ultra Transcatheter Heart Valv,164337.3,64091.55,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Marker Radiographic Lumicoil L10Mm D .018In Figure 8,1097.1,427.87,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Microcoil Embolization L7Cm Dia10Mm 0.035In,570.28,222.41,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Microcoil Embolization L7Cm Dia6Mm 0.035In,570.28,222.41,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Nasal Implant System Latera Absorb,4809.3,1875.63,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Probe Electrosurg 220Cm 2.3Mm,1152.99,449.67,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Probe Electrosurgical Flexible Intracept Rf,18518.22,7222.11,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Sealant Human Fibrin 4Ml Vistaseal Ethicon,1027.76,400.83,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - See 114951 Set Anchor Gastrointestinal Safe T Pexy Halyard H,553.72,215.95,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - See 133039 Spacer Oar Hydrogel,12565.94,4900.72,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - See 83900 Suture Monocryl 3-0 Ps-2 27In Undyed Ethicon,27.94,10.9,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Set Tb Gastro T W-Fastener 14F,592.45,231.06,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Shockwave Coronary Ivl C2 Balloon 3.5X12Mm,20722.77,8081.88,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Shunt Carotid 10Fr L13Cm Straight,256.68,100.11,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Shunt Carotid 12Fr L13Cm Straight,256.68,100.11,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Shunt Carotid Javid 8Fr X 10Cm Straight,631.35,246.23,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Shunt Neuro Bctsl Csf Prtnl Cath Barium Sil,2453.98,957.05,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Shunt Neuro Bctsl Csf Ventri Cath Barium Sil,2439.75,951.5,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Snare Retriever Clot 0.016Inx20.5Mm,31723.78,12372.27,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Spacer Radiotherapy 10Ml Hydrogel Perirectal Absorbable,16651.08,6493.92,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Spacer Spnl 15-20Mm Cor Dia12Mm For Mini Self Expnd,29788.34,11617.45,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Spacer Spnl 15-20Mm Cor Dia14Mm For Mini Self Expnd,29788.34,11617.45,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Spacer Spnl 17-24Mm Cor Dia12Mm For Mini Self Expnd,29788.34,11617.45,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Spacer Spnl 6X15X12Mm 7Deg Cerv Lord Modulus,4712.35,1837.82,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Spacer Spnl 6X17X14Mm 7Deg Cerv Lord Modulus,4712.61,1837.92,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Spacer Spnl 7X15X12Mm 7Deg Cerv Lord Modulus,4712.56,1837.9,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Spacer Spnl 7X17X14Mm 7Deg Cerv Lord Modulus,4712.61,1837.92,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Spacer Spnl 8X17X14Mm 7Deg Cerv Lord Modulus,4712.35,1837.82,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Spacer Spnl H9Xl10Mm Ti Mesh,24167.25,9425.23,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Suture Firberwire 38In T-5 Taper Blue Arthrex,107.64,41.98,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Tool Dissect Mr8 14Cm 5Mm Diamond,1355.85,528.78,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Tube Feeding Mic G 20Fr Silicone Balloon,151.11,58.93,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Tube Gastrostomy Feeding L10Cm Od18Fr 5-10Ml M Balloon,312.38,121.83,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Valve Certas Plus Inline 120Cm Bactiseal Integra Lifescience,23529.69,9176.58,,,0
HCPCS,C1889,Noncdm Charge Record Medical Supplies - Valve Certas Plus Inline Only,19929.96,7772.68,,,0
HCPCS,C1889,Rezum Handpiece,12317.54,4803.84,,,0
HCPCS,C1889,Snare Endo Single Use,185.26,72.25,,,0
HCPCS,C1889,Sup Implant/Insertable Device Noc,22564.39,8800.11,,,0
HCPCS,C1889,Sup Insertable Device/ Not An Implant Noc,13880.15,5413.26,,,0
HCPCS,C1889,System Surgical Omni Software,5868.45,2288.7,,,0
HCPCS,C1889,Valve Endobronchial Zephyr,9780.75,3814.49,,,0
HCPCS,C1890,Hc No Implantable/Insertable Device Used With Device-Intensive Proc,1.0150000000000001,0.395,,,0
HCPCS,C1890,No Device W/Dev-Intensive Px,1.03,0.4,,,0
HCPCS,C1892,Cath Insertion Peritoneal Kit,673.78,262.77,,,0
HCPCS,C1892,Hc Introducer Stiff Micro 4Fr,269.88,105.25,,,0
HCPCS,C1892,Hc Kit Introducer Cook 8Fr,264.7,103.22999999999999,,,0
HCPCS,C1892,Hc Set Introducer 20.0-38 140391,376.33,146.77,,,0
HCPCS,C1892,Hc Set Introducer Cpli24.0-38,365.67,142.61,,,0
HCPCS,C1892,Introducer,318.78,124.32,,,0
HCPCS,C1892,"Introducer, Peel-Away",281.52,109.79,,,0
HCPCS,C1892,Kit Cath Peritoneal Dial,673.78,262.77,,,0
HCPCS,C1892,Noncdm Charge Record Medical Supplies,242.70499999999998,94.655,,,0
HCPCS,C1892,Noncdm Charge Record Medical Supplies - Cath Guide Coronary Advanced Worley,1670.49,651.49,,,0
HCPCS,C1892,Noncdm Charge Record Medical Supplies - Intro Sheath .038 10Fx30Cm,299.12,116.66,,,0
HCPCS,C1892,Noncdm Charge Record Medical Supplies - Introducer Mic 10Cm 40Cm 4Fr,102.46,39.96,,,0
HCPCS,C1892,Noncdm Charge Record Medical Supplies - Introducer Peelable 6F X 10Cm,87.98,34.31,,,0
HCPCS,C1892,Noncdm Charge Record Medical Supplies - Introducer Sheath 11Fr 13Cm,208.04,81.14,,,0
HCPCS,C1892,Noncdm Charge Record Medical Supplies - Introducer Sheath 12Fr 13Cm,208.04,81.14,,,0
HCPCS,C1892,Noncdm Charge Record Medical Supplies - Introducer Sheath 20Fr 13Cm Wo Gwire Set Plwy,207.97,81.11,,,0
HCPCS,C1892,Noncdm Charge Record Medical Supplies - Introducer Sheath 22Fr 13Cm Wo Gwire Plwy,208.04,81.14,,,0
HCPCS,C1892,Noncdm Charge Record Medical Supplies - Introducer Sheath Optiseal 10Fr Long Medtronic Inc,251.5,98.08,,,0
HCPCS,C1892,Noncdm Charge Record Medical Supplies - Introducer Sheath Optiseal 11F 13Cm,213.21,83.15,,,0
HCPCS,C1892,Noncdm Charge Record Medical Supplies - Introducer Sheath Optiseal 6Fr,234.255,91.35499999999999,,,0
HCPCS,C1892,Noncdm Charge Record Medical Supplies - Introducer Sheath Optiseal 7Fr Long Medtronic Inc,250.99,97.89,,,0
HCPCS,C1892,Noncdm Charge Record Medical Supplies - Introducer Sheath Optiseal 8Fr Long Medtronic Inc,251.5,98.08,,,0
HCPCS,C1892,Noncdm Charge Record Medical Supplies - Introducer Shth 6Fr 65Cm Xcut Guide Strt,505.08,196.98,,,0
HCPCS,C1892,Noncdm Charge Record Medical Supplies - Introducer Splittable 9Fx13Cm Classic Sheath St Jude Medical,156.28,60.95,,,0
HCPCS,C1892,Noncdm Charge Record Medical Supplies - Introducer Traw 10Cmx.018 6Fr Mic,78.66,30.68,,,0
HCPCS,C1892,Noncdm Charge Record Medical Supplies - Kit Comp Acc,2425.0,945.75,,,0
HCPCS,C1892,Noncdm Charge Record Medical Supplies - Safesheath Ii Introducer 7Fr,251.5,98.08,,,0
HCPCS,C1892,Noncdm Charge Record Medical Supplies - See 126626 Introducer Hemostatic Tear-Aw Way 7F 13Cm L,136.62,53.28,,,0
HCPCS,C1892,Noncdm Charge Record Medical Supplies - Sheath 10Fr 13Cm Optiseal,213.78,83.37,,,0
HCPCS,C1892,Noncdm Charge Record Medical Supplies - Sheath 7Fr 13Cm Optiseal,213.22,83.16,,,0
HCPCS,C1892,Noncdm Charge Record Medical Supplies - Sheath 8Fr 13Cm Optiseal,238.53,93.03,,,0
HCPCS,C1892,Noncdm Charge Record Medical Supplies - Sheath 9Fr 13Cm Optiseal,213.22,83.16,,,0
HCPCS,C1892,Noncdm Charge Record Medical Supplies - Sheath 9Fr 25Cm Optiseal,251.5,98.08,,,0
HCPCS,C1892,Noncdm Charge Record Medical Supplies - Sheath Acc 30Fr Opq Amplatz,133.51,52.07,,,0
HCPCS,C1892,Noncdm Charge Record Medical Supplies - Sheath Introducer 10Fr. Prelude 13Cm Merit Medical,152.15,59.34,,,0
HCPCS,C1892,Noncdm Charge Record Medical Supplies - Sheath Introducer 10Fr. Prelude 25Cm Merit Medical,216.32,84.36,,,0
HCPCS,C1892,Noncdm Charge Record Medical Supplies - Sheath Introducer 6Fr. Prelude 13Cm Merit Medical,159.39,62.16,,,0
HCPCS,C1892,Noncdm Charge Record Medical Supplies - Sheath Introducer 7Fr. Prelude 13Cm Merit Medical,154.47,60.24,,,0
HCPCS,C1892,Noncdm Charge Record Medical Supplies - Sheath Introducer 7Fr. Prelude 25Cm Merit Medical,215.97,84.23,,,0
HCPCS,C1892,Noncdm Charge Record Medical Supplies - Sheath Introducer 8.5Fr. Prelude 13Cm Merit Medical,151.63,59.14,,,0
HCPCS,C1892,Noncdm Charge Record Medical Supplies - Sheath Introducer 8Fr. Prelude 13Cm Merit Medical,159.39,62.16,,,0
HCPCS,C1892,Noncdm Charge Record Medical Supplies - Sheath Introducer 8Fr. Prelude 25Cm Merit Medical,216.32,84.36,,,0
HCPCS,C1892,Noncdm Charge Record Medical Supplies - Sheath Introducer 9.5Fr. Prelude 13Cm Merit Medical,152.15,59.34,,,0
HCPCS,C1892,Noncdm Charge Record Medical Supplies - Sheath Introducer 9Fr. Prelude 13Cm Merit Medical,154.67,60.32,,,0
HCPCS,C1892,Sheath Kit Introducer Percutan,263.92,102.93,,,0
HCPCS,C1893,Catheter Finecross Mg .014X150,2347.38,915.48,,,0
HCPCS,C1893,Introducer Sheath,49.68,19.38,,,0
HCPCS,C1893,Noncdm Charge Record Medical Supplies,1145.74,446.84000000000003,,,0
HCPCS,C1893,Noncdm Charge Record Medical Supplies - Catheter Lead Delivery 10.06Fr L47Cm 115Deg,2473.65,964.72,,,0
HCPCS,C1893,Noncdm Charge Record Medical Supplies - Catheter St Jude Sli 8.5 Fr,807.3,314.85,,,0
HCPCS,C1893,Noncdm Charge Record Medical Supplies - Introducer Guiding Transsepta Al Braided Sl1 63Cm,1169.55,456.12,,,0
HCPCS,C1893,Noncdm Charge Record Medical Supplies - Introducer Guiding Transseptal Braided Sl1 81Cm,1296.86,505.78,,,0
HCPCS,C1893,Noncdm Charge Record Medical Supplies - Kit Sheath 14Fr Laser,13403.25,5227.27,,,0
HCPCS,C1893,Noncdm Charge Record Medical Supplies - Sheath 8Fr Guiding Sl1,1038.1,404.86,,,0
HCPCS,C1893,Noncdm Charge Record Medical Supplies - Sheath 8Fr Guiding Sro,901.38,351.54,,,0
HCPCS,C1893,Sheath / Introducer,116.96,45.61,,,0
HCPCS,C1893,Sheath / Introducer Guiding,513.36,200.21,,,0
HCPCS,C1893,Sheath Cardiac Ultra,9128.7,3560.19,,,0
HCPCS,C1893,Sheath Flexor,152.15,59.34,,,0
HCPCS,C1893,Sheath Introducer Cardiac,1608.39,627.27,,,0
HCPCS,C1893,"Sheath, Ep, Non Peel-Away",52.78,20.58,,,0
HCPCS,C1893,Sl0 8.5F Introducer,1203.7,469.44,,,0
HCPCS,C1893,Sl1 8.5F Introducer,1908.54,744.33,,,0
HCPCS,C1894,Balkin 45 Sheaths,540.27,210.71,,,0
HCPCS,C1894,Basic Sheaths,86.94,33.91,,,0
HCPCS,C1894,Biopsy Sheath,960.48,374.59,,,0
HCPCS,C1894,Cath Angio Guide Soft-Vu,165.6,64.58,,,0
HCPCS,C1894,Cath Introducer Flexor,282.56,110.2,,,0
HCPCS,C1894,Cath Kit Dual Lumen,761.76,297.09,,,0
HCPCS,C1894,Cath Powerline Sl Tr,1035.0,403.65,,,0
HCPCS,C1894,Cath Sheath Slender Nitinol,363.28,141.68,,,0
HCPCS,C1894,Cath Teflon Introducer,819.72,319.69,,,0
HCPCS,C1894,Catheter Introducer Passive,1825.74,712.04,,,0
HCPCS,C1894,Dryseal Flex Introducer Sheath,3748.77,1462.02,,,0
HCPCS,C1894,Hc Accustick Ii .038In J Tip Wire,399.615,155.85,,,0
HCPCS,C1894,Hc Introducer Ck W/Ogw 6Fr,118.3,46.14,,,0
HCPCS,C1894,Hc Introducer Peel Away 1.4Fr Picc Sheath,155.56,60.67,,,0
HCPCS,C1894,Hc Introducer Peel Away 1.9Fr Picc Sheath,153.81,59.985,,,0
HCPCS,C1894,Hc Introducer Peel Away 9F 038Inx30Cm,977.56,381.25,,,0
HCPCS,C1894,Hc Introducer Sheath 6Fr 4Fr 20Cm Gwire Troc,360.28,140.51,,,0
HCPCS,C1894,Hc Introducer Sheath 8Fr 2.5Cm 10Cm Mini Gwire,45.33,17.68,,,0
HCPCS,C1894,Hc Kit Intro Er Reboa Resus Balloon,791.05,308.51,,,0
HCPCS,C1894,Hc Kit Micro Introducer,225.99,88.13499999999999,,,0
HCPCS,C1894,Hc Kit Neurostim Intstm Introducer,1430.68,557.97,,,0
HCPCS,C1894,Hc Kit Perc Sheath Intro 8.5Fr,420.41499999999996,163.95999999999998,,,0
HCPCS,C1894,Hc Kit Percutaneous Sheath Intro,414.88,161.805,,,0
HCPCS,C1894,Hc Kit Sheath Perc Full Bar,282.505,110.18,,,0
HCPCS,C1894,Hc Micropuncture Stiff 4Fr,115.92,45.21,,,0
HCPCS,C1894,Hc Pinnacle Sheath Ps/6/10,43.88,17.11,,,0
HCPCS,C1894,Hc Set Cath Infusion Rapid,79.85,31.14,,,0
HCPCS,C1894,Hc Set Introducer 21Gx2.75In 7F 7Cm,145.99,56.94,,,0
HCPCS,C1894,Hc Set Introducer Coaxial M,111.88499999999999,43.635000000000005,,,0
HCPCS,C1894,Hc Set Introducer Mpis-405,112.82,44.0,,,0
HCPCS,C1894,Hc Set Micropuncture Stiffened,85.80000000000001,33.46,,,0
HCPCS,C1894,Hc Set Neff Percutaneous Access,476.51,185.84,,,0
HCPCS,C1894,Hc Set Sheath Micropuncture,219.07,85.435,,,0
HCPCS,C1894,Hc Sheath 7Frx24Cm Flex,226.04,88.16,,,0
HCPCS,C1894,Hc Sheath Brite Tip 10Fr 11,62.93,24.54,,,0
HCPCS,C1894,Hc Sheath Brite Tip 11Fr 11,61.06,23.81,,,0
HCPCS,C1894,Hc Sheath Dryseal With Hydrophilic Coating Gore 14F 4.8Mmx5.5Mmx28Cm,1422.09,554.62,,,0
HCPCS,C1894,Hc Sheath Gore Dryseal Valve Attached 2.5Ml Valve Inflation Syringe 24F 8.2Mm X 9.1Mm X 28Cm,1541.53,601.2,,,0
HCPCS,C1894,Hc Sheath Peel Away Cook 24,186.71,72.82,,,0
HCPCS,C1894,Hc Sheath Peel Away Cook 26,186.71,72.82,,,0
HCPCS,C1894,Intermediate Sheaths,291.87,113.83,,,0
HCPCS,C1894,Intr Check-Flo 7Fr 40 G10384,303.26,118.27,,,0
HCPCS,C1894,Intr Check-Flo Cook,409.86,159.85,,,0
HCPCS,C1894,Intr Check-Flo Long 12Fr G0895,328.1,127.96,,,0
HCPCS,C1894,Intr Sheath Peel Away Cook,261.86,102.13,,,0
HCPCS,C1894,Intro Cath Raabe Mod Wo/Radio,283.59,110.6,,,0
HCPCS,C1894,Intro Glidesheath 6Fx10Cm Gw 0,87.98,34.31,,,0
HCPCS,C1894,Intro Glideshth Slender,286.7,111.81,,,0
HCPCS,C1894,Intro Sheath  Dilator Tuohy,580.64,226.45,,,0
HCPCS,C1894,Intro Sheath Access Set,1915.78,747.15,,,0
HCPCS,C1894,Intro Sheath Dilator,580.64,226.45,,,0
HCPCS,C1894,Intro Sheath Peel Away G06492,184.23,71.85,,,0
HCPCS,C1894,Intro Shth Flexr Ansel 5Fr 45C,293.94,114.64,,,0
HCPCS,C1894,Intro Shth Prelude Ideal 5Fr,214.24,83.55,,,0
HCPCS,C1894,Introd Sheath Dryseal Flex Wl,1995.48,778.24,,,0
HCPCS,C1894,Introducer,316.71,123.52,,,0
HCPCS,C1894,Introducer 16Fr,637.56,248.65,,,0
HCPCS,C1894,Introducer Accustick Ii,396.4,154.6,,,0
HCPCS,C1894,Introducer Catheter Check Flow,631.35,246.23,,,0
HCPCS,C1894,Introducer Catheter Check-Flo,979.11,381.85,,,0
HCPCS,C1894,Introducer Check Flo Large,513.36,200.21,,,0
HCPCS,C1894,Introducer Coaxial 13.5G X10Cm,573.39,223.62,,,0
HCPCS,C1894,Introducer Guide,155.5,60.64,,,0
HCPCS,C1894,Introducer Kit Percutaneous Le,652.05,254.3,,,0
HCPCS,C1894,"Introducer Kit, Sheath",474.03,184.87,,,0
HCPCS,C1894,Introducer Lead Safesheath,3477.6,1356.26,,,0
HCPCS,C1894,Introducer Micra Pacing System,3326.49,1297.33,,,0
HCPCS,C1894,Introducer Peel Away 7Fr,385.535,150.36,,,0
HCPCS,C1894,Introducer Perc Lead,167.67,65.39,,,0
HCPCS,C1894,Introducer Pinnacle (Endovascu,86.94,33.91,,,0
HCPCS,C1894,Introducer Set,322.92,125.94,,,0
HCPCS,C1894,Introducer Sheath,719.325,280.53499999999997,,,0
HCPCS,C1894,Introducer Sheath 4Fr 12Fr,55.89,21.8,,,0
HCPCS,C1894,Introducer Sheath Gw Neff,334.3,130.38,,,0
HCPCS,C1894,Introducer Sheath Thrombec,10867.5,4238.32,,,0
HCPCS,C1894,Introducer Suprapubic Catheter,86.94,33.91,,,0
HCPCS,C1894,Introducer/Sheath Flexor,2308.05,900.14,,,0
HCPCS,C1894,Kit Introducer Dilator,956.34,372.97,,,0
HCPCS,C1894,Kit Microintroducer Echpgenic,82.8,32.29,,,0
HCPCS,C1894,Needle Echogenic Glideacess,182.16,71.04,,,0
HCPCS,C1894,Needle Introducer Micro,125.69,49.02,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies,216.31,84.36,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - 5Fr Micro Puncture,126.93,49.5,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Accustick Ii .038In J Tip Wire,370.74,144.59,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Catheter Guiding Sheath 7Fr 55Cm 9Mm Steerable Oscor Inc,3819.57,1489.63,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Catheter Introducer 16Fr Supra-Foley Utah Medical Products,9.32,3.63,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Catheter Radial Acc 6Fr L105Cm Neurovascular Guide Rist,5158.44,2011.79,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Catheter Radial Acc 6Fr L95Cm Neurovascular Guide Rist,5158.44,2011.79,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Catheter Single Lumen Sheath,2443.12,952.82,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Catheter St Jude Sli 8.5 Fr,807.3,314.85,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Catheter Thrombectomy 15Cm 4.6Mm Sheath Clottriever Symmetry,14308.33,5580.25,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Catheter Thrombectomy L16Cm Dia4.6Mm Sheath Clottriever,10807.23,4214.82,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Glidesheath 5Fr,175.95,68.62,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Glidesheath 6Fr,175.95,68.62,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Glidesheath 6Fr 10Cm Slender Ss Kit,234.94,91.63,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Glidesheath 6Fr W- 0.35,175.95,68.62,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Glidesheath Slender 4-5,330.18,128.77,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Guidewire Coaxial 4F Stiff 45Cm Ni-Tu 7C,106.7,41.61,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Intro Mpnch Set Nitinol 5Fr,117.99,46.02,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Intro Set Mpnch Sst 4Fr 10Cm,145.42000000000002,56.715,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Intro Sheath 018-038In 5Fr Str 90Cm Flxr Ansel-0 W-Ckfl,657.22,256.32,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Intro Sheath 7F .035In 5.5Cm,106.75,41.63,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Intro Sheath Pncl W Gw 6Fx10Cm,126.4,49.3,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Intro Sheath Prelude 5Fr 7Cm,210.1,81.94,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Intro Sheath Prelude 6Fr 7Cm,138.17,53.89,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Intro Sheath Prelude 7Fr 21G 23Cm,230.8,90.01,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Intro Sheath W Hemo 7Fr 50Cm,43.99,17.16,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Intro Vasc Ndl 4Fr 10Cm 21Ga,236.18,92.11,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer 6209-S1 9F,317.74,123.92,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Cath 12Cm 5Fr Ultm,41.04,16.01,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Cath 13Cm 10Fr .038In Ckfl Flxr Lg,335.34,130.78,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Cath 13Cm 10Fr .038In Ckfl Prfrmr,248.4,96.88,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Cath 13Cm 12Fr .038In Ckfl Prfrmr,248.4,96.88,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Cath 13Cm 6Fr .035In Ckfl Prfrmr,157.32,61.35,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Cath 30Cm 10Fr,355.1,138.49,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Cath 30Cm 12Fr .038In Ckfl Wo Gw,369.39,144.06,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Cath 30Cm 14Fr .038In Lng Lgth,580.64,226.45,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Cath 30Cm 16Fr .038In Lg Ckfl,577.53,225.24,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Cath 30Cm 18Fr .038In Lg Ckfl Lg,577.53,225.24,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Cath 30Cm 5Fr .038In Lng Lgth Ckfl,310.5,121.1,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Cath 30Cm 6Fr .038In Lng Lgth Ckfl,278.42,108.58,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Cath 30Cm 7Fr .038In Lng Lgth Ckfl,310.5,121.1,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Cath 30Cm 8Fr .038In Lng Lgth Ckfl,310.5,121.1,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Cath 30Cm 9Fr .038In Ckfl Flxr Sm,310.5,121.1,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Cath 38.5Cm 10Fr .,442.98,172.76,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Cath 40Cm 6Fr .038In Ckfl Flxr Blk,341.55,133.2,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Cath 45Cm 6Fr .018-.038In Anl2 Crv,357.08,139.26,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Cath 45Cm 7Fr .018-.038In Anl1 Crv,357.08,139.26,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Cath 45Cm5Fr Anl2 .018-.038In Anl2 Crv,357.08,139.26,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Cath 45Cm6Fr Anl1 .018-.038In Crv,357.08,139.26,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Cath 55Cm 5Fr .038In Ckfl Flxr,317.74,123.92,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Cath 55Cm 7Fr .038In Ckfl Flxr,317.74,123.92,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Cath 55Cm 8Fr .038In Ckfl Flxr,317.8,123.94,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Cath 6Cm 6Fr .035In Ckfl Prfrmr Hi,113.85,44.4,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Cath 70Cm 6Fr .038In Ckfl Flxr,317.74,123.92,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Cath 70Cm 7Fr .038In Ckfl Flxr,317.74,123.92,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Cath 70Cm 8Fr .038In Ckfl Flxr,317.74,123.92,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Cath 8Fr 15Cm Vlv,455.19,177.52,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Cath 90Cm 6Fr .038In Flxr Sh-Sl,654.12,255.11,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Cath 90Cm 6Fr .087In .038In Flxr,709.32,276.63,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Cath 90Cm 7Fr .038In Flxr Sh-Sl,654.12,255.11,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Cath Shth 12F .038 8 13Cm W-O Guide Wire,328.35,128.06,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Cath45Cm5Fr Anl1Crv .018-.038In Anl1 Crv,357.08,139.26,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Checkflo 16F 13Cm,248.4,96.88,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Encor 10Ga Troc Obt Cannula Blck,636.52,248.24,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Flexor Check-Flo Rb 10F 035Inx45Cm,376.74,146.93,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Gwire .010-.018In,1.03,0.4,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Kit Mic Enroute 7Cm,883.1,344.41,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Lead 13Cm 9Fr,213.21,83.15,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Raabe 7Fr 45Cm Ckfl Flxr,330.16,128.76,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Safe Sheath 13Cm 6Fr,374.15,145.92,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath 035In 10F 45Cm,376.74,146.93,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath 035In 12F 45Cm,376.74,146.93,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath 10Fr 11Cm,102.4,39.94,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath 10Fr Peel-Apart Bard Peripheral Vascular,293.94,114.64,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath 10Frx25Cm,83.84,32.7,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath 11Fr 11Cm,96.26,37.54,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath 13Cm 14Fr .038In Ckflo Gwire,248.4,96.88,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath 14Fr 30Cm,220.46,85.98,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath 24Fr 13Cm Wo Gwire Set Plwy,208.04,81.14,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath 46Cm Repl Polypro Prtnl,217.35,84.77,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath 4Fr .018In 7Cm Gwire Cath,195.16,76.11,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath 4Fr 11Cm,31.05,12.11,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath 5Fr 11Cm,105.25,41.05,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath 5Fr 25Mm Kt Glidesheath Z,234.94,91.63,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath 6.5Fr L11Cm Guidewire 0.038In,41.4,16.15,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath 6.5Fr Plaprt Kt Peel-Apart,293.94,114.64,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath 61Cm Repl Polypro Prtnl,1087.79,424.24,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath 6Fr 10Mm Kt Glidesheath Z,234.94,91.63,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath 6Fr 11Cm,68.325,26.645,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath 6Fr 2.5Cm 10Cm,48.96,19.09,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath 6Fr 24Cm 3W Stopcock Intgr,302.71,118.06,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath 6Fr 25Mm Kt Glidesheath Z,234.94,91.63,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath 6Fr 40Cm 4Cm Spring Gwire,119.69,46.68,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath 6Fr 45Cm 3W Stopcock Intgr,444.55,173.37,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath 6Fr Hydrophil Plastic Shrt Taper,389.16,151.77,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath 7Fr 11Cm,67.5,26.325,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath 7Fr 2.5Cm 10Cm Wo Mini,42.5,16.58,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath 7Fr 23Cm,144.95,56.53,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath 7Fr 24Cm 3W Stopcock Intgr,292.35,114.02,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath 7Fr 40Cm 4Cm Spring Gwire,124.03,48.37,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath 7Fr 45Cm 3W Stopcock Intgr,369.5,144.1,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath 7Fr 65Cm Guide Strt Xcut,440.91,171.95,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath 8.5Fr L71Cm Dilator 8.5Fr Med Curl 22.4Mm,3989.92,1556.07,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath 8.5Fr L81Cm 8.5Fr Dilator L85Cm 0.032In,1323.07,516.0,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath 8Fr 11Cm,71.655,27.945,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath 8Fr 2.5Cm 4Cm Spring Gwire,117.99,46.02,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath 8Fr 24Cm 3W Stopcock Intgr,271.86,106.03,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath 8Fr2.5Cm10Cm 10Cm Wo Mini,46.43,18.11,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath 9Fr 11Cm,105.57,41.17,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath 9Fr 2.5Cm 10Cm Wo Mini,44.62,17.4,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath Avanti+ Mid -Lngth W-O Gwr 5F,48.64,18.97,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath Brite-Tip 6Fr 5.5Cm,106.39,41.49,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath C-Lock Hemo 7Fr L12Cm Dia0.038In,59.0,23.01,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath Check Flo Xl 20Fr L65Cm Dilator L81Cm,1757.43,685.4,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath Check Flo Xl 22Fr L65Cm Dilator L81Cm,1757.43,685.4,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath Endovascular 18Fr L65Cm Dryseal Flex,3699.09,1442.65,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath Flexor Ansel -1 W-Check-Flo Valve High Fle,376.67,146.9,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath Flexor Check Flo Raabe Mod W-Rb 038In7F90C,317.74,123.92,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath L4Cm Od7Fr Needle L4Cm Od21Ga,143.86,56.11,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sheath W-Hemo 8Fr Act Diltr 50Cm Gdwre,44.27,17.27,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Shth 4Fr 11Cm Brtp,101.58,39.62,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Suprapubic Catheter 16Fr Sheath 20Fr L17Cm Trocar,426.42,166.3,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Sys Accustick Ii,312.73,121.96,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Introducer Vascular 9 Fr 23Cm 29.5Cm,255.64,99.7,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Kit Acc Mic W-Tung Tip 5F Super Sharp Ndl,98.84,38.55,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Kit Glidesheath 5Fr 10Cm With 21Ga Needle Slender Terumo Cor,242.49,94.57,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Kit Glidesheath 7Fr 10Cm Slender Terumo Medical Corp,413.93,161.43,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Kit Glidesheath 7Fr 10Cm Ss Slender Terumo Medical Corp,243.56,94.99,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Kit Introducer 0.021X6Frx16Cm Sheath Terumo Medical Corp,241.16,94.05,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Kit Introducer 14Fr Short Abmd Impella,3086.37,1203.68,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Kit Introducer 16Fr Dilator 18Fr With Hemostat Needle Gw,551.66,215.15,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Kit Introducer 23Fr With Sheath Insertion Dilators,3086.37,1203.68,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Kit Introducer 8Fr Tearaway Surgpro,179.74,70.1,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Kit Introducer Lead Neurostim,1370.34,534.43,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Kit Introducer Perc Sheath 7F Inf 7.5F Lf-Sp,244.26,95.26,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Kit Introducer Percut Shth W- -Vessel Diltr 6Fx11Cm,132.48,51.67,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Kit Mi 5Fr 10Cm Stiffen Fluent Transitionless,139.02,54.22,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Kit Micro Introducer 4Fx0.018Inx40Cm 5.8Cm Tip Mandrel Gold,112.02,43.69,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Kit Micro Introducer 4Fx0.018Inx40Cm 7Cm Tip Mandrel Gold So,186.21,72.62,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Kit Micro Introducer 5Fx0.018Inx40Cm 5.8Cm Tip Mandrel Gold,111.37,43.43,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Kit Micro Introducer 5Fx0.018Inx40Cm 7Cm Tip Mandrel Gold So,146.13,56.99,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Kit Micro Tear Away 5Fx0.018Inx65Cm Mandrel Gold Soft Galt M,181.12,70.64,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Kit Microintroducer 4Fr L15Cm Ndl 21Ga L9Cm Gw L60Cm D.018In,163.05,63.59,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Micro Introducer Kit Stiffened 5Fr L45Cm Od5Fr 0.018In 7Cm,158.93,61.98,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Micropuncture 4F Long,153.08,59.7,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Micropuncture 4Fr,168.7,65.79,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Micropuncture 4Fr Short Introducer Set,182.68,71.25,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Pinnacle Sheath 5Fr X 25Cm,102.94,40.15,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Prelude Short Sheath Introduce 7F X 4Cm,95.22,37.14,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - R2P Destination Slender Guiding Sheath,1456.65,568.095,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - R2P Destination Slender Sheath,1390.0,542.1,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Raabe Sheath 55Cm 6Fr .038In Ckfl Flxr,317.74,123.92,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Rotoblator Advancer,979.11,381.85,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - See 109374 Sheath Introducer Pinnacle De Estinatn Str 6F 90C,440.91,171.95,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - See 121660 Kit Glidesheath 6Fr 10Cm Ss Slender Terumo Medica,234.94,91.63,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - See 132887 Glidesheath 7Fr 10Cm Slender Akt,389.13,151.76,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - See 132890 Glidesheath 7Fr 10Cm Slender Ss Kit,234.94,91.63,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - See 133370 Glidesheath 6Fr 10Cm Slender Akt,389.14,151.76,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - See 133371 Introducer Sheath 5Fr 10Mm Kt Glidesheath Z,234.94,91.63,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - See 137073 Introducer Lead 13Cm 7Fr,220.46,85.98,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - See 82449 Set Sheath Prctns Super Arrw- Flx W- Intgrl Hmsts,398.48,155.41,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Set Dilator Sheath 8F-10F Boston Scientific,269.8,105.22,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Set Intro 10Cm 4Fr 21Ga Mpnch Slht .018In Ss,106.6,41.57,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Set Intro Flexor Check-Flo Performer 8F 038Inx90Cm,337.67,131.69,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Set Introducer 21Gx2.75In 7F,98.13,38.27,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Set Introducer 4Fr Mpis-401-P Pedal-Nt-U-Sst,215.97,84.23,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Set Introducer Ansel 2 Flexor Check Flo,1204.74,469.85,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Set Micro Introducer Only 7Fx7Cm Tear Away Galt Medical,78.66,30.68,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Set Micropuncture,177.45,69.21,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Set Sheath Check-Flo Xl W-O Guidewire 20F 035X40,1757.43,685.4,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Set Sheath Introducer Percutaneous 7Fr 35Cm Super Arrow-Flex,367.42,143.29,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Set Sheath Introducer Super Arrow- Flex W- Intgrl Hmsts Vlv,529.92,206.67,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Set Sheath Prctns Super Arrw- Flx W- Intgrl Hmsts Vlv 10F 45,535.21,208.73,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Set Tube Introducer 8-14Fr 18Fr Foley Catheter,511.29,199.4,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Shealth Introducer 35Cmx9F Brite Tip Without Mini Wire Cardi,59.0,23.01,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath 4Fr Terumo 10Cm Mini Gwire,44.61,17.4,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath 5Fr Terumo 10Cm Mini Gwire,46.25,18.04,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath 5Fr Terumo 10Cm Wo Mini,46.85,18.27,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath 6Fr 12Cm Diag,39.46,15.39,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath 6Fr Britetip,146.97,57.32,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath 6Fr Terumo 10Cm Mini Gwire,46.45,18.12,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath 6Fr Terumo 25Cm Wo Mini,106.16,41.4,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath 6Fr Terumo 45Cm Strt Xcut,404.49,157.75,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath 7Fr 12Cm Diag,34.6,13.49,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath 7Fr Brite Tip 401-7,146.97,57.32,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath 7Fr Safe Long 25Cm,259.27,101.12,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath 7Fr Terumo 10Cm Mini Gwire,46.18,18.01,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath 7Fr Terumo 25Cm Wo Mini,104.54,40.77,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath 7Fr Terumo 45Cm Strt Xcut,401.58,156.62,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath 8Fr 12Cm Diag,33.41,13.03,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath 8Fr Brite Tip Int 4,146.97,57.32,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath 8Fr Terumo 10Cm Mini Gwire,46.95,18.31,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath 8Fr Terumo 45Cm Guide Strt Xcut,401.58,156.62,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Acc 11-13Fr 36Cm Nav,543.38,211.92,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Acc 11-13Fr 46Cm Nav,872.71,340.36,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Acc 13-15Fr 28Cm Nav,539.24,210.3,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Acc 35Cm 12Fr Flxr Uret,652.05,254.3,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Acc 45Cm 12Fr Flxr Uret,652.05,254.3,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Acc 45Cm 9.5Fr Flxr,723.46,282.15,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Acc 55Cm 12Fr Flxr Uret,652.05,254.3,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Acc Nav 11-13X28Cm Uret,699.26,272.71,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Acc Nav 11-13X36Cm Uret,717.33,279.76,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Acc Nav 11-13X46Cm Uret,695.48,271.24,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Acc Nav 12-14X28Cm Uret,642.45,250.56,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Acc Nav 12-14X36Cm Uret,733.81,286.19,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Acc Nav 12-14X46Cm Uret,683.1,266.41,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Access Nav 11-13Fx28Cm,543.38,211.92,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Access Nav 11-13Fx36Cm,537.16,209.49,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Adult 6Fr L4Cm Green Radial Permanent,143.86,56.11,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Agilis Sm Curl 8.5Fr 71Cm,2671.34,1041.82,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Ansell 6Fr 90Cm,657.19,256.3,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Ansell 7Fr,357.08,139.26,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Ballast Long 80Cm,2203.52,859.37,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Brite Tip 4 X 23,146.97,57.32,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Brite Tip 6Fr 23Cm,138.45,54.0,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Brite Tip 8-23,146.97,57.32,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Dryseal 12Fr Introducer Sheath 33Cm,2246.98,876.32,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Dryseal 12Fr Introducer Sheath 45Cm,3170.2,1236.38,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Dryseal 14Fr Introducer Sheath 33Cm,2246.98,876.32,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Dryseal 15Fr Introducer Sheath 33Cm,2246.98,876.32,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Dryseal 16Fr Introducer Sheath 33Cm,2246.98,876.32,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Dryseal 18Fr Introducer Sheath 33Cm,2288.39,892.47,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Dryseal 20Fr Introducer Sheath 33Cm,2288.39,892.47,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Dryseal 22Fr Introducer Sheath 33Cm,2288.39,892.47,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Dryseal 24Fr Introducer Sheath 33Cm,2288.39,892.47,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Guide Kcfw-6-35-55-Rb-Hfanl0-Hc,376.74,146.93,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Guide Kcfw-6.0-35-70-R Rb-Hfanl0-Hc,428.49,167.11,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Guide Strt Xcut 7F 45Cm,80.73,31.48,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Guiding 6Fr L90Cm Straight Tip,1516.79,591.55,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Guiding 8Fr L45Cm - Id2.9M Guidewire .018X0.038In,391.23,152.58,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Guiding Ansel Checkflo 6Fr 70Cm Cook Medical,428.43,167.09,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Guiding Ansel Checkflo 7Fr 55Cm Cook Medical,376.53,146.85,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Guiding Ansel Checkflo 7Fr 70Cm Cook Medical,428.49,167.11,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Guiding Ansel Checkflo 8Fr 70Cm Cook Medical,428.49,167.11,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Guiding Ansel Tuohy-Borst Sidearm 6Fr 55Cm Cook Medic,357.08,139.26,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Guiding Destination 8Frx90Cm With 60Cm Hydrophilic,450.22,175.59,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Guiding L55Cm Od 7Fr Id Id2,376.74,146.93,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Intro 12Fr L28Cm 0.035In Gwire Hydrphlc Lok,661.19,257.86,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Intro Cor .035In 5Fr,41.4,16.15,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Intro Cor .035In 6Fr,41.41,16.15,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Intro Cor .035In 7Fr,41.4,16.15,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Intro Coronary Gw 2.5C Cm Dltr 4F .038In 10Cm,41.4,16.15,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Intro Coronary Gw 2.5C Cm Dltr 8F .038In 10Cm,41.42,16.15,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Intro Coronary N-Gw 2. .5Cm Dltr 6Fr 25Cm,83.84,32.7,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Intro Coronary N-Gw 2. .5Cm Dltr 8Fr 25Cm,83.84,32.7,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Intro Flxr Ansel -0 W-Check Flo Valve 018,357.08,139.26,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Introducer 038In 5F70Cm,317.86,123.97,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Introducer 12Fr L12Cm 0.035In Dilator Ultimum Ev,51.23,19.98,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Introducer 5Fr 10Cm Precision Terumo Medical,186.61,72.78,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Introducer 6Fr L10Cm Needle 21Ga L38Mm Dilator 0.02,1651.86,644.23,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Introducer 6Fx10Cm Glidesheath Slender Terumo Medical,402.96,157.15,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Introducer 7Fr L25Cm Dilator L2.5Cm,83.84,32.7,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Introducer 7Fr L7Cm,91.08,35.52,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Introducer 8Fr L25Cm Di Dilator L2.5Cm Peripheral Pin,102.25,39.88,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Introducer 9Fr L10Cm Pinnacle,60.7,23.67,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Introducer Intri24 24Fr,10629.08,4145.34,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Introducer Micra Medtronic Inc,2645.46,1031.73,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Introducer Nitinol Hyd Dro Coat 5Fr 21G 10Cm,293.94,114.64,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Introducer Peel Away 4 .5Fr,78.66,30.68,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Introducer Peel Away 5 5Fr,78.66,30.68,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Introducer Pinnacle Cr Rsscut Str 7F 90Cm,450.22,175.59,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Introducer Pinnacle Ro 10Cm 5 Fr,123.81,48.29,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Introducer Pinnacle Ro 10Cm 6 Fr,112.65,43.93,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Introducer Pinnacle Ro 10Cm 9 Fr,141.79,55.3,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Introducer Pinnacle Rp Q W-0.038Gw 7F 10Cm,122.75,47.87,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Introducer Pinnacle Rp Q W-Gw 0.038 5F 10Cm,123.76,48.27,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Introducer Pinnacle Rp Q W-Gw Markr 9F 10Cm,112.82,44.0,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Introducer Pinnacle Rp Q W-Mini Gw 8F 10Cm,123.37,48.11,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Introducer Short Needle J Floppy Prelude L4Cm Od5Fr,143.86,56.11,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Introducer Slender Ss 0.021Inx6Frx10Cm 21Ga,240.82,93.92,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Introducr Pinncle Guid Dng Renal Rdc 6F 45Cc,401.58,156.62,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Peel Away 18Fr,207.97,81.11,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Pn Dstn 45 Cm Sh,401.58,156.62,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Prelude 5Fr,46.58,18.17,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Prelude 6Fr,43.47,16.95,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Prelude 7Fr,43.06,16.79,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath T-A Int Set - 30Cm,208.04,81.14,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Thrombectomy 8Fr 6Cm Inthrill,7936.38,3095.19,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Ureteral Forte Access 14Fr 2 28Cm Applied Medical,426.42,166.3,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Urological L30Cm D30Fr Nephrostomy Tract Continous,127.3,49.65,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Sheath Vas Sol 5Fr Radial,279.45,108.99,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Super Sheath Cbde Box 10,320.85,125.13,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - System Introducer 7Fr L13Cm 19.5Cm Orange Hub Medtronic,213.21,83.15,,,0
HCPCS,C1894,Noncdm Charge Record Medical Supplies - Vsi Micro-Introducer Kit L15Cm Od4Fr-9Cm,208.04,81.14,,,0
HCPCS,C1894,Prelude Sheath Ideal 4Fx X 7Cm,239.0,93.21,,,0
HCPCS,C1894,Prelude Sheath Introducer,36.22,14.13,,,0
HCPCS,C1894,Set Introducer Cath Ring Trans,372.6,145.31,,,0
HCPCS,C1894,Set Micropuncture Intro,108.68,42.39,,,0
HCPCS,C1894,Set Neff Percutaneous Access S,296.01,115.44,,,0
HCPCS,C1894,Shealth Radial Long V01,5651.1,2203.93,,,0
HCPCS,C1894,Sheath 8 5F Mullins Fast Cath,807.3,314.85,,,0
HCPCS,C1894,Sheath 9F Brite Tip,216.32,84.36,,,0
HCPCS,C1894,Sheath Amplatz Tfe 16Cm,115.92,45.21,,,0
HCPCS,C1894,Sheath Clottriever 13Fr 15Cm,10867.5,4238.32,,,0
HCPCS,C1894,Sheath Coaxial Dilator,123.16,48.03,,,0
HCPCS,C1894,Sheath Cook Introducer,332.24,129.57,,,0
HCPCS,C1894,Sheath Diagnostic,220.97000000000003,86.17500000000001,,,0
HCPCS,C1894,Sheath Diagnostic Terumo,77.62,30.27,,,0
HCPCS,C1894,Sheath Dryseal Flex,5920.2,2308.88,,,0
HCPCS,C1894,Sheath Dryseal Flex 12F 45Cm,3291.3,1283.61,,,0
HCPCS,C1894,Sheath Dryseal Flex 16Fr,3364.78,1312.26,,,0
HCPCS,C1894,Sheath Dryseal Flex Intro,3647.34,1422.46,,,0
HCPCS,C1894,Sheath Flexor Ureteral Access,494.73,192.94,,,0
HCPCS,C1894,Sheath Gud W/ Tiohy,316.71,123.52,,,0
HCPCS,C1894,Sheath Guiding,580.64,226.45,,,0
HCPCS,C1894,Sheath Non Laser,501.455,195.57,,,0
HCPCS,C1894,Sheath Peel Away 12 Cook,199.76,77.91,,,0
HCPCS,C1894,Sheath Performer 16Frx45Cm,513.36,200.21,,,0
HCPCS,C1894,Sheath Peripheral Intervention,314.64,122.71,,,0
HCPCS,C1894,Sheath Peritoneal,55.89,21.8,,,0
HCPCS,C1894,Sheath Pinnacle Coronary,49.68,19.38,,,0
HCPCS,C1894,Sheath Terumo 9F Pinnacle R/O,514.4,200.62,,,0
HCPCS,C1894,Sheath Thrombo Clottriever Lf,5216.4,2034.4,,,0
HCPCS,C1894,Sheathless Access System,335.34,130.78,,,0
HCPCS,C1894,System Watchman Double Curve,4347.0,1695.33,,,0
HCPCS,C1895,Lead Icd Dual Coil,23255.42,9069.61,,,0
HCPCS,C1896,Lead Epsila Ev,23430.33,9137.83,,,0
HCPCS,C1896,Lead Q-Trak Sq (Rv),17784.4,6935.92,,,0
HCPCS,C1896,Noncdm Charge Record Medical Supplies,26051.98,10160.27,,,0
HCPCS,C1896,Noncdm Charge Record Medical Supplies - Implant Emblem Subcutaneous Defibrillator Boston Scientific,21750.52,8482.7,,,0
HCPCS,C1896,Sup Lead Cardioverter-Defib Not Endocardial Single Or Dual Coil,4833.45,1885.05,,,0
HCPCS,C1897,Hc Kit Test Lead Neurostim Nevro,6494.62,2532.9,,,0
HCPCS,C1897,Hc Lead Neuro Test Intstm,1761.16,686.85,,,0
HCPCS,C1897,Hc Lead Neuro Test Spnl Cord,665.19,259.42,,,0
HCPCS,C1897,Lead Neurostim Test Kit,6494.62,2532.9,,,0
HCPCS,C1897,Lead Neurostimulator Test Kit,297.04,115.85,,,0
HCPCS,C1897,Noncdm Charge Record Medical Supplies,1396.22,544.53,,,0
HCPCS,C1897,Noncdm Charge Record Medical Supplies - Interstim Test Kit Medtronic,195.62,76.29,,,0
HCPCS,C1897,Noncdm Charge Record Medical Supplies - Istim Pne Test Stim Basic Evaluation Kit,332.6,129.71,,,0
HCPCS,C1897,Noncdm Charge Record Medical Supplies - Istim Test Stim Basic Evaluation Kit,553.61,215.91,,,0
HCPCS,C1897,Noncdm Charge Record Medical Supplies - Kit Trial Lead,5075.12,1979.3,,,0
HCPCS,C1897,Noncdm Charge Record Medical Supplies - Lead Lnr 3-4 Trl 50Cm,1746.04,680.96,,,0
HCPCS,C1897,Noncdm Charge Record Medical Supplies - Lead Neurostim 3Mm 5 Column 4,25133.94,9802.24,,,0
HCPCS,C1897,Noncdm Charge Record Medical Supplies - Lead Neurostim Trl Cntct Spc Mri 1X8X60,7166.34,2794.87,,,0
HCPCS,C1897,Sup Lead Neurostimulator Test Kit Implantable,3192.87,1245.22,,,0
HCPCS,C1897,Trial Sacral Stimulator,956.34,372.97,,,0
HCPCS,C1898,Atrial And/Or Vent. Lead,3694.95,1441.03,,,0
HCPCS,C1898,Lead Bipolar Pacing Temp,272.2,106.16,,,0
HCPCS,C1898,Lead Bundle Of His,7815.28,3047.96,,,0
HCPCS,C1898,Lead Pacemaker,2414.66,941.72,,,0
HCPCS,C1898,Lead Pacing Capsure Epi,1738.8,678.13,,,0
HCPCS,C1898,Lead Pacing Capsurefix,2881.44,1123.76,,,0
HCPCS,C1898,Lead Pacing Ingevity Str Exten,1813.32,707.19,,,0
HCPCS,C1898,Lead Spacing Bipolar Atrial,1511.1,589.33,,,0
HCPCS,C1898,Noncdm Charge Record Medical Supplies,1987.2,775.01,,,0
HCPCS,C1898,Noncdm Charge Record Medical Supplies - Lead 383069 Slct Scr Us Cl,2041.02,796.0,,,0
HCPCS,C1898,Noncdm Charge Record Medical Supplies - Lead 5076-45 Bi Sil Scr-In 10L,2041.02,796.0,,,0
HCPCS,C1898,Noncdm Charge Record Medical Supplies - Lead 5076-52 Ous 52Cm Cdrom Mpri,2041.02,796.0,,,0
HCPCS,C1898,Noncdm Charge Record Medical Supplies - Lead Atrium 45Cm 10L Bipoly J,2041.02,796.0,,,0
HCPCS,C1898,Noncdm Charge Record Medical Supplies - Lead Pacemaker 52Cm 5Fr Fln2,1987.2,775.01,,,0
HCPCS,C1898,Noncdm Charge Record Medical Supplies - Lead Pacing 45Cm Atr Ventri,2041.02,796.0,,,0
HCPCS,C1898,Noncdm Charge Record Medical Supplies - Lead Pacing 52Cm Atr Ventri,2041.02,796.0,,,0
HCPCS,C1898,Noncdm Charge Record Medical Supplies - Lead Pacing 53Cm Ventri Unplr,2041.02,796.0,,,0
HCPCS,C1898,Noncdm Charge Record Medical Supplies - Lead Pacing 58Cm 6.2Fr 7Fr,2041.02,796.0,,,0
HCPCS,C1898,Noncdm Charge Record Medical Supplies - Lead Pacing 58Cm Atr Ventri,2041.02,796.0,,,0
HCPCS,C1898,Noncdm Charge Record Medical Supplies - Lead Pacing 6Fr L45Cm Atrial Ventricular,1987.2,775.01,,,0
HCPCS,C1898,Noncdm Charge Record Medical Supplies - Lead Pacing L52Cm Endocardial Polyurethane Irox Electrode,1987.21,775.01,,,0
HCPCS,C1898,Noncdm Charge Record Medical Supplies - Lead Pacing L59Cm Endocardial Polyurethane Irox Electrode,1987.22,775.02,,,0
HCPCS,C1898,Noncdm Charge Record Medical Supplies - Lead Tendril Mri 46Cm,1987.2,775.01,,,0
HCPCS,C1898,Noncdm Charge Record Medical Supplies - Lead Tendril Mri 52Cm,1987.2,775.01,,,0
HCPCS,C1898,Noncdm Charge Record Medical Supplies - Lead Tendril Mri 58Cm,1987.2,775.01,,,0
HCPCS,C1898,Noncdm Charge Record Medical Supplies - Lead Tendril Sts 2088Tc-46Cm,1987.2,775.01,,,0
HCPCS,C1898,Noncdm Charge Record Medical Supplies - Lead Tendril Sts 2088Tc-52Cm,1987.26,775.03,,,0
HCPCS,C1898,Noncdm Charge Record Medical Supplies - Lead Tendril Sts 58Cm,1987.2,775.01,,,0
HCPCS,C1898,Noncdm Charge Record Medical Supplies - Lead Trans 53Cm Bi Atr J Int,2041.02,796.0,,,0
HCPCS,C1898,Noncdm Charge Record Medical Supplies - Lead Transv Ure Bip Steroid,2041.02,796.0,,,0
HCPCS,C1898,Noncdm Charge Record Medical Supplies - Lead Vent Pssive Mri Mpri 58Cm,2041.02,796.0,,,0
HCPCS,C1898,Noncdm Charge Record Medical Supplies - See 131890 Lead Pacemaker Myocardial 35Cm,1933.38,754.02,,,0
HCPCS,C1898,Wire Pacing Temp,148.0,57.72,,,0
HCPCS,C1900,Lead Attain Performa Icd,9760.05,3806.42,,,0
HCPCS,C1900,Lead Lv Coronary Venous,14403.06,5617.19,,,0
HCPCS,C1900,Noncdm Charge Record Medical Supplies - Attain Stability Quadpole 78Cm,8144.42,3176.32,,,0
HCPCS,C1900,Noncdm Charge Record Medical Supplies - Attain Stability Quadpole 88Cm,8144.42,3176.32,,,0
HCPCS,C1900,Noncdm Charge Record Medical Supplies - Lead 429688 Can-Intl Mkt 88Cm,6452.19,2516.35,,,0
HCPCS,C1900,Noncdm Charge Record Medical Supplies - Lead Attain Performa 4298,6452.19,2516.35,,,0
HCPCS,C1900,Noncdm Charge Record Medical Supplies - Lead Attain Performa 4298 Df4,6452.19,2516.35,,,0
HCPCS,C1900,Noncdm Charge Record Medical Supplies - Lead Lv Acuity X4 Spiral S 4674-86Cm,5800.14,2262.05,,,0
HCPCS,C1900,Noncdm Charge Record Medical Supplies - Lead Lv Acuity X4 Straight 4671-86Cm,5800.14,2262.05,,,0
HCPCS,C1900,Noncdm Charge Record Medical Supplies - Lead Lv Mri Dual Chmbr Spiral L 86 Cm Acuity X4 Boss 4677,5800.14,2262.05,,,0
HCPCS,C1900,Noncdm Charge Record Medical Supplies - Lead Lv Mri Dual Chmbr Strght 95 Cm Acuity X4 Boss?4671,5800.14,2262.05,,,0
HCPCS,C1900,Noncdm Charge Record Medical Supplies - Lead Quartet Quadripolar 86Cm,7733.52,3016.07,,,0
HCPCS,C1900,Noncdm Charge Record Medical Supplies - Lead Quartet Quadripolar 92Cm,8463.2,3300.65,,,0
HCPCS,C1900,Noncdm Charge Record Medical Supplies - Lead Quickflex Micro 86Cm,8463.2,3300.65,,,0
HCPCS,C1900,Noncdm Charge Record Medical Supplies - Quartet Small-S Lv Lead,7733.52,3016.07,,,0
HCPCS,C1900,Sup Lead Left Ventricular Coronary Venous System,6730.6,2624.93,,,0
HCPCS,C1982,Hc Kit Licox Bolt Cath Any,3849.9399999999996,1501.48,,,0
HCPCS,C1982,Noncdm Charge Record Medical Supplies,34170.52,13326.5,,,0
HCPCS,C1982,System Infusion Trinav,33689.25,13138.81,,,0
HCPCS,C2596,Noncdm Charge Record Medical Supplies,14990.939999999999,5846.469999999999,,,0
HCPCS,C2613,Hc Plug Bx Lung W Del Syst Biosentry,1579.72,616.09,,,0
HCPCS,C2615,Hc Sealant Pleural Air Leak Progel,3955.925,1542.81,,,0
HCPCS,C2615,Noncdm Charge Record Medical Supplies - Kit Plrasl Progel Air Leak,4202.1,1638.82,,,0
HCPCS,C2616,"Brachytx, non-str,Yttrium-90",,,17771.01,66711.46,9
HCPCS,C2616,Hc Nm Sir-Spheres Y-90 Brachy,85312.77,33271.98,,,0
HCPCS,C2616,Noncdm Charge Record Medical Supplies - Hc Y-90 Sir-Spheres Brachy,82827.95,32302.9,,,0
HCPCS,C2616,Yttrium-90 Brachytx,66804.08,26053.59,,,0
HCPCS,C2617,Nephrostomy Stents,593.05,231.29,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies,761.5,296.985,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Captivator Emr Standard Scope Device Resection Upper Gi Tr,2349.45,916.29,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Kit Ureteral Stent Percuflex 8Frx .038Inx 26Cm Boston Scient,500.94,195.37,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Set Ureteral Stent 6Fr L28Cm Soft Durometer Wo Guidewire Mo,1348.32,525.84,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent 6F X 22Cm - 30Cm Ascerta Vl,411.93,160.65,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Bil 7Fr 12Cm Advanix,1049.49,409.3,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Bil 7Fr 15Cm Advanix,1049.49,409.3,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Bil 7Fr 7Cm Preld Ddnl,1049.49,409.3,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Bil 7Fr 9Cm Advanix Ddnl,1049.49,409.3,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Bil 8.5Fr 12Cm Preld,1049.49,409.3,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Bil 8.5Fr 15Cm Advanix,1049.49,409.3,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Bil 8.5Fr 5Cm Pre Loaded,1049.49,409.3,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Bil 8.5Fr 7Cm Pre Loaded,1049.49,409.3,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Biliary Duodenal 10Fx12Cm Bend Preloaded Advanix Bosto,1049.49,409.3,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Biliary Duodenal 10Fx15Cm Bend Preloaded Advanix Bosto,1049.49,409.3,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Biliary Duodenal 10Fx5Cm Bend Preloaded Advanix Boston,1049.49,409.3,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Biliary Duodenal 10Fx5Cm Double Pigtail Advanix Boston,383.47,149.55,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Biliary Duodenal 10Fx7Cm Bend Advanix Boston Scientifi,383.98,149.75,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Biliary Duodenal 10Fx7Cm Double Pigtail Advanix Boston,1049.49,409.3,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Biliary Duodenal 10Fx9Cm Bend Preloaded Advanix Boston,1049.49,409.3,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Guidewire 7F X 24Cm Without Uretheral Boston Scientifi,755.55,294.66,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Pancr 5Fr 5Cm Gwire Push Cath Zmn Strl,419.18,163.48,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Pancreat 4Cm 5Fr Advanix Pigtail Endo Marker,674.82,263.18,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Pancreatic 4Fr L5Cm 0.035In Polymer Pigtail,674.82,263.18,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Pancreatic L3Cm Dia5Fr Pigtail,674.82,263.18,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Pancreatic L5Cm Dia5Fr Pigtail,674.82,263.18,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Pancreatic L6Cm Od5Fr Straight Leading Barb,674.82,263.18,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Pancreatic L7Cm Dia5Fr Pigtail,674.82,263.18,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Polaris Loop 5Fr X 26Cm,797.98,311.21,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Uret 8.5Fr 22Cm 2,677.58,264.26,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Uret 8.5Fr 28Cm .038In,625.14,243.8,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Uret 8Fr 22Cm Percuflex,415.04,161.87,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Uret 8Fr 22Cm Pgtail Ext Crv Drain,535.1,208.69,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Uret 8Fr 22Cm Pgtail Lck,644.8,251.47,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Uret 8Fr 24Cm Percuflex,412.96,161.05,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Uret 8Fr 24Cm Pgtail Ext Crv Drain,553.72,215.95,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Uret 8Fr 24Cm Pgtail Lck,644.8,251.47,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Uret 8Fr 26Cm Percuflex,415.04,161.87,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Uret 8Fr 26Cm Pgtail Usg,663.44,258.74,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Uret 8Fr 26Cm Pigtail Us,644.8,251.47,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Uret 8Fr 28Cm Percuflex,408.31,159.24,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Uret 8Fr 28Cm Pgtail Lck,644.8,251.47,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Uret 8Fr 28Cm Pigtail Crv Reg Duromtr,535.1,208.69,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Uret Ascerta 4.8X28,849.74,331.4,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Uret Ascerta 6X22,532.79,207.79,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Uret Ascerta 6X28,644.66,251.42,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Uret Ascerta 7X22,403.13,157.22,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Uret Ascerta 7X24,462.58,180.41,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Uret Ascerta 7X26,508.18,198.19,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Uret Ascerta 7X28,416.07,162.27,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Uret Contor 6X20,784.62,306.0,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Uret Contor 6X26,590.98,230.48,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Uret Contor 8X20,582.01,226.98,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Uret Contor 8X22,746.44,291.11,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Uret Contor 8X24,586.46,228.72,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Uret Contor 8X26,581.67,226.85,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Uret Contor 8X28,582.01,226.98,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Uret Percuflex + 4.8X20,594.09,231.7,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Uret Percuflex + 48X24 M0061752520,1099.86,428.95,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Uret Percuflex 48X22,588.22,229.41,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Uret Wo Gwire 6Fr 24Cm,925.43,360.92,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Uret Wo Gwire 6Fr 26Cm,931.21,363.17,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Uret Wo Gwire 6Fr 28Cm,918.64,358.27,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Ureteral 4.8Fr 22Cm Firm Without Guidewire Tria,1314.27,512.57,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Ureteral 4.8Fr 24Cm Firm Without Guidewire Tria,1466.83,572.06,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Ureteral 4.8Fr 26Cm Firm Without Guidewire Tria,1257.04,490.25,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Ureteral 4.8Fr 28Cm Firm Without Guidewire Tria,1521.45,593.37,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Ureteral 5Fx22Cm Polaris Ultra Boston Scientific,852.84,332.61,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Ureteral 6Fr L20Cm Firm 3Layer Raw Clrt Radio Mon,1090.37,425.24,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Ureteral 6Fr L20Cm Soft Without Guidewire Tria,1270.29,495.41,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Ureteral 6Fr L22Cm Firm 3Layer Raw Clrt Radio Mon,1361.05,530.81,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Ureteral 6Fr L22Cm Soft Microfil Suture Percushie,1344.3,524.28,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Ureteral 6Fr L24Cm Firm 3Layer Raw Clrt Radio Mon,1497.42,583.99,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Ureteral 6Fr L24Cm Soft Without Guidewire Tria,1391.18,542.56,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Ureteral 6Fr L26Cm Firm 3Layer Raw Clrt Radio Mon,1359.09,530.05,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Ureteral 6Fr L26Cm Soft Without Guidewire Tria,1448.34,564.85,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Ureteral 6Fr L28Cm Firm 3Layer Raw Clrt Radio Mon,1242.89,484.73,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Ureteral 6Fx24Cm Contour Boston Scientific,585.81,228.47,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Ureteral 6Fx28Cm Black Cook Medical,677.92,264.39,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Ureteral 6X24 Ascerta Boston Scientific,554.16,216.12,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Ureteral 6X26 Ascerta Boston Scientific,545.11,212.59,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Ureteral 7Fr L22Cm Soft Without Guidewire Tria,1334.17,520.33,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Ureteral 7Fr L24Cm Firm 3Layer Raw Clrt Radio Mon,1383.52,539.57,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Ureteral 7Fr L24Cm Soft Without Guidewire Tria,1330.09,518.74,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Ureteral 7Fr L26Cm Soft Without Guidewire Tria,1082.2,422.06,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Ureteral 8Fr L20Cm Soft Without Guidewire Tria,1080.02,421.21,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Ureteral 8Fr L22Cm Soft Without Guidewire Tria,1090.89,425.45,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Ureteral 8Fr L24Cm Soft Without Guidewire Tria,1090.89,425.45,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Ureteral 8Fr L26Cm Firm Without Guidewire Tria,1749.77,682.41,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Ureteral 8Fr L26Cm Soft Without Guidewire Tria,1270.12,495.35,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Ureteral 8Fx28Cm Polaris Ultra Boston Scientific,755.55,294.66,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Ureteral Ascerta 4.8X24 Boston Scientific,630.68,245.97,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Ureteral Ascerta 4.8X26 Boston Scientific,845.85,329.88,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Ureteral Ascerta Firm 6Fx22Cm,799.58,311.84,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Ureteral Ascerta Firm 6Fx24Cm,754.94,294.43,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Ureteral Ascerta Firm 6Fx26Cm,682.97,266.36,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Ureteral No Guidewire 6Fx22Cm Polaris Ultra Boston Sci,908.95,354.49,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Ureteral Polaris 5X20 W-O Wire,744.16,290.22,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Ureteral Polaris 5X28 W-O Wire,755.55,294.66,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Ureteral Polaris 7X28 W-O Wire,755.55,294.66,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Ureteral Polaris Ultra 5F 24Cml,749.86,292.45,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Ureteral W-O Guidewire 5Frx26Cm,859.35,335.15,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Ureteral W-O Guidewire 7F X 26Cm,755.55,294.66,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Urethral 8Fr L12Cm Used During Hypospadias Epispadias,176.98,69.02,,,0
HCPCS,C2617,Noncdm Charge Record Medical Supplies - Stent Urethral L12Cm Catheter 10Fr For Hypospadias,176.98,69.02,,,0
HCPCS,C2617,Stent Biliary,424.35,165.5,,,0
HCPCS,C2617,Stent Biliary 7Fr /2.3Mm 12C,217.35,84.77,,,0
HCPCS,C2617,Stent Biliary Zimmon Ck G21640,204.93,79.92,,,0
HCPCS,C2617,Stent Lacrimal Duct Mini Monok,396.4,154.6,,,0
HCPCS,C2617,Stent Non-Cor Tem W/O Del,666.54,259.95,,,0
HCPCS,C2617,Stent Non-Cor Temp W/O Del,396.4,154.6,,,0
HCPCS,C2617,Stent Pancreatic  7Fr X 5Cm,204.93,79.92,,,0
HCPCS,C2617,Stent Pancreatic 7Fr X 5Cm,204.93,79.92,,,0
HCPCS,C2617,Stent Pancreatic W/ Pigtail,204.93,79.92,,,0
HCPCS,C2617,Stent Pancreatic Zimmon,46.58,18.17,,,0
HCPCS,C2617,Stent Universal Soft Ureteral,215.28,83.96,,,0
HCPCS,C2617,Stent Ureteral,331.20000000000005,129.17000000000002,,,0
HCPCS,C2617,Stent Ureteral 5Fr 22Cm,340.52,132.8,,,0
HCPCS,C2617,Stent Ureteral 6Fr 24Cm Set,3390.66,1322.36,,,0
HCPCS,C2617,Stent Ureteral Gu,782.46,305.16,,,0
HCPCS,C2617,Stent Ureteral Mac,382.95,149.35,,,0
HCPCS,C2617,Stent Ureteral Pigtail,388.125,151.37,,,0
HCPCS,C2617,Stent Ureteral Radio,470.92,183.66,,,0
HCPCS,C2617,"Stent, Non-Cor, Tem W/O Del",1584.065,617.79,,,0
HCPCS,C2617,Sup Stent Non-Coronary Temporary Without Delivery System,760.02,296.41,,,0
HCPCS,C2617,Tips Stent,2560.59,998.63,,,0
HCPCS,C2617,Ureteral Stent,179.06,69.83,,,0
HCPCS,C2618,Cryoprobe Flexible,6847.56,2670.55,,,0
HCPCS,C2618,Cryoprobe Ice Cryoshere,10650.15,4153.56,,,0
HCPCS,C2618,Flexible Probe Cryo 1.1Mm,1769.85,690.24,,,0
HCPCS,C2618,Flexible Probe Cryo 1.7Mm,1321.7,515.46,,,0
HCPCS,C2618,Hc Probe Ablation 15Cm 17Ga,8420.89,3284.1499999999996,,,0
HCPCS,C2618,Kit Cryosurgical Probe,21735.0,8476.65,,,0
HCPCS,C2618,Needle Cryoablation Ice,8259.3,3221.13,,,0
HCPCS,C2618,Needle Cryoablation Iceforce,9515.79,3711.16,,,0
HCPCS,C2618,Noncdm Charge Record Medical Supplies,10035.36,3913.79,,,0
HCPCS,C2618,Noncdm Charge Record Medical Supplies - Catheter Cryotherapy 7Fr Passive Venting Straight,8796.46,3430.62,,,0
HCPCS,C2618,Noncdm Charge Record Medical Supplies - Clarifix System Delivery Device And Cryogen W-Cannsiter,9311.38,3631.44,,,0
HCPCS,C2618,Noncdm Charge Record Medical Supplies - Probe Cryoablation L10Cm Aluminum Smooth Cryoice,10561.8,4119.1,,,0
HCPCS,C2618,Noncdm Charge Record Medical Supplies - Probe Cryosurgery L1150Mm Dia2.4Mm Flexible Disposable,1443.82,563.09,,,0
HCPCS,C2618,Noncdm Charge Record Medical Supplies - Probe Microwave Ablation Neuwave Sr 13Ga X 25Cm,8827.52,3442.73,,,0
HCPCS,C2618,Sup Probe Cryoablation,7907.92,3084.09,,,0
HCPCS,C2621,Noncdm Charge Record Medical Supplies - Crt-P Allure Rf,23683.9,9236.72,,,0
HCPCS,C2621,Noncdm Charge Record Medical Supplies - Mri Percepta Crt-P Device,28864.3,11257.08,,,0
HCPCS,C2621,Noncdm Charge Record Medical Supplies - Mri Quad Percepta Crt-P Device,28558.61,11137.86,,,0
HCPCS,C2621,Noncdm Charge Record Medical Supplies - Pacemaker Crt-P Connector Type Cardiac 33Gm 16.6Ml,23683.9,9236.72,,,0
HCPCS,C2621,Noncdm Charge Record Medical Supplies - Quadra Allure Mp Rf Crt-P Mri,32360.31,12620.52,,,0
HCPCS,C2621,Pacemaker Solara Crt-P Mri Sur,10432.8,4068.79,,,0
HCPCS,C2621,Pm Percepta Crt-P Mri Surescan,28255.5,11019.64,,,0
HCPCS,C2621,"Ppm, Sngl Chamber, Bi-V",36821.16,14360.25,,,0
HCPCS,C2622,Prosthesis Penile Malleable,33959.38,13244.16,,,0
HCPCS,C2622,Sup Prosthesis Penile Non-Inflatable,55715.08,21728.88,,,0
HCPCS,C2623,Balloon Catheter Drug Coated,7064.91,2755.31,,,0
HCPCS,C2623,Balloon Catheter Lutonix,7172.55,2797.29,,,0
HCPCS,C2623,Cath Pact Admira Otw,6781.32,2644.71,,,0
HCPCS,C2623,Cath Pact Admiral Otw,6781.32,2644.71,,,0
HCPCS,C2623,Noncdm Charge Record Medical Supplies,6856.355,2673.98,,,0
HCPCS,C2623,Noncdm Charge Record Medical Supplies - Balloon Catheter Paclitaxel Coated 6Mmx80Mmx130Cm Medtronic,4850.01,1891.5,,,0
HCPCS,C2623,Noncdm Charge Record Medical Supplies - Balloon Drug Coated Ranger Dcb Otw 4.0 X 100Mm 135Cm,6569.74,2562.2,,,0
HCPCS,C2623,Noncdm Charge Record Medical Supplies - Balloon Drug Coated Ranger Dcb Otw 4.0 X 150Mm 150Cm,7859.53,3065.22,,,0
HCPCS,C2623,Noncdm Charge Record Medical Supplies - Balloon Drug Coated Ranger Dcb Otw 4.0 X 200Mm 150Cm,9585.76,3738.45,,,0
HCPCS,C2623,Noncdm Charge Record Medical Supplies - Balloon Drug Coated Ranger Dcb Otw 4.0 X 40Mm 135Cm,6834.1,2665.3,,,0
HCPCS,C2623,Noncdm Charge Record Medical Supplies - Balloon Drug Coated Ranger Dcb Otw 4.0 X 60Mm 135Cm,7495.47,2923.23,,,0
HCPCS,C2623,Noncdm Charge Record Medical Supplies - Balloon Drug Coated Ranger Dcb Otw 5.0 X 100Mm 135Cm,6660.61,2597.64,,,0
HCPCS,C2623,Noncdm Charge Record Medical Supplies - Balloon Drug Coated Ranger Dcb Otw 5.0 X 120Mm 150Cm,6997.43,2729.0,,,0
HCPCS,C2623,Noncdm Charge Record Medical Supplies - Balloon Drug Coated Ranger Dcb Otw 5.0 X 150Mm 150Cm,7870.48,3069.49,,,0
HCPCS,C2623,Noncdm Charge Record Medical Supplies - Balloon Drug Coated Ranger Dcb Otw 5.0 X 200Mm 150Cm,9618.16,3751.08,,,0
HCPCS,C2623,Noncdm Charge Record Medical Supplies - Balloon Drug Coated Ranger Dcb Otw 5.0 X 40Mm 135Cm,6602.78,2575.08,,,0
HCPCS,C2623,Noncdm Charge Record Medical Supplies - Balloon Drug Coated Ranger Dcb Otw 5.0 X 60Mm 135Cm,6718.44,2620.19,,,0
HCPCS,C2623,Noncdm Charge Record Medical Supplies - Balloon Drug Coated Ranger Dcb Otw 6.0 X 100Mm 135Cm,6746.13,2630.99,,,0
HCPCS,C2623,Noncdm Charge Record Medical Supplies - Balloon Drug Coated Ranger Dcb Otw 6.0 X 120Mm 150Cm,7089.96,2765.08,,,0
HCPCS,C2623,Noncdm Charge Record Medical Supplies - Balloon Drug Coated Ranger Dcb Otw 6.0 X 150Mm 150Cm,7788.52,3037.52,,,0
HCPCS,C2623,Noncdm Charge Record Medical Supplies - Balloon Drug Coated Ranger Dcb Otw 6.0 X 200Mm 150Cm,9560.75,3728.69,,,0
HCPCS,C2623,Noncdm Charge Record Medical Supplies - Balloon Drug Coated Ranger Dcb Otw 6.0 X 40Mm 135Cm,6602.78,2575.08,,,0
HCPCS,C2623,Noncdm Charge Record Medical Supplies - Balloon Drug Coated Ranger Dcb Otw 6.0 X 60Mm 135Cm,6602.78,2575.08,,,0
HCPCS,C2623,Noncdm Charge Record Medical Supplies - Balloon Drug Coated Ranger Dcb Otw 7.0 X 200Mm 150Cm,9524.07,3714.39,,,0
HCPCS,C2623,Noncdm Charge Record Medical Supplies - Balloon In.Pact Admiral Drug Coatd.035In 6F 5Mmx200Mm 130Cm,7936.38,3095.19,,,0
HCPCS,C2623,Noncdm Charge Record Medical Supplies - Balloon In.Pact Admiral Drug Coatd.035In 6F 5Mmx250Mm 130Cm,8597.75,3353.12,,,0
HCPCS,C2623,Noncdm Charge Record Medical Supplies - Balloon In.Pact Admiral Drug Coatd.035In 6F 6Mmx250Mm 130Cm,8597.75,3353.12,,,0
HCPCS,C2623,Noncdm Charge Record Medical Supplies - Balloon In.Pact Admiral Drug Coatd.035In 7F 6Mmx200Mm 130Cm,7936.38,3095.19,,,0
HCPCS,C2623,Noncdm Charge Record Medical Supplies - Balloon In.Pact Admiral Drug Coated 4 X 120,4850.01,1891.5,,,0
HCPCS,C2623,Noncdm Charge Record Medical Supplies - Balloon In.Pact Admiral Drug Coated 4 X 60,4850.01,1891.5,,,0
HCPCS,C2623,Noncdm Charge Record Medical Supplies - Balloon In.Pact Admiral Drug Coated 5 X 150,7539.98,2940.59,,,0
HCPCS,C2623,Noncdm Charge Record Medical Supplies - Balloon In.Pact Admiral Drug Coated 5 X 40,5533.63,2158.12,,,0
HCPCS,C2623,Noncdm Charge Record Medical Supplies - Balloon In.Pact Admiral Drug Coated 5 X 60,4850.01,1891.5,,,0
HCPCS,C2623,Noncdm Charge Record Medical Supplies - Balloon In.Pact Admiral Drug Coated 6 X 120,4850.01,1891.5,,,0
HCPCS,C2623,Noncdm Charge Record Medical Supplies - Balloon In.Pact Admiral Drug Coated 6 X 40,5362.72,2091.46,,,0
HCPCS,C2623,Noncdm Charge Record Medical Supplies - Catheter Balloon Pcltxl 5X120X130,4850.01,1891.5,,,0
HCPCS,C2623,Noncdm Charge Record Medical Supplies - Catheter Lutonix Ball .035 5Mm 130Cmx100Mm,6613.65,2579.32,,,0
HCPCS,C2623,Noncdm Charge Record Medical Supplies - In Pact 6 Mm X 120 Mm 0.018 Dcb 130 Cm Shaft,4850.01,1891.5,,,0
HCPCS,C2623,Noncdm Charge Record Medical Supplies - In Pact 6 Mm X 150 Mm 0.018 Dcb 130 Cm Shaft,6128.24,2390.01,,,0
HCPCS,C2623,Sup Cath Translumin Drug Coat,7226.37,2818.28,,,0
HCPCS,C2624,Noncdm Charge Record Medical Supplies - Cardiomems System,89418.82,34873.34,,,0
HCPCS,C2624,Sensor Pulmonary Artery Pressu,93460.5,36449.6,,,0
HCPCS,C2624,Sup Sensor Press Art Pulm W/Del Catheter Syst,89418.82,34873.34,,,0
HCPCS,C2625,Impl Sinus Mometasone Furoate,4158.63,1621.87,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies,57807.86,22545.07,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Catheter 10.2Frx26Cm Nphurstm,570.14,222.35,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Device Embol 350Mmx12Mm Pipeline Flx,56382.66,21989.24,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Device Embol 4.25Mmx18Mm Pipeline Flx,62182.8,24251.29,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Device Embol 400Mmx12Mm Pipeline Flx,56382.14,21989.03,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Device Embol 475Mmx18Mm Pipeline Flx,56382.66,21989.24,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Device Embol 500Mmx14Mm Pipeline Flx,56382.66,21989.24,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Device Embol 500Mmx25Mm Pipeline Flx,60418.12,23563.07,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Device Embolization Assist Comaneci 17,17063.01,6654.57,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Device Embolization Assist Comaneci Petit,17063.01,6654.57,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Device Embolization Pipeline Flex 4.50Mmx18Mm,56382.66,21989.24,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 3.25Mm X 12Mm,62182.8,24251.29,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 3.75Mm X 12Mm,62182.8,24251.29,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 3Mm X 10Mm,62182.8,24251.29,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 4.25Mm X 12Mm,62182.8,24251.29,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 4.25Mm X 14Mm,62182.8,24251.29,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 4.5Mm X 14Mm,62182.8,24251.29,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 4.5Mm X 16Mm,62182.8,24251.29,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 4.5Mm X 18Mm,62182.8,24251.29,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 4.75Mm X 16Mm,62182.8,24251.29,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 4.75Mm X 20Mm,62182.8,24251.29,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 4Mm X 12Mm,62182.59,24251.21,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 4Mm X 14Mm,62182.8,24251.29,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 4Mm X 16Mm,62182.8,24251.29,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 5Mm X 12Mm,62182.8,24251.29,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 5Mm X 18Mm,62182.8,24251.29,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 5Mm X 25Mm,66218.26,25825.12,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Diverter Flow Pipeline Flex Shield Tech 5Mm X 35Mm,66218.26,25825.12,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Flow Diverter Fredx 4.0 X 18 Stent,57807.86,22545.07,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Flow Diverter Fredx 4.5 X 20 Stent,57807.86,22545.07,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Implant Mini Propel Sinus Steroid,4364.5,1702.16,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Implant Propel Sinus Steroid Contour,4587.09,1788.97,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Implant Propel Sinus Steroid Regular,4536.42,1769.2,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Inahara Pruitt Corotid Shunt,5066.32,1975.86,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Shunt Carotid Artery 8-14 French 6In Covidien,97.29,37.94,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Shunt Carotid Sundt 3.5Mm X 5 Mm Sterile,1958.22,763.71,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Shunt Carotid Sundt 3Mm X 4Mm M Sterile,2316.74,903.53,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Shunt Crtd Pruitt 9Fr 31Cm,4184.5,1631.96,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Stent Bil 7Fr 5Cm Advanix Ctr Bend,1049.49,409.3,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Stent Bil 7Fr 5Cm Advanix Ddnl,383.98,149.75,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Stent Bil 7Fr 5Cm Ddnl Preld,1049.49,409.3,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Stent Bil 7Fr 7Cm Advanix Ctr Bend,1049.49,409.3,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Stent Bil 8.5Fr 15Cm Sgl,383.98,149.75,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Stent Bil 8.5Fr 7Cm Advanix,383.98,149.75,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Stent Intercranial 4.5Mm D 22Mm L Codman And Shurtleff,5624.19,2193.43,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Stent Microdelivery W-O Tip Neuroform Atlas 3.0Mmx24Mm,35042.9,13666.73,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Stent Nephrostmy Cam-Loc 10.2 2F 24Cm Nucl-B-Rh,625.14,243.8,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Stent Nephroureterostomy 8.5Fr Cope Cook Medical,623.53,243.18,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Stent Neurofoam 4.5Mmx30Mm Atlas Stryker Neurovascular,35043.03,13666.78,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Stent Pancreatic 4Fr 7Cm Flexi Single Pigtail Hobs Medical,375.45,146.43,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Stent System 3.0Mm 15Mm Neuroform Atlas Stryker Neurovascula,38295.0,14935.05,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Stent System 3.0Mm 21Mm Neuroform Atlas Stryker Neurovascula,38115.7,14865.12,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Stent System 3.0Mm 24Mm Neuroform Atlas Stryker Neurovascula,38295.0,14935.05,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Stent System 4.0Mm 21Mm Neuroform Atlas Stryker Neurovascula,38295.0,14935.05,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Stent System 4.0Mm 24Mm Neuroform Atlas Stryker Neurovascula,38295.0,14935.05,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Stent System 4.5Mm 21Mm Neuroform Atlas Stryker Neurovascula,38295.0,14935.05,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Stent System 4.5Mm 30Mm Neuroform Atlas Stryker Neurovascula,38295.0,14935.05,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Stent Ult Nephroureterostomy Mac-Loc,625.14,243.8,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Stent Uret 10.2Fr 24Cm .038In,547.52,213.53,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Stent Uret 6Fr 20Cm Rsnce,4703.04,1834.19,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Stent Uret 6Fr 22Cm Rsnce,5312.66,2071.94,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Stent Uret 6Fr 24Cm Positioner Set Rsnce,5312.66,2071.94,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Stent Uret 6Fr 26Cm Rsnce,5312.66,2071.94,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Stent Uret 7Fr 75Cm Open Tip,611.58,238.52,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Stent Uret 8.5Fr 24Cm .038In Lck Loop Radiopq,625.14,243.8,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Stent Uret 8.5Fr 26Cm .038In,625.14,243.8,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Stent Ureteral 8.5Fx24Cm Amplatz Cook Medical,752.44,293.45,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Surpass Evolve 4.0Mm X 15Mm - Pmas,60910.78,23755.2,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Surpass Evolve 5.0Mm X 15Mm - Pmas,60910.78,23755.2,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Surpass Evolve 5.0Mm X 20Mm - Pmas,60910.78,23755.2,,,0
HCPCS,C2625,Noncdm Charge Record Medical Supplies - Surpass Evolve 5.0Mm X 30Mm - Pmas,60910.78,23755.2,,,0
HCPCS,C2625,Stent Biliary Amsterdam,383.98,149.75,,,0
HCPCS,C2625,Stent Pancreatic Greenen Ercp,469.89,183.26,,,0
HCPCS,C2625,Stent Pancreatic Wedge Johlin,457.47,178.41,,,0
HCPCS,C2625,Stent Solus Db Pigtail W Intr,380.88,148.54,,,0
HCPCS,C2625,Stent Uret Cope Neph,560.97,218.78,,,0
HCPCS,C2625,Stent Uret Neph W Radiop,487.48,190.12,,,0
HCPCS,C2625,Stent Ureth Amplats G09708,597.2,232.91,,,0
HCPCS,C2625,Stent Ureth Latex G09709,480.24,187.29,,,0
HCPCS,C2625,Stent Urinary Diversion,644.8,251.47,,,0
HCPCS,C2625,Sup Stent Non-Coronary Temporary With Delivery System,48427.53,18886.74,,,0
HCPCS,C2625,Ureteral Stent G09712,675.86,263.59,,,0
HCPCS,C2625,Zimmon Biliary Stent Set 7-4,383.98,149.75,,,0
HCPCS,C2626,Sup Infusion Pump Non-Programmable Temporary Implantable,1.03,0.4,,,0
HCPCS,C2627,Cath Suprapubic/Cystoscopic,173.88,67.81,,,0
HCPCS,C2627,Cath/Fogarty/Irrig,167.67,65.39,,,0
HCPCS,C2627,"Catheter, Suprapubic",234.94,91.63,,,0
HCPCS,C2627,Hc Cath Suprapubic Any,462.64,180.43,,,0
HCPCS,C2627,Noncdm Charge Record Medical Supplies - Catheter Spbc Bnno 14Ga 11In Tray Pnct Ndl,310.5,121.1,,,0
HCPCS,C2627,Noncdm Charge Record Medical Supplies - Set 25Cm 4Fr Mclc Nphstm Cath,417.1,162.67,,,0
HCPCS,C2627,Noncdm Charge Record Medical Supplies - Set Suprapubic Access 18Fr L12Cm Peel-Away O Brien,527.85,205.86,,,0
HCPCS,C2627,Noncdm Charge Record Medical Supplies - Set Urology Access 20Fr L12Cm Obrien Suprapubic Peel-Away,527.85,205.86,,,0
HCPCS,C2627,Noncdm Charge Record Medical Supplies - Tray Spbc 14Fr Lbrcth 5Ml Ltx,543.38,211.92,,,0
HCPCS,C2627,Set Percutaneous Nephrostomy,734.85,286.59,,,0
HCPCS,C2628,Balloon Occlusion,6382.84,2489.31,,,0
HCPCS,C2628,Cath Scepter Mini,11541.28,4501.1,,,0
HCPCS,C2628,Cath/Fogarty/Occlusion,751.41,293.05,,,0
HCPCS,C2628,Catheter Ballon Sceptor Occ,5477.22,2136.12,,,0
HCPCS,C2628,Catheter Ballon Sceptor Tra,6650.91,2593.85,,,0
HCPCS,C2628,Catheter Occlusion,1813.32,707.19,,,0
HCPCS,C2628,Hc Balloon Occl Resus Er Reboa 7Fr,9454.83,3687.38,,,0
HCPCS,C2628,Noncdm Charge Record Medical Supplies,9866.654999999999,3847.995,,,0
HCPCS,C2628,Noncdm Charge Record Medical Supplies - Balloon Occl 90Cmx20Mmx80 Bridge,3747.74,1461.62,,,0
HCPCS,C2628,Noncdm Charge Record Medical Supplies - Balloon Occlusion 4Mmx11Mm,6746.13,2630.99,,,0
HCPCS,C2628,Noncdm Charge Record Medical Supplies - Cath Distal Access Axs Catalyst-5 058In 115Cm,7386.7,2880.81,,,0
HCPCS,C2628,Noncdm Charge Record Medical Supplies - Catheter Ball Occ .038In 100Cm,1074.4,419.02,,,0
HCPCS,C2628,Noncdm Charge Record Medical Supplies - Catheter Balloon 14Fr 0.035 10Cmx40Cm Coda,2413.62,941.31,,,0
HCPCS,C2628,Noncdm Charge Record Medical Supplies - Catheter Balloon Occ .035In,1966.5,766.94,,,0
HCPCS,C2628,Noncdm Charge Record Medical Supplies - Catheter Balloon Occ 12Fr 43Mm,2295.63,895.3,,,0
HCPCS,C2628,Noncdm Charge Record Medical Supplies - Catheter Balloon Occ 3Fr 7Mm,1463.49,570.76,,,0
HCPCS,C2628,Noncdm Charge Record Medical Supplies - Catheter Balloon Occ 4Fr 9Mm 27Cm Aort,1665.56,649.57,,,0
HCPCS,C2628,Noncdm Charge Record Medical Supplies - Catheter Balloon Occ 5Fr 11Mm 27Cm Aort,1664.09,649.0,,,0
HCPCS,C2628,Noncdm Charge Record Medical Supplies - Catheter Balloon Occlusion Sc Cepter C 4 X 10Mm,5555.44,2166.62,,,0
HCPCS,C2628,Noncdm Charge Record Medical Supplies - Catheter Chartis,4276.62,1667.88,,,0
HCPCS,C2628,Noncdm Charge Record Medical Supplies - Catheter Guiding L85Cm Od0.112In Id0.087In Tip L5Mm,7275.02,2837.26,,,0
HCPCS,C2628,Noncdm Charge Record Medical Supplies - Catheter Guiding L95Cm Od0.112In Id0.087In Tip L5Mm,7275.02,2837.26,,,0
HCPCS,C2628,Noncdm Charge Record Medical Supplies - Catheter Iu Bakri 24Fr 54Cm,1189.21,463.79,,,0
HCPCS,C2628,Noncdm Charge Record Medical Supplies - Catheter Occlusion 6Mmx12,7124.94,2778.73,,,0
HCPCS,C2628,Noncdm Charge Record Medical Supplies - Catheter Occlusion 6Mmx7Sn,8315.19,3242.92,,,0
HCPCS,C2628,Noncdm Charge Record Medical Supplies - Catheter Occlusion 6Mmx9,7124.94,2778.73,,,0
HCPCS,C2628,Noncdm Charge Record Medical Supplies - Occlusion Catheter 65Cm,700.7,273.27,,,0
HCPCS,C2628,Noncdm Charge Record Medical Supplies - See 124822 Catheter Distal Acess Axs Catalyst-5 058 115Cm,6184.06,2411.78,,,0
HCPCS,C2628,Noncdm Charge Record Medical Supplies - System Transform 3Mm 10Mm Compliant,7176.76,2798.94,,,0
HCPCS,C2628,Noncdm Charge Record Medical Supplies - System Transform 3Mm 5Mm Super Compliant,7045.98,2747.93,,,0
HCPCS,C2628,Noncdm Charge Record Medical Supplies - System Transform 4 10Mm Super Compliant,6947.96,2709.7,,,0
HCPCS,C2628,Noncdm Charge Record Medical Supplies - System Transform 4Mm 15Mm,7176.69,2798.91,,,0
HCPCS,C2628,Noncdm Charge Record Medical Supplies - System Transform 4Mm 7Mm Super Compliant,7176.69,2798.91,,,0
HCPCS,C2628,Noncdm Charge Record Medical Supplies - System Transform 5Mm 15Mm,6871.88,2680.03,,,0
HCPCS,C2628,Noncdm Charge Record Medical Supplies - System Transform 7Mm 7Mm Super Compliant,7176.69,2798.91,,,0
HCPCS,C2629,Noncdm Charge Record Medical Supplies - Introducer Sheath 6Fr 45Cm Guide Strt Xcut,423.35,165.11,,,0
HCPCS,C2629,Sheath 12Fr 16Fr Sls Laser,13541.94,5281.36,,,0
HCPCS,C2629,Sheath 16F Sls Ii,13541.94,5281.36,,,0
HCPCS,C2629,Sheath Sls Laser 500-012 12-14,13759.29,5366.12,,,0
HCPCS,C2630,Cath Ablation Flexability Sens,16783.56,6545.59,,,0
HCPCS,C2630,Noncdm Charge Record Medical Supplies,16754.58,6534.29,,,0
HCPCS,C2630,Noncdm Charge Record Medical Supplies - Catheter Tacticath Contact Force Ablation Df,13668.21,5330.6,,,0
HCPCS,C2630,Noncdm Charge Record Medical Supplies - Catheter Tacticath Contact Force Ablation Ff,13668.21,5330.6,,,0
HCPCS,C2630,Noncdm Charge Record Medical Supplies - Catheter Tacticath Contact Force Ablation Fj,13668.21,5330.6,,,0
HCPCS,C2630,Noncdm Charge Record Medical Supplies - Flexability Bidir Irr Ablt Df Crv Sensor Enabled,9038.66,3525.08,,,0
HCPCS,C2630,Noncdm Charge Record Medical Supplies - Flexability Bidir Irr Ablt Ff Crv Sensor Enabled,9038.66,3525.08,,,0
HCPCS,C2630,Noncdm Charge Record Medical Supplies - Flexability Bidir Irr Ablt Fj Crv Sensor Enabled,9259.11,3611.05,,,0
HCPCS,C2631,Noncdm Charge Record Medical Supplies - Retriever Sut 25Cm 12Mm Std Drsphr Exp Push,3747.86,1461.67,,,0
HCPCS,C2631,Retriever Suture Capio,2754.14,1074.11,,,0
HCPCS,C2638,Hc Brachytherapy Seed Stranded Iodine-125,93.77,36.57,,,0
HCPCS,C2639,Hc Brachytherapy Seed Non-Stranded Iodine-125,110.85,43.23,,,0
HCPCS,C2640,Hc Brachytherapy Seed Stranded Palladium-103,468.03,182.53,,,0
HCPCS,C2641,Hc Brachytherapy Seed Non-Stranded Palladium-103,160.94,62.77,,,0
HCPCS,C2643,Hc Brachy Ns C-131,205.76,80.25,,,0
HCPCS,C5271,Hc Apply Lc Skin Sub T/A/L Area Under 100Sqcm 1St 25Sqcm Or Less,3932.0,1533.48,,,0
HCPCS,C5271,Low cost skin substitute app,,,2572.0,4714.0,3
HCPCS,C5272,Hc Apply Lc Skin Sub T/A/L Ea Addl 25Sqcm Or Less Area Under 100Sqcm,1674.0,652.86,,,0
HCPCS,C5272,Low cost skin substitute app,,,2665.0,3391.0,2
HCPCS,C5273,Hc Apply Lc Skin Sub T/A/L 1St 100Sqcm Or Less Adult/Child 1 Pct Tbsa,3932.0,1533.48,,,0
HCPCS,C5273,Low cost skin substitute app,,,4714.0,9032.0,3
HCPCS,C5274,Hc Apply Lc Skin Sub T/A/L Ea Addl 100Sqcm Or Less Adult/Child 1 Pct Tbsa,1674.0,652.86,,,0
HCPCS,C5274,Low cost skin substitute app,,,2665.0,3391.0,2
HCPCS,C5275,Hc Apply Lc Skin Sub Face/Nk/Hf/G Area Under 100Sqcm 1St 25Sqcm Or Less,3932.0,1533.48,,,0
HCPCS,C5275,Low cost skin substitute app,,,2572.0,4714.0,3
HCPCS,C5276,Hc Apply Lc Skin Sub Face/Nk/Hf/G Ea Addtl 25 Sqcm Or Less Or 100 Sqcm Or Less,1800.0,702.0,,,0
HCPCS,C5276,Low cost skin substitute app,,,2665.0,3391.0,2
HCPCS,C5277,Hc Apply Lc Skin Sub Face/Nk/Hf/G 1St 100Sqcm Or Less Adult/Child 1 Pct Tbsa,3932.0,1533.48,,,0
HCPCS,C5277,Low cost skin substitute app,,,2572.0,4714.0,3
HCPCS,C5278,Hc Apply Lc Skin Sub Face/Nk/Hf/G Ea Addl 100Sqcm Or Less Adult/Child 1 Pct Tbsa,1674.0,652.86,,,0
HCPCS,C5278,Low cost skin substitute app,,,2665.0,3391.0,2
HCPCS,C7500,Deb bone 20 cm2 w/drug dev,,,4714.0,6859.0,2
HCPCS,C7501,Perc bx breast lesions stero,,,4714.0,6859.0,2
HCPCS,C7502,Perc bx breast lesions mr,,,5809.0,6859.0,2
HCPCS,C7503,Open exc cerv node(s) w/ id,,,4714.0,6859.0,2
HCPCS,C7504,Perq cvt&ls inj vert bodies,,,6389.0,6859.0,2
HCPCS,C7505,Perq ls&cvt inj vert bodies,,,6389.0,6859.0,2
HCPCS,C7506,Fusion of finger joints,,,5809.0,6859.0,2
HCPCS,C7507,Perq thor&lumb vert aug,,,6760.0,6859.0,2
HCPCS,C7508,Perq lumb&thor vert aug,,,6760.0,6859.0,2
HCPCS,C7509,Dx bronch w/ navigation,,,5809.0,6859.0,2
HCPCS,C7510,Bronch/lavag w/ navigation,,,5809.0,6859.0,2
HCPCS,C7511,Bronch/bpsy(s) w/ navigation,,,5809.0,6859.0,2
HCPCS,C7512,Bronch/bpsy(s) w/ ebus,,,5809.0,6859.0,2
HCPCS,C7513,Cath/angio dialcir w/aplasty,,,6859.0,9000.0,2
HCPCS,C7514,Cath/angio dial cir w/stents,,,6859.0,9000.0,2
HCPCS,C7515,Cath/angio dial cir w/embol,,,6859.0,9000.0,2
HCPCS,C7516,Cor angio w/ ivus or oct,,,6859.0,9842.0,2
HCPCS,C7517,Cor angio w/ilic/fem angio,,,6859.0,9000.0,2
HCPCS,C7518,Cor/gft angio w/ ivus or oct,,,6859.0,9842.0,2
HCPCS,C7519,Cor/gft angio w/ flow resrv,,,6859.0,9000.0,2
HCPCS,C7520,Cor/gft angio w/ilic/fem ang,,,6859.0,9000.0,2
HCPCS,C7521,R hrt angio w/ ivus or oct,,,6859.0,9842.0,2
HCPCS,C7522,R hrt angio w/flow resrv,,,6859.0,9000.0,2
HCPCS,C7523,L hrt angio w/ ivus or oct,,,6859.0,9842.0,2
HCPCS,C7524,L hrt angio w/flow resrv,,,6859.0,9000.0,2
HCPCS,C7525,L hrt gft ang w/ ivus or oct,,,6859.0,9842.0,2
HCPCS,C7526,L hrt gft ang w/flow resrv,,,6859.0,9000.0,2
HCPCS,C7527,R&l hrt angio w/ ivus or oct,,,6859.0,9842.0,2
HCPCS,C7528,R&l hrt angio w/flow resrv,,,6859.0,9000.0,2
HCPCS,C7529,R&l hrt gft ang w/flow resrv,,,6859.0,9000.0,2
HCPCS,C7530,Cath/aplasty dial cir w/stnt,,,6859.0,9000.0,2
HCPCS,C7531,Angio fem/pop w/ us,,,6760.0,6859.0,2
HCPCS,C7532,Angio w/ us non-coronary,,,6859.0,9000.0,2
HCPCS,C7533,Ptca w/ plcmt brachytx dev,,,6859.0,6859.0,1
HCPCS,C7534,Fem/pop revasc w/arthr & us,,,6760.0,6859.0,2
HCPCS,C7535,Fem/pop revasc w/stent & us,,,6760.0,6859.0,2
HCPCS,C7537,Insrt atril pm w/l vent lead,,,6859.0,9000.0,2
HCPCS,C7538,Insrt vent pm w/l vent lead,,,6859.0,9000.0,2
HCPCS,C7539,Insrt a & v pm w/l vent lead,,,6859.0,9000.0,2
HCPCS,C7540,Rmv&rplc pm dul w/l vnt lead,,,6859.0,9000.0,2
HCPCS,C7541,Ercp w/ pancreatoscopy,,,5809.0,6859.0,2
HCPCS,C7542,Ercp w/bx & pancreatoscopy,,,5809.0,6859.0,2
HCPCS,C7543,"Ercp w/otomy, pancreatoscopy",,,5809.0,6859.0,2
HCPCS,C7544,Ercp rmv calc pancreatoscopy,,,5809.0,6859.0,2
HCPCS,C7545,Exch bil cath w/ rmv calculi,,,5809.0,6859.0,2
HCPCS,C7546,Rep nph/urt cath w/dil stric,,,4714.0,6859.0,2
HCPCS,C7547,Cnvrt neph cath w/ dil stric,,,4714.0,6859.0,2
HCPCS,C7548,Exch neph cath w/ dil stric,,,4714.0,6859.0,2
HCPCS,C7549,Chge urtr stent w/ dil stric,,,4714.0,6859.0,2
HCPCS,C7550,Cysto w/ bx(s) w/ blue light,,,4714.0,6859.0,2
HCPCS,C7551,Exc neuroma w/ implnt nv end,,,5809.0,6859.0,2
HCPCS,C7552,R hrt art/grft ang hrt flow,,,6859.0,9000.0,2
HCPCS,C7553,R&l hrt art/vent ang drg ad,,,6859.0,9000.0,2
HCPCS,C7554,Cystureth blu li cyst fl img,,,4714.0,6859.0,2
HCPCS,C7555,Rmvl thyrd w/autotran parath,,,6859.0,9000.0,2
HCPCS,C7556,Bronch lavage w/ebus,,,4714.0,4714.0,1
HCPCS,C7557,Cor angio/vent w/ffr,,,6859.0,9842.0,2
HCPCS,C7560,Ercp remove forgn body&endo,,,5809.0,6859.0,2
HCPCS,C7562,R&l hrt angio w/ffr & 3d map,,,6859.0,9842.0,2
HCPCS,C7563,Trluml ballo angiop all art,,,6859.0,9000.0,2
HCPCS,C7564,Vein mech throm w/intrvas us,,,6859.0,9000.0,2
HCPCS,C7565,Rpr aa hrn < 3 rdc w/ rmvl,,,6389.0,6859.0,2
HCPCS,C7900,"Hopd mntl hlt, 15-29 min",,,38.06,142.86,9
HCPCS,C7903,"Hopd mntl hlt, grp",,,38.06,142.86,9
HCPCS,C8001,3d anat seg imaging preop,,,130.69,490.62,9
HCPCS,C8003,Imp extar knee shck absrb,,,6389.0,66855.32,11
HCPCS,C8004,Sim ang w/prs cath rad emb,,,11725.59,44017.26,9
HCPCS,C8006,Inst pleu-perit shnt w pump,,,6575.55,24684.26,9
HCPCS,C8900,Hc Mr Angio With Contrast Abd,4284.0,1670.76,,,0
HCPCS,C8900,"Mra w/cont, abd",,,354.36,1330.23,12
HCPCS,C8901,Hc Mr Angio Abdomen W/O Contrast,2077.5,810.225,,,0
HCPCS,C8901,"Mra w/o cont, abd",,,242.35,909.77,11
HCPCS,C8902,Hc Mr Angio Abdomen W+W/O Contrast,2731.5,1065.2849999999999,,,0
HCPCS,C8902,"Mra w/o fol w/cont, abd",,,354.36,1330.23,11
HCPCS,C8903,Hc Mri Breast Unilateral W/Contrast,2237.0,872.43,,,0
HCPCS,C8903,"Mri w/cont, breast,  uni",,,178.16,668.79,11
HCPCS,C8904,"Mri w/o cont, breast, uni",,,489.78,489.78,2
HCPCS,C8905,Hc Mri Breast Unilateral W+W/O Contrast,2378.5,927.615,,,0
HCPCS,C8905,"Mri w/o fol w/cont, brst, un",,,354.36,1330.23,11
HCPCS,C8906,Hc Mri Breast Bilateral With Contrast,2967.5,1157.325,,,0
HCPCS,C8906,"Mri w/cont, breast,  bi",,,354.36,1330.23,11
HCPCS,C8907,"Mri w/o cont, breast, bi",,,974.92,974.92,2
HCPCS,C8908,Hc Mri Breast Bilateral W+W/O Contrast,3053.5,1190.865,,,0
HCPCS,C8908,"Mri w/o fol w/cont, breast,",,,354.36,1330.23,11
HCPCS,C8909,Hc Mr Angio With Contrast Chest,2991.0,1166.49,,,0
HCPCS,C8909,"MRA w/cont, chest",,,354.36,1330.23,11
HCPCS,C8910,Hc Mr Angio Chest W/O Contrast,2026.0,790.14,,,0
HCPCS,C8910,"MRA w/o cont, chest",,,242.35,909.77,11
HCPCS,C8911,Hc Mr Angio Chest W+W/O Contrast,2939.5,1146.405,,,0
HCPCS,C8911,"MRA w/o fol w/cont, chest",,,354.36,1330.23,11
HCPCS,C8912,Hc Mr Angio With Contrast Lower Ext,1114.0,434.46,,,0
HCPCS,C8912,"Mra w/cont, lwr ext",,,354.36,1330.23,11
HCPCS,C8913,Hc Mr Angio Lower Extremity W/O Contrast,1824.0,711.36,,,0
HCPCS,C8913,"Mra w/o cont, lwr ext",,,242.35,909.77,11
HCPCS,C8914,Hc Mr Angio Lower Extremity W+W/O Contrast,1932.0,753.48,,,0
HCPCS,C8914,"Mra w/o fol w/cont, lwr ext",,,354.36,1330.23,11
HCPCS,C8918,Hc Mr Angio With Contrast Pelvis,2902.0,1131.78,,,0
HCPCS,C8918,"MRA w/cont, pelvis",,,354.36,1330.23,12
HCPCS,C8919,Hc Mr Angio Pelvis W/O Contrast,2104.0,820.56,,,0
HCPCS,C8919,"MRA w/o cont, pelvis",,,242.35,909.77,11
HCPCS,C8920,Hc Mr Angio Pelvis W+W/O Contrast,2414.0,941.46,,,0
HCPCS,C8920,"Mra w/o fol w/cont, pelvis",,,354.36,1330.23,11
HCPCS,C8921,Hc Tte W Or Wo Fol W Cont Com,3129.0,1220.31,,,0
HCPCS,C8921,"Tte w or w/o fol w/cont, com",,,796.24,2989.04,9
HCPCS,C8922,"Tte w or w/o fol w/cont, f/u",,,796.24,2989.04,9
HCPCS,C8923,"2d tte w or w/o fol w/con,co",,,796.24,2989.04,9
HCPCS,C8923,Hc Tte 2D W Or W+W/O Contrast Complete,2590.0,1010.0999999999999,,,0
HCPCS,C8924,"2d tte w or w/o fol w/con,fu",,,354.36,1330.23,9
HCPCS,C8924,Hc Echo 2D Tte W Or W/O Fol W/Con F/U,1391.0,542.49,,,0
HCPCS,C8925,"2d tee w or w/o fol w/con,in",,,796.24,2989.04,9
HCPCS,C8925,Hc Tee 2D W Or W Plus W/O Contrast,3754.0,1464.06,,,0
HCPCS,C8926,"Tee w or w/o fol w/cont,cong",,,796.24,2989.04,9
HCPCS,C8927,"TEE w or w/o fol w/cont, mon",,,796.24,2989.04,9
HCPCS,C8928,Hc Tte W Or W/O Fol W/Con Stress,3347.0,1305.33,,,0
HCPCS,C8928,"Tte w or w/o fol w/con,stres",,,796.24,2989.04,9
HCPCS,C8929,Hc Tte W Or W+W/O Contrast Complete,2745.0,1070.55,,,0
HCPCS,C8929,"TTE w or wo fol wcon,Doppler",,,796.24,2989.04,9
HCPCS,C8930,Hc Tte W Or W/O Contr Cont Ecg,2174.5,848.055,,,0
HCPCS,C8930,"TTE w or w/o contr, cont ECG",,,796.24,2989.04,9
HCPCS,C8931,Hc Mr Angio With Dye Spinal Canal,1128.0,439.92,,,0
HCPCS,C8931,"MRA, w/dye, spinal canal",,,354.36,1330.23,12
HCPCS,C8932,Hc Mr Angio Without Dye Spinal Canal,1128.0,439.92,,,0
HCPCS,C8932,"MRA, w/o dye, spinal canal",,,242.35,909.77,11
HCPCS,C8933,Hc Mr Angio Spine W+W/O Contrast,2414.0,941.46,,,0
HCPCS,C8933,"MRA, w/o&w/dye, spinal canal",,,354.36,1330.23,11
HCPCS,C8934,Hc Mr Angio Upper Extremity With Contrast,1800.0,702.0,,,0
HCPCS,C8934,"MRA, w/dye, upper extremity",,,354.36,1330.23,11
HCPCS,C8935,Hc Mr Angio Upper Extremity W/O Contrast,1500.5,585.1949999999999,,,0
HCPCS,C8935,"MRA, w/o dye, upper extr",,,242.35,909.77,11
HCPCS,C8936,Hc Mr Angio Upper Extremity W Plus W/O Contrast,1932.0,753.48,,,0
HCPCS,C8936,"MRA, w/o&w/dye, upper extr",,,354.36,1330.23,11
HCPCS,C8937,Hc Mri Breast Cad,144.0,56.16,,,0
HCPCS,C8957,Hc Prolonged Iv Inf Requrie Pump Over 8 Hr,2469.0,962.91,,,0
HCPCS,C8957,"Prolonged iv inf, req pump",,,216.05,811.02,9
HCPCS,C9046,Cocaine hcl nasal solution,,,2.97,3.31,3
HCPCS,C9047,"Injection, caplacizumab-yhdp",,,802.49,3012.51,15
HCPCS,C9067,Gallium ga-68 dotatoc,,,3.61,22.9,12
HCPCS,C9088,"Instill, bupivac and meloxic",,,1.47,2.68,6
HCPCS,C9089,"Bupivacaine implant, 1 mg",,,1.62,1.62,2
HCPCS,C9090,"Plasminogen, human-tvmh 1 mg",,,84.27,84.27,1
HCPCS,C9091,"Sirolimus, protein-bound,1mg",,,269.19,269.19,1
HCPCS,C9092,"Inj., xipere, 1 mg",,,112.6,112.6,1
HCPCS,C9093,"Inj., susvimo, 0.1 mg",,,218.36,218.36,1
HCPCS,C9101,"Inj, oliceridine 0.1 mg",,,2.52,4.37,5
HCPCS,C9143,Cocaine hcl nasal (numbrino),,,4.36,4.36,2
HCPCS,C9144,"Inj, bupivacaine (posimir)",,,0.93,1.87,5
HCPCS,C9145,"Inj, aponvie, 1 mg",,,1.91,7.17,14
HCPCS,C9159,"Inj, balfaxar, per i.u",,,11.25,11.93,3
HCPCS,C9160,Inj daxibotulinumtoxina-lanm,,,15.4,16.33,3
HCPCS,C9161,"Inj, aflibercept hd, 1 mg",,,1169.38,1240.35,3
HCPCS,C9162,"Inj, avacincaptad peg 0.1 mg",,,374.2,396.91,3
HCPCS,C9163,Inj talquetamab-tgvs 0.25 mg,,,230.75,244.75,3
HCPCS,C9164,"Cantharidin top, applicator",,,2441.2,2589.37,3
HCPCS,C9165,"Inj, elranatamab-bcmm, 1 mg",,,611.97,649.11,3
HCPCS,C9173,"Inj, nypozi, 1 mcg",,,1.01,1.01,2
HCPCS,C9248,"Inj, clevidipine butyrate",,,6.65,6.65,2
HCPCS,C9250,Artiss fibrin sealant,,,141.89,532.66,15
HCPCS,C9254,"Injection, lacosamide",,,0.38,0.38,2
HCPCS,C9257,Bevacizumab injection,,,1.83,6.87,15
HCPCS,C9285,"Patch, lidocaine/tetracaine",,,32.95,32.95,2
HCPCS,C9293,"Injection, glucarpidase",,,427.72,1605.62,11
HCPCS,C9352,"Neuragen nerve guide, per cm",,,1959.2,1959.2,2
HCPCS,C9352,Noncdm Charge Record Medical Supplies - Guide Nerve 3Cm 3Mm Flx Abs,9309.83,3630.83,,,0
HCPCS,C9353,"Neurawrap nerve protector,cm",,,2089.45,2089.45,2
HCPCS,C9354,"Veritas collagen matrix, cm2",,,36.94,36.94,2
HCPCS,C9355,"Neuromatrix nerve cuff, cm",,,347.35,347.35,2
HCPCS,C9356,"TenoGlide tendon prot, cm2",,,207.32,207.32,2
HCPCS,C9361,NeuroMend nerve wrap,,,337.86,337.86,2
HCPCS,C9363,Integra Meshed Bil Wound Mat,,,124.27,474.5,11
HCPCS,C9363,Noncdm Charge Record Medical Supplies - Bilayer Wound Matrix Mshd 2 X 2 Integra,5978.54,2331.63,,,0
HCPCS,C9363,Noncdm Charge Record Medical Supplies - Bilayer Wound Matrix Mshd 4 X 5 Integra,4498.58,1754.45,,,0
HCPCS,C9363,Noncdm Charge Record Medical Supplies - Bilayer Wound Matrix Mshd 8 X 10 Integra,494.77,192.96,,,0
HCPCS,C9364,"Porcine implant, Permacol",,,35.05,35.05,2
HCPCS,C9460,"Injection, cangrelor",,,19.98,75.01,15
HCPCS,C9462,"Injection, delafloxacin",,,0.91,0.91,2
HCPCS,C9482,Sotalol hydrochloride IV,,,25.05,94.03,15
HCPCS,C9488,Conivaptan HCL,,,86.65,173.37,6
HCPCS,C9600,Hc Prq Card Des Stent W/Angio 1 Vsl Lc,22856.0,8913.84,,,0
HCPCS,C9600,Hc Prq Card Des Stent W/Angio 1 Vsl Ld,22856.0,8913.84,,,0
HCPCS,C9600,Hc Prq Card Des Stent W/Angio 1 Vsl Lm,22856.0,8913.84,,,0
HCPCS,C9600,Hc Prq Card Des Stent W/Angio 1 Vsl Rc,22856.0,8913.84,,,0
HCPCS,C9600,Hc Prq Card Des Stent W/Angio 1 Vsl Ri,22856.0,8913.84,,,0
HCPCS,C9600,Hc Robotic Asst Stent Des Lc/Lcx Artery Or Branch,22856.0,8913.84,,,0
HCPCS,C9600,Hc Robotic Asst Stent Des Ld/Lad Artery Or Branch,22856.0,8913.84,,,0
HCPCS,C9600,Hc Robotic Asst Stent Des Lm Artery,22856.0,8913.84,,,0
HCPCS,C9600,Hc Robotic Asst Stent Des Ramus Artery,22856.0,8913.84,,,0
HCPCS,C9600,Hc Robotic Asst Stent Des Rc/Rca Artery Or Branch,22856.0,8913.84,,,0
HCPCS,C9600,Perc drug-el cor stent sing,,,9842.0,44017.26,11
HCPCS,C9601,Hc Robitic Asst Stent Des Rc/Rca Additional Branch,6696.0,2611.44,,,0
HCPCS,C9601,Hc Robotic Asst Stent Des Lc/Lcx Additional Branch,6696.0,2611.44,,,0
HCPCS,C9601,Hc Robotic Asst Stent Des Ld/Lad Additional Branch,6696.0,2611.44,,,0
HCPCS,C9601,Hc Stent Des Lc/Lcx Additional Branch,6696.0,2611.44,,,0
HCPCS,C9601,Hc Stent Des Ld/Lad Additional Branch,6696.0,2611.44,,,0
HCPCS,C9601,Hc Stent Des Rc/Rca Additional Branch,6696.0,2611.44,,,0
HCPCS,C9601,Perc drug-el cor stent bran,,,2665.0,3391.0,2
HCPCS,C9602,Hc Atherectomy And Des Stent Ld/Lad,25911.0,10105.29,,,0
HCPCS,C9602,Hc Atherectomy And Des Stent Lm Artery,25911.0,10105.29,,,0
HCPCS,C9602,Hc Atherectomy And Des Stent Ramus Artery,25911.0,10105.29,,,0
HCPCS,C9602,Hc Atherectomy And Des Stent Rc/Rca,25911.0,10105.29,,,0
HCPCS,C9602,Hc Atherectomy Des Stent Lc/Lcx,25911.0,10105.29,,,0
HCPCS,C9602,Hc Robotic Asst Atherectomy And Des Stent Ld/Lad,25911.0,10105.29,,,0
HCPCS,C9602,Hc Robotic Asst Atherectomy And Des Stent Lm Artery,25911.0,10105.29,,,0
HCPCS,C9602,Hc Robotic Asst Atherectomy And Des Stent Ramus Artery,25911.0,10105.29,,,0
HCPCS,C9602,Hc Robotic Asst Atherectomy And Des Stent Rc/Rca,25911.0,10105.29,,,0
HCPCS,C9602,Hc Robotic Asst Atherectomy Des Stent Lc/Lcx,25911.0,10105.29,,,0
HCPCS,C9602,Perc d-e cor stent ather s,,,9842.0,69897.36,11
HCPCS,C9603,Hc Atherectomy Des Stent Additional Lc/Lcx,19223.0,7496.97,,,0
HCPCS,C9603,Hc Atherectomy Des Stent Additional Ld/Lad,19223.0,7496.97,,,0
HCPCS,C9603,Hc Atherectomy Des Stent Additional Rc/Rca,19223.0,7496.97,,,0
HCPCS,C9603,Hc Robotic Asst Atherectomy Des Stent Additional Lc/Lcx,19223.0,7496.97,,,0
HCPCS,C9603,Hc Robotic Asst Atherectomy Des Stent Additional Ld/Lad,19223.0,7496.97,,,0
HCPCS,C9603,Hc Robotic Asst Atherectomy Des Stent Additional Rc/Rca,19223.0,7496.97,,,0
HCPCS,C9603,Perc d-e cor stent ather br,,,2665.0,5063.0,2
HCPCS,C9604,Hc Graft Ptca And Des Stent To Lc/Lcx,26913.0,10496.07,,,0
HCPCS,C9604,Hc Graft Ptca And Des Stent To Ld/Lad,26913.0,10496.07,,,0
HCPCS,C9604,Hc Graft Ptca And Des Stent To Rc/Rca,26913.0,10496.07,,,0
HCPCS,C9604,Hc Graft Ptca And/Or Des Stent Ramus Artery,26913.0,10496.07,,,0
HCPCS,C9604,Hc Robotic Asst Graft Ptca And Des Stent To Lc/Lcx,26913.0,10496.07,,,0
HCPCS,C9604,Hc Robotic Asst Graft Ptca And Des Stent To Ld/Lad,26913.0,10496.07,,,0
HCPCS,C9604,Hc Robotic Asst Graft Ptca And Des Stent To Rc/Rca,26913.0,10496.07,,,0
HCPCS,C9604,Hc Robotic Asst Graft Ptca And/Or Des Stent Ramus Artery,26913.0,10496.07,,,0
HCPCS,C9604,Perc d-e cor revasc t cabg s,,,9842.0,44017.26,11
HCPCS,C9605,Hc Graft Ptca And/Or Des Stent Addtl Lc/Lcx,26913.0,10496.07,,,0
HCPCS,C9605,Hc Graft Ptca And/Or Des Stent Addtl Ld/Lad,26913.0,10496.07,,,0
HCPCS,C9605,Hc Graft Ptca And/Or Des Stent Addtl Rc/Rca,26913.0,10496.07,,,0
HCPCS,C9605,Hc Robotic Asst Graft Ptca And/Or Des Stent Addtl Lc/Lcx,26913.0,10496.07,,,0
HCPCS,C9605,Hc Robotic Asst Graft Ptca And/Or Des Stent Addtl Ld/Lad,26913.0,10496.07,,,0
HCPCS,C9605,Hc Robotic Asst Graft Ptca And/Or Des Stent Addtl Rc/Rca,26913.0,10496.07,,,0
HCPCS,C9605,Perc d-e cor revasc t cabg b,,,2665.0,5063.0,2
HCPCS,C9606,Hc Ip Only- Prq Card Des Revasc Mi 1Vsl Lm,37819.0,14749.41,,,0
HCPCS,C9606,Hc Ip Only- Robotic Asst Prq Card Des Revasc Mi 1Vsl Lm,37819.0,14749.41,,,0
HCPCS,C9606,Hc Ip Only-Prq Card Des Revasc Mi 1Vsl Lc,37819.0,14749.41,,,0
HCPCS,C9606,Hc Ip Only-Prq Card Des Revasc Mi 1Vsl Ld,37819.0,14749.41,,,0
HCPCS,C9606,Hc Ip Only-Prq Card Des Revasc Mi 1Vsl Rc,37819.0,14749.41,,,0
HCPCS,C9606,Hc Ip Only-Prq Card Des Revasc Mi 1Vsl Ri,37819.0,14749.41,,,0
HCPCS,C9606,Hc Ip Only-Robotic Asst Prq Card Des Revasc Mi 1Vsl Lc,37819.0,14749.41,,,0
HCPCS,C9606,Hc Ip Only-Robotic Asst Prq Card Des Revasc Mi 1Vsl Ld,37819.0,14749.41,,,0
HCPCS,C9606,Hc Ip Only-Robotic Asst Prq Card Des Revasc Mi 1Vsl Rc,37819.0,14749.41,,,0
HCPCS,C9606,Hc Ip Only-Robotic Asst Prq Card Des Revasc Mi 1Vsl Ri,37819.0,14749.41,,,0
HCPCS,C9606,Perc d-e cor revasc w AMI s,,,5063.0,6859.0,2
HCPCS,C9607,Hc Cto Des Stent Lc/Lcx,37819.0,14749.41,,,0
HCPCS,C9607,Hc Cto Des Stent Ld/Lad,37819.0,14749.41,,,0
HCPCS,C9607,Hc Cto Des Stent Lm Artery,37819.0,14749.41,,,0
HCPCS,C9607,Hc Cto Des Stent Ramus Artery,37819.0,14749.41,,,0
HCPCS,C9607,Hc Cto Des Stent Rc/Rca,37819.0,14749.41,,,0
HCPCS,C9607,Hc Robotic Asst Cto Des Stent Lc/Lcx,37819.0,14749.41,,,0
HCPCS,C9607,Hc Robotic Asst Cto Des Stent Ld/Lad,37819.0,14749.41,,,0
HCPCS,C9607,Hc Robotic Asst Cto Des Stent Lm Artery,37819.0,14749.41,,,0
HCPCS,C9607,Hc Robotic Asst Cto Des Stent Ramus Artery,37819.0,14749.41,,,0
HCPCS,C9607,Hc Robotic Asst Cto Des Stent Rc/Rca,37819.0,14749.41,,,0
HCPCS,C9607,Perc d-e cor revasc chro sin,,,9842.0,69897.36,11
HCPCS,C9608,Hc Cto Des Stent Addl Brch Lc/Lcx,31131.0,12141.09,,,0
HCPCS,C9608,Hc Cto Des Stent Addl Brch Ld/Lad,31131.0,12141.09,,,0
HCPCS,C9608,Hc Cto Des Stent Addl Brch Rc/Rca,31131.0,12141.09,,,0
HCPCS,C9608,Hc Robotic Asst Cto Des Stent Addl Brch Lc/Lcx,31131.0,12141.09,,,0
HCPCS,C9608,Hc Robotic Asst Cto Des Stent Addl Brch Ld/Lad,31131.0,12141.09,,,0
HCPCS,C9608,Hc Robotic Asst Cto Des Stent Addl Brch Rc/Rca,31131.0,12141.09,,,0
HCPCS,C9608,Perc d-e cor revasc chro add,,,2665.0,5063.0,2
HCPCS,C9724,EPS gast cardia plic,,,5063.0,5063.0,1
HCPCS,C9725,Hc Place Endorectal Applicator For Brachytherapy,3116.0,1215.24,,,0
HCPCS,C9725,Place endorectal app,,,944.57,5063.0,11
HCPCS,C9726,Rxt breast appl place/remov,,,2665.0,5063.0,2
HCPCS,C9727,Insert palate implants,,,1575.96,5916.09,11
HCPCS,C9728,Hc Ct Fiducial Marker Placement Other,6089.0,2374.71,,,0
HCPCS,C9728,Hc Fiducial Marker Placement Other,6089.0,2374.71,,,0
HCPCS,C9728,"Place device/marker, non pro",,,1405.88,5277.6,10
HCPCS,C9733,Non-ophthalmic FVA,,,354.36,1330.23,9
HCPCS,C9734,"U/s trtmt, not leiomyomata",,,9032.0,48953.07,10
HCPCS,C9735,"Anoscopy, submucosal inj",,,5063.0,5063.0,1
HCPCS,C9736,Lap ablate uteri fibroid rf,,,5063.0,5063.0,1
HCPCS,C9737,Lap esoph augmentation,,,5063.0,5063.0,1
HCPCS,C9738,Blue light cysto imag agent,,,2665.0,3391.0,2
HCPCS,C9739,Cystoscopy prostatic imp 1-3,,,5446.05,20444.19,12
HCPCS,C9740,Cysto impl 4 or more,,,6760.0,36095.01,11
HCPCS,C9742,Laryngoscopy with injection,,,5063.0,5063.0,1
HCPCS,C9744,Abd us w/contrast,,,574.57,574.57,2
HCPCS,C9745,Nasal endo eustachian tube,,,5063.0,5063.0,1
HCPCS,C9746,Trans imp balloon cont,,,5063.0,5063.0,1
HCPCS,C9747,"Ablation, HIFU, prostate",,,5063.0,5063.0,1
HCPCS,C9749,Repair nasal stenosis w/imp,,,5063.0,5063.0,1
HCPCS,C9751,"Microwave bronch, 3d, ebus",,,9000.0,11889.0,2
HCPCS,C9753,Intraosseous destruct add'l,,,5063.0,5063.0,1
HCPCS,C9756,Fluorescence lymph map w/ICG,,,2665.0,3391.0,2
HCPCS,C9757,Spine/lumbar disk surgery,,,6760.0,48953.07,11
HCPCS,C9758,Interatrial shunt IDE,,,17398.65,65313.63,10
HCPCS,C9759,Transcath intraop microinf,,,2665.0,2665.0,1
HCPCS,C9760,Non-blind interatrial shunt,,,5063.0,102634.64,11
HCPCS,C9761,"Cysto, litho, vacuum kidney",,,6179.0,36095.01,11
HCPCS,C9762,Cardiac MRI seg dys strain,,,555.0,2083.45,9
HCPCS,C9763,Cardiac MRI seg dys stress,,,555.0,2083.45,9
HCPCS,C9764,Hc Revasc Intravasc Lithotripsy,19999.0,7799.61,,,0
HCPCS,C9764,Revasc intravasc lithotripsy,,,6389.0,44017.26,11
HCPCS,C9765,Hc Revasc Intravasc Lithotripsy And Trans Stent Placement,39997.0,15598.83,,,0
HCPCS,C9765,Revasc intra lithotrip-stent,,,6389.0,69897.36,11
HCPCS,C9766,Hc Revasc Intravasc Lithotripsy And Atherectomy,39997.0,15598.83,,,0
HCPCS,C9766,Revasc intra lithotrip-ather,,,6760.0,69897.36,11
HCPCS,C9767,Hc Revasc Lithotripsy And Stent W/Atherectomy,64349.0,25096.11,,,0
HCPCS,C9767,Revasc lithotrip-stent-ather,,,6760.0,69897.36,11
HCPCS,C9768,Endo us-guide hep porto grad,,,3391.0,3391.0,1
HCPCS,C9769,Cysto w/temp pros implant,,,5809.0,5809.0,1
HCPCS,C9772,Hc Revasc Lithotripsy Tibial/Perone Incl Angplsty,49010.0,19113.9,,,0
HCPCS,C9772,Revasc lithotrip tibi/perone,,,6389.0,44017.26,11
HCPCS,C9773,Hc Revasc Lithotripsy W Stent Tib/Perone Incl Angplsty,78364.0,30561.96,,,0
HCPCS,C9773,Revasc lithotr-stent tib/per,,,6389.0,69897.36,11
HCPCS,C9774,Hc Revasc Lithotr W Artherectomy Tib/Per Incl Angplsty,78364.0,30561.96,,,0
HCPCS,C9774,Revasc lithotr-ather tib/per,,,6389.0,69897.36,11
HCPCS,C9775,Hc Revasc Litho Stent Athrectomy Tib/Per Incl Angplsty,78364.0,30561.96,,,0
HCPCS,C9775,Revasc lith-sten-ath tib/per,,,6389.0,69897.36,11
HCPCS,C9777,Esophag mucosal integ add-on,,,3391.0,14700.67,11
HCPCS,C9778,"Colpopexy, min/inv, ex-perit",,,5081.06,19074.02,11
HCPCS,C9779,ESD endoscopy or colonoscopy,,,3916.06,14700.67,11
HCPCS,C9780,Insert cv cath inf & sup app,,,5809.0,30791.7,11
HCPCS,C9781,Arthro/shoul surg; w/spacer,,,6760.0,48953.07,11
HCPCS,C9782,Blind myocar trpl bon marrow,,,5063.0,65313.63,11
HCPCS,C9783,Blind cor sinus reducer impl,,,9000.0,44017.26,11
HCPCS,C9783,Hc Blind Coronary Sinus Reducer Implantation,35042.0,13666.38,,,0
HCPCS,C9784,Endo sleeve gastro w/tube,,,5809.0,15026.0,2
HCPCS,C9785,Endo outlet restrict w/tube,,,5809.0,40530.88,11
HCPCS,C9789,Instill pharm renal pelvis,,,1243.22,6179.0,11
HCPCS,C9790,Kidney histotripsy w/image,,,6389.0,6389.0,1
HCPCS,C9792,Blind/nonblind trans atrial,,,9000.0,36389.85,11
HCPCS,C9793,Pre-plan 3d model w/ccta,,,872.23,3274.32,9
HCPCS,C9796,Rpr intst excl anrect fist,,,2819.28,10583.42,11
HCPCS,C9797,Hc Vasc Emb Occ W Prs Cath,54289.0,21172.71,,,0
HCPCS,C9797,Vasc emb/occ w/prs cath,,,5809.0,69897.36,11
HCPCS,C9800,Dermal filler inj px/suppl,,,5063.0,5063.0,1
HCPCS,C9803,HOPD covid-19 spec collect,,,27.59,27.59,1
HCPCS,C9898,Hc Radio Isotope Admin Inpatient,1.0,0.39,,,0
HCPCS,C9901,Endo defect closure GI tract,,,5809.0,40530.88,11
HCPCS,D0120,Periodic oral evaluation,,,135.23,507.64,9
HCPCS,D0140,Limit oral eval problm focus,,,135.23,1694.0,10
HCPCS,D0150,Comprehensve oral evaluation,,,135.23,1694.0,10
HCPCS,D0160,Extensv oral eval prob focus,,,135.23,507.64,9
HCPCS,D0170,"Re-eval,est pt,problem focus",,,135.23,507.64,9
HCPCS,D0171,Re-eval post-op visit,,,135.23,507.64,9
HCPCS,D0180,Comp periodontal evaluation,,,135.23,507.64,9
HCPCS,D0191,Assessment of a patient,,,135.23,507.64,9
HCPCS,D0210,Intraor complete film series,,,242.35,909.77,9
HCPCS,D0220,Intraoral periapical first,,,88.39,331.82,9
HCPCS,D0240,Intraoral occlusal film,,,88.39,331.82,9
HCPCS,D0250,Extraoral 2d project image,,,88.39,331.82,9
HCPCS,D0251,Extraoral posterior image,,,88.39,331.82,9
HCPCS,D0270,Dental bitewing single image,,,88.39,331.82,9
HCPCS,D0272,Dental bitewings two images,,,88.39,331.82,9
HCPCS,D0273,Bitewings - three images,,,242.35,909.77,9
HCPCS,D0274,Bitewings four images,,,242.35,909.77,9
HCPCS,D0277,Vert bitewings 7 to 8 images,,,242.35,909.77,9
HCPCS,D0310,Dental saliography,,,242.35,909.77,9
HCPCS,D0320,Dental tmj arthrogram incl i,,,242.35,909.77,9
HCPCS,D0321,Other tmj images by report,,,88.39,331.82,9
HCPCS,D0322,Dental tomographic survey,,,106.19,398.63,9
HCPCS,D0330,Panoramic image,,,242.35,909.77,9
HCPCS,D0340,2d cephalometric image,,,88.39,331.82,9
HCPCS,D0350,Oral/facial photo images,,,88.39,331.82,9
HCPCS,D0364,Cone beam ct capt & interp,,,106.19,398.63,9
HCPCS,D0365,Cone beam ct interprete man,,,106.19,398.63,9
HCPCS,D0366,Cone beam ct interprete max,,,106.19,398.63,9
HCPCS,D0367,Cone beam ct interp both jaw,,,106.19,398.63,9
HCPCS,D0368,Cone beam ct interprete TMJ,,,106.19,398.63,9
HCPCS,D0369,Max MRI capture & interprete,,,106.19,398.63,9
HCPCS,D0370,Max ultrasound capt & interp,,,106.19,398.63,9
HCPCS,D0371,Sialoendoscopy capt & interp,,,88.39,331.82,9
HCPCS,D0380,Cone beam ct capture limited,,,106.19,398.63,9
HCPCS,D0381,Cone beam ct capt mandible,,,106.19,398.63,9
HCPCS,D0382,Cone beam ct capt maxilla,,,106.19,398.63,9
HCPCS,D0383,Cone beam ct both jaws,,,106.19,398.63,9
HCPCS,D0384,Cone beam ct capture TMJ,,,106.19,398.63,9
HCPCS,D0385,Max MRI image capture,,,106.19,398.63,9
HCPCS,D0386,Max ultrasound image capture,,,106.19,398.63,9
HCPCS,D0393,Trtmnt simulation 3d image,,,88.39,331.82,9
HCPCS,D0394,Digital sub 2 or more images,,,88.39,331.82,9
HCPCS,D0395,Fusion 2 or more 3d images,,,88.39,331.82,9
HCPCS,D0460,Pulp vitality test,,,656.65,2465.02,9
HCPCS,D0600,Non-ionizing diag proc,,,656.65,2465.02,9
HCPCS,D0701,Fracture of lower extremity M >=61.50,,,88.39,331.82,9
HCPCS,D0702,Fracture of lower extremity M >=52.50 and M <61.50,,,88.39,331.82,9
HCPCS,D0703,Fracture of lower extremity M >=41.50 and M <52.50,,,88.39,331.82,9
HCPCS,D0705,Extra oral post radio image,,,88.39,331.82,9
HCPCS,D0706,Intraoral occlus radio image,,,88.39,331.82,9
HCPCS,D0707,Intraoral periap radio image,,,88.39,331.82,9
HCPCS,D0708,Intraoral bite radio image,,,88.39,331.82,9
HCPCS,D0709,Intraoral cmplt radio images,,,88.39,331.82,9
HCPCS,D1110,Dental prophylaxis adult,,,135.23,507.64,9
HCPCS,D1120,Dental prophylaxis child,,,1694.0,1694.0,1
HCPCS,D1351,Dental sealant per tooth,,,1694.0,1694.0,1
HCPCS,D1510,Space maintainer fxd unilat,,,656.65,2465.02,10
HCPCS,D1515,Fixed bilat space maintainer,,,1694.0,1694.0,1
HCPCS,D1516,"Fixed bilat space maint, max",,,656.65,2465.02,9
HCPCS,D1517,"Fixed bilat space maint, man",,,656.65,2465.02,9
HCPCS,D1520,Remove unilat space maintain,,,656.65,2465.02,9
HCPCS,D1526,"Remove bilat space main, max",,,656.65,2465.02,9
HCPCS,D1527,"Remove bilat space main, man",,,656.65,2465.02,9
HCPCS,D1550,Recement space maintainer,,,1694.0,1694.0,1
HCPCS,D1551,Recement space maint - max,,,656.65,2465.02,9
HCPCS,D1552,Recement space maint - man,,,656.65,2465.02,9
HCPCS,D1553,Recement unilat space maint,,,656.65,2465.02,9
HCPCS,D1575,"Dist space maint, fixed unil",,,656.65,2465.02,9
HCPCS,D2140,Amalgam one surface permanen,,,656.65,2465.02,10
HCPCS,D2150,Amalgam two surfaces permane,,,656.65,2465.02,10
HCPCS,D2160,Amalgam three surfaces perma,,,656.65,2465.02,10
HCPCS,D2161,Amalgam 4 or > surfaces perm,,,656.65,2465.02,10
HCPCS,D2330,Resin one surface-anterior,,,656.65,2465.02,10
HCPCS,D2331,Resin two surfaces-anterior,,,656.65,2465.02,10
HCPCS,D2332,Resin three surfaces-anterio,,,656.65,2465.02,10
HCPCS,D2335,Resin 4/> surf or w incis an,,,656.65,2465.02,10
HCPCS,D2390,Ant resin-based cmpst crown,,,656.65,2465.02,10
HCPCS,D2391,Post 1 srfc resinbased cmpst,,,656.65,2465.02,10
HCPCS,D2392,Post 2 srfc resinbased cmpst,,,656.65,2465.02,10
HCPCS,D2393,Post 3 srfc resinbased cmpst,,,656.65,2465.02,10
HCPCS,D2394,Post >=4srfc resinbase cmpst,,,656.65,2465.02,10
HCPCS,D2410,Dental gold foil one surface,,,656.65,2465.02,9
HCPCS,D2420,Dental gold foil two surface,,,656.65,2465.02,9
HCPCS,D2430,Dental gold foil three surfa,,,656.65,2465.02,9
HCPCS,D2510,Dental inlay metalic 1 surf,,,656.65,2465.02,9
HCPCS,D2520,Dental inlay metallic 2 surf,,,656.65,2465.02,9
HCPCS,D2530,Dental inlay metl 3/more sur,,,656.65,2465.02,9
HCPCS,D2542,Dental onlay metallic 2 surf,,,656.65,2465.02,9
HCPCS,D2543,Dental onlay metallic 3 surf,,,656.65,2465.02,9
HCPCS,D2544,Dental onlay metl 4/more sur,,,656.65,2465.02,9
HCPCS,D2610,Inlay porcelain/ceramic 1 su,,,656.65,2465.02,9
HCPCS,D2620,Inlay porcelain/ceramic 2 su,,,656.65,2465.02,9
HCPCS,D2630,Dental onlay porc 3/more sur,,,656.65,2465.02,9
HCPCS,D2642,Dental onlay porcelin 2 surf,,,656.65,2465.02,9
HCPCS,D2643,Dental onlay porcelin 3 surf,,,656.65,2465.02,9
HCPCS,D2644,Dental onlay porc 4/more sur,,,656.65,2465.02,9
HCPCS,D2650,Inlay composite/resin one su,,,656.65,2465.02,9
HCPCS,D2651,Inlay composite/resin two su,,,656.65,2465.02,9
HCPCS,D2652,Dental inlay resin 3/mre sur,,,656.65,2465.02,9
HCPCS,D2662,Dental onlay resin 2 surface,,,656.65,2465.02,9
HCPCS,D2663,Dental onlay resin 3 surface,,,656.65,2465.02,9
HCPCS,D2664,Dental onlay resin 4/mre sur,,,656.65,2465.02,9
HCPCS,D2710,Crown resin-based indirect,,,656.65,2465.02,9
HCPCS,D2712,Crown 3/4 resin-based compos,,,656.65,2465.02,9
HCPCS,D2720,Crown resin w/ high noble me,,,656.65,2465.02,9
HCPCS,D2721,Crown resin w/ base metal,,,656.65,2465.02,9
HCPCS,D2722,Crown resin w/ noble metal,,,656.65,2465.02,9
HCPCS,D2740,Crown porcelain/ceramic subs,,,656.65,2465.02,9
HCPCS,D2750,Crown porcelain w/ h noble m,,,656.65,2465.02,9
HCPCS,D2751,Crown porcelain fused base m,,,656.65,2465.02,9
HCPCS,D2752,Crown porcelain w/ noble met,,,656.65,2465.02,9
HCPCS,D2753,Crown porc fused to titanium,,,656.65,2465.02,9
HCPCS,D2780,Crown 3/4 cast hi noble met,,,656.65,2465.02,9
HCPCS,D2781,Crown 3/4 cast base metal,,,656.65,2465.02,9
HCPCS,D2782,Crown 3/4 cast noble metal,,,656.65,2465.02,9
HCPCS,D2783,Crown 3/4 porcelain/ceramic,,,656.65,2465.02,9
HCPCS,D2790,Crown full cast high noble m,,,656.65,2465.02,9
HCPCS,D2791,Crown full cast base metal,,,656.65,2465.02,9
HCPCS,D2792,Crown full cast noble metal,,,656.65,2465.02,9
HCPCS,D2794,Crown-titanium,,,656.65,2465.02,9
HCPCS,D2799,Provisional crown,,,656.65,2465.02,9
HCPCS,D2910,Recement inlay onlay or part,,,656.65,2465.02,10
HCPCS,D2915,Recement cast or prefab post,,,656.65,2465.02,9
HCPCS,D2920,Re-cement or re-bond crown,,,656.65,2465.02,10
HCPCS,D2921,Reattach tooth fragment,,,656.65,2465.02,9
HCPCS,D2928,Prefab porc/cer crown perm,,,656.65,2465.02,9
HCPCS,D2929,Prefab porc/ceram crown pri,,,656.65,2465.02,9
HCPCS,D2930,Prefab stnlss steel crwn pri,,,656.65,2465.02,10
HCPCS,D2931,Prefab stnlss steel crown pe,,,656.65,2465.02,10
HCPCS,D2932,Prefabricated resin crown,,,656.65,2465.02,9
HCPCS,D2933,Prefab stainless steel crown,,,656.65,2465.02,10
HCPCS,D2934,Prefab steel crown primary,,,656.65,2465.02,9
HCPCS,D2940,Protective restoration,,,656.65,2465.02,9
HCPCS,D2949,Restorative foundation,,,656.65,2465.02,9
HCPCS,D2950,Core build-up incl any pins,,,656.65,2465.02,10
HCPCS,D2951,Tooth pin retention,,,656.65,2465.02,9
HCPCS,D2952,Post and core cast + crown,,,656.65,2465.02,9
HCPCS,D2954,Prefab post/core + crown,,,656.65,2465.02,9
HCPCS,D2956,Indirect rest remov,,,6859.0,6859.0,1
HCPCS,D2957,Each addtnl prefab post,,,656.65,2465.02,9
HCPCS,D2960,Laminate labial veneer,,,656.65,2465.02,9
HCPCS,D2961,Lab labial veneer resin,,,656.65,2465.02,9
HCPCS,D2962,Lab labial veneer porcelain,,,656.65,2465.02,9
HCPCS,D2971,Add proc construct new crown,,,656.65,2465.02,9
HCPCS,D2975,Coping,,,656.65,2465.02,9
HCPCS,D2980,Crown repair,,,656.65,2465.02,9
HCPCS,D2981,Inlay repair,,,656.65,2465.02,9
HCPCS,D2982,Onlay repair,,,656.65,2465.02,9
HCPCS,D2983,Veneer repair,,,656.65,2465.02,9
HCPCS,D2989,Excavate tooth non-restorabl,,,6859.0,6859.0,1
HCPCS,D2990,Resin infiltration of lesion,,,656.65,2465.02,9
HCPCS,D2999,Dental unspec restorative pr,,,656.65,2465.02,9
HCPCS,D3110,Pulp cap direct,,,656.65,2465.02,9
HCPCS,D3120,Pulp cap indirect,,,656.65,2465.02,9
HCPCS,D3220,Therapeutic pulpotomy,,,656.65,2465.02,10
HCPCS,D3221,Gross pulpal debridement,,,656.65,2465.02,9
HCPCS,D3222,Part pulp for apexogenesis,,,656.65,2465.02,9
HCPCS,D3230,Pulpal therapy anterior prim,,,656.65,2465.02,9
HCPCS,D3240,Pulpal therapy posterior pri,,,656.65,2465.02,9
HCPCS,D3310,"End thxpy, anterior tooth",,,656.65,2465.02,10
HCPCS,D3320,"End thxpy, bicuspid tooth",,,656.65,2465.02,10
HCPCS,D3330,"End thxpy, molar",,,656.65,2465.02,10
HCPCS,D3331,Non-surg tx root canal obs,,,656.65,2465.02,9
HCPCS,D3332,Incomplete endodontic tx,,,656.65,2465.02,9
HCPCS,D3333,Internal root repair,,,656.65,2465.02,9
HCPCS,D3346,Retreat root canal anterior,,,656.65,2465.02,10
HCPCS,D3347,Retreat root canal bicuspid,,,656.65,2465.02,10
HCPCS,D3348,Retreat root canal molar,,,656.65,2465.02,10
HCPCS,D3351,Apexification/recalc initial,,,656.65,2465.02,10
HCPCS,D3352,Apexification/recalc interim,,,656.65,2465.02,10
HCPCS,D3353,Apexification/recalc final,,,656.65,2465.02,9
HCPCS,D3355,Pulpal regeneration initial,,,656.65,2465.02,9
HCPCS,D3356,Pulpal regeneration interim,,,656.65,2465.02,9
HCPCS,D3357,Pulpal regeneration complete,,,656.65,2465.02,9
HCPCS,D3410,Apicoectomy - anterior,,,656.65,5063.0,11
HCPCS,D3421,Root surgery bicuspid,,,656.65,5063.0,11
HCPCS,D3425,Root surgery molar,,,656.65,5063.0,11
HCPCS,D3426,Root surgery ea add root,,,1694.0,5063.0,2
HCPCS,D3427,Periradicular surgery,,,5063.0,5063.0,1
HCPCS,D3428,Bone graft peri per tooth,,,656.65,5063.0,10
HCPCS,D3429,Bone graft peri each addl,,,5063.0,5063.0,1
HCPCS,D3430,Retrograde filling,,,656.65,2465.02,10
HCPCS,D3431,Biological materials,,,656.65,2465.02,9
HCPCS,D3432,Guided tissue regeneration,,,656.65,5063.0,10
HCPCS,D3450,Root amputation,,,656.65,5063.0,10
HCPCS,D3460,Endodontic endosseous implan,,,656.65,2465.02,9
HCPCS,D3470,Intentional replantation,,,656.65,2465.02,9
HCPCS,D3471,Surg rep root res anterior,,,656.65,6859.0,10
HCPCS,D3472,Surg rep root res premolar,,,656.65,6859.0,10
HCPCS,D3473,Surg rep root res molar,,,656.65,6859.0,10
HCPCS,D3501,Surg exp root surf anterior,,,656.65,6859.0,10
HCPCS,D3502,Surg exp root surf premolar,,,656.65,6859.0,10
HCPCS,D3503,Surg exp root surf molar,,,656.65,6859.0,10
HCPCS,D3910,Isolation- tooth w rubb dam,,,656.65,5063.0,10
HCPCS,D3911,Intraorifice barrier,,,656.65,2465.02,9
HCPCS,D3920,Tooth splitting,,,656.65,5063.0,10
HCPCS,D3921,D?cor or submerg erupt tooth,,,656.65,6859.0,10
HCPCS,D3950,Canal prep/fitting of dowel,,,656.65,2465.02,10
HCPCS,D3999,Endodontic procedure,,,656.65,5063.0,10
HCPCS,D4210,Gingivectomy/plasty 4 or mor,,,1694.0,12641.63,11
HCPCS,D4211,Gingivectomy/plasty 1 to 3,,,3367.56,12641.63,10
HCPCS,D4212,Gingivectomy/plasty rest,,,3367.56,12641.63,10
HCPCS,D4230,Ana crown exp 4 or> per quad,,,3367.56,12641.63,10
HCPCS,D4231,Ana crown exp 1-3 per quad,,,1575.96,5916.09,10
HCPCS,D4240,Gingival flap proc w/ planin,,,3367.56,12641.63,10
HCPCS,D4241,Gngvl flap w rootplan 1-3 th,,,1575.96,5916.09,10
HCPCS,D4245,Apically positioned flap,,,1575.96,5916.09,10
HCPCS,D4249,Crown lengthen hard tissue,,,656.65,5063.0,10
HCPCS,D4260,Osseous surgery 4 or more,,,5063.0,22571.93,10
HCPCS,D4261,Osseous surg 1 to 3 teeth,,,3367.56,12641.63,10
HCPCS,D4263,Bone replce graft first site,,,656.65,5063.0,10
HCPCS,D4264,Bone replce graft each add,,,5063.0,5063.0,1
HCPCS,D4265,Bio mtrls to aid soft/os reg,,,656.65,2465.02,9
HCPCS,D4266,Guided tiss regen resorble,,,1575.96,5916.09,10
HCPCS,D4267,Guided tiss regen nonresorb,,,1575.96,5916.09,10
HCPCS,D4268,Surgical revision procedure,,,656.65,5063.0,10
HCPCS,D4270,Pedicle soft tissue graft pr,,,1575.96,5916.09,10
HCPCS,D4273,Auto tissue graft 1st tooth,,,1575.96,5916.09,10
HCPCS,D4274,Mesial/distal wedge proc,,,656.65,5063.0,10
HCPCS,D4275,Non-auto graft 1st tooth,,,1575.96,5916.09,10
HCPCS,D4276,Con tissue w dble ped graft,,,1575.96,5916.09,10
HCPCS,D4277,Soft tissue graft firsttooth,,,1575.96,5916.09,10
HCPCS,D4278,Soft tissue graft addl tooth,,,5063.0,5063.0,1
HCPCS,D4286,Remove non-resorb barrier,,,6859.0,6859.0,1
HCPCS,D4322,Splint intra-coronal,,,656.65,2465.02,9
HCPCS,D4323,Splint extra-coronal,,,656.65,2465.02,9
HCPCS,D4341,Periodontal scaling & root,,,656.65,2465.02,10
HCPCS,D4342,Periodontal scaling 1-3teeth,,,656.65,2465.02,10
HCPCS,D4346,Scaling gingiv inflammation,,,656.65,2465.02,9
HCPCS,D4355,Full mouth debridement,,,656.65,2465.02,9
HCPCS,D4381,Localized delivery antimicro,,,656.65,2465.02,9
HCPCS,D4910,Periodontal maint procedures,,,656.65,2465.02,10
HCPCS,D4920,Unscheduled dressing change,,,656.65,2465.02,9
HCPCS,D4921,Gingival irrigation per quad,,,135.23,507.64,9
HCPCS,D4999,Unspecified periodontal proc,,,240.57,903.09,9
HCPCS,D5911,Facial moulage sectional,,,656.65,2465.02,9
HCPCS,D5912,Facial moulage complete,,,656.65,2465.02,9
HCPCS,D5983,Radiation applicator,,,656.65,2465.02,9
HCPCS,D5984,Radiation shield,,,656.65,2465.02,9
HCPCS,D5985,Radiation cone locator,,,656.65,2465.02,9
HCPCS,D5987,Commissure splint,,,656.65,2465.02,9
HCPCS,D5988,Surgical splint,,,656.65,2465.02,9
HCPCS,D5995,"Peri medicament w/seal, max",,,6859.0,6859.0,1
HCPCS,D5996,"Peri medicament w/seal, mand",,,6859.0,6859.0,1
HCPCS,D6010,Odontics endosteal implant,,,5063.0,5063.0,1
HCPCS,D6011,Second stage implant surgery,,,5063.0,5063.0,1
HCPCS,D6012,Endosteal implant,,,5063.0,5063.0,1
HCPCS,D6013,Surgical place mini implant,,,5063.0,5063.0,1
HCPCS,D6040,Odontics eposteal implant,,,5063.0,5063.0,1
HCPCS,D6050,Odontics transosteal implnt,,,5063.0,5063.0,1
HCPCS,D6051,Interim abutment,,,5063.0,5063.0,1
HCPCS,D6053,Implnt/abtmnt spprt remv dnt,,,5063.0,5063.0,1
HCPCS,D6054,Implnt/abtmnt spprt remvprtl,,,5063.0,5063.0,1
HCPCS,D6089,Access/retorq implant screw,,,6859.0,6859.0,1
HCPCS,D6103,Bone graft repair perimplant,,,5063.0,5063.0,1
HCPCS,D6104,Bone graft time of implant,,,5063.0,5063.0,1
HCPCS,D6105,Remove implant body,,,6859.0,6859.0,1
HCPCS,D6106,Tissue regen resorbable,,,6859.0,6859.0,1
HCPCS,D6107,Tissue regen non-resorbable,,,6859.0,6859.0,1
HCPCS,D6191,Semi precision abutment,,,6859.0,6859.0,1
HCPCS,D6192,Semi precision attachment,,,6859.0,6859.0,1
HCPCS,D6193,Replace implnt screw,,,6859.0,6859.0,1
HCPCS,D6197,Replace material prosthesis,,,6859.0,6859.0,1
HCPCS,D6198,Remove interim implant,,,6859.0,6859.0,1
HCPCS,D6920,Dental connector bar,,,656.65,2465.02,9
HCPCS,D7111,Extraction coronal remnants,,,656.65,5063.0,11
HCPCS,D7140,Extraction erupted tooth/exr,,,656.65,5063.0,10
HCPCS,D7210,Rem imp tooth w mucoper flp,,,1575.96,5916.09,10
HCPCS,D7220,Impact tooth remov soft tiss,,,656.65,5063.0,10
HCPCS,D7230,Impact tooth remov part bony,,,656.65,5063.0,10
HCPCS,D7240,Impact tooth remov comp bony,,,656.65,5063.0,10
HCPCS,D7241,Impact tooth rem bony w/comp,,,656.65,5063.0,11
HCPCS,D7250,Tooth root removal,,,656.65,5063.0,11
HCPCS,D7251,Coronectomy,,,1575.96,5916.09,10
HCPCS,D7252,Part extract for implant,,,6859.0,6859.0,1
HCPCS,D7259,Nerve dissection,,,6859.0,6859.0,1
HCPCS,D7260,Oral antral fistula closure,,,656.65,5063.0,10
HCPCS,D7261,Primary closure sinus perf,,,656.65,5063.0,10
HCPCS,D7270,Tooth reimplantation,,,656.65,5063.0,11
HCPCS,D7272,Tooth transplantation,,,656.65,5063.0,10
HCPCS,D7280,Exposure of unerupted tooth,,,656.65,5063.0,11
HCPCS,D7282,Mobilize erupted/malpos toot,,,5063.0,5063.0,1
HCPCS,D7283,Place device impacted tooth,,,1694.0,5063.0,2
HCPCS,D7284,Exc biopsy of saliv glands,,,6859.0,6859.0,1
HCPCS,D7285,Biopsy of oral tissue hard,,,1694.0,5063.0,2
HCPCS,D7286,Biopsy of oral tissue soft,,,1694.0,5063.0,2
HCPCS,D7287,Exfoliative cytolog collect,,,5063.0,5063.0,1
HCPCS,D7288,Brush biopsy,,,5063.0,5063.0,1
HCPCS,D7290,Repositioning of teeth,,,5063.0,5063.0,1
HCPCS,D7291,Transseptal fiberotomy,,,656.65,5063.0,10
HCPCS,D7292,Screw retained plate,,,5063.0,5063.0,1
HCPCS,D7293,Temp anchorage dev w flap,,,5063.0,5063.0,1
HCPCS,D7294,Temp anchorage dev w/o flap,,,5063.0,5063.0,1
HCPCS,D7295,"Bone harvest,auto graft proc",,,5063.0,5063.0,1
HCPCS,D7298,Remove screw retained plate,,,6859.0,6859.0,1
HCPCS,D7299,Rem anchorage device w/flap,,,6859.0,6859.0,1
HCPCS,D7300,Rem anchorage dev w/o flap,,,6859.0,6859.0,1
HCPCS,D7310,Alveoplasty w/ extraction,,,1575.96,5916.09,10
HCPCS,D7311,Alveoloplasty w/extract 1-3,,,1575.96,5916.09,10
HCPCS,D7320,Alveoplasty w/o extraction,,,1575.96,5916.09,10
HCPCS,D7321,Alveoloplasty not w/extracts,,,1575.96,5916.09,10
HCPCS,D7340,Vestibuloplasty ridge extens,,,5063.0,22571.93,10
HCPCS,D7350,Vestibuloplasty exten graft,,,5063.0,22571.93,10
HCPCS,D7410,Rad exc lesion up to 1.25 cm,,,1575.96,5916.09,10
HCPCS,D7411,Excision benign lesion>1.25c,,,1575.96,5916.09,10
HCPCS,D7412,Excision benign lesion compl,,,1575.96,5916.09,10
HCPCS,D7413,Excision malig lesion<=1.25c,,,1575.96,5916.09,10
HCPCS,D7414,Excision malig lesion>1.25cm,,,1575.96,5916.09,10
HCPCS,D7415,Excision malig les complicat,,,1575.96,5916.09,10
HCPCS,D7440,Malig tumor exc to 1.25 cm,,,3367.56,12641.63,10
HCPCS,D7441,Malig tumor > 1.25 cm,,,3367.56,12641.63,10
HCPCS,D7450,Rem odontogen cyst to 1.25cm,,,3367.56,12641.63,10
HCPCS,D7451,Rem odontogen cyst > 1.25 cm,,,3367.56,12641.63,10
HCPCS,D7460,Rem nonodonto cyst to 1.25cm,,,656.65,5063.0,10
HCPCS,D7461,Rem nonodonto cyst > 1.25 cm,,,656.65,5063.0,10
HCPCS,D7465,Lesion destruction,,,5063.0,5063.0,1
HCPCS,D7471,Rem exostosis any site,,,3367.56,12641.63,10
HCPCS,D7472,Removal of torus palatinus,,,656.65,5063.0,10
HCPCS,D7473,Remove torus mandibularis,,,656.65,5063.0,10
HCPCS,D7485,Surg reduct osseoustuberosit,,,5063.0,22571.93,10
HCPCS,D7490,Maxilla or mandible resectio,,,5063.0,5063.0,1
HCPCS,D7509,Marsupialization odon cyst,,,6859.0,6859.0,1
HCPCS,D7510,I&d absc intraoral soft tiss,,,719.26,5063.0,10
HCPCS,D7511,Incision/drain abscess intra,,,719.26,5063.0,10
HCPCS,D7520,I&d abscess extraoral,,,719.26,5063.0,10
HCPCS,D7521,Incision/drain abscess extra,,,719.26,5063.0,10
HCPCS,D7530,Removal fb skin/areolar tiss,,,656.65,5063.0,10
HCPCS,D7540,Removal of fb reaction,,,656.65,5063.0,10
HCPCS,D7550,Removal of sloughed off bone,,,656.65,5063.0,10
HCPCS,D7560,Maxillary sinusotomy,,,5063.0,5063.0,1
HCPCS,D7610,Maxilla open reduct simple,,,5063.0,5063.0,1
HCPCS,D7630,Open red simpl mandible fx,,,5063.0,5063.0,1
HCPCS,D7650,Open red simp malar/zygom fx,,,5063.0,5063.0,1
HCPCS,D7670,Closd rductn splint alveolus,,,3367.56,12641.63,9
HCPCS,D7671,Alveolus open reduction,,,5063.0,22571.93,10
HCPCS,D7680,Reduct simple facial bone fx,,,5063.0,5063.0,1
HCPCS,D7710,Maxilla open reduct compound,,,5063.0,5063.0,1
HCPCS,D7730,Open reduct compd mandble fx,,,5063.0,5063.0,1
HCPCS,D7750,Open red comp malar/zygma fx,,,5063.0,5063.0,1
HCPCS,D7770,Open reduc compd alveolus fx,,,5063.0,22571.93,10
HCPCS,D7771,Alveolus clsd reduc stblz te,,,3367.56,12641.63,9
HCPCS,D7780,Reduct compnd facial bone fx,,,5063.0,5063.0,1
HCPCS,D7810,Tmj open reduct-dislocation,,,5063.0,5063.0,1
HCPCS,D7830,Tmj manipulation under anest,,,5063.0,5063.0,1
HCPCS,D7840,Removal of tmj condyle,,,5063.0,5063.0,1
HCPCS,D7850,Tmj meniscectomy,,,5063.0,5063.0,1
HCPCS,D7852,Tmj repair of joint disc,,,5063.0,5063.0,1
HCPCS,D7854,Tmj excisn of joint membrane,,,5063.0,5063.0,1
HCPCS,D7856,Tmj cutting of a muscle,,,5063.0,5063.0,1
HCPCS,D7858,Tmj reconstruction,,,5063.0,5063.0,1
HCPCS,D7860,Tmj cutting into joint,,,5063.0,5063.0,1
HCPCS,D7865,Tmj reshaping components,,,5063.0,5063.0,1
HCPCS,D7870,Tmj aspiration joint fluid,,,5063.0,5063.0,1
HCPCS,D7871,Lysis + lavage w catheters,,,5063.0,5063.0,1
HCPCS,D7872,Tmj diagnostic arthroscopy,,,5063.0,5063.0,1
HCPCS,D7873,Tmj arthroscopy lysis adhesn,,,5063.0,5063.0,1
HCPCS,D7874,Tmj arthroscopy disc reposit,,,3323.41,12475.93,10
HCPCS,D7875,Tmj arthroscopy synovectomy,,,5063.0,5063.0,1
HCPCS,D7876,Tmj arthroscopy discectomy,,,5063.0,5063.0,1
HCPCS,D7877,Tmj arthroscopy debridement,,,5063.0,5063.0,1
HCPCS,D7910,Dent sutur recent wnd to 5cm,,,5063.0,5063.0,1
HCPCS,D7911,Dental suture wound to 5 cm,,,5063.0,5063.0,1
HCPCS,D7912,Suture complicate wnd > 5 cm,,,5063.0,5063.0,1
HCPCS,D7920,Dental skin graft,,,5063.0,5063.0,1
HCPCS,D7921,Collect & appl blood product,,,5063.0,5063.0,1
HCPCS,D7922,Place intra-socket bio dress,,,656.65,2465.02,9
HCPCS,D7939,Indexing for osteotomy,,,6859.0,6859.0,1
HCPCS,D7940,Reshaping bone orthognathic,,,656.65,5063.0,10
HCPCS,D7941,Bone cutting ramus closed,,,5063.0,5063.0,1
HCPCS,D7943,Cutting ramus open w/graft,,,5063.0,5063.0,1
HCPCS,D7944,Bone cutting segmented,,,5063.0,5063.0,1
HCPCS,D7945,Bone cutting body mandible,,,5063.0,5063.0,1
HCPCS,D7946,Reconstruction maxilla total,,,5063.0,5063.0,1
HCPCS,D7947,Reconstruct maxilla segment,,,5063.0,5063.0,1
HCPCS,D7948,Reconstruct midface no graft,,,5063.0,5063.0,1
HCPCS,D7949,Reconstruct midface w/graft,,,5063.0,5063.0,1
HCPCS,D7950,Mandible graft,,,5063.0,22571.93,10
HCPCS,D7951,Sinus aug w bone or bone sub,,,5063.0,5063.0,1
HCPCS,D7952,Sinus augmentation vertical,,,5063.0,5063.0,1
HCPCS,D7953,Bone replacement graft,,,5063.0,5063.0,1
HCPCS,D7955,Repair maxillofacial defects,,,5063.0,5063.0,1
HCPCS,D7956,Tiss regen edent resorb,,,6859.0,6859.0,1
HCPCS,D7957,Tiss regen edent nonresorb,,,6859.0,6859.0,1
HCPCS,D7960,Frenulectomy/frenectomy,,,5063.0,5063.0,1
HCPCS,D7961,Buccal/labial frenectomy,,,6859.0,6859.0,1
HCPCS,D7962,Lingual frenectomy,,,6859.0,6859.0,1
HCPCS,D7963,Frenuloplasty,,,5063.0,5063.0,1
HCPCS,D7970,Excision hyperplastic tissue,,,5063.0,5063.0,1
HCPCS,D7971,Excision pericoronal gingiva,,,5063.0,5063.0,1
HCPCS,D7972,Surg redct fibrous tuberosit,,,5063.0,5063.0,1
HCPCS,D7980,Sialolithotomy,,,5063.0,5063.0,1
HCPCS,D7981,Excision of salivary gland,,,5063.0,5063.0,1
HCPCS,D7982,Sialodochoplasty,,,5063.0,5063.0,1
HCPCS,D7983,Closure of salivary fistula,,,5063.0,5063.0,1
HCPCS,D7990,Emergency tracheotomy,,,5063.0,5063.0,1
HCPCS,D7991,Dental coronoidectomy,,,5063.0,5063.0,1
HCPCS,D7993,Surg place craniofacial impl,,,6859.0,6859.0,1
HCPCS,D7994,Surg place zygomatic impl,,,6859.0,6859.0,1
HCPCS,D7995,Synthetic graft facial bones,,,5063.0,5063.0,1
HCPCS,D7996,Implant mandible for augment,,,5063.0,5063.0,1
HCPCS,D7997,Appliance removal,,,5063.0,5063.0,1
HCPCS,D7998,Intraoral place of fix dev,,,5063.0,5063.0,1
HCPCS,D7999,Oral surgery procedure,,,5063.0,5063.0,1
HCPCS,D9220,General anesthesia,,,1694.0,1694.0,1
HCPCS,D9241,Intravenous sedation,,,1694.0,1694.0,1
HCPCS,D9610,Dent therapeutic drug inject,,,1694.0,1694.0,1
HCPCS,D9930,Treatment of complications,,,656.65,2465.02,9
HCPCS,D9944,"Occ guard, hard, full arch",,,656.65,2465.02,9
HCPCS,D9945,"Occ guard, soft, full arch",,,656.65,2465.02,9
HCPCS,D9946,"Occ guard, hard, part arch",,,656.65,2465.02,9
HCPCS,D9949,Repair sleep apnea appliance,,,6859.0,6859.0,1
HCPCS,D9950,Occlusion analysis,,,656.65,2465.02,9
HCPCS,D9951,Limited occlusal adjustment,,,656.65,2465.02,9
HCPCS,D9952,Complete occlusal adjustment,,,656.65,2465.02,9
HCPCS,E0201,Penile contractur devic manu,,,146.52,287.18,7
HCPCS,E0603,Hc Pump Breast Powered Any,3836.535,1496.25,,,0
HCPCS,E0603,Hc Pump Manual Single Ameda,116.23,45.33,,,0
HCPCS,E0736,Transcut tibial nerv stimula,,,52.38,102.66,7
HCPCS,E0738,Upper extremity rehab,,,2039.64,3997.69,7
HCPCS,E0739,Rehab sys active assist rt,,,1597.66,3131.41,7
HCPCS,E1905,Vr cbt therapy,,,674.77,1322.55,7
HCPCS,E2104,Glucose monitor w cartridge,,,54.52,106.86,7
HCPCS,G0008,Admin influenza virus vac,,,47.56,178.54,9
HCPCS,G0008,Hc Influenza Admin,161.0,62.79,,,0
HCPCS,G0009,Admin pneumococcal vaccine,,,47.56,178.54,9
HCPCS,G0009,Hc Pneumonia Vaccine,92.9,36.23,,,0
HCPCS,G0010,Admin hepatitis b vaccine,,,47.56,178.54,9
HCPCS,G0010,Hc Hepatitis B Admin,92.9,36.23,,,0
HCPCS,G0012,Injection of hiv prep drug,,,73.13,274.53,9
HCPCS,G0013,"Hiv prep counsel, clin staff",,,38.06,142.86,9
HCPCS,G0027,Semen analysis,,,6.5,23.86,12
HCPCS,G0103,Hc Psa Screening,97.0,37.83,,,0
HCPCS,G0103,PSA Screening,,,19.31,70.87,12
HCPCS,G0104,CA screen;flexi sigmoidscope,,,944.57,4066.0,11
HCPCS,G0105,Colorectal scrn; hi risk ind,,,944.57,4714.0,13
HCPCS,G0106,Colon CA screen;barium enema,,,5063.0,5063.0,1
HCPCS,G0108,Diab manage trn  per indiv,,,56.53,110.8,7
HCPCS,G0108,Hc Diab Manage Trn Per Indiv Per 30 Mins,201.5,78.585,,,0
HCPCS,G0109,Diab manage trn ind/group,,,16.24,31.83,7
HCPCS,G0109,Hc Diab Manage Trn Group 2 Or More Per 30 Mins,133.5,52.065,,,0
HCPCS,G0117,Glaucoma scrn hgh risk direc,,,29.38,110.28,9
HCPCS,G0118,Glaucoma scrn hgh risk direc,,,37.94,142.42,9
HCPCS,G0120,Colon ca scrn; barium enema,,,5063.0,5063.0,1
HCPCS,G0121,Colon ca scrn not hi rsk ind,,,944.57,4714.0,13
HCPCS,G0123,Screen cerv/vag thin layer,,,20.26,74.35,12
HCPCS,G0124,Screen c/v thin layer by MD,,,35.05,35.05,1
HCPCS,G0127,Trim nail(s),,,59.92,2665.0,10
HCPCS,G0130,Hc Single Energy Xray Study,251.0,97.89,,,0
HCPCS,G0130,Single energy x-ray study,,,106.19,398.63,10
HCPCS,G0136,Adm of soc dtr assess 5-15 m,,,38.06,142.86,9
HCPCS,G0141,"Scr c/v cyto,autosys and md",,,35.05,35.05,1
HCPCS,G0143,"Scr c/v cyto,thinlayer,rescr",,,27.05,99.27,12
HCPCS,G0144,"Scr c/v cyto,thinlayer,rescr",,,37.43,161.37,12
HCPCS,G0145,"Scr c/v cyto,thinlayer,rescr",,,26.49,97.22,12
HCPCS,G0147,"Scr c/v cyto, automated sys",,,18.54,68.04,12
HCPCS,G0148,"Scr c/v cyto, autosys, rescr",,,26.63,117.22,12
HCPCS,G0166,"Extrnl counterpulse, per tx",,,135.14,2572.0,10
HCPCS,G0166,Hc Eecp-Per Treatment,1241.0,483.99,,,0
HCPCS,G0168,Wound closure by adhesive,,,2665.0,2665.0,1
HCPCS,G0175,"Opps service,sched team conf",,,423.82,1590.99,9
HCPCS,G0177,Hc Php Edu/Train Group 45Min Or More,741.0,288.99,,,0
HCPCS,G0183,Software meas of cardiac vol,,,88.39,331.82,9
HCPCS,G0186,"Dstry eye lesn,fdr vssl tech",,,558.64,4066.0,12
HCPCS,G0202,Scr mammo bi incl cad,,,228.78,477.02,3
HCPCS,G0204,Dx mammo incl cad bi,,,276.98,576.8,3
HCPCS,G0206,Dx mammo incl cad uni,,,216.52,452.04,3
HCPCS,G0219,Hc Pet Whole Body Melanoma Noncovered,14497.0,5653.83,,,0
HCPCS,G0219,Pet img wholbod melano nonco,,,3741.0,3741.0,1
HCPCS,G0235,Hc Pet Any Site Not Specified Noncovered,14206.0,5540.34,,,0
HCPCS,G0235,PET not otherwise specified,,,406.05,3741.0,10
HCPCS,G0237,Hc Reh-Respiratory 1-1 Breathing 15Min,138.0,53.82,,,0
HCPCS,G0237,Hc Rt Breathing Retraining 1-1 15Min,138.0,53.82,,,0
HCPCS,G0237,Therapeutic procd strg endur,,,29.38,110.28,9
HCPCS,G0238,Hc Reh Resp Function Indiv Per 15 Min,357.0,139.23,,,0
HCPCS,G0238,"Oth resp proc, indiv",,,29.38,110.28,9
HCPCS,G0239,Hc Reh-Respiratory Group,498.0,194.22,,,0
HCPCS,G0239,"Oth resp proc, group",,,37.94,142.42,9
HCPCS,G0245,Initial foot exam pt lops,,,135.23,507.64,9
HCPCS,G0246,Followup eval of foot pt lop,,,135.23,507.64,9
HCPCS,G0247,Routine footcare pt w lops,,,203.79,765.01,9
HCPCS,G0248,Demonstrate use home inr mon,,,135.23,507.64,9
HCPCS,G0249,Provide INR test mater/equip,,,135.23,507.64,9
HCPCS,G0252,PET imaging initial dx,,,3741.0,3741.0,1
HCPCS,G0257,Emergency Dialysis Esrd Pt,2379.0,927.81,,,0
HCPCS,G0257,Hc Hemodialysis,12054.0,4701.06,,,0
HCPCS,G0257,Unsched dialysis ESRD pt hos,,,697.1,2616.87,9
HCPCS,G0259,Inject for sacroiliac joint,,,2665.0,3391.0,2
HCPCS,G0260,Hc Inj Si Joint,4859.0,1895.01,,,0
HCPCS,G0260,Inj for sacroiliac jt anesth,,,716.97,4066.0,13
HCPCS,G0268,Removal of impacted wax md,,,2665.0,5063.0,2
HCPCS,G0269,Hc Placement Occlusive Device Vein Or Artery,4446.0,1733.94,,,0
HCPCS,G0269,Occlusive device in vein art,,,2665.0,5063.0,2
HCPCS,G0270,MNT subs tx for change dx,,,22.26,43.63,7
HCPCS,G0271,Group MNT 2 or more 30 mins,,,12.51,24.52,7
HCPCS,G0276,Pild/placebo control clin tr,,,5063.0,27667.48,11
HCPCS,G0277,Hc Hbot Full Body Chamber Ea 30 Min Interval,2486.0,969.54,,,0
HCPCS,G0278,Hc Iliac Art Bi W Card Cth,4759.0,1856.01,,,0
HCPCS,G0279,Hc Breast Tomosynthesis Diagnostic Digital Bilateral,114.5,44.655,,,0
HCPCS,G0279,"Tomosynthesis, mammo",,,12.9,116.72,11
HCPCS,G0281,Elec stim unattend for press,,,11.18,21.91,7
HCPCS,G0281,Hc Estim Stg 3-4 Ulcer - Ot,359.0,140.01,,,0
HCPCS,G0281,Hc Estim Stg 3-4 Ulcer - Pt,359.0,140.01,,,0
HCPCS,G0283,Elec stim other than wound,,,12.88,25.24,7
HCPCS,G0283,Hc Elec Stim Other Than Wound 1 Or More Areas - Ot,547.0,213.33,,,0
HCPCS,G0283,Hc Elec Stim Other Than Wound 1 Or More Areas - Pt,547.0,213.33,,,0
HCPCS,G0289,"Arthro, loose body + chondro",,,2665.0,5063.0,2
HCPCS,G0290,"Drug-eluting stents, single",,,5063.0,5063.0,1
HCPCS,G0291,"Drug-eluting stents,each add",,,5063.0,5063.0,1
HCPCS,G0293,"Non-cov surg proc,clin trial",,,37.94,142.42,9
HCPCS,G0294,"Non-cov proc, clinical trial",,,37.94,142.42,9
HCPCS,G0297,Ldct for lung ca screen,,,465.71,774.0,3
HCPCS,G0302,Pre-op service LVRS complete,,,379.02,1422.83,9
HCPCS,G0303,Pre-op service LVRS 10-15dos,,,219.32,823.3,9
HCPCS,G0304,Pre-op service LVRS 1-9 dos,,,379.02,1422.83,9
HCPCS,G0305,Post op service LVRS min 6,,,379.02,1422.83,9
HCPCS,G0306,CBC/diffwbc w/o platelet,,,7.77,28.52,12
HCPCS,G0307,CBC without platelet,,,6.47,23.74,12
HCPCS,G0323,Care manage beh svs 20mins,,,38.06,142.86,9
HCPCS,G0328,Fecal blood scrn immunoassay,,,18.05,66.24,12
HCPCS,G0328,Hc Screen Fecal Globin Screening,159.75,62.3,,,0
HCPCS,G0329,Electromagntic tx for ulcers,,,10.9,21.36,7
HCPCS,G0330,Facility svs dental rehab,,,3367.56,12641.63,10
HCPCS,G0339,"Robot lin-radsurg com, first",,,11889.0,11889.0,1
HCPCS,G0340,Robt lin-radsurg fractx 2-5,,,8448.0,8448.0,1
HCPCS,G0341,Percutaneous islet celltrans,,,5063.0,5063.0,1
HCPCS,G0342,Laparoscopy islet cell trans,,,5063.0,5063.0,1
HCPCS,G0343,Laparotomy islet cell transp,,,5063.0,5063.0,1
HCPCS,G0364,Bone marrow aspirate &biopsy,,,5063.0,5063.0,1
HCPCS,G0365,Vessel mapping hemo access,,,957.23,957.23,1
HCPCS,G0378,Hc Observation,2.09,0.82,,,0
HCPCS,G0378,Hc Observation Carve-Out Cardiology,1.9,0.74,,,0
HCPCS,G0378,Hc Observation Carve-Out Dialysis,1.9,0.74,,,0
HCPCS,G0378,Hc Observation Carve-Out Gastrointestional,1.9,0.74,,,0
HCPCS,G0378,Hc Observation Carve-Out Physical Therapy,1.9,0.74,,,0
HCPCS,G0378,Hc Observation Carve-Out Radiology,1.9,0.74,,,0
HCPCS,G0378,Hc Observation Carve-Out Respiratory,1.9,0.74,,,0
HCPCS,G0378,Hc Observation Carve-Out Surgical,1.9,0.74,,,0
HCPCS,G0378,Hc Obv Icu,6.84,2.67,,,0
HCPCS,G0378,Hc Obv Tele/High Risk/Imcu,6.07,2.37,,,0
HCPCS,G0379,Direct Refer Hospital Observ,1944.0,758.16,,,0
HCPCS,G0379,Direct refer hospital observ,,,604.89,2270.72,9
HCPCS,G0379,Hc Direct Refer Hospital Observ,1625.8,634.06,,,0
HCPCS,G0389,Ultrasound exam AAA screen,,,380.34,380.34,1
HCPCS,G0390,Hc Trauma 1 Full Team,40574.0,15823.86,,,0
HCPCS,G0390,Hc Trauma 1 Partial Team,37452.0,14606.28,,,0
HCPCS,G0390,Hc Trauma 1 Small Team,34326.0,13387.14,,,0
HCPCS,G0390,Hc Trauma 2 Full Team,14412.0,5620.68,,,0
HCPCS,G0390,Hc Trauma 2 Partial Team,11976.0,4670.64,,,0
HCPCS,G0390,Hc Trauma 2 Small Team,11709.0,4566.51,,,0
HCPCS,G0390,Hc Trauma 3 Full Team,9582.0,3736.98,,,0
HCPCS,G0390,Hc Trauma 3 Partial Team,9008.0,3513.12,,,0
HCPCS,G0390,Hc Trauma 3 Small Team,8783.0,3425.37,,,0
HCPCS,G0390,Hc Trauma 4 Full Team,7665.0,2989.35,,,0
HCPCS,G0390,Hc Trauma 4 Partial Team,7186.0,2802.54,,,0
HCPCS,G0390,Hc Trauma 4 Small Team,6548.0,2553.72,,,0
HCPCS,G0390,Trauma Respons w/hosp criti,,,1353.85,5082.3,9
HCPCS,G0392,AV fistula or graft arterial,,,7487.0,7487.0,1
HCPCS,G0393,AV fistula or graft venous,,,7487.0,7487.0,1
HCPCS,G0396,Alcohol/subs interv 15-30mn,,,38.06,142.86,9
HCPCS,G0397,Alcohol/subs interv >30 min,,,180.28,676.78,9
HCPCS,G0398,Hc Home Sleep Study 2 Port,2171.0,846.69,,,0
HCPCS,G0398,Home sleep test/type 2 porta,,,219.32,823.3,9
HCPCS,G0399,Hc Home Sleep Test Unattended 4 Channel,1373.5,535.665,,,0
HCPCS,G0399,Hc Sp3 Home Sleep Test/Port Type 3,946.0,368.94,,,0
HCPCS,G0399,Home sleep test/type 3 porta,,,219.32,823.3,9
HCPCS,G0400,Hc Home Sleep Study 4 Port,2171.0,846.69,,,0
HCPCS,G0400,Home sleep test/type 4 porta,,,219.32,823.3,9
HCPCS,G0402,Initial preventive exam,,,135.23,507.64,9
HCPCS,G0404,EKG tracing for initial prev,,,29.38,110.28,9
HCPCS,G0412,Open tx iliac spine uni/bil,,,6760.0,27667.48,11
HCPCS,G0413,Pelvic ring fracture uni/bil,,,6760.0,27667.48,12
HCPCS,G0414,Pelvic ring fx treat int fix,,,7370.23,27667.48,11
HCPCS,G0415,Open tx post pelvic fxcture,,,3323.41,15026.0,11
HCPCS,G0416,Hc Surg Path Gross And Micro Prostate Bx Any Mthd,842.0,328.38,,,0
HCPCS,G0416,"Prostate biopsy, any mthd",,,364.08,1366.73,12
HCPCS,G0420,Ed svc CKD ind per session,,,110.25,216.09,7
HCPCS,G0421,Ed svc CKD grp per session,,,27.8,54.49,7
HCPCS,G0422,Hc Intens Cardiac Rehab W/Exerc,664.0,258.96,,,0
HCPCS,G0422,Intens cardiac rehab w/exerc,,,130.93,491.52,9
HCPCS,G0423,Hc Intens Cardiac Rehab No Exerc,633.0,246.87,,,0
HCPCS,G0423,Intens cardiac rehab no exer,,,130.93,491.52,9
HCPCS,G0428,Collagen Meniscus Implant,,,5063.0,6859.0,2
HCPCS,G0429,Dermal filler injection(s),,,2095.7,7867.16,10
HCPCS,G0432,EIA HIV-1/HIV-2 screen,,,19.57,71.82,12
HCPCS,G0433,ELISA HIV-1/HIV-2 screen,,,18.29,67.12,12
HCPCS,G0435,Oral hiv-1/hiv-2 screen,,,11.98,43.97,12
HCPCS,G0438,"PPPS, initial visit",,,177.06,347.04,7
HCPCS,G0439,"PPPS, subseq visit",,,139.78,273.97,7
HCPCS,G0442,Annual alcohol screen 15 min,,,38.06,142.86,9
HCPCS,G0444,Depression Screen annual,,,38.06,142.86,9
HCPCS,G0446,Intens behave ther cardio dx,,,38.06,142.86,9
HCPCS,G0448,Place perm pacing cardiovert,,,5809.0,6859.0,2
HCPCS,G0452,Molecular pathology interpr,,,22.45,27.58,3
HCPCS,G0453,Cont intraop neuro monitor,,,2665.0,2665.0,1
HCPCS,G0455,Fecal microbiota prep instil,,,944.57,3545.87,10
HCPCS,G0460,Autologous PRP for ulcers,,,2095.7,7867.16,9
HCPCS,G0463,Hc Hosp Op Visit For Assessment And Management,639.0,249.21,,,0
HCPCS,G0463,Hospital outpt clinic visit,,,135.23,507.64,9
HCPCS,G0464,"Colorec CA scr, sto bas DNA",,,494.95,494.95,1
HCPCS,G0471,Ven blood coll snf/hha,,,7.39,41.62,11
HCPCS,G0472,Hc Hepatitis C Screen High Risk/Other,186.905,72.89500000000001,,,0
HCPCS,G0472,Hep c screen high risk/other,,,23.33,170.1,12
HCPCS,G0473,Group behave couns 2-10,,,38.06,142.86,9
HCPCS,G0475,Hiv combination assay,,,24.08,88.37,12
HCPCS,G0476,Hpv combo assay ca screen,,,35.09,128.78,12
HCPCS,G0477,Drug test presumptive; capable of being read by direct optical observation only,,,18.37,18.37,1
HCPCS,G0478,Drug test presumptive; read by instrument-assisted direct optical observation,,,24.48,24.48,1
HCPCS,G0479,Drug test presumptive; instrumented chemistry analyzers,,,97.94,97.94,1
HCPCS,G0480,Drug test def 1-7 classes,,,34.3,419.96,13
HCPCS,G0480,Hc Antidepressants Class,284.075,110.79,,,0
HCPCS,G0480,Hc Drug Test Def 1-7 Classes,675.0,263.25,,,0
HCPCS,G0480,Hc Drug Test Def Alkaloids Nos,378.575,147.645,,,0
HCPCS,G0480,Hc Drug Test Def Amphetamines,290.9,113.44999999999999,,,0
HCPCS,G0480,Hc Drug Test Def Anabolic Steroid,307.075,119.76,,,0
HCPCS,G0480,Hc Drug Test Def Analgesics Non-Opioid,362.075,141.21,,,0
HCPCS,G0480,Hc Drug Test Def Antidepress Serotonergic,344.575,134.385,,,0
HCPCS,G0480,Hc Drug Test Def Antidepress Tricyclic Otr Cyclics,381.075,148.62,,,0
HCPCS,G0480,Hc Drug Test Def Antidepressants Nos,344.575,134.385,,,0
HCPCS,G0480,Hc Drug Test Def Antiepileptics Nos,225.1,87.79,,,0
HCPCS,G0480,Hc Drug Test Def Antipsychotics Nos,278.0,108.42,,,0
HCPCS,G0480,Hc Drug Test Def Barbiturates,302.575,118.005,,,0
HCPCS,G0480,Hc Drug Test Def Benzodiazepines,362.075,141.21,,,0
HCPCS,G0480,Hc Drug Test Def Illicit Drugs,272.075,106.11,,,0
HCPCS,G0480,Hc Drug Test Def Methylenedioxyamphetamines,675.0,263.25,,,0
HCPCS,G0480,Hc Drug Test Def Opiates,432.075,168.51,,,0
HCPCS,G0480,Hc Drug Test Def Opioids,364.075,141.99,,,0
HCPCS,G0480,Hc Drug Test Def Quant Alcohols,458.11,178.66500000000002,,,0
HCPCS,G0480,Hc Drug Test Def Sedative Hypnotics,115.0,44.85,,,0
HCPCS,G0480,Hc Drug Test Def Skel Muscle Relaxants,675.0,263.25,,,0
HCPCS,G0480,Hc Drug Test Def Stimulants Synthetic,139.0,54.21,,,0
HCPCS,G0480,Hc Drug/Substance Nos,272.075,106.11,,,0
HCPCS,G0481,Drug test def 8-14 classes,,,52.76,574.69,13
HCPCS,G0481,Hc Drug Test Def 8-14 Classes,675.0,263.25,,,0
HCPCS,G0482,Drug test def 15-21 classes,,,71.23,729.38,13
HCPCS,G0482,Hc Drug Test Def 15-21 Classes,585.925,228.51,,,0
HCPCS,G0483,Drug test def 22+ classes,,,92.34,906.2,13
HCPCS,G0498,Chemo extend iv infus w/pump,,,335.5,1259.43,9
HCPCS,G0498,Hc Chemo Ext Iv Inf W/Pump,2883.0,1124.37,,,0
HCPCS,G0499,Hc Hepatitis B Screen High Risk Individual,126.9,49.489999999999995,,,0
HCPCS,G0499,Hepb screen high risk indiv,,,28.27,103.75,12
HCPCS,G0500,Hc Mod Sed Endo Svcs?Over 5Yrs 1St 15Min,204.0,79.56,,,0
HCPCS,G0516,"Insert drug del implant, >4",,,453.74,3391.0,12
HCPCS,G0517,Remove drug implant,,,453.74,3391.0,12
HCPCS,G0518,Remove w insert drug implant,,,453.74,3391.0,12
HCPCS,G0537,Risk ascvd tst once pr 12 mo,,,38.06,142.86,9
HCPCS,G0539,Initial care training 30 m,,,40.01,78.42,7
HCPCS,G0540,Train for caregiver add 15,,,21.14,41.43,7
HCPCS,G0541,No pt prsnt train initial 30,,,29.38,110.28,9
HCPCS,G0543,Group train w/o patient,,,29.38,110.28,9
HCPCS,G0552,Supply of digital device,,,135.23,507.64,9
HCPCS,G0553,Monthly tx for dmht 20mins,,,135.23,507.64,9
HCPCS,G0555,Replacment pt electronic sys,,,872.23,3274.32,9
HCPCS,G0556,Adv prim care mgmt lvl 1,,,38.06,142.86,9
HCPCS,G0557,Adv prim care mgmt lvl 2,,,38.06,142.86,9
HCPCS,G0560,Safety plan interven,,,39.63,77.67,7
HCPCS,G0561,"Temp tube delivery, unil",,,2665.0,3391.0,2
HCPCS,G0564,365 d implant glucose sensor,,,4714.0,8448.0,2
HCPCS,G0565,Rem/ins glu snsr 365 dif sit,,,4714.0,8448.0,2
HCPCS,G0566,3d bn img algor drvd fr mri,,,130.69,490.62,9
HCPCS,G0567,Screening Hep C detect,,,35.09,128.78,9
HCPCS,G0570,"Care manage serv, pr cal mo",,,38.06,142.86,9
HCPCS,G0659,Drug test def simple all cl,,,62.14,228.05,12
HCPCS,G1001,Hc Evicore Clinical Decision Support Company,0.01,0.0039,,,0
HCPCS,G1002,Hc Medcurrent Clinical Decision Support Company,0.01,0.0039,,,0
HCPCS,G1003,Hc Medicalis Clinical Decision Support Company,0.01,0.0039,,,0
HCPCS,G1004,Hc Care Select National Decision Support Company,0.01,0.0039,,,0
HCPCS,G1005,Hc National Imaging Associates Clincal Decision Support Company,0.01,0.0039,,,0
HCPCS,G1006,Hc Test Appropriate Clinical Decision Support Company,0.01,0.0039,,,0
HCPCS,G1007,Hc Aim Specialty Health Clinical Decision Support Company,0.01,0.0039,,,0
HCPCS,G1008,Hc Cranberry Peak Clinical Decision Support Company,0.01,0.0039,,,0
HCPCS,G1009,Hc Sage Health Management Solutions Clinical Decision Support Company,0.01,0.0039,,,0
HCPCS,G1010,Hc Stanson Clinical Decision Support Company,0.01,0.0039,,,0
HCPCS,G1011,Hc Clinical Decision Support Not Otherwise Classified,0.01,0.0039,,,0
HCPCS,G2000,Blinded conv. Tx MDD clin tr,,,379.02,1422.83,9
HCPCS,G2011,Alcohol/sub abuse assess,,,29.38,110.28,9
HCPCS,G2023,Specimen collect COVID-19,,,28.15,28.15,1
HCPCS,G2024,Spec coll SNF/Lab COVID-19,,,30.55,30.55,1
HCPCS,G2086,Off base opioid tx 70min,,,180.28,676.78,9
HCPCS,G2087,"Off base opioid tx, 60 m",,,180.28,676.78,9
HCPCS,G2170,Avf by tissue w thermal e,,,5063.0,5063.0,1
HCPCS,G2171,Avf use magnetic/art/ven,,,5063.0,5063.0,1
HCPCS,G2250,"Remot img sub by pt, non e/m",,,8.13,15.93,7
HCPCS,G2251,"Brief chkin, 5-10, non-e/m",,,10.54,20.66,7
HCPCS,G2252,"Brief chkin by md/qhp, 11-20",,,22.77,44.63,7
HCPCS,G6001,Echo guidance radiotherapy,,,50.67,98.88,4
HCPCS,G6002,Stereoscopic x-ray guidance,,,128.28,248.14,3
HCPCS,G6018,Ileoscopy w/stent,,,5063.0,5063.0,1
HCPCS,G6019,Colonoscopy lesion removal,,,5063.0,5063.0,1
HCPCS,G6020,Colonoscopy w/stent,,,5063.0,5063.0,1
HCPCS,G6022,Sigmoidoscopy w/ablate tumr,,,5063.0,5063.0,1
HCPCS,G6023,Sigmoidoscopy w/stent,,,5063.0,5063.0,1
HCPCS,G6024,Lesion removal colonoscopy,,,5063.0,5063.0,1
HCPCS,G6025,Colonoscopy w/stent,,,5063.0,5063.0,1
HCPCS,G6027,Anoscopy hra w/spec collect,,,5063.0,5063.0,1
HCPCS,G6028,Anoscopy hra w/biopsy,,,5063.0,5063.0,1
HCPCS,G6030,Assay of amitriptyline,,,31.42,31.42,1
HCPCS,G6031,Assay of benzodiazepines,,,32.47,32.47,1
HCPCS,G6032,Assay of desipramine,,,30.21,30.21,1
HCPCS,G6034,Assay of doxepin,,,27.21,27.21,1
HCPCS,G6035,Assay of  gold,,,25.48,25.48,1
HCPCS,G6036,Assay of Imipramine,,,30.21,30.21,1
HCPCS,G6037,Assay of nortiptyline,,,19.93,19.93,1
HCPCS,G6038,Assay of salicylate,,,12.46,12.46,1
HCPCS,G6039,Assay of acetaminophen,,,35.53,35.53,1
HCPCS,G6040,Assay of ethanol,,,18.96,18.96,1
HCPCS,G6041,Assay of urine alkaloids,,,52.7,52.7,1
HCPCS,G6042,Assay of amphetamines,,,27.28,27.28,1
HCPCS,G6043,Assay of barbiturates,,,20.1,20.1,1
HCPCS,G6044,Assay of cocaine,,,16.83,16.83,1
HCPCS,G6045,Assay of dihydrocodeinone,,,36.25,36.25,1
HCPCS,G6046,Assay of dihydromorphinone,,,45.12,45.12,1
HCPCS,G6047,Assay of dihydrotestosterone,,,45.32,45.32,1
HCPCS,G6048,Assay of dimethadione,,,24.32,24.32,1
HCPCS,G6049,Assay of Epiandrosterone,,,37.72,37.72,1
HCPCS,G6050,Assay of Ethchlorvynol,,,30.34,30.34,1
HCPCS,G6051,Assay of flurazepam,,,34.75,34.75,1
HCPCS,G6052,Assay of meprobamate,,,30.93,30.93,1
HCPCS,G6053,Assay of methadone,,,28.66,28.66,1
HCPCS,G6054,Assay of methsuximide,,,26.01,26.01,1
HCPCS,G6055,Assay of nicotine,,,41.58,41.58,1
HCPCS,G6056,"Opiate(s),drug and metabolites, each procedure",,,34.16,34.16,1
HCPCS,G6057,Assay of phenothiazine,,,27.34,27.34,1
HCPCS,G6058,drug confirmation,,,23.26,23.26,1
HCPCS,G9143,Warfarin respon genetic test,,,203.84,376.65,3
HCPCS,G9933,Canc detectd during col scrn,,,5063.0,5063.0,1
HCPCS,G9935,Canc not detectd during srcn,,,5063.0,5063.0,1
HCPCS,G9936,Pmh plyp/neo co/rect/jun/ans,,,5063.0,5063.0,1
HCPCS,G9937,Dig or surv colsco,,,5063.0,5063.0,1
HCPCS,G9942,Adtl spine proc on same date,,,5063.0,5063.0,1
HCPCS,G9948,Adtl spine proc on same date,,,5063.0,5063.0,1
HCPCS,H0015,Hc Alcohol /Drug Intensive Outpatient Services,2252.0,878.28,,,0
HCPCS,J0121,"Inj., omadacycline, 1 mg",,,4.02,13.43,13
HCPCS,J0122,"Inj., eravacycline, 1 mg",,,1.3,4.15,12
HCPCS,J0129,Abatacept injection,,,44.11,158.4,13
HCPCS,J0130,Abciximab injection,,,2723.81,2723.81,2
HCPCS,J0131,Acetaminophen injection,,,0.1,0.1,2
HCPCS,J0132,Acetylcysteine injection,,,1.05,1.05,2
HCPCS,J0133,Acyclovir injection,,,0.1,0.1,2
HCPCS,J0134,Inj acetaminophen -fresenius,,,0.08,0.18,5
HCPCS,J0135,Adalimumab injection,,,4501.32,6732.58,4
HCPCS,J0136,"Inj, acetaminophen (b braun)",,,0.1,0.22,5
HCPCS,J0137,"Inj, acetaminophen (hikma)",,,0.1,0.18,5
HCPCS,J0138,"Injection, acetaminoph 10 mg",,,0.04,0.46,9
HCPCS,J0153,Adenosine inj 1mg,,,0.61,0.61,2
HCPCS,J0171,Adrenalin epinephrine inject,,,1.45,1.45,2
HCPCS,J0172,"Inj, aducanumab-avwa, 2 mg",,,11.4,21.95,6
HCPCS,J0173,"Inj, epinephrine (belcher)",,,4.54,6.57,5
HCPCS,J0174,"Inj, lecanemab-irmb",,,1.32,4.95,12
HCPCS,J0175,"Inj, donanemab-azbt, 2 mg",,,4.13,8.1,9
HCPCS,J0177,"Inj, aflibercept hd, 1 mg",,,311.38,627.19,9
HCPCS,J0178,Aflibercept injection,,,771.56,3164.57,13
HCPCS,J0179,"Inj, brolucizumab-dbll, 1 mg",,,346.11,1193.63,13
HCPCS,J0180,Agalsidase beta injection,,,230.15,801.31,13
HCPCS,J0184,"Inj, amisulpride, 1 mg",,,9.61,36.09,14
HCPCS,J0185,"Inj., aprepitant, 1 mg",,,1.64,6.35,13
HCPCS,J0200,Alatrofloxacin mesylate,,,32.38,32.38,2
HCPCS,J0202,"Injection, alemtuzumab",,,2429.89,8530.33,13
HCPCS,J0205,Alglucerase injection,,,80.11,80.11,2
HCPCS,J0206,Inj allopurinol sodium 1 mg,,,4.72,20.37,12
HCPCS,J0207,Amifostine,,,2082.95,3009.58,3
HCPCS,J0208,Inj sodium thiosulfate 100mg,,,95.11,357.04,14
HCPCS,J0209,"Inj, sod thiosulfate (hope)",,,0.88,3.31,11
HCPCS,J0210,Methyldopate hcl injection,,,80.81,80.81,2
HCPCS,J0211,"Inj, nithiodote, 3mg / 125mg",,,2.23,8.38,11
HCPCS,J0215,Alefacept,,,79.37,79.37,2
HCPCS,J0216,"Inj, alfentanil hcl, 500mcg",,,4.9,4.9,2
HCPCS,J0217,Inj velmanase alfa-tycv 1 mg,,,465.23,1556.08,12
HCPCS,J0218,Inj olipudase alfa-rpcp 1mg,,,393.66,1383.48,12
HCPCS,J0219,Inj aval alfa-nqpt 4mg,,,80.91,278.99,13
HCPCS,J0220,Alglucosidase alfa injection,,,310.24,546.32,6
HCPCS,J0221,Lumizyme injection,,,206.59,724.02,13
HCPCS,J0222,"Inj., patisiran, 0.1 mg",,,99.97,366.93,13
HCPCS,J0223,Inj givosiran 0.5 mg,,,117.36,411.33,13
HCPCS,J0224,"Inj. lumasiran, 0.5 mg",,,329.05,1172.79,13
HCPCS,J0225,"Inj, vutrisiran, 1 mg",,,5003.64,18156.88,12
HCPCS,J0248,"Inj, remdesivir, 1 mg?",,,6.73,22.24,13
HCPCS,J0256,Alpha 1 proteinase inhibitor,,,5.46,17.91,13
HCPCS,J0257,Glassia injection,,,5.64,19.63,13
HCPCS,J0270,Alprostadil for injection,,,19.97,19.97,2
HCPCS,J0275,Alprostadil urethral suppos,,,49.02,49.02,2
HCPCS,J0278,Amikacin sulfate injection,,,1.03,1.03,2
HCPCS,J0280,AMINOPHYLLINE 250 MG/10 ML INTRAVENOUS SOLUTION,31.1,12.13,,,0
HCPCS,J0280,Aminophyllin 250 MG inj,,,9.85,9.85,2
HCPCS,J0282,Amiodarone HCl,,,0.97,0.97,2
HCPCS,J0283,"Inj, amiodarone (nexterone)",,,4.8,4.8,2
HCPCS,J0285,Amphotericin B,,,95.43,95.43,2
HCPCS,J0287,Amphotericin b lipid complex,,,10.3,40.85,15
HCPCS,J0288,Ampho b cholesteryl sulfate,,,26.68,26.68,2
HCPCS,J0289,Amphotericin b liposome inj,,,21.48,97.84,13
HCPCS,J0290,Ampicillin 500 MG inj,,,1.35,1.35,2
HCPCS,J0291,"Inj., plazomicin, 5 mg",,,3.5,13.21,13
HCPCS,J0295,Ampicillin sodium per 1.5 gm,,,3.13,3.13,2
HCPCS,J0300,Amobarbital 125 MG inj,,,331.83,419.26,6
HCPCS,J0330,Succinycholine chloride inj,,,1.56,1.56,2
HCPCS,J0348,Anidulafungin injection,,,0.97,0.97,2
HCPCS,J0349,"Inj, rezafungin, 1 mg",,,10.62,36.85,12
HCPCS,J0360,Hydralazine hcl injection,,,7.78,7.78,2
HCPCS,J0364,Apomorphine hydrochloride,,,67.49,67.49,2
HCPCS,J0365,"Aprotonin, 10,000 kiu",,,5.05,5.05,2
HCPCS,J0380,Inj metaraminol bitartrate,,,2.17,2.17,2
HCPCS,J0390,Chloroquine injection,,,437.83,437.83,1
HCPCS,J0391,"Inj, artesunate, 1mg",,,51.83,194.56,14
HCPCS,J0395,Arbutamine HCl injection,,,304.96,304.96,2
HCPCS,J0400,Aripiprazole injection,,,1.43,1.43,2
HCPCS,J0401,Inj aripiprazole ext rel 1mg,,,7.28,24.99,13
HCPCS,J0402,"Inj, abilify asimtufii, 1 mg",,,6.03,21.58,12
HCPCS,J0456,Azithromycin,,,4.06,4.06,2
HCPCS,J0457,"Injection, aztreonam, 100 mg",,,3.95,9.32,5
HCPCS,J0461,Atropine sulfate injection,,,0.21,0.21,2
HCPCS,J0470,Dimecaprol injection,,,103.97,219.5,5
HCPCS,J0475,Baclofen 10 mg injection,,,181.22,652.53,13
HCPCS,J0476,Baclofen intrathecal trial,,,77.63,77.63,2
HCPCS,J0480,Basiliximab,,,4686.85,16427.91,13
HCPCS,J0485,Belatacept injection,,,3.89,14.2,13
HCPCS,J0490,Belimumab injection,,,56.07,190.84,13
HCPCS,J0491,Inj anifrolumab-fnia 1mg,,,18.08,63.05,13
HCPCS,J0500,Dicyclomine injection,,,28.4,28.4,2
HCPCS,J0515,Inj benztropine mesylate,,,32.19,32.19,2
HCPCS,J0517,"Inj., benralizumab, 1 mg",,,164.59,622.07,13
HCPCS,J0520,Bethanechol chloride inject,,,8.56,8.56,2
HCPCS,J0558,PenG benzathine/procaine inj,,,19.52,64.52,13
HCPCS,J0561,Penicillin g benzathine inj,,,30.01,79.75,13
HCPCS,J0565,"Inj, bezlotoxumab, 10 mg",,,39.83,146.29,13
HCPCS,J0567,"Inj., cerliponase alfa 1 mg",,,120.36,451.84,11
HCPCS,J0570,Buprenorphine implant 74.2mg,,,3476.14,4814.12,4
HCPCS,J0571,Buprenorphine oral 1mg,,,1.32,1.32,2
HCPCS,J0576,Inj buprenorph (brixadi) 1mg,,,44.43,47.12,3
HCPCS,J0577,"Inj, brixadi, 7 days or less",,,420.64,824.45,9
HCPCS,J0578,"Inj brixadi, more than 7 day",,,1682.54,3297.79,9
HCPCS,J0583,Bivalirudin,,,0.3,0.3,2
HCPCS,J0584,"Injection, burosumab-twza 1m",,,484.14,1627.65,13
HCPCS,J0585,"Injection,onabotulinumtoxina",,,6.5,23.23,13
HCPCS,J0585,ONABOTULINUMTOXINA (COSMETIC) 50 UNIT INTRAMUSCULAR SOLUTION,336.0,131.04,,,0
HCPCS,J0586,Abobotulinumtoxina,,,8.75,32.33,13
HCPCS,J0587,"Inj, rimabotulinumtoxinb",,,13.29,47.82,13
HCPCS,J0588,Incobotulinumtoxin a,,,5.57,19.05,13
HCPCS,J0589,Inj daxibotulinumtoxina-lanm,,,3.15,8.16,9
HCPCS,J0591,"Inj deoxycholic acid, 1 mg",,,29.16,29.16,2
HCPCS,J0592,Buprenorphine hydrochloride,,,8.2,8.2,2
HCPCS,J0593,"Inj., lanadelumab-flyo, 1 mg",,,87.28,171.08,9
HCPCS,J0594,Busulfan injection,,,0.88,5.17,13
HCPCS,J0595,Butorphanol tartrate 1 mg,,,10.83,10.83,2
HCPCS,J0596,"Injection, ruconest",,,36.77,122.98,13
HCPCS,J0597,"C-1 esterase, berinert",,,75.86,236.2,13
HCPCS,J0598,"C-1 esterase, cinryze",,,65.63,229.6,13
HCPCS,J0599,"Inj., haegarda 10 units",,,22.62,22.62,2
HCPCS,J0600,Edetate calcium disodium inj,,,6408.38,23680.68,13
HCPCS,J0601,Sevelamer carbonate 20 mg,,,0.02,0.02,2
HCPCS,J0602,Sevelamer carbonate pdr 20mg,,,0.1,0.1,2
HCPCS,J0603,Sevelamer hydrochloride 20mg,,,0.23,0.23,2
HCPCS,J0604,"Cinacalcet, esrd on dialysis",,,0.04,0.04,2
HCPCS,J0605,Sucroferric oxyhydroxide 5mg,,,0.34,0.34,2
HCPCS,J0606,"Inj, etelcalcetide, 0.1 mg",,,2.29,9.58,14
HCPCS,J0607,Lanthanum carbonate oral 5mg,,,0.08,0.08,2
HCPCS,J0608,Lanthanum carbonate pwdr 5mg,,,0.11,0.11,2
HCPCS,J0609,Ferric citrate orl 3 mg iron,,,0.21,0.21,2
HCPCS,J0612,Calcium glucon (fresenius),,,0.08,0.18,5
HCPCS,J0613,Calcium glucon (wg critical),,,0.21,0.33,5
HCPCS,J0615,"Calcium acetate, oral, 23 mg",,,0.04,0.04,2
HCPCS,J0620,Calcium glycer & lact/10 ML,,,17.06,17.06,2
HCPCS,J0630,Calcitonin salmon injection,,,2177.43,7007.74,6
HCPCS,J0636,Inj calcitriol per 0.1 mcg,,,1.93,1.93,2
HCPCS,J0637,Caspofungin acetate,,,9.64,9.64,2
HCPCS,J0638,Canakinumab injection,,,141.6,456.29,13
HCPCS,J0640,Leucovorin calcium injection,,,7.93,7.93,2
HCPCS,J0641,Levoleucovorin injection,,,0.08,0.26,5
HCPCS,J0642,"Injection, khapzory, 0.5 mg",,,2.57,5.62,6
HCPCS,J0650,"Inj, levothyroxine nos 10mcg",,,10.27,10.27,2
HCPCS,J0651,"Inj, levothyroxine, freskabi",,,6.83,13.38,9
HCPCS,J0652,"Inj, levothyroxine, hikma",,,9.8,9.8,2
HCPCS,J0665,"Inj, bupivacaine, nos, 0.5mg",,,0.02,0.04,5
HCPCS,J0666,"Inj, bupivacaine liposome",,,1.47,2.88,9
HCPCS,J0670,Inj mepivacaine HCL/10 ml,,,6.77,6.77,2
HCPCS,J0687,Inj cefazolin (wg crit care),,,2.12,2.12,2
HCPCS,J0688,"Inj cefazolin sodium, hikma",,,1.91,1.91,2
HCPCS,J0689,"Inj cefazolin sodium, baxter",,,2.34,4.51,5
HCPCS,J0690,Cefazolin sodium injection,,,1.54,1.54,2
HCPCS,J0691,Inj lefamulin 1 mg,,,1.33,2.64,6
HCPCS,J0692,Cefepime hcl for injection,,,2.36,2.36,2
HCPCS,J0694,Cefoxitin sodium injection,,,8.48,8.48,2
HCPCS,J0695,Inj ceftolozane tazobactam,,,9.07,27.05,13
HCPCS,J0696,Ceftriaxone sodium injection,,,0.86,0.86,2
HCPCS,J0697,Sterile cefuroxime injection,,,3.6,3.6,2
HCPCS,J0698,Cefotaxime sodium injection,,,19.06,19.06,2
HCPCS,J0699,"Inj, cefiderocol, 10 mg",,,2.42,7.96,13
HCPCS,J0701,Inj. cefepime hcl (baxter),,,10.94,20.7,5
HCPCS,J0702,Betamethasone acet&sod phosp,,,14.31,14.31,2
HCPCS,J0703,"Inj, cefepime hcl (b braun)",,,9.38,19.34,5
HCPCS,J0706,Caffeine citrate injection,,,2.9,2.9,2
HCPCS,J0710,Cephapirin sodium injection,,,2.65,2.65,2
HCPCS,J0712,Ceftaroline fosamil inj,,,4.23,14.09,13
HCPCS,J0713,Inj ceftazidime per 500 mg,,,3.14,3.14,2
HCPCS,J0714,Ceftazidime and avibactam,,,104.73,350.3,13
HCPCS,J0715,Ceftizoxime sodium / 500 MG,,,9.99,9.99,2
HCPCS,J0716,Centruroides immune f(ab),,,4871.94,18289.01,15
HCPCS,J0717,Certolizumab pegol inj 1mg,,,3.91,17.69,13
HCPCS,J0720,Chloramphenicol sodium injec,,,50.26,188.68,11
HCPCS,J0725,Chorionic gonadotropin/1000u,,,37.49,37.49,2
HCPCS,J0735,Clonidine hydrochloride,,,31.91,31.91,2
HCPCS,J0736,"Inj, clindamycin phosp 300mg",,,4.06,6.97,5
HCPCS,J0737,"Inj, clindamycin (baxter)",,,4.97,6.42,5
HCPCS,J0739,"Injection, cabotegravir 1 mg",,,7.02,13.76,9
HCPCS,J0740,Cidofovir injection,,,546.29,2033.88,13
HCPCS,J0741,"Inj, cabote rilpivir 2mg 3mg",,,23.65,82.94,13
HCPCS,J0742,Inj imip 4 cilas 4 releb 2mg,,,4.77,9.03,6
HCPCS,J0743,Cilastatin sodium injection,,,13.72,13.72,2
HCPCS,J0744,Ciprofloxacin iv,,,1.58,1.58,2
HCPCS,J0745,Inj codeine phosphate /30 MG,,,359.45,359.45,1
HCPCS,J0750,"Hiv prep, ftc/tdf 200/300mg",,,1.73,3.47,9
HCPCS,J0751,"Hiv prep, ftc/taf 200/25mg",,,71.32,139.8,9
HCPCS,J0770,Colistimethate sodium inj,,,23.18,23.18,2
HCPCS,J0775,"Collagenase, clost hist inj",,,75.9,243.21,13
HCPCS,J0780,Prochlorperazine injection,,,5.62,5.62,2
HCPCS,J0791,Inj crizanlizumab-tmca 5mg,,,129.48,466.46,13
HCPCS,J0795,Corticorelin ovine triflutal,,,17.74,25.63,3
HCPCS,J0801,Inj. acthar gel to 40 units,,,4134.62,15029.82,12
HCPCS,J0802,"Inj. (ani), up to 40 units",,,3534.6,12290.79,12
HCPCS,J0834,Cosyntropin cortrosyn inj,,,63.72,63.72,2
HCPCS,J0840,Crotalidae poly immune fab,,,1828.72,7156.21,13
HCPCS,J0841,Inj crotalidae im f(ab')2 eq,,,1045.15,3347.33,13
HCPCS,J0850,Cytomegalovirus imm IV /vial,,,1808.64,6634.88,13
HCPCS,J0870,"Injection, imetelstat, 1 mg",,,57.03,111.77,9
HCPCS,J0872,Daptomycin (xellia) unrefrig,,,0.08,0.08,2
HCPCS,J0873,"Inj, daptomycin (xellia)",,,0.08,0.08,2
HCPCS,J0874,"Inj, daptomycin (baxter)",,,0.13,0.13,2
HCPCS,J0875,"Injection, dalbavancin",,,15.61,56.11,13
HCPCS,J0877,"Inj, daptomycin (hospira)",,,0.08,0.26,5
HCPCS,J0878,Daptomycin injection,,,0.08,0.08,2
HCPCS,J0879,"Difelikefalin, esrd on dialy",,,0.46,0.46,2
HCPCS,J0881,"Darbepoetin alfa, non-esrd",,,2.93,10.75,13
HCPCS,J0882,"Darbepoetin alfa, esrd use",,,2.93,10.75,13
HCPCS,J0883,Argatroban nonesrd use 1mg,,,0.8,6.12,13
HCPCS,J0884,Argatroban esrd dialysis 1mg,,,1.52,4.48,6
HCPCS,J0885,"Epoetin alfa, non-esrd",,,8.54,32.63,13
HCPCS,J0887,Epoetin beta esrd use,,,2.33,5.95,5
HCPCS,J0888,Epoetin beta non esrd,,,2.31,5.95,6
HCPCS,J0889,Daprodustat oral 1mg esrd,,,7.6,7.6,2
HCPCS,J0890,Peginesatide injection,,,15.63,15.63,2
HCPCS,J0891,Argatroban nonesrd (accord),,,1.82,7.7,14
HCPCS,J0892,Argatroban dialysis (accord),,,6.3,7.7,5
HCPCS,J0893,"Inj, decitabine (sun pharma)",,,2.7,3.89,5
HCPCS,J0894,Decitabine injection,,,4.44,7.18,3
HCPCS,J0895,Deferoxamine mesylate inj,,,17.04,17.04,2
HCPCS,J0896,Inj luspatercept-aamt 0.25mg,,,41.98,146.69,13
HCPCS,J0897,Denosumab injection,,,29.38,92.48,13
HCPCS,J0898,Argatroban nonesrd (auromed),,,7.59,15.16,5
HCPCS,J0899,"Argatroban dialysis, auromed",,,7.59,15.16,5
HCPCS,J0901,Vadadustat oral 1mg for esrd,,,0.27,0.27,2
HCPCS,J0911,Inst tauro 1.35mg/hep 100u,,,6.41,24.06,11
HCPCS,J0945,Brompheniramine maleate inj,,,1.52,1.52,2
HCPCS,J1000,Depo-estradiol cypionate inj,,,73.67,73.67,2
HCPCS,J1010,"Inj, methylpred acetate 1 mg",,,0.23,0.23,2
HCPCS,J1050,Medroxyprogesterone acetate,,,1.09,1.09,2
HCPCS,J1071,Inj testosterone cypionate,,,0.06,0.06,2
HCPCS,J1094,Inj dexamethasone acetate,,,0.44,0.44,2
HCPCS,J1095,"Injection, dexamethasone 9%",,,2.23,2.44,3
HCPCS,J1096,Dexametha opth insert 0.1 mg,,,102.94,352.79,10
HCPCS,J1097,Phenylep ketorolac opth soln,,,96.91,363.8,11
HCPCS,J1100,Dexamethasone sodium phos,,,0.21,0.21,2
HCPCS,J1105,"Dexmedetomidine film, 1 mcg",,,2.49,2.64,3
HCPCS,J1110,Inj dihydroergotamine mesylt,,,78.22,78.22,2
HCPCS,J1120,Acetazolamid sodium injectio,,,41.21,41.21,2
HCPCS,J1130,Inj diclofenac sodium 0.5mg,,,0.4,0.4,2
HCPCS,J1160,Digoxin injection,,,16.81,16.81,2
HCPCS,J1162,Digoxin immune fab (ovine),,,5168.23,17533.2,13
HCPCS,J1165,Phenytoin sodium injection,,,0.9,0.9,2
HCPCS,J1171,"Inj, hydromorphone, 0.1 mg",,,0.17,0.17,2
HCPCS,J1190,Dexrazoxane hcl injection,,,63.06,480.23,13
HCPCS,J1200,Diphenhydramine hcl injectio,,,1.39,1.39,2
HCPCS,J1201,Inj. cetirizine hcl 0.5mg,,,16.52,55.31,13
HCPCS,J1202,Miglustat oral 65 mg,,,64.16,64.16,2
HCPCS,J1203,"Inj, cipaglucosidase, 5 mg",,,91.21,178.78,9
HCPCS,J1205,Chlorothiazide sodium inj,,,115.24,115.24,2
HCPCS,J1212,Dimethyl sulfoxide 50% 50 ML,,,748.84,2498.61,13
HCPCS,J1230,Methadone injection,,,39.38,39.38,2
HCPCS,J1240,Dimenhydrinate injection,,,16.53,16.53,2
HCPCS,J1245,Dipyridamole injection,,,7.38,7.38,2
HCPCS,J1250,DOBUTAMINE 250 MG/250 ML (1 MG/ML) IN 5 % DEXTROSE INTRAVENOUS,53.7,20.94,,,0
HCPCS,J1250,Inj dobutamine HCL/250 mg,,,14.09,14.09,2
HCPCS,J1260,Dolasetron mesylate,,,11.76,11.76,2
HCPCS,J1265,Dopamine injection,,,1.47,1.47,2
HCPCS,J1267,Doripenem injection,,,1.68,1.68,2
HCPCS,J1270,"Injection, doxercalciferol",,,0.72,0.72,2
HCPCS,J1290,Ecallantide injection,,,579.96,1979.34,13
HCPCS,J1300,Eculizumab injection,,,427.25,828.28,6
HCPCS,J1301,"Injection, edaravone, 1 mg",,,20.99,80.08,13
HCPCS,J1302,"Inj, sutimlimab-jome, 10 mg",,,18.86,65.22,12
HCPCS,J1303,"Inj., ravulizumab-cwvz 10 mg",,,225.11,813.9,13
HCPCS,J1304,Inj tofersen intrathec 1 mg,,,159.4,553.58,12
HCPCS,J1305,"Inj, evinacumab-dgnb, 5mg",,,193.76,657.44,13
HCPCS,J1306,"Injection, inclisiran, 1 mg",,,12.32,44.52,12
HCPCS,J1307,"Inj, crovalimab-akkz, 10 mg",,,551.51,1080.96,9
HCPCS,J1320,Amitriptyline injection,,,4.27,4.27,2
HCPCS,J1322,"Elosulfase alfa, injection",,,308.68,1030.94,13
HCPCS,J1323,"Inj, elranatamab-bcmm, 1 mg",,,184.07,360.78,9
HCPCS,J1324,Enfuvirtide injection,,,1.3,1.3,2
HCPCS,J1325,Epoprostenol injection,,,31.33,31.33,2
HCPCS,J1327,Eptifibatide injection,,,2.99,20.66,15
HCPCS,J1330,Ergonovine maleate injection,,,9.28,9.28,2
HCPCS,J1335,Ertapenem injection,,,20.99,20.99,2
HCPCS,J1364,Erythro lactobionate /500 MG,,,118.44,296.46,5
HCPCS,J1380,Estradiol valerate 10 MG inj,,,15.13,15.13,2
HCPCS,J1410,Inj estrogen conjugate 25 MG,,,392.06,1365.79,13
HCPCS,J1411,"Inj, hemgenix, per tx dose",,,0.03,13834302.46,12
HCPCS,J1412,Inj roctavian ml 2x10^13vc g,,,12553.71,47126.0,12
HCPCS,J1413,Inj delandistrogene mox rokl,,,0.03,12449830.83,12
HCPCS,J1426,"Injection, casimersen, 10 mg",,,166.06,623.38,15
HCPCS,J1427,Inj. viltolarsen,,,109.65,215.91,6
HCPCS,J1428,"Inj, eteplirsen, 10 mg",,,167.35,628.21,11
HCPCS,J1429,Inj golodirsen 10 mg,,,311.06,609.95,6
HCPCS,J1430,Ethanolamine oleate 100 mg,,,508.96,1739.32,13
HCPCS,J1434,"Inj, focinvez, 1mg",,,2.84,5.93,9
HCPCS,J1435,Injection estrone per 1 MG,,,0.46,0.46,2
HCPCS,J1437,Inj. fe derisomaltose 10 mg,,,22.02,69.22,13
HCPCS,J1438,Etanercept injection,,,1852.73,2902.16,6
HCPCS,J1439,Inj ferric carboxymaltos 1mg,,,1.11,4.22,13
HCPCS,J1440,Fecal?microbiota jslm 1 ml,,,63.84,231.14,12
HCPCS,J1442,Inj filgrastim excl biosimil,,,1.0,3.63,13
HCPCS,J1443,Inj ferric pyrophosphate cit,,,0.06,0.06,2
HCPCS,J1444,Fe pyro cit pow 0.1 mg iron,,,0.06,0.06,2
HCPCS,J1445,Inj triferic avnu 0.1mg iron,,,0.34,0.34,2
HCPCS,J1447,Inj tbo filgrastim 1 microg,,,0.28,1.61,13
HCPCS,J1448,"Injection, trilaciclib, 1mg",,,5.46,19.08,13
HCPCS,J1449,Inj eflapegrastim-xnst 0.1mg,,,20.87,108.93,12
HCPCS,J1450,Fluconazole,,,4.56,4.56,2
HCPCS,J1451,"Fomepizole, 15 mg",,,6.28,24.57,15
HCPCS,J1452,Intraocular Fomivirsen na,,,404.07,404.07,2
HCPCS,J1453,Fosaprepitant injection,,,0.23,0.23,2
HCPCS,J1454,"Inj fosnetupitant, palonoset",,,575.5,2547.64,13
HCPCS,J1455,Foscarnet sodium injection,,,127.26,217.89,6
HCPCS,J1456,"Inj, fosaprepitant (teva)",,,0.84,2.02,12
HCPCS,J1457,Gallium nitrate injection,,,3.96,3.96,2
HCPCS,J1458,Galsulfase injection,,,508.76,1699.17,13
HCPCS,J1459,Inj IVIG privigen 500 mg,,,50.74,177.22,13
HCPCS,J1460,Gamma globulin 1 CC inj,,,49.03,186.18,13
HCPCS,J1551,Inj cutaquig 100 mg,,,14.23,50.98,12
HCPCS,J1552,"Inj, alyglo, 500 mg",,,130.24,279.97,9
HCPCS,J1554,Inj. asceniv,,,496.74,1803.47,13
HCPCS,J1555,"Inj cuvitru, 100 mg",,,16.84,58.43,13
HCPCS,J1556,"Inj, imm glob bivigam, 500mg",,,77.39,267.76,13
HCPCS,J1557,Gammaplex injection,,,63.68,202.4,13
HCPCS,J1558,"Inj. xembify, 100 mg",,,14.84,52.04,13
HCPCS,J1559,Hizentra injection,,,14.34,47.53,13
HCPCS,J1560,Gamma globulin > 10 CC inj,,,170.48,1861.64,13
HCPCS,J1561,Gamunex-c/gammaked,,,48.96,182.73,13
HCPCS,J1566,"Immune globulin, powder",,,78.8,288.1,13
HCPCS,J1568,Octagam injection,,,47.52,165.08,13
HCPCS,J1569,Gammagard liquid injection,,,45.31,162.03,13
HCPCS,J1570,Ganciclovir sodium injection,,,54.78,54.78,2
HCPCS,J1571,HepaGam B IM injection,,,66.64,218.81,13
HCPCS,J1572,Flebogamma injection,,,102.61,205.96,6
HCPCS,J1573,"Hepagam B intravenous, inj",,,66.64,218.81,13
HCPCS,J1574,"Inj, ganciclovir (exela)",,,97.21,97.21,2
HCPCS,J1575,Hyqvia 100mg immuneglobulin,,,18.15,62.72,13
HCPCS,J1576,"Inj, panzyga, 500 mg",,,73.0,243.83,12
HCPCS,J1580,Garamycin gentamicin inj,,,4.71,4.71,2
HCPCS,J1595,Injection glatiramer acetate,,,111.79,572.45,6
HCPCS,J1596,"Inj, glycopyrrolate, 0.1 mg",,,1.11,1.11,2
HCPCS,J1597,"Inj glycopyrrolate, glyrx-pf",,,3.11,3.11,2
HCPCS,J1598,Inj glycopyrrolate fres kabi,,,3.85,3.85,2
HCPCS,J1599,"Ivig non-lyophilized, NOS",,,289.67,289.67,2
HCPCS,J1600,Gold sodium thiomaleate inj,,,57.47,57.47,2
HCPCS,J1602,Golimumab for iv use 1mg,,,11.04,45.29,13
HCPCS,J1610,Glucagon hydrochloride/1 mg,,,182.45,691.32,13
HCPCS,J1611,"Inj glucagon hcl, fresenius",,,148.99,454.46,12
HCPCS,J1626,Granisetron hcl injection,,,0.44,0.44,2
HCPCS,J1627,"Inj, granisetron, xr, 0.1 mg",,,4.29,20.81,13
HCPCS,J1628,"Inj., guselkumab, 1 mg",,,75.97,266.08,13
HCPCS,J1630,Haloperidol injection,,,2.31,2.31,2
HCPCS,J1631,Haloperidol decanoate inj,,,10.58,10.58,2
HCPCS,J1632,"Inj., brexanolone, 1 mg",,,144.84,264.61,6
HCPCS,J1640,"Hemin, 1 mg",,,34.18,115.05,13
HCPCS,J1642,Inj heparin sodium per 10 u,,,0.04,0.04,2
HCPCS,J1642,Noncdm Charge Record Medical Supplies - Hh Heparin Flush Sterile 100 Uml 5Ml (12Ml Syringe),0.41,0.16,,,0
HCPCS,J1643,"Inj heparin, pfizer, 1000u",,,6.71,16.81,5
HCPCS,J1644,Inj heparin sodium per 1000u,,,0.38,0.38,2
HCPCS,J1645,Dalteparin sodium,,,26.42,26.42,2
HCPCS,J1650,Inj enoxaparin sodium,,,1.07,1.07,2
HCPCS,J1652,Fondaparinux sodium,,,1.28,1.28,2
HCPCS,J1655,Tinzaparin sodium injection,,,6.65,6.65,2
HCPCS,J1670,Tetanus immune globulin inj,,,593.0,2123.5,13
HCPCS,J1675,Histrelin acetate,,,1.56,1.56,2
HCPCS,J1700,Hydrocortisone acetate inj,,,1.24,1.24,2
HCPCS,J1710,Hydrocortisone sodium ph inj,,,8.92,8.92,2
HCPCS,J1720,Hydrocortisone sodium succ i,,,39.91,39.91,2
HCPCS,J1726,"Makena, 10 mg",,,41.8,44.33,4
HCPCS,J1729,Inj hydroxyprogst capoat nos,,,26.51,66.72,6
HCPCS,J1738,Inj. meloxicam 1 mg,,,6.1,7.9,3
HCPCS,J1740,Ibandronate sodium injection,,,48.34,48.34,2
HCPCS,J1741,Ibuprofen injection,,,5.66,5.66,2
HCPCS,J1742,Ibutilide fumarate injection,,,172.31,837.93,15
HCPCS,J1743,Idursulfase injection,,,558.46,1992.52,12
HCPCS,J1744,Icatibant injection,,,181.18,627.02,6
HCPCS,J1745,Infliximab not biosimil 10mg,,,31.09,118.03,13
HCPCS,J1746,"Inj., ibalizumab-uiyk, 10 mg",,,79.26,273.86,13
HCPCS,J1747,"Inj, spesolimab-sbzo, 1 mg",,,65.73,221.01,12
HCPCS,J1748,"Inj, zymfentra, 10 mg",,,99.76,497.9,11
HCPCS,J1749,"Inj, iloprost, 0.1 mcg",,,10.69,10.69,2
HCPCS,J1750,Inj iron dextran,,,18.11,63.56,13
HCPCS,J1756,Iron sucrose injection,,,0.44,0.44,2
HCPCS,J1786,Imuglucerase injection,,,43.19,161.55,13
HCPCS,J1790,Droperidol injection,,,18.83,18.83,2
HCPCS,J1800,Propranolol injection,,,18.95,18.95,2
HCPCS,J1805,"Inj, esmolol hcl, 10mg",,,0.4,0.95,5
HCPCS,J1806,Inj esmolol hcl wg crit care,,,0.69,1.65,5
HCPCS,J1810,Droperidol/fentanyl inj,,,10.64,10.64,2
HCPCS,J1811,Fiasp for insulin pump use,,,15.06,24.96,5
HCPCS,J1812,Inj. Insulin (fiasp),,,2.82,2.82,2
HCPCS,J1813,Lyumjev for insulin pump use,,,29.5,57.14,5
HCPCS,J1814,Inj. insulin (lyumjev),,,2.67,2.67,2
HCPCS,J1815,Insulin injection,,,0.44,0.44,2
HCPCS,J1817,Insulin for insulin pump use,,,4.54,4.54,2
HCPCS,J1823,"Inj. inebilizumab-cdon, 1 mg",,,495.54,1737.78,13
HCPCS,J1826,Interferon Beta-1A inj,,,4017.45,7012.23,6
HCPCS,J1830,Interferon beta-1b / .25 MG,,,938.95,1381.41,3
HCPCS,J1833,"Injection, isavuconazonium",,,1.0,3.77,15
HCPCS,J1836,"Inj, metronidazole, 10 mg",,,0.06,0.07,5
HCPCS,J1885,Ketorolac tromethamine inj,,,0.3,1.43,9
HCPCS,J1890,Cephalothin sodium injection,,,16.47,16.47,2
HCPCS,J1920,"Inj, labetalol hcl, 5mg",,,0.55,0.7,5
HCPCS,J1921,"Inj labetalol hcl hikma, 5mg",,,2.63,9.4,5
HCPCS,J1930,Lanreotide injection,,,34.05,177.77,13
HCPCS,J1931,Laronidase injection,,,39.87,137.4,13
HCPCS,J1932,"Inj, lanreotide, (cipla) 1mg",,,29.84,179.02,12
HCPCS,J1939,"Inj, bumetanide, 0.5 mg",,,1.11,1.11,2
HCPCS,J1940,Furosemide injection,,,0.74,0.74,2
HCPCS,J1941,"Inj, furoscix, 20 mg",,,460.49,460.49,2
HCPCS,J1943,"Inj., aristada initio, 1 mg",,,3.24,11.34,13
HCPCS,J1944,Aripirazole lauroxil 1 mg,,,3.34,11.41,13
HCPCS,J1945,Lepirudin,,,1087.45,1087.45,2
HCPCS,J1950,Leuprolide acetate /3.75 mg,,,1730.32,5742.08,13
HCPCS,J1951,Inj fensolvi 0.25 mg,,,140.99,483.78,13
HCPCS,J1952,"Leuprolide inj, camcevi, 1mg",,,78.92,219.47,12
HCPCS,J1953,Levetiracetam injection,,,0.1,0.1,2
HCPCS,J1954,Leuprolide depot cipla 7.5mg,,,448.44,1385.07,12
HCPCS,J1955,Inj levocarnitine per 1 gm,,,48.72,48.72,2
HCPCS,J1956,Levofloxacin injection,,,3.6,3.6,2
HCPCS,J1961,"Inj, lenacapavir, 1 mg",,,22.15,80.48,12
HCPCS,J1980,Hyoscyamine sulfate inj,,,104.98,104.98,2
HCPCS,J1990,Chlordiazepoxide injection,,,40.12,40.12,2
HCPCS,J2002,"Inj, lidocaine in d5w, 1 mg",,,0.02,0.02,2
HCPCS,J2003,"Inj, lidocaine hcl, 1 mg",,,0.02,0.02,2
HCPCS,J2004,"Inj, lidocaine w epinephrine",,,0.02,0.02,2
HCPCS,J2010,Lincomycin injection,,,12.83,12.83,2
HCPCS,J2020,Linezolid injection,,,5.68,5.68,2
HCPCS,J2021,"Inj, linezolid (hospira)",,,15.76,73.62,5
HCPCS,J2060,Lorazepam injection,,,2.57,2.57,2
HCPCS,J2062,Loxapine for inhalation 1 mg,,,15.9,59.69,11
HCPCS,J2150,Mannitol injection,,,4.84,4.84,2
HCPCS,J2170,Mecasermin injection,,,285.88,285.88,2
HCPCS,J2175,Meperidine hydrochl /100 MG,,,13.27,13.27,2
HCPCS,J2180,Meperidine/promethazine inj,,,7.22,7.22,2
HCPCS,J2182,"Injection, mepolizumab, 1mg",,,31.27,111.97,13
HCPCS,J2183,Inj meropenem (wg crit care),,,3.14,3.14,2
HCPCS,J2184,"Inj, meropenem (b. braun)",,,3.95,7.74,5
HCPCS,J2185,Meropenem,,,0.74,0.74,2
HCPCS,J2186,"Inj., meropenem, vaborbactam",,,2.18,8.19,15
HCPCS,J2210,Methylergonovin maleate inj,,,41.59,41.59,2
HCPCS,J2212,Methylnaltrexone injection,,,2.59,4.4,5
HCPCS,J2246,"Inj, micafungin (baxter)",,,1.54,1.54,2
HCPCS,J2247,"Inj, micafungin (par pharm)",,,0.59,1.25,5
HCPCS,J2248,Micafungin sodium injection,,,0.53,0.53,2
HCPCS,J2249,"Inj, remimazolam, 1 mg",,,4.27,4.27,2
HCPCS,J2250,Inj midazolam hydrochloride,,,0.25,0.25,2
HCPCS,J2251,Inj midazolam (wg crit care),,,0.32,1.03,5
HCPCS,J2252,Inj midazolam in 0.8% nacl,,,0.13,0.13,2
HCPCS,J2260,Inj milrinone lactate / 5 mg,,,2.5,2.5,2
HCPCS,J2265,Minocycline hydrochloride,,,2.67,10.02,15
HCPCS,J2267,"Inj, mirikizumab-mrkz, 1 mg",,,43.05,86.51,9
HCPCS,J2270,Morphine sulfate injection,,,8.73,8.73,2
HCPCS,J2272,"Inj, morphine (fresenius)",,,7.74,27.27,5
HCPCS,J2274,In morphine preservativ free,,,22.01,22.01,2
HCPCS,J2277,"Inj, motixafortide, 0.25 mg",,,25.22,49.43,9
HCPCS,J2278,Ziconotide injection,,,10.14,33.18,13
HCPCS,J2280,"Inj, moxifloxacin 100 mg",,,16.49,16.49,2
HCPCS,J2281,Inj moxifloxacin (fres kabi),,,11.76,21.32,5
HCPCS,J2290,"Inj, nafcillin sodium, 20 mg",,,0.42,0.42,2
HCPCS,J2300,Inj nalbuphine hydrochloride,,,6.54,6.54,2
HCPCS,J2305,"Inj, nitroglycerin, 5 mg",,,2.69,4.73,5
HCPCS,J2310,Inj naloxone hydrochloride,,,16.58,16.58,2
HCPCS,J2311,"Inj, naloxone hcl (zimhi)",,,2.86,21.14,5
HCPCS,J2315,"Naltrexone, depot form",,,4.24,14.53,13
HCPCS,J2320,Nandrolone decanoate 50 MG,,,7.15,7.15,2
HCPCS,J2323,Natalizumab injection,,,24.0,89.73,13
HCPCS,J2325,Nesiritide injection,,,114.84,114.84,2
HCPCS,J2326,"Inj, nusinersen, 0.1mg",,,1280.25,4806.0,15
HCPCS,J2327,Inj risankizumab-rzaa 1 mg,,,14.94,56.37,12
HCPCS,J2329,"Inj ublituximab-xiiy, 1 mg",,,70.75,248.31,12
HCPCS,J2350,"Injection, ocrelizumab, 1 mg",,,59.41,219.28,13
HCPCS,J2353,"Octreotide injection, depot",,,203.58,773.75,13
HCPCS,J2354,"Octreotide inj, non-depot",,,1.54,1.54,2
HCPCS,J2355,Oprelvekin injection,,,813.71,813.71,2
HCPCS,J2356,"Inj tezepelumab-ekko, 1mg",,,18.01,68.23,12
HCPCS,J2357,Omalizumab injection,,,44.6,144.82,13
HCPCS,J2358,Olanzapine long-acting inj,,,5.57,10.72,6
HCPCS,J2359,"Inj. olanzapine, 0.5mg",,,1.43,3.49,5
HCPCS,J2360,Orphenadrine injection,,,26.66,26.66,2
HCPCS,J2371,Inj phenylephrine hcl 20 mcg,,,0.02,0.02,2
HCPCS,J2372,"Inj, biorphen, 20 micrograms",,,0.32,0.66,5
HCPCS,J2373,"Inj, immphentiv, 20 mcg",,,0.27,0.27,2
HCPCS,J2401,Chloroprocaine hcl injection,,,0.06,0.15,5
HCPCS,J2402,Chloroprocaine (clorotekal),,,0.59,0.59,2
HCPCS,J2403,"Chloroprocaine opht gel, 1mg",,,0.58,2.61,12
HCPCS,J2404,"Inj, nicardipine 0.1 mg",,,0.15,0.15,2
HCPCS,J2405,Ondansetron hcl injection,,,1.54,1.54,2
HCPCS,J2406,"Injection, oritavancin 10 mg",,,42.48,150.18,13
HCPCS,J2407,"Injection, oritavancin",,,28.68,101.29,13
HCPCS,J2410,Oxymorphone hcl injection,,,5.43,5.43,2
HCPCS,J2425,Palifermin injection,,,35.55,97.29,13
HCPCS,J2426,Paliperidone palmitate inj,,,15.11,52.55,13
HCPCS,J2427,"Inj, invega hafyera/trinza",,,13.0,44.81,12
HCPCS,J2430,Pamidronate disodium /30 mg,,,23.98,23.98,2
HCPCS,J2440,Papaverin hcl injection,,,72.9,72.9,2
HCPCS,J2460,Oxytetracycline injection,,,1.79,1.79,2
HCPCS,J2468,"Inj, palonosetron (avyxa)",,,58.24,114.14,9
HCPCS,J2469,Palonosetron hcl,,,1.09,1.09,2
HCPCS,J2470,Inj pantoprazole sodium 40mg,,,8.84,8.84,2
HCPCS,J2471,Inj pantoprazole(hikma) 40mg,,,12.64,12.64,2
HCPCS,J2472,"Inj, pantoprazole sodium chl",,,17.13,17.13,2
HCPCS,J2501,Paricalcitol,,,1.72,1.72,2
HCPCS,J2502,"Inj, pasireotide long acting",,,572.96,1649.63,13
HCPCS,J2503,Pegaptanib sodium injection,,,1497.16,1497.16,2
HCPCS,J2504,"Pegademase bovine, 25 iu",,,701.33,701.33,2
HCPCS,J2506,Inj pegfilgrast ex bio 0.5mg,,,38.08,444.35,13
HCPCS,J2507,Pegloticase injection,,,3660.83,12371.86,13
HCPCS,J2508,Pegunigalsidase alfa-iwxj,,,228.16,781.56,12
HCPCS,J2510,Penicillin g procaine inj,,,89.33,150.25,5
HCPCS,J2513,Pentastarch 10% solution,,,24.24,24.24,2
HCPCS,J2515,Pentobarbital sodium inj,,,27.99,105.06,11
HCPCS,J2540,Penicillin g potassium inj,,,1.43,1.43,2
HCPCS,J2543,Piperacillin/tazobactam,,,2.17,2.17,2
HCPCS,J2545,Pentamidine non-comp unit,,,151.32,151.32,2
HCPCS,J2547,"Injection, peramivir",,,1.68,6.3,15
HCPCS,J2550,Promethazine hcl injection,,,6.8,6.8,2
HCPCS,J2560,Phenobarbital sodium inj,,,58.63,110.58,3
HCPCS,J2561,"Inj, sezaby, 1 mg",,,1.19,4.48,11
HCPCS,J2562,Plerixafor injection,,,25.33,1014.02,13
HCPCS,J2590,Oxytocin injection,,,2.73,2.73,2
HCPCS,J2597,Inj desmopressin acetate,,,9.43,23.23,6
HCPCS,J2598,"Inj, vasopressin, 1 unit",,,3.11,6.68,5
HCPCS,J2599,Inj vasopressin (am reg) 1 u,,,1.59,2.29,5
HCPCS,J2601,"Inj, vasopressin (baxter)",,,2.01,6.92,9
HCPCS,J2650,Prednisolone acetate inj,,,0.99,0.99,2
HCPCS,J2670,Totazoline hcl injection,,,6.56,6.56,2
HCPCS,J2675,Inj progesterone per 50 MG,,,1.7,1.7,2
HCPCS,J2679,Inj fluphenazine hcl 1.25 mg,,,14.66,14.66,2
HCPCS,J2680,Fluphenazine decanoate 25 MG,,,17.94,17.94,2
HCPCS,J2690,Procainamide hcl injection,,,294.69,577.59,12
HCPCS,J2700,Oxacillin sodium injeciton,,,2.04,2.04,2
HCPCS,J2704,"Inj, propofol, 10 mg",,,0.15,0.15,2
HCPCS,J2710,Neostigmine methylslfte inj,,,1.56,1.56,2
HCPCS,J2720,Inj protamine sulfate/10 MG,,,2.17,2.17,2
HCPCS,J2724,Protein C concentrate,,,15.04,55.31,13
HCPCS,J2725,Inj protirelin per 250 mcg,,,41.51,41.51,2
HCPCS,J2730,Pralidoxime chloride inj,,,168.55,168.55,2
HCPCS,J2760,Phentolaine mesylate inj,,,432.02,1639.76,13
HCPCS,J2765,Metoclopramide hcl injection,,,1.96,1.96,2
HCPCS,J2770,Quinupristin/dalfopristin,,,905.98,1812.87,6
HCPCS,J2777,"Inj, faricimab-svoa, 0.1mg",,,33.88,132.45,12
HCPCS,J2778,Ranibizumab injection,,,86.38,746.98,13
HCPCS,J2779,"Inj, susvimo 0.1 mg",,,78.93,296.46,12
HCPCS,J2781,"Inj, pegcetacoplan, 1mg",,,139.18,555.86,12
HCPCS,J2782,Inj avacincaptad pegol 0.1mg,,,105.12,207.18,9
HCPCS,J2783,Rasburicase,,,377.52,1347.88,13
HCPCS,J2785,REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE,165.15,64.41,,,0
HCPCS,J2785,Regadenoson injection,,,7.26,7.26,2
HCPCS,J2786,"Injection, reslizumab, 1mg",,,10.95,37.32,13
HCPCS,J2787,Riboflavin 5?phos opth<=3ml,,,4432.59,4432.59,2
HCPCS,J2788,Rho d immune globulin 50 mcg,,,46.81,46.81,2
HCPCS,J2790,Rho d immune globulin inj,,,158.88,158.88,2
HCPCS,J2791,"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG)/2 ML INJECTION SYRINGE",1186.0,462.54,,,0
HCPCS,J2791,Rhophylac injection,,,9.32,9.32,2
HCPCS,J2792,"Rho(D) immune globulin h, sd",,,25.46,120.96,13
HCPCS,J2793,Rilonacept injection,,,52.68,52.68,2
HCPCS,J2794,"Risperidone, long acting",,,10.98,44.59,13
HCPCS,J2795,Ropivacaine HCl injection,,,0.13,0.13,2
HCPCS,J2796,Romiplostim injection,,,222.34,352.43,4
HCPCS,J2797,"Inj., rolapitant, 0.5 mg",,,1.72,1.72,2
HCPCS,J2798,"Inj., perseris, 0.5 mg",,,12.14,42.65,13
HCPCS,J2799,"Inj, uzedy, 1 mg",,,25.04,90.65,12
HCPCS,J2800,Methocarbamol injection,,,12.52,12.52,2
HCPCS,J2801,"Inj, rykindo, 0.5 mg",,,13.03,48.91,11
HCPCS,J2802,"Inj, romiplostim 1 microgram",,,11.01,21.59,9
HCPCS,J2805,SINCALIDE 5 MCG SOLUTION FOR INJECTION,585.8,228.46,,,0
HCPCS,J2805,Sincalide injection,,,218.03,218.03,2
HCPCS,J2810,Inj theophylline per 40 MG,,,0.78,0.78,2
HCPCS,J2820,Sargramostim injection,,,50.36,217.7,13
HCPCS,J2840,Inj sebelipase alfa 1 mg,,,539.91,2026.81,15
HCPCS,J2850,Inj secretin synthetic human,,,40.52,153.19,15
HCPCS,J2860,"Injection, siltuximab",,,165.83,546.61,13
HCPCS,J2910,Aurothioglucose injeciton,,,46.7,46.7,2
HCPCS,J2916,Na ferric gluconate complex,,,3.79,3.79,2
HCPCS,J2919,"Inj, methylpred sod succ 5mg",,,0.51,0.51,2
HCPCS,J2940,Somatrem injection,,,80.6,80.6,2
HCPCS,J2941,Somatropin injection,,,295.13,600.23,5
HCPCS,J2993,Reteplase injection,,,2904.58,10903.63,15
HCPCS,J2995,Inj streptokinase /250000 IU,,,151.53,151.53,2
HCPCS,J2997,Alteplase recombinant,,,94.45,326.52,13
HCPCS,J2998,Inj plasminogen tvmh 1mg,,,32.77,123.01,14
HCPCS,J3000,Streptomycin injection,,,53.86,53.86,2
HCPCS,J3010,Fentanyl citrate injeciton,,,1.62,1.62,2
HCPCS,J3030,Sumatriptan succinate / 6 MG,,,95.26,95.26,2
HCPCS,J3031,"Inj., fremanezumab-vfrm 1 mg",,,6.07,6.75,6
HCPCS,J3032,Inj. eptinezumab-jjmr 1 mg,,,19.97,66.28,13
HCPCS,J3055,Inj talquetamab-tgvs 0.25 mg,,,72.62,142.33,9
HCPCS,J3060,"Inj, taliglucerace alfa 10 u",,,41.11,165.26,13
HCPCS,J3070,Pentazocine injection,,,206.59,206.59,2
HCPCS,J3090,Inj tedizolid phosphate,,,1.96,6.53,13
HCPCS,J3095,Telavancin injection,,,7.11,25.87,13
HCPCS,J3101,Tenecteplase injection,,,172.22,561.91,13
HCPCS,J3105,Terbutaline sulfate inj,,,4.08,4.08,2
HCPCS,J3110,Teriparatide injection,,,97.85,97.85,2
HCPCS,J3111,Inj. romosozumab-aqqg 1 mg,,,12.07,39.38,13
HCPCS,J3121,Inj testostero enanthate 1mg,,,0.1,0.1,2
HCPCS,J3145,Testosterone undecanoate 1mg,,,2.07,6.75,13
HCPCS,J3230,Chlorpromazine hcl injection,,,58.09,58.09,2
HCPCS,J3240,Thyrotropin injection,,,2116.32,7417.69,13
HCPCS,J3241,Inj. teprotumumab-trbw 10 mg,,,359.19,1203.76,13
HCPCS,J3243,Tigecycline injection,,,1.2,1.2,2
HCPCS,J3244,Inj. tigecycline (accord),,,4.86,9.73,5
HCPCS,J3245,"Inj., tildrakizumab, 1 mg",,,127.45,516.22,13
HCPCS,J3246,Tirofiban hcl,,,6.9,15.85,6
HCPCS,J3247,Inj secukinumab intrav 1mg,,,17.84,34.97,9
HCPCS,J3250,Trimethobenzamide hcl inj,,,97.11,97.11,2
HCPCS,J3260,Tobramycin sulfate injection,,,3.75,3.75,2
HCPCS,J3262,Tocilizumab injection,,,5.71,22.46,13
HCPCS,J3263,"Inj, toripalimab-tpzi, 1 mg",,,39.41,77.24,9
HCPCS,J3265,Injection torsemide 10 mg/ml,,,4.17,4.17,2
HCPCS,J3280,Thiethylperazine maleate inj,,,9.07,9.07,2
HCPCS,J3285,Treprostinil injection,,,54.71,206.91,13
HCPCS,J3299,Inj xipere 1 mg,,,47.97,178.29,12
HCPCS,J3300,Triamcinolone A inj PRS-free,,,24.5,48.02,9
HCPCS,J3301,Triamcinolone acet inj nos,,,1.72,1.72,2
HCPCS,J3302,Triamcinolone diacetate inj,,,0.53,0.53,2
HCPCS,J3303,Triamcinolone hexacetonl inj,,,15.8,15.8,2
HCPCS,J3304,Inj triamcinolone ace xr 1mg,,,18.3,64.37,13
HCPCS,J3310,Perphenazine injeciton,,,12.16,12.16,2
HCPCS,J3315,Triptorelin pamoate,,,474.84,1517.88,13
HCPCS,J3316,"Inj., triptorelin xr 3.75 mg",,,3817.28,11844.41,13
HCPCS,J3320,Spectinomycn di-hcl inj,,,57.33,57.33,2
HCPCS,J3350,Urea injection,,,144.0,144.0,2
HCPCS,J3355,"Urofollitropin, 75 iu",,,120.9,120.9,2
HCPCS,J3357,"Ustekinumab sub cu inj, 1 mg",,,297.11,565.03,6
HCPCS,J3358,"Ustekinumab, iv inject, 1 mg",,,12.99,46.32,13
HCPCS,J3360,Diazepam injection,,,16.3,16.3,2
HCPCS,J3364,Urokinase 5000 IU injection,,,17.46,17.46,2
HCPCS,J3365,"Urokinase 250,000 IU inj",,,872.43,872.43,2
HCPCS,J3370,Vancomycin hcl injection,,,3.55,3.55,2
HCPCS,J3371,"Inj, vancomycin hcl (mylan)",,,12.26,21.91,5
HCPCS,J3372,"Inj, vancomycin hcl (xellia)",,,12.16,24.15,5
HCPCS,J3380,"Injection, vedolizumab",,,21.31,80.96,13
HCPCS,J3385,Velaglucerase alfa,,,381.36,1348.39,13
HCPCS,J3396,Verteporfin injection,,,11.54,42.32,13
HCPCS,J3397,"Inj., vestronidase alfa-vjbk",,,279.93,1050.84,11
HCPCS,J3398,Inj luxturna 1 billion vec g,,,3002.58,11271.54,13
HCPCS,J3399,Inj onase abepar-xioi treat,,,0.03,9216359.56,13
HCPCS,J3400,Triflupromazine hcl inj,,,21.06,21.06,2
HCPCS,J3401,"Vyjuvek 5x10^9pfu/ml, 0.1 ml",,,1025.44,9166.74,12
HCPCS,J3410,Hydroxyzine hcl injection,,,23.46,23.46,2
HCPCS,J3411,Thiamine hcl 100 mg,,,3.35,3.35,2
HCPCS,J3415,Pyridoxine hcl 100 mg,,,30.08,30.08,2
HCPCS,J3420,Vitamin b12 injection,,,2.42,2.42,2
HCPCS,J3424,Inj hydroxocobalamin iv 25mg,,,5.18,19.46,11
HCPCS,J3425,"Inj, hydroxocobalamin",,,0.02,0.02,2
HCPCS,J3430,Vitamin k phytonadione inj,,,4.21,4.21,2
HCPCS,J3465,"Injection, voriconazole",,,1.85,1.85,2
HCPCS,J3470,Hyaluronidase injection,,,108.49,108.49,2
HCPCS,J3471,"Ovine, up to 999 usp units",,,0.97,0.97,2
HCPCS,J3472,"Ovine, 1000 USP units",,,262.65,262.65,2
HCPCS,J3473,Hyaluronidase recombinant,,,0.71,0.71,2
HCPCS,J3475,Inj magnesium sulfate,,,0.93,0.93,2
HCPCS,J3480,Inj potassium chloride,,,0.19,0.19,2
HCPCS,J3485,Zidovudine,,,1.51,2.97,9
HCPCS,J3486,Ziprasidone mesylate,,,13.7,13.7,2
HCPCS,J3489,Zoledronic acid 1mg,,,10.67,10.67,2
HCPCS,J3520,Edetate disodium per 150 mg,,,2.42,2.42,2
HCPCS,J7030,Normal saline solution infus,,,4.77,4.77,2
HCPCS,J7040,Normal saline solution infus,,,2.38,2.38,2
HCPCS,J7042,5% dextrose/normal saline,,,2.25,2.25,2
HCPCS,J7050,NDC Description Not Available,17.08,6.66,,,0
HCPCS,J7050,Normal saline solution infus,,,1.2,1.2,2
HCPCS,J7060,5% dextrose/water,,,3.43,3.43,2
HCPCS,J7070,D5w infusion,,,6.86,6.86,2
HCPCS,J7100,Dextran 40 infusion,,,75.9,75.9,2
HCPCS,J7110,Dextran 75 infusion,,,27.68,27.68,2
HCPCS,J7120,Ringers lactate infusion,,,4.59,4.59,2
HCPCS,J7121,5% dextrose in lac ringers,,,15.51,15.51,2
HCPCS,J7131,Hypertonic saline sol,,,0.29,0.29,2
HCPCS,J7165,"Inj, human-lans, per i.u",,,1.55,6.12,11
HCPCS,J7168,Prothrombin complex kcentra,,,2.14,8.37,15
HCPCS,J7169,"Inj andexxa, 10 mg",,,131.38,761.53,15
HCPCS,J7170,"Inj., emicizumab-kxwh 0.5 mg",,,56.1,185.89,13
HCPCS,J7171,"Inj, adzynma, 10 iu",,,35.59,69.75,9
HCPCS,J7175,"Inj, factor x, (human), 1iu",,,9.78,33.43,13
HCPCS,J7177,"Inj., fibryga, 1 mg",,,1.23,4.04,12
HCPCS,J7178,Human fibrinogen conc inj,,,1.52,5.06,13
HCPCS,J7179,Vonvendi inj 1 iu vwf:rco,,,1.85,6.68,13
HCPCS,J7180,Factor XIII anti-hem factor,,,10.76,35.53,13
HCPCS,J7181,Factor xiii recomb a-subunit,,,18.16,62.87,13
HCPCS,J7182,Factor viii recomb novoeight,,,1.54,4.92,13
HCPCS,J7183,Wilate injection,,,1.29,4.77,13
HCPCS,J7185,Xyntha inj,,,1.67,4.73,13
HCPCS,J7186,Antihemophilic viii/vwf comp,,,1.25,4.4,13
HCPCS,J7187,"Humate-P, inj",,,1.49,4.95,13
HCPCS,J7188,Factor viii recomb obizur,,,3.23,11.82,13
HCPCS,J7189,Factor viia,,,2.66,8.92,13
HCPCS,J7190,Factor viii,,,1.08,3.78,13
HCPCS,J7192,Factor viii recombinant nos,,,1.61,5.54,13
HCPCS,J7193,Factor ix non-recombinant,,,1.4,4.84,13
HCPCS,J7194,Factor ix complex,,,1.7,5.91,13
HCPCS,J7195,Factor ix recombinant nos,,,1.85,6.42,13
HCPCS,J7196,Antithrombin recombinant,,,273.15,273.15,2
HCPCS,J7197,Antithrombin iii injection,,,4.1,14.2,13
HCPCS,J7198,Anti-inhibitor,,,2.41,8.33,13
HCPCS,J7200,Factor ix recombinan rixubis,,,1.69,5.69,13
HCPCS,J7201,Factor ix alprolix recomb,,,3.59,12.73,13
HCPCS,J7202,Factor ix idelvion inj,,,5.32,18.13,13
HCPCS,J7203,Factor ix recomb gly rebinyn,,,4.46,16.18,13
HCPCS,J7204,Inj recombin esperoct per iu,,,2.22,7.63,13
HCPCS,J7205,Factor viii fc fusion recomb,,,2.43,8.04,13
HCPCS,J7207,Factor viii pegylated recomb,,,2.1,7.27,13
HCPCS,J7208,Inj. jivi 1 iu,,,2.65,8.59,13
HCPCS,J7209,Factor viii nuwiq recomb 1iu,,,1.12,4.7,13
HCPCS,J7210,"Inj, afstyla, 1 i.u.",,,1.57,5.28,13
HCPCS,J7211,"Inj, kovaltry, 1 i.u.",,,1.57,5.25,13
HCPCS,J7212,Factor viia recomb sevenfact,,,2.37,7.45,13
HCPCS,J7213,"Inj, ixinity, 1 i.u.",,,1.91,6.68,12
HCPCS,J7214,Altuviiio per factor viii iu,,,4.66,16.99,12
HCPCS,J7294,Seg acet and eth estr yearly,,,4705.84,4705.84,2
HCPCS,J7295,Eth estr and eton monthly,,,238.57,238.57,2
HCPCS,J7296,"Kyleena, 19.5 mg",,,2361.4,2361.4,2
HCPCS,J7297,"Liletta, 52 mg",,,1725.14,1725.14,2
HCPCS,J7298,"Mirena, 52 mg",,,2361.4,2361.4,2
HCPCS,J7300,Intraut copper contraceptive,,,2213.06,2213.06,2
HCPCS,J7301,"Skyla, 13.5 mg",,,1966.25,1966.25,2
HCPCS,J7306,Levonorgestrel implant sys,,,609.01,609.01,2
HCPCS,J7307,Etonogestrel implant system,,,2361.4,2361.4,2
HCPCS,J7308,Aminolevulinic acid hcl top,,,392.09,1439.81,13
HCPCS,J7309,"Methyl aminolevulinate, top",,,159.51,159.51,2
HCPCS,J7310,Ganciclovir long act implant,,,32325.76,32325.76,2
HCPCS,J7311,Fluocinolone acetonide implt,,,340.31,1097.51,13
HCPCS,J7312,Dexamethasone intra implant,,,204.61,754.59,13
HCPCS,J7313,Fluocinol acet intravit imp,,,498.14,1801.79,13
HCPCS,J7314,"Inj., yutiq, 0.01 mg",,,529.89,1941.43,13
HCPCS,J7315,Ophthalmic mitomycin,,,835.97,835.97,2
HCPCS,J7316,"Inj, ocriplasmin, 0.125 mg",,,1995.45,2774.36,3
HCPCS,J7318,"Inj, durolane 1 mg",,,6.77,47.01,13
HCPCS,J7320,"Genvisc 850, inj, 1mg",,,5.77,44.84,13
HCPCS,J7321,Hyalgan/supartz inj per dose,,,139.2,139.2,2
HCPCS,J7322,Hymovis injection 1 mg,,,17.62,83.93,13
HCPCS,J7323,Euflexxa inj per dose,,,112.45,467.19,13
HCPCS,J7324,Orthovisc inj per dose,,,114.54,479.45,13
HCPCS,J7325,Synvisc or Synvisc-One,,,7.95,33.47,13
HCPCS,J7326,Gel-one,,,529.26,3230.35,13
HCPCS,J7327,Monovisc inj per dose,,,636.59,2621.74,13
HCPCS,J7328,Gel-syn injection 0.1 mg,,,0.7,5.94,13
HCPCS,J7329,"Inj, trivisc 1 mg",,,4.69,50.67,13
HCPCS,J7330,Cultured chondrocytes implnt,,,117940.04,117940.04,2
HCPCS,J7331,"Synojoynt, inj., 1 mg",,,16.96,47.75,6
HCPCS,J7332,"Inj., triluron, 1 mg",,,10.27,37.69,12
HCPCS,J7336,Capsaicin 8% patch,,,3.42,12.0,13
HCPCS,J7340,Carbidopa levodopa ent 100ml,,,243.61,835.88,13
HCPCS,J7342,Ciprofloxacin otic susp 6 mg,,,55.05,110.17,6
HCPCS,J7345,"Aminolevulinic acid, 10% gel",,,1.79,6.06,13
HCPCS,J7351,Inj bimatoprost itc imp 1mcg,,,213.84,756.79,13
HCPCS,J7352,"Afamelanotide implant, 1 mg",,,2943.42,11049.45,14
HCPCS,J7353,Anacaulase-bcdb 8.8% gel 1 g,,,58.31,218.89,11
HCPCS,J7354,"Cantharidin top, applicator",,,654.76,1356.6,9
HCPCS,J7402,Mometasone sinus sinuva,,,11.34,41.65,13
HCPCS,J7500,Azathioprine oral 50mg,,,2.27,2.27,2
HCPCS,J7501,Azathioprine parenteral,,,254.07,953.75,15
HCPCS,J7502,Cyclosporine oral 100 mg,,,4.19,4.19,2
HCPCS,J7503,Tacrol envarsus ex rel oral,,,3.43,3.43,2
HCPCS,J7504,Lymphocyte immune globulin,,,5135.09,13180.66,13
HCPCS,J7507,Tacrolimus imme rel oral 1mg,,,0.34,0.34,2
HCPCS,J7508,Tacrol astagraf ex rel oral,,,1.09,1.09,2
HCPCS,J7509,Methylprednisolone oral,,,0.48,0.48,2
HCPCS,J7510,Prednisolone oral per 5 mg,,,1.09,1.09,2
HCPCS,J7511,Antithymocyte globuln rabbit,,,999.37,3409.54,13
HCPCS,J7512,Prednisone ir or dr oral 1mg,,,0.02,0.02,2
HCPCS,J7514,Mycophenol (myhibbin) 100 mg,,,4.25,4.25,2
HCPCS,J7515,Cyclosporine oral 25 mg,,,1.58,1.58,2
HCPCS,J7516,Cyclosporin parenteral 250mg,,,136.01,136.01,2
HCPCS,J7517,Mycophenolate mofetil oral,,,0.29,0.29,2
HCPCS,J7518,Mycophenolic acid,,,0.91,0.91,2
HCPCS,J7519,Inj. mycophenolate mofetil,,,0.78,2.68,5
HCPCS,J7520,"Sirolimus, oral",,,2.02,2.02,2
HCPCS,J7525,Tacrolimus injection,,,263.15,912.88,13
HCPCS,J7527,Oral everolimus,,,4.42,4.42,2
HCPCS,J7601,Ensifentrine inh 3 mg,,,95.59,95.59,2
HCPCS,J7605,Arformoterol non-comp unit,,,1.54,1.54,2
HCPCS,J7606,"Formoterol fumarate, inh",,,3.6,3.6,2
HCPCS,J7608,Acetylcysteine non-comp unit,,,15.53,15.53,2
HCPCS,J7609,Albuterol comp unit,,,0.97,0.97,2
HCPCS,J7610,Albuterol comp con,,,2.34,2.34,2
HCPCS,J7611,Albuterol non-comp con,,,0.3,0.3,2
HCPCS,J7612,Levalbuterol non-comp con,,,0.55,0.55,2
HCPCS,J7613,Albuterol non-comp unit,,,0.13,0.13,2
HCPCS,J7614,Levalbuterol non-comp unit,,,0.17,0.17,2
HCPCS,J7615,Levalbuterol comp unit,,,2.74,2.74,2
HCPCS,J7620,Albuterol ipratrop non-comp,,,0.36,0.36,2
HCPCS,J7626,Budesonide non-comp unit,,,2.69,2.69,2
HCPCS,J7627,Budesonide comp unit,,,0.59,0.59,2
HCPCS,J7628,Bitolterol mesylate comp con,,,0.42,0.42,2
HCPCS,J7631,Cromolyn sodium noncomp unit,,,0.4,0.4,2
HCPCS,J7632,Cromolyn sodium comp unit,,,0.51,0.51,2
HCPCS,J7633,Budesonide non-comp con,,,9.19,9.19,2
HCPCS,J7639,Dornase alfa non-comp unit,,,102.14,102.14,2
HCPCS,J7640,Formoterol comp unit,,,3.3,3.3,2
HCPCS,J7641,Flunisolide comp unit,,,16.24,16.24,2
HCPCS,J7643,Glycopyrrolate comp unit,,,1.45,1.45,2
HCPCS,J7644,Ipratropium bromide non-comp,,,0.71,0.71,2
HCPCS,J7645,Ipratropium bromide comp,,,0.1,0.1,2
HCPCS,J7665,Mannitol for inhaler,,,12.79,12.79,2
HCPCS,J7669,Metaproterenol non-comp unit,,,0.82,0.82,2
HCPCS,J7674,"Methacholine chloride, neb",,,3.07,3.07,2
HCPCS,J7677,Revefenacin inh non-com 1mcg,,,0.38,0.38,2
HCPCS,J7680,Terbutaline sulf comp con,,,20.43,20.43,2
HCPCS,J7681,Terbutaline sulf comp unit,,,20.43,20.43,2
HCPCS,J7682,Tobramycin non-comp unit,,,30.5,30.5,2
HCPCS,J7683,Triamcinolone comp con,,,7.34,7.34,2
HCPCS,J7685,Tobramycin comp unit,,,93.81,93.81,2
HCPCS,J7686,"Treprostinil, non-comp unit",,,1448.85,1448.85,2
HCPCS,J8501,Oral aprepitant,,,5.45,5.45,2
HCPCS,J8510,Oral busulfan,,,10.12,267.05,11
HCPCS,J8515,"Cabergoline, oral 0.25mg",,,4.36,4.36,2
HCPCS,J8522,"Capecitabine, oral, 50 mg",,,0.04,0.08,9
HCPCS,J8530,Cyclophosphamide oral 25 MG,,,1.6,1.6,2
HCPCS,J8540,Oral dexamethasone,,,0.11,0.11,2
HCPCS,J8541,"Oral, hemady, 0.25 mg",,,0.67,0.67,2
HCPCS,J8560,Etoposide oral 50 mg,,,77.46,281.16,13
HCPCS,J8565,Gefitinib oral,,,272.58,272.58,2
HCPCS,J8600,Melphalan oral 2 MG,,,17.8,17.8,2
HCPCS,J8610,Methotrexate oral 2.5 MG,,,0.34,0.34,2
HCPCS,J8611,Oral methotrexate (jylamvo),,,18.47,36.19,9
HCPCS,J8612,Oral methotrexate (xatmep),,,22.68,44.45,9
HCPCS,J8650,Nabilone oral,,,76.2,76.2,2
HCPCS,J8655,Netupitant palonosetron oral,,,422.89,1504.92,13
HCPCS,J8670,"Rolapitant, oral, 1mg",,,1.86,5.84,13
HCPCS,J8700,Temozolomide,,,0.51,0.51,2
HCPCS,J8705,Topotecan oral,,,124.83,416.51,12
HCPCS,J9000,Doxorubicin hcl injection,,,6.33,6.33,2
HCPCS,J9015,Aldesleukin injection,,,3338.87,14470.81,15
HCPCS,J9017,Arsenic trioxide injection,,,8.92,57.91,6
HCPCS,J9019,Erwinaze injection,,,783.65,1568.08,6
HCPCS,J9021,"Inj, aspara, rylaze, 0.1 mg",,,55.47,187.02,13
HCPCS,J9022,"Inj, atezolizumab,10 mg",,,91.34,311.99,13
HCPCS,J9023,"Injection, avelumab, 10 mg",,,100.09,339.0,13
HCPCS,J9025,Azacitidine injection,,,0.55,1.91,3
HCPCS,J9026,"Inj, tarlatamab-dlle, 1 mg",,,1564.64,3066.69,9
HCPCS,J9027,Clofarabine injection,,,4.19,130.83,13
HCPCS,J9028,"Inj, nogapendekin pmln, 1mcg",,,94.66,185.54,9
HCPCS,J9029,"Inj, adstiladrin, per tx dos",,,63342.28,226806.0,12
HCPCS,J9030,Bcg live intravesical 1mg,,,3.26,6.39,9
HCPCS,J9032,"Injection, belinostat, 10mg",,,52.47,179.39,13
HCPCS,J9033,"Inj., treanda 1 mg",,,1.88,51.33,13
HCPCS,J9034,"Inj., bendeka 1 mg",,,13.49,54.17,13
HCPCS,J9035,Bevacizumab injection,,,73.2,271.84,13
HCPCS,J9036,Inj. belrapzo/bendamustine,,,12.28,57.29,13
HCPCS,J9037,Inj belantamab mafodont blmf,,,85.81,171.68,6
HCPCS,J9039,"Injection, blinatumomab",,,164.25,534.24,13
HCPCS,J9040,Bleomycin sulfate injection,,,39.85,39.85,2
HCPCS,J9041,Bortezomib injection,,,4.23,118.46,6
HCPCS,J9042,Brentuximab vedotin inj,,,258.64,846.34,13
HCPCS,J9043,Cabazitaxel injection,,,227.28,772.35,13
HCPCS,J9044,"Inj, bortezomib, nos, 0.1 mg",,,41.5,41.5,1
HCPCS,J9045,Carboplatin injection,,,6.92,6.92,2
HCPCS,J9046,"Inj, bortezomib, dr. reddy's",,,3.46,178.18,14
HCPCS,J9047,"Injection, carfilzomib, 1 mg",,,55.65,172.82,13
HCPCS,J9048,"Inj, bortezomib freseniuskab",,,6.97,178.18,14
HCPCS,J9049,"Inj, bortezomib, hospira",,,2.74,5.58,5
HCPCS,J9050,Carmustine injection,,,238.46,2122.92,13
HCPCS,J9051,"Inj, bortezomib (maia)",,,6.65,6.65,2
HCPCS,J9052,"Inj, carmustine (accord)",,,63.66,974.9,14
HCPCS,J9055,Cetuximab injection,,,78.37,270.55,13
HCPCS,J9056,"Inj, bendamustine, 1 mg",,,29.85,122.76,12
HCPCS,J9057,"Inj., copanlisib, 1 mg",,,170.22,321.35,6
HCPCS,J9058,Inj apotex/bendamustine 1 mg,,,71.9,76.26,3
HCPCS,J9059,"Inj bendamustine, baxter 1mg",,,71.9,76.26,3
HCPCS,J9060,Cisplatin 10 mg injection,,,5.13,5.13,2
HCPCS,J9061,"Inj, amivantamab-vmjw",,,22.54,73.33,13
HCPCS,J9063,"Inj, elahere, 1 mg",,,69.49,241.16,12
HCPCS,J9065,Inj cladribine per 1 mg,,,10.68,57.88,13
HCPCS,J9070,Cyclophosphamide 100 mg inj,,,63.28,73.95,4
HCPCS,J9071,Inj cyclophosphamd auromedic,,,0.63,9.96,13
HCPCS,J9072,Inj cyclophos dr.reddy's 5mg,,,9.1,17.85,12
HCPCS,J9073,Inj cyclophosphamd (ingenus),,,0.78,4.17,9
HCPCS,J9074,"Inj, cyclophosphamd, sandoz",,,3.94,8.29,9
HCPCS,J9075,"Inj, cyclophosphamide, nos",,,0.48,1.68,9
HCPCS,J9076,"Inj, cyclophos (baxter) 5mg",,,5.01,9.83,9
HCPCS,J9098,Cytarabine liposome inj,,,1197.67,1197.67,2
HCPCS,J9100,Cytarabine hcl 100 mg inj,,,1.51,1.51,2
HCPCS,J9118,Inj. calaspargase pegol-mknl,,,82.08,160.87,9
HCPCS,J9119,"Inj., cemiplimab-rwlc, 1 mg",,,29.29,100.78,13
HCPCS,J9120,Dactinomycin injection,,,328.34,2454.86,13
HCPCS,J9130,Dacarbazine 100 mg inj,,,7.95,7.95,2
HCPCS,J9144,"Daratumumab, hyaluronidase",,,55.57,180.01,13
HCPCS,J9145,"Injection, daratumumab 10 mg",,,71.37,226.48,13
HCPCS,J9150,Daunorubicin injection,,,44.83,130.91,6
HCPCS,J9151,Daunorubicin citrate inj,,,109.9,109.9,2
HCPCS,J9153,"Inj daunorubicin, cytarabine",,,256.09,850.56,13
HCPCS,J9155,Degarelix injection,,,4.45,15.38,13
HCPCS,J9171,Docetaxel injection,,,1.35,1.35,2
HCPCS,J9172,"Docetaxel (ingenus), 1 mg",,,50.78,99.52,9
HCPCS,J9173,"Inj., durvalumab, 10 mg",,,85.12,296.21,13
HCPCS,J9175,Elliotts b solution per ml,,,19.82,19.82,2
HCPCS,J9176,"Injection, elotuzumab, 1mg",,,7.88,27.08,13
HCPCS,J9177,Inj enfort vedo-ejfv 0.25mg,,,36.74,128.56,13
HCPCS,J9178,"Inj, epirubicin hcl, 2 mg",,,3.11,3.11,2
HCPCS,J9179,Eribulin mesylate injection,,,89.34,491.85,13
HCPCS,J9181,Etoposide injection,,,1.87,1.87,2
HCPCS,J9185,Fludarabine phosphate inj,,,320.78,638.47,5
HCPCS,J9190,Fluorouracil injection,,,4.25,4.25,2
HCPCS,J9196,Inj gemcitabine hcl (accord),,,17.8,32.22,5
HCPCS,J9198,"Inj. infugem, 100 mg",,,67.81,147.83,6
HCPCS,J9200,Floxuridine injection,,,4128.02,13659.89,12
HCPCS,J9201,Gemcitabine hcl injection,,,5.47,5.47,2
HCPCS,J9202,Goserelin acetate implant,,,733.66,2235.07,13
HCPCS,J9203,Gemtuzumab ozogamicin 0.1 mg,,,236.62,830.45,13
HCPCS,J9204,"Inj mogamulizumab-kpkc, 1 mg",,,248.5,859.4,13
HCPCS,J9205,Inj irinotecan liposome 1 mg,,,66.0,227.61,13
HCPCS,J9206,Irinotecan injection,,,3.75,3.75,2
HCPCS,J9207,Ixabepilone injection,,,139.21,470.02,13
HCPCS,J9208,Ifosfamide injection,,,47.78,47.78,2
HCPCS,J9209,Mesna injection,,,3.01,3.01,2
HCPCS,J9210,"Inj., emapalumab-lzsg, 1 mg",,,384.85,1378.67,13
HCPCS,J9211,Idarubicin hcl injection,,,89.2,89.2,2
HCPCS,J9212,Interferon alfacon-1 inj,,,12.48,12.48,2
HCPCS,J9213,Interferon alfa-2a inj,,,55.03,55.03,2
HCPCS,J9214,Interferon alfa-2b inj,,,59.75,119.53,6
HCPCS,J9215,Interferon alfa-n3 inj,,,58.55,58.55,2
HCPCS,J9216,Interferon gamma 1-b inj,,,15829.22,15829.22,2
HCPCS,J9217,Leuprolide acetate suspnsion,,,176.45,665.37,13
HCPCS,J9218,Leuprolide acetate injeciton,,,16.98,50.46,5
HCPCS,J9219,Leuprolide acetate implant,,,9186.58,9186.58,2
HCPCS,J9223,"Inj. lurbinectedin, 0.1 mg",,,207.13,734.04,13
HCPCS,J9225,Vantas implant,,,9475.37,18960.28,6
HCPCS,J9226,Supprelin LA implant,,,45020.65,163593.7,13
HCPCS,J9227,Inj. isatuximab-irfc 10 mg,,,81.9,280.76,13
HCPCS,J9228,Ipilimumab injection,,,183.48,632.78,13
HCPCS,J9229,Inj inotuzumab ozogam 0.1 mg,,,2698.05,9469.15,13
HCPCS,J9230,Mechlorethamine hcl inj,,,31.11,613.2,3
HCPCS,J9245,Inj melphalan hydrochl 50 MG,,,95.9,543.23,13
HCPCS,J9246,"Inj., evomela, 1 mg",,,18.5,60.52,13
HCPCS,J9247,"Inj, melphalan flufenami 1mg",,,923.46,1847.85,6
HCPCS,J9248,Inj melphalan (hepzato) 1 mg,,,795.0,1558.2,9
HCPCS,J9259,Paclitaxel (american regent),,,53.46,56.7,3
HCPCS,J9260,Methotrexate sodium inj,,,6.42,6.42,2
HCPCS,J9261,Nelarabine injection,,,79.86,407.3,13
HCPCS,J9262,"Inj, omacetaxine mep, 0.01mg",,,7.4,14.53,6
HCPCS,J9263,Oxaliplatin,,,0.15,0.15,2
HCPCS,J9264,Paclitaxel protein bound,,,10.54,52.44,13
HCPCS,J9266,Pegaspargase injection,,,28424.06,94617.96,13
HCPCS,J9267,Paclitaxel injection,,,0.21,0.21,2
HCPCS,J9268,Pentostatin injection,,,2608.16,8342.46,13
HCPCS,J9269,Inj. tagraxofusp-erzs 10 mcg,,,356.93,1194.81,13
HCPCS,J9270,Plicamycin (mithramycin) inj,,,305.81,305.81,1
HCPCS,J9271,Inj pembrolizumab,,,60.29,204.53,13
HCPCS,J9272,"Inj, dostarlimab-gxly, 10 mg",,,243.71,856.06,13
HCPCS,J9273,"Inj tisotu vedotin-tftv, 1mg",,,188.76,617.7,13
HCPCS,J9274,"Inj, tebentafusp-tebn, 1 mcg",,,217.09,766.77,12
HCPCS,J9280,Mitomycin injection,,,20.35,232.49,13
HCPCS,J9281,Mitomycin instillation,,,318.53,1103.75,13
HCPCS,J9285,"Inj, olaratumab, 10 mg",,,99.25,137.99,3
HCPCS,J9286,"Inj glofitamab gxbm, 2.5 mg",,,2767.88,9938.1,12
HCPCS,J9292,"Inj, pemetrexed (avyxa) 10mg",,,82.34,161.39,9
HCPCS,J9293,Mitoxantrone hydrochl / 5 MG,,,23.88,159.94,13
HCPCS,J9294,"Inj pemetrexed, hospira 10mg",,,3.55,38.72,12
HCPCS,J9295,"Injection, necitumumab, 1 mg",,,5.73,21.07,13
HCPCS,J9296,Inj pemetrexed (accord) 10mg,,,9.74,35.45,12
HCPCS,J9297,Inj pemetrexed (sandoz) 10mg,,,2.92,4.77,5
HCPCS,J9298,Inj nivol relatlimab 3mg/1mg,,,197.83,686.84,12
HCPCS,J9299,"Injection, nivolumab",,,32.96,114.1,13
HCPCS,J9301,Obinutuzumab inj,,,79.0,258.15,13
HCPCS,J9302,Ofatumumab injection,,,62.23,234.73,15
HCPCS,J9303,Panitumumab injection,,,173.03,552.92,13
HCPCS,J9304,"Inj. pemetrexed, 10 mg",,,46.32,228.71,13
HCPCS,J9305,Pemetrexed injection,,,4.36,202.41,13
HCPCS,J9306,"Injection, pertuzumab, 1 mg",,,17.02,56.63,13
HCPCS,J9307,Pralatrexate injection,,,392.63,1061.14,13
HCPCS,J9308,"Injection, ramucirumab",,,74.36,257.78,13
HCPCS,J9309,"Inj, polatuzumab vedotin 1mg",,,136.67,456.14,13
HCPCS,J9311,"Inj rituximab, hyaluronidase",,,36.69,137.29,13
HCPCS,J9312,"Inj., rituximab, 10 mg",,,75.22,290.66,13
HCPCS,J9313,"Inj., lumoxiti, 0.01 mg",,,23.39,87.82,15
HCPCS,J9314,Inj pemetrexed (teva) 10mg,,,13.61,73.25,12
HCPCS,J9316,"Pertuzu, trastuzu, 10 mg",,,62.1,246.07,13
HCPCS,J9317,Sacituzumab govitecan-hziy,,,36.28,125.07,13
HCPCS,J9318,Inj romidepsin non-lyo 0.1mg,,,28.52,124.45,13
HCPCS,J9319,Inj romidepsin lyophil 0.1mg,,,30.78,117.29,13
HCPCS,J9320,Streptozocin injection,,,678.96,1358.56,6
HCPCS,J9321,Inj epcoritamab-bysp 0.16 mg,,,55.84,197.45,12
HCPCS,J9322,Inj pemetrexed (bluepoint),,,10.6,39.79,11
HCPCS,J9323,Inj pemetrexed ditromethamin,,,0.12,22.06,12
HCPCS,J9324,"Inj, pemrydi rtu, 10 mg",,,75.81,156.54,9
HCPCS,J9325,Inj talimogene laherparepvec,,,73.94,244.39,13
HCPCS,J9328,Temozolomide injection,,,10.39,38.17,13
HCPCS,J9329,"Inj, tislelizumab-jsgr",,,57.44,112.59,9
HCPCS,J9330,Temsirolimus injection,,,26.71,113.73,13
HCPCS,J9331,Inj sirolimus prot part 1 mg,,,84.57,401.09,12
HCPCS,J9332,Inj efgartigimod 2mg,,,32.15,117.73,12
HCPCS,J9333,Inj ronzanolixizum-noli 1 mg,,,23.16,81.69,12
HCPCS,J9334,Inj efgart-alfa 2mg hya-qvfc,,,33.89,118.32,12
HCPCS,J9340,Thiotepa injection,,,422.66,921.94,6
HCPCS,J9345,"Inj, retifanlimab-dlwr, 1 mg",,,30.56,109.48,12
HCPCS,J9347,"Inj, tremelimumab-actl, 1 mg",,,140.9,499.45,12
HCPCS,J9348,"Inj. naxitamab-gqgk, 1 mg",,,686.0,2237.86,13
HCPCS,J9349,"Inj., tafasitamab-cxix",,,14.31,49.91,13
HCPCS,J9350,"Inj mosunetuzumab-axgb, 1 mg",,,654.63,2310.78,12
HCPCS,J9351,Topotecan injection,,,3.39,3.39,2
HCPCS,J9352,Injection trabectedin 0.1mg,,,391.07,1241.93,13
HCPCS,J9353,"Inj. margetuximab-cmkb, 5 mg",,,52.49,172.67,13
HCPCS,J9354,"Inj, ado-trastuzumab emt 1mg",,,42.16,140.82,13
HCPCS,J9355,Trastuzumab injection,,,75.03,295.32,13
HCPCS,J9356,"Inj. herceptin hylecta, 10mg",,,61.44,242.29,13
HCPCS,J9357,Valrubicin injection,,,1323.34,5005.33,13
HCPCS,J9358,Inj fam-trastu deru-nxki 1mg,,,29.98,99.97,13
HCPCS,J9359,Inj lon tesirin-lpyl 0.075mg,,,216.9,736.31,13
HCPCS,J9360,Vinblastine sulfate inj,,,9.21,9.21,2
HCPCS,J9370,Vincristine sulfate 1 MG inj,,,15.88,15.88,2
HCPCS,J9371,"Inj, vincristine sul lip 1mg",,,9065.07,12554.26,4
HCPCS,J9376,"Inj pozelimab-bbfg, 1 mg",,,91.73,344.35,11
HCPCS,J9380,Inj teclistamab cqyv 0.5 mg,,,33.58,113.22,12
HCPCS,J9381,Inj teplizumab mzwv 5 mcg,,,37.66,133.07,12
HCPCS,J9390,Vinorelbine tartrate inj,,,12.39,12.39,2
HCPCS,J9393,"Inj, fulvestrant (teva)",,,38.88,156.43,14
HCPCS,J9394,"Inj, fulvestrant (fresenius)",,,23.37,194.51,12
HCPCS,J9395,"Injection, Fulvestrant",,,12.69,31.01,6
HCPCS,J9400,"Inj, ziv-aflibercept, 1mg",,,7.88,26.72,13
HCPCS,J9600,Porfimer sodium injection,,,24228.42,90952.25,15
HCPCS,K0672,Removable soft interface le,,,104.76,205.33,7
HCPCS,L0112,Cranial cervical orthosis,,,1729.39,3389.6,7
HCPCS,L0113,Cranial cervical torticollis,,,352.38,690.66,7
HCPCS,L0120,Cerv flex n/adj foam pre ots,,,34.57,67.76,7
HCPCS,L0120,Hc Collar Cervical Rigid Any,93.15,36.33,,,0
HCPCS,L0120,Noncdm Charge Record Medical Supplies - Collar Cerv Lg 24Inx4.25In Med,19.66,7.67,,,0
HCPCS,L0120,Noncdm Charge Record Medical Supplies - Collar Cerv Med 21Inx4In Med,20.7,8.07,,,0
HCPCS,L0120,Noncdm Charge Record Medical Supplies - Collar Cerv Sm 19Inx3In Med,23.8,9.28,,,0
HCPCS,L0130,Flex thermoplastic collar mo,,,249.97,489.94,7
HCPCS,L0140,Cervical semi-rigid adjustab,,,86.25,169.05,7
HCPCS,L0140,Hc Collar Aspen Philly,1371.17,534.755,,,0
HCPCS,L0150,Cerv semi-rig adj molded chn,,,143.84,281.93,7
HCPCS,L0160,Cerv sr wire occ/man pre ots,,,204.81,401.43,7
HCPCS,L0170,Cervical collar molded to pt,,,866.65,1698.63,7
HCPCS,L0172,Cerv col sr foam 2pc pre ots,,,175.72,344.41,7
HCPCS,L0172,Hc Collar Cerv Semi Rigid Thermoplastic Foam 2-Piece Prefab L0172,327.47,127.71,,,0
HCPCS,L0172,Noncdm Charge Record Medical Supplies,85.9,33.5,,,0
HCPCS,L0172,Noncdm Charge Record Medical Supplies - Aspen Cervical Collar Adult Short,141.79,55.3,,,0
HCPCS,L0172,Noncdm Charge Record Medical Supplies - Collar Aspn Adlt Reg 3In,98.32,38.34,,,0
HCPCS,L0172,Noncdm Charge Record Medical Supplies - Collar Cerv Lg 4.25In Phil,50.72,19.78,,,0
HCPCS,L0172,Noncdm Charge Record Medical Supplies - Collar Cerv Med 5.25In Phil,53.82,20.99,,,0
HCPCS,L0172,Noncdm Charge Record Medical Supplies - Collar Neck Aspen Adult Ajustable Aspen Medical,155.25,60.55,,,0
HCPCS,L0172,Noncdm Charge Record Medical Supplies - Collar Stfnk Slct Adj One Size,26.91,10.49,,,0
HCPCS,L0174,Cerv sr 2pc thor ext pre ots,,,315.67,618.71,7
HCPCS,L0174,Hc Cervical Collar Semi Rigid 2 Piece Ext Prefab Ots L0174,979.9000000000001,382.15999999999997,,,0
HCPCS,L0174,Noncdm Charge Record Medical Supplies,810.92,316.26,,,0
HCPCS,L0174,Noncdm Charge Record Medical Supplies - Hc Zz Collar L0174 Aspen 2 Piece Hanger - Use 27400174,1141.085,445.02,,,0
HCPCS,L0180,Cer post col occ/man sup adj,,,429.3,841.43,7
HCPCS,L0180,Noncdm Charge Record Medical Supplies,1464.005,570.96,,,0
HCPCS,L0190,Cerv collar supp adj cerv ba,,,646.26,1266.67,7
HCPCS,L0190,Hc Cervical Collar Support Adj Cervical Bars L0190,2315.4,903.005,,,0
HCPCS,L0200,Cerv col supp adj bar & thor,,,593.42,1163.1,7
HCPCS,L0200,Hc Oths Cervical Minerva L0200,1959.31,764.13,,,0
HCPCS,L0220,Thor rib belt custom fabrica,,,140.73,275.83,7
HCPCS,L0450,Tlso flex trunk/thor pre ots,,,145.1,284.4,7
HCPCS,L0454,Hc Tlso Flex Trunk Sj T9 Prefab Custom L0454,1343.275,523.8800000000001,,,0
HCPCS,L0454,Tlso trnk sj-t9 pre cst,,,428.54,839.94,7
HCPCS,L0455,Tlso flex trnk sj-t9 pre ots,,,269.37,527.97,7
HCPCS,L0456,Hc Tlso Flex Trunk Sj Ss Prefab Custom L0456,3414.145,1331.5149999999999,,,0
HCPCS,L0456,Tlso flex trnk sj-ss pre cst,,,1228.92,2408.68,7
HCPCS,L0457,Tlso flex trnk sj-ss pre ots,,,772.46,1514.02,7
HCPCS,L0458,TLSO 2Mod symphis-xipho pre,,,1101.98,2159.88,7
HCPCS,L0460,Tlso 2 shl symphys-stern cst,,,1240.37,2431.13,7
HCPCS,L0462,TLSO 3Mod sacro-scap pre,,,1542.8,3023.89,7
HCPCS,L0464,Hc Tlso 4Mod Sacro Scap Prefab L0464,5391.35,2102.625,,,0
HCPCS,L0464,Noncdm Charge Record Medical Supplies,4768.24,1859.61,,,0
HCPCS,L0464,TLSO 4Mod sacro-scap pre,,,1836.64,3599.81,7
HCPCS,L0466,Tlso r fram soft ant pre cst,,,472.27,925.65,7
HCPCS,L0467,Tlso r fram soft pre ots,,,302.1,592.12,7
HCPCS,L0468,Tlso rig fram pelvic pre cst,,,592.16,1160.63,7
HCPCS,L0469,Tlso rig fram pelvic pre ots,,,384.93,754.46,7
HCPCS,L0470,TLSO rigid frame pre subclav,,,843.0,1652.28,7
HCPCS,L0472,Hc Oths Thor Lumbosac Ant Frame L0472,1698.335,662.3499999999999,,,0
HCPCS,L0472,TLSO rigid frame hyperex pre,,,529.16,1037.15,7
HCPCS,L0480,TLSO rigid plastic custom fa,,,1636.27,3207.09,7
HCPCS,L0482,TLSO rigid lined custom fab,,,1875.79,3676.55,7
HCPCS,L0484,TLSO rigid plastic cust fab,,,2187.12,4286.76,7
HCPCS,L0486,Hc Tlso Rigid 2 Piece Custom Fab L0486,4523.26,1764.07,,,0
HCPCS,L0486,TLSO rigidlined cust fab two,,,2166.6,4246.54,7
HCPCS,L0488,TLSO rigid lined pre one pie,,,1240.37,2431.13,7
HCPCS,L0490,TLSO rigid plastic pre one,,,349.51,685.04,7
HCPCS,L0491,TLSO 2 piece rigid shell,,,948.92,1859.88,7
HCPCS,L0492,TLSO 3 piece rigid shell,,,614.99,1205.38,7
HCPCS,L0621,Sio flex pelvic/sacr pre ots,,,76.5,149.94,7
HCPCS,L0622,Sio flex pelvisacral custom,,,298.76,585.57,7
HCPCS,L0623,Sio rig pnl pelv/sac pre ots,,,137.13,268.77,7
HCPCS,L0625,Binder Abdominal,113.85,44.4,,,0
HCPCS,L0625,Lo flex l1-below l5 pre ots,,,42.8,83.89,7
HCPCS,L0626,Lo sag rig pnl stays pre cst,,,96.32,188.79,7
HCPCS,L0627,Hc Lso L067 Corsett Hanger,1177.935,459.395,,,0
HCPCS,L0627,Hc Lso Rigid Ant Post Panels Prefab Custom L0627 Any,1178.04,459.44,,,0
HCPCS,L0627,Lo sag ri an/pos pnl pre cst,,,507.93,995.54,7
HCPCS,L0628,Lso flex no ri stays pre ots,,,65.17,127.73,7
HCPCS,L0630,Lso r post pnl sj-t9 pre cst,,,200.07,392.14,7
HCPCS,L0631,Lso sag r an/pos pnl pre cst,,,1268.47,2486.2,7
HCPCS,L0631,Noncdm Charge Record Medical Supplies,3451.725,1346.17,,,0
HCPCS,L0633,Lso sc r pos/lat pnl pre cst,,,354.33,694.49,7
HCPCS,L0635,Lso sagit rigid panel prefab,,,1313.9,2575.24,7
HCPCS,L0636,Lso sagittal rigid panel cus,,,1938.77,3799.99,7
HCPCS,L0637,Hc Lso Sacral Ant Post Panels Prefab Custom L0637,3605.87,1406.29,,,0
HCPCS,L0637,Lso sc r ant/pos pnl pre cst,,,1682.1,3296.92,7
HCPCS,L0637,Noncdm Charge Record Medical Supplies,4366.66,1703.0,,,0
HCPCS,L0637,Noncdm Charge Record Medical Supplies - Hc Zz Lso L0637 Hanger - Use 27400637,3659.5,1427.205,,,0
HCPCS,L0638,Lso sag-coronal panel custom,,,1629.67,3194.15,7
HCPCS,L0639,Lso s/c shell/panel prefab,,,1682.1,3296.92,7
HCPCS,L0640,Lso s/c shell/panel custom,,,1292.96,2534.2,7
HCPCS,L0641,Lo rig pos pnl l1-l5 pre ots,,,60.55,118.68,7
HCPCS,L0642,Lo sag ri an/pos pnl pre ots,,,319.33,625.89,7
HCPCS,L0643,Lso sag ctr rigi pos pre ots,,,125.81,246.59,7
HCPCS,L0648,Lso sag r an/pos pnl pre ots,,,797.49,1563.08,7
HCPCS,L0649,Lso sc r pos/lat pnl pre ots,,,222.77,436.63,7
HCPCS,L0650,Lso sc r ant/pos pnl pre ots,,,922.75,1808.59,7
HCPCS,L0651,LSO sag-co shell pnl pre ots,,,922.75,1808.59,7
HCPCS,L0700,Ctlso a-p-l control molded,,,2660.31,5214.21,7
HCPCS,L0710,Ctlso a-p-l control w/ inter,,,2903.9,5691.64,7
HCPCS,L0720,Ctlso a-p-l control custom,,,2265.94,4441.24,7
HCPCS,L0810,Halo cervical into jckt vest,,,3084.99,6046.58,7
HCPCS,L0820,Halo cervical into body jack,,,2495.61,4891.4,7
HCPCS,L0830,Halo cerv into milwaukee typ,,,3603.4,7062.66,7
HCPCS,L0859,MRI compatible system,,,1399.89,2743.78,7
HCPCS,L0861,Halo repl liner/interface,,,266.32,521.99,7
HCPCS,L0970,Tlso corset front,,,131.34,257.43,7
HCPCS,L0972,Lso corset front,,,134.25,263.13,7
HCPCS,L0974,Tlso full corset,,,274.31,537.65,7
HCPCS,L0976,Lso full corset,,,244.99,480.18,7
HCPCS,L0978,Axillary crutch extension,,,221.2,433.55,7
HCPCS,L0980,Peroneal straps pair pre ots,,,20.07,39.34,7
HCPCS,L0982,Stocking sup grips 4 pre ots,,,21.87,42.87,7
HCPCS,L0984,Protect body sock ea pre ots,,,69.77,136.75,7
HCPCS,L1000,Ctlso milwauke initial model,,,2332.97,4572.62,7
HCPCS,L1005,Tension based scoliosis orth,,,3954.81,7751.43,7
HCPCS,L1010,Ctlso axilla sling,,,93.95,184.14,7
HCPCS,L1020,Kyphosis pad,,,128.37,251.61,7
HCPCS,L1025,Kyphosis pad floating,,,145.9,285.96,7
HCPCS,L1030,Lumbar bolster pad,,,97.47,191.04,7
HCPCS,L1040,Lumbar or lumbar rib pad,,,117.32,229.95,7
HCPCS,L1050,Sternal pad,,,101.56,199.06,7
HCPCS,L1060,Thoracic pad,,,114.57,224.56,7
HCPCS,L1070,Trapezius sling,,,117.15,229.61,7
HCPCS,L1080,Outrigger,,,81.17,159.09,7
HCPCS,L1085,Outrigger bil w/ vert extens,,,225.49,441.96,7
HCPCS,L1090,Lumbar sling,,,105.33,206.45,7
HCPCS,L1100,Ring flange plastic/leather,,,185.94,364.44,7
HCPCS,L1110,Ring flange plas/leather mol,,,314.94,617.28,7
HCPCS,L1120,Covers for upright each,,,50.16,98.31,7
HCPCS,L1200,Furnsh initial orthosis only,,,1997.03,3914.18,7
HCPCS,L1210,Lateral thoracic extension,,,300.68,589.33,7
HCPCS,L1220,Anterior thoracic extension,,,254.58,498.98,7
HCPCS,L1230,Milwaukee type superstructur,,,653.22,1280.31,7
HCPCS,L1240,Lumbar derotation pad,,,112.41,220.32,7
HCPCS,L1250,Anterior asis pad,,,110.69,216.95,7
HCPCS,L1260,Anterior thoracic derotation,,,113.77,222.99,7
HCPCS,L1270,Abdominal pad,,,113.64,222.73,7
HCPCS,L1280,Rib gusset (elastic) each,,,101.29,198.53,7
HCPCS,L1290,Lateral trochanteric pad,,,114.83,225.07,7
HCPCS,L1300,Body jacket mold to patient,,,1919.53,3762.28,7
HCPCS,L1310,Post-operative body jacket,,,1975.19,3871.37,7
HCPCS,L1600,Ho flex frejka w/cov pre cst,,,148.08,290.24,7
HCPCS,L1610,Ho frejka cov only pre cst,,,50.45,98.88,7
HCPCS,L1620,Ho flex pavlik harns pre cst,,,166.13,325.61,7
HCPCS,L1630,Abduct control hip semi-flex,,,198.25,388.57,7
HCPCS,L1640,Pelv band/spread bar thigh c,,,530.24,1039.27,7
HCPCS,L1650,HO abduction hip adjustable,,,281.19,551.13,7
HCPCS,L1652,HO bi thighcuffs w sprdr bar,,,440.48,863.34,7
HCPCS,L1660,HO abduction static plastic,,,196.66,385.45,7
HCPCS,L1680,Pelvic & hip control thigh c,,,1616.8,3168.93,7
HCPCS,L1681,Ho bilateral hip abduction,,,2289.0,4486.44,7
HCPCS,L1685,Post-op hip abduct custom fa,,,1705.99,3343.74,7
HCPCS,L1686,HO post-op hip abduction,,,1144.5,2243.22,7
HCPCS,L1686,Hc Hip Ortho Post Op Hip Abduction L1686,3241.725,1264.27,,,0
HCPCS,L1690,Combination bilateral HO,,,2389.39,4683.2,7
HCPCS,L1700,Leg perthes orth toronto typ,,,1987.82,3896.13,7
HCPCS,L1710,Legg perthes orth newington,,,2336.55,4579.64,7
HCPCS,L1720,Legg perthes orthosis trilat,,,1726.01,3382.98,7
HCPCS,L1730,Legg perthes orth scottish r,,,1302.22,2552.35,7
HCPCS,L1755,Legg perthes patten bottom t,,,1895.44,3715.06,7
HCPCS,L1810,Ko elastic with joints,,,149.59,293.2,7
HCPCS,L1812,Ko elastic w/joints pre ots,,,85.71,167.99,7
HCPCS,L1815,Hc Knee Orthosis Elas Or Elas Type Material W Condylar Pads Prefab Includes Fitting And Adj,22.77,8.88,,,0
HCPCS,L1820,Ko elas w/ condyle pads & jo,,,148.99,292.02,7
HCPCS,L1830,Immobilizer Knee,84.87,33.1,,,0
HCPCS,L1830,Immobilizer/Knee,84.87,33.1,,,0
HCPCS,L1830,Ko immob canvas long pre ots,,,77.23,151.37,7
HCPCS,L1831,Knee orth pos locking joint,,,363.64,712.73,7
HCPCS,L1832,Hc Knee Ortho Adj Pos Rigid Prefab Custom L1832,2600.025,1014.01,,,0
HCPCS,L1832,Ko adj jnt pos r sup pre cst,,,931.51,1825.76,7
HCPCS,L1832,Noncdm Charge Record Medical Supplies,461.61,180.03,,,0
HCPCS,L1833,Ko adj jnt pos r sup pre ots,,,556.31,1090.37,7
HCPCS,L1834,Ko w/0 joint rigid molded to,,,1095.91,2147.98,7
HCPCS,L1836,Ko rigid w/o joints pre ots,,,109.2,214.03,7
HCPCS,L1840,Ko derot ant cruciate custom,,,1151.99,2257.9,7
HCPCS,L1843,Ko single upright pre cst,,,1108.66,2172.97,7
HCPCS,L1844,Ko w/adj jt rot cntrl molded,,,1921.07,3765.3,7
HCPCS,L1845,Ko double upright pre cst,,,1157.34,2268.39,7
HCPCS,L1846,Ko w adj flex/ext rotat mold,,,1468.46,2878.18,7
HCPCS,L1847,Ko dbl upright w/air pre cst,,,710.72,1393.01,7
HCPCS,L1848,Ko dbl upright w/air pre ots,,,710.72,1393.01,7
HCPCS,L1850,Ko swedish type pre ots,,,251.5,492.94,7
HCPCS,L1851,Ko single upright prefab ots,,,734.28,1439.19,7
HCPCS,L1852,Ko double upright prefab ots,,,700.49,1372.96,7
HCPCS,L1860,Ko supracondylar socket mold,,,1282.92,2514.52,7
HCPCS,L1900,Afo sprng wir drsflx calf bd,,,347.57,681.24,7
HCPCS,L1902,Afo ankle gauntlet pre ots,,,94.39,185.0,7
HCPCS,L1904,Afo molded ankle gauntlet,,,540.36,1059.11,7
HCPCS,L1906,Afo multilig ank sup pre ots,,,157.92,309.52,7
HCPCS,L1907,AFO supramalleolar custom,,,695.27,1362.73,7
HCPCS,L1910,Afo sing bar clasp attach sh,,,307.3,602.31,7
HCPCS,L1920,Afo sing upright w/ adjust s,,,401.73,787.39,7
HCPCS,L1930,Afo plastic,,,271.84,532.81,7
HCPCS,L1930,Hc Afo Plastic Prefab L1930,805.9549999999999,314.32000000000005,,,0
HCPCS,L1932,Afo rig ant tib prefab TCF/=,,,1102.62,2161.14,7
HCPCS,L1932,Hc Afo Rigid Ant Tib Prefab Tcf Or Equal Material L1932,3078.71,1200.7,,,0
HCPCS,L1933,Afo rig ant tib tcf/= ots,,,1102.62,2161.14,7
HCPCS,L1940,Afo molded to patient plasti,,,614.33,1204.09,7
HCPCS,L1945,Afo molded plas rig ant tib,,,1128.15,2211.17,7
HCPCS,L1950,Afo spiral molded to pt plas,,,855.92,1677.6,7
HCPCS,L1951,AFO spiral prefabricated,,,1037.71,2033.91,7
HCPCS,L1952,Afo spiral prefab ots,,,1037.71,2033.91,7
HCPCS,L1960,Afo pos solid ank plastic mo,,,636.95,1248.42,7
HCPCS,L1970,Afo plastic molded w/ankle j,,,942.1,1846.52,7
HCPCS,L1971,"AFO w/ankle joint, prefab",,,579.17,1135.17,7
HCPCS,L1980,Afo sing solid stirrup calf,,,421.73,826.59,7
HCPCS,L1990,Afo doub solid stirrup calf,,,541.86,1062.05,7
HCPCS,L2000,Kafo sing fre stirr thi/calf,,,1165.54,2284.46,7
HCPCS,L2005,KAFO sng/dbl mechanical act,,,5063.24,9923.95,7
HCPCS,L2010,Kafo sng solid stirrup w/o j,,,1062.5,2082.5,7
HCPCS,L2020,Kafo dbl solid stirrup band/,,,1341.77,2629.87,7
HCPCS,L2030,Kafo dbl solid stirrup w/o j,,,1164.11,2281.66,7
HCPCS,L2034,Kafo pla sin up w/wo k/a cus,,,2537.13,4972.77,7
HCPCS,L2035,KAFO plastic pediatric size,,,214.06,419.56,7
HCPCS,L2036,Kafo plas doub free knee mol,,,2131.99,4178.7,7
HCPCS,L2037,Kafo plas sing free knee mol,,,1964.76,3850.93,7
HCPCS,L2038,Kafo w/o joint multi-axis an,,,1642.94,3220.16,7
HCPCS,L2040,Hkafo torsion bil rot straps,,,209.85,411.31,7
HCPCS,L2050,Hkafo torsion cable hip pelv,,,558.87,1095.39,7
HCPCS,L2060,Hkafo torsion ball bearing j,,,717.28,1405.87,7
HCPCS,L2070,Hkafo torsion unilat rot str,,,206.05,403.86,7
HCPCS,L2080,Hkafo unilat torsion cable,,,439.45,861.32,7
HCPCS,L2090,Hkafo unilat torsion ball br,,,541.63,1061.59,7
HCPCS,L2106,Afo tib fx cast plaster mold,,,781.31,1531.37,7
HCPCS,L2108,Afo tib fx cast molded to pt,,,1227.78,2406.45,7
HCPCS,L2112,Afo tibial fracture soft,,,582.98,1142.64,7
HCPCS,L2114,Afo tib fx semi-rigid,,,666.99,1307.3,7
HCPCS,L2116,Afo tibial fracture rigid,,,878.76,1722.37,7
HCPCS,L2126,Kafo fem fx cast thermoplas,,,1563.58,3064.62,7
HCPCS,L2128,Kafo fem fx cast molded to p,,,1970.44,3862.06,7
HCPCS,L2132,Kafo femoral fx cast soft,,,926.98,1816.88,7
HCPCS,L2134,Kafo fem fx cast semi-rigid,,,1111.41,2178.36,7
HCPCS,L2136,Kafo femoral fx cast rigid,,,1358.95,2663.54,7
HCPCS,L2180,Plas shoe insert w ank joint,,,134.58,263.78,7
HCPCS,L2182,Drop lock knee,,,105.33,206.45,7
HCPCS,L2184,Limited motion knee joint,,,189.8,372.01,7
HCPCS,L2186,Adj motion knee jnt lerman t,,,210.31,412.21,7
HCPCS,L2188,Quadrilateral brim,,,458.87,899.39,7
HCPCS,L2190,Waist belt,,,119.18,233.59,7
HCPCS,L2192,Pelvic band & belt thigh fla,,,409.73,803.07,7
HCPCS,L2200,Limited ankle motion ea jnt,,,54.63,107.07,7
HCPCS,L2210,Dorsiflexion assist each joi,,,88.64,173.73,7
HCPCS,L2220,Dorsi & plantar flex ass/res,,,101.79,199.51,7
HCPCS,L2230,Split flat caliper stirr & p,,,88.17,172.81,7
HCPCS,L2232,"Rocker bottom, contact AFO",,,119.38,233.98,7
HCPCS,L2240,Round caliper and plate atta,,,96.11,188.38,7
HCPCS,L2250,Foot plate molded stirrup at,,,408.31,800.29,7
HCPCS,L2260,Reinforced solid stirrup,,,230.35,451.49,7
HCPCS,L2265,Long tongue stirrup,,,135.33,265.25,7
HCPCS,L2270,Varus/valgus strap padded/li,,,61.71,120.95,7
HCPCS,L2275,Plastic mod low ext pad/line,,,150.16,294.31,7
HCPCS,L2280,Molded inner boot,,,557.83,1093.35,7
HCPCS,L2300,Abduction bar jointed adjust,,,314.89,617.18,7
HCPCS,L2310,Abduction bar-straight,,,141.37,277.09,7
HCPCS,L2320,Non-molded lacer,,,236.44,463.42,7
HCPCS,L2330,Lacer molded to patient mode,,,451.21,884.37,7
HCPCS,L2335,Anterior swing band,,,265.43,520.24,7
HCPCS,L2340,Pre-tibial shell molded to p,,,626.36,1227.67,7
HCPCS,L2350,Prosthetic type socket molde,,,1023.92,2006.88,7
HCPCS,L2360,Extended steel shank,,,59.45,116.52,7
HCPCS,L2370,Patten bottom,,,294.98,578.16,7
HCPCS,L2375,Torsion ank & half solid sti,,,129.84,254.49,7
HCPCS,L2380,Torsion straight knee joint,,,141.47,277.28,7
HCPCS,L2385,Straight knee joint heavy du,,,153.92,301.68,7
HCPCS,L2387,Add le poly knee custom kafo,,,208.88,409.4,7
HCPCS,L2390,Offset knee joint each,,,125.79,246.55,7
HCPCS,L2395,Offset knee joint heavy duty,,,192.05,376.42,7
HCPCS,L2397,Suspension sleeve lower ext,,,134.68,263.97,7
HCPCS,L2405,Knee joint drop lock ea jnt,,,107.74,211.17,7
HCPCS,L2415,Knee joint cam lock each joi,,,150.1,294.2,7
HCPCS,L2425,Knee disc/dial lock/adj flex,,,177.12,347.16,7
HCPCS,L2430,Knee jnt ratchet lock ea jnt,,,177.12,347.16,7
HCPCS,L2492,Knee lift loop drop lock rin,,,117.18,229.67,7
HCPCS,L2500,Thi/glut/ischia wgt bearing,,,362.52,710.54,7
HCPCS,L2510,Th/wght bear quad-lat brim m,,,970.6,1902.38,7
HCPCS,L2520,Th/wght bear quad-lat brim c,,,529.38,1037.58,7
HCPCS,L2525,Th/wght bear nar m-l brim mo,,,1816.17,3559.69,7
HCPCS,L2526,Th/wght bear nar m-l brim cu,,,978.93,1918.7,7
HCPCS,L2530,Thigh/wght bear lacer non-mo,,,269.99,529.18,7
HCPCS,L2540,Thigh/wght bear lacer molded,,,485.83,952.23,7
HCPCS,L2550,Thigh/wght bear high roll cu,,,330.04,646.88,7
HCPCS,L2570,Hip clevis type 2 posit jnt,,,729.78,1430.37,7
HCPCS,L2580,Pelvic control pelvic sling,,,691.79,1355.91,7
HCPCS,L2600,Hip clevis/thrust bearing fr,,,236.01,462.58,7
HCPCS,L2610,Hip clevis/thrust bearing lo,,,279.07,546.98,7
HCPCS,L2620,Pelvic control hip heavy dut,,,307.25,602.21,7
HCPCS,L2622,Hip joint adjustable flexion,,,352.39,690.68,7
HCPCS,L2624,Hip adj flex ext abduct cont,,,479.06,938.96,7
HCPCS,L2627,Plastic mold recipro hip & c,,,1973.72,3868.49,7
HCPCS,L2628,Metal frame recipro hip & ca,,,2318.48,4544.22,7
HCPCS,L2630,Pelvic control band & belt u,,,284.55,557.72,7
HCPCS,L2640,Pelvic control band & belt b,,,386.17,756.89,7
HCPCS,L2650,Pelv & thor control gluteal,,,137.9,270.28,7
HCPCS,L2660,Thoracic control thoracic ba,,,214.17,419.77,7
HCPCS,L2670,Thorac cont paraspinal uprig,,,196.02,384.2,7
HCPCS,L2680,Thorac cont lat support upri,,,179.82,352.45,7
HCPCS,L2750,Plating chrome/nickel pr bar,,,96.05,188.26,7
HCPCS,L2755,Carbon graphite lamination,,,161.49,316.52,7
HCPCS,L2760,Extension per extension per,,,69.82,136.85,7
HCPCS,L2768,Ortho sidebar disconnect,,,161.0,315.56,7
HCPCS,L2780,Non-corrosive finish,,,82.59,161.88,7
HCPCS,L2785,Drop lock retainer each,,,48.56,95.18,7
HCPCS,L2795,Knee control full kneecap,,,97.65,191.39,7
HCPCS,L2800,Knee cap medial or lateral p,,,122.57,240.24,7
HCPCS,L2810,Knee control condylar pad,,,89.75,175.91,7
HCPCS,L2820,Soft interface below knee se,,,99.79,195.59,7
HCPCS,L2830,Soft interface above knee se,,,112.21,219.93,7
HCPCS,L2840,Tibial length sock fx or equ,,,62.64,122.77,7
HCPCS,L2850,Femoral lgth sock fx or equa,,,71.15,139.45,7
HCPCS,L3000,Ft insert ucb berkeley shell,,,388.16,760.79,7
HCPCS,L3001,Foot insert remov molded spe,,,163.43,320.32,7
HCPCS,L3002,Foot insert plastazote or eq,,,199.55,391.12,7
HCPCS,L3003,Foot insert silicone gel eac,,,215.29,421.97,7
HCPCS,L3010,Foot longitudinal arch suppo,,,215.29,421.97,7
HCPCS,L3020,Foot longitud/metatarsal sup,,,245.15,480.49,7
HCPCS,L3030,Foot arch support remov prem,,,94.31,184.85,7
HCPCS,L3031,Foot lamin/prepreg composite,,,151.32,296.59,7
HCPCS,L3040,Ft arch suprt premold longit,,,58.15,113.97,7
HCPCS,L3050,Foot arch supp premold metat,,,58.15,113.97,7
HCPCS,L3060,Foot arch supp longitud/meta,,,91.14,178.63,7
HCPCS,L3070,Arch suprt att to sho longit,,,39.28,76.99,7
HCPCS,L3080,Arch supp att to shoe metata,,,39.28,76.99,7
HCPCS,L3090,Arch supp att to shoe long/m,,,50.31,98.61,7
HCPCS,L3100,Hallus-valgus nt dyn pre ots,,,53.41,104.68,7
HCPCS,L3140,Abduction rotation bar shoe,,,110.03,215.66,7
HCPCS,L3150,Abduct rotation bar w/o shoe,,,100.58,197.14,7
HCPCS,L3170,Foot plas heel stabi pre ots,,,62.87,123.23,7
HCPCS,L3224,Woman's shoe oxford brace,,,67.57,132.44,7
HCPCS,L3225,Man's shoe oxford brace,,,77.73,152.35,7
HCPCS,L3260,Hc Amb Surgical Boot Ea L3260,126.27,49.25,,,0
HCPCS,L3260,Noncdm Charge Record Medical Supplies - Hc Zz Boot L3260 Amb Surg Hanger - Use 27403260,126.27,49.25,,,0
HCPCS,L3265,Rocker Boot Cast,315.68,123.12,,,0
HCPCS,L3300,Sho lift taper to metatarsal,,,64.41,126.24,7
HCPCS,L3310,Shoe lift elev heel/sole neo,,,100.58,197.14,7
HCPCS,L3330,Lifts elevation metal extens,,,699.28,1370.59,7
HCPCS,L3332,Shoe lifts tapered to one-ha,,,91.14,178.63,7
HCPCS,L3334,Shoe lifts elevation heel /i,,,47.13,92.37,7
HCPCS,L3340,Shoe wedge sach,,,105.33,206.45,7
HCPCS,L3350,Shoe heel wedge,,,28.26,55.39,7
HCPCS,L3360,Shoe sole wedge outside sole,,,44.0,86.24,7
HCPCS,L3370,Shoe sole wedge between sole,,,61.3,120.15,7
HCPCS,L3380,Shoe clubfoot wedge,,,61.3,120.15,7
HCPCS,L3390,Shoe outflare wedge,,,61.3,120.15,7
HCPCS,L3400,Shoe metatarsal bar wedge ro,,,50.31,98.61,7
HCPCS,L3410,Shoe metatarsal bar between,,,114.74,224.89,7
HCPCS,L3420,Full sole/heel wedge btween,,,67.55,132.4,7
HCPCS,L3430,Sho heel count plast reinfor,,,198.0,388.08,7
HCPCS,L3440,Heel leather reinforced,,,94.31,184.85,7
HCPCS,L3450,Shoe heel sach cushion type,,,130.4,255.58,7
HCPCS,L3455,Shoe heel new leather standa,,,50.31,98.61,7
HCPCS,L3460,Shoe heel new rubber standar,,,42.41,83.12,7
HCPCS,L3465,Shoe heel thomas with wedge,,,72.28,141.67,7
HCPCS,L3470,Shoe heel thomas extend to b,,,76.99,150.9,7
HCPCS,L3480,Shoe heel pad & depress for,,,76.99,150.9,7
HCPCS,L3500,Ortho shoe add leather insol,,,36.18,70.91,7
HCPCS,L3510,Orthopedic shoe add rub insl,,,36.18,70.91,7
HCPCS,L3520,O shoe add felt w leath insl,,,39.28,76.99,7
HCPCS,L3530,Ortho shoe add half sole,,,39.28,76.99,7
HCPCS,L3540,Ortho shoe add full sole,,,62.87,123.23,7
HCPCS,L3550,O shoe add standard toe tap,,,11.02,21.6,7
HCPCS,L3560,O shoe add horseshoe toe tap,,,28.26,55.39,7
HCPCS,L3570,O shoe add instep extension,,,105.33,206.45,7
HCPCS,L3580,O shoe add instep velcro clo,,,80.14,157.07,7
HCPCS,L3590,O shoe convert to sof counte,,,66.01,129.38,7
HCPCS,L3595,Ortho shoe add march bar,,,51.85,101.63,7
HCPCS,L3600,Trans shoe calip plate exist,,,94.31,184.85,7
HCPCS,L3610,Trans shoe caliper plate new,,,124.12,243.28,7
HCPCS,L3620,Trans shoe solid stirrup exi,,,94.31,184.85,7
HCPCS,L3630,Trans shoe solid stirrup new,,,124.12,243.28,7
HCPCS,L3640,Shoe dennis browne splint bo,,,53.41,104.68,7
HCPCS,L3650,So 8 abd restraint pre ots,,,67.31,131.93,7
HCPCS,L3660,So 8 ab rstr can/web pre ots,,,115.57,226.52,7
HCPCS,L3670,So acro/clav can web pre ots,,,161.08,315.72,7
HCPCS,L3671,SO cap design w/o jnts CF,,,1013.24,1985.95,7
HCPCS,L3674,SO airplane w/wo joint CF,,,1329.23,2605.29,7
HCPCS,L3675,So vest canvas/web pre ots,,,197.34,386.79,7
HCPCS,L3702,EO w/o joints CF,,,324.72,636.45,7
HCPCS,L3702,Hc Static Elbow Splnt-Not Incl Wrst,717.36,279.77,,,0
HCPCS,L3710,Eo elas w/metal jnts pre ots,,,163.06,319.6,7
HCPCS,L3720,Forearm/arm cuffs free motio,,,813.4,1594.26,7
HCPCS,L3720,Hc Elbow Orthosis Forearm/Arm Cuffs Free Motion,687.65,268.18,,,0
HCPCS,L3730,Forearm/arm cuffs ext/flex a,,,1070.75,2098.67,7
HCPCS,L3730,Hc Elbow Orthosis Forearm/Arm Cuffs Ext Flex-Asst,777.23,303.12,,,0
HCPCS,L3740,Cuffs adj lock w/ active con,,,1203.36,2358.59,7
HCPCS,L3760,"EO withjoint, Prefabricated",,,562.35,1102.21,7
HCPCS,L3760,Noncdm Charge Record Medical Supplies,1779.16,693.87,,,0
HCPCS,L3761,"Eo, adj lock joint prefab ot",,,562.35,1102.21,7
HCPCS,L3762,Eo rigid w/o joints pre ots,,,120.93,237.02,7
HCPCS,L3763,EWHO rigid w/o jnts CF,,,892.81,1749.91,7
HCPCS,L3763,Hc Static Elbow Splnt-Incl Wrst,1981.92,772.95,,,0
HCPCS,L3764,EWHO w/joint(s) CF,,,890.38,1745.14,7
HCPCS,L3764,Hc Dyn/Stat Prog Elb Splnt Nt Prefb,2128.9449999999997,830.29,,,0
HCPCS,L3765,EWHFO rigid w/o jnts CF,,,1441.9,2826.12,7
HCPCS,L3765,Hc Ewhfo Rigid W/O Jnts Cf,2128.9449999999997,830.29,,,0
HCPCS,L3766,EWHFO w/joint(s) CF,,,1526.89,2992.7,7
HCPCS,L3766,Hc Ewhfo W/Joints Cf,1884.74,735.05,,,0
HCPCS,L3806,Hc Dyn/Stat Prog Mpj Pipj-Inc Wr,1135.4,442.81,,,0
HCPCS,L3806,WHFO w/joint(s) custom fab,,,510.8,1001.17,7
HCPCS,L3807,Hc Whfo W/O Joints Prefab Custom L3807,894.345,348.79499999999996,,,0
HCPCS,L3807,Whfo w/o joints pre cst,,,281.19,551.13,7
HCPCS,L3808,Hc Dbs Rhs Wrst Ulnar Gtr Thumb Any,1561.14,608.845,,,0
HCPCS,L3808,"WHFO, rigid w/o joints",,,375.59,736.16,7
HCPCS,L3809,Whfo w/o joints pre ots,,,281.19,551.13,7
HCPCS,L3900,Hinge extension/flex wrist/f,,,1756.7,3443.13,7
HCPCS,L3901,Hinge ext/flex wrist finger,,,1969.72,3860.65,7
HCPCS,L3904,Whfo electric custom fitted,,,4009.81,7859.23,7
HCPCS,L3905,Hc Who Dyn Wrist/Hand Nontorsion Jntst Custom,1053.4250000000002,410.84000000000003,,,0
HCPCS,L3905,Who w/nontorsion jnt(s) cf,,,1115.21,2185.81,7
HCPCS,L3906,Hc Wrist Cock-Up Includes Fitting And Adj W/O Joints,1073.335,418.6,,,0
HCPCS,L3906,Who w/o joints cf,,,474.38,929.78,7
HCPCS,L3908,Hc Who Cock-Up Non Molded Prefab Ots L3908,209.175,81.58000000000001,,,0
HCPCS,L3908,Who cock-up nonmolde pre ots,,,67.37,132.05,7
HCPCS,L3912,Hfo flexion glove pre ots,,,108.07,211.82,7
HCPCS,L3913,HFO w/o joints CF,,,304.58,596.98,7
HCPCS,L3913,Hc Hand Based Cmc Figure 8 Splnt,729.39,284.46000000000004,,,0
HCPCS,L3915,Who nontorsion jnts pre cst,,,597.78,1171.65,7
HCPCS,L3916,Who nontorsion jnts pre ots,,,597.78,1171.65,7
HCPCS,L3917,Metacarp fx orthosis pre cst,,,118.79,232.83,7
HCPCS,L3918,Metacarp fx orthosis pre ots,,,118.79,232.83,7
HCPCS,L3919,HO w/o joints CF,,,304.58,596.98,7
HCPCS,L3919,Hc Metacrpl Fx Brc Web Spcr Splnt,686.4,267.695,,,0
HCPCS,L3921,HFO w/joint(s) CF,,,361.18,707.91,7
HCPCS,L3921,Hc Dyn/Stc Progr Thumb Splnt,807.505,314.93,,,0
HCPCS,L3923,Hfo without joints pre cst,,,97.81,191.71,7
HCPCS,L3924,Hfo without joints pre ots,,,97.81,191.71,7
HCPCS,L3925,Fo pip dip jnt/sprng pre ots,,,59.39,116.4,7
HCPCS,L3927,Fo pip dip no jt spr pre ots,,,39.34,77.11,7
HCPCS,L3929,Hfo nontorsion jnts pre cst,,,94.67,185.55,7
HCPCS,L3930,Hfo nontorsion jnts pre ots,,,94.67,185.55,7
HCPCS,L3931,Hc Splint Whf Orthotic Prefab Any Incl Resting,721.5,281.385,,,0
HCPCS,L3931,Noncdm Charge Record Medical Supplies - Hc Zz Ahp Prefab Resting Hand Splint- Use 27400087,549.58,214.34,,,0
HCPCS,L3931,WHFO nontorsion joint prefab,,,229.01,448.86,7
HCPCS,L3933,FO w/o joints CF,,,239.92,470.24,7
HCPCS,L3933,Hc Fngr Gutr Splnts Cust Ring Splnt,539.34,210.34,,,0
HCPCS,L3935,FO nontorsion joint CF,,,248.47,487.0,7
HCPCS,L3935,Hc Finger Orthosis Non Torsion Joint Custom Fab Incl Fit Or Adj,547.93,213.69,,,0
HCPCS,L3960,Sewho airplan desig abdu pos,,,926.91,1816.74,7
HCPCS,L3961,Sewho cap design w/o jnts cf,,,1889.33,3703.09,7
HCPCS,L3962,Sewho erbs palsey design abd,,,965.12,1891.64,7
HCPCS,L3967,Sewho airplane w/o jnts cf,,,2230.66,4372.09,7
HCPCS,L3971,Sewho cap design w/jnt(s) cf,,,2117.37,4150.05,7
HCPCS,L3973,Sewho airplane w/jnt(s) cf,,,2230.66,4372.09,7
HCPCS,L3975,Sewhfo cap design w/o jnt cf,,,1889.33,3703.09,7
HCPCS,L3976,Sewhfo airplane w/o jnts cf,,,1889.33,3703.09,7
HCPCS,L3977,Sewhfo cap desgn w/jnt(s) cf,,,2117.37,4150.05,7
HCPCS,L3978,Sewhfo airplane w/jnt(s) cf,,,2230.66,4372.09,7
HCPCS,L3980,Hc Brace L3980 Sarimento Humeral Hanger,1078.6750000000002,420.68,,,0
HCPCS,L3980,Hc Upper Extremity Fx Orthos Humeral Prefab L3980,334.72,130.54,,,0
HCPCS,L3980,Noncdm Charge Record Medical Supplies,1001.88,390.73,,,0
HCPCS,L3980,Up ext fx orthos humeral nos,,,347.63,681.35,7
HCPCS,L3981,Ue fx orth shoul cap forearm,,,1131.9,2218.52,7
HCPCS,L3982,Upper ext fx orthosis rad/ul,,,429.48,841.78,7
HCPCS,L3984,Upper ext fx orthosis wrist,,,458.44,898.54,7
HCPCS,L3995,Sock fracture or equal each,,,38.45,75.36,7
HCPCS,L4000,Repl girdle milwaukee orth,,,1499.07,2938.18,7
HCPCS,L4010,Replace trilateral socket br,,,843.58,1653.42,7
HCPCS,L4020,Replace quadlat socket brim,,,1053.71,2065.27,7
HCPCS,L4030,Replace socket brim cust fit,,,580.17,1137.13,7
HCPCS,L4040,Replace molded thigh lacer,,,469.07,919.38,7
HCPCS,L4045,Replace non-molded thigh lac,,,376.94,738.8,7
HCPCS,L4050,Replace molded calf lacer,,,474.4,929.82,7
HCPCS,L4055,Replace non-molded calf lace,,,307.2,602.11,7
HCPCS,L4060,Replace high roll cuff,,,365.19,715.77,7
HCPCS,L4070,Replace prox & dist upright,,,348.4,682.86,7
HCPCS,L4080,Repl met band kafo-afo prox,,,122.83,240.75,7
HCPCS,L4090,Repl met band kafo-afo calf/,,,108.72,213.09,7
HCPCS,L4100,Repl leath cuff kafo prox th,,,122.63,240.35,7
HCPCS,L4110,Repl leath cuff kafo-afo cal,,,97.45,191.0,7
HCPCS,L4130,Replace pretibial shell,,,670.68,1314.53,7
HCPCS,L4205,Ortho dvc repair per 15 min,,,29.95,58.7,7
HCPCS,L4350,Ankle control ortho pre ots,,,120.83,236.83,7
HCPCS,L4360,Hc Pneumatic Walking Boot Prefab Custom L4360,1056.94,412.20500000000004,,,0
HCPCS,L4360,Noncdm Charge Record Medical Supplies,1141.085,445.025,,,0
HCPCS,L4360,Pneumat walking boot pre cst,,,338.06,662.6,7
HCPCS,L4361,Hc Boot Aircast Any,337.255,131.53,,,0
HCPCS,L4361,Noncdm Charge Record Medical Supplies,337.41,131.59,,,0
HCPCS,L4361,Pneuma/vac walk boot pre ots,,,338.06,662.6,7
HCPCS,L4370,Pneum full leg splnt pre ots,,,216.94,425.2,7
HCPCS,L4386,Non-pneum walk boot pre cst,,,195.89,383.94,7
HCPCS,L4387,Non-pneum walk boot pre ots,,,195.89,383.94,7
HCPCS,L4392,Liner Boot,194.58,75.89,,,0
HCPCS,L4392,Replace AFO soft interface,,,29.1,57.04,7
HCPCS,L4394,Replace foot drop spint,,,21.24,41.63,7
HCPCS,L4396,Static or dynami afo pre cst,,,207.41,406.52,7
HCPCS,L4397,Static or dynami afo pre ots,,,207.41,406.52,7
HCPCS,L4398,Foot drop splint pre ots,,,95.45,187.08,7
HCPCS,L4631,"Afo, walk boot type, cus fab",,,1843.94,3614.12,7
HCPCS,L5000,Sho insert w arch toe filler,,,647.9,1269.88,7
HCPCS,L5010,Mold socket ank hgt w/ toe f,,,1564.83,3067.07,7
HCPCS,L5020,Tibial tubercle hgt w/ toe f,,,2657.4,5208.5,7
HCPCS,L5050,Ank symes mold sckt sach ft,,,2939.57,5761.56,7
HCPCS,L5060,Symes met fr leath socket ar,,,3381.38,6627.5,7
HCPCS,L5100,Molded socket shin sach foot,,,2946.06,5774.28,7
HCPCS,L5105,Plast socket jts/thgh lacer,,,4252.97,8335.82,7
HCPCS,L5150,Mold sckt ext knee shin sach,,,4299.18,8426.39,7
HCPCS,L5160,Mold socket bent knee shin s,,,4676.12,9165.2,7
HCPCS,L5200,Kne sing axis fric shin sach,,,4478.06,8777.0,7
HCPCS,L5210,No knee/ankle joints w/ ft b,,,2970.73,5822.63,7
HCPCS,L5220,No knee joint with artic ali,,,3376.78,6618.49,7
HCPCS,L5230,Fem focal defic constant fri,,,4657.24,9128.19,7
HCPCS,L5250,Hip canad sing axi cons fric,,,6352.07,12450.06,7
HCPCS,L5270,Tilt table locking hip sing,,,6323.89,12394.82,7
HCPCS,L5280,Hemipelvect canad sing axis,,,6275.46,12299.9,7
HCPCS,L5301,Bk mold socket sach ft endo,,,3367.55,6600.4,7
HCPCS,L5312,"Knee disart, SACH ft, endo",,,4820.42,9448.02,7
HCPCS,L5321,Ak open end sach,,,4881.34,9567.43,7
HCPCS,L5331,Hip disart canadian sach ft,,,6219.83,12190.87,7
HCPCS,L5341,Hemipelvectomy canadian sach,,,6474.88,12690.76,7
HCPCS,L5400,Postop dress & 1 cast chg bk,,,1667.22,3267.75,7
HCPCS,L5410,Postop dsg bk ea add cast ch,,,511.51,1002.56,7
HCPCS,L5420,Postop dsg & 1 cast chg ak/d,,,2043.12,4004.52,7
HCPCS,L5430,Postop dsg ak ea add cast ch,,,616.07,1207.5,7
HCPCS,L5450,Hc Postop App Non Wgt Bear Dressing L5450,1465.6100000000001,571.59,,,0
HCPCS,L5450,Postop app non-wgt bear dsg,,,501.19,982.33,7
HCPCS,L5460,Postop app non-wgt bear dsg,,,667.75,1308.79,7
HCPCS,L5500,Init bk ptb plaster direct,,,1572.33,3081.77,7
HCPCS,L5505,Init ak ischal plstr direct,,,2174.6,4262.22,7
HCPCS,L5510,Prep BK ptb plaster molded,,,1782.34,3493.39,7
HCPCS,L5520,Perp BK ptb thermopls direct,,,1760.53,3450.64,7
HCPCS,L5530,Prep BK ptb thermopls molded,,,2114.56,4144.54,7
HCPCS,L5535,Prep BK ptb open end socket,,,2076.09,4069.14,7
HCPCS,L5540,Prep BK ptb laminated socket,,,2215.83,4343.03,7
HCPCS,L5560,Prep AK ischial plast molded,,,2379.43,4663.68,7
HCPCS,L5570,Prep AK ischial direct form,,,2473.76,4848.57,7
HCPCS,L5580,Prep AK ischial thermo mold,,,2887.94,5660.36,7
HCPCS,L5585,Prep AK ischial open end,,,3554.08,6966.0,7
HCPCS,L5590,Prep AK ischial laminated,,,2943.01,5768.3,7
HCPCS,L5595,Hip disartic sach thermopls,,,5199.23,10190.49,7
HCPCS,L5600,Hip disart sach laminat mold,,,5588.93,10954.3,7
HCPCS,L5610,Above knee hydracadence,,,2534.66,4967.93,7
HCPCS,L5611,Ak 4 bar link w/fric swing,,,1972.47,3866.04,7
HCPCS,L5613,Ak 4 bar ling w/hydraul swig,,,3083.91,6044.46,7
HCPCS,L5614,4-bar link above knee w/swng,,,2089.13,4094.69,7
HCPCS,L5615,Ak 4 bar link hydl swg/stanc,,,6841.95,13410.22,7
HCPCS,L5616,Ak univ multiplex sys frict,,,1666.52,3266.38,7
HCPCS,L5617,AK/BK self-aligning unit ea,,,692.69,1357.67,7
HCPCS,L5618,Test socket symes,,,366.46,718.26,7
HCPCS,L5620,Test socket below knee,,,340.36,667.11,7
HCPCS,L5622,Test socket knee disarticula,,,443.82,869.89,7
HCPCS,L5624,Test socket above knee,,,445.08,872.36,7
HCPCS,L5626,Test socket hip disarticulat,,,583.7,1144.05,7
HCPCS,L5628,Test socket hemipelvectomy,,,624.13,1223.29,7
HCPCS,L5629,Below knee acrylic socket,,,389.06,762.56,7
HCPCS,L5630,Syme typ expandabl wall sckt,,,549.44,1076.9,7
HCPCS,L5631,Ak/knee disartic acrylic soc,,,537.91,1054.3,7
HCPCS,L5632,Symes type ptb brim design s,,,300.21,588.41,7
HCPCS,L5634,Symes type poster opening so,,,372.4,729.9,7
HCPCS,L5636,Symes type medial opening so,,,311.94,611.4,7
HCPCS,L5637,Below knee total contact,,,353.67,693.19,7
HCPCS,L5638,Below knee leather socket,,,616.08,1207.52,7
HCPCS,L5639,Below knee wood socket,,,1372.6,2690.3,7
HCPCS,L5640,Knee disarticulat leather so,,,782.83,1534.35,7
HCPCS,L5642,Above knee leather socket,,,758.5,1486.66,7
HCPCS,L5643,Hip flex inner socket ext fr,,,1905.46,3734.7,7
HCPCS,L5644,Above knee wood socket,,,723.09,1417.26,7
HCPCS,L5645,Bk flex inner socket ext fra,,,976.81,1914.55,7
HCPCS,L5646,Below knee cushion socket,,,670.77,1314.71,7
HCPCS,L5647,Below knee suction socket,,,973.84,1908.73,7
HCPCS,L5648,Above knee cushion socket,,,806.01,1579.78,7
HCPCS,L5649,Isch containmt/narrow m-l so,,,2920.65,5724.47,7
HCPCS,L5650,Tot contact ak/knee disart s,,,597.66,1171.41,7
HCPCS,L5651,Ak flex inner socket ext fra,,,1470.22,2881.63,7
HCPCS,L5652,Suction susp ak/knee disart,,,533.75,1046.15,7
HCPCS,L5653,Knee disart expand wall sock,,,712.51,1396.52,7
HCPCS,L5654,Socket insert symes,,,406.02,795.8,7
HCPCS,L5655,Socket insert below knee,,,344.08,674.4,7
HCPCS,L5656,Socket insert knee articulat,,,461.57,904.68,7
HCPCS,L5658,Socket insert above knee,,,445.13,872.45,7
HCPCS,L5661,Multi-durometer symes,,,745.01,1460.22,7
HCPCS,L5665,Multi-durometer below knee,,,626.84,1228.61,7
HCPCS,L5666,Below knee cuff suspension,,,85.69,167.95,7
HCPCS,L5668,Bk molded distal cushion,,,138.23,270.93,7
HCPCS,L5668,Hc Below Knee Molded Distal Cushion L5668,409.34,159.64,,,0
HCPCS,L5670,Bk molded supracondylar susp,,,332.2,651.11,7
HCPCS,L5671,Bk/ak locking mechanism,,,703.98,1379.8,7
HCPCS,L5672,Bk removable medial brim sus,,,365.06,715.52,7
HCPCS,L5673,Socket insert w lock mech,,,870.51,1706.2,7
HCPCS,L5676,Bk knee joints single axis p,,,443.63,869.51,7
HCPCS,L5677,Bk knee joints polycentric p,,,603.62,1183.1,7
HCPCS,L5678,Bk joint covers pair,,,48.61,95.28,7
HCPCS,L5679,Socket insert w/o lock mech,,,725.39,1421.76,7
HCPCS,L5680,Bk thigh lacer non-molded,,,405.77,795.31,7
HCPCS,L5681,Intl custm cong/latyp insert,,,1628.51,3191.88,7
HCPCS,L5682,Bk thigh lacer glut/ischia m,,,765.63,1500.63,7
HCPCS,L5683,Initial custom socket insert,,,1628.51,3191.88,7
HCPCS,L5684,Bk fork strap,,,58.93,115.5,7
HCPCS,L5685,Below knee sus/seal sleeve,,,158.57,310.8,7
HCPCS,L5686,Bk back check,,,62.55,122.6,7
HCPCS,L5688,Bk waist belt webbing,,,74.78,146.57,7
HCPCS,L5690,Bk waist belt padded and lin,,,119.8,234.81,7
HCPCS,L5692,Ak pelvic control belt light,,,162.67,318.83,7
HCPCS,L5694,Ak pelvic control belt pad/l,,,222.1,435.32,7
HCPCS,L5695,Ak sleeve susp neoprene/equa,,,205.01,401.82,7
HCPCS,L5696,Ak/knee disartic pelvic join,,,226.51,443.96,7
HCPCS,L5697,Ak/knee disartic pelvic band,,,98.28,192.63,7
HCPCS,L5698,Ak/knee disartic silesian ba,,,160.7,314.97,7
HCPCS,L5699,Shoulder harness,,,289.51,567.44,7
HCPCS,L5700,Replace socket below knee,,,3507.7,6875.09,7
HCPCS,L5701,Replace socket above knee,,,4212.49,8256.48,7
HCPCS,L5702,Replace socket hip,,,5329.4,10445.62,7
HCPCS,L5703,Symes ankle w/o (sach) foot,,,2758.03,5405.74,7
HCPCS,L5704,Custom shape cover bk,,,656.22,1286.19,7
HCPCS,L5705,Custom shape cover ak,,,1172.55,2298.2,7
HCPCS,L5706,Custom shape cvr knee disart,,,1149.39,2252.8,7
HCPCS,L5707,Custom shape cvr hip disart,,,1515.28,2969.95,7
HCPCS,L5710,Kne-shin exo sng axi mnl loc,,,457.86,897.41,7
HCPCS,L5711,Knee-shin exo mnl lock ultra,,,639.88,1254.16,7
HCPCS,L5712,Knee-shin exo frict swg & st,,,536.15,1050.85,7
HCPCS,L5714,Knee-shin exo variable frict,,,550.71,1079.39,7
HCPCS,L5716,Knee-shin exo mech stance ph,,,892.28,1748.87,7
HCPCS,L5718,Knee-shin exo frct swg & sta,,,1115.26,2185.91,7
HCPCS,L5722,Knee-shin pneum swg frct exo,,,1178.22,2309.31,7
HCPCS,L5724,Knee-shin exo fluid swing ph,,,1847.9,3621.88,7
HCPCS,L5726,Knee-shin ext jnts fld swg e,,,2129.66,4174.13,7
HCPCS,L5728,Knee-shin fluid swg & stance,,,2913.09,5709.66,7
HCPCS,L5780,Knee-shin pneum/hydra pneum,,,1401.65,2747.23,7
HCPCS,L5781,Lower limb pros vacuum pump,,,4953.58,9709.02,7
HCPCS,L5782,HD low limb pros vacuum pump,,,5222.21,10235.53,7
HCPCS,L5783,Add low ext mec limb vol sys,,,3150.07,6174.14,7
HCPCS,L5785,Exoskeletal bk ultralt mater,,,787.9,1544.28,7
HCPCS,L5790,Exoskeletal ak ultra-light m,,,880.26,1725.31,7
HCPCS,L5795,Exoskel hip ultra-light mate,,,1752.61,3435.12,7
HCPCS,L5810,Endoskel knee-shin mnl lock,,,596.04,1168.24,7
HCPCS,L5811,Endo knee-shin mnl lck ultra,,,892.86,1750.01,7
HCPCS,L5812,Endo knee-shin frct swg & st,,,692.06,1356.44,7
HCPCS,L5814,Endo knee-shin hydral swg ph,,,4597.89,9011.86,7
HCPCS,L5816,Endo knee-shin polyc mch sta,,,1047.44,2052.98,7
HCPCS,L5818,Endo knee-shin frct swg & st,,,1175.67,2304.31,7
HCPCS,L5822,Endo knee-shin pneum swg frc,,,2084.77,4086.15,7
HCPCS,L5824,Endo knee-shin fluid swing p,,,1877.46,3679.82,7
HCPCS,L5826,Miniature knee joint,,,3866.22,7577.79,7
HCPCS,L5827,Endo knee shin single axis,,,7007.5,13734.7,7
HCPCS,L5828,Endo knee-shin fluid swg/sta,,,3457.19,6776.09,7
HCPCS,L5830,Endo knee-shin pneum/swg pha,,,2323.05,4553.18,7
HCPCS,L5840,Multi-axial knee/shin system,,,4295.32,8418.83,7
HCPCS,L5841,Addition endoskletl knee-shi,,,2870.47,5626.12,7
HCPCS,L5845,Knee-shin sys stance flexion,,,2219.05,4349.34,7
HCPCS,L5848,Knee-shin sys hydraul stance,,,1331.26,2609.27,7
HCPCS,L5850,Endo ak/hip knee extens assi,,,156.61,306.96,7
HCPCS,L5855,Mech hip extension assist,,,420.83,824.83,7
HCPCS,L5856,Elec knee-shin swing/stance,,,29719.96,58251.12,7
HCPCS,L5857,Elec knee-shin swing only,,,10545.73,20669.63,7
HCPCS,L5858,Stance phase only,,,23009.05,45097.74,7
HCPCS,L5859,Knee-shin pro flex/ext cont,,,17962.99,35207.46,7
HCPCS,L5910,Endo below knee alignable sy,,,443.39,869.04,7
HCPCS,L5920,Endo ak/hip alignable system,,,649.58,1273.18,7
HCPCS,L5925,Above knee manual lock,,,548.48,1075.02,7
HCPCS,L5926,Endoskel posit rotat unit,,,697.41,1366.92,7
HCPCS,L5930,High activity knee frame,,,4167.07,8167.46,7
HCPCS,L5940,Endo bk ultra-light material,,,614.1,1203.64,7
HCPCS,L5950,Endo ak ultra-light material,,,960.18,1881.95,7
HCPCS,L5960,Endo hip ultra-light materia,,,1180.22,2313.23,7
HCPCS,L5961,"Endo poly hip, pneu/hyd/rot",,,5627.8,11030.49,7
HCPCS,L5962,Below knee flex cover system,,,776.72,1522.37,7
HCPCS,L5964,Above knee flex cover system,,,1146.54,2247.22,7
HCPCS,L5966,Hip flexible cover system,,,1460.97,2863.5,7
HCPCS,L5968,Multiaxial ankle w dorsiflex,,,4498.91,8817.86,7
HCPCS,L5970,Foot external keel sach foot,,,248.63,487.31,7
HCPCS,L5971,"SACH foot, replacement",,,248.63,487.31,7
HCPCS,L5972,Flexible keel foot,,,464.44,910.3,7
HCPCS,L5973,Ank-foot sys dors-plant flex,,,21299.94,41747.88,7
HCPCS,L5974,Foot single axis ankle/foot,,,285.29,559.17,7
HCPCS,L5975,Combo ankle/foot prosthesis,,,573.98,1125.0,7
HCPCS,L5976,Energy storing foot,,,685.61,1343.8,7
HCPCS,L5978,Ft prosth multiaxial ankl/ft,,,357.27,700.25,7
HCPCS,L5979,Multi-axial ankle/ft prosth,,,2793.44,5475.14,7
HCPCS,L5980,Flex foot system,,,4539.15,8896.73,7
HCPCS,L5981,Flex-walk sys low ext prosth,,,3667.02,7187.36,7
HCPCS,L5982,Exoskeletal axial rotation u,,,707.75,1387.19,7
HCPCS,L5984,Endoskeletal axial rotation,,,697.41,1366.92,7
HCPCS,L5985,Lwr ext dynamic prosth pylon,,,349.58,685.18,7
HCPCS,L5986,Multi-axial rotation unit,,,775.79,1520.55,7
HCPCS,L5987,Shank ft w vert load pylon,,,8906.07,17455.9,7
HCPCS,L5988,Vertical shock reducing pylo,,,2473.19,4847.45,7
HCPCS,L5990,User adjustable heel height,,,2246.04,4402.24,7
HCPCS,L5991,Low pros ext osseo connector,,,11755.04,23039.88,7
HCPCS,L6000,Part hand thumb rem,,,1626.65,3188.23,7
HCPCS,L6010,Part hand little/ring,,,1810.19,3547.97,7
HCPCS,L6020,Part hand no fingers,,,1687.71,3307.91,7
HCPCS,L6026,Part hand myo exclu term dev,,,6119.92,11995.04,7
HCPCS,L6050,Wrst MLd sck flx hng tri pad,,,2325.6,4558.18,7
HCPCS,L6055,Wrst mold sock w/exp interfa,,,3241.3,6352.95,7
HCPCS,L6100,Elb mold sock flex hinge pad,,,2356.19,4618.13,7
HCPCS,L6110,Elbow mold sock suspension t,,,2499.14,4898.31,7
HCPCS,L6120,Elbow mold doub splt soc ste,,,2912.39,5708.28,7
HCPCS,L6130,Elbow stump activated lock h,,,3169.22,6211.67,7
HCPCS,L6200,Elbow mold outsid lock hinge,,,3339.85,6546.11,7
HCPCS,L6205,Elbow molded w/ expand inter,,,4458.17,8738.01,7
HCPCS,L6250,Elbow inter loc elbow forarm,,,3499.39,6858.8,7
HCPCS,L6300,Shlder disart int lock elbow,,,4561.09,8939.74,7
HCPCS,L6310,Shoulder passive restor comp,,,3938.3,7719.07,7
HCPCS,L6320,Shoulder passive restor cap,,,2151.39,4216.72,7
HCPCS,L6350,Thoracic intern lock elbow,,,4795.29,9398.77,7
HCPCS,L6360,Thoracic passive restor comp,,,4312.59,8452.68,7
HCPCS,L6370,Thoracic passive restor cap,,,2580.53,5057.84,7
HCPCS,L6380,Postop dsg cast chg wrst/elb,,,1495.35,2930.89,7
HCPCS,L6382,Postop dsg cast chg elb dis/,,,2249.69,4409.39,7
HCPCS,L6384,Postop dsg cast chg shlder/t,,,3112.22,6099.95,7
HCPCS,L6386,Postop ea cast chg & realign,,,491.64,963.61,7
HCPCS,L6388,Postop applicat rigid dsg on,,,538.21,1054.89,7
HCPCS,L6400,Below elbow prosth tiss shap,,,2840.74,5567.85,7
HCPCS,L6450,Elb disart prosth tiss shap,,,3795.18,7438.55,7
HCPCS,L6500,Above elbow prosth tiss shap,,,3970.5,7782.18,7
HCPCS,L6550,Shldr disar prosth tiss shap,,,4772.61,9354.32,7
HCPCS,L6570,Scap thorac prosth tiss shap,,,5358.37,10502.41,7
HCPCS,L6580,Wrist/elbow bowden cable mol,,,2045.72,4009.61,7
HCPCS,L6582,Wrist/elbow bowden cbl dir f,,,1852.87,3631.63,7
HCPCS,L6584,Elbow fair lead cable molded,,,2905.79,5695.35,7
HCPCS,L6586,Elbow fair lead cable dir fo,,,2719.34,5329.91,7
HCPCS,L6588,Shdr fair lead cable molded,,,3573.15,7003.37,7
HCPCS,L6590,Shdr fair lead cable direct,,,3393.93,6652.1,7
HCPCS,L6600,Polycentric hinge pair,,,229.64,450.09,7
HCPCS,L6605,Single pivot hinge pair,,,226.75,444.43,7
HCPCS,L6610,Flexible metal hinge pair,,,217.74,426.77,7
HCPCS,L6611,"Additional switch, ext power",,,509.7,999.01,7
HCPCS,L6615,Disconnect locking wrist uni,,,234.61,459.84,7
HCPCS,L6616,Disconnect insert locking wr,,,86.93,170.38,7
HCPCS,L6620,Flexion/extension wrist unit,,,375.39,735.76,7
HCPCS,L6621,Flex/ext wrist w/wo friction,,,2831.71,5550.15,7
HCPCS,L6623,Spring-ass rot wrst w/ latch,,,1047.08,2052.28,7
HCPCS,L6624,Flex/ext/rotation wrist unit,,,4662.49,9138.48,7
HCPCS,L6625,Rotation wrst w/ cable lock,,,743.95,1458.14,7
HCPCS,L6628,Quick disconn hook adapter o,,,586.48,1149.5,7
HCPCS,L6629,Lamination collar w/ couplin,,,179.11,351.06,7
HCPCS,L6630,Stainless steel any wrist,,,263.85,517.15,7
HCPCS,L6632,Latex suspension sleeve each,,,91.64,179.61,7
HCPCS,L6635,Lift assist for elbow,,,215.63,422.63,7
HCPCS,L6637,Nudge control elbow lock,,,459.92,901.44,7
HCPCS,L6638,Elec lock on manual pw elbow,,,3095.98,6068.12,7
HCPCS,L6640,Shoulder abduction joint pai,,,408.59,800.84,7
HCPCS,L6641,Excursion amplifier pulley t,,,196.4,384.94,7
HCPCS,L6642,Excursion amplifier lever ty,,,266.21,521.77,7
HCPCS,L6645,Shoulder flexion-abduction j,,,491.37,963.09,7
HCPCS,L6646,Multipo locking shoulder jnt,,,3904.74,7653.29,7
HCPCS,L6647,Shoulder lock actuator,,,642.83,1259.95,7
HCPCS,L6648,Ext pwrd shlder lock/unlock,,,4027.16,7893.23,7
HCPCS,L6650,Shoulder universal joint,,,510.16,999.91,7
HCPCS,L6655,Standard control cable extra,,,100.26,196.51,7
HCPCS,L6660,Heavy duty control cable,,,112.37,220.25,7
HCPCS,L6665,Teflon or equal cable lining,,,56.38,110.5,7
HCPCS,L6670,Hook to hand cable adapter,,,62.34,122.19,7
HCPCS,L6672,Harness chest/shlder saddle,,,247.39,484.88,7
HCPCS,L6675,Harness figure of 8 sing con,,,147.02,288.16,7
HCPCS,L6676,Harness figure of 8 dual con,,,169.95,333.1,7
HCPCS,L6677,UE triple control harness,,,367.3,719.91,7
HCPCS,L6680,Test sock wrist disart/bel e,,,284.03,556.7,7
HCPCS,L6682,Test sock elbw disart/above,,,314.04,615.52,7
HCPCS,L6684,Test socket shldr disart/tho,,,426.74,836.41,7
HCPCS,L6686,Suction socket,,,963.67,1888.79,7
HCPCS,L6687,Frame typ socket bel elbow/w,,,706.16,1384.07,7
HCPCS,L6688,Frame typ sock above elb/dis,,,701.89,1375.7,7
HCPCS,L6689,Frame typ socket shoulder di,,,840.96,1648.28,7
HCPCS,L6690,Frame typ sock interscap-tho,,,916.41,1796.16,7
HCPCS,L6691,Removable insert each,,,424.15,831.33,7
HCPCS,L6692,Silicone gel insert or equal,,,684.63,1341.87,7
HCPCS,L6693,Lockingelbow forearm cntrbal,,,3514.73,6888.87,7
HCPCS,L6694,Elbow socket ins use w/lock,,,870.51,1706.2,7
HCPCS,L6695,Elbow socket ins use w/o lck,,,725.39,1421.76,7
HCPCS,L6696,Cus elbo skt in for con/atyp,,,1628.51,3191.88,7
HCPCS,L6697,Cus elbo skt in not con/atyp,,,1628.51,3191.88,7
HCPCS,L6698,Below/above elbow lock mech,,,703.98,1379.8,7
HCPCS,L6700,Ue add ext power myoel,,,29510.19,57839.97,7
HCPCS,L6703,"Term dev, passive hand mitt",,,445.07,872.34,7
HCPCS,L6704,"Term dev, sport/rec/work att",,,716.96,1405.24,7
HCPCS,L6706,Term dev mech hook vol open,,,427.16,837.23,7
HCPCS,L6707,Term dev mech hook vol close,,,1574.47,3085.96,7
HCPCS,L6708,Term dev mech hand vol open,,,1029.27,2017.37,7
HCPCS,L6709,Term dev mech hand vol close,,,1483.22,2907.11,7
HCPCS,L6711,"Ped term dev, hook, vol open",,,832.33,1631.37,7
HCPCS,L6712,"Ped term dev, hook, vol clos",,,1532.52,3003.74,7
HCPCS,L6713,"Ped term dev, hand, vol open",,,1934.13,3790.89,7
HCPCS,L6714,"Ped term dev, hand, vol clos",,,1638.27,3211.01,7
HCPCS,L6715,"Term device, multi art digit",,,3908.64,7660.93,7
HCPCS,L6721,"Hook/hand, hvy dty, vol open",,,2911.82,5707.17,7
HCPCS,L6722,"Hook/hand, hvy dty, vol clos",,,2510.19,4919.97,7
HCPCS,L6805,Term dev modifier wrist unit,,,416.53,816.4,7
HCPCS,L6810,Term dev precision pinch dev,,,236.08,462.72,7
HCPCS,L6880,Elec hand ind art digits,,,29579.67,57976.15,7
HCPCS,L6881,Term dev auto grasp feature,,,5061.33,9920.21,7
HCPCS,L6882,Microprocessor control uplmb,,,3839.33,7525.09,7
HCPCS,L6883,Replc sockt below e/w disa,,,1942.73,3807.75,7
HCPCS,L6884,Replc sockt above elbow disa,,,2883.44,5651.54,7
HCPCS,L6885,Replc sockt shldr dis/interc,,,4312.59,8452.68,7
HCPCS,L6890,Prefab glove for term device,,,208.23,408.13,7
HCPCS,L6895,Custom glove for term device,,,766.02,1501.4,7
HCPCS,L6900,Hand restorat thumb/1 finger,,,2186.02,4284.6,7
HCPCS,L6905,Hand restoration multiple fi,,,2173.6,4260.26,7
HCPCS,L6910,Hand restoration no fingers,,,1858.64,3642.93,7
HCPCS,L6915,Hand restoration replacmnt g,,,937.1,1836.72,7
HCPCS,L6920,Wrist disarticul switch ctrl,,,8170.29,16013.77,7
HCPCS,L6925,Wrist disart myoelectronic c,,,10998.63,21557.31,7
HCPCS,L6930,Below elbow switch control,,,8220.96,16113.08,7
HCPCS,L6935,Below elbow myoelectronic ct,,,11169.31,21891.85,7
HCPCS,L6940,Elbow disarticulation switch,,,10741.21,21052.77,7
HCPCS,L6945,Elbow disart myoelectronic c,,,13124.47,25723.96,7
HCPCS,L6950,Above elbow switch control,,,12208.9,23929.44,7
HCPCS,L6955,Above elbow myoelectronic ct,,,14621.82,28658.77,7
HCPCS,L6960,Shldr disartic switch contro,,,16562.87,32463.23,7
HCPCS,L6965,Shldr disartic myoelectronic,,,17664.91,34623.22,7
HCPCS,L6970,Interscapular-thor switch ct,,,18407.12,36077.96,7
HCPCS,L6975,Interscap-thor myoelectronic,,,20131.45,39457.64,7
HCPCS,L7007,Adult electric hand,,,4212.72,8256.93,7
HCPCS,L7008,Pediatric electric hand,,,6630.37,12995.53,7
HCPCS,L7009,Adult electric hook,,,4298.3,8424.67,7
HCPCS,L7040,Prehensile actuator,,,3451.37,6764.69,7
HCPCS,L7045,Pediatric electric hook,,,1978.79,3878.43,7
HCPCS,L7170,Electronic elbow hosmer swit,,,9111.07,17857.7,7
HCPCS,L7180,Electronic elbow sequential,,,39992.59,78385.48,7
HCPCS,L7181,Electronic elbo simultaneous,,,49605.45,97226.68,7
HCPCS,L7185,Electron elbow adolescent sw,,,8997.32,17634.75,7
HCPCS,L7186,Electron elbow child switch,,,10829.14,21225.11,7
HCPCS,L7190,Elbow adolescent myoelectron,,,9450.26,18522.51,7
HCPCS,L7191,Elbow child myoelectronic ct,,,11315.81,22178.99,7
HCPCS,L7259,Electronic wrist rotator any,,,3912.59,7668.68,7
HCPCS,L7360,Six volt bat otto bock/eq ea,,,292.13,572.57,7
HCPCS,L7362,Battery chrgr six volt otto,,,306.73,601.19,7
HCPCS,L7364,Twelve volt battery utah/equ,,,487.84,956.17,7
HCPCS,L7366,Battery chrgr 12 volt utah/e,,,657.13,1287.97,7
HCPCS,L7367,Replacemnt lithium ionbatter,,,481.97,944.66,7
HCPCS,L7368,Lithium ion battery charger,,,624.83,1224.67,7
HCPCS,L7400,"Add ue prost be/wd, ultlite",,,379.46,743.74,7
HCPCS,L7401,Add ue prost a/e ultlite mat,,,424.81,832.63,7
HCPCS,L7402,Add ue prost s/d ultlite mat,,,458.7,899.05,7
HCPCS,L7403,Add UE prost b/e acrylic,,,455.94,893.64,7
HCPCS,L7404,Add UE prost a/e acrylic,,,688.07,1348.62,7
HCPCS,L7405,Add UE prost s/d acrylic,,,899.94,1763.88,7
HCPCS,L7406,Add to upp extr user adj mec,,,3150.07,6174.14,7
HCPCS,L7520,Repair prosthesis per 15 min,,,40.67,79.71,7
HCPCS,L7700,Pros soc insert gasket/seal,,,138.17,270.81,7
HCPCS,L8000,Mastectomy bra,,,53.85,105.55,7
HCPCS,L8001,Breast prosthesis bra & form,,,155.28,304.35,7
HCPCS,L8002,Brst prsth bra & bilat form,,,204.28,400.39,7
HCPCS,L8015,Ext breastprosthesis garment,,,74.19,145.41,7
HCPCS,L8020,Mastectomy form,,,279.11,547.06,7
HCPCS,L8030,Breast prosthes w/o adhesive,,,403.72,791.29,7
HCPCS,L8031,Breast prosthesis w adhesive,,,403.72,791.29,7
HCPCS,L8032,Reusable nipple prosthesis,,,48.49,95.04,7
HCPCS,L8035,Custom breast prosthesis,,,4535.66,8889.89,7
HCPCS,L8040,Nasal prosthesis,,,2992.53,5865.36,7
HCPCS,L8041,Midfacial prosthesis,,,3606.94,7069.6,7
HCPCS,L8042,Orbital prosthesis,,,4052.7,7943.29,7
HCPCS,L8043,Upper facial prosthesis,,,4539.05,8896.54,7
HCPCS,L8044,Hemi-facial prosthesis,,,5025.35,9849.69,7
HCPCS,L8045,Auricular prosthesis,,,3147.02,6168.16,7
HCPCS,L8046,Partial facial prosthesis,,,3242.18,6354.67,7
HCPCS,L8047,Nasal septal prosthesis,,,1661.59,3256.72,7
HCPCS,L8300,Truss single w/ standard pad,,,119.24,233.71,7
HCPCS,L8310,Truss double w/ standard pad,,,183.33,359.33,7
HCPCS,L8320,Truss addition to std pad wa,,,80.07,156.94,7
HCPCS,L8330,Truss add to std pad scrotal,,,79.38,155.58,7
HCPCS,L8400,Sheath below knee,,,23.21,45.49,7
HCPCS,L8410,Sheath above knee,,,26.4,51.74,7
HCPCS,L8415,Sheath upper limb,,,26.24,51.43,7
HCPCS,L8417,Pros sheath/sock w gel cushn,,,93.1,182.48,7
HCPCS,L8420,Prosthetic sock multi ply BK,,,30.67,60.11,7
HCPCS,L8430,Prosthetic sock multi ply AK,,,33.75,66.15,7
HCPCS,L8435,Pros sock multi ply upper lm,,,30.27,59.33,7
HCPCS,L8440,Shrinker below knee,,,64.18,125.79,7
HCPCS,L8460,Shrinker above knee,,,89.33,175.09,7
HCPCS,L8465,Shrinker upper limb,,,79.62,156.06,7
HCPCS,L8470,Pros sock single ply BK,,,8.17,16.01,7
HCPCS,L8480,Pros sock single ply AK,,,11.27,22.09,7
HCPCS,L8485,Pros sock single ply upper l,,,13.62,26.7,7
HCPCS,L8500,Artificial larynx,,,807.95,1583.58,7
HCPCS,L8501,Tracheostomy speaking valve,,,179.42,351.66,7
HCPCS,L8507,Trach-esoph voice pros pt in,,,51.86,101.65,7
HCPCS,L8509,Hc Tracheo Esoph Voice Prosthesis Inserted By Lic Hc Provider Any Type,657.22,256.32,,,0
HCPCS,L8509,Trach-esoph voice pros md in,,,135.22,265.03,7
HCPCS,L8509,Tracheo-Esophageal Voice Prost,657.22,256.32,,,0
HCPCS,L8510,Voice amplifier,,,312.86,613.21,7
HCPCS,L8511,Indwelling trach insert,,,90.05,176.5,7
HCPCS,L8512,Gel cap for trach voice pros,,,2.7,5.29,7
HCPCS,L8513,Trach pros cleaning device,,,6.47,12.68,7
HCPCS,L8514,Repl trach puncture dilator,,,116.74,228.81,7
HCPCS,L8515,Gel Cap App Device For Trach,22.77,8.88,,,0
HCPCS,L8515,Gel cap app device for trach,,,78.14,153.15,7
HCPCS,L8515,Hc Device Gel Cap Trach,22.77,8.88,,,0
HCPCS,L8600,Impl Gel Mentor Smooth Hp,5216.4,2034.4,,,0
HCPCS,L8603,Collagen imp urinary 2.5 ml,,,1937.0,1937.0,1
HCPCS,L8603,Sys Impl Bulking Agent,4999.05,1949.63,,,0
HCPCS,L8604,Dextran/Hyalur Acid 1Ml Deflux,13814.14,5387.51,,,0
HCPCS,L8604,Noncdm Charge Record Medical Supplies - Deflux 50 Mg-15 Mg-Ml (1) Syringe,22250.2,8677.58,,,0
HCPCS,L8606,Noncdm Charge Record Medical Supplies - Bulkamid Kit Urethral Bulking System With Needle 2G 12Mm,5558.81,2167.94,,,0
HCPCS,L8606,Noncdm Charge Record Medical Supplies - Coaptite Injectable Implant 1 Ml Syringe Boston Scientific,2590.6,1010.33,,,0
HCPCS,L8606,Noncdm Charge Record Medical Supplies - Syringe 2.5Ml Urethral Bulking Agent Macroplatique,3475.4,1355.41,,,0
HCPCS,L8606,Sup Inj Bulking Agent Synthetic Implant Urinary Tract 1 Ml Syringe,5558.98,2168.0,,,0
HCPCS,L8610,Noncdm Charge Record Medical Supplies - Implant Enucleation 18Mm Evisceration,242.19,94.45,,,0
HCPCS,L8610,Noncdm Charge Record Medical Supplies - Implant Enucleation 20Mm Evisceration,242.19,94.45,,,0
HCPCS,L8613,Frisbee Ha Partial Titanium 1.,1445.9,563.9,,,0
HCPCS,L8613,Implant Ossicular Ttp,2052.41,800.44,,,0
HCPCS,L8613,Noncdm Charge Record Medical Supplies,2355.66,918.71,,,0
HCPCS,L8613,Noncdm Charge Record Medical Supplies - Cochlear Implant Pt Kit 453,55140.59,21504.83,,,0
HCPCS,L8613,Noncdm Charge Record Medical Supplies - Connector Omega Pros 1.5X.8X.5Mm Kurz Medical,1235.79,481.96,,,0
HCPCS,L8613,Noncdm Charge Record Medical Supplies - Magnet S-Vector Flexsoft Mi1250 Synchrony 2,102358.225,39919.71,,,0
HCPCS,L8613,Noncdm Charge Record Medical Supplies - Ossicular Implant Centered Alto Concise Partial,2119.68,826.68,,,0
HCPCS,L8613,Noncdm Charge Record Medical Supplies - Ossicular Implant Centered Alto Partial,2092.77,816.18,,,0
HCPCS,L8613,Noncdm Charge Record Medical Supplies - Ossicular Implant Centered Alto Total,2092.77,816.18,,,0
HCPCS,L8613,Noncdm Charge Record Medical Supplies - Ossicular Implant Dornhoffer Footplate Shoe 8Mmd,821.79,320.5,,,0
HCPCS,L8613,Noncdm Charge Record Medical Supplies - Ossicular Implant Kraus K-Helix Crown,2570.94,1002.67,,,0
HCPCS,L8613,Noncdm Charge Record Medical Supplies - Ossicular Implant Kraus K-Helix Piston,2619.58,1021.64,,,0
HCPCS,L8613,Noncdm Charge Record Medical Supplies - Ossicular Implant Offset Alto Total,2529.54,986.52,,,0
HCPCS,L8613,Noncdm Charge Record Medical Supplies - Piston Middle Ear Stape Bucket 3.5 Mm Length .4 Mm Dia,970.83,378.62,,,0
HCPCS,L8613,Noncdm Charge Record Medical Supplies - Piston Smart .6X5.5 Mallous,1581.48,616.78,,,0
HCPCS,L8613,Noncdm Charge Record Medical Supplies - Prostheses Ear .6X4.25Mm S Ntnl Piston,1538.76,600.12,,,0
HCPCS,L8613,Noncdm Charge Record Medical Supplies - Prostheses Ear .6X4.5Mm S Ntnl Piston,1430.78,558.0,,,0
HCPCS,L8613,Noncdm Charge Record Medical Supplies - Prostheses Ear Total 3-7Mm Ttp-Variac,2616.48,1020.43,,,0
HCPCS,L8613,Noncdm Charge Record Medical Supplies - Prosthesis Clip Partial 0.2 X 2.0Mm,2578.18,1005.49,,,0
HCPCS,L8613,Noncdm Charge Record Medical Supplies - Prosthesis Clip Partial 0.2 X 2.25Mm,2578.18,1005.49,,,0
HCPCS,L8613,Noncdm Charge Record Medical Supplies - Prosthesis Clip Partial 0.2 X 2.5Mm,2578.18,1005.49,,,0
HCPCS,L8613,Noncdm Charge Record Medical Supplies - Prosthesis Clip Partial 0.2 X 2.75Mm,2578.18,1005.49,,,0
HCPCS,L8613,Noncdm Charge Record Medical Supplies - Prosthesis Clip Partial 0.2 X 3.0Mm,2578.18,1005.49,,,0
HCPCS,L8613,Noncdm Charge Record Medical Supplies - Prosthesis Ear L4Mm Piston Dia0.6Mm Titanium Classic Stap,1035.69,403.92,,,0
HCPCS,L8613,Noncdm Charge Record Medical Supplies - Prosthesis Oss Sm 2X2X1Mm 1Mm,1757.43,685.4,,,0
HCPCS,L8613,Noncdm Charge Record Medical Supplies - Prosthesis Ossicular L3-7Mm He Head Od2X2.50Mm,2190.06,854.12,,,0
HCPCS,L8613,Noncdm Charge Record Medical Supplies - Prosthesis Ossicular Offset Concise Partial Alto,2121.75,827.48,,,0
HCPCS,L8613,Noncdm Charge Record Medical Supplies - Prosthesis Stapes L4.25Mm D .6Mm Pstn Flt Ribbon Eclipse,2085.63,813.395,,,0
HCPCS,L8613,Noncdm Charge Record Medical Supplies - Prosthesis Stapes L4.50Mm D .5Mm Pstn Flt Ribbon Eclipse,2030.67,791.96,,,0
HCPCS,L8613,Noncdm Charge Record Medical Supplies - Prosthesis Stapes L4.50Mm D .6Mm Pstn Flt Ribbon Eclipse,2071.38,807.84,,,0
HCPCS,L8613,Noncdm Charge Record Medical Supplies - Prosthesis Stapes L4.Mm D .6Mm Pstn Flt Ribbon Eclipse,2045.94,797.92,,,0
HCPCS,L8613,Noncdm Charge Record Medical Supplies - Set 4.25Mmx.6Mm Piston Eye And Ear Mass,605.48,236.14,,,0
HCPCS,L8613,Noncdm Charge Record Medical Supplies - Ultra 3D Cochlear Implant 04,93029.94,36281.68,,,0
HCPCS,L8613,Ossicula Implant Bucket Handle,987.39,385.08,,,0
HCPCS,L8613,Prosthesis Ossicular Implant,1526.62,595.38,,,0
HCPCS,L8613,Prosthesis/Ear/Goldenberg/Wehr,1393.11,543.31,,,0
HCPCS,L8613,Sup Ossicula Implant,1308.58,510.35,,,0
HCPCS,L8614,Cochlear device,,,1308.0,1308.0,1
HCPCS,L8614,F Cochlear  Profile Nucleus,66028.86,25751.26,,,0
HCPCS,L8614,Impl Cochlear Hres Hi Focus,71715.15,27968.91,,,0
HCPCS,L8614,Impl Ear Electrode Mid-Scala,61551.45,24005.07,,,0
HCPCS,L8614,Implant Hybrid Cochlear Nucleu,64799.28,25271.72,,,0
HCPCS,L8614,Noncdm Charge Record Medical Supplies,97575.66,38054.51,,,0
HCPCS,L8614,Noncdm Charge Record Medical Supplies - Cochlear Implant Ci612 Nucleus Profile Plus,125110.26,48793.0,,,0
HCPCS,L8614,Noncdm Charge Record Medical Supplies - Cochlear Implant Ci622 Nucleus Profile,93613.85,36509.4,,,0
HCPCS,L8614,Noncdm Charge Record Medical Supplies - Cochlear Implant Pt Kit 453,52609.05,20517.53,,,0
HCPCS,L8614,Noncdm Charge Record Medical Supplies - Implant Cochlear With Slim Mod Electrode Ci632 Nucleus Profi,106813.95,41657.44,,,0
HCPCS,L8614,Noncdm Charge Record Medical Supplies - Implant Hires Ultra 3D System W-Hifocus Mid-Scala Electrode,109307.64,42629.98,,,0
HCPCS,L8614,Noncdm Charge Record Medical Supplies - Implant Hires Ultra 3D System W-Hifocus Slimj Electrode Syst,49471.6,19293.92,,,0
HCPCS,L8614,Noncdm Charge Record Medical Supplies - Processor Kit Dual N7,45704.56,17824.78,,,0
HCPCS,L8614,Noncdm Charge Record Medical Supplies - Sonnet 2 And Rondo 3 Patient K Kit,56126.89,21889.49,,,0
HCPCS,L8614,Sup Cochlear Device Incl All External/Internal Components,91866.08,35827.77,,,0
HCPCS,L8614,System Device Cochlear,71836.24,28016.13,,,0
HCPCS,L8615,Coch implant headset replace,,,558.37,1094.41,7
HCPCS,L8616,Coch implant microphone repl,,,130.06,254.92,7
HCPCS,L8617,Coch implant trans coil repl,,,113.64,222.73,7
HCPCS,L8618,Coch implant tran cable repl,,,32.46,63.62,7
HCPCS,L8619,Coch imp ext proc/contr rplc,,,3099.0,19705.78,8
HCPCS,L8621,Repl zinc air battery,,,0.77,1.51,7
HCPCS,L8622,Repl alkaline battery,,,0.4,0.78,7
HCPCS,L8623,"Lith ion batt cid,non-earlvl",,,80.07,156.94,7
HCPCS,L8624,"Lith ion batt cid, ear level",,,199.62,391.26,7
HCPCS,L8625,Charger coch impl/aoi battry,,,233.81,458.27,7
HCPCS,L8627,CID ext speech process repl,,,8522.43,16703.96,7
HCPCS,L8627,Cochlear Porcessor Dual Kit,44458.42,17338.78,,,0
HCPCS,L8628,CID ext controller repl,,,1531.57,3001.88,7
HCPCS,L8629,CID transmit coil and cable,,,221.67,434.47,7
HCPCS,L8680,Noncdm Charge Record Medical Supplies,9065.56,3535.57,,,0
HCPCS,L8681,Pt prgrm for implt neurostim,,,1398.33,2740.73,7
HCPCS,L8683,Radiofq trsmtr for implt neu,,,6496.7,12733.53,7
HCPCS,L8684,Radiof trsmtr implt scrl neu,,,853.14,1672.15,7
HCPCS,L8689,Bipolar  Cemented Fx St/Bp Cp,5372.68,2095.35,,,0
HCPCS,L8689,Bundle Prplrmst/G7Cp/,25932.96,10113.85,,,0
HCPCS,L8689,External recharg sys intern,,,2135.51,4185.6,7
HCPCS,L8689,Inceptiv Wireless Ext Neuro,869.4,339.07,,,0
HCPCS,L8690,Ear Ponto Bhx W/14Mm Abutm 4Mm,18192.2,7094.96,,,0
HCPCS,L8690,Impl Ear Ponto Abutment,11628.22,4535.01,,,0
HCPCS,L8690,Implant Bi300 3Mm,5986.44,2334.71,,,0
HCPCS,L8690,Implant Cochlear 3Mm,8910.32,3475.02,,,0
HCPCS,L8690,Implant Cochlear Osi300,32167.8,12545.44,,,0
HCPCS,L8690,Implant Cochlear Osia Osi300,19613.25,7649.17,,,0
HCPCS,L8690,Implant Wide 3Mm Abutment 12,15479.46,6036.99,,,0
HCPCS,L8690,Implant Wide 4Mm W/ Abutment,12342.38,4813.53,,,0
HCPCS,L8690,Noncdm Charge Record Medical Supplies,9515.79,3711.16,,,0
HCPCS,L8690,Noncdm Charge Record Medical Supplies - Implant Cochlear Bia400 W 6Mm Abtmnt,14852.25,5792.38,,,0
HCPCS,L8690,Noncdm Charge Record Medical Supplies - Implant Ponto Bhx 4Mm W-12Mm A Butment,23426.4,9136.3,,,0
HCPCS,L8690,Noncdm Charge Record Medical Supplies - Implant Ponto Bhx 4Mm W-9Mm Ab Utment,27293.21,10644.35,,,0
HCPCS,L8690,Processor Osia Cochlear,17961.39,7004.94,,,0
HCPCS,L8690,Sup Auditory Osseointegrated Device Includes All Int And Ext Components,23781.13,9274.64,,,0
HCPCS,L8691,Kit Processor Sound Osia 2,19247.9,7506.68,,,0
HCPCS,L8691,Noncdm Charge Record Medical Supplies,18518.22,7222.11,,,0
HCPCS,L8691,Osseointegrated snd proc rpl,,,2132.09,4178.9,7
HCPCS,L8691,Processor  Osia 2 I,32167.8,12545.44,,,0
HCPCS,L8691,Processor Audio Vibrant,13864.86,5407.3,,,0
HCPCS,L8691,Processor Nucleus 7,43209.18,16851.58,,,0
HCPCS,L8691,Processor Ponto 5 Sprpwr,20343.96,7934.14,,,0
HCPCS,L8691,Processor Sound Ponto,14173.29,5527.58,,,0
HCPCS,L8691,Processor Sound Rondo Dual,40140.4,15654.76,,,0
HCPCS,L8691,Processor Soundosia,17588.79,6859.63,,,0
HCPCS,L8693,Abutment System,14083.24,5492.46,,,0
HCPCS,L8693,"Aud osseo dev, abutment",,,1877.27,3679.45,7
HCPCS,L8694,Aoi transducer/actuator repl,,,1169.21,2291.65,7
HCPCS,L8695,External recharg sys extern,,,20.61,40.4,7
HCPCS,L8696,Ext antenna phren nerve stim,,,268.36,525.99,7
HCPCS,L8699,Connector Lateral Open,7224.3,2817.48,,,0
HCPCS,L8699,Dbl Connector 12Mm Wide,12280.28,4789.31,,,0
HCPCS,L8699,Impl Testicular Medium 2.7,8415.58,3282.08,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies,4748.575000000001,1851.945,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Atriclip Gillinov-Cosgrove Left Atrial Appendage Exclusion 4,5425.47,2115.9300000000003,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Atriclip Gillinov-Cosgrove Left Atrial Appendage Exclusion 5,5050.8,1969.81,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Autoplex Mixer W Vhv Wo Ndl,5257.28,2050.34,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Bone Cement 40 Gram Rally High Viscosity Smith And Nephew,268.63,104.77,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Bone Cement 40 Gram Rally Medium Viscosity Smith And Nephew,268.66,104.78,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Bone Cement 40 Gram Versabond Medium Viscosity Smith And Nep,966.73,377.02,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Bone Cement High Viscosity 40 Gram Antibiotic Smith And Neph,966.71,377.02,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Cap Facet Reduction Spinal Posterior Creo Globus Medical,268.58,104.75,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Cap Lead 4.6-8.4Fr 5Mm 3.2Mm,102.27,39.89,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Cartridge Meniscal Repair Size 2-0 Suture Novostitch Plus,3102.93,1210.14,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Cement Bn Cds Kyp Balloon Kyphoplasty,442.98,172.76,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Cement Bn Endrn Sst 20Gm,214.76,83.76,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Cement Bn Endrn Sst 40Gm Hvisc,966.71,377.02,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Cement Bn Endrn Sst 40Gm Med Vsc,271.74,105.98,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Cement Bn Endrn Sst Gmv Eo Gnta 40Gm,545.82,212.87,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Cement Bn Kph Hvr Radiopq,486.45,189.72,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Cement Bn Kph Xpede Mix Pk,940.08,366.63,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Cement Bn Ottomimix Ca Phos Strl,2009.45,783.69,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Cement Bn Plc R 40Gm Gnta Sgl,1342.96,523.75,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Cement Bn Radiopq Fd Strl,1638.4,638.98,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Cement Bn Smpx P Radiopq Fd Strl 10Pk,436.77,170.34,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Cement Bn Xpede Tap Sz 2 Kph Mix Pk,939.78,366.51,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Cement Bn Xpede Tap Sz 3 Kph Mix Pk,856.98,334.22,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Cement Bone 40Gm W -Gentamicin Refobacin,1049.86,409.45,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Cement Bone Full Dose,163.93,63.93,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Cement Bone Palacos 40Gm Zimmer,349.25,136.21,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Cement Bone Simplex Full Individual Pack Stryker,402.95,157.15,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Cement Bone Vertaplex Hv 20Gm Dual Pack Stryker,3651.14,1423.94,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Chamber Accolade Dr-Mri Dual,13533.66,5278.13,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Clip 10Mm Straight,2558.0,997.62,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Clip 11Mm Slightly Curved,2436.39,950.19,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Clip 4Mm Straight Mini,2436.39,950.19,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Clip 4Mm Straight Mini Titanium Slim Serrated,2436.39,950.19,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Clip 5.2Mm More Curved St Mini,2436.39,950.19,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Clip 5.5Mm Curved Slim Serrated Mini,2436.18,950.11,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Clip 5.5Mm Slightly Curved Mini,2436.39,950.19,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Clip 5Mm Bayonet Mini,2436.13,950.09,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Clip 6.7Mm Curved Slim Serrated Mini,2436.39,950.19,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Clip 6Mm Straight Mini,2436.39,950.19,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Clip 7Mm Bayonet,2436.39,950.19,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Clip 7Mm Sideward Curved Mini,2436.39,950.19,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Clip 7Mm Straight,2436.39,950.19,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Clip Aneurysm No137 L20.8Mm 12Mm Handle L12Mm 0.69N Strt,2435.87,949.99,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Clip Aneurysm No55 L11Mm 11Mm 0.69N Slightly Curved,2436.39,950.19,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Clip Aneurysm No68 L9Mm Opening 10Mm 1.47N,2436.39,950.19,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Clip Aneurysm Tii Mini Temp 13.5 Straight 15Mm,2679.62,1045.05,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Clip Aneurysm Tii Mini Temp 16.5 Straight 20Mm,2436.39,950.19,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Clip Aneurysm Tii Mini Temp 6.5 Straight 5Mm,2436.13,950.09,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Clip Filshie 4Mm Fallopian Tube Endo Coopersurgical Inc,436.25,170.14,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Clip Laa Exclusion 40Mm Pro V Clip Atricure Inc,26583.98,10367.75,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Clip Laa Exclusion 45Mm Pro V Clip Atricure Inc,26583.98,10367.75,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Clip Laa Exclusion 50Mm Pro V Clip Atricure Inc,26583.98,10367.75,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Clip Medical L35Mm Small Footprint Atriclip Flex V,8942.4,3487.54,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Clip Medical L40Mm Small Footprint Atriclip Flex V,8942.4,3487.54,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Clip Sideward No6 L17.8Mm Opening 10Mm 1.47N Standard,2436.39,950.19,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil 2.5Mm 4Cm 185Cm 360 Nano,8898.7,3470.49,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil 2Mm 3Cm 185Cm 360 Nano,8898.81,3470.54,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil 2Mm 4Cm 185Cm 360 Nano,8885.02,3465.16,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil 3.5Mm 6Cm 185Cm 360 Nano Detach,9022.44,3518.75,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil 3.5Mm 8Cm 185Cm 360 Nano Detach,8936.45,3485.22,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil 3Mm 6Cm 185Cm 360 Nano Detach,8898.62,3470.46,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Cash 14 Plat 5Mmx12Cm,5800.14,2262.05,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Cash 14 Plat 5Mmx7Cm,5800.14,2262.05,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Cash 14 Plat 6Mmx15Cm,5800.14,2262.05,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Cash 14 Plat 6Mmx9Cm,5800.14,2262.05,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Cash 14 Plat 7Mmx11Cm,5800.14,2262.05,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Complex Finish 10 1.5Mm X 3Cm,3359.61,1310.25,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Concerto Nyl 10Mm 30Cm,3625.09,1413.79,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Concerto Nyl 7Mm 30Cm,3625.32,1413.87,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Concerto Nyl 8Mm 30Cm,3625.22,1413.84,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Concerto Nyl Hlcl 2Mm 4Cm,3625.28,1413.86,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Concerto Nyl Hlcl 2Mm 6Cm,3625.3,1413.87,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Concerto Nyl Hlcl 2Mm 8Cm,3625.35,1413.89,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Concerto Nyl Hlcl 3Mm 4Cm,3625.38,1413.9,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Concerto Nyl Hlcl 3Mm 8Cm,3625.31,1413.87,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Concerto Nyl Hlcl 4Mm 8Cm,3625.29,1413.86,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Concerto Nyl Hlcl 5Mm 15C,3625.26,1413.85,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Concerto Nyl Hlcl 5Mm 20C,3625.35,1413.89,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Concerto Nyl Hlcl 6Mm 20C,3625.16,1413.81,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Cx Detachable 035In 10Mmx 19Cm Azur,5278.15,2058.48,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Detach 018In 2Mmx2Cm Embol Azur Cx,3908.1,1524.16,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Detach 018In 3Mmx4Cm Embol Azur Cx,3864.69,1507.23,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Detach 018In 3Mmx8Cm Embol Azur Cx,3766.06,1468.76,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Emb 2Cm 2Mm Hl Mcl Fiber Plat,272.65,106.33,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Embol 035In 20Cmx18Mm Nst Plantinium,709.64,276.76,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Embol 14Cm 0.018 Micron Plantinium,545.96,212.92,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Embol 14Cm 10Mm Trnd Sft Mciol .018In Nester-01,576.15,224.7,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Embol 15Cm 4Mm Intlk 2D,2026.01,790.14,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Embol 40Cm 10Mm .035 2D,5181.21,2020.67,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Embol 40Cm 12Mm .035 2D,5181.44,2020.76,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Embol 40Cm 15Mm .035 2D,5181.21,2020.67,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Embol 40Cm 15Mm .035 Cube,4726.84,1843.47,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Embol 40Cm 8Mm .035 2D,5181.55,2020.8,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Embol 7Cm 6-2Mm Tornado End Hole Guidewire 0.018In Plt,597.2,232.91,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Embol Ocl Plat .035 14Cm 4Mm,546.48,213.13,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Embolization 12.5Cm 10-5Mm Tornado Cook,597.2,232.91,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Embolization 2.6Cm 4-3Mm 0.035In Tornado Cook Medical,597.2,232.91,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Embolization 2Cm 3-2Mm 0.018In Tornado Extended Embolus,597.2,232.91,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Embolization 4.1Cm 5-3Mm Tornado Cook,597.2,232.91,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Embolization 4Cm 4-2Mm 0.018In Tornado Extended Embolus,569.59,222.14,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Embolization 5.8Cm 6-3Mm Tornado Cook,597.2,232.91,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Embolization 5Cm 5-2Mm 0.018In Tornado Extended Embolus,597.2,232.91,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Embolization 8Cm 7-3Mm Tornado Cook,597.2,232.91,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Embolization 8Cm 8-4Mm Tornado Cook,597.2,232.91,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Embolization 9.5Cm 8-4Mm Tornado Cook,597.2,232.91,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Embolization 9Cm 7-3Mm 0.018In Tornado Extended Embolus,597.2,232.91,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Embolization L24Cm Loop Dia13Mm Detachable,5278.24,2058.51,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Embolization L32Cm Loop Dia16Mm 0.029In Detachable,5278.0599999999995,2058.4399999999996,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Embolization L6Cm Dia3Mm 0.0165In Peripheral,3625.6,1413.98,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Embolization L8Cm Dia3Mm 360Deg Soft Detachable Target,8678.48,3384.61,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Micro Galaxy 3Mmx4Cm G3 Xsft J And J Health Care,5800.14,2262.05,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Micro Micrusframe 14 2.5Mmx3.3Cm J And J Health Care,5800.14,2262.05,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Micro Micrusframe 14 2Mmx2.5Cm J And J Health Care,5800.14,2262.05,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Microcoil Sys Cashmere S Strch Rstnt 4Mmx6Cm,9545.8,3722.86,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Neurovascular L12Mm D 4Mm Helical Soft Stretch Resistan,12176.78,4748.94,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Soft 10Mm X 40Cm,11576.22,4514.73,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Soft 4.5Mm X 10Cm,11576.48,4514.83,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Soft 4.5Mm X 4.5Cm,11576.48,4514.83,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Soft 4Mm X 10Cm,11576.48,4514.83,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Soft 4Mm X 13Cm,11576.22,4514.73,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Soft 4Mm X 4Cm,11576.48,4514.83,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Soft 4Mm X 7Cm,11576.48,4514.83,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Soft 5Mm X 10Cm,11576.48,4514.83,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Soft 5Mm X 17Cm,11576.48,4514.83,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Soft 5Mm X 7Cm,11576.48,4514.83,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Soft 6Mm X 15Cm,11576.48,4514.83,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Soft 6Mm X 20Cm,11576.48,4514.83,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Soft 7Mm X 20Cm,11576.48,4514.83,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Soft 8Mm X 20Cm,11576.48,4514.83,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Soft 8Mm X 30Cm,11576.48,4514.83,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Soft 9Mm X 30Cm,11575.96,4514.62,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Super Soft 1.5Mm X 2Cm,11576.48,4514.83,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Super Soft 1.5Mm X 3Cm,11576.48,4514.83,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Super Soft 1Mm X 1Cm,11576.48,4514.83,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Super Soft 1Mm X 2Cm,11575.96,4514.62,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Super Soft 2.5Mm X 5Cm,11576.48,4514.83,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Super Soft 2Mm X 3Cm,11576.48,4514.83,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Super Soft 2Mm X 4Cm,11576.3,4514.76,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Super Soft 2Mm X 6Cm,11576.48,4514.83,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Super Soft 3.5Mm X 3.5Cm,11576.48,4514.83,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Super Soft 3.5Mm X 5Cm,11576.27,4514.75,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Super Soft 3.5Mm X 8Cm,11576.48,4514.83,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Super Soft 3Mm X 10Cm,11576.22,4514.73,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Super Soft 3Mm X 3Cm,11576.48,4514.83,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Optimax Complex Super Soft 3Mm X 7Cm,11576.27,4514.75,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Packing Lp 15Cm,4784.8,1866.07,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Ruby Lp 1Mm X 2Cm,3818.12,1489.07,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Ruby Lp 1Mm X 5Cm,3818.12,1489.07,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Ruby Lp 2Mm X 10Cm,4784.8,1866.07,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Ruby Lp 2Mm X 2Cm,3818.46,1489.2,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Ruby Lp 2Mm X 4Cm,3818.12,1489.07,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Ruby Lp 3Mm X 4Cm,3818.29,1489.13,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Ruby Lp 4Mm X 15Cm,4784.8,1866.07,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Ruby Lp 4Mm X 30Cm,6234.84,2431.59,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Tgrt 3.3Mm 8Cm 360 Sft Detach,8898.93,3470.58,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Tgrt 4.5Mm 10Cm 360 Sft,8898.93,3470.58,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Sft 10Mm 30Cm,8898.93,3470.58,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Sft 12Mm 30Cm,8898.93,3470.58,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Sft 2Mm 4Cm,8898.63,3470.47,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Sft 3Mm 10Cm,8898.67,3470.48,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Sft 3Mm 6Cm,8991.3,3506.61,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Sft 3Mm 8Cm,8898.93,3470.58,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Sft 4Mm 10Cm,8788.7,3427.59,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Sft 4Mm 15Cm,8898.93,3470.58,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Sft 4Mm 6Cm,8898.93,3470.58,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Sft 4Mm 8Cm,8898.93,3470.58,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Sft 5Mm 10Cm,8960.68,3494.67,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Sft 5Mm 15Cm,8898.93,3470.58,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Sft 6Mm 10Cm,8898.93,3470.58,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Sft 6Mm 15Cm,8898.93,3470.58,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Sft 6Mm 20Cm,9084.2,3542.84,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Sft 7Mm 20Cm,8898.93,3470.58,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Std 5Mm 15Cm,8898.93,3470.58,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Std 6Mm 15Cm,8788.7,3427.59,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Std 6Mm 20Cm,8898.93,3470.58,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Std 7Mm 20Cm,8898.93,3470.58,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Std 8Mm 20Cm,8825.44,3441.92,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Ult 1.5Mm 2Cm,8898.75,3470.51,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Ult 1.5Mm 3Cm,8898.65,3470.47,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Ult 1.5Mm 4Cm,8898.7,3470.49,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Ult 1Mm 2Cm,8898.76,3470.52,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Ult 1Mm 3Cm,8898.67,3470.48,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Ult 2.5Mm 4Cm,8898.72,3470.5,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Ult 2Mm 3Cm,8898.72,3470.5,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Ult 2Mm 4Cm,8898.67,3470.48,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Ult 2Mm 6Cm,9084.2,3542.84,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Ult 3Mm 10Cm,8898.58,3470.45,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Ult 3Mm 4Cm,8898.58,3470.45,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Ult 3Mm 6Cm,8843.82,3449.09,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Ult 3Mm 8Cm,8898.67,3470.48,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Ult 4Mm 10Cm,9163.59,3573.8,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Ult 4Mm 15Cm,8898.72,3470.5,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Ult 4Mm 6Cm,8898.93,3470.58,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Ult 4Mm 8Cm,8991.3,3506.61,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Ult 5Mm 10Cm,8951.72,3491.17,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 360 Ult 5Mm 15Cm,8898.93,3470.58,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 3D 10Mm 30Cm,8973.97,3499.85,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 3D 3Mm 6Cm,8898.93,3470.58,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 3D 4Mm 8Cm,9084.2,3542.84,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 3D 5Mm 10Cm,8951.86,3491.23,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 3D 6Mm 15Cm,8973.04,3499.49,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt 3D 7Mm 15Cm,8898.93,3470.58,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt Hlcl Ult 1.5Mm 4Cm,5773.23,2251.56,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt L 360 Sft 10X40Cm Detach,12176.78,4748.94,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt L 360 Sft 14X50Cm Detach,11288.74,4402.61,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt L 360 Sft 16X50Cm Detach,11288.4,4402.48,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt L 360 Sft 18X50Cm Detach,11288.74,4402.61,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt L 360 Sft 20X50Cm Detach,11288.74,4402.61,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt L 360 Sft 2Mm X 3Cm Detach,12176.78,4748.94,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt L 360 Sft 2Mm X 6Cm Detach,12683.92,4946.73,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt L 360 Sft 3Mm X 6Cm Detach,12176.78,4748.94,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt L 360 Sft 3Mm X 9Cm Detach,12345.82,4814.87,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt L 360 Sft 4Mm X 8Cm Detach,12176.78,4748.94,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt L 360 Sft 5Mm X 10Cm Detach,12176.78,4748.94,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt L 360 Sft 5Mm X 15Cm Detach,12176.78,4748.94,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt L 360 Sft 6X20Cm Detach,12176.78,4748.94,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt L 360 Sft 8X30Cm Detach,12176.78,4748.94,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt L 360 Sft 9X30Cm Detach,11880.76,4633.5,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt L 360 Std 12X45Cm Detach,12176.78,4748.94,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt L 360 Std 14X50Cm,11288.74,4402.61,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Trgt L 360 Std 8X30Cm Detach,12176.78,4748.94,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Xl 14Mmx36Cm,5800.14,2262.05,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Xl 15Mmx40Cm,7961.22,3104.88,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Xl 17Mmx40Cm,5800.14,2262.05,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Xl 7Mmx14Cm,5800.14,2262.05,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coil Xl 8Mmx16Cm,5800.14,2262.05,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coronary Stent Frontier Onyx 3.00 X 38Rx,3021.16,1178.25,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coupler Anstm 1.5Mm,1739.84,678.54,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coupler Anstm 2.5Mm 1 Un Mcvsc,1729.23,674.4,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coupler Anstm 2Mm 1 Un Mcvsc Fst Safe Rd Gm,1739.84,678.54,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coupler Anstm 3.5Mm 1 Un Mcvsc,1656.0,645.84,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coupler Anstm 3Mm 1 Un Mcvsc,1739.72,678.49,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coupler Anstm 4Mm 1 Un Mcvsc Fst Safe Gold Gm,1739.84,678.54,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coupler Flow 2.5Mm 1 Un Mcvsc,4809.65,1875.76,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coupler Flow 2Mm 1 Un Mcvsc,4809.65,1875.76,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coupler Flow 3.5Mm W-20Mhz Doppler,4387.3,1711.05,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Coupler Flow 3Mm 1 Un Mcvsc,4809.65,1875.76,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Cover Hl Thrd R3 Reflc,528.88,206.26,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Cribiform Occluder 18Mm,32684.26,12746.86,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Device Clsr Mynxgrip Vascular 5F Gry,958.41,373.78,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Device Occlusion Clip L45Mm Atriclip Flex V,8942.4,3487.54,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Device Occlusion Clip L50Mm Atriclip Flex V,8942.4,3487.54,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Disc Cerv Artf 13X17 H7 Mobi-C Us,21750.52,8482.7,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Disc Cerv Artf 15X17 H5 Mobi-C Us,21750.52,8482.7,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Disc Cerv Asmbly Pstg 6X16Mm,20300.49,7917.19,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Disc Prestige Lp 6X18Mm,20300.49,7917.19,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ear Tube Ventilation 1.14 Armstrong Beveled Olympus America,81.82,31.91,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ear Tube Ventilation 1Mm 1.27Mm Moretz Activated Medtronic I,83.84,32.7,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Electrode Electrsurg 10Ft 3-32 3-32In Edge Std,26.91,10.49,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Endoscopic Spray 7Mm Hemospray,11022.75,4298.87,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Envelope Cmrm6122 Absorb Med Tyrx,4326.29,1687.25,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Graft Bone Chips Filler Tube Cortical Cancellous,1084.68,423.03,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Guidewire Vasc.035In180Cm 15Cm Strt Bntsn,75.56,29.47,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Guidewire Vasc.035In260Cm 15Cm Strt Bntsn,97.29,37.94,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Helix Ev3 Concerto Pv-5-15,6723.36,2622.11,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Hemostatic Agent Surgifoam 8Cmx3Cm,92.11,35.92,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Hydrocoil Cx Occldr 10Mmx32Cm Azur Cx 18D System,3625.09,1413.79,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Hydrocoil Cx Occldr 12Mmx38Cm Azur Cx 18D System,3625.09,1413.79,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Hydrocoil Cx Occldr 14Mmx34Cm Azur Cx 18D System,3625.09,1413.79,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Hydrocoil Cx Occldr 20Mmx40Cm Azur Cx 18D System,3625.09,1413.79,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Hydrocoil Cx Occldr 4Mmx13Cm Azur Cx 18D System,3796.31,1480.56,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Hydrocoil Cx Occldr 5Mmx16Cm Azur Cx 18D System,3625.32,1413.87,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Hydrocoil Cx Occldr 6Mmx20Cm Azur Cx 18D System,4223.49,1647.16,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Hydrocoil Cx Occldr 7Mmx24Cm Azur Cx 18D System,4821.37,1880.33,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Hydrocoil Cx Occldr 8Mmx28Cm Azur Cx 18D System,3625.6,1413.98,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Hydrocoil Detach 2Mmx2Cm Azur 18D System,3876.7,1511.91,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Hydrocoil Detach 2Mmx4Cm Hlcl Azur 18 Embol Coil,3906.64,1523.59,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Hydrocoil Detach 3Mmx10Cm Azur 18D System,3840.88,1497.94,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Hydrocoil Detach 3Mmx2Cm Azur 18D System,3615.26,1409.95,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Hydrocoil Detach 3Mmx5Cm Azur 18D System,3615.26,1409.95,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Hydrocoil Detach 4Mmx15Cm Azur 18D System,4112.57,1603.9,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Hydrocoil Detach 4Mmx20Cm Azur 18D System,4338.72,1692.1,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Hydrocoil Detach 5Mmx15Cm Azur 18D System,3615.26,1409.95,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Hydrocoil Framing 14Mmx34Cm Azur 18D,3902.98,1522.16,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Implant Cartridge Urolift 2,5290.78,2063.4,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Implant Complex 10 1.5Mmx2Cm Supersoft Balt Usa Llc,7008.89,2733.47,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Implant Complex 10 1.5Mmx3Cm Supersoft Balt Usa Llc,7009.02,2733.52,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Implant Complex 10 1.5Mmx4Cm Supersoft Balt Usa Llc,7009.02,2733.52,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Implant Complex 10 1Mmx1Cm Supersoft Balt Usa Llc,7008.85,2733.45,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Implant Complex 10 1Mmx2Cm Supersoft Balt Usa Llc,7008.79,2733.43,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Implant Complex 10 1Mmx3Cm Supersoft Balt Usa Llc,7009.02,2733.52,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Implant Complex 10 2.5Mmx2Cm Supersoft Balt Usa Llc,7009.02,2733.52,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Implant Complex 10 2.5Mmx4Cm Supersoft Balt Usa Llc,7009.02,2733.52,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Implant Complex 10 2.5Mmx6Cm Supersoft Balt Usa Llc,7009.02,2733.52,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Implant Complex 10 2Mmx3Cm Supersoft Balt Usa Llc,7008.81,2733.44,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Implant Complex 10 2Mmx4Cm Supersoft Balt Usa Llc,7008.76,2733.42,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Implant Complex 10 2Mmx6Cm Supersoft Balt Usa Llc,7009.02,2733.52,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Implant Complex 10 3.5Mmx8Cm Supersoft Balt Usa Llc,7009.02,2733.52,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Implant Complex 10 3Mmx10Cm Supersoft Balt Usa Llc,7009.02,2733.52,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Implant Complex 10 3Mmx6Cm Soft Balt Usa Llc,7009.02,2733.52,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Implant Complex 10 3Mmx6Cm Supersoft Balt Usa Llc,7009.02,2733.52,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Implant Complex 10 3Mmx8Cm Supersoft Balt Usa Llc,7009.02,2733.52,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Implant Complex 10 4Mmx10Cm Supersoft Balt Usa Llc,7009.02,2733.52,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Implant Complex 10 4Mmx8Cm Supersoft Balt Usa Llc,7009.02,2733.52,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Implant Complex 10 5Mmx13Cm Supersoft Balt Usa Llc,7009.02,2733.52,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Implant Complex 18 18Mmx60Cm Balt Usa Ll,7709.2,3006.59,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Implant Complex 18 20Mmx65Cm Balt Usa Ll,7709.72,3006.79,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Implant Helical 10 1Mmx2Cm Supersoft Balt Usa Llc,5534.14,2158.31,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Implant Helical 10 1Mmx3Cm Supersoft Balt Usa Llc,5534.14,2158.31,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Implant Helical 10 2.5Mmx6Cm Supersoft Balt Usa Llc,5534.14,2158.31,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Implant Helical 10 2Mmx3Cm Supersoft Balt Usa Llc,5534.14,2158.31,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Implant Helical 10 2Mmx4Cm Supersoft Balt Usa Llc,5534.14,2158.31,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Implant Helical 10 3Mmx6Cm Supersoft Balt Usa Llc,5534.14,2158.31,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Implant Helical 10 3Mmx8Cm Supersoft Balt Usa Llc,5534.14,2158.31,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Implant Lvad Kit Heartmate 3Tm,482982.75,188363.27,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Injectable Bone Cement-Sterile,1691.36,659.63,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Kit Handle Urolift 2 Implant Cartridge,1338.54,522.03,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Kit Implant Valve - Sapien 3 Transcatheter Heart Valve 29Mm,159262.18,62112.25,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Kit Implant Valve - Sapien S3 Ultra Transcatheter Heart Valv,157570.47,61452.48,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Kit Shunt Strata Lp,26950.36,10510.64,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Lead Pacing 45Cm Atr Ventri,2041.02,796.0,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ligator 12.5In 8Mm Frng Fllpn,553.72,215.95,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Marker Fdcl 5Mm .8Mm Gold,405.83,158.27,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Marker Fiducial L5Mm D 0.018In Platinum Straight Lumicoil,1097.62,428.07,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Microcoil Embolization L20Cm Dia10Mm 0.035In,709.75,276.8,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Microcoil Embolization L20Cm Dia12Mm 0.035In,709.75,276.8,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Microcoil Embolization L20Cm Dia20Mm 0.035In,709.71,276.79,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Microsphere Embsph 100-300 2Ml Yellow Bx-5Ea,1305.31,509.07,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Microsphere Embsph 300-500 2Ml Blu Bx-5Ea,1305.14,509.0,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Microsphere Embsph 500-700 2Ml,1305.33,509.08,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Microsphere Embsph 700-900 2Ml,1305.28,509.06,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Mitris Mitral Valve 29Mm,37048.86,14449.06,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Pad Electrosurg Grnd 9Ft Rm Ph Sv2 Pat Rtn,11.38,4.44,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Plug Cv 100Cm 8Fr 16Mm Amplatz,5075.64,1979.5,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Pod Coil J Sft 15Cm,4784.8,1866.07,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Pod Coil J Sft 30Cm,6235.18,2431.72,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Pod Coil J Sft 45Cm,6234.99,2431.65,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Pod Coil J Sft 60Cm,6235.11,2431.69,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Pod Coil L20Cm 3Mm Lantern,8651.56,3374.11,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Pod Coil L60Cm 10Mm Lantern,8651.56,3374.11,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Pod Coil L60Cm 12Mm Lantern,8651.56,3374.11,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Pod Coil L60Cm 14Mm Lantern,8651.56,3374.11,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Pod Coil Packing J Soft L5Cm,4784.8,1866.07,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Prosthesis Tstclr Sal Fil,13693.05,5340.29,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Pump Heart Impella 5.5 Device Cardiac Vent Assist Stlatxfree,180773.1,70501.51,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Radiomark Graft Marker,86.94,33.91,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Reservoir Shunt Omya Csf 23Cm,2204.55,859.77,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ring 3D Trcsd Annulop 30Mm,9183.56,3581.59,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ring 3D Trcsd Annulop 32Mm,9183.56,3581.59,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ring 3D Trcsd Annulop 34Mm,9183.56,3581.59,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ring 3D Trcsd Annulop 36Mm,9183.56,3581.59,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ring Annulop 28Mm Phys 2,11725.52,4572.95,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ring Annulop 32Mm Phys 2,11725.52,4572.95,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ring Prof 3D 26Mm,8942.4,3487.54,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ring Prof 3D 28Mm,8942.4,3487.54,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ring Prof 3D 30Mm,8942.4,3487.54,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ring Prof 3D 32Mm,8942.4,3487.54,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ring Prof 3D 34Mm,8942.4,3487.54,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ring Prof 3D 36Mm,8942.4,3487.54,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ring Prof 3D 38Mm,8942.4,3487.54,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ring Prof 3D 40Mm,8942.4,3487.54,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Sft 16Mmx50Cm,6235.01,2431.65,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Sft 20Mmx60Cm,6234.84,2431.59,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Sft 2Mmx2Cm,3818.12,1489.07,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Sft 2Mmx4Cm,3818.37,1489.16,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Sft 3Mmx15Cm,4784.98,1866.14,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Sft 3Mmx5Cm,3818.12,1489.07,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Sft 4Mmx15Cm,4784.92,1866.12,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Sft 4Mmx6Cm,3818.12,1489.07,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Sft 6Mmx20Cm,4784.8,1866.07,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Sft 6Mmx30Cm,6234.84,2431.59,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Sft 8Mmx35Cm,6234.84,2431.59,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Sft 8Mmx60Cm,6235.14,2431.7,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 10Mmx35Cm,6235.05,2431.67,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 12Mmx40Cm,6234.84,2431.59,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 12Mmx60Cm,6234.95,2431.63,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 14Mmx60Cm,6234.84,2431.59,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 16Mmx60Cm,6235.1,2431.69,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 18Mmx57Cm,6234.84,2431.59,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 20Mmx60Cm,6235.01,2431.65,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 24Mmx57Cm,6234.99,2431.65,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 28Mmx60Cm,6234.84,2431.59,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 32Mmx60Cm,6235.18,2431.72,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 3Mmx12Cm,4785.1,1866.19,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 3Mmx20Cm,4784.93,1866.12,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 3Mmx5Cm,3818.12,1489.07,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 4Mmx10Cm,4785.01,1866.15,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 4Mmx15Cm,4784.8,1866.07,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 4Mmx20Cm,4784.8,1866.07,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 4Mmx30Cm,6234.84,2431.59,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 4Mmx35Cm,6234.84,2431.59,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 5Mmx12 Cm,4784.8,1866.07,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 5Mmx20Cm,4784.8,1866.07,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 5Mmx30Cm,6235.05,2431.67,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 6Mmx20Cm,4784.8,1866.07,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 6Mmx30Cm,6234.99,2431.65,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 7Mmx25Cm,4784.98,1866.14,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 8Mmx25Cm,4784.8,1866.07,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 8Mmx40Cm,6235.01,2431.65,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ruby Coil Cmplx Std 9Mmx30Cm,6234.84,2431.59,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ruby Pod 4 - 4Mmx30Cm,8651.56,3374.11,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ruby Pod 5 - 5Mmx30Cm,8651.56,3374.11,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ruby Pod 6 - 6Mmx50Cm,8651.56,3374.11,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Ruby Pod 8 - 8Mmx60Cm,8651.56,3374.11,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw 2-10Mm Dcp Ss Sm Bn Lck St Lck T6,450.22,175.59,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw 2.4-12Mm Lcp Ss Lck St Dist Radial Lck St,513.36,200.21,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw 2.4-16Mm Lcp Ss Dist Rad Dist Cort Radial,253.58,98.9,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw 2.4-24Mm Lcp Ss Cort Dist Cort Radial,253.58,98.9,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw 2.4Mm 26Mm Lcp Ss Lck Dist Radial Lck St,513.36,200.21,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw 2.7 Va Lck St W-T8 58Mm Va W- T8 Strdrv Recess,664.47,259.14,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw 2.7-12Mm Lc Dcp Ss St T8 Cort St T8,184.23,71.85,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw 2.7-26Mm Lcp Dcp Ss T8 T8 Cort Dist,177.5,69.22,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw 2.7-34Mm Lcp Ss Cort Rad Cort Dist Radial,184.23,71.85,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw 2.7-44Mm Lcp Ss Cort St Cort St Stardr,184.23,71.85,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw 2.7Mm Mtphsl Stw-T8 70Mm W-T8 Strdrv Recess,214.24,83.55,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw 3.5-14Mm Lcp Ss Cort St Cort St Ns Sm Frag,134.55,52.47,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw 3.5-18Mm Lcp Ss Cort St Cort St Ns Sm Frag,94.18,36.73,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw 3.5-26Mm Lcp Ss Cort St Cort St Ns Sm Frag,127.65,49.78,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw 3.5-38Mm Lcp Ss Cort St Cort St Ns Sm Frag,134.2,52.34,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw 3.5-40Mm Lcp Ss Cort St Cort St Ns Sm Frag,134.55,52.47,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw 3.5Mm Stardr St 20Mm Stardr Cort St,136.1,53.08,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw Bn 2.0Mm Lck St 20Mm W T8 Stardr Recess,450.22,175.59,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 12Mm Lcp Ss Dist Cort Radial,253.58,98.9,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw Bn 2.4Mm 20Mm Lcp Ss Dist Radial Va Lck,615.83,240.17,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 14Mm Lcp Dcp Ss Cort St T8,184.23,71.85,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 14Mm St T8 Strdr Acc Va Lck,664.47,259.14,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 16Mm Lcp Dcp Ss T8 Cort St,184.23,71.85,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 18Mm St T8 Strdr Acc Va Lck,664.47,259.14,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 22Mm St T8 Strd R Acc Va Lck,664.47,259.14,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 24Mm St T8 Strd R Acc Va Lck,596.68,232.71,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 28Mm Lcp Dcp Ss Cort Dist,184.23,71.85,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 28Mm St T8 Strd R Acc Va Lck,664.47,259.14,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 34Mm Lcp Dcp Ss Cort St Ns,199.24,77.7,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 36Mm Dcp Ss Cort St Ns Mini,198.72,77.5,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 48Mm Lcp Dcp Ss Cort Dist,170.78,66.6,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm 48Mm St T8 Strd R Acc Va Lck,664.47,259.14,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw Bn 2.7Mm St Lck 10Mm W T8 Stardr Recess,477.14,186.08,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 18Mm Lcp Ss Cort St Stardr,245.3,95.67,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 20Mm Lcp Ss Cort St Stardr,245.3,95.67,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 22Mm Lcp Ss Cort St Stardr,245.3,95.67,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw Bn 2Mm 8Mm Lcp Ss Cort St Stardr Recess,245.3,95.67,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 12Mm Lc Dcp Ss Cort St Ns Sm,134.55,52.47,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 16Mm Lc Dcp Ss Cort St Ns Sm,134.29,52.37,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 20Mm Lc Dcp Ss Cort St Ns Sm,94.18,36.73,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 22Mm Lcp Ss Cort St Ns Sm Frag,94.18,36.73,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 24Mm Lcp Ss Cort St Ns Sm Frag,134.14,52.31,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 28Mm Lc Dcp Ss Cort St Ns Sm,94.18,36.73,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 36Mm Lc Dcp Ss Cort St Ns Sm,134.55,52.47,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 42Mm Lc Dcp Ss Cort Prox Med,134.55,52.47,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 44Mm Lc Dcp Ss Cort Prox Med,134.55,52.47,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 46Mm Lc Dcp Ss Cort Prox Med,134.55,52.47,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw Bn 3.5Mm 50Mm Lc Dcp Ss Cort Hex Recess,134.55,52.47,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw Bn 3Mm 30Mm Lc Dcp Ss Cort St Ns Sm,94.18,36.73,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Screw Bn 4Mm 16Mm Lc Dcp Ss Ft Canc St Ns Sm,155.25,60.55,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - See 135495 Coil Embol 9.5Cm 8-4Mm Trnd Sft Mciol .018In,525.26,204.85,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - See 135498 Coil Embol 4.1Cm 5-3Mm Trnd .035In Std Plat,566.14,220.79,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - See 135499 Coil Embol 5.8Cm 6-3Mm Trnd .035In Std Plat,566.14,220.79,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - See 157702 Sponge Gauze Vrsln 4X4In 4 Ply Abs Nonwvn 10-Tr,8.28,3.23,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Sideward Cvd Clip 9Mm Permanent,2222.14,866.63,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Sleeve Centering 6Mm Lng,1241.0,483.99,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Stent Drug Eluting Synergy Xd Mr Us 3.00X20Mm,4350.1,1696.54,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Stent Eluvia 6Mmx60Mmx130Cm,11093.13,4326.32,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Stimulan Rapid Cure Antibiotic Bead 10Cc,5872.59,2290.31,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Suture Vicryl + 2-0 Sh 27In Antibacterial Undyed Ethicon,8.28,3.23,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Sys Edwards Thv Valve 26Mm Sapien 3,157087.12,61263.98,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - System Bn Cement Kt Mxr Transf,850.77,331.8,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - System Liquid Embolic 1 Gm Trufill N-Bca Cordis Corporation,15018.87,5857.36,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - System Mitraclip G4,145003.5,56551.36,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - System Urolift Neotract,5195.99,2026.44,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Tyrx Absorbable Anitbacterial Envelope Lge,4326.27,1687.25,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Urolift Advanced Tissue Control,6042.33,2356.51,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Valve 40021 Model 400 Aor,24650.6,9613.73,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Valve 40023 Model 400 Aor,24650.6,9613.73,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Valve 40025 Model 400 Aor,24650.6,9613.73,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Valve 40027 Model 400 Aor,24650.6,9613.73,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Valve Aort 23Mm Frstl Aort,29638.26,11558.92,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Valve Aort 23Mm Msc Ul Biopros,24761.34,9656.92,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Valve Aort 25Mm Frstl Aort,29638.26,11558.92,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Valve Aort 25Mm Msc Ul Biopros,24761.34,9656.92,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Valve Aort 29Mm Frstl Aort,29638.37,11558.96,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Valve Aort 29Mm Msc Ul Biopros,24761.34,9656.92,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Valve Aort On-X 19Mm W Cnfrm Sewing Ring,28759.54,11216.22,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Valve Aort On-X 21Mm W Cnfrm Sewing Ring,28759.54,11216.22,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Valve Aort On-X 23Mm W Cnfrm Sewing Ring,28759.54,11216.22,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Valve Aort On-X 25Mm W Cnfrm,28759.54,11216.22,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Valve Aort On-X Conduit 23Mm,32626.3,12724.26,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Valve Aort On-X Conduit 25Mm,32626.3,12724.26,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Valve Aort On-X Conduit 27-29M 27-29Mm,32626.3,12724.26,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Valve Aortic Dia23Mm Porcine Transcatheter Evolut Fx,145003.5,56551.36,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Valve Aortic Dia26Mm Porcine Transcatheter Evolut Fx,145003.5,56551.36,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Valve Aortic Dia29Mm Porcine Transcatheter Evolut Fx,145003.5,56551.36,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Valve Aortic Dia34Mm Porcine Transcatheter Evolut Fx,145003.5,56551.36,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Valve Aortic Inspiris Resilia 21Mm,37048.86,14449.06,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Valve Aortic Inspiris Resilia 23Mm,37048.86,14449.06,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Valve Aortic Inspiris Resilia 25Mm,37048.86,14449.06,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Valve Aortic Inspiris Resilia 27Mm,37048.86,14449.06,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Valve Aortic Inspiris Resilia 29Mm,37048.86,14449.06,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Valve Aortic Konect 25Mm Cobalt Chrome Stent Silicone,72501.75,28275.68,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Valve Aortic Konect 27Mm Cobalt Chrome Stent Silicone,72501.75,28275.68,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Valve Aortic Konect 29Mm Cobalt Chrome Stent Silicone,72501.75,28275.68,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Valve Endobronchial 4.0--Lp Short Zephyr,10875.35,4241.39,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Valve Endobronchial Zephyr 4.0,10875.46,4241.43,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Valve Endobronchial Zephyr 5.5,10875.78,4241.55,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Valve Hv Lumb Sys Yellow Tall Children Adlt,7248.1,2826.76,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Valve Mitral 27Mm Msc Porc,24761.34,9656.92,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Valve Mitral 29Mm Msc Porc,24761.34,9656.92,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Valve Mitral 31Mm Msc Cnch,24761.34,9656.92,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Valve Mitral 33Mm H20Mm Cuff Dia41Mm Porcine Tissue Stent,20048.98,7819.1,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Valve Mitral 33Mm Msc Porc,24761.34,9656.92,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Valve Mitral On-X 25-33Mm W Cnfrm Sewing Ring,28759.54,11216.22,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Valve Shunt Csf Reg Lvl1 Bgl,8887.54,3466.14,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Valve Shunt Programmable Cylin Cylindrical L14Cm,21750.52,8482.7,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Valve Shunt Strt2 Csf Reg Prgm Flow Control,23409.24,9129.6,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Valve Strata Adj Sm,26376.71,10286.92,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Washer 7Mm Orth Ss 4Mm Cannula Screw Ns,102.46,39.96,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Wire Spnl 500Mm 1.6Mm Blnt,244.78,95.46,,,0
HCPCS,L8699,Noncdm Charge Record Medical Supplies - Zephyr 5.5-Lp Endobronchial Valve,10875.43,4241.42,,,0
HCPCS,L8699,Pectus Support Bar,4303.53,1678.38,,,0
HCPCS,L8699,Saline Testicular Prosthesis,13041.0,5085.99,,,0
HCPCS,L8699,Sup Prosthetic Implant Not Otherwise Specified,6629.4,2585.47,,,0
HCPCS,L8699,T2  Stratosphere,30429.0,11867.31,,,0
HCPCS,L8701,Pow ue rom dev ewh uprt cust,,,34970.13,68541.45,7
HCPCS,L8702,Pow ue rom dev ewhf uprt cus,,,68801.71,134851.35,7
HCPCS,M0220,Hc Inj Tixagevimab And Cilgavimab Incl Post Admin Monitoring,1418.0,553.02,,,0
HCPCS,M0222,Hc Ivf Bebtelovimab Incl Post Admin Monitoring,1596.0,622.44,,,0
HCPCS,M0224,Hc Infusion Pemivibart Incl Post Admin Monitoring,1352.0,527.28,,,0
HCPCS,M0240,Hc Ivf Casirivimab And Imdevimab Incl Monitor 600Mg Repeat,1420.0,553.8,,,0
HCPCS,M0243,Hc Ivf Casirivimab And Imdevimab Incl Post Admin Monitor 1200Mg,1758.0,685.62,,,0
HCPCS,M0245,Hc Ivf Bamlanivimab And Etesevimab Incl Post Admin Monitor,1420.0,553.8,,,0
HCPCS,M0247,Hc Ivf Sotrovimab Incl Post Admin Monitoring,1420.0,553.8,,,0
HCPCS,M0249,Hc Ivf Tocilizumab Incl Post Admin Monitoring 1St Dose,1420.0,553.8,,,0
HCPCS,M0250,Hc Ivf Tocilizumab Incl Post Admin Monitoring 2Nd Dose,1420.0,553.8,,,0
HCPCS,M1073,Hc Rad Thy Anal Cancer Rad Onc 90 Day Episode,0.01,0.0039,,,0
HCPCS,M1075,Hc Rad Thy Bladder Cancer Rad Onc 90 Day Episode,0.01,0.0039,,,0
HCPCS,M1077,Hc Rad Thy Bone Metastases Rad Onc 90 Day Episode,0.01,0.0039,,,0
HCPCS,M1079,Hc Rad Thy Brain Metastases Rad Onc 90 Day Episode,0.01,0.0039,,,0
HCPCS,M1081,Hc Rad Thy Breast Cancer Rad Onc 90 Day Episode,0.01,0.0039,,,0
HCPCS,M1083,Hc Rad Thy Cervical Cancer Rad Onc 90 Day Episode,0.01,0.0039,,,0
HCPCS,M1085,Hc Rad Thy Cns Tumors Rad Onc 90 Day Episode,0.01,0.0039,,,0
HCPCS,M1087,Hc Rad Thy Colorectal Cancer Rad Onc 90 Day Episode,0.01,0.0039,,,0
HCPCS,M1089,Hc Rad Thy Head And Neck Cancer Rad Onc 90 Day Episode,0.01,0.0039,,,0
HCPCS,M1095,Hc Rad Thy Lung Cancer Rad Onc 90 Day Episode,0.01,0.0039,,,0
HCPCS,M1097,Hc Rad Thy Lymphoma Rad Onc 90 Day Episode,0.01,0.0039,,,0
HCPCS,M1099,Hc Rad Thy Pancreatic Cancer Rad Onc 90 Day Episode,0.01,0.0039,,,0
HCPCS,M1101,Hc Rad Thy Prostate Cancer Rad Onc 90 Day Episode,0.01,0.0039,,,0
HCPCS,M1103,Hc Rad Thy Upper Gi Cancer Rad Onc 90 Day Episode,0.01,0.0039,,,0
HCPCS,M1105,Hc Rad Thy Uterine Cancer Rad Onc 90 Day Episode,0.01,0.0039,,,0
HCPCS,P2028,Cephalin floculation test,,,4.95,18.17,10
HCPCS,P2029,Congo red blood test,,,4.95,18.17,10
HCPCS,P2031,Hair analysis,,,7.33,7.33,1
HCPCS,P2033,Blood thymol turbidity,,,4.95,18.17,10
HCPCS,P2038,Blood mucoprotein,,,4.95,18.17,12
HCPCS,P3000,Hc Cyto Smr Gyn Tech Scrn,135.0,52.65,,,0
HCPCS,P3000,Screen pap by tech w md supv,,,18.5,68.04,12
HCPCS,P3001,Screening pap smear by phys,,,35.05,35.05,1
HCPCS,P7001,Culture bacterial urine,,,18.61,18.61,1
HCPCS,P9010,Hc Product Whole Blood,1952.0,761.28,,,0
HCPCS,P9010,Whole blood for transfusion,,,189.84,712.65,9
HCPCS,P9011,Hc Blood Split Unit,883.0,344.37,,,0
HCPCS,P9012,Cryoprecipitate each unit,,,71.95,270.1,9
HCPCS,P9012,Hc Arc Cryoprecipitate Each Unit,967.0,377.13,,,0
HCPCS,P9016,Hc Rbc Leukocytes Reduced,2681.0,1045.59,,,0
HCPCS,P9016,Rbc leukocytes reduced,,,184.91,694.14,9
HCPCS,P9017,Hc Fresh Frozen Plasma 1 Donor Frozen Within 8 Hours,785.0,306.15,,,0
HCPCS,P9019,Hc Platelets Each Unit,407.0,158.73,,,0
HCPCS,P9021,Hc Red Blood Cells Each Unit,1639.0,639.21,,,0
HCPCS,P9022,Hc Product Red Cells Washed,3421.0,1334.19,,,0
HCPCS,P9026,Hc Cryoprecipitated Fibrinogen Complex Pathogen Reduce Each,278.0,108.42,,,0
HCPCS,P9032,Hc Product Platelet Irradiated,1255.0,489.45,,,0
HCPCS,P9033,Hc Product Platelet Conc Lr Irrad,1350.0,526.5,,,0
HCPCS,P9034,Hc Product Platelet Pheresis,4733.0,1845.87,,,0
HCPCS,P9035,Hc Platelet Pheresis Leukocytes Reduced Each Unit,6838.0,2666.82,,,0
HCPCS,P9037,Hc Product Platelet Pheresis Lr Irr,8366.0,3262.74,,,0
HCPCS,P9037,Plate pheres leukoredu irrad,,,680.61,2554.98,9
HCPCS,P9038,Hc Product Packed Red Cells Irradiat,2170.0,846.3,,,0
HCPCS,P9039,Hc Product Red Cells Deglycerolized,2752.0,1073.28,,,0
HCPCS,P9040,Hc Product Red Blood Cells Lr Irrad,2683.0,1046.37,,,0
HCPCS,P9040,RBC leukoreduced irradiated,,,265.41,996.34,9
HCPCS,P9041,"Albumin (human),5%, 50ml",,,10.62,63.76,13
HCPCS,P9043,"Plasma protein fract,5%,50ml",,,8.11,43.78,11
HCPCS,P9044,Hc Product Ffp Cryo Poor,1094.0,426.66,,,0
HCPCS,P9045,"Albumin (human), 5%, 250 ml",,,53.08,194.8,13
HCPCS,P9046,"Albumin (human), 25%, 20 ml",,,21.23,77.91,13
HCPCS,P9047,"Albumin (human), 25%, 50ml",,,53.08,194.8,13
HCPCS,P9048,Hc Plasmaprotein Fract 5 Pct 250Ml,1260.0,491.4,,,0
HCPCS,P9048,"Plasmaprotein fract,5%,250ml",,,35.32,132.59,11
HCPCS,P9050,Hc Granulocytes Pheresis Unit,5045.0,1967.55,,,0
HCPCS,P9051,Hc Product Blood Lr Cmv Neg,2792.0,1088.88,,,0
HCPCS,P9052,Hc Product Platelet Pheresis Lr Hla,7009.0,2733.51,,,0
HCPCS,P9053,Hc Product Plate Pher Lr Cmv Neg Ir,8108.0,3162.12,,,0
HCPCS,P9054,Hc Product Blood Lr Froz Degly Wash,3988.0,1555.32,,,0
HCPCS,P9055,Hc Product Platelet Pheresis Lr Cmv,8379.0,3267.81,,,0
HCPCS,P9056,Hc Whole Blood Leukocytes Reduced Irradiated Each Unit,1222.0,476.58,,,0
HCPCS,P9057,Hc Product Rbc Fr Degly Wash Lr Irr,4637.0,1808.43,,,0
HCPCS,P9058,Hc Product Rbc Lr Cmv Neg Irr,3194.0,1245.66,,,0
HCPCS,P9059,Hc Fresh Frozen Plasma Between 8-24 Hours,1094.0,426.66,,,0
HCPCS,P9073,Hc Platelets Pathogen Reduced,8108.0,3162.12,,,0
HCPCS,P9073,"Platelets, pathogen reduced",,,607.43,2280.26,9
HCPCS,P9100,Hc Pathogen Test For Platelets,153.0,59.67,,,0
HCPCS,P9100,Pathogen test for platelets,,,30.6,224.93,12
HCPCS,P9612,Catheterize for urine spec,,,3.6,3391.0,13
HCPCS,P9612,Hc Catheterize For Urine Spec,250.0,97.5,,,0
HCPCS,P9615,Urine specimen collect mult,,,3.6,3391.0,4
HCPCS,Q0035,Cardiokymography,,,37.94,142.42,9
HCPCS,Q0091,Obtaining screen pap smear,,,12.08,110.28,10
HCPCS,Q0111,Wet mounts/ w preparations,,,7.48,68.04,12
HCPCS,Q0112,Potassium hydroxide preps,,,5.83,21.4,12
HCPCS,Q0113,Pinworm examinations,,,4.27,17.15,12
HCPCS,Q0114,Fern test,,,9.74,35.75,12
HCPCS,Q0115,Post-coital mucous exam,,,17.34,91.75,12
HCPCS,Q0138,"Ferumoxytol, non-esrd",,,0.32,2.46,13
HCPCS,Q0139,"Ferumoxytol, esrd use",,,0.32,2.46,13
HCPCS,Q0144,"Azithromycin dihydrate, oral",,,48.01,48.01,2
HCPCS,Q0155,Dronabinol (syndros) 0.1 mg,,,6.31,6.31,2
HCPCS,Q0161,Chlorpromazine hcl 5mg oral,,,0.69,0.69,2
HCPCS,Q0162,Ondansetron oral,,,0.02,0.02,2
HCPCS,Q0163,Diphenhydramine HCl 50mg,,,0.04,0.04,2
HCPCS,Q0164,Prochlorperazine maleate 5mg,,,0.67,0.67,2
HCPCS,Q0166,Granisetron HCl 1 mg oral,,,5.83,5.83,2
HCPCS,Q0167,Dronabinol 2.5mg oral,,,3.53,3.53,2
HCPCS,Q0169,Promethazine HCl 12.5mg oral,,,0.17,0.17,2
HCPCS,Q0173,Trimethobenzamide HCl 250mg,,,1.6,1.6,2
HCPCS,Q0174,Thiethylperazine maleate10mg,,,1.2,1.2,2
HCPCS,Q0175,Perphenazine 4mg oral,,,0.91,0.91,2
HCPCS,Q0177,Hydroxyzine pamoate 25mg,,,0.19,0.19,2
HCPCS,Q0180,Dolasetron mesylate oral,,,117.26,117.26,2
HCPCS,Q0220,"Tixagev and cilgav, 300mg",,,0.02,0.04,6
HCPCS,Q0221,"Tixagev and cilgav, 600mg",,,0.02,0.04,6
HCPCS,Q0222,Bebtelovimab 175 mg,,,0.03,8785.98,6
HCPCS,Q0224,"Inj, pemivibart, 4500 mg",,,11227.6,11227.6,2
HCPCS,Q0240,Casirivi and imdevi 600 mg,,,0.02,0.04,5
HCPCS,Q0243,Casirivimab and imdevimab,,,0.02,0.04,6
HCPCS,Q0244,Casirivi and imdevi 1200 mg,,,0.02,0.04,6
HCPCS,Q0245,Bamlanivimab and etesevima,,,0.02,0.04,6
HCPCS,Q0247,Sotrovimab,,,0.02,8785.98,6
HCPCS,Q0249,Tocilizumab for covid-19,,,12.9,24.11,6
HCPCS,Q0477,Hc Hm2 Pt Cable Power Module 14V Replacement,6308.53,2460.33,,,0
HCPCS,Q0477,Hc Pt Cable Power Module Replacement Any,6308.53,2460.33,,,0
HCPCS,Q0477,Hm3 Lvad Modular Cable,21517.65,8391.88,,,0
HCPCS,Q0477,Lvad Modular Cable,21517.65,8391.88,,,0
HCPCS,Q0477,Pwr module pt cable lvad rpl,,,960.54,1882.66,7
HCPCS,Q0478,Hc Hm2 Replace Und Warranty Cable Automobile Dc Power,1876.25,731.74,,,0
HCPCS,Q0478,Hc Power Adapter Automobile Vad Replacement Any,1876.25,731.74,,,0
HCPCS,Q0478,"Power adapter, combo vad",,,227.5,445.9,7
HCPCS,Q0479,Hc Hm Mobile Power Unit 107754,35924.645000000004,14010.61,,,0
HCPCS,Q0479,Hc Mobile Power Unit Module Replacement Any,35924.44,14010.53,,,0
HCPCS,Q0479,Power Module Lvad,34776.0,13562.64,,,0
HCPCS,Q0479,"Power module combo vad, rep",,,14835.04,29076.68,7
HCPCS,Q0480,"driver pneumatic vad, rep",,,111502.61,218545.12,7
HCPCS,Q0481,Hc Syst Controller Vad Replacement Any,27753.52,10823.87,,,0
HCPCS,Q0481,Hm3 Lvad Controller Inc Ebb,23908.5,9324.32,,,0
HCPCS,Q0481,"microprcsr cu elec vad, rep",,,17989.68,35259.77,7
HCPCS,Q0482,"microprcsr cu combo vad, rep",,,5634.71,11044.03,7
HCPCS,Q0483,"monitor elec vad, rep",,,23212.4,45496.3,7
HCPCS,Q0484,monitor elec or comb vad rep,,,4507.79,8835.27,7
HCPCS,Q0485,"monitor cable elec vad, rep",,,435.21,853.01,7
HCPCS,Q0486,mon cable elec/pneum vad rep,,,362.21,709.93,7
HCPCS,Q0487,"leads any type vad, rep only",,,422.6,828.3,7
HCPCS,Q0489,"pwr pck base combo vad, rep",,,20123.89,39442.82,7
HCPCS,Q0490,"emr pwr source elec vad, rep",,,870.47,1706.12,7
HCPCS,Q0491,emr pwr source combo vad rep,,,1368.43,2682.12,7
HCPCS,Q0492,"emr pwr cbl elec vad, rep",,,110.28,216.15,7
HCPCS,Q0493,"emr pwr cbl combo vad, rep",,,313.85,615.15,7
HCPCS,Q0494,"emr hd pmp elec/combo, rep",,,265.6,520.58,7
HCPCS,Q0495,Hc Battery Charger Vad Any,36335.645000000004,14170.900000000001,,,0
HCPCS,Q0495,Noncdm Charge Record Medical Supplies - Hc Zz Hm2 Battery Charger - Use 27412563,36168.07,14105.55,,,0
HCPCS,Q0495,"charger elec/combo vad, rep",,,5171.38,10135.9,7
HCPCS,Q0496,Hc Power Module Backup Battery Vad Replacement Any,504.25,196.66,,,0
HCPCS,Q0496,"battery elec/combo vad, rep",,,1856.1,3637.96,7
HCPCS,Q0497,Hc Battery Clip Vad Replacement Any,2972.865,1159.415,,,0
HCPCS,Q0497,Noncdm Charge Record Medical Supplies - Hc Zz Hm2 Battery Clip 14V Li-Ion Ea Replacement - Use 27424,2972.84,1159.41,,,0
HCPCS,Q0497,"bat clps elec/comb vad, rep",,,579.54,1135.9,7
HCPCS,Q0498,"Consolidated Bag Lt, Rt",1413.81,551.39,,,0
HCPCS,Q0498,Hc Holster Vad Replacement Any,2201.29,858.5050000000001,,,0
HCPCS,Q0498,Hc Hvad Waist Pack Replace Und Warranty,2239.74,873.5,,,0
HCPCS,Q0498,"holster elec/combo vad, rep",,,635.9,1246.36,7
HCPCS,Q0499,Hc Belt/Bag Vad Replacement Any,1734.71,676.54,,,0
HCPCS,Q0499,Noncdm Charge Record Medical Supplies - Hc Zz Hm2 Consolidated Bag Left 14V Li-Lon - Use 27424856,1734.66,676.52,,,0
HCPCS,Q0499,belt/vest elec/combo vad rep,,,206.62,404.98,7
HCPCS,Q0500,"filters elec/combo vad, rep",,,37.8,74.09,7
HCPCS,Q0501,Hc Shower Cover Vad Replacement Any,1357.905,529.5799999999999,,,0
HCPCS,Q0501,Noncdm Charge Record Medical Supplies - Hc Zz Hm2 Shower Bag Ea Replacement - Use 27412584,1296.86,505.78,,,0
HCPCS,Q0501,"shwr cov elec/combo vad, rep",,,632.25,1239.21,7
HCPCS,Q0502,"mobility cart pneum vad, rep",,,804.93,1577.66,7
HCPCS,Q0503,battery pneum vad replacemnt,,,1609.89,3155.38,7
HCPCS,Q0504,"pwr adpt pneum vad, rep veh",,,849.48,1664.98,7
HCPCS,Q0506,11 Volt Lithium B/U Battery,2173.5,847.66,,,0
HCPCS,Q0506,Hc Battery Lith-Ion Vad Replacement Any,4201.355,1638.53,,,0
HCPCS,Q0506,Lith-ion batt elec/pneum VAD,,,1057.44,2072.58,7
HCPCS,Q0506,Noncdm Charge Record Medical Supplies - Hc Zz Hm2 11V Backup Battery Replacement - Use 27424850,2528.5,986.12,,,0
HCPCS,Q0506,Noncdm Charge Record Medical Supplies - Hc Zz Hm2 Battery 14V Li-Lon Ea - Use 27424850,4244.79,1655.47,,,0
HCPCS,Q0508,Hc Driveline Dressing Tray Lvad Daily Any,175.95,68.62,,,0
HCPCS,Q0508,Hc Driveline Dressing Tray Lvad Weekly Any,227.7,88.8,,,0
HCPCS,Q0508,Hc Hvad Cable Modular Replacement,23115.43,9015.02,,,0
HCPCS,Q0508,Hc Hvad Controller Ac Adaptor Power,5156.47,2011.02,,,0
HCPCS,Q0508,Hc Hvad Controller Dc Adaptor,10096.53,3937.65,,,0
HCPCS,Q0508,Hc Hvad Kit Controller Ac Adapt Power,5048.83,1969.04,,,0
HCPCS,Q0508,Hc Lvad Dressing Shield Syst Med 3 3/4 X 5 7/16 Ster,12.83,5.0,,,0
HCPCS,Q0508,Hc Lvad Showerguard 12X10 5 Pack,50.28,19.61,,,0
HCPCS,Q0508,Hc Travel Bag Vad Replacement Any,965.45,376.525,,,0
HCPCS,Q0508,Noncdm Charge Record Medical Supplies,977.04,381.04499999999996,,,0
HCPCS,Q0508,Noncdm Charge Record Medical Supplies - Hc Zz Hm2 Travel Bag Replacement - Use 27404853,967.72,377.41,,,0
HCPCS,Q0515,Sermorelin acetate injection,,,3.43,3.43,2
HCPCS,Q2004,Bladder calculi irrig sol,,,508.34,539.2,3
HCPCS,Q2009,Fosphenytoin inj pe,,,1.47,17.62,14
HCPCS,Q2017,"Teniposide, 50 mg",,,4852.43,7011.13,3
HCPCS,Q2026,Radiesse injection,,,349.19,1310.84,13
HCPCS,Q2028,"Inj, sculptra, 0.5mg",,,1.26,8.11,15
HCPCS,Q2035,"Afluria vacc, 3 yrs & >, im",,,22.66,32.09,3
HCPCS,Q2036,"Flulaval vacc, 3 yrs & >, im",,,16.33,16.33,2
HCPCS,Q2037,"Fluvirin vacc, 3 yrs & >, im",,,33.39,33.92,3
HCPCS,Q2038,"Fluzone vacc, 3 yrs & >, im",,,22.81,182.03,3
HCPCS,Q2041,Axicabtagene Cil Car+ Yescarta,2705774.23,1055251.95,,,0
HCPCS,Q2041,Axicabtagene ciloleucel car+,,,0.03,1120267.47,11
HCPCS,Q2042,Tisagenlecleu Car+ Kymriah Adt,2705774.23,1055251.95,,,0
HCPCS,Q2042,Tisagenlecleucel car-pos t,,,0.03,1159783.35,11
HCPCS,Q2043,Sipuleucel-t auto cd54+,,,55272.32,196075.84,13
HCPCS,Q2049,Imported Lipodox inj,,,298.74,1436.51,15
HCPCS,Q2050,Doxorubicin inj 10mg,,,108.47,473.87,13
HCPCS,Q2053,Brexucabtagene Car+ Tecartus,2705774.23,1055251.95,,,0
HCPCS,Q2053,Brexucabtagene car pos t,,,0.03,1120791.0,11
HCPCS,Q2054,Lisocabtagene mara car pos t,,,0.03,1152532.7,11
HCPCS,Q2055,Idecabtagene Vic Cart Abecma,2897167.68,1129895.4,,,0
HCPCS,Q2055,Idecabtagene vicleucel car,,,0.03,1178375.5,11
HCPCS,Q2056,Ciltacabtagene car-pos t,,,0.03,1109103.13,10
HCPCS,Q3014,Hc Telehealth Facility Fee,183.0,71.37,,,0
HCPCS,Q3027,Inj beta interferon im 1 mcg,,,106.01,197.04,6
HCPCS,Q3028,Inj beta interferon sq 1 mcg,,,77.82,77.82,2
HCPCS,Q4000,Hc Skin Substitute Donated,1.0150000000000001,0.395,,,0
HCPCS,Q4074,Iloprost non-comp unit dose,,,282.55,282.55,2
HCPCS,Q4081,"Epoetin alfa, 100 units ESRD",,,1.24,1.24,2
HCPCS,Q4100,Graft Durepair Matric 3Inx3In,4131.72,1611.37,,,0
HCPCS,Q4100,Hc Skin Subst Cadaver Nos,12.94,5.05,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies,12832.96,5004.85,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Allograft Amnion Dual Layer Amniocore Burn 6X16Cm,12968.34,5057.65,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Allograft Dermis 2Cm X 4Cm Cortiva Human Tissue Acellular,1216.12,474.29,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Amnioburn 7Cm X 15Cm - 10Pk,15294.42,5964.82,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Amnioburn 9Cm X 20Cm,33061.0,12893.79,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Amnioburn 9Cm X 7Cm,10609.78,4137.81,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Amniocore 9X20Cm Graft Human Tissue,32867.46,12818.31,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Amniocore Burn 10X10Cm Graft Human Tissue,13509.75,5268.8,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Collagen Surg Matrix Acm 4X5,10638.13,4148.87,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Collagen Surg Matrix Acm 7X7,15829.29,6173.42,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Collagen Surg Matrix Acm 8X12,25827.04,10072.55,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Graft Human Tissue Sheet Amnioburn 9X20Cm,28878.41,11262.58,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Kerecis Omega 3 Micrograft,4301.77,1677.69,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Membrane Allograft 2X3Cm Lyophilized Dehydrated Comp,5206.05,2030.36,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Membrane Allograft 4X4Cm Lyophilized Dehydrated,6752.34,2633.41,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Membrane Allograft 4X6Cm Lyophilized Dehydrated Comp,8618.44,3361.19,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Mesh Pureskin 1:1=200 Allsource,108.46,42.3,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Mesh Pureskin 1:2=200 Allsource,63.78,24.87,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Miamnion Patch 10Cm X 10Cm,14407.2,5618.81,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Miamnion Patch 7Cm X 15Cm,18342.79,7153.69,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Puraply Mz 100 Mg,1350.53,526.71,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Puraply Mz 500Mg,7733.52,3016.07,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Pureskin Mesh 1:1 = 199,74.11,28.9,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Pureskin Mesh 2:1 = 199,68.99,26.91,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Pureskin Non Mesh =199,1707.75,666.02,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Pureskin Non Mesh =200,87.56,34.15,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Skin Cts 2:1 Meshed 232 Cryo,2390.85,932.43,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Skin Cts Non Meshed Irr 232 Cryo Community Blood Center,263.88,102.91,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Skin Cts Non Meshed Irr 464 Cryo Community Blood Center,5606.6,2186.57,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Skin Fish 19Cm2 Omega3 Micro Surgiclose Kerecis,5075.37,1979.39,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Skin Fish Surgiclose Omega3 7X20 Kerecis,52705.3,20555.07,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1000Cm C,11938.72,4656.1,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1025Cm C,12238.1,4772.86,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1050Cm C,12537.99,4889.82,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1100Cm C,13132.34,5121.61,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1125Cm C,13432.23,5238.57,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1200Cm C,14326.47,5587.32,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1225Cm C,14625.58,5703.98,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1250Cm C,14925.74,5821.04,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1275Cm C,15220.71,5936.08,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1300Cm C,15520.08,6052.83,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1325Cm C,15819.98,6169.79,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1375Cm C,16414.06,6401.48,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1400Cm C,16714.22,6518.55,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1425Cm C,17013.33,6635.2,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1475Cm C,17608.46,6867.3,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1500Cm C,17907.57,6983.95,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1550Cm C,18506.84,7217.67,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1575Cm C,18801.81,7332.71,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1600Cm C,19101.96,7449.76,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1625Cm C,19401.42,7566.55,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1675Cm C,19996.2,7798.52,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1700Cm C,20295.52,7915.25,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1750Cm C,20894.92,8149.02,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1775Cm C,23336.92,9101.4,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 1800Cm C,21489.6,8380.94,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 600Cm Ct,6060.96,2363.77,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 650Cm Ct,6569.14,2561.96,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 800Cm Ct,8081.28,3151.7,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 825Cm Ct,8332.78,3249.78,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 850Cm Ct,8589.32,3349.83,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 875Cm Ct,8839.94,3447.58,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 900Cm Ct,9091.61,3545.73,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 925Cm Ct,9342.94,3643.75,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Skin Maxxeus 2:1 Mshd 950Cm Ct,9599.62,3743.85,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Skin Meshed 2:1 154 Sq Cm Community Blood Center,1616.67,630.5,,,0
HCPCS,Q4100,Noncdm Charge Record Medical Supplies - Vial Surgical Acm 1 Gram,8216.86,3204.58,,,0
HCPCS,Q4100,Skin Cryo Redigraft 232 Sqcm,3057.39,1192.38,,,0
HCPCS,Q4100,Sup Skin Substitute Not Otherwise Specified,615.46,240.03,,,0
HCPCS,Q4100,Vialize 2X3 Cm,962.55,375.39,,,0
HCPCS,Q4100,Vialize 4X4 Cm,952.2,371.36,,,0
HCPCS,Q4100,Vialize 4X6 Cm,736.92,287.4,,,0
HCPCS,Q4100,Vialize 6X8 Cm,764.86,298.3,,,0
HCPCS,Q4101,Apligraf,,,58.09,474.5,11
HCPCS,Q4102,Hc Dressing Oasis Wound Mtrx Per Sq Cm,128.965,50.295,,,0
HCPCS,Q4102,Noncdm Charge Record Medical Supplies,35.655,13.905,,,0
HCPCS,Q4102,Oasis wound matrix,,,23.01,474.5,11
HCPCS,Q4103,Hc Oasis Burn Matrix Per Sq Cm,96.33,37.57,,,0
HCPCS,Q4103,NDC Description Not Available,69.97,27.29,,,0
HCPCS,Q4103,Noncdm Charge Record Medical Supplies,71.07,27.72,,,0
HCPCS,Q4103,Noncdm Charge Record Medical Supplies - Matrix Wound Burn Oasis 20Cm X 30Cm,112.19,43.75,,,0
HCPCS,Q4103,Noncdm Charge Record Medical Supplies - Matrix Wound Burn Oasis 7Cm X 20Cm,154.37,60.2,,,0
HCPCS,Q4103,Oasis burn matrix,,,23.79,474.5,11
HCPCS,Q4104,Integra bmwd,,,99.87,474.5,11
HCPCS,Q4105,Integra drt or omnigraft,,,57.71,474.5,11
HCPCS,Q4106,Dermagraft,,,85.66,85.66,2
HCPCS,Q4107,Graftjacket,,,126.4,474.5,11
HCPCS,Q4108,Integra matrix,,,85.47,474.5,11
HCPCS,Q4110,Primatrix,,,124.67,474.5,11
HCPCS,Q4111,Gammagraft,,,13.97,474.5,11
HCPCS,Q4112,Cymetra injectable,,,1662.18,1662.18,2
HCPCS,Q4113,Graftjacket xpress,,,1454.05,1454.05,2
HCPCS,Q4114,Integra flowable wound matri,,,3050.76,3050.76,2
HCPCS,Q4114,Noncdm Charge Record Medical Supplies - Wound Matrix 3 Ml Flowable Integra,32828.65,12803.17,,,0
HCPCS,Q4115,Alloskin,,,28.88,474.5,11
HCPCS,Q4116,Alloderm,,,59.3,474.5,11
HCPCS,Q4117,Hyalomatrix,,,46.49,474.5,11
HCPCS,Q4118,Matristem micromatrix,,,4.84,4.84,2
HCPCS,Q4118,Noncdm Charge Record Medical Supplies - Dressing Biological 100Mg Micromatrix 100,1493.5,582.46,,,0
HCPCS,Q4118,Noncdm Charge Record Medical Supplies - Dressing Biological 200Mg Micromatrix 200,2687.9,1048.28,,,0
HCPCS,Q4118,Noncdm Charge Record Medical Supplies - Dressing Wound Matristem Micromatrix Lot# L,6187.23,2413.02,,,0
HCPCS,Q4118,Noncdm Charge Record Medical Supplies - Micro Matrix 1000Mg,11329.11,4418.35,,,0
HCPCS,Q4121,Hc Dressing Theraskin Wound Mtrx Per Sq Cm,397.65,155.08,,,0
HCPCS,Q4121,Noncdm Charge Record Medical Supplies - Dressing Theraskin 3In X 6In 116 Sq Cm Lifenet Health,535.34,208.78,,,0
HCPCS,Q4121,Noncdm Charge Record Medical Supplies - Graft Theraskin 2Inx3In,471.66,183.95,,,0
HCPCS,Q4121,Theraskin,,,92.35,474.5,11
HCPCS,Q4122,Dermacell,,,126.4,474.5,11
HCPCS,Q4123,Alloskin,,,126.4,474.5,11
HCPCS,Q4124,Oasis tri-layer wound matrix,,,19.48,474.5,11
HCPCS,Q4126,Memoderm/derma/tranz/integup,,,113.48,474.5,11
HCPCS,Q4127,Talymed,,,126.4,474.5,11
HCPCS,Q4128,Flexhd/allopatchhd/matrixhd,,,58.3,474.5,11
HCPCS,Q4132,Grafix core,,,126.4,474.5,11
HCPCS,Q4133,Grafix prime,,,126.4,474.5,11
HCPCS,Q4133,Noncdm Charge Record Medical Supplies - Grafix Xc Pl 7.5X15Cm,1975.05,770.27,,,0
HCPCS,Q4133,Noncdm Charge Record Medical Supplies - Implant Allograft Plcnt 2X4Cm Stravix Human Tissue,2551.08,994.92,,,0
HCPCS,Q4133,Noncdm Charge Record Medical Supplies - Implant Allograft Plcnt 3X6Cm Stravix Human Tissue,4115.9,1605.2,,,0
HCPCS,Q4133,Noncdm Charge Record Medical Supplies - Implant Graft 5X5Cm Grafix Human Tissue,13050.32,5089.62,,,0
HCPCS,Q4133,Noncdm Charge Record Medical Supplies - Implant Graft 7.5 X15 Grafix Human Tissue,1245.04,485.57,,,0
HCPCS,Q4133,Noncdm Charge Record Medical Supplies - Implant Plcnt Tissue W3Xl6Cm Stravix Plcnt Tissue,3744.9,1460.51,,,0
HCPCS,Q4133,Noncdm Charge Record Medical Supplies - Stravix 3X6Cm Meshed (18 Cm2) Stravix Mesh 3X6 Cm,3919.31,1528.53,,,0
HCPCS,Q4133,Noncdm Charge Record Medical Supplies - Stravix Pl 2X4Cm Stravix Mesh 2X4 Cm,2343.56,913.99,,,0
HCPCS,Q4133,Sup Gravix Stravix Prime Sq Cm Or Sheet,12743.44,4969.94,,,0
HCPCS,Q4134,hMatrix,,,126.4,474.5,11
HCPCS,Q4137,"Amnioexcel or biodexcel, 1cm",,,126.4,474.5,11
HCPCS,Q4138,"Biodfence dryflex, 1cm",,,126.4,474.5,11
HCPCS,Q4140,Biodfence 1cm,,,126.4,474.5,11
HCPCS,Q4141,"Alloskin ac, 1 cm",,,72.39,474.5,11
HCPCS,Q4143,"Repriza, 1cm",,,64.65,474.5,11
HCPCS,Q4145,"Epifix, inj, 1mg",,,48.6,48.6,2
HCPCS,Q4147,Architect ecm px fx 1 sq cm,,,92.56,474.5,11
HCPCS,Q4148,"Neox 1k, 1cm",,,126.4,474.5,11
HCPCS,Q4149,"Excellagen, 0.1 cc",,,281.9,281.9,2
HCPCS,Q4150,Allowrap ds or dry 1 sq cm,,,126.4,474.5,11
HCPCS,Q4151,"Amnioband, guardian 1 sq cm",,,126.4,474.5,11
HCPCS,Q4152,Dermapure 1 square cm,,,99.21,474.5,11
HCPCS,Q4152,Noncdm Charge Record Medical Supplies - Allograft Dermal Tissue 2Cm X 3Cm,3915.4,1527.01,,,0
HCPCS,Q4152,Noncdm Charge Record Medical Supplies - Allograft Dermal Tissue 4Cm X 6Cm,10609.78,4137.81,,,0
HCPCS,Q4153,"Dermavest, plurivest sq cm",,,126.4,474.5,11
HCPCS,Q4154,Biovance 1 square cm,,,126.4,474.5,11
HCPCS,Q4155,Neoxflo or clarixflo 1 mg,,,54.74,54.74,2
HCPCS,Q4156,Neox 100 1 square cm,,,122.08,474.5,11
HCPCS,Q4157,Revitalon 1 square cm,,,126.4,474.5,11
HCPCS,Q4158,Hc Kerecis Omega3 Per Sq Cm,156.695,61.11,,,0
HCPCS,Q4158,Marigen 1 square cm,,,126.4,474.5,11
HCPCS,Q4158,Noncdm Charge Record Medical Supplies,611.95,238.66,,,0
HCPCS,Q4158,Noncdm Charge Record Medical Supplies - Dressing Wound Kerecis Omega3 3X3.5 Cm,3789.14,1477.76,,,0
HCPCS,Q4158,Noncdm Charge Record Medical Supplies - Dressing Wound Kerecis Omega3 3X7 Cm,6046.47,2358.12,,,0
HCPCS,Q4158,Noncdm Charge Record Medical Supplies - Dressing Wound Kerecis Omega3 7X20 Cm,120.84,47.13,,,0
HCPCS,Q4158,Noncdm Charge Record Medical Supplies - Skin Fish 19Cm2 Omega3 Micro Surgiclose Kerecis,1624.08,633.39,,,0
HCPCS,Q4158,Noncdm Charge Record Medical Supplies - Skin Fish Surgiclose Omega3 7X20 Kerecis,45176.2,17618.72,,,0
HCPCS,Q4158,Noncdm Charge Record Medical Supplies - Treatment Wound Skin Fish 3X3.5Cm Omega 3 Wound Kercecis,3533.49,1378.06,,,0
HCPCS,Q4158,Noncdm Charge Record Medical Supplies - Treatment Wound Skin Fish 3X7Cm Omega 3 Wound Kercecis,268.36,104.66,,,0
HCPCS,Q4159,Affinity1 square cm,,,126.4,501.95,11
HCPCS,Q4160,Noncdm Charge Record Medical Supplies - Graft Human Tissue 4X4Cm Nushield Organogenesis,8555.31,3336.57,,,0
HCPCS,Q4160,Noncdm Charge Record Medical Supplies - Graft Human Tissue 6X6Cm Nushield Organogenesis,12179.88,4750.15,,,0
HCPCS,Q4160,Noncdm Charge Record Medical Supplies - Nushield 1.6Cm,1643.34,640.9,,,0
HCPCS,Q4160,Noncdm Charge Record Medical Supplies - Nushield 2X3,3745.66,1460.81,,,0
HCPCS,Q4160,Noncdm Charge Record Medical Supplies - Nushield 2X4,4373.91,1705.82,,,0
HCPCS,Q4160,Noncdm Charge Record Medical Supplies - Nushield 3X4,4147.35,1617.47,,,0
HCPCS,Q4160,Noncdm Charge Record Medical Supplies - Nushield 4X6Cm,9207.36,3590.87,,,0
HCPCS,Q4160,Nushield 1 square cm,,,126.4,474.5,11
HCPCS,Q4161,Bio-connekt per square cm,,,126.4,4860.3,11
HCPCS,Q4162,Amnio bio and woundex flow,,,3564.22,3564.22,2
HCPCS,Q4163,Amnio bio and woundex sq cm,,,126.4,474.5,11
HCPCS,Q4164,"Helicoll, per square cm",,,126.4,2527.36,11
HCPCS,Q4165,"Keramatrix, per square cm",,,58.29,474.5,11
HCPCS,Q4166,"Cytal, per square centimeter",,,39.19,474.5,11
HCPCS,Q4166,Noncdm Charge Record Medical Supplies - Mtrx Ml Lr Wound Matristm 7X10,5244.34,2045.29,,,0
HCPCS,Q4167,"Truskin, per sq centimeter",,,126.4,474.5,11
HCPCS,Q4168,"Amnioband, 1 mg",,,32.5,32.5,2
HCPCS,Q4169,"Artacent wound, per sq cm",,,126.4,5385.21,11
HCPCS,Q4170,"Cygnus, per sq cm",,,126.4,1846.91,11
HCPCS,Q4171,"Interfyl, 1 mg",,,22.7,22.7,2
HCPCS,Q4173,Palingen or palingen xplus,,,126.4,1312.28,11
HCPCS,Q4174,Palingen or promatrx,,,2420.43,2420.43,2
HCPCS,Q4175,Miroderm,,,126.4,474.5,11
HCPCS,Q4176,"Neopatch, per sq centimeter",,,126.4,474.5,11
HCPCS,Q4177,"Floweramnioflo, 0.1 cc",,,291.62,291.62,2
HCPCS,Q4178,"Floweramniopatch, per sq cm",,,126.4,474.5,11
HCPCS,Q4180,Noncdm Charge Record Medical Supplies,3487.535,1360.1399999999999,,,0
HCPCS,Q4180,Noncdm Charge Record Medical Supplies - Biologic Tissue Revita 4X6Cm,7733.52,3016.07,,,0
HCPCS,Q4180,Noncdm Charge Record Medical Supplies - Revita Burn Clear 10X10 Cm,186.0,72.54,,,0
HCPCS,Q4180,"Revita, per sq cm",,,126.4,2702.33,11
HCPCS,Q4182,"Transcyte, per sq centimeter",,,76.47,474.5,11
HCPCS,Q4183,"Surgigraft, 1 sq cm",,,126.4,474.5,11
HCPCS,Q4184,"Cellesta, 1 sq cm",,,126.4,1189.99,11
HCPCS,Q4186,Epifix 1 sq cm,,,126.4,474.5,11
HCPCS,Q4186,Noncdm Charge Record Medical Supplies - Graft Amnio Membr 2Cmx3Cm Allograft Epifix (X),6121.25,2387.29,,,0
HCPCS,Q4186,Noncdm Charge Record Medical Supplies - Graft Amnio Membr 4Cmx4Cm Allograft Epifix (X),14797.74,5771.12,,,0
HCPCS,Q4186,Noncdm Charge Record Medical Supplies - Graft Amnio Membr 5Cmx6Cm Allograft Epifix (X),29083.11,11342.41,,,0
HCPCS,Q4186,Noncdm Charge Record Medical Supplies - Graft Amnio Membr 7Cmx7Cm Allograft Epifix (X),46883.6,18284.6,,,0
HCPCS,Q4187,Epicord 1 sq cm,,,126.4,474.5,11
HCPCS,Q4188,Amnioarmor 1 sq cm,,,126.4,660.7,11
HCPCS,Q4189,"Artacent ac, 1 mg",,,40.54,40.54,2
HCPCS,Q4190,Artacent ac 1 sq cm,,,126.4,474.5,11
HCPCS,Q4191,Restorigin 1 sq cm,,,126.4,1937.09,11
HCPCS,Q4193,Coll-e-derm 1 sq cm,,,126.4,3791.03,11
HCPCS,Q4194,Novachor 1 sq cm,,,126.4,1637.1,11
HCPCS,Q4195,Puraply 1 sq cm,,,126.4,474.5,11
HCPCS,Q4196,Noncdm Charge Record Medical Supplies - Graft Puraply Am 2X2 (4Sqcm),3625.26,1413.85,,,0
HCPCS,Q4196,Puraply am 1 sq cm,,,126.4,474.5,11
HCPCS,Q4197,Noncdm Charge Record Medical Supplies,20542.68,8011.65,,,0
HCPCS,Q4197,Puraply xt 1 sq cm,,,126.4,474.5,11
HCPCS,Q4197,Sup Puraply Xt Per Sq Cm,821.71,320.47,,,0
HCPCS,Q4199,"Cygnus matrix, per sq cm",,,126.4,693.38,11
HCPCS,Q4201,Matrion 1 sq cm,,,126.4,474.5,11
HCPCS,Q4203,"Derma-gide, 1 sq cm",,,126.4,572.14,11
HCPCS,Q4204,Xwrap 1 sq cm,,,126.4,5540.74,11
HCPCS,Q4205,Membrane graft or wrap sq cm,,,126.4,2210.22,11
HCPCS,Q4208,Novafix per sq cm,,,126.4,777.65,11
HCPCS,Q4213,"Ascent, 0.5 mg",,,111.69,111.69,2
HCPCS,Q4217,Woundfix biowound plus xplus,,,126.4,706.86,11
HCPCS,Q4218,Surgicord per sq cm,,,126.4,474.5,11
HCPCS,Q4219,Surgigraft dual per sq cm,,,126.4,1944.12,11
HCPCS,Q4221,Amniowrap2 per sq cm,,,126.4,3110.59,11
HCPCS,Q4222,"Progenamatrix, per sq cm",,,126.4,474.5,11
HCPCS,Q4225,"Amniobind, per sq cm",,,126.4,2781.9,11
HCPCS,Q4226,Myown harv prep proc sq cm,,,2332.94,2332.94,2
HCPCS,Q4227,Amniocore per sq cm,,,126.4,2187.14,11
HCPCS,Q4229,Cogenex amnio memb per sq cm,,,126.4,993.08,11
HCPCS,Q4231,"Corplex p, per cc",,,1930.99,1930.99,2
HCPCS,Q4232,"Corplex, per sq cm",,,126.4,505.36,11
HCPCS,Q4234,"Xcellerate, per sq cm",,,126.4,486.3,11
HCPCS,Q4235,Amniorepair or altiply sq cm,,,126.4,474.5,11
HCPCS,Q4236,Carepatch per sq cm,,,126.4,1169.52,11
HCPCS,Q4237,"cryo-cord, per sq cm",,,126.4,809.04,11
HCPCS,Q4238,"Derm-maxx, per sq cm",,,126.4,2969.53,11
HCPCS,Q4239,Amnio-maxx or lite per sq cm,,,126.4,4374.27,11
HCPCS,Q4246,"Coretext or protext, per cc",,,7825.08,7825.08,2
HCPCS,Q4247,"Amniotext patch, per sq cm",,,126.4,2310.26,11
HCPCS,Q4248,Dermacyte Amn mem allo sq cm,,,126.4,4366.17,11
HCPCS,Q4249,"Amniply, per sq cm",,,126.4,4376.21,11
HCPCS,Q4250,AmnioAMP-MP per sq cm,,,126.4,4617.29,11
HCPCS,Q4251,"Vim, per square centimeter",,,126.4,474.5,11
HCPCS,Q4252,"Vendaje, per square centimet",,,126.4,474.5,11
HCPCS,Q4253,Zenith amniotic membrane psc,,,126.4,474.5,11
HCPCS,Q4254,Novafix dl per sq cm,,,126.4,777.65,11
HCPCS,Q4256,"Mlg complet, per sq cm",,,126.4,1854.21,11
HCPCS,Q4257,"Relese, per sq cm",,,126.4,929.59,11
HCPCS,Q4258,"Enverse, per sq cm",,,126.4,474.5,11
HCPCS,Q4258,Noncdm Charge Record Medical Supplies - Membrane Allograft 4X6Cm Translucent Dehydrated Comp,7733.52,3016.07,,,0
HCPCS,Q4258,Noncdm Charge Record Medical Supplies - Membrane Allograft 6X8Cm Translucent Dehydrated Comp,14500.35,5655.14,,,0
HCPCS,Q4259,Celera per sq cm,,,126.4,2441.09,11
HCPCS,Q4261,"Tag, per square centimeter",,,126.4,1172.69,11
HCPCS,Q4262,"Dual layer impax, per sq cm",,,126.4,576.6,11
HCPCS,Q4263,"Surgraft tl, per sq cm",,,126.4,1458.09,11
HCPCS,Q4264,"Cocoon membrane, per sq cm",,,126.4,5249.12,11
HCPCS,Q4265,Neostim tl per sq cm,,,126.4,4030.62,11
HCPCS,Q4266,Neostim per sq cm,,,126.4,1694.28,11
HCPCS,Q4267,Neostim dl per sq cm,,,126.4,707.72,11
HCPCS,Q4268,Surgraft ft per sq cm,,,126.4,2126.39,11
HCPCS,Q4269,Surgraft xt per sq cm,,,126.4,1458.09,11
HCPCS,Q4271,Complete ft per sq cm,,,126.4,2938.31,11
HCPCS,Q4272,"Esano a, per sq cm",,,126.4,567.04,11
HCPCS,Q4274,"Esano ac, per sq cm",,,126.4,3450.81,11
HCPCS,Q4276,"Orion, per sq cm",,,126.4,922.1,11
HCPCS,Q4278,"Epieffect, per sq cm",,,126.4,583.37,11
HCPCS,Q4279,"Vendaje ac, per sq cm",,,126.4,4545.81,11
HCPCS,Q4280,Xcell amnio matrix per sq cm,,,126.4,3927.12,11
HCPCS,Q4281,Barrera slor dl per sq cm,,,126.4,1692.74,11
HCPCS,Q4282,Cygnus dual per sq cm,,,126.4,927.8,11
HCPCS,Q4283,"Biovance tri or 3l, sq cm",,,126.4,1258.68,11
HCPCS,Q4285,Nudyn dl or dl mesh pr sq cm,,,126.4,474.5,11
HCPCS,Q4286,"Nudyn sl or slw, per sq cm",,,126.4,474.5,11
HCPCS,Q4289,"Revoshield+ amnio, per sq cm",,,126.4,3544.21,11
HCPCS,Q4290,Membrane wrap hydr per sq cm,,,126.4,3596.62,11
HCPCS,Q4291,"Lamellas xt, per sq cm",,,126.4,2430.15,11
HCPCS,Q4292,"Lamellas, per sq cm",,,126.4,2332.94,11
HCPCS,Q4293,"Acesso dl, per sq cm",,,126.4,2422.05,11
HCPCS,Q4294,"Amnio quad-core, per sq cm",,,126.4,4860.3,11
HCPCS,Q4295,"Amnio tri-core, per sq cm",,,126.4,4277.06,11
HCPCS,Q4296,"Rebound matrix, per sq cm",,,126.4,4374.27,11
HCPCS,Q4297,"Emerge matrix, per sq cm",,,126.4,3408.23,11
HCPCS,Q4298,"Amnicore pro, per sq cm",,,126.4,4140.61,11
HCPCS,Q4299,"Amnicore pro+, per sq cm",,,126.4,4763.09,11
HCPCS,Q4300,"Acesso tl, per sq cm",,,126.4,4030.62,11
HCPCS,Q4301,"Activate matrix, per sq cm",,,126.4,3687.98,11
HCPCS,Q4302,"Complete aca, per sq cm",,,126.4,3828.58,11
HCPCS,Q4303,"Complete aa, per sq cm",,,126.4,6504.78,11
HCPCS,Q4304,"Grafix plus, per sq cm",,,126.4,1753.5,11
HCPCS,Q4309,"Via matrix, per sq cm",,,126.4,3402.21,11
HCPCS,Q4310,"Procenta, per 100 mg",,,4107.39,4107.39,2
HCPCS,Q4313,"Dermabind fm, per sq cm",,,126.4,5589.35,11
HCPCS,Q4319,"Sanograft, per sq cm",,,126.4,1215.08,11
HCPCS,Q4320,"Pellograft, per sq cm",,,126.4,1458.09,11
HCPCS,Q4322,"Caregraft, per sq cm",,,126.4,3839.64,11
HCPCS,Q4323,"Alloply, per sq cm",,,126.4,3207.8,11
HCPCS,Q4324,"Amniotx, per sq cm",,,126.4,3207.8,11
HCPCS,Q4325,"Acapatch, per sq cm",,,126.4,4665.89,11
HCPCS,Q4326,"Woundplus, per sq cm",,,126.4,3037.69,11
HCPCS,Q4331,"Axolotl graft, per sq cm",,,126.4,3290.82,11
HCPCS,Q4332,"Axolotl dualgraft, per sq cm",,,126.4,3290.82,11
HCPCS,Q4333,"Ardeograft, per sq cm",,,126.4,1458.09,11
HCPCS,Q4339,"Artacent vericlen, per sq cm",,,126.4,4487.68,11
HCPCS,Q4341,"Simplimax, per sq cm",,,126.4,5711.25,11
HCPCS,Q4343,Dermacyte ac matrx per sq cm,,,126.4,4511.98,11
HCPCS,Q4344,"Tri membrane wrap, per sq cm",,,126.4,4957.51,11
HCPCS,Q4346,Shelter dm matrix per sq cm,,,126.4,6804.42,11
HCPCS,Q4348,Sentry sl matrix per sq cm,,,126.4,3791.03,11
HCPCS,Q4349,Mantle dl matrix per sq cm,,,126.4,6804.42,11
HCPCS,Q4350,Palisade dm matrix per sq cm,,,126.4,6804.42,11
HCPCS,Q4351,"Enclose tl matrix, per sq cm",,,126.4,7290.45,11
HCPCS,Q4352,"Overlay sl matrix, per sq cm",,,126.4,3791.03,11
HCPCS,Q4353,Xceed tl matrix per sq cm,,,126.4,5735.15,11
HCPCS,Q5101,Inj filgrastim gcsf biosimil,,,0.46,1.17,13
HCPCS,Q5103,"Injection, inflectra",,,19.99,102.5,13
HCPCS,Q5104,"Injection, renflexis",,,27.0,161.92,13
HCPCS,Q5105,Inj Retacrit esrd on dialysi,,,1.43,2.86,5
HCPCS,Q5106,Inj Retacrit non-esrd use,,,7.85,28.7,13
HCPCS,Q5107,Inj mvasi 10 mg,,,27.86,95.74,13
HCPCS,Q5108,"Injection, fulphila",,,99.13,476.6,13
HCPCS,Q5110,Nivestym,,,0.3,1.06,13
HCPCS,Q5111,"Injection, udenyca 0.5 mg",,,106.33,486.04,13
HCPCS,Q5112,Inj ontruzant 10 mg,,,19.0,203.76,13
HCPCS,Q5113,Inj herzuma 10 mg,,,69.37,147.94,13
HCPCS,Q5114,Inj  ogivri 10 mg,,,40.29,163.06,13
HCPCS,Q5115,Inj truxima 10 mg,,,29.38,142.28,13
HCPCS,Q5116,"Inj., trazimera, 10 mg",,,27.99,135.2,13
HCPCS,Q5117,"Inj., kanjinti, 10 mg",,,46.54,113.63,13
HCPCS,Q5118,"Inj., zirabev, 10 mg",,,25.77,121.53,13
HCPCS,Q5119,"Inj ruxience, 10 mg",,,27.84,132.02,13
HCPCS,Q5120,Inj pegfilgrastim-bmez 0.5mg,,,30.32,1272.61,13
HCPCS,Q5121,"Inj. avsola, 10 mg",,,20.4,114.72,13
HCPCS,Q5122,"Inj, nyvepria",,,131.16,644.08,13
HCPCS,Q5123,"Inj. riabni, 10 mg",,,26.51,152.01,13
HCPCS,Q5124,"Inj. byooviz, 0.1 mg",,,61.8,688.16,12
HCPCS,Q5125,"Inj, releuko 1 mcg",,,0.38,1.98,12
HCPCS,Q5126,Inj alymsys 10 mg,,,37.82,222.33,12
HCPCS,Q5127,"Inj, stimufend, 0.5 mg",,,184.91,1206.11,12
HCPCS,Q5128,"Inj, cimerli, 0.1 mg",,,86.16,961.83,12
HCPCS,Q5129,"Inj, vegzelma, 10 mg",,,39.96,265.74,12
HCPCS,Q5130,"Inj, fylnetra, 0.5 mg",,,137.96,741.23,12
HCPCS,Q5133,"Inj, tofidence, 1 mg",,,5.54,11.44,9
HCPCS,Q5135,"Inj, tyenne, 1 mg",,,4.42,8.65,9
HCPCS,Q5142,"Inj adalimumab-ryvk, 1 mg",,,25.22,25.22,2
HCPCS,Q5144,"Inj, idacio, 1 mg",,,43.69,43.69,2
HCPCS,Q5146,"Inj, hercessi, 10 mg",,,40.02,171.46,9
HCPCS,Q9950,Inj sulf hexa lipid microsph,,,35.6,35.6,2
HCPCS,Q9953,"Inj fe-based mr contrast,1ml",,,118.27,118.27,2
HCPCS,Q9955,"Inj perflexane lip micros,ml",,,25.25,25.25,2
HCPCS,Q9956,"Inj octafluoropropane mic,ml",,,79.31,79.31,2
HCPCS,Q9956,PERFLUTREN PROTEIN-TYPE A MICROSPHERES 0.22 MG/ML INTRAVENOUS SUSP,1381.35,538.73,,,0
HCPCS,Q9957,"Inj perflutren lip micros,ml",,,79.31,79.31,2
HCPCS,Q9957,PERFLUTREN LIPID MICROSPHERES 0.65 MG/ML INTRAVENOUS SUSPENSION,968.2,377.6,,,0
HCPCS,Q9957,PERFLUTREN LIPID MICROSPHERES 1.1 MG/ML INTRAVENOUS SUSPENSION,968.2,377.6,,,0
HCPCS,Q9958,DIATRIZOATE MEGLUMINE 18 % URETHRAL SOLUTION,660.0,257.4,,,0
HCPCS,Q9958,DIATRIZOATE MEGLUMINE 30 % URETHRAL SOLUTION,825.0,321.75,,,0
HCPCS,Q9958,"HOCM <=149 mg/ml iodine, 1ml",,,0.13,0.13,2
HCPCS,Q9958,IOTHALAMATE MEGLUMINE 17.2 % URETHRAL SOLUTION,550.0,214.5,,,0
HCPCS,Q9960,"HOCM 200-249mg/ml iodine,1ml",,,0.53,0.53,2
HCPCS,Q9961,"HOCM 250-299mg/ml iodine,1ml",,,0.55,0.55,2
HCPCS,Q9961,IOTHALAMATE MEGLUMINE 60 % INJECTION SOLUTION,24.4,9.52,,,0
HCPCS,Q9962,"HOCM 300-349mg/ml iodine,1ml",,,0.34,0.34,2
HCPCS,Q9963,DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION,165.0,64.35,,,0
HCPCS,Q9963,"HOCM 350-399mg/ml iodine,1ml",,,0.42,0.42,2
HCPCS,Q9964,"Hocm>= 400mg/ml iodine, 1ml",,,0.55,0.55,2
HCPCS,Q9965,IOHEXOL 140 MG IODINE/ML INTRAVENOUS SOLUTION,440.0,171.6,,,0
HCPCS,Q9965,IOHEXOL 180 MG IODINE/ML INTRATHECAL SOLUTION,88.0,34.32,,,0
HCPCS,Q9965,"LOCM 100-199mg/ml iodine,1ml",,,2.29,2.29,2
HCPCS,Q9966,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION,247.5,96.52499999999999,,,0
HCPCS,Q9966,IOPAMIDOL 200 MG IODINE/ML (41 %) INTRATHECAL SOLUTION,33.0,12.87,,,0
HCPCS,Q9966,IOPAMIDOL 200 MG IODINE/ML (41 %) INTRAVENOUS SOLUTION,660.0,257.4,,,0
HCPCS,Q9966,IOPAMIDOL 250 MG IODINE/ML (51 %) INTRAVENOUS SOLUTION,478.5,186.615,,,0
HCPCS,Q9966,"LOCM 200-299mg/ml iodine,1ml",,,0.78,0.78,2
HCPCS,Q9967,IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION,330.0,128.7,,,0
HCPCS,Q9967,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,247.5,96.52499999999999,,,0
HCPCS,Q9967,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,371.25,144.79,,,0
HCPCS,Q9967,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRATHECAL SOLUTION,49.5,19.3,,,0
HCPCS,Q9967,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION,330.0,128.7,,,0
HCPCS,Q9967,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION,392.7,153.155,,,0
HCPCS,Q9967,"LOCM 300-399mg/ml iodine,1ml",,,0.27,0.27,2
HCPCS,Q9968,Visualization adjunct,,,8.72,32.75,15
HCPCS,Q9969,Non-HEU TC-99M add-on/dose,,,26.5,36.7,4
HCPCS,Q9982,flutemetamol f18 diagnostic,,,1944.01,7297.71,11
HCPCS,Q9983,florbetaben f18 diagnostic,,,1584.67,6610.01,11
HCPCS,Q9991,Buprenorph xr 100 mg or less,,,2016.42,6925.69,13
HCPCS,Q9992,Buprenorphine xr over 100 mg,,,2016.42,6925.69,13
HCPCS,S0012,"Butorphanal tartrate, nasal spray, 25 mg",,,109.65,109.65,2
HCPCS,S0013,Description Not Available,,,26.82,26.82,2
HCPCS,S0014,"Tacrine HCl, 10mg",,,4.73,4.73,2
HCPCS,S0017,"Injection, aminocaproic acid, 5mg",,,15.82,15.82,2
HCPCS,S0021,"Injection, cefoperazone sodium, 1 g",,,29.16,29.16,2
HCPCS,S0023,"Injection, cimetidine HCl, 300 mg",,,4.65,4.65,2
HCPCS,S0028,"Injection, famotidine, 20mg",,,1.73,1.73,2
HCPCS,S0032,"Injection, nafcillin sodium, 2 g",,,25.56,25.56,2
HCPCS,S0034,"Injection, ofloxacin, 400 mg",,,42.77,42.77,2
HCPCS,S0039,"Injection, sulfamethoxazole and trimethoprim, 10 ml",,,24.38,24.38,2
HCPCS,S0040,"Injection, ticarcillin disodium and clavulanate potassium, 3.1 g",,,25.92,25.92,2
HCPCS,S0074,"Injection, cefotetan disodium, 500 mg",,,23.54,23.54,2
HCPCS,S0078,"Injection, fosphenytoin sodium, 750 mg",,,71.76,71.76,2
HCPCS,S0080,"Injection, pentamidine isethonate, 300 mg",,,189.93,189.93,2
HCPCS,S0081,"Injection, piperacillin sodium, 500 mg",,,3.39,3.39,2
HCPCS,S0088,"Imatinib, 100 mg",,,5.78,5.78,2
HCPCS,S0090,"Sildenafil citrate, 25 mg",,,0.51,0.51,2
HCPCS,S0091,"Granisetron HCl, 1mg (for circumstances falling under the Medicare Statute, use Q0166)",,,5.83,5.83,2
HCPCS,S0092,"Injection, hydromorphone HCl, 250 mg (loading dose for infusion pump)",,,162.18,162.18,2
HCPCS,S0093,"Injection, morphine sulfate, 500mg (loding dose for infusion pump)",,,15.59,15.59,2
HCPCS,S0104,"Zidovudine, oral, 100 mg",,,2.95,2.95,2
HCPCS,S0106,"Buproprion HCl sustained release tablit, 150 mg, per bottle of 60 tablets",,,29.54,29.54,2
HCPCS,S0108,"Mercaptopuine, oral, 50 mg",,,5.55,5.55,2
HCPCS,S0109,"Methadone, oral, 5 mg",,,0.59,0.59,2
HCPCS,S0117,"Tretinoin, topical, 5 g",,,7.3,7.3,2
HCPCS,S0119,Description Not Available,,,0.88,0.88,2
HCPCS,S0122,"Injection, menotropins, 75 IU",,,471.94,471.94,2
HCPCS,S0126,"Injection, follitropin alfa, 75 IU",,,469.52,469.52,2
HCPCS,S0128,"Injection, follitropin beta, 75 IU",,,422.85,422.85,2
HCPCS,S0132,"Injection, ganirelix acetate, 250 mcg",,,365.21,365.21,2
HCPCS,S0136,"Clozapine, 25 mg",,,1.26,1.26,2
HCPCS,S0137,"Didanosine (ddI), 25 mg",,,1.09,1.09,2
HCPCS,S0138,"Finasteride, 5 mg",,,0.29,0.29,2
HCPCS,S0139,"Minoxidil, 10 mg",,,0.9,0.9,2
HCPCS,S0140,"Saquinavir, 200 mg",,,2.36,2.36,2
HCPCS,S0145,"pegylated interferon alfa-2a, 180 mcg/ ml",,,2164.63,2164.63,2
HCPCS,S0148,Peg interferon alfa-2B/10,,,292.46,292.46,2
HCPCS,S0155,"Sterile dilutant for epoprostenol, 50 ml",,,28.19,28.19,2
HCPCS,S0156,"Exemestane, 25 mg",,,3.24,3.24,2
HCPCS,S0157,"Becaplermin gel 0.01%, 0.5 gm",,,88.11,88.11,2
HCPCS,S0160,"Dextoamphetamine sulfate, 5 mg",,,1.35,1.35,2
HCPCS,S0169,Calcitrol,,,0.53,0.53,2
HCPCS,S0170,"Anastrozole, oral, 1 mg",,,0.93,0.93,2
HCPCS,S0172,"Chlorambucil, oral, 2 mg",,,513.53,513.53,2
HCPCS,S0174,"Dolasetron mesylate, oral 50 mg (for circumstances falling under the medicare statute, use q0180)",,,57.47,57.47,2
HCPCS,S0175,"Flutamide, oral, 125 mg",,,58.23,58.23,2
HCPCS,S0176,"Hydroxyurea, oral, 500 mg",,,1.09,1.09,2
HCPCS,S0177,"Levamisole HCl, oral, 50 mg",,,5.76,5.76,2
HCPCS,S0178,"Lomustine, oral, 10 mg",,,218.69,218.69,2
HCPCS,S0179,"Megestrol acetate, oral, 20 mg",,,0.53,0.53,2
HCPCS,S0182,"Procarbazine HCl, oral, 50 mg",,,251.31,251.31,2
HCPCS,S0183,"Prochlorperazine maleate, oral, 5 mg (for circumstances falling under the medicare statute, use q0164)",,,0.67,0.67,2
HCPCS,S0187,"Tamoxifen citrate, oral, 10 mg",,,0.38,0.38,2
HCPCS,S0189,"testosterone pellet, 75 mg",,,204.4,204.4,2
HCPCS,S0190,"Mitepristone, oral, 200 mg",,,69.66,69.66,2
HCPCS,S0191,"Misoprostol, oral, 200 mcg",,,1.89,1.89,2
HCPCS,S0194,"Dialysis/stress vitamin supplement, oral, 100 capsules",,,19.16,19.16,2
HCPCS,S0601,Screening protoscopy,,,5063.0,5063.0,1
HCPCS,S0800,Laser in situ keratomileusis (LASIK),,,5063.0,5063.0,1
HCPCS,S0810,Photorefractive keratectomy (PRK),,,5063.0,5063.0,1
HCPCS,S0812,Phototherapeutic keratectomy (PTK),,,5063.0,5063.0,1
HCPCS,S1091,Description Not Available,,,3353.61,3353.61,2
HCPCS,S2053,"transplant sm. Intest, liver, allograft",,,5063.0,5063.0,1
HCPCS,S2054,Transplant multivisceral organs,,,5063.0,5063.0,1
HCPCS,S2055,"harvesting organs, cadaver donor",,,5063.0,5063.0,1
HCPCS,S2060,Lobar lung transplantation,,,5063.0,5063.0,1
HCPCS,S2061,"Donor lobectomy, live donor",,,5063.0,5063.0,1
HCPCS,S2065,Sim Panc/renal transplant,,,5063.0,5063.0,1
HCPCS,S2066,"Breast reconstruct, GAP",,,5063.0,5063.0,1
HCPCS,S2067,"Breast reconstruct, stacked DEIP or GAP",,,5063.0,5063.0,1
HCPCS,S2068,"Breast reconstruct, DEIP",,,5063.0,5063.0,1
HCPCS,S2070,Cystoerethroscopy,,,5063.0,5063.0,1
HCPCS,S2075,lap incisional/ventral hernia repair,,,5063.0,5063.0,1
HCPCS,S2076,Lap ubilical hernia repair,,,5063.0,5063.0,1
HCPCS,S2077,Lap mesh hernia repair,,,5063.0,5063.0,1
HCPCS,S2078,"Laparoscopic supracervical hysterectomy (Subtotal),with or without removeal of tubes, with or without removal of ovaries",,,5063.0,5063.0,1
HCPCS,S2079,Heller esophagomyotomy,,,5063.0,5063.0,1
HCPCS,S2080,LAUP,,,5063.0,5063.0,1
HCPCS,S2082,Lap gastric band procedure,,,5063.0,5063.0,1
HCPCS,S2083,Hc Adjustment Gastric Band,1286.0,501.54,,,0
HCPCS,S2083,"gastric band adjustment, percutaneous",,,3391.0,3391.0,1
HCPCS,S2085,Lap gastric Roux en Y,,,5063.0,5063.0,1
HCPCS,S2095,"percut occlusion tumor dest, yttrium-90",,,5809.0,5809.0,1
HCPCS,S2102,"Iselt cell transplant, allogeneic",,,5063.0,5063.0,1
HCPCS,S2103,Adrenal tissue transplant to brain,,,5063.0,5063.0,1
HCPCS,S2112,"arthroscopy, harvest cartilage",,,5063.0,5063.0,1
HCPCS,S2113,"Arthroscopy, implant chondrocytes",,,5063.0,5063.0,1
HCPCS,S2114,"Tenodesis of biceps, arthroscopy",,,5063.0,5063.0,1
HCPCS,S2115,"Osteotomy, peracteabular, with internal fixation",,,5063.0,5063.0,1
HCPCS,S2117,"Arthroereisis, subtalar",,,5063.0,5063.0,1
HCPCS,S2205,Minimally invasive direct co,,,5063.0,5063.0,1
HCPCS,S2206,Minimally invasive direct co,,,5063.0,5063.0,1
HCPCS,S2207,Minimally invasive direct co,,,5063.0,5063.0,1
HCPCS,S2208,Minimally invasive direct co,,,5063.0,5063.0,1
HCPCS,S2209,Minimally invasive direct co,,,5063.0,5063.0,1
HCPCS,S2225,"Myringotomy, laser-assisted",,,5809.0,5809.0,1
HCPCS,S2230,Implant semi-imp hear,,,5063.0,5063.0,1
HCPCS,S2235,Implant auditory brain imp,,,5063.0,5063.0,1
HCPCS,S2255,Hysterosc oviduct occlus,,,5063.0,5063.0,1
HCPCS,S2300,"Arthroscopy, shoulder, surgi",,,5063.0,5063.0,1
HCPCS,S2350,"Diskectomy, anterior, with d",,,5063.0,5063.0,1
HCPCS,S2351,"Diskectomy, anterior, with d",,,5063.0,5063.0,1
HCPCS,S2360,Vertebroplast cerv 1st,,,5063.0,5063.0,1
HCPCS,S2400,Fetal surg congen hernia,,,5063.0,5063.0,1
HCPCS,S2401,Fetal surg urin trac obstr,,,5063.0,5063.0,1
HCPCS,S2402,Fetal surg cong cyst malf,,,5063.0,5063.0,1
HCPCS,S2403,Fetal surg pulmon sequest,,,5063.0,5063.0,1
HCPCS,S2404,Fetal surg myelomeningo,,,5063.0,5063.0,1
HCPCS,S2405,Fetal surg sacrococ teratoma,,,5063.0,5063.0,1
HCPCS,S2409,Fetal surg noc,,,5063.0,5063.0,1
HCPCS,S2900,Hc Robotic Procedure,2242.0,874.38,,,0
HCPCS,S2900,Robotic surgical system,,,5063.0,5063.0,1
HCPCS,S3620,Hc Newborn Metabolic Screen,186.0,72.54,,,0
HCPCS,S3722,Description Not Available,,,28.7,28.7,2
HCPCS,S5010,5% dextrose and 0.45% saline,,,15.36,15.36,2
HCPCS,S5012,5% dextrose with potassium,,,9.24,9.24,2
HCPCS,S5550,Insulin rapid 5 u,,,0.46,0.46,2
HCPCS,S5551,Insulin most rapid 5 u,,,0.82,0.82,2
HCPCS,S5552,Insulin intermed 5 u,,,0.46,0.46,2
HCPCS,S5553,Insulin long acting 5 u,,,1.11,1.11,2
HCPCS,S5561,Insulin reuse pen 3 ml,,,83.27,83.27,2
HCPCS,S5566,Insulin cartridge 300 u,,,52.24,52.24,2
HCPCS,S5570,Insulin dispos pen 1.5 ml,,,194.41,194.41,2
HCPCS,S5571,Insulin dispos pen 3 ml,,,61.85,61.85,2
HCPCS,S8042,MRI low field,,,1264.2,1264.2,1
HCPCS,S8085,Fluorine-18 fluorodeoxygluco,,,3741.0,3741.0,1
HCPCS,S9443,Hc Lactation Class Op Per Session,453.0,176.67,,,0
HCPCS,T2003,Hc Non Emergency Transportation Encounter Trip,55.0,21.45,,,0
HCPCS,T2101,Hc Milk Donor Breast Per Bottle,68.31,26.64,,,0
HCPCS,U0001,2019 nCoV diagnostic P,,,35.92,131.83,10
HCPCS,U0001,Hc Covid-19 Cdc,377.0,147.03,,,0
HCPCS,U0002,COVID-19 lab test non-CDC,,,51.31,188.31,10
HCPCS,U0002,Hc Covid-19 N-Cdc,377.0,147.03,,,0
HCPCS,U0003,Cov-19 amp prb hgh thruput,,,120.0,120.0,1
HCPCS,U0004,Cov-19 test non-cdc hgh thru,,,120.0,120.0,1
HCPCS,U0005,Infec agen detec ampli probe,,,30.0,30.0,1
HCPCS,V2524,Cntct lens hydrophil photoch,,,154.45,302.72,7
HCPCS,V2630,Lens Biom Super View,351.9,137.24,,,0
HCPCS,V2630,Noncdm Charge Record Medical Supplies,671.72,261.97,,,0
HCPCS,V2630,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 12.0,671.72,261.97,,,0
HCPCS,V2630,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 13.0,671.72,261.97,,,0
HCPCS,V2630,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 13.5,671.72,261.97,,,0
HCPCS,V2630,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 14.0,671.72,261.97,,,0
HCPCS,V2630,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 14.5,671.72,261.97,,,0
HCPCS,V2630,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 15.0,671.72,261.97,,,0
HCPCS,V2630,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 15.5,671.72,261.97,,,0
HCPCS,V2630,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 16.0,671.72,261.97,,,0
HCPCS,V2630,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 16.5,671.72,261.97,,,0
HCPCS,V2630,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 17.0,671.72,261.97,,,0
HCPCS,V2630,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 17.5,671.72,261.97,,,0
HCPCS,V2630,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 18.0,671.72,261.97,,,0
HCPCS,V2630,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 18.5,671.72,261.97,,,0
HCPCS,V2630,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 19.0,671.72,261.97,,,0
HCPCS,V2630,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 19.5,671.72,261.97,,,0
HCPCS,V2630,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 20.0,671.72,261.97,,,0
HCPCS,V2630,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 20.5,671.72,261.97,,,0
HCPCS,V2630,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 21.0,671.72,261.97,,,0
HCPCS,V2630,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 21.5,671.72,261.97,,,0
HCPCS,V2630,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 22.0,671.72,261.97,,,0
HCPCS,V2630,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 22.5,671.72,261.97,,,0
HCPCS,V2630,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 23.0,671.72,261.97,,,0
HCPCS,V2630,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 23.5,671.72,261.97,,,0
HCPCS,V2630,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 24.0,671.72,261.97,,,0
HCPCS,V2630,Noncdm Charge Record Medical Supplies - Lens Iol Preloaded Rayone 24.5,671.72,261.97,,,0
HCPCS,V2630,Opth: Lens: Iol/Ma60Bm,582.71,227.26,,,0
HCPCS,V2630,Sup Anterior Chamber Intraocular Lens,1753.14,683.72,,,0
HCPCS,V2632,"Iol, Posterior Chamber",648.95,253.09,,,0
HCPCS,V2632,Lens Acrysof Sn60Wf Etc,642.74,250.67,,,0
HCPCS,V2632,Lens Iol 24 Diopter 6Mm,648.95,253.09,,,0
HCPCS,V2632,Lens Ma60Ac,686.2,267.62,,,0
HCPCS,V2632,Noncdm Charge Record Medical Supplies,803.16,313.23,,,0
HCPCS,V2632,Noncdm Charge Record Medical Supplies - Lens Iol +20.0 Diop 6Mm,719.32,280.53,,,0
HCPCS,V2632,Noncdm Charge Record Medical Supplies - Lens Tecnis Itec 1Pc Mono Preloaded 12.0,806.26,314.44,,,0
HCPCS,V2632,Noncdm Charge Record Medical Supplies - Lens Tecnis Itec 1Pc Mono Preloaded 13.5,806.26,314.44,,,0
HCPCS,V2632,Noncdm Charge Record Medical Supplies - Lens Tecnis Itec 1Pc Mono Preloaded 14.5,806.26,314.44,,,0
HCPCS,V2632,Noncdm Charge Record Medical Supplies - Lens Tecnis Itec 1Pc Mono Preloaded 15.0,806.26,314.44,,,0
HCPCS,V2632,Noncdm Charge Record Medical Supplies - Lens Tecnis Itec 1Pc Mono Preloaded 16.0,806.26,314.44,,,0
HCPCS,V2632,Noncdm Charge Record Medical Supplies - Lens Tecnis Itec 1Pc Mono Preloaded 17.0,806.26,314.44,,,0
HCPCS,V2632,Noncdm Charge Record Medical Supplies - Lens Tecnis Itec 1Pc Mono Preloaded 17.5,806.26,314.44,,,0
HCPCS,V2632,Noncdm Charge Record Medical Supplies - Lens Tecnis Itec 1Pc Mono Preloaded 18.0,806.26,314.44,,,0
HCPCS,V2632,Noncdm Charge Record Medical Supplies - Lens Tecnis Itec 1Pc Mono Preloaded 18.5,806.26,314.44,,,0
HCPCS,V2632,Noncdm Charge Record Medical Supplies - Lens Tecnis Itec 1Pc Mono Preloaded 19.0,806.26,314.44,,,0
HCPCS,V2632,Noncdm Charge Record Medical Supplies - Lens Tecnis Itec 1Pc Mono Preloaded 19.5,806.26,314.44,,,0
HCPCS,V2632,Noncdm Charge Record Medical Supplies - Lens Tecnis Itec 1Pc Mono Preloaded 20.0,806.26,314.44,,,0
HCPCS,V2632,Noncdm Charge Record Medical Supplies - Lens Tecnis Itec 1Pc Mono Preloaded 20.5,806.26,314.44,,,0
HCPCS,V2632,Noncdm Charge Record Medical Supplies - Lens Tecnis Itec 1Pc Mono Preloaded 21.0,806.26,314.44,,,0
HCPCS,V2632,Noncdm Charge Record Medical Supplies - Lens Tecnis Itec 1Pc Mono Preloaded 21.5,806.26,314.44,,,0
HCPCS,V2632,Noncdm Charge Record Medical Supplies - Lens Tecnis Itec 1Pc Mono Preloaded 22.0,806.26,314.44,,,0
HCPCS,V2632,Noncdm Charge Record Medical Supplies - Lens Tecnis Itec 1Pc Mono Preloaded 22.5,806.26,314.44,,,0
HCPCS,V2632,Noncdm Charge Record Medical Supplies - Lens Tecnis Itec 1Pc Mono Preloaded 23.0,806.26,314.44,,,0
HCPCS,V2632,Noncdm Charge Record Medical Supplies - Lens Tecnis Itec 1Pc Mono Preloaded 24.0,806.26,314.44,,,0
HCPCS,V2632,Noncdm Charge Record Medical Supplies - Lens Tecnis Itec 1Pc Mono Preloaded 24.5,806.26,314.44,,,0
HCPCS,V2632,Noncdm Charge Record Medical Supplies - Lens Tecnis Itec 1Pc Mono Preloaded 25.0,806.26,314.44,,,0
HCPCS,V2632,Noncdm Charge Record Medical Supplies - Lens Tecnis Itec 20.0D1Pc Mono Preloaded Abbott Medical Opti,806.26,314.44,,,0
HCPCS,V2632,Sup Posterior Chamber Intraocular Lens,2505.55,977.16,,,0
HCPCS,V2785,Cornea Tissue For Transplant,12600.0,4914.0,,,0
HCPCS,V2785,Hc Process Preserve And Transport Corneal Tissue,3690.0,1439.1,,,0
HCPCS,V2785,Tissue Corneal Special Cut,15120.0,5896.8,,,0
HCPCS,V2787,Sup Astigmatism Correcting Function Of Intraocular Lens,515.16,200.91,,,0
HCPCS,V2788,Sup Presbyopia Correcting Function Of Intraocular Lens,1004.73,391.84,,,0
HCPCS,V2790,Anmiotic Membrane (Prokera),4126.54,1609.35,,,0
MS-DRG,001,Heart Transplant Or Implant Of Heart Assist System With Mcc,,,237577.63,1129585.31,24
MS-DRG,002,Heart Transplant Or Implant Of Heart Assist System Without Mcc,,,98434.68,441934.05,24
MS-DRG,003,"Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major",,,180904.64,859436.74,24
MS-DRG,004,"Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.R.",,,119437.71,566633.43,24
MS-DRG,005,Liver Transplant With Mcc Or Intestinal Transplant,,,89921.27,427051.45,24
MS-DRG,006,Liver Transplant Without Mcc,,,42627.79,194460.29,24
MS-DRG,007,Lung Transplant,,,111925.43,524075.06,24
MS-DRG,008,Simultaneous Pancreas And Kidney Transplant,,,50693.57,218197.84,24
MS-DRG,009,Bone marrow transplant,,,,,0
MS-DRG,010,Pancreas Transplant,,,63790.03,319733.15,24
MS-DRG,011,"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc",,,49439.02,216385.14,24
MS-DRG,012,"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc",,,39118.4,164562.75,24
MS-DRG,013,"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc",,,27996.7,106267.58,24
MS-DRG,014,Allogeneic Bone Marrow Transplant,,,104153.91,525398.49,24
MS-DRG,016,Autologous Bone Marrow Transplant With Cc/Mcc,,,53403.56,242047.69,24
MS-DRG,017,Autologous Bone Marrow Transplant Without Cc/Mcc,,,49257.3,242047.69,24
MS-DRG,018,Chimeric Antigen Receptor (Car) T-Cell And Other Immunotherapies,,,363940.03,1512329.86,24
MS-DRG,019,Simultaneous Pancreas And Kidney Transplant With Hemodialysis,,,63447.43,317892.38,24
MS-DRG,020,Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc,,,69567.61,323258.29,24
MS-DRG,021,Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc,,,48102.78,221666.84,24
MS-DRG,022,Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/Mcc,,,30460.78,141583.16,24
MS-DRG,023,Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With Mcc Or Antineopla,,,51741.39,228781.29,24
MS-DRG,024,Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without Mcc,,,36583.47,152451.35,24
MS-DRG,025,Craniotomy And Endovascular Intracranial Procedures With Mcc,,,41875.07,179345.09,24
MS-DRG,026,Craniotomy And Endovascular Intracranial Procedures With Cc,,,29892.27,122654.07,24
MS-DRG,027,Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc,,,25004.96,98960.63,24
MS-DRG,028,Spinal Procedures With Mcc,,,54058.75,243796.23,24
MS-DRG,029,Spinal Procedures With Cc Or Spinal Neurostimulators,,,32413.04,134609.08,24
MS-DRG,030,Spinal Procedures Without Cc/Mcc,,,22273.3,89239.42,24
MS-DRG,031,Ventricular Shunt Procedures With Mcc,,,41323.23,168047.79,24
MS-DRG,032,Ventricular Shunt Procedures With Cc,,,21738.14,85642.09,24
MS-DRG,033,Ventricular Shunt Procedures Without Cc/Mcc,,,17836.13,63981.92,24
MS-DRG,034,Carotid Artery Stent Procedures With Mcc,,,36240.03,155944.4,24
MS-DRG,035,Carotid Artery Stent Procedures With Cc,,,23901.29,91220.56,24
MS-DRG,036,Carotid Artery Stent Procedures Without Cc/Mcc,,,20169.33,73510.63,24
MS-DRG,037,Extracranial Procedures With Mcc,,,31416.9,133173.35,24
MS-DRG,038,Extracranial Procedures With Cc,,,17500.19,64611.55,24
MS-DRG,039,Extracranial Procedures Without Cc/Mcc,,,13773.23,45646.37,24
MS-DRG,040,"Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc",,,36160.84,151264.27,24
MS-DRG,041,"Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator",,,22302.48,90578.89,24
MS-DRG,042,"Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc",,,18376.29,70482.78,24
MS-DRG,043,Hyphema,,,,,0
MS-DRG,044,Acute Major Eye Infections,,,,,0
MS-DRG,045,Neurological eye disorders,,,,,0
MS-DRG,046,Other Disorders of the Eye Age >17 w CC,,,,,0
MS-DRG,047,Other Disorders of the Eye Age >17 w/o CC,,,,,0
MS-DRG,048,Other Disorders of the Eye Age 0-17,,,,,0
MS-DRG,049,Major Head & Neck Procedures,,,,,0
MS-DRG,050,Sialoadenectomy,,,,,0
MS-DRG,051,Salivary Gland Procedures Except Sialoadenectomy,,,,,0
MS-DRG,052,Spinal Disorders And Injuries With Cc/Mcc,,,19073.17,80705.29,24
MS-DRG,053,Spinal Disorders And Injuries Without Cc/Mcc,,,12136.9,36947.82,24
MS-DRG,054,Nervous System Neoplasms With Mcc,,,16702.45,60119.91,24
MS-DRG,055,Nervous System Neoplasms Without Mcc,,,12473.67,43749.45,24
MS-DRG,056,Degenerative Nervous System Disorders With Mcc,,,23339.46,100420.42,24
MS-DRG,057,Degenerative Nervous System Disorders Without Mcc,,,14774.37,53526.81,24
MS-DRG,058,Multiple Sclerosis And Cerebellar Ataxia With Mcc,,,18224.58,74019.95,24
MS-DRG,059,Multiple Sclerosis And Cerebellar Ataxia With Cc,,,14318.39,49067.24,24
MS-DRG,060,Multiple Sclerosis And Cerebellar Ataxia Without Cc/Mcc,,,11641.75,35788.81,24
MS-DRG,061,"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Mcc",,,26957.22,108409.13,24
MS-DRG,062,"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc",,,18622.2,71417.2,24
MS-DRG,063,"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/Mcc",,,15676.3,56334.09,24
MS-DRG,064,Intracranial Hemorrhage Or Cerebral Infarction With Mcc,,,20737.84,79770.87,24
MS-DRG,065,Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours,,,12396.15,40785.77,24
MS-DRG,066,Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc,,,9679.49,27603.58,24
MS-DRG,067,Precerebral Occlusion Without Infarction With Mcc,,,16217.3,58383.4,24
MS-DRG,068,Precerebral Occlusion Without Infarction Without Mcc,,,11179.94,35355.69,24
MS-DRG,069,Transient Ischemia Without Thrombolytic,,,10633.11,32091.22,24
MS-DRG,070,Other Cerebrovascular Disorders With Mcc,,,17851.96,69728.82,24
MS-DRG,071,Other Cerebrovascular Disorders With Cc,,,12527.02,42261.6,24
MS-DRG,072,Other Cerebrovascular Disorders Without Cc/Mcc,,,10278.0,30082.01,24
MS-DRG,073,Cranial And Peripheral Nerve Disorders With Mcc,,,17347.64,61980.73,24
MS-DRG,074,Cranial And Peripheral Nerve Disorders Without Mcc,,,12567.03,41804.41,24
MS-DRG,075,Viral Meningitis With Cc/Mcc,,,19958.43,69075.13,24
MS-DRG,076,Viral Meningitis Without Cc/Mcc,,,10853.18,36771.36,24
MS-DRG,077,Hypertensive Encephalopathy With Mcc,,,41099.54,62008.8,7
MS-DRG,078,Hypertensive Encephalopathy With Cc,,,26522.52,40015.77,7
MS-DRG,079,Hypertensive Encephalopathy Without Cc/Mcc,,,17721.55,26737.34,7
MS-DRG,080,Nontraumatic Stupor And Coma With Mcc,,,19062.33,79718.73,24
MS-DRG,081,Nontraumatic Stupor And Coma Without Mcc,,,11440.02,36286.1,24
MS-DRG,082,Traumatic Stupor And Coma >1 Hour With Mcc,,,23026.86,93045.29,24
MS-DRG,083,Traumatic Stupor And Coma >1 Hour With Cc,,,15609.62,55756.59,24
MS-DRG,084,Traumatic Stupor And Coma >1 Hour Without Cc/Mcc,,,11941.84,38339.42,24
MS-DRG,085,Traumatic Stupor And Coma <1 Hour With Mcc,,,22912.66,90871.65,24
MS-DRG,086,Traumatic Stupor And Coma <1 Hour With Cc,,,14833.55,52600.41,24
MS-DRG,087,Traumatic Stupor And Coma <1 Hour Without Cc/Mcc,,,11599.24,35451.94,24
MS-DRG,088,Concussion With Mcc,,,15242.84,56570.7,24
MS-DRG,089,Concussion With Cc,,,13132.2,42995.5,24
MS-DRG,090,Concussion Without Cc/Mcc,,,10836.51,34377.15,24
MS-DRG,091,Other Disorders Of Nervous System With Mcc,,,18613.86,73101.57,24
MS-DRG,092,Other Disorders Of Nervous System With Cc,,,12502.01,42462.12,24
MS-DRG,093,Other Disorders Of Nervous System Without Cc/Mcc,,,10612.27,31654.09,24
MS-DRG,094,Bacterial And Tuberculous Infections Of Nervous System With Mcc,,,33311.64,146315.43,24
MS-DRG,095,Bacterial And Tuberculous Infections Of Nervous System With Cc,,,25474.27,96129.29,24
MS-DRG,096,Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc,,,25474.27,96129.29,24
MS-DRG,097,Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Mcc,,,34081.87,143764.82,24
MS-DRG,098,Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc,,,23104.39,86989.59,24
MS-DRG,099,Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc,,,15331.2,55872.89,24
MS-DRG,100,Seizures With Mcc,,,20119.32,79614.46,24
MS-DRG,101,Seizures Without Mcc,,,11498.37,36959.85,24
MS-DRG,102,Headaches With Mcc,,,13318.09,46496.58,24
MS-DRG,103,Headaches Without Mcc,,,10945.71,34096.42,24
MS-DRG,104,Cardiac Valve & Oth Major Cardiothoracic Proc w Cardiac Cath,,,,,0
MS-DRG,105,Cardiac Valve & Oth Major Cardiothoracic Proc w/o Cardiac Cath,,,,,0
MS-DRG,106,Coronary Bypass w PTCA,,,,,0
MS-DRG,107,No Longer Valid,,,,,0
MS-DRG,108,Other Cardiothoracic Procedures,,,,,0
MS-DRG,109,No Longer Valid,,,,,0
MS-DRG,110,Major Cardiovascular Procedures w CC,,,,,0
MS-DRG,111,Major Cardiovascular Procedures w/o CC,,,,,0
MS-DRG,112,No Longer Valid,,,,,0
MS-DRG,113,Orbital Procedures With Cc/Mcc,,,23572.86,90498.69,24
MS-DRG,114,Orbital Procedures Without Cc/Mcc,,,15252.84,47406.94,24
MS-DRG,115,Extraocular Procedures Except Orbit,,,16769.14,61395.21,24
MS-DRG,116,Intraocular Procedures With Cc/Mcc,,,19046.49,66913.52,24
MS-DRG,117,Intraocular Procedures Without Cc/Mcc,,,13018.0,43256.17,24
MS-DRG,118,Cardiac Pacemaker Device Replacement,,,,,0
MS-DRG,119,Vein ligation & stripping,,,,,0
MS-DRG,120,Other circulatory system O.R. procedures,,,,,0
MS-DRG,121,Acute Major Eye Infections With Cc/Mcc,,,13671.53,46644.96,24
MS-DRG,122,Acute Major Eye Infections Without Cc/Mcc,,,10524.75,27202.54,24
MS-DRG,123,Neurological Eye Disorders,,,10631.44,32211.53,24
MS-DRG,124,Other Disorders Of The Eye With Mcc Or Thrombolytic Agent,,,15003.6,52287.6,24
MS-DRG,125,Other Disorders Of The Eye Without Mcc,,,10374.7,33113.87,24
MS-DRG,126,Acute & Subacute Endocarditis,,,,,0
MS-DRG,127,Heart Failure & Shock,,,,,0
MS-DRG,128,Deep Vein Thrombophlebitis,,,,,0
MS-DRG,129,Major Head & Neck Procedures W Cc/Mcc Or Major Device,,,,,0
MS-DRG,130,Major Head & Neck Procedures W/O Cc/Mcc,,,,,0
MS-DRG,131,Cranial/Facial Procedures W Cc/Mcc,,,,,0
MS-DRG,132,Cranial/Facial Procedures W/O Cc/Mcc,,,,,0
MS-DRG,133,"Other Ear, Nose, Mouth & Throat O.R. Procedures W Cc/Mcc",,,,,0
MS-DRG,134,"Other Ear, Nose, Mouth & Throat O.R. Procedures W/O Cc/Mcc",,,,,0
MS-DRG,135,Sinus And Mastoid Procedures With Cc/Mcc,,,22063.24,96686.73,24
MS-DRG,136,Sinus And Mastoid Procedures Without Cc/Mcc,,,12437.82,39229.73,24
MS-DRG,137,Mouth Procedures With Cc/Mcc,,,16421.53,56085.44,24
MS-DRG,138,Mouth Procedures Without Cc/Mcc,,,11361.67,32624.6,24
MS-DRG,139,Salivary Gland Procedures,,,14275.05,55058.78,24
MS-DRG,140,Major Head And Neck Procedures With Mcc,,,39529.36,169599.82,24
MS-DRG,141,Major Head And Neck Procedures With Cc,,,22155.77,86155.42,24
MS-DRG,142,Major Head And Neck Procedures Without Cc/Mcc,,,17281.79,63055.52,24
MS-DRG,143,"Other Ear, Nose, Mouth And Throat O.R. Procedures With Mcc",,,35205.55,132411.38,24
MS-DRG,144,"Other Ear, Nose, Mouth And Throat O.R. Procedures With Cc",,,18419.63,70446.69,24
MS-DRG,145,"Other Ear, Nose, Mouth And Throat O.R. Procedures Without Cc/Mcc",,,13996.63,47511.21,24
MS-DRG,146,"Ear, Nose, Mouth And Throat Malignancy With Mcc",,,21624.77,91994.57,24
MS-DRG,147,"Ear, Nose, Mouth And Throat Malignancy With Cc",,,14573.47,49917.45,24
MS-DRG,148,"Ear, Nose, Mouth And Throat Malignancy Without Cc/Mcc",,,10618.94,32111.27,24
MS-DRG,149,Dysequilibrium,,,10239.66,29977.74,24
MS-DRG,150,Epistaxis With Mcc,,,15073.62,55427.74,24
MS-DRG,151,Epistaxis Without Mcc,,,10092.95,30398.83,24
MS-DRG,152,Otitis Media And Uri With Mcc,,,13829.08,45506.01,24
MS-DRG,153,Otitis Media And Uri Without Mcc,,,10127.96,28542.02,24
MS-DRG,154,"Other Ear, Nose, Mouth And Throat Diagnoses With Mcc",,,17007.54,65217.12,24
MS-DRG,155,"Other Ear, Nose, Mouth And Throat Diagnoses With Cc",,,11614.24,37441.09,24
MS-DRG,156,"Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/Mcc",,,9735.34,26965.93,24
MS-DRG,157,Dental And Oral Diseases With Mcc,,,18285.43,65666.29,24
MS-DRG,158,Dental And Oral Diseases With Cc,,,11558.39,37717.81,24
MS-DRG,159,Dental And Oral Diseases Without Cc/Mcc,,,9880.38,26452.6,24
MS-DRG,160,Hernia Procedures Except Inguinal & Femoral Age >17 w/o CC,,,,,0
MS-DRG,161,Inguinal & Femoral Hernia Procedures Age >17 w CC,,,,,0
MS-DRG,162,Inguinal & Femoral Hernia Procedures Age >17 w/o CC,,,,,0
MS-DRG,163,Major Chest Procedures With Mcc,,,41334.07,184835.33,24
MS-DRG,164,Major Chest Procedures With Cc,,,25014.13,100933.75,24
MS-DRG,165,Major Chest Procedures Without Cc/Mcc,,,19930.93,74749.85,24
MS-DRG,166,Other Respiratory System O.R. Procedures With Mcc,,,35131.36,154440.5,24
MS-DRG,167,Other Respiratory System O.R. Procedures With Cc,,,19007.31,73274.02,24
MS-DRG,168,Other Respiratory System O.R. Procedures Without Cc/Mcc,,,15364.54,54292.8,24
MS-DRG,169,Mouth Procedures w/o CC,,,,,0
MS-DRG,171,Other Digestive System O.R. Procedures w/o CC,,,,,0
MS-DRG,173,Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary Embolism,,,28785.27,123055.11,24
MS-DRG,174,G.I. hemorrhage w CC,,,,,0
MS-DRG,175,Pulmonary Embolism With Mcc Or Acute Cor Pulmonale,,,15424.56,56510.55,24
MS-DRG,176,Pulmonary Embolism Without Mcc,,,10684.79,32664.71,24
MS-DRG,177,Respiratory Infections And Inflammations With Mcc,,,17000.87,64828.12,24
MS-DRG,178,Respiratory Infections And Inflammations With Cc,,,12110.23,39787.18,24
MS-DRG,179,Respiratory Infections And Inflammations Without Cc/Mcc,,,10268.0,30868.05,24
MS-DRG,180,Respiratory Neoplasms With Mcc,,,18695.55,70089.76,24
MS-DRG,181,Respiratory Neoplasms With Cc,,,12902.13,44523.46,24
MS-DRG,182,Respiratory Neoplasms Without Cc/Mcc,,,10258.0,33587.1,24
MS-DRG,183,Major Chest Trauma With Mcc,,,16727.46,63653.07,24
MS-DRG,184,Major Chest Trauma With Cc,,,12844.61,42831.07,24
MS-DRG,185,Major Chest Trauma Without Cc/Mcc,,,10530.58,31184.87,24
MS-DRG,186,Pleural Effusion With Mcc,,,16965.86,63364.32,24
MS-DRG,187,Pleural Effusion With Cc,,,12219.43,40260.41,24
MS-DRG,188,Pleural Effusion Without Cc/Mcc,,,9952.91,29440.35,24
MS-DRG,189,Pulmonary Edema And Respiratory Failure,,,14272.55,49628.7,24
MS-DRG,190,Chronic Obstructive Pulmonary Disease With Mcc,,,13208.06,45048.82,24
MS-DRG,191,Chronic Obstructive Pulmonary Disease With Cc,,,11001.56,34453.35,24
MS-DRG,192,Chronic Obstructive Pulmonary Disease Without Cc/Mcc,,,9326.05,25955.31,24
MS-DRG,193,Simple Pneumonia And Pleurisy With Mcc,,,14931.08,52849.05,24
MS-DRG,194,Simple Pneumonia And Pleurisy With Cc,,,10692.3,32885.28,24
MS-DRG,195,Simple Pneumonia And Pleurisy Without Cc/Mcc,,,9213.52,24976.77,24
MS-DRG,196,Interstitial Lung Disease With Mcc,,,19705.86,75563.96,24
MS-DRG,197,Interstitial Lung Disease With Cc,,,11885.99,39698.95,24
MS-DRG,198,Interstitial Lung Disease Without Cc/Mcc,,,9944.57,28088.84,24
MS-DRG,199,Pneumothorax With Mcc,,,18679.71,70791.58,24
MS-DRG,200,Pneumothorax With Cc,,,13138.04,44411.17,24
MS-DRG,201,Pneumothorax Without Cc/Mcc,,,9935.4,27146.4,24
MS-DRG,202,Bronchitis And Asthma With Cc/Mcc,,,12070.21,38768.54,24
MS-DRG,203,Bronchitis And Asthma Without Cc/Mcc,,,9559.45,27924.42,24
MS-DRG,204,Respiratory Signs And Symptoms,,,10704.8,32520.33,24
MS-DRG,205,Other Respiratory System Diagnoses With Mcc,,,19237.38,75704.32,24
MS-DRG,206,Other Respiratory System Diagnoses Without Mcc,,,11819.3,36326.2,24
MS-DRG,207,Respiratory System Diagnosis With Ventilator Support >96 Hours,,,57613.16,259380.64,24
MS-DRG,208,Respiratory System Diagnosis With Ventilator Support <=96 Hours,,,26887.2,107643.15,24
MS-DRG,209,Complex Aortic Arch Procedures,,,98326.32,192719.59,17
MS-DRG,210,Hip & Femur Procedures Except Major Joint Age >17 w CC,,,,,0
MS-DRG,211,Hip & Femur Procedures Except Major Joint Age >17 w/o CC,,,,,0
MS-DRG,212,Concomitant Aortic And Mitral Valve Procedures,,,94619.36,436856.88,24
MS-DRG,213,Endovascular Abdominal Aorta With Iliac Branch Procedures,,,51546.33,101030.81,17
MS-DRG,214,No Longer Valid,,,,,0
MS-DRG,215,Other Heart Assist System Implant,,,86974.55,424869.8,24
MS-DRG,216,Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc,,,36995.0,387019.64,25
MS-DRG,217,Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc,,,36995.0,258967.57,25
MS-DRG,218,Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/Mcc,,,36995.0,238582.71,25
MS-DRG,219,Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Mcc,,,36995.0,310284.65,25
MS-DRG,220,Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc,,,36995.0,212402.82,25
MS-DRG,221,Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/M,,,36995.0,184169.6,25
MS-DRG,222,"Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock With Mcc",,,,,0
MS-DRG,223,"Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock Without Mcc",,,,,0
MS-DRG,224,"Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock With Mcc",,,,,0
MS-DRG,225,"Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock Without Mcc",,,,,0
MS-DRG,226,Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc,,,,,0
MS-DRG,227,Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc,,,,,0
MS-DRG,228,Other Cardiothoracic Procedures With Mcc,,,36995.0,199834.22,25
MS-DRG,229,Other Cardiothoracic Procedures Without Mcc,,,30228.21,124567.03,25
MS-DRG,230,Other cardiothoracic procedures w/o CC/MCC,,,36995.0,36995.0,1
MS-DRG,231,Coronary Bypass With Ptca With Mcc,,,36995.0,339817.23,25
MS-DRG,232,Coronary Bypass With Ptca Without Mcc,,,36995.0,244967.26,25
MS-DRG,233,Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc,,,36995.0,313444.84,25
MS-DRG,234,Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc,,,36995.0,213349.27,25
MS-DRG,235,Coronary Bypass Without Cardiac Catheterization With Mcc,,,36995.0,235963.92,25
MS-DRG,236,Coronary Bypass Without Cardiac Catheterization Without Mcc,,,36995.0,164899.63,25
MS-DRG,237,Major cardiovasc procedures w MCC,,,,,0
MS-DRG,238,Major cardiovasc procedures w/o MCC,,,,,0
MS-DRG,239,Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc,,,45001.01,201983.8,24
MS-DRG,240,Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc,,,27735.79,116782.85,24
MS-DRG,241,Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/Mcc,,,15514.59,60549.02,24
MS-DRG,242,Permanent Cardiac Pacemaker Implant With Mcc,,,30589.15,136032.77,24
MS-DRG,243,Permanent Cardiac Pacemaker Implant With Cc,,,21737.31,90342.28,24
MS-DRG,244,Permanent Cardiac Pacemaker Implant Without Cc/Mcc,,,19041.49,72375.69,24
MS-DRG,245,Aicd Generator Procedures,,,42005.94,195968.2,24
MS-DRG,246,Percutaneous Cardiovascular Procedures With Drug-Eluting Stent With Mcc Or 4+ Arteries Or Stents,,,15494.0,15494.0,1
MS-DRG,247,Percutaneous Cardiovascular Procedures With Drug-Eluting Stent Without Mcc,,,15494.0,15494.0,1
MS-DRG,248,Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent With Mcc Or 4+ Arteries Or Stents,,,15494.0,15494.0,1
MS-DRG,249,Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent Without Mcc,,,15494.0,15494.0,1
MS-DRG,250,Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc,,,15494.0,92748.52,25
MS-DRG,251,Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc,,,15494.0,62662.5,25
MS-DRG,252,Other Vascular Procedures With Mcc,,,33052.4,137564.74,24
MS-DRG,253,Other Vascular Procedures With Cc,,,25610.98,102381.5,24
MS-DRG,254,Other Vascular Procedures Without Cc/Mcc,,,18826.42,70153.93,24
MS-DRG,255,Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc,,,26459.57,104924.1,24
MS-DRG,256,Upper Limb And Toe Amputation For Circulatory System Disorders With Cc,,,18127.88,67920.13,24
MS-DRG,257,Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/Mcc,,,13078.85,35768.76,24
MS-DRG,258,Cardiac Pacemaker Device Replacement With Mcc,,,30166.52,112507.76,24
MS-DRG,259,Cardiac Pacemaker Device Replacement Without Mcc,,,20830.36,70486.79,24
MS-DRG,260,Cardiac Pacemaker Revision Except Device Replacement With Mcc,,,31089.3,136626.31,24
MS-DRG,261,Cardiac Pacemaker Revision Except Device Replacement With Cc,,,19733.37,76093.33,24
MS-DRG,262,Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc,,,17561.04,60865.84,24
MS-DRG,263,Vein Ligation And Stripping,,,29460.48,107554.92,24
MS-DRG,264,Other Circulatory System O.R. Procedures,,,31821.19,140159.47,24
MS-DRG,265,Aicd Lead Procedures,,,34135.22,143046.96,24
MS-DRG,266,Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc,,,55059.89,240239.0,24
MS-DRG,267,Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc,,,43659.77,188665.26,24
MS-DRG,268,Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc,,,61307.61,267381.39,24
MS-DRG,269,Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc,,,39178.42,166848.68,24
MS-DRG,270,Other Major Cardiovascular Procedures With Mcc,,,47956.91,205845.81,24
MS-DRG,271,Other Major Cardiovascular Procedures With Cc,,,33619.23,138134.22,24
MS-DRG,272,Other Major Cardiovascular Procedures Without Cc/Mcc,,,25255.87,100340.21,24
MS-DRG,273,Percutaneous And Other Intracardiac Procedures With Mcc,,,38364.0,156806.64,24
MS-DRG,274,Percutaneous And Other Intracardiac Procedures Without Mcc,,,31413.57,125156.56,24
MS-DRG,275,Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc,,,63412.42,283394.92,24
MS-DRG,276,Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator,,,54044.58,248404.18,24
MS-DRG,277,Cardiac Defibrillator Implant Without Mcc,,,42473.58,186571.83,24
MS-DRG,278,Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With Mcc,,,50373.47,200636.3,24
MS-DRG,279,Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures Without Mcc,,,34036.86,128501.24,24
MS-DRG,280,"Acute Myocardial Infarction, Discharged Alive With Mcc",,,17345.98,65830.72,24
MS-DRG,281,"Acute Myocardial Infarction, Discharged Alive With Cc",,,11635.92,36967.87,24
MS-DRG,282,"Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc",,,10002.09,29079.41,24
MS-DRG,283,"Acute Myocardial Infarction, Expired With Mcc",,,20486.09,78419.36,24
MS-DRG,284,"Acute Myocardial Infarction, Expired With Cc",,,9744.51,29713.05,24
MS-DRG,285,"Acute Myocardial Infarction, Expired Without Cc/Mcc",,,8966.77,22510.38,24
MS-DRG,286,"Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc",,,22420.01,88762.18,24
MS-DRG,287,"Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc",,,12894.63,43697.32,24
MS-DRG,288,Acute And Subacute Endocarditis With Mcc,,,26532.92,109536.06,24
MS-DRG,289,Acute And Subacute Endocarditis With Cc,,,18202.9,63227.97,24
MS-DRG,290,Acute And Subacute Endocarditis Without Cc/Mcc,,,11724.28,39261.82,24
MS-DRG,291,Heart Failure And Shock With Mcc,,,14676.0,52331.71,24
MS-DRG,292,Heart Failure And Shock With Cc,,,11051.57,34541.58,24
MS-DRG,293,Heart Failure And Shock Without Cc/Mcc,,,8692.52,22017.1,24
MS-DRG,294,Deep Vein Thrombophlebitis With Cc/Mcc,,,32638.81,49243.7,7
MS-DRG,295,Deep Vein Thrombophlebitis Without Cc/Mcc,,,20993.67,31674.14,7
MS-DRG,296,"Cardiac Arrest, Unexplained With Mcc",,,16994.2,65702.38,24
MS-DRG,297,"Cardiac Arrest, Unexplained With Cc",,,9259.36,28249.26,24
MS-DRG,298,"Cardiac Arrest, Unexplained Without Cc/Mcc",,,7768.08,17709.93,24
MS-DRG,299,Peripheral Vascular Disorders With Mcc,,,17584.38,64876.24,24
MS-DRG,300,Peripheral Vascular Disorders With Cc,,,12872.96,42931.33,24
MS-DRG,301,Peripheral Vascular Disorders Without Cc/Mcc,,,9973.75,28606.18,24
MS-DRG,302,Atherosclerosis With Mcc,,,13949.12,46648.97,24
MS-DRG,303,Atherosclerosis Without Mcc,,,9586.13,26965.93,24
MS-DRG,304,Hypertension With Mcc,,,13894.1,47114.18,24
MS-DRG,305,Hypertension Without Mcc,,,10268.83,30106.07,24
MS-DRG,306,Cardiac Congenital And Valvular Disorders With Mcc,,,17110.07,60051.73,24
MS-DRG,307,Cardiac Congenital And Valvular Disorders Without Mcc,,,11586.73,37148.34,24
MS-DRG,308,Cardiac Arrhythmia And Conduction Disorders With Mcc,,,14010.8,48365.42,24
MS-DRG,309,Cardiac Arrhythmia And Conduction Disorders With Cc,,,10107.12,29648.89,24
MS-DRG,310,Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc,,,8693.36,22438.19,24
MS-DRG,311,Angina Pectoris,,,9825.37,28012.64,24
MS-DRG,312,Syncope And Collapse,,,11239.96,34942.62,24
MS-DRG,313,Chest Pain,,,9976.25,28606.18,24
MS-DRG,314,Other Circulatory System Diagnoses With Mcc,,,21356.36,86359.95,24
MS-DRG,315,Other Circulatory System Diagnoses With Cc,,,12004.36,38592.08,24
MS-DRG,316,Other Circulatory System Diagnoses Without Cc/Mcc,,,9660.32,27374.99,24
MS-DRG,317,Concomitant Left Atrial Appendage Closure And Cardiac Ablation,,,59712.13,248083.34,24
MS-DRG,318,Percutaneous Coronary Atherectomy Without Intraluminal Device,,,24165.54,47364.46,17
MS-DRG,319,Other Endovascular Cardiac Valve Procedures With Mcc,,,41176.52,176156.82,24
MS-DRG,320,Other Endovascular Cardiac Valve Procedures Without Mcc,,,24024.66,92824.72,24
MS-DRG,321,Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ Arteries/Intraluminal,,,26654.63,114164.06,24
MS-DRG,322,Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc,,,18670.54,72552.15,24
MS-DRG,323,Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc,,,40047.01,170810.96,24
MS-DRG,324,Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc,,,30240.71,128132.28,24
MS-DRG,325,Coronary Intravascular Lithotripsy Without Intraluminal Device,,,30735.86,114777.65,24
MS-DRG,326,"Stomach, Esophageal And Duodenal Procedures With Mcc",,,45548.68,203676.18,24
MS-DRG,327,"Stomach, Esophageal And Duodenal Procedures With Cc",,,24348.93,97376.52,24
MS-DRG,328,"Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc",,,17330.97,63901.71,24
MS-DRG,329,Major Small And Large Bowel Procedures With Mcc,,,42290.19,184145.54,24
MS-DRG,330,Major Small And Large Bowel Procedures With Cc,,,23957.14,94793.82,24
MS-DRG,331,Major Small And Large Bowel Procedures Without Cc/Mcc,,,18002.84,66211.7,24
MS-DRG,332,Rectal Resection With Mcc,,,34156.06,139100.72,24
MS-DRG,333,Rectal Resection With Cc,,,23498.67,85225.01,24
MS-DRG,334,Rectal Resection Without Cc/Mcc,,,17627.73,66508.47,24
MS-DRG,335,Peritoneal Adhesiolysis With Mcc,,,33740.94,145332.89,24
MS-DRG,336,Peritoneal Adhesiolysis With Cc,,,21552.25,84715.69,24
MS-DRG,337,Peritoneal Adhesiolysis Without Cc/Mcc,,,16769.97,61559.64,24
MS-DRG,338,Appendectomy With Complicated Principal Diagnosis With Mcc,,,,,0
MS-DRG,339,Appendectomy With Complicated Principal Diagnosis With Cc,,,,,0
MS-DRG,340,Appendectomy With Complicated Principal Diagnosis Without Cc/Mcc,,,,,0
MS-DRG,341,Appendectomy Without Complicated Principal Diagnosis With Mcc,,,,,0
MS-DRG,342,Appendectomy Without Complicated Principal Diagnosis With Cc,,,,,0
MS-DRG,343,Appendectomy Without Complicated Principal Diagnosis Without Cc/Mcc,,,,,0
MS-DRG,344,Minor Small And Large Bowel Procedures With Mcc,,,25504.28,108056.22,24
MS-DRG,345,Minor Small And Large Bowel Procedures With Cc,,,16517.39,59722.88,24
MS-DRG,346,Minor Small And Large Bowel Procedures Without Cc/Mcc,,,13862.42,49937.5,24
MS-DRG,347,Anal And Stomal Procedures With Mcc,,,23110.22,94910.13,24
MS-DRG,348,Anal And Stomal Procedures With Cc,,,14884.4,50482.92,24
MS-DRG,349,Anal And Stomal Procedures Without Cc/Mcc,,,11231.63,35327.61,24
MS-DRG,350,Inguinal And Femoral Hernia Procedures With Mcc,,,24746.55,97043.66,24
MS-DRG,351,Inguinal And Femoral Hernia Procedures With Cc,,,16682.44,60344.49,24
MS-DRG,352,Inguinal And Femoral Hernia Procedures Without Cc/Mcc,,,13709.04,44214.66,24
MS-DRG,353,Hernia Procedures Except Inguinal And Femoral With Mcc,,,28165.08,117617.01,24
MS-DRG,354,Hernia Procedures Except Inguinal And Femoral With Cc,,,17998.67,68220.91,24
MS-DRG,355,Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc,,,15186.16,53462.64,24
MS-DRG,356,Other Digestive System O.R. Procedures With Mcc,,,40592.18,171059.6,24
MS-DRG,357,Other Digestive System O.R. Procedures With Cc,,,23359.46,90310.2,24
MS-DRG,358,Other Digestive System O.R. Procedures Without Cc/Mcc,,,15627.12,54340.92,24
MS-DRG,359,Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc,,,32638.1,63970.68,17
MS-DRG,360,Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc,,,24099.69,47235.39,17
MS-DRG,361,Laparoscopy & Incisional Tubal Interruption,,,,,0
MS-DRG,362,Endoscopic Tubal Interruption,,,,,0
MS-DRG,363,"D&C, Conization & Radio-Implant, for Malignancy",,,,,0
MS-DRG,364,"D&C, Conization Except for Malignancy",,,,,0
MS-DRG,365,Other Female Reproductive System O.R. Procedures,,,,,0
MS-DRG,366,"Malignancy, female reproductive system w CC",,,,,0
MS-DRG,367,"Malignancy, Female Reproductive System w/o CC",,,,,0
MS-DRG,368,Major Esophageal Disorders With Mcc,,,17244.28,66969.67,24
MS-DRG,369,Major Esophageal Disorders With Cc,,,12311.95,40809.83,24
MS-DRG,370,Major Esophageal Disorders Without Cc/Mcc,,,9816.2,27988.58,24
MS-DRG,371,Major Gastrointestinal Disorders And Peritoneal Infections With Mcc,,,18754.74,70113.82,24
MS-DRG,372,Major Gastrointestinal Disorders And Peritoneal Infections With Cc,,,12485.34,41279.05,24
MS-DRG,373,Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc,,,10037.93,29087.43,24
MS-DRG,374,Digestive Malignancy With Mcc,,,21802.33,84679.6,24
MS-DRG,375,Digestive Malignancy With Cc,,,14057.48,49275.78,24
MS-DRG,376,Digestive Malignancy Without Cc/Mcc,,,11679.26,35407.82,24
MS-DRG,377,Gastrointestinal Hemorrhage With Mcc,,,19212.37,72913.08,24
MS-DRG,378,Gastrointestinal Hemorrhage With Cc,,,12149.4,39538.53,24
MS-DRG,379,Gastrointestinal Hemorrhage Without Cc/Mcc,,,9229.35,25530.21,24
MS-DRG,380,Complicated Peptic Ulcer With Mcc,,,20331.05,77172.13,24
MS-DRG,381,Complicated Peptic Ulcer With Cc,,,13006.33,43677.27,24
MS-DRG,382,Complicated Peptic Ulcer Without Cc/Mcc,,,10648.12,30049.93,24
MS-DRG,383,Uncomplicated Peptic Ulcer With Mcc,,,15483.75,50699.48,24
MS-DRG,384,Uncomplicated Peptic Ulcer Without Mcc,,,11099.92,34874.44,24
MS-DRG,385,Inflammatory Bowel Disease With Mcc,,,17164.26,65156.97,24
MS-DRG,386,Inflammatory Bowel Disease With Cc,,,12112.73,39799.21,24
MS-DRG,387,Inflammatory Bowel Disease Without Cc/Mcc,,,9653.65,26881.71,24
MS-DRG,388,Gastrointestinal Obstruction With Mcc,,,16284.82,58952.88,24
MS-DRG,389,Gastrointestinal Obstruction With Cc,,,10558.09,32151.38,24
MS-DRG,390,Gastrointestinal Obstruction Without Cc/Mcc,,,8509.14,21940.9,24
MS-DRG,391,"Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc",,,14546.8,51529.63,24
MS-DRG,392,"Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc",,,10473.06,31293.15,24
MS-DRG,393,Other Digestive System Diagnoses With Mcc,,,17305.96,66408.21,24
MS-DRG,394,Other Digestive System Diagnoses With Cc,,,11774.29,37749.9,24
MS-DRG,395,Other Digestive System Diagnoses Without Cc/Mcc,,,9384.4,25522.19,24
MS-DRG,396,Red Blood Cell Disorders Age 0-17,,,,,0
MS-DRG,397,Appendix Procedures With Mcc,,,23937.97,99361.67,24
MS-DRG,398,Appendix Procedures With Cc,,,16591.58,60689.38,24
MS-DRG,399,Appendix Procedures Without Cc/Mcc,,,13516.48,45080.91,24
MS-DRG,400,No Longer Valid,,,,,0
MS-DRG,401,Lymphoma & non-acute leukemia w other O.R. proc w CC,,,,,0
MS-DRG,402,Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical,,,37488.74,157576.64,24
MS-DRG,403,Lymphoma & non-acute leukemia w CC,,,,,0
MS-DRG,404,Lymphoma & Non-Acute Leukemia w/o CC,,,,,0
MS-DRG,405,"Pancreas, Liver And Shunt Procedures With Mcc",,,49575.73,217700.55,24
MS-DRG,406,"Pancreas, Liver And Shunt Procedures With Cc",,,28150.08,112620.05,24
MS-DRG,407,"Pancreas, Liver And Shunt Procedures Without Cc/Mcc",,,22476.7,85646.1,24
MS-DRG,408,Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Mcc,,,33696.76,140408.11,24
MS-DRG,409,Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc,,,22124.09,84070.02,24
MS-DRG,410,Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/Mcc,,,17209.27,62201.3,24
MS-DRG,411,Cholecystectomy With C.D.E. With Mcc,,,31510.26,109740.59,24
MS-DRG,412,Cholecystectomy With C.D.E. With Cc,,,21500.57,85481.68,24
MS-DRG,413,Cholecystectomy With C.D.E. Without Cc/Mcc,,,17816.12,66668.89,24
MS-DRG,414,Cholecystectomy Except By Laparoscope Without C.D.E. With Mcc,,,33671.75,140508.37,24
MS-DRG,415,Cholecystectomy Except By Laparoscope Without C.D.E. With Cc,,,21202.14,79325.71,24
MS-DRG,416,Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/Mcc,,,15338.7,54950.5,24
MS-DRG,417,Laparoscopic Cholecystectomy Without C.D.E. With Mcc,,,23867.12,95307.16,24
MS-DRG,418,Laparoscopic Cholecystectomy Without C.D.E. With Cc,,,18075.36,66512.48,24
MS-DRG,419,Laparoscopic Cholecystectomy Without C.D.E. Without Cc/Mcc,,,15359.54,52841.03,24
MS-DRG,420,Hepatobiliary Diagnostic Procedures With Mcc,,,32375.53,141535.04,24
MS-DRG,421,Hepatobiliary Diagnostic Procedures With Cc,,,18457.98,65670.3,24
MS-DRG,422,Hepatobiliary Diagnostic Procedures Without Cc/Mcc,,,15640.46,58924.81,24
MS-DRG,423,Other Hepatobiliary Or Pancreas O.R. Procedures With Mcc,,,38593.24,163106.98,24
MS-DRG,424,Other Hepatobiliary Or Pancreas O.R. Procedures With Cc,,,22212.45,91561.44,24
MS-DRG,425,Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/Mcc,,,16480.71,61988.75,24
MS-DRG,426,Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Mcc Or Custom-Made,,,95845.57,420354.09,24
MS-DRG,427,Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Cc,,,64147.64,284686.26,24
MS-DRG,428,Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Without Cc/Mcc,,,50838.61,220780.54,24
MS-DRG,429,Combined Anterior And Posterior Cervical Spinal Fusion With Mcc,,,79077.16,334467.36,24
MS-DRG,430,Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc,,,52048.15,219372.89,24
MS-DRG,431,Childhood Mental Disorders,,,,,0
MS-DRG,432,Cirrhosis And Alcoholic Hepatitis With Mcc,,,20381.06,78567.75,24
MS-DRG,433,Cirrhosis And Alcoholic Hepatitis With Cc,,,12778.76,42899.25,24
MS-DRG,434,Cirrhosis And Alcoholic Hepatitis Without Cc/Mcc,,,9913.73,27928.43,24
MS-DRG,435,Malignancy Of Hepatobiliary System Or Pancreas With Mcc,,,19284.9,73169.75,24
MS-DRG,436,Malignancy Of Hepatobiliary System Or Pancreas With Cc,,,13403.12,45221.27,24
MS-DRG,437,Malignancy Of Hepatobiliary System Or Pancreas Without Cc/Mcc,,,11087.42,31485.65,24
MS-DRG,438,Disorders Of Pancreas Except Malignancy With Mcc,,,17563.54,66725.04,24
MS-DRG,439,Disorders Of Pancreas Except Malignancy With Cc,,,10986.55,34497.46,24
MS-DRG,440,Disorders Of Pancreas Except Malignancy Without Cc/Mcc,,,9154.33,24667.97,24
MS-DRG,441,"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc",,,18934.79,75808.59,24
MS-DRG,442,"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc",,,12021.03,38748.48,24
MS-DRG,443,"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/Mcc",,,9807.03,28177.07,24
MS-DRG,444,Disorders Of The Biliary Tract With Mcc,,,17902.81,67555.19,24
MS-DRG,445,Disorders Of The Biliary Tract With Cc,,,13097.19,43488.78,24
MS-DRG,446,Disorders Of The Biliary Tract Without Cc/Mcc,,,10870.68,31970.91,24
MS-DRG,447,Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody,,,59671.29,268865.24,24
MS-DRG,448,Multiple Level Spinal Fusion Except Cervical Without Mcc,,,39325.13,163752.65,24
MS-DRG,449,Poisoning & toxic Effects of Drugs Age >17 w CC,,,,,0
MS-DRG,450,Single Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody F,,,48401.21,206523.57,24
MS-DRG,451,Single Level Spinal Fusion Except Cervical Without Mcc,,,30902.58,123752.92,24
MS-DRG,452,Complications of treatment w CC,,,,,0
MS-DRG,453,Combined Anterior And Posterior Spinal Fusion With Mcc,,,235544.87,355377.59,7
MS-DRG,454,Combined Anterior And Posterior Spinal Fusion With Cc,,,162577.37,245288.1,7
MS-DRG,455,Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc,,,122421.45,184702.98,7
MS-DRG,456,"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With",,,74023.96,339624.73,24
MS-DRG,457,"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With",,,53681.97,230156.86,24
MS-DRG,458,"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With",,,38756.62,173157.04,24
MS-DRG,459,Spinal Fusion Except Cervical With Mcc,,,176293.17,265981.76,7
MS-DRG,460,Spinal Fusion Except Cervical Without Mcc,,,97230.64,146696.42,7
MS-DRG,461,Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc,,,50013.36,246106.22,24
MS-DRG,462,Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc,,,26147.81,114841.81,24
MS-DRG,463,Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit,,,51484.64,216589.67,24
MS-DRG,464,Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit,,,29938.12,118250.65,24
MS-DRG,465,Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit,,,19176.53,69616.53,24
MS-DRG,466,Revision Of Hip Or Knee Replacement With Mcc,,,47365.9,204301.81,24
MS-DRG,467,Revision Of Hip Or Knee Replacement With Cc,,,33371.66,137352.19,24
MS-DRG,468,Revision Of Hip Or Knee Replacement Without Cc/Mcc,,,26881.36,105200.81,24
MS-DRG,469,Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc Or Total Ankle Repl,,,29258.75,131079.92,24
MS-DRG,470,Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc,,,20053.46,75616.09,24
MS-DRG,471,Cervical Spinal Fusion With Mcc,,,44225.78,194785.13,24
MS-DRG,472,Cervical Spinal Fusion With Cc,,,28532.7,116181.29,24
MS-DRG,473,Cervical Spinal Fusion Without Cc/Mcc,,,24324.76,94934.19,24
MS-DRG,474,Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc,,,39759.43,179842.38,24
MS-DRG,475,Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc,,,22944.34,86508.34,24
MS-DRG,476,Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/Mcc,,,13812.41,46640.95,24
MS-DRG,477,Biopsies Of Musculoskeletal System And Connective Tissue With Mcc,,,32771.48,137909.64,24
MS-DRG,478,Biopsies Of Musculoskeletal System And Connective Tissue With Cc,,,24473.97,93779.19,24
MS-DRG,479,Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc,,,19469.95,71212.67,24
MS-DRG,480,Hip And Femur Procedures Except Major Joint With Mcc,,,28250.94,117945.86,24
MS-DRG,481,Hip And Femur Procedures Except Major Joint With Cc,,,21433.88,83211.79,24
MS-DRG,482,Hip And Femur Procedures Except Major Joint Without Cc/Mcc,,,17570.21,63620.99,24
MS-DRG,483,Major Joint Or Limb Reattachment Procedures Of Upper Extremities,,,27080.59,102189.0,24
MS-DRG,484,Major joint & limb reattachment proc of upper extremity w/o CC/MCC,,,,,0
MS-DRG,485,Knee Procedures With Principal Diagnosis Of Infection With Mcc,,,30875.07,129279.25,24
MS-DRG,486,Knee Procedures With Principal Diagnosis Of Infection With Cc,,,21405.54,85048.55,24
MS-DRG,487,Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc,,,17030.05,63368.33,24
MS-DRG,488,Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc,,,18719.73,78816.39,24
MS-DRG,489,Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc,,,13283.91,49672.81,24
MS-DRG,490,Back & neck proc exc spinal fusion w CC/MCC or disc device/neurostim,,,,,0
MS-DRG,491,Back & neck proc exc spinal fusion w/o CC/MCC,,,,,0
MS-DRG,492,"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc",,,34580.36,142409.3,24
MS-DRG,493,"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc",,,25114.99,96289.7,24
MS-DRG,494,"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc",,,20700.33,75616.09,24
MS-DRG,495,Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Mcc,,,34197.74,141178.11,24
MS-DRG,496,Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc,,,19011.48,79121.18,24
MS-DRG,497,Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/Mcc,,,14046.64,53859.67,24
MS-DRG,498,Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/Mcc,,,29122.04,101250.57,24
MS-DRG,499,Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/Mcc,,,20769.51,46552.72,24
MS-DRG,500,Soft Tissue Procedures With Mcc,,,30355.75,127069.52,24
MS-DRG,501,Soft Tissue Procedures With Cc,,,18546.34,71581.63,24
MS-DRG,502,Soft Tissue Procedures Without Cc/Mcc,,,15193.66,56029.3,24
MS-DRG,503,Foot Procedures With Mcc,,,27240.64,106135.24,24
MS-DRG,504,Foot Procedures With Cc,,,19555.81,70406.58,24
MS-DRG,505,Foot Procedures Without Cc/Mcc,,,18918.95,70406.58,24
MS-DRG,506,Major Thumb Or Joint Procedures,,,15221.17,60115.9,24
MS-DRG,507,Major Shoulder Or Elbow Joint Procedures With Cc/Mcc,,,19032.32,77725.56,24
MS-DRG,508,Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc,,,16598.25,51758.22,24
MS-DRG,509,Arthroscopy,,,46689.53,70442.68,7
MS-DRG,510,"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc",,,29152.88,114617.23,24
MS-DRG,511,"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc",,,21308.01,78659.99,24
MS-DRG,512,"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc",,,17773.61,64475.2,24
MS-DRG,513,"Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc",,,17097.57,60376.57,24
MS-DRG,514,"Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/Mcc",,,12496.18,40890.04,24
MS-DRG,515,Other Musculoskeletal System And Connective Tissue O.R. Procedures With Mcc,,,30539.97,124009.59,24
MS-DRG,516,Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc,,,21297.17,80673.21,24
MS-DRG,517,Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/Mcc,,,16784.14,59859.23,24
MS-DRG,518,Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurostimulator,,,35128.02,143724.72,24
MS-DRG,519,Back And Neck Procedures Except Spinal Fusion With Cc,,,20647.81,79073.06,24
MS-DRG,520,Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc,,,16427.37,57473.04,24
MS-DRG,521,Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc,,,27900.0,116887.12,24
MS-DRG,522,Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc,,,21627.27,84547.25,24
MS-DRG,523,Alc/Drug Abuse or Depend w/o Rehabilitation therapy w/o CC,,,,,0
MS-DRG,524,Transient ischemia,,,,,0
MS-DRG,525,Other heart assist system implant,,,,,0
MS-DRG,526,No Longer Valid,,,,,0
MS-DRG,527,No Longer Valid,,,,,0
MS-DRG,528,Intracranial Vascular Proc w Pdx Hemorrhage,,,,,0
MS-DRG,529,Ventricular shunt procedures w CC,,,,,0
MS-DRG,530,Ventricular Shunt Procedures w/o CC,,,,,0
MS-DRG,531,Spinal Procedures w CC,,,,,0
MS-DRG,532,Spinal Procedures w/o CC,,,,,0
MS-DRG,533,Fractures Of Femur With Mcc,,,17042.55,61150.58,24
MS-DRG,534,Fractures Of Femur Without Mcc,,,10693.96,32640.65,24
MS-DRG,535,Fractures Of Hip And Pelvis With Mcc,,,14661.0,53334.31,24
MS-DRG,536,Fractures Of Hip And Pelvis Without Mcc,,,10706.47,32520.33,24
MS-DRG,537,"Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/Mcc",,,11929.34,36851.57,24
MS-DRG,538,"Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/Mcc",,,9978.75,26929.84,24
MS-DRG,539,Osteomyelitis With Mcc,,,20393.57,81118.36,24
MS-DRG,540,Osteomyelitis With Cc,,,14780.2,51910.62,24
MS-DRG,541,Osteomyelitis Without Cc/Mcc,,,10538.08,35082.98,24
MS-DRG,542,Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Mcc,,,18699.72,74789.95,24
MS-DRG,543,Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc,,,12543.69,42542.32,24
MS-DRG,544,Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/Mcc,,,10264.67,30306.59,24
MS-DRG,545,Connective Tissue Disorders With Mcc,,,24661.52,101330.78,24
MS-DRG,546,Connective Tissue Disorders With Cc,,,13589.01,46428.4,24
MS-DRG,547,Connective Tissue Disorders Without Cc/Mcc,,,10944.87,29925.6,24
MS-DRG,548,Septic Arthritis With Mcc,,,20070.13,80789.51,24
MS-DRG,549,Septic Arthritis With Cc,,,14037.48,48325.32,24
MS-DRG,550,Septic Arthritis Without Cc/Mcc,,,11260.8,34573.66,24
MS-DRG,551,Medical Back Problems With Mcc,,,17946.16,68429.46,24
MS-DRG,552,Medical Back Problems Without Mcc,,,11987.69,38652.24,24
MS-DRG,553,Bone Diseases And Arthropathies With Mcc,,,14780.2,52387.86,24
MS-DRG,554,Bone Diseases And Arthropathies Without Mcc,,,10894.02,33470.8,24
MS-DRG,555,Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc,,,14992.76,54000.04,24
MS-DRG,556,Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc,,,10898.19,32744.92,24
MS-DRG,557,"Tendonitis, Myositis And Bursitis With Mcc",,,16369.01,62149.17,24
MS-DRG,558,"Tendonitis, Myositis And Bursitis Without Mcc",,,11420.02,34641.84,24
MS-DRG,559,"Aftercare, Musculoskeletal System And Connective Tissue With Mcc",,,19519.97,74437.03,24
MS-DRG,560,"Aftercare, Musculoskeletal System And Connective Tissue With Cc",,,13361.44,45670.44,24
MS-DRG,561,"Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc",,,10675.62,32789.03,24
MS-DRG,562,"Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With Mcc",,,15851.36,58700.22,24
MS-DRG,563,"Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without Mcc",,,11439.19,35840.94,24
MS-DRG,564,Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc,,,16841.66,62931.2,24
MS-DRG,565,Other Musculoskeletal System And Connective Tissue Diagnoses With Cc,,,12096.89,40890.04,24
MS-DRG,566,Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/Mcc,,,10220.49,29997.79,24
MS-DRG,567,"Stomach, Esophageal & Duodenal Proc Age > 17 w CC w Major Gi Dx",,,,,0
MS-DRG,568,"Stomach, Esophageal & Duodenal Procedures Proc Age > 17 w CC w/o Major Gi Dx",,,,,0
MS-DRG,569,Major Small & Large Bowel Procedures w CC w Major Gi Dx,,,,,0
MS-DRG,570,Skin Debridement With Mcc,,,28491.02,120729.08,24
MS-DRG,571,Skin Debridement With Cc,,,18057.86,67166.18,24
MS-DRG,572,Skin Debridement Without Cc/Mcc,,,13529.82,45814.81,24
MS-DRG,573,Skin Graft For Skin Ulcer Or Cellulitis With Mcc,,,58585.96,246952.41,24
MS-DRG,574,Skin Graft For Skin Ulcer Or Cellulitis With Cc,,,32911.52,138948.33,24
MS-DRG,575,Skin Graft For Skin Ulcer Or Cellulitis Without Cc/Mcc,,,18953.96,80067.64,24
MS-DRG,576,Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc,,,44830.13,216357.07,24
MS-DRG,577,Skin Graft Except For Skin Ulcer Or Cellulitis With Cc,,,26070.28,106780.91,24
MS-DRG,578,Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc,,,17365.15,67787.79,24
MS-DRG,579,"Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc",,,30970.1,130702.95,24
MS-DRG,580,"Other Skin, Subcutaneous Tissue And Breast Procedures With Cc",,,18378.79,71100.38,24
MS-DRG,581,"Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc",,,16003.9,57713.67,24
MS-DRG,582,Mastectomy For Malignancy With Cc/Mcc,,,20034.29,70226.11,24
MS-DRG,583,Mastectomy For Malignancy Without Cc/Mcc,,,18348.78,65870.82,24
MS-DRG,584,"Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc",,,21819.0,82104.92,24
MS-DRG,585,"Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc",,,20055.13,79606.44,24
MS-DRG,592,Skin Ulcers With Mcc,,,20106.81,82461.84,24
MS-DRG,593,Skin Ulcers With Cc,,,13863.26,49031.15,24
MS-DRG,594,Skin Ulcers Without Cc/Mcc,,,11199.95,34032.25,24
MS-DRG,595,Major Skin Disorders With Mcc,,,21652.28,84819.96,24
MS-DRG,596,Major Skin Disorders Without Mcc,,,12997.99,43352.42,24
MS-DRG,597,Malignant Breast Disorders With Mcc,,,17871.14,70442.68,24
MS-DRG,598,Malignant Breast Disorders With Cc,,,13404.78,43268.21,24
MS-DRG,599,Malignant Breast Disorders Without Cc/Mcc,,,10388.04,34284.91,24
MS-DRG,600,Non-Malignant Breast Disorders With Cc/Mcc,,,12657.06,38387.55,24
MS-DRG,601,Non-Malignant Breast Disorders Without Cc/Mcc,,,9017.62,24042.35,24
MS-DRG,602,Cellulitis With Mcc,,,15822.18,58928.82,24
MS-DRG,603,Cellulitis Without Mcc,,,11234.13,35327.61,24
MS-DRG,604,"Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc",,,16245.64,59582.51,24
MS-DRG,605,"Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc",,,11610.07,37044.06,24
MS-DRG,606,Minor Skin Disorders With Mcc,,,16588.25,64571.45,24
MS-DRG,607,Minor Skin Disorders Without Mcc,,,11530.05,34661.89,24
MS-DRG,614,Adrenal And Pituitary Procedures With Cc/Mcc,,,22244.96,91389.0,24
MS-DRG,615,Adrenal And Pituitary Procedures Without Cc/Mcc,,,15638.79,57465.02,24
MS-DRG,616,"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Mcc",,,33044.89,154997.95,24
MS-DRG,617,"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc",,,19564.98,77488.95,24
MS-DRG,618,"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc",,,15797.17,49929.48,24
MS-DRG,619,O.R. Procedures For Obesity With Mcc,,,28043.38,109339.55,24
MS-DRG,620,O.R. Procedures For Obesity With Cc,,,17314.3,64042.08,24
MS-DRG,621,O.R. Procedures For Obesity Without Cc/Mcc,,,16548.24,58620.02,24
MS-DRG,622,"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Mcc",,,33643.41,150149.38,24
MS-DRG,623,"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc",,,18928.12,76759.06,24
MS-DRG,624,"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc",,,14410.09,40228.32,24
MS-DRG,625,"Thyroid, Parathyroid And Thyroglossal Procedures With Mcc",,,29149.55,114974.16,24
MS-DRG,626,"Thyroid, Parathyroid And Thyroglossal Procedures With Cc",,,16473.21,60524.96,24
MS-DRG,627,"Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/Mcc",,,15046.95,50803.75,24
MS-DRG,628,"Other Endocrine, Nutritional And Metabolic O.R. Procedures With Mcc",,,35040.5,158262.42,24
MS-DRG,629,"Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc",,,22136.59,90238.01,24
MS-DRG,630,"Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/Mcc",,,16140.61,56193.72,24
MS-DRG,637,Diabetes With Mcc,,,15950.55,58403.46,24
MS-DRG,638,Diabetes With Cc,,,11445.02,36783.39,24
MS-DRG,639,Diabetes Without Cc/Mcc,,,9152.66,25129.17,24
MS-DRG,640,"Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With Mcc",,,15107.8,53262.12,24
MS-DRG,641,"Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without Mcc",,,10461.39,31341.28,24
MS-DRG,642,Inborn And Other Disorders Of Metabolism,,,15828.85,49773.07,24
MS-DRG,643,Endocrine Disorders With Mcc,,,17696.08,66464.36,24
MS-DRG,644,Endocrine Disorders With Cc,,,12518.68,41447.48,24
MS-DRG,645,Endocrine Disorders Without Cc/Mcc,,,10378.87,31241.02,24
MS-DRG,650,Kidney Transplant With Hemodialysis With Mcc,,,43164.62,184759.13,24
MS-DRG,651,Kidney Transplant With Hemodialysis Without Mcc,,,34865.45,139249.11,24
MS-DRG,652,Kidney Transplant,,,30895.08,123167.4,24
MS-DRG,653,Major Bladder Procedures With Mcc,,,47290.87,223547.72,24
MS-DRG,654,Major Bladder Procedures With Cc,,,27308.99,113169.48,24
MS-DRG,655,Major Bladder Procedures Without Cc/Mcc,,,21618.1,83304.03,24
MS-DRG,656,Kidney And Ureter Procedures For Neoplasm With Mcc,,,30514.13,130646.8,24
MS-DRG,657,Kidney And Ureter Procedures For Neoplasm With Cc,,,19229.05,73310.11,24
MS-DRG,658,Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc,,,16910.01,60312.41,24
MS-DRG,659,Kidney And Ureter Procedures For Non-Neoplasm With Mcc,,,25155.01,103636.76,24
MS-DRG,660,Kidney And Ureter Procedures For Non-Neoplasm With Cc,,,14991.93,53735.35,24
MS-DRG,661,Kidney And Ureter Procedures For Non-Neoplasm Without Cc/Mcc,,,12605.38,41170.77,24
MS-DRG,662,Minor Bladder Procedures With Mcc,,,29494.65,125100.42,24
MS-DRG,663,Minor Bladder Procedures With Cc,,,16646.6,61250.84,24
MS-DRG,664,Minor Bladder Procedures Without Cc/Mcc,,,12701.24,43304.3,24
MS-DRG,665,Prostatectomy With Mcc,,,29992.3,137693.07,24
MS-DRG,666,Prostatectomy With Cc,,,18556.34,66059.31,24
MS-DRG,667,Prostatectomy Without Cc/Mcc,,,13195.55,41214.88,24
MS-DRG,668,Transurethral Procedures With Mcc,,,28315.13,116947.27,24
MS-DRG,669,Transurethral Procedures With Cc,,,16911.68,62060.94,24
MS-DRG,670,Transurethral Procedures Without Cc/Mcc,,,12121.06,38323.38,24
MS-DRG,671,Urethral Procedures With Cc/Mcc,,,18937.29,69123.25,24
MS-DRG,672,Urethral Procedures Without Cc/Mcc,,,12972.99,43885.81,24
MS-DRG,673,Other Kidney And Urinary Tract Procedures With Mcc,,,38998.36,168035.76,24
MS-DRG,674,Other Kidney And Urinary Tract Procedures With Cc,,,23468.66,92572.06,24
MS-DRG,675,Other Kidney And Urinary Tract Procedures Without Cc/Mcc,,,17656.9,62770.78,24
MS-DRG,682,Renal Failure With Mcc,,,16319.83,60236.21,24
MS-DRG,683,Renal Failure With Cc,,,11274.97,35648.45,24
MS-DRG,684,Renal Failure Without Cc/Mcc,,,8978.44,24363.18,24
MS-DRG,685,Admit For Renal Dialysis,,,,,0
MS-DRG,686,Kidney And Urinary Tract Neoplasms With Mcc,,,19009.81,75620.1,24
MS-DRG,687,Kidney And Urinary Tract Neoplasms With Cc,,,12708.74,42213.47,24
MS-DRG,688,Kidney And Urinary Tract Neoplasms Without Cc/Mcc,,,10562.26,29043.32,24
MS-DRG,689,Kidney And Urinary Tract Infections With Mcc,,,13646.52,46937.72,24
MS-DRG,690,Kidney And Urinary Tract Infections Without Mcc,,,10722.31,32187.47,24
MS-DRG,691,Urinary Stones W Esw Lithotripsy W Cc/Mcc,,,,,0
MS-DRG,692,Urinary Stones W Esw Lithotripsy W/O Cc/Mcc,,,,,0
MS-DRG,693,Urinary Stones With Mcc,,,15181.99,58964.91,24
MS-DRG,694,Urinary Stones Without Mcc,,,10490.57,31337.27,24
MS-DRG,695,Kidney And Urinary Tract Signs And Symptoms With Mcc,,,13508.98,45225.28,24
MS-DRG,696,Kidney And Urinary Tract Signs And Symptoms Without Mcc,,,9717.83,27739.94,24
MS-DRG,697,Urethral Stricture,,,12958.82,40176.19,24
MS-DRG,698,Other Kidney And Urinary Tract Diagnoses With Mcc,,,17765.27,67410.81,24
MS-DRG,699,Other Kidney And Urinary Tract Diagnoses With Cc,,,12435.32,40898.06,24
MS-DRG,700,Other Kidney And Urinary Tract Diagnoses Without Cc/Mcc,,,9725.34,27836.19,24
MS-DRG,707,Major Male Pelvic Procedures With Cc/Mcc,,,20648.64,77821.81,24
MS-DRG,708,Major Male Pelvic Procedures Without Cc/Mcc,,,16763.3,59450.17,24
MS-DRG,709,Penis Procedures With Cc/Mcc,,,23372.8,90113.69,24
MS-DRG,710,Penis Procedures Without Cc/Mcc,,,15654.63,60208.14,24
MS-DRG,711,Testes Procedures With Cc/Mcc,,,21344.69,76622.7,24
MS-DRG,712,Testes Procedures Without Cc/Mcc,,,13141.37,42895.24,24
MS-DRG,713,Transurethral Prostatectomy With Cc/Mcc,,,16506.56,57986.37,24
MS-DRG,714,Transurethral Prostatectomy Without Cc/Mcc,,,12788.76,37681.72,24
MS-DRG,715,Other Male Reproductive System O.R. Procedures For Malignancy With Cc/Mcc,,,22624.24,90562.85,24
MS-DRG,716,Other Male Reproductive System O.R. Procedures For Malignancy Without Cc/Mcc,,,16236.47,56915.6,24
MS-DRG,717,Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/Mcc,,,19733.37,74408.96,24
MS-DRG,718,Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/Mcc,,,15170.32,49400.11,24
MS-DRG,722,"Malignancy, Male Reproductive System With Mcc",,,19059.83,69331.8,24
MS-DRG,723,"Malignancy, Male Reproductive System With Cc",,,13499.81,45032.78,24
MS-DRG,724,"Malignancy, Male Reproductive System Without Cc/Mcc",,,9440.25,29219.77,24
MS-DRG,725,Benign Prostatic Hypertrophy With Mcc,,,13729.05,50655.36,24
MS-DRG,726,Benign Prostatic Hypertrophy Without Mcc,,,9992.92,29849.41,24
MS-DRG,727,Inflammation Of The Male Reproductive System With Mcc,,,16335.67,58924.81,24
MS-DRG,728,Inflammation Of The Male Reproductive System Without Mcc,,,10736.48,32768.98,24
MS-DRG,729,Other Male Reproductive System Diagnoses With Cc/Mcc,,,12799.6,44146.48,24
MS-DRG,730,Other Male Reproductive System Diagnoses Without Cc/Mcc,,,9576.13,24339.12,24
MS-DRG,734,"Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc",,,21729.8,84326.68,24
MS-DRG,735,"Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/Mcc",,,15190.32,48678.24,24
MS-DRG,736,Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc,,,33770.95,157901.48,24
MS-DRG,737,Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc,,,21151.29,80139.82,24
MS-DRG,738,Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/Mcc,,,16215.63,60829.75,24
MS-DRG,739,Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Mcc,,,33840.14,159641.99,24
MS-DRG,740,Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc,,,19059.0,72917.09,24
MS-DRG,741,Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/Mcc,,,15862.19,55082.84,24
MS-DRG,742,Uterine And Adnexa Procedures For Non-Malignancy With Cc/Mcc,,,19269.06,73253.97,24
MS-DRG,743,Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc,,,14316.73,48068.65,24
MS-DRG,744,"D&C, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc",,,21055.43,78359.21,24
MS-DRG,745,"D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/Mcc",,,13456.47,41098.58,24
MS-DRG,746,"Vagina, Cervix And Vulva Procedures With Cc/Mcc",,,18454.65,67154.15,24
MS-DRG,747,"Vagina, Cervix And Vulva Procedures Without Cc/Mcc",,,11140.77,38303.33,24
MS-DRG,748,Female Reproductive System Reconstructive Procedures,,,15538.76,54629.67,24
MS-DRG,749,Other Female Reproductive System O.R. Procedures With Cc/Mcc,,,25377.57,103805.19,24
MS-DRG,750,Other Female Reproductive System O.R. Procedures Without Cc/Mcc,,,16276.49,51714.11,24
MS-DRG,754,"Malignancy, Female Reproductive System With Mcc",,,19326.58,72556.16,24
MS-DRG,755,"Malignancy, Female Reproductive System With Cc",,,13042.17,44519.45,24
MS-DRG,756,"Malignancy, Female Reproductive System Without Cc/Mcc",,,11981.02,38295.31,24
MS-DRG,757,"Infections, Female Reproductive System With Mcc",,,15910.54,56755.18,24
MS-DRG,758,"Infections, Female Reproductive System With Cc",,,12135.23,40878.01,24
MS-DRG,759,"Infections, Female Reproductive System Without Cc/Mcc",,,9506.1,25662.55,24
MS-DRG,760,Menstrual And Other Female Reproductive System Disorders With Cc/Mcc,,,12372.8,39522.49,24
MS-DRG,761,Menstrual And Other Female Reproductive System Disorders Without Cc/Mcc,,,8730.04,25421.93,24
MS-DRG,765,Cesarean Section W Cc/Mcc,,,,,0
MS-DRG,766,Cesarean Section W/O Cc/Mcc,,,,,0
MS-DRG,767,Vaginal Delivery W Sterilization &/Or D&C,,,,,0
MS-DRG,768,Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C,,,12907.13,43966.02,24
MS-DRG,769,Postpartum And Post Abortion Diagnoses With O.R. Procedures,,,18060.36,55724.51,24
MS-DRG,770,"Abortion With D&C, Aspiration Curettage Or Hysterotomy",,,12332.79,43147.89,24
MS-DRG,774,Vaginal Delivery W Complicating Diagnoses,,,,,0
MS-DRG,775,Vaginal Delivery W/O Complicating Diagnoses,,,,,0
MS-DRG,776,Postpartum And Post Abortion Diagnoses Without O.R. Procedures,,,9431.91,28610.19,24
MS-DRG,777,Ectopic Pregnancy,,,,,0
MS-DRG,778,Threatened Abortion,,,,,0
MS-DRG,779,Abortion Without D&C,,,10987.39,37485.21,24
MS-DRG,780,False Labor,,,,,0
MS-DRG,781,Other Antepartum Diagnoses W Medical Complications,,,,,0
MS-DRG,782,Other Antepartum Diagnoses W/O Medical Complications,,,,,0
MS-DRG,783,Cesarean Section With Sterilization With Mcc,,,24439.79,73871.57,24
MS-DRG,784,Cesarean Section With Sterilization With Cc,,,12811.27,43432.63,24
MS-DRG,785,Cesarean Section With Sterilization Without Cc/Mcc,,,11958.51,35086.99,24
MS-DRG,786,Cesarean Section Without Sterilization With Mcc,,,17724.42,64800.04,24
MS-DRG,787,Cesarean Section Without Sterilization With Cc,,,13283.91,42582.43,24
MS-DRG,788,Cesarean Section Without Sterilization Without Cc/Mcc,,,11966.85,36294.12,24
MS-DRG,789,"Neonates, Died Or Transferred To Another Acute Care Facility",,,18997.31,72295.48,24
MS-DRG,790,"Extreme Immaturity Or Respiratory Distress Syndrome, Neonate",,,53518.59,238418.28,24
MS-DRG,791,Prematurity With Major Problems,,,37809.67,162826.25,24
MS-DRG,792,Prematurity Without Major Problems,,,24390.61,98246.78,24
MS-DRG,793,Full Term Neonate With Major Problems,,,38731.62,167257.74,24
MS-DRG,794,Neonate With Other Significant Problems,,,16277.32,59201.52,24
MS-DRG,795,Normal Newborn,,,5310.88,11054.26,24
MS-DRG,796,Vaginal Delivery With Sterilization And/Or D&C With Mcc,,,13702.37,51196.77,24
MS-DRG,797,Vaginal Delivery With Sterilization And/Or D&C With Cc,,,12313.62,38828.69,24
MS-DRG,798,Vaginal Delivery With Sterilization And/Or D&C Without Cc/Mcc,,,11952.68,38828.69,24
MS-DRG,799,Splenic Procedures With Mcc,,,41726.69,190674.47,24
MS-DRG,800,Splenic Procedures With Cc,,,27393.18,116847.01,24
MS-DRG,801,Splenic Procedures Without Cc/Mcc,,,19886.75,65838.74,24
MS-DRG,802,Other O.R. Procedures Of The Blood And Blood Forming Organs With Mcc,,,37185.31,143756.8,24
MS-DRG,803,Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc,,,19469.95,71381.11,24
MS-DRG,804,Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/Mcc,,,15277.85,44334.97,24
MS-DRG,805,Vaginal Delivery Without Sterilization Or D&C With Mcc,,,12970.49,40019.78,24
MS-DRG,806,Vaginal Delivery Without Sterilization Or D&C With Cc,,,10259.67,29015.24,24
MS-DRG,807,Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc,,,9594.46,25554.27,24
MS-DRG,808,Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders,,,22379.17,91854.2,24
MS-DRG,809,Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders,,,14526.79,49668.8,24
MS-DRG,810,Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders,,,12698.74,38166.98,24
MS-DRG,811,Red Blood Cell Disorders With Mcc,,,15680.47,56418.31,24
MS-DRG,812,Red Blood Cell Disorders Without Mcc,,,11628.41,37011.98,24
MS-DRG,813,Coagulation Disorders,,,16689.11,62076.98,24
MS-DRG,814,Reticuloendothelial And Immunity Disorders With Mcc,,,21702.3,83829.39,24
MS-DRG,815,Reticuloendothelial And Immunity Disorders With Cc,,,12426.99,40749.67,24
MS-DRG,816,Reticuloendothelial And Immunity Disorders Without Cc/Mcc,,,9242.69,26444.58,24
MS-DRG,817,Other Antepartum Diagnoses With O.R. Procedures With Mcc,,,22993.52,101667.65,24
MS-DRG,818,Other Antepartum Diagnoses With O.R. Procedures With Cc,,,13637.35,51653.95,24
MS-DRG,819,Other Antepartum Diagnoses With O.R. Procedures Without Cc/Mcc,,,11142.43,32744.92,24
MS-DRG,820,Lymphoma And Leukemia With Major O.R. Procedures With Mcc,,,52862.56,233481.48,24
MS-DRG,821,Lymphoma And Leukemia With Major O.R. Procedures With Cc,,,22635.08,89520.15,24
MS-DRG,822,Lymphoma And Leukemia With Major O.R. Procedures Without Cc/Mcc,,,14010.8,45862.93,24
MS-DRG,823,Lymphoma And Non-Acute Leukemia With Other Procedures With Mcc,,,42192.66,187654.64,24
MS-DRG,824,Lymphoma And Non-Acute Leukemia With Other Procedures With Cc,,,22860.15,88200.73,24
MS-DRG,825,Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/Mcc,,,15222.83,49355.99,24
MS-DRG,826,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Mcc,,,42967.9,191504.62,24
MS-DRG,827,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc,,,23240.26,94633.41,24
MS-DRG,828,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without C,,,18177.06,64278.69,24
MS-DRG,829,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/Mcc,,,30315.74,123664.69,24
MS-DRG,830,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/Mcc,,,16519.89,58648.09,24
MS-DRG,831,Other Antepartum Diagnoses Without O.R. Procedures With Mcc,,,13998.3,46155.69,24
MS-DRG,832,Other Antepartum Diagnoses Without O.R. Procedures With Cc,,,9989.58,29969.72,24
MS-DRG,833,Other Antepartum Diagnoses Without O.R. Procedures Without Cc/Mcc,,,8333.25,20846.06,24
MS-DRG,834,Acute Leukemia With Mcc,,,49737.45,221650.8,24
MS-DRG,835,Acute Leukemia With Cc,,,21361.36,85654.12,24
MS-DRG,836,Acute Leukemia Without Cc/Mcc,,,14140.01,50960.15,24
MS-DRG,837,Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With Mc,,,44022.38,200792.71,24
MS-DRG,838,Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent,,,21374.7,81334.92,24
MS-DRG,839,Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/Mcc,,,16010.57,54954.51,24
MS-DRG,840,Lymphoma And Non-Acute Leukemia With Mcc,,,30940.09,127907.7,24
MS-DRG,841,Lymphoma And Non-Acute Leukemia With Cc,,,17573.55,62879.06,24
MS-DRG,842,Lymphoma And Non-Acute Leukemia Without Cc/Mcc,,,12396.98,42181.39,24
MS-DRG,843,Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Mcc,,,20602.8,75920.88,24
MS-DRG,844,Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc,,,14122.5,47928.29,24
MS-DRG,845,Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/Mcc,,,11073.25,33555.02,24
MS-DRG,846,Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc,,,25585.14,102409.57,24
MS-DRG,847,Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc,,,14879.4,50956.14,24
MS-DRG,848,Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/Mcc,,,11054.91,32841.17,24
MS-DRG,849,Radiotherapy,,,26560.43,107113.77,24
MS-DRG,850,Acute Leukemia With Other Procedures,,,76158.78,369409.98,24
MS-DRG,853,Infectious And Parasitic Diseases With O.R. Procedures With Mcc,,,45141.89,200580.16,24
MS-DRG,854,Infectious And Parasitic Diseases With O.R. Procedures With Cc,,,20630.3,80135.81,24
MS-DRG,855,Infectious And Parasitic Diseases With O.R. Procedures Without Cc/Mcc,,,16454.87,65189.05,24
MS-DRG,856,Postoperative Or Post-Traumatic Infections With O.R. Procedures With Mcc,,,41891.74,180921.18,24
MS-DRG,857,Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc,,,21825.67,87382.61,24
MS-DRG,858,Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/Mcc,,,15585.44,51669.99,24
MS-DRG,862,Postoperative And Post-Traumatic Infections With Mcc,,,19176.53,73735.21,24
MS-DRG,863,Postoperative And Post-Traumatic Infections Without Mcc,,,12292.78,40099.99,24
MS-DRG,864,Fever And Inflammatory Conditions,,,11374.17,36009.38,24
MS-DRG,865,Viral Illness With Mcc,,,16464.04,59189.49,24
MS-DRG,866,Viral Illness Without Mcc,,,11223.29,35480.01,24
MS-DRG,867,Other Infectious And Parasitic Diseases Diagnoses With Mcc,,,21423.04,85991.0,24
MS-DRG,868,Other Infectious And Parasitic Diseases Diagnoses With Cc,,,12569.53,42109.2,24
MS-DRG,869,Other Infectious And Parasitic Diseases Diagnoses Without Cc/Mcc,,,10057.1,28854.83,24
MS-DRG,870,Septicemia Or Severe Sepsis With Mv >96 Hours,,,61590.2,278983.48,24
MS-DRG,871,Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc,,,20166.83,78696.08,24
MS-DRG,872,Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc,,,12504.51,41347.22,24
MS-DRG,876,O.R. Procedures With Principal Diagnosis Of Mental Illness,,,36191.68,157584.66,24
MS-DRG,880,Acute Adjustment Reaction And Psychosocial Dysfunction,,,11978.52,38443.69,24
MS-DRG,881,Depressive Neuroses,,,11817.64,36659.07,24
MS-DRG,882,Neuroses Except Depressive,,,12925.47,38576.04,24
MS-DRG,883,Disorders Of Personality And Impulse Control,,,20365.22,74449.07,24
MS-DRG,884,Organic Disturbances And Intellectual Disability,,,17385.99,66977.69,24
MS-DRG,885,Psychoses,,,15617.95,56526.59,24
MS-DRG,886,Behavioral And Developmental Disorders,,,21273.83,72042.83,24
MS-DRG,887,Other Mental Disorder Diagnoses,,,12901.3,47695.69,24
MS-DRG,894,"Alcohol, Drug Abuse Or Dependence, Left Ama",,,9116.82,25028.91,24
MS-DRG,895,"Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy",,,15774.67,58066.58,24
MS-DRG,896,"Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc",,,18521.33,71417.2,24
MS-DRG,897,"Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc",,,11333.32,35379.75,24
MS-DRG,901,Wound Debridements For Injuries With Mcc,,,38956.68,177668.74,24
MS-DRG,902,Wound Debridements For Injuries With Cc,,,19933.43,76093.33,24
MS-DRG,903,Wound Debridements For Injuries Without Cc/Mcc,,,13724.05,48886.78,24
MS-DRG,904,Skin Grafts For Injuries With Cc/Mcc,,,34592.86,154837.53,24
MS-DRG,905,Skin Grafts For Injuries Without Cc/Mcc,,,16339.84,66095.4,24
MS-DRG,906,Hand Procedures For Injuries,,,20348.55,87522.97,24
MS-DRG,907,Other O.R. Procedures For Injuries With Mcc,,,35978.28,159754.28,24
MS-DRG,908,Other O.R. Procedures For Injuries With Cc,,,20606.13,80889.77,24
MS-DRG,909,Other O.R. Procedures For Injuries Without Cc/Mcc,,,14916.91,50859.89,24
MS-DRG,913,Traumatic Injury With Mcc,,,17600.22,64896.29,24
MS-DRG,914,Traumatic Injury Without Mcc,,,11355.83,36747.3,24
MS-DRG,915,Allergic Reactions With Mcc,,,17992.01,69692.73,24
MS-DRG,916,Allergic Reactions Without Mcc,,,9528.61,26629.06,24
MS-DRG,917,Poisoning And Toxic Effects Of Drugs With Mcc,,,17048.39,65754.52,24
MS-DRG,918,Poisoning And Toxic Effects Of Drugs Without Mcc,,,11119.09,35467.98,24
MS-DRG,919,Complications Of Treatment With Mcc,,,19235.72,73125.63,24
MS-DRG,920,Complications Of Treatment With Cc,,,12329.46,40737.64,24
MS-DRG,921,Complications Of Treatment Without Cc/Mcc,,,9712.83,27575.51,24
MS-DRG,922,"Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc",,,18557.18,67743.68,24
MS-DRG,923,"Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc",,,12457.83,40898.06,24
MS-DRG,927,Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft,,,181949.12,951379.17,24
MS-DRG,928,Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc,,,63765.02,267834.56,24
MS-DRG,929,Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc,,,30822.56,127538.74,24
MS-DRG,933,Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft,,,36435.92,173517.98,24
MS-DRG,934,Full Thickness Burn Without Skin Graft Or Inhalation Injury,,,22401.67,86051.15,24
MS-DRG,935,Non-Extensive Burns,,,21146.29,88080.42,24
MS-DRG,939,O.R. Procedures With Diagnoses Of Other Contact With Health Services With Mcc,,,34221.08,127282.08,24
MS-DRG,940,O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc,,,23454.49,84671.58,24
MS-DRG,941,O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/Mcc,,,20877.05,78371.24,24
MS-DRG,945,Rehabilitation With Cc/Mcc,,,16883.34,61214.75,24
MS-DRG,946,Rehabilitation Without Cc/Mcc,,,13533.99,44772.11,24
MS-DRG,947,Signs And Symptoms With Mcc,,,14555.97,51577.75,24
MS-DRG,948,Signs And Symptoms Without Mcc,,,10647.28,31862.63,24
MS-DRG,949,Aftercare With Cc/Mcc,,,13891.6,43268.21,24
MS-DRG,950,Aftercare Without Cc/Mcc,,,9206.85,23504.95,24
MS-DRG,951,Other Factors Influencing Health Status,,,8609.17,22734.96,24
MS-DRG,955,Craniotomy For Multiple Significant Trauma,,,60083.91,273826.1,24
MS-DRG,956,"Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma",,,35342.26,153285.51,24
MS-DRG,957,Other O.R. Procedures For Multiple Significant Trauma With Mcc,,,67492.82,299324.22,24
MS-DRG,958,Other O.R. Procedures For Multiple Significant Trauma With Cc,,,39100.89,164807.39,24
MS-DRG,959,Other O.R. Procedures For Multiple Significant Trauma Without Cc/Mcc,,,28516.02,106022.94,24
MS-DRG,963,Other Multiple Significant Trauma With Mcc,,,26762.99,108946.53,24
MS-DRG,964,Other Multiple Significant Trauma With Cc,,,16749.96,60164.02,24
MS-DRG,965,Other Multiple Significant Trauma Without Cc/Mcc,,,11814.3,36594.9,24
MS-DRG,969,Hiv With Extensive O.R. Procedures With Mcc,,,55000.71,253613.69,24
MS-DRG,970,Hiv With Extensive O.R. Procedures Without Mcc,,,25959.42,106403.93,24
MS-DRG,974,Hiv With Major Related Condition With Mcc,,,28031.71,119750.54,24
MS-DRG,975,Hiv With Major Related Condition With Cc,,,14769.36,56999.82,24
MS-DRG,976,Hiv With Major Related Condition Without Cc/Mcc,,,11499.21,40220.3,24
MS-DRG,977,Hiv With Or Without Other Related Condition,,,14791.87,57821.95,24
MS-DRG,981,Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc,,,43084.6,190666.45,24
MS-DRG,982,Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc,,,24468.13,98194.64,24
MS-DRG,983,Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc,,,18262.09,66897.48,24
MS-DRG,984,Prostatic O.R. Procedure Unrelated To Principal Diagnosis W Mcc,,,,,0
MS-DRG,985,Prostatic O.R. Procedure Unrelated To Principal Diagnosis W Cc,,,,,0
MS-DRG,986,Prostatic O.R. Procedure Unrelated To Principal Diagnosis W/O Cc/Mcc,,,,,0
MS-DRG,987,Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc,,,32553.08,140484.31,24
MS-DRG,988,Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc,,,17675.24,68818.46,24
MS-DRG,989,Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc,,,13970.79,46336.16,24
MS-DRG,998,Principal Diagnosis Invalid As Discharge Diagnosis,,,,,0
MS-DRG,999,Ungroupable,,,,,0
NDC,0000-0050-04,PRISMASATE 4/2.5 (POTASSIUM/CALCIUM) DIALYSIS SOLUTION,175.3,68.37,,,0
NDC,0000-0050-08,HUMAN MILK FORTIFIER 30 ML (PROLACT +6 H2MF),1308.8,510.43,,,0
NDC,0000-0050-09,HUMAN MILK FORTIFIER 40 ML (PROLACT +8 H2MF),1745.0,680.55,,,0
NDC,0000-0050-13,SODIUM HYPOCHLORITE 0.25 % SOLUTION,23.1,9.01,,,0
NDC,0000-0050-16,COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 250 UNITS/G OINTMENT (WC),28.8,11.23,,,0
NDC,0000-0050-18,ZINC OXIDE 20 % OINTMENT (WC),4.8,1.87,,,0
NDC,0000-0050-20,LIDOCAINE 10 MG/ML (1%) INJECTION (WC),19.6,7.64,,,0
NDC,0000-0050-21,LIDOCAINE 4 % MUCOSAL SOLN (WC),368.2,143.6,,,0
NDC,0000-0050-27,SILVER NITRATE APPLICATORS 75 %-25 % TOPICAL STICK (WC),4.8,1.87,,,0
NDC,0000-0050-28,CAPTOPRIL 1 MG/ML ORAL SOLUTION (NEONATE/PEDS),4.8,1.87,,,0
NDC,0000-0050-34,ACETIC ACID 2% SOLUTION,32.6,12.71,,,0
NDC,0000-0050-35,ACETIC ACID 3% SOLUTION,32.6,12.71,,,0
NDC,0000-0050-36,URSODIOL ORAL SUSPENSION 60 MG/ML (CMPD),4.8,1.87,,,0
NDC,0000-0050-62,MAALOX/LIDOCAINE ORAL SUSPENSION,78.3,30.54,,,0
NDC,0000-0050-64,HYDROCORTISONE ORAL SUSPENSION 2MG/ML,57.6,22.46,,,0
NDC,0000-0050-65,HYZINY CREAM WITH LIDOCAINE (CMPD),291.5,113.68,,,0
NDC,0000-0050-66,HYZINY CREAM (CMPD),249.2,97.19,,,0
NDC,0000-0050-72,LACTULOSE ENEMA WITH NS,184.1,71.8,,,0
NDC,0000-0050-73,LACTULOSE ENEMA WITH STERILE WATER,168.8,65.83,,,0
NDC,0000-0050-77,MAGIC MOUTHWASH ORAL SUSPENSION (CMPD),73.7,28.74,,,0
NDC,0000-0050-78,METRONIDAZOLE ORAL SUSPENSION 50 MG/ML (CMPD),4.8,1.87,,,0
NDC,0000-0050-81,PHENYLEPHRINE NASAL DROPS 0.125 % (1/8 %),21.6,8.42,,,0
NDC,0000-0050-94,TACROLIMUS ORAL SUSPENSION 0.5 MG/ML,22.8,8.89,,,0
NDC,0000-0051-52,LAMIVUDINE 10 MG/ML ORAL SOLUTION,4.8,1.87,,,0
NDC,0000-0051-53,LORATADINE 5 MG/5 ML ORAL SOLUTION,3.1,1.21,,,0
NDC,0000-0051-87,OXYCODONE 20 MG/ML ORAL CONCENTRATE,94.6,36.89,,,0
NDC,0000-0051-97,NOREPINEPHRINE 0.16 MG/10 ML (16 MCG/ML) IN 0.9 % NACL SYRINGE,19.6,7.64,,,0
NDC,0000-0052-31,VANCOMYCIN IVPB 750 MG/250 ML NS (SIMPLE),52.0,20.28,,,0
NDC,0000-0052-39,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,4.8,1.87,,,0
NDC,0000-0052-42,ACETYLCYSTEINE 200 MG/ML (20 %) RESPIRATORY SOLUTION,55.4,21.61,,,0
NDC,0000-0052-78,CHLOROTHIAZIDE 250 MG/5 ML ORAL SUSPENSION,4.8,1.87,,,0
NDC,0000-0052-93,METHADONE 10 MG/ML INJECTION SOLUTION,200.7,78.27,,,0
NDC,0000-0052-95,METHADONE 5 MG/5 ML ORAL SOLUTION,4.8,1.87,,,0
NDC,0000-0052-96,LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION,4.8,1.87,,,0
NDC,0000-0053-19,MORPHINE ORAL SOLUTION 2 MG/ML (NEONATAL ABSTINENCE),4.8,1.87,,,0
NDC,0000-0053-45,MORPHINE(PF) 150 MG/30 ML(5 MG/ML) IN 0.9% SOD CHLORIDE IV PCA SYRINGE,88.7,34.59,,,0
NDC,0000-0053-47,PASTEURIZED HUMAN MILK CREAM (PROLACT CR),136.6,53.27,,,0
NDC,0000-0053-97,URSODIOL ORAL SUSPENSION 60 MG/ML (CMPD),37.8,14.74,,,0
NDC,0000-0053-98,URSODIOL ORAL SUSPENSION 60 MG/ML (CMPD),18.9,7.37,,,0
NDC,0000-0053-99,URSODIOL ORAL SUSPENSION 60 MG/ML (CMPD),4.8,1.87,,,0
NDC,0000-0054-31,LINEZOLID 2 MG/ML IV SYRINGE (NEONATE/PEDS),93.5,36.46,,,0
NDC,0000-0054-46,INSULIN REGULAR 1 UNIT/ML INJECTION (NEONATE),19.6,7.64,,,0
NDC,0000-0054-69,AMIODARONE 450 MG/250 ML (1.8 MG/ML) IN DEXTROSE 5 % INTRAVENOUS SOLN,249.8,97.42,,,0
NDC,0000-0054-76,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.125 %-NACL INJECTION SOLUTION,19.6,7.64,,,0
NDC,0000-0055-30,MAGNESIUM SULFATE 50 MG/ML ORAL SOLUTION (ELEMENTAL),0.6,0.23,,,0
NDC,0000-0055-36,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE,19.6,7.64,,,0
NDC,0000-0055-60,MAGIC MOUTHWASH ORAL SUSPENSION (CMPD),9.3,3.63,,,0
NDC,0000-0055-97,MAGNESIUM SULFATE 6 GRAM/100 ML IN 0.9% SODIUM CHLORIDE IVPB (SIMPLE),67.5,26.32,,,0
NDC,0000-0056-48,SODIUM HYPOCHLORITE 0.125 % SOLUTION,21.17,8.26,,,0
NDC,0000-0056-57,FUROSEMIDE 10 MG/ML ORAL SOLUTION,4.8,1.87,,,0
NDC,0000-0056-59,HYDROCORTISONE IV SYRINGE 1 MG/ML (NEONATE/PEDS),19.6,7.64,,,0
NDC,0000-0056-60,HYDROCORTISONE 2 MG/ML ORAL SYRINGE (NEONATE/PEDS),4.8,1.87,,,0
NDC,0000-0056-74,HYZINY CREAM (CMPD),623.0,242.97,,,0
NDC,0000-0057-06,FENTANYL (PF) 1000 MCG/100 ML NS (10 MCG/ML) PREMIX,205.9,80.3,,,0
NDC,0000-0057-13,DEXTROSE 10 % + SOD. CHLORIDE 0.45 % (D10W + 1/2 NS)(SIMPLE),56.1,21.88,,,0
NDC,0000-0057-15,DEXTROSE 10 % + SOD. CHLORIDE 0.45 % (D10W + 1/2 NS)(SIMPLE),56.1,21.88,,,0
NDC,0000-0057-19,DEXTROSE 10 % + SOD. CHLORIDE 0.225 % (D10W + 1/4 NS)(SIMPLE),53.7,20.94,,,0
NDC,0000-0057-37,DEXTROSE 15 % (D15W) IV (SIMPLE),53.7,20.94,,,0
NDC,0000-0057-96,FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,37.6,14.66,,,0
NDC,0000-0058-12,BLOOD CARDIOPLEGIA SYRINGE (KH),24.0,9.36,,,0
NDC,0000-0058-16,"CALCIUM GLUCONATE 2 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION",142.5,55.58,,,0
NDC,0000-0058-27,MULTIVIT-MINS-FERROUS GLUCONATE 9 MG IRON/15 ML (15 ML) ORAL LIQUID,9.4,3.67,,,0
NDC,0000-0058-35,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,19.6,7.64,,,0
NDC,0000-0058-50,FLUCYTOSINE 50 MG/ML ORAL SUSPENSION,6090.0,2375.1,,,0
NDC,0000-0058-69,"NEOMYCIN-POLYMYXIN B 40MG-200,000 UNIT IN NS 500ML (SIMPLE)",57.6,22.46,,,0
NDC,0000-0059-52,MAGIC MOUTHWASH WITHOUT NYSTATIN OR LIDOCAINE ORAL SUSPENSION,4.8,1.87,,,0
NDC,0000-0059-55,"WATER FOR IRRIGATION, STERILE SOLUTION",32.6,12.71,,,0
NDC,0000-0059-58,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION PEDIATRIC SYRINGE,77.0,30.03,,,0
NDC,0000-0059-86,ZINC SULFATE 1 MG/ML ORAL SYRINGE (NEONATE/PEDS),8.5,3.32,,,0
NDC,0000-0060-36,LORAZEPAM 2 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,0000-0060-47,"HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNITS/ML) IN 0.45% SODIUM CHLORIDE 1/2NS (SIMPLE)",130.3,50.82,,,0
NDC,0000-0060-85,ACETAMINOPHEN 160 MG/5 ML ORAL SUSPENSION,0.6,0.23,,,0
NDC,0000-0060-86,METHADONE 5 MG/5 ML ORAL SOLUTION,4.8,1.87,,,0
NDC,0000-0060-87,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (WRAPPED),0.6,0.23,,,0
NDC,0000-0061-17,ASPIRIN 20 MG RECTAL SUPPOSITORY,4.8,1.87,,,0
NDC,0000-0061-21,ENALAPRIL MALEATE 1 MG/ML ORAL SOLUTION,41.4,16.15,,,0
NDC,0000-0061-48,"LIDOCAINE 2%, BUPIVACAINE 0.75%, VITRASE 200 UNITS IN 10 ML SYRINGE (FOR RETROBULBAR BLOCK)",3661.0,1427.79,,,0
NDC,0000-0061-57,"LIDOCAINE 2%, BUPIVACAINE 0.75%, HYLENEX 150 UNITS IN 10 ML SYRINGE (FOR RETROBULBAR BLOCK)",2391.3,932.61,,,0
NDC,0000-0061-58,FAMOTIDINE 4 MG/ML IV SYRINGE (NEONATE/PEDS),19.6,7.64,,,0
NDC,0000-0061-79,RIFAXIMIN 20 MG/ML ORAL SUSPENSION,87.6,34.16,,,0
NDC,0000-0061-81,SODIUM PHOSPHATE 3 MMOL/ML ORAL SOLUTION,42.2,16.46,,,0
NDC,0000-0061-92,MORPHINE ORAL SOLUTION 0.2 MG/0.5 ML DILUTION,4.8,1.87,,,0
NDC,0000-0061-99,METHOHEXITAL 100 MG/10 ML (10 MG/ML) IN NACL 0.9%,242.3,94.5,,,0
NDC,0000-0062-63,VANCOMYCIN IVPB 2500 MG/500 ML NS (SIMPLE),493.1,192.31,,,0
NDC,0000-0062-99,HYDROXYUREA 100 MG/ML ORAL SUSPENSION,9.8,3.82,,,0
NDC,0000-0063-35,DEXTROSE 10 % AND 0.2 % NACL WITH 1:1 HEPARIN INTRAVENOUS SOLUTION (NEONATE),53.7,20.94,,,0
NDC,0000-0063-51,ISOPROPYL ALCOHOL 70 % SOLUTION,5.6,2.18,,,0
NDC,0000-0063-64,BENZOCAINE 15 MG-MENTHOL 3.6 MG LOZENGES,4.8,1.87,,,0
NDC,0000-0063-69,POTASSIUM PHOSPHATE 30 MMOL IN 250 ML NS IVPB (SIMPLE),69.2,26.99,,,0
NDC,0000-0063-70,POTASSIUM PHOSPHATE 45 MMOL IN 250 ML NS IVPB (SIMPLE),103.7,40.44,,,0
NDC,0000-0063-71,POTASSIUM PHOSPHATE 30 MMOL IN 500 ML NS IVPB (SIMPLE),69.2,26.99,,,0
NDC,0000-0063-72,POTASSIUM PHOSPHATE 45 MMOL IN 500 ML NS IVPB (SIMPLE),103.7,40.44,,,0
NDC,0000-0063-73,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0000-0070-04,1/2 NAAC (0.45% SODIUM ACETATE) WITH 1 UNIT/ML HEPARIN UAC/PAL,35.9,14.0,,,0
NDC,0000-0070-13,MAGNESIUM SULFATE 40 MG/ML IV SYRINGE,19.6,7.64,,,0
NDC,0000-0070-22,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0000-0090-01,HYDRALAZINE 1 MG/ML INJECTION (NEONATE/PEDS),53.9,21.02,,,0
NDC,0000-0090-07,MIDAZOLAM IN NS 50 MG/50 ML (1 MG/ML) INFUSION (SIMPLE),13.9,5.42,,,0
NDC,0000-1154-00,STUDY PEMBROLIZUMAB 25 MG/ML INTRAVENOUS,0.1,0.04,,,0
NDC,00000-0070-02,PANTOPRAZOLE 2 MG/ML ORAL SUSPENSION,4.8,1.87,,,0
NDC,00000-0070-06,SODIUM CHLORIDE 0.45% WITH HEPARIN 1 UNIT/ML UAC/PAL,35.9,14.0,,,0
NDC,00000005100,NDC Description Not Available,140.49,54.79,,,0
NDC,00000005114,NDC Description Not Available,217.0,84.63,,,0
NDC,0002-0213-01,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION,38.1,14.86,,,0
NDC,0002-1200-01,FLORBETAPIR F-18 10 MCI (370 MBQ) INTRAVENOUS SOLUTION,3088.9,1204.67,,,0
NDC,0002-1445-27,IXEKIZUMAB 80 MG/ML SUBCUTANEOUS AUTO-INJECTOR,0.01,0.0039,,,0
NDC,0002-3238-30,ATOMOXETINE 18 MG CAPSULE,101.1,39.43,,,0
NDC,0002-4732-30,BARICITINIB 1 MG TABLET,2802.1,1092.82,,,0
NDC,0002-5123-77,PRASUGREL HCL 10 MG TABLET,704.2,274.64,,,0
NDC,0002-7510-01,INSULIN LISPRO 100 UNIT/ML (PRANDIAL) SUBCUTANEOUS,19.6,7.64,,,0
NDC,0002-7510-17,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,19.6,7.64,,,0
NDC,0002-7511-01,INSULIN LISPRO PROTAMINE-LISPRO 100 UNIT/ML (75-25) SUBCUTANEOUS SUSP,39.4,15.37,,,0
NDC,0002-7533-01,INSULIN LISPRO 100 UNIT/ML (PRANDIAL) SUBCUTANEOUS,19.6,7.64,,,0
NDC,0002-7597-01,OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION,429.3,167.43,,,0
NDC,0002-7623-01,PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION,40365.4,15742.51,,,0
NDC,0002-7640-01,PEMETREXED DISODIUM 100 MG INTRAVENOUS POWDER FOR SOLUTION,10091.4,3935.65,,,0
NDC,0002-7669-01,RAMUCIRUMAB 10 MG/ML INTRAVENOUS SOLUTION,6427.0,2506.53,,,0
NDC,0002-7737-01,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,19.6,7.64,,,0
NDC,0002-8215-01,INSULIN REGULAR (IV - DUAL NURSE SIGNOFF),19.6,7.64,,,0
NDC,0002-8215-17,INSULIN REGULAR (IV - DUAL NURSE SIGNOFF),19.6,7.64,,,0
NDC,0002-8315-01,INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML SUBCUTANEOUS SUSPENSION,381.0,148.59,,,0
NDC,0002-8715-01,INSULIN HUMAN U-100 NPH-REGULR 70-30 MIX 100 UNIT/ML SUBCUTANEOUS SUSP,19.6,7.64,,,0
NDC,0002-8715-17,INSULIN HUMAN U-100 NPH-REGULR 70-30 MIX 100 UNIT/ML SUBCUTANEOUS SUSP,19.6,7.64,,,0
NDC,0003-0293-05,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,319.8,124.72,,,0
NDC,0003-0371-13,BELATACEPT 250 MG INTRAVENOUS SOLUTION,414.2,161.54,,,0
NDC,0003-0494-20,TRIAMCINOLONE ACETONIDE 10 MG/ML SUSPENSION FOR INJECTION,20.7,8.07,,,0
NDC,0003-0893-21,APIXABAN 2.5 MG TABLET,77.6,30.26,,,0
NDC,0003-0893-31,APIXABAN 2.5 MG TABLET,77.6,30.26,,,0
NDC,0003-0894-21,APIXABAN 5 MG TABLET,76.0,29.64,,,0
NDC,0003-0894-31,APIXABAN 5 MG TABLET,77.6,30.26,,,0
NDC,0003-2187-13,ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLUTION,31650.9,12343.85,,,0
NDC,0003-2291-11,ELOTUZUMAB 300 MG INTRAVENOUS SOLUTION,9466.8,3692.05,,,0
NDC,0003-2327-11,IPILIMUMAB 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,77551.3,30245.01,,,0
NDC,0003-2328-22,IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION,221574.5,86414.06,,,0
NDC,0003-2560-16,AZTREONAM 1 GRAM SOLUTION FOR INJECTION,253.9,99.02,,,0
NDC,0003-2570-16,AZTREONAM 2 GRAM SOLUTION FOR INJECTION,507.8,198.04,,,0
NDC,0003-3734-13,NIVOLUMAB 240 MG/24 ML INTRAVENOUS SOLUTION,48593.0,18951.27,,,0
NDC,0003-3756-14,NIVOLUMAB 120 MG/12 ML INTRAVENOUS SOLUTION,24296.5,9475.64,,,0
NDC,0003-3772-11,NIVOLUMAB 40 MG/4 ML INTRAVENOUS SOLUTION,11763.6,4587.8,,,0
NDC,0003-3774-12,NIVOLUMAB 100 MG/10 ML INTRAVENOUS SOLUTION,40494.0,15792.66,,,0
NDC,0003-4522-11,ELOTUZUMAB 400 MG INTRAVENOUS SOLUTION,75733.2,29535.95,,,0
NDC,0003-6120-01,"NIVOLUMAB 600 MG-HYALURONIDASE-NVHY 10,000 UNIT/5 ML SUBCUT SOLUTION",97185.9,37902.5,,,0
NDC,0003-7125-11,NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION,188692.4,73590.04,,,0
NDC,0004-0068-01,CLONAZEPAM 0.5 MG TABLET,19.6,7.64,,,0
NDC,0004-0068-32,CLONAZEPAM 0.5 MG TABLET,76.0,29.64,,,0
NDC,0004-0261-29,MYCOPHENOLATE MOFETIL 200 MG/ML ORAL POWDER FOR SUSPENSION,165.5,64.54,,,0
NDC,0004-0800-85,OSELTAMIVIR 75 MG CAPSULE,116.5,45.44,,,0
NDC,0004-0802-85,OSELTAMIVIR 30 MG CAPSULE,106.9,41.69,,,0
NDC,0004-0822-05,OSELTAMIVIR 6 MG/ML ORAL SUSPENSION,97.1,37.87,,,0
NDC,0005-1971-02,PNEUMOCOCCAL 13-VAL CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE,1573.0,613.47,,,0
NDC,0005-2000-02,PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE,1968.8,767.83,,,0
NDC,0005-2000-10,PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE,1968.8,767.83,,,0
NDC,0006-0112-54,SITAGLIPTIN PHOSPHATE 50 MG TABLET,168.8,65.83,,,0
NDC,0006-0227-61,RALTEGRAVIR 400 MG TABLET,266.4,103.9,,,0
NDC,0006-0740-31,SIMVASTATIN 20 MG TABLET,61.9,24.14,,,0
NDC,0006-3026-02,PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION,72160.4,28142.56,,,0
NDC,0006-3026-04,PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION,72160.4,28142.56,,,0
NDC,0006-3061-00,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,2332.37,909.62,,,0
NDC,0006-3061-01,FOSAPREPITANT IVPB 150 MG/150 ML NS(SIMPLE),2250.6,877.73,,,0
NDC,0006-3069-01,DORAVIRINE 100 MG TABLET,470.5,183.5,,,0
NDC,0006-3845-01,ERTAPENEM 1 GRAM INTRAVENOUS SOLUTION,888.9,346.67,,,0
NDC,0006-4047-41,"ROTAVIRUS VACCINE LIVE, PENTAVALENT 2 ML ORAL SOLUTION",752.2,293.36,,,0
NDC,0006-4095-02,HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SYRINGE,325.4,126.91,,,0
NDC,0006-4121-02,"HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE",2138.9,834.17,,,0
NDC,0006-4171-00,"MEASLES,MUMPS,RUBEL,VARICEL LIV(PF)10E3-4.3-3-3.99TCID50/0.5 ML SUBCUT",1917.9,747.98,,,0
NDC,0006-4681-00,"MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT",552.3,215.4,,,0
NDC,0006-4827-00,"VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP",1270.3,495.42,,,0
NDC,0006-4837-03,PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE,816.1,318.28,,,0
NDC,0006-4897-00,HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN,0.01,0.0039,,,0
NDC,0006-5003-01,LETERMOVIR 240 MG/12 ML INTRAVENOUS SOLUTION,5289.4,2062.87,,,0
NDC,0006-5004-01,LETERMOVIR 240 MG/12 ML INTRAVENOUS SOLUTION,2644.7,1031.43,,,0
NDC,0006-5028-01,VERICIGUAT 2.5 MG TABLET,354.6,138.29,,,0
NDC,0006-5028-02,VERICIGUAT 2.5 MG TABLET,354.6,138.29,,,0
NDC,0006-5423-02,SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION,766.3,298.86,,,0
NDC,0006-5423-12,SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION,948.9,370.07,,,0
NDC,0006-5423-15,SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION,1336.9,521.39,,,0
NDC,0006-5425-15,SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION,1738.0,677.82,,,0
NDC,0008-0923-55,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,43.4,16.93,,,0
NDC,0008-1211-01,"DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",112.0,43.68,,,0
NDC,0008-1222-01,"DESVENLAFAXINE SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",112.0,43.68,,,0
NDC,0008-1222-30,"DESVENLAFAXINE SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",112.0,43.68,,,0
NDC,0009-0003-02,METHYLPREDNISOLONE SOD SUCC (PF) 500 MG/4 ML INTRAVENOUS SOLUTION,32.4,12.64,,,0
NDC,0009-0011-04,HYDROCORTISONE SOD SUCCINATE (PF) 100 MG/2 ML SOLUTION FOR INJECTION,97.9,38.18,,,0
NDC,0009-0013-06,HYDROCORTISONE SOD SUCCINATE (PF) 250 MG/2 ML SOLUTION FOR INJECTION,72.5,28.28,,,0
NDC,0009-0018-20,"METHYLPREDNISOLONE SOD SUCC (PF) 1,000 MG/8 ML INTRAVENOUS SOLUTION",588.6,229.55,,,0
NDC,0009-0039-06,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION,57.8,22.54,,,0
NDC,0009-0039-28,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION,55.3,21.57,,,0
NDC,0009-0039-32,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION,55.3,21.57,,,0
NDC,0009-0047-04,METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION,44.7,17.43,,,0
NDC,0009-0047-22,METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION,89.0,34.71,,,0
NDC,0009-0047-26,METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION,32.1,12.52,,,0
NDC,0009-0047-27,METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION,39.9,15.56,,,0
NDC,0009-0082-02,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,709.4,276.67,,,0
NDC,0009-0086-01,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL,44.9,17.51,,,0
NDC,0009-0112-05,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,317.4,123.79,,,0
NDC,0009-0234-01,"BACITRACIN 50,000 UNIT INTRAMUSCULAR SOLUTION",79.2,30.89,,,0
NDC,0009-0306-02,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION,168.6,65.75,,,0
NDC,0009-0342-01,"GELATIN SPONGE,ABSORBABLE-PORCINE SKIN 100 TOPICAL SPONGE",354.1,138.1,,,0
NDC,0009-0436-01,ARGININE 100 MG/ML ORAL SOLUTION NEO/PEDS,5.4,2.11,,,0
NDC,0009-0698-01,"METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION",47.0,18.33,,,0
NDC,0009-0746-30,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION,449.5,175.3,,,0
NDC,0009-0758-01,METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTION,207.4,80.89,,,0
NDC,0009-0775-26,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,37.8,14.74,,,0
NDC,0009-0825-01,HYDROCORTISONE SODIUM SUCCINATE 100 MG SOLUTION FOR INJECTION,77.9,30.38,,,0
NDC,0009-0856-08,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,975.8,380.56,,,0
NDC,0009-0870-26,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,63.8,24.88,,,0
NDC,0009-0902-18,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,24.3,9.48,,,0
NDC,0009-3073-01,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION,97.1,37.87,,,0
NDC,0009-3073-22,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION,194.1,75.7,,,0
NDC,0009-3169-06,ALPROSTADIL 500 MCG/ML INJECTION SOLUTION,1070.6,417.53,,,0
NDC,0009-3475-01,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION,168.5,65.72,,,0
NDC,0009-3475-03,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION,105.3,41.07,,,0
NDC,0009-3475-22,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION,168.5,65.72,,,0
NDC,0009-4073-04,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,25.2,9.83,,,0
NDC,0009-4992-02,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,684.1,266.8,,,0
NDC,0009-7376-11,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SYRINGE,469.3,183.03,,,0
NDC,0009-7529-03,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,317.4,123.79,,,0
NDC,0009-7663-04,EXEMESTANE 25 MG TABLET,294.4,114.82,,,0
NDC,0013-1114-21,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",170.8,66.61,,,0
NDC,0013-2596-20,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION,1291.5,503.68,,,0
NDC,0019-0862-07,IOTHALAMATE MEGLUMINE 17.2 % URETHRAL SOLUTION,550.0,214.5,,,0
NDC,0019-0862-50,IOTHALAMATE MEGLUMINE 17.2 % URETHRAL SOLUTION,550.0,214.5,,,0
NDC,0019-0953-23,IOTHALAMATE MEGLUMINE 60 % INJECTION SOLUTION,24.4,9.52,,,0
NDC,0019-4816-04,DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION,66.0,25.74,,,0
NDC,0023-0312-04,WHITE PETROLATUM-MINERAL OIL 56.8 %-42.5 % EYE OINTMENT,75.0,29.25,,,0
NDC,0023-0506-01,POLYVINYL ALCOHOL-POVIDONE (PF) 1.4 %-0.6 % EYE DROPS IN A DROPPERETTE,1.3,0.51,,,0
NDC,0023-0506-50,POLYVINYL ALCOHOL-POVIDONE (PF) 1.4 %-0.6 % EYE DROPS IN A DROPPERETTE,1.2,0.47,,,0
NDC,0023-0798-15,CARBOXYMETHYLCELLULOSE SODIUM 0.5 % EYE DROPS,64.4,25.12,,,0
NDC,0023-1145-01,ONABOTULINUMTOXINA 100 UNIT SOLUTION FOR INJECTION,6979.1,2721.85,,,0
NDC,0023-3348-07,DEXAMETHASONE 0.7 MG INTRAVITREAL IMPLANT,9569.9,3732.26,,,0
NDC,0023-3919-50,ONABOTULINUMTOXINA (COSMETIC) 50 UNIT INTRAMUSCULAR SOLUTION,336.0,131.04,,,0
NDC,0023-3921-02,ONABOTULINUMTOXINA 200 UNIT SOLUTION FOR INJECTION,2026.2,790.22,,,0
NDC,0023-4554-30,CARBOXYMETHYLCELLULOSE SODIUM 1 % EYE GEL IN A DROPPERETTE,4.8,1.87,,,0
NDC,0023-6082-10,IRON DEXTRAN 50 MG/ML INJECTION SOLUTION,2533.8,988.18,,,0
NDC,0023-9163-30,CYCLOSPORINE 0.05 % EYE DROPS IN A DROPPERETTE,82.6,32.21,,,0
NDC,0023-9163-60,CYCLOSPORINE 0.05 % EYE DROPS IN A DROPPERETTE,82.6,32.21,,,0
NDC,0023066704,WHITE PETROLATUM-MINERAL OIL 57.3 %-42.5 % EYE OINTMENT,36.3,14.16,,,0
NDC,0024-0654-01,ISATUXIMAB-IRFC 20 MG/ML INTRAVENOUS SOLUTION,5260.0,2051.4,,,0
NDC,0024-0656-01,ISATUXIMAB-IRFC 20 MG/ML INTRAVENOUS SOLUTION,26299.9,10256.96,,,0
NDC,0024-2792-10,SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS,543.2,211.85,,,0
NDC,0024-4142-60,DRONEDARONE 400 MG TABLET,103.6,40.4,,,0
NDC,0024-5150-10,RASBURICASE 1.5 MG INTRAVENOUS SOLUTION,27222.2,10616.66,,,0
NDC,0024-5824-11,CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION,19910.8,7765.21,,,0
NDC,0024-5862-01,PLERIXAFOR 24 MG/1.2 ML (20 MG/ML) SUBCUTANEOUS SOLUTION,31100.4,12129.16,,,0
NDC,0024-5914-01,DUPILUMAB 300 MG/2 ML SUBCUTANEOUS SYRINGE,0.01,0.0039,,,0
NDC,0024-5915-02,DUPILUMAB 300 MG/2 ML SUBCUTANEOUS PEN INJECTOR,0.01,0.0039,,,0
NDC,0024-5918-01,DUPILUMAB 200 MG/1.14 ML SUBCUTANEOUS SYRINGE,0.01,0.0039,,,0
NDC,0024-5924-10,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,19.6,7.64,,,0
NDC,0024-5926-05,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,19.6,7.64,,,0
NDC,0025-1461-31,MISOPROSTOL 200 MCG TABLET,178.6,69.65,,,0
NDC,0025-1461-60,MISOPROSTOL 200 MCG TABLET,135.3,52.77,,,0
NDC,00264210110,Sterile Water: 16 Container In 1 Case (0264-2101-10)  / 500 Ml In 1 Container,34.16,13.32,,,0
NDC,00264220100,Sodium Chloride: 16 Container In 1 Case (0264-2201-00)  / 1000 Ml In 1 Container,32.94,12.844999999999999,,,0
NDC,00264220110,Sodium Chloride: 16 Container In 1 Case (0264-2201-10)  / 500 Ml In 1 Container,29.71,11.59,,,0
NDC,00264738660,Sterile Water: 4 Container In 1 Case (0264-7386-60)  / 3000 Ml In 1 Container,130.41,50.86,,,0
NDC,00264738860,Sodium Chloride For Irrigation: 4 Container In 1 Case (0264-7388-60)  / 3000 Ml In 1 Container,120.895,47.15,,,0
NDC,0032-0045-70,"LIPASE-PROTEASE-AMYLASE 3,000-9,500-15,000 UNIT CAPSULE, DELAYED REL",27.9,10.88,,,0
NDC,0032-0046-70,"LIPASE-PROTEASE-AMYLASE 6,000-19,000-30,000 UNIT CAPSULE,DELAYED REL",33.0,12.87,,,0
NDC,0032-0047-70,"LIPASE-PROTEASE-AMYLASE 12,000-38,000-60,000 UNIT CAPSULE,DELAYED REL",33.0,12.87,,,0
NDC,0032-1206-01,"LIPASE-PROTEASE-AMYLASE 6,000-19,000-30,000 UNIT CAPSULE,DELAYED REL",33.0,12.87,,,0
NDC,0032-1212-01,"LIPASE-PROTEASE-AMYLASE 12,000-38,000-60,000 UNIT CAPSULE,DELAYED REL",33.0,12.87,,,0
NDC,0032-2636-01,"LIPASE-PROTEASE-AMYLASE 24,000-76,000-120,000 UNIT CAPSULE,DELAYED REL",261.0,101.79,,,0
NDC,0032-3016-13,"LIPASE-PROTEASE-AMYLASE 36,000-114,000-180,000 UNIT CAPSULE,DELAY REL",198.1,77.26,,,0
NDC,00338000404,"Sterile Water: 12 Bottle, Plastic In 1 Carton (0338-0004-04)  / 1000 Ml In 1 Bottle, Plastic",31.994999999999997,12.475000000000001,,,0
NDC,00338004803,"Sodium Chloride: 18 Bottle, Plastic In 1 Carton (0338-0048-03)  / 500 Ml In 1 Bottle, Plastic",31.83,12.41,,,0
NDC,00338004804,"Sodium Chloride: 12 Bottle, Plastic In 1 Carton (0338-0048-04)  / 1000 Ml In 1 Bottle, Plastic",32.33,12.61,,,0
NDC,00338004805,"9 BOTTLE, PLASTIC in 1 CARTON (0338-0048-05)  / 1500 mL in 1 BOTTLE, PLASTIC",53.71,20.95,,,0
NDC,0037-6321-90,METHENAMINE 81 MG-M.BLUE 10.8 MG-SOD PHOS 40.8 MG-P.SALICY-HYOS TABLET,72.2,28.16,,,0
NDC,0039485932,HYDROCORTISONE 1 % LOTION,26.1,10.18,,,0
NDC,00409196612,"Bacteriostatic Sodium Chloride: 25 Vial, Multi-Dose In 1 Tray (0409-1966-12)  / 10 Ml In 1 Vial, Multi-Dose (0409-1966-06)",18.11,7.06,,,0
NDC,00409613803,"Sodium Chloride: 24 BOTTLE, PLASTIC in 1 CASE (0409-6138-03)  / 500 mL in 1 BOTTLE, PLASTIC",40.36,15.74,,,0
NDC,00409713909,"Sterile Water: 12 BOTTLE, PLASTIC in 1 CASE (0409-7139-09)  / 1000 mL in 1 BOTTLE, PLASTIC",35.915,14.010000000000002,,,0
NDC,00409797208,Sodium Chloride: 4 POUCH in 1 CASE (0409-7972-08)  / 1 BAG in 1 POUCH / 3000 mL in 1 BAG,61.785,24.095,,,0
NDC,00409797307,Sterile Water: 6 POUCH in 1 CASE (0409-7973-07)  / 1 BAG in 1 POUCH / 2000 mL in 1 BAG,72.45,28.26,,,0
NDC,0045013404,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID,4.8,1.87,,,0
NDC,0045013408,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID,4.8,1.87,,,0
NDC,0045016604,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (WRAPPED),0.6,0.23,,,0
NDC,0046-0749-05,CONJUGATED ESTROGENS 25 MG SOLUTION FOR INJECTION,2626.9,1024.49,,,0
NDC,0046-0872-21,CONJUGATED ESTROGENS 0.625 MG/GRAM VAGINAL CREAM,3534.8,1378.57,,,0
NDC,0049-0013-83,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,65.9,25.7,,,0
NDC,0049-0014-81,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,124.4,48.52,,,0
NDC,0049-0520-22,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION,108.7,42.39,,,0
NDC,0049-0520-83,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION,65.2,25.43,,,0
NDC,0049-0520-84,"PENICILLIN G POTASSIUM 50,0000 UNITS/ML IV SYRINGE (SIMPLE)",0.3,0.12,,,0
NDC,0049-0530-22,PENICILLIN G IVPB 3 MU/100 ML NS (SIMPLE),69.5,27.1,,,0
NDC,0049-0530-28,PENICILLIN G POTASSIUM 20 MILLION UNIT SOLUTION FOR INJECTION,65.2,25.43,,,0
NDC,0049-2330-45,ELETRIPTAN 20 MG TABLET,619.5,241.6,,,0
NDC,0049-2340-05,ELETRIPTAN 40 MG TABLET,619.5,241.6,,,0
NDC,0049-3160-44,VORICONAZOLE 200 MG/5 ML (40 MG/ML) ORAL SUSPENSION,430.3,167.82,,,0
NDC,0049-3190-28,VORICONAZOLE 200 MG INTRAVENOUS SOLUTION,840.6,327.83,,,0
NDC,0049-3920-83,ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION,550.3,214.62,,,0
NDC,0052-4330-01,ETONOGESTREL 68 MG SUBDERMAL IMPLANT,7905.1,3082.99,,,0
NDC,0054-0010-20,FLECAINIDE 50 MG TABLET,31.0,12.09,,,0
NDC,0054-0010-21,FLECAINIDE 50 MG TABLET,15.5,6.04,,,0
NDC,0054-0010-25,FLECAINIDE 50 MG TABLET,31.0,12.09,,,0
NDC,0054-0011-20,FLECAINIDE 100 MG TABLET,27.5,10.72,,,0
NDC,0054-0011-21,FLECAINIDE 100 MG TABLET,27.5,10.72,,,0
NDC,0054-0017-20,PREDNISONE 10 MG TABLET,2.1,0.82,,,0
NDC,0054-0018-20,PREDNISONE 20 MG TABLET,4.8,1.87,,,0
NDC,0054-0019-20,PREDNISONE 50 MG TABLET,4.8,1.87,,,0
NDC,0054-0019-25,PREDNISONE 50 MG TABLET,3.2,1.25,,,0
NDC,0054-0021-25,"LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE",7.2,2.81,,,0
NDC,0054-0046-41,IPRATROPIUM BROMIDE 42 MCG (0.06 %) NASAL SPRAY,734.2,286.34,,,0
NDC,0054-0062-58,CITALOPRAM 10 MG/5 ML ORAL SOLUTION,75.2,29.33,,,0
NDC,0054-0077-25,TORSEMIDE 20 MG TABLET,6.3,2.46,,,0
NDC,0054-0088-13,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,8.7,3.39,,,0
NDC,0054-0088-26,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,8.7,3.39,,,0
NDC,0054-0163-25,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,91.3,35.61,,,0
NDC,0054-0176-13,BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET,63.6,24.8,,,0
NDC,0054-0235-24,MORPHINE 15 MG IMMEDIATE RELEASE TABLET,7.0,2.73,,,0
NDC,0054-0235-25,MORPHINE 15 MG IMMEDIATE RELEASE TABLET,8.0,3.12,,,0
NDC,0054-0237-63,MORPHINE 10 MG/5 ML ORAL SOLUTION,4.8,1.87,,,0
NDC,0054-0238-49,MORPHINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,6.8,2.65,,,0
NDC,0054-0244-24,CODEINE SULFATE 30 MG TABLET,8.0,3.12,,,0
NDC,0054-0383-25,CYCLOPHOSPHAMIDE 50 MG CAPSULE,790.7,308.37,,,0
NDC,0054-0386-63,HYDROMORPHONE 1 MG/ML ORAL LIQUID,4.8,1.87,,,0
NDC,0054-0390-63,OXYCODONE 5 MG/5 ML ORAL SOLUTION,4.8,1.87,,,0
NDC,0054-0400-13,"DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",91.7,35.76,,,0
NDC,0054-0517-44,MORPHINE CONCENTRATE 20 MG/ML ORAL SOLUTION,16.2,6.32,,,0
NDC,0054-0561-50,CLOBAZAM 2.5 MG/ML ORAL SUSPENSION,398.4,155.38,,,0
NDC,0054-0622-63,DICYCLOMINE 10 MG/5 ML ORAL SOLUTION,23.1,9.01,,,0
NDC,0054-0710-20,METHADONE 10 MG TABLET,10.1,3.94,,,0
NDC,0054-1950-30,INDOMETHACIN 50 MG RECTAL SUPPOSITORY,6328.9,2468.27,,,0
NDC,0054-2527-25,LITHIUM CARBONATE 300 MG CAPSULE,4.8,1.87,,,0
NDC,0054-3176-44,DEXAMETHASONE 1 MG/ML DROPS (CONCENTRATE),24.7,9.63,,,0
NDC,0054-3177-57,DEXAMETHASONE 0.5 MG/5 ML ORAL SOLUTION,20.4,7.96,,,0
NDC,0054-3188-63,DIAZEPAM 5 MG/5 ML (1 MG/ML) ORAL SOLUTION,4.8,1.87,,,0
NDC,0054-3194-46,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG/5 ML ORAL LIQUID,53.7,20.94,,,0
NDC,0054-3270-99,"FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION",715.9,279.2,,,0
NDC,0054-3294-46,FUROSEMIDE 10 MG/ML ORAL SOLUTION,4.8,1.87,,,0
NDC,0054-3294-50,FUROSEMIDE 10 MG/ML ORAL SOLUTION,4.8,1.87,,,0
NDC,0054-3500-49,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,30.4,11.86,,,0
NDC,0054-3505-47,LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION,368.2,143.6,,,0
NDC,0054-3555-63,METHADONE 5 MG/5 ML ORAL SOLUTION,73.7,28.74,,,0
NDC,0054-3556-63,METHADONE 10 MG/5 ML ORAL SOLUTION,45.0,17.55,,,0
NDC,0054-3566-99,MIDAZOLAM 10 MG/5 ML (2 MG/ML) ORAL SYRUP,17.2,6.71,,,0
NDC,0054-3722-50,PREDNISONE 5 MG/5 ML ORAL SOLUTION,30.7,11.97,,,0
NDC,0054-3722-63,PREDNISONE 5 MG/5 ML ORAL SOLUTION,28.6,11.15,,,0
NDC,0054-3727-63,PROPRANOLOL 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,4.8,1.87,,,0
NDC,0054-4146-22,CLOTRIMAZOLE 10 MG TROCHE,24.7,9.63,,,0
NDC,0054-4179-25,DEXAMETHASONE 0.5 MG TABLET,21.2,8.27,,,0
NDC,0054-4181-25,DEXAMETHASONE 1 MG TABLET,4.8,1.87,,,0
NDC,0054-4183-25,DEXAMETHASONE 2 MG TABLET,4.8,1.87,,,0
NDC,0054-4184-25,DEXAMETHASONE 4 MG TABLET,9.2,3.59,,,0
NDC,0054-4186-25,DEXAMETHASONE 6 MG TABLET,27.4,10.69,,,0
NDC,0054-4496-25,LEUCOVORIN CALCIUM 5 MG TABLET,46.7,18.21,,,0
NDC,0054-4571-25,METHADONE 10 MG TABLET,4.8,1.87,,,0
NDC,0054-4581-11,MERCAPTOPURINE 50 MG TABLET,62.8,24.49,,,0
NDC,0054-4581-27,MERCAPTOPURINE 50 MG TABLET,27.6,10.76,,,0
NDC,0054-8174-25,DEXAMETHASONE 1 MG TABLET,5.7,2.22,,,0
NDC,0054-8175-25,DEXAMETHASONE 4 MG TABLET,18.5,7.22,,,0
NDC,0054-8176-25,DEXAMETHASONE 2 MG TABLET,5.7,2.22,,,0
NDC,0054-8179-25,DEXAMETHASONE 0.5 MG TABLET,6.4,2.5,,,0
NDC,0054-8180-25,DEXAMETHASONE 0.75 MG TABLET,5.5,2.14,,,0
NDC,0054-8183-25,DEXAMETHASONE 6 MG TABLET,29.1,11.35,,,0
NDC,0054-8297-25,FUROSEMIDE 20 MG TABLET,4.0,1.56,,,0
NDC,0054-8299-25,FUROSEMIDE 40 MG TABLET,4.8,1.87,,,0
NDC,0054-8301-25,FUROSEMIDE 80 MG TABLET,12.1,4.72,,,0
NDC,0054-8496-19,LEUCOVORIN CALCIUM 5 MG TABLET,64.5,25.16,,,0
NDC,0054-8526-25,LITHIUM CARBONATE 150 MG CAPSULE,4.8,1.87,,,0
NDC,0054-8527-25,LITHIUM CARBONATE 300 MG CAPSULE,4.8,1.87,,,0
NDC,0054-8528-25,LITHIUM CARBONATE 300 MG TABLET,4.8,1.87,,,0
NDC,0054-8724-25,PREDNISONE 5 MG TABLET,2.0,0.78,,,0
NDC,0054-8739-25,PREDNISONE 1 MG TABLET,2.2,0.86,,,0
NDC,0054-9817-25,PREDNISONE 10 MG TABLET,1.9,0.74,,,0
NDC,0056-0169-01,WARFARIN 0.5 MG SPLIT TABLET,8.0,3.12,,,0
NDC,0065-0023-15,CARBACHOL 0.01 % INTRAOCULAR SOLUTION,356.5,139.04,,,0
NDC,0065-0092-65,FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION,23.4,9.13,,,0
NDC,0065-0359-02,CYCLOPENTOLATE-PHENYLEPHRINE 0.2 %-1 % EYE DROPS,284.0,110.76,,,0
NDC,0065-0359-05,CYCLOPENTOLATE-PHENYLEPHRINE 0.2 %-1 % EYE DROPS,498.9,194.57,,,0
NDC,0065-0395-15,CYCLOPENTOLATE 0.5 % EYE DROPS,776.5,302.84,,,0
NDC,0065-0396-05,CYCLOPENTOLATE 1 % EYE DROPS,488.6,190.55,,,0
NDC,0065-0397-02,CYCLOPENTOLATE 2 % EYE DROPS,355.7,138.72,,,0
NDC,0065-0397-05,CYCLOPENTOLATE 2 % EYE DROPS,528.3,206.04,,,0
NDC,0065-0408-72,ARTIFICIAL TEARS (HYPROMELLOSE) 0.5 % EYE DROPS,214.5,83.66,,,0
NDC,0065-0411-30,POVIDONE-IODINE 5 % EYE SOLUTION,136.3,53.16,,,0
NDC,0065-0426-36,ARTIFICIAL TEARS(DEXTRAN-HYPROMEL-GLYCERN) 0.1 %-0.3 %-0.2 % EYE DROPS,50.8,19.81,,,0
NDC,0065-0518-01,WHITE PETROLATUM-MINERAL OIL 94 %-3 % EYE OINTMENT,54.9,21.41,,,0
NDC,0065-0644-35,TOBRAMYCIN 0.3 % EYE OINTMENT,1644.2,641.24,,,0
NDC,0065-0741-14,TETRACAINE HCL (PF) 0.5 % EYE DROPS,101.4,39.55,,,0
NDC,0065-0795-15,BALANCED SALT SOLUTION COMBINATION NO.2 INTRAOCULAR IRRIGATION,194.0,75.66,,,0
NDC,0065-0795-50,BALANCED SALT SOLUTION COMBINATION NO.2 INTRAOCULAR IRRIGATION,295.3,115.17,,,0
NDC,0065-0800-50,BALANCED SALT SOLUTION COMBINATION NO.1 INTRAOCULAR IRRIGATION,106.7,41.61,,,0
NDC,0065-0800-94,BALANCED SALT SOLUTION COMBINATION NO.1 INTRAOCULAR IRRIGATION,677.2,264.11,,,0
NDC,0065-4013-03,MOXIFLOXACIN 0.5 % EYE DROPS,22.3,8.7,,,0
NDC,0065-8063-01,DEXTRAN 70-HYPROMELLOSE (PF) 0.1 %-0.3 % EYE DROPS IN A DROPPERETTE,4.8,1.87,,,0
NDC,0065-8533-02,"CIPROFLOXACIN 0.3 %-DEXAMETHASONE 0.1 % EAR DROPS,SUSPENSION",1910.6,745.13,,,0
NDC,0065-9305-01,DEXTRAN 70-HYPROMELLOSE (PF) 0.1 %-0.3 % EYE DROPS IN A DROPPERETTE,4.8,1.87,,,0
NDC,0067-0117-48,SIMETHICONE 125 MG CHEWABLE TABLET,1.4,0.55,,,0
NDC,0067-4346-04,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,143.7,56.04,,,0
NDC,0067-8152-02,DICLOFENAC 1 % TOPICAL GEL,120.5,47.0,,,0
NDC,0067-8152-03,DICLOFENAC 1 % TOPICAL GEL,191.8,74.8,,,0
NDC,0067120176,DICLOFENAC 1 % TOPICAL GEL,191.8,74.8,,,0
NDC,0068-0597-01,RIFAMPIN 600 MG INTRAVENOUS SOLUTION,1244.6,485.39,,,0
NDC,0069-0043-01,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",19.6,7.64,,,0
NDC,0069-0058-01,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOL FOR ANTIBIOTIC LOCK",19.6,7.64,,,0
NDC,0069-0059-03,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",215.4,84.01,,,0
NDC,0069-0122-01,BENZONATATE 100 MG CAPSULE,15.1,5.89,,,0
NDC,0069-0209-10,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,36.9,14.39,,,0
NDC,0069-0234-20,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,92.3,36.0,,,0
NDC,0069-0238-01,RITUXIMAB-PVVR 10 MG/ML INTRAVENOUS SOLUTION,4472.9,1744.43,,,0
NDC,0069-0248-10,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,184.5,71.96,,,0
NDC,0069-0249-01,RITUXIMAB-PVVR 10 MG/ML INTRAVENOUS SOLUTION,44728.4,17444.08,,,0
NDC,0069-0277-02,DOXORUBICIN 20 MG/10 ML INTRAVENOUS SOLUTION,624.5,243.56,,,0
NDC,0069-0291-10,FILGRASTIM-AAFI 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,1526.5,595.34,,,0
NDC,0069-0292-10,FILGRASTIM-AAFI 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE,1526.5,595.34,,,0
NDC,0069-0305-01,TRASTUZUMAB-QYYP 420 MG INTRAVENOUS SOLUTION,32143.7,12536.04,,,0
NDC,0069-0315-01,BEVACIZUMAB-BVZR 25 MG/ML INTRAVENOUS SOLUTION,1799.0,701.61,,,0
NDC,0069-0324-01,PEGFILGRASTIM-APGF 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,27357.3,10669.35,,,0
NDC,0069-0342-01,BEVACIZUMAB-BVZR 25 MG/ML INTRAVENOUS SOLUTION,12631.2,4926.17,,,0
NDC,0069-0343-02,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION,378.0,147.42,,,0
NDC,0069-0344-01,"RESP SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION",2138.4,833.98,,,0
NDC,0069-0358-20,DOXORUBICIN 10 MG/5 ML INTRAVENOUS SOLUTION,66.0,25.74,,,0
NDC,0069-0400-10,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,52.1,20.32,,,0
NDC,0069-0809-01,INFLIXIMAB-DYYB 100 MG INTRAVENOUS SOLUTION,1978.7,771.69,,,0
NDC,0069-1305-10,"EPOETIN ALFA-EPBX 2,000 UNIT/ML INJECTION SOLUTION",113.1,44.11,,,0
NDC,0069-1306-10,"EPOETIN ALFA-EPBX 3,000 UNIT/ML INJECTION SOLUTION",188.5,73.52,,,0
NDC,0069-1307-10,"EPOETIN ALFA-EPBX 4,000 UNIT/ML INJECTION SOLUTION",376.8,146.95,,,0
NDC,0069-1308-10,"EPOETIN ALFA-EPBX 10,000 UNIT/ML INJECTION SOLUTION",768.8,299.83,,,0
NDC,0069-1309-04,"EPOETIN ALFA-EPBX 40,000 UNIT/ML INJECTION SOLUTION",1537.6,599.66,,,0
NDC,0069-1311-10,"EPOETIN ALFA-EPBX 20,000 UNIT/ML INJECTION SOLUTION",1537.6,599.66,,,0
NDC,0069-1442-04,DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION,185.8,72.46,,,0
NDC,0069-1542-20,DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION,266.6,103.97,,,0
NDC,0069-3150-83,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,52.1,20.32,,,0
NDC,0069-4061-89,AZITHROMYCIN 250 MG TABLET,26.5,10.34,,,0
NDC,0069-4190-68,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,474.5,185.06,,,0
NDC,0069-4494-02,ELRANATAMAB-BCMM 40 MG/ML SUBCUTANEOUS SOLUTION,85881.8,33493.9,,,0
NDC,0069-5317-20,NIRMATRELVIR 150 MG (10)-RITONAVIR 100 MG (10) TABLETS IN A DOSE PACK,1147.6,447.56,,,0
NDC,0069-5321-30,"NIRMATRELVIR 300 MG (150 MG X2)-RITONAVIR 100 MG TABLET,DOSE PACK",1147.6,447.56,,,0
NDC,0069-5471-02,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION,225.3,87.87,,,0
NDC,0069-5474-02,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION,1027.9,400.88,,,0
NDC,0069-5800-43,DOFETILIDE 125 MCG CAPSULE,85.0,33.15,,,0
NDC,0069-6001-21,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION,2401.2,936.47,,,0
NDC,0069-6001-25,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION,373.0,145.47,,,0
NDC,0071-0007-40,PHENYTOIN 50 MG CHEWABLE TABLET,51.5,20.08,,,0
NDC,0071-0369-40,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,14.7,5.73,,,0
NDC,0071-0418-13,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,24.9,9.71,,,0
NDC,0071-1013-41,PREGABALIN 50 MG CAPSULE,85.4,33.31,,,0
NDC,0071-1014-41,PREGABALIN 75 MG CAPSULE,85.4,33.31,,,0
NDC,0071-1015-41,PREGABALIN 100 MG CAPSULE,85.4,33.31,,,0
NDC,0071-2012-44,GABAPENTIN 250 MG/5 ML ORAL SOLUTION,23.1,9.01,,,0
NDC,0074-0124-02,ADALIMUMAB 80 MG/0.8 ML SUBCUTANEOUS PEN KIT,0.01,0.0039,,,0
NDC,0074-0566-11,VENETOCLAX 50 MG TABLET,499.3,194.73,,,0
NDC,0074-1070-01,RISANKIZUMAB-RZAA 360 MG/2.4 ML (150 MG/ML) SUBCUT WEARABLE INJECTOR,0.01,0.0039,,,0
NDC,0074-3108-32,CYCLOSPORINE MODIFIED 25 MG PO CAPS (GENGRAF ONLY),28.3,11.04,,,0
NDC,0074-3109-32,CYCLOSPORINE MODIFIED 100 MG CAPSULE (GENERIC),56.4,22.0,,,0
NDC,0074-3278-13,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",25.8,10.06,,,0
NDC,0074-3346-03,LEUPROLIDE 22.5 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT,40178.7,15669.69,,,0
NDC,0074-3473-03,LEUPROLIDE ACETATE (6 MONTH) 45 MG INTRAMUSCULAR SYRINGE KIT,80358.7,31339.89,,,0
NDC,0074-3575-01,LEUPROLIDE 45 MG (PEDIATRIC 6 MONTH) INTRAMUSCULAR SYRINGE KIT,162211.3,63262.41,,,0
NDC,0074-3641-03,LEUPROLIDE 3.75 MG INTRAMUSCULAR SYRINGE KIT,11239.0,4383.21,,,0
NDC,0074-3663-03,LEUPROLIDE 11.25 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT,33717.1,13149.67,,,0
NDC,0074-3779-03,LEUPROLIDE 11.25 MG (PEDIATRIC 3 MONTH) INTRAMUSCULAR SYRINGE KIT,73638.8,28719.13,,,0
NDC,0074-4380-10,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,94.0,36.66,,,0
NDC,0074-4552-11,LEVOTHYROXINE 50 MCG TABLET,12.7,4.95,,,0
NDC,0074-4552-90,LEVOTHYROXINE 50 MCG TABLET,12.8,4.99,,,0
NDC,0074-5015-01,RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION,72297.8,28196.14,,,0
NDC,0074-5182-11,LEVOTHYROXINE 75 MCG TABLET,12.7,4.95,,,0
NDC,0074-6624-11,LEVOTHYROXINE 100 MCG TABLET,12.7,4.95,,,0
NDC,0074-7069-11,LEVOTHYROXINE 150 MCG TABLET,12.7,4.95,,,0
NDC,0074-7269-50,CYCLOSPORINE MODIFIED 100 MG/ML ORAL SOLUTION (GENERIC),31.9,12.44,,,0
NDC,0074-9694-03,LEUPROLIDE 30 MG (PEDIATRIC 3 MONTH) INTRAMUSCULAR SYRINGE KIT,81105.8,31631.26,,,0
NDC,0075-0620-40,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,84.8,33.07,,,0
NDC,0075-0622-80,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,148.5,57.92,,,0
NDC,0075-0623-00,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,190.9,74.45,,,0
NDC,0075-0624-30,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,63.6,24.8,,,0
NDC,0075-2912-01,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,254.7,99.33,,,0
NDC,0078-0246-15,CYCLOSPORINE MODIFIED 25 MG CAPSULE (GENERIC),91.2,35.57,,,0
NDC,0078-0248-15,CYCLOSPORINE MODIFIED 100 MG CAPSULE (GENERIC),113.0,44.07,,,0
NDC,0078-0331-84,BASILIXIMAB 20 MG INTRAVENOUS SOLUTION,31777.5,12393.22,,,0
NDC,0078-0358-34,VALSARTAN 80 MG TABLET,72.7,28.35,,,0
NDC,0078-0359-34,VALSARTAN 160 MG TABLET,78.2,30.5,,,0
NDC,0078-0423-15,VALSARTAN 40 MG TABLET,60.9,23.75,,,0
NDC,0078-0435-61,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK,9124.5,3558.56,,,0
NDC,0078-0501-15,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH,175.4,68.41,,,0
NDC,0078-0510-05,"CARBAMAZEPINE ER 100 MG TABLET,EXTENDED RELEASE,12 HR",38.1,14.86,,,0
NDC,0078-0568-45,ARTEMETHER-LUMEFANTRINE 20 MG-120 MG TABLET,172.3,67.2,,,0
NDC,0078-0659-20,SACUBITRIL 24 MG-VALSARTAN 26 MG TABLET,90.2,35.18,,,0
NDC,0078-0659-35,SACUBITRIL 24 MG-VALSARTAN 26 MG TABLET,29.7,11.58,,,0
NDC,0078-0659-67,SACUBITRIL 24 MG-VALSARTAN 26 MG TABLET,90.2,35.18,,,0
NDC,0078-0685-15,ELTROMBOPAG OLAMINE 25 MG TABLET,12005.7,4682.22,,,0
NDC,0078-0687-15,ELTROMBOPAG OLAMINE 75 MG TABLET,10863.3,4236.69,,,0
NDC,0078-0696-20,SACUBITRIL 97 MG-VALSARTAN 103 MG TABLET,90.2,35.18,,,0
NDC,0078-0696-35,SACUBITRIL 97 MG-VALSARTAN 103 MG TABLET,59.3,23.13,,,0
NDC,0078-0697-61,ELTROMBOPAG OLAMINE 25 MG ORAL POWDER PACKET,3705.6,1445.18,,,0
NDC,0078-0771-01,"NEOMYCIN 3.5 MG/G-POLYMYXIN B 10,000 UNIT/G-DEXAMETH 0.1 % EYE OINT",1724.9,672.71,,,0
NDC,0078-0777-20,SACUBITRIL 49 MG-VALSARTAN 51 MG TABLET,90.2,35.18,,,0
NDC,0078-0777-35,SACUBITRIL 49 MG-VALSARTAN 51 MG TABLET,59.3,23.13,,,0
NDC,0078-0777-67,SACUBITRIL 49 MG-VALSARTAN 51 MG TABLET,90.2,35.18,,,0
NDC,0078-0778-03,"NEPAFENAC 0.1 % EYE DROPS,SUSPENSION",2524.4,984.52,,,0
NDC,0078-0818-81,"OCTREOTIDE,MICROSPHERES ER 20 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",32175.7,12548.52,,,0
NDC,0078-0825-81,"OCTREOTIDE,MICROSPHERES ER 30 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",48180.6,18790.43,,,0
NDC,0078-0841-01,CIPROFLOXACIN 0.3 % EYE OINTMENT,119.2,46.49,,,0
NDC,0078-0876-01,TOBRAMYCIN-DEXAMETHASONE 0.3 %-0.1 % EYE OINTMENT,2286.4,891.7,,,0
NDC,0078-0883-61,CRIZANLIZUMAB-TMCA 10 MG/ML INTRAVENOUS SOLUTION,0.01,0.0039,,,0
NDC,0078-0925-25,"DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION",529.3,206.43,,,0
NDC,0078-1000-60,INCLISIRAN 284 MG/1.5 ML SUBCUTANEOUS SYRINGE,24044.7,9377.43,,,0
NDC,0078-1168-61,SECUKINUMAB 25 MG/ML INTRAVENOUS SOLUTION,21654.5,8445.26,,,0
NDC,0081-0865-24,PSEUDOEPHEDRINE 30 MG TABLET,0.7,0.27,,,0
NDC,0081073087,"NEOMYCIN-BACITRACN ZN-POLYMYX 3.5 MG-400 UNIT-5,000 UNIT/GRAM TOP OINT",4.8,1.87,,,0
NDC,0081079887,"BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOPICAL OINTMENT",34.2,13.34,,,0
NDC,0081079888,"BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOPICAL OINTMENT",16.7,6.51,,,0
NDC,0085-1177-01,EPTIFIBATIDE 2 MG/ML BOLUS,19.6,7.64,,,0
NDC,0085-4331-01,POSACONAZOLE 300 MG/16.7 ML INTRAVENOUS SOLUTION,3697.2,1441.91,,,0
NDC,0087040203,PEDIATRIC MULTIVITAMIN NO.192 250 MCG-50 MG-10 MCG/ML ORAL DROPS,6.3,2.46,,,0
NDC,0087040501,PEDIATRIC MULTIVITAMIN NO.189-FERROUS SULFATE 11 MG/ML ORAL DROPS,4.8,1.87,,,0
NDC,0087074002,FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS,0.6,0.23,,,0
NDC,0087086644,CHOLECALCIFEROL (VITAMIN D3) 10 MCG/ML (400 UNIT/ML) ORAL DROPS,0.6,0.23,,,0
NDC,0088-2220-33,INSULIN GLARGINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,19.6,7.64,,,0
NDC,0088-2500-33,INSULIN GLULISINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,0.01,0.0039,,,0
NDC,0088-5021-01,INSULIN GLARGINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,43.6,17.0,,,0
NDC,0093-0010-06,TOLTERODINE 1 MG TABLET,25.4,9.91,,,0
NDC,0093-0051-01,CARVEDILOL 3.125 MG TABLET,16.4,6.4,,,0
NDC,0093-0051-05,CARVEDILOL 3.125 MG TABLET,16.0,6.24,,,0
NDC,0093-0053-01,BUSPIRONE 5 MG TABLET,6.0,2.34,,,0
NDC,0093-0053-05,BUSPIRONE 5 MG TABLET,17.3,6.75,,,0
NDC,0093-0054-01,BUSPIRONE 10 MG TABLET,5.2,2.03,,,0
NDC,0093-0058-01,TRAMADOL 50 MG TABLET,6.4,2.5,,,0
NDC,0093-0058-05,TRAMADOL 50 MG TABLET,6.4,2.5,,,0
NDC,0093-0073-01,ZOLPIDEM 5 MG TABLET,35.5,13.84,,,0
NDC,0093-0109-01,CARBAMAZEPINE 200 MG TABLET,12.3,4.8,,,0
NDC,0093-0135-01,CARVEDILOL 6.25 MG TABLET,32.8,12.79,,,0
NDC,0093-0314-01,KETOROLAC 10 MG TABLET,16.6,6.47,,,0
NDC,0093-0318-01,DILTIAZEM 30 MG TABLET,7.7,3.0,,,0
NDC,0093-0319-01,DILTIAZEM 60 MG TABLET,12.1,4.72,,,0
NDC,0093-0752-10,ATENOLOL 50 MG TABLET,6.1,2.38,,,0
NDC,0093-0784-06,TAMOXIFEN 10 MG TABLET,29.1,11.35,,,0
NDC,0093-0787-01,ATENOLOL 25 MG TABLET,6.3,2.46,,,0
NDC,0093-0810-01,NORTRIPTYLINE 10 MG CAPSULE,17.0,6.63,,,0
NDC,0093-0811-01,NORTRIPTYLINE 25 MG CAPSULE,11.3,4.41,,,0
NDC,0093-0832-01,CLONAZEPAM 0.5 MG TABLET,5.8,2.26,,,0
NDC,0093-1005-01,"NAPROXEN 375 MG TABLET,DELAYED RELEASE",12.3,4.8,,,0
NDC,0093-1006-01,"NAPROXEN 500 MG TABLET,DELAYED RELEASE",15.0,5.85,,,0
NDC,0093-1061-01,SOTALOL 80 MG TABLET,18.1,7.06,,,0
NDC,0093-1177-01,NEOMYCIN 500 MG TABLET,22.9,8.93,,,0
NDC,0093-2026-31,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,58.5,22.82,,,0
NDC,0093-2064-06,CILOSTAZOL 100 MG TABLET,14.0,5.46,,,0
NDC,0093-2065-06,CILOSTAZOL 50 MG TABLET,29.6,11.54,,,0
NDC,0093-2203-01,METOCLOPRAMIDE 10 MG TABLET,4.8,1.87,,,0
NDC,0093-2204-01,METOCLOPRAMIDE 5 MG TABLET,4.8,1.87,,,0
NDC,0093-2204-05,METOCLOPRAMIDE 5 MG TABLET,5.1,1.99,,,0
NDC,0093-2210-01,SUCRALFATE 1 GRAM TABLET,6.2,2.42,,,0
NDC,0093-2210-05,SUCRALFATE 1 GRAM TABLET,6.0,2.34,,,0
NDC,0093-2274-34,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET,29.1,11.35,,,0
NDC,0093-2275-34,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,38.8,15.13,,,0
NDC,0093-3066-34,ICATIBANT 30 MG/3 ML SUBCUTANEOUS SYRINGE,88575.8,34544.56,,,0
NDC,0093-3107-01,AMOXICILLIN 250 MG CAPSULE,4.8,1.87,,,0
NDC,0093-3109-53,AMOXICILLIN 500 MG CAPSULE,4.8,1.87,,,0
NDC,0093-3145-01,CEPHALEXIN 250 MG CAPSULE,5.4,2.11,,,0
NDC,0093-3212-01,CLONAZEPAM 1 MG TABLET,6.6,2.57,,,0
NDC,0093-3301-01,TRAMADOL 50 MG TABLET,6.4,2.5,,,0
NDC,0093-3422-01,CYCLOBENZAPRINE 10 MG TABLET,8.9,3.47,,,0
NDC,0093-3425-01,LORAZEPAM 0.5 MG TABLET,5.0,1.95,,,0
NDC,0093-3426-01,LORAZEPAM 1 MG TABLET,13.5,5.26,,,0
NDC,0093-3427-01,LORAZEPAM 2 MG TABLET,1.3,0.51,,,0
NDC,0093-3656-40,BUPRENORPHINE 5 MCG/HOUR WEEKLY TRANSDERMAL PATCH,586.9,228.89,,,0
NDC,0093-4067-01,PRAZOSIN 1 MG CAPSULE,14.7,5.73,,,0
NDC,0093-4127-74,PENICILLIN V POTASSIUM 250 MG/5 ML ORAL SOLUTION,4.8,1.87,,,0
NDC,0093-4146-56,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,51.5,20.08,,,0
NDC,0093-4147-56,LEVALBUTEROL CONCENTRATE 1.25 MG/0.5 ML SOLUTION FOR NEBULIZATION,51.4,20.05,,,0
NDC,0093-4148-56,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,51.5,20.08,,,0
NDC,0093-4155-73,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,4.8,1.87,,,0
NDC,0093-4155-79,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,6.6,2.57,,,0
NDC,0093-4161-73,AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION,4.9,1.91,,,0
NDC,0093-4177-73,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION,22.1,8.62,,,0
NDC,0093-5061-01,HYDROXYZINE HCL 25 MG TABLET,7.1,2.77,,,0
NDC,0093-5061-10,HYDROXYZINE HCL 25 MG TABLET,6.4,2.5,,,0
NDC,0093-5245-65,OLANZAPINE 5 MG DISINTEGRATING TABLET,219.0,85.41,,,0
NDC,0093-5246-65,OLANZAPINE 10 MG DISINTEGRATING TABLET,160.9,62.75,,,0
NDC,0093-5352-86,"ACAMPROSATE 333 MG TABLET,DELAYED RELEASE",27.0,10.53,,,0
NDC,0093-5517-98,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,169.2,65.99,,,0
NDC,0093-5907-86,MESALAMINE 400 MG CAPSULE (WITH DELAYED RELEASE TABLETS INSIDE),34.0,13.26,,,0
NDC,0093-5939-98,LANTHANUM 750 MG CHEWABLE TABLET,210.0,81.9,,,0
NDC,0093-5985-27,"EPINEPHRINE (JR) 0.15 MG/0.3 ML INJECTION,AUTO-INJECTOR",2418.0,943.02,,,0
NDC,0093-6815-55,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,72.2,28.16,,,0
NDC,0093-6815-73,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,72.3,28.2,,,0
NDC,0093-6816-55,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,85.0,33.15,,,0
NDC,0093-6816-73,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,85.0,33.15,,,0
NDC,0093-7295-01,CARVEDILOL 12.5 MG TABLET,32.8,12.79,,,0
NDC,0093-7334-01,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,91.3,35.61,,,0
NDC,0093-7352-01,CALCITRIOL 0.25 MCG CAPSULE,9.3,3.63,,,0
NDC,0093-7355-56,FINASTERIDE 5 MG TABLET,24.1,9.4,,,0
NDC,0093-7426-98,MONTELUKAST 10 MG TABLET,43.4,16.93,,,0
NDC,0093-8076-56,TIAGABINE 16 MG TABLET,57.9,22.58,,,0
NDC,0093-8166-01,QUETIAPINE 50 MG TABLET,50.4,19.66,,,0
NDC,0093-8343-01,GLYBURIDE 2.5 MG TABLET,7.1,2.77,,,0
NDC,0093-8675-78,AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION,16.4,6.4,,,0
NDC,0093-8739-01,MEXILETINE 150 MG CAPSULE,19.5,7.6,,,0
NDC,0093-8740-01,MEXILETINE 200 MG CAPSULE,46.5,18.14,,,0
NDC,0093-9291-67,CLONAZEPAM 0.25 MG DISINTEGRATING TABLET,10.0,3.9,,,0
NDC,0093-9614-13,SILVER NITRATE 0.5 % TOPICAL SOLUTION,43.8,17.08,,,0
NDC,0093-9701-01,CARBIDOPA 10 MG-LEVODOPA 100 MG TABLET,6.0,2.34,,,0
NDC,0093-9702-01,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,6.7,2.61,,,0
NDC,0093-9703-01,CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET,8.6,3.35,,,0
NDC,0096-0732-04,HYDROCORTISONE 1 % LOTION,57.9,22.58,,,0
NDC,00990613803,"Sodium Chloride: 24 Bottle, Plastic In 1 Case (0990-6138-03)  / 500 Ml In 1 Bottle, Plastic",40.23,15.69,,,0
NDC,00990613903,"Sterile Water: 24 Bottle, Plastic In 1 Case (0990-6139-03)  / 500 Ml In 1 Bottle, Plastic",40.36,15.74,,,0
NDC,00990713809,"Sodium Chloride: 12 Bottle, Plastic In 1 Case (0990-7138-09)  / 1000 Ml In 1 Bottle, Plastic",34.67,13.52,,,0
NDC,00990713909,"Sterile Water: 12 Bottle, Plastic In 1 Case (0990-7139-09)  / 1000 Ml In 1 Bottle, Plastic",36.22,14.13,,,0
NDC,00990797205,Sodium Chloride: 12 Bag In 1 Case (0990-7972-05)  / 1000 Ml In 1 Bag,41.025,16.0,,,0
NDC,00990797208,Sodium Chloride: 4 Pouch In 1 Case (0990-7972-08)  / 1 Bag In 1 Pouch / 3000 Ml In 1 Bag,64.8,25.27,,,0
NDC,00990797307,Sterile Water: 6 Pouch In 1 Case (0990-7973-07)  / 1 Bag In 1 Pouch / 2000 Ml In 1 Bag,36.22,14.13,,,0
NDC,00990797308,Sterile Water: 4 Pouch In 1 Case (0990-7973-08)  / 1 Bag In 1 Pouch / 3000 Ml In 1 Bag,86.94,33.91,,,0
NDC,00990799009,Sterile Water: 12 Pouch In 1 Case (0990-7990-09)  / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,55.89,21.8,,,0
NDC,0113-0025-78,ACETAMINOPHEN 500 MG TABLET,0.6,0.23,,,0
NDC,0113-0882-10,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION",0.6,0.23,,,0
NDC,0115-1365-29,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET,147.7,57.6,,,0
NDC,0115-1468-60,LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM,61.7,24.06,,,0
NDC,0115-1689-74,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,85.0,33.15,,,0
NDC,0115-1694-49,"EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR",1721.7,671.46,,,0
NDC,0115-1696-06,HYDROCORTISONE 5 MG TABLET,2.7,1.05,,,0
NDC,0115-1700-01,HYDROCORTISONE 20 MG TABLET,8.4,3.28,,,0
NDC,0115-1757-01,CYPROHEPTADINE 4 MG TABLET,6.2,2.42,,,0
NDC,0115-1803-01,HYDROXYZINE PAMOATE 25 MG CAPSULE,4.8,1.87,,,0
NDC,0115-2622-01,TERBUTALINE 5 MG TABLET,102.0,39.78,,,0
NDC,0115-3511-01,PYRIDOSTIGMINE BROMIDE 60 MG TABLET,9.8,3.82,,,0
NDC,0115-4222-01,MIDODRINE 5 MG TABLET,18.6,7.25,,,0
NDC,0115-4411-01,DANTROLENE 25 MG CAPSULE,32.8,12.79,,,0
NDC,0115-5211-16,COLESTIPOL 1 GRAM TABLET,9.5,3.7,,,0
NDC,0116-2001-04,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,7.4,2.89,,,0
NDC,0116-2001-05,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,17.5,6.82,,,0
NDC,0116-2001-16,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,8.7,3.39,,,0
NDC,0116-4005-11,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,14.1,5.5,,,0
NDC,0116-4005-16,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,168.0,65.52,,,0
NDC,0116-4005-30,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,15.2,5.93,,,0
NDC,0121-0431-30,MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION,9.9,3.86,,,0
NDC,0121-0489-00,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL ELIXIR,28.7,11.19,,,0
NDC,0121-0489-05,MYLANTA-DIPHENHYDRAMINE 5 ML ORAL SUSPENSION,38.5,15.02,,,0
NDC,0121-0581-04,HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE,17.4,6.79,,,0
NDC,0121-0581-05,HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE,32.2,12.56,,,0
NDC,0121-0638-00,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP,10.6,4.13,,,0
NDC,0121-0646-10,AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION,37.9,14.78,,,0
NDC,0121-0646-16,AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION,11.9,4.64,,,0
NDC,0121-0657-00,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (WRAPPED),12.4,4.84,,,0
NDC,0121-0675-85,VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLUTION,5.9,2.3,,,0
NDC,0121-0721-04,FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,37.6,14.66,,,0
NDC,0121-0747-00,SUCRALFATE 100 MG/ML ORAL SUSPENSION,82.9,32.33,,,0
NDC,0121-0747-40,SUCRALFATE 100 MG/ML ORAL SUSPENSION,82.9,32.33,,,0
NDC,0121-0759-08,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION,24.0,9.36,,,0
NDC,0121-0766-16,"CALCIUM 500 MG/5 ML (AS CALCIUM CARB 1,250 MG/5 ML) ORAL SUSPENSION",0.6,0.23,,,0
NDC,0121-0770-01,LORAZEPAM 2 MG/ML ORAL CONCENTRATE,4.8,1.87,,,0
NDC,0121-0775-04,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,4.8,1.87,,,0
NDC,0121-0775-16,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,7.8,3.04,,,0
NDC,0121-0799-16,LEVETIRACETAM 100 MG/ML ORAL SOLUTION,25.0,9.75,,,0
NDC,0121-0826-01,OXYCODONE 20 MG/ML ORAL CONCENTRATE,14.0,5.46,,,0
NDC,0121-0865-00,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,10.5,4.1,,,0
NDC,0121-0868-16,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",4.8,1.87,,,0
NDC,0121-0868-50,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",17.4,6.79,,,0
NDC,0121-0873-16,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,168.0,65.52,,,0
NDC,0121-0885-16,PREDNISOLONE 15 MG/5 ML ORAL SOLUTION,71.5,27.88,,,0
NDC,0121-0893-40,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,16.4,6.4,,,0
NDC,0121-0903-40,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,35.8,13.96,,,0
NDC,0121-0904-94,MORPHINE ORAL SOLUTION 2 MG/ML (NEONATAL ABSTINENCE),4.8,1.87,,,0
NDC,0121-0905-94,"DIAZEPAM 5 MG/5 ML (1 MG/ML, 5 ML) ORAL SOLUTION",35.3,13.77,,,0
NDC,0121-0914-00,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,8.1,3.16,,,0
NDC,0121-0914-05,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,2.8,1.09,,,0
NDC,0121-0918-40,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,10.4,4.06,,,0
NDC,0121-0945-00,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION,38.6,15.05,,,0
NDC,0121-0945-40,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION,38.6,15.05,,,0
NDC,0121-0948-16,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,46.8,18.25,,,0
NDC,0121-0950-03,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,268.1,104.56,,,0
NDC,0121-0966-94,ACETAMINOPHEN 160 MG/5 ML (5 ML) ORAL SUSPENSION,24.1,9.4,,,0
NDC,0121-0970-05,LIDOCAINE 4 % TOPICAL PATCH,18.0,7.02,,,0
NDC,0121-0972-51,LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION,495.9,193.4,,,0
NDC,0121-0974-40,SUCRALFATE 100 MG/ML ORAL SUSPENSION,82.9,32.33,,,0
NDC,0121-0978-00,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL ELIXIR,21.9,8.54,,,0
NDC,0121-1016-05,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,386.0,150.54,,,0
NDC,0121-1022-00,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,4.4,1.72,,,0
NDC,0121-1036-05,HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML (5 ML) ORAL SOLUTION,122.8,47.89,,,0
NDC,0121-1045-16,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",7.1,2.77,,,0
NDC,0121-1154-30,LACTULOSE 20 GRAM/30 ML ORAL SOLUTION,4.8,1.87,,,0
NDC,0121-1154-40,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,17.5,6.82,,,0
NDC,0121-1276-00,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP,11.8,4.6,,,0
NDC,0121-1314-00,ACETAMINOPHEN 325 MG/10.15 ML ORAL SOLUTION,16.8,6.55,,,0
NDC,0121-1488-00,GUAIFENESIN 100 MG/5 ML ORAL LIQUID,8.2,3.2,,,0
NDC,0121-1576-10,METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION,37.3,14.55,,,0
NDC,0121-1744-00,GUAIFENESIN 100 MG/5 ML ORAL LIQUID,24.3,9.48,,,0
NDC,0121-1761-30,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP,16.0,6.24,,,0
NDC,0121-1762-30,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 400 MG-400 MG-40 MG/5 ML ORAL SUSP,19.2,7.49,,,0
NDC,0121-1775-00,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,33.0,12.87,,,0
NDC,0121-1775-40,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,33.0,12.87,,,0
NDC,0121-1781-00,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (WRAPPED),18.1,7.06,,,0
NDC,0121-1870-00,DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID,9.4,3.67,,,0
NDC,0121-1870-10,DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID,5.7,2.22,,,0
NDC,0121-1884-50,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,67.5,26.32,,,0
NDC,0121-1971-00,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (WRAPPED),5.2,2.03,,,0
NDC,0121-2024-95,LACOSAMIDE 10 MG/ML ORAL SOLUTION,516.6,201.47,,,0
NDC,0121-2044-10,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,4.2,1.64,,,0
NDC,0121-2232-00,GUAIFENESIN 100 MG/5 ML ORAL LIQUID,9.3,3.63,,,0
NDC,0121-2316-50,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,28.7,11.19,,,0
NDC,0121-4675-00,VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLUTION,39.5,15.4,,,0
NDC,0121-4721-05,FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,105.0,40.95,,,0
NDC,0121-4759-05,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (5 ML) ORAL SOLUTION,149.4,58.27,,,0
NDC,0121-4766-05,"CALCIUM 500 MG/5 ML (AS CALCIUM CARB 1,250 MG/5 ML) ORAL SUSPENSION",13.1,5.11,,,0
NDC,0121-4774-40,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,16.8,6.55,,,0
NDC,0121-4799-40,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,143.4,55.93,,,0
NDC,0121-4820-40,THEOPHYLLINE 80 MG/15 ML ORAL ELIXIR,120.1,46.84,,,0
NDC,0121-4827-40,OXYCODONE 5 MG/5 ML ORAL SOLUTION,228.2,89.0,,,0
NDC,0121-4950-15,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,19.7,7.68,,,0
NDC,0121-4950-40,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,19.7,7.68,,,0
NDC,0121-4967-40,SENNOSIDES 8.8 MG/5 ML ORAL SYRUP,9.6,3.74,,,0
NDC,0121053005,FERROUS SULFATE 300 MG (60 MG IRON)/5 ML ORAL LIQUID,17.3,6.75,,,0
NDC,0121059500,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION,89.8,35.02,,,0
NDC,0121059516,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION,4.8,1.87,,,0
NDC,0121067716,POTAS AND SOD CITRATE-CITRIC ACID 550 MG-500 MG-334 MG/5 ML ORAL SOLN,4.8,1.87,,,0
NDC,0121119000,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION,48.6,18.95,,,0
NDC,0131-1810-67,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION,846.2,330.02,,,0
NDC,0131-2478-35,LACOSAMIDE 100 MG TABLET,144.8,56.47,,,0
NDC,0131-2480-60,LACOSAMIDE 200 MG TABLET,168.8,65.83,,,0
NDC,0131-5410-70,LACOSAMIDE 10 MG/ML ORAL SOLUTION,206.1,80.38,,,0
NDC,0132-0079-12,GLYCERIN (ADULT) RECTAL SUPPOSITORY,0.8,0.31,,,0
NDC,0132-0081-12,GLYCERIN (CHILD) RECTAL SUPPOSITORY,0.6,0.23,,,0
NDC,0132-0201-40,SODIUM PHOSPHATES 19 GRAM-7 GRAM/118 ML ENEMA,6.8,2.65,,,0
NDC,0132-0202-20,SODIUM PHOSPHATES 9.5 GRAM-3.5 GRAM/59 ML ENEMA,16.3,6.36,,,0
NDC,0132007924,GLYCERIN (ADULT) RECTAL SUPPOSITORY,0.6,0.23,,,0
NDC,0132020220,SODIUM PHOSPHATES 9.5 GRAM-3.5 GRAM/59 ML ENEMA,15.0,5.85,,,0
NDC,0143-1171-01,CAPTOPRIL 12.5 MG TABLET,6.0,2.34,,,0
NDC,0143-1227-01,DICYCLOMINE 20 MG TABLET,6.0,2.34,,,0
NDC,0143-1270-01,LISINOPRIL 40 MG TABLET,4.8,1.87,,,0
NDC,0143-1771-01,ISOSORBIDE DINITRATE 10 MG TABLET,33.3,12.99,,,0
NDC,0143-1772-01,ISOSORBIDE DINITRATE 20 MG TABLET,9.2,3.59,,,0
NDC,0143-2112-50,DOXYCYCLINE HYCLATE 100 MG TABLET,42.5,16.58,,,0
NDC,0143-2230-01,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",8.6,3.35,,,0
NDC,0143-9006-01,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION,141.0,54.99,,,0
NDC,0143-9022-02,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,576.8,224.95,,,0
NDC,0143-9086-01,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION,301.5,117.58,,,0
NDC,0143-9087-01,DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION,183.1,71.41,,,0
NDC,0143-9091-01,DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION,118.9,46.37,,,0
NDC,0143-9098-01,BORTEZOMIB 3.5 MG SOLUTION FOR SUBCUTANEOUS INJ,213.8,83.38,,,0
NDC,0143-9128-25,GENTAMICIN 40 MG/ML INJECTION SOLUTION,30.3,11.82,,,0
NDC,0143-9139-25,CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION,50.0,19.5,,,0
NDC,0143-9140-25,CEFAZOLIN 3 GRAM INTRAVENOUS SOLUTION,75.0,29.25,,,0
NDC,0143-9141-10,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION,520.6,203.03,,,0
NDC,0143-9152-10,VANCOMYCIN 1.25 GRAM INTRAVENOUS SOLUTION,171.7,66.96,,,0
NDC,0143-9153-10,VANCOMYCIN 1.5 GRAM INTRAVENOUS SOLUTION,206.0,80.34,,,0
NDC,0143-9156-01,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,0143-9158-01,FUROSEMIDE 500 MG/50 ML (10 MG/ML) INFUSION (SIMPLE),85.4,33.31,,,0
NDC,0143-9161-25,VANCOMYCIN 500 MG (100 MG/ML) INTRAVENOUS SOLUTION - USE FOR ANTIBIOTIC LOCKS,19.6,7.64,,,0
NDC,0143-9162-10,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",51.3,20.01,,,0
NDC,0143-9164-01,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,102.5,39.98,,,0
NDC,0143-9180-25,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,85.6,33.38,,,0
NDC,0143-9184-01,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,124.6,48.59,,,0
NDC,0143-9192-01,FOSCARNET INTRAVITREAL INJECTION 2.4 MG/0.1 ML,19.6,7.64,,,0
NDC,0143-9210-10,CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJECTION SOLUTION,28.7,11.19,,,0
NDC,0143-9217-01,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION,594.1,231.7,,,0
NDC,0143-9218-01,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION,463.3,180.69,,,0
NDC,0143-9219-01,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION,1397.5,545.02,,,0
NDC,0143-9234-10,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,0143-9241-01,BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION,662.1,258.22,,,0
NDC,0143-9245-10,DACARBAZINE 200 MG INTRAVENOUS SOLUTION,276.9,107.99,,,0
NDC,0143-9247-01,DEXRAZOXANE HCL 250 MG INTRAVENOUS SOLUTION,543.4,211.93,,,0
NDC,0143-9249-20,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,38.8,15.13,,,0
NDC,0143-9250-10,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,43.9,17.12,,,0
NDC,0143-9251-10,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,87.8,34.24,,,0
NDC,0143-9252-25,DOPAMINE 200 MG/5 ML (40 MG/ML) INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,0143-9261-10,CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION,43.6,17.0,,,0
NDC,0143-9262-25,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,19.6,7.64,,,0
NDC,0143-9273-10,DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION,781.6,304.82,,,0
NDC,0143-9277-01,DOXORUBICIN 50 MG INTRAVENOUS SOLUTION,1641.4,640.15,,,0
NDC,0143-9279-01,MITOMYCIN 20 MG INTRAVENOUS SOLUTION,3943.7,1538.04,,,0
NDC,0143-9284-01,PANTOPRAZOLE 4 MG/ML FOR IV PUSH (PEDS) SIMPLE,19.6,7.64,,,0
NDC,0143-9284-10,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,55.6,21.68,,,0
NDC,0143-9298-10,SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS,151.4,59.05,,,0
NDC,0143-9300-10,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,24.0,9.36,,,0
NDC,0143-9310-10,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,24.0,9.36,,,0
NDC,0143-9311-10,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,0143-9316-24,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,19.6,7.64,,,0
NDC,0143-9317-24,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,19.6,7.64,,,0
NDC,0143-9318-10,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,246.3,96.06,,,0
NDC,0143-9320-01,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,0143-9328-10,BUPIVACAINE HCL 0.25 % (2.5 MG/ML) INJECTION SOLUTION,102.5,39.98,,,0
NDC,0143-9330-10,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,19.6,7.64,,,0
NDC,0143-9331-10,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,19.6,7.64,,,0
NDC,0143-9333-10,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,25.7,10.02,,,0
NDC,0143-9334-10,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,21.4,8.35,,,0
NDC,0143-9338-25,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,39.3,15.33,,,0
NDC,0143-9355-10,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,82.8,32.29,,,0
NDC,0143-9362-01,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION,1042.8,406.69,,,0
NDC,0143-9368-01,LEUCOVORIN CALCIUM 200 MG SOLUTION FOR INJECTION,153.8,59.98,,,0
NDC,0143-9375-10,TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION,19.6,7.64,,,0
NDC,0143-9376-01,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,75.0,29.25,,,0
NDC,0143-9377-01,ARGATROBAN 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,854.0,333.06,,,0
NDC,0143-9378-01,DAPTOMYCIN FOR IV PUSH,568.0,221.52,,,0
NDC,0143-9379-10,MIDAZOLAM 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,187.9,73.28,,,0
NDC,0143-9380-10,MIDAZOLAM (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,256.2,99.92,,,0
NDC,0143-9384-01,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,555.1,216.49,,,0
NDC,0143-9385-01,DECITABINE 50 MG VIAL DILUTED FOR INTRAVENOUS USE,123.1,48.01,,,0
NDC,0143-9386-10,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",102.5,39.98,,,0
NDC,0143-9398-10,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,170.8,66.61,,,0
NDC,0143-9428-01,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,213.5,83.26,,,0
NDC,0143-9431-01,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,51.3,20.01,,,0
NDC,0143-9503-01,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION,187.8,73.24,,,0
NDC,0143-9506-01,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,53.2,20.75,,,0
NDC,0143-9506-10,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,106.3,41.46,,,0
NDC,0143-9507-10,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,57.4,22.39,,,0
NDC,0143-9508-10,KETAMINE 50 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,0143-9509-10,KETAMINE 100 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,0143-9510-01,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,129.7,50.58,,,0
NDC,0143-9511-01,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,93.0,36.27,,,0
NDC,0143-9514-01,DROPERIDOL 2.5 MG/ML INJECTION SOLUTION,41.4,16.15,,,0
NDC,0143-9515-01,DROPERIDOL 2.5 MG/ML INJ (ED USE ONLY),20.7,8.07,,,0
NDC,0143-9519-10,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION,66.0,25.74,,,0
NDC,0143-9525-01,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,546.6,213.17,,,0
NDC,0143-9525-10,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,99.9,38.96,,,0
NDC,0143-9531-01,IFOSFAMIDE 1 GRAM/20 ML INTRAVENOUS SOLUTION,565.1,220.39,,,0
NDC,0143-9532-25,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,111.1,43.33,,,0
NDC,0143-9553-01,LEUCOVORIN CALCIUM 200 MG SOLUTION FOR INJECTION,184.6,71.99,,,0
NDC,0143-9554-01,LEUCOVORIN CALCIUM 100 MG SOLUTION FOR INJECTION,136.7,53.31,,,0
NDC,0143-9559-01,ARGATROBAN 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,1380.1,538.24,,,0
NDC,0143-9564-10,PHENTOLAMINE 5 MG INJECTION SOLUTION,3415.1,1331.89,,,0
NDC,0143-9567-25,CEFUROXIME SODIUM 1.5 GRAM INTRAVENOUS SOLUTION,38.5,15.02,,,0
NDC,0143-9568-25,CEFUROXIME SODIUM 750 MG SOLUTION FOR INJECTION,19.6,7.64,,,0
NDC,0143-9570-10,SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS,543.2,211.85,,,0
NDC,0143-9574-01,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,75.0,29.25,,,0
NDC,0143-9574-25,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,20.5,8.0,,,0
NDC,0143-9586-25,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,24.0,9.36,,,0
NDC,0143-9587-01,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,24.0,9.36,,,0
NDC,0143-9587-25,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,24.0,9.36,,,0
NDC,0143-9593-10,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION,172.0,67.08,,,0
NDC,0143-9594-01,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,19.6,7.64,,,0
NDC,0143-9594-25,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,37.75,14.72,,,0
NDC,0143-9595-25,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,42.1,16.42,,,0
NDC,0143-9606-01,AZACITIDINE 100 MG SOLUTION FOR INJECTION,576.8,224.95,,,0
NDC,0143-9621-25,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",59.1,23.05,,,0
NDC,0143-9622-01,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,0143-9633-10,NICARDIPINE 40 MG/200 ML(0.2 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN,1133.4,442.03,,,0
NDC,0143-9634-10,NICARDIPINE 20 MG/200 ML(0.1 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN,695.2,271.13,,,0
NDC,0143-9637-10,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION,21.1,8.23,,,0
NDC,0143-9638-05,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION,102.5,39.98,,,0
NDC,0143-9659-01,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL,153.8,59.98,,,0
NDC,0143-9660-10,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION,23.1,9.01,,,0
NDC,0143-9673-25,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,34.2,13.34,,,0
NDC,0143-9674-01,ARGATROBAN 100 MG/ML INTRAVENOUS SOLUTION,9887.6,3856.16,,,0
NDC,0143-9680-25,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,85.7,33.42,,,0
NDC,0143-9681-25,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,22.3,8.7,,,0
NDC,0143-9682-25,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,22.3,8.7,,,0
NDC,0143-9684-10,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION,22.3,8.7,,,0
NDC,0143-9689-10,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION,218.0,85.02,,,0
NDC,0143-9701-01,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,471.6,183.92,,,0
NDC,0143-9702-01,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,116.7,45.51,,,0
NDC,0143-9709-10,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,78.4,30.58,,,0
NDC,0143-9710-10,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,213.5,83.26,,,0
NDC,0143-9719-10,ONE-STEP ONLY - MILRINONE 200 MCG/ML INJECTION FROM BAG,129.9,50.66,,,0
NDC,0143-9720-24,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,53.9,21.02,,,0
NDC,0143-9721-24,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,52.1,20.32,,,0
NDC,0143-9722-24,LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,51.3,20.01,,,0
NDC,0143-9724-01,"CLONIDINE (PF) 1,000 MCG/10 ML (100 MCG/ML) EPIDURAL SOLUTION",19.6,7.64,,,0
NDC,0143-9729-05,BENZTROPINE 1 MG/ML INJECTION SOLUTION,512.4,199.84,,,0
NDC,0143-9746-10,TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION,19.6,7.64,,,0
NDC,0143-9754-25,METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLUTION FOR INJECTION,55.2,21.53,,,0
NDC,0143-9784-10,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION,44.5,17.36,,,0
NDC,0143-9785-10,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION,147.7,57.6,,,0
NDC,0143-9786-10,ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,0143-9787-10,ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION,24.0,9.36,,,0
NDC,0143-9837-01,PENICILLIN V POTASSIUM 250 MG TABLET,13.1,5.11,,,0
NDC,0143-9851-01,"METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION",357.8,139.54,,,0
NDC,0143-9853-75,AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION,4.8,1.87,,,0
NDC,0143-9856-25,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,38.5,15.02,,,0
NDC,0143-9857-25,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,19.6,7.64,,,0
NDC,0143-9858-25,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION,19.6,7.64,,,0
NDC,0143-9875-25,ONE-STEP ONLY - AMIODARONE IV PUSH,51.3,20.01,,,0
NDC,0143-9889-01,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,4.8,1.87,,,0
NDC,0143-9924-90,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,23.4,9.13,,,0
NDC,0143-9929-50,CIPROFLOXACIN 750 MG TABLET,4.8,1.87,,,0
NDC,0143-9977-22,CEFUROXIME SODIUM 1.5 GRAM INTRAVENOUS SOLUTION,50.0,19.5,,,0
NDC,0143-9981-50,AMOXICILLIN 200 MG-POTASSIUM CLAVULANATE 28.5 MG/5 ML ORAL SUSPENSION,14.6,5.69,,,0
NDC,0149003904,BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSPENSION,10.5,4.1,,,0
NDC,0149003908,BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSPENSION,16.0,6.24,,,0
NDC,0149003929,BISMUTH SUBSALICYLATE 525 MG/15 ML ORAL SUSPENSION,4.8,1.87,,,0
NDC,0168-0003-15,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL CREAM,28.6,11.15,,,0
NDC,0168-0004-15,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,23.01,8.97,,,0
NDC,0168-0006-15,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT,35.7,13.92,,,0
NDC,0168-0011-35,BACITRACIN TOPICAL OINTMENT (WRAPPED),16.1,6.28,,,0
NDC,0168-0020-16,HYDROCORTISONE 1 % TOPICAL OINTMENT,349.3,136.23,,,0
NDC,0168-0020-31,HYDROCORTISONE 1 % TOPICAL OINTMENT,34.5,13.46,,,0
NDC,0168-0033-15,BETAMETHASONE VALERATE 0.1 % TOPICAL OINTMENT,156.1,60.88,,,0
NDC,0168-0040-15,BETAMETHASONE VALERATE 0.1 % TOPICAL CREAM,214.6,83.69,,,0
NDC,0168-0062-31,ZINC OXIDE 20 % TOPICAL OINTMENT,11.0,4.29,,,0
NDC,0168-0080-31,HYDROCORTISONE 2.5 % TOPICAL CREAM,25.4,9.91,,,0
NDC,0168-0099-15,KETOCONAZOLE 2 % TOPICAL CREAM,237.1,92.47,,,0
NDC,0168-0099-30,KETOCONAZOLE 2 % TOPICAL CREAM,399.7,155.88,,,0
NDC,0168-0163-15,CLOBETASOL 0.05 % TOPICAL CREAM,983.6,383.6,,,0
NDC,0168-0204-37,LIDOCAINE 5 % TOPICAL OINTMENT,2301.0,897.39,,,0
NDC,0168-0258-15,CLOTRIMAZOLE-BETAMETHASONE 1 %-0.05 % TOPICAL CREAM,129.4,50.47,,,0
NDC,0168-0277-40,CLINDAMYCIN 2 % VAGINAL CREAM,999.6,389.84,,,0
NDC,0168-0357-30,LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM,115.8,45.16,,,0
NDC,0168-0357-56,LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM,63.4,24.73,,,0
NDC,0169-1833-02,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,0169-1833-11,INSULIN REGULAR (IV - DUAL NURSE SIGNOFF),19.6,7.64,,,0
NDC,0169-1834-11,INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML SUBCUTANEOUS SUSPENSION,19.6,7.64,,,0
NDC,0169-1837-11,INSULIN HUMAN U-100 NPH-REGULR 70-30 MIX 100 UNIT/ML SUBCUTANEOUS SUSP,19.6,7.64,,,0
NDC,0169-3685-12,INSULIN ASPAR PRT-INSULIN ASPART 100 UNIT/ML (70-30) SUBCUTANEOUS SOLN,19.6,7.64,,,0
NDC,0169-4130-13,SEMAGLUTIDE 1 MG/DOSE (4 MG/3 ML) SUBCUTANEOUS PEN INJECTOR,1738.3,677.94,,,0
NDC,0169-4181-13,SEMAGLUTIDE 0.25 MG OR 0.5 MG (2 MG/3 ML) SUBCUTANEOUS PEN INJECTOR,1738.3,677.94,,,0
NDC,0169-4772-12,SEMAGLUTIDE 2 MG/DOSE (8 MG/3 ML) SUBCUTANEOUS PEN INJECTOR,1687.7,658.2,,,0
NDC,0169-7201-01,"COAGULATION FACTOR VIIA RECOMB 1 MG (1,000 MCG) INTRAVENOUS SOLUTION",87672.0,34192.08,,,0
NDC,0169-7202-01,"COAGULATION FACTOR VIIA RECOMB 2 MG (2,000 MCG) INTRAVENOUS SOLUTION",70137.6,27353.66,,,0
NDC,0169-7205-01,"COAGULATION FACTOR VIIA RECOMB 5 MG (5,000 MCG) INTRAVENOUS SOLUTION",35068.8,13676.83,,,0
NDC,0169-7901-01,"FACTOR IX HUMAN RECOMBINANT, PEGYLATED 1,000 (+/-) UNIT IV SOLUTION",0.01,0.0039,,,0
NDC,0169-7905-01,"FACTOR IX HUMAN RECOMBINANT, PEGYLATED 500 (+/-) UNIT IV SOLUTION",0.01,0.0039,,,0
NDC,0172-2083-60,HYDROCHLOROTHIAZIDE 25 MG TABLET,4.8,1.87,,,0
NDC,0172-3925-60,DIAZEPAM 2 MG TABLET,4.8,1.87,,,0
NDC,0172-3926-60,DIAZEPAM 5 MG TABLET,4.4,1.72,,,0
NDC,0172-3927-60,DIAZEPAM 10 MG TABLET,4.8,1.87,,,0
NDC,0172-4096-60,BACLOFEN 10 MG TABLET,19.0,7.41,,,0
NDC,0172-5728-60,FAMOTIDINE 20 MG TABLET,10.3,4.02,,,0
NDC,0172-5728-80,FAMOTIDINE 20 MG TABLET,10.3,4.02,,,0
NDC,0172-7313-20,CYCLOSPORINE MODIFIED 100 MG/ML ORAL SOLUTION (GENERIC),23.0,8.97,,,0
NDC,0173-0633-02,LAMOTRIGINE 25 MG TABLET,82.4,32.14,,,0
NDC,0173-0881-01,MEPOLIZUMAB 100 MG SUBCUTANEOUS SOLUTION VIAL,73857.9,28804.58,,,0
NDC,0173-0887-10,FLUTICASONE FUR. 100 MCG-UMECLID 62.5 MCG-VILANT 25 MCG INHALAT.POWDER,5195.7,2026.32,,,0
NDC,0173-0892-42,MEPOLIZUMAB 100 MG/ML SUBCUTANEOUS SYRINGE,26482.5,10328.18,,,0
NDC,0173-0898-03,DOSTARLIMAB-GXLY 50 MG/ML INTRAVENOUS SOLUTION,147193.9,57405.62,,,0
NDC,0178055001,THERAPEUTIC MULTIVITAMIN TABLET,4.8,1.87,,,0
NDC,0179805401,FERROUS SULFATE 325 MG (65 MG IRON) TABLET,0.6,0.23,,,0
NDC,0185-0055-01,METOLAZONE 5 MG TABLET,9.1,3.55,,,0
NDC,0185-0117-05,LABETALOL 200 MG TABLET,10.7,4.17,,,0
NDC,0185-0122-01,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,4.8,1.87,,,0
NDC,0185-0128-01,BUMETANIDE 0.5 MG TABLET,8.3,3.24,,,0
NDC,0185-0210-01,METHIMAZOLE 10 MG TABLET,5.9,2.3,,,0
NDC,0185-0676-01,HYDROXYZINE PAMOATE 50 MG CAPSULE,4.8,1.87,,,0
NDC,0185-5600-01,METOLAZONE 10 MG TABLET,21.7,8.46,,,0
NDC,0186-0372-28,BUDESONIDE-FORMOTEROL HFA 80 MCG-4.5 MCG/ACTUATION AEROSOL INHALER,1061.6,414.02,,,0
NDC,0186-0776-60,TICAGRELOR 60 MG TABLET,59.5,23.2,,,0
NDC,0186-0777-39,TICAGRELOR 90 MG TABLET,118.9,46.37,,,0
NDC,0186-0777-60,TICAGRELOR 90 MG TABLET,118.9,46.37,,,0
NDC,0186-1988-04,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,66.9,26.09,,,0
NDC,0186-1989-04,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,78.7,30.69,,,0
NDC,0186-4040-01,ESOMEPRAZOLE MAGNESIUM DR 40 MG GRANULES DELAYED RELEASE FOR SUSP,73.5,28.66,,,0
NDC,0187-3012-20,PYRIDOSTIGMINE BROMIDE 60 MG/5 ML ORAL SYRUP,142.4,55.54,,,0
NDC,0187526701,MAGNESIUM CARBONATE 54 MG/5 ML ORAL LIQUID,0.6,0.23,,,0
NDC,0206-8855-16,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,117.3,45.75,,,0
NDC,0223-1760-01,"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET",4.8,1.87,,,0
NDC,0225-0800-47,PHENYLEPHRINE 0.25 % NASAL SPRAY,14.7,5.73,,,0
NDC,0225-0805-47,PHENYLEPHRINE 0.5 % NASAL SPRAY,14.7,5.73,,,0
NDC,0225052547,SODIUM CHLORIDE-ALOE VERA NASAL GEL,21.4,8.35,,,0
NDC,0228-2027-10,ALPRAZOLAM 0.25 MG TABLET,10.7,4.17,,,0
NDC,0228-2029-10,ALPRAZOLAM 0.5 MG TABLET,14.4,5.62,,,0
NDC,0228-2029-50,ALPRAZOLAM 0.5 MG TABLET,7.2,2.81,,,0
NDC,0228-2031-10,ALPRAZOLAM 1 MG TABLET,17.8,6.94,,,0
NDC,0228-2127-10,CLONIDINE HCL 0.1 MG TABLET,4.8,1.87,,,0
NDC,0228-2128-10,CLONIDINE HCL 0.2 MG TABLET,4.8,1.87,,,0
NDC,0228-2348-10,PROPYLTHIOURACIL 50 MG TABLET,27.7,10.8,,,0
NDC,0228-2497-10,NIFEDIPINE 10 MG CAPSULE,8.2,3.2,,,0
NDC,0228-2571-11,INDAPAMIDE 2.5 MG TABLET,6.4,2.5,,,0
NDC,0228-2597-11,INDAPAMIDE 1.25 MG TABLET,5.3,2.07,,,0
NDC,0228-2778-11,"PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE",31.6,12.32,,,0
NDC,0228-2779-11,"PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE",18.5,7.22,,,0
NDC,0245-0036-60,CHOLESTYRAMINE-ASPARTAME 4 GRAM ORAL POWDER FOR SUSP IN A PACKET,39.2,15.29,,,0
NDC,0245-0147-01,AMIODARONE 200 MG TABLET,60.9,23.75,,,0
NDC,0245-0147-60,AMIODARONE 200 MG TABLET,28.5,11.12,,,0
NDC,0245-0147-90,AMIODARONE 200 MG TABLET,111.6,43.52,,,0
NDC,0245-0211-11,MIDODRINE 2.5 MG TABLET,13.0,5.07,,,0
NDC,0245-0212-01,MIDODRINE 5 MG TABLET,34.5,13.46,,,0
NDC,0245-0212-11,MIDODRINE 5 MG TABLET,63.8,24.88,,,0
NDC,0245-0360-01,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,164.8,64.27,,,0
NDC,0245-0360-89,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,164.8,64.27,,,0
NDC,0245-0860-70,METRONIDAZOLE 0.75 % (37.5 MG/5 GRAM) VAGINAL GEL,1250.5,487.7,,,0
NDC,0245-5316-01,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",10.0,3.9,,,0
NDC,0245-5316-11,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",17.4,6.79,,,0
NDC,0245-5316-89,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",20.0,7.8,,,0
NDC,0245-5317-01,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",4.8,1.87,,,0
NDC,0245-5319-01,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",10.5,4.1,,,0
NDC,0245010801,"FERROUS SULFATE 325 MG (65 MG IRON) TABLET,DELAYED RELEASE",3.5,1.36,,,0
NDC,0245010811,"FERROUS SULFATE 325 MG (65 MG IRON) TABLET,DELAYED RELEASE",1.9,0.74,,,0
NDC,0254-3012-55,ALVIMOPAN 12 MG CAPSULE,1205.1,469.99,,,0
NDC,0254-3028-02,LUBIPROSTONE 8 MCG CAPSULE,153.7,59.94,,,0
NDC,0254-3029-02,LUBIPROSTONE 24 MCG CAPSULE,51.3,20.01,,,0
NDC,0259-0501-16,GLYCOPYRROLATE 1 MG/5 ML (0.2 MG/ML) ORAL SOLUTION,40.5,15.8,,,0
NDC,0259-1605-01,INCOBOTULINUMTOXINA 50 UNIT INTRAMUSCULAR SOLUTION,9339.8,3642.52,,,0
NDC,0259-1610-01,INCOBOTULINUMTOXINA 100 UNIT INTRAMUSCULAR SOLUTION,3561.7,1389.06,,,0
NDC,0264-1009-90,"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",78.6,30.65,,,0
NDC,0264-1510-31,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0264-1510-32,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0264-1800-31,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0264-1800-32,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0264-1800-36,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0264-1933-10,AMINO ACID 10 % INTRAVENOUS SOLUTION,57.1,22.27,,,0
NDC,0264-1940-20,POTASSIUM CHLORIDE 2 MEQ/ML ORAL SYRINGE,12.8,4.99,,,0
NDC,0264-2101-00,"WATER FOR IRRIGATION, STERILE SOLUTION",32.6,12.71,,,0
NDC,0264-2101-10,"WATER FOR IRRIGATION, STERILE SOLUTION",49.1,19.15,,,0
NDC,0264-2201-00,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,32.6,12.71,,,0
NDC,0264-2201-10,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,32.6,12.71,,,0
NDC,0264-2203-00,LACTATED RINGERS IRRIGATION SOLUTION,42.1,16.42,,,0
NDC,0264-2304-10,ACETIC ACID 0.25 % IRRIGATION SOLUTION,52.6,20.51,,,0
NDC,0264-3103-11,CEFAZOLIN 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK,112.1,43.72,,,0
NDC,0264-3105-11,CEFAZOLIN 2 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK,126.1,49.18,,,0
NDC,0264-3123-11,"CEFOXITIN 1 GRAM/50 ML IN DEXTROSE, ISO-OSMOTIC INTRAVENOUS PIGGYBACK",322.2,125.66,,,0
NDC,0264-3125-11,CEFOXITIN 2 GRAM/50 ML IN DEXTROSE(ISO-OSMOTIC) INTRAVENOUS PIGGYBACK,286.5,111.74,,,0
NDC,0264-3153-11,CEFTRIAXONE 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOT) INTRAVENOUS PIGGYBACK,168.1,65.56,,,0
NDC,0264-3185-11,MEROPENEM 1 GRAM/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK,255.5,99.64,,,0
NDC,0264-3193-11,CEFEPIME 1 GRAM/50 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,168.1,65.56,,,0
NDC,0264-3195-11,CEFEPIME 2 GRAM/50 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,255.0,99.45,,,0
NDC,0264-4100-90,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",27.7,10.8,,,0
NDC,0264-4204-52,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,53.7,20.94,,,0
NDC,0264-4400-54,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,25.7,10.02,,,0
NDC,0264-4460-30,FAT EMULSION (SOYBEAN) 20% SYRINGE (NEONATE),19.6,7.64,,,0
NDC,0264-4500-00,ADULT 2-IN-1 PPN,315.0,122.85,,,0
NDC,0264-4500-05,ADULT 2-IN-1 CPN,504.0,196.56,,,0
NDC,0264-5535-32,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,27.4,10.69,,,0
NDC,0264-5802-00,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0264-5802-10,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0264-7385-60,"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION",84.2,32.84,,,0
NDC,0264-7386-60,"WATER FOR IRRIGATION, STERILE SOLUTION",42.1,16.42,,,0
NDC,0264-7388-60,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,32.6,12.71,,,0
NDC,0264-7510-00,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0264-7510-10,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0264-7510-20,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0264-7520-00,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0264-7520-10,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0264-7520-20,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0264-7578-10,MANNITOL 20 % INTRAVENOUS SOLUTION,320.3,124.92,,,0
NDC,0264-7610-00,DEXTROSE 5 % AND 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0264-7612-00,DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0264-7612-10,DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0264-7616-00,DEXTROSE 5 % AND 0.225% SODIUM CHLORIDE INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0264-7622-00,DEXTROSE 10 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,63.1,24.61,,,0
NDC,0264-7635-00,POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,53.7,20.94,,,0
NDC,0264-7638-00,POTASSIUM CHLORIDE 40 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,70.1,27.34,,,0
NDC,0264-7652-00,POTASSIUM CHLORIDE 20 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS,53.7,20.94,,,0
NDC,0264-7750-00,LACTATED RINGERS INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0264-7750-10,LACTATED RINGERS INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0264-7750-20,LACTATED RINGERS IV SOLUTION,53.7,20.94,,,0
NDC,0264-7751-00,DEXTROSE 5 % AND LACTATED RINGERS INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0264-7800-00,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0264-7800-01,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0264-7800-09,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0264-7800-10,SODIUM CHLORIDE 0.9 % BOLUS,53.7,20.94,,,0
NDC,0264-7800-20,SODIUM CHLORIDE 0.9 % BOLUS,53.7,20.94,,,0
NDC,0264-7805-10,SODIUM CHLORIDE 3 % IV BOLUS,53.7,20.94,,,0
NDC,0264-7850-00,"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION",53.7,20.94,,,0
NDC,0264-7850-20,"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION",53.7,20.94,,,0
NDC,0264-7865-00,POTASSIUM CHLORIDE 20 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,53.7,20.94,,,0
NDC,0264-9577-10,"HEPARIN (PORCINE) 25,000 UNIT/500 ML (50 UNIT/ML) IN DEXTROSE 5 % IV",128.1,49.96,,,0
NDC,0264-9587-20,"HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV",134.6,52.49,,,0
NDC,0264-9594-10,LIDOCAINE (PF) 4 MG/ML (0.4 %) IN 5 % DEXTROSE INTRAVENOUS SOLUTION,76.9,29.99,,,0
NDC,0264-9872-10,"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV",38.5,15.02,,,0
NDC,0270-0149-57,DIATRIZOATE MEGLUMINE 30 % URETHRAL SOLUTION,825.0,321.75,,,0
NDC,0270-0445-35,DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION,264.0,102.96,,,0
NDC,0270-0445-40,DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION,264.0,102.96,,,0
NDC,0270-0556-15,SINCALIDE 5 MCG SOLUTION FOR INJECTION,909.4,354.67,,,0
NDC,0270-1111-01,GADOTERIDOL 279.3 MG/ML INTRAVENOUS SOLUTION,66.0,25.74,,,0
NDC,0270-1111-02,GADOTERIDOL 279.3 MG/ML INTRAVENOUS SOLUTION,99.0,38.61,,,0
NDC,0270-1111-03,GADOTERIDOL 279.3 MG/ML INTRAVENOUS SOLUTION,132.0,51.48,,,0
NDC,0270-1111-04,GADOTERIDOL 279.3 MG/ML INTRAVENOUS SOLUTION,99.0,38.61,,,0
NDC,0270-1314-15,IOPAMIDOL 200 MG IODINE/ML (41 %) INTRAVENOUS SOLUTION,660.0,257.4,,,0
NDC,0270-1315-25,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION,99.0,38.61,,,0
NDC,0270-1315-30,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION,495.0,193.05,,,0
NDC,0270-1315-35,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION,330.0,128.7,,,0
NDC,0270-1315-41,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION,363.0,141.57,,,0
NDC,0270-1315-45,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION,330.0,128.7,,,0
NDC,0270-1315-50,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION,495.0,193.05,,,0
NDC,0270-1315-95,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION,759.0,296.01,,,0
NDC,0270-1315-98,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION,462.0,180.18,,,0
NDC,0270-1316-04,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION,825.0,321.75,,,0
NDC,0270-1316-30,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION,165.0,64.35,,,0
NDC,0270-1316-35,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION,330.0,128.7,,,0
NDC,0270-1316-37,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION,495.0,193.05,,,0
NDC,0270-1316-41,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION,660.0,257.4,,,0
NDC,0270-1316-45,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION,455.4,177.61,,,0
NDC,0270-1316-52,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION,247.5,96.52,,,0
NDC,0270-1316-95,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION,303.6,118.4,,,0
NDC,0270-1317-02,IOPAMIDOL 250 MG IODINE/ML (51 %) INTRAVENOUS SOLUTION,330.0,128.7,,,0
NDC,0270-1317-41,IOPAMIDOL 250 MG IODINE/ML (51 %) INTRAVENOUS SOLUTION,627.0,244.53,,,0
NDC,0270-1410-30,DIATRIZOATE MEGLUMINE 18 % URETHRAL SOLUTION,660.0,257.4,,,0
NDC,0270-1411-11,IOPAMIDOL 200 MG IODINE/ML (41 %) INTRATHECAL SOLUTION,33.0,12.87,,,0
NDC,0270-1412-15,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRATHECAL SOLUTION,49.5,19.3,,,0
NDC,0270-5164-12,GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION,99.0,38.61,,,0
NDC,0270-5164-13,GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION,132.0,51.48,,,0
NDC,0270-5164-14,GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION,33.0,12.87,,,0
NDC,0270-5164-15,GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION,132.0,51.48,,,0
NDC,0270-7015-46,GADOPICLENOL 0.5 MMOL/ML INTRAVENOUS SOLUTION,102.0,39.78,,,0
NDC,0270-7020-38,GADOPICLENOL 0.5 MMOL/ML INTRAVENOUS SOLUTION,136.0,53.04,,,0
NDC,0270-7025-40,GADOPICLENOL 0.5 MMOL/ML INTRAVENOUS SOLUTION,204.0,79.56,,,0
NDC,0270-7030-42,GADOPICLENOL 0.5 MMOL/ML INTRAVENOUS SOLUTION,170.0,66.3,,,0
NDC,0281-0326-08,NITROGLYCERIN 2 % TRANSDERMAL OINTMENT,23.3,9.09,,,0
NDC,0283-0610-26,BENZOCAINE 20 % MUCOSAL SPRAY (UD),62.5,24.38,,,0
NDC,0283-0679-02,BENZOCAINE 20 % MUCOSAL AEROSOL SPRAY,199.4,77.77,,,0
NDC,0299024132,VIT E-GLYCERIN-DIMETHICONE LOTION,28.1,10.96,,,0
NDC,0310-0095-90,ROFLUMILAST 500 MCG TABLET,113.5,44.26,,,0
NDC,0310-0720-10,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,6049.9,2359.46,,,0
NDC,0310-1105-39,SODIUM ZIRCONIUM CYCLOSILICATE 5 GRAM ORAL POWDER PACKET,220.3,85.92,,,0
NDC,0310-1110-39,SODIUM ZIRCONIUM CYCLOSILICATE 10 GRAM ORAL POWDER PACKET,220.3,85.92,,,0
NDC,0310-1730-30,BENRALIZUMAB 30 MG/ML SUBCUTANEOUS SYRINGE,0.01,0.0039,,,0
NDC,0310-3040-00,ANIFROLUMAB-FNIA 300 MG/2 ML (150 MG/ML) INTRAVENOUS SOLUTION,37177.8,14499.34,,,0
NDC,0310-3200-04,"FACTOR XA,INACTIVATED-ZHZO (RECOMBINANT) 200 MG INTRAVENOUS SOLUTION",10455.0,4077.45,,,0
NDC,0310-4500-12,DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION,788.2,307.4,,,0
NDC,0310-4505-25,TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION,63298.0,24686.22,,,0
NDC,0310-4535-30,TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION,253191.8,98744.8,,,0
NDC,0310-4611-50,DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION,78819.7,30739.68,,,0
NDC,0310-6205-30,DAPAGLIFLOZIN PROPANEDIOL 5 MG TABLET,289.1,112.75,,,0
NDC,0310-6210-30,DAPAGLIFLOZIN PROPANEDIOL 10 MG TABLET,153.4,59.83,,,0
NDC,0310-6210-39,DAPAGLIFLOZIN PROPANEDIOL 10 MG TABLET,153.4,59.83,,,0
NDC,0310-6210-90,DAPAGLIFLOZIN PROPANEDIOL 10 MG TABLET,153.4,59.83,,,0
NDC,0316-0186-16,HYDROCORTISONE 1 % TOPICAL CREAM,20.2,7.88,,,0
NDC,0316-0225-30,MICONAZOLE NITRATE 2 % TOPICAL POWDER,69.2,26.99,,,0
NDC,0316-0229-75,CAMPHOR-MENTHOL 0.5 %-0.5 % LOTION,37.6,14.66,,,0
NDC,0327-0001-10,OXYCHLOROSENE SODIUM TOPICAL POWDER FOR SOLUTION,43.0,16.77,,,0
NDC,0338-0004-03,"WATER FOR IRRIGATION, STERILE SOLUTION",32.6,12.71,,,0
NDC,0338-0004-04,"WATER FOR IRRIGATION, STERILE SOLUTION",32.6,12.71,,,0
NDC,0338-0013-04,"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION",70.1,27.34,,,0
NDC,0338-0013-06,"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION",53.7,20.94,,,0
NDC,0338-0017-02,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0338-0017-04,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0338-0017-10,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0338-0017-18,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0338-0017-38,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0338-0017-41,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0338-0017-48,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0338-0023-02,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0338-0023-03,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0338-0023-04,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION,56.1,21.88,,,0
NDC,0338-0043-03,SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0338-0043-04,SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0338-0047-27,SODIUM CHLORIDE 0.9% 3000 ML IRRIGATION SOLUTION,126.2,49.22,,,0
NDC,0338-0047-44,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,56.1,21.88,,,0
NDC,0338-0047-47,SODIUM CHLORIDE 0.9% 3000 ML IRRIGATION SOLUTION,126.2,49.22,,,0
NDC,0338-0048-02,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,32.6,12.71,,,0
NDC,0338-0048-03,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,378.6,147.65,,,0
NDC,0338-0048-04,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,210.3,82.02,,,0
NDC,0338-0049-02,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0338-0049-03,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0338-0049-04,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0338-0049-10,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0338-0049-11,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0338-0049-18,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0338-0049-31,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0338-0049-38,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0338-0049-41,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0338-0049-48,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0338-0050-47,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,147.3,57.45,,,0
NDC,0338-0054-03,SODIUM CHLORIDE 3 % HYPERTONIC INTRAVENOUS INJECTION SOLUTION,53.7,20.94,,,0
NDC,0338-0063-01,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",5993.4,2337.43,,,0
NDC,0338-0067-01,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",10508.2,4098.2,,,0
NDC,0338-0069-10,KETOROLAC 15 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,0338-0072-25,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,19.6,7.64,,,0
NDC,0338-0085-04,DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0338-0089-04,DEXTROSE 5 % AND 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0338-0108-20,NOREPINEPHRINE BITARTRATE 8 MG/250 ML (32 MCG/ML) IN DEXTROSE 5 % IV,284.0,110.76,,,0
NDC,0338-0112-20,NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN DEXTROSE 5 % IV,192.2,74.96,,,0
NDC,0338-0117-02,LACTATED RINGERS INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0338-0117-03,LACTATED RINGERS INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0338-0117-04,LACTATED RINGERS INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0338-0125-04,DEXTROSE 5 % AND LACTATED RINGERS INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0338-0126-12,INSULIN REGULAR 100 UNIT/100 ML (1 UNIT/ML) IN 0.9 % NACL IV SOLUTION,298.9,116.57,,,0
NDC,0338-0180-06,ADULT CYCLIC 2-IN-1 CPN USING CLINIMIX BASE,504.0,196.56,,,0
NDC,0338-0184-04,ADULT CYCLIC 2-IN-1 CPN USING CLINIMIX BASE,504.0,196.56,,,0
NDC,0338-0198-06,ADULT 2-IN-1 CPN USING CLINIMIX BASE,504.0,196.56,,,0
NDC,0338-0202-06,ADULT CYCLIC 2-IN-1 CPN USING CLINIMIX BASE,504.0,196.56,,,0
NDC,0338-0206-04,ADULT 2-IN-1 CPN USING CLINIMIX BASE,504.0,196.56,,,0
NDC,0338-0221-04,ELECTROLYTE-A INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0338-0289-47,GLYCINE 1.5 % UROLOGIC SOLUTION FOR IRRIGATION,147.3,57.45,,,0
NDC,0338-0322-01,"THROMBIN (RECOMBINANT) 5,000 UNIT TOPICAL SOLUTION",659.7,257.28,,,0
NDC,0338-0326-01,"THROMBIN (RECOMBINANT) 20,000 UNIT TOPICAL SOLUTION",2638.5,1029.02,,,0
NDC,0338-0330-01,"THROMBIN (RECOMBINANT) 20,000 UNIT TOPICAL SOLUTION",2676.9,1043.99,,,0
NDC,0338-0357-03,MANNITOL 20 % INTRAVENOUS SOLUTION,699.5,272.8,,,0
NDC,0338-0409-03,LIDOCAINE (PF) 4 MG/ML (0.4 %) IN 5 % DEXTROSE INTRAVENOUS SOLUTION,59.8,23.32,,,0
NDC,0338-0424-18,HEPARIN 1000 UNITS/500 ML NS FOR WG CATH/EP (SIMPLE),85.4,33.31,,,0
NDC,0338-0433-04,"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN NS",119.6,46.64,,,0
NDC,0338-0503-48,GENTAMICIN 80 MG/100 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,34.2,13.34,,,0
NDC,0338-0505-48,GENTAMICIN 100 MG/100 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,36.8,14.35,,,0
NDC,0338-0519-09,FAT EMULSION -FISH & PLANT BASED 20% SYRINGE (SMOFLIPID) (NEONATE),19.6,7.64,,,0
NDC,0338-0519-13,FAT EMULSION 20 % IV RATE BASED,354.5,138.26,,,0
NDC,0338-0551-11,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS PIGGYBACK,53.7,20.94,,,0
NDC,0338-0551-18,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS PIGGYBACK,53.7,20.94,,,0
NDC,0338-0553-11,SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK,53.7,20.94,,,0
NDC,0338-0553-18,SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK,53.7,20.94,,,0
NDC,0338-0644-04,ADULT 2-IN-1 PPN,315.0,122.85,,,0
NDC,0338-0644-06,ADULT CYCLIC 2-IN-1 CPN,504.0,196.56,,,0
NDC,0338-0656-04,ACETIC ACID 0.25 % IRRIGATION SOLUTION,32.6,12.71,,,0
NDC,0338-0671-04,POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,53.7,20.94,,,0
NDC,0338-0691-04,POTASSIUM CHLORIDE 20 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,77.2,30.11,,,0
NDC,0338-0695-04,POTASSIUM CHLORIDE 40 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,77.2,30.11,,,0
NDC,0338-0703-41,POTASSIUM CHLORIDE 0.4 MEQ/ML IV SYRINGE *CENTRAL* PEDS (PRE-MIX),53.7,20.94,,,0
NDC,0338-0704-34,POTASSIUM CHLORIDE 20 MEQ/L IN 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLN,53.7,20.94,,,0
NDC,0338-0705-48,POTASSIUM CHLORIDE 20 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,35.1,13.69,,,0
NDC,0338-0709-48,POTASSIUM CHLORIDE 10 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,33.4,13.03,,,0
NDC,0338-0719-06,DEXTROSE 70 % IN WATER (D70W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0338-0803-04,POTASSIUM CHLORIDE 20 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS,77.2,30.11,,,0
NDC,0338-0807-04,POTASSIUM CHLORIDE 40 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS,63.1,24.61,,,0
NDC,0338-1007-02,"DOPAMINE 400 MG/250 ML (1,600 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN",121.7,47.46,,,0
NDC,0338-1009-02,"DOPAMINE 160 MG/50 ML D5W (3,200 MCG/ML) INFUSION (SIMPLE)",33.8,13.18,,,0
NDC,0338-1025-41,PENICILLIN G POT 3 MILLION UNIT/50 ML-DEXTROSE INTRAVENOUS PIGGYBACK,91.9,35.84,,,0
NDC,0338-1047-02,NITROGLYCERIN 25 MG/250 ML (100 MCG/ML) IN 5 % DEXTROSE  INTRAVENOUS,175.1,68.29,,,0
NDC,0338-1049-02,NITROGLYCERIN 2000 MCG/10 ML (200 MCG/ML) SYRINGE - CUPID,19.6,7.64,,,0
NDC,0338-1055-48,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,19.7,7.68,,,0
NDC,0338-1073-02,DOBUTAMINE 250 MG/250 ML (1 MG/ML) IN 5 % DEXTROSE INTRAVENOUS,53.7,20.94,,,0
NDC,0338-1075-02,"DOBUTAMINE 500 MG/250 ML (2,000 MCG/ML) IN 5 % DEXTROSE IV",341.6,133.22,,,0
NDC,0338-1089-04,AMINO ACID 4.25 % NO.1 IN DEXTROSE 5 % INTRAVENOUS SOLUTION,632.0,246.48,,,0
NDC,0338-1091-04,ADULT 2-IN-1 CPN USING CLINIMIX BASE,504.0,196.56,,,0
NDC,0338-1099-04,ADULT 2-IN-1 CPN USING CLINIMIX BASE,504.0,196.56,,,0
NDC,0338-1113-04,AMINO ACID 4.25 % NO.1-DEXTROSE 5 %-ELECTROLYTES NO.39 IV SOLUTION,683.2,266.45,,,0
NDC,0338-1125-04,ADULT CYCLIC 2-IN-1 CPN USING CLINIMIX BASE,504.0,196.56,,,0
NDC,0338-1130-03,ADULT CYCLIC 2-IN-1 CPN,504.0,196.56,,,0
NDC,0338-1133-03,ADULT 2-IN-1 CPN USING CLINIMIX BASE,504.0,196.56,,,0
NDC,0338-1137-03,ADULT 2-IN-1 CPN USING CLINIMIX BASE,504.0,196.56,,,0
NDC,0338-1145-03,ADULT 2-IN-1 CPN USING CLINIMIX BASE,504.0,196.56,,,0
NDC,0338-1148-03,ADULT CYCLIC 2-IN-1 CPN USING CLINIMIX BASE,504.0,196.56,,,0
NDC,0338-1305-01,MESNA 100 MG/ML INTRAVENOUS SOLUTION,158.0,61.62,,,0
NDC,0338-1708-40,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,88.4,34.48,,,0
NDC,0338-1709-40,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,54.7,21.33,,,0
NDC,0338-1715-40,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,53.0,20.67,,,0
NDC,0338-3410-24,CLINDAMYCIN 300 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,30.4,11.86,,,0
NDC,0338-3503-41,CEFAZOLIN 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK,89.7,34.98,,,0
NDC,0338-3612-24,CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,91.4,35.65,,,0
NDC,0338-3814-24,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,111.5,43.48,,,0
NDC,0338-3814-50,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,154.6,60.29,,,0
NDC,0338-5197-41,FAMOTIDINE (PF) 20 MG/50 ML IN 0.9 % NACL (ISO) INTRAVENOUS PIGGYBACK,47.9,18.68,,,0
NDC,0338-6010-48,MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK,575.6,224.48,,,0
NDC,0338-6045-37,FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,177.7,69.3,,,0
NDC,0338-7022-01,ADULT 2-IN-1 CPN USING CLINIMIX BASE,504.0,196.56,,,0
NDC,0338-7024-01,ADULT 2-IN-1 CPN USING CLINIMIX BASE,504.0,196.56,,,0
NDC,0338-7032-01,ADULT 2-IN-1 CPN USING CLINIMIX BASE,504.0,196.56,,,0
NDC,0338-9053-01,MICAFUNGIN 100 MG/100 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK,676.4,263.8,,,0
NDC,0338-9159-30,SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK,53.7,20.94,,,0
NDC,0338-9543-02,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0338-9543-03,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0338-9543-04,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0338-9543-05,SODIUM CHLORIDE 0.9 % BOLUS,53.7,20.94,,,0
NDC,0338-9549-24,CLINDAMYCIN 600 MG/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK,45.7,17.82,,,0
NDC,0338-9553-24,CLINDAMYCIN 900 MG/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK,111.5,43.48,,,0
NDC,0338-9557-12,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,19.6,7.64,,,0
NDC,0338-9564-01,THROMBIN(HUMAN)-FIBRINOGEN-APROTININ SYN-CALCIUM 4 ML TOPICAL SYRINGE,2171.7,846.96,,,0
NDC,0338-9791-01,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0338-9791-40,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0362-0557-05,"BUPIVACAINE 0.5 %-EPINEPHRINE BITARTRATE 1:200,000 INJECTION,CARTRIDGE",28.1,10.96,,,0
NDC,0363-0384-21,DEXTROMETHORPHAN POLISTIREX ER 30 MG/5 ML ORAL SUSP EXT.RELEASE 12HR,6.5,2.54,,,0
NDC,0378-0014-01,METHOTREXATE SODIUM 2.5 MG TABLET,478.4,186.58,,,0
NDC,0378-0018-01,METOPROLOL TARTRATE 25 MG TABLET,4.8,1.87,,,0
NDC,0378-0047-01,METOPROLOL 10 MG/ML ORAL SUSPENSION,4.8,1.87,,,0
NDC,0378-0088-01,"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE",15.2,5.93,,,0
NDC,0378-0144-91,TAMOXIFEN 10 MG TABLET,29.1,11.35,,,0
NDC,0378-0183-01,PROPRANOLOL 20 MG TABLET,4.8,1.87,,,0
NDC,0378-0222-01,CHLORTHALIDONE 25 MG TABLET,9.3,3.63,,,0
NDC,0378-0353-01,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE",10.7,4.17,,,0
NDC,0378-0360-01,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE",19.1,7.45,,,0
NDC,0378-0390-01,"NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE",22.4,8.74,,,0
NDC,0378-0415-01,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET,6.8,2.65,,,0
NDC,0378-0503-01,BISOPROLOL 5 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET,10.6,4.13,,,0
NDC,0378-0771-01,CYCLOBENZAPRINE 5 MG TABLET,12.6,4.91,,,0
NDC,0378-0871-99,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,254.1,99.1,,,0
NDC,0378-0872-99,CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH,427.8,166.84,,,0
NDC,0378-0873-99,CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH,593.4,231.43,,,0
NDC,0378-1086-93,COLCHICINE 0.6 MG TABLET,103.4,40.33,,,0
NDC,0378-1134-01,KETOROLAC 10 MG TABLET,17.4,6.79,,,0
NDC,0378-1160-01,GUANFACINE 1 MG TABLET,13.4,5.23,,,0
NDC,0378-1610-01,DICYCLOMINE 10 MG CAPSULE,4.8,1.87,,,0
NDC,0378-1803-77,LEVOTHYROXINE 50 MCG TABLET,5.8,2.26,,,0
NDC,0378-1805-77,LEVOTHYROXINE 75 MCG TABLET,4.8,1.87,,,0
NDC,0378-1902-01,MIDODRINE 5 MG TABLET,18.6,7.25,,,0
NDC,0378-1903-01,MIDODRINE 10 MG TABLET,74.2,28.94,,,0
NDC,0378-2146-01,SPIRONOLACTONE 25 MG TABLET,4.8,1.87,,,0
NDC,0378-2245-77,IMATINIB 100 MG TABLET,22.8,8.89,,,0
NDC,0378-2895-20,FERRIC CITRATE 210 MG IRON TABLET,162.3,63.3,,,0
NDC,0378-3065-77,FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET,14.7,5.73,,,0
NDC,0378-3066-77,FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET,44.0,17.16,,,0
NDC,0378-3350-99,ESTRADIOL 0.05 MG/24 HR WEEKLY TRANSDERMAL PATCH,178.1,69.46,,,0
NDC,0378-3352-99,ESTRADIOL 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,178.1,69.46,,,0
NDC,0378-4105-91,ABACAVIR 300 MG TABLET,154.1,60.1,,,0
NDC,0378-4151-01,TRAMADOL 50 MG TABLET,6.5,2.54,,,0
NDC,0378-4561-05,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",8.7,3.39,,,0
NDC,0378-5430-35,MOXIFLOXACIN 0.5 % EYE DROPS,1283.6,500.6,,,0
NDC,0378-5630-59,SUMATRIPTAN 25 MG TABLET,207.6,80.96,,,0
NDC,0378-6231-01,CITALOPRAM 10 MG TABLET,18.8,7.33,,,0
NDC,0378-6232-01,CITALOPRAM 20 MG TABLET,9.8,3.82,,,0
NDC,0378-6233-01,CITALOPRAM 40 MG TABLET,30.6,11.93,,,0
NDC,0378-6333-80,"ACAMPROSATE 333 MG TABLET,DELAYED RELEASE",21.3,8.31,,,0
NDC,0378-6470-99,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,176.3,68.76,,,0
NDC,0378-6689-10,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",40.4,15.76,,,0
NDC,0378-6985-01,SODIUM CHLORIDE 0.9 % FOR NEBULIZATION,4.8,1.87,,,0
NDC,0378-6986-01,SODIUM CHLORIDE 0.9 % FOR NEBULIZATION,4.8,1.87,,,0
NDC,0378-6987-89,SODIUM CHLORIDE 0.9 % FOR NEBULIZATION,18.3,7.14,,,0
NDC,0378-6991-52,ALBUTEROL SULFATE 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,12.8,4.99,,,0
NDC,0378-6993-93,LEVALBUTEROL CONCENTRATE 1.25 MG/0.5 ML SOLUTION FOR NEBULIZATION,51.4,20.05,,,0
NDC,0378-7096-93,BROMOCRIPTINE 5 MG CAPSULE,142.9,55.73,,,0
NDC,0378-7124-77,OLMESARTAN 40 MG TABLET,67.0,26.13,,,0
NDC,0378-7970-52,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,14.6,5.69,,,0
NDC,0378-7970-55,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,17.2,6.71,,,0
NDC,0378-7970-93,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,29.2,11.39,,,0
NDC,0378-8270-55,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,12.1,4.72,,,0
NDC,0378-8270-91,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,10.3,4.02,,,0
NDC,0378-8270-93,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,10.3,4.02,,,0
NDC,0378-9055-93,LIDOCAINE 5 % TOPICAL PATCH,157.7,61.5,,,0
NDC,0378-9070-93,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH,129.6,50.54,,,0
NDC,0378-9102-93,NITROGLYCERIN 0.1 MG/HR TRANSDERMAL 24 HOUR PATCH,14.3,5.58,,,0
NDC,0378-9104-93,NITROGLYCERIN 0.2 MG/HR TRANSDERMAL 24 HOUR PATCH,14.6,5.69,,,0
NDC,0378-9112-93,NITROGLYCERIN 0.4 MG/HR TRANSDERMAL 24 HOUR PATCH,16.7,6.51,,,0
NDC,0378-9119-98,FENTANYL 12 MCG/HR TRANSDERMAL PATCH,155.8,60.76,,,0
NDC,0378-9121-98,FENTANYL 25 MCG/HR TRANSDERMAL PATCH,110.7,43.17,,,0
NDC,0378-9122-98,FENTANYL 50 MCG/HR TRANSDERMAL PATCH,202.2,78.86,,,0
NDC,0378-9124-98,FENTANYL 100 MCG/HR TRANSDERMAL PATCH,818.6,319.25,,,0
NDC,0378-9125-98,FENTANYL 37.5 MCG/HOUR TRANSDERMAL PATCH,501.0,195.39,,,0
NDC,0378-9671-93,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,17.7,6.9,,,0
NDC,0378-9692-52,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,51.5,20.08,,,0
NDC,0378699789,SODIUM CHLORIDE 3 % FOR NEBULIZATION,5.8,2.26,,,0
NDC,0386000802,NORFLURANE-PENTAFLUOROPROPANE TOPICAL SPRAY,4.8,1.87,,,0
NDC,0386000803,NORFLURANE-PENTAFLUOROPROPANE TOPICAL SPRAY,4.8,1.87,,,0
NDC,0395-1031-16,GLYCERIN 99.5 % TOPICAL SOLUTION,25.8,10.06,,,0
NDC,0395-1031-85,GLYCERIN 99.5 % TOPICAL SOLUTION,82.9,32.33,,,0
NDC,0395-2325-16,POVIDONE-IODINE 10 % TOPICAL SOLUTION,6.0,2.34,,,0
NDC,0395-2775-16,IODINE STRONG (LUGOL'S) 5 % ORAL SOLUTION,11.0,4.29,,,0
NDC,0395166792,METHYL SALICYLATE TOPICAL LIQUID,61.3,23.91,,,0
NDC,0395201591,PEPPERMINT OIL,196.3,76.56,,,0
NDC,0395224391,PEPPERMINT SPIRIT ORAL,74.6,29.09,,,0
NDC,0395266116,SIMPLE SYRUP,0.4,0.16,,,0
NDC,0395266216,CHERRY SYRUP (BULK) ORAL LIQUID,5.0,1.95,,,0
NDC,0395268501,SODIUM BICARBONATE (BULK) POWDER,2.4,0.94,,,0
NDC,0395268594,SODIUM BICARBONATE (BULK) POWDER,3.0,1.17,,,0
NDC,0406-0123-01,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,5.4,2.11,,,0
NDC,0406-0123-23,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,11.6,4.52,,,0
NDC,0406-0123-62,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,6.1,2.38,,,0
NDC,0406-0124-62,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET,6.8,2.65,,,0
NDC,0406-0125-01,HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET,7.4,2.89,,,0
NDC,0406-0125-62,HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET,9.3,3.63,,,0
NDC,0406-0484-01,ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET,11.0,4.29,,,0
NDC,0406-0484-62,ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET,4.8,1.87,,,0
NDC,0406-0512-01,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,10.6,4.13,,,0
NDC,0406-0512-62,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,10.6,4.13,,,0
NDC,0406-0522-01,OXYCODONE-ACETAMINOPHEN 7.5 MG-325 MG TABLET,20.9,8.15,,,0
NDC,0406-0522-62,OXYCODONE-ACETAMINOPHEN 7.5 MG-325 MG TABLET,20.9,8.15,,,0
NDC,0406-0523-01,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,27.3,10.65,,,0
NDC,0406-0523-23,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,25.8,10.06,,,0
NDC,0406-0523-62,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,27.3,10.65,,,0
NDC,0406-0527-10,METHADONE 10 MG/ML ORAL CONCENTRATE,4.8,1.87,,,0
NDC,0406-0552-01,OXYCODONE 5 MG TABLET,4.8,1.87,,,0
NDC,0406-0552-23,OXYCODONE 5 MG TABLET,7.9,3.08,,,0
NDC,0406-0552-62,OXYCODONE 5 MG TABLET,8.3,3.24,,,0
NDC,0406-1142-01,METHYLPHENIDATE 5 MG TABLET,22.5,8.78,,,0
NDC,0406-1170-01,NALTREXONE 50 MG TABLET,42.4,16.54,,,0
NDC,0406-1170-03,NALTREXONE 50 MG TABLET,42.4,16.54,,,0
NDC,0406-1236-01,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET,5.4,2.11,,,0
NDC,0406-3243-01,HYDROMORPHONE 2 MG TABLET,4.8,1.87,,,0
NDC,0406-3244-01,HYDROMORPHONE 4 MG TABLET,6.9,2.69,,,0
NDC,0406-4123-03,METHADONE 10 MG/ML ORAL CONCENTRATE,38.4,14.98,,,0
NDC,0406-5118-62,MORPHINE 15 MG IMMEDIATE RELEASE TABLET,11.7,4.56,,,0
NDC,0406-5755-62,METHADONE 5 MG TABLET,4.8,1.87,,,0
NDC,0406-5771-01,METHADONE 10 MG TABLET,47.2,18.41,,,0
NDC,0406-5771-62,METHADONE 10 MG TABLET,4.8,1.87,,,0
NDC,0406-8005-03,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL TABLET,134.1,52.3,,,0
NDC,0406-8315-01,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE",12.9,5.03,,,0
NDC,0406-8315-62,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE",14.4,5.62,,,0
NDC,0406-8330-01,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE",24.4,9.52,,,0
NDC,0406-8330-62,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE",26.0,10.14,,,0
NDC,0406-8380-62,"MORPHINE ER 60 MG TABLET,EXTENDED RELEASE",40.9,15.95,,,0
NDC,0406-8390-62,"MORPHINE ER 100 MG TABLET,EXTENDED RELEASE",58.6,22.85,,,0
NDC,0406-8515-62,OXYCODONE 15 MG TABLET,18.2,7.1,,,0
NDC,0406-8530-01,OXYCODONE 30 MG TABLET,55.1,21.49,,,0
NDC,0406-8530-62,OXYCODONE 30 MG TABLET,68.9,26.87,,,0
NDC,0406-8891-01,DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET,52.6,20.51,,,0
NDC,0406-9100-76,FENTANYL 100 MCG/HR TRANSDERMAL PATCH,409.3,159.63,,,0
NDC,0406-9112-76,FENTANYL 12 MCG/HR TRANSDERMAL PATCH,155.8,60.76,,,0
NDC,0406-9125-76,FENTANYL 25 MCG/HR TRANSDERMAL PATCH,110.7,43.17,,,0
NDC,0406-9150-76,FENTANYL 50 MCG/HR TRANSDERMAL PATCH,202.2,78.86,,,0
NDC,0406-9960-01,TEMAZEPAM 7.5 MG CAPSULE,305.0,118.95,,,0
NDC,0406-9961-01,TEMAZEPAM 15 MG CAPSULE,11.6,4.52,,,0
NDC,0407-1401-52,IOHEXOL 140 MG IODINE/ML INTRAVENOUS SOLUTION,440.0,171.6,,,0
NDC,0407-1411-10,IOHEXOL 180 MG IODINE/ML INTRATHECAL SOLUTION,88.0,34.32,,,0
NDC,0407-1411-20,IOHEXOL 180 MG IODINE/ML INTRATHECAL SOLUTION,88.0,34.32,,,0
NDC,0407-1412-10,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION,33.0,12.87,,,0
NDC,0407-1412-20,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION,594.0,231.66,,,0
NDC,0407-1412-30,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION,165.0,64.35,,,0
NDC,0407-1412-33,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION,330.0,128.7,,,0
NDC,0407-1413-10,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,99.0,38.61,,,0
NDC,0407-1413-60,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,330.0,128.7,,,0
NDC,0407-1413-61,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,165.0,64.35,,,0
NDC,0407-1413-63,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,330.0,128.7,,,0
NDC,0407-1413-65,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,495.0,193.05,,,0
NDC,0407-1413-86,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,165.0,64.35,,,0
NDC,0407-1413-87,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,330.0,128.7,,,0
NDC,0407-1414-72,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,330.0,128.7,,,0
NDC,0407-1414-76,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,412.5,160.88,,,0
NDC,0407-1414-82,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,165.0,64.35,,,0
NDC,0407-1414-89,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,165.0,64.35,,,0
NDC,0407-1414-90,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,247.5,96.52,,,0
NDC,0407-1414-91,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,330.0,128.7,,,0
NDC,0407-1414-93,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,495.0,193.05,,,0
NDC,0407-1414-94,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,660.0,257.4,,,0
NDC,0407-1414-98,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,247.5,96.52,,,0
NDC,0407-2223-17,IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION,330.0,128.7,,,0
NDC,0407-2223-64,IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION,330.0,128.7,,,0
NDC,0407-2707-03,PERFLUTREN PROTEIN-TYPE A MICROSPHERES 0.22 MG/ML INTRAVENOUS SUSP,1940.4,756.76,,,0
NDC,0407-2707-18,PERFLUTREN PROTEIN-TYPE A MICROSPHERES 0.22 MG/ML INTRAVENOUS SUSP,822.3,320.7,,,0
NDC,0409-0001-01,MIDAZOLAM 1 MG/ML INJ (WRAPPED),19.6,7.64,,,0
NDC,0409-0007-01,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",19.6,7.64,,,0
NDC,0409-0120-01,DAPTOMYCIN 350 MG INTRAVENOUS SOLUTION,732.1,285.52,,,0
NDC,0409-0125-25,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,0409-0147-01,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION",28.6,11.15,,,0
NDC,0409-0152-24,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,19.6,7.64,,,0
NDC,0409-0181-01,GEMCITABINE 1 GRAM/26.3 ML (38 MG/ML) INTRAVENOUS SOLUTION,348.3,135.84,,,0
NDC,0409-0182-01,GEMCITABINE 2 GRAM/52.6 ML (38 MG/ML) INTRAVENOUS SOLUTION,696.6,271.67,,,0
NDC,0409-0183-01,GEMCITABINE 200 MG/5.26 ML (38 MG/ML) INTRAVENOUS SOLUTION,143.6,56.0,,,0
NDC,0409-0201-10,DOCETAXEL 80 MG/8 ML (10 MG/ML) INTRAVENOUS SOLUTION,2497.0,973.83,,,0
NDC,0409-0201-20,DOCETAXEL 80 MG/8 ML (10 MG/ML) INTRAVENOUS SOLUTION,2689.9,1049.06,,,0
NDC,0409-0302-01,TOPOTECAN 4 MG/4 ML (1 MG/ML) INTRAVENOUS SOLUTION,864.7,337.23,,,0
NDC,0409-0528-25,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,50.4,19.66,,,0
NDC,0409-0805-01,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,19.6,7.64,,,0
NDC,0409-0830-01,AZTREONAM 2 GRAM SOLUTION FOR INJECTION,571.8,223.0,,,0
NDC,0409-1067-20,MEPIVACAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,19.6,7.64,,,0
NDC,0409-1080-51,DEXTROSE 5 % FLUSH (FOR USE WITH MEDS INCOMPATIBLE WITH SALINE),24.8,9.67,,,0
NDC,0409-1140-01,ARGATROBAN 100 MG/ML INTRAVENOUS SOLUTION,1893.7,738.54,,,0
NDC,0409-1141-02,SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,0409-1144-05,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,250.9,97.85,,,0
NDC,0409-1144-10,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,125.5,48.94,,,0
NDC,0409-1159-01,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,19.6,7.64,,,0
NDC,0409-1159-02,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,38.0,14.82,,,0
NDC,0409-1159-10,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,19.6,7.64,,,0
NDC,0409-1159-18,BUPIVACAINE (PF) 0.125 % (1.25 MG/ML) INJECTION SOLUTION OR MIXTURE (CUSTOM),19.6,7.64,,,0
NDC,0409-1160-01,BUPIVACAINE HCL 0.25 % (2.5 MG/ML) INJECTION SOLUTION,19.6,7.64,,,0
NDC,0409-1162-01,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,19.6,7.64,,,0
NDC,0409-1162-02,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,19.6,7.64,,,0
NDC,0409-1162-09,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,19.6,7.64,,,0
NDC,0409-1162-10,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,19.6,7.64,,,0
NDC,0409-1163-01,BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION,19.6,7.64,,,0
NDC,0409-1171-01,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,0409-1176-30,MEPERIDINE (PF) 25 MG/ML INJECTION SYRINGE,51.6,20.12,,,0
NDC,0409-1178-30,MEPERIDINE (PF) 50 MG/ML INJECTION SYRINGE,32.3,12.6,,,0
NDC,0409-1207-03,GENTAMICIN 40 MG/ML INJECTION SOLUTION,30.3,11.82,,,0
NDC,0409-1207-25,GENTAMICIN 40 MG/ML INJECTION SOLUTION,53.5,20.86,,,0
NDC,0409-1209-01,"LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200,000 INJECTION SOLUTION",19.6,7.64,,,0
NDC,0409-1215-01,NALOXONE 0.4 MG/ML INJECTION SOLUTION,27.1,10.57,,,0
NDC,0409-1219-01,NALOXONE 20 MG/50 ML (400 MCG/ML) INFUSION SIMPLE (0.4 MG/ML INGREDIENT),4138.1,1613.86,,,0
NDC,0409-1273-32,DIAZEPAM 5 MG/ML INJECTION SYRINGE,143.8,56.08,,,0
NDC,0409-1283-03,HYDROMORPHONE 1 MG/ML INJECTION (WRAPPED),20.7,8.07,,,0
NDC,0409-1283-05,HYDROMORPHONE 0.5 MG/0.5 ML INJECTION SYRINGE,29.5,11.5,,,0
NDC,0409-1283-31,HYDROMORPHONE 1 MG/ML INJECTION SYRINGE,19.6,7.64,,,0
NDC,0409-1283-37,HYDROMORPHONE 1 MG/ML INJECTION SYRINGE,46.1,17.98,,,0
NDC,0409-1312-30,HYDROMORPHONE 2 MG/ML INJECTION (WRAPPED),19.6,7.64,,,0
NDC,0409-1319-01,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,324.7,126.63,,,0
NDC,0409-1323-05,LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE,56.5,22.04,,,0
NDC,0409-1390-51,MEROPENEM 500 MG INTRAVENOUS SOLUTION,88.0,34.32,,,0
NDC,0409-1391-22,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,176.9,68.99,,,0
NDC,0409-1403-10,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,31.47,12.27,,,0
NDC,0409-1412-04,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,0409-1463-01,NALBUPHINE 10 MG/ML INJECTION SOLUTION,38.1,14.86,,,0
NDC,0409-1463-49,NALBUPHINE 10 MG/ML INJECTION SOLUTION,37.8,14.74,,,0
NDC,0409-1464-01,NALBUPHINE 10 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,0409-1467-01,NALBUPHINE 20 MG/ML INJECTION SOLUTION,24.9,9.71,,,0
NDC,0409-1482-02,NITROGLYCERIN 50 MG/250 ML (200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS,27.6,10.76,,,0
NDC,0409-1541-10,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",99.2,38.69,,,0
NDC,0409-1559-10,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,150.7,58.77,,,0
NDC,0409-1559-30,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,19.6,7.64,,,0
NDC,0409-1560-10,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,31.1,12.13,,,0
NDC,0409-1560-29,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,30.6,11.93,,,0
NDC,0409-1596-10,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,427.0,166.53,,,0
NDC,0409-1610-50,BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION,19.6,7.64,,,0
NDC,0409-1623-01,BUTORPHANOL 1 MG/ML INJECTION SOLUTION,69.7,27.18,,,0
NDC,0409-1626-01,BUTORPHANOL 2 MG/ML INJECTION SOLUTION,85.3,33.27,,,0
NDC,0409-1630-10,ATROPINE 0.1 MG/ML INJECTION SYRINGE,43.9,17.12,,,0
NDC,0409-1631-10,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE,27.0,10.53,,,0
NDC,0409-1632-49,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,38.0,14.82,,,0
NDC,0409-1638-02,DEXMEDETOMIDINE 4 MCG/ML IV SYRINGE - 2ML,54.5,21.26,,,0
NDC,0409-1660-10,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,427.0,166.53,,,0
NDC,0409-1660-20,DEXMEDETOMIDINE 80 MCG/20 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,226.5,88.34,,,0
NDC,0409-1660-50,DEXMEDETOMIDINE 200 MCG/50 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,30.7,11.97,,,0
NDC,0409-1746-10,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",19.6,7.64,,,0
NDC,0409-1746-30,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",33.1,12.91,,,0
NDC,0409-1749-10,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",116.5,45.44,,,0
NDC,0409-1749-29,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",64.3,25.08,,,0
NDC,0409-1752-50,"BUPIVACAINE-EPINEPHRINE 0.25 %-1:200,000 INJECTION SOLUTION",87.2,34.01,,,0
NDC,0409-1761-02,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION,19.6,7.64,,,0
NDC,0409-1778-05,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,0409-1886-02,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION (FOR IV PUSH),33.3,12.99,,,0
NDC,0409-1890-01,MORPHINE 2 MG/ML INJECTION (WRAPPED),19.6,7.64,,,0
NDC,0409-1890-23,MORPHINE 2 MG/ML INJECTION (WRAPPED),36.7,14.31,,,0
NDC,0409-1891-01,MORPHINE 4 MG/ ML INJECTION (WRAPPED),19.6,7.64,,,0
NDC,0409-1891-23,MORPHINE 4 MG/ ML INJECTION (WRAPPED),40.6,15.83,,,0
NDC,0409-1893-01,MORPHINE 10 MG/ML INJECTION (WRAPPED),49.3,19.23,,,0
NDC,0409-1902-01,PROCAINAMIDE 100 MG/ML INJECTION SOLUTION,1860.9,725.75,,,0
NDC,0409-1966-07,"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION",19.6,7.64,,,0
NDC,0409-1966-12,"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION",19.6,7.64,,,0
NDC,0409-1985-30,LORAZEPAM 2 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,0409-2011-05,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,33.3,12.99,,,0
NDC,0409-2011-25,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION (FOR IV PUSH),33.3,12.99,,,0
NDC,0409-2016-10,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,0409-2045-10,MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK,136.7,53.31,,,0
NDC,0409-2050-20,MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) IN WATER INTRAVENOUS SOLUTION,51.3,20.01,,,0
NDC,0409-2051-05,KETAMINE 100 MG/ML INJECTION SOLUTION,21.4,8.35,,,0
NDC,0409-2066-05,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,23.4,9.13,,,0
NDC,0409-2220-01,LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,36.3,14.16,,,0
NDC,0409-2222-12,"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN NS",136.7,53.31,,,0
NDC,0409-2267-20,LABETALOL INFUSION 5 MG/ML (SIMPLE),128.1,49.96,,,0
NDC,0409-2267-54,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,0409-2300-24,CIPROFLOXACIN 200 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,27.4,10.69,,,0
NDC,0409-2305-05,MIDAZOLAM 1 MG/ML INJ (WRAPPED),19.6,7.64,,,0
NDC,0409-2305-17,MIDAZOLAM 1 MG/ML INJ (WRAPPED),19.6,7.64,,,0
NDC,0409-2305-21,MIDAZOLAM 1 MG/ML INJ (WRAPPED),17.8,6.94,,,0
NDC,0409-2305-50,MIDAZOLAM 1 MG/ML INJ (WRAPPED),19.6,7.64,,,0
NDC,0409-2308-01,MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION,19.9,7.76,,,0
NDC,0409-2308-02,MIDAZOLAM (VERSED) 5 MG/ML NASAL ROUTE ONLY,19.6,7.64,,,0
NDC,0409-2308-49,MIDAZOLAM (VERSED) 5 MG/ML NASAL ROUTE ONLY,19.6,7.64,,,0
NDC,0409-2308-50,MIDAZOLAM 5 MG/ML INJ (WRAPPED),19.6,7.64,,,0
NDC,0409-2337-25,DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION,41.5,16.18,,,0
NDC,0409-2339-34,LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS SYRINGE,38.8,15.13,,,0
NDC,0409-2344-02,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION,474.2,184.94,,,0
NDC,0409-2344-88,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION,234.4,91.42,,,0
NDC,0409-2347-32,"DOBUTAMINE 500 MG/250 ML (2,000 MCG/ML) IN 5 % DEXTROSE IV",179.4,69.97,,,0
NDC,0409-2552-01,HYDROMORPHONE 1 MG/ML INJECTION (WRAPPED),23.2,9.05,,,0
NDC,0409-2585-01,CEFAZOLIN 1 GRAM INTRAVENOUS SOLUTION,46.7,18.21,,,0
NDC,0409-2596-03,MIDAZOLAM 5 MG/ML INJ (WRAPPED),459.1,179.05,,,0
NDC,0409-2596-05,MIDAZOLAM 5 MG/ML INJ (WRAPPED),64.3,25.08,,,0
NDC,0409-2634-01,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,36.7,14.31,,,0
NDC,0409-2634-05,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,93.1,36.31,,,0
NDC,0409-2689-01,AMPICILLIN-SULBACTAM 1.5 GRAM INTRAVENOUS SOLUTION,46.0,17.94,,,0
NDC,0409-2720-01,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",50.8,19.81,,,0
NDC,0409-2720-02,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",34.6,13.49,,,0
NDC,0409-2720-03,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",19.6,7.64,,,0
NDC,0409-2721-01,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION",28.2,11.0,,,0
NDC,0409-2723-01,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",19.6,7.64,,,0
NDC,0409-2776-23,MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK,136.7,53.31,,,0
NDC,0409-2987-03,AMPICILLIN-SULBACTAM IVPB 3 G/100 ML NS (SIMPLE),62.7,24.45,,,0
NDC,0409-3024-01,NITROPRUSSIDE 100 MCG/ML IN 250 ML D5W (CATHLAB),22.5,8.78,,,0
NDC,0409-3150-20,"HEPARIN (PORCINE) 25,000 UNIT/500 ML IN 0.45 % SODIUM CHLORIDE IV SOLN",76.9,29.99,,,0
NDC,0409-3164-12,"MAGNESIUM SULFATE 40 GRAM/1,000 ML (4 %) IN WATER INTRAVENOUS SOLUTION",68.4,26.68,,,0
NDC,0409-3177-01,"LIDOCAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION",32.9,12.83,,,0
NDC,0409-3178-01,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",20.4,7.96,,,0
NDC,0409-3178-02,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",48.5,18.92,,,0
NDC,0409-3178-03,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",15.8,6.16,,,0
NDC,0409-3181-01,"LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200,000 INJECTION SOLUTION",63.4,24.73,,,0
NDC,0409-3182-01,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION",19.6,7.64,,,0
NDC,0409-3183-01,"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION",38.8,15.13,,,0
NDC,0409-3189-10,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,50.8,19.81,,,0
NDC,0409-3213-09,DIAZEPAM 5 MG/ML INJECTION SYRINGE,19.6,7.64,,,0
NDC,0409-3294-51,POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,0409-3299-05,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,0409-3299-06,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,0409-3299-25,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,30.3,11.82,,,0
NDC,0409-3300-01,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,25.7,10.02,,,0
NDC,0409-3300-24,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,34.2,13.34,,,0
NDC,0409-3301-10,DEXMEDETOMIDINE 80 MCG/20 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,226.5,88.34,,,0
NDC,0409-3308-03,ACETYLCYSTEINE 200 MG/ML (20 %) RESPIRATORY SOLUTION,118.3,46.14,,,0
NDC,0409-3330-01,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,50.4,19.66,,,0
NDC,0409-3365-01,HYDROMORPHONE 2 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,0409-3365-10,HYDROMORPHONE 2 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,0409-3375-04,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,192.0,74.88,,,0
NDC,0409-3379-04,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION (ADV),109.4,42.67,,,0
NDC,0409-3382-21,SUFENTANIL CITRATE 50 MCG/ML INTRAVENOUS SOLUTION,32.3,12.6,,,0
NDC,0409-3390-04,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,119.1,46.45,,,0
NDC,0409-3414-01,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,0409-3414-21,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,0409-3505-01,MEROPENEM 500 MG INTRAVENOUS SOLUTION,49.6,19.34,,,0
NDC,0409-3506-01,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,99.6,38.84,,,0
NDC,0409-3515-01,VANCOMYCIN 1.5 GRAM INTRAVENOUS SOLUTION,208.0,81.12,,,0
NDC,0409-3515-11,VANCOMYCIN 1.5 GRAM INTRAVENOUS SOLUTION,208.0,81.12,,,0
NDC,0409-3532-01,PEMETREXED DISODIUM 25 MG/ML INTRAVENOUS SOLUTION,5054.4,1971.22,,,0
NDC,0409-3578-01,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,0409-3613-01,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION,19.6,7.64,,,0
NDC,0409-3793-01,KETOROLAC 15 MG/ML INJECTION SOLUTION,25.7,10.02,,,0
NDC,0409-3795-01,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,55.8,21.76,,,0
NDC,0409-3796-01,KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION,19.6,7.64,,,0
NDC,0409-3814-12,MORPHINE (PF) 0.5 MG/ML INJECTION SOLUTION,172.1,67.12,,,0
NDC,0409-3815-12,MORPHINE (PF) 1 MG/ML INJECTION SOLUTION,170.7,66.57,,,0
NDC,0409-3977-03,"WATER FOR INJECTION, BACTERIOSTATIC INJECTION SOLUTION",19.6,7.64,,,0
NDC,0409-4031-01,MANNITOL 25 % INTRAVENOUS SOLUTION,25.2,9.83,,,0
NDC,0409-4092-01,CUPRIC CHLORIDE 0.4 MG/ML INTRAVENOUS SOLUTION,162.5,63.38,,,0
NDC,0409-4264-01,HYDROMORPHONE 0.5 MG/0.5 ML INJECTION SYRINGE,27.2,10.61,,,0
NDC,0409-4276-01,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,19.6,7.64,,,0
NDC,0409-4276-02,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,19.6,7.64,,,0
NDC,0409-4276-16,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,19.6,7.64,,,0
NDC,0409-4276-17,LIDOCAINE 10 MG/ML (1%) INJECTION (WC),19.6,7.64,,,0
NDC,0409-4277-01,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,19.6,7.64,,,0
NDC,0409-4277-16,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,19.6,7.64,,,0
NDC,0409-4277-17,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,19.6,7.64,,,0
NDC,0409-4278-01,LIDOCAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,36.8,14.35,,,0
NDC,0409-4279-02,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,28.0,10.92,,,0
NDC,0409-4282-02,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,30.9,12.05,,,0
NDC,0409-4283-01,LIDOCAINE (PF) 40 MG/ML (4 %) INJECTION SOLUTION,19.6,7.64,,,0
NDC,0409-4332-01,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,69.7,27.18,,,0
NDC,0409-4346-73,AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION,248.7,96.99,,,0
NDC,0409-4350-03,DILTIAZEM 100 MG INTRAVENOUS SOLUTION,97.5,38.02,,,0
NDC,0409-4444-01,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,30.8,12.01,,,0
NDC,0409-4444-24,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,30.8,12.01,,,0
NDC,0409-4520-30,"HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV",94.0,36.66,,,0
NDC,0409-4688-18,FLUCONAZOLE 100 MG/50 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,94.4,36.82,,,0
NDC,0409-4698-01,LIDOCAINE HCL 4 % LARYNGOTRACHEAL SOLUTION,31.2,12.17,,,0
NDC,0409-4699-24,PROPOFOL INFUSION 10 MG/ML,77.5,30.22,,,0
NDC,0409-4699-30,PROPOFOL INFUSION 10 MG/ML,55.4,21.61,,,0
NDC,0409-4699-33,PROPOFOL INFUSION 10 MG/ML,19.6,7.64,,,0
NDC,0409-4713-02,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,19.6,7.64,,,0
NDC,0409-4713-32,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,19.6,7.64,,,0
NDC,0409-4755-03,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,9.8,3.82,,,0
NDC,0409-4777-02,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,29.1,11.35,,,0
NDC,0409-4902-34,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE,313.5,122.26,,,0
NDC,0409-4903-34,LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE,53.6,20.9,,,0
NDC,0409-4911-34,ATROPINE 0.1 MG/ML INJECTION SYRINGE,118.5,46.22,,,0
NDC,0409-4921-20,EPINEPHRINE 0.1 MG/ML (IV/IO)(NICU CODE NARRATOR),19.6,7.64,,,0
NDC,0409-4921-34,EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE,89.5,34.9,,,0
NDC,0409-4928-34,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE,146.1,56.98,,,0
NDC,0409-4933-01,EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE,87.2,34.01,,,0
NDC,0409-5017-01,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,231.9,90.44,,,0
NDC,0409-5082-16,CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION,36.5,14.24,,,0
NDC,0409-5084-11,CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION,81.6,31.82,,,0
NDC,0409-5160-10,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,60.6,23.63,,,0
NDC,0409-5534-14,SODIUM BICARBONATE 4.2 % (0.5 MEQ/ML) INTRAVENOUS SYRINGE,48.0,18.72,,,0
NDC,0409-5555-01,SODIUM BICARBONATE 0.5 MEQ/ML ORAL SYRINGE,33.3,12.99,,,0
NDC,0409-5555-02,SODIUM BICARBONATE 4.2 % INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,0409-5555-12,SODIUM BICARBONATE 0.5 MEQ/ML ORAL SYRINGE,27.4,10.69,,,0
NDC,0409-5820-01,DOPAMINE 200 MG/5 ML (40 MG/ML) INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,0409-5921-01,AMINOPHYLLINE 250 MG/10 ML INTRAVENOUS SOLUTION,31.1,12.13,,,0
NDC,0409-5922-01,AMINOPHYLLINE 500 MG/20 ML INTRAVENOUS SOLUTION,100.0,39.0,,,0
NDC,0409-6102-02,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,35.8,13.96,,,0
NDC,0409-6102-04,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,50.1,19.54,,,0
NDC,0409-6102-10,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,49.9,19.46,,,0
NDC,0409-6102-20,FUROSEMIDE 500 MG/50 ML (10 MG/ML) INFUSION (SIMPLE),249.4,97.27,,,0
NDC,0409-6102-25,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,87.7,34.2,,,0
NDC,0409-6102-26,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,25.1,9.79,,,0
NDC,0409-6102-27,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,42.7,16.65,,,0
NDC,0409-6102-36,FUROSEMIDE 2 MG/ML IN NS IV SYRINGE (NEONATE)SIMPLE,19.6,7.64,,,0
NDC,0409-6138-03,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,38.6,15.05,,,0
NDC,0409-6476-44,ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION,722.0,281.58,,,0
NDC,0409-6482-01,ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION,407.5,158.92,,,0
NDC,0409-6510-01,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,259.1,101.05,,,0
NDC,0409-6531-01,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,57.1,22.27,,,0
NDC,0409-6531-02,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,84.0,32.76,,,0
NDC,0409-6533-01,VANCOMYCIN IVPB 1500 MG/250 ML NS (SIMPLE),62.7,24.45,,,0
NDC,0409-6533-21,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",278.1,108.46,,,0
NDC,0409-6533-31,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",137.7,53.7,,,0
NDC,0409-6533-49,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",31.5,12.28,,,0
NDC,0409-6533-59,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",31.9,12.44,,,0
NDC,0409-6534-01,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,46.4,18.1,,,0
NDC,0409-6535-01,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",71.6,27.92,,,0
NDC,0409-6625-14,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,83.3,32.49,,,0
NDC,0409-6625-35,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,156.3,60.96,,,0
NDC,0409-6629-12,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,66.2,25.82,,,0
NDC,0409-6635-01,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,20.2,7.88,,,0
NDC,0409-6637-14,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INTRAVENOUS SYRINGE,882.5,344.18,,,0
NDC,0409-6637-34,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INTRAVENOUS SYRINGE,92.7,36.15,,,0
NDC,0409-6648-02,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0409-6651-06,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,32.6,12.71,,,0
NDC,0409-6653-05,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,86.5,33.74,,,0
NDC,0409-6695-01,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,48.2,18.8,,,0
NDC,0409-6695-02,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,55.4,21.61,,,0
NDC,0409-6727-23,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,70.1,27.34,,,0
NDC,0409-6729-23,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,68.4,26.68,,,0
NDC,0409-6729-24,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,113.6,44.3,,,0
NDC,0409-6778-02,LORAZEPAM 2 MG/ML INJECTION SOLUTION,29.2,11.39,,,0
NDC,0409-7037-10,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,55.1,21.49,,,0
NDC,0409-7074-26,POTASSIUM CHLORIDE 10 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,41.9,16.34,,,0
NDC,0409-7075-26,POTASSIUM CHLORIDE 20 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,23.1,9.01,,,0
NDC,0409-7100-02,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS PIGGYBACK,53.7,20.94,,,0
NDC,0409-7100-67,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS PIGGYBACK,53.7,20.94,,,0
NDC,0409-7101-02,SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK,53.7,20.94,,,0
NDC,0409-7101-04,SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK,48.7,18.99,,,0
NDC,0409-7101-66,SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK,53.7,20.94,,,0
NDC,0409-7101-67,SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK,53.7,20.94,,,0
NDC,0409-7107-09,POTASSIUM CHLORIDE 20 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS,53.7,20.94,,,0
NDC,0409-7115-09,POTASSIUM CHLORIDE 20 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,53.7,20.94,,,0
NDC,0409-7139-09,"WATER FOR IRRIGATION, STERILE SOLUTION",32.6,12.71,,,0
NDC,0409-7171-17,ADULT 2-IN-1 PPN,315.0,122.85,,,0
NDC,0409-7241-61,EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION,19.6,7.64,,,0
NDC,0409-7295-01,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,126.4,49.3,,,0
NDC,0409-7299-73,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,27.4,10.69,,,0
NDC,0409-7332-01,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,19.6,7.64,,,0
NDC,0409-7332-20,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,19.6,7.64,,,0
NDC,0409-7333-04,CEFTRIAXONE 1 GRAM INTRAVENOUS SOLUTION,35.4,13.81,,,0
NDC,0409-7333-49,CEFTRIAXONE 1 GRAM INTRAVENOUS SOLUTION,37.0,14.43,,,0
NDC,0409-7335-03,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,24.8,9.67,,,0
NDC,0409-7335-20,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,24.8,9.67,,,0
NDC,0409-7335-21,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,24.8,9.67,,,0
NDC,0409-7336-04,CEFTRIAXONE 2 GRAM INTRAVENOUS SOLUTION,68.1,26.56,,,0
NDC,0409-7337-01,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION,19.6,7.64,,,0
NDC,0409-7337-20,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION,19.6,7.64,,,0
NDC,0409-7338-01,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION,19.6,7.64,,,0
NDC,0409-7338-20,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION,19.6,7.64,,,0
NDC,0409-7391-72,SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION,72.9,28.43,,,0
NDC,0409-7517-16,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE,153.3,59.79,,,0
NDC,0409-7620-03,"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV",234.9,91.61,,,0
NDC,0409-7620-59,"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN NS",119.6,46.64,,,0
NDC,0409-7650-30,"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN",121.7,47.46,,,0
NDC,0409-7809-11,"DOPAMINE 80 MG/50 ML D5W (1,600 MCG/ML) INFUSION (SIMPLE)",23.5,9.16,,,0
NDC,0409-7809-22,"DOPAMINE 400 MG/250 ML (1,600 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN",134.6,52.49,,,0
NDC,0409-7810-22,"DOPAMINE 160 MG/50 ML D5W (3,200 MCG/ML) INFUSION (SIMPLE)",35.1,13.69,,,0
NDC,0409-7811-37,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,19.6,7.64,,,0
NDC,0409-7853-01,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,427.0,166.53,,,0
NDC,0409-7902-09,POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,53.7,20.94,,,0
NDC,0409-7904-09,POTASSIUM CHLORIDE 40 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,53.7,20.94,,,0
NDC,0409-7922-03,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0409-7922-09,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0409-7926-09,DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0409-7926-48,DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0409-7930-03,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0409-7930-09,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0409-7941-09,DEXTROSE 5 % AND 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0409-7953-03,LACTATED RINGERS INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0409-7953-09,LACTATED RINGERS BOLUS,53.7,20.94,,,0
NDC,0409-7953-48,LACTATED RINGERS INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0409-7972-07,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,42.1,16.42,,,0
NDC,0409-7972-08,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,32.6,12.71,,,0
NDC,0409-7973-08,"WATER FOR IRRIGATION, STERILE SOLUTION",84.2,32.84,,,0
NDC,0409-7983-02,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0409-7983-03,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0409-7983-09,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0409-7983-53,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0409-7984-13,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0409-7984-20,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0409-7984-23,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0409-7984-36,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0409-7984-37,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0409-7985-09,1/2 NS (0.45% SODIUM CHLORIDE) (UAC),22.9,8.93,,,0
NDC,0409-8126-10,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",42.8,16.69,,,0
NDC,0409-9042-01,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",45.7,17.82,,,0
NDC,0409-9042-17,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",35.7,13.92,,,0
NDC,0409-9045-01,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",54.4,21.22,,,0
NDC,0409-9045-11,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",40.7,15.87,,,0
NDC,0409-9045-17,"BUPIVACAINE-EPINEPHRINE 0.5 %-1:100,000 INJECTION",19.6,7.64,,,0
NDC,0409-9093-11,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,0409-9093-35,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,203.7,79.44,,,0
NDC,0409-9093-37,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,0409-9094-22,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,0409-9094-25,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,19.8,7.72,,,0
NDC,0409-9094-28,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,95.9,37.4,,,0
NDC,0409-9094-31,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,33.2,12.95,,,0
NDC,0409-9094-41,FENTANYL 5000 MCG/100 ML (50 MCG/ML) INFUSION (SIMPLE),371.5,144.88,,,0
NDC,0409-9094-61,FENTANYL 5000 MCG/100 ML (50 MCG/ML) INFUSION (SIMPLE),371.5,144.88,,,0
NDC,0409-9157-01,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION SOLUTION,36.4,14.2,,,0
NDC,0409-9157-31,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION SOLUTION,36.4,14.2,,,0
NDC,0409-9158-01,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION,41.9,16.34,,,0
NDC,0409-9158-25,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION,409.9,159.86,,,0
NDC,0409-9300-10,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,19.6,7.64,,,0
NDC,0409-9558-05,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,0409-9558-10,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,61.2,23.87,,,0
NDC,0409-9558-49,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,94.5,36.86,,,0
NDC,0409-9558-50,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,42.4,16.54,,,0
NDC,0409-9558-70,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,36.4,14.2,,,0
NDC,0409-9566-10,CEFEPIME 1 GRAM SOLUTION FOR INJECTION,52.1,20.32,,,0
NDC,0409-9735-10,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,85.9,33.5,,,0
NDC,0414200007,SACCHAROMYCES BOULARDII 250 MG CAPSULE,6.8,2.65,,,0
NDC,0414200024,SACCHAROMYCES BOULARDII 250 MG CAPSULE,8.9,3.47,,,0
NDC,0414200032,SACCHAROMYCES BOULARDII 250 MG CAPSULE,6.9,2.69,,,0
NDC,0414200040,SACCHAROMYCES BOULARDII 250 MG ORAL POWDER PACKET,8.9,3.47,,,0
NDC,0430-3754-14,ESTRADIOL 0.01% (0.1 MG/GRAM) VAGINAL CREAM,2644.4,1031.32,,,0
NDC,0436-0672-16,SODIUM HYPOCHLORITE 0.125 % SOLUTION,83.5,32.56,,,0
NDC,0436-0936-16,SODIUM HYPOCHLORITE 0.25 % SOLUTION,83.5,32.56,,,0
NDC,0436-0946-16,SODIUM HYPOCHLORITE 0.5 % SOLUTION,83.5,32.56,,,0
NDC,0436960042,ARTIFICIAL SALIVA(CARBOXYMETHYLCELLULOSE-ELECTROLYTES) SPRAY PUMP,81.0,31.59,,,0
NDC,0440-8067-01,PHENAZOPYRIDINE 100 MG TABLET,6.4,2.5,,,0
NDC,0456-0400-10,CEFTAROLINE FOSAMIL 400 MG INTRAVENOUS SOLUTION,897.3,349.95,,,0
NDC,0456-0459-01,THYROID (PORK) 60 MG TABLET,13.0,5.07,,,0
NDC,0456-0600-10,CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLUTION,1794.5,699.86,,,0
NDC,0456-1201-30,LINACLOTIDE 145 MCG CAPSULE,145.3,56.67,,,0
NDC,0456-1202-30,LINACLOTIDE 290 MCG CAPSULE,145.3,56.67,,,0
NDC,0456-1203-30,LINACLOTIDE 72 MCG CAPSULE,290.5,113.3,,,0
NDC,0456-1402-30,NEBIVOLOL 2.5 MG TABLET,98.2,38.3,,,0
NDC,0456-1405-63,NEBIVOLOL 5 MG TABLET,96.6,37.67,,,0
NDC,0456-1410-90,NEBIVOLOL 10 MG TABLET,98.2,38.3,,,0
NDC,0456-2700-10,CEFTAZIDIME-AVIBACTAM 2.5 GRAM INTRAVENOUS SOLUTION,1720.6,671.03,,,0
NDC,0456-4300-01,FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET,700.1,273.04,,,0
NDC,0469-0420-01,ISAVUCONAZONIUM SULFATE 372 MG INTRAVENOUS SOLUTION,2748.9,1072.07,,,0
NDC,0469-0520-00,ISAVUCONAZONIUM SULFATE 186 MG CAPSULE,1420.0,553.8,,,0
NDC,0469-0520-02,ISAVUCONAZONIUM SULFATE 186 MG CAPSULE,1775.6,692.48,,,0
NDC,0469-1330-50,TACROLIMUS 1 MG ORAL GRANULES IN PACKET,119.1,46.45,,,0
NDC,0469-3016-01,TACROLIMUS 5 MG/ML INTRAVENOUS SOLUTION,479.2,186.89,,,0
NDC,0469-3051-30,AMPHOTERICIN B LIPOSOME 50 MG INTRAVENOUS SUSPENSION,21298.8,8306.53,,,0
NDC,0469-3211-10,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION,1303.4,508.33,,,0
NDC,0469-3211-99,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION,1303.4,508.33,,,0
NDC,0469-3250-10,MICAFUNGIN 50 MG INTRAVENOUS SOLUTION,1955.1,762.49,,,0
NDC,0469-3425-10,ZOLBETUXIMAB-CLZB 100 MG INTRAVENOUS SOLUTION,89856.0,35043.84,,,0
NDC,0469-6501-89,REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE,969.8,378.22,,,0
NDC,0472-0166-15,"NYSTATIN 100,000 UNIT/GRAM TOPICAL OINTMENT",134.3,52.38,,,0
NDC,0472-0242-60,PERMETHRIN 5 % TOPICAL CREAM,949.4,370.27,,,0
NDC,0472-0321-26,HYDROCORTISONE 1 % TOPICAL CREAM,29.0,11.31,,,0
NDC,0472-0371-15,BETAMETHASONE VALERATE 0.1 % TOPICAL OINTMENT,160.3,62.52,,,0
NDC,0472-1105-56,BACITRACIN TOPICAL OINTMENT (WRAPPED),38.5,15.02,,,0
NDC,0480-3290-01,PACLITAXEL PROTEIN-BOUND 100 MG INTRAVENOUS SUSPENSION,18071.1,7047.73,,,0
NDC,0480-3479-06,LUBIPROSTONE 8 MCG CAPSULE,54.1,21.1,,,0
NDC,0480-4138-06,LUBIPROSTONE 24 MCG CAPSULE,54.1,21.1,,,0
NDC,0486-1111-01,"POTASSIUM PHOSPHATE, MONOBASIC 500 MG SOLUBLE TABLET",4.8,1.87,,,0
NDC,0486112501,SODIUM DI- AND MONOPHOSPHATE-POTASSIUM PHOS MONOBASIC 250 MG TABLET,6.5,2.54,,,0
NDC,0487-0201-01,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,17.0,6.63,,,0
NDC,0487-2784-01,RACEPINEPHRINE 2.25 % SOLUTION FOR NEBULIZATION,19.2,7.49,,,0
NDC,0487-5901-99,RACEPINEPHRINE 2.25 % SOLUTION FOR NEBULIZATION,38.4,14.98,,,0
NDC,0487-9301-03,SODIUM CHLORIDE 0.9 % FOR NEBULIZATION,4.8,1.87,,,0
NDC,0487-9301-33,SODIUM CHLORIDE 0.9 % FOR NEBULIZATION,5.6,2.18,,,0
NDC,0487-9501-01,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,6.2,2.42,,,0
NDC,0487-9501-03,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,6.2,2.42,,,0
NDC,0487-9501-25,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,6.2,2.42,,,0
NDC,0487-9601-01,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,72.8,28.39,,,0
NDC,0487-9701-01,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,85.7,33.42,,,0
NDC,0487-9701-30,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,96.2,37.52,,,0
NDC,0487-9801-01,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,4.8,1.87,,,0
NDC,0487-9801-25,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,10.2,3.98,,,0
NDC,0487-9801-30,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,20.3,7.92,,,0
NDC,0487-9901-30,ALBUTEROL SULFATE CONCENTRATE 2.5 MG/0.5 ML SOLUTION FOR NEBULIZATION,20.8,8.11,,,0
NDC,0487-9904-25,ALBUTEROL SULFATE 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,12.8,4.99,,,0
NDC,0487900330,SODIUM CHLORIDE 3 % FOR NEBULIZATION,6.2,2.42,,,0
NDC,0487900360,SODIUM CHLORIDE 3 % FOR NEBULIZATION,4.8,1.87,,,0
NDC,0487900730,SODIUM CHLORIDE 7 % FOR NEBULIZATION,6.2,2.42,,,0
NDC,0487900760,SODIUM CHLORIDE 7 % FOR NEBULIZATION,4.8,1.87,,,0
NDC,0496-0882-05,LIDOCAINE 4 % TOPICAL CREAM,35.6,13.88,,,0
NDC,0496-0882-06,LIDOCAINE 4 % TOPICAL CREAM,35.6,13.88,,,0
NDC,0496-0882-15,LIDOCAINE 4 % TOPICAL CREAM,123.6,48.2,,,0
NDC,0501-3712-05,"NEOMYCIN-POLYMYXIN-PRAMOXINE 3.5 MG-10,000 UNIT-10 MG/GRAM TOP CREAM",24.7,9.63,,,0
NDC,05042100883,NDC Description Not Available,40.36,15.74,,,0
NDC,05042100884,NDC Description Not Available,52.635,20.525,,,0
NDC,0517-0031-25,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",59.7,23.28,,,0
NDC,0517-0301-10,METHYLENE BLUE (ANTIDOTE) 1 % (10 MG/ML) INTRAVENOUS SOLUTION,266.9,104.09,,,0
NDC,0517-0374-05,METHYLENE BLUE (ANTIDOTE) 5 MG/ML INTRAVENOUS SOLUTION,1552.1,605.32,,,0
NDC,0517-0375-10,INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) INJECTION SOLUTION,61.5,23.98,,,0
NDC,0517-0381-05,METHYLENE BLUE (ANTIDOTE) 5 MG/ML INTRAVENOUS SOLUTION,200.2,78.08,,,0
NDC,0517-0401-25,ATROPINE 0.4 MG/ML INJECTION SOLUTION,30.0,11.7,,,0
NDC,0517-0602-01,FERRIC CARBOXYMALTOSE 100 MG IRON/2 ML INTRAVENOUS SOLUTION,13685.6,5337.38,,,0
NDC,0517-0650-01,FERRIC CARBOXYMALTOSE 50 MG IRON/ML INTRAVENOUS SOLUTION,10264.0,4002.96,,,0
NDC,0517-0710-01,FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION,5149.6,2008.34,,,0
NDC,0517-0720-01,BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION,188.0,73.32,,,0
NDC,0517-0740-20,METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION,267.2,104.21,,,0
NDC,0517-0901-25,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,160.2,62.48,,,0
NDC,0517-0955-01,OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION,337.3,131.55,,,0
NDC,0517-0960-10,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",170.7,66.57,,,0
NDC,0517-1004-25,ATROPINE 0.4 MG/ML INJECTION SOLUTION,96.0,37.44,,,0
NDC,0517-1010-25,ATROPINE 1 MG/ML INJECTION SOLUTION,107.3,41.85,,,0
NDC,0517-1020-25,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION,427.0,166.53,,,0
NDC,0517-1171-10,EPINEPHRINE HCL (PF) 1 MG/ML (1 ML) INJECTION SOLUTION,127.8,49.84,,,0
NDC,0517-1820-01,CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION,683.2,266.45,,,0
NDC,0517-1980-05,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,333.1,129.91,,,0
NDC,0517-2051-25,POTASSIUM PHOSPHATE 3 MMOL/ML ORAL SOLUTION,97.5,38.02,,,0
NDC,0517-2102-25,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,191.2,74.57,,,0
NDC,0517-2310-05,IRON SUCROSE 200 MG/100 ML NS IVPB (SIMPLE),819.9,319.76,,,0
NDC,0517-2325-10,IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION,853.5,332.86,,,0
NDC,0517-2340-10,IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION,879.1,342.85,,,0
NDC,0517-2502-10,CAFFEINE-SODIUM BENZOATE 250 MG/ML(125 MG/ML CAFFEINE) INJECTION SOLN,311.8,121.6,,,0
NDC,0517-2710-25,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,158.5,61.82,,,0
NDC,0517-3030-01,EPINEPHRINE 1 MG/ML INJECTION SOLUTION,113.9,44.42,,,0
NDC,0517-4002-01,PAPAVERINE 30 MG/ML INJECTION SOLUTION,353.7,137.94,,,0
NDC,0517-4002-25,PAPAVERINE 30 MG/ML INJECTION SOLUTION,353.7,137.94,,,0
NDC,0517-4300-01,PACLITAXEL PROTEIN-BOUND 100 MG INTRAVENOUS SUSPENSION,9613.6,3749.3,,,0
NDC,0517-4601-01,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,222.1,86.62,,,0
NDC,0517-4601-25,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,111.1,43.33,,,0
NDC,0517-4602-25,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,98.3,38.34,,,0
NDC,0517-4605-25,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,75.2,29.33,,,0
NDC,0517-4810-01,NITROGLYCERIN 500 MCG/10 ML (50 MCG/ML) INJECTION VIAL,19.6,7.64,,,0
NDC,0517-4810-25,NITROGLYCERIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,132.8,51.79,,,0
NDC,0517-5601-25,HYDROXYZINE HCL 50 MG/ML INTRAMUSCULAR SOLUTION,137.8,53.74,,,0
NDC,0517-5602-25,HYDROXYZINE HCL 50 MG/ML INTRAMUSCULAR SOLUTION,379.5,148.0,,,0
NDC,0517-6710-10,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE,345.4,134.71,,,0
NDC,0517-7305-01,SODIUM PHOSPHATE 3 MMOL/ML FOR ORAL USE (PEDS),27.1,10.57,,,0
NDC,0517-7350-01,SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION,164.3,64.08,,,0
NDC,0517-7504-25,ACETYLCYSTEINE 100 MG/ML (10 %) SOLUTION,83.4,32.53,,,0
NDC,0517-7604-25,ACETYLCYSTEINE 200 MG/ML (20 %) RESPIRATORY SOLUTION,79.5,31.0,,,0
NDC,0517-9120-25,AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION,146.0,56.94,,,0
NDC,0517-9702-25,DROPERIDOL 2.5 MG/ML INJ (ED USE ONLY),90.8,35.41,,,0
NDC,0527-0586-01,DICYCLOMINE 10 MG CAPSULE,4.8,1.87,,,0
NDC,0527-0586-10,DICYCLOMINE 10 MG CAPSULE,4.8,1.87,,,0
NDC,0527-0766-37,DEXTROAMPHETAMINE-AMPHETAMINE 30 MG TABLET,13.2,5.15,,,0
NDC,0527-1050-01,ACETAZOLAMIDE 250 MG TABLET,25.3,9.87,,,0
NDC,0527-1282-01,DICYCLOMINE 20 MG TABLET,4.8,1.87,,,0
NDC,0527-1313-01,PILOCARPINE 5 MG TABLET,14.0,5.46,,,0
NDC,0527-1435-01,METAXALONE 800 MG TABLET,46.0,17.94,,,0
NDC,0527-1451-06,DRONABINOL 5 MG CAPSULE,188.1,73.36,,,0
NDC,0527-1552-01,BUTALBITAL-ASPIRIN-CAFFEINE 50 MG-325 MG-40 MG CAPSULE,13.1,5.11,,,0
NDC,0527-1695-01,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,13.0,5.07,,,0
NDC,0527-2133-35,"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE",1703.0,664.17,,,0
NDC,0527-2244-32,FEBUXOSTAT 40 MG TABLET,95.0,37.05,,,0
NDC,0527-2426-32,OLMESARTAN 20 MG TABLET,53.1,20.71,,,0
NDC,0527-4116-37,"PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE",31.6,12.32,,,0
NDC,0527-4117-37,"PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE",18.5,7.22,,,0
NDC,0527-4118-37,"PROPRANOLOL ER 120 MG CAPSULE,24 HR,EXTENDED RELEASE",22.9,8.93,,,0
NDC,0527-4593-13,OSELTAMIVIR 75 MG CAPSULE,118.6,46.25,,,0
NDC,0527-5125-70,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,177.2,69.11,,,0
NDC,0527-6004-80,LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION,24.8,9.67,,,0
NDC,0536-0015-83,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 400 MG-400 MG-40 MG/5 ML ORAL SUSP,0.2,0.08,,,0
NDC,0536-1004-41,"ASPIRIN 81 MG TABLET,DELAYED RELEASE",0.6,0.23,,,0
NDC,0536-1007-15,CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET,0.6,0.23,,,0
NDC,0536-1016-01,DIPHENHYDRAMINE 25 MG TABLET,0.6,0.23,,,0
NDC,0536-1047-10,SODIUM BICARBONATE 650 MG TABLET,0.6,0.23,,,0
NDC,0536-1048-15,CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET,0.6,0.23,,,0
NDC,0536-1052-24,POLYETHYLENE GLYCOL 3350 17 GRAM/DOSE ORAL POWDER,40.2,15.68,,,0
NDC,0536-1054-29,ASPIRIN 325 MG TABLET,0.6,0.23,,,0
NDC,0536-1057-75,BENZOYL PEROXIDE 5 % LOTION,15.4,6.01,,,0
NDC,0536-1118-25,CAPSAICIN 0.075 % TOPICAL CREAM,35.9,14.0,,,0
NDC,0536-1161-34,DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR,2.3,0.9,,,0
NDC,0536-1161-37,DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR,2.2,0.86,,,0
NDC,0536-1183-13,"FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION",126.1,49.18,,,0
NDC,0536-1183-99,"FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION",4.8,1.87,,,0
NDC,0536-1202-07,LIDOCAINE 4 % TOPICAL PATCH,8.4,3.28,,,0
NDC,0536-1202-15,LIDOCAINE 4 % TOPICAL PATCH,9.7,3.78,,,0
NDC,0536-1211-95,DIBUCAINE 1 % TOPICAL OINTMENT,37.6,14.66,,,0
NDC,0536-1214-29,DIPHENHYDRAMINE 25 MG TABLET,0.6,0.23,,,0
NDC,0536-1217-94,TETRAHYDROZOLINE 0.05 % EYE DROPS,12.1,4.72,,,0
NDC,0536-1223-08,SIMETHICONE 125 MG CHEWABLE TABLET,0.6,0.23,,,0
NDC,0536-1228-58,PHENOL 1.4 % MUCOSAL AEROSOL SPRAY,21.8,8.5,,,0
NDC,0536-1232-01,"ASPIRIN 325 MG TABLET,DELAYED RELEASE",0.6,0.23,,,0
NDC,0536-1234-41,"ASPIRIN 81 MG TABLET,DELAYED RELEASE",0.6,0.23,,,0
NDC,0536-1247-01,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET,0.6,0.23,,,0
NDC,0536-1247-10,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET,0.6,0.23,,,0
NDC,0536-1248-01,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET,0.6,0.23,,,0
NDC,0536-1248-10,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET,0.6,0.23,,,0
NDC,0536-1252-40,KETOTIFEN 0.025 % (0.035 %) EYE DROPS,44.9,17.51,,,0
NDC,0536-1256-28,BACITRACIN 500 UNIT/GRAM TOPICAL OINTMENT,8.7,3.39,,,0
NDC,0536-1264-56,CAPSAICIN 0.1 % TOPICAL CREAM,90.3,35.22,,,0
NDC,0536-1267-20,LIDOCAINE 4 % TOPICAL CREAM,39.3,15.33,,,0
NDC,0536-1268-12,CAMPHOR-MENTHOL 0.5 %-0.5 % LOTION,23.5,9.16,,,0
NDC,0536-1271-80,POVIDONE-IODINE 10 % TOPICAL OINTMENT,11.6,4.52,,,0
NDC,0536-1286-36,BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSPENSION,13.1,5.11,,,0
NDC,0536-1294-97,DICLOFENAC 1 % TOPICAL GEL,4.8,1.87,,,0
NDC,0536-1298-01,FAMOTIDINE 20 MG TABLET,0.6,0.23,,,0
NDC,0536-1303-75,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION",9.3,3.63,,,0
NDC,0536-1304-85,DOCUSATE SODIUM 50 MG/5 ML LIQUID (FOR OTIC USE ONLY),0.6,0.23,,,0
NDC,0536-1316-25,ZINC OXIDE 20 % TOPICAL OINTMENT,6.4,2.5,,,0
NDC,0536-1316-28,ZINC OXIDE 20 % TOPICAL OINTMENT,8.8,3.43,,,0
NDC,0536-1316-98,ZINC OXIDE 20 % TOPICAL OINTMENT,2.1,0.82,,,0
NDC,0536-1317-83,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP,0.3,0.12,,,0
NDC,0536-1318-83,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 400 MG-400 MG-40 MG/5 ML ORAL SUSP,0.6,0.23,,,0
NDC,0536-1325-94,POLYVINYL ALCOHOL 1.4 % EYE DROPS,0.6,0.23,,,0
NDC,0536-1327-01,ACETAMINOPHEN 325 MG TABLET,0.6,0.23,,,0
NDC,0536-1327-06,ACETAMINOPHEN 325 MG TABLET,0.6,0.23,,,0
NDC,0536-1327-10,ACETAMINOPHEN 325 MG TABLET,0.6,0.23,,,0
NDC,0536-1355-01,BISACODYL 10 MG RECTAL SUPPOSITORY,0.6,0.23,,,0
NDC,0536-1362-23,NICOTINE (POLACRILEX) 2 MG GUM,0.9,0.35,,,0
NDC,0536-1362-25,NICOTINE (POLACRILEX) 2 MG GUM,1.4,0.55,,,0
NDC,0536-1375-75,MICONAZOLE NITRATE 2 % TOPICAL CREAM,18.6,7.25,,,0
NDC,0536-1408-94,POLYVINYL ALCOHOL 1.4 % EYE DROPS,22.7,8.85,,,0
NDC,0536-2525-25,CAPSAICIN 0.025 % TOPICAL CREAM,53.4,20.83,,,0
NDC,0536-3029-25,NICOTINE (POLACRILEX) 2 MG GUM,1.4,0.55,,,0
NDC,0536-3029-34,NICOTINE (POLACRILEX) 2 MG GUM,2.0,0.78,,,0
NDC,0536-3556-01,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET",0.6,0.23,,,0
NDC,0536-4306-11,CALCIUM POLYCARBOPHIL 625 MG TABLET,4.8,1.87,,,0
NDC,0536-5894-53,NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH,8.5,3.32,,,0
NDC,0536-5894-88,NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH,7.3,2.85,,,0
NDC,0536-5895-88,NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH,7.3,2.85,,,0
NDC,0536134201,"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET",4.8,1.87,,,0
NDC,0536134380,CHOLECALCIFEROL (VITAMIN D3) 10 MCG/ML (400 UNIT/ML) ORAL DROPS,0.6,0.23,,,0
NDC,0536134480,FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS,0.6,0.23,,,0
NDC,0536135201,"VITAMIN E (DL, ACETATE) 180 MG (400 UNIT) CAPSULE",0.6,0.23,,,0
NDC,0536136601,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET",0.6,0.23,,,0
NDC,0536354710,MULTIVITAMIN WITH FOLIC ACID 400 MCG TABLET,0.6,0.23,,,0
NDC,0536408501,PRENATAL VIT NO.95-FERROUS FUMARATE 28 MG-FOLIC ACID 800 MCG TABLET,0.6,0.23,,,0
NDC,0536440601,PYRIDOXINE (VITAMIN B6) 25 MG TABLET,4.8,1.87,,,0
NDC,0536466038,THERAPEUTIC MULTIVITAMIN TABLET,4.8,1.87,,,0
NDC,0536509008,VIT A 300 MCG-C 200 MG-E 27 MG-LUTEIN 2 MG AND MINERALS TABLET,0.6,0.23,,,0
NDC,0548-5601-00,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,38.5,15.02,,,0
NDC,0548-5602-00,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,48.5,18.92,,,0
NDC,0548-5604-00,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,102.5,39.98,,,0
NDC,0548-5605-00,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,128.1,49.96,,,0
NDC,0548-5606-00,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,153.8,59.98,,,0
NDC,0548-5701-00,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SYRINGE,213.5,83.26,,,0
NDC,0548-5850-00,GLUCAGON HCL 1 MG/ML SOLUTION FOR INJECTION,1951.6,761.12,,,0
NDC,0548-5900-00,COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION,742.9,289.73,,,0
NDC,0548-9090-10,HYALURONIDASE 150 UNIT/ML INJECTION SOLUTION,476.6,185.87,,,0
NDC,0548-9502-00,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,1394.0,543.66,,,0
NDC,0555-0033-02,CHLORDIAZEPOXIDE 10 MG CAPSULE,4.8,1.87,,,0
NDC,0555-0158-02,CHLORDIAZEPOXIDE 5 MG CAPSULE,5.5,2.14,,,0
NDC,0555-0159-02,CHLORDIAZEPOXIDE 25 MG CAPSULE,4.8,1.87,,,0
NDC,0555-0572-02,METHOTREXATE SODIUM 2.5 MG TABLET,218.7,85.29,,,0
NDC,0555-0606-02,MEGESTROL 20 MG TABLET,66.0,25.74,,,0
NDC,0555-0607-02,MEGESTROL 40 MG TABLET,13.2,5.15,,,0
NDC,0555-0635-09,DANAZOL 200 MG CAPSULE,79.0,30.81,,,0
NDC,0555-0779-02,MEDROXYPROGESTERONE 10 MG TABLET,4.8,1.87,,,0
NDC,0555-0779-04,MEDROXYPROGESTERONE 10 MG TABLET,3.7,1.44,,,0
NDC,0555-0872-02,MEDROXYPROGESTERONE 2.5 MG TABLET,9.7,3.78,,,0
NDC,0555-0873-02,MEDROXYPROGESTERONE 5 MG TABLET,14.6,5.69,,,0
NDC,0555-0886-02,ESTRADIOL 1 MG TABLET,5.3,2.07,,,0
NDC,0555-0887-02,ESTRADIOL 2 MG TABLET,7.3,2.85,,,0
NDC,0555-9043-58,DESOGESTREL 0.15 MG-ETHINYL ESTRADIOL 0.03 MG TABLET,25.1,9.79,,,0
NDC,0555-9049-58,NORGESTREL 0.3 MG-ETHINYL ESTRADIOL 30 MCG TABLET,8.4,3.28,,,0
NDC,0573-0179-20,IBUPROFEN 100 MG CHEWABLE TABLET,1.3,0.51,,,0
NDC,0573-0556-20,WITCH HAZEL 50 % TOPICAL PADS,70.4,27.46,,,0
NDC,0573-2868-93,PHENYLEPHRINE 0.25 %-PRAMOXINE 1 %-GLYCERIN-WH.PETROLATUM RECTAL CREAM,51.4,20.05,,,0
NDC,0573029030,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,1.9,0.74,,,0
NDC,0574-0106-01,BROMOCRIPTINE 2.5 MG TABLET,115.3,44.97,,,0
NDC,0574-0106-03,BROMOCRIPTINE 2.5 MG TABLET,25.4,9.91,,,0
NDC,0574-0107-14,CLOTRIMAZOLE 10 MG TROCHE,9.0,3.51,,,0
NDC,0574-0107-70,CLOTRIMAZOLE 10 MG TROCHE,9.9,3.86,,,0
NDC,0574-0107-77,CLOTRIMAZOLE 10 MG TROCHE,8.8,3.43,,,0
NDC,0574-0115-01,FLAVOXATE 100 MG TABLET,17.0,6.63,,,0
NDC,0574-0275-05,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",13.9,5.42,,,0
NDC,0574-0275-11,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",10.2,3.98,,,0
NDC,0574-0292-01,AMILORIDE 5 MG TABLET,4.8,1.87,,,0
NDC,0574-0412-07,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,23.1,9.01,,,0
NDC,0574-0520-74,ACTIVATED CHARCOAL-SORBITOL 25 GRAM/120 ML ORAL SUSPENSION,383.9,149.72,,,0
NDC,0574-0521-74,ACTIVATED CHARCOAL 25 GRAM/120 ML ORAL SUSPENSION,128.0,49.92,,,0
NDC,0574-0521-76,ACTIVATED CHARCOAL 50 GRAM/240 ML ORAL SUSPENSION,273.4,106.63,,,0
NDC,0574-0791-01,METHAZOLAMIDE 50 MG TABLET,70.6,27.53,,,0
NDC,0574-0805-30,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,438.5,171.02,,,0
NDC,0574-0827-01,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL,60.2,23.48,,,0
NDC,0574-0850-05,DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION,915.6,357.08,,,0
NDC,0574-1133-04,SPIRONOLACTONE 25 MG/5 ML ORAL SUSPENSION,4.8,1.87,,,0
NDC,0574-2008-15,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER",148.8,58.03,,,0
NDC,0574-2042-30,LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM,138.8,54.13,,,0
NDC,0574-4024-35,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT,114.9,44.81,,,0
NDC,0574-4024-50,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT,66.7,26.01,,,0
NDC,0574-4031-25,"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION",29.1,11.35,,,0
NDC,0574-7034-12,ASPIRIN 300 MG RECTAL SUPPOSITORY,6.2,2.42,,,0
NDC,0574-7045-12,BELLADONNA ALKALOIDS-OPIUM 16.2 MG-30 MG RECTAL SUPPOSITORY,211.1,82.33,,,0
NDC,0574-7050-12,BISACODYL 10 MG RECTAL SUPPOSITORY,1.5,0.58,,,0
NDC,0574-7090-12,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,61.1,23.83,,,0
NDC,0574-7226-12,PROCHLORPERAZINE 25 MG RECTAL SUPPOSITORY,96.6,37.67,,,0
NDC,0574-9855-10,"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE",22.8,8.89,,,0
NDC,0574006915,DEXTROSE 40 % ORAL GEL,30.3,11.82,,,0
NDC,0574006930,DEXTROSE 40 % ORAL GEL SYRINGE (NEONATAL),4.8,1.87,,,0
NDC,0574007030,DEXTROSE 40 % ORAL GEL,30.3,11.82,,,0
NDC,0574030316,ORA-PLUS- COMPOUNDING VEHICLE SUSPENSION SUGAR-FREE NO.20 ORAL,1.2,0.47,,,0
NDC,0574030416,ORA-SWEET- COMPOUNDING VEHICLE SYRUP NO.23,0.4,0.16,,,0
NDC,0574031116,COMPOUNDING VEHICLE SUSPENSION NO.19 ORAL,0.4,0.16,,,0
NDC,0574050801,FERROUS GLUCONATE 324 MG (38 MG IRON) TABLET,0.6,0.23,,,0
NDC,0574050811,FERROUS GLUCONATE 324 MG (38 MG IRON) TABLET,0.6,0.23,,,0
NDC,0574195906,GLUCOSE (TOLERANCE TEST) 100 GRAM/180 ML ORAL LIQUID,45.6,17.78,,,0
NDC,0591-0240-01,LORAZEPAM 0.5 MG TABLET,5.0,1.95,,,0
NDC,0591-0343-01,VERAPAMIL 80 MG TABLET,4.8,1.87,,,0
NDC,0591-0345-01,VERAPAMIL 120 MG TABLET,5.3,2.07,,,0
NDC,0591-0347-01,HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE,6.6,2.57,,,0
NDC,0591-0348-01,TRIAMTERENE 75 MG-HYDROCHLOROTHIAZIDE 50 MG TABLET,7.1,2.77,,,0
NDC,0591-0444-01,GUANFACINE 1 MG TABLET,6.7,2.61,,,0
NDC,0591-0460-01,GLIPIZIDE 5 MG TABLET,5.8,2.26,,,0
NDC,0591-0461-01,GLIPIZIDE 10 MG TABLET,4.8,1.87,,,0
NDC,0591-0605-01,LABETALOL 100 MG TABLET,7.8,3.04,,,0
NDC,0591-0794-01,DICYCLOMINE 10 MG CAPSULE,4.8,1.87,,,0
NDC,0591-0796-01,SULFASALAZINE 500 MG TABLET,4.8,1.87,,,0
NDC,0591-0900-30,"GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR",4.8,1.87,,,0
NDC,0591-2136-95,ONE-STEP ONLY - PROPOFOL 10 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,0591-2258-79,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,186.3,72.66,,,0
NDC,0591-2312-15,ALVIMOPAN 12 MG CAPSULE,1590.0,620.1,,,0
NDC,0591-2508-26,SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS,651.8,254.2,,,0
NDC,0591-2520-01,CHLORZOXAZONE 500 MG TABLET,8.4,3.28,,,0
NDC,0591-2679-11,LIDOCAINE 5 % TOPICAL PATCH,143.6,56.0,,,0
NDC,0591-2679-30,LIDOCAINE 5 % TOPICAL PATCH,71.8,28.0,,,0
NDC,0591-3041-01,HYDROXYCHLOROQUINE 200 MG TABLET,31.4,12.25,,,0
NDC,0591-3159-01,URSODIOL 300 MG CAPSULE,2.9,1.13,,,0
NDC,0591-3331-19,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",40.1,15.64,,,0
NDC,0591-3369-01,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,13.0,5.07,,,0
NDC,0591-3468-53,ALBUTEROL SULFATE 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,12.8,4.99,,,0
NDC,0591-3508-04,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,254.1,99.1,,,0
NDC,0591-3510-04,CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH,593.4,231.43,,,0
NDC,0591-3525-11,LIDOCAINE 5 % TOPICAL PATCH,71.8,28.0,,,0
NDC,0591-3525-30,LIDOCAINE 5 % TOPICAL PATCH,71.8,28.0,,,0
NDC,0591-3541-25,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE",14.4,5.62,,,0
NDC,0591-3541-60,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE",14.9,5.81,,,0
NDC,0591-3660-30,"DESVENLAFAXINE SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",88.0,34.32,,,0
NDC,0591-3870-44,MEMANTINE 5 MG TABLET,46.9,18.29,,,0
NDC,0591-3875-44,MEMANTINE 10 MG TABLET,46.9,18.29,,,0
NDC,0591-4012-01,VALPROIC ACID 250 MG CAPSULE,12.2,4.76,,,0
NDC,0591-4102-01,PERPHENAZINE 4 MG TABLET,110.0,42.9,,,0
NDC,0591-5335-01,TRIHEXYPHENIDYL 2 MG TABLET,4.8,1.87,,,0
NDC,0591-5347-01,PROBENECID 500 MG TABLET,7.6,2.96,,,0
NDC,0591-5443-01,PREDNISONE 20 MG TABLET,4.8,1.87,,,0
NDC,0591-5543-01,ALLOPURINOL 100 MG TABLET,11.2,4.37,,,0
NDC,0591-5544-01,ALLOPURINOL 300 MG TABLET,7.1,2.77,,,0
NDC,0591-5554-01,PROPRANOLOL 10 MG TABLET,4.8,1.87,,,0
NDC,0591-5658-01,CYCLOBENZAPRINE 10 MG TABLET,8.9,3.47,,,0
NDC,0591-5694-01,MINOCYCLINE 50 MG CAPSULE,52.2,20.36,,,0
NDC,0592800100,"SODIUM CHLORIDE, SODIUM BICARB-NASAL RINSE SQUEEZE BOTTLE WITH PACKET",4.8,1.87,,,0
NDC,0592800308,"SODIUM CHLORIDE, SODIUM BICARB-NASAL RINSE SQUEEZE BOTTLE WITH PACKET",38.3,14.94,,,0
NDC,0597-0053-45,GLUCAGON 1 MG/ML SOLUTION FOR INJECTION,1196.1,466.48,,,0
NDC,0597-0140-30,LINAGLIPTIN 5 MG TABLET,134.3,52.38,,,0
NDC,0597-0140-61,LINAGLIPTIN 5 MG TABLET,134.3,52.38,,,0
NDC,0597-0152-30,EMPAGLIFLOZIN 10 MG TABLET,161.0,62.79,,,0
NDC,0597-0152-37,EMPAGLIFLOZIN 10 MG TABLET,161.0,62.79,,,0
NDC,0597-0153-30,EMPAGLIFLOZIN 25 MG TABLET,161.0,62.79,,,0
NDC,0597-0153-37,EMPAGLIFLOZIN 25 MG TABLET,161.0,62.79,,,0
NDC,0597-0197-05,IDARUCIZUMAB 2.5 GRAM/50 ML INTRAVENOUS SOLUTION,35563.8,13869.88,,,0
NDC,0597-0260-10,GLUCAGON 1 MG/ML SOLUTION FOR INJECTION,1196.1,466.48,,,0
NDC,0597-0355-09,DABIGATRAN ETEXILATE 75 MG CAPSULE,25.4,9.91,,,0
NDC,0597-0355-56,DABIGATRAN ETEXILATE 75 MG CAPSULE,50.8,19.81,,,0
NDC,0597-0360-82,DABIGATRAN ETEXILATE 150 MG CAPSULE,25.4,9.91,,,0
NDC,0603-1161-58,DICYCLOMINE 10 MG/5 ML ORAL SOLUTION,23.1,9.01,,,0
NDC,0603-1542-58,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,28.7,11.19,,,0
NDC,0603-1554-16,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,78.3,30.54,,,0
NDC,0603-1880-16,LIDOCAINE 5 % TOPICAL PATCH,71.8,28.0,,,0
NDC,0603-2406-21,BACLOFEN 10 MG TABLET,9.5,3.7,,,0
NDC,0603-2438-21,BENZTROPINE 1 MG TABLET,4.8,1.87,,,0
NDC,0603-4975-21,OXYBUTYNIN CHLORIDE 5 MG TABLET,5.9,2.3,,,0
NDC,0603-5167-21,PHENOBARBITAL 64.8 MG TABLET,6.5,2.54,,,0
NDC,0603-5335-21,PREDNISONE 1 MG TABLET,7.8,3.04,,,0
NDC,0603-5337-21,PREDNISONE 5 MG TABLET,4.8,1.87,,,0
NDC,0603-5338-21,PREDNISONE 10 MG TABLET,4.8,1.87,,,0
NDC,0603-5448-25,PROPAFENONE 150 MG TABLET,12.3,4.8,,,0
NDC,0603-5482-21,PROPRANOLOL 10 MG TABLET,4.8,1.87,,,0
NDC,0603-5483-21,PROPRANOLOL 20 MG TABLET,4.8,1.87,,,0
NDC,0641-0121-25,HYDROMORPHONE 2 MG/ML INJECTION (WRAPPED),19.6,7.64,,,0
NDC,0641-0367-25,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,0641-0376-25,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,0641-0391-12,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",24.5,9.56,,,0
NDC,0641-0400-12,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",21.9,8.54,,,0
NDC,0641-0476-25,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION,225.1,87.79,,,0
NDC,0641-0477-25,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION,584.2,227.84,,,0
NDC,0641-0493-25,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,0641-0928-25,PROMETHAZINE 25 MG/ML INJ (WRAPPED),19.6,7.64,,,0
NDC,0641-0948-31,PROMETHAZINE 25 MG/ML INJ (WRAPPED),19.6,7.64,,,0
NDC,0641-0955-21,PROMETHAZINE IVPB 6.25 MG/25 ML NS (SIMPLE),30.8,12.01,,,0
NDC,0641-0955-25,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,0641-1397-35,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION,493.5,192.46,,,0
NDC,0641-1398-35,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION,282.7,110.25,,,0
NDC,0641-1410-35,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION,47.0,18.33,,,0
NDC,0641-1495-35,PROMETHAZINE 25 MG/ML INJ (WRAPPED),19.6,7.64,,,0
NDC,0641-2555-45,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,0641-6001-25,LORAZEPAM 2 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,0641-6006-10,ATROPINE 0.4 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,0641-6007-01,BUMETANIDE 20 MG/80 ML (0.25 MG/ML) INFUSION (SIMPLE),224.1,87.4,,,0
NDC,0641-6007-10,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,28.1,10.96,,,0
NDC,0641-6008-10,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,51.6,20.12,,,0
NDC,0641-6013-10,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,29.3,11.43,,,0
NDC,0641-6014-10,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,53.3,20.79,,,0
NDC,0641-6015-10,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,77.8,30.34,,,0
NDC,0641-6019-10,MORPHINE (PF) 1 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,0641-6022-25,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,0641-6027-25,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,0641-6029-25,FENTANYL 5000 MCG/100 ML (50 MCG/ML) INFUSION (SIMPLE),469.7,183.18,,,0
NDC,0641-6030-01,FENTANYL 5000 MCG/100 ML (50 MCG/ML) INFUSION (SIMPLE),427.0,166.53,,,0
NDC,0641-6039-01,MORPHINE (PF) 10 MG/ML INJECTION SOLUTION,44.5,17.36,,,0
NDC,0641-6040-01,MORPHINE (PF) 25 MG/ML INJECTION SOLUTION,739.6,288.44,,,0
NDC,0641-6041-25,KETOROLAC 15 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,0641-6044-01,LORAZEPAM 2 MG/ML INJECTION SOLUTION,17.8,6.94,,,0
NDC,0641-6044-25,LORAZEPAM 2 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,0641-6046-10,LORAZEPAM 2 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,0641-6047-10,LORAZEPAM 4 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,0641-6048-01,LORAZEPAM 2 MG/ML INJECTION SOLUTION,17.8,6.94,,,0
NDC,0641-6048-25,LORAZEPAM 2 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,0641-6052-25,MEPERIDINE (PF) 25 MG/ML INJECTION SOLUTION,43.4,16.93,,,0
NDC,0641-6053-25,MEPERIDINE (PF) 50 MG/ML INJECTION SOLUTION,22.6,8.81,,,0
NDC,0641-6057-10,MIDAZOLAM 1 MG/ML INJ (WRAPPED),19.6,7.64,,,0
NDC,0641-6057-25,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,0641-6059-10,MIDAZOLAM 1 MG/ML INJ (WRAPPED),19.6,7.64,,,0
NDC,0641-6060-10,MIDAZOLAM 5 MG/ML INJ (WRAPPED),294.7,114.93,,,0
NDC,0641-6061-25,MIDAZOLAM 5 MG/ML INJ (WRAPPED),19.6,7.64,,,0
NDC,0641-6063-25,MIDAZOLAM (VERSED) 5 MG/ML NASAL ROUTE ONLY,48.1,18.76,,,0
NDC,0641-6078-25,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,0641-6079-01,ONDANSETRON IVPB 16 MG/50 ML NS (SIMPLE)(NGOC),79.3,30.93,,,0
NDC,0641-6080-25,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,0641-6082-25,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,0641-6084-25,PROMETHAZINE 25 MG/ML INJ (WRAPPED),28.8,11.23,,,0
NDC,0641-6103-10,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,239.2,93.29,,,0
NDC,0641-6103-25,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,179.4,69.97,,,0
NDC,0641-6116-10,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,35.9,14.0,,,0
NDC,0641-6117-10,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,65.1,25.39,,,0
NDC,0641-6125-01,MORPHINE 4 MG/ ML INJECTION (WRAPPED),15.8,6.16,,,0
NDC,0641-6125-25,MORPHINE 4 MG/ ML INJECTION (WRAPPED),21.4,8.35,,,0
NDC,0641-6127-25,MORPHINE 10 MG/ML INJECTION (WRAPPED),39.2,15.29,,,0
NDC,0641-6132-25,NALOXONE 0.4 MG/ML INJECTION SOLUTION,256.2,99.92,,,0
NDC,0641-6135-25,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,31.0,12.09,,,0
NDC,0641-6136-25,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,0641-6137-10,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION,649.1,253.15,,,0
NDC,0641-6138-25,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,0641-6142-25,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,34.2,13.34,,,0
NDC,0641-6145-25,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,0641-6146-25,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJ (WRAPPED),19.6,7.64,,,0
NDC,0641-6149-10,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,38.5,15.02,,,0
NDC,0641-6167-10,"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION",205.0,79.95,,,0
NDC,0641-6169-01,HYDROMORPHONE 1 MG/ML INJECTION SYRINGE,31.9,12.44,,,0
NDC,0641-6173-10,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,207.1,80.77,,,0
NDC,0641-6174-10,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION,38.5,15.02,,,0
NDC,0641-6175-10,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION,27.8,10.84,,,0
NDC,0641-6178-01,"OCTREOTIDE ACETATE 1,000 MCG/ML INJECTION SOLUTION",410.0,159.9,,,0
NDC,0641-6184-25,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION,23.5,9.16,,,0
NDC,0641-6188-10,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,0641-6190-01,MIDAZOLAM 5 MG/ML INJ (WRAPPED),51.3,20.01,,,0
NDC,0641-6191-01,MORPHINE 2 MG/ML INJECTION (WRAPPED),44.1,17.2,,,0
NDC,0641-6205-10,NALOXONE 1 MG/ML INJECTION SYRINGE,269.1,104.95,,,0
NDC,0641-6208-25,PROMETHAZINE 25 MG/ML INJ (WRAPPED),19.6,7.64,,,0
NDC,0641-6217-25,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,34.2,13.34,,,0
NDC,0641-6228-25,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,106.3,41.46,,,0
NDC,0641-6231-25,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,32.1,12.52,,,0
NDC,0641-6236-01,EPHEDRINE (PF) 25 MG/5 ML (5 MG/ML) IN 0.9% SODIUM CHLORIDE IV SYRINGE,84.4,32.92,,,0
NDC,0641-6236-10,EPHEDRINE (PF) 25 MG/5 ML (5 MG/ML) IN 0.9% SODIUM CHLORIDE IV SYRINGE,21.1,8.23,,,0
NDC,0641-6238-25,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,213.6,83.3,,,0
NDC,0641-6244-10,DIAZEPAM 5 MG/ML INJECTION SYRINGE,210.2,81.98,,,0
NDC,0641-6247-01,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,0641-6247-25,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,0641-6252-10,LABETALOL 10 MG/2 ML (5 MG/ML) INTRAVENOUS SYRINGE,77.0,30.03,,,0
NDC,0641-6253-01,REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE,30.0,11.7,,,0
NDC,0641-6259-01,HYDROMORPHONE (PF) 0.2 MG/ML INJECTION SYRINGE,115.3,44.97,,,0
NDC,0641-6265-01,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,0641-6267-01,CAFFEINE CITRATED IV SYRINGE 20 MG/ML LD (PEDS 10 KG AND LESS),37.3,14.55,,,0
NDC,0641-6281-01,MIDAZOLAM 1 MG/ML INJ (WRAPPED),1.4,0.55,,,0
NDC,0641-6282-01,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,0641-6285-01,BUMETANIDE 20 MG/80 ML (0.25 MG/ML) INFUSION (SIMPLE),73.8,28.78,,,0
NDC,0641-9217-10,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,0641-9218-10,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,0641-9219-10,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,49.6,19.34,,,0
NDC,0703-0018-01,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,96.1,37.48,,,0
NDC,0703-0110-03,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,35.8,13.96,,,0
NDC,0703-0113-03,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,60.4,23.56,,,0
NDC,0703-0666-01,TREPROSTINIL SODIUM 1 MG/ML INJECTION SOLUTION,619.9,241.76,,,0
NDC,0703-1153-03,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,184.7,72.03,,,0
NDC,0703-2033-03,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,109.1,42.55,,,0
NDC,0703-2914-03,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,64.6,25.19,,,0
NDC,0703-3218-01,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",703.9,274.52,,,0
NDC,0703-3301-04,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION,23.1,9.01,,,0
NDC,0703-3343-01,"OCTREOTIDE ACETATE 1,000 MCG/ML INJECTION SOLUTION",492.0,191.88,,,0
NDC,0703-3675-01,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION,83.4,32.53,,,0
NDC,0703-4239-01,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,462.6,180.41,,,0
NDC,0703-4502-04,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION,34.4,13.42,,,0
NDC,0703-4502-94,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION,34.4,13.42,,,0
NDC,0703-5747-11,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,186.1,72.58,,,0
NDC,0703-5748-11,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,197.3,76.95,,,0
NDC,0703-8560-23,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,101.9,39.74,,,0
NDC,0703-8580-23,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,169.8,66.22,,,0
NDC,0703-8610-23,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,203.7,79.44,,,0
NDC,0703-8777-01,ADENOSINE 180 MG/90 ML NS FOR CATH LAB (SIMPLE),685.2,267.23,,,0
NDC,0703-9514-03,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,295.7,115.32,,,0
NDC,0703-9514-93,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,244.3,95.28,,,0
NDC,0703-9526-01,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,244.3,95.28,,,0
NDC,0713-0268-31,NEOMYCIN-BACITRACIN-POLYMYCIN TOPICAL OINTMENT (WRAPPED),14.9,5.81,,,0
NDC,0713-0280-31,BACITRACIN TOPICAL OINTMENT (WRAPPED),15.5,6.04,,,0
NDC,0713-0351-25,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,23.7,9.24,,,0
NDC,0713-0503-12,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,95.8,37.36,,,0
NDC,0713-0536-12,PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY,135.8,52.96,,,0
NDC,0713-0676-53,TRIAMCINOLONE ACETONIDE 0.1 % LOTION,690.3,269.22,,,0
NDC,0713-0678-15,"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM",134.3,52.38,,,0
NDC,0713-0682-15,GENTAMICIN 0.1 % TOPICAL OINTMENT,378.8,147.73,,,0
NDC,0713-0683-15,GENTAMICIN 0.1 % TOPICAL CREAM,378.8,147.73,,,0
NDC,0713-0686-15,"NYSTATIN 100,000 UNIT/GRAM TOPICAL OINTMENT",134.3,52.38,,,0
NDC,0713-0880-30,COLESEVELAM 3.75 GRAM ORAL POWDER PACKET,273.0,106.47,,,0
NDC,0713-0935-30,COLESEVELAM 3.75 GRAM ORAL POWDER PACKET,172.2,67.16,,,0
NDC,0713-0936-81,COLESEVELAM 625 MG TABLET,30.4,11.86,,,0
NDC,0761003920,LACTOBACILLUS ACIDOPHILUS 1 BILLION CELL CAPSULE,4.8,1.87,,,0
NDC,0761009450,ASCORBIC ACID (VITAMIN C) 500 MG TABLET,0.6,0.23,,,0
NDC,0761051612,"CYANOCOBALAMIN (VIT B-12) 2,500 MCG SUBLINGUAL TABLET",0.6,0.23,,,0
NDC,0777-3104-02,FLUOXETINE 10 MG CAPSULE,217.7,84.9,,,0
NDC,0781-1047-13,PERPHENAZINE 4 MG TABLET,123.7,48.24,,,0
NDC,0781-1053-01,BUPROPION HCL 75 MG TABLET,5.6,2.18,,,0
NDC,0781-1061-01,ALPRAZOLAM 0.25 MG TABLET,10.7,4.17,,,0
NDC,0781-1077-01,ALPRAZOLAM 0.5 MG TABLET,6.7,2.61,,,0
NDC,0781-1079-01,ALPRAZOLAM 1 MG TABLET,8.9,3.47,,,0
NDC,0781-1486-01,AMITRIPTYLINE 10 MG TABLET,4.8,1.87,,,0
NDC,0781-1487-01,AMITRIPTYLINE 25 MG TABLET,4.8,1.87,,,0
NDC,0781-1488-01,AMITRIPTYLINE 50 MG TABLET,5.5,2.14,,,0
NDC,0781-1489-01,AMITRIPTYLINE 75 MG TABLET,8.3,3.24,,,0
NDC,0781-1556-01,ISOSORBIDE DINITRATE 10 MG TABLET,16.7,6.51,,,0
NDC,0781-1852-20,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,38.8,15.13,,,0
NDC,0781-1874-31,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 125 MG TABLET,45.4,17.71,,,0
NDC,0781-2020-01,AMOXICILLIN 250 MG CAPSULE,4.8,1.87,,,0
NDC,0781-2048-01,AMANTADINE HCL 100 MG CAPSULE,15.5,6.04,,,0
NDC,0781-2074-01,TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG CAPSULE,4.8,1.87,,,0
NDC,0781-2103-01,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE",136.9,53.39,,,0
NDC,0781-2145-01,AMPICILLIN 500 MG CAPSULE,10.0,3.9,,,0
NDC,0781-2322-68,APREPITANT 80 MG CAPSULE,1563.1,609.61,,,0
NDC,0781-2613-01,AMOXICILLIN 500 MG CAPSULE,4.8,1.87,,,0
NDC,0781-3000-95,MEROPENEM 500 MG INTRAVENOUS SOLUTION,155.6,60.68,,,0
NDC,0781-3040-95,PYRIDOSTIGMINE BROMIDE 5 MG/ML INJECTION SOLUTION,65.6,25.58,,,0
NDC,0781-3059-95,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION,32.0,12.48,,,0
NDC,0781-3071-95,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,0781-3098-95,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,311.1,121.33,,,0
NDC,0781-3113-90,PIPERACILLIN-TAZOBACTAM IVPB 3.375 G/50 ML D5W (SIMPLE),141.0,54.99,,,0
NDC,0781-3113-95,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,157.7,61.5,,,0
NDC,0781-3114-95,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,199.8,77.92,,,0
NDC,0781-3140-30,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,222.5,86.78,,,0
NDC,0781-3150-95,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,154.0,60.06,,,0
NDC,0781-3152-95,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,270.2,105.38,,,0
NDC,0781-3153-95,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,2380.7,928.47,,,0
NDC,0781-3154-01,FERUMOXYTOL 510 MG/17 ML (30 MG/ML) INTRAVENOUS SOLUTION,7572.4,2953.24,,,0
NDC,0781-3156-95,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",379.2,147.89,,,0
NDC,0781-3158-95,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,7926.8,3091.45,,,0
NDC,0781-3159-72,OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION,354.5,138.26,,,0
NDC,0781-3208-95,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,392.9,153.23,,,0
NDC,0781-3209-95,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,780.7,304.47,,,0
NDC,0781-3220-95,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,140.5,54.8,,,0
NDC,0781-3232-95,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,52.4,20.44,,,0
NDC,0781-3233-94,CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION,992.5,387.08,,,0
NDC,0781-3244-94,CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION,5142.2,2005.46,,,0
NDC,0781-3246-64,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,95.4,37.21,,,0
NDC,0781-3256-66,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,143.2,55.85,,,0
NDC,0781-3262-68,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,190.9,74.45,,,0
NDC,0781-3268-69,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,238.7,93.09,,,0
NDC,0781-3269-95,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,504.9,196.91,,,0
NDC,0781-3288-09,CLINDAMYCIN 300 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,37.1,14.47,,,0
NDC,0781-3289-09,CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,126.9,49.49,,,0
NDC,0781-3290-09,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,154.6,60.29,,,0
NDC,0781-3298-68,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,286.5,111.74,,,0
NDC,0781-3312-75,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,2368.1,923.56,,,0
NDC,0781-3317-80,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,2648.13,1032.77,,,0
NDC,0781-3402-95,AMPICILLIN 250 MG SOLUTION FOR INJECTION,19.6,7.64,,,0
NDC,0781-3404-95,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,68.3,26.64,,,0
NDC,0781-3407-95,AMPICILLIN 500 MG SOLUTION FOR INJECTION,37.7,14.7,,,0
NDC,0781-3408-95,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,143.1,55.81,,,0
NDC,0781-3411-95,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,102.4,39.94,,,0
NDC,0781-3413-92,AMPICILLIN 2 GRAM INTRAVENOUS SOLUTION,296.8,115.75,,,0
NDC,0781-3415-75,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,2368.1,923.56,,,0
NDC,0781-3422-92,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,34.2,13.34,,,0
NDC,0781-3440-95,COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION,821.9,320.54,,,0
NDC,0781-3450-95,CEFAZOLIN 500 MG SOLUTION FOR INJECTION,83.2,32.45,,,0
NDC,0781-3458-95,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,766.7,299.01,,,0
NDC,0781-3491-94,AZACITIDINE 100 MG VIAL DILUTED FOR INTRAVENOUS USE,692.1,269.92,,,0
NDC,0781-3493-95,DEXMEDETOMIDINE 80 MCG/20 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,277.6,108.26,,,0
NDC,0781-3495-95,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,854.0,333.06,,,0
NDC,0781-3498-95,ARSENIC TRIOXIDE 2 MG/ML INTRAVENOUS SOLUTION,3109.9,1212.86,,,0
NDC,0781-3500-69,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,694.2,270.74,,,0
NDC,0781-3532-12,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,6806.2,2654.42,,,0
NDC,0781-3540-10,"HEPARIN (PORCINE) INJECTION (BOLUS) 1,000 UNITS/ML",30.0,11.7,,,0
NDC,0781-3545-10,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",19.6,7.64,,,0
NDC,0781-3555-10,"HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJECTION SOLUTION",19.6,7.64,,,0
NDC,0781-5180-92,LEVOTHYROXINE 25 MCG TABLET,3.5,1.36,,,0
NDC,0781-5185-92,LEVOTHYROXINE 112 MCG TABLET,5.2,2.03,,,0
NDC,0781-5186-92,LEVOTHYROXINE 125 MCG TABLET,5.3,2.07,,,0
NDC,0781-5238-64,ONDANSETRON 4 MG DISINTEGRATING TABLET,20.2,7.88,,,0
NDC,0781-5239-64,ONDANSETRON 8 MG DISINTEGRATING TABLET,22.8,8.89,,,0
NDC,0781-5325-31,BROMOCRIPTINE 2.5 MG TABLET,96.2,37.52,,,0
NDC,0781-5439-20,CEFPODOXIME 200 MG TABLET,64.9,25.31,,,0
NDC,0781-5669-01,CARBIDOPA 50 MG-LEVODOPA 200 MG-ENTACAPONE 200 MG TABLET,28.8,11.23,,,0
NDC,0781-5720-01,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",4.9,1.91,,,0
NDC,0781-6041-46,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,46.8,18.25,,,0
NDC,0781-6041-55,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,4.8,1.87,,,0
NDC,0781-6041-58,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,5.6,2.18,,,0
NDC,0781-6136-94,PENICILLIN G POTASSIUM 20 MILLION UNIT SOLUTION FOR INJECTION,80.1,31.24,,,0
NDC,0781-6153-95,PENICILLIN G SODIUM 5 MILLION UNIT SOLUTION FOR INJECTION,491.9,191.84,,,0
NDC,0781-6157-46,AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION,7.4,2.89,,,0
NDC,0781-6186-67,"CIPROFLOXACIN 0.3 %-DEXAMETHASONE 0.1 % EAR DROPS,SUSPENSION",2149.4,838.27,,,0
NDC,0781-7104-54,ESTRADIOL 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,178.1,69.46,,,0
NDC,0781-7135-93,MOXIFLOXACIN 0.5 % EYE DROPS,1337.2,521.51,,,0
NDC,0781-7304-31,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH,129.6,50.54,,,0
NDC,0781-7309-31,RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH,129.6,50.54,,,0
NDC,0781-7313-31,RIVASTIGMINE 13.3 MG/24 HOUR TRANSDERMAL PATCH,129.6,50.54,,,0
NDC,0781-9038-95,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,270.2,105.38,,,0
NDC,0781-9214-95,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,199.8,77.92,,,0
NDC,0781-9221-09,CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,126.9,49.49,,,0
NDC,0781-9222-09,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,309.2,120.59,,,0
NDC,0781-9227-95,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,187.9,73.28,,,0
NDC,0781-9273-95,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,143.1,55.81,,,0
NDC,0781-9328-85,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,392.9,153.23,,,0
NDC,0781-9402-95,AMPICILLIN 250 MG SOLUTION FOR INJECTION,20.1,7.84,,,0
NDC,0781-9404-95,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,19.6,7.64,,,0
NDC,0781-9407-95,AMPICILLIN 500 MG SOLUTION FOR INJECTION,37.7,14.7,,,0
NDC,0781-9408-95,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,143.1,55.81,,,0
NDC,08290306500,NDC Description Not Available,20.7,8.07,,,0
NDC,08290306544,NDC Description Not Available,8.55,3.33,,,0
NDC,08290306546,NDC Description Not Available,20.18,7.87,,,0
NDC,08290306547,NDC Description Not Available,18.235,7.109999999999999,,,0
NDC,08290306553,NDC Description Not Available,20.7,8.07,,,0
NDC,0832-0038-00,OXYBUTYNIN CHLORIDE 5 MG TABLET,5.9,2.3,,,0
NDC,0832-0038-01,OXYBUTYNIN CHLORIDE 5 MG TABLET,5.1,1.99,,,0
NDC,0832-0274-11,MORPHINE 30 MG IMMEDIATE RELEASE TABLET,6.5,2.54,,,0
NDC,0832-0465-15,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER",287.3,112.05,,,0
NDC,0832-0511-00,BETHANECHOL CHLORIDE 10 MG TABLET,15.4,6.01,,,0
NDC,0832-0511-01,BETHANECHOL CHLORIDE 10 MG TABLET,38.4,14.98,,,0
NDC,0832-0512-01,BETHANECHOL CHLORIDE 25 MG TABLET,20.5,8.0,,,0
NDC,0832-0533-03,IMATINIB 400 MG TABLET,2795.1,1090.09,,,0
NDC,0832-0540-11,BUMETANIDE 0.5 MG TABLET,18.7,7.29,,,0
NDC,0832-0580-11,CLOBAZAM 10 MG TABLET,140.4,54.76,,,0
NDC,0832-0595-30,EXEMESTANE 25 MG TABLET,155.2,60.53,,,0
NDC,0832-1211-01,WARFARIN 1 MG TABLET,18.9,7.37,,,0
NDC,0832-1212-01,WARFARIN 2 MG TABLET,9.9,3.86,,,0
NDC,0832-1213-01,WARFARIN 2.5 MG TABLET,5.1,1.99,,,0
NDC,0832-1214-00,WARFARIN 3 MG TABLET,10.2,3.98,,,0
NDC,0832-1214-01,WARFARIN 3 MG TABLET,5.1,1.99,,,0
NDC,0832-1215-01,WARFARIN 4 MG TABLET,5.1,1.99,,,0
NDC,0832-1216-01,WARFARIN 5 MG TABLET,5.3,2.07,,,0
NDC,0832-1217-01,WARFARIN 6 MG TABLET,6.9,2.69,,,0
NDC,0832-1218-01,WARFARIN 7.5 MG TABLET,7.1,2.77,,,0
NDC,0832-1219-01,WARFARIN 10 MG TABLET,4.8,1.87,,,0
NDC,0832-1520-01,HALOPERIDOL 1 MG TABLET,7.7,3.0,,,0
NDC,0832-1672-11,FLUVOXAMINE 100 MG TABLET,40.6,15.83,,,0
NDC,0832-5323-10,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",8.7,3.39,,,0
NDC,0832-5323-11,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",8.7,3.39,,,0
NDC,0832-5325-11,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",9.7,3.78,,,0
NDC,0832-6019-01,CHLORPROMAZINE 50 MG TABLET,346.1,134.98,,,0
NDC,0832-6053-11,DICYCLOMINE 10 MG CAPSULE,4.8,1.87,,,0
NDC,0832-7123-01,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",16.5,6.44,,,0
NDC,0832-7123-11,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",33.3,12.99,,,0
NDC,0832-7123-89,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",8.3,3.24,,,0
NDC,0832-7124-01,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE",21.8,8.5,,,0
NDC,0869-0686-38,MAGNESIUM CITRATE ORAL SOLUTION,18.2,7.1,,,0
NDC,0869-0831-43,MINERAL OIL ORAL,3.7,1.44,,,0
NDC,0869-0871-43,HYDROGEN PEROXIDE 3 % SOLUTION,4.8,1.87,,,0
NDC,08881570300,NDC Description Not Available,6.9,2.69,,,0
NDC,08881579121,NDC Description Not Available,20.58,8.03,,,0
NDC,08881579123,NDC Description Not Available,6.9,2.69,,,0
NDC,0904-0428-04,DOXYCYCLINE HYCLATE 100 MG CAPSULE,16.4,6.4,,,0
NDC,0904-0430-04,DOXYCYCLINE HYCLATE 100 MG TABLET,27.9,10.88,,,0
NDC,0904-0430-06,DOXYCYCLINE HYCLATE 100 MG TABLET,16.8,6.55,,,0
NDC,0904-0629-60,"NIACIN ER 250 MG CAPSULE,EXTENDED RELEASE",0.6,0.23,,,0
NDC,0904-1453-61,METRONIDAZOLE 250 MG TABLET,6.2,2.42,,,0
NDC,0904-2051-59,DIMENHYDRINATE 50 MG TABLET,4.8,1.87,,,0
NDC,0904-2056-61,DIPHENHYDRAMINE 50 MG CAPSULE,0.6,0.23,,,0
NDC,0904-2500-91,CALCIUM POLYCARBOPHIL 625 MG TABLET,4.8,1.87,,,0
NDC,0904-2533-21,CALAMINE 8 %-ZINC OXIDE 8 % LOTION,6.0,2.34,,,0
NDC,0904-2725-61,SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET,4.8,1.87,,,0
NDC,0904-2920-61,VERAPAMIL 80 MG TABLET,4.8,1.87,,,0
NDC,0904-3854-61,CARBAMAZEPINE 100 MG CHEWABLE TABLET,4.8,1.87,,,0
NDC,0904-3865-75,SODIUM CHLORIDE 0.65 % NASAL SPRAY AEROSOL,7.1,2.77,,,0
NDC,0904-4040-73,ASPIRIN 81 MG CHEWABLE TABLET,0.6,0.23,,,0
NDC,0904-4274-51,DIPHENHYDRAMINE 25 MG TABLET,0.6,0.23,,,0
NDC,0904-5053-59,PSEUDOEPHEDRINE 30 MG TABLET,0.6,0.23,,,0
NDC,0904-5058-12,BISACODYL 10 MG RECTAL SUPPOSITORY,0.6,0.23,,,0
NDC,0904-5068-60,SIMETHICONE 80 MG CHEWABLE TABLET,0.6,0.23,,,0
NDC,0904-5154-60,GUAIFENESIN 200 MG TABLET,0.6,0.23,,,0
NDC,0904-5309-20,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,5.8,2.26,,,0
NDC,0904-5354-31,DIPHENHYDRAMINE-ZINC ACETATE 2 %-0.1 % TOPICAL CREAM,7.5,2.92,,,0
NDC,0904-5448-61,"PENTOXIFYLLINE ER 400 MG TABLET,EXTENDED RELEASE",4.8,1.87,,,0
NDC,0904-5522-61,DOXAZOSIN 1 MG TABLET,26.1,10.18,,,0
NDC,0904-5523-61,DOXAZOSIN 2 MG TABLET,18.5,7.22,,,0
NDC,0904-5524-61,DOXAZOSIN 4 MG TABLET,13.2,5.15,,,0
NDC,0904-5551-59,DIPHENHYDRAMINE 25 MG TABLET,0.6,0.23,,,0
NDC,0904-5609-61,ENALAPRIL MALEATE 2.5 MG TABLET,4.8,1.87,,,0
NDC,0904-5610-61,ENALAPRIL MALEATE 10 MG TABLET,4.8,1.87,,,0
NDC,0904-5676-61,PAROXETINE 10 MG TABLET,24.6,9.59,,,0
NDC,0904-5725-14,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 400 MG-400 MG-40 MG/5 ML ORAL SUSP,0.2,0.08,,,0
NDC,0904-5735-51,NICOTINE (POLACRILEX) 4 MG GUM,1.0,0.39,,,0
NDC,0904-5780-51,FAMOTIDINE 20 MG TABLET,0.6,0.23,,,0
NDC,0904-5784-61,FLUOXETINE 10 MG CAPSULE,4.8,1.87,,,0
NDC,0904-5785-61,FLUOXETINE 20 MG CAPSULE,4.8,1.87,,,0
NDC,0904-5789-61,ACYCLOVIR 200 MG CAPSULE,4.8,1.87,,,0
NDC,0904-5791-46,ACETAMINOPHEN 80 MG CHEWABLE TABLET,1.9,0.74,,,0
NDC,0904-5793-61,LORATADINE 10 MG TABLET,1.1,0.43,,,0
NDC,0904-5853-40,IBUPROFEN 400 MG TABLET,4.8,1.87,,,0
NDC,0904-5853-61,IBUPROFEN 400 MG TABLET,4.8,1.87,,,0
NDC,0904-5854-60,IBUPROFEN 600 MG TABLET,4.8,1.87,,,0
NDC,0904-5854-61,IBUPROFEN 600 MG TABLET,4.8,1.87,,,0
NDC,0904-5855-60,IBUPROFEN 800 MG TABLET,4.8,1.87,,,0
NDC,0904-5855-61,IBUPROFEN 800 MG TABLET,4.8,1.87,,,0
NDC,0904-5859-61,ALPRAZOLAM 0.5 MG TABLET,4.8,1.87,,,0
NDC,0904-5891-61,PRAVASTATIN 10 MG TABLET,6.1,2.38,,,0
NDC,0904-5892-61,PRAVASTATIN 20 MG TABLET,4.8,1.87,,,0
NDC,0904-5893-61,PRAVASTATIN 40 MG TABLET,5.5,2.14,,,0
NDC,0904-5894-30,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION",7.9,3.08,,,0
NDC,0904-5921-61,DIGOXIN 125 MCG (0.125 MG) TABLET,20.7,8.07,,,0
NDC,0904-5959-61,CLINDAMYCIN HCL 150 MG CAPSULE,5.1,1.99,,,0
NDC,0904-6007-61,LORAZEPAM 0.5 MG TABLET,4.8,1.87,,,0
NDC,0904-6008-61,LORAZEPAM 1 MG TABLET,4.8,1.87,,,0
NDC,0904-6009-60,LORAZEPAM 2 MG TABLET,4.8,1.87,,,0
NDC,0904-6009-61,LORAZEPAM 2 MG TABLET,4.8,1.87,,,0
NDC,0904-6051-61,LEVETIRACETAM 250 MG TABLET,1.5,0.58,,,0
NDC,0904-6082-61,ZOLPIDEM 5 MG TABLET,4.8,1.87,,,0
NDC,0904-6084-61,CITALOPRAM 10 MG TABLET,4.8,1.87,,,0
NDC,0904-6085-61,CITALOPRAM 20 MG TABLET,4.8,1.87,,,0
NDC,0904-6172-61,CARBAMAZEPINE 200 MG TABLET,6.9,2.69,,,0
NDC,0904-6187-61,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,4.8,1.87,,,0
NDC,0904-6221-06,URSODIOL 300 MG CAPSULE,28.4,11.08,,,0
NDC,0904-6221-61,URSODIOL 300 MG CAPSULE,53.7,20.94,,,0
NDC,0904-6237-61,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,4.8,1.87,,,0
NDC,0904-6255-49,BENZOCAINE 15 MG-MENTHOL 3.6 MG LOZENGES,4.8,1.87,,,0
NDC,0904-6269-08,ZIPRASIDONE 20 MG CAPSULE,37.1,14.47,,,0
NDC,0904-6269-45,ZIPRASIDONE 20 MG CAPSULE,84.7,33.03,,,0
NDC,0904-6283-61,OLANZAPINE 2.5 MG TABLET,2.7,1.05,,,0
NDC,0904-6288-89,ASPIRIN 81 MG CHEWABLE TABLET,0.6,0.23,,,0
NDC,0904-6290-06,ATORVASTATIN 10 MG TABLET,4.8,1.87,,,0
NDC,0904-6290-61,ATORVASTATIN 10 MG TABLET,4.8,1.87,,,0
NDC,0904-6291-06,ATORVASTATIN 20 MG TABLET,4.8,1.87,,,0
NDC,0904-6291-61,ATORVASTATIN 20 MG TABLET,4.8,1.87,,,0
NDC,0904-6292-06,ATORVASTATIN 40 MG TABLET,4.8,1.87,,,0
NDC,0904-6292-61,ATORVASTATIN 40 MG TABLET,4.8,1.87,,,0
NDC,0904-6293-04,ATORVASTATIN 80 MG TABLET,4.8,1.87,,,0
NDC,0904-6294-61,CLOPIDOGREL 75 MG TABLET,4.8,1.87,,,0
NDC,0904-6300-61,CARVEDILOL 3.125 MG TABLET,4.8,1.87,,,0
NDC,0904-6301-61,CARVEDILOL 6.25 MG TABLET,4.8,1.87,,,0
NDC,0904-6302-61,CARVEDILOL 12.5 MG TABLET,4.8,1.87,,,0
NDC,0904-6303-61,CARVEDILOL 25 MG TABLET,4.8,1.87,,,0
NDC,0904-6305-21,PHENOL 1.4 % MUCOSAL AEROSOL SPRAY,19.1,7.45,,,0
NDC,0904-6322-06,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",4.8,1.87,,,0
NDC,0904-6322-61,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",4.8,1.87,,,0
NDC,0904-6323-61,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",4.8,1.87,,,0
NDC,0904-6324-61,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",4.8,1.87,,,0
NDC,0904-6340-61,METOPROLOL TARTRATE 25 MG TABLET,4.8,1.87,,,0
NDC,0904-6351-61,LEVOFLOXACIN 250 MG TABLET,4.8,1.87,,,0
NDC,0904-6352-61,LEVOFLOXACIN 500 MG TABLET,4.8,1.87,,,0
NDC,0904-6353-61,LEVOFLOXACIN 750 MG TABLET,4.8,1.87,,,0
NDC,0904-6357-61,RISPERIDONE 0.25 MG TABLET,4.8,1.87,,,0
NDC,0904-6358-61,RISPERIDONE 0.5 MG TABLET,4.8,1.87,,,0
NDC,0904-6359-61,RISPERIDONE 1 MG TABLET,4.8,1.87,,,0
NDC,0904-6360-61,RISPERIDONE 2 MG TABLET,4.8,1.87,,,0
NDC,0904-6363-45,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",11.7,4.56,,,0
NDC,0904-6363-61,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",10.0,3.9,,,0
NDC,0904-6369-61,AMLODIPINE 2.5 MG TABLET,4.8,1.87,,,0
NDC,0904-6370-61,AMLODIPINE 5 MG TABLET,4.8,1.87,,,0
NDC,0904-6371-61,AMLODIPINE 10 MG TABLET,4.8,1.87,,,0
NDC,0904-6373-61,ROPINIROLE 0.25 MG TABLET,15.1,5.89,,,0
NDC,0904-6374-61,ROPINIROLE 1 MG TABLET,4.8,1.87,,,0
NDC,0904-6377-61,OLANZAPINE 5 MG TABLET,4.8,1.87,,,0
NDC,0904-6401-61,TAMSULOSIN 0.4 MG CAPSULE,4.8,1.87,,,0
NDC,0904-6407-61,"BISACODYL 5 MG TABLET,DELAYED RELEASE",0.6,0.23,,,0
NDC,0904-6412-92,CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET,0.6,0.23,,,0
NDC,0904-6418-61,TIZANIDINE 4 MG TABLET,4.8,1.87,,,0
NDC,0904-6421-61,HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET,4.8,1.87,,,0
NDC,0904-6422-86,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,10.7,4.17,,,0
NDC,0904-6423-04,MODAFINIL 100 MG TABLET,71.6,27.92,,,0
NDC,0904-6426-61,ESCITALOPRAM 10 MG TABLET,4.8,1.87,,,0
NDC,0904-6427-61,ESCITALOPRAM 20 MG TABLET,4.8,1.87,,,0
NDC,0904-6436-04,TEMAZEPAM 7.5 MG CAPSULE,26.9,10.49,,,0
NDC,0904-6439-61,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,10.1,3.94,,,0
NDC,0904-6440-61,HYDRALAZINE 10 MG TABLET,4.8,1.87,,,0
NDC,0904-6441-61,HYDRALAZINE 25 MG TABLET,4.8,1.87,,,0
NDC,0904-6442-61,HYDRALAZINE 50 MG TABLET,4.8,1.87,,,0
NDC,0904-6443-61,HYDRALAZINE 100 MG TABLET,4.8,1.87,,,0
NDC,0904-6449-61,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",5.9,2.3,,,0
NDC,0904-6450-61,"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",6.4,2.5,,,0
NDC,0904-6461-61,PROMETHAZINE 25 MG TABLET,4.8,1.87,,,0
NDC,0904-6467-07,CLOPIDOGREL 300 MG TABLET,102.0,39.78,,,0
NDC,0904-6474-61,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",4.8,1.87,,,0
NDC,0904-6475-61,BACLOFEN 10 MG TABLET,4.8,1.87,,,0
NDC,0904-6476-61,BACLOFEN 20 MG TABLET,5.2,2.03,,,0
NDC,0904-6477-61,DONEPEZIL 5 MG TABLET,4.8,1.87,,,0
NDC,0904-6478-61,DONEPEZIL 10 MG TABLET,4.8,1.87,,,0
NDC,0904-6488-38,WHITE PETROLATUM-MINERAL OIL 83 %-15 % EYE OINTMENT,22.8,8.89,,,0
NDC,0904-6500-06,FLUCONAZOLE 100 MG TABLET,10.2,3.98,,,0
NDC,0904-6500-61,FLUCONAZOLE 100 MG TABLET,10.9,4.25,,,0
NDC,0904-6501-61,FLUCONAZOLE 200 MG TABLET,15.7,6.12,,,0
NDC,0904-6502-61,CELECOXIB 100 MG CAPSULE,18.6,7.25,,,0
NDC,0904-6503-61,CELECOXIB 200 MG CAPSULE,15.3,5.97,,,0
NDC,0904-6505-06,MEMANTINE 5 MG TABLET,6.3,2.46,,,0
NDC,0904-6505-61,MEMANTINE 5 MG TABLET,4.8,1.87,,,0
NDC,0904-6506-06,MEMANTINE 10 MG TABLET,4.8,1.87,,,0
NDC,0904-6506-61,MEMANTINE 10 MG TABLET,4.8,1.87,,,0
NDC,0904-6517-61,MECLIZINE 25 MG TABLET,4.8,1.87,,,0
NDC,0904-6519-61,MIRTAZAPINE 15 MG TABLET,4.8,1.87,,,0
NDC,0904-6522-61,SENNOSIDES 8.6 MG TABLET,0.6,0.23,,,0
NDC,0904-6550-61,PROPRANOLOL 10 MG TABLET,4.8,1.87,,,0
NDC,0904-6551-61,ONDANSETRON HCL 4 MG TABLET,5.97,2.33,,,0
NDC,0904-6552-61,ONDANSETRON HCL 8 MG TABLET,4.9,1.91,,,0
NDC,0904-6553-04,LINEZOLID 600 MG TABLET,47.5,18.52,,,0
NDC,0904-6557-61,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE",43.9,17.12,,,0
NDC,0904-6558-61,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE",9.6,3.74,,,0
NDC,0904-6559-61,"MORPHINE ER 60 MG TABLET,EXTENDED RELEASE",21.7,8.46,,,0
NDC,0904-6560-61,"MORPHINE ER 100 MG TABLET,EXTENDED RELEASE",26.9,10.49,,,0
NDC,0904-6564-60,BENZONATATE 100 MG CAPSULE,4.8,1.87,,,0
NDC,0904-6564-61,BENZONATATE 100 MG CAPSULE,4.8,1.87,,,0
NDC,0904-6565-07,VALACYCLOVIR 500 MG TABLET,25.4,9.91,,,0
NDC,0904-6565-61,VALACYCLOVIR 500 MG TABLET,18.7,7.29,,,0
NDC,0904-6567-61,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,4.8,1.87,,,0
NDC,0904-6568-61,METRONIDAZOLE 500 MG TABLET,6.0,2.34,,,0
NDC,0904-6572-61,ALLOPURINOL 300 MG TABLET,5.2,2.03,,,0
NDC,0904-6573-04,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",17.9,6.98,,,0
NDC,0904-6575-61,PHENOBARBITAL 32.4 MG TABLET,8.8,3.43,,,0
NDC,0904-6583-04,LAMIVUDINE 150 MG TABLET,118.1,46.06,,,0
NDC,0904-6585-61,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE",4.8,1.87,,,0
NDC,0904-6596-04,VORICONAZOLE 50 MG TABLET,124.3,48.48,,,0
NDC,0904-6599-61,PERPHENAZINE 2 MG TABLET,15.2,5.93,,,0
NDC,0904-6600-61,PERPHENAZINE 4 MG TABLET,68.8,26.83,,,0
NDC,0904-6615-61,"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE",13.7,5.34,,,0
NDC,0904-6617-61,HYDROXYZINE HCL 25 MG TABLET,4.8,1.87,,,0
NDC,0904-6618-61,HYDROXYZINE HCL 50 MG TABLET,4.8,1.87,,,0
NDC,0904-6619-61,ISOSORBIDE DINITRATE 10 MG TABLET,4.8,1.87,,,0
NDC,0904-6620-61,ISOSORBIDE DINITRATE 20 MG TABLET,4.8,1.87,,,0
NDC,0904-6622-61,PYRIDOSTIGMINE BROMIDE 60 MG TABLET,15.5,6.04,,,0
NDC,0904-6623-61,"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE",8.1,3.16,,,0
NDC,0904-6624-61,"TACROLIMUS 5 MG CAPSULE, IMMEDIATE-RELEASE",69.1,26.95,,,0
NDC,0904-6627-35,CARBAMIDE PEROXIDE 6.5 % EAR DROPS,14.5,5.66,,,0
NDC,0904-6635-61,BUPROPION HCL 75 MG TABLET,9.3,3.63,,,0
NDC,0904-6636-61,BUPROPION HCL 100 MG TABLET,12.6,4.91,,,0
NDC,0904-6637-61,GLIPIZIDE 5 MG TABLET,4.8,1.87,,,0
NDC,0904-6638-61,QUETIAPINE 25 MG TABLET,4.8,1.87,,,0
NDC,0904-6639-61,QUETIAPINE 50 MG TABLET,4.8,1.87,,,0
NDC,0904-6640-61,QUETIAPINE 100 MG TABLET,4.8,1.87,,,0
NDC,0904-6641-61,QUETIAPINE 200 MG TABLET,7.3,2.85,,,0
NDC,0904-6642-61,QUETIAPINE 300 MG TABLET,7.0,2.73,,,0
NDC,0904-6643-61,QUETIAPINE 400 MG TABLET,10.8,4.21,,,0
NDC,0904-6663-61,ACETAZOLAMIDE 250 MG TABLET,83.1,32.41,,,0
NDC,0904-6665-61,GABAPENTIN 100 MG CAPSULE,4.8,1.87,,,0
NDC,0904-6666-61,GABAPENTIN 300 MG CAPSULE,4.8,1.87,,,0
NDC,0904-6667-61,GABAPENTIN 400 MG CAPSULE,4.8,1.87,,,0
NDC,0904-6671-04,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,9.0,3.51,,,0
NDC,0904-6671-06,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,6.5,2.54,,,0
NDC,0904-6683-08,DOFETILIDE 500 MCG CAPSULE,40.4,15.76,,,0
NDC,0904-6689-61,METFORMIN 500 MG TABLET,4.8,1.87,,,0
NDC,0904-6704-61,PRAMIPEXOLE 0.25 MG TABLET,4.8,1.87,,,0
NDC,0904-6707-06,SEVELAMER CARBONATE 800 MG TABLET,22.2,8.66,,,0
NDC,0904-6707-82,SEVELAMER CARBONATE 800 MG TABLET,38.0,14.82,,,0
NDC,0904-6708-06,AZITHROMYCIN 250 MG TABLET,9.5,3.7,,,0
NDC,0904-6709-61,GLYCOPYRROLATE 1 MG TABLET,8.4,3.28,,,0
NDC,0904-6717-61,CETIRIZINE 10 MG TABLET,0.6,0.23,,,0
NDC,0904-6718-39,"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR",7.6,2.96,,,0
NDC,0904-6720-51,ACETAMINOPHEN 500 MG TABLET,0.6,0.23,,,0
NDC,0904-6725-59,SENNOSIDES 8.6 MG TABLET,0.6,0.23,,,0
NDC,0904-6725-80,SENNOSIDES 8.6 MG TABLET,0.6,0.23,,,0
NDC,0904-6730-61,ACETAMINOPHEN 500 MG TABLET,0.6,0.23,,,0
NDC,0904-6732-04,COLCHICINE 0.6 MG CAPSULE,42.8,16.69,,,0
NDC,0904-6733-61,HALOPERIDOL 10 MG TABLET,8.9,3.47,,,0
NDC,0904-6740-70,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,12.2,4.76,,,0
NDC,0904-6751-80,"ASPIRIN 81 MG TABLET,DELAYED RELEASE",0.6,0.23,,,0
NDC,0904-6761-30,OXYMETAZOLINE 0.05 % NASAL SPRAY,9.6,3.74,,,0
NDC,0904-6765-20,CETIRIZINE 1 MG/ML ORAL SOLUTION,4.8,1.87,,,0
NDC,0904-6767-20,LORATADINE 5 MG/5 ML ORAL SOLUTION,1.8,0.7,,,0
NDC,0904-6773-61,ACETAMINOPHEN 325 MG TABLET,0.6,0.23,,,0
NDC,0904-6782-61,HALOPERIDOL 5 MG TABLET,5.9,2.3,,,0
NDC,0904-6783-70,"ASPIRIN 81 MG TABLET,DELAYED RELEASE",0.6,0.23,,,0
NDC,0904-6785-04,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE",95.6,37.28,,,0
NDC,0904-6787-44,MAGNESIUM CITRATE ORAL SOLUTION,15.9,6.2,,,0
NDC,0904-6791-04,MODAFINIL 100 MG TABLET,71.6,27.92,,,0
NDC,0904-6792-04,MODAFINIL 200 MG TABLET,76.6,29.87,,,0
NDC,0904-6794-30,ASPIRIN 81 MG CHEWABLE TABLET,0.6,0.23,,,0
NDC,0904-6794-80,ASPIRIN 81 MG CHEWABLE TABLET,0.6,0.23,,,0
NDC,0904-6794-89,ASPIRIN 81 MG CHEWABLE TABLET,0.6,0.23,,,0
NDC,0904-6797-61,LISINOPRIL 5 MG TABLET,4.8,1.87,,,0
NDC,0904-6798-61,LISINOPRIL 10 MG TABLET,4.8,1.87,,,0
NDC,0904-6799-61,LISINOPRIL 20 MG TABLET,4.8,1.87,,,0
NDC,0904-6801-61,"QUETIAPINE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",5.8,2.26,,,0
NDC,0904-6805-61,"QUETIAPINE ER 400 MG TABLET,EXTENDED RELEASE 24 HR",17.0,6.63,,,0
NDC,0904-6808-06,MONTELUKAST 10 MG TABLET,4.8,1.87,,,0
NDC,0904-6808-61,MONTELUKAST 10 MG TABLET,4.8,1.87,,,0
NDC,0904-6817-61,MIDODRINE 2.5 MG TABLET,6.6,2.57,,,0
NDC,0904-6818-06,MIDODRINE 5 MG TABLET,4.8,1.87,,,0
NDC,0904-6818-61,MIDODRINE 5 MG TABLET,26.6,10.37,,,0
NDC,0904-6819-07,MIDODRINE 10 MG TABLET,8.3,3.24,,,0
NDC,0904-6821-04,TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,36.2,14.12,,,0
NDC,0904-6822-07,ENTACAPONE 200 MG TABLET,36.3,14.16,,,0
NDC,0904-6823-61,GABAPENTIN 600 MG TABLET,4.8,1.87,,,0
NDC,0904-6828-94,OXYCODONE 5 MG/5 ML ORAL SOLUTION,88.6,34.55,,,0
NDC,0904-6830-06,FINASTERIDE 5 MG TABLET,5.2,2.03,,,0
NDC,0904-6830-61,FINASTERIDE 5 MG TABLET,8.0,3.12,,,0
NDC,0904-6831-04,METAXALONE 800 MG TABLET,42.3,16.5,,,0
NDC,0904-6832-04,"MESALAMINE 1.2 GRAM TABLET,DELAYED RELEASE",383.2,149.45,,,0
NDC,0904-6836-20,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID,4.8,1.87,,,0
NDC,0904-6852-61,LORATADINE 10 MG TABLET,1.1,0.43,,,0
NDC,0904-6860-61,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",4.8,1.87,,,0
NDC,0904-6861-61,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE",4.8,1.87,,,0
NDC,0904-6868-61,TRAZODONE 50 MG TABLET,4.8,1.87,,,0
NDC,0904-6869-61,TRAZODONE 100 MG TABLET,4.8,1.87,,,0
NDC,0904-6870-45,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",4.8,1.87,,,0
NDC,0904-6872-04,CLARITHROMYCIN 500 MG TABLET,25.0,9.75,,,0
NDC,0904-6874-04,ABACAVIR 300 MG TABLET,133.0,51.87,,,0
NDC,0904-6882-10,PHYTONADIONE (VITAMIN K1) 5 MG TABLET,328.3,128.04,,,0
NDC,0904-6888-06,MINOCYCLINE 100 MG CAPSULE,8.9,3.47,,,0
NDC,0904-6900-61,CHLORTHALIDONE 25 MG TABLET,33.5,13.06,,,0
NDC,0904-6902-04,RALOXIFENE 60 MG TABLET,51.2,19.97,,,0
NDC,0904-6908-04,ATOMOXETINE 40 MG CAPSULE,48.6,18.95,,,0
NDC,0904-6914-61,METHYLPREDNISOLONE 4 MG TABLET,14.3,5.58,,,0
NDC,0904-6923-61,PREDNISONE 10 MG TABLET,4.8,1.87,,,0
NDC,0904-6924-61,SERTRALINE 25 MG TABLET,4.8,1.87,,,0
NDC,0904-6925-61,SERTRALINE 50 MG TABLET,4.8,1.87,,,0
NDC,0904-6926-61,SERTRALINE 100 MG TABLET,4.8,1.87,,,0
NDC,0904-6927-61,SPIRONOLACTONE 25 MG TABLET,4.8,1.87,,,0
NDC,0904-6928-61,TOPIRAMATE 25 MG TABLET,4.8,1.87,,,0
NDC,0904-6929-61,TOPIRAMATE 100 MG TABLET,7.5,2.92,,,0
NDC,0904-6931-81,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,12.0,4.68,,,0
NDC,0904-6931-86,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,12.0,4.68,,,0
NDC,0904-6935-61,"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR",209.4,81.67,,,0
NDC,0904-6938-06,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,13.9,5.42,,,0
NDC,0904-6939-61,HYDROXYUREA 500 MG CAPSULE,22.3,8.7,,,0
NDC,0904-6949-61,LEVOTHYROXINE 25 MCG TABLET,4.8,1.87,,,0
NDC,0904-6950-61,LEVOTHYROXINE 50 MCG TABLET,4.8,1.87,,,0
NDC,0904-6951-61,LEVOTHYROXINE 75 MCG TABLET,4.4,1.72,,,0
NDC,0904-6952-61,LEVOTHYROXINE 88 MCG TABLET,4.8,1.87,,,0
NDC,0904-6953-61,LEVOTHYROXINE 100 MCG TABLET,4.8,1.87,,,0
NDC,0904-6954-61,LEVOTHYROXINE 112 MCG TABLET,5.3,2.07,,,0
NDC,0904-6955-61,LEVOTHYROXINE 125 MCG TABLET,5.3,2.07,,,0
NDC,0904-6956-61,LEVOTHYROXINE 150 MCG TABLET,5.5,2.14,,,0
NDC,0904-6957-61,LEVOTHYROXINE 175 MCG TABLET,6.5,2.54,,,0
NDC,0904-6966-61,OXYCODONE 5 MG TABLET,4.8,1.87,,,0
NDC,0904-6985-20,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,2.6,1.01,,,0
NDC,0904-6987-61,DICYCLOMINE 10 MG CAPSULE,4.8,1.87,,,0
NDC,0904-6988-61,DICYCLOMINE 20 MG TABLET,4.8,1.87,,,0
NDC,0904-6990-61,PSEUDOEPHEDRINE 30 MG TABLET,0.6,0.23,,,0
NDC,0904-6991-04,PREGABALIN 25 MG CAPSULE,20.3,7.92,,,0
NDC,0904-6991-61,PREGABALIN 25 MG CAPSULE,6.0,2.34,,,0
NDC,0904-6992-61,PREGABALIN 50 MG CAPSULE,5.8,2.26,,,0
NDC,0904-6993-61,AMIODARONE 200 MG TABLET,4.8,1.87,,,0
NDC,0904-6994-46,SIMETHICONE 125 MG CAPSULE,0.6,0.23,,,0
NDC,0904-6998-60,DOCUSATE SODIUM 100 MG CAPSULE,0.6,0.23,,,0
NDC,0904-6998-80,DOCUSATE SODIUM 100 MG CAPSULE,0.6,0.23,,,0
NDC,0904-7000-61,PREGABALIN 75 MG CAPSULE,5.9,2.3,,,0
NDC,0904-7001-61,PREGABALIN 100 MG CAPSULE,6.5,2.54,,,0
NDC,0904-7003-04,PREGABALIN 200 MG CAPSULE,12.8,4.99,,,0
NDC,0904-7006-35,OXYMETAZOLINE 0.05 % NASAL SPRAY,8.5,3.32,,,0
NDC,0904-7007-61,LAMOTRIGINE 25 MG TABLET,4.8,1.87,,,0
NDC,0904-7008-61,LAMOTRIGINE 100 MG TABLET,4.8,1.87,,,0
NDC,0904-7009-06,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL TABLET,23.8,9.28,,,0
NDC,0904-7016-06,BUMETANIDE 1 MG TABLET,16.4,6.4,,,0
NDC,0904-7016-61,BUMETANIDE 1 MG TABLET,9.5,3.7,,,0
NDC,0904-7020-61,PRAZOSIN 1 MG CAPSULE,10.4,4.06,,,0
NDC,0904-7023-67,BACITRACIN TOPICAL OINTMENT (WRAPPED),65.8,25.66,,,0
NDC,0904-7024-04,VORICONAZOLE 200 MG TABLET,168.9,65.87,,,0
NDC,0904-7027-61,OXYBUTYNIN CHLORIDE 5 MG TABLET,4.8,1.87,,,0
NDC,0904-7035-80,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,12.5,4.88,,,0
NDC,0904-7041-61,ALLOPURINOL 100 MG TABLET,5.1,1.99,,,0
NDC,0904-7042-06,AMANTADINE HCL 100 MG CAPSULE,10.8,4.21,,,0
NDC,0904-7042-61,AMANTADINE HCL 100 MG CAPSULE,10.0,3.9,,,0
NDC,0904-7043-04,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",11.2,4.37,,,0
NDC,0904-7043-61,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",12.4,4.84,,,0
NDC,0904-7044-61,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",11.1,4.33,,,0
NDC,0904-7045-61,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",11.1,4.33,,,0
NDC,0904-7046-06,HYDROXYCHLOROQUINE 200 MG TABLET,9.7,3.78,,,0
NDC,0904-7046-61,HYDROXYCHLOROQUINE 200 MG TABLET,5.4,2.11,,,0
NDC,0904-7047-61,LOSARTAN 25 MG TABLET,13.4,5.23,,,0
NDC,0904-7048-61,LOSARTAN 50 MG TABLET,5.2,2.03,,,0
NDC,0904-7049-61,LOSARTAN 100 MG TABLET,5.8,2.26,,,0
NDC,0904-7052-61,DOXEPIN 10 MG CAPSULE,4.8,1.87,,,0
NDC,0904-7053-61,DOXEPIN 25 MG CAPSULE,6.2,2.42,,,0
NDC,0904-7054-61,DOXEPIN 50 MG CAPSULE,8.6,3.35,,,0
NDC,0904-7056-99,"ASPIRIN 25 MG-DIPYRIDAMOLE 200 MG CAPSULE,EXT.RELEASE 12 HR MULTIPHASE",81.1,31.63,,,0
NDC,0904-7057-61,METHOCARBAMOL 500 MG TABLET,4.8,1.87,,,0
NDC,0904-7058-61,METHOCARBAMOL 750 MG TABLET,4.8,1.87,,,0
NDC,0904-7070-07,NADOLOL 20 MG TABLET,11.8,4.6,,,0
NDC,0904-7070-61,NADOLOL 20 MG TABLET,13.6,5.3,,,0
NDC,0904-7071-07,NADOLOL 40 MG TABLET,27.7,10.8,,,0
NDC,0904-7078-61,MYCOPHENOLATE MOFETIL 500 MG TABLET,7.3,2.85,,,0
NDC,0904-7083-61,CIPROFLOXACIN 500 MG TABLET,4.8,1.87,,,0
NDC,0904-7084-04,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",10.2,3.98,,,0
NDC,0904-7084-61,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",28.5,11.12,,,0
NDC,0904-7087-61,CLOZAPINE 100 MG TABLET,7.2,2.81,,,0
NDC,0904-7090-61,PIOGLITAZONE 15 MG TABLET,10.0,3.9,,,0
NDC,0904-7093-61,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,4.8,1.87,,,0
NDC,0904-7094-61,OXYCODONE-ACETAMINOPHEN 7.5 MG-325 MG TABLET,6.3,2.46,,,0
NDC,0904-7095-61,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,9.2,3.59,,,0
NDC,0904-7097-61,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE",52.5,20.48,,,0
NDC,0904-7103-04,EZETIMIBE 10 MG TABLET,70.4,27.46,,,0
NDC,0904-7103-10,EZETIMIBE 10 MG TABLET,40.9,15.95,,,0
NDC,0904-7105-61,CAPTOPRIL 12.5 MG TABLET,5.5,2.14,,,0
NDC,0904-7106-61,CAPTOPRIL 25 MG TABLET,11.5,4.48,,,0
NDC,0904-7107-61,RIVASTIGMINE 1.5 MG CAPSULE,25.2,9.83,,,0
NDC,0904-7108-61,GABAPENTIN 800 MG TABLET,5.8,2.26,,,0
NDC,0904-7109-61,LABETALOL 100 MG TABLET,4.8,1.87,,,0
NDC,0904-7110-61,LABETALOL 200 MG TABLET,4.8,1.87,,,0
NDC,0904-7115-61,DOCUSATE SODIUM 100 MG CAPSULE,0.6,0.23,,,0
NDC,0904-7119-06,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,12.9,5.03,,,0
NDC,0904-7119-61,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,12.2,4.76,,,0
NDC,0904-7120-04,COLCHICINE 0.6 MG TABLET,36.9,14.39,,,0
NDC,0904-7121-61,BUSPIRONE 10 MG TABLET,4.8,1.87,,,0
NDC,0904-7122-61,BUSPIRONE 5 MG TABLET,4.8,1.87,,,0
NDC,0904-7123-61,LEVETIRACETAM 250 MG TABLET,4.8,1.87,,,0
NDC,0904-7124-61,LEVETIRACETAM 500 MG TABLET,4.8,1.87,,,0
NDC,0904-7125-61,LEVETIRACETAM 750 MG TABLET,4.8,1.87,,,0
NDC,0904-7126-61,METRONIDAZOLE 500 MG TABLET,5.4,2.11,,,0
NDC,0904-7127-61,PREDNISONE 20 MG TABLET,6.5,2.54,,,0
NDC,0904-7130-06,CHLORPROMAZINE 25 MG TABLET,38.4,14.98,,,0
NDC,0904-7130-61,CHLORPROMAZINE 25 MG TABLET,79.9,31.16,,,0
NDC,0904-7131-61,CHLORPROMAZINE 50 MG TABLET,483.8,188.68,,,0
NDC,0904-7137-61,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,17.8,6.94,,,0
NDC,0904-7140-04,GUANFACINE 1 MG TABLET,12.4,4.84,,,0
NDC,0904-7141-10,METHOTREXATE SODIUM 2.5 MG TABLET,114.4,44.62,,,0
NDC,0904-7143-61,SOTALOL 80 MG TABLET,8.6,3.35,,,0
NDC,0904-7144-61,DRONABINOL 2.5 MG CAPSULE,65.2,25.43,,,0
NDC,0904-7145-04,DRONABINOL 5 MG CAPSULE,263.8,102.88,,,0
NDC,0904-7153-61,BENZONATATE 100 MG CAPSULE,7.6,2.96,,,0
NDC,0904-7156-61,METRONIDAZOLE 250 MG TABLET,6.2,2.42,,,0
NDC,0904-7161-04,FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET,11.4,4.45,,,0
NDC,0904-7161-61,FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET,23.9,9.32,,,0
NDC,0904-7162-61,METFORMIN 500 MG TABLET,4.8,1.87,,,0
NDC,0904-7163-61,METFORMIN 850 MG TABLET,4.8,1.87,,,0
NDC,0904-7168-06,URSODIOL 300 MG CAPSULE,37.6,14.66,,,0
NDC,0904-7168-61,URSODIOL 300 MG CAPSULE,33.7,13.14,,,0
NDC,0904-7172-07,EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,15.0,5.85,,,0
NDC,0904-7177-61,FUROSEMIDE 20 MG TABLET,4.8,1.87,,,0
NDC,0904-7178-61,FUROSEMIDE 40 MG TABLET,4.8,1.87,,,0
NDC,0904-7179-61,TRAMADOL 50 MG TABLET,4.8,1.87,,,0
NDC,0904-7180-61,OXYCODONE 15 MG TABLET,4.8,1.87,,,0
NDC,0904-7182-61,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR",31.7,12.36,,,0
NDC,0904-7183-61,DOCUSATE SODIUM 100 MG CAPSULE,0.6,0.23,,,0
NDC,0904-7187-61,ATENOLOL 25 MG TABLET,4.8,1.87,,,0
NDC,0904-7188-61,HYDROCORTISONE 10 MG TABLET,20.7,8.07,,,0
NDC,0904-7189-04,NEBIVOLOL 5 MG TABLET,21.5,8.38,,,0
NDC,0904-7190-04,NEBIVOLOL 10 MG TABLET,48.3,18.84,,,0
NDC,0904-7193-06,FAMOTIDINE 20 MG TABLET,1.1,0.43,,,0
NDC,0904-7193-61,FAMOTIDINE 20 MG TABLET,0.6,0.23,,,0
NDC,0904-7199-07,PHENYTOIN 50 MG CHEWABLE TABLET,10.1,3.94,,,0
NDC,0904-7200-61,LISINOPRIL 40 MG TABLET,4.8,1.87,,,0
NDC,0904-7206-60,SIMETHICONE 80 MG CHEWABLE TABLET,0.6,0.23,,,0
NDC,0904-7211-04,DANTROLENE 25 MG CAPSULE,12.2,4.76,,,0
NDC,0904-7214-61,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE",4.8,1.87,,,0
NDC,0904-7216-61,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",8.4,3.28,,,0
NDC,0904-7217-61,"DILTIAZEM 120 MG CAPSULE, EXTENDED RELEASE (WRAPPED)",6.9,2.69,,,0
NDC,0904-7218-61,"DILTIAZEM 180 MG CAPSULE, EXTENDED RELEASE (WRAPPED)",3.0,1.17,,,0
NDC,0904-7219-61,"DILTIAZEM 240 MG CAPSULE, EXTENDED RELEASE (WRAPPED)",4.8,1.87,,,0
NDC,0904-7224-61,FOLIC ACID 1 MG TABLET,4.8,1.87,,,0
NDC,0904-7225-04,NEBIVOLOL 2.5 MG TABLET,40.9,15.95,,,0
NDC,0904-7227-61,CLONAZEPAM 0.5 MG TABLET,4.8,1.87,,,0
NDC,0904-7229-61,NIFEDIPINE 10 MG CAPSULE,8.3,3.24,,,0
NDC,0904-7236-61,MEGESTROL 40 MG TABLET,4.8,1.87,,,0
NDC,0904-7237-24,DIPHENHYDRAMINE 25 MG CAPSULE,0.6,0.23,,,0
NDC,0904-7237-60,DIPHENHYDRAMINE 25 MG CAPSULE,0.6,0.23,,,0
NDC,0904-7237-61,DIPHENHYDRAMINE 25 MG CAPSULE,0.6,0.23,,,0
NDC,0904-7243-61,CIPROFLOXACIN 500 MG TABLET,4.8,1.87,,,0
NDC,0904-7244-68,LACOSAMIDE 50 MG TABLET,9.5,3.7,,,0
NDC,0904-7245-68,LACOSAMIDE 100 MG TABLET,31.5,12.28,,,0
NDC,0904-7247-68,LACOSAMIDE 200 MG TABLET,18.9,7.37,,,0
NDC,0904-7252-61,SENNOSIDES 8.6 MG TABLET,0.6,0.23,,,0
NDC,0904-7257-61,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,4.8,1.87,,,0
NDC,0904-7261-61,SODIUM BICARBONATE 650 MG TABLET,0.7,0.27,,,0
NDC,0904-7262-61,OXCARBAZEPINE 150 MG TABLET,4.8,1.87,,,0
NDC,0904-7263-61,OXCARBAZEPINE 300 MG TABLET,6.5,2.54,,,0
NDC,0904-7265-93,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,25.3,9.87,,,0
NDC,0904-7265-94,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,79.4,30.97,,,0
NDC,0904-7266-61,DEXAMETHASONE 4 MG TABLET,8.1,3.16,,,0
NDC,0904-7267-61,DEXAMETHASONE 6 MG TABLET,13.8,5.38,,,0
NDC,0904-7276-92,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",6.5,2.54,,,0
NDC,0904-7278-70,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (WRAPPED),4.1,1.6,,,0
NDC,0904-7279-72,DOCUSATE SODIUM 50 MG/5 ML LIQUID (FOR OTIC USE ONLY),0.6,0.23,,,0
NDC,0904-7280-60,DOCUSATE SODIUM 100 MG CAPSULE,0.6,0.23,,,0
NDC,0904-7283-06,TORSEMIDE 20 MG TABLET,13.5,5.26,,,0
NDC,0904-7283-61,TORSEMIDE 20 MG TABLET,6.0,2.34,,,0
NDC,0904-7289-61,BENZTROPINE 1 MG TABLET,7.3,2.85,,,0
NDC,0904-7292-61,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",4.8,1.87,,,0
NDC,0904-7293-61,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",6.3,2.46,,,0
NDC,0904-7304-61,PROMETHAZINE 25 MG TABLET,4.8,1.87,,,0
NDC,0904-7305-61,CARVEDILOL 3.125 MG TABLET,4.8,1.87,,,0
NDC,0904-7306-61,CARVEDILOL 6.25 MG TABLET,4.8,1.87,,,0
NDC,0904-7307-61,CARVEDILOL 12.5 MG TABLET,4.8,1.87,,,0
NDC,0904-7308-61,CARVEDILOL 25 MG TABLET,4.8,1.87,,,0
NDC,0904-7317-06,FLUDROCORTISONE 0.1 MG TABLET,16.2,6.32,,,0
NDC,0904-7317-61,FLUDROCORTISONE 0.1 MG TABLET,15.4,6.01,,,0
NDC,0904-7321-76,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (WRAPPED),4.5,1.76,,,0
NDC,0904-7325-73,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP,14.8,5.77,,,0
NDC,0904-7329-61,METOLAZONE 5 MG TABLET,13.7,5.34,,,0
NDC,0904-7336-61,CEPHALEXIN 250 MG CAPSULE,5.2,2.03,,,0
NDC,0904-7337-06,CEPHALEXIN 500 MG CAPSULE,4.8,1.87,,,0
NDC,0904-7345-61,FLUOXETINE 10 MG CAPSULE,4.8,1.87,,,0
NDC,0904-7346-61,FLUOXETINE 20 MG CAPSULE,4.8,1.87,,,0
NDC,0904-7350-06,AZITHROMYCIN 250 MG TABLET,4.8,1.87,,,0
NDC,0904-7350-61,AZITHROMYCIN 250 MG TABLET,32.2,12.56,,,0
NDC,0904-7351-04,AZITHROMYCIN 500 MG TABLET,35.0,13.65,,,0
NDC,0904-7355-04,LURASIDONE 20 MG TABLET,21.3,8.31,,,0
NDC,0904-7356-61,LURASIDONE 40 MG TABLET,7.1,2.77,,,0
NDC,0904-7360-61,RISPERIDONE 0.25 MG TABLET,4.8,1.87,,,0
NDC,0904-7361-61,RISPERIDONE 0.5 MG TABLET,4.8,1.87,,,0
NDC,0904-7362-61,RISPERIDONE 1 MG TABLET,4.8,1.87,,,0
NDC,0904-7363-61,RISPERIDONE 2 MG TABLET,4.8,1.87,,,0
NDC,0904-7364-61,RISPERIDONE 3 MG TABLET,4.8,1.87,,,0
NDC,0904-7366-04,ARIPIPRAZOLE 2 MG TABLET,28.8,11.23,,,0
NDC,0904-7367-06,ARIPIPRAZOLE 5 MG TABLET,7.7,3.0,,,0
NDC,0904-7367-61,ARIPIPRAZOLE 5 MG TABLET,43.7,17.04,,,0
NDC,0904-7368-06,ARIPIPRAZOLE 10 MG TABLET,53.0,20.67,,,0
NDC,0904-7368-61,ARIPIPRAZOLE 10 MG TABLET,7.3,2.85,,,0
NDC,0904-7369-04,ARIPIPRAZOLE 15 MG TABLET,15.4,6.01,,,0
NDC,0904-7376-61,MECLIZINE 25 MG TABLET,7.1,2.77,,,0
NDC,0904-7382-06,PROCHLORPERAZINE MALEATE 10 MG TABLET,10.5,4.1,,,0
NDC,0904-7383-61,TAMSULOSIN 0.4 MG CAPSULE,6.9,2.69,,,0
NDC,0904-7390-61,HALOPERIDOL 1 MG TABLET,16.9,6.59,,,0
NDC,0904-7400-06,CYCLOBENZAPRINE 5 MG TABLET,3.6,1.4,,,0
NDC,0904-7401-61,CYCLOBENZAPRINE 10 MG TABLET,4.8,1.87,,,0
NDC,0904-7402-67,BACITRACIN TOPICAL OINTMENT (WRAPPED),1.0,0.39,,,0
NDC,0904-7406-61,CLOZAPINE 50 MG TABLET,25.4,9.91,,,0
NDC,0904-7410-61,AMITRIPTYLINE 25 MG TABLET,4.8,1.87,,,0
NDC,0904-7411-61,AMITRIPTYLINE 50 MG TABLET,4.8,1.87,,,0
NDC,0904-7417-61,METHADONE 10 MG TABLET,4.8,1.87,,,0
NDC,0904-7418-44,MAGNESIUM CITRATE ORAL SOLUTION,22.8,8.89,,,0
NDC,0904-7427-30,OXYMETAZOLINE 0.05 % NASAL SPRAY,9.6,3.74,,,0
NDC,0904-7435-35,OXYMETAZOLINE 0.05 % NASAL SPRAY,8.5,3.32,,,0
NDC,0904-7440-61,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET,0.7,0.27,,,0
NDC,0904-7442-61,CLONIDINE HCL 0.1 MG TABLET,4.8,1.87,,,0
NDC,0904-7445-20,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (WRAPPED),0.6,0.23,,,0
NDC,0904-7448-61,HYDRALAZINE 25 MG TABLET,4.8,1.87,,,0
NDC,0904-7449-61,HYDRALAZINE 50 MG TABLET,4.8,1.87,,,0
NDC,0904-7450-61,HYDRALAZINE 100 MG TABLET,4.8,1.87,,,0
NDC,0904-7451-61,LABETALOL 100 MG TABLET,4.8,1.87,,,0
NDC,0904-7452-61,LABETALOL 200 MG TABLET,4.8,1.87,,,0
NDC,0904-7459-41,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,231.2,90.17,,,0
NDC,0904-7463-41,LACOSAMIDE 10 MG/ML ORAL SOLUTION,376.0,146.64,,,0
NDC,0904-7464-64,LACOSAMIDE 10 MG/ML ORAL SOLUTION,751.7,293.16,,,0
NDC,0904-7464-66,LACOSAMIDE 10 MG/ML ORAL SOLUTION,751.7,293.16,,,0
NDC,0904-7465-61,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE",16.4,6.4,,,0
NDC,0904-7468-06,PROPRANOLOL 20 MG TABLET,6.6,2.57,,,0
NDC,0904-7468-61,PROPRANOLOL 20 MG TABLET,4.8,1.87,,,0
NDC,0904-7470-66,SUCRALFATE 100 MG/ML ORAL SUSPENSION,63.5,24.76,,,0
NDC,0904-7496-61,TRAMADOL 50 MG TABLET,4.8,1.87,,,0
NDC,0904-7501-61,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,4.8,1.87,,,0
NDC,0904-7502-04,CINACALCET 30 MG TABLET,680.3,265.32,,,0
NDC,0904-7505-04,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",10.2,3.98,,,0
NDC,0904-7505-61,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",12.3,4.8,,,0
NDC,0904-7513-66,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP,3.7,1.44,,,0
NDC,0904-7727-14,ALUMINUM HYDROX-MAGNESIUM CARB 95 MG-358 MG/15 ML ORAL SUSPENSION,0.8,0.31,,,0
NDC,0904-7728-61,CLONAZEPAM 1 MG TABLET,4.8,1.87,,,0
NDC,0904-7914-61,IBUPROFEN 200 MG TABLET,0.3,0.12,,,0
NDC,0904-7927-60,"BISACODYL 5 MG TABLET,DELAYED RELEASE",0.6,0.23,,,0
NDC,0904-8805-67,NEOMYCIN-BACITRACIN-POLYMYCIN TOPICAL OINTMENT (WRAPPED),0.6,0.23,,,0
NDC,0904027760,"VITAMIN E (DL, ACETATE) 450 MG (1,000 UNIT) CAPSULE",0.6,0.23,,,0
NDC,0904052360,ASCORBIC ACID (VITAMIN C) 500 MG TABLET,0.6,0.23,,,0
NDC,0904052361,ASCORBIC ACID (VITAMIN C) 500 MG TABLET,0.6,0.23,,,0
NDC,0904052372,ASCORBIC ACID (VITAMIN C) 500 MG TABLET,0.6,0.23,,,0
NDC,0904052380,ASCORBIC ACID (VITAMIN C) 500 MG TABLET,0.6,0.23,,,0
NDC,0904053061,MULTIVITAMIN WITH FOLIC ACID 400 MCG TABLET,0.6,0.23,,,0
NDC,0904053961,THERAPEUTIC MULTIVITAMIN TABLET,4.8,1.87,,,0
NDC,0904188260,CALCIUM 250 MG (AS CARBONATE)-VITAMIN D3 3.125 MCG (125 UNIT) TABLET,0.6,0.23,,,0
NDC,0904188361,"CALCIUM 500 MG (AS CALCIUM CARBONATE 1,250 MG) TABLET",0.6,0.23,,,0
NDC,0904208560,"VITAMIN A 3,000 MCG (10,000 UNIT) CAPSULE",0.6,0.23,,,0
NDC,0904227260,NIACIN 500 MG TABLET,0.6,0.23,,,0
NDC,0904429909,LANOLIN-MINERAL OIL LOTION,8.0,3.12,,,0
NDC,0904533260,ZINC SULFATE 50 MG ZINC (220 MG) CAPSULE,0.6,0.23,,,0
NDC,0904546052,CALCIUM 500 MG (AS CARBONATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET,0.6,0.23,,,0
NDC,0904549261,MULTIVITAMIN-IRON 9 MG-FOLIC ACID 400 MCG-CALCIUM AND MINERALS TABLET,0.6,0.23,,,0
NDC,0904549280,MULTIVITAMIN-IRON 9 MG-FOLIC ACID 400 MCG-CALCIUM AND MINERALS TABLET,0.6,0.23,,,0
NDC,0904561646,COENZYME Q10  50 MG CAPSULE,4.8,1.87,,,0
NDC,0904582360,CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET,0.6,0.23,,,0
NDC,0904585692,CALCIUM 600 MG (AS CARBONATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET,0.6,0.23,,,0
NDC,0904598426,AMMONIUM LACTATE 12 % LOTION,29.4,11.47,,,0
NDC,0904723006,SACCHAROMYCES BOULARDII 250 MG CAPSULE,5.4,2.11,,,0
NDC,0904723961,"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET",4.8,1.87,,,0
NDC,0904731673,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION,4.8,1.87,,,0
NDC,0904740361,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET",0.8,0.31,,,0
NDC,0904759161,FERROUS SULFATE 325 MG (65 MG IRON) TABLET,0.6,0.23,,,0
NDC,0904775127,LANOLIN ALCOHOLS-MINERAL OIL-W.PETROLATUM-CERESIN TOPICAL CREAM,31.4,12.25,,,0
NDC,0941-0409-01,PERITON.DIALYSIS SOLN 6-1.5 % DEXTROS LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L (5L BAG FOR CCPD),205.0,79.95,,,0
NDC,0941-0409-05,PERITON.DIALYSIS SOLN 6-1.5 % DEXTROS LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,324.6,126.59,,,0
NDC,0941-0409-06,PERITON.DIALYSIS SOLN 6-1.5 % DEXTROS LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L (5L BAG FOR CCPD),273.3,106.59,,,0
NDC,0941-0409-07,PERITON.DIALYSIS SOLN 6-1.5 % DEXTROS LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L (5L BAG FOR CCPD),205.0,79.95,,,0
NDC,0941-0411-06,PERITONEAL DIALYSIS SOLN 4-1.5 % DEXTR CA+ 3.5 MEQ/L-LOW MAG 0.5 MEQ/L,290.4,113.26,,,0
NDC,0941-0411-11,PERITONEAL DIALYSIS SOLN 4-1.5 % DEXTR CA+ 3.5 MEQ/L-LOW MAG 0.5 MEQ/L,614.9,239.81,,,0
NDC,0941-0413-01,PERITON. DIALYSIS SOLN 13-2.5 % DEXTROSE CALC 3.5 MEQ/L-MAG 0.5 MEQ/L,614.9,239.81,,,0
NDC,0941-0413-04,PERITON. DIALYSIS SOLN 13-2.5 % DEXTROSE CALC 3.5 MEQ/L-MAG 0.5 MEQ/L,486.8,189.85,,,0
NDC,0941-0424-52,PERITON.DIALYSIS SOLN 6-1.5 % DEXTROS LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,444.1,173.2,,,0
NDC,0941-0430-52,PERITONEAL DIALYSIS SOLN 7-2.5 % DEXT.LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L (5L BAG FOR CCPD),410.0,159.9,,,0
NDC,0941-0433-52,PERITON. DIALYSIS SOLN 8-4.25 % DEXTROSE CALC 2.5 MEQ/L-MAG 0.5 MEQ/L (5L BAG FOR CCPD),512.4,199.84,,,0
NDC,0941-0457-01,PERITONEAL DIALYSIS SOLN 7-2.5 % DEXT.LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,614.9,239.81,,,0
NDC,0941-0457-05,PERITONEAL DIALYSIS SOLN 7-2.5 % DEXT.LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L (5L BAG FOR CCPD),256.2,99.92,,,0
NDC,0941-0459-05,PERITON. DIALYSIS SOLN 8-4.25 % DEXTROSE CALC 2.5 MEQ/L-MAG 0.5 MEQ/L (5L BAG FOR CCPD),427.0,166.53,,,0
NDC,0941-0729-01,PERITONEAL DIALYSIS SOLN 7-2.5 % DEXT.LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L (5L BAG FOR CCPD),61.5,23.98,,,0
NDC,0942-0641-03,DEXTROSE 2.45 GRAM-SOD CITRATE 2.2 GRAM-CITRIC AC 730 MG/100 ML SOLN,55.6,21.68,,,0
NDC,0942-0641-04,DEXTROSE 2.45 GRAM-SOD CITRATE 2.2 GRAM-CITRIC AC 730 MG/100 ML SOLN,85.4,33.31,,,0
NDC,0944-2658-04,"IMMUNE GLOB,GAMMA(IGG) 10 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML IV SOLUTION",63460.5,24749.6,,,0
NDC,0944-2700-02,"IMMUNE GLOB,GAMMA (IGG-GAMMAGARD) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",1217.1,474.67,,,0
NDC,0944-2700-04,"IMMUNE GLOB,GAMMA (IGG-GAMMAGARD) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",6085.2,2373.23,,,0
NDC,0944-2700-05,"IMMUNE GLOB,GAMMA (IGG-GAMMAGARD) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",36511.0,14239.29,,,0
NDC,0944-2700-06,"IMMUNE GLOB,GAMMA (IGG-GAMMAGARD) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",24340.63,9492.85,,,0
NDC,0944-2700-07,"IMMUNE GLOB,GAMMA (IGG-GAMMAGARD) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",73022.0,28478.58,,,0
NDC,0944-3052-02,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 500 (+/-) UNIT IV SOLUTION",12768.6,4979.75,,,0
NDC,0955-1004-10,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,73.0,28.47,,,0
NDC,0955-1008-10,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,127.8,49.84,,,0
NDC,0990-6138-03,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,38.6,15.05,,,0
NDC,0990-6138-22,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,32.6,12.71,,,0
NDC,0990-6139-03,"WATER FOR IRRIGATION, STERILE SOLUTION",38.6,15.05,,,0
NDC,0990-7074-26,POTASSIUM CHLORIDE 10 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,41.9,16.34,,,0
NDC,0990-7075-26,POTASSIUM CHLORIDE 20 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,23.1,9.01,,,0
NDC,0990-7077-14,POTASSIUM CHLORIDE 0.4 MEQ/ML IV SYRINGE *CENTRAL* PEDS (PRE-MIX),53.7,20.94,,,0
NDC,0990-7107-09,POTASSIUM CHLORIDE 20 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS,53.7,20.94,,,0
NDC,0990-7109-09,POTASSIUM CHLORIDE 40 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS,56.1,21.88,,,0
NDC,0990-7111-09,POTASSIUM CHLORIDE 20 MEQ/L-LACTATED RINGERS-5 % DEXTROSE INTRAVENOUS,77.2,30.11,,,0
NDC,0990-7115-09,POTASSIUM CHLORIDE 20 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,53.7,20.94,,,0
NDC,0990-7116-09,POTASSIUM CHLORIDE 40 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,63.1,24.61,,,0
NDC,0990-7118-07,"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION",53.7,20.94,,,0
NDC,0990-7120-07,NEONATAL 2-IN-1 CPN (WMCG),315.0,122.85,,,0
NDC,0990-7138-09,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,35.1,13.69,,,0
NDC,0990-7139-09,"WATER FOR IRRIGATION, STERILE SOLUTION",35.1,13.69,,,0
NDC,0990-7171-17,ADULT 2-IN-1 PPN,315.0,122.85,,,0
NDC,0990-7172-17,ADULT 2-IN-1 PPN,315.0,122.85,,,0
NDC,0990-7670-09,ELECTROLYTE-R (PH 7.4) INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0990-7715-03,MANNITOL 20 % INTRAVENOUS SOLUTION,162.3,63.3,,,0
NDC,0990-7730-37,SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0990-7902-09,POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,53.7,20.94,,,0
NDC,0990-7904-09,POTASSIUM CHLORIDE 40 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,53.7,20.94,,,0
NDC,0990-7905-09,POTASSIUM CHLORIDE 20 MEQ/L IN 5 % DEXTROSE INTRAVENOUS SOLUTION,59.8,23.32,,,0
NDC,0990-7918-19,NEONATAL 2-IN-1 CPN,315.0,122.85,,,0
NDC,0990-7922-02,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0990-7922-03,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0990-7922-09,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0990-7922-61,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,26.9,10.49,,,0
NDC,0990-7923-13,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0990-7923-23,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0990-7923-36,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0990-7923-37,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0990-7924-09,DEXTROSE 5 % AND 0.225% SODIUM CHLORIDE INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0990-7926-02,DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0990-7926-03,DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0990-7926-09,DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0990-7929-03,DEXTROSE 5 % IN LACTATED RINGERS IV BOLUS,77.2,30.11,,,0
NDC,0990-7929-09,DEXTROSE 5 % AND LACTATED RINGERS INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0990-7930-02,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0990-7930-03,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0990-7930-09,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0990-7935-19,DEXTROSE 20 % IN WATER (D20W) INTRAVENOUS SOLUTION,101.7,39.66,,,0
NDC,0990-7941-03,DEXTROSE 5 % AND 0.9 % NACL IV BOLUS,77.2,30.11,,,0
NDC,0990-7941-09,DEXTROSE 5 % AND 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0990-7953-02,LACTATED RINGERS IV SOLUTION,53.7,20.94,,,0
NDC,0990-7953-03,LACTATED RINGERS INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0990-7953-09,LACTATED RINGERS INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0990-7972-05,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,56.1,21.88,,,0
NDC,0990-7972-08,SODIUM CHLORIDE 0.9% 3000 ML IRRIGATION SOLUTION,84.2,32.84,,,0
NDC,0990-7973-08,"WATER FOR IRRIGATION, STERILE SOLUTION",84.2,32.84,,,0
NDC,0990-7981-08,SORBITOL 2.7 GRAM-MANNITOL 0.54 GRAM/100 ML TRANSURETHRAL SOLUTION,128.1,49.96,,,0
NDC,0990-7983-02,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0990-7983-03,SODIUM CHLORIDE 0.9 % BOLUS,53.7,20.94,,,0
NDC,0990-7983-09,SODIUM CHLORIDE 0.9 % BOLUS,53.7,20.94,,,0
NDC,0990-7983-55,SODIUM CHLORIDE 0.9 % IV SOLUTION FOR PRESSURIZED LINES,53.7,20.94,,,0
NDC,0990-7983-61,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0990-7984-13,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,79.6,31.04,,,0
NDC,0990-7984-20,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0990-7984-23,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0990-7984-36,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0990-7984-37,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0990-7985-02,SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0990-7985-03,SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0990-7985-09,SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,0990-7990-09,"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION",53.7,20.94,,,0
NDC,0990-7993-09,POTASSIUM CHLORIDE 10 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,68.4,26.68,,,0
NDC,0990-9257-39,POTASSIUM CHLORIDE 20 MEQ/L IN 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLN,53.7,20.94,,,0
NDC,0998-0016-15,PROPARACAINE 0.5 % EYE DROPS,348.5,135.92,,,0
NDC,0998-0408-15,ARTIFICIAL TEARS (HYPROMELLOSE) 0.5 % EYE DROPS,218.1,85.06,,,0
NDC,1000670020,"NIACIN ER 250 MG CAPSULE,EXTENDED RELEASE",0.6,0.23,,,0
NDC,1000670028,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET,0.6,0.23,,,0
NDC,1000670031,MELATONIN 3 MG TABLET,4.8,1.87,,,0
NDC,1000670038,CALCIUM 500 MG (AS CARBONATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET,0.6,0.23,,,0
NDC,1000673017,PYRIDOXINE (VITAMIN B6) 50 MG TABLET,4.8,1.87,,,0
NDC,1000673027,ZINC SULFATE 50 MG ZINC (220 MG) TABLET,0.6,0.23,,,0
NDC,1000673038,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET,0.6,0.23,,,0
NDC,10019-075-87,"ESMOLOL 2,000 MG/100 ML (20 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",1952.3,761.4,,,0
NDC,10019-115-01,ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION,127.6,49.76,,,0
NDC,10019-120-01,ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION,93.5,36.46,,,0
NDC,10019-553-04,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,163.4,63.73,,,0
NDC,10019-925-01,IFOSFAMIDE 1 GRAM INTRAVENOUS SOLUTION,565.1,220.39,,,0
NDC,10019-926-02,IFOSFAMIDE 3 GRAM INTRAVENOUS SOLUTION,671.1,261.73,,,0
NDC,10019-938-01,CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION,738.9,288.17,,,0
NDC,10019-939-01,CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION,2308.8,900.43,,,0
NDC,10019-953-01,MESNA 100 MG/ML INTRAVENOUS SOLUTION,213.5,83.26,,,0
NDC,10019-955-01,CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION,1028.5,401.12,,,0
NDC,10019-956-01,CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION,2929.6,1142.54,,,0
NDC,10019-957-01,CYCLOPHOSPHAMIDE 2 GRAM INTRAVENOUS POWDER FOR SOLUTION,8296.1,3235.48,,,0
NDC,10019-991-01,BORTEZOMIB 3.5 MG SOLUTION FOR SUBCUTANEOUS INJ,97.1,37.87,,,0
NDC,1011900252,SODIUM BORATE-BORIC ACID-SODIUM CHLORIDE-WATER EYE WASH SOLN,23.6,9.2,,,0
NDC,10122-313-10,NICARDIPINE 20 MG/200 ML(0.1 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN,794.6,309.89,,,0
NDC,10122-510-01,PORACTANT ALFA 120 MG/1.5 ML INTRATRACHEAL SUSPENSION,5512.9,2150.03,,,0
NDC,10122-510-03,PORACTANT ALFA 240 MG/3 ML INTRATRACHEAL SUSPENSION,10870.7,4239.57,,,0
NDC,10122-610-10,CLEVIDIPINE 25 MG/50 ML INTRAVENOUS EMULSION,737.1,287.47,,,0
NDC,10122-611-10,CLEVIDIPINE 50 MG/100 ML INTRAVENOUS EMULSION,1474.2,574.94,,,0
NDC,10122-620-10,CANGRELOR 50 MG INTRAVENOUS SOLUTION,8374.1,3265.9,,,0
NDC,10135-111-01,DOCUSATE SODIUM 100 MG CAPSULE,0.6,0.23,,,0
NDC,10135-669-01,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET,0.6,0.23,,,0
NDC,10135-701-04,MENTHOL 0.44 %-ZINC OXIDE 20.6 % TOPICAL OINTMENT,63.3,24.69,,,0
NDC,10135-730-01,MEXILETINE 150 MG CAPSULE,11.3,4.41,,,0
NDC,10157-2103-1,WITCH HAZEL 50 % TOPICAL PADS,26.7,10.41,,,0
NDC,10223-0201-3,BUTAMBEN-TETRACAINE-BENZOCAINE 2 %-2 %-14 % (200 MG/SEC) TOPICAL SPRAY,1658.3,646.74,,,0
NDC,10361-723-00,"BARIUM SULFATE 2.1 % (W/V), 2.0 % (W/W) ORAL SUSPENSION",23.8,9.28,,,0
NDC,10370-679-01,"NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE",23.3,9.09,,,0
NDC,10370-746-01,"GLIPIZIDE ER 10 MG TABLET, EXTENDED RELEASE 24 HR",6.2,2.42,,,0
NDC,10370-830-11,"DILTIAZEM 180 MG CAPSULE, EXTENDED RELEASE (WRAPPED)",11.7,4.56,,,0
NDC,10454-712-10,"RIMABOTULINUMTOXINB 10,000 UNIT/2 ML INTRAMUSCULAR SOLUTION",17706.1,6905.38,,,0
NDC,10481-0111-8,IODINE-POTASSIUM IODIDE 5 %-10 % TOPICAL SOLUTION,83.9,32.72,,,0
NDC,10511-3001-2,HEXAMINOLEVULINATE 100 MG INTRAVESICAL SOLUTION,9409.5,3669.7,,,0
NDC,10572-100-01,PEG 3350-ELECTROLYTES (GOLYTELY) (WRAPPED),184.1,71.8,,,0
NDC,10631-407-01,HYDROCORTISONE 2.5 % TOPICAL CREAM WITH PERINEAL APPLICATOR,568.2,221.6,,,0
NDC,10702-008-01,OXYCODONE 15 MG TABLET,14.6,5.69,,,0
NDC,10702-010-01,HYDROXYZINE HCL 10 MG TABLET,12.2,4.76,,,0
NDC,10702-016-01,"INDOMETHACIN ER 75 MG CAPSULE,EXTENDED RELEASE",23.3,9.09,,,0
NDC,10702-018-01,OXYCODONE 5 MG TABLET,4.8,1.87,,,0
NDC,10702-036-15,SODIUM POLYSTYRENE SULFONATE ORAL POWDER,37.2,14.51,,,0
NDC,10702-100-01,METHYLPHENIDATE 5 MG TABLET,5.6,2.18,,,0
NDC,10702-201-01,OXYBUTYNIN CHLORIDE 5 MG TABLET,5.9,2.3,,,0
NDC,10702-201-50,OXYBUTYNIN CHLORIDE 5 MG TABLET,5.9,2.3,,,0
NDC,10702-253-01,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,13.0,5.07,,,0
NDC,10939-70344,GLUCOSE 4 GRAM CHEWABLE TABLET,10.2,3.98,,,0
NDC,1093910433,MAGNESIUM CITRATE ORAL SOLUTION,11.4,4.45,,,0
NDC,1093941433,OXYMETAZOLINE 0.025% NASAL DROPS,343.9,134.12,,,0
NDC,1093944344,"ASPIRIN 81 MG TABLET,DELAYED RELEASE",0.6,0.23,,,0
NDC,1093956833,"BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOPICAL OINTMENT",10.6,4.13,,,0
NDC,1093975744,ISOPROPYL ALCOHOL 70 % SOLUTION,152.4,59.44,,,0
NDC,1093975944,ISOPROPYL ALCOHOL 70 % SOLUTION,177.8,69.34,,,0
NDC,1093979444,SIMETHICONE 80 MG CHEWABLE TABLET,0.6,0.23,,,0
NDC,1093983744,"NEOMYCIN-BACITRACN ZN-POLYMYX 3.5 MG-400 UNIT-5,000 UNIT/GRAM TOP OINT",74.4,29.02,,,0
NDC,1093985844,GLYCERIN 99.5 % TOPICAL SOLUTION,0.1,0.04,,,0
NDC,1093991144,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID,4.8,1.87,,,0
NDC,1093995594,SACCHAROMYCES BOULARDII 250 MG CAPSULE,4.8,1.87,,,0
NDC,11383-137-50,DIPHENHYDRAMINE 25 MG TABLET,0.6,0.23,,,0
NDC,11523-1159-1,OXYMETAZOLINE 0.05 % NASAL SPRAY,25.9,10.1,,,0
NDC,11523-1167-3,OXYMETAZOLINE 0.05 % NASAL SPRAY,18.59,7.25,,,0
NDC,11523-1167-6,OXYMETAZOLINE 0.05 % NASAL SPRAY,51.7,20.16,,,0
NDC,11523-7268-3,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,9.6,3.74,,,0
NDC,1152372688,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,8.7,3.39,,,0
NDC,11530-3500-99,STUDY SACITUZUMAB GOVITECAN-HZIY 180 MG INTRAVENOUS SOLUTION,0.01,0.0039,,,0
NDC,11535-2222-10,STUDY MK-2870 20 MG/ML INTRAVENOUS SOLUTION,0.1,0.04,,,0
NDC,11822-3587-70,"BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOPICAL OINTMENT",20.3,7.92,,,0
NDC,1184591805,PEDIATRIC MULTIVITAMIN CHEWABLE TABLET,4.8,1.87,,,0
NDC,1191703961,"OMEGA-3 FATTY ACIDS-FISH OIL 300 MG-1,000 MG CAPSULE",0.6,0.23,,,0
NDC,1191705357,"FOOD SUPPLEMENT, LACTOSE-REDUCED ORAL LIQUID",9.1,3.55,,,0
NDC,1191712480,ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY,5.7,2.22,,,0
NDC,1191716795,SODIUM CHLORIDE-ALOE VERA NASAL GEL,42.1,16.42,,,0
NDC,11980-180-05,"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION",1230.3,479.82,,,0
NDC,11994-011-04,PERFLUTREN LIPID MICROSPHERES 1.1 MG/ML INTRAVENOUS SUSPENSION,968.2,377.6,,,0
NDC,11994-011-16,PERFLUTREN LIPID MICROSPHERES 1.1 MG/ML INTRAVENOUS SUSPENSION,968.2,377.6,,,0
NDC,11994-017-20,PERFLUTREN LIPID MICROSPHERES 0.65 MG/ML INTRAVENOUS SUSPENSION,968.2,377.6,,,0
NDC,12165-100-03,SILVER NITRATE APPLICATORS 75 %-25 % TOPICAL STICK,4.8,1.87,,,0
NDC,12496-1208-3,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM,68.9,26.87,,,0
NDC,1254723813,"BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOP OINT PACKET",0.91,0.35,,,0
NDC,1254749380,TETRAHYDROZOLINE 0.05 % EYE DROPS,4.8,1.87,,,0
NDC,12870-0001-1,SILVER NITRATE APPLICATORS 75 %-25 % TOPICAL STICK,11.58,4.52,,,0
NDC,12870-0001-2,SILVER NITRATE APPLICATORS 75 %-25 % TOPICAL STICK,16.2,6.32,,,0
NDC,13107-001-30,MIRTAZAPINE 7.5 MG TABLET,40.4,15.76,,,0
NDC,13107-031-34,MIRTAZAPINE 15 MG TABLET,20.8,8.11,,,0
NDC,13107-055-01,OXYCODONE 5 MG TABLET,4.8,1.87,,,0
NDC,13107-084-01,LORAZEPAM 1 MG TABLET,6.8,2.65,,,0
NDC,13107-154-30,PAROXETINE 10 MG TABLET,40.2,15.68,,,0
NDC,13107-156-30,PAROXETINE 30 MG TABLET,21.6,8.42,,,0
NDC,13107-157-30,PAROXETINE 40 MG TABLET,22.9,8.93,,,0
NDC,13107-320-01,CLORAZEPATE DIPOTASSIUM 7.5 MG TABLET,11.0,4.29,,,0
NDC,13517-100-30,DIAZOXIDE 50 MG/ML ORAL SUSPENSION,118.8,46.33,,,0
NDC,13517-111-01,PHENOBARBITAL 32.4 MG TABLET,10.3,4.02,,,0
NDC,13517-626-01,PHENOBARBITAL 32.4 MG TABLET,5.2,2.03,,,0
NDC,13517-627-01,PHENOBARBITAL 64.8 MG TABLET,6.5,2.54,,,0
NDC,13533-318-01,RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION,22292.5,8694.08,,,0
NDC,13533-318-03,RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION,20869.5,8139.1,,,0
NDC,13533-318-05,RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION,23715.3,9248.97,,,0
NDC,13533-603-20,ANTITHROMBIN III (HUMAN) 500 (+/-) UNIT INTRAVENOUS SOLUTION,15428.0,6016.92,,,0
NDC,13533-634-02,TETANUS IMMUNE GLOBULIN (PF) 250 UNIT/ML INTRAMUSCULAR SYRINGE,4524.8,1764.67,,,0
NDC,13533-636-03,HEPATITIS B IMMUNE GLOBULIN 110 UNIT/0.5 ML INTRAMUSCULAR SYRINGE,755.4,294.61,,,0
NDC,13533-636-05,HEPATITIS B IMMUNE GLOBULIN 220 UNIT/ML (5 ML) INTRAMUSCULAR SOLUTION,3257.4,1270.39,,,0
NDC,13533-705-01,"ALPHA-1 PROTEINASE INHIBITOR (HUMAN) 1,000 MG (WRAPPED)",19107.6,7451.96,,,0
NDC,13533-800-12,IMMUNE GLOBULIN (IGG-GAMUNEX-C) 1 GRAM/10 ML (10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,992.2,386.96,,,0
NDC,13533-800-20,IMMUNE GLOBULIN (IGG-GAMUNEX-C) 1 GRAM/10 ML (10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,0.01,0.0039,,,0
NDC,13533-800-24,IMMUNE GLOB G 20 GRAM/200 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,17004.1,6631.6,,,0
NDC,13533-800-40,IMMUNE GLOB G 40 GRAM/400 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,40704.8,15874.87,,,0
NDC,13533-800-71,IMMUNE GLOB G 10 GRAM/100 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,0.01,0.0039,,,0
NDC,13668-007-01,ZOLPIDEM 5 MG TABLET,35.5,13.84,,,0
NDC,13668-009-01,CITALOPRAM 10 MG TABLET,79.2,30.89,,,0
NDC,13668-010-01,CITALOPRAM 20 MG TABLET,20.7,8.07,,,0
NDC,13668-011-01,CITALOPRAM 40 MG TABLET,21.4,8.35,,,0
NDC,13668-047-01,LAMOTRIGINE 100 MG TABLET,36.5,14.24,,,0
NDC,13668-086-30,OLANZAPINE 5 MG DISINTEGRATING TABLET,53.7,20.94,,,0
NDC,13668-088-30,OLANZAPINE 10 MG DISINTEGRATING TABLET,158.6,61.85,,,0
NDC,13668-091-90,PRAMIPEXOLE 0.125 MG TABLET,45.3,17.67,,,0
NDC,13668-092-90,PRAMIPEXOLE 0.25 MG TABLET,11.4,4.45,,,0
NDC,13668-093-90,PRAMIPEXOLE 0.5 MG TABLET,45.3,17.67,,,0
NDC,13668-094-90,PRAMIPEXOLE 1 MG TABLET,22.7,8.85,,,0
NDC,13668-102-90,DONEPEZIL 5 MG TABLET,119.5,46.6,,,0
NDC,13668-105-01,"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",65.6,25.58,,,0
NDC,13668-136-01,ESCITALOPRAM 10 MG TABLET,66.4,25.9,,,0
NDC,13668-484-50,MINOCYCLINE 100 MG CAPSULE,26.1,10.18,,,0
NDC,13668-581-30,TADALAFIL 20 MG TABLET (PULMONARY HYPERTENSION),584.1,227.8,,,0
NDC,13668-591-82,APREPITANT 40 MG CAPSULE,843.3,328.89,,,0
NDC,13668-592-84,APREPITANT 80 MG CAPSULE,1563.1,609.61,,,0
NDC,1381151810,FERROUS FUM-VIT C-VIT B12-FA 460 MG-60 MG-0.01 MG-1 MG CAPSULE,9.5,3.7,,,0
NDC,1442800888,BACITRACIN TOPICAL OINTMENT (WRAPPED),4.5,1.76,,,0
NDC,14789-015-05,ISOPROTERENOL 4 MCG/ML BOLUS,67.7,26.4,,,0
NDC,14789-108-10,POTASSIUM CHLORIDE 20 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,341.6,133.22,,,0
NDC,14789-115-05,"TRANEXAMIC ACID 1,000 MG/100 ML(10 MG/ML)IN SOD CHLOR,ISO IV PIGGYBACK",149.5,58.3,,,0
NDC,14789-115-08,"TRANEXAMIC ACID 1,000 MG/100 ML(10 MG/ML)IN SOD CHLOR,ISO IV PIGGYBACK",149.5,58.3,,,0
NDC,14789-116-05,ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION,683.2,266.45,,,0
NDC,14789-122-05,FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION,252.0,98.28,,,0
NDC,14789-128-07,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION,187.9,73.28,,,0
NDC,14789-137-05,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,22.5,8.78,,,0
NDC,14789-250-10,EPHEDRINE SULFATE 5 MG/ML INTRAVENOUS SOLUTION,247.7,96.6,,,0
NDC,14789-251-10,EPHEDRINE (PF) 25 MG/5 ML (5 MG/ML) IN 0.9% SODIUM CHLORIDE IV SYRINGE,64.1,25.0,,,0
NDC,14789-901-10,PROCAINAMIDE 100 MG/ML INJECTION SOLUTION,4182.0,1630.98,,,0
NDC,15054-0043-1,IRINOTECAN LIPOSOMAL 4.3 MG/ML INTRAVENOUS,48960.29,19094.51,,,0
NDC,15054-0500-1,ABOBOTULINUMTOXINA 500 UNIT INTRAMUSCULAR SOLUTION,18411.3,7180.41,,,0
NDC,15054-0530-6,ABOBOTULINUMTOXINA 300 UNIT INTRAMUSCULAR SOLUTION,7367.3,2873.25,,,0
NDC,15054-1060-4,LANREOTIDE 60 MG/0.2 ML SUBCUTANEOUS SYRINGE,42433.4,16549.03,,,0
NDC,15054-1120-4,LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE,66647.2,25992.41,,,0
NDC,16252-514-01,CIPROFLOXACIN 250 MG TABLET,69.6,27.14,,,0
NDC,16571-113-01,HYDROXYZINE HCL 10 MG TABLET,4.8,1.87,,,0
NDC,16571-126-06,TOLTERODINE 1 MG TABLET,50.8,19.81,,,0
NDC,16571-127-06,TOLTERODINE 2 MG TABLET,13.1,5.11,,,0
NDC,16571-128-15,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,16.4,6.4,,,0
NDC,16571-166-01,DOXAZOSIN 2 MG TABLET,20.7,8.07,,,0
NDC,16571-245-03,ITRACONAZOLE 100 MG CAPSULE,370.4,144.46,,,0
NDC,16571-401-10,CETIRIZINE 5 MG TABLET,10.6,4.13,,,0
NDC,16571-411-10,CIPROFLOXACIN 250 MG TABLET,68.1,26.56,,,0
NDC,16571-412-10,CIPROFLOXACIN 500 MG TABLET,39.9,15.56,,,0
NDC,16571-665-01,METRONIDAZOLE 250 MG TABLET,6.7,2.61,,,0
NDC,16571-667-01,PHENOBARBITAL 64.8 MG TABLET,6.5,2.54,,,0
NDC,16571-668-01,PHENOBARBITAL 97.2 MG TABLET,9.1,3.55,,,0
NDC,16571-673-01,PHENOBARBITAL 32.4 MG TABLET,15.5,6.04,,,0
NDC,16571-676-21,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,95.8,37.36,,,0
NDC,16571-676-42,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,91.1,35.53,,,0
NDC,16571-723-60,MAFENIDE 85 MG/G TOPICAL CREAM,666.7,260.01,,,0
NDC,16571-735-28,METHYLERGONOVINE 0.2 MG TABLET,544.0,212.16,,,0
NDC,16571-778-03,DONEPEZIL 5 MG TABLET,66.4,25.9,,,0
NDC,16571-778-09,DONEPEZIL 5 MG TABLET,132.7,51.75,,,0
NDC,16571-813-20,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,4.4,1.72,,,0
NDC,16571-831-01,PROBENECID 500 MG TABLET,28.7,11.19,,,0
NDC,16571-862-09,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",36.7,14.31,,,0
NDC,16571-868-01,GABAPENTIN 300 MG CAPSULE,10.3,4.02,,,0
NDC,16571-869-01,GABAPENTIN 400 MG CAPSULE,12.3,4.8,,,0
NDC,1657169901,ZINC SULFATE 50 MG ZINC (220 MG) TABLET,0.6,0.23,,,0
NDC,16714-006-10,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,59.8,23.32,,,0
NDC,16714-007-01,ISOSORBIDE DINITRATE 5 MG TABLET,15.1,5.89,,,0
NDC,16714-008-01,ISOSORBIDE DINITRATE 10 MG TABLET,8.3,3.24,,,0
NDC,16714-014-01,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,38.8,15.13,,,0
NDC,16714-014-02,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,37.7,14.7,,,0
NDC,16714-016-01,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,136.2,53.12,,,0
NDC,16714-016-10,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,80.3,31.32,,,0
NDC,16714-018-30,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,71.8,28.0,,,0
NDC,16714-026-10,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,121.3,47.31,,,0
NDC,16714-035-01,LEVETIRACETAM 500 MG TABLET,13.4,5.23,,,0
NDC,16714-036-10,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,163.2,63.65,,,0
NDC,16714-039-02,COLCHICINE 0.6 MG TABLET,55.7,21.72,,,0
NDC,16714-041-10,ALLOPURINOL 100 MG TABLET,4.8,1.87,,,0
NDC,16714-046-10,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,199.9,77.96,,,0
NDC,16714-047-01,CHLORPROMAZINE 10 MG TABLET,163.0,63.57,,,0
NDC,16714-048-01,CHLORPROMAZINE 25 MG TABLET,342.5,133.58,,,0
NDC,16714-052-10,CLOPIDOGREL 75 MG TABLET,38.0,14.82,,,0
NDC,16714-052-11,CLOPIDOGREL 75 MG TABLET,38.0,14.82,,,0
NDC,16714-056-10,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,245.1,95.59,,,0
NDC,16714-063-01,"CARBAMAZEPINE ER 100 MG TABLET,EXTENDED RELEASE,12 HR",26.4,10.3,,,0
NDC,16714-066-10,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,301.5,117.58,,,0
NDC,16714-071-04,BACLOFEN 10 MG TABLET,19.0,7.41,,,0
NDC,16714-072-04,BACLOFEN 20 MG TABLET,78.7,30.69,,,0
NDC,16714-075-01,TADALAFIL 5 MG TABLET,102.0,39.78,,,0
NDC,16714-077-01,TADALAFIL 20 MG TABLET,1139.5,444.4,,,0
NDC,16714-081-10,HYDROXYZINE HCL 10 MG TABLET,4.9,1.91,,,0
NDC,16714-082-10,HYDROXYZINE HCL 25 MG TABLET,7.1,2.77,,,0
NDC,16714-083-10,HYDROXYZINE HCL 50 MG TABLET,8.6,3.35,,,0
NDC,16714-084-02,SPIRONOLACTONE 25 MG TABLET,4.8,1.87,,,0
NDC,16714-087-01,CLOBAZAM 2.5 MG/ML ORAL SUSPENSION,149.7,58.38,,,0
NDC,16714-100-01,"TACROLIMUS 5 MG CAPSULE, IMMEDIATE-RELEASE",170.8,66.61,,,0
NDC,16714-110-01,HYDROXYCHLOROQUINE 200 MG TABLET,32.1,12.52,,,0
NDC,16714-115-02,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH,127.5,49.72,,,0
NDC,16714-116-02,RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH,127.8,49.84,,,0
NDC,16714-117-02,RIVASTIGMINE 13.3 MG/24 HOUR TRANSDERMAL PATCH,127.8,49.84,,,0
NDC,16714-130-25,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,87.2,34.01,,,0
NDC,16714-132-01,DOXEPIN 10 MG CAPSULE,4.8,1.87,,,0
NDC,16714-133-01,DOXEPIN 25 MG CAPSULE,6.4,2.5,,,0
NDC,16714-135-01,DOXEPIN 75 MG CAPSULE,27.9,10.88,,,0
NDC,16714-137-01,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",345.87,134.89,,,0
NDC,16714-141-01,ARIPIPRAZOLE 2 MG TABLET,243.4,94.93,,,0
NDC,16714-142-01,ARIPIPRAZOLE 5 MG TABLET,122.1,47.62,,,0
NDC,16714-144-01,ARIPIPRAZOLE 15 MG TABLET,244.8,95.47,,,0
NDC,16714-145-01,ARIPIPRAZOLE 20 MG TABLET,173.1,67.51,,,0
NDC,16714-157-01,PROGESTERONE MICRONIZED 100 MG CAPSULE,21.6,8.42,,,0
NDC,16714-158-01,PROGESTERONE MICRONIZED 200 MG CAPSULE,41.1,16.03,,,0
NDC,16714-166-01,LIOTHYRONINE 5 MCG TABLET,11.1,4.33,,,0
NDC,16714-167-01,LIOTHYRONINE 25 MCG TABLET,27.9,10.88,,,0
NDC,16714-172-01,TIZANIDINE 4 MG TABLET,5.7,2.22,,,0
NDC,16714-176-01,ATORVASTATIN 80 MG TABLET,43.8,17.08,,,0
NDC,16714-184-02,PAROXETINE 40 MG TABLET,22.8,8.89,,,0
NDC,16714-186-02,"LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET",14.6,5.69,,,0
NDC,16714-187-01,SIROLIMUS 0.5 MG TABLET,131.6,51.32,,,0
NDC,16714-188-01,SIROLIMUS 1 MG TABLET,391.2,152.57,,,0
NDC,16714-195-01,LAMOTRIGINE 100 MG TABLET,38.0,14.82,,,0
NDC,16714-196-01,LAMOTRIGINE 150 MG TABLET,82.4,32.14,,,0
NDC,16714-197-01,LAMOTRIGINE 200 MG TABLET,45.0,17.55,,,0
NDC,16714-199-01,VORICONAZOLE 200 MG TABLET,564.8,220.27,,,0
NDC,16714-200-30,ONDANSETRON 4 MG DISINTEGRATING TABLET,173.1,67.51,,,0
NDC,16714-201-30,ONDANSETRON 8 MG DISINTEGRATING TABLET,294.7,114.93,,,0
NDC,16714-234-01,PENICILLIN V POTASSIUM 250 MG TABLET,12.7,4.95,,,0
NDC,16714-235-01,PENICILLIN V POTASSIUM 500 MG TABLET,9.9,3.86,,,0
NDC,16714-257-01,AMITRIPTYLINE 10 MG TABLET,4.8,1.87,,,0
NDC,16714-261-01,AMITRIPTYLINE 100 MG TABLET,17.9,6.98,,,0
NDC,16714-267-02,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL OINTMENT,77.4,30.19,,,0
NDC,16714-292-01,AMOXICILLIN 200 MG-POTASSIUM CLAVULANATE 28.5 MG/5 ML ORAL SUSPENSION,51.7,20.16,,,0
NDC,16714-293-03,AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION,58.9,22.97,,,0
NDC,16714-294-01,AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION,22.9,8.93,,,0
NDC,16714-294-02,AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION,36.1,14.08,,,0
NDC,16714-296-01,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET,29.1,11.35,,,0
NDC,16714-297-01,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,38.8,15.13,,,0
NDC,16714-298-01,AMOXICILLIN 250 MG CAPSULE,4.8,1.87,,,0
NDC,16714-299-03,AMOXICILLIN 500 MG CAPSULE,4.8,1.87,,,0
NDC,16714-309-10,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",164.4,64.12,,,0
NDC,16714-330-01,GABAPENTIN 600 MG TABLET,9.7,3.78,,,0
NDC,16714-332-01,GABAPENTIN 800 MG TABLET,23.4,9.13,,,0
NDC,16714-355-01,LEVETIRACETAM 500 MG TABLET,53.5,20.86,,,0
NDC,16714-358-01,LEVETIRACETAM 100 MG/ML ORAL SOLUTION,6.4,2.5,,,0
NDC,16714-377-02,QUETIAPINE 100 MG TABLET,26.2,10.22,,,0
NDC,16714-388-01,CEFADROXIL 500 MG CAPSULE,57.1,22.27,,,0
NDC,16714-391-02,CEFDINIR 300 MG CAPSULE,39.3,15.33,,,0
NDC,16714-395-01,CEFPODOXIME 200 MG TABLET,64.9,25.31,,,0
NDC,16714-396-02,CEFPROZIL 125 MG/5 ML ORAL SUSPENSION,4.8,1.87,,,0
NDC,16714-400-01,CEFUROXIME AXETIL 250 MG TABLET,77.7,30.3,,,0
NDC,16714-401-01,CEFUROXIME AXETIL 500 MG TABLET,68.6,26.75,,,0
NDC,16714-439-01,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,27.2,10.61,,,0
NDC,16714-442-01,ENALAPRIL MALEATE 2.5 MG TABLET,9.1,3.55,,,0
NDC,16714-443-01,ENALAPRIL MALEATE 5 MG TABLET,11.7,4.56,,,0
NDC,16714-444-01,ENALAPRIL MALEATE 10 MG TABLET,13.3,5.19,,,0
NDC,16714-445-01,ENALAPRIL MALEATE 20 MG TABLET,18.7,7.29,,,0
NDC,16714-453-01,QUETIAPINE 50 MG TABLET,25.1,9.79,,,0
NDC,16714-454-01,QUETIAPINE 100 MG TABLET,105.2,41.03,,,0
NDC,16714-455-01,QUETIAPINE 200 MG TABLET,197.4,76.99,,,0
NDC,16714-477-01,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET,29.1,11.35,,,0
NDC,16714-478-02,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,38.8,15.13,,,0
NDC,16714-483-02,CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION,44.8,17.47,,,0
NDC,16714-503-01,GABAPENTIN 100 MG CAPSULE,4.8,1.87,,,0
NDC,16714-523-01,"DILTIAZEM 120 MG CAPSULE, EXTENDED RELEASE (WRAPPED)",8.8,3.43,,,0
NDC,16714-525-01,"DILTIAZEM 240 MG CAPSULE, EXTENDED RELEASE (WRAPPED)",11.0,4.29,,,0
NDC,16714-527-01,IPRATROPIUM BROMIDE 42 MCG (0.06 %) NASAL SPRAY,590.9,230.45,,,0
NDC,16714-528-20,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,53.2,20.75,,,0
NDC,16714-534-01,EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,537.0,209.43,,,0
NDC,16714-536-25,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,57.9,22.58,,,0
NDC,16714-548-01,LACOSAMIDE 50 MG TABLET,352.7,137.55,,,0
NDC,16714-549-01,LACOSAMIDE 100 MG TABLET,275.7,107.52,,,0
NDC,16714-550-01,LACOSAMIDE 150 MG TABLET,146.0,56.94,,,0
NDC,16714-576-01,ALLOPURINOL 100 MG TABLET,3.8,1.48,,,0
NDC,16714-576-02,ALLOPURINOL 100 MG TABLET,3.8,1.48,,,0
NDC,16714-576-03,ALLOPURINOL 100 MG TABLET,4.8,1.87,,,0
NDC,16714-577-01,ALLOPURINOL 300 MG TABLET,7.1,2.77,,,0
NDC,16714-590-01,DIGOXIN 125 MCG (0.125 MG) TABLET,16.2,6.32,,,0
NDC,16714-601-02,SERTRALINE 20 MG/ML ORAL CONCENTRATE,10.8,4.21,,,0
NDC,16714-612-01,SERTRALINE 50 MG TABLET,21.8,8.5,,,0
NDC,16714-612-04,SERTRALINE 50 MG TABLET,43.7,17.04,,,0
NDC,16714-613-04,SERTRALINE 100 MG TABLET,10.8,4.21,,,0
NDC,16714-621-01,ZOLPIDEM 5 MG TABLET,35.5,13.84,,,0
NDC,16714-628-01,"CIPROFLOXACIN 0.3 %-DEXAMETHASONE 0.1 % EAR DROPS,SUSPENSION",2140.3,834.72,,,0
NDC,16714-633-01,ALENDRONATE 70 MG TABLET,156.6,61.07,,,0
NDC,16714-643-01,MOXIFLOXACIN 0.5 % EYE DROPS,1290.7,503.37,,,0
NDC,16714-644-10,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,238.9,93.17,,,0
NDC,16714-661-01,GABAPENTIN 100 MG CAPSULE,4.8,1.87,,,0
NDC,16714-661-02,GABAPENTIN 100 MG CAPSULE,16.4,6.4,,,0
NDC,16714-662-01,GABAPENTIN 300 MG CAPSULE,20.5,8.0,,,0
NDC,16714-662-02,GABAPENTIN 300 MG CAPSULE,11.7,4.56,,,0
NDC,16714-663-01,GABAPENTIN 400 MG CAPSULE,36.8,14.35,,,0
NDC,16714-683-03,SIMVASTATIN 20 MG TABLET,36.9,14.39,,,0
NDC,16714-690-10,PROPOFOL INFUSION 10 MG/ML,221.2,86.27,,,0
NDC,16714-691-01,FLUCONAZOLE 100 MG TABLET,134.6,52.49,,,0
NDC,16714-691-02,FLUCONAZOLE 100 MG TABLET,100.4,39.16,,,0
NDC,16714-692-11,FLUCONAZOLE 150 MG TABLET,104.3,40.68,,,0
NDC,16714-693-01,FLUCONAZOLE 200 MG TABLET,220.3,85.92,,,0
NDC,16714-694-01,FLUCONAZOLE 50 MG TABLET,128.6,50.15,,,0
NDC,16714-695-01,FLUCONAZOLE 10 MG/ML ORAL SUSPENSION,5.0,1.95,,,0
NDC,16714-696-01,FLUCONAZOLE 40 MG/ML ORAL SUSPENSION,141.9,55.34,,,0
NDC,16714-698-03,VALACYCLOVIR 500 MG TABLET,49.7,19.38,,,0
NDC,16714-700-01,LAMOTRIGINE 25 MG TABLET,33.1,12.91,,,0
NDC,16714-720-02,FLUOXETINE 10 MG CAPSULE,20.0,7.8,,,0
NDC,16714-721-02,FLUOXETINE 20 MG CAPSULE,20.5,8.0,,,0
NDC,16714-733-01,CELECOXIB 200 MG CAPSULE,57.9,22.58,,,0
NDC,16714-752-01,CLONAZEPAM 0.5 MG TABLET,5.8,2.26,,,0
NDC,16714-753-01,HYDROXYCHLOROQUINE 200 MG TABLET,32.1,12.52,,,0
NDC,16714-795-01,TERBINAFINE HCL 250 MG TABLET,97.2,37.91,,,0
NDC,16714-795-02,TERBINAFINE HCL 250 MG TABLET,102.7,40.05,,,0
NDC,16714-796-01,SUMATRIPTAN 25 MG TABLET,207.5,80.92,,,0
NDC,16714-797-01,SUMATRIPTAN 50 MG TABLET,385.7,150.42,,,0
NDC,16714-798-01,SUMATRIPTAN 100 MG TABLET,192.9,75.23,,,0
NDC,16714-800-01,CHLORTHALIDONE 25 MG TABLET,9.3,3.63,,,0
NDC,16714-809-01,LEVONORGESTREL 1.5 MG TABLET,258.3,100.74,,,0
NDC,16714-813-02,EZETIMIBE 10 MG TABLET,77.8,30.34,,,0
NDC,16714-814-01,SEVELAMER CARBONATE 800 MG TABLET,35.2,13.73,,,0
NDC,16714-820-01,TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,280.1,109.24,,,0
NDC,16714-829-01,"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE",159.1,62.05,,,0
NDC,16714-830-01,"MESALAMINE 1.2 GRAM TABLET,DELAYED RELEASE",311.1,121.33,,,0
NDC,16714-835-01,ZIPRASIDONE 20 MG CAPSULE,203.9,79.52,,,0
NDC,16714-836-01,ZIPRASIDONE 40 MG CAPSULE,68.0,26.52,,,0
NDC,16714-849-03,CLOMIPRAMINE 25 MG CAPSULE,76.5,29.84,,,0
NDC,16714-852-01,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",8.3,3.24,,,0
NDC,16714-853-01,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",4.8,1.87,,,0
NDC,16714-859-01,CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION,1772.0,691.08,,,0
NDC,16714-874-01,ATORVASTATIN 10 MG TABLET,30.8,12.01,,,0
NDC,16714-875-01,ATORVASTATIN 20 MG TABLET,44.0,17.16,,,0
NDC,16714-883-01,DESMOPRESSIN 0.1 MG TABLET,26.9,10.49,,,0
NDC,16714-885-02,ACYCLOVIR 5 % TOPICAL OINTMENT,5831.0,2274.09,,,0
NDC,16714-887-01,CLOBAZAM 10 MG TABLET,75.2,29.33,,,0
NDC,16714-892-01,DAPTOMYCIN FOR IV PUSH,4490.8,1751.41,,,0
NDC,16714-896-01,"GLIPIZIDE ER 10 MG TABLET, EXTENDED RELEASE 24 HR",6.2,2.42,,,0
NDC,16714-897-01,PERMETHRIN 5 % TOPICAL CREAM,929.7,362.58,,,0
NDC,16714-898-01,LORATADINE 10 MG TABLET,0.9,0.35,,,0
NDC,16714-900-01,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,515.1,200.89,,,0
NDC,16714-908-01,BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION,369.6,144.14,,,0
NDC,16714-953-01,DEXTROAMPHETAMINE-AMPHETAMINE 20 MG TABLET,13.4,5.23,,,0
NDC,16714-955-01,KETOCONAZOLE 2 % TOPICAL CREAM,482.1,188.02,,,0
NDC,16714-955-02,KETOCONAZOLE 2 % TOPICAL CREAM,776.6,302.87,,,0
NDC,16714-964-01,"ASPIRIN 25 MG-DIPYRIDAMOLE 200 MG CAPSULE,EXT.RELEASE 12 HR MULTIPHASE",64.3,25.08,,,0
NDC,16714-973-02,PHYTONADIONE (VITAMIN K1) 5 MG TABLET,256.9,100.19,,,0
NDC,16714-985-02,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL CREAM,77.4,30.19,,,0
NDC,16714-986-03,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,89.6,34.94,,,0
NDC,16714-987-01,TRIAMCINOLONE ACETONIDE 0.5 % TOPICAL CREAM,81.0,31.59,,,0
NDC,16714-989-01,ROSUVASTATIN 10 MG TABLET,66.8,26.05,,,0
NDC,16729-021-15,PIOGLITAZONE 30 MG TABLET,82.2,32.06,,,0
NDC,16729-023-01,BICALUTAMIDE 50 MG TABLET,140.8,54.91,,,0
NDC,16729-023-10,BICALUTAMIDE 50 MG TABLET,140.8,54.91,,,0
NDC,16729-035-10,ANASTROZOLE 1 MG TABLET,102.1,39.82,,,0
NDC,16729-094-01,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,60.2,23.48,,,0
NDC,16729-108-11,MITOMYCIN IRRIGATION SYRINGE 0.5 MG/ML,6625.4,2583.91,,,0
NDC,16729-114-08,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,142.6,55.61,,,0
NDC,16729-114-11,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,213.4,83.23,,,0
NDC,16729-114-31,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,262.4,102.34,,,0
NDC,16729-136-00,CLONAZEPAM 0.5 MG TABLET,5.8,2.26,,,0
NDC,16729-137-00,CLONAZEPAM 1 MG TABLET,6.6,2.57,,,0
NDC,16729-183-01,HYDROCHLOROTHIAZIDE 25 MG TABLET,4.8,1.87,,,0
NDC,16729-276-38,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION,749.2,292.19,,,0
NDC,16729-276-68,FLUOROURACIL 500 MG/10 ML INTRAVENOUS SOLUTION,245.2,95.63,,,0
NDC,16729-277-30,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION,66.0,25.74,,,0
NDC,16729-277-35,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION,1541.1,601.03,,,0
NDC,16729-288-38,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,136.6,53.27,,,0
NDC,16729-295-12,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,425.2,165.83,,,0
NDC,16729-298-05,ONDANSETRON IVPB 12 MG/50 ML NS (SIMPLE)(NGOC),67.8,26.44,,,0
NDC,16729-306-10,AZACITIDINE 100 MG SOLUTION FOR INJECTION,2890.46,1127.28,,,0
NDC,16729-331-01,"ACETAZOLAMIDE ER 500 MG CAPSULE,EXTENDED RELEASE",98.9,38.57,,,0
NDC,16729-370-10,TADALAFIL 5 MG TABLET,94.5,36.86,,,0
NDC,16729-432-93,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,391.3,152.61,,,0
NDC,16729-440-10,CINACALCET 30 MG TABLET,235.2,91.73,,,0
NDC,16729-440-15,CINACALCET 30 MG TABLET,235.2,91.73,,,0
NDC,16729-443-10,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",40.1,15.64,,,0
NDC,16729-443-15,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",40.1,15.64,,,0
NDC,16729-448-15,LEVOTHYROXINE 50 MCG TABLET,4.8,1.87,,,0
NDC,16729-454-15,LEVOTHYROXINE 137 MCG TABLET,5.2,2.03,,,0
NDC,16729-484-31,ATROPINE 0.1 MG/ML INJECTION SYRINGE,106.8,41.65,,,0
NDC,16729-525-08,ATROPINE 0.4 MG/ML INTRAVENOUS SOLUTION,122.98,47.96,,,0
NDC,1678411403,WHITE PETROLATUM TOPICAL OINTMENT IN PACKET,0.6,0.23,,,0
NDC,16864-680-01,BENZOCAINE 20 %-MENTHOL 0.5 % TOPICAL AEROSOL,22.8,8.89,,,0
NDC,16864-680-02,BENZOCAINE 20 %-MENTHOL 0.5 % TOPICAL AEROSOL,19.2,7.49,,,0
NDC,16864-680-03,BENZOCAINE 20 %-MENTHOL 0.5 % TOPICAL AEROSOL,23.4,9.13,,,0
NDC,17238-424-06,INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION,435.1,169.69,,,0
NDC,17238-610-15,HYPROMELLOSE 2.5 % EYE DROPS,62.4,24.34,,,0
NDC,17238-900-11,FLUORESCEIN 1 MG EYE STRIPS,4.8,1.87,,,0
NDC,17238-900-30,FLUORESCEIN 1 MG EYE STRIPS,4.8,1.87,,,0
NDC,17271-701-03,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,17271-701-05,SODIUM CHLORIDE 0.9 % BOLUS,53.7,20.94,,,0
NDC,17271-701-06,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,56.1,21.88,,,0
NDC,17271-701-07,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,63.1,24.61,,,0
NDC,17271-720-03,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,59.6,23.24,,,0
NDC,17271-720-05,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,63.1,24.61,,,0
NDC,17433-9876-3,DOCUSATE SODIUM 283 MG/5 ML ENEMA,16.6,6.47,,,0
NDC,17478-030-02,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,17478-171-30,LEVALBUTEROL CONCENTRATE 1.25 MG/0.5 ML SOLUTION FOR NEBULIZATION,65.5,25.54,,,0
NDC,17478-253-10,FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION,614.9,239.81,,,0
NDC,17478-420-20,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,40.1,15.64,,,0
NDC,17478-504-10,METHYLENE BLUE (ANTIDOTE) 1 % (10 MG/ML) INTRAVENOUS SOLUTION,1333.4,520.03,,,0
NDC,17478-542-02,ADENOSINE 3 MG/ML IV SOLN (WRAPPED),63.6,24.8,,,0
NDC,17478-542-25,ADENOSINE 3 MG/ML IV SOLN (WRAPPED),115.3,44.97,,,0
NDC,17478-711-30,LIDOCAINE HCL 2 % MUCOSAL JELLY,164.1,64.0,,,0
NDC,17478-711-31,LIDOCAINE HCL 2 % MUCOSAL JELLY,64.5,25.16,,,0
NDC,17478-714-25,CIPROFLOXACIN 0.3 % EYE DROPS,71.8,28.0,,,0
NDC,17478-766-10,PROGESTERONE MICRONIZED 100 MG CAPSULE,32.3,12.6,,,0
NDC,17478-792-01,LIDOCAINE (PF) 3.5 % EYE GEL,224.0,87.36,,,0
NDC,17478-953-02,ADENOSINE 3 MG/ML IV SOLN (WRAPPED),63.6,24.8,,,0
NDC,17856-0012-2,MULTIVITAMIN ORAL LIQUID,38.1,14.86,,,0
NDC,17856-0081-02,MULTIVITAMIN ORAL LIQUID,5.9,2.3,,,0
NDC,17856-0138-1,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,38.4,14.98,,,0
NDC,17856-0155-1,PROMETHAZINE-DM 6.25 MG-15 MG/5 ML ORAL SYRUP,9.1,3.55,,,0
NDC,17856-0172-2,DEXTROMETHORPHAN POLISTIREX ER 30 MG/5 ML ORAL SUSP EXT.RELEASE 12HR,21.4,8.35,,,0
NDC,17856-0235-5,HYDROCODONE 10 MG-CHLORPHENIRAMINE 8 MG/5 ML ORAL SUSP EXTEND.REL 12HR,53.7,20.94,,,0
NDC,17856-0496-1,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION,128.3,50.04,,,0
NDC,17856-0507-1,HYDROXYZINE HCL 10 MG/5 ML (5 ML) ORAL SOLUTION,12.8,4.99,,,0
NDC,17856-0600-1,GABAPENTIN 250 MG/5 ML (5 ML) ORAL SOLUTION,11.8,4.6,,,0
NDC,17856-0623-2,DICYCLOMINE 10 MG/5 ML ORAL SOLUTION,35.2,13.73,,,0
NDC,17856-0630-1,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP,16.9,6.59,,,0
NDC,17856-0759-5,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION,74.6,29.09,,,0
NDC,17856-0775-2,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,20.8,8.11,,,0
NDC,17856-0799-3,SIMETHICONE 40 MG/0.6 ML ORAL SYRINGE (ORAL USE),10.6,4.13,,,0
NDC,17856-0815-1,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (5 ML) ORAL SOLUTION,59.8,23.32,,,0
NDC,17856-1045-1,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",41.6,16.22,,,0
NDC,17856-1161-30,DICYCLOMINE 10 MG/5 ML ORAL SOLUTION,25.6,9.98,,,0
NDC,17856-1303-5,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION",12.7,4.95,,,0
NDC,17856-1928-1,METHADONE 10 MG/ML ORAL SYRINGE  (FOR ORAL USE ONLY),613.6,239.3,,,0
NDC,17856-2002-3,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,12.2,4.76,,,0
NDC,17856-2261-2,DICYCLOMINE 10 MG/5 ML ORAL SOLUTION,16.0,6.24,,,0
NDC,17856-5725-3,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 400 MG-400 MG-40 MG/5 ML ORAL SUSP,10.7,4.17,,,0
NDC,17856-6312-1,DEXTROMETHORPHAN POLISTIREX ER 30 MG/5 ML ORAL SUSP EXT.RELEASE 12HR,24.6,9.59,,,0
NDC,1785600021,SACCHAROMYCES BOULARDII 250 MG CAPSULE,12.0,4.68,,,0
NDC,1785600102,MULTIVIT-MINS-FERROUS GLUCONATE 9 MG IRON/15 ML (15 ML) ORAL LIQUID,8.3,3.24,,,0
NDC,1785643441,MULTIVIT-MINS-FERROUS GLUCONATE 9 MG IRON/15 ML (15 ML) ORAL LIQUID,9.4,3.67,,,0
NDC,18657-117-04,"HYALURONIDASE, HUMAN RECOMBINANT 150 UNIT/ML INJECTION SOLUTION",476.6,185.87,,,0
NDC,19515-810-41,FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE,162.1,63.22,,,0
NDC,2055500100,ASCORBIC ACID (VITAMIN C) 250 MG TABLET,0.6,0.23,,,0
NDC,2055500400,MULTIVITAMIN-FERROUS FUMARATE-FOLIC ACID 18 MG-400 MCG TABLET,4.8,1.87,,,0
NDC,2055500600,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET",0.8,0.31,,,0
NDC,2055502500,CALCIUM 250 MG (AS CARBONATE)-VITAMIN D3 3.125 MCG (125 UNIT) TABLET,0.6,0.23,,,0
NDC,2055503200,CYANOCOBALAMIN (VIT B-12) 500 MCG TABLET,0.7,0.27,,,0
NDC,2055503300,"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET",0.9,0.35,,,0
NDC,2055503400,"FERROUS SULFATE 325 MG (65 MG IRON) TABLET,DELAYED RELEASE",0.9,0.35,,,0
NDC,2055503600,MELATONIN 3 MG TABLET,4.8,1.87,,,0
NDC,2055503601,MELATONIN 3 MG TABLET,4.8,1.87,,,0
NDC,2055503901,MELATONIN 5 MG TABLET,4.8,1.87,,,0
NDC,2055504000,ZINC SULFATE 50 MG ZINC (220 MG) CAPSULE,0.8,0.31,,,0
NDC,2159934563,HYDROGEN PEROXIDE 3 % SOLUTION,5.5,2.14,,,0
NDC,21922-009-09,DICLOFENAC 1 % TOPICAL GEL,448.0,174.72,,,0
NDC,21922-016-04,CLOBETASOL 0.05 % TOPICAL CREAM,38.4,14.98,,,0
NDC,21922-017-04,CLOBETASOL 0.05 % TOPICAL OINTMENT,1144.7,446.43,,,0
NDC,21922-021-07,PERMETHRIN 5 % TOPICAL CREAM,905.3,353.07,,,0
NDC,21922-045-01,MESALAMINE 4 GRAM/60 ML ENEMA,187.4,73.09,,,0
NDC,23155-001-10,HYDRALAZINE 10 MG TABLET,4.8,1.87,,,0
NDC,23155-008-01,HYDROCHLOROTHIAZIDE 25 MG TABLET,4.8,1.87,,,0
NDC,23155-017-01,TETRACYCLINE 250 MG CAPSULE,120.9,47.15,,,0
NDC,23155-023-01,BUSPIRONE 5 MG TABLET,8.9,3.47,,,0
NDC,23155-026-01,VERAPAMIL 80 MG TABLET,4.8,1.87,,,0
NDC,23155-044-03,LEFLUNOMIDE 20 MG TABLET,126.0,49.14,,,0
NDC,23155-070-01,METHIMAZOLE 5 MG TABLET,4.8,1.87,,,0
NDC,23155-071-01,METHIMAZOLE 10 MG TABLET,5.9,2.3,,,0
NDC,23155-102-01,METFORMIN 500 MG TABLET,5.4,2.11,,,0
NDC,23155-110-01,PROPRANOLOL 10 MG TABLET,18.8,7.33,,,0
NDC,23155-166-41,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",35.1,13.69,,,0
NDC,23155-191-01,BUPROPION HCL 75 MG TABLET,6.1,2.38,,,0
NDC,23155-192-01,BUPROPION HCL 100 MG TABLET,4.8,1.87,,,0
NDC,23155-194-01,NIFEDIPINE 10 MG CAPSULE,8.2,3.2,,,0
NDC,23155-228-01,ACYCLOVIR 800 MG TABLET,28.2,11.0,,,0
NDC,23155-240-41,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,23155-250-01,VENLAFAXINE 100 MG TABLET,35.6,13.88,,,0
NDC,23155-290-41,AMIKACIN 500 MG/2 ML INJECTION SOLUTION,128.1,49.96,,,0
NDC,23155-294-31,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,74.7,29.13,,,0
NDC,23155-294-42,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,46.2,18.02,,,0
NDC,23155-313-31,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION,339.1,132.25,,,0
NDC,23155-473-41,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,28.0,10.92,,,0
NDC,23155-473-42,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,36.2,14.12,,,0
NDC,23155-473-44,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,41.0,15.99,,,0
NDC,23155-486-01,VERAPAMIL 120 MG TABLET,4.8,1.87,,,0
NDC,23155-489-01,DESMOPRESSIN 0.1 MG TABLET,40.6,15.83,,,0
NDC,23155-497-42,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,92.3,36.0,,,0
NDC,23155-500-01,HYDROXYZINE HCL 10 MG TABLET,12.0,4.68,,,0
NDC,23155-500-05,HYDROXYZINE HCL 10 MG TABLET,4.8,1.87,,,0
NDC,23155-501-01,HYDROXYZINE HCL 25 MG TABLET,7.1,2.77,,,0
NDC,23155-502-01,HYDROXYZINE HCL 50 MG TABLET,4.8,1.87,,,0
NDC,23155-512-30,NIMODIPINE 30 MG CAPSULE,282.5,110.18,,,0
NDC,23155-547-42,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,23155-549-31,ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION,35.9,14.0,,,0
NDC,23155-578-01,DESIPRAMINE 10 MG TABLET,23.3,9.09,,,0
NDC,23155-600-31,MIDAZOLAM 1 MG/ML INJ (WRAPPED),19.6,7.64,,,0
NDC,23155-600-41,MIDAZOLAM 1 MG/ML INJ (WRAPPED),19.6,7.64,,,0
NDC,23155-601-42,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,49.2,19.19,,,0
NDC,23155-603-51,CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION,33.3,12.99,,,0
NDC,23155-605-03,MODAFINIL 200 MG TABLET,511.4,199.45,,,0
NDC,23155-606-01,GLYCOPYRROLATE 1 MG TABLET,10.1,3.94,,,0
NDC,23155-621-02,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG TABLET,9.9,3.86,,,0
NDC,23155-662-01,CALCITRIOL 0.25 MCG CAPSULE,18.6,7.25,,,0
NDC,23155-686-31,"OCTREOTIDE ACETATE 1,000 MCG/ML INJECTION SOLUTION",329.7,128.58,,,0
NDC,23155-687-41,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION,24.8,9.67,,,0
NDC,23155-705-01,ENALAPRIL MALEATE 5 MG TABLET,28.4,11.08,,,0
NDC,23155-724-01,LABETALOL 200 MG TABLET,5.5,2.14,,,0
NDC,23155-730-01,NADOLOL 20 MG TABLET,26.1,10.18,,,0
NDC,23155-735-01,TERAZOSIN 1 MG CAPSULE,24.7,9.63,,,0
NDC,23155-748-41,PENTAMIDINE 300 MG SOLUTION FOR INJECTION,0.01,0.0039,,,0
NDC,23155-772-01,ENALAPRIL MALEATE 10 MG TABLET,15.0,5.85,,,0
NDC,23155-773-01,ENALAPRIL MALEATE 20 MG TABLET,5.4,2.11,,,0
NDC,23155-785-41,AMIKACIN 500 MG/2 ML INJECTION SOLUTION,28.3,11.04,,,0
NDC,23155-786-41,"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION",94.3,36.78,,,0
NDC,23155-794-01,DOXEPIN 10 MG CAPSULE,4.8,1.87,,,0
NDC,23155-832-01,HYDRALAZINE 10 MG TABLET,4.8,1.87,,,0
NDC,23155-833-01,HYDRALAZINE 25 MG TABLET,4.8,1.87,,,0
NDC,23155-833-10,HYDRALAZINE 25 MG TABLET,4.8,1.87,,,0
NDC,23155-834-01,HYDRALAZINE 50 MG TABLET,4.8,1.87,,,0
NDC,23155-834-10,HYDRALAZINE 50 MG TABLET,4.8,1.87,,,0
NDC,23155-835-01,HYDRALAZINE 100 MG TABLET,7.8,3.04,,,0
NDC,23155-858-78,VANCOMYCIN 125 MG CAPSULE,240.2,93.68,,,0
NDC,23155-862-03,MODAFINIL 200 MG TABLET,12.8,4.99,,,0
NDC,23155-872-01,TORSEMIDE 10 MG TABLET,10.8,4.21,,,0
NDC,23731-6053-5,CITRATE DEXTROSE SOLUTION,7711.0,3007.29,,,0
NDC,24201-100-24,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",93.1,36.31,,,0
NDC,24201-110-24,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",70.9,27.65,,,0
NDC,24201-400-02,CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION,1306.9,509.69,,,0
NDC,24208-002-02,HYALURONIDASE (OVINE) 200 UNIT/ML INJECTION SOLUTION,1579.1,615.85,,,0
NDC,24208-295-05,"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION",1003.6,391.4,,,0
NDC,24208-315-10,"POLYMYXIN B SULFATE 10,000 UNIT-TRIMETHOPRIM 1 MG/ML EYE DROPS",103.1,40.21,,,0
NDC,24208-342-05,DESMOPRESSIN 10 MCG/SPRAY (0.1 ML) NASAL SPRAY,1888.9,736.67,,,0
NDC,24208-399-15,IPRATROPIUM BROMIDE 42 MCG (0.06 %) NASAL SPRAY,4.8,1.87,,,0
NDC,24208-411-05,BRIMONIDINE 0.2 % EYE DROPS,139.1,54.25,,,0
NDC,24208-434-05,OFLOXACIN 0.3 % EYE DROPS,156.8,61.15,,,0
NDC,24208-457-05,DICLOFENAC 0.1 % EYE DROPS,107.4,41.89,,,0
NDC,24208-463-25,LATANOPROST 0.005 % EYE DROPS,52.2,20.36,,,0
NDC,24208-485-10,DORZOLAMIDE 2 % EYE DROPS,352.0,137.28,,,0
NDC,24208-486-10,DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS,517.7,201.9,,,0
NDC,24208-539-20,ACETYLCHOLINE CHLORIDE 1 % (10 MG/ML) INTRAOCULAR KIT,1001.5,390.58,,,0
NDC,24208-555-55,"BACITRACIN-POLYMYXIN B 500 UNIT-10,000 UNIT/GRAM EYE OINTMENT",121.2,47.27,,,0
NDC,24208-580-60,GENTAMICIN 0.3 % EYE DROPS,273.9,106.82,,,0
NDC,24208-631-10,"NEOMYCIN-POLYMYXIN-HYDROCORT 3.5 MG/ML-10,000 UNIT/ML-1 % EAR SOLUTION",643.6,251.0,,,0
NDC,24208-635-62,"NEOMYCIN-POLYMYXIN-HYDROCORT 3.5 MG-10,000 UNIT/ML-1 % EAR DROPS,SUSP",643.6,251.0,,,0
NDC,24208-670-04,SULFACETAMIDE SODIUM 10 % EYE DROPS,468.0,182.52,,,0
NDC,24208-720-02,DEXAMETHASONE SODIUM PHOSPHATE 0.1 % EYE DROPS,413.5,161.26,,,0
NDC,24208-730-06,PROPARACAINE 0.5 % EYE DROPS,269.2,104.99,,,0
NDC,24208-735-01,CYCLOPENTOLATE 1 % EYE DROPS,125.3,48.87,,,0
NDC,24208-780-55,"NEOMYCIN-BACITRACIN-POLYMYXN 3.5 MG-400 UNIT-10,000 UNIT/GRAM EYE OINT",436.8,170.35,,,0
NDC,24208-785-55,"NEOMYCIN-BACITRACIN-POLY-HC 3.5 MG-400-10,000 UNIT/G-1 % EYE OINTMENT",499.0,194.61,,,0
NDC,24208-795-35,"NEOMYCIN 3.5 MG/G-POLYMYXIN B 10,000 UNIT/G-DEXAMETH 0.1 % EYE OINT",152.4,59.44,,,0
NDC,24208-830-60,"NEOMYCIN-POLYMYXIN-DEXAMETH 3.5 MG/ML-10,000 UNIT/ML-0.1% EYE DROPS",152.4,59.44,,,0
NDC,24208-910-19,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT,95.3,37.17,,,0
NDC,24208-910-55,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT,145.8,56.86,,,0
NDC,2420838760,VIT A 300 MCG-C 200 MG-E 27 MG-LUTEIN 2 MG AND MINERALS TABLET,0.6,0.23,,,0
NDC,2420838762,VIT A 300 MCG-C 200 MG-E 27 MG-LUTEIN 2 MG AND MINERALS TABLET,0.6,0.23,,,0
NDC,24338-230-12,NIMODIPINE 30 MG/5 ML ORAL SYRINGE (FOR ORAL USE ONLY),375.9,146.6,,,0
NDC,24338-230-15,NIMODIPINE 30 MG/5 ML ORAL SYRINGE (FOR ORAL USE ONLY),819.4,319.57,,,0
NDC,24338-260-12,NIMODIPINE 60 MG/10 ML ORAL SYRINGE (FOR ORAL USE ONLY),819.4,319.57,,,0
NDC,24357-701-06,LIDOCAINE 4 % TOPICAL CREAM,14.9,5.81,,,0
NDC,24510-050-10,TAPENTADOL 50 MG TABLET,112.1,43.72,,,0
NDC,24571-102-06,BICARBONATE HEMODIALYSIS SOLN WITHOUT CALCIUM 8 POT 2 MEQ-MAG 1 MEQ/L,981.4,382.75,,,0
NDC,24571-103-05,BICARBONATE HEMODIALYSIS SOLUTION NO.2 K 2 MEQ-CA 3.5 MEQ-MG 1 MEQ/L,280.4,109.36,,,0
NDC,24571-103-06,BICARBONATE HEMODIALYSIS SOLUTION NO.2 K 2 MEQ-CA 3.5 MEQ-MG 1 MEQ/L,245.4,95.71,,,0
NDC,24571-105-06,PRISMASATE 4/2.5 (POTASSIUM/CALCIUM) DIALYSIS SOLUTION,266.4,103.9,,,0
NDC,24571-116-05,PHOSPHATE DIALYSIS SOLN WITHOUT DEXTR K 4 MEQ-CA 2.5 MEQ-PO4 1 MMOL/L,315.5,123.04,,,0
NDC,24571-116-06,PHOSPHATE DIALYSIS SOLN WITHOUT DEXTR K 4 MEQ-CA 2.5 MEQ-PO4 1 MMOL/L,630.9,246.05,,,0
NDC,24571-117-06,"PHOSPHATE DIALY SOLN W-OUT CALCIUM,DEX K 4 MEQ-MG 1.5 MEQ-PO4 1 MMOL/L",560.8,218.71,,,0
NDC,24689-119-01,BUPROPION HCL 75 MG TABLET,6.1,2.38,,,0
NDC,24689-120-01,BUPROPION HCL 100 MG TABLET,4.8,1.87,,,0
NDC,24689-882-01,TERAZOSIN 5 MG CAPSULE,12.4,4.84,,,0
NDC,24979-101-07,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",36.7,14.31,,,0
NDC,24979-198-01,GUANFACINE 1 MG TABLET,15.6,6.08,,,0
NDC,24979-201-01,DICYCLOMINE 10 MG CAPSULE,4.8,1.87,,,0
NDC,24979-211-04,TOPIRAMATE 25 MG SPRINKLE CAPSULE,89.5,34.9,,,0
NDC,24979-722-04,GALANTAMINE 4 MG TABLET,73.3,28.59,,,0
NDC,25021-052-01,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJ (WRAPPED),9.8,3.82,,,0
NDC,25021-052-05,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJ (WRAPPED),19.6,7.64,,,0
NDC,25021-106-10,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,20.5,8.0,,,0
NDC,25021-107-20,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,37.6,14.66,,,0
NDC,25021-109-10,CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION,51.3,20.01,,,0
NDC,25021-110-20,CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION,85.4,33.31,,,0
NDC,25021-114-82,CIPROFLOXACIN 200 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,25.7,10.02,,,0
NDC,25021-114-87,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,59.8,23.32,,,0
NDC,25021-115-02,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,76.1,29.68,,,0
NDC,25021-115-04,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,25021-115-06,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,40.6,15.83,,,0
NDC,25021-119-20,CEFUROXIME SODIUM 1.5 GRAM INTRAVENOUS SOLUTION,92.7,36.15,,,0
NDC,25021-131-82,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,22.3,8.7,,,0
NDC,25021-132-81,LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,59.8,23.32,,,0
NDC,25021-132-82,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,94.0,36.66,,,0
NDC,25021-132-83,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,93.6,36.5,,,0
NDC,25021-136-10,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,42.7,16.65,,,0
NDC,25021-140-10,NAFCILLIN 2 GRAM SOLUTION FOR INJECTION,941.0,366.99,,,0
NDC,25021-151-20,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",44.5,17.36,,,0
NDC,25021-180-66,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,25.0,9.75,,,0
NDC,25021-184-66,FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK,34.2,13.34,,,0
NDC,25021-184-67,FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,37.6,14.66,,,0
NDC,25021-184-82,FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK,76.9,29.99,,,0
NDC,25021-184-87,FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,119.6,46.64,,,0
NDC,25021-191-11,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION,1303.4,508.33,,,0
NDC,25021-192-87,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,59.8,23.32,,,0
NDC,25021-201-11,MESNA 100 MG/ML INTRAVENOUS SOLUTION,836.4,326.2,,,0
NDC,25021-204-01,VINORELBINE 10 MG/ML INTRAVENOUS SOLUTION,769.0,299.91,,,0
NDC,25021-204-05,VINORELBINE 10 MG/ML INTRAVENOUS SOLUTION,692.1,269.92,,,0
NDC,25021-207-25,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION,565.3,220.47,,,0
NDC,25021-207-51,DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION,562.6,219.41,,,0
NDC,25021-215-98,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION,211.5,82.48,,,0
NDC,25021-215-99,FLUOROURACIL 500 MG/10 ML INTRAVENOUS SOLUTION,66.0,25.74,,,0
NDC,25021-219-20,DECITABINE 50 MG VIAL DILUTED FOR INTRAVENOUS USE,184.6,71.99,,,0
NDC,25021-230-02,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,125.5,48.94,,,0
NDC,25021-233-10,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,173.1,67.51,,,0
NDC,25021-233-20,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,680.2,265.28,,,0
NDC,25021-235-50,GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION,763.7,297.84,,,0
NDC,25021-242-02,FLUDARABINE 50 MG/2 ML INTRAVENOUS SOLUTION,1954.4,762.22,,,0
NDC,25021-247-50,CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION,736.4,287.2,,,0
NDC,25021-248-51,CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION,1547.15,603.39,,,0
NDC,25021-252-51,MITOMYCIN 40 MG INTRAVENOUS SOLUTION,7887.0,3075.93,,,0
NDC,25021-253-50,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,284.3,110.88,,,0
NDC,25021-253-51,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,181.5,70.78,,,0
NDC,25021-255-50,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",263.0,102.57,,,0
NDC,25021-305-20,CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION,512.4,199.84,,,0
NDC,25021-309-82,"ESMOLOL 2,000 MG/100 ML (20 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",1045.5,407.74,,,0
NDC,25021-310-02,SODIUM NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION,906.1,353.38,,,0
NDC,25021-311-02,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,25021-311-04,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,25021-313-82,MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK,81.2,31.67,,,0
NDC,25021-319-05,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,25021-319-10,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,83.3,32.49,,,0
NDC,25021-319-25,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,77.8,30.34,,,0
NDC,25021-321-04,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,25021-400-01,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",41.0,15.99,,,0
NDC,25021-400-10,"HEPARIN (PORCINE) INJECTION (BOLUS) 1,000 UNITS/ML",19.6,7.64,,,0
NDC,25021-400-30,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",77.6,30.26,,,0
NDC,25021-402-01,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",19.6,7.64,,,0
NDC,25021-402-66,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",15.8,6.16,,,0
NDC,25021-410-76,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,31.5,12.28,,,0
NDC,25021-410-77,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,51.3,20.01,,,0
NDC,25021-414-50,ARGATROBAN 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,1219.8,475.72,,,0
NDC,25021-418-82,"TRANEXAMIC ACID 1,000 MG/100 ML(10 MG/ML)IN SOD CHLOR,ISO IV PIGGYBACK",175.1,68.29,,,0
NDC,25021-463-01,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION,76.9,29.99,,,0
NDC,25021-467-05,"OCTREOTIDE ACETATE 1,000 MCG/ML INJECTION SOLUTION",410.0,159.9,,,0
NDC,25021-468-10,LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION,201.8,78.7,,,0
NDC,25021-474-01,VASOPRESSIN 20 UNIT/ML INJECTION (WRAPPED),186.6,72.77,,,0
NDC,25021-481-01,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,25021-500-02,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,212.5,82.88,,,0
NDC,25021-502-01,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",23.32,9.09,,,0
NDC,25021-601-03,CAFFEINE CITRATED IV SYRINGE 20 MG/ML MD (PEDS 10 KG AND LESS),19.6,7.64,,,0
NDC,25021-602-03,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) ORAL SYRINGE,14.9,5.81,,,0
NDC,25021-608-20,ONE-STEP ONLY - PROPOFOL 10 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,25021-608-51,PROPOFOL INFUSION 10 MG/ML,378.9,147.77,,,0
NDC,25021-662-05,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,102.5,39.98,,,0
NDC,25021-671-87,ROPIVACAINE (PF) 0.2% ON-Q PAIN PUMP 600 ML,1614.3,629.58,,,0
NDC,25021-673-76,LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR,15.3,5.97,,,0
NDC,25021-673-77,LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR,48.7,18.99,,,0
NDC,25021-683-10,KETAMINE 50 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,25021-687-05,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,53.9,21.02,,,0
NDC,25021-701-01,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,42.7,16.65,,,0
NDC,25021-751-10,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,29.9,11.66,,,0
NDC,25021-780-05,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION (FOR IV PUSH),68.4,26.68,,,0
NDC,25021-790-02,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,22.7,8.85,,,0
NDC,25021-791-20,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION,558.9,217.97,,,0
NDC,25021-797-05,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION,55.6,21.68,,,0
NDC,25021-812-30,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,515.2,200.93,,,0
NDC,25021-813-10,LEUCOVORIN CALCIUM 50 MG SOLUTION FOR INJECTION,289.2,112.79,,,0
NDC,25021-814-30,LEUCOVORIN CALCIUM 100 MG SOLUTION FOR INJECTION,170.8,66.61,,,0
NDC,25021-815-30,LEUCOVORIN CALCIUM 200 MG SOLUTION FOR INJECTION,615.2,239.93,,,0
NDC,25021-816-30,LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION,975.8,380.56,,,0
NDC,25021-826-67,ZOLEDRONIC ACID 4 MG/100 ML-MANNITOL-0.9 % NACL INTRAVENOUS PIGGYBACK,512.4,199.84,,,0
NDC,25021-826-82,ZOLEDRONIC ACID 4 MG/100 ML-MANNITOL-0.9 % NACL INTRAVENOUS PIGGYBACK,1254.6,489.29,,,0
NDC,25021-830-82,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK,2439.5,951.4,,,0
NDC,25208-902-02,TIROFIBAN 12.5 MG/250 ML (50 MCG/ML)-0.9 % SODIUM CHLORIDE INTRAVENOUS,1665.9,649.7,,,0
NDC,25682-001-01,ECULIZUMAB 300 MG/30 ML INTRAVENOUS SOLUTION,181861.0,70925.79,,,0
NDC,25682-025-01,RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION,0.01,0.0039,,,0
NDC,25682-028-01,RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION,448362.0,174861.18,,,0
NDC,27241-001-06,RISPERIDONE 1 MG TABLET,69.9,27.26,,,0
NDC,27241-003-06,RISPERIDONE 0.5 MG TABLET,32.9,12.83,,,0
NDC,27241-049-10,ENTACAPONE 200 MG TABLET,34.9,13.61,,,0
NDC,27241-097-06,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",107.4,41.89,,,0
NDC,27241-098-09,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",120.5,47.0,,,0
NDC,27241-099-03,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",60.3,23.52,,,0
NDC,27241-139-09,OSELTAMIVIR 6 MG/ML ORAL SUSPENSION,262.2,102.26,,,0
NDC,27241-159-19,VALGANCICLOVIR 50 MG/ML ORAL SOLUTION,959.1,374.05,,,0
NDC,27241-161-01,CAPTOPRIL 25 MG TABLET,9.8,3.82,,,0
NDC,27241-162-01,CAPTOPRIL 50 MG TABLET,2.8,1.09,,,0
NDC,27241-305-01,"OXCARBAZEPINE ER 300 MG TABLET,EXTENDED RELEASE 24 HR",219.4,85.57,,,0
NDC,27437-060-01,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,155.7,60.72,,,0
NDC,27808-002-01,RISPERIDONE 1 MG/ML ORAL SOLUTION,4.8,1.87,,,0
NDC,27808-035-01,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,5.4,2.11,,,0
NDC,27808-065-02,PROMETHAZINE 6.25 MG-CODEINE 10 MG/5 ML SYRUP,4.8,1.87,,,0
NDC,27808-086-01,HYDROCODONE 10 MG-CHLORPHENIRAMINE 8 MG/5 ML ORAL SUSP EXTEND.REL 12HR,25.7,10.02,,,0
NDC,27808-086-02,HYDROCODONE 10 MG-CHLORPHENIRAMINE 8 MG/5 ML ORAL SUSP EXTEND.REL 12HR,25.0,9.75,,,0
NDC,27808-190-01,COLESEVELAM 625 MG TABLET,91.1,35.53,,,0
NDC,27808-206-01,FEBUXOSTAT 40 MG TABLET,95.0,37.05,,,0
NDC,27808-234-01,DOXYCYCLINE HYCLATE 100 MG TABLET,47.2,18.41,,,0
NDC,29033-001-01,"THEOPHYLLINE ER 400 MG TABLET,EXTENDED RELEASE 24 HR",10.5,4.1,,,0
NDC,29033-003-01,SUCRALFATE 1 GRAM TABLET,5.6,2.18,,,0
NDC,29033-026-02,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,4.4,1.72,,,0
NDC,29033-030-01,"ACETAZOLAMIDE ER 500 MG CAPSULE,EXTENDED RELEASE",33.0,12.87,,,0
NDC,29300-112-01,LAMOTRIGINE 100 MG TABLET,37.1,14.47,,,0
NDC,29300-126-01,BISOPROLOL FUMARATE 5 MG TABLET,10.8,4.21,,,0
NDC,29300-130-01,HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE,4.8,1.87,,,0
NDC,29300-136-01,CLONIDINE HCL 0.2 MG TABLET,4.8,1.87,,,0
NDC,29300-137-01,CLONIDINE HCL 0.3 MG TABLET,4.9,1.91,,,0
NDC,29300-139-01,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",13.6,5.3,,,0
NDC,29300-140-01,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE",25.0,9.75,,,0
NDC,29300-149-01,QUETIAPINE 100 MG TABLET,52.6,20.51,,,0
NDC,29300-189-01,BISOPROLOL 10 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET,27.5,10.72,,,0
NDC,29300-189-13,BISOPROLOL 10 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET,25.9,10.1,,,0
NDC,29300-220-19,MONTELUKAST 10 MG TABLET,43.4,16.93,,,0
NDC,29300-226-01,METRONIDAZOLE 250 MG TABLET,6.7,2.61,,,0
NDC,29300-227-01,METRONIDAZOLE 500 MG TABLET,5.6,2.18,,,0
NDC,29300-239-16,TOLTERODINE 1 MG TABLET,50.8,19.81,,,0
NDC,29300-355-01,TRAMADOL 50 MG TABLET,12.8,4.99,,,0
NDC,29300-359-16,AMIODARONE 200 MG TABLET,26.0,10.14,,,0
NDC,29300-413-01,CYCLOBENZAPRINE 5 MG TABLET,25.2,9.83,,,0
NDC,31382-557-05,"BUPIVACAINE 0.5 %-EPINEPHRINE BITARTRATE 1:200,000 INJECTION,CARTRIDGE",56.1,21.88,,,0
NDC,31382-898-05,"LIDOCAINE 2 %-EPINEPHRINE BITARTRATE 1:100,000 INJECTION CARTRIDGE",45.8,17.86,,,0
NDC,3160401281,THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET,4.8,1.87,,,0
NDC,3160401870,"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET",0.6,0.23,,,0
NDC,31722-010-90,DROXIDOPA 300 MG CAPSULE,846.3,330.06,,,0
NDC,31722-014-90,DROXIDOPA 100 MG CAPSULE,282.1,110.02,,,0
NDC,31722-017-01,FAMOTIDINE 20 MG TABLET,10.3,4.02,,,0
NDC,31722-017-10,FAMOTIDINE 20 MG TABLET,10.3,4.02,,,0
NDC,31722-049-90,EPLERENONE 25 MG TABLET,33.3,12.99,,,0
NDC,31722-050-30,EPLERENONE 50 MG TABLET,33.3,12.99,,,0
NDC,31722-053-60,IVABRADINE 5 MG TABLET,86.2,33.62,,,0
NDC,31722-103-30,CINACALCET 30 MG TABLET,235.2,91.73,,,0
NDC,31722-124-30,"VENLAFAXINE ER 75 MG TABLET,EXTENDED RELEASE 24 HR",53.1,20.71,,,0
NDC,31722-136-31,SILDENAFIL (PULMONARY HYPERTENSION) 10 MG/ML ORAL POWDR FOR SUSPENSION,938.4,365.98,,,0
NDC,31722-151-30,VALSARTAN 40 MG TABLET,15.6,6.08,,,0
NDC,31722-152-90,VALSARTAN 80 MG TABLET,37.2,14.51,,,0
NDC,31722-153-90,VALSARTAN 160 MG TABLET,40.0,15.6,,,0
NDC,31722-185-01,"DEXTROAMPHETAMINE-AMPHETAMINE ER 5 MG 24HR CAPSULE,EXTEND RELEASE",141.1,55.03,,,0
NDC,31722-203-31,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION (FOR IV PUSH),402.9,157.13,,,0
NDC,31722-205-31,ACETAMINOPHEN 10 MG/ML IV SYRINGE (PEDS),19.6,7.64,,,0
NDC,31722-252-01,ALLOPURINOL 100 MG TABLET,4.8,1.87,,,0
NDC,31722-305-01,KETOROLAC 15 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,31722-308-01,OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION,90.9,35.45,,,0
NDC,31722-520-01,HYDRALAZINE 25 MG TABLET,4.8,1.87,,,0
NDC,31722-521-01,HYDRALAZINE 50 MG TABLET,4.8,1.87,,,0
NDC,31722-525-90,FINASTERIDE 5 MG TABLET,23.9,9.32,,,0
NDC,31722-530-01,TORSEMIDE 10 MG TABLET,10.8,4.21,,,0
NDC,31722-533-05,METHOCARBAMOL 500 MG TABLET,4.8,1.87,,,0
NDC,31722-534-01,METHOCARBAMOL 750 MG TABLET,5.6,2.18,,,0
NDC,31722-537-12,LEVETIRACETAM 500 MG TABLET,27.0,10.53,,,0
NDC,31722-542-01,INDOMETHACIN 25 MG CAPSULE,4.8,1.87,,,0
NDC,31722-543-01,INDOMETHACIN 50 MG CAPSULE,4.9,1.91,,,0
NDC,31722-557-60,ABACAVIR 300 MG TABLET,77.1,30.07,,,0
NDC,31722-560-30,EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,537.0,209.43,,,0
NDC,31722-574-47,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,74.9,29.21,,,0
NDC,31722-585-30,NEBIVOLOL 2.5 MG TABLET,87.2,34.01,,,0
NDC,31722-586-30,NEBIVOLOL 5 MG TABLET,130.8,51.01,,,0
NDC,31722-586-90,NEBIVOLOL 5 MG TABLET,43.6,17.0,,,0
NDC,31722-587-30,NEBIVOLOL 10 MG TABLET,87.2,34.01,,,0
NDC,31722-587-90,NEBIVOLOL 10 MG TABLET,21.8,8.5,,,0
NDC,31722-621-60,DABIGATRAN ETEXILATE 75 MG CAPSULE,29.0,11.31,,,0
NDC,31722-622-60,DABIGATRAN ETEXILATE 150 MG CAPSULE,29.0,11.31,,,0
NDC,31722-623-90,ROFLUMILAST 500 MCG TABLET,115.6,45.08,,,0
NDC,31722-627-26,LACOSAMIDE 10 MG/ML ORAL SOLUTION,342.1,133.42,,,0
NDC,31722-629-21,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,576.0,224.64,,,0
NDC,31722-632-31,OSELTAMIVIR 75 MG CAPSULE,118.6,46.25,,,0
NDC,31722-668-60,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",56.8,22.15,,,0
NDC,31722-676-32,ROFLUMILAST 250 MCG TABLET,237.9,92.78,,,0
NDC,31722-681-47,ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION,28.9,11.27,,,0
NDC,31722-700-90,LOSARTAN 25 MG TABLET,12.9,5.03,,,0
NDC,31722-701-10,LOSARTAN 50 MG TABLET,34.5,13.46,,,0
NDC,31722-701-90,LOSARTAN 50 MG TABLET,8.7,3.39,,,0
NDC,31722-702-30,LOSARTAN 100 MG TABLET,23.7,9.24,,,0
NDC,31722-702-90,LOSARTAN 100 MG TABLET,23.5,9.16,,,0
NDC,31722-705-30,VALACYCLOVIR 1 GRAM TABLET,97.0,37.83,,,0
NDC,31722-728-30,MONTELUKAST 5 MG CHEWABLE TABLET,43.4,16.93,,,0
NDC,31722-749-20,LINEZOLID 600 MG TABLET,1408.8,549.43,,,0
NDC,31722-777-01,ACYCLOVIR 400 MG TABLET,16.7,6.51,,,0
NDC,31722-778-01,ACYCLOVIR 800 MG TABLET,16.2,6.32,,,0
NDC,31722-806-60,TOLTERODINE 2 MG TABLET,26.1,10.18,,,0
NDC,31722-868-03,TOLVAPTAN 15 MG TABLET,2154.4,840.22,,,0
NDC,31722-8693-1,TOLVAPTAN 30 MG TABLET,842.1,328.42,,,0
NDC,31722-878-01,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,60.9,23.75,,,0
NDC,3172213747,GLYCERIN 99.5 % TOPICAL SOLUTION,24.4,9.52,,,0
NDC,3172293747,SIMPLE SYRUP,0.4,0.16,,,0
NDC,3172293847,CHERRY SYRUP (BULK) ORAL LIQUID,3.1,1.21,,,0
NDC,33342-001-09,LAMIVUDINE 150 MG TABLET,109.8,42.82,,,0
NDC,33342-027-10,DONEPEZIL 5 MG TABLET,132.8,51.79,,,0
NDC,33342-054-07,PIOGLITAZONE 15 MG TABLET,53.8,20.98,,,0
NDC,33342-055-10,PIOGLITAZONE 30 MG TABLET,41.1,16.03,,,0
NDC,33342-063-10,VALSARTAN 80 MG TABLET,14.9,5.81,,,0
NDC,33342-064-10,VALSARTAN 160 MG TABLET,16.0,6.24,,,0
NDC,33342-067-07,OLANZAPINE 2.5 MG TABLET,80.0,31.2,,,0
NDC,33342-083-07,OLANZAPINE 5 MG DISINTEGRATING TABLET,107.4,41.89,,,0
NDC,33342-084-07,OLANZAPINE 10 MG DISINTEGRATING TABLET,158.6,61.85,,,0
NDC,33342-089-09,RIVASTIGMINE 1.5 MG CAPSULE,31.0,12.09,,,0
NDC,33342-090-09,RIVASTIGMINE 3 MG CAPSULE,31.0,12.09,,,0
NDC,33342-092-09,RIVASTIGMINE 6 MG CAPSULE,31.0,12.09,,,0
NDC,33342-098-09,TOLTERODINE 2 MG TABLET,26.1,10.18,,,0
NDC,33342-179-10,OLMESARTAN 20 MG TABLET,96.4,37.6,,,0
NDC,33342-215-58,SEVELAMER CARBONATE 800 MG TABLET,17.0,6.63,,,0
NDC,33342-256-66,OSELTAMIVIR 30 MG CAPSULE,108.8,42.43,,,0
NDC,33342-258-66,OSELTAMIVIR 75 MG CAPSULE,118.6,46.25,,,0
NDC,33342-274-07,FEBUXOSTAT 40 MG TABLET,182.1,71.02,,,0
NDC,33342-333-15,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT,42.7,16.65,,,0
NDC,3504600322,MAGNESIUM GLUCONATE 27 MG MAGNESIUM (500 MG) TABLET,4.8,1.87,,,0
NDC,35573-428-51,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",4.8,1.87,,,0
NDC,35573-428-80,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",4.8,1.87,,,0
NDC,36000-009-24,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,30.8,12.01,,,0
NDC,36000-012-25,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,36000-033-10,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,36000-047-24,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,64.1,25.0,,,0
NDC,36000-048-24,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,55.1,21.49,,,0
NDC,36000-148-10,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION,24.3,9.48,,,0
NDC,36000-282-25,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,36000-283-25,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,36000-284-25,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,36000-298-24,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,20.5,8.0,,,0
NDC,36000-306-60,ACETAMINOPHEN 10 MG/ML IVPB,57.7,22.5,,,0
NDC,36000-308-10,NALOXONE 0.4 MG/ML INJECTION SOLUTION,42.7,16.65,,,0
NDC,36000-320-10,LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS SYRINGE,19.6,7.64,,,0
NDC,36000-322-02,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,36800-579-53,ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY,1.5,0.58,,,0
NDC,37000-023-04,PSYLLIUM HUSK (WITH SUGAR) 3.4 GRAM ORAL POWDER PACKET,1.8,0.7,,,0
NDC,37000-024-01,PSYLLIUM HUSK 3.4 GRAM/5.8 GRAM ORAL POWDER,4.8,1.87,,,0
NDC,37000-024-04,PSYLLIUM HUSK 3.4 GRAM ORAL POWDER PACKET,1.6,0.62,,,0
NDC,3786490599,THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET,4.8,1.87,,,0
NDC,3786499101,ZINC SULFATE 50 MG ZINC (220 MG) CAPSULE,0.6,0.23,,,0
NDC,3839650118,GLUCOSE 4 GRAM CHEWABLE TABLET,6.2,2.42,,,0
NDC,3848580857,PSYLLIUM ORAL PACKET,3.0,1.17,,,0
NDC,38779-0280-4,NIFEDIPINE (BULK) POWDER,10.2,3.98,,,0
NDC,38779-0598-5,IODINE-POTASSIUM IODIDE 5 %-10 % TOPICAL SOLUTION,296.9,115.79,,,0
NDC,38779-0598-8,IODINE STRONG (LUGOL'S) 5 % ORAL SOLUTION,29.7,11.58,,,0
NDC,38779-1046-5,BISMUTH SUBGALLATE (BULK) POWDER,171.1,66.73,,,0
NDC,3877917798,SIMPLE SYRUP,1.6,0.62,,,0
NDC,39328-020-08,SENNOSIDES 8.8 MG/5 ML ORAL SYRUP,1.0,0.39,,,0
NDC,39328-024-55,LIDOCAINE 4 % TOPICAL CREAM,41.5,16.18,,,0
NDC,39328-034-50,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (WRAPPED),9.5,3.7,,,0
NDC,39328-051-10,HYOSCYAMINE 0.125 MG SUBLINGUAL TABLET,5.3,2.07,,,0
NDC,39328-062-50,SODIUM HYPOCHLORITE 0.5 % SOLUTION,141.5,55.18,,,0
NDC,39328-063-25,SODIUM HYPOCHLORITE 0.25 % SOLUTION,141.5,55.18,,,0
NDC,39328-511-05,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,104.4,40.72,,,0
NDC,39328-530-10,AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION,32.6,12.71,,,0
NDC,3932806412,SODIUM HYPOCHLORITE 0.125 % SOLUTION,141.5,55.18,,,0
NDC,3932815705,FERROUS SULFATE 300 MG (60 MG IRON)/5 ML ORAL LIQUID,15.7,6.12,,,0
NDC,3932835760,"ERGOCALCIFEROL (VITAMIN D2) 200 MCG/ML (8,000 UNIT/ML) ORAL DROPS",12.8,4.99,,,0
NDC,3932855750,FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS (MCG CAMPUS),0.6,0.23,,,0
NDC,39822-0190-1,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION,269.1,104.95,,,0
NDC,39822-0190-7,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION,269.1,104.95,,,0
NDC,39822-0250-1,CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION,663.0,258.57,,,0
NDC,39822-0255-1,CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION,1365.0,532.35,,,0
NDC,39822-0412-1,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION,1115.2,434.93,,,0
NDC,39822-0412-6,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION,640.5,249.8,,,0
NDC,39822-1000-1,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",51.3,20.01,,,0
NDC,39822-1001-7,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",176.8,68.95,,,0
NDC,39822-1030-2,IBUPROFEN LYSINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,2300.1,897.04,,,0
NDC,39822-1055-5,AMPHOTERICIN B 50 MG SOLUTION FOR INJECTION,512.4,199.84,,,0
NDC,39822-1100-1,FOLIC ACID 5 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,39822-1201-5,"NEOMYCIN 40 MG-POLYMYXIN B 200,000 UNIT/ML GU IRRIGATION SOLUTION",93.3,36.39,,,0
NDC,39822-1220-1,"NEOMYCIN 40 MG-POLYMYXIN B 200,000 UNIT/ML GU IRRIGATION SOLUTION",72.6,28.31,,,0
NDC,39822-4200-2,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,38.5,15.02,,,0
NDC,39822-4200-6,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,64.1,25.0,,,0
NDC,39822-5525-3,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,39822-6200-1,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,106.8,41.65,,,0
NDC,39822-6250-1,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,871.3,339.81,,,0
NDC,40085-029-80,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,111.7,43.56,,,0
NDC,4011733448,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,19.6,7.64,,,0
NDC,4011733451,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,19.6,7.64,,,0
NDC,4011733452,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,19.6,7.64,,,0
NDC,4098527112,"CYANOCOBALAMIN (VIT B-12) 2,500 MCG SUBLINGUAL TABLET",0.6,0.23,,,0
NDC,4098527310,PRENATAL VIT NO.95-FERROUS FUMARATE 28 MG-FOLIC ACID 800 MCG TABLET,0.6,0.23,,,0
NDC,4098527343,"FERROUS SULFATE ER 142 MG (45 MG IRON) TABLET,EXTENDED RELEASE",4.8,1.87,,,0
NDC,4098527435,COENZYME Q10 200 MG CAPSULE,0.9,0.35,,,0
NDC,4098527452,VIT A 300 MCG-C 200 MG-E 27 MG-LUTEIN 2 MG AND MINERALS TABLET,0.6,0.23,,,0
NDC,4110081125,OXYMETAZOLINE 0.05 % NASAL SPRAY,19.6,7.64,,,0
NDC,4110081163,VITAMINS A AND D-WHITE PETROLATUM-LANOLIN TOPICAL OINTMENT,11.4,4.45,,,0
NDC,4116705723,TROLAMINE SALICYLATE 10 % TOPICAL CREAM,64.6,25.19,,,0
NDC,4116705847,LIDOCAINE 4 % TOPICAL PATCH,40.4,15.76,,,0
NDC,41616-931-44,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,72.6,28.31,,,0
NDC,4167936513,MEDIUM CHAIN TRIGLYCERIDES (MCT) 7.7 KCAL/ML ORAL OIL,4.8,1.87,,,0
NDC,42023-103-01,EPINEPHRINE 1 MG/ML NASAL SOLUTION,1921.8,749.5,,,0
NDC,42023-104-01,TUBERCULIN PPD 5 TUB. UNIT/0.1 ML INTRADERMAL INJECTION SOLUTION,94.2,36.74,,,0
NDC,42023-113-10,KETAMINE 10 MG/ML INJECTION SOLUTION,25.4,9.91,,,0
NDC,42023-116-02,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,35.9,14.0,,,0
NDC,42023-116-25,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,89.2,34.79,,,0
NDC,42023-116-93,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,35.9,14.0,,,0
NDC,42023-123-06,DANTROLENE 20 MG INTRAVENOUS SOLUTION,988.6,385.55,,,0
NDC,42023-146-25,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,92.6,36.11,,,0
NDC,42023-159-25,EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION,127.8,49.84,,,0
NDC,42023-164-25,VASOPRESSIN 20 UNIT/ML INJECTION (WRAPPED),691.8,269.8,,,0
NDC,42023-168-01,EPINEPHRINE 1 MG/ML INJECTION SOLUTION,285.4,111.31,,,0
NDC,42023-168-99,EPINEPHRINE 1 MG/ML INJECTION SOLUTION,713.3,278.19,,,0
NDC,42023-173-25,GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION,344.4,134.32,,,0
NDC,42023-182-01,ARGATROBAN 100 MG/ML INTRAVENOUS SOLUTION,3554.7,1386.33,,,0
NDC,42023-187-10,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,683.2,266.45,,,0
NDC,42023-189-10,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,42023-201-01,LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION,1471.8,574.0,,,0
NDC,42023-205-01,CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION,21823.1,8511.01,,,0
NDC,42023-206-01,TREPROSTINIL SODIUM 1 MG/ML INJECTION SOLUTION,516.6,201.47,,,0
NDC,42023-214-10,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,150.4,58.66,,,0
NDC,42023-216-25,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,248.1,96.76,,,0
NDC,42023-221-10,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,816.0,318.24,,,0
NDC,42023-229-10,MICAFUNGIN 50 MG INTRAVENOUS SOLUTION,2085.5,813.34,,,0
NDC,42023-230-10,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION,1042.8,406.69,,,0
NDC,42023-237-10,VASOPRESSIN 0.2 UNIT/ML D5W INTRAVENOUS SOLUTION,1480.5,577.4,,,0
NDC,42023-243-01,EPHEDRINE SULFATE 5 MG/ML INTRAVENOUS SOLUTION,24.8,9.67,,,0
NDC,4203710478,CARBAMIDE PEROXIDE 6.5 % EAR DROPS,67.6,26.36,,,0
NDC,4203710479,CARBAMIDE PEROXIDE 6.5 % EAR DROPS,86.9,33.89,,,0
NDC,42192-329-01,THYROID (PORK) 30 MG TABLET,8.1,3.16,,,0
NDC,42192-330-01,THYROID (PORK) 60 MG TABLET,9.0,3.51,,,0
NDC,42192-338-01,HYOSCYAMINE 0.125 MG DISINTEGRATING TABLET,6.6,2.57,,,0
NDC,42192-339-01,HYOSCYAMINE 0.125 MG SUBLINGUAL TABLET,6.6,2.57,,,0
NDC,42192-340-01,HYOSCYAMINE SULFATE 0.125 MG TABLET,13.1,5.11,,,0
NDC,42192-608-16,GABAPENTIN 250 MG/5 ML (5 ML) ORAL SOLUTION,38.3,14.94,,,0
NDC,42192-608-40,GABAPENTIN 300 MG/6 ML (6 ML) ORAL SOLUTION,166.0,64.74,,,0
NDC,42192-608-45,GABAPENTIN 250 MG/5 ML (5 ML) ORAL SOLUTION,177.0,69.03,,,0
NDC,42195-550-14,CIPROFLOXACIN 0.2 % EAR DROPS IN A DROPPERETTE,93.3,36.39,,,0
NDC,42291-076-15,CLOBETASOL 0.05 % TOPICAL CREAM,983.6,383.6,,,0
NDC,42291-412-60,DOFETILIDE 250 MCG CAPSULE,65.7,25.62,,,0
NDC,42291-413-60,DOFETILIDE 500 MCG CAPSULE,65.7,25.62,,,0
NDC,42291-477-11,LIDOCAINE 5 % TOPICAL PATCH,103.2,40.25,,,0
NDC,42291-560-90,MIDODRINE 2.5 MG TABLET,8.4,3.28,,,0
NDC,42291-561-90,MIDODRINE 5 MG TABLET,18.7,7.29,,,0
NDC,42291-773-60,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",49.3,19.23,,,0
NDC,42291-858-90,VALSARTAN 160 MG TABLET,80.0,31.2,,,0
NDC,42292-038-20,LEVOTHYROXINE 88 MCG TABLET,4.8,1.87,,,0
NDC,42292-039-20,LEVOTHYROXINE 112 MCG TABLET,5.5,2.14,,,0
NDC,42292-040-20,LEVOTHYROXINE 175 MCG TABLET,6.8,2.65,,,0
NDC,42292-041-20,LEVOTHYROXINE 137 MCG TABLET,5.6,2.18,,,0
NDC,42292-043-03,IMATINIB 100 MG TABLET,136.6,53.27,,,0
NDC,42292-054-03,COLCHICINE 0.6 MG TABLET,85.6,33.38,,,0
NDC,42367-521-25,BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION,30371.4,11844.85,,,0
NDC,42367-540-32,DANTROLENE 250 MG INTRAVENOUS SUSPENSION,23101.1,9009.43,,,0
NDC,42367-570-22,VASOPRESSIN 20 UNIT/100 ML (0.2 UNIT/ML) IN 0.9 % SODIUM CHLORIDE IV,1101.6,429.62,,,0
NDC,42367-570-87,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION,1101.6,429.62,,,0
NDC,42494-415-25,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION,447.2,174.41,,,0
NDC,42494-416-03,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION,947.3,369.45,,,0
NDC,42494-419-05,METHYLENE BLUE (ANTIDOTE) 1 % (10 MG/ML) INTRAVENOUS SOLUTION,533.8,208.18,,,0
NDC,42494-441-25,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION,223.7,87.24,,,0
NDC,42494-453-10,"NAPROXEN 375 MG TABLET,DELAYED RELEASE",52.9,20.63,,,0
NDC,42494-454-10,"NAPROXEN 500 MG TABLET,DELAYED RELEASE",64.5,25.16,,,0
NDC,42543-700-01,CARISOPRODOL 350 MG TABLET,4.8,1.87,,,0
NDC,42571-137-25,KETOROLAC 0.5 % EYE DROPS,813.1,317.11,,,0
NDC,42571-141-26,DORZOLAMIDE 2 % EYE DROPS,512.4,199.84,,,0
NDC,42571-144-01,CELECOXIB 200 MG CAPSULE,58.1,22.66,,,0
NDC,42571-147-26,DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS,4.8,1.87,,,0
NDC,42571-161-01,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET,29.1,11.35,,,0
NDC,42571-162-01,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,38.8,15.13,,,0
NDC,42571-162-42,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,38.8,15.13,,,0
NDC,42571-221-30,RASAGILINE 1 MG TABLET,191.8,74.8,,,0
NDC,42571-315-01,CLOBAZAM 10 MG TABLET,145.8,56.86,,,0
NDC,42571-357-07,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,186.9,72.89,,,0
NDC,42658-021-01,DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLUTION,630.3,245.82,,,0
NDC,42747-761-01,MOGAMULIZUMAB-KPKC 4 MG/ML INTRAVENOUS SOLUTION,23405.6,9128.18,,,0
NDC,42794-018-12,LIOTHYRONINE 5 MCG TABLET,26.1,10.18,,,0
NDC,42799-119-01,BUMETANIDE 0.5 MG TABLET,55.3,21.57,,,0
NDC,42799-129-01,DILTIAZEM 30 MG TABLET,7.7,3.0,,,0
NDC,42799-217-01,OPIUM TINCTURE 10 MG/ML (MORPHINE) ORAL,29.0,11.31,,,0
NDC,42799-806-01,IVERMECTIN 3 MG TABLET,114.4,44.62,,,0
NDC,42799-815-01,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION,4.8,1.87,,,0
NDC,42799-921-01,BISOPROLOL 5 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET,56.6,22.07,,,0
NDC,42799-922-01,BISOPROLOL 10 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET,56.6,22.07,,,0
NDC,42799-922-30,BISOPROLOL 10 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET,56.6,22.07,,,0
NDC,42799-958-01,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",25.8,10.06,,,0
NDC,42806-058-01,FLAVOXATE 100 MG TABLET,16.6,6.47,,,0
NDC,42806-087-01,ESTRADIOL 0.5 MG TABLET,4.8,1.87,,,0
NDC,42806-094-01,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,156.6,61.07,,,0
NDC,42806-094-30,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,156.6,61.07,,,0
NDC,42806-102-01,ETHAMBUTOL 400 MG TABLET,36.5,14.24,,,0
NDC,42806-149-32,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,69.2,26.99,,,0
NDC,42806-150-33,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,21.4,8.35,,,0
NDC,42806-151-34,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,15.2,5.93,,,0
NDC,42806-270-95,CHOLESTYRAMINE-ASPARTAME 4 GRAM ORAL POWDER FOR SUSP IN A PACKET,25.8,10.06,,,0
NDC,42806-339-01,DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET,26.3,10.26,,,0
NDC,42806-359-25,LEUCOVORIN CALCIUM 25 MG TABLET,85.8,33.46,,,0
NDC,42806-410-01,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE",4.8,1.87,,,0
NDC,42806-414-30,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",33.1,12.91,,,0
NDC,42806-503-01,URSODIOL 300 MG CAPSULE,112.8,43.99,,,0
NDC,42806-547-01,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE",15.2,5.93,,,0
NDC,42806-600-22,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION,50.3,19.62,,,0
NDC,42806-602-09,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR",53.1,20.71,,,0
NDC,42806-714-01,BENZONATATE 100 MG CAPSULE,19.2,7.49,,,0
NDC,42858-001-01,OXYCODONE 5 MG TABLET,4.8,1.87,,,0
NDC,42858-001-10,OXYCODONE 5 MG TABLET,7.0,2.73,,,0
NDC,42858-003-01,OXYCODONE 15 MG TABLET,4.8,1.87,,,0
NDC,42858-102-01,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,4.8,1.87,,,0
NDC,42858-103-01,OXYCODONE-ACETAMINOPHEN 7.5 MG-325 MG TABLET,4.8,1.87,,,0
NDC,42858-104-01,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,4.8,1.87,,,0
NDC,42858-118-30,LIDOCAINE 5 % TOPICAL PATCH,20.0,7.8,,,0
NDC,42858-301-01,HYDROMORPHONE 2 MG TABLET,4.8,1.87,,,0
NDC,42858-301-25,HYDROMORPHONE 2 MG TABLET,4.8,1.87,,,0
NDC,42858-302-01,HYDROMORPHONE 4 MG TABLET,4.8,1.87,,,0
NDC,42858-303-01,HYDROMORPHONE 8 MG TABLET,5.9,2.3,,,0
NDC,42858-501-03,BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET,4.8,1.87,,,0
NDC,42858-515-01,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE",35.2,13.73,,,0
NDC,42858-701-01,"THEOPHYLLINE ER 400 MG TABLET,EXTENDED RELEASE 24 HR",4.8,1.87,,,0
NDC,42858-801-01,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE",4.8,1.87,,,0
NDC,42858-802-01,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE",4.8,1.87,,,0
NDC,42858-867-06,DRONABINOL 2.5 MG CAPSULE,15.9,6.2,,,0
NDC,42937-701-10,PHENAZOPYRIDINE 100 MG TABLET,7.4,2.89,,,0
NDC,43063-352-06,IBUPROFEN 600 MG TABLET,12.2,4.76,,,0
NDC,43063-547-01,CIPROFLOXACIN 500 MG TABLET,4.8,1.87,,,0
NDC,43066-007-10,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,29.9,11.66,,,0
NDC,43066-008-10,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",75.2,29.33,,,0
NDC,43066-009-10,NICARDIPINE 20 MG/200 ML(0.1 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN,427.0,166.53,,,0
NDC,43066-013-10,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,34.1,13.3,,,0
NDC,43066-016-10,NICARDIPINE 40 MG/200 ML(0.2 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN,683.2,266.45,,,0
NDC,43066-021-10,NICARDIPINE 20 MG/200 ML(0.1 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN,492.0,191.88,,,0
NDC,43066-090-25,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,22.7,8.85,,,0
NDC,43066-150-10,"AMIODARONE 150 MG/100 ML (1.5 MG/ML) IN DEXTROSE, ISO-OSMOTIC IV",296.4,115.6,,,0
NDC,43066-360-20,"AMIODARONE 360 MG/200 ML (1.8 MG/ML) IN DEXTROSE, ISO-OSMOTIC IV",394.6,153.89,,,0
NDC,43066-557-12,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,683.2,266.45,,,0
NDC,43066-993-24,CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,91.4,35.65,,,0
NDC,43066-995-24,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,111.5,43.48,,,0
NDC,4329222327,"ASCORBIC ACID (VITAMIN C) 1,000 MG TABLET",4.8,1.87,,,0
NDC,4329255740,NIACIN 250 MG TABLET,4.8,1.87,,,0
NDC,43386-050-19,PEG 3350-ELECTROLYTES (GOLYTELY) (WRAPPED),214.8,83.77,,,0
NDC,43386-090-19,PEG 3350-ELECTROLYTES (GOLYTELY) (WRAPPED),245.5,95.74,,,0
NDC,43386-160-12,MISOPROSTOL 100 MCG TABLET,45.2,17.63,,,0
NDC,43386-161-01,MISOPROSTOL 200 MCG TABLET,43.9,17.12,,,0
NDC,43386-194-30,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,82.4,32.14,,,0
NDC,43386-480-24,"ORPHENADRINE CITRATE ER 100 MG TABLET,EXTENDED RELEASE",17.8,6.94,,,0
NDC,43386-770-01,FLUCYTOSINE 500 MG CAPSULE,1218.1,475.06,,,0
NDC,43528-003-05,HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE,1085.6,423.38,,,0
NDC,43547-221-15,LEVETIRACETAM 250 MG TABLET,22.1,8.62,,,0
NDC,43547-268-10,ROPINIROLE 0.25 MG TABLET,38.4,14.98,,,0
NDC,43547-269-10,ROPINIROLE 0.5 MG TABLET,19.2,7.49,,,0
NDC,43547-270-10,ROPINIROLE 1 MG TABLET,76.7,29.91,,,0
NDC,43547-271-10,ROPINIROLE 2 MG TABLET,19.2,7.49,,,0
NDC,43547-275-03,DONEPEZIL 5 MG TABLET,66.4,25.9,,,0
NDC,43547-275-09,DONEPEZIL 5 MG TABLET,66.4,25.9,,,0
NDC,43547-276-09,DONEPEZIL 10 MG TABLET,66.4,25.9,,,0
NDC,43547-280-10,ESCITALOPRAM 5 MG TABLET,63.7,24.84,,,0
NDC,43547-281-10,ESCITALOPRAM 10 MG TABLET,33.3,12.99,,,0
NDC,43547-282-10,ESCITALOPRAM 20 MG TABLET,34.7,13.53,,,0
NDC,43547-288-10,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE",14.9,5.81,,,0
NDC,43547-289-10,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE",14.9,5.81,,,0
NDC,43547-339-06,RISPERIDONE 0.25 MG TABLET,59.9,23.36,,,0
NDC,43547-341-06,RISPERIDONE 1 MG TABLET,34.9,13.61,,,0
NDC,43547-351-10,LISINOPRIL 2.5 MG TABLET,10.0,3.9,,,0
NDC,43547-352-10,LISINOPRIL 5 MG TABLET,7.4,2.89,,,0
NDC,43547-353-10,LISINOPRIL 10 MG TABLET,7.6,2.96,,,0
NDC,43547-367-09,VALSARTAN 40 MG TABLET,30.9,12.05,,,0
NDC,43547-368-09,VALSARTAN 80 MG TABLET,37.1,14.47,,,0
NDC,43547-369-09,VALSARTAN 160 MG TABLET,39.6,15.44,,,0
NDC,43547-397-10,HYDROCHLOROTHIAZIDE 25 MG TABLET,4.8,1.87,,,0
NDC,43547-401-10,FUROSEMIDE 20 MG TABLET,4.8,1.87,,,0
NDC,43547-402-10,FUROSEMIDE 40 MG TABLET,4.8,1.87,,,0
NDC,43547-406-10,CLONAZEPAM 0.5 MG TABLET,17.3,6.75,,,0
NDC,43547-407-10,CLONAZEPAM 1 MG TABLET,6.6,2.57,,,0
NDC,43547-524-03,NEBIVOLOL 2.5 MG TABLET,72.7,28.35,,,0
NDC,43547-525-03,NEBIVOLOL 5 MG TABLET,72.7,28.35,,,0
NDC,43547-525-09,NEBIVOLOL 5 MG TABLET,36.4,14.2,,,0
NDC,43547-526-03,NEBIVOLOL 10 MG TABLET,18.2,7.1,,,0
NDC,43547-526-09,NEBIVOLOL 10 MG TABLET,72.7,28.35,,,0
NDC,43547-543-25,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,27.9,10.88,,,0
NDC,43547-544-25,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,43547-639-25,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,27.9,10.88,,,0
NDC,43547-640-25,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,27.9,10.88,,,0
NDC,43547-688-10,CIPROFLOXACIN 250 MG TABLET,34.1,13.3,,,0
NDC,43547-689-10,CIPROFLOXACIN 500 MG TABLET,39.9,15.56,,,0
NDC,43598-037-01,FLUPHENAZINE 10 MG TABLET,89.0,34.71,,,0
NDC,43598-050-25,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,136.7,53.31,,,0
NDC,43598-078-58,ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION,45.4,17.71,,,0
NDC,43598-101-90,ATORVASTATIN 40 MG TABLET,42.2,16.46,,,0
NDC,43598-106-11,DIAZEPAM 5 MG/ML INJECTION SYRINGE,210.2,81.98,,,0
NDC,43598-127-25,METHYLPREDNISOLONE SODIUM SUCCINATE 40 MG SOLUTION FOR INJECTION,41.0,15.99,,,0
NDC,43598-128-11,METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTION,187.9,73.28,,,0
NDC,43598-129-25,METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLUTION FOR INJECTION,65.0,25.35,,,0
NDC,43598-130-74,"METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION",138.8,54.13,,,0
NDC,43598-141-11,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION,122.2,47.66,,,0
NDC,43598-164-30,OLANZAPINE 5 MG TABLET,304.2,118.64,,,0
NDC,43598-165-30,OLANZAPINE 7.5 MG TABLET,123.4,48.13,,,0
NDC,43598-168-60,LUBIPROSTONE 24 MCG CAPSULE,51.3,20.01,,,0
NDC,43598-169-58,ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION,40.5,15.8,,,0
NDC,43598-210-25,SILVER SULFADIAZINE 1 % TOPICAL CREAM,69.1,26.95,,,0
NDC,43598-210-55,SILVER SULFADIAZINE 1 % TOPICAL CREAM,114.3,44.58,,,0
NDC,43598-262-23,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,769.0,299.91,,,0
NDC,43598-283-35,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",4240.1,1653.64,,,0
NDC,43598-305-62,AZACITIDINE 100 MG VIAL DILUTED FOR INTRAVENOUS USE,948.5,369.92,,,0
NDC,43598-326-75,"CIPROFLOXACIN 0.3 %-DEXAMETHASONE 0.1 % EAR DROPS,SUSPENSION",2063.4,804.73,,,0
NDC,43598-386-62,PEMETREXED DISODIUM 100 MG INTRAVENOUS POWDER FOR SOLUTION,428.0,166.92,,,0
NDC,43598-387-11,PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION,9896.7,3859.71,,,0
NDC,43598-405-11,PHYTONADIONE 1 MG/ML ORAL SUSPENSION (NEONATE/PEDS),36.7,14.31,,,0
NDC,43598-405-16,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION,365.3,142.47,,,0
NDC,43598-413-11,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,683.2,266.45,,,0
NDC,43598-426-60,BORTEZOMIB 3.5 MG SOLUTION FOR SUBCUTANEOUS INJ,532.9,207.83,,,0
NDC,43598-436-11,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,7.8,3.04,,,0
NDC,43598-446-70,NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH,7.3,2.85,,,0
NDC,43598-447-74,NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH,7.3,2.85,,,0
NDC,43598-448-28,NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH,6.8,2.65,,,0
NDC,43598-448-70,NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH,8.9,3.47,,,0
NDC,43598-448-74,NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH,7.6,2.96,,,0
NDC,43598-478-90,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET,140.3,54.72,,,0
NDC,43598-579-30,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM,37.7,14.7,,,0
NDC,43598-582-30,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM,135.0,52.65,,,0
NDC,43598-635-10,LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK,158.0,61.62,,,0
NDC,43598-636-10,"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",256.2,99.92,,,0
NDC,43598-637-10,"LEVETIRACETAM 1,500 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",683.2,266.45,,,0
NDC,43598-698-58,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,2223.4,867.13,,,0
NDC,43598-721-01,HYDROXYCHLOROQUINE 200 MG TABLET,31.4,12.25,,,0
NDC,43598-725-25,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,131.6,51.32,,,0
NDC,43598-750-58,NALOXONE 1 MG/ML INJECTION SYRINGE,133.9,52.22,,,0
NDC,43598-755-10,LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK,158.0,61.62,,,0
NDC,43598-757-10,"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",256.2,99.92,,,0
NDC,43598-759-10,"LEVETIRACETAM 1,500 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",341.6,133.22,,,0
NDC,43598-777-11,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,155.4,60.61,,,0
NDC,43598-839-36,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,85.4,33.31,,,0
NDC,43598-848-58,ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION,401.4,156.55,,,0
NDC,43598-891-52,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,24.2,9.44,,,0
NDC,43598-901-58,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,854.0,333.06,,,0
NDC,43598-914-11,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION,196.5,76.64,,,0
NDC,43598-917-58,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,2223.4,867.13,,,0
NDC,43598-931-09,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,81.2,31.67,,,0
NDC,43598-948-11,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,701.9,273.74,,,0
NDC,43598-975-58,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,683.2,266.45,,,0
NDC,43598-977-10,DICLOFENAC 1 % TOPICAL GEL,92.1,35.92,,,0
NDC,43749-0440-25,GLYCERIN (ADULT) RECTAL SUPPOSITORY,0.6,0.23,,,0
NDC,43825-102-01,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",404.8,157.87,,,0
NDC,43825-200-01,TERLIPRESSIN 0.85 MG INTRAVENOUS POWDER FOR SOLUTION,6925.9,2701.1,,,0
NDC,44087-3535-1,AVELUMAB 20 MG/ML INTRAVENOUS SOLUTION,50256.5,19600.04,,,0
NDC,44206-251-05,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",768.6,299.75,,,0
NDC,44206-251-10,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",1254.6,489.29,,,0
NDC,44206-300-01,"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG)/2 ML INJECTION SYRINGE",1186.0,462.54,,,0
NDC,44206-300-10,"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG)/2 ML INJECTION SYRINGE",1186.0,462.54,,,0
NDC,44206-310-25,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",707.2,275.81,,,0
NDC,44206-310-50,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",1254.6,489.29,,,0
NDC,44206-310-91,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",2509.2,978.59,,,0
NDC,44206-436-05,"IMMUNE GLOB,GAMM (IGG-PRIVIGEN) 10%-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",6561.6,2559.02,,,0
NDC,44206-437-10,"IMMUNE GLOB,GAMM (IGG-PRIVIGEN) 10%-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",13123.2,5118.05,,,0
NDC,44206-438-20,"IMMUNE GLOB,GAMM (IGG-PRIVIGEN) 10%-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",26246.3,10236.06,,,0
NDC,44206-439-40,"IMMUNE GLOB,GAMM (IGG-PRIVIGEN) 10%-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",52492.5,20472.08,,,0
NDC,44206-452-02,IMMUN GLOB G 2 GRAM/10 ML(20 %)-PROL-IGA 0-50 MCG/ML SUBCUTANEOUS SOLN,0.01,0.0039,,,0
NDC,44206-455-10,IMMUN GLOB G 10 GRAM/50 ML(20 %)-PRO-IGA 0-50 MCG/ML SUBCUTANEOUS SOLN,0.01,0.0039,,,0
NDC,44567-100-10,AMPICILLIN 250 MG SOLUTION FOR INJECTION,19.6,7.64,,,0
NDC,44567-101-10,AMPICILLIN 500 MG SOLUTION FOR INJECTION,19.7,7.68,,,0
NDC,44567-102-10,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,61.5,23.98,,,0
NDC,44567-103-10,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,112.8,43.99,,,0
NDC,44567-221-10,NAFCILLIN 1 GRAM SOLUTION FOR INJECTION,19.6,7.64,,,0
NDC,44567-222-10,NAFCILLIN 2 GRAM SOLUTION FOR INJECTION,225.5,87.94,,,0
NDC,44567-223-01,NAFCILLIN 10 GRAM SOLUTION FOR INJECTION,1455.4,567.61,,,0
NDC,44567-235-25,CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION,46.2,18.02,,,0
NDC,44567-236-10,CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION,102.5,39.98,,,0
NDC,44567-240-10,CEFEPIME 1 GRAM SOLUTION FOR INJECTION,58.5,22.82,,,0
NDC,44567-241-10,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,200.9,78.35,,,0
NDC,44567-245-25,CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION,204.0,79.56,,,0
NDC,44567-246-25,CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION,204.5,79.76,,,0
NDC,44567-311-10,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION,44.7,17.43,,,0
NDC,44567-401-10,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,307.5,119.92,,,0
NDC,44567-402-06,MEROPENEM 2 GRAM INTRAVENOUS SOLUTION,337.2,131.51,,,0
NDC,44567-410-24,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,32.5,12.68,,,0
NDC,44567-420-24,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,57.2,22.31,,,0
NDC,44567-421-24,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,38.5,15.02,,,0
NDC,44567-436-24,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,193.5,75.46,,,0
NDC,44567-437-24,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,133.3,51.99,,,0
NDC,44567-450-10,"ESMOLOL 2,500 MG/250 ML (10 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",44.1,17.2,,,0
NDC,44567-451-10,"ESMOLOL 2,000 MG/100 ML (20 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",842.9,328.73,,,0
NDC,44567-600-04,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,1320.7,515.07,,,0
NDC,44567-610-10,MIDAZOLAM (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,225.5,87.94,,,0
NDC,44567-611-10,MIDAZOLAM (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,44567-620-24,"CALCIUM GLUCONATE 1 GRAM/50 ML IN SODIUM CHLORIDE, ISO-OSM IV SOLUTION",202.4,78.94,,,0
NDC,44567-621-01,"CALCIUM GLUCONATE 2 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION",404.8,157.87,,,0
NDC,44567-621-02,"CALCIUM GLUCONATE 2 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION",172.6,67.31,,,0
NDC,44567-621-24,"CALCIUM GLUCONATE 2 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION",404.8,157.87,,,0
NDC,44567-622-24,"CALCIUM GLUCONATE 1 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION",108.5,42.32,,,0
NDC,44567-640-10,NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN 0.9 % NACL IV,312.0,121.68,,,0
NDC,44567-641-10,NOREPINEPHRINE BITARTRATE 8 MG/250 ML (32 MCG/ML) IN 0.9 % NACL IV,501.8,195.7,,,0
NDC,44567-803-10,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,69.7,27.18,,,0
NDC,44567-840-25,CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION,50.1,19.54,,,0
NDC,44567-845-01,CEFAZOLIN 3 GRAM INTRAVENOUS SOLUTION,60.5,23.6,,,0
NDC,4467710202,LANOLIN (HPA) 100 % TOPICAL CREAM,38.4,14.98,,,0
NDC,45802-004-03,HYDROCORTISONE 2.5 % TOPICAL CREAM,31.3,12.21,,,0
NDC,45802-040-64,SELENIUM SULFIDE 2.5 % LOTION,76.4,29.8,,,0
NDC,45802-046-35,GENTAMICIN 0.1 % TOPICAL OINTMENT,303.0,118.17,,,0
NDC,45802-048-35,"NYSTATIN 100,000 UNIT/GRAM TOPICAL OINTMENT",107.4,41.89,,,0
NDC,45802-050-03,DIBUCAINE 1 % TOPICAL OINTMENT,46.0,17.94,,,0
NDC,45802-055-05,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT,257.7,100.5,,,0
NDC,45802-055-35,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT,34.7,13.53,,,0
NDC,45802-056-35,GENTAMICIN 0.1 % TOPICAL CREAM,303.0,118.17,,,0
NDC,45802-059-11,"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM",402.7,157.05,,,0
NDC,45802-059-35,"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM",107.4,41.89,,,0
NDC,45802-060-01,BACITRACIN TOPICAL OINTMENT (WRAPPED),7.2,2.81,,,0
NDC,45802-060-03,BACITRACIN 500 UNIT/GRAM TOPICAL OINTMENT,10.5,4.1,,,0
NDC,45802-060-70,BACITRACIN TOPICAL OINTMENT (WRAPPED),1.2,0.47,,,0
NDC,45802-061-01,NEOMYCIN-BACITRACIN-POLYMYCIN TOPICAL OINTMENT (WRAPPED),19.3,7.53,,,0
NDC,45802-063-35,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL CREAM,27.7,10.8,,,0
NDC,45802-064-35,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,24.9,9.71,,,0
NDC,45802-097-35,ESTRADIOL 0.01% (0.1 MG/GRAM) VAGINAL CREAM,920.6,359.03,,,0
NDC,45802-112-22,MUPIROCIN 2 % TOPICAL OINTMENT,69.1,26.95,,,0
NDC,45802-139-70,METRONIDAZOLE 0.75 % (37.5 MG/5 GRAM) VAGINAL GEL,83.8,32.68,,,0
NDC,45802-143-01,"NEOMYCIN-BACITRACN ZN-POLYMYX 3.5 MG-400 UNIT-5,000 UNIT/GRAM TOP OINT",15.4,6.01,,,0
NDC,45802-143-03,"NEOMYCIN-BACITRACN ZN-POLYMYX 3.5 MG-400 UNIT-5,000 UNIT/GRAM TOP OINT",87.7,34.2,,,0
NDC,45802-143-70,NEOMYCIN-BACITRACIN-POLYMYCIN TOPICAL OINTMENT (WRAPPED),0.7,0.27,,,0
NDC,45802-201-26,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (WRAPPED),0.7,0.27,,,0
NDC,45802-210-01,NITROGLYCERIN 400 MCG/SPRAY TRANSLINGUAL,1721.7,671.46,,,0
NDC,45802-210-02,NITROGLYCERIN 400 MCG/SPRAY TRANSLINGUAL,2142.3,835.5,,,0
NDC,45802-269-37,PERMETHRIN 5 % TOPICAL CREAM,911.2,355.37,,,0
NDC,45802-276-03,HYDROCORTISONE 1 % TOPICAL OINTMENT,8.9,3.47,,,0
NDC,45802-344-05,NICOTINE (POLACRILEX) 2 MG BUCCAL LOZENGE,1.7,0.66,,,0
NDC,45802-357-58,SODIUM CHLORIDE 0.65 % NASAL SPRAY AEROSOL,30.1,11.74,,,0
NDC,45802-358-03,DIPHENHYDRAMINE-ZINC ACETATE 2 %-0.1 % TOPICAL CREAM,9.2,3.59,,,0
NDC,45802-410-59,OXYMETAZOLINE 0.05 % NASAL SPRAY,8.9,3.47,,,0
NDC,45802-432-62,PSEUDOEPHEDRINE 30 MG TABLET,0.7,0.27,,,0
NDC,45802-433-21,DEXTROMETHORPHAN POLISTIREX ER 30 MG/5 ML ORAL SUSP EXT.RELEASE 12HR,4.8,1.87,,,0
NDC,45802-434-01,CLOTRIMAZOLE 1 % TOPICAL CREAM,13.4,5.23,,,0
NDC,45802-438-03,HYDROCORTISONE 1 % TOPICAL CREAM,9.0,3.51,,,0
NDC,45802-438-05,HYDROCORTISONE 1 % TOPICAL CREAM,11.2,4.37,,,0
NDC,45802-465-64,KETOCONAZOLE 2 % SHAMPOO,232.0,90.48,,,0
NDC,45802-472-65,HYDROCORTISONE-PRAMOXINE 2.5 %-1 % (4G) RECTAL CREAM,64.5,25.16,,,0
NDC,45802-562-01,CLINDAMYCIN PHOSPHATE 1 % TOPICAL SOLUTION,185.1,72.19,,,0
NDC,45802-580-62,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,176.5,68.84,,,0
NDC,45802-580-84,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,147.8,57.64,,,0
NDC,45802-650-87,LORATADINE 10 MG TABLET,0.6,0.23,,,0
NDC,45802-730-33,ACETAMINOPHEN 650 MG RECTAL SUPPOSITORY,1.2,0.47,,,0
NDC,45802-732-30,ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY,0.7,0.27,,,0
NDC,45802-732-33,ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY,1.7,0.66,,,0
NDC,45802-758-30,PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY,74.8,29.17,,,0
NDC,45802-759-30,PROMETHAZINE 25 MG RECTAL SUPPOSITORY,74.8,29.17,,,0
NDC,45802-868-00,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,18.9,7.37,,,0
NDC,45802-868-66,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,18.9,7.37,,,0
NDC,45802-880-14,"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/G-0.1 % TOPICAL CREAM",160.8,62.71,,,0
NDC,45802-919-87,CETIRIZINE 10 MG TABLET,0.6,0.23,,,0
NDC,45802-953-01,DICLOFENAC 1 % TOPICAL GEL,94.4,36.82,,,0
NDC,45963-439-63,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,197.9,77.18,,,0
NDC,45963-439-65,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,8.2,3.2,,,0
NDC,45963-555-11,GABAPENTIN 100 MG CAPSULE,4.8,1.87,,,0
NDC,45963-556-11,GABAPENTIN 300 MG CAPSULE,10.3,4.02,,,0
NDC,45963-556-50,GABAPENTIN 300 MG CAPSULE,10.3,4.02,,,0
NDC,45963-614-55,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,554.8,216.37,,,0
NDC,45963-615-56,TOPOTECAN 4 MG INTRAVENOUS SOLUTION,1048.4,408.88,,,0
NDC,45963-709-11,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",8.1,3.16,,,0
NDC,45963-733-55,DOXORUBICIN 10 MG/5 ML INTRAVENOUS SOLUTION,92.28,35.99,,,0
NDC,45963-733-60,DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION,277.8,108.34,,,0
NDC,45963-733-68,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION,322.98,125.96,,,0
NDC,46122-334-43,HYDROGEN PEROXIDE 3 % SOLUTION,25.4,9.91,,,0
NDC,46122-547-03,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION",49.5,19.3,,,0
NDC,46122033443,Gnp Hydrogen Peroxide 3 Percent: 473 Ml In 1 Bottle (46122-334-43),25.88,10.09,,,0
NDC,46287-006-01,SODIUM POLYSTYRENE SULFONATE 15 GRAM/60 ML ORAL SUSPENSION,82.9,32.33,,,0
NDC,46287-006-60,SODIUM POLYSTYRENE SULFONATE 15 GRAM/60 ML ORAL SUSPENSION,238.0,92.82,,,0
NDC,46287-020-04,SPIRONOLACTONE 25 MG/5 ML ORAL SUSPENSION,30.7,11.97,,,0
NDC,46287-045-15,TADALAFIL 20 MG/5 ML(4 MG/ML) ORAL SUSPENSION (PULMONARY HYPERTENSION),604.7,235.83,,,0
NDC,46287-055-01,SILDENAFIL (PULMONARY HYPERTENSION) 10 MG/ML ORAL SUSPENSION,100.1,39.04,,,0
NDC,4628750030,SORBITOL 70 % SOLUTION,29.91,11.66,,,0
NDC,46581-830-01,LIDOCAINE 4 % TOPICAL PATCH,33.6,13.1,,,0
NDC,4687600040,MENTHOL 0.44 %-ZINC OXIDE 20.6 % TOPICAL OINTMENT,44.3,17.28,,,0
NDC,47335-049-40,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",2829.8,1103.62,,,0
NDC,47335-050-40,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",18140.4,7074.76,,,0
NDC,47335-154-40,GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION,1747.2,681.41,,,0
NDC,47335-236-83,AMBRISENTAN 1 MG/ML ORAL SUSPENSION (NEO/PEDS),1306.2,509.42,,,0
NDC,47335-326-83,NALTREXONE 50 MG TABLET,16.4,6.4,,,0
NDC,47335-330-40,CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION,869.6,339.14,,,0
NDC,47335-485-88,BICALUTAMIDE 50 MG TABLET,142.2,55.46,,,0
NDC,47335-539-81,"NIACIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",1.7,0.66,,,0
NDC,47335-632-49,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,22.9,8.93,,,0
NDC,47335-703-49,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,10.3,4.02,,,0
NDC,47335-703-52,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,10.3,4.02,,,0
NDC,47335-737-86,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE",14.9,5.81,,,0
NDC,47335-756-49,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,16.8,6.55,,,0
NDC,47335-765-83,"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR",703.3,274.29,,,0
NDC,47335-892-72,TEMOZOLOMIDE 100 MG CAPSULE,1935.1,754.69,,,0
NDC,47335-931-44,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,145.2,56.63,,,0
NDC,47335-932-44,VECURONIUM BROMIDE 20 MG INTRAVENOUS SOLUTION,72.6,28.31,,,0
NDC,47335-992-01,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,110.5,43.1,,,0
NDC,47335-992-02,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,66.7,26.01,,,0
NDC,47335-993-01,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,27.4,10.69,,,0
NDC,47426-201-01,APREPITANT 130 MG/18 ML (CINVANTI) INTRAVENOUS EMULSION,3106.3,1211.46,,,0
NDC,47426-301-02,ONE-STEP ONLY - BUPIVACAINE-MELOXICAM ER 28.571 MG-0.857 MG/ML SURGICAL SITE INSTILL SOLN,2106.9,821.69,,,0
NDC,47426-303-01,BUPIVACAINE-MELOXICAM ER 200 MG-6 MG/7 ML SURGICAL SITE INSTILL SOLN,1067.2,416.21,,,0
NDC,47426-401-10,APREPITANT 32 MG/4.4 ML (7.2 MG/ML) INTRAVENOUS EMULSION,507.7,198.0,,,0
NDC,47426-501-02,ONE-STEP ONLY - BUPIVACAINE-MELOXICAM ER 28.571 MG-0.857 MG/ML SURGICAL SITE INSTILL SOLN,1618.8,631.33,,,0
NDC,47426-501-04,ONE-STEP ONLY - BUPIVACAINE-MELOXICAM ER 28.571 MG-0.857 MG/ML SURGICAL SITE INSTILL SOLN,1618.8,631.33,,,0
NDC,47781-196-01,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,10.6,4.13,,,0
NDC,47781-335-30,"PYRIDOSTIGMINE BROMIDE ER 180 MG TABLET,EXTENDED RELEASE",190.3,74.22,,,0
NDC,47781-355-03,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM,37.7,14.7,,,0
NDC,47781-357-03,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM,33.8,13.18,,,0
NDC,47781-423-47,FENTANYL 12 MCG/HR TRANSDERMAL PATCH,155.8,60.76,,,0
NDC,47781-424-47,FENTANYL 25 MCG/HR TRANSDERMAL PATCH,163.2,63.65,,,0
NDC,47781-426-47,FENTANYL 50 MCG/HR TRANSDERMAL PATCH,298.3,116.34,,,0
NDC,47781-427-47,FENTANYL 75 MCG/HR TRANSDERMAL PATCH,454.9,177.41,,,0
NDC,47781-428-47,FENTANYL 100 MCG/HR TRANSDERMAL PATCH,603.8,235.48,,,0
NDC,47781-584-68,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,19.6,7.64,,,0
NDC,47781-586-56,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,47781-601-91,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",198.9,77.57,,,0
NDC,47781-654-90,LEVOTHYROXINE 112 MCG TABLET,5.0,1.95,,,0
NDC,47781-659-90,LEVOTHYROXINE 137 MCG TABLET,5.2,2.03,,,0
NDC,48102-057-11,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT,75.2,29.33,,,0
NDC,48433-106-01,CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET,0.7,0.27,,,0
NDC,48433-219-40,SENNOSIDES 8.8 MG/5 ML ORAL SYRUP,8.4,3.28,,,0
NDC,48433-230-15,IODINE STRONG (LUGOL'S) 5 % ORAL SOLUTION,247.5,96.52,,,0
NDC,4843310401,"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET",0.9,0.35,,,0
NDC,4843310801,THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET,4.8,1.87,,,0
NDC,4843311001,"OMEGA 3-DHA-EPA-FISH OIL 300 MG-1,000 MG CAPSULE",0.9,0.35,,,0
NDC,4858200155,SALIVA STIMULANT COMBINATION NO.3 ORAL MUCOSAL SPRAY,75.5,29.44,,,0
NDC,4858251201,SALIVA STIMULANT COMBINATION NO.7 ORAL MUCOSAL GEL,75.4,29.41,,,0
NDC,48783-112-08,FERRIC SUBSULFATE 0.2 GRAM TO 0.22 GRAM/ML TOPICAL SOLN AND APPLICATOR,96.4,37.6,,,0
NDC,4898500155,NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH,7.6,2.96,,,0
NDC,4910036374,LACTOBACILLUS RHAMNOSUS GG 15 BILLION CELL SPRINKLE CAPSULE,8.4,3.28,,,0
NDC,49281-124-88,FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE,620.1,241.84,,,0
NDC,49281-215-15,TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE,331.5,129.28,,,0
NDC,49281-252-51,"RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION",3023.7,1179.24,,,0
NDC,49281-545-03,HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN,108.2,42.2,,,0
NDC,49281-574-88,NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE,3622.7,1412.85,,,0
NDC,49281-575-00,NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE,3450.2,1345.58,,,0
NDC,49281-575-15,NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE,3622.7,1412.85,,,0
NDC,49281-752-21,TUBERCULIN PPD 5 TUB. UNIT/0.1 ML INTRADERMAL INJECTION SOLUTION,94.2,36.74,,,0
NDC,49281-790-51,TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE,1021.6,398.42,,,0
NDC,49281-860-10,POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION,0.01,0.0039,,,0
NDC,49281-915-01,YELLOW FEVER VACCINE LIVE(PF) 10 EXP4.74 UNIT/0.5 ML SUBCUTANEOUS SUSP,1561.1,608.83,,,0
NDC,49348-028-27,OXYMETAZOLINE 0.05 % NASAL SPRAY,0.6,0.23,,,0
NDC,49348-032-10,"BISACODYL 5 MG TABLET,DELAYED RELEASE",0.6,0.23,,,0
NDC,49348-037-29,TETRAHYDROZOLINE 0.05 % EYE DROPS,13.3,5.19,,,0
NDC,49348-188-10,SIMETHICONE 80 MG CHEWABLE TABLET,0.6,0.23,,,0
NDC,49348-274-72,"BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOPICAL OINTMENT",10.6,4.13,,,0
NDC,49348-279-72,CLOTRIMAZOLE 1 % TOPICAL CREAM,16.7,6.51,,,0
NDC,49348-572-08,NICOTINE (POLACRILEX) 4 MG GUM,1.1,0.43,,,0
NDC,49348-573-08,NICOTINE (POLACRILEX) 2 MG GUM,2.2,0.86,,,0
NDC,49348-740-27,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION",15.7,6.12,,,0
NDC,49348-757-07,ASPIRIN 81 MG CHEWABLE TABLET,0.6,0.23,,,0
NDC,49348-854-72,DIPHENHYDRAMINE-ZINC ACETATE 2 %-0.1 % TOPICAL CREAM,10.0,3.9,,,0
NDC,49348-983-10,DIPHENHYDRAMINE 25 MG TABLET,0.6,0.23,,,0
NDC,49348-991-36,PHENOL 1.4 % MUCOSAL AEROSOL SPRAY,15.0,5.85,,,0
NDC,49401-101-01,BELIMUMAB 120 MG INTRAVENOUS SOLUTION,884.9,345.11,,,0
NDC,49401-102-01,BELIMUMAB 400 MG INTRAVENOUS SOLUTION,14746.5,5751.14,,,0
NDC,49483-080-01,SENNOSIDES 8.6 MG TABLET,0.3,0.12,,,0
NDC,49483-080-10,SENNOSIDES 8.6 MG TABLET,0.6,0.23,,,0
NDC,49483-340-01,ACETAMINOPHEN 325 MG TABLET,0.6,0.23,,,0
NDC,49483-340-10,ACETAMINOPHEN 325 MG TABLET,0.6,0.23,,,0
NDC,49483-481-10,"ASPIRIN 81 MG TABLET,DELAYED RELEASE",0.6,0.23,,,0
NDC,49483-481-12,"ASPIRIN 81 MG TABLET,DELAYED RELEASE",0.6,0.23,,,0
NDC,49483-603-50,IBUPROFEN 600 MG TABLET,4.8,1.87,,,0
NDC,49483-606-01,GABAPENTIN 300 MG CAPSULE,10.3,4.02,,,0
NDC,49483-607-01,GABAPENTIN 400 MG CAPSULE,24.4,9.52,,,0
NDC,49502-101-02,"EPINEPHRINE (JR) 0.15 MG/0.3 ML INJECTION,AUTO-INJECTOR",1045.5,407.74,,,0
NDC,49502-102-02,"EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR",1045.5,407.74,,,0
NDC,49502-195-80,INSULIN GLARGINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,19.6,7.64,,,0
NDC,49502-500-02,"EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR",2121.1,827.23,,,0
NDC,49591-126-11,VARICELLA-ZOSTER IMMUNE GLOB-MALTOSE 125 UNIT/1.2 ML IM SOLUTION,15212.6,5932.91,,,0
NDC,49591-126-51,VARICELLA-ZOSTER IMMUNE GLOB-MALTOSE 125 UNIT/1.2 ML IM SOLUTION,79484.5,30998.96,,,0
NDC,49702-212-48,ZIDOVUDINE 10 MG/ML ORAL SYRUP,4.8,1.87,,,0
NDC,49702-213-26,ZIDOVUDINE 10 MG/ML INTRAVENOUS SOLUTION,1017.7,396.9,,,0
NDC,49702-228-13,DOLUTEGRAVIR 50 MG TABLET,594.5,231.86,,,0
NDC,49702-240-15,"CABOTEGRAVIR ER 600 MG/3 ML-RILPIVIRINE ER 900 MG/3ML IM SUSPENSION,ER",47321.2,18455.27,,,0
NDC,49884-055-01,IMIPRAMINE 25 MG TABLET,16.6,6.47,,,0
NDC,49884-155-76,VARENICLINE TARTRATE 0.5 MG TABLET,67.4,26.29,,,0
NDC,49884-156-76,VARENICLINE TARTRATE 1 MG TABLET,33.7,13.14,,,0
NDC,49884-161-11,CALCITONIN (SALMON) 200 UNIT/ACTUATION NASAL SPRAY,30.3,11.82,,,0
NDC,49884-171-01,COLCHICINE 0.6 MG TABLET,51.7,20.16,,,0
NDC,49884-306-02,CLONAZEPAM 0.125 MG DISINTEGRATING TABLET,39.9,15.56,,,0
NDC,49884-308-02,CLONAZEPAM 0.5 MG DISINTEGRATING TABLET,19.9,7.76,,,0
NDC,49884-311-55,RISPERIDONE 0.5 MG DISINTEGRATING TABLET,37.8,14.74,,,0
NDC,49884-315-55,RISPERIDONE 1 MG DISINTEGRATING TABLET,44.1,17.2,,,0
NDC,49884-465-65,CHOLESTYRAMINE (WITH SUGAR) 4 GRAM POWDER FOR SUSP IN A PACKET,25.9,10.1,,,0
NDC,49884-466-65,CHOLESTYRAMINE-ASPARTAME 4 GRAM ORAL POWDER FOR SUSP IN A PACKET,25.8,10.06,,,0
NDC,49884-724-01,HYDROXYUREA 500 MG CAPSULE,29.4,11.47,,,0
NDC,49884-768-54,TOLVAPTAN 15 MG TABLET,4308.9,1680.47,,,0
NDC,49884-770-54,TOLVAPTAN 30 MG TABLET,4470.0,1743.3,,,0
NDC,49999-268-15,TETRACAINE 0.5 % EYE DROPS,332.9,129.83,,,0
NDC,50090-1723-0,DARUNAVIR 800 MG-COBICISTAT 150 MG TABLET,756.8,295.15,,,0
NDC,50090-5790-2,SODIUM CHLORIDE 0.9% 3000 ML IRRIGATION SOLUTION,109.1,42.55,,,0
NDC,50111-327-01,HYDRALAZINE 25 MG TABLET,15.6,6.08,,,0
NDC,50111-328-01,HYDRALAZINE 50 MG TABLET,4.4,1.72,,,0
NDC,50111-397-01,HYDRALAZINE 100 MG TABLET,7.8,3.04,,,0
NDC,50111-398-01,HYDRALAZINE 10 MG TABLET,4.8,1.87,,,0
NDC,50111-433-01,TRAZODONE 50 MG TABLET,8.3,3.24,,,0
NDC,50111-456-01,OXYBUTYNIN CHLORIDE 5 MG TABLET,5.9,2.3,,,0
NDC,50111-560-01,TRAZODONE 50 MG TABLET,8.3,3.24,,,0
NDC,50111-560-02,TRAZODONE 50 MG TABLET,6.5,2.54,,,0
NDC,50111-608-01,KETOROLAC 10 MG TABLET,17.4,6.79,,,0
NDC,50111-647-01,FLUOXETINE 10 MG CAPSULE,20.0,7.8,,,0
NDC,50111-787-10,AZITHROMYCIN 250 MG TABLET,119.5,46.6,,,0
NDC,50111-788-10,AZITHROMYCIN 500 MG TABLET,119.4,46.57,,,0
NDC,50111-789-10,AZITHROMYCIN 600 MG TABLET,143.3,55.89,,,0
NDC,50111-916-01,TORSEMIDE 10 MG TABLET,10.8,4.21,,,0
NDC,5019014263,SODIUM CHLORIDE 3 % FOR NEBULIZATION,4.9,1.91,,,0
NDC,50228-109-01,CARISOPRODOL 350 MG TABLET,4.8,1.87,,,0
NDC,50228-124-90,CLOPIDOGREL 75 MG TABLET,53.4,20.83,,,0
NDC,50228-146-01,HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE,4.8,1.87,,,0
NDC,50228-174-01,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE",26.0,10.14,,,0
NDC,50228-175-01,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE",14.9,5.81,,,0
NDC,50228-180-10,GABAPENTIN 300 MG CAPSULE,10.3,4.02,,,0
NDC,50228-379-05,EZETIMIBE 10 MG TABLET,86.7,33.81,,,0
NDC,50228-379-30,EZETIMIBE 10 MG TABLET,86.7,33.81,,,0
NDC,50228-379-90,EZETIMIBE 10 MG TABLET,86.7,33.81,,,0
NDC,50228-380-60,"QUETIAPINE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",68.1,26.56,,,0
NDC,50228-382-60,"QUETIAPINE ER 200 MG TABLET,EXTENDED RELEASE 24 HR",134.5,52.46,,,0
NDC,50228-384-60,"QUETIAPINE ER 400 MG TABLET,EXTENDED RELEASE 24 HR",207.2,80.81,,,0
NDC,50228-423-60,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",49.3,19.23,,,0
NDC,50228-457-01,CARBIDOPA 10 MG-LEVODOPA 100 MG TABLET,6.0,2.34,,,0
NDC,50228-458-01,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,9.1,3.55,,,0
NDC,50228-460-01,"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE",7.2,2.81,,,0
NDC,50228-461-01,"CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE",13.9,5.42,,,0
NDC,50228-481-01,DILTIAZEM 30 MG TABLET,7.7,3.0,,,0
NDC,50228-482-01,DILTIAZEM 60 MG TABLET,6.1,2.38,,,0
NDC,50228-483-01,DILTIAZEM 90 MG TABLET,16.5,6.44,,,0
NDC,50242-040-62,OMALIZUMAB 150 MG SUBCUTANEOUS SOLUTION,0.01,0.0039,,,0
NDC,50242-041-64,ALTEPLASE 2 MG INTRA-CATHETER SOLUTION,790.7,308.37,,,0
NDC,50242-044-13,ALTEPLASE BOLUS FOR PULMONARY EMBOLUS (PE),1226.8,478.45,,,0
NDC,50242-051-21,"RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS",5862.7,2286.45,,,0
NDC,50242-053-06,"RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS",58626.1,22864.18,,,0
NDC,50242-061-01,BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION,39783.3,15515.49,,,0
NDC,50242-070-01,"OBINUTUZUMAB 1,000 MG/40 ML INTRAVENOUS SOLUTION",48369.1,18863.95,,,0
NDC,50242-077-01,"TRASTUZUMAB 600 MG-HYALURONIDASE-OYSK 10,000 UNIT/5 ML SUBCUT SOLUTION",29173.5,11377.66,,,0
NDC,50242-085-27,ALTEPLASE BOLUS,30669.3,11961.03,,,0
NDC,50242-087-01,ADO-TRASTUZUMAB EMTANSINE 160 MG INTRAVENOUS SOLUTION,10953.92,4272.03,,,0
NDC,50242-088-01,ADO-TRASTUZUMAB EMTANSINE 100 MG INTRAVENOUS SOLUTION,1493.8,582.58,,,0
NDC,50242-096-01,FARICIMAB-SVOA 6 MG/0.05 ML INTRAVITREAL SOLUTION,15958.9,6223.97,,,0
NDC,50242-100-40,DORNASE ALFA 1 MG/ML SOLUTION FOR INHALATION,1026.1,400.18,,,0
NDC,50242-103-01,POLATUZUMAB VEDOTIN-PIIQ 30 MG INTRAVENOUS SOLUTION,15761.3,6146.91,,,0
NDC,50242-105-01,POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION,116135.2,45292.73,,,0
NDC,50242-108-01,"RITUXIMAB 1,400 MG/11.7 ML (120 MG/ML)-HYALURONIDASE SUBCUTANEOUS SOLN",41037.9,16004.78,,,0
NDC,50242-120-47,TENECTEPLASE 50 MG INTRAVENOUS SOLUTION,52048.8,20299.03,,,0
NDC,50242-127-01,GLOFITAMAB-GXBM 1 MG/ML INTRAVENOUS SOLUTION,197038.3,76844.94,,,0
NDC,50242-132-01,TRASTUZUMAB 150 MG INTRAVENOUS SOLUTION,19449.1,7585.15,,,0
NDC,50242-135-01,TOCILIZUMAB 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION,0.01,0.0039,,,0
NDC,50242-136-01,TOCILIZUMAB 200 MG/10 ML (20 MG/ML) INTRAVENOUS SOLUTION,9255.6,3609.68,,,0
NDC,50242-137-01,TOCILIZUMAB 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION,6478.9,2526.77,,,0
NDC,50242-145-01,PERTUZUMAB 420 MG/14 ML (30 MG/ML) INTRAVENOUS SOLUTION,42559.9,16598.36,,,0
NDC,50242-150-01,OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION,257599.2,100463.69,,,0
NDC,50242-214-01,OMALIZUMAB 75 MG/0.5 ML SUBCUTANEOUS SYRINGE,4935.2,1924.73,,,0
NDC,50242-214-03,OMALIZUMAB 75 MG/0.5 ML SUBCUTANEOUS SYRINGE,0.01,0.0039,,,0
NDC,50242-215-01,OMALIZUMAB 150 MG/ML SUBCUTANEOUS SYRINGE,19740.8,7698.91,,,0
NDC,50242-215-03,OMALIZUMAB 150 MG/ML SUBCUTANEOUS SYRINGE,9870.4,3849.46,,,0
NDC,50242-215-55,OMALIZUMAB 150 MG/ML SUBCUTANEOUS AUTO-INJECTOR,9870.4,3849.46,,,0
NDC,50242-227-01,OMALIZUMAB 300 MG/2 ML SUBCUTANEOUS SYRINGE,0.01,0.0039,,,0
NDC,50242-227-55,OMALIZUMAB 300 MG/2 ML SUBCUTANEOUS AUTO-INJECTOR,0.01,0.0039,,,0
NDC,50242-245-01,"PERTUZUMAB 1,200 MG-TRASTUZUMAB 600 MG-HYALURON-ZZXF/15 ML SUBCUT SOLN",86839.2,33867.29,,,0
NDC,50242-260-01,PERTUZUMAB 600 MG-TRASTUZUMAB 600 MG-HYALURONID-ZZXF/10 ML SUBCUT SOLN,57890.5,22577.3,,,0
NDC,50242-917-01,"ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION",68166.4,26584.9,,,0
NDC,50242-918-01,ATEZOLIZUMAB 840 MG/14 ML (60 MG/ML) INTRAVENOUS SOLUTION,21063.5,8214.76,,,0
NDC,50242-933-01,"ATEZOLIZUMAB 1,875 MG-HYALURONIDASE-TQJS 30,000 UNIT/15 ML SUBCUT SOLN",70211.4,27382.45,,,0
NDC,50268-037-15,AMITRIPTYLINE 10 MG TABLET,4.8,1.87,,,0
NDC,50268-038-15,AMITRIPTYLINE 25 MG TABLET,4.8,1.87,,,0
NDC,50268-039-15,AMITRIPTYLINE 50 MG TABLET,5.0,1.95,,,0
NDC,50268-040-15,AMITRIPTYLINE 75 MG TABLET,5.3,2.07,,,0
NDC,50268-042-12,"ACETAZOLAMIDE ER 500 MG CAPSULE,EXTENDED RELEASE",131.7,51.36,,,0
NDC,50268-049-12,ABACAVIR 300 MG TABLET,154.1,60.1,,,0
NDC,50268-050-15,ACEBUTOLOL 200 MG CAPSULE,13.7,5.34,,,0
NDC,50268-054-15,ACETAZOLAMIDE 250 MG TABLET,64.3,25.08,,,0
NDC,50268-061-15,ACYCLOVIR 400 MG TABLET,28.8,11.23,,,0
NDC,50268-062-15,ACYCLOVIR 800 MG TABLET,16.2,6.32,,,0
NDC,50268-069-15,AMANTADINE HCL 100 MG CAPSULE,26.8,10.45,,,0
NDC,50268-074-15,AZITHROMYCIN 250 MG TABLET,19.3,7.53,,,0
NDC,50268-075-15,ANASTROZOLE 1 MG TABLET,15.9,6.2,,,0
NDC,50268-084-15,AMLODIPINE 5 MG TABLET,53.4,20.83,,,0
NDC,50268-086-12,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,316.8,123.55,,,0
NDC,50268-087-12,ARIPIPRAZOLE 2 MG TABLET,234.7,91.53,,,0
NDC,50268-088-15,ARIPIPRAZOLE 5 MG TABLET,688.7,268.59,,,0
NDC,50268-089-15,ARIPIPRAZOLE 10 MG TABLET,229.6,89.54,,,0
NDC,50268-090-12,ARIPIPRAZOLE 15 MG TABLET,234.9,91.61,,,0
NDC,50268-094-15,ATORVASTATIN 20 MG TABLET,4.8,1.87,,,0
NDC,50268-095-15,ATORVASTATIN 40 MG TABLET,4.8,1.87,,,0
NDC,50268-096-12,ATORVASTATIN 80 MG TABLET,14.7,5.73,,,0
NDC,50268-102-13,BALSALAZIDE 750 MG CAPSULE,60.7,23.67,,,0
NDC,50268-105-15,BACLOFEN 5 MG TABLET,20.9,8.15,,,0
NDC,50268-106-15,BACLOFEN 10 MG TABLET,4.8,1.87,,,0
NDC,50268-127-15,BISOPROLOL FUMARATE 5 MG TABLET,5.5,2.14,,,0
NDC,50268-130-15,BUMETANIDE 0.5 MG TABLET,46.5,18.14,,,0
NDC,50268-131-15,BUMETANIDE 1 MG TABLET,11.6,4.52,,,0
NDC,50268-142-15,BUPROPION HCL 75 MG TABLET,12.3,4.8,,,0
NDC,50268-143-15,BUPROPION HCL 100 MG TABLET,16.3,6.36,,,0
NDC,50268-144-15,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL TABLET,72.9,28.43,,,0
NDC,50268-145-15,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL TABLET,64.9,25.31,,,0
NDC,50268-151-15,CEPHALEXIN 250 MG CAPSULE,5.3,2.07,,,0
NDC,50268-152-15,CEPHALEXIN 500 MG CAPSULE,9.4,3.67,,,0
NDC,50268-162-15,CHLORPROMAZINE 10 MG TABLET,39.5,15.4,,,0
NDC,50268-163-15,CHLORPROMAZINE 25 MG TABLET,229.7,89.58,,,0
NDC,50268-164-15,CHLORPROMAZINE 50 MG TABLET,83.1,32.41,,,0
NDC,50268-167-15,CHLORTHALIDONE 25 MG TABLET,17.7,6.9,,,0
NDC,50268-168-15,CELECOXIB 100 MG CAPSULE,67.0,26.13,,,0
NDC,50268-169-15,CELECOXIB 200 MG CAPSULE,18.7,7.29,,,0
NDC,50268-173-15,CLONAZEPAM 0.5 MG TABLET,4.8,1.87,,,0
NDC,50268-174-15,CLONAZEPAM 1 MG TABLET,5.5,2.14,,,0
NDC,50268-176-15,CILOSTAZOL 50 MG TABLET,34.3,13.38,,,0
NDC,50268-177-15,CILOSTAZOL 100 MG TABLET,17.3,6.75,,,0
NDC,50268-184-12,CLOPIDOGREL 300 MG TABLET,147.8,57.64,,,0
NDC,50268-187-15,COLCHICINE 0.6 MG TABLET,55.3,21.57,,,0
NDC,50268-189-15,CYPROHEPTADINE 4 MG TABLET,4.8,1.87,,,0
NDC,50268-190-15,CYCLOBENZAPRINE 5 MG TABLET,9.5,3.7,,,0
NDC,50268-191-15,CYCLOBENZAPRINE 10 MG TABLET,4.8,1.87,,,0
NDC,50268-192-15,CLONIDINE HCL 0.1 MG TABLET,5.6,2.18,,,0
NDC,50268-193-15,CLONIDINE HCL 0.2 MG TABLET,4.8,1.87,,,0
NDC,50268-199-11,DICYCLOMINE 10 MG CAPSULE,5.1,1.99,,,0
NDC,50268-259-15,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",19.1,7.45,,,0
NDC,50268-260-13,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR",12.7,4.95,,,0
NDC,50268-278-15,DOXYCYCLINE HYCLATE 100 MG CAPSULE,30.7,11.97,,,0
NDC,50268-279-15,DOXYCYCLINE HYCLATE 100 MG TABLET,41.1,16.03,,,0
NDC,50268-287-13,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",45.5,17.74,,,0
NDC,50268-297-15,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE",14.8,5.77,,,0
NDC,50268-298-12,EZETIMIBE 10 MG TABLET,95.1,37.09,,,0
NDC,50268-299-11,FAMOTIDINE 20 MG TABLET,0.8,0.31,,,0
NDC,50268-299-15,FAMOTIDINE 20 MG TABLET,0.8,0.31,,,0
NDC,50268-314-15,FINASTERIDE 5 MG TABLET,24.0,9.36,,,0
NDC,50268-320-15,FLECAINIDE 50 MG TABLET,62.2,24.26,,,0
NDC,50268-321-15,FLECAINIDE 100 MG TABLET,23.0,8.97,,,0
NDC,50268-330-15,FLUDROCORTISONE 0.1 MG TABLET,12.3,4.8,,,0
NDC,50268-337-15,FLUCONAZOLE 100 MG TABLET,73.2,28.55,,,0
NDC,50268-338-12,FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET,14.7,5.73,,,0
NDC,50268-350-15,GEMFIBROZIL 600 MG TABLET,9.0,3.51,,,0
NDC,50268-358-15,GLIMEPIRIDE 1 MG TABLET,30.9,12.05,,,0
NDC,50268-359-15,GLIMEPIRIDE 2 MG TABLET,6.8,2.65,,,0
NDC,50268-362-15,GLIPIZIDE 10 MG TABLET,4.8,1.87,,,0
NDC,50268-398-50,HYDROXYZINE PAMOATE 25 MG CAPSULE,4.8,1.87,,,0
NDC,50268-399-50,HYDROXYZINE PAMOATE 50 MG CAPSULE,4.8,1.87,,,0
NDC,50268-404-15,HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE,4.8,1.87,,,0
NDC,50268-407-15,HYDROCORTISONE 20 MG TABLET,17.8,6.94,,,0
NDC,50268-412-15,HYDROXYCHLOROQUINE 200 MG TABLET,33.4,13.03,,,0
NDC,50268-430-15,INDOMETHACIN 25 MG CAPSULE,4.8,1.87,,,0
NDC,50268-431-15,INDOMETHACIN 50 MG CAPSULE,5.1,1.99,,,0
NDC,50268-448-15,ISOSORBIDE DINITRATE 10 MG TABLET,15.1,5.89,,,0
NDC,50268-470-13,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,52.8,20.59,,,0
NDC,50268-476-15,LETROZOLE 2.5 MG TABLET,138.5,54.02,,,0
NDC,50268-477-15,LEFLUNOMIDE 10 MG TABLET,92.1,35.92,,,0
NDC,50268-489-15,LORATADINE 10 MG TABLET,3.0,1.17,,,0
NDC,50268-504-15,LOSARTAN 25 MG TABLET,18.4,7.18,,,0
NDC,50268-505-15,LOSARTAN 50 MG TABLET,4.9,1.91,,,0
NDC,50268-506-15,LOSARTAN 100 MG TABLET,4.8,1.87,,,0
NDC,50268-518-15,LOSARTAN 100 MG TABLET,16.6,6.47,,,0
NDC,50268-520-15,METHOCARBAMOL 500 MG TABLET,5.6,2.18,,,0
NDC,50268-521-15,METHOCARBAMOL 750 MG TABLET,4.8,1.87,,,0
NDC,50268-522-15,MECLIZINE 12.5 MG TABLET,10.8,4.21,,,0
NDC,50268-523-15,MECLIZINE 25 MG TABLET,6.5,2.54,,,0
NDC,50268-527-15,METHOTREXATE SODIUM 2.5 MG TABLET,136.7,53.31,,,0
NDC,50268-534-15,METRONIDAZOLE 250 MG TABLET,7.4,2.89,,,0
NDC,50268-535-15,METRONIDAZOLE 500 MG TABLET,24.9,9.71,,,0
NDC,50268-540-15,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",8.5,3.32,,,0
NDC,50268-541-15,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",8.5,3.32,,,0
NDC,50268-542-15,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",12.9,5.03,,,0
NDC,50268-553-13,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,15.0,5.85,,,0
NDC,50268-557-15,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,11.5,4.48,,,0
NDC,50268-561-15,MIDODRINE 2.5 MG TABLET,7.9,3.08,,,0
NDC,50268-562-15,MIDODRINE 5 MG TABLET,8.0,3.12,,,0
NDC,50268-563-15,MIDODRINE 10 MG TABLET,13.0,5.07,,,0
NDC,50268-568-15,MUPIROCIN 2 % OINTMENT (WC),39.4,15.37,,,0
NDC,50268-571-12,MODAFINIL 200 MG TABLET,271.2,105.77,,,0
NDC,50268-574-15,MONTELUKAST 5 MG CHEWABLE TABLET,31.5,12.28,,,0
NDC,50268-585-15,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE",61.2,23.87,,,0
NDC,50268-587-11,MEMANTINE 5 MG TABLET,6.2,2.42,,,0
NDC,50268-588-11,MEMANTINE 10 MG TABLET,6.4,2.5,,,0
NDC,50268-594-15,NAPROXEN 250 MG TABLET,6.0,2.34,,,0
NDC,50268-595-15,NAPROXEN 375 MG TABLET,7.6,2.96,,,0
NDC,50268-597-15,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",20.2,7.88,,,0
NDC,50268-604-15,NORTRIPTYLINE 25 MG CAPSULE,9.1,3.55,,,0
NDC,50268-615-13,OLANZAPINE 5 MG DISINTEGRATING TABLET,53.6,20.9,,,0
NDC,50268-623-15,NITROFURANTOIN MACROCRYSTAL 50 MG CAPSULE,33.9,13.22,,,0
NDC,50268-625-15,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,32.9,12.83,,,0
NDC,50268-630-15,QUETIAPINE 25 MG TABLET,57.0,22.23,,,0
NDC,50268-631-11,QUETIAPINE 50 MG TABLET,47.5,18.52,,,0
NDC,50268-631-15,QUETIAPINE 50 MG TABLET,23.8,9.28,,,0
NDC,50268-632-15,QUETIAPINE 100 MG TABLET,24.8,9.67,,,0
NDC,50268-634-15,QUETIAPINE 300 MG TABLET,77.9,30.38,,,0
NDC,50268-635-15,QUETIAPINE 400 MG TABLET,144.3,56.28,,,0
NDC,50268-639-15,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",30.9,12.05,,,0
NDC,50268-640-15,PAROXETINE 10 MG TABLET,35.3,13.77,,,0
NDC,50268-641-11,PAROXETINE 20 MG TABLET,4.8,1.87,,,0
NDC,50268-644-15,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,10.5,4.1,,,0
NDC,50268-645-15,OXYCODONE-ACETAMINOPHEN 7.5 MG-325 MG TABLET,20.9,8.15,,,0
NDC,50268-646-15,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,27.2,10.61,,,0
NDC,50268-662-15,PROPRANOLOL 10 MG TABLET,4.8,1.87,,,0
NDC,50268-663-15,PROPRANOLOL 20 MG TABLET,4.8,1.87,,,0
NDC,50268-665-15,PRAVASTATIN 10 MG TABLET,44.4,17.32,,,0
NDC,50268-678-15,POLYVINYL ALCOHOL 1.4 % EYE DROPS,41.9,16.34,,,0
NDC,50268-679-15,OXCARBAZEPINE 150 MG TABLET,5.3,2.07,,,0
NDC,50268-680-15,OXCARBAZEPINE 300 MG TABLET,4.8,1.87,,,0
NDC,50268-684-15,PROCHLORPERAZINE MALEATE 5 MG TABLET,12.4,4.84,,,0
NDC,50268-685-15,PROCHLORPERAZINE MALEATE 10 MG TABLET,6.9,2.69,,,0
NDC,50268-686-15,PRIMIDONE 50 MG TABLET,7.4,2.89,,,0
NDC,50268-687-15,PRIMIDONE 250 MG TABLET,6.2,2.42,,,0
NDC,50268-694-15,RALOXIFENE 60 MG TABLET,54.7,21.33,,,0
NDC,50268-701-11,PROPRANOLOL 20 MG TABLET,4.8,1.87,,,0
NDC,50268-709-15,ROSUVASTATIN 10 MG TABLET,21.1,8.23,,,0
NDC,50268-717-15,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,126.4,49.3,,,0
NDC,50268-718-13,SIROLIMUS 1 MG TABLET,269.2,104.99,,,0
NDC,50268-720-15,SEVELAMER CARBONATE 800 MG TABLET,136.5,53.24,,,0
NDC,50268-722-15,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",14.6,5.69,,,0
NDC,50268-724-15,SOTALOL 80 MG TABLET,26.7,10.41,,,0
NDC,50268-725-15,SOTALOL 120 MG TABLET,26.6,10.37,,,0
NDC,50268-728-15,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET,5.1,1.99,,,0
NDC,50268-731-24,SENNOSIDES 8.8 MG/5 ML ORAL SYRUP,12.6,4.91,,,0
NDC,50268-732-12,SUCRALFATE 100 MG/ML ORAL SUSPENSION,93.5,36.46,,,0
NDC,50268-740-15,TAMSULOSIN 0.4 MG CAPSULE,4.8,1.87,,,0
NDC,50268-741-15,ROPINIROLE 0.25 MG TABLET,9.1,3.55,,,0
NDC,50268-742-15,ROPINIROLE 0.5 MG TABLET,39.3,15.33,,,0
NDC,50268-743-15,ROPINIROLE 1 MG TABLET,10.5,4.1,,,0
NDC,50268-744-15,ROPINIROLE 2 MG TABLET,16.6,6.47,,,0
NDC,50268-745-14,SUCRALFATE 100 MG/ML ORAL SUSPENSION,66.0,25.74,,,0
NDC,50268-746-15,VALSARTAN 40 MG TABLET,9.1,3.55,,,0
NDC,50268-747-15,VALSARTAN 80 MG TABLET,21.6,8.42,,,0
NDC,50268-748-15,VALSARTAN 160 MG TABLET,12.1,4.72,,,0
NDC,50268-754-15,TORSEMIDE 5 MG TABLET,9.7,3.78,,,0
NDC,50268-755-15,TORSEMIDE 10 MG TABLET,21.9,8.54,,,0
NDC,50268-756-15,TORSEMIDE 20 MG TABLET,6.4,2.5,,,0
NDC,50268-757-15,TORSEMIDE 100 MG TABLET,22.2,8.66,,,0
NDC,50268-758-12,TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,43.5,16.96,,,0
NDC,50268-760-15,TIZANIDINE 4 MG TABLET,5.9,2.3,,,0
NDC,50268-764-15,TERAZOSIN 1 MG CAPSULE,12.4,4.84,,,0
NDC,50268-765-15,TERAZOSIN 2 MG CAPSULE,12.4,4.84,,,0
NDC,50268-766-15,TERAZOSIN 5 MG CAPSULE,12.4,4.84,,,0
NDC,50268-768-11,SERTRALINE 25 MG TABLET,4.8,1.87,,,0
NDC,50268-769-11,SERTRALINE 50 MG TABLET,3.5,1.36,,,0
NDC,50268-770-11,SERTRALINE 100 MG TABLET,8.4,3.28,,,0
NDC,50268-772-13,TRANEXAMIC ACID 650 MG TABLET,80.8,31.51,,,0
NDC,50268-779-15,TEMAZEPAM 15 MG CAPSULE,7.6,2.96,,,0
NDC,50268-787-12,VALGANCICLOVIR 450 MG TABLET,1146.2,447.02,,,0
NDC,50268-788-15,VALACYCLOVIR 500 MG TABLET,91.6,35.72,,,0
NDC,50268-803-12,VORICONAZOLE 200 MG TABLET,181.8,70.9,,,0
NDC,50268-816-15,ZONISAMIDE 100 MG CAPSULE,13.2,5.15,,,0
NDC,5026814913,"CALCIUM 500 MG (AS CALCIUM CARBONATE 1,250 MG) CHEWABLE TABLET",1.2,0.47,,,0
NDC,5026834615,FOLIC ACID 400 MCG TABLET,2.4,0.94,,,0
NDC,5026852415,MELATONIN 3 MG TABLET,4.8,1.87,,,0
NDC,5026885115,THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET,4.8,1.87,,,0
NDC,5026885215,CYANOCOBALAMIN (VIT B-12) 100 MCG TABLET,6.5,2.54,,,0
NDC,5026885415,CYANOCOBALAMIN (VIT B-12) 500 MCG TABLET,2.7,1.05,,,0
NDC,5026885515,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET",1.6,0.62,,,0
NDC,5026885815,PYRIDOXINE (VITAMIN B6) 50 MG TABLET,4.8,1.87,,,0
NDC,5026885915,PYRIDOXINE (VITAMIN B6) 100 MG TABLET,4.8,1.87,,,0
NDC,5026886015,ASCORBIC ACID (VITAMIN C) 250 MG TABLET,1.2,0.47,,,0
NDC,5026886315,CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET,1.2,0.47,,,0
NDC,5026886615,"CHOLECALCIFEROL (VITAMIN D3) 125 MCG (5,000 UNIT) TABLET",1.4,0.55,,,0
NDC,50289-3250-1,WITCH HAZEL 50 % TOPICAL PADS,26.7,10.41,,,0
NDC,5032300604,PHENYLEPHRINE 1 % NASAL SPRAY,15.1,5.89,,,0
NDC,50383-063-07,GUAIFENESIN 100 MG/5 ML ORAL LIQUID,9.2,3.59,,,0
NDC,50383-087-07,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,5.5,2.14,,,0
NDC,50383-232-10,DORZOLAMIDE 2 % EYE DROPS,512.4,199.84,,,0
NDC,50383-233-10,DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS,940.4,366.76,,,0
NDC,50383-349-10,DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID,1.5,0.58,,,0
NDC,50383-363-17,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,8.3,3.24,,,0
NDC,50383-667-30,LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM,407.6,158.96,,,0
NDC,50383-700-16,"FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION",638.7,249.09,,,0
NDC,50383-771-16,DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID,0.6,0.23,,,0
NDC,50383-775-17,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,8.3,3.24,,,0
NDC,50383-779-30,LACTULOSE 20 GRAM/30 ML ORAL SOLUTION,22.8,8.89,,,0
NDC,50383-779-31,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,22.8,8.89,,,0
NDC,50383-779-32,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,158.8,61.93,,,0
NDC,5038362750,FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS,0.6,0.23,,,0
NDC,50419-320-05,GADOXETATE 0.25 MMOL/ML (181.43 MG/ML) INTRAVENOUS SOLUTION,427.0,166.53,,,0
NDC,50419-320-15,GADOXETATE 0.25 MMOL/ML (181.43 MG/ML) INTRAVENOUS SOLUTION,640.5,249.8,,,0
NDC,50419-325-12,GADOBUTROL 10 MMOL/10 ML (1 MMOL/ML) INTRAVENOUS SOLUTION,630.0,245.7,,,0
NDC,50419-325-37,GADOBUTROL 2 MMOL/2 ML (1 MMOL/ML) INTRAVENOUS SOLUTION,126.0,49.14,,,0
NDC,50419-423-01,LEVONORGESTREL 21 MCG/24 HR (UP TO 8 YEARS) 52 MG INTRAUTERINE DEVICE,9316.3,3633.36,,,0
NDC,50419-424-01,LEVONORGESTREL 17.5 MCG/24 HR (UP TO 5 YRS) 19.5MG INTRAUTERINE DEVICE,9316.3,3633.36,,,0
NDC,50419-773-01,CIPROFLOXACIN 500 MG/5 ML ORAL SUSPENSION,58.5,22.82,,,0
NDC,50419-777-01,CIPROFLOXACIN 250 MG/5 ML ORAL SUSPENSION,150.1,58.54,,,0
NDC,5042-1008-82,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,77.2,30.11,,,0
NDC,5042100878,"WATER FOR IRRIGATION, STERILE SOLUTION",38.6,15.05,,,0
NDC,5042100883,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,77.2,30.11,,,0
NDC,5042100884,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,77.2,30.11,,,0
NDC,50428-6902-62,DIBUCAINE 1 % TOPICAL OINTMENT,39.7,15.48,,,0
NDC,50458-028-02,ESKETAMINE 56 MG (28 MG X 2) NASAL SPRAY,6398.4,2495.38,,,0
NDC,50458-028-03,ESKETAMINE 84 MG (28 MG X 3) NASAL SPRAY,9597.6,3743.06,,,0
NDC,50458-308-11,"RISPERIDONE MICROSPHERES ER 50 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEASE",4498.0,1754.22,,,0
NDC,50458-563-01,PALIPERIDONE PALMITATE 156 MG/ML INTRAMUSCULAR SYRINGE,16585.1,6468.19,,,0
NDC,50458-564-01,PALIPERIDONE PALMITATE 234 MG/1.5 ML INTRAMUSCULAR SYRINGE,24877.0,9702.03,,,0
NDC,50458-577-10,RIVAROXABAN 2.5 MG TABLET,76.5,29.84,,,0
NDC,50458-578-10,RIVAROXABAN 15 MG TABLET,153.0,59.67,,,0
NDC,50458-578-30,RIVAROXABAN 15 MG TABLET,153.0,59.67,,,0
NDC,50458-579-10,RIVAROXABAN 20 MG TABLET,153.0,59.67,,,0
NDC,50458-579-30,RIVAROXABAN 20 MG TABLET,153.0,59.67,,,0
NDC,50458-580-10,RIVAROXABAN 10 MG TABLET,153.0,59.67,,,0
NDC,50458-580-30,RIVAROXABAN 10 MG TABLET,153.0,59.67,,,0
NDC,50458-596-01,RISPERIDONE 1 MG/ML ORAL SOLUTION,46.7,18.21,,,0
NDC,50458-645-65,TOPIRAMATE 25 MG SPRINKLE CAPSULE,58.7,22.89,,,0
NDC,50474-470-66,BRIVARACETAM 25 MG TABLET,376.6,146.87,,,0
NDC,50474-570-09,BRIVARACETAM 50 MG TABLET,188.3,73.44,,,0
NDC,50474-570-66,BRIVARACETAM 50 MG TABLET,188.3,73.44,,,0
NDC,50474-700-62,CERTOLIZUMAB PEGOL 400 MG (200 MG X 2 VIALS) SUBCUTANEOUS KIT,23311.8,9091.6,,,0
NDC,50474-710-79,CERTOLIZUMAB PEGOL 400 MG/2 ML (200 MG/ML X2) SUBCUTANEOUS SYRINGE KIT,23311.8,9091.6,,,0
NDC,50474-802-03,ROTIGOTINE 2 MG/24 HOUR TRANSDERMAL 24 HOUR PATCH,220.9,86.15,,,0
NDC,50474-870-15,BRIVARACETAM 10 MG/ML ORAL SOLUTION,25.6,9.98,,,0
NDC,50474-970-75,BRIVARACETAM 50 MG/5 ML INTRAVENOUS SOLUTION,1760.1,686.44,,,0
NDC,50484-010-30,COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 250 UNIT/GRAM TOPICAL OINTMENT,2435.0,949.65,,,0
NDC,50580-412-02,ACETAMINOPHEN 500 MG TABLET,0.6,0.23,,,0
NDC,50580-457-11,ACETAMINOPHEN 500 MG TABLET,0.6,0.23,,,0
NDC,50580-458-11,ACETAMINOPHEN 325 MG TABLET,0.6,0.23,,,0
NDC,50580-534-08,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,4.9,1.91,,,0
NDC,50580-535-04,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,0.7,0.27,,,0
NDC,50580-600-01,ACETAMINOPHEN 325 MG TABLET,0.6,0.23,,,0
NDC,50580-600-02,ACETAMINOPHEN 325 MG TABLET,1.1,0.43,,,0
NDC,50632-010-01,"RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP",3462.0,1350.18,,,0
NDC,50633-110-12,CROTALIDAE POLYVAL IMMUNE FAB SOLUTION FOR INJECTION,89160.3,34772.52,,,0
NDC,50633-120-11,DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION,100012.6,39004.91,,,0
NDC,50633-310-11,HYDROXOCOBALAMIN 5 GRAM INTRAVENOUS SOLUTION,6956.1,2712.88,,,0
NDC,50742-112-01,DESIPRAMINE 10 MG TABLET,25.7,10.02,,,0
NDC,50742-175-01,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",25.8,10.06,,,0
NDC,50742-190-01,CYPROHEPTADINE 4 MG TABLET,8.2,3.2,,,0
NDC,50742-239-01,MEXILETINE 150 MG CAPSULE,19.5,7.6,,,0
NDC,50742-249-30,"DILTIAZEM 180 MG CAPSULE, EXTENDED RELEASE (WRAPPED)",11.7,4.56,,,0
NDC,50742-249-90,"DILTIAZEM 180 MG CAPSULE, EXTENDED RELEASE (WRAPPED)",11.1,4.33,,,0
NDC,50742-257-01,"CARBAMAZEPINE ER 100 MG TABLET,EXTENDED RELEASE,12 HR",8.8,3.43,,,0
NDC,50742-260-01,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",30.5,11.9,,,0
NDC,50742-261-01,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",17.6,6.86,,,0
NDC,50742-362-60,IVABRADINE 5 MG TABLET,84.4,32.92,,,0
NDC,50742-505-04,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,155.0,60.45,,,0
NDC,50742-505-24,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,176.3,68.76,,,0
NDC,50742-550-01,FENTANYL 25 MCG/HR TRANSDERMAL PATCH,163.2,63.65,,,0
NDC,50742-550-05,FENTANYL 25 MCG/HR TRANSDERMAL PATCH,163.2,63.65,,,0
NDC,50742-552-01,FENTANYL 50 MCG/HR TRANSDERMAL PATCH,298.3,116.34,,,0
NDC,50742-556-01,FENTANYL 100 MCG/HR TRANSDERMAL PATCH,603.8,235.48,,,0
NDC,50742-615-01,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",19.7,7.68,,,0
NDC,50742-616-01,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",9.9,3.86,,,0
NDC,50742-617-01,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",15.7,6.12,,,0
NDC,50742-620-01,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE",10.7,4.17,,,0
NDC,50742-621-01,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE",19.1,7.45,,,0
NDC,50742-622-01,"NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE",23.3,9.09,,,0
NDC,50742-656-01,CARISOPRODOL 350 MG TABLET,4.8,1.87,,,0
NDC,50804-871-34,HYDROGEN PEROXIDE 3 % SOLUTION,12.7,4.95,,,0
NDC,51079-023-20,METOLAZONE 2.5 MG TABLET,100.8,39.31,,,0
NDC,51079-024-20,METOLAZONE 5 MG TABLET,57.3,22.35,,,0
NDC,51079-051-20,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",40.4,15.76,,,0
NDC,51079-058-20,CHLORTHALIDONE 25 MG TABLET,17.7,6.9,,,0
NDC,51079-072-20,FUROSEMIDE 20 MG TABLET,4.8,1.87,,,0
NDC,51079-073-01,FUROSEMIDE 40 MG TABLET,4.8,1.87,,,0
NDC,51079-073-20,FUROSEMIDE 40 MG TABLET,4.8,1.87,,,0
NDC,51079-074-20,HYDRALAZINE 10 MG TABLET,4.8,1.87,,,0
NDC,51079-075-20,HYDRALAZINE 25 MG TABLET,4.8,1.87,,,0
NDC,51079-076-20,HYDRALAZINE 50 MG TABLET,4.8,1.87,,,0
NDC,51079-083-20,ISONIAZID 300 MG TABLET,9.9,3.86,,,0
NDC,51079-086-20,MIRTAZAPINE 15 MG TABLET,10.5,4.1,,,0
NDC,51079-087-20,MIRTAZAPINE 30 MG TABLET,21.5,8.38,,,0
NDC,51079-093-03,VALACYCLOVIR 500 MG TABLET,110.9,43.25,,,0
NDC,51079-103-20,SPIRONOLACTONE 25 MG TABLET,4.8,1.87,,,0
NDC,51079-105-20,FOLIC ACID 1 MG TABLET,4.8,1.87,,,0
NDC,51079-119-20,DICYCLOMINE 20 MG TABLET,4.8,1.87,,,0
NDC,51079-131-20,AMITRIPTYLINE 10 MG TABLET,4.8,1.87,,,0
NDC,51079-133-20,AMITRIPTYLINE 50 MG TABLET,12.2,4.76,,,0
NDC,51079-141-20,CHLORDIAZEPOXIDE 25 MG CAPSULE,10.3,4.02,,,0
NDC,51079-164-03,VORICONAZOLE 50 MG TABLET,144.0,56.16,,,0
NDC,51079-165-03,VORICONAZOLE 200 MG TABLET,287.9,112.28,,,0
NDC,51079-169-20,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",18.0,7.02,,,0
NDC,51079-170-20,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",35.9,14.0,,,0
NDC,51079-190-01,INDOMETHACIN 25 MG CAPSULE,4.8,1.87,,,0
NDC,51079-204-06,ABACAVIR 300 MG TABLET,77.1,30.07,,,0
NDC,51079-205-20,ALLOPURINOL 100 MG TABLET,8.7,3.39,,,0
NDC,51079-206-20,ALLOPURINOL 300 MG TABLET,5.9,2.3,,,0
NDC,51079-210-20,ATORVASTATIN 40 MG TABLET,8.1,3.16,,,0
NDC,51079-211-03,ATORVASTATIN 80 MG TABLET,14.8,5.77,,,0
NDC,51079-246-20,LORATADINE 10 MG TABLET,3.7,1.44,,,0
NDC,51079-255-01,METOPROLOL TARTRATE 25 MG TABLET,4.8,1.87,,,0
NDC,51079-255-20,METOPROLOL TARTRATE 25 MG TABLET,4.8,1.87,,,0
NDC,51079-279-01,PROPRANOLOL ORAL SUSPENSION 1 MG/ML,7.0,2.73,,,0
NDC,51079-284-20,DIAZEPAM 2 MG TABLET,4.8,1.87,,,0
NDC,51079-285-20,DIAZEPAM 5 MG TABLET,5.0,1.95,,,0
NDC,51079-286-20,DIAZEPAM 10 MG TABLET,4.8,1.87,,,0
NDC,51079-306-30,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,14.5,5.66,,,0
NDC,51079-374-20,CHLORDIAZEPOXIDE 5 MG CAPSULE,6.3,2.46,,,0
NDC,51079-379-20,MYCOPHENOLATE MOFETIL 500 MG TABLET,121.6,47.42,,,0
NDC,51079-383-20,URSODIOL 300 MG CAPSULE,65.9,25.7,,,0
NDC,51079-433-20,TRIAMTERENE 75 MG-HYDROCHLOROTHIAZIDE 50 MG TABLET,4.8,1.87,,,0
NDC,51079-436-20,DOXEPIN 10 MG CAPSULE,5.0,1.95,,,0
NDC,51079-437-20,DOXEPIN 25 MG CAPSULE,25.9,10.1,,,0
NDC,51079-438-20,DOXEPIN 50 MG CAPSULE,18.0,7.02,,,0
NDC,51079-440-20,LEVOTHYROXINE 50 MCG TABLET,4.8,1.87,,,0
NDC,51079-441-20,LEVOTHYROXINE 75 MCG TABLET,4.8,1.87,,,0
NDC,51079-442-01,LEVOTHYROXINE SYRUP 25 MCG/ML,4.8,1.87,,,0
NDC,51079-442-20,LEVOTHYROXINE 100 MCG TABLET,4.8,1.87,,,0
NDC,51079-443-20,LEVOTHYROXINE 125 MCG TABLET,5.5,2.14,,,0
NDC,51079-444-20,LEVOTHYROXINE 25 MCG TABLET,3.7,1.44,,,0
NDC,51079-445-20,LEVOTHYROXINE 150 MCG TABLET,5.7,2.22,,,0
NDC,51079-451-20,AMLODIPINE 5 MG TABLET,13.3,5.19,,,0
NDC,51079-452-20,AMLODIPINE 10 MG TABLET,18.3,7.14,,,0
NDC,51079-453-20,MIDODRINE 5 MG TABLET,31.2,12.17,,,0
NDC,51079-508-20,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE",116.6,45.47,,,0
NDC,51079-511-20,MECLIZINE 25 MG TABLET,6.7,2.61,,,0
NDC,51079-527-20,FUROSEMIDE 80 MG TABLET,7.0,2.73,,,0
NDC,51079-597-20,CETIRIZINE 10 MG TABLET,10.6,4.13,,,0
NDC,51079-599-20,FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET,14.7,5.73,,,0
NDC,51079-608-20,FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET,39.6,15.44,,,0
NDC,51079-630-20,PRAZOSIN 1 MG CAPSULE,27.8,10.84,,,0
NDC,51079-632-20,PRAZOSIN 5 MG CAPSULE,33.1,12.91,,,0
NDC,51079-644-20,CYCLOBENZAPRINE 10 MG TABLET,4.8,1.87,,,0
NDC,51079-670-05,METHOTREXATE SODIUM 2.5 MG TABLET,287.1,111.97,,,0
NDC,51079-684-20,ATENOLOL 50 MG TABLET,4.8,1.87,,,0
NDC,51079-690-20,LOPERAMIDE 2 MG CAPSULE,3.8,1.48,,,0
NDC,51079-721-20,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,30.4,11.86,,,0
NDC,51079-733-20,HALOPERIDOL 0.5 MG TABLET,2.7,1.05,,,0
NDC,51079-734-20,HALOPERIDOL 1 MG TABLET,4.8,1.87,,,0
NDC,51079-735-20,HALOPERIDOL 2 MG TABLET,5.2,2.03,,,0
NDC,51079-736-20,HALOPERIDOL 5 MG TABLET,8.4,3.28,,,0
NDC,51079-745-20,DILTIAZEM 30 MG TABLET,4.8,1.87,,,0
NDC,51079-753-20,SUCRALFATE 1 GRAM TABLET,4.8,1.87,,,0
NDC,51079-759-20,ATENOLOL 25 MG TABLET,4.8,1.87,,,0
NDC,51079-771-20,CARVEDILOL 3.125 MG TABLET,16.4,6.4,,,0
NDC,51079-776-20,HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE,3.3,1.29,,,0
NDC,51079-789-20,ALPRAZOLAM 0.5 MG TABLET,5.9,2.3,,,0
NDC,51079-801-20,METOPROLOL TARTRATE 50 MG TABLET,8.8,3.43,,,0
NDC,51079-810-20,GLIPIZIDE 5 MG TABLET,4.8,1.87,,,0
NDC,51079-817-20,"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE",136.9,53.39,,,0
NDC,51079-818-20,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE",136.9,53.39,,,0
NDC,51079-821-20,LEVETIRACETAM 500 MG TABLET,27.0,10.53,,,0
NDC,51079-869-01,"VERAPAMIL ER (SR) 240 MG TABLET,EXTENDED RELEASE",19.5,7.6,,,0
NDC,51079-882-20,CLONAZEPAM 1 MG TABLET,7.0,2.73,,,0
NDC,51079-886-20,METOCLOPRAMIDE 5 MG TABLET,7.0,2.73,,,0
NDC,51079-888-20,METOCLOPRAMIDE 10 MG TABLET,7.4,2.89,,,0
NDC,51079-889-01,"PENTOXIFYLLINE ER 400 MG TABLET,EXTENDED RELEASE",11.5,4.48,,,0
NDC,51079-899-01,"VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE",19.2,7.49,,,0
NDC,51079-917-20,"VERAPAMIL ER 120 MG 24 HR CAPSULE,EXTENDED RELEASE",82.3,32.1,,,0
NDC,51079-921-20,CLOZAPINE 25 MG TABLET,20.3,7.92,,,0
NDC,51079-922-20,CLOZAPINE 100 MG TABLET,52.6,20.51,,,0
NDC,51079-923-20,"CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE",13.4,5.23,,,0
NDC,51079-930-01,CARVEDILOL 1.25 MG/ML ORAL SUSPENSION (NEONATE/PEDS),11.9,4.64,,,0
NDC,51079-930-20,CARVEDILOL 6.25 MG TABLET,16.4,6.4,,,0
NDC,51079-931-20,CARVEDILOL 12.5 MG TABLET,16.4,6.4,,,0
NDC,51079-932-20,CARVEDILOL 25 MG TABLET,16.4,6.4,,,0
NDC,51079-936-20,TERAZOSIN 1 MG CAPSULE,24.7,9.63,,,0
NDC,51079-957-20,DOXAZOSIN 1 MG TABLET,28.9,11.27,,,0
NDC,51079-978-20,"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE",14.3,5.58,,,0
NDC,51079-981-20,LISINOPRIL 5 MG TABLET,4.8,1.87,,,0
NDC,51079-982-20,LISINOPRIL 10 MG TABLET,7.3,2.85,,,0
NDC,51079-985-20,BUSPIRONE 5 MG TABLET,11.9,4.64,,,0
NDC,51079-986-20,BUSPIRONE 10 MG TABLET,15.5,6.04,,,0
NDC,51079-998-20,TIZANIDINE 4 MG TABLET,19.6,7.64,,,0
NDC,51144-020-01,ENFORTUMAB VEDOTIN-EJFV 20 MG INTRAVENOUS SOLUTION,17528.2,6836.0,,,0
NDC,51144-030-01,ENFORTUMAB VEDOTIN-EJFV 30 MG INTRAVENOUS SOLUTION,26292.3,10254.0,,,0
NDC,51144-050-01,BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION,41870.4,16329.46,,,0
NDC,51293-625-01,PHENOBARBITAL 16.2 MG TABLET,8.2,3.2,,,0
NDC,51293-820-01,METHIMAZOLE 5 MG TABLET,4.8,1.87,,,0
NDC,51552-0038-4,METRONIDAZOLE (BULK) POWDER,39.2,15.29,,,0
NDC,5155200516,ACETIC ACID (BULK) 3 % LIQUID,4.8,1.87,,,0
NDC,5164578508,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET,0.6,0.23,,,0
NDC,5164590501,THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET,4.8,1.87,,,0
NDC,51660-200-30,EZETIMIBE 10 MG TABLET,78.9,30.77,,,0
NDC,51660-200-90,EZETIMIBE 10 MG TABLET,78.9,30.77,,,0
NDC,51660-526-01,LORATADINE 10 MG TABLET,1.3,0.51,,,0
NDC,51660-724-11,"LORATADINE-PSEUDOEPHEDRINE ER 10 MG-240 MG TABLET,EXTENDED RELEASE24HR",2.0,0.78,,,0
NDC,51672-1259-1,CLOBETASOL 0.05 % TOPICAL OINTMENT,1192.3,465.0,,,0
NDC,51672-1275-1,CLOTRIMAZOLE 1 % TOPICAL CREAM,84.4,32.92,,,0
NDC,51672-1282-1,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,42.22,16.47,,,0
NDC,51672-1282-2,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,64.5,25.16,,,0
NDC,51672-1289-1,"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM",269.3,105.03,,,0
NDC,51672-1298-1,KETOCONAZOLE 2 % TOPICAL CREAM,1007.3,392.85,,,0
NDC,51672-1312-0,MUPIROCIN 2 % TOPICAL OINTMENT,191.7,74.76,,,0
NDC,51672-1370-1,MUPIROCIN CALCIUM 2 % TOPICAL CREAM,1880.4,733.36,,,0
NDC,51672-2001-1,MICONAZOLE NITRATE 2 % TOPICAL CREAM,22.3,8.7,,,0
NDC,51672-2001-2,MICONAZOLE NITRATE 2 % TOPICAL CREAM,30.5,11.9,,,0
NDC,51672-2002-1,CLOTRIMAZOLE 1 % TOPICAL CREAM,36.0,14.04,,,0
NDC,51672-2002-2,CLOTRIMAZOLE 1 % TOPICAL CREAM,46.6,18.17,,,0
NDC,51672-2003-6,CLOTRIMAZOLE 1 % VAGINAL CREAM,33.9,13.22,,,0
NDC,51672-2010-2,HYDROCORTISONE 0.5 % TOPICAL CREAM,23.3,9.09,,,0
NDC,51672-2020-2,TOLNAFTATE 1 % TOPICAL CREAM,66.8,26.05,,,0
NDC,51672-2035-6,MICONAZOLE NITRATE 2 % VAGINAL CREAM,48.4,18.88,,,0
NDC,51672-2044-2,"BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOPICAL OINTMENT",27.51,10.73,,,0
NDC,51672-2075-1,BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINTMENT,20.5,8.0,,,0
NDC,51672-2080-2,TERBINAFINE HCL 1 % TOPICAL CREAM,92.3,36.0,,,0
NDC,51672-2102-8,CETIRIZINE 1 MG/ML ORAL SOLUTION,4.8,1.87,,,0
NDC,51672-2114-2,ACETAMINOPHEN 80 MG RECTAL SUPPOSITORY,6.0,2.34,,,0
NDC,51672-2115-2,ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY,4.0,1.56,,,0
NDC,51672-2116-2,ACETAMINOPHEN 325 MG RECTAL SUPPOSITORY,1.6,0.62,,,0
NDC,51672-2120-2,"NEOMYCIN-BACITRACN ZN-POLYMYX 3.5 MG-400 UNIT-5,000 UNIT/GRAM TOP OINT",334.6,130.49,,,0
NDC,51672-2130-8,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,1.0,0.39,,,0
NDC,51672-2131-8,LORATADINE 5 MG/5 ML ORAL SOLUTION,1.8,0.7,,,0
NDC,51672-4002-5,NORTRIPTYLINE 25 MG CAPSULE,4.8,1.87,,,0
NDC,51672-4005-1,CARBAMAZEPINE 200 MG TABLET,12.3,4.8,,,0
NDC,51672-4023-1,ACETAZOLAMIDE 250 MG TABLET,44.3,17.28,,,0
NDC,51672-4025-4,AMIODARONE 200 MG TABLET,25.4,9.91,,,0
NDC,51672-4034-1,WARFARIN 7.5 MG TABLET,7.4,2.89,,,0
NDC,51672-4037-1,ENALAPRIL MALEATE 2.5 MG TABLET,44.8,17.47,,,0
NDC,51672-4042-1,CLORAZEPATE DIPOTASSIUM 3.75 MG TABLET,31.0,12.09,,,0
NDC,51672-4043-1,CLORAZEPATE DIPOTASSIUM 7.5 MG TABLET,19.3,7.53,,,0
NDC,51672-4043-2,CLORAZEPATE DIPOTASSIUM 7.5 MG TABLET,38.5,15.02,,,0
NDC,51672-4044-1,CLORAZEPATE DIPOTASSIUM 15 MG TABLET,41.8,16.3,,,0
NDC,51672-4048-1,CLOTRIMAZOLE-BETAMETHASONE 1 %-0.05 % TOPICAL CREAM,235.7,91.92,,,0
NDC,51672-4069-1,PHENYTOIN 125 MG/5 ML ORAL SUSPENSION,6.0,2.34,,,0
NDC,51672-4111-1,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,5.0,1.95,,,0
NDC,51672-4123-1,"CARBAMAZEPINE ER 100 MG TABLET,EXTENDED RELEASE,12 HR",17.6,6.86,,,0
NDC,51672-4131-1,LAMOTRIGINE 100 MG TABLET,19.8,7.72,,,0
NDC,51672-4215-3,METRONIDAZOLE 1 % TOPICAL GEL,2126.6,829.37,,,0
NDC,51672-4245-1,ENALAPRIL MALEATE 10 MG TABLET,4.8,1.87,,,0
NDC,51754-0103-4,CUPRIC CHLORIDE 0.4 MG/ML INTRAVENOUS SOLUTION,134.3,52.38,,,0
NDC,51754-0108-3,"TRANEXAMIC ACID 1,000 MG/100 ML(10 MG/ML)IN SOD CHLOR,ISO IV PIGGYBACK",179.4,69.97,,,0
NDC,51754-0203-2,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,42.7,16.65,,,0
NDC,51754-0500-1,CAFFEINE CITRATED IV SYRINGE 20 MG/ML MD (PEDS 10 KG AND LESS),24.0,9.36,,,0
NDC,51754-2001-4,POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,51754-4200-4,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,131.6,51.32,,,0
NDC,51754-4250-3,EPHEDRINE (PF) 25 MG/5 ML (5 MG/ML) IN 0.9% SODIUM CHLORIDE IV SYRINGE,21.1,8.23,,,0
NDC,51754-5001-4,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,224.2,87.44,,,0
NDC,51754-5001-5,SODIUM BICARBONATE 250 MEQ/250 ML (1 MEQ/ML) IV INFUSION (SIMPLE),373.7,145.74,,,0
NDC,51754-5011-4,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,31.5,12.28,,,0
NDC,51754-5012-4,SODIUM BICARBONATE 4.2 % INTRAVENOUS SOLUTION,30.4,11.86,,,0
NDC,51862-458-47,CYCLOSPORINE MODIFIED 25 MG CAPSULE (GENERIC),21.1,8.23,,,0
NDC,51862-540-01,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,13.0,5.07,,,0
NDC,5192710740,MINERAL OIL,13.1,5.11,,,0
NDC,5192712910,MINERAL OIL,13.1,5.11,,,0
NDC,51991-144-17,METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION,202.6,79.01,,,0
NDC,51991-293-01,OXCARBAZEPINE 300 MG TABLET,20.2,7.88,,,0
NDC,51991-312-33,"DESVENLAFAXINE SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",176.0,68.64,,,0
NDC,51991-312-90,"DESVENLAFAXINE SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",88.0,34.32,,,0
NDC,51991-604-01,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE",15.2,5.93,,,0
NDC,51991-747-90,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",57.9,22.58,,,0
NDC,51991-759-33,LETROZOLE 2.5 MG TABLET,139.0,54.21,,,0
NDC,51991-818-01,"PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE",37.0,14.43,,,0
NDC,51991-838-01,CYPROHEPTADINE 4 MG TABLET,8.2,3.2,,,0
NDC,51991-877-33,EPLERENONE 25 MG TABLET,32.0,12.48,,,0
NDC,51991-878-33,EPLERENONE 50 MG TABLET,32.0,12.48,,,0
NDC,51991-878-90,EPLERENONE 50 MG TABLET,32.0,12.48,,,0
NDC,51991-906-01,TETRACYCLINE 250 MG CAPSULE,120.9,47.15,,,0
NDC,5199101406,MELATONIN 3 MG TABLET,4.8,1.87,,,0
NDC,52015-080-01,FIDAXOMICIN 200 MG TABLET,1996.2,778.52,,,0
NDC,52244-100-10,"THEOPHYLLINE ER 100 MG CAPSULE,EXTENDED RELEASE 24 HR",118.8,46.33,,,0
NDC,52268-100-01,PEG 3350-ELECTROLYTES (GOLYTELY) (WRAPPED),184.1,71.8,,,0
NDC,52268-101-01,PEG 3350-ELECTROLYTES (GOLYTELY) (WRAPPED),153.4,59.83,,,0
NDC,52380-0013-1,HYDROGEN PEROXIDE 3 % SOLUTION,11.1,4.33,,,0
NDC,52380-1905-4,POVIDONE-IODINE 10 % TOPICAL SOLUTION,10.0,3.9,,,0
NDC,52427-430-90,ATENOLOL 50 MG TABLET,102.5,39.98,,,0
NDC,52536-107-10,VANCOMYCIN 25 MG/ML ORAL SOLUTION,31.7,12.36,,,0
NDC,52536-108-10,VANCOMYCIN 50 MG/ML ORAL SOLUTION,60.5,23.6,,,0
NDC,52536-180-03,"ERYTHROMYCIN 250 MG TABLET,DELAYED RELEASE",64.4,25.12,,,0
NDC,52536-600-11,BACLOFEN 25 MG/5 ML (5 MG/ML) ORAL SUSPENSION,4.8,1.87,,,0
NDC,52565-009-50,LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION,495.9,193.4,,,0
NDC,5256913964,HYDROGEN PEROXIDE 3 % SOLUTION,4.8,1.87,,,0
NDC,52652-3001-1,LISINOPRIL 1 MG/ML ORAL SOLUTION,320.3,124.92,,,0
NDC,52652-4001-1,ENALAPRIL MALEATE 1 MG/ML ORAL SOLUTION,45.2,17.63,,,0
NDC,52652-5001-1,AMLODIPINE BENZOATE 1 MG/ML ORAL SUSPENSION,49.1,19.15,,,0
NDC,5280048846,EMOLLIENT COMBINATION NO.92 TOPICAL LOTION,43.6,17.0,,,0
NDC,5280048856,EMOLLIENT COMBINATION NO.92 TOPICAL LOTION,54.5,21.26,,,0
NDC,52817-332-10,CYCLOBENZAPRINE 10 MG TABLET,8.9,3.47,,,0
NDC,52817-365-10,TRIAMTERENE 100 MG CAPSULE,91.6,35.72,,,0
NDC,52817-381-10,"NAPROXEN 500 MG TABLET,DELAYED RELEASE",48.4,18.88,,,0
NDC,52817-610-04,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,600.4,234.16,,,0
NDC,52817-830-04,LEVOCARNITINE (WITH SUGAR) 100 MG/ML ORAL SOLUTION,30.2,11.78,,,0
NDC,5319136201,"CHOLECALCIFEROL (VITAMIN D3) 1,250 MCG (50,000 UNIT) CAPSULE",0.7,0.27,,,0
NDC,53276-1010-09,MICROFIBRILLAR COLLAGEN HEMOSTAT 70 MM X 35 MM SHEETS,1457.3,568.35,,,0
NDC,53329-939-04,POVIDONE-IODINE 10 % TOPICAL SOLUTION,10.0,3.9,,,0
NDC,53436-084-30,PATIROMER CALCIUM SORBITEX 8.4 GRAM ORAL POWDER PACKET,272.4,106.24,,,0
NDC,53489-118-02,DOXYCYCLINE HYCLATE 50 MG CAPSULE,12.5,4.88,,,0
NDC,53489-156-01,ALLOPURINOL 100 MG TABLET,4.8,1.87,,,0
NDC,53746-109-01,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,5.4,2.11,,,0
NDC,53746-110-01,HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET,7.3,2.85,,,0
NDC,53746-169-30,MEMANTINE 10 MG TABLET,46.8,18.25,,,0
NDC,53746-203-01,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,10.6,4.13,,,0
NDC,53746-204-01,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,27.3,10.65,,,0
NDC,53746-361-01,FOLIC ACID 1 MG TABLET,4.8,1.87,,,0
NDC,53746-544-01,PRIMIDONE 50 MG TABLET,4.8,1.87,,,0
NDC,53746-571-01,BETHANECHOL 5 MG/ML ORAL SUSPENSION (NEO/PEDS),4.8,1.87,,,0
NDC,53746-572-01,BETHANECHOL CHLORIDE 10 MG TABLET,12.4,4.84,,,0
NDC,53746-641-01,FLECAINIDE 50 MG TABLET,39.3,15.33,,,0
NDC,53746-711-01,GUANFACINE 1 MG TABLET,7.8,3.04,,,0
NDC,53746-735-90,FELBAMATE 600 MG TABLET,23.0,8.97,,,0
NDC,53746-745-01,PROMETHAZINE 12.5 MG TABLET,4.8,1.87,,,0
NDC,53746-831-53,"CIPROFLOXACIN 0.3 %-DEXAMETHASONE 0.1 % EAR DROPS,SUSPENSION",2149.4,838.27,,,0
NDC,54092-189-81,"MESALAMINE ER 250 MG CAPSULE,EXTENDED RELEASE",93.2,36.35,,,0
NDC,54092-252-90,LANTHANUM 500 MG CHEWABLE TABLET,368.4,143.68,,,0
NDC,54092-476-12,"MESALAMINE 1.2 GRAM TABLET,DELAYED RELEASE",215.4,84.01,,,0
NDC,54162-017-09,BACITRACIN TOPICAL OINTMENT (WRAPPED),0.9,0.35,,,0
NDC,54162-080-09,"NEOMYCIN-BACITRACN ZN-POLYMYXN 3.5 MG-400 UNIT-5,000 UNIT TOP OINT PKT",0.8,0.31,,,0
NDC,54162-190-16,MINERAL OIL ORAL,12.7,4.95,,,0
NDC,54288-100-01,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION,317.1,123.67,,,0
NDC,54288-103-10,EPINEPHRINE HCL (PF) 1 MG/ML (1 ML) INJECTION SOLUTION,74.8,29.17,,,0
NDC,54288-105-15,ETHYL ALCOHOL 99 % INTRA-ARTERIAL SOLUTION,6966.6,2716.97,,,0
NDC,54288-123-01,EPINEPHRINE 1 MG/ML NASAL SOLUTION,767.0,299.13,,,0
NDC,54288-125-01,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,77.7,30.3,,,0
NDC,54288-125-30,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,78.3,30.54,,,0
NDC,54288-135-01,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE",106.7,41.61,,,0
NDC,54288-136-10,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION,427.0,166.53,,,0
NDC,54288-142-10,PAPAVERINE 30 MG/ML INJECTION SOLUTION,76.9,29.99,,,0
NDC,54288-147-01,METHYLENE BLUE (ANTIDOTE) 1 % (10 MG/ML) INTRAVENOUS SOLUTION,1742.5,679.58,,,0
NDC,54288-154-01,EPINEPHRINE 1 MG/ML NASAL SOLUTION,1687.4,658.09,,,0
NDC,54288-166-01,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,301.4,117.55,,,0
NDC,54629-0052-01,PRENATAL VIT NO.95-FERROUS FUMARATE 28 MG-FOLIC ACID 800 MCG TABLET,0.6,0.23,,,0
NDC,54629-0063-01,PYRIDOXINE (VITAMIN B6) 50 MG TABLET,4.8,1.87,,,0
NDC,54629-0075-01,MULTIVITAMIN-MINERALS-IRON FUMARATE 7.5 MG-FOLIC ACID 400 MCG TABLET,0.6,0.23,,,0
NDC,54629-0076-01,ASCORBIC ACID (VITAMIN C) 500 MG TABLET,0.6,0.23,,,0
NDC,54629-0893-09,"OMEGA 3-DHA-EPA-FISH OIL 300 MG-1,000 MG CAPSULE",0.6,0.23,,,0
NDC,54643-5649-1,"MVI,ADULT NO.4 WITH VIT K 3300 UNIT-150 MCG/10 ML INTRAVENOUS SOLUTION",131.4,51.25,,,0
NDC,54643-9007-1,"MVI,ADULT NO.4 WITH VIT K 3300 UNIT-150 MCG/10 ML INTRAVENOUS SOLUTION",131.4,51.25,,,0
NDC,5473814001,FOLIC ACID 400 MCG TABLET,0.6,0.23,,,0
NDC,5475800628,DEXTROSE 1.2 GRAM/3 ML (40 %) ORAL GEL IN SYRINGE (ORAL USE ONLY),10.0,3.9,,,0
NDC,54838-501-40,HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE,4.8,1.87,,,0
NDC,54838-502-80,HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION,10.7,4.17,,,0
NDC,54838-506-15,HYOSCYAMINE 0.125 MG/ML ORAL DROPS,306.8,119.65,,,0
NDC,54838-510-80,OXYBUTYNIN CHLORIDE 5 MG/5 ML ORAL SYRUP,4.8,1.87,,,0
NDC,54838-511-80,HYOSCYAMINE 0.125 MG/5 ML ORAL ELIXIR,8.6,3.35,,,0
NDC,54838-512-40,DOXEPIN 10 MG/ML ORAL CONCENTRATE,11.4,4.45,,,0
NDC,54838-558-40,LORATADINE 5 MG/5 ML ORAL SOLUTION,1.6,0.62,,,0
NDC,54838-566-70,LAMIVUDINE 10 MG/ML ORAL SOLUTION,114.9,44.81,,,0
NDC,5483800180,FERROUS SULFATE 220 MG (44 MG IRON)/5 ML ORAL ELIXIR,4.8,1.87,,,0
NDC,5483800650,CHOLECALCIFEROL (VITAMIN D3) 10 MCG/ML (400 UNIT/ML) ORAL DROPS,1.1,0.43,,,0
NDC,5485951608,VITAMIN B COMPLEX WITH C NO.10-FOLIC ACID 900 MCG/5 ML ORAL LIQUID,4.8,1.87,,,0
NDC,5485981016,FERROUS SULFATE 220 MG (44 MG IRON)/5 ML ORAL SOLUTION,0.6,0.23,,,0
NDC,55111-145-12,FLUCONAZOLE 150 MG TABLET,106.9,41.69,,,0
NDC,55111-196-30,CLOPIDOGREL 75 MG TABLET,53.4,20.83,,,0
NDC,55111-196-90,CLOPIDOGREL 75 MG TABLET,53.4,20.83,,,0
NDC,55111-262-81,OLANZAPINE 5 MG DISINTEGRATING TABLET,54.2,21.14,,,0
NDC,55111-263-81,OLANZAPINE 10 MG DISINTEGRATING TABLET,159.1,62.05,,,0
NDC,55111-292-36,SUMATRIPTAN 50 MG TABLET,192.9,75.23,,,0
NDC,55111-292-98,SUMATRIPTAN 50 MG TABLET,192.9,75.23,,,0
NDC,55111-320-01,GLIMEPIRIDE 1 MG TABLET,6.2,2.42,,,0
NDC,55111-321-01,GLIMEPIRIDE 2 MG TABLET,10.0,3.9,,,0
NDC,55111-322-01,GLIMEPIRIDE 4 MG TABLET,9.5,3.7,,,0
NDC,55111-352-60,RIVASTIGMINE 1.5 MG CAPSULE,32.6,12.71,,,0
NDC,55111-353-60,RIVASTIGMINE 3 MG CAPSULE,32.6,12.71,,,0
NDC,55111-532-01,"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE",34.4,13.42,,,0
NDC,55111-556-10,DECITABINE 50 MG VIAL DILUTED FOR INTRAVENOUS USE,2770.6,1080.53,,,0
NDC,55111-671-31,CLOPIDOGREL 300 MG TABLET,427.2,166.61,,,0
NDC,55111-678-10,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE,466.8,182.05,,,0
NDC,55111-679-10,FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE,946.6,369.17,,,0
NDC,55111-680-10,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE,946.6,369.17,,,0
NDC,55111-680-11,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE,946.6,369.17,,,0
NDC,55111-681-10,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE,946.6,369.17,,,0
NDC,55111-685-07,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION,5842.9,2278.73,,,0
NDC,55111-688-52,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK,7000.7,2730.27,,,0
NDC,55111-694-07,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,153.8,59.98,,,0
NDC,55111-725-30,MONTELUKAST 10 MG TABLET,43.4,16.93,,,0
NDC,55111-789-11,SEVELAMER CARBONATE 800 MG TABLET,57.0,22.23,,,0
NDC,55111-789-27,SEVELAMER CARBONATE 800 MG TABLET,46.8,18.25,,,0
NDC,55135-132-01,SACITUZUMAB GOVITECAN-HZIY 180 MG INTRAVENOUS SOLUTION,8456.4,3298.0,,,0
NDC,55150-113-10,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,50.6,19.73,,,0
NDC,55150-114-20,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,136.0,53.04,,,0
NDC,55150-116-20,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,66.1,25.78,,,0
NDC,55150-117-20,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,124.7,48.63,,,0
NDC,55150-121-50,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,66.7,26.01,,,0
NDC,55150-122-15,NAFCILLIN 1 GRAM SOLUTION FOR INJECTION,19.6,7.64,,,0
NDC,55150-123-15,NAFCILLIN 2 GRAM SOLUTION FOR INJECTION,128.1,49.96,,,0
NDC,55150-123-16,NAFCILLIN 2 GRAM SOLUTION FOR INJECTION,128.1,49.96,,,0
NDC,55150-124-09,NAFCILLIN 10 GRAM SOLUTION FOR INJECTION,961.9,375.14,,,0
NDC,55150-124-99,NAFCILLIN 10 GRAM SOLUTION FOR INJECTION,1154.3,450.18,,,0
NDC,55150-154-10,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION,136.7,53.31,,,0
NDC,55150-155-20,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION,158.9,61.97,,,0
NDC,55150-159-74,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,19.6,7.64,,,0
NDC,55150-161-02,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,26.3,10.26,,,0
NDC,55150-162-05,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,69.2,26.99,,,0
NDC,55150-163-30,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,37.2,14.51,,,0
NDC,55150-164-02,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,19.6,7.64,,,0
NDC,55150-165-05,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,24.6,9.59,,,0
NDC,55150-167-10,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,106.6,41.57,,,0
NDC,55150-168-30,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,19.6,7.64,,,0
NDC,55150-169-10,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,92.3,36.0,,,0
NDC,55150-170-30,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,24.2,9.44,,,0
NDC,55150-172-30,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,52.3,20.4,,,0
NDC,55150-173-01,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION,112.8,43.99,,,0
NDC,55150-173-05,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION,112.8,43.99,,,0
NDC,55150-174-10,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,94.0,36.66,,,0
NDC,55150-183-10,NICARDIPINE 0.1 MG/ML IN SODIUM CHLORIDE (OR),48.7,18.99,,,0
NDC,55150-183-11,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION,163.2,63.65,,,0
NDC,55150-188-10,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",61.5,23.98,,,0
NDC,55150-193-01,ADENOSINE 90 MG/90 ML NS FOR CATH LAB (SIMPLE),194.4,75.82,,,0
NDC,55150-194-10,ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION,52.7,20.55,,,0
NDC,55150-195-20,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,415.1,161.89,,,0
NDC,55150-197-20,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,430.5,167.9,,,0
NDC,55150-198-30,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,107.7,42.0,,,0
NDC,55150-202-10,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,72.6,28.31,,,0
NDC,55150-207-20,MEROPENEM 500 MG INTRAVENOUS SOLUTION,61.5,23.98,,,0
NDC,55150-208-30,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,112.8,43.99,,,0
NDC,55150-209-02,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,55150-221-10,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,123.0,47.97,,,0
NDC,55150-222-20,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,23.7,9.24,,,0
NDC,55150-223-10,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,51.3,20.01,,,0
NDC,55150-226-10,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,85.9,33.5,,,0
NDC,55150-235-10,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,56.4,22.0,,,0
NDC,55150-235-11,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,40.6,15.83,,,0
NDC,55150-237-01,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,38.0,14.82,,,0
NDC,55150-238-05,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,55150-241-10,ARGATROBAN 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,2038.8,795.13,,,0
NDC,55150-247-47,"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",608.8,237.43,,,0
NDC,55150-249-50,BUPIVACAINE HCL 0.25 % (2.5 MG/ML) INJECTION SOLUTION,19.6,7.64,,,0
NDC,55150-251-10,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,19.6,7.64,,,0
NDC,55150-252-20,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,19.6,7.64,,,0
NDC,55150-254-10,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,19.6,7.64,,,0
NDC,55150-255-20,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,19.6,7.64,,,0
NDC,55150-259-30,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,307.5,119.92,,,0
NDC,55150-282-09,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,410.0,159.9,,,0
NDC,55150-282-20,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,614.9,239.81,,,0
NDC,55150-297-10,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,538.1,209.86,,,0
NDC,55150-299-01,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,666.2,259.82,,,0
NDC,55150-304-25,DEXAMETHASONE (PF) 10 MG/ML INJECTION (WRAPPED),45.1,17.59,,,0
NDC,55150-307-24,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",149.5,58.3,,,0
NDC,55150-308-01,OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION,181.7,70.86,,,0
NDC,55150-318-25,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION,296.1,115.48,,,0
NDC,55150-319-25,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION,339.3,132.33,,,0
NDC,55150-324-25,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,57.4,22.39,,,0
NDC,55150-328-10,NALOXONE 0.4 MG/ML INJECTION SOLUTION,5210.1,2031.94,,,0
NDC,55150-329-25,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION,375.6,146.48,,,0
NDC,55150-330-01,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SYRINGE,717.4,279.79,,,0
NDC,55150-335-01,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,350.7,136.77,,,0
NDC,55150-337-01,BORTEZOMIB 3.5 MG SOLUTION FOR SUBCUTANEOUS INJ,215.94,84.22,,,0
NDC,55150-345-10,NALOXONE 1 MG/ML INJECTION SYRINGE,322.9,125.93,,,0
NDC,55150-354-01,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,748.8,292.03,,,0
NDC,55150-359-50,DOXERCALCIFEROL 4 MCG/2 ML INTRAVENOUS SOLUTION,46.2,18.02,,,0
NDC,55150-365-01,AMPHOTERICIN B LIPOSOME 50 MG INTRAVENOUS SUSPENSION,2130.8,831.01,,,0
NDC,55150-370-24,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION,287.0,111.93,,,0
NDC,55150-370-25,VASOPRESSIN 20 UNIT/ML INJECTION (WRAPPED),272.6,106.31,,,0
NDC,55150-386-01,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,694.9,271.01,,,0
NDC,55150-400-25,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,110.7,43.17,,,0
NDC,55150-403-25,GENTAMICIN 40 MG/ML INJECTION SOLUTION FOR ANTIBIOTIC LOCK,19.6,7.64,,,0
NDC,55150-421-10,"ESMOLOL 2,000 MG/100 ML (20 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",1334.1,520.3,,,0
NDC,55150-431-01,DACTINOMYCIN 0.5 MG INTRAVENOUS SOLUTION,8835.9,3446.0,,,0
NDC,55150-438-10,KETAMINE 10 MG/ML INJECTION SOLUTION,25.8,10.06,,,0
NDC,55150-443-01,REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE,30.0,11.7,,,0
NDC,55150-471-10,VANCOMYCIN 1.25 GRAM INTRAVENOUS SOLUTION,206.0,80.34,,,0
NDC,5529960104,ARTIFICIAL SALIVA(CARBOXYMETHYLCELLULOSE-ELECTROLYTES) SPRAY PUMP,68.2,26.6,,,0
NDC,55390-138-02,MIDAZOLAM (VERSED) 5 MG/ML NASAL ROUTE ONLY,19.6,7.64,,,0
NDC,55494-100-10,"DOXYLAMINE 10 MG-PYRIDOXINE (VIT B6) 10 MG TABLET,DELAYED RELEASE",41.8,16.3,,,0
NDC,55513-002-04,DARBEPOETIN ALFA 25 MCG/ML IN POLYSORBATE INJECTION,1348.7,525.99,,,0
NDC,55513-003-04,DARBEPOETIN ALFA 40 MCG/ML IN POLYSORBATE INJECTION,2157.91,841.58,,,0
NDC,55513-004-04,DARBEPOETIN ALFA 60 MCG/ML IN POLYSORBATE INJECTION,1327.2,517.61,,,0
NDC,55513-005-04,DARBEPOETIN ALFA 100 MCG/ML IN POLYSORBATE INJECTION,5394.8,2103.97,,,0
NDC,55513-006-01,DARBEPOETIN ALFA 200 MCG/ML IN POLYSORBATE INJECTION,8092.2,3155.96,,,0
NDC,55513-021-04,DARBEPOETIN ALFA 40 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE,330.5,128.9,,,0
NDC,55513-023-04,DARBEPOETIN ALFA 60 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE,3236.87,1262.38,,,0
NDC,55513-025-04,DARBEPOETIN ALFA 100 MCG/0.5 ML IN POLYSORBATE INJECTION SYRINGE,5394.8,2103.97,,,0
NDC,55513-028-01,DARBEPOETIN ALFA 200 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE,10789.6,4207.94,,,0
NDC,55513-032-01,DARBEPOETIN ALFA 500 MCG/ML IN POLYSORBATE INJECTION SYRINGE,26973.9,10519.82,,,0
NDC,55513-059-01,TARLATAMAB-DLLE 1 MG INTRAVENOUS SOLUTION,93600.0,36504.0,,,0
NDC,55513-069-01,TARLATAMAB-DLLE 10 MG INTRAVENOUS SOLUTION,93606.74,36506.63,,,0
NDC,55513-077-01,TARLATAMAB-DLLE 10 MG INTRAVENOUS SOLUTION,93606.8,36506.65,,,0
NDC,55513-103-01,TARLATAMAB-DLLE 1 MG INTRAVENOUS SOLUTION,9360.0,3650.4,,,0
NDC,55513-111-01,DARBEPOETIN ALFA 300 MCG/0.6 ML IN POLYSORBATE INJECTION SYRINGE,13487.0,5259.93,,,0
NDC,55513-112-01,TEZEPELUMAB-EKKO 210 MG/1.91 ML (110 MG/ML) SUBCUTANEOUS SYRINGE,30451.7,11876.16,,,0
NDC,55513-126-10,"EPOETIN ALFA 2,000 UNIT/ML INJECTION SOLUTION",39.7,15.48,,,0
NDC,55513-132-01,TRASTUZUMAB-ANNS 420 MG INTRAVENOUS SOLUTION,29195.28,11386.16,,,0
NDC,55513-137-60,APREMILAST 30 MG TABLET,680.6,265.43,,,0
NDC,55513-141-01,TRASTUZUMAB-ANNS 150 MG INTRAVENOUS SOLUTION,2546.1,992.98,,,0
NDC,55513-144-10,"EPOETIN ALFA 10,000 UNIT/ML INJECTION SOLUTION",1155.7,450.72,,,0
NDC,55513-148-10,"EPOETIN ALFA 4,000 UNIT/ML INJECTION SOLUTION",39.7,15.48,,,0
NDC,55513-160-01,BLINATUMOMAB 35 MCG INTRAVENOUS KIT,194175.8,75728.56,,,0
NDC,55513-190-01,PEGFILGRASTIM 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,44733.4,17446.03,,,0
NDC,55513-192-01,PEGFILGRASTIM 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUTANEOUS INJECTOR,44733.4,17446.03,,,0
NDC,55513-206-01,BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION,8707.7,3396.0,,,0
NDC,55513-207-01,BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION,1698.0,662.22,,,0
NDC,55513-209-91,FILGRASTIM 480 MCG/0.8 ML INJECTION SYRINGE,3704.1,1444.6,,,0
NDC,55513-221-01,ROMIPLOSTIM 250 MCG SUBCUTANEOUS SOLUTION,2302.7,898.05,,,0
NDC,55513-222-01,ROMIPLOSTIM 500 MCG SUBCUTANEOUS SOLUTION,0.01,0.0039,,,0
NDC,55513-223-01,ROMIPLOSTIM 125 MCG SUBCUTANEOUS SOLUTION,8443.09,3292.81,,,0
NDC,55513-224-01,RITUXIMAB-ARRX 10 MG/ML INTRAVENOUS SOLUTION,8945.7,3488.82,,,0
NDC,55513-267-10,"EPOETIN ALFA 3,000 UNIT/ML INJECTION SOLUTION",85.0,33.15,,,0
NDC,55513-326-01,RITUXIMAB-ARRX 10 MG/ML INTRAVENOUS SOLUTION,22364.2,8722.04,,,0
NDC,55513-478-10,"EPOETIN ALFA 20,000 UNIT/ML INJECTION SOLUTION",2311.3,901.41,,,0
NDC,55513-546-10,FILGRASTIM 480 MCG/1.6 ML INJECTION SOLUTION,3494.3,1362.78,,,0
NDC,55513-670-01,INFLIXIMAB-AXXQ 100 MG INTRAVENOUS SOLUTION,0.01,0.0039,,,0
NDC,55513-710-01,DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE,13071.8,5098.0,,,0
NDC,55513-710-21,DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE,13071.8,5098.0,,,0
NDC,55513-730-01,DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION,24044.7,9377.43,,,0
NDC,55513-800-60,IVABRADINE 5 MG TABLET,80.1,31.24,,,0
NDC,55513-810-60,IVABRADINE 7.5 MG TABLET,80.1,31.24,,,0
NDC,55513-924-10,FILGRASTIM 300 MCG/0.5 ML INJECTION SYRINGE,2325.9,907.1,,,0
NDC,55513-924-91,FILGRASTIM 300 MCG/0.5 ML INJECTION SYRINGE,2325.9,907.1,,,0
NDC,55513-954-01,PANITUMUMAB 100 MG/5 ML (20 MG/ML) INTRAVENOUS SOLUTION,11304.7,4408.83,,,0
NDC,55513-956-01,PANITUMUMAB 100 MG/5 ML (20 MG/ML) INTRAVENOUS SOLUTION,3391.5,1322.68,,,0
NDC,55513-998-01,ROMOSOZUMAB-AQQG 105 MG/1.17 ML SUBCUTANEOUS SYRINGE,18323.6,7146.2,,,0
NDC,55513-998-02,ROMOSOZUMAB-AQQG 210 MG/2.34 ML(105 MG/1.17 ML X2)SUBCUTANEOUS SYRINGE,18323.6,7146.2,,,0
NDC,55566-2200-0,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,346.5,135.14,,,0
NDC,55566-2800-1,"DINOPROSTONE ER 10 MG VAGINAL INSERT,CONTROLLED RELEASE",4219.9,1645.76,,,0
NDC,55566-8303-1,DEGARELIX 80 MG SUBCUTANEOUS SOLUTION,3048.0,1188.72,,,0
NDC,55566-8403-1,DEGARELIX 120 MG SUBCUTANEOUS SOLUTION,9510.9,3709.25,,,0
NDC,5556641001,SODIUM HYALURONATE 10 MG/ML(MW 2.4-3.6 MILLION)INTRA-ARTICULAR SYRINGE,2513.6,980.3,,,0
NDC,5618412041,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION",0.8,0.31,,,0
NDC,5707400177,"CALCIUM ACETATE 952 MG-ALUMINUM SULFATE 1,347 MG TOPICAL POWDER PACKET",2.1,0.82,,,0
NDC,57237-005-11,FLUCONAZOLE 150 MG TABLET,106.9,41.69,,,0
NDC,57237-008-30,MIRTAZAPINE 15 MG TABLET,20.8,8.11,,,0
NDC,57237-012-06,MIRTAZAPINE 30 MG DISINTEGRATING TABLET,18.7,7.29,,,0
NDC,57237-014-01,TAMSULOSIN 0.4 MG CAPSULE,32.4,12.64,,,0
NDC,57237-014-05,TAMSULOSIN 0.4 MG CAPSULE,64.7,25.23,,,0
NDC,57237-017-60,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",53.7,20.94,,,0
NDC,57237-018-30,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",60.3,23.52,,,0
NDC,57237-018-90,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",60.3,23.52,,,0
NDC,57237-019-30,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",60.3,23.52,,,0
NDC,57237-031-01,AMOXICILLIN 500 MG CAPSULE,4.8,1.87,,,0
NDC,57237-040-01,PENICILLIN V POTASSIUM 250 MG TABLET,13.1,5.11,,,0
NDC,57237-047-01,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",26.8,10.45,,,0
NDC,57237-048-01,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE",98.7,38.49,,,0
NDC,57237-049-60,GALANTAMINE 4 MG TABLET,24.5,9.56,,,0
NDC,57237-050-60,GALANTAMINE 8 MG TABLET,12.3,4.8,,,0
NDC,57237-077-10,ONDANSETRON 4 MG DISINTEGRATING TABLET,171.0,66.69,,,0
NDC,57237-077-30,ONDANSETRON 4 MG DISINTEGRATING TABLET,171.0,66.69,,,0
NDC,57237-078-10,ONDANSETRON 8 MG DISINTEGRATING TABLET,854.5,333.26,,,0
NDC,57237-100-99,METOPROLOL TARTRATE 25 MG TABLET,4.8,1.87,,,0
NDC,57237-106-01,"DIVALPROEX 125 MG TABLET,DELAYED RELEASE",6.9,2.69,,,0
NDC,57237-149-35,FLUCONAZOLE 10 MG/ML ORAL SUSPENSION,314.8,122.77,,,0
NDC,57237-150-35,FLUCONAZOLE 40 MG/ML ORAL SUSPENSION,71.5,27.88,,,0
NDC,57237-155-90,MODAFINIL 200 MG TABLET,511.4,199.45,,,0
NDC,57237-172-01,VENLAFAXINE 25 MG TABLET,29.9,11.66,,,0
NDC,57237-174-01,VENLAFAXINE 50 MG TABLET,15.9,6.2,,,0
NDC,57237-175-01,VENLAFAXINE 75 MG TABLET,16.8,6.55,,,0
NDC,57237-180-90,PRAMIPEXOLE 0.125 MG TABLET,45.3,17.67,,,0
NDC,57237-181-90,PRAMIPEXOLE 0.25 MG TABLET,22.7,8.85,,,0
NDC,57237-184-90,PRAMIPEXOLE 1 MG TABLET,22.7,8.85,,,0
NDC,57237-185-90,PRAMIPEXOLE 1.5 MG TABLET,22.7,8.85,,,0
NDC,57237-219-30,PIOGLITAZONE 15 MG TABLET,53.8,20.98,,,0
NDC,57237-220-30,PIOGLITAZONE 30 MG TABLET,82.2,32.06,,,0
NDC,57237-274-24,LAMIVUDINE 10 MG/ML ORAL SOLUTION,38.3,14.94,,,0
NDC,57237-305-12,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,0.8,0.31,,,0
NDC,57237-305-16,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,0.4,0.16,,,0
NDC,57237-313-18,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL LIQUID,13.8,5.38,,,0
NDC,57237-314-03,MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION,14.8,5.77,,,0
NDC,57237-326-21,GLYCERIN (CHILD) RECTAL SUPPOSITORY,0.6,0.23,,,0
NDC,57237-327-21,BISACODYL 10 MG RECTAL SUPPOSITORY,2.2,0.86,,,0
NDC,5723731151,FERROUS SULFATE 300 MG (60 MG IRON)/5 ML ORAL LIQUID,17.3,6.75,,,0
NDC,5723731931,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION,40.3,15.72,,,0
NDC,57664-014-72,TRAZODONE 50 MG TABLET,4.8,1.87,,,0
NDC,57664-136-88,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE",4.8,1.87,,,0
NDC,57664-187-88,OXYCODONE 15 MG TABLET,4.8,1.87,,,0
NDC,57664-223-88,OXYCODONE 5 MG TABLET,4.8,1.87,,,0
NDC,57664-377-08,TRAMADOL 50 MG TABLET,4.8,1.87,,,0
NDC,57664-377-13,TRAMADOL 50 MG TABLET,4.8,1.87,,,0
NDC,57664-437-88,DIGOXIN 125 MCG (0.125 MG) TABLET,11.0,4.29,,,0
NDC,57664-477-52,METOPROLOL TARTRATE 50 MG TABLET,4.8,1.87,,,0
NDC,57664-503-18,TIZANIDINE 4 MG TABLET,11.3,4.41,,,0
NDC,57664-596-40,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,57664-683-57,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,532.9,207.83,,,0
NDC,57664-785-86,CLONAZEPAM 0.5 MG DISINTEGRATING TABLET,7.2,2.81,,,0
NDC,57664-808-88,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,4.8,1.87,,,0
NDC,57894-030-01,INFLIXIMAB 100 MG INTRAVENOUS SOLUTION,32558.9,12697.97,,,0
NDC,57894-054-27,USTEKINUMAB 130 MG/26 ML INTRAVENOUS SOLUTION,59095.9,23047.4,,,0
NDC,57894-160-01,INFLIXIMAB 100 MG INTRAVENOUS SOLUTION,1324.3,516.48,,,0
NDC,57894-350-01,GOLIMUMAB 12.5 MG/ML INTRAVENOUS SOLUTION,64655.5,25215.64,,,0
NDC,57894-450-01,TECLISTAMAB-CQYV 90 MG/ML SUBCUTANEOUS SOLUTION,11094.2,4326.74,,,0
NDC,57894-469-01,TALQUETAMAB-TGVS 2 MG/ML SUBCUTANEOUS SOLUTION,3997.4,1558.99,,,0
NDC,57894-470-01,TALQUETAMAB-TGVS 40 MG/ML SUBCUTANEOUS SOLUTION,36845.0,14369.55,,,0
NDC,57894-501-01,AMIVANTAMAB-VMJW 50 MG/ML INTRAVENOUS SOLUTION,71261.0,27791.79,,,0
NDC,57894-503-01,"DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN",65968.5,25727.72,,,0
NDC,57894-505-05,DARATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION,1064.8,415.27,,,0
NDC,57894-505-20,DARATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION,0.01,0.0039,,,0
NDC,57894-640-01,GUSELKUMAB 100 MG/ML SUBCUTANEOUS SYRINGE,0.01,0.0039,,,0
NDC,57896-102-01,ACETAMINOPHEN 325 MG TABLET,0.6,0.23,,,0
NDC,57896-104-10,ACETAMINOPHEN 325 MG TABLET,0.6,0.23,,,0
NDC,57896-111-14,BACITRACIN TOPICAL OINTMENT (WRAPPED),0.6,0.23,,,0
NDC,57896-114-14,WHITE PETROLATUM TOPICAL OINTMENT IN PACKET,1.4,0.55,,,0
NDC,57896-131-01,DIBUCAINE 1 % TOPICAL OINTMENT,42.1,16.42,,,0
NDC,57896-140-01,DICLOFENAC 1 % TOPICAL GEL,76.7,29.91,,,0
NDC,57896-143-09,"NEOMYCIN-BACITRACN ZN-POLYMYXN 3.5 MG-400 UNIT-5,000 UNIT TOP OINT PKT",0.6,0.23,,,0
NDC,57896-145-14,BACITRACIN TOPICAL OINTMENT (WRAPPED),2.9,1.13,,,0
NDC,57896-204-01,ACETAMINOPHEN 500 MG TABLET,0.6,0.23,,,0
NDC,57896-303-01,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET,0.6,0.23,,,0
NDC,57896-303-10,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET,0.6,0.23,,,0
NDC,57896-304-01,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET,0.6,0.23,,,0
NDC,57896-304-10,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET,0.6,0.23,,,0
NDC,57896-441-01,"BISACODYL 5 MG TABLET,DELAYED RELEASE",0.6,0.23,,,0
NDC,57896-443-01,BISACODYL 10 MG RECTAL SUPPOSITORY,0.6,0.23,,,0
NDC,57896-444-01,BISACODYL 10 MG RECTAL SUPPOSITORY,0.6,0.23,,,0
NDC,57896-555-10,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET,0.6,0.23,,,0
NDC,57896-763-15,CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET,0.6,0.23,,,0
NDC,57896-791-01,SIMETHICONE 80 MG CHEWABLE TABLET,0.6,0.23,,,0
NDC,57896-901-01,ASPIRIN 325 MG TABLET,0.6,0.23,,,0
NDC,57896-901-10,ASPIRIN 325 MG TABLET,0.6,0.23,,,0
NDC,57896-911-36,ASPIRIN 81 MG CHEWABLE TABLET,0.6,0.23,,,0
NDC,57896-921-01,"ASPIRIN 325 MG TABLET,DELAYED RELEASE",0.6,0.23,,,0
NDC,57896-941-01,IBUPROFEN 200 MG TABLET,0.1,0.04,,,0
NDC,57896-981-01,"ASPIRIN 81 MG TABLET,DELAYED RELEASE",0.6,0.23,,,0
NDC,5789660101,THERAPEUTIC MULTIVITAMIN TABLET,4.8,1.87,,,0
NDC,5789675201,VITAMIN E 268 MG (400 UNIT) CAPSULE,0.6,0.23,,,0
NDC,5789684401,"POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET",4.8,1.87,,,0
NDC,5789686406,MELATONIN 3 MG TABLET,4.8,1.87,,,0
NDC,5789686501,ZINC SULFATE 50 MG ZINC (220 MG) TABLET,0.6,0.23,,,0
NDC,5789687503,COENZYME Q10 100 MG CAPSULE,1.2,0.47,,,0
NDC,57970-100-01,DALBAVANCIN 500 MG INTRAVENOUS SOLUTION,37201.7,14508.66,,,0
NDC,58151-110-32,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,29.4,11.47,,,0
NDC,58151-310-94,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,12.5,4.88,,,0
NDC,58151-354-32,AMLODIPINE 5 MG TABLET,132.6,51.71,,,0
NDC,58160-740-21,"ROTAVIRUS VACCINE, LIVE, 89-12 STRAIN G1P(8) 10EXP6 CCID50/1.5 ML SUSP",1121.9,437.54,,,0
NDC,58160-810-52,"DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE",233.5,91.06,,,0
NDC,58160-811-52,HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE,804.7,313.83,,,0
NDC,58160-812-52,"DIPH,PERTUS(ACELL),TET,POLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE",0.01,0.0039,,,0
NDC,58160-815-52,HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE,912.6,355.91,,,0
NDC,58160-816-03,HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN,106.1,41.38,,,0
NDC,58160-820-52,HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML (WRAPPED),243.5,94.96,,,0
NDC,58160-821-52,HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE,498.3,194.34,,,0
NDC,58160-823-11,"VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT",1502.1,585.82,,,0
NDC,58160-824-15,"MEASLES,MUMPS,RUBELLA VACC LIVE(PF)10EXP3.4-4.2-3.3CCID50/0.5ML SUBCUT",0.01,0.0039,,,0
NDC,58160-825-52,HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML IM SYRINGE,0.01,0.0039,,,0
NDC,58160-826-52,"HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE",364.7,142.23,,,0
NDC,58160-827-30,"MENINGOCOCCAL VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION (MENVEO 1-VIAL FORMULATION)",1157.0,451.23,,,0
NDC,58160-842-11,"DIPHTH,PERTUSSIS(ACELL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5 ML IM SUSP",363.4,141.73,,,0
NDC,58160-842-34,"DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE",363.4,141.73,,,0
NDC,58160-842-52,"DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE",397.1,154.87,,,0
NDC,58160-884-41,FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE,162.1,63.22,,,0
NDC,58160-955-09,"MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS)",1157.1,451.27,,,0
NDC,58160-976-20,"MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE",1647.6,642.56,,,0
NDC,5820400400,"PEDIATRIC MULTIVITAMIN NO.61-VIT D3 1,500 UNIT-VIT K 800 MCG CAPSULE",5.1,1.99,,,0
NDC,5820400404,PEDI MULTIVIT NO.77-VIT D3 750 UNIT-VIT K 500 MCG/0.5 ML ORAL DROPS,4.8,1.87,,,0
NDC,58232-4002-9,NEOMYCIN-BACITRACIN-POLYMYCIN TOPICAL OINTMENT (WRAPPED),0.8,0.31,,,0
NDC,58232-4034-1,"BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOP OINT PACKET",1.7,0.66,,,0
NDC,58394-023-03,"ANTIHEMOPHILIC FVIII,REC B-DOMAIN DELETED 500 (+/-) UNIT IV SYRINGE",0.01,0.0039,,,0
NDC,58394-024-03,"ANTIHEMOPHILIC FVIII,REC B-DOMAIN DELETED 1,000 (+/-) UNIT IV SYRINGE",0.01,0.0039,,,0
NDC,58394-634-03,COAGULATION FACTOR IX (RECOMB) 500 UNIT INTRAVENOUS SOLUTION,33550.0,13084.5,,,0
NDC,58394-635-03,"COAGULATION FACTOR IX (RECOMB) 1,000 UNIT INTRAVENOUS SOLUTION",54288.0,21172.32,,,0
NDC,58468-0030-2,THYROTROPIN ALFA 0.9 MG INTRAMUSCULAR SOLUTION,14094.3,5496.78,,,0
NDC,58468-0080-1,ANTI-THYMOCYTE GLOBULIN (RABBIT) 25 MG INTRAVENOUS SOLUTION,29724.6,11592.59,,,0
NDC,58468-0132-2,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET,68.5,26.72,,,0
NDC,58468-0225-1,CAPLACIZUMAB-YHDP 11 MG SOLUTION FOR INJECTION,59744.7,23300.43,,,0
NDC,5846800901,HYLAN G-F 20 16 MG/2 ML INTRA-ARTICULAR SYRINGE,3182.1,1241.02,,,0
NDC,5846800903,HYLAN G-F 20  48 MG/6 ML INTRA-ARTICULAR SYRINGE,9546.3,3723.06,,,0
NDC,5852600559,FERROUS SULFATE 300 MG (60 MG IRON)/5 ML ORAL LIQUID,17.5,6.82,,,0
NDC,58602-604-07,DICLOFENAC 1 % TOPICAL GEL,76.7,29.91,,,0
NDC,58602-702-04,LORATADINE 10 MG TABLET,0.9,0.35,,,0
NDC,58657-120-12,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET,0.8,0.31,,,0
NDC,58657-458-90,METHENAMINE 81 MG-M.BLUE 10.8 MG-SOD PHOS 40.8 MG-P.SALICY-HYOS TABLET,46.9,18.29,,,0
NDC,58657-525-16,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (DYE-FREE),0.9,0.35,,,0
NDC,58657-528-04,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,4.7,1.83,,,0
NDC,58657-528-16,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,4.9,1.91,,,0
NDC,58657-602-01,LABETALOL 100 MG TABLET,4.8,1.87,,,0
NDC,58657-675-01,CIPROFLOXACIN 250 MG TABLET,34.1,13.3,,,0
NDC,58657-676-01,CIPROFLOXACIN 500 MG TABLET,38.0,14.82,,,0
NDC,58657-704-01,HALOPERIDOL 10 MG TABLET,11.0,4.29,,,0
NDC,58790-003-30,CARBOXYMETHYLCELLULOSE SODIUM 1 % EYE GEL IN A DROPPERETTE,4.8,1.87,,,0
NDC,58914-080-52,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,717.9,279.98,,,0
NDC,58914-171-10,SUCRALFATE 1 GRAM TABLET,38.1,14.86,,,0
NDC,58914-501-56,"MESALAMINE 1,000 MG RECTAL SUPPOSITORY",297.1,115.87,,,0
NDC,58980-012-05,"BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOPICAL OINTMENT",18.4,7.18,,,0
NDC,58980-409-12,GLYCERIN (CHILD) RECTAL SUPPOSITORY,0.9,0.35,,,0
NDC,58980-409-25,GLYCERIN (CHILD) RECTAL SUPPOSITORY,0.6,0.23,,,0
NDC,58980-780-21,BALSAM PERU-CASTOR OIL TOPICAL OINTMENT,287.5,112.12,,,0
NDC,58980-824-15,LIDOCAINE 4 % TOPICAL CREAM,25.9,10.1,,,0
NDC,59011-410-10,"OXYCODONE ER 10 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",43.5,16.96,,,0
NDC,59011-410-20,"OXYCODONE ER 10 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",44.7,17.43,,,0
NDC,59011-420-10,"OXYCODONE ER 20 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",162.1,63.22,,,0
NDC,59011-420-20,"OXYCODONE ER 20 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",83.2,32.45,,,0
NDC,59011-440-20,"OXYCODONE ER 40 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",142.3,55.5,,,0
NDC,59011-480-20,"OXYCODONE ER 80 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",248.5,96.92,,,0
NDC,59011-750-04,BUPRENORPHINE 5 MCG/HOUR WEEKLY TRANSDERMAL PATCH,392.3,153.0,,,0
NDC,59137-231-01,AMINOLEVULINIC ACID HCL 30 MG/ML ORAL SOLUTION,20101.0,7839.39,,,0
NDC,59148-006-13,ARIPIPRAZOLE 2 MG TABLET,149.3,58.23,,,0
NDC,59148-019-71,"ARIPIPRAZOLE ER 400 MG INTRAMUSCULAR SUSPENSION,EXTENDED RELEASE",19654.3,7665.18,,,0
NDC,59148-021-50,TOLVAPTAN 15 MG SPLIT TABLET,2847.0,1110.33,,,0
NDC,59148-036-13,BREXPIPRAZOLE 0.5 MG TABLET,387.6,151.16,,,0
NDC,59148-038-13,BREXPIPRAZOLE 2 MG TABLET,387.6,151.16,,,0
NDC,59148-040-13,BREXPIPRAZOLE 4 MG TABLET,193.8,75.58,,,0
NDC,59338-775-01,FERUMOXYTOL 510 MG/17 ML (30 MG/ML) INTRAVENOUS SOLUTION,8319.6,3244.64,,,0
NDC,59353-010-10,"EPOETIN ALFA-EPBX 10,000 UNIT/ML INJECTION SOLUTION",768.8,299.83,,,0
NDC,59365-5128-1,COPPER 380 SQUARE MM INTRAUTERINE DEVICE,10477.3,4086.15,,,0
NDC,59385-021-60,BUPRENORPHINE HCL 75 MCG BUCCAL FILM,69.3,27.03,,,0
NDC,59385-022-60,BUPRENORPHINE HCL 150 MCG BUCCAL FILM,138.6,54.05,,,0
NDC,5952844561,"VIT B COMPLEX AND VIT C NO.24-FERROUS FUM 66 MG-FOLIC 1,000 MCG TABLET",4.8,1.87,,,0
NDC,59572-102-01,AZACITIDINE 100 MG SOLUTION FOR INJECTION,1972.1,769.12,,,0
NDC,59572-515-01,IDECABTAGENE VICLEUCEL 300 X 10EXP6 TO 510 X 10EXP6 CELL IV SUSPENSION,2641562.2,1030209.26,,,0
NDC,59572-711-01,LUSPATERCEPT-AAMT 25 MG SUBCUTANEOUS SOLUTION,28106.5,10961.54,,,0
NDC,59572-775-01,LUSPATERCEPT-AAMT 75 MG SUBCUTANEOUS SOLUTION,84319.1,32884.45,,,0
NDC,59584-138-01,CANDIDA ALBICANS SKIN TEST FDA STANDARD INTRADERMAL,657.6,256.46,,,0
NDC,59630-266-10,CEFIDEROCOL 1 GRAM INTRAVENOUS SOLUTION,3245.8,1265.86,,,0
NDC,59651-018-90,"NIACIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",35.9,14.0,,,0
NDC,59651-026-01,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 62.5 MG/5 ML ORAL SUSPENSION,115.9,45.2,,,0
NDC,59651-026-55,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 62.5 MG/5 ML ORAL SUSPENSION,65.0,25.35,,,0
NDC,59651-026-75,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 62.5 MG/5 ML ORAL SUSPENSION,60.9,23.75,,,0
NDC,59651-032-47,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,2.1,0.82,,,0
NDC,59651-052-90,EZETIMIBE 10 MG TABLET,78.9,30.77,,,0
NDC,59651-086-30,DARUNAVIR 800 MG TABLET,578.6,225.65,,,0
NDC,59651-105-69,ELETRIPTAN 40 MG TABLET,471.4,183.85,,,0
NDC,59651-138-30,NEBIVOLOL 5 MG TABLET,36.4,14.2,,,0
NDC,59651-152-01,PROGESTERONE MICRONIZED 100 MG CAPSULE,16.2,6.32,,,0
NDC,59651-240-90,IMATINIB 100 MG TABLET,3878.3,1512.54,,,0
NDC,59651-241-30,IMATINIB 400 MG TABLET,2795.1,1090.09,,,0
NDC,59651-256-01,PROPAFENONE 150 MG TABLET,12.6,4.91,,,0
NDC,59651-295-01,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE",10.7,4.17,,,0
NDC,59651-296-01,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE",19.1,7.45,,,0
NDC,59651-297-01,"NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE",23.3,9.09,,,0
NDC,59651-299-60,TAMOXIFEN 10 MG TABLET,14.6,5.69,,,0
NDC,59651-300-30,TAMOXIFEN 20 MG TABLET,29.1,11.35,,,0
NDC,59651-332-01,FLUCYTOSINE 500 MG CAPSULE,6090.2,2375.18,,,0
NDC,59651-413-50,HYDROCORTISONE 5 MG TABLET,4.8,1.87,,,0
NDC,59651-453-60,TOPIRAMATE 25 MG SPRINKLE CAPSULE,22.5,8.78,,,0
NDC,59651-457-01,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,9.2,3.59,,,0
NDC,59651-484-01,PREDNISONE 1 MG TABLET,9.8,3.82,,,0
NDC,59651-486-01,PREDNISONE 5 MG TABLET,4.8,1.87,,,0
NDC,59651-488-01,PREDNISONE 20 MG TABLET,6.0,2.34,,,0
NDC,59651-489-01,PREDNISONE 50 MG TABLET,3.2,1.25,,,0
NDC,59651-516-30,EXEMESTANE 25 MG TABLET,155.2,60.53,,,0
NDC,59651-589-01,NADOLOL 20 MG TABLET,26.1,10.18,,,0
NDC,59651-722-01,CLONAZEPAM 0.5 MG TABLET,5.8,2.26,,,0
NDC,59651-723-01,CLONAZEPAM 1 MG TABLET,6.6,2.57,,,0
NDC,59651-723-99,CLONAZEPAM 1 MG TABLET,6.6,2.57,,,0
NDC,59651-780-30,"GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR",9.4,3.67,,,0
NDC,59651-840-01,GUANFACINE 1 MG TABLET,7.8,3.04,,,0
NDC,59651-867-01,CIPROFLOXACIN 500 MG TABLET,42.9,16.73,,,0
NDC,59651-867-05,CIPROFLOXACIN 500 MG TABLET,19.0,7.41,,,0
NDC,59676-278-01,RILPIVIRINE HCL 25 MG TABLET,379.3,147.93,,,0
NDC,59676-302-01,"EPOETIN ALFA 2,000 UNIT/ML INJECTION SOLUTION",319.6,124.64,,,0
NDC,59676-303-01,"EPOETIN ALFA 3,000 UNIT/ML INJECTION SOLUTION",146.6,57.17,,,0
NDC,59676-304-01,"EPOETIN ALFA 4,000 UNIT/ML INJECTION SOLUTION",745.1,290.59,,,0
NDC,59676-310-01,"EPOETIN ALFA 10,000 UNIT/ML INJECTION SOLUTION",1862.8,726.49,,,0
NDC,59676-310-02,"EPOETIN ALFA 10,000 UNIT/ML INJECTION SOLUTION",3725.4,1452.91,,,0
NDC,59676-312-04,"EPOETIN ALFA 20,000 UNIT/2 ML INJECTION SOLUTION",3725.5,1452.94,,,0
NDC,59676-320-04,"EPOETIN ALFA 20,000 UNIT/ML INJECTION SOLUTION",7451.0,2905.89,,,0
NDC,59676-340-01,"EPOETIN ALFA 40,000 UNIT/ML INJECTION SOLUTION",7451.0,2905.89,,,0
NDC,59676-566-30,DARUNAVIR 800 MG TABLET,551.8,215.2,,,0
NDC,59676-575-30,DARUNAVIR 800 MG-COBICISTAT 150 MG TABLET,630.7,245.97,,,0
NDC,59676-610-01,TRABECTEDIN 1 MG INTRAVENOUS SOLUTION,51338.0,20021.82,,,0
NDC,59676-800-30,DARUNAVIR 800 MG-COB 150 MG-EMTRICIT 200 MG-TENOFO ALAFEN 10 MG TABLET,1206.0,470.34,,,0
NDC,59746-001-06,METHYLPREDNISOLONE 4 MG TABLET,12.7,4.95,,,0
NDC,59746-003-14,METHYLPREDNISOLONE 16 MG TABLET,35.8,13.96,,,0
NDC,59746-010-32,RISPERIDONE 0.5 MG DISINTEGRATING TABLET,37.8,14.74,,,0
NDC,59746-020-22,RISPERIDONE 1 MG DISINTEGRATING TABLET,21.2,8.27,,,0
NDC,59746-113-06,PROCHLORPERAZINE MALEATE 5 MG TABLET,4.8,1.87,,,0
NDC,59746-115-06,PROCHLORPERAZINE MALEATE 10 MG TABLET,6.9,2.69,,,0
NDC,59746-175-06,PREDNISONE 20 MG TABLET,23.1,9.01,,,0
NDC,59746-175-09,PREDNISONE 20 MG TABLET,21.9,8.54,,,0
NDC,59746-216-01,SPIRONOLACTONE 25 MG TABLET,4.8,1.87,,,0
NDC,59746-383-06,TERAZOSIN 1 MG CAPSULE,12.4,4.84,,,0
NDC,59746-384-06,TERAZOSIN 2 MG CAPSULE,12.4,4.84,,,0
NDC,59746-385-06,TERAZOSIN 5 MG CAPSULE,24.7,9.63,,,0
NDC,59746-789-01,"CARBAMAZEPINE ER 100 MG TABLET,EXTENDED RELEASE,12 HR",26.4,10.3,,,0
NDC,59762-0050-1,METHYLPREDNISOLONE 16 MG TABLET,54.4,21.22,,,0
NDC,59762-0073-1,HYDROCORTISONE 5 MG TABLET,4.8,1.87,,,0
NDC,59762-0074-1,HYDROCORTISONE 10 MG TABLET,4.8,1.87,,,0
NDC,59762-0075-1,HYDROCORTISONE 20 MG TABLET,41.7,16.26,,,0
NDC,59762-0170-6,TOLTERODINE 1 MG TABLET,25.4,9.91,,,0
NDC,59762-0333-2,LATANOPROST 0.005 % EYE DROPS,52.2,20.36,,,0
NDC,59762-0450-1,COLESTIPOL 1 GRAM TABLET,9.7,3.78,,,0
NDC,59762-0540-1,"GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR",4.8,1.87,,,0
NDC,59762-0800-2,TOLTERODINE 2 MG TABLET,13.1,5.11,,,0
NDC,59762-1061-1,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET,4.8,1.87,,,0
NDC,59762-1206-1,LIOTHYRONINE 5 MCG TABLET,6.6,2.57,,,0
NDC,59762-1350-1,RIFABUTIN 150 MG CAPSULE,268.4,104.68,,,0
NDC,59762-1520-1,AMLODIPINE 2.5 MG TABLET,4.8,1.87,,,0
NDC,59762-1710-1,EPLERENONE 25 MG TABLET,11.9,4.64,,,0
NDC,59762-3130-1,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,41.0,15.99,,,0
NDC,59762-3140-1,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,33.0,12.87,,,0
NDC,59762-3304-3,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,7.9,3.08,,,0
NDC,59762-3719-1,ALPRAZOLAM 0.25 MG TABLET,4.8,1.87,,,0
NDC,59762-3720-1,ALPRAZOLAM 0.5 MG TABLET,5.7,2.22,,,0
NDC,59762-3721-1,ALPRAZOLAM 1 MG TABLET,4.8,1.87,,,0
NDC,59762-3742-2,MEDROXYPROGESTERONE 10 MG TABLET,4.8,1.87,,,0
NDC,59762-5000-5,SULFASALAZINE 500 MG TABLET,4.8,1.87,,,0
NDC,59762-5000-6,SULFASALAZINE 500 MG TABLET,4.8,1.87,,,0
NDC,59762-5007-1,MISOPROSTOL 100 MCG TABLET,6.4,2.5,,,0
NDC,59762-5008-1,MISOPROSTOL 200 MCG TABLET,27.6,10.76,,,0
NDC,59779-823-34,"NEOMY-BACIT-POLYMYX-PRAMOXINE 3.5 MG-500 UNIT-10,000 UNIT/G TOP OINT",30.0,11.7,,,0
NDC,5978122550,ARGININE 7 GRAM-GLUTAMINE 7 GRAM-CALCIUM HMB 1.5 GRAM ORAL POWDER PACK,0.01,0.0039,,,0
NDC,5978157935,ARGININE 7 GRAM-GLUTAMINE 7 GRAM-CALCIUM HMB 1.5 GRAM ORAL POWDER PACK,0.01,0.0039,,,0
NDC,59857000322,NDC Description Not Available,69.97,27.29,,,0
NDC,59922-631-01,FERRIC CITRATE 210 MG IRON TABLET,118.8,46.33,,,0
NDC,59923-615-01,TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION,19.6,7.64,,,0
NDC,60219-1264-1,OSELTAMIVIR 30 MG CAPSULE,108.8,42.43,,,0
NDC,60219-1266-1,OSELTAMIVIR 75 MG CAPSULE,118.6,46.25,,,0
NDC,60219-1503-1,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL POWDER FOR SUSPENSION,155.5,60.64,,,0
NDC,60219-1522-1,TETRACYCLINE 250 MG CAPSULE,120.9,47.15,,,0
NDC,60219-1617-1,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,82.4,32.14,,,0
NDC,60219-1675-1,THIOTHIXENE 5 MG CAPSULE,18.3,7.14,,,0
NDC,60219-1708-1,PREDNISONE 20 MG TABLET,4.8,1.87,,,0
NDC,60219-1722-6,ETRAVIRINE 200 MG TABLET,205.8,80.26,,,0
NDC,60219-1749-3,ATROPINE 1 % EYE DROPS,447.8,174.64,,,0
NDC,60219-2090-4,FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION,10.5,4.1,,,0
NDC,60219-2348-1,TRAMADOL 50 MG TABLET,6.4,2.5,,,0
NDC,6025800601,"POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET",4.8,1.87,,,0
NDC,6025800615,"POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET",4.8,1.87,,,0
NDC,6025816001,VITAMIN B COMPLEX-VITAMIN C-FOLIC ACID 0.8 MG TABLET,4.8,1.87,,,0
NDC,6025817201,MAGNESIUM GLUCONATE 27 MG MAGNESIUM (500 MG) TABLET,4.8,1.87,,,0
NDC,60267-705-50,SODIUM THIOSULFATE 12.5 GRAM/50 ML (250 MG/ML) INTRAVENOUS SOLUTION,836.4,326.2,,,0
NDC,6039121024,CARBOXYDEXTRAN-COATED SUPERPARAMAGNETIC IRON OXIDE SUSPENSION,998.3,389.34,,,0
NDC,60432-065-75,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 62.5 MG/5 ML ORAL SUSPENSION,39.8,15.52,,,0
NDC,60432-150-04,HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION,16.3,6.36,,,0
NDC,60432-537-16,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",4.8,1.87,,,0
NDC,60432-604-16,PROMETHAZINE-DM 6.25 MG-15 MG/5 ML ORAL SYRUP,4.8,1.87,,,0
NDC,60505-0014-6,"DILTIAZEM 120 MG CAPSULE, EXTENDED RELEASE (WRAPPED)",8.8,3.43,,,0
NDC,60505-0016-6,"DILTIAZEM 240 MG CAPSULE, EXTENDED RELEASE (WRAPPED)",11.0,4.29,,,0
NDC,60505-0033-6,"PENTOXIFYLLINE ER 400 MG TABLET,EXTENDED RELEASE",8.8,3.43,,,0
NDC,60505-0080-0,SOTALOL 80 MG TABLET,9.9,3.86,,,0
NDC,60505-0081-0,SOTALOL 160 MG TABLET,32.8,12.79,,,0
NDC,60505-0141-0,GLIPIZIDE 5 MG TABLET,4.8,1.87,,,0
NDC,60505-0142-0,GLIPIZIDE 10 MG TABLET,5.2,2.03,,,0
NDC,60505-0159-0,SOTALOL 120 MG TABLET,26.3,10.26,,,0
NDC,60505-0257-1,DESMOPRESSIN 0.1 MG TABLET,23.2,9.05,,,0
NDC,60505-0749-5,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,19.6,7.64,,,0
NDC,60505-0759-5,CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION,95.9,37.4,,,0
NDC,60505-0823-6,CALCITONIN (SALMON) 200 UNIT/ACTUATION NASAL SPRAY,909.3,354.63,,,0
NDC,60505-0827-1,IPRATROPIUM BROMIDE 42 MCG (0.06 %) NASAL SPRAY,734.2,286.34,,,0
NDC,60505-0829-1,"FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION",654.0,255.06,,,0
NDC,60505-0833-5,AZELASTINE 137 MCG (0.1 %) NASAL SPRAY,807.2,314.81,,,0
NDC,60505-1316-3,"PAROXETINE ER 12.5 MG TABLET,EXTENDED RELEASE 24 HR",42.8,16.69,,,0
NDC,60505-1317-3,"PAROXETINE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",44.7,17.43,,,0
NDC,60505-2575-7,BALSALAZIDE 750 MG CAPSULE,36.8,14.35,,,0
NDC,60505-2578-9,ATORVASTATIN 10 MG TABLET,31.1,12.13,,,0
NDC,60505-2580-8,ATORVASTATIN 40 MG TABLET,44.3,17.28,,,0
NDC,60505-2580-9,ATORVASTATIN 40 MG TABLET,44.3,17.28,,,0
NDC,60505-2657-1,TRIAMTERENE 75 MG-HYDROCHLOROTHIAZIDE 50 MG TABLET,8.6,3.35,,,0
NDC,60505-2671-9,ATORVASTATIN 80 MG TABLET,44.3,17.28,,,0
NDC,60505-3110-0,OLANZAPINE 2.5 MG TABLET,85.9,33.5,,,0
NDC,60505-3111-0,OLANZAPINE 5 MG TABLET,50.7,19.77,,,0
NDC,60505-3112-0,OLANZAPINE 7.5 MG TABLET,123.4,48.13,,,0
NDC,60505-3113-0,OLANZAPINE 10 MG TABLET,152.8,59.59,,,0
NDC,60505-3251-6,LAMIVUDINE 150 MG TABLET,109.9,42.86,,,0
NDC,60505-3275-0,OLANZAPINE 5 MG DISINTEGRATING TABLET,54.8,21.37,,,0
NDC,60505-3275-3,OLANZAPINE 5 MG DISINTEGRATING TABLET,109.5,42.7,,,0
NDC,60505-3276-0,OLANZAPINE 10 MG DISINTEGRATING TABLET,160.9,62.75,,,0
NDC,60505-3438-3,SELEGILINE 5 MG TABLET,16.2,6.32,,,0
NDC,60505-3927-1,"GUANFACINE ER 1 MG TABLET,EXTENDED RELEASE 24 HR",241.4,94.15,,,0
NDC,60505-4317-0,TOLVAPTAN 15 MG TABLET,4332.0,1689.48,,,0
NDC,60505-4373-3,VILAZODONE 20 MG TABLET,174.1,67.9,,,0
NDC,60505-4632-3,CYCLOSPORINE MODIFIED 100 MG CAPSULE (GENERIC),42.2,16.46,,,0
NDC,60505-4643-3,PRASUGREL HCL 10 MG TABLET,126.7,49.41,,,0
NDC,60505-4704-0,TOLVAPTAN 15 MG TABLET,4332.0,1689.48,,,0
NDC,60505-4755-1,CLORAZEPATE DIPOTASSIUM 7.5 MG TABLET,38.5,15.02,,,0
NDC,60505-6026-5,CEFOXITIN IVPB 2 G/100 ML NS (SIMPLE),170.8,66.61,,,0
NDC,60505-6031-1,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,344.7,134.43,,,0
NDC,60505-6116-0,REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE,300.3,117.12,,,0
NDC,60505-6128-0,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,201.3,78.51,,,0
NDC,60505-6128-1,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,675.3,263.37,,,0
NDC,60505-6130-0,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,17.8,6.94,,,0
NDC,60505-6130-5,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,60505-6132-6,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,387.6,151.16,,,0
NDC,60505-6132-7,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,748.8,292.03,,,0
NDC,60505-6142-5,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,44.6,17.39,,,0
NDC,60505-6144-4,CEFEPIME 1 GRAM SOLUTION FOR INJECTION,173.7,67.74,,,0
NDC,60505-6145-4,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,344.7,134.43,,,0
NDC,60505-6146-4,CEFEPIME 1 GRAM SOLUTION FOR INJECTION,114.6,44.69,,,0
NDC,60505-6147-4,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,344.7,134.43,,,0
NDC,60505-6148-4,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,392.5,153.08,,,0
NDC,60505-6151-4,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION,125.8,49.06,,,0
NDC,60505-6152-4,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION,239.1,93.25,,,0
NDC,60505-6159-4,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,185.8,72.46,,,0
NDC,60505-6162-5,MEMANTINE 2 MG/ML ORAL SOLUTION,39.3,15.33,,,0
NDC,60505-6193-1,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,1171.0,456.69,,,0
NDC,60505-6196-4,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,979.2,381.89,,,0
NDC,60505-6228-0,BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION,42688.7,16648.59,,,0
NDC,60505-6231-5,CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION,62.5,24.38,,,0
NDC,60505-6236-6,DEFEROXAMINE 500 MG SOLUTION FOR INJECTION,132.8,51.79,,,0
NDC,60505-6266-0,CEFAZOLIN 3 GRAM INTRAVENOUS SOLUTION,93.7,36.54,,,0
NDC,60505-6271-1,AZACITIDINE FOR SUBCUTANEOUS USE (25 MG/ML),5781.0,2254.59,,,0
NDC,60505-6279-0,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,365.5,142.54,,,0
NDC,60505-6282-1,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,56.8,22.15,,,0
NDC,60505-6287-4,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,1183.2,461.45,,,0
NDC,60505-7088-0,NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH,8.2,3.2,,,0
NDC,60505-7090-0,NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH,10.9,4.25,,,0
NDC,60687-100-01,URSODIOL 300 MG CAPSULE,58.7,22.89,,,0
NDC,60687-104-11,KETOROLAC 10 MG TABLET,56.1,21.88,,,0
NDC,60687-104-21,KETOROLAC 10 MG TABLET,56.1,21.88,,,0
NDC,60687-105-21,MEDROXYPROGESTERONE 10 MG TABLET,12.9,5.03,,,0
NDC,60687-112-21,ANASTROZOLE 1 MG TABLET,15.9,6.2,,,0
NDC,60687-113-01,CLONIDINE HCL 0.1 MG TABLET,8.4,3.28,,,0
NDC,60687-113-11,CLONIDINE ORAL SOLUTION 20 MCG/ML SIMPLE SYRUP (NEONATE/PEDS),4.8,1.87,,,0
NDC,60687-121-25,"ACAMPROSATE 333 MG TABLET,DELAYED RELEASE",62.5,24.38,,,0
NDC,60687-122-01,PREDNISONE 5 MG TABLET,4.8,1.87,,,0
NDC,60687-124-01,CLONIDINE HCL 0.2 MG TABLET,4.8,1.87,,,0
NDC,60687-129-01,DOCUSATE SODIUM 100 MG CAPSULE,1.0,0.39,,,0
NDC,60687-134-01,PREDNISONE 10 MG TABLET,1.7,0.66,,,0
NDC,60687-143-01,METFORMIN 850 MG TABLET,9.3,3.63,,,0
NDC,60687-145-01,PREDNISONE 20 MG TABLET,4.8,1.87,,,0
NDC,60687-152-01,CEPHALEXIN 250 MG CAPSULE,11.0,4.29,,,0
NDC,60687-155-01,METFORMIN 500 MG TABLET,5.4,2.11,,,0
NDC,60687-156-25,PHENYTOIN 50 MG CHEWABLE TABLET,27.7,10.8,,,0
NDC,60687-157-21,ARIPIPRAZOLE 2 MG TABLET,237.1,92.47,,,0
NDC,60687-161-01,HALOPERIDOL 5 MG TABLET,33.6,13.1,,,0
NDC,60687-163-01,CEPHALEXIN 500 MG CAPSULE,10.4,4.06,,,0
NDC,60687-168-01,ARIPIPRAZOLE 5 MG TABLET,230.5,89.9,,,0
NDC,60687-173-57,MEMANTINE 5 MG TABLET,6.2,2.42,,,0
NDC,60687-178-01,PRAVASTATIN 20 MG TABLET,49.9,19.46,,,0
NDC,60687-179-01,ARIPIPRAZOLE 10 MG TABLET,230.5,89.9,,,0
NDC,60687-184-57,MEMANTINE 10 MG TABLET,6.2,2.42,,,0
NDC,60687-191-21,ARIPIPRAZOLE 15 MG TABLET,237.1,92.47,,,0
NDC,60687-195-01,"DILTIAZEM 120 MG CAPSULE, EXTENDED RELEASE (WRAPPED)",7.5,2.92,,,0
NDC,60687-206-01,"DILTIAZEM 180 MG CAPSULE, EXTENDED RELEASE (WRAPPED)",7.5,2.92,,,0
NDC,60687-211-21,"DIVALPROEX 125 MG TABLET,DELAYED RELEASE",6.9,2.69,,,0
NDC,60687-215-01,"PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE",16.8,6.55,,,0
NDC,60687-217-01,"DILTIAZEM 240 MG CAPSULE, EXTENDED RELEASE (WRAPPED)",6.2,2.42,,,0
NDC,60687-224-01,GEMFIBROZIL 600 MG TABLET,17.8,6.94,,,0
NDC,60687-228-01,"DILTIAZEM CD 300 MG CAPSULE,EXTENDED RELEASE 24 HR",20.6,8.03,,,0
NDC,60687-229-01,LOPERAMIDE 2 MG CAPSULE,4.4,1.72,,,0
NDC,60687-230-01,ZONISAMIDE 100 MG CAPSULE,7.0,2.73,,,0
NDC,60687-230-11,ZONISAMIDE 10 MG/ML ORAL SUSPENSION (NEONATE/PEDS),7.0,2.73,,,0
NDC,60687-231-01,SERTRALINE 25 MG TABLET,4.8,1.87,,,0
NDC,60687-242-01,SERTRALINE 50 MG TABLET,4.8,1.87,,,0
NDC,60687-242-11,SERTRALINE 50 MG TABLET,4.4,1.72,,,0
NDC,60687-245-01,ROSUVASTATIN 10 MG TABLET,54.8,21.37,,,0
NDC,60687-249-67,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,53.4,20.83,,,0
NDC,60687-252-86,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION,125.8,49.06,,,0
NDC,60687-253-01,SERTRALINE 100 MG TABLET,4.8,1.87,,,0
NDC,60687-272-94,CEFUROXIME AXETIL 250 MG TABLET,63.3,24.69,,,0
NDC,60687-275-66,PHENYTOIN 100 MG/4 ML ORAL SUSPENSION,101.8,39.7,,,0
NDC,60687-282-01,AZITHROMYCIN 250 MG TABLET,64.7,25.23,,,0
NDC,60687-283-94,CEFUROXIME AXETIL 500 MG TABLET,42.2,16.46,,,0
NDC,60687-292-01,DONEPEZIL 5 MG TABLET,12.0,4.68,,,0
NDC,60687-293-01,NORTRIPTYLINE 25 MG CAPSULE,6.8,2.65,,,0
NDC,60687-299-25,ITRACONAZOLE 100 MG CAPSULE,61.4,23.95,,,0
NDC,60687-302-25,NADOLOL 20 MG TABLET,56.3,21.96,,,0
NDC,60687-303-01,DONEPEZIL 10 MG TABLET,4.8,1.87,,,0
NDC,60687-309-21,LINEZOLID 600 MG TABLET,969.0,377.91,,,0
NDC,60687-312-01,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",71.5,27.88,,,0
NDC,60687-313-25,NADOLOL 40 MG TABLET,30.5,11.9,,,0
NDC,60687-317-25,CHLORTHALIDONE 25 MG TABLET,17.7,6.9,,,0
NDC,60687-325-01,LISINOPRIL 10 MG TABLET,4.8,1.87,,,0
NDC,60687-326-25,ATOMOXETINE 40 MG CAPSULE,58.2,22.7,,,0
NDC,60687-327-01,QUETIAPINE 25 MG TABLET,14.5,5.66,,,0
NDC,60687-328-31,SEVELAMER CARBONATE 800 MG TABLET,50.2,19.58,,,0
NDC,60687-328-65,SEVELAMER CARBONATE 800 MG TABLET,61.7,24.06,,,0
NDC,60687-333-01,LISINOPRIL 20 MG TABLET,4.8,1.87,,,0
NDC,60687-336-65,MINOCYCLINE 100 MG CAPSULE,10.2,3.98,,,0
NDC,60687-340-01,BUPROPION HCL 75 MG TABLET,10.2,3.98,,,0
NDC,60687-345-01,CALCITRIOL 0.25 MCG CAPSULE,13.6,5.3,,,0
NDC,60687-346-01,BENZONATATE 100 MG CAPSULE,5.6,2.18,,,0
NDC,60687-349-01,QUETIAPINE 100 MG TABLET,49.7,19.38,,,0
NDC,60687-358-25,COLCHICINE 0.6 MG CAPSULE,62.6,24.41,,,0
NDC,60687-369-01,DICYCLOMINE 10 MG CAPSULE,10.2,3.98,,,0
NDC,60687-373-21,EZETIMIBE 10 MG TABLET,95.1,37.09,,,0
NDC,60687-375-01,DRONABINOL 2.5 MG CAPSULE,65.2,25.43,,,0
NDC,60687-377-01,ALPRAZOLAM 0.25 MG TABLET,4.8,1.87,,,0
NDC,60687-380-01,DICYCLOMINE 20 MG TABLET,4.8,1.87,,,0
NDC,60687-381-94,PHYTONADIONE (VITAMIN K1) 5 MG TABLET,620.2,241.88,,,0
NDC,60687-385-25,COLESEVELAM 625 MG TABLET,61.3,23.91,,,0
NDC,60687-386-21,DRONABINOL 5 MG CAPSULE,131.8,51.4,,,0
NDC,60687-388-11,ALPRAZOLAM 0.5 MG TABLET,4.8,1.87,,,0
NDC,60687-389-21,COLCHICINE 0.6 MG TABLET,85.6,33.38,,,0
NDC,60687-390-01,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",4.8,1.87,,,0
NDC,60687-391-01,PIOGLITAZONE 15 MG TABLET,19.4,7.57,,,0
NDC,60687-394-83,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,5.6,2.18,,,0
NDC,60687-395-83,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,4.8,1.87,,,0
NDC,60687-396-01,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,4.8,1.87,,,0
NDC,60687-397-25,"MESALAMINE 1.2 GRAM TABLET,DELAYED RELEASE",95.8,37.36,,,0
NDC,60687-398-01,MIDODRINE 5 MG TABLET,13.9,5.42,,,0
NDC,60687-402-01,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",8.6,3.35,,,0
NDC,60687-404-01,CLOZAPINE 25 MG TABLET,20.5,8.0,,,0
NDC,60687-405-83,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,6.0,2.34,,,0
NDC,60687-406-77,OXYCODONE 5 MG/5 ML ORAL SOLUTION,64.5,25.16,,,0
NDC,60687-409-25,MIDODRINE 10 MG TABLET,13.0,5.07,,,0
NDC,60687-413-01,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",25.7,10.02,,,0
NDC,60687-417-71,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,50.4,19.66,,,0
NDC,60687-418-01,HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET,8.5,3.32,,,0
NDC,60687-420-25,RITONAVIR 100 MG TABLET,86.3,33.66,,,0
NDC,60687-422-01,AMANTADINE HCL 100 MG CAPSULE,16.8,6.55,,,0
NDC,60687-423-21,CLOBAZAM 10 MG TABLET,24.0,9.36,,,0
NDC,60687-428-01,FINASTERIDE 5 MG TABLET,8.3,3.24,,,0
NDC,60687-430-01,CHLORPROMAZINE 25 MG TABLET,327.4,127.69,,,0
NDC,60687-431-92,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,13.5,5.26,,,0
NDC,60687-433-01,AMITRIPTYLINE 25 MG TABLET,8.0,3.12,,,0
NDC,60687-436-01,CELECOXIB 100 MG CAPSULE,70.9,27.65,,,0
NDC,60687-437-01,AMIODARONE 200 MG TABLET,4.8,1.87,,,0
NDC,60687-438-01,MYCOPHENOLATE MOFETIL 500 MG TABLET,24.0,9.36,,,0
NDC,60687-439-01,LABETALOL 100 MG TABLET,4.8,1.87,,,0
NDC,60687-441-11,CHLORPROMAZINE 50 MG TABLET,313.6,122.3,,,0
NDC,60687-443-01,TRAZODONE 50 MG TABLET,4.8,1.87,,,0
NDC,60687-444-01,AMITRIPTYLINE 50 MG TABLET,5.4,2.11,,,0
NDC,60687-446-01,IBUPROFEN 400 MG TABLET,4.8,1.87,,,0
NDC,60687-447-01,CELECOXIB 200 MG CAPSULE,37.3,14.55,,,0
NDC,60687-450-01,LABETALOL 200 MG TABLET,10.8,4.21,,,0
NDC,60687-451-21,EPLERENONE 25 MG TABLET,76.7,29.91,,,0
NDC,60687-453-01,LEVOTHYROXINE 25 MCG TABLET,4.8,1.87,,,0
NDC,60687-454-01,TRAZODONE 100 MG TABLET,1.8,0.7,,,0
NDC,60687-457-01,IBUPROFEN 600 MG TABLET,4.8,1.87,,,0
NDC,60687-459-01,"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR",399.2,155.69,,,0
NDC,60687-461-01,LABETALOL 300 MG TABLET,18.3,7.14,,,0
NDC,60687-464-01,LEVOTHYROXINE 50 MCG TABLET,4.8,1.87,,,0
NDC,60687-465-01,SPIRONOLACTONE 25 MG TABLET,4.8,1.87,,,0
NDC,60687-466-01,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",9.4,3.67,,,0
NDC,60687-468-01,IBUPROFEN 800 MG TABLET,4.8,1.87,,,0
NDC,60687-470-01,"PALIPERIDONE ER 6 MG TABLET,EXTENDED RELEASE 24 HR",133.1,51.91,,,0
NDC,60687-473-01,PREGABALIN 25 MG CAPSULE,24.9,9.71,,,0
NDC,60687-475-01,LEVOTHYROXINE 75 MCG TABLET,5.5,2.14,,,0
NDC,60687-476-01,SPIRONOLACTONE 50 MG TABLET,4.8,1.87,,,0
NDC,60687-479-01,CARBAMAZEPINE 100 MG CHEWABLE TABLET,13.5,5.26,,,0
NDC,60687-481-21,BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET,18.8,7.33,,,0
NDC,60687-484-01,PREGABALIN 50 MG CAPSULE,24.9,9.71,,,0
NDC,60687-486-01,LEVOTHYROXINE 88 MCG TABLET,5.4,2.11,,,0
NDC,60687-487-01,SPIRONOLACTONE 100 MG TABLET,6.8,2.65,,,0
NDC,60687-488-01,AMLODIPINE 5 MG TABLET,4.8,1.87,,,0
NDC,60687-494-01,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,17.3,6.75,,,0
NDC,60687-495-01,PREGABALIN 75 MG CAPSULE,12.5,4.88,,,0
NDC,60687-496-01,AMLODIPINE 10 MG TABLET,4.8,1.87,,,0
NDC,60687-497-01,LEVOTHYROXINE 100 MCG TABLET,5.6,2.18,,,0
NDC,60687-500-01,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE",14.8,5.77,,,0
NDC,60687-506-01,PREGABALIN 100 MG CAPSULE,12.5,4.88,,,0
NDC,60687-507-01,GABAPENTIN 600 MG TABLET,37.2,14.51,,,0
NDC,60687-508-01,LEVOTHYROXINE 112 MCG TABLET,6.3,2.46,,,0
NDC,60687-518-01,GABAPENTIN 800 MG TABLET,22.3,8.7,,,0
NDC,60687-519-01,LEVOTHYROXINE 125 MCG TABLET,13.1,5.11,,,0
NDC,60687-524-83,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,86.0,33.54,,,0
NDC,60687-525-21,CINACALCET 30 MG TABLET,713.4,278.23,,,0
NDC,60687-526-01,METRONIDAZOLE 250 MG TABLET,7.6,2.96,,,0
NDC,60687-530-01,LEVOTHYROXINE 150 MCG TABLET,6.8,2.65,,,0
NDC,60687-534-78,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,263.1,102.61,,,0
NDC,60687-538-21,FEBUXOSTAT 40 MG TABLET,23.1,9.01,,,0
NDC,60687-541-01,LEVOTHYROXINE 175 MCG TABLET,7.9,3.08,,,0
NDC,60687-544-01,CLONAZEPAM 0.5 MG TABLET,5.5,2.14,,,0
NDC,60687-549-21,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",12.9,5.03,,,0
NDC,60687-550-01,METRONIDAZOLE 500 MG TABLET,7.1,2.77,,,0
NDC,60687-552-01,LEVOTHYROXINE 200 MCG TABLET,9.3,3.63,,,0
NDC,60687-555-01,CLONAZEPAM 1 MG TABLET,5.5,2.14,,,0
NDC,60687-558-01,CYCLOBENZAPRINE 10 MG TABLET,4.8,1.87,,,0
NDC,60687-558-11,CYCLOBENZAPRINE 10 MG TABLET,4.8,1.87,,,0
NDC,60687-559-01,METHOCARBAMOL 500 MG TABLET,4.8,1.87,,,0
NDC,60687-559-11,METHOCARBAMOL 500 MG TABLET,4.8,1.87,,,0
NDC,60687-563-01,LEVOTHYROXINE 137 MCG TABLET,6.6,2.57,,,0
NDC,60687-568-01,METHOCARBAMOL 750 MG TABLET,4.8,1.87,,,0
NDC,60687-568-11,METHOCARBAMOL 750 MG TABLET,4.8,1.87,,,0
NDC,60687-570-01,PRAMIPEXOLE 0.25 MG TABLET,4.8,1.87,,,0
NDC,60687-576-10,MIDAZOLAM 10 MG/5 ML (2 MG/ML) ORAL SYRUP,98.2,38.3,,,0
NDC,60687-576-86,MIDAZOLAM 10 MG/5 ML (2 MG/ML) ORAL SYRUP,85.2,33.23,,,0
NDC,60687-577-01,ROPINIROLE 0.25 MG TABLET,5.1,1.99,,,0
NDC,60687-578-21,"ACETAZOLAMIDE ER 500 MG CAPSULE,EXTENDED RELEASE",43.8,17.08,,,0
NDC,60687-579-01,HYDROMORPHONE 2 MG TABLET,11.0,4.29,,,0
NDC,60687-580-01,GABAPENTIN 100 MG CAPSULE,4.8,1.87,,,0
NDC,60687-581-21,PRAMIPEXOLE 0.5 MG TABLET,11.6,4.52,,,0
NDC,60687-582-01,HYDROCORTISONE 10 MG TABLET,15.4,6.01,,,0
NDC,60687-583-21,"CARBAMAZEPINE ER 200 MG TABLET,EXTENDED RELEASE,12 HR",31.0,12.09,,,0
NDC,60687-584-21,MIRTAZAPINE 7.5 MG TABLET,52.5,20.48,,,0
NDC,60687-586-01,RIFAMPIN 300 MG CAPSULE,34.3,13.38,,,0
NDC,60687-587-01,PROPRANOLOL 10 MG TABLET,2.4,0.94,,,0
NDC,60687-588-01,ROPINIROLE 1 MG TABLET,26.7,10.41,,,0
NDC,60687-590-01,HYDROMORPHONE 4 MG TABLET,4.8,1.87,,,0
NDC,60687-591-01,GABAPENTIN 300 MG CAPSULE,10.6,4.13,,,0
NDC,60687-592-21,PRAMIPEXOLE 1 MG TABLET,30.6,11.93,,,0
NDC,60687-593-01,HYDROCHLOROTHIAZIDE 25 MG TABLET,4.8,1.87,,,0
NDC,60687-595-01,FAMOTIDINE 20 MG TABLET,1.1,0.43,,,0
NDC,60687-596-32,"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE",248.6,96.95,,,0
NDC,60687-598-01,PROPRANOLOL 20 MG TABLET,4.8,1.87,,,0
NDC,60687-602-01,GABAPENTIN 400 MG CAPSULE,18.8,7.33,,,0
NDC,60687-603-65,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET,4.8,1.87,,,0
NDC,60687-605-01,ATENOLOL 25 MG TABLET,4.8,1.87,,,0
NDC,60687-607-21,"DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",39.5,15.4,,,0
NDC,60687-609-01,PROPRANOLOL 40 MG TABLET,5.2,2.03,,,0
NDC,60687-610-21,FLUCYTOSINE 500 MG CAPSULE,7210.0,2811.9,,,0
NDC,60687-612-21,VALSARTAN 40 MG TABLET,30.7,11.97,,,0
NDC,60687-618-21,FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET,14.7,5.73,,,0
NDC,60687-619-01,ACETAZOLAMIDE 250 MG TABLET,16.1,6.28,,,0
NDC,60687-620-01,METOCLOPRAMIDE 5 MG TABLET,10.6,4.13,,,0
NDC,60687-622-01,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET,1.7,0.66,,,0
NDC,60687-623-01,VALSARTAN 80 MG TABLET,19.8,7.72,,,0
NDC,60687-627-01,LORAZEPAM 0.5 MG TABLET,4.8,1.87,,,0
NDC,60687-629-21,FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET,30.4,11.86,,,0
NDC,60687-631-01,METOCLOPRAMIDE 10 MG TABLET,4.8,1.87,,,0
NDC,60687-632-01,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",11.1,4.33,,,0
NDC,60687-633-01,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,27.1,10.57,,,0
NDC,60687-634-01,VALSARTAN 160 MG TABLET,11.1,4.33,,,0
NDC,60687-638-01,LORAZEPAM 1 MG TABLET,4.8,1.87,,,0
NDC,60687-641-21,NEBIVOLOL 5 MG TABLET,27.0,10.53,,,0
NDC,60687-642-01,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,10.7,4.17,,,0
NDC,60687-648-21,VARENICLINE TARTRATE 1 MG TABLET,119.9,46.76,,,0
NDC,60687-656-21,LISINOPRIL 2.5 MG TABLET,5.3,2.07,,,0
NDC,60687-657-01,LEVETIRACETAM 500 MG TABLET,5.6,2.18,,,0
NDC,60687-660-01,PROMETHAZINE 12.5 MG TABLET,4.8,1.87,,,0
NDC,60687-661-01,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,18.9,7.37,,,0
NDC,60687-664-01,HYDROXYZINE HCL 10 MG TABLET,5.4,2.11,,,0
NDC,60687-667-01,LISINOPRIL 5 MG TABLET,4.8,1.87,,,0
NDC,60687-669-01,METHIMAZOLE 5 MG TABLET,16.5,6.44,,,0
NDC,60687-670-01,OXYBUTYNIN CHLORIDE 5 MG TABLET,4.8,1.87,,,0
NDC,60687-671-67,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,32.9,12.83,,,0
NDC,60687-672-65,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,15.0,5.85,,,0
NDC,60687-675-01,HYDROXYZINE HCL 25 MG TABLET,6.1,2.38,,,0
NDC,60687-676-57,LACOSAMIDE 50 MG TABLET,18.1,7.06,,,0
NDC,60687-677-01,ALLOPURINOL 100 MG TABLET,4.8,1.87,,,0
NDC,60687-680-01,METHIMAZOLE 10 MG TABLET,4.8,1.87,,,0
NDC,60687-681-01,FOLIC ACID 1 MG TABLET,8.0,3.12,,,0
NDC,60687-683-01,HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE,4.8,1.87,,,0
NDC,60687-688-01,ALLOPURINOL 300 MG TABLET,7.3,2.85,,,0
NDC,60687-695-01,SUCRALFATE 1 GRAM TABLET,4.8,1.87,,,0
NDC,60687-697-01,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",18.8,7.33,,,0
NDC,60687-699-21,CEFDINIR 300 MG CAPSULE,31.1,12.13,,,0
NDC,60687-701-01,GLIPIZIDE 10 MG TABLET,5.0,1.95,,,0
NDC,60687-710-21,GUANFACINE 1 MG TABLET,25.5,9.94,,,0
NDC,60687-711-01,OXCARBAZEPINE 150 MG TABLET,11.6,4.52,,,0
NDC,60687-715-21,COLESTIPOL 1 GRAM TABLET,38.4,14.98,,,0
NDC,60687-717-01,DILTIAZEM 30 MG TABLET,4.8,1.87,,,0
NDC,60687-719-25,EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,18.0,7.02,,,0
NDC,60687-720-21,LAMIVUDINE 150 MG TABLET,125.3,48.87,,,0
NDC,60687-721-11,DESMOPRESSIN 0.1 MG TABLET,20.2,7.88,,,0
NDC,60687-722-01,OXCARBAZEPINE 300 MG TABLET,21.2,8.27,,,0
NDC,60687-723-21,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",62.7,24.45,,,0
NDC,60687-725-01,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE",29.2,11.39,,,0
NDC,60687-728-11,DILTIAZEM 60 MG TABLET,4.7,1.83,,,0
NDC,60687-730-01,MECLIZINE 25 MG TABLET,6.6,2.57,,,0
NDC,60687-734-01,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",236.3,92.16,,,0
NDC,60687-735-01,MISOPROSTOL 100 MCG TABLET,19.1,7.45,,,0
NDC,60687-736-01,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",4.8,1.87,,,0
NDC,60687-736-11,PANTOPRAZOLE 2 MG/ML ORAL SUSPENSION (NEO/PEDS),4.8,1.87,,,0
NDC,60687-738-08,SUCRALFATE 100 MG/ML ORAL SUSPENSION,84.2,32.84,,,0
NDC,60687-742-01,AZITHROMYCIN 250 MG TABLET,64.7,25.23,,,0
NDC,60687-743-40,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,3.8,1.48,,,0
NDC,60687-744-21,DABIGATRAN ETEXILATE 75 MG CAPSULE,220.5,86.0,,,0
NDC,60687-745-01,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",59.1,23.05,,,0
NDC,60687-746-01,MISOPROSTOL 200 MCG TABLET,104.6,40.79,,,0
NDC,60687-746-11,MISOPROSTOL 200 MCG TABLET,104.6,40.79,,,0
NDC,60687-747-21,LURASIDONE 20 MG TABLET,39.2,15.29,,,0
NDC,60687-750-21,TRANEXAMIC ACID 650 MG TABLET,39.6,15.44,,,0
NDC,60687-752-32,DABIGATRAN ETEXILATE 150 MG CAPSULE,110.3,43.02,,,0
NDC,60687-756-11,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",7.6,2.96,,,0
NDC,60687-758-21,LURASIDONE 40 MG TABLET,78.8,30.73,,,0
NDC,60687-760-86,MORPHINE 10 MG/5 ML ORAL SOLUTION,6.4,2.5,,,0
NDC,60687-762-17,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (WRAPPED),21.2,8.27,,,0
NDC,60687-768-11,"GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR",14.7,5.73,,,0
NDC,60687-776-11,AMOXICILLIN 250 MG CAPSULE,40.6,15.83,,,0
NDC,60687-778-11,MEXILETINE 150 MG CAPSULE,19.8,7.72,,,0
NDC,60687-778-21,MEXILETINE 150 MG CAPSULE,19.8,7.72,,,0
NDC,60687-781-11,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 125 MG TABLET,73.7,28.74,,,0
NDC,60687-782-11,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",17.1,6.67,,,0
NDC,60687-783-11,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",4.8,1.87,,,0
NDC,60687-792-11,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET,51.9,20.24,,,0
NDC,60687-793-11,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",23.3,9.09,,,0
NDC,60687-795-11,TRAMADOL 50 MG TABLET,4.8,1.87,,,0
NDC,60687-803-11,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,58.7,22.89,,,0
NDC,60687-804-11,BACLOFEN 5 MG TABLET,52.7,20.55,,,0
NDC,60687-807-11,CHLORDIAZEPOXIDE 25 MG CAPSULE,6.1,2.38,,,0
NDC,60687-810-11,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",7.9,3.08,,,0
NDC,60687-811-11,HYDRALAZINE 10 MG TABLET,4.8,1.87,,,0
NDC,60687-812-11,BUSPIRONE 10 MG TABLET,1.6,0.62,,,0
NDC,60687-815-11,BACLOFEN 10 MG TABLET,4.8,1.87,,,0
NDC,60687-822-11,HYDRALAZINE 25 MG TABLET,4.8,1.87,,,0
NDC,60687-829-40,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,10.5,4.1,,,0
NDC,60687-833-11,HYDRALAZINE 50 MG TABLET,4.8,1.87,,,0
NDC,60687-836-01,CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET,4.8,1.87,,,0
NDC,60687-836-11,CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET,4.8,1.87,,,0
NDC,60687-838-11,ZOLPIDEM 5 MG TABLET,4.8,1.87,,,0
NDC,60687-841-11,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,14.4,5.62,,,0
NDC,60687-854-11,PREDNISONE 50 MG TABLET,8.3,3.24,,,0
NDC,60687-855-99,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,23.4,9.13,,,0
NDC,60687-858-11,DIGOXIN 125 MCG (0.125 MG) TABLET,11.2,4.37,,,0
NDC,60687-860-11,CIPROFLOXACIN 500 MG TABLET,4.8,1.87,,,0
NDC,60687-863-42,GUAIFENESIN 100 MG/5 ML ORAL LIQUID,14.2,5.54,,,0
NDC,60687-885-11,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,10.1,3.94,,,0
NDC,60758-119-05,"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION",405.0,157.95,,,0
NDC,60758-773-05,KETOROLAC 0.4 % EYE DROPS,559.3,218.13,,,0
NDC,60758-801-05,TIMOLOL MALEATE 0.5 % EYE DROPS,50.4,19.66,,,0
NDC,60758-802-05,TIMOLOL MALEATE 0.25 % EYE DROPS,27.5,10.72,,,0
NDC,60758-880-05,"FLUOROMETHOLONE 0.1 % EYE DROPS,SUSPENSION",712.8,277.99,,,0
NDC,60793-115-01,LIOTHYRONINE 5 MCG TABLET,4.8,1.87,,,0
NDC,60793-215-05,"THROMBIN (BOVINE) 5,000 UNIT TOPICAL SOLUTION",567.1,221.17,,,0
NDC,60793-217-20,"THROMBIN (BOVINE) 20,000 UNIT TOPICAL SOLUTION",2181.9,850.94,,,0
NDC,60793-217-21,"THROMBIN (BOVINE) 20,000 UNIT TOPICAL SPRAY",2559.6,998.24,,,0
NDC,60793-217-22,"THROMBIN (BOVINE) 20,000 UNIT TOPICAL SPRAY SYRINGE",2559.6,998.24,,,0
NDC,60793-701-10,"PENICILLIN G BENZATHINE 1,200,000 UNIT/2 ML INTRAMUSCULAR SYRINGE",2338.4,911.98,,,0
NDC,60793-702-10,"PENICILLIN G BENZATHINE 2,400,000 UNIT/4 ML INTRAMUSCULAR SYRINGE",4791.7,1868.76,,,0
NDC,60793-705-05,"THROMBIN (BOVINE) 5,000 UNIT TOPICAL SPRAY SYRINGE",3783.4,1475.53,,,0
NDC,60977-141-01,PRALIDOXIME 1 GRAM SOLUTION FOR INJECTION,1208.6,471.35,,,0
NDC,61269-179-34,"NEOMYCIN-BACITRACN ZN-POLYMYX 3.5 MG-400 UNIT-5,000 UNIT/GRAM TOP OINT",26.3,10.26,,,0
NDC,61269-220-63,CLOTRIMAZOLE 1 % VAGINAL CREAM,17.0,6.63,,,0
NDC,61269-410-20,ETOPOSIDE PHOSPHATE 100 MG INTRAVENOUS SOLUTION,759.8,296.32,,,0
NDC,61314-016-01,PROPARACAINE 0.5 % EYE DROPS,336.6,131.27,,,0
NDC,61314-019-10,DORZOLAMIDE 2 % EYE DROPS,512.0,199.68,,,0
NDC,61314-126-05,KETOROLAC 0.5 % EYE DROPS,809.2,315.59,,,0
NDC,61314-143-05,BRIMONIDINE 0.2 % EYE DROPS,250.5,97.7,,,0
NDC,61314-143-10,BRIMONIDINE 0.2 % EYE DROPS,500.4,195.16,,,0
NDC,61314-203-15,PILOCARPINE 1 % EYE DROPS,756.0,294.84,,,0
NDC,61314-204-15,PILOCARPINE 2 % EYE DROPS,773.3,301.59,,,0
NDC,61314-226-05,TIMOLOL MALEATE 0.25 % EYE DROPS,115.1,44.89,,,0
NDC,61314-227-05,TIMOLOL MALEATE 0.5 % EYE DROPS,130.4,50.86,,,0
NDC,61314-227-15,TIMOLOL MALEATE 0.5 % EYE DROPS,374.0,145.86,,,0
NDC,61314-318-01,FILGRASTIM-SNDZ 300 MCG/0.5 ML INJECTION SYRINGE,3824.6,1491.59,,,0
NDC,61314-318-10,FILGRASTIM-SNDZ 300 MCG/0.5 ML INJECTION SYRINGE,1912.4,745.84,,,0
NDC,61314-326-01,FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE,3059.7,1193.28,,,0
NDC,61314-326-10,FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE,3059.7,1193.28,,,0
NDC,61314-355-01,TROPICAMIDE 1 % EYE DROPS,107.4,41.89,,,0
NDC,61314-396-01,CYCLOPENTOLATE 1 % EYE DROPS,128.9,50.27,,,0
NDC,61314-547-01,LATANOPROST 0.005 % EYE DROPS,52.2,20.36,,,0
NDC,61314-547-03,LATANOPROST 0.005 % EYE DROPS,52.2,20.36,,,0
NDC,61314-628-10,"POLYMYXIN B SULFATE 10,000 UNIT-TRIMETHOPRIM 1 MG/ML EYE DROPS",133.7,52.14,,,0
NDC,61314-630-06,"NEOMYCIN-POLYMYXIN-DEXAMETH 3.5 MG/ML-10,000 UNIT/ML-0.1% EYE DROPS",337.5,131.62,,,0
NDC,61314-631-36,"NEOMYCIN 3.5 MG/G-POLYMYXIN B 10,000 UNIT/G-DEXAMETH 0.1 % EYE OINT",337.5,131.62,,,0
NDC,61314-637-05,"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION",424.4,165.52,,,0
NDC,61314-641-75,"NEOMYCIN 3.5 MG-POLYMYXIN 10,000 UNIT-HYDROCORT 10 MG/ML EYE DROP,SUSP",1435.1,559.69,,,0
NDC,61314-647-25,"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION",556.6,217.07,,,0
NDC,61314-656-05,CIPROFLOXACIN 0.3 % EYE DROPS,362.9,141.53,,,0
NDC,61314-656-10,CIPROFLOXACIN 0.3 % EYE DROPS,14.5,5.66,,,0
NDC,61314-656-25,CIPROFLOXACIN 0.3 % EYE DROPS,192.0,74.88,,,0
NDC,61442-116-01,GLIMEPIRIDE 2 MG TABLET,13.4,5.23,,,0
NDC,61442-121-01,FAMOTIDINE 20 MG TABLET,8.8,3.43,,,0
NDC,61553-111-14,FENTANYL (PF) 1000 MCG/100 ML NS (10 MCG/ML) PREMIX,205.9,80.3,,,0
NDC,61553-124-48,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.125 %-NACL INJECTION SOLUTION,124.7,48.63,,,0
NDC,61553-326-33,NEOSTIGMINE METHYLSULFATE 5 MG/5 ML (1 MG/ML) INTRAVENOUS SYRINGE,254.0,99.06,,,0
NDC,61553-500-28,KETAMINE 100 MG/2 ML (50 MG/ML) INTRAVENOUS SYRINGE,19.6,7.64,,,0
NDC,61570-131-20,SILVER SULFADIAZINE 1 % TOPICAL CREAM,69.8,27.22,,,0
NDC,61703-305-38,CYTARABINE (PF) 100 MG/5 ML (20 MG/ML) INJECTION SOLUTION,66.0,25.74,,,0
NDC,61703-309-06,VINCRISTINE 1 MG/ML INTRAVENOUS SOLUTION,136.5,53.24,,,0
NDC,61703-309-16,VINCRISTINE 1 MG/ML INTRAVENOUS SOLUTION,118.5,46.22,,,0
NDC,61703-319-22,CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) INJECTION SOLUTION,66.0,25.74,,,0
NDC,61703-324-18,PAMIDRONATE 30 MG/10 ML (3 MG/ML) INTRAVENOUS SOLUTION,246.7,96.21,,,0
NDC,61703-325-18,PAMIDRONATE 60 MG/10 ML (6 MG/ML) INTRAVENOUS SOLUTION,387.7,151.2,,,0
NDC,61703-332-18,BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION,388.1,151.36,,,0
NDC,61703-339-50,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,256.7,100.11,,,0
NDC,61703-339-56,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,315.1,122.89,,,0
NDC,61703-342-50,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",274.2,106.94,,,0
NDC,61703-349-09,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,337.9,131.78,,,0
NDC,61703-349-16,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,109.7,42.78,,,0
NDC,61703-363-18,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,103.35,40.31,,,0
NDC,61703-363-22,OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION,742.9,289.73,,,0
NDC,61703-408-41,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION,564.8,220.27,,,0
NDC,61703-600-05,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,168.2,65.6,,,0
NDC,61755-005-01,AFLIBERCEPT 2 MG/0.05 ML INTRAVITREAL SYRINGE,13216.9,5154.59,,,0
NDC,61755-005-02,AFLIBERCEPT 2 MG/0.05 ML INTRAVITREAL SOLUTION FOR INJECTION,13216.9,5154.59,,,0
NDC,61755-008-01,CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION,66186.2,25812.62,,,0
NDC,61874-115-20,CARIPRAZINE 1.5 MG CAPSULE,388.4,151.48,,,0
NDC,61874-130-30,CARIPRAZINE 3 MG CAPSULE,388.4,151.48,,,0
NDC,61958-0701-1,EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,471.1,183.73,,,0
NDC,61958-1003-1,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",52.6,20.51,,,0
NDC,61958-1201-1,ELVITEG 150 MG-COB 150 MG-EMTRICIT 200 MG-TENOFO DISOPRO 300 MG TABLET,1130.8,441.01,,,0
NDC,61958-1901-1,ELVITEG 150 MG-COB 150 MG-EMTRICIT 200 MG-TENOFO ALAFENAM 10 MG TABLET,1078.0,420.42,,,0
NDC,61958-2002-1,EMTRICITABINE 200 MG-TENOFOVIR ALAFENAMIDE FUMARATE 25 MG TABLET,563.1,219.61,,,0
NDC,61958-2002-2,EMTRICITABINE 200 MG-TENOFOVIR ALAFENAMIDE FUMARATE 25 MG TABLET,563.1,219.61,,,0
NDC,61958-2101-1,EMTRICITABINE 200 MG-RILPIVIRINE 25 MG-TENOFOVIR ALAFENAM 25 MG TABLET,981.0,382.59,,,0
NDC,61958-2501-1,BICTEGRAVIR 50 MG-EMTRICITABINE 200 MG-TENOFOVIR ALAFENAM 25 MG TABLET,1078.0,420.42,,,0
NDC,61958-2501-3,BICTEGRAVIR 50 MG-EMTRICITABINE 200 MG-TENOFOVIR ALAFENAM 25 MG TABLET,1078.0,420.42,,,0
NDC,61958-2901-2,REMDESIVIR 100 MG INJ (WRAPPED),4425.0,1725.75,,,0
NDC,61959-001-30,LIDOCAINE 5 % TOPICAL PATCH,213.3,83.19,,,0
NDC,61990-0130-2,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,81.2,31.67,,,0
NDC,6210333302,ZINC OXIDE 16 % TOPICAL OINTMENT,24.2,9.44,,,0
NDC,6210333400,BABY BERTRAM'S BUTT CREAM (CMPD),40.3,15.72,,,0
NDC,62135-321-90,METHYLDOPA 250 MG TABLET,69.1,26.95,,,0
NDC,62135-502-47,HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION,48.7,18.99,,,0
NDC,62135-549-43,LORAZEPAM 2 MG/ML ORAL CONCENTRATE,9.3,3.63,,,0
NDC,62135-712-42,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,270.6,105.53,,,0
NDC,62135-749-47,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION,369.7,144.18,,,0
NDC,62135-750-47,HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION,48.7,18.99,,,0
NDC,62135-813-47,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",291.8,113.8,,,0
NDC,62175-128-37,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",4.8,1.87,,,0
NDC,62175-452-32,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL TABLET,44.7,17.43,,,0
NDC,62175-470-32,"PAROXETINE ER 12.5 MG TABLET,EXTENDED RELEASE 24 HR",42.8,16.69,,,0
NDC,62175-471-32,"PAROXETINE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",44.7,17.43,,,0
NDC,62175-472-32,"PAROXETINE ER 37.5 MG TABLET,EXTENDED RELEASE 24 HR",46.0,17.94,,,0
NDC,62175-617-43,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",31.2,12.17,,,0
NDC,62295-3159-7,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE,15.8,6.16,,,0
NDC,62327-444-44,STERILE TALC 4 GRAM INTRAPLEURAL SUSPENSION,2607.8,1017.04,,,0
NDC,62332-001-31,FAMOTIDINE 20 MG TABLET,7.4,2.89,,,0
NDC,62332-008-31,VENLAFAXINE 25 MG TABLET,15.0,5.85,,,0
NDC,62332-025-31,"THEOPHYLLINE ER 300 MG TABLET,EXTENDED RELEASE,12 HR",33.0,12.87,,,0
NDC,62332-033-31,ROPINIROLE 2 MG TABLET,38.4,14.98,,,0
NDC,62332-045-90,VALSARTAN 80 MG TABLET,35.3,13.77,,,0
NDC,62332-046-90,VALSARTAN 160 MG TABLET,76.7,29.91,,,0
NDC,62332-055-31,CLONIDINE HCL 0.2 MG TABLET,4.8,1.87,,,0
NDC,62332-118-31,BUPROPION HCL 75 MG TABLET,6.1,2.38,,,0
NDC,62332-121-90,PREGABALIN 75 MG CAPSULE,44.9,17.51,,,0
NDC,62332-133-30,OLMESARTAN 40 MG TABLET,67.0,26.13,,,0
NDC,62332-171-60,LACOSAMIDE 50 MG TABLET,165.0,64.35,,,0
NDC,62332-246-31,AMANTADINE HCL 100 MG CAPSULE,14.9,5.81,,,0
NDC,62332-252-30,AZITHROMYCIN 500 MG TABLET,119.4,46.57,,,0
NDC,62332-253-30,AZITHROMYCIN 600 MG TABLET,101.5,39.58,,,0
NDC,62332-367-06,CLONAZEPAM 1 MG DISINTEGRATING TABLET,11.4,4.45,,,0
NDC,62332-379-31,TEMAZEPAM 7.5 MG CAPSULE,76.3,29.76,,,0
NDC,62332-385-30,MODAFINIL 100 MG TABLET,338.5,132.02,,,0
NDC,62332-386-30,MODAFINIL 200 MG TABLET,255.7,99.72,,,0
NDC,62332-386-90,MODAFINIL 200 MG TABLET,511.1,199.33,,,0
NDC,62332-412-30,DEFERASIROX 360 MG TABLET,4372.4,1705.24,,,0
NDC,62332-413-10,OSELTAMIVIR 30 MG CAPSULE,108.8,42.43,,,0
NDC,62332-415-10,OSELTAMIVIR 75 MG CAPSULE,118.6,46.25,,,0
NDC,62332-505-03,MOXIFLOXACIN 0.5 % EYE DROPS,1283.4,500.53,,,0
NDC,62332-518-05,TOBRAMYCIN 0.3 % EYE DROPS,260.7,101.67,,,0
NDC,62332-533-31,METOLAZONE 5 MG TABLET,18.1,7.06,,,0
NDC,62332-582-04,LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM,70.5,27.5,,,0
NDC,62332-582-31,LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM,173.8,67.78,,,0
NDC,62332-599-25,KETOROLAC 15 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,62332-600-25,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,19.6,7.64,,,0
NDC,62332-618-31,CYCLOPHOSPHAMIDE 25 MG CAPSULE,344.5,134.36,,,0
NDC,62332-619-31,CYCLOPHOSPHAMIDE 50 MG CAPSULE,759.1,296.05,,,0
NDC,62332-679-60,IVABRADINE 5 MG TABLET,84.4,32.92,,,0
NDC,62332-779-31,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION,464.6,181.19,,,0
NDC,6253000011,UREA 15 GRAM ORAL POWDER PACKET,27.9,10.88,,,0
NDC,62559-157-30,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,12.9,5.03,,,0
NDC,62559-159-01,FLUVOXAMINE 50 MG TABLET,39.5,15.4,,,0
NDC,62559-190-16,METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION,4.8,1.87,,,0
NDC,62559-225-30,AMINOCAPROIC ACID 500 MG TABLET,343.7,134.04,,,0
NDC,62559-265-30,TRANEXAMIC ACID 650 MG TABLET,40.1,15.64,,,0
NDC,62559-380-01,FLECAINIDE 50 MG TABLET,13.4,5.23,,,0
NDC,62559-395-12,COLESTIPOL 1 GRAM TABLET,9.7,3.78,,,0
NDC,62559-422-01,HYOSCYAMINE 0.125 MG DISINTEGRATING TABLET,6.6,2.57,,,0
NDC,62559-424-01,HYOSCYAMINE 0.125 MG SUBLINGUAL TABLET,6.6,2.57,,,0
NDC,62559-470-01,PYRIDOSTIGMINE BROMIDE 60 MG TABLET,9.8,3.82,,,0
NDC,62559-511-01,INDAPAMIDE 2.5 MG TABLET,6.0,2.34,,,0
NDC,62559-630-01,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL POWDER FOR SUSPENSION,155.5,60.64,,,0
NDC,62559-631-01,ERYTHROMYCIN ETHYLSUCCINATE 400 MG/5 ML ORAL POWDER FOR SUSPENSION,109.5,42.7,,,0
NDC,62559-742-01,THYROID (PORK) 60 MG TABLET,8.5,3.32,,,0
NDC,62559-820-01,MEXILETINE 150 MG CAPSULE,19.5,7.6,,,0
NDC,62559-821-01,MEXILETINE 200 MG CAPSULE,23.3,9.09,,,0
NDC,62559-830-03,VANCOMYCIN 50 MG/ML ORAL SOLUTION,52.1,20.32,,,0
NDC,62559-992-12,FLUCONAZOLE 150 MG TABLET,107.2,41.81,,,0
NDC,62584-265-01,METOPROLOL TARTRATE 25 MG TABLET,4.8,1.87,,,0
NDC,62584-265-11,METOPROLOL TARTRATE 12.5 MG SPLIT TABLET,4.8,1.87,,,0
NDC,62584-266-01,METOPROLOL TARTRATE 50 MG TABLET,4.8,1.87,,,0
NDC,62584-267-01,METOPROLOL TARTRATE 100 MG TABLET,4.8,1.87,,,0
NDC,62584-657-11,CLONIDINE ORAL SOLUTION 10 MCG/ML (NEONATE),4.8,1.87,,,0
NDC,62584-693-21,DOXYCYCLINE HYCLATE 100 MG TABLET,42.9,16.73,,,0
NDC,62584-713-01,ALLOPURINOL 300 MG TABLET,7.3,2.85,,,0
NDC,62584-733-01,HYDRALAZINE 25 MG TABLET,4.8,1.87,,,0
NDC,62584-734-01,HYDRALAZINE 50 MG TABLET,6.8,2.65,,,0
NDC,62584-897-01,FOLIC ACID 1 MG TABLET,4.8,1.87,,,0
NDC,62584-984-01,WARFARIN 2 MG TABLET,4.8,1.87,,,0
NDC,62584-988-01,ALLOPURINOL 100 MG TABLET,4.8,1.87,,,0
NDC,62584-994-01,WARFARIN 5 MG TABLET,5.0,1.95,,,0
NDC,62756-059-40,EPOPROSTENOL 0.5 MG INTRAVENOUS SOLUTION,380.1,148.24,,,0
NDC,62756-060-40,EPOPROSTENOL 1.5 MG INTRAVENOUS SOLUTION,380.1,148.24,,,0
NDC,62756-183-88,OXCARBAZEPINE 150 MG TABLET,4.8,1.87,,,0
NDC,62756-184-88,OXCARBAZEPINE 300 MG TABLET,4.8,1.87,,,0
NDC,62756-233-01,AMPHOTERICIN B LIPOSOME 50 MG INTRAVENOUS SUSPENSION,7798.3,3041.34,,,0
NDC,62756-240-64,ONDANSETRON 4 MG DISINTEGRATING TABLET,20.2,7.88,,,0
NDC,62756-461-88,"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE",4.8,1.87,,,0
NDC,62756-511-83,LETROZOLE 2.5 MG TABLET,4.8,1.87,,,0
NDC,62756-796-88,"DIVALPROEX 125 MG TABLET,DELAYED RELEASE",4.8,1.87,,,0
NDC,62756-797-88,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",4.8,1.87,,,0
NDC,62756-798-88,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE",4.8,1.87,,,0
NDC,62756-970-83,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL TABLET,80.0,31.2,,,0
NDC,62856-212-01,LECANEMAB-IRMB 100 MG/ML INTRAVENOUS SOLUTION,437.4,170.59,,,0
NDC,62856-215-01,LECANEMAB-IRMB 100 MG/ML INTRAVENOUS SOLUTION,437.4,170.59,,,0
NDC,62856-389-01,ERIBULIN 1 MG/2 ML (0.5 MG/ML) INTRAVENOUS SOLUTION,879.9,343.16,,,0
NDC,62935-227-10,LEUPROLIDE 22.5 MG (3 MONTH) SUBCUTANEOUS SYRINGE,8455.7,3297.72,,,0
NDC,62935-306-40,LEUPROLIDE 30 MG (4 MONTH) SUBCUTANEOUS SYRINGE,11274.2,4396.94,,,0
NDC,62935-461-50,LEUPROLIDE ACETATE 45 MG (6 MONTH) SUBCUTANEOUS SYRINGE,16911.3,6595.41,,,0
NDC,62935-756-80,LEUPROLIDE 7.5 MG (1 MONTH) SUBCUTANEOUS SYRINGE,2818.6,1099.25,,,0
NDC,62991-1106-2,NIFEDIPINE (BULK) POWDER,3.6,1.4,,,0
NDC,62991-1106-4,NIFEDIPINE (BULK) POWDER,0.5,0.2,,,0
NDC,62991-1360-1,METHYL SALICYLATE OIL,632.8,246.79,,,0
NDC,63020-049-01,BORTEZOMIB 3.5 MG SOLUTION FOR SUBCUTANEOUS INJ,8659.5,3377.2,,,0
NDC,63037-101-05,FENTANYL (PF) 1000 MCG/100 ML NS (10 MCG/ML) PREMIX,446.3,174.06,,,0
NDC,63037-138-25,KETAMINE 100 MG/2 ML (50 MG/ML) INTRAVENOUS SYRINGE,19.6,7.64,,,0
NDC,63044-484-09,AMMONIUM LACTATE 12 % LOTION,276.2,107.72,,,0
NDC,63090-340-30,PIMAVANSERIN 34 MG CAPSULE,1309.1,510.55,,,0
NDC,63187-526-05,ONDANSETRON 4 MG DISINTEGRATING TABLET,718.2,280.1,,,0
NDC,63256-100-30,STERILE TALC 4 GRAM INTRAPLEURAL AEROSOL POWDER,257.8,100.54,,,0
NDC,63304-017-60,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",4.8,1.87,,,0
NDC,63304-351-60,LUBIPROSTONE 8 MCG CAPSULE,153.7,59.94,,,0
NDC,63304-352-60,LUBIPROSTONE 24 MCG CAPSULE,51.3,20.01,,,0
NDC,63304-450-01,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE",4.8,1.87,,,0
NDC,63304-692-01,CLINDAMYCIN HCL 150 MG CAPSULE,4.8,1.87,,,0
NDC,63304-774-01,LORAZEPAM 2 MG TABLET,5.0,1.95,,,0
NDC,63323-010-02,GENTAMICIN 40 MG/ML INJECTION SOLUTION,39.7,15.48,,,0
NDC,63323-010-20,GENTAMICIN 40 MG/ML INJECTION SOLUTION,103.2,40.25,,,0
NDC,63323-012-01,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,38.2,14.9,,,0
NDC,63323-012-07,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,63323-012-10,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,26.3,10.26,,,0
NDC,63323-012-11,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,88.4,34.48,,,0
NDC,63323-012-30,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,46.2,18.02,,,0
NDC,63323-013-02,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,42.5,16.58,,,0
NDC,63323-013-09,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,29.6,11.54,,,0
NDC,63323-024-25,MANNITOL 25 % INTRAVENOUS SOLUTION,103.4,40.33,,,0
NDC,63323-044-01,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",59.1,23.05,,,0
NDC,63323-047-10,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",74.3,28.98,,,0
NDC,63323-064-03,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,38.8,15.13,,,0
NDC,63323-064-11,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,19.6,7.64,,,0
NDC,63323-064-23,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,27.0,10.53,,,0
NDC,63323-083-05,SODIUM BICARBONATE 0.5 MEQ/ML ORAL SYRINGE,158.9,61.97,,,0
NDC,63323-089-50,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,21.22,8.28,,,0
NDC,63323-093-01,SODIUM CHLORIDE 4 MEQ/ML (23.4%) IV BOLUS (SIMPLE),57.4,22.39,,,0
NDC,63323-093-30,SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION,41.9,16.34,,,0
NDC,63323-095-02,SODIUM CHLORIDE 4 MEQ/ML ORAL SYRINGE,19.6,7.64,,,0
NDC,63323-095-61,SODIUM CHLORIDE 4 MEQ/ML ORAL SYRINGE,19.6,7.64,,,0
NDC,63323-099-63,SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,63323-101-61,DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION,220.4,85.96,,,0
NDC,63323-103-64,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,472.1,184.12,,,0
NDC,63323-103-65,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,91.9,35.84,,,0
NDC,63323-104-25,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,478.4,186.58,,,0
NDC,63323-104-50,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,186.6,72.77,,,0
NDC,63323-106-01,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,77.8,30.34,,,0
NDC,63323-106-05,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,90.1,35.14,,,0
NDC,63323-106-10,"MAGNESIUM SULFATE 40 GRAM/1,000 ML (4 %) IN WATER INTRAVENOUS SOLUTION",76.9,29.99,,,0
NDC,63323-106-15,MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) IN WATER INTRAVENOUS SOLUTION,51.3,20.01,,,0
NDC,63323-106-26,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,68.4,26.68,,,0
NDC,63323-107-05,MAGNESIUM SULFATE 4 GRAM/50 ML (8 %) IN WATER INTRAVENOUS PIGGYBACK,69.2,26.99,,,0
NDC,63323-108-01,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,79.5,31.0,,,0
NDC,63323-113-10,PENTAMIDINE 300 MG SOLUTION FOR INJECTION,698.4,272.38,,,0
NDC,63323-117-10,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION,16.1,6.28,,,0
NDC,63323-117-19,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION,24.6,9.59,,,0
NDC,63323-117-20,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION,102.4,39.94,,,0
NDC,63323-117-51,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION,112.7,43.95,,,0
NDC,63323-117-61,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION,187.7,73.2,,,0
NDC,63323-120-20,CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) INJECTION SOLUTION,104.87,40.9,,,0
NDC,63323-127-10,DACARBAZINE 100 MG INTRAVENOUS SOLUTION,381.2,148.67,,,0
NDC,63323-128-20,DACARBAZINE 200 MG INTRAVENOUS SOLUTION,329.9,128.66,,,0
NDC,63323-130-11,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,224.9,87.71,,,0
NDC,63323-130-13,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,179.4,69.97,,,0
NDC,63323-137-20,BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION,563.14,219.62,,,0
NDC,63323-142-10,IFOSFAMIDE 1 GRAM INTRAVENOUS SOLUTION,2173.4,847.63,,,0
NDC,63323-161-01,KETOROLAC 15 MG/ML INJECTION SOLUTION,32.1,12.52,,,0
NDC,63323-161-12,KETOROLAC 15 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,63323-161-21,KETOROLAC 15 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,63323-162-01,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,33.6,13.1,,,0
NDC,63323-162-02,KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION,70.1,27.34,,,0
NDC,63323-162-12,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,19.6,7.64,,,0
NDC,63323-162-14,KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION,19.6,7.64,,,0
NDC,63323-165-01,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,24.6,9.59,,,0
NDC,63323-165-05,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,59.1,23.05,,,0
NDC,63323-170-05,SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION,137.9,53.78,,,0
NDC,63323-172-60,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,276.9,107.99,,,0
NDC,63323-173-02,GENTAMICIN SULFATE (PEDIATRIC) (PF) 20 MG/2 ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,63323-178-26,"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION",53.7,20.94,,,0
NDC,63323-180-01,PYRIDOXINE (VITAMIN B6) 100 MG/ML INJECTION SOLUTION,92.8,36.19,,,0
NDC,63323-184-10,FOLIC ACID 5 MG/ML INJECTION SOLUTION,54.6,21.29,,,0
NDC,63323-187-30,SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION,50.0,19.5,,,0
NDC,63323-192-02,FLUDARABINE 50 MG/2 ML INTRAVENOUS SOLUTION,2035.9,794.0,,,0
NDC,63323-201-02,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,120.9,47.15,,,0
NDC,63323-201-10,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,22.8,8.89,,,0
NDC,63323-202-02,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,38.0,14.82,,,0
NDC,63323-203-20,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,81.2,31.67,,,0
NDC,63323-205-00,"FATTY ACID NO.6-FISH OIL-GLYCERIN-PHOSPHOLIPIDS, EGG 10 % IV EMULSION",642.3,250.5,,,0
NDC,63323-208-05,LIDOCAINE (PF) 20 MG/ML (2 %) INTRAVENOUS SOLUTION,32.1,12.52,,,0
NDC,63323-229-05,PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION,132.2,51.56,,,0
NDC,63323-229-15,PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION,74.3,28.98,,,0
NDC,63323-229-30,PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION,451.8,176.2,,,0
NDC,63323-237-10,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,14.9,5.81,,,0
NDC,63323-255-01,METHYLPREDNISOLONE SODIUM SUCCINATE 40 MG SOLUTION FOR INJECTION,52.0,20.28,,,0
NDC,63323-258-01,METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLUTION FOR INJECTION,99.5,38.8,,,0
NDC,63323-258-03,METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLUTION FOR INJECTION,63.7,24.84,,,0
NDC,63323-260-37,MEPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,31.7,12.36,,,0
NDC,63323-262-06,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",35.6,13.88,,,0
NDC,63323-262-26,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",19.6,7.64,,,0
NDC,63323-262-55,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",19.6,7.64,,,0
NDC,63323-265-30,"METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION",292.3,114.0,,,0
NDC,63323-269-10,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,25.7,10.02,,,0
NDC,63323-269-25,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,20.5,8.0,,,0
NDC,63323-269-29,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,51.3,20.01,,,0
NDC,63323-269-37,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,20.5,8.0,,,0
NDC,63323-269-50,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,512.4,199.84,,,0
NDC,63323-269-57,PROPOFOL INFUSION 10 MG/ML,112.1,43.72,,,0
NDC,63323-269-65,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,256.2,99.92,,,0
NDC,63323-269-67,PROPOFOL INFUSION 10 MG/ML,320.3,124.92,,,0
NDC,63323-269-78,PROPOFOL INFUSION 10 MG/ML,102.5,39.98,,,0
NDC,63323-270-26,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,15.8,6.16,,,0
NDC,63323-270-50,PROPOFOL INFUSION 10 MG/ML,67.4,26.29,,,0
NDC,63323-276-02,"HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJECTION SOLUTION",19.6,7.64,,,0
NDC,63323-278-10,VINBLASTINE 1 MG/ML INTRAVENOUS SOLUTION,578.8,225.73,,,0
NDC,63323-280-02,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,35.9,14.0,,,0
NDC,63323-280-04,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,47.9,18.68,,,0
NDC,63323-284-20,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",135.8,52.96,,,0
NDC,63323-285-13,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,23.6,9.2,,,0
NDC,63323-285-23,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,94.3,36.78,,,0
NDC,63323-286-23,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,141.1,55.03,,,0
NDC,63323-286-35,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,193.0,75.27,,,0
NDC,63323-286-95,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,72.2,28.16,,,0
NDC,63323-293-37,MEPIVACAINE (PF) 15 MG/ML (1.5 %) INJECTION SOLUTION,19.6,7.64,,,0
NDC,63323-294-27,MEPIVACAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,19.6,7.64,,,0
NDC,63323-303-51,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION,23.8,9.28,,,0
NDC,63323-303-55,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION,1646.7,642.21,,,0
NDC,63323-306-01,TOBRAMYCIN 40 MG/ML FOR NEBULIZATION,13.1,5.11,,,0
NDC,63323-306-02,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,54.3,21.18,,,0
NDC,63323-306-05,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,78.3,30.54,,,0
NDC,63323-306-30,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,87.7,34.2,,,0
NDC,63323-311-10,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,138.4,53.98,,,0
NDC,63323-314-61,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,226.9,88.49,,,0
NDC,63323-315-10,GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION,465.2,181.43,,,0
NDC,63323-321-10,"POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION",194.6,75.89,,,0
NDC,63323-325-10,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION,279.4,108.97,,,0
NDC,63323-325-20,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION,65.8,25.66,,,0
NDC,63323-328-20,NAFCILLIN 2 GRAM SOLUTION FOR INJECTION,1208.2,471.2,,,0
NDC,63323-329-31,"BACITRACIN 50,000 UNIT INTRAMUSCULAR SOLUTION",76.9,29.99,,,0
NDC,63323-342-25,CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION,119.3,46.53,,,0
NDC,63323-351-20,RIFAMPIN 600 MG INTRAVENOUS SOLUTION,1066.5,415.94,,,0
NDC,63323-353-45,CEFUROXIME SODIUM 1.5 GRAM INTRAVENOUS SOLUTION,45.3,17.67,,,0
NDC,63323-360-01,CALCIUM GLUCONATE 3 GRAM/100 ML IN NS IVPB (SIMPLE),698.4,272.38,,,0
NDC,63323-360-05,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,126.4,49.3,,,0
NDC,63323-360-19,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,1210.6,472.13,,,0
NDC,63323-360-59,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,138.4,53.98,,,0
NDC,63323-360-61,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,138.4,53.98,,,0
NDC,63323-374-20,ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION,52.0,20.28,,,0
NDC,63323-376-01,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION,84.9,33.11,,,0
NDC,63323-377-01,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION,848.8,331.03,,,0
NDC,63323-378-05,OCTREOTIDE ACETATE 200 MCG/ML INJECTION SOLUTION,848.8,331.03,,,0
NDC,63323-379-05,"OCTREOTIDE ACETATE 1,000 MCG/ML INJECTION SOLUTION",848.7,330.99,,,0
NDC,63323-398-10,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,63.5,24.76,,,0
NDC,63323-400-09,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,128.6,50.15,,,0
NDC,63323-401-20,AZTREONAM 1 GRAM SOLUTION FOR INJECTION,308.2,120.2,,,0
NDC,63323-401-26,AZTREONAM 1 GRAM SOLUTION FOR INJECTION,233.3,90.99,,,0
NDC,63323-402-20,AZTREONAM 2 GRAM SOLUTION FOR INJECTION,626.1,244.18,,,0
NDC,63323-402-30,AZTREONAM 2 GRAM SOLUTION FOR INJECTION,466.5,181.94,,,0
NDC,63323-403-10,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION,569.6,222.14,,,0
NDC,63323-407-03,CAFFEINE CITRATED IV SYRINGE 20 MG/ML LD (PEDS 10 KG AND LESS),226.0,88.14,,,0
NDC,63323-411-15,MIDAZOLAM 1 MG/ML INJ (WRAPPED),19.6,7.64,,,0
NDC,63323-411-25,MIDAZOLAM 1 MG/ML INJ (WRAPPED),19.6,7.64,,,0
NDC,63323-415-10,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,24.0,9.36,,,0
NDC,63323-416-05,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,102.9,40.13,,,0
NDC,63323-417-10,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,68.8,26.83,,,0
NDC,63323-418-01,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,1885.4,735.31,,,0
NDC,63323-418-20,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,1885.4,735.31,,,0
NDC,63323-424-05,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION,25.4,9.91,,,0
NDC,63323-426-10,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,111.1,43.33,,,0
NDC,63323-434-00,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",82.0,31.98,,,0
NDC,63323-434-41,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",55.8,21.76,,,0
NDC,63323-452-01,MORPHINE 2 MG/ML INJECTION (WRAPPED),19.6,7.64,,,0
NDC,63323-454-01,MORPHINE 4 MG/ ML INJECTION (WRAPPED),24.6,9.59,,,0
NDC,63323-460-37,"BUPIVACAINE-EPINEPHRINE (PF) 0.75 %-1:200,000 INJECTION SOLUTION",19.6,7.64,,,0
NDC,63323-462-17,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",67.0,26.13,,,0
NDC,63323-462-37,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",111.2,43.37,,,0
NDC,63323-464-01,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,61.1,23.83,,,0
NDC,63323-464-17,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,19.6,7.64,,,0
NDC,63323-464-37,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,70.0,27.3,,,0
NDC,63323-465-57,BUPIVACAINE HCL 0.25 % (2.5 MG/ML) INJECTION SOLUTION,64.6,25.19,,,0
NDC,63323-466-17,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,97.6,38.06,,,0
NDC,63323-466-37,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,45.0,17.55,,,0
NDC,63323-467-57,BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION,72.0,28.08,,,0
NDC,63323-468-17,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",196.0,76.44,,,0
NDC,63323-468-37,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",96.4,37.6,,,0
NDC,63323-471-05,HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION,717.7,279.9,,,0
NDC,63323-474-01,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION,30.7,11.97,,,0
NDC,63323-475-37,CHLOROPROCAINE 10 MG/ML (1 %) INJECTION SOLUTION,51.33,20.02,,,0
NDC,63323-476-37,CHLOROPROCAINE 20 MG/ML (2 %) INJECTION SOLUTION,152.6,59.51,,,0
NDC,63323-478-27,CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJECTION SOLUTION,95.6,37.28,,,0
NDC,63323-481-57,"LIDOCAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION",19.6,7.64,,,0
NDC,63323-482-01,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",19.6,7.64,,,0
NDC,63323-482-17,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",33.9,13.22,,,0
NDC,63323-482-27,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",33.5,13.06,,,0
NDC,63323-482-57,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",19.6,7.64,,,0
NDC,63323-483-01,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION",19.6,7.64,,,0
NDC,63323-483-27,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION",24.3,9.48,,,0
NDC,63323-483-57,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION",19.6,7.64,,,0
NDC,63323-485-27,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,19.6,7.64,,,0
NDC,63323-485-57,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,19.6,7.64,,,0
NDC,63323-486-17,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,19.6,7.64,,,0
NDC,63323-486-26,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,19.6,7.64,,,0
NDC,63323-486-27,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,19.6,7.64,,,0
NDC,63323-487-17,"LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJECTION SOLUTION",94.3,36.78,,,0
NDC,63323-487-31,"LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJECTION SOLUTION",29.0,11.31,,,0
NDC,63323-487-37,"LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJECTION SOLUTION",131.5,51.28,,,0
NDC,63323-488-37,"LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200,000 INJECTION SOLUTION",25.4,9.91,,,0
NDC,63323-488-89,"LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200,000 INJECTION SOLUTION",20.7,8.07,,,0
NDC,63323-489-17,"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION",100.1,39.04,,,0
NDC,63323-489-21,"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION",109.5,42.7,,,0
NDC,63323-489-27,"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION",50.2,19.58,,,0
NDC,63323-492-27,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,60.5,23.6,,,0
NDC,63323-492-37,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,100.7,39.27,,,0
NDC,63323-492-57,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,67.2,26.21,,,0
NDC,63323-494-05,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION,57.3,22.35,,,0
NDC,63323-495-04,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,532.9,207.83,,,0
NDC,63323-495-07,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,24.6,9.59,,,0
NDC,63323-495-27,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,25.1,9.79,,,0
NDC,63323-496-97,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,124.3,48.48,,,0
NDC,63323-506-00,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION,64.1,25.0,,,0
NDC,63323-506-01,DEXAMETHASONE (PF) 10 MG/ML INJECTION (WRAPPED),64.1,25.0,,,0
NDC,63323-507-20,MEROPENEM 500 MG INTRAVENOUS SOLUTION,25.7,10.02,,,0
NDC,63323-507-21,MEROPENEM 500 MG INTRAVENOUS SOLUTION,25.7,10.02,,,0
NDC,63323-508-30,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,50.4,19.66,,,0
NDC,63323-508-31,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,50.4,19.66,,,0
NDC,63323-517-74,"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN",81.2,31.67,,,0
NDC,63323-518-77,"HEPARIN (PORCINE) 25,000 UNIT/500 ML IN 0.45 % SODIUM CHLORIDE IV SOLN",59.8,23.32,,,0
NDC,63323-519-10,"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN NS",153.8,59.98,,,0
NDC,63323-522-77,"HEPARIN (PORCINE) 25,000 UNIT/500 ML (50 UNIT/ML) IN DEXTROSE 5 % IV",76.9,29.99,,,0
NDC,63323-523-74,"HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV",91.9,35.84,,,0
NDC,63323-530-75,SODIUM CHLORIDE 3 % IV BOLUS,53.7,20.94,,,0
NDC,63323-531-90,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,135.8,52.96,,,0
NDC,63323-533-83,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,51.0,19.89,,,0
NDC,63323-533-93,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,25.8,10.06,,,0
NDC,63323-535-08,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,32.4,12.64,,,0
NDC,63323-535-87,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,67.9,26.48,,,0
NDC,63323-535-98,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,34.3,13.38,,,0
NDC,63323-540-11,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",31.1,12.13,,,0
NDC,63323-540-15,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",155.3,60.57,,,0
NDC,63323-540-31,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",57.0,22.23,,,0
NDC,63323-540-36,"HEPARIN (PORCINE) INJECTION (BOLUS) 1,000 UNITS/ML",19.6,7.64,,,0
NDC,63323-540-57,"HEPARIN (REBOLUS HIGH INTENSITY) 1,000 UNITS/ML",19.6,7.64,,,0
NDC,63323-540-67,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",19.6,7.64,,,0
NDC,63323-542-01,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION",74.3,28.98,,,0
NDC,63323-545-01,HEPARIN LOCK FLUSH (PORCINE) 100 UNIT/ML INTRAVENOUS SOLUTION,68.8,26.83,,,0
NDC,63323-545-05,HEPARIN LOCK FLUSH (PORCINE) 100 UNIT/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,63323-559-63,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,25.8,10.06,,,0
NDC,63323-559-65,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,23.7,9.24,,,0
NDC,63323-559-93,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,23.7,9.24,,,0
NDC,63323-562-10,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,512.4,199.84,,,0
NDC,63323-564-21,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,67.9,26.48,,,0
NDC,63323-564-65,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,31.5,12.28,,,0
NDC,63323-564-97,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,31.5,12.28,,,0
NDC,63323-566-21,ENOXAPARIN (LOVENOX) 20 MG/ML SIMPLE COMPONENT WMCG ONLY,19.6,7.64,,,0
NDC,63323-566-65,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,38.3,14.94,,,0
NDC,63323-566-98,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,45.9,17.9,,,0
NDC,63323-568-83,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,51.0,19.89,,,0
NDC,63323-568-87,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,67.9,26.48,,,0
NDC,63323-568-94,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,25.8,10.06,,,0
NDC,63323-568-96,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,34.3,13.38,,,0
NDC,63323-579-05,SINCALIDE 5 MCG SOLUTION FOR INJECTION,339.22,132.3,,,0
NDC,63323-582-82,GLUCAGON HCL 1 MG/ML SOLUTION FOR INJECTION,1950.3,760.62,,,0
NDC,63323-584-99,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,63.2,24.65,,,0
NDC,63323-586-65,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,71.7,27.96,,,0
NDC,63323-586-96,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,79.6,31.04,,,0
NDC,63323-589-94,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,119.3,46.53,,,0
NDC,63323-593-03,GLUCAGON HCL 1 MG/ML SOLUTION FOR INJECTION,1761.2,686.87,,,0
NDC,63323-594-03,GLUCAGON HCL 1 MG/ML SOLUTION FOR INJECTION,691.8,269.8,,,0
NDC,63323-596-13,GLUCAGON HCL 1 MG/ML SOLUTION FOR INJECTION,1761.2,686.87,,,0
NDC,63323-597-10,DEFEROXAMINE 500 MG SOLUTION FOR INJECTION,756.4,295.0,,,0
NDC,63323-599-30,DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION,351.9,137.24,,,0
NDC,63323-604-01,PROPRANOLOL 1 MG/ML INTRAVENOUS SOLUTION,98.1,38.26,,,0
NDC,63323-607-08,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,42.9,16.73,,,0
NDC,63323-607-88,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,101.9,39.74,,,0
NDC,63323-614-01,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,122.3,47.7,,,0
NDC,63323-614-55,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,128.1,49.96,,,0
NDC,63323-616-03,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,63323-616-09,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,63323-623-61,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,63323-623-74,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,63323-623-76,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,63323-624-74,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,63323-626-25,SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,63323-631-50,LEUCOVORIN CALCIUM 10 MG/ML INJECTION SOLUTION,737.9,287.78,,,0
NDC,63323-642-20,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,46.5,18.14,,,0
NDC,63323-642-50,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,19.6,7.64,,,0
NDC,63323-649-07,LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION,839.0,327.21,,,0
NDC,63323-649-16,LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION,735.9,287.0,,,0
NDC,63323-651-02,ADENOSINE 3 MG/ML IV SOLN (WRAPPED),93.6,36.5,,,0
NDC,63323-652-10,ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION,46.1,17.98,,,0
NDC,63323-655-99,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,94.8,36.97,,,0
NDC,63323-658-20,CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION,2075.0,809.25,,,0
NDC,63323-658-27,CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION,415.9,162.2,,,0
NDC,63323-659-03,INDOMETHACIN 1 MG INTRAVENOUS SOLUTION,3686.8,1437.85,,,0
NDC,63323-659-09,INDOMETHACIN 1 MG INTRAVENOUS SOLUTION,883.3,344.49,,,0
NDC,63323-660-05,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,63323-664-01,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,63323-665-01,TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION,168.3,65.64,,,0
NDC,63323-673-89,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SYRINGE,427.0,166.53,,,0
NDC,63323-685-17,POSACONAZOLE 300 MG/16.7 ML INTRAVENOUS SOLUTION,1882.0,733.98,,,0
NDC,63323-690-30,ACETYLCYSTEINE 200 MG/ML (20 %) ORAL SOLUTION,45.5,17.74,,,0
NDC,63323-692-10,ACETYLCYSTEINE 200 MG/ML (20 %) RESPIRATORY SOLUTION,66.3,25.86,,,0
NDC,63323-694-04,ACETYLCYSTEINE 200 MG/ML (20 %) RESPIRATORY SOLUTION,91.9,35.84,,,0
NDC,63323-694-22,ACETYLCYSTEINE 200 MG/ML (20 %) RESPIRATORY SOLUTION,91.9,35.84,,,0
NDC,63323-695-04,ACETYLCYSTEINE 100 MG/ML (10 %) SOLUTION,111.7,43.56,,,0
NDC,63323-696-02,EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION,19.6,7.64,,,0
NDC,63323-710-50,LEUCOVORIN CALCIUM 200 MG SOLUTION FOR INJECTION,599.5,233.8,,,0
NDC,63323-711-00,LEUCOVORIN CALCIUM 500 MG SOLUTION FOR INJECTION,736.1,287.08,,,0
NDC,63323-713-13,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,340.8,132.91,,,0
NDC,63323-723-03,REMIFENTANIL 1 MG INTRAVENOUS SOLUTION,626.1,244.18,,,0
NDC,63323-728-10,MICAFUNGIN 50 MG INTRAVENOUS SOLUTION,205.0,79.95,,,0
NDC,63323-729-10,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION,410.0,159.9,,,0
NDC,63323-739-12,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,63323-751-01,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,27.4,10.69,,,0
NDC,63323-751-05,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,376.7,146.91,,,0
NDC,63323-751-13,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,63323-760-20,MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION,4492.8,1752.19,,,0
NDC,63323-763-50,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",457.39,178.38,,,0
NDC,63323-778-10,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,42.7,16.65,,,0
NDC,63323-781-10,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,48.6,18.95,,,0
NDC,63323-806-01,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,63323-806-02,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,63323-806-11,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,17.9,6.98,,,0
NDC,63323-806-20,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,72.6,28.31,,,0
NDC,63323-808-11,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,63323-812-20,OXACILLIN 2 GRAM SOLUTION FOR INJECTION,299.3,116.73,,,0
NDC,63323-813-20,OXACILLIN 1 GRAM SOLUTION FOR INJECTION,99.8,38.92,,,0
NDC,63323-820-00,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS,154.1,60.1,,,0
NDC,63323-820-04,FAT EMULSION -FISH & PLANT BASED 20% SYRINGE (SMOFLIPID) (NEONATE),19.6,7.64,,,0
NDC,63323-820-74,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS,222.1,86.62,,,0
NDC,63323-821-10,BORTEZOMIB 3.5 MG SOLUTION FOR SUBCUTANEOUS INJ,494.4,192.82,,,0
NDC,63323-842-02,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,333.1,129.91,,,0
NDC,63323-851-10,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,1638.0,638.82,,,0
NDC,63323-852-25,HYDROMORPHONE 1 MG/ML INJECTION (WRAPPED),36.9,14.39,,,0
NDC,63323-865-02,CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION,5576.0,2174.64,,,0
NDC,63323-869-10,DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,63323-870-10,DEXTROSE 5 % AND 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,63323-875-50,FOSCARNET INTRAVITREAL INJECTION 2.4 MG/0.1 ML,19.6,7.64,,,0
NDC,63323-881-16,SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION,117.3,45.75,,,0
NDC,63323-883-30,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION,512.6,199.91,,,0
NDC,63323-884-06,SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION,232.1,90.52,,,0
NDC,63323-885-10,LEVOTHYROXINE 20 MCG/ML INTRAVENOUS SOLUTION,142.1,55.42,,,0
NDC,63323-885-14,LEVOTHYROXINE 20 MCG/ML INTRAVENOUS SOLUTION,640.0,249.6,,,0
NDC,63323-886-56,SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION,117.3,45.75,,,0
NDC,63323-895-10,LEVOTHYROXINE 100 MCG/ML INTRAVENOUS SOLUTION,236.7,92.31,,,0
NDC,63323-924-10,"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION",19.6,7.64,,,0
NDC,63323-930-01,VASOPRESSIN 20 UNIT/ML INJECTION (WRAPPED),196.5,76.64,,,0
NDC,63323-963-30,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,532.4,207.64,,,0
NDC,63323-965-02,POTASSIUM CHLORIDE 10 MEQ + SODIUM BICARB 8.4 % (2.4 MEQ) IN 100 ML NS,53.7,20.94,,,0
NDC,63323-965-05,POTASSIUM CHLORIDE 2 MEQ/ML ORAL SYRINGE,32.0,12.48,,,0
NDC,63323-965-10,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,63323-965-20,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,63323-966-00,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK,2091.0,815.49,,,0
NDC,63323-967-30,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,6332325410,"MINERAL OIL, LIGHT STERILE",174.8,68.17,,,0
NDC,63402-206-60,ESLICARBAZEPINE 600 MG TABLET,688.8,268.63,,,0
NDC,63402-302-30,LURASIDONE 20 MG TABLET,362.8,141.49,,,0
NDC,63402-304-30,LURASIDONE 40 MG TABLET,362.8,141.49,,,0
NDC,63402-911-30,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,172.7,67.35,,,0
NDC,63402-911-64,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,172.7,67.35,,,0
NDC,63459-101-30,MODAFINIL 100 MG TABLET,435.2,169.73,,,0
NDC,63459-103-10,RITUXIMAB-ABBS 10 MG/ML INTRAVENOUS SOLUTION,6331.5,2469.28,,,0
NDC,63459-104-50,RITUXIMAB-ABBS 10 MG/ML INTRAVENOUS SOLUTION,31657.4,12346.39,,,0
NDC,63459-348-04,BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION,27785.8,10836.46,,,0
NDC,63459-416-30,TIAGABINE 16 MG TABLET,92.8,36.19,,,0
NDC,63481-684-47,DICLOFENAC 1 % TOPICAL GEL,414.2,161.54,,,0
NDC,63629-2399-1,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,4.8,1.87,,,0
NDC,63629-2464-1,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,13.0,5.07,,,0
NDC,63629-2488-1,KETOROLAC 10 MG TABLET,16.6,6.47,,,0
NDC,63713-390-55,"THROMBIN (HUM PLAS)-FIBRINOGEN-CA 800-1,200 UNIT/ML(5 ML X 2) TOP SOLN",2966.8,1157.05,,,0
NDC,6373603751,BENZOCAINE 20 % TOPICAL OINTMENT,52.2,20.36,,,0
NDC,6373610904,MICONAZOLE NITRATE 2 % VAGINAL CREAM,82.7,32.25,,,0
NDC,6373612003,PERMETHRIN 1 % TOPICAL LIQUID,96.4,37.6,,,0
NDC,6373633942,HYDROCORTISONE 1 % LOTION,88.9,34.67,,,0
NDC,6373644201,MICONAZOLE NITRATE 200 MG/5 GRAM (4 %) VAGINAL CREAM,30.0,11.7,,,0
NDC,63739-003-33,TEMAZEPAM 7.5 MG CAPSULE,37.0,14.43,,,0
NDC,63739-007-10,BACLOFEN 10 MG TABLET,4.8,1.87,,,0
NDC,63739-008-33,VORICONAZOLE 200 MG TABLET,151.5,59.08,,,0
NDC,63739-051-10,AMIODARONE 200 MG TABLET,4.8,1.87,,,0
NDC,63739-052-57,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,13.1,5.11,,,0
NDC,63739-059-10,CLINDAMYCIN HCL 150 MG CAPSULE,15.8,6.16,,,0
NDC,63739-067-02,"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR",3.0,1.17,,,0
NDC,63739-070-10,ARIPIPRAZOLE 5 MG TABLET,43.7,17.04,,,0
NDC,63739-074-10,ARIPIPRAZOLE 10 MG TABLET,42.2,16.46,,,0
NDC,63739-077-10,VALACYCLOVIR 500 MG TABLET,21.0,8.19,,,0
NDC,63739-086-10,VALPROIC ACID 250 MG CAPSULE,13.2,5.15,,,0
NDC,63739-087-02,ACETAMINOPHEN 325 MG TABLET,0.6,0.23,,,0
NDC,63739-097-10,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",7.5,2.92,,,0
NDC,63739-098-10,MIRTAZAPINE 15 MG TABLET,4.8,1.87,,,0
NDC,63739-115-10,FLUCONAZOLE 200 MG TABLET,7.8,3.04,,,0
NDC,63739-128-10,HYDROCHLOROTHIAZIDE 25 MG TABLET,4.8,1.87,,,0
NDC,63739-132-33,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",17.9,6.98,,,0
NDC,63739-145-10,MIDODRINE 5 MG TABLET,6.5,2.54,,,0
NDC,63739-158-32,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,31.5,12.28,,,0
NDC,63739-159-10,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP,8.0,3.12,,,0
NDC,63739-160-10,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",10.6,4.13,,,0
NDC,63739-166-10,METHOCARBAMOL 500 MG TABLET,4.8,1.87,,,0
NDC,63739-168-33,DOXYCYCLINE HYCLATE 100 MG TABLET,36.5,14.24,,,0
NDC,63739-178-30,CLOPIDOGREL 300 MG TABLET,203.9,79.52,,,0
NDC,63739-192-10,PHENOBARBITAL 16.2 MG TABLET,17.7,6.9,,,0
NDC,63739-193-51,SUCRALFATE 100 MG/ML ORAL SUSPENSION,62.9,24.53,,,0
NDC,63739-196-01,MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION,4.2,1.64,,,0
NDC,63739-198-61,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,9.6,3.74,,,0
NDC,63739-203-01,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,350.1,136.54,,,0
NDC,63739-212-01,"ASPIRIN 81 MG TABLET,DELAYED RELEASE",0.6,0.23,,,0
NDC,63739-212-02,"ASPIRIN 81 MG TABLET,DELAYED RELEASE",0.6,0.23,,,0
NDC,63739-236-10,GABAPENTIN 300 MG CAPSULE,4.8,1.87,,,0
NDC,63739-263-10,CLONAZEPAM 0.5 MG TABLET,6.2,2.42,,,0
NDC,63739-293-10,METOCLOPRAMIDE 10 MG TABLET,4.8,1.87,,,0
NDC,63739-294-10,PHENOBARBITAL 32.4 MG TABLET,10.9,4.25,,,0
NDC,63739-298-10,CELECOXIB 200 MG CAPSULE,9.6,3.74,,,0
NDC,63739-327-10,HYDRALAZINE 25 MG TABLET,4.8,1.87,,,0
NDC,63739-328-10,HYDRALAZINE 50 MG TABLET,4.8,1.87,,,0
NDC,63739-350-10,LISINOPRIL 20 MG TABLET,10.2,3.98,,,0
NDC,63739-354-10,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET,0.8,0.31,,,0
NDC,63739-355-10,MIRTAZAPINE 15 MG TABLET,26.1,10.18,,,0
NDC,63739-367-10,ISOSORBIDE DINITRATE 20 MG TABLET,6.2,2.42,,,0
NDC,63739-403-10,NAPROXEN 500 MG TABLET,4.8,1.87,,,0
NDC,63739-410-10,ALLOPURINOL 100 MG TABLET,4.8,1.87,,,0
NDC,63739-411-10,LEVETIRACETAM 500 MG TABLET,4.3,1.68,,,0
NDC,63739-432-01,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET,0.6,0.23,,,0
NDC,63739-434-02,ASPIRIN 81 MG CHEWABLE TABLET,0.6,0.23,,,0
NDC,63739-454-10,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",12.9,5.03,,,0
NDC,63739-479-10,BACLOFEN 10 MG TABLET,4.8,1.87,,,0
NDC,63739-483-10,HYDROXYZINE HCL 10 MG TABLET,4.8,1.87,,,0
NDC,63739-486-10,HYDROXYZINE HCL 25 MG TABLET,4.8,1.87,,,0
NDC,63739-506-01,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP,4.9,1.91,,,0
NDC,63739-525-10,VALACYCLOVIR 500 MG TABLET,110.9,43.25,,,0
NDC,63739-537-10,FOLIC ACID 1 MG TABLET,4.8,1.87,,,0
NDC,63739-544-10,SPIRONOLACTONE 25 MG TABLET,13.2,5.15,,,0
NDC,63739-549-73,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION,43.0,16.77,,,0
NDC,63739-556-10,MIDODRINE 5 MG TABLET,8.5,3.32,,,0
NDC,63739-559-10,CIPROFLOXACIN 500 MG TABLET,4.8,1.87,,,0
NDC,63739-560-10,GABAPENTIN 600 MG TABLET,4.8,1.87,,,0
NDC,63739-564-10,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",4.8,1.87,,,0
NDC,63739-567-10,TAMSULOSIN 0.4 MG CAPSULE,4.8,1.87,,,0
NDC,63739-569-10,ISOSORBIDE DINITRATE 10 MG TABLET,5.7,2.22,,,0
NDC,63739-591-10,GABAPENTIN 100 MG CAPSULE,4.8,1.87,,,0
NDC,63739-631-10,AMLODIPINE 10 MG TABLET,4.8,1.87,,,0
NDC,63739-640-10,METFORMIN 500 MG TABLET,4.8,1.87,,,0
NDC,63739-645-10,FAMOTIDINE 20 MG TABLET,0.6,0.23,,,0
NDC,63739-671-10,TRAMADOL 50 MG TABLET,4.8,1.87,,,0
NDC,63739-672-10,IBUPROFEN 400 MG TABLET,4.8,1.87,,,0
NDC,63739-673-10,LOSARTAN 25 MG TABLET,4.8,1.87,,,0
NDC,63739-684-10,IBUPROFEN 600 MG TABLET,4.8,1.87,,,0
NDC,63739-686-10,LOSARTAN 50 MG TABLET,4.8,1.87,,,0
NDC,63739-691-01,IBUPROFEN 800 MG TABLET,4.8,1.87,,,0
NDC,63739-698-10,LOSARTAN 100 MG TABLET,5.3,2.07,,,0
NDC,63739-700-10,CIPROFLOXACIN 250 MG TABLET,4.8,1.87,,,0
NDC,63739-724-01,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,63.7,24.84,,,0
NDC,63739-777-10,HYDROXYCHLOROQUINE 200 MG TABLET,27.9,10.88,,,0
NDC,63739-795-10,LEVETIRACETAM 250 MG TABLET,1.5,0.58,,,0
NDC,63739-798-01,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,6.2,2.42,,,0
NDC,63739-888-10,PAROXETINE 10 MG TABLET,4.8,1.87,,,0
NDC,63739-902-10,GABAPENTIN 100 MG CAPSULE,4.8,1.87,,,0
NDC,63739-903-10,GABAPENTIN 300 MG CAPSULE,4.8,1.87,,,0
NDC,63739-904-10,GABAPENTIN 400 MG CAPSULE,4.8,1.87,,,0
NDC,63739-920-25,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",64.4,25.12,,,0
NDC,63739-931-28,"HEPARIN (PORCINE) INJECTION (BOLUS) 1,000 UNITS/ML",19.6,7.64,,,0
NDC,63739-953-25,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",28.8,11.23,,,0
NDC,63739-972-10,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",8.9,3.47,,,0
NDC,63739-976-10,DOCUSATE SODIUM 50 MG/5 ML LIQUID (FOR OTIC USE ONLY),0.6,0.23,,,0
NDC,63739-988-32,ZIPRASIDONE 20 MG CAPSULE,42.7,16.65,,,0
NDC,63739-991-10,METHOCARBAMOL 500 MG TABLET,2.4,0.94,,,0
NDC,63739-992-10,METHOCARBAMOL 750 MG TABLET,4.8,1.87,,,0
NDC,63739-995-10,"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE",28.8,11.23,,,0
NDC,63739-997-64,LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION,253.2,98.75,,,0
NDC,6373915710,FERROUS SULFATE 300 MG (60 MG IRON)/5 ML ORAL LIQUID,12.3,4.8,,,0
NDC,63807-100-03,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,19.6,7.64,,,0
NDC,63807001117,NDC Description Not Available,34.16,13.32,,,0
NDC,63807010051,NDC Description Not Available,29.51,11.51,,,0
NDC,6380701117,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,32.9,12.83,,,0
NDC,6380710011,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,30.7,11.97,,,0
NDC,6380710033,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,45.8,17.86,,,0
NDC,6380710035,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,92.0,35.88,,,0
NDC,6380710051,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,57.1,22.27,,,0
NDC,6380750005,"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE",19.6,7.64,,,0
NDC,6380750051,"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE",19.6,7.64,,,0
NDC,6380760055,"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE",30.2,11.78,,,0
NDC,63824-008-15,"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR",2.2,0.86,,,0
NDC,63824-008-32,"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR",3.0,1.17,,,0
NDC,63824-008-50,"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR",1.9,0.74,,,0
NDC,63824-056-32,DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR,2.6,1.01,,,0
NDC,63824-056-34,DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR,2.9,1.13,,,0
NDC,63833-386-02,HUM PROTHROMBIN CPLX (PCC) 4FACTOR 500 UNIT (400-620 UNIT) IV SOLUTION,40463.2,15780.65,,,0
NDC,63833-387-02,HUM PROTHROMBIN CPLX (PCC) 4FACTOR 500 UNIT (400-620 UNIT) IV SOLUTION,37190.4,14504.26,,,0
NDC,63833-615-02,ANTIHEMOPHILIC FACTOR-VWF 250 UNIT-600 UNIT INTRAVENOUS SOLUTION,0.01,0.0039,,,0
NDC,63833-616-02,"ANTIHEMOPHILIC FACTOR-VWF 500 UNIT-1,200 UNIT INTRAVENOUS SOLUTION",14393.9,5613.62,,,0
NDC,63833-617-02,"ANTIHEMOPHILIC FACTOR-VWF 1,000 UNIT-2,400 UNIT INTRAVENOUS SOLUTION",28025.8,10930.06,,,0
NDC,63833-825-02,C1 ESTERASE INHIBITOR 500 UNIT (10 ML) INTRAVENOUS KIT,79964.6,31186.19,,,0
NDC,64193-424-02,"ANTI-INHIBITOR COAGULANT COMPLEX 700 UNIT-1,300 UNIT INTRAVENOUS SOLN",0.01,0.0039,,,0
NDC,64193-425-02,"ANTI-INHIBITOR COAGULANT COMPLX 1,750 UNIT-3,250 UNIT INTRAVENOUS SOLN",0.01,0.0039,,,0
NDC,64253-202-30,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,20.5,8.0,,,0
NDC,64253011130,NDC Description Not Available,31.815,12.41,,,0
NDC,6425311130,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,31.2,12.17,,,0
NDC,6425322235,"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE",19.6,7.64,,,0
NDC,6425333323,"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE",19.6,7.64,,,0
NDC,6425333335,"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE",19.6,7.64,,,0
NDC,64281-100-06,METHACHOLINE CHLORIDE 4 MG/ML NEBULIZATION (SOLUTION B),76.4,29.8,,,0
NDC,64281-110-06,METHACHOLINE INHALATION CHALLENGE KIT,57.6,22.46,,,0
NDC,64380-159-01,MEGESTROL 40 MG TABLET,4.8,1.87,,,0
NDC,64380-159-03,MEGESTROL 40 MG TABLET,8.2,3.2,,,0
NDC,64380-160-01,MEGESTROL 400 MG/10 ML (40 MG/ML) ORAL SUSPENSION,23.1,9.01,,,0
NDC,64380-710-03,LAMIVUDINE 150 MG TABLET,54.9,21.41,,,0
NDC,64380-723-06,CALCITRIOL 0.25 MCG CAPSULE,9.3,3.63,,,0
NDC,64380-726-07,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,121.6,47.42,,,0
NDC,64380-734-06,HYDRALAZINE 25 MG TABLET,3.9,1.52,,,0
NDC,64380-737-06,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE",15.2,5.93,,,0
NDC,64380-769-21,PEG 3350-ELECTROLYTES (GOLYTELY) (WRAPPED),552.3,215.4,,,0
NDC,64380-783-06,PREDNISONE 5 MG TABLET,4.8,1.87,,,0
NDC,64380-787-06,BUSPIRONE 7.5 MG TABLET,24.3,9.48,,,0
NDC,64380-797-01,OSELTAMIVIR 30 MG CAPSULE,108.8,42.43,,,0
NDC,64380-799-01,OSELTAMIVIR 75 MG CAPSULE,118.6,46.25,,,0
NDC,64380-834-06,ACETAZOLAMIDE 250 MG TABLET,42.5,16.58,,,0
NDC,64380-875-69,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,82.4,32.14,,,0
NDC,64380-880-00,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET,70.2,27.38,,,0
NDC,64380-881-00,SEVELAMER CARBONATE 2.4 GRAM ORAL POWDER PACKET,140.3,54.72,,,0
NDC,64380-883-04,CINACALCET 30 MG TABLET,235.2,91.73,,,0
NDC,64380-949-06,PREDNISONE 50 MG TABLET,3.2,1.25,,,0
NDC,64380-971-06,HYDROCORTISONE 10 MG TABLET,6.6,2.57,,,0
NDC,64406-008-01,NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION,59507.9,23208.08,,,0
NDC,64679-012-01,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,235.3,91.77,,,0
NDC,64679-604-16,PROMETHAZINE-DM 6.25 MG-15 MG/5 ML ORAL SYRUP,4.8,1.87,,,0
NDC,64679-631-02,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION,807.6,314.96,,,0
NDC,64679-631-03,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION,807.6,314.96,,,0
NDC,64679-759-02,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,31.0,12.09,,,0
NDC,64764-240-60,LUBIPROSTONE 24 MCG CAPSULE,47.5,18.52,,,0
NDC,64764-300-20,VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION,65238.6,25443.05,,,0
NDC,64764-544-30,LANSOPRAZOLE 3 MG/ML SUSPENSION IN ORA-BLEND,13.3,5.19,,,0
NDC,64850-502-01,DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABLET,26.3,10.26,,,0
NDC,64950-217-03,ISONIAZID 300 MG TABLET,26.9,10.49,,,0
NDC,64950-342-45,HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML (5 ML) ORAL SOLUTION,74.8,29.17,,,0
NDC,64950-354-45,OXYCODONE 5 MG/5 ML ORAL SOLUTION,45.3,17.67,,,0
NDC,64950-362-04,COCAINE 4 % NASAL SOLUTION,1879.2,732.89,,,0
NDC,64950-378-96,SILVER NITRATE 0.5 % TOPICAL SOLUTION,2908.5,1134.32,,,0
NDC,64980-294-10,SODIUM BICARBONATE 650 MG TABLET,0.6,0.23,,,0
NDC,64980-320-05,TRIAMCINOLONE ACETONIDE 0.1 % DENTAL PASTE,618.2,241.1,,,0
NDC,64980-324-30,HYDROCORTISONE 2.5 % TOPICAL CREAM WITH PERINEAL APPLICATOR,669.9,261.26,,,0
NDC,64980-447-15,CALCITRIOL 1 MCG/ML ORAL SOLUTION,73.1,28.51,,,0
NDC,64980-511-10,CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION,45.7,17.82,,,0
NDC,64980-513-05,TIMOLOL MALEATE 0.25 % EYE DROPS,115.1,44.89,,,0
NDC,64980-514-05,TIMOLOL MALEATE 0.5 % EYE DROPS,4.8,1.87,,,0
NDC,64980-526-60,NITAZOXANIDE 500 MG TABLET,1267.2,494.21,,,0
NDC,64980-528-10,SODIUM BICARBONATE 650 MG TABLET,0.6,0.23,,,0
NDC,64980-562-01,FUROSEMIDE 20 MG TABLET,4.8,1.87,,,0
NDC,6498010401,SODIUM DI- AND MONOPHOSPHATE-POTASSIUM PHOS MONOBASIC 250 MG TABLET,7.8,3.04,,,0
NDC,6498014612,"LACTOBACILLUS ACIDOPHILUS, BULGARICUS 100 MILLION CELL GRANULES PACKET",8.6,3.35,,,0
NDC,6498014703,L.ACIDOPHILUS-L.PARACASEI-B.BIFIDUM-S.THERMOPHL 8 BILLION CELL CAPSULE,9.5,3.7,,,0
NDC,6498033901,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET,0.6,0.23,,,0
NDC,65145-119-01,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,24.1,9.4,,,0
NDC,65145-126-01,ARGATROBAN 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,975.8,380.56,,,0
NDC,65145-129-01,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,52.2,20.36,,,0
NDC,65145-129-25,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,26.1,10.18,,,0
NDC,65145-133-01,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,384.8,150.07,,,0
NDC,65145-150-01,PHENYLEPHRINE 10 % EYE DROPS,368.2,143.6,,,0
NDC,65145-161-01,DIFLUPREDNATE 0.05 % EYE DROPS,17.2,6.71,,,0
NDC,65162-002-03,PRASUGREL HCL 10 MG TABLET,759.7,296.28,,,0
NDC,65162-247-09,CHLORTHALIDONE 25 MG TABLET,9.3,3.63,,,0
NDC,65162-271-10,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET,4.8,1.87,,,0
NDC,65162-282-03,"PALIPERIDONE ER 6 MG TABLET,EXTENDED RELEASE 24 HR",234.7,91.53,,,0
NDC,65162-283-03,"PALIPERIDONE ER 9 MG TABLET,EXTENDED RELEASE 24 HR",352.1,137.32,,,0
NDC,65162-351-09,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,153.5,59.86,,,0
NDC,65162-441-10,MECLIZINE 12.5 MG TABLET,5.1,1.99,,,0
NDC,65162-464-10,IBUPROFEN 400 MG TABLET,6.1,2.38,,,0
NDC,65162-464-50,IBUPROFEN 400 MG TABLET,6.1,2.38,,,0
NDC,65162-465-10,IBUPROFEN 600 MG TABLET,4.8,1.87,,,0
NDC,65162-465-50,IBUPROFEN 600 MG TABLET,4.8,1.87,,,0
NDC,65162-466-10,IBUPROFEN 800 MG TABLET,6.2,2.42,,,0
NDC,65162-466-50,IBUPROFEN 800 MG TABLET,6.2,2.42,,,0
NDC,65162-468-19,CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION,57.1,22.27,,,0
NDC,65162-512-10,SALSALATE 500 MG TABLET,15.0,5.85,,,0
NDC,65162-649-78,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION,12.6,4.91,,,0
NDC,65162-673-84,RISPERIDONE 1 MG/ML ORAL SOLUTION,78.0,30.42,,,0
NDC,65162-680-90,PROMETHAZINE-DM 6.25 MG-15 MG/5 ML ORAL SYRUP,4.8,1.87,,,0
NDC,65162-681-10,PHENAZOPYRIDINE 100 MG TABLET,41.5,16.18,,,0
NDC,65162-682-10,PHENAZOPYRIDINE 200 MG TABLET,30.7,11.97,,,0
NDC,65162-691-79,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION,40.9,15.95,,,0
NDC,65162-710-09,COLCHICINE 0.6 MG TABLET,51.7,20.16,,,0
NDC,65162-778-10,"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE",190.7,74.37,,,0
NDC,65162-791-08,LIDOCAINE 5 % TOPICAL PATCH,78.9,30.77,,,0
NDC,65162-803-51,TEMOZOLOMIDE 100 MG CAPSULE,6621.4,2582.35,,,0
NDC,65162-826-34,RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH,129.6,50.54,,,0
NDC,65162-833-66,DICLOFENAC 1 % TOPICAL GEL,420.4,163.96,,,0
NDC,65162-835-94,ACYCLOVIR 5 % TOPICAL OINTMENT,3058.9,1192.97,,,0
NDC,65162-879-03,LURASIDONE 20 MG TABLET,827.0,322.53,,,0
NDC,65162-880-03,LURASIDONE 40 MG TABLET,827.0,322.53,,,0
NDC,65162-896-03,ARIPIPRAZOLE 2 MG TABLET,246.1,95.98,,,0
NDC,65162-896-09,ARIPIPRAZOLE 2 MG TABLET,246.1,95.98,,,0
NDC,65162-898-09,ARIPIPRAZOLE 10 MG TABLET,246.1,95.98,,,0
NDC,65162-901-03,ARIPIPRAZOLE 20 MG TABLET,174.0,67.86,,,0
NDC,65197-401-01,VITAMINS A AND D-WHITE PETROLATUM-LANOLIN TOPICAL OINTMENT,17.7,6.9,,,0
NDC,65219-014-10,AMPICILLIN 250 MG SOLUTION FOR INJECTION,19.6,7.64,,,0
NDC,65219-016-10,AMPICILLIN 500 MG SOLUTION FOR INJECTION,19.6,7.64,,,0
NDC,65219-052-29,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,286.8,111.85,,,0
NDC,65219-056-29,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,142.0,55.38,,,0
NDC,65219-119-10,POTASSIUM CHLORIDE 40 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS,63.1,24.61,,,0
NDC,65219-148-10,POTASSIUM CHLORIDE 40 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,63.1,24.61,,,0
NDC,65219-162-10,"CALCIUM GLUCONATE 1 GRAM/50 ML IN SODIUM CHLORIDE, ISO-OSM IV SOLUTION",168.7,65.79,,,0
NDC,65219-184-01,KETAMINE 10 MG/ML INJECTION SOLUTION,30.2,11.78,,,0
NDC,65219-188-01,KETAMINE 50 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,65219-188-10,KETAMINE 50 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,65219-222-25,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,65219-224-50,SODIUM CHLORIDE 0.9 % BOLUS,53.7,20.94,,,0
NDC,65219-238-25,DEXTROSE 5 % IV BOLUS,53.7,20.94,,,0
NDC,65219-240-50,DEXTROSE 5 % IV BOLUS,53.7,20.94,,,0
NDC,65219-257-01,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,66.6,25.97,,,0
NDC,65219-259-05,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,90.4,35.26,,,0
NDC,65219-259-45,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,90.4,35.26,,,0
NDC,65219-259-55,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,51.3,20.01,,,0
NDC,65219-281-02,GADOBUTROL 2 MMOL/2 ML (1 MMOL/ML) INTRAVENOUS SOLUTION,34.86,13.6,,,0
NDC,65219-293-01,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,784.2,305.84,,,0
NDC,65219-368-01,LORAZEPAM 2 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,65219-429-50,ARGATROBAN 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,839.6,327.44,,,0
NDC,65219-433-01,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,41.7,16.26,,,0
NDC,65219-433-15,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,41.7,16.26,,,0
NDC,65219-445-10,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,47.0,18.33,,,0
NDC,65219-458-05,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,65219-460-05,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,65219-466-05,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,65219-468-05,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,65219-470-30,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,65219-472-20,SODIUM CHLORIDE 0.9% FOR AMNIOINFUSION,53.7,20.94,,,0
NDC,65219-474-10,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,65219-506-03,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,126.2,49.22,,,0
NDC,65219-531-10,FAT EMULSION (SOYBEAN) 20% SYRINGE (NEONATE),86.1,33.58,,,0
NDC,65219-533-25,FAT EMULSION (SOYBEAN) 20% SYRINGE (NEONATE),20.3,7.92,,,0
NDC,65219-535-50,FAT EMULSION (SOYBEAN) 20% SYRINGE (NEONATE),19.6,7.64,,,0
NDC,65219-566-20,MITOMYCIN 20 MG INTRAVENOUS SOLUTION,3194.3,1245.78,,,0
NDC,65219-570-04,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,59.1,23.05,,,0
NDC,65219-572-10,BUMETANIDE 0.25 MG/ML IV SYRINGE (IV ROOM),19.6,7.64,,,0
NDC,65219-592-10,TOCILIZUMAB-AAZG 200 MG/10 ML (20 MG/ML) INTRAVENOUS SOLUTION,6825.1,2661.79,,,0
NDC,65250-133-09,BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION,1681.8,655.9,,,0
NDC,65250-266-09,BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION,2778.8,1083.73,,,0
NDC,65282-1605-1,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,20.7,8.07,,,0
NDC,65302-503-04,LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS SYRINGE,20.8,8.11,,,0
NDC,65302-504-10,SUCCINYLCHOLINE(PF)20 MG/10 ML INTRAVENOUS SYRINGE,30.8,12.01,,,0
NDC,65302-506-10,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE,274.8,107.17,,,0
NDC,65302-509-30,SODIUM CHLORIDE 4 MEQ/ML ORAL SYRINGE,19.6,7.64,,,0
NDC,65597-406-01,FAM-TRASTUZUMAB DERUXTECAN-NXKI 100 MG INTRAVENOUS SOLUTION,11720.3,4570.92,,,0
NDC,65628-204-05,VANCOMYCIN 25 MG/ML ORAL SOLUTION,24.2,9.44,,,0
NDC,65628-205-10,VANCOMYCIN 25 MG/ML ORAL SOLUTION,9.4,3.67,,,0
NDC,65628-206-05,VANCOMYCIN 50 MG/ML ORAL SOLUTION,17.5,6.82,,,0
NDC,65628-208-10,VANCOMYCIN 50 MG/ML ORAL SOLUTION,72.5,28.28,,,0
NDC,65649-301-03,RIFAXIMIN 200 MG TABLET,215.3,83.97,,,0
NDC,65649-303-03,RIFAXIMIN 550 MG TABLET,442.8,172.69,,,0
NDC,65649-311-12,CHLOROTHIAZIDE 250 MG/5 ML ORAL SUSPENSION,4.8,1.87,,,0
NDC,65649-551-02,METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SOLUTION,567.1,221.17,,,0
NDC,65649-551-07,METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SYRINGE,789.7,307.98,,,0
NDC,65757-403-03,"ARIPIPRAZOLE LAUROXIL ER 882 MG/3.2 ML SUSPENSION, EXT.REL. IM SYRINGE",0.01,0.0039,,,0
NDC,65862-012-05,SERTRALINE 50 MG TABLET,21.9,8.54,,,0
NDC,65862-016-01,AMOXICILLIN 250 MG CAPSULE,4.8,1.87,,,0
NDC,65862-017-01,AMOXICILLIN 500 MG CAPSULE,6.8,2.65,,,0
NDC,65862-018-01,CEPHALEXIN 250 MG CAPSULE,5.4,2.11,,,0
NDC,65862-019-01,CEPHALEXIN 500 MG CAPSULE,10.3,4.02,,,0
NDC,65862-021-06,MIRTAZAPINE 15 MG DISINTEGRATING TABLET,18.1,7.06,,,0
NDC,65862-022-06,MIRTAZAPINE 30 MG DISINTEGRATING TABLET,18.7,7.29,,,0
NDC,65862-048-24,ZIDOVUDINE 10 MG/ML ORAL SYRUP,4.8,1.87,,,0
NDC,65862-057-24,NEVIRAPINE 50 MG/5 ML ORAL SUSPENSION,7.6,2.96,,,0
NDC,65862-062-01,METOPROLOL TARTRATE 25 MG TABLET,4.8,1.87,,,0
NDC,65862-063-01,METOPROLOL TARTRATE 50 MG TABLET,4.8,1.87,,,0
NDC,65862-064-01,METOPROLOL TARTRATE 100 MG TABLET,6.2,2.42,,,0
NDC,65862-071-01,AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION,11.2,4.37,,,0
NDC,65862-071-75,AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION,6.4,2.5,,,0
NDC,65862-076-01,CIPROFLOXACIN 250 MG TABLET,35.2,13.73,,,0
NDC,65862-077-01,CIPROFLOXACIN 500 MG TABLET,42.9,16.73,,,0
NDC,65862-078-50,CIPROFLOXACIN 750 MG TABLET,43.2,16.85,,,0
NDC,65862-096-20,CEFPODOXIME 200 MG TABLET,129.8,50.62,,,0
NDC,65862-146-36,SUMATRIPTAN 25 MG TABLET,830.0,323.7,,,0
NDC,65862-147-36,SUMATRIPTAN 50 MG TABLET,192.9,75.23,,,0
NDC,65862-148-36,SUMATRIPTAN 100 MG TABLET,192.9,75.23,,,0
NDC,65862-149-30,FINASTERIDE 5 MG TABLET,24.0,9.36,,,0
NDC,65862-149-90,FINASTERIDE 5 MG TABLET,24.0,9.36,,,0
NDC,65862-175-01,PENICILLIN V POTASSIUM 250 MG TABLET,7.1,2.77,,,0
NDC,65862-177-60,CEFDINIR 300 MG CAPSULE,39.2,15.29,,,0
NDC,65862-185-01,CLINDAMYCIN HCL 150 MG CAPSULE,27.5,10.72,,,0
NDC,65862-191-05,CYCLOBENZAPRINE 10 MG TABLET,8.6,3.35,,,0
NDC,65862-192-01,FLUOXETINE 10 MG CAPSULE,20.0,7.8,,,0
NDC,65862-192-99,FLUOXETINE 10 MG CAPSULE,97.7,38.1,,,0
NDC,65862-193-01,FLUOXETINE 20 MG CAPSULE,20.5,8.0,,,0
NDC,65862-193-99,FLUOXETINE 20 MG CAPSULE,20.1,7.84,,,0
NDC,65862-203-90,LOSARTAN 100 MG TABLET,11.9,4.64,,,0
NDC,65862-218-60,CEFDINIR 125 MG/5 ML ORAL SUSPENSION,31.3,12.21,,,0
NDC,65862-226-60,CLARITHROMYCIN 500 MG TABLET,46.2,18.02,,,0
NDC,65862-228-01,LAMOTRIGINE 100 MG TABLET,54.7,21.33,,,0
NDC,65862-250-47,LEVETIRACETAM 100 MG/ML ORAL SOLUTION,25.0,9.75,,,0
NDC,65862-306-12,FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,30.2,11.78,,,0
NDC,65862-357-30,CLOPIDOGREL 75 MG TABLET,53.4,20.83,,,0
NDC,65862-357-90,CLOPIDOGREL 75 MG TABLET,53.4,20.83,,,0
NDC,65862-373-01,ESCITALOPRAM 5 MG TABLET,34.6,13.49,,,0
NDC,65862-374-01,ESCITALOPRAM 10 MG TABLET,217.0,84.63,,,0
NDC,65862-390-10,ONDANSETRON 4 MG DISINTEGRATING TABLET,20.2,7.88,,,0
NDC,65862-391-10,ONDANSETRON 8 MG DISINTEGRATING TABLET,22.8,8.89,,,0
NDC,65862-419-01,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET,4.8,1.87,,,0
NDC,65862-420-01,SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET,17.8,6.94,,,0
NDC,65862-458-60,GALANTAMINE 4 MG TABLET,48.9,19.07,,,0
NDC,65862-459-60,GALANTAMINE 8 MG TABLET,12.3,4.8,,,0
NDC,65862-496-47,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION,18.2,7.1,,,0
NDC,65862-502-20,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET,29.1,11.35,,,0
NDC,65862-503-01,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,38.0,14.82,,,0
NDC,65862-503-20,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,39.0,15.21,,,0
NDC,65862-512-30,PIOGLITAZONE 15 MG TABLET,107.6,41.96,,,0
NDC,65862-513-30,PIOGLITAZONE 30 MG TABLET,123.3,48.09,,,0
NDC,65862-514-30,PIOGLITAZONE 45 MG TABLET,89.1,34.75,,,0
NDC,65862-527-30,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR",32.0,12.48,,,0
NDC,65862-527-90,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR",32.0,12.48,,,0
NDC,65862-528-30,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR",143.2,55.85,,,0
NDC,65862-528-90,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR",35.8,13.96,,,0
NDC,65862-533-50,AMOXICILLIN 200 MG-POTASSIUM CLAVULANATE 28.5 MG/5 ML ORAL SUSPENSION,62.0,24.18,,,0
NDC,65862-533-75,AMOXICILLIN 200 MG-POTASSIUM CLAVULANATE 28.5 MG/5 ML ORAL SUSPENSION,55.1,21.49,,,0
NDC,65862-534-75,AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION,24.0,9.36,,,0
NDC,65862-535-75,AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION,48.0,18.72,,,0
NDC,65862-538-20,LEVOFLOXACIN 750 MG TABLET,276.8,107.95,,,0
NDC,65862-559-90,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE",40.4,15.76,,,0
NDC,65862-574-90,MONTELUKAST 10 MG TABLET,43.4,16.93,,,0
NDC,65862-594-01,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",18.9,7.37,,,0
NDC,65862-598-01,TAMSULOSIN 0.4 MG CAPSULE,32.4,12.64,,,0
NDC,65862-601-30,MODAFINIL 100 MG TABLET,202.6,79.01,,,0
NDC,65862-641-30,AZITHROMYCIN 250 MG TABLET,119.5,46.6,,,0
NDC,65862-642-30,AZITHROMYCIN 500 MG TABLET,119.4,46.57,,,0
NDC,65862-654-01,ENTACAPONE 200 MG TABLET,34.9,13.61,,,0
NDC,65862-676-01,ALPRAZOLAM 0.25 MG TABLET,5.4,2.11,,,0
NDC,65862-677-01,ALPRAZOLAM 0.5 MG TABLET,7.2,2.81,,,0
NDC,65862-678-01,ALPRAZOLAM 1 MG TABLET,8.9,3.47,,,0
NDC,65862-687-30,RITONAVIR 100 MG TABLET,71.1,27.73,,,0
NDC,65862-692-01,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,5.0,1.95,,,0
NDC,65862-699-20,CEFUROXIME AXETIL 250 MG TABLET,33.8,13.18,,,0
NDC,65862-699-60,CEFUROXIME AXETIL 250 MG TABLET,67.5,26.32,,,0
NDC,65862-700-60,CEFUROXIME AXETIL 500 MG TABLET,61.4,23.95,,,0
NDC,65862-702-60,ZIPRASIDONE 20 MG CAPSULE,137.5,53.62,,,0
NDC,65862-707-01,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,4.8,1.87,,,0
NDC,65862-707-55,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,4.8,1.87,,,0
NDC,65862-732-05,AMIODARONE 200 MG TABLET,51.9,20.24,,,0
NDC,65862-732-60,AMIODARONE 200 MG TABLET,26.0,10.14,,,0
NDC,65862-743-30,OLMESARTAN 40 MG TABLET,73.7,28.74,,,0
NDC,65862-753-60,VALGANCICLOVIR 450 MG TABLET,527.6,205.76,,,0
NDC,65862-830-30,PRASUGREL HCL 10 MG TABLET,126.7,49.41,,,0
NDC,65862-840-03,MOXIFLOXACIN 0.5 % EYE DROPS,1283.6,500.6,,,0
NDC,65862-859-01,FAMOTIDINE 20 MG TABLET,10.3,4.02,,,0
NDC,65862-896-78,"LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET",14.0,5.46,,,0
NDC,65862-921-27,SEVELAMER CARBONATE 800 MG TABLET,93.5,36.46,,,0
NDC,65862-930-90,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET,280.6,109.43,,,0
NDC,65862-931-90,SEVELAMER CARBONATE 2.4 GRAM ORAL POWDER PACKET,140.3,54.72,,,0
NDC,65862-946-01,DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS,935.8,364.96,,,0
NDC,65862-947-60,DORZOLAMIDE-TIMOLOL (PF) 2 %-0.5 % EYE DROPS IN A DROPPERETTE,5.5,2.14,,,0
NDC,66220-207-30,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,442.8,172.69,,,0
NDC,66220-284-22,IBUPROFEN 800 MG/200 ML (4 MG/ML) INTRAVENOUS PIGGYBACK,258.0,100.62,,,0
NDC,66220-287-08,IBUPROFEN 800 MG/8 ML (100 MG/ML) INTRAVENOUS SOLUTION,260.6,101.63,,,0
NDC,66220-287-24,IBUPROFEN 800 MG/200 ML (4 MG/ML) INTRAVENOUS PIGGYBACK,167.9,65.48,,,0
NDC,66259-146-01,INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION,207.0,80.73,,,0
NDC,66259-936-15,INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION,207.7,81.0,,,0
NDC,66312-601-16,"ARTICAINE 4 %-EPINEPHRINE BITARTRATE 1:100,000 INJECTION CARTRIDGE",19.6,7.64,,,0
NDC,66312-602-16,"ARTICAINE 4 %-EPINEPHRINE BITARTRATE 1:200,000 INJECTION CARTRIDGE",19.6,7.64,,,0
NDC,66553-001-01,ASPIRIN 325 MG TABLET,0.6,0.23,,,0
NDC,66553-002-01,ASPIRIN 81 MG CHEWABLE TABLET,0.9,0.35,,,0
NDC,66553-004-01,CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET,0.6,0.23,,,0
NDC,66553-008-01,SODIUM BICARBONATE 650 MG TABLET,0.6,0.23,,,0
NDC,66689-023-50,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,38.2,14.9,,,0
NDC,66689-028-50,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,121.2,47.27,,,0
NDC,66689-036-50,PHENYTOIN 100 MG/4 ML ORAL SUSPENSION,109.4,42.67,,,0
NDC,66689-037-50,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",7.7,3.0,,,0
NDC,66689-038-50,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,12.9,5.03,,,0
NDC,66689-053-99,MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION,11.2,4.37,,,0
NDC,66689-056-99,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (WRAPPED),12.1,4.72,,,0
NDC,66689-201-08,ACTIVATED CHARCOAL 50 GRAM/240 ML ORAL SUSPENSION,311.1,121.33,,,0
NDC,66689-202-04,ACTIVATED CHARCOAL 25 GRAM/120 ML ORAL SUSPENSION,227.4,88.69,,,0
NDC,66689-203-04,ACTIVATED CHARCOAL-SORBITOL 25 GRAM/120 ML ORAL SUSPENSION,454.7,177.33,,,0
NDC,66689-203-08,ACTIVATED CHARCOAL-SORBITOL 50 GRAM/240 ML ORAL SUSPENSION,87.2,34.01,,,0
NDC,66689-305-16,SUCRALFATE 100 MG/ML ORAL SUSPENSION,44.0,17.16,,,0
NDC,66689-307-08,MYCOPHENOLATE MOFETIL 200 MG/ML ORAL POWDER FOR SUSPENSION,173.8,67.78,,,0
NDC,66689-327-02,DIGOXIN 50 MCG/ML (0.05 MG/ML) ORAL SOLUTION,6.5,2.54,,,0
NDC,66689-401-50,OXYCODONE 5 MG/5 ML ORAL SOLUTION,132.4,51.64,,,0
NDC,66689-775-08,PHENYTOIN 125 MG/5 ML ORAL SUSPENSION,5.9,2.3,,,0
NDC,66689-790-01,SUCRALFATE 100 MG/ML ORAL SUSPENSION,23.1,9.01,,,0
NDC,66689-790-50,SUCRALFATE 100 MG/ML ORAL SUSPENSION,107.5,41.92,,,0
NDC,66733-948-23,CETUXIMAB 200 MG/100 ML INTRAVENOUS SOLUTION,2229.9,869.66,,,0
NDC,66733-958-23,CETUXIMAB 200 MG/100 ML INTRAVENOUS SOLUTION,20271.3,7905.81,,,0
NDC,66758-016-04,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,173.5,67.66,,,0
NDC,66758-050-02,DOCETAXEL 80 MG/8 ML (10 MG/ML) INTRAVENOUS SOLUTION,17762.6,6927.41,,,0
NDC,66758-050-03,DOCETAXEL 80 MG/8 ML (10 MG/ML) INTRAVENOUS SOLUTION,15631.2,6096.17,,,0
NDC,66758-160-13,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",20.0,7.8,,,0
NDC,66794-157-01,"BACLOFEN 40,000 MCG/20 ML (2,000 MCG/ML) INTRATHECAL SYRINGE",7085.6,2763.38,,,0
NDC,66794-162-02,MORPHINE (PF) 25 MG/ML INJECTION SOLUTION,740.2,288.68,,,0
NDC,66794-204-42,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,66794-206-41,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,36.8,14.35,,,0
NDC,66794-207-41,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,53.4,20.83,,,0
NDC,66794-219-43,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,161.5,62.98,,,0
NDC,66794-228-41,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,41.0,15.99,,,0
NDC,66794-229-41,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,63.2,24.65,,,0
NDC,66794-230-42,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,44.9,17.51,,,0
NDC,66794-235-41,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,271.6,105.92,,,0
NDC,66794-236-43,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,102.5,39.98,,,0
NDC,66794-237-41,DOXYCYCLINE HYCLATE 100 MG/10ML INTRAVENOUS POWDER FOR SOLUTION (WET SOLR VIAL),214.4,83.62,,,0
NDC,66794-258-41,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,41.8,16.3,,,0
NDC,66825-002-01,SACCHAROMYCES BOULARDII 250 MG CAPSULE,7.7,3.0,,,0
NDC,66887-003-01,COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 0.9 MG SOLUTION FOR INJECTION,30729.2,11984.39,,,0
NDC,66992-450-14,CIPROFLOXACIN 0.2 % EAR DROPS IN A DROPPERETTE,358.3,139.74,,,0
NDC,66993-022-27,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,51.4,20.05,,,0
NDC,66993-068-51,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",4.8,1.87,,,0
NDC,66993-068-80,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",4.8,1.87,,,0
NDC,66993-422-85,LANTHANUM 500 MG CHEWABLE TABLET,298.1,116.26,,,0
NDC,66993-432-85,PRAZOSIN 2 MG CAPSULE,9.8,3.82,,,0
NDC,66993-456-30,DAPAGLIFLOZIN PROPANEDIOL 5 MG TABLET,339.4,132.37,,,0
NDC,66993-457-30,DAPAGLIFLOZIN PROPANEDIOL 10 MG TABLET,169.7,66.18,,,0
NDC,66993-490-36,IBUPROFEN LYSINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,3816.0,1488.24,,,0
NDC,66993-681-30,OLANZAPINE 5 MG TABLET,50.7,19.77,,,0
NDC,66993-730-80,DEXAMETHASONE 4 MG TABLET,9.3,3.63,,,0
NDC,66993-832-02,TRIAMTERENE 100 MG CAPSULE,91.5,35.68,,,0
NDC,67157-101-51,ASCORBIC ACID (VITAMIN C) 500 MG/ML INJECTION SOLUTION,138.7,54.09,,,0
NDC,67253-651-10,PROPYLTHIOURACIL 50 MG TABLET,13.9,5.42,,,0
NDC,67308-101-01,AMINOLEVULINIC ACID HCL 20 % TOPICAL SOLUTION,3016.0,1176.24,,,0
NDC,67308-101-06,AMINOLEVULINIC ACID HCL 20 % TOPICAL SOLUTION,3016.0,1176.24,,,0
NDC,67386-314-01,CLOBAZAM 10 MG TABLET,240.2,93.68,,,0
NDC,67457-001-10,KETAMINE 50 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,67457-153-03,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,32.8,12.79,,,0
NDC,67457-153-09,ONE-STEP ONLY - AMIODARONE IV PUSH,66.1,25.78,,,0
NDC,67457-153-18,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,63.9,24.92,,,0
NDC,67457-163-02,SODIUM TETRADECYL SULFATE 3 % (30 MG/ML) INTRAVENOUS SOLUTION,3267.3,1274.25,,,0
NDC,67457-181-20,KETAMINE 10 MG/ML INJECTION SOLUTION,51.5,20.08,,,0
NDC,67457-182-10,ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION,21.6,8.42,,,0
NDC,67457-196-02,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,227.8,88.84,,,0
NDC,67457-197-10,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",741.2,289.07,,,0
NDC,67457-198-03,REMIFENTANIL 1 MG INTRAVENOUS SOLUTION,1068.0,416.52,,,0
NDC,67457-210-05,CIDOFOVIR 75 MG/ML INTRAVENOUS SOLUTION,8269.7,3225.18,,,0
NDC,67457-212-02,ARGATROBAN 100 MG/ML INTRAVENOUS SOLUTION,4265.7,1663.62,,,0
NDC,67457-217-20,METHADONE 10 MG/ML INJECTION SOLUTION,50.2,19.58,,,0
NDC,67457-218-10,"CLONIDINE (PF) 1,000 MCG/10 ML (100 MCG/ML) EPIDURAL SOLUTION",19.6,7.64,,,0
NDC,67457-220-05,ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLUTION,3385.2,1320.23,,,0
NDC,67457-227-02,COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION,737.5,287.62,,,0
NDC,67457-228-05,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,67457-228-10,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,57.4,22.39,,,0
NDC,67457-245-01,OCTREOTIDE ACETATE 100 MCG/ML (1 ML) INJECTION SYRINGE,40.5,15.8,,,0
NDC,67457-251-02,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,39.5,15.4,,,0
NDC,67457-255-10,LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK,280.2,109.28,,,0
NDC,67457-256-10,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,7926.8,3091.45,,,0
NDC,67457-265-10,"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",508.2,198.2,,,0
NDC,67457-266-10,"LEVETIRACETAM 1,500 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",761.0,296.79,,,0
NDC,67457-273-10,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,608.8,237.43,,,0
NDC,67457-291-01,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,890.3,347.22,,,0
NDC,67457-292-02,NALOXONE 0.4 MG/ML INJECTION SOLUTION,101.3,39.51,,,0
NDC,67457-339-50,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,67457-340-01,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",164.4,64.12,,,0
NDC,67457-342-10,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,329.0,128.31,,,0
NDC,67457-351-10,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,73.8,28.78,,,0
NDC,67457-352-10,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,136.0,53.04,,,0
NDC,67457-359-59,FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLUTION,317.7,123.9,,,0
NDC,67457-374-99,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",26.7,10.41,,,0
NDC,67457-385-99,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",19.6,7.64,,,0
NDC,67457-390-54,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION,1233.7,481.14,,,0
NDC,67457-418-05,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,67457-419-01,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJ (WRAPPED),19.6,7.64,,,0
NDC,67457-421-30,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,67457-422-54,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJ (WRAPPED),20.0,7.8,,,0
NDC,67457-423-00,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,15.8,6.16,,,0
NDC,67457-423-12,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,67457-426-12,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,67457-428-30,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,71.6,27.92,,,0
NDC,67457-430-10,PAMIDRONATE 30 MG/10 ML (3 MG/ML) INTRAVENOUS SOLUTION,830.1,323.74,,,0
NDC,67457-433-22,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,67457-436-50,DOXORUBICIN 50 MG INTRAVENOUS SOLUTION,1825.7,712.02,,,0
NDC,67457-438-10,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,48.7,18.99,,,0
NDC,67457-442-20,OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION,2516.0,981.24,,,0
NDC,67457-446-10,PAMIDRONATE 90 MG/10 ML (9 MG/ML) INTRAVENOUS SOLUTION,319.3,124.53,,,0
NDC,67457-473-22,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,131.9,51.44,,,0
NDC,67457-475-20,VECURONIUM BROMIDE 20 MG INTRAVENOUS SOLUTION,243.4,94.93,,,0
NDC,67457-484-30,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJ (WRAPPED),19.6,7.64,,,0
NDC,67457-528-10,LEUCOVORIN CALCIUM 100 MG SOLUTION FOR INJECTION,410.0,159.9,,,0
NDC,67457-529-20,LEUCOVORIN CALCIUM 200 MG SOLUTION FOR INJECTION,369.2,143.99,,,0
NDC,67457-530-35,LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION,532.9,207.83,,,0
NDC,67457-532-08,DOCETAXEL 80 MG/8 ML (10 MG/ML) INTRAVENOUS SOLUTION,1055.4,411.61,,,0
NDC,67457-533-16,DOCETAXEL 80 MG/8 ML (10 MG/ML) INTRAVENOUS SOLUTION,3140.3,1224.72,,,0
NDC,67457-553-00,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,110.5,43.1,,,0
NDC,67457-582-10,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE,466.8,182.05,,,0
NDC,67457-588-10,EPOPROSTENOL 1.5 MG INTRAVENOUS SOLUTION,307.3,119.85,,,0
NDC,67457-616-10,GEMCITABINE 200 MG/5.26 ML (38 MG/ML) INTRAVENOUS SOLUTION,148.3,57.84,,,0
NDC,67457-617-30,GEMCITABINE 1 GRAM/26.3 ML (38 MG/ML) INTRAVENOUS SOLUTION,370.4,144.46,,,0
NDC,67457-619-10,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK,7000.7,2730.27,,,0
NDC,67457-621-02,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,76.0,29.64,,,0
NDC,67457-629-10,EPTIFIBATIDE 2 MG/ML BOLUS,800.8,312.31,,,0
NDC,67457-631-10,EPTIFIBATIDE 0.75 MG/ML INTRAVENOUS SOLUTION,3404.5,1327.76,,,0
NDC,67457-640-02,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,94.8,36.97,,,0
NDC,67457-645-02,NALOXONE 0.4 MG/ML INJECTION SOLUTION,202.6,79.01,,,0
NDC,67457-665-20,POSACONAZOLE 300 MG/16.7 ML INTRAVENOUS SOLUTION,3512.4,1369.84,,,0
NDC,67457-675-02,CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION,13940.0,5436.6,,,0
NDC,67457-705-75,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,99.4,38.77,,,0
NDC,67457-781-08,DOCETAXEL 160 MG/8 ML (20 MG/ML) INTRAVENOUS SOLUTION,20506.9,7997.69,,,0
NDC,67457-790-05,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,107.7,42.0,,,0
NDC,67457-814-02,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,37.3,14.55,,,0
NDC,67457-816-06,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,38.7,15.09,,,0
NDC,67457-823-99,VANCOMYCIN 1.25 GRAM INTRAVENOUS SOLUTION,206.0,80.34,,,0
NDC,67457-852-04,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,1217.0,474.63,,,0
NDC,67457-853-50,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION,205.0,79.95,,,0
NDC,67457-855-02,ADENOSINE 3 MG/ML IV SOLN (WRAPPED),19.6,7.64,,,0
NDC,67457-857-30,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION,206.3,80.46,,,0
NDC,67457-887-99,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION,834.8,325.57,,,0
NDC,67457-889-10,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,2516.2,981.32,,,0
NDC,67457-902-10,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,45.3,17.67,,,0
NDC,67457-925-10,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,840.4,327.76,,,0
NDC,67457-940-10,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",384.3,149.88,,,0
NDC,67457-987-10,NALOXONE 0.4 MG/ML INJECTION SOLUTION,4965.8,1936.66,,,0
NDC,67618-150-05,POVIDONE-IODINE 10 % TOPICAL SOLUTION,22.1,8.62,,,0
NDC,67618-200-04,CHLORHEXIDINE GLUCONATE 4 % TOPICAL LIQUID,101.4,39.55,,,0
NDC,67618020004,Betasept: 118 Ml In 1 Bottle (67618-200-04),51.55,20.1,,,0
NDC,67684-1901-2,ETHIODIZED OIL 480 MG IODINE/ML FOR INJECTION,8531.3,3327.21,,,0
NDC,67777-211-01,WHITE PETROLATUM TOPICAL OINTMENT IN PACKET,0.6,0.23,,,0
NDC,67850-150-10,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,31.2,12.17,,,0
NDC,67850-552-01,MANNITOL 0 MG-5 MG-10 MG-20 MG-40 MG INHALATION POWDER IN A CAPSULE,1150.6,448.73,,,0
NDC,67877-124-20,SILVER SULFADIAZINE 1 % TOPICAL CREAM,142.3,55.5,,,0
NDC,67877-124-40,SILVER SULFADIAZINE 1 % TOPICAL CREAM,497.1,193.87,,,0
NDC,67877-124-50,SILVER SULFADIAZINE 1 % TOPICAL CREAM,115.82,45.17,,,0
NDC,67877-148-01,TEMAZEPAM 7.5 MG CAPSULE,76.7,29.91,,,0
NDC,67877-198-90,AMLODIPINE 5 MG TABLET,13.8,5.38,,,0
NDC,67877-199-90,AMLODIPINE 10 MG TABLET,18.3,7.14,,,0
NDC,67877-219-01,CEPHALEXIN 500 MG CAPSULE,15.2,5.93,,,0
NDC,67877-220-01,CEPHALEXIN 250 MG CAPSULE,6.7,2.61,,,0
NDC,67877-222-01,GABAPENTIN 100 MG CAPSULE,4.8,1.87,,,0
NDC,67877-223-01,GABAPENTIN 300 MG CAPSULE,10.3,4.02,,,0
NDC,67877-224-01,GABAPENTIN 400 MG CAPSULE,24.6,9.59,,,0
NDC,67877-224-05,GABAPENTIN 400 MG CAPSULE,12.4,4.84,,,0
NDC,67877-230-22,MYCOPHENOLATE MOFETIL 200 MG/ML ORAL POWDER FOR SUSPENSION,62.6,24.41,,,0
NDC,67877-249-01,QUETIAPINE 50 MG TABLET,50.4,19.66,,,0
NDC,67877-251-15,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,44.8,17.47,,,0
NDC,67877-251-45,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,240.3,93.72,,,0
NDC,67877-264-90,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",59.8,23.32,,,0
NDC,67877-266-01,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,61.3,23.91,,,0
NDC,67877-276-90,CLOPIDOGREL 75 MG TABLET,53.4,20.83,,,0
NDC,67877-318-15,TRIAMCINOLONE ACETONIDE 0.5 % TOPICAL CREAM,87.0,33.93,,,0
NDC,67877-320-01,IBUPROFEN 600 MG TABLET,4.8,1.87,,,0
NDC,67877-320-05,IBUPROFEN 600 MG TABLET,4.8,1.87,,,0
NDC,67877-419-20,LINEZOLID 600 MG TABLET,1408.7,549.39,,,0
NDC,67877-419-84,LINEZOLID 600 MG TABLET,1408.7,549.39,,,0
NDC,67877-426-12,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE",70.1,27.34,,,0
NDC,67877-445-30,OLMESARTAN 5 MG TABLET,39.6,15.44,,,0
NDC,67877-446-30,OLMESARTAN 20 MG TABLET,48.2,18.8,,,0
NDC,67877-447-30,OLMESARTAN 40 MG TABLET,70.4,27.46,,,0
NDC,67877-463-05,PREGABALIN 50 MG CAPSULE,61.1,23.83,,,0
NDC,67877-503-30,CINACALCET 30 MG TABLET,235.1,91.69,,,0
NDC,67877-506-51,COLESEVELAM 625 MG TABLET,60.6,23.63,,,0
NDC,67877-513-90,ATORVASTATIN 40 MG TABLET,44.3,17.28,,,0
NDC,67877-514-90,ATORVASTATIN 80 MG TABLET,42.2,16.46,,,0
NDC,67877-523-30,COLESEVELAM 3.75 GRAM ORAL POWDER PACKET,172.2,67.16,,,0
NDC,67877-525-60,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",49.4,19.27,,,0
NDC,67877-539-07,TEMOZOLOMIDE 100 MG CAPSULE,6492.6,2532.11,,,0
NDC,67877-543-60,CEFDINIR 300 MG CAPSULE,39.2,15.29,,,0
NDC,67877-545-68,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION,9.7,3.78,,,0
NDC,67877-545-88,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION,17.6,6.86,,,0
NDC,67877-547-98,CEFDINIR 125 MG/5 ML ORAL SUSPENSION,98.9,38.57,,,0
NDC,67877-548-88,CEFDINIR 250 MG/5 ML ORAL SUSPENSION,1208.1,471.16,,,0
NDC,67877-548-98,CEFDINIR 250 MG/5 ML ORAL SUSPENSION,28.0,10.92,,,0
NDC,67877-589-01,COLCHICINE 0.6 MG TABLET,51.7,20.16,,,0
NDC,67877-590-01,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",9.7,3.78,,,0
NDC,67877-635-33,TOLVAPTAN 15 MG TABLET,2017.8,786.94,,,0
NDC,67877-636-33,TOLVAPTAN 30 MG TABLET,4188.3,1633.44,,,0
NDC,67877-638-30,LURASIDONE 20 MG TABLET,391.5,152.68,,,0
NDC,67877-639-30,LURASIDONE 40 MG TABLET,782.9,305.33,,,0
NDC,67877-704-90,DROXIDOPA 100 MG CAPSULE,275.9,107.6,,,0
NDC,67877-705-90,DROXIDOPA 200 MG CAPSULE,1655.1,645.49,,,0
NDC,67877-706-90,DROXIDOPA 300 MG CAPSULE,827.6,322.76,,,0
NDC,67877-732-95,LACOSAMIDE 10 MG/ML ORAL SOLUTION,84.7,33.03,,,0
NDC,67877-751-58,VANCOMYCIN 50 MG/ML ORAL SOLUTION,16.7,6.51,,,0
NDC,67877-751-81,VANCOMYCIN 50 MG/ML ORAL SOLUTION,21.0,8.19,,,0
NDC,67877-753-60,DRONABINOL 2.5 MG CAPSULE,99.9,38.96,,,0
NDC,67877-754-60,DRONABINOL 5 MG CAPSULE,103.9,40.52,,,0
NDC,67877-755-60,DRONABINOL 10 MG CAPSULE,190.9,74.45,,,0
NDC,67877-842-01,FAMOTIDINE 20 MG TABLET,10.3,4.02,,,0
NDC,67877-879-20,CEFPODOXIME 200 MG TABLET,64.7,25.23,,,0
NDC,67919-030-01,CEFTOLOZANE-TAZOBACTAM 1.5 GRAM INTRAVENOUS SOLUTION,2430.6,947.93,,,0
NDC,68047-253-01,HYOSCYAMINE 0.125 MG SUBLINGUAL TABLET,7.3,2.85,,,0
NDC,68084-021-21,ABACAVIR 300 MG TABLET,154.1,60.1,,,0
NDC,68084-027-01,WARFARIN 2.5 MG TABLET,8.8,3.43,,,0
NDC,68084-040-01,MISOPROSTOL 100 MCG TABLET,190.2,74.18,,,0
NDC,68084-040-11,MISOPROSTOL 25 MCG QUARTERED TABLET,4.8,1.87,,,0
NDC,68084-041-01,MISOPROSTOL 200 MCG TABLET,83.7,32.64,,,0
NDC,68084-044-01,PAROXETINE 10 MG TABLET,41.0,15.99,,,0
NDC,68084-045-01,PAROXETINE 20 MG TABLET,42.8,16.69,,,0
NDC,68084-070-01,CIPROFLOXACIN 500 MG TABLET,24.4,9.52,,,0
NDC,68084-075-21,TRETINOIN (ANTINEOPLASTIC) 10 MG CAPSULE,756.8,295.15,,,0
NDC,68084-082-01,ISOSORBIDE DINITRATE 10 MG TABLET,9.6,3.74,,,0
NDC,68084-093-01,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,6.3,2.46,,,0
NDC,68084-094-01,CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET,7.3,2.85,,,0
NDC,68084-097-01,ATORVASTATIN 10 MG TABLET,4.9,1.91,,,0
NDC,68084-098-01,ATORVASTATIN 20 MG TABLET,6.6,2.57,,,0
NDC,68084-099-01,ATORVASTATIN 40 MG TABLET,6.6,2.57,,,0
NDC,68084-103-09,ZIPRASIDONE 20 MG CAPSULE,65.0,25.35,,,0
NDC,68084-104-09,ZIPRASIDONE 40 MG CAPSULE,65.0,25.35,,,0
NDC,68084-107-01,ACYCLOVIR 200 MG CAPSULE,20.1,7.84,,,0
NDC,68084-108-01,ACYCLOVIR 400 MG TABLET,15.2,5.93,,,0
NDC,68084-109-01,ACYCLOVIR 800 MG TABLET,34.9,13.61,,,0
NDC,68084-111-01,"GLIPIZIDE ER 5 MG TABLET, EXTENDED RELEASE 24 HR",11.1,4.33,,,0
NDC,68084-112-01,"GLIPIZIDE ER 10 MG TABLET, EXTENDED RELEASE 24 HR",8.2,3.2,,,0
NDC,68084-119-01,MIRTAZAPINE 15 MG TABLET,8.1,3.16,,,0
NDC,68084-120-01,MIRTAZAPINE 30 MG TABLET,9.9,3.86,,,0
NDC,68084-135-21,METAXALONE 800 MG TABLET,45.2,17.63,,,0
NDC,68084-149-01,METHYLPREDNISOLONE 4 MG TABLET,99.1,38.65,,,0
NDC,68084-154-01,PROMETHAZINE 12.5 MG TABLET,4.8,1.87,,,0
NDC,68084-155-01,PROMETHAZINE 25 MG TABLET,4.8,1.87,,,0
NDC,68084-158-01,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE",25.6,9.98,,,0
NDC,68084-182-11,SERTRALINE 100 MG TABLET,4.8,1.87,,,0
NDC,68084-189-01,ZOLPIDEM 5 MG TABLET,13.5,5.26,,,0
NDC,68084-198-11,LISINOPRIL 20 MG TABLET,7.6,2.96,,,0
NDC,68084-199-01,LISINOPRIL 40 MG TABLET,4.8,1.87,,,0
NDC,68084-202-01,PRIMIDONE 50 MG TABLET,7.5,2.92,,,0
NDC,68084-203-01,PRIMIDONE 250 MG TABLET,8.1,3.16,,,0
NDC,68084-204-01,MINOXIDIL 2.5 MG TABLET,13.1,5.11,,,0
NDC,68084-205-01,MINOXIDIL 10 MG TABLET,8.2,3.2,,,0
NDC,68084-214-01,BENZONATATE 100 MG CAPSULE,5.6,2.18,,,0
NDC,68084-215-21,VALACYCLOVIR 500 MG TABLET,61.0,23.79,,,0
NDC,68084-229-01,AZATHIOPRINE 50 MG TABLET,6.5,2.54,,,0
NDC,68084-230-01,SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET,4.8,1.87,,,0
NDC,68084-243-01,CLINDAMYCIN HCL 150 MG CAPSULE,4.9,1.91,,,0
NDC,68084-248-01,LORATADINE 10 MG TABLET,3.0,1.17,,,0
NDC,68084-249-01,HALOPERIDOL 10 MG TABLET,14.6,5.69,,,0
NDC,68084-252-21,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",36.6,14.27,,,0
NDC,68084-253-01,HYDROXYZINE HCL 10 MG TABLET,5.4,2.11,,,0
NDC,68084-255-01,HYDROXYZINE HCL 50 MG TABLET,4.8,1.87,,,0
NDC,68084-269-01,HYDROXYCHLOROQUINE 200 MG TABLET,33.7,13.14,,,0
NDC,68084-270-01,RISPERIDONE 0.25 MG TABLET,29.9,11.66,,,0
NDC,68084-272-01,RISPERIDONE 1 MG TABLET,34.9,13.61,,,0
NDC,68084-274-01,RISPERIDONE 3 MG TABLET,68.4,26.68,,,0
NDC,68084-276-01,METHIMAZOLE 10 MG TABLET,5.9,2.3,,,0
NDC,68084-280-01,ETHAMBUTOL 400 MG TABLET,31.2,12.17,,,0
NDC,68084-282-01,"CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE",12.2,4.76,,,0
NDC,68084-284-01,HYDROXYUREA 500 MG CAPSULE,25.5,9.94,,,0
NDC,68084-284-11,HYDROXYUREA 40 MG/ML ORAL SUSPENSION,9.6,3.74,,,0
NDC,68084-288-01,FLUDROCORTISONE 0.1 MG TABLET,8.1,3.16,,,0
NDC,68084-291-21,NALTREXONE 50 MG TABLET,33.1,12.91,,,0
NDC,68084-299-01,TAMSULOSIN 0.4 MG CAPSULE,32.4,12.64,,,0
NDC,68084-300-21,DANTROLENE 25 MG CAPSULE,14.9,5.81,,,0
NDC,68084-310-01,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",18.8,7.33,,,0
NDC,68084-313-01,"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE",10.9,4.25,,,0
NDC,68084-318-01,LAMOTRIGINE 25 MG TABLET,10.3,4.02,,,0
NDC,68084-319-01,LAMOTRIGINE 100 MG TABLET,4.8,1.87,,,0
NDC,68084-326-01,GLIMEPIRIDE 2 MG TABLET,6.8,2.65,,,0
NDC,68084-342-01,TOPIRAMATE 25 MG TABLET,128.9,50.27,,,0
NDC,68084-344-01,TOPIRAMATE 100 MG TABLET,47.6,18.56,,,0
NDC,68084-345-21,TOPIRAMATE 200 MG TABLET,8.7,3.39,,,0
NDC,68084-346-01,LOSARTAN 25 MG TABLET,25.8,10.06,,,0
NDC,68084-347-01,LOSARTAN 50 MG TABLET,34.6,13.49,,,0
NDC,68084-348-01,LOSARTAN 100 MG TABLET,23.6,9.2,,,0
NDC,68084-354-01,OXYCODONE 5 MG TABLET,8.3,3.24,,,0
NDC,68084-366-01,DIGOXIN 125 MCG (0.125 MG) TABLET,19.7,7.68,,,0
NDC,68084-371-01,AMIODARONE 200 MG TABLET,4.8,1.87,,,0
NDC,68084-376-01,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,5.0,1.95,,,0
NDC,68084-381-01,BENZTROPINE 0.5 MG TABLET,9.1,3.55,,,0
NDC,68084-388-01,BENZTROPINE 1 MG TABLET,4.8,1.87,,,0
NDC,68084-391-11,ENALAPRIL MALEATE 10 MG TABLET,5.0,1.95,,,0
NDC,68084-396-65,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,15.0,5.85,,,0
NDC,68084-400-01,OXYBUTYNIN CHLORIDE 5 MG TABLET,4.8,1.87,,,0
NDC,68084-415-01,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR",58.8,22.93,,,0
NDC,68084-446-01,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,27.1,10.57,,,0
NDC,68084-447-01,HYDRALAZINE 10 MG TABLET,4.8,1.87,,,0
NDC,68084-449-01,"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE",136.9,53.39,,,0
NDC,68084-450-01,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE",102.7,40.05,,,0
NDC,68084-479-01,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,14.3,5.58,,,0
NDC,68084-490-01,MECLIZINE 12.5 MG TABLET,10.9,4.25,,,0
NDC,68084-491-01,MECLIZINE 25 MG TABLET,6.6,2.57,,,0
NDC,68084-494-01,PYRIDOSTIGMINE BROMIDE 60 MG TABLET,12.8,4.99,,,0
NDC,68084-530-11,QUETIAPINE 25 MG TABLET,29.0,11.31,,,0
NDC,68084-536-01,CLOPIDOGREL 75 MG TABLET,52.3,20.4,,,0
NDC,68084-539-01,TORSEMIDE 20 MG TABLET,12.9,5.03,,,0
NDC,68084-549-21,TEMAZEPAM 7.5 MG CAPSULE,64.1,25.0,,,0
NDC,68084-572-01,"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR",4.3,1.68,,,0
NDC,68084-590-25,ATORVASTATIN 80 MG TABLET,15.1,5.89,,,0
NDC,68084-591-01,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",12.9,5.03,,,0
NDC,68084-597-01,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",13.8,5.38,,,0
NDC,68084-598-01,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",22.8,8.89,,,0
NDC,68084-617-01,ESCITALOPRAM 10 MG TABLET,33.2,12.95,,,0
NDC,68084-618-01,ESCITALOPRAM 20 MG TABLET,35.3,13.77,,,0
NDC,68084-621-21,MODAFINIL 100 MG TABLET,201.9,78.74,,,0
NDC,68084-640-01,"LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE",7.4,2.89,,,0
NDC,68084-643-01,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE",29.2,11.39,,,0
NDC,68084-645-01,TIZANIDINE 4 MG TABLET,11.7,4.56,,,0
NDC,68084-654-01,SOTALOL 80 MG TABLET,35.6,13.88,,,0
NDC,68084-655-01,"LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE",5.8,2.26,,,0
NDC,68084-659-01,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",8.6,3.35,,,0
NDC,68084-697-01,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE",12.8,4.99,,,0
NDC,68084-698-01,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR",114.9,44.81,,,0
NDC,68084-699-01,OXYCODONE-ACETAMINOPHEN 7.5 MG-325 MG TABLET,21.1,8.23,,,0
NDC,68084-708-25,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE",5.7,2.22,,,0
NDC,68084-709-01,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR",96.6,37.67,,,0
NDC,68084-710-01,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,27.4,10.69,,,0
NDC,68084-713-01,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR",35.1,13.69,,,0
NDC,68084-721-21,MODAFINIL 200 MG TABLET,271.5,105.88,,,0
NDC,68084-723-01,OLANZAPINE 5 MG TABLET,83.6,32.6,,,0
NDC,68084-728-01,FLUCONAZOLE 100 MG TABLET,276.2,107.72,,,0
NDC,68084-729-21,GALANTAMINE 4 MG TABLET,64.5,25.16,,,0
NDC,68084-735-01,FLUCONAZOLE 200 MG TABLET,675.0,263.25,,,0
NDC,68084-750-25,TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG TABLET,7.6,2.96,,,0
NDC,68084-753-11,CYCLOBENZAPRINE 5 MG TABLET,13.0,5.07,,,0
NDC,68084-753-25,CYCLOBENZAPRINE 5 MG TABLET,19.2,7.49,,,0
NDC,68084-772-11,IBUPROFEN 800 MG TABLET,4.4,1.72,,,0
NDC,68084-774-01,GABAPENTIN 400 MG CAPSULE,9.4,3.67,,,0
NDC,68084-776-01,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",13.6,5.3,,,0
NDC,68084-776-11,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",13.6,5.3,,,0
NDC,68084-782-61,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE",74.4,29.02,,,0
NDC,68084-805-21,METHYLPHENIDATE 5 MG TABLET,18.9,7.37,,,0
NDC,68084-808-01,TRAMADOL 50 MG TABLET,6.3,2.46,,,0
NDC,68084-808-11,TRAMADOL 50 MG TABLET,12.6,4.91,,,0
NDC,68084-813-09,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",4.8,1.87,,,0
NDC,68084-836-01,DOXAZOSIN 1 MG TABLET,16.8,6.55,,,0
NDC,68084-836-25,DOXAZOSIN 1 MG TABLET,31.2,12.17,,,0
NDC,68084-844-01,VENLAFAXINE 37.5 MG TABLET,15.4,6.01,,,0
NDC,68084-845-01,OXCARBAZEPINE 150 MG TABLET,11.6,4.52,,,0
NDC,68084-851-01,DOXAZOSIN 2 MG TABLET,16.8,6.55,,,0
NDC,68084-851-25,DOXAZOSIN 2 MG TABLET,7.8,3.04,,,0
NDC,68084-854-01,CARVEDILOL 6.25 MG TABLET,15.0,5.85,,,0
NDC,68084-856-01,VENLAFAXINE 75 MG TABLET,16.8,6.55,,,0
NDC,68084-859-01,LEVETIRACETAM 250 MG TABLET,4.8,1.87,,,0
NDC,68084-862-01,DOXAZOSIN 4 MG TABLET,8.4,3.28,,,0
NDC,68084-865-11,CARVEDILOL 12.5 MG TABLET,15.0,5.85,,,0
NDC,68084-870-11,LEVETIRACETAM 500 MG TABLET,5.1,1.99,,,0
NDC,68084-875-01,MONTELUKAST 10 MG TABLET,42.3,16.5,,,0
NDC,68084-882-01,LEVETIRACETAM 750 MG TABLET,6.5,2.54,,,0
NDC,68084-895-01,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,4.8,1.87,,,0
NDC,68084-895-11,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,4.8,1.87,,,0
NDC,68084-896-25,VENLAFAXINE 25 MG TABLET,31.8,12.4,,,0
NDC,68084-907-21,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE",76.7,29.91,,,0
NDC,68084-915-25,SIROLIMUS 1 MG TABLET,261.6,102.02,,,0
NDC,68084-918-25,"MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE",76.7,29.91,,,0
NDC,68084-949-25,ALBUTEROL SULFATE 2 MG TABLET,114.7,44.73,,,0
NDC,68084-956-25,SIROLIMUS 0.5 MG TABLET,158.9,61.97,,,0
NDC,68084-964-25,PROPYLTHIOURACIL 50 MG TABLET,25.8,10.06,,,0
NDC,68084-965-25,VALGANCICLOVIR 450 MG TABLET,293.5,114.46,,,0
NDC,68084-975-01,OXYCODONE 15 MG TABLET,14.4,5.62,,,0
NDC,68084-976-01,CELECOXIB 200 MG CAPSULE,18.7,7.29,,,0
NDC,68084-988-32,CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET,3.8,1.48,,,0
NDC,68084-996-01,PRAZOSIN 1 MG CAPSULE,27.4,10.69,,,0
NDC,68094-001-59,MORPHINE ORAL SUSPENSION 0.2 MG/ML (NEONATAL ABSTINENCE),4.8,1.87,,,0
NDC,68094-001-62,MORPHINE ORAL SOLUTION 2 MG/ML (NEONATAL ABSTINENCE),4.8,1.87,,,0
NDC,68094-004-62,CETIRIZINE 5 MG/5 ML ORAL SOLUTION,6.1,2.38,,,0
NDC,68094-005-61,OXYCODONE 15 MG TABLET,10.9,4.25,,,0
NDC,68094-018-61,DIPHENHYDRAMINE 25 MG TABLET,2.2,0.86,,,0
NDC,68094-022-62,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,8.2,3.2,,,0
NDC,68094-029-62,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID,40.4,15.76,,,0
NDC,68094-031-62,METHADONE 5 MG/5 ML ORAL SOLUTION,29.6,11.54,,,0
NDC,68094-034-64,SEVELAMER CARBONATE 800 MG TABLET,52.5,20.48,,,0
NDC,68094-043-62,SUCRALFATE 100 MG/ML ORAL SUSPENSION,83.0,32.37,,,0
NDC,68094-045-58,MORPHINE CONCENTRATE 10 MG/0.5 ML ORAL SYRINGE (FOR ORAL USE ONLY),32.7,12.75,,,0
NDC,68094-048-61,"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR",4.5,1.76,,,0
NDC,68094-049-59,SENNOSIDES 8.8 MG/5 ML ORAL SYRUP,18.3,7.14,,,0
NDC,68094-054-59,FAMOTIDINE 20 MG TABLET,0.7,0.27,,,0
NDC,68094-061-61,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (WRAPPED),8.0,3.12,,,0
NDC,68094-063-62,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION,43.0,16.77,,,0
NDC,68094-101-10,PHENTOLAMINE 5 MG INJECTION SOLUTION,3511.3,1369.41,,,0
NDC,68094-107-59,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID,61.7,24.06,,,0
NDC,68094-129-62,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID,24.3,9.48,,,0
NDC,68094-174-62,MEGESTROL 800 MG/20 ML (20 ML) ORAL SUSPENSION,42.5,16.58,,,0
NDC,68094-231-61,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (WRAPPED),3.9,1.52,,,0
NDC,68094-250-61,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION,32.5,12.68,,,0
NDC,68094-313-01,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION (FOR IV PUSH),30.8,12.01,,,0
NDC,68094-330-62,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (WRAPPED),14.9,5.81,,,0
NDC,68094-356-58,MORPHINE CONCENTRATE 20 MG/ML ORAL SYRINGE  (FOR ORAL USE ONLY),72.6,28.31,,,0
NDC,68094-494-58,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,5.6,2.18,,,0
NDC,68094-494-61,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,4.4,1.72,,,0
NDC,68094-503-61,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,16.3,6.36,,,0
NDC,68094-503-62,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,12.4,4.84,,,0
NDC,68094-587-58,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (WRAPPED),17.0,6.63,,,0
NDC,68094-599-61,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",12.7,4.95,,,0
NDC,68094-600-61,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,4.32,1.68,,,0
NDC,68094-750-59,"DIAZEPAM 5 MG/5 ML (1 MG/ML, 5 ML) ORAL SOLUTION",35.3,13.77,,,0
NDC,68094-756-59,FUROSEMIDE 40 MG/4 ML ORAL SOLUTION,9.5,3.7,,,0
NDC,68094-762-62,MIDAZOLAM 10 MG/5 ML (2 MG/ML) ORAL SYRUP,77.7,30.3,,,0
NDC,68094-763-62,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION,58.8,22.93,,,0
NDC,68094-764-62,MIDAZOLAM 10 MG/5 ML (2 MG/ML) ORAL SYRUP,16.6,6.47,,,0
NDC,68094-853-62,NALTREXONE 50 MG TABLET,21.0,8.19,,,0
NDC,6809411061,MELATONIN 3 MG TABLET,4.8,1.87,,,0
NDC,6809411261,FOLIC ACID 1 MG TABLET,4.8,1.87,,,0
NDC,6809411361,ASCORBIC ACID (VITAMIN C) 500 MG TABLET,1.1,0.43,,,0
NDC,6809411661,THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET,4.8,1.87,,,0
NDC,6809412061,MULTIVIT-MINS-FERROUS GLUCONATE 9 MG IRON/15 ML (15 ML) ORAL LIQUID,12.1,4.72,,,0
NDC,68180-121-01,CEPHALEXIN 250 MG CAPSULE,10.7,4.17,,,0
NDC,68180-122-01,CEPHALEXIN 500 MG CAPSULE,10.6,4.13,,,0
NDC,68180-150-01,FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION,4.7,1.83,,,0
NDC,68180-151-09,"MIRABEGRON ER 25 MG TABLET,EXTENDED RELEASE 24 HR",254.2,99.14,,,0
NDC,68180-241-08,LEVOFLOXACIN 500 MG TABLET,148.0,57.72,,,0
NDC,68180-280-01,ETHAMBUTOL 100 MG TABLET,18.2,7.1,,,0
NDC,68180-281-01,ETHAMBUTOL 400 MG TABLET,41.1,16.03,,,0
NDC,68180-294-07,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",53.7,20.94,,,0
NDC,68180-295-06,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",120.5,47.0,,,0
NDC,68180-295-09,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",60.3,23.52,,,0
NDC,68180-296-06,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",60.3,23.52,,,0
NDC,68180-296-09,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",60.3,23.52,,,0
NDC,68180-303-60,CEFUROXIME AXETIL 500 MG TABLET,61.5,23.98,,,0
NDC,68180-319-06,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",36.7,14.31,,,0
NDC,68180-319-09,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",36.7,14.31,,,0
NDC,68180-320-06,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",36.6,14.27,,,0
NDC,68180-320-09,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",36.6,14.27,,,0
NDC,68180-361-09,FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET,44.0,17.16,,,0
NDC,68180-422-01,MOXIFLOXACIN 0.5 % EYE DROPS,1283.6,500.6,,,0
NDC,68180-440-01,CEPHALEXIN 125 MG/5 ML ORAL SUSPENSION,7.0,2.73,,,0
NDC,68180-441-01,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION,22.1,8.62,,,0
NDC,68180-441-02,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION,19.1,7.45,,,0
NDC,68180-512-01,LISINOPRIL 2.5 MG TABLET,5.0,1.95,,,0
NDC,68180-513-01,LISINOPRIL 5 MG TABLET,59.1,23.05,,,0
NDC,68180-593-06,"DESVENLAFAXINE SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",88.0,34.32,,,0
NDC,68180-612-07,"QUETIAPINE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",204.1,79.6,,,0
NDC,68180-614-07,"QUETIAPINE ER 200 MG TABLET,EXTENDED RELEASE 24 HR",134.5,52.46,,,0
NDC,68180-657-01,DOXYCYCLINE MONOHYDRATE 25 MG/5 ML ORAL SUSPENSION,58.3,22.74,,,0
NDC,68180-659-06,RIFAMPIN 300 MG CAPSULE,70.5,27.5,,,0
NDC,68180-659-07,RIFAMPIN 300 MG CAPSULE,35.3,13.77,,,0
NDC,68180-675-11,OSELTAMIVIR 30 MG CAPSULE,108.8,42.43,,,0
NDC,68180-677-11,OSELTAMIVIR 75 MG CAPSULE,118.6,46.25,,,0
NDC,68180-711-60,CEFDINIR 300 MG CAPSULE,39.3,15.33,,,0
NDC,68180-723-04,CEFDINIR 250 MG/5 ML ORAL SUSPENSION,35.7,13.92,,,0
NDC,68180-819-42,LANTHANUM 500 MG CHEWABLE TABLET,199.0,77.61,,,0
NDC,68180-861-06,AZITHROMYCIN 250 MG TABLET,119.5,46.6,,,0
NDC,68180-891-73,DESOGESTREL 0.15 MG-ETHINYL ESTRADIOL 0.03 MG TABLET,10.8,4.21,,,0
NDC,68180-965-01,LEVOTHYROXINE 25 MCG TABLET,4.8,1.87,,,0
NDC,68180-965-09,LEVOTHYROXINE 25 MCG TABLET,6.8,2.65,,,0
NDC,68180-966-01,LEVOTHYROXINE 50 MCG TABLET,4.8,1.87,,,0
NDC,68180-966-09,LEVOTHYROXINE 50 MCG TABLET,4.8,1.87,,,0
NDC,68180-967-09,LEVOTHYROXINE 75 MCG TABLET,4.8,1.87,,,0
NDC,68180-968-01,LEVOTHYROXINE 88 MCG TABLET,4.3,1.68,,,0
NDC,68180-969-01,LEVOTHYROXINE 100 MCG TABLET,4.8,1.87,,,0
NDC,68180-970-09,LEVOTHYROXINE 112 MCG TABLET,5.0,1.95,,,0
NDC,68180-972-09,LEVOTHYROXINE 137 MCG TABLET,5.2,2.03,,,0
NDC,68180-975-01,LEVOTHYROXINE 200 MCG TABLET,6.2,2.42,,,0
NDC,68180-979-01,LISINOPRIL 40 MG TABLET,12.0,4.68,,,0
NDC,68180-980-01,LISINOPRIL 10 MG TABLET,30.5,11.9,,,0
NDC,68180-980-03,LISINOPRIL 10 MG TABLET,7.6,2.96,,,0
NDC,68180-981-01,LISINOPRIL 20 MG TABLET,8.2,3.2,,,0
NDC,68180-984-30,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,85.0,33.15,,,0
NDC,68308-152-15,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER",168.4,65.68,,,0
NDC,68308-152-30,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER",312.1,121.72,,,0
NDC,68308-480-47,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,25.9,10.1,,,0
NDC,68382-003-01,AZATHIOPRINE 50 MG TABLET,16.2,6.32,,,0
NDC,68382-005-14,TOPIRAMATE 25 MG SPRINKLE CAPSULE,22.5,8.78,,,0
NDC,68382-020-01,VENLAFAXINE 50 MG TABLET,15.9,6.2,,,0
NDC,68382-040-01,PROMETHAZINE 12.5 MG TABLET,4.8,1.87,,,0
NDC,68382-041-01,PROMETHAZINE 25 MG TABLET,4.8,1.87,,,0
NDC,68382-080-01,HALOPERIDOL 10 MG TABLET,11.1,4.33,,,0
NDC,68382-092-01,CARVEDILOL 3.125 MG TABLET,16.4,6.4,,,0
NDC,68382-093-01,CARVEDILOL 6.25 MG TABLET,16.4,6.4,,,0
NDC,68382-094-01,CARVEDILOL 12.5 MG TABLET,16.4,6.4,,,0
NDC,68382-095-01,CARVEDILOL 25 MG TABLET,16.4,6.4,,,0
NDC,68382-097-05,PAROXETINE 10 MG TABLET,80.4,31.36,,,0
NDC,68382-098-01,PAROXETINE 20 MG TABLET,21.0,8.19,,,0
NDC,68382-106-01,"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE",34.4,13.42,,,0
NDC,68382-110-06,BROMOCRIPTINE 5 MG CAPSULE,142.9,55.73,,,0
NDC,68382-112-14,RISPERIDONE 0.25 MG TABLET,30.0,11.7,,,0
NDC,68382-113-14,RISPERIDONE 0.5 MG TABLET,131.4,51.25,,,0
NDC,68382-122-16,AMLODIPINE 5 MG TABLET,13.3,5.19,,,0
NDC,68382-132-01,TAMSULOSIN 0.4 MG CAPSULE,32.1,12.52,,,0
NDC,68382-140-14,TOPIRAMATE 100 MG TABLET,53.5,20.86,,,0
NDC,68382-247-01,BENZONATATE 100 MG CAPSULE,7.8,3.04,,,0
NDC,68382-370-01,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER",214.8,83.77,,,0
NDC,68382-444-05,FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION,3.2,1.25,,,0
NDC,68382-529-60,CHOLESTYRAMINE-ASPARTAME 4 GRAM ORAL POWDER FOR SUSP IN A PACKET,25.8,10.06,,,0
NDC,68382-536-01,"POTASSIUM CITRATE ER 5 MEQ (540 MG) TABLET,EXTENDED RELEASE",26.9,10.49,,,0
NDC,68382-537-01,"POTASSIUM CITRATE ER 10 MEQ (1,080 MG) TABLET,EXTENDED RELEASE",18.9,7.37,,,0
NDC,68382-660-01,SPIRONOLACTONE 25 MG TABLET,4.8,1.87,,,0
NDC,68382-720-01,"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE",381.3,148.71,,,0
NDC,68382-786-01,DOXAZOSIN 8 MG TABLET,11.4,4.45,,,0
NDC,68382-799-01,LABETALOL 200 MG TABLET,13.1,5.11,,,0
NDC,68382-849-93,ESOMEPRAZOLE MAGNESIUM DR 40 MG GRANULES DELAYED RELEASE FOR SUSP,74.9,29.21,,,0
NDC,68382-849-94,ESOMEPRAZOLE MAGNESIUM DR 40 MG GRANULES DELAYED RELEASE FOR SUSP,74.9,29.21,,,0
NDC,68382-860-10,BENZTROPINE 1 MG/ML INJECTION SOLUTION,501.8,195.7,,,0
NDC,68382-910-10,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,258.0,100.62,,,0
NDC,68382-916-01,METHYLPREDNISOLONE 4 MG TABLET,101.3,39.51,,,0
NDC,68382-918-18,METHYLPREDNISOLONE 16 MG TABLET,27.2,10.61,,,0
NDC,68462-101-30,FLUCONAZOLE 50 MG TABLET,171.9,67.04,,,0
NDC,68462-128-01,ZONISAMIDE 25 MG CAPSULE,4.3,1.68,,,0
NDC,68462-129-01,ZONISAMIDE 50 MG CAPSULE,8.5,3.32,,,0
NDC,68462-130-01,ZONISAMIDE 100 MG CAPSULE,16.9,6.59,,,0
NDC,68462-137-01,OXCARBAZEPINE 150 MG TABLET,11.0,4.29,,,0
NDC,68462-138-01,OXCARBAZEPINE 300 MG TABLET,40.1,15.64,,,0
NDC,68462-139-01,OXCARBAZEPINE 600 MG TABLET,73.7,28.74,,,0
NDC,68462-143-01,CLINDAMYCIN HCL 150 MG CAPSULE,4.8,1.87,,,0
NDC,68462-157-13,ONDANSETRON 4 MG DISINTEGRATING TABLET,20.2,7.88,,,0
NDC,68462-158-13,ONDANSETRON 8 MG DISINTEGRATING TABLET,22.8,8.89,,,0
NDC,68462-164-05,CARVEDILOL 12.5 MG TABLET,32.3,12.6,,,0
NDC,68462-165-01,CARVEDILOL 25 MG TABLET,16.2,6.32,,,0
NDC,68462-180-22,MUPIROCIN 2 % TOPICAL OINTMENT,327.9,127.88,,,0
NDC,68462-181-17,CLOTRIMAZOLE 1 % TOPICAL CREAM,84.2,32.84,,,0
NDC,68462-181-35,CLOTRIMAZOLE 1 % TOPICAL CREAM,147.3,57.45,,,0
NDC,68462-181-47,CLOTRIMAZOLE 1 % TOPICAL CREAM,206.8,80.65,,,0
NDC,68462-221-01,LITHIUM CARBONATE 300 MG CAPSULE,4.8,1.87,,,0
NDC,68462-223-01,"LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE",7.2,2.81,,,0
NDC,68462-229-01,LAMOTRIGINE 25 MG CHEWABLE DISPERSIBLE TABLET,24.6,9.59,,,0
NDC,68462-253-01,ROPINIROLE 0.25 MG TABLET,19.3,7.53,,,0
NDC,68462-254-01,ROPINIROLE 0.5 MG TABLET,76.9,29.99,,,0
NDC,68462-255-01,ROPINIROLE 1 MG TABLET,19.3,7.53,,,0
NDC,68462-256-01,ROPINIROLE 2 MG TABLET,19.3,7.53,,,0
NDC,68462-260-01,"VERAPAMIL ER (SR) 240 MG TABLET,EXTENDED RELEASE",12.6,4.91,,,0
NDC,68462-275-01,DESMOPRESSIN 0.1 MG TABLET,113.0,44.07,,,0
NDC,68462-292-01,"VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE",8.3,3.24,,,0
NDC,68462-293-01,"VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE",11.1,4.33,,,0
NDC,68462-302-01,INDOMETHACIN 50 MG CAPSULE,4.9,1.91,,,0
NDC,68462-330-90,PRAMIPEXOLE 0.125 MG TABLET,25.7,10.02,,,0
NDC,68462-331-90,PRAMIPEXOLE 0.25 MG TABLET,12.9,5.03,,,0
NDC,68462-332-90,PRAMIPEXOLE 0.5 MG TABLET,51.3,20.01,,,0
NDC,68462-333-90,PRAMIPEXOLE 1 MG TABLET,51.3,20.01,,,0
NDC,68462-406-01,INDOMETHACIN 25 MG CAPSULE,6.2,2.42,,,0
NDC,68462-421-69,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,316.8,123.55,,,0
NDC,68462-433-18,COLESEVELAM 625 MG TABLET,30.4,11.86,,,0
NDC,68462-436-30,OLMESARTAN 5 MG TABLET,173.5,67.66,,,0
NDC,68462-437-30,OLMESARTAN 20 MG TABLET,53.1,20.71,,,0
NDC,68462-437-90,OLMESARTAN 20 MG TABLET,53.1,20.71,,,0
NDC,68462-438-30,OLMESARTAN 40 MG TABLET,73.7,28.74,,,0
NDC,68462-438-90,OLMESARTAN 40 MG TABLET,73.7,28.74,,,0
NDC,68462-470-54,BUMETANIDE 20 MG/80 ML (0.25 MG/ML) INFUSION (SIMPLE),75.9,29.6,,,0
NDC,68462-478-30,VANCOMYCIN 1.25 GRAM INTRAVENOUS SOLUTION,171.7,66.96,,,0
NDC,68462-584-76,APREPITANT 80 MG CAPSULE,1562.9,609.53,,,0
NDC,68462-585-40,APREPITANT 20 MG/ML ORAL SUSPENSION (NEO/PEDS),1484.8,579.07,,,0
NDC,68462-585-76,APREPITANT 125 MG CAPSULE,2442.1,952.42,,,0
NDC,68462-620-30,COLESEVELAM 3.75 GRAM ORAL POWDER PACKET,172.5,67.28,,,0
NDC,68462-621-54,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION,151.7,59.16,,,0
NDC,68462-622-64,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION,1228.5,479.12,,,0
NDC,68462-639-45,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,7.9,3.08,,,0
NDC,68462-746-17,ACYCLOVIR 5 % TOPICAL OINTMENT,3058.9,1192.97,,,0
NDC,68462-893-56,VARENICLINE TARTRATE 0.5 MG TABLET,142.3,55.5,,,0
NDC,68462-897-01,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION,747.3,291.45,,,0
NDC,68462-897-10,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION,747.3,291.45,,,0
NDC,68462-904-01,POSACONAZOLE 300 MG/16.7 ML INTRAVENOUS SOLUTION,4436.7,1730.31,,,0
NDC,68516-5216-1,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",397.6,155.06,,,0
NDC,68516-5216-2,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",795.1,310.09,,,0
NDC,68516-5216-5,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",235.1,91.69,,,0
NDC,68547-111-10,SULBACTAM 1 GRAM-DURLOBACTAM 1 GRAM (0.5 GRAM X2) INTRAVENOUS SOLUTION,3478.1,1356.46,,,0
NDC,68547-501-02,ANGIOTENSIN II 2.5 MG/ML INTRAVENOUS SOLUTION,11291.4,4403.65,,,0
NDC,6858500575,"MAGNESIUM 64 MG (MAGNESIUM CHLORIDE) TABLET,DELAYED RELEASE",4.8,1.87,,,0
NDC,6858500801,ZINC SULFATE 50 MG ZINC (220 MG) CAPSULE,0.6,0.23,,,0
NDC,68682-007-10,DILTIAZEM 60 MG TABLET,10.1,3.94,,,0
NDC,68682-105-10,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE",5.3,2.07,,,0
NDC,68682-106-10,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE",4.8,1.87,,,0
NDC,68682-107-10,"NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE",4.8,1.87,,,0
NDC,68682-455-70,METRONIDAZOLE 0.75 % (37.5 MG/5 GRAM) VAGINAL GEL,1022.3,398.7,,,0
NDC,68682-920-05,TETRACAINE 0.5 % EYE DROPS,230.1,89.74,,,0
NDC,68682-920-64,TETRACAINE 0.5 % EYE DROPS,4.8,1.87,,,0
NDC,68682-993-98,"DILTIAZEM 120 MG CAPSULE, EXTENDED RELEASE (WRAPPED)",6.0,2.34,,,0
NDC,68682-994-98,"DILTIAZEM 180 MG CAPSULE, EXTENDED RELEASE (WRAPPED)",14.4,5.62,,,0
NDC,68682-997-98,"DILTIAZEM 240 MG CAPSULE, EXTENDED RELEASE (WRAPPED)",10.2,3.98,,,0
NDC,68727-712-01,LURBINECTEDIN 4 MG INTRAVENOUS SOLUTION,37954.8,14802.37,,,0
NDC,68727-900-03,ASPARAGINASE ERWINIA CHRYSANTHEMI-RYWN 10 MG/0.5 ML IM SOLUTION,333091.3,129905.61,,,0
NDC,68727-950-01,ZANIDATAMAB-HRII 300 MG INTRAVENOUS SOLUTION,14374.8,5606.17,,,0
NDC,68803-612-10,TRYPAN BLUE 0.06 % INTRAOCULAR SYRINGE,820.9,320.15,,,0
NDC,68817-134-50,PACLITAXEL PROTEIN-BOUND 100 MG INTRAVENOUS SUSPENSION,14197.8,5537.14,,,0
NDC,68850-012-02,ETHAMBUTOL 400 MG TABLET,12.0,4.68,,,0
NDC,68982-623-02,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",591.4,230.65,,,0
NDC,68982-623-03,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",965.4,376.51,,,0
NDC,68982-643-01,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",800.2,312.08,,,0
NDC,68982-643-02,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",800.2,312.08,,,0
NDC,68982-850-03,"IMMUNE GLOB,GAMM(IGG)10 %-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION",40617.7,15840.9,,,0
NDC,68982-850-05,"IMMUNE GLOB,GAMM(IGG)10 %-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION",81235.4,31681.81,,,0
NDC,68992-3010-1,"TACROLIMUS XR 1 MG TABLET,EXTENDED RELEASE 24 HR",586.6,228.77,,,0
NDC,68992-3040-1,"TACROLIMUS XR 4 MG TABLET,EXTENDED RELEASE 24 HR",426.6,166.37,,,0
NDC,68992-3075-3,"TACROLIMUS XR 0.75 MG TABLET,EXTENDED RELEASE 24 HR",40.0,15.6,,,0
NDC,69097-004-67,HYDROCORTISONE SODIUM SUCCINATE 100 MG SOLUTION FOR INJECTION,67.1,26.17,,,0
NDC,69097-007-45,NICARDIPINE 20 MG/200 ML(0.1 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN,854.0,333.06,,,0
NDC,69097-098-43,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 62.5 MG/5 ML ORAL SUSPENSION,66.2,25.82,,,0
NDC,69097-122-03,TOPIRAMATE 25 MG TABLET,155.0,60.45,,,0
NDC,69097-127-05,AMLODIPINE 5 MG TABLET,26.6,10.37,,,0
NDC,69097-128-05,AMLODIPINE 10 MG TABLET,18.3,7.14,,,0
NDC,69097-168-87,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,155.4,60.61,,,0
NDC,69097-173-53,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,16.8,6.55,,,0
NDC,69097-224-16,ALENDRONATE 70 MG TABLET,157.2,61.31,,,0
NDC,69097-318-53,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,60.7,23.67,,,0
NDC,69097-319-53,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,71.4,27.85,,,0
NDC,69097-410-02,CINACALCET 30 MG TABLET,235.2,91.73,,,0
NDC,69097-517-07,CYCLOPHOSPHAMIDE 50 MG CAPSULE,816.9,318.59,,,0
NDC,69097-526-03,TADALAFIL 20 MG TABLET (PULMONARY HYPERTENSION),1168.2,455.6,,,0
NDC,69097-529-34,ESOMEPRAZOLE MAGNESIUM DR 40 MG GRANULES DELAYED RELEASE FOR SUSP,74.9,29.21,,,0
NDC,69097-579-67,FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET,770.1,300.34,,,0
NDC,69097-664-34,ICATIBANT 30 MG/3 ML SUBCUTANEOUS SYRINGE,88575.8,34544.56,,,0
NDC,69097-708-96,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION,365.3,142.47,,,0
NDC,69097-720-44,DICLOFENAC 1 % TOPICAL GEL,115.1,44.89,,,0
NDC,69097-813-07,GABAPENTIN 100 MG CAPSULE,4.8,1.87,,,0
NDC,69097-840-87,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,16.8,6.55,,,0
NDC,69097-846-07,CYCLOBENZAPRINE 10 MG TABLET,8.9,3.47,,,0
NDC,69097-867-07,NADOLOL 20 MG TABLET,26.1,10.18,,,0
NDC,69238-1051-3,PHYTONADIONE (VITAMIN K1) 5 MG TABLET,1027.6,400.76,,,0
NDC,69238-1054-1,CHLORPROMAZINE 10 MG TABLET,33.0,12.87,,,0
NDC,69238-1100-2,DOXYCYCLINE HYCLATE 100 MG CAPSULE,73.8,28.78,,,0
NDC,69238-1154-3,EZETIMIBE 10 MG TABLET,86.6,33.77,,,0
NDC,69238-1313-9,PREGABALIN 100 MG CAPSULE,64.7,25.23,,,0
NDC,69238-1471-3,"ERYTHROMYCIN 250 MG TABLET,DELAYED RELEASE",64.4,25.12,,,0
NDC,69238-1490-1,BUMETANIDE 1 MG TABLET,20.7,8.07,,,0
NDC,69238-1532-5,CLOBETASOL 0.05 % TOPICAL CREAM,983.6,383.6,,,0
NDC,69238-1535-2,CLOBAZAM 2.5 MG/ML ORAL SUSPENSION,70.1,27.34,,,0
NDC,69238-1540-1,URSODIOL 300 MG CAPSULE,56.4,22.0,,,0
NDC,69238-1594-3,SIROLIMUS 1 MG/ML ORAL SOLUTION,728.6,284.15,,,0
NDC,69238-1605-2,METHYLERGONOVINE 0.2 MG TABLET,515.7,201.12,,,0
NDC,69238-1605-8,METHYLERGONOVINE 0.2 MG TABLET,515.4,201.01,,,0
NDC,69238-1617-8,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,82.4,32.14,,,0
NDC,69238-1731-2,PYRIDOSTIGMINE BROMIDE 60 MG/5 ML ORAL SYRUP,108.7,42.39,,,0
NDC,69238-1745-8,PILOCARPINE 1 % EYE DROPS,756.0,294.84,,,0
NDC,69238-1830-1,LEVOTHYROXINE 25 MCG TABLET,6.8,2.65,,,0
NDC,69238-1833-1,LEVOTHYROXINE 88 MCG TABLET,4.8,1.87,,,0
NDC,69238-1835-1,LEVOTHYROXINE 112 MCG TABLET,5.0,1.95,,,0
NDC,69238-2017-2,IPRATROPIUM BROMIDE 42 MCG (0.06 %) NASAL SPRAY,734.2,286.34,,,0
NDC,69238-2077-1,PROPRANOLOL 10 MG TABLET,4.8,1.87,,,0
NDC,69238-2077-7,PROPRANOLOL 10 MG TABLET,4.8,1.87,,,0
NDC,69238-2078-1,PROPRANOLOL 20 MG TABLET,7.9,3.08,,,0
NDC,69292-532-01,PROPRANOLOL 20 MG TABLET,4.8,1.87,,,0
NDC,69292-562-01,METOLAZONE 2.5 MG TABLET,19.8,7.72,,,0
NDC,69292-564-01,METOLAZONE 5 MG TABLET,22.5,8.78,,,0
NDC,69315-116-01,FUROSEMIDE 20 MG TABLET,4.8,1.87,,,0
NDC,69315-134-01,IMIPRAMINE 25 MG TABLET,11.1,4.33,,,0
NDC,69315-135-01,IMIPRAMINE 50 MG TABLET,40.5,15.8,,,0
NDC,69315-137-01,BENZTROPINE 1 MG TABLET,4.8,1.87,,,0
NDC,69315-211-01,NIFEDIPINE 10 MG CAPSULE (DRAW LIQUID FROM CAPSULE),16.4,6.4,,,0
NDC,69315-306-15,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER",148.8,58.03,,,0
NDC,69315-308-02,CIPROFLOXACIN 0.3 % EYE DROPS,80.6,31.43,,,0
NDC,69315-308-05,CIPROFLOXACIN 0.3 % EYE DROPS,4.8,1.87,,,0
NDC,69315-312-28,HYDROCORTISONE 2.5 % TOPICAL CREAM WITH PERINEAL APPLICATOR,536.9,209.39,,,0
NDC,69315-323-08,PHENYLEPHRINE 2.5 % EYE DROPS,249.3,97.23,,,0
NDC,69315-504-47,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",2.0,0.78,,,0
NDC,69315-504-60,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",5.8,2.26,,,0
NDC,69315-904-01,LORAZEPAM 0.5 MG TABLET,4.8,1.87,,,0
NDC,69315-906-01,LORAZEPAM 2 MG TABLET,18.8,7.33,,,0
NDC,69315-910-01,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET,4.8,1.87,,,0
NDC,69339-136-34,DIAZEPAM 5 MG/ML INJECTION SYRINGE,126.2,49.22,,,0
NDC,69339-137-05,DIAZEPAM 5 MG/ML INJECTION SOLUTION,30.7,11.97,,,0
NDC,69339-138-17,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,17.5,6.82,,,0
NDC,69339-138-19,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,16.4,6.4,,,0
NDC,69339-149-19,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP,21.2,8.27,,,0
NDC,69339-150-19,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP,5.9,2.3,,,0
NDC,69339-151-19,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,5.4,2.11,,,0
NDC,69339-152-17,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,6.2,2.42,,,0
NDC,69339-153-17,MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION,11.5,4.48,,,0
NDC,69339-157-17,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,26.5,10.34,,,0
NDC,69339-160-16,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION,55.2,21.53,,,0
NDC,69339-162-17,LUBIPROSTONE 8 MCG CAPSULE,362.5,141.38,,,0
NDC,69339-163-17,LUBIPROSTONE 24 MCG CAPSULE,120.9,47.15,,,0
NDC,69339-209-01,SUCRALFATE 100 MG/ML ORAL SUSPENSION,93.5,36.46,,,0
NDC,69344-102-33,INDOMETHACIN 50 MG RECTAL SUPPOSITORY,5551.7,2165.16,,,0
NDC,69367-190-50,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION,5842.9,2278.73,,,0
NDC,69367-203-01,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,13.0,5.07,,,0
NDC,69367-243-24,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,77.4,30.19,,,0
NDC,69367-293-60,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",49.3,19.23,,,0
NDC,69367-385-01,CIPROFLOXACIN 250 MG TABLET,34.1,13.3,,,0
NDC,69367-388-01,AMITRIPTYLINE 10 MG TABLET,4.8,1.87,,,0
NDC,69367-391-01,AMITRIPTYLINE 75 MG TABLET,14.7,5.73,,,0
NDC,69367-611-01,PHENAZOPYRIDINE 100 MG TABLET,20.8,8.11,,,0
NDC,6936716620,"FERROUS SULFATE 325 MG (65 MG IRON) TABLET,DELAYED RELEASE",3.5,1.36,,,0
NDC,6936722001,"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET",4.8,1.87,,,0
NDC,6936725001,SODIUM DI- AND MONOPHOSPHATE-POTASSIUM PHOS MONOBASIC 250 MG TABLET,4.8,1.87,,,0
NDC,6936728302,"ERGOCALCIFEROL (VITAMIN D2) 200 MCG/ML (8,000 UNIT/ML) ORAL DROPS",12.9,5.03,,,0
NDC,69374-004-10,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE,19.6,7.64,,,0
NDC,69374-308-05,KETAMINE 10 MG/ML INJECTION SOLUTION,41.0,15.99,,,0
NDC,69374-330-05,ALBUTEROL SULFATE CONCENTRATE 5 MG/ML(0.5 %) SOLUTION FOR NEBULIZATION,92.1,35.92,,,0
NDC,69374-504-25,NOREPINEPHRINE BITARTRATE 8 MG/250 ML (32 MCG/ML) IN 0.9 % NACL IV,19.6,7.64,,,0
NDC,69374-511-01,KETAMINE 50 MG/ML (1 ML) INTRAVENOUS SYRINGE,19.6,7.64,,,0
NDC,69374-523-21,FENTANYL (PF) IN NS 10 MCG/ML INFUSION (PREMIX),369.4,144.07,,,0
NDC,69374-901-05,EPHEDRINE (PF) 25 MG/5 ML (5 MG/ML) IN 0.9% SODIUM CHLORIDE IV SYRINGE,60.5,23.6,,,0
NDC,69374-902-05,NEOSTIGMINE METHYLSULFATE 5 MG/5 ML (1 MG/ML) INTRAVENOUS SYRINGE,126.1,49.18,,,0
NDC,69374-902-35,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,36.9,14.39,,,0
NDC,69374-913-10,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE,102.5,39.98,,,0
NDC,69374-914-50,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INTRAVENOUS SYRINGE,205.0,79.95,,,0
NDC,69374-919-10,SUCCINYLCHOLINE CHLORIDE 200 MG/10 ML (20 MG/ML) INTRAVENOUS SYRINGE,121.5,47.38,,,0
NDC,69374-925-10,EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE,19.6,7.64,,,0
NDC,69374-942-04,NEOSTIGMINE METHYLSULFATE 4 MG/4 ML (1 MG/ML) INTRAVENOUS SYRINGE,51.3,20.01,,,0
NDC,69374-946-04,LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS SYRINGE,19.6,7.64,,,0
NDC,69374-953-50,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE,76.9,29.99,,,0
NDC,69374-957-10,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE,51.3,20.01,,,0
NDC,69374-965-02,DIAZEPAM 5 MG/ML INJECTION SYRINGE,281.9,109.94,,,0
NDC,69374-982-33,"KETAMINE 30 MG/3 ML (10 MG/ML) IN SODIUM CHLOR,ISO-OSMOTIC INJ SYRINGE",41.0,15.99,,,0
NDC,69374-982-55,KETAMINE 10 MG/ML INJECTION SOLUTION (WRAPPED),51.3,20.01,,,0
NDC,69374-984-10,CARDIOPLEGIC SOLUTION NO.25 29 MMOL/L (POTASSIUM) FOR PERFUSION,666.2,259.82,,,0
NDC,69374-985-05,LIDOCAINE (PF) 50 MG/5 ML (1 %) INJECTION SYRINGE,459.5,179.2,,,0
NDC,69452-125-50,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION,69.9,27.26,,,0
NDC,69452-131-17,DOFETILIDE 125 MCG CAPSULE,149.5,58.3,,,0
NDC,69452-132-17,DOFETILIDE 250 MCG CAPSULE,149.5,58.3,,,0
NDC,69452-151-20,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE",5.6,2.18,,,0
NDC,69452-152-20,ETHOSUXIMIDE 250 MG CAPSULE,16.5,6.44,,,0
NDC,69452-158-25,COLESEVELAM 625 MG TABLET,57.5,22.42,,,0
NDC,69452-206-20,"DOXYLAMINE 10 MG-PYRIDOXINE (VIT B6) 10 MG TABLET,DELAYED RELEASE",113.7,44.34,,,0
NDC,69452-207-13,CALCITRIOL 0.25 MCG CAPSULE,9.9,3.86,,,0
NDC,69452-207-20,CALCITRIOL 0.25 MCG CAPSULE,18.6,7.25,,,0
NDC,69452-209-20,NIMODIPINE 30 MG CAPSULE,295.1,115.09,,,0
NDC,69452-233-20,PROGESTERONE MICRONIZED 100 MG CAPSULE,31.5,12.28,,,0
NDC,69452-275-20,KETOROLAC 10 MG TABLET,16.6,6.47,,,0
NDC,69452-311-20,DICYCLOMINE 20 MG TABLET,6.0,2.34,,,0
NDC,69452-312-20,CARBAMAZEPINE 200 MG TABLET,12.3,4.8,,,0
NDC,69452-359-20,ROPINIROLE 2 MG TABLET,38.5,15.02,,,0
NDC,69452-389-98,MAGNESIUM CITRATE ORAL SOLUTION,11.4,4.45,,,0
NDC,69488-003-01,LUTETIUM LU 177 DOTATATE 10 MCI/ML (370 MBQ/ML) INTRAVENOUS SOLUTION,67747.2,26421.41,,,0
NDC,69488-010-61,"LUTETIUM LU-177 VIPIVOTIDE TETRAXETAN 27 MCI/ML (1,000 MBQ/ML) IV SOLN",7020.0,2737.8,,,0
NDC,69543-388-10,KETOROLAC 10 MG TABLET,16.6,6.47,,,0
NDC,69543-451-30,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,156.6,61.07,,,0
NDC,69543-455-10,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION (FOR IV PUSH),804.7,313.83,,,0
NDC,69543-457-14,CIPROFLOXACIN 0.2 % EAR DROPS IN A DROPPERETTE,23.5,9.16,,,0
NDC,6954326810,SODIUM DI- AND MONOPHOSPHATE-POTASSIUM PHOS MONOBASIC 250 MG TABLET,7.9,3.08,,,0
NDC,69584-111-10,CARISOPRODOL 350 MG TABLET,4.8,1.87,,,0
NDC,69584-426-10,IMIPRAMINE 25 MG TABLET,5.6,2.18,,,0
NDC,69584-611-50,METHOCARBAMOL 500 MG TABLET,4.8,1.87,,,0
NDC,69584-684-10,PRIMIDONE 50 MG TABLET,7.8,3.04,,,0
NDC,69584-852-10,SPIRONOLACTONE 25 MG TABLET,7.1,2.77,,,0
NDC,69616-272-30,PERAMPANEL 2 MG TABLET,952.7,371.55,,,0
NDC,69616-290-38,PERAMPANEL 0.5 MG/ML ORAL SUSPENSION,858.2,334.7,,,0
NDC,69618-010-01,ACETAMINOPHEN 325 MG TABLET,0.6,0.23,,,0
NDC,69618-029-03,BISMUTH SUBSALICYLATE 262 MG CHEWABLE TABLET,0.7,0.27,,,0
NDC,69618-032-06,SIMETHICONE 125 MG CHEWABLE TABLET,0.6,0.23,,,0
NDC,69618-033-01,SIMETHICONE 80 MG CHEWABLE TABLET,0.6,0.23,,,0
NDC,69618-046-10,"ASPIRIN 81 MG TABLET,DELAYED RELEASE",0.6,0.23,,,0
NDC,69618-050-51,OXYMETAZOLINE 0.05 % NASAL MIST,19.4,7.57,,,0
NDC,69618-059-51,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION",16.2,6.32,,,0
NDC,69618-064-01,SENNOSIDES 8.6 MG TABLET,0.6,0.23,,,0
NDC,69618-066-10,"ASPIRIN 81 MG TABLET,DELAYED RELEASE",0.6,0.23,,,0
NDC,6961800858,MULTIVIT-MINS-FERROUS GLUCONATE 9 MG IRON/15 ML (15 ML) ORAL LIQUID,1.5,0.58,,,0
NDC,69680-112-10,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",38.5,15.02,,,0
NDC,69680-115-30,AMINOCAPROIC ACID 500 MG TABLET,91.6,35.72,,,0
NDC,69784-180-01,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,21.9,8.54,,,0
NDC,69784-180-30,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,21.9,8.54,,,0
NDC,69784-261-24,FLUCONAZOLE 100 MG/50 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,51.3,20.01,,,0
NDC,69800-4202-1,HEPATITIS B IMMUNE GLOBULIN GREATR THAN 312 UNIT/ML INTRAMUSCULAR SOLN,734.0,286.26,,,0
NDC,69853-0102-1,"FACTOR XA,INACTIVATED-ZHZO (RECOMBINANT) 200 MG INTRAVENOUS SOLUTION",34850.0,13591.5,,,0
NDC,69918-301-30,TRANEXAMIC ACID 650 MG TABLET,80.0,31.2,,,0
NDC,69918-560-30,"MESALAMINE 1,000 MG RECTAL SUPPOSITORY",320.8,125.11,,,0
NDC,69918-735-10,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,1672.8,652.39,,,0
NDC,69918-899-10,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,125.6,48.98,,,0
NDC,69918-899-11,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,67.8,26.44,,,0
NDC,69918-901-10,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,2074.3,808.98,,,0
NDC,69918-901-11,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,1512.2,589.76,,,0
NDC,69945-064-01,COPPER CU-64 DOTATATE 148 MBQ/4 ML (4 MCI/4 ML) INTRAVENOUS SOLUTION,15932.4,6213.64,,,0
NDC,69968-0060-9,"BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOP OINT PACKET",1.0,0.39,,,0
NDC,70000-0253-2,ASPIRIN 325 MG TABLET,0.6,0.23,,,0
NDC,70000-0366-1,LIDOCAINE 4 % TOPICAL PATCH,13.7,5.34,,,0
NDC,70000-0526-1,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET,0.9,0.35,,,0
NDC,70000-0663-1,MINERAL OIL ORAL,8.3,3.24,,,0
NDC,70004-085-44,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,68.4,26.68,,,0
NDC,70004-229-32,FENTANYL (PF) 1000 MCG/100 ML NS (10 MCG/ML) PREMIX,337.4,131.59,,,0
NDC,70004-303-16,HYDROMORPHONE (PF) 30 MG/30 ML (1 MG/ML) IN 0.9 % NACL IV PCA SYRINGE,133.8,52.18,,,0
NDC,70004-303-21,HYDROMORPHONE (PF) 30 MG/30 ML (1 MG/ML) IN 0.9 % NACL IV PCA SYRINGE,182.2,71.06,,,0
NDC,70004-541-35,DILTIAZEM 125 MG/125 ML (1 MG/ML) IN SODIUM CHLORIDE INFUSION (PREMIX),145.2,56.63,,,0
NDC,70004-604-09,EPHEDRINE (PF) 25 MG/5 ML (5 MG/ML) IN 0.9% SODIUM CHLORIDE IV SYRINGE,116.3,45.36,,,0
NDC,70004-608-40,EPINEPHRINE 5 MG/250 ML (20 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV SOLN (PREMIX),64.0,24.96,,,0
NDC,70004-628-40,EPINEPHRINE 5 MG/250 ML (20 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV SOLN (PREMIX),64.0,24.96,,,0
NDC,70004-700-28,LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS SYRINGE,19.6,7.64,,,0
NDC,70004-810-11,PHENYLEPHRINE 0.5 MG/5 ML (100 MCG/ML)IN 0.9 % SOD.CHLORIDE IV SYRINGE,47.5,18.52,,,0
NDC,70004-810-12,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE,51.3,20.01,,,0
NDC,70004-910-29,SUCCINYLCHOLINE CHLORIDE 200 MG/10 ML (20 MG/ML) INTRAVENOUS SYRINGE,124.7,48.63,,,0
NDC,70004-920-59,VANCOMYCIN 1 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE IVPB (PREMIX),98.3,38.34,,,0
NDC,70004-926-44,VANCOMYCIN 1.75 GRAM/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,128.1,49.96,,,0
NDC,70004-928-44,VANCOMYCIN 2 GRAM/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,136.7,53.31,,,0
NDC,70004-929-40,VANCOMYCIN 750 MG/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,70.5,27.5,,,0
NDC,70010-002-01,COLCHICINE 0.6 MG TABLET,60.7,23.67,,,0
NDC,70010-029-01,"DEXTROAMPHETAMINE-AMPHETAMINE ER 5 MG 24HR CAPSULE,EXTEND RELEASE",110.5,43.1,,,0
NDC,70010-063-01,METFORMIN 500 MG TABLET,10.8,4.21,,,0
NDC,70010-063-05,METFORMIN 500 MG TABLET,5.4,2.11,,,0
NDC,70010-149-01,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,13.0,5.07,,,0
NDC,70010-185-09,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR",53.1,20.71,,,0
NDC,70010-491-01,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",9.9,3.86,,,0
NDC,70010-754-01,METHOCARBAMOL 500 MG TABLET,4.8,1.87,,,0
NDC,70010-754-05,METHOCARBAMOL 500 MG TABLET,3.8,1.48,,,0
NDC,70010-770-01,METHOCARBAMOL 750 MG TABLET,5.6,2.18,,,0
NDC,70010-770-05,METHOCARBAMOL 750 MG TABLET,5.3,2.07,,,0
NDC,70010-780-01,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",9.7,3.78,,,0
NDC,70010-780-05,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",18.8,7.33,,,0
NDC,70010-781-01,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",9.7,3.78,,,0
NDC,70010-781-05,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",9.4,3.67,,,0
NDC,70069-021-25,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION,53.7,20.94,,,0
NDC,70069-051-01,DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS,191.8,74.8,,,0
NDC,70069-061-25,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,51.2,19.97,,,0
NDC,70069-062-25,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,69.4,27.07,,,0
NDC,70069-064-10,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,45.4,17.71,,,0
NDC,70069-071-10,NALOXONE 0.4 MG/ML INJECTION SOLUTION,106.8,41.65,,,0
NDC,70069-081-01,MOXIFLOXACIN 0.5 % EYE DROPS,911.2,355.37,,,0
NDC,70069-101-25,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,176.2,68.72,,,0
NDC,70069-121-01,TROPICAMIDE 1 % EYE DROPS,273.3,106.59,,,0
NDC,70069-151-10,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,2262.5,882.38,,,0
NDC,70069-181-01,PILOCARPINE 1 % EYE DROPS,711.3,277.41,,,0
NDC,70069-231-01,BRIMONIDINE 0.2 % EYE DROPS,95.9,37.4,,,0
NDC,70069-362-10,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,78.0,30.42,,,0
NDC,70069-381-10,HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION,227.9,88.88,,,0
NDC,70069-384-05,HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION,791.4,308.65,,,0
NDC,70069-421-01,LATANOPROST 0.005 % EYE DROPS,95.0,37.05,,,0
NDC,70069-431-01,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,252.2,98.36,,,0
NDC,70069-441-01,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,703.1,274.21,,,0
NDC,70069-671-01,NALBUPHINE 10 MG/ML INJECTION SOLUTION,66.1,25.78,,,0
NDC,70069-696-01,TIMOLOL 0.5 % EYE DROPS,15.1,5.89,,,0
NDC,70069-728-20,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,215.5,84.04,,,0
NDC,70069-747-01,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,142.3,55.5,,,0
NDC,70069-788-01,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,189.6,73.94,,,0
NDC,70069-806-10,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,20.1,7.84,,,0
NDC,70069-816-01,MIDAZOLAM 1 MG/ML INJ (WRAPPED),29.4,11.47,,,0
NDC,70069-820-01,HYDROXYUREA 500 MG CAPSULE,4.8,1.87,,,0
NDC,70092-1009-44,LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS SYRINGE,38.99,15.21,,,0
NDC,70092-1010-44,LABETALOL 25 MG/5 ML (5 MG/ML) INTRAVENOUS SYRINGE,19.6,7.64,,,0
NDC,70092-1033-05,NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN 0.9 % NACL IV,177.1,69.07,,,0
NDC,70092-1034-17,NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN DEXTROSE 5 % IV,215.7,84.12,,,0
NDC,70092-1046-46,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE,56.5,22.04,,,0
NDC,70092-1063-03,MAGNESIUM SULFATE 2 GRAM/100 ML IN 0.9 % SODIUM CHL INTRAVEN PIGGYBACK,47.9,18.68,,,0
NDC,70092-1068-07,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,226.4,88.3,,,0
NDC,70092-1080-46,LOW DOSE EPINEPHRINE 10 MCG/ML INJECTION (NEONATE/PEDS),19.6,7.64,,,0
NDC,70092-1092-36,FENTANYL (PF) 1000 MCG/100 ML NS (10 MCG/ML) PREMIX,192.2,74.96,,,0
NDC,70092-1093-37,FENTANYL (PF) IN NS 10 MCG/ML INFUSION (PREMIX),281.9,109.94,,,0
NDC,70092-1104-36,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.125 %-NACL INJECTION SOLUTION,228.1,88.96,,,0
NDC,70092-1108-36,FENTANYL-ROPIVACAINE-NACL (PF) 2 MCG/ML-0.2 % INJECTION SOLUTION,377.5,147.22,,,0
NDC,70092-1132-43,MORPHINE (PF) 1 MG/2 ML INTRAVENOUS SYRINGE,69.0,26.91,,,0
NDC,70092-1153-46,LIDOCAINE (PF) 200 MG/10 ML (2 %) INJECTION SYRINGE,323.2,126.05,,,0
NDC,70092-1177-35,MIDAZOLAM (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,167.0,65.13,,,0
NDC,70092-1192-05,FENTANYL (PF) IN NS 10 MCG/ML INFUSION (PREMIX),446.3,174.06,,,0
NDC,70092-1269-37,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.0625 %-NACL INJECTION SOLUTION,301.1,117.43,,,0
NDC,70092-1287-35,HYDROMORPHONE (PF) 0.2 MG/ML IN 0.9% NACL PCA (PREMIXED),168.7,65.79,,,0
NDC,70092-1293-49,HYDROMORPHONE (PF) 30 MG/30 ML (1 MG/ML) IN 0.9 % NACL IV PCA SYRINGE,230.4,89.86,,,0
NDC,70092-1433-50,ROPIV 2.46-EPI 0.005-CLONID 0.0008-KETOROL 0.3 MG/ML PERIARTICULR SYRG,527.0,205.53,,,0
NDC,70092-1475-50,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE,148.2,57.8,,,0
NDC,70092-1478-44,EPHEDRINE (PF) 25 MG/5 ML (5 MG/ML) IN 0.9% SODIUM CHLORIDE IV SYRINGE,229.3,89.43,,,0
NDC,70092-1506-36,FENTANYL (PF) 1000 MCG/100 ML NS (10 MCG/ML) PREMIX,410.0,159.9,,,0
NDC,70092-1522-35,MORPHINE (PF) 1 MG/ML IN 0.9% NACL PCA (PREMIXED),170.4,66.46,,,0
NDC,70092-1546-35,HYDROMORPHONE (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLN,254.5,99.26,,,0
NDC,70092-1552-07,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,226.4,88.3,,,0
NDC,70092-1611-44,LIDOCAINE 4 %-RACEPINEPHRINE 0.05 %-TETRACAINE 0.5 % TOPICAL GEL,120.4,46.96,,,0
NDC,70092-1617-46,LOW DOSE EPINEPHRINE 10 MCG/ML INJECTION,19.6,7.64,,,0
NDC,70092-1622-03,CEFAZOLIN 2 GRAM/100 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,205.9,80.3,,,0
NDC,70092-1650-05,NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN 0.9 % NACL IV,140.4,54.76,,,0
NDC,70092-1687-48,HYDROMORPHONE 30 MG/30 ML (1 MG/ML) IN 0.9 % NACL IV PCA SYRINGE,216.0,84.24,,,0
NDC,70092-1688-46,LOW DOSE EPINEPHRINE 10 MCG/ML INJECTION (NEONATE/PEDS),19.6,7.64,,,0
NDC,70092-7108-36,FENTANYL-ROPIVACAINE-NACL (PF) 2 MCG/ML-0.2 % INJECTION SOLUTION,412.5,160.88,,,0
NDC,70092-9042-05,PHENYLEPHRINE 20 MG/250 ML (80 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,19.6,7.64,,,0
NDC,70092-9058-17,VANCOMYCIN 1.5 GRAM/250 ML IN DEXTROSE 5% INTRAVENOUS SOLUTION,273.3,106.59,,,0
NDC,70092-9119-44,KETAMINE 10 MG/ML INJECTION SOLUTION (WRAPPED),88.0,34.32,,,0
NDC,70092-9120-43,KETAMINE 50 MG/ML (1 ML) INTRAVENOUS SYRINGE,78.1,30.46,,,0
NDC,70095-020-01,BISOPROLOL FUMARATE 5 MG TABLET,4.8,1.87,,,0
NDC,70095-024-01,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,72.6,28.31,,,0
NDC,70095-025-02,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,61.5,23.98,,,0
NDC,70095-050-01,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,558.6,217.85,,,0
NDC,70100-424-02,INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION,217.6,84.86,,,0
NDC,70114-101-01,PEGFILGRASTIM-CBQV 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,29099.8,11348.92,,,0
NDC,70114-120-01,PEGFILGRASTIM-CBQV 6 MG/0.6 ML SUBCUTANEOUS AUTO-INJECTOR,29099.8,11348.92,,,0
NDC,70114-130-01,PEGFILGRASTIM-CBQV 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUT INJECTOR,29099.8,11348.92,,,0
NDC,70114-340-01,TORIPALIMAB-TPZI 240 MG/6 ML (40 MG/ML) INTRAVENOUS SOLUTION,57991.1,22616.53,,,0
NDC,70121-1049-2,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,87.2,34.01,,,0
NDC,70121-1049-5,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,87.2,34.01,,,0
NDC,70121-1239-1,CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION,1767.2,689.21,,,0
NDC,70121-1388-8,DEXMEDETOMIDINE 200 MCG/50 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,110.1,42.94,,,0
NDC,70121-1389-7,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,840.4,327.76,,,0
NDC,70121-1394-5,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,144.5,56.36,,,0
NDC,70121-1454-7,MEROPENEM 500 MG INTRAVENOUS SOLUTION,61.5,23.98,,,0
NDC,70121-1552-5,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION,250.82,97.82,,,0
NDC,70121-1573-5,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION,197.5,77.02,,,0
NDC,70121-1574-5,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION,167.3,65.25,,,0
NDC,70121-1576-7,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,184.7,72.03,,,0
NDC,70121-1578-7,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,166.0,64.74,,,0
NDC,70121-1627-1,PEGFILGRASTIM-PBBK 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,20910.0,8154.9,,,0
NDC,70121-1637-7,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,297.7,116.1,,,0
NDC,70121-1647-7,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION,845.5,329.74,,,0
NDC,70121-1651-5,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,43.6,17.0,,,0
NDC,70121-1694-2,PLERIXAFOR 24 MG/1.2 ML (20 MG/ML) SUBCUTANEOUS SOLUTION,5276.6,2057.87,,,0
NDC,70121-1712-3,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,273.3,106.59,,,0
NDC,70121-1719-9,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,105.2,41.03,,,0
NDC,70121-1720-9,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,64.1,25.0,,,0
NDC,70121-1722-1,POTASSIUM PHOSPHATE 15 MMOL/250 ML IN 0.9 % SODIUM CHLORIDE IV SOLN,531.7,207.36,,,0
NDC,70121-2309-1,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,207.2,80.81,,,0
NDC,70127-100-10,CANNABIDIOL 100 MG/ML ORAL SOLUTION,262.4,102.34,,,0
NDC,70127-100-60,CANNABIDIOL 100 MG/ML ORAL SOLUTION,459.1,179.05,,,0
NDC,70257-562-55,BACLOFEN 50 MCG/ML INTRATHECAL SOLUTION,337.9,131.78,,,0
NDC,70324-326-01,"SODIUM BICARBONATE 150 MEQ/1,000 ML IN DEXTROSE 5 % INTRAVENOUS",245.4,95.71,,,0
NDC,70324-326-03,"SODIUM BICARBONATE 150 MEQ/1,150 ML IN DEXTROSE 5 % INTRAVENOUS",1612.3,628.8,,,0
NDC,70324-451-01,NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN DEXTROSE 5 % IV,170.8,66.61,,,0
NDC,70324-552-01,NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN 0.9 % NACL IV,140.2,54.68,,,0
NDC,70324-826-01,SUCCINYLCHOLINE CHLORIDE 200 MG/10 ML (20 MG/ML) INTRAVENOUS SYRINGE,61.5,23.98,,,0
NDC,70324-976-01,DILTIAZEM 125 MG/125 ML (1 MG/ML) IN SODIUM CHLORIDE INFUSION (PREMIX),145.2,56.63,,,0
NDC,70377-060-12,LABETALOL 100 MG TABLET,10.4,4.06,,,0
NDC,70377-114-12,LIOTHYRONINE 5 MCG TABLET,12.2,4.76,,,0
NDC,70408-146-34,PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP,4.8,1.87,,,0
NDC,70408-239-32,NITROFURANTOIN 25 MG/5 ML ORAL SUSPENSION,536.9,209.39,,,0
NDC,70436-011-04,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",45.9,17.9,,,0
NDC,70436-012-04,"DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",169.0,65.91,,,0
NDC,70436-019-82,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,147.8,57.64,,,0
NDC,70436-020-82,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,70436-021-82,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",51.5,20.08,,,0
NDC,70436-026-80,EPTIFIBATIDE 2 MG/ML INTRAVENOUS SOLUTION,1061.2,413.87,,,0
NDC,70436-027-80,EPTIFIBATIDE 0.75 MG/ML INTRAVENOUS SOLUTION,3267.6,1274.36,,,0
NDC,70436-028-80,SODIUM NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION,213.5,83.26,,,0
NDC,70436-029-80,VORICONAZOLE 200 MG INTRAVENOUS SOLUTION,2818.3,1099.14,,,0
NDC,70436-089-55,GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION,404.8,157.87,,,0
NDC,70436-118-80,LEUCOVORIN CALCIUM 200 MG SOLUTION FOR INJECTION,66.0,25.74,,,0
NDC,70436-147-81,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,333.1,129.91,,,0
NDC,70436-151-57,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,138.2,53.9,,,0
NDC,70436-155-41,PROMETHAZINE-DM 6.25 MG-15 MG/5 ML ORAL SYRUP,4.8,1.87,,,0
NDC,70436-155-42,PROMETHAZINE-DM 6.25 MG-15 MG/5 ML ORAL SYRUP,4.8,1.87,,,0
NDC,70436-203-82,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION,221.4,86.35,,,0
NDC,70436-219-37,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION,48.8,19.03,,,0
NDC,70436-219-40,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION,36.6,14.27,,,0
NDC,70436-219-52,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION,53.0,20.67,,,0
NDC,70436-230-39,VORICONAZOLE 200 MG/5 ML (40 MG/ML) ORAL SUSPENSION,809.5,315.7,,,0
NDC,70505-100-10,"DOXYLAMINE 10 MG-PYRIDOXINE (VIT B6) 10 MG TABLET,DELAYED RELEASE",56.8,22.15,,,0
NDC,70512-812-30,LIDOCAINE 4 % TOPICAL PATCH,10.1,3.94,,,0
NDC,70515-260-10,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION,588.2,229.4,,,0
NDC,70515-262-10,DIGOXIN 100 MCG/ML (0.1 MG/ML) INJECTION SOLUTION,960.0,374.4,,,0
NDC,70594-026-04,"BACITRACIN 50,000 UNIT INTRAMUSCULAR SOLUTION",58.1,22.66,,,0
NDC,70594-042-03,VANCOMYCIN 1 GRAM/200 ML IN DILUENT COMBINATION IV PIGGYBACK,136.7,53.31,,,0
NDC,70594-043-02,VANCOMYCIN 1.5 GRAM/300 ML IN DILUENT COMBINATION IV PIGGYBACK,197.3,76.95,,,0
NDC,70594-044-02,VANCOMYCIN 2 GRAM/400 ML IN DILUENT COMBINATION IV PIGGYBACK,239.2,93.29,,,0
NDC,70594-048-01,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,64.1,25.0,,,0
NDC,70594-049-01,"POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION",192.2,74.96,,,0
NDC,70594-056-03,VANCOMYCIN 750 MG/150 ML IN DILUENT COMBINATION IV PIGGYBACK,102.5,39.98,,,0
NDC,70594-057-02,VANCOMYCIN 1.25 GRAM/250 ML IN DILUENT COMBINATION IV PIGGYBACK,162.3,63.3,,,0
NDC,70594-058-02,VANCOMYCIN 1.75 GRAM/350 ML IN DILUENT COMBINATION IV PIGGYBACK,221.2,86.27,,,0
NDC,70594-067-01,VORICONAZOLE 200 MG INTRAVENOUS SOLUTION,418.5,163.22,,,0
NDC,70594-082-02,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,76.9,29.99,,,0
NDC,70594-111-02,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,256.2,99.92,,,0
NDC,70677-0032-1,NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH,6.1,2.38,,,0
NDC,70677-0051-1,MAGNESIUM CITRATE ORAL SOLUTION,13.7,5.34,,,0
NDC,70677-1012-1,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,0.3,0.12,,,0
NDC,70677-1012-2,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,0.3,0.12,,,0
NDC,70677-1037-1,OXYMETAZOLINE 0.05 % NASAL SPRAY,7.7,3.0,,,0
NDC,70677-1058-1,LORATADINE 5 MG/5 ML ORAL SOLUTION,1.0,0.39,,,0
NDC,70677-1064-1,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 400 MG-400 MG-40 MG/5 ML ORAL SUSP,0.3,0.12,,,0
NDC,70677-1069-1,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET,0.6,0.23,,,0
NDC,70677-1078-1,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION",15.7,6.12,,,0
NDC,70677-1107-1,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID,4.8,1.87,,,0
NDC,70677-1111-1,MAGNESIUM CITRATE ORAL SOLUTION,15.9,6.2,,,0
NDC,70677-1112-1,MAGNESIUM CITRATE ORAL SOLUTION,15.9,6.2,,,0
NDC,70677-121-21,"BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOPICAL OINTMENT",9.0,3.51,,,0
NDC,70677-1226-1,MICONAZOLE NITRATE 200 MG-2 % (9 GRAM) VAGINAL KIT,39.2,15.29,,,0
NDC,70677-1228-1,CLOTRIMAZOLE 1 % VAGINAL CREAM,20.8,8.11,,,0
NDC,70677-1249-1,ISOPROPYL ALCOHOL 70 % SOLUTION,177.8,69.34,,,0
NDC,70700-106-15,CLOBETASOL 0.05 % TOPICAL OINTMENT,1192.3,465.0,,,0
NDC,70700-109-15,CLOBETASOL 0.05 % TOPICAL CREAM,983.6,383.6,,,0
NDC,70700-162-01,PROGESTERONE MICRONIZED 100 MG CAPSULE,79.4,30.97,,,0
NDC,70700-163-01,PROGESTERONE MICRONIZED 200 MG CAPSULE,75.4,29.41,,,0
NDC,70700-167-25,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,153.0,59.67,,,0
NDC,70700-169-22,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,134.2,52.34,,,0
NDC,70700-186-23,FLUOROURACIL 500 MG/10 ML INTRAVENOUS SOLUTION,171.7,66.96,,,0
NDC,70700-187-23,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION,220.8,86.11,,,0
NDC,70700-188-22,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION,264.6,103.19,,,0
NDC,70700-189-22,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION,477.3,186.15,,,0
NDC,70700-268-94,FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET,770.1,300.34,,,0
NDC,70700-274-22,ESTRADIOL VALERATE 20 MG/ML INTRAMUSCULAR OIL,344.8,134.47,,,0
NDC,70710-1110-1,CYPROHEPTADINE 4 MG TABLET,8.2,3.2,,,0
NDC,70710-1159-3,"MIRABEGRON ER 25 MG TABLET,EXTENDED RELEASE 24 HR",254.2,99.14,,,0
NDC,70710-1162-1,MECLIZINE 25 MG TABLET,4.8,1.87,,,0
NDC,70710-1359-6,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION (FOR IV PUSH),279.8,109.12,,,0
NDC,70710-1377-2,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,102.4,39.94,,,0
NDC,70710-1411-1,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION,276.2,107.72,,,0
NDC,70710-1460-2,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,92.8,36.19,,,0
NDC,70710-1467-7,COLESTIPOL 1 GRAM TABLET,9.7,3.78,,,0
NDC,70710-1478-1,FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION,6858.5,2674.82,,,0
NDC,70710-1525-9,CARMUSTINE 100 MG INTRAVENOUS SOLUTION,28080.0,10951.2,,,0
NDC,70710-1530-1,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",14348.5,5595.92,,,0
NDC,70710-1531-1,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",4232.8,1650.79,,,0
NDC,70710-1643-7,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,106.8,41.65,,,0
NDC,70710-1644-5,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,70710-1668-1,PROCHLORPERAZINE MALEATE 10 MG TABLET,6.9,2.69,,,0
NDC,70710-1710-1,KETOROLAC 10 MG TABLET,16.6,6.47,,,0
NDC,70710-1833-1,LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION,1317.4,513.79,,,0
NDC,70710-1850-1,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION,122.2,47.66,,,0
NDC,70710-1852-7,INDOMETHACIN 50 MG RECTAL SUPPOSITORY,5274.1,2056.9,,,0
NDC,70710-1886-1,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION (FOR IV PUSH),279.8,109.12,,,0
NDC,70710-1886-6,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION (FOR IV PUSH),559.6,218.24,,,0
NDC,70720-950-36,GOSERELIN 3.6 MG SUBCUTANEOUS IMPLANT,6195.2,2416.13,,,0
NDC,70720-951-30,GOSERELIN 10.8 MG SUBCUTANEOUS IMPLANT,18221.0,7106.19,,,0
NDC,70727-497-25,NETARSUDIL 0.02 % EYE DROPS,2563.1,999.61,,,0
NDC,70748-175-30,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,155.4,60.61,,,0
NDC,70748-175-60,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,155.4,60.61,,,0
NDC,70748-258-07,"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE",1703.0,664.17,,,0
NDC,70748-323-01,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,31.0,12.09,,,0
NDC,70748-323-02,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,70748-332-02,"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION",405.0,157.95,,,0
NDC,70752-107-10,CYPROHEPTADINE 4 MG TABLET,8.2,3.2,,,0
NDC,70752-113-03,LIDOCAINE 5 % TOPICAL OINTMENT,2429.1,947.35,,,0
NDC,70756-014-05,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,7.9,3.08,,,0
NDC,70756-049-11,MIDODRINE 5 MG TABLET,57.4,22.39,,,0
NDC,70756-201-11,AMITRIPTYLINE 10 MG TABLET,4.8,1.87,,,0
NDC,70756-203-11,AMITRIPTYLINE 50 MG TABLET,9.8,3.82,,,0
NDC,70756-250-90,ATORVASTATIN 80 MG TABLET,43.5,16.96,,,0
NDC,70756-404-11,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,31.4,12.25,,,0
NDC,70756-440-11,PRAZOSIN 5 MG CAPSULE,17.7,6.9,,,0
NDC,70756-607-30,OFLOXACIN 0.3 % EYE DROPS,539.6,210.44,,,0
NDC,70756-609-15,OFLOXACIN 0.3 % EAR DROPS,1206.8,470.65,,,0
NDC,70756-612-60,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,156.2,60.92,,,0
NDC,70756-612-70,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,156.2,60.92,,,0
NDC,70756-614-30,PHENYLEPHRINE 10 % EYE DROPS,383.5,149.56,,,0
NDC,70756-622-10,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,180.4,70.36,,,0
NDC,70756-629-25,PHENYLEPHRINE 2.5 % EYE DROPS,311.7,121.56,,,0
NDC,70756-635-81,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",71.0,27.69,,,0
NDC,70756-645-86,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,38.0,14.82,,,0
NDC,70756-647-86,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,21.6,8.42,,,0
NDC,70756-649-35,PHENYLEPHRINE 2.5 % EYE DROPS,862.9,336.53,,,0
NDC,70756-703-60,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",98.6,38.45,,,0
NDC,70839-362-04,COCAINE 4 % NASAL SOLUTION,2255.0,879.45,,,0
NDC,70842-140-01,ORITAVANCIN 400 MG INTRAVENOUS SOLUTION,0.01,0.0039,,,0
NDC,70842-240-01,REZAFUNGIN 200 MG INTRAVENOUS SOLUTION,28558.5,11137.82,,,0
NDC,70860-100-10,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,42.7,16.65,,,0
NDC,70860-103-10,"POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION",19.6,7.64,,,0
NDC,70860-119-99,NAFCILLIN 10 GRAM SOLUTION FOR INJECTION,854.0,333.06,,,0
NDC,70860-125-66,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,25.0,9.75,,,0
NDC,70860-200-50,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",417.5,162.82,,,0
NDC,70860-300-05,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION,30.8,12.01,,,0
NDC,70860-301-05,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,70860-301-10,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,33.4,13.03,,,0
NDC,70860-301-25,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,83.3,32.49,,,0
NDC,70860-603-82,"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",478.3,186.54,,,0
NDC,70860-604-82,"LEVETIRACETAM 1,500 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",674.7,263.13,,,0
NDC,70860-605-02,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,70860-701-03,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,19.6,7.64,,,0
NDC,70860-751-02,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,70860-776-02,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,70954-019-10,PRAZOSIN 1 MG CAPSULE,34.4,13.42,,,0
NDC,70954-041-10,RIFABUTIN 150 MG CAPSULE,193.3,75.39,,,0
NDC,70954-060-10,PREDNISONE 20 MG TABLET,4.8,1.87,,,0
NDC,70954-135-10,DAPSONE 25 MG TABLET,75.7,29.52,,,0
NDC,70954-136-10,DAPSONE 100 MG TABLET,23.2,9.05,,,0
NDC,70954-136-20,DAPSONE 100 MG TABLET,20.8,8.11,,,0
NDC,70954-201-10,DIGOXIN 125 MCG (0.125 MG) TABLET,35.3,13.77,,,0
NDC,70954-212-10,TRIHEXYPHENIDYL 2 MG TABLET,7.1,2.77,,,0
NDC,70954-258-10,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION,130.9,51.05,,,0
NDC,70954-261-10,DICYCLOMINE 10 MG/5 ML ORAL SOLUTION,23.2,9.05,,,0
NDC,70954-276-10,FLUPHENAZINE 10 MG TABLET,89.0,34.71,,,0
NDC,70954-316-10,FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION,37.5,14.62,,,0
NDC,70954-398-10,DEXAMETHASONE 0.5 MG TABLET,4.3,1.68,,,0
NDC,70954-443-10,MISOPROSTOL 100 MCG TABLET,45.1,17.59,,,0
NDC,70954-443-20,MISOPROSTOL 100 MCG TABLET,45.2,17.63,,,0
NDC,70954-444-10,MISOPROSTOL 200 MCG TABLET,11.0,4.29,,,0
NDC,70954-444-20,MISOPROSTOL 200 MCG TABLET,33.0,12.87,,,0
NDC,70954-455-10,BISOPROLOL FUMARATE 5 MG TABLET,17.3,6.75,,,0
NDC,70954-455-20,BISOPROLOL FUMARATE 5 MG TABLET,17.3,6.75,,,0
NDC,70954-488-10,LACOSAMIDE 10 MG/ML ORAL SOLUTION,171.1,66.73,,,0
NDC,70954-518-10,LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION,495.9,193.4,,,0
NDC,70954-565-10,ESTRADIOL 1 MG TABLET,4.8,1.87,,,0
NDC,70954-600-10,FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,37.7,14.7,,,0
NDC,70954-662-10,KETOCONAZOLE 2 % SHAMPOO,232.0,90.48,,,0
NDC,70954-925-10,"NAPROXEN 375 MG TABLET,DELAYED RELEASE",39.7,15.48,,,0
NDC,70954-928-10,"NAPROXEN 500 MG TABLET,DELAYED RELEASE",48.4,18.88,,,0
NDC,71019-253-01,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,98.3,38.34,,,0
NDC,71019-263-20,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE,19.6,7.64,,,0
NDC,71019-341-17,SUCCINYLCHOLINE CHLORIDE 200 MG/10 ML (20 MG/ML) INTRAVENOUS SYRINGE,64.2,25.04,,,0
NDC,71030-003-01,EPHEDRINE (PF) 25 MG/5 ML (5 MG/ML) IN 0.9% SODIUM CHLORIDE IV SYRINGE,239.2,93.29,,,0
NDC,71030-003-02,EPHEDRINE (PF) 25 MG/5 ML (5 MG/ML) IN 0.9% SODIUM CHLORIDE IV SYRINGE,625.3,243.87,,,0
NDC,71205-909-30,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET,4.8,1.87,,,0
NDC,71205-909-90,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET,4.8,1.87,,,0
NDC,71247-126-01,LABETALOL 100 MG TABLET,9.5,3.7,,,0
NDC,71247-130-01,LABETALOL 300 MG TABLET,6.0,2.34,,,0
NDC,71258-022-01,"PIFLUFOLASTAT F 18 37 MBQ/ML TO 2,960 MBQ/ML (1-80 MCI/ML) IV SOLUTION",21773.0,8491.47,,,0
NDC,71266-2001-2,SUCCINYLCHOLINE CHLORIDE 200 MG/10 ML (20 MG/ML) INTRAVENOUS SYRINGE,109.2,42.59,,,0
NDC,71266-2003-2,NEOSTIGMINE METHYLSULFATE 5 MG/5 ML (1 MG/ML) INTRAVENOUS SYRINGE,70.9,27.65,,,0
NDC,71266-5010-1,FENTANYL (PF) IN NS 10 MCG/ML INFUSION (PREMIX),292.5,114.08,,,0
NDC,71266-5020-1,NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN 0.9 % NACL IV,208.6,81.35,,,0
NDC,71266-5020-2,NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN 0.9 % NACL IV,136.7,53.31,,,0
NDC,71266-5021-02,NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN 0.9 % NACL IV,224.4,87.52,,,0
NDC,71266-5050-1,FENTANYL (PF) 1000 MCG/100 ML NS (10 MCG/ML) PREMIX,246.0,95.94,,,0
NDC,71266-5055-2,HYDROMORPHONE (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLN,197.8,77.14,,,0
NDC,71266-5085-1,VANCOMYCIN 1.5 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,183.7,71.64,,,0
NDC,71266-5100-1,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,40.2,15.68,,,0
NDC,71266-5103-1,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,179.4,69.97,,,0
NDC,71266-6290-1,LIDOCAINE 4 %-EPINEPHRINE 0.18 %-TETRACAINE 0.5 % TOPICAL GEL,135.8,52.96,,,0
NDC,71266-6519-1,PHENOL 6 % INJECTION SOLUTION,552.6,215.51,,,0
NDC,71266-6660-1,GENTAMICIN 320 MCG/ML IN 4 % SODIUM CITRATE INTRA-CATHETER SOLUTION,19.6,7.64,,,0
NDC,71266-6670-1,GENTAMICIN 320 MCG/ML IN 4 % SODIUM CITRATE INTRA-CATHETER SOLUTION,19.6,7.64,,,0
NDC,71266-8020-1,ARGININE 25 MG-LYSINE 25MG/ML IN STERILE WATER INTRAVENOUS SOLUTION,2138.1,833.86,,,0
NDC,71266-9010-1,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE,19.6,7.64,,,0
NDC,71266-9011-1,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE,19.6,7.64,,,0
NDC,71266-9027-1,EPHEDRINE SULFATE 25 MG/5 ML (5 MG/ML) INTRAVENOUS SYRINGE,64.2,25.04,,,0
NDC,71266-9070-2,KETAMINE 50 MG/ML IN STERILE WATER INJECTION SYRINGE,40.6,15.83,,,0
NDC,71266-9080-1,KETAMINE 10 MG/ML INJECTION SOLUTION,60.3,23.52,,,0
NDC,71266-9080-2,"KETAMINE 50 MG/5 ML (10 MG/ML) IN SODIUM CHLOR,ISO-OSMOTIC INJ SYRINGE",34.0,13.26,,,0
NDC,71266-9080-4,KETAMINE 10 MG/ML INJECTION SOLUTION (WRAPPED),58.6,22.85,,,0
NDC,71266-9081-1,"KETAMINE 10 MG/ML IN SODIUM CHLORIDE, ISO-OSMOTIC INTRAVENOUS SOLUTION",274.2,106.94,,,0
NDC,71266-9090-1,LIDOCAINE (PF) 100 MG/5 ML (2 %) INJECTION SYRINGE,66.1,25.78,,,0
NDC,71266-9110-2,"HYDROMORPHONE (PF) 0.2 MG/ML IN NACL, ISO-OSMOTIC INJECTION SYRINGE",129.9,50.66,,,0
NDC,71266-9115-1,HYDROMORPHONE 30 MG/30 ML (1 MG/ML) IN 0.9 % NACL IV PCA SYRINGE,119.2,46.49,,,0
NDC,71266-9180-1,FENTANYL (PF) 10 MCG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SYRINGE,44.1,17.2,,,0
NDC,71266-9225-1,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.0625 %-NACL INJECTION SOLUTION,281.9,109.94,,,0
NDC,71285-0419-1,AAS 3 % NO.2 PEDI-D5W-CALCIUM 3.75 MEQ-HEPARIN 125 UNIT/250 ML IV SOLN,341.6,133.22,,,0
NDC,71285-0420-1,AMINO ACID 3 % PEDI-D10W-CALC 3.75 MEQ-HEPARIN 125 UNIT/250 ML IV SOLN,358.7,139.89,,,0
NDC,71285-6064-1,VANCOMYCIN 1 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE IVPB (PREMIX),81.2,31.67,,,0
NDC,71285-6071-1,VANCOMYCIN 750 MG/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,70.5,27.5,,,0
NDC,71285-7060-1,VANCOMYCIN 1.75 GRAM/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,132.4,51.64,,,0
NDC,71286-6003-1,EPHEDRINE (PF) 25 MG/5 ML (5 MG/ML) IN 0.9% SODIUM CHLORIDE IV SYRINGE,234.4,91.42,,,0
NDC,71288-006-30,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,69.8,27.22,,,0
NDC,71288-016-15,DAPTOMYCIN FOR IV PUSH,307.5,119.92,,,0
NDC,71288-016-95,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,238.2,92.9,,,0
NDC,71288-019-11,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION,1463.7,570.84,,,0
NDC,71288-022-10,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,76.9,29.99,,,0
NDC,71288-023-20,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",51.3,20.01,,,0
NDC,71288-024-21,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,76.9,29.99,,,0
NDC,71288-026-75,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,317.6,123.86,,,0
NDC,71288-027-30,VORICONAZOLE 200 MG INTRAVENOUS SOLUTION,366.2,142.82,,,0
NDC,71288-028-11,MICAFUNGIN 50 MG INTRAVENOUS SOLUTION,758.9,295.97,,,0
NDC,71288-031-21,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,19.6,7.64,,,0
NDC,71288-031-91,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,20.0,7.8,,,0
NDC,71288-032-21,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,69.8,27.22,,,0
NDC,71288-032-91,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,32.8,12.79,,,0
NDC,71288-101-20,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,153.8,59.98,,,0
NDC,71288-107-20,BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION,512.9,200.03,,,0
NDC,71288-115-30,AZACITIDINE 100 MG SOLUTION FOR INJECTION,557.2,217.31,,,0
NDC,71288-116-11,BUSULFAN 60 MG/10 ML INTRAVENOUS SOLUTION,968.8,377.83,,,0
NDC,71288-117-06,GEMCITABINE 200 MG/5.26 ML (38 MG/ML) INTRAVENOUS SOLUTION,81.1,31.63,,,0
NDC,71288-117-28,GEMCITABINE 1 GRAM/26.3 ML (38 MG/ML) INTRAVENOUS SOLUTION,169.3,66.03,,,0
NDC,71288-117-54,GEMCITABINE 2 GRAM/52.6 ML (38 MG/ML) INTRAVENOUS SOLUTION,342.3,133.5,,,0
NDC,71288-118-10,BORTEZOMIB 3.5 MG SOLUTION FOR SUBCUTANEOUS INJ,205.8,80.26,,,0
NDC,71288-119-20,DECITABINE 50 MG VIAL DILUTED FOR INTRAVENOUS USE,92.3,36.0,,,0
NDC,71288-129-02,DACTINOMYCIN 0.5 MG INTRAVENOUS SOLUTION,2808.0,1095.12,,,0
NDC,71288-132-90,MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION,7488.0,2920.32,,,0
NDC,71288-138-50,MITOMYCIN 20 MG INTRAVENOUS SOLUTION,2780.0,1084.2,,,0
NDC,71288-144-08,DOCETAXEL 80 MG/8 ML (10 MG/ML) INTRAVENOUS SOLUTION,1847.1,720.37,,,0
NDC,71288-144-16,DOCETAXEL 80 MG/8 ML (10 MG/ML) INTRAVENOUS SOLUTION,2059.2,803.09,,,0
NDC,71288-153-95,AZACITIDINE 100 MG SOLUTION FOR INJECTION,66.0,25.74,,,0
NDC,71288-154-76,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION,189.27,73.82,,,0
NDC,71288-155-01,PLERIXAFOR 24 MG/1.2 ML (20 MG/ML) SUBCUTANEOUS SOLUTION,2340.1,912.64,,,0
NDC,71288-162-30,LEUCOVORIN CALCIUM 200 MG SOLUTION FOR INJECTION,646.0,251.94,,,0
NDC,71288-163-30,LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION,205.6,80.18,,,0
NDC,71288-164-50,LEUCOVORIN CALCIUM 500 MG SOLUTION FOR INJECTION,736.1,287.08,,,0
NDC,71288-166-10,PEMETREXED DISODIUM 100 MG INTRAVENOUS POWDER FOR SOLUTION,748.8,292.03,,,0
NDC,71288-166-91,PEMETREXED DISODIUM 100 MG INTRAVENOUS POWDER FOR SOLUTION,187.7,73.2,,,0
NDC,71288-167-50,PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION,1872.0,730.08,,,0
NDC,71288-170-75,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION,112.7,43.95,,,0
NDC,71288-200-11,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,143.5,55.96,,,0
NDC,71288-200-21,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,102.5,39.98,,,0
NDC,71288-201-85,REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE,20.0,7.8,,,0
NDC,71288-202-02,SODIUM NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION,256.2,99.92,,,0
NDC,71288-203-03,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,71288-203-05,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,71288-203-11,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,71288-303-02,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",19.6,7.64,,,0
NDC,71288-303-91,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",19.6,7.64,,,0
NDC,71288-400-03,"HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJECTION SOLUTION",19.6,7.64,,,0
NDC,71288-402-11,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",19.6,7.64,,,0
NDC,71288-402-31,"HEPARIN (PORCINE) *LIFELINK ONLY* 1,000 UNITS/ML INJECTION SOLN",59.7,23.28,,,0
NDC,71288-403-02,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",19.6,7.64,,,0
NDC,71288-407-04,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,71288-409-05,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,76.9,29.99,,,0
NDC,71288-410-83,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,51.3,20.01,,,0
NDC,71288-414-04,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,42.7,16.65,,,0
NDC,71288-426-03,ENOXAPARIN 300 MG/3 ML SUBCUTANEOUS SOLUTION,22.8,8.89,,,0
NDC,71288-427-11,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,597.8,233.14,,,0
NDC,71288-432-81,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,23.7,9.24,,,0
NDC,71288-433-83,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,31.5,12.28,,,0
NDC,71288-434-85,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,45.9,17.9,,,0
NDC,71288-435-86,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,55.3,21.57,,,0
NDC,71288-436-88,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,31.9,12.44,,,0
NDC,71288-437-92,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,94.8,36.97,,,0
NDC,71288-438-93,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,107.3,41.85,,,0
NDC,71288-502-02,HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION,341.6,133.22,,,0
NDC,71288-600-11,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,25.4,9.91,,,0
NDC,71288-700-06,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,34.2,13.34,,,0
NDC,71288-712-06,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,55.0,21.45,,,0
NDC,71288-713-21,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,854.0,333.06,,,0
NDC,71288-716-10,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,76.9,29.99,,,0
NDC,71288-719-11,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,29.9,11.66,,,0
NDC,71288-803-21,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION,619.2,241.49,,,0
NDC,71288-806-51,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK,854.0,333.06,,,0
NDC,71336-1003-1,VUTRISIRAN 25 MG/0.5 ML SUBCUTANEOUS SYRINGE,831876.5,324431.84,,,0
NDC,71351-021-25,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,41.0,15.99,,,0
NDC,71351-023-25,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,27.4,10.69,,,0
NDC,7135101312,"LACTOBACILLUS ACIDOPHILUS, BULGARICUS 100 MILLION CELL GRANULES PACKET",8.6,3.35,,,0
NDC,7135102030,L.ACIDOPHILUS-L.PARACASEI-B.BIFIDUM-S.THERMOPHL 8 BILLION CELL CAPSULE,9.4,3.67,,,0
NDC,71399-0023-8,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,0.9,0.35,,,0
NDC,71399-0122-4,VITAMINS A AND D-WHITE PETROLATUM-LANOLIN TOPICAL OINTMENT,20.1,7.84,,,0
NDC,7139974015,CHOLECALCIFEROL (VITAMIN D3) 10 MCG/ML (400 UNIT/ML) ORAL DROPS,0.6,0.23,,,0
NDC,7139974205,PEDIATRIC MULTIVITAMIN NO.197-FERROUS SULFATE 11 MG/ML ORAL DROPS,4.8,1.87,,,0
NDC,7139974405,PEDIATRIC MULTIVITAMIN NO.197 250 MCG-50 MG-10-MCG-5 MG/ML ORAL DROPS,4.8,1.87,,,0
NDC,7139974805,FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS,0.6,0.23,,,0
NDC,71449-091-90,BEVACIZUMAB 2.75 MG/0.11 ML INTRAVITREAL SYRINGE,400.7,156.27,,,0
NDC,71506-002-58,PHENYLEPHRINE 20 MG/250 ML (80 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,226.4,88.3,,,0
NDC,71506-014-58,VANCOMYCIN 750 MG/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,129.4,50.47,,,0
NDC,71506-015-58,VANCOMYCIN 1.25 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,160.7,62.67,,,0
NDC,71506-016-59,VANCOMYCIN 1.5 GRAM/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLN,183.7,71.64,,,0
NDC,71506-017-59,VANCOMYCIN 1.75 GRAM/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,236.4,92.2,,,0
NDC,71506-018-58,VANCOMYCIN IVPB 1000 MG/250 ML NS (SIMPLE),151.6,59.12,,,0
NDC,71506-019-59,VANCOMYCIN 2 GRAM/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,136.7,53.31,,,0
NDC,71506-025-58,NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN 0.9 % NACL IV,1652.5,644.48,,,0
NDC,71506-028-59,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,136.7,53.31,,,0
NDC,71506-032-58,NOREPINEPHRINE BITARTRATE 32 MG/250 ML (128 MCG/ML) IN 0.9 % NACL IV,167.7,65.4,,,0
NDC,71506-046-45,LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS SYRINGE,36.8,14.35,,,0
NDC,71610-607-04,SIMETHICONE 80 MG CHEWABLE TABLET,0.6,0.23,,,0
NDC,71656-072-05,LITHIUM CITRATE 8 MEQ/5 ML ORAL SOLUTION,125.1,48.79,,,0
NDC,71699-104-56,CENOBAMATE 250 MG/DAY (150 MG X 1 AND 100 MG X 1) TABLETS,323.3,126.09,,,0
NDC,71715-002-21,OMADACYCLINE 150 MG TABLET,6055.2,2361.53,,,0
NDC,71740-112-30,POTASSIUM IODIDE 1 GRAM/ML ORAL SOLUTION,131.5,51.28,,,0
NDC,71773-050-12,ERAVACYCLINE 50 MG INTRAVENOUS SOLUTION,1094.2,426.74,,,0
NDC,71773-100-01,ERAVACYCLINE 100 MG INTRAVENOUS SOLUTION,837.0,326.43,,,0
NDC,71773-100-12,ERAVACYCLINE 100 MG INTRAVENOUS SOLUTION,813.2,317.15,,,0
NDC,71837-5843-5,SARGRAMOSTIM 250 MCG SOLUTION FOR INJECTION,860.0,335.4,,,0
NDC,71839-104-01,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,2516.2,981.32,,,0
NDC,71839-107-01,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,10059.6,3923.24,,,0
NDC,71839-110-10,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,95.4,37.21,,,0
NDC,71839-111-10,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,143.3,55.89,,,0
NDC,71839-143-01,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,183.7,71.64,,,0
NDC,71921-226-10,DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS,940.4,366.76,,,0
NDC,72078-002-04,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,596.5,232.64,,,0
NDC,72078-025-10,EPTIFIBATIDE 2 MG/ML INTRAVENOUS SOLUTION,190.7,74.37,,,0
NDC,72078-033-02,ADENOSINE 3 MG/ML IV SOLN (WRAPPED),51.3,20.01,,,0
NDC,72078-034-01,REMIFENTANIL 1 MG INTRAVENOUS SOLUTION,523.5,204.16,,,0
NDC,72078-046-00,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,66.1,25.78,,,0
NDC,72078-046-09,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,66.1,25.78,,,0
NDC,72078-046-18,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,63.9,24.92,,,0
NDC,7214001388,WHITE PETROLATUM 41 % TOPICAL OINTMENT,108.9,42.47,,,0
NDC,7214003147,WHITE PETROLATUM 41 % TOPICAL OINTMENT,95.5,37.24,,,0
NDC,7214003868,LANOLIN ALCOHOLS-MINERAL OIL-W.PETROLATUM-CERESIN TOPICAL CREAM,65.2,25.43,,,0
NDC,7214045231,WHITE PETROLATUM 41 % TOPICAL OINTMENT,36.4,14.2,,,0
NDC,7214063386,WHITE PETROLATUM 41 % TOPICAL OINTMENT,108.9,42.47,,,0
NDC,7214063608,WHITE PETROLATUM 41 % TOPICAL OINTMENT,108.9,42.47,,,0
NDC,72162-1176-3,PROPRANOLOL 20 MG TABLET,4.8,1.87,,,0
NDC,72196-0419-1,AAS 3 % NO.2 PEDI-D5W-CALCIUM 3.75 MEQ-HEPARIN 125 UNIT/250 ML IV SOLN,1063.0,414.57,,,0
NDC,72196-0420-1,AMINO ACID 3 % PEDI-D10W-CALC 3.75 MEQ-HEPARIN 125 UNIT/250 ML IV SOLN,358.7,139.89,,,0
NDC,72196-6064-1,VANCOMYCIN 1 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE IVPB (PREMIX),81.2,31.67,,,0
NDC,72205-007-92,CAPECITABINE 500 MG TABLET,976.5,380.84,,,0
NDC,72205-011-90,PREGABALIN 25 MG CAPSULE,64.7,25.23,,,0
NDC,72205-013-90,PREGABALIN 75 MG CAPSULE,64.7,25.23,,,0
NDC,72205-039-60,DOFETILIDE 125 MCG CAPSULE,74.8,29.17,,,0
NDC,72205-040-60,DOFETILIDE 250 MCG CAPSULE,74.8,29.17,,,0
NDC,72205-041-60,DOFETILIDE 500 MCG CAPSULE,74.8,29.17,,,0
NDC,72205-042-11,OSELTAMIVIR 30 MG CAPSULE,108.8,42.43,,,0
NDC,72205-044-11,OSELTAMIVIR 75 MG CAPSULE,118.6,46.25,,,0
NDC,72205-045-01,THIOTEPA 15 MG SOLUTION FOR INJECTION,24086.4,9393.7,,,0
NDC,72205-054-01,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,2239.2,873.29,,,0
NDC,72205-063-01,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",489.1,190.75,,,0
NDC,72205-100-01,FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLUTION,133.3,51.99,,,0
NDC,72205-101-07,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,22.3,8.7,,,0
NDC,72205-102-07,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,20.5,8.0,,,0
NDC,72205-120-07,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,38.4,14.98,,,0
NDC,72205-130-11,TOLVAPTAN 15 MG TABLET,2154.5,840.26,,,0
NDC,72205-200-30,ROFLUMILAST 500 MCG TABLET,95.0,37.05,,,0
NDC,72205-201-24,ROFLUMILAST 250 MCG TABLET,238.7,93.09,,,0
NDC,72205-205-07,ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION,69.9,27.26,,,0
NDC,72205-264-25,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,20.5,8.0,,,0
NDC,72266-101-01,DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION,2861.2,1115.87,,,0
NDC,72266-102-01,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,136.7,53.31,,,0
NDC,72266-103-01,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,51.3,20.01,,,0
NDC,72266-103-41,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,51.3,20.01,,,0
NDC,72266-118-25,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,19.6,7.64,,,0
NDC,72266-123-25,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,72266-124-01,ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,72266-127-05,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,210.1,81.94,,,0
NDC,72266-146-10,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,38.0,14.82,,,0
NDC,72266-158-01,MOXIFLOXACIN 0.5 % EYE DROPS,89.0,34.71,,,0
NDC,72266-159-05,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,257.4,100.39,,,0
NDC,72266-159-10,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,683.2,266.45,,,0
NDC,72266-160-10,ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION,280.1,109.24,,,0
NDC,72266-160-42,ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION,170.1,66.34,,,0
NDC,72266-162-01,OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION,303.8,118.48,,,0
NDC,72266-204-01,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,39.2,15.29,,,0
NDC,72266-234-25,KETOROLAC 15 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,72266-235-01,DEXRAZOXANE HCL 250 MG INTRAVENOUS SOLUTION,708.1,276.16,,,0
NDC,72266-237-05,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,250.7,97.77,,,0
NDC,72266-248-05,SINCALIDE 5 MCG SOLUTION FOR INJECTION,585.8,228.46,,,0
NDC,72266-249-10,"POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION",163.3,63.69,,,0
NDC,72319-021-02,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",49.3,19.23,,,0
NDC,72319-023-02,"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE",1703.0,664.17,,,0
NDC,72485-101-25,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,72485-104-01,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) ORAL SYRINGE,9.3,3.63,,,0
NDC,72485-105-01,SODIUM NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION,205.0,79.95,,,0
NDC,72485-107-10,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",117.9,45.98,,,0
NDC,72485-113-10,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,717.4,279.79,,,0
NDC,72485-223-20,GEMCITABINE 2000MG/52.6ML (GEMZAR) FOR BLADDER/INTRAVESICAL (SPLIT SY),415.5,162.04,,,0
NDC,72485-404-10,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,72485-406-01,NAFCILLIN 2 GRAM SOLUTION FOR INJECTION,105.4,41.11,,,0
NDC,72485-417-10,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,54.4,21.22,,,0
NDC,72485-421-01,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,146.3,57.06,,,0
NDC,72485-422-10,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,72.9,28.43,,,0
NDC,72485-507-25,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,158.9,61.97,,,0
NDC,72485-508-01,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,46.4,18.1,,,0
NDC,72485-508-10,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,72485-510-01,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",117.9,45.98,,,0
NDC,72485-617-10,KETOTIFEN 0.025 % (0.035 %) EYE DROPS,57.1,22.27,,,0
NDC,72485-670-31,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT,153.7,59.94,,,0
NDC,72572-226-25,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,72578-002-01,ACYCLOVIR 200 MG CAPSULE,4.8,1.87,,,0
NDC,72578-004-14,MEMANTINE 10 MG TABLET,46.8,18.25,,,0
NDC,72578-006-06,MODAFINIL 200 MG TABLET,255.6,99.68,,,0
NDC,72578-007-01,METRONIDAZOLE 250 MG TABLET,6.7,2.61,,,0
NDC,72578-089-04,"NYSTATIN 100,000 UNIT/GRAM TOPICAL OINTMENT",204.1,79.6,,,0
NDC,72578-103-84,MIRTAZAPINE 15 MG DISINTEGRATING TABLET,18.1,7.06,,,0
NDC,72578-132-16,VALSARTAN 80 MG TABLET,35.4,13.81,,,0
NDC,72578-137-06,FEBUXOSTAT 80 MG TABLET,77.2,30.11,,,0
NDC,72578-150-01,ACETAZOLAMIDE 250 MG TABLET,10.6,4.13,,,0
NDC,72603-103-01,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",4934.0,1924.26,,,0
NDC,72603-113-01,CLORAZEPATE DIPOTASSIUM 7.5 MG TABLET,19.3,7.53,,,0
NDC,72603-114-01,CLORAZEPATE DIPOTASSIUM 15 MG TABLET,41.8,16.3,,,0
NDC,72603-115-01,TAMSULOSIN 0.4 MG CAPSULE,32.4,12.64,,,0
NDC,72603-128-10,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,59.9,23.36,,,0
NDC,72603-139-25,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,241.2,94.07,,,0
NDC,72603-146-01,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,72603-153-01,KETOROLAC 15 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,72603-169-01,PROCHLORPERAZINE MALEATE 10 MG TABLET,4.8,1.87,,,0
NDC,72603-179-01,"HEPARIN (REBOLUS HIGH INTENSITY) 1,000 UNITS/ML",19.6,7.64,,,0
NDC,72603-198-01,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION,717.0,279.63,,,0
NDC,72603-208-01,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,158.3,61.74,,,0
NDC,72603-212-01,DEXAMETHASONE 0.5 MG TABLET,4.8,1.87,,,0
NDC,72603-248-01,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,515.1,200.89,,,0
NDC,72603-263-01,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION (FOR IV PUSH),335.8,130.96,,,0
NDC,72603-264-02,ATROPINE 1 % EYE DROPS,442.1,172.42,,,0
NDC,72603-302-01,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,17.2,6.71,,,0
NDC,72611-719-25,KETOROLAC 15 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,72611-722-25,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,19.6,7.64,,,0
NDC,72611-740-10,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION,19.6,7.64,,,0
NDC,72611-765-10,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",61.4,23.95,,,0
NDC,72677-551-01,INEBILIZUMAB-CDON 10 MG/ML INTRAVENOUS SOLUTION,913070.1,356097.34,,,0
NDC,72694-515-01,CALASPARGASE PEGOL-MKNL 750 UNIT/ML INTRAVENOUS SOLUTION,72474.2,28264.94,,,0
NDC,72819-153-02,MITOMYCIN 20 MG INTRAVENOUS SOLUTION,4732.3,1845.6,,,0
NDC,72888-012-01,CYCLOBENZAPRINE 5 MG TABLET,25.2,9.83,,,0
NDC,72888-014-01,CYCLOBENZAPRINE 10 MG TABLET,4.8,1.87,,,0
NDC,72888-024-07,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,164.8,64.27,,,0
NDC,72888-024-43,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,164.8,64.27,,,0
NDC,72888-035-01,CARVEDILOL 6.25 MG TABLET,14.1,5.5,,,0
NDC,72888-039-60,AMIODARONE 200 MG TABLET,26.0,10.14,,,0
NDC,72888-063-01,BUSPIRONE 7.5 MG TABLET,24.3,9.48,,,0
NDC,72888-067-01,AMITRIPTYLINE 10 MG TABLET,4.8,1.87,,,0
NDC,72888-075-01,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",8.7,3.39,,,0
NDC,72888-080-00,TRAMADOL 50 MG TABLET,6.4,2.5,,,0
NDC,72888-080-01,TRAMADOL 50 MG TABLET,6.4,2.5,,,0
NDC,72888-089-01,OXCARBAZEPINE 600 MG TABLET,37.1,14.47,,,0
NDC,72888-095-01,TRIAMTERENE 75 MG-HYDROCHLOROTHIAZIDE 50 MG TABLET,8.6,3.35,,,0
NDC,72888-104-25,GABAPENTIN 250 MG/5 ML ORAL SOLUTION,12.2,4.76,,,0
NDC,72888-125-26,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,6.5,2.54,,,0
NDC,72888-152-01,CLONAZEPAM 0.5 MG TABLET,5.8,2.26,,,0
NDC,72888-178-30,TRANEXAMIC ACID 650 MG TABLET,40.1,15.64,,,0
NDC,72888-192-01,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,60.9,23.75,,,0
NDC,72903-853-01,MIRVETUXIMAB SORAVTANSINE-GYNX 5 MG/ML INTRAVENOUS SOLUTION,5794.7,2259.93,,,0
NDC,72989-373-30,PROGESTERONE MICRONIZED 200 MG CAPSULE,243.0,94.77,,,0
NDC,73070-200-11,INSULIN ASPAR PRT-INSULIN ASPART 100 UNIT/ML (70-30) SUBCUTANEOUS SOLN,19.6,7.64,,,0
NDC,73090-421-01,SILTUXIMAB 400 MG INTRAVENOUS SOLUTION,76974.7,30020.13,,,0
NDC,73150-150-06,UBLITUXIMAB-XIIY 25 MG/ML INTRAVENOUS SOLUTION,232310.2,90600.98,,,0
NDC,73177-102-27,FENTANYL (PF) 1000 MCG/100 ML NS (10 MCG/ML) PREMIX,213.5,83.26,,,0
NDC,73177-108-03,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE,19.6,7.64,,,0
NDC,73177-115-25,PHENYLEPHRINE 20 MG/250 ML (80 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,19.6,7.64,,,0
NDC,73177-116-03,SUCCINYLCHOLINE(PF)20 MG/10 ML INTRAVENOUS SYRINGE,85.9,33.5,,,0
NDC,73177-123-02,DEXMEDETOMIDINE 20 MCG/5 ML (4 MCG/ML) IN 0.9 % SODIUM CHLR IV SYRINGE,40.9,15.95,,,0
NDC,73177-146-33,ALBUTEROL CONTINUOUS BRONCHODILATORY THERAPY,383.5,149.56,,,0
NDC,73177-149-02,METHADONE 5 MG/5 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SYRINGE,170.8,66.61,,,0
NDC,73177-156-02,KETAMINE 10 MG/ML INJECTION SOLUTION (WRAPPED),56.5,22.04,,,0
NDC,73177-156-35,"KETAMINE 30 MG/3 ML (10 MG/ML) IN SODIUM CHLOR,ISO-OSMOTIC INJ SYRINGE",31.1,12.13,,,0
NDC,73177-163-33,ALBUTEROL SULFATE CONCENTRATE 5 MG/ML(0.5 %) SOLUTION FOR NEBULIZATION,383.5,149.56,,,0
NDC,73293-0001-2,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,25.7,10.02,,,0
NDC,73302-456-01,ULIPRISTAL 30 MG TABLET,297.3,115.95,,,0
NDC,73462-101-01,TRILACICLIB 300 MG INTRAVENOUS SOLUTION,24854.5,9693.26,,,0
NDC,73475-3041-5,EFGARTIGIMOD ALFA-FCAB 20 MG/ML INTRAVENOUS SOLUTION,86293.9,33654.62,,,0
NDC,73475-3102-3,"EFGARTIGIMOD ALFA 1008 MG-HYALURON-QVFC 11,200 UNIT/5.6 ML SUBCUT SOLN",100392.0,39152.88,,,0
NDC,73562-104-10,"LIPASE-PROTEASE-AMYLASE 10,440-39,150-39,150 UNIT TABLET",64.9,25.31,,,0
NDC,73562-112-01,"LIPASE-PROTEASE-AMYLASE 20,000-63,000-84,000 UNIT CAPSULE, DELAYED REL",61.5,23.98,,,0
NDC,73562-114-01,"LIPASE-PROTEASE-AMYLASE 40,000-126,000-168,000 UNIT CAPSULE, DELAY REL",624.7,243.63,,,0
NDC,73562-208-10,"LIPASE-PROTEASE-AMYLASE 20,880-78,300-78,300 UNIT TABLET",64.0,24.96,,,0
NDC,73594-9310-1,FERRIC DERISOMALTOSE 100 MG IRON/ML INTRAVENOUS SOLUTION,2824.3,1101.48,,,0
NDC,73607-011-11,ARTESUNATE 110 MG INTRAVENOUS SOLUTION,58377.0,22767.03,,,0
NDC,73702-104-65,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE,42.7,16.65,,,0
NDC,73702-125-10,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE,19.6,7.64,,,0
NDC,73702-140-71,INDOMETHACIN 100 MG RECTAL SUPPOSITORY,2637.1,1028.47,,,0
NDC,73702-301-15,KETAMINE 10 MG/ML INJECTION SOLUTION (WRAPPED),49.8,19.42,,,0
NDC,7430000070,ZINC OXIDE-COD LIVER OIL 40 % TOPICAL PASTE,17.9,6.98,,,0
NDC,7431200650,PYRIDOXINE (VITAMIN B6) 100 MG TABLET,4.8,1.87,,,0
NDC,7431200690,"ASCORBIC ACID (VITAMIN C) 1,000 MG TABLET",4.8,1.87,,,0
NDC,7431201380,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET",0.6,0.23,,,0
NDC,74676-5902-1,TRIPTORELIN PAMOATE 3.75 MG IM SUSPENSION,6008.4,2343.28,,,0
NDC,75137-855-20,BENZOCAINE 20 %-MENTHOL 0.5 % TOPICAL AEROSOL,20.5,8.0,,,0
NDC,75826-114-10,PHENAZOPYRIDINE 100 MG TABLET,36.9,14.39,,,0
NDC,75826-137-10,PHENOBARBITAL 16.2 MG TABLET,4.8,1.87,,,0
NDC,75826-139-10,PHENOBARBITAL 32.4 MG TABLET,4.8,1.87,,,0
NDC,75826-141-10,PHENOBARBITAL 64.8 MG TABLET,4.8,1.87,,,0
NDC,75834-147-12,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,95.8,37.36,,,0
NDC,75834-147-24,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,95.8,37.36,,,0
NDC,75834-158-01,"VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE",11.1,4.33,,,0
NDC,75834-159-01,"VERAPAMIL ER (SR) 240 MG TABLET,EXTENDED RELEASE",6.3,2.46,,,0
NDC,75834-170-01,ZINC OXIDE 20 % TOPICAL OINTMENT,27.8,10.84,,,0
NDC,75834-170-02,ZINC OXIDE 20 % TOPICAL OINTMENT,38.4,14.98,,,0
NDC,75834-242-30,ERYTHROMYCIN 250 MG TABLET,101.5,39.58,,,0
NDC,75834-280-30,POTASSIUM IODIDE 1 GRAM/ML ORAL SOLUTION,25.7,10.02,,,0
NDC,75834-294-01,ERYTHROMYCIN ETHYLSUCCINATE 400 MG/5 ML ORAL POWDER FOR SUSPENSION,24.0,9.36,,,0
NDC,75834-295-01,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL POWDER FOR SUSPENSION,194.4,75.82,,,0
NDC,75834-312-01,THYROID (PORK) 60 MG TABLET,9.0,3.51,,,0
NDC,7583401060,"ERGOCALCIFEROL (VITAMIN D2) 200 MCG/ML (8,000 UNIT/ML) ORAL DROPS",4.8,1.87,,,0
NDC,7583402001,"CHOLECALCIFEROL (VITAMIN D3) 1,250 MCG (50,000 UNIT) CAPSULE",0.7,0.27,,,0
NDC,75907-006-60,AMIODARONE 200 MG TABLET,26.0,10.14,,,0
NDC,75907-023-11,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,254.4,99.22,,,0
NDC,75907-023-48,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,254.4,99.22,,,0
NDC,75907-024-11,CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH,428.3,167.04,,,0
NDC,75907-025-11,CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH,594.1,231.7,,,0
NDC,75907-025-48,CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH,594.1,231.7,,,0
NDC,75907-069-01,NORTRIPTYLINE 10 MG CAPSULE,4.8,1.87,,,0
NDC,75907-070-01,NORTRIPTYLINE 25 MG CAPSULE,4.8,1.87,,,0
NDC,75987-080-10,PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION,209256.5,81610.04,,,0
NDC,75987-150-03,INEBILIZUMAB-CDON 10 MG/ML INTRAVENOUS SOLUTION,977532.1,381237.52,,,0
NDC,76014-004-10,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,188.5,73.52,,,0
NDC,76045-004-11,MORPHINE 2 MG/ML INJECTION (WRAPPED),24.6,9.59,,,0
NDC,76045-005-11,MORPHINE 4 MG/ ML INJECTION (WRAPPED),19.6,7.64,,,0
NDC,76045-009-06,HYDROMORPHONE 1 MG/ML INJECTION (WRAPPED),19.6,7.64,,,0
NDC,76045-009-10,HYDROMORPHONE 1 MG/ML INJECTION (WRAPPED),19.6,7.64,,,0
NDC,76045-009-11,HYDROMORPHONE 1 MG/ML INJECTION SYRINGE,35.5,13.84,,,0
NDC,76045-010-11,HYDROMORPHONE 2 MG/ML INJECTION (WRAPPED),53.2,20.75,,,0
NDC,76045-102-10,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION,22.3,8.7,,,0
NDC,76045-106-10,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,49.4,19.27,,,0
NDC,76045-109-10,DEXAMETHASONE (PF) 10 MG/ML INJECTION (WRAPPED),49.36,19.25,,,0
NDC,76045-112-01,NALOXONE 1 MG/ML INJECTION SYRINGE,67.3,26.25,,,0
NDC,76045-112-20,NALOXONE 1 MG/ML INJECTION SYRINGE,27.0,10.53,,,0
NDC,76045-121-11,HYDROMORPHONE (PF) 0.2 MG/ML INJECTION SYRINGE,25.7,10.02,,,0
NDC,76045-204-20,DIAZEPAM 5 MG/ML INJECTION SYRINGE,52.6,20.51,,,0
NDC,76045-210-00,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE,51.07,19.92,,,0
NDC,76045-213-00,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION,27.8,10.84,,,0
NDC,76045-216-00,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SYRINGE,53.0,20.67,,,0
NDC,76075-101-01,CARFILZOMIB 60 MG INTRAVENOUS SOLUTION,22072.1,8608.12,,,0
NDC,76075-102-01,CARFILZOMIB 30 MG INTRAVENOUS SOLUTION,11036.1,4304.08,,,0
NDC,76075-103-01,CARFILZOMIB 10 MG INTRAVENOUS SOLUTION,0.01,0.0039,,,0
NDC,76125-790-25,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",410.0,159.9,,,0
NDC,76125-792-10,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",819.9,319.76,,,0
NDC,76125-792-25,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",410.0,159.9,,,0
NDC,76125-900-20,IMMUNE GLOB G 20 GRAM/200 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,57315.8,22353.16,,,0
NDC,76204-011-01,ALBUTEROL SULFATE 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,13.5,5.26,,,0
NDC,76204-100-01,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,14.2,5.54,,,0
NDC,76204-100-30,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,27.0,10.53,,,0
NDC,76204-200-01,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,21.5,8.38,,,0
NDC,76204-600-01,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,17.7,6.9,,,0
NDC,76204-600-30,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,16.8,6.55,,,0
NDC,76204-800-01,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,15.4,6.01,,,0
NDC,76204-900-01,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,15.4,6.01,,,0
NDC,76204-900-25,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,15.4,6.01,,,0
NDC,7620402260,SODIUM CHLORIDE 3 % FOR NEBULIZATION,6.5,2.54,,,0
NDC,7620430003,SODIUM CHLORIDE 0.9 % FOR NEBULIZATION,2.7,1.05,,,0
NDC,76282-213-18,SERTRALINE 50 MG TABLET,23.1,9.01,,,0
NDC,76282-214-60,SERTRALINE 100 MG TABLET,22.4,8.74,,,0
NDC,76282-348-01,NADOLOL 40 MG TABLET,4.8,1.87,,,0
NDC,76282-476-90,LANTHANUM 500 MG CHEWABLE TABLET,101.4,39.55,,,0
NDC,76282-704-45,OSELTAMIVIR 75 MG CAPSULE,13.2,5.15,,,0
NDC,76297-001-01,SODIUM CHLORIDE 0.9 % BOLUS,53.7,20.94,,,0
NDC,76297-001-11,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,76297-001-21,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,76297-001-31,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,76297-001-41,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,76329-1240-1,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION SYRINGE,211.2,82.37,,,0
NDC,76329-1912-1,MORPHINE (PF) 30 MG/30 ML (1 MG/ML) PCA INTRAVENOUS SOLUTION,119.7,46.68,,,0
NDC,76329-3011-5,LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR,46.1,17.98,,,0
NDC,76329-3012-5,LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR,48.5,18.92,,,0
NDC,76329-3013-5,LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR,54.0,21.06,,,0
NDC,76329-3301-1,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE,56.6,22.07,,,0
NDC,76329-3302-1,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE,173.0,67.47,,,0
NDC,76329-3304-1,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE,89.7,34.98,,,0
NDC,76329-3316-1,EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE,19.6,7.64,,,0
NDC,76329-3318-1,EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE,704.1,274.6,,,0
NDC,76329-3321-0,REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE,30.0,11.7,,,0
NDC,76329-3339-1,ATROPINE 0.1 MG/ML INJECTION SYRINGE,76.9,29.99,,,0
NDC,76329-3340-1,ATROPINE 0.1 MG/ML INJECTION SYRINGE,97.8,38.14,,,0
NDC,76329-3352-1,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INTRAVENOUS SYRINGE,823.9,321.32,,,0
NDC,76329-3369-1,NALOXONE 1 MG/ML INJECTION SYRINGE,281.9,109.94,,,0
NDC,76329-3390-1,LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE,76.6,29.87,,,0
NDC,76329-3399-5,PROCAINAMIDE 100 MG/ML INJECTION SOLUTION,1184.9,462.11,,,0
NDC,76329-6300-5,LIDOCAINE HCL 4 % LARYNGOTRACHEAL SOLUTION,173.8,67.78,,,0
NDC,76329-8261-1,LORAZEPAM 2 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,76329-9060-0,EPINEPHRINE 1 MG/ML INJECTION SOLUTION,320.3,124.92,,,0
NDC,76385-123-01,METHOCARBAMOL 500 MG TABLET,4.8,1.87,,,0
NDC,76385-124-01,METHOCARBAMOL 750 MG TABLET,5.6,2.18,,,0
NDC,76385-133-01,NADOLOL 20 MG TABLET,26.1,10.18,,,0
NDC,76385-134-01,NADOLOL 40 MG TABLET,15.2,5.93,,,0
NDC,77333-120-50,CALCIUM POLYCARBOPHIL 625 MG TABLET,5.3,2.07,,,0
NDC,77333-812-10,SIMETHICONE 80 MG CHEWABLE TABLET,1.0,0.39,,,0
NDC,77333-827-10,SODIUM BICARBONATE 650 MG TABLET,0.9,0.35,,,0
NDC,77333-827-25,SODIUM BICARBONATE 650 MG TABLET,1.8,0.7,,,0
NDC,77333-844-10,"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET",11.1,4.33,,,0
NDC,7733330810,"OMEGA 3-DHA-EPA-FISH OIL 1,000 MG (120 MG-180 MG) CAPSULE",1.1,0.43,,,0
NDC,7733351610,MELATONIN 3 MG TABLET,4.8,1.87,,,0
NDC,7733352010,MELATONIN 5 MG TABLET,4.8,1.87,,,0
NDC,7733380050,SACCHAROMYCES BOULARDII 250 MG CAPSULE,7.3,2.85,,,0
NDC,7733383110,SODIUM BICARBONATE 650 MG TABLET,0.9,0.35,,,0
NDC,7733383510,"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET",4.8,1.87,,,0
NDC,7733386125,MULTIVITAMIN-IRON 9 MG-FOLIC ACID 400 MCG-CALCIUM AND MINERALS TABLET,1.1,0.43,,,0
NDC,7733393410,THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET,4.8,1.87,,,0
NDC,7733393710,CYANOCOBALAMIN (VIT B-12) 500 MCG TABLET,1.7,0.66,,,0
NDC,7733393810,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET",0.6,0.23,,,0
NDC,7733394010,PYRIDOXINE (VITAMIN B6) 50 MG TABLET,4.8,1.87,,,0
NDC,7733394810,CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET,2.0,0.78,,,0
NDC,7733395110,"VITAMIN E (DL, ACETATE) 180 MG (400 UNIT) CAPSULE",1.1,0.43,,,0
NDC,7733398310,ZINC SULFATE 50 MG ZINC (220 MG) CAPSULE,1.0,0.39,,,0
NDC,7733398325,ZINC SULFATE 10 MG/ML ORAL SUSPENSION (NEONATE/PEDS),4.8,1.87,,,0
NDC,77790-022-15,HYPROMELLOSE 2.5 % EYE DROPS,283.0,110.37,,,0
NDC,7811201103,PHENOL 1.4 % MUCOSAL AEROSOL SPRAY,61.1,23.83,,,0
NDC,7811201106,SORE THROAT LOZENGE (WRAPPED),4.8,1.87,,,0
NDC,7811201266,SORE THROAT LOZENGE (WRAPPED),35.5,13.84,,,0
NDC,7811269480,PHENOL 1.4 % MUCOSAL AEROSOL SPRAY,25.8,10.06,,,0
NDC,7811273621,CARBAMIDE PEROXIDE 6.5 % EAR DROPS,61.6,24.02,,,0
NDC,7811273623,CARBAMIDE PEROXIDE 6.5 % EAR DROPS,53.5,20.86,,,0
NDC,78206-118-01,BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION,149.2,58.19,,,0
NDC,78206-145-01,ETONOGESTREL 68 MG SUBDERMAL IMPLANT,9316.3,3633.36,,,0
NDC,78206-147-01,TRASTUZUMAB-DTTB 150 MG INTRAVENOUS SOLUTION,24797.7,9671.1,,,0
NDC,78206-148-01,TRASTUZUMAB-DTTB 420 MG INTRAVENOUS SOLUTION,38960.2,15194.48,,,0
NDC,78206-162-01,INFLIXIMAB-ABDA 100 MG INTRAVENOUS SOLUTION,21004.6,8191.79,,,0
NDC,78206-172-01,MONTELUKAST 10 MG TABLET,35.3,13.77,,,0
NDC,78670-003-67,DANTROLENE 20 MG INTRAVENOUS SOLUTION,1771.1,690.73,,,0
NDC,79672-613-30,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,53.7,20.94,,,0
NDC,79672-613-50,SODIUM CHLORIDE 0.9 % BOLUS,84.12,32.81,,,0
NDC,7985400893,"OMEGA 3-DHA-EPA-FISH OIL 300 MG-1,000 MG CAPSULE",0.6,0.23,,,0
NDC,7985401162,CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET,0.6,0.23,,,0
NDC,7985420050,CYANOCOBALAMIN (VIT B-12) 100 MCG TABLET,0.6,0.23,,,0
NDC,7985430015,ASCORBIC ACID (VITAMIN C) 250 MG TABLET,0.6,0.23,,,0
NDC,7985430035,ASCORBIC ACID (VITAMIN C) 500 MG TABLET,0.6,0.23,,,0
NDC,7985440050,MULTIVITAMIN-MINERALS-IRON FUMARATE 7.5 MG-FOLIC ACID 400 MCG TABLET,0.6,0.23,,,0
NDC,79952-110-01,LONCASTUXIMAB TESIRINE-LPYL 10 MG INTRAVENOUS SOLUTION,310270.3,121005.42,,,0
NDC,8019629660,"SILVER ER TOPICAL GEL,EXTENDED RELEASE",191.7,74.76,,,0
NDC,8019652856,MICONAZOLE NITRATE 2 % TOPICAL POWDER,64.6,25.19,,,0
NDC,80446-401-01,TEBENTAFUSP-TEBN 100 MCG/0.5 ML INTRAVENOUS SOLUTION,40894.5,15948.86,,,0
NDC,80631-107-01,COVID VACCINE 2024-2025 (12Y UP)-ADJ(PF) 5 MCG/0.5 ML IM SYRINGE (EUA),987.7,385.2,,,0
NDC,8065183055,SODIUM HYALURONATE 10 MG/ML INTRAOCULAR SYRINGE,2506.3,977.46,,,0
NDC,8065183085,SODIUM HYALURONATE 10 MG/ML INTRAOCULAR SYRINGE,2128.9,830.27,,,0
NDC,8065183150,CHONDROITIN-SOD HYALURON 3 %-4 %(0.5 ML)1 %(0.55 ML)INTRAOCULAR SYRING,1847.2,720.41,,,0
NDC,8065183905,CHONDROITIN-SOD HYALURON 4 %-3 % (40 MG-30 MG/ML) INTRAOCULAR SYRINGE,5315.1,2072.89,,,0
NDC,8068101000,COENZYME Q10 100 MG CAPSULE,1.6,0.62,,,0
NDC,8068104001,MELATONIN 5 MG TABLET,4.8,1.87,,,0
NDC,8068105700,NIACIN 100 MG TABLET,0.6,0.23,,,0
NDC,8068106300,MULTIVITAMIN-FERROUS FUMARATE-FOLIC ACID 18 MG-400 MCG TABLET,4.8,1.87,,,0
NDC,8068106301,MULTIVITAMIN-FERROUS FUMARATE-FOLIC ACID 18 MG-400 MCG TABLET,4.8,1.87,,,0
NDC,8068107100,CYANOCOBALAMIN (VIT B-12) 100 MCG TABLET,0.6,0.23,,,0
NDC,8068109700,THIAMINE HCL (VITAMIN B1) 50 MG TABLET,4.8,1.87,,,0
NDC,8068110000,GLUCOSE 3.75 GRAM CHEWABLE TABLET,7.7,3.0,,,0
NDC,8068111200,B COMPLEX-C 500 MG-FOLIC 400 MCG-ZINC 23.9 MG-CUPRIC 3 MG-VIT E TABLET,0.6,0.23,,,0
NDC,8068112400,MULTIVITAMIN-IRON SULFATE 15 MG-FOLIC ACID 400 MCG TABLET,0.6,0.23,,,0
NDC,8068112600,B-COMPLEX WITH VITAMIN C TABLET,0.6,0.23,,,0
NDC,8068112800,CYANOCOBALAMIN (VIT B-12) 500 MCG TABLET,0.6,0.23,,,0
NDC,8068113100,"CHOLECALCIFEROL (VITAMIN D3) 125 MCG (5,000 UNIT) CAPSULE",0.6,0.23,,,0
NDC,8068113400,"VITAMIN E (DL, ACETATE) 45 MG (100 UNIT) CAPSULE",0.6,0.23,,,0
NDC,8068113500,ZINC SULFATE 50 MG ZINC (220 MG) CAPSULE,0.6,0.23,,,0
NDC,8068113800,CALCIUM 600 MG (AS CARBONATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET,0.6,0.23,,,0
NDC,8068113801,CALCIUM 600 MG (AS CARBONATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET,0.6,0.23,,,0
NDC,8068115400,B-COMPLEX WITH VITAMIN C TABLET,0.6,0.23,,,0
NDC,8068116600,"ASCORBIC ACID (VITAMIN C) 1,000 MG TABLET",4.8,1.87,,,0
NDC,8068116800,"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET",0.6,0.23,,,0
NDC,8068116801,"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET",0.3,0.12,,,0
NDC,8068116900,"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET",0.6,0.23,,,0
NDC,8068117200,"POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET",5.7,2.22,,,0
NDC,8068117400,"CHOLECALCIFEROL (VITAMIN D3) 1,250 MCG (50,000 UNIT) CAPSULE",0.7,0.27,,,0
NDC,8068117401,"CHOLECALCIFEROL (VITAMIN D3) 1,250 MCG (50,000 UNIT) CAPSULE",3.6,1.4,,,0
NDC,80725-250-01,PAROMOMYCIN 250 MG CAPSULE,3356.4,1309.0,,,0
NDC,80725-630-25,THIOGUANINE 40 MG TABLET,17416.0,6792.24,,,0
NDC,80777-110-01,COVID VACC 2024-25 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE,988.4,385.48,,,0
NDC,80777-110-96,COVID VACC 2024-25 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE,988.4,385.48,,,0
NDC,80830-1691-2,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,153.8,59.98,,,0
NDC,80830-2329-2,"TRANEXAMIC ACID 1,000 MG/100 ML(10 MG/ML)IN SOD CHLOR,ISO IV PIGGYBACK",210.1,81.94,,,0
NDC,80830-2329-3,"TRANEXAMIC ACID 1,000 MG/100 ML(10 MG/ML)IN SOD CHLOR,ISO IV PIGGYBACK",210.1,81.94,,,0
NDC,80830-2363-9,"CALCIUM GLUCONATE 2 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION",404.8,157.87,,,0
NDC,81033-002-30,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (WRAPPED),10.6,4.13,,,0
NDC,81033-002-50,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (WRAPPED),2.6,1.01,,,0
NDC,81033-020-99,MUPIROCIN 2 % TOPICAL OINTMENT,19.2,7.49,,,0
NDC,81033-025-05,LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM,62.9,24.53,,,0
NDC,81033-102-05,GUAIFENESIN 100 MG/5 ML ORAL LIQUID,14.9,5.81,,,0
NDC,81033-102-10,GUAIFENESIN 100 MG/5 ML ORAL LIQUID,15.7,6.12,,,0
NDC,81033-102-15,GUAIFENESIN 100 MG/5 ML ORAL LIQUID,7.2,2.81,,,0
NDC,81033-104-05,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,145.2,56.63,,,0
NDC,81033-512-50,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,8.4,3.28,,,0
NDC,81284-153-10,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,61.5,23.98,,,0
NDC,81284-315-05,INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) INTRAVENOUS SOLUTION,3345.6,1304.78,,,0
NDC,81284-411-05,DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION,799.4,311.77,,,0
NDC,81284-411-10,DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION,566.3,220.86,,,0
NDC,81284-611-10,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",28.2,11.0,,,0
NDC,81284-612-10,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",39.0,15.21,,,0
NDC,81298-7620-1,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,269.1,104.95,,,0
NDC,81298-8112-1,CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION,1578.8,615.73,,,0
NDC,81298-8660-3,FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION,30.8,12.01,,,0
NDC,81298-9655-1,NOREPINEPHRINE BITARTRATE 8 MG/250 ML (32 MCG/ML) IN 0.9 % NACL IV,324.6,126.59,,,0
NDC,81298-9659-3,NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN 0.9 % NACL IV,189.3,73.83,,,0
NDC,8142102102,BISACODYL 10 MG RECTAL SUPPOSITORY,7.7,3.0,,,0
NDC,8142102103,BISACODYL 10 MG RECTAL SUPPOSITORY,6.1,2.38,,,0
NDC,8142102105,BISACODYL 10 MG RECTAL SUPPOSITORY,5.4,2.11,,,0
NDC,8164219344,BALSAM PERU-ZINC OXIDE TOPICAL OINTMENT,88.5,34.52,,,0
NDC,81665-200-05,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,156.3,60.96,,,0
NDC,81952-111-06,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",22.3,8.7,,,0
NDC,82260-734-05,FLUORESCEIN 0.3 %-BENOXINATE 0.4 % EYE DROPS,245.5,95.74,,,0
NDC,82347-0505-4,LIDOCAINE 5 % TOPICAL PATCH,21.9,8.54,,,0
NDC,82347-0505-5,LIDOCAINE 5 % TOPICAL PATCH,43.8,17.08,,,0
NDC,82584-003-30,LATANOPROST (PF) 0.005 % EYE DROPS IN A DROPPERETTE,20.3,7.92,,,0
NDC,82584-792-01,LIDOCAINE (PF) 3.5 % EYE GEL,179.2,69.89,,,0
NDC,82705-010-01,EPCORITAMAB-BYSP 48 MG/0.8 ML SUBCUTANEOUS SOLUTION,100820.7,39320.07,,,0
NDC,8290306413,"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE",19.6,7.64,,,0
NDC,8290306414,"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE",19.6,7.64,,,0
NDC,8290306424,"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE",19.6,7.64,,,0
NDC,8290306500,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,19.6,7.64,,,0
NDC,8290306518,SODIUM CHLORIDE (STERILE) 0.9 % INJECTION SYRINGE,19.6,7.64,,,0
NDC,8290306544,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,19.6,7.64,,,0
NDC,8290306545,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,19.6,7.64,,,0
NDC,8290306546,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,19.6,7.64,,,0
NDC,8290306547,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,19.6,7.64,,,0
NDC,8290306553,SODIUM CHLORIDE (STERILE) 0.9 % INJECTION SYRINGE,19.6,7.64,,,0
NDC,82959-111-01,IMETELSTAT 188 MG INTRAVENOUS SOLUTION,63534.3,24778.38,,,0
NDC,82959-112-01,IMETELSTAT 188 MG INTRAVENOUS SOLUTION,74409.9,29019.86,,,0
NDC,83090-008-01,BORTEZOMIB 3.5 MG SOLUTION FOR SUBCUTANEOUS INJ,1620.7,632.07,,,0
NDC,83257-001-11,TRASTUZUMAB-DKST 150 MG INTRAVENOUS SOLUTION,4538.6,1770.05,,,0
NDC,83257-004-12,TRASTUZUMAB-DKST 420 MG INTRAVENOUS SOLUTION,12441.7,4852.26,,,0
NDC,83257-005-41,PEGFILGRASTIM-JMDB 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,14549.9,5674.46,,,0
NDC,8327030909,"SILVER ER TOPICAL GEL,EXTENDED RELEASE",468.6,182.75,,,0
NDC,8349023560,SODIUM CHLORIDE 3.5 % FOR NEBULIZATION,6.8,2.65,,,0
NDC,83634-302-41,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,27.4,10.69,,,0
NDC,83634-302-42,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,83634-302-43,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,83634-303-42,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,975.8,380.56,,,0
NDC,83634-401-41,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",49.6,19.34,,,0
NDC,83634-500-41,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,53.7,20.94,,,0
NDC,83634-500-42,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,47.9,18.68,,,0
NDC,83634-776-10,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,341.6,133.22,,,0
NDC,83634-779-41,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION,19.6,7.64,,,0
NDC,83980-007-01,PROPRANOLOL 40 MG TABLET,5.5,2.14,,,0
NDC,8544636971,SODIUM HYALURONATE 10 MG/ML INTRAOCULAR SYRINGE,279.0,108.81,,,0
NDC,8544636991,SODIUM HYALURONATE 23 MG/ML INTRAOCULAR SYRINGE,825.6,321.98,,,0
NDC,8679001930,"FERROUS SULFATE ER 137 MG (45 MG IRON) TABLET,EXTENDED RELEASE",4.8,1.87,,,0
NDC,8679016280,WHEAT DEXTRIN 3 GRAM/4 GRAM ORAL POWDER PACKET,5.8,2.26,,,0
NDC,8770140776,"FERROUS SULFATE, DRIED ER 159 MG (45 MG IRON) TABLET,EXTENDED RELEASE",1.2,0.47,,,0
NDC,8881570300,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,19.6,7.64,,,0
NDC,8881579121,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,19.6,7.64,,,0
NDC,8881579123,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,19.6,7.64,,,0
NDC,8881579300,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,19.6,7.64,,,0
NDC,9629512831,PRENATAL VIT NO.95-FERROUS FUMARATE 28 MG-FOLIC ACID 800 MCG TABLET,0.6,0.23,,,0
NDC,9629512985,TROLAMINE SALICYLATE 10 % TOPICAL CREAM,49.6,19.34,,,0
NDC,9629513574,VIT A 300 MCG-C 200 MG-E 27 MG-LUTEIN 2 MG AND MINERALS TABLET,0.6,0.23,,,0
NDC,9999-9900-02,STUDY TEGOPRUBART (AT-1501-K207) IN 100 ML IVPB,0.1,0.04,,,0
NDC,9999-9900-07,STUDY POSACONAZOLE/PLACEBO (CD.101.IV.3.08 (RESPECT)) INJECTION,0.1,0.04,,,0
NDC,9999-9900-21,STUDY CRIZANLIZUMAB-TMCA (CSEG101A22401B) IVPB,0.1,0.04,,,0
NDC,9999-9900-34,STUDY TSR-042 DOSTARLIMAB (4010-01-001 (GARNET)) 50 MG/ML INJECTION,0.1,0.04,,,0
NDC,9999-9900-35,STUDY NIPOCALIMAB/PLACEBO (80202135IIM2001 (SPIREA)) IN 250 ML IVPB,0.1,0.04,,,0
NDC,9999-9900-36,STUDY NIVOLUMAB (NRG-GY025) 10 MG/ML INJECTION,0.1,0.04,,,0
NDC,9999-9900-39,STUDY DOSTARLIMAB/PLACEBO (4010-03-001 (GOG-3031) (RUBY)) INJECTION,0.1,0.04,,,0
NDC,9999-9900-45,"STUDY LUVELTAMAB TAZEVIBULIN (STRO-002-GM3,GOG-3086) 100 MG/10 ML INTRAVENOUS SOLUTION",0.1,0.04,,,0
NDC,9999-9901-23,"STUDY TECLISTAMAB (MAJESTEC-10,64007957MMY1008) POST-CHANGE (90 MG/ML) SUBCUTANEOUS INJECTION",0.1,0.04,,,0
NDC,9999-9901-27,STUDY NIPOCALIMAB (80202135IIM2001 (SPIREA)) IN 250 ML IVPB,0.1,0.04,,,0
NDC,9999-9901-40,STUDY LURBINECTEDIN (PM1183-C-010-22) 4 MG INJECTION,0.1,0.04,,,0
NDC,9999-9901-42,STUDY DOXORUBICIN (PM1183-C-010-22) 50 MG/25 ML (2 MG/ML) INJECTION,0.1,0.04,,,0
NDC,9999-9901-59,STUDY OLANZAPINE BLINDED (FONDO-LOW) CAPSULE 2.5 MG OR 5 MG,0.1,0.04,,,0
NDC,9999-9901-69,"STUDY DAZODALIBEP/PLACEBO (HZNP-DAZ-301, DB PHASE) IN NS 250 ML",0.1,0.04,,,0
NDC,9999-9901-70,"STUDY DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML (54767414MMY2095, GCC-23-050) SUBCUT SOLN",0.01,0.0039,,,0
NDC,9999-9902-61,STUDY MK-2870 (MK-2870-005 (GOG-3095)) 20 MG/ML INJECTION,0.1,0.04,,,0
NDC,9999-9902-63,STUDY SAIL66 (SAL101JG) INFUSION IN 100 ML W/STABILIZER,0.1,0.04,,,0
NDC,9999-9902-67,STUDY TUVUSERTIB M1774 (MS201924_0020) 30 MG CAPSULE,0.1,0.04,,,0
NDC,9999-9902-68,STUDY TUVUSERTIB M1774 (MS201924_0020) 50 MG CAPSULE,0.1,0.04,,,0
NDC,9999-9902-69,STUDY LARTESERTIB M4076 (MS201924_0020) 50 MG TABLET,0.1,0.04,,,0
NDC,9999-9902-73,"STUDY LUVELTAMAB TAZEVIBULIN (STRO-002-GM3, GOG-3086) INFUSION (NEW)",0.1,0.04,,,0
NDC,9999-9903-07,STUDY BHV1510 (BHV1510-101) IN NS 250 ML IVPB MIXTURE,0.1,0.04,,,0
NDC,9999-9903-12,"STUDY ASTX727 CEDAZURIDINE-DECITABINE(MM1OA-S03)TAB, 100-35 MG",0.1,0.04,,,0